REFERRING_NPI,REFERRING_PROVIDER_LAST_ORG_NAME,REFERRING_PROVIDER_FIRST_NAME,REFERRING_PROVIDER_MI,REFERRING_CREDENTIALS,REFERRING_PROVIDER_GENDER,REFERRING_ENTITY_CODE,REFERRING_PROVIDER_STREET1,REFERRING_PROVIDER_STREET2,REFERRING_PROVIDER_CITY,REFERRING_PROVIDER_STATE,REFERRING_PROVIDER_ZIP,REFERRING_PROVIDER_COUNTRY,REFERRING_PROVIDER_TYPE,REFERRING_PROVIDER_TYPE_FLAG,HCPCS_CODE,HCPCS_DESCRIPTION,BETOS_CLASSIFICATION,BETOS_CLASSIFICATION_GROUP,SUPPLIER_RENTAL_INDICATOR,NUMBER_OF_SUPPLIERS,NUMBER_OF_SUPPLIER_BENEFICIARIES,NUMBER_OF_SUPPLIER_CLAIMS,NUMBER_OF_SUPPLIER_SERVICES,AVG_SUPPLIER_SUBMITTED_CHARGE,AVG_SUPPLIER_MEDICARE_ALLOW_AMT,AVG_SUPPLIER_MEDICARE_PMT_AMT,AVG_SUPPLIER_MEDICARE_STD_AMT
1003000126,ENKESHAFI,ARDALAN,,M.D.,M,I,900 SETON DR,,CUMBERLAND,MD,215021854,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,21,134,135,53.149703704,22.563111111,17.577333333,14.609777778
1003000126,ENKESHAFI,ARDALAN,,M.D.,M,I,900 SETON DR,,CUMBERLAND,MD,215021854,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.29,7.9045454545,6.1945454545,4.0272727273
1003000126,ENKESHAFI,ARDALAN,,M.D.,M,I,900 SETON DR,,CUMBERLAND,MD,215021854,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,22,156,156,370.89467949,103.44942308,79.738525641,57.093397436
1003000407,GIRARDI,DAVID,J,D.O.,M,I,100 HOSPITAL RD,,BROOKVILLE,PA,158251367,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,225.71428571,89.61,70.255,55.160714286
1003000480,ROTHCHILD,KEVIN,B,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/General Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,43.53,9.2927272727,5.7927272727,5.6372727273
1003000522,WEIGAND,FREDERICK,J,MD,M,I,1565 SAXON BLVD,SUITE 102,DELTONA,FL,327255876,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,68,148,62.196756757,8.32,6.2941891892,6.2941891892
1003000522,WEIGAND,FREDERICK,J,MD,M,I,1565 SAXON BLVD,SUITE 102,DELTONA,FL,327255876,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,13.272631579,3.38,2.65,2.65
1003000522,WEIGAND,FREDERICK,J,MD,M,I,1565 SAXON BLVD,SUITE 102,DELTONA,FL,327255876,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,31,41,13.490731707,1.42,1.087804878,1.087804878
1003000522,WEIGAND,FREDERICK,J,MD,M,I,1565 SAXON BLVD,SUITE 102,DELTONA,FL,327255876,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,603.54875,85.221875,66.818125,65.4325
1003000522,WEIGAND,FREDERICK,J,MD,M,I,1565 SAXON BLVD,SUITE 102,DELTONA,FL,327255876,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,27,128.20740741,77.871111111,56.555925926,50.674444444
1003000530,SEMONCHE,AMANDA,M,DO,F,I,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,18951,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,59,60.623898305,8.32,6.5211864407,6.5211864407
1003000530,SEMONCHE,AMANDA,M,DO,F,I,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,18951,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,18,17.22,1.42,1.1133333333,1.1133333333
1003000530,SEMONCHE,AMANDA,M,DO,F,I,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,18951,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40,10.1725,7.975,8.875
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,55,123,79.654227642,8.32,5.9351219512,5.9351219512
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,21,25,15.674,1.42,1.0732,1.0732
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,320,7.1078125,5.74,4.5,4.5
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,13.434545455,10.81,8.475,8.475
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,23,86.31,17.3,12.678695652,12.660434783
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,50.73,5.8305882353,4.3305882353,3.5723529412
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,42,451.33642857,80.612380952,60.268095238,54.37952381
1003000902,LOHANO,JAIVANTI,,MD,F,I,2215 PORTLAND AVE,,LOUISVILLE,KY,402121033,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,46.714285714,33,24.022142857,24.022142857
1003001363,STEVENS,CHARLES,,M.D.,M,I,1665 S IMPERIAL AVE STE D,,EL CENTRO,CA,922434247,US,Physician/Anesthesiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,1802.5,972.47,762.42,768.985
1003001363,STEVENS,CHARLES,,M.D.,M,I,1665 S IMPERIAL AVE STE D,,EL CENTRO,CA,922434247,US,Physician/Anesthesiology,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,2188,1146.08,896.4162963,884.3962963
1003001371,KANTER,DAVID,M,MD,M,I,750 E ADAMS ST,,SYRACUSE,NY,132102342,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,25,108.44,56.268,44.1144,38.0492
1003001371,KANTER,DAVID,M,MD,M,I,750 E ADAMS ST,,SYRACUSE,NY,132102342,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,2,,11,23,291.26913043,200.3,157.04,120.37478261
1003001371,KANTER,DAVID,M,MD,M,I,750 E ADAMS ST,,SYRACUSE,NY,132102342,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,58.60173913,24.459130435,18.339130435,13.099130435
1003001371,KANTER,DAVID,M,MD,M,I,750 E ADAMS ST,,SYRACUSE,NY,132102342,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,14,37,129,39.275658915,28.09,21.570155039,21.570077519
1003001785,JONES,JACLYN,C,D.O.,F,I,1245 S UTICA AVE,,TULSA,OK,74104,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,250,222.06,164.53357143,162.79714286
1003001785,JONES,JACLYN,C,D.O.,F,I,1245 S UTICA AVE,,TULSA,OK,74104,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,26,28,90,53.231071429,40.244642857,44.263214286
1003001785,JONES,JACLYN,C,D.O.,F,I,1245 S UTICA AVE,,TULSA,OK,74104,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,14,400,251.28,194.65857143,213.42142857
1003001884,SAHA,LUCILLE,T,M.D.,F,I,1397 S LINDEN RD,SUITE A,FLINT,MI,485324194,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,56,56.004464286,8.32,3.4932142857,3.4932142857
1003001884,SAHA,LUCILLE,T,M.D.,F,I,1397 S LINDEN RD,SUITE A,FLINT,MI,485324194,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,12.190666667,1.42,0.7466666667,0.7466666667
1003001884,SAHA,LUCILLE,T,M.D.,F,I,1397 S LINDEN RD,SUITE A,FLINT,MI,485324194,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,31.61,16.62,11.292666667,11.752
1003001884,SAHA,LUCILLE,T,M.D.,F,I,1397 S LINDEN RD,SUITE A,FLINT,MI,485324194,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,99.99,29.631818182,19.936363636,20.814545455
1003001884,SAHA,LUCILLE,T,M.D.,F,I,1397 S LINDEN RD,SUITE A,FLINT,MI,485324194,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,190.64,74.09,50.254,47.797333333
1003002049,SRINIVASAN,LAKSHMI,,MD,F,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,33,77,404,66.99529703,8.32,6.2646534653,6.2646534653
1003002049,SRINIVASAN,LAKSHMI,,MD,F,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.550909091,3.38,2.65,2.65
1003002049,SRINIVASAN,LAKSHMI,,MD,F,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,36,76,15.153947368,1.42,1.0263157895,1.0263157895
1003002049,SRINIVASAN,LAKSHMI,,MD,F,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,44,44,301.66818182,250.98590909,196.77272727,196.86954545
1003002072,GOTESMAN,ALEXANDER,,M.D.,M,I,1374 WHITEHORSE HAMILTON SQUARE RD,,HAMILTON,NJ,086903701,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,43,13.489767442,7.46,5.8486046512,5.8486046512
1003002312,HOPKINS,PATRICIA,T,M.D.,F,I,500 CONGRESS ST STE 1B,,QUINCY,MA,021690917,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,32,68,74.083823529,8.32,6.3285294118,6.3285294118
1003002312,HOPKINS,PATRICIA,T,M.D.,F,I,500 CONGRESS ST STE 1B,,QUINCY,MA,021690917,US,Physician/Rheumatology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,12.219166667,12.433333333
1003002312,HOPKINS,PATRICIA,T,M.D.,F,I,500 CONGRESS ST STE 1B,,QUINCY,MA,021690917,US,Physician/Rheumatology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,195,32.8,19.871904762,18.924761905
1003002312,HOPKINS,PATRICIA,T,M.D.,F,I,500 CONGRESS ST STE 1B,,QUINCY,MA,021690917,US,Physician/Rheumatology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,519.51,78,57.073333333,51.081333333
1003002858,GIBSON,AMY,R,APN-C,F,I,1314 PARK AVE,,PLAINFIELD,NJ,070603253,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,70,46.436923077,46.333076923
1003002890,HAMMAN,DANIEL,R,M.D.,M,I,1606 PRAIRIE CENTER PKWY,SUITE 170,BRIGHTON,CO,806014004,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,12,13,229,65,25.6,20.070524017,20.070524017
1003003856,SANTIAGO,CYNTHIA,,M.D.,F,I,5 ROOSEVELT AVE,,PORT JEFFERSON STATION,NY,117763336,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,40,47.16675,8.32,6.52125,6.52125
1003003856,SANTIAGO,CYNTHIA,,M.D.,F,I,5 ROOSEVELT AVE,,PORT JEFFERSON STATION,NY,117763336,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,16,12.516875,1.42,1.1175,1.1175
1003004201,PHILBRICK,NATALIE,W,D.O.,F,I,3301 S ALAMEDA ST STE 201,,CORPUS CHRISTI,TX,784111870,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,33,60.937575758,8.32,5.7321212121,5.7321212121
1003004201,PHILBRICK,NATALIE,W,D.O.,F,I,3301 S ALAMEDA ST STE 201,,CORPUS CHRISTI,TX,784111870,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,60,46.62,24.593333333,25.650833333
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,170.74823529,39.36,30.86,30.533529412
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,17,27,27,267.64148148,86.88,68.11,67.87
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,12,23,46,64.057391304,33.2,26.03,25.923695652
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,20,42,167,49.421077844,18.54,14.264011976,14.279281437
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,20,88,62.397954545,15.2,11.239090909,11.218295455
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,25,52,52,173.18653846,55.9,42.987115385,42.091730769
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,36,45,45,53.435777778,17.99,14.1,14.065333333
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,32,53,53,40.550377358,12.04,9.2618867925,8.9720754717
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,42,88,431,5.8389791183,2.0405568445,1.5542691415,1.5478190255
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,32,40,40,12.2095,5.95225,4.66175,4.65075
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,18,22,22,42.492272727,12.798636364,10.034545455,10.325454545
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,54.10893617,17.52,13.305957447,13.110212766
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17.52,13.74,13.556666667
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,104.79,89.506666667,59.9,59.8075
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,16,16,259.8425,133.23,104.45,104.653125
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,19,102,102,188.72294118,31.716470588,23.552647059,24.23872549
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,174,178,315.30825843,80.078707865,61.586685393,54.226460674
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,123,40.0362,31.3906,29.5992
1003004771,RIGGLE,ERIN,E,M.D.,F,I,15 W DRY CREEK CIR,,LITTLETON,CO,801204427,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,923,0.3657421452,0.0468580715,0.033716143,0.033716143
1003004839,DARNELL,BEVERLY,H,MD,F,I,10810 CONNECTICUT AVE,,KENSINGTON,MD,208952138,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,93.97,54.32,42.59,42.86
1003004839,DARNELL,BEVERLY,H,MD,F,I,10810 CONNECTICUT AVE,,KENSINGTON,MD,208952138,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,46.721818182,18.72,14.678181818,14.06
1003004839,DARNELL,BEVERLY,H,MD,F,I,10810 CONNECTICUT AVE,,KENSINGTON,MD,208952138,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,26.408181818,12.163636364,9.5372727273,9.12
1003004839,DARNELL,BEVERLY,H,MD,F,I,10810 CONNECTICUT AVE,,KENSINGTON,MD,208952138,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,32,91.725,31.77625,23.955,24.3553125
1003004839,DARNELL,BEVERLY,H,MD,F,I,10810 CONNECTICUT AVE,,KENSINGTON,MD,208952138,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,66.923076923,18.678461538,14.643846154,14.106153846
1003005034,STAGGERS,MISTI,D,CNP,F,I,120 MCMILLEN DR,,NEWARK,OH,430551809,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,381.36,52.899090909,41.474545455,40.570909091
1003005034,STAGGERS,MISTI,D,CNP,F,I,120 MCMILLEN DR,,NEWARK,OH,430551809,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,28,86.31,17.41,10.728214286,10.638571429
1003005034,STAGGERS,MISTI,D,CNP,F,I,120 MCMILLEN DR,,NEWARK,OH,430551809,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,21,50.73,5.9242857143,4.160952381,3.2180952381
1003005034,STAGGERS,MISTI,D,CNP,F,I,120 MCMILLEN DR,,NEWARK,OH,430551809,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,499.11962963,78.964074074,51.758518519,45.959259259
1003005034,STAGGERS,MISTI,D,CNP,F,I,120 MCMILLEN DR,,NEWARK,OH,430551809,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,100.29625,19.85375,14.948333333,13.7125
1003005661,OKETOKUN,ADEFOLAJU,,MD,F,I,1818 NEW YORK AVE NE,SUITE 110,WASHINGTON,DC,200021848,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,19,55.929473684,8.32,6.1778947368,6.1778947368
1003005661,OKETOKUN,ADEFOLAJU,,MD,F,I,1818 NEW YORK AVE NE,SUITE 110,WASHINGTON,DC,200021848,US,Physician/General Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,21.589090909,10.014545455,7.8445454545,8.2472727273
1003005679,DOUGLAS-LEWIS,YVETTE,R,,F,I,163 CHRISTMAS RD,,WARRENTON,NC,275898723,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,61,51.966885246,8.32,5.3455737705,5.3455737705
1003005836,LEASURE,EMILY,,MD,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Internal Medicine,S,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,960,3.9201666667,3.58,2.8066666667,2.8066666667
1003006503,JEGEDE,OLUGBEMIGA,E,M.D,M,I,ONE HURLEY PLAZA,HURLEY MEDICAL CENTER,FLINT,MI,485035993,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,25,81,66.950493827,8.32,5.5560493827,5.5560493827
1003006503,JEGEDE,OLUGBEMIGA,E,M.D,M,I,ONE HURLEY PLAZA,HURLEY MEDICAL CENTER,FLINT,MI,485035993,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.1681818182,2.1681818182
1003006503,JEGEDE,OLUGBEMIGA,E,M.D,M,I,ONE HURLEY PLAZA,HURLEY MEDICAL CENTER,FLINT,MI,485035993,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,29,16.410344828,1.42,1.1137931034,1.1137931034
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,46,136,56.888161765,8.32,5.8503676471,5.8503676471
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.533333333,3.38,2.2083333333,2.2083333333
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,31,14.515806452,1.42,0.9709677419,0.9709677419
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.53,16.99,11.894545455,12.071818182
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,40.723888889,4.505,3.3011111111,3.4616666667
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,158.98046512,81.377674419,54.985813953,47.733023256
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,3610,0.1431939058,0.0470110803,0.0304875346,0.0304875346
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1830,1.0198360656,0.1370327869,0.1074480874,0.1074480874
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,570,7.8880350877,3.1689649123,2.4144035088,2.4144035088
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,16,91.68,33.1525,23.2475,20.16625
1003006552,QUINONEZ,ALNER,M,M.D.,M,I,25 N LANIER AVE,,FORT MEADE,FL,338412918,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,78,33,25.87,25.87
1003006586,MAREEDU,JYOTSNA,,M.D.,F,I,18101 PRINCE PHILIP DR,,OLNEY,MD,208321514,US,Physician/Internal Medicine,S,E0251,"Hospital bed, fixed height, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,42.4,33.2375,35.215
1003006586,MAREEDU,JYOTSNA,,M.D.,F,I,18101 PRINCE PHILIP DR,,OLNEY,MD,208321514,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,200,45.5975,35.75,36.190833333
1003006610,RULE,CINDI,S,ARNP,F,I,318 MAIN ST,,IRETON,IA,510277749,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,51,59.874509804,8.32,5.6164705882,5.6164705882
1003006610,RULE,CINDI,S,ARNP,F,I,318 MAIN ST,,IRETON,IA,510277749,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,105.01636364,69.293636364,42.604545455
1003006610,RULE,CINDI,S,ARNP,F,I,318 MAIN ST,,IRETON,IA,510277749,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1432,0.2071298883,0.0443994413,0.0267877095,0.0267807263
1003006610,RULE,CINDI,S,ARNP,F,I,318 MAIN ST,,IRETON,IA,510277749,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,18.814545455,18.814545455
1003007022,GUPTA,MAMTA,,MD,F,I,3600 GASTON AVE,SUITE 550,DALLAS,TX,752461800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,336.84,76.48,59.96,55.196363636
1003007048,FEREIDOUNI,SAM,S,M.D.,M,I,7699 E PINNACLE PEAK RD,SUITE 115,SCOTTSDALE,AZ,852556322,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,52,58,117,491,65.062769857,8.32,6.3395519348,6.3395519348
1003007048,FEREIDOUNI,SAM,S,M.D.,M,I,7699 E PINNACLE PEAK RD,SUITE 115,SCOTTSDALE,AZ,852556322,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,27,49,89,13.963370787,1.42,1.0608988764,1.0608988764
1003007048,FEREIDOUNI,SAM,S,M.D.,M,I,7699 E PINNACLE PEAK RD,SUITE 115,SCOTTSDALE,AZ,852556322,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,163.88181818,54.5,42.73,42.848181818
1003007048,FEREIDOUNI,SAM,S,M.D.,M,I,7699 E PINNACLE PEAK RD,SUITE 115,SCOTTSDALE,AZ,852556322,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,67,8.5213432836,2.1,1.6467164179,1.5965671642
1003007048,FEREIDOUNI,SAM,S,M.D.,M,I,7699 E PINNACLE PEAK RD,SUITE 115,SCOTTSDALE,AZ,852556322,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,254.41263158,30.841052632,18.634736842,19.407368421
1003007048,FEREIDOUNI,SAM,S,M.D.,M,I,7699 E PINNACLE PEAK RD,SUITE 115,SCOTTSDALE,AZ,852556322,US,Physician/Family Practice,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,115,81.373076923,46.39,46.39
1003007048,FEREIDOUNI,SAM,S,M.D.,M,I,7699 E PINNACLE PEAK RD,SUITE 115,SCOTTSDALE,AZ,852556322,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,421.81818182,251.11,196.87,196.87
1003007279,WILLIAMS,JENNIFER,C,PA-C,F,I,602 E NOB HILL BLVD,,YAKIMA,WA,989013534,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,29,51.004137931,8.32,6.0717241379,6.0717241379
1003007469,OZUNA,EDUARDO,,M.D.,M,I,8626 TESORO DR STE 112,,SAN ANTONIO,TX,782176217,US,Physician/Anesthesiology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.37125,0.27,0.1969666667,0.1969666667
1003007576,MOGHISSI,ETIE,,MD,F,I,12555 W JEFFERSON BLVD STE 301,,LOS ANGELES,CA,90066,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,14,182,51.248901099,19.643571429,12.24521978,12.24521978
1003007576,MOGHISSI,ETIE,,MD,F,I,12555 W JEFFERSON BLVD STE 301,,LOS ANGELES,CA,90066,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,399,6.8518045113,2.6309774436,1.6005263158,1.6005263158
1003007576,MOGHISSI,ETIE,,MD,F,I,12555 W JEFFERSON BLVD STE 301,,LOS ANGELES,CA,90066,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,56,78,207,736,76.748967391,8.32,5.8132744565,5.8132744565
1003007576,MOGHISSI,ETIE,,MD,F,I,12555 W JEFFERSON BLVD STE 301,,LOS ANGELES,CA,90066,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,16.966666667,3.38,2.65,2.65
1003007576,MOGHISSI,ETIE,,MD,F,I,12555 W JEFFERSON BLVD STE 301,,LOS ANGELES,CA,90066,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,38,84,138,17.169347826,1.42,0.9776811594,0.9776811594
1003007576,MOGHISSI,ETIE,,MD,F,I,12555 W JEFFERSON BLVD STE 301,,LOS ANGELES,CA,90066,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,860,16.459011628,10.385860465,7.9438255814,7.9438255814
1003007576,MOGHISSI,ETIE,,MD,F,I,12555 W JEFFERSON BLVD STE 301,,LOS ANGELES,CA,90066,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,65,67,336.01,238.9758209,187.35552239,194.40432836
1003007592,MILLER,CAROLYN,K,PA-C,F,I,81 CLARION RD,,JOHNSONBURG,PA,158451656,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,30,89,65.79258427,8.32,6.3758426966,6.3758426966
1003007592,MILLER,CAROLYN,K,PA-C,F,I,81 CLARION RD,,JOHNSONBURG,PA,158451656,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,30,15.211333333,1.42,1.1143333333,1.1143333333
1003007824,SOWAH,LEONARD,A,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,11,26,69.812307692,8.32,6.0215384615,6.0215384615
1003007824,SOWAH,LEONARD,A,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,120,50.8725,39.8875,38.265
1003007824,SOWAH,LEONARD,A,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,14,9.7725,7.6675,6.67
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,15,86.31,17.466666667,12.805333333,12.806666667
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,3775.52,1052.85,825.43,841.4185
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,25,50.73,3.7504,2.8272,3.4532
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,68,69,673.71652174,76.322608696,55.344057971,51.095942029
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,29,224.82758621,40,30.27862069,28.875172414
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,960,18.173427083,9.5660625,7.4997916667,7.4997916667
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,2154,1.5868245125,0.1354224698,0.1061931291,0.1061931291
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,40,2462,11.464480097,3.034752234,2.3792648253,2.3792648253
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,285.6,40,27.875555556,26.29962963
1003007907,TAVAN,EMMANUEL,T,MD,M,I,2800 N VANCOUVER AVE,SUITE 230,PORTLAND,OR,972271630,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,44,44,55.5,33,25.87,25.87
1003007980,BERNAL,JUAN,M,M.D.,M,I,3686 GRANDVIEW PKWY,SUITE 720,BIRMINGHAM,AL,352433407,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,378,100.06666667,71.958666667,49.618666667
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,40,107,62.261401869,8.32,5.913271028,5.913271028
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,28,42,21.039285714,1.42,1.0876190476,1.0876190476
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,21.985,16.169285714,12.993571429
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,480.38083333,108.27083333,82.397083333,57.512083333
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1086,15.686077348,9.5953130755,7.4593830571,7.4593830571
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,869,1.3682278481,0.1340966628,0.1050978136,0.1050978136
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,12.86,3.0656111111,2.403462963,2.403462963
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,57.376111111,25.325,19.055,13.098888889
1003008095,HOUSE,ROBIN,R,APRN NP,F,I,1406 W 5TH ST,SUITE 201,LONDON,KY,407411688,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,117.15,33,25.87,25.87
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,39,3044,0.1534822602,0.12,0.0940834428,0.0940834428
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,26,2221,0.5434038721,0.44,0.3449707339,0.3449707339
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,198,28.098636364,23.66,18.549393939,18.549393939
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,40,55,1074,9.8787337058,8.28,6.4008938547,6.4008938547
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,20,429,22.407482517,18.5,14.504032634,14.504032634
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,22,400,10.0123,8.41,6.518125,6.518125
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,38,54,704,12.927840909,10.93,8.5181107955,8.5181107955
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,36,55,1634,4.395997552,3.67,2.8773317013,2.8773317013
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,55,90,8445,0.16,0.13,0.1007187685,0.1007187685
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,29,46,4700,0.5658212766,0.45,0.3528085106,0.3528085106
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,143,24.964545455,19.566363636,20.555454545
1003008327,HERNANDEZ,PEDRO,,M.D.,M,I,364 WHITE OAK ST,,ASHEBORO,NC,272035434,US,Physician/General Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,7.7272727273,6.0581818182,6.3463636364
1003008590,CHIRUMAMILLA,RADHA,,M.D.,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,379.924,68.347,53.339,54.486
1003008590,CHIRUMAMILLA,RADHA,,M.D.,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,525,37.995833333,29.789166667,29.51
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,18,52,629,50.591558029,19.658744038,14.533100159,14.533100159
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,17,47,1359,6.2852317881,2.635584989,2.0357689478,2.0357689478
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,54,70,207,900,78.340166667,8.32,6.1608888889,6.1608888889
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.943636364,3.38,2.65,2.65
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,23,48,131,14.680305344,1.42,1.0280916031,1.0280916031
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,662.59428571,361.182,279.06685714,279.06685714
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,27,2420,16.22042562,10.789140496,8.444,8.444
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,23,69,69,584.45275362,251.07043478,195.89782609,195.92869565
1003008715,HINSON,JANELLE,M,PA,F,I,4416 FOREST DR,SUITE A,COLUMBIA,SC,292063104,US,Physician Assistant,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,397.584,264.16,207.1,207.1
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,27,57,123,60.661869919,8.32,5.6408130081,5.6408130081
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,14.88,3.38,2.65,2.65
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,28,44,60,15.304833333,1.42,0.9483333333,0.9483333333
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,9.7758823529,2,1.5683823529,1.5889705882
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,433,256.34872979,5.0041570439,3.923256351,4.1457967667
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,200,4.03,2.9163275434,2.9977667494
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,4931,3.4852768201,0.37,0.2808517542,0.2808517542
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5265,3.9666666667,0.66,0.5174320988,0.5174320988
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,127.35,54.575454545,42.788181818,36.306363636
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,4430.1,913.16,707.45977273,830.92840909
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,55.012142857,3.4442857143,1.8342857143,2.8371428571
1003008855,LEE,ALISIA,D,PA-C,F,I,1014 SAN JUAN AVE,,EXETER,CA,932211312,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,519.51,71.775,46.4874,45.231
1003009119,MOHLER,TROY,R,M.D.,M,I,17336 PICKWICK DRIVE,BUILDING A,PURCELLVILLE,VA,201326602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,50,150,53.152266667,8.32,6.0771333333,6.0771333333
1003009119,MOHLER,TROY,R,M.D.,M,I,17336 PICKWICK DRIVE,BUILDING A,PURCELLVILLE,VA,201326602,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,14.614545455,3.38,2.65,2.65
1003009119,MOHLER,TROY,R,M.D.,M,I,17336 PICKWICK DRIVE,BUILDING A,PURCELLVILLE,VA,201326602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,33,41,14.107804878,1.42,1.0082926829,1.0082926829
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,23,52,157,32.424140127,8.32,6.1518471338,6.1518471338
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,16.225333333,3.38,2.4733333333,2.4733333333
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,29,51,11.607843137,1.42,1.092745098,1.092745098
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,128.834375,66.571875,43.27375,34.475
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,43.98,22.017142857,16.461428571,13.265
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,19,19,41.761052632,16.075789474,10.534210526,7.2052631579
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,24,144,6.5043055556,2.7495833333,1.8686111111,1.3286111111
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,167.93,65.400625,48.873125,35.23125
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,160,64.295454545,45.754545455,32.027272727
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,31.498421053,6.9273684211,4.1536842105,2.5073684211
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,103.02,45.414166667,32.735,22.08
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,42,420.75690476,79.751904762,51.76547619,44.594047619
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,8581,0.2136289477,0.0483533388,0.032925067,0.032925067
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1380,1.0351304348,0.1288695652,0.0892028986,0.0892028986
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,67.04,24.959375,16.266875,10.64375
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,605.79933333,137.26666667,107.61,84.47
1003009218,NOLEN,JAMES,E,M.D.,M,I,1711 E HARDING ST,,MORRILTON,AR,721104507,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,52,52,107.3125,33,21.89,21.89
1003009705,WOODS-GRIMM,SERENA,D,M.D.,F,I,201 N CENTRAL AVE,,PHOENIX,AZ,850048001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,181.68,31.438181818,24.653636364,25.430909091
1003009853,DUNN,GRACE,,M.D.,F,I,1830 N MAIN ST,,BELL,FL,326194713,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,22,60,43.228166667,8.32,6.3045,6.3045
1003009853,DUNN,GRACE,,M.D.,F,I,1830 N MAIN ST,,BELL,FL,326194713,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,24,13.75,1.42,1.0683333333,1.0683333333
1003009853,DUNN,GRACE,,M.D.,F,I,1830 N MAIN ST,,BELL,FL,326194713,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,58,19.24,14.063571429,12.785
1003009853,DUNN,GRACE,,M.D.,F,I,1830 N MAIN ST,,BELL,FL,326194713,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,19.75,4.6805,3.0945,3.041
1003009853,DUNN,GRACE,,M.D.,F,I,1830 N MAIN ST,,BELL,FL,326194713,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,317.5862069,79.580862069,57.771034483,50.328448276
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,145.4125,48.74625,38.215,36.551666667
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,33,33,33,125,53.031818182,41.580909091,40.768484848
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,32.21037037,17.32,12.574074074,12.542962963
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,18,24,15.000416667,11.880833333,9.3141666667,9.6991666667
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,24,39.955,18.9,14.818333333,15.125
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,17,28,34,63.242352941,26.709411765,20.935294118,22.032352941
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,21,9.49,2.2876190476,1.7919047619,2.1442857143
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,22,27,44,131.44909091,49.893181818,39.113409091,39.458863636
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,13,36.836923077,21.834615385,17.113076923,17.705384615
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,25,14.963846154,11.73,11.793076923
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,208.04272727,76.58,57.301363636,53.198181818
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,24,34.516666667,31.705,24.8575,25.134166667
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,26,33.14,27.745384615,21.752307692,21.869230769
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E2219,"Manual wheelchair accessory, foam caster tire, any size, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,24,37.619166667,36.4375,28.565833333,29.258333333
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,23,24,24,111.97708333,35.090416667,27.5125,29.045416667
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,24,25,25,358.0508,146.9116,115.1812,113.7012
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,28,75,75,69.8032,21.234266667,16.438266667,16.472
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,195.96,22.883333333,17.935,21.06
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,2331.1583333,2080.78,1631.33,1631.33
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,K0040,"Adjustable angle footplate, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,26,69.454615385,50.169230769,39.331923077,39.356153846
1003009986,VANDONGEN,DANIQUE,L,MD,F,I,21720 KINGSLAND BLVD,SUITE 102,KATY,TX,774502550,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,54,54,27.69,9.2035185185,7.2107407407,7.5024074074
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,44,156,66.650961538,8.32,6.2710897436,6.2710897436
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,40,14.711,1.42,1.0865,1.0865
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,62,9.4246774194,2.0664516129,1.2962903226,1.2859677419
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,86.31,17.09,11.652173913,11.783043478
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,46.58,36.51,37.63
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,32,50.73,3.86875,2.7534375,3.14625
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,519.51,65.7,44.291428571,47.512
1003010117,EGAR,JOHN,W,M.D.,M,I,380 9TH STREET,,FLORENCE,OR,974399470,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,126.78947368,33,24.508421053,24.508421053
1003010307,STONE,JENNIFER,L,M.D.,F,I,1570 ISLAND LN,,ORANGE PARK,FL,320037453,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,37,134,81.112910448,8.32,6.2299253731,6.2299253731
1003010307,STONE,JENNIFER,L,M.D.,F,I,1570 ISLAND LN,,ORANGE PARK,FL,320037453,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,29,15.727241379,1.42,1.0362068966,1.0362068966
1003010406,RAMASWAMY,RAVISHANKAR,,"MD, MS",M,I,1440 MADISON AVENUE,,NEW YORK,NY,100296500,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,50,80.2686,8.32,5.999,5.999
1003010406,RAMASWAMY,RAVISHANKAR,,"MD, MS",M,I,1440 MADISON AVENUE,,NEW YORK,NY,100296500,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,134.38,44.7176,30.9996,32.6248
1003010406,RAMASWAMY,RAVISHANKAR,,"MD, MS",M,I,1440 MADISON AVENUE,,NEW YORK,NY,100296500,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,251.23076923,77.447692308,56.053846154,50.52
1003010406,RAMASWAMY,RAVISHANKAR,,"MD, MS",M,I,1440 MADISON AVENUE,,NEW YORK,NY,100296500,US,Physician/Geriatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1377,0.4766957153,0.0449164851,0.0284749455,0.0284749455
1003010406,RAMASWAMY,RAVISHANKAR,,"MD, MS",M,I,1440 MADISON AVENUE,,NEW YORK,NY,100296500,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,119.34,22.433846154,17.592307692,22.006153846
1003010406,RAMASWAMY,RAVISHANKAR,,"MD, MS",M,I,1440 MADISON AVENUE,,NEW YORK,NY,100296500,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,20.57,6.985,5.4764285714,6.7392857143
1003010406,RAMASWAMY,RAVISHANKAR,,"MD, MS",M,I,1440 MADISON AVENUE,,NEW YORK,NY,100296500,US,Physician/Geriatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,19.4025,19.4025
1003010596,JOHNSON,BRADLEY,T,MD,M,I,133 BENMORE DR STE 100,,WINTER PARK,FL,327924111,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,390,6.8073333333,2.8,2.1953076923,2.1953076923
1003010786,SAVOIE,JERI,L,FNP,F,I,5010 STATE HIGHWAY 30,,AMSTERDAM,NY,120107532,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,76.854,8.32,6.0913333333,6.0913333333
1003010786,SAVOIE,JERI,L,FNP,F,I,5010 STATE HIGHWAY 30,,AMSTERDAM,NY,120107532,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,24,86.31,22.4775,16.999166667,13.217083333
1003010786,SAVOIE,JERI,L,FNP,F,I,5010 STATE HIGHWAY 30,,AMSTERDAM,NY,120107532,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,94.86,67.339411765,48.291176471
1003010786,SAVOIE,JERI,L,FNP,F,I,5010 STATE HIGHWAY 30,,AMSTERDAM,NY,120107532,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,78.692307692,33,24.782307692,24.782307692
1003010794,SOKOLICH,JULIO,C,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,3960,5.321040404,0.549030303,0.4169545455,0.4169368687
1003010794,SOKOLICH,JULIO,C,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1200,4.40075,1.1031333333,0.8390333333,0.8390333333
1003010794,SOKOLICH,JULIO,C,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,24,24,18.82,18.82
1003010794,SOKOLICH,JULIO,C,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,26,16,16,12.54,12.54
1003010802,BIERDEN,REBECCA,M,M.D.,F,I,900 POTOMAC ST,,AURORA,CO,800116716,US,Physician/Physical Medicine and Rehabilitation,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,28,28,28,66.823928571,45.940357143,36.018928571,34.818214286
1003010802,BIERDEN,REBECCA,M,M.D.,F,I,900 POTOMAC ST,,AURORA,CO,800116716,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,60,60,61.402,19.099333333,14.972833333,14.130333333
1003010802,BIERDEN,REBECCA,M,M.D.,F,I,900 POTOMAC ST,,AURORA,CO,800116716,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,18,105.83,36.106111111,26.187777778,18.895
1003010802,BIERDEN,REBECCA,M,M.D.,F,I,900 POTOMAC ST,,AURORA,CO,800116716,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,38,40,20.70125,9.54175,7.48075,6.69475
1003010943,KOSHY,ANOOPA,A,MD,F,I,259 E ERIE ST STE 2200,,CHICAGO,IL,606113370,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,15,67,77.518059701,8.32,6.5231343284,6.5231343284
1003010950,ARTHUR,KRISTINE,S,MD,F,I,11420 WARNER AVE,,FOUNTAIN VALLEY,CA,927082529,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,38,53.850789474,8.32,5.4915789474,5.4915789474
1003010950,ARTHUR,KRISTINE,S,MD,F,I,11420 WARNER AVE,,FOUNTAIN VALLEY,CA,927082529,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,19,16.502105263,1.42,0.9410526316,0.9410526316
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,55,178,55.014550562,8.32,5.9564606742,5.9564606742
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,11.58125,3.38,2.484375,2.484375
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,30,49,13.863877551,1.42,0.9332653061,0.9332653061
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,238,9.9023529412,8.28,6.4918067227,6.4918067227
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,294,1.1,1.08,0.8469727891,0.8469727891
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,40,12.4425,2.3,1.8035,1.59225
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,390,9.3107692308,3,2.1710769231,2.1834358974
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,367,7.6802724796,5.38,4.1467847411,4.1005177112
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,7785,0.5208811818,0.31,0.2185908799,0.2185908799
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,108.44037037,17.46,13.69,13.551111111
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,16,50.73,5.8825,4.61375,3.80375
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,234.42571429,34.022380952,23.294285714,23.022857143
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.92,10.725,8.4116666667,8.5758333333
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.67,9.69,7.59,7.9491666667
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,420.19,210.825,165.28,165.28
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,495.13357143,82,60.0375,51.501785714
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,54,54,75,17.295555556,10.605,10.963703704
1003011214,BAJAJ,BHAVANDEEP,S,M.D.,M,I,3345 WILKENS AVENUE,SUITE L10,BALTIMORE,MD,212295213,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,37.868571429,8.5374285714,4.65,4.3997142857
1003011438,HOLLAND,CHRISTOPHER,,PA-C,M,I,620 HOWARD AVE,,ALTOONA,PA,166014804,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,220,66.515454545,42.818181818,28.813636364
1003011529,BIRKY,JOHN,C,MD,M,I,311 E SPRUCE ST,STE 2B,GARDEN CITY,KS,678465614,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,44,45.386363636,8.32,5.9295454545,5.9295454545
1003011529,BIRKY,JOHN,C,MD,M,I,311 E SPRUCE ST,STE 2B,GARDEN CITY,KS,678465614,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2988,0.1412449799,0.0463286479,0.0301807229,0.0301807229
1003011529,BIRKY,JOHN,C,MD,M,I,311 E SPRUCE ST,STE 2B,GARDEN CITY,KS,678465614,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,600,0.2944333333,0.2190833333,0.1290666667,0.1290666667
1003011610,RAY,ALAKA,,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,11,21,63,83.681587302,8.32,6.3149206349,6.3149206349
1003011610,RAY,ALAKA,,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1344,4.88,2.04,1.5980505952,1.5980505952
1003011610,RAY,ALAKA,,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,125,8.586,5.54,3.9956,3.9956
1003011610,RAY,ALAKA,,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,690,3.261,2.09,1.4960289855,1.4960289855
1003011610,RAY,ALAKA,,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,59,9.6737288136,2.3,1.253220339,1.1277966102
1003011610,RAY,ALAKA,,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,762.071875,35.873125,15.355625,14.75375
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,11,36,372,43.379301075,19.660833333,15.247956989,15.247956989
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,12,40,1020,6.1252647059,2.6352941176,2.0309509804,2.0309509804
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,90,149,370,1872,76.775651709,8.32,6.0569070513,6.0569070513
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,,11,11,17.081818182,2.12,1.67,1.67
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,55,73,140,339,17.363451327,1.42,1.0609144543,1.0609144543
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,623.87225806,356.38451613,273.52387097,273.52387097
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,2900,16.2219,10.838468966,8.4973586207,8.4973586207
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,17,97,97,397.64793814,251.02556701,196.80381443,196.86969072
1003011800,BLOMEIER,HERMAN,,M.D.,M,I,9977 WOODS DR,,SKOKIE,IL,600771057,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,8,15,15,15,443.75066667,263.96866667,206.95,207.1
1003011859,MORRIS,MELANIE,S,MD,F,I,UAB SURGERY GI SECTION,1922 7TH AVE S 406 KRACKE BLDG,BIRMINGHAM,AL,352940001,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,550,12.000727273,5.74,4.36,4.36
1003011859,MORRIS,MELANIE,S,MD,F,I,UAB SURGERY GI SECTION,1922 7TH AVE S 406 KRACKE BLDG,BIRMINGHAM,AL,352940001,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,31,568,6.8393485915,2.9071830986,2.1795598592,2.1795598592
1003011859,MORRIS,MELANIE,S,MD,F,I,UAB SURGERY GI SECTION,1922 7TH AVE S 406 KRACKE BLDG,BIRMINGHAM,AL,352940001,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,94,25.209042553,6.44,4.1415957447,4.1415957447
1003011859,MORRIS,MELANIE,S,MD,F,I,UAB SURGERY GI SECTION,1922 7TH AVE S 406 KRACKE BLDG,BIRMINGHAM,AL,352940001,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,460,24.844869565,9.86,7.7300869565,7.7300869565
1003011859,MORRIS,MELANIE,S,MD,F,I,UAB SURGERY GI SECTION,1922 7TH AVE S 406 KRACKE BLDG,BIRMINGHAM,AL,352940001,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,1590,4.7114150943,1.95,1.2262075472,1.2262075472
1003011859,MORRIS,MELANIE,S,MD,F,I,UAB SURGERY GI SECTION,1922 7TH AVE S 406 KRACKE BLDG,BIRMINGHAM,AL,352940001,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,1100,0.7167545455,0.27,0.1646272727,0.1646272727
1003011917,CHONG,NYEN,V,M.D.,M,I,1802 S YAKIMA,STE 102,TACOMA,WA,984055303,US,Physician/Thoracic Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,15,15,165.34666667,59.558666667,46.695333333,48.32
1003011917,CHONG,NYEN,V,M.D.,M,I,1802 S YAKIMA,STE 102,TACOMA,WA,984055303,US,Physician/Thoracic Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,30.03,4.97,3.9,3.96
1003011982,DEEB,LILIANE,S,M.D.,F,I,4106 HYLAN BLVD,,STATEN ISLAND,NY,103083335,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,10,4.23,3.3163333333,3.2520909091
1003011982,DEEB,LILIANE,S,M.D.,F,I,4106 HYLAN BLVD,,STATEN ISLAND,NY,103083335,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5269,0.7045720251,0.3,0.2253786297,0.2324957297
1003012022,CUDZILO,COREY,,M.D.,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,379192333,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,40,20.458095238,15.337142857,13.544761905
1003012022,CUDZILO,COREY,,M.D.,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,379192333,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,31,32,2801.578125,1074.31,835.8821875,835.8821875
1003012022,CUDZILO,COREY,,M.D.,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,379192333,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,24.956206897,7.9296551724,6.2182758621,3.7275862069
1003012022,CUDZILO,COREY,,M.D.,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,379192333,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,65,306.876,88.060307692,64.865384615,51.984153846
1003012022,CUDZILO,COREY,,M.D.,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,379192333,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,221.11111111,40.907407407,32.07037037,29.578518519
1003012063,NWAOGWUGWU,UZOAMAKA,T,MD,F,I,2041 GEORGIA AVENUE NW,,WASHINGTON,DC,200600001,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1170,1.4315213675,0.7399230769,0.5800769231,0.5800769231
1003012063,NWAOGWUGWU,UZOAMAKA,T,MD,F,I,2041 GEORGIA AVENUE NW,,WASHINGTON,DC,200600001,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,1140,3.3296842105,1.3173684211,0.959622807,0.959622807
1003012063,NWAOGWUGWU,UZOAMAKA,T,MD,F,I,2041 GEORGIA AVENUE NW,,WASHINGTON,DC,200600001,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1003012063,NWAOGWUGWU,UZOAMAKA,T,MD,F,I,2041 GEORGIA AVENUE NW,,WASHINGTON,DC,200600001,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,16,16,11.8056,11.8056
1003012113,NUNES,WENDY,A,M.D.,F,I,235 STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,30,3906,4.6088965694,2.0380952381,1.5397055812,1.541187916
1003012113,NUNES,WENDY,A,M.D.,F,I,235 STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,5.6163636364,5.6163636364,4.2945454545,5.5596439394
1003012113,NUNES,WENDY,A,M.D.,F,I,235 STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,135,1.8511111111,1.7533333333,1.3746666667,1.410962963
1003012204,CLAIR,CHARLES,M,MD,M,I,1071 RENEE AVE,,POCATELLO,ID,832012508,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,48.75,17.91,12.636,12.186
1003012204,CLAIR,CHARLES,M,MD,M,I,1071 RENEE AVE,,POCATELLO,ID,832012508,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,158.5473913,6.4726086957,4.227826087,2.7269565217
1003012204,CLAIR,CHARLES,M,MD,M,I,1071 RENEE AVE,,POCATELLO,ID,832012508,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,478.566,79.7888,52.3924,45.0108
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,35,114,235,45.778680851,8.32,5.829787234,5.829787234
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,11.938333333,3.38,2.65,2.65
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,42,67,12.496268657,1.42,1.0489552239,1.0489552239
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,8.19,1.67,1.0122727273,0.8581818182
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,74,74,41.087567568,18.022297297,13.205540541,12.628513514
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,108,116,350.0712069,78.659051724,57.755517241,51.334482759
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,2250,0.9534177778,0.1297066667,0.0774533333,0.0774533333
1003012428,PATEL,VIRAL,,D.O.,M,I,520 VIOLET RD,,CRITTENDEN,KY,410307480,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,27,27,99,33,21.748518519,21.748518519
1003012451,MITRA,RANJANA,N,MD,F,I,850 KEMPSVILLE RD,,NORFOLK,VA,235023920,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,330,78.23,58.2635,52.3145
1003012477,MODRYKAMIEN,ARIEL,M,M.D.,M,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 960",DALLAS,TX,752461800,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1600,1038.25,802.03416667,830.30416667
1003012733,GANNON,LAUREN,C,MD,F,I,5454 EL CAJON BLVD.,,SAN DIEGO,CA,92115,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,361.38272727,128.52272727,87.718181818,82.947272727
1003012931,LOPEZ,NICETO,,MD,M,I,801 YGNACIO VALLEY RD,SUITE 250,WALNUT CREEK,CA,945963871,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,84.664285714,50.87,39.89,36.705
1003012931,LOPEZ,NICETO,,MD,M,I,801 YGNACIO VALLEY RD,SUITE 250,WALNUT CREEK,CA,945963871,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,16,16,56.566875,26.50875,19.70625,15.51875
1003013004,DAJANI,ASMA,B,M.D.,F,I,109 COMMERCE PARK DR,,WESTERVILLE,OH,430828349,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,68.023333333,19.59,13.676666667,7.6
1003013004,DAJANI,ASMA,B,M.D.,F,I,109 COMMERCE PARK DR,,WESTERVILLE,OH,430828349,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,21.306666667,2.81,1.9080555556,1.3277777778
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,17.34,10.93,8.57,8.57
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,310,11.753548387,5.74,4.2096774194,4.2096774194
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,248,4.5539516129,2.91,2.2077419355,2.2077419355
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,790,13.572683544,5.54,3.9124683544,3.9124683544
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,2760,4.4301594203,1.95,1.5288043478,1.5288043478
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,390,7.4481538462,4.03,3.1595128205,3.1595128205
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,1800,0.5614055556,0.27,0.1998888889,0.1998888889
1003013061,CORREA,ZANA,,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,1025,0.6070243902,0.267804878,0.1996292683,0.2007804878
1003013160,GRABENSTEIN,WILLIAM,P,M.D.,M,I,1822 MEMORIAL DR,,CLARKSVILLE,TN,370434605,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,29,61,65.64557377,8.32,5.6663934426,5.6663934426
1003013160,GRABENSTEIN,WILLIAM,P,M.D.,M,I,1822 MEMORIAL DR,,CLARKSVILLE,TN,370434605,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,760.48,70.23,50.8215,50.499
1003013160,GRABENSTEIN,WILLIAM,P,M.D.,M,I,1822 MEMORIAL DR,,CLARKSVILLE,TN,370434605,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,285.6,37.44,26.415,26.579
1003013384,OSLEBER,MICHAEL,F,MD,M,I,9601 BAPTIST HEALTH DR STE 860,,LITTLE ROCK,AR,722056375,US,Physician/Dermatology,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,29,1520,0.15,0.12,0.0940657895,0.0940657895
1003013384,OSLEBER,MICHAEL,F,MD,M,I,9601 BAPTIST HEALTH DR STE 860,,LITTLE ROCK,AR,722056375,US,Physician/Dermatology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,26,1800,0.55,0.44,0.345,0.345
1003013384,OSLEBER,MICHAEL,F,MD,M,I,9601 BAPTIST HEALTH DR STE 860,,LITTLE ROCK,AR,722056375,US,Physician/Dermatology,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,34,36,456,8.97,7.36,5.7706140351,5.7706140351
1003013384,OSLEBER,MICHAEL,F,MD,M,I,9601 BAPTIST HEALTH DR STE 860,,LITTLE ROCK,AR,722056375,US,Physician/Dermatology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,56,61,7587,0.16,0.13,0.101916436,0.101916436
1003013384,OSLEBER,MICHAEL,F,MD,M,I,9601 BAPTIST HEALTH DR STE 860,,LITTLE ROCK,AR,722056375,US,Physician/Dermatology,S,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,14,600,0.58,0.48,0.3763333333,0.3763333333
1003013384,OSLEBER,MICHAEL,F,MD,M,I,9601 BAPTIST HEALTH DR STE 860,,LITTLE ROCK,AR,722056375,US,Physician/Dermatology,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,39,40,1460,1.07,0.88,0.6899931507,0.6899931507
1003013392,RATCHFORD,ERIK,M,D.O.,M,I,"245 CHERRY ST SE,",SUITE 202,GRAND RAPIDS,MI,495034607,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,3600,7.7306666667,5.9354166667,4.5520083333,5.4864111111
1003013483,BOEHMLER,JESSICA,M,MD,F,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,54.487936508,16.056190476,11.787619048,12.726349206
1003013483,BOEHMLER,JESSICA,M,MD,F,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,35,4.0425,3.0433333333,3.6152777778
1003013483,BOEHMLER,JESSICA,M,MD,F,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,85,85,309.46141176,70.551647059,52.703529412,52.160823529
1003013483,BOEHMLER,JESSICA,M,MD,F,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2689,0.1809297136,0.0457010041,0.0358423206,0.0358423206
1003013483,BOEHMLER,JESSICA,M,MD,F,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,33,33,25.87,25.87
1003013582,HAGGERTY,TREAH,S,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,45,78.613111111,8.32,3.1888888889,3.1888888889
1003013582,HAGGERTY,TREAH,S,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26501,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,301.51,70.23,55.06,54.72
1003013616,WOSCHKOLUP,KATHLEEN,V,MD,F,I,801 ROPER CREEK DR,,GREENVILLE,SC,296156938,US,Physician/Neurology,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,43.215,9.88,7.7466666667,7.9783333333
1003013616,WOSCHKOLUP,KATHLEEN,V,MD,F,I,801 ROPER CREEK DR,,GREENVILLE,SC,296156938,US,Physician/Neurology,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1186.1633333,134.81166667,100.39916667,107.31
1003013632,QUINLAN,MAUREEN,,DPM,F,I,1730 SAINT JULIAN PL,,COLUMBIA,SC,292042410,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,58,58,116,85,71.56,55.588275862,55.588275862
1003013632,QUINLAN,MAUREEN,,DPM,F,I,1730 SAINT JULIAN PL,,COLUMBIA,SC,292042410,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,114,40,29.19,22.885,22.886578947
1003013632,QUINLAN,MAUREEN,,DPM,F,I,1730 SAINT JULIAN PL,,COLUMBIA,SC,292042410,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,225,60,43.56,34.151644444,34.149955556
1003013632,QUINLAN,MAUREEN,,DPM,F,I,1730 SAINT JULIAN PL,,COLUMBIA,SC,292042410,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,22,100,78.81,61.79,68.031363636
1003013632,QUINLAN,MAUREEN,,DPM,F,I,1730 SAINT JULIAN PL,,COLUMBIA,SC,292042410,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,300,266.98,209.31,218.89
1003013657,SPINALE,RICHARD,C,DO,M,I,6255 INKSTER RD,SUITE 207,GARDEN CITY,MI,481352577,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,52,9.3330769231,6.44,4.6611538462,4.6611538462
1003013657,SPINALE,RICHARD,C,DO,M,I,6255 INKSTER RD,SUITE 207,GARDEN CITY,MI,481352577,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,340,5.0332941176,4.03,2.9737647059,2.9737647059
1003013657,SPINALE,RICHARD,C,DO,M,I,6255 INKSTER RD,SUITE 207,GARDEN CITY,MI,481352577,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,300,0.786,0.3931333333,0.2872333333,0.2926
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,11,79,255,3115,54.479088283,19.646805778,15.01541573,15.01541573
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,11,79,250,7247,7.5288629778,2.6325596799,2.0152338899,2.0152338899
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,5.6463636364,0.51,0.4,0.4
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,274,825,3250,73.353249231,8.3053784615,6.0731753846,6.08464
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,25,61,61,14.64,3.38,2.65,2.65
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,25,32,32,21.5453125,2.12,1.67,1.67
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,70,181,397,15.975969773,1.42,1.0580856423,1.0580856423
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,30,30,60,88.840166667,71.3,54.0315,54.2145
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,84,78.326071429,43.56,34.012380952,34.010714286
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,14,19,19,19,37.182631579,35.330526316,26.953157895,55.986315789
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,27,189,189,685.72582011,334.42777778,253.99677249,253.99677249
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,102.61833333,75.474166667,53.544166667
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,46,222,21940,15.233886964,10.539554239,8.1015929809,8.1015925251
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,13,119,663,671,713.37658718,250.95245902,196.04555887,196.16888227
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,11,90,90,90,463.75122222,240.15566667,187.86777778,205.08033333
1003013673,KRETCHMAN,ERICA,M,DO,F,I,1050 REID PKWY,SUITE 300,RICHMOND,IN,473741155,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,84,13.520714286,0.6076190476,0.4423809524,0.4423809524
1003013715,WANG,ROBERTA,Y,M.D.,F,I,975 SERENO DR,,VALLEJO,CA,945892441,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,179.92407407,22.482222222,10.772962963,14.117037037
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,59,153,64.634052288,8.32,5.9248366013,5.9248366013
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.909090909,3.38,2.4090909091,2.4090909091
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,28,41,14.535853659,1.42,1.0058536585,1.0058536585
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,93.144615385,38.995384615,26.610769231,26.57
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,416.524375,84.4525,62.098125,63.5075
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,54,62.757592593,14.71,11.533333333,11.893333333
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,266.45823529,56,39.239411765,38.382352941
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,77.049411765,17.911764706,13.212352941,13.234117647
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,92.488571429,10.56,8.28,9
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,27,133,9.9530075188,2.0778195489,1.6285714286,1.5963909774
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,53.649090909,12.836363636,9.1390909091,9.3881818182
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,416.82,32.520416667,22.8825,22.754166667
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,564.99823529,77.8,61,55.467647059
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1316,1.6941261398,0.1249696049,0.0979863222,0.0979863222
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,67.59,8.795,6.895,6.92875
1003013723,FIELDS,JUSTIN,E,MD,M,I,950 N PORTER,SUITE 300,NORMAN,OK,730716400,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,25.87,25.87
1003013756,PHUNG,ANDY,,D.O.,M,I,2651 MORGANTON BLVD SW,,LENOIR,NC,286458183,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,40,92.85375,8.32,4.40175,4.40175
1003013756,PHUNG,ANDY,,D.O.,M,I,2651 MORGANTON BLVD SW,,LENOIR,NC,286458183,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,15.19,5.54,3.9484848485,3.7845454545
1003013756,PHUNG,ANDY,,D.O.,M,I,2651 MORGANTON BLVD SW,,LENOIR,NC,286458183,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4213,1.5791122715,0.66,0.5143128412,0.5143128412
1003013756,PHUNG,ANDY,,D.O.,M,I,2651 MORGANTON BLVD SW,,LENOIR,NC,286458183,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,168.73818182,52.716363636,41.326363636,40.646363636
1003013756,PHUNG,ANDY,,D.O.,M,I,2651 MORGANTON BLVD SW,,LENOIR,NC,286458183,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,223.77157895,33.622105263,24.686842105,24.196842105
1003013756,PHUNG,ANDY,,D.O.,M,I,2651 MORGANTON BLVD SW,,LENOIR,NC,286458183,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,16,40,43,59.218604651,25.076744186,19.660232558,17.366046512
1003013970,HERSHBERGER,JENNIFER,L,M.D.,F,I,665 WEST ALEXANDER ROAD,,GREENWOOD,SC,29646,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,62.556666667,62.556666667,49.0475,44.680833333
1003014044,OLSEN,ALEX,B,M.D.,M,I,350 W THOMAS RD,DEPT. OF GENERAL SURGERY,PHOENIX,AZ,850134409,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,17.168,7,5.0306666667,5.0306666667
1003014044,OLSEN,ALEX,B,M.D.,M,I,350 W THOMAS RD,DEPT. OF GENERAL SURGERY,PHOENIX,AZ,850134409,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.253,4.03,3.0190416667,3.0190416667
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1440,0.39,0.13,0.0679444444,0.0679444444
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2220,5.7105405405,1.73,1.2972162162,1.5402162162
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,3300,9.9961818182,7.23,5.0499606061,5.0499606061
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,74,23.842567568,10.281621622,8.0602702703,8.3945945946
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,19,14.617894737,7.8731578947,5.8557894737,6.0584210526
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,17,17.145882353,4.1,3.2123529412,3.2123529412
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,590,10.076,5.7237288136,4.3839152542,4.3950677966
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,310,5.215483871,4.0348387097,3.1634193548,3.167483871
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,655,0.5225343511,0.27,0.2116335878,0.2116335878
1003014267,MEHRAZIN,REZA,,MD,M,I,1 GUSTAVE L LEVY PL # 1272,MOUNT SINAI SCHOOL OF MEDICINE / UROLOGY DEPT,NEW YORK,NY,100296504,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,650,0.5983846154,0.27,0.2116,0.2116
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,38,91.905526316,18.940789474,14.493421053,13.180526316
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1488.4,947.26666667,742.65833333,742.65833333
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,,45,45,38.507777778,5.0768888889,3.7082222222,3.4613333333
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,52,61,486.52442623,80.661967213,60.913606557,52.592295082
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,11,20,3526,0.522538287,0.0462790698,0.0349829836,0.0349829836
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,945,9.9688994709,2.9224656085,2.1460740741,2.1460740741
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,468,0.7467521368,0.2187393162,0.1715384615,0.1715384615
1003014366,MACKENNEY,KAREN,L,"RN, FNP",F,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,18,48,48,33,33,25.87,25.87
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,13,216,43.159444444,19.62962963,14.858981481,14.858981481
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,360,6.5155,2.6333333333,1.8919722222,1.8919722222
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,56,61,153,721,62.657489598,8.32,6.1246879334,6.1246879334
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,12.193333333,3.38,2.65,2.65
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,37,37,75,175,14.988857143,1.42,1.0304571429,1.0304571429
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,48.901818182,42.710909091,31.634545455,57.866363636
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,549.5,345.2475,270.6725,270.6725
1003014705,JINDAL,ANKUR,,M.D,M,I,201 SIVLEY RD SW,SUITE 440,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,489,16.533108384,10.988732106,8.6152351738,8.6152351738
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,36.593636364,33.440909091,26.215454545,15.106363636
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,33,50.73,3.7990909091,2.6906060606,3.3133333333
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,504.02909091,29.743181818,21.35,22.443636364
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,394.7512,78.49,61.53,55.546
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,1200,20.933191667,11.11195,8.7118,8.7118
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,15,4601,0.3029363182,0.0468680722,0.0367485329,0.0367463595
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,24,1770,10.092683616,3.0310338983,2.3763389831,2.3763389831
1003014911,BERGER,JOHN,P,D.O.,M,I,3100 KENNARD ST,SUITE 250,MAPLEWOOD,MN,551095465,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,,41,41,37.829268293,33,25.87,25.87
1003015025,DREHER,JENNIFER,A,"ANP-C, RN",F,I,4 GLEN COVE DR,SUITE 202,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,22,67,59.718955224,8.32,4.893880597,4.893880597
1003015025,DREHER,JENNIFER,A,"ANP-C, RN",F,I,4 GLEN COVE DR,SUITE 202,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,14,8.435,1.42,0.9571428571,0.9571428571
1003015025,DREHER,JENNIFER,A,"ANP-C, RN",F,I,4 GLEN COVE DR,SUITE 202,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,81.957179487,21.909230769,16.793076923,13.337435897
1003015025,DREHER,JENNIFER,A,"ANP-C, RN",F,I,4 GLEN COVE DR,SUITE 202,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,53.46375,8.38375,5.664375,3.434375
1003015025,DREHER,JENNIFER,A,"ANP-C, RN",F,I,4 GLEN COVE DR,SUITE 202,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,38,438.92894737,97.66,73.421052632,51.849473684
1003015025,DREHER,JENNIFER,A,"ANP-C, RN",F,I,4 GLEN COVE DR,SUITE 202,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,33,33,23.88,23.88
1003015116,CHHABRA,DARSHIKA,,MD,F,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,1.3543787879,0.499,0.3676969697,0.3676969697
1003015116,CHHABRA,DARSHIKA,,MD,F,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,65,76440,1.562618786,1.2483414443,0.976822606,0.9768216902
1003015116,CHHABRA,DARSHIKA,,MD,F,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,84,16965,6.2567491895,0.5695083996,0.4248594164,0.4248576481
1003015116,CHHABRA,DARSHIKA,,MD,F,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,74,9360,6.8710758547,2.8681153846,2.2348472222,2.2348472222
1003015116,CHHABRA,DARSHIKA,,MD,F,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,1575,18.619726984,7.4431174603,5.7442857143,5.7442857143
1003015116,CHHABRA,DARSHIKA,,MD,F,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,25,145,145,24,24,18.271655172,18.271655172
1003015116,CHHABRA,DARSHIKA,,MD,F,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,23,116,165,16,16,12.238181818,12.238181818
1003015124,EVERT,JESSICA,A,MD,F,I,1455 MONTEGO,SUITE 205,WALNUT CREEK,CA,945982990,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,127.31627907,17.11,13.107906977,13.220465116
1003015124,EVERT,JESSICA,A,MD,F,I,1455 MONTEGO,SUITE 205,WALNUT CREEK,CA,945982990,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,533.66341463,79,60.429268293,53.57097561
1003015124,EVERT,JESSICA,A,MD,F,I,1455 MONTEGO,SUITE 205,WALNUT CREEK,CA,945982990,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,50.73,39.3125,30.82,25.323333333
1003015124,EVERT,JESSICA,A,MD,F,I,1455 MONTEGO,SUITE 205,WALNUT CREEK,CA,945982990,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,11.99,9.5875,7.5175,6.7375
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,4,,33,105,896.93142857,19.698190476,14.854380952,14.854380952
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,68,83,84,113.49,39.381666667,30.508809524,30.147857143
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,43,7.758372093,1.51,1.13,1.1013953488
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,43,58,58,287.36913793,83.191724138,65.167931034,67.401206897
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,48,64,138,112.72094203,32.475362319,25.459130435,25.862536232
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,60,82,392,58.345178571,19.583928571,15.330408163,14.58755102
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,40,48,246,37.493089431,15.380731707,12.058252033,11.896422764
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,96,119,120,148.86541667,53.159333333,41.5475,42.587666667
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,100,105,105,49.051142857,17.429238095,13.65847619,14.012857143
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,40.2,9.92,7.78,8.0827272727
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,81,101,101,50.878514851,10.923762376,8.5603960396,9.0417821782
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,140,175,1015,6.7639901478,1.8771921182,1.4713300493,1.5799901478
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,18,18,15.478333333,6.2,4.86,4.6733333333
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,24,25,25,36.4472,12.5,9.8,10.1888
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,69,69,65.310724638,16.5,12.189855072,12.798550725
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,3031.4666667,1074.31,842.26,842.26
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,397.66967742,83.471612903,65.015806452,66.08516129
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,1469.9871429,982.87857143,758.69285714,758.69357143
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,29,29,29,417.84137931,134.59,105.52,104.86965517
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,16,88,88,25.496477273,3.8454545455,2.7986363636,3.3484090909
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,26,126,132,313.43621212,34.924242424,26.936590909,26.8575
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,25,157,157,356.42146497,77.169681529,57.465286624,52.384585987
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,35,166.98628571,35.31,26.898857143,28.42
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,4680,124.81027991,9.837017094,7.7122179487,7.7122179487
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,960,414.32780208,42.455916667,33.200364583,33.200364583
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,62,4260,18.790274648,9.6040140845,7.4649037559,7.4649037559
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,22,7585,0.37731971,0.0464930784,0.0345814107,0.0345814107
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,49,3720,9.9310752688,3.013516129,2.3240322581,2.3240322581
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,32,145,329.14344828,2.6377931034,2.0682758621,2.0682758621
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,248.91428571,35.31,27.69,29.51
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,17,77,77,51,33,24.526103896,24.526103896
1003015280,WALSH,KATHERINE,L,PA-C/MPH,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician Assistant,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,68.545454545,66,51.74,51.74
1003015314,BRADLEY,MICHELLE,R,DO,F,I,4110 51ST AVE S,,FARGO,ND,581047776,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,64,65.02546875,8.32,5.91078125,5.91078125
1003015314,BRADLEY,MICHELLE,R,DO,F,I,4110 51ST AVE S,,FARGO,ND,581047776,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,29,12.022068966,8.69,6.3403448276,6.3403448276
1003015314,BRADLEY,MICHELLE,R,DO,F,I,4110 51ST AVE S,,FARGO,ND,581047776,US,Physician/Family Practice,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,4.97,3.41,2.4520833333,2.4675
1003015314,BRADLEY,MICHELLE,R,DO,F,I,4110 51ST AVE S,,FARGO,ND,581047776,US,Physician/Family Practice,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,24,72.26,30.38,21.825833333,25.947083333
1003015314,BRADLEY,MICHELLE,R,DO,F,I,4110 51ST AVE S,,FARGO,ND,581047776,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,61,16.65,10.93,7.8675409836,7.8675409836
1003015314,BRADLEY,MICHELLE,R,DO,F,I,4110 51ST AVE S,,FARGO,ND,581047776,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,51,16.54,7.35,5.1968627451,5.2854901961
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,51,95,44.690631579,8.2138947368,5.2836842105,5.3698947368
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,19,23,11.575217391,1.42,1.067826087,1.067826087
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,57,8.5735087719,3.2863157895,2.5770175439,1.7356140351
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,14,350.02285714,68.174285714,49.370714286,35.653571429
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,48,63.155,22.4775,16.999166667,13.3425
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,50.73,6.9313333333,5.1106666667,3.2293333333
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,54,386.39444444,100.52481481,75.492777778,53.939444444
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1650,1.1306060606,0.1337090909,0.098230303,0.098230303
1003015348,REED,YOLONDA,E,NP-C,F,I,6200 BATESVILLE BLVD,,PLEASANT PLAINS,AR,72568,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,115.5,33,24.792083333,24.792083333
1003015439,CANETTA,PIETRO,A,M.D.,M,I,622 W 168TH ST,PH4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,6.0456666667,2.5896153846,1.869474359,1.869474359
1003015439,CANETTA,PIETRO,A,M.D.,M,I,622 W 168TH ST,PH4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,109,13950,4.9259419355,0.5644193548,0.4297240143,0.4297197133
1003015439,CANETTA,PIETRO,A,M.D.,M,I,622 W 168TH ST,PH4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,3450,0.0808927536,0.0130869565,0.0093101449,0.0093101449
1003015439,CANETTA,PIETRO,A,M.D.,M,I,622 W 168TH ST,PH4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,4.3153333333,1.25825,0.9864305556,0.9864305556
1003015439,CANETTA,PIETRO,A,M.D.,M,I,622 W 168TH ST,PH4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,98,13502,5.2430062213,2.8479765961,2.2095089616,2.2095089616
1003015439,CANETTA,PIETRO,A,M.D.,M,I,622 W 168TH ST,PH4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,107,107,24,24,18.155981308,18.15588785
1003015439,CANETTA,PIETRO,A,M.D.,M,I,622 W 168TH ST,PH4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,128,153,16,16,12.376078431,12.376078431
1003015447,PARNHAM,RYAN,E,NP-C,M,I,530 NE GLEN OAK AVE,SUITE 108,PEORIA,IL,615373167,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,69,15.047777778,11.802222222,9.6955555556
1003015447,PARNHAM,RYAN,E,NP-C,M,I,530 NE GLEN OAK AVE,SUITE 108,PEORIA,IL,615373167,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,1920.52,1074.31,841.81172414,841.81172414
1003015447,PARNHAM,RYAN,E,NP-C,M,I,530 NE GLEN OAK AVE,SUITE 108,PEORIA,IL,615373167,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,349.3265,101.525,73.018,57.1195
1003015447,PARNHAM,RYAN,E,NP-C,M,I,530 NE GLEN OAK AVE,SUITE 108,PEORIA,IL,615373167,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,1488.4,982.87857143,764.50035714,764.50035714
1003015447,PARNHAM,RYAN,E,NP-C,M,I,530 NE GLEN OAK AVE,SUITE 108,PEORIA,IL,615373167,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,38,191,191,32.05,5.6942931937,4.1381675393,3.4732460733
1003015447,PARNHAM,RYAN,E,NP-C,M,I,530 NE GLEN OAK AVE,SUITE 108,PEORIA,IL,615373167,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,324.4,69.81,54.73,54.73
1003015447,PARNHAM,RYAN,E,NP-C,M,I,530 NE GLEN OAK AVE,SUITE 108,PEORIA,IL,615373167,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,93.97,36.14,28.33,29.458695652
1003015736,TAN- PEDRES,MAUREEN,U,M.D.,F,I,100 MICHIGAN ST NE,SUITE A721,GRAND RAPIDS,MI,495032560,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,44.375454545,34.792727273,36.039090909
1003015736,TAN- PEDRES,MAUREEN,U,M.D.,F,I,100 MICHIGAN ST NE,SUITE A721,GRAND RAPIDS,MI,495032560,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,50,17.76,13.93,13.558571429
1003015736,TAN- PEDRES,MAUREEN,U,M.D.,F,I,100 MICHIGAN ST NE,SUITE A721,GRAND RAPIDS,MI,495032560,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,300,79.88,62.62,55.096190476
1003016270,MUTHUKRISHNAN,VIJAI,B,M.D.,M,I,25 COLLINS RD,,BRISTOL,CT,060103893,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,50,50.8852,8.32,6.131,6.131
1003016270,MUTHUKRISHNAN,VIJAI,B,M.D.,M,I,25 COLLINS RD,,BRISTOL,CT,060103893,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,55.325384615,17,13.33,13.523846154
1003016270,MUTHUKRISHNAN,VIJAI,B,M.D.,M,I,25 COLLINS RD,,BRISTOL,CT,060103893,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,342.73083333,77.18,59.949166667,54.6425
1003016775,DIAZ,ANTONIO,L,MD,M,I,7000 CARR 844 # 844,BOX 143,SAN JUAN,PR,009269570,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,28,100,43.256,8.32,6.5222,6.5222
1003016775,DIAZ,ANTONIO,L,MD,M,I,7000 CARR 844 # 844,BOX 143,SAN JUAN,PR,009269570,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,14.88,3.38,2.65,2.65
1003016775,DIAZ,ANTONIO,L,MD,M,I,7000 CARR 844 # 844,BOX 143,SAN JUAN,PR,009269570,US,Physician/Nephrology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,26.008333333,2.12,1.67,1.67
1003016775,DIAZ,ANTONIO,L,MD,M,I,7000 CARR 844 # 844,BOX 143,SAN JUAN,PR,009269570,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,28,50,13.9864,1.42,1.1112,1.1112
1003016809,BAUMGARDNER,ZACHARY,T,MD,M,I,601 RALSTON ST,SUITE 100,RENO,NV,895034456,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,26,58,60.951206897,8.32,5.0862068966,5.0862068966
1003016809,BAUMGARDNER,ZACHARY,T,MD,M,I,601 RALSTON ST,SUITE 100,RENO,NV,895034456,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,16,11.69875,1.42,0.97625,0.97625
1003016809,BAUMGARDNER,ZACHARY,T,MD,M,I,601 RALSTON ST,SUITE 100,RENO,NV,895034456,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2232,7.8625,7.8625,6.0999417563,6.1117114695
1003017682,AKHTAR,NAUMAN,J,M.D.,M,I,224D CORNWALL ST NW,SUITE 204,LEESBURG,VA,201762700,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,51.650909091,17.509090909,13.725454545,14.289090909
1003017682,AKHTAR,NAUMAN,J,M.D.,M,I,224D CORNWALL ST NW,SUITE 204,LEESBURG,VA,201762700,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,16.185454545,8.4309090909,6.6109090909,6.7190909091
1003017682,AKHTAR,NAUMAN,J,M.D.,M,I,224D CORNWALL ST NW,SUITE 204,LEESBURG,VA,201762700,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,941.9712,641.82,503.19,486.0444
1003017682,AKHTAR,NAUMAN,J,M.D.,M,I,224D CORNWALL ST NW,SUITE 204,LEESBURG,VA,201762700,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,69.19,59.74,46.83,46.503333333
1003017906,BURZELL,LINDEN,J,M.D.,M,I,3142 VISTA WAY,SUITE 100,OCEANSIDE,CA,920563627,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,23,48,53.3625,8.32,5.435625,5.435625
1003017906,BURZELL,LINDEN,J,M.D.,M,I,3142 VISTA WAY,SUITE 100,OCEANSIDE,CA,920563627,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,22.247647059,1.42,0.8517647059,0.8517647059
1003017971,TWEET,MATTHEW,L,MD,M,I,2725 CAPITOL AVE,SUITE 302,SACRAMENTO,CA,958166004,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,62,64,64,195,135.0246875,101.069375,83.7734375
1003018102,COTTER,DANIEL,M,M.D.,M,I,811 MAPLE RD,,WILLIAMSVILLE,NY,142213260,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,66.248333333,59.265,42.506666667,45.9325
1003018136,JACKSON,ANGELA,C,PA-C,F,I,413 OWEN DRIVE,SUITE 201,FAYETTEVILLE,NC,283043411,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,465,275,5.54,4.3432258065,4.1872258065
1003018136,JACKSON,ANGELA,C,PA-C,F,I,413 OWEN DRIVE,SUITE 201,FAYETTEVILLE,NC,283043411,US,Physician Assistant,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,7884,8.7649340436,1.02,0.7996803653,0.7853094876
1003018136,JACKSON,ANGELA,C,PA-C,F,I,413 OWEN DRIVE,SUITE 201,FAYETTEVILLE,NC,283043411,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,70.23,50.824615385,50.536923077
1003018748,THOMAS,BRAD,A,MD,M,I,5 SAINT VINCENT CIR STE 502,,LITTLE ROCK,AR,722055412,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,26,26,26,148.92384615,58.555384615,45.910384615,38.466923077
1003018748,THOMAS,BRAD,A,MD,M,I,5 SAINT VINCENT CIR STE 502,,LITTLE ROCK,AR,722055412,US,Physician/Neurosurgery,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,70,70,70,1428.5857143,1186.6425714,909.15442857,869.89157143
1003019092,HAWTHORNE,KRISTEN,M,M.D.,F,I,2610 S IH 35,,AUSTIN,TX,787045703,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,12,60.965833333,51.899166667,40.691666667,48.655833333
1003019340,BAROS,EVAGELIA,,DO,F,I,12442 SW SCHOLLS FERRY RD,SUITE 106,TIGARD,OR,972233396,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,105,65.589904762,8.32,5.4342857143,5.4342857143
1003019340,BAROS,EVAGELIA,,DO,F,I,12442 SW SCHOLLS FERRY RD,SUITE 106,TIGARD,OR,972233396,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,31,14.803870968,1.42,0.8974193548,0.8974193548
1003019340,BAROS,EVAGELIA,,DO,F,I,12442 SW SCHOLLS FERRY RD,SUITE 106,TIGARD,OR,972233396,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,3.8845454545,3.0436363636,3.6854545455
1003019571,SEHGAL,RAJESH,,MD,M,I,400 OXFORD DR,SUITE 102,MONROEVILLE,PA,15146,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,12,38.666666667,16,12.54,12.54
1003019613,STEFAN,DELIA,M,MD,F,I,600 WESTAGE BUSINESS CTR DR,,FISHKILL,NY,125242281,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,36,74,283,51.156784452,8.32,6.0985865724,6.0985865724
1003019613,STEFAN,DELIA,M,MD,F,I,600 WESTAGE BUSINESS CTR DR,,FISHKILL,NY,125242281,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,26,50,94,13.770638298,1.42,1.0314893617,1.0314893617
1003019613,STEFAN,DELIA,M,MD,F,I,600 WESTAGE BUSINESS CTR DR,,FISHKILL,NY,125242281,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,409.84555556,251.11,196.87,196.87
1003019811,LAM,EREK,M,MD,M,I,9104 BABCOCK BLVD STE 2116,,PITTSBURGH,PA,152375818,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,177.31333333,56.021666667,36.400833333,35.870833333
1003019811,LAM,EREK,M,MD,M,I,9104 BABCOCK BLVD STE 2116,,PITTSBURGH,PA,152375818,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,49.225714286,18.254285714,11.165,11.043571429
1003019811,LAM,EREK,M,MD,M,I,9104 BABCOCK BLVD STE 2116,,PITTSBURGH,PA,152375818,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,78,8.3017948718,2.1475641026,1.5634615385,1.4738461538
1003019811,LAM,EREK,M,MD,M,I,9104 BABCOCK BLVD STE 2116,,PITTSBURGH,PA,152375818,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,158.29384615,34.98,24.863076923,23.426153846
1003020041,BAXTER,MARGARET,,M.D.,F,I,1100 LONG POND RD,SUITE 250,ROCHESTER,NY,146261177,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,32,83.5075,8.32,6.115,6.115
1003020041,BAXTER,MARGARET,,M.D.,F,I,1100 LONG POND RD,SUITE 250,ROCHESTER,NY,146261177,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,15,14.242666667,1.42,1.044,1.044
1003020116,SIMPSON,MATTHEW,E,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/General Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,7.5,3.02,2.3676666667,2.3676666667
1003020116,SIMPSON,MATTHEW,E,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/General Surgery,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7716,2.4783825816,0.9797822706,0.7681493002,0.7826762571
1003020116,SIMPSON,MATTHEW,E,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/General Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,199.02818182,65.029090909,42.829090909,28.824545455
1003020264,HENNESSY,SARA,A,M.D.,F,I,541 SUNSET LN,SUITE 303,CULPEPER,VA,227013979,US,Physician/General Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.83,8.7263636364,5.4327272727,5.7027272727
1003020264,HENNESSY,SARA,A,M.D.,F,I,541 SUNSET LN,SUITE 303,CULPEPER,VA,227013979,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,52.302727273,17.63,12.563636364,12.3
1003020264,HENNESSY,SARA,A,M.D.,F,I,541 SUNSET LN,SUITE 303,CULPEPER,VA,227013979,US,Physician/General Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.06,3.97,3.95
1003020264,HENNESSY,SARA,A,M.D.,F,I,541 SUNSET LN,SUITE 303,CULPEPER,VA,227013979,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,312.73909091,76.48,54.509090909,49.745454545
1003020504,PUNSALAN,TRICIA,,M.D.,F,I,704 OLD MONTGOMERY RD,,CONROE,TX,773012740,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,28.675714286,6.9478571429,5.4457142857,3.8085714286
1003020645,ILAHI,MARIUM,,MD,F,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,26,319,57.368652038,19.621567398,13.365924765,13.365924765
1003020645,ILAHI,MARIUM,,MD,F,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,28,915,7.2676502732,2.6303825137,1.9274863388,1.9274863388
1003020645,ILAHI,MARIUM,,MD,F,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,79,122,297,1547,64.250639948,8.32,5.9555979315,5.9555979315
1003020645,ILAHI,MARIUM,,MD,F,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,12.559166667,3.38,2.65,2.65
1003020645,ILAHI,MARIUM,,MD,F,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,43,79,218,13.993302752,1.412293578,1.0354587156,1.0414678899
1003020645,ILAHI,MARIUM,,MD,F,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,18,90,90,344.28988889,250.98866667,195.76244444,195.85722222
1003020645,ILAHI,MARIUM,,MD,F,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,320.61769231,262.92076923,193.50076923,193.67384615
1003020975,BHAGAVATULA,SOWJANYA,,M.D,F,I,3 FARRINGTON ST,,VAUXHALL,NJ,070881307,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,17,81.75,13.65,10.7,10.544705882
1003020975,BHAGAVATULA,SOWJANYA,,M.D,F,I,3 FARRINGTON ST,,VAUXHALL,NJ,070881307,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,20,257.82,31.9375,25.0375,25.2525
1003020975,BHAGAVATULA,SOWJANYA,,M.D,F,I,3 FARRINGTON ST,,VAUXHALL,NJ,070881307,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,353.1845,75.51,56.377,52.4235
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,19,1670,0.1479041916,0.12,0.0935269461,0.0935269461
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,15,1220,0.5339344262,0.44,0.3449754098,0.3449754098
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,70,80,1480,28.168648649,23.66,18.491337838,18.491337838
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,16,408,9.6976470588,8.28,6.4915441176,6.4915441176
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,52,62,1217,10.621372227,8.41,6.4965981923,6.4965981923
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,65,81,1337,13.548070307,10.93,8.5374270755,8.5374270755
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,282,4.2656382979,3.67,2.8773404255,2.8773404255
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,45,56,4589,0.5800828067,0.4495685334,0.3487535411,0.3489540205
1003021825,GALLO,GARY,A,M.D.,M,I,8300 COLLIER BLVD,,NAPLES,FL,341143549,US,Physician/Orthopedic Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,95,46.812105263,8.2115789474,6.4376842105,6.4286315789
1003022682,SHAH,MAULIK,,MD,M,I,7300 N FRESNO ST,,FRESNO,CA,937202941,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,409.96,47.3725,37.1375,38.1675
1003022682,SHAH,MAULIK,,MD,M,I,7300 N FRESNO ST,,FRESNO,CA,937202941,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,62.8864,16.9768,13.3132,13.4476
1003022682,SHAH,MAULIK,,MD,M,I,7300 N FRESNO ST,,FRESNO,CA,937202941,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,313.0108,70.3772,55.1728,54.9396
1003022708,DESHMUKH,ANAND,,MD,M,I,1 EDMUNDSON PL,STE. #306,COUNCIL BLUFFS,IA,515034658,US,Interventional Cardiology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,72,79.481944444,18.54,11.870833333,11.885416667
1003022708,DESHMUKH,ANAND,,MD,M,I,1 EDMUNDSON PL,STE. #306,COUNCIL BLUFFS,IA,515034658,US,Interventional Cardiology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,211.67375,58.25,35.645,33.7125
1003022708,DESHMUKH,ANAND,,MD,M,I,1 EDMUNDSON PL,STE. #306,COUNCIL BLUFFS,IA,515034658,US,Interventional Cardiology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,54.376666667,18.864666667,12.192666667,11.496666667
1003022708,DESHMUKH,ANAND,,MD,M,I,1 EDMUNDSON PL,STE. #306,COUNCIL BLUFFS,IA,515034658,US,Interventional Cardiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,22,22,61.803636364,11.346363636,7.7559090909,7.9395454545
1003022708,DESHMUKH,ANAND,,MD,M,I,1 EDMUNDSON PL,STE. #306,COUNCIL BLUFFS,IA,515034658,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,22,132,8.0490909091,2.0609090909,1.4570454545,1.4306818182
1003022708,DESHMUKH,ANAND,,MD,M,I,1 EDMUNDSON PL,STE. #306,COUNCIL BLUFFS,IA,515034658,US,Interventional Cardiology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,32.961818182,13.926363636,9.9436363636,9.4327272727
1003022708,DESHMUKH,ANAND,,MD,M,I,1 EDMUNDSON PL,STE. #306,COUNCIL BLUFFS,IA,515034658,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,157.70142857,40.897142857,25.071428571,20.418571429
1003023276,JARRELL,SHELBY,E,MD,M,I,201 CEDAR ST SE,SUITE 6600,ALBUQUERQUE,NM,871064917,US,Physician/Sports Medicine,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,129,129,101.14,102.12909091
1003023284,MCELROY,ALLEGRA,P,RN FNP,F,I,107 COMMERCIAL ST,,MASHPEE,MA,02649,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,58,145,86.478344828,8.32,5.270137931,5.270137931
1003023284,MCELROY,ALLEGRA,P,RN FNP,F,I,107 COMMERCIAL ST,,MASHPEE,MA,02649,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,36,44,14.6175,1.42,0.99,0.99
1003023284,MCELROY,ALLEGRA,P,RN FNP,F,I,107 COMMERCIAL ST,,MASHPEE,MA,02649,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,49.904615385,4.4923076923,2.6384615385,2.6
1003023284,MCELROY,ALLEGRA,P,RN FNP,F,I,107 COMMERCIAL ST,,MASHPEE,MA,02649,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,70.381818182,52.705,52.244545455
1003023284,MCELROY,ALLEGRA,P,RN FNP,F,I,107 COMMERCIAL ST,,MASHPEE,MA,02649,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.68,31.11,29.643333333
1003023284,MCELROY,ALLEGRA,P,RN FNP,F,I,107 COMMERCIAL ST,,MASHPEE,MA,02649,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,76.5,16.042,11.785,13.138
1003023284,MCELROY,ALLEGRA,P,RN FNP,F,I,107 COMMERCIAL ST,,MASHPEE,MA,02649,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,67.941176471,33,24.348235294,24.348235294
1003023581,HINGORANI,JAIDEEP,,,M,I,3300 TAMIAMI TRL,#101A,PORT CHARLOTTE,FL,339528054,US,Physician/Neurology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,3326,4.9197684907,0.5731990379,0.4493956705,0.4493956705
1003023581,HINGORANI,JAIDEEP,,,M,I,3300 TAMIAMI TRL,#101A,PORT CHARLOTTE,FL,339528054,US,Physician/Neurology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2400,0.0853666667,0.013375,0.0104875,0.0104875
1003023581,HINGORANI,JAIDEEP,,,M,I,3300 TAMIAMI TRL,#101A,PORT CHARLOTTE,FL,339528054,US,Physician/Neurology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,3540,3.3298107345,1.2995762712,1.0147542373,1.0147542373
1003023581,HINGORANI,JAIDEEP,,,M,I,3300 TAMIAMI TRL,#101A,PORT CHARLOTTE,FL,339528054,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,33,33,24,24,18.82,18.82
1003023581,HINGORANI,JAIDEEP,,,M,I,3300 TAMIAMI TRL,#101A,PORT CHARLOTTE,FL,339528054,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,50,55,16,16,12.540909091,12.540909091
1003023706,NGUYEN,VAN-ANH,T,MD,F,I,7432 LITTLE RIVER TPKE,,ANNANDALE,VA,220033013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,27,71,167,68.320598802,8.32,5.6632335329,5.6632335329
1003023706,NGUYEN,VAN-ANH,T,MD,F,I,7432 LITTLE RIVER TPKE,,ANNANDALE,VA,220033013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,48,66,14.139090909,1.42,0.9810606061,0.9810606061
1003023706,NGUYEN,VAN-ANH,T,MD,F,I,7432 LITTLE RIVER TPKE,,ANNANDALE,VA,220033013,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,87.184545455,45.786363636,31.672727273,31.980909091
1003024811,HAMAKER,LISA,L,M.D.,F,I,100 MARKET ST STE 300,,COLLEGEVILLE,PA,194264927,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,11,143,42.921678322,19.625454545,15.386013986,15.386013986
1003024811,HAMAKER,LISA,L,M.D.,F,I,100 MARKET ST STE 300,,COLLEGEVILLE,PA,194264927,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,330,5.62,2.6290909091,2.0611212121,2.0611212121
1003024811,HAMAKER,LISA,L,M.D.,F,I,100 MARKET ST STE 300,,COLLEGEVILLE,PA,194264927,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,48,149,580,66.698224138,8.32,6.1177586207,6.1177586207
1003024811,HAMAKER,LISA,L,M.D.,F,I,100 MARKET ST STE 300,,COLLEGEVILLE,PA,194264927,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,12.412,3.38,2.65,2.65
1003024811,HAMAKER,LISA,L,M.D.,F,I,100 MARKET ST STE 300,,COLLEGEVILLE,PA,194264927,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,49,97,13.989793814,1.42,1.0562886598,1.0562886598
1003024811,HAMAKER,LISA,L,M.D.,F,I,100 MARKET ST STE 300,,COLLEGEVILLE,PA,194264927,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,357.41555556,251.11,188.89944444,188.89944444
1003024944,DE LEON,JOSE,L,P.A.-C.,M,I,913 S MAIN ST,,DEL RIO,TX,788405807,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,222.72727273,76.48,58.632727273,53.87
1003025271,LIU,YINGHUI,,"MD, PHD",F,I,4020 HEDGCOXE RD,STE 700,PLANO,TX,750247700,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,40,100,65.2486,8.0272,6.1625,6.1625
1003025271,LIU,YINGHUI,,"MD, PHD",F,I,4020 HEDGCOXE RD,STE 700,PLANO,TX,750247700,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,11.380714286,1.42,1.1185714286,1.1185714286
1003025347,VARNADO,ANJANETTE,L,M.D.,F,I,6214 HIGHWAY 10,,GREENSBURG,LA,70441,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,35,40.034571429,8.32,4.4731428571,4.4731428571
1003025347,VARNADO,ANJANETTE,L,M.D.,F,I,6214 HIGHWAY 10,,GREENSBURG,LA,70441,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,158.67,50.61,35.896666667,35.295
1003025347,VARNADO,ANJANETTE,L,M.D.,F,I,6214 HIGHWAY 10,,GREENSBURG,LA,70441,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,0.9973863636,0.1316363636,0.1026212121,0.1026212121
1003025347,VARNADO,ANJANETTE,L,M.D.,F,I,6214 HIGHWAY 10,,GREENSBURG,LA,70441,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,29,97.862068966,33,25.132413793,25.132413793
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,120.92,38.96,30.547692308,30.49
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,27,7.9988888889,1.4944444444,1.1722222222,1.1540740741
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,295.08727273,89.641818182,70.280909091,67.847272727
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,74,6.1432432432,2.0583783784,1.6139189189,1.5932432432
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,46.861521739,18.138478261,13.933478261,14.349130435
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,40.678648649,4.1097297297,3.2213513514,3.8037837838
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,114.13714286,35.218571429,26.021428571,26.243571429
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,15,110,111,372.76846847,74.984504505,57.001261261,53.267387387
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,52,52,183.94230769,37.077307692,28.401730769,28.811923077
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,50,2970,17.446616162,11.144121212,8.5921043771,8.5921043771
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2108,0.3754506641,0.0465702087,0.0364848197,0.0364848197
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,2310,0.92,0.1351168831,0.0917532468,0.0917532468
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,38,2340,11.940816239,2.9747435897,2.2961666667,2.2961666667
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2184615385,0.1713589744,0.1713589744
1003025461,GARFIELD,JAMIE,L,MD,F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,57,57,102.47368421,33,24.64877193,24.64877193
1003025727,PARKER,CATHERINE,C,FNP,F,I,3716 MELROSE AVE NW,,ROANOKE,VA,240172716,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,34,103,48.084951456,8.32,5.4459223301,5.4459223301
1003025727,PARKER,CATHERINE,C,FNP,F,I,3716 MELROSE AVE NW,,ROANOKE,VA,240172716,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.01,3.38,1.9875,1.9875
1003025727,PARKER,CATHERINE,C,FNP,F,I,3716 MELROSE AVE NW,,ROANOKE,VA,240172716,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,37,14.220540541,1.42,0.9637837838,0.9637837838
1003025727,PARKER,CATHERINE,C,FNP,F,I,3716 MELROSE AVE NW,,ROANOKE,VA,240172716,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,38.735333333,4.694,3.1553333333,3.1533333333
1003025875,DAVOL,PATRICK,E,M.D.,M,I,2510 NW EDENBOWER BLVD,SUITE 146,ROSEBURG,OR,974718899,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,3030,0.3075247525,0.13,0.0876567657,0.0876567657
1003025875,DAVOL,PATRICK,E,M.D.,M,I,2510 NW EDENBOWER BLVD,SUITE 146,ROSEBURG,OR,974718899,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,17,63,10430,4.9923202301,2.0215052733,1.4757746884,1.4895934803
1003025875,DAVOL,PATRICK,E,M.D.,M,I,2510 NW EDENBOWER BLVD,SUITE 146,ROSEBURG,OR,974718899,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,32,6044,13.63262409,7.23,5.2830112508,5.2830112508
1003025875,DAVOL,PATRICK,E,M.D.,M,I,2510 NW EDENBOWER BLVD,SUITE 146,ROSEBURG,OR,974718899,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,36,17.359444444,10.93,8.0930555556,8.0930555556
1003025875,DAVOL,PATRICK,E,M.D.,M,I,2510 NW EDENBOWER BLVD,SUITE 146,ROSEBURG,OR,974718899,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,86,2.9426744186,1.7553488372,1.1794186047,1.2084883721
1003026055,PHADKE,RADHIKA,P,"M.D, PHD",F,I,4800 W HILLSBORO BLVD,SUITE A-6,COCONUT CREEK,FL,330734371,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,26,126,49.234206349,8.32,6.0048412698,6.0048412698
1003026055,PHADKE,RADHIKA,P,"M.D, PHD",F,I,4800 W HILLSBORO BLVD,SUITE A-6,COCONUT CREEK,FL,330734371,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,30,12.361666667,1.42,0.9646666667,0.9646666667
1003026410,MUMMADI,VIJAYA,,M.D.,F,I,9900 N CENTRAL EXPY STE 225,,DALLAS,TX,752310918,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,82,52.24195122,8.32,5.3143902439,5.3143902439
1003026410,MUMMADI,VIJAYA,,M.D.,F,I,9900 N CENTRAL EXPY STE 225,,DALLAS,TX,752310918,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,31,13.24516129,1.42,0.9361290323,0.9361290323
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,12,34,409,56.76391198,19.63799511,14.878312958,14.878312958
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,12,34,990,7.7742424242,2.6311111111,1.9278383838,1.9278383838
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,65,81,276,1241,62.527082998,8.32,6.002280419,6.002280419
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,31,31,12.640967742,3.38,2.65,2.65
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,20.868333333,2.12,1.67,1.67
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,35,91,260,12.884961538,1.42,1.0708461538,1.0708461538
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,727.9,337.43647059,264.54823529,264.54823529
1003027194,SHAMSI,ROHMA,,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1300,16.494207692,10.888969231,8.4979384615,8.4979384615
1003027582,GRANT,MICHAEL,,M.D.,M,I,831 S BROADWAY,SUITE 113,MINOT,ND,587014636,US,Physician/Radiation Oncology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,321,63.352056075,5.2790654206,4.1074454829,3.214423676
1003027582,GRANT,MICHAEL,,M.D.,M,I,831 S BROADWAY,SUITE 113,MINOT,ND,587014636,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,5384,1.3567087667,0.4122139673,0.307332838,0.2285902675
1003027764,BUCK,TONDRE,,M.D.,M,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Medical Oncology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,4320,6.2367083333,1.26075,0.955212963,0.955212963
1003027764,BUCK,TONDRE,,M.D.,M,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,18.82,18.82
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,56,193,380,57.9245,8.32,5.6647368421,5.6647368421
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,26,55,69,16.353768116,1.42,1.0046376812,1.0046376812
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,140.28181818,50.046363636,36.170909091,27.718181818
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,2.2366666667,1.7533333333,1.2083333333
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,2.1912,0.6952,0.5456,0.4496
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,59,77.349830508,25.593389831,18.707457627,13.318305085
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,252.14583333,73.73,47.43,33.198333333
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,91.247647059,24.308235294,16.303529412,11.578823529
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,18,108,8.15,3.1766666667,2.3923148148,1.5048148148
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,9504,0.9281134259,0.256155303,0.1857323232,0.2694013047
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,110.46060606,22.074545455,15.496666667,11.89
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,190.969,7.0813333333,5.1883333333,3.359
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,515.10666667,49.011666667,31.567222222,20.33
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,125,125,716.3232,99.7544,75.36128,54.47264
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.290727273,8.6865454545,8.6865454545
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,73,13132,0.2195438623,0.0464118185,0.03085364,0.03085364
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,51,4982,1.7845945403,0.1345142513,0.1010899237,0.1010899237
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1440,12.86,3.003,2.2547430556,2.2547430556
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,285.6,44.261612903,34.703548387,29.976129032
1003027939,ISAACSON,TODD,M,M.D.,M,I,1 JACK FOSTER DR,,SHENANDOAH,IA,516014586,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,20,115,115,53.660869565,33,23.258956522,23.258956522
1003028150,WIRTH-RISSMAN,JILL,,MD,F,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,52,76.629038462,8.32,5.8944230769,5.8944230769
1003028150,WIRTH-RISSMAN,JILL,,MD,F,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,178.125,50.0075,39.2075,39.604375
1003028150,WIRTH-RISSMAN,JILL,,MD,F,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,63.155,17.27,12.975833333,12.975833333
1003028150,WIRTH-RISSMAN,JILL,,MD,F,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,369.755,69.81,52.746666667,52.746666667
1003028705,SOROKOVSKA,DANIELA,J,MD,F,I,222 STATE AVE N,,KENT,WA,980304544,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,27,46,66.471304348,8.32,6.0967391304,6.0967391304
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,39,39,99.501538462,39.608717949,28.823846154,28.252307692
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,11,14,22,37,5.5418918919,1.5802702703,1.2078378378,1.1348648649
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,10,17,17,17,36.312352941,13.259411765,9.31,8.0041176471
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,68,129,129,281.7724031,91.416046512,64.630232558,61.810620155
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,51,138,212,128.6534434,35.213254717,25.956462264,24.419858491
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,49,126,464,76.27575431,19.736228448,14.830926724,13.967909483
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,12,23,116,77.775775862,15.938275862,12.043448276,11.440431034
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,75,135,136,202.15941176,58.008014706,43.832352941,41.397720588
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,128,162,162,59.810185185,19.217530864,14.24117284,13.410246914
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,118,208,209,61.97492823,12.520095694,9.4150239234,8.8211004785
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,120,311,1116,9.9276523297,2.1405824373,1.5985035842,1.5200985663
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,116,148,148,20.110337838,6.2205405405,4.4847297297,4.305
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,65,82,82,38.010121951,13.529390244,9.6926829268,9.498902439
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,45,277,288,62.740208333,19.410798611,14.095972222,13.573090278
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,1343.6328571,1074.31,842.26,842.26
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,24,161,161,1775.0522981,1074.31,833.95006211,833.95006211
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,15,64,66,435.89969697,91.706969697,64.656212121,60.444242424
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,658.82857143,217.73333333,166.28285714,166.28285714
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1230.62,1046.98,820.835,820.835
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,36,36,36,351.18055556,145.32472222,111.89416667,104.69694444
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,18,84,91,70.878241758,13.902967033,10.059340659,9.2565934066
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,16,38,255,259,24.621505792,5.2694980695,3.8699227799,3.4700772201
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,18,67,386,395,192.56668354,35.733240506,25.901594937,24.125924051
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,25,123,912,941,321.50709883,76.136471838,56.05501594,51.866333688
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,108,113,202.37964602,38.334690265,29.260707965,28.754690265
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,45,3312,19.85964372,9.6339492754,7.508218599,7.508218599
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,28,39,98,25326,0.3604371002,0.0456408434,0.0327454,0.0327454
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,4350,1.7853586207,0.1345517241,0.0948413793,0.0948413793
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,54,3456,9.2409722222,2.9562152778,2.2448003472,2.2448003472
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1098,2.8952367942,0.2189253188,0.1435974499,0.1435974499
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,82,85,130.85247059,38.883176471,28.616235294,27.781647059
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,35,51,146,146,40.047945205,33,24.16739726,24.16739726
1003029075,WADE,WILLIAM,A,MD,M,I,"4619 KANAWHA AVE., SW",,SOUTH CHARLESTON,WV,25309,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,11,11,78,66,47.036363636,47.036363636
1003029125,CARTER-KELLY,STACI,,RPA,F,I,23 HAMMOND LN,,PLATTSBURGH,NY,129012000,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,62,78.218709677,8.32,5.3506451613,5.3506451613
1003029125,CARTER-KELLY,STACI,,RPA,F,I,23 HAMMOND LN,,PLATTSBURGH,NY,129012000,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,22,86.31,23.059545455,17.398636364,14.893636364
1003029125,CARTER-KELLY,STACI,,RPA,F,I,23 HAMMOND LN,,PLATTSBURGH,NY,129012000,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,65.049411765,7.4105882353,5.3126470588,3.1135294118
1003029125,CARTER-KELLY,STACI,,RPA,F,I,23 HAMMOND LN,,PLATTSBURGH,NY,129012000,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,595.60578947,102.42,74.493157895,53.523421053
1003029125,CARTER-KELLY,STACI,,RPA,F,I,23 HAMMOND LN,,PLATTSBURGH,NY,129012000,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,25.87,25.87
1003029372,TANAGHO,YOUSSEF,S,"MD, MPH",M,I,72057 HIGHWAY 111,,RANCHO MIRAGE,CA,922704927,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1060,0.39,0.13,0.0779150943,0.0779150943
1003029372,TANAGHO,YOUSSEF,S,"MD, MPH",M,I,72057 HIGHWAY 111,,RANCHO MIRAGE,CA,922704927,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,3360,4.0741071429,1.73,1.2784940476,1.5226220238
1003029562,SWALLOW,NICOLE,,M.D.,F,I,500 UNIVERSITY DR,H088,HERSHEY,PA,170332360,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,36.88,16.59,13,13.53
1003029562,SWALLOW,NICOLE,,M.D.,F,I,500 UNIVERSITY DR,H088,HERSHEY,PA,170332360,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,230,67.72,53.1,54.73
1003029836,MUELLER,THOMAS,J,MD,M,I,570 EGG HARBOR RD,STE A-1,SEWELL,NJ,080802359,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1680,0.39,0.13,0.089172619,0.089172619
1003029836,MUELLER,THOMAS,J,MD,M,I,570 EGG HARBOR RD,STE A-1,SEWELL,NJ,080802359,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1924,5.6343659044,1.95,1.5138253638,1.5810862786
1003029836,MUELLER,THOMAS,J,MD,M,I,570 EGG HARBOR RD,STE A-1,SEWELL,NJ,080802359,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,9.65,7.23,5.5689090909,5.5689090909
1003030040,VAN STEYN,MARLO,O,MD,F,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,48,48,520,314.26479167,237.22354167,246.41541667
1003030040,VAN STEYN,MARLO,O,MD,F,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,16,330,220.86,154.720625,153.448125
1003030040,VAN STEYN,MARLO,O,MD,F,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,660,447.63,350.94,305.67
1003030040,VAN STEYN,MARLO,O,MD,F,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,62,63,75,100,64.605866667,47.227066667,43.162266667
1003030040,VAN STEYN,MARLO,O,MD,F,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,61,63,68,360,239.22,182.32470588,181.10647059
1003030040,VAN STEYN,MARLO,O,MD,F,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician/Hand Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,28,31,280,188.47,141.94516129,140.87419355
1003030651,BILAL,SALVA,,MD,F,I,25 S RIVER RD,ELLIOT FAMILY MEDICINE AT BEDFORD COMMONS,BEDFORD,NH,031106708,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,39,61.956410256,8.32,6.5225641026,6.5225641026
1003030651,BILAL,SALVA,,MD,F,I,25 S RIVER RD,ELLIOT FAMILY MEDICINE AT BEDFORD COMMONS,BEDFORD,NH,031106708,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.271818182,7.1090909091,7.5854545455
1003030651,BILAL,SALVA,,MD,F,I,25 S RIVER RD,ELLIOT FAMILY MEDICINE AT BEDFORD COMMONS,BEDFORD,NH,031106708,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1466,0.6240450205,0.0462278308,0.0362414734,0.0362414734
1003030685,SOBH,MOHAMAD,A,"D.O., RPH.",M,I,1611 MONROE ST,,DEARBORN,MI,481242912,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3750,2625.9041176,2058.7088235,2058.7088235
1003031071,DOWNS,MARC,A,RPA-C,M,I,675 STATE ROUTE 3,,PLATTSBURGH,NY,129016562,US,Physician Assistant,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,350,16.734285714,7,5.488,5.488
1003031071,DOWNS,MARC,A,RPA-C,M,I,675 STATE ROUTE 3,,PLATTSBURGH,NY,129016562,US,Physician Assistant,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,450,5,2.02,1.5836666667,1.5836666667
1003031212,KAYALI,FADI,,M.D.,M,I,600 N CATTLEMEN RD,SUITE 200,SARASOTA,FL,342326422,US,Physician/Hematology-Oncology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,414.37998718,42.256076923,33.128782051,33.128782051
1003031212,KAYALI,FADI,,M.D.,M,I,600 N CATTLEMEN RD,SUITE 200,SARASOTA,FL,342326422,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,22,1808,58.68,4.775630531,3.7440873894,3.7440873894
1003031212,KAYALI,FADI,,M.D.,M,I,600 N CATTLEMEN RD,SUITE 200,SARASOTA,FL,342326422,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1003031212,KAYALI,FADI,,M.D.,M,I,600 N CATTLEMEN RD,SUITE 200,SARASOTA,FL,342326422,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,20,22,16,16,12.540909091,12.540909091
1003031212,KAYALI,FADI,,M.D.,M,I,600 N CATTLEMEN RD,SUITE 200,SARASOTA,FL,342326422,US,Physician/Hematology-Oncology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,897.11,358.5,281.06,281.06
1003031261,RUBRIGHT,JAMES,H,M.D.,M,I,345 23RD AVE N,SUITE 212,NASHVILLE,TN,372031513,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,185.75,127.21,99.73,87.48
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,45,66,66,111.55121212,42.977727273,33.695,31.294090909
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,15,20,36,6.6788888889,1.4019444444,1.1016666667,1.145
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,10,19,22,22,66.208636364,10.872727273,8.165,8.6722727273
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,43,64,65,329.99184615,101.54830769,79.510307692,71.374769231
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,37,64,119,128.05277311,39.021512605,30.35394958,26.93092437
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,15,22,101,60.792376238,15.185346535,11.905346535,11.888217822
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,24,38,38,230.66684211,59.789473684,45.940789474,43.841052632
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,60,73,73,66.866986301,20.007808219,15.685616438,14.644657534
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,18,27,27,85.672222222,14.440740741,11.321481481,10.00037037
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,62,99,472,9.0090254237,2.3534745763,1.8378601695,1.6390466102
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,30,37,37,54.515135135,14.187297297,11.125945946,10.434054054
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,105,108,61.016759259,18.168518519,12.881851852,12.315555556
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,39,39,224.02410256,41.82,31.108461538,35.886923077
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,1743.7428571,1074.31,729.89914286,729.89914286
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,31,31,549.21354839,119.83677419,93.952580645,77.52516129
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,1621.91,918.77714286,710.07357143,710.07357143
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,24,24,24,479.65291667,155.135,120.46625,106.75833333
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,30,31,81.75,15.823870968,11.353225806,8.9261290323
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,11,27,147,148,32.334662162,4.3539864865,3.270472973,3.5257432432
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,35,187,188,272.91340426,39.511861702,29.521382979,24.976808511
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,41,286,305,448.87078689,87.121901639,66.155409836,54.557639344
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,58,241.03448276,39.081724138,29.040344828,28.006206897
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,17,114,7080,19.196492938,9.6559576271,7.5297344633,7.5297344633
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,73,4950,18.074234343,11.240309091,8.7372767677,8.7372727273
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,3283,0.2871184892,0.0466189461,0.0306731648,0.0306731648
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,33,202,12978,12.026727539,3.0149144706,2.3051741409,2.3051741409
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1650,1.5623272727,0.2194181818,0.1658,0.1658
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,139.89244444,39.51,28.773555556,27.734888889
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,25,41,214,214,85.457943925,33,25.74911215,25.74911215
1003031691,HALL,WILLIAM,B,M.D.,M,I,2800 BLUE RIDGE RD STE 201,,RALEIGH,NC,276076477,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,18,18,66,66,50.115555556,50.115555556
1003032574,LOUKAS,ELIAS,,M.D.,M,I,1 MEDICAL CENTER DR,DHMC SECTION OF HOSPITAL MEDICINE,LEBANON,NH,037561000,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,198.72,43.931818182,34.442727273,36.298181818
1003032574,LOUKAS,ELIAS,,M.D.,M,I,1 MEDICAL CENTER DR,DHMC SECTION OF HOSPITAL MEDICINE,LEBANON,NH,037561000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,7.2181818182,5.6581818182,3.4818181818
1003032574,LOUKAS,ELIAS,,M.D.,M,I,1 MEDICAL CENTER DR,DHMC SECTION OF HOSPITAL MEDICINE,LEBANON,NH,037561000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,433.51666667,83.776666667,48.744166667,39.054166667
1003033119,BLANKENHORN,BRAD,D,M.D.,M,I,1 KETTLE POINT AVE,,EAST PROVIDENCE,RI,029145375,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,16,440,330.78625,241.40125,209.165
1003033135,CARDWELL,JARED,K,MD,M,I,3131 S MAIN ST,,MOULTRIE,GA,317686925,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,64.486666667,39.195833333,29.033333333
1003033135,CARDWELL,JARED,K,MD,M,I,3131 S MAIN ST,,MOULTRIE,GA,317686925,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,87,88,82.777386364,21.886136364,16.488522727,13.319659091
1003033135,CARDWELL,JARED,K,MD,M,I,3131 S MAIN ST,,MOULTRIE,GA,317686925,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,29.301515152,7.3454545455,5.6109090909,3.9218181818
1003033135,CARDWELL,JARED,K,MD,M,I,3131 S MAIN ST,,MOULTRIE,GA,317686925,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,107,108,351.46175926,93.030648148,70.098703704,54.708055556
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,54,127,65.182283465,8.32,5.8032283465,5.8032283465
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,30,15.583666667,1.42,0.9286666667,0.9286666667
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,120,13.746666667,5.74,4.125,4.125
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,120,11.761666667,4.91,3.52825,3.52825
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,600,0.675,0.27,0.2045333333,0.2045333333
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,33.24,10.34,8.1,7.89
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,300,0.6483333333,0.24,0.1723333333,0.1944666667
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,7.7631818182,1.5381818182,1.0890909091,1.0454545455
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,319.38,69.578333333,54.550833333,47.128333333
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,86.31,20.37625,15.97125,14.0325
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,42,12.130909091,9.5145454545,7.7890909091
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,77.385,60.67,59.80625
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,3000,0.17,0.0467566667,0.03664,0.03664
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,920,165.67909091,116.84363636,82.947272727
1003034281,BARNES,KATRINA,R,MD,F,I,330 E 8TH ST,SUITE 150,MARIETTA,OH,457503383,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,29,29,132,33,24.977931034,24.977931034
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,67,161,52.591863354,8.32,6.1969565217,6.1969565217
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.8,3.38,2.12,2.12
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,32,18.060625,1.42,1.0090625,1.0090625
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1170,0.39,0.13,0.0862136752,0.0862136752
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1170,4.35,1.73,1.2493846154,1.4783675214
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,309.50818182,68.990909091,54.090909091,42.86
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,97.3,21.6895,15.5115,12.2465
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,26,26,161.08461538,57.037692308,41.675,34.735384615
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,27.708421053,8.1052631579,6.3542105263,3.6747368421
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,75,502.28426667,101.5632,75.272266667,51.925066667
1003034851,GUST,AMY,L,M.D.,F,I,675 MIDDLE CREEK RD,,SEVIERVILLE,TN,378625014,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,250,45.002727273,33.790909091,28.5
1003036187,CHO,MIRIAM,,M.D,F,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Geriatric Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,40.46,40.46,31.722352941,26.295882353
1003036757,SMITH,CYNTHIA,J,NP,F,I,1232 UNIVERSITY OF OREGON,,EUGENE,OR,974031205,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,65.7,39.553333333,42.909166667
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,60,162,48.755555556,8.32,6.1130246914,6.1130246914
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,13.931666667,3.38,2.65,2.65
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,43,13.845348837,1.42,1.088372093,1.088372093
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,650,0.2949230769,0.27,0.1953230769,0.1953230769
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,182.80346154,43.993461538,31.869615385,23.296923077
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,84.321818182,25.868181818,20.276363636,14.06
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,80.777142857,21.554285714,16.177857143,8.4685714286
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,9.6307142857,3.0985714286,2.355952381,1.5195238095
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,511.9485,107.894,84.592,54.73
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,1560,15.58,9.6469615385,7.4319615385,7.4319615385
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1947,0.1655521315,0.0461479199,0.0326296867,0.0326296867
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,1560,12.86,2.9945,2.3477115385,2.3477115385
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1335,0.75,0.2190561798,0.1717228464,0.1717228464
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,217.53846154,46.396153846,36.376923077,29.776923077
1003037615,STONE,JESSICA,A,MD,F,I,7405 RENNER RD,,SHAWNEE,KS,662179414,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,36,107.25,33,25.151388889,25.151388889
1003037904,BURDICK,KRISTIN,O,MD,F,I,2300 SOUTHWOOD DR,FAMILY MEDICINE,NASHUA,NH,030631818,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,28,61,69.170327869,8.32,5.6663934426,5.6663934426
1003037904,BURDICK,KRISTIN,O,MD,F,I,2300 SOUTHWOOD DR,FAMILY MEDICINE,NASHUA,NH,030631818,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,16,14.41875,1.42,0.97375,0.97375
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,49,187,48.958823529,8.32,5.5461497326,5.5461497326
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,23,23,13.667826087,3.38,2.4195652174,2.4195652174
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,16.935384615,2.12,1.4130769231,1.4130769231
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,32,66,14.237272727,1.42,0.9627272727,0.9627272727
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,44,74.718863636,70.992727273,55.661363636,56.105
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,175.75384615,95.323846154,74.731538462,67.829230769
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,29,77.02137931,36.821724138,28.865862069,25.927241379
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,327.22,54.887272727,43.034545455,42.86
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,15,15,53.192,18.561333333,14.545333333,14.056666667
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,23,23,68.643913043,12.87173913,10.093478261,9.1169565217
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,37,182,10.256813187,2.1362637363,1.6758791209,1.5925274725
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,13.593636364,6.2463636364,4.9036363636,4.6581818182
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.53,9.955,5.9275,5.6791666667
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,71,72,69.919305556,18.154583333,13.080277778,12.486666667
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,37,37,108.20918919,33.708648649,26.428378378,25.985135135
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,122,123,397.82333333,76.745121951,54.040487805,49.115447154
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1320,1.6127272727,0.1260909091,0.0828560606,0.0828560606
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,19.715,15.4575,14.2875
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,15,486.26333333,164.13333333,128.68333333,126.798
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,114,45.808947368,43.238421053,33.898508772,34.150087719
1003038167,GOLDEN,KIMBERLY,K,M.D.,F,I,505 SYCAMORE STREET,,RISON,AR,71665,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,62.117647059,33,24.348235294,24.348235294
1003038423,GURNSEY,ZACHARIAH,,MD,M,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024909,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,632.43,86.66,67.945,65.1575
1003038423,GURNSEY,ZACHARIAH,,MD,M,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024909,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,81.75,13.46,10.55,10.485833333
1003038423,GURNSEY,ZACHARIAH,,MD,M,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024909,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,80.192307692,22.220769231,17.421538462,17.167692308
1003038605,SELFE,ROBERT,W,D.O.,M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032533,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,14,175,47.890514286,19.688742857,14.616285714,14.616285714
1003038605,SELFE,ROBERT,W,D.O.,M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032533,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,485,7.7824742268,2.6375257732,2.0677525773,2.0677525773
1003038605,SELFE,ROBERT,W,D.O.,M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032533,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,53,76,170,749,73.012910547,8.32,5.7782242991,5.7782242991
1003038605,SELFE,ROBERT,W,D.O.,M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032533,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,35,60,135,15.482518519,1.42,0.9977777778,0.9977777778
1003038605,SELFE,ROBERT,W,D.O.,M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032533,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,50,50,350.4236,251.0008,192.6684,192.7536
1003039892,WHITE,TRAVIS,W,MD,M,I,6913 W GRACE ST,,RICHMOND,VA,232263540,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,62.333333333,22.97,16.348888889,12.026666667
1003039892,WHITE,TRAVIS,W,MD,M,I,6913 W GRACE ST,,RICHMOND,VA,232263540,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,36,7.4678571429,5.4210714286,3.2721428571
1003039892,WHITE,TRAVIS,W,MD,M,I,6913 W GRACE ST,,RICHMOND,VA,232263540,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,382.21052632,104.8,76.632105263,49.461578947
1003040270,YUNG,KAR-WAI,,M.D.,F,I,1760 W 16TH ST,,SAN BERNARDINO,CA,924111160,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,506.42538462,79.22,57.332307692,50.52
1003040528,OAKES,CARMEN,K,ARNP-C,F,I,6565 S YALE AVE,SUITE 312,TULSA,OK,741368327,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,45,62.221333333,8.32,5.1393333333,5.1393333333
1003040544,VENKATRAMAN,PREETI,,M.B.B.S.,F,I,601 E 15TH ST,,AUSTIN,TX,787011930,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,358.57142857,79.922857143,62.658571429,60.694285714
1003040544,VENKATRAMAN,PREETI,,M.B.B.S.,F,I,601 E 15TH ST,,AUSTIN,TX,787011930,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,35,27.44,29.3375
1003040726,WITANOWSKI,STEPHEN,J,MD,M,I,2700 QUARRY LAKE DR,SUITE 280,BALTIMORE,MD,212093742,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,26,60,59.342333333,8.32,6.0865,6.0865
1003040726,WITANOWSKI,STEPHEN,J,MD,M,I,2700 QUARRY LAKE DR,SUITE 280,BALTIMORE,MD,212093742,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,13.172307692,1.42,0.9476923077,0.9476923077
1003040726,WITANOWSKI,STEPHEN,J,MD,M,I,2700 QUARRY LAKE DR,SUITE 280,BALTIMORE,MD,212093742,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,30.012307692,17.46,13.69,13.551538462
1003040726,WITANOWSKI,STEPHEN,J,MD,M,I,2700 QUARRY LAKE DR,SUITE 280,BALTIMORE,MD,212093742,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,165.38461538,82,63.974615385,55.150769231
1003040882,GOYAL,NEERAV,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,54.608333333,38.65,25.25,25.25
1003041427,FORTY,LAURIE,A,"RN, APN-C",F,I,319 W LANDIS AVE,,VINELAND,NJ,083608101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,40,107,64.304672897,8.32,5.5469158879,5.5469158879
1003041427,FORTY,LAURIE,A,"RN, APN-C",F,I,319 W LANDIS AVE,,VINELAND,NJ,083608101,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,20,32,13.9459375,1.42,1.01125,1.01125
1003041427,FORTY,LAURIE,A,"RN, APN-C",F,I,319 W LANDIS AVE,,VINELAND,NJ,083608101,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,2099,0.2100381134,0.0473177704,0.0343211053,0.0343211053
1003041427,FORTY,LAURIE,A,"RN, APN-C",F,I,319 W LANDIS AVE,,VINELAND,NJ,083608101,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,25.87,25.87
1003041468,MOONEY,DEIRDRE,M,"MD, MPH",F,I,122 W 7TH AVE STE 450,,SPOKANE,WA,992042339,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,2520,2.8669285714,0.5785793651,0.4535793651,0.4535793651
1003041468,MOONEY,DEIRDRE,M,"MD, MPH",F,I,122 W 7TH AVE STE 450,,SPOKANE,WA,992042339,US,Advanced Heart Failure and Transplant Cardiology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,1330,0.2057368421,0.0138120301,0.0107894737,0.0107894737
1003041468,MOONEY,DEIRDRE,M,"MD, MPH",F,I,122 W 7TH AVE STE 450,,SPOKANE,WA,992042339,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2670,1.5436516854,0.994741573,0.7798764045,0.7798764045
1003041468,MOONEY,DEIRDRE,M,"MD, MPH",F,I,122 W 7TH AVE STE 450,,SPOKANE,WA,992042339,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,24,24,18.82,18.82
1003041468,MOONEY,DEIRDRE,M,"MD, MPH",F,I,122 W 7TH AVE STE 450,,SPOKANE,WA,992042339,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,44,54,16,16,12.54,12.54
1003041740,HENICH,CASEY,J,MD,M,I,3725 W 4100 S,,WEST VALLEY CITY,UT,841205530,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,52,66.377884615,8.32,5.0165384615,5.0165384615
1003041740,HENICH,CASEY,J,MD,M,I,3725 W 4100 S,,WEST VALLEY CITY,UT,841205530,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,19,74.090526316,18,13.367368421,12.857368421
1003041740,HENICH,CASEY,J,MD,M,I,3725 W 4100 S,,WEST VALLEY CITY,UT,841205530,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,41,426.31292683,80.4,61.492682927,54.002439024
1003041740,HENICH,CASEY,J,MD,M,I,3725 W 4100 S,,WEST VALLEY CITY,UT,841205530,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,39.82,28.618333333,27.06
1003041765,STERLING,KATHLEEN,A,MD,F,I,6410 ROCKLEDGE DR STE 503,,BETHESDA,MD,208177822,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,51,8360,4.2558253589,1.9794258373,1.4817942584,1.5292811005
1003041765,STERLING,KATHLEEN,A,MD,F,I,6410 ROCKLEDGE DR STE 503,,BETHESDA,MD,208177822,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,780,9.65,7.23,5.4843974359,5.4843974359
1003042169,LONIER,JACQUELINE,Y,M.D.,F,I,1150 SAINT NICHOLAS AVE,,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,18,35,218,74.495825688,8.32,5.9793119266,5.9793119266
1003042169,LONIER,JACQUELINE,Y,M.D.,F,I,1150 SAINT NICHOLAS AVE,,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,34,14.919705882,1.42,0.9835294118,0.9835294118
1003042169,LONIER,JACQUELINE,Y,M.D.,F,I,1150 SAINT NICHOLAS AVE,,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,250.82263158,250.82263158,186.76578947,186.99105263
1003042342,TABASSOMI,MOSTAFA,,MD,M,I,23838 VALENCIA BLVD STE 304,,VALENCIA,CA,913555319,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,13,38,39,86.31,17.006410256,11.660769231,11.806666667
1003042342,TABASSOMI,MOSTAFA,,MD,M,I,23838 VALENCIA BLVD STE 304,,VALENCIA,CA,913555319,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,705.3075,821.11916667
1003042342,TABASSOMI,MOSTAFA,,MD,M,I,23838 VALENCIA BLVD STE 304,,VALENCIA,CA,913555319,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,55.29,5.6746666667,4.262,4.136
1003042342,TABASSOMI,MOSTAFA,,MD,M,I,23838 VALENCIA BLVD STE 304,,VALENCIA,CA,913555319,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,21,80,82,551.8352439,80.916341463,59.849878049,52.818170732
1003042342,TABASSOMI,MOSTAFA,,MD,M,I,23838 VALENCIA BLVD STE 304,,VALENCIA,CA,913555319,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,246.92307692,38.503076923,30.188461538,29.396153846
1003042342,TABASSOMI,MOSTAFA,,MD,M,I,23838 VALENCIA BLVD STE 304,,VALENCIA,CA,913555319,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1140,2.1022719298,0.1323157895,0.1037631579,0.1037631579
1003042342,TABASSOMI,MOSTAFA,,MD,M,I,23838 VALENCIA BLVD STE 304,,VALENCIA,CA,913555319,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,82.5,33,25.87,25.87
1003042516,ASLAM,NAGINA,,D.O.,F,I,13801 15 MILE RD,,STERLING HEIGHTS,MI,483124206,US,Physician/Osteopathic Manipulative Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,41,130,48.953846154,8.32,6.0748461538,6.0748461538
1003042516,ASLAM,NAGINA,,D.O.,F,I,13801 15 MILE RD,,STERLING HEIGHTS,MI,483124206,US,Physician/Osteopathic Manipulative Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,24,7.99125,1.42,1.0225,1.0225
1003042516,ASLAM,NAGINA,,D.O.,F,I,13801 15 MILE RD,,STERLING HEIGHTS,MI,483124206,US,Physician/Osteopathic Manipulative Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,70,5.6125,4.4,4.4
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,33,64,64,93.0625,36.98359375,27.33515625,28.7953125
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,22,24,50,5.8202,1.7024,1.3354,1.2368
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,19,20,26,3.4261538462,1.1807692308,0.9238461538,1.0046153846
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,26,51,51,248.00823529,83.759215686,63.030980392,65.024313725
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,22,50,127,87.822204724,31.5,23.977952756,25.163858268
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,19,32,187,55.158609626,17.5,13.45828877,14.263315508
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,71,39.747042254,14.988169014,11.75056338,11.892112676
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,25,45,45,171.05977778,54.977333333,41.522888889,41.291555556
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,48,61,61,59.611967213,17.275901639,12.90442623,13.389016393
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,21,36,36,65.322222222,11.446666667,8.4838888889,8.6308333333
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,51,101,569,6.7249560633,2.024340949,1.5157293497,1.5198066784
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,29,31,31,40.291290323,12.56516129,9.5306451613,9.9909677419
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,17,106,106,92.323679245,17.581792453,12.638962264,12.373490566
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,18,18,210.29166667,55.735,36.448888889,30.758333333
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,3124.1964706,1074.31,839.41764706,839.41764706
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,34,35,352.09085714,81.747714286,64.084571429,64.764571429
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,13,13,394.33230769,136.38538462,98.796923077,96.374615385
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,13.26,12.908181818,10.118181818,10.48
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,32,175,182,38.214230769,4.1335714286,3.0785164835,3.4931868132
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,31,192,193,129.11569948,32.182435233,23.46984456,23.252953368
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,52,365,365,403.86805479,75.884246575,55.454164384,51.281123288
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,33,238,238,133.52714286,35.561218487,26.808865546,28.249243697
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,6,21,21,21,92.857142857,57,44.69,44.69
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,780,18.93975641,9.5250769231,7.2837307692,7.2837307692
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,44,2610,14.10356705,11.144632184,8.7374291188,8.7374291188
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,21,50,11961,0.2050288437,0.0463807374,0.0349719923,0.0349711563
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,17,42,2760,1.0149057971,0.1304021739,0.1005072464,0.1005072464
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,49,2880,6.3237673611,2.9617395833,2.2920833333,2.2920833333
1003042573,LUCAS SLIMANE,KIMBERLY,A,N.P.,F,I,21 SPURS LN STE 230B,,SAN ANTONIO,TX,782401671,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,22,83,83,72.376506024,33,25.246626506,25.246626506
1003042805,MOORE,SHIREEN,Q,MD,F,I,363 N BELAIR RD,,EVANS,GA,308093096,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,32,65,68.754769231,8.32,5.7529230769,5.7529230769
1003042805,MOORE,SHIREEN,Q,MD,F,I,363 N BELAIR RD,,EVANS,GA,308093096,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,180.55909091,51.623636364,36.791818182,39.236363636
1003042805,MOORE,SHIREEN,Q,MD,F,I,363 N BELAIR RD,,EVANS,GA,308093096,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,51.726428571,16.579285714,12.078571429,13.076428571
1003042805,MOORE,SHIREEN,Q,MD,F,I,363 N BELAIR RD,,EVANS,GA,308093096,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,60.345,10,7.1866666667,8.3875
1003042805,MOORE,SHIREEN,Q,MD,F,I,363 N BELAIR RD,,EVANS,GA,308093096,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,44,7.1027272727,1.7631818182,1.3825,1.5929545455
1003042805,MOORE,SHIREEN,Q,MD,F,I,363 N BELAIR RD,,EVANS,GA,308093096,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,250.96,38.187142857,28.113333333,29.216190476
1003043209,AFFEL,MARJORIE,,MD,F,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,60,54.924833333,8.32,5.6516666667,5.6516666667
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,45,98.2,71.56,56.105777778,56.104222222
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,96,149,43.56,32.656666667,32.654479167
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,55.76,29.872105263,22.409473684,13.557894737
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,11.266666667,8.8341666667,6.67
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,679,459.53,340.175,370.636875
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,539,377.67,278.85,291.818
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,17,106,78.81,54.922941176,61.534117647
1003043423,STOUGH,JAMES,D,DPM,M,I,314 E OWEN K GARRIOTT RD,,ENID,OK,737015712,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,48,48,49,639.24489796,251.28,194.0722449,214.62183673
1003043464,FERNANDEZ,FERNANDO,,DPM,M,I,9303 PINECROFT DRIVE,SUITE 100,THE WOODLANDS,TX,773803180,US,Podiatry,S,E1830,"Dynamic adjustable toe extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,17,23,395,106.42695652,83.44,98.155652174
1003043464,FERNANDEZ,FERNANDO,,DPM,M,I,9303 PINECROFT DRIVE,SUITE 100,THE WOODLANDS,TX,773803180,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,195,195,137.31,200.24117647
1003043506,LEWIS,MATTHEW,W,M.D.,M,I,6300 E LAKE BLVD,SUITE 201,VANCLEAVE,MS,395656770,US,Physician/Orthopedic Surgery,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,9.7116666667,6.0083333333,5.9583333333
1003043506,LEWIS,MATTHEW,W,M.D.,M,I,6300 E LAKE BLVD,SUITE 201,VANCLEAVE,MS,395656770,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,103,74.458695652,49.847391304,54.036521739
1003043506,LEWIS,MATTHEW,W,M.D.,M,I,6300 E LAKE BLVD,SUITE 201,VANCLEAVE,MS,395656770,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,165,127.21,99.73,87.48
1003043506,LEWIS,MATTHEW,W,M.D.,M,I,6300 E LAKE BLVD,SUITE 201,VANCLEAVE,MS,395656770,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,88,53.2,41.71,45.635384615
1003043506,LEWIS,MATTHEW,W,M.D.,M,I,6300 E LAKE BLVD,SUITE 201,VANCLEAVE,MS,395656770,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,296.72285714,266.81071429,202.60964286,210.65357143
1003043555,ORLOSKY,JULIE,,DO,F,I,95 LEONARD AVE,BLDG 2,WASHINGTON,PA,153013368,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,54,133.77555556,8.32,5.3127777778,5.3127777778
1003043555,ORLOSKY,JULIE,,DO,F,I,95 LEONARD AVE,BLDG 2,WASHINGTON,PA,153013368,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,519.51,77.5,54.697931034,49.499655172
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,31,74,66.272162162,8.32,6.2571621622,6.2571621622
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,23,31,17.989677419,1.42,1.0090322581,1.0090322581
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,510,4.3447058824,2.9482352941,2.3114509804,2.3206666667
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,56,5.7517857143,4.1,3.2141071429,3.2928571429
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,5.2272727273,5.1827272727,4.0633030303,4.0960606061
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,24,88,14.106818182,8.1,6.35,6.3942045455
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,29,123,7.3139837398,4.3041463415,3.3739837398,3.3782113821
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,4.2058333333,3.81,2.987,2.987
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,420,100,3,2.352,2.3676666667
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,31,896,98.655770089,5.1,3.998359375,4.1516852679
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,25,10658,1.6800562957,0.3699305686,0.2900300244,0.2900844436
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,8379,1.2738990333,0.3,0.2180737558,0.225914787
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4024,7.2911332008,1.32,1.0079075547,0.9216625249
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,28,28,160.81,52.113214286,40.863571429,39.013571429
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,137.17181818,49.830909091,39.066363636,38.434545455
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,514.10181818,133.71363636,104.83545455,125.21454545
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,7,4.0133333333,3.0114285714,3.6804761905
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,51.906,43.2868,31.512,31.512
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,109.565,49.9775,39.185,41.8025
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,48,48,470.06833333,77.18,57.520833333,52.213541667
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,4080,0.2891642157,0.0462671569,0.0340269608,0.0340269608
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,800,5.5003125,0.0740625,0.05475,0.05475
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2640,1.031155303,0.132125,0.1036060606,0.1036060606
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,831,3.9406738869,0.2193020457,0.1643802647,0.1643802647
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,26,26,68.903076923,24.470384615,18.521923077,14.105384615
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,285.6,37,29.01,29.483684211
1003043712,GOROKHOV,IGOR,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 410,BEVERLY HILLS,CA,902104714,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,57,57,50.614035088,33,24.962280702,24.962280702
1003043902,FARAG,ALEXANDER,A,MD,M,I,915 OLENTANGY RIVER RD,4TH FLOOR,COLUMBUS,OH,432123153,US,Physician/Otolaryngology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,690,10.851826087,2.9959130435,2.3488115942,2.3488115942
1003044033,BENSON,CHARLES,D,MD,M,I,90 VERMONT AVE,SUITE 300,OAK RIDGE,TN,378306474,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,174.25818182,55.367272727,43.409090909,36.907272727
1003044033,BENSON,CHARLES,D,MD,M,I,90 VERMONT AVE,SUITE 300,OAK RIDGE,TN,378306474,US,Physician/Orthopedic Surgery,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,127.85714286,50.89,34.2,28.662857143
1003044033,BENSON,CHARLES,D,MD,M,I,90 VERMONT AVE,SUITE 300,OAK RIDGE,TN,378306474,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,113.77181818,89.192727273,104.93181818
1003044033,BENSON,CHARLES,D,MD,M,I,90 VERMONT AVE,SUITE 300,OAK RIDGE,TN,378306474,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,35,37,143,118.14,88.082972973,74.51972973
1003044033,BENSON,CHARLES,D,MD,M,I,90 VERMONT AVE,SUITE 300,OAK RIDGE,TN,378306474,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,33,34,66,53.2,39.716470588,43.588823529
1003044033,BENSON,CHARLES,D,MD,M,I,90 VERMONT AVE,SUITE 300,OAK RIDGE,TN,378306474,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,16,324,266.98,193.2675,200.4525
1003044199,HESS,BENJAMIN,R,MD,M,I,2225 US HIGHWAY 41 N,,TIFTON,GA,317942749,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,58,64.537758621,8.32,6.2924137931,6.2924137931
1003044199,HESS,BENJAMIN,R,MD,M,I,2225 US HIGHWAY 41 N,,TIFTON,GA,317942749,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,63.19,49.539090909,38.431818182
1003044199,HESS,BENJAMIN,R,MD,M,I,2225 US HIGHWAY 41 N,,TIFTON,GA,317942749,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,28,306.34107143,92.39,68.165,50.820714286
1003044199,HESS,BENJAMIN,R,MD,M,I,2225 US HIGHWAY 41 N,,TIFTON,GA,317942749,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2520,0.4560674603,0.046218254,0.0344206349,0.0344206349
1003044199,HESS,BENJAMIN,R,MD,M,I,2225 US HIGHWAY 41 N,,TIFTON,GA,317942749,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,149.70454545,117.36727273,118.92272727
1003044199,HESS,BENJAMIN,R,MD,M,I,2225 US HIGHWAY 41 N,,TIFTON,GA,317942749,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,24.022142857,24.022142857
1003044256,FAVREAU,STEPHANIE,P,M.D.,F,I,400 BALD HILL RD,SUITE 520,WARWICK,RI,028861617,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,29,74,63.707702703,8.32,6.2577027027,6.2577027027
1003044256,FAVREAU,STEPHANIE,P,M.D.,F,I,400 BALD HILL RD,SUITE 520,WARWICK,RI,028861617,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,14,20,14.883,1.42,1.06,1.06
1003044272,BENDER,ELISE,R,MD,F,I,111 GROSSMAN DR,,BRAINTREE,MA,021844997,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,70,58.757142857,8.32,5.5905714286,5.5905714286
1003044678,AUSTIN,AMANDA,E,M.D.,F,I,121 N 20TH ST STE 6,,OPELIKA,AL,368015454,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,29,170,50.544137931,36.572758621,34.353793103
1003044678,AUSTIN,AMANDA,E,M.D.,F,I,121 N 20TH ST STE 6,,OPELIKA,AL,368015454,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,19.452142857,14.185,12.563571429
1003044678,AUSTIN,AMANDA,E,M.D.,F,I,121 N 20TH ST STE 6,,OPELIKA,AL,368015454,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,703.96416667,830.30416667
1003044678,AUSTIN,AMANDA,E,M.D.,F,I,121 N 20TH ST STE 6,,OPELIKA,AL,368015454,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,35,6.2260869565,4.7226086957,3.64
1003044678,AUSTIN,AMANDA,E,M.D.,F,I,121 N 20TH ST STE 6,,OPELIKA,AL,368015454,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,22,110,50.632727273,36.588636364,32.042272727
1003044678,AUSTIN,AMANDA,E,M.D.,F,I,121 N 20TH ST STE 6,,OPELIKA,AL,368015454,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,452.41545455,92.683636364,68.689545455,50.984090909
1003044678,AUSTIN,AMANDA,E,M.D.,F,I,121 N 20TH ST STE 6,,OPELIKA,AL,368015454,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,65,24.464375,17.37875,12.5525
1003044694,WILSON,LINDSAY,R,DO,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,54,45.494444444,8.32,6.1596296296,6.1596296296
1003044694,WILSON,LINDSAY,R,DO,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,54,54,58.487777778,20.091666667,15.245555556,13.038888889
1003044694,WILSON,LINDSAY,R,DO,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,94.428571429,62.368571429,45.948571429,35.895714286
1003044694,WILSON,LINDSAY,R,DO,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,21.612857143,14.868571429,7.1535714286,6.4578571429
1003044694,WILSON,LINDSAY,R,DO,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,13,60,60,300.94216667,87.808333333,63.313666667,49.599333333
1003044702,MITTAL,MAYANK,K,MD,M,I,610 N MICHIGAN ST STE 400,,SOUTH BEND,IN,46601,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3750,2716.2133333,2129.5116667,2129.5116667
1003045220,SOHAL,JASLEEN,,M.D.,F,I,1450 TREAT BLVD,SUITE 120B,WALNUT CREEK,CA,945972168,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,34,52.517647059,8.32,6.5211764706,6.5211764706
1003045220,SOHAL,JASLEEN,,M.D.,F,I,1450 TREAT BLVD,SUITE 120B,WALNUT CREEK,CA,945972168,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,55.04,3.8553846154,3.0238461538,3.7792307692
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,22.04,7.2263636364,5.6653939394,4.163
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,117.95,64.52,50.585,40.631666667
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,18,18,18,137.10444444,71.788888889,53.826666667,41.323888889
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,42,45,269.89777778,75.468888889,58.029777778,40.488222222
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,65,65,116.57184615,61.398461538,40.963846154,30.947846154
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,41.988,23.167,18.161,13.831
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,28.077272727,8.6536363636,6.7836363636,4.2490909091
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,281.12,107.894,84.592,56.755
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,54,55,80.153636364,29.393454545,21.559636364,13.915090909
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,134.32,63.756956522,45.406521739,33.617391304
1003045410,HOLLOWAY,PATSY,L,FNP BC,F,I,605 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,66,66,24.37,12.237727273,8.8546969697,6.5457575758
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,17,32,32,298.488125,85.9509375,59.8503125,61.6565625
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,16,32,83,130.36313253,32.102650602,19.965180723,20.744819277
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,14,24,138,67.667753623,18.226086957,11.947536232,12.219492754
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,16,32,184,53.465597826,14.9475,10.072336957,10.271413043
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,30,57,57,211.27596491,56.751578947,39.21754386,37.753508772
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,39,45,45,63.313111111,18.226222222,12.952666667,12.931333333
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,40,75,75,59.5328,11.171733333,7.9905333333,8.514
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,45,87,509,8.6764440079,2.0975638507,1.4660510806,1.4237524558
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,29,32,32,21.5428125,6,4.553125,4.5046875
1003045501,HARRELSON,TAMMY,A,APRN-CNP,F,I,14000 N PORTLAND AVE,SUITE 201,OKLAHOMA CITY,OK,731344003,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,26,31,31,61.27516129,13.10483871,9.9458064516,10.014193548
1003045600,KANG,MINA,R,MD,F,I,2121 SANTA MONICA BLVD,,SANTA MONICA,CA,904042303,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,55.29,4.274,3.348,4.052
1003045709,PHAM,VICTOR,N,M.D.,M,I,9205 SW BARNES RD,,PORTLAND,OR,972256603,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,60,18,14.11,13.573529412
1003045709,PHAM,VICTOR,N,M.D.,M,I,9205 SW BARNES RD,,PORTLAND,OR,972256603,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,341.69470588,77.18,60.51,55.060588235
1003045857,PERFETTO,KEARSTON,K,ARNP,F,I,1845 VETERANS PARK DR,SUITE 210,NAPLES,FL,341090493,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.7027272727,3.6881818182,3.6854545455
1003046228,SMITH,ALISSA,D,NP,F,I,3132 OLD JACKSONVILLE RD,SUITE 200,SPRINGFIELD,IL,627047400,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,60,13.3,9.9085,9.959
1003046228,SMITH,ALISSA,D,NP,F,I,3132 OLD JACKSONVILLE RD,SUITE 200,SPRINGFIELD,IL,627047400,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,202,33.51173913,24.871304348,24.047391304
1003046285,PERVEEN,SHABANA,,M.D.,F,I,755 NEW YORK AVE,SUITE 108,HUNTINGTON,NY,117434240,US,Physician/General Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,46.43,36.402727273,38.434545455
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,55,159,332,92.170542169,8.32,5.4241566265,5.4241566265
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,21,44,49,22.34122449,1.42,1.0273469388,1.0273469388
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,24,80.56375,71.56,56.105833333,56.104166667
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,175.586,71.665333333,56.035333333,46.123333333
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,63.180909091,23.478181818,18.402727273,14.87
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,58.452,18.546,14.538,10.662666667
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,97,7.8227835052,2.7626804124,2.1660824742,1.6909278351
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,75,81,86.31,21.747777778,15.759876543,12.435679012
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,28,232.35,57.932857143,38.043571429,31.724285714
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,21,279.73,49.59,36.414761905,24.657619048
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,108,117,519.51,103.72905983,79.282649573,53.897350427
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,45,7736,0.190094364,0.0462228542,0.0321858842,0.0321858842
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1110,1.081963964,0.1404054054,0.1100900901,0.1100900901
1003046426,RODAKOWSKI,JOHN,L,M.D.,M,I,322 S. BIRCH STREET,,MCCLEARLY,WA,985579522,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,59,59,126.96610169,33,23.999152542,23.999152542
1003046624,TAN,THEODORE CONRAD,A,M.D.,M,I,810 NEW BURTON RD,SUITE 3,DOVER,DE,199045488,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,47,96,350,72.220428571,8.32,5.818,5.818
1003046624,TAN,THEODORE CONRAD,A,M.D.,M,I,810 NEW BURTON RD,SUITE 3,DOVER,DE,199045488,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,15.173333333,3.38,2.65,2.65
1003046624,TAN,THEODORE CONRAD,A,M.D.,M,I,810 NEW BURTON RD,SUITE 3,DOVER,DE,199045488,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,28,57,111,15.354684685,1.42,1.0236036036,1.0236036036
1003046624,TAN,THEODORE CONRAD,A,M.D.,M,I,810 NEW BURTON RD,SUITE 3,DOVER,DE,199045488,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,16.59,13,13.294444444
1003046624,TAN,THEODORE CONRAD,A,M.D.,M,I,810 NEW BURTON RD,SUITE 3,DOVER,DE,199045488,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,32,519.51,67.72,53.1,54.3225
1003046624,TAN,THEODORE CONRAD,A,M.D.,M,I,810 NEW BURTON RD,SUITE 3,DOVER,DE,199045488,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,345.31818182,31.025454545,24.326363636,26.161818182
1003046756,KUEKER,RICHARD,J,O.D.,M,I,222 W 6TH ST,,CONCORDIA,KS,669012817,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,60,60,47.04,52.81
1003046756,KUEKER,RICHARD,J,O.D.,M,I,222 W 6TH ST,,CONCORDIA,KS,669012817,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,21,75,50.69,39.74,43.191904762
1003046897,HARFOUCHE,KARIM,R,MD,M,I,3907 S JOG RD,,GREENACRES,FL,334671590,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,65,63.713076923,8.32,6.522,6.522
1003046897,HARFOUCHE,KARIM,R,MD,M,I,3907 S JOG RD,,GREENACRES,FL,334671590,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,100.90545455,79.111818182,54.73
1003046897,HARFOUCHE,KARIM,R,MD,M,I,3907 S JOG RD,,GREENACRES,FL,334671590,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,60.219090909,24.047272727,18.855454545,14.546363636
1003046913,HEMBY,B,D,APNC,F,I,500 E 6TH ST,,OCEAN CITY,NJ,082263826,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,46,120,71.16425,8.32,5.6524166667,5.6524166667
1003046939,HECKERT,KATHI,K,CNP,F,I,116 E 11TH ST,STE 101,SPENCER,IA,513014300,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,59.196428571,18.419285714,14.440714286,10.240714286
1003046939,HECKERT,KATHI,K,CNP,F,I,116 E 11TH ST,STE 101,SPENCER,IA,513014300,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,8.2353333333,5.892,3.5633333333
1003046939,HECKERT,KATHI,K,CNP,F,I,116 E 11TH ST,STE 101,SPENCER,IA,513014300,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,140,51.44,40.326363636,25.501818182
1003046939,HECKERT,KATHI,K,CNP,F,I,116 E 11TH ST,STE 101,SPENCER,IA,513014300,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,33,33,24.022142857,24.022142857
1003047325,LOOKA,LANE,D,FNP,M,I,1600 PR CTR PKWY,,BRIGHTON,CO,806014006,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,52,13.92,3.385,2.6544230769,1.8540384615
1003047325,LOOKA,LANE,D,FNP,M,I,1600 PR CTR PKWY,,BRIGHTON,CO,806014006,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,32,15.9746875,8.66125,6.78875,4.435
1003047325,LOOKA,LANE,D,FNP,M,I,1600 PR CTR PKWY,,BRIGHTON,CO,806014006,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,25,31,257.82,54.222580645,41.678064516,33.205483871
1003047325,LOOKA,LANE,D,FNP,M,I,1600 PR CTR PKWY,,BRIGHTON,CO,806014006,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,30,519.51,107.894,82.599666667,66.405666667
1003047457,CANEPA ESCARO,FABRIZIO,,MD,M,I,UK DIVISION OF HOSPITAL MEDICINE 800 ROSE,,LEXINGTON,KY,405360001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,42.1925,17.29,12.420833333,12.4025
1003047457,CANEPA ESCARO,FABRIZIO,,MD,M,I,UK DIVISION OF HOSPITAL MEDICINE 800 ROSE,,LEXINGTON,KY,405360001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,117.951875,70.23,51.896875,51.57875
1003047564,MURUKESAN,VIDHYA,,"M.B.,B.S",F,I,601 N 30TH ST,CREIGHTON UNIVERSITY - GME,OMAHA,NE,681312137,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,69,69,74.782608696,18.178405797,13.783333333,13.081304348
1003047564,MURUKESAN,VIDHYA,,"M.B.,B.S",F,I,601 N 30TH ST,CREIGHTON UNIVERSITY - GME,OMAHA,NE,681312137,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,65,65,400,82.236,60.743384615,52.392153846
1003047788,ROWE,MELISSA,,,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,36,76,69.752236842,8.32,5.1482894737,5.1482894737
1003047788,ROWE,MELISSA,,,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,21.45,7.9045454545,6.1781818182,3.6690909091
1003047788,ROWE,MELISSA,,,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,519.51,78.890909091,47.256363636,40.850909091
1003047788,ROWE,MELISSA,,,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,146.25,16.283529412,5.6711764706,6.9282352941
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,50,163,68.501472393,8.32,4.3613496933,4.3613496933
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,89.058461538,42.018461538,31.403076923,28.984615385
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,36,42.5,18.786666667,14.726111111,14.555833333
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,209.238,62.696666667,46.216666667,40.002666667
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,59.432307692,19.224615385,12.871538462,11.896923077
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,24,71,8.0112676056,2.0850704225,1.3816901408,1.3474647887
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,37.63
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,33.863809524,4.6180952381,3.0733333333,3.1695238095
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,148.32115385,39.607307692,29.853461538,24.874230769
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,463.92258065,82.549032258,59.222580645,50.750967742
1003047960,CHIN,KEVIN,M,D.O.,M,I,323 W ALDER ST,,MISSOULA,MT,598024123,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,229.54545455,39.705,26.827272727,25.555909091
1003048117,AGHA,HAIDR,,M.D.,M,I,1157 FIRST COLONIAL RD,STE 200,VIRGINIA BEACH,VA,23454,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,3180,1.4876540881,0.5617798742,0.3952767296,0.4192012579
1003048117,AGHA,HAIDR,,M.D.,M,I,1157 FIRST COLONIAL RD,STE 200,VIRGINIA BEACH,VA,23454,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,975,0.2265333333,0.0128,0.0099897436,0.0099897436
1003048117,AGHA,HAIDR,,M.D.,M,I,1157 FIRST COLONIAL RD,STE 200,VIRGINIA BEACH,VA,23454,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,24,24,18.171034483,18.171034483
1003048117,AGHA,HAIDR,,M.D.,M,I,1157 FIRST COLONIAL RD,STE 200,VIRGINIA BEACH,VA,23454,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,25,16,16,12.54,12.54
1003048620,HECK,TINA,L,PA-C,F,I,77 CASA ST STE 201,,SAN LUIS OBISPO,CA,934055806,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,24,85.450416667,8.32,4.61875,4.61875
1003048687,KOLLU,VIDYA,S,MD,M,I,G3230 BEECHER RD,SUITE 2,FLINT,MI,485323604,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,842.26,842.26
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,22,22,109.08272727,39.002727273,30.581818182,30.498181818
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,16,21,21,270.9952381,90.893809524,66.402857143,62.99
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,11,15,43,114.5327907,33.96,26.626046512,25.934883721
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,23,23,57.60173913,17.991304348,14.103043478,14.064347826
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,23,30,172,6.7937209302,2.06,1.5586627907,1.5391860465
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,21,23,23,22.869565217,5.9969565217,4.697826087,4.652173913
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,22,156,166,43.597289157,16.092289157,11.87939759,12.726084337
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,2963.75,1074.31,838.67325,838.67325
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,356.09846154,92.253846154,72.323076923,73.869615385
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,48,48,35.545208333,3.9010416667,2.82125,3.3641666667
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,11,57,57,124.25859649,33.646666667,26.383157895,26.512280702
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,31,229,236,262.92177966,77.019661017,57.519957627,52.436144068
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,250,37,27.691363636,28.174545455
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,720,14.69575,9.6945833333,7.6005555556,7.6005555556
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,2910,0.1891649485,0.0446632302,0.0350137457,0.0350137457
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,1770,8.267960452,2.8601694915,2.1613333333,2.1613333333
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,37,29.01,29.51
1003049610,DRAMES,THOMAS,R,D.O.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,27,27,36.666666667,33,25.87,25.87
1003049818,DOVHYY,VOLODYMYR,Y,MD,M,I,"520 SW RAMSEY, SUITE 101",,GRANTS PASS,OR,975275535,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,24,232.35,46.58,33.4675,34.563333333
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,40,63,55.134444444,8.32,3.9333333333,3.9333333333
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,19,10.820526316,1.42,0.6473684211,0.6473684211
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,86.31,20.22875,14.646666667,12.4025
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,36.067317073,7.8346341463,5.9636585366,3.5429268293
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,64,64,462.97828125,103.4578125,78.14453125,52.796875
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,230.64516129,45.202258065,34.380967742,28.795483871
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6065833333,7.3322916667,7.3322916667
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1410,1.0697730496,0.134212766,0.1013475177,0.1013475177
1003049925,BEST,DAWN,D,FNP,F,I,486 W 1ST AVE,,GLENNS FERRY,ID,836230266,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,37,37,105.24324324,33,23.436216216,23.436216216
1003050022,OYEYEMI,JUBRIL,O,M.D.,M,I,175 MADISON AVE,,MOUNT HOLLY,NJ,080602038,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.04,12.57,13.53
1003050022,OYEYEMI,JUBRIL,O,M.D.,M,I,175 MADISON AVE,,MOUNT HOLLY,NJ,080602038,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,72,56.45,54.73
1003050204,KHADAVI,MICHAEL,J,MD,M,I,10777 NALL AVENUE,SUITE 300,OVERLAND PARK,KS,66211,US,Physician/Physical Medicine and Rehabilitation,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,30,168,122.28,95.87,88.845
1003050535,STOLZENBERG,DAVID,S,D.O.,M,I,3300 TILLMAN DR,2ND FLOOR,BENSALEM,PA,190202071,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,95,85.615172414,67.122758621,69.455517241
1003050535,STOLZENBERG,DAVID,S,D.O.,M,I,3300 TILLMAN DR,2ND FLOOR,BENSALEM,PA,190202071,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,105,45.775625,29.135625,29.135625
1003050535,STOLZENBERG,DAVID,S,D.O.,M,I,3300 TILLMAN DR,2ND FLOOR,BENSALEM,PA,190202071,US,Physician/Physical Medicine and Rehabilitation,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,1467.4853333,1017.66,797.85,874.68
1003050667,SPROWL,LISA,M,M.D.,F,I,4400 DUCKHORN DRIVE,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,32,87,69.821264368,8.32,5.7279310345,5.7279310345
1003050667,SPROWL,LISA,M,M.D.,F,I,4400 DUCKHORN DRIVE,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,28,14.011428571,1.42,0.9142857143,0.9142857143
1003050667,SPROWL,LISA,M,M.D.,F,I,4400 DUCKHORN DRIVE,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,157.7,16.98,13.079166667,13.3
1003050667,SPROWL,LISA,M,M.D.,F,I,4400 DUCKHORN DRIVE,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,760.48,71.74,52.931764706,51.510588235
1003050899,HINDERLAND,MATTHEW,D,D.P.M.,M,I,6475 WALL ST,SUITE 100,COLORADO SPRINGS,CO,809188337,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,409.57142857,271.94607143,211.92035714,217.60392857
1003050899,HINDERLAND,MATTHEW,D,D.P.M.,M,I,6475 WALL ST,SUITE 100,COLORADO SPRINGS,CO,809188337,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,400,271.16,212.59,218.365
1003051251,OLLER,HELEN,S,M.D.,F,I,506 LENOX AVE RM 3123,,NEW YORK,NY,100371802,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,11.17,4.86,3.81,3.9173913043
1003051251,OLLER,HELEN,S,M.D.,F,I,506 LENOX AVE RM 3123,,NEW YORK,NY,100371802,US,Physician/Physical Medicine and Rehabilitation,S,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,17.06,12.501904762,9.8042857143,9.909047619
1003051251,OLLER,HELEN,S,M.D.,F,I,506 LENOX AVE RM 3123,,NEW YORK,NY,100371802,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,59.3944,17.9368,14.0612,13.7944
1003051251,OLLER,HELEN,S,M.D.,F,I,506 LENOX AVE RM 3123,,NEW YORK,NY,100371802,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,23.68,8.0036363636,6.2731818182,6.4668181818
1003051699,BERINGER,LAURA,M,"M.D., MPH",F,I,2150 SE SALERNO RD,,STUART,FL,349976572,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,62,68.555,8.32,6.1008064516,6.1008064516
1003051699,BERINGER,LAURA,M,"M.D., MPH",F,I,2150 SE SALERNO RD,,STUART,FL,349976572,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,24,4.29625,2.0675,1.6204166667,1.5895833333
1003051699,BERINGER,LAURA,M,"M.D., MPH",F,I,2150 SE SALERNO RD,,STUART,FL,349976572,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,41.5,19.493636364,23.422727273
1003051699,BERINGER,LAURA,M,"M.D., MPH",F,I,2150 SE SALERNO RD,,STUART,FL,349976572,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,31.666666667,4.47,3.3803703704,3.3792592593
1003051699,BERINGER,LAURA,M,"M.D., MPH",F,I,2150 SE SALERNO RD,,STUART,FL,349976572,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,30,99.291333333,40.492,31.745333333,27.315
1003051699,BERINGER,LAURA,M,"M.D., MPH",F,I,2150 SE SALERNO RD,,STUART,FL,349976572,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,70.23,55.06,54.72
1003051699,BERINGER,LAURA,M,"M.D., MPH",F,I,2150 SE SALERNO RD,,STUART,FL,349976572,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,37.44,29.35,29.51
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,22,29,29,76.988965517,46.135862069,34.737241379,29.115517241
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,15,28,71,5.7618309859,1.5743661972,1.1983098592,1.1046478873
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,19,19,19,51.773157895,14.525263158,11.387894737,9.2047368421
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,53,85,86,221.51313953,109.45627907,77.966395349,61.063837209
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,47,87,179,87.50396648,42.051117318,31.032178771,24.083575419
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,17,25,113,71.127345133,22.730353982,17.308672566,14.040176991
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,17,33,130,36.872615385,18.578230769,14.561,11.918230769
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,40,58,58,148.54844828,66.315689655,48.287758621,39.702931034
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,82,106,106,46.787641509,22.43754717,16.569245283,13.269245283
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,67,103,103,49.052718447,16.685533981,12.785436893,9.1066990291
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,87,154,692,6.3993063584,2.6303323699,1.9524277457,1.5013728324
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,43,48,48,11.101041667,7.8610416667,5.7239583333,4.668125
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,23,30,30,33.492,14.702,10.771666667,10.021666667
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,23,140,151,87.114966887,19.800927152,14.74205298,12.840331126
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,112.685,21.985,17.235,16.738571429
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,64.34,50.439090909,41.803636364
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,11,14,96.385,52.611428571,41.245,37.43
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,62,62,3827.5741935,926.15596774,716.84548387,830.95903226
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,12,62,62,362.62193548,108.00903226,81.198225806,66.36483871
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,339.58846154,144.11230769,106.00923077,97.62
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,13,50,51,71.499803922,16.414313725,12.642352941,10.423921569
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,11,79,523,526,27.100665399,6.6638593156,4.5572243346,3.0335361217
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,44,267,269,113.45973978,45.934460967,33.098736059,22.97598513
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,107,757,769,287.84284785,94.691092328,68.835526658,50.681638492
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,29,33,166.96969697,39.896363636,30.282121212,28.383333333
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1380,19.555905797,9.5664782609,7.4644492754,7.4644492754
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,51,3420,19.405672515,11.367385965,8.8335906433,8.8335847953
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,32,87,26594,0.3202368955,0.0466296909,0.0339001278,0.0338993758
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,22,4341,3.8696106888,0.0687307072,0.0517092836,0.05170698
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,24,77,194,28061,1.7203556538,0.1327597021,0.0936655857,0.0936655857
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,19,99,6411,10.91008735,3.0773514272,2.3884729371,2.3884729371
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,1144,1.1935926573,0.2193006993,0.1531555944,0.1531555944
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,29,213,214,70.087476636,43.921682243,31.770747664,27.293785047
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,27,106,309,309,48.961165049,32.941747573,23.495987055,23.495987055
1003051715,ABI FADEL,FRANCOIS,,M.D.,M,I,STRONGSVILLE FAMILY HEALTH AND SURGERY CENTER,16761 SOUTH PARK CENTER,STRONGSVILLE,OH,44136,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,20,29,29,67.931034483,66,51.74,51.74
1003051780,JIN,WENWU,,"M.D., PH.D.",M,I,929 CLAY ST,SUITE 505,SAN FRANCISCO,CA,941081556,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,460,9.7013913043,7,5.488,5.488
1003051871,POPALZAI,MUHAMMAD,J,,M,I,1400 PIN OAK DRIVE,,CARTERVILLE,IL,62918,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,32,3170,53.174971609,5.0885772871,3.9701577287,3.9701577287
1003051871,POPALZAI,MUHAMMAD,J,,M,I,1400 PIN OAK DRIVE,,CARTERVILLE,IL,62918,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,18.82,18.82
1003051871,POPALZAI,MUHAMMAD,J,,M,I,1400 PIN OAK DRIVE,,CARTERVILLE,IL,62918,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,16,16,12.54,12.54
1003052150,RODNEY,SIMI,S,M.D,F,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,79.997142857,17.000714286,12.375714286,12.584285714
1003052150,RODNEY,SIMI,S,M.D,F,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,215.04761905,72.848095238,51.66047619,49.517619048
1003052739,TRAN,NGOC-TRAM,G,D.O,F,I,2888 LONG BEACH BLVD STE 235,,LONG BEACH,CA,908061562,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,32,49.0803125,8.32,5.7059375,5.7059375
1003053299,JONES,AKHNUWKH,,M.D.,M,I,100 E LANCASTER AVE,,WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,77.45,45,35.28,37.483125
1003053554,HUMER,DANIEL,R,PA-C,M,I,2535 S DOWNING ST,,DENVER,CO,802105847,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1124,3.8191725979,0.5793683274,0.3662989324,0.3662989324
1003053554,HUMER,DANIEL,R,PA-C,M,I,2535 S DOWNING ST,,DENVER,CO,802105847,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,24,24,17.475714286,17.475714286
1003053554,HUMER,DANIEL,R,PA-C,M,I,2535 S DOWNING ST,,DENVER,CO,802105847,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,29.69,29.69,21.728,21.728
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,5.54,5.54,3.5509090909,3.5509090909
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,2820,5.9872340426,2.04,1.5938014184,1.5938014184
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,31,64,13.33625,10.27,7.550625,8.02078125
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,39,73,8.3526027397,6.34,4.2947945205,5.1347945205
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.74,5.74,4.5,4.5
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.81,10.81,8.152875,8.152875
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,200,2.91,2.91,2.28125,2.28125
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,6.44,6.44,5.05,5.05
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.27,0.27,0.2116,0.2116
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,281,5.8166548043,5.21,3.7515302491,3.7671886121
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.97,3.97,2.8819090909,2.8819090909
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,700,0.315,0.27,0.2116,0.2116
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,32,32,32,137.4996875,50.0078125,39.2090625,36.6109375
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,36,7,1.9783333333,1.4627777778,1.4461111111
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,42,9.3392857143,2.870952381,2.2271428571,2.1807142857
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,27.672432432,10.777837838,8.4518918919,8.4464864865
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,317.76914286,82.647428571,63.087428571,53.166285714
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,72.8,17.79275,11.96275,11.789
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,97.846153846,27.41,21.49,22.96
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,235,66.423333333,48.946,52.539333333
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,25,8.9426315789,6.6757894737,6.48
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,102.36842105,41.234736842,32.325263158,29.513157895
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,12,17,72,20.378472222,15.252777778,11.958472222,11.958472222
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,560.06086957,196.97304348,150.65826087,147.09478261
1003053653,MATHEW,STANLEY,J,M.D.,M,I,1026 A AVE NE,SUITE 3026,CEDAR RAPIDS,IA,524025036,US,Physician/Physical Medicine and Rehabilitation,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,630,199.125,144.43916667,140.36416667
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,488,11.26045082,5.1,3.9255122951,4.0902459016
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,5030,0.5379483101,0.37,0.2686282306,0.2686282306
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,16,16,62.6175,61.8,48.45,48.328125
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,63.79137931,17,12.555517241,12.73137931
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,2975,913.16,705.67214286,822.98785714
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,5.446,5.32,4.17,3.96
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,429.51333333,77.588,58.140666667,53.576666667
1003053851,JENG,AARON,I,"MD, MPH",M,I,438 W LAS TUNAS DR,,SAN GABRIEL,CA,917761216,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,18,18,56.724444444,23.564444444,16.562222222,13.221111111
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,25,25,25,136.484,44.3536,34.772,35.5528
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,53,53,53,213.2,47.830566038,37.498301887,40.55
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,57.2,15.417368421,12.082105263,12.745263158
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,27,131,131,216.12656489,48.561374046,37.724198473,39.319083969
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,130,45.743846154,33.471153846,34.030384615
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,26,26,52,57.78,26.116153846,20.478269231,22.605
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,24.01,9.9663636364,7.8136363636,9.205
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,28,28,28,70.2,30.515357143,23.922142857,29.339642857
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,17,17,17,358.58,139.46058824,109.33823529,113.97882353
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,41,242,242,68.798057851,16.369173554,12.172396694,13.766694215
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,79,79,119.34,22.247468354,17.032025316,21.087848101
1003053976,DONLON,MARGARET,,MD,F,I,80 OAK HILL RD,,RED BANK,NJ,077015727,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,54,317,317,20.57,6.9550473186,5.2235962145,6.4949526814
1003054248,YAVUZ,SAHZENE,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,41,172,57.149593023,8.32,6.446744186,6.446744186
1003054248,YAVUZ,SAHZENE,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.972727273,3.38,2.65,2.65
1003054248,YAVUZ,SAHZENE,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,37,10.114594595,1.42,1.1127027027,1.1127027027
1003054289,SPAK-SCHREINER,SHARON,A,M.D.,F,I,1051 W RAND RD,,ARLINGTON HEIGHTS,IL,600042315,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,43,67.120232558,8.32,5.9146511628,5.9146511628
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,41,71,71,96.432676056,44.573661972,32.61915493,29.525352113
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,120,210,210,280.45304762,98.313666667,72.663571429,64.585333333
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,95,191,435,101.75928736,37.606804598,27.36045977,24.17262069
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,54,80,439,60.032209567,20.827585421,15.300341686,13.784646925
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,32,48,212,40.911132075,17.491603774,12.540188679,10.931745283
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,132,215,215,160.96948837,62.415348837,43.703069767,38.42344186
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,237,297,297,61.715892256,20.482996633,15.231649832,13.465050505
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,20,20,26.44,10.7675,8.442,8.129
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,197,313,313,55.857923323,14.0114377,10.148178914,8.5195846645
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,169,279,1545,8.5887702265,2.4985242718,1.8449514563,1.5297734628
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,163,206,206,20.475097087,6.7578640777,4.9786893204,4.3912621359
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,115,138,138,27.914202899,14.136666667,10.229130435,9.5381884058
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,86.31,21.827272727,17.111363636,14.350909091
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,15,91,91,310.75087912,98.550769231,71.26989011,62.751648352
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,68,68,650,241.55058824,182.70323529,156.67470588
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,55,55,55,400.22363636,152.72218182,114.99036364,104.87363636
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,93,523,523,141.13449331,37.915525813,26.411013384,22.540267686
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,519.51,70.74,54.756153846,54.756153846
1003054305,MAHER,LISA,L,ARNP,F,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,26,183,201,502.44432836,89.314129353,67.285920398,54.341243781
1003054859,RYE,KATHLEEN,,NURSE PRACTITIONER,F,I,234 CODY LN,,BASALT,CO,816219106,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,17.91,14.031666667,13.531666667
1003055005,SMITH,STEPHANIE,D,CFNP,F,I,1101 HWY 11 S,,ELLISVILLE,MS,394374443,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,40,30.12375,8.32,6.142,6.142
1003055005,SMITH,STEPHANIE,D,CFNP,F,I,1101 HWY 11 S,,ELLISVILLE,MS,394374443,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,21,14.771904762,1.42,1.0619047619,1.0619047619
1003055005,SMITH,STEPHANIE,D,CFNP,F,I,1101 HWY 11 S,,ELLISVILLE,MS,394374443,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,30.277777778,7.1316666667,3.5833333333,2.0644444444
1003055005,SMITH,STEPHANIE,D,CFNP,F,I,1101 HWY 11 S,,ELLISVILLE,MS,394374443,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,125,13.855,10.118333333,9.6691666667
1003055005,SMITH,STEPHANIE,D,CFNP,F,I,1101 HWY 11 S,,ELLISVILLE,MS,394374443,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,125,13.508333333,9.8983333333,9.4375
1003055021,SINGH,GAGANDEEP,,MD,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,36,82.114166667,17,13.33,13.534166667
1003055021,SINGH,GAGANDEEP,,MD,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,36,494.25583333,77.18,60.51,54.880833333
1003055252,DIMITRIJEVIC,OLIVER,,MD,M,I,27450 SCHOENHERR RD,SUITE 500,WARREN,MI,480886683,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,22.4775,17.620833333,13.53
1003055252,DIMITRIJEVIC,OLIVER,,MD,M,I,27450 SCHOENHERR RD,SUITE 500,WARREN,MI,480886683,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,117.36842105,60.900526316,47.748421053,36.123684211
1003055252,DIMITRIJEVIC,OLIVER,,MD,M,I,27450 SCHOENHERR RD,SUITE 500,WARREN,MI,480886683,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,247.16714286,93.404285714,73.231428571,54.731428571
1003055302,ALQWASMI,ABDEL HAI,I,M.D,M,I,3200 PLEASANT VALLEY RD,DIVISION OF NEOPLASTIC DISEASES,WEST BEND,WI,530959274,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,35,3186,31.844758318,4.9948681733,3.8971374765,3.8971343377
1003055302,ALQWASMI,ABDEL HAI,I,M.D,M,I,3200 PLEASANT VALLEY RD,DIVISION OF NEOPLASTIC DISEASES,WEST BEND,WI,530959274,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,24,24,18.82,18.82
1003055302,ALQWASMI,ABDEL HAI,I,M.D,M,I,3200 PLEASANT VALLEY RD,DIVISION OF NEOPLASTIC DISEASES,WEST BEND,WI,530959274,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,16,16,12.54,12.54
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,25,50,8.19,1.8138,1.3712,1.1042
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,11,15,15,82.53,17.132,12.768,8.4693333333
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,90,110.04,25.507333333,19.058333333,13.612333333
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,23,23,319.38,74.32173913,56.219130435,42.11
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,12,18,18,94.17,24.585,17.538888889,12.992222222
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,19,19,104.07,19.944736842,15.532631579,9.6257894737
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,12,28,146,13.92,2.757260274,2.1621232877,1.6358219178
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,52.98,15.205,11.916428571,10.34
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,95,22.212307692,13.97,10.407692308
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,27,27,230.41111111,58.59,44.304074074,36.628148148
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,9.0631818182,7.1054545455,4.1290909091
1003055484,GARCIA,NICOLA,A,M.D.,F,I,319 HOSPITAL DR STE 101,,MARTINSVILLE,VA,241121928,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,495,100.58923077,65.525384615,42.166923077
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,27,67,274,50.836131387,8.32,6.0639416058,6.0639416058
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,11.686666667,3.38,2.65,2.65
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,37,87,10.904482759,1.42,0.9857471264,0.9857471264
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,16,95,95,148.44726316,78.803263158,61.783368421,41.823894737
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,160,48.861538462,32.4,29.81
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,75.951785714,22.618214286,16.665357143,12.993571429
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,24,163,163,23.246625767,7.2092638037,5.1163190184,3.1817791411
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,E0911,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,60.83,37.560909091,29.449090909,26.701818182
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,38.928571429,13.852857143,10.862857143,8.6378571429
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,80,81,460.02308642,101.36222222,75.507160494,51.567160494
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,65.769230769,57,44.69,44.69
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1732,0.5617205543,0.0475750577,0.0309122402,0.0309122402
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,18,40,3327,1.8259903817,0.1378088368,0.1047550346,0.1047550346
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,54.125263158,32.655263158,25.601578947,17.344210526
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,100.14923077,39.088461538,28.022307692,18.993846154
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,34,533.70705882,223.31176471,175.07294118,129.19294118
1003055575,ROGERS,ANITA,E,PA-C,F,I,1032 COLLEGE ST,,OXFORD,NC,275652507,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,14,37,37,49.054054054,33,23.772432432,23.772432432
1003056300,FUJIKI,MASATO,,"M.D., PH.D.",M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,30,4950,3.5362262626,0.5685030303,0.4083575758,0.4083515152
1003056300,FUJIKI,MASATO,,"M.D., PH.D.",M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,26,24,24,16.648461538,16.648461538
1003056300,FUJIKI,MASATO,,"M.D., PH.D.",M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,22,16,16,12.265,12.265
1003056524,APAGA,ELMER,L,M.D.,M,I,501 PENN AVE,,TURTLE CREEK,PA,151452085,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,213.31142857,48.618571429,38.114285714,38.553571429
1003056524,APAGA,ELMER,L,M.D.,M,I,501 PENN AVE,,TURTLE CREEK,PA,151452085,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,20,50.1825,6.256,4.906,4.0185
1003056524,APAGA,ELMER,L,M.D.,M,I,501 PENN AVE,,TURTLE CREEK,PA,151452085,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,34,438.10852941,77.5,60.76,54.73
1003056524,APAGA,ELMER,L,M.D.,M,I,501 PENN AVE,,TURTLE CREEK,PA,151452085,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,20,137.912,36.26,28.43,29.51
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,53,53,106,140,71.56,56.105,56.105
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,48,48,277,30,29.19,22.885018051,22.886642599
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,45,22.49,16.027272727,17.01
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,105,52.74,39.052777778,41.070555556
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,490,490,490,92.709244898,48.536346939,36.142489796,34.740755102
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,281,281,281,31.007117438,15.709644128,11.615053381,11.365587189
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,322,322,322,100.19254658,51.455900621,37.360465839,37.831086957
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,1,21,25,25,10,5.1012,3.9984,4.08
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,218,119.8145,86.3115,82.3925
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,122.53333333,51.824666667,36.131333333,34.85
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,181,181,360,53.972222222,28.246444444,22.008055556,22.440861111
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,49,49,49,27,12.787346939,8.9853061224,10.063673469
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,39,39,39,44,23.023333333,13.066410256,11.867435897
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,147,149,149,79.939597315,44.129328859,31.552550336,29.470805369
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,N,1,196,196,196,3870.9285714,2043.3345918,1595.2383673,1620.2679082
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,16,16,129,57.266875,39.5625,40.425625
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,66,66,66,1924,972.47,762.42,775.55
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,82,82,149,1294.3288591,658.83,516.52442953,481.11073826
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,18,1387,701.31,549.83,562.53
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,52,53,88,878,444.02,343.74227273,349.65
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L2200,"Addition to lower extremity, limited ankle motion, each joint",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,48,113,57.53,45.105,37.585416667
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,52,160,81.33,63.764615385,53.135
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,74,75,111,280,141.94,111.28,99.146486486
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L2280,"Addition to lower extremity, molded inner boot",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,79,80,118,1073.9322034,547.91,429.56313559,359.18338983
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,75,76,112,206.53571429,105.08,81.647678571,68.037053571
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L3740,"Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,37,2502.8378378,1265.45,992.11297297,826.76
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L3900,"Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,71,71,94,2783,1406.85,1101.4376596,999.44765957
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,31,1498,757.6,593.95967742,562.78548387
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L5704,"Custom shaped protective cover, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,1166,589.57,462.22846154,443.47923077
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L5962,"Addition, endoskeletal system, below knee, flexible protective outer surface covering system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1498,757.73,594.06,495.05
1003056821,PIZZO-BERKEY,ALLYSON,J,MD,F,I,351 HOSPITAL RD,SUITE 305,NEWPORT BEACH,CA,926633509,US,Physician/Pain Management,S,L5988,"Addition to lower limb prosthesis, vertical shock reducing pylon feature",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,3750,1896.12,1486.5591667,1511.76
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,32,61.613125,27.35,21.44,22.20125
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,19,7.6873684211,5.54,4.34,4.34
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,45,46,18.785217391,9.29,7.28,8.4856521739
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,7.46,6.0103846154,4.7115384615,5.8453846154
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,120,2.91,2.91,2.28125,2.28125
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,2568,0.5736448598,0.44,0.3449493769,0.3449493769
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,750,0.27,0.27,0.2116,0.2116
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,690,17.776086957,6.26,4.8696956522,5.664057971
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,375,0.27,0.26,0.204,0.2116
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,33,909,35.147623762,34.86,27.330165017,27.330165017
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,36,1177,9.434324554,8.28,6.3923109601,6.3923109601
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,678,3.8889380531,3.79,2.9713864307,2.9713864307
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,29,360,12.13225,10.93,8.5689722222,8.5689722222
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,423,1.4908510638,1.08,0.8466193853,0.8466193853
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,31,1233,5.334379562,5.28,4.1395782644,4.1395782644
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,1050,3.7224380952,3.67,2.8772857143,2.8772857143
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,728,276.13324176,5.54,4.2154395604,4.0354258242
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,12852,4.004335512,0.38,0.2958667912,0.2880283224
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,14,381.36,51.23,37.597857143,36.906428571
1003057068,COX,ALAN,,MD,M,I,2603 AVONDALE DR,,JOHNSON CITY,TN,376041902,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,12,76.785,21.23,16.645,15.5075
1003057167,JONES,SARA,A,ANP,F,I,1926 ALCOA HWY STE 410,,KNOXVILLE,TN,379201545,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100,54,29.295454545,25.870909091
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,41,81,56.289876543,8.32,5.7981481481,5.7981481481
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,22,19.370454545,1.42,1.0663636364,1.0663636364
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,12.370909091,9.7,9.7627272727
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,152.98833333,49.19375,38.56625,39.63625
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,79.951212121,17.85969697,12.378787879,11.911818182
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,499.07065217,69.27,49.107608696,49.599782609
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.64,24.591666667,24.591666667
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,73.722857143,18.32,11.920714286,12.203571429
1003057381,ANDERSON,AARON,D,D.O.,M,I,510 W 1ST AVE,,TOPPENISH,WA,989481564,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,77.2,33.471666667,16.425,15.316666667
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,27.01,27.01,21.18,22.223076923
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1980,0.39,0.13,0.1019444444,0.1019444444
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.54,5.54,4.34,4.34
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1980,4.35,1.95,1.5287777778,1.5929191919
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,10.34,10.34,8.1,8.5338461538
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,7.46,7.46,5.85,5.85
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,336,6.05,3.81,2.9870238095,2.9870238095
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,85,25.29,19.825,22.95
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,105.953,20.905,13.7075,17.7695
1003058074,EL ZEIN,LAMA,,M.D,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Hospice and Palliative Care,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,25,6.2794117647,4.3470588235,5.6176470588
1003058207,REDDY,SIREESHA,I,M.D.,F,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,37,78,66.912820513,8.32,6.5221794872,6.5221794872
1003058207,REDDY,SIREESHA,I,M.D.,F,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,16.96,13.3,13.52
1003058207,REDDY,SIREESHA,I,M.D.,F,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,71,55.66,54.8075
1003058207,REDDY,SIREESHA,I,M.D.,F,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,95,16.527391304,12.956086957,14.047826087
1003058280,STONE,JENNIFER,D,M.D.,F,I,1 EDMUNDSON PL,SUITE 310,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,31,80.871935484,8.32,6.5235483871,6.5235483871
1003058280,STONE,JENNIFER,D,M.D.,F,I,1 EDMUNDSON PL,SUITE 310,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,368.50461538,94.293846154,68.736923077,62.590769231
1003058280,STONE,JENNIFER,D,M.D.,F,I,1 EDMUNDSON PL,SUITE 310,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,34,137.17235294,35.441176471,27.61,25.757058824
1003058280,STONE,JENNIFER,D,M.D.,F,I,1 EDMUNDSON PL,SUITE 310,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,78.548181818,13.495454545,10.577272727,9.0481818182
1003058280,STONE,JENNIFER,D,M.D.,F,I,1 EDMUNDSON PL,SUITE 310,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,106,12.149056604,2.1143396226,1.6571698113,1.5849056604
1003058280,STONE,JENNIFER,D,M.D.,F,I,1 EDMUNDSON PL,SUITE 310,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,22,24,60.09,15.514166667,12.164583333,10.76125
1003058280,STONE,JENNIFER,D,M.D.,F,I,1 EDMUNDSON PL,SUITE 310,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,27,205.32740741,41.445555556,31.587777778,26.394074074
1003058538,JIMENEZ-TOSADO,ZAHIR,Z,MD,F,I,"4379 RIDGEWOOD CENTER DRIVE, #102",,WOODBRIDGE,VA,221928322,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,35,120,49.315833333,8.32,5.0005,5.0005
1003058538,JIMENEZ-TOSADO,ZAHIR,Z,MD,F,I,"4379 RIDGEWOOD CENTER DRIVE, #102",,WOODBRIDGE,VA,221928322,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.834285714,3.38,2.4607142857,2.4607142857
1003058538,JIMENEZ-TOSADO,ZAHIR,Z,MD,F,I,"4379 RIDGEWOOD CENTER DRIVE, #102",,WOODBRIDGE,VA,221928322,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,23,44,15.362954545,1.42,0.8336363636,0.8336363636
1003058546,KIELEY,SAMUEL,B,M.D.,M,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,59,5815,0.3869045572,0.13,0.097539123,0.097539123
1003058546,KIELEY,SAMUEL,B,M.D.,M,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,19,112,13896,5.445574266,1.73,1.3105728267,1.5408685953
1003058546,KIELEY,SAMUEL,B,M.D.,M,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,2880,10.525,7.23,5.6185104167,5.6185104167
1003058546,KIELEY,SAMUEL,B,M.D.,M,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,26,26.165,10.93,8.57,8.57
1003058652,RINI,JOSEPH,A,M.D.,M,I,450 MARGARET ST,,PLATTSBURGH,NY,129011755,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,30,57.918333333,57.918333333,43.864,50.413
1003058652,RINI,JOSEPH,A,M.D.,M,I,450 MARGARET ST,,PLATTSBURGH,NY,129011755,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,21,81.428571429,66.67,52.27,44.38952381
1003058652,RINI,JOSEPH,A,M.D.,M,I,450 MARGARET ST,,PLATTSBURGH,NY,129011755,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,41,78.170731707,74.377804878,58.311463415,55.353658537
1003058660,SHI,GLENN,,MD,M,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,266.98,266.98,205.17086957,214.75130435
1003059080,CUBILLOS,NORA,T,M.D.,F,I,16400 BLANCO RD,,SAN ANTONIO,TX,782321902,US,Physician/Physical Medicine and Rehabilitation,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,31,31,70.39,44.322903226,30.83483871,31.924516129
1003059080,CUBILLOS,NORA,T,M.D.,F,I,16400 BLANCO RD,,SAN ANTONIO,TX,782321902,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,132.37,42.55,22.935,23.02125
1003059080,CUBILLOS,NORA,T,M.D.,F,I,16400 BLANCO RD,,SAN ANTONIO,TX,782321902,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,34.2,17.294736842,11.56,12.033157895
1003059114,KALRA,RICKY,R,M.D.,M,I,5899 PRESTON RD STE 1303,,FRISCO,TX,750349595,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,1327.7054545,1185.42,929.37,890.40636364
1003059197,EGRISELASHVILI,ANNA,,MD,F,I,6770 MAYFIELD RD,425,MAYFIELD HTS,OH,441242299,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,46,110,63.029909091,8.32,5.5722727273,5.5722727273
1003059197,EGRISELASHVILI,ANNA,,MD,F,I,6770 MAYFIELD RD,425,MAYFIELD HTS,OH,441242299,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,27,33,14.261818182,1.42,0.9493939394,0.9493939394
1003059197,EGRISELASHVILI,ANNA,,MD,F,I,6770 MAYFIELD RD,425,MAYFIELD HTS,OH,441242299,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,57.605833333,51.815833333
1003059197,EGRISELASHVILI,ANNA,,MD,F,I,6770 MAYFIELD RD,425,MAYFIELD HTS,OH,441242299,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,130,28.6325,20.8875,20.125833333
1003059197,EGRISELASHVILI,ANNA,,MD,F,I,6770 MAYFIELD RD,425,MAYFIELD HTS,OH,441242299,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,9.3475,7.325,6.7225
1003059270,RAINA,NASRIN,D,M.D.,F,I,4811 S ARROWHEAD DR,,INDEPENDENCE,MO,640556981,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,50,50,35.618333333,34.179166667
1003059353,LASQUETY,MARY GRACE,H,M.D.,F,I,2311 N PROSPECT AVE,,MILWAUKEE,WI,532114445,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,34,102,78.828137255,8.32,6.093627451,6.093627451
1003059353,LASQUETY,MARY GRACE,H,M.D.,F,I,2311 N PROSPECT AVE,,MILWAUKEE,WI,532114445,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,445.25214286,79.98,58.221428571,50.811428571
1003059353,LASQUETY,MARY GRACE,H,M.D.,F,I,2311 N PROSPECT AVE,,MILWAUKEE,WI,532114445,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,215,37.46,27.421818182,27.561818182
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,6.5833333333,0.51,0.4,0.4
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,53,142,412,41.647524272,8.32,5.5523058252,5.5523058252
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,22,58,58,13.800689655,3.38,2.2468965517,2.2468965517
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,25,33,33,24.176363636,2.12,1.4675757576,1.4675757576
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,41,91,151,12.106225166,1.42,1.0033774834,1.0033774834
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,18,37,6.0797297297,1.9759459459,1.3089189189,1.0464864865
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,21,112.85714286,45.536666667,35.700952381,27.351904762
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,37,65.527027027,24.526216216,18.803783784,14.611081081
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,32,49.89,20.3696875,15.23,12.1871875
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,19,19,195.23631579,75.824736842,59.445789474,44.207894737
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,19,19,65.893157895,23.811578947,18.666842105,14.49
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,29,29,42.517241379,19.537241379,15.316896552,9.5189655172
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,49,125,10.71984,3.074,2.38672,1.67464
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,16,16,23.64,8.1375,6.385625,4.840625
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.32,10.024545455,7.8545454545,7.5072727273
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,212.79076923,67.130384615,48.261538462,34.742692308
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,88,88,62.892954545,20.953409091,15.762272727,13.257045455
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,738.64,833.625
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,23,155,155,33.434967742,6.9376129032,4.8870967742,3.2672258065
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,176.6,47.170217391,35.79673913,25.604782609
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,11,12,12,40.565833333,39.446666667,19.9375,31.605833333
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,56,10,3.7992857143,2.5796428571,1.9139285714
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,115,115,373.81582609,93.807913043,69.380173913,53.644434783
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,7128,0.2897881594,0.0459161055,0.0294304153,0.0294304153
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,1493,1.5100803751,0.1308707301,0.0843268587,0.0843268587
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,148.85787879,23.488181818,13.643030303,10.12
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,213.19214286,97.837142857,76.704285714,60.020714286
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,303.22833333,230.02916667,145.2525
1003059403,EDWARDS,RICHARD,E,M.D.,M,I,1322 ELTON RD,SUITE P,JENNINGS,LA,705464100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,38,38,72.078947368,33,21.104473684,21.104473684
1003059437,REDDY,SRUTHI,N,M.D.,F,I,3800 RESERVOIR ROAD NW,6 PHC,WASHINGTON,DC,20007,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,39,74.618461538,8.32,4.181025641,4.181025641
1003059437,REDDY,SRUTHI,N,M.D.,F,I,3800 RESERVOIR ROAD NW,6 PHC,WASHINGTON,DC,20007,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,17,13.844705882,1.42,0.9847058824,0.9847058824
1003059445,PERKINS,JONATHAN,J,M.D.,M,I,2701 N DECATUR RD,,DECATUR,GA,300335918,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,62.5,17.25,11.061818182,11.08
1003059445,PERKINS,JONATHAN,J,M.D.,M,I,2701 N DECATUR RD,,DECATUR,GA,300335918,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1900,1074.31,838.61083333,838.61083333
1003059445,PERKINS,JONATHAN,J,M.D.,M,I,2701 N DECATUR RD,,DECATUR,GA,300335918,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,324.4,75.56,42.607333333,39.600666667
1003059510,MCIVER,TREVOR,,MD,M,I,1901 CONNECTICUT AVE S,"ST. CLOUD ORTHOPEDIC ASSOCIATES, LTD.",SARTELL,MN,563772554,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1549.6,1257.37,972.73727273,891.51636364
1003059684,MUTHURI,LEAH,W,MD,F,I,625 AFRICA RD STE 240,,WESTERVILLE,OH,430829808,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,34,181.25294118,46.243235294,36.254705882,28.572647059
1003059684,MUTHURI,LEAH,W,MD,F,I,625 AFRICA RD STE 240,,WESTERVILLE,OH,430829808,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,12.614545455,3.1781818182,2.491969697,1.8112121212
1003059684,MUTHURI,LEAH,W,MD,F,I,625 AFRICA RD STE 240,,WESTERVILLE,OH,430829808,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,61.158571429,20.305714286,15.208571429,13.176666667
1003059684,MUTHURI,LEAH,W,MD,F,I,625 AFRICA RD STE 240,,WESTERVILLE,OH,430829808,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,232.35,59.146842105,42.028947368,34.371578947
1003059684,MUTHURI,LEAH,W,MD,F,I,625 AFRICA RD STE 240,,WESTERVILLE,OH,430829808,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,286.66088889,90.731555556,68.912222222,58.185555556
1003059684,MUTHURI,LEAH,W,MD,F,I,625 AFRICA RD STE 240,,WESTERVILLE,OH,430829808,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,51.63,44.560909091,31.950909091,30.082727273
1003059874,AMOS,AARON,A,M.D.,M,I,1020 N GLOSTER ST # 123,,TUPELO,MS,388041202,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,29,115,115,115,1519.9218261,1323.0157391,1027.6896522,887.72565217
1003059874,AMOS,AARON,A,M.D.,M,I,1020 N GLOSTER ST # 123,,TUPELO,MS,388041202,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,16,880.128125,722.1425,566.16,480.620625
1003059874,AMOS,AARON,A,M.D.,M,I,1020 N GLOSTER ST # 123,,TUPELO,MS,388041202,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,97,98,166,1007.5968675,870.07379518,678.82373494,675.16620482
1003059874,AMOS,AARON,A,M.D.,M,I,1020 N GLOSTER ST # 123,,TUPELO,MS,388041202,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,52,53,83,534.96518072,457.00289157,355.69783133,351.81650602
1003059874,AMOS,AARON,A,M.D.,M,I,1020 N GLOSTER ST # 123,,TUPELO,MS,388041202,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,27,116,118,197,128.97182741,106.51177665,83.167817259,88.064670051
1003059874,AMOS,AARON,A,M.D.,M,I,1020 N GLOSTER ST # 123,,TUPELO,MS,388041202,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,33,35,43,548.7372093,470.94906977,365.88860465,362.16325581
1003059874,AMOS,AARON,A,M.D.,M,I,1020 N GLOSTER ST # 123,,TUPELO,MS,388041202,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,56,58,58,884.53293103,727.25982759,562.62810345,561.62982759
1003059981,AHMED,LOTUS,,D.O,F,I,5645 MAIN ST,,FLUSHING,NY,113555045,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,78.0925,8.32,6.52,6.52
1003060211,PURI,VICHIN,,M.D.,M,I,1411 N. BECKLEY AVE.,"PAVILION III, SUITE 268",DALLAS,TX,752037520,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,3015,6.4937048093,0.5809618574,0.4554792703,0.4554726368
1003060211,PURI,VICHIN,,M.D.,M,I,1411 N. BECKLEY AVE.,"PAVILION III, SUITE 268",DALLAS,TX,752037520,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1003060211,PURI,VICHIN,,M.D.,M,I,1411 N. BECKLEY AVE.,"PAVILION III, SUITE 268",DALLAS,TX,752037520,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,15,15,16,16,11.704,11.704
1003060740,LIMA,CHRISTIAN,S,MD,M,I,100 DELAFIELD RD,SUITE 313,PITTSBURGH,PA,152153247,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,26.625384615,5.2007692308,3.08,2.8584615385
1003062258,MENES,KEITH,,M.D.,M,I,3 TERRASCAPE PKWY,,SOMERSWORTH,NH,038781115,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,120,80.3,25.8175,20.24075,19.2
1003062258,MENES,KEITH,,M.D.,M,I,3 TERRASCAPE PKWY,,SOMERSWORTH,NH,038781115,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,105,53.9,8.7071428571,6.8261904762,6.4287619048
1003062258,MENES,KEITH,,M.D.,M,I,3 TERRASCAPE PKWY,,SOMERSWORTH,NH,038781115,US,Physician/Vascular Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,70.23,50.054545455,49.745454545
1003062258,MENES,KEITH,,M.D.,M,I,3 TERRASCAPE PKWY,,SOMERSWORTH,NH,038781115,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,4818,830.39272727,651.03,507.67
1003062589,SCHONEBURG,BERNADETTE,M,M.D.,F,I,17 25 WEST HARRISON STREET,PROFESSIONAL BUILDING I SUITE 1106,CHICAGO,IL,60612,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,616,213.95,213.95,167.73678571,167.73678571
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,39,101,313,76.554760383,8.32,5.229201278,5.229201278
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,38,58,14.768448276,1.42,0.9606896552,0.9606896552
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,44,6.29,6.01,4.7125,4.7125
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,20,9.25,9.25,6.8875,8.224
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,1740,0.225,0.13,0.1019482759,0.1019482759
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,54,9.0537037037,2.28,1.4240740741,1.2940740741
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,465,125,3,2.2754623656,2.2902150538
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,728,25.023076923,4.86,3.7518131868,4.0454807692
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,32,11672,2.2057248115,0.3698732008,0.2627184716,0.2627998629
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,717,14.56818689,12.761994421,9.8762761506,10.187461646
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,141,722.71546099,322.13375887,252.19191489,255.82638298
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,44,130,20.77,9.35,7.33,7.33
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,44,130,64.92,29.22,22.909769231,22.909538462
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,195,43.283571429,33.930714286,39.426428571
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,86.31,18,14.11,13.583846154
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,390.56695652,33.063043478,22.230869565,22.305217391
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,72.58,5,3.92,3.9473913043
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.92,11.168333333,7.83,7.6925
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.67,10.25,7.1875,7.1441666667
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,420.19,210.825,160.00166667,160.00166667
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,24,559.50125,79.35,59.809583333,54.63125
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,113.12363636,88.687272727,88.687272727
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,44,4461,1.9114570724,0.1387626093,0.0974467608,0.0974467608
1003062647,BEAUZILE,RONALD,,MD,M,I,95 SARGENT ST,ROUTE 9,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,41,41,33,33,21.077560976,21.077560976
1003063488,MIKHAILOVSKY,ANNA,,M.D.,F,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,72,7.5680555556,2,1.5684722222,1.5901388889
1003063488,MIKHAILOVSKY,ANNA,,M.D.,F,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,252,28.608,19.769,22.341
1003063959,HAQUE,MONEERA,N,MD,F,I,4021 AVENUE B,,SCOTTSBLUFF,NE,693614602,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,3750,2578.4338889,2021.4919444,2021.4919444
1003064270,PUIG RODRIGUEZ,ALVARO,A,M.D,M,I,1625 N GEORGE MASON DR STE 425,,ARLINGTON,VA,222053686,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,24,86.31,23.4625,18.3925,15.594583333
1003064270,PUIG RODRIGUEZ,ALVARO,A,M.D,M,I,1625 N GEORGE MASON DR STE 425,,ARLINGTON,VA,222053686,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1073.16,829.40416667,830.30416667
1003064270,PUIG RODRIGUEZ,ALVARO,A,M.D,M,I,1625 N GEORGE MASON DR STE 425,,ARLINGTON,VA,222053686,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,24,519.51,110.155,86.365,68.44
1003065582,TURNER,TIFFANY,C,MD,F,I,1625 N GEORGE MASON DR STE 425,,ARLINGTON,VA,222053686,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,46.66,36.5825,38.1725
1003065582,TURNER,TIFFANY,C,MD,F,I,1625 N GEORGE MASON DR STE 425,,ARLINGTON,VA,222053686,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,17.509090909,13.725454545,14.289090909
1003065855,MUNIZ,CHRISTINE,,,F,I,805 ATLANTIC ST,,STAMFORD,CT,06902,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,48,101,62.970990099,8.32,4.7763366337,4.7763366337
1003065855,MUNIZ,CHRISTINE,,,F,I,805 ATLANTIC ST,,STAMFORD,CT,06902,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,25,31,20.637096774,1.42,0.7929032258,0.7929032258
1003066143,BEAVERS,JOHN,P,NP,M,I,5717 OAKLAND DR,,PORTAGE,MI,490241116,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,34.91,25.089166667,22.784166667
1003066143,BEAVERS,JOHN,P,NP,M,I,5717 OAKLAND DR,,PORTAGE,MI,490241116,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,450,69.81,47.319166667,47.319166667
1003066366,GRABINSKI,MICHAEL,S,"M.D., M.P.H.",M,I,904 7TH AVE,8TH FLOOR,SEATTLE,WA,981041132,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,23,39.421304348,15.142173913,11.354782609,11.379565217
1003066366,GRABINSKI,MICHAEL,S,"M.D., M.P.H.",M,I,904 7TH AVE,8TH FLOOR,SEATTLE,WA,981041132,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,30,7.198,2.116,1.554,1.488
1003066432,SHICK,COURTNEY,A,PA-C,F,I,1311 E. DIVISION STREET,,MOUNT VERNON,WA,98274,US,Physician Assistant,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,18,60.805,28.46,22.31,22.31
1003066432,SHICK,COURTNEY,A,PA-C,F,I,1311 E. DIVISION STREET,,MOUNT VERNON,WA,98274,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,2130,11.707511737,7.23,5.6412769953,5.6412769953
1003066432,SHICK,COURTNEY,A,PA-C,F,I,1311 E. DIVISION STREET,,MOUNT VERNON,WA,98274,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,41,15.89804878,10.738780488,8.4187804878,8.5690243902
1003066432,SHICK,COURTNEY,A,PA-C,F,I,1311 E. DIVISION STREET,,MOUNT VERNON,WA,98274,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,59,19.765762712,7.26,5.6927118644,5.7959322034
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,79,205,74.012634146,8.32,5.1311707317,5.1311707317
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,32,44,14.070227273,1.42,0.8122727273,0.8122727273
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,19,69,13.335652174,2.03,1.5463768116,1.5463768116
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,46,79.924782609,18.513695652,13.042826087,12.066304348
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,51,53,33.687735849,5.1622641509,3.6479245283,3.2133962264
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,90,101,433.01346535,71.305445545,53.655049505,52.482772277
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2175,1.8736551724,0.1348551724,0.095737931,0.095737931
1003066499,SHARPF,KARA,K,"RN, MSN, FNP-BC",F,I,707 N LOGAN AVE,,DANVILLE,IL,618324360,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,47.142857143,33,23.098214286,23.098214286
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,23,68,10754,0.3042830575,0.13,0.0986591036,0.0986591036
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,40,114,22390,3.2880678874,1.7525011166,1.3158838767,1.5226980795
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,38,4454,6.1891782667,5.602402335,4.3684665469,4.9824045802
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,23,45,161,23.133043478,10.924223602,7.6063975155,7.610931677
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,17,480,7.1976666667,3.65,2.7423541667,2.9077291667
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,27,15.896296296,8.28,5.7688888889,5.7688888889
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,13,10.790769231,4.1,3.21,3.21
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,18,520,10.726153846,5.7319230769,4.4937692308,4.5000769231
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,14.951733333,9.2,6.2659,6.2659
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,96,2.3828125,1.46125,1.1455208333,1.30375
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,56,15.576428571,6.44,4.6885714286,4.6885714286
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,19,605,20.04446281,9.86,7.500661157,7.500661157
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,26,665,14.504105263,7,5.4054736842,5.4054736842
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,380,14.431157895,7.33,5.7465789474,5.7465789474
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,18,43,1300,8.2820769231,4.04,3.1673692308,3.1673692308
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,440,0.42,0.09,0.0640909091,0.0640909091
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,18,40,3520,0.6114431818,0.27,0.2084914773,0.2084914773
1003066580,KAIMAKLIOTIS,HRISTOS,,MD,M,I,535 BARNHILL DR,SUITE 150,INDIANAPOLIS,IN,462025116,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,17,38,1845,0.6167750678,0.24,0.1881463415,0.21100271
1003066838,LOVELL,JASON,D,D.O,M,I,428 S DURBIN ST,STE 104,CASPER,WY,826012818,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.91,14.04,13.54
1003066838,LOVELL,JASON,D,D.O,M,I,428 S DURBIN ST,STE 104,CASPER,WY,826012818,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,430.0237931,70.48,55.25,54.756551724
1003066838,LOVELL,JASON,D,D.O,M,I,428 S DURBIN ST,STE 104,CASPER,WY,826012818,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1130,1.6769734513,0.1403628319,0.1100353982,0.1100353982
1003066846,YOUNIS,NAVEED,,M.D.,M,I,17 CENTRE PLAZA DR,,JACKSON,TN,383052862,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,3730.952381,2699.342381,2116.2847619,2116.2847619
1003067034,IRONS,ANDREW,T,PA-C,M,I,2776 N GAREY AVE,,POMONA,CA,917671810,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,70,70,54.88,47.006153846
1003067455,FENG,YAN,,,F,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,25,2632,31.441698328,4.018837386,3.1507788754,3.1507788754
1003067455,FENG,YAN,,,F,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,44,50,42.52,33.336136364,30.752727273
1003067455,FENG,YAN,,,F,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,24,24,18.82,18.82
1003067745,MOLES,JEREMIAH,,MD,M,I,5565 GROSSMONT CENTER DR,BLDG 3 SUITE 101,LA MESA,CA,919423020,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,89.235454545,39.4,30.89,30.526363636
1003067745,MOLES,JEREMIAH,,MD,M,I,5565 GROSSMONT CENTER DR,BLDG 3 SUITE 101,LA MESA,CA,919423020,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,315.90785714,84,65.86,67.698571429
1003067745,MOLES,JEREMIAH,,MD,M,I,5565 GROSSMONT CENTER DR,BLDG 3 SUITE 101,LA MESA,CA,919423020,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,98,8.4930612245,2,1.5684693878,1.5905102041
1003067745,MOLES,JEREMIAH,,MD,M,I,5565 GROSSMONT CENTER DR,BLDG 3 SUITE 101,LA MESA,CA,919423020,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,51.5,39.818181818,31.216363636,31.218181818
1003067745,MOLES,JEREMIAH,,MD,M,I,5565 GROSSMONT CENTER DR,BLDG 3 SUITE 101,LA MESA,CA,919423020,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,33,218.36969697,29.497272727,22.252727273,23.942121212
1003068024,JOSEPH,JOSELYN,,MD,F,I,611 W. PARK ST.,HOSPITALIST,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,34.926363636,6.2354545455,4.2272727273,3.0736363636
1003068107,HARDESTY,KATHERINE,S,PA,F,I,270 E STATE ST STE 240,,ALLIANCE,OH,446014369,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,34,72.660294118,8.32,6.5241176471,6.5241176471
1003068263,STRUNA,JOYCE,A,PA-C,F,I,45 PLATEAU ST,SUITE 250,BRYSON CITY,NC,287134200,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,68,44.516029412,8.32,6.5230882353,6.5230882353
1003068263,STRUNA,JOYCE,A,PA-C,F,I,45 PLATEAU ST,SUITE 250,BRYSON CITY,NC,287134200,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,161.94090909,52.25,29.056363636,26.125454545
1003068263,STRUNA,JOYCE,A,PA-C,F,I,45 PLATEAU ST,SUITE 250,BRYSON CITY,NC,287134200,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,14,87,88,28.382840909,7.9825,5.9959090909,3.5531818182
1003068263,STRUNA,JOYCE,A,PA-C,F,I,45 PLATEAU ST,SUITE 250,BRYSON CITY,NC,287134200,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1547,2.0167226891,0.1279056238,0.1002973497,0.1002973497
1003068263,STRUNA,JOYCE,A,PA-C,F,I,45 PLATEAU ST,SUITE 250,BRYSON CITY,NC,287134200,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,26.673636364,20.911818182,15.15
1003068263,STRUNA,JOYCE,A,PA-C,F,I,45 PLATEAU ST,SUITE 250,BRYSON CITY,NC,287134200,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1003068289,CARRIZOSA,MARGARET,,NP,F,I,41990 COOK ST STE F1007,,PALM DESERT,CA,922116105,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,77,73.116753247,8.32,5.8444155844,5.8444155844
1003068289,CARRIZOSA,MARGARET,,NP,F,I,41990 COOK ST STE F1007,,PALM DESERT,CA,922116105,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,22,13.535,1.42,0.9609090909,0.9609090909
1003068826,GALLAGHER,TERESA,M,"RN, MSN, CRNP",F,I,306 ALETHA LN,,MILLERSVILLE,PA,175511607,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,220,67.72,53.1,54.73
1003068933,FARRAR,JINNY,A,PA-C,F,I,325 PARK ST,,LEBANON,OR,973554229,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,383.34428571,65.7,47.830714286,51.108571429
1003069113,COOK,CRYSTAL,S,CFNP,F,I,225 COMMUNITY DRIVE,,FAYETTE,MS,390690098,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,17,48.886470588,8.32,5.6994117647,5.6994117647
1003069113,COOK,CRYSTAL,S,CFNP,F,I,225 COMMUNITY DRIVE,,FAYETTE,MS,390690098,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,17,519.51,94.86,67.517647059,64.849411765
1003069212,GUZMAN,CLAUDIA,P,PA-C,F,I,8900 N KENDALL DR,,MIAMI,FL,331762118,US,Physician Assistant,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,455,2.75,2.27,1.7797142857,1.7797142857
1003069212,GUZMAN,CLAUDIA,P,PA-C,F,I,8900 N KENDALL DR,,MIAMI,FL,331762118,US,Physician Assistant,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,13,7.87,6.1701,6.1773
1003069212,GUZMAN,CLAUDIA,P,PA-C,F,I,8900 N KENDALL DR,,MIAMI,FL,331762118,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,9.2,7.46,5.85,5.85
1003069212,GUZMAN,CLAUDIA,P,PA-C,F,I,8900 N KENDALL DR,,MIAMI,FL,331762118,US,Physician Assistant,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,1.51,1.51,1.19,1.3930769231
1003070012,KANTAMUNENI,UMA,D,M.D,F,I,3655 PRUNERIDGE AVE APT 224,,SANTA CLARA,CA,950515948,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,55,120,81.9345,8.32,6.1404166667,6.1404166667
1003070012,KANTAMUNENI,UMA,D,M.D,F,I,3655 PRUNERIDGE AVE APT 224,,SANTA CLARA,CA,950515948,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,32,32,15.3815625,1.42,0.98,0.98
1003070327,PASSIAS,PETER,G,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Orthopedic Surgery,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.28,8.3045454545,5.7454545455,6.6354545455
1003070327,PASSIAS,PETER,G,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,5069.5833333,4378.96,3433.11,3433.11
1003070327,PASSIAS,PETER,G,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Orthopedic Surgery,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,86.302727273,42.14,33.034545455,37.153636364
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,49,80,80,64.972125,40.52775,31.011875,29.72775
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,18,40,75,5.1301333333,1.5044,1.0548,1.0325333333
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,33,49,49,226.06897959,89.489183673,68.503673469,66.184489796
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,21,34,63,103.32095238,34.42031746,25.57031746,24.491587302
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,13,23,88,40.920909091,15.33,11.207727273,11.082159091
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,28,41,41,145.71609756,58.355609756,43.683658537,40.799268293
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,59,76,76,44.300263158,18.865526316,14.235,13.514473684
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,69.18,13.085454545,10.253636364,9.12
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,47,77,323,5.9944582043,2.1633126935,1.6671826625,1.562755418
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,17,17,10.546470588,6.3235294118,4.9547058824,4.6688235294
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,23,28,28,33.715,13.813214286,10.829642857,10.451428571
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,30,184,186,56.635107527,21.185860215,15.751827957,15.142473118
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,132.40705882,29.721764706,19.957058824,19.144117647
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,241.06,52.76,41.37,41.81
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,31,31,124.94967742,49.079032258,38.330322581,37.46516129
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,241.06,47.37,37.14,37.63
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,3843.2351724,1074.31,839.2,839.2
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,407.72727273,140.97454545,102.98909091,97.163636364
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,20,102,106,31.308962264,13.741037736,10.468584906,9.6400943396
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,17,115,115,23.440086957,5.337826087,4.066173913,3.6317391304
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,28,178,178,115.88157303,39.594269663,30.035505618,25.139831461
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,67,506,511,330.46923679,75.10109589,54.21702544,51.281213307
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,49,160.25795918,38.544897959,26.747346939,25.849183673
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,17,40,11003,0.2841961283,0.0463219122,0.0348114151,0.0348114151
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,28,93,11545,1.6531225639,0.1359757471,0.1016656561,0.1016656561
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,16,74,4530,10.119799117,3.061794702,2.2891346578,2.2891346578
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,739,2.0205818674,0.2197023004,0.1653315291,0.1653315291
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,24,158,158,82.265822785,36.793544304,27.243987342,27.757025316
1003070350,CHAWLA,HARSH,,MD,M,I,2300 N EDWARD ST,,DECATUR,IL,625264163,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,45,157,157,46.872611465,33,24.612802548,24.612802548
1003070368,QUADEER,ARSHI,A,MD,F,I,1145 S UTICA AVE,SUITE 364,TULSA,OK,741044000,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1650,0.4654848485,0.0130909091,0.0102666667,0.0102666667
1003070368,QUADEER,ARSHI,A,MD,F,I,1145 S UTICA AVE,SUITE 364,TULSA,OK,741044000,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,20,16,16,12.54,12.54
1003070640,PARK,SUSAN,J,MD,F,I,661 SIERRA ROSE DR,,RENO,NV,89511,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,35,65.305142857,8.32,6.1511428571,6.1511428571
1003070640,PARK,SUSAN,J,MD,F,I,661 SIERRA ROSE DR,,RENO,NV,89511,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,395.39130435,65.7,35.156956522,37.704347826
1003070749,ANAMEZE,SAMUEL,,MD,M,I,2215 BURDETT AVE,,TROY,NY,121802466,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,33.82,4.1811764706,2.8564705882,3.1623529412
1003070749,ANAMEZE,SAMUEL,,MD,M,I,2215 BURDETT AVE,,TROY,NY,121802466,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,346.34,67.72,48.058666667,49.663
1003070749,ANAMEZE,SAMUEL,,MD,M,I,2215 BURDETT AVE,,TROY,NY,121802466,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,103.26,38.72,28.336,27.608
1003070780,FLYNN,JERRY,P,M.D.,M,I,417 1ST AVE,,SEWARD,AK,996640365,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,232.35,57.386923077,35.473076923,28.946153846
1003070921,MOLAKALA,NEETHA,,M.D.,F,I,1200 UNIVERSITY AVE,SUITE 120,DES MOINES,IA,503142343,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,28,49,73.762244898,8.32,3.46,3.46
1003070921,MOLAKALA,NEETHA,,M.D.,F,I,1200 UNIVERSITY AVE,SUITE 120,DES MOINES,IA,503142343,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,16.202727273,1.42,0.5090909091,0.5090909091
1003071010,RADCLIFF,KRISTEN,E,MD,M,I,925 CHESTNUT ST,5TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,26,26,26,5890,4378.96,3433.11,3433.11
1003071069,MOTQUIN,TAMMY,A,,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,68,71,352.31014085,76.055492958,57.801830986,53.658169014
1003071069,MOTQUIN,TAMMY,A,,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,19,112,39.496842105,30.963684211,29.889473684
1003071069,MOTQUIN,TAMMY,A,,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,46,112,36.283478261,27.804565217,28.84673913
1003071416,HASAN,SANA,,DO,F,I,CLEVELAND CLINIC,9500 EUCLID AVENUE,CLEVELAND,OH,441950001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,34,85,296,65.650675676,8.32,6.1479391892,6.1479391892
1003071416,HASAN,SANA,,DO,F,I,CLEVELAND CLINIC,9500 EUCLID AVENUE,CLEVELAND,OH,441950001,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,45,11.040222222,1.42,1.09,1.09
1003071580,RAYMER,JORDAN,M,M.D.,F,I,330 9TH ST,,FLORENCE,OR,974399470,US,Physician/General Surgery,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,345,28.947391304,10.81,8.096057971,8.096057971
1003071804,EVANS,SHANNON,D,DO,F,I,4745 BOARDWALK DRIVE UNIT C3,,FORT COLLINS,CO,80525,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,94.057272727,20.235454545,11.235454545,6.8554545455
1003071804,EVANS,SHANNON,D,DO,F,I,4745 BOARDWALK DRIVE UNIT C3,,FORT COLLINS,CO,80525,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,70,12.689142857,2.9028571429,1.9218571429,1.3904285714
1003071804,EVANS,SHANNON,D,DO,F,I,4745 BOARDWALK DRIVE UNIT C3,,FORT COLLINS,CO,80525,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,232.35,58.255454545,41.922727273,34.209090909
1003071804,EVANS,SHANNON,D,DO,F,I,4745 BOARDWALK DRIVE UNIT C3,,FORT COLLINS,CO,80525,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,519.51,70.74,51.778333333,51.778333333
1003072430,SEILAS,LIJI,,ARNP,F,I,1901 SPRINGLAKE DR,,OKLAHOMA CITY,OK,731115201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,61,66.908688525,8.32,3.6716393443,3.6716393443
1003072430,SEILAS,LIJI,,ARNP,F,I,1901 SPRINGLAKE DR,,OKLAHOMA CITY,OK,731115201,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,18.274090909,1.42,0.8127272727,0.8127272727
1003072430,SEILAS,LIJI,,ARNP,F,I,1901 SPRINGLAKE DR,,OKLAHOMA CITY,OK,731115201,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,403.8,82.808333333,64.918333333,64.918333333
1003072547,MEHDI,ASAD,S,M.D.,M,I,200 N MADISON ST,,MARSHALL,MI,490681143,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,162.87722222,53.184444444,41.697777778,39.760555556
1003072547,MEHDI,ASAD,S,M.D.,M,I,200 N MADISON ST,,MARSHALL,MI,490681143,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,45,50,17.27,12.035555556,12.035555556
1003072547,MEHDI,ASAD,S,M.D.,M,I,200 N MADISON ST,,MARSHALL,MI,490681143,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,228.8,70.6475,53.993636364,53.467272727
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,153.44,16.895,12.411875,12.66875
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,13,85,85,3764.6315294,1074.31,837.84905882,837.84905882
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,18,97,97,779.97030928,70.457113402,53.589484536,53.110206186
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,210,41.25,32.34,29.667222222
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,1380,21.916891304,9.620826087,7.525,7.525
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,13,1804,0.8039800443,0.0466740576,0.0282649667,0.0282649667
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1560,1.9828525641,0.1319230769,0.1034487179,0.1034487179
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,36,1776,11.027713964,2.9343074324,2.252972973,2.252972973
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,285.6,41.081333333,31.489333333,29.420888889
1003072612,GILANI,AAMIR,M,M.D,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,18,53,53,33,33,25.381886792,25.381886792
1003072687,SEDLACEK,ROBERT,W,M.D.,M,I,3430 E MAIN ST,,MERRILL,WI,544529001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,26,47,85.370425532,8.32,4.720212766,4.720212766
1003072687,SEDLACEK,ROBERT,W,M.D.,M,I,3430 E MAIN ST,,MERRILL,WI,544529001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,24,22.84625,1.42,0.92875,0.92875
1003072687,SEDLACEK,ROBERT,W,M.D.,M,I,3430 E MAIN ST,,MERRILL,WI,544529001,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,38,14.756315789,10.011052632,7.8473684211,8.4873684211
1003072687,SEDLACEK,ROBERT,W,M.D.,M,I,3430 E MAIN ST,,MERRILL,WI,544529001,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,44,10.140454545,7.46,5.8497727273,5.8497727273
1003072687,SEDLACEK,ROBERT,W,M.D.,M,I,3430 E MAIN ST,,MERRILL,WI,544529001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,174.80727273,20.059090909,15.725454545,14.083636364
1003072687,SEDLACEK,ROBERT,W,M.D.,M,I,3430 E MAIN ST,,MERRILL,WI,544529001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,30,481.93266667,100.57866667,77.994333333,56.568333333
1003072810,WHITE,LEONARD,,M.D.,M,I,1249 15TH ST,SUITE 2000,HUNTINGTON,WV,257013662,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,32,67,58.006567164,8.32,5.5497014925,5.5497014925
1003072810,WHITE,LEONARD,,M.D.,M,I,1249 15TH ST,SUITE 2000,HUNTINGTON,WV,257013662,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,17,519.51,86.358235294,67.705882353,54.724705882
1003072877,PAK,YOOJIN,K,M.D.,F,I,430 PENNSYLVANIA AVE,320,GLEN ELLYN,IL,601374464,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,13,172,34.414709302,19.659534884,14.57872093,14.57872093
1003072877,PAK,YOOJIN,K,M.D.,F,I,430 PENNSYLVANIA AVE,320,GLEN ELLYN,IL,601374464,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,540,4.6697222222,2.6355555556,2.0662222222,2.0662222222
1003072877,PAK,YOOJIN,K,M.D.,F,I,430 PENNSYLVANIA AVE,320,GLEN ELLYN,IL,601374464,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,73,85,207,1047,75.011537727,8.3145463228,6.0995893028,6.1028271251
1003072877,PAK,YOOJIN,K,M.D.,F,I,430 PENNSYLVANIA AVE,320,GLEN ELLYN,IL,601374464,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,36,40,91,194,16.073814433,1.42,1.0388659794,1.0388659794
1003072877,PAK,YOOJIN,K,M.D.,F,I,430 PENNSYLVANIA AVE,320,GLEN ELLYN,IL,601374464,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1820,16.55643956,10.942230769,8.5787032967,8.5787032967
1003072877,PAK,YOOJIN,K,M.D.,F,I,430 PENNSYLVANIA AVE,320,GLEN ELLYN,IL,601374464,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,98,98,331.65591837,251.02642857,196.12040816,196.18571429
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,51.046607143,18.524821429,14.28125,13.788571429
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,23,27,1325.1951852,939.79814815,731.48740741,733.00148148
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,15,78,78,48.133076923,5.753974359,4.5083333333,3.7717948718
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,95,105,300.40914286,77.833714286,60.43447619,54.826761905
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,42,120.93785714,35.41952381,27.77452381,29.136904762
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,1380,20.89284058,9.6056956522,7.4996086957,7.4996086957
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,1760,0.7181534091,0.0456193182,0.0318295455,0.0318295455
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,28,1455,12.306460481,3.0599381443,2.3477869416,2.3477869416
1003072943,LANKA,KIRANMAYEE,,"M.D., M.P.H",F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,452192906,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,31,31,48.967741935,33,25.035483871,25.035483871
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,21,75,77.576666667,8.32,5.7405333333,5.7405333333
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6.31,3.9,3.058,3.058
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,34.34,2.32,1.82,2.095
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.89,7.06,5.535,5.535
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,8.1984090909,5.74,4.5,4.5
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.8817361111,2.09,1.6385,1.6385
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,230,4.1592173913,3.13,2.454,2.454
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,400,0.46285,0.416,0.2916,0.2916
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,720,0.0524722222,0.0491111111,0.0384722222,0.0391666667
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,26,5,2.25,1.0861538462,0.9815384615
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,56.659354839,20.09483871,14.788387097,12.690645161
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,51.37,24.171395349,17.929302326,15.550465116
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,826.67953488,77.18,57.695581395,52.309534884
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,48,48,77.45,54.82,37.147083333,36.220833333
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50,35.933333333,34.494166667
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,38,38,76.077368421,50,34.591578947,33.393684211
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,30,5.9490909091,3.4413636364,2.6284090909
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,53,417.39867925,82.939622642,62.223773585,52.233773585
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,3851,0.3844092444,0.0463749675,0.0334146975,0.0334146975
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,600,12.86,3.1875,2.3749166667,2.3749166667
1003073560,LLENOS,JOE,M,MD,M,I,211 E LOGAN ST,SUITE 301,CALDWELL,ID,836054882,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,93.5,33,24.432777778,24.432777778
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,37,53,53,114.0509434,38.380566038,29.435283019,29.778301887
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,47,68,68,192.36455882,88.292941176,68.167205882,66.499264706
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,37,65,130,68.064307692,33.731230769,25.668307692,25.074923077
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,27,46,220,29.946,18,13.935409091,14.333909091
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,13,19,84,28.682380952,14.883809524,11.669642857,11.853571429
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,42,64,64,118.18875,56.58421875,41.78359375,40.54765625
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,73,87,87,37.216206897,18.040344828,14.139770115,14.01862069
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,23.939166667,10.16,7.97,8.12
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,50,83,83,27.417831325,11.848915663,8.9742168675,8.7589156627
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,89,152,695,4.5487913669,2.0585611511,1.5729064748,1.5478561151
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,41,48,48,10.353958333,5.9508333333,4.6714583333,4.640625
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,27,31,31,31.562580645,13.25,10.05483871,10.016129032
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,39,41,57.777804878,17.440487805,12.679756098,12.692439024
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,12,91,93,331.3116129,84.978387097,65.970430108,67.347311828
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,41,41,41,273.43463415,133.47146341,99.553170732,99.575121951
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,24,29,45.07,15.785517241,12.376206897,10.352068966
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,39.914,3.906,2.6253333333,3.2426666667
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,58,395,416,127.42206731,34.033245192,25.648533654,24.4190625
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,17,66,69,280.90492754,75.046086957,55.911449275,53.311449275
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,184.70588235,36.25,28.42,29.253529412
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.1084166667,2.2688611111,2.2688611111
1003073578,POPAT,CHIRAG,D,MD,M,I,4500 HOSPITAL BLVD STE 310,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,117.85714286,33,25.87,25.87
1003073586,TULANG,MICHELLE,,MD,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,67,70.607462687,8.32,5.4932835821,5.4932835821
1003073586,TULANG,MICHELLE,,MD,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,17.207142857,1.42,0.899047619,0.899047619
1003073586,TULANG,MICHELLE,,MD,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,24.37,21.090769231,15.066153846,13.990769231
1003073602,BLATCHFORD,PATRICK,T,MD GENERAL SURGEON,M,I,6401 PATTERSON PKWY,,ARKANSAS CITY,KS,67005,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,280,5.70575,5.4932142857,3.8256785714,3.8641785714
1003073602,BLATCHFORD,PATRICK,T,MD GENERAL SURGEON,M,I,6401 PATTERSON PKWY,,ARKANSAS CITY,KS,67005,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.1708333333,1.95,1.3898484848,1.3898484848
1003073735,FAIR,KERI,L,"M.D., PH.D.",F,I,4600 N RAVENSWOOD AVE,2ND FLOOR,CHICAGO,IL,606404510,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,8.29725,5.54,4.1612916667,4.1612916667
1003073735,FAIR,KERI,L,"M.D., PH.D.",F,I,4600 N RAVENSWOOD AVE,2ND FLOOR,CHICAGO,IL,606404510,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,260,5.9935,4.03,3.1595,3.1595
1003073735,FAIR,KERI,L,"M.D., PH.D.",F,I,4600 N RAVENSWOOD AVE,2ND FLOOR,CHICAGO,IL,606404510,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.3316,0.27,0.2116,0.2116
1003073735,FAIR,KERI,L,"M.D., PH.D.",F,I,4600 N RAVENSWOOD AVE,2ND FLOOR,CHICAGO,IL,606404510,US,Physician/Family Practice,S,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.7075,3.58,2.572625,2.572625
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,20,20,97.74,42.4525,33.283,30.931
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,308.51,94.97,69.74625,64.065625
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,29,106.4262069,33.659310345,24.572068966,24.161724138
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,156.23636364,53.030909091,41.575454545,42.464545455
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,18,18,53.515,19.575555556,14.498333333,13.440555556
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,86,8.3046511628,2.4730232558,1.9389534884,1.6473255814
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,390.99090909,138.21,108.35909091,105.03545455
1003073776,MALISH,STERLING,L,M.D.,M,I,455 TOLL GATE RD,,WARWICK,RI,028862759,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,13,48,48,171.33083333,34.59625,26.635208333,26.767083333
1003073784,KUDAKANDIRA,JYOTHI,B,M.D,F,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Undefined Physician type[6],S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,360,7.6666666667,7.2158333333,5.6571666667,5.778
1003073784,KUDAKANDIRA,JYOTHI,B,M.D,F,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Undefined Physician type[6],S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,360,4.35,3.81,2.987,2.987
1003073784,KUDAKANDIRA,JYOTHI,B,M.D,F,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Undefined Physician type[6],S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,153.16916667,44.709166667,35.05,36.46
1003073784,KUDAKANDIRA,JYOTHI,B,M.D,F,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Undefined Physician type[6],S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,32.8,3.8792,2.7528,3.232
1003073784,KUDAKANDIRA,JYOTHI,B,M.D,F,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,39,274.54,68.502307692,53.711538462,54.437435897
1003073784,KUDAKANDIRA,JYOTHI,B,M.D,F,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Undefined Physician type[6],S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,18,133.33333333,38.72,30.36,29.8
1003073784,KUDAKANDIRA,JYOTHI,B,M.D,F,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Undefined Physician type[6],S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,128,24.05,18.8525,22.4475
1003073883,HU,BRIAN,,MD,M,I,11370 ANDERSON ST STE 1100,,LOMA LINDA,CA,923543450,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,59,24.335084746,10.93,8.5688135593,8.5688135593
1003073883,HU,BRIAN,,MD,M,I,11370 ANDERSON ST STE 1100,,LOMA LINDA,CA,923543450,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,1005,0.6861890547,0.27,0.2116318408,0.2116318408
1003073883,HU,BRIAN,,MD,M,I,11370 ANDERSON ST STE 1100,,LOMA LINDA,CA,923543450,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,615,0.7770081301,0.27,0.2116747967,0.2116747967
1003073990,ALLEN MARKHAM,KANDACE,D,PA,F,I,501 SPARTA RD STE F,,SANDERSVILLE,GA,310821392,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,20,62,60.359677419,8.32,5.6801612903,5.6801612903
1003073990,ALLEN MARKHAM,KANDACE,D,PA,F,I,501 SPARTA RD STE F,,SANDERSVILLE,GA,310821392,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50.73,8.5129411765,4.6217647059,2.4070588235
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,59,161,57.899192547,8.32,5.1440372671,5.1440372671
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.4291666667,2.4291666667
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,45,63,16.009365079,1.42,0.9736507937,0.9736507937
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,56,86.31,20.888571429,13.435892857,11.19
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,59.555454545,6.4140909091,4.8627272727,3.5827272727
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,89,90,519.51,93.782888889,64.552,50.855333333
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,250,44.34,34.765,29.515
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,2190,0.92,0.1306986301,0.0937534247,0.0937534247
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,31,31,119.19645161,27.587741935,20.699677419,14.02516129
1003074071,BRESOWAR,KRISTIN,,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,29,125.17241379,33,24.085862069,24.085862069
1003074154,ROHILLA,RAJESH,,,M,I,500 LAUCHWOOD DR,,LAURINBURG,NC,283525501,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,45.817272727,17.384,13.626,13.533090909
1003074154,ROHILLA,RAJESH,,,M,I,500 LAUCHWOOD DR,,LAURINBURG,NC,283525501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,61,290.60901639,71.058360656,54.694262295,53.898032787
1003074246,PAPPALARDI,JILL,M,M.D.,F,I,2301 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,20.473478261,4.1747826087,3.1030434783,3.4152173913
1003074501,JONES,CHRISTOPHER,E,"MD, PHD",M,I,2500 ROCKY MOUNTAIN AVE,,LOVELAND,CO,805389004,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,58.001052632,20.959473684,16.43,14.011578947
1003074501,JONES,CHRISTOPHER,E,"MD, PHD",M,I,2500 ROCKY MOUNTAIN AVE,,LOVELAND,CO,805389004,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,252.75375,96.915625,75.983125,57.625625
1003074519,KOLIOPOULOS,ELIAS,J,M.D.,M,I,40 S CLAY ST STE 210E,,HINSDALE,IL,60521,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,24,59,207,73.971932367,8.32,5.4262801932,5.4262801932
1003074519,KOLIOPOULOS,ELIAS,J,M.D.,M,I,40 S CLAY ST STE 210E,,HINSDALE,IL,60521,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,20,14.527,1.42,0.891,0.891
1003074584,SPINDLER,MEREDITH,A,MD,F,I,3900 WOODLAND AVE,"PADRECC, #127",PHILADELPHIA,PA,191044551,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,44,124,72.96,19.7025,15.447419355,15.447419355
1003074584,SPINDLER,MEREDITH,A,MD,F,I,3900 WOODLAND AVE,"PADRECC, #127",PHILADELPHIA,PA,191044551,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,44,868,150.6,37.365725806,29.294781106,29.294781106
1003074584,SPINDLER,MEREDITH,A,MD,F,I,3900 WOODLAND AVE,"PADRECC, #127",PHILADELPHIA,PA,191044551,US,Physician/Neurology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,448,4.4266294643,2.27,1.7796875,1.7796875
1003074584,SPINDLER,MEREDITH,A,MD,F,I,3900 WOODLAND AVE,"PADRECC, #127",PHILADELPHIA,PA,191044551,US,Physician/Neurology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,834.33,192.45933333,150.88733333,150.88733333
1003074584,SPINDLER,MEREDITH,A,MD,F,I,3900 WOODLAND AVE,"PADRECC, #127",PHILADELPHIA,PA,191044551,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,44,868,363.31285714,213.95,167.73691244,167.73691244
1003074733,ZITZKE,RYAN,C,M.D.,M,I,100 N SUMTER ST,"MEDICAL OFFICE BUILDING 2, SUITE 200",SUMTER,SC,291504975,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,67.3,18.488571429,12.231428571,11.228571429
1003074733,ZITZKE,RYAN,C,M.D.,M,I,100 N SUMTER ST,"MEDICAL OFFICE BUILDING 2, SUITE 200",SUMTER,SC,291504975,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,27.23,7.97,4.5833333333,4.5173333333
1003074733,ZITZKE,RYAN,C,M.D.,M,I,100 N SUMTER ST,"MEDICAL OFFICE BUILDING 2, SUITE 200",SUMTER,SC,291504975,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,196.23076923,127.21,99.73,87.48
1003074733,ZITZKE,RYAN,C,M.D.,M,I,100 N SUMTER ST,"MEDICAL OFFICE BUILDING 2, SUITE 200",SUMTER,SC,291504975,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,20,20,64.852,53.2,41.71,46.118
1003074733,ZITZKE,RYAN,C,M.D.,M,I,100 N SUMTER ST,"MEDICAL OFFICE BUILDING 2, SUITE 200",SUMTER,SC,291504975,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,375,266.98,207.2615,216.363
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,54,166,444,60.420045045,8.32,5.4552702703,5.4552702703
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,13.609,3.38,2.2525,2.2525
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,33,74,122,14.021557377,1.42,0.9866393443,0.9866393443
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,48.292857143,18.627857143,12.595714286,12.052857143
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,46.190588235,13.287058824,9.3547058824,8.0464705882
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,21,62,6.344516129,2.1793548387,1.4564516129,1.3370967742
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.783076923,6.1984615385,4.1523076923,3.9430769231
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,28.92,11.58,8.6165,8.4995
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,142.26954545,49.248181818,24.797727273,24.323181818
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,34,55.337647059,17.29,13.151470588,13.135
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,727.44083333,831.06083333
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,407.84117647,32.209411765,22.447058824,22.04
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,48,411.44645833,70.23,52.765833333,52.475416667
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,77.52,19.763870968,14.11483871,12.99516129
1003074907,CHASTANT,BRADLEY,J,M.D.,M,I,461 HEYMANN BLVD,,LAFAYETTE,LA,705032616,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,21.585454545,8.6927272727,6.8172727273,6.7190909091
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,15,10.022258065,6.9190322581,6.8480645161
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,70,58.11,43.222727273,40.060454545
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,74.834545455,47.311590909,33.619090909,31.960909091
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,254.73560976,77.18,60.472195122,55.388292683
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35,30.578181818,21.79,21.137272727
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,69,69,67.303188406,34.308550725,25.575652174,21.420434783
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,69,69,18.84,9.5976811594,7.1604347826,6.532173913
1003075060,CHHABLANI,NEETU,,M.D.,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,76.388387097,36.96,28.98,29.441612903
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,7.6583333333,1.45,0.9458333333,0.9616666667
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,50,77.1788,16.1012,11.8654,12.7738
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,2850,1074.31,842.26,842.26
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,31,43.790967742,5.5887096774,3.1890322581,2.6474193548
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,134,158,446.65936709,71.322658228,54.769493671,53.768670886
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,46,66,238.78787879,35.669545455,27.963181818,29.153939394
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,15,3770,0.3345649867,0.046071618,0.0302519894,0.0302519894
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,28,1740,10.872235632,3.0355689655,2.2974482759,2.2974482759
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,71.834285714,35.5,27.83,29.43
1003075110,SADIKOT,SEAN,S,M.D.,M,I,75 SUMMIT AVE,,HACKENSACK,NJ,076018504,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,41,41,76.43902439,33,24.60804878,24.60804878
1003075243,KALANTAR,MASOUD,,M.D.,M,I,3001 HOSPITAL DR,,CHEVERLY,MD,207851189,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35,17.29,13.55,13.531666667
1003075284,TRAMBADIA,MITESH,G,M.D.,M,I,6701 N CHARLES ST STE 5218,,BALTIMORE,MD,212046808,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,19,72.303157895,18.276842105,13.655789474,13.533684211
1003075284,TRAMBADIA,MITESH,G,M.D.,M,I,6701 N CHARLES ST STE 5218,,BALTIMORE,MD,212046808,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,15,19.328,8.854,6.51,6.222
1003075318,SRIDHAR,SRIVANI,,MD,F,I,3505 N. BELL SCHOOL RD.,,ROCKFORD,IL,61114,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,43,104,72.380769231,8.32,5.2676923077,5.2676923077
1003075318,SRIDHAR,SRIVANI,,MD,F,I,3505 N. BELL SCHOOL RD.,,ROCKFORD,IL,61114,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,14,15.046428571,1.42,0.8785714286,0.8785714286
1003075490,ZHOU,LOUISE,,M.D.,F,I,2711 X RAY DR STE 3701,,GASTONIA,NC,28054,US,Physician/Hematology-Oncology,S,J0895,"Injection, deferoxamine mesylate, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,228,62.256096491,11.136929825,8.7314912281,8.7314912281
1003075490,ZHOU,LOUISE,,M.D.,F,I,2711 X RAY DR STE 3701,,GASTONIA,NC,28054,US,Physician/Hematology-Oncology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,19,89,17.768539326,2.64,2.07,2.07
1003075664,BORRA,RAVI,C,M.D.,M,I,3305 ANDREWS HWY,SUITE B1,MIDLAND,TX,797035130,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,4.2466666667,0.51,0.3666666667,0.3666666667
1003075664,BORRA,RAVI,C,M.D.,M,I,3305 ANDREWS HWY,SUITE B1,MIDLAND,TX,797035130,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,62,141,648,57.966790123,8.32,6.2147993827,6.2147993827
1003075664,BORRA,RAVI,C,M.D.,M,I,3305 ANDREWS HWY,SUITE B1,MIDLAND,TX,797035130,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,20,45,45,14.138666667,3.38,2.65,2.65
1003075664,BORRA,RAVI,C,M.D.,M,I,3305 ANDREWS HWY,SUITE B1,MIDLAND,TX,797035130,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,17,23,23,21.662608696,2.12,1.5973913043,1.5973913043
1003075664,BORRA,RAVI,C,M.D.,M,I,3305 ANDREWS HWY,SUITE B1,MIDLAND,TX,797035130,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,23,52,121,13.372479339,1.42,1.0856198347,1.0856198347
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,134,39.356666667,30.857333333,30.514666667
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,201.0325,87.075,68.263125,67.87375
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,19,37,99.408648649,33.243243243,25.561891892,25.431621622
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,17,17,45.175294118,18.101764706,13.358235294,13.235294118
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,18,28,113,6.4934513274,2.0415929204,1.5791150442,1.5716814159
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,12,17,35.038235294,17.53,13.747647059,13.641764706
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,208.61814815,87.323333333,68.456666667,68.344814815
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,302.35909091,133.35363636,104.54727273,104.7
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,,53,61,28.840491803,4.0770491803,3.0042622951,3.4401639344
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,14,80,80,250.456375,35.8475,28.1045,27.8075
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,21,127,132,275.55886364,78.081666667,59.887575758,54.341969697
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,82,82,113.17073171,38.66097561,29.264878049,28.538292683
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2338,1.4200342173,0.1310179641,0.0980581694,0.0980581694
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,200,38.76,28.052307692,27.24
1003075821,HILLARY,LAUREN,E,PA-C,F,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,20,20,87.45,33,25.87,25.87
1003075862,ANDERSON,AKASHIA,,M.D.,F,I,211 HERITAGE PARK DR,,MURFREESBORO,TN,371291557,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,36,65,53.573384615,8.32,6.2223076923,6.2223076923
1003075946,COBBETT,LINDSEY,E,MD,F,I,1991 SPROUL RD STE 200,,BROOMALL,PA,19008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,30,71.889,8.32,5.6416666667,5.6416666667
1003075946,COBBETT,LINDSEY,E,MD,F,I,1991 SPROUL RD STE 200,,BROOMALL,PA,19008,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,306.87166667,47.2325,34.179166667,35.338333333
1003075946,COBBETT,LINDSEY,E,MD,F,I,1991 SPROUL RD STE 200,,BROOMALL,PA,19008,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,528.11478261,31.131304348,20.360869565,20.387826087
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,207,404,405,146.3568642,39.426765432,30.099851852,29.696666667
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,98,188,188,300.35058511,87.260106383,65.286117021,64.747287234
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,102,210,485,126.7811134,33.385649485,24.755773196,24.516020619
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,72,132,635,65.11911811,18.580944882,13.943244094,13.926740157
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,83,176,907,51.400286659,15.257684675,11.177508269,11.11646086
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,143,279,281,187.42576512,55.973309609,42.202135231,41.253629893
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,216,287,287,62.4871777,18.074320557,13.629303136,13.52912892
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,33,39,39,37.003846154,10.130769231,7.5346153846,7.7382051282
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,44,44,27.690454545,12.04,9.0109090909,8.72
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,232,469,2551,9.6141983536,2.0515248922,1.5547118777,1.5401019208
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,14,14,17.69,5.95,4.3271428571,4.3178571429
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,110,146,146,43.232465753,12.929246575,9.6808219178,9.8730136986
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,24,36.253333333,17.52,13.74,13.573333333
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,55,60,352.0375,91.116166667,70.061166667,67.662666667
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,18,67,69,784.33666667,226.55782609,173.34956522,168.18304348
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,94,95,95,317.83778947,133.29063158,103.39789474,103.59589474
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,53,60,78.3285,13.0985,10.102,10.129166667
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,140,888,891,148.242211,31.789506173,23.412716049,23.981930415
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,31,223,231,264.36649351,76.91012987,59.774025974,54.872077922
1003076159,BOLT,EVELYN,Y,MD,F,I,13654 XAVIER LN,SUITE 201B,BROOMFIELD,CO,800233606,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,238.04444444,38.76,30.185555556,29.403333333
1003076233,THOMPSON,JEFFREY,C,MD,M,I,400 S 43RD ST,RM 3H-1-053,RENTON,WA,980555714,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,18,14.11,13.5875
1003076233,THOMPSON,JEFFREY,C,MD,M,I,400 S 43RD ST,RM 3H-1-053,RENTON,WA,980555714,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,86.84,68.08,55.8425
1003076290,HSIEH,SHIH-AN,J,M.D.,M,I,3605 MAYFAIR AVE,,HIBBING,MN,557462935,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,13,294.07692308,98.666153846,73.135384615,50.52
1003076365,KOENIG,SCOTT,J,MD,M,I,45 CROSSWAYS PARK DR W,,WOODBURY,NY,117972002,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,90,90,70.56,63.1
1003076365,KOENIG,SCOTT,J,MD,M,I,45 CROSSWAYS PARK DR W,,WOODBURY,NY,117972002,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,295,260.69,204.38,214.93272727
1003076639,WESTON,NICOLETT,M,APRN,F,I,1037 MAIN ST,,CORVALLIS,MT,598289374,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,150,9.1319333333,7,4.7772,4.7772
1003076639,WESTON,NICOLETT,M,APRN,F,I,1037 MAIN ST,,CORVALLIS,MT,598289374,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.37,22.4775,17.620833333,14.031666667
1003076639,WESTON,NICOLETT,M,APRN,F,I,1037 MAIN ST,,CORVALLIS,MT,598289374,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,24.797666667,8.133,5.9713333333,3.6336666667
1003076639,WESTON,NICOLETT,M,APRN,F,I,1037 MAIN ST,,CORVALLIS,MT,598289374,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,110,60.653333333,47.551666667,36.225
1003076639,WESTON,NICOLETT,M,APRN,F,I,1037 MAIN ST,,CORVALLIS,MT,598289374,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,342.2604,103.372,78.6552,59.0208
1003076795,MYINT,RONALD,,M.D.,M,I,4400 W 95TH ST,SUITE 311,OAK LAWN,IL,604532654,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,19,98,37.38,29.3,29.3
1003076795,MYINT,RONALD,,M.D.,M,I,4400 W 95TH ST,SUITE 311,OAK LAWN,IL,604532654,US,Physician/Internal Medicine,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,495,203.93923077,159.88846154,159.88846154
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,41,165,326,57.366595092,8.32,6.1201533742,6.1201533742
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,46,53,17.651132075,1.42,1.0328301887,1.0328301887
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.15,0.13,0.1019166667,0.1019166667
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1560,2.1703846154,1.73,1.3563333333,1.5759679487
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,31,49,49,67.693877551,38.685306122,27.5,27.644897959
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,15,19,19,192.88,87.402631579,68.527894737,67.881052632
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,15,33,79,71.497721519,33.192151899,25.693544304,25.589873418
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,98,41.104489796,18.465612245,12.933061224,12.964693878
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,66,31.225,15.27,11.337727273,11.267575758
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,21,30,30,118.186,56.622,42.130333333,40.734333333
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,35,43,43,39.804883721,18.030232558,13.80372093,13.733023256
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,12,19,19,23.921052632,11.08,8.68,9.0273684211
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,34,61,316,4.0808860759,1.9962658228,1.4721202532,1.4981329114
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,18,24,24,42.833333333,13.344166667,9.5975,9.4845833333
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,28.932222222,13.314444444,9.5166666667,9.5513333333
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,63,63,120.28492063,31.732857143,21.062857143,21.157777778
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,332.25672727,69.99,51.299636364,51.169818182
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,20.2515,9.651,7.5424545455,7.5424545455
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,1410,1.1692269504,0.1287659574,0.093212766,0.093212766
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1230,13.061252033,3.0069756098,2.3574634146,2.3574634146
1003076894,MYRMOE,JASON,C,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,70.714285714,33,24.783809524,24.783809524
1003076902,LALA-TRINDADE,ANURADHA,,,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,46,5880,4.0376530612,0.5777346939,0.448255102,0.448255102
1003076902,LALA-TRINDADE,ANURADHA,,,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,40,6540,2.9237155963,1.1603027523,0.8834770642,0.8834770642
1003076902,LALA-TRINDADE,ANURADHA,,,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Cardiovascular Disease (Cardiology),S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,2700,4.6612222222,2.8585333333,2.2410925926,2.2410925926
1003076902,LALA-TRINDADE,ANURADHA,,,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,54,54,24,24,18.481111111,18.481111111
1003076902,LALA-TRINDADE,ANURADHA,,,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,51,54,16,16,12.307777778,12.307777778
1003077322,FENSTERSZAUB,SIMON,,D.O.,M,I,432 BEDFORD AVE,,BROOKLYN,NY,112496588,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,43,69.009069767,8.32,5.6127906977,5.6127906977
1003077322,FENSTERSZAUB,SIMON,,D.O.,M,I,432 BEDFORD AVE,,BROOKLYN,NY,112496588,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,152,29.912727273,23.455454545,26.169090909
1003077322,FENSTERSZAUB,SIMON,,D.O.,M,I,432 BEDFORD AVE,,BROOKLYN,NY,112496588,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.283636364,6.8727272727,5.39,6.7190909091
1003077538,WILLIAMS,EMMA,R,M.D.,F,I,17001 SCIENCE DR,SUITE 102,BOWIE,MD,207154329,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,31,104,50.942211538,8.32,5.9576923077,5.9576923077
1003077538,WILLIAMS,EMMA,R,M.D.,F,I,17001 SCIENCE DR,SUITE 102,BOWIE,MD,207154329,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.348333333,3.38,2.65,2.65
1003077538,WILLIAMS,EMMA,R,M.D.,F,I,17001 SCIENCE DR,SUITE 102,BOWIE,MD,207154329,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,42,16.032380952,1.42,1.0338095238,1.0338095238
1003077702,PAUL,ARUNAVA,,MD,M,I,"DEPARTMENT OF MEDICINE, HEALTH SCIENCES CENTER, T16-020",STONY BROOK UNIVERSITY,STONY BROOK,NY,117948160,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,36,77,59.085714286,8.32,5.6757142857,5.6757142857
1003077702,PAUL,ARUNAVA,,MD,M,I,"DEPARTMENT OF MEDICINE, HEALTH SCIENCES CENTER, T16-020",STONY BROOK UNIVERSITY,STONY BROOK,NY,117948160,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,16,134.853125,47.279375,31.471875,33.034375
1003077702,PAUL,ARUNAVA,,MD,M,I,"DEPARTMENT OF MEDICINE, HEALTH SCIENCES CENTER, T16-020",STONY BROOK UNIVERSITY,STONY BROOK,NY,117948160,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,836.14,836.14
1003077702,PAUL,ARUNAVA,,MD,M,I,"DEPARTMENT OF MEDICINE, HEALTH SCIENCES CENTER, T16-020",STONY BROOK UNIVERSITY,STONY BROOK,NY,117948160,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,11.027272727,4.3854545455,2.8690909091,3.1218181818
1003077702,PAUL,ARUNAVA,,MD,M,I,"DEPARTMENT OF MEDICINE, HEALTH SCIENCES CENTER, T16-020",STONY BROOK UNIVERSITY,STONY BROOK,NY,117948160,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6109090909,7.5054393939,7.5054393939
1003077702,PAUL,ARUNAVA,,MD,M,I,"DEPARTMENT OF MEDICINE, HEALTH SCIENCES CENTER, T16-020",STONY BROOK UNIVERSITY,STONY BROOK,NY,117948160,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,810,1.8882345679,0.1398518519,0.1096296296,0.1096296296
1003077702,PAUL,ARUNAVA,,MD,M,I,"DEPARTMENT OF MEDICINE, HEALTH SCIENCES CENTER, T16-020",STONY BROOK UNIVERSITY,STONY BROOK,NY,117948160,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,99,33,23.953703704,23.953703704
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,1200,1.3569,0.44,0.345,0.3875833333
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,46,130,236,7.2788983051,2.0359322034,1.5421186441,1.1337711864
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,30,39,39,63.414615385,17.63025641,13.311282051,8.6107692308
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,37,11.704324324,3.1518918919,2.4716216216,1.6664864865
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,58,387,406,57.377660099,21.775,16.252315271,13.069162562
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,25,27,187.20925926,60.43,47.376296296,39.607777778
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1575,1074.31,830.30416667,830.30416667
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,7,23,154,155,2747.5709677,1074.31,837.52225806,837.52225806
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,17,17,294.81411765,111.40411765,80.573529412,58.725294118
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,17,78,399,414,26.160652174,7.5220289855,5.6192995169,3.6780193237
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,20,110,786,821,335.90313033,98.677819732,74.02590743,54.389257004
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,20,113,131,132.98351145,44.736335878,32.985572519,28.249007634
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,14,20,20,20,62.985,57,40.221,40.221
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,47,329,20046,17.003114836,9.6172049287,7.4423211613,7.4423211613
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,1680,16.00175,11.177285714,8.6803511905,8.6803511905
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,34,128,25567,0.3103395001,0.0461653694,0.0353166191,0.0353166191
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,32,92,338,33119,1.4765008001,0.1348724297,0.0999393098,0.0999393098
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,63,393,23556,11.167230854,2.999842503,2.3158286636,2.3158286636
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,25,61,2460,2.2524227642,0.2186341463,0.1632764228,0.1632723577
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,101,102,118.13892157,44.395294118,34.486078431,29.889705882
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,36,151,717,718,77.4,33,25.194860724,25.194860724
1003077934,KUMMERFELDT FABIAN,CARLOS,E,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,15,15,67.866666667,66,51.74,51.74
1003078007,POLSAK,MICHOLEE,B,DO,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020",KANSAS UNIVERSITY PHYSICIANS INC,KANSAS CITY,KS,66160,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,26,117,68.844700855,8.32,6.5229059829,6.5229059829
1003078007,POLSAK,MICHOLEE,B,DO,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020",KANSAS UNIVERSITY PHYSICIANS INC,KANSAS CITY,KS,66160,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,6360,2.5283018868,0.2993396226,0.2191430818,0.2276446541
1003078007,POLSAK,MICHOLEE,B,DO,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020",KANSAS UNIVERSITY PHYSICIANS INC,KANSAS CITY,KS,66160,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,4050,0.0351654321,0.0128518519,0.0100790123,0.0100790123
1003078007,POLSAK,MICHOLEE,B,DO,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020",KANSAS UNIVERSITY PHYSICIANS INC,KANSAS CITY,KS,66160,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,109.6875,20.1105,14.788,12.881
1003078007,POLSAK,MICHOLEE,B,DO,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020",KANSAS UNIVERSITY PHYSICIANS INC,KANSAS CITY,KS,66160,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,16,16,16,12.541875,12.541875
1003078049,DUMITRESCU,ALEXANDRA,M,M.D. PH.D.,F,I,5841 S MARYLAND AVE,"UNIV OF CHICAGO MEDICAL CENTER, MC3090 ROOM M367",CHICAGO,IL,606371447,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,30,54,216,75.244490741,8.3133333333,6.0039814815,6.009212963
1003078049,DUMITRESCU,ALEXANDRA,M,M.D. PH.D.,F,I,5841 S MARYLAND AVE,"UNIV OF CHICAGO MEDICAL CENTER, MC3090 ROOM M367",CHICAGO,IL,606371447,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,18,30,50,13.7114,1.42,1.0924,1.0924
1003078049,DUMITRESCU,ALEXANDRA,M,M.D. PH.D.,F,I,5841 S MARYLAND AVE,"UNIV OF CHICAGO MEDICAL CENTER, MC3090 ROOM M367",CHICAGO,IL,606371447,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,306.565,250.939375,196.73625,196.869375
1003078254,RUTKOWSKI,PAUL,M,D.O.,M,I,575 N RIVER ST,,WILKES BARRE,PA,187640999,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,37,73,83.651643836,8.32,6.2538356164,6.2538356164
1003078254,RUTKOWSKI,PAUL,M,D.O.,M,I,575 N RIVER ST,,WILKES BARRE,PA,187640999,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,49.24,11.945454545,9.3627272727,9.7554545455
1003078254,RUTKOWSKI,PAUL,M,D.O.,M,I,575 N RIVER ST,,WILKES BARRE,PA,187640999,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,187.5,48.246666667,37.826666667,37.846666667
1003078254,RUTKOWSKI,PAUL,M,D.O.,M,I,575 N RIVER ST,,WILKES BARRE,PA,187640999,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,36.88,16.639230769,12.552307692,13.049615385
1003078254,RUTKOWSKI,PAUL,M,D.O.,M,I,575 N RIVER ST,,WILKES BARRE,PA,187640999,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,230,73.732,55.949,52.905666667
1003078254,RUTKOWSKI,PAUL,M,D.O.,M,I,575 N RIVER ST,,WILKES BARRE,PA,187640999,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,67,19.385333333,10.67,9.6066666667
1003078254,RUTKOWSKI,PAUL,M,D.O.,M,I,575 N RIVER ST,,WILKES BARRE,PA,187640999,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,75,39.36,30.86,29.51
1003078510,SARASWAT,ARUNA,A,MD,F,I,732 HARRISON AVE,,BOSTON,MA,021182309,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,28,351,60.909173789,19.64994302,15.405356125,15.405356125
1003078510,SARASWAT,ARUNA,A,MD,F,I,732 HARRISON AVE,,BOSTON,MA,021182309,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,29,846,8.7888179669,2.6324349882,2.0637470449,2.0637470449
1003078510,SARASWAT,ARUNA,A,MD,F,I,732 HARRISON AVE,,BOSTON,MA,021182309,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,37,92,511,72.303150685,8.32,6.1397064579,6.1397064579
1003078510,SARASWAT,ARUNA,A,MD,F,I,732 HARRISON AVE,,BOSTON,MA,021182309,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,36,103,14.66,1.42,1.0050485437,1.0050485437
1003078510,SARASWAT,ARUNA,A,MD,F,I,732 HARRISON AVE,,BOSTON,MA,021182309,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,928.988,329.313,253.39666667,253.39666667
1003078510,SARASWAT,ARUNA,A,MD,F,I,732 HARRISON AVE,,BOSTON,MA,021182309,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,45,47,322.05106383,250.67957447,196.53255319,196.86957447
1003078528,RAY-DEERING,ABBIE,K,MD,F,I,17500 BURKE ST,,OMAHA,NE,681182244,US,Hospitalist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,33,139.55727273,34.632424242,27.152727273,24.068787879
1003078932,STERNBERG,KEVAN,M,M.D.,M,I,111 COLCHESTER AVE,EP5,BURLINGTON,VT,054011473,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,2190,0.1908219178,0.13,0.1019223744,0.1019223744
1003078932,STERNBERG,KEVAN,M,M.D.,M,I,111 COLCHESTER AVE,EP5,BURLINGTON,VT,054011473,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,4950,4.3736363636,2.04,1.570369697,1.570369697
1003078932,STERNBERG,KEVAN,M,M.D.,M,I,111 COLCHESTER AVE,EP5,BURLINGTON,VT,054011473,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,3350,10.256208955,7.23,5.6683283582,5.6683283582
1003078981,LEE,PAUL,C,M.D.,M,I,1520 SAN PABLO ST STE 2000,,LOS ANGELES,CA,900335322,US,Physician/Physical Medicine and Rehabilitation,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,1500,1146.08,898.52,886.5
1003079120,HOFSTRA,JENNIFER,A,MD,F,I,1055 N CURTIS ROAD,,BOISE,ID,83706,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,95,22.253636364,17.445454545,13.53
1003079120,HOFSTRA,JENNIFER,A,MD,F,I,1055 N CURTIS ROAD,,BOISE,ID,83706,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,434.34736842,91.064210526,71.395789474,55.031052632
1003079294,MADARANG,WILFRED ALEX,,M.D.,M,I,924 S PINES RD,,SPOKANE VALLEY,WA,992065423,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,30,50.662,8.32,4.7833333333,4.7833333333
1003079294,MADARANG,WILFRED ALEX,,M.D.,M,I,924 S PINES RD,,SPOKANE VALLEY,WA,992065423,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,64,17.09,11.725,11.86125
1003079294,MADARANG,WILFRED ALEX,,M.D.,M,I,924 S PINES RD,,SPOKANE VALLEY,WA,992065423,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,517.64228571,65.7,43.648857143,46.961714286
1003079294,MADARANG,WILFRED ALEX,,M.D.,M,I,924 S PINES RD,,SPOKANE VALLEY,WA,992065423,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.64,24.591666667,24.591666667
1003079302,KEELER,JANA,,PA-C,F,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,38,78.488947368,8.32,5.8342105263,5.8342105263
1003079302,KEELER,JANA,,PA-C,F,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,366,275,7.1109836066,5.5749726776,4.1631147541
1003079302,KEELER,JANA,,PA-C,F,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician Assistant,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6570,3,0.4724657534,0.3704109589,0.2900761035
1003079302,KEELER,JANA,,PA-C,F,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,16.588333333,12.498333333
1003079302,KEELER,JANA,,PA-C,F,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,388.23529412,108.16,81.284705882,63.422352941
1003079328,PAULEY,KAREN,,PA-C,F,I,402 S STATE ST,,MARION,OH,433025000,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,33,113,61.404778761,8.32,5.1407079646,5.1407079646
1003079328,PAULEY,KAREN,,PA-C,F,I,402 S STATE ST,,MARION,OH,433025000,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,13,15,3.38,2.0384615385,2.0384615385
1003079328,PAULEY,KAREN,,PA-C,F,I,402 S STATE ST,,MARION,OH,433025000,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,41,15.365365854,1.42,1.0597560976,1.0597560976
1003079328,PAULEY,KAREN,,PA-C,F,I,402 S STATE ST,,MARION,OH,433025000,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,41.377391304,7.9582608696,5.817826087,3.2808695652
1003079435,JANZ,BRIAN,A,MD,M,I,10 CROSSROADS DR,210,OWINGS MILLS,MD,211175458,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,62,63,66,250.75757576,215.58,168.35939394,170.96833333
1003079435,JANZ,BRIAN,A,MD,M,I,10 CROSSROADS DR,210,OWINGS MILLS,MD,211175458,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,47,49,66,125.07575758,59.74,44.208181818,43.770151515
1003079450,CRAVEN,SUSAN,L,NP,F,I,106 JEFFERSON ST,,HAMLET,NC,283453100,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.99,7.6325,5.9816666667,5.9533333333
1003079476,KLEINMAN,BENJAMIN,J,DPM,M,I,5205 EAST DR,STE. I,ARBUTUS,MD,212272403,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,15,770,444.02,348.12,354.02
1003079997,TOFILON,SARAH,A,MD,F,I,802 KENYON RD,MCFARLAND CLINIC,FORT DODGE,IA,505015740,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,1092,28.333333333,5.0958058608,3.9504945055,3.9504945055
1003079997,TOFILON,SARAH,A,MD,F,I,802 KENYON RD,MCFARLAND CLINIC,FORT DODGE,IA,505015740,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,20,48,62.1525,39.11,26.874791667,26.949583333
1003079997,TOFILON,SARAH,A,MD,F,I,802 KENYON RD,MCFARLAND CLINIC,FORT DODGE,IA,505015740,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,17.251666667,17.251666667
1003080557,ARMOUR,RYAN,A,D.O.,M,I,3000 Q STREET,,SACRAMENTO,CA,95816,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2975,913.16,715.92,830.77454545
1003080557,ARMOUR,RYAN,A,D.O.,M,I,3000 Q STREET,,SACRAMENTO,CA,95816,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,148.8,36.180909091,28.369090909,27.606363636
1003081076,PEREZ,RAUL,I,M.D,M,I,605 S BROAD ST UNIT B,,ELIZABETH,NJ,072022601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,32,60,32.580833333,8.32,5.9791666667,5.9791666667
1003081076,PEREZ,RAUL,I,M.D,M,I,605 S BROAD ST UNIT B,,ELIZABETH,NJ,072022601,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,30,34,15.707941176,1.42,1.0188235294,1.0188235294
1003081241,LINDEMAN,BRIAN,M,M.D.,M,I,5005 NE SANDY BLVD,,PORTLAND,OR,97213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,64,49.20546875,8.32,6.11625,6.11625
1003081241,LINDEMAN,BRIAN,M,M.D.,M,I,5005 NE SANDY BLVD,,PORTLAND,OR,97213,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,77.18,51.4,46.093333333
1003081241,LINDEMAN,BRIAN,M,M.D.,M,I,5005 NE SANDY BLVD,,PORTLAND,OR,97213,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,40,28.746666667,27.050833333
1003081928,HUDSON,TAMARA,S,MD,F,I,121 CALLE DEL PRESIDENTE,,BERNALILLO,NM,870046091,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,81,66.96037037,8.32,4.1367901235,4.1367901235
1003081928,HUDSON,TAMARA,S,MD,F,I,121 CALLE DEL PRESIDENTE,,BERNALILLO,NM,870046091,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,583.76636364,86.09,56.876363636,47.596363636
1003081928,HUDSON,TAMARA,S,MD,F,I,121 CALLE DEL PRESIDENTE,,BERNALILLO,NM,870046091,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,22.972,17.5825,8.5255,8.9465
1003081928,HUDSON,TAMARA,S,MD,F,I,121 CALLE DEL PRESIDENTE,,BERNALILLO,NM,870046091,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,6.7333333333,2.0833333333,3.4841666667
1003081944,TOURE,TONSLYN,,MD,F,I,375 WAMPANOAG TRL STE 202B,,RIVERSIDE,RI,02915,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,40,90,283,75.178480565,8.32,6.1708833922,6.1708833922
1003081944,TOURE,TONSLYN,,MD,F,I,375 WAMPANOAG TRL STE 202B,,RIVERSIDE,RI,02915,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,24,38,70,15.369857143,1.42,1.0825714286,1.0825714286
1003082017,PRYOR,JOHN,D,M.D.,M,I,1100 PACIFIC AVE,SUITE 300,EVERETT,WA,982014261,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,58.333333333,26.8225,21.0275,21.004166667
1003082785,SHEIK,SABA,,M.D.,F,I,822 KUMHO DR,STE 202,FAIRLAWN,OH,443339297,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24,5.7516666667,2.8466666667,2.2533333333
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,26,73,178,54.126067416,8.32,5.6073595506,5.6073595506
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,11.961111111,3.38,2.65,2.65
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,36,55,11.537272727,1.42,1.0334545455,1.0334545455
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,23,46,8.6323913043,1.47,0.9782608696,0.9782608696
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,34,89.622352941,17.29,13.151470588,13.135
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24,4.7027272727,2.8681818182,2.8672727273
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,496.88654545,70.23,51.055636364,50.765090909
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,15.58,9.642,7.3680266667,7.3680266667
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,7564,0.1653714966,0.046581174,0.0305803808,0.0305803808
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,3240,1.0593611111,0.1384074074,0.1060030864,0.1060030864
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,540,0.75,0.2185555556,0.1713333333,0.1713333333
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,114.92727273,18.2,9.0809090909,8.3363636364
1003083205,MAY,WALKER,,,M,I,1003 S SPRUCE ST,NCMC MEDICAL AND SURGICAL CLINIC,VIVIAN,LA,710823100,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,76,76,114.27631579,33,24.324078947,24.324078947
1003084120,NOWAIN,ARASH,,MD,M,I,9730 WILSHIRE BLVD,SUITE 115,BEVERLY HILLS,CA,902122022,US,Physician/Gastroenterology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,11.3985,5.54,3.9815416667,3.9815416667
1003084120,NOWAIN,ARASH,,MD,M,I,9730 WILSHIRE BLVD,SUITE 115,BEVERLY HILLS,CA,902122022,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.046,3.04,2.147625,2.147625
1003084336,VAUGHN,RENATA,J,"APN, FNP",F,I,1530 N CHURCH ST,,JONESBORO,AR,724011515,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,30,49.655,8.32,5.0006666667,5.0006666667
1003084336,VAUGHN,RENATA,J,"APN, FNP",F,I,1530 N CHURCH ST,,JONESBORO,AR,724011515,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,387.36909091,70.23,48.538636364,48.229545455
1003084567,TYLER HAYES,KELLI,C,FNP,F,I,7008 INDIANA AVE,STE A,LUBBOCK,TX,794136114,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,558,275,5.18,3.7405555556,3.84390681
1003084567,TYLER HAYES,KELLI,C,FNP,F,I,7008 INDIANA AVE,STE A,LUBBOCK,TX,794136114,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7555,4.0879444077,0.31,0.2430416942,0.2430416942
1003084567,TYLER HAYES,KELLI,C,FNP,F,I,7008 INDIANA AVE,STE A,LUBBOCK,TX,794136114,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,36.9775,17.27,13.54,13.54
1003084567,TYLER HAYES,KELLI,C,FNP,F,I,7008 INDIANA AVE,STE A,LUBBOCK,TX,794136114,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,227.54285714,68.78,52.752857143,53.496428571
1003084567,TYLER HAYES,KELLI,C,FNP,F,I,7008 INDIANA AVE,STE A,LUBBOCK,TX,794136114,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,116.63833333,34.811666667,27.293333333,26.719166667
1003084567,TYLER HAYES,KELLI,C,FNP,F,I,7008 INDIANA AVE,STE A,LUBBOCK,TX,794136114,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,24.253125,24.253125
1003084708,ALI,ABBAS,A,M.D.,M,I,600 GRESHAM DR,STE B,NORFOLK,VA,235071904,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,428.58913043,85.66173913,67.157826087,54.722173913
1003084708,ALI,ABBAS,A,M.D.,M,I,600 GRESHAM DR,STE B,NORFOLK,VA,235071904,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,95,38.05,29.83,29.51
1003085192,PRICE,ROBERT,H,M.D.,M,I,35 CASA ST,SUITE 130,SAN LUIS OBISPO,CA,934051818,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,61,13.56704918,2.02,1.5850819672,1.5936065574
1003085192,PRICE,ROBERT,H,M.D.,M,I,35 CASA ST,SUITE 130,SAN LUIS OBISPO,CA,934051818,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,207.40571429,33.761428571,25.312857143,25.560952381
1003085226,ZAFAR,SALEEM,S,M.D.,M,I,3020 N MCCORD RD,SUITE 100,TOLEDO,OH,436151702,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,2830,5.0304452297,1.92,1.472335689,1.5587385159
1003085572,DENYSIAK,BARBARA,,M.D.,F,I,3969 4TH AVE,STE. 203,SAN DIEGO,CA,921033165,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,43,59.361627907,8.32,5.4609302326,5.4609302326
1003085671,SAUBER,TIMOTHY,J,MD,M,I,1307 FEDERAL ST,,PITTSBURGH,PA,152124769,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,131.92545455,50.719090909,39.764545455,36.46
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,33,78,192,53.389479167,8.32,5.94390625,5.94390625
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,29,32,10.63875,1.42,0.943125,0.943125
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,147,55.274545455,39.045454545,39.004545455
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,61.818181818,18.140909091,11.474545455,11.461818182
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,62.438461538,11.69,7.7169230769,7.7592307692
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,43,7.856744186,2.0574418605,1.2572093023,1.2613953488
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,79.77,47.37,31.839166667,32.34
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,45,13.300714286,4.47,4.5071428571
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,35,36,24,4.7794444444,3.5269444444,3.4222222222
1003086364,CABRERA,JASMIN,R,M.D.,F,I,3740 UTICA RIDGE RD,SUITE B,BETTENDORF,IA,527221657,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,33,249.2169697,31.557272727,14.567878788,14.408787879
1003086398,CHAVARKAR,MRUNALINI,R,M.D.,F,I,2100 WESCOTT DR,,FLEMINGTON,NJ,088224603,US,Physician/Pediatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,128.98,42.5,24.999090909,26.19
1003086448,KAISER,RACHEL,,"MD, MPH",F,I,5454 WISCONSIN AVE,SUITE 600,CHEVY CHASE,MD,208156901,US,Physician/Rheumatology,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,27,126,83.21,63.51037037,65.341481481
1003086588,VUTURO,MAGGIE,D,MD,F,I,520 S EAGLE RD,STE 3112,MERIDIAN,ID,836426351,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,15,68,15090,4.8681676607,1.7937872763,1.3807276342,1.5399257787
1003086976,KHERA,VANDANA,,M.D.,F,I,18717 UNIVERSITY BLVD BLDG 2,SUITE 105,SUGAR LAND,TX,774794633,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,25,78,74.389358974,8.32,5.6857692308,5.6857692308
1003086976,KHERA,VANDANA,,M.D.,F,I,18717 UNIVERSITY BLVD BLDG 2,SUITE 105,SUGAR LAND,TX,774794633,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,125,52.576666667,41.22,37.506666667
1003086976,KHERA,VANDANA,,M.D.,F,I,18717 UNIVERSITY BLVD BLDG 2,SUITE 105,SUGAR LAND,TX,774794633,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,110,44.66,35.013333333,35.275833333
1003087248,TUCKER,DALKEITH,F,D.O.,M,I,1000 HOUGHTON AVE,,SAGINAW,MI,486025303,US,Physician/Emergency Medicine,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,115,101.74545455,79.769090909,86.928181818
1003087388,OTI,IFEATU,U,MD,F,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,24,24,18.82,18.82
1003087768,BATUS,MARTA,,MD,F,I,1725 W HARRISON ST,SUITE 809,CHICAGO,IL,606123841,US,Physician/Medical Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,74.534545455,23.066363636,18.083636364,15.953636364
1003087768,BATUS,MARTA,,MD,F,I,1725 W HARRISON ST,SUITE 809,CHICAGO,IL,606123841,US,Physician/Medical Oncology,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,711.78,146.0275,114.485,115.1425
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,32,110,59.188090909,8.32,5.455,5.455
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.2,3.38,1.4454545455,1.4454545455
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,16,34,16.585,1.42,0.9167647059,0.9167647059
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,21,8.829047619,1.9819047619,1.3204761905,0.9985714286
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,54.083478261,8.7773913043,6.4991304348,3.7356521739
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,519.51,84.321052632,53.94,43.253684211
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1811,0.2446051905,0.0470679183,0.0353616786,0.0353616786
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.75,0.2195,0.1578611111,0.1578611111
1003087891,PAGET,EDWARD,T,M.D.,M,I,1600 BAILEY AVE,SUITE 1,NEEDLES,CA,923633105,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1003088485,CADET,FRANCOEUR,,D.O,M,I,232 N ORANGE BLOSSOM TRL,,ORLANDO,FL,328051612,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,19,50.61,8.32,4.12,4.12
1003088550,SOFKA,SARAH,H,MD,F,I,101 STADIUM DR,,MORGANTOWN,WV,265067911,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,450,95.845,56.384166667,36.065
1003088840,CONNERY,JENNY,M,M.D.,F,I,101 FOUNDERS PL,SUITE 109,ASPEN,CO,816111476,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,36,419.67333333,102.61833333,80.455,56.98
1003088840,CONNERY,JENNY,M,M.D.,F,I,101 FOUNDERS PL,SUITE 109,ASPEN,CO,816111476,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,35.0825,30.111666667
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,29,50,50,115.2686,39.1818,29.3126,29.1088
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,13,22,22,268.83909091,89.53,65.032272727,62.681818182
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,45,122.912,32.4,25.4,25.916666667
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,103,90.061067961,18.09,13.22,13.573883495
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,22,36,36,218.46472222,53.645833333,38.649722222,39.349722222
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,34,34,60.165588235,17.994705882,13.274705882,13.235882353
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,26,48,264,9.9646212121,2.0496969697,1.52125,1.5082954545
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,13,13,47.345384615,12,9.41,10.268461538
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,3312.76,1074.31,842.26,842.26
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,354.984,132.90533333,90.322666667,90.761333333
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,50.73,3.7572727273,2.9487878788,3.7512121212
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,24,142,142,139.36197183,32.584084507,24.471056338,24.675492958
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,86,86,568.32767442,77.506976744,58.59627907,53.54372093
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,53,99.15754717,40.129245283,29.632075472,27.965471698
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,249.77857143,41.25,31.679642857,29.557142857
1003089673,DAVIDOFF,SAM,,D.O.,M,I,317 BROADWAY STE A,,AMITYVILLE,NY,117012709,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,,14,14,33,33,25.87,25.87
1003089814,LUKENBILL,JOSHUA,C,D.O.,M,I,1221 PLEASANT STREET,SUITE 100,DES MOINES,IA,50309,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,400,79.348181818,62.208181818,58.411818182
1003089814,LUKENBILL,JOSHUA,C,D.O.,M,I,1221 PLEASANT STREET,SUITE 100,DES MOINES,IA,50309,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,21,1557,38.878265896,5.4225305074,4.1591072575,4.1591072575
1003089814,LUKENBILL,JOSHUA,C,D.O.,M,I,1221 PLEASANT STREET,SUITE 100,DES MOINES,IA,50309,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,24,24,18.82,18.82
1003089814,LUKENBILL,JOSHUA,C,D.O.,M,I,1221 PLEASANT STREET,SUITE 100,DES MOINES,IA,50309,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,17,16,16,12.541764706,12.541764706
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,11,32,413,60.916319613,19.642445521,15.399418886,15.399418886
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,11,32,938,8.0747441365,2.6323240938,2.0636673774,2.0636673774
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,75,94,333,1467,72.654471711,8.32,6.1894819359,6.1894819359
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,41,111,215,14.823302326,1.42,1.0265581395,1.0265581395
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,697.42347826,323.30869565,246.57173913,246.57173913
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,1920,16.501119792,10.681041667,8.29921875,8.29921875
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,11,28,28,265.53178571,251.11,196.87,196.87
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,279.42545455,264.16,207.1,207.1
1003089871,RICHARDS,PATRICK,,MD,M,I,3000 Q ST,,SACRAMENTO,CA,958167058,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,14.75,0.6072727273,0.4760606061,0.4760606061
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,36,106,251,63.455219124,8.32,5.2856175299,5.2856175299
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,36,58,14.684655172,1.42,0.9420689655,0.9420689655
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,35,6.0351428571,2.066,1.4745714286,1.0482857143
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,30,10.18,2.6266666667,1.706,1.2733333333
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,63.576153846,61.763846154,40.711538462,30.724615385
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,53.39375,21.4775,16.21375,12.96625
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,11,11,25.75,5.2027272727,2.1190909091,1.6381818182
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,133,135,481.47748148,100.24555556,72.55162963,51.834888889
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,250,43.235454545,27.924545455,24.147272727
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,15.58,9.6897142857,7.5967301587,7.5967301587
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1200,21.69425,11.36835,8.9128166667,8.9128166667
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,32,7469,0.3412076583,0.0459526041,0.0301097871,0.0301097871
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,12.86,2.84625,2.2314791667,2.2314791667
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,737,1.3568113976,0.2181818182,0.1485345997,0.1485345997
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22.925,20.375,8.805,7.2766666667
1003089905,SHORT,MILISSA,K,FNP-BC,F,I,10003 WEBSTER ROAD,,CAMDEN ON GAULEY,WV,262080069,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,63,63,78.571428571,33,22.995555556,22.995555556
1003090358,REILKOFF,RONALD,A,M.D.,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,554554800,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,12,15,63.523333333,17.95,9.38,9.0266666667
1003090358,REILKOFF,RONALD,A,M.D.,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,554554800,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,232.35,48.31,29.609444444,29.415
1003090358,REILKOFF,RONALD,A,M.D.,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,554554800,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,4430.1,1074.31,833.82058824,833.82058824
1003090358,REILKOFF,RONALD,A,M.D.,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,554554800,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,642,10.330358255,2.9592990654,1.5193457944,1.5193457944
1003090382,TILLETT,JOHN,W,M.D.,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,34,70.330588235,28.46,21.000588235,21.000588235
1003090382,TILLETT,JOHN,W,M.D.,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2375,7.8868210526,7.88,6.0917136842,6.0917136842
1003090382,TILLETT,JOHN,W,M.D.,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,32,14.59125,7.46,5.118125,5.118125
1003090382,TILLETT,JOHN,W,M.D.,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,180,3.3017777778,1.8,1.3482222222,1.3482222222
1003090382,TILLETT,JOHN,W,M.D.,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,420,0.2595238095,0.09,0.0637857143,0.0637857143
1003090614,GFELLER,ELRAH,F,PA-C,F,I,2285 E FLAMINGO RD,#105,LAS VEGAS,NV,891195100,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,48,56,131,622,75.73585209,8.3131511254,5.9507073955,5.9560450161
1003090614,GFELLER,ELRAH,F,PA-C,F,I,2285 E FLAMINGO RD,#105,LAS VEGAS,NV,891195100,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,36,60,148,15.485135135,1.42,1.0529054054,1.0529054054
1003090663,SHAH,MANSI,,D.O.,F,I,1455 E BERT KOUN LOOP,#210,SHREVEPORT,LA,71105,US,Physician/Rheumatology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,130,32.76,23.238461538,22.876923077
1003091539,WOO,KIHO,,M.D.,M,I,101 E. VALENCIA DR.,,FULLERTON,CA,928353809,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,156.93714286,51.509285714,40.386428571,40.269285714
1003091539,WOO,KIHO,,M.D.,M,I,101 E. VALENCIA DR.,,FULLERTON,CA,928353809,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,65.692121212,15.236969697,10.738787879,13.277878788
1003091976,RAMOS,DAVID,A,MD,M,I,3110 NOGALITOS,SUITE 105,SAN ANTONIO,TX,782252337,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,32,84,56.578214286,8.32,6.0032142857,6.0032142857
1003091976,RAMOS,DAVID,A,MD,M,I,3110 NOGALITOS,SUITE 105,SAN ANTONIO,TX,782252337,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.005454545,3.38,2.65,2.65
1003091976,RAMOS,DAVID,A,MD,M,I,3110 NOGALITOS,SUITE 105,SAN ANTONIO,TX,782252337,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,24,11.605416667,1.42,0.9791666667,0.9791666667
1003091976,RAMOS,DAVID,A,MD,M,I,3110 NOGALITOS,SUITE 105,SAN ANTONIO,TX,782252337,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,53.741111111,3.7883333333,2.965,3.4927777778
1003092065,HALL,CHERYL,M,PA-C,F,I,806 HAY ST,,FAYETTEVILLE,NC,283055312,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,41,85.358292683,8.32,5.2612195122,5.2612195122
1003092065,HALL,CHERYL,M,PA-C,F,I,806 HAY ST,,FAYETTEVILLE,NC,283055312,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,64,21.985,13.816428571,10.311428571
1003092065,HALL,CHERYL,M,PA-C,F,I,806 HAY ST,,FAYETTEVILLE,NC,283055312,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,410,98.85,60.422857143,39.092857143
1003092370,DIETERLE,KATIE,L,RPA-C,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,40,64.2985,8.32,4.7295,4.7295
1003092701,TYNER,RYAN,P,M.D.,M,I,715 DR MARTIN LUTHER KING JR AVE NE,,ALBUQUERQUE,NM,871023661,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,265,100,5.34,3.9476981132,3.9268301887
1003092701,TYNER,RYAN,P,M.D.,M,I,715 DR MARTIN LUTHER KING JR AVE NE,,ALBUQUERQUE,NM,871023661,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5301,1.4016525184,0.3,0.2200679117,0.2272495756
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,26,60,181,52.001270718,8.3040883978,5.0352486188,5.0508287293
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,12.082666667,3.38,2.2966666667,2.2966666667
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,20,39,58,11.806551724,1.42,0.9039655172,0.9039655172
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,44,6.4759090909,1.9213636364,1.2177272727,0.9129545455
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,67,74,86.31,22.224594595,16.414594595,13.022567568
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,22.01,12.912727273,3.7918181818,2.9772727273
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,12,89,96,519.51,100.263125,73.532708333,52.500833333
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,52,17780,0.2936096738,0.0463515186,0.0282227222,0.0282227222
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2370,0.9495991561,0.1325189873,0.0820337553,0.0820337553
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,1721,0.8823590936,0.2191226031,0.1658163858,0.1658163858
1003093097,WHITEHAIR,AIMEE,M,MD,F,I,ROUTE 4 & 20 S. INTERSECTION,,ROCKCAVE,WV,26234,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,71,71,108.29577465,33,21.829859155,21.829859155
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,70,148,402,53.236094527,8.32,6.3918905473,6.3918905473
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,15.331304348,3.38,2.65,2.65
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,22.918823529,2.12,1.67,1.67
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,59,109,166,13.409759036,1.42,1.0947590361,1.0947590361
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.291,3.04,2.2302727273,2.2302727273
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,20,21,40,79.181,71.56,56.10525,56.10525
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,20,20,117,32.776923077,29.19,22.885042735,22.886495726
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,35,1058,121.57593573,3.17,2.2670037807,2.1596124764
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,27,836,275,5.4,4.2335526316,4.1658253589
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,48,23177,4.6941368598,0.6800742115,0.5239776503,0.5082374768
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,75.38,60.3375,47.300625,43.595625
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,36,36,161.13055556,52.695555556,37.24,34.947222222
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,63,63,44.763333333,3.7119047619,2.7214285714,3.4480952381
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,4.91,3.5,3.5936363636
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,23,519.51,76.062173913,57.074347826,54.42
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,17,5000,0.273706,0.045866,0.035964,0.035962
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,62,62,60.825806452,17.97483871,13.883225806,14.202258065
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,14,116.41,27.264285714,21.367857143,20.435
1003093147,COOPER-DOCKERY,DONA,E,MD,F,I,801 E NOLANA AVE,STE 12,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,11,11,33,33,22.924545455,22.924545455
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,37,96,97,180.11443299,42.687628866,29.679175258,27.079381443
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,25,77,155,7.9221290323,1.6272903226,1.1854193548,1.0677419355
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,10,17,23,23,77.613043478,14.290434783,10.335652174,8.32
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,60,147,148,510.73689189,99.718513514,70.61222973,62.31
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,56,159,406,189.79881773,37.95270936,27.923399015,24.717241379
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,22,57,321,108.60573209,22.485981308,16.771838006,13.73694704
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,24,126,78.474047619,16.416269841,12.459206349,11.481904762
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,34,78,78,313.52128205,65.182948718,48.743333333,40.988974359
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,82,120,120,93.699166667,21.309583333,16.132666667,13.792
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,53,127,127,102.34149606,15.651889764,11.761811024,9.1393700787
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,89,248,1259,13.696679905,2.3872676728,1.7953137411,1.5436060365
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,25,25,34.8332,6.8864,5.2552,4.5148
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,59,85,85,52.717294118,14.470352941,10.911647059,10.014941176
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,40,272,274,84.601240876,18.762481752,13.118722628,12.294124088
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,47,52,226.1625,52.908846154,39.960384615,37.348846154
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,91,91,4379.7476923,1074.31,836.71362637,836.71362637
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,22,145,147,645.06727891,88.594897959,64.59877551,59.973333333
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,26,137,144,81.75,12.537916667,8.79125,8.5254166667
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,18,82,83,113.72542169,5.0615662651,3.023253012,2.6619277108
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,24,140,145,334.85324138,38.026344828,26.466275862,21.44737931
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,89,705,710,521.64504225,77.318661972,56.062211268,50.72056338
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,89,89,250,37.24011236,27.540674157,27.808089888
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,41,2460,16.261434959,9.5805121951,7.451199187,7.451199187
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1200,13.94,11.1761,8.7543666667,8.7543666667
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,29,172,38319,0.2210023748,0.0467264281,0.035019964,0.035019964
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,84,9890,1.2177128413,0.1330434783,0.0957735086,0.0957735086
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,48,2850,11.727280702,3.0857789474,2.4071157895,2.4071157895
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,832,2.5747355769,0.2208052885,0.1567067308,0.1567067308
1003093790,STOLZ,JESSICA,E,"RN,MSN,C-FNP",F,I,400 MATTHEW ST STE 302,,MARIETTA,OH,45750,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,49,306,306,105.14705882,33,24.592026144,24.592026144
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,334,13.720958084,6.2655988024,4.9122155689,4.1632035928
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7002,1.25,0.7223693231,0.5663310483,0.5174364467
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,27,65.05037037,57.012962963,41.224814815,33.63962963
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,58.4,49.144545455,35.44,30.4
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.6,7.155,5.2475,3.6208333333
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,48,2880,40.74,9.8433333333,7.7171180556,7.7171180556
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,37.71,34.701515152,25.025757576,19.556060606
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,10.86,10.191142857,7.1862857143,5.9245714286
1003093832,MAJESKI,ELIZABETH,I,MD,F,I,46 MARKFIELD DR,SUITE A,CHARLESTON,SC,294076982,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,45,45,59,2.64,2.07,2.07
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,45,79.023555556,17.161333333,12.263555556,12.344666667
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,181.71153846,55.203846154,43.280769231,37.63
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,53.1375,14.175833333,11.115833333,10.480833333
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,30,160.366,36.411333333,28.478333333,24.824666667
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,78,89,437.19674157,75.03505618,54.975730337,51.131797753
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,3527,0.3886305642,0.0454805784,0.0325347321,0.0325347321
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,630,12.752888889,3.059952381,2.2808412698,2.2808412698
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,75,37.745,27.9225,27.8445
1003093949,MALIK,NUMAAN,F,M.D.,M,I,LEE ST FL 2,,CHARLOTTESVILLE,VA,229080001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,27,27,58.666666667,33,24.47962963,24.47962963
1003094681,CORNEJO ESQUERRA,AGUSTIN,,M.D.,M,I,311 CAMDEN ST STE 409,,SAN ANTONIO,TX,782152014,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,15,175,27.42,24.979428571,19.583885714,19.371428571
1003094681,CORNEJO ESQUERRA,AGUSTIN,,M.D.,M,I,311 CAMDEN ST STE 409,,SAN ANTONIO,TX,782152014,US,Physician/Plastic and Reconstructive Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,130,9.1676923077,8.2015384615,6.4295384615,6.4357692308
1003094681,CORNEJO ESQUERRA,AGUSTIN,,M.D.,M,I,311 CAMDEN ST STE 409,,SAN ANTONIO,TX,782152014,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1716.46,498.01,390.44,438.33615385
1003094889,LAMBERTON,GREGORY,R,M.D.,M,I,1519 3RD ST SE,STE 210,PUYALLUP,WA,983723724,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,455,4.4230769231,2.27,1.6428131868,1.6428131868
1003094889,LAMBERTON,GREGORY,R,M.D.,M,I,1519 3RD ST SE,STE 210,PUYALLUP,WA,983723724,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,46,9200,4.6059565217,2.04,1.5930858696,1.5930858696
1003094889,LAMBERTON,GREGORY,R,M.D.,M,I,1519 3RD ST SE,STE 210,PUYALLUP,WA,983723724,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,4500,10.76,7.23,5.6344244444,5.6344244444
1003094889,LAMBERTON,GREGORY,R,M.D.,M,I,1519 3RD ST SE,STE 210,PUYALLUP,WA,983723724,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,4440,13.637837838,7.88,6.1380765766,6.1380765766
1003094889,LAMBERTON,GREGORY,R,M.D.,M,I,1519 3RD ST SE,STE 210,PUYALLUP,WA,983723724,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,76,15.68,10.93,8.1186842105,8.1186842105
1003094889,LAMBERTON,GREGORY,R,M.D.,M,I,1519 3RD ST SE,STE 210,PUYALLUP,WA,983723724,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,63,19.037142857,7.26,5.1888888889,5.326984127
1003094889,LAMBERTON,GREGORY,R,M.D.,M,I,1519 3RD ST SE,STE 210,PUYALLUP,WA,983723724,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,1122,0.3926648841,0.2591087344,0.1947237077,0.2034670232
1003095167,TYNER,JEAN-MARIE,,FNP,F,I,385 S ORANGE ST,,EL PASO,IL,617381613,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,33,96,78.896354167,8.32,5.1635416667,5.1635416667
1003095167,TYNER,JEAN-MARIE,,FNP,F,I,385 S ORANGE ST,,EL PASO,IL,617381613,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,18,23,13.668695652,1.42,0.9695652174,0.9695652174
1003095381,MOTT,SHANNON,R,FNP,F,I,25117 HIGHWAY 15,,UNION,MS,393659088,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,27,7.9537037037,2.02,1.5833333333,1.2037037037
1003095381,MOTT,SHANNON,R,FNP,F,I,25117 HIGHWAY 15,,UNION,MS,393659088,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,66,68,50.120294118,8.3530882353,6.4508823529,3.8848529412
1003095381,MOTT,SHANNON,R,FNP,F,I,25117 HIGHWAY 15,,UNION,MS,393659088,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,52,519.51,101.45884615,75.236923077,53.048461538
1003095381,MOTT,SHANNON,R,FNP,F,I,25117 HIGHWAY 15,,UNION,MS,393659088,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,3975,0.17,0.0462842767,0.036281761,0.036281761
1003095381,MOTT,SHANNON,R,FNP,F,I,25117 HIGHWAY 15,,UNION,MS,393659088,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,11,33,3838,1.0543720688,0.1304273059,0.1022746222,0.1022746222
1003095381,MOTT,SHANNON,R,FNP,F,I,25117 HIGHWAY 15,,UNION,MS,393659088,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,36,36,132,33,25.87,25.87
1003095571,BERNARD,MARNIE,,PA-C,F,I,19777 FREDERICK RD,,GERMANTOWN,MD,208761307,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,44,51,25,5.6158823529,3.6654901961,3.0996078431
1003096033,BOLIVER-CAMPBELL,ROBIN,,M.D.,F,I,7141 SOUTHWEST FWY,,HOUSTON,TX,770742001,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,24.6525,7.945,6.225,7.1116666667
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,23,45,162,54.250925926,8.32,4.8718518519,4.8718518519
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,25,25,15,3.38,2.12,2.12
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,25,2.12,1.4130769231,1.4130769231
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,18,39,71,12.49943662,1.42,0.7687323944,0.7687323944
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,181.24,64.464166667,50.535833333,47.894166667
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,25,86.31,21.8668,16.5456,12.9888
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,60.89,44.299166667,35.606666667
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.9,7.8825,5.8766666667,3.6916666667
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,107,118,513.92923729,98.85,71.930677966,50.918135593
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2890,0.2411868512,0.0466435986,0.0357266436,0.0357266436
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,2520,2.5114325397,0.1378571429,0.1081071429,0.1081071429
1003096272,CANE,ANN,G,NP-C,F,I,520 COBB ST,,CADILLAC,MI,496012588,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,79.588235294,33,25.109117647,25.109117647
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,12,36,70,5.2562857143,1.9734285714,1.4741428571,1.1695714286
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,3.1238888889,1.49,1.1672222222,0.975
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,12,84,84,55.278214286,20.778571429,15.203809524,12.578571429
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,12,99,103,2397.0295146,913.16,713.8592233,831.61300971
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,1420.5631579,991.87526316,777.63210526,777.63210526
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,20,90,90,31.795777778,6.8687777778,5.1836666667,3.5467777778
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,32,256,262,285.4359542,97.204541985,72.883244275,54.084236641
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1230,17.631601626,9.6049756098,7.2970243902,7.2970243902
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,1860,20.188650538,11.310516129,8.867483871,8.867483871
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,25,80,23108,0.4959723905,0.046745283,0.0333131383,0.0333131383
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,3328,1.8305108173,0.1368659856,0.1073106971,0.1073106971
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,27,98,5916,10.823270791,3.0454580798,2.3268103448,2.3268103448
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,19,60,3350,2.8978298507,0.2191074627,0.1650328358,0.1650328358
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,149,149,77.733557047,43.296510067,32.217718121,28.074295302
1003097114,SCHROEDER,KARL,T,M.D.,M,I,1800 AL HIGHWAY 157 STE 100,,CULLMAN,AL,350581273,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,28,48,173,173,42.104046243,33,25.090520231,25.090520231
1003097155,TIBBETS,GAY,A,NURSE PRACTITIONER,F,I,1902 50TH ST,,LUBBOCK,TX,794122706,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,40.654090909,17.27,12.924545455,12.924545455
1003097155,TIBBETS,GAY,A,NURSE PRACTITIONER,F,I,1902 50TH ST,,LUBBOCK,TX,794122706,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,285.92318182,68.78,51.469090909,52.242272727
1003097155,TIBBETS,GAY,A,NURSE PRACTITIONER,F,I,1902 50TH ST,,LUBBOCK,TX,794122706,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,152.16454545,28.940909091,17.454545455,16.726363636
1003097221,NERO,ALECIA,C,M.D.,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753909257,US,Physician/Hematology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,38.48,17.63,11.307272727,11.096363636
1003097221,NERO,ALECIA,C,M.D.,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753909257,US,Physician/Hematology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,228.8,76.48,54.279090909,49.991818182
1003097221,NERO,ALECIA,C,M.D.,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753909257,US,Physician/Hematology,S,J0895,"Injection, deferoxamine mesylate, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,324,97.162067901,10.635648148,8.3383024691,8.3383024691
1003097221,NERO,ALECIA,C,M.D.,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753909257,US,Physician/Hematology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,81,419.93160494,2.64,2.07,2.07
1003097957,TINKLER,BRANDON,A,MD,M,I,1327 TROUP HWY,,TYLER,TX,757014443,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,21,26,77.940769231,23.779230769,17.318076923,13.772692308
1003098070,BAHL,DEEPTI,,MD,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,44,117,609,58.085024631,8.32,6.2506732348,6.2506732348
1003098070,BAHL,DEEPTI,,MD,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.763636364,3.38,2.65,2.65
1003098070,BAHL,DEEPTI,,MD,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,44,127,17.241574803,1.42,1.0341732283,1.0341732283
1003098070,BAHL,DEEPTI,,MD,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,705.08769231,326.86153846,245.22076923,245.22076923
1003098070,BAHL,DEEPTI,,MD,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1000,16.05046,10.7776,5.37441,5.37441
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,690,8.9393478261,3.8327536232,2.9162898551,2.9690144928
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,630,10.515396825,5.74,4.3302857143,4.3302857143
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,504,4.2820634921,2.91,2.1366071429,2.1366071429
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,415,18.79973494,7,5.2235180723,5.2235180723
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,320,9.48853125,5.36,4.2020625,4.2020625
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,1590,0.5705534591,0.27,0.2116855346,0.2116855346
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,680,6.5563676471,3.04,2.2637647059,2.2637647059
1003098237,IVATURY,SRINIVAS,J,MD,M,I,1 MEDICAL CENTER DR,COLON & RECTAL SURGERY DEPARTMENT,LEBANON,NH,037561000,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,28,1460,0.862,0.2683219178,0.2030958904,0.2044109589
1003098351,MO,FRED,,MD,M,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,177.665,41.127857143,32.243571429,35.188571429
1003098351,MO,FRED,,MD,M,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,3,36,36,36,5201.6377778,4378.96,3349.4552778,3349.4552778
1003098989,ABROKWAH,FREDERICK,A,MD,M,I,900 ILLINOIS AVE,,STEVENS POINT,WI,544813114,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,86.31,30.497391304,23.907826087,18.575217391
1003098989,ABROKWAH,FREDERICK,A,MD,M,I,900 ILLINOIS AVE,,STEVENS POINT,WI,544813114,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,21,519.51,110.08095238,86.307142857,64.612857143
1003100033,OBERMANN,KATHY,L,ANP-BC  APNP,F,I,143 S GIBSON ST,,MEDFORD,WI,544511622,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,12,24,58,78.712931034,8.32,5.6496551724,5.6496551724
1003100033,OBERMANN,KATHY,L,ANP-BC  APNP,F,I,143 S GIBSON ST,,MEDFORD,WI,544511622,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,504.97,69.81,54.73,54.73
1003100090,PARISI,THOMAS,J,MD,M,I,2535 S DOWNING ST,STE 100,DENVER,CO,802105847,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,120,48.995714286,38.415714286,36.490714286
1003100090,PARISI,THOMAS,J,MD,M,I,2535 S DOWNING ST,STE 100,DENVER,CO,802105847,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,800.48,668.52,524.12,487.87833333
1003100520,PAGAN,RICARDO,,MD,M,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,77.808181818,16.5,11.763636364,12.377272727
1003100520,PAGAN,RICARDO,,MD,M,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,467.83545455,77.18,53.805454545,48.541818182
1003100595,SCHULTZ,CARLA,,M.D.,F,I,"701 PARK AVENUE SOUTH, MEDICINE",HENNEPIN COUNTY MEDICAL CENTER,MINNEAPOLIS,MN,554151829,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,39,96,88.710104167,8.32,6.1153125,6.1153125
1003100595,SCHULTZ,CARLA,,M.D.,F,I,"701 PARK AVENUE SOUTH, MEDICINE",HENNEPIN COUNTY MEDICAL CENTER,MINNEAPOLIS,MN,554151829,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,27,20.187777778,1.42,0.9503703704,0.9503703704
1003100595,SCHULTZ,CARLA,,M.D.,F,I,"701 PARK AVENUE SOUTH, MEDICINE",HENNEPIN COUNTY MEDICAL CENTER,MINNEAPOLIS,MN,554151829,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,50.73,3.59,1.9159090909,2.5272727273
1003100629,HEIDMANN,DIANE,M,MD,F,I,259 E ERIE ST,SUITE 2230,CHICAGO,IL,606112987,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,47,71.563829787,8.32,5.9670212766,5.9670212766
1003100629,HEIDMANN,DIANE,M,MD,F,I,259 E ERIE ST,SUITE 2230,CHICAGO,IL,606112987,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.22,13.736363636,10.769090909,10.574545455
1003100629,HEIDMANN,DIANE,M,MD,F,I,259 E ERIE ST,SUITE 2230,CHICAGO,IL,606112987,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,223.42,36.632727273,28.721818182,28.203636364
1003100645,SWALES,CHRISTOPHER,W,M.D.,M,I,2330 W COVELL BLVD,,DAVIS,CA,956165658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,24,38,87.506052632,8.32,4.4636842105,4.4636842105
1003100645,SWALES,CHRISTOPHER,W,M.D.,M,I,2330 W COVELL BLVD,,DAVIS,CA,956165658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,24,14.769166667,1.42,0.9791666667,0.9791666667
1003100652,TOAL,REGINA,M,ANP,F,I,2027 PULASKI HWY STE 206,,HAVRE DE GRACE,MD,210782147,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,159.26454545,44.44,34.84,36.46
1003100652,TOAL,REGINA,M,ANP,F,I,2027 PULASKI HWY STE 206,,HAVRE DE GRACE,MD,210782147,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,175.92592593,47.226666667,35.762962963,36.988888889
1003100652,TOAL,REGINA,M,ANP,F,I,2027 PULASKI HWY STE 206,,HAVRE DE GRACE,MD,210782147,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,5.7045454545,4.4736363636,3.95
1003100652,TOAL,REGINA,M,ANP,F,I,2027 PULASKI HWY STE 206,,HAVRE DE GRACE,MD,210782147,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,57,57,89.082105263,17.242631579,13.517368421,13.84754386
1003100652,TOAL,REGINA,M,ANP,F,I,2027 PULASKI HWY STE 206,,HAVRE DE GRACE,MD,210782147,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,150,29.63,20.028235294,20.800588235
1003100652,TOAL,REGINA,M,ANP,F,I,2027 PULASKI HWY STE 206,,HAVRE DE GRACE,MD,210782147,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,66,66,35.154545455,8.5937878788,6.4442424242,6.1133333333
1003101692,HOLMES,CHRISTINA,J,PA-C,F,I,350 LAFAYETTE AVE SE,SUITE 4,GRAND RAPIDS,MI,495034656,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,9.4127272727,7.3763636364,7.4963636364
1003101718,SMITH,LESLIE,P,FNP,F,I,1800 GURLEY LANE,,WACO,TX,76706,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,23,57.947826087,8.32,6.5208695652,6.5208695652
1003101932,HONG,FEIYU,,M.D.,M,I,12500 WILLOWBROOK RD,,CUMBERLAND,MD,215026393,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,57,60,44.525666667,17.216666667,12.625,12.764166667
1003101932,HONG,FEIYU,,M.D.,M,I,12500 WILLOWBROOK RD,,CUMBERLAND,MD,215026393,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,66,71,217.53577465,71.858028169,53.582394366,52.527605634
1003101932,HONG,FEIYU,,M.D.,M,I,12500 WILLOWBROOK RD,,CUMBERLAND,MD,215026393,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,24.5,20.562105263,16.121578947,14.796842105
1003101932,HONG,FEIYU,,M.D.,M,I,12500 WILLOWBROOK RD,,CUMBERLAND,MD,215026393,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,11.44,10.582,8.298,7.1653333333
1003101957,LITTLE,COURTNEY,E,D.O.,F,I,3535 OLENTANGY RIVER RD,,COLUMBUS,OH,432143908,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,112,255,77.040313725,8.32,5.8988627451,5.8988627451
1003101957,LITTLE,COURTNEY,E,D.O.,F,I,3535 OLENTANGY RIVER RD,,COLUMBUS,OH,432143908,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,39,59,14.169661017,1.42,1.0401694915,1.0401694915
1003101957,LITTLE,COURTNEY,E,D.O.,F,I,3535 OLENTANGY RIVER RD,,COLUMBUS,OH,432143908,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,49,86.291836735,23.130816327,17.523673469,13.714897959
1003101957,LITTLE,COURTNEY,E,D.O.,F,I,3535 OLENTANGY RIVER RD,,COLUMBUS,OH,432143908,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,72,75,417.66413333,100.1216,75.764266667,56.212266667
1003101957,LITTLE,COURTNEY,E,D.O.,F,I,3535 OLENTANGY RIVER RD,,COLUMBUS,OH,432143908,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,3642,0.4538083471,0.0451812191,0.0308951126,0.0308923668
1003101957,LITTLE,COURTNEY,E,D.O.,F,I,3535 OLENTANGY RIVER RD,,COLUMBUS,OH,432143908,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1285,1.0399455253,0.1348638132,0.1015175097,0.1015175097
1003101957,LITTLE,COURTNEY,E,D.O.,F,I,3535 OLENTANGY RIVER RD,,COLUMBUS,OH,432143908,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,72.6,33,24.45,24.45
1003102138,KHUMAN,JUGTA,,M.D.,F,I,50 ISLAND VIEW PL,APT#603,DORCHESTER,MA,021253272,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,32,32,763.2975,75.119375,55.073125,51.51
1003102138,KHUMAN,JUGTA,,M.D.,F,I,50 ISLAND VIEW PL,APT#603,DORCHESTER,MA,021253272,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,285.6,38.756,28.8945,28.0345
1003102633,DAUGHTRY,DAVID,R,OD,M,I,801 E CENTER ST,,LEXINGTON,NC,272924401,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,22,48,48,37.63,41.910909091
1003102732,IGBOKWE,EBERENNE,F,D.O.,F,I,8307 KNIGHT RD,,HOUSTON,TX,770543905,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,374,275,5.25,4.1160962567,4.1599465241
1003102732,IGBOKWE,EBERENNE,F,D.O.,F,I,8307 KNIGHT RD,,HOUSTON,TX,770543905,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,145.63272727,55.438181818,43.458181818,42.700909091
1003102898,KASSAMALI,ALI,,M.D.,M,I,400 TOWER RD NE STE 350,,MARIETTA,GA,300609415,US,Physician/Pain Management,S,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,800,401.13,299.08545455,295.33818182
1003103045,PASCHOLD,BRYCE,A,D.P.M.,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,38,104.20736842,71.56,47.257368421,47.257368421
1003103045,PASCHOLD,BRYCE,A,D.P.M.,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,60,63.16,43.56,34.152,34.1505
1003103045,PASCHOLD,BRYCE,A,D.P.M.,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Podiatry,S,L3030,"Foot, insert, removable, formed to patient foot, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,17,43,43,32.238235294,56.171176471
1003103045,PASCHOLD,BRYCE,A,D.P.M.,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,185,185,145.04,218.89
1003103102,GOINGS,TONYA,R,ACNP-BC,F,I,9500 EUCLID AVE,SUITE RC25,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,25,62,240,61.685041667,8.32,6.2507916667,6.2507916667
1003103102,GOINGS,TONYA,R,ACNP-BC,F,I,9500 EUCLID AVE,SUITE RC25,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,45,11.004666667,1.42,1.0395555556,1.0395555556
1003103102,GOINGS,TONYA,R,ACNP-BC,F,I,9500 EUCLID AVE,SUITE RC25,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,284.54454545,251.11,196.87,196.87
1003103128,THARIAN,DIMPLE,,M.D.,F,I,5950 SARATOGA BLVD,,CORPUS CHRISTI,TX,784144100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,68.78,53.92,54.72
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,33,93,269,53.036765799,8.32,6.0853903346,6.0853903346
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,35,56,10.299107143,1.42,1.0364285714,1.0364285714
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,231.1575,55.695,43.661875,42.895625
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,75.567333333,18.722,14.673333333,14.06
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,21,21,70.983333333,11.164285714,8.7461904762,9.0780952381
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,19,97,9.1645360825,2.116185567,1.6589690722,1.5917525773
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,43.851111111,5.615,4.2005555556,3.4722222222
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,260.15111111,35.19,27.591111111,27.683333333
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,35,409.816,69.99,51.734571429,51.622571429
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,5738,0.3042558383,0.0463837574,0.0344388289,0.0344388289
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,88.019230769,18.862307692,13.825,13.650384615
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,691.96875,131.2175,101.2721875,98.944375
1003103490,DILLINGHAM,JUSTIN,J,D.O.,M,I,3126 S JACKSON AVE,STE 101,JOPLIN,MO,648042534,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,24,24,45.375,33,24.792083333,24.792083333
1003103516,PACE,REBECCA,C,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,31,92,265,45.326415094,8.2113207547,5.6741509434,5.7423773585
1003103516,PACE,REBECCA,C,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,20,42,6.7080952381,1.42,0.8480952381,0.8480952381
1003103516,PACE,REBECCA,C,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,699.74307692,335.03307692,251.62769231,251.62769231
1003103516,PACE,REBECCA,C,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,30,30,470.92433333,251.11,196.87,196.87
1003103664,KENNEDY,KIMBERLY,,,F,I,101 E MINNESOTA ST,SUITE 210,RAPID CITY,SD,577017756,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,50,76.258,8.32,5.4784,5.4784
1003103664,KENNEDY,KIMBERLY,,,F,I,101 E MINNESOTA ST,SUITE 210,RAPID CITY,SD,577017756,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,433.31466667,69.99,48.451333333,48.33
1003103664,KENNEDY,KIMBERLY,,,F,I,101 E MINNESOTA ST,SUITE 210,RAPID CITY,SD,577017756,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,187.40461538,38.68,26.690769231,26.005384615
1003103755,DINH,NAM,L,MD,M,I,6325 US HIGHWAY 27 N STE 201,,SEBRING,FL,338708226,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,230,116.99277778,91.720555556,78.68
1003103847,SETTLE,JULIE,L,MD,F,I,5548 N FARMER BRANCH RD,,OZARK,MO,657215315,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,26,65,43.686153846,8.32,4.4149230769,4.4149230769
1003103847,SETTLE,JULIE,L,MD,F,I,5548 N FARMER BRANCH RD,,OZARK,MO,657215315,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,18,9.9877777778,1.42,0.7433333333,0.7433333333
1003103847,SETTLE,JULIE,L,MD,F,I,5548 N FARMER BRANCH RD,,OZARK,MO,657215315,US,Physician/Family Practice,S,A4397,"Irrigation supply; sleeve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,43,7.1304651163,5.39,3.931627907,3.931627907
1003103847,SETTLE,JULIE,L,MD,F,I,5548 N FARMER BRANCH RD,,OZARK,MO,657215315,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.57,2.02,1.4396969697,1.4396969697
1003103847,SETTLE,JULIE,L,MD,F,I,5548 N FARMER BRANCH RD,,OZARK,MO,657215315,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,23,4.31,2.535,2.535
1003104092,BEDINI,TABITHA,M,M.D.,F,I,6408 FAYETTEVILLE RD,MOORE REGIONAL HOSPITAL - HOKE CAMPUS,RAEFORD,NC,283767977,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,53.888125,8.32,5.705625,5.705625
1003104092,BEDINI,TABITHA,M,M.D.,F,I,6408 FAYETTEVILLE RD,MOORE REGIONAL HOSPITAL - HOKE CAMPUS,RAEFORD,NC,283767977,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,15,12.632,1.42,0.9693333333,0.9693333333
1003104092,BEDINI,TABITHA,M,M.D.,F,I,6408 FAYETTEVILLE RD,MOORE REGIONAL HOSPITAL - HOKE CAMPUS,RAEFORD,NC,283767977,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,192.73090909,74.195454545,53.509090909,38.486363636
1003104092,BEDINI,TABITHA,M,M.D.,F,I,6408 FAYETTEVILLE RD,MOORE REGIONAL HOSPITAL - HOKE CAMPUS,RAEFORD,NC,283767977,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,63.768333333,17.29,13.55,13.53
1003104092,BEDINI,TABITHA,M,M.D.,F,I,6408 FAYETTEVILLE RD,MOORE REGIONAL HOSPITAL - HOKE CAMPUS,RAEFORD,NC,283767977,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,494.16193548,70.23,52.325483871,52.062580645
1003104118,MURRAY,BETTY,C,DO,F,I,3126 S JACKSON AVE STE 200,,JOPLIN,MO,648042500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,29,78,51.473205128,8.32,5.8670512821,5.8670512821
1003104118,MURRAY,BETTY,C,DO,F,I,3126 S JACKSON AVE STE 200,,JOPLIN,MO,648042500,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,37.5,5.1271428571,4.02,4.02
1003104118,MURRAY,BETTY,C,DO,F,I,3126 S JACKSON AVE STE 200,,JOPLIN,MO,648042500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,31,433.82548387,71.650322581,56.171935484,56.054516129
1003104118,MURRAY,BETTY,C,DO,F,I,3126 S JACKSON AVE STE 200,,JOPLIN,MO,648042500,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,160,39.354166667,30.849166667,30.106666667
1003104498,RISCH,PATRICK,,,M,I,594 E MILLSAP RD,,FAYETTEVILLE,AR,727034096,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,65,65,65,69.948615385,64.094153846,46.689076923,48.206153846
1003104498,RISCH,PATRICK,,,M,I,594 E MILLSAP RD,,FAYETTEVILLE,AR,727034096,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,31,31,58,55.546896552,55.114827586,41.68637931,42.195517241
1003104498,RISCH,PATRICK,,,M,I,594 E MILLSAP RD,,FAYETTEVILLE,AR,727034096,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,39,71,70.413661972,70.413661972,51.987464789,50.924366197
1003105032,KIM,THOMAS,,,M,I,18 BON AIR RD,,LARKSPUR,CA,949391123,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,26,29,303.89655172,212.45655172,166.56137931,171.88
1003105032,KIM,THOMAS,,,M,I,18 BON AIR RD,,LARKSPUR,CA,949391123,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,83,85,97,91.536082474,70.290721649,54.318350515,47.263092784
1003105750,GADIRAJU,SILPA,,M.D.,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,64,135,793,67.732774275,8.3129003783,6.315813367,6.3199873897
1003105750,GADIRAJU,SILPA,,M.D.,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,32,57,149,13.03114094,1.42,1.0680536913,1.0680536913
1003105750,GADIRAJU,SILPA,,M.D.,F,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,23,27,439.58814815,251.11,186.4062963,186.4062963
1003105875,VACHHANI,SHIVANGI,,M.D.,F,I,3700 JOSEPH SIEWICK DR STE 408A,,FAIRFAX,VA,220331745,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,36,93,321,64.61211838,8.32,6.1098130841,6.1098130841
1003105875,VACHHANI,SHIVANGI,,M.D.,F,I,3700 JOSEPH SIEWICK DR STE 408A,,FAIRFAX,VA,220331745,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,22,37,66,13.627424242,1.42,1.0292424242,1.0292424242
1003105875,VACHHANI,SHIVANGI,,M.D.,F,I,3700 JOSEPH SIEWICK DR STE 408A,,FAIRFAX,VA,220331745,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,442.99928571,251.11,195.89928571,195.89928571
1003105917,GUPTA,VINAY,,MD,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,98195,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.7090909091,2.5636363636,3.1563636364
1003105917,GUPTA,VINAY,,MD,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,98195,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,3382,0.2572205795,0.0466232998,0.0231224128,0.0231224128
1003105917,GUPTA,VINAY,,MD,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,98195,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,114.52941176,33,21.304705882,21.304705882
1003106113,BAYAT,HASAN,,M.D.,M,I,211 N 12TH ST,,LEHIGHTON,PA,182351138,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,35,3.7,2.8994117647,3.42
1003106113,BAYAT,HASAN,,M.D.,M,I,211 N 12TH ST,,LEHIGHTON,PA,182351138,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,254.0625,75.6625,59.32,54.7225
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,1.5,1.28,0.6423076923,0.7884615385
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,62,62,4.2903225806,3.34,2.0151612903,3.0566129032
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,102.31,49.015,38.4275,37.6625
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.14,10.946666667,8.5816666667,8.5841666667
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,2.82,2.33,1.82,1.8103846154
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.74,10.628333333,8.3383333333,8.0083333333
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,340.72,210.825,165.28,165.28
1003106584,FUJITA,MARK,M,M.D.,M,I,3401 BEHRMAN PL,,NEW ORLEANS,LA,701148216,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,33.75,20.955882353,16.429411765,14.638823529
1003106642,NG,JENNIFER,,,F,I,234 E 85TH ST,,NEW YORK,NY,100283001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,36,78,65.970641026,8.32,5.6842307692,5.6842307692
1003106642,NG,JENNIFER,,,F,I,234 E 85TH ST,,NEW YORK,NY,100283001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,13,14,33.027142857,1.42,1.0385714286,1.0385714286
1003106642,NG,JENNIFER,,,F,I,234 E 85TH ST,,NEW YORK,NY,100283001,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,128.98,42.08,30.93,33.65
1003106642,NG,JENNIFER,,,F,I,234 E 85TH ST,,NEW YORK,NY,100283001,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,69.89,14.695294118,9.5988235294,11.91
1003106642,NG,JENNIFER,,,F,I,234 E 85TH ST,,NEW YORK,NY,100283001,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,20.57,6.7388235294,4.0164705882,5.2611764706
1003106675,LUO,XIN,J,MD,M,I,2375 EDGEWOOD RD SW,,CEDAR RAPIDS,IA,524044736,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2370,5.2545738397,0.5572025316,0.4368396624,0.4368396624
1003106675,LUO,XIN,J,MD,M,I,2375 EDGEWOOD RD SW,,CEDAR RAPIDS,IA,524044736,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,18,16,16,12.542222222,12.542222222
1003106766,HOLINBECK,JASON,B,,M,I,1518 9TH ST,,WICHITA FALLS,TX,763014323,US,Physician/Sports Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,26.7,8.3654545455,5.7909090909,6.3427272727
1003106766,HOLINBECK,JASON,B,,M,I,1518 9TH ST,,WICHITA FALLS,TX,763014323,US,Physician/Sports Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,29,5.7848275862,2.6379310345,1.9203448276,2.0217241379
1003106766,HOLINBECK,JASON,B,,M,I,1518 9TH ST,,WICHITA FALLS,TX,763014323,US,Physician/Sports Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,59.12,28.725,22.520555556,16.800555556
1003106766,HOLINBECK,JASON,B,,M,I,1518 9TH ST,,WICHITA FALLS,TX,763014323,US,Physician/Sports Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,24,134.48166667,28.1875,21.25,20.790833333
1003106766,HOLINBECK,JASON,B,,M,I,1518 9TH ST,,WICHITA FALLS,TX,763014323,US,Physician/Sports Medicine,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,13,90,53.2,38.501538462,41.446153846
1003107152,RENIGUNTALA,SHARATH,E,M.D.,M,I,101 E MILLER RD,,STERLING,IL,61081,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,18,71,77.078309859,8.32,5.9711267606,5.9711267606
1003107152,RENIGUNTALA,SHARATH,E,M.D.,M,I,101 E MILLER RD,,STERLING,IL,61081,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,21.281428571,13.841904762,10.952857143
1003107152,RENIGUNTALA,SHARATH,E,M.D.,M,I,101 E MILLER RD,,STERLING,IL,61081,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,519.51,96.794545455,68.403939394,49.083939394
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,37,132,277,72.673285199,8.32,5.9798555957,5.9798555957
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.989090909,3.38,2.65,2.65
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,37,41,14.540243902,1.42,1.0907317073,1.0907317073
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,239.21692308,123.05615385,96.474615385,67.846153846
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,13,13,53.022307692,24.378461538,19.112307692,14.06
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,43.276875,21.560625,16.90375,9.12
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,58,14.370689655,2.885862069,2.2631034483,1.5937931034
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.987272727,6.9454545455,5.44,4.65
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,183.965,68.750833333,41.946666667,28.041666667
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,64.701538462,22.666923077,16.621538462,12.720769231
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,21.68,9.3204166667,7.1058333333,4.4425
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,384.06451613,103.95548387,75.719354839,50.74
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3485,0.4319655667,0.0460315638,0.0321463415,0.0321463415
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,63.928571429,26.5925,19.133928571,14.601428571
1003107442,JOHNSTON,KORYN,A,D.O.,F,I,110 PLAZA LN,,WELLSBORO,PA,169011773,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,21.89,21.89
1003107517,LEE,JOSEPH,T,MD,M,I,1115 N RONALD REAGAN PKWY,STE 206,AVON,IN,461236911,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,21,50.73,5.44,4.2642857143,3.649047619
1003107517,LEE,JOSEPH,T,MD,M,I,1115 N RONALD REAGAN PKWY,STE 206,AVON,IN,461236911,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,671.70157895,79.96,62.69,55.567894737
1003107517,LEE,JOSEPH,T,MD,M,I,1115 N RONALD REAGAN PKWY,STE 206,AVON,IN,461236911,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,237.44368421,37,29.01,29.457368421
1003107558,BECKSTEAD,DAVID,J,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,49,71.385510204,8.32,5.9881632653,5.9881632653
1003107558,BECKSTEAD,DAVID,J,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,152.67727273,39.51,28.163636364,27.807272727
1003107558,BECKSTEAD,DAVID,J,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,56,12.249642857,2.08,1.3298214286,1.3026785714
1003107558,BECKSTEAD,DAVID,J,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,260.14285714,34.07,25.595714286,25.60047619
1003107855,GWARTNEY,DARIN,A,D.O.,M,I,1301 NE 1ST ST,SUITE 400,PRYOR,OK,743618850,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,38,79,49.52164557,8.32,6.1902531646,6.1902531646
1003107855,GWARTNEY,DARIN,A,D.O.,M,I,1301 NE 1ST ST,SUITE 400,PRYOR,OK,743618850,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,15,13.016,1.42,1.044,1.044
1003107855,GWARTNEY,DARIN,A,D.O.,M,I,1301 NE 1ST ST,SUITE 400,PRYOR,OK,743618850,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,18,390.96444444,106.38666667,83.41,59.23
1003108317,DENWOOD,CAROLINE,L,MD,F,I,486 HOSPITAL DR,,CLYDE,NC,287218026,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,68.487307692,68.487307692,53.689615385,54.396923077
1003108317,DENWOOD,CAROLINE,L,MD,F,I,486 HOSPITAL DR,,CLYDE,NC,287218026,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,33,46.156969697,46.156969697,36.189090909,42.373636364
1003108317,DENWOOD,CAROLINE,L,MD,F,I,486 HOSPITAL DR,,CLYDE,NC,287218026,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,26,67.674615385,67.674615385,49.020769231,49.745769231
1003108325,OXFORD,APRIL,L,MD,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,34711,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,38,137,67.612262774,8.32,6.093649635,6.093649635
1003108325,OXFORD,APRIL,L,MD,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,34711,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,31.61,16.36,12.83,13.54
1003108325,OXFORD,APRIL,L,MD,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,34711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,79.2,62.09,54.73
1003109091,PEARSON,STEPHANIE,N,M.D.,F,I,9150 HUEBNER RD STE 290,,SAN ANTONIO,TX,782401598,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125.01545455,77.85,61.035454545,61.035454545
1003109216,DIMOVSKI,NIKOLAS,,MD,M,I,15055 22 MILE RD,SUITE 3,SHELBY TOWNSHIP,MI,483154401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,46,43.346086957,8.32,5.0106521739,5.0106521739
1003109448,BUDATI,GOKUL,,MD,M,I,400 PLUMAS BLVD STE 200,,YUBA CITY,CA,95991,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,55,180,63.261888889,8.32,6.3048333333,6.3048333333
1003109448,BUDATI,GOKUL,,MD,M,I,400 PLUMAS BLVD STE 200,,YUBA CITY,CA,95991,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,35,51,11.606078431,1.42,1.072745098,1.072745098
1003109448,BUDATI,GOKUL,,MD,M,I,400 PLUMAS BLVD STE 200,,YUBA CITY,CA,95991,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,12,12,66,33,25.87,25.87
1003109596,DANKO,JOHN,J,DO,M,I,325 EAST EISENHOWER,SUITE 100,ANN ARBOR,MI,481085744,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,33.14,8.4126086957,6.5960869565,7.5673913043
1003109596,DANKO,JOHN,J,DO,M,I,325 EAST EISENHOWER,SUITE 100,ANN ARBOR,MI,481085744,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,37,37,75.78,18.372162162,13.012432432,12.345675676
1003109596,DANKO,JOHN,J,DO,M,I,325 EAST EISENHOWER,SUITE 100,ANN ARBOR,MI,481085744,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,36.353333333,8.6136111111,6.2083333333,5.93
1003109604,AUSTIN,BROOKE,,DPM,F,I,6101 PINE RIDGE RD,3RD FLOOR,NAPLES,FL,341193900,US,Podiatry,S,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,301.67894737,217.99157895,167.09263158,181.22842105
1003109604,AUSTIN,BROOKE,,DPM,F,I,6101 PINE RIDGE RD,3RD FLOOR,NAPLES,FL,341193900,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,166.28434783,153.00173913,117.71956522,117.71956522
1003109661,ARMSTRONG,SANDRA,L,RN,F,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,47,115,48.787130435,8.2949565217,6.0140869565,6.0336521739
1003109661,ARMSTRONG,SANDRA,L,RN,F,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,28,11.244642857,1.42,1.1142857143,1.1142857143
1003109661,ARMSTRONG,SANDRA,L,RN,F,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,15,10.091176471,7.9088235294,7.8564705882
1003109661,ARMSTRONG,SANDRA,L,RN,F,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,718,2.1387047354,0.1307520891,0.094178273,0.094178273
1003109661,ARMSTRONG,SANDRA,L,RN,F,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,80.775,28.2325,20.43,19.959166667
1003109661,ARMSTRONG,SANDRA,L,RN,F,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,350,137.92941176,102.93823529,93.746470588
1003109752,ELSON-WOLIN,JAMIE,A,M.D.,F,I,2121 WILSHIRE BLVD,SUITE 306,SANTA MONICA,CA,904035720,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1170,1.6138717949,0.1354615385,0.1061965812,0.1061965812
1003110008,KANDEEL,ALAADDIN,H,M.D.,M,I,400 E 3RD ST,ESSENTIA HEALTH DULUTH CLINIC,DULUTH,MN,558051951,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.5483333333,3.5666666667,3.5666666667
1003110172,NELSON,ROBERT,J,PA-C,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician Assistant,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,12,150,53.4808,19.658333333,15.412266667,15.412266667
1003110172,NELSON,ROBERT,J,PA-C,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician Assistant,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,450,8.0341333333,2.6333333333,2.0644888889,2.0644888889
1003110172,NELSON,ROBERT,J,PA-C,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,39,189,60.313439153,8.2133333333,5.7901587302,5.8737566138
1003110172,NELSON,ROBERT,J,PA-C,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,118.46153846,38.895384615,30.492307692,23.758461538
1003110172,NELSON,ROBERT,J,PA-C,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,363.24391304,103.76521739,79.472173913,54.608695652
1003110172,NELSON,ROBERT,J,PA-C,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,30,30,583.98233333,251.019,195.31933333,195.39066667
1003110313,SCHOLTEN,ERIC,L,M.D.,M,I,2347 E GALA ST,,MERIDIAN,ID,83642,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.98,12.200833333,12.389166667
1003110313,SCHOLTEN,ERIC,L,M.D.,M,I,2347 E GALA ST,,MERIDIAN,ID,83642,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,599.83333333,72.06,54.701666667,53.049666667
1003110743,GLOVER,SHELLE,R,M.D.,F,I,2370 ROCKMART HWY,,CEDARTOWN,GA,301256029,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,49,61.083673469,8.32,4.2587755102,4.2587755102
1003110743,GLOVER,SHELLE,R,M.D.,F,I,2370 ROCKMART HWY,,CEDARTOWN,GA,301256029,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1111,0.26729973,0.0470027003,0.0318631863,0.0318631863
1003110743,GLOVER,SHELLE,R,M.D.,F,I,2370 ROCKMART HWY,,CEDARTOWN,GA,301256029,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,690,0.92,0.1362608696,0.106826087,0.106826087
1003110743,GLOVER,SHELLE,R,M.D.,F,I,2370 ROCKMART HWY,,CEDARTOWN,GA,301256029,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,113.66666667,33,23.953703704,23.953703704
1003110834,BROWN,JUSTIN,L,D.P.M.,M,I,4214 ANDREWS HWY,SUITE 305,MIDLAND,TX,797034822,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,40,123.5,71.56,53.29975,53.29975
1003110834,BROWN,JUSTIN,L,D.P.M.,M,I,4214 ANDREWS HWY,SUITE 305,MIDLAND,TX,797034822,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,120,75.18,43.56,33.891083333,33.889416667
1003111576,BARTLETT,VERONICA,E,"FNP, MS-RN",F,I,2215 SAN JUAN AVE,,LA JUNTA,CO,81050,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,17.52,17.52,10.7475,10.5975
1003111576,BARTLETT,VERONICA,E,"FNP, MS-RN",F,I,2215 SAN JUAN AVE,,LA JUNTA,CO,81050,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,78.49,78.49,45.392352941,40.592352941
1003111576,BARTLETT,VERONICA,E,"FNP, MS-RN",F,I,2215 SAN JUAN AVE,,LA JUNTA,CO,81050,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,22,26,51.987692308,17.085384615,13.393846154,14.035769231
1003111576,BARTLETT,VERONICA,E,"FNP, MS-RN",F,I,2215 SAN JUAN AVE,,LA JUNTA,CO,81050,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,17,16.935882353,8.9194117647,6.9958823529,6.8082352941
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,35,66,72.625909091,8.32,5.8313636364,5.8313636364
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.5318181818,2.1581818182,1.6918181818,1.2136363636
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,40.967741935,22.652258065,16.79516129,12.701935484
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,46.925833333,37.63
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,38,38,30.564736842,5.4684210526,3.2468421053,2.7044736842
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,250,105.41419355,78.791290323,51.361612903
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,45.002727273,35.284545455,29.516363636
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.5798181818,7.2931969697,7.2931969697
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2337,0.3242789902,0.0459820282,0.0341035516,0.0341035516
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1829,1.1756096227,0.1351284855,0.0999890651,0.0999890651
1003112277,SMITH,TABITHA,M,F.N.P.-C,F,I,89 MEARS DRIVE,,WOODBURY,TN,371901441,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,106.54285714,33,24.391714286,24.391714286
1003112947,ZAFONTE,BRIAN,T,"M.D., PH.D.",M,I,3811 SPRING ST,SUITE 102,MOUNT PLEASANT,WI,534051667,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,19,363.11,220.86,163.26842105,162.26578947
1003112947,ZAFONTE,BRIAN,T,"M.D., PH.D.",M,I,3811 SPRING ST,SUITE 102,MOUNT PLEASANT,WI,534051667,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,24,103.78,64.76,48.655416667,44.97125
1003113200,AWASTHI,DISHA,,MD,F,I,102 WESSINGTON PL,,HENDERSONVILLE,TN,370753085,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,200,34.75,26.004285714,24.719285714
1003113200,AWASTHI,DISHA,,MD,F,I,102 WESSINGTON PL,,HENDERSONVILLE,TN,370753085,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,295.83333333,98.536666667,77.253333333,55.471666667
1003113200,AWASTHI,DISHA,,MD,F,I,102 WESSINGTON PL,,HENDERSONVILLE,TN,370753085,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,128.23529412,43.382941176,34.015882353,29.601764706
1003114604,HORN,LAUREN,B,NP-C,F,I,97 CHURCH ST,,TAYLORSVILLE,GA,301781902,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,92.5,75.16,58.5175,54.0325
1003114802,VORDERSTRASSE,TIFFANY,J,FNP,F,I,105 FAR WEST DR.,STE. 105,ST. JOSEPH,MO,645063514,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,18.07,4.739,3.716,3.716
1003115098,ETEMADNIA,AMIR,H,M.D.,M,I,1580 SANTA BARBARA BLVD,SUITE C,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,17,82,71.842439024,8.32,6.045,6.045
1003115098,ETEMADNIA,AMIR,H,M.D.,M,I,1580 SANTA BARBARA BLVD,SUITE C,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,18.568666667,5.212,3.2726666667,3.1806666667
1003115254,ELLIS,JACK,B,D.O.,M,I,1120 15TH ST,,AUGUSTA,GA,30912,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,43.950689655,16.48,12.92,13.277586207
1003115254,ELLIS,JACK,B,D.O.,M,I,1120 15TH ST,,AUGUSTA,GA,30912,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,220.29361111,70.78,54.626944444,54.113888889
1003115254,ELLIS,JACK,B,D.O.,M,I,1120 15TH ST,,AUGUSTA,GA,30912,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,35.56,27.88,29.51
1003115254,ELLIS,JACK,B,D.O.,M,I,1120 15TH ST,,AUGUSTA,GA,30912,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1861.77,208.89,163.7725,166.38416667
1003115395,ACKRIVO,JASON,T,MD,M,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044230,US,Internal Medicine,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1830,0.3781748634,0.0462513661,0.0362677596,0.0362677596
1003115478,SHARMA,NIRMAL,S,MD,M,I,2 TAMPA GENERAL CIR FL CIRCLE6,,TAMPA,FL,336063603,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,47,167,12337,4.9831798654,0.5780335576,0.452042636,0.4520418254
1003115478,SHARMA,NIRMAL,S,MD,M,I,2 TAMPA GENERAL CIR FL CIRCLE6,,TAMPA,FL,336063603,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,19,50,9000,0.0824155556,0.0132,0.0103522222,0.0103522222
1003115478,SHARMA,NIRMAL,S,MD,M,I,2 TAMPA GENERAL CIR FL CIRCLE6,,TAMPA,FL,336063603,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,44,6960,6.0869295977,1.5246566092,1.1953189655,1.1953189655
1003115478,SHARMA,NIRMAL,S,MD,M,I,2 TAMPA GENERAL CIR FL CIRCLE6,,TAMPA,FL,336063603,US,Physician/Pulmonary Disease,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,36,5220,3.7798409962,2.8086551724,2.1707375479,2.1707375479
1003115478,SHARMA,NIRMAL,S,MD,M,I,2 TAMPA GENERAL CIR FL CIRCLE6,,TAMPA,FL,336063603,US,Physician/Pulmonary Disease,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,35,974,21.138377823,7.5037166324,5.8828336756,5.8828336756
1003115478,SHARMA,NIRMAL,S,MD,M,I,2 TAMPA GENERAL CIR FL CIRCLE6,,TAMPA,FL,336063603,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,19,44,117,117,24,24,18.82,18.82
1003115478,SHARMA,NIRMAL,S,MD,M,I,2 TAMPA GENERAL CIR FL CIRCLE6,,TAMPA,FL,336063603,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,21,55,223,279,16,16,12.495412186,12.495412186
1003115551,MUNOZ,WILLIAM,,,M,I,660 GLADES RD STE 460,,BOCA RATON,FL,334316469,US,Physician/Orthopedic Surgery,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,5940,996.85,781.53105263,776.58421053
1003115551,MUNOZ,WILLIAM,,,M,I,660 GLADES RD STE 460,,BOCA RATON,FL,334316469,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,2338,399.32538462,313.06615385,311.14615385
1003115718,ARSENAULT,ANGELA,J,FNP,F,I,463 E CIRCLE DR,,EAST LANSING,MI,488247500,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21,4.77,2.9583333333,2.8166666667
1003115999,SPYRIS,KONSTADINOS,J,D.O.,M,I,240 MEETING HOUSE LN,,SOUTHAMPTON,NY,119685009,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,73.800833333,45.916666667,35.995,36.905833333
1003115999,SPYRIS,KONSTADINOS,J,D.O.,M,I,240 MEETING HOUSE LN,,SOUTHAMPTON,NY,119685009,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,38,86.31,17,12.277631579,12.491578947
1003115999,SPYRIS,KONSTADINOS,J,D.O.,M,I,240 MEETING HOUSE LN,,SOUTHAMPTON,NY,119685009,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,835.37083333,835.37083333
1003115999,SPYRIS,KONSTADINOS,J,D.O.,M,I,240 MEETING HOUSE LN,,SOUTHAMPTON,NY,119685009,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,56,58,606.75775862,77.527068966,55.312758621,49.908448276
1003115999,SPYRIS,KONSTADINOS,J,D.O.,M,I,240 MEETING HOUSE LN,,SOUTHAMPTON,NY,119685009,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,285.6,40.204117647,29.618235294,27.99
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,35,92,269,62.983791822,8.3103345725,5.4794795539,5.4851672862
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,14.298181818,3.38,2.4090909091,2.4090909091
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,40,67,15.051492537,1.42,0.9992537313,0.9992537313
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.837727273,2.32,1.82,2.1109090909
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,9.074,5.74,4.5000416667,4.5000416667
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.148,7,5.488,5.488
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,61,87.928196721,18.56,13.776065574,13.776065574
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,228.40909091,53.83,38.898181818,39.379090909
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,81.300769231,12.21,8.8338461538,8.4876923077
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,18,91,11.343736264,2.02,1.5305494505,1.5374725275
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,38.216666667,13.135833333,8.6366666667,8.7908333333
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.78,4.105,2.5575,3.0233333333
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,215.77777778,31.728888889,24.875555556,25.013333333
1003116674,TAYLOR,TIFFNEY,,D.O.,F,I,265 POSADA LN STE B,,TEMPLETON,CA,93465,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,401.85742857,65.7,47.094857143,50.292285714
1003116740,RAMIREZ,ANISSA,J,P.A.,F,I,720 PLEASANTON RD,,SAN ANTONIO,TX,782141306,US,Physician Assistant,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,295.76,216.3725,162.44333333,162.44333333
1003116740,RAMIREZ,ANISSA,J,P.A.,F,I,720 PLEASANTON RD,,SAN ANTONIO,TX,782141306,US,Physician Assistant,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,46.2,28.46,22.315,23.29
1003117136,LEE,CALVIN,K,NP,M,I,622 W 168TH ST,,NEW YORK,NY,100323720,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,47,5340,4.5573913858,0.5650224719,0.4081367041,0.4081310861
1003117136,LEE,CALVIN,K,NP,M,I,622 W 168TH ST,,NEW YORK,NY,100323720,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,0.1557954545,0.1557954545,0.1146590909,0.1146590909
1003117136,LEE,CALVIN,K,NP,M,I,622 W 168TH ST,,NEW YORK,NY,100323720,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,53,53,24,24,17.754716981,17.754716981
1003117136,LEE,CALVIN,K,NP,M,I,622 W 168TH ST,,NEW YORK,NY,100323720,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,37,16,16,12.201081081,12.201081081
1003117383,SUAREZ,GRETCHEN,,,F,I,10500 MONTGOMERY RD,,CINCINNATI,OH,452424402,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,80,17.36,12.759375,12.698125
1003117383,SUAREZ,GRETCHEN,,,F,I,10500 MONTGOMERY RD,,CINCINNATI,OH,452424402,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,400,91.696428571,64.555,48.423571429
1003117516,JOHNSON,KIMBERLY,A,FNP-BC,F,I,1906 BLAKE AVE,,GLENWOOD SPGS,CO,816014227,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,49.88,38.7675,37.2975
1003117532,FORT,SUSAN,L,ARNP,F,I,2528 NW 32ND ST,,GAINESVILLE,FL,326052743,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,27,58,49.093275862,8.32,6.4113793103,6.4113793103
1003117532,FORT,SUSAN,L,ARNP,F,I,2528 NW 32ND ST,,GAINESVILLE,FL,326052743,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,25,15.324,1.42,1.072,1.072
1003117532,FORT,SUSAN,L,ARNP,F,I,2528 NW 32ND ST,,GAINESVILLE,FL,326052743,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,56.982727273,19.885454545,14.293636364,13.336363636
1003117532,FORT,SUSAN,L,ARNP,F,I,2528 NW 32ND ST,,GAINESVILLE,FL,326052743,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,154.18545455,120.88454545,119.03
1003117680,SMITH,ROBERT,S,FNP-C,M,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,1830,4.5386830601,0.5496557377,0.3630327869,0.3630327869
1003117680,SMITH,ROBERT,S,FNP-C,M,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,24,24,15.683333333,15.683333333
1003117698,SANCHEZ,ADOLFO,V,M.D.,M,I,703 CHRISTOPHER ROAD,,BELEN,NM,870022617,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,38,91,67.559230769,8.32,6.3794505495,6.3794505495
1003117698,SANCHEZ,ADOLFO,V,M.D.,M,I,703 CHRISTOPHER ROAD,,BELEN,NM,870022617,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,22,15.963181818,1.42,1.1145454545,1.1145454545
1003117698,SANCHEZ,ADOLFO,V,M.D.,M,I,703 CHRISTOPHER ROAD,,BELEN,NM,870022617,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,130.63529412,18.5,14.073529412,13.141764706
1003117698,SANCHEZ,ADOLFO,V,M.D.,M,I,703 CHRISTOPHER ROAD,,BELEN,NM,870022617,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,34.255789474,5.6331578947,2.3842105263,1.9568421053
1003117698,SANCHEZ,ADOLFO,V,M.D.,M,I,703 CHRISTOPHER ROAD,,BELEN,NM,870022617,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,507.585,86.09,61.562647059,49.735882353
1003118084,WADSWORTH,ANGELA,L,NP,F,I,2076 NC HIGHWAY 42 W,SUITE 300,CLAYTON,NC,275205302,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,36,90,47.546111111,8.32,5.797,5.797
1003118084,WADSWORTH,ANGELA,L,NP,F,I,2076 NC HIGHWAY 42 W,SUITE 300,CLAYTON,NC,275205302,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,22,20.047727273,1.42,1.0645454545,1.0645454545
1003118084,WADSWORTH,ANGELA,L,NP,F,I,2076 NC HIGHWAY 42 W,SUITE 300,CLAYTON,NC,275205302,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,32.653529412,3.68,1.6941176471,2.2335294118
1003118084,WADSWORTH,ANGELA,L,NP,F,I,2076 NC HIGHWAY 42 W,SUITE 300,CLAYTON,NC,275205302,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1440,1.0357708333,0.133875,0.0689791667,0.0689791667
1003118084,WADSWORTH,ANGELA,L,NP,F,I,2076 NC HIGHWAY 42 W,SUITE 300,CLAYTON,NC,275205302,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,99,33,19.723333333,19.723333333
1003118357,DESTINE,JONIAS,,PA-C,M,I,2500 E. HALLANDALE BEACH BLVD,SUITE 301,HALLANDALE BEACH,FL,33009,US,Physician Assistant,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,3.11,3.11,2.4383333333,2.3933636364
1003118357,DESTINE,JONIAS,,PA-C,M,I,2500 E. HALLANDALE BEACH BLVD,SUITE 301,HALLANDALE BEACH,FL,33009,US,Physician Assistant,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7424,0.3045447198,0.3,0.2351993534,0.2401872306
1003118357,DESTINE,JONIAS,,PA-C,M,I,2500 E. HALLANDALE BEACH BLVD,SUITE 301,HALLANDALE BEACH,FL,33009,US,Physician Assistant,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21,10.956666667,8.5833333333,8.7091666667
1003119520,LOEFFLER,RACHEL,M,"ARNP, NP-C",F,I,5005 PORT ST JOHN PKWY STE 2500,,COCOA,FL,329274305,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,220,79.8,62.56,56.296
1003120213,SCHINA,MICHAEL,J,M.D.,M,I,3101 BRISTOL RD.,BENSALEM PAIN MANAGEMENT,BENSALEM,PA,190205006,US,Physician/General Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,1000,1000,781.79967742,877.68677419
1003120338,KONDAREDDY,SREEKANTH,R,MD,M,I,4417 VESTAL PKWY E,,VESTAL,NY,138503556,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,400,90.512222222,70.966111111,56.98
1003120338,KONDAREDDY,SREEKANTH,R,MD,M,I,4417 VESTAL PKWY E,,VESTAL,NY,138503556,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,56.95,42.559444444,33.369444444,29.915
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,80,207,69.145748792,8.32,6.3966666667,6.3966666667
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,31,46,14.865869565,1.42,1.0908695652,1.0908695652
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,19,19,156.31894737,40.922105263,30.461052632,28.885263158
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,381.44692308,95.656923077,70.226153846,63.075384615
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,14,28,144.59464286,36.092857143,28.296428571,25.919285714
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,79,79.518987342,18.551392405,13.180379747,13.188101266
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,54,53.794814815,15.277037037,10.862037037,10.808888889
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,24,24,232.29166667,56.003333333,40.514583333,39.555416667
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,25,25,77.244,18.5148,13.3852,12.9352
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,19,19,78.108421053,12.122105263,8.51,8.1878947368
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,18,39,229,9.2930567686,2.1418340611,1.5743668122,1.48930131
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,15,21,21,59.69952381,13.122380952,9.3180952381,9.3742857143
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,133.64727273,17.52,12.289090909,12.131515152
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,711.62416667,837.96416667
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,45,45,355.396,32.198,23.732444444,23.359333333
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,53,57,546.39789474,83.345438596,62.209824561,53.866666667
1003120502,BERGER,ERIK,,M.D.,M,I,300 EXEMPLA CIR,SUITE 300,LAFAYETTE,CO,800263397,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,21.558333333,21.558333333
1003120692,VIDIC,ANDRIJA,,D.O,M,I,2415 N ORANGE AVE STE 700,,ORLANDO,FL,328045521,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,19,21,970.47333333,19.71,15.450952381,15.450952381
1003120692,VIDIC,ANDRIJA,,D.O,M,I,2415 N ORANGE AVE STE 700,,ORLANDO,FL,328045521,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,23,73,495.75027397,37.38,29.306438356,29.306438356
1003120692,VIDIC,ANDRIJA,,D.O,M,I,2415 N ORANGE AVE STE 700,,ORLANDO,FL,328045521,US,Advanced Heart Failure and Transplant Cardiology,S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,326,53.634018405,6.1565337423,4.8268711656,4.8268711656
1003120692,VIDIC,ANDRIJA,,D.O,M,I,2415 N ORANGE AVE STE 700,,ORLANDO,FL,328045521,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,1885,4.7449442971,0.5682546419,0.4455066313,0.4455066313
1003120692,VIDIC,ANDRIJA,,D.O,M,I,2415 N ORANGE AVE STE 700,,ORLANDO,FL,328045521,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,37,7500,3.9525973333,1.088648,0.853492,0.853492
1003120692,VIDIC,ANDRIJA,,D.O,M,I,2415 N ORANGE AVE STE 700,,ORLANDO,FL,328045521,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,24,24,18.82,18.82
1003120692,VIDIC,ANDRIJA,,D.O,M,I,2415 N ORANGE AVE STE 700,,ORLANDO,FL,328045521,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,38,48,16,16,12.540416667,12.540416667
1003120783,URDININEA KIRKWOOD,CARLOS,A,M.D.,M,I,615 N PROMENADE ST,,HAVANA,IL,626441243,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,25.600454545,3.97,3.1125,3.1125
1003120783,URDININEA KIRKWOOD,CARLOS,A,M.D.,M,I,615 N PROMENADE ST,,HAVANA,IL,626441243,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,64,11.49578125,2.9603125,2.3215625,1.690625
1003120783,URDININEA KIRKWOOD,CARLOS,A,M.D.,M,I,615 N PROMENADE ST,,HAVANA,IL,626441243,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,298.38,81.362857143,63.79,41.981428571
1003120783,URDININEA KIRKWOOD,CARLOS,A,M.D.,M,I,615 N PROMENADE ST,,HAVANA,IL,626441243,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,53.5,19.443571429,15.244285714,10.48
1003120783,URDININEA KIRKWOOD,CARLOS,A,M.D.,M,I,615 N PROMENADE ST,,HAVANA,IL,626441243,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,198.49,52.897857143,41.469285714,25.602857143
1003120866,KARNABI,EDDY,,MD PHD,M,I,1 NORTHEAST DR,,BANGOR,ME,044014332,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3688.8235294,2459.1794118,1902.6776471,1902.6776471
1003121302,BOARMAN,LINDA,,ARNP,F,I,6071 HIGHWAY 54,,PHILPOT,KY,42366,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,28.465238095,17.372857143,12.324761905,12.241428571
1003121302,BOARMAN,LINDA,,ARNP,F,I,6071 HIGHWAY 54,,PHILPOT,KY,42366,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,18.742727273,7.7872727273,5.7990909091,3.3781818182
1003121302,BOARMAN,LINDA,,ARNP,F,I,6071 HIGHWAY 54,,PHILPOT,KY,42366,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,74.28,35.49,27.825,27.309166667
1003121302,BOARMAN,LINDA,,ARNP,F,I,6071 HIGHWAY 54,,PHILPOT,KY,42366,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,215.02272727,70.776363636,50.482727273,49.746363636
1003121849,CARLSTON,CORY,V,M.D.,M,I,10000 SE MAIN ST STE 224,,PORTLAND,OR,972162469,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,19,226.62526316,215.58,169.01,171.88
1003121849,CARLSTON,CORY,V,M.D.,M,I,10000 SE MAIN ST STE 224,,PORTLAND,OR,972162469,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,54,54,63,76.46031746,70.94,54.831587302,45.831111111
1003122003,SRA,MINI,,,F,I,5215 HOLY CROSS PKWY,,MISHAWAKA,IN,465451469,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,12.69,7.4835,5.865,3.66
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,39,100,229,57.632227074,8.2831877729,5.602139738,5.6309606987
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,45,68,13.775,1.4076470588,0.9577941176,0.9677941176
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,4,2.27,1.6314047619,1.6314047619
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,29.99,10.93,7.8558333333,7.8558333333
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,36.036363636,19.165454545,11.390909091,11.557272727
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,38,40,28.45075,8.31025,5.81825,3.34425
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,750,15.58,9.64596,7.5624133333,7.5624133333
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,40,4837,0.2661794501,0.0467355799,0.0314451106,0.0314451106
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,885,0.75,0.2189152542,0.1716158192,0.1716158192
1003122094,ADKINS,KATHLEEN,M,NURSE PRACTITIONER,F,I,312 HIGHLAND AVE.,SUITE H,WASHINGTON COURT HOUSE,OH,431601992,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,49,49,85.530612245,33,22.247959184,22.247959184
1003122151,LIS,TOMASZ,P,MD,M,I,2233 W DIVISION ST,,CHICAGO,IL,606228151,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,195,70.417272727,55.209090909,38.434545455
1003122151,LIS,TOMASZ,P,MD,M,I,2233 W DIVISION ST,,CHICAGO,IL,606228151,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,7.4927272727,4.8822727273,2.7818181818
1003122151,LIS,TOMASZ,P,MD,M,I,2233 W DIVISION ST,,CHICAGO,IL,606228151,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,420,2.8247619048,0.1334285714,0.098047619,0.098047619
1003122441,LATAIFEH,ABDEL,R,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,13,43.461538462,24.94,19.55,16.771538462
1003122441,LATAIFEH,ABDEL,R,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,346.47368421,116.7,91.497368421,65.387894737
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,36,36,36,106.95888889,53.549722222,41.092222222,36.060277778
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,34,34,34,74.592941176,51.91,39.502941176,39.600588235
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,88.29,54.333333333,31.95,30.05
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,44,36.388636364,11.341136364,8.5161363636,8.6413636364
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,26,146,146,36.095547945,20.88760274,15.490136986,13.625068493
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,54.225,35.625,27.93,24.519166667
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,62.351363636,34.842272727,23.850454545,20.724090909
1003122714,RAMIREZ,CAROLINA,L,,F,I,2525 SW 75TH AVE,,MIAMI,FL,331552800,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,20,103,103,19.309708738,9.1045631068,6.567184466,6.2100970874
1003122821,ELKINS,JOHN,C,CRNP,M,I,4305 DENNY AVE,,PASCAGOULA,MS,395815509,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,59,51.565254237,8.32,6.486779661,6.486779661
1003122821,ELKINS,JOHN,C,CRNP,M,I,4305 DENNY AVE,,PASCAGOULA,MS,395815509,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,22,11.922272727,1.42,1.1154545455,1.1154545455
1003122821,ELKINS,JOHN,C,CRNP,M,I,4305 DENNY AVE,,PASCAGOULA,MS,395815509,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,17.29,11.291666667,11.275
1003122821,ELKINS,JOHN,C,CRNP,M,I,4305 DENNY AVE,,PASCAGOULA,MS,395815509,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,125,32.448,23.055,22.613666667
1003122821,ELKINS,JOHN,C,CRNP,M,I,4305 DENNY AVE,,PASCAGOULA,MS,395815509,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,70.23,45.363333333,45.080833333
1003123027,NORTH,DANIELLE,R,PA-C,F,I,4924 CAMPBELL BLVD,SUITE 200,NOTTINGHAM,MD,212365908,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,11,36,86.301944444,8.32,5.0725,5.0725
1003123076,ARZAGA,WENDY,B,P.A.,F,I,973 SEQUOIA AVE,,LINDSAY,CA,932471426,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,47,130,258,71.565736434,8.32,3.8047286822,3.8047286822
1003123076,ARZAGA,WENDY,B,P.A.,F,I,973 SEQUOIA AVE,,LINDSAY,CA,932471426,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,39,76,92,14.419456522,1.42,0.6429347826,0.6429347826
1003123076,ARZAGA,WENDY,B,P.A.,F,I,973 SEQUOIA AVE,,LINDSAY,CA,932471426,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,16.97,10.225263158,10.467894737
1003123076,ARZAGA,WENDY,B,P.A.,F,I,973 SEQUOIA AVE,,LINDSAY,CA,932471426,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,519.51,71.11,48.317692308,47.454615385
1003123084,OZOR,UCHENNA,L,M.D,F,I,2351 E 22ND ST,,CLEVELAND,OH,441153111,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,32,52.8196875,17.3,11.44125,11.425625
1003123084,OZOR,UCHENNA,L,M.D,F,I,2351 E 22ND ST,,CLEVELAND,OH,441153111,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,23.4212,6.0888,4.5552,3.8504
1003123084,OZOR,UCHENNA,L,M.D,F,I,2351 E 22ND ST,,CLEVELAND,OH,441153111,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,38,38,317.05684211,78.508684211,52.234210526,46.811052632
1003123415,IACOBELLIS,GIANLUCA,,M.D. PH.D.,M,I,1450 NW 10TH AVE,,MIAMI,FL,331361011,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,2.1261538462,0.51,0.4,0.4
1003123415,IACOBELLIS,GIANLUCA,,M.D. PH.D.,M,I,1450 NW 10TH AVE,,MIAMI,FL,331361011,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,67,190,741,61.86659919,8.32,6.1040350877,6.1040350877
1003123415,IACOBELLIS,GIANLUCA,,M.D. PH.D.,M,I,1450 NW 10TH AVE,,MIAMI,FL,331361011,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,15,35,35,14.092,3.38,2.65,2.65
1003123415,IACOBELLIS,GIANLUCA,,M.D. PH.D.,M,I,1450 NW 10TH AVE,,MIAMI,FL,331361011,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,22.094444444,2.12,1.67,1.67
1003123415,IACOBELLIS,GIANLUCA,,M.D. PH.D.,M,I,1450 NW 10TH AVE,,MIAMI,FL,331361011,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,37,81,164,20.820792683,1.42,1.0525609756,1.0525609756
1003123415,IACOBELLIS,GIANLUCA,,M.D. PH.D.,M,I,1450 NW 10TH AVE,,MIAMI,FL,331361011,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,34,35,322.93085714,251.032,190.376,190.43685714
1003123530,MARUPAKULA,VIDYASAGARGOUD,,MD,M,I,"4201 ST. ANTOINE, SUITE 2E",UNIVERSITY HEALTH CENTER,DETROIT,MI,48201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,392.48642857,99.393571429,73.605,50.820714286
1003123530,MARUPAKULA,VIDYASAGARGOUD,,MD,M,I,"4201 ST. ANTOINE, SUITE 2E",UNIVERSITY HEALTH CENTER,DETROIT,MI,48201,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,44.745,32.344166667,27.056666667
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,27,184,190,48.574842105,17.815789474,13.456157895,13.070842105
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,26,232.35,53.473076923,38.67,34.916923077
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,1328.1354839,1074.31,834.14354839,834.14354839
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,12,72,73,19.85630137,5.6630136986,4.1512328767,3.3449315068
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,37,267,275,308.58312727,75.149527273,56.210981818,52.262036364
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,66.666666667,43.06875,32.59125,28.738333333
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1260,20.262642857,9.6275238095,7.547968254,7.547968254
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1110,15.843351351,11.141864865,8.6366036036,8.6366036036
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,20,60,17455,0.3675199083,0.0458859926,0.0335783443,0.0335783443
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,404,6.5327227723,0.1121782178,0.0879455446,0.0879455446
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2041,2.5312199902,0.1371092602,0.1048456639,0.1048456639
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,12,55,2910,10.307817869,2.9747216495,2.2495738832,2.2495738832
1003126996,NESKETA,BERHANEMESKEL,,M.D.,M,I,1301 PLEASANT VALLEY RD,SUITE 404,OWENSBORO,KY,423039774,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,31,119,119,45.462184874,32.983193277,25.42210084,25.42210084
1003127002,RAMIREZ,JORGE,A,M.D.,M,I,4502 MEDICAL DR,,SAN ANTONIO,TX,782294402,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,8160,2.8521029412,2.0391176471,1.5452622549,1.5459546569
1003127002,RAMIREZ,JORGE,A,M.D.,M,I,4502 MEDICAL DR,,SAN ANTONIO,TX,782294402,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,200,4.7238,1.8,1.29785,1.29785
1003127010,HUDDLESTON,ERICA,,MD,F,I,7910 E WASHINGTON ST,SUITE 200,INDIANAPOLIS,IN,462196803,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,43,130,73.824769231,8.32,5.9206923077,5.9206923077
1003127010,HUDDLESTON,ERICA,,MD,F,I,7910 E WASHINGTON ST,SUITE 200,INDIANAPOLIS,IN,462196803,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.283333333,3.38,2.65,2.65
1003127010,HUDDLESTON,ERICA,,MD,F,I,7910 E WASHINGTON ST,SUITE 200,INDIANAPOLIS,IN,462196803,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,23,50,15.9056,1.42,1.0008,1.0008
1003127010,HUDDLESTON,ERICA,,MD,F,I,7910 E WASHINGTON ST,SUITE 200,INDIANAPOLIS,IN,462196803,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,296,15,5.49,4.3027702703,4.1892567568
1003127010,HUDDLESTON,ERICA,,MD,F,I,7910 E WASHINGTON ST,SUITE 200,INDIANAPOLIS,IN,462196803,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4441,0.4919297456,0.3799144337,0.2767192074,0.2704345868
1003127010,HUDDLESTON,ERICA,,MD,F,I,7910 E WASHINGTON ST,SUITE 200,INDIANAPOLIS,IN,462196803,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,3435,0.3341310044,0.046154294,0.033510917,0.033510917
1003127010,HUDDLESTON,ERICA,,MD,F,I,7910 E WASHINGTON ST,SUITE 200,INDIANAPOLIS,IN,462196803,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,33,33,24.348235294,24.348235294
1003127028,MADOSH,SPRING,L,MD,F,I,205 OSCEOLA ST,,LAURIUM,MI,499132134,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,20.641818182,13.47,11.322727273
1003127028,MADOSH,SPRING,L,MD,F,I,205 OSCEOLA ST,,LAURIUM,MI,499132134,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,274.44444444,91.207407407,67.08037037,50.698148148
1003127028,MADOSH,SPRING,L,MD,F,I,205 OSCEOLA ST,,LAURIUM,MI,499132134,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,70,41.80125,32.771875,29.494375
1003127085,MORAN,SARAH,T,DO,F,I,1606 OLIVE ST,,SENECA,MO,648659247,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,249.10181818,86.868181818,52.694545455,49
1003127135,DIBARDINO,DAVID,M,M.D.,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,830.30416667,830.30416667
1003127135,DIBARDINO,DAVID,M,M.D.,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,501.72117647,73.975294118,57.999411765,54.723529412
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,90,188,64.504574468,8.32,6.1417553191,6.1417553191
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.465454545,3.38,2.65,2.65
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,26,47,13.317234043,1.42,1.0204255319,1.0204255319
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,91.316315789,23.384736842,17.546315789,15.425789474
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,31.839285714,8.8142857143,6.9092857143,4.4878571429
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,68,69,472.83333333,99.833043478,73.915217391,51.986666667
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3952,0.3818522267,0.0465460526,0.0364954453,0.0364954453
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,146.25,24.212352941,18.135294118,12.585882353
1003127218,BRAY BROWN,REGINA,B,M.D.,F,I,25 N. JOHNSON STREET,,COATS,NC,27521,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1003127374,DAVIS,JASON,,PA,M,I,1011 15TH ST,,WELLINGTON,TX,790953704,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,31,109,65.497431193,8.32,6.4431192661,6.4431192661
1003127374,DAVIS,JASON,,PA,M,I,1011 15TH ST,,WELLINGTON,TX,790953704,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,56.5625,21.751666667,15.808333333,12.655416667
1003127374,DAVIS,JASON,,PA,M,I,1011 15TH ST,,WELLINGTON,TX,790953704,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,27.857142857,8.3457142857,6.3695238095,3.8971428571
1003127374,DAVIS,JASON,,PA,M,I,1011 15TH ST,,WELLINGTON,TX,790953704,US,Physician Assistant,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30,9.86,7.7372727273,7.7981818182
1003127374,DAVIS,JASON,,PA,M,I,1011 15TH ST,,WELLINGTON,TX,790953704,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,77,77,385.4838961,96.921818182,72.411038961,52.933116883
1003127374,DAVIS,JASON,,PA,M,I,1011 15TH ST,,WELLINGTON,TX,790953704,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,200,45.42,31.960555556,26.635555556
1003127374,DAVIS,JASON,,PA,M,I,1011 15TH ST,,WELLINGTON,TX,790953704,US,Physician Assistant,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,520,173.96636364,136.38727273,137.64727273
1003127432,ETER,AHMAD,,MD,M,I,379 STANAFORD RD,,BECKLEY,WV,258013141,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,42.941176471,22.158823529,17.371176471,13.884117647
1003127432,ETER,AHMAD,,MD,M,I,379 STANAFORD RD,,BECKLEY,WV,258013141,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,40.882352941,6.6252941176,5.1952941176,3.8647058824
1003127432,ETER,AHMAD,,MD,M,I,379 STANAFORD RD,,BECKLEY,WV,258013141,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,258.23529412,100.18,76.191764706,54.761176471
1003127465,VANDEN LANGENBERG,RACHAEL,E,D.O.,F,I,3263 EATON RD,,GREEN BAY,WI,543116830,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,59,153,75.230392157,8.32,5.6705228758,5.6705228758
1003127465,VANDEN LANGENBERG,RACHAEL,E,D.O.,F,I,3263 EATON RD,,GREEN BAY,WI,543116830,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,25,38,16.393947368,1.42,0.9986842105,0.9986842105
1003127465,VANDEN LANGENBERG,RACHAEL,E,D.O.,F,I,3263 EATON RD,,GREEN BAY,WI,543116830,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,13,81.928461538,34.231538462,24.863076923,23.924615385
1003127465,VANDEN LANGENBERG,RACHAEL,E,D.O.,F,I,3263 EATON RD,,GREEN BAY,WI,543116830,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,420.71428571,69.81,50.820714286,50.820714286
1003127465,VANDEN LANGENBERG,RACHAEL,E,D.O.,F,I,3263 EATON RD,,GREEN BAY,WI,543116830,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,120,31.941818182,25.039090909,25.039090909
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,14,85,2464,5.2448863636,5.1,3.9657548701,4.1261931818
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,6189,0.3700064631,0.369880433,0.2742850218,0.2743318791
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,36,16871,0.3635107581,0.2983818387,0.2274488768,0.2363807717
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4518,1.3200044267,1.32,1.0031208499,0.9168813634
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,11429,0.6591985301,0.6598267565,0.5021025462,0.502239041
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,48,48,62.533333333,61.8,48.45,48.322708333
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,25,148.6988,50.036,35.9188,34.8168
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,11.818181818,3.5327272727,2.7663636364,3.6818181818
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,111.88,43.615454545,34.192727273,36.480909091
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,14,80,80,8.7135,5.32,4.17,3.96525
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,20.6,11.533076923,8.5053846154,8.5961538462
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,511.774,75.359,53.937,50.4465
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,55.967692308,22.436538462,16.667307692,14.007692308
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,47.3192,38.2128,29.9612,25.714
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,51.666666667,33.17,24.296,20.402666667
1003127655,ABOSHADY,MOUSTAFA,M,M.D.,M,I,3751 KATELLA AVE,,LOS ALAMITOS,CA,907203113,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,21.144,8.8308,6.6624,6.4856
1003127697,ROBLEDO,ELIZABETH,,M.D.,F,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,29,75,72.036666667,8.32,6.2868,6.2868
1003127697,ROBLEDO,ELIZABETH,,M.D.,F,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,14,12.800714286,1.42,1.1157142857,1.1157142857
1003127846,LAI,YU KUANG,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Internal Medicine,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1650,0.17,0.0470909091,0.0335757576,0.0335757576
1003127846,LAI,YU KUANG,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Internal Medicine,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,115.74416667,38.775,30.4,30.469166667
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,50,41.3072,15.0728,11.8168,11.8854
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,188.19166667,54.878333333,43.028333333,42.845
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,11,11,62.866363636,17.4,13.638181818,13.969090909
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,17,84,7.3221428571,2.03,1.5916666667,1.5902380952
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,33,56.753939394,17.456363636,11.893939394,11.85
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,38,451.81526316,33.541052632,25.613421053,24.745526316
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,40,45,318.43977778,82.194444444,55.793333333,47.070444444
1003127861,FIGUEROA,ASTRID,G,DO,F,I,38051 MARKET SQ,,ZEPHYRHILLS,FL,335427504,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1003128141,DODD,KHUSHMAN,,MD,F,I,5100 PRAIRIE PKWY STE 301,,CEDAR FALLS,IA,506138155,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,32,76,80.973684211,8.32,6.3511842105,6.3511842105
1003128141,DODD,KHUSHMAN,,MD,F,I,5100 PRAIRIE PKWY STE 301,,CEDAR FALLS,IA,506138155,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,16,17.063125,1.42,1.0475,1.0475
1003128141,DODD,KHUSHMAN,,MD,F,I,5100 PRAIRIE PKWY STE 301,,CEDAR FALLS,IA,506138155,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,4.6675,3.3783333333,3.3783333333
1003128703,SULEIMAN,YAMAN,,MD,M,I,2100 GLENWOOD DR STE 102,,WINTER PARK,FL,327923308,US,Physician/Hematology-Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,465,15,13.13,10.294,10.294
1003128703,SULEIMAN,YAMAN,,MD,M,I,2100 GLENWOOD DR STE 102,,WINTER PARK,FL,327923308,US,Physician/Hematology-Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,94,9.5,9.35,7.33,7.33
1003128703,SULEIMAN,YAMAN,,MD,M,I,2100 GLENWOOD DR STE 102,,WINTER PARK,FL,327923308,US,Physician/Hematology-Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,94,35,29.22,22.908617021,22.908617021
1003128703,SULEIMAN,YAMAN,,MD,M,I,2100 GLENWOOD DR STE 102,,WINTER PARK,FL,327923308,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,79.2,56.915833333,50.169166667
1003128810,TESFAYE,ANTENEH,A,MD,M,I,4100 JOHN R ST,,DETROIT,MI,482012013,US,Physician/Hematology-Oncology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,48.44,37.978333333,37.249166667
1003128828,MARTINEZ,RICARDO,,MD,M,I,350 7TH ST N,,NAPLES,FL,341025754,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,74.399285714,17.269285714,11.598571429,11.582857143
1003128828,MARTINEZ,RICARDO,,MD,M,I,350 7TH ST N,,NAPLES,FL,341025754,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,482.49225806,75.778709677,56.787741935,52.568709677
1003128828,MARTINEZ,RICARDO,,MD,M,I,350 7TH ST N,,NAPLES,FL,341025754,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,250,36.791176471,28.847647059,29.430588235
1003128885,BEBAWY,DAVID,,M.D.,M,I,4530 E MUIRWOOD DR,#105,PHOENIX,AZ,850487639,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,50,182,76.062472527,8.32,6.3073626374,6.3073626374
1003128885,BEBAWY,DAVID,,M.D.,M,I,4530 E MUIRWOOD DR,#105,PHOENIX,AZ,850487639,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,66,7.2924242424,2.1,1.4968181818,1.4472727273
1003129446,BUTANI,VIKRAM,R,,M,I,110 W SQUANTUM ST,,NORTH QUINCY,MA,021712122,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,43,188,82.927925532,8.32,5.8288297872,5.8288297872
1003129446,BUTANI,VIKRAM,R,,M,I,110 W SQUANTUM ST,,NORTH QUINCY,MA,021712122,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,16,15.234375,1.42,0.8375,0.8375
1003129446,BUTANI,VIKRAM,R,,M,I,110 W SQUANTUM ST,,NORTH QUINCY,MA,021712122,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1675,0.5083402985,0.0459283582,0.0332776119,0.0332776119
1003129446,BUTANI,VIKRAM,R,,M,I,110 W SQUANTUM ST,,NORTH QUINCY,MA,021712122,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1003129685,PRATER,JANNA,,M.D.,F,I,9880 BUSTLETON AVE,SUITE 220,PHILADELPHIA,PA,191152185,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,56,228,530,70.308150943,8.32,6.1526603774,6.1526603774
1003129685,PRATER,JANNA,,M.D.,F,I,9880 BUSTLETON AVE,SUITE 220,PHILADELPHIA,PA,191152185,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,33,110,142,13.598943662,1.42,1.0861971831,1.0861971831
1003129685,PRATER,JANNA,,M.D.,F,I,9880 BUSTLETON AVE,SUITE 220,PHILADELPHIA,PA,191152185,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,11,23,23,367.41391304,251.11,196.87,196.87
1003129685,PRATER,JANNA,,M.D.,F,I,9880 BUSTLETON AVE,SUITE 220,PHILADELPHIA,PA,191152185,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,396.24,237.82,186.45,203.34545455
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,71,67.063521127,8.32,6.0632394366,6.0632394366
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,22,22,80.644545455,39.073181818,30.635909091,30.472727273
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,11,15,15,197.04,53.327333333,41.804,42.855333333
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,16,16,53.771875,18.18125,14.251875,14.00625
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,23,130,6.8065384615,2.0256153846,1.5882307692,1.5906153846
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,326.97043478,89.162826087,66.921086957,67.034782609
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,414.73583333,132.0475,102.795,103.76916667
1003129842,CAO,MICHELLE,,M.D.,F,I,8881 FLETCHER PKWY,SUITE 105,LA MESA,CA,919423134,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,209.7,35.774,27.211333333,25.447333333
1003129859,ESSERT,EMILY,C,D.O.,F,I,11181 HEALTH PARK BLVD,,NAPLES,FL,341105738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,42,116,65.033793103,8.32,6.1843965517,6.1843965517
1003129859,ESSERT,EMILY,C,D.O.,F,I,11181 HEALTH PARK BLVD,,NAPLES,FL,341105738,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.95,3.38,2.65,2.65
1003129859,ESSERT,EMILY,C,D.O.,F,I,11181 HEALTH PARK BLVD,,NAPLES,FL,341105738,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,23,33,14.141212121,1.42,1.08,1.08
1003130030,FANG,AARON,T,M.D.,M,I,400 S 43RD ST,,RENTON,WA,980555714,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,55.090909091,17.26,6.8709090909,6.8754545455
1003130030,FANG,AARON,T,M.D.,M,I,400 S 43RD ST,,RENTON,WA,980555714,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,319.28538462,77.34,31.016153846,28.000769231
1003130402,WAWRZASZEK,AILEEN,E,PA,F,I,1005 E CHEVES ST,,FLORENCE,SC,295062707,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,64.815769231,20.996923077,16.462307692,15.112307692
1003130402,WAWRZASZEK,AILEEN,E,PA,F,I,1005 E CHEVES ST,,FLORENCE,SC,295062707,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,25.628947368,9.2252631579,7.2352631579,7.1310526316
1003130402,WAWRZASZEK,AILEEN,E,PA,F,I,1005 E CHEVES ST,,FLORENCE,SC,295062707,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,319.75,266.98,199.77222222,208.28777778
1003130527,KUSHER,MATTHEW,,M.D.,M,I,3716 108TH ST,,CORONA,NY,113682025,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,13,81.060769231,8.32,4.5192307692,4.5192307692
1003130808,ZAPATA,SHEENA,M,M.D.,F,I,MIAMI CANCER INSTITUTE,8900 N. KENDALL DR,MIAMI,FL,331762118,US,Hospitalist,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,140,43.3375,33.9775,35.892
1003130808,ZAPATA,SHEENA,M,M.D.,F,I,MIAMI CANCER INSTITUTE,8900 N. KENDALL DR,MIAMI,FL,331762118,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,842.26,842.26
1003131061,EVANS,SUSAN,A,DPM,F,I,1411 N TAYLOR DR,,SHEBOYGAN,WI,530813043,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,21,42,94.797619048,71.56,56.105238095,56.104761905
1003131061,EVANS,SUSAN,A,DPM,F,I,1411 N TAYLOR DR,,SHEBOYGAN,WI,530813043,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,59.272727273,43.56,34.151666667,34.15
1003131582,EDMONSTON,KRISTEN,L,ARNP,F,I,1500 SW 10TH AVE,,TOPEKA,KS,666041301,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,16,430.6525,69.99,54.87,54.765
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,56,658,29.384954407,13.087963526,10.104559271,10.135835866
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,363,477.25,268.38369146,210.3,210.3
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,57,393,194.86061069,9.3482188295,7.3286005089,7.3286005089
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,57,393,609.53569975,29.214300254,22.904096692,22.904096692
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,29,2550,39.357505882,5.4638862745,4.2836901961,4.2836901961
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,34,8690,18.753250863,1.334570771,1.0463049482,1.046301496
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,46,46,24,24,18.82,18.82
1003131640,CHINTAPATLA,RANGASWAMY,A,M.D,M,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,38,40,16,16,12.54,12.54
1003131871,BOUCHIE,SAMANTHA,D,MD,F,I,9669 E 146TH ST,SUITE 200,NOBLESVILLE,IN,460605005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,35,122,65.25,8.32,5.9431147541,5.9431147541
1003131871,BOUCHIE,SAMANTHA,D,MD,F,I,9669 E 146TH ST,SUITE 200,NOBLESVILLE,IN,460605005,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,28,15.094642857,1.42,1.0742857143,1.0742857143
1003131871,BOUCHIE,SAMANTHA,D,MD,F,I,9669 E 146TH ST,SUITE 200,NOBLESVILLE,IN,460605005,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,435,251.11,196.87,196.87
1003131871,BOUCHIE,SAMANTHA,D,MD,F,I,9669 E 146TH ST,SUITE 200,NOBLESVILLE,IN,460605005,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,130.09090909,97.248181818,90.816363636
1003132002,LUNA,MAXIMILIANO,,M.D.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,29,95,61.834105263,8.32,5.5609473684,5.5609473684
1003132002,LUNA,MAXIMILIANO,,M.D.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,20,31,16.23483871,1.42,1.0083870968,1.0083870968
1003132002,LUNA,MAXIMILIANO,,M.D.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,90.5,18,12.934166667,12.459166667
1003132002,LUNA,MAXIMILIANO,,M.D.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,77.18,55.4675,50.6425
1003132127,OHEB,JONATHAN,,MD,M,I,5363 BALBOA BLVD STE 445,,ENCINO,CA,913162844,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,22,80,70.94,53.163636364,44.233636364
1003132549,DESAI,VIKAS,,MD,M,I,2320 HIGH ST,,BLUE ISLAND,IL,604062426,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2120,4.5893867925,2.04,1.59775,1.59775
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,56,187,76.002513369,8.32,5.2703208556,5.2703208556
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,23,13.236086957,1.42,0.827826087,0.827826087
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,84.132307692,17.878461538,14.011538462,13.993076923
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,29,6.0566666667,4.3452380952,3.350952381
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,392.31625,88.1175,65.349375,52.57125
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,97,44.745,32.344166667,27.056666667
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,2070,1.940468599,0.1353043478,0.1021256039,0.1021256039
1003132788,BRAZILL,KEVIN,P,D.O.,M,I,2613 W HENRIETTA RD,,ROCHESTER,NY,146232327,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1003133091,JARAMILLO-MAYOR,ELISA,,"M.D., M.P.H.",F,I,400 TIMMS RD NE,,CALHOUN,GA,307017016,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,18,65,146,62.965616438,8.32,5.7428767123,5.7428767123
1003133091,JARAMILLO-MAYOR,ELISA,,"M.D., M.P.H.",F,I,400 TIMMS RD NE,,CALHOUN,GA,307017016,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,221.86181818,77.032727273,56.107272727,39.031818182
1003133091,JARAMILLO-MAYOR,ELISA,,"M.D., M.P.H.",F,I,400 TIMMS RD NE,,CALHOUN,GA,307017016,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,79,10.117468354,2.8848101266,2.2616455696,1.597721519
1003133091,JARAMILLO-MAYOR,ELISA,,"M.D., M.P.H.",F,I,400 TIMMS RD NE,,CALHOUN,GA,307017016,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,209.42769231,54.028461538,42.356153846,28.581538462
1003133091,JARAMILLO-MAYOR,ELISA,,"M.D., M.P.H.",F,I,400 TIMMS RD NE,,CALHOUN,GA,307017016,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,87,33,25.87,25.87
1003133117,TREUIL,REBECCA,S,M.D.,F,I,7373 PERKINS RD,ATTN: CAMILLE/ADMINISTRATION,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,60,173,65.837976879,8.32,6.1362427746,6.1362427746
1003133117,TREUIL,REBECCA,S,M.D.,F,I,7373 PERKINS RD,ATTN: CAMILLE/ADMINISTRATION,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,11.686666667,3.38,2.65,2.65
1003133117,TREUIL,REBECCA,S,M.D.,F,I,7373 PERKINS RD,ATTN: CAMILLE/ADMINISTRATION,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,26,37,13.761891892,1.42,1.1156756757,1.1156756757
1003133117,TREUIL,REBECCA,S,M.D.,F,I,7373 PERKINS RD,ATTN: CAMILLE/ADMINISTRATION,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,109.50285714,19.303571429,15.130714286,14.687142857
1003133224,AMBROGINI,ELENA,,MD PHD,F,I,4301 W MARKHAM ST,# 783,LITTLE ROCK,AR,722057101,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,92,52.000543478,8.32,6.0273913043,6.0273913043
1003133224,AMBROGINI,ELENA,,MD PHD,F,I,4301 W MARKHAM ST,# 783,LITTLE ROCK,AR,722057101,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,251.11,251.11,192.18727273,192.18727273
1003133299,WEINER,SHOSHANA,J,,F,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,49,134,56.81761194,8.32,6.3471641791,6.3471641791
1003133299,WEINER,SHOSHANA,J,,F,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,13.629230769,3.38,2.65,2.65
1003133299,WEINER,SHOSHANA,J,,F,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,24,41,13.00195122,1.42,1.0885365854,1.0885365854
1003133299,WEINER,SHOSHANA,J,,F,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,99.897777778,17.46,12.102222222,11.968888889
1003133299,WEINER,SHOSHANA,J,,F,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,401.11111111,82,56.763333333,48.265555556
1003133463,KWON,JULIA,M,DO,F,I,1705 E 19TH ST STE 302,,TULSA,OK,741045410,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,841.42416667,841.42416667
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,56,48.483571429,8.2819642857,6.1430357143,6.1726785714
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,18.511666667,1.42,1.0266666667,1.0266666667
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,810,22.6,4.97,3.8963333333,4.163
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,15.7,4.04,3.1673333333,3.2456666667
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,8986,4.0294235477,0.379703984,0.2946004897,0.2869964389
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4680,3.36,0.31,0.2430277778,0.2430277778
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,167.93,46.9625,31.1575,32.555833333
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,155.77,42.162727273,33.054545455,33.054545455
1003133984,CARDENAS,BLANCA,E,"FNP, MSN, PHN, RN",F,I,340 4TH AVE,#9,CHULA VISTA,CA,919103813,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,300,128.52272727,100.76181818,95.99
1003134222,ARKLESS,PAUL,A,M.D.,M,I,1000 E MOUNTAIN DR,PULMONARY DEPARTMENT,WILKES BARRE,PA,187110027,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,41,68.764878049,16.33,11.863414634,12.571707317
1003134222,ARKLESS,PAUL,A,M.D.,M,I,1000 E MOUNTAIN DR,PULMONARY DEPARTMENT,WILKES BARRE,PA,187110027,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,25,40.438,3.798,2.976,3.604
1003134222,ARKLESS,PAUL,A,M.D.,M,I,1000 E MOUNTAIN DR,PULMONARY DEPARTMENT,WILKES BARRE,PA,187110027,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,95,104,387.92096154,71.06,52.902884615,52.035961538
1003134222,ARKLESS,PAUL,A,M.D.,M,I,1000 E MOUNTAIN DR,PULMONARY DEPARTMENT,WILKES BARRE,PA,187110027,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,35,240.57142857,39.36,30.86,29.587142857
1003134222,ARKLESS,PAUL,A,M.D.,M,I,1000 E MOUNTAIN DR,PULMONARY DEPARTMENT,WILKES BARRE,PA,187110027,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,5985,0.342459482,0.0452347536,0.03546533,0.0354636591
1003134222,ARKLESS,PAUL,A,M.D.,M,I,1000 E MOUNTAIN DR,PULMONARY DEPARTMENT,WILKES BARRE,PA,187110027,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,155,39.36,30.86,29.66
1003134222,ARKLESS,PAUL,A,M.D.,M,I,1000 E MOUNTAIN DR,PULMONARY DEPARTMENT,WILKES BARRE,PA,187110027,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,28,28,82.5,33,24.946071429,24.946071429
1003134412,SNYDER,LOU-ANN,M,CRNP,F,I,951 N 4TH ST,,ALLENTOWN,PA,181021852,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,30,48.376,8.32,5.6526666667,5.6526666667
1003134636,KRASZKIEWICZ,WOJCIECH,,M.D.,M,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,364,6,5.23,3.9843131868,3.9843131868
1003134636,KRASZKIEWICZ,WOJCIECH,,M.D.,M,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,58,20,8.23,6.4522413793,6.4287931034
1003134636,KRASZKIEWICZ,WOJCIECH,,M.D.,M,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,5.5,4.31,3.3775,3.3775
1003134636,KRASZKIEWICZ,WOJCIECH,,M.D.,M,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,300,15.55,5.36,4.2023333333,4.1630333333
1003134636,KRASZKIEWICZ,WOJCIECH,,M.D.,M,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,2000,1074.31,842.26,842.26
1003134719,LANDER,MATTHEW,M,M.D.,M,I,320 E NORTH AVE,,PITTSBURGH,PA,15212,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,1515,5.5492013201,0.6195445545,0.4857161716,0.4857161716
1003134719,LANDER,MATTHEW,M,M.D.,M,I,320 E NORTH AVE,,PITTSBURGH,PA,15212,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,16,16,12.54,12.54
1003134909,JAISWAL,ATISH,,MD,M,I,2 CROSFIELD AVE,SUITE 318,WEST NYACK,NY,109942226,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,31,72.542258065,8.32,6.1019354839,6.1019354839
1003135377,BUCKLEY,TIMOTHY,A,MD,M,I,1300 W. DEVON AVENUE,,CHICAGO,IL,60660,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,23,71.559130435,8.32,5.1039130435,5.1039130435
1003135864,BURCHAM,ELAINE,L,NP,F,I,1910 MCDOWELL RD,,VINCENNES,IN,47591,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1800,0.339,0.13,0.1019611111,0.1019611111
1003135864,BURCHAM,ELAINE,L,NP,F,I,1910 MCDOWELL RD,,VINCENNES,IN,47591,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,4670,4.1598072805,1.7777944325,1.3630770878,1.568627409
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,36,103,197,69.493959391,8.32,5.65,5.65
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,28,28,14.16,1.42,0.92,0.92
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.5853636364,4.91,3.1973636364,3.1973636364
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,300,6.2506,4.9547,3.5382666667,5.0264333333
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.5,4.03,2.9859090909,2.9859090909
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,261.93666667,73.7,53.851666667,41.770833333
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,86.756666667,22.475,17.62,14.06
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,79,11.28835443,2.7706329114,2.0379746835,1.5513924051
1003136011,NORDSTROM,EMMA,J,M.D.,F,I,2705 N LEBANON ST STE 300,,LEBANON,IN,460528622,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,255.78,79.96,60.1615,52.6
1003136276,HENRY,KAITLIN,D,M.D.,F,I,2200 WABASH AVE,,SPRINGFIELD,IL,62704,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,24,67,63.144776119,8.32,5.1589552239,5.1589552239
1003136276,HENRY,KAITLIN,D,M.D.,F,I,2200 WABASH AVE,,SPRINGFIELD,IL,62704,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,25,17.408,1.42,0.9376,0.9376
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,575,997,997,102.79981946,41.720722166,30.411213641,28.428806419
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,13,23,53,8.0188679245,1.5816981132,1.2388679245,1.1518867925
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,29,36,36,60.743055556,13.5925,10.653055556,9.2619444444
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,380,689,689,343.73751814,93.946269956,68.57383164,63.410478955
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,321,801,1443,129.0710395,36.019362439,26.427276507,24.28959806
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,162,329,1218,83.941420361,19.857561576,14.176559934,13.22409688
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,110,221,864,56.389791667,16.15369213,11.382731481,10.714444444
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,308,495,495,218.67567677,58.250464646,42.134686869,39.555232323
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,591,746,746,68.548297587,19.599490617,14.55613941,13.369209115
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,54,65,65,32.188461538,11.160615385,8.0232307692,7.5184615385
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,41,78,78,85.713076923,13.553461538,10.141666667,8.6874358974
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,627,1386,5417,8.2037548459,2.2780062765,1.6837474617,1.5073823149
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,65,83,83,29.394578313,6.9928915663,5.3004819277,4.5802409639
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,339,428,428,43.82838785,13.539228972,10.076004673,9.8310981308
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,48,295,314,72.138089172,19.427929936,14.594426752,13.730286624
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,54.057692308,17.09,12.369230769,12.503076923
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,1325.0207692,65.7,47.547692308,50.83
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,38,38,77.45,53.78,41.050526316,40.728421053
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,15,84,84,122.57952381,51.237738095,37.032261905,34.707380952
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,32,32,77.45,46.58,36.2775,37.3271875
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,53,313,317,315.89305994,92.337570978,67.960189274,61.71829653
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,57,307,319,872.93573668,238.38238245,183.04507837,161.56025078
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,133,133,133,405.11518797,143.73879699,107.16714286,99.203609023
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,125,575,604,148.75786424,14.247350993,10.55884106,9.8192384106
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,27,153,155,41.368064516,5.1527741935,3.8656774194,3.6664516129
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,378,2171,2190,149.43241096,35.506100457,25.36126484,22.975853881
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,117,846,888,407.3430518,75.458716216,57.64115991,53.914831081
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,50,348,375,177.49333333,39.275893333,30.361546667,29.437973333
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,11,66,3960,15.58,9.6342575758,7.4199621212,7.4199621212
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,30,6940,0.284926513,0.0458299712,0.0328054755,0.0328054755
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,24,75,7346,1.1980928396,0.1361979308,0.106795535,0.106795535
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,20,99,5610,12.617695187,2.9560427807,2.2664099822,2.2664099822
1003136334,MCFADYEN,JONATHAN,A,NP,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,40,153,153,108.70588235,33,25.362745098,25.362745098
1003136367,VARGHESE,JUSTIN,,,M,I,800 GARFIELD AVE,,PARKERSBURG,WV,26101,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,49.500652174,21.247391304,16.56673913,15.035217391
1003136367,VARGHESE,JUSTIN,,,M,I,800 GARFIELD AVE,,PARKERSBURG,WV,26101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,289.50393939,100.46242424,76.953333333,61.887878788
1003136565,PETROSSIAN,ALBERT,A,M.D.,M,I,6226 E SPRING ST STE 260,,LONG BEACH,CA,908151454,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1770,9.9657627119,7.23,5.5872768362,5.5872768362
1003136839,CHAPMAN,ERIC,J,D.O.,M,I,2024 S 6TH ST,,BRAINERD,MN,564014529,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,43,7230,4.7531120332,1.9370954357,1.4988146611,1.5794951591
1003136839,CHAPMAN,ERIC,J,D.O.,M,I,2024 S 6TH ST,,BRAINERD,MN,564014529,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,31,4240,9.65,6.15,4.7539174528,5.5826816038
1003136839,CHAPMAN,ERIC,J,D.O.,M,I,2024 S 6TH ST,,BRAINERD,MN,564014529,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,32,14.7290625,10.93,8.57,8.57
1003136839,CHAPMAN,ERIC,J,D.O.,M,I,2024 S 6TH ST,,BRAINERD,MN,564014529,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,4.4034117647,4.04,3.0683529412,3.0683529412
1003136987,GORE,ETHAN,M,M.D.,M,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,12,54,33.137962963,15.12,11.854074074,11.893333333
1003136987,GORE,ETHAN,M,M.D.,M,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,137.29625,54.47,42.71,42.850625
1003136987,GORE,ETHAN,M,M.D.,M,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,43.5,17.88,14.01,14.06
1003136987,GORE,ETHAN,M,M.D.,M,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,13,13,47.84,11.54,9.05,9.1092307692
1003136987,GORE,ETHAN,M,M.D.,M,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,21,114,6.3,2.01,1.5764912281,1.5921929825
1003136987,GORE,ETHAN,M,M.D.,M,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,53,53,130.31,30.993962264,24.104716981,23.633962264
1003137126,SREEDASYAM,MAHESH,K,MD,M,I,995 S CLARIZZ BLVD,,BLOOMINGTON,IN,47401,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,21,60.104285714,17.380952381,12.320952381,12.248571429
1003137126,SREEDASYAM,MAHESH,K,MD,M,I,995 S CLARIZZ BLVD,,BLOOMINGTON,IN,47401,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,127.56944444,4.8533333333,3.81,3.6405555556
1003137126,SREEDASYAM,MAHESH,K,MD,M,I,995 S CLARIZZ BLVD,,BLOOMINGTON,IN,47401,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,29,423.18275862,79.335172414,53.552068966,47.179655172
1003137126,SREEDASYAM,MAHESH,K,MD,M,I,995 S CLARIZZ BLVD,,BLOOMINGTON,IN,47401,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,25.87,25.87
1003137217,COATES,HANNAH,M,M.D.,F,I,60 MESSENGER ST,,PLAINVILLE,MA,02762,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,35,73,221,62.134886878,8.32,6.0634841629,6.0634841629
1003137217,COATES,HANNAH,M,M.D.,F,I,60 MESSENGER ST,,PLAINVILLE,MA,02762,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,10.579444444,3.38,2.5027777778,2.5027777778
1003137217,COATES,HANNAH,M,M.D.,F,I,60 MESSENGER ST,,PLAINVILLE,MA,02762,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,22,43,77,12.07961039,1.42,1.1,1.1
1003137399,BURMAN,KABEER,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,87,88,53.559318182,21.1075,15.559545455,12.950227273
1003137399,BURMAN,KABEER,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,29.5,6.6,5.1735714286,3.78
1003137399,BURMAN,KABEER,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,84,85,328.73070588,93.765764706,69.405647059,52.301647059
1003137399,BURMAN,KABEER,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,57.391304348,26.313043478,20.629130435,14.649130435
1003137852,SCARBOROUGH,QUINCY,A,M.D.,F,I,1545 BRANNAN FIELD RD,SUITE 1,MIDDLEBURG,FL,320688459,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,33,92,56.179021739,8.32,6.2398913043,6.2398913043
1003137852,SCARBOROUGH,QUINCY,A,M.D.,F,I,1545 BRANNAN FIELD RD,SUITE 1,MIDDLEBURG,FL,320688459,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,30,12.36,1.42,1.0396666667,1.0396666667
1003137852,SCARBOROUGH,QUINCY,A,M.D.,F,I,1545 BRANNAN FIELD RD,SUITE 1,MIDDLEBURG,FL,320688459,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,80.455,58.105
1003137852,SCARBOROUGH,QUINCY,A,M.D.,F,I,1545 BRANNAN FIELD RD,SUITE 1,MIDDLEBURG,FL,320688459,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,30.111666667
1003137936,OLIVER,JANINE,L,M.D.,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,3250,4.1098307692,1.73,1.3563261538,1.5372769231
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,45,111,278,64.552230216,8.32,5.6285611511,5.6285611511
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,33,46,13.70173913,1.42,0.9456521739,0.9456521739
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,26,8.19,1.49,1.0753846154,1.0615384615
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,90,12.318888889,2.0346666667,1.4906666667,1.4877777778
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175.02818182,45.054545455,35.319090909,36.298181818
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,41,86.31,18.286097561,13.683414634,12.875609756
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,52.82,3.9916,2.8908,3.3124
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,44,523.16863636,73.543181818,55.536818182,52.552727273
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,28,2220,0.92,0.1317162162,0.0885315315,0.0885315315
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,205.64583333,73.06,57.2775,54.4375
1003138256,KIRKPATRICK,DAVID,B,PA,M,I,354 W ADAMS AVE,,SISTERS,OR,977592619,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,35,35,132,33,20.439428571,20.439428571
1003138918,MUKALLA,SRILAKSHMI,,MD,F,I,1500 JAMES SIMPSON JR WAY,SUITE 201,COVINGTON,KY,410110801,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,57.399565217,8.32,6.522173913,6.522173913
1003139445,HENRY,JOSEPH,P,M.D.,M,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,519.51,79,61.94,54.73
1003139502,PAYNE,RACHEL,,NP,F,I,300 PROSPERITY RD,SUITE 103,KNOXVILLE,TN,379234717,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,134,39.271428571,30.791428571,30.49
1003139502,PAYNE,RACHEL,,NP,F,I,300 PROSPERITY RD,SUITE 103,KNOXVILLE,TN,379234717,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,42.818333333,18.585,14.5725,14.0675
1003139502,PAYNE,RACHEL,,NP,F,I,300 PROSPERITY RD,SUITE 103,KNOXVILLE,TN,379234717,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,16,85,6.3995294118,2.1730588235,1.7037647059,1.5921176471
1003139502,PAYNE,RACHEL,,NP,F,I,300 PROSPERITY RD,SUITE 103,KNOXVILLE,TN,379234717,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,600,231.70909091,181.66090909,179.01
1003139502,PAYNE,RACHEL,,NP,F,I,300 PROSPERITY RD,SUITE 103,KNOXVILLE,TN,379234717,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,128.50166667,36.5875,27.66125,26.351666667
1003139593,WESCOTT,LISA,A,"MSN, CRNP",F,I,605 N BETHLEHEM PIKE,,LOWER GWYNEDD,PA,190022501,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.9225,2.445,3.0583333333
1003139593,WESCOTT,LISA,A,"MSN, CRNP",F,I,605 N BETHLEHEM PIKE,,LOWER GWYNEDD,PA,190022501,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,17.0625,13.3775,14.19
1003140328,BERGER,CAROL,,,F,I,106 BROADWAY ST,SUITE 3C,ELSBERRY,MO,633431345,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,18,12.827272727,12.309090909
1003140328,BERGER,CAROL,,,F,I,106 BROADWAY ST,SUITE 3C,ELSBERRY,MO,633431345,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,519.51,79.8,56.088275862,49.068275862
1003140328,BERGER,CAROL,,,F,I,106 BROADWAY ST,SUITE 3C,ELSBERRY,MO,633431345,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.290727273,8.7293787879,8.7293787879
1003140328,BERGER,CAROL,,,F,I,106 BROADWAY ST,SUITE 3C,ELSBERRY,MO,633431345,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,449,1.2685746102,0.1308240535,0.1025612472,0.1025612472
1003140328,BERGER,CAROL,,,F,I,106 BROADWAY ST,SUITE 3C,ELSBERRY,MO,633431345,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9881818182,2.3427575758,2.3427575758
1003140328,BERGER,CAROL,,,F,I,106 BROADWAY ST,SUITE 3C,ELSBERRY,MO,633431345,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,25.87,25.87
1003140336,IACOVIELLO,CECILIA,,FNP,F,I,33205 TEMECULA PKWY,,TEMECULA,CA,925929142,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,38,61.213421053,8.32,6.5210526316,6.5210526316
1003140443,YURSIK,BRENNA,K,"MD, MPH",F,I,501 N NAVAJO DR,,PAGE,AZ,860401447,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,22.253636364,16.089090909,12.3
1003140443,YURSIK,BRENNA,K,"MD, MPH",F,I,501 N NAVAJO DR,,PAGE,AZ,860401447,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,308.96,100.90545455,73.678181818,49.754545455
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,14,24,8.6066666667,1.4829166667,1.1641666667,1.1591666667
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,170.42272727,54.281818182,42.556363636,42.86
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,51.038333333,17.900833333,14.033333333,14.064166667
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,19,101,9.8188118812,2.0106930693,1.5767326733,1.5876237624
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,3139.2875676,913.16,714.44189189,837.3672973
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,55,55,44.802545455,4.8992727273,3.3932727273,3.2347272727
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,36,37,126.29378378,30.911351351,23.636756757,25.183243243
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,504.42432432,78.343243243,60.708108108,54.015675676
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,305,37.15,27.188,27.549333333
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,3066,1.2714872798,0.1345629485,0.1019569472,0.1019569472
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,902,11.043470067,2.9063636364,2.2786141907,2.2786141907
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,37.15,29.13,29.51
1003140922,REZVAN,KAVEH,N,D.O.,M,I,2815 S MAIN ST STE 100,,CORONA,CA,928822532,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,99,33,25.206666667,25.206666667
1003140963,BARR,LESLIE,E,MD,F,I,805 N KENTUCKY AVE,,WEST PLAINS,MO,657752022,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,39,45.78974359,8.32,5.5171794872,5.5171794872
1003140963,BARR,LESLIE,E,MD,F,I,805 N KENTUCKY AVE,,WEST PLAINS,MO,657752022,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,12.525294118,1.42,0.9223529412,0.9223529412
1003141318,JOHNSEN,CLAYTON,G,D.P.M.,M,I,1762 N WATERMAN AVE,,SAN BERNARDINO,CA,924045130,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,133,12.5,10.93,8.5691729323,8.5691729323
1003142555,RAMIREZ,JOANNA,G,M.D.,F,I,214 MORRISON RD,STE 110,BRANDON,FL,335114849,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,35,108,75.724722222,8.32,5.8575,5.8575
1003142555,RAMIREZ,JOANNA,G,M.D.,F,I,214 MORRISON RD,STE 110,BRANDON,FL,335114849,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,16.877692308,1.42,0.9461538462,0.9461538462
1003142555,RAMIREZ,JOANNA,G,M.D.,F,I,214 MORRISON RD,STE 110,BRANDON,FL,335114849,US,Physician/Pediatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,371,275,5.91,4.6110781671,4.1800539084
1003142555,RAMIREZ,JOANNA,G,M.D.,F,I,214 MORRISON RD,STE 110,BRANDON,FL,335114849,US,Physician/Pediatric Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4848,3.7173783003,0.39,0.2778733498,0.2650536304
1003142738,GELLI,SREEDHAR,,M.D.,M,I,9981 S HEALTHPARK DR,,FORT MYERS,FL,339083618,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,51.53,19.886428571,12.471428571,11.227142857
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,33,73,258,52.671705426,8.32,5.8898449612,5.8898449612
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,45,87,13.400344828,1.42,1.0114942529,1.0114942529
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,125,3,2.3335555556,2.3492222222
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6260,3.0135910543,0.31,0.2211789137,0.2211789137
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,64.501578947,17.25,12.808421053,12.828421053
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,47.39,30.958333333,31.458333333
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,36.123333333,5.7566666667,4.5133333333,3.7911111111
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,64,289.71984375,79.88,55.295,48.5059375
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.551875,7.551875
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,882,0.7851360544,0.2187641723,0.1715079365,0.1715079365
1003143231,ENSHIWAT,MANDY,L,M.D.,F,I,6255 INKSTER RD,SUITE 101,GARDEN CITY,MI,481352577,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,120.35294118,33,24.348235294,24.348235294
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,47,136,272,73.084742647,8.32,5.7931985294,5.7931985294
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,21,28,31,17.580967742,1.42,1.0458064516,1.0458064516
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,2.41,2.27,1.6313611111,1.6313611111
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,12.5,10.93,7.8558333333,7.8558333333
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.25,7.35,5.28,5.3566666667
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,19,27,27,78.625555556,50.787777778,39.82,31.370740741
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,81.32,71.56,53.792333333,53.792
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,88,32.272954545,29.19,22.885,22.886704545
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,224.81882353,124.44411765,96.745882353,69.49
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,15,82.984,48.060666667,35.768,24.192
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,141.17,80.535,62.9875,44.844166667
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,23,29,29,47.513793103,26.369655172,20.669655172,14.673793103
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,22,35,74,6.47,3.0735135135,2.3151351351,1.5608108108
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,16,19,19,23.41,16.082105263,12.603684211,10.484210526
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,24.402727273,17.772727273,13.941818182
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,320,120.32333333,94.335333333,68.336666667
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,56,56,35,17.899464286,12.696964286,9.4444642857
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25.5,6.7122222222,5.2622222222,3.4422222222
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,54,54,140,51.133888889,36.755925926,23.866111111
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,350,107.4262069,78.35,57.581724138
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,19.952409091,9.6481818182,7.5641666667,7.5641666667
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,57,4080,1.7170245098,0.1363161765,0.1055392157,0.1055392157
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,990,9.131040404,3.0846060606,2.2736464646,2.2736464646
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,65,23.3805,17.3705,13.317
1003143256,DIKE,CHARLES,O,MD,M,I,1680 DIAGONAL RD,,WORTHINGTON,MN,561871008,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,15,55,55,33,33,25.399636364,25.399636364
1003143280,HUGHES,LINDSAY,G,D.O.,F,I,1411 JACOBSBURG RD,,WIND GAP,PA,180919788,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,175,47.916428571,37.566428571,39.429285714
1003143280,HUGHES,LINDSAY,G,D.O.,F,I,1411 JACOBSBURG RD,,WIND GAP,PA,180919788,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,41.292,3.6393333333,2.852,3.088
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,5.1433333333,0.51,0.4,0.4
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,64,157,474,52.177510549,8.32,5.9165822785,5.9165822785
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,37,37,15.451621622,3.38,2.65,2.65
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,16,21,21,24.04,2.12,1.5904761905,1.5904761905
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,51,107,159,15.158805031,1.42,1.0388679245,1.0388679245
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,1920,2.2,2.04,1.5601510417,1.5601510417
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,128,1.97140625,1.8,1.41125,1.41125
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,79.78,66.001666667,50.525833333,57.575833333
1003144643,AL-TAIEB,KHALED,,M.D.,M,I,465 GYPSY LN APT 407,,YOUNGSTOWN,OH,445041364,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,196.33272727,79.88,62.62,55.438181818
1003146226,LOGUE,DUSTIN,A,ANP,M,I,6550 MAIN ST,,ZACHARY,LA,707914072,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,34,55.458235294,8.32,5.3717647059,5.3717647059
1003146226,LOGUE,DUSTIN,A,ANP,M,I,6550 MAIN ST,,ZACHARY,LA,707914072,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,54.627692308,3.3153846154,2.3476923077,3.4084615385
1003146226,LOGUE,DUSTIN,A,ANP,M,I,6550 MAIN ST,,ZACHARY,LA,707914072,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2835,0.17,0.0459259259,0.0301516755,0.0301516755
1003146556,CURTIS,TIMOTHY,M,PA-C,M,I,8000 CRANBERRY SPRINGS DR,,CRANBERRY TOWNSHIP,PA,160666687,US,Physician Assistant,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,349.09090909,337.88545455,263.96454545,360.33545455
1003146556,CURTIS,TIMOTHY,M,PA-C,M,I,8000 CRANBERRY SPRINGS DR,,CRANBERRY TOWNSHIP,PA,160666687,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,115,88.83,59.691428571,56.421428571
1003146556,CURTIS,TIMOTHY,M,PA-C,M,I,8000 CRANBERRY SPRINGS DR,,CRANBERRY TOWNSHIP,PA,160666687,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,42,42,419.52380952,334.04309524,252.21404762,227.19714286
1003147687,ACKERMAN,JESSICA,J,FNP,F,I,277 OHUA AVE,,HONOLULU,HI,968156612,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,5.36,4.2564705882,3.1576470588,3.3952941176
1003147687,ACKERMAN,JESSICA,J,FNP,F,I,277 OHUA AVE,,HONOLULU,HI,968156612,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,80,59.504444444,44.074444444,29.393703704
1003147687,ACKERMAN,JESSICA,J,FNP,F,I,277 OHUA AVE,,HONOLULU,HI,968156612,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,173.8,46.597222222,34.136666667,35.400555556
1003147687,ACKERMAN,JESSICA,J,FNP,F,I,277 OHUA AVE,,HONOLULU,HI,968156612,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,45.3,14.616521739,9.2269565217,12.536086957
1003149147,RIGGS,JONATHAN,,PA,M,I,206 BEDFORD WAY,,FRANKLIN,TN,370645526,US,Physician Assistant,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,395,94.095263158,73.768421053,86.13
1003149204,TRUNDLE,DAWN,B,ARNP-C,F,I,308 S HARBOR CITY BLVD STE A,,MELBOURNE,FL,329011500,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,78.405882353,48.585294118,38.089411765,36.46
1003149295,LAKATOS,ANNE,E,"APN-BC, APNP, RN",F,I,9200 W WISCONSIN AVE,DEPT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,20,69,74.933623188,8.32,5.2337681159,5.2337681159
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,15,28,7.9992857143,1.5657142857,1.1371428571,1.0521428571
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,18,38,38,321.51447368,84.718947368,59.505263158,60.772105263
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,17,43,114,120.23675439,34.969473684,26.478157895,25.006666667
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,80,63.98175,18.457625,12.364125,12.682125
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,12,53,46.565660377,16.063396226,12.593584906,11.893396226
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,27,27,185.85148148,55.873703704,37.627037037,37.551481481
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,27,35,35,62.929142857,18.62,13.446857143,12.951142857
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,23,47,47,67.414255319,12.136808511,8.3204255319,8.1159574468
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,26,65,333,9.1524624625,2.0635435435,1.5280780781,1.5130930931
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,18,23,23,34.753478261,13.78826087,9.3613043478,9.0339130435
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,60,380,404,73.248019802,17.321039604,12.778539604,12.778539604
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,28,29,193.08103448,51.36,40.27,38.085172414
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,4102.81,1074.31,831.84125,831.84125
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,352.294,83.124,65.164,65.547333333
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,30,81.75,14.193,10.774,9.7923333333
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,13,52,62,43.994677419,5.6017741935,4.2275806452,3.5279032258
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,43,53,205.73207547,40.972075472,31.256415094,26.502264151
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,17,105,801,844,430.88989336,79.730236967,59.047476303,52.117547393
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,22,147,150,196.6256,37.302933333,28.1276,28.451133333
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,24,93,24712,0.3176011654,0.0465749433,0.0350117352,0.0350117352
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,34,3328,1.0985336538,0.1349278846,0.0951382212,0.0951382212
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,235.35652174,37.703478261,26.816956522,26.876956522
1003149568,SUD,PAMELA,R,MD,F,I,725 GLENWOOD DRIVE,SUITE E-500,CHATTANOOGA,TN,37404,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,29,116,116,68.844827586,33,24.30887931,24.30887931
1003149634,RAMANATHAN,VIGNESHWARAN,,MD,M,I,327 MEDICAL PARK DR,,BRIDGEPORT,WV,263309006,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,75.234791667,22.354375,16.591875,12.684375
1003149634,RAMANATHAN,VIGNESHWARAN,,MD,M,I,327 MEDICAL PARK DR,,BRIDGEPORT,WV,263309006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,80,80,471.174875,101.67625,75.029,50.864
1003150103,JAIME,DIANA,,M.D.,F,I,942 LAKE BALDWIN LN,,ORLANDO,FL,328146606,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,76.3,51.008461538,39.990769231,40.648461538
1003150574,BIBICOFF,NINA,K,NP,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,15,200,49.786,29.467333333,29.911333333
1003150574,BIBICOFF,NINA,K,NP,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,195.46153846,51.29,32.170769231,32.594615385
1003150574,BIBICOFF,NINA,K,NP,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,51,52,101.08173077,17.241538462,11.945384615,12.092692308
1003150574,BIBICOFF,NINA,K,NP,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,97.233333333,30.906666667,24.226666667,24.226666667
1003150574,BIBICOFF,NINA,K,NP,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24,7.945,6.2291666667,6.3225
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,20,54,676,63.756405325,19.626997041,15.047011834,15.047011834
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,19,51,1466,8.3704502046,2.6307230559,2.062414734,2.062414734
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,69,234,885,64.113954802,8.32,5.847559322,5.847559322
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,13.192727273,3.38,2.65,2.65
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,24,50,94,15.061276596,1.42,1.1024468085,1.1024468085
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,12,78,78,716.53897436,343.20461538,269.07076923,269.07076923
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1780,16.175741573,10.774876404,8.4475168539,8.4475168539
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,12,21,21,324.42904762,250.98,196.76809524,196.86952381
1003152174,BANSAL,NEHA,,M.D.,F,I,535 MAIN ST,,OLEAN,NY,147601500,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,337.31,261.72583333,205.19166667,207.1
1003152968,HARVEY,CASEY,L,PA-C,F,I,5140 LIBERTY AVE,SUITE 150,PITTSBURGH,PA,152242215,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,50,5.9006896552,2.4382758621,1.9355172414
1003153131,HAGOOD,CHRISTINA,,NP,F,I,6301 GASTON AVE,"SUITE 100, WEST TOWER",DALLAS,TX,752143922,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,33,100,62.6927,8.32,6.4851,6.4851
1003153131,HAGOOD,CHRISTINA,,NP,F,I,6301 GASTON AVE,"SUITE 100, WEST TOWER",DALLAS,TX,752143922,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,27,87.063703704,17.27,13.54,13.54
1003153131,HAGOOD,CHRISTINA,,NP,F,I,6301 GASTON AVE,"SUITE 100, WEST TOWER",DALLAS,TX,752143922,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,36,443.0475,68.78,53.92,54.431111111
1003153131,HAGOOD,CHRISTINA,,NP,F,I,6301 GASTON AVE,"SUITE 100, WEST TOWER",DALLAS,TX,752143922,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,2162,0.359440333,0.0468686401,0.0367437558,0.0367391304
1003153214,KHOURY,GHASSAN,H,M.D.,M,I,200 MED PLAZA,"SUITE 365, 420, 120",LOS ANGELES,CA,90024,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,519.51,68.78,50.55,51.263125
1003153636,BALTA,CLAUDIA,M,P.A.,F,I,1400 SENATE AVE,STE. 105,RED OAK,IA,515661271,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,44,81,46.474074074,8.32,5.38,5.38
1003153636,BALTA,CLAUDIA,M,P.A.,F,I,1400 SENATE AVE,STE. 105,RED OAK,IA,515661271,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,13.462666667,1.42,1.044,1.044
1003153636,BALTA,CLAUDIA,M,P.A.,F,I,1400 SENATE AVE,STE. 105,RED OAK,IA,515661271,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,443.82588235,57.518235294,40.672352941,23.853529412
1003153644,DIXON,CAROLYN,T,CNP,F,I,6559 WILSON MILLS RD,106,MAYFIELD VILLAGE,OH,441436402,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24.12,6.035,4.2475,3.285
1003153644,DIXON,CAROLYN,T,CNP,F,I,6559 WILSON MILLS RD,106,MAYFIELD VILLAGE,OH,441436402,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,244.24,77.37,58.835384615,53.403076923
1003153966,COLEMAN,BRITTANY,N,,F,I,12261 HIGHWAY 49,SUITE 11,GULFPORT,MS,395032975,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,32,60.193125,7.925,5.395625,5.705
1003154725,BOHANNON,QUINTON,T,P.A.-C,M,I,108 W OHIO AVE,,COALGATE,OK,745382827,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,165.36272727,65.029090909,42.829090909,28.824545455
1003154725,BOHANNON,QUINTON,T,P.A.-C,M,I,108 W OHIO AVE,,COALGATE,OK,745382827,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2125.24,1074.31,830.30416667,830.30416667
1003155029,HARLEY,KIM,A,APRN,F,I,1325 TRIPLETT ST # A,,OWENSBORO,KY,423033163,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,25,63,124,57.214112903,8.32,5.4476612903,5.4476612903
1003155029,HARLEY,KIM,A,APRN,F,I,1325 TRIPLETT ST # A,,OWENSBORO,KY,423033163,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,16,16.80375,1.42,1.11625,1.11625
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,28,138,78.335507246,8.32,6.1448550725,6.1448550725
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,55,18.667636364,1.42,1.1134545455,1.1134545455
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,104,24.48,18.46,14.473173077,14.473173077
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.14,8.2116666667,6.4383333333,7.4625
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,41,41,175,48.248292683,31.175853659,31.159756098
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,495,167.71,131.48384615,121.45769231
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,350,120.3575,94.3575,100.02083333
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,36.88,15.75,12.35,13.465625
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,34.270930233,3.7820930233,2.9639534884,3.6404651163
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,192.58,47.281538462,37.074358974,36.619487179
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,251.29608696,74,56.758695652,53.754782609
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,75,36.18,26.178461538,27.173076923
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,250,40.775,31.963333333,36.855833333
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,140.13545455,109.86545455,119.02727273
1003155623,CHATTERJEE,GEETANJALI,,NP,F,I,1400 N WASHINGTON ST STE 300,,WILMINGTON,DE,198011024,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,25.87,25.87
1003155730,YANG,YANJIN,,,F,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,70.402758621,8.32,5.8468965517,5.8468965517
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,63,13816,0.4446214534,0.44,0.3432216271,0.3432216271
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,24,69,3428,34.86,34.86,27.330253792,27.330253792
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,44,117,5570,8.28,8.28,6.4915385996,6.4915385996
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,690,22.311304348,18.5,13.348202899,13.348202899
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,17,393,9.1901526718,8.41,6.3192620865,6.3192620865
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,33,447,22.42,22.42,17.577360179,17.577360179
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,33,477,11.411341719,10.93,8.5691614256,8.5691614256
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,28,1800,2.4,2.4,1.8816,1.8816
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,34,194,23.192474227,18.29,14.338659794,14.338659794
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,20,52,2737,3.7288600658,3.67,2.8773255389,2.8773255389
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,365,2.11,2.11,1.6541917808,1.6541917808
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,22,73,11112,0.4524568035,0.45,0.3489974802,0.3489974802
1003155912,GYORKE,NATALIA,,NP,F,I,121 EVERETT RD,,ALBANY,NY,122051447,US,Nurse Practitioner,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,990,1.0442424242,0.88,0.689989899,0.689989899
1003156423,OLIVO,ADRIANA,,N.P.,F,I,300 E 66TH ST,,NEW YORK,NY,100656800,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,27,45,110,43.288818182,35.982727273,27.195545455,29.393181818
1003156423,OLIVO,ADRIANA,,N.P.,F,I,300 E 66TH ST,,NEW YORK,NY,100656800,US,Nurse Practitioner,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,17,18,312.95222222,305.17555556,231.28833333,254.31222222
1003157017,WHARTON,TOMAS,,M.D.,M,I,311 NE 8TH ST STE 110,,HOMESTEAD,FL,330304734,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,3.11,2.235188172,2.1763172043
1003157017,WHARTON,TOMAS,,M.D.,M,I,311 NE 8TH ST STE 110,,HOMESTEAD,FL,330304734,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4404,6.4449591281,0.68,0.5177179837,0.5033333333
1003158338,COX,ADAM,D,M.D.,M,I,1 MEDICAL LN,,CONWAY,AR,720344912,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,50.12,40.7225,31.9275,37.6875
1003158338,COX,ADAM,D,M.D.,M,I,1 MEDICAL LN,,CONWAY,AR,720344912,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,30.128,16.376,11.912666667,12.999333333
1003158700,PELLEG,TOMER,,,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,31,86.31,19.298064516,15.125806452,13.73
1003158700,PELLEG,TOMER,,,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,188,85.581818182,59.638181818,59.638181818
1003158700,PELLEG,TOMER,,,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,39.702857143,6.340952381,4.7404761905,3.4323809524
1003158700,PELLEG,TOMER,,,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,36,552.97805556,81.026111111,63.431111111,55.848888889
1003158700,PELLEG,TOMER,,,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,5.7512878788,2.9881818182,2.3427575758,2.3427575758
1003158700,PELLEG,TOMER,,,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,33,33,25.87,25.87
1003158759,LEE,JENNIFER,Y,MD,F,I,21116 UNION TPKE,,BAYSIDE,NY,113643241,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,220,12.754545455,5.54,3.5744545455,3.5744545455
1003158973,LIOTTA,ANTHONY,J,PA-C,M,I,1240 S CEDAR CREST BLVD,SUITE 308,ALLENTOWN,PA,181036369,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,175,49.852,39.081333333,39.926666667
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,91.502941176,47.259411765,37.054117647,36.510588235
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,15.37,15.37,12.05,12.05
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,15,225,74.348666667,58.291333333,43.92
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,36,36,20,2.2152777778,1.7388888889,1.5566666667
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,9,3.3182758621,2.6013793103,2.2889655172
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,61,61,88,21.30147541,16.697377049,14.902622951
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,349,92.02575,72.14925,61.01225
1003159021,DAWSON,MATTHEW,N,M.D.,M,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,95,95,35,9.6615789474,7.5764210526,6.9598947368
1003159047,DALEY,GILROY,L,M.D.,M,I,3111 MARIA DRIVE,,LEXINGTON,KY,40516,US,Physician/Diagnostic Radiology,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,24,28,950,875.48,686.37,677.69
1003159047,DALEY,GILROY,L,M.D.,M,I,3111 MARIA DRIVE,,LEXINGTON,KY,40516,US,Physician/Diagnostic Radiology,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,63,65,85,950,874.88,684.29047059,676.28505882
1003159047,DALEY,GILROY,L,M.D.,M,I,3111 MARIA DRIVE,,LEXINGTON,KY,40516,US,Physician/Diagnostic Radiology,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,87,91,116,120,106.59396552,82.135517241,87.341551724
1003159062,LORENZE,ANDREA,,M.D.,F,I,300 PASTEUR DRIVE,LANE 154,STANFORD,CA,943055133,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,60,16.96,13.3,13.468
1003159062,LORENZE,ANDREA,,M.D.,F,I,300 PASTEUR DRIVE,LANE 154,STANFORD,CA,943055133,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,360,71,55.66,55.009
1003159104,IMAM,MOHAMMED,W,D.O.,M,I,5503 N STATE LINE AVE,,TEXARKANA,TX,75503,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,16,31,5.9470967742,1.5170967742,1.1887096774,1.1538709677
1003159104,IMAM,MOHAMMED,W,D.O.,M,I,5503 N STATE LINE AVE,,TEXARKANA,TX,75503,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,17.387692308,6.335,4.9673076923,4.1123076923
1003159104,IMAM,MOHAMMED,W,D.O.,M,I,5503 N STATE LINE AVE,,TEXARKANA,TX,75503,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,5484,0.213789205,0.0434846827,0.0340955507,0.0340955507
1003159104,IMAM,MOHAMMED,W,D.O.,M,I,5503 N STATE LINE AVE,,TEXARKANA,TX,75503,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,2729,0.9367497252,0.1368559912,0.1073140344,0.1073140344
1003159104,IMAM,MOHAMMED,W,D.O.,M,I,5503 N STATE LINE AVE,,TEXARKANA,TX,75503,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,42,42,120.21428571,33,25.87,25.87
1003159120,REINHARDT,STEPHANIE,R,M.D.,F,I,13945 S VIRGINIA ST,STE 632,RENO,NV,895118993,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,32,49.936875,8.32,5.2984375,5.2984375
1003159120,REINHARDT,STEPHANIE,R,M.D.,F,I,13945 S VIRGINIA ST,STE 632,RENO,NV,895118993,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,35.942857143,3.85,3.0171428571,3.4333333333
1003159120,REINHARDT,STEPHANIE,R,M.D.,F,I,13945 S VIRGINIA ST,STE 632,RENO,NV,895118993,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,458,65.7,51.51,54.73
1003159450,MASSEY,KRISTEN,N,APN,F,I,4017 STATE ROUTE 159 STE 101,,SMITHTON,IL,62285,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,37,118,69.003559322,8.32,5.8590677966,5.8590677966
1003159450,MASSEY,KRISTEN,N,APN,F,I,4017 STATE ROUTE 159 STE 101,,SMITHTON,IL,62285,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,27,35,14.321142857,1.42,0.9571428571,0.9571428571
1003159450,MASSEY,KRISTEN,N,APN,F,I,4017 STATE ROUTE 159 STE 101,,SMITHTON,IL,62285,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,16,23.86,10.145,7.470625,7.405625
1003159609,WILL,LAURA,M,"N.P., R.N.",F,I,20 BRADSTON ST,ATTN: MEDICAL SERVICES DEPT H.S.A SUFFOLK CORRECTIONS,BOSTON,MA,021182705,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,95,17.51,11.659375,12.375625
1003159609,WILL,LAURA,M,"N.P., R.N.",F,I,20 BRADSTON ST,ATTN: MEDICAL SERVICES DEPT H.S.A SUFFOLK CORRECTIONS,BOSTON,MA,021182705,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,35,8.6608695652,6.0191304348,6.0982608696
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,18,800,0.1656,0.12,0.089325,0.089325
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,21,1320,0.5623484848,0.44,0.3449924242,0.3449924242
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,18,342,33.238333333,23.66,18.549327485,18.549327485
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,12,465,13.228387097,8.28,6.4916129032,6.4916129032
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,13,15,423,23.15893617,18.5,14.504018913,14.504018913
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,14,31,345,16.129304348,10.93,8.5539710145,8.5539710145
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,17,22,480,3.225875,2.4,1.8345416667,1.8345416667
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,,12,494,5.6308906883,3.67,2.8773279352,2.8773279352
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,32,55,4485,0.1807134894,0.13,0.1007090301,0.1007090301
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,17,25,2769,0.6177789816,0.4498374865,0.3526796678,0.3528060672
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,13,135,9.784,1.28,1.0037777778,1.0037777778
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,13,160,83.7375,25.2221875,19.7740625,19.2
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,110,53.9,8.4454545455,6.6210909091,6.4287272727
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,463.4875,213.43125,167.333125,121.95375
1003159856,HARTMAN,AMANDA,N,M.D.,F,I,1200 WALLACE BLVD,,AMARILLO,TX,79106,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,4818,721.78307692,554.84,527.51846154
1003160086,CALHOUN-STANDLEY,VIOLETA,,ARNP,F,I,6101 PINE RIDGE RD,,NAPLES,FL,341193900,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,205.41,131.15142857,102.82142857,114.78
1003160532,GAGLIANO,MARIA,S,FNP,F,I,6000 BRYANT IRVIN RD,,FORT WORTH,TX,761324116,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,2,,12,34,557.87823529,198.01176471,155.24294118,100.82
1003160623,AGGARWAL,ARADHANA,,,F,I,175 HIGH ST,,NEWTON,NJ,078601004,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,40,5.8026315789,4.5526315789,3.7726315789
1003160623,AGGARWAL,ARADHANA,,,F,I,175 HIGH ST,,NEWTON,NJ,078601004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,452.2128125,72.0925,54.9196875,53.209375
1003160623,AGGARWAL,ARADHANA,,,F,I,175 HIGH ST,,NEWTON,NJ,078601004,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,65,35.5,24.618846154,26.282692308
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,30,66,200,74.86025,8.32,6.1359,6.1359
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,9.9554545455,3.38,2.65,2.65
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,33,38,12.735789474,1.42,1.03,1.03
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,17,110.03235294,17.27,13.54,13.54
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,38.991818182,4.5690909091,3.5772727273,3.6645454545
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,72,481.43083333,68.78,53.595416667,54.206527778
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,65.98,36.83,27.38625,28.0325
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2519,2.2695791981,0.1313378325,0.0813695911,0.0813695911
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.83,28.87,29.51
1003161035,LACAZE,MICHAEL,J,DO,M,I,1050 GAIL GARDNER WAY STE 300,,PRESCOTT,AZ,863051640,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,33,33,23.146842105,23.146842105
1003161068,ROY,DAWN,M,FNP-BC,F,I,2305 N GATEWAY AVE UNIT 2,,HARRIMAN,TN,37748,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,37.36,22.4775,16.3775,14.409166667
1003161480,MUSSALLAM ABU SHAIBEH,SANDRELA,,,F,I,820 PRUDENTIAL DR STE 304,,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,16,86.31,16.5,12.94,13.5025
1003161480,MUSSALLAM ABU SHAIBEH,SANDRELA,,,F,I,820 PRUDENTIAL DR STE 304,,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,16,519.51,77.18,60.51,55.081875
1003161894,BEDDINGFIELD,EMILY,A,ACNS-BC,F,I,1250 S CAPITAL OF TEXAS HWY,"BLDG 3, SUITE 400",WEST LAKE HILLS,TX,787466446,US,Certified Clinical Nurse Specialist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,160,47.19,32.9475,33.438
1003161894,BEDDINGFIELD,EMILY,A,ACNS-BC,F,I,1250 S CAPITAL OF TEXAS HWY,"BLDG 3, SUITE 400",WEST LAKE HILLS,TX,787466446,US,Certified Clinical Nurse Specialist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,21,146,146,69.452054795,19.833082192,14.640342466,13.591232877
1003161894,BEDDINGFIELD,EMILY,A,ACNS-BC,F,I,1250 S CAPITAL OF TEXAS HWY,"BLDG 3, SUITE 400",WEST LAKE HILLS,TX,787466446,US,Certified Clinical Nurse Specialist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,25.28,8.9742857143,7.0357142857,7.3314285714
1003162173,HASSAN KAMEL,MOHAMED,,MD,M,I,155 GLASSON WAY,,GRASS VALLEY,CA,95945,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,132.95567568,22.863513514,17.923243243,13.692702703
1003162173,HASSAN KAMEL,MOHAMED,,MD,M,I,155 GLASSON WAY,,GRASS VALLEY,CA,95945,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,27,161,161,705.12298137,98.466708075,74.899068323,53.060434783
1003162173,HASSAN KAMEL,MOHAMED,,MD,M,I,155 GLASSON WAY,,GRASS VALLEY,CA,95945,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,98,98,285.6,43.319795918,33.207040816,28.825306122
1003162215,CHRISTENSEN,MICHAEL,,ACNP,M,I,934 W 600 S,,LAYTON,UT,840413591,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,71.896666667,17.414,12.712,12.630666667
1003162215,CHRISTENSEN,MICHAEL,,ACNP,M,I,934 W 600 S,,LAYTON,UT,840413591,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,3688.7162857,1016.6588571,797.05514286,838.32314286
1003162215,CHRISTENSEN,MICHAEL,,ACNP,M,I,934 W 600 S,,LAYTON,UT,840413591,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,81.834,4.574,3.3673333333,3.386
1003162215,CHRISTENSEN,MICHAEL,,ACNP,M,I,934 W 600 S,,LAYTON,UT,840413591,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,388.37571429,70.283571429,51.154285714,50.835714286
1003162637,ANKIREDDYPALLI,ARVIND,R,M.D.,M,I,1325 EASTMORELAND AVE STE 150,,MEMPHIS,TN,381043555,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,50,69.6756,8.32,6.2608,6.2608
1003162652,CARTER,EMILY,M,PA-C,F,I,1720 NICHOLASVILLE RD,STE 601,LEXINGTON,KY,405031404,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,58.115,21.615625,16.945625,13.53
1003162652,CARTER,EMILY,M,PA-C,F,I,1720 NICHOLASVILLE RD,STE 601,LEXINGTON,KY,405031404,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,20,333.624,96.589,74.7705,57.8235
1003162702,ARNOLD,SYDNEY,L,APRN,F,I,400 N. FULLERTON,,PRONCETON,MO,646731418,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,34.440555556,8.32,4.1608333333,4.1608333333
1003164146,GRIFFIN,BAILEY,M,DPM,F,I,17215 RED OAK DR STE 102,,HOUSTON,TX,770902611,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,31,60,133.741,71.56,54.539833333,54.531166667
1003164146,GRIFFIN,BAILEY,M,DPM,F,I,17215 RED OAK DR STE 102,,HOUSTON,TX,770902611,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,147,84.66,43.56,32.831632653,32.828435374
1003164617,HAJOSTEK,MELISSA,,APN,F,I,3315 N SEMINARY ST,,GALESBURG,IL,614011251,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3101,0.4973556917,0.0448242502,0.0298258626,0.0298258626
1003164617,HAJOSTEK,MELISSA,,APN,F,I,3315 N SEMINARY ST,,GALESBURG,IL,614011251,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,2.2885833333,0.1361818182,0.0985227273,0.0985227273
1003164617,HAJOSTEK,MELISSA,,APN,F,I,3315 N SEMINARY ST,,GALESBURG,IL,614011251,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,33,33,24.022142857,24.022142857
1003165820,OAKLEY,JAMIE,,PA-C,F,I,350 KINGSTOWN RD,SUITE 105,NARRAGANSETT,RI,028823244,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8875,3.0425,3.6125
1003165945,PLOSKI,ELISSA,,PA,F,I,8 PROSPECT ST,,NASHUA,NH,030603925,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.62,54.59,54.718333333
1003166042,FINE,HOWARD,A,M.D.,M,I,1305 YORK AVE FL 9,,NEW YORK,NY,100215663,US,Physician/Neurology,S,J8597,"Antiemetic drug, oral, not otherwise specified",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,18,50,8598,5.8284705746,0.0549116074,0.0430460572,0.0430460572
1003166042,FINE,HOWARD,A,M.D.,M,I,1305 YORK AVE FL 9,,NEW YORK,NY,100215663,US,Physician/Neurology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,23,68,15252,23.905396669,1.4779065041,1.1586775505,1.1586755835
1003166042,FINE,HOWARD,A,M.D.,M,I,1305 YORK AVE FL 9,,NEW YORK,NY,100215663,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,23,67,67,24,24,18.82,18.82
1003166042,FINE,HOWARD,A,M.D.,M,I,1305 YORK AVE FL 9,,NEW YORK,NY,100215663,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,22,67,112,16,16,12.54,12.54
1003166885,AL DALATI,CHIRIN,,M.D.,F,I,41 HIGHLAND AVE,,WINCHESTER,MA,018901446,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17,17,13.33,13.54
1003166885,AL DALATI,CHIRIN,,M.D.,F,I,41 HIGHLAND AVE,,WINCHESTER,MA,018901446,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,78,78,61.15,54.73
1003167206,BUCKLEY,BARBARA,M,DPM,F,I,115 SHAMROCK BLVD,,VENICE,FL,342931630,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,85,100,1203,22.385286783,10.93,8.2898254364,8.2898254364
1003167206,BUCKLEY,BARBARA,M,DPM,F,I,115 SHAMROCK BLVD,,VENICE,FL,342931630,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,38,194.47368421,163.54684211,121.23184211,119.64210526
1003167321,MCCORMACK,KATHERINE,A,PA-C,F,I,1100 E MICHIGAN AVE,STE. 201,JACKSON,MI,492011847,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,17.27,12.411666667,12.411666667
1003167321,MCCORMACK,KATHERINE,A,PA-C,F,I,1100 E MICHIGAN AVE,STE. 201,JACKSON,MI,492011847,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,195,69.81,50.169166667,50.169166667
1003167594,SCORESBY,TRAVIS,,PA-C,M,I,5000 BLACKMORE RD,,CASPER,WY,826093345,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,519.51,70.48,36.123333333,35.805333333
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,64,54.03078125,8.32,6.114375,6.114375
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,15.625,1.42,1.115,1.115
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,41,41,109.46,50.87804878,38.484146341,37.988292683
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,20.93,6.8254545455,4.7872727273,3.5568181818
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,122.03965517,45.99137931,34.942068966,36.128275862
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,,11,22,113.86454545,48.61,38.11,39.664545455
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,28,482.37571429,9.7364285714,7.6317857143,7.985
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,69.2,19.8,13.366,12.48775
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,30.596875,9.198125,7.20875,7.068125
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,596.71857143,187.25071429,141.68071429,122.72464286
1003167982,CHESIRE,SUSAN,C,ANP,F,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,114,33,25.87,25.87
1003168055,CARLILE,MAEGIN,M,FNP,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,150,50.521818182,39.603636364,38.960909091
1003168055,CARLILE,MAEGIN,M,FNP,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,25,5.6433333333,4.4206666667,3.6413333333
1003168055,CARLILE,MAEGIN,M,FNP,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,220,68.78,50.003157895,50.814210526
1003168667,MCNAMARA,STEPHANIE,L,NP-C,F,I,1033 N INDIANA AVE,,SYRACUSE,IN,465671017,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,36,78.356388889,8.32,5.4333333333,5.4333333333
1003168667,MCNAMARA,STEPHANIE,L,NP-C,F,I,1033 N INDIANA AVE,,SYRACUSE,IN,465671017,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,17.27,12.309090909,12.309090909
1003168667,MCNAMARA,STEPHANIE,L,NP-C,F,I,1033 N INDIANA AVE,,SYRACUSE,IN,465671017,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,69.81,49.754545455,49.754545455
1003168683,LEAHY,SEAN,W,PA-C,M,I,3890 TAMPA RD,SUITE 202,PALM HARBOR,FL,346843676,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,20,110.8,110.8,79.269,94.5085
1003168840,TIRUMALASETTY,NAGA NALINI,,"MD,ECNU,FACE.",F,I,908 W CHANDLER BLVD STE 4,,CHANDLER,AZ,852252548,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,54,124,589,60.078862479,8.3151103565,5.8539558574,5.8577758913
1003168840,TIRUMALASETTY,NAGA NALINI,,"MD,ECNU,FACE.",F,I,908 W CHANDLER BLVD STE 4,,CHANDLER,AZ,852252548,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,36,112,15.383303571,1.4142857143,1.069375,1.0738392857
1003168840,TIRUMALASETTY,NAGA NALINI,,"MD,ECNU,FACE.",F,I,908 W CHANDLER BLVD STE 4,,CHANDLER,AZ,852252548,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,17,19,329.41947368,250.82263158,196.64473684,196.86894737
1003168964,OFE,RAYMOND,A,FNP-BC,M,I,6192 OXON HILL RD,,OXON HILL,MD,207453114,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,17,34,43.271470588,8.32,6.52,6.52
1003168964,OFE,RAYMOND,A,FNP-BC,M,I,6192 OXON HILL RD,,OXON HILL,MD,207453114,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,10.05,1.42,1.12,1.12
1003169210,POMAKIS,KATHRYN,M,OD,F,I,4414 SW COLLEGE RD STE 1462,,OCALA,FL,344744790,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,38,38,38,73.019473684,72.592368421,55.880263158,49.984736842
1003169210,POMAKIS,KATHRYN,M,OD,F,I,4414 SW COLLEGE RD STE 1462,,OCALA,FL,344744790,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,25,51.52,44.7268,35.0676,39.9736
1003169210,POMAKIS,KATHRYN,M,OD,F,I,4414 SW COLLEGE RD STE 1462,,OCALA,FL,344744790,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,32,74.21875,67.205,52.6946875,53.5646875
1003169673,STROMPOLIS-GALLE,CARRIE,A,APNP,F,I,1450 EASTSIDE RD,,PLATTEVILLE,WI,538189800,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,51,63.554509804,8.32,5.7533333333,5.7533333333
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,10,8.05,6.31,6.81
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,20,13.04,11.88,9.31,10.7445
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,32,11.8328125,10.34,8.1028125,8.494375
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,19,8.3515789474,7.46,5.85,5.85
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,16,16,16,155.090625,44.87,35.178125,36.289375
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,199.99736842,45.812631579,30.283157895,30.827368421
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,36,36,175,47.663333333,37.0175,38.707222222
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,34.615384615,4.0569230769,3.1792307692,3.8107692308
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,26,269.36,47,36.85,39.766923077
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40,10.1725,7.3616666667,8.355
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,16,16,16,128.44,32.83,25.73,29.105
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,19,118,118,75.217627119,17.019237288,13.263983051,14.232881356
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,135.15823529,24.311764706,18.564705882,22.097352941
1003169814,CASTELLANOS MENDEZ,ANA,V,M.D.,F,I,153 BRODHEAD RD,,BETHLEHEM,PA,180178931,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,71,71,38.1,8.4118309859,6.5987323944,6.9776056338
1003170036,WHITTINGTON,ALEXANDER,C,M.D.,M,I,401 BAPTIST DR STE 201,,MADISON,MS,391102009,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,15,97.906,73.882666667,53.889333333,50.42
1003170036,WHITTINGTON,ALEXANDER,C,M.D.,M,I,401 BAPTIST DR STE 201,,MADISON,MS,391102009,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,14,27,47.108888889,44.110740741,28.83962963,33.74
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,34,110,54.97,8.32,5.9289090909,5.9289090909
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,18.890588235,1.42,1.0494117647,1.0494117647
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,35,6.6008571429,2.1697142857,1.7008571429,1.1908571429
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,69.993333333,22.4775,16.3775,13.071388889
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,999.08,771.31416667,830.29416667
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,39.277241379,8.3520689655,6.2124137931,3.4696551724
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,392.51873016,99.926666667,71.764285714,51.201587302
1003170176,FRESTON,CHRISTINA,M,DO,F,I,194 E MAIN ST,,FORT KENT,ME,047431428,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1003170416,MILHEM,MAALI,,MBBS,F,I,1401 HARRODSBURG RD STE B360,,LEXINGTON,KY,405043747,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,15,29,54.05862069,8.32,6.0706896552,6.0706896552
1003170671,LANJEWAR,SWAPNIL,S,M.D.,M,I,1836 SOUTH AVE,,LA CROSSE,WI,54601,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,184.696,73.394666667,57.543333333,39.145333333
1003170671,LANJEWAR,SWAPNIL,S,M.D.,M,I,1836 SOUTH AVE,,LA CROSSE,WI,54601,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,82.0828125,22.5390625,16.92125,13.3903125
1003170671,LANJEWAR,SWAPNIL,S,M.D.,M,I,1836 SOUTH AVE,,LA CROSSE,WI,54601,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,38.58,7.3581818182,5.7672727273,3.7545454545
1003170671,LANJEWAR,SWAPNIL,S,M.D.,M,I,1836 SOUTH AVE,,LA CROSSE,WI,54601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,447.5828125,103.089375,77.08875,55.10625
1003170713,SILVERS,JOSEPH,T,D.O.,M,I,148 LONDON MOUNTAIN VIEW DR STE 4,,LONDON,KY,407416617,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,33.4,24.286666667,23.485833333
1003171141,DANGLE,DONALD,D,DO,M,I,1100 MONTOUR RD,,LOYSVILLE,PA,170479200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,35,68.914,8.32,5.4042857143,5.4042857143
1003171141,DANGLE,DONALD,D,DO,M,I,1100 MONTOUR RD,,LOYSVILLE,PA,170479200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,310,67.72,49.976470588,51.631176471
1003171141,DANGLE,DONALD,D,DO,M,I,1100 MONTOUR RD,,LOYSVILLE,PA,170479200,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,75,38.72,28.024615385,27.249230769
1003171158,FANKHAUSER,MEGAN,L,MD,F,I,6400 FANNIN ST STE 2800,,HOUSTON,TX,770301534,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,31.945454545,19.911818182,19.685454545
1003171810,GABA,ASHOKKUMAR,H,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,70.23,55.06,54.748333333
1003171810,GABA,ASHOKKUMAR,H,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013100,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,37.44,29.35,29.496666667
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,40,88,73.352159091,8.32,6.0769318182,6.0769318182
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,27,35,13.339142857,1.42,1.0211428571,1.0211428571
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,169.48333333,39.31,28.251666667,27.976666667
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,81,12.788148148,2.12,1.6630864198,1.5987654321
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,81.75,12.156923077,8.6661538462,8.0661538462
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,22,36.695454545,4.1409090909,2.6990909091,2.9281818182
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,257.82,33.652,25.129,23.612
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1110,1.8897747748,0.1341081081,0.0953063063,0.0953063063
1003171901,WHAPSHARE,GAVIN,C,D.O.,M,I,1720 E VENICE AVE,1ST FLOOR,VENICE,FL,342923190,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,22.420666667,22.420666667
1003171968,WEHNER,BRIANNE,L,D.O.,F,I,315 S OSTEOPATHY AVE,,KIRKSVILLE,MO,635016401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,32,69,63.522173913,8.32,5.4576811594,5.4576811594
1003171968,WEHNER,BRIANNE,L,D.O.,F,I,315 S OSTEOPATHY AVE,,KIRKSVILLE,MO,635016401,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,15,11.336,1.42,1.118,1.118
1003172040,MEADOWS,CYNTHIA,G,NP,F,I,1926 ALCOA HWY BLDG F STE 380,,KNOXVILLE,TN,379201545,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,47,52.98893617,16.541702128,11.698085106,12.763829787
1003172040,MEADOWS,CYNTHIA,G,NP,F,I,1926 ALCOA HWY BLDG F STE 380,,KNOXVILLE,TN,379201545,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,34.189285714,6.1485714286,4.3385714286,3.1621428571
1003172040,MEADOWS,CYNTHIA,G,NP,F,I,1926 ALCOA HWY BLDG F STE 380,,KNOXVILLE,TN,379201545,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,308.7437037,89.193333333,63.286666667,51.081481481
1003172040,MEADOWS,CYNTHIA,G,NP,F,I,1926 ALCOA HWY BLDG F STE 380,,KNOXVILLE,TN,379201545,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,25.9825,20.37,14.979166667
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,22,68,58.940735294,8.32,6.1386764706,6.1386764706
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,14.083529412,1.42,1.0505882353,1.0505882353
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,19,19,19,112.45736842,58.951052632,45.056315789,39.544736842
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,17,10.3375,8.1,7.7625
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,101.61363636,68.804090909,52.782272727,42.425
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,13.45,12.102,9.078,8.286
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,15,70,70,142.92928571,59.427,46.589285714,40.112285714
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,82.114166667,17.9275,14.05,13.531666667
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,711.56,837.9
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,15.27,7.126,5.588,3.828
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,25.256666667,10.266666667,8.0476190476,7.0633333333
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,26,128,241,3.65,3.2165145228,2.2984232365,2.0759751037
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,26,128,128,3.3253125,2.6265625,1.9228125,1.730859375
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,508.74296296,86.967407407,65.96962963,52.698518519
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E2209,"Accessory, arm trough, with or without hand support, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,11,8.549,4.7895,4.3545
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,22,22,22,58.436818182,43.492727273,33.155,29.768181818
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3092,0.1846636481,0.0474838292,0.0300808538,0.0300808538
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,52,52,44.295,25.053269231,19.276346154,16.230576923
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,20,99,99,78.245252525,42.36989899,30.593232323,20.05030303
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,32,163,163,18.381840491,10.59392638,7.7819631902,6.5763190184
1003172313,STOKES,BUDDY,B,D.O.,M,I,1955 MEMORIAL DR,,DANVILLE,VA,245414712,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,103.71428571,33,23.009285714,23.009285714
1003172396,YURGIONAS,SASHA,E,MD,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,32,47,67.993617021,8.32,5.110212766,5.110212766
1003172784,SHANE,MARGERY,,F.N.P.,F,I,347 EDISON ST,,STATEN ISLAND,NY,103063034,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,47,60.103617021,8.32,5.5506382979,5.5506382979
1003172859,GROVHOUG,CARLY,,MD,F,I,111 MAIN ST STE B,,WINTERS,CA,956941930,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,51,80.054705882,8.32,6.1407843137,6.1407843137
1003173022,BARNES,ANGELA,,DO,F,I,2875 UNION RD,SUITE 8,CHEEKTOWAGA,NY,142271470,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,25,54,57.629814815,8.32,5.3881481481,5.3881481481
1003173022,BARNES,ANGELA,,DO,F,I,2875 UNION RD,SUITE 8,CHEEKTOWAGA,NY,142271470,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,12,14.335,1.42,0.9316666667,0.9316666667
1003173287,HUO,LIHONG,,M.D.,F,I,123 SUMMER ST STE 535,,WORCESTER,MA,016081216,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,58,125,417,73.559064748,8.32,6.1852038369,6.1852038369
1003173287,HUO,LIHONG,,M.D.,F,I,123 SUMMER ST STE 535,,WORCESTER,MA,016081216,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,26,43,62,15.096129032,1.42,1.0433870968,1.0433870968
1003173287,HUO,LIHONG,,M.D.,F,I,123 SUMMER ST STE 535,,WORCESTER,MA,016081216,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,384.19545455,251.11,196.87,196.87
1003173469,MCCLEAN,ELISABETH,J,MD,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,27,76,83.048947368,8.32,5.9219736842,5.9219736842
1003173469,MCCLEAN,ELISABETH,J,MD,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,407.65454545,78.49,58.263181818,51.771818182
1003173469,MCCLEAN,ELISABETH,J,MD,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,888,10.376632883,3.1119256757,2.3703265766,2.3703265766
1003173469,MCCLEAN,ELISABETH,J,MD,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,40.62,26.541666667,24.6
1003173469,MCCLEAN,ELISABETH,J,MD,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1003173949,CHON,DEBORAH,,M.D.,F,I,3445 PACIFIC COAST HWY STE 100,,TORRANCE,CA,905056659,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,38,166,72.904578313,8.32,6.4445783133,6.4445783133
1003173949,CHON,DEBORAH,,M.D.,F,I,3445 PACIFIC COAST HWY STE 100,,TORRANCE,CA,905056659,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,15,33,13.172727273,1.42,0.9772727273,0.9772727273
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,59,59,32.79,28.454745763,20.946949153,20.946949153
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,23,29.69,29.69,23.28,23.28
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,276,2.49,2.49,1.9516666667,1.9516666667
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,54,54,5.7033333333,5.54,4.2596296296,4.2596296296
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,101,116,11.602241379,10.269051724,7.8481896552,8.3625862069
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,37,74,7.3721621622,6.34,4.97,5.8213513514
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,2752,0.44,0.44,0.3249164244,0.3249164244
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,28,648,25.818950617,23.65691358,18.405015432,18.407746914
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,40,1390,8.4827697842,8.279028777,6.4908201439,6.4915827338
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,762,5.95,5.95,4.6648425197,4.6648425197
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,21,160,11.39675,9.503,5.1160625,6.321
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,330,2.6909090909,2.4,1.8816666667,1.8816666667
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,375,3.6684,3.6684,2.87608,2.8773333333
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,25,3068,0.449488266,0.449488266,0.3524087353,0.3527640156
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,310,4.3909677419,3.02,2.1539354839,2.1539354839
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,45,1248,87.603717949,5.36,4.1927003205,4.1552884615
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,29,13101,4.2075353026,0.37,0.2823532555,0.2823532555
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,11566,0.6205222203,0.3064620439,0.2297397545,0.2324719004
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,347,13.065475504,13.065475504,10.243342939,10.284005764
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,72,555,373.44,292.77569444,292.77569444
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,32,32,435.6871875,61.64,46.81,46.81
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,18,18,18,214.46388889,48.363333333,37.920555556,36.46
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,46.875,4.6675,3.37875,3.37875
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,44.72225,4.99,3.81225,3.8515
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,30,10,2.058,1.3886666667,1.2793333333
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,47,8.3191489362,2.8153191489,1.6976595745,1.6780851064
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,3.7,2.432,1.6393333333,1.5766666667
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,400,69.99,54.87,54.736363636
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2440,0.2286762295,0.046442623,0.0364221311,0.0364221311
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,720,6.3558333333,2.978375,2.2816805556,2.2816805556
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,115,31.015333333,22.875666667,18.851
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,232.05,44.755,31.393333333,33.646666667
1003173980,HANSON,SCOTT,T,D.O.,M,I,1540 HIGH ST,SUITE 101,DES MOINES,IA,503093106,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,8.54,5.9883333333,5.8166666667
1003174004,DAVIS,SUSAN,J,MD,F,I,853 N CHURCH ST,SUITE 510,SPARTANBURG,SC,293033098,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,102,71.177647059,8.32,6.0382352941,6.0382352941
1003174095,HANEY,RORY,M,PA,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,12,430.96333333,104.80833333,80.925833333,53.483333333
1003174301,AFZAL,ASHWAD,,M.D.,M,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,134.38,46.304347826,33.655217391,33.606521739
1003174301,AFZAL,ASHWAD,,M.D.,M,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,49,217.1,77.74,57.767142857,51.674489796
1003174301,AFZAL,ASHWAD,,M.D.,M,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,69.321363636,13.88,9.8909090909,12.151818182
1003174301,AFZAL,ASHWAD,,M.D.,M,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,20.57,6.3,4.4909090909,5.7381818182
1003174301,AFZAL,ASHWAD,,M.D.,M,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,49,61.96,40.66,31.229387755,28.907755102
1003174350,GOINS,ANDREW,D,DO,M,I,9330 PARK WEST BLVD,STE 402,KNOXVILLE,TN,379234308,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,39,148,86.433851351,8.32,6.4783108108,6.4783108108
1003174350,GOINS,ANDREW,D,DO,M,I,9330 PARK WEST BLVD,STE 402,KNOXVILLE,TN,379234308,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,18,36,16.231944444,1.42,1.1138888889,1.1138888889
1003174350,GOINS,ANDREW,D,DO,M,I,9330 PARK WEST BLVD,STE 402,KNOXVILLE,TN,379234308,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,54,31.755,28.2225
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,46,118,51.053644068,8.32,5.8029661017,5.8029661017
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,18,14.328333333,1.42,1.1177777778,1.1177777778
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,33,8.9048484848,2.1581818182,1.6918181818,1.1503030303
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,32,86.31,22.5390625,17.2028125,13.2953125
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,63.846774194,7.6835483871,6.0229032258,3.7051612903
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,143.57142857,52.897857143,38.68,27.152857143
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,23,174,181,517.45171271,105.22077348,77.41441989,52.947348066
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,3476,0.1980379747,0.0466340621,0.0349798619,0.0349798619
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2159,1.0602084298,0.139856415,0.1096572487,0.1096572487
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,1742,12.437996556,2.9447014925,2.308673938,2.308673938
1003174814,SCHMIDT,ALISA,L,M.D.,F,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,35,102,33,25.130857143,25.130857143
1003175126,CASTRO WAGNER,JOHANA,B,M.D,F,I,475 BILTMORE WAY STE 209,,CORAL GABLES,FL,331345736,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,33,72.96,19.681818182,15.428181818,15.428181818
1003175126,CASTRO WAGNER,JOHANA,B,M.D,F,I,475 BILTMORE WAY STE 209,,CORAL GABLES,FL,331345736,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,3300,33.516,9.8377272727,7.7127757576,7.7127757576
1003175126,CASTRO WAGNER,JOHANA,B,M.D,F,I,475 BILTMORE WAY STE 209,,CORAL GABLES,FL,331345736,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,33,8.55,2.6363636364,2.0672727273,2.0672727273
1003175142,GOMEZ DE LA ESPRIELLA,MARIANA,,MD,F,I,159 HARTLEY WAY,,PEARISBURG,VA,241342471,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,133.18181818,50.034545455,39.227272727,36.46
1003175142,GOMEZ DE LA ESPRIELLA,MARIANA,,MD,F,I,159 HARTLEY WAY,,PEARISBURG,VA,241342471,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,160,52.869565217,41.450869565,40.872173913
1003175142,GOMEZ DE LA ESPRIELLA,MARIANA,,MD,F,I,159 HARTLEY WAY,,PEARISBURG,VA,241342471,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,40,43,62.953488372,19.093488372,13.463255814,12.204418605
1003175142,GOMEZ DE LA ESPRIELLA,MARIANA,,MD,F,I,159 HARTLEY WAY,,PEARISBURG,VA,241342471,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,24.133333333,4.886,3.832,3.828
1003175142,GOMEZ DE LA ESPRIELLA,MARIANA,,MD,F,I,159 HARTLEY WAY,,PEARISBURG,VA,241342471,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,64,68,404.33823529,77.452352941,56.444117647,51.217205882
1003175431,JOHNSON,TIANNA,E,D.O.,F,I,35 COLLIER RD NW,SUITE 635,ATLANTA,GA,303091613,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,39,82.936923077,17.25,12.826666667,12.845641026
1003175431,JOHNSON,TIANNA,E,D.O.,F,I,35 COLLIER RD NW,SUITE 635,ATLANTA,GA,303091613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,47,475.39021277,75.56,56.762978723,52.592978723
1003175944,CLYMER,MOLLY ANN,R,O.D.,F,I,250 FAME AVE STE 225,,HANOVER,PA,173311576,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,99.98,57.456923077,45.048461538,50.75
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,29,84,55.676428571,8.32,6.210952381,6.210952381
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,16,26,13.736538462,1.42,1.0296153846,1.0296153846
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,60.332222222,21.656666667,16.148888889,12.778333333
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,28,29.881071429,6.0875,3.8182142857,2.5253571429
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,62,416.66774194,102.49677419,76.640645161,55.827419355
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,3600,4.4121888889,0.567,0.4345388889,0.4345388889
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,5442,0.5106137449,0.0456633591,0.0358030136,0.0358030136
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,81.305,57.1725,41.871666667,25.818333333
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1003175993,ROSE,JENNIFER,N,D.O.,F,I,821 3RD AVE,,MARLINTON,WV,249541015,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,66,33,25.87,25.87
1003176207,LAUILEFUE,TUI,A,MD,F,I,1809 S MAIN STREET,,UPLAND,IN,46989,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,40,68.071,8.32,6.52,6.52
1003176207,LAUILEFUE,TUI,A,MD,F,I,1809 S MAIN STREET,,UPLAND,IN,46989,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,15.208333333,1.42,1.12,1.12
1003176207,LAUILEFUE,TUI,A,MD,F,I,1809 S MAIN STREET,,UPLAND,IN,46989,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,712.286,78.012,58.764,52.280666667
1003176207,LAUILEFUE,TUI,A,MD,F,I,1809 S MAIN STREET,,UPLAND,IN,46989,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.86,27.930833333,27.050833333
1003177056,HOBEL,BRANDON,K,M.D.,M,I,3288 BELL RD,,AUBURN,CA,956039243,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,32,86,72.892093023,8.32,5.9146511628,5.9146511628
1003177056,HOBEL,BRANDON,K,M.D.,M,I,3288 BELL RD,,AUBURN,CA,956039243,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,539.59083333,71.74,56.24,54.855833333
1003178146,SENO,JOHN DAVID,R,MD,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,577.42,189.16,148.3,147.8475
1003178443,VEIT,KALEB,T,D.O.,M,I,717 S HOUSTON AVE STE 304,,TULSA,OK,741279023,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,114.14307692,77.18,60.51,54.72
1003178666,BRAMWELL,JEREMY,J,DO,M,I,523 ROSE LN,,WICKENBURG,AZ,85390,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,38,114,70.909035088,8.32,6.5218421053,6.5218421053
1003178666,BRAMWELL,JEREMY,J,DO,M,I,523 ROSE LN,,WICKENBURG,AZ,85390,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,22,14.400909091,1.42,1.0668181818,1.0668181818
1003178666,BRAMWELL,JEREMY,J,DO,M,I,523 ROSE LN,,WICKENBURG,AZ,85390,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,77,8,2.6038961039,1.9132467532,1.5751948052
1003178666,BRAMWELL,JEREMY,J,DO,M,I,523 ROSE LN,,WICKENBURG,AZ,85390,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,252,39.571612903,31.023548387,26.307741935
1003178666,BRAMWELL,JEREMY,J,DO,M,I,523 ROSE LN,,WICKENBURG,AZ,85390,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,200,116.7,91.497368421,76.045789474
1003178666,BRAMWELL,JEREMY,J,DO,M,I,523 ROSE LN,,WICKENBURG,AZ,85390,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,80,46.022307692,36.083846154,29.518461538
1003178690,EIFLER,JEFFREY,H,D.P.M.,M,I,1723 E BRISTOL ST,ORTHO OFFICE 6TH FLOOD,ELKHART,IN,465143968,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,525,251.28,197,217.521875
1003179326,CECIL,MOLLIE,M,M.D.,F,I,150 MEMORIAL DR,,KINGWOOD,WV,26537,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,44,65.025681818,8.32,6.2245454545,6.2245454545
1003179326,CECIL,MOLLIE,M,M.D.,F,I,150 MEMORIAL DR,,KINGWOOD,WV,26537,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,10.980769231,1.42,1.0323076923,1.0323076923
1003179326,CECIL,MOLLIE,M,M.D.,F,I,150 MEMORIAL DR,,KINGWOOD,WV,26537,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.29,13.55,13.53
1003179326,CECIL,MOLLIE,M,M.D.,F,I,150 MEMORIAL DR,,KINGWOOD,WV,26537,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,70.23,55.06,54.72
1003179532,HART,JESSICA,L,M.D.,F,I,1900 WARDENBURG DR,,BOULDER,CO,80309,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,48,59.69875,8.32,6.25125,6.25125
1003179706,TEEPLES,DAVID,,D.O.,M,I,220 BANNOCK STREET,,MALAD,ID,83252,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,47,40.261702128,8.32,6.2444680851,6.2444680851
1003179706,TEEPLES,DAVID,,D.O.,M,I,220 BANNOCK STREET,,MALAD,ID,83252,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,75,22.790909091,17.711363636,13.922272727
1003179706,TEEPLES,DAVID,,D.O.,M,I,220 BANNOCK STREET,,MALAD,ID,83252,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,50.363684211,10.395789474,7.6494736842,4.3931578947
1003179706,TEEPLES,DAVID,,D.O.,M,I,220 BANNOCK STREET,,MALAD,ID,83252,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,42,43,341.08465116,46.806976744,33.088372093,22.343488372
1003179706,TEEPLES,DAVID,,D.O.,M,I,220 BANNOCK STREET,,MALAD,ID,83252,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,13,74,75,305,101.5632,73.4112,50.604
1003179821,ROSENBERGER,LARRY,L,CNP,M,I,7595 COUNTY ROAD 236,,FINDLAY,OH,458408738,US,Nurse Practitioner,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,17,19,236.84210526,137.94,93.927368421,89.028421053
1003179821,ROSENBERGER,LARRY,L,CNP,M,I,7595 COUNTY ROAD 236,,FINDLAY,OH,458408738,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,14,114.64285714,64.76,46.8,42.695714286
1003179912,BHASIN,AJAY,,,M,I,251 E HURON ST,,CHICAGO,IL,606112908,US,Hospitalist,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,163.35,29.518181818,21.642727273,23.351818182
1003179912,BHASIN,AJAY,,,M,I,251 E HURON ST,,CHICAGO,IL,606112908,US,Hospitalist,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,95,34.834545455,27.312727273,31.218181818
1003179946,ADAMS,MARY,A,NP,F,I,1935 HOMER RD STE A,,COMMERCE,GA,30529,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,35,58,42.462413793,8.32,6.1853448276,6.1853448276
1003180191,BAUM,MANIVANH,M,PA-C,F,I,400 EAST OAK STREET,,VISALIA,CA,932915034,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,33,87,57.134942529,8.32,5.5997701149,5.5997701149
1003180324,SHEIKH,MARIA,A,M.D.,F,I,4401 WORNALL RD,,KANSAS CITY,MO,641113220,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,35,47.587142857,6.6054285714,5.178,3.8365714286
1003180324,SHEIKH,MARIA,A,M.D.,F,I,4401 WORNALL RD,,KANSAS CITY,MO,641113220,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,466.65529412,78.53,59.99,53.552352941
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,30,75,227,77.618590308,8.32,6.2919823789,6.2919823789
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,31,45,21.655333333,1.42,1.1157777778,1.1157777778
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,58,123.13034483,18.5,14,13.23862069
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1035.61,811.92,842.26
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,33.332727273,12.115454545,9.5018181818,9.6
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,28,45.526428571,10.72,8.4,8.7428571429
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,499,236.04090909,172.01,172.01
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,81,84,614.18071429,86.09,64.339166667,53.705833333
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.45,40.83,26.675,25.008333333
1003181470,AGUAYO RICO,ALBERTO,,"M.D,",M,I,401 SAN MATEO BLVD SE,,ALBUQUERQUE,NM,871082921,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,40.83,29.3425,27.050833333
1003181611,WATTERSON,ASHLEY,B,,F,I,115 S CHURCH ST,,BERRYVILLE,VA,226111369,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,29,40,66.51475,8.32,5.40725,5.40725
1003181611,WATTERSON,ASHLEY,B,,F,I,115 S CHURCH ST,,BERRYVILLE,VA,226111369,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,15.242142857,1.42,0.96,0.96
1003181611,WATTERSON,ASHLEY,B,,F,I,115 S CHURCH ST,,BERRYVILLE,VA,226111369,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,20,8.228,5.966,3.1533333333
1003181611,WATTERSON,ASHLEY,B,,F,I,115 S CHURCH ST,,BERRYVILLE,VA,226111369,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,220,39.742,27.996,27.996
1003181611,WATTERSON,ASHLEY,B,,F,I,115 S CHURCH ST,,BERRYVILLE,VA,226111369,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,5032,0.3598648649,0.0470687599,0.0346263911,0.0346263911
1003181926,JOHNSON,MELLYN,A,APRN,F,I,1500 E 2ND ST,STE 100,RENO,NV,895021262,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,1440,0.5420555556,0.4377777778,0.3432361111,0.3432361111
1003181926,JOHNSON,MELLYN,A,APRN,F,I,1500 E 2ND ST,STE 100,RENO,NV,895021262,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,478,9.5339748954,8.28,6.3720083682,6.3720083682
1003181926,JOHNSON,MELLYN,A,APRN,F,I,1500 E 2ND ST,STE 100,RENO,NV,895021262,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,242,22.330165289,18.5,14.504008264,14.504008264
1003181926,JOHNSON,MELLYN,A,APRN,F,I,1500 E 2ND ST,STE 100,RENO,NV,895021262,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,323,4.46,3.67,2.8773684211,2.8773684211
1003181926,JOHNSON,MELLYN,A,APRN,F,I,1500 E 2ND ST,STE 100,RENO,NV,895021262,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,4598.9307692,650.16923077,488.71153846,469.89538462
1003182080,MUELLER,MICHAEL,R,,M,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,91,83.308791209,8.32,5.9486813187,5.9486813187
1003182387,FENDLEY,JOSEPH,C,APRN,M,I,100 MCGOWAN CT,,HOT SPRINGS,AR,719136452,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,15.134166667,11.275
1003182387,FENDLEY,JOSEPH,C,APRN,M,I,100 MCGOWAN CT,,HOT SPRINGS,AR,719136452,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,70.985833333,45.680833333
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,69,183,45.131967213,8.32,5.7867213115,5.7867213115
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,23,15.023913043,1.42,0.8739130435,0.8739130435
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,29,72.461724138,34.596896552,24.897931034,25.214482759
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,72,6.5377777778,2.1925,1.5395833333,1.4169444444
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,64.24,19.498333333,14.533888889,12.784444444
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,48,37.63,37.63
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,26.313181818,4.6009090909,2.3936363636,2.4904545455
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,9.54,2.73,1.7509090909,1.8681818182
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,316.2336,79.6144,58.1024,50.3936
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,1866,18.145819936,9.5947642015,7.3526259378,7.3526259378
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2340,1.9202136752,0.1337948718,0.0967307692,0.0967307692
1003182650,COOPER,EMILY,J,M.D.,F,I,3517 W OWEN K GARRIOTT RD STE 4,,ENID,OK,737034953,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,42,42,56.571428571,33,24.347142857,24.347142857
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,19,27,27,176.60888889,40,29.037037037,28.392592593
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,436.52352941,93.5,71.766470588,67.269411765
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,323.74466667,57.95,42.401333333,40.345333333
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,20,23,23,83.536956522,19,14.9,14.169565217
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,24,40,158,11.503037975,2.1,1.5629746835,1.5181012658
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,11,30,36,87.784166667,13.459722222,10.549722222,10.505277778
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,15,43,47,275.86446809,39.115744681,30.673617021,29.302978723
1003182809,CUTRUFELLO,NICHOLAS,J,M.D.,M,I,1009 GOLF COURSE RD SE STE 109,,RIO RANCHO,NM,871244705,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,86.09,61.354545455,50.914545455
1003182833,JAMIL,SONIA,,D.O.,F,I,23811 BRADDOCK AVE,,BELLEROSE,NY,114261147,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,26,61,111.07721311,8.32,5.9868852459,5.9868852459
1003182833,JAMIL,SONIA,,D.O.,F,I,23811 BRADDOCK AVE,,BELLEROSE,NY,114261147,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,725,0.6958344828,0.0486344828,0.0381517241,0.0381517241
1003182940,COMRIE,STEPHANIE,A,"RN/BSN, MSN ,FNP-BC",F,I,201 HEALTHCARE DRIVE,,GREENVILLE,IL,622461155,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,45,65.334222222,8.32,6.4315555556,6.4315555556
1003182940,COMRIE,STEPHANIE,A,"RN/BSN, MSN ,FNP-BC",F,I,201 HEALTHCARE DRIVE,,GREENVILLE,IL,622461155,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,15,16,11.054375,1.42,1.04875,1.04875
1003182940,COMRIE,STEPHANIE,A,"RN/BSN, MSN ,FNP-BC",F,I,201 HEALTHCARE DRIVE,,GREENVILLE,IL,622461155,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,31,50.73,3.7135483871,2.34,2.9832258065
1003182940,COMRIE,STEPHANIE,A,"RN/BSN, MSN ,FNP-BC",F,I,201 HEALTHCARE DRIVE,,GREENVILLE,IL,622461155,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1869,0.3247619048,0.0451631889,0.0341680043,0.0341680043
1003182940,COMRIE,STEPHANIE,A,"RN/BSN, MSN ,FNP-BC",F,I,201 HEALTHCARE DRIVE,,GREENVILLE,IL,622461155,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,3150,1.1876761905,0.1328380952,0.0902920635,0.0902920635
1003182940,COMRIE,STEPHANIE,A,"RN/BSN, MSN ,FNP-BC",F,I,201 HEALTHCARE DRIVE,,GREENVILLE,IL,622461155,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,71.892857143,33,23.026428571,23.026428571
1003183484,PURTLE,DAVID,L,M.D.,M,I,1921 LOHMANS CROSSING RD STE 150,,AUSTIN,TX,787345386,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,199.00909091,32.727272727,25.658181818,25.514545455
1003183617,WANG,JACKSON,,MD,M,I,10058 WOLF RD,,GRASS VALLEY,CA,959498194,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1005,9.456119403,0.5605870647,0.3982985075,0.3982985075
1003183617,WANG,JACKSON,,MD,M,I,10058 WOLF RD,,GRASS VALLEY,CA,959498194,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,8.825,1.2947272727,1.0052272727,1.0052272727
1003183617,WANG,JACKSON,,MD,M,I,10058 WOLF RD,,GRASS VALLEY,CA,959498194,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1003183617,WANG,JACKSON,,MD,M,I,10058 WOLF RD,,GRASS VALLEY,CA,959498194,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,16,16,12.54,12.54
1003184128,MATTOO,SAMREEN,,M.D.,F,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,33.935263158,17.63,13.82,13.53
1003184128,MATTOO,SAMREEN,,M.D.,F,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,23.368333333,6.5319444444,5.1205555556,4.2038888889
1003184128,MATTOO,SAMREEN,,M.D.,F,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,191.68789474,76.48,59.96,54.72
1003184268,WAWERSIK,ROBIN,,,F,I,18181 OAKWOOD BLVD STE 207,,DEARBORN,MI,481245031,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,14,74,74,1200,1074.31,839.55378378,839.55378378
1003184268,WAWERSIK,ROBIN,,,F,I,18181 OAKWOOD BLVD STE 207,,DEARBORN,MI,481245031,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,557.27727273,84.02,65.873636364,65.229090909
1003184268,WAWERSIK,ROBIN,,,F,I,18181 OAKWOOD BLVD STE 207,,DEARBORN,MI,481245031,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,13,75,76,17.539473684,5.6580263158,4.3289473684,3.6663157895
1003184268,WAWERSIK,ROBIN,,,F,I,18181 OAKWOOD BLVD STE 207,,DEARBORN,MI,481245031,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,248.74947368,79.88,62.62,59.085789474
1003184268,WAWERSIK,ROBIN,,,F,I,18181 OAKWOOD BLVD STE 207,,DEARBORN,MI,481245031,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,93.684210526,35.63,27.93,28.636842105
1003184466,PAUL,AMY,S,M.D.,F,I,1250 E MARSHALL ST,DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE,RICHMOND,VA,232985051,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,38,57.325,8.32,6.5218421053,6.5218421053
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,24,31,31,105,50.853548387,39.871612903,31.257096774
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,27,36,36,310.53666667,127.22833333,99.108888889,71.858611111
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,18,27,74,113.59810811,46.448108108,36.415405405,25.917837838
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,14,16,90,63.583333333,28.680666667,21.603111111,14.661666667
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,33,43,43,189.00116279,81.009767442,62.413255814,44.245581395
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,49,53,53,80.721509434,26.767735849,20.687924528,14.466415094
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,25,32,32,64.6315625,22.9496875,17.9915625,9.4815625
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,48,66,365,9.8288219178,3.3031780822,2.502630137,1.5815616438
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,25,26,26,24.326153846,9.5723076923,7.3065384615,4.7607692308
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,34.625,16.40125,12.85375,10.6825
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,650,310.36785714,243.33214286,177.25607143
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,480,196.23666667,153.85333333,104.7
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,31,36,65.513888889,20.630277778,15.852777778,11.7
1003184599,EASTMAN,MEGAN,R,ARNP,F,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,20,122,127,170.14188976,54.855511811,41.503385827,28.086141732
1003184912,FALKE,CRYSTAL,,PA-C,F,I,615 N PROMENADE ST,,HAVANA,IL,626441243,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,5400,0.17,0.0465833333,0.0262222222,0.0262222222
1003184912,FALKE,CRYSTAL,,PA-C,F,I,615 N PROMENADE ST,,HAVANA,IL,626441243,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,132,33,20.751034483,20.751034483
1003184946,NICULESCU,NONA,,M.D.,F,I,1200 12TH AVE S,,SEATTLE,WA,981442712,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,55,108,64.934074074,8.32,6.2833333333,6.2833333333
1003184946,NICULESCU,NONA,,M.D.,F,I,1200 12TH AVE S,,SEATTLE,WA,981442712,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,15,14.578,1.42,1.1186666667,1.1186666667
1003186362,HUTTON,LESLIE,M,FNP,F,I,821 E CHAPEL ST STE 201,,SANTA MARIA,CA,934544619,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.007461538,8.4459487179,8.4459487179
1003186362,HUTTON,LESLIE,M,FNP,F,I,821 E CHAPEL ST STE 201,,SANTA MARIA,CA,934544619,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.92,0.1310769231,0.1027179487,0.1027179487
1003186362,HUTTON,LESLIE,M,FNP,F,I,821 E CHAPEL ST STE 201,,SANTA MARIA,CA,934544619,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1003186362,HUTTON,LESLIE,M,FNP,F,I,821 E CHAPEL ST STE 201,,SANTA MARIA,CA,934544619,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,25.87,25.87
1003186479,GIRDHAR,MANIKA,,D.O.,F,I,2401 GILLHAM RD,,KANSAS CITY,MO,641084619,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,1620,206.60911728,40.137740741,31.468,31.468
1003186479,GIRDHAR,MANIKA,,D.O.,F,I,2401 GILLHAM RD,,KANSAS CITY,MO,641084619,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,375,358.5,281.06,281.06
1003186644,CIOBANU,DANA,,D.O,F,I,11815 EDUCATION ST,,AUBURN,CA,956022410,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,59,51.265932203,8.32,6.3015254237,6.3015254237
1003186644,CIOBANU,DANA,,D.O,F,I,11815 EDUCATION ST,,AUBURN,CA,956022410,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,6.4225,4.5191666667,3.3908333333
1003186644,CIOBANU,DANA,,D.O,F,I,11815 EDUCATION ST,,AUBURN,CA,956022410,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,607.93,157.92333333,111.855,94.413333333
1003186677,CAMPBELL,CARLA,,NP-C,F,I,55 E GALENA ST,,BUTTE,MT,597011703,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,71.75625,22.354375,15.659375,11.83875
1003186677,CAMPBELL,CARLA,,NP-C,F,I,55 E GALENA ST,,BUTTE,MT,597011703,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,418.44375,101.67625,72.614375,47.943125
1003186719,NANDWA,JUDITH,K,APRN,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020","DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY",KANSAS CITY,KS,661600001,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,140,51.125,40.083571429,39.413571429
1003186719,NANDWA,JUDITH,K,APRN,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020","DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY",KANSAS CITY,KS,661600001,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,66.285714286,23.143928571,18.146428571,14.657142857
1003186719,NANDWA,JUDITH,K,APRN,F,I,"3901 RAINBOW BLVD, 6040 DELP, MS 1020","DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY",KANSAS CITY,KS,661600001,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,74.090909091,33.746363636,26.456363636,22.982727273
1003187295,OBAID,WALEED,,M.D,M,I,6071 W OUTER DR,,DETROIT,MI,482352624,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,15,4.8729411765,3.13,3.0276470588
1003187295,OBAID,WALEED,,M.D,M,I,6071 W OUTER DR,,DETROIT,MI,482352624,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,243.14516129,69.81,51.93,51.93
1003187295,OBAID,WALEED,,M.D,M,I,6071 W OUTER DR,,DETROIT,MI,482352624,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,55,36.14,25.631904762,26.83952381
1003188236,WIERMAN,MERCEDES,D,ARNP,F,I,631 PALM SPRINGS DR,SUITE 101,ALTAMONTE SPRINGS,FL,327017854,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,65,6.4314285714,5.04,4.0071428571
1003189267,LARA,ABBY,J,APRN,F,I,500 CLINIC DR,,HOPKINSVILLE,KY,422404991,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,36,70,43.542857143,8.32,6.2428571429,6.2428571429
1003189267,LARA,ABBY,J,APRN,F,I,500 CLINIC DR,,HOPKINSVILLE,KY,422404991,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,11.747272727,1.42,0.9163636364,0.9163636364
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,46.088275862,8.32,6.0706896552,6.0706896552
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,195,64.524761905,46.119047619,33.227142857
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,42.664285714,22.829285714,16.830714286,12.778571429
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,53,53,44.433962264,7.5932075472,5.5339622642,3.4154716981
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,342.10588235,102.84,77.300196078,55.269607843
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,75,44.687142857,35.037142857,29.755
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,75,23.66125,17.149166667,12.584583333
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22.04,10.8475,7.7533333333,6.0641666667
1003189309,SHOEMAKER,ALISHA,L,APN,F,I,19067 ALBERTA ST,,ONEIDA,TN,378416002,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,99,33,23.714166667,23.714166667
1003189515,MEJIA,CHERYL,L,D.O.,F,I,1150 PROFESSIONAL CT,SUITE P,HAGERSTOWN,MD,217404100,US,Physician/Physical Medicine and Rehabilitation,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,349,249.3,195.45,217.17
1003189515,MEJIA,CHERYL,L,D.O.,F,I,1150 PROFESSIONAL CT,SUITE P,HAGERSTOWN,MD,217404100,US,Physician/Physical Medicine and Rehabilitation,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,77,77,77,1000.8985714,998.25532468,777.31194805,881.18142857
1003189515,MEJIA,CHERYL,L,D.O.,F,I,1150 PROFESSIONAL CT,SUITE P,HAGERSTOWN,MD,217404100,US,Physician/Physical Medicine and Rehabilitation,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,26,995,641.82,497.67192308,475.11192308
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,13,29,377,57.204509284,19.592413793,14.773846154,14.773846154
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,12,29,840,7.7853571429,2.6271428571,2.0596071429,2.0596071429
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,12,15,30,5.2406666667,0.51,0.4,0.4
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,55,117,400,1539,62.100961663,8.32,6.1669395712,6.1669395712
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,22,49,49,14.375918367,3.38,2.65,2.65
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,18,22,22,22.198181818,2.12,1.67,1.67
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,53,136,283,13.366219081,1.42,1.070565371,1.070565371
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,682.70666667,350.559,274.837,274.837
1003190455,BEXLEY,LATOYA,P,N.P.,F,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,44,3750,14.804808,10.114384,7.896096,7.896096
1003191883,FAN,LING,,,F,I,111 S 11TH ST,"GIBBON BLDG., SUITE 6270",PHILADELPHIA,PA,191074824,US,Nurse Practitioner,S,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,24,59.31,48.69,38.170416667,38.170416667
1003191883,FAN,LING,,,F,I,111 S 11TH ST,"GIBBON BLDG., SUITE 6270",PHILADELPHIA,PA,191074824,US,Nurse Practitioner,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,21,26,116.77,95.87,72.965,72.965
1003194218,SIDDON,JONATHAN,L,D.O.,M,I,7764 ARMISTEAD RD,240,LORTON,VA,220791919,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,42,60.507619048,8.32,6.5214285714,6.5214285714
1003194515,PATEL,VISHAL,N,,M,I,2775 MOSSIDE BLVD,,MONROEVILLE,PA,151462760,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,335,77.5,56.086153846,51.911538462
1003194515,PATEL,VISHAL,N,,M,I,2775 MOSSIDE BLVD,,MONROEVILLE,PA,151462760,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36.26,24.389166667,25.311666667
1003194739,HEINTZELMAN,JOHN,A,M.D.,M,I,225 E STATE ROUTE 14,,COLUMBIANA,OH,444088490,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,55,64.705454545,8.32,5.6718181818,5.6718181818
1003194739,HEINTZELMAN,JOHN,A,M.D.,M,I,225 E STATE ROUTE 14,,COLUMBIANA,OH,444088490,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,13.887142857,1.42,1.0666666667,1.0666666667
1003194739,HEINTZELMAN,JOHN,A,M.D.,M,I,225 E STATE ROUTE 14,,COLUMBIANA,OH,444088490,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,31,9,2.9696774194,2.215483871,1.5564516129
1003194739,HEINTZELMAN,JOHN,A,M.D.,M,I,225 E STATE ROUTE 14,,COLUMBIANA,OH,444088490,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5610,0.5411960784,0.4155757576,0.3258181818,0.2558698752
1003195215,AUGUSTINE,PHILIP,B,,M,I,4150 N MULBERRY DR,,KANSAS CITY,MO,64116,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,192.94,33.333333333,26.133333333,22.473333333
1003195256,ALY,MUSTAFA,,MD,M,I,3615 19TH ST,,LUBBOCK,TX,794101203,US,Hospitalist,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.77,12.33,9.6675,7.75
1003195256,ALY,MUSTAFA,,MD,M,I,3615 19TH ST,,LUBBOCK,TX,794101203,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,46.684444444,20.194444444,15.831851852,13.533333333
1003195256,ALY,MUSTAFA,,MD,M,I,3615 19TH ST,,LUBBOCK,TX,794101203,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,214.28888889,87.151851852,68.326666667,54.726666667
1003195256,ALY,MUSTAFA,,MD,M,I,3615 19TH ST,,LUBBOCK,TX,794101203,US,Hospitalist,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,143.29705882,63.168235294,49.527058824,37.398823529
1003195454,VAN WINKLE,MICHAEL,A,D.O,M,I,1044 BELMONT AVE,,YOUNGSTOWN,OH,445041006,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,26,74,68.400810811,8.32,6.5221621622,6.5221621622
1003195454,VAN WINKLE,MICHAEL,A,D.O,M,I,1044 BELMONT AVE,,YOUNGSTOWN,OH,445041006,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,16,15.236875,1.42,1.1175,1.1175
1003195454,VAN WINKLE,MICHAEL,A,D.O,M,I,1044 BELMONT AVE,,YOUNGSTOWN,OH,445041006,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,79.902352941,16.5,12.178823529,12.787647059
1003195454,VAN WINKLE,MICHAEL,A,D.O,M,I,1044 BELMONT AVE,,YOUNGSTOWN,OH,445041006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,476.36117647,77.18,56.950588235,51.501176471
1003195603,RAMIREZ-MCLAUGHLIN,MICHALLE,G,"RN, NP",F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,67,61.301343284,8.32,5.1601492537,5.1601492537
1003195603,RAMIREZ-MCLAUGHLIN,MICHALLE,G,"RN, NP",F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,201.81818182,32.845454545,22.718181818,21.245454545
1003195785,WINTER,ELISE,,PA-C,F,I,520 HARTFORD TPKE,SUITE M,VERNON,CT,060665037,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,30,121,67.297190083,8.306446281,5.3516528926,5.362231405
1003195785,WINTER,ELISE,,PA-C,F,I,520 HARTFORD TPKE,SUITE M,VERNON,CT,060665037,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,35,15.863142857,1.42,0.7642857143,0.7642857143
1003196171,COFLER -KOLDORFF,MARA,,MD,F,I,2915 SUNRISE HWY,,ISLIP TERRACE,NY,117522716,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,57,53.610526316,8.32,5.8352631579,5.8352631579
1003196171,COFLER -KOLDORFF,MARA,,MD,F,I,2915 SUNRISE HWY,,ISLIP TERRACE,NY,117522716,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,19,30.384736842,1.42,1.0568421053,1.0568421053
1003196171,COFLER -KOLDORFF,MARA,,MD,F,I,2915 SUNRISE HWY,,ISLIP TERRACE,NY,117522716,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,15.595,9.3175,7.305,8.57
1003196460,MAJEED,MUHAMMAD,,MD,M,I,112 N 7TH ST,,CHAMBERSBURG,PA,172011720,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,36.88,16.084285714,12.605714286,13.538571429
1003196460,MAJEED,MUHAMMAD,,MD,M,I,112 N 7TH ST,,CHAMBERSBURG,PA,172011720,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,230,70.625714286,55.371428571,54.73
1003196478,SALES M P LINS CARDIM,ISABELA,,MD,F,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Physician/Geriatric Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,624,62.83,49.25,48.658181818
1003196478,SALES M P LINS CARDIM,ISABELA,,MD,F,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,38.569285714,15.910714286,10.808571429,12.422857143
1003196478,SALES M P LINS CARDIM,ISABELA,,MD,F,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,8.5318181818,6.6863636364,6.7163636364
1003197997,HERSHBERGER,HOLLY,J,FNP-BC,F,I,37868 US HIGHWAY 18,,PRAIRIE DU CHIEN,WI,538218416,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,52,76.359615385,8.32,5.5173076923,5.5173076923
1003197997,HERSHBERGER,HOLLY,J,FNP-BC,F,I,37868 US HIGHWAY 18,,PRAIRIE DU CHIEN,WI,538218416,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,980,1.4356326531,0.1387244898,0.1087857143,0.1087857143
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,104.62411765,43.101176471,30.899411765,27.987058824
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,17,30,30,303.494,111.592,84.744333333,67.519333333
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,16,28,60,104.947,43.3965,32.260333333,25.535333333
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,,16,68,46.404117647,18.172647059,14.120882353,12.250294118
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,13,23,23,168.8726087,67.213913043,49.739565217,42.314347826
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,24,31,31,56.253548387,21.695483871,16.307419355,13.807741935
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,34,34,65.002058824,18.137058824,14.220588235,10.355882353
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,29,59,262,8.4140839695,2.7482061069,2.0824045802,1.6488931298
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,12,16,87.478125,20.106875,14.070625,13.723125
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,17,19,417.21105263,121.51473684,95.266315789,69.482105263
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,19,19,433.98526316,173.19842105,129.56210526,107.33210526
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,23,50.73,6.5569565217,5.137826087,4.5447826087
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,20,100,103,202.33087379,50.996699029,38.823300971,27.061650485
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,49,53,402.08113208,92.767169811,69.969622642,55.79490566
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,34,210.57647059,41.085294118,31.243235294,28.761764706
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,15.944634921,9.6008571429,7.2993333333,7.2993333333
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,19,2219,1.1428931951,0.1375890041,0.1078909419,0.1078909419
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,1020,11.130107843,3.061,2.3998529412,2.3998529412
1003198391,NANNAKA,VARALAXMI,B,M.D.,F,I,912 S FLEISHEL AVE,,TYLER,TX,757012018,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,25,25,76.56,33,25.87,25.87
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,136.9,45.69,34.108,23.7925
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,115,2108,2108,2108,1451.8564137,1191.7758397,920.6122296,869.23909393
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L0651,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebra",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,69,69,69,1271.8988406,1212.0718841,940.79405797,875.74173913
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,25,25,36,182.32944444,128.64777778,100.86222222,102.50944444
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,41,556,576,650,845.07804615,699.75984615,546.09706154,481.15964615
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,67,823,848,1003,960.89591226,841.59270189,657.50147557,673.13692921
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,35,126,133,236,507.58733051,451.75279661,352.48381356,352.18504237
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,88,1397,1443,1684,130.0217696,107.83924584,83.809251781,87.942024941
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,44,44,85,48.77,48.519647059,38.040705882,38.374
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,26,26,26,131.9,90.889230769,71.26,79.506153846
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,91,625,633,886,546.00476298,466.11750564,363.4711851,363.07581264
1003199928,WASHINGTON,FELICIA,P,"DNP-C, FNP-C",F,I,615 SAINT GEORGE SQUARE CT STE 300,,WINSTON SALEM,NC,27103,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,87,573,579,579,831.38863558,699.82963731,546.02533679,564.58338515
1003200023,LOWERY,MEGAN,M,MD,F,I,1611 NW 12TH AVE,,MIAMI,FL,331361005,US,Student in an Organized Health Care Education/Training Program,T,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,3975,0.0512327044,0.0126792453,0.0099396226,0.0099396226
1003200023,LOWERY,MEGAN,M,MD,F,I,1611 NW 12TH AVE,,MIAMI,FL,331361005,US,Student in an Organized Health Care Education/Training Program,T,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1003200023,LOWERY,MEGAN,M,MD,F,I,1611 NW 12TH AVE,,MIAMI,FL,331361005,US,Student in an Organized Health Care Education/Training Program,T,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,18,16,16,12.541666667,12.541666667
1003200791,AVERILL,CAITLIN,M,CRNP,F,I,114 BUSINESS CENTER DR,,REISTERSTOWN,MD,211361229,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,40,108,66.318425926,8.32,5.3739814815,5.3739814815
1003200791,AVERILL,CAITLIN,M,CRNP,F,I,114 BUSINESS CENTER DR,,REISTERSTOWN,MD,211361229,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,20,25,10.326,1.42,1.072,1.072
1003200791,AVERILL,CAITLIN,M,CRNP,F,I,114 BUSINESS CENTER DR,,REISTERSTOWN,MD,211361229,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,18,204.22333333,33.543333333,26.3,26.037777778
1003201039,GANT,MAKEDA,,,F,I,1129 S ASPEN AVE,,BROKEN ARROW,OK,740124859,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,51.81,17,12.118181818,12.332727273
1003201039,GANT,MAKEDA,,,F,I,1129 S ASPEN AVE,,BROKEN ARROW,OK,740124859,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,297.16705882,77.18,58.397058824,52.607647059
1003202128,NGUYEN,MICHAEL,,M.D.,M,I,1001 GAUSE BLVD,,SLIDELL,LA,70458,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,23.293076923,17,12.304615385,12.494230769
1003202128,NGUYEN,MICHAEL,,M.D.,M,I,1001 GAUSE BLVD,,SLIDELL,LA,70458,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,132.7427027,70.75027027,50.968648649,50.33972973
1003202128,NGUYEN,MICHAEL,,M.D.,M,I,1001 GAUSE BLVD,,SLIDELL,LA,70458,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,62,37.44,26.904166667,27.0675
1003202623,BENGEL,ALEXANDRA,,PA-C,F,I,145 MICHIGAN ST NE STE 5500,,GRAND RAPIDS,MI,495032565,US,Physician Assistant,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,440,9.7259090909,5.7372727273,4.2934545455,4.2955909091
1003203001,MADDEN,PETER,,MD,M,I,4502 E 41ST ST,,TULSA,OK,741352536,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,28,63.235357143,8.32,6.5207142857,6.5207142857
1003203118,SHAH,SWETA,,,F,I,25 MULE RD UNIT B4,,TOMS RIVER,NJ,087555037,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,16.591818182,13.009090909,14.918181818
1003203456,KARLI,JACKLYN,A,CNP,F,I,401 9TH AVE NW,,WATERTOWN,SD,572011548,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,12,23,23,145.73913043,116.8773913,89.202173913,69.052173913
1003203456,KARLI,JACKLYN,A,CNP,F,I,401 9TH AVE NW,,WATERTOWN,SD,572011548,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,11,23,45,49.45,43.146666667,32.553333333,25.435333333
1003203456,KARLI,JACKLYN,A,CNP,F,I,401 9TH AVE NW,,WATERTOWN,SD,572011548,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,19,19,37.105263158,26.318421053,19.145263158,13.592631579
1003203456,KARLI,JACKLYN,A,CNP,F,I,401 9TH AVE NW,,WATERTOWN,SD,572011548,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,11,23,23,37,19.914347826,13.859565217,7.5339130435
1003203456,KARLI,JACKLYN,A,CNP,F,I,401 9TH AVE NW,,WATERTOWN,SD,572011548,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,27,162,5.962962963,3.1488888889,2.2720987654,1.5166666667
1003203456,KARLI,JACKLYN,A,CNP,F,I,401 9TH AVE NW,,WATERTOWN,SD,572011548,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,47.142857143,15.285,10.329285714,9.4692857143
1003203456,KARLI,JACKLYN,A,CNP,F,I,401 9TH AVE NW,,WATERTOWN,SD,572011548,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,68,68,124.11764706,41.989411765,26.710735294,18.415588235
1003203811,HALL,RICHARD,,"APRN, FNP-BC",M,I,1278 N. LAFAYETTE DR,,SUMTER,SC,29150,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,59,52.831525424,8.32,5.9691525424,5.9691525424
1003203811,HALL,RICHARD,,"APRN, FNP-BC",M,I,1278 N. LAFAYETTE DR,,SUMTER,SC,29150,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,32.34,11.73,7.5682352941,7.4835294118
1003203811,HALL,RICHARD,,"APRN, FNP-BC",M,I,1278 N. LAFAYETTE DR,,SUMTER,SC,29150,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,344,14.5,5.54,4.3433430233,4.1631104651
1003203811,HALL,RICHARD,,"APRN, FNP-BC",M,I,1278 N. LAFAYETTE DR,,SUMTER,SC,29150,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7277,1.33,0.6561000412,0.5105428061,0.513601759
1003203811,HALL,RICHARD,,"APRN, FNP-BC",M,I,1278 N. LAFAYETTE DR,,SUMTER,SC,29150,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,33.536585366,4.7665853659,3.6282926829,3.6256097561
1003203894,BENSON,ALYSSA,,,F,I,12420 130TH AVE N,,LARGO,FL,337741919,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,30,52.091666667,8.32,5.653,5.653
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,33,159,72.931257862,8.32,6.5224528302,6.5224528302
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,319.26,87.78,68.82,67.84
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,18,103.18666667,34.2,26.813333333,25.919444444
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,60.769230769,17.49,13.71,14.06
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,20,20,57.0225,12,9.41,9.12
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,29,109,8.1198165138,2,1.5687155963,1.5923853211
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,513.00045455,87.5,64.792727273,63.429090909
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1481.97,206.70833333,150.1025,147.92916667
1003204462,BRIGGS,ASHLEY,N,ARNP,F,I,1667 N CLYDE MORRIS BLVD,SUITE 2,DAYTONA BEACH,FL,321175500,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,184.67925926,36.104444444,27.071111111,25.452592593
1003204504,BANDY,ALEXANDRA,J,NURSE PRACTITIONER,F,I,530 W. BONITA AVE,,CLAREMONT,CA,91711,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,83.43,17,13.33,13.54
1003204504,BANDY,ALEXANDRA,J,NURSE PRACTITIONER,F,I,530 W. BONITA AVE,,CLAREMONT,CA,91711,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,502.5,79.22,62.11,54.73
1003204660,HOUSER,BEVERLIE,,AGPCNP-BC,F,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,139.69,60.927857143,34.022142857,22.965714286
1003204660,HOUSER,BEVERLIE,,AGPCNP-BC,F,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,66.656521739,26.86826087,18.496956522,11.430434783
1003205576,FAGAN,MELODIE,,,F,I,139 GAIUS ST,,BUCYRUS,OH,448201508,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,50,167,61.274131737,8.32,6.1675449102,6.1675449102
1003205576,FAGAN,MELODIE,,,F,I,139 GAIUS ST,,BUCYRUS,OH,448201508,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1003205576,FAGAN,MELODIE,,,F,I,139 GAIUS ST,,BUCYRUS,OH,448201508,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,22,51,13.275686275,1.42,1.0703921569,1.0703921569
1003205576,FAGAN,MELODIE,,,F,I,139 GAIUS ST,,BUCYRUS,OH,448201508,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,329.62714286,91.313333333,62.021904762,47.81047619
1003205576,FAGAN,MELODIE,,,F,I,139 GAIUS ST,,BUCYRUS,OH,448201508,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64.54,44.745,33.916666667,30.341666667
1003205626,WHITESIDE,DAVID,H,FNP,M,I,1330 BOILING SPRINGS RD,SUITE 2500,SPARTANBURG,SC,293034201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,53,147,65.492993197,8.32,5.9010884354,5.9010884354
1003205626,WHITESIDE,DAVID,H,FNP,M,I,1330 BOILING SPRINGS RD,SUITE 2500,SPARTANBURG,SC,293034201,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,26,14.476923077,1.42,1.0284615385,1.0284615385
1003205626,WHITESIDE,DAVID,H,FNP,M,I,1330 BOILING SPRINGS RD,SUITE 2500,SPARTANBURG,SC,293034201,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,14,17,186.81176471,32.209411765,23.85,23.452941176
1003205857,HEATH,CHASTITY,H,NP,F,I,3950 NEW COVINGTON PIKE,SUITE 220,MEMPHIS,TN,381282595,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,23,10.758695652,9.592173913,7.522173913,4.2426086957
1003205915,ANTI,ELIZA,W,N.P.,F,I,225 S MAIN ST,,BARRE,VT,056414881,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,375.86666667,102.61833333,80.455,58.105
1003205915,ANTI,ELIZA,W,N.P.,F,I,225 S MAIN ST,,BARRE,VT,056414881,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,87.386363636,44.560909091,34.938181818,30.165454545
1003206251,GOODMAN,AMY,,"MMS, PA-C",F,I,1500 5TH AVE RM 481,,MCKEESPORT,PA,151322422,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,185,44.39,31.636363636,32.076363636
1003207242,ARMBRUSTER,JOHN,R,FNP,M,I,714 BROADWAY ST,,CAPE GIRARDEAU,MO,637015514,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,69,20.015,14.862777778,12.778333333
1003207242,ARMBRUSTER,JOHN,R,FNP,M,I,714 BROADWAY ST,,CAPE GIRARDEAU,MO,637015514,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,379.83666667,82.993703704,62.852592593,52.702962963
1003207598,HARRIS,STEPHANIE,A,CRNP,F,I,605 N BETHLEHEM PIKE,,LOWER GWYNEDD,PA,190022501,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,112.18823529,16.08,11.858823529,12.802941176
1003207598,HARRIS,STEPHANIE,A,CRNP,F,I,605 N BETHLEHEM PIKE,,LOWER GWYNEDD,PA,190022501,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,400.14117647,77.18,56.950588235,51.501176471
1003207655,LINN,VERONICA,,N.P.,F,I,505 S 336TH ST STE 500,,FEDERAL WAY,WA,980038300,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,445.83333333,77.36,55.595833333,50.169166667
1003210758,LUTHER,KELLY,K,PA-C,F,I,620 HOWARD AVENUE,UPMC ALTOONA EMERGENCY DEPARTMENT,ALTOONA,PA,166014899,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,31,58.507741935,8.32,5.6809677419,5.6809677419
1003210790,CRUZ,JOSE,L,PA-C,M,I,300 COMMUNITY DR,NORTH SHORE UNIVERSITY HOSPITAL,MANHASSET,NY,110303816,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,25,25,25,152.98,45.4792,35.6552,36.1444
1003211566,GROSS,BUKOLA,,,F,I,18522 US HIGHWAY 18,SUITE 208,APPLE VALLEY,CA,923072321,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,67.084166667,8.32,4.8904166667,4.8904166667
1003211566,GROSS,BUKOLA,,,F,I,18522 US HIGHWAY 18,SUITE 208,APPLE VALLEY,CA,923072321,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,54.78,5.9166666667,4.3804761905,3.5923809524
1003212234,RAMSEY,MIRANDA,J,WHNP-BC,F,I,545 SCHULTZ CIRCLE,,NEWLAND,NC,28657,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,23,27.610434783,8.32,6.2386956522,6.2386956522
1003212382,DEGUTIS,ASHLEY,,NP,F,I,136 W CENTER ST,,MARION,OH,433023704,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,40,39.1525,8.32,4.72925,4.72925
1003212382,DEGUTIS,ASHLEY,,NP,F,I,136 W CENTER ST,,MARION,OH,433023704,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,3300,0.17,0.0454333333,0.0331060606,0.0331060606
1003212382,DEGUTIS,ASHLEY,,NP,F,I,136 W CENTER ST,,MARION,OH,433023704,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1003212747,SOKOLOFF,YUSSIE,,PA-C,M,I,1029 NEILSON ST APT 3,,FAR ROCKAWAY,NY,116915005,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,30,96.344666667,8.32,6.521,6.521
1003213166,HOGLAND,AUSTIN,G,PA-C,M,I,660 SW 39TH ST,SUITE 150,RENTON,WA,980574912,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,38,65.138684211,8.32,6.1802631579,6.1802631579
1003213422,STANLEY,LISA,,,F,I,821 WESTWOOD DR,,SEDALIA,MO,65301,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,63,64.648095238,8.32,5.2033333333,5.2033333333
1003213422,STANLEY,LISA,,,F,I,821 WESTWOOD DR,,SEDALIA,MO,65301,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45,4.5690909091,2.7827272727,2.8963636364
1003213430,SELLNER,JACQUELINE,M,CNP,F,I,"13609 CALIFORNIA STREET, SUITE 200",C/O AUREUS MEDICAL GROUP,OMAHA,NE,68154,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,472.57714286,98.85,59.568571429,39.685
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,142,238,238,92.332815126,42.455756303,32.171512605,29.740420168
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,53,80,80,274.540125,102.34625,77.087625,66.21725
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,40,65,136,107.63051471,38.418455882,28.874264706,24.659411765
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,59,105,483,72.392194617,20.806252588,15.712463768,14.118095238
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,45,79,375,60.983626667,16.6764,12.578586667,11.59808
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,113,208,208,197.40653846,59.948605769,45.059807692,41.40625
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,142,175,175,64.8076,20.418628571,15.283085714,13.620057143
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,51.808181818,11.469090909,8.9945454545,8.47
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,19,27,27,75.758518519,14.394074074,11.282592593,9.9937037037
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,157,271,1483,8.6534861767,2.3684288604,1.8022521915,1.5759676332
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,98,115,116,21.593362069,6.6729310345,5.0404310345,4.5025862069
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only",D1E - Other DME,Durable Medical Equipment,N,2,37,66,66,29.95,12.787272727,9.8053030303,8.8581818182
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,67,83,83,41.489879518,14.009156627,10.783373494,10.281204819
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,17.09,13.4,13.523157895
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,13,77,77,418.32077922,97.102597403,71.341168831,65.890519481
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,1666.568,292.47133333,229.30066667,176.08533333
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,67,68,68,407.27264706,146.14323529,107.49132353,99.4375
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,13,64,69,88.730724638,16.79115942,12.380289855,9.7750724638
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,85,510,519,214.86570328,39.533583815,29.659017341,26.133063584
1003213463,YEPEZ,KAREN,,ARNP,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,33,519.51,72.778181818,57.05969697,54.33969697
1003213745,OSTROM,ANJANETTE,,AGACNP-BC,F,I,2001 N OREGON ST,,EL PASO,TX,799023320,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,25,20.76,17.092,13.402,13.4892
1003213745,OSTROM,ANJANETTE,,AGACNP-BC,F,I,2001 N OREGON ST,,EL PASO,TX,799023320,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,24,91.0475,76.83,60.235416667,56.1675
1003213869,GRANADOS,ELIZABETH,,PA-C,F,I,1800 ORLEANS ST # 600,,BALTIMORE,MD,212870010,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,27.255454545,3.79,2.43,2.8563636364
1003215047,HENRY,DAVID,,,M,I,509 N PERU ST,,CICERO,IN,460349499,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,30,68,85.575,8.32,5.4708823529,5.4708823529
1003215047,HENRY,DAVID,,,M,I,509 N PERU ST,,CICERO,IN,460349499,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,14,442.47857143,34.665,21.128571429,19.481428571
1003215047,HENRY,DAVID,,,M,I,509 N PERU ST,,CICERO,IN,460349499,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,47,425.29212766,96.432340426,73.704893617,53.799148936
1003215047,HENRY,DAVID,,,M,I,509 N PERU ST,,CICERO,IN,460349499,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,37,29.01,29.51
1003215047,HENRY,DAVID,,,M,I,509 N PERU ST,,CICERO,IN,460349499,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1266,0.3232148499,0.0465955766,0.0292890995,0.0292890995
1003215047,HENRY,DAVID,,,M,I,509 N PERU ST,,CICERO,IN,460349499,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,154.89,44.745,35.0825,29.515833333
1003215047,HENRY,DAVID,,,M,I,509 N PERU ST,,CICERO,IN,460349499,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,21.166363636,21.166363636
1003215237,JERVIS,JACQUELINE,J,PA-C,F,I,281 SEASIDE AVE,,MILFORD,CT,064604601,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,30,66,73.971666667,8.32,6.1887878788,6.1887878788
1003215237,JERVIS,JACQUELINE,J,PA-C,F,I,281 SEASIDE AVE,,MILFORD,CT,064604601,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,14,16.575714286,1.42,1.1171428571,1.1171428571
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,48,92,55.468695652,8.32,5.4584782609,5.4584782609
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,15,11.888666667,1.42,1.04,1.04
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,25,86.31,22.576,16.5044,12.4476
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,19.1,8.6308333333,6.7641666667,4.0666666667
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,43,586.75744186,105.6855814,79.946046512,52.992093023
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,3284,0.2925639464,0.0462332521,0.0286997564,0.0286997564
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,32.344166667,27.056666667
1003215344,JIRON-FINN,PAULA,,,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,21.166363636,21.166363636
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,20,41,533,54.626078799,19.626829268,14.438086304,14.438086304
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,20,38,1185,7.552278481,2.6298734177,1.9437130802,1.9437130802
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,86,140,350,2017,67.642464056,8.32,6.1429697571,6.1429697571
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,10.524545455,3.38,2.65,2.65
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.790909091,2.12,1.67,1.67
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,44,77,213,12.77713615,1.42,1.0567605634,1.0567605634
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,713.33866667,343.477,267.06966667,267.06966667
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,2370,15.084168776,10.54064135,8.2638481013,8.2638481013
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,30,30,282.26433333,250.928,196.72733333,196.86933333
1003215500,GILLILAND,MISTY,A,FNP,F,I,1651 GUNBARREL RD STE 301,,CHATTANOOGA,TN,374213291,US,Nurse Practitioner,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,84,14.75,0.6078571429,0.476547619,0.476547619
1003215997,SHELTON,PRINCESS,,FNP-BC,F,I,1830 LINCOYA BAY DR,,NASHVILLE,TN,372142771,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,32,76.4725,8.32,6.11625,6.11625
1003215997,SHELTON,PRINCESS,,FNP-BC,F,I,1830 LINCOYA BAY DR,,NASHVILLE,TN,372142771,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,85,175,42604,4.4626922355,0.5738526899,0.4280274153,0.4351058586
1003215997,SHELTON,PRINCESS,,FNP-BC,F,I,1830 LINCOYA BAY DR,,NASHVILLE,TN,372142771,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,51,73,42300,0.0532531915,0.0128368794,0.0094047281,0.0094453901
1003215997,SHELTON,PRINCESS,,FNP-BC,F,I,1830 LINCOYA BAY DR,,NASHVILLE,TN,372142771,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,91,286,66740,4.0837090201,1.2828332334,0.9643471681,0.9717359904
1003215997,SHELTON,PRINCESS,,FNP-BC,F,I,1830 LINCOYA BAY DR,,NASHVILLE,TN,372142771,US,Nurse Practitioner,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,2,64,64,64,50,50,37.975,37.975
1003215997,SHELTON,PRINCESS,,FNP-BC,F,I,1830 LINCOYA BAY DR,,NASHVILLE,TN,372142771,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,80,202,202,24,24,18.673267327,18.673267327
1003215997,SHELTON,PRINCESS,,FNP-BC,F,I,1830 LINCOYA BAY DR,,NASHVILLE,TN,372142771,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,94,218,259,16,16,12.520656371,12.520656371
1003216359,XAVIER,JERRY,,,M,I,1000 HOUGHTON AVE,1100 INTERNAL MEDICINE,SAGINAW,MI,486025303,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,20,7.5,2.94,2.3,2.25
1003216359,XAVIER,JERRY,,,M,I,1000 HOUGHTON AVE,1100 INTERNAL MEDICINE,SAGINAW,MI,486025303,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70.3,18.448181818,14.465454545,14.289090909
1003216755,MULLINS,AMBER,,,F,I,4203 S CARRIER PKWY,,GRAND PRAIRIE,TX,75052,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,109.63130435,56.52173913,44.313043478,40.849565217
1003216755,MULLINS,AMBER,,,F,I,4203 S CARRIER PKWY,,GRAND PRAIRIE,TX,75052,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,99.45,29.375862069,19.861724138,19.25862069
1003216755,MULLINS,AMBER,,,F,I,4203 S CARRIER PKWY,,GRAND PRAIRIE,TX,75052,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,577.42,192.41538462,150.85230769,143.67461538
1003216953,BANGASH,IMTIAZ,H,MD,M,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,59.811176471,17.721176471,11.892941176,11.892941176
1003216953,BANGASH,IMTIAZ,H,MD,M,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,336.93285714,72.26952381,51.446190476,51.446190476
1003217480,DONNELL,MARY JO,,NP-C,F,I,200 TRENTON RD,,BROWNS MILLS,NJ,080151705,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,52,107,587,63.057512777,8.314770017,6.2965417376,6.3006473595
1003217480,DONNELL,MARY JO,,NP-C,F,I,200 TRENTON RD,,BROWNS MILLS,NJ,080151705,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,11.874285714,3.38,2.65,2.65
1003217480,DONNELL,MARY JO,,NP-C,F,I,200 TRENTON RD,,BROWNS MILLS,NJ,080151705,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,37,87,13.564597701,1.42,1.0745977011,1.0745977011
1003217662,ROBINSON,PHOEBE,N,PA-C,F,I,16770 SW EDY RD STE 102,,SHERWOOD,OR,97140,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,27,106,63.956226415,8.32,6.2766037736,6.2766037736
1003217662,ROBINSON,PHOEBE,N,PA-C,F,I,16770 SW EDY RD STE 102,,SHERWOOD,OR,97140,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,24,14.258333333,1.42,1.115,1.115
1003217977,SHIPOTKO,MIKHAIL,,MD,M,I,3315 S ALAMEDA ST,,CORPUS CHRISTI,TX,78411,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,152.51714286,19.461428571,15.257142857,13.537142857
1003217977,SHIPOTKO,MIKHAIL,,MD,M,I,3315 S ALAMEDA ST,,CORPUS CHRISTI,TX,78411,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,38.23,4.4427272727,3.0809090909,3.1890909091
1003217977,SHIPOTKO,MIKHAIL,,MD,M,I,3315 S ALAMEDA ST,,CORPUS CHRISTI,TX,78411,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,691.63142857,83.831428571,65.722857143,54.722857143
1003218041,LYONS,PATRICK,,,M,I,14 TAUNTON AVE,,NORTON,MA,027662738,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,50,133,82.166240602,8.32,6.0312030075,6.0312030075
1003218041,LYONS,PATRICK,,,M,I,14 TAUNTON AVE,,NORTON,MA,027662738,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,84,10.737857143,2.3,1.803452381,1.6070238095
1003218041,LYONS,PATRICK,,,M,I,14 TAUNTON AVE,,NORTON,MA,027662738,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1643,0.3657760195,0.0456968959,0.0274680463,0.0274558734
1003218041,LYONS,PATRICK,,,M,I,14 TAUNTON AVE,,NORTON,MA,027662738,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,33,33,21.019375,21.019375
1003218116,YETTON,FAYE,,NP,F,I,2015 W AUSTIN DR,,PEORIA,IL,616143910,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,29.7,8.21375,6.440625,6.544375
1003218389,HAYWARD,JEFFREY,,PA-C,M,I,5921 N MARKET ST,,SPOKANE,WA,992082484,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,417.96952381,66.255238095,47.03952381,49.876666667
1003218389,HAYWARD,JEFFREY,,PA-C,M,I,5921 N MARKET ST,,SPOKANE,WA,992082484,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,37.64,26.138333333,26.138333333
1003218470,MINTON,ASHLEY,,M.D.,F,I,300 COMMERCIAL CIRCLE,,ALEXANDRIA,KY,410012107,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,25,72.8508,8.32,5.9112,5.9112
1003218876,GIBSON,WILLIAM,G,FNP-C,M,I,9500 EUCLID AVE,MAIL CODE H18,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,149.10052632,17.071052632,10.150526316,10.307894737
1003218876,GIBSON,WILLIAM,G,FNP-C,M,I,9500 EUCLID AVE,MAIL CODE H18,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,555.97631579,76.009473684,48.054210526,43.532105263
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,1380,2.0284855072,0.5397681159,0.4166521739,0.4166521739
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,4560,1.494504386,1.2423947368,0.9104320175,0.9753377193
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,45,113,16142,4.7092311981,0.5555104696,0.4218665593,0.4218653203
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,30,45,19595,0.0592574636,0.0125154376,0.009647359,0.009647359
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,4710,1.6320530786,0.7377070064,0.5489893843,0.5489893843
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,15,72,8880,3.6861002252,1.4673783784,1.138204955,1.138204955
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,46,153,32032,4.2702947053,2.8279857642,2.1915912213,2.1915912213
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,70,3660,14.630685792,7.4637459016,5.8251912568,5.8251912568
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,2,,12,3720,10.320193548,8.6147096774,6.7539301075,6.7539301075
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,3,19,19,19,50,50,39.2,39.2
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,77,238,238,24,24,18.345546218,18.345546218
1003219494,CAIN,MICHELLE,,AGACNP,F,I,3500 GASTON AVE,,DALLAS,TX,752462017,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,81,261,272,16,16,12.401764706,12.401764706
1003219601,KUANG,WEI,,,F,I,1451 ROCKY RIDGE DR,APT 904,ROSEVILLE,CA,956613002,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,27,59,169,73.346331361,8.32,6.0977514793,6.0977514793
1003219601,KUANG,WEI,,,F,I,1451 ROCKY RIDGE DR,APT 904,ROSEVILLE,CA,956613002,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,17,23,37,15.11,1.42,1.0556756757,1.0556756757
1003219601,KUANG,WEI,,,F,I,1451 ROCKY RIDGE DR,APT 904,ROSEVILLE,CA,956613002,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2164,0.4712060998,0.0470147874,0.036857671,0.036857671
1003219601,KUANG,WEI,,,F,I,1451 ROCKY RIDGE DR,APT 904,ROSEVILLE,CA,956613002,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,15,15,33,33,24.136,24.135333333
1003219619,CHERIAN,BIJU,,PA-C,M,I,3001 GREEN BAY RD,"CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY",NORTH CHICAGO,IL,600643048,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,2655,5.5437212806,0.5748399247,0.4128210923,0.4128210923
1003219619,CHERIAN,BIJU,,PA-C,M,I,3001 GREEN BAY RD,"CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY",NORTH CHICAGO,IL,600643048,US,Physician Assistant,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,1440,3.7611388889,2.881875,2.172,2.172
1003219619,CHERIAN,BIJU,,PA-C,M,I,3001 GREEN BAY RD,"CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY",NORTH CHICAGO,IL,600643048,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,25,25,24,24,18.0672,18.0672
1003219619,CHERIAN,BIJU,,PA-C,M,I,3001 GREEN BAY RD,"CAPTAIN JAMES A. LOWELL FHCC, DEPT. OF CARDIOLOGY",NORTH CHICAGO,IL,600643048,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,43,16,16,12.250465116,12.250465116
1003220518,DEL VECCHIO,JESSICA,L,FNP-C,F,I,1021 MOREHEAD MEDICAL DR,SUITE A,CHARLOTTE,NC,282042990,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,42,69.097142857,8.32,4.9692857143,4.9692857143
1003220518,DEL VECCHIO,JESSICA,L,FNP-C,F,I,1021 MOREHEAD MEDICAL DR,SUITE A,CHARLOTTE,NC,282042990,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,23,15.632608696,1.42,0.8704347826,0.8704347826
1003220625,AZUOGU,KELECHI,,M.D.,M,I,8200 WEDNESBURY LN STE 110,,HOUSTON,TX,770742906,US,General Practice,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,50,50,50,1602.4022,1188.2804,920.5884,875.4856
1003220625,AZUOGU,KELECHI,,M.D.,M,I,8200 WEDNESBURY LN STE 110,,HOUSTON,TX,770742906,US,General Practice,T,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,11,988.64636364,561.47545455,440.19272727,480.62
1003220625,AZUOGU,KELECHI,,M.D.,M,I,8200 WEDNESBURY LN STE 110,,HOUSTON,TX,770742906,US,General Practice,T,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,11,152.81090909,107.59363636,84.356363636,88.849090909
1003220625,AZUOGU,KELECHI,,M.D.,M,I,8200 WEDNESBURY LN STE 110,,HOUSTON,TX,770742906,US,General Practice,T,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,13,13,13,971.86769231,801.48615385,628.36923077,568.53
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,49,124,71.130241935,8.3185483871,6.2589516129,6.2601612903
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,16,10.5275,1.41625,1.11375,1.11625
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,74.180769231,48.968461538,35.796923077,28.144615385
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,25,42.656,26.9036,21.0912,15.266
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,123.73583333,80.535,63.1375,42.86
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,5.1444736842,3.0126315789,2.27,1.5613157895
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,240,113.05461538,83.119230769,61.828846154
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,111.26,45.828333333,32.8125,21.836666667
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,39,364.42794872,109.86512821,86.137692308,55.768461538
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,251.11,251.11,196.87,196.87
1003220799,BUTANIS,JESSICA,M,DO,F,I,610 30TH AVE W,,ALEXANDRIA,MN,563083426,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,33,33,25.87,25.87
1003220864,VAZZANO,ALEXANDER,,MD,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,314.3425,45.543333333,31.951666667,33.393333333
1003221029,JEFFERSON,GABRIEL,,PA-C,M,I,5000 N 26TH ST,SUITE 100,LINCOLN,NE,685214749,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,28,68,73.292647059,8.32,5.5629411765,5.5629411765
1003221029,JEFFERSON,GABRIEL,,PA-C,M,I,5000 N 26TH ST,SUITE 100,LINCOLN,NE,685214749,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,76.3125,13.010833333,7.8791666667,8.1708333333
1003221029,JEFFERSON,GABRIEL,,PA-C,M,I,5000 N 26TH ST,SUITE 100,LINCOLN,NE,685214749,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,245.43,29.944285714,20.016428571,22.246428571
1003221193,RUHL,KIRSTEN,A,PA-C,F,I,249 FRANKLIN AVE,,NUTLEY,NJ,071102115,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,29,76.322413793,8.32,5.6210344828,5.6210344828
1003221193,RUHL,KIRSTEN,A,PA-C,F,I,249 FRANKLIN AVE,,NUTLEY,NJ,071102115,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.682857143,1.42,1.04,1.04
1003221391,MISCHLER,JEAN,R,NP,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,128661090,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1003221391,MISCHLER,JEAN,R,NP,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,128661090,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,388.7872,79.48,59.5948,52.3084
1003221409,KHALID,RAEESA,,M.D.,F,I,335 SE 8TH AVE,,HILLSBORO,OR,971234246,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,77.18,60.51,54.72
1003221995,PATEL,NEETY,,M.D.,F,I,155 FRANKLIN RD,,FITCHBURG,MA,014205140,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,31,81.14516129,8.32,6.5219354839,6.5219354839
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,30,79,233,67.462017167,8.32,5.2345922747,5.2345922747
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,11.966153846,3.38,2.4461538462,2.4461538462
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,19,28,58,15.284655172,1.42,1.0181034483,1.0181034483
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.99,5.54,4.3435,4.3435
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.59,4.04,3.1675,3.1675
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,190.7,68.636666667,53.813333333,40.1725
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,152.84,62.333333333,45.561666667,34.476666667
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1639,0.9951799878,0.045899939,0.0359914582,0.0359914582
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,660,1.3666666667,0.1329545455,0.0877272727,0.0877272727
1003222027,WHITE,CHRISTINA,,NP,F,I,800 AUDUBON DR,,JONESVILLE,LA,713432432,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,72.6,33,23.283,23.283
1003222043,EBERLE,TODD,,DO,M,I,1111 6TH AVE,,DES MOINES,IA,503142613,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,44,63.383409091,8.32,4.7452272727,4.7452272727
1003222159,ALL,RITA,L,FNP,F,I,48 EAST ST,,FORT EDWARD,NY,128281811,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,31,68,71.549852941,8.32,4.6985294118,4.6985294118
1003222159,ALL,RITA,L,FNP,F,I,48 EAST ST,,FORT EDWARD,NY,128281811,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,381.36,44.920909091,35.215454545,36.297272727
1003222159,ALL,RITA,L,FNP,F,I,48 EAST ST,,FORT EDWARD,NY,128281811,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,55,57,86.31,16.718421053,11.453684211,11.931929825
1003222159,ALL,RITA,L,FNP,F,I,48 EAST ST,,FORT EDWARD,NY,128281811,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,58,60,519.51,68.146,49.281666667,50.656166667
1003222159,ALL,RITA,L,FNP,F,I,48 EAST ST,,FORT EDWARD,NY,128281811,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,32,10039,0.5702759239,0.0463422652,0.0326436896,0.0326436896
1003222159,ALL,RITA,L,FNP,F,I,48 EAST ST,,FORT EDWARD,NY,128281811,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,67.65,33,24.5765,24.5765
1003222399,DOIRON,REBEKAH,,,F,I,2301 ERWIN RD,,DURHAM,NC,277054699,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,2186.94,1071.10875,839.75,842.26
1003222928,ALLEN,MAUREEN,P,"BSN-RN, MSN-FNP",F,I,9500 EUCLID AVE,,CLEVELAND,OH,441952744,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,35,59.815142857,8.32,6.1485714286,6.1485714286
1003223371,MARR,AMANDA,K,N.P.,F,I,35141 ATLANTIC AVE,,MILLVILLE,DE,199676954,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,24,49,83.320816327,8.32,5.856122449,5.856122449
1003223934,MALSTROM,STACEY,G,NP-C,F,I,150 GENTILLY BLVD,,CARTERSVILLE,GA,301208522,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,1500,1074.31,840.825,840.825
1003224577,OLEGHE,EFEWONGBE,B,,F,I,2351 E 22ND STREET,ST VINCENT'S CHARITY MEDICAL CENTER,CLEVELAND,OH,44115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,25,50.5832,8.32,6.5228,6.5228
1003224585,WITHEROW,STEPHANIE,,FNP,F,I,500 W RIVER DR,,DAVENPORT,IA,528011014,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,50,83.8504,8.32,5.347,5.347
1003224585,WITHEROW,STEPHANIE,,FNP,F,I,500 W RIVER DR,,DAVENPORT,IA,528011014,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,17,15.138235294,1.42,0.9211764706,0.9211764706
1003224585,WITHEROW,STEPHANIE,,FNP,F,I,500 W RIVER DR,,DAVENPORT,IA,528011014,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,77.25,17.69,12.945333333,12.628
1003224585,WITHEROW,STEPHANIE,,FNP,F,I,500 W RIVER DR,,DAVENPORT,IA,528011014,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,25,26.1344,4.712,1.6488,1.6488
1003224585,WITHEROW,STEPHANIE,,FNP,F,I,500 W RIVER DR,,DAVENPORT,IA,528011014,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,318.27,69.99,51.212,51.081333333
1003225285,ISAACSON,TERESA,A,ARNP,F,I,312 9TH ST SW,,WAVERLY,IA,506772929,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,55.962,6.0686666667,2.8073333333,1.8013333333
1003225525,GRIMES,HEIDI,L,ARNP,F,I,157 SPAULDING AVENUE,,BROWNSVILLE,OR,973270160,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,44,52.319090909,8.32,6.2261363636,6.2261363636
1003226259,HOERZ,PARKER,,MD,M,I,1102 S PARK ST,,MADISON,WI,537151708,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,275,32.543333333,25.513333333,24.668333333
1003226358,JHAVAR,RAAGSUDHA,,,F,I,259 FAIRHAVEN MALL APT B4,,JERICHO,NY,117532448,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,53,176,57.867443182,8.32,6.4111363636,6.4111363636
1003226358,JHAVAR,RAAGSUDHA,,,F,I,259 FAIRHAVEN MALL APT B4,,JERICHO,NY,117532448,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,13.437142857,3.38,2.65,2.65
1003226358,JHAVAR,RAAGSUDHA,,,F,I,259 FAIRHAVEN MALL APT B4,,JERICHO,NY,117532448,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,45,13.298,1.42,1.1146666667,1.1146666667
1003226358,JHAVAR,RAAGSUDHA,,,F,I,259 FAIRHAVEN MALL APT B4,,JERICHO,NY,117532448,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,35.26125,4.71125,3.68875,3.79375
1003226358,JHAVAR,RAAGSUDHA,,,F,I,259 FAIRHAVEN MALL APT B4,,JERICHO,NY,117532448,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25.8,10.024545455,7.8545454545,8.2145454545
1003226358,JHAVAR,RAAGSUDHA,,,F,I,259 FAIRHAVEN MALL APT B4,,JERICHO,NY,117532448,US,Physician/Internal Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1019.8,165.67818182,129.89,127.12181818
1003226580,CHU,LINDA,,P.A.-C.,F,I,720 8TH AVE S,,SEATTLE,WA,981043032,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,50.21,8.32,4.8975,4.8975
1003227018,RODRIGUEZ,JESUS,,,M,I,2222 BENWOOD ST,,HARLINGEN,TX,785508532,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,27,56.800740741,8.32,6.5225925926,6.5225925926
1003227018,RODRIGUEZ,JESUS,,,M,I,2222 BENWOOD ST,,HARLINGEN,TX,785508532,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,138.55846154,34.397692308,26.965384615,26.970769231
1003227141,DRIVER,KRISTIE,,"M.D.,M.P.H",F,I,4530 SAINT JOHNS AVE STE 13,,JACKSONVILLE,FL,32210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,23,42.245217391,8.32,4.9356521739,4.9356521739
1003227141,DRIVER,KRISTIE,,"M.D.,M.P.H",F,I,4530 SAINT JOHNS AVE STE 13,,JACKSONVILLE,FL,32210,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,43.859166667,17.224166667,12.37,12.355
1003227141,DRIVER,KRISTIE,,"M.D.,M.P.H",F,I,4530 SAINT JOHNS AVE STE 13,,JACKSONVILLE,FL,32210,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,244.95916667,70.809166667,49.09,48.806666667
1003227513,CANTRALL,ALISON,T,NP,F,I,2309 E MAIN ST,SUITE 301,NEW IBERIA,LA,705604046,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1561.02,942.14,738.64,814
1003227513,CANTRALL,ALISON,T,NP,F,I,2309 E MAIN ST,SUITE 301,NEW IBERIA,LA,705604046,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.88,4.55,3.1925,3.1916666667
1003227828,HOLMAN,STACEY,S,C.N.P.,F,I,300 W 10TH AVE,,COLUMBUS,OH,432101280,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,48.32,25.4725,18.369166667,12.371666667
1003227919,SYPAL,JOSHUA,,M.D.,M,I,336 S 9TH ST,,DAVID CITY,NE,686322116,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,149.95,51.44,40.326363636,27.459090909
1003228040,YOUNG,BRIDGET,,FNP-BC,F,I,1212 W SAGINAW RD,,VASSAR,MI,48768,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,46,68.271304348,8.32,5.3876086957,5.3876086957
1003228040,YOUNG,BRIDGET,,FNP-BC,F,I,1212 W SAGINAW RD,,VASSAR,MI,48768,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,20.491538462,7.5207692308,5.8938461538,3.7246153846
1003228040,YOUNG,BRIDGET,,FNP-BC,F,I,1212 W SAGINAW RD,,VASSAR,MI,48768,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,237.33,55.084545455,37.546363636,31.570909091
1003228131,NELSON,CAROLINA,V,M.D.,F,I,7751 9TH ST N STE 10,,ST PETERSBURG,FL,337021102,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,54,66.63,8.32,5.9231481481,5.9231481481
1003228230,HARMON,BRYAN,,DPM,M,I,1401 HARRODSBURG RD STE C115,,LEXINGTON,KY,405041792,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,42,84,70.29,70.29,55.105,56.052619048
1003228230,HARMON,BRYAN,,DPM,M,I,1401 HARRODSBURG RD STE C115,,LEXINGTON,KY,405041792,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,258,31.29744186,28.74255814,22.535077519,22.867674419
1003228230,HARMON,BRYAN,,DPM,M,I,1401 HARRODSBURG RD STE C115,,LEXINGTON,KY,405041792,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,80,168,3.36,2.4,1.8808333333,1.8808333333
1003228230,HARMON,BRYAN,,DPM,M,I,1401 HARRODSBURG RD STE C115,,LEXINGTON,KY,405041792,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,20,70.086,70.041,54.912,63.101
1003228230,HARMON,BRYAN,,DPM,M,I,1401 HARRODSBURG RD STE C115,,LEXINGTON,KY,405041792,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,46,46,268.10434783,251.40608696,197.10130435,217.23826087
1003228404,OROZCO,CESAR,A,M.D.,M,I,107 W CENTRAL AVE,,HOWEY IN THE HILLS,FL,347374302,US,Physician/General Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,13,160,67.044375,19.68675,14.538,14.538
1003228404,OROZCO,CESAR,A,M.D.,M,I,107 W CENTRAL AVE,,HOWEY IN THE HILLS,FL,347374302,US,Physician/General Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,393,6.3221374046,2.6396946565,2.0694656489,2.0694656489
1003228404,OROZCO,CESAR,A,M.D.,M,I,107 W CENTRAL AVE,,HOWEY IN THE HILLS,FL,347374302,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,22,52,217,69.735760369,8.32,6.492718894,6.492718894
1003228404,OROZCO,CESAR,A,M.D.,M,I,107 W CENTRAL AVE,,HOWEY IN THE HILLS,FL,347374302,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,26,16.294230769,1.42,1.1142307692,1.1142307692
1003228404,OROZCO,CESAR,A,M.D.,M,I,107 W CENTRAL AVE,,HOWEY IN THE HILLS,FL,347374302,US,Physician/General Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,26,28,373.23821429,251.0125,196.79357143,196.86964286
1003228446,KELLY,KELLY,,N.P.,F,I,4100 COVERT AVE,,EVANSVILLE,IN,477145559,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,79.706666667,19.135,13.758333333,12.4075
1003228446,KELLY,KELLY,,N.P.,F,I,4100 COVERT AVE,,EVANSVILLE,IN,477145559,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,425.84047619,88.271428571,66.35952381,54.051904762
1003228909,DUGAL,MELINDA,D,F.N.P.,F,I,1103 WEBER RD STE 203,,FARMINGTON,MO,636403302,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,45,62.022222222,8.32,5.6517777778,5.6517777778
1003228925,TENNEY,TABETHA,,PA-C,F,I,427 SEMINOLE RD,SUITE 200,NORTON SHORES,MI,494443747,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,48,70.910208333,8.32,6.5225,6.5225
1003228925,TENNEY,TABETHA,,PA-C,F,I,427 SEMINOLE RD,SUITE 200,NORTON SHORES,MI,494443747,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,107.38666667,31.515333333,22.558666667,21.812
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,37,12.001351351,10.813243243,8.4786486486,8.5091891892
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.36,7.35,5.76,5.8418181818
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,200,5.16825,3.82,2.995,3.05455
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,250,6.371,5.74,4.14,4.14
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,245,7.9495918367,7,5.488,5.488
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,17,1320,0.4561363636,0.4109090909,0.3221439394,0.3449848485
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,1000,0.33,0.27,0.20102,0.20102
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,11,1098,0.182723133,0.13,0.1019125683,0.1019125683
1003229204,BACH,NAOMI,N,,F,I,1018 6TH AVE,,WORTHINGTON,MN,561872202,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,750,213.16625,157.621875,107.669375
1003229220,DOLEN,STEFANIE,,D.O.,F,I,404 STEVE DR,,RUSSELL SPRINGS,KY,42642,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,23,65.774782609,22.627391304,17.73826087,14.315217391
1003229220,DOLEN,STEFANIE,,D.O.,F,I,404 STEVE DR,,RUSSELL SPRINGS,KY,42642,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,829.21727273,829.21727273
1003229220,DOLEN,STEFANIE,,D.O.,F,I,404 STEVE DR,,RUSSELL SPRINGS,KY,42642,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,17,266.03117647,105.5,82.714705882,81.825294118
1003229352,CHEN,TERRY,,D.O.,F,I,2 JAMES WAY STE 209,,PISMO BEACH,CA,934494976,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,270.33,65.7,51.51,52.2
1003229352,CHEN,TERRY,,D.O.,F,I,2 JAMES WAY STE 209,,PISMO BEACH,CA,934494976,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64.54,37.64,29.51,29.51
1003229923,CHECE,JOHN,,DO,M,I,18653 WEDGE PKWY STE 300,,RENO,NV,89511,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,41,41,41,1306.5414634,1146.08,886.52439024,875.67682927
1003229923,CHECE,JOHN,,DO,M,I,18653 WEDGE PKWY STE 300,,RENO,NV,89511,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,21,66,66,112,1016.6288393,836.324375,652.97982143,674.00732143
1003229923,CHECE,JOHN,,DO,M,I,18653 WEDGE PKWY STE 300,,RENO,NV,89511,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,68,69,118,137.88016949,117.98855932,92.500762712,88.886355932
1003230194,DINH,KATHRYN,E,NP,F,I,4440 RED BANK EXPY STE 210,,CINCINNATI,OH,45227,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,41,110,446,72.193744395,8.32,6.1245964126,6.1245964126
1003230194,DINH,KATHRYN,E,NP,F,I,4440 RED BANK EXPY STE 210,,CINCINNATI,OH,45227,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,18,34,62,13.239677419,1.42,1.1153225806,1.1153225806
1003230194,DINH,KATHRYN,E,NP,F,I,4440 RED BANK EXPY STE 210,,CINCINNATI,OH,45227,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,804.64636364,251.11,196.87,196.87
1003230483,MAYNOR,HEATHER,M,NP,F,I,1638 OWEN DR,,FAYETTEVILLE,NC,283043424,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,29.100909091,4.31,2.4581818182,2.4581818182
1003230517,SHRESTHA,NANCY,,MD,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,28,56,180,61.983277778,8.32,6.3650555556,6.3650555556
1003230517,SHRESTHA,NANCY,,MD,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,24,40,18.04575,1.42,1.087,1.087
1003230517,SHRESTHA,NANCY,,MD,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,57.583076923,18.5,13.62,12.807692308
1003230517,SHRESTHA,NANCY,,MD,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.08,86.09,67.49,55.793333333
1003230517,SHRESTHA,NANCY,,MD,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,139.21,47.727272727,33.141818182,33.186363636
1003231234,BYRD,JACQUELYN,,,F,I,2917 INTERNATIONAL LN,,MADISON,WI,537043135,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,121.352,19.642,15.396,14.892
1003231234,BYRD,JACQUELYN,,,F,I,2917 INTERNATIONAL LN,,MADISON,WI,537043135,US,Nurse Practitioner,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,26,14.47,8.23,6.45,6.2746153846
1003231432,WATTENBERGER,DUSTIN,,,M,I,1100 RICHMOND RD,,IRVINE,KY,403367231,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,50.1690625,22.9084375,17.0259375,13.625
1003231432,WATTENBERGER,DUSTIN,,,M,I,1100 RICHMOND RD,,IRVINE,KY,403367231,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,14.357142857,8.385,6.3135714286,3.5385714286
1003231432,WATTENBERGER,DUSTIN,,,M,I,1100 RICHMOND RD,,IRVINE,KY,403367231,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,217.4059375,105.915625,78.716875,57.0496875
1003231655,MCDOWELL,CLAIRE,,,F,I,8483 HOLLY RD,,GRAND BLANC,MI,484391840,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,72,54.38875,8.32,6.16,6.16
1003231655,MCDOWELL,CLAIRE,,,F,I,8483 HOLLY RD,,GRAND BLANC,MI,484391840,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.4291666667,2.4291666667
1003231655,MCDOWELL,CLAIRE,,,F,I,8483 HOLLY RD,,GRAND BLANC,MI,484391840,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.75,1.1209090909,0.9409090909
1003231655,MCDOWELL,CLAIRE,,,F,I,8483 HOLLY RD,,GRAND BLANC,MI,484391840,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2193076923,0.1331538462,0.1331538462
1003231655,MCDOWELL,CLAIRE,,,F,I,8483 HOLLY RD,,GRAND BLANC,MI,484391840,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,22.174285714,22.174285714
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,25,59,126,66.743174603,8.32,6.1076190476,6.1076190476
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,19,27,19.776666667,1.42,1.1148148148,1.1148148148
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,84.350769231,17.279230769,6.7323076923,6.7307692308
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,31,406.74967742,70.512903226,49.731612903,49.446451613
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1169,2.0310607357,0.137245509,0.0936270317,0.0936270317
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,160,19.065714286,13.59,12.893571429
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,68.15,37.44,26.570833333,26.720833333
1003231705,ELLIOTT,MICHELLE,S,FNP,F,I,2659 US HIGHWAY 70 E,,VALDESE,NC,286909517,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,40.615384615,33,21.89,21.89
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,36,75,43.975866667,8.1605333333,5.3137333333,5.4505333333
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,15,13.11,1.42,1.044,1.044
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,39.8155,20.2365,15.8635,14.1375
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,37.82,19.18,15.036666667,10.483888889
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,127.5,59.31375,46.5,27.325
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,233.97,91.8685,70.496,57.2515
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1950,0.7901538462,0.1357384615,0.1064461538,0.1064461538
1003232489,KULP,MELISSA,G,"MS, FNP-BC",F,I,800 SCHOOL ST,,CARROLLTON,IL,620161436,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,113.4375,33,25.87,25.87
1003232539,RADCLIFFE,EMILY,A,FNP,F,I,9333 PARK WEST BLVD,,KNOXVILLE,TN,379234341,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,479.67333333,83.413333333,65.396666667,54.73
1003232612,DICONZA,EMILY,,PA,F,I,123 SUMMER ST,,WORCESTER,MA,016081216,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,22,22,100,99.21,71.996363636,79.299545455
1003233453,CARLTON,JENNIFER,,D.O.,F,I,64580 VAN DYKE RD STE C,,WASHINGTON,MI,480952811,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,24,54.327083333,8.32,4.89125,4.89125
1003233453,CARLTON,JENNIFER,,D.O.,F,I,64580 VAN DYKE RD STE C,,WASHINGTON,MI,480952811,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,31.61,17.25,13.52,13.54
1003233453,CARLTON,JENNIFER,,D.O.,F,I,64580 VAN DYKE RD STE C,,WASHINGTON,MI,480952811,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,190.64,79.88,57.94,50.16
1003233479,ELLIOTT,HEATHER,A,"MSN, NP-C",F,I,1014 ELM AVE,,ROCKY FORD,CO,810671328,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,30,39.793,8.32,5.8703333333,5.8703333333
1003233479,ELLIOTT,HEATHER,A,"MSN, NP-C",F,I,1014 ELM AVE,,ROCKY FORD,CO,810671328,US,Nurse Practitioner,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,100,12.6,10.81,8.4751,8.4751
1003233479,ELLIOTT,HEATHER,A,"MSN, NP-C",F,I,1014 ELM AVE,,ROCKY FORD,CO,810671328,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,22.158823529,15.615882353,12.292352941
1003233479,ELLIOTT,HEATHER,A,"MSN, NP-C",F,I,1014 ELM AVE,,ROCKY FORD,CO,810671328,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,8.536,4.4626666667,2.8786666667
1003233479,ELLIOTT,HEATHER,A,"MSN, NP-C",F,I,1014 ELM AVE,,ROCKY FORD,CO,810671328,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,423.6668,97.9456,73.5,53.2608
1003233990,GELMAN,AMANDA,,MD,F,I,HIGHWAY 191 AND HOSPITAL ROAD,,CHINLE,AZ,865038000,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,187.92,75.166,58.932,39.145333333
1003233990,GELMAN,AMANDA,,MD,F,I,HIGHWAY 191 AND HOSPITAL ROAD,,CHINLE,AZ,865038000,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,20,160,71.623,56.152,41.056
1003233990,GELMAN,AMANDA,,MD,F,I,HIGHWAY 191 AND HOSPITAL ROAD,,CHINLE,AZ,865038000,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,341.1,56.475454545,38.637272727,19.62
1003234055,GARBARINO,ALEXANDER,,,M,I,2799 W GRAND BLVD,MEDICAL EDUCATION DEPARTMENT,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,31,12.094166667,8.6191666667,8.7383333333
1003234097,MOSS,DREW,,MD,M,I,1420 N 10TH ST,,SPEARFISH,SD,577831532,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,19,86.31,22.762631579,17.844210526,15.747894737
1003234097,MOSS,DREW,,MD,M,I,1420 N 10TH ST,,SPEARFISH,SD,577831532,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,642.3975,286.67583333,224.75916667,164.0925
1003234097,MOSS,DREW,,MD,M,I,1420 N 10TH ST,,SPEARFISH,SD,577831532,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,421.89323529,106.3,83.342941176,61.877058824
1003234097,MOSS,DREW,,MD,M,I,1420 N 10TH ST,,SPEARFISH,SD,577831532,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,162.90823529,43.547647059,34.142941176,30.778235294
1003234105,BUSCH,MEGAN,E,M.D.,F,I,1225 E CENTERTON BLVD,,CENTERTON,AR,727191225,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,47,62.550212766,8.32,4.8572340426,4.8572340426
1003234105,BUSCH,MEGAN,E,M.D.,F,I,1225 E CENTERTON BLVD,,CENTERTON,AR,727191225,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,35.326363636,4.6372727273,3.4318181818,3.43
1003234113,BRENDEL,JINLIN,,,F,I,433 E 8TH ST,,PORT ANGELES,WA,983626219,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,39,122,60.65795082,8.32,6.201147541,6.201147541
1003234113,BRENDEL,JINLIN,,,F,I,433 E 8TH ST,,PORT ANGELES,WA,983626219,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,19,26,17.459230769,1.42,0.9884615385,0.9884615385
1003234113,BRENDEL,JINLIN,,,F,I,433 E 8TH ST,,PORT ANGELES,WA,983626219,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,57.07,22.253636364,14.732727273,11.07
1003234642,VAN GERWEN,DIANE,D,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,28.847333333,20.705333333,15.344,12.65
1003234642,VAN GERWEN,DIANE,D,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4.2,3.2957142857,2.3607142857,3.5
1003234642,VAN GERWEN,DIANE,D,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Hospitalist,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,2.82,2.33,1.82,1.81
1003234642,VAN GERWEN,DIANE,D,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,145.86666667,94.548,70.415333333,51.081333333
1003235011,LOVETT,HOWARD,,,M,I,4301 W MARKHAM ST,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,74.67,20.593043478,16.143043478,13.796521739
1003235011,LOVETT,HOWARD,,,M,I,4301 W MARKHAM ST,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,462.37434783,89.462608696,70.13826087,56.490869565
1003235250,LIANG,JASON,,DPM,M,I,19 E SHAWNEE DR STE 2,,MURPHYSBORO,IL,629667072,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,42,136.49619048,71.56,54.661904762,54.661666667
1003235250,LIANG,JASON,,DPM,M,I,19 E SHAWNEE DR STE 2,,MURPHYSBORO,IL,629667072,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,117,211.84666667,43.56,34.151709402,34.15008547
1003235250,LIANG,JASON,,DPM,M,I,19 E SHAWNEE DR STE 2,,MURPHYSBORO,IL,629667072,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,18,1876,0.1542164179,0.13,0.101945629,0.101945629
1003235250,LIANG,JASON,,DPM,M,I,19 E SHAWNEE DR STE 2,,MURPHYSBORO,IL,629667072,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,1084,0.5638653137,0.45,0.352795203,0.352795203
1003235250,LIANG,JASON,,DPM,M,I,19 E SHAWNEE DR STE 2,,MURPHYSBORO,IL,629667072,US,Podiatry,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,400,1.025,0.87,0.682075,0.69
1003235250,LIANG,JASON,,DPM,M,I,19 E SHAWNEE DR STE 2,,MURPHYSBORO,IL,629667072,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,319.75,251.28,197,216.9
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,49,6096,0.12,0.12,0.0940862861,0.0940862861
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,28,122,7756,8.28,8.28,6.3286191336,6.3286191336
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,1138,18.5,18.5,14.294068541,14.294068541
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,1920,5.95,5.95,4.590109375,4.590109375
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,65,972,8.41,8.41,6.3754320988,6.3754320988
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,23,1352,2.4,2.4,1.8816420118,1.8816420118
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,704,2.73,2.73,2.1403551136,2.1403551136
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,44,1890,5.28,5.26,4.1239312169,4.1383544974
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,63,18.29,18.29,14.33952381,14.33952381
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,67,3015,3.67,3.67,2.8048225539,2.8048225539
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,51,8100,0.45,0.45,0.3528098765,0.3528098765
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,16.86,13.22,13.513333333
1003235284,BALLENTINE-CARGILL,KEISHA,A,FNP-BC,F,I,841 BURKE AVE,,BRONX,NY,104676619,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.36,60.65,55.223333333
1003235359,TAYLOR,ZACHARY,,D.O.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,20.952380952,4.5842857143,3.1657142857,3.1647619048
1003235912,BATHINI,SYDULU,G,MD,M,I,3555 OLENTANGY RIVER RD STE 1080,,COLUMBUS,OH,432143984,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,79.81,26.185454545,18.783636364,11.909090909
1003236290,PISARCIK,KATHRYN,M,,F,I,2545 SCHOENERSVILLE RD FL 2,,BETHLEHEM,PA,180177300,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,20,418.1815,71.11,55.75,54.73
1003236415,LIM,FRANCIS,,,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178222019,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,51.930645161,22.842903226,17.907096774,13.724193548
1003236415,LIM,FRANCIS,,,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178222019,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,288.51612903,105.41419355,82.647419355,56.036451613
1003236712,CORNETT,BRIANNA,,,F,I,900 E MAIN ST,,CUMBERLAND,KY,408231714,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,25,74,52.135,8.32,6.5216216216,6.5216216216
1003236712,CORNETT,BRIANNA,,,F,I,900 E MAIN ST,,CUMBERLAND,KY,408231714,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,15.517391304,1.42,1.1147826087,1.1147826087
1003236712,CORNETT,BRIANNA,,,F,I,900 E MAIN ST,,CUMBERLAND,KY,408231714,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,21.853157895,6.7678947368,3.9028947368,2.3810526316
1003236811,KESSLER,ANNE,M,M.D.,F,I,2801 DAGGETT AVE,,KLAMATH FALLS,OR,976017150,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,94.807058824,22.506470588,15.888235294,13.000588235
1003236936,BURKHOLZ,MICHAEL,J,D.O.,M,I,900 8TH AVE,,FORT WORTH,TX,761043902,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.92,0.1339230769,0.0980320513,0.0980320513
1003236936,BURKHOLZ,MICHAEL,J,D.O.,M,I,900 8TH AVE,,FORT WORTH,TX,761043902,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,23.88,23.88
1003237462,BENSON-VALDES,JAMES,,ARNP-BC,M,I,2650 E SHOW LOW LAKE RD,SUITE 1,SHOW LOW,AZ,859017955,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,98.725238095,20.507142857,13.165238095,10.756190476
1003237462,BENSON-VALDES,JAMES,,ARNP-BC,M,I,2650 E SHOW LOW LAKE RD,SUITE 1,SHOW LOW,AZ,859017955,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,453.8009375,89.133125,58.64625,44.468125
1003238338,WILSON,JESSICA,D,DO,F,I,2520 VALLEY DRIVE,,HUNTINGTON,WV,257021318,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,48,111,63.846846847,8.32,6.0566666667,6.0566666667
1003238338,WILSON,JESSICA,D,DO,F,I,2520 VALLEY DRIVE,,HUNTINGTON,WV,257021318,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,31,14.08516129,1.42,1.08,1.08
1003238338,WILSON,JESSICA,D,DO,F,I,2520 VALLEY DRIVE,,HUNTINGTON,WV,257021318,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,65,48.46,23.485230769,18.050307692,14.429538462
1003238338,WILSON,JESSICA,D,DO,F,I,2520 VALLEY DRIVE,,HUNTINGTON,WV,257021318,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,20,7.0672413793,5.205862069,3.34
1003238338,WILSON,JESSICA,D,DO,F,I,2520 VALLEY DRIVE,,HUNTINGTON,WV,257021318,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,63,224.31730159,107.82222222,82.06984127,60.909365079
1003238338,WILSON,JESSICA,D,DO,F,I,2520 VALLEY DRIVE,,HUNTINGTON,WV,257021318,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,81.157894737,33,24.508421053,24.508421053
1003238817,CESPEDES,LISSETTE,M,M.D.,F,I,185 S ORANGE AVE,MSB I588,NEWARK,NJ,071032757,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,58,87.936896552,8.32,6.5206896552,6.5206896552
1003239294,LADNER,TRACY,L,C.F.N.P,F,I,15200 COMMUNITY RD,,GULFPORT,MS,395033085,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,36,42.961944444,8.32,5.7966666667,5.7966666667
1003239294,LADNER,TRACY,L,C.F.N.P,F,I,15200 COMMUNITY RD,,GULFPORT,MS,395033085,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,22.4775,16.3775,12.4025
1003239294,LADNER,TRACY,L,C.F.N.P,F,I,15200 COMMUNITY RD,,GULFPORT,MS,395033085,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,39.02,15.635294118,11.577647059,9.2564705882
1003239294,LADNER,TRACY,L,C.F.N.P,F,I,15200 COMMUNITY RD,,GULFPORT,MS,395033085,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,127.06,45.970909091,34.475454545,23.378181818
1003239294,LADNER,TRACY,L,C.F.N.P,F,I,15200 COMMUNITY RD,,GULFPORT,MS,395033085,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,320,102.61833333,71.106666667,45.801666667
1003239294,LADNER,TRACY,L,C.F.N.P,F,I,15200 COMMUNITY RD,,GULFPORT,MS,395033085,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2248,1.7965658363,0.1333451957,0.0972597865,0.0972597865
1003239294,LADNER,TRACY,L,C.F.N.P,F,I,15200 COMMUNITY RD,,GULFPORT,MS,395033085,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,34.375,33,25.87,25.87
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,12,156,55.328846154,19.6325,14.474294872,14.474294872
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,520,7.7975,2.6330769231,1.9448653846,1.9448653846
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,58,159,375,1986,76.489471299,8.318509567,6.0764149043,6.0775830816
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,12.065555556,3.38,2.5027777778,2.5027777778
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,50,94,233,14.425321888,1.42,1.0506008584,1.0506008584
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,16,16,16,20.984375,20.984375,16.45,56.29625
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,3620,13.251878453,10.094549724,7.9141243094,7.9141243094
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,16,70,72,443.29555556,251.03416667,196.81055556,196.86972222
1003240227,ERNST,JOANN,M,FNP,F,I,169 RIVERSIDE DR,,BINGHAMTON,NY,139054246,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,15,15,15,363.598,264.16,207.1,207.1
1003241100,TYLER,SARAH,L,APRN,F,I,324 FLANDERS RD,,EAST LYME,CT,063331735,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,55,14.551176471,8.9735294118,10.888235294
1003241100,TYLER,SARAH,L,APRN,F,I,324 FLANDERS RD,,EAST LYME,CT,063331735,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,20,7.2496666667,4.8793333333,5.4353333333
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,55,56,56,137.80821429,44.384821429,34.796607143,35.100178571
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,24.257096774,4.44,2.4696774194,2.6512903226
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,25.872105263,7.9521052632,5.5736842105,6.5589473684
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,60,60,60,213.2,47.828666667,37.4475,40.092833333
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,32.5,9.496,7.446,8.0415
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,54.232142857,15.478571429,11.262857143,11.885
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,43,178,178,222.26853933,47.405955056,35.607303371,37.328876404
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,221.292,40.848,29.937333333,33.989333333
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,130,46.091,36.138,36.765333333
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,24,57.78,26.194166667,20.539166667,22.06625
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,27.92,12.433333333,9.7466666667,11.263333333
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.7,8.8090909091,6.0909090909,7.0027272727
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.01,8.89,5.8083333333,7.1516666667
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,70.2,30.9,24.224,28.254
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,31,160,160,68.3133125,14.93575,9.6855,11.6055625
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,26,163,163,119.34,21.957055215,16.058159509,19.737791411
1003241498,ANSELMO,KHALENA,F,,F,I,700 HIGHWAY 71 STE 2,,SEA GIRT,NJ,087502805,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,54,312,312,20.57,6.6517948718,4.6788141026,5.8957051282
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,42,77,77,84.992077922,40.11,29.586233766,28.690649351
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,61,124,124,271.89879032,90.318306452,66.225,63.436129032
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,51,108,238,114.55369748,34.367689076,25.890378151,24.933193277
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,22,33,168,56.378095238,17.91,12.937797619,13.40922619
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,22,42,221,49.678733032,14.835248869,10.994208145,11.243936652
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,47,82,82,176.64207317,55.014390244,39.349878049,39.10402439
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,96,122,122,69.863032787,18.043688525,13.488114754,13.409016393
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,68,127,127,61.057637795,12.257716535,8.8852755906,8.4306299213
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,102,208,1081,6.8355319149,2.1414986124,1.5895282146,1.5117021277
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,36,43,43,16.236046512,6.3053488372,4.721627907,4.4530232558
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,56,66,66,38.189242424,12.994090909,9.7516666667,9.9086363636
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,14,93,94,57.162765957,17.427234043,12.212340426,12.102978723
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2415,1074.31,835.285,835.285
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,53,53,465.16566038,82.72490566,61.779811321,62.212830189
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,21,21,343.85047619,131.59809524,103.17,104.7
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,17,95,102,79.458333333,13.534705882,9.1300980392,8.9142156863
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,43,52,30.515384615,6.1780769231,4.6480769231,3.8230769231
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,55,357,366,197.50275956,34.219398907,24.728251366,22.889043716
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,24,158,159,350.20962264,79.242264151,56.896163522,50.656289308
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,224.34782609,36.5,27.375652174,28.236956522
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,21,5225,0.5351368421,0.0455177033,0.0337511962,0.0337511962
1003241696,WHITE,MORGAN,E,NP-C,F,I,745 W STATE ST,,COLUMBUS,OH,432221515,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,19,19,38.210526316,33,21.785263158,21.785263158
1003242108,JAMES,ALEXCIA,N,"ARNP, DNP",F,I,1133 EAGLES LANDING PKWY,DEPT OF INTERNAL MEDICINE,STOCKBRIDGE,GA,302815085,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,550,75.56,52.020833333,47.886666667
1003242108,JAMES,ALEXCIA,N,"ARNP, DNP",F,I,1133 EAGLES LANDING PKWY,DEPT OF INTERNAL MEDICINE,STOCKBRIDGE,GA,302815085,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,36.25,23.683333333,24.818333333
1003242306,ANDERSON,SARAH,M,N.P.,F,I,535 HOSPITAL RD,,NEW RICHMOND,WI,540171449,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,22,54,96,46.03125,8.32,5.6727083333,5.6727083333
1003242306,ANDERSON,SARAH,M,N.P.,F,I,535 HOSPITAL RD,,NEW RICHMOND,WI,540171449,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,25,189.42,32.4,25.4,25.9176
1003242306,ANDERSON,SARAH,M,N.P.,F,I,535 HOSPITAL RD,,NEW RICHMOND,WI,540171449,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,15,15,104.07,13.027333333,10.21,9.0673333333
1003242306,ANDERSON,SARAH,M,N.P.,F,I,535 HOSPITAL RD,,NEW RICHMOND,WI,540171449,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,21,102,13.483529412,2.1905882353,1.7179411765,1.5910784314
1003242306,ANDERSON,SARAH,M,N.P.,F,I,535 HOSPITAL RD,,NEW RICHMOND,WI,540171449,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,44,55,250.30254545,31.940545455,24.569454545,24.546
1003242306,ANDERSON,SARAH,M,N.P.,F,I,535 HOSPITAL RD,,NEW RICHMOND,WI,540171449,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,77.18,48.553333333,43.729166667
1003242546,PULLUM,ALLISON,L,CNP,F,I,9500 EUCLID AVE,C25,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,20,40,71.56975,8.32,6.52075,6.52075
1003243718,JACOBSON,JANE,A,ARNP,F,I,10200 MUKILTEO SPEEDWAY,,MUKILTEO,WA,982754743,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,16,29,52,40.456730769,8.32,5.3953846154,5.3953846154
1003243718,JACOBSON,JANE,A,ARNP,F,I,10200 MUKILTEO SPEEDWAY,,MUKILTEO,WA,982754743,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,37,682.32756757,105.57189189,79.54027027,56.15
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,66,150,43.153666667,8.32,6.0022666667,6.0022666667
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,46,56,11.944642857,1.42,1.0175,1.0175
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,151.89333333,69.261111111,54.302222222,49.218333333
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,331,171.23636364,134.25181818,106.67
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,63.117,22.8715,17.1835,12.923
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,173.75384615,60.253076923,47.237692308,38.656923077
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,22.333333333,7.3827777778,5.6875,3.7488888889
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,53,53,447.94981132,102.68943396,78.581698113,52.991509434
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,51,8864,0.576711417,0.0462894856,0.0328531137,0.0328531137
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,63,23.172,18.167333333,14.262666667
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,62.16,11.028333333,8.6466666667,6.5
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,1697.7953846,176.40153846,131.18461538,97.467692308
1003243858,MUNN,ASHLEY,B,APRN,F,I,65 GLENNDALE RD,SUITE 1,MANCHESTER,KY,409626212,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,49,49,61.285714286,33,25.342040816,25.342040816
1003244021,HARRISON,MARY,A,NP-C,F,I,2140 PEACHTREE RD NW STE 232,,ATLANTA,GA,303091316,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,17.25,11.929411765,11.948235294
1003244021,HARRISON,MARY,A,NP-C,F,I,2140 PEACHTREE RD NW STE 232,,ATLANTA,GA,303091316,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,194.23076923,29.93,14.436923077,14.402307692
1003244021,HARRISON,MARY,A,NP-C,F,I,2140 PEACHTREE RD NW STE 232,,ATLANTA,GA,303091316,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,75.56,55.755294118,51.775882353
1003244260,SALDANA,EVELYN,R,FNP-BC,F,I,15225 HEATHCOTE BLVD,,HAYMARKET,VA,201696264,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,86.31,17.165714286,10.803571429,10.887142857
1003244260,SALDANA,EVELYN,R,FNP-BC,F,I,15225 HEATHCOTE BLVD,,HAYMARKET,VA,201696264,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,484.92041667,77.80625,57.24375,51.470625
1003244260,SALDANA,EVELYN,R,FNP-BC,F,I,15225 HEATHCOTE BLVD,,HAYMARKET,VA,201696264,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,38.05,29.83,29.536666667
1003244450,KEATON,MATTHEW,,NP-C,M,I,135 COMMONWEALTH DR STE 100,,GREENVILLE,SC,296156940,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,75,57.215066667,8.32,6.1744,6.1744
1003244450,KEATON,MATTHEW,,NP-C,M,I,135 COMMONWEALTH DR STE 100,,GREENVILLE,SC,296156940,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,68.117142857,17,12.377857143,12.576428571
1003244674,NEUBERGER,BRIANNE,K,PA,F,I,920 SOUTH OAK STREET,SUITE 1,IOWA FALLS,IA,501269506,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,16,55,122,73.832786885,8.32,5.673852459,5.673852459
1003244674,NEUBERGER,BRIANNE,K,PA,F,I,920 SOUTH OAK STREET,SUITE 1,IOWA FALLS,IA,501269506,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,17.188461538,1.42,0.9476923077,0.9476923077
1003244674,NEUBERGER,BRIANNE,K,PA,F,I,920 SOUTH OAK STREET,SUITE 1,IOWA FALLS,IA,501269506,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,270,102.61833333,72.98375,49.57625
1003244674,NEUBERGER,BRIANNE,K,PA,F,I,920 SOUTH OAK STREET,SUITE 1,IOWA FALLS,IA,501269506,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,80,44.178,30.256666667,26.056666667
1003244955,FLATHOUSE,EMILY,,FNP,F,I,7301 MILWAUKEE AVENUE,,LUBBOCK,TX,79424,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.4216666667,3.0975,3.205
1003245044,WIGLE,MICHAEL,E,N.P.,M,I,925 E POLSTON AVE,,POST FALLS,ID,838549049,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.19,2.1866666667,2.29
1003245853,SEGURA,ISELA,,,F,I,2450 EL INDIO HWY,,EAGLE PASS,TX,788526615,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,22,47,73.277021277,8.32,6.5206382979,6.5206382979
1003246851,CORDISCO,KATE,,CRNP,F,I,959 WYOMING AVE,,SCRANTON,PA,185093023,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,27,66,66,66,1329.2278788,1017.66,795.67621212,884.32621212
1003246851,CORDISCO,KATE,,CRNP,F,I,959 WYOMING AVE,,SCRANTON,PA,185093023,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,54,55,87,977.88367816,837.32517241,655.25114943,676.48172414
1003246851,CORDISCO,KATE,,CRNP,F,I,959 WYOMING AVE,,SCRANTON,PA,185093023,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,18,18,29,523.42,444.94206897,347.78137931,352.95965517
1003246851,CORDISCO,KATE,,CRNP,F,I,959 WYOMING AVE,,SCRANTON,PA,185093023,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,62,63,101,129.94594059,109.52356436,84.976633663,87.955841584
1003246851,CORDISCO,KATE,,CRNP,F,I,959 WYOMING AVE,,SCRANTON,PA,185093023,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,14,15,22,528.85636364,457.9,349.73909091,356.12954545
1003246851,CORDISCO,KATE,,CRNP,F,I,959 WYOMING AVE,,SCRANTON,PA,185093023,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,44,45,45,829.08844444,653.24,507.016,563.396
1003247693,BREWER-PEET,JODIE,,PA-C,F,I,1615 DELAWARE ST,,LONGVIEW,WA,986322367,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,38,59.105,8.32,6.1786842105,6.1786842105
1003247693,BREWER-PEET,JODIE,,PA-C,F,I,1615 DELAWARE ST,,LONGVIEW,WA,986322367,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,29,36.636896552,3.9720689655,3.1127586207,3.5975862069
1003248444,MAYS,DANIEL,R,PA-C,M,I,2681 ANDERSONVILLE HWY,,CLINTON,TN,377166706,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,45,76.701333333,8.32,6.378,6.378
1003249111,ZERVIC,ASHLEY,M,PA-C,F,I,263 S WEST ST,,TULARE,CA,932743411,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,25,76.198,8.32,5.2188,5.2188
1003249178,LOPES,NELSY,,PA,F,I,8 JOHN H CHAFEE BLVD,,NEWPORT,RI,028401034,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,52,60.5875,8.32,5.77,5.77
1003249178,LOPES,NELSY,,PA,F,I,8 JOHN H CHAFEE BLVD,,NEWPORT,RI,028401034,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,27,15.70962963,1.42,0.9496296296,0.9496296296
1003249228,CHILAKA,CHIOMA,O,NP,F,I,760 BROADWAY WOODHULL MEDICAL & MENTAL HEALTH CENTER,DEPARTMENT OF MEDICINE - 2C-120,BROOKLYN,NY,11206,US,Nurse Practitioner,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1100,8.4,7.13,5.5704454545,5.5704454545
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,39,105,1336,54.261287425,19.629715569,14.923570359,14.923570359
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,39,105,3351,6.9398328857,2.6313339302,2.007597732,2.007597732
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,44,100,236,1497,67.30251837,8.3026853707,6.2120708083,6.2256379426
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,15.663809524,3.38,2.5238095238,2.5238095238
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,20.016428571,2.12,1.67,1.67
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,44,88,259,14.549073359,1.42,1.0184942085,1.0184942085
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,769.30285714,356.62928571,279.59642857,279.59642857
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,21,79,9820,14.05290835,10.2283778,7.9928961303,7.9928961303
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,10,35,162,163,379.85828221,251.07650307,196.84374233,196.8698773
1003249319,VIVAR-AGUIRRE,JORGE,L,M.D.,M,I,350 ENGLE ST,ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,8,30,30,30,379.176,246.296,193.09333333,203.02533333
1003249558,THOMPSON,SALLY,A,FNP-C,F,I,3515 RICHMOND RD,,TEXARKANA,TX,755030711,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1426,0.2943618513,0.0445862553,0.0349579243,0.0349579243
1003249566,BEELITZ,JOHN,D,M.D.,M,I,1050 SE MONTEREY RD STE 400,,STUART,FL,349944512,US,Physician/Pain Management,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,32,33,119.80939394,87.773333333,68.815757576,68.815757576
1003249566,BEELITZ,JOHN,D,M.D.,M,I,1050 SE MONTEREY RD STE 400,,STUART,FL,349944512,US,Physician/Pain Management,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,2000,995.48357143,772.15142857,767.24071429
1003249566,BEELITZ,JOHN,D,M.D.,M,I,1050 SE MONTEREY RD STE 400,,STUART,FL,349944512,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,43,1361.92,1328.44,1041.5,908.12790698
1003249640,VIENNE,LEZETTE,G,FNP,F,I,2390 W CONGRESS ST,,LAFAYETTE,LA,705064205,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,44,39.202045455,8.32,5.1875,5.1875
1003249640,VIENNE,LEZETTE,G,FNP,F,I,2390 W CONGRESS ST,,LAFAYETTE,LA,705064205,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,21,8.010952381,1.42,1.060952381,1.060952381
1003249905,PAULUS,MAUREEN,M,PA,F,I,920 COUNTRY CLUB RD,SUITE 200A,EUGENE,OR,974016024,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,588.35857143,65.7,51.51,54.73
1003249913,RATHOD,HETAL,,N.P,F,I,1401 MEDICAL PKWY,B SUITE 407,CEDAR PARK,TX,786137763,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,3738.5714286,2631.8585714,2063.3771429,2063.3771429
1003250499,ANDRADE,ERIN,C,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,25.457894737,12.562105263,9.8521052632,8.3547368421
1003250499,ANDRADE,ERIN,C,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,65.3905,41.8665,32.822,27.8595
1003250499,ANDRADE,ERIN,C,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,100.23157895,48.728421053,38.206315789,25.234210526
1003250499,ANDRADE,ERIN,C,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,518.13190476,213.24285714,164.6547619,130.21952381
1003250515,MERSING,JAMES,B,M.D.,M,I,1000 MON HEALTH MEDICAL PARK DR STE 1201,,MORGANTOWN,WV,26505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,31,97,224,65.098705357,8.32,5.7370089286,5.7370089286
1003250515,MERSING,JAMES,B,M.D.,M,I,1000 MON HEALTH MEDICAL PARK DR STE 1201,,MORGANTOWN,WV,26505,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,37,59,15.103050847,1.42,1.0401694915,1.0401694915
1003250515,MERSING,JAMES,B,M.D.,M,I,1000 MON HEALTH MEDICAL PARK DR STE 1201,,MORGANTOWN,WV,26505,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,53,53,449.51433962,70.23,55.06,54.809811321
1003250515,MERSING,JAMES,B,M.D.,M,I,1000 MON HEALTH MEDICAL PARK DR STE 1201,,MORGANTOWN,WV,26505,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,141.5324,37.44,29.35,29.478
1003250515,MERSING,JAMES,B,M.D.,M,I,1000 MON HEALTH MEDICAL PARK DR STE 1201,,MORGANTOWN,WV,26505,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1320,0.9892424242,0.1341590909,0.0969393939,0.0969393939
1003250515,MERSING,JAMES,B,M.D.,M,I,1000 MON HEALTH MEDICAL PARK DR STE 1201,,MORGANTOWN,WV,26505,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,85,19.065714286,14.827619048,13.658095238
1003250515,MERSING,JAMES,B,M.D.,M,I,1000 MON HEALTH MEDICAL PARK DR STE 1201,,MORGANTOWN,WV,26505,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,61.285714286,33,25.429285714,25.429285714
1003250655,BOSTROM,ERIK,,M.D.,M,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,83,63.612650602,8.32,6.5231325301,6.5231325301
1003250655,BOSTROM,ERIK,,M.D.,M,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,22,21.768181818,1.42,1.0168181818,1.0168181818
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,25,293,73.445017065,19.668737201,15.420477816,15.420477816
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,12,23,710,9.6833943662,2.6366197183,2.0670422535,2.0670422535
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,69,137,769,74.813485046,8.32,5.9078413524,5.9078413524
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,25,63,12.895238095,1.42,1.1138095238,1.1138095238
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,719.5768,344.1852,265.51,265.51
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1440,16.185305556,10.714444444,8.4001388889,8.4001388889
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,17,94,94,295.18074468,250.99382979,195.45074468,195.54148936
1003250895,HINGLEY,ELIZABETH,,NP-C,F,I,7720 US HIGHWAY 98 W,SUITE 230,MIRAMAR BEACH,FL,325507230,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,323.44666667,264.16,207.1,207.1
1003250945,HUNTER,CASSANDRA,L,M.D.,F,I,1210 W MAIN ST,,WALNUT RIDGE,AR,724761005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,42,41.391428571,8.1828571429,6.1038095238,6.1573809524
1003251513,KEEBLE,ELIZABETH,B,M.D.,F,I,4255 CARMICHAEL CT N,,MONTGOMERY,AL,361062875,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,77.681538462,77.618076923,60.845769231,53.438076923
1003251513,KEEBLE,ELIZABETH,B,M.D.,F,I,4255 CARMICHAEL CT N,,MONTGOMERY,AL,361062875,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,22,67.710909091,67.710909091,53.088636364,53.957727273
1003251513,KEEBLE,ELIZABETH,B,M.D.,F,I,4255 CARMICHAEL CT N,,MONTGOMERY,AL,361062875,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,50,18.133,17.7598,13.9232,13.9826
1003251620,HEITZENRATER,MATTHEW,S,D.O.,M,I,2861 W 26TH ST,,ERIE,PA,165063064,US,Physician/Family Practice,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,278.13454545,277.01909091,178.05272727,179.76181818
1003251810,STEELE,KATHERINE,,MD,F,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,19,72.468947368,8.32,4.8052631579,4.8052631579
1003251810,STEELE,KATHERINE,,MD,F,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,21,70.772380952,17,12.06047619,12.275238095
1003251810,STEELE,KATHERINE,,MD,F,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,24,50.73,3.56,2.67375,3.2695833333
1003251810,STEELE,KATHERINE,,MD,F,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,21,364.94952381,77.36,54.873809524,49.517619048
1003251885,AYUOB,MYSOON,,,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,40,65.764,8.32,6.52375,6.52375
1003251885,AYUOB,MYSOON,,,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225,102.61833333,80.455,61.48
1003251976,BROCKWAY,MATTHEW,M,MD,M,I,2212 PENFIELD RD STE 200,,PENFIELD,NY,145261756,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,48,86.687916667,8.32,4.211875,4.211875
1003252230,RAYES YOUSIF,LINA,,D.O.,F,I,15400 19 MILE RD,SUITE 150,CLINTON TOWNSHIP,MI,480386327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,46,48.925869565,8.32,6.4458695652,6.4458695652
1003252412,BROWN,BRANDY,,"DNP,AP,RN,FNP-C",F,I,2330 SCENIC HWY S STE 707,,SNELLVILLE,GA,30078,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,38,38,38,1681.0731579,1304.5863158,1014.6228947,898.30973684
1003252412,BROWN,BRANDY,,"DNP,AP,RN,FNP-C",F,I,2330 SCENIC HWY S STE 707,,SNELLVILLE,GA,30078,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,23,36,39,1185.2710256,871.7674359,679.78794872,675.13307692
1003252412,BROWN,BRANDY,,"DNP,AP,RN,FNP-C",F,I,2330 SCENIC HWY S STE 707,,SNELLVILLE,GA,30078,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,17,576.07058824,456.31941176,357.75058824,354.02
1003252412,BROWN,BRANDY,,"DNP,AP,RN,FNP-C",F,I,2330 SCENIC HWY S STE 707,,SNELLVILLE,GA,30078,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,28,42,46,146.3023913,106.36,83.39,87.78173913
1003252412,BROWN,BRANDY,,"DNP,AP,RN,FNP-C",F,I,2330 SCENIC HWY S STE 707,,SNELLVILLE,GA,30078,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,15,955.44866667,732.02,573.91,569.24733333
1003253162,STEWART,EARL,,M.D.,M,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,29,66,59.820151515,8.32,5.8293939394,5.8293939394
1003253162,STEWART,EARL,,M.D.,M,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,13,29,32,14.826875,1.42,0.94375,0.94375
1003253162,STEWART,EARL,,M.D.,M,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,4296,0.4764036313,0.0456727188,0.0320297952,0.0320297952
1003253162,STEWART,EARL,,M.D.,M,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,23.622857143,23.622857143
1003253584,ZABEL,ANTHONY,R,M.D.,M,I,6866 W STONEGATE DR,SUITE 100,ZIONSVILLE,IN,460778050,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,47,89.865319149,8.32,6.5212765957,6.5212765957
1003253691,WANG,DANIEL,,MD,M,I,100 E LANCASTER AVE,4 PAVILION STE 4303,WYNNEWOOD,PA,190963450,US,Hospitalist,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,12,12,178,60,47.04,48.213333333
1003253691,WANG,DANIEL,,MD,M,I,100 E LANCASTER AVE,4 PAVILION STE 4303,WYNNEWOOD,PA,190963450,US,Hospitalist,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,30.03,5.05,3.96,3.9508333333
1003253782,ARSENAULT,ANDRE,J,M.D,M,I,5325 FARAON ST,,SAINT JOSEPH,MO,645063488,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,49.77125,17.69,13.87,13.53
1003253782,ARSENAULT,ANDRE,J,M.D,M,I,5325 FARAON ST,,SAINT JOSEPH,MO,645063488,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,115.10444444,5.7511111111,4.3794444444,3.535
1003253782,ARSENAULT,ANDRE,J,M.D,M,I,5325 FARAON ST,,SAINT JOSEPH,MO,645063488,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,355.17,69.99,54.87,54.751875
1003253972,PERRINO,DOMINIC,,D.O.,M,I,1000 HEALTH CENTER DR,,MATTOON,IL,619389261,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,74.696969697,22.074545455,16.853030303,13.667272727
1003253972,PERRINO,DOMINIC,,D.O.,M,I,1000 HEALTH CENTER DR,,MATTOON,IL,619389261,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,60,8.5757894737,6.7226315789,3.8726315789
1003253972,PERRINO,DOMINIC,,D.O.,M,I,1000 HEALTH CENTER DR,,MATTOON,IL,619389261,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,79,79,387.89873418,100.28101266,77.108987342,55.907721519
1003254012,CHAN,KATHERINE,L,MD,F,I,798 EXECUTIVE DR,,OVIEDO,FL,32765,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,49,65.334693878,8.32,6.3897959184,6.3897959184
1003254202,PATEL,PRACHI,T,D.O.,F,I,2101 KEN PRATT BLVD STE 104,,LONGMONT,CO,805016568,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,111.60714286,4.4423809524,3.48,3.7838095238
1003255399,YOUNG,RACHELLE,,MD,F,I,387 W IH 10,,FORT STOCKTON,TX,797352700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,19,33,43.921212121,8.32,5.9284848485,5.9284848485
1003255399,YOUNG,RACHELLE,,MD,F,I,387 W IH 10,,FORT STOCKTON,TX,797352700,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,114.35,83.4215,65.404,40.514
1003255399,YOUNG,RACHELLE,,MD,F,I,387 W IH 10,,FORT STOCKTON,TX,797352700,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.620833333,14.031666667
1003255399,YOUNG,RACHELLE,,MD,F,I,387 W IH 10,,FORT STOCKTON,TX,797352700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,459.608,106.38666667,83.41,60.13
1003255415,SAKOWSKI,CHRISTOPHER,M,M.D.,M,I,1200 N STATE ST,CT-A7D,LOS ANGELES,CA,900331029,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,8.7263636364,6.0363636364,6.3009090909
1003255415,SAKOWSKI,CHRISTOPHER,M,M.D.,M,I,1200 N STATE ST,CT-A7D,LOS ANGELES,CA,900331029,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,28,133,96.59,72.445,59.825
1003255415,SAKOWSKI,CHRISTOPHER,M,M.D.,M,I,1200 N STATE ST,CT-A7D,LOS ANGELES,CA,900331029,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,45,45,347,251.28,192.82755556,214.71733333
1003255654,JALIFE BUCAY,MAURICIO,,M.D,M,I,101 E OLNEY AVE,SUITE C-5,PHILADELPHIA,PA,191202421,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,38,83.337105263,8.32,6.5205263158,6.5205263158
1003255654,JALIFE BUCAY,MAURICIO,,M.D,M,I,101 E OLNEY AVE,SUITE C-5,PHILADELPHIA,PA,191202421,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,14,15.125714286,1.42,1.1185714286,1.1185714286
1003255985,NAMBUSI,RACHAEL,,M.D,F,I,1125 N COLLEGE AVE,,FAYETTEVILLE,AR,727031908,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,47.289230769,17.29,13.55,13.531538462
1003255985,NAMBUSI,RACHAEL,,M.D,F,I,1125 N COLLEGE AVE,,FAYETTEVILLE,AR,727031908,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,20.3,5.6325,4.415,3.66
1003255985,NAMBUSI,RACHAEL,,M.D,F,I,1125 N COLLEGE AVE,,FAYETTEVILLE,AR,727031908,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,252.32,70.23,55.06,54.746153846
1003256173,MEMON,SABA,,M.D.,F,I,701 W 5TH ST,,ODESSA,TX,797634206,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,15,66.292,17.196666667,13.476666667,13.53
1003256173,MEMON,SABA,,M.D.,F,I,701 W 5TH ST,,ODESSA,TX,797634206,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,329.02,69.437368421,54.441052632,54.723157895
1003256389,SHERRELL,SYDNEY,W,NP,F,I,1926 ALCOA HWY,"BLDG. F, SUITE 210",KNOXVILLE,TN,379201545,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,66,53.2,38.209130435,42.496086957
1003256645,KASIREDDY,VINEELA,,MD,F,I,333 COTTMAN AVE,,PHILADELPHIA,PA,191112434,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,79.818181818,23.099090909,18.111818182,20.348181818
1003256645,KASIREDDY,VINEELA,,MD,F,I,333 COTTMAN AVE,,PHILADELPHIA,PA,191112434,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,38.1,7.6345454545,5.9854545455,6.3136363636
1003256736,TRIVEDI,CHIRAYU,,M.D.,M,I,3250 MERIDIAN PKWY,,WESTON,FL,333313502,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,52,64.579807692,8.32,5.0159615385,5.0159615385
1003256843,NGUYEN,TAN,M,MD,M,I,301 OLD SAN FRANCISCO RD,,SUNNYVALE,CA,940866386,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,67,84.904477612,8.32,6.4262686567,6.4262686567
1003256975,AZIZ,IMAD,M,MD,M,I,2825 PRAIRIE AVE,,BELOIT,WI,535111844,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,47,111,77.389459459,8.32,6.0514414414,6.0514414414
1003256975,AZIZ,IMAD,M,MD,M,I,2825 PRAIRIE AVE,,BELOIT,WI,535111844,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,18,19.852222222,1.42,1.1166666667,1.1166666667
1003256975,AZIZ,IMAD,M,MD,M,I,2825 PRAIRIE AVE,,BELOIT,WI,535111844,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,70.350588235,19.03,14.915294118,14.488235294
1003256975,AZIZ,IMAD,M,MD,M,I,2825 PRAIRIE AVE,,BELOIT,WI,535111844,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,105,47.553333333,37.283333333,37.283333333
1003256975,AZIZ,IMAD,M,MD,M,I,2825 PRAIRIE AVE,,BELOIT,WI,535111844,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30.32,8.375,6.5675,6.6641666667
1003257361,MCKENZIE,RACHEL,G,P.A.,F,I,214 DOCTORS ST,,SPARTA,NC,286759247,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,25,106,46.116886792,8.32,5.8461320755,5.8461320755
1003257361,MCKENZIE,RACHEL,G,P.A.,F,I,214 DOCTORS ST,,SPARTA,NC,286759247,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.352,3.38,2.65,2.65
1003257361,MCKENZIE,RACHEL,G,P.A.,F,I,214 DOCTORS ST,,SPARTA,NC,286759247,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,32,13.573125,1.42,1.009375,1.009375
1003257361,MCKENZIE,RACHEL,G,P.A.,F,I,214 DOCTORS ST,,SPARTA,NC,286759247,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,90.655,22.4775,16.999166667,13.217083333
1003257361,MCKENZIE,RACHEL,G,P.A.,F,I,214 DOCTORS ST,,SPARTA,NC,286759247,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,504.53166667,97.593888889,69.815833333,49.576111111
1003257361,MCKENZIE,RACHEL,G,P.A.,F,I,214 DOCTORS ST,,SPARTA,NC,286759247,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,95,44.745,35.0825,30.111666667
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,28,69,136,54.819191176,8.32,5.6305147059,5.6305147059
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,18.919090909,2.12,1.3663636364,1.3663636364
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,23,39,45,15.160666667,1.42,1.0191111111,1.0191111111
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,8.19,2.108125,1.416875,0.976875
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,179.46,69.534,51.1,42.218666667
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,23.87,10.123333333,7.9366666667,3.7533333333
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,142.72,58.928461538,46.197307692,28.626923077
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,2877,0.2593952033,0.0450052138,0.0289954814,0.0289954814
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1620,1.0314506173,0.1351851852,0.0874691358,0.0874691358
1003257593,WILLIAMS,YVETTE,N,PA-C,F,I,103 RE JENNINGS AVE SE,,ARLINGTON,GA,398138725,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,31,119.22580645,33,20.862903226,20.862903226
1003257742,POEPPELMAN,BETH,,,F,I,206 W COUNTY LINE RD STE 300,,HIGHLANDS RANCH,CO,801292321,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,228.50125,32.5925,25.555,26.2975
1003257742,POEPPELMAN,BETH,,,F,I,206 W COUNTY LINE RD STE 300,,HIGHLANDS RANCH,CO,801292321,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,435.51703704,78.49,59.251111111,54.717777778
1003257999,ELRIFAI,MOHAMED,,,M,I,2351 E 22 ST,,CLEVELAND,OH,44115,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,569,77.18,60.51,54.72
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,143,48.838461538,32.870769231,32.526153846
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,37.477,19.6375,13.969,12.177
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,1320.84,913.16,707.48058824,833.82058824
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,21.037619048,7.460952381,4.9842857143,2.8419047619
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,102.72571429,39.585714286,31.033571429,33.185714286
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,419.94967742,79.462258065,58.594516129,51.192580645
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,60.566666667,19.576666667,14.292222222,13.293888889
1003258237,DATLA,SATYA,,M.D.,M,I,555 E CHEVES ST,MCLEOD REGIONAL MEDICAL CENTER,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,23.97,8.7853846154,6.2492307692,6.1661538462
1003259458,TOWNSEND,SEAN,A,M.D.,M,I,4716 ALLIANCE BLVD,SUITE 500,PLANO,TX,750935371,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,38,88,278,69.72705036,8.32,6.1073741007,6.1073741007
1003259458,TOWNSEND,SEAN,A,M.D.,M,I,4716 ALLIANCE BLVD,SUITE 500,PLANO,TX,750935371,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,15,22,13.716818182,1.42,1.0636363636,1.0636363636
1003259458,TOWNSEND,SEAN,A,M.D.,M,I,4716 ALLIANCE BLVD,SUITE 500,PLANO,TX,750935371,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.725,29.4875,23.1175,21.7375
1003259649,PISCHKE,KRYSTINA,M,,F,I,1504 S COMMERCIAL ST,,NEENAH,WI,549564802,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,19,55.307368421,8.32,6.5247368421,6.5247368421
1003259698,SHAK,EMMA,B,M.D.,F,I,505 PARNASSUS AVE,,SAN FRANCISCO,CA,941431059,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,6.588,4.91,3.2454545455,3.2454545455
1003259698,SHAK,EMMA,B,M.D.,F,I,505 PARNASSUS AVE,,SAN FRANCISCO,CA,941431059,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.318,0.27,0.1923636364,0.1923636364
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,28,73,174,62.425172414,8.32,5.96,5.96
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.4291666667,2.4291666667
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,24,44,15.704545455,1.42,0.9609090909,0.9609090909
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,11,17,53,3.9867924528,1.9641509434,1.4916981132,1.1079245283
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,8.9375,3.1975,2.3975,1.491875
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,19.44,12.992,10.188666667,7.6756666667
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,33.59,16.613636364,13.022727273,10.170909091
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,13,95,95,140.93557895,70.842526316,54.115684211,38.936421053
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,104.27272727,63.869090909,46.58,34.161818182
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,67,68,46.991470588,22.154852941,16.795882353,15.152941176
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,13,76,77,23.691168831,7.0107792208,5.3381818182,3.5496103896
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,18.1,12.17,9.54,7.1894444444
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,106,107,300.48560748,100.39738318,74.925981308,62.164953271
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,660,19.609666667,9.6199090909,7.3246212121,7.3246212121
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,34,13114,0.5128320878,0.0470001525,0.0329014793,0.0329014793
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,2880,2.0158402778,0.1402291667,0.1023819444,0.1023819444
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,1500,7.9422,3.00952,2.3594866667,2.3594866667
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,58.289782609,29.04,21.385869565,13.293695652
1003259961,GRIMSLEY,BAEDA,H,APRN,F,I,3532 EPHRAIM MCDOWELL DR,,LOUISVILLE,KY,402053224,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,20,72,72,33,33,24.255277778,24.255277778
1003260191,RUTLEDGE,CONNIE,,APRN-CNP,F,I,1754 US HIGHWAY 23 NORTH,,WEBER CITY,VA,242907071,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,25,48.3968,8.32,4.9568,4.9568
1003260191,RUTLEDGE,CONNIE,,APRN-CNP,F,I,1754 US HIGHWAY 23 NORTH,,WEBER CITY,VA,242907071,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.7027272727,3.6881818182,3.6854545455
1003260191,RUTLEDGE,CONNIE,,APRN-CNP,F,I,1754 US HIGHWAY 23 NORTH,,WEBER CITY,VA,242907071,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1413,0.4682661005,0.0452724699,0.0338499646,0.0338499646
1003260191,RUTLEDGE,CONNIE,,APRN-CNP,F,I,1754 US HIGHWAY 23 NORTH,,WEBER CITY,VA,242907071,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,63.9375,33,24.253125,24.253125
1003263617,NGUYEN,DOMINIQUE,,M.D.,M,I,1806 W LINCOLN AVE,,YAKIMA,WA,989022473,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,26,50,51.2836,8.32,4.9552,4.9552
1003263617,NGUYEN,DOMINIQUE,,M.D.,M,I,1806 W LINCOLN AVE,,YAKIMA,WA,989022473,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,14.435384615,1.42,0.8615384615,0.8615384615
1003263617,NGUYEN,DOMINIQUE,,M.D.,M,I,1806 W LINCOLN AVE,,YAKIMA,WA,989022473,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,3450,0.17,0.0466956522,0.0302,0.0302
1003263617,NGUYEN,DOMINIQUE,,M.D.,M,I,1806 W LINCOLN AVE,,YAKIMA,WA,989022473,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,630,0.75,0.219031746,0.1391428571,0.1391428571
1003263617,NGUYEN,DOMINIQUE,,M.D.,M,I,1806 W LINCOLN AVE,,YAKIMA,WA,989022473,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,21.9525,21.9525
1003263872,ELY,LAURA,,,F,I,140 E MAIN ST,,OTHELLO,WA,993441040,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,42,43.823809524,8.32,4.6585714286,4.6585714286
1003263872,ELY,LAURA,,,F,I,140 E MAIN ST,,OTHELLO,WA,993441040,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,36.844545455,8.1872727273,6.4190909091,3.8890909091
1003264029,HUFF,LOGAN,,DO,M,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,40,59.85875,8.32,6.1945,6.1945
1003264847,LOMBARD,HEATHER,N,"APRN, FNP-C",F,I,3020 KINGMAN ST,SUITE B,METAIRIE,LA,700066673,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,21,57.13,8.32,6.5214285714,6.5214285714
1003264920,DELAUGHTER,BRITTANY,L,FNP-C,F,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,41,51.934878049,8.32,6.0446341463,6.0446341463
1003264920,DELAUGHTER,BRITTANY,L,FNP-C,F,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,418.42384615,100.58923077,69.668461538,49.425384615
1003264961,VERTOVEC,MEGHAN,E,NP,F,I,2418 W DIVISION ST,,CHICAGO,IL,60622,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,18,93.726666667,8.32,5.0733333333,5.0733333333
1003265364,WICKSTROM,ROSS,,,M,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,41,80,70.506875,8.32,6.047125,6.047125
1003265463,PATEL,NINA,R,PA-C,F,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,1725,3.3102550725,0.5976231884,0.4685391304,0.4685391304
1003265463,PATEL,NINA,R,PA-C,F,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,24,24,18.82,18.82
1003265943,BURGESS,ANNA,P,FNP-C,F,I,212 ALLENDALE DR,,FOREST CITY,NC,280432889,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,38,95,201,47.637412935,8.2913432836,5.6088557214,5.6327363184
1003265943,BURGESS,ANNA,P,FNP-C,F,I,212 ALLENDALE DR,,FOREST CITY,NC,280432889,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,26,41,56,11.9325,1.42,0.9767857143,0.9767857143
1003265943,BURGESS,ANNA,P,FNP-C,F,I,212 ALLENDALE DR,,FOREST CITY,NC,280432889,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,38,7.495,3.4894736842,2.6423684211,1.8576315789
1003265943,BURGESS,ANNA,P,FNP-C,F,I,212 ALLENDALE DR,,FOREST CITY,NC,280432889,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,10.914444444,7.2294444444,5.06,3.2122222222
1003265943,BURGESS,ANNA,P,FNP-C,F,I,212 ALLENDALE DR,,FOREST CITY,NC,280432889,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,3269,0.3055613337,0.0475344142,0.0358672377,0.0358672377
1003265943,BURGESS,ANNA,P,FNP-C,F,I,212 ALLENDALE DR,,FOREST CITY,NC,280432889,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,24.145333333,24.145333333
1003266388,BROWN,HANNAH,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,46,144,48.77375,8.2545138889,4.288125,4.3394444444
1003266388,BROWN,HANNAH,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,19,33,12.906060606,1.4103030303,0.7090909091,0.7184848485
1003266388,BROWN,HANNAH,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,117.69230769,4.19,3.0276923077,3.1284615385
1003266388,BROWN,HANNAH,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,160,45.02,31.5825,31.5825
1003266388,BROWN,HANNAH,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,478.14228571,71.747428571,47.224285714,47.894571429
1003266388,BROWN,HANNAH,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,110.86666667,37.782380952,24.616666667,25.125714286
1003266586,BAKEER,FARIS,A,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Hospitalist,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,4029,0.8224968975,0.0477041449,0.0337676843,0.0337676843
1003267030,KEDING,AMY,E,O.D.,F,I,8752 E SHEA BLVD STE 125,,SCOTTSDALE,AZ,85260,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,12,79.794166667,76.748333333,60.075,52.714166667
1003267147,LUCAS,KURTIS,A,MD,M,I,2055 KIMBALL AVE STE 101,,WATERLOO,IA,507025047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,31,75.64516129,8.2022580645,4.745483871,4.8377419355
1003267147,LUCAS,KURTIS,A,MD,M,I,2055 KIMBALL AVE STE 101,,WATERLOO,IA,507025047,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,379.93677419,80.96,52.823870968,44.267096774
1003267147,LUCAS,KURTIS,A,MD,M,I,2055 KIMBALL AVE STE 101,,WATERLOO,IA,507025047,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,105.41666667,41.375416667,29.804166667,27.087083333
1003267345,BRUBAKER,NICOLE,M,FNP-C,F,I,522 S 4TH ST,,FULTON,NY,130692946,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,54,102,82.872254902,8.32,5.4341176471,5.4341176471
1003267345,BRUBAKER,NICOLE,M,FNP-C,F,I,522 S 4TH ST,,FULTON,NY,130692946,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,9.64,1.42,0.8145454545,0.8145454545
1003267345,BRUBAKER,NICOLE,M,FNP-C,F,I,522 S 4TH ST,,FULTON,NY,130692946,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,15.72,12.33,13.54
1003267345,BRUBAKER,NICOLE,M,FNP-C,F,I,522 S 4TH ST,,FULTON,NY,130692946,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,70,54.88,54.73
1003267402,MORGAN,SHERRA,,APRN,F,I,30 STACY LANE RD,,IRVINE,KY,403367356,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,23,34.439130435,8.1986956522,6.43,6.5239130435
1003267865,KINGSLEY,ANTHONY,M,FNP,M,I,2545 JACKSBORO PIKE,,JACKSBORO,TN,377574847,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,30,68.362,8.32,6.5213333333,6.5213333333
1003268228,MASTERS,BARBARA,J,ARNP,F,I,101 MAIN STREET,,LINEVILLE,IA,501478517,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,36,74.555555556,8.32,6.1588888889,6.1588888889
1003268228,MASTERS,BARBARA,J,ARNP,F,I,101 MAIN STREET,,LINEVILLE,IA,501478517,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,295,102.61833333,80.455,58.105
1003268228,MASTERS,BARBARA,J,ARNP,F,I,101 MAIN STREET,,LINEVILLE,IA,501478517,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,95.84,44.745,35.0825,30.111666667
1003268467,HARDIN,ANNA,K,,F,I,830 SOUTH LIMESTONE,,LEXINGTON,KY,405367356,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,24,25,8.8229166667,4.1320833333,2.86875
1003268467,HARDIN,ANNA,K,,F,I,830 SOUTH LIMESTONE,,LEXINGTON,KY,405367356,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,362.5,93.1975,56.909375,39.516875
1003268483,BADWAL,KARUN,S,D.O.,M,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Internal Medicine,T,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,0.3,0.1338181818,0.1049469697,0.1049469697
1003268483,BADWAL,KARUN,S,D.O.,M,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Internal Medicine,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,45,33,25.87,25.87
1003268871,HILLIKER,ASHLEY,,,F,I,41 BARRETT ST,,DILLON,MT,597253508,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,57.083684211,33.756315789,22.790526316,18.171578947
1003268871,HILLIKER,ASHLEY,,,F,I,41 BARRETT ST,,DILLON,MT,597253508,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,328.27551724,90.273793103,58.885517241,47.725862069
1003268905,MALPAYA,ROSEMARIE,N,FNP-C,F,I,14121 PARKE LONG CT STE 201,,CHANTILLY,VA,201511647,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,60,60,37.610833333,18.2785,13.711166667,12.712333333
1003268905,MALPAYA,ROSEMARIE,N,FNP-C,F,I,14121 PARKE LONG CT STE 201,,CHANTILLY,VA,201511647,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,62,62,15.337096774,8.1080645161,6.1035483871,6.0332258065
1003269135,NESOVIC,ANNA,V,"DNP, FNP-BC",F,I,2800 10TH AVE N,,BILLINGS,MT,591010703,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,433.06111111,87.446111111,59.347222222,45.603888889
1003269341,MORRIS,SUSANNE,,AGCNS,F,I,4101 JAMES CASEY ST STE 100,,AUSTIN,TX,787451145,US,Certified Clinical Nurse Specialist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,69.832727273,19.996363636,15.677727273,14.938863636
1003269341,MORRIS,SUSANNE,,AGCNS,F,I,4101 JAMES CASEY ST STE 100,,AUSTIN,TX,787451145,US,Certified Clinical Nurse Specialist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,44,23.203181818,8.3386363636,6.1338636364,6.3963636364
1003269580,MORTON,LAUREN,H,NP-C,F,I,133 N FM 730 UNIT 105,,BOYD,TX,760233072,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,51,52.630196078,8.32,3.8364705882,3.8364705882
1003269721,KREWER,MATTHEW,,OD,M,I,28039 SCOTT RD STE F,,MURRIETA,CA,925637430,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,11,59.134545455,59.134545455,46.361818182,50.476363636
1003269721,KREWER,MATTHEW,,OD,M,I,28039 SCOTT RD STE F,,MURRIETA,CA,925637430,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,20,78.4,72.52,54.0125,51.386
1003270448,COFFMAN,KERRIE,M,ARNP,F,I,455 PINELLAS ST,SUITE 400,CLEARWATER,FL,337563354,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,220,79.88,62.560526316,54.660526316
1003270638,CAHALAN,NICOLE,,M.D.,F,I,99 WOODLAND ST,,HARTFORD,CT,061051207,US,Student in an Organized Health Care Education/Training Program,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,682,0.3359090909,0.0453225806,0.0355131965,0.0355131965
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,13,50,50,181.41,52.763,39.2626,35.715
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,40.46,16.78,13.056363636,13.350454545
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,11,43,43,23.79,4.1962790698,2.5927906977,3.0741860465
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,240.62,71.5,54.361212121,53.273030303
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,55.08,30.014230769,19.913846154,19.681538462
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,14,14,14,79.445714286,38.64,30.286428571,29.39
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,79,79,74.7,20.733544304,15.72,13.936708861
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,20,98,98,114.20663265,26.68122449,18.139489796,19.024081633
1003272261,JANSEN,KAELIN,,,F,I,802 OVERHILL DR,BUSINESS OFFICE,SHEPHERDSVILLE,KY,401657252,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,22,104,104,27.23,9.0146153846,6.5872115385,6.3567307692
1003272709,JARRETT,CATHERINE,,PA-C,F,I,200 E CHESTNUT ST,SUITE 303,LOUISVILLE,KY,402021831,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,12.52,8.1315384615,5.0107692308,6.1023076923
1003272709,JARRETT,CATHERINE,,PA-C,F,I,200 E CHESTNUT ST,SUITE 303,LOUISVILLE,KY,402021831,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,71.5,56.06,54.840833333
1003273814,WYATT,KATHERINE,E,APN,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,45.79,35.898333333,35.645
1003274440,DOSCHER,MINDY,,"MSN, NP-C",F,I,900 W NIFONG BLVD STE 101,,COLUMBIA,MO,652034469,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,34,49,58.955102041,8.2024489796,4.7475510204,4.8510204082
1003274440,DOSCHER,MINDY,,"MSN, NP-C",F,I,900 W NIFONG BLVD STE 101,,COLUMBIA,MO,652034469,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,199.77583333,120.225,94.254166667,66.6275
1003274440,DOSCHER,MINDY,,"MSN, NP-C",F,I,900 W NIFONG BLVD STE 101,,COLUMBIA,MO,652034469,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,35.6,25.723333333,28.113333333
1003274440,DOSCHER,MINDY,,"MSN, NP-C",F,I,900 W NIFONG BLVD STE 101,,COLUMBIA,MO,652034469,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,29,129.42068966,36.535862069,26.824137931,25.074137931
1003275611,MERRIMAN,LINDSAY,,PA,F,I,1135 CARTHAGE ST,,SANFORD,NC,273304162,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,76.958,22.576,16.703333333,12.628
1003275611,MERRIMAN,LINDSAY,,PA,F,I,1135 CARTHAGE ST,,SANFORD,NC,273304162,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,11,11,4430.1,1074.31,842.26,842.26
1003275611,MERRIMAN,LINDSAY,,PA,F,I,1135 CARTHAGE ST,,SANFORD,NC,273304162,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,483.97958333,106.38666667,80.919583333,52.449583333
1003276064,KEOWN,MANDY,G,FNP,F,I,200 LA RUE FRANCE,201,LAFAYETTE,LA,705083104,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,125,50.358,37.0855,36.4365
1003276064,KEOWN,MANDY,G,FNP,F,I,200 LA RUE FRANCE,201,LAFAYETTE,LA,705083104,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,77.761428571,19.412,14.248857143,13.101142857
1003277948,LUBLIN,CRYSTAL,,,F,I,144 MERCHANTS CIR,STE 100,HAMPSTEAD,NC,284435260,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,26.2865,4.67,3.268,3.266
1003277948,LUBLIN,CRYSTAL,,,F,I,144 MERCHANTS CIR,STE 100,HAMPSTEAD,NC,284435260,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,32,326.788125,70.605625,53.4865625,53.0315625
1003277948,LUBLIN,CRYSTAL,,,F,I,144 MERCHANTS CIR,STE 100,HAMPSTEAD,NC,284435260,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,69.437647059,37.44,29.35,29.500588235
1003278581,FLESHER,BETHANI,,,F,I,482 WYLIE DR,,NORMAL,IL,617615405,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,66,17.27,13.54,13.54
1003278581,FLESHER,BETHANI,,,F,I,482 WYLIE DR,,NORMAL,IL,617615405,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,324.4,69.81,54.73,54.73
1003278847,GIBSON,NANCY,,NP,F,I,12655 WARWICK BLVD,STE 1,NEWPORT NEWS,VA,236062501,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,248.835,30.875,21.656666667,22.104166667
1003279589,ANDERSON,GRANT,,PA-C,M,I,211 INDIAN LAKE BLOULEVARD,,HENDERSONVILLE,TN,37075,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,24,65,67.785230769,8.32,6.02,6.02
1003280900,RAJESH,ELSEY,,ACNP-BC,F,I,1980 CROMPOND RD,,CORTLANDT MANOR,NY,105674144,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,36.5,17,13.33,13.526
1003280900,RAJESH,ELSEY,,ACNP-BC,F,I,1980 CROMPOND RD,,CORTLANDT MANOR,NY,105674144,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,217.1,73.635454545,57.726363636,54.981363636
1003281171,WOOTEN,KATIE,L,NP-C,F,I,1109 BURLEYSON DR SUITE 103,,DALTON,GA,307203099,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,62,163,483,66.847163561,8.3191718427,6.0698550725,6.0704968944
1003281171,WOOTEN,KATIE,L,NP-C,F,I,1109 BURLEYSON DR SUITE 103,,DALTON,GA,307203099,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,23,36,13.479444444,1.42,1.115,1.115
1003281171,WOOTEN,KATIE,L,NP-C,F,I,1109 BURLEYSON DR SUITE 103,,DALTON,GA,307203099,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,785.42285714,251.11,196.87,196.87
1003281296,SARRIS,BARBARA,,,F,I,4041 TAYLOR RD,SUITE G,CHESAPEAKE,VA,233215536,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,32,82,235,56.66212766,8.32,6.3285531915,6.3285531915
1003281296,SARRIS,BARBARA,,,F,I,4041 TAYLOR RD,SUITE G,CHESAPEAKE,VA,233215536,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,15.103809524,3.38,2.65,2.65
1003281296,SARRIS,BARBARA,,,F,I,4041 TAYLOR RD,SUITE G,CHESAPEAKE,VA,233215536,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,20,46,80,14.35875,1.42,1.11475,1.11475
1003281296,SARRIS,BARBARA,,,F,I,4041 TAYLOR RD,SUITE G,CHESAPEAKE,VA,233215536,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,20,35.5265,4.422,3.472,3.587
1003281296,SARRIS,BARBARA,,,F,I,4041 TAYLOR RD,SUITE G,CHESAPEAKE,VA,233215536,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,936,0.5443696581,0.0466452991,0.0341132479,0.0341132479
1003281296,SARRIS,BARBARA,,,F,I,4041 TAYLOR RD,SUITE G,CHESAPEAKE,VA,233215536,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,55.945945946,18.223513514,13.212972973,12.756756757
1003281296,SARRIS,BARBARA,,,F,I,4041 TAYLOR RD,SUITE G,CHESAPEAKE,VA,233215536,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,17.434782609,8.687826087,6.8091304348,6.6539130435
1003281460,ASHBY,LEAH,D,APRN,F,I,225 ABRAHAM FLEXNER WAY,SUITE 305,LOUISVILLE,KY,402021882,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,181.41,46.075454545,31.872727273,32.061818182
1003282344,COBB,JOAN,M,"MSN, APN, FNP-BC",F,I,2163 E BASELINE RD STE 101,,TEMPE,AZ,85283,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,34,84,60.680833333,8.32,6.0595238095,6.0595238095
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,30.79,14.549230769,10.403846154,8.4876923077
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,12,75,75,145.91333333,61.412133333,43.417866667,32.580533333
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,47,66.996170213,21.167659574,15.007446809,12.090638298
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,22,22,76.14,59.384545455,44.24,36.526363636
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,2462.48225,1074.31,833.267,833.267
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30.66,16.11,10.525454545,8.5745454545
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,28.21,6.6575,4.47,2.9625
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,113.45,48.99,33.490714286,21.707142857
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,20.36,10.438,7.374,5.697
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,26,167,177,320.88242938,101.7880226,76.373502825,53.443389831
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,250,45.312,35.527,29.517
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,2190,1.8083105023,0.1295205479,0.0921689498,0.0921689498
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,95.236428571,38.700714286,26.686428571,18.912857143
1003282450,GANN,AMANDA,L,APRN,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,25,76.56,33,23.8004,23.8004
1003282963,BRADY,MARLENE,A,NP-C,F,I,20 WALL ST,,BURLINGTON,MA,018034758,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,35,78.454571429,8.32,6.1502857143,6.1502857143
1003283201,HUDSON,ANNE,H,APN,F,I,323 STEAM PLANT RD,,GALLATIN,TN,370663025,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,53.181818182,23.694545455,14.451818182,11.111818182
1003283862,TROUGHT,LEONTINE,M,,F,I,2004 LANSHIRE DR,,MCKINNEY,TX,750702887,US,Clinic or Group Practice,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,97,97,97,1147.4158763,1001.0976289,739.57474227,730.26061856
1003283862,TROUGHT,LEONTINE,M,,F,I,2004 LANSHIRE DR,,MCKINNEY,TX,750702887,US,Clinic or Group Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,152,152,152,1416.6340132,1185.2502632,906.60881579,864.16342105
1003283862,TROUGHT,LEONTINE,M,,F,I,2004 LANSHIRE DR,,MCKINNEY,TX,750702887,US,Clinic or Group Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,30,30,53,800.32943396,551.74,402.39584906,448.64283019
1003283862,TROUGHT,LEONTINE,M,,F,I,2004 LANSHIRE DR,,MCKINNEY,TX,750702887,US,Clinic or Group Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,56,56,99,1028.260303,873.6369697,654.54575758,647.30959596
1003283862,TROUGHT,LEONTINE,M,,F,I,2004 LANSHIRE DR,,MCKINNEY,TX,750702887,US,Clinic or Group Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,87,87,154,144.05246753,106.36896104,81.72025974,87.101623377
1003283862,TROUGHT,LEONTINE,M,,F,I,2004 LANSHIRE DR,,MCKINNEY,TX,750702887,US,Clinic or Group Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,15,15,15,895.60933333,786.38266667,595.65,547.65333333
1003284357,ALFAHD,UOSIFE,,,M,I,930 W 21ST ST,SUITE 100,NORFOLK,VA,23517,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,26,26,26,221.74076923,62.866538462,49.288076923,36.46
1003284357,ALFAHD,UOSIFE,,,M,I,930 W 21ST ST,SUITE 100,NORFOLK,VA,23517,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,254.76681818,71.713636364,56.226363636,42.155
1003284357,ALFAHD,UOSIFE,,,M,I,930 W 21ST ST,SUITE 100,NORFOLK,VA,23517,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,26,84.484615385,83.892692308,65.775384615,63.593846154
1003284357,ALFAHD,UOSIFE,,,M,I,930 W 21ST ST,SUITE 100,NORFOLK,VA,23517,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,58.802222222,58.65,43.375,43.821666667
1003284357,ALFAHD,UOSIFE,,,M,I,930 W 21ST ST,SUITE 100,NORFOLK,VA,23517,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,278.432,278.432,218.28866667,218.89533333
1003284449,ECCLES,KELLI,,APRN,F,I,1408 EAST ST,,IOLA,KS,667494402,US,Certified Clinical Nurse Specialist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,146.04,65.911666667,51.678333333,38.214166667
1003284811,LUTCHMAN,KELSEY,,PA,F,I,8030 LITTLE NECK PKWY,,FLORAL PARK,NY,110041218,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,16.86,13.22,13.54
1003284811,LUTCHMAN,KELSEY,,PA,F,I,8030 LITTLE NECK PKWY,,FLORAL PARK,NY,110041218,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.36,60.65,54.73
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,29,82,39.917317073,8.32,5.1507317073,5.1507317073
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,20,11.85,1.42,0.893,0.893
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,28,4.8978571429,1.7028571429,1.245,1.0678571429
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,62,8.4774193548,2.6683870968,1.7735483871,1.2929032258
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,7.8009090909,6.058856305,4.3655718475
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,44.243571429,6.6657142857,4.1,2.4142857143
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,4500,0.4956,0.0460666667,0.0312022222,0.0312022222
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,2460,1.0990203252,0.1371219512,0.092800813,0.092800813
1003285024,HEBBERD,STEPHANIE,A,FNP-BC,F,I,251 E PECK RD,,PECK,MI,484669589,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,40,57.75,33,23.303,23.303
1003285461,WATSON,TIMOTHY,R,FNP-C,M,I,ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR,351 PEOPLES DR,PONTOTOC,MS,38863,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,160,64.5812,46.4292,34.1852
1003285461,WATSON,TIMOTHY,R,FNP-C,M,I,ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR,351 PEOPLES DR,PONTOTOC,MS,38863,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25,8.7966666667,6.8944444444,3.7533333333
1003285461,WATSON,TIMOTHY,R,FNP-C,M,I,ACUTE CARE AND FAMILY CLININC 351 PEOPLES DR,351 PEOPLES DR,PONTOTOC,MS,38863,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,65,27.668181818,17.870909091,11.467045455
1003285511,SONSALLA,JULIE,,APNP,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,74.308636364,19.813181818,13.715909091,11.779545455
1003285511,SONSALLA,JULIE,,APNP,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,315.67928571,75.795714286,47.335,43.002142857
1003285552,WYANT,ASHLEY,L,PA-C,F,I,1021 BROADWAY ST,,BUFFALO,NY,142121460,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,69.99,54.87,54.73
1003285552,WYANT,ASHLEY,L,PA-C,F,I,1021 BROADWAY ST,,BUFFALO,NY,142121460,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,38.68,30.32,29.51
1003285560,PEREZ,MATTISON,N,P.A.,F,I,4017 ILLINOIS STATE ROUTE 159,SUITE 101,SMITHTON,IL,62285,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,3.56,0.558,1.26
1003285560,PEREZ,MATTISON,N,P.A.,F,I,4017 ILLINOIS STATE ROUTE 159,SUITE 101,SMITHTON,IL,62285,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,760.48,92.673636364,63.418636364,48.287727273
1003286436,LAPKOVSKY,BRENDA,,,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,31,308,308,308,1266.1416883,1017.9572727,794.1688961,878.55633117
1003286436,LAPKOVSKY,BRENDA,,,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,33,330,527,600,1025.8749333,847.00701667,663.81025,676.94193333
1003286436,LAPKOVSKY,BRENDA,,,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,58,65,84,545.0527381,444.02,348.12,353.9497619
1003286436,LAPKOVSKY,BRENDA,,,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,34,335,536,613,133.95830343,110.58681892,86.70278956,88.73954323
1003286436,LAPKOVSKY,BRENDA,,,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Physician/Family Practice,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,26,26,42,59.419047619,48.21,37.8,38.43
1003286436,LAPKOVSKY,BRENDA,,,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,41,41,43,554.26511628,458.27,359.28953488,365.38953488
1003286436,LAPKOVSKY,BRENDA,,,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,29,238,238,238,812.27584034,653.75340336,512.54247899,566.38798319
1003286881,MARTIN,REBECCA,,,F,I,112 KIMBALL AVE,,PENN YAN,NY,145271816,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,66,71.935606061,8.32,5.3359090909,5.3359090909
1003286881,MARTIN,REBECCA,,,F,I,112 KIMBALL AVE,,PENN YAN,NY,145271816,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2534,0.2317205998,0.0456945541,0.0325572218,0.0325572218
1003286881,MARTIN,REBECCA,,,F,I,112 KIMBALL AVE,,PENN YAN,NY,145271816,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,107.25,33,23.714166667,23.714166667
1003287608,MICHELI,AMY,,FNP,F,I,1531 ESPLANADE,,CHICO,CA,959263310,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,25,3.7566666667,2.4483333333,2.9
1003287822,SCHEELER,LAUREN,,,F,I,21 GEISINGER LN,,LEWISTOWN,PA,170443400,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,79,213,66.802159624,8.32,5.5429577465,5.5429577465
1003287822,SCHEELER,LAUREN,,,F,I,21 GEISINGER LN,,LEWISTOWN,PA,170443400,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,31,12.85516129,1.42,0.9703225806,0.9703225806
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,50,57.4762,8.32,5.4792,5.4792
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,21,12.692380952,1.42,1.0619047619,1.0619047619
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,200,116.00818182,84.1,61.677272727
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,30,80,46.489666667,36.447333333,27.422
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,125.7775,82.803333333,60.986666667,47.825
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,14,14,44.625,27.273571429,21.378571429,15.967142857
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,21,21,50.436190476,23.166190476,18.161428571,11.323809524
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,27,150,6.8513333333,3.42,2.6776,1.8059333333
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,17.757272727,10.349090909,8.1118181818,5.6754545455
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,42.105,23.059545455,17.575909091,13.576818182
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,28.027058824,8.3352941176,6.4261764706,3.6876470588
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,27,159.75296296,48.917777778,34.521111111,23.697777778
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,226.51108696,105.73130435,80.297391304,55.210869565
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,220,45.15,35.4,29.516666667
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2096,0.2322853053,0.0457967557,0.0292223282,0.0292223282
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1443,1.7228274428,0.1261191961,0.0934650035,0.0934650035
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,870,11.242091954,3.0044137931,2.3554942529,2.3554942529
1003287848,GAINES,LACOSTA,,"DNP, APRN, FNP-C",F,I,1607 SOUTH BALTIMORE,,KIRKSVILLE,MO,63501,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,113.4375,33,22.2334375,22.2334375
1003287939,SCOTT,CHRISTINA,,NP-C,F,I,9485 MENTOR AVE,STE 210,MENTOR,OH,440608723,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,134.26,26.43,18.993333333,18.296666667
1003287939,SCOTT,CHRISTINA,,NP-C,F,I,9485 MENTOR AVE,STE 210,MENTOR,OH,440608723,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,31.58,8.63,6.3093333333,5.7493333333
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,25,54,171,63.920701754,8.32,5.4721052632,5.4721052632
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,21,41,15.409268293,1.42,0.9773170732,0.9773170732
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,56,11.483928571,3.1171428571,2.3389285714,1.5608928571
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,20,141,142,81.439507042,22.442816901,16.753098592,12.894929577
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,81.1909375,16.818125,10.83625,8.7278125
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,48.562702703,7.2256756757,5.3689189189,3.2875675676
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,233.2352381,52.442619048,38.114761905,24.554047619
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,25,218,219,505.0086758,103.49589041,77.46890411,53.736027397
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,250,45.1905,35.2065,29.649
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.5459090909,7.4827272727,7.4827272727
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1020,0.92,0.1403823529,0.1100686275,0.1100686275
1003287947,SHEAMAN,DANA,,FNP-BC,F,I,2751 COMMERCIAL WAY,,ROCK SPRINGS,WY,829014753,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,125.17241379,33,23.193793103,23.193793103
1003288291,PEREZ MARTINEZ,MIGUEL,D,,M,I,30334 OLD DIXIE HWY,,HOMESTEAD,FL,330333215,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1813,0.3215057915,0.046613348,0.0365471594,0.0365471594
1003288291,PEREZ MARTINEZ,MIGUEL,D,,M,I,30334 OLD DIXIE HWY,,HOMESTEAD,FL,330333215,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1003288762,JEAN,ALFRED,,FNP,M,I,930 E TREMONT AVE,,BRONX,NY,104604363,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,38,55.827631579,8.1884210526,5.8671052632,5.9702631579
1003288762,JEAN,ALFRED,,FNP,M,I,930 E TREMONT AVE,,BRONX,NY,104604363,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,24.28,9.06875,7.11125,8.05625
1003288762,JEAN,ALFRED,,FNP,M,I,930 E TREMONT AVE,,BRONX,NY,104604363,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,134.38,48.775357143,38.2375,39.795357143
1003288762,JEAN,ALFRED,,FNP,M,I,930 E TREMONT AVE,,BRONX,NY,104604363,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,154.88,42.75,33.52,35.23
1003288762,JEAN,ALFRED,,FNP,M,I,930 E TREMONT AVE,,BRONX,NY,104604363,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,69.3896,14.6804,11.5072,13.6148
1003288762,JEAN,ALFRED,,FNP,M,I,930 E TREMONT AVE,,BRONX,NY,104604363,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,21.2109375,6.7053125,5.25625,6.3434375
1003289562,HILLS,LISA,M,NP,F,I,4350 TAYLOR ROAD,SUITE K,CHESAPEAKE,VA,233215526,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,36,99,57.806363636,8.32,6.126969697,6.126969697
1003289562,HILLS,LISA,M,NP,F,I,4350 TAYLOR ROAD,SUITE K,CHESAPEAKE,VA,233215526,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,13.841666667,3.38,2.65,2.65
1003289562,HILLS,LISA,M,NP,F,I,4350 TAYLOR ROAD,SUITE K,CHESAPEAKE,VA,233215526,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,31,16.533548387,1.42,1.1148387097,1.1148387097
1003289562,HILLS,LISA,M,NP,F,I,4350 TAYLOR ROAD,SUITE K,CHESAPEAKE,VA,233215526,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,22,519.51,78.23,61.33,55.020454545
1003289612,STYKE,KATIE,L,PA,F,I,2240 SUTHERLAND AVE,SUITE 104,KNOXVILLE,TN,379192333,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,397.22818182,98.85,77.5,56.570909091
1003290206,LILLY,AMANDA,N,CNP,F,I,600 W 3RD ST,,MANSFIELD,OH,449062633,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,37,69.194594595,8.32,5.7054054054,5.7054054054
1003290206,LILLY,AMANDA,N,CNP,F,I,600 W 3RD ST,,MANSFIELD,OH,449062633,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,37.06,4.52,1.1833333333,1.1266666667
1003290206,LILLY,AMANDA,N,CNP,F,I,600 W 3RD ST,,MANSFIELD,OH,449062633,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,228.8,69.81,47.432666667,47.432666667
1003290206,LILLY,AMANDA,N,CNP,F,I,600 W 3RD ST,,MANSFIELD,OH,449062633,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,21.166363636,21.166363636
1003290263,ANDERSON,SETH,R,PA-C,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,34,38,63.140263158,17.298684211,13.213947368,13.196052632
1003290263,ANDERSON,SETH,R,PA-C,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3638.9415385,1074.31,831.22384615,831.22384615
1003290263,ANDERSON,SETH,R,PA-C,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,60,61,408.40491803,77.526721311,58.828852459,52.967377049
1003290263,ANDERSON,SETH,R,PA-C,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,158.90526316,37.44,27.805263158,27.950526316
1003290313,BOYD,MARY,,,F,I,234 STATE ST,,BREWER,ME,044121519,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,311.82285714,72.457142857,42.293571429,41.293571429
1003290495,LERI,KRISTEN,A,CRNP,F,I,358 HAMLIN HWY,,HAMLIN,PA,184270430,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2040,2.0214019608,0.1336176471,0.0980735294,0.0980735294
1003290495,LERI,KRISTEN,A,CRNP,F,I,358 HAMLIN HWY,,HAMLIN,PA,184270430,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,658.6525,157.89833333,118.885,111.84166667
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,27,27,87.697777778,39.586296296,30.297777778,30.206666667
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,21,27,28,259.40785714,93.310714286,69.486428571,67.249285714
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,37,120.13675676,37.807297297,28.253243243,26.941351351
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,71,81.707042254,20.224929577,14.206901408,12.857464789
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,20,20,176.13,60.9295,47.766,43.9425
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,31,35,35,49.082285714,19.131428571,14.756571429,14.233142857
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,19,20,59.859,15.9965,12.5405,10.212
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,23,41,181,8.2414917127,2.3417679558,1.7593370166,1.5890055249
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,17,17,18.419411765,6.2841176471,4.9276470588,4.65
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,15,15,31.096,13.495333333,10.578666667,10.479333333
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,102,108,42.023240741,16.761388889,12.463425926,12.821018519
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,46,52,52.950769231,13.494807692,10.181923077,10.076730769
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,40,40,31.06125,4.474,3.2795,3.5915
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,27,130,138,153.18231884,32.860072464,22.547971014,22.174202899
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,30,201,207,256.30956522,68.459613527,50.510338164,51.474782609
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,54,3542,17.017862789,9.6340372671,7.5125719932,7.5125719932
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,14,33,5836,0.2702124743,0.0459664154,0.0336291981,0.0336274846
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,37,4290,1.4401072261,0.1352867133,0.0971794872,0.0971794872
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,18,79,4714,8.3573886296,3.0411497667,2.3082647433,2.3082647433
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,627,0.3885326954,0.218676236,0.1545135566,0.1545135566
1003290966,O'BRIEN,SUSAN,,CRNP,F,I,2608 KEISER BLVD,,WYOMISSING,PA,196103333,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,31,35,101,101,53.873762376,33,24.077029703,24.077029703
1003291360,DOOM,JEANIE,N,APRN,F,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,71,48.784647887,8.32,5.7871830986,5.7871830986
1003291360,DOOM,JEANIE,N,APRN,F,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,49.75,22.72375,17.81375,15.41125
1003291360,DOOM,JEANIE,N,APRN,F,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,2150.4112,1074.31,830.7824,830.7824
1003291360,DOOM,JEANIE,N,APRN,F,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,312,102.90820513,77.617179487,57.115641026
1003291683,WORSHAM,CARRIE,J,NP,F,I,1250 E COMMERCE ST,,HERNANDO,MS,386322456,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,9.4833333333,7.4325,5.8266666667,3.88
1003291832,AZAR,EDWARD,S,DPM,M,I,9675 MONTE VISTA AVE STE E,,MONTCLAIR,CA,917632213,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,150,71.56,56.105,56.105
1003291832,AZAR,EDWARD,S,DPM,M,I,9675 MONTE VISTA AVE STE E,,MONTCLAIR,CA,917632213,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,102,75.294117647,43.56,34.151666667,34.150098039
1003292137,STRICKLAND,BONNIE,,,F,I,707 N IOWA ST,,GUNNISON,CO,812302229,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,44.85,21.415454545,16.79,9.12
1003292137,STRICKLAND,BONNIE,,,F,I,707 N IOWA ST,,GUNNISON,CO,812302229,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,40,23.655217391,18.543478261,13.79173913
1003292137,STRICKLAND,BONNIE,,,F,I,707 N IOWA ST,,GUNNISON,CO,812302229,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,141.73913043,51.51826087,40.391304348,26.567826087
1003292137,STRICKLAND,BONNIE,,,F,I,707 N IOWA ST,,GUNNISON,CO,812302229,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,220.71428571,111.77,84.785238095,55.980952381
1003292699,LININGER,ANDREW,,CRNP,M,I,501 E MAIN ST,,WAYNESBORO,PA,172682353,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,85.221666667,4.85,3.8023333333,4.163
1003292699,LININGER,ANDREW,,CRNP,M,I,501 E MAIN ST,,WAYNESBORO,PA,172682353,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3840,1.39828125,0.3,0.2351875,0.24303125
1003293069,FERNYHOUGH,LIANE,M,R.N.,F,I,24920 104TH AVE SE,,KENT,WA,980306443,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,20,44.7315,8.32,6.523,6.523
1003293408,LEWIS,MAKENZIE,,D.O.,F,I,1735 S PUBLIC RD,,LAFAYETTE,CO,800267093,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150.90909091,31.604545455,24.781818182,25.421818182
1003293408,LEWIS,MAKENZIE,,D.O.,F,I,1735 S PUBLIC RD,,LAFAYETTE,CO,800267093,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,78.49,43.396363636,43.396363636
1003294620,DOLAN,THERESA,,APN,F,I,5331 W 79TH ST,,BURBANK,IL,604593500,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,25,112.7636,51.7924,39.064,35.8856
1003294620,DOLAN,THERESA,,APN,F,I,5331 W 79TH ST,,BURBANK,IL,604593500,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,228.8,77.18,55.009090909,49.745454545
1003294620,DOLAN,THERESA,,APN,F,I,5331 W 79TH ST,,BURBANK,IL,604593500,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25.7675,21.141666667,16.571666667,13.826666667
1003294620,DOLAN,THERESA,,APN,F,I,5331 W 79TH ST,,BURBANK,IL,604593500,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,37.39,26.645454545,20.863636364
1003294620,DOLAN,THERESA,,APN,F,I,5331 W 79TH ST,,BURBANK,IL,604593500,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,53.25,31.65,21.322424242,17.06
1003294620,DOLAN,THERESA,,APN,F,I,5331 W 79TH ST,,BURBANK,IL,604593500,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,22.68,8.82,5.8948148148,5.2474074074
1003294620,DOLAN,THERESA,,APN,F,I,5331 W 79TH ST,,BURBANK,IL,604593500,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,36.96,26.345454545,26.888181818
1003294877,KAUR,INDERJIT,,M.D.,F,I,501 MADISON AVENUE,,SCRANTON,PA,18510,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5261,0.45,0.36,0.2822524235,0.2900893366
1003294877,KAUR,INDERJIT,,M.D.,F,I,501 MADISON AVENUE,,SCRANTON,PA,18510,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,36.88,16.33,11.733333333,12.479166667
1003294877,KAUR,INDERJIT,,M.D.,F,I,501 MADISON AVENUE,,SCRANTON,PA,18510,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,230,71.06,51.0675,50.169166667
1003294877,KAUR,INDERJIT,,M.D.,F,I,501 MADISON AVENUE,,SCRANTON,PA,18510,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,160,51.411818182,32.007272727,28.898181818
1003295197,STIDHAM,HUNTER,R,PA-C,F,I,900 HOSPITAL DR,,MADISONVILLE,KY,42431,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,22,23,210.07826087,76.366956522,59.87173913,44.843478261
1003295197,STIDHAM,HUNTER,R,PA-C,F,I,900 HOSPITAL DR,,MADISONVILLE,KY,42431,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,19,129,132,51.036969697,21.128636364,15.909166667,13.182424242
1003295197,STIDHAM,HUNTER,R,PA-C,F,I,900 HOSPITAL DR,,MADISONVILLE,KY,42431,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,2008.9482051,1074.31,836.8174359,836.8174359
1003295197,STIDHAM,HUNTER,R,PA-C,F,I,900 HOSPITAL DR,,MADISONVILLE,KY,42431,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,18,108,110,20.970727273,7.4980909091,5.3371818182,3.6090909091
1003295197,STIDHAM,HUNTER,R,PA-C,F,I,900 HOSPITAL DR,,MADISONVILLE,KY,42431,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,113,116,358.11982759,96.644310345,73.210258621,54.398793103
1003295197,STIDHAM,HUNTER,R,PA-C,F,I,900 HOSPITAL DR,,MADISONVILLE,KY,42431,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,11,1260,1.5215793651,0.135047619,0.1059047619,0.1059047619
1003295833,SNEARY,GRACE,E,NP,F,I,1302 MINNICH RD,,NEW HAVEN,IN,467742052,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,783.5,184.55,144.68666667,150.96333333
1003296914,GOODSELL,JEFFREY,,M.D.,M,I,415 KILLINGWORTH RD,,HIGGANUM,CT,064414370,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,32,44.76125,8.32,5.5021875,5.5021875
1003297078,RECORD,GENEVA,M,NP,F,I,4700 BATTLEFIELD PARKWAY,SUITE 200,RINGGOLD,GA,30736,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,32,76.353125,8.32,5.2978125,5.2978125
1003297078,RECORD,GENEVA,M,NP,F,I,4700 BATTLEFIELD PARKWAY,SUITE 200,RINGGOLD,GA,30736,US,Nurse Practitioner,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,750,0.429,0.27,0.2116133333,0.2116133333
1003297078,RECORD,GENEVA,M,NP,F,I,4700 BATTLEFIELD PARKWAY,SUITE 200,RINGGOLD,GA,30736,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,450,4.378,3.04,2.3833333333,2.3833333333
1003297078,RECORD,GENEVA,M,NP,F,I,4700 BATTLEFIELD PARKWAY,SUITE 200,RINGGOLD,GA,30736,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,450,0.9,0.27,0.2116666667,0.2116666667
1003297581,WERNER,GREGORY,L,P.A.-C,M,I,143 S GIBSON ST,,MEDFORD,WI,544511622,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,23,45,39.671111111,8.32,4.7824444444,4.7824444444
1003297599,BERGER,ASHLEIGH,,FNP,F,I,1205 TROY SCHENECTADY RD STE 101,,LATHAM,NY,121101074,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,11.01,7.7175,7.8058333333
1003298969,OUTLY,AMANDA,M,PA,F,I,2001 E. HIGHWAY 20,FAMILY MEDICINE DEPARTMENT,NICEVILLE,FL,325788826,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,50,19.715,15.4575,14.19
1003299116,BROOKS,LEIGH,,APRN FNP-C,F,I,324 OAKVALE RD STE 12,,PRINCETON,WV,247403829,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,22,54,41.222037037,8.32,6.2811111111,6.2811111111
1003299116,BROOKS,LEIGH,,APRN FNP-C,F,I,324 OAKVALE RD STE 12,,PRINCETON,WV,247403829,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,18,5.3666666667,1.42,1.0544444444,1.0544444444
1003299165,PANAMBO,JULIET,I,AGPCNP,F,I,PO BOX 745,,ELMHURST,IL,601260745,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.92,55.13,36.584545455,33.170909091
1003299165,PANAMBO,JULIET,I,AGPCNP,F,I,PO BOX 745,,ELMHURST,IL,601260745,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,128.24,49.012727273,32.018181818,30.562727273
1003299165,PANAMBO,JULIET,I,AGPCNP,F,I,PO BOX 745,,ELMHURST,IL,601260745,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,90.82,42.374,33.218,26.296666667
1003299165,PANAMBO,JULIET,I,AGPCNP,F,I,PO BOX 745,,ELMHURST,IL,601260745,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,57,57,26.52,10.057894737,7.8884210526,7.0631578947
1003299561,VICK,CHRISHAUNDA,L,FNP-C,F,I,4680 US-177,,PIKEVILLE,NC,27863,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,38,114,222,76.042027027,8.32,5.0226576577,5.0226576577
1003299561,VICK,CHRISHAUNDA,L,FNP-C,F,I,4680 US-177,,PIKEVILLE,NC,27863,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,17.250588235,3.38,2.4941176471,2.4941176471
1003299561,VICK,CHRISHAUNDA,L,FNP-C,F,I,4680 US-177,,PIKEVILLE,NC,27863,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,24,45,55,18.075454545,1.42,0.8334545455,0.8334545455
1003299561,VICK,CHRISHAUNDA,L,FNP-C,F,I,4680 US-177,,PIKEVILLE,NC,27863,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,0.15,0.13,0.0926262626,0.0926262626
1003299561,VICK,CHRISHAUNDA,L,FNP-C,F,I,4680 US-177,,PIKEVILLE,NC,27863,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,2.15,1.73,1.2206767677,1.4471111111
1003299561,VICK,CHRISHAUNDA,L,FNP-C,F,I,4680 US-177,,PIKEVILLE,NC,27863,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,42,6327,0.3966145092,0.0471755966,0.0282629998,0.0282629998
1003299561,VICK,CHRISHAUNDA,L,FNP-C,F,I,4680 US-177,,PIKEVILLE,NC,27863,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,46,46,63.130434783,33,21.370869565,21.370869565
1003299702,FLUG,RYAN,,DNP,M,I,2353 SE 14TH ST,,DES MOINES,IA,503201109,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,46,102,70.099901961,8.32,4.5187254902,4.5187254902
1003299702,FLUG,RYAN,,DNP,M,I,2353 SE 14TH ST,,DES MOINES,IA,503201109,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,20,17.3755,1.42,0.839,0.839
1003299751,GUENTHARDT,REBECCA,S,PA-C,F,I,211 W PINE LAKE DR,,NEWAYGO,MI,493378029,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,22.9975,4.246875,2.87375,3.164375
1003299785,CORBELL,NEVA,,,F,I,1951 N WILMOT RD,BLDG 4,TUCSON,AZ,857128000,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125,16.94,11.409166667,11.644166667
1003299785,CORBELL,NEVA,,,F,I,1951 N WILMOT RD,BLDG 4,TUCSON,AZ,857128000,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,151.39333333,29.655,16.2875,16.415833333
1003299785,CORBELL,NEVA,,,F,I,1951 N WILMOT RD,BLDG 4,TUCSON,AZ,857128000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,60,61,473.56967213,76.290819672,52.981639344,49.975245902
1003299785,CORBELL,NEVA,,,F,I,1951 N WILMOT RD,BLDG 4,TUCSON,AZ,857128000,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,82.857142857,36.83,26.807857143,27.458571429
1003299785,CORBELL,NEVA,,,F,I,1951 N WILMOT RD,BLDG 4,TUCSON,AZ,857128000,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,225.31090909,39.51,30.98,29.51
1003300781,BEAN,CHERYL,A,,F,I,809 CR 466,C-301,LADY LAKE,FL,32159,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,750,735.65,576.75,488.63083333
1003312075,SPEAR,WHITNEY,D,DNP,F,I,210 E GRAY ST STE 702,,LOUISVILLE,KY,402023903,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,12,46,43.075869565,8.32,6.5223913043,6.5223913043
1003318841,FOSTER,ANNA,,"APRN, FNP-C",F,I,911 GORMAN AVE. #201,,ELKINS,WV,26241,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,18,20,20,84.307,54.05,42.38,31.679
1003318841,FOSTER,ANNA,,"APRN, FNP-C",F,I,911 GORMAN AVE. #201,,ELKINS,WV,26241,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,51.510625,29.29,22.96,15.1725
1003318841,FOSTER,ANNA,,"APRN, FNP-C",F,I,911 GORMAN AVE. #201,,ELKINS,WV,26241,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,40,10.318,3.36,2.635,1.64425
1003318841,FOSTER,ANNA,,"APRN, FNP-C",F,I,911 GORMAN AVE. #201,,ELKINS,WV,26241,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,490.69823529,165.25352941,129.55823529,87.270588235
1003318841,FOSTER,ANNA,,"APRN, FNP-C",F,I,911 GORMAN AVE. #201,,ELKINS,WV,26241,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,477.98181818,213.89727273,167.69818182,123.29727273
1003318841,FOSTER,ANNA,,"APRN, FNP-C",F,I,911 GORMAN AVE. #201,,ELKINS,WV,26241,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,54.535714286,22.04,17.28,10.803809524
1003318841,FOSTER,ANNA,,"APRN, FNP-C",F,I,911 GORMAN AVE. #201,,ELKINS,WV,26241,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,146.4,69.564,54.5352,32.2792
1003320359,MONTENEGRO,MARIA,M,CRNP,F,I,16 S EUTAW ST FL 1,,BALTIMORE,MD,212011606,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,15,54,9035,4.7622014388,0.5651732153,0.4430935252,0.4430879911
1003320359,MONTENEGRO,MARIA,M,CRNP,F,I,16 S EUTAW ST FL 1,,BALTIMORE,MD,212011606,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,26,4080,4.2073578431,2.8578602941,2.2405514706,2.2405514706
1003320359,MONTENEGRO,MARIA,M,CRNP,F,I,16 S EUTAW ST FL 1,,BALTIMORE,MD,212011606,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,37,37,24,24,18.82,18.82
1003320359,MONTENEGRO,MARIA,M,CRNP,F,I,16 S EUTAW ST FL 1,,BALTIMORE,MD,212011606,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,52,56,16,16,12.54,12.54
1003320631,MEAD,KATHERINE,K,PA-C,F,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician Assistant,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,850,4.13,2.96,2.1840117647,2.1840117647
1003320631,MEAD,KATHERINE,K,PA-C,F,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician Assistant,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,44,24.700454545,8.39,6.3534090909,6.2029545455
1003320631,MEAD,KATHERINE,K,PA-C,F,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician Assistant,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,5,11,12,42,7.0795238095,4.31,3.1830952381,3.1830952381
1003320631,MEAD,KATHERINE,K,PA-C,F,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician Assistant,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,5,,28,28,75.142857143,44.951428571,32.621428571,26.570714286
1003320631,MEAD,KATHERINE,K,PA-C,F,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician Assistant,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,5,,20,20,92.9745,47.666,35.35,35.35
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,108,140,140,135.78428571,39.843357143,30.728428571,30.044142857
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,23,76,101,101,318.11148515,89.34009901,68.923960396,66.777524752
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,19,73,101,217,131.62543779,33.90124424,26.421705069,25.783410138
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,54,69,320,67.7756875,18.6891875,14.48228125,14.4259375
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,34,49,219,47.979589041,15.796164384,12.383881279,12.046712329
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,89,114,115,184.89043478,57.233565217,44.874347826,43.439391304
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,104,116,116,60.721551724,18.384568966,14.330172414,13.985517241
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,17,18,18,39.7,10.187222222,7.9872222222,8.1288888889
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,47,61,61,71.762459016,12.613114754,9.8896721311,9.1526229508
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,32,140,193,985,8.0625888325,2.1143553299,1.644,1.588893401
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,32,39,39,15.304358974,6.0743589744,4.7576923077,4.6541025641
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,54,56,56,43.16625,12.854821429,9.9623214286,10.151785714
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,36,36,86.31,18.478888889,14.489166667,13.961388889
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,14,55,57,336.48280702,90.77245614,71.161403509,70.897192982
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,954.13892857,235.53678571,184.65821429,179.42857143
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,48,48,48,389.599375,137.64895833,107.915,104.684375
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,11,32,38,72.402631579,12.270789474,9.6265789474,9.6502631579
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,20,51,223,234,237.66059829,35.668888889,27.855384615,26.952478632
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,20,46,147,157,387.06834395,80.77,63.318535032,57.36
1003320870,POHLIT,DANIELLE,,PA-C,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,20,230,38.76,30.39,29.73
1003325267,CHUNG,CATHERINE,L,APN,F,I,2142 S ARCHER AVE,,CHICAGO,IL,606161514,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,24,53,78.07,8.32,6.029245283,6.029245283
1003325267,CHUNG,CATHERINE,L,APN,F,I,2142 S ARCHER AVE,,CHICAGO,IL,606161514,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,12,18,20,15.3905,1.42,1.007,1.007
1003326315,ARNOLD,ADAM,J,FNP-C,M,I,25892 N JAMES MADISON HWY,,NEW CANTON,VA,231232234,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,22,466.87181818,87.623181818,63.532727273,63.378181818
1003326463,ORLANDO,SHANNON,C,,F,I,105 W MILLER ST,,ORLANDO,FL,328063910,US,Nurse Practitioner,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,590,8.8354915254,3.9652033898,3.1087627119,3.1087627119
1003326463,ORLANDO,SHANNON,C,,F,I,105 W MILLER ST,,ORLANDO,FL,328063910,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1003327370,VANNOY,MONIQUE,N,FNP,F,I,810 HOSPITAL DR STE 200,,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,18,1480,0.146472973,0.12,0.0941081081,0.0941081081
1003327370,VANNOY,MONIQUE,N,FNP,F,I,810 HOSPITAL DR STE 200,,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,14,185,31.707567568,24.856216216,19.487243243,19.233081081
1003327370,VANNOY,MONIQUE,N,FNP,F,I,810 HOSPITAL DR STE 200,,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,100,13.58,8.282,6.4927,6.4319
1003327370,VANNOY,MONIQUE,N,FNP,F,I,810 HOSPITAL DR STE 200,,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,747.24,218.57142857,171.36,138.71142857
1003327370,VANNOY,MONIQUE,N,FNP,F,I,810 HOSPITAL DR STE 200,,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,1937.9985714,618.78142857,485.12285714,472.23071429
1003329871,DOVE,DARLINDA,T,FNP,F,I,702 WOODWIND DR,,ALEXANDRIA,LA,713033889,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,1240,0.1400725806,0.12,0.0940806452,0.0940806452
1003329871,DOVE,DARLINDA,T,FNP,F,I,702 WOODWIND DR,,ALEXANDRIA,LA,713033889,US,Nurse Practitioner,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,16,20,400,27.5131,23.66,18.5494,18.5494
1003329871,DOVE,DARLINDA,T,FNP,F,I,702 WOODWIND DR,,ALEXANDRIA,LA,713033889,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,16,17,596,10.0675,8.28,6.4915100671,6.4915100671
1003329871,DOVE,DARLINDA,T,FNP,F,I,702 WOODWIND DR,,ALEXANDRIA,LA,713033889,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,250,12.96256,10.93,8.56916,8.56916
1003329871,DOVE,DARLINDA,T,FNP,F,I,702 WOODWIND DR,,ALEXANDRIA,LA,713033889,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,30,40,4235,0.1570224321,0.13,0.1019149941,0.1019149941
1003329871,DOVE,DARLINDA,T,FNP,F,I,702 WOODWIND DR,,ALEXANDRIA,LA,713033889,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,18,25,2347,0.549735833,0.4499360886,0.3527737537,0.3528206221
1003330036,PETERSON,EVAN,D,PA-C,M,I,6520 SE 14TH ST,,DES MOINES,IA,503201846,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,69.69,8.32,6.5204347826,6.5204347826
1003330036,PETERSON,EVAN,D,PA-C,M,I,6520 SE 14TH ST,,DES MOINES,IA,503201846,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,4.7,3.6854545455,3.6854545455
1003330739,WHITTAKER,JOSEPH,,PA-C,M,I,9110 PHILADELPHIA RD STE 200,,BALTIMORE,MD,212374325,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,153.93833333,44.44,34.84,36.28
1003331125,LOWE,NICOLE,L,APNP,F,I,2253 W MASON ST,,GREEN BAY,WI,543034706,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,49.202692308,8.32,6.0192307692,6.0192307692
1003331414,ANDERSON,KATHRYN,L,ARNP,F,I,23745 225TH WAY SE STE 201,,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,50,43.5534,8.32,6.5208,6.5208
1003331414,ANDERSON,KATHRYN,L,ARNP,F,I,23745 225TH WAY SE STE 201,,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,17.26,13.53,13.539230769
1003331414,ANDERSON,KATHRYN,L,ARNP,F,I,23745 225TH WAY SE STE 201,,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,127.63157895,53.077368421,41.611578947,40.695789474
1003331414,ANDERSON,KATHRYN,L,ARNP,F,I,23745 225TH WAY SE STE 201,,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,24,24,21.611666667,11.7,9.175,9.4075
1003331414,ANDERSON,KATHRYN,L,ARNP,F,I,23745 225TH WAY SE STE 201,,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,24,25,29.3544,11.1836,8.77,8.8456
1003331414,ANDERSON,KATHRYN,L,ARNP,F,I,23745 225TH WAY SE STE 201,,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,24,24,413.39125,233.015,182.68,182.68
1003331414,ANDERSON,KATHRYN,L,ARNP,F,I,23745 225TH WAY SE STE 201,,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,573.05888889,77.34,60.63,55.713333333
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,31,31,230.33354839,55.845806452,43.78483871,38.249677419
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,19.73,6.5459090909,5.1327272727,3.79
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,111,220,6.34,3.0880909091,2.3975909091,2.2463181818
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,109,218,12.132752294,5.6277981651,4.3723853211,4.025
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,110,110,4.49,2.5516363636,1.9837272727,1.8145454545
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,252.5095,106.9295,83.836,54.73
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,69.414375,22.676875,17.7759375,15.4190625
1003334459,MCGUIRE,WHITNEY,,FNP-C,F,I,405 RUSHING DR,,HERRIN,IL,629483730,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,99,99,160.37,32.984040404,25.567676768,22.122020202
1003336561,REED,IAN,,DO,M,I,750 BROADWAY STE 350,,FORT WAYNE,IN,468021412,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1675,0.3734865672,0.0464358209,0.0265791045,0.0265731343
1003337726,BLANCO,LENETTE,,ARNP,F,I,8251 W BROWARD BLVD STE 103,,PLANTATION,FL,333242703,US,Nurse Practitioner,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,108.25,54.881666667,43.025833333,40.408333333
1003337726,BLANCO,LENETTE,,ARNP,F,I,8251 W BROWARD BLVD STE 103,,PLANTATION,FL,333242703,US,Nurse Practitioner,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,99.06,77.311666667,60.612916667,67.567083333
1003337726,BLANCO,LENETTE,,ARNP,F,I,8251 W BROWARD BLVD STE 103,,PLANTATION,FL,333242703,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,51.53,24.477272727,19.195454545,16.753636364
1003337916,CHAMBERLAIN,BROOKE,E,,F,I,805 PAMPLICO HWY STE B300,,FLORENCE,SC,295056081,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,50,20.35,15.95,13.833
1003337916,CHAMBERLAIN,BROOKE,E,,F,I,805 PAMPLICO HWY STE B300,,FLORENCE,SC,295056081,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,344.80769231,85.993076923,67.42,56.372307692
1003340613,COLMENERO,ALEJANDRO,E,"MSPA, PA-C",M,I,2280 MARCOLA RD,,SPRINGFIELD,OR,974772594,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,48,61.970208333,8.32,5.91,5.91
1003340613,COLMENERO,ALEJANDRO,E,"MSPA, PA-C",M,I,2280 MARCOLA RD,,SPRINGFIELD,OR,974772594,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,19,13.838421053,1.42,1.0568421053,1.0568421053
1003341280,DERICKSON,YVONNE,,"ARNP, FNP-BC",F,I,105 WHITEHALL DR STE 115-116,,ST AUGUSTINE,FL,320865269,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,14,18,100.75,92.353333333,72.406666667,72.406666667
1003341496,WESTPHAL,NATHANIEL,,M.D.,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,61.66,25.4725,18.369166667,13.160833333
1003341496,WESTPHAL,NATHANIEL,,M.D.,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.98,11.028333333,7.8991666667,6.085
1003344037,ZON,REBECCA,,MD,F,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,30,34,60,19.71,15.451176471,15.451176471
1003344037,ZON,REBECCA,,MD,F,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,69,152,100,37.38,29.305460526,29.305460526
1003344037,ZON,REBECCA,,MD,F,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,69,1352,140.73079142,1.5644008876,1.2264497041,1.2264497041
1003344110,O'LAUGHLIN,MICHAEL,C,MD,M,I,169 ASHLEY AVENUE,ROOM 202 MAIN HOSPITAL MSC333,CHARLESTON,SC,29425,US,Physician/General Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,120,83.974166667,65.838333333,48.32
1003344110,O'LAUGHLIN,MICHAEL,C,MD,M,I,169 ASHLEY AVENUE,ROOM 202 MAIN HOSPITAL MSC333,CHARLESTON,SC,29425,US,Physician/General Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,27,11.746666667,9.205,3.95
1003344854,CRUTCHFIELD,MIASHA,R,APRN,F,I,3015 WILSON AVE,,LOUISVILLE,KY,402111969,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9272727273,2.7827272727,3.3409090909
1003349671,BLALOCK,MARY,,,F,I,107 LAKE RESERVE WAY,,HOLLY SPRINGS,GA,301154785,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,40,50,1020,875.5584,673.554,665.1546
1003351024,JOHNSON,CARIE,L,"APRN, NP-C",F,I,12340 STATE ROUTE 104,,WAVERLY,OH,456908968,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,41,78.401463415,8.32,5.4285365854,5.4285365854
1003351024,JOHNSON,CARIE,L,"APRN, NP-C",F,I,12340 STATE ROUTE 104,,WAVERLY,OH,456908968,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,170,66.001764706,44.961176471,31.086470588
1003351024,JOHNSON,CARIE,L,"APRN, NP-C",F,I,12340 STATE ROUTE 104,,WAVERLY,OH,456908968,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,91.405714286,22.97,18.006666667,13.816666667
1003351024,JOHNSON,CARIE,L,"APRN, NP-C",F,I,12340 STATE ROUTE 104,,WAVERLY,OH,456908968,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,20,6.9997777778,5.0555555556,3.3457777778
1003351024,JOHNSON,CARIE,L,"APRN, NP-C",F,I,12340 STATE ROUTE 104,,WAVERLY,OH,456908968,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,378.91272727,105.01636364,82.335454545,57.184545455
1003351024,JOHNSON,CARIE,L,"APRN, NP-C",F,I,12340 STATE ROUTE 104,,WAVERLY,OH,456908968,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1200,1.4772666667,0.126525,0.0855416667,0.0855416667
1003351024,JOHNSON,CARIE,L,"APRN, NP-C",F,I,12340 STATE ROUTE 104,,WAVERLY,OH,456908968,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,55.846153846,33,21.89,21.89
1003351057,PURCELL,DANIELLE,,,F,I,200 MARTIN LUTHER KING BLVD,,WICHITA FALLS,TX,763011152,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,51,45.94627451,8.32,5.4996078431,5.4996078431
1003351156,KUPHAL,LINDSAY,,CNP,F,I,3400 W 66TH ST,,EDINA,MN,554352111,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,191.41285714,20.02,15.58,15.16
1003351495,HUANG,JUAN,,,F,I,3000 ARLINGTON AVE,,TOLEDO,OH,436142595,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,17.5825,13.78,14.155833333
1003351495,HUANG,JUAN,,,F,I,3000 ARLINGTON AVE,,TOLEDO,OH,436142595,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,42,42,90.82,35.606190476,22.188571429,18.486428571
1003351495,HUANG,JUAN,,,F,I,3000 ARLINGTON AVE,,TOLEDO,OH,436142595,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,46,46,26.52,7.1726086957,4.6313043478,5.3263043478
1003351602,COWELL,NATALIE,,,F,I,270 MAIN ST N STE 300,,STILLWATER,MN,550826788,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,340.01615385,56.02,43.923076923,45.097692308
1003351602,COWELL,NATALIE,,,F,I,270 MAIN ST N STE 300,,STILLWATER,MN,550826788,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,314.82,21.32,16.710909091,16.383636364
1003351651,WADE,JASMINE,D,NP,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,18.49,14.49,13.61
1003351651,WADE,JASMINE,D,NP,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,86.84,68.08,55.8425
1003352394,BORCHERS,KAYLA,,,F,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,7.0604545455,5.3681818182,3.7027272727
1003352444,RHINEHART,ASHLEY,D,APRN,F,I,1176 STATE HIGHWAY 22 W,SUITE B,DARDANELLE,AR,728343006,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,54,46.463333333,8.32,5.9185185185,5.9185185185
1003352444,RHINEHART,ASHLEY,D,APRN,F,I,1176 STATE HIGHWAY 22 W,SUITE B,DARDANELLE,AR,728343006,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,29,381.36,70.756896552,55.475862069,37.661034483
1003352444,RHINEHART,ASHLEY,D,APRN,F,I,1176 STATE HIGHWAY 22 W,SUITE B,DARDANELLE,AR,728343006,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,38.833888889,8.88,6.9605555556,3.7533333333
1003352444,RHINEHART,ASHLEY,D,APRN,F,I,1176 STATE HIGHWAY 22 W,SUITE B,DARDANELLE,AR,728343006,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,113.23818182,88.782727273,58.411818182
1003352444,RHINEHART,ASHLEY,D,APRN,F,I,1176 STATE HIGHWAY 22 W,SUITE B,DARDANELLE,AR,728343006,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,153.78,57.37,42.661071429,24.066785714
1003352444,RHINEHART,ASHLEY,D,APRN,F,I,1176 STATE HIGHWAY 22 W,SUITE B,DARDANELLE,AR,728343006,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,181.27833333,142.11666667,110.05166667
1003352782,FLETCHER,LINDSEY,,ARNP,F,I,611 ZEAGLER DR,,PALATKA,FL,321773810,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1710,0.3083918129,0.1390526316,0.1090116959,0.1090116959
1003352782,FLETCHER,LINDSEY,,ARNP,F,I,611 ZEAGLER DR,,PALATKA,FL,321773810,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,25.87,25.87
1003353178,SEIDLER,KIRSTEN,,PA-C,F,I,850 E HARVARD AVE,#305,DENVER,CO,802105073,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,59.144,16.724,13.11,13.9315
1003353723,GEVSHANYAN,LUIZA,K,NP,F,I,7033 MATILIJA AVE,,VAN NUYS,CA,914053332,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,115.345,56.2225,44.085,42.366666667
1003354184,ORTIZ,JUAN,F,M.D,M,I,4714 N ARMENIA AVE STE 100,,TAMPA,FL,336032603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,28,53.453214286,8.32,6.0571428571,6.0571428571
1003354473,CAMPBELL,BRANDI,,"APRN, FNP-BC",F,I,6360 HOADLY RD,,MANASSAS,VA,201123422,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,32,519.51,87.00125,68.208125,61.3671875
1003354473,CAMPBELL,BRANDI,,"APRN, FNP-BC",F,I,6360 HOADLY RD,,MANASSAS,VA,201123422,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,219.11764706,39.537647059,30.994705882,29.784705882
1003354788,BERRY,JANA,M,FNP-BC,F,I,6459 HIGHWAY 72,,KILLEN,AL,356458258,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,25,49.9976,8.32,6.26,6.26
1003354788,BERRY,JANA,M,FNP-BC,F,I,6459 HIGHWAY 72,,KILLEN,AL,356458258,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,21,27,37.068148148,4.9444444444,3.4596296296,3.4203703704
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,68,83,83,76.044457831,51.102048193,39.27,30.414819277
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,89,123,123,257.69861789,114.25601626,88.760813008,67.369837398
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,68,103,193,117.36756477,42.759119171,32.585181347,25.556787565
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,67,98,331,62.312356495,25.473987915,19.384138973,14.627673716
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,24,38,158,38.581962025,18.556075949,13.963481013,11.343987342
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,114,164,165,173.14436364,72.791454545,56.352545455,42.910121212
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,180,210,210,52.269761905,23.165047619,17.968428571,14.010857143
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,121,172,172,58.729825581,17.348313953,13.423488372,9.1597093023
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,192,360,1361,7.7657678178,2.9218295371,2.2583541514,1.6033137399
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,144,169,169,19.295207101,8.000887574,6.195739645,4.6391715976
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,27,28,28,29.852142857,16.078214286,12.601071429,10.734285714
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,68.026,18.307333333,14.348,13.533333333
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,,61,62,335.71112903,127.81241935,99.516935484,71.875806452
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,139,140,140,406.39035714,171.80407143,127.662,99.184142857
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,16,81,82,82.902439024,19.42195122,15.062439024,10.323170732
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,18,208,1416,1440,142.2271875,46.986659722,35.563694444,25.454868056
1003355447,MAUPIN,LEROY,,APRN,M,I,407 VIRGINIA DR,,BATESVILLE,AR,725017329,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,408.47,70.23,54.265833333,53.983333333
1003355488,BURNS,ASHLEY,,APRN,F,I,2000 SONOMA PARK DR,,EDMOND,OK,73013,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,30,519.51,106.38666667,83.41,56.08
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,36,74,154,66.968181818,8.32,5.4212337662,5.4212337662
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,25,34,49,14.209795918,1.42,0.9346938776,0.9346938776
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,122.22818182,54.47,42.71,42.86
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,59.444545455,18.787272727,14.721818182,14.06
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,53.8725,12.761666667,10.0075,9.12
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,44,6.7045454545,2.0895454545,1.6395454545,1.5922727273
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,49.941818182,39.151818182,38.431818182
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,80.185517241,4.905862069,3.8475862069,3.8434482759
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,149.16666667,35.49,27.825,27.357777778
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1560,0.7123076923,0.1350769231,0.1059166667,0.1059166667
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,57.366666667,20.22,12.855,11.728333333
1003356767,CRISTE,SAMANTHA,J,NP,F,I,1402 WAYNE MEMORIAL DR,,GOLDSBORO,NC,275342235,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,25.87,25.87
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,27,95,213,93.604084507,8.32,5.7616901408,5.7616901408
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,17,64,78,26.80974359,1.42,0.958974359,0.958974359
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,19,38,3.745,2.1652631579,1.6,1.5136842105
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,2.43,1.6,1.2575,1.2221875
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,60.92,9.6131578947,6.0315789474,3.5157894737
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,436.45,111.77,87.631428571,60.515714286
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,72.63,32.346,25.36,16.799
1003356809,GUERRETTE,ALLISON,,FNP,F,I,4 MAIN ST,,VAN BUREN,ME,047851009,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,23.88,23.88
1003356882,WRIGHT,MYRA,,APRN,F,I,1 MEDICAL CENTER DR,,MIDDLETOWN,OH,450052584,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,37,17.36,12.475833333,12.4175
1003356882,WRIGHT,MYRA,,APRN,F,I,1 MEDICAL CENTER DR,,MIDDLETOWN,OH,450052584,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,79,58.589166667,51.98
1003357211,CORKRAN,WENDY,,CRNP,F,I,8 E GROVE ST,,DELMAR,DE,199401115,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,26,51,47.378039216,8.32,4.772745098,4.772745098
1003357211,CORKRAN,WENDY,,CRNP,F,I,8 E GROVE ST,,DELMAR,DE,199401115,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.675263158,1.42,1.12,1.12
1003357211,CORKRAN,WENDY,,CRNP,F,I,8 E GROVE ST,,DELMAR,DE,199401115,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,20.022777778,4.4594444444,3.5005555556,3.8155555556
1003360041,BEEGAN,DANIEL,,MD,M,I,450 CLARKSON AVE,MSC 67,BROOKLYN,NY,112032012,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,60,49.090909091,38.487272727,38.434545455
1003360041,BEEGAN,DANIEL,,MD,M,I,450 CLARKSON AVE,MSC 67,BROOKLYN,NY,112032012,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,842.26,842.26
1003360041,BEEGAN,DANIEL,,MD,M,I,450 CLARKSON AVE,MSC 67,BROOKLYN,NY,112032012,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,18.5,14.852631579,11.642105263,13.04
1003360041,BEEGAN,DANIEL,,MD,M,I,450 CLARKSON AVE,MSC 67,BROOKLYN,NY,112032012,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,8.4,6.7421052632,5.2873684211,6.0568421053
1003360058,ESELE,FITZWILLIAM,M,APRN,M,I,12470 TELECOM DR STE 300W,,TEMPLE TERRACE,FL,336370904,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,773,275.71151358,5.91,4.6085899094,4.1747736093
1003360058,ESELE,FITZWILLIAM,M,APRN,M,I,12470 TELECOM DR STE 300W,,TEMPLE TERRACE,FL,336370904,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,13070,3.5815042081,0.32,0.2357383321,0.2287681714
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,18,18,18,109.885,45.293333333,35.51,36.46
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,119.56642857,49.898571429,39.115,40.791428571
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,28,122.02678571,48.092857143,35.419642857,35.463571429
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,55.68,49.352727273,38.690909091,41.633636364
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,201.44827586,74,56.019310345,53.069655172
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,19,97,98,109.11928571,27.685816327,21.297755102,20.842755102
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,50,51,25.778431373,7.642745098,5.8847058824,6.3121568627
1003360637,PATTERSON,BROOKE,,"DNP, FNP-C",F,I,815 OLD CHEROKEE RD,,LEXINGTON,SC,290729041,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,55.238095238,38.78,28.952380952,28.147142857
1003360645,SALAS NOAIN,JESUS,M,M.D.,M,I,1500 LANSDOWNE AVE,,DARBY,PA,190231200,US,Student in an Organized Health Care Education/Training Program,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,35,3.8792857143,3.0414285714,3.62
1003361049,HARLEY,COURTNEY,,ANP,F,I,2720 E NEW YORK ST,STE 108,AURORA,IL,605029300,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,50,74,82.438648649,8.32,5.907027027,5.907027027
1003361049,HARLEY,COURTNEY,,ANP,F,I,2720 E NEW YORK ST,STE 108,AURORA,IL,605029300,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,50.090625,1.42,1.05,1.05
1003361049,HARLEY,COURTNEY,,ANP,F,I,2720 E NEW YORK ST,STE 108,AURORA,IL,605029300,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,110.68545455,36.567272727,26,24.345454545
1003361049,HARLEY,COURTNEY,,ANP,F,I,2720 E NEW YORK ST,STE 108,AURORA,IL,605029300,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,112.78,27.384285714,20.49,19.984761905
1003361049,HARLEY,COURTNEY,,ANP,F,I,2720 E NEW YORK ST,STE 108,AURORA,IL,605029300,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,28.735,8.8058333333,6.3616666667,6.2441666667
1003362658,DICKEY,BRANDI,,"APRN, CNP",F,I,825 NE 10TH ST,SUITE 2B,OKLAHOMA CITY,OK,731045417,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,1275,1185.42,899.31090909,868.14
1003362682,RISING,MICHELLE,,NP,F,I,54 MAIN ST,,CANDOR,NY,137431617,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,27,83.499259259,8.32,5.7988888889,5.7988888889
1003362765,MARSHBURN,AMANDA,D,NP,F,I,8210 RICHLANDS HWY,,RICHLANDS,NC,285747198,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,31,53,48.615283019,8.2443396226,5.8228301887,5.8820754717
1003362765,MARSHBURN,AMANDA,D,NP,F,I,8210 RICHLANDS HWY,,RICHLANDS,NC,285747198,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,15.860833333,1.42,0.9333333333,0.9333333333
1003362765,MARSHBURN,AMANDA,D,NP,F,I,8210 RICHLANDS HWY,,RICHLANDS,NC,285747198,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,164.65857143,59.833571429,33.243571429,25.672142857
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,96,151,151,93.623708609,38.936622517,29.583112583,29.497417219
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,39,64,64,259.47125,86.69375,67.970625,68.3659375
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,39,67,143,114.9286014,33.743916084,26.454755245,26.111888112
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,37,53,235,49.894468085,19.042808511,14.506340426,14.053531915
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,33,57,279,36.419928315,15.306594982,12.000430108,11.888996416
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,66,106,106,140.99264151,57.581886792,44.819150943,42.577169811
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,102,121,121,51.005702479,18.696280992,14.456280992,13.876446281
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,17,18,18,21.395555556,10.321666667,8.095,8.15
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,57.302307692,11.993076923,9.4046153846,9.1369230769
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,109,179,942,7.6079723992,2.0658598726,1.584596603,1.5553927813
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,24,28,28,17.643928571,6.0296428571,4.6075,4.5267857143
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,59,69,69,33.907536232,13.108405797,9.9975362319,10.04115942
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,56.00027027,17,12.96972973,13.175405405
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,258,83.888888889,65.768888889,68.672444444
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,55,55,55,315.89090909,136.48927273,106.43236364,104.16818182
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,19,76.828947368,13.407894737,9.0794736842,9.0842105263
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,39.147096774,4.2793548387,3.0219354839,3.2564516129
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,65,392,399,141.09649123,34.287593985,26.308045113,25.581428571
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,280.49234043,78.23,59.754893617,53.285531915
1003363722,VACCARO,DEBRA,,FNP-C,F,I,4374 NEW TOWN AVE,SUITE 102,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,78,33,25.87,25.87
1003363763,TRAUTLEIN,LAURA,A,PA-C,F,I,855 MANKATO AVE,,WINONA,MN,55987,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,150,55.687142857,43.657142857,27.949285714
1003363763,TRAUTLEIN,LAURA,A,PA-C,F,I,855 MANKATO AVE,,WINONA,MN,55987,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1380,0.8416594203,0.1314347826,0.1030652174,0.1030652174
1003363839,MILLER,STEPHANIE,E,,F,I,811 CAMP HORNE RD,,PITTSBURGH,PA,152371281,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,632.43,85.875,67.3275,66.681666667
1003363854,KLOSS,KATHRYN,,CRNP,F,I,4924 CAMPBELL BLVD,#200,NOTTINGHAM,MD,212365908,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,28,57.744642857,8.32,6.0553571429,6.0553571429
1003363896,COLLINS,DEBRA,T,FNP-BC,F,I,1508 K V RD,,VICTORIA,VA,239742624,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,26,67.978846154,8.32,5.2688461538,5.2688461538
1003363896,COLLINS,DEBRA,T,FNP-BC,F,I,1508 K V RD,,VICTORIA,VA,239742624,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,41,44,43.127954545,7.9822727273,5.7631818182,3.5577272727
1003363896,COLLINS,DEBRA,T,FNP-BC,F,I,1508 K V RD,,VICTORIA,VA,239742624,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2062,0.2362124151,0.0462706111,0.0309068865,0.0309068865
1003363896,COLLINS,DEBRA,T,FNP-BC,F,I,1508 K V RD,,VICTORIA,VA,239742624,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,109.15384615,33,23.004615385,23.004615385
1003365008,SIMPSON,BRITTANY,,NP,F,I,515 22ND AVE,,MONROE,WI,535661569,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,31,63,162,74.168333333,8.32,6.0854320988,6.0854320988
1003365008,SIMPSON,BRITTANY,,NP,F,I,515 22ND AVE,,MONROE,WI,535661569,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,34,15.121764706,1.42,0.9517647059,0.9517647059
1003365008,SIMPSON,BRITTANY,,NP,F,I,515 22ND AVE,,MONROE,WI,535661569,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,1.5114722222,0.45,0.3232777778,0.3232777778
1003365008,SIMPSON,BRITTANY,,NP,F,I,515 22ND AVE,,MONROE,WI,535661569,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,69.428571429,35.587142857,27.0775,24.91
1003365008,SIMPSON,BRITTANY,,NP,F,I,515 22ND AVE,,MONROE,WI,535661569,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,88.39,56.347142857,36.606428571,27.751428571
1003365396,BENJAMIN,JUSTINE,M,PA-C,F,I,601 JOHN ST,BOX 74,KALAMAZOO,MI,490075341,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,230.17,69.81,54.73,54.73
1003365396,BENJAMIN,JUSTINE,M,PA-C,F,I,601 JOHN ST,BOX 74,KALAMAZOO,MI,490075341,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.75,36.14,28.33,29.402727273
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,131.2,53.65,42.06,40.79
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,60,60,145.072,53.2675,39.835,36.928
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,163.35,34.727272727,27.226363636,28.83
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,76.656,39.069333333,30.630666667,34.338666667
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,94.512,47.924,37.568,36.619333333
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,26,54.114615385,29.72,23.3,22.605
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,53.76,24.51,19.22,18.18
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,228.8,77.18,60.51,55.165384615
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,84.907692308,37.25,29.2,29.34
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,14,359.86,158.64,124.37,113.97
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,90.82,42.69212766,33.467446809,26.525106383
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,46,46,78.89,35.667608696,27.959347826,23.488043478
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,122.51090909,56.955454545,44.652727273,41.510909091
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,72,72,26.2,10.1675,7.9741666667,7.1522222222
1003365842,PEERCY,LAURIE,,"DNP, AGNP",F,I,1111 SUPERIOR ST,SUITE 104,MELROSE PARK,IL,601604138,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,61.96,36.96,28.98,29.461818182
1003366303,D'ANGELO,MARIA,,PHYSICIAN ASSISTAT,F,I,1741 NEWNAN CROSSING BLVD E STE G,,NEWNAN,GA,302656601,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,165.67909091,121.82818182,87.931818182
1003368978,MALONEY,KAITLIN,,,F,I,5001 TRANSPORTATION DR,,SHEFFIELD VILLAGE,OH,440542849,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,150,100.42,78.73,86.450588235
1003369240,PENCE,JENNIFER,,PA-C,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,17,41,77.877317073,8.32,6.5226829268,6.5226829268
1003369240,PENCE,JENNIFER,,PA-C,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,55.436666667,22.306666667,15,11.776666667
1003369240,PENCE,JENNIFER,,PA-C,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,463.93954545,100.81772727,73.426818182,60.617727273
1003369471,BOTTOMLEY,SARAH,,NP,F,I,2023 VALE RD,,SAN PABLO,CA,948063834,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,38.237333333,8.32,3.524,3.524
1003369919,BEYER,ELIZABETH,,PA-C,F,I,278 EAGLEVIEW BLVD,,EXTON,PA,193411157,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,20.154117647,3.8335294118,2.6717647059,3.2270588235
1003800079,GROSSNICKLE,RICHARD,D,MD,M,I,2615 NE LOOP 286,,PARIS,TX,754603444,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,44,44,44,64.242045455,64.242045455,48.212727273,50.013863636
1003800079,GROSSNICKLE,RICHARD,D,MD,M,I,2615 NE LOOP 286,,PARIS,TX,754603444,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,36,49.630833333,49.630833333,38.911111111,41.100555556
1003800079,GROSSNICKLE,RICHARD,D,MD,M,I,2615 NE LOOP 286,,PARIS,TX,754603444,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,35,71.05,71.05,55.353714286,54.016
1003800079,GROSSNICKLE,RICHARD,D,MD,M,I,2615 NE LOOP 286,,PARIS,TX,754603444,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,21.401481481,21.401481481,16.778333333,14.197037037
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,33,92,60.167173913,8.32,5.8126086957,5.8126086957
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,24,11.452916667,1.42,1.0225,1.0225
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,146.9,44.611666667,34.975,36.055
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,223.41875,70,52.7834375,52.656875
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,69.2645,16.09,11.486,13.421
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,119.34,27.006666667,21.174666667,25.226
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,163.02,46,25.62,26.931666667
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,20.57,7.7948275862,6.1103448276,7.3213793103
1003800095,SAARASWAT,VIJAY,,M.D.,M,I,374 STOCKHOLM STREET,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,62.846153846,35,25.329230769,27.359615385
1003800145,WARE,THEODORE,J,MD,M,I,2409 CHERRY ST,SUITE 207,TOLEDO,OH,436082625,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,56,135,55.449111111,8.32,5.7488148148,5.7488148148
1003800145,WARE,THEODORE,J,MD,M,I,2409 CHERRY ST,SUITE 207,TOLEDO,OH,436082625,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,32,44,14.981363636,1.42,1.015,1.015
1003800145,WARE,THEODORE,J,MD,M,I,2409 CHERRY ST,SUITE 207,TOLEDO,OH,436082625,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,24,86.31,15.68,11.777916667,13.03125
1003800145,WARE,THEODORE,J,MD,M,I,2409 CHERRY ST,SUITE 207,TOLEDO,OH,436082625,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,24,519.51,70.04,52.622083333,52.449583333
1003800293,BRADFORD,MARCIA,,M.D.,F,I,360 E EH CRUMP BLVD,,MEMPHIS,TN,381265310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,30,80.010333333,8.32,5.216,5.216
1003800293,BRADFORD,MARCIA,,M.D.,F,I,360 E EH CRUMP BLVD,,MEMPHIS,TN,381265310,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,8933,2.8588156274,0.32,0.2353397515,0.2304836001
1003800293,BRADFORD,MARCIA,,M.D.,F,I,360 E EH CRUMP BLVD,,MEMPHIS,TN,381265310,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,208.625,51.36,40.27,37.85
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,33,83,238,47.242731092,8.32,5.8328991597,5.8328991597
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,23,50,68,14.514705882,1.42,1.0347058824,1.0347058824
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,189.80666667,55.963333333,33.239166667,32.3
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,62.88,19.15,11.117272727,10.225454545
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,54.244482759,16.62,12.08862069,12.607586207
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,99.396,37.136666667,29.115333333,24.863333333
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,300.26333333,74.09,54.853333333,51.689444444
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1590,2.0440251572,0.1390377358,0.1090314465,0.1090314465
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,9.2351222222,2.8783333333,2.2566333333,2.2566333333
1003800350,DAROS,ANTONY,J,DO,M,I,8275 HOLLY RD,STE 1,GRAND BLANC,MI,484392442,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,93.923076923,33,25.87,25.87
1003800368,RIZKALLAH,JEAN,A,MD,M,I,450 FOURTH AVENUE,STE. 408,CHULA VISTA,CA,919104430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,41,71.325365854,8.32,5.8851219512,5.8851219512
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,38,38,40.366315789,27.857105263,20.077368421,20.548684211
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,28,17.799285714,10.697142857,7.7842857143,7.9660714286
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,950,0.27,0.27,0.2116,0.2116
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,420,3.97,3.97,3.1125,3.1125
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,525,0.27,0.27,0.2116,0.2116
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,143.74166667,49.591666667,38.885,36.738333333
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,74.405,17.71,13.89,13.54
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,22,212.93,49.07,38.471363636,36.183181818
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,34,2556,1.7358450704,0.1392527387,0.1091823161,0.1091823161
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,21.251666667,16.663333333,14.19
1003800459,SABIH,LOUAY,K,M.D.,M,I,10550 MARTY ST STE 201,,OVERLAND PARK,KS,66212,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1003800632,RODRIGUEZ,ARSENIO,R,MD,M,I,1745 N MILLS AVENUE,,ORLANDO,FL,328034504,US,Interventional Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,49,49,40,19.703673469,14.814489796,14.814489796
1003800632,RODRIGUEZ,ARSENIO,R,MD,M,I,1745 N MILLS AVENUE,,ORLANDO,FL,328034504,US,Interventional Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,49,49,75,37.367959184,28.320612245,28.320612245
1003800632,RODRIGUEZ,ARSENIO,R,MD,M,I,1745 N MILLS AVENUE,,ORLANDO,FL,328034504,US,Interventional Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,49,2716,56.503961708,1.5701509573,1.2070029455,1.2070029455
1003800749,TOWNSEND,DANIEL,J,M.D.,M,I,175 CAMBRIDGE ST,C/O PROOPTICAL,BOSTON,MA,021142743,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,13,14,85,58.86,42.853571429,48.065714286
1003800756,MACAVEI,SORINA,M,MD,F,I,463 OHIO PIKE,SUITE 300,CINCINNATI,OH,452553721,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,40,97,244,77.651147541,8.32,5.9345081967,5.9345081967
1003800756,MACAVEI,SORINA,M,MD,F,I,463 OHIO PIKE,SUITE 300,CINCINNATI,OH,452553721,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,25,27,16.156296296,1.42,0.9525925926,0.9525925926
1003800756,MACAVEI,SORINA,M,MD,F,I,463 OHIO PIKE,SUITE 300,CINCINNATI,OH,452553721,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2197,0.2539098771,0.0443923532,0.0348065544,0.0348065544
1003800756,MACAVEI,SORINA,M,MD,F,I,463 OHIO PIKE,SUITE 300,CINCINNATI,OH,452553721,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,40.615384615,33,25.87,25.87
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,36,6.94,3.53,2.7683333333,2.7683333333
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,25,149,19110,0.3880575615,0.13,0.0964275249,0.0964275249
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,32,219,32818,4.1836415991,1.8431787434,1.4112660735,1.5626400146
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,30,4535,10.885766262,7.23,5.6017993385,5.6017993385
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,6945,9.4389229662,7.0598948884,5.4936357091,5.5005428366
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,34,97,22.427938144,10.917835052,6.7927835052,6.8024742268
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,42,13.72,7.2885714286,5.715,5.849047619
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,680,12.237985294,5.74,3.3370441176,3.3370441176
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,820,20.941365854,9.86,7.0581097561,7.0581097561
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,14.334,7,5.488,5.488
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.922,1.95,1.5288333333,1.5288333333
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,690,7.8671449275,4.04,2.7976666667,2.7976666667
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,560,0.8947321429,0.27,0.1267142857,0.1267142857
1003800806,NITTI,VICTOR,,M.D.,M,I,10833 LE CONTE AVE,,LOS ANGELES,CA,90095,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,590,0.6231355932,0.27,0.1951355932,0.1951355932
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,8,11,107,252,257.35833333,19.697698413,15.258809524,15.258809524
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,4,,47,141,205.31914894,37.367446809,28.444893617,28.444893617
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,263.83470588,13.894117647,10.291176471,10.699411765
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,47,14790,51.788773496,13.516280595,10.595677485,10.595676809
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,42,17000,43.340837647,9.8397364706,7.7059141176,7.7059123529
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,3278,332.80704393,42.453560098,33.256946309,33.256946309
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,8700,75.308797701,14.104827586,11.041693103,11.041693103
1003800939,MENDEZ,ELVIN,M,MD,M,I,22655 BAYSHORE RD,STE 130,PORT CHARLOTTE,FL,339802005,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,8,,78,463,113.35725702,2.6386177106,2.0686393089,2.0686393089
1003800988,MASSOUD,GEORGE,M,MD,M,I,2559 N SCENIC DR,SUITE F,ALAMOGORDO,NM,88310,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,59.855,40.050833333,31.358333333
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,18,22,44,4.8281818182,0.51,0.4,0.4
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,66,161,578,57.584152249,8.32,5.948183391,5.948183391
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,27,54,54,14.692962963,3.38,2.5518518519,2.5518518519
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,26,37,37,21.193783784,2.12,1.6248648649,1.6248648649
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,43,99,187,14.638770053,1.42,1.0596256684,1.0596256684
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,96.386153846,37.781538462,27.326153846,28.071538462
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,17,34,94.941176471,71.56,56.105,56.105
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,8.19,1.46,1.145,1.15375
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,214.976875,90,64.31,61.90375
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,46,82.56673913,34,25.30673913,24.63173913
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,116,62.254310345,19.45,13.670948276,13.082413793
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,21,110,41.217545455,16,11.859363636,11.244454545
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,19,40,40,182.0405,56.26,41.901,40.74475
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,29,29,51.391724138,18,13.352068966,13.303793103
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,42,42,56.675714286,12,8.9985714286,8.7223809524
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,27,60,315,9.967047619,2,1.5585714286,1.5812698413
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,17,17,24.405294118,6.13,4.8,4.65
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,29.681764706,12.93,10.13,10.34
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,36,86.31,17.650833333,13.071666667,12.859722222
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,18,159.27333333,50,39.2,37.63
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,22,587.09863636,88.318181818,69.245,66.161363636
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,55,69,54.133768116,13.5,10.223043478,10.138985507
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,50.73,6.915,5.42,4.1214285714
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,53,67,257.28895522,34.657313433,26.404029851,25.15641791
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,106,124,485.69483871,78.4075,56.836290323,51.200322581
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,28,5998,0.3531927309,0.0461003668,0.0342964321,0.0342964321
1003801085,HOUSTON-GRAY,KARLA,L,MD,F,I,2340 E MEYER BLVD STE 640,,KANSAS CITY,MO,641321110,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,41,41,119.92682927,33,25.23902439,25.23902439
1003801168,BEHANA,KIMBERLY,E,"MSN, CRNP, NP-C",F,I,1645 ROSTRAVER RD,,BELLE VERNON,PA,150129655,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,46,54.642608696,8.32,5.9384782609,5.9384782609
1003801168,BEHANA,KIMBERLY,E,"MSN, CRNP, NP-C",F,I,1645 ROSTRAVER RD,,BELLE VERNON,PA,150129655,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,63,60.235079365,21.221904762,15.219365079,13.165714286
1003801168,BEHANA,KIMBERLY,E,"MSN, CRNP, NP-C",F,I,1645 ROSTRAVER RD,,BELLE VERNON,PA,150129655,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,154.10642857,59.985714286,43.948571429,39.798571429
1003801168,BEHANA,KIMBERLY,E,"MSN, CRNP, NP-C",F,I,1645 ROSTRAVER RD,,BELLE VERNON,PA,150129655,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,51.287857143,14.517142857,11.382857143,9.12
1003801168,BEHANA,KIMBERLY,E,"MSN, CRNP, NP-C",F,I,1645 ROSTRAVER RD,,BELLE VERNON,PA,150129655,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,90,8.5743333333,2.1346666667,1.674,1.5921111111
1003801168,BEHANA,KIMBERLY,E,"MSN, CRNP, NP-C",F,I,1645 ROSTRAVER RD,,BELLE VERNON,PA,150129655,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,442.15825,85.1615,60.8535,50.4315
1003801168,BEHANA,KIMBERLY,E,"MSN, CRNP, NP-C",F,I,1645 ROSTRAVER RD,,BELLE VERNON,PA,150129655,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,36.26,26.060833333,27.073333333
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,47,87,61.654252874,8.32,5.4398850575,5.4398850575
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,33,8.19,2.2703030303,1.7796969697,1.193030303
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,71,11.494647887,3.0205633803,2.2188732394,1.4583098592
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,92,94,73.01893617,22.362234043,16.290638298,13.241276596
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,232.35,55.885454545,43.810909091,37.63
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,81.75,14.765384615,7.1223076923,6.45
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,45,49,50.73,8.1820408163,6.0434693878,3.7173469388
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,257.82,41.585789474,25.804210526,17.227368421
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,118,121,468.82768595,103.89520661,74.918016529,54.403471074
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,250,45.96,35.292083333,30.265
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2013,0.2067511177,0.0461003477,0.0334028813,0.0334028813
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,60,5766,1.1226586889,0.1364325356,0.1046115158,0.1046115158
1003801275,GRANTHAM,PATRICIA,A,M.D.,F,I,620 S HAYNES AVE,,MILES CITY,MT,593014769,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,65,65,115.24615385,33,24.676,24.676
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,65,165,165,149.93951515,38.917818182,28.151393939,28.136181818
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,27,91,181,8.0268508287,1.4694475138,1.0671823204,1.0676243094
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,30,41,42,81.398095238,11.616904762,8.2264285714,8.215
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,108,261,261,432.81908046,87.48954023,63.875478927,63.139118774
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,103,278,729,164.14292181,33.825445816,25.229602195,24.661179698
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,79,182,977,98.51381781,18.994022518,13.973490276,13.648648925
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,72,168,894,68.934530201,15.118814318,11.365525727,11.403780761
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,161,371,371,278.99708895,54.991832884,41.100080863,40.840619946
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,253,361,361,82.147174515,18.07933518,13.583351801,13.476454294
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,33,45,45,36.591777778,10.425777778,7.9893333333,7.9688888889
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,183,419,419,89.484176611,11.800357995,8.8454653938,8.7104057279
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,252,599,3277,12.807226121,2.0395178517,1.5355263961,1.529124199
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,19,19,32.898421053,6.3289473684,4.2347368421,3.9263157895
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,160,231,231,52.384805195,13.351558442,10.107878788,9.9867532468
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,81,87,78.006896552,17.794482759,12.692528736,12.635057471
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.53
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.23,55.06,54.72
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,42,42,220.96142857,48.444285714,34.054285714,33.723571429
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1990,1074.31,842.26,842.26
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,42,45,481.55177778,87.166666667,66.97,66.97
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,699.99,199.05454545,143.01727273,143.01727273
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,480.30909091,135.74,103.49090909,102.08363636
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,53,205,216,55.0625,13.550740741,10.161898148,10.03662037
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,16,69,78,39.660128205,4.6430769231,3.2946153846,3.2921794872
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,98,517,527,168.12102467,33.159297913,24.056622391,23.39
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,11,13,13,519.51,70.74,44.734615385,44.734615385
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,32,222,238,478.61352941,70.226008403,51.631134454,51.333277311
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,84,96,218.75,37.44,27.821354167,27.966770833
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,32,191,11220,14.173446524,11.160371658,8.6212237077,8.6212237077
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,54,9693,0.3499442897,0.0461405138,0.0361755906,0.0361755906
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,20,81,7014,1.3018463074,0.1337667522,0.1006130596,0.1006130596
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,37,209,12465,12.632537505,3.0125776173,2.3618796631,2.3618796631
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,621,0.6073913043,0.2188566828,0.171610306,0.171610306
1003801309,SCHNEYER,BARTON,L,MD,M,I,1517 N HOWE ST,SUITE 12,SOUTHPORT,NC,284612772,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,50,299,299,121.73578595,33,25.437391304,25.437391304
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,34,34,149.49823529,40,30.437647059,29.67
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,15,23,23,454.74608696,85.482173913,67.017826087,67.631304348
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,22,46,216.83130435,34.15826087,26.780869565,25.952173913
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,22,32,141,105.89021277,19.524539007,15.051985816,14.307163121
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,13,26,108,63.733518519,16,11.821018519,11.290833333
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,44,69,69,245.76768116,55.968550725,42.038985507,41.143768116
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,55,64,64,78.81359375,19.36921875,14.94625,13.965
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,36,56,56,67.069285714,13.968035714,10.366607143,8.8971428571
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,51,98,441,15.657528345,2.09,1.5601360544,1.5224036281
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,25,30,30,20.489666667,6.2,4.536,4.375
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,22,26,26,62.037692308,13.74,10.290384615,9.9096153846
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,67,67,146.14791045,17.112089552,10.924029851,11.045671642
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,4149.5657143,913.16,715.92,842.26
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,24,332.07875,88.842083333,67.006666667,65.002083333
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,661.175,133.95,99.938125,99.659375
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,18,55.206666667,3.7516666667,2.7994444444,3.6388888889
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,32,178,179,378.1052514,34.681005587,25.179162011,23.885307263
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,171,174,569.32994253,78.886896552,56.578735632,50.362011494
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,44,439.09090909,39,29.19,28.168636364
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,4219,0.2189144347,0.0475681441,0.0351149562,0.0351149562
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,3390,0.8221415929,0.1351238938,0.1008436578,0.1008436578
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,336,754.55357143,570.6975,447.426875,447.426875
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,285.6,39,30.58,29.586428571
1003801358,KHASHAYAR,RAMIN,,MD,M,I,1399 YGNACIO VALLEY RD,STE 14,WALNUT CREEK,CA,945982884,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,12,62,62,103.37096774,33,24.618225806,24.618225806
1003801390,SEYED,KAZEM,,MD,M,I,750 E LATHAM AVE,SUITE 1,HEMET,CA,925434370,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,93,69.986666667,8.32,6.3821505376,6.3821505376
1003801390,SEYED,KAZEM,,MD,M,I,750 E LATHAM AVE,SUITE 1,HEMET,CA,925434370,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,16,16.24125,1.42,0.975,0.975
1003801473,LEWIS,DAVID,S,MD,M,I,1029 CHRISTINE AVE,,ANNISTON,AL,362075709,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,24,81.067916667,77.730416667,59.38375,51.250416667
1003801473,LEWIS,DAVID,S,MD,M,I,1029 CHRISTINE AVE,,ANNISTON,AL,362075709,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,39,64,50.01,39.21,43.56
1003801473,LEWIS,DAVID,S,MD,M,I,1029 CHRISTINE AVE,,ANNISTON,AL,362075709,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,20,17.78,13.94,13.99
1003801499,BITZER,DAVID,J,MD,M,I,904 MEDICAL PARK DR,,EFFINGHAM,IL,624012193,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,34,4230,4.2056737589,2.04,1.5637186761,1.5637186761
1003801507,COTTER,JOHN,T,MD,M,I,2207 OREGON PIKE STE 202,,LANCASTER,PA,176014670,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,51,59.498431373,8.32,5.7539215686,5.7539215686
1003801507,COTTER,JOHN,T,MD,M,I,2207 OREGON PIKE STE 202,,LANCASTER,PA,176014670,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,77,9.2685714286,2.06,1.4848051948,1.4632467532
1003801523,ESIELIONIS,PAUL,,MD,M,I,700 ESSEX ST,,LAWRENCE,MA,018414396,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,64,174,74.490804598,8.32,5.4356896552,5.4356896552
1003801523,ESIELIONIS,PAUL,,MD,M,I,700 ESSEX ST,,LAWRENCE,MA,018414396,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,15.450526316,3.38,2.3710526316,2.3710526316
1003801523,ESIELIONIS,PAUL,,MD,M,I,700 ESSEX ST,,LAWRENCE,MA,018414396,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,41,61,16.076229508,1.42,0.9501639344,0.9501639344
1003801523,ESIELIONIS,PAUL,,MD,M,I,700 ESSEX ST,,LAWRENCE,MA,018414396,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1080,3.5498888889,0.567,0.3678425926,0.3678425926
1003801523,ESIELIONIS,PAUL,,MD,M,I,700 ESSEX ST,,LAWRENCE,MA,018414396,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,15.683333333,15.683333333
1003801598,PATEL,NEHA,D,PA-C,F,I,1245 W GRANADA BLVD,,ORMOND BEACH,FL,321745914,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,24,25,5.2808333333,4.14125,3.6554166667
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,30,57,71.530877193,8.32,6.0642105263,6.0642105263
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,16,16.431875,1.42,0.9775,0.9775
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,95.517142857,38,29.79,30.44
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,37,83.636216216,34,25.562432432,24.943783784
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,104,59.183173077,19.563076923,13.058846154,12.404615385
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,179.8875,56.7425,33.271875,32.223125
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,52.337142857,18.134285714,11.538571429,11.457857143
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,58.767692308,12.130769231,8.2730769231,7.9976923077
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,33,169,9.7824852071,2.0184615385,1.5172189349,1.5286390533
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,27.946666667,13.050833333,8.9675,9.085
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,331,125,3,2.1316616314,2.1463746224
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5296,3.1169939577,0.2990936556,0.2211706949,0.2290766616
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,24,52.56125,13.4575,9.665,9.59
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,6.5866666667,5.1633333333,3.7533333333
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,43,248.55348837,33.719767442,25.562325581,24.481395349
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,470.51222222,78.53,61.56,55.1
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1492,1.8891219839,0.1342493298,0.0873525469,0.0873525469
1003801622,WILLIAMS,BRUCE,R,DO,M,I,1509 NW MOCK AVE,,BLUE SPRINGS,MO,640153096,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,80.347826087,33,19.121304348,19.121304348
1003801705,WEINER,STANISLAV,,MD,M,I,520 DOUGLAS BLVD,,TYLER,TX,757028307,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3734,2550.878,1999.888,1999.888
1003801788,ANDERSON,JOHN,E,MD,M,I,2400 PATTERSON ST,SUITE 400,NASHVILLE,TN,372031562,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,30,81,285,68.728315789,8.2850877193,5.8450175439,5.874877193
1003801788,ANDERSON,JOHN,E,MD,M,I,2400 PATTERSON ST,SUITE 400,NASHVILLE,TN,372031562,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,22,42,15.828809524,1.42,1.0604761905,1.0604761905
1003801788,ANDERSON,JOHN,E,MD,M,I,2400 PATTERSON ST,SUITE 400,NASHVILLE,TN,372031562,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,66,80.701212121,19.730909091,14.353181818,13.449242424
1003801788,ANDERSON,JOHN,E,MD,M,I,2400 PATTERSON ST,SUITE 400,NASHVILLE,TN,372031562,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,13,13,192.00769231,58.471538462,42.556923077,39.577692308
1003801788,ANDERSON,JOHN,E,MD,M,I,2400 PATTERSON ST,SUITE 400,NASHVILLE,TN,372031562,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,,17,17,64.811176471,14.570588235,9.5758823529,7.5164705882
1003801788,ANDERSON,JOHN,E,MD,M,I,2400 PATTERSON ST,SUITE 400,NASHVILLE,TN,372031562,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,,19,98,8.5287755102,2.427755102,1.6971428571,1.3980612245
1003801788,ANDERSON,JOHN,E,MD,M,I,2400 PATTERSON ST,SUITE 400,NASHVILLE,TN,372031562,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,29,33,555.09393939,243.66242424,191.03030303,196.87
1003801853,NGUYEN,MINH,Q,MD,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,21,162,180,519.51,71.034666667,53.399722222,52.568944444
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,36,87,57.495747126,8.32,6.2966666667,6.2966666667
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,18,17.931111111,1.42,1.0533333333,1.0533333333
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,54.846363636,22.438181818,14.935454545,11.659090909
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,55,5.9285454545,2.8805454545,1.8954545455,1.2663636364
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160,64.1175,50.2675,37.186666667
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,38.625454545,17.452727273,10.891818182,7.9536363636
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,44,45,113.34333333,53.805333333,41.032444444,26.030222222
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,257.84545455,109.12727273,85.559090909,58.87
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,45.2375,28.169375,22.084375,15.40125
1003801895,CRICK,MARK,P,MD,M,I,1449 BRAMPTON AVE,,STATESBORO,GA,30458,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,750.65,231.99,181.87769231,142.95615385
1003802059,REED,BARRY,,M.D.,M,I,7000 SW 97TH AVE,SUITE 207,MIAMI,FL,331731494,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,134.76375,61.89,48.52,42.86
1003802059,REED,BARRY,,M.D.,M,I,7000 SW 97TH AVE,SUITE 207,MIAMI,FL,331731494,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,45.597142857,18.35,13.362142857,13.055714286
1003802059,REED,BARRY,,M.D.,M,I,7000 SW 97TH AVE,SUITE 207,MIAMI,FL,331731494,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,45.829,15,11.76,9.12
1003802059,REED,BARRY,,M.D.,M,I,7000 SW 97TH AVE,SUITE 207,MIAMI,FL,331731494,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,24,139,6.6916546763,2.4,1.8817266187,1.5917266187
1003802059,REED,BARRY,,M.D.,M,I,7000 SW 97TH AVE,SUITE 207,MIAMI,FL,331731494,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,181.00631579,90.01,64.092631579,58.256842105
1003802083,DAVIS,NOVLET,J,MD,F,I,1200 N ELM ST,,GREENSBORO,NC,274011004,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,29.571818182,7.2181818182,5.2181818182,3.4145454545
1003802109,FURMAN,MATTHEW,J,MD,M,I,1905 SW H K DODGEN LOOP,,TEMPLE,TX,765021814,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,81,252,62.261904762,8.32,5.9129761905,5.9129761905
1003802109,FURMAN,MATTHEW,J,MD,M,I,1905 SW H K DODGEN LOOP,,TEMPLE,TX,765021814,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,13.08173913,3.38,2.65,2.65
1003802109,FURMAN,MATTHEW,J,MD,M,I,1905 SW H K DODGEN LOOP,,TEMPLE,TX,765021814,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,22.245714286,2.12,1.5507142857,1.5507142857
1003802109,FURMAN,MATTHEW,J,MD,M,I,1905 SW H K DODGEN LOOP,,TEMPLE,TX,765021814,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,36,72,13.591805556,1.42,1.0968055556,1.0968055556
1003802109,FURMAN,MATTHEW,J,MD,M,I,1905 SW H K DODGEN LOOP,,TEMPLE,TX,765021814,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,8.38,7.87,6.1103166667,6.1181208333
1003802109,FURMAN,MATTHEW,J,MD,M,I,1905 SW H K DODGEN LOOP,,TEMPLE,TX,765021814,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,599.5,187.74055556,139.21388889,101.03611111
1003802141,PLANK,TIMOTHY,,DO,M,I,10325 DEWHURST RD,,ELYRIA,OH,44035,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,47,122,69.009590164,8.32,4.7623770492,4.7623770492
1003802141,PLANK,TIMOTHY,,DO,M,I,10325 DEWHURST RD,,ELYRIA,OH,44035,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,25,33,14.678484848,1.42,0.9472727273,0.9472727273
1003802281,VISCARRA,MERRIE,,DO,F,I,1530 N RANDALL RD STE 210,,ELGIN,IL,601237879,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,106,17.27,12.411666667,12.411666667
1003802281,VISCARRA,MERRIE,,DO,F,I,1530 N RANDALL RD STE 210,,ELGIN,IL,601237879,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,445,69.81,50.169166667,50.169166667
1003802463,YASSA,HANY,N,MD,M,I,405 W COUNTRY CLUB RD,,ROSWELL,NM,882015209,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,63.665714286,18.060714286,12.395357143,11.881071429
1003802463,YASSA,HANY,N,MD,M,I,405 W COUNTRY CLUB RD,,ROSWELL,NM,882015209,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,346.28428571,79.907857143,52.293928571,46.199642857
1003802570,RHAMES,JODY,C,MD,F,I,777 KIMOLE LN,SUITE 230,ADRIAN,MI,492211478,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,40,96,42.132291667,8.32,5.4341666667,5.4341666667
1003802570,RHAMES,JODY,C,MD,F,I,777 KIMOLE LN,SUITE 230,ADRIAN,MI,492211478,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,20,24,11.672083333,1.42,0.93125,0.93125
1003802570,RHAMES,JODY,C,MD,F,I,777 KIMOLE LN,SUITE 230,ADRIAN,MI,492211478,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,23.88,23.88
1003802612,KAMARAJU,MANJULA,,MD,F,I,2460 SAMARITAN DR,,SAN JOSE,CA,951243907,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,32,91,73.255054945,8.32,5.6618681319,5.6618681319
1003802612,KAMARAJU,MANJULA,,MD,F,I,2460 SAMARITAN DR,,SAN JOSE,CA,951243907,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,15,17.338,1.42,0.8933333333,0.8933333333
1003802612,KAMARAJU,MANJULA,,MD,F,I,2460 SAMARITAN DR,,SAN JOSE,CA,951243907,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,7.7163636364,2.0054545455,1.5728787879,1.59
1003802638,FULLER,STEPHEN,C,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,54913,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,46,79,71.604936709,8.32,5.1191139241,5.1191139241
1003802638,FULLER,STEPHEN,C,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,54913,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,25,27,12.405555556,1.42,0.7044444444,0.7044444444
1003802638,FULLER,STEPHEN,C,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,54913,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,80.85,17.27,11.283333333,11.283333333
1003802638,FULLER,STEPHEN,C,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,54913,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,53,5.27,4.135,3.9591666667
1003802638,FULLER,STEPHEN,C,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,54913,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,631.96842105,69.81,43.207894737,43.207894737
1003802703,SCRIVEN,RICHARD,R,MD,M,I,4300 CITY POINT DR,SUITE 201,NORTH RICHLAND HILLS,TX,761808380,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,2950,0.2741355932,0.13,0.0998542373,0.0998542373
1003802703,SCRIVEN,RICHARD,R,MD,M,I,4300 CITY POINT DR,SUITE 201,NORTH RICHLAND HILLS,TX,761808380,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,3230,4.1711331269,2.04,1.5301950464,1.5301950464
1003802729,KENNEDY,KRISTI,A,WHNP-BC,F,I,900 CENTENNIAL BLVD STE M,,VOORHEES,NJ,08043,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,21,2184,51.216117216,4.8408104396,3.6638278388,3.6638278388
1003802729,KENNEDY,KRISTI,A,WHNP-BC,F,I,900 CENTENNIAL BLVD STE M,,VOORHEES,NJ,08043,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1003802760,DUNKELBERGER,JEFFERY,J,DO,M,I,30 E SHADY LN,,ENOLA,PA,170252354,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,31,73,69.674246575,8.32,5.9860273973,5.9860273973
1003802760,DUNKELBERGER,JEFFERY,J,DO,M,I,30 E SHADY LN,,ENOLA,PA,170252354,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,16,14.203125,1.42,0.975,0.975
1003802760,DUNKELBERGER,JEFFERY,J,DO,M,I,30 E SHADY LN,,ENOLA,PA,170252354,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,29,177.40689655,32.76,25.684482759,25.885172414
1003802760,DUNKELBERGER,JEFFERY,J,DO,M,I,30 E SHADY LN,,ENOLA,PA,170252354,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,56,11.322857143,2.06,1.6151785714,1.5951785714
1003802760,DUNKELBERGER,JEFFERY,J,DO,M,I,30 E SHADY LN,,ENOLA,PA,170252354,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,153.86615385,31.564615385,24.745384615,25.175384615
1003802760,DUNKELBERGER,JEFFERY,J,DO,M,I,30 E SHADY LN,,ENOLA,PA,170252354,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,248.87705882,67.72,46.410588235,47.994705882
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,45,173,61.143468208,8.32,6.1748554913,6.1748554913
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,16.666666667,3.38,2.4733333333,2.4733333333
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,48,16.626666667,1.42,1.0904166667,1.0904166667
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,78,71.56,51.004545455,51.004545455
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,66,32,29.19,22.411363636,22.412878788
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,363.16727273,87.217272727,49.917272727,50.073636364
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,86,9.9646511628,2.01,1.356744186,1.3737209302
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,27,71.186296296,17.29,13.55,13.532962963
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,153.33333333,32.955,25.456666667,24.943333333
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,84,87,438.93471264,70.23,51.262758621,50.969655172
1003802828,CONOVER,RANDY,,D.O.,M,I,101 SUN MEADOW DR,,CENTERTON,AR,727199610,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,37.44,26.904166667,27.0675
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,68,195,68.001384615,8.32,5.9210769231,5.9210769231
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.01,3.38,2.2083333333,2.2083333333
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,37,68,13.977352941,1.42,0.9986764706,0.9986764706
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,13,1260,0.1457142857,0.12,0.0890952381,0.0890952381
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,434,9.7636866359,8.28,5.398202765,5.398202765
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,15,1458,0.1770507545,0.13,0.0909053498,0.0909053498
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,32,80.0353125,17.29,12.508125,12.490625
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,33,489.64363636,70.23,50.054545455,49.766060606
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.44,29.35,29.496666667
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,63.3696,30.464,21.8668,20.614
1003802885,COLLINS,DAMIAN,J,MD,M,I,1700 SPRING HILL AVE,SUITE 100,MOBILE,AL,366041407,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,588.42636364,124.34181818,84.445454545,83.067272727
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,34,61,61,109.33967213,39.034590164,29.642295082,29.538852459
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,4.4253846154,1.45,0.9607692308,0.9769230769
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,34,60,60,322.648,88.2895,64.306,63.0105
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,29,80,137,124.5520438,32.77810219,24.670948905,24.88080292
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,23,71,51.68056338,18.19,14.260140845,14.51
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,15,23,23,150.95782609,53.3,39.977391304,40.953043478
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,42,51,51,50.960588235,18.120980392,13.120980392,12.978235294
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,28,28,59.320714286,12.155,9.2017857143,8.7957142857
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,47,101,384,8.27078125,2.0658333333,1.5527864583,1.5279947917
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,32,35,35,17.836,6.0671428571,4.5614285714,4.454
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,25,32,32,41.4415625,12.36,8.5759375,9.2065625
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,26,31,78.232258065,16.668709677,12.580645161,12.990967742
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,249.71192308,84.825,64.208461538,66.252307692
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1849.9345455,208.13272727,163.17545455,164.55272727
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1488.4,947.26666667,742.65833333,742.65833333
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,12,12,393.54166667,133.59,96.0025,95.98
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,81.375,13.36,10.48,10.48
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,22.638888889,4.3502777778,3.3,3.5094444444
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,19,91,93,145.79473118,33.302043011,23.470322581,23.867741935
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,130,141,344.35092199,67.780425532,49.792411348,51.347943262
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,19,145.78947368,38.72,30.36,29.52
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1440,20.114958333,9.6325,7.4551041667,7.4551041667
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1440,9.2072291667,3.003,2.3034305556,2.3034305556
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,93.61875,38.72,28.3540625,27.5796875
1003803099,EVANS,RICHARD,G,D.O.,M,I,50 N 12TH ST,,LEMOYNE,PA,170431440,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,31,48.967741935,33,25.035483871,25.035483871
1003803149,BAGNALL,RICHARD,D,MD,M,I,120 KINGS WAY,SUITE 1400,WILLIAMSBURG,VA,231852505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,30,99,66.925353535,8.32,5.4305050505,5.4305050505
1003803149,BAGNALL,RICHARD,D,MD,M,I,120 KINGS WAY,SUITE 1400,WILLIAMSBURG,VA,231852505,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,23,15.234782609,1.42,1.1147826087,1.1147826087
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,5.3214285714,0.51,0.4,0.4
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,95,206,778,66.876118252,8.3162982005,6.0275578406,6.0304627249
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,23,50,50,14.7012,3.38,2.544,2.544
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,20,26,26,21.765384615,2.12,1.67,1.67
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,48,91,191,14.448272251,1.42,1.0786387435,1.0786387435
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,110.37916667,44.471666667,34.865,31.480833333
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,15,17,17,60.014117647,11.871176471,7.6341176471,7.4705882353
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,26,57,57,211.91789474,92.560526316,70.190526316,66.193333333
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,26,60,113,85.549557522,35.392212389,27.180619469,25.635309735
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,90,62.344,19.044444444,14.112888889,13.742888889
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,13,28,119,35.188067227,15.614705882,12.24210084,11.892184874
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,21,44,44,143.68181818,56.709772727,42.881818182,41.273636364
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,44,61,61,48.366065574,19.059344262,14.476721311,13.746229508
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,39,85,85,49.169647059,12.184235294,9.3423529412,8.9052941176
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,44,101,533,6.9420637899,2.1407879925,1.6788930582,1.6038836773
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,19.911764706,6.5552941176,4.9023529412,4.4164705882
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,14,22,22,27.738181818,13.476818182,10.090909091,9.87
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,42,42,200,51.593333333,39.257380952,38.529047619
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,119,124,56.806048387,18.078467742,13.326370968,12.844193548
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,43,43,109.23372093,48.506511628,35.390697674,35.01627907
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2500,1068.4572727,830.86454545,835.45454545
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,22,101,101,27.802277228,4.9408910891,3.3841584158,3.1103960396
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,17,83,83,120.24096386,32.962048193,24.023012048,23.566626506
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,50.998461538,48.221538462,35.096923077,57.741538462
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,29,190,198,306.22257576,73.987373737,55.830757576,53.46540404
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,2100,4.8808952381,0.5748,0.4046190476,0.4046095238
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,10.618666667,9.6506,7.4353888889,7.4353888889
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,17,94,12270,0.7466193969,0.1351051345,0.097202934,0.097202934
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,62.185789474,21.389473684,16.77,15.6
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,28.363636364,22.233636364,20.564545455
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,1133.0184,188.2072,147.5564,145.4268
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,12,16,16,11.495833333,11.495833333
1003803156,SHARMA,PRIXIT,,M.D.,M,I,1005 W CIRCLE ST,,AVON PARK,FL,338252928,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,19,109,109,71.089449541,33,23.004036697,23.004036697
1003803206,AVINER,ZVI,,M.D.,M,I,4313 I 49 S SERVICE RD,,OPELOUSAS,LA,705700755,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,31,31,63.540322581,63.540322581,43.894516129,46.685483871
1003803206,AVINER,ZVI,,M.D.,M,I,4313 I 49 S SERVICE RD,,OPELOUSAS,LA,705700755,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,52,70,56.23,38.904038462,38.489615385
1003803206,AVINER,ZVI,,M.D.,M,I,4313 I 49 S SERVICE RD,,OPELOUSAS,LA,705700755,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,23,75,71.05,42.240434783,40.766521739
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.1,8.05,5.7363636364,6.2481818182
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,23,66.8,27.01,21.18,22.113478261
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,336,6.15,2.49,1.9516666667,1.9516666667
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,12.95,11.88,7.9027272727,9.4463636364
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,85.781538462,35.74,25.864615385,25.864615385
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,31.655384615,13.17,9.5353846154,9.62
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,65,90,23.592444444,10.34,7.8326666667,8.2492222222
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,220,10.454545455,5.54,4.1164545455,4.1164545455
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,210,5.8725714286,3.04,2.3833333333,2.3833333333
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.41,2.99,2.145,2.2479166667
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A7012,"Water collection device, used with large volume nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,3.98,2.67,1.9158333333,1.9533333333
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,4,2.33,1.6683333333,1.6683333333
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,7.08,3.81,2.9056666667,2.9056666667
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,124.61538462,69.053076923,54.138461538,38.698461538
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,11.080666667,8.6906666667,7.1866666667
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,328.12909091,92.842424242,66.136363636,48.37969697
1003803263,KOBERNA,PAUL,A,MD,M,I,2134 SANDY DR STE 16,,STATE COLLEGE,PA,168032292,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,65,19.693,15.439,15.5745
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,40,126,250,43.1892,8.32,5.35612,5.35612
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,20,13.424,3.38,2.12,2.12
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,47,51,14.603529412,1.42,0.877254902,0.877254902
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,8.68,7.63,5.98,6.7408333333
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,16,22.28875,13.8,10.82,10.82
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,19,16.957894737,10.93,8.1189473684,8.1189473684
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,6.1171428571,3.9,3.0575,3.0575
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,7.96,7,5.3343928571,5.3343928571
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,180,8.9933333333,5.54,4.2436666667,4.2436666667
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.435,0.27,0.2116,0.2116
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.3,2.02,1.5836666667,1.5836666667
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,2.1133333333,1.6566666667,1.1966666667
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,422.97142857,122.75190476,89.061904762,63.377619048
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,24,59,163.4559322,46.820847458,34.135254237,24.157118644
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,16,27,143,88.907272727,24.878671329,18.99048951,14.786503497
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,26,132,61.264772727,19.485,15.177121212,11.803181818
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,20,41,41,250.02317073,72.432682927,55.637804878,42.439268293
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,30,43,43,76.795348837,23.54744186,18.095116279,14.095348837
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,49,49,85.705510204,21.239183673,16.444081633,9.8663265306
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,33,62,325,10.912523077,3.1449230769,2.4441230769,1.6279076923
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,24,30,30,27.135666667,8.3636666667,6.2193333333,4.538
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,50.596666667,15.491666667,11.515555556,9.9177777778
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,62.493428571,21.900571429,16.742571429,13.143428571
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1048.7,814.62583333,834.70583333
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,27,37.388518519,8.8574074074,6.9444444444,3.8362962963
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,69,70,157.98942857,49.035,36.414428571,24.911428571
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,112,112,391.14857143,100.465,76.086428571,52.953214286
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,39,250,44.900769231,34.372307692,28.942820513
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,36,4169,0.9942216359,0.135715999,0.1001775006,0.1001775006
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1380,11.696949275,2.8621304348,2.1478768116,2.1478768116
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,158.12727273,43.841818182,32.296818182,20.431363636
1003803321,TURNER,KENNETH,B,MD,M,I,108 SKYLINE DR,,RUSSELLVILLE,AR,728013362,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,36,88.902777778,33,25.151388889,25.151388889
1003803370,KENNON,LARRY,R,"APRN, BC",M,I,1137 INDEPENDENCE DR,,WEST PLAINS,MO,657754221,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,31,86,60.065813953,8.32,5.133372093,5.133372093
1003803370,KENNON,LARRY,R,"APRN, BC",M,I,1137 INDEPENDENCE DR,,WEST PLAINS,MO,657754221,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,14,12.610714286,1.42,0.7971428571,0.7971428571
1003803370,KENNON,LARRY,R,"APRN, BC",M,I,1137 INDEPENDENCE DR,,WEST PLAINS,MO,657754221,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,35.42,21.788,17.080666667,13.53
1003803370,KENNON,LARRY,R,"APRN, BC",M,I,1137 INDEPENDENCE DR,,WEST PLAINS,MO,657754221,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,256.6,116.67,79.478181818,52.142727273
1003803370,KENNON,LARRY,R,"APRN, BC",M,I,1137 INDEPENDENCE DR,,WEST PLAINS,MO,657754221,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,37.47,9.1353846154,7.1607692308,4.1861538462
1003803370,KENNON,LARRY,R,"APRN, BC",M,I,1137 INDEPENDENCE DR,,WEST PLAINS,MO,657754221,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,40,367.96575,104.5025,80.1565,55.105
1003803370,KENNON,LARRY,R,"APRN, BC",M,I,1137 INDEPENDENCE DR,,WEST PLAINS,MO,657754221,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,250,44.745,33.713333333,28.584166667
1003803388,DODRILL,CRAIG,H,MD,M,I,75 HOSPITAL DR,SUITE 110,ATHENS,OH,457012857,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,16,16,65.66625,57.1325,44.7925,49.636875
1003803388,DODRILL,CRAIG,H,MD,M,I,75 HOSPITAL DR,SUITE 110,ATHENS,OH,457012857,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,27,29.648148148,28.667407407,22.476666667,33.468518519
1003803446,HODGE,JANICE,E,CRNP,F,I,15825 SHADY GROVE RD,STE 140,ROCKVILLE,MD,208504008,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,46,57.905869565,8.32,5.9556521739,5.9556521739
1003803487,THOMPSON,TROY,W,M.D.,M,I,100 SENTARA CIRCLE,SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER,WILLIAMSBURG,VA,23188,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.49,1.165,1.15
1003803487,THOMPSON,TROY,W,M.D.,M,I,100 SENTARA CIRCLE,SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER,WILLIAMSBURG,VA,23188,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,57.36625,17.03625,12.524375,12.70875
1003803487,THOMPSON,TROY,W,M.D.,M,I,100 SENTARA CIRCLE,SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER,WILLIAMSBURG,VA,23188,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,49.986756757,4.2372972973,3.2432432432,3.4659459459
1003803487,THOMPSON,TROY,W,M.D.,M,I,100 SENTARA CIRCLE,SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER,WILLIAMSBURG,VA,23188,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,259.93466667,82.456666667,59.428444444,50.205555556
1003803487,THOMPSON,TROY,W,M.D.,M,I,100 SENTARA CIRCLE,SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER,WILLIAMSBURG,VA,23188,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,200,40.296428571,30.527142857,28.480714286
1003803511,STEFFENS,GEOFFREY,D,CNP,M,I,201 CEDAR ST SE,SUITE 6600,ALBUQUERQUE,NM,87106,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,15,27,81.17,8.32,5.5566666667,5.5566666667
1003803511,STEFFENS,GEOFFREY,D,CNP,M,I,201 CEDAR ST SE,SUITE 6600,ALBUQUERQUE,NM,87106,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,683.72869565,77.058695652,60.41,54.724782609
1003803511,STEFFENS,GEOFFREY,D,CNP,M,I,201 CEDAR ST SE,SUITE 6600,ALBUQUERQUE,NM,87106,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,117.75,42.315,30.5075,27.649166667
1003803511,STEFFENS,GEOFFREY,D,CNP,M,I,201 CEDAR ST SE,SUITE 6600,ALBUQUERQUE,NM,87106,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.83,28.87,29.51
1003803628,CRENSHAW,ANDREW,H,M.D.,M,I,1400 S GERMANTOWN RD,,GERMANTOWN,TN,381382205,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,12,63.509166667,53.2,38.234166667,42.970833333
1003803628,CRENSHAW,ANDREW,H,M.D.,M,I,1400 S GERMANTOWN RD,,GERMANTOWN,TN,381382205,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,181,154.70833333,103.0925,101.68166667
1003803701,PERRI,GINA,M,M.D.,F,I,411 10TH ST SE,STE 2350,CEDAR RAPIDS,IA,524032442,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,16,36,56.409444444,8.32,5.4347222222,5.4347222222
1003803701,PERRI,GINA,M,M.D.,F,I,411 10TH ST SE,STE 2350,CEDAR RAPIDS,IA,524032442,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,288.75,8.4627777778,6.6333333333,3.9
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,53,186,428,52.572313084,8.3121962617,5.2971495327,5.303271028
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,12,38,38,15.526315789,3.38,2.5802631579,2.5802631579
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,12,16,16,24.4375,2.12,1.67,1.67
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,33,92,147,15.187278912,1.42,0.9861904762,0.9861904762
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,9.35,7.46,5.3181818182,5.3181818182
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,33,65,8.19,1.8632307692,1.4607692308,1.166
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,71.258181818,20.202727273,14.92,9.3381818182
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,92,11.099347826,2.8339130435,2.1066304348,1.5613043478
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,27,381.36,68.58037037,50.921851852,33.924814815
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,73,84,86.31,22.407142857,16.144761905,12.847857143
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,17,19,232.35,59.800526316,32.389473684,26.006842105
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,81.75,16.6125,12.300625,9.179375
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,26,32,45.718125,6.091875,4.094375,2.92125
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,257.82,50.5845,39.587,25.896
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,22,158,168,507.77678571,100.53994048,72.370595238,51.708214286
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.286615385,8.6648076923,8.6648076923
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,11,56,10978,0.1313909637,0.046294407,0.0307688103,0.0307688103
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2880,0.92,0.134375,0.0968298611,0.0968298611
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,906,12.74790287,2.9695143488,2.1697682119,2.1697682119
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,602,44.745,34.8575,29.886666667
1003803891,HOLBERT,CECIL,T,M.D.,M,I,3 HEALTH CARE DRIVE,,PHILIPPI,WV,26416,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,15,76,76,98.131578947,33,22.903815789,22.903815789
1003803909,COPPOLA,CHRISTOPHER,,D.O.,M,I,1485 37TH ST,SUITE #102,VERO BEACH,FL,329606500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,60,78.913333333,8.32,5.218,5.218
1003803909,COPPOLA,CHRISTOPHER,,D.O.,M,I,1485 37TH ST,SUITE #102,VERO BEACH,FL,329606500,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.3415384615,1.42,0.8538461538,0.8538461538
1003803966,GREENSPAN,ELLIOTT,I,D.O.,M,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,78,50.435128205,8.32,5.5656410256,5.5656410256
1003803966,GREENSPAN,ELLIOTT,I,D.O.,M,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,26,14.268461538,1.42,1.1138461538,1.1138461538
1003803966,GREENSPAN,ELLIOTT,I,D.O.,M,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,22.5,5.18,3.857,3.211
1003803974,NGUYEN,KHANH,P,MD,M,I,10701 VINTAGE PRESERVE,,HOUSTON,TX,77070,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,42,98,337,74.672017804,8.32,5.1479228487,5.1479228487
1003803974,NGUYEN,KHANH,P,MD,M,I,10701 VINTAGE PRESERVE,,HOUSTON,TX,77070,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,39,87,152,69.370855263,1.42,0.8863157895,0.8863157895
1003803974,NGUYEN,KHANH,P,MD,M,I,10701 VINTAGE PRESERVE,,HOUSTON,TX,77070,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,600,3.05,3,2.2916333333,2.3073
1003803974,NGUYEN,KHANH,P,MD,M,I,10701 VINTAGE PRESERVE,,HOUSTON,TX,77070,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,8424,0.3824358974,0.3789173789,0.2673041311,0.2606528965
1003803974,NGUYEN,KHANH,P,MD,M,I,10701 VINTAGE PRESERVE,,HOUSTON,TX,77070,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,760.48,76.58,52.34,47.967058824
1003803974,NGUYEN,KHANH,P,MD,M,I,10701 VINTAGE PRESERVE,,HOUSTON,TX,77070,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,127.25066667,22.642666667,14.318666667,17.362
1003803974,NGUYEN,KHANH,P,MD,M,I,10701 VINTAGE PRESERVE,,HOUSTON,TX,77070,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,285.6,35.56,22.96,24.566470588
1003804162,HEISE,MICHAEL,J,MD,M,I,160 GALLERY DR,SUITE 300,MC MURRAY,PA,153172690,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,66,54.501060606,8.32,5.9296969697,5.9296969697
1003804162,HEISE,MICHAEL,J,MD,M,I,160 GALLERY DR,SUITE 300,MC MURRAY,PA,153172690,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,148,5.2158108108,2.8904054054,2.2572297297,2.2725
1003804162,HEISE,MICHAEL,J,MD,M,I,160 GALLERY DR,SUITE 300,MC MURRAY,PA,153172690,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,513.02225,77.5,57.722,52.898
1003804162,HEISE,MICHAEL,J,MD,M,I,160 GALLERY DR,SUITE 300,MC MURRAY,PA,153172690,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,235,36.26,26.060833333,27.073333333
1003804162,HEISE,MICHAEL,J,MD,M,I,160 GALLERY DR,SUITE 300,MC MURRAY,PA,153172690,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,13,127.30769231,22.89,13.869230769,12.643846154
1003804162,HEISE,MICHAEL,J,MD,M,I,160 GALLERY DR,SUITE 300,MC MURRAY,PA,153172690,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,13,32.321538462,8.8838461538,4.9246153846,4.7123076923
1003804204,EAPEN,SAJI,,MD,M,I,1415 OLD WEISGARBER RD,SUITE 200,KNOXVILLE,TN,379091327,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,19,636,10.295298742,1.6924842767,1.3269025157,1.3269025157
1003804204,EAPEN,SAJI,,MD,M,I,1415 OLD WEISGARBER RD,SUITE 200,KNOXVILLE,TN,379091327,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,24,1648,34.630873786,5.2507342233,4.0925970874,4.0925970874
1003804204,EAPEN,SAJI,,MD,M,I,1415 OLD WEISGARBER RD,SUITE 200,KNOXVILLE,TN,379091327,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,24,24,18.82,18.82
1003804204,EAPEN,SAJI,,MD,M,I,1415 OLD WEISGARBER RD,SUITE 200,KNOXVILLE,TN,379091327,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,32,17,16,12.54,12.54
1003804329,TOWARD,BRETT,E,MD,M,I,600 W. THIRD STREET,,MANSFIELD,OH,449062633,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,24,83.14625,8.32,4.8925,4.8925
1003804352,SULLIVAN,MANLY,J,MEDICAL DOCTOR,M,I,241 ROBERT K WILSON DR,,CARROLLTON,AL,354478010,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21.46,5.634,3.2906666667,2.2533333333
1003804394,VINCETIC,ANTO,,DPM,M,I,3626 E TREMONT AVE STE 102,,BRONX,NY,104652030,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,34,71.622941176,71.462352941,49.611176471,49.681470588
1003804394,VINCETIC,ANTO,,DPM,M,I,3626 E TREMONT AVE STE 102,,BRONX,NY,104652030,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,86,29.223488372,29.145348837,22.487674419,22.523139535
1003804394,VINCETIC,ANTO,,DPM,M,I,3626 E TREMONT AVE STE 102,,BRONX,NY,104652030,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,381.45769231,158.95,124.62,126.37384615
1003804428,LONCARICH,DAVID,P,,M,I,7401 MAIN ST,,HOUSTON,TX,770304509,US,Physician/Orthopedic Surgery,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,24,92,43.56,34.150833333,34.15
1003804428,LONCARICH,DAVID,P,,M,I,7401 MAIN ST,,HOUSTON,TX,770304509,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,182.42857143,96.59,70.311428571,59.494285714
1003804428,LONCARICH,DAVID,P,,M,I,7401 MAIN ST,,HOUSTON,TX,770304509,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,54,54,245.66666667,245.66666667,187.10037037,208.7187037
1003804485,VILLEGAS,AUGUSTO,E,MD,M,I,4689 US HIGHWAY 17 STE 2-5,,FLEMING ISLAND,FL,320034831,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,1481,58.68,5.1304118839,3.9819513842,3.9819513842
1003804485,VILLEGAS,AUGUSTO,E,MD,M,I,4689 US HIGHWAY 17 STE 2-5,,FLEMING ISLAND,FL,320034831,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1003804519,POULOS,DOROTHEA,,MD,F,I,87 N AIRLITE ST STE 130,,ELGIN,IL,601234991,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,66,164,71.864756098,8.32,6.1640243902,6.1640243902
1003804519,POULOS,DOROTHEA,,MD,F,I,87 N AIRLITE ST STE 130,,ELGIN,IL,601234991,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,27,36,14.600555556,1.42,1.0536111111,1.0536111111
1003804519,POULOS,DOROTHEA,,MD,F,I,87 N AIRLITE ST STE 130,,ELGIN,IL,601234991,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50.73,3.73,2.9228571429,3.54
1003804519,POULOS,DOROTHEA,,MD,F,I,87 N AIRLITE ST STE 130,,ELGIN,IL,601234991,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,477.17090909,32.238181818,24.191363636,23.919545455
1003804519,POULOS,DOROTHEA,,MD,F,I,87 N AIRLITE ST STE 130,,ELGIN,IL,601234991,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,40.406666667,19.29,13.03,11.353333333
1003804519,POULOS,DOROTHEA,,MD,F,I,87 N AIRLITE ST STE 130,,ELGIN,IL,601234991,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,25.87,25.87
1003804600,MOSES,STEPHEN,J,M.D.,M,I,135 DIVISION ST,,ANSONIA,CT,064012134,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,40,77.0215,8.32,5.21725,5.21725
1003804642,VERKAIK,STEVEN,J,MD,M,I,3152 PORT SHELDON ST,SUITE C,HUDSONVILLE,MI,494269297,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,62,73.482096774,8.32,5.8912903226,5.8912903226
1003804642,VERKAIK,STEVEN,J,MD,M,I,3152 PORT SHELDON ST,SUITE C,HUDSONVILLE,MI,494269297,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,249.10714286,79.88,47.809642857,42.181428571
1003804642,VERKAIK,STEVEN,J,MD,M,I,3152 PORT SHELDON ST,SUITE C,HUDSONVILLE,MI,494269297,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.75,35.66,23.3,24.785833333
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,45,99,268,51.436156716,8.32,6.1601492537,6.1601492537
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,31,67,91,10.750549451,1.42,1.0941758242,1.0941758242
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,144.18307692,37.29,22.484615385,23.816153846
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,342.87666667,82.47,54.391666667,57.646666667
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,31,142.29032258,31.41,22.534193548,23.713225806
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,75.639090909,16.877272727,12.029090909,12.830909091
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,107,10.595607477,2.0123364486,1.4022429907,1.425046729
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,16,154.41,52,40.7675,38.1675
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,81.75,11.54625,8.1895833333,8.3145833333
1003804741,SALAZAR,JUAN,J,MD,M,I,801 E NOLANA,STE #2,MCALLEN,TX,78504,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,229.39578947,29.219210526,21.732631579,22.805263158
1003804766,MANGULABNAN,RAY,P,MD,M,I,3170 HALLMARK CT,,SAGINAW,MI,486032183,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,38,64.496578947,8.32,5.4918421053,5.4918421053
1003804766,MANGULABNAN,RAY,P,MD,M,I,3170 HALLMARK CT,,SAGINAW,MI,486032183,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,31.636666667,17.27,13.128333333,13.128333333
1003804766,MANGULABNAN,RAY,P,MD,M,I,3170 HALLMARK CT,,SAGINAW,MI,486032183,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,150,69.81,50.169166667,50.169166667
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,194,353,353,141.84719547,39.918498584,28.569546742,27.832322946
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,134,241,241,290.35896266,92.656099585,65.293983402,61.045726141
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,142,279,644,113.83635093,36.803338509,26.792220497,24.144083851
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,56,106,555,65.442612613,21.180198198,15.26,13.339045045
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,47,93,501,53.022315369,15.743512974,11.691776447,11.256546906
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,98,178,178,191.34134831,56.824157303,42.597022472,40.96994382
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,200,254,254,60.853503937,19.020314961,14.005433071,13.210433071
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,39,48,48,32.797916667,10.735,7.89625,7.645
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,30,66,66,65.450909091,14.823030303,11.163030303,8.8886363636
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,211,393,2258,8.3447342781,2.2838883968,1.6637909655,1.4858281665
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,140,172,172,35.456337209,13.664127907,10.080174419,9.7522093023
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,40,40,280,85.654,65.584,64.113
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,600,220.90909091,165.35272727,158.06272727
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,67.638888889,15.067777778,11.225555556,9.42
1003804808,GURECKI,PAUL,J,MD,M,I,800 OAK RIDGE TPKE,SUITE C-260,OAK RIDGE,TN,378306957,US,Psychiatry & Neurology,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,23,130,130,126.07692308,34.387538462,24.087307692,21.771615385
1003804832,RICHTER,PAUL,A,DPM,M,I,7926 W HILLSBOROUGH AVE,SUITE G,TAMPA,FL,336154600,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,119.30769231,71.56,51.568846154,51.563076923
1003804832,RICHTER,PAUL,A,DPM,M,I,7926 W HILLSBOROUGH AVE,SUITE G,TAMPA,FL,336154600,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,68,65.382352941,29.19,22.886617647,22.886617647
1003804907,MCNELLIS,KEITH,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,192.58,47.535,37.265,36.2275
1003804923,KASTENDIECK,KURT,D,MD,M,I,421 SAINT MICHAELS DR,,SANTA FE,NM,875057601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,46,132,78.243333333,8.32,5.6325757576,5.6325757576
1003804923,KASTENDIECK,KURT,D,MD,M,I,421 SAINT MICHAELS DR,,SANTA FE,NM,875057601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,15.06,1.42,0.7894117647,0.7894117647
1003804923,KASTENDIECK,KURT,D,MD,M,I,421 SAINT MICHAELS DR,,SANTA FE,NM,875057601,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,129.05557692,18.169807692,13.724423077,13.016923077
1003804923,KASTENDIECK,KURT,D,MD,M,I,421 SAINT MICHAELS DR,,SANTA FE,NM,875057601,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,178.018,4.5606666667,3.4006666667,3.5095555556
1003804923,KASTENDIECK,KURT,D,MD,M,I,421 SAINT MICHAELS DR,,SANTA FE,NM,875057601,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,124,124,632.50266129,70.981451613,51.916612903,50.896774194
1003804931,BURGESS,ALAN,W,MD,M,I,1601 E 19TH AVE STE 6000,,DENVER,CO,802181293,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,37,62.886216216,8.32,6.1678378378,6.1678378378
1003804931,BURGESS,ALAN,W,MD,M,I,1601 E 19TH AVE STE 6000,,DENVER,CO,802181293,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,13.5875,1.42,1.0266666667,1.0266666667
1003804931,BURGESS,ALAN,W,MD,M,I,1601 E 19TH AVE STE 6000,,DENVER,CO,802181293,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,9.4054545455,2.04,1.5983333333,1.5916666667
1003804931,BURGESS,ALAN,W,MD,M,I,1601 E 19TH AVE STE 6000,,DENVER,CO,802181293,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17.52,17.52,13.74,13.558181818
1003804931,BURGESS,ALAN,W,MD,M,I,1601 E 19TH AVE STE 6000,,DENVER,CO,802181293,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,703.96416667,809.2475
1003804931,BURGESS,ALAN,W,MD,M,I,1601 E 19TH AVE STE 6000,,DENVER,CO,802181293,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,78.49,78.49,56.795,50.169166667
1003804956,SANDERS,JUDY,C,ARNP/CNM,F,I,7901 S SHERIDAN RD,,TULSA,OK,741338900,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,59.855,46.925833333,37.63
1003804964,KHAROD,AMIT,S,MD,M,I,901 W MAIN ST,SUITE 107,FREEHOLD,NJ,077282537,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1140,3.2165263158,1.95,1.511245614,1.511245614
1003804964,KHAROD,AMIT,S,MD,M,I,901 W MAIN ST,SUITE 107,FREEHOLD,NJ,077282537,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,545,0.6275963303,0.27,0.2116697248,0.2116697248
1003804980,BURKE,JAMES,A,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 300,ALLENTOWN,PA,181036224,US,Interventional Cardiology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,75,40.991818182,32.136363636,32.136363636
1003805292,CHRISTINA,MELANIE,O,M.D.,F,I,8210 WALNUT HILL LN,#408,DALLAS,TX,752314405,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,28,82,68.912682927,8.32,5.9304878049,5.9304878049
1003805292,CHRISTINA,MELANIE,O,M.D.,F,I,8210 WALNUT HILL LN,#408,DALLAS,TX,752314405,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,26,13.483076923,1.42,1.0261538462,1.0261538462
1003805292,CHRISTINA,MELANIE,O,M.D.,F,I,8210 WALNUT HILL LN,#408,DALLAS,TX,752314405,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,40,17.63,13.696956522,13.406956522
1003805292,CHRISTINA,MELANIE,O,M.D.,F,I,8210 WALNUT HILL LN,#408,DALLAS,TX,752314405,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,76.48,59.96,54.72
1003805375,BROWN,SUSAN,G,MD,F,I,8915 W GOLF RD,,NILES,IL,607145905,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,840,40.014071429,4.6195714286,3.6217857143,3.6217857143
1003805375,BROWN,SUSAN,G,MD,F,I,8915 W GOLF RD,,NILES,IL,607145905,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,18,16,16,12.543333333,12.543333333
1003805425,PELOFSKY,STAN,,M.D.,M,I,4120 W MEMORIAL RD,SUITE 300,OKLAHOMA CITY,OK,731209322,US,Physician/Neurosurgery,S,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,115,76.06,54.610909091,54.005454545
1003805425,PELOFSKY,STAN,,M.D.,M,I,4120 W MEMORIAL RD,SUITE 300,OKLAHOMA CITY,OK,731209322,US,Physician/Neurosurgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,1465.7826087,1001.69,733.77565217,725.0626087
1003805466,SOLEAU,SCOTT,W,MD,M,I,10101 PARK ROWE AVE,SUITE 200,BATON ROUGE,LA,708101686,US,Physician/Neurosurgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,366.67833333,249.3,195.45,213.55
1003805482,LANDINO,THOMAS,M,"DPM, FACFAS, PT",M,I,33501 1ST WAY S,,FEDERAL WAY,WA,980036208,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,13,72,72,56.45,63.1
1003805482,LANDINO,THOMAS,M,"DPM, FACFAS, PT",M,I,33501 1ST WAY S,,FEDERAL WAY,WA,980036208,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,187,187,146.60857143,215.67190476
1003805664,SABATINO,KENNETH,C,MD,M,I,1840 MEASE DR STE 202,,SAFETY HARBOR,FL,346956604,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,40,17,13.33,13.54
1003805664,SABATINO,KENNETH,C,MD,M,I,1840 MEASE DR STE 202,,SAFETY HARBOR,FL,346956604,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,111,111,236.18972973,79.88,61.147927928,53.817297297
1003805664,SABATINO,KENNETH,C,MD,M,I,1840 MEASE DR STE 202,,SAFETY HARBOR,FL,346956604,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,247.27272727,35.31,22.655454545,24.227272727
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,42,42,166.99333333,38.246190476,27.850238095,28.368333333
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,17,40,40,435.896,90.77875,67.45425,64.13525
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,16,49,116,164.19982759,35.387413793,27.324137931,25.498189655
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,54,69.552222222,17.598888889,13.797777778,12.506296296
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,23,23,298.20130435,60.219130435,47.209565217,43.973478261
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,24,35,35,86.959428571,19.31,15.141428571,14.069714286
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,22,22,92.137272727,14.681818182,11.083181818,8.7186363636
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,27,77,365,12.627342466,2.1248767123,1.640739726,1.5663287671
1003805722,VERNON,ANDREW,N,MD,M,I,2122 MANCHESTER EXPY,,COLUMBUS,GA,31904,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,21,30,30,50.6,13.561666667,10.627,10.334333333
1003805763,IBAY,ANNAMARIE,,M.D,F,I,1636 ROUTE 38 AND EAYRESTOWN ROAD,,LUMBERTON,NJ,080480000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,33,80,190,66.591684211,8.32,6.0012631579,6.0012631579
1003805763,IBAY,ANNAMARIE,,M.D,F,I,1636 ROUTE 38 AND EAYRESTOWN ROAD,,LUMBERTON,NJ,080480000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,40,54,15.581481481,1.42,0.9927777778,0.9927777778
1003805763,IBAY,ANNAMARIE,,M.D,F,I,1636 ROUTE 38 AND EAYRESTOWN ROAD,,LUMBERTON,NJ,080480000,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,23,36.610869565,4.44,3.1952173913,3.3239130435
1003805763,IBAY,ANNAMARIE,,M.D,F,I,1636 ROUTE 38 AND EAYRESTOWN ROAD,,LUMBERTON,NJ,080480000,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2144,0.5155783582,0.047369403,0.037136194,0.037136194
1003805763,IBAY,ANNAMARIE,,M.D,F,I,1636 ROUTE 38 AND EAYRESTOWN ROAD,,LUMBERTON,NJ,080480000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,33,33,25.87,25.87
1003805953,GEORGE,SALEM,M,MD,M,I,4003 KRESGE WAY,SUITE 300,LOUISVILLE,KY,402074652,US,Physician/Vascular Surgery,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,829.21727273,829.21727273
1003805953,GEORGE,SALEM,M,MD,M,I,4003 KRESGE WAY,SUITE 300,LOUISVILLE,KY,402074652,US,Physician/Vascular Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,494.55083333,102.61833333,75.474166667,53.544166667
1003805953,GEORGE,SALEM,M,MD,M,I,4003 KRESGE WAY,SUITE 300,LOUISVILLE,KY,402074652,US,Physician/Vascular Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,250,41.820555556,32.79,29.915
1003805961,DAVLANTES,TIMOTHY,,MD,M,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,54,109.8487037,8.32,6.28,6.28
1003805961,DAVLANTES,TIMOTHY,,MD,M,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,50,39.2,37.63
1003805995,WHITAKER,MARTIN,D,M.D.,M,I,193 MAIN ST,,NORWAY,ME,042685645,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,68.307692308,66.941538462,52.482307692,52.95
1003806019,LLOYD,DENNIS,M,DO,M,I,2487 N ELMS RD,,FLUSHING,MI,484339426,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,64,223,61.139506726,8.32,6.0260089686,6.0260089686
1003806019,LLOYD,DENNIS,M,DO,M,I,2487 N ELMS RD,,FLUSHING,MI,484339426,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,37,68,15.457205882,1.42,1.0822058824,1.0822058824
1003806019,LLOYD,DENNIS,M,DO,M,I,2487 N ELMS RD,,FLUSHING,MI,484339426,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,273.03,74.63,47.922,51.012666667
1003806019,LLOYD,DENNIS,M,DO,M,I,2487 N ELMS RD,,FLUSHING,MI,484339426,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,35.076521739,3.8895652174,2.7886956522,3.2017391304
1003806019,LLOYD,DENNIS,M,DO,M,I,2487 N ELMS RD,,FLUSHING,MI,484339426,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,99.99,31.1575,21.924166667,22.728333333
1003806043,HARLAN,WILLIAM,R,M.D.,M,I,191 BILTMORE AVE,,ASHEVILLE,NC,288014109,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,49,1560,29.651602564,13.127397436,10.292032051,10.292032051
1003806043,HARLAN,WILLIAM,R,M.D.,M,I,191 BILTMORE AVE,,ASHEVILLE,NC,288014109,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,154,335.55,268.44,210.45571429,210.45571429
1003806043,HARLAN,WILLIAM,R,M.D.,M,I,191 BILTMORE AVE,,ASHEVILLE,NC,288014109,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,186,412.68827957,323.19096774,253.38231183,256.13752688
1003806043,HARLAN,WILLIAM,R,M.D.,M,I,191 BILTMORE AVE,,ASHEVILLE,NC,288014109,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,340,11.755235294,9.3482352941,7.3286176471,7.3286176471
1003806043,HARLAN,WILLIAM,R,M.D.,M,I,191 BILTMORE AVE,,ASHEVILLE,NC,288014109,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,340,35.698764706,29.214352941,22.904088235,22.904088235
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,41,128,64.7596875,8.32,5.656328125,5.656328125
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,376.1625,95.440833333,74.825833333,68.275833333
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,31,153.37580645,33.813548387,26.510322581,26.010322581
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,15,90,12.131111111,2.268,1.7785555556,1.6041111111
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,19,50.73,6.2205263158,4.8742105263,3.7878947368
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,185.56206897,37.374137931,29.30137931,27.02137931
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,672.88235294,72.372941176,54.964705882,53.792941176
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,20,115.0245,22.5785,17.7015,18.3705
1003806084,DICK,MARK,L,M.D.,M,I,10 MEMBERS WAY FL 5,,DOVER,NH,038205933,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,76.043478261,33,25.87,25.87
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,160.588,37.96,27.776,28.420666667
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,15,24,44,7.7636363636,1.4663636364,1.0768181818,1.0752272727
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,82.53,17.291428571,13.56,9.6
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,36,69,69,382.48971014,85.971014493,63.127391304,63.412173913
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,21,49,99,173.75606061,31.49,23.244545455,24.331919192
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,20,97,109.30525773,17,12.444329897,13.358556701
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,20,99,77.13,14.348484848,8.6562626263,9.3725252525
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,35,73,73,260.64575342,52.864109589,39.413835616,40.560958904
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,65,88,88,76.915681818,17.362272727,12.713977273,13.106477273
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,58,101,101,81.084752475,12.269405941,9.2621782178,8.7520792079
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,62,134,437,12.489199085,2.030617849,1.456590389,1.4527002288
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,31.870714286,6.02,4.0457142857,3.9985714286
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,35,46,46,44.98,12.536304348,8.8734782609,9.302173913
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,29,199,203,78.748719212,17.066502463,12.714827586,12.781133005
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,43,43,3074.4481395,1074.31,840.84069767,840.84069767
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,57,66,546.20439394,86.715757576,67.093484848,65.801060606
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,620.73923077,127.41769231,97.915384615,102.25076923
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,24,29,81.75,11.272758621,8.1613793103,8.7062068966
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,16,94,94,37.365,6.5103191489,4.8261702128,3.6645744681
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,22,102,103,208.98582524,36.017669903,26.281262136,23.713495146
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,37,280,288,464.28854167,80.515625,60.588854167,52.936284722
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,35,260.61,38.620285714,29.491142857,28.887142857
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,82,4800,16.39769375,9.5653875,7.3502770833,7.3502770833
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,15.615346154,10.913,8.3802435897,8.3802435897
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,19,75,11930,0.2594450964,0.0464107293,0.0341525566,0.0341525566
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,32,3114,1.7324149004,0.134059088,0.0809794477,0.0809794477
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,91,5190,11.246996146,3.0837398844,2.3900308285,2.3900308285
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,61.96,37.66,27.995,28.007777778
1003806134,BIGDELI,GHAZALEH,,M.D.,F,I,1400 LOCUST ST,,PITTSBURGH,PA,152195114,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,39,160,160,93.6375,33,24.7381875,24.7381875
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,41,158,57.106582278,8.32,6.1508860759,6.1508860759
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.955714286,3.38,2.65,2.65
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,26,54,13.545,1.42,1.1142592593,1.1142592593
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,33,10.567272727,8.69,6.6039393939,6.6039393939
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,0.26,0.13,0.0944907407,0.0944907407
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.87,12.87,9.2491666667,13.373333333
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1680,3.1721428571,1.8735714286,1.3882619048,1.519952381
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,44,12.921136364,10.93,8.1804545455,8.1804545455
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.1625,7.46,5.3625,5.3625
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.6025,4.21,3.0295833333,3.0295833333
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,9.01,8.25,5.9308333333,5.8941666667
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.7125,4.31,3.0983333333,3.0983333333
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,377,104.22679045,3,2.3020424403,2.3179310345
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,9017,3.4185250083,0.3491005878,0.2638349784,0.2820649884
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,56,56,164.11357143,45.877857143,32.431607143,32.751607143
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,759.36,281.89090909,220.99818182,138.50818182
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,42,84.657380952,17.45047619,13.029761905,12.903571429
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,50.264186047,5.5888372093,4.0111627907,3.4120930233
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,75,75,445.95466667,78.077866667,57.124266667,51.6548
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,5086,0.3909142745,0.0460007865,0.036071569,0.036071569
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,958,1.9679749478,0.131743215,0.1032985386,0.1032985386
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,67.772352941,18.741764706,12.677647059,12.257058824
1003806159,SHERK,DEREK,W,MD,M,I,3077 KETTERING BLVD,SUITE NUMBER 319,DAYTON,OH,454391949,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,53.625,33,25.87,25.87
1003806167,RAPOSO,FATIMA,,O.D.,F,I,1565 N MAIN ST,STE 406,FALL RIVER,MA,027202972,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,64.876923077,64.876923077,44.819615385,45.080769231
1003806225,MURRAY,ELLEN,S,APRN,F,I,2802 KILPATRICK BLVD,,MONROE,LA,71201,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,97.127142857,32.955,24.701785714,24.228928571
1003806241,GEIGER,MARA,L,MD,F,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,483076122,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,62,38.771451613,8.32,5.6790322581,5.6790322581
1003806241,GEIGER,MARA,L,MD,F,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,483076122,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,22,9.2436363636,1.42,0.9654545455,0.9654545455
1003806282,SYSTROM,DAVID,M,MD,M,I,75 FRANCIS ST,"CLINICS 3, PULMONARY, BWH",BOSTON,MA,021156110,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,526.90545455,78.220909091,61.33,61.33
1003806282,SYSTROM,DAVID,M,MD,M,I,75 FRANCIS ST,"CLINICS 3, PULMONARY, BWH",BOSTON,MA,021156110,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,170.56363636,38.818181818,30.436363636,30.436363636
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,31,96,277,48.570397112,8.32,5.6279783394,5.6279783394
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,10.081052632,3.38,2.5105263158,2.5105263158
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,50,89,10.830898876,1.42,0.9893258427,0.9893258427
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,12.067857143,5.54,4.033,4.033
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,83.854705882,37.29,25.791176471,27.087647059
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,6.2182857143,3.04,2.1811071429,2.1811071429
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,142.25222222,57.02,41.815555556,40.068333333
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,17,17,43.881176471,17.25,11.929411765,12.485882353
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,24,111,7.7248648649,2.22,1.6787387387,1.5361261261
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,182.5,47.393333333,37.155,37.185833333
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,49,63.563265306,18.226734694,13.723673469,13.346326531
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,259.32519231,76.48,54.824038462,49.886346154
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,4238,0.2417272298,0.0463025012,0.0335983955,0.0335983955
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,2940,1.3517857143,0.1319591837,0.1006972789,0.1006972789
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,173.74,30.708461538,21.791538462,20.517692308
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,52.51,8.864375,6.421875,6.29875
1003806332,MARQUINO,REY,C,MD,M,I,1615 HOSPITAL PKWY STE 103,,BEDFORD,TX,760225935,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,40,40,70.125,33,25.20325,25.20325
1003806373,BAGCHI,KAUSHIK,,MD,M,I,1367 WASHINGTON AVE,SUITE 200,ALBANY,NY,122061069,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,110.8,110.8,83.211818182,98.841818182
1003806431,DAVIS,GLENN,R,MD,M,I,2255 E MOSSY OAKS RD STE 680,,SPRING,TX,773891812,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,26,68,191,65.68921466,8.32,6.3170680628,6.3170680628
1003806431,DAVIS,GLENN,R,MD,M,I,2255 E MOSSY OAKS RD STE 680,,SPRING,TX,773891812,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.751428571,3.38,2.4607142857,2.4607142857
1003806431,DAVIS,GLENN,R,MD,M,I,2255 E MOSSY OAKS RD STE 680,,SPRING,TX,773891812,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,33,49,15.056734694,1.42,1.0928571429,1.0928571429
1003806431,DAVIS,GLENN,R,MD,M,I,2255 E MOSSY OAKS RD STE 680,,SPRING,TX,773891812,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5175,1.4308405797,0.68,0.5053913043,0.4908115942
1003806431,DAVIS,GLENN,R,MD,M,I,2255 E MOSSY OAKS RD STE 680,,SPRING,TX,773891812,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,449,0.9527839644,0.6922048998,0.5426503341,0.5559465479
1003806431,DAVIS,GLENN,R,MD,M,I,2255 E MOSSY OAKS RD STE 680,,SPRING,TX,773891812,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,60.98,49.55,34.861666667,34.303333333
1003806431,DAVIS,GLENN,R,MD,M,I,2255 E MOSSY OAKS RD STE 680,,SPRING,TX,773891812,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,92.727272727,34.683636364,25.05,24.812727273
1003806571,BONDLOW,LAURA,A,,F,I,75 WASHINGTON ST,,NORWELL,MA,020611795,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,68,120,284,967,71.786928645,8.32,5.8479214064,5.8479214064
1003806571,BONDLOW,LAURA,A,,F,I,75 WASHINGTON ST,,NORWELL,MA,020611795,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,9.0327272727,3.38,2.65,2.65
1003806571,BONDLOW,LAURA,A,,F,I,75 WASHINGTON ST,,NORWELL,MA,020611795,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,54,103,177,13.558644068,1.42,0.9873446328,0.9873446328
1003806571,BONDLOW,LAURA,A,,F,I,75 WASHINGTON ST,,NORWELL,MA,020611795,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,970.58823529,251.11,196.87,196.87
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,52,143,347,70.729827089,8.32,6.150518732,6.150518732
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,25,62,74,15.37,1.42,1.0718918919,1.0718918919
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,30,28.46,19.335333333,19.335333333
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,17,5.54,4.0506666667,4.0506666667
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,18,7,6.355,4.2155555556,5.0583333333
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,29,29,79.501724138,38.89,29.43862069,29.43862069
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,13,22,22,201.40909091,86.53,56.661363636,56.661363636
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,13,30,70,73.878571429,32.73,24.726285714,24.978142857
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,57,52.368421053,18.03,13.750701754,14.064210526
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,207.76470588,54.79,40.423529412,40.338823529
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,29,29,51.034482759,17.97,13.118275862,13.101034483
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,55.216666667,11.64,8.36,8.36
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,23,45,244,5.2963114754,2.03,1.5134016393,1.5134016393
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,20,27,27,15.062592593,6.14,4.0974074074,3.9788888889
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,14,14,37.870714286,13.43,9.7214285714,9.5592857143
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,365,8.7123287671,4.11,3.2223013699,3.2437808219
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,4403,0.6806041335,0.3095071542,0.2249852373,0.2253713377
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,42,75,17.27,12.895238095,12.895238095
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50,5.1628571429,4.0514285714,3.8764285714
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,13,70,70,126.07142857,32.739142857,24.701,23.95
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,81,81,363.08641975,69.81,50.931728395,50.931728395
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2463,0.2596711328,0.0455054811,0.0319610231,0.0319610231
1003806829,CROWELL,STEVEN,P,MD,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,19,19,74.684210526,33,23.146842105,23.146842105
1003806902,WYCHOWSKI,ADAM,G,M.D.,M,I,3640 MAIN ST STE 207,,SPRINGFIELD,MA,011071192,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,52,122,77.10147541,8.32,5.5177868852,5.5177868852
1003806902,WYCHOWSKI,ADAM,G,M.D.,M,I,3640 MAIN ST STE 207,,SPRINGFIELD,MA,011071192,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,39,44,15.663181818,1.42,0.9395454545,0.9395454545
1003806902,WYCHOWSKI,ADAM,G,M.D.,M,I,3640 MAIN ST STE 207,,SPRINGFIELD,MA,011071192,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,682,0.3375219941,0.0465982405,0.0331671554,0.0331671554
1003806902,WYCHOWSKI,ADAM,G,M.D.,M,I,3640 MAIN ST STE 207,,SPRINGFIELD,MA,011071192,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,66,33,22.420666667,22.420666667
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,53,53,9.55,8.0452830189,5.7111320755,6.1950943396
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,53,636,2.9516666667,2.49,1.7675471698,1.7675471698
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,46,46,14.1,11.88,8.2980434783,9.7826086957
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,53,106,12.275,10.320188679,7.3248113208,7.7700943396
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,35,700,8.304,7,5.3158285714,5.3158285714
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,35,700,3.612,3.04,2.2091714286,2.2091714286
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,44,94.630454545,71.56,51.004545455,51.004545455
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,105,75.601142857,29.19,22.289619048,22.291047619
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,78,12.971666667,10.93,6.9080769231,6.9080769231
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,700,12.49,4.62,3.6221428571,4.1520428571
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,91,1274,7.6916326531,3.98,3.0946938776,3.2169466248
1003806977,DESHPANDE,SMITA,V,MD,F,I,1627 CHEW ST,GROUND FLOOR,ALLENTOWN,PA,181023648,US,Physician/Geriatric Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,137,23095,0.72,0.35,0.2711465685,0.2865659234
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,43,150,356,60.054775281,8.32,5.9455898876,5.9455898876
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,26,42,15.185714286,1.42,1.0364285714,1.0364285714
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,500,0.374,0.24,0.1881,0.2116
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,473.765,89.55,65.301875,63.228125
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,39,183.55230769,34.16,24.901794872,24.104871795
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,84,60.056547619,17.91,11.868928571,12.301428571
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,67,55.05641791,14.96641791,10.52238806,10.689253731
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,31,31,188.06612903,55.184516129,37.954516129,37.599354839
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,27,27,82.648888889,18.011851852,12.737777778,12.681481481
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,41,41,74.918536585,12.157317073,8.8368292683,8.4819512195
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,20,44,228,9.4680701754,2.14,1.5149122807,1.4469736842
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,51.442307692,12.95,9.3692307692,9.5484615385
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,93,96,63.1959375,22.360729167,16.354895833,14.904895833
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,2805.4154545,1074.31,829.21727273,829.21727273
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,81.75,13.23,9.6786666667,9.7806666667
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,44.968125,6.15125,4.5046875,3.545625
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,184.316,33.090666667,24.308,23.229111111
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,141,144,427.14583333,81.349444444,61.051319444,52.830972222
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,250,36.5,27.4275,28.327083333
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,19.166333333,9.75525,7.6480277778,7.6480277778
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,3329,0.3456593572,0.0469810754,0.0300660859,0.0300660859
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,42,3960,1.4599671717,0.1332045455,0.1016994949,0.1016994949
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,165.65555556,36.5,28.62,29.51
1003807033,ADDINGTON,WILLIAM,E,DO,M,I,73 SPORTSMAN DR,,MARENGO,OH,433341800,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,56,56,70.125,33,24.946071429,24.946071429
1003807041,SHARMA,VIRENDRA,,MD,M,I,120 HOBART ST,,UTICA,NY,135014308,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,35,104,42.697788462,8.32,6.1936538462,6.1936538462
1003807041,SHARMA,VIRENDRA,,MD,M,I,120 HOBART ST,,UTICA,NY,135014308,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,36,13.988611111,1.42,1.0819444444,1.0819444444
1003807041,SHARMA,VIRENDRA,,MD,M,I,120 HOBART ST,,UTICA,NY,135014308,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1320,0.45,0.45,0.3528257576,0.3528257576
1003807041,SHARMA,VIRENDRA,,MD,M,I,120 HOBART ST,,UTICA,NY,135014308,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,67.72,47.447777778,49.011111111
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,56,130,53.398,8.32,5.8198461538,5.8198461538
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,26,32,17.323125,1.42,0.941875,0.941875
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,25,8.0644,1.8648,1.462,1.1504
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,24.22,7.4142857143,5.6380952381,3.379047619
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,462.9,104.8,79.02,56.112631579
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,8372,0.4846237458,0.0452484472,0.0328463927,0.0328463927
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,13,46,3929,2.0096462204,0.1336192415,0.1047696615,0.1047696615
1003807157,HARRISON,MURKE,F,DO LTD,M,I,2712 BROADWAY ST,,MOUNT VERNON,IL,628642342,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,62,62,63.338709677,33,25.035483871,25.035483871
1003807231,HORMAN,DERON,L,MD,M,I,1134 N MAIN ST STE 1100,,BELLEFONTAINE,OH,43311,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,30,128,55.001796875,8.32,5.91140625,5.91140625
1003807231,HORMAN,DERON,L,MD,M,I,1134 N MAIN ST STE 1100,,BELLEFONTAINE,OH,43311,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,44.044285714,21.985,16.169285714,12.993571429
1003807231,HORMAN,DERON,L,MD,M,I,1134 N MAIN ST STE 1100,,BELLEFONTAINE,OH,43311,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,61.794444444,7.63,4.7694444444,2.44
1003807231,HORMAN,DERON,L,MD,M,I,1134 N MAIN ST STE 1100,,BELLEFONTAINE,OH,43311,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,15,69,33,18.614666667,18.614666667
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,46,130,42.487,8.32,5.9596153846,5.9596153846
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,22,11.727272727,1.42,1.1154545455,1.1154545455
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1584,0.13,0.13,0.1019444444,0.1019444444
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2750,2.02,2.02,1.5315090909,1.5471890909
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,34,52.13,26.59,20.846470588,14.553235294
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,165.89866667,74.637333333,58.516,42.86
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,49.0875,24.585,19.27,14.801666667
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,51.140833333,21.876666667,17.15,10.084166667
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,31,89,10.66,3.4060674157,2.6716853933,1.7441573034
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,96.405909091,23.328181818,17.609090909,12.915
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,36.715,9.5521428571,7.4878571429,3.7
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,141.18,63.722727273,44.043636364,30.980909091
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,85,85,504.57717647,104.968,78.183529412,54.425647059
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,98,44.03625,30.419375,25.825625
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,2040,0.6670147059,0.1360147059,0.102627451,0.102627451
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9182307692,2.1637692308,2.1637692308
1003807264,MCENTEE,MARIE,E,PA C,F,I,RR 2 BOX 38,211 EAST EARL ST,LEOTI,KS,678619504,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,91.5,33,25.87,25.87
1003807272,CHANDLER,GILBERT,S,M.D,M,I,3334 CAPITAL MEDICAL BLVD,STE 400,TALLAHASSEE,FL,323088405,US,Physician/Pain Management,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,1289,1001.76,785.38,776.95428571
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,40,508,744,744,104.09516129,40.774287634,29.816854839,28.591303763
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,33,216,337,337,302.54002967,94.976795252,68.796735905,63.002403561
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,29,223,519,768,120.18298177,35.400520833,26.026575521,24.327239583
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,32,214,391,964,76.928516598,20.383558091,15.003153527,13.850466805
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,30,302,557,1462,53.072380301,15.828023256,11.468844049,11.065198358
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,49,493,706,706,176.53851275,59.598470255,43.124050992,39.974943343
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,58,649,836,836,58.8640311,18.792069378,13.913205742,13.349270335
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,61,69,69,31.311304348,10.322463768,7.5495652174,7.6234782609
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,39,177,268,268,68.965746269,13.390895522,9.798880597,8.7369029851
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,60,593,887,4916,8.7340703824,2.1577542718,1.6320545159,1.5474247356
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,89,107,107,23.634953271,6.3548598131,4.6685046729,4.4174766355
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,41,348,419,419,35.564582339,13.181980907,9.8696897375,9.8835799523
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3652.77,1001.46,773.19333333,830.30416667
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,7,,72,73,2379.4443836,1001.46,781.54534247,837.09082192
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,11,32,129,140,404.10614286,91.721071429,67.333857143,66.390214286
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,15,44,217,225,940.88942222,232.56804444,173.45368889,159.81333333
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,13,13,13,558.31076923,157.46538462,123.45615385,104.7
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,24,288,1370,1478,48.086529093,13.35740866,9.5103450609,9.2434303112
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,35,269,1456,1579,176.45192527,36.391665611,25.959259025,23.77069031
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,13,90,97,372.68907216,83.30814433,61.983814433,53.511134021
1003807314,SCHWARTZ,OSCAR,A,M.D.,M,I,969 N MASON RD,SUITE 250,SAINT LOUIS,MO,631416338,US,"Physician, Sleep Medicine",S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,23,59.885217391,41.069130435,29.433043478,27.09826087
1003807355,FAMOYIN,CHARLES,,M.D.,M,I,302 WESLEY ST,SUITE 3,JOHNSON CITY,TN,376011740,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,31.65,17.29,13.55,13.531666667
1003807355,FAMOYIN,CHARLES,,M.D.,M,I,302 WESLEY ST,SUITE 3,JOHNSON CITY,TN,376011740,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.37,70.23,55.06,54.748333333
1003807447,MYINT,TWINKLE,,M.D.,F,I,1850 LAKEPOINTE DR,#300,LEWISVILLE,TX,750576442,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,65,73.278923077,8.32,6.5227692308,6.5227692308
1003807496,SALAMA,ADEL,M,M.D.,M,I,1111B S JEFFERSON ST,,ROANOKE,VA,240164724,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,42,117,48.043589744,8.32,6.3485470085,6.3485470085
1003807496,SALAMA,ADEL,M,M.D.,M,I,1111B S JEFFERSON ST,,ROANOKE,VA,240164724,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,34,6.3532352941,1.42,1.1141176471,1.1141176471
1003807496,SALAMA,ADEL,M,M.D.,M,I,1111B S JEFFERSON ST,,ROANOKE,VA,240164724,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,430.7662963,70.23,55.06,54.757777778
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,21,1390,0.7902877698,0.44,0.3179784173,0.3179784173
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,21,630,28.571428571,23.66,18.549365079,18.549365079
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,13,21,663,11.039683258,8.28,6.4915837104,6.4915837104
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,432,22.609861111,18.5,14.388518519,14.388518519
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,14,26,477,11.400628931,8.41,6.1277777778,6.1277777778
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,18,41,1320,1.4682348485,1.08,0.8466666667,0.8466666667
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,12,510,4.7105882353,3.67,2.8773333333,2.8773333333
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,,11,940,0.4379787234,0.13,0.0871276596,0.0871276596
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,18,2112,0.7053977273,0.45,0.3284280303,0.3284280303
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,19,27,121.69814815,95.87,75.164074074,75.164074074
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,16,54,580,31.826206897,25.015,19.611827586,19.22637931
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,16,48,370,12.732432432,8.2032432432,6.4312162162,6.4287027027
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,171.15384615,57.613076923,45.167692308,42.459230769
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,509.76190476,180.54571429,141.54714286,138.73333333
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,1,32,32,32,1300,878.62,686.87875,800.84125
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,1,28,28,55,500,309.74,242.83490909,282.57327273
1003807538,SHELTON,CORNELL,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,15,43,43,1932.8465116,646.03302326,506.49418605,458.21093023
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,65,194,52.152525773,8.2148453608,5.5657731959,5.6334020619
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,26,50,14.145,1.42,0.9136,0.9136
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,76,12.802105263,3.0126315789,2.3623684211,1.6751315789
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,22.829285714,15.765,11.597142857
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,24,232.35,63.809166667,48.129583333,41.019583333
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.7275,38.544166667
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,50.495142857,8.1908571429,6.0748571429,3.5177142857
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,34.856363636,20.28,17.003636364
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,64,64,484.914375,99.5565625,68.90984375,47.48140625
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,32.344166667,27.056666667
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,3750,0.17,0.0468026667,0.0352133333,0.0352133333
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,174.92391304,23.808695652,14.921521739,10.787173913
1003807546,COLEMAN,SILVIA,E,MD,F,I,125 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Interventional Pain Management,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,128.04,33,24.8352,24.8352
1003807645,LUNIN,SCOTT,D,M.D.,M,I,3085 BOBCAT VILLAGE CENTER RD,,NORTH PORT,FL,342888972,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,70.873333333,17,13.33,13.54
1003807645,LUNIN,SCOTT,D,M.D.,M,I,3085 BOBCAT VILLAGE CENTER RD,,NORTH PORT,FL,342888972,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,419.67333333,81.13,63.6,54.72
1003807645,LUNIN,SCOTT,D,M.D.,M,I,3085 BOBCAT VILLAGE CENTER RD,,NORTH PORT,FL,342888972,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,15,71,4316,58.68,5.0930861909,3.8685565338,3.8685565338
1003807645,LUNIN,SCOTT,D,M.D.,M,I,3085 BOBCAT VILLAGE CENTER RD,,NORTH PORT,FL,342888972,US,Physician/Medical Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,5286,28.960393492,1.2880514567,0.9826939084,0.9826939084
1003807645,LUNIN,SCOTT,D,M.D.,M,I,3085 BOBCAT VILLAGE CENTER RD,,NORTH PORT,FL,342888972,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,15,26,26,24,24,18.150384615,18.150384615
1003807645,LUNIN,SCOTT,D,M.D.,M,I,3085 BOBCAT VILLAGE CENTER RD,,NORTH PORT,FL,342888972,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,18,64,64,16,16,12.54,12.54
1003807686,PRICE,MICHAEL,J,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,546018806,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,42,8388,2.5447544111,1.8116499762,1.3927610873,1.5541130186
1003807686,PRICE,MICHAEL,J,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,546018806,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,45,4458,6.8103880664,5.0905114401,3.9265881561,5.6039681472
1003807686,PRICE,MICHAEL,J,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,546018806,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,29,10.518965517,10.483103448,7.09,7.4268965517
1003807686,PRICE,MICHAEL,J,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,546018806,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,160,5.67075,5.517,4.32525,4.5
1003807686,PRICE,MICHAEL,J,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,546018806,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,184,1.5031521739,1.5010869565,1.1767934783,1.4111413043
1003807686,PRICE,MICHAEL,J,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,546018806,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,240,10.842458333,9.55875,7.4941666667,7.73
1003807686,PRICE,MICHAEL,J,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,546018806,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,340,4.3236470588,3.9866176471,3.0374117647,3.0753529412
1003807736,LEGENDRE,DIANE,I,"PHD, RPAC",F,I,144 E 1ST ST,,CORNING,NY,148302711,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,63,141,66.992269504,8.32,5.3939007092,5.3939007092
1003807736,LEGENDRE,DIANE,I,"PHD, RPAC",F,I,144 E 1ST ST,,CORNING,NY,148302711,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,24,82.845,20.620416667,16.162083333,13.287083333
1003807736,LEGENDRE,DIANE,I,"PHD, RPAC",F,I,144 E 1ST ST,,CORNING,NY,148302711,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,18,37.961111111,8.0433333333,6.3055555556,3.5666666667
1003807736,LEGENDRE,DIANE,I,"PHD, RPAC",F,I,144 E 1ST ST,,CORNING,NY,148302711,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,20,448.6305,80.598,59.573,50.969
1003807736,LEGENDRE,DIANE,I,"PHD, RPAC",F,I,144 E 1ST ST,,CORNING,NY,148302711,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,89,39.337272727,26.258181818,16.330909091
1003807736,LEGENDRE,DIANE,I,"PHD, RPAC",F,I,144 E 1ST ST,,CORNING,NY,148302711,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,21.558333333,21.558333333
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,89,241,737,73.336716418,8.32,5.5987516961,5.5987516961
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,31,62,96,12.531145833,1.42,0.9176041667,0.9176041667
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,272,2.3363970588,1.4113970588,1.1065808824,1.1065808824
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,34,9.825,6.44,4.75,4.75
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,140,7.9732142857,6.9253571429,5.4298571429,5.4827142857
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,190,4.9795263158,3.04,2.2516842105,2.2516842105
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,24,195.0475,71.56,56.105,56.105
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,300,8.28,8.28,6.4916333333,6.4916333333
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,497,18.5,18.5,14.503983903,14.503983903
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,29,61,5.0524590164,2.068852459,1.5801639344,1.1662295082
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.5483333333,1.2145833333,0.995
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,17,32,32,365.966875,118.79625,86.639375,62.9009375
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,17,42,83,149.21759036,47.203012048,36.623253012,26.474096386
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,20,56,46.045714286,19.802857143,15.474821429,12.432321429
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,19,29,29,170.7237931,75.425517241,53.867586207,40.687586207
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,33,45,45,61.204888889,24.886444444,18.814222222,14.028444444
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,31,51,51,71.039803922,21.27627451,16.183921569,9.3241176471
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,32,70,289,9.3639100346,3.0510034602,2.2576470588,1.5247750865
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,27,27,23.21,8.9659259259,6.8214814815,4.7214814815
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,18,18,46.53,15.620555556,12.241666667,10.34
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,58,62,77.069032258,22.461612903,15.636774194,12.514677419
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,11,49,49,38.834285714,19.742653061,14.610408163,10.145918367
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,36,41,39.787804878,7.7034146341,5.6546341463,3.2414634146
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,17,92,95,146.14252632,54.761473684,41.557368421,28.534736842
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,28,174,178,388.05191011,99.510842697,72.222022472,51.165561798
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,69.381538462,44.278461538,33.984615385,29.333076923
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,6027,0.3367098059,0.0453824457,0.0312941762,0.031292517
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,21,80,8061,2.0497891081,0.1332489766,0.0956804367,0.0956804367
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1305,10.518896552,3.0308505747,2.3762145594,2.3762145594
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,122.21,44.455714286,31.726190476,26.704761905
1003807900,OLBERDING,MARIA,L,M.D.,F,I,303 NICHOLAS DR,,MARSHALLTOWN,IA,501584443,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,25,92,92,44.836956522,33,24.464021739,24.464021739
1003808023,HEBL,LISA,M,PA-C,F,I,6351 E SUPERIOR ST,,DULUTH,MN,558042545,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,59,72.996271186,8.32,6.0803389831,6.0803389831
1003808098,HICKMAN,GUY,H,MD,M,I,1155 35TH LN,SUITE 100,VERO BEACH,FL,329606521,US,Physician/Orthopedic Surgery,S,E0140,"Walker, with trunk support, adjustable or fixed height, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,30.144,23.912,18.744,17.789333333
1003808098,HICKMAN,GUY,H,MD,M,I,1155 35TH LN,SUITE 100,VERO BEACH,FL,329606521,US,Physician/Orthopedic Surgery,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,34,99.06,73.059411765,57.277941176,57.026176471
1003808098,HICKMAN,GUY,H,MD,M,I,1155 35TH LN,SUITE 100,VERO BEACH,FL,329606521,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,84.53,29.8225,23.3775,21.7575
1003808098,HICKMAN,GUY,H,MD,M,I,1155 35TH LN,SUITE 100,VERO BEACH,FL,329606521,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,13,105,53.2,34.22,38.325384615
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,11,37,428,57.097803738,19.637570093,13.865046729,13.865046729
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,30,820,7.8080121951,2.6312195122,1.723304878,1.723304878
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,49,162,657,65.641780822,8.32,6.1305783866,6.1305783866
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,10.393684211,3.38,2.5105263158,2.5105263158
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,63,9.4988888889,1.42,1.0958730159,1.0958730159
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,78.0775,71.56,56.105,56.105
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,734.52909091,328.34727273,257.42181818,257.42181818
1003808122,AL RAYESS,KHALDOUN,M,MD,M,I,2121 N 1700 W,,LAYTON,UT,840418803,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,32,32,531.8771875,250.939375,193.8303125,193.96375
1003808163,LE,NHI,P,M.D.,F,I,307 CALHOUN PLZ,,PORT LAVACA,TX,779792421,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,15.134166667,11.275
1003808163,LE,NHI,P,M.D.,F,I,307 CALHOUN PLZ,,PORT LAVACA,TX,779792421,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,70.985833333,45.680833333
1003808197,YI,DAVID,H,MD,M,I,19 VILLAGE SQ,,CHELMSFORD,MA,018242712,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,156.66666667,66.973333333,48.030833333,48.409166667
1003808197,YI,DAVID,H,MD,M,I,19 VILLAGE SQ,,CHELMSFORD,MA,018242712,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,20,20,13.72,12.236875
1003808213,WALTON,JOSEPH,D,MD,M,I,670 LAWN AVE,SUITE 3A,SELLERSVILLE,PA,189601571,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,3.73,2.9254545455,3.4818181818
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,34,2400,0.5579,0.44,0.32775,0.32775
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,14,178,13.158932584,8.41,6.5934831461,6.5934831461
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,184,15.040706522,10.93,8.5691304348,8.5691304348
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,12,653,3.2620061256,2.4,1.8616539051,1.8616539051
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,414,4.9840096618,3.67,2.8773188406,2.8773188406
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,32,45,3286,0.1820024346,0.13,0.0982349361,0.0982349361
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,25,2116,0.6160160681,0.45,0.3527646503,0.3527646503
1003808270,MACK,SUSAN,A,NP,F,I,514 TEELA LN,,DES PLAINES,IL,600161230,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1998.4181818,664.72181818,521.14181818,504.31636364
1003808296,GROVER,JULIE,,NP,F,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,17.620833333,13.53
1003808296,GROVER,JULIE,,NP,F,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,279.4656,99.7544,71.0368,49.7824
1003808296,GROVER,JULIE,,NP,F,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,44.560909091,31.950909091,27.482727273
1003808312,PHAM,TRUC,T,M.D.,F,I,3985 STEVE REYNOLDS BLVD,SUITE K 102,NORCROSS,GA,300933035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,45,72,72.809444444,8.32,5.6163888889,5.6163888889
1003808312,PHAM,TRUC,T,M.D.,F,I,3985 STEVE REYNOLDS BLVD,SUITE K 102,NORCROSS,GA,300933035,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.407857143,1.42,0.96,0.96
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,36,89,251,66.23250996,8.32,6.0541832669,6.0541832669
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.161428571,3.38,2.65,2.65
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,42,62,15.073548387,1.42,1.0259677419,1.0259677419
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,2200,4.7472727273,2.04,1.59935,1.59935
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,660,7.4090909091,3.1,2.220969697,2.220969697
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,740,0.1285945946,0.12,0.094027027,0.094027027
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,97.108181818,36.58,26.063636364,27.592727273
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,1347,0.5908760208,0.45,0.3527765405,0.3527765405
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,265.97894737,93.267894737,59.130526316,54.564736842
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,41,110.69560976,35.521219512,26.271463415,24.394146341
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,11,30,138,66.660434783,19.454130435,13.553985507,12.982971014
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,13,31,31,190.8016129,56.663870968,40.138387097,38.712258065
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,25,25,53.6684,18.1008,13.2696,13.1444
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,32,32,61.500625,12.23375,8.559375,8.12375
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,41,234,9.6605128205,2.0882905983,1.4632905983,1.4165811966
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,24.418666667,6.4253333333,4.714,4.3513333333
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,12,16,16,32.913125,12.981875,8.90625,9.07875
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,44.923793103,6.7024137931,4.92,3.4848275862
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,32,38,245.30105263,37.477105263,27.827894737,24.502631579
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,59,59,448.21881356,79.146949153,58.001525424,51.804067797
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,26,166.92307692,37.15,28.009615385,28.291153846
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.179615385,8.7145,8.7145
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1170,1.4128888889,0.1331538462,0.1044017094,0.1044017094
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,870,12.308931034,3.0057586207,2.3565517241,2.3565517241
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,28,146.87785714,37.15,27.049285714,27.422857143
1003808320,MADSEN,LISA,M,M.D.,F,I,23351 PRAIRIE STAR PKWY,SUITE A245,LENEXA,KS,662276201,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,92.4,33,24.871333333,24.871333333
1003808403,CRIVEANU,LUCIA,,MD,F,I,800 MEDICAL CAMPUS DR,,BURNSVILLE,NC,287149010,US,Physician/Pediatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,13,10.93,8.57,8.57
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,30,30,83.122,41.293,31.334,29.525333333
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,19,35,35,381.20971429,91.259428571,62.702857143,59.310571429
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,15,33,73,130.82287671,34.301369863,23.843424658,22.934520548
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,83,92.341204819,18,14.111807229,14.552048193
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,19,74,49.568108108,16.242432432,11.097972973,10.266486486
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,22,29,29,203.01724138,59.924827586,46.520689655,42.414482759
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,37,40,40,75.59875,18.74925,13.6365,13.04325
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,58.250909091,10.45,7.4454545455,7.4127272727
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,23,23,60.112173913,12.01826087,8.6056521739,8.3269565217
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,36,60,296,6.8359459459,2.0788513514,1.5429391892,1.5179054054
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,23,27,27,19.217407407,6.2137037037,4.3796296296,4.3114814815
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,26,29,29,46.37,13.132758621,10.294482759,10.335862069
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,60,19.0075,14.900833333,13.535
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,19,627.80157895,87.977368421,66.027368421,65.029473684
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,122.12763158,37.470263158,26.583684211,23.124473684
1003808452,LEFOR,MICHAEL,J,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,19,527.95526316,79.263157895,62.142631579,56.856315789
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,24,44,44,89.708181818,40.888863636,32.055227273,30.806590909
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,29,29,328.38896552,88.245862069,65.378965517,64.233448276
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,26,49,143.00857143,32.449795918,25.138163265,25.548979592
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,20,91,92.814065934,20.61010989,15.199010989,14.181318681
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,11,18,89,51.351460674,15.336966292,11.164494382,11.040786517
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,25,42,42,220.13785714,59.681666667,44.78,41.618333333
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,30,37,37,66.476756757,18.785945946,14.730810811,14.31972973
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,26,26,63.969230769,12.040384615,8.3488461538,8.0676923077
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,36,76,338,7.4581065089,2.1133727811,1.6243195266,1.5826923077
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,20,20,19.5935,6.059,4.5125,4.4255
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,23,27,27,50.667037037,13.142592593,10.302222222,10.341111111
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,18,12.239166667,11.716666667
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,2897.6341176,1052.85,583.90764706,594.96470588
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,274.75333333,87.423333333,68.540833333,67.6375
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,689.86636364,230.58454545,167.13681818,151.93954545
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,453.76,132.60454545,99.539090909,100.16181818
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,88,89,191.70191011,37.262696629,27.319438202,24.492921348
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,319.55236842,76.920526316,57.121578947,51.992894737
1003808486,LIBBY,LOUIS,S,MD,M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,69.381538462,39.947692308,31.319230769,29.581923077
1003808494,CHANG,ANDREW,,M.D.,M,I,18350 ROSCOE BLVD,SUITE 101,NORTHRIDGE,CA,913254109,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,26,26,49.807692308,49.807692308,32.217692308,45.978076923
1003808494,CHANG,ANDREW,,M.D.,M,I,18350 ROSCOE BLVD,SUITE 101,NORTHRIDGE,CA,913254109,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,39.5,39.5,28.587692308,41.42
1003808510,KOPLIN,KAREN,E,CNP,F,I,3632 RIDGEWOOD RD,,FAIRLAWN,OH,443333124,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,25,25,171.2868,38.2576,25.1736,25.626
1003808510,KOPLIN,KAREN,E,CNP,F,I,3632 RIDGEWOOD RD,,FAIRLAWN,OH,443333124,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,462.84666667,85.152222222,59.333888889,60.483888889
1003808510,KOPLIN,KAREN,E,CNP,F,I,3632 RIDGEWOOD RD,,FAIRLAWN,OH,443333124,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,50,171.9128,31.236,23.1132,24.562
1003808510,KOPLIN,KAREN,E,CNP,F,I,3632 RIDGEWOOD RD,,FAIRLAWN,OH,443333124,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,87.383333333,17.2225,13.498333333,13.984166667
1003808510,KOPLIN,KAREN,E,CNP,F,I,3632 RIDGEWOOD RD,,FAIRLAWN,OH,443333124,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,23,130,13.676307692,2.0101538462,1.5276153846,1.5420769231
1003808510,KOPLIN,KAREN,E,CNP,F,I,3632 RIDGEWOOD RD,,FAIRLAWN,OH,443333124,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,257.82,30.867741935,20.470322581,19.748709677
1003808528,JORDAN,JENNIFER,A,M.D.,F,I,1130 BEACHVIEW ST,SUITE 240,DALLAS,TX,752183700,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,219.61466667,88.556,69.432666667,67.847333333
1003808528,JORDAN,JENNIFER,A,M.D.,F,I,1130 BEACHVIEW ST,SUITE 240,DALLAS,TX,752183700,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,41,88.218536585,34.137560976,24.784390244,24.022439024
1003808528,JORDAN,JENNIFER,A,M.D.,F,I,1130 BEACHVIEW ST,SUITE 240,DALLAS,TX,752183700,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,11,11,41.029090909,17.317272727,12.345454545,12.845454545
1003808528,JORDAN,JENNIFER,A,M.D.,F,I,1130 BEACHVIEW ST,SUITE 240,DALLAS,TX,752183700,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,18,18,40.16,12.365555556,8.6,8.1066666667
1003808528,JORDAN,JENNIFER,A,M.D.,F,I,1130 BEACHVIEW ST,SUITE 240,DALLAS,TX,752183700,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,17,99,6.8754545455,2.1787878788,1.7088888889,1.5928282828
1003808544,BRODSKY,CRAIG,M,,M,I,1000 NW 9TH CT,SUITE 201,BOCA RATON,FL,334862268,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,35.531818182,27.860909091,25.501818182
1003808551,ELLISON,PAUL,S,MD,M,I,100210 OVERSEAS HWY,STE 3,KEY LARGO,FL,330372526,US,Physician/Orthopedic Surgery,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,1250,875.56,677.30272727,668.55272727
1003808551,ELLISON,PAUL,S,MD,M,I,100210 OVERSEAS HWY,STE 3,KEY LARGO,FL,330372526,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,23,26,78,54.326923077,39.796153846,43.418461538
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,41,80,80,112.4265,38.408625,27.3085,27.687125
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,27,55,55,260.55254545,84.210181818,57.596181818,59.584363636
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,22,49,127,96.408661417,32.159606299,23.502598425,24.21488189
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,21,39,185,52.858918919,18.453351351,13.575189189,13.662648649
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,11,21,121,43.28892562,15.176942149,10.513966942,10.76322314
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,38,77,77,173.54402597,56.987792208,41.070779221,39.398051948
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,58,84,84,52.58,17.541904762,12.210833333,12.523452381
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,26,54,54,61.611481481,11.685,8.0266666667,8.0068518519
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,57,122,669,8.5472944694,2.0183856502,1.4907174888,1.4994618834
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,21,29,29,19.947586207,5.77,4.2175862069,4.3496551724
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,40,53,53,41.772830189,13.371509434,10.076037736,9.950754717
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,32,33,538.13090909,86.028181818,67.440909091,68.958181818
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,487.66333333,130.73166667,102.49,104.66
1003808593,AN,YOUNG,H,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,24,147,147,135.76843537,31.643741497,21.782108844,21.746530612
1003808619,BARFIELD,AMY,L,M.D.,F,I,2500 HOSPITAL BLVD STE 130,,ROSWELL,GA,300764946,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,40,62,69.540645161,8.32,4.7677419355,4.7677419355
1003808619,BARFIELD,AMY,L,M.D.,F,I,2500 HOSPITAL BLVD STE 130,,ROSWELL,GA,300764946,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,12.658,1.42,0.952,0.952
1003808627,LEE,MAX,M,MD,M,I,19711 1ST AVE S,,NORMANDY PARK,WA,981482401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,47,73,64.984794521,8.32,6.4347945205,6.4347945205
1003808627,LEE,MAX,M,MD,M,I,19711 1ST AVE S,,NORMANDY PARK,WA,981482401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,16,16,17.500625,1.42,1.05,1.05
1003808676,PHILLIPS,BENJAMIN,E,M.D.,M,I,164 N BROADWAY,,GREEN BAY,WI,543032728,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,39,39,70.824871795,70.824871795,54.21974359,51.784871795
1003808676,PHILLIPS,BENJAMIN,E,M.D.,M,I,164 N BROADWAY,,GREEN BAY,WI,543032728,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,31,65.693548387,50.347419355,36.835806452,40.877741935
1003808676,PHILLIPS,BENJAMIN,E,M.D.,M,I,164 N BROADWAY,,GREEN BAY,WI,543032728,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,49,76.804897959,66.61,52.224285714,53.827142857
1003808742,MARTIN REYES,ELBA,R,MD,F,I,AVE SAN PATRICIO # 101,MARAMAR PLAZA SUITE 1240,GUAYNABO,PR,009684484,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,92.47875,84.1325,65.95875,60.055
1003808742,MARTIN REYES,ELBA,R,MD,F,I,AVE SAN PATRICIO # 101,MARAMAR PLAZA SUITE 1240,GUAYNABO,PR,009684484,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,19,19,27.954210526,25.82,20.240526316,17.585789474
1003808742,MARTIN REYES,ELBA,R,MD,F,I,AVE SAN PATRICIO # 101,MARAMAR PLAZA SUITE 1240,GUAYNABO,PR,009684484,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,25,25,23.8308,21.7484,17.0476,14.484
1003808742,MARTIN REYES,ELBA,R,MD,F,I,AVE SAN PATRICIO # 101,MARAMAR PLAZA SUITE 1240,GUAYNABO,PR,009684484,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,26,129,3.6280620155,3.3125581395,2.5968992248,2.2658914729
1003808742,MARTIN REYES,ELBA,R,MD,F,I,AVE SAN PATRICIO # 101,MARAMAR PLAZA SUITE 1240,GUAYNABO,PR,009684484,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,18,18,9.175,8.405,6.595,5.5994444444
1003808742,MARTIN REYES,ELBA,R,MD,F,I,AVE SAN PATRICIO # 101,MARAMAR PLAZA SUITE 1240,GUAYNABO,PR,009684484,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,21.688181818,18.673333333,14.640909091,13.241212121
1003808742,MARTIN REYES,ELBA,R,MD,F,I,AVE SAN PATRICIO # 101,MARAMAR PLAZA SUITE 1240,GUAYNABO,PR,009684484,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,11,60,68,65.311176471,49.753088235,39.004558824,32.613235294
1003808783,YEZERSKI,JOHN,A,MD,M,I,300 S 8TH ST,SUITE 178W,MURRAY,KY,420712444,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,66.650833333,53.2,38.725833333,42.5925
1003808858,ABEL,WALLACE,K,MD,M,I,311 W LINCOLN ST STE 200,,BELLEVILLE,IL,622201902,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,54,76.36537037,8.32,4.0759259259,4.0759259259
1003808858,ABEL,WALLACE,K,MD,M,I,311 W LINCOLN ST STE 200,,BELLEVILLE,IL,622201902,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,21,2.72,2.5942857143,1.6333333333,1.7552380952
1003808858,ABEL,WALLACE,K,MD,M,I,311 W LINCOLN ST STE 200,,BELLEVILLE,IL,622201902,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,25,50.5024,18.172,12.9544,12.2264
1003808858,ABEL,WALLACE,K,MD,M,I,311 W LINCOLN ST STE 200,,BELLEVILLE,IL,622201902,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,11.77,9.0972727273,5.6618181818,5.04
1003808874,LOBATO,MARLENE,M,MD,F,I,173 MINEOLA BLVD,SUITE 403,MINEOLA,NY,115012555,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,68,61.486764706,8.32,6.1382352941,6.1382352941
1003808874,LOBATO,MARLENE,M,MD,F,I,173 MINEOLA BLVD,SUITE 403,MINEOLA,NY,115012555,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,27,15.457037037,1.42,1.0718518519,1.0718518519
1003808924,BRYAN,THORNTON,E,MD,M,I,701 E PARKCENTER BLVD,,BOISE,ID,837066528,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,58,63.25637931,8.32,5.6218965517,5.6218965517
1003808924,BRYAN,THORNTON,E,MD,M,I,701 E PARKCENTER BLVD,,BOISE,ID,837066528,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,122.25,34.823333333,23.296666667,21.16
1003809021,SMITH,MATTHEW,S,M.D.,M,I,3525 LAKELAND HILLS BLVD,LAKELAND REGIONAL CANCER CENTER,LAKELAND,FL,338051965,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,0.39,0.13,0.0926262626,0.0926262626
1003809021,SMITH,MATTHEW,S,M.D.,M,I,3525 LAKELAND HILLS BLVD,LAKELAND REGIONAL CANCER CENTER,LAKELAND,FL,338051965,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,48,8060,4.0562903226,2.0385111663,1.5223796526,1.5235471464
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,48,52.914791667,8.32,5.9777083333,5.9777083333
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,204,2.49,2.49,1.9516666667,1.9516666667
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,35.74,35.74,28.02,28.02
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,13.28,13.28,10.41,10.41
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,35,11.311428571,10.51,7.7691428571,7.9831428571
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,36,7.46,7.46,5.85,5.85
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.9338333333,2.9338333333,2.1179545455,2.2482878788
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,924,0.44,0.44,0.345,0.345
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,496,8.28,8.28,6.4916129032,6.4916129032
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,798,18.5,18.5,14.471716792,14.471716792
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,270,2.4,2.4,1.8816296296,1.8816296296
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,5.3125,2.59275,2.0327083333,2.0327083333
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1352,2.0186908284,1.2717825444,0.997056213,0.997056213
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2056,0.3275826848,0.0444649805,0.0348589494,0.0348589494
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1003809096,GOLDBERG,ROBERT,P,MD,M,I,22 W MAIN ST,,NIANTIC,CT,063572340,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,33,33,25.87,25.87
1003809252,MCGINNIS,SHANI,,DPM,F,I,14408 E SPRAGUE AVE,,SPOKANE VALLEY,WA,992162167,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,29,29,58,100.6562069,71.56,54.629827586,54.629655172
1003809252,MCGINNIS,SHANI,,DPM,F,I,14408 E SPRAGUE AVE,,SPOKANE VALLEY,WA,992162167,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,28,29,156,97.53025641,43.56,33.15,33.148589744
1003809336,CARROLL,ALAN,L,MD,M,I,310 S SETON AVE,,EMMITSBURG,MD,217279227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,29,91,70.27978022,8.32,5.6615384615,5.6615384615
1003809385,SANTAROSA,RICHARD,P,MD,M,I,166 W BROAD ST,SUITE 404,STAMFORD,CT,069023661,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,2660,0.39,0.13,0.093481203,0.093481203
1003809385,SANTAROSA,RICHARD,P,MD,M,I,166 W BROAD ST,SUITE 404,STAMFORD,CT,069023661,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,3270,4.1110091743,2.0396330275,1.5695810398,1.5698685015
1003809385,SANTAROSA,RICHARD,P,MD,M,I,166 W BROAD ST,SUITE 404,STAMFORD,CT,069023661,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,5000,8.6438,7.23,5.606632,5.606632
1003809385,SANTAROSA,RICHARD,P,MD,M,I,166 W BROAD ST,SUITE 404,STAMFORD,CT,069023661,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,32,19.46875,10.475,7.6975,8.06
1003809385,SANTAROSA,RICHARD,P,MD,M,I,166 W BROAD ST,SUITE 404,STAMFORD,CT,069023661,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,8.68,4.0333333333,2.9009166667,2.9067916667
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,55,55.307272727,8.32,6.2565454545,6.2565454545
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,22,13.885909091,1.42,0.9636363636,0.9636363636
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2180,1.7272477064,1.7272477064,1.2883394495,1.5335366972
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,1.7945454545,1.7945454545,1.4065909091,1.41
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17,13.33,13.54
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,24,34.865,3.8575,2.8675,3.4883333333
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,77.18,60.51,54.72
1003809393,KOWALSKI,PETER,F,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,47.805,16.659166667,13.061666667,14.775833333
1003809401,USUKA,DEVYN,L,O.D.,M,I,123 E MARKET ST,,ORWIGSBURG,PA,179611953,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,59.685,59.465,43.653125,48.90125
1003809401,USUKA,DEVYN,L,O.D.,M,I,123 E MARKET ST,,ORWIGSBURG,PA,179611953,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,45.590909091,45.590909091,35.743181818,49.423181818
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,54,154,459,67.986514161,8.3161655773,6.0073420479,6.0103485839
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,14.73,3.38,2.4090909091,2.4090909091
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,23,48,90,15.456777778,1.42,1.0626666667,1.0626666667
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,318.87705882,94.86,70.855294118,53.892941176
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.387545455,8.7143333333,8.7143333333
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,900,0.17,0.0472666667,0.0370111111,0.0370111111
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1559,1.2132456703,0.1399294419,0.1027325208,0.1027325208
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.1751666667,2.4893611111,2.4893611111
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,68.15,44.745,32.344166667,27.6525
1003809427,MELTON-SMITH,RENEE,,MD,F,I,807 SCHENCK ST,STE 2,SHELBY,NC,281505122,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,90.722222222,33,24.432777778,24.432777778
1003809435,FLORES,MARIA,R,M.D.,F,I,70 W GORE ST,SUITE 100,ORLANDO,FL,328061124,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,336,58.68,4.9919940476,3.4867559524,3.4867559524
1003809443,STARRETT,RICHARD,P,MD,M,I,1021 JUNE ST,SUITE 103,HOOD RIVER,OR,970311516,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,25,77.9296,8.32,5.478,5.478
1003809484,BEREND,KEITH,R,MD,M,I,7277 SMITHS MILL RD,SUITE 200,NEW ALBANY,OH,430548195,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,2,41,41,41,46.835365854,20.293170732,15.528292683,17.822439024
1003809484,BEREND,KEITH,R,MD,M,I,7277 SMITHS MILL RD,SUITE 200,NEW ALBANY,OH,430548195,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,35,35,35,104.27142857,62.397714286,48.917428571,37.730857143
1003809484,BEREND,KEITH,R,MD,M,I,7277 SMITHS MILL RD,SUITE 200,NEW ALBANY,OH,430548195,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1096.4981818,668.52,524.12,480.63
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,35,4010,0.39,0.13,0.0927730673,0.0927730673
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,2410,4.1056016598,1.7291701245,1.2991742739,1.5428381743
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,40,6320,10.39335443,7.23,5.6040981013,5.6040981013
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,40,29.1175,10.305,7.43675,7.92675
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,30,8.5253333333,7.06,5.166,5.4643333333
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,210,10.02,3.32,2.479047619,2.938952381
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,14.413666667,5.74,4.5001,4.5001
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,84,4.32,1.8,1.4104761905,1.4104761905
1003809492,BOWDITCH,ROBERT,R,MD,M,I,301 HOFFMAN ST,,ELMIRA,NY,149052220,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,380,24.426105263,9.58,6.9358947368,6.9358947368
1003809518,HOUSER,WILLIAM,L,M.D.,M,I,250 DEBARTOLO PL,SUITE 1510,YOUNGSTOWN,OH,445127004,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.5041666667,4.7716666667,2.535
1003809518,HOUSER,WILLIAM,L,M.D.,M,I,250 DEBARTOLO PL,SUITE 1510,YOUNGSTOWN,OH,445127004,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2027,0.5648988653,0.0458164776,0.0359250123,0.0359250123
1003809518,HOUSER,WILLIAM,L,M.D.,M,I,250 DEBARTOLO PL,SUITE 1510,YOUNGSTOWN,OH,445127004,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,930,9.5476344086,2.9774193548,2.2222150538,2.2222150538
1003809518,HOUSER,WILLIAM,L,M.D.,M,I,250 DEBARTOLO PL,SUITE 1510,YOUNGSTOWN,OH,445127004,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,33,33,24.694090909,24.694090909
1003809542,DIMARTINO,THOMAS,C,MD,M,I,201 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,67.593888889,8.32,6.1616666667,6.1616666667
1003809542,DIMARTINO,THOMAS,C,MD,M,I,201 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,243.20545455,72.492727273,48.547272727,35.067272727
1003809542,DIMARTINO,THOMAS,C,MD,M,I,201 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,77.551818182,24.64,17.899090909,12.781818182
1003809542,DIMARTINO,THOMAS,C,MD,M,I,201 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,11.94375,2.99,2.2922916667,1.5414583333
1003809542,DIMARTINO,THOMAS,C,MD,M,I,201 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,86.31,21.985,17.235,13.53
1003809542,DIMARTINO,THOMAS,C,MD,M,I,201 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,516.5688,101.5632,79.6276,56.35
1003809575,MARRONE,MARK,G,MD,M,I,18302 MIDDLEBELT RD,,LIVONIA,MI,481525007,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,46,8130,3.6532349323,0.5660110701,0.4335633456,0.4335584256
1003809575,MARRONE,MARK,G,MD,M,I,18302 MIDDLEBELT RD,,LIVONIA,MI,481525007,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,41,6150,0.0889138211,0.0128780488,0.0101056911,0.0101056911
1003809575,MARRONE,MARK,G,MD,M,I,18302 MIDDLEBELT RD,,LIVONIA,MI,481525007,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1080,2.401287037,0.7405,0.5805277778,0.5805277778
1003809575,MARRONE,MARK,G,MD,M,I,18302 MIDDLEBELT RD,,LIVONIA,MI,481525007,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,45,7920,3.4009393939,1.2296590909,0.9429608586,0.9429608586
1003809575,MARRONE,MARK,G,MD,M,I,18302 MIDDLEBELT RD,,LIVONIA,MI,481525007,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,3240,6.1103055556,2.8070740741,2.2007407407,2.2007407407
1003809575,MARRONE,MARK,G,MD,M,I,18302 MIDDLEBELT RD,,LIVONIA,MI,481525007,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,58,58,24,24,18.18,18.18
1003809575,MARRONE,MARK,G,MD,M,I,18302 MIDDLEBELT RD,,LIVONIA,MI,481525007,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,110,118,16,16,12.540423729,12.540423729
1003809583,NAYFA,TERRY,M,DPM,M,I,3612 NW 50TH ST,,OKLAHOMA CITY,OK,731125642,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,200,71.56,48.881666667,48.88125
1003809583,NAYFA,TERRY,M,DPM,M,I,3612 NW 50TH ST,,OKLAHOMA CITY,OK,731125642,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,34,44,106.055,96.59,73.409545455,61.936818182
1003809583,NAYFA,TERRY,M,DPM,M,I,3612 NW 50TH ST,,OKLAHOMA CITY,OK,731125642,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,254.47111111,251.28,185.51,206.32166667
1003809583,NAYFA,TERRY,M,DPM,M,I,3612 NW 50TH ST,,OKLAHOMA CITY,OK,731125642,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,40,166.1215,163.78,116.32525,114.8215
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,1120,0.55,0.44,0.3449821429,0.3449821429
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,27,35,374,10.08,8.28,6.4044117647,6.4044117647
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,13,152,22.53,18.5,14.503947368,14.503947368
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,164,10.24,8.41,6.593597561,6.593597561
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,25,428,4.46,3.67,2.8774299065,2.8774299065
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,27,34,3850,0.16,0.13,0.1019142857,0.1019142857
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,29,1888,0.56,0.45,0.3528019068,0.3528019068
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,15,720,2.41,1.97,1.5445,1.5445
1003809633,HASHMI,MASUD,S,MD,M,I,500 E POTTAWATAMIE ST,,TECUMSEH,MI,492862018,US,Physician/General Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,21,28,116.77,95.87,75.165714286,75.165714286
1003809708,GRANILLO,CHERYL,,CNP,F,I,125 CHAPARREL BLVD NW,,DEMING,NM,880308629,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,46,63.674782609,8.32,5.8145652174,5.8145652174
1003809708,GRANILLO,CHERYL,,CNP,F,I,125 CHAPARREL BLVD NW,,DEMING,NM,880308629,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,17.467142857,1.42,0.9542857143,0.9542857143
1003809708,GRANILLO,CHERYL,,CNP,F,I,125 CHAPARREL BLVD NW,,DEMING,NM,880308629,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,64.49,63.081818182,45.694545455,36.064545455
1003809708,GRANILLO,CHERYL,,CNP,F,I,125 CHAPARREL BLVD NW,,DEMING,NM,880308629,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,34.968333333,26.5775
1003809724,DAMIN,DEREK,A,MD,M,I,163 SOUTH ENGLISH STATION ROAD,,LOUISVILLE,KY,402453996,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,23,92,122.01902174,19.696521739,15.441956522,15.441956522
1003809724,DAMIN,DEREK,A,MD,M,I,163 SOUTH ENGLISH STATION ROAD,,LOUISVILLE,KY,402453996,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,11100,37.829891892,9.8420036036,7.7161306306,7.7161306306
1003809724,DAMIN,DEREK,A,MD,M,I,163 SOUTH ENGLISH STATION ROAD,,LOUISVILLE,KY,402453996,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,1990,231.07001005,42.323160804,33.181351759,33.181351759
1003809724,DAMIN,DEREK,A,MD,M,I,163 SOUTH ENGLISH STATION ROAD,,LOUISVILLE,KY,402453996,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,23,112,5.2914285714,2.6385714286,2.0688392857,2.0688392857
1003809724,DAMIN,DEREK,A,MD,M,I,163 SOUTH ENGLISH STATION ROAD,,LOUISVILLE,KY,402453996,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,375,358.5,281.06,281.06
1003809765,WILSON,LISHA,L,MD,F,I,400 29TH ST,STE 501,OAKLAND,CA,946093550,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,35,81.933714286,8.32,5.7757142857,5.7757142857
1003809765,WILSON,LISHA,L,MD,F,I,400 29TH ST,STE 501,OAKLAND,CA,946093550,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,14.552666667,1.42,0.9706666667,0.9706666667
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,43,92,67.120978261,8.32,5.4760869565,5.4760869565
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,22,13.335909091,1.42,0.9145454545,0.9145454545
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,84,89.699047619,18.39,12.361904762,12.480357143
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,235.3735,57.4225,40.584,38.5115
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,80.235384615,18.957692308,13.659230769,12.978461538
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,77.239166667,12.541666667,7.5416666667,6.8583333333
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,23,122,11.113442623,2.0332786885,1.4474590164,1.4454098361
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,31.34,19.4,19.51
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,540.39538462,69.99,54.042692308,53.908076923
1003809831,CUNNINGHAM,KEVIN,J,M.D.,M,I,5950 UNIVERSITY AVE,STE 151,WEST DES MOINES,IA,50266,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.68,27.793333333,27.050833333
1003809898,ARBABI,MOHAMMAD,H,MD,M,I,6500 FRANCE AVE S,,EDINA,MN,554351700,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,304,78.49,61.53,56.43
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,106,223,223,80.015560538,40.269058296,30.798340807,29.789775785
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,22,23,23,36.610869565,11.113913043,8.7143478261,9.0269565217
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,58,119,119,250.48840336,90.959747899,70.603361345,67.303865546
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,54,118,318,94.153018868,33.13672956,25.505566038,25.43836478
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,54,104,510,56.598607843,19.178803922,14.682529412,14.258294118
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,38,95,445,53.281865169,15.48411236,11.325865169,11.112359551
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,93,184,184,165.55820652,54.470923913,41.291304348,41.431793478
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,137,176,176,55.412215909,18.815965909,14.435909091,13.812272727
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,12,12,40.990833333,10.52,6.9866666667,6.9183333333
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,32,56,56,76.737678571,11.997678571,8.9583928571,8.7021428571
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,140,293,1587,10.099407687,2.1059861374,1.6311090107,1.5749653434
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,24,31,31,21.295806452,6.0006451613,4.7006451613,4.66
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,89,126,126,44.272301587,12.900079365,10.036269841,10.277698413
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,103,110,82.721636364,16.96,12.816363636,13.036727273
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125,16.96,13.3,13.54
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,20,22,411.35909091,87.631818182,63.172272727,63.689545455
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,642.17,218.15,171.03,165.24
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,42,42,42,345.93666667,132.14642857,103.20571429,104.22309524
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,29,161,161,24.002298137,5.870310559,4.281552795,3.4462732919
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,64,372,374,219.20304813,31.764919786,23.236229947,24.017834225
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,43,322,329,339.80404255,76.843100304,57.766413374,52.877173252
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,130,130,93.467692308,39.052461538,29.199769231,28.187615385
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,960,16.323302083,9.653875,7.4191875,7.4191875
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,19,44,12246,0.3426375959,0.0466062388,0.0343957211,0.0343949045
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,3119,1.3117601795,0.1335043283,0.1011862777,0.1011862777
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0155384615,2.3642051282,2.3642051282
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,173.20823529,39.26,28.969411765,27.848823529
1003809930,ORR,ROBERT,R,D.O.,M,I,9171 W THUNDERBIRD RD,SUITE 101,PEORIA,AZ,853814872,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,24,60,60,54.45,33,24.868333333,24.868333333
1003809963,REXINGER,KENNETH,L,M.D.,M,I,831 VIA SUERTE,SUITE 102,SAN CLEMENTE,CA,926736531,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,45,77.193333333,8.32,6.522,6.522
1003810029,WORCESTER,GARY,L,MD,M,I,3433 NW 56TH ST,STE 400,OKLAHOMA CITY,OK,731124430,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,19,81,7.74,2.8948148148,2.1824691358,1.7145679012
1003810029,WORCESTER,GARY,L,MD,M,I,3433 NW 56TH ST,STE 400,OKLAHOMA CITY,OK,731124430,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,130.46315789,17.5,13.72,13.606315789
1003810029,WORCESTER,GARY,L,MD,M,I,3433 NW 56TH ST,STE 400,OKLAHOMA CITY,OK,731124430,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,166.72416667,71.6075,56.1375,31.608333333
1003810029,WORCESTER,GARY,L,MD,M,I,3433 NW 56TH ST,STE 400,OKLAHOMA CITY,OK,731124430,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,32,423.45875,77.8,60.0634375,55.94875
1003810029,WORCESTER,GARY,L,MD,M,I,3433 NW 56TH ST,STE 400,OKLAHOMA CITY,OK,731124430,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3750,2725.2976923,2136.6338462,2136.6338462
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,52,142,286,69.738986014,8.32,5.7805594406,5.7805594406
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,15.333333333,3.38,2.65,2.65
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,30,57,63,17.22968254,1.42,1.0292063492,1.0292063492
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,20,20,138.738,38.24,28.9025,29.3615
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,61,74.052459016,17.75,13.916065574,14.489016393
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,53,60.516981132,15,11.76,11.865849057
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,13,23,23,211.05956522,51.86,40.66,42.573043478
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,18,18,60.75,17.48,13.7,14.02
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,27,119,9.6551260504,1.9,1.49,1.5742016807
1003810037,MUNIZ,LEOPOLDO,M,M.D.,M,I,101 SUMMERWOOD WAY,,AIKEN,SC,29803,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,14,97,97,153.98556701,31.679793814,24.035257732,24.782680412
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,54,99,99,62.054141414,37.715959596,27.770707071,28.631818182
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,27,49,49,167.40265306,89.538571429,65.4,63.363877551
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,25,52,108,57.092407407,34.501851852,25.871481481,24.831851852
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,25,55,243,31.401234568,19.853333333,15.459423868,14.469917695
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,26,45,193,26.098393782,15.982020725,12.139274611,11.624196891
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,47,84,84,95.797142857,58.474761905,43.99952381,41.578095238
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,72,91,91,31.297912088,17.47010989,13.098461538,13.442417582
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,12.6625,10.5525,8.27,8.130625
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,30,30,28.031,12.573333333,9.5316666667,8.8386666667
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,71,135,696,4.1651293103,2.2496982759,1.6695402299,1.5110344828
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,34,41,41,25.204146341,12.996585366,8.6958536585,8.833902439
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,34,35,150.67428571,95.411428571,66.889714286,62.482
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,289.5,256.09846154,200.78230769,178.65692308
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,38,38,38,174.50526316,145.79263158,111.39394737,102.37578947
1003810086,WILLIAMS,NEIL,P,MD,M,I,400 W IH 635 FWY,STE 360,IRVING,TX,750633764,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,46,228,232,67.946724138,35.572025862,25.419913793,23.719051724
1003810441,GRAY,TIMOTHY,J,D.O.,M,I,1909 MOUNTAIN VIEW LN,SUITE 200,FOREST GROVE,OR,971162893,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,79,245,65.290204082,8.32,5.9898367347,5.9898367347
1003810441,GRAY,TIMOTHY,J,D.O.,M,I,1909 MOUNTAIN VIEW LN,SUITE 200,FOREST GROVE,OR,971162893,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,17,22,13.175454545,1.42,1.0145454545,1.0145454545
1003810441,GRAY,TIMOTHY,J,D.O.,M,I,1909 MOUNTAIN VIEW LN,SUITE 200,FOREST GROVE,OR,971162893,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,230,10.742347826,7,5.2493913043,5.2493913043
1003810441,GRAY,TIMOTHY,J,D.O.,M,I,1909 MOUNTAIN VIEW LN,SUITE 200,FOREST GROVE,OR,971162893,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,29,30,710.21333333,35.625,26.779,23.638
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,137.15,42.2945,33.16,30.5085
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,275.09333333,95.178666667,72.560666667,68.574
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,27,106.15111111,35.105925926,27.523703704,25.918888889
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,62,60.35483871,23.571290323,18.479677419,14.550483871
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,23,23,190.36869565,64.844347826,50.839565217,42.944347826
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,19,24,24,64.294166667,20.2975,15.908333333,14.063333333
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,57.515625,14.816875,11.616875,9.12
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,35,203,7.2779310345,2.4532019704,1.922955665,1.5926108374
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,12,13,13,54.314615385,13.518461538,10.597692308,10.315384615
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,76.144,20.8556,15.754,12.9908
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,1006.0836364,233.25045455,176.34681818,160.89409091
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,46,49,288.95836735,43.197346939,33.063673469,25.838163265
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,27,227,236,280.98504237,85.4775,61.89940678,52.453898305
1003810482,WEBER,ANDREA,L,M.D.,F,I,26659 PLEASANT PARK RD,,CONIFER,CO,804337714,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,122.43243243,38.845135135,30.456756757,29.624324324
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,130,178,178,99.971179775,45.106348315,34.03005618,29.856292135
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,26,166,240,240,318.46108333,108.35729167,79.173166667,64.23775
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,24,112,249,388,132.85729381,40.650360825,29.834097938,24.514226804
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,21,99,198,536,75.548358209,22.836884328,16.248227612,13.197798507
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,17,88,154,411,50.289099757,17.991046229,13.35486618,11.278807786
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,28,246,342,342,181.29549708,67.65497076,50.045760234,41.282339181
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,33,397,510,510,60.625764706,22.393176471,16.705529412,13.761
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,32,36,36,32.261388889,11.380555556,8.4625,7.7008333333
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,30,266,399,399,56.686691729,17.127017544,12.689022556,8.9113784461
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,389,677,2230,8.5855964126,2.5670672646,1.9229058296,1.5620986547
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,40,49,49,24.011632653,7.8671428571,5.9702040816,4.6116326531
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,25,157,187,187,40.027219251,14.587807487,10.930213904,10.004491979
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,65.75,21.838333333,15.125833333,13.158333333
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,11,24,130,132,326.77530303,109.03992424,80.354015152,63.654393939
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,670.00210526,279.39105263,219.04631579,181.33473684
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,65,65,65,388.69415385,164.33769231,126.72046154,108.98646154
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,11,54,252,271,50.054428044,14.999815498,10.270664207,9.0466789668
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,144,858,881,157.28829739,41.405834279,29.2623042,23.598694665
1003810532,NIGL,CHERYL,F,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,31,348.77709677,99.579354839,72.287741935,53.352903226
1003810540,HOLSTEN,RAYMOND,L,MD,M,I,467 VISTA AVENUE,,PAGE,AZ,860401625,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,14,37,87,71.272758621,8.32,3.9888505747,3.9888505747
1003810540,HOLSTEN,RAYMOND,L,MD,M,I,467 VISTA AVENUE,,PAGE,AZ,860401625,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,12.92,1.42,0.896,0.896
1003810540,HOLSTEN,RAYMOND,L,MD,M,I,467 VISTA AVENUE,,PAGE,AZ,860401625,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,47.865,4.4427272727,3.0809090909,3.1695454545
1003810540,HOLSTEN,RAYMOND,L,MD,M,I,467 VISTA AVENUE,,PAGE,AZ,860401625,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,49,405.01204082,68.78,50.992244898,51.751836735
1003810540,HOLSTEN,RAYMOND,L,MD,M,I,467 VISTA AVENUE,,PAGE,AZ,860401625,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,810,13.94,11.159703704,8.5721234568,8.5721234568
1003810540,HOLSTEN,RAYMOND,L,MD,M,I,467 VISTA AVENUE,,PAGE,AZ,860401625,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,810,12.86,2.954,2.3159506173,2.3159506173
1003810540,HOLSTEN,RAYMOND,L,MD,M,I,467 VISTA AVENUE,,PAGE,AZ,860401625,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,127.28571429,33,25.87,25.87
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,253.94181818,100.01,78.41,68.81
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,31,100.83580645,38.72,30.356451613,26.348709677
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,44,43.236818182,15.748863636,12.3475,11.887272727
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,26,26,132.26538462,60.28,45.392692308,41.169230769
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,20,20,47.2255,18.2005,14.2715,14.0765
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,27,27,45.942222222,14.432592593,11.315555556,9.2259259259
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,15,34,198,6.7166666667,2.343030303,1.78,1.5522727273
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,48,64.089583333,22.466666667,16.446458333,14.716666667
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,44,41.231590909,5.7290909091,4.3625,3.405
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,51,51,115.99254902,37.491960784,28.446470588,24.750784314
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,18,127,137,424.54306569,92.075912409,66.701240876,50.60459854
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,39,229.23076923,38.074615385,29.853846154,29.461025641
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,16,40,8556,0.2522171576,0.0466164095,0.034297569,0.034297569
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,960,9.2638854167,2.83434375,2.1445520833,2.1445520833
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,149.32941176,41.511176471,28.995294118,26.188235294
1003810763,GOTTLIEB,SETH,,"M.D.,F.C.C.P.,P.A.",M,I,4302 ALTON RD STE 710,,MIAMI BEACH,FL,331402877,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,18,52,52,52.038461538,33,24.875,24.875
1003810789,DISTEFANO,LISA,G,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,47,94,59.30893617,8.2382978723,5.3477659574,5.3477659574
1003810789,DISTEFANO,LISA,G,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,23,25,13.802,1.42,1.0296,1.0296
1003810789,DISTEFANO,LISA,G,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,15,9.6441666667,7.5608333333,4.1266666667
1003810789,DISTEFANO,LISA,G,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,696.92615385,83.196923077,46.834615385,44.120769231
1003810789,DISTEFANO,LISA,G,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,18,18,33,33,24.432777778,24.432777778
1003810797,HILAND,STEVE,,M.D.,M,I,627 W FAIRVIEW AVE,,EDDYVILLE,KY,420387386,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,47,103,65.97,8.32,5.2558252427,5.2558252427
1003810797,HILAND,STEVE,,M.D.,M,I,627 W FAIRVIEW AVE,,EDDYVILLE,KY,420387386,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,17,12.710588235,1.42,0.7870588235,0.7870588235
1003810797,HILAND,STEVE,,M.D.,M,I,627 W FAIRVIEW AVE,,EDDYVILLE,KY,420387386,US,Physician/General Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,37.545454545,15.424545455,10.022727273,7.3172727273
1003810797,HILAND,STEVE,,M.D.,M,I,627 W FAIRVIEW AVE,,EDDYVILLE,KY,420387386,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,164.81666667,99.276111111,74.696666667,58.439444444
1003810797,HILAND,STEVE,,M.D.,M,I,627 W FAIRVIEW AVE,,EDDYVILLE,KY,420387386,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1500,0.9288,0.13294,0.1024066667,0.1024066667
1003810797,HILAND,STEVE,,M.D.,M,I,627 W FAIRVIEW AVE,,EDDYVILLE,KY,420387386,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,60.508571429,27.21,21.333809524,15.641904762
1003810797,HILAND,STEVE,,M.D.,M,I,627 W FAIRVIEW AVE,,EDDYVILLE,KY,420387386,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,91.458333333,33,22.63625,22.63625
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,38,112,290,54.943551724,8.32,5.203,5.203
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,17,32,41,10.933902439,1.42,1.0085365854,1.0085365854
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,56,3.1321428571,2.49,1.6280357143,1.6280357143
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.35,2.27,1.5918701299,1.5918701299
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,24,11.12,10.306666667,6.3833333333,6.8104166667
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,30,12.533333333,7.46,4.875,4.875
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.9265,4.03,3.1595,3.1595
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.461,2.02,1.5836666667,1.5836666667
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,61,8.4508196721,8.362295082,6.3408196721,6.3783606557
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,89,8.7331460674,8.2502247191,6.3320224719,8.4468539326
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,285.57047619,73.081904762,57.072380952,42.635238095
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,93.6875,22.820625,16.84,13.10875
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,27,27,51,18.867777778,14.044074074,8.4444444444
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,20,37,21.409459459,2.8594594595,2.1945945946,1.5527027027
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,99.692857143,22.829285714,17.896428571,14.605
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,59.2328,6.7944,4.5992,2.8832
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,483.55096774,106.87290323,83.791290323,61.262258065
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,1812,1.7533830022,0.1340011038,0.1005573951,0.1005573951
1003810821,BOISVERT,WALTER,R,MD,M,I,610 E TAYLOR ST,,PRAIRIE DU CHIEN,WI,538212109,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,25,36.96,33,22.7656,22.7656
1003810839,DEEN,BRASWELL,D,MD,M,I,22250 PROVIDENCE DR,5TH FLOOR.FL 5,SOUTHFIELD,MI,480754825,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,46,118,47.401355932,8.32,6.1894915254,6.1894915254
1003810839,DEEN,BRASWELL,D,MD,M,I,22250 PROVIDENCE DR,5TH FLOOR.FL 5,SOUTHFIELD,MI,480754825,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.166666667,3.38,2.65,2.65
1003810839,DEEN,BRASWELL,D,MD,M,I,22250 PROVIDENCE DR,5TH FLOOR.FL 5,SOUTHFIELD,MI,480754825,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,36,45,11.766888889,1.42,1.1164444444,1.1164444444
1003810839,DEEN,BRASWELL,D,MD,M,I,22250 PROVIDENCE DR,5TH FLOOR.FL 5,SOUTHFIELD,MI,480754825,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,494.64,79.88,52.183333333,45.6
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,53,169,472,53.402542373,8.32,5.978940678,5.978940678
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,23,23,13.306956522,3.38,2.3043478261,2.3043478261
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,16.155,2.12,1.46125,1.46125
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,30,67,115,10.261217391,1.42,1.0479130435,1.0479130435
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,298.34416667,86.33,67.68,67.826666667
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,23,23,157.91478261,56.390434783,34.676956522,33.323478261
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,23,23,51.681304348,18.509130435,13.285652174,12.840434783
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,31,31,52.691612903,12.103548387,8.615483871,8.2425806452
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,30,170,8.8724705882,2.0982352941,1.4788235294,1.4256470588
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,22,22,20.622272727,6.1377272727,4.3963636364,4.2363636364
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,305,106.40818182,79.310909091,63.365909091
1003810904,RUSHING,PAUL,A,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,130,31.742608696,21.776086957,21.365652174
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,20,139,21770,4.5279784107,0.5725107947,0.3873789619,0.4289811667
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,2175,0.1039586207,0.0131678161,0.0095218391,0.0095218391
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,990,3.0322020202,0.7348181818,0.5047373737,0.5047373737
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,16,106,15280,3.4104541885,1.2089450262,0.863388089,0.9049096859
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,2160,5.8820555556,2.82975,2.2185138889,2.2185138889
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,379,17.805277045,7.4547229551,5.8444327177,5.8444327177
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,24,159,159,24,24,18.143647799,18.143647799
1003810938,NASSAR,RAMSEY,N,MD,M,I,6400 DUTCHMANS PKWY,STE 250,LOUISVILLE,KY,402053340,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,23,151,189,16,16,12.098465608,12.098465608
1003810953,POMER,ARCADIO HILARIO,V,M.D.,M,I,1400 E GOLF RD,SUITE 118,DES PLAINES,IL,600161236,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,29,88,50,8.32,5.5581818182,5.5581818182
1003810953,POMER,ARCADIO HILARIO,V,M.D.,M,I,1400 E GOLF RD,SUITE 118,DES PLAINES,IL,600161236,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,20,3.38,2.2966666667,2.2966666667
1003810953,POMER,ARCADIO HILARIO,V,M.D.,M,I,1400 E GOLF RD,SUITE 118,DES PLAINES,IL,600161236,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,29,44,20,1.42,0.9631818182,0.9631818182
1003810987,INGWERSEN,CHARLOTTE,K,M.D.,F,I,187 ADAM SHEPHERD PKWY STE 5,,SHEPHERDSVILLE,KY,401657500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,40,66,68.43969697,8.32,5.336969697,5.336969697
1003810987,INGWERSEN,CHARLOTTE,K,M.D.,F,I,187 ADAM SHEPHERD PKWY STE 5,,SHEPHERDSVILLE,KY,401657500,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,18,14.923888889,1.42,0.8711111111,0.8711111111
1003810987,INGWERSEN,CHARLOTTE,K,M.D.,F,I,187 ADAM SHEPHERD PKWY STE 5,,SHEPHERDSVILLE,KY,401657500,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,429.908,71.5,52.126,50.973333333
1003810987,INGWERSEN,CHARLOTTE,K,M.D.,F,I,187 ADAM SHEPHERD PKWY STE 5,,SHEPHERDSVILLE,KY,401657500,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1560,1.0758846154,0.1322307692,0.0826987179,0.0826987179
1003810987,INGWERSEN,CHARLOTTE,K,M.D.,F,I,187 ADAM SHEPHERD PKWY STE 5,,SHEPHERDSVILLE,KY,401657500,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,116.76923077,33,21.89,21.89
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,30,69.003,8.32,5.2163333333,5.2163333333
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.19,1.84,1.3696875,1.0790625
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,49.538461538,12.654615385,9.9269230769,9.1130769231
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,84,7.1757142857,2.1435714286,1.6802380952,1.5928571429
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,4.5375,3.5525,3.6516666667
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,152.88235294,38.396470588,30.1,28.414117647
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,456.93285714,68.78,53.92,54.377142857
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1429,1.1211546536,0.1380335899,0.0954863541,0.0954863541
1003810995,SHELTON,MICHAEL,V,M.D.,M,I,4222 WENDOVER AVE,STE 600,ODESSA,TX,797625983,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,80.347826087,33,23.620434783,23.620434783
1003811043,BRIEN,MICHAEL,J,M.D.,M,I,198 UNDERHILL RD,,SOUTH ORANGE,NJ,070791331,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,148.71647059,48.11,35.755294118,37.097647059
1003811043,BRIEN,MICHAEL,J,M.D.,M,I,198 UNDERHILL RD,,SOUTH ORANGE,NJ,070791331,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,69.426666667,14.376666667,9.5062962963,11.732962963
1003811043,BRIEN,MICHAEL,J,M.D.,M,I,198 UNDERHILL RD,,SOUTH ORANGE,NJ,070791331,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,119.34,21.068571429,13.468095238,17.73047619
1003811043,BRIEN,MICHAEL,J,M.D.,M,I,198 UNDERHILL RD,,SOUTH ORANGE,NJ,070791331,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,53,53,20.57,6.3869811321,4.0520754717,5.4162264151
1003811068,CROWDER,CHRISTINE,,MD,F,I,1501 S YALE ST,BLDG 2 SUITE 150,FLAGSTAFF,AZ,860017304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,36,65.5225,8.32,6.1591666667,6.1591666667
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,62,64.640322581,8.32,6.3125806452,6.3125806452
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,2.25,2.04,1.5223796296,1.5223796296
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,528,32.118181818,5.44,4.0226704545,3.953125
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,6012,3.5669461078,0.38,0.2897055888,0.2841217565
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,188.24761905,31.522857143,23.590952381,23.378095238
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,28.187272727,11.950909091,9.3709090909,9.1518181818
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,35,28.77,10.866,8.52,8.5568571429
1003811092,STERENBERG,LEE,M,D.O.,M,I,600 PARK AVE,,GRAND HAVEN,MI,494172173,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,287.84545455,223.93727273,175.56181818,175.56181818
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,354,4.186440678,3,2.3520056497,2.3663276836
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,31.730769231,9.8538461538,7.17,6.8815384615
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,130.84727273,48.447272727,34.725454545,34.216363636
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,52,41.87,32.825,32.825
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,20.301764706,11.208823529,8.7882352941,9.0741176471
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,3,,13,24,228.46125,195.87166667,153.56833333,105.505
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,65,23.646769231,10.704153846,8.3930769231,8.4863076923
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,344.93636364,217.88545455,158.52181818,158.52181818
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,51.53,28.165454545,22.088181818,23.339090909
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,62.565714286,23.68047619,18.564285714,14.528571429
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,26.501904762,8.8857142857,6.9661904762,6.6752380952
1003811340,HEGDE,SUNIL,K,M.D.,M,I,630 S. RAYMOND AVE.,SUITE #120,PASADENA,CA,91105,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,11,73,25,23.41,18.354109589,18.354109589
1003811415,NIELSEN,JOHN,F,M.D.,M,I,702 DAVIS ST,STE 4,CARTHAGE,TX,756331461,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,38,114,42.858333333,8.32,6.1039473684,6.1039473684
1003811415,NIELSEN,JOHN,F,M.D.,M,I,702 DAVIS ST,STE 4,CARTHAGE,TX,756331461,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,17.108571429,3.38,2.0821428571,2.0821428571
1003811415,NIELSEN,JOHN,F,M.D.,M,I,702 DAVIS ST,STE 4,CARTHAGE,TX,756331461,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,36,16.895555556,1.42,1.0527777778,1.0527777778
1003811415,NIELSEN,JOHN,F,M.D.,M,I,702 DAVIS ST,STE 4,CARTHAGE,TX,756331461,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,22.1875,21.615625,15.206875,11.879375
1003811415,NIELSEN,JOHN,F,M.D.,M,I,702 DAVIS ST,STE 4,CARTHAGE,TX,756331461,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,13,202.15384615,60.253076923,40.891538462,31.840769231
1003811415,NIELSEN,JOHN,F,M.D.,M,I,702 DAVIS ST,STE 4,CARTHAGE,TX,756331461,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,14.5625,7.79625,5.8825,3.44875
1003811415,NIELSEN,JOHN,F,M.D.,M,I,702 DAVIS ST,STE 4,CARTHAGE,TX,756331461,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,104.1875,96.02375,64.076875,44.468125
1003811423,HOROWITZ,RUTH,S,M.D.,F,I,6535 N CHARLES ST,STE 400,BALTIMORE,MD,212045826,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,19,247,55.62145749,19.644736842,14.490809717,14.490809717
1003811423,HOROWITZ,RUTH,S,M.D.,F,I,6535 N CHARLES ST,STE 400,BALTIMORE,MD,212045826,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,617,7.3267585089,2.634165316,1.9645056726,1.9645056726
1003811423,HOROWITZ,RUTH,S,M.D.,F,I,6535 N CHARLES ST,STE 400,BALTIMORE,MD,212045826,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,70,116,282,1549,61.233570045,8.32,6.1405681085,6.1405681085
1003811423,HOROWITZ,RUTH,S,M.D.,F,I,6535 N CHARLES ST,STE 400,BALTIMORE,MD,212045826,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,15,39,39,11.475128205,3.38,2.4461538462,2.4461538462
1003811423,HOROWITZ,RUTH,S,M.D.,F,I,6535 N CHARLES ST,STE 400,BALTIMORE,MD,212045826,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,14,18,18,19.210555556,2.12,1.5772222222,1.5772222222
1003811423,HOROWITZ,RUTH,S,M.D.,F,I,6535 N CHARLES ST,STE 400,BALTIMORE,MD,212045826,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,36,56,117,310,12.201322581,1.42,1.0558709677,1.0558709677
1003811423,HOROWITZ,RUTH,S,M.D.,F,I,6535 N CHARLES ST,STE 400,BALTIMORE,MD,212045826,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,27,27,342.88037037,251.11,196.87,196.87
1003811464,KYLLO,DAVID,S,M.D.,M,I,3460 WASHINGTON DR,STE 102,EAGAN,MN,551224301,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,446.63,46.126666667,36.163333333,37.188333333
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,228,12.34122807,3.53,2.7672368421,2.7672368421
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,38,107,253,60.258498024,8.32,5.93,5.93
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.556923077,3.38,2.65,2.65
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,41,69,15.023623188,1.42,1.0491304348,1.0491304348
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,403,9.6699751861,2.96,2.3206947891,2.3206947891
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,338,8.1,5.23,4.1003254438,4.1003254438
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.850625,1.695,1.3275,1.15
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,7.9,2.33,1.82,1.82
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,146.75153846,57.603076923,41.138461538,35.068461538
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,114.08793103,21.883103448,14.582758621,11.612413793
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,835.90416667,835.90416667
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,29.026363636,13.180909091,10.331818182,9.0127272727
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,76,76,547.49723684,100.635,75.045263158,52.206578947
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,250,44.745,32.344166667,27.354583333
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,4343,0.4576652084,0.045484688,0.0304904444,0.0304904444
1003811472,CAIN,RICHARD,E,M.D.,M,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,33,33,23.406190476,23.406190476
1003811480,CARTER,LAWRENCE,S,M.D.,M,I,21 18TH AVE NW,,HICKORY,NC,286011822,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,29.911304348,8.32,6.5204347826,6.5204347826
1003811480,CARTER,LAWRENCE,S,M.D.,M,I,21 18TH AVE NW,,HICKORY,NC,286011822,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,104.07,11.585,8.3308333333,8.3683333333
1003811480,CARTER,LAWRENCE,S,M.D.,M,I,21 18TH AVE NW,,HICKORY,NC,286011822,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,31,69.606774194,17.29,12.238709677,12.22516129
1003811480,CARTER,LAWRENCE,S,M.D.,M,I,21 18TH AVE NW,,HICKORY,NC,286011822,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,31,417.4016129,70.23,49.931935484,49.690967742
1003811498,SOLOW,EMILY,L,D.O.,F,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,130,4.455,3.9,2.5874615385,2.5874615385
1003811498,SOLOW,EMILY,L,D.O.,F,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,130,11.712,7,5.3145384615,5.3145384615
1003811498,SOLOW,EMILY,L,D.O.,F,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,130,6.5497692308,4.03,3.1599230769,3.1599230769
1003811514,EARLE,MICHAEL,A,MD,M,I,8711 VILLAGE DR,STE 207,SAN ANTONIO,TX,782175419,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,600,136.68833333,105.2175,103.64333333
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,31,23.402580645,8.32,6.5235483871,6.5235483871
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,14,11.049285714,1.42,1.1157142857,1.1157142857
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,80.03,71.56,54.461944444,54.461666667
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,96,32.651666667,29.19,22.885,22.886666667
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,38,554,12.49,5.15,4.0374909747,4.1561913357
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,5203,0.72,0.3492062272,0.2737766673,0.2894637709
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,4707,0.6332695985,0.3088145315,0.2421117485,0.243040153
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,49,49,49,156.82653061,49.23244898,37.847959184,36.39755102
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,4,27,27,27,30.740740741,15.634444444,12.257407407,12.05
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,49,49,162.74959184,48.255714286,34.024081633,34.576530612
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,57,57,59.210526316,18.242807018,14.302280702,14.302280702
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,89,89,27.856067416,4.9103370787,3.6130337079,3.4479775281
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,72,72,248.33333333,74.645694444,58.521805556,58.7375
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,17,17,17,97.735882353,37.017647059,29.02,29.194705882
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,28,159,160,97.605375,18.8063125,13.669125,13.402375
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,40,120.5,28.31925,21.70325,21.7885
1003811662,YALAVARTHI,JYOTHSNA,,MD,F,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,45,45,21.977777778,8.7046666667,6.6471111111,6.7511111111
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,24,9.8791666667,8.05,5.2583333333,5.7591666667
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,21.719285714,14.18,10.316428571,12.311428571
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,2508,0.1489473684,0.13,0.0968979266,0.0968979266
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,14,9.0242857143,5.54,4.3407142857,4.3407142857
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,32,33,18.445757576,11.88,8.1815151515,9.6448484848
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,605,4.2243801653,2.27,1.6767272727,1.6767272727
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,57,9654,3.4815102548,1.9541951523,1.4851274083,1.552383468
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,750,7.23,7.23,5.47704,5.47704
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,25,12.386,10.1936,7.3404,7.7032
1003811670,STAHLHUT,CAROLYN,,"MSN, CRNP, CUNP",F,I,125 MEDICAL CAMPUS DRIVE,MEDICAL ARTS BUILDING SUITE 305,LANSDALE,PA,194467205,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,30,67,10.040746269,7.46,5.5691044776,5.5691044776
1003811720,YAKUTILOV,RAFAEL,,M.D.,M,I,15 BEACH 105TH ST,,ROCKAWAY PARK,NY,116942640,US,Physician/Neurology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,49,49,49,960,960,752.64,768.06918367
1003811761,JACOBY,DAVID,A,DOCTOR OF OPTOMETRY,M,I,613 MARKET STREET,,OSAGE CITY,KS,665231282,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,54.1348,49.9796,39.186,52.7004
1003811761,JACOBY,DAVID,A,DOCTOR OF OPTOMETRY,M,I,613 MARKET STREET,,OSAGE CITY,KS,665231282,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,48,46.5,46.5,34.181875,51.081458333
1003811761,JACOBY,DAVID,A,DOCTOR OF OPTOMETRY,M,I,613 MARKET STREET,,OSAGE CITY,KS,665231282,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,8.5,8.5,6.665,13.985
1003811829,BEE,HEIDI,S,DO,F,I,551 GREENVILLE RD,,MERCER,PA,161375019,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,46,63.51326087,8.32,4.6376086957,4.6376086957
1003811894,FROEHLICH,MONIKA,,D.P.M.,F,I,495 SW RAMSEY AVE,,GRANTS PASS,OR,97527,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,90.926153846,71.56,56.105,56.105
1003811894,FROEHLICH,MONIKA,,D.P.M.,F,I,495 SW RAMSEY AVE,,GRANTS PASS,OR,97527,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,51,43.56,34.151666667,34.150512821
1003811985,JOHNSON,AMY,O,MD,F,I,1098 S MAYO TRL,,PIKEVILLE,KY,415011546,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,270,18.790148148,7.4636296296,5.8515185185,5.0404074074
1003811985,JOHNSON,AMY,O,MD,F,I,1098 S MAYO TRL,,PIKEVILLE,KY,415011546,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,15,5475,1.7731324201,0.4015488584,0.3011926941,0.2784931507
1003811985,JOHNSON,AMY,O,MD,F,I,1098 S MAYO TRL,,PIKEVILLE,KY,415011546,US,Physician/General Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,13,13,226.25076923,87.006923077,68.216153846,60.601538462
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,59,115,69.935652174,8.32,6.0109565217,6.0109565217
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,25,27,12.118888889,1.42,1.077037037,1.077037037
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,64,13.13,6.35,4.978125,5.049375
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,380,9.0821842105,3.97,3.1124736842,3.1124736842
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,34.801904762,4.7214285714,3.7028571429,3.7
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,49,381.30795918,74.141428571,56.857755102,54.517755102
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,36,99.063055556,71.196666667,55.816666667,55.816666667
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,4200,0.17,0.0459333333,0.0320619048,0.0320619048
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,840,0.75,0.2187857143,0.153202381,0.153202381
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,104.62,54.3625,40.193333333,36.509166667
1003812025,SILVERMAN,GARY,,M.D.,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,123.75,33,23.692083333,23.692083333
1003812082,WINKE,BETH,M,M.D.,F,I,808 EDEN WAY N STE 102,,CHESAPEAKE,VA,233200745,US,Physician/Interventional Pain Management,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,15,31,172,43.924418605,12.758837209,9.4204069767,7.3364534884
1003812082,WINKE,BETH,M,M.D.,F,I,808 EDEN WAY N STE 102,,CHESAPEAKE,VA,233200745,US,Physician/Interventional Pain Management,S,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.09,13.235454545,10.370909091,10.370909091
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,65,69.550461538,19.694615385,14.465846154,10.918461538
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,243.74052632,75.878947368,54.972631579,39.916315789
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,76.773333333,25.526,17.930666667,12.778666667
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,21,21,80.46952381,21.231904762,15.685238095,8.8023809524
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,21,114,10.714736842,3.0757894737,2.3198245614,1.5789473684
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,51.113478261,7.8260869565,5.9765217391,3.4765217391
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1745,1.126756447,0.1338796562,0.092034384,0.092034384
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,630,12.168428571,2.9213333333,2.0041269841,2.0041269841
1003812090,SYLVARA,KAREN,A,DO,F,I,502 S BALTIMORE ST,,KIRKSVILLE,MO,635013728,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,76.043478261,33,23.620434783,23.620434783
1003812132,SPASIC,ALEXANDER,,M.D.,M,I,419 VILLAGE DR,SUITE 6,CARLISLE,PA,170156943,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,59,214,64.234345794,8.2609345794,5.9894859813,6.0357476636
1003812132,SPASIC,ALEXANDER,,M.D.,M,I,419 VILLAGE DR,SUITE 6,CARLISLE,PA,170156943,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,26,53,15.91245283,1.42,1.0516981132,1.0516981132
1003812132,SPASIC,ALEXANDER,,M.D.,M,I,419 VILLAGE DR,SUITE 6,CARLISLE,PA,170156943,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,307,27.761237785,4.85,3.8023452769,4.163029316
1003812132,SPASIC,ALEXANDER,,M.D.,M,I,419 VILLAGE DR,SUITE 6,CARLISLE,PA,170156943,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,5957,1.6835689105,0.2985898942,0.2239130435,0.2328605003
1003812132,SPASIC,ALEXANDER,,M.D.,M,I,419 VILLAGE DR,SUITE 6,CARLISLE,PA,170156943,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,19,312.52842105,67.72,53.1,54.644210526
1003812140,VAPOREAN,MARK,L,M.D.,M,I,3800 RIDGEWAY DR,,BIRMINGHAM,AL,352095506,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,34.567083333,17.98,14.09,13.623333333
1003812140,VAPOREAN,MARK,L,M.D.,M,I,3800 RIDGEWAY DR,,BIRMINGHAM,AL,352095506,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,136.84111111,88.769444444,67.879166667,54.77
1003812199,TISCHLER,HENRY,M,M.D.,M,I,263 7TH AVE,STE 2B,BROOKLYN,NY,112153689,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,138.02,43.84,34.37,36.19875
1003812199,TISCHLER,HENRY,M,M.D.,M,I,263 7TH AVE,STE 2B,BROOKLYN,NY,112153689,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,146.89,49.18,38.55,40.63
1003812264,BONNEN,JAMES,G,M.D.,M,I,333 N TEXAS AVE,SUITE 3200,WEBSTER,TX,775984966,US,Physician/Neurosurgery,S,A6532,"Gradient compression stocking, below knee, 40-50 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,42,45,98,115,68.61,53.79,53.79
1003812264,BONNEN,JAMES,G,M.D.,M,I,333 N TEXAS AVE,SUITE 3200,WEBSTER,TX,775984966,US,Physician/Neurosurgery,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,67.62,48.481428571,36.988,36.987714286
1003812264,BONNEN,JAMES,G,M.D.,M,I,333 N TEXAS AVE,SUITE 3200,WEBSTER,TX,775984966,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,41,3000,1185.42,925.87073171,896.6004878
1003812314,BLANCHAT,TIMOTHY,J,M. D.,M,I,22725 HIGHWAY 76 E,,CLINTON,SC,293257527,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.3,9.2,5.2436363636,5.2
1003812314,BLANCHAT,TIMOTHY,J,M. D.,M,I,22725 HIGHWAY 76 E,,CLINTON,SC,293257527,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,34.771666667,4.67,3.6625,3.66
1003812322,ATAMER,EROL,R,MD,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,58,146,70.064520548,8.32,5.4689041096,5.4689041096
1003812322,ATAMER,EROL,R,MD,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,26,33,12.942727273,1.42,1.083030303,1.083030303
1003812322,ATAMER,EROL,R,MD,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,46,7.6139130435,2.01,1.577826087,1.5917391304
1003812322,ATAMER,EROL,R,MD,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,49.166363636,38.55,38.255454545
1003812322,ATAMER,EROL,R,MD,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,200,70.23,50.824615385,50.536923077
1003812322,ATAMER,EROL,R,MD,M,I,1265 36TH ST,,VERO BEACH,FL,329606574,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,55,37.44,27.092307692,27.243076923
1003812462,CASHMAN,STEPHEN,,MD,M,I,2100 N GREEN ACRES RD,,FAYETTEVILLE,AR,727032807,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,122.33,32.5325,24.5125,24.141458333
1003812553,MACKLIN,LYDIA,,CNP,F,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,12,20,85,49.650470588,8.32,5.7561176471,5.7561176471
1003812553,MACKLIN,LYDIA,,CNP,F,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.88,4.8218181818,3.7754545455,3.8890909091
1003812553,MACKLIN,LYDIA,,CNP,F,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,266.28,68.78,53.92,54.72
1003812561,CLAVENNA,CARL,F,M.D.,M,I,600 S ADAMS RD,STE 200,BIRMINGHAM,MI,480096863,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,17,73.465294118,70.099411765,54.96,53.297058824
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,38,4.9752631579,1.8226315789,1.4302631579,1.1534210526
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.4608333333,1.1445833333,0.9620833333
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,26,28,37.223214286,4.8164285714,3.6542857143,3.7414285714
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,900,19.2332,9.6602,7.4267,7.4267
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,3408,0.1590434272,0.0470099765,0.0313174883,0.0313174883
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,1260,1.8058095238,0.1348809524,0.0927301587,0.0927301587
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,2220,10.963112613,3.0404054054,2.2619009009,2.2619009009
1003812595,AMAR,NIRAN,J,M.D.,M,I,333 LONDONDERRY DR,STE 100,WACO,TX,767127930,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,38,38,82.5,33,24.508421053,24.508421053
1003812918,HAYES,KAREN,S,N.P.,F,I,1870 BAGNELL DAM BLVD,,LAKE OZARK,MO,650498658,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,428.22142857,102.08,77.186666667,54.052380952
1003812934,COTTRELL,THOMAS,L,M.D.,M,I,2 W TALCOTT RD,STE 11,PARK RIDGE,IL,600685556,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,3570,0.302605042,0.13,0.0942128852,0.0942128852
1003812934,COTTRELL,THOMAS,L,M.D.,M,I,2 W TALCOTT RD,STE 11,PARK RIDGE,IL,600685556,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,51,6580,5.4836778116,2.0387841945,1.5460167173,1.5469589666
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,59,66.563898305,22.135254237,16.846949153,13.275423729
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,48.572727273,8.5836363636,6.3981818182,3.3781818182
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,67,322.20164179,101.88716418,77.93761194,54.749850746
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,53,6750,4.2838355556,0.56868,0.4356177778,0.4356148148
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,44,6600,0.1141606061,0.0129545455,0.0096651515,0.0096651515
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1920,1.588484375,0.74246875,0.5821041667,0.5821041667
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,44,8400,3.2592714286,1.2219857143,0.9293369048,0.9293369048
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,2640,4.3003939394,2.81875,2.2099015152,2.2099015152
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,52,52,24,24,18.458076923,18.458076923
1003813015,KUMAR,NEIL,,MD,M,I,2510 NW EDENBOWER BLVD,SUITE # 176,ROSEBURG,OR,974718899,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,105,121,16.066115702,16,12.195702479,12.195702479
1003813080,PINTO,ANNE,G,MD,F,I,825 WASHINGTON ST,SUITE 340,NORWOOD,MA,020623441,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,62,54.357580645,8.32,6.3116129032,6.3116129032
1003813114,SLAWEK,DAVID,F,M.D.,M,I,510 FLEMING ST,STE B,HENDERSONVILLE,NC,287394250,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,58,128,73.628046875,8.32,5.554140625,5.554140625
1003813114,SLAWEK,DAVID,F,M.D.,M,I,510 FLEMING ST,STE B,HENDERSONVILLE,NC,287394250,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,26,17.338076923,1.42,1.03,1.03
1003813114,SLAWEK,DAVID,F,M.D.,M,I,510 FLEMING ST,STE B,HENDERSONVILLE,NC,287394250,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,220,86.84,65.595882353,53.031176471
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,67,166,56.984036145,8.32,5.6738554217,5.6738554217
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,12.852941176,3.38,2.65,2.65
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,37,40,12.75775,1.42,1.0625,1.0625
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,505.03428571,87.666428571,63.792857143,63.094285714
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,36,197.975,33.377222222,24.653333333,24.498333333
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,274.62666667,56.21,44.07,42.86
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,14,14,90.340714286,18.211428571,14.279285714,14.114285714
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,24,24,97.89875,12.10375,8.7675,8.4529166667
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,24,144,13.015416667,2.0758333333,1.3551388889,1.3295833333
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,94,96,435.2025,71.48125,54.677604167,53.4678125
1003813270,PFEIFER,LYLE,M,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,41,183.89268293,39.6,30.292682927,28.940487805
1003813296,DILWORTH,JAMES,P,M.D.,M,I,725 GLENWOOD DR,STE E780,CHATTANOOGA,TN,374041177,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,50,10880,3.2771875,1.8203676471,1.2716139706,1.3943391544
1003813296,DILWORTH,JAMES,P,M.D.,M,I,725 GLENWOOD DR,STE E780,CHATTANOOGA,TN,374041177,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,52,2.1153846154,1.44,0.4732692308,0.6294230769
1003813403,SPIRO,JEFFERY,,MD,M,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,70,73.562571429,15.138857143,10.743285714,10.767285714
1003813403,SPIRO,JEFFERY,,MD,M,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,307.07071429,54.886428571,40.114285714,39.942142857
1003813403,SPIRO,JEFFERY,,MD,M,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,100,12.4412,2.0026,1.476,1.4977
1003813403,SPIRO,JEFFERY,,MD,M,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,245.84,29.14,20.302222222,20.855555556
1003813478,BUCKWALTER,KEVIN,R,MD,M,I,7151 CASCADE VALLEY CT STE 200,,LAS VEGAS,NV,891280498,US,Physician/Family Practice,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,600,424.618,332.90133333,292.91066667
1003813478,BUCKWALTER,KEVIN,R,MD,M,I,7151 CASCADE VALLEY CT STE 200,,LAS VEGAS,NV,891280498,US,Physician/Family Practice,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,66,66,66,1200,973.31606061,760.00666667,772.47333333
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,23,960,0.2453125,0.12,0.0901041667,0.0901041667
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,19,740,1.1,0.44,0.345,0.345
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,67,67,52.53,54.514444444
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,158,127,43.56,34.150696203,34.149177215
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,33,1155,87.15,34.86,27.330277056,27.330277056
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,33,1125,6,2.4,1.8816622222,1.8816622222
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,30,1050,4.93,1.97,1.5443809524,1.5443809524
1003813551,SUBIK,MICHAEL,,D.P.M.,M,I,160 RIDGE RD,,LYNDHURST,NJ,070711253,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,450,260.69,204.38,212.541875
1003813601,PAULK,EDDIE,L,D.O.,M,I,960 E. WALNUT LAWN,SUITE 201,SPRINGFIELD,MO,65807,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,29,76,57.0325,8.32,6.4356578947,6.4356578947
1003813601,PAULK,EDDIE,L,D.O.,M,I,960 E. WALNUT LAWN,SUITE 201,SPRINGFIELD,MO,65807,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,50.73,4.19,3.2823529412,3.9270588235
1003813601,PAULK,EDDIE,L,D.O.,M,I,960 E. WALNUT LAWN,SUITE 201,SPRINGFIELD,MO,65807,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,23.86,10.55,8.265,8.1933333333
1003813601,PAULK,EDDIE,L,D.O.,M,I,960 E. WALNUT LAWN,SUITE 201,SPRINGFIELD,MO,65807,US,Physician/Internal Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,348.36,169.6325,133,124.41416667
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,36,79,203,70.92270936,8.32,6.1680788177,6.1680788177
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,12.475384615,3.38,2.65,2.65
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,18,31,43,14.400930233,1.42,1.0897674419,1.0897674419
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,2.25,2.25,1.764,1.7796666667
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2280,7.79,7.79,6.0705350877,6.1411140351
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,5.03,3.945,3.94
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,195.67478261,31.742608696,20.999130435,20.595652174
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,3405,2.3782790015,0.0828781204,0.0633861968,0.0633861968
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,774,4.2455167959,0.2193023256,0.1719379845,0.1719379845
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,143,34.582727273,27.110909091,25.041818182
1003813650,TOBORG,ROBERT,T,M.D.,M,I,3333 BROOKVIEW HILLS BLVD,STE 204,WINSTON-SALEM,NC,271035661,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,33,33,23.714166667,23.714166667
1003813668,BULINSKI,PATRICK,P,M.D.,M,I,1414 W. FAIR AVENUE,SUITE 230,MARQUETTE,MI,498552675,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.7363636364,5.7363636364,3.8354090909,3.8382727273
1003813668,BULINSKI,PATRICK,P,M.D.,M,I,1414 W. FAIR AVENUE,SUITE 230,MARQUETTE,MI,498552675,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,200,7,6.996,4.93605,4.93605
1003813668,BULINSKI,PATRICK,P,M.D.,M,I,1414 W. FAIR AVENUE,SUITE 230,MARQUETTE,MI,498552675,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,300,3.0373333333,3.0373333333,2.0884,2.0894333333
1003813676,CAI,MIN,,M.D.,F,I,4105 COLLEGE POINT BLVD,SUITE 1C,FLUSHING,NY,113554200,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,47,77,65.638311688,8.32,6.4393506494,6.4393506494
1003813676,CAI,MIN,,M.D.,F,I,4105 COLLEGE POINT BLVD,SUITE 1C,FLUSHING,NY,113554200,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,17,48.522352941,1.42,1.0529411765,1.0529411765
1003813676,CAI,MIN,,M.D.,F,I,4105 COLLEGE POINT BLVD,SUITE 1C,FLUSHING,NY,113554200,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.475,5.54,4.127875,4.127875
1003813676,CAI,MIN,,M.D.,F,I,4105 COLLEGE POINT BLVD,SUITE 1C,FLUSHING,NY,113554200,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.122,1.95,1.4014305556,1.4014305556
1003813676,CAI,MIN,,M.D.,F,I,4105 COLLEGE POINT BLVD,SUITE 1C,FLUSHING,NY,113554200,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,11,22,72.499090909,70.892727273,46.718181818,47.256818182
1003813676,CAI,MIN,,M.D.,F,I,4105 COLLEGE POINT BLVD,SUITE 1C,FLUSHING,NY,113554200,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,11,64,37.01,28.8696875,22.12046875,22.3725
1003813676,CAI,MIN,,M.D.,F,I,4105 COLLEGE POINT BLVD,SUITE 1C,FLUSHING,NY,113554200,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,60.546363636,15.98,10.547272727,13.2
1003813700,ROSEN,RICHARD,B,M.D.,M,I,781 MILL ST,,RENO,NV,895021320,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,3.37,2.04,1.5781018519,1.5781018519
1003813700,ROSEN,RICHARD,B,M.D.,M,I,781 MILL ST,,RENO,NV,895021320,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,2.97,1.8,1.2936458333,1.2936458333
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,26,59,188,78.19393617,8.32,6.3486170213,6.3486170213
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,21,28,15.529642857,1.42,1.1157142857,1.1157142857
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,260,13.246923077,5.74,4.1538846154,4.1538846154
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,320,25.538,9.86,7.56303125,7.56303125
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,99.961666667,11.055,7.9483333333,8.3633333333
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,10.661428571,2.0228571429,1.5871428571,1.5927380952
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,94.97,16.795,13.165,13.535
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,792.46666667,34.45,25.481333333,26.007333333
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,16.584285714,9.2982857143,6.3854285714,8.0371428571
1003813775,MARTINKO,AMELIA,,M.D.,F,I,30 COLUMBIA ST,,POUGHKEEPSIE,NY,126013906,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,58,411.2037931,69.599655172,53.619827586,53.765862069
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,27,71,63.843802817,8.32,6.5222535211,6.5222535211
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,124.49333333,39.1,29.19047619,29.038095238
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,55,44.880363636,14.71,10.856909091,11.218
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,170.80894737,61.165263158,47.95,44.433157895
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,54.438,18.730666667,14.682,14.06
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,24,144,7.7033333333,2.3058333333,1.8076388889,1.6558333333
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,116,32,23.52,23.386666667
1003813825,GRIFFIN,CARL,P,M.D.,M,I,3555 NW 58TH ST,SUITE 801,OKLAHOMA CITY,OK,731124707,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,38,29.79,29.51
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,111.80153846,37.96,29.76,30.433846154
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,321.53833333,84.983333333,63.44,64.584444444
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,29,139.59448276,30.395862069,23.831034483,25.918965517
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,19,38,34.19,14.627368421,10.899473684,11.278684211
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,85.33625,17.175,11.84,12.396875
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,46.921666667,11.92,8.595,8.4108333333
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,37,106,8.1808490566,2,1.4508490566,1.4746226415
1003813833,PACE,MARK,P,D.O.,M,I,9500 EUCLID AVE,TW10,CLEVELAND,OH,441950001,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,253.80466667,33.476,22.932666667,21.847666667
1003813874,WEBB,KEITH,P,MD,M,I,1559 SPARTA ST,,MCMINNVILLE,TN,371101316,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,49,53.571428571,22.165918367,16.767755102,14.234693878
1003813874,WEBB,KEITH,P,MD,M,I,1559 SPARTA ST,,MCMINNVILLE,TN,371101316,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,1364.8617647,1074.31,825.38117647,825.38117647
1003813874,WEBB,KEITH,P,MD,M,I,1559 SPARTA ST,,MCMINNVILLE,TN,371101316,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,18,25.555555556,9.2155555556,7.2255555556,4.6538888889
1003813874,WEBB,KEITH,P,MD,M,I,1559 SPARTA ST,,MCMINNVILLE,TN,371101316,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,44,61,263.64114754,95.419672131,69.396721311,56.377704918
1003813932,LEE,JANET,I,MD,F,I,FLORIDA ENT & ALLERGY,7425 MONIKA MANOR DR,TAMPA,FL,336255814,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,686.76222222,31.897222222,20.579444444,20.203888889
1003813940,TAYLOR,JOHN,A,"MD, MS",M,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,661600001,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,24,72,24.870416667,10.703333333,8.1623611111,8.3329166667
1003813940,TAYLOR,JOHN,A,"MD, MS",M,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,661600001,US,Physician/Urology,S,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,21.925,10.18,7.3159166667,7.3159166667
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,82,145,74.72,8.2860689655,6.3155862069,6.3424827586
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.5,2.27,1.6525454545,1.6525454545
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,1.0045833333,1.0045833333,0.7159848485,1.5461893939
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,140.13961538,37.719615385,29.572692308,26.584230769
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,17,102,9.0419607843,2.5647058824,2.0114705882,1.6020588235
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,79.99,22.253636364,15.27,11.481818182
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,173.63666667,43.851111111,31.782222222,27.125555556
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,3.3,1.64,1.28,1.0466666667
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.98,2.82,2.21,1.6433333333
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,10.99,4.04,3.17,2.4033333333
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,45,402.03888889,98.028444444,74.200888889,55.890666667
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,980,3.7341020408,3.7341020408,2.9275612245,2.9275612245
1003813965,KOBYLARZ,DENNIS,J,M.D.,M,I,10 GRANITE AVE.,,CANAAN,CT,060180970,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,87.99,45.2148,35.4508,30.6608
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,39,98,257,61.841322957,8.32,5.6591050584,5.6591050584
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,13.191111111,3.38,2.3988888889,2.3988888889
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,47,68,15.155147059,1.42,1.0005882353,1.0005882353
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,360.608125,77.36,51.945625,46.7090625
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,180.40277778,36.68,28.75,29.467777778
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,2508,0.6140948963,0.0470175439,0.0258971292,0.0258971292
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1913,1.6184840565,0.135687402,0.0791113434,0.0791113434
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,145,2.962,0.2196551724,0.158137931,0.158137931
1003814005,LEWIS,JOHN,W,D.O.,M,I,436 CLAIRMONT CT,SUITE 100,COLONIAL HEIGHTS,VA,238341765,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,31,31,33,33,21.742580645,21.742580645
1003814047,RIVERA,GILBERTO,,,M,I,TORRE AUXILIO MUTUO PONCE DE LEON AVE 735,SUITE 516,SAN JUAN,PR,00917,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,42,54.937619048,8.32,6.5223809524,6.5223809524
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,28.46,28.46,22.31,22.31
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,25,10.93,9.29,7.28,8.5696
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,32,7.46,6.34,4.97,5.845
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,88.277222222,39.476666667,29.981111111,29.526666667
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,582,34.86,34.86,27.330292096,27.330292096
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,15,810,8.28,8.28,6.3829135802,6.3829135802
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,16,30,30,310.554,101.21766667,70.597,61.736
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,19,40,89,132.68,38.765730337,26.975617978,23.348202247
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,13,30,163,57.732269939,20.836625767,15.10791411,13.654233129
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,15,27,129,43.292403101,18.044728682,12.725426357,10.53
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,29,53,53,163.76283019,62.644528302,46.610377358,40.433962264
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,42,50,50,54.8932,20.36,15.0986,13.254
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,37,68,68,60.3175,15.694705882,11.551470588,8.6667647059
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,46,85,459,7.8959041394,2.4524400871,1.8069498911,1.5100217865
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,27,29,29,20.387241379,6.9872413793,5.3010344828,4.4924137931
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,20,25,25,33.2956,14.4772,11.3488,10.4348
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,372,275,5.16,4.0453225806,4.1610215054
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,12,5862,2.6135516888,0.3073899693,0.2409911293,0.2430382122
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,20,20,1200,62.1675,46.624,46.2405
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,26,26,26,148.64884615,49.706153846,38.970769231,36.493461538
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,109.46,49.470909091,32.260909091,31.904090909
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,7,18,93,93,172.45043011,48.10827957,34.120537634,34.437311828
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,51,53,58.435660377,18.681698113,14.148679245,13.046037736
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,29,31,60.201612903,16.303548387,12.447741935,9.8074193548
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,24,6.3897674419,4.6472093023,3.466744186
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,21,107,110,170.95836364,41.174454545,30.868909091,24.786909091
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,131.03769231,48.653846154,38.144615385,39.246153846
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,23,112,115,341.12626087,81.208,59.872695652,51.980869565
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,148.97636364,42.101818182,30.409090909,28.153636364
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,47.01,26.433157895,20.72,21.963684211
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,22,22,22,83.903181818,35,26.290454545,28.017272727
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,39,217,217,70.493041475,19.494516129,13.622211982,12.719539171
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,49,49,82.485102041,30.160612245,22.60755102,21.120408163
1003814146,PATEL,KETAN,P,M.D.,M,I,9 MEDICAL PKWY,STE 308,DALLAS,TX,75234,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,25,136,136,28.782058824,8.6975,6.1522794118,6.0284558824
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,42,121,57.97892562,8.32,6.0919834711,6.0919834711
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,17.020740741,1.42,1.1125925926,1.1125925926
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,301,41.831993355,34.86,27.330332226,27.330332226
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,510,9.936,8.28,6.4916470588,6.4916470588
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,264,13.115871212,10.93,8.5691666667,8.5691666667
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,47,9.5644680851,3.0259574468,2.3727659574,1.5927659574
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,62.1772,21.8668,14.9916,12.2688
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,68.577272727,17.452727273,13.682727273,10.579090909
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,235.77789474,62.918947368,49.325263158,32.354736842
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,361.06310345,99.629655172,70.071034483,51.748275862
1003814179,DAVID,MICHAEL,D,DO,M,I,5409 AVENUE O,,FORT MADISON,IA,526279601,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,56.294117647,33,25.87,25.87
1003814351,BASRA,RAJINDER,,M.D.,F,I,194 WASHINGTON AVE,,BATAVIA,NY,140202113,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,165.436,21.985,15.743,12.779
1003814351,BASRA,RAJINDER,,M.D.,F,I,194 WASHINGTON AVE,,BATAVIA,NY,140202113,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,148.925625,44.144375,32.9925,23.3775
1003814351,BASRA,RAJINDER,,M.D.,F,I,194 WASHINGTON AVE,,BATAVIA,NY,140202113,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,653.66461538,95.371538462,68.927692308,52.195
1003814351,BASRA,RAJINDER,,M.D.,F,I,194 WASHINGTON AVE,,BATAVIA,NY,140202113,US,Physician/Family Practice,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,0.2497222222,0.013,0.008375,0.008375
1003814351,BASRA,RAJINDER,,M.D.,F,I,194 WASHINGTON AVE,,BATAVIA,NY,140202113,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,16.584545455,16.584545455
1003814518,LEE,CHRISTOPHER,M,M.D.,M,I,700 CENTER ST,SUITE 204,COLUMBUS,GA,319011546,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,27,79,58.407468354,8.32,6.1387341772,6.1387341772
1003814518,LEE,CHRISTOPHER,M,M.D.,M,I,700 CENTER ST,SUITE 204,COLUMBUS,GA,319011546,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1003814518,LEE,CHRISTOPHER,M,M.D.,M,I,700 CENTER ST,SUITE 204,COLUMBUS,GA,319011546,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,22,36,14.834444444,1.42,1.0516666667,1.0516666667
1003814518,LEE,CHRISTOPHER,M,M.D.,M,I,700 CENTER ST,SUITE 204,COLUMBUS,GA,319011546,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,99.206666667,18.198333333,14.117222222,13.383888889
1003814518,LEE,CHRISTOPHER,M,M.D.,M,I,700 CENTER ST,SUITE 204,COLUMBUS,GA,319011546,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,141.41666667,32.11,25.175,24.73
1003814518,LEE,CHRISTOPHER,M,M.D.,M,I,700 CENTER ST,SUITE 204,COLUMBUS,GA,319011546,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,18,513.00666667,74.745555556,55.279444444,51.682777778
1003814526,TYNER,TROY,A,"D.O.,F.A.C.O.I.",M,I,2510 COMMONS BLVD,SUITE 210,BEAVERCREEK,OH,454313820,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,63.315714286,17.540952381,12.442380952,12.271428571
1003814526,TYNER,TROY,A,"D.O.,F.A.C.O.I.",M,I,2510 COMMONS BLVD,SUITE 210,BEAVERCREEK,OH,454313820,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,333.24571429,77.266666667,54.815238095,50.06047619
1003814591,KING,JOSHUA,A,MD,M,I,5126 HOSPITAL DR NE,COVINGTON,COVINGTON,GA,300142566,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,57,57,40.182631579,17.28122807,13.307368421,13.299122807
1003814591,KING,JOSHUA,A,MD,M,I,5126 HOSPITAL DR NE,COVINGTON,COVINGTON,GA,300142566,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,2500,1074.31,842.26,842.26
1003814591,KING,JOSHUA,A,MD,M,I,5126 HOSPITAL DR NE,COVINGTON,COVINGTON,GA,300142566,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,25,3.9103333333,2.896,3.6973333333
1003814591,KING,JOSHUA,A,MD,M,I,5126 HOSPITAL DR NE,COVINGTON,COVINGTON,GA,300142566,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,71,71,229.61126761,82.082253521,62.677605634,55.113802817
1003814591,KING,JOSHUA,A,MD,M,I,5126 HOSPITAL DR NE,COVINGTON,COVINGTON,GA,300142566,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,66.666666667,24.726111111,19.385555556,14.553333333
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,70,164,73.740731707,8.3160365854,4.6495731707,4.6495731707
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,27,31,15.118387097,1.42,0.8293548387,0.8293548387
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,239.9,52.76,41.37,41.81
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,239.9,47.37,37.14,37.63
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,32.05,4.9485714286,2.87,2.7521428571
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,324.4,69.81,50.161578947,50.161578947
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2191,0.4375901415,0.0469146508,0.0367822912,0.0367777271
1003814625,KOSCICA,SARAH,R,MD,F,I,1701 W GARDEN ST,,PEORIA,IL,61605,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,32,84,67.829047619,8.32,6.2971428571,6.2971428571
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,22,14.880909091,1.42,1.0663636364,1.0663636364
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,21,35.923333333,17.564285714,12.470952381,12.254761905
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,15,34.522,6.438,5.0466666667,4.4086666667
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,38,261.27236842,86.663684211,61.156315789,50.688157895
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,4487,0.1723289503,0.0457610876,0.0334098507,0.0334098507
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,750,0.75,0.21884,0.1579066667,0.1579066667
1003814633,WORLEY,FRED,W,M.D.,M,I,7657 E MAIN ST,,REYNOLDSBURG,OH,430681243,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,31,132,33,25.035483871,25.035483871
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,26,80,197,67.431725888,8.32,5.8910152284,5.8910152284
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,31,33,19.467272727,1.42,1.0848484848,1.0848484848
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,452.764,88.481,65.701,64.44
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,28,50,175.1416,34.4276,25.5152,24.4486
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,46,77.826086957,21.395869565,16.134782609,15.209347826
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,22,22,176.43727273,59.465909091,42.541363636,38.972272727
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,29,29,63.291034483,18.717241379,14.131034483,13.573448276
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,33,33,81.413636364,12.356060606,9.1093939394,8.5681818182
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,44,147,10.816326531,2.150952381,1.5941496599,1.5052380952
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,63.101818182,13.665454545,9.7136363636,9.4
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,500,80.827272727,63.364545455,63.364545455
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,52,52,245.98230769,34.727884615,24.198076923,22.545769231
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,44.996363636,19.577272727,13.620454545,12.503636364
1003814666,BRIGHT,DAVID,K,"MD, PHARM D",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.98,8.6325,6.77,6.6725
1003814732,YAN,JIEMING,,MD,M,I,736 BATTLEFIELD BLVD N,,CHESAPEAKE,VA,233204941,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,42.75,17.1015,13.4095,13.5395
1003814732,YAN,JIEMING,,MD,M,I,736 BATTLEFIELD BLVD N,,CHESAPEAKE,VA,233204941,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,227.23684211,78.020526316,58.255,51.942894737
1003814823,MURACHANIAN,KENNETH,A,M.D.,M,I,3536 MENDOCINO AVE,STE 300,SANTA ROSA,CA,954033634,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,51,59.121372549,8.32,5.371372549,5.371372549
1003814823,MURACHANIAN,KENNETH,A,M.D.,M,I,3536 MENDOCINO AVE,STE 300,SANTA ROSA,CA,954033634,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,225.76923077,3.79,2.2846153846,2.7153846154
1003814823,MURACHANIAN,KENNETH,A,M.D.,M,I,3536 MENDOCINO AVE,STE 300,SANTA ROSA,CA,954033634,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,502.5,65.7,51.51,54.73
1003814823,MURACHANIAN,KENNETH,A,M.D.,M,I,3536 MENDOCINO AVE,STE 300,SANTA ROSA,CA,954033634,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,37.64,27.050833333,27.050833333
1003814831,GESLER,JAMES,W,M.D.,M,I,3373 COMMERCE PKWY,SUITE 2,WOOSTER,OH,446917130,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,13,50,50,36.184615385,43.471538462
1003814997,PULLMANN,JENNIFER,,"RN, CRNP",F,I,25 CROSSROADS DR,SUITE 205,OWINGS MILLS,MD,211175421,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,3176,3.3359571788,0.5927707809,0.4647355164,0.4647292191
1003814997,PULLMANN,JENNIFER,,"RN, CRNP",F,I,25 CROSSROADS DR,SUITE 205,OWINGS MILLS,MD,211175421,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,24,24,18.82,18.82
1003814997,PULLMANN,JENNIFER,,"RN, CRNP",F,I,25 CROSSROADS DR,SUITE 205,OWINGS MILLS,MD,211175421,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,13,16,16,12.54,12.54
1003815069,HASSABALLA,MAMDOUH,H,M.D.,M,I,1105 MILWAUKEE AVE,,RIVERWOODS,IL,600153512,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,376,11.95,5.79,4.5393882979,4.1631382979
1003815069,HASSABALLA,MAMDOUH,H,M.D.,M,I,1105 MILWAUKEE AVE,,RIVERWOODS,IL,600153512,US,Physician/General Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,12.727692308,5.41,4.24,3.95
1003815069,HASSABALLA,MAMDOUH,H,M.D.,M,I,1105 MILWAUKEE AVE,,RIVERWOODS,IL,600153512,US,Physician/General Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,1680,2.9268452381,0.5702857143,0.4471190476,0.4471190476
1003815069,HASSABALLA,MAMDOUH,H,M.D.,M,I,1105 MILWAUKEE AVE,,RIVERWOODS,IL,600153512,US,Physician/General Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,16,16,12.54,12.54
1003815093,VILLEGAS,LEOPOLD,,DO,M,I,2548 MEMORIAL BLVD,,PORT ARTHUR,TX,776402825,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,44,40.411818182,8.32,6.5220454545,6.5220454545
1003815093,VILLEGAS,LEOPOLD,,DO,M,I,2548 MEMORIAL BLVD,,PORT ARTHUR,TX,776402825,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,22,15.293181818,1.42,1.1109090909,1.1109090909
1003815093,VILLEGAS,LEOPOLD,,DO,M,I,2548 MEMORIAL BLVD,,PORT ARTHUR,TX,776402825,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,148.06769231,18.832307692,14.765384615,14.926923077
1003815093,VILLEGAS,LEOPOLD,,DO,M,I,2548 MEMORIAL BLVD,,PORT ARTHUR,TX,776402825,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,701.17,79.0575,59.595416667,57.512083333
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,37,118,319,58.738275862,8.32,5.3813479624,5.3813479624
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,14.356470588,3.38,2.3382352941,2.3382352941
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,32,49,13.28755102,1.4134693878,0.927755102,0.927755102
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,82.557272727,46.244545455,27.76,23.397272727
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,23,8.6330434783,1.9417391304,1.3565217391,1.0013043478
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,255.5725,111.151875,74.929375,63.989375
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,23,99.49173913,43.112173913,32.779130435,27.515217391
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,165.72846154,76.690769231,58.690769231,43.395384615
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,21,21,52.827619048,24.657619048,19.328571429,14.909047619
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,18,18,49.078888889,21.876666667,17.15,11.048333333
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,33,155,9.904,3.0609032258,2.3359354839,1.7411612903
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,12,12,21.156666667,8.2458333333,5.6258333333,4.5016666667
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,347.4275,51.871666667,31.733333333,30.734166667
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,95,101,77.793564356,22.891980198,17.063366337,13.519207921
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,18,18,210.9,53.99,40.039444444,35.539444444
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,48.18,18.160666667,14.238,10.933333333
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,70,75,26.6144,7.7510666667,5.8168,3.5609333333
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,52,52,240.98365385,50.412307692,36.748269231,23.731923077
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,26,149,155,390.792,103.08025806,75.249806452,55.660064516
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,89.496,45.15,33.209333333,28.026
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,9476,0.2459518784,0.0465934994,0.0344417476,0.0344417476
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,2880,1.1509895833,0.1363541667,0.1002847222,0.1002847222
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1530,12.86,2.9840980392,2.1520130719,2.1520130719
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,537,3.9383612663,0.2191247672,0.1600558659,0.1600558659
1003815119,HOFFMEISTER,MARC,A,PA-C,M,I,116 N MAPLE ST,,CHERRYVALE,KS,673351729,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,69,69,99,33,23.995362319,23.995362319
1003815168,GOODING,VAUGHN,G,M.D.,M,I,120 CENTERVILLE RD,,WARWICK,RI,028864336,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,19,150,150,115.56421053,161.27315789
1003815168,GOODING,VAUGHN,G,M.D.,M,I,120 CENTERVILLE RD,,WARWICK,RI,028864336,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,31,33,33,70.787878788,69.638787879,54.59969697,46.902727273
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,30,81,223,50.124887892,8.32,6.0548430493,6.0548430493
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,12.687777778,3.38,2.65,2.65
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,34,62,11.750967742,1.42,1.0066129032,1.0066129032
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,16,29,58,8.19,2.0282758621,1.4586206897,1.0310344828
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,82.53,17.9775,14.09625,9.07625
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,41,10.308292683,2.772195122,2.0009756098,1.4375609756
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,357,13.224005602,7.6488235294,5.9965826331,4.1629971989
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,7940,0.980093199,0.4008312343,0.2920793451,0.2208690176
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,152.75238095,72.83047619,54.473333333,46.066190476
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,60,70,86.31,21.900571429,16.187571429,13.461857143
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,47.441818182,37.63
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,43.134339623,7.9409433962,5.950754717,3.4283018868
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,26,218.55,43.755769231,30.33,21.752307692
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,17.74,11.101428571,8.2071428571,7.3028571429
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,23,174,196,519.51,100.23428571,72.99744898,52.342602041
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,1620,15.58,9.6124444444,7.4088580247,7.4088580247
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1230,13.94,11.349731707,8.8694552846,8.8694552846
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,38,7099,0.1729454853,0.0464248486,0.0341879138,0.0341879138
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,106,8310,1.1259987966,0.1338303249,0.0954127557,0.0954127557
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,52,2940,12.86,2.9865408163,2.271622449,2.271622449
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,46.851666667,21.0775,12.9225,11.180833333
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,168.63692308,31.248461538,22.836923077,18.424615385
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,27,473.33333333,227.7762963,176.15444444,130.24037037
1003815192,BANAJI,SUDESH,,M.D,M,I,332 E COOK ST,,FORREST CITY,AR,723352830,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,25,171,171,127.94736842,33,24.357134503,24.357134503
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,180,89.38,70.07,77.201666667
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,85,85,62.154615385,68.935384615
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,170,170,133.27105263,169.83947368
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,109,124,142,78,59.693943662,43.283591549,42.895211268
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,19,310,233.5,183.06105263,186.00631579
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,28,31,85,83.21,63.843225806,65.770645161
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,26,30,38,30.14,20.938333333,21.345666667
1003815218,DHILLON,MANJIT,S,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,47,51,87,245,183.93,142.86195402,145.15068966
1003815234,WHITE,ANNE,H,MD,F,I,50505 SCHOENHERR RD,SUITE 350,SHELBY TOWNSHIP,MI,483153140,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,,45,45,42.334444444,5.4106666667,3.4893333333,2.9035555556
1003815234,WHITE,ANNE,H,MD,F,I,50505 SCHOENHERR RD,SUITE 350,SHELBY TOWNSHIP,MI,483153140,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,245.92777778,79.88,56.201666667,49.618888889
1003815234,WHITE,ANNE,H,MD,F,I,50505 SCHOENHERR RD,SUITE 350,SHELBY TOWNSHIP,MI,483153140,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,1920,18.756125,9.6431875,7.4950677083,7.4950677083
1003815234,WHITE,ANNE,H,MD,F,I,50505 SCHOENHERR RD,SUITE 350,SHELBY TOWNSHIP,MI,483153140,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,32,7243,0.4025983708,0.0459809471,0.0357407152,0.0357393345
1003815234,WHITE,ANNE,H,MD,F,I,50505 SCHOENHERR RD,SUITE 350,SHELBY TOWNSHIP,MI,483153140,US,Physician/Allergy/ Immunology,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,28,3985,3.7309912171,0.0942760351,0.0709611041,0.0709611041
1003815234,WHITE,ANNE,H,MD,F,I,50505 SCHOENHERR RD,SUITE 350,SHELBY TOWNSHIP,MI,483153140,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,37,2766,11.764616775,3.0345661605,2.3791070137,2.3791070137
1003815234,WHITE,ANNE,H,MD,F,I,50505 SCHOENHERR RD,SUITE 350,SHELBY TOWNSHIP,MI,483153140,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,26,70,70,78.257142857,33,24.818142857,24.818142857
1003815259,HALL,STANLEY,C,MD,M,I,180 WINGO WAY,SUITE 304,MT PLEASANT,SC,294641810,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1170,0.2041025641,0.13,0.0967350427,0.0967350427
1003815259,HALL,STANLEY,C,MD,M,I,180 WINGO WAY,SUITE 304,MT PLEASANT,SC,294641810,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,595,5.0847058824,2.27,1.7797142857,1.7797142857
1003815259,HALL,STANLEY,C,MD,M,I,180 WINGO WAY,SUITE 304,MT PLEASANT,SC,294641810,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1740,3.8620689655,2.04,1.5441896552,1.5441896552
1003815259,HALL,STANLEY,C,MD,M,I,180 WINGO WAY,SUITE 304,MT PLEASANT,SC,294641810,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,15,9.86,7.0272727273,7.0272727273
1003815259,HALL,STANLEY,C,MD,M,I,180 WINGO WAY,SUITE 304,MT PLEASANT,SC,294641810,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,6.263,4.04,2.8790909091,2.8790909091
1003815259,HALL,STANLEY,C,MD,M,I,180 WINGO WAY,SUITE 304,MT PLEASANT,SC,294641810,US,Physician/Urology,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,54.525,38.96,30.545,30.545
1003815358,WHITE,MICHAEL,J,MD,M,I,1830 PONDFIELD RD,SUITE A,NEWBERRY,SC,291089522,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,40,2430,0.1456790123,0.12,0.094037037,0.094037037
1003815358,WHITE,MICHAEL,J,MD,M,I,1830 PONDFIELD RD,SUITE A,NEWBERRY,SC,291089522,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,27,43,623,9.9968699839,8.41,6.5939004815,6.5939004815
1003815358,WHITE,MICHAEL,J,MD,M,I,1830 PONDFIELD RD,SUITE A,NEWBERRY,SC,291089522,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,228,13.066710526,10.93,8.5691666667,8.5691666667
1003815358,WHITE,MICHAEL,J,MD,M,I,1830 PONDFIELD RD,SUITE A,NEWBERRY,SC,291089522,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,369,4.3871544715,3.67,2.8773441734,2.8773441734
1003815358,WHITE,MICHAEL,J,MD,M,I,1830 PONDFIELD RD,SUITE A,NEWBERRY,SC,291089522,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,26,42,3350,0.5555820896,0.4499104478,0.3527552239,0.3528238806
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,30,102,291,57.778419244,8.32,5.8498281787,5.8498281787
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,27,27,15.740740741,3.38,2.65,2.65
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,24.75,2.12,1.67,1.67
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,49,99,15.332626263,1.42,1.0577777778,1.0577777778
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,9.79,7.63,4.9247058824,5.7429411765
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,94,658,4.3285714286,3.3795744681,2.536899696,2.5751215805
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,23.1,18.02,11.775,11.775
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,34,11.895,9.29,5.9952941176,7.2611764706
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,210,7.5076666667,5.54,3.8261904762,3.8261904762
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,458,4.1825327511,3.04,2.3396724891,2.3396724891
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,44,44,88,85.020909091,71.531136364,50.990227273,51.012727273
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,44,44,264,33.930189394,29.178181818,22.17875,22.189659091
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,59,143,296,7.7519932432,2.0693243243,1.5710810811,1.1586148649
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,15,21,21,74.454285714,17.528571429,13.744285714,9.4319047619
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,,11,33,1.5272727273,0.6515151515,0.5106060606,0.4445454545
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,63.277272727,21.646363636,16.966363636,14.055454545
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,63.173636364,16.087272727,12.609090909,9.1136363636
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,90,1191,9.2672040302,6.568572628,5.0963895886,4.1836439966
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,116,22882,0.5649396906,0.3469229088,0.2613823092,0.2421846867
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,693,0.9236363636,0.8203030303,0.6431457431,0.5689033189
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,25,14.312857143,11.225,8.0921428571
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,23,100,111,363.60432432,70.077927928,52.287477477,38.649279279
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,77,605,624,67.308589744,22.330817308,16.316362179,13.70474359
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,33,38,160.57105263,61.434736842,48.163421053,40.791842105
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,39,256,256,4430.1,1074.31,835.82664063,835.82664063
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,21,499.59952381,121.4247619,88.735238095,60.526190476
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,14,81.75,17.395,12.810714286,9.7314285714
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,62,367,368,46.29625,7.5029891304,5.5310054348,3.4732065217
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,55,55,16.616909091,9.4927272727,6.8994545455,3.6121818182
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,188,1341,1429,446.3216585,102.97869139,76.868187544,57.253456963
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,250,44.34,32.417857143,27.917857143
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,30,30,30,167.2,57,40.221,40.221
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,15.58,9.65275,7.3685,7.3685
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,64,263,73257,0.2477077958,0.046031915,0.0344504962,0.0344504962
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,17,94,9330,0.9249678457,0.1334276527,0.0990696677,0.0990696677
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,0.75,0.2186521739,0.1713913043,0.1713913043
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,89,90,124.95833333,27.736444444,20.405555556,13.544
1003815390,BURNETTE,GEORGE,E,MD,M,I,424 JETT DR,,JACKSON,KY,413399621,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,71,330,330,115.32727273,33,24.772484848,24.772484848
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,24,57,160,38.0996875,8.32,6.09425,6.09425
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,34,55,8.84,1.42,1.0752727273,1.0752727273
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,110.10666667,47.183333333,30.845833333,30.523333333
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,140.47368421,47.57,30.156315789,30.581052632
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,44,45,18.422222222,5.1753333333,3.9035555556,3.6955555556
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,52,263.80846154,69.906923077,51.310769231,51.245384615
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,5653,0.3577516363,0.0472421723,0.0370352025,0.0370352025
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1710,2.2794093567,0.1348245614,0.0929649123,0.0929649123
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,45,49,66.12244898,17.93122449,13.406122449,13.10122449
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,85,28.852,22.62,22.62
1003815465,SNIDER,MARK,A,M.D.,M,I,905 N MACOMB ST,STE 4,MONROE,MI,481623075,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,33,33,23.620434783,23.620434783
1003815473,GOLOVAN,RONALD,,M.D.,M,I,2709 FRANKLIN BLVD,SUITE 2E,CLEVELAND,OH,441132993,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,30,67.196,8.32,5.3816666667,5.3816666667
1003815473,GOLOVAN,RONALD,,M.D.,M,I,2709 FRANKLIN BLVD,SUITE 2E,CLEVELAND,OH,441132993,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,86.31,17,12.219166667,12.380833333
1003815473,GOLOVAN,RONALD,,M.D.,M,I,2709 FRANKLIN BLVD,SUITE 2E,CLEVELAND,OH,441132993,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,36,539.59083333,78,56.206666667,51.239166667
1003815473,GOLOVAN,RONALD,,M.D.,M,I,2709 FRANKLIN BLVD,SUITE 2E,CLEVELAND,OH,441132993,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2020,0.1458663366,0.0467029703,0.0352425743,0.0352425743
1003815499,ALMANZA,RUBEN,J,MD,M,I,5826 ESPLANADE DR,STE 304,CORPUS CHRISTI,TX,784144173,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,21,63,70.544444444,8.32,6.3147619048,6.3147619048
1003815499,ALMANZA,RUBEN,J,MD,M,I,5826 ESPLANADE DR,STE 304,CORPUS CHRISTI,TX,784144173,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,27,18.636296296,1.42,1.0755555556,1.0755555556
1003815499,ALMANZA,RUBEN,J,MD,M,I,5826 ESPLANADE DR,STE 304,CORPUS CHRISTI,TX,784144173,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,29.886428571,4.7857142857,3.7471428571,3.86
1003815580,REYNOLDS,THOMAS,M,M.D.,M,I,2158 NORTHGATE PARK LN,SUITE 302,CHATTANOOGA,TN,374156957,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,47,47,47,77.523404255,75.160212766,53.764680851,48.484042553
1003815580,REYNOLDS,THOMAS,M,M.D.,M,I,2158 NORTHGATE PARK LN,SUITE 302,CHATTANOOGA,TN,374156957,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,39,84.5,37.88,28.174615385,31.428461538
1003815580,REYNOLDS,THOMAS,M,M.D.,M,I,2158 NORTHGATE PARK LN,SUITE 302,CHATTANOOGA,TN,374156957,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,17,84.5,32.88,22.741764706,25.103529412
1003815580,REYNOLDS,THOMAS,M,M.D.,M,I,2158 NORTHGATE PARK LN,SUITE 302,CHATTANOOGA,TN,374156957,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,53,54,91,76.293626374,46.353626374,34.262747253,40.91010989
1003815580,REYNOLDS,THOMAS,M,M.D.,M,I,2158 NORTHGATE PARK LN,SUITE 302,CHATTANOOGA,TN,374156957,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,17,80.970588235,48.509411765,29.294705882,34.811176471
1003815622,MOONEY,STEPHEN,M,MD,M,I,2101 NICHOLASVILLE RD STE 304,,LEXINGTON,KY,405032526,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,47,81,69.87617284,8.32,5.7186419753,5.7186419753
1003815622,MOONEY,STEPHEN,M,MD,M,I,2101 NICHOLASVILLE RD STE 304,,LEXINGTON,KY,405032526,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,16.566666667,1.42,1.0533333333,1.0533333333
1003815622,MOONEY,STEPHEN,M,MD,M,I,2101 NICHOLASVILLE RD STE 304,,LEXINGTON,KY,405032526,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,280,97.991428571,75.612857143,54.973214286
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,50,122,333,66.392642643,8.32,6.0136636637,6.0136636637
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,27,27,16.112962963,3.38,2.5518518519,2.5518518519
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,23.846153846,2.12,1.5415384615,1.5415384615
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,45,72,15.187222222,1.4111111111,1.1077777778,1.1147222222
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,120.92,38.55,29.742727273,30.011818182
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,74,68.791621622,15.12,10.893783784,10.92972973
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,29,29,262.52413793,54.47,39.474482759,39.625517241
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,22,22,79.175,17.88,14.01,14.057727273
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,20,20,93.087,11.54,9.05,9.113
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,31,152,11.493815789,2.01,1.5769736842,1.5923684211
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,361,50,5.54,4.3433240997,4.1934903047
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5511,3.8240047178,0.38,0.2979295954,0.2908092905
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,81.462857143,17.29,12.582142857,12.565
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,81.75,12.066666667,8.2788888889,8.1722222222
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,73,75,177.1656,32.448,23.237466667,22.802933333
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,500.43428571,70.23,51.127142857,50.86
1003815788,CURE,JAMES,D,M.D.,M,I,1901 THOMSON DR,,LYNCHBURG,VA,245011008,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,103.71428571,33,24.638095238,24.638095238
1003815804,BRYSON,KEITH,G,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,577016003,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,3.4045454545,2.49,1.775,1.775
1003815804,BRYSON,KEITH,G,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,577016003,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,26,7.8069230769,6.34,4.045,4.8876923077
1003815812,JABLONSKI,MICHAEL,V,M.D.,M,I,701 PLATINUM PT,,LAKE MARY,FL,327464871,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,75.191764706,51.882941176,40.674705882,37.421176471
1003815812,JABLONSKI,MICHAEL,V,M.D.,M,I,701 PLATINUM PT,,LAKE MARY,FL,327464871,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,279.70967742,127.16290323,99.155483871,87.337096774
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,64,167,49.337185629,8.32,5.9089221557,5.9089221557
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,20,10.492,1.42,1.117,1.117
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,300,7.0288333333,5.736,4.3281666667,4.3313
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,9.8508333333,9.8508333333,7.1250416667,7.1322083333
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,137.87727273,44.108181818,34.581818182,30.569090909
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.0375,3.0375,2.3815416667,2.3835
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,462,0.5735930736,0.26,0.2039177489,0.2116017316
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,10.23,2.4911764706,1.9539705882,1.5926470588
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,42,42.026904762,4.2714285714,3.3514285714,3.7
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1657,3.0630537115,0.046028968,0.036089318,0.036089318
1003815937,LANG,JOHN,M,M.D.,M,I,1 TOWN SQUARE BLVD,SUITE 220,ASHEVILLE,NC,288035006,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,25.87,25.87
1003815994,MELTON,KENNETH,,M.D.,M,I,557 SANDHURST DR,,FAYETTEVILLE,NC,283044433,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,4980,2.5656425703,1.2347831325,0.9429497992,0.9429497992
1003815994,MELTON,KENNETH,,M.D.,M,I,557 SANDHURST DR,,FAYETTEVILLE,NC,283044433,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,24,24,18.166428571,18.166428571
1003815994,MELTON,KENNETH,,M.D.,M,I,557 SANDHURST DR,,FAYETTEVILLE,NC,283044433,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1003816117,MCKEEFF,DIANE,,NP,F,I,55 CHERRY LN,SUITE 1B,WAKEFIELD,RI,028793617,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,55,72.157090909,8.32,6.2845454545,6.2845454545
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,44,133,273,73.718058608,8.32,6.0201465201,6.0201465201
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,16.732727273,3.38,2.65,2.65
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,27,60,72,14.325555556,1.42,1.0544444444,1.0544444444
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,26,1165,2.6675193133,2.27,1.7063776824,1.7063776824
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,58,13.234137931,10.93,8.2744827586,8.2744827586
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.1281818182,7.35,5.76,5.85
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,1250,0.580104,0.27,0.211648,0.211648
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,540,7.1311666667,3.04,2.3833888889,2.3833888889
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,22,47.58,38.96,30.546363636,30.546363636
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,1150,0.4402173913,0.27,0.2100956522,0.2100956522
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,39,39,78,86.892948718,71.56,56.105,56.105
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,204,34.1025,29.19,22.885,22.886617647
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.86,1.51,0.9875,0.9625
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,89.31,7.85,6.15,9.07
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,22,22,22,29.241818182,15.69,11.181818182,10.969090909
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,96.463636364,16.96,12.090909091,12.336363636
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,54.9,3.74,2.9276470588,4.0447058824
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,502.2625641,71,51.118205128,50.450512821
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,30,6273,0.2581109517,0.0451378926,0.031861948,0.031861948
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,0.92,0.1332666667,0.0984333333,0.0984333333
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,95,17.3375,13.0878125,14.13625
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,6,,11,102,26.81,22.356862745,17.527745098,17.527647059
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,1371.5255556,1146.08,898.52,886.5
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,32,784.094375,658.83,516.523125,480.62625
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,29,118.28,118.28,92.733103448,88.843103448
1003816141,ATMAJIAN,TIMOTHY,K,MD,M,I,2363 W MUSCAT AVE,,FRESNO,CA,937069748,US,Physician/Ophthalmology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,46,46,127.69565217,33,23.639565217,23.639565217
1003816224,BORN,TAMMY,L,D.O.,F,I,3700 52ND ST SE,,GRAND RAPIDS,MI,495129637,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,225.39769231,100.58923077,74.266153846,53.635384615
1003816265,BISCHOFF,JAMES,F,MD,M,I,6475 S YALE AVE,STE. 301,TULSA,OK,741367816,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,49,51,51,74.669215686,47.117647059,31.21627451,39.895882353
1003816315,ALI,SHAMIM,,M.D.,F,I,707 S FRY RD,SUITE 360,KATY,TX,774502256,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,33,75,41.283066667,8.32,5.8738666667,5.8738666667
1003816315,ALI,SHAMIM,,M.D.,F,I,707 S FRY RD,SUITE 360,KATY,TX,774502256,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,29,7.18,1.42,1.0744827586,1.0744827586
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,39,39,117.70333333,39.025384615,27.729487179,27.612307692
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,83,343,700,5.9663285714,1.6786,1.2785857143,1.1257428571
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,32,3.26375,1.309375,1.028125,0.9646875
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,41,55,55,76.249636364,15.715818182,11.613454545,8.9523636364
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,23,33,35,1.88,0.5934285714,0.4354285714,0.3977142857
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,28,37,37,5.4367567568,1.3643243243,1.0027027027,0.9110810811
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,17,35,35,379.71971429,92.323428571,62.358,58.028571429
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,44,157.74318182,33.356590909,25.749772727,25.479772727
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,34,150,95.021533333,18.242933333,12.2738,12.461066667
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,16,48,229,53.197292576,16.424672489,11.48209607,10.515327511
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,27,72,72,225.48,59.50875,41.923888889,38.220833333
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,40,60,60,69.200833333,19.487666667,14.187333333,13.022333333
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,63,63,82.42952381,13.261587302,9.6674603175,8.4019047619
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,38,101,520,11.050307692,2.1108461538,1.5579423077,1.4964615385
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,26,40,40,43.80025,14.467,10.28775,9.44525
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,89,98,67.771428571,18.137857143,13.360306122,12.707244898
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,28,28,106.43392857,52.359285714,39.861428571,40.17
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,59,287,378,47.011402116,6.2955291005,4.6420899471,3.4950529101
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,19,21,193.01571429,45.514761905,34.560952381,30.954761905
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,36,208,244,413.69663934,82.24057377,58.596352459,50.657008197
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,47,174.46808511,36.030851064,22.448297872,23.201702128
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,28,28,28,138.42857143,57,42.755714286,42.755714286
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.542,7.542
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,29,1740,11.462448276,10.867517241,8.5201724138,8.5201724138
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,42,191,49663,0.2972770473,0.0459136581,0.035321668,0.035321668
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,71,404,47479,1.0529600455,0.1340601108,0.0994681859,0.0994681859
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,150,897,54312,9.3492473118,2.9986078583,2.2750614965,2.2750614965
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,36,1895,1.7305699208,0.2188970976,0.1669920844,0.1669920844
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,213.14181818,36.642727273,28.724545455,29.439090909
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,150,950,950,79.747368421,33,25.530905263,25.530905263
1003816331,REDDY,PODDUTURU,S,"M.D., M.P.H.",M,I,2615 ELECTRIC AVENUE,,PORT HURON,MI,48060,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,66,66,51.74,51.74
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,14,4.8857142857,1,0.7821428571,0.7821428571
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,68,217,540,43.027203704,8.2621111111,5.9248518519,5.9672037037
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,19,47,47,13.565957447,3.38,2.5936170213,2.5936170213
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,17,23,23,19.595652174,2.12,1.67,1.67
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,49,123,193,12.733056995,1.42,1.0406217617,1.0406217617
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,20,40,93.543,71.56,52.986,52.98575
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,18,18,108,33.899814815,29.19,22.595555556,22.597037037
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,34,3024,0.1495039683,0.13,0.0987863757,0.0987863757
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,26,112,232,7.8321551724,2.0206896552,1.4748706897,1.081637931
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,79.597333333,18.326666667,14.37,9.5753333333
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,13,15,5.228,1.5626666667,1.152,0.9253333333
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,16,36,36,406.08,121.65166667,83.733611111,58.846666667
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,27,69,174.67478261,45.874927536,31.456521739,23.598550725
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,49,65.137959184,19.763061224,13.664489796,10.44122449
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,254.855,77.813,54.0755,38.992
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,32,32,74.1153125,25.0984375,18.1134375,13.5284375
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,39,39,90.742564103,20.986923077,15.237179487,9.6215384615
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,66,250,11.6906,3.12264,2.16608,1.4172
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,23.773125,8.29625,5.7775,4.29125
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,50.981428571,15.7,11.489285714,9.695
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,456,11.057719298,4.35,3.4103289474,2.9541666667
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,59,1628,7.6847235872,6.8345454545,5.3518243243,4.4198648649
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,50,21119,0.5017084142,0.3812074435,0.2988673706,0.2554216582
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,25,10389,1.7953652902,0.8739455193,0.6851727789,0.6056511695
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,22,22,90.250454545,79.900454545,57.815909091,45.355909091
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,43,45,242.15577778,75.984,56.108,38.590222222
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,177,182,68.016318681,22.666923077,17.082362637,13.194395604
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,74,74,4133.62,1074.31,838.37256757,838.37256757
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,11,30,33,81.75,17.188787879,12.716666667,10.298181818
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,52,59,50.326101695,8.9030508475,6.7330508475,3.6984745763
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,15,58,62,210.8516129,48.212419355,31.195806452,22.212419355
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,113.28571429,72.839285714,52.503571429,38.045
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,15.870869565,11.921304348,8.8739130435,3.7358695652
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,70,538,575,468.49852174,103.76521739,76.598886957,52.808208696
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,187.93103448,45.094137931,34.223103448,29.831724138
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,15.58,9.651,7.5204393939,7.5204393939
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,25,123,23179,0.2564916519,0.0459890418,0.0318866215,0.0318866215
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,18,123,12310,1.0221356621,0.1326945573,0.0949683184,0.0949683184
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.86,2.9977272727,2.3502424242,2.3502424242
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1083,1.6428070175,0.2187996307,0.1338134811,0.1338134811
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,37,81.774324324,31.410540541,23.069189189,16.420540541
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,25,12.392916667,9.1570833333,7.5854166667
1003816372,MOORE,CHARLES,A,MD,M,I,123 N 19TH ST,SUITE 201,MIDDLESBORO,KY,409652865,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,36,241,241,115.56846473,33,22.839004149,22.839004149
1003816463,GARCIA-MAYOL,LUIS,R,MD,M,I,747 PONCE DE LEON BLVD,SUITE 605,CORAL GABLES,FL,331342049,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,31,45.362903226,8.32,5.6796774194,5.6796774194
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,38,38,143.36526316,42.899473684,31.617894737,29.129210526
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,13,37,70,8.0425714286,1.5271428571,1.1632857143,1.1185714286
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,5.91,1.18,0.92,0.9563636364
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,100,193,193,583.91715026,97.457979275,73.994145078,66.638341969
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,80,153,335,230.23146269,35.164268657,26.65641791,25.232059701
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,39,72,375,105.74645333,20.01456,14.139066667,13.26088
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,22,31,148,82.446824324,16.230878378,11.981418919,11.145337838
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,69,117,117,268.9008547,58.040940171,41.642649573,39.118376068
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,161,211,211,107.1663981,19.598720379,14.897440758,13.658767773
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,49.905263158,11.123157895,8.7210526316,8.1452631579
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,150,273,273,77.761978022,13.512673993,10.23047619,8.9164835165
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,156,288,1514,9.4892998679,2.222338177,1.6662417437,1.5404359313
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,60,78,78,24.536538462,6.9743589744,5.2797435897,4.5225641026
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,90,114,114,82.256315789,12.845877193,9.4589473684,9.6718421053
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,73,89.098219178,19.506575342,14.650958904,13.054657534
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,3736.1361702,1074.31,836.15489362,836.15489362
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,25,153,154,800.78597403,97.838116883,75.249090909,68.453246753
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,37,37,37,793.92486486,137.36972973,107.69702703,104.65351351
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,20,85,93,42.224086022,5.3364516129,3.7505376344,3.3364516129
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,44,255,261,706.15417625,38.029770115,27.67605364,24.233524904
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,39,304,318,593.91257862,80.039842767,60.405943396,52.834371069
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,111,112,135.47589286,41.324375,32.110178571,30.0975
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,76,57,44.69,44.69
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,91,5400,19.80157963,9.6454444444,7.5424444444,7.5424444444
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,30,85,18499,0.255773285,0.0460792475,0.0345510568,0.0345510568
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,1200,2.52015,0.1319,0.0943333333,0.0943333333
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,18,127,7410,11.684854251,3.0082631579,2.3197746289,2.3197746289
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,285.6,43.870645161,32.678064516,28.07
1003816604,LINNEMAN,NANCY,,MD,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,36,185,185,70.994594595,33,25.170810811,25.170810811
1003816687,OZA,RATNAM,A,MD,M,I,1100 S MAIN ST,STE. 203,DAYTON,OH,454092682,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,45,113,52.072831858,8.2945132743,6.040619469,6.0605309735
1003816687,OZA,RATNAM,A,MD,M,I,1100 S MAIN ST,STE. 203,DAYTON,OH,454092682,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,12.226315789,3.38,2.5105263158,2.5105263158
1003816687,OZA,RATNAM,A,MD,M,I,1100 S MAIN ST,STE. 203,DAYTON,OH,454092682,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,27,42,12.973333333,1.42,1.009047619,1.009047619
1003816687,OZA,RATNAM,A,MD,M,I,1100 S MAIN ST,STE. 203,DAYTON,OH,454092682,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,67.014782609,17.55,11.965217391,11.773913043
1003816687,OZA,RATNAM,A,MD,M,I,1100 S MAIN ST,STE. 203,DAYTON,OH,454092682,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,428.77909091,77.18,52.489090909,47.258181818
1003816844,SCHAMBERGER,ROBERT,A,"DO, LLC",M,I,71 S CENTRAL AVE,,OVIEDO,FL,327659025,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,37,168,57.624285714,8.32,5.8626190476,5.8626190476
1003816844,SCHAMBERGER,ROBERT,A,"DO, LLC",M,I,71 S CENTRAL AVE,,OVIEDO,FL,327659025,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,41,15.007317073,1.42,1.1141463415,1.1141463415
1003816844,SCHAMBERGER,ROBERT,A,"DO, LLC",M,I,71 S CENTRAL AVE,,OVIEDO,FL,327659025,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3300,2.56,0.3765454545,0.2681393939,0.2644121212
1003816844,SCHAMBERGER,ROBERT,A,"DO, LLC",M,I,71 S CENTRAL AVE,,OVIEDO,FL,327659025,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,225,35.11,27.53,29.51
1003816844,SCHAMBERGER,ROBERT,A,"DO, LLC",M,I,71 S CENTRAL AVE,,OVIEDO,FL,327659025,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,65.938461538,19.122307692,14.990769231,14.990769231
1003816877,OKADA,ROBERT,D,MD,M,I,6151 S YALE AVE,STE 304,TULSA,OK,741361907,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3730,2775.2616667,2175.8058333,2175.8058333
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,28,79,169,66.343846154,8.32,5.2107100592,5.2107100592
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,22,30,15.537666667,1.42,0.857,0.857
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.32,2.02,1.4516944444,1.4516944444
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.5,3.04,2.3426666667,2.3426666667
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,140,31.974615385,17.907692308,18.010769231
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,350,69.99,49.194705882,49.062941176
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,E2310,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,140.5,84.26,66.053636364,66.053636364
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1200,1.5373416667,0.136375,0.09125,0.09125
1003816885,RIDDER,GLENN,A,MD,M,I,6110 S MINNESOTA AVE,,SIOUX FALLS,SD,571082549,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,33,33,24.442105263,24.442105263
1003816901,WOMACK,JOSEPH,S,MD,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,0.39,0.13,0.0940615385,0.0940615385
1003816901,WOMACK,JOSEPH,S,MD,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,40,23.8785,13.8,10.5495,10.5495
1003816901,WOMACK,JOSEPH,S,MD,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,44,5710,3.8748511384,2.04,1.5358966725,1.5358966725
1003816901,WOMACK,JOSEPH,S,MD,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,984,10.22695122,6.1887804878,4.6791565041,5.4439939024
1003816901,WOMACK,JOSEPH,S,MD,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician/Urology,S,A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,21,58.447142857,46.53952381,34.56952381,38.342857143
1003816901,WOMACK,JOSEPH,S,MD,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,38,92,12.521521739,9.9317391304,7.7068478261,8.4652173913
1003816901,WOMACK,JOSEPH,S,MD,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,62,8.1464516129,6.8264516129,5.3516129032,5.8180645161
1003817057,GALLAGHER,KEVIN,,,M,I,4417 VESTAL PARKWAY EAST,SUITE 201,VESTAL,NY,138503556,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,31,98,190,64.492947368,8.32,5.9665263158,5.9665263158
1003817057,GALLAGHER,KEVIN,,,M,I,4417 VESTAL PARKWAY EAST,SUITE 201,VESTAL,NY,138503556,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,13.399090909,3.38,2.5295454545,2.5295454545
1003817057,GALLAGHER,KEVIN,,,M,I,4417 VESTAL PARKWAY EAST,SUITE 201,VESTAL,NY,138503556,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,37,45,13.102888889,1.42,0.9675555556,0.9675555556
1003817057,GALLAGHER,KEVIN,,,M,I,4417 VESTAL PARKWAY EAST,SUITE 201,VESTAL,NY,138503556,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,420.60517241,69.257241379,49.356896552,50.51
1003817065,HIOTIS,KAREN,,MD,F,I,160 E 34TH ST,4TH FLOOR,NEW YORK,NY,100164750,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,35,39.563428571,35.62,27.926,30.752285714
1003817073,RUISCH,ABBIE,D,DO,F,I,5501 NW 86TH ST,SUITE 300,JOHNSTON,IA,50131,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,35,60.006857143,8.32,5.4037142857,5.4037142857
1003817107,SOTEREANOS,NICHOLAS,G,MD,M,I,1307 FEDERAL ST,2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS,PITTSBURGH,PA,152124705,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,145.445,46.875833333,33.676666667,33.421666667
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,383,810,810,119.29051852,37.624209877,27.957654321,28.918333333
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,241,483,483,329.67279503,83.483478261,62.170062112,64.404389234
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,167,360,956,132.03070084,32.141945607,24.564069038,25.255899582
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,136,305,1607,76.353030492,18.056428127,13.691767268,14.074803983
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,19,118,267,1446,56.622240664,14.64813278,10.916680498,11.309771784
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,30,333,717,717,211.14299861,51.82181311,38.604951185,40.775299861
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,501,708,708,63.76519774,16.85829096,12.683446328,13.485762712
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,60,73,73,27.868767123,9.9530136986,7.695890411,8.027260274
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,181,371,371,61.278167116,12.022210243,9.0024797844,8.7412938005
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,490,1104,5854,9.6866262385,1.9860539802,1.4842927913,1.5183242228
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,356,509,509,25.7478389,5.8885265226,4.3775638507,4.4205500982
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,25,292,398,398,42.215376884,12.075552764,9.0669095477,9.8717839196
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,56.15862069,16.04,12.136551724,13.072068966
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,33,183,184,440.98222826,81.399184783,60.808315217,64.229891304
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,32,203,207,675.15932367,195.08903382,147.74,154.92652174
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,1559.5230769,966.44230769,752.17423077,752.17423077
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,100,100,100,367.3378,130.9996,99.1891,100.9844
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,16,59,66,86.678030303,12.742121212,9.3653030303,9.5262121212
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,63,69,60.105507246,5.731884058,4.4176811594,3.6697101449
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,155,979,987,155.48788247,31.73751773,23.395126646,23.954802432
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,21,136,140,467.28592857,71.253571429,52.7595,51.776571429
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,102,103,173.67825243,35.441747573,25.900776699,27.60776699
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,85,5100,15.570021569,9.6273176471,7.4795627451,7.4795627451
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,3914,0.4021308125,0.0467322432,0.0342871742,0.0342871742
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,38,3436,1.835387078,0.1376920838,0.0939639115,0.0939639115
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,19,95,5447,11.811248394,3.0236368643,2.360996879,2.360996879
1003817156,BENTON,MARC,L,M.D.,M,I,300 MADISON AVE,SUITE 201,MADISON,NJ,07940,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,29,135,135,60.081481481,33,24.911851852,24.911851852
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,24,88,188,61.790159574,8.32,5.85,5.85
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,46,60,16.468833333,1.42,0.968,0.968
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,13,14,14,32.896428571,16.331428571,12.805714286,9.0742857143
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,160,85.694285714,67.185714286,43.392142857
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,75.33516129,21.127096774,16.081612903,13.870322581
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,15,59,66,31.991515152,7.315,5.5686363636,3.7136363636
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,118.54136364,44.804545455,32.384545455,23.172727273
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,38,38,304.46842105,94.09,70.660526316,56.018947368
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,84.755833333,44.745,32.344166667,27.056666667
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,20,56,12152,0.380894503,0.0461627716,0.0360006583,0.0360006583
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,2370,2.2848101266,0.1357890295,0.1064852321,0.1064852321
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,39,1616,2.3962685644,0.219845297,0.171095297,0.171095297
1003817172,BARKER,LUCRETIA,R,M.D.,F,I,1112 PLAZA AVE,,EASTMAN,GA,310239009,US,Physician/Obstetrics & Gynecology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,22,65,65,41.923076923,33,25.87,25.87
1003817206,DICKSON,JOAN,,M.D.,F,I,100.5 S. MERRILL AVE.,SUITE #24,GLENDIVE,MT,593302053,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,42,76.636904762,8.32,5.7464285714,5.7464285714
1003817206,DICKSON,JOAN,,M.D.,F,I,100.5 S. MERRILL AVE.,SUITE #24,GLENDIVE,MT,593302053,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,26,418.15,105.80692308,78.552307692,63.563846154
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,22,34,2240,0.1824642857,0.12,0.0940714286,0.0940714286
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,30,2456,0.7149837134,0.44,0.34497557,0.34497557
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,17,30,870,36.648827586,23.66,17.446229885,17.446229885
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,12,25,944,11.54059322,8.28,6.4915783898,6.4915783898
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,728,15.029395604,5.95,4.4725686813,4.4725686813
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,12,13,292,15.320479452,10.93,8.5690753425,8.5690753425
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,494,5.4689473684,2.73,2.1403036437,2.1403036437
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,20,48,1601,5.8676452217,3.67,2.8751342911,2.8751342911
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,30,38,2158,0.4158202039,0.13,0.0970574606,0.0970574606
1003817297,HARPER,JODIE,R,M.D.,F,I,1427 W 86TH ST,SUITE 152,INDIANAPOLIS,IN,462602103,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,27,44,5665,0.6906213592,0.4492744925,0.3455269197,0.3460476611
1003817313,HARTMANN,RUPERT,C,D.O.,M,I,943 CINNAMINSON AVE,,PALMYRA,NJ,080651802,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,32,60,54.608,8.32,6.1663333333,6.1663333333
1003817313,HARTMANN,RUPERT,C,D.O.,M,I,943 CINNAMINSON AVE,,PALMYRA,NJ,080651802,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,21,25,12.784,1.42,1.0288,1.0288
1003817370,ALTON,MARY,E,M.D.,F,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,288.51085714,69.81,45.939714286,45.939714286
1003817370,ALTON,MARY,E,M.D.,F,I,335 GLESSNER AVE,,MANSFIELD,OH,449032269,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,36.14,25.754545455,26.960909091
1003817412,METTS,MARGARET,,M.D.,F,I,1703 MEDICAL PARK DR W,,WILSON,NC,278932788,US,Physician/Radiation Oncology,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,5.41,4.21,3.305,3.305
1003817412,METTS,MARGARET,,M.D.,F,I,1703 MEDICAL PARK DR W,,WILSON,NC,278932788,US,Physician/Radiation Oncology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,12.18,8.9908333333,7.048125,6.4833333333
1003817412,METTS,MARGARET,,M.D.,F,I,1703 MEDICAL PARK DR W,,WILSON,NC,278932788,US,Physician/Radiation Oncology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.445,3.66,2.87,3.3375
1003817412,METTS,MARGARET,,M.D.,F,I,1703 MEDICAL PARK DR W,,WILSON,NC,278932788,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,36,736,57.322758152,4.3404891304,3.4029211957,2.3825543478
1003817412,METTS,MARGARET,,M.D.,F,I,1703 MEDICAL PARK DR W,,WILSON,NC,278932788,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,38,17948,1.2666525518,0.416943392,0.3188917985,0.2363878984
1003817420,MARTUCCIO,JAMES,V,MD,M,I,302 NILES CORTLAND RD,,WARREN,OH,44484,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,74,79,79,73.686329114,72.18443038,54.450379747,50.689240506
1003817420,MARTUCCIO,JAMES,V,MD,M,I,302 NILES CORTLAND RD,,WARREN,OH,44484,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,39,72,51.535277778,51.535277778,38.158055556,40.855277778
1003817420,MARTUCCIO,JAMES,V,MD,M,I,302 NILES CORTLAND RD,,WARREN,OH,44484,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,41,72,66.56,66.56,49.7625,51.636388889
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,11,14,28,5.9364285714,0.51,0.4,0.4
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,58,146,455,55.234593407,8.3182197802,5.8955164835,5.8969230769
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,19,41,41,15.097560976,3.38,2.5853658537,2.5853658537
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,16,19,19,24.684210526,2.12,1.5821052632,1.5821052632
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,36,78,154,14.453896104,1.42,1.0714285714,1.0714285714
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,380.80153846,86.552307692,59.317692308,59.316923077
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,25,139.0112,32.3604,25.3704,25.8048
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,165.22357143,57.532857143,42.034285714,39.805
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,15,18,18,66.922222222,18.897222222,13.236111111,12.503888889
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,,20,20,70.975,11.6235,8.2055,8.21
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,17,33,150,9.0208666667,2.0204,1.436,1.444
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,26,82.120384615,17.27,13.060769231,13.060769231
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,12,13,95.200769231,13.274615385,10.409230769,10.469230769
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,4.82,3.784,3.606
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,17,18,237.62666667,34.096666667,25.388888889,24.686111111
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,28,518.81321429,71.248571429,55.857142857,55.292857143
1003817529,SANSON,MICHAEL,,M.D.,M,I,3145 W CLARK RD,SUITE 401,YPSILANTI,MI,481971120,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,71.857777778,18.726666667,14.677777778,14.538148148
1003817552,KIME,ROBERT,C,MD,M,I,4165 QUARLES CT,,HARRISONBURG,VA,288013576,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,65,59.74,39.025,38.616666667
1003817594,SCROGIN,ANDREW,D,M. D.,M,I,15959 HALL RD,SUITE 210,MACOMB,MI,480445363,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,17,222,49.669009009,19.673693694,14.777927928,14.777927928
1003817594,SCROGIN,ANDREW,D,M. D.,M,I,15959 HALL RD,SUITE 210,MACOMB,MI,480445363,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,605,7.7637190083,2.6360330579,2.0665785124,2.0665785124
1003817594,SCROGIN,ANDREW,D,M. D.,M,I,15959 HALL RD,SUITE 210,MACOMB,MI,480445363,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,36,109,471,53.534522293,8.32,6.2737791932,6.2737791932
1003817594,SCROGIN,ANDREW,D,M. D.,M,I,15959 HALL RD,SUITE 210,MACOMB,MI,480445363,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,33,74,11.201216216,1.42,1.1139189189,1.1139189189
1003817594,SCROGIN,ANDREW,D,M. D.,M,I,15959 HALL RD,SUITE 210,MACOMB,MI,480445363,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,699.8712,356.9328,279.8344,279.8344
1003817594,SCROGIN,ANDREW,D,M. D.,M,I,15959 HALL RD,SUITE 210,MACOMB,MI,480445363,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1200,16.399025,10.8775,8.4084416667,8.4084416667
1003817602,ZEILLER,STEVEN,C,MD,M,I,6320 N. LA CHOLLA BLVD,#200,TUCSON,AZ,857413549,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,30,30,950,390.382,298.14566667,302.27633333
1003817792,JOHNSON,BRENT,C,M.D.,M,I,6000 N ALLEN ROAD,,PEORIA,IL,616143294,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,49,49,49,127.78,100.42,78.584285714,86.441428571
1003817966,MCCOLLEY,KENNETH,E,PA-C,M,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,33,88,191,60.243036649,8.32,5.8395287958,5.8395287958
1003817966,MCCOLLEY,KENNETH,E,PA-C,M,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,12.173846154,3.38,2.65,2.65
1003817966,MCCOLLEY,KENNETH,E,PA-C,M,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,38,53,14.234339623,1.42,1.0109433962,1.0109433962
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,34,106,238,57.969915966,8.32,5.433697479,5.433697479
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,19,45,54,14.849814815,1.42,0.9361111111,0.9361111111
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,25,8.8376,1.58,1.2396,1.1532
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,560.06,71.598333333,51.487083333,50.232083333
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,105.16615385,37.195384615,26.691538462,27.056923077
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,3923,0.2361509049,0.0465154219,0.0322380831,0.0322380831
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,930,0.8803225806,0.1277741935,0.0943010753,0.0943010753
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,125,16.888823529,13.244117647,14.638823529
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,26.61,9.675,7.585,6.6725
1003818055,CHUN,RICHARD,B,M.D.,M,I,1101 SMITH LN,,ROSEVILLE,CA,956614103,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,34,34,113.55882353,33,24.875,24.875
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,89.7,19.824545455,15.545454545,14.136363636
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,100.84388889,13.460555556,10.56,9.0655555556
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,101,13.773069307,2.2654455446,1.777029703,1.5922772277
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,106,121,76.329421488,18.786115702,13.639090909,13.096033058
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,36,43,232.35,44.942093023,32.98627907,34.972093023
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,632.43,77.58,53.664705882,54.364705882
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,24,42.986666667,4.95375,3.61125,3.5008333333
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,46,292,308,535.10451299,80.519220779,58.021298701,50.957402597
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,83,97,241.90618557,42.122164948,30.320309278,27.582164948
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,13,25,6130,0.3891272431,0.0475089723,0.0356737357,0.0356737357
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,22,1396,4.7254584527,0.0860816619,0.0655873926,0.0655873926
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,11,26,3297,1.8495359418,0.133366697,0.1045647558,0.1045647558
1003818071,GOLD,LOUIS,H,MD,M,I,5 PALISADES DR,STE100,ALBANY,NY,122056433,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,22,54,54,46.277777778,33,25.390925926,25.390925926
1003818139,RAM,ASHOK,K,M.D.,M,I,801 ROCKAWAY AVE,,VALLEY STREAM,NY,115812015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,44,84,61.636428571,8.32,5.9770238095,5.9770238095
1003818139,RAM,ASHOK,K,M.D.,M,I,801 ROCKAWAY AVE,,VALLEY STREAM,NY,115812015,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,11.658181818,3.38,2.65,2.65
1003818139,RAM,ASHOK,K,M.D.,M,I,801 ROCKAWAY AVE,,VALLEY STREAM,NY,115812015,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,29,29,11.961034483,1.42,1.004137931,1.004137931
1003818147,HONNER,PATRICK,,PA-C,M,I,575 N SIOUX POINT RD,,DAKOTA DUNES,SD,570495312,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,2460,0.39,0.13,0.0944674797,0.0944674797
1003818147,HONNER,PATRICK,,PA-C,M,I,575 N SIOUX POINT RD,,DAKOTA DUNES,SD,570495312,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,30,4178,9.65,7.23,5.6404786979,5.6404786979
1003818204,SHMOKLER,MITCHELL,F,MD,M,I,301 W CHESTER PIKE,SUITE 201,HAVERTOWN,PA,190834530,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,11.946666667,2.06,1.615,1.5951388889
1003818238,SUFFECOOL,STANLEY,J,MD,M,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1113,0.2,0.13,0.1019227314,0.1019227314
1003818238,SUFFECOOL,STANLEY,J,MD,M,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1200,8.5,6.15,4.7020416667,5.548775
1003818295,PARSON,CAMILLA,R,MD,F,I,16820 FRANCES ST,STE 100,OMAHA,NE,68130,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,39,39,39,69.964358974,61.615384615,45.770769231,49.215897436
1003818295,PARSON,CAMILLA,R,MD,F,I,16820 FRANCES ST,STE 100,OMAHA,NE,68130,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,45,46,82,56.743902439,45.917439024,35.142682927,40.37804878
1003818295,PARSON,CAMILLA,R,MD,F,I,16820 FRANCES ST,STE 100,OMAHA,NE,68130,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,21,28,21.785714286,14.815714286,11.615,13.7375
1003818329,BRENT,GEOFFREY,J,M.D.,M,I,92 TUSCARORA ST,,HARRISBURG,PA,171041667,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,59.090909091,59.090909091,46.327272727,52.81
1003818329,BRENT,GEOFFREY,J,M.D.,M,I,92 TUSCARORA ST,,HARRISBURG,PA,171041667,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,65,65,50.96,43.56
1003818329,BRENT,GEOFFREY,J,M.D.,M,I,92 TUSCARORA ST,,HARRISBURG,PA,171041667,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,24,73.583333333,69.938333333,54.83125,54.094583333
1003818337,MONDAY,SUZANNE,E,MD,F,I,4101 WESLEY ST,SUITE C,GREENVILLE,TX,754015635,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,39,46.744615385,8.32,6.1864102564,6.1864102564
1003818337,MONDAY,SUZANNE,E,MD,F,I,4101 WESLEY ST,SUITE C,GREENVILLE,TX,754015635,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,14,8.1371428571,1.42,1.1171428571,1.1171428571
1003818337,MONDAY,SUZANNE,E,MD,F,I,4101 WESLEY ST,SUITE C,GREENVILLE,TX,754015635,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,253.9675,62.6975,49.155,40.5725
1003818337,MONDAY,SUZANNE,E,MD,F,I,4101 WESLEY ST,SUITE C,GREENVILLE,TX,754015635,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,393.40052632,76.48,53.648421053,48.96
1003818345,HERMES,LISA,M,M.D.,F,I,4401 WORNALL RD,"REHAB PHYSICIANS MEDICAL GROUP, MAIN 4",KANSAS CITY,MO,641113220,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,13,359.56,78.960769231,57.120769231,50.510769231
1003818345,HERMES,LISA,M,M.D.,F,I,4401 WORNALL RD,"REHAB PHYSICIANS MEDICAL GROUP, MAIN 4",KANSAS CITY,MO,641113220,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,46.01,31.304117647,23.055294118,21.922941176
1003818345,HERMES,LISA,M,M.D.,F,I,4401 WORNALL RD,"REHAB PHYSICIANS MEDICAL GROUP, MAIN 4",KANSAS CITY,MO,641113220,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,70.053333333,20.855333333,13.410666667,11.114666667
1003818345,HERMES,LISA,M,M.D.,F,I,4401 WORNALL RD,"REHAB PHYSICIANS MEDICAL GROUP, MAIN 4",KANSAS CITY,MO,641113220,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,40,164.96225,30.635,21.7345,19.3425
1003818394,MILLER-MILES,KIMBERLY,R,M.D.,F,I,7900 FANNIN ST STE 4400,"WOMEN'S PELVIC RESTORATIVE CENTER, PLLC",HOUSTON,TX,770542949,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,2820,6.4218085106,2.04,1.5993368794,1.5993368794
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,51,119,62.566722689,8.32,6.0355462185,6.0355462185
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,27,29,13.366896552,1.42,0.8489655172,0.8489655172
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,73,73,33.54,28.46,21.602465753,21.602465753
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,48,48,12.88,10.93,8.2129166667,8.2129166667
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7,6.44,5.045,5.045
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,230,9.752173913,9.58,7.511,7.511
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4,3.97,3.1125,3.1125
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,14.4,5.08,3.9826666667,4.1479722222
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,17.36,13.61,13.545833333
1003818402,HUSCHART,JOSEPH,A,M.D.,M,I,425 FARRELL CT,,CINCINNATI,OH,452331677,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,79,56.818333333,50.77
1003818451,BRAASTAD,FRED,E,M.D.,M,I,7303 N KNOXVILLE AVE,,PEORIA,IL,616142017,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,24.134666667,5.74,4.466,4.466
1003818451,BRAASTAD,FRED,E,M.D.,M,I,7303 N KNOXVILLE AVE,,PEORIA,IL,616142017,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,165,15.551636364,7,5.488,5.488
1003818451,BRAASTAD,FRED,E,M.D.,M,I,7303 N KNOXVILLE AVE,,PEORIA,IL,616142017,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,320,7.76925,3.04,2.38346875,2.38346875
1003818493,ZAFAR,FAWAD,S,M.D.,M,I,13682 LAKE SHORE DR,,CLIVE,IA,503258640,US,Physician/Urology,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,32.37,14.18,7.4133333333,9.5366666667
1003818493,ZAFAR,FAWAD,S,M.D.,M,I,13682 LAKE SHORE DR,,CLIVE,IA,503258640,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,750,0.25,0.13,0.0938133333,0.0938133333
1003818501,CHAN,JUSTIN,L,M.D.,M,I,925 S GARFIELD AVE,,ALHAMBRA,CA,918014442,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,25,58,37.450517241,8.32,5.3963793103,5.3963793103
1003818501,CHAN,JUSTIN,L,M.D.,M,I,925 S GARFIELD AVE,,ALHAMBRA,CA,918014442,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,25,19.2316,1.42,0.8948,0.8948
1003818501,CHAN,JUSTIN,L,M.D.,M,I,925 S GARFIELD AVE,,ALHAMBRA,CA,918014442,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,19,140,43.45,27.137894737,18.648421053
1003818543,SOMMER,PAUL,A,DPM,M,I,1353 W PALMETTO PARK RD,,BOCA RATON,FL,334863303,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,24,69,9.8811594203,9.8811594203,7.7463768116,8.57
1003818675,ESTEP,PATRICIA,J,CFNP,F,I,1506 W GARFIELD AVE,,BARTONVILLE,IL,616071755,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,37,61,68.390163934,8.3155737705,4.6224590164,4.6267213115
1003818675,ESTEP,PATRICIA,J,CFNP,F,I,1506 W GARFIELD AVE,,BARTONVILLE,IL,616071755,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,14.114166667,1.42,0.7466666667,0.7466666667
1003818725,BOYD,TIMOTHY,S,M.D.,M,I,80 SEYMOUR ST,HARTFORD HOSPITAL THE GRAY CANCER CENTER,HARTFORD,CT,061028000,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,334,66.728592814,3.03,2.3755389222,2.3688023952
1003818725,BOYD,TIMOTHY,S,M.D.,M,I,80 SEYMOUR ST,HARTFORD HOSPITAL THE GRAY CANCER CENTER,HARTFORD,CT,061028000,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,6869,1.3479065366,0.3031853254,0.2376939875,0.2376939875
1003818741,DONATI,NORMAN,L,MD,M,I,612 W GORDON ST,STE A,THOMASTON,GA,302863416,US,Physician/Orthopedic Surgery,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,89.950833333,53.724166667,42.121666667,35.04
1003818741,DONATI,NORMAN,L,MD,M,I,612 W GORDON ST,STE A,THOMASTON,GA,302863416,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,13,13,257,50,22.043891051,17.282568093,20.070505837
1003818741,DONATI,NORMAN,L,MD,M,I,612 W GORDON ST,STE A,THOMASTON,GA,302863416,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,78,53.2,39.6245,44.3225
1003818741,DONATI,NORMAN,L,MD,M,I,612 W GORDON ST,STE A,THOMASTON,GA,302863416,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,41,41,367.43902439,266.98,197.84195122,206.48731707
1003818758,CARLSON,TIMOTHY,A,CRNP,M,I,2234 PERKIOMEN AVE,,READING,PA,196061830,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,29.075833333,7.865,6.165,6.5916666667
1003818907,SHANAHAN,GEORGE,D,DPM,M,I,9640 COMMERCE RD STE 102,,COMMERCE TWP,MI,483824167,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,30,76.533333333,71.56,56.105,56.105
1003818907,SHANAHAN,GEORGE,D,DPM,M,I,9640 COMMERCE RD STE 102,,COMMERCE TWP,MI,483824167,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,35,29.19,22.885,22.886527778
1003818931,LIBERMAN,ALEKSANDRA,,M.D.,F,I,182 W MONTAUK HWY,SUITE H,HAMPTON BAYS,NY,119462345,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,70.646428571,8.32,5.8232142857,5.8232142857
1003818964,REEVES,KERRY,M,O.D.,M,I,131 GLENSFORD DR STE 105,,FAYETTEVILLE,NC,28314,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,76.310666667,76.310666667,58.355333333,51.336
1003818964,REEVES,KERRY,M,O.D.,M,I,131 GLENSFORD DR STE 105,,FAYETTEVILLE,NC,28314,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,17,52.352941176,50.002352941,39.202352941,43.56
1003818964,REEVES,KERRY,M,O.D.,M,I,131 GLENSFORD DR STE 105,,FAYETTEVILLE,NC,28314,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,10,10,7.84,13.99
1003819053,LACLAIR,THOMAS,J,MD,M,I,436 HINSDALE RD,,CAMILLUS,NY,130311648,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,37,69,85.34,8.32,5.8602898551,5.8602898551
1003819053,LACLAIR,THOMAS,J,MD,M,I,436 HINSDALE RD,,CAMILLUS,NY,130311648,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,20,16.5355,1.42,0.951,0.951
1003819053,LACLAIR,THOMAS,J,MD,M,I,436 HINSDALE RD,,CAMILLUS,NY,130311648,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,34.544,19.576,14.53,15.424
1003819053,LACLAIR,THOMAS,J,MD,M,I,436 HINSDALE RD,,CAMILLUS,NY,130311648,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,12.1,9.9036363636,5.3754545455,6.6981818182
1003819053,LACLAIR,THOMAS,J,MD,M,I,436 HINSDALE RD,,CAMILLUS,NY,130311648,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,37,240.08486486,70,53.396756757,53.271081081
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,40,143,348,61.019913793,8.32,6.1659482759,6.1659482759
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,14.923478261,3.38,2.5347826087,2.5347826087
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,23,63,102,14.770098039,1.42,1.0384313725,1.0384313725
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,110.45111111,47.648888889,36.662777778,30.454444444
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,290.86941176,113.26647059,88.799411765,67.844705882
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,40,133.804,44.73175,35.06925,25.91725
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,52,87.993269231,24.806923077,19.016153846,14.119038462
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,17,93,60.877311828,17.194193548,12.944623656,11.357419355
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,13,28,28,229.26535714,68.065,51.913214286,41.429285714
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,18,22,22,63.466818182,22.273181818,17.460454545,14.06
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,24,24,79.174583333,16.062916667,11.87125,8.4575
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,18,38,210,10.500761905,2.7319047619,2.1194285714,1.5775238095
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,14,14,40.448571429,15.145714286,11.871428571,10.345714286
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,145.2,59.439166667,40.190833333,32.295833333
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,81.75,15.750666667,10.032666667,8.384
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,223.39677419,47.196774194,31.929677419,20.690967742
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,4575,0.1647956284,0.0464218579,0.0291431694,0.0291431694
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,387,0.6498191214,0.2190180879,0.1717054264,0.1717054264
1003819111,JACKSON,JAMES,D,M.D.,M,I,5875 THOMPSON MILL RD,SUITE 200,HOSCHTON,GA,305484001,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,108.42857143,33,22.174285714,22.174285714
1003819145,STELLA,HECTOR,R,M.D.,M,I,420 AVE PONCE DE LEON,STE 103,SAN JUAN,PR,009183401,US,Specialist,T,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,22,2000,938.42,735.73,832.57545455
1003819152,GUIDRY,PATRICIA,B,MD,F,I,1000 OCHSNER BLVD,,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,40,104,59.787692308,8.32,6.1779807692,6.1779807692
1003819152,GUIDRY,PATRICIA,B,MD,F,I,1000 OCHSNER BLVD,,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,26,37,17.188378378,1.42,1.1140540541,1.1140540541
1003819152,GUIDRY,PATRICIA,B,MD,F,I,1000 OCHSNER BLVD,,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,35,314.65942857,11.218571429,8.8017142857,8.492
1003819202,AYERS,JEFFREY,M,D.O.,M,I,1155 E MAIN ST,,LANCASTER,OH,431304056,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,78,17.41,13.65,13.5455
1003819202,AYERS,JEFFREY,M,D.O.,M,I,1155 E MAIN ST,,LANCASTER,OH,431304056,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,45.142727273,5.57,3.5754545455,2.7654545455
1003819202,AYERS,JEFFREY,M,D.O.,M,I,1155 E MAIN ST,,LANCASTER,OH,431304056,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,389.221875,79.3,62.17,55.66
1003819269,JANKOV,ALEKSANDAR,,MD,M,I,6029 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202112,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,784,11.723035714,1.6353061224,1.2820663265,1.2820663265
1003819269,JANKOV,ALEKSANDAR,,MD,M,I,6029 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202112,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,24,1278,68.097206573,5.2143583725,3.9716666667,3.9716666667
1003819269,JANKOV,ALEKSANDAR,,MD,M,I,6029 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202112,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,54,80.777777778,42.462222222,33.291111111,31.470555556
1003819269,JANKOV,ALEKSANDAR,,MD,M,I,6029 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202112,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,24,24,18.82,18.82
1003819269,JANKOV,ALEKSANDAR,,MD,M,I,6029 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202112,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,30,16,16,12.54,12.54
1003819301,POULSEN,ERIC,J,M.D.,M,I,1360 E HERNDON AVE,STE 201,FRESNO,CA,937203326,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,73,75,75,81.072266667,80.83,63.37,53.6456
1003819301,POULSEN,ERIC,J,M.D.,M,I,1360 E HERNDON AVE,STE 201,FRESNO,CA,937203326,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,23,42,44.666666667,36.17,25.655238095,25.934285714
1003819301,POULSEN,ERIC,J,M.D.,M,I,1360 E HERNDON AVE,STE 201,FRESNO,CA,937203326,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,37,64,63.046875,61.57,48.27,43.85109375
1003819301,POULSEN,ERIC,J,M.D.,M,I,1360 E HERNDON AVE,STE 201,FRESNO,CA,937203326,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,57,75.842105263,74.721403509,58.581403509,54.255438596
1003819335,METZGER,CHARLES,L,M.D.,M,I,4351 E LOHMAN AVE,SUITE301,LAS CRUCES,NM,880118259,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,124.90230769,104.26,75.452307692,81.302307692
1003819335,METZGER,CHARLES,L,M.D.,M,I,4351 E LOHMAN AVE,SUITE301,LAS CRUCES,NM,880118259,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,38,40,266.71225,222.03,170.48975,168.46875
1003819335,METZGER,CHARLES,L,M.D.,M,I,4351 E LOHMAN AVE,SUITE301,LAS CRUCES,NM,880118259,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,52,53,60,63.965333333,53.554666667,41.988,45.854666667
1003819400,MERZ,GLENN,E,MD,M,I,1675 LEAHY ST,STE 301,MUSKEGON,MI,494425543,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,32,105,51.073238095,8.32,5.7766666667,5.7766666667
1003819400,MERZ,GLENN,E,MD,M,I,1675 LEAHY ST,STE 301,MUSKEGON,MI,494425543,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,23,13.915217391,1.42,0.9230434783,0.9230434783
1003819400,MERZ,GLENN,E,MD,M,I,1675 LEAHY ST,STE 301,MUSKEGON,MI,494425543,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,4020,2.2305671642,2.04,1.5664502488,1.5664502488
1003819400,MERZ,GLENN,E,MD,M,I,1675 LEAHY ST,STE 301,MUSKEGON,MI,494425543,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,40.033333333,17.97,12.915833333,12.8975
1003819400,MERZ,GLENN,E,MD,M,I,1675 LEAHY ST,STE 301,MUSKEGON,MI,494425543,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,41.083333333,11.64,8.36,8.36
1003819400,MERZ,GLENN,E,MD,M,I,1675 LEAHY ST,STE 301,MUSKEGON,MI,494425543,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,56,4.8839285714,2.03,1.5355357143,1.5355357143
1003819400,MERZ,GLENN,E,MD,M,I,1675 LEAHY ST,STE 301,MUSKEGON,MI,494425543,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,244.15789474,69.81,40.327368421,40.327368421
1003819434,POST,JAMES,R,M.D.,M,I,3701 WAKE FOREST RD,SUITE 100,RALEIGH,NC,276096832,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,17,47,47,34.682352941,155.81235294
1003819434,POST,JAMES,R,M.D.,M,I,3701 WAKE FOREST RD,SUITE 100,RALEIGH,NC,276096832,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,43,45,117.37777778,117.37777778,86.524888889,247.45911111
1003819434,POST,JAMES,R,M.D.,M,I,3701 WAKE FOREST RD,SUITE 100,RALEIGH,NC,276096832,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,27,41.052592593,40.488888889,31.743333333,46.348888889
1003819442,MILLER,DENNIS,R,O.D.,M,I,2251 DUBOIS DR,,WARSAW,IN,465803212,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,14,71.108571429,70.209285714,55.043571429,53.213571429
1003819442,MILLER,DENNIS,R,O.D.,M,I,2251 DUBOIS DR,,WARSAW,IN,465803212,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,14,26,40.057692308,38.699615385,30.341538462,40.543076923
1003819467,GUEST,WILLIAM,A,MD,M,I,901 18TH ST E,,TIFTON,GA,317943648,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,46.925833333,38.7425
1003819509,JENSEN,JULIA,M,DO,F,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,349,50,5.54,4.3433524355,4.1630372493
1003819509,JENSEN,JULIA,M,DO,F,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4780,5.2641108787,1.02,0.7996861925,0.7840041841
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,25,82,228,54.266491228,8.32,5.6199122807,5.6199122807
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,24,60,13.218833333,1.42,0.929,0.929
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.46,1.0409090909,1.0509090909
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,150,45,35.28,35.23
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,841.16333333,841.16333333
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,39.875,5.6760714286,3.8314285714,3.0496428571
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,45,567.704,79.064444444,56.396,50.159555556
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,14,3314,0.2703922752,0.0466022933,0.0302987326,0.0302987326
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,3000,1.4050633333,0.1348,0.1020733333,0.1020733333
1003819525,BENNETT,BARBARA,A,D.O.,F,I,8701 OLD TROY PIKE,STE 50,HUBER HEIGHTS,OH,454241055,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,35,35,86.742857143,33,22.913428571,22.913428571
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,61,170,437,72.24187643,8.32,5.3487643021,5.3487643021
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.625,3.38,2.31875,2.31875
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,21.703333333,2.12,1.3916666667,1.3916666667
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,29,51,75,15.568,1.42,0.8481333333,0.8481333333
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,2.73,2.04,1.5880069444,1.5880069444
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,19,17.4,10.67,8.3673684211,8.5310526316
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,128.73846154,48.968461538,35.796923077,28.144615385
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,17,45,45,325.964,124.32955556,97.473111111,70.635777778
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,36,94,108.70212766,46.734787234,36.028191489,26.746595745
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,161.41083333,70.675,47.243333333,35.098333333
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,26,26,59.356923077,25.234230769,19.18,13.861538462
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,40,40,62.27475,20.2085,15.6245,9.7735
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,53,288,8.5256944444,3.0872916667,2.2859722222,1.5698958333
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,20,20,35.675,15.5375,11.3365,9.6825
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,45.994814815,22.094444444,15.881851852,12.417407407
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,53.055454545,22.790909091,16.51,12.847272727
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,261.04636364,105.01636364,76.901818182,53.436363636
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,175.78304348,60.06326087,46.337391304,27.944565217
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,70,70,347.73642857,104.664,78.208,54.638428571
1003819699,FRENCH,RICHARD,,MD,M,I,2115 N KANSAS AVE,STE 105A,HASTINGS,NE,689012615,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,57.75,33,23.283,23.283
1003819707,SMITH,MICHAEL,D,NURSE PRACTITIONER,M,I,401 EAST MAIN STREET,,JOHNSON CITY,TN,376014877,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,42,47,32.835957447,4.555106383,3.1406382979,3.140212766
1003819749,DADOURIAN,BERGE,J,M.D.,M,I,400 S RAMPART BLVD,SUITE 240,LAS VEGAS,NV,891455721,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,56,71.511607143,8.32,6.2883928571,6.2883928571
1003819749,DADOURIAN,BERGE,J,M.D.,M,I,400 S RAMPART BLVD,SUITE 240,LAS VEGAS,NV,891455721,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,102.08333333,44.44,28.5275,31.435
1003819749,DADOURIAN,BERGE,J,M.D.,M,I,400 S RAMPART BLVD,SUITE 240,LAS VEGAS,NV,891455721,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,58.96,16.191666667,11.3525,12.52
1003819780,VAUGHN,BRADLEY,K,MD,M,I,3001 EDWARDS MILL RD,,RALEIGH,NC,276125243,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,50,253.813,253.813,197.992,455.0432
1003819798,MILLER,THOMAS,J,M.D.,M,I,3602 MATLOCK RD,STE 200,ARLINGTON,TX,760153600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,44,82.695454545,8.32,4.7415909091,4.7415909091
1003819848,MORAN,JOSEPH,M,DPM,M,I,210 MOUND ST,,LEBANON,OH,450361937,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,66,72,71.56,55.738181818,55.729393939
1003819848,MORAN,JOSEPH,M,DPM,M,I,210 MOUND ST,,LEBANON,OH,450361937,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,158,44,43.56,34.15,34.147088608
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,12,34,471,45.988598726,19.650106157,14.796242038,14.796242038
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,11,33,1050,6.1171428571,2.6331428571,2.0113142857,2.0113142857
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,6.0508333333,0.51,0.4,0.4
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,4.0833333333,1,0.7808333333,0.7808333333
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,120,201,435,2274,66.299613017,8.313526825,6.1639665787,6.169533861
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,10,29,62,62,12.496774194,3.38,2.6072580645,2.6072580645
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,10,26,36,36,19.946111111,2.12,1.5772222222,1.5772222222
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,68,101,182,431,14.931832947,1.42,1.0769605568,1.0769605568
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,59.323333333,49.548333333,38.844166667,58.848333333
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,1640,16.267195122,10.753768293,8.4309634146,8.4309634146
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,39,162,162,271.78802469,251.11,196.87,196.87
1003820002,KAYE,WILLIAM,,M.D.,M,I,1515 N FLAGLER DR,SUITE 430,WEST PALM BEACH,FL,334013428,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,35,35,35,267.42457143,263.65085714,205.13114286,205.53028571
1003820150,CUPP,MICHAEL,,M.D.,M,I,105 N KEENE ST,STE 201,COLUMBIA,MO,652018131,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,69,13700,3.4317569343,1.8956912409,1.4662620438,1.5820423358
1003820150,CUPP,MICHAEL,,M.D.,M,I,105 N KEENE ST,STE 201,COLUMBIA,MO,652018131,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,64,10760,8.6295167286,7.1567286245,5.5631003717,5.6205464684
1003820150,CUPP,MICHAEL,,M.D.,M,I,105 N KEENE ST,STE 201,COLUMBIA,MO,652018131,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,12,23,57,19.687017544,10.738421053,7.8175438596,7.9203508772
1003820150,CUPP,MICHAEL,,M.D.,M,I,105 N KEENE ST,STE 201,COLUMBIA,MO,652018131,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,370,11.614567568,3.9,3.0576486486,3.0576486486
1003820150,CUPP,MICHAEL,,M.D.,M,I,105 N KEENE ST,STE 201,COLUMBIA,MO,652018131,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,440,7.8913636364,5.74,4.5000909091,4.5000909091
1003820150,CUPP,MICHAEL,,M.D.,M,I,105 N KEENE ST,STE 201,COLUMBIA,MO,652018131,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,88,2.2388636364,1.7195454545,1.3488636364,1.4036363636
1003820234,FENTON,PAUL,,M.D.,M,I,2865 N REYNOLDS RD,BUILDING A,TOLEDO,OH,436152068,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,32,150,99.91,72.305,71.864375
1003820234,FENTON,PAUL,,M.D.,M,I,2865 N REYNOLDS RD,BUILDING A,TOLEDO,OH,436152068,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,150,100.42,78.73,87.13
1003820325,KLOMAN,ALEXANDER,S,MD,M,I,777 NORTH ST,SUITE 205,PITTSFIELD,MA,012014147,US,Physician/Neurology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,923.87,128.15166667,88.519166667,93.634166667
1003820465,BERNARD,JOHN,V,MD,M,I,526 WATER STREET,,BELVIDERE,NJ,07823,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,51,50.21745098,8.32,6.3943137255,6.3943137255
1003820465,BERNARD,JOHN,V,MD,M,I,526 WATER STREET,,BELVIDERE,NJ,07823,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,20,10.973,1.42,1.06,1.06
1003820523,HARRIS,DAVID,L,MD,M,I,95 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,0.26,0.13,0.1019,0.1019
1003820523,HARRIS,DAVID,L,MD,M,I,95 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2520,3.9547619048,1.83,1.3488134921,1.5003928571
1003820531,BOYLES,RICHARD,,MD,M,I,333 REVOLUTIONARY TRL,,FAIRFAX,SC,298277109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,54,55.169259259,8.32,5.6768518519,5.6768518519
1003820531,BOYLES,RICHARD,,MD,M,I,333 REVOLUTIONARY TRL,,FAIRFAX,SC,298277109,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,41.459090909,24.14,18.923636364,14.06
1003820531,BOYLES,RICHARD,,MD,M,I,333 REVOLUTIONARY TRL,,FAIRFAX,SC,298277109,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,33.71,18.553333333,13.260740741,9.5718518519
1003820531,BOYLES,RICHARD,,MD,M,I,333 REVOLUTIONARY TRL,,FAIRFAX,SC,298277109,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,126.53846154,56.999487179,40.544102564,24.385128205
1003820572,CARLTON,CHARLES,A,MD,M,I,1622 8TH AVENUE,SUITE 110,FORT WORTH,TX,761044155,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,40,116,265,70.443886792,8.32,5.9444528302,5.9444528302
1003820572,CARLTON,CHARLES,A,MD,M,I,1622 8TH AVENUE,SUITE 110,FORT WORTH,TX,761044155,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,2.5407142857,2.5407142857
1003820572,CARLTON,CHARLES,A,MD,M,I,1622 8TH AVENUE,SUITE 110,FORT WORTH,TX,761044155,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,20,38,61,15.492786885,1.42,1.077704918,1.077704918
1003820572,CARLTON,CHARLES,A,MD,M,I,1622 8TH AVENUE,SUITE 110,FORT WORTH,TX,761044155,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,394.26047619,76.422857143,45.666190476,43.209047619
1003820648,DUL,CARRIE,L,M.D.,F,I,19229 MACK AVE STE 24,,GROSSE POINTE WOODS,MI,482362857,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,27,42,116,52.065,41.17,31.163793103,29.850517241
1003820820,ZORETIC,NICHOLAS,J,DO,M,I,245 S GARY AVE,SUITE 100,BLOOMINGDALE,IL,601082200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,30,85,66.030588235,8.32,6.2158823529,6.2158823529
1003820820,ZORETIC,NICHOLAS,J,DO,M,I,245 S GARY AVE,SUITE 100,BLOOMINGDALE,IL,601082200,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,20,17.2445,1.42,1.057,1.057
1003820820,ZORETIC,NICHOLAS,J,DO,M,I,245 S GARY AVE,SUITE 100,BLOOMINGDALE,IL,601082200,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,18,18,14.11,13.54
1003820820,ZORETIC,NICHOLAS,J,DO,M,I,245 S GARY AVE,SUITE 100,BLOOMINGDALE,IL,601082200,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.985,3.12,3.6525
1003820820,ZORETIC,NICHOLAS,J,DO,M,I,245 S GARY AVE,SUITE 100,BLOOMINGDALE,IL,601082200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,278.23909091,77.18,57.759545455,52.232727273
1003821448,CREBO,EMILY,,FNP,F,I,610 PARK AVE,,PEKIN,IL,615544650,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,52,52,421.71307692,78.745384615,57.6,50.690769231
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,15,118,5970,0.8311072027,0.4743266332,0.356278057,0.356278057
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,17,172,15890,3.2090742605,0.5634229075,0.4047589679,0.4047564506
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,2700,0.1181814815,0.0131703704,0.0097111111,0.0097111111
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,5820,1.5660412371,0.7414123711,0.5550171821,0.5550171821
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,48,4620,2.3654112554,1.193487013,0.9013311688,0.9013311688
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,3120,4.2242852564,2.8163269231,2.1297307692,2.1297275641
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,23,218,218,24,24,18.033073394,18.033073394
1003821513,ZAMAN,ATIF,,MD,M,I,3181 SW SAM JACKSON PARK RD,,PORTLAND,OR,972393011,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,21,214,224,16,16,11.924285714,11.924285714
1003821844,MADHUNAPANTULA,SRIDHAR,,MD,M,I,200 HOSPITAL DR,,GALAX,VA,243332227,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,66.491860465,18.514186047,14.203488372,14.201860465
1003821844,MADHUNAPANTULA,SRIDHAR,,MD,M,I,200 HOSPITAL DR,,GALAX,VA,243332227,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,384.21674419,84.408837209,64.766511628,60.187906977
1003821968,HOULE,CARA,,MD,F,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,163,11.07797546,10.93,7.9869325153,7.9869325153
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,40,61.9465,8.32,6.52225,6.52225
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,80.169090909,11.390909091,8.9327272727,9.1236363636
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,75,10.6024,2.044,1.6028,1.5930666667
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,70,77.678571429,16.754571429,12.573142857,12.957714286
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,59,59,50.73,4.5310169492,3.043559322,3.1394915254
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,88,89,493.95808989,69.784269663,49.808539326,49.853258427
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4937,0.1472533927,0.0466376342,0.0354385254,0.0354385254
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1560,1.7733525641,0.1347692308,0.1056923077,0.1056923077
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,120.148,25.544,20.026,22.467333333
1003822172,KEIL,LYNN,M,RPA-C,M,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,79.2,33,25.007666667,25.007666667
1003822206,HAYES,DANIEL,H,MD,M,I,44 HOSPITAL DR,SUITE 1A,COLUMBUS,NC,287228516,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,510,8.8888235294,8.28,6.4915882353,6.4915882353
1003822503,DANG,PHUONG,D,MD,M,I,145 INTERNATIONAL BLVD,,OAKLAND,CA,94606,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,39,77,79.507402597,8.32,5.6737662338,5.6737662338
1003822503,DANG,PHUONG,D,MD,M,I,145 INTERNATIONAL BLVD,,OAKLAND,CA,94606,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,28,28,18.245357143,1.42,0.88,0.88
1003822651,GOMEZ,MARTHA,Y,MD,F,I,CARR 21 U 3 19,LAS LOMAS,SAN JUAN,PR,00921,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,90,48.784777778,8.32,6.3774444444,6.3774444444
1003822651,GOMEZ,MARTHA,Y,MD,F,I,CARR 21 U 3 19,LAS LOMAS,SAN JUAN,PR,00921,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,33,11.194848485,1.42,1.0787878788,1.0787878788
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,24,60,147,75.648639456,8.32,5.4951020408,5.4951020408
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,19,22,12.035909091,1.42,0.9645454545,0.9645454545
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,14,8.69,6.1909090909,6.1909090909
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,18,18,12.827272727,12.847272727
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,56,79.743035714,19.89,15.128035714,14.086071429
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,223.43545455,57.409090909,41.23,39.112727273
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,44.17,22.037272727,25.31
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,22.363846154,4.3530769231,3.0992307692,3.3646153846
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2237,0.3187572642,0.0452704515,0.027197139,0.0271926688
1003822743,HUIZENGA,AARON,D,D.O.,M,I,909 STRAWBERRY LN,,CLAYTON,NY,136241409,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,19.4375,19.4375
1003822875,WORTHINGTON,MARK,T,M.D.,M,I,810 AINSWORTH DR,,PRESCOTT,AZ,863011612,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,15,432,44.877777778,5.18,4.0610185185,4.1431944444
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,40,55.27075,8.32,6.0325,6.0325
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,12,12,94.698333333,49.168333333,37.984166667,31.96
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,47.185555556,25.017222222,18.743888889,15.341111111
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,15,55,9.0570909091,2.7716363636,2.1734545455,1.642
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,117.5,21.140714286,14.864285714,12.350714286
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,385.57153846,123.48076923,96.605384615,70.479230769
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,67.09375,17.96125,14.081875,10.905
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,227.38909091,50.747272727,37.436363636,28.109090909
1003822909,BROWN,WAYNE,O,MD,M,I,700 S HIGHWAY 99,#3,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,24,140,143,368.25678322,97.858041958,68.248461538,52.221188811
1003823022,WATSON,ANGELA,E,PAC,F,I,2400 HARTMAN LN,,SPRINGFIELD,OR,974771118,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,36,6240,5.0464583333,2.0355288462,1.5782996795,1.5817996795
1003823048,JONES,ANNE,,MD,F,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,38,63,84.603809524,8.32,6.4211111111,6.4211111111
1003823048,JONES,ANNE,,MD,F,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,134.52740741,18.217037037,12.666666667,11.991111111
1003823048,JONES,ANNE,,MD,F,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,542.02,83.220714286,58.909642857,49.531428571
1003823048,JONES,ANNE,,MD,F,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,37.15,29.13,29.475454545
1003823170,CARLSON,WALTER,O,MD,M,I,810 E 23RD ST,,SIOUX FALLS,SD,571052135,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,109.49285714,58.320714286,45.725714286,36.46
1003823170,CARLSON,WALTER,O,MD,M,I,810 E 23RD ST,,SIOUX FALLS,SD,571052135,US,Physician/Orthopedic Surgery,S,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,172,76.2664,56.1764,55.3316
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,17,39,71.723846154,8.1723076923,4.6812820513,4.8258974359
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,12.9,1.42,1.0453333333,1.0453333333
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,28,56,8.7,1.5171428571,1.1460714286,1.1089285714
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,53.357727273,6.4590909091,4.0963636364,2.9286363636
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,44,2580,15.58,9.6388139535,7.5092054264,7.5092054264
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,3755,0.2014114514,0.0457736352,0.0340878828,0.0340852197
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1740,0.92,0.1366724138,0.107183908,0.107183908
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,71,4080,12.825879902,3.0295220588,2.3751691176,2.3751691176
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,877,0.8426339795,0.2189281642,0.1717103763,0.1717103763
1003823188,BECKMAN,SHONNA,C,PA-C,F,I,455 W COURT ST,SUITE 102,KANKAKEE,IL,609013679,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,78,78,127.92307692,33,25.87,25.87
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,26,104,209,51.65861244,8.32,4.6173684211,4.6173684211
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,21,13.986190476,1.42,0.9023809524,0.9023809524
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,14,44,95,8.19,2.0250526316,1.5057894737,1.0910526316
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,12,12,82.53,19.145,14.18,8.32
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,481.86571429,127.39,92.327142857,63.824285714
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,39,178.74307692,47.416153846,35.496410256,24.23974359
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,93.962142857,23.488571429,18.414285714,9.9464285714
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,84,12.792857143,3.4385714286,2.6961904762,1.6901190476
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,97,97,86.31,22.076391753,16.335463918,12.965876289
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,54,54,4430.1,1038.25,804.74574074,833.01574074
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,42,43,50.73,7.9786046512,5.5493023256,3.1904651163
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,30,240,242,519.51,100.15801653,75.080123967,53.446363636
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,73,4230,15.58,9.6444539007,7.4330472813,7.4330472813
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,780,13.94,11.140769231,8.7343974359,8.7343974359
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,65,6750,0.17,0.0453866667,0.035562963,0.035562963
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,37,3060,0.9074509804,0.1343235294,0.0887058824,0.0887058824
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1110,12.86,3.0598108108,2.3988918919,2.3988918919
1003823204,HERMAN,CAROL,M,PA-C,F,I,975 CRESCENT DR,,GERING,NE,693411712,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,18,135,135,126.86666667,33,24.720222222,24.720222222
1003823295,SHEPHERD,JAMES,W,MD,M,I,253 PLEASANT LAKE AVE,,HARWICH,MA,026452535,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,28,61,70.764098361,8.32,5.6655737705,5.6655737705
1003823295,SHEPHERD,JAMES,W,MD,M,I,253 PLEASANT LAKE AVE,,HARWICH,MA,026452535,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,10.676153846,1.42,0.8615384615,0.8615384615
1003823295,SHEPHERD,JAMES,W,MD,M,I,253 PLEASANT LAKE AVE,,HARWICH,MA,026452535,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,67.487222222,41.03,32.16,30.49
1003823295,SHEPHERD,JAMES,W,MD,M,I,253 PLEASANT LAKE AVE,,HARWICH,MA,026452535,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,43.642857143,19.08,14.95,14.06
1003823295,SHEPHERD,JAMES,W,MD,M,I,253 PLEASANT LAKE AVE,,HARWICH,MA,026452535,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,102,4.6341176471,2.22,1.7416666667,1.5933333333
1003823295,SHEPHERD,JAMES,W,MD,M,I,253 PLEASANT LAKE AVE,,HARWICH,MA,026452535,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,46.515454545,36.468181818,38.434545455
1003823295,SHEPHERD,JAMES,W,MD,M,I,253 PLEASANT LAKE AVE,,HARWICH,MA,026452535,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,131.78571429,32.2925,23.388928571,23.397857143
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,49,101,70.027128713,8.32,5.7893069307,5.7893069307
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,23,15.837391304,1.42,1.0665217391,1.0665217391
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,23,8.8,1.49,1.1147826087,1.1
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,311.15,52.973333333,34.496666667,35.846666667
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,75,12.1192,2.0136,1.3261333333,1.3396
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,75.667837838,17.09,11.227027027,11.358108108
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,4430.1,913.16,710.97275862,828.59965517
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,54.53,4.0214285714,3.0104081633,3.4489795918
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,484.47352941,65.855882353,46.179705882,49.161911765
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,2700,0.17,0.0476740741,0.0310259259,0.0310259259
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,990,0.92,0.1315757576,0.0976565657,0.0976565657
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,17,146.25,17.012352941,9.8188235294,10.076470588
1003823550,RIDDLE,JOHN,M,M.D.,M,I,869 W LACEY BLVD,,HANFORD,CA,932304328,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,32,32,132,33,24.253125,24.253125
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,22,662,8.5327643505,3.9,3.057673716,3.057673716
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,23,72,15.243888889,4.0988888889,3.1686111111,3.1694444444
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,19,58,1910,12.019696335,5.7393717277,4.4736387435,4.4741308901
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,380,14.186421053,10.556,8.2758947368,8.4700526316
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,31,650,4.1711692308,2.9040923077,2.2487384615,2.2529076923
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,92,14.806413043,6.44,4.8289130435,4.8289130435
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,39,1320,21.805325758,9.86,7.4687045455,7.4687045455
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,35,1010,14.657910891,6.9984158416,5.3447128713,5.345950495
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,1040,11.562769231,5.54,4.1690576923,4.1690576923
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,1800,3.3277111111,1.95,1.4490944444,1.4490944444
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,32,920,8.0979456522,4.0295652174,3.1592173913,3.1595652174
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,2940,0.5842823129,0.4326530612,0.3391972789,0.3391972789
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,21,54,3755,0.6388948069,0.27,0.2074300932,0.2074300932
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,36,1270,7.111023622,3.04,2.3833543307,2.3833543307
1003823576,MILSOM,JEFFREY,W,M.D.,M,I,1315 YORK AVE,2ND FLOOR,NEW YORK,NY,100215304,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,18,39,1929,0.8291705547,0.26844479,0.210461379,0.2116744427
1003823584,CORDERO,EVELYN,,MD,F,I,941 CASTLE HILL AVE,,BRONX,NY,104731344,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,31,49.307741935,8.32,5.95,5.95
1003823584,CORDERO,EVELYN,,MD,F,I,941 CASTLE HILL AVE,,BRONX,NY,104731344,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,16,13.321875,1.42,0.97625,0.97625
1003823873,SPEER,LINDA,M,M.D,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,32,82.27875,8.32,6.3196875,6.3196875
1003824160,MIURA,DAWN,A,M.D.,F,I,98-1079 MOANALUA RD,SUITE 350,AIEA,HI,967014713,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,3.26,2.54,1.6725238095,1.5007380952
1003824160,MIURA,DAWN,A,M.D.,F,I,98-1079 MOANALUA RD,SUITE 350,AIEA,HI,967014713,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,19.5,12.16,8.745,7.945
1003824186,PEREZ,REBECCA,J,NP,F,I,2201 COURAGE DR,,FAIRFIELD,CA,945336733,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,39,88,174,85.632471264,8.32,4.7990229885,4.7990229885
1003824186,PEREZ,REBECCA,J,NP,F,I,2201 COURAGE DR,,FAIRFIELD,CA,945336733,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,31,40,49,20.39877551,1.42,0.9114285714,0.9114285714
1003824186,PEREZ,REBECCA,J,NP,F,I,2201 COURAGE DR,,FAIRFIELD,CA,945336733,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,30.588235294,3.5511764706,0.5529411765,1.3541176471
1003824186,PEREZ,REBECCA,J,NP,F,I,2201 COURAGE DR,,FAIRFIELD,CA,945336733,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1419.6958333,134.68666667,103.71666667,103.70916667
1003824251,GARMAN,BONNYE,,PA,F,I,2020 W COLORADO AVE,SUITE 201,COLORADO SPRINGS,CO,809043882,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,207.94333333,35.833333333,28.093333333,27.941666667
1003824251,GARMAN,BONNYE,,PA,F,I,2020 W COLORADO AVE,SUITE 201,COLORADO SPRINGS,CO,809043882,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,760.48,79.8,62.56,57.4705
1003824251,GARMAN,BONNYE,,PA,F,I,2020 W COLORADO AVE,SUITE 201,COLORADO SPRINGS,CO,809043882,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,285.6,38,29.79,29.51
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,26,70,203,73.498078818,8.32,5.968226601,5.968226601
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,19,21,16.807619048,1.42,0.959047619,0.959047619
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,417,8.28,8.28,6.1474820144,6.1474820144
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,15,15,66.153333333,18.887333333,13.978,13.238
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,15,34,6.8082352941,2.2582352941,1.5855882353,1.4070588235
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,107.94,17.27,12.895238095,12.895238095
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,521.9925,69.81,52.775357143,52.775357143
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,2366,1.4653043111,0.1301225697,0.0985545224,0.0985545224
1003824376,YEE,MON,L,MD,M,I,4200 SAVANNAH DR,,DEFOREST,WI,535322909,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,105.6,33,22.420666667,22.420666667
1003824392,BRAIN,MAURA,M,"MS, RNC",F,I,330 BROOKLINE AVE,"6TH FLOOR, CENTRAL SUITE, HEALTHCARE ASSOCIATES",BOSTON,MA,022155400,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,50,79.0278,8.32,6.261,6.261
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,47,206,43.406747573,8.32,6.2568446602,6.2568446602
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,31,31,11.429032258,3.38,2.4790322581,2.4790322581
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,20,20,17.307,2.12,1.5865,1.5865
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,37,81,11.21345679,1.42,1.085308642,1.085308642
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,3,2.27,1.7797142857,1.7797142857
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,11,9.29,7.28,8.4481818182
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,9.6363636364,6.34,4.97,5.7654545455
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.19,1.68,1.32,1.1641666667
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,87.195,11.5,8.2683333333,8.3633333333
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,70,12.413142857,2.1397142857,1.5478571429,1.4597142857
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,44,49,123.27612245,17.32,12.748571429,12.715918367
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,35.922307692,3.8869230769,3.0469230769,3.6384615385
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,162.70727273,35.596363636,27.912727273,27.645454545
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,56,552.98464286,76.58,58.958035714,54.691071429
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,35.56,27.88,29.51
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6300714286,7.3791785714,7.3791785714
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,44,14072,0.2398934053,0.0459756964,0.036043917,0.036043917
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1770,1.2120451977,0.1386610169,0.1087344633,0.1087344633
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,870,12.870563218,2.981,2.3371264368,2.3371264368
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,813,2.4747109471,0.2185116851,0.1713161132,0.1713161132
1003824509,STOKES,GEORGE,N,MD,M,I,200 E BOOTHE,STE 100,CLEVELAND,TX,77327,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,53,53,98.5,33,25.87,25.87
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,45,146,57.69239726,8.32,5.8519178082,5.8519178082
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,18,13.732222222,3.38,2.3555555556,2.3555555556
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,35,14.434285714,1.42,1.0194285714,1.0194285714
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,230.355,51.06375,40.03125,39.68
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,18,72.732777778,17.27,12.787777778,12.787777778
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,39,477.6725641,68.78,49.772307692,50.506410256
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1200,15.58,9.67385,7.5546,7.5546
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.8783333333,2.2566333333,2.2566333333
1003824632,MARTINDALE,TIMOTHY,,MD,M,I,7104 NEW SANGER RD,,WACO,TX,767123928,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,23,132,33,25.87,25.87
1003824673,KHALEELI,HOSAYN,,MD,M,I,2245 SEPULVEDA BLVD,,TORRANCE,CA,905015302,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,50,36.0652,8.32,6.26,6.26
1003824673,KHALEELI,HOSAYN,,MD,M,I,2245 SEPULVEDA BLVD,,TORRANCE,CA,905015302,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,22,26,8.2203846154,1.42,1.0911538462,1.0911538462
1003824673,KHALEELI,HOSAYN,,MD,M,I,2245 SEPULVEDA BLVD,,TORRANCE,CA,905015302,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,720,3.6693333333,0.5674166667,0.4256388889,0.4256388889
1003824673,KHALEELI,HOSAYN,,MD,M,I,2245 SEPULVEDA BLVD,,TORRANCE,CA,905015302,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,3150,0.1184698413,0.0132380952,0.0098634921,0.0098634921
1003824673,KHALEELI,HOSAYN,,MD,M,I,2245 SEPULVEDA BLVD,,TORRANCE,CA,905015302,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,1.9,1.1871666667,0.8727569444,0.8727569444
1003824673,KHALEELI,HOSAYN,,MD,M,I,2245 SEPULVEDA BLVD,,TORRANCE,CA,905015302,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,24,24,18.00173913,18.00173913
1003824673,KHALEELI,HOSAYN,,MD,M,I,2245 SEPULVEDA BLVD,,TORRANCE,CA,905015302,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,27,16,16,11.611111111,11.611111111
1003824699,BHATT,KOMAL,J,MD,F,I,225 N JACKSON AVE,,SAN JOSE,CA,951161603,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,17,79.659411765,24.467647059,19.18,19.947647059
1003824699,BHATT,KOMAL,J,MD,F,I,225 N JACKSON AVE,,SAN JOSE,CA,951161603,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,43.301176471,3.2841176471,2.5752941176,3.5776470588
1003824699,BHATT,KOMAL,J,MD,F,I,225 N JACKSON AVE,,SAN JOSE,CA,951161603,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,16,517.38375,67.375,52.8225,54.52875
1003824731,GARDNER,ROBERT,N,M.D.,M,I,200 W 1ST ST,,PAYNESVILLE,MN,563621445,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,46,71.913478261,8.32,5.387826087,5.387826087
1003824731,GARDNER,ROBERT,N,M.D.,M,I,200 W 1ST ST,,PAYNESVILLE,MN,563621445,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,25,519.51,101.5632,72.7524,49.878
1003824764,BULLARD,GEORGE,,M.D.,M,I,1120 FIRST COLONIAL RD,SUITE 100,VIRGINIA BEACH,VA,234542418,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,434,275,5.09,3.7055990783,3.8689170507
1003824939,ASCIUTO,LETTERIO,,MD,M,I,70 MERIDEN AVE,,SOUTHINGTON,CT,06489,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,56,106,79.883962264,8.32,5.4673584906,5.4673584906
1003824939,ASCIUTO,LETTERIO,,MD,M,I,70 MERIDEN AVE,,SOUTHINGTON,CT,06489,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,13.468666667,1.42,0.7466666667,0.7466666667
1003824939,ASCIUTO,LETTERIO,,MD,M,I,70 MERIDEN AVE,,SOUTHINGTON,CT,06489,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,22,450.635,76.384545455,59.882727273,55.985454545
1003824954,KLIGER,CHAD,,M.D.,M,I,130 E 77TH ST,9TH FLOOR BLACK HALL,NEW YORK,NY,100751851,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,365,77.2984,60.6012,55.3916
1003824954,KLIGER,CHAD,,M.D.,M,I,130 E 77TH ST,9TH FLOOR BLACK HALL,NEW YORK,NY,100751851,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,85,38.8132,30.4308,29.6916
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,20,1160,0.15,0.12,0.0940689655,0.0940689655
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,15,435,28.82,23.66,18.549333333,18.549333333
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,405,22.53,18.5,14.504,14.504
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2800,0.08,0.05,0.0392,0.0392
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,22,2600,0.16,0.13,0.1019269231,0.1019269231
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1440,0.56,0.45,0.3528333333,0.3528333333
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,13,185,81.727027027,26.326486486,20.639891892,19.29027027
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,100,53.9,8.9035,6.9801,6.464
1003825266,ORTIZ-COLBERG,RAFAEL,,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,77598,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,4818,1053.8706667,826.23533333,535.71533333
1003825274,CARDONA,CARMEN,G,MD,F,I,413 50TH ST,,BROOKLYN,NY,112201912,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,46,62.422608696,8.32,5.2484782609,5.2484782609
1003825274,CARDONA,CARMEN,G,MD,F,I,413 50TH ST,,BROOKLYN,NY,112201912,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,16.716923077,1.42,0.9446153846,0.9446153846
1003825415,CHEIFETZ,MARCY,A,MD,F,I,291 INDEPENDENCE DR,,CHESTNUT HILL,MA,024673628,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,14,182,61.9,19.643571429,14.343681319,14.343681319
1003825415,CHEIFETZ,MARCY,A,MD,F,I,291 INDEPENDENCE DR,,CHESTNUT HILL,MA,024673628,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,430,8.63,2.631627907,2.0631162791,2.0631162791
1003825415,CHEIFETZ,MARCY,A,MD,F,I,291 INDEPENDENCE DR,,CHESTNUT HILL,MA,024673628,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,32,111,659,76.012852807,8.32,6.1392261002,6.1392261002
1003825415,CHEIFETZ,MARCY,A,MD,F,I,291 INDEPENDENCE DR,,CHESTNUT HILL,MA,024673628,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,32,76,17.479210526,1.42,0.9660526316,0.9660526316
1003825415,CHEIFETZ,MARCY,A,MD,F,I,291 INDEPENDENCE DR,,CHESTNUT HILL,MA,024673628,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,272.30928571,251.11,196.87,196.87
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,65,54.337076923,8.32,6.0207692308,6.0207692308
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.4291666667,2.4291666667
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,26,16.153846154,1.42,1.0276923077,1.0276923077
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,232.35,59.707142857,46.81,38.583571429
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,37.310869565,8.7434782609,6.6965217391,4.0534782609
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,29,519.51,101.18896552,73.591724138,52.128275862
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,5750,0.1882643478,0.0457617391,0.0344330435,0.0344330435
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,36,5040,1.4819920635,0.1361904762,0.0891944444,0.0891944444
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,33.332727273,26.117272727,16.982727273,10.718181818
1003825423,PHARR,RYAN,P,DO,M,I,55 AVENUE E,,APALACHICOLA,FL,323201763,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,53,53,113.32075472,33,24.068679245,24.068679245
1003825506,DUDRICK,DANIEL,J,M.D.,M,I,239 S MOUNTAIN BLVD,SUITE 100,MOUNTAIN TOP,PA,187071911,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,30,102,191,68.757434555,8.32,5.0428272251,5.0428272251
1003825506,DUDRICK,DANIEL,J,M.D.,M,I,239 S MOUNTAIN BLVD,SUITE 100,MOUNTAIN TOP,PA,187071911,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,24,24,10.775,1.42,0.84,0.84
1003825506,DUDRICK,DANIEL,J,M.D.,M,I,239 S MOUNTAIN BLVD,SUITE 100,MOUNTAIN TOP,PA,187071911,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,175,48.6625,38.1525,38.1725
1003825506,DUDRICK,DANIEL,J,M.D.,M,I,239 S MOUNTAIN BLVD,SUITE 100,MOUNTAIN TOP,PA,187071911,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,27.666666667,3.7186666667,2.914,3.4773333333
1003825506,DUDRICK,DANIEL,J,M.D.,M,I,239 S MOUNTAIN BLVD,SUITE 100,MOUNTAIN TOP,PA,187071911,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,221.2,71.06,51.3122,50.391
1003825506,DUDRICK,DANIEL,J,M.D.,M,I,239 S MOUNTAIN BLVD,SUITE 100,MOUNTAIN TOP,PA,187071911,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,200,39.36,28.953333333,28.012424242
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,22,75,174,58.302873563,8.32,5.8948850575,5.8948850575
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,13.2475,1.42,1.12,1.12
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,32,8.431875,1.88375,1.476875,1.23875
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,65,76.519076923,17,13.328307692,14.438769231
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,215.97230769,51.26,40.19,42.654615385
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,56.867692308,18.098461538,12.987692308,12.979230769
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,67.285333333,10.8,8.47,9.0766666667
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,72,10.144861111,1.99,1.56,1.5863888889
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,41,86.31,19.310487805,14.449268293,12.946097561
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,16,48.475625,5.4625,4.1025,4.52875
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,158.89939394,31.89969697,25.006969697,26.473333333
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,64,68,513.40676471,86.747647059,65.825,55.164411765
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,14,250,37.841428571,27.450714286,27.402142857
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,18.573777778,9.6325,7.3526111111,7.3526111111
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,6172,0.2064112119,0.045999676,0.0333781594,0.0333781594
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,2590,0.9295714286,0.1318996139,0.0992162162,0.0992162162
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,46,2580,12.606395349,3.0270930233,2.2396007752,2.2396007752
1003825720,CARRO,ANTONIO,L,M.D.,M,I,1004 SE LOUIS DR,,MULVANE,KS,671101109,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,77,77,112.71428571,33,25.198051948,25.198051948
1003826181,HODNE,BARBARA,,DO,F,I,1410 SW TRADITION DR,STE 120,ANKENY,IA,50023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,45,57.897777778,8.228,5.5802222222,5.6526666667
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,30,128,335,55.888208955,8.32,5.9652537313,5.9652537313
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,24,24,17.291666667,3.38,2.65,2.65
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,23.5,2.12,1.67,1.67
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,22,70,115,15.366521739,1.42,1.0573043478,1.0573043478
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,309.28066667,86.33,65.68,65.829333333
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,44,116.17,33.48,26.245909091,25.938409091
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,28,90,62.126,19.772888889,14.520777778,14.184777778
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,154.66928571,61.917142857,45.465,41.627857143
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,42.520714286,18.735714286,14.681428571,14.06
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,25,25,50.9832,13.3516,10.1076,9.2132
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,37,136,6.5319852941,2.01,1.5690441176,1.5825735294
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,28,72.2675,17.29,13.066071429,13.046785714
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,6.12,4.4958064516,2.8716129032,2.8703225806
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,110.31810811,33.434594595,23.876216216,23.546216216
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,47,429.71106383,70.23,49.202553191,48.898723404
1003826199,CASH,JAMES,S,MD,M,I,1710 W 42ND AVE,,PINE BLUFF,AR,716037008,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,74.687647059,19.625882353,15.387647059,14.125882353
1003826256,MONTOYA,PERRY,V,M.D,M,I,525 3RD AVE,,CHULA VISTA,CA,919105616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,27,71,186,61.014301075,8.32,5.7510215054,5.7510215054
1003826256,MONTOYA,PERRY,V,M.D,M,I,525 3RD AVE,,CHULA VISTA,CA,919105616,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,17,34,52,14.290384615,1.42,1.0511538462,1.0511538462
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,7,19,186,560,908.45741071,19.695053571,15.382839286,15.382839286
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,4,,26,34,351.29705882,37.293235294,29.234117647,29.234117647
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,1318.1276923,1035.4746154,811.81461538,811.81461538
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,5,,36,36,515.59416667,14.533055556,11.121944444,11.788611111
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,1440,427.23575,39.390722222,30.882333333,30.882333333
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,54,18784,97.472013948,13.490017036,10.57616908,10.57616908
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,128,39070,114.99924776,9.841583312,7.7121351421,7.7121338623
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,59,2810,370.1820427,42.666213523,33.399284698,33.399263345
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,9125,79.725438904,14.041000548,9.630489863,9.630489863
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,8,19,174,740,307.42904054,2.6381621622,2.0685540541,2.0685540541
1003826272,DEAL,JO,P,MD,F,I,766 LAKELAND DR,A,JACKSON,MS,392164610,US,Physician/Infectious Disease,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,801.25586207,358.5,281.06,281.06
1003826306,HODSON,LARRY,,DPM,M,I,2201 JENKS AVE,,PANAMA CITY,FL,324054531,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,420,4,0.12,0.094,0.094
1003826306,HODSON,LARRY,,DPM,M,I,2201 JENKS AVE,,PANAMA CITY,FL,324054531,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,265,265,207.76,218.89
1003826306,HODSON,LARRY,,DPM,M,I,2201 JENKS AVE,,PANAMA CITY,FL,324054531,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,22,225,163.79,128.41,126.52
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,30,87,270,55.064666667,8.32,5.9024814815,5.9024814815
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.505,3.38,2.2083333333,2.2083333333
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,16,37,68,12.314117647,1.42,0.9505882353,0.9505882353
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,472.77538462,110.52230769,86.65,67.846923077
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,20,36,178.0475,43.415,34.036944444,25.918333333
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,189.57235294,74.300588235,53.276470588,41.148823529
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,18,18,78.95,23.790555556,18.648333333,14.144444444
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,24,24,76.891666667,21.3125,16.287916667,9.2220833333
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,20,35,154,10.709220779,2.8148051948,2.2068831169,1.6
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,77,86,82.678139535,22.906162791,17.089186047,14.224418605
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,31,35,81.75,21.013714286,16.475428571,10.778285714
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,46,227.97173913,63.196086957,49.542826087,29.935652174
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,27,217,225,473.33604444,102.24577778,75.438844444,55.279466667
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,139.23076923,44.526923077,34.911538462,29.882051282
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2010,0.9446666667,0.1367761194,0.1018308458,0.1018308458
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,82.410714286,28.875714286,22.638571429,16.047857143
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,11.463636364,8.9890909091,7.2454545455
1003826389,ESKELSON,LYNN,P,M.D.,M,I,1400 UINTA DR,,GREEN RIVER,WY,829355060,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,122.1,33,24.5765,24.5765
1003826462,THANVI,MAGHRAJ,,MD,M,I,1052 SE OCEAN BLVD,,STUART,FL,349962578,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,5,1.7769230769,1.1653846154,1.1853846154
1003826462,THANVI,MAGHRAJ,,MD,M,I,1052 SE OCEAN BLVD,,STUART,FL,349962578,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,42,54.210952381,18.488571429,12.797380952,11.775952381
1003826470,URBAN,LAURA,L,M.D.,F,I,1406 TUSCULUM BLVD,SUITE 1000,GREENEVILLE,TN,377454332,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,60.968947368,60.968947368,47.797894737,54.428421053
1003826470,URBAN,LAURA,L,M.D.,F,I,1406 TUSCULUM BLVD,SUITE 1000,GREENEVILLE,TN,377454332,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,25,28.18,26.9808,19.738,34.6984
1003826504,BROWN,PAMELA,I,M.D.,F,I,7033 SAINT ANDREWS RD,,COLUMBIA,SC,292121179,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,42,112,73.190535714,8.32,6.2932142857,6.2932142857
1003826504,BROWN,PAMELA,I,M.D.,F,I,7033 SAINT ANDREWS RD,,COLUMBIA,SC,292121179,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,25,38,15.634210526,1.42,1.1139473684,1.1139473684
1003826504,BROWN,PAMELA,I,M.D.,F,I,7033 SAINT ANDREWS RD,,COLUMBIA,SC,292121179,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,114.8445,27.951,21.912,21.955
1003826546,MILETI,JOSEPH,,MD,M,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician/Sports Medicine,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,33,148.51515152,100.42,73.958484848,82.31030303
1003826728,COFFEY,JOHN,M,MD,M,I,107 N HALL ST,STE D,VISALIA,CA,932915850,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,277.71277778,57.765555556,40.823888889,38.319444444
1003826728,COFFEY,JOHN,M,MD,M,I,107 N HALL ST,STE D,VISALIA,CA,932915850,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,81.805833333,16.211666667,12.708333333,9.2091666667
1003826728,COFFEY,JOHN,M,MD,M,I,107 N HALL ST,STE D,VISALIA,CA,932915850,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,112,11.322321429,2.2710714286,1.6128571429,1.4235714286
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,51,110,47.968909091,8.29,6.2032727273,6.2269090909
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,33,10.444545455,1.42,1.1145454545,1.1145454545
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,64.676666667,28.46,20.450833333,20.450833333
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,2.9,2.49,1.7890277778,1.7890277778
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,13,24.827692308,10.93,7.9107692308,7.9107692308
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,6.4663636364,1.8854545455,0.5704545455,0.4413636364
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,417.91692308,114.10846154,69.422307692,54.186923077
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,34,155.33823529,44.310588235,26.099117647,19.892941176
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,88.974166667,17.040833333,8.8575,6.4983333333
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,84,11.305714286,2.7476190476,1.468452381,1.1013095238
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,277,12.99,7.6494945848,5.9945487365,4.3664620939
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5448,0.75,0.4962132893,0.3628303965,0.2772687225
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,72.219473684,23.384736842,18.331578947,13.846842105
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,234.41625,64.33375,50.435625,32.31875
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,66,71,493.21211268,102.35295775,74.882816901,53.980140845
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3823,0.2213732671,0.0458095736,0.00816113,0.0081428198
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,780,0.9563974359,0.1353461538,0.0921410256,0.0921410256
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,50,22.560909091,15.754545455,11.680909091
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,759.57647059,243.58235294,113.14705882,84.714705882
1003826819,MIRHAIDARI,MOSTAFA,,D.O.,M,I,3515 MASSILLON RD STE 250,,UNIONTOWN,OH,44685,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,117.85714286,33,22.174285714,22.174285714
1003826876,WESLEY,AISHA,A,PA-C,F,I,654 E 47TH ST,,CHICAGO,IL,606534224,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,23,76,50.368026316,8.32,6.5219736842,6.5219736842
1003826876,WESLEY,AISHA,A,PA-C,F,I,654 E 47TH ST,,CHICAGO,IL,606534224,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,19.166666667,3.38,2.65,2.65
1003826876,WESLEY,AISHA,A,PA-C,F,I,654 E 47TH ST,,CHICAGO,IL,606534224,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,22,37,19.107837838,1.42,1.112972973,1.112972973
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,43,84,75.460238095,8.32,5.3558333333,5.3558333333
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,12.671875,1.42,1.05,1.05
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,24,24,131.4675,39.56,27.1425,26.67875
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,443.02454545,85.52,60.954545455,61.699090909
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,27,158.16444444,32.92,25.389259259,25.493333333
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,82,75.03304878,18.56,14.050609756,14.050609756
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,70,54.858,15.21,10.902857143,10.873857143
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,27,27,248.88296296,53.83,39.480740741,40.136296296
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,24,24,73.510416667,18.06,12.98,12.8925
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,70.440769231,12.21,9.57,9.12
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,40,219,11.573059361,2.02,1.5414611872,1.5499086758
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,38.6,13.07,8.96875,9.07125
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,317,8.6870347003,2.99,2.3441009464,2.3676971609
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6556,1.0417449664,0.37,0.2900838926,0.2900838926
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,14,81.75,13.132857143,9.5585714286,9.7471428571
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,21.11,4.546,3.564,4.052
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,54,154.08722222,30.634444444,24.017777778,24.244444444
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,114.47,60.651666667,47.551666667,49.516666667
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,316.4,65.7,51.51,54.437272727
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,37.64,26.827272727,26.827272727
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,79.665454545,37.64,29.51,29.51
1003826884,RUIZ,DAVID,,MD,M,I,931 OAK PARK BLVD,,PISMO BEACH,CA,934493402,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,73.071428571,33,24.022142857,24.022142857
1003826942,DORAN,JOHN,J,M.D.,M,I,1365 CLIFTON RD NE BLDG A,THE EMORY CLINIC - NEPHROLOGY,ATLANTA,GA,303221013,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1200,3.238325,1.2472,0.9777666667,0.9777666667
1003826983,FOSTER,LESLIE,S,D.O.,M,I,940 SETON DR,SUITE A,CUMBERLAND,MD,215021818,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,1054.0073333,1000.6213333,784.486,886.5
1003826991,PARSONS,KELLY,M,ARNP,F,I,2450 KIPLING AVE,SUITE 108,CINCINNATI,OH,452396600,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,41,85,66.837882353,8.32,5.064,5.064
1003826991,PARSONS,KELLY,M,ARNP,F,I,2450 KIPLING AVE,SUITE 108,CINCINNATI,OH,452396600,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,12.804444444,1.42,0.9911111111,0.9911111111
1003826991,PARSONS,KELLY,M,ARNP,F,I,2450 KIPLING AVE,SUITE 108,CINCINNATI,OH,452396600,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2280,0.9317587719,0.1327763158,0.1024649123,0.1024649123
1003826991,PARSONS,KELLY,M,ARNP,F,I,2450 KIPLING AVE,SUITE 108,CINCINNATI,OH,452396600,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,34.076923077,33,23.88,23.88
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,33,83,50.924698795,8.32,6.0608433735,6.0608433735
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,127.494375,39.36,30.86,30.49
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,363.50181818,86.88,68.11,67.84
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,59,71.646101695,18.54,12.558983051,12.57559322
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,187.845625,55.9,41.090625,40.18125
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,71.036666667,17.99,13.16,13.122666667
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,65.027272727,12.04,7.7236363636,7.4618181818
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,23,134,7.483358209,2.04,1.572761194,1.5660447761
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,53.577272727,12.78,9.5418181818,9.8627272727
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,25,3.8118181818,2.8554545455,3.355
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,357.6516129,29.90483871,23.451612903,24.132903226
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,613.07636364,78.49,55.562727273,49.380909091
1003827106,NEELEY,CHRISTINE,I,M.D.,F,I,1960 OGDEN ST STE 120,,DENVER,CO,802183667,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,228.53333333,38.76,25.325,24.591666667
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,78,453,453,453,1406.0070199,1140.3666004,878.13317881,866.6412362
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,107,109,156,780.45634615,654.38576923,502.11108974,472.73564103
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,54,353,379,555,1044.4546667,851.79917117,667.2027027,674.9172973
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,48,284,285,498,536.11554217,446.95349398,348.94429719,351.41246988
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,65,476,505,740,133.16227027,108.59606757,84.914121622,88.193621622
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,117.04333333,91.27,71.56,79.51
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,69,347,349,515,544.41001942,462.32970874,361.55596117,363.9508932
1003827205,SMITH,WHITAKER,M,MD,M,I,1019 W OAKLAND AVE,SUITE 1,JOHNSON CITY,TN,376042357,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,75,507,514,514,875.36856031,688.94910506,536.14081712,557.64250973
1003827296,FEDOR,JOHN,,MD,M,I,1001 BLYTHE BLVD,STE 300 - ADULT CARDIOLOGY,CHARLOTTE,NC,282035866,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3721.7647059,2667.5852941,2090.3841176,2090.3841176
1003827411,SAYEF,NANZEEN,,M.D.,F,I,2545 S KING DR,,CHICAGO,IL,606162441,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,76,75.946842105,8.32,6.0077631579,6.0077631579
1003827411,SAYEF,NANZEEN,,M.D.,F,I,2545 S KING DR,,CHICAGO,IL,606162441,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,24,15.905,1.42,1.1154166667,1.1154166667
1003827411,SAYEF,NANZEEN,,M.D.,F,I,2545 S KING DR,,CHICAGO,IL,606162441,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1470,1.9209863946,0.1374285714,0.1003401361,0.1003401361
1003827411,SAYEF,NANZEEN,,M.D.,F,I,2545 S KING DR,,CHICAGO,IL,606162441,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,23.88,23.88
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,110,84.221818182,8.32,6.5225454545,6.5225454545
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,76.165333333,11.94,8.7326666667,8.5333333333
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,86,9.7637209302,2.0337209302,1.4822093023,1.4813953488
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,24,68.49,17.52,13.74,13.615
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.32,34.841666667,34.841666667
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,32.890833333,32.661666667
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,66,72,468.37972222,78.49,57.600833333,51.938194444
1003827585,FRANCU,DIANA,A,M.D.,F,I,360 S GARFIELD ST,SUITE 550,DENVER,CO,802093186,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.76,27.8575,27.050833333
1003827692,GONZALEZ,ARMANDO,,MD,M,I,395 N SILVERBELL RD,#265,TUCSON,AZ,857452675,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,32,59,60.718813559,8.32,6.5244067797,6.5244067797
1003827692,GONZALEZ,ARMANDO,,MD,M,I,395 N SILVERBELL RD,#265,TUCSON,AZ,857452675,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,21,13.776190476,1.42,1.1161904762,1.1161904762
1003827759,RASHID,MOHAMMAD,,M.D.,M,I,61 POINTE CIR,,GREENVILLE,SC,296153505,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,23,57,191,56.721256545,8.32,5.88,5.88
1003827759,RASHID,MOHAMMAD,,M.D.,M,I,61 POINTE CIR,,GREENVILLE,SC,296153505,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.938461538,3.38,2.65,2.65
1003827759,RASHID,MOHAMMAD,,M.D.,M,I,61 POINTE CIR,,GREENVILLE,SC,296153505,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,32,41,16.00195122,1.42,1.0624390244,1.0624390244
1003827759,RASHID,MOHAMMAD,,M.D.,M,I,61 POINTE CIR,,GREENVILLE,SC,296153505,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1003827858,HAYS,WILLIAM,A,M.D.,M,I,2700 WESTSIDE DR NW,SUITE 103,CLEVELAND,TN,373123699,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,34,111,62.904414414,8.32,5.4652252252,5.4652252252
1003827858,HAYS,WILLIAM,A,M.D.,M,I,2700 WESTSIDE DR NW,SUITE 103,CLEVELAND,TN,373123699,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,27,157.00518519,33.48,26.245185185,26.000740741
1003828369,LAJOIE,ROBIN,J,M.D.,F,I,230 WASHINGTON STREET,,SOUTH ATTLEBORO,MA,02703,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,76,88.034473684,8.32,5.3205263158,5.3205263158
1003828369,LAJOIE,ROBIN,J,M.D.,F,I,230 WASHINGTON STREET,,SOUTH ATTLEBORO,MA,02703,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,273.93,33.71,26.429444444,25.195555556
1003828542,PEACOCK,LAMAR,B,MD,M,I,465 N BELAIR RD,SUITE 3-A,EVANS,GA,308093188,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,36,153,64.286993464,8.32,5.9256862745,5.9256862745
1003828542,PEACOCK,LAMAR,B,MD,M,I,465 N BELAIR RD,SUITE 3-A,EVANS,GA,308093188,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,36,15.757222222,1.42,1.1138888889,1.1138888889
1003828575,LOCK,KELLY,,PA-C,F,I,6450 FOLSOM DR,,BEAUMONT,TX,777067269,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,68,61.114705882,8.32,5.9467647059,5.9467647059
1003828641,SYED,ALEEM,A,MD,M,I,1211 W LA PALMA AVE,SUITE 702,ANAHEIM,CA,92801,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,52,69,195,600,61.519016667,8.32,5.7138166667,5.7138166667
1003828641,SYED,ALEEM,A,MD,M,I,1211 W LA PALMA AVE,SUITE 702,ANAHEIM,CA,92801,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,35,45,87,145,14.424206897,1.3929655172,1.0097241379,1.0309655172
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,10.351428571,8.69,5.8371428571,5.8371428571
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,118,2.9574576271,2.49,1.6836440678,1.6836440678
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,17.75,13.8,9.2742857143,9.2742857143
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,28,8.8821428571,7.46,5.0142857143,5.0142857143
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,11.48,7.37,5.778,5.778
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,26,713,13.052454418,6.4313744741,5.042230014,4.1702103787
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,8670,1.0688027682,0.3647658593,0.2817970012,0.2388604383
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,23,23,114.99130435,74.421304348,58.349565217,48.32
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,31,39,111.94410256,24.502307692,18.722820513,14.621025641
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,160.09647059,27.534705882,13.963529412,12.915294118
1003828724,ALI,UZMA,M,MD,F,I,2133 PELHAM DR,,ROANOKE,VA,240182725,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,49,34.85877551,8.8234693878,6.2428571429,6.0353061224
1003828823,RONNEN,ELLEN,A,MD,F,I,J2 BRIER HILL COURT,,EAST BRUNSWICK,NJ,08816,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,72,72,21.604444444,19.71,15.020833333,15.020833333
1003828823,RONNEN,ELLEN,A,MD,F,I,J2 BRIER HILL COURT,,EAST BRUNSWICK,NJ,08816,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,72,82,40.97304878,37.38,28.229146341,28.229146341
1003828823,RONNEN,ELLEN,A,MD,F,I,J2 BRIER HILL COURT,,EAST BRUNSWICK,NJ,08816,US,Physician/Medical Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,258.39,199.27441176,156.23088235,156.23088235
1003828823,RONNEN,ELLEN,A,MD,F,I,J2 BRIER HILL COURT,,EAST BRUNSWICK,NJ,08816,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,822,78.24,4.5139537713,3.5389537713,3.5389537713
1003828823,RONNEN,ELLEN,A,MD,F,I,J2 BRIER HILL COURT,,EAST BRUNSWICK,NJ,08816,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,72,675,1.8384444444,1.6755555556,1.2871851852,1.2871851852
1003828849,GLORIOSO,JOSEPH,J,DO,M,I,106 PLAZA DR,,SAINT CLAIRSVILLE,OH,439508736,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,207.06,48.155,37.755,38.135833333
1003828849,GLORIOSO,JOSEPH,J,DO,M,I,106 PLAZA DR,,SAINT CLAIRSVILLE,OH,439508736,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,50.73,4.82,3.1923333333,3.054
1003829169,WHEREATT,NANCY,E,MD,F,I,1221 N HIGHLAND AVE,,AURORA,IL,605061404,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,23,51,55.364705882,41.17,30.660784314,29.436470588
1003829201,BADALAMENT,ROBERT,A,MD,M,I,905 N CENTRAL AVE,,KISSIMMEE,FL,347415005,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1340,0.3398507463,0.13,0.0950746269,0.0950746269
1003829201,BADALAMENT,ROBERT,A,MD,M,I,905 N CENTRAL AVE,,KISSIMMEE,FL,347415005,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,1290,4.4075193798,2.04,1.4952325581,1.4952325581
1003829201,BADALAMENT,ROBERT,A,MD,M,I,905 N CENTRAL AVE,,KISSIMMEE,FL,347415005,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,47,24.074468085,10.889148936,7.4434042553,7.4753191489
1003829201,BADALAMENT,ROBERT,A,MD,M,I,905 N CENTRAL AVE,,KISSIMMEE,FL,347415005,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,32,8.6046875,7.179375,5.264375,5.484375
1003829268,WU,HENRY,,DPM,M,I,13338 41ST RD,SUITE 2L,FLUSHING,NY,113553782,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,30,30,60,112.951,71.352,55.9425,56.0845
1003829268,WU,HENRY,,DPM,M,I,13338 41ST RD,SUITE 2L,FLUSHING,NY,113553782,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,84,35.058333333,28.236428571,22.138095238,22.857380952
1003829268,WU,HENRY,,DPM,M,I,13338 41ST RD,SUITE 2L,FLUSHING,NY,113553782,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,90,75,43.56,34.151666667,34.150666667
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,31,114,57.702894737,8.32,6.1214035088,6.1214035088
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,25,11.3712,1.42,1.024,1.024
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,52,95.114423077,17.51,12.717884615,12.542692308
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,53.77,42.16,41.81
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,232.35,49.68,32.597857143,31.555714286
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.67,38.95,37.63
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,715.92,831.73166667
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,267.03545455,267.03545455
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,156,156,444.89403846,79.8,58.537179487,51.811410256
1003829300,KENNEDY,JAMIESON,D,MD,M,I,2020 W COLORADO AVE,STE 203,COLORADO SPRINGS,CO,80904,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,124,38,28.3005,28.0555
1003829417,RAMIREZ,ALFREDO,R,M.D.,M,I,NAVAL MEDICAL CENTER SAN DIEGO,34800 BOB WILSON DRIVE,SAN DIEGO,CA,921341403,US,Thoracic Surgery (Cardiothoracic Vascular Surgery),T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,72.06,55.180833333,53.411666667
1003829474,REYNOLDS,DAVID,D,M.D.,M,I,1860 FAIR AVE.,SUITE A,HONESDALE,PA,184311032,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,382,5.1735602094,4.03,3.1595026178,3.1595026178
1003829474,REYNOLDS,DAVID,D,M.D.,M,I,1860 FAIR AVE.,SUITE A,HONESDALE,PA,184311032,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,28,841,21.822378121,7.7685374554,6.0863258026,4.3792984542
1003829474,REYNOLDS,DAVID,D,M.D.,M,I,1860 FAIR AVE.,SUITE A,HONESDALE,PA,184311032,US,Physician/Gastroenterology,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,6659,5.4872743655,1.4869184562,1.1657471092,0.9535906292
1003829474,REYNOLDS,DAVID,D,M.D.,M,I,1860 FAIR AVE.,SUITE A,HONESDALE,PA,184311032,US,Physician/Gastroenterology,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,16,16,133.75,86.873125,64.791875,46.963125
1003829474,REYNOLDS,DAVID,D,M.D.,M,I,1860 FAIR AVE.,SUITE A,HONESDALE,PA,184311032,US,Physician/Gastroenterology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,25,10.988125,8.06875,4.93375
1003829508,MAYRO,LESLIE,B,M.D.,F,I,2230 COTTMAN AVE,HEALTH CARE CENTER #10,PHILADELPHIA,PA,191491230,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,76,31.549078947,8.32,4.9782894737,4.9782894737
1003829706,ANGELO,JENNIFER,B,PA-C,F,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,32,109,45.456422018,8.32,6.0437614679,6.0437614679
1003829706,ANGELO,JENNIFER,B,PA-C,F,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,20,8.0995,1.42,1.115,1.115
1003829706,ANGELO,JENNIFER,B,PA-C,F,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,91.946666667,17.29,13.55,13.531666667
1003829706,ANGELO,JENNIFER,B,PA-C,F,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.165454545,4.8336363636,3.7909090909,3.7872727273
1003829706,ANGELO,JENNIFER,B,PA-C,F,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,125,37.44,29.353846154,28.802307692
1003829706,ANGELO,JENNIFER,B,PA-C,F,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,553.44666667,70.23,55.06,54.748333333
1003829706,ANGELO,JENNIFER,B,PA-C,F,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,81.882352941,33,25.87,25.87
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,60,188,71.579202128,8.32,5.2387765957,5.2387765957
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,17,28,14.859285714,1.42,1.0353571429,1.0353571429
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,230,8.2145217391,5.74,4.5,4.5
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,480,15.415,7,5.312,5.312
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,480,8.091,4.03,3.1595,3.1595
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,0.41,0.27,0.2116,0.2116
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.836,1.4766666667,1.082,1.0786666667
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,5.8,4.86,3.8103333333,4.1336111111
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8640,0.43,0.36,0.265630787,0.2728240741
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,22,65,50.008181818,39.21,37.524545455
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,30,86.31,16.979,11.535666667,11.754333333
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,40,48.8075,5.232,4.0005,3.667
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,92,96,519.51,78.9034375,56.1446875,49.7640625
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,250,37.15,26.355714286,26.727142857
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,2850,0.9871508772,0.1386,0.0984877193,0.0984877193
1003830191,LAM,RICHARD,C,MD,M,I,27994 BRADLEY RD,SUITE C,SUN CITY,CA,925862240,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,40,107.25,33,23.283,23.283
1003830274,REDDY,SYAMALA,H,"M.D.,",M,I,200 MEDICAL CENTER DR,SUITE3A,HAZARD,KY,417019466,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,12,72.876666667,68.535833333,53.730833333,52.236666667
1003830290,SPONSEL,CHARLES,W,DO,M,I,701 W 5TH ST,,ODESSA,TX,797634206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,39,41.343076923,8.32,0.6576923077,0.6576923077
1003830290,SPONSEL,CHARLES,W,DO,M,I,701 W 5TH ST,,ODESSA,TX,797634206,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,17,15.411764706,1.42,0.1317647059,0.1317647059
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,37,97,246,59.205081301,8.2693902439,6.028699187,6.0683333333
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.278666667,3.38,2.65,2.65
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,25,50,63,13.823174603,1.42,1.0282539683,1.0282539683
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,307.81789474,87.37,57.840526316,57.326842105
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,23,43,108.80651163,32.76,22.424418605,22.614186047
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,62.798,17.9,14.03,14.06
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,72.010666667,11.66,9.14,9.12
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,28,145,8.2372413793,2.06,1.6150344828,1.5940689655
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,21.4525,5.93,4.65,4.65
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,175,46.713571429,34.179285714,35.322857143
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,44.17,34.63,37.63
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,49.314705882,13.359411765,9.2464705882,9.2470588235
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,40,40,324.93475,31.7525,23.191,23.62775
1003830423,PIZZIKETTI,ROBERT,J,M.D.,M,I,810 BONNEVIEW RD,,YORK,PA,174022001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,393.32,67.72,45.466428571,47.040714286
1003830530,SMITH,MICHAEL,W,M.D.,M,I,11030 GOLF LINKS DR STE 100,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,15,50,129,67.023255814,8.32,6.1317829457,6.1317829457
1003830530,SMITH,MICHAEL,W,M.D.,M,I,11030 GOLF LINKS DR STE 100,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,27,31,11.716774194,1.42,1.1187096774,1.1187096774
1003830530,SMITH,MICHAEL,W,M.D.,M,I,11030 GOLF LINKS DR STE 100,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,409,8.1381418093,3,2.35200489,2.3665036675
1003830530,SMITH,MICHAEL,W,M.D.,M,I,11030 GOLF LINKS DR STE 100,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3016,0.817897878,0.370928382,0.2908090186,0.2909814324
1003830530,SMITH,MICHAEL,W,M.D.,M,I,11030 GOLF LINKS DR STE 100,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,165,60.175454545,47.18,39.163636364
1003830670,GANS,RHONDA,Y,M.D.,F,I,4829 S COTTAGE GROVE AVE,,CHICAGO,IL,606151600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,27,53,56.424150943,8.32,6.5224528302,6.5224528302
1003830670,GANS,RHONDA,Y,M.D.,F,I,4829 S COTTAGE GROVE AVE,,CHICAGO,IL,606151600,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,17.164117647,1.42,1.1152941176,1.1152941176
1003830761,KORHEL,SHARON,A,APRN,F,I,1105 W 1000 N,,SALT LAKE CITY,UT,841162135,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,71,73.600985915,8.32,5.5123943662,5.5123943662
1003830829,FRIEDMAN,LAWRIE,H,M.D.,M,I,670 N COIT RD STE 2355,,RICHARDSON,TX,750805477,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,48,62.885416667,8.32,5.7054166667,5.7054166667
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,46,123,74.375447154,8.32,5.9066666667,5.9066666667
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,21,12.520952381,1.42,0.9571428571,0.9571428571
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,85,157,157,86.552738854,40.191847134,29.609745223,28.761210191
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,34,86,170,8.0677647059,1.5764117647,1.1258235294,1.0424705882
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,18,24,24,85.067916667,13.657083333,9.4791666667,8.3733333333
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,82,155,155,370.25206452,90.251096774,66.817806452,63.903806452
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,55,152,267,149.53127341,34.784157303,26.067003745,24.755318352
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,18,43,179,109.75363128,19.217821229,13.135810056,12.65
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,30,168,70.314285714,16.464880952,11.456071429,10.651785714
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,67,143,143,247.8958042,56.942307692,40.284965035,38.811958042
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,115,156,156,74.37474359,18.980448718,14.343269231,13.599615385
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,39.805454545,10.61,7.5636363636,7.4245454545
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,56,130,130,101.451,12.828384615,9.6251538462,8.7003846154
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,119,314,1052,10.164971483,2.1536596958,1.5939638783,1.5032794677
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,29,29,24.652758621,6.9813793103,5.2937931034,4.6034482759
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,87,122,122,49.038688525,13.679180328,10.316721311,9.968442623
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,330,48.155,33.8825,34.274166667
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,61,442,451,86.553126386,17.8227051,13.041552106,12.741596452
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,23,234.67,47.37,37.14,37.395652174
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,56,56,4084.0178571,1074.31,839.69803571,839.69803571
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,46,49,454.92693878,96.78122449,72.625306122,64.138571429
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,584.62727273,231.32090909,168.31545455,156.78727273
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,1244.3493333,967.20933333,748.29333333,748.29333333
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,26,26,26,566.35346154,138.56,108.63346154,104.63692308
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,24,25,59.4924,13.7352,10.77,10.6412
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,28,182,183,57.713333333,5.181147541,3.6720218579,3.321147541
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,57,310,322,223.19565217,34.847639752,25.243167702,23.51984472
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,104,801,808,472.49189356,75.626633663,56.045866337,51.907574257
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,161,174,289.33908046,39.112471264,29.493793103,28.497758621
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,7,12,12,12,104.5,57,42.868333333,42.868333333
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,42,309,19116,16.166184348,9.6365698891,7.4818649299,7.4818649299
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,990,13.94,11.128242424,8.5796565657,8.5796565657
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,57,274,51486,0.2551893719,0.046759119,0.0325311735,0.0325305908
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,34,109,12255,1.609124439,0.1358057936,0.1033618931,0.1033618931
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,53,367,22926,12.531278461,3.014153363,2.3348543139,2.3348538777
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,49,2587,1.1359876305,0.2189485891,0.1582991882,0.1582991882
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,189.93052632,41.574736842,31.103684211,28.414210526
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,97,507,507,105.79289941,33,25.013096647,25.013096647
1003830852,ABRAHAM,RAJU,Z,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,22,36,36,66,66,47.428333333,47.428333333
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,22,22,114.64,38.5,30.18,30.475909091
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,386.80588235,85.561764706,59.217647059,59.895294118
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,35,135.186,32.201142857,20.914857143,21.578857143
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,88,63.893522727,17.97,14.088409091,14.49375
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,21,38,38,183.55815789,53.046842105,41.591578947,42.715263158
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,31,40,40,69.371,17.3815,13.6015,13.98525
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,30,30,46.534666667,11.918,9.346,9.1473333333
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,24,44,242,7.4842561983,2.0277272727,1.5866942149,1.5884297521
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,16,16,19.554375,5.929375,4.65,4.650625
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,63.185,12.34,9.67,10.292142857
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,17,17,428.65117647,132.38470588,103.78705882,104.62352941
1003830886,BERSON,SHELLEY,R,M.D.,F,I,2 STRAWTOWN RD,SUITES 6 & 7,WEST NYACK,NY,109941847,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,20,81,90,223.09055556,34.474,26.517111111,27.024333333
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,44,143,73.020839161,8.32,5.2638461538,5.2638461538
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,28,14.851785714,1.42,0.7971428571,0.7971428571
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,19,19,80.362105263,43.971578947,32.869473684,29.511052632
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,215.16,114.27,76.786363636,59.529090909
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,35,76.922285714,40.715428571,26.777714286,21.052
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,49.799333333,22.252666667,17.444,14.064
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,25,124,5.120483871,2.5517741935,1.8059677419,1.4151612903
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.3,7.64,5.9866666667,4.65
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,14.378333333,10.405833333,9.3066666667
1003831207,MCCLAID,MICHAEL,R,MD,M,I,1724 W PLYMOUTH ST,,BREMEN,IN,465061940,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,125,37.190789474,25.613157895,22.058684211
1003831298,CLINARD,MARTIN,J,PA-C,M,I,501 S DRAKE RD,,KALAMAZOO,MI,490093234,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,7.4264285714,2.03,1.5916666667,1.5916666667
1003831298,CLINARD,MARTIN,J,PA-C,M,I,501 S DRAKE RD,,KALAMAZOO,MI,490093234,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,36.336363636,13.3,10.43,10.475454545
1003831298,CLINARD,MARTIN,J,PA-C,M,I,501 S DRAKE RD,,KALAMAZOO,MI,490093234,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,115.64363636,33.633636364,26.368181818,25.530909091
1003831306,JAMES,ROY,L,M.D.,M,I,675 E 2100 S,SUITE 390,SALT LAKE CITY,UT,841061887,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,78.454545455,22.253636364,16.570909091,13.203636364
1003831306,JAMES,ROY,L,M.D.,M,I,675 E 2100 S,SUITE 390,SALT LAKE CITY,UT,841061887,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,318.18181818,100.90545455,73.678181818,53.436363636
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,33,80,223,57.275829596,8.3073542601,5.5760089686,5.5864573991
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,23,15.176521739,3.38,2.0739130435,2.0739130435
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,25.333333333,2.12,1.3916666667,1.3916666667
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,26,45,62,15.504516129,1.42,1.0077419355,1.0077419355
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,57.0003125,21.8003125,16.2,12.684375
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,44.976428571,9.5678571429,7.5007142857,4.7385714286
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,99.943529412,61.625294118,42.527647059,31.473529412
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,134.2,12.451818182,8.7581818182,7.1018181818
1003831397,ANDERSON,SHAWN,C,DO,M,I,2024 15TH ST FL 2,,MERIDIAN,MS,393014130,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,51,365.40627451,101.63058824,78.07254902,57.191764706
1003831405,SULTAN,AHMAD,A,MD,M,I,301 HACKETT BLVD,,ALBANY,NY,122081963,US,Physician/Physical Medicine and Rehabilitation,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,32.731578947,27.45,21.52,22.31
1003831405,SULTAN,AHMAD,A,MD,M,I,301 HACKETT BLVD,,ALBANY,NY,122081963,US,Physician/Physical Medicine and Rehabilitation,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,6.6133333333,5.54,4.34,4.34
1003831405,SULTAN,AHMAD,A,MD,M,I,301 HACKETT BLVD,,ALBANY,NY,122081963,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,20,13.0375,10.93,8.57,8.57
1003831405,SULTAN,AHMAD,A,MD,M,I,301 HACKETT BLVD,,ALBANY,NY,122081963,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,28,8.4292857143,7.06,5.535,5.8275
1003831462,MCKENZIE,ALLAN,D,M.D.,M,I,4523 WOODLAWN DR,,LITTLE ROCK,AR,72205,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,46,64.864130435,8.32,6.5217391304,6.5217391304
1003831462,MCKENZIE,ALLAN,D,M.D.,M,I,4523 WOODLAWN DR,,LITTLE ROCK,AR,72205,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,14,16.951428571,1.42,1.1157142857,1.1157142857
1003831538,KLEINMAN,ELLIOT,L,DPM,M,I,3760 S 4TH ST,,TERRE HAUTE,IN,478025507,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,43,319.75,251.28,196.96744186,218.85744186
1003831983,BEAUCHAMP,RODNEY,K,M.D.,M,I,200 PARKWEST CIR STE 2,,DOTHAN,AL,36303,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,48,64.9925,8.32,5.4347916667,5.4347916667
1003831983,BEAUCHAMP,RODNEY,K,M.D.,M,I,200 PARKWEST CIR STE 2,,DOTHAN,AL,36303,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,14.20375,1.42,0.90625,0.90625
1003831991,BULL,REBECCA,,MD,F,I,675 W WASHINGTON AVE,,MADISON,WI,537032637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,32,71,99.073943662,8.32,4.5005633803,4.5005633803
1003831991,BULL,REBECCA,,MD,F,I,675 W WASHINGTON AVE,,MADISON,WI,537032637,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,12.092727273,8.5354545455,8.5818181818
1003831991,BULL,REBECCA,,MD,F,I,675 W WASHINGTON AVE,,MADISON,WI,537032637,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,304.33857143,33.767142857,24.170714286,23.37
1003832023,MCCABE,THOMAS,A,MD,M,I,NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC,"3289 WOODBURN ROAD, 350",ANNANDALE,VA,22003,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,17,17,129.16,39.185882353,25.433529412,25.145294118
1003832023,MCCABE,THOMAS,A,MD,M,I,NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC,"3289 WOODBURN ROAD, 350",ANNANDALE,VA,22003,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,18,71,53.262957746,15.38084507,9.3754929577,9.2061971831
1003832023,MCCABE,THOMAS,A,MD,M,I,NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC,"3289 WOODBURN ROAD, 350",ANNANDALE,VA,22003,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,17,25,25,220.4876,57.3976,40.5884,38.4744
1003832023,MCCABE,THOMAS,A,MD,M,I,NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC,"3289 WOODBURN ROAD, 350",ANNANDALE,VA,22003,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,18,18,18,68.156666667,18.347777778,12.196111111,11.881666667
1003832023,MCCABE,THOMAS,A,MD,M,I,NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC,"3289 WOODBURN ROAD, 350",ANNANDALE,VA,22003,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,14,14,70.611428571,12.981428571,9.5071428571,8.4685714286
1003832023,MCCABE,THOMAS,A,MD,M,I,NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC,"3289 WOODBURN ROAD, 350",ANNANDALE,VA,22003,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,19,27,148,9.969527027,2.1013513514,1.5683783784,1.5128378378
1003832221,KLUTKE,CARL,G,MD,M,I,1040 N MASON RD,STE 122,SAINT LOUIS,MO,631416399,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,25,81,17156,5.4222417813,2.0351212404,1.573208207,1.577033108
1003832221,KLUTKE,CARL,G,MD,M,I,1040 N MASON RD,STE 122,SAINT LOUIS,MO,631416399,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,2070,10.33,6.15,4.8216038647,5.6683333333
1003832221,KLUTKE,CARL,G,MD,M,I,1040 N MASON RD,STE 122,SAINT LOUIS,MO,631416399,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,2.16,1.6,1.1504166667,1.2969791667
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,70,152,76.685065789,8.32,5.3316447368,5.3316447368
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,21,25,13.5084,1.42,1.028,1.028
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,240.14545455,50.924545455,34.164545455,36.927272727
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,17,89,10.449101124,1.9716853933,1.5461797753,1.5891011236
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,30,30,82.68,48.728,34.345,34.715
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,126.22434783,32.142173913,20.823043478,21.00173913
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,37.533333333,19.340333333,14.637333333,14.758666667
1003832346,LEE,DAVID,,M.D.,M,I,8220 WYMARK DR,,ELK GROVE,CA,957576297,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,12.341538462,9.6461538462,7.5630769231,7.5315384615
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,13,31,394,53.829593909,19.628172589,15.024137056,15.024137056
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,12,28,915,7.2354644809,2.6316939891,1.9953333333,1.9953333333
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,78,264,928,54.276648707,8.32,6.134375,6.134375
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,22,45,45,12.647555556,3.38,2.4144444444,2.4144444444
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,19,21,21,18.193333333,2.12,1.510952381,1.510952381
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,43,91,186,16.85983871,1.42,1.0436021505,1.0436021505
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,36.5,17,13.33,13.54
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,12,12,12,67.575833333,58.318333333,40.808333333,53.903333333
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,54,54,662.50388889,342.17277778,262.94796296,262.94796296
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,217.1,76.59,60.04,54.73
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,19,47,48,375.661875,250.939375,196.30416667,196.43729167
1003832437,NESHIWAT,LAWRENCE,F,M.D.,M,I,944 N BROADWAY,SUITE 205,YONKERS,NY,107011304,US,Physician/Internal Medicine,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,290.80533333,262.69333333,202.99266667,203.14333333
1003832486,COWLES,RUSSELL,L,M.D.,M,I,8303 DODGE ST,,OMAHA,NE,681144108,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,261.13727273,77.18,49.508181818,44.770909091
1003832494,CAWLFIELD,JOLENE,,FNP,F,I,559 W WASHINGTON ST,,BURNS,OR,977201441,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,43,43,79.705116279,60.408604651,44.481627907,35.315116279
1003832502,KALIM,ROSHAN,,VA,F,I,3700 FETTLER PARK,DUMFRIES HEALTH CENTER,DUMFRIES,VA,22025,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,465.6,90,70.56,68.087272727
1003832502,KALIM,ROSHAN,,VA,F,I,3700 FETTLER PARK,DUMFRIES HEALTH CENTER,DUMFRIES,VA,22025,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,36,173.635,34,26.656666667,25.978333333
1003832502,KALIM,ROSHAN,,VA,F,I,3700 FETTLER PARK,DUMFRIES HEALTH CENTER,DUMFRIES,VA,22025,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,82.487272727,18,14.11,14.064545455
1003832502,KALIM,ROSHAN,,VA,F,I,3700 FETTLER PARK,DUMFRIES HEALTH CENTER,DUMFRIES,VA,22025,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,78.96,12,9.41,9.12
1003832502,KALIM,ROSHAN,,VA,F,I,3700 FETTLER PARK,DUMFRIES HEALTH CENTER,DUMFRIES,VA,22025,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,90,11.546666667,2,1.5684444444,1.5902222222
1003832502,KALIM,ROSHAN,,VA,F,I,3700 FETTLER PARK,DUMFRIES HEALTH CENTER,DUMFRIES,VA,22025,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,81.75,13.65,10.7,10.48
1003832502,KALIM,ROSHAN,,VA,F,I,3700 FETTLER PARK,DUMFRIES HEALTH CENTER,DUMFRIES,VA,22025,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,257.82,34.016923077,26.668461538,26.965384615
1003832551,TRASK,TIMOTHY,,M.D.,M,I,4401 HARRISON BLVD,,OGDEN,UT,844033195,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,122.08333333,17.91,14.04,13.678888889
1003832551,TRASK,TIMOTHY,,M.D.,M,I,4401 HARRISON BLVD,,OGDEN,UT,844033195,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,367.85833333,70.48,55.25,54.867222222
1003832585,AREF,AMR,M,MD,M,I,19229 MACK AVE,SUITE 10,GROSSE POINTE WOODS,MI,48236,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,345,125,3,2.351942029,2.3663188406
1003832585,AREF,AMR,M,MD,M,I,19229 MACK AVE,SUITE 10,GROSSE POINTE WOODS,MI,48236,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,18,7317,2.2721046877,0.3099152658,0.2314555146,0.2315224819
1003832627,DONIN,ROBERTA,L,M.D.,F,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,314,14.089171975,4.9,3.8415605096,3.9428980892
1003832627,DONIN,ROBERTA,L,M.D.,F,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,134.38,48.497,38.019,39.3425
1003832627,DONIN,ROBERTA,L,M.D.,F,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,153.63,43.588235294,28.261764706,30.083529412
1003832627,DONIN,ROBERTA,L,M.D.,F,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,5.2,4.08,4.0366666667
1003832627,DONIN,ROBERTA,L,M.D.,F,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,69.89,16.073947368,12.599210526,15.043684211
1003832627,DONIN,ROBERTA,L,M.D.,F,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,77,77,175.37,27.538701299,19.195064935,21.726623377
1003832627,DONIN,ROBERTA,L,M.D.,F,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,20,111,111,22.496936937,6.780990991,4.9526126126,6.1399099099
1003832775,SCHNEIDERMAN,MARC,,M.D.,M,I,1101 5TH AVE,,CORAOPOLIS,PA,151081577,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,75.890689655,8.32,2.924137931,2.924137931
1003832775,SCHNEIDERMAN,MARC,,M.D.,M,I,1101 5TH AVE,,CORAOPOLIS,PA,151081577,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,122.9,55,38.649166667,38.41
1003832775,SCHNEIDERMAN,MARC,,M.D.,M,I,1101 5TH AVE,,CORAOPOLIS,PA,151081577,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,80,7.104,2,1.45075,1.474625
1003832775,SCHNEIDERMAN,MARC,,M.D.,M,I,1101 5TH AVE,,CORAOPOLIS,PA,151081577,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,77.5,56.086153846,50.983846154
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,91,104,86.31,17.538846154,12.965480769,12.753942308
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,2465.5364706,1073.16,824.48117647,825.38117647
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,30,50.73,4.422,3.156,3.396
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,27,144,153,506.59124183,79.365490196,58.609869281,51.869084967
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,31,226.77419355,36.68,28.75,29.411935484
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,6201,0.2143589744,0.0467876149,0.0337929366,0.0337929366
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,33,4915,1.9213774161,0.1363743642,0.10525941,0.10525941
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,660,10.181863636,3.0379090909,2.3817424242,2.3817424242
1003832817,MISTRETTA,MICHAEL,A,M.D.,M,I,6600 W BROAD ST STE 300,,RICHMOND,VA,232301709,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,23,54,54,71.5,33,24.432777778,24.432777778
1003832866,KIELAR,DAVID,R,M.D.,M,I,100 N EAGLE CREEK DR,,LEXINGTON,KY,405091805,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,16,16,77.4575,72.730625,57.015625,51.788125
1003833468,GENEBACH,E,D,MD,M,I,5801 FASHION BLVD,,MURRAY,UT,841076159,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,636.98545455,80.4,51.57,44.779090909
1003833625,PETERSON,JOHN,,M.D.,M,I,2917 CROSSING CT,SUITE B1,CHAMPAIGN,IL,618226184,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.72,4.3570381232,4.0357184751
1003833799,EIDAL,CHRISTEN,E,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,100,48.545,34.433333333,34.543333333
1003833799,EIDAL,CHRISTEN,E,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,55.04,3.59,2.4794117647,3.0647058824
1003833799,EIDAL,CHRISTEN,E,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,104,104,42.919903846,16.41125,10.545192308,11.427692308
1003833799,EIDAL,CHRISTEN,E,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,74.71,29.26,16.385714286,16.403809524
1003833799,EIDAL,CHRISTEN,E,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,23.825217391,8.6652173913,5.9656521739,5.6226086957
1003833807,HIRSCH,SANDRA,L,MD,F,I,660 GLADES RD,STE 300,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,65.207307692,8.32,5.835,5.835
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,13,20,38,8.0094736842,1.48,1.16,1.1534210526
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,29,86.31,17.95,13.099655172,12.734137931
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,1506.5294118,1055.7782353,827.73294118,827.73294118
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each",D1E - Other DME,Durable Medical Equipment,N,1,34,37,37,80,41.57,32.036216216,32.036216216
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,12,67,77,50.73,4.2675324675,2.975974026,3.2764935065
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,83,89,401.35325843,77.654719101,58.50741573,53.124831461
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,130.19565217,40.62,31.311086957,29.031521739
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,29,2032,1.8092470472,0.1368799213,0.1073129921,0.1073129921
1003833815,LENNOX,SHELLEY,M,M.D.,F,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,35,35,53.914285714,33,25.87,25.87
1003833948,BAKHRU,JYOTI,M,M.D.,F,I,4281 KATELLA AVE STE 220,,LOS ALAMITOS,CA,907206506,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,36,58.9125,8.32,4.7113888889,4.7113888889
1003834102,GOSSE,RICHARD,T,PA,M,I,1101 NOTT ST,,SCHENECTADY,NY,123082425,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,68.75,15.75,12.35,13.431818182
1003834102,GOSSE,RICHARD,T,PA,M,I,1101 NOTT ST,,SCHENECTADY,NY,123082425,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,70,54.88,54.743636364
1003834169,WAGGENSPACK,WAME,N,M.D.,M,I,8080 BLUEBONNET BLVD,SUITE 1000,BATON ROUGE,LA,708107827,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,25,25,140,104.26,79.0836,83.4888
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,46,42.278478261,8.32,6.5219565217,6.5219565217
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,17.27,12.743529412,12.743529412
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,4.19,3.0276923077,3.1284615385
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,25,519.51,68.78,49.6064,50.4232
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2100,1.0397857143,0.1360428571,0.1066809524,0.1066809524
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,12.86,3.0410555556,2.3841851852,2.3841851852
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,427,0.9294613583,0.2189227166,0.1596721311,0.1596721311
1003834292,BROWN,JERI,S,FNP,F,I,601 HWY 110 N,BAY 0,WHITEHOUSE,TX,757913037,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,38,38,111.15789474,33,25.87,25.87
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,41,132,60.578409091,8.32,6.1638636364,6.1638636364
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,22,44,12.498409091,1.42,1.0636363636,1.0636363636
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,20,114,69.97745614,18.572807018,14.560701754,14.497807018
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,13,32,32,192.424375,55.646875,42.2684375,41.55
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,17,24,24,60.690833333,17.47,13.695,13.977083333
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,15,34,35,65.357714286,11.492571429,9.0142857143,9.106
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,17,37,213,8.4615023474,2.0073239437,1.5740375587,1.5891549296
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,21.11,5.9909090909,4.6927272727,4.6554545455
1003834409,LUX,THOMAS,R,M.D.,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,444.68266667,36.144,23.093333333,22.869333333
1003834425,HALILI,FRANCISCO,R,MD,M,I,2400 N ORANGE BLOSSOM TRL STE 202,,KISSIMMEE,FL,347442307,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,12.76,5.74,4.0909090909,4.0909090909
1003834425,HALILI,FRANCISCO,R,MD,M,I,2400 N ORANGE BLOSSOM TRL STE 202,,KISSIMMEE,FL,347442307,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,340,20.667764706,9.86,7.5727941176,7.5727941176
1003834425,HALILI,FRANCISCO,R,MD,M,I,2400 N ORANGE BLOSSOM TRL STE 202,,KISSIMMEE,FL,347442307,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1050,3.8332380952,1.95,1.5288285714,1.5288285714
1003834490,COWAN,ROBERT,S,M.D.,M,I,300 BIRNIE AVE,SUITE 201,SPRINGFIELD,MA,011071107,US,Physician/Orthopedic Surgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,33.636363636,23.709090909,18.58,20.970909091
1003834490,COWAN,ROBERT,S,M.D.,M,I,300 BIRNIE AVE,SUITE 201,SPRINGFIELD,MA,011071107,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,1267.0454545,1109.22,848.51727273,864.98727273
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,67.949666667,8.32,6.0853333333,6.0853333333
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,2192,0.44,0.44,0.3449452555,0.3449452555
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,8.28,8.28,6.4916666667,6.4916666667
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,680,0.45,0.45,0.3528235294,0.3528235294
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,54.481818182,11,8.1572727273,8.6572727273
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,63,8.233015873,2.0838095238,1.4846031746,1.4428571429
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,6.16,3,2.170025641,2.1847948718
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3328,0.36,0.3,0.2231159856,0.2302584135
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,335.33875,56.237916667,35.417083333,28.22875
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,16,86.31,17.25,12.675,12.68625
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,3.4209090909,2.6881818182,3.4818181818
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,130.48181818,45.058181818,29.181818182,28.896363636
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,29.22,7.89,3.8030769231,3.9584615385
1003834557,POSS,MICHAEL,A,MD,M,I,100 PROFESSIONAL PARK,SUITE 202,CARROLLTON,GA,30117,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,18,519.51,75.56,53.098333333,50.592777778
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,172,342,342,116.64774854,39.038596491,29.666812865,29.558362573
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,110,229,229,311.80078603,90.963624454,67.10371179,63.992139738
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,88,189,511,118.42048924,33.994696673,25.661252446,24.975048924
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,67,136,765,57.979228758,18.108535948,13.409320261,13.754143791
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,46,87,448,50.783370536,15.160379464,11.331875,11.342924107
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,133,261,261,190.64386973,53.77091954,39.490421456,40.13954023
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,216,264,264,61.617765152,18.001780303,13.536287879,13.491477273
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,23,27,27,36.057777778,10,7.7,7.9725925926
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,64,126,126,52.675952381,12.07952381,8.8335714286,8.5254761905
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,225,465,2671,8.0143354549,2.0649419693,1.5680906028,1.5443579184
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,145,188,188,23.384095745,6,4.5195212766,4.4743617021
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,98,120,120,34.759833333,12.493666667,9.59925,10.11125
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,132.24105263,16.08,11.936842105,12.879473684
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,781.2,50,39.2,41.1575
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,12,54,56,411.81696429,87.300178571,65.930714286,67.359464286
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,522.10733333,208.57,158.73733333,158.477
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,67,67,67,445.74925373,132.65537313,98.943432836,99.73358209
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,27.000810811,4.1432432432,3.2464864865,3.8643243243
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,104,608,608,126.16279605,32.569128289,23.852467105,23.979391447
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,120,120,613.01333333,77.18,57.285583333,51.8105
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,44,181.36363636,37,27.2175,27.700681818
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,14,33,10009,0.3212538715,0.045976621,0.0352242981,0.0352242981
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1079,1.8598331789,0.1324559778,0.1038739574,0.1038739574
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,540,0.75,0.2189814815,0.1716666667,0.1716666667
1003834581,CROCETTI,JOSEPH,G,DO,M,I,1235 OLD YORK RD,STE 121,ABINGTON,PA,190013840,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,16,50,50,56.76,33,25.3526,25.3526
1003834649,THOMPSON,JEANNE,M,M.D.,F,I,3 AUDUBON PLAZA DR,LL2,LOUISVILLE,KY,402171319,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,42,119,62.738235294,8.32,6.1936134454,6.1936134454
1003834649,THOMPSON,JEANNE,M,M.D.,F,I,3 AUDUBON PLAZA DR,LL2,LOUISVILLE,KY,402171319,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,36,16.758888889,1.42,1.0822222222,1.0822222222
1003834649,THOMPSON,JEANNE,M,M.D.,F,I,3 AUDUBON PLAZA DR,LL2,LOUISVILLE,KY,402171319,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,42.0208,16.78,12.624,12.8672
1003834649,THOMPSON,JEANNE,M,M.D.,F,I,3 AUDUBON PLAZA DR,LL2,LOUISVILLE,KY,402171319,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,256.70918919,71.5,51.661351351,50.691081081
1003834649,THOMPSON,JEANNE,M,M.D.,F,I,3 AUDUBON PLAZA DR,LL2,LOUISVILLE,KY,402171319,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1710,1.4578070175,0.1315789474,0.092005848,0.092005848
1003834649,THOMPSON,JEANNE,M,M.D.,F,I,3 AUDUBON PLAZA DR,LL2,LOUISVILLE,KY,402171319,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,22.174285714,22.174285714
1003834680,ROSE,JAMES,,M.D.,M,I,1400 N IH 35 STE 300,,AUSTIN,TX,787011926,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,6127.85,4378.96,3433.11,3433.11
1003834680,ROSE,JAMES,,M.D.,M,I,1400 N IH 35 STE 300,,AUSTIN,TX,787011926,US,Physician/Neurosurgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,18.219090909,14.281818182,14.289090909
1003834680,ROSE,JAMES,,M.D.,M,I,1400 N IH 35 STE 300,,AUSTIN,TX,787011926,US,Physician/Neurosurgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,453.65117647,248.88352941,194.47823529,215.17529412
1003834680,ROSE,JAMES,,M.D.,M,I,1400 N IH 35 STE 300,,AUSTIN,TX,787011926,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,1392.46,1185.42,929.37,886.51
1003834904,BASFORD,AMANDA,W,M.D.,F,I,6565 FANNIN ST,FONDREN 270,HOUSTON,TX,770302703,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,1710,3.5211695906,0.5614795322,0.4240175439,0.4240175439
1003834904,BASFORD,AMANDA,W,M.D.,F,I,6565 FANNIN ST,FONDREN 270,HOUSTON,TX,770302703,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,2400,3.1236666667,1.32495,1.00395,1.00395
1003834904,BASFORD,AMANDA,W,M.D.,F,I,6565 FANNIN ST,FONDREN 270,HOUSTON,TX,770302703,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,24,24,17.475714286,17.475714286
1003834904,BASFORD,AMANDA,W,M.D.,F,I,6565 FANNIN ST,FONDREN 270,HOUSTON,TX,770302703,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,16,16,12.54,12.54
1003834920,MAKARI-JUDSON,GRACE,,MD,F,I,3350 MAIN STREET,,SPRINGFIELD,MA,011071112,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,18,22,69,41.745507246,35.893478261,24.731304348,27.206956522
1003835232,UDANI,NEIL,P,M.D.,M,I,400 W BLACKWELL ST,,DOVER,NJ,078012525,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,33,63.727272727,16.04,10.858484848,11.81969697
1003835232,UDANI,NEIL,P,M.D.,M,I,400 W BLACKWELL ST,,DOVER,NJ,078012525,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,65,235.60338462,71.5,49.160307692,48.055384615
1003835232,UDANI,NEIL,P,M.D.,M,I,400 W BLACKWELL ST,,DOVER,NJ,078012525,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,63.48,35.5,25.36375,27.07875
1003835422,CAREY,MARK,R,MD,M,I,1111 DELAFIELD ST STE 327,,WAUKESHA,WI,531883407,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,1366,0.614568082,0.4000878477,0.2910688141,0.2243923865
1003835422,CAREY,MARK,R,MD,M,I,1111 DELAFIELD ST STE 327,,WAUKESHA,WI,531883407,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6935,1.2631925018,0.855369863,0.6543763518,0.5052025955
1003835455,WILSHERE,REBECCA,A,M.D.,F,I,7309 US HIGHWAY 42,,FLORENCE,KY,410425561,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50.96,17.16,13.46,13.54
1003835455,WILSHERE,REBECCA,A,M.D.,F,I,7309 US HIGHWAY 42,,FLORENCE,KY,410425561,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2581.64,1074.31,842.26,842.26
1003835455,WILSHERE,REBECCA,A,M.D.,F,I,7309 US HIGHWAY 42,,FLORENCE,KY,410425561,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,429.67235294,72.45,48.360588235,46.534117647
1003835513,WILLIAMS,DONALD,R,MD,M,I,473 OLD STATE ROUTE 74,SUITE 4,CINCINNATI,OH,452444238,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,78,44.864487179,8.1992307692,6.2607692308,6.3238461538
1003835513,WILLIAMS,DONALD,R,MD,M,I,473 OLD STATE ROUTE 74,SUITE 4,CINCINNATI,OH,452444238,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,358.33333333,79,61.94,54.73
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,67,66.641641791,8.32,5.6462686567,5.6462686567
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,32,17.595,6.44,4.41625,4.41625
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,25.387090909,9.86,7.278,7.278
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,61,41.57,16.05,11.34557377,10.723606557
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,189.92222222,61.89,43.128888889,38.097777778
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,55.504666667,18.288666667,13.864666667,13.584666667
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,60.205714286,14.761428571,11.572857143,9.12
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,93,11.517096774,2.2883870968,1.7941935484,1.5921505376
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,241.51666667,39.027916667,27.31125,23.391666667
1003835604,DELUCIA,RICHARD,A,M.D.,M,I,4600 MILITARY TRL,STE #115,JUPITER,FL,334584810,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,47.47,20.478333333,12.675,10.916666667
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,22,392.09954545,102.81090909,75.354545455,64.417727273
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,38,135.96263158,36.506842105,28.138421053,25.396052632
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,76.942096774,18.675806452,13.253387097,13.456129032
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,65,74.475076923,17.692461538,13.103076923,11.124923077
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,23,23,268.44130435,59.872173913,45.081304348,40.996521739
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,23,23,80.939565217,20.015217391,15.092608696,13.76
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,45,45,84.217777778,14.494,10.82,8.8048888889
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,20,45,258,11.365348837,2.439379845,1.8442248062,1.5739534884
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,19,19,43.751578947,13.385263158,10.495263158,10.32
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,41.403333333,20.490909091,15.611212121,13.12
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,24,24,166.175,53.735416667,36.572083333,32.225833333
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,1888.29,1074.31,842.26,842.26
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,49.359090909,38.703636364,25.801818182
1003835620,BRICKEY,DAVID,A,DO,M,I,800 E DAWSON ST,,TYLER,TX,757012036,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,27,386.81925926,94.403703704,71.79962963,63.947037037
1003835679,TEE,NORA,K,M.D,F,I,841 W VALLEY BLVD STE 107,,ALHAMBRA,CA,918033251,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,25,75,144,97.370486111,8.32,4.9809722222,4.9809722222
1003835679,TEE,NORA,K,M.D,F,I,841 W VALLEY BLVD STE 107,,ALHAMBRA,CA,918033251,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,60,60,33.266,1.42,0.9146666667,0.9146666667
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,116.89928571,38.157142857,21.370714286,21.988571429
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,17,40,78,8.0825641026,1.4,0.9871794872,1.0369230769
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,79.309375,14.376875,11.269375,9.079375
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,278.08705882,89.312352941,62.718823529,60.711764706
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,36,123.34222222,33.826666667,25.253888889,24.652222222
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,77,63.720909091,19,11.348441558,11.084415584
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,20,102,37.813627451,15.530392157,10.738039216,10.506764706
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,16,39,39,160.62769231,54.972820513,38.123076923,37.913333333
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,30,30,48.793666667,18.123,12.631666667,12.501
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,42,42,46.37452381,12.486904762,9.5407142857,8.9183333333
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,21,57,293,8.1343003413,2.0006484642,1.5368259386,1.5584982935
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,20,20,18.318,6.2,4.86,4.6605
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,32.852941176,13.113529412,10.278823529,10.34
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,41,86.31,23.964634146,17.068536585,15.67804878
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,17.1,11.58,11.703333333
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,375,77.5,50.633333333,46.110833333
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,17,125,125,48.0964,6.00008,4.34808,3.29064
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,24,137.5575,33.21,21.874583333,20.83875
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,24,177,177,496.93898305,77.5,54.238248588,49.031581921
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,210,36.26,26.22462963,27.28462963
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1800,18.429922222,9.6270333333,7.4377277778,7.4377277778
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,65,12015,0.2923845194,0.0464211402,0.0334032459,0.0334032459
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,20,97,8902,1.4057065828,0.1346843406,0.0983689059,0.0983689059
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,2370,10.55550211,2.9545063291,2.2558101266,2.2558101266
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,528,1.9603409091,0.2191856061,0.1718939394,0.1718939394
1003835737,PATRICK,GREGORY,B,MD,M,I,701 BROAD STREET,SUITE 411,SEWICKLEY,PA,15143,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,33,195,195,103.26153846,33,24.024615385,24.024615385
1003835869,THOMPSON,ALAN,R,MD,M,I,701 GROVE RD,5TH FLOOR,GREENVILLE,SC,296055611,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17,13.33,13.54
1003835869,THOMPSON,ALAN,R,MD,M,I,701 GROVE RD,5TH FLOOR,GREENVILLE,SC,296055611,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,71,55.66,54.73
1003835877,STROTHEIDE,SUSAN,K,PA,F,I,1320 W STATE ST,STE 3A,BELDING,MI,488099245,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18.358333333,14.398333333,14.040833333
1003835877,STROTHEIDE,SUSAN,K,PA,F,I,1320 W STATE ST,STE 3A,BELDING,MI,488099245,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,83.345,65.3375,58.095833333
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,23,76,169,69.539822485,8.32,5.5566863905,5.5566863905
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,26,34,14.412352941,1.42,0.8547058824,0.8547058824
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,202.86,103.59909091,71.009090909,61.71
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,31,78.302258065,38.513548387,23.485806452,20.355806452
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,46.377692308,19.9,15.596923077,14.744615385
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,20,108,6.1940740741,2.3147222222,1.6296296296,1.4909259259
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,50.023333333,42.761666667
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1350,1.5550148148,0.1325333333,0.1038962963,0.1038962963
1003835984,PEARSON,ERIC,C,MD,M,I,929 CENTRAL AVE NW,,EAST GRAND FORKS,MN,567211917,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,44,33,25.87,25.87
1003836107,KHAN,ASADULLAH,,M.D.,M,I,2801 W KINNICKINNIC RIVER PKWY,STE 930,MILWAUKEE,WI,532153669,US,Physician/Neurology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,27,3164,35.639250948,1.9868931732,1.5577307206,1.5577243995
1003836107,KHAN,ASADULLAH,,M.D.,M,I,2801 W KINNICKINNIC RIVER PKWY,STE 930,MILWAUKEE,WI,532153669,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,24,24,18.82,18.82
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,14,17,34,6.2123529412,0.51,0.3764705882,0.3764705882
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,31,69,230,52.355608696,8.32,6.2385217391,6.2385217391
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,26,59,59,14.814576271,3.38,2.4254237288,2.4254237288
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,25,32,32,24.298125,2.12,1.5134375,1.5134375
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,26,60,101,14.736633663,1.42,1.0564356436,1.0564356436
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,48.98,38.399090909,38.431818182
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,800,164.57545455,129.03090909,125.53272727
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,120.25263158,17.63,12.365263158,12.136315789
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,629.10210526,76.48,54.735789474,50.323684211
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6350833333,7.3944027778,7.3944027778
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,3118,0.2393938422,0.0454073124,0.0311577935,0.0311577935
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.92,0.1339230769,0.105025641,0.105025641
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,445,1.1540224719,0.2188988764,0.1601123596,0.1601123596
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,3,,12,57,28.070175439,15.26,11.964035088,11.963859649
1003836271,NARAYANA,JAYAPRAKASH,,MD,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,37,37,107.91891892,33,24.471621622,24.471621622
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,20,44,90,53.557888889,8.32,5.361,5.361
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,16.646,1.42,0.896,0.896
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.7881818182,0.9977272727,0.7845454545
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,317.24428571,114.87,82.947142857,64.258571429
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,27,33,91.751515152,43.680909091,30.518181818,23.435151515
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,222.885,78.266666667,57.431666667,39.288333333
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,63.870625,24.43125,18.175625,13.7375
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,73.138823529,18.272352941,13.138235294,8.7276470588
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,48,140,8.8252857143,2.9345714286,2.1119285714,1.4404285714
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,33.746363636,15.85,12.421818182,10.589090909
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,25,67.5372,22.576,17.1012,13.952
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,57.0228,7.64,5.214,3.0624
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,24,24,149.03458333,48.93125,37.288333333,29.266666667
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,46,401.81347826,98.85,74.901304348,55.872173913
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,156.08695652,44.445652174,34.013913043,28.681304348
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,34,3480,1.0199971264,0.1387327586,0.0803333333,0.0803333333
1003836313,LOVELL,RANDY,J,DO,M,I,907 MAIN ST,,THOMPSON FALLS,MT,59873,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,36,36,118.25,33,19.382777778,19.382777778
1003836446,UMORU,BENEDICTA,,MD,F,I,5032 N ILLINOIS ST,STE B,FAIRVIEW HEIGHTS,IL,622083415,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,36,42.136666667,8.32,6.1583333333,6.1583333333
1003836446,UMORU,BENEDICTA,,MD,F,I,5032 N ILLINOIS ST,STE B,FAIRVIEW HEIGHTS,IL,622083415,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1003836446,UMORU,BENEDICTA,,MD,F,I,5032 N ILLINOIS ST,STE B,FAIRVIEW HEIGHTS,IL,622083415,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.7583333333,2.325,2.9783333333
1003836446,UMORU,BENEDICTA,,MD,F,I,5032 N ILLINOIS ST,STE B,FAIRVIEW HEIGHTS,IL,622083415,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,28.68,5.2,3.74,3.6316666667
1003836602,RASTOGI,ANJAY,,MD,M,I,200 MEDICAL PLAZA,"#365,420,120,530",LOS ANGELES,CA,900950001,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,20,87.015,8.32,6.5275,6.5275
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,51,119,364,27.115137363,8.32,5.5749450549,5.5749450549
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,16.666666667,3.38,2.4733333333,2.4733333333
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,16,18,18,12.194444444,2.12,1.5772222222,1.5772222222
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,45,101,159,6.1062893082,1.42,0.9313207547,0.9313207547
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,41,41,82,80.339878049,71.56,55.003536585,55.003536585
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,120,32.5,29.19,22.885,22.885
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,706,8,4.1573654391,3.2593767705,2.450509915
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,53,891,12.891750842,7.6696857464,5.9468686869,4.1728956229
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,91,24184,0.720239001,0.4073081376,0.3178200463,0.2440340721
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,46,22.4775,16.80625,13.217083333
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.3,7.9045454545,6.1945454545,3.6854545455
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,95.117333333,74.545333333,54.771333333,54.921333333
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,52,278.63923077,96.241153846,70.619615385,51.061923077
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2100,0.17,0.0459285714,0.0360142857,0.0360142857
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1020,0.92,0.1348235294,0.0869901961,0.0869901961
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,56.123333333,25.329047619,18.718095238,14.056190476
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,599.5,195.412,153.198,112.491
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,126,51.7,43.56,34.151666667,34.150793651
1003836669,BUCKNER,IRENE,,M.D.,F,I,1967 HOSPITAL DR,,CLARKSDALE,MS,38614,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,132,33,22.995555556,22.995555556
1003836768,LEE,MENG-CHAO,,D.O.,M,I,10000 SHANNONDELL DR,,AUDUBON,PA,194035615,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,25,80.8064,8.32,5.9996,5.9996
1003836768,LEE,MENG-CHAO,,D.O.,M,I,10000 SHANNONDELL DR,,AUDUBON,PA,194035615,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,62,62,134.38,46.157741935,35.076774194,36.198387097
1003836768,LEE,MENG-CHAO,,D.O.,M,I,10000 SHANNONDELL DR,,AUDUBON,PA,194035615,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,30.42,16.08,11.454545455,12.321818182
1003836768,LEE,MENG-CHAO,,D.O.,M,I,10000 SHANNONDELL DR,,AUDUBON,PA,194035615,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,180.92,77.18,54.459,49.5375
1003836768,LEE,MENG-CHAO,,D.O.,M,I,10000 SHANNONDELL DR,,AUDUBON,PA,194035615,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,109.63709677,23.62483871,16.128387097,18.573225806
1003836768,LEE,MENG-CHAO,,D.O.,M,I,10000 SHANNONDELL DR,,AUDUBON,PA,194035615,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,163.02,49.93,39.1425,38.3325
1003836768,LEE,MENG-CHAO,,D.O.,M,I,10000 SHANNONDELL DR,,AUDUBON,PA,194035615,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,20.4075,8.0275,6.002,6.36325
1003836784,WILSON,MICHAEL,A,MD,M,I,4222 LINCOLN HWY,,YORK,PA,174068083,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,32,108,281,69.297010676,8.32,6.1396085409,6.1396085409
1003836784,WILSON,MICHAEL,A,MD,M,I,4222 LINCOLN HWY,,YORK,PA,174068083,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,24,61,79,13.548734177,1.42,1.06,1.06
1003836784,WILSON,MICHAEL,A,MD,M,I,4222 LINCOLN HWY,,YORK,PA,174068083,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,16.59,11.375,11.889375
1003836784,WILSON,MICHAEL,A,MD,M,I,4222 LINCOLN HWY,,YORK,PA,174068083,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,29.230769231,4.1011538462,2.6019230769,2.9057692308
1003836784,WILSON,MICHAEL,A,MD,M,I,4222 LINCOLN HWY,,YORK,PA,174068083,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,397.48740741,67.72,49.166666667,50.767407407
1003836784,WILSON,MICHAEL,A,MD,M,I,4222 LINCOLN HWY,,YORK,PA,174068083,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,38.72,30.36,29.52
1003836917,BACCI,ELAINE,,DO,F,I,565 HWY 35 NORTH,,RED BANK,NJ,07701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,39,57.47025641,8.32,6.5220512821,6.5220512821
1003836974,PENA,RAYMOND,J,M.D.,M,I,1415 N ACACIA AVE,SUITE 101,REEDLEY,CA,936542449,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,31,83.112580645,8.32,4.2074193548,4.2074193548
1003837006,HUNTZINGER,HOWARD,J,MD,M,I,12606 GREENVILLE AVE STE 200,,DALLAS,TX,75243,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,37,125,70.38576,8.32,5.97352,5.97352
1003837006,HUNTZINGER,HOWARD,J,MD,M,I,12606 GREENVILLE AVE STE 200,,DALLAS,TX,75243,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,18,23,13.796086957,1.42,0.9226086957,0.9226086957
1003837006,HUNTZINGER,HOWARD,J,MD,M,I,12606 GREENVILLE AVE STE 200,,DALLAS,TX,75243,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,429.038125,84.91375,63.844375,59.914375
1003837006,HUNTZINGER,HOWARD,J,MD,M,I,12606 GREENVILLE AVE STE 200,,DALLAS,TX,75243,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,64.781428571,22.285714286,17.474285714,16.505714286
1003837006,HUNTZINGER,HOWARD,J,MD,M,I,12606 GREENVILLE AVE STE 200,,DALLAS,TX,75243,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,74.25,33,23.714166667,23.714166667
1003837220,STEGMILLER,DANA,L,PA-C,F,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,35,53.319428571,8.32,5.4042857143,5.4042857143
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,39,75,40.699866667,8.32,5.7788,5.7788
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,18,23,8.0560869565,1.42,1.0669565217,1.0669565217
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,10.62,8.62,6.76,6.8145454545
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.46,10.93,7.7909090909,7.7909090909
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,152.28,48.857142857,35.750714286,35.268571429
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,E0310,"Bed side rails, full length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,26.49,10.3975,7.41,7.125
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,36.095625,4.94,3.874375,3.870625
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,556.18714286,70.23,55.06,54.768571429
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,124.31,30.586666667,23.976666667,22.356666667
1003837287,LAPITE,OLADAPO,,MD,M,I,306 STONE AVE,,MONROE,LA,712018523,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,721.78,165.67909091,128.87363636,94.977272727
1003837493,BEEMAN,SANDRA,L,PA-C,F,I,AIRPORT ROAD,YKHC,HOOPER BAY,AK,996040049,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,4.5454545455,1.27,0.9051515152,1.4676590909
1003837543,MALIK,RIAZ,A,M.D.,M,I,1555 EAST ST,SUITE 200,REDDING,CA,960011153,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,104,4.8276923077,2.91,1.7548076923,1.7548076923
1003837543,MALIK,RIAZ,A,M.D.,M,I,1555 EAST ST,SUITE 200,REDDING,CA,960011153,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,23,336,12.88,10.93,8.5691666667,8.5691666667
1003837543,MALIK,RIAZ,A,M.D.,M,I,1555 EAST ST,SUITE 200,REDDING,CA,960011153,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,15,35,350,83.854571429,24.605,19.290114286,19.1942
1003837543,MALIK,RIAZ,A,M.D.,M,I,1555 EAST ST,SUITE 200,REDDING,CA,960011153,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,15,36,250,53.9,8.26,6.47544,6.44408
1003837543,MALIK,RIAZ,A,M.D.,M,I,1555 EAST ST,SUITE 200,REDDING,CA,960011153,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,15,32,32,4818,673.10125,527.7121875,489.858125
1003837543,MALIK,RIAZ,A,M.D.,M,I,1555 EAST ST,SUITE 200,REDDING,CA,960011153,US,Physician/General Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,72.09,21.895294118,17.168823529,14.637058824
1003837626,TRIGGS,TED,M,DO,M,I,555 S 70TH ST,,LINCOLN,NE,685102462,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,139,52.870588235,38.677647059,35.285882353
1003837626,TRIGGS,TED,M,DO,M,I,555 S 70TH ST,,LINCOLN,NE,685102462,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,150,43.103333333,31.389166667,18.850833333
1003837659,GRABLE,STEPHEN,E,MD,M,I,1504 ROBERTS DRIVE,,JACKSONVILLE BEACH,FL,32250,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,32,90.3203125,8.32,4.2953125,4.2953125
1003837725,HAMPTON,NICHELLE,R,D.O.,F,I,21200 S LAGRANGE RD,SUITE 305,FRANKFORT,IL,604232003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,29,56,60.232142857,8.32,5.8855357143,5.8855357143
1003837725,HAMPTON,NICHELLE,R,D.O.,F,I,21200 S LAGRANGE RD,SUITE 305,FRANKFORT,IL,604232003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,17.978666667,1.42,1.12,1.12
1003837725,HAMPTON,NICHELLE,R,D.O.,F,I,21200 S LAGRANGE RD,SUITE 305,FRANKFORT,IL,604232003,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,148.10333333,17.666666667,12.909333333,12.623333333
1003837725,HAMPTON,NICHELLE,R,D.O.,F,I,21200 S LAGRANGE RD,SUITE 305,FRANKFORT,IL,604232003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,712.25454545,77.18,52.093636364,46.830909091
1003837725,HAMPTON,NICHELLE,R,D.O.,F,I,21200 S LAGRANGE RD,SUITE 305,FRANKFORT,IL,604232003,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1680,1.4918392857,0.1337142857,0.0950952381,0.0950952381
1003837725,HAMPTON,NICHELLE,R,D.O.,F,I,21200 S LAGRANGE RD,SUITE 305,FRANKFORT,IL,604232003,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,80.347826087,33,23.82,23.82
1003837758,BOCANEGRA,JAVIER,C,MD,M,I,1616 CALLAGHAN RD,,SAN ANTONIO,TX,78228,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,18,42,113,62.96,8.32,6.1179646018,6.1179646018
1003837758,BOCANEGRA,JAVIER,C,MD,M,I,1616 CALLAGHAN RD,,SAN ANTONIO,TX,78228,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,25,41,14.57195122,1.42,1.0063414634,1.0063414634
1003837758,BOCANEGRA,JAVIER,C,MD,M,I,1616 CALLAGHAN RD,,SAN ANTONIO,TX,78228,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,319,87.734984326,5.3,4.1442633229,4.1513793103
1003837758,BOCANEGRA,JAVIER,C,MD,M,I,1616 CALLAGHAN RD,,SAN ANTONIO,TX,78228,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3675,1.4620408163,0.37,0.2663945578,0.2663945578
1003837949,DOORNINK,DANIEL,G,MD,M,I,4003 CREEKSIDE LOOP,,YAKIMA,WA,989083962,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,32,80,255,57.378823529,8.32,6.246,6.246
1003837949,DOORNINK,DANIEL,G,MD,M,I,4003 CREEKSIDE LOOP,,YAKIMA,WA,989083962,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,24,40,15.17225,1.42,1.088,1.088
1003837949,DOORNINK,DANIEL,G,MD,M,I,4003 CREEKSIDE LOOP,,YAKIMA,WA,989083962,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,39,63.19,18.697948718,14.65974359,13.523333333
1003837949,DOORNINK,DANIEL,G,MD,M,I,4003 CREEKSIDE LOOP,,YAKIMA,WA,989083962,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,39,379.9225641,76.789230769,60.204358974,54.564871795
1003837964,NALUBEGA,RITA,,MD,F,I,503 3RD ST NE,,DEVILS LAKE,ND,583013015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,31,86,45.970697674,8.32,6.0803488372,6.0803488372
1003837964,NALUBEGA,RITA,,MD,F,I,503 3RD ST NE,,DEVILS LAKE,ND,583013015,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,280,98.85,75.798333333,54.71625
1003837964,NALUBEGA,RITA,,MD,F,I,503 3RD ST NE,,DEVILS LAKE,ND,583013015,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,18.814545455,18.814545455
1003838012,LEE,PAUL,C,MD,M,I,9894 GARDEN GROVE BLVD,,GARDEN GROVE,CA,92844,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,100,80.83,60.56,51.753333333
1003838012,LEE,PAUL,C,MD,M,I,9894 GARDEN GROVE BLVD,,GARDEN GROVE,CA,92844,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,42.5,42.5,33.32,41.771428571
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,53,139,64.167625899,8.32,5.8650359712,5.8650359712
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,34,14.154705882,1.42,0.9829411765,0.9829411765
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.24,2.24,1.4635714286,1.488
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,12.66,7.35,4.9045833333,4.99625
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,43.9,31.290909091,34.574545455
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,5008,0.3170547125,0.0460662939,0.0329173323,0.0329113419
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,68.24,36.77375,28.82875,22.808125
1003838020,BELL,MAURICE,A,MD,M,I,4100 LONG BEACH BLVD,SUITE 200,LONG BEACH,CA,908072696,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,57.75,33,22.63625,22.63625
1003838145,LUBNER,SAM,J,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,537920001,US,Physician/Medical Oncology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,76,904.37565789,373.44,292.77605263,292.77605263
1003838145,LUBNER,SAM,J,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,537920001,US,Physician/Medical Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,76,12,9.35,7.33,7.33
1003838145,LUBNER,SAM,J,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,537920001,US,Physician/Medical Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,76,29.25,29.22,22.908421053,22.908421053
1003838210,IDELKOPE,GEORGE,A,MD,M,I,68 BRATTLEBORO RD,,HINSDALE,NH,03451,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,26,65,65.832153846,8.32,6.2426153846,6.2426153846
1003838210,IDELKOPE,GEORGE,A,MD,M,I,68 BRATTLEBORO RD,,HINSDALE,NH,03451,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,20,12.8305,1.42,1.117,1.117
1003838210,IDELKOPE,GEORGE,A,MD,M,I,68 BRATTLEBORO RD,,HINSDALE,NH,03451,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,7.37,5.3997849462,3.8476344086
1003838210,IDELKOPE,GEORGE,A,MD,M,I,68 BRATTLEBORO RD,,HINSDALE,NH,03451,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3024,3.9783333333,0.485,0.3793452381,0.2917989418
1003838210,IDELKOPE,GEORGE,A,MD,M,I,68 BRATTLEBORO RD,,HINSDALE,NH,03451,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,21,86.31,22.125714286,15.924285714,14.248095238
1003838210,IDELKOPE,GEORGE,A,MD,M,I,68 BRATTLEBORO RD,,HINSDALE,NH,03451,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,21,519.51,99.926666667,72.933333333,63.059047619
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,40,85,255,65.02572549,8.32,5.534745098,5.534745098
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,22,30,15.267333333,1.42,0.968,0.968
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,67.727272727,43.024545455,24.336363636,22.174545455
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,50.633636364,21.230909091,13.276363636,11.510909091
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,14,32,4.5328125,2.48875,1.75375,1.4590625
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7678,4.0850716332,0.3622896588,0.2653503517,0.2714001042
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,80.22,19.673461538,14.328846154,12.494230769
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,150,53.607142857,37.748571429,26.58
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,401.05047619,79.183809524,57.864761905,50.514761905
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.14,23.608333333,24.738333333
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,4712,0.4816956706,0.0463136672,0.0271158744,0.0271158744
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,80.37037037,19.042592593,14.925185185,14.40962963
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,36.14,25.754545455,25.754545455
1003838293,KRAGT,ANNA,K,MD,F,I,206 W. WARREN ST,,MIDDLEBURY,IN,465400459,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,41.25,33,20.480416667,20.480416667
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,13,20,20,111.6855,41.571,32.5905,31.1015
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,24,36,36,254.17583333,89.302777778,68.948055556,66.758333333
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,14,29,51,117.28156863,33.074509804,25.93,25.891176471
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,14,22,22,140.675,55.189090909,39.171818182,38.976363636
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,35,41,41,52.513658537,18.701707317,13.932682927,13.380731707
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,23,39,39,61.967435897,11.61974359,8.8492307692,8.8838461538
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,36,61,279,6.4744086022,2.0837992832,1.5697849462,1.5500358423
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,16,19,19,32.907368421,14.205263158,10.542631579,9.8810526316
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,30,32,401.9421875,98.06875,71.0209375,63.516875
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,11,50,52,62.672115385,13.776346154,9.7996153846,9.0751923077
1003838665,STANLEY,JEFFREY,J,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,14,73,76,149.16763158,34.130394737,24.277894737,23.411184211
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,54,135,63.655333333,8.32,5.6576296296,5.6576296296
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,21,33,12.931818182,1.42,0.9115151515,0.9115151515
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2220,11.4,1.89,1.4817792793,1.5770945946
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,98.226666667,38.09,24.883333333,25.538333333
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,50,53.0962,18.813,10.8468,11.6298
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,155.11,53.903529412,34.532352941,35.802941176
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,24,132,7.3888636364,2.16,1.4470454545,1.3967424242
1003838699,SAMS,LUCIUS,F,MD,M,I,3011 GREENFIELD RD,,PEARL,MS,392088712,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,232.35,59.147272727,39.057272727,30.788181818
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,298.21909091,116.00818182,89.148181818,66.043636364
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,63.792727273,23.43,16.95,12.781818182
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,65.124285714,19.44,14.515714286,8.4685714286
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,51,9.6423529412,2.7894117647,2.1176470588,1.5305882353
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,49.75,22.354375,15.659375,12.215
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,2074.82,1074.31,842.26,842.26
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,248.30769231,97.110769231,66.346153846,51.946153846
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,67,67,67,1401.1083582,1303.9108955,1005.2373134,894.91716418
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,16,18,24,831.3275,706.895,548.22791667,474.64291667
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,68,71,108,897.44222222,834.38564815,651.08981481,675.1062963
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,32,34,46,520.24934783,449.54043478,352.43608696,354.71521739
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,29,80,85,126,120.97888889,105.74507937,82.488888889,88.089920635
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,12,18,579.91555556,470.55444444,355.53888889,352.27611111
1003838707,FINNEY,PATRICK,C,MD,M,I,544 LONE OAK RD,,PADUCAH,KY,420034538,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,38,38,38,844.05684211,732.02,567.74552632,562.93210526
1003838723,RAMACHANDRA RAO,VANIE,S,MD,F,I,14 HOSPITAL DR,,TOMS RIVER,NJ,087556402,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,75,5.9705882353,4.3611764706,3.62
1003838806,PENMAN,EMILY,,"M.D,",F,I,4701 OGLETOWN STANTON RD,SUITE 1500,NEWARK,DE,197132055,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,48,102,46.145098039,35.318823529,26.877254902,29.898921569
1003838806,PENMAN,EMILY,,"M.D,",F,I,4701 OGLETOWN STANTON RD,SUITE 1500,NEWARK,DE,197132055,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,16,312.379375,308.93625,224.274375,247.77375
1003838814,GEMSCH,LINDA,J,ARNP,F,I,2420 JENKS AVE,SUITE 5,PANAMA CITY,FL,324054411,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,130.31,35.1,27.519230769,27.079230769
1003838830,HORACEK,MARILYN,W,DO,F,I,2115 CHAPLINE ST,STE 208,WHEELING,WV,260033859,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,26,77,50.858831169,8.32,5.9298701299,5.9298701299
1003838830,HORACEK,MARILYN,W,DO,F,I,2115 CHAPLINE ST,STE 208,WHEELING,WV,260033859,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,16,32,15.093125,1.42,1.01,1.01
1003838830,HORACEK,MARILYN,W,DO,F,I,2115 CHAPLINE ST,STE 208,WHEELING,WV,260033859,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,410,106.38666667,78.194,57.950666667
1003838954,HETHERINGTON,TERESE,,CRNP,F,I,700 SPRUCE ST,STE. 304,PHILADELPHIA,PA,191064022,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,42,75.900238095,8.32,6.2097619048,6.2097619048
1003838954,HETHERINGTON,TERESE,,CRNP,F,I,700 SPRUCE ST,STE. 304,PHILADELPHIA,PA,191064022,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2259,0.5321115538,0.0455112882,0.0336697654,0.0336697654
1003839002,PARK,JOONG,Y,MD,M,I,3511 W OLYMPIC BL,#101,LOS ANGELES,CA,90019,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,35,66,20.872575758,8.32,5.0386363636,5.0386363636
1003839002,PARK,JOONG,Y,MD,M,I,3511 W OLYMPIC BL,#101,LOS ANGELES,CA,90019,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,32,32,4.29,1.42,0.84,0.84
1003839044,TEDESCO,JOHN,,DO,M,I,2100 VIA BELLA BLVD,STE. 204,LAND O LAKES,FL,346395429,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,24,62,152,63.35125,8.32,6.2648684211,6.2648684211
1003839044,TEDESCO,JOHN,,DO,M,I,2100 VIA BELLA BLVD,STE. 204,LAND O LAKES,FL,346395429,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,32,12.2140625,1.42,1.113125,1.113125
1003839044,TEDESCO,JOHN,,DO,M,I,2100 VIA BELLA BLVD,STE. 204,LAND O LAKES,FL,346395429,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,15.134166667,11.235,8.8075,8.8141666667
1003839044,TEDESCO,JOHN,,DO,M,I,2100 VIA BELLA BLVD,STE. 204,LAND O LAKES,FL,346395429,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,15.5,10.9075,8.5575,8.2183333333
1003839044,TEDESCO,JOHN,,DO,M,I,2100 VIA BELLA BLVD,STE. 204,LAND O LAKES,FL,346395429,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,300,216.3725,157.67416667,157.67416667
1003839044,TEDESCO,JOHN,,DO,M,I,2100 VIA BELLA BLVD,STE. 204,LAND O LAKES,FL,346395429,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,77.2,34.383636364,26.96,24.352727273
1003839101,FLOOD,THOMAS,M,MD,M,I,5667 PEACHTREE-DUNWOODY RD,SUITE 150,ATLANTA,GA,30342,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,49,62,141,434,71.919792627,8.32,5.848640553,5.848640553
1003839101,FLOOD,THOMAS,M,MD,M,I,5667 PEACHTREE-DUNWOODY RD,SUITE 150,ATLANTA,GA,30342,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,29,51,13.434901961,1.42,1.0931372549,1.0931372549
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,45,95,96,154.10791667,40.410729167,30.206666667,29.133854167
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,186,341,343,448.43373178,95.162857143,69.074052478,63.053760933
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,111,186,387,136.73067183,35.174005168,26.579870801,25.008475452
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,69,133,564,93.632659574,19.391276596,13.093670213,12.51748227
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,57,123,518,71.688494208,15.238281853,10.944227799,10.88969112
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,133,234,235,276.84131915,59.111914894,42.321404255,39.148042553
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,289,368,369,84.060298103,19.382249322,14.481517615,13.429891599
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,25,25,50.5272,10.438,8.1808,8.1516
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,276,479,483,87.061573499,13.783975155,10.130082816,8.5652587992
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,331,659,3006,11.239600798,2.1579308051,1.6125016633,1.5181004657
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,31,40,40,30.54575,6.4605,4.704,4.32625
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,203,256,256,53.181445313,13.72078125,10.5196875,10.145
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,81.093846154,18.5,13.384615385,12.498461538
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,16,95,104,431.09740385,87.98125,65.492403846,60.903846154
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,1604.622963,233.54333333,177.7862963,162.9862963
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,5200,1161.5191667,910.63416667,910.63416667
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,43,43,43,505.70906977,138.54348837,103.71162791,99.868372093
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,55,258,282,49.151702128,13.979326241,10.585177305,10.139078014
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,134,730,773,283.06412678,35.378175938,25.657011643,23.718305304
1003839119,GUIDO,PETER,,MD,M,I,4700 JEFFERSON ST NE,STE 800,ALBUQUERQUE,NM,87109,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,89,96,436.615625,86.91875,62.5796875,50.360520833
1003839135,RANDOLPH,PAMELA,J,M.D.,F,I,249 DANBURY ROAD,,WILTON,CT,06897,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,59,156,630,70.110174603,8.32,6.3155714286,6.3155714286
1003839135,RANDOLPH,PAMELA,J,M.D.,F,I,249 DANBURY ROAD,,WILTON,CT,06897,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,12.264545455,3.38,2.65,2.65
1003839135,RANDOLPH,PAMELA,J,M.D.,F,I,249 DANBURY ROAD,,WILTON,CT,06897,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,19,36,77,12.619220779,1.42,1.1132467532,1.1132467532
1003839168,ADDY,RUDOLPH,O,MD,M,I,4100 LAKE DR SE,S-100,GRAND RAPIDS,MI,495468292,US,Physician/Psychiatry,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,491.34933333,125.30333333,98.236666667,67.846666667
1003839168,ADDY,RUDOLPH,O,MD,M,I,4100 LAKE DR SE,S-100,GRAND RAPIDS,MI,495468292,US,Physician/Psychiatry,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,36,189.42,48.3225,37.884722222,25.917777778
1003839168,ADDY,RUDOLPH,O,MD,M,I,4100 LAKE DR SE,S-100,GRAND RAPIDS,MI,495468292,US,Physician/Psychiatry,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,328.35764706,65.757647059,46.348235294,39.324117647
1003839168,ADDY,RUDOLPH,O,MD,M,I,4100 LAKE DR SE,S-100,GRAND RAPIDS,MI,495468292,US,Physician/Psychiatry,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,18,18,91.716111111,23.662222222,17.845555556,13.853333333
1003839168,ADDY,RUDOLPH,O,MD,M,I,4100 LAKE DR SE,S-100,GRAND RAPIDS,MI,495468292,US,Physician/Psychiatry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,104.07,20.588823529,16.140588235,9.1217647059
1003839168,ADDY,RUDOLPH,O,MD,M,I,4100 LAKE DR SE,S-100,GRAND RAPIDS,MI,495468292,US,Physician/Psychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,27,129,13.700465116,2.6708527132,2.0215503876,1.5201550388
1003839168,ADDY,RUDOLPH,O,MD,M,I,4100 LAKE DR SE,S-100,GRAND RAPIDS,MI,495468292,US,Physician/Psychiatry,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,52.98,15.314166667,12.004166667,10.34
1003839200,BANDARI,USHA,,MD,F,I,246 MAPLE ST,,MARLBOROUGH,MA,017523235,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,41,61.399756098,8.32,5.643902439,5.643902439
1003839200,BANDARI,USHA,,MD,F,I,246 MAPLE ST,,MARLBOROUGH,MA,017523235,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,24.5,4.9,3.8416666667,4.163
1003839200,BANDARI,USHA,,MD,F,I,246 MAPLE ST,,MARLBOROUGH,MA,017523235,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6480,4.8,0.37,0.2900740741,0.2900740741
1003839200,BANDARI,USHA,,MD,F,I,246 MAPLE ST,,MARLBOROUGH,MA,017523235,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,77.775,60.975,57.00625
1003839242,LUM,MARCUS,W,MD,M,I,15034 IMPERIAL HWY,,LA MIRADA,CA,906381301,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,25,47.178,8.32,5.4796,5.4796
1003839382,SMITH,CHRISTINA,M,NP,F,I,103 MIDLAKE DR.,,KNOXVILLE,TN,37918,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,40,161,64.93552795,8.32,6.0768322981,6.0768322981
1003839382,SMITH,CHRISTINA,M,NP,F,I,103 MIDLAKE DR.,,KNOXVILLE,TN,37918,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.9045454545,6.1945454545,3.6854545455
1003839655,AHMED,SHAMIM,,MD,M,I,6413 BROADWAY,,WOODSIDE,NY,113772336,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,47,73.20212766,8.32,5.5517021277,5.5517021277
1003839655,AHMED,SHAMIM,,MD,M,I,6413 BROADWAY,,WOODSIDE,NY,113772336,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,16,15.84,1.42,1.11375,1.11375
1003839655,AHMED,SHAMIM,,MD,M,I,6413 BROADWAY,,WOODSIDE,NY,113772336,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,900,4.966,0.579,0.4539333333,0.4539333333
1003839655,AHMED,SHAMIM,,MD,M,I,6413 BROADWAY,,WOODSIDE,NY,113772336,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,14,16,16,12.54,12.54
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,38,92,56.224891304,8.32,6.2395652174,6.2395652174
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,16.5625,3.38,2.484375,2.484375
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,28,43,16.644418605,1.42,1.063255814,1.063255814
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,325,0.5392307692,0.24,0.188,0.2097846154
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.47,1.15,1.15
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,33,33,188.15151515,49.913030303,32.758484848,29.878787879
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,55,88.611272727,17.29,12.911090909,12.892909091
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,144.25,42.585,33.38625,29.6175
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,75,75,490.826,73.645333333,56.269733333,55.9796
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1770,2.0429435028,0.1373898305,0.1046384181,0.1046384181
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,11.08,3.003,2.1626944444,2.1626944444
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,80.525,19.715,13.965833333,13.039166667
1003839663,MCNEEL,JACOB,C,D.O.,M,I,250 STANAFORD ROAD,STE 210,BECKLEY,WV,258013140,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,82.161290323,33,25.87,25.87
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,34,128,295.1784375,19.690625,15.4375,15.4375
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,37,57.434594595,8.32,6.1681081081,6.1681081081
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,25,25,67.8684,38.3088,28.564,29.1592
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,22,40,40,157.36375,92.29625,70.09625,65.639
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,22,41,96,69.99625,35.116145833,26.685729167,25.1321875
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,24,103,35.820485437,20.019417476,14.957087379,13.917378641
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,58,19.632758621,16.107068966,11.837931034,11.198793103
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,24,40,40,110.9475,59.4675,43.27475,41.06475
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,37,49,49,31.952653061,17.614081633,12.819795918,13.192244898
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,54,54,32.039444444,13.065185185,9.6968518519,8.6561111111
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,38,76,399,4.8103007519,2.2888972431,1.6644862155,1.4865162907
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,8.3966666667,6.3526666667,4.3426666667,4.0386666667
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,21,25,25,21.0132,13.1104,9.4612,9.516
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,79,85,56.072588235,17.63,11.906235294,11.673529412
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.63,17.63,12.668333333,12.4025
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,76.48,76.48,53.2675,48.465
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,61,61,3010.6855738,1074.31,836.7957377,836.7957377
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,20,363.0335,94.805,69.433,64.712
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,37,37,34.379189189,6.8016216216,5.1643243243,3.6564864865
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,15,63,65,91.930307692,36.381230769,26.752461538,25.863538462
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,60,511,517,273.50226306,79.897001934,59.594970986,52.479980658
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,36,296,296,129.07054054,37.317804054,28.473040541,28.643209459
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,35,17520,47.542218037,9.8420730594,7.7110188356,7.7110188356
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,1510,414.41306623,42.336006623,33.191443709,33.191437086
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6507692308,7.5010128205,7.5010128205
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,7771,0.2564753571,0.0463788444,0.0363531077,0.0363518209
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,3089,1.2318258336,0.1329847847,0.1007413402,0.1007413402
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,1920,9.9141354167,3.02475,2.2966979167,2.2966979167
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,555,0.75,0.2185405405,0.1713153153,0.1713153153
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,33,227,42.982687225,2.6371806167,2.0677973568,2.0677973568
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,50,50,88.44,33,25.408,25.408
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,12,12,66,66,51.74,51.74
1003839747,MUBARAK,JAMAL,,M.D.,M,I,209 N. BONNIE BRAE STREET,SUITE 300,DENTON,TX,762013708,US,Physician/Pulmonary Disease,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,897.11,358.5,281.06,281.06
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,36,79,14256,0.44,0.44,0.3391421156,0.3391421156
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,51,112,4295,34.857345751,34.857345751,27.328211874,27.330293364
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,31,582,23.646597938,23.646597938,18.387302405,18.397800687
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,91,203,10665,8.2792405063,8.2792405063,6.4574608533,6.4580562588
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,47,129,6082,18.5,18.5,14.497451496,14.497451496
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,34,88,6494,5.95,5.95,4.6585940868,4.6585940868
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,26,852,3.79,3.79,2.9713615023,2.9713615023
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,252,8.41,8.41,6.436468254,6.436468254
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,20,39,645,22.42,22.42,17.577286822,17.577286822
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,57,119,1464,10.93,10.93,8.5529986339,8.5529986339
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,25,84,18.29,18.29,14.339642857,14.339642857
1003839754,PHAM,HIEN,D,MD,M,I,3640 HAMPTON DR,,MISSOURI CITY,TX,77459,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,27,60,7548,0.4499403816,0.4499403816,0.3527755697,0.3528219396
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,138.02,44.147727273,34.61,36.312727273
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,25.63,7.8845454545,5.9487878788,7.1896969697
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,28,28,28,146.89,47.826071429,37.495,40.5625
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,32.055428571,4.7771428571,3.5254285714,3.8714285714
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,24.28,8.886875,6.159375,6.7775
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,19,71,71,134.38,48.518028169,34.893943662,36.70084507
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,133.42545455,43.592727273,31.329090909,35.672727273
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,128.98,46.98,36.835454545,37.440909091
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,22.44,7.8257142857,6.1385714286,6.6314285714
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,24.01,10.808,8.472,9.2486666667
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,20,20,20,70.2,30.606,23.9935,28.5245
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,7.04,3.1533333333,2.1393333333,2.592
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,45,45,69.334,16.610444444,12.437777778,14.325111111
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,36,215,215,119.34,22.237023256,16.124651163,20.015581395
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,K0056,"Seat height less than 17"" or equal to or greater than 21"" for a high strength, lightweight, or ultralightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,12.67,7.5383333333,5.5566666667,6.4288888889
1003839770,LIN,HUA,,M.D.,F,I,10 FOX CHASE TURN,,PITTSTOWN,NJ,088674251,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,34,173,173,20.57,6.8973988439,4.9203468208,6.1478034682
1003839796,JOYCE,KAREN,E,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,30,78,181,54.916022099,8.32,5.8009392265,5.8009392265
1003839796,JOYCE,KAREN,E,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,19,39,48,12.554166667,1.42,0.95375,0.95375
1003839796,JOYCE,KAREN,E,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,13.261818182,1.87,1.4490909091,1.5527272727
1003839796,JOYCE,KAREN,E,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,489.0595,77.18,54.944,50.6025
1003839820,PATT,DEBRA,A,"MD, MPH",F,I,6204 BALCONES DR,,AUSTIN,TX,78731,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,21,2058,41.423804665,4.810447036,3.7713994169,3.7713945578
1003839820,PATT,DEBRA,A,"MD, MPH",F,I,6204 BALCONES DR,,AUSTIN,TX,78731,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,32,16,12.54,12.54
1003839986,PRASAD,ANUJ,,DO,M,I,100 MARIS GROVE WAY,,GLEN MILLS,PA,193421282,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,27,58,68.184310345,8.32,5.3965517241,5.3965517241
1003839986,PRASAD,ANUJ,,DO,M,I,100 MARIS GROVE WAY,,GLEN MILLS,PA,193421282,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,17.277272727,1.42,0.9163636364,0.9163636364
1003839986,PRASAD,ANUJ,,DO,M,I,100 MARIS GROVE WAY,,GLEN MILLS,PA,193421282,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,300,14.2,5.74,4.5001,4.5001
1003839986,PRASAD,ANUJ,,DO,M,I,100 MARIS GROVE WAY,,GLEN MILLS,PA,193421282,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,440,24.375,9.86,7.7301590909,7.7301590909
1003839986,PRASAD,ANUJ,,DO,M,I,100 MARIS GROVE WAY,,GLEN MILLS,PA,193421282,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,19.73,3.9897222222,3.1272222222,3.7072222222
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,51,95,54.042210526,8.32,5.7589473684,5.7589473684
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,11.753684211,1.42,1.0610526316,1.0610526316
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,100,47.458333333,33.001666667,32.983333333
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,51,86.31,19.642352941,14.021764706,12.880588235
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,232.35,49.88,28.673333333,27.595333333
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,86,94,547.5562766,74.040425532,54.636595745,51.780106383
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,24,183.875,39.6,29.75625,28.280416667
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,3538,0.1547540984,0.0471565856,0.0328151498,0.0328151498
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,525,0.75,0.2194095238,0.1327428571,0.1327428571
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,146.25,17.183333333,10.633333333,11.01
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39.6,28.053636364,26.653636364
1003840034,LINDLEY,LORENE,H,MD,F,I,13859 N REFLECTION RD,,RATHDRUM,ID,838586038,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,44,44,96,33,21.754318182,21.754318182
1003840315,CHAU,FRANK,,M.D.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,26,84,70.231190476,8.32,5.2069047619,5.2069047619
1003840315,CHAU,FRANK,,M.D.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,20,13.817,1.42,0.893,0.893
1003840315,CHAU,FRANK,,M.D.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,32,88.265625,20,12.968125,11.91125
1003840315,CHAU,FRANK,,M.D.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,273.18625,55.84375,32.851875,32.21
1003840315,CHAU,FRANK,,M.D.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,74.001428571,19.524285714,12.764285714,11.788571429
1003840315,CHAU,FRANK,,M.D.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,56,9.3164285714,2.3,1.6751785714,1.4867857143
1003840315,CHAU,FRANK,,M.D.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,206.12285714,32.612857143,23.816428571,22.932857143
1003840372,LANE,KIRK,,M.D.,M,I,610 W ADAMS ST,,BLACK RIVER FALLS,WI,546159010,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,14,37,111,55.966666667,8.32,6.2857657658,6.2857657658
1003840372,LANE,KIRK,,M.D.,M,I,610 W ADAMS ST,,BLACK RIVER FALLS,WI,546159010,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,27,11.693333333,1.42,0.9503703704,0.9503703704
1003840372,LANE,KIRK,,M.D.,M,I,610 W ADAMS ST,,BLACK RIVER FALLS,WI,546159010,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,60,16.393333333,11.565,8.7516666667
1003840372,LANE,KIRK,,M.D.,M,I,610 W ADAMS ST,,BLACK RIVER FALLS,WI,546159010,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,250,50.125483871,37.633548387,23.377419355
1003840372,LANE,KIRK,,M.D.,M,I,610 W ADAMS ST,,BLACK RIVER FALLS,WI,546159010,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,322.104,106.38666667,79.425333333,51.081333333
1003840372,LANE,KIRK,,M.D.,M,I,610 W ADAMS ST,,BLACK RIVER FALLS,WI,546159010,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2931,0.5418628454,0.0473149096,0.0308324804,0.0308324804
1003840372,LANE,KIRK,,M.D.,M,I,610 W ADAMS ST,,BLACK RIVER FALLS,WI,546159010,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,42,33,21.902727273,21.902727273
1003840430,DUNN,ERNEST,C,M.D.,M,I,2 STONE HARBOR BLVD,,CAPE MAY COURT HOUSE,NJ,082102138,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,24,54,78.435555556,8.32,5.7961111111,5.7961111111
1003840430,DUNN,ERNEST,C,M.D.,M,I,2 STONE HARBOR BLVD,,CAPE MAY COURT HOUSE,NJ,082102138,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,21.44,4.343,3.409,3.716
1003840430,DUNN,ERNEST,C,M.D.,M,I,2 STONE HARBOR BLVD,,CAPE MAY COURT HOUSE,NJ,082102138,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,466.65363636,67.72,48.272727273,49.940909091
1003840471,KWON,PETER,B,M.D.,M,I,1275 N ROSE DR,SUITE 120,PLACENTIA,CA,928703941,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,53.053846154,28.552307692,12.016153846,14.43
1003840513,PHILLIPS,SCOTT,T,M.D.,M,I,3720 BROWNSVILLE RD,,PITTSBURGH,PA,152273520,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,53,10.781886792,2,1.5113207547,1.5347169811
1003840539,DUDDLESTON,DAVID,N,M.D.,M,I,128 CHADWYCK PL,,MADISON,MS,391106508,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,333,9.85,5.5304504505,4.3359459459,4.3359459459
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,50,66.361,8.32,5.1312,5.1312
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,35.669166667,28.46,21.223333333,21.223333333
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,21,12.265714286,10.74,8.42,8.569047619
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,228.63428571,69.547142857,47.792142857,36.737142857
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,71.643333333,18.379166667,13.5275,8.3191666667
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,58,11.469655172,2.7762068966,1.8101724138,1.2636206897
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,122.9,51.633103448,39.288965517,26.616551724
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,468.14733333,100.35733333,73.002666667,50.904666667
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,30.111666667
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1200,1.5807583333,0.133575,0.0978583333,0.0978583333
1003840547,MATCHELL,DARREN,R,DO,M,I,310 E COLLEGE DR,,COLBY,KS,677013716,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,33,33,22.402631579,22.402631579
1003840752,BURNS,SEAN,M,M.D.,M,I,50 STANIFORD ST,SUITE 340,BOSTON,MA,021142517,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,250.86181818,250.86181818,196.67545455,196.86909091
1003840836,LEE,GAIL,G,M.D.,F,I,SOUTH COVE COMM HEALTH CTR,885 WASHINGTON ST,BOSTON,MA,02111,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,47,114,89.682894737,8.32,5.1261403509,5.1261403509
1003840836,LEE,GAIL,G,M.D.,F,I,SOUTH COVE COMM HEALTH CTR,885 WASHINGTON ST,BOSTON,MA,02111,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,35,45,15.235555556,1.42,0.8684444444,0.8684444444
1003840836,LEE,GAIL,G,M.D.,F,I,SOUTH COVE COMM HEALTH CTR,885 WASHINGTON ST,BOSTON,MA,02111,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,0.92,0.1345,0.0978958333,0.0978958333
1003840836,LEE,GAIL,G,M.D.,F,I,SOUTH COVE COMM HEALTH CTR,885 WASHINGTON ST,BOSTON,MA,02111,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,29,57,57,114.45035088,41.951578947,29.795087719,27.823508772
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,28,61,61,414.52770492,97.351967213,71.833114754,64.463114754
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,21,52,130,169.36523077,35.783615385,27.223769231,25.486230769
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,15,32,157,77.444458599,20.407643312,13.912165605,12.611273885
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,26,50,50,203.044,56.5184,40.964,39.5936
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,51,69,69,71.065797101,19.929275362,15.026521739,13.632173913
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,26,56,56,90.001964286,12.983214286,10.00375,8.9692857143
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,51,111,547,11.366416819,2.3424862888,1.7439305302,1.524095064
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,32.887058824,6.3023529412,4.9364705882,4.65
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,30,38,38,50.269736842,13.748421053,10.496315789,10.14
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,48,77.2325,16.973333333,12.476041667,12.696875
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,39.2,37.63
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,339.33878788,86.979090909,61.7,59.78030303
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,406,144.976,108.6625,99.9015
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,81.75,14.1,11.05,10.48
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,26,154,156,233.17064103,34.144230769,25.478269231,25.116474359
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,101,105,524.85895238,77.622857143,57.369142857,52.063904762
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,231.96636364,39.555454545,31.011818182,29.498181818
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,750,16.00504,9.66044,7.5737733333,7.5737733333
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,31,9288,0.286996124,0.045705211,0.0311111111,0.0311100345
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,2265,1.1210154525,0.1368653422,0.1024988962,0.1024988962
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,885,12.767525424,2.9352768362,2.1391638418,2.1391638418
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,242.76923077,39.538461538,29.791538462,28.446153846
1003840885,STEIGMAN,DANIEL,M,MD,M,I,123 SUMMER STREET,SUITE 390,WORCESTER,MA,01608,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,18,62,62,71.322580645,33,23.366451613,23.366451613
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,27,69,173,51.531098266,8.32,5.7283815029,5.7283815029
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,26,15.723846154,1.42,1.0715384615,1.0715384615
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,372,2.57,2.2683333333,1.6875268817,1.6875268817
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,6.5,6.4041666667,4.6016666667,5.375
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,44,6.5,3.02,2.1522727273,2.1522727273
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,1860,0.76,0.37,0.2658924731,0.2658924731
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3576,0.63,0.1898489933,0.1362108501,0.2246895973
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,107.72727273,54.106363636,42.418181818,39.501818182
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,110.5296,17.69,12.7604,12.4476
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,69,71,453.92070423,74.77971831,52.134366197,48.266197183
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3248,0.1782204433,0.0458435961,0.0246213054,0.0246213054
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,105,41.2676,27.3648,24.7196
1003840901,BLANKENSHIP,HAROLD,,DO,M,I,336 S JEFFERSON ST,,NEOSHO,MO,648501769,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,85.105263158,33,20.423684211,20.423684211
1003840943,WOLKOFSKY,ROBYN,M,P.A.-C,F,I,300 BILLINGSLEY RD,SUITE 108,CHARLOTTE,NC,282111075,US,Physician Assistant,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,169.09090909,53.780909091,42.162727273,38.431818182
1003841008,PRAHINSKI,JOHN,R,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,186.94666667,48.861333333,37.332,33.189333333
1003841008,PRAHINSKI,JOHN,R,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,27,29,157.79862069,138.47,106.32206897,100.60482759
1003841008,PRAHINSKI,JOHN,R,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,14,61.5,59.74,44.342857143,43.852857143
1003841008,PRAHINSKI,JOHN,R,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,90,90,64.68,64.7925
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,50,139,377,68.468832891,8.32,5.7916976127,5.7916976127
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,19,30,48,14.8725,1.42,0.9747916667,0.9747916667
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,3.08,3.18,2.28525,2.1808055556
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,2,0.3079703704,0.2287351852,0.2307944444
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,147.76615385,66.768461538,49.594615385,35.230769231
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,23,48.475217391,18.179130435,14.250869565,13.53826087
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,39.004285714,3.5842857143,2.4842857143,3.34
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,96.945384615,31.530769231,24.717692308,25.959230769
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.6,10.684545455,8.3763636364,8.3854545455
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,14.705454545,13.798181818,10.819090909,8.9345454545
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,298.2,205.78181818,156.97818182,156.97818182
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,57,60,306.36266667,74.888,54.861333333,51.174333333
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,23,166.30434783,38.05,28.702173913,28.396086957
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,1200,1.3440166667,0.135425,0.0834416667,0.0834416667
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,577.42,249.57545455,195.67,153.59
1003841073,HARRISON,JERRY,S,M.D.,M,I,106 HIGHLAND WAY STE 200,,MADISON,MS,391106933,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,58.0625,33,22.73625,22.73625
1003841081,AHMED,EJAZ,,MD,M,I,405 N CLYDE MORRIS BLVD,,DAYTONA BEACH,FL,321142730,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,40,65.799,8.212,6.1985,6.30425
1003841081,AHMED,EJAZ,,MD,M,I,405 N CLYDE MORRIS BLVD,,DAYTONA BEACH,FL,321142730,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,25.23,16.79,10.767272727,11.155454545
1003841081,AHMED,EJAZ,,MD,M,I,405 N CLYDE MORRIS BLVD,,DAYTONA BEACH,FL,321142730,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,309.94896552,79.2,58.497931034,51.391724138
1003841081,AHMED,EJAZ,,MD,M,I,405 N CLYDE MORRIS BLVD,,DAYTONA BEACH,FL,321142730,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,33,33,18.971333333,18.971333333
1003841156,NOLAN,MARY,L,PA,F,I,565 ABBOTT RD,@ MERCY HOSPITAL OF BUFFALO,BUFFALO,NY,142202039,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,58.355,18.446111111,13.722222222,12.693333333
1003841156,NOLAN,MARY,L,PA,F,I,565 ABBOTT RD,@ MERCY HOSPITAL OF BUFFALO,BUFFALO,NY,142202039,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,27.158571429,7.2307142857,5.6692857143,3.8042857143
1003841156,NOLAN,MARY,L,PA,F,I,565 ABBOTT RD,@ MERCY HOSPITAL OF BUFFALO,BUFFALO,NY,142202039,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,331.49611111,81.838888889,60.800555556,54.578888889
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,38,110,60.739727273,8.32,5.1912727273,5.1912727273
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,19,14.275263158,1.42,1.0010526316,1.0010526316
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,319.38,62.065454545,46.037272727,40.239090909
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,104.07,15.577272727,12.208181818,9.12
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,13.92,2.5218181818,1.9771212121,1.5924242424
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,80.861764706,21.463529412,16.826470588,13.53
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,28.476666667,8.82125,6.91625,4.0095833333
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,386.39444444,96.337777778,75.53,56.23
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,225,45.555,35.7175,30.113333333
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,2369,1.1818193331,0.1365175179,0.1035964542,0.1035964542
1003841214,BRAYFIELD,SAMUEL,,DO,M,I,5816 OSAGE BEACH PKWY,SUITE 108,OSAGE BEACH,MO,650653046,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,35,64.671428571,33,25.130857143,25.130857143
1003841263,KRAVITZ,JACK,A,MD,M,I,2825 N STATE RD 7,#304,MARGATE,FL,33063,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,90.8,51.616666667,40.47,37.878333333
1003841263,KRAVITZ,JACK,A,MD,M,I,2825 N STATE RD 7,#304,MARGATE,FL,33063,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,47.9648,22.2468,17.4452,15.0184
1003841339,JOHNSTON,MARCIA,L,"APRN, FNP-BC",F,I,6401 POPLAR AVE STE 300,,MEMPHIS,TN,381194810,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,14,1778,0.4352305962,0.0469572553,0.0368166479,0.0368166479
1003841339,JOHNSTON,MARCIA,L,"APRN, FNP-BC",F,I,6401 POPLAR AVE STE 300,,MEMPHIS,TN,381194810,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1349,1.6538843588,0.1338547072,0.0907857672,0.0907857672
1003841339,JOHNSTON,MARCIA,L,"APRN, FNP-BC",F,I,6401 POPLAR AVE STE 300,,MEMPHIS,TN,381194810,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,30,30,69.3,33,23.283,23.283
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,30,71,199,64.592763819,8.32,5.6701507538,5.6701507538
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,30,50,13.2974,1.42,1.0484,1.0484
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,72,8.9795833333,3.2383333333,2.3915277778,1.5733333333
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,106.85714286,22.576,16.845428571,12.928857143
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,79,79,446.92113924,99.597468354,74.992531646,52.359746835
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,159.96869565,40.918695652,30.915652174,28.347826087
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3375,0.17,0.0468711111,0.0367437037,0.0367437037
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,162.15384615,46.396153846,36.376923077,29.519230769
1003841370,LOWE,ROBERT,N,M.D.,M,I,101 MARGARET LN,SUITE B,GRASS VALLEY,CA,959454207,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,108.16666667,33,25.87,25.87
1003841420,MARTIN,STANLEY,R,O.D.,M,I,231 NORTHGATE DR,SUITE 106,MC MINNVILLE,TN,371101426,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,90.408421053,76.660526316,60.1,54.078421053
1003841420,MARTIN,STANLEY,R,O.D.,M,I,231 NORTHGATE DR,SUITE 106,MC MINNVILLE,TN,371101426,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,46.949444444,46.394444444,34.341388889,41.627222222
1003841479,CALDERONE,JOSEPH,P,MD,M,I,2 SOUTH AVE E,SUITE 1,CRANFORD,NJ,070162811,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,78,103,103,61.810873786,60.37631068,45.971747573,51.23038835
1003841479,CALDERONE,JOSEPH,P,MD,M,I,2 SOUTH AVE E,SUITE 1,CRANFORD,NJ,070162811,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,59,64,124,63.096774194,50.032258065,38.662419355,32.675403226
1003841479,CALDERONE,JOSEPH,P,MD,M,I,2 SOUTH AVE E,SUITE 1,CRANFORD,NJ,070162811,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,34,64,43.84,32.348235294,26.955294118
1003841479,CALDERONE,JOSEPH,P,MD,M,I,2 SOUTH AVE E,SUITE 1,CRANFORD,NJ,070162811,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,13,79.461538462,66.09,51.811538462,43.173076923
1003841479,CALDERONE,JOSEPH,P,MD,M,I,2 SOUTH AVE E,SUITE 1,CRANFORD,NJ,070162811,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,31,31,53,74.962264151,65.09754717,49.226792453,41.337169811
1003841495,GARCIA,CRISTINA,P,MD,F,I,2863 S DELANEY AVE,,ORLANDO,FL,328065412,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,39,65.799487179,8.32,6.4484615385,6.4484615385
1003841495,GARCIA,CRISTINA,P,MD,F,I,2863 S DELANEY AVE,,ORLANDO,FL,328065412,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,24.319230769,6.3492307692,4.9753846154,3.89
1003841495,GARCIA,CRISTINA,P,MD,F,I,2863 S DELANEY AVE,,ORLANDO,FL,328065412,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,135.99217391,36.684782609,26.960434783,23.92173913
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,24,77,63.558571429,8.32,5.9292207792,5.9292207792
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,26,13.878076923,1.42,0.9869230769,0.9869230769
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,623.18181818,127.95909091,93.470909091,69.287272727
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,24,231.59166667,45.704166667,35.832916667,27.172916667
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,453.1768,46.96,35.782,23.3784
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,521.70666667,104.23333333,73.88,50.986190476
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70.2,44.745,32.344166667,27.6525
1003841594,PITTS,LESLIE,T,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,92.4,33,25.87,25.87
1003841768,SIME,PATRICIA,J,MD,F,I,9000 STONY POINT PKWY,,RICHMOND,VA,232351900,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,73.4088,26.4996,17.4564,15.9864
1003841768,SIME,PATRICIA,J,MD,F,I,9000 STONY POINT PKWY,,RICHMOND,VA,232351900,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,349.07934783,77.284782609,51.640869565,46.984130435
1003841768,SIME,PATRICIA,J,MD,F,I,9000 STONY POINT PKWY,,RICHMOND,VA,232351900,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,131.02941176,42,32.93,29.711176471
1003841784,JENSEN,KENNETH,F,M.D.,M,I,1777 W GRAND AVE,,PORT WASHINGTON,WI,530742077,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,31,78.12483871,8.32,5.6796774194,5.6796774194
1003841784,JENSEN,KENNETH,F,M.D.,M,I,1777 W GRAND AVE,,PORT WASHINGTON,WI,530742077,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,94.880666667,10.63,6.664,7.494
1003841784,JENSEN,KENNETH,F,M.D.,M,I,1777 W GRAND AVE,,PORT WASHINGTON,WI,530742077,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,11.731666667,1.92,1.1461111111,1.2363888889
1003841784,JENSEN,KENNETH,F,M.D.,M,I,1777 W GRAND AVE,,PORT WASHINGTON,WI,530742077,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,33.339090909,26.139090909,25.501818182
1003841909,GRAY,BARBARA,L,M.D.,F,I,12505 HYMEADOW DR,SUITE 2A,AUSTIN,TX,787501867,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,238.79294118,43.818823529,30.303529412,22.002352941
1003842048,NICHOLS,JAMES,T,MD,M,I,1315 GARDEN ST,,TITUSVILLE,FL,327963312,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,62,69.108548387,8.32,5.2591935484,5.2591935484
1003842071,FERGUSON,WILLIAM,B,"PHD, MD",M,I,61 MEMORIAL MEDICAL PKWY,SUITE 3806,PALM COAST,FL,321645981,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,19,180,22635,4.6205615198,0.5706578308,0.4282173625,0.4282151535
1003842071,FERGUSON,WILLIAM,B,"PHD, MD",M,I,61 MEMORIAL MEDICAL PKWY,SUITE 3806,PALM COAST,FL,321645981,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,48,7590,0.1054690382,0.0132964427,0.0104321476,0.01043083
1003842071,FERGUSON,WILLIAM,B,"PHD, MD",M,I,61 MEMORIAL MEDICAL PKWY,SUITE 3806,PALM COAST,FL,321645981,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,122,13056,2.9595772059,1.2833946078,0.9763748468,0.9809198836
1003842071,FERGUSON,WILLIAM,B,"PHD, MD",M,I,61 MEMORIAL MEDICAL PKWY,SUITE 3806,PALM COAST,FL,321645981,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,47,8400,4.7200166667,2.8240428571,2.1919892857,2.1919892857
1003842071,FERGUSON,WILLIAM,B,"PHD, MD",M,I,61 MEMORIAL MEDICAL PKWY,SUITE 3806,PALM COAST,FL,321645981,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,20,166,166,24,24,18.25313253,18.25313253
1003842071,FERGUSON,WILLIAM,B,"PHD, MD",M,I,61 MEMORIAL MEDICAL PKWY,SUITE 3806,PALM COAST,FL,321645981,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,20,200,238,16,16,12.306848739,12.306848739
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,29,40,4320,0.578712963,0.44,0.3449722222,0.3449722222
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,15,337,28.82,23.66,18.123620178,18.123620178
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,14,134,10.06,8.26,5.5167910448,5.5167910448
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,23,348,13.981034483,10.93,8.2736494253,8.2736494253
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,33,41,1051,3.1315033302,2.4,1.7834538535,1.7834538535
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,20,330,8.9709090909,6.82,5.3468787879,5.3468787879
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,405,9.5096296296,7.13,5.59,5.59
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,48,72,14878,0.160867052,0.13,0.101572792,0.101572792
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,32,50,6212,0.5878171281,0.45,0.3425885383,0.3425885383
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,27,39,309,1.56,1.28,0.964368932,0.964368932
1003842170,ABNER,MONIQUE,L,MD,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Physician/Plastic and Reconstructive Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,12,17,218.82352941,95.87,75.17,75.17
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,32,67.2425,8.32,6.5203125,6.5203125
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.39,0.13,0.1019166667,0.1019166667
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,9.65,7.23,5.6683333333,5.6683333333
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,30,11.845333333,10.691333333,8.3826666667,8.5693333333
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,45,12.41,9.3848,9.7772
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,38,38,214.5,48.929473684,36.558421053,37.577368421
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,50.73,4.29,3.3570588235,3.9270588235
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,115,46.2375,32.0675,32.04875
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,357.37,79.48,62.31,58.02
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,3367,0.2925304425,0.0447282447,0.0350697951,0.0350697951
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,19,19,52.028947368,17.266315789,12.262631579,13.408947368
1003842287,HEFFERNAN,DONNA,M,M.D.,F,I,16 CRIMSON OAK CT,,SCHENECTADY,NY,123092234,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,16,16,57.75,33,25.87,25.87
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,119.37272727,38.733181818,28.988181818,29.122272727
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,320.14315789,86.710526316,67.982631579,67.84
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,57,120.06210526,32.883157895,25.683859649,25.821754386
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,59,59.174576271,17.5,12.167457627,13.016610169
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,24,24,204.29708333,52.059583333,36.775833333,38.85375
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,21,21,65.636666667,17.24952381,13.521904762,14.06
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,68.56,12.06,9.1794736842,8.8442105263
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,42,243,8.0251440329,2.0355555556,1.5590946502,1.5550205761
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,14,14,26.025714286,5.63,4.41,4.65
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,35.599090909,12.286363636,9.3754545455,10.073636364
1003842337,SCHRANDT,NEIL,J,M.D.,M,I,620 STANTON CHRISTIANA RD,STE.302,NEWARK,DE,197132133,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,86,86,138.46744186,32.088023256,23.710581395,24.327325581
1003842378,BRITTON,MARCUS,L,M.D.,M,I,1542 MEDICAL PARK CIR,,TUPELO,MS,388016560,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,2460,4.6421463415,0.5680853659,0.227195122,0.3839715447
1003842378,BRITTON,MARCUS,L,M.D.,M,I,1542 MEDICAL PARK CIR,,TUPELO,MS,388016560,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1320,3.5272575758,1.2947272727,1.0150378788,1.0150378788
1003842378,BRITTON,MARCUS,L,M.D.,M,I,1542 MEDICAL PARK CIR,,TUPELO,MS,388016560,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,24,24,17.605806452,17.605806452
1003842378,BRITTON,MARCUS,L,M.D.,M,I,1542 MEDICAL PARK CIR,,TUPELO,MS,388016560,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,18,16,16,12.540555556,12.540555556
1003842402,LINGEN,THOMAS,A,MD,M,I,1475 WEBB ST,,CUMBERLAND,WI,548299187,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,35,74,52.775405405,8.32,5.9078378378,5.9078378378
1003842402,LINGEN,THOMAS,A,MD,M,I,1475 WEBB ST,,CUMBERLAND,WI,548299187,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,109.12727273,85.559090909,54.73
1003842402,LINGEN,THOMAS,A,MD,M,I,1475 WEBB ST,,CUMBERLAND,WI,548299187,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1740,1.6295344828,0.1346206897,0.0930172414,0.0930172414
1003842402,LINGEN,THOMAS,A,MD,M,I,1475 WEBB ST,,CUMBERLAND,WI,548299187,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,1432,9.5509846369,3.0888617318,2.3865363128,2.3865363128
1003842402,LINGEN,THOMAS,A,MD,M,I,1475 WEBB ST,,CUMBERLAND,WI,548299187,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,33,33,24.085862069,24.085862069
1003842436,CAGAMPAN,LYNDON,B,M.D.,M,I,200 BANNING ST,STE 350,DOVER,DE,199043485,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,100.75,88.155,69.115,69.115
1003842584,ERIM,ELIF,N,MD,F,I,2150 BLEECKER ST,,UTICA,NY,135011788,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,30,4.4626086957,3.5030434783,3.8060869565
1003842584,ERIM,ELIF,N,MD,F,I,2150 BLEECKER ST,,UTICA,NY,135011788,US,Physician/Geriatric Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,40.01,10.12625,7.471875,8.323125
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,34,96,323,65.815294118,8.32,5.7952012384,5.7952012384
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,23,42,67,16.538358209,1.42,1.006119403,1.006119403
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,110,22.4775,17.620833333,14.031666667
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330,102.61833333,80.455,58.105
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,43.47826087,6.1947826087,4.5408695652,3.0860869565
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,155.13,56.446666667,44.251111111,27.169444444
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,415.89,104.06769231,73.664615385,47.191538462
1003842592,SIDDALL,LAURIE,A,FNP,F,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,23.714166667,23.714166667
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,23,132.33130435,34,26.532608696,25.795217391
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,19,98,64.898877551,15.279591837,9.9206122449,9.837755102
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,221.07473684,56.433684211,38.912631579,37.756315789
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,72.491764706,18.221176471,14.282941176,14.06
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,23,23,80.725652174,12.113478261,8.6726086957,8.3269565217
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,31,165,9.7781818182,2.0189090909,1.4427272727,1.4582424242
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,87.891470588,17.51,13.326176471,13.141764706
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,167.42148148,31.111111111,22.774074074,22.632592593
1003842717,FELDMAN,LAURA,L,DO,F,I,630 SOUTHPOINTE CT,SUITE 104,COLORADO SPRINGS,CO,809063896,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,63,63,419.1852381,79.8,59.28984127,52.081269841
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,36,92,78.07173913,8.32,6.2376086957,6.2376086957
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,28,14.280357143,1.42,1.1164285714,1.1164285714
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,134.03,48.186428571,37.776428571,36.46
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,169.77272727,10.515454545,8.2445454545,7.5072727273
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,100,17,12.277631579,12.480526316
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,45.797419355,6.29,4.7903225806,3.9706451613
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,10.92,7.0118181818,6.7663636364
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,101,101,432.93069307,80.89009901,59.644851485,51.790792079
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,76.0885,20.625,11.76,10.585
1003842824,PARMAR,HARBHAJAN,S,M.D.,M,I,36100 EUCLID AVE,STE 350,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,79.8,36,27.384615385,28.64974359
1003842865,MARTIN,THOMAS,V,M.D.,M,I,330 ORCHARD ST,SUITE 164,NEW HAVEN,CT,065114417,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,35,2220,0.39,0.13,0.0992072072,0.0992072072
1003842865,MARTIN,THOMAS,V,M.D.,M,I,330 ORCHARD ST,SUITE 164,NEW HAVEN,CT,065114417,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,38,2570,4.8939688716,2.04,1.5342645914,1.5342645914
1003842865,MARTIN,THOMAS,V,M.D.,M,I,330 ORCHARD ST,SUITE 164,NEW HAVEN,CT,065114417,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,39,3246,9.65,7.23,5.581814541,5.581814541
1003842865,MARTIN,THOMAS,V,M.D.,M,I,330 ORCHARD ST,SUITE 164,NEW HAVEN,CT,065114417,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,112,3.2,1.53,1.1991964286,1.4110714286
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,45,104,263,58.558745247,8.32,5.4541064639,5.4541064639
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,13.04,3.38,2.0611111111,2.0611111111
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,30,54,73,14.229863014,1.42,0.9175342466,0.9175342466
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,18,35,8.7,1.4968571429,1.1074285714,1.0885714286
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,315.28333333,51.895,33.879166667,35.810833333
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,94.386363636,17.523636364,12.457272727,12.719090909
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,107.51888889,11.69,8.1344444444,8.1011111111
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,106,14.281509434,2.0401886792,1.4210377358,1.4130188679
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,86.868666667,17.018666667,10.804666667,11.005666667
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,534.86,35.725,22.635833333,22.346666667
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,94,99,457.77494949,72.822222222,51.514242424,49.413131313
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,26,176.38461538,36.035384615,26.220769231,27.493461538
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,59,3540,15.58,9.621,7.3807485876,7.3807485876
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,3263,0.2763591787,0.0441802023,0.031333129,0.031333129
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,80,4800,12.86,2.9871875,2.3419770833,2.3419770833
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,0.75,0.21925,0.1718571429,0.1718571429
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,19,19,21.112631579,8.4847368421,6.6521052632,6.4821052632
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,14,60,35.05,15.26,11.964,11.963666667
1003842964,DEFOREST,JOHN,,D.O.,M,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,13,85,85,127.34117647,33,25.87,25.87
1003842998,COMES,IRIS,A,M.D.,F,I,2700 CLAY EDWARDS DR,SUITE 240,NORTH KANSAS CITY,MO,641163251,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,29,50.73,6.4734482759,4.754137931,3.4996551724
1003842998,COMES,IRIS,A,M.D.,F,I,2700 CLAY EDWARDS DR,SUITE 240,NORTH KANSAS CITY,MO,641163251,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,102.61833333,72.9575,51.0275
1003843020,CUTLER,NAOMI,P,M.D.,F,I,4924 CAMPBELL BLVD,SUITE 200,BALTIMORE,MD,212365908,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,41,111,376,66.465106383,8.32,5.5166755319,5.5166755319
1003843020,CUTLER,NAOMI,P,M.D.,F,I,4924 CAMPBELL BLVD,SUITE 200,BALTIMORE,MD,212365908,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,12.464444444,3.38,2.3555555556,2.3555555556
1003843020,CUTLER,NAOMI,P,M.D.,F,I,4924 CAMPBELL BLVD,SUITE 200,BALTIMORE,MD,212365908,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,32,65,111,15.207027027,1.42,1.0742342342,1.0742342342
1003843020,CUTLER,NAOMI,P,M.D.,F,I,4924 CAMPBELL BLVD,SUITE 200,BALTIMORE,MD,212365908,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,560.03454545,82,58.699545455,49.575
1003843020,CUTLER,NAOMI,P,M.D.,F,I,4924 CAMPBELL BLVD,SUITE 200,BALTIMORE,MD,212365908,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,3240,1.5661666667,0.1350555556,0.104212963,0.104212963
1003843020,CUTLER,NAOMI,P,M.D.,F,I,4924 CAMPBELL BLVD,SUITE 200,BALTIMORE,MD,212365908,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,40.615384615,33,25.87,25.87
1003843053,RITCHEY,SARA JO,,PA-C,F,I,103 FORESTVIEW DRIVE,ELKLAND LAUREL HEALTH CENTER,ELKLAND,PA,16920,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,35,54,35.852222222,8.32,5.3155555556,5.3155555556
1003843053,RITCHEY,SARA JO,,PA-C,F,I,103 FORESTVIEW DRIVE,ELKLAND LAUREL HEALTH CENTER,ELKLAND,PA,16920,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,65.14,22.4775,16.3775,12.4025
1003843053,RITCHEY,SARA JO,,PA-C,F,I,103 FORESTVIEW DRIVE,ELKLAND LAUREL HEALTH CENTER,ELKLAND,PA,16920,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,356.4,99.352444444,71.197111111,48.369333333
1003843053,RITCHEY,SARA JO,,PA-C,F,I,103 FORESTVIEW DRIVE,ELKLAND LAUREL HEALTH CENTER,ELKLAND,PA,16920,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,75,44.34,33.122,28.0395
1003843061,VEKSMAN,LARISA,,MD,F,I,162 BRIGHTON 11STREET,1ST FLOOR,BROOKLYN,NY,11235,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,54,99,54.171010101,8.32,5.4012121212,5.4012121212
1003843061,VEKSMAN,LARISA,,MD,F,I,162 BRIGHTON 11STREET,1ST FLOOR,BROOKLYN,NY,11235,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,22,22,23.509545455,1.42,0.8654545455,0.8654545455
1003843095,ROBINSON,JEFFREY,W,MD,M,I,9333 PARK WEST BLVD,,KNOXVILLE,TN,379234341,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,41.102619048,18.68,12.897142857,11.919285714
1003843095,ROBINSON,JEFFREY,W,MD,M,I,9333 PARK WEST BLVD,,KNOXVILLE,TN,379234341,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,227.88184211,87,58.437368421,46.731578947
1003843137,STEWART,CONSTANCE,F,M.D.,F,I,515 HEMPSTEAD AVE,,ROCKVILLE CENTRE,NY,115701751,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,25,65,222,62.396081081,8.32,6.3940540541,6.3940540541
1003843137,STEWART,CONSTANCE,F,M.D.,F,I,515 HEMPSTEAD AVE,,ROCKVILLE CENTRE,NY,115701751,US,Physician/Pediatric Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.543076923,3.38,2.65,2.65
1003843137,STEWART,CONSTANCE,F,M.D.,F,I,515 HEMPSTEAD AVE,,ROCKVILLE CENTRE,NY,115701751,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,29,68,66.339558824,1.42,1.0972058824,1.0972058824
1003843145,POE,REAGAN,,PA,F,I,239 MT PARKWAY SPUR,,CAMPTON,KY,41301,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45.01,22.4775,16.3775,12.4025
1003843145,POE,REAGAN,,PA,F,I,239 MT PARKWAY SPUR,,CAMPTON,KY,41301,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,354.16714286,106.38666667,79.79047619,51.35047619
1003843145,POE,REAGAN,,PA,F,I,239 MT PARKWAY SPUR,,CAMPTON,KY,41301,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,29,6421,0.4599205731,0.0460862794,0.0230711727,0.0230711727
1003843145,POE,REAGAN,,PA,F,I,239 MT PARKWAY SPUR,,CAMPTON,KY,41301,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2040,2.1565833333,0.1345,0.0815,0.0815
1003843145,POE,REAGAN,,PA,F,I,239 MT PARKWAY SPUR,,CAMPTON,KY,41301,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,38.076923077,33,19.232820513,19.232820513
1003843178,REISMAN,JEFFREY,M,M.D.,M,I,131 MADISON AVE,SUITE 130,MORRISTOWN,NJ,07960,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,112.135,62.093,46.3745,50.583
1003843178,REISMAN,JEFFREY,M,M.D.,M,I,131 MADISON AVE,SUITE 130,MORRISTOWN,NJ,07960,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,16.190909091,16.06,12.59,13.99
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,62,160,489,71.466748466,8.32,5.8982617587,5.8982617587
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,26,26,15.567692308,3.38,2.5480769231,2.5480769231
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,25.470909091,2.12,1.67,1.67
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,39,79,143,16.671748252,1.42,1.0294405594,1.0294405594
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,28,18.488571429,9.29,7.2807142857,8.2903571429
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,83.878125,41.013125,30.14,28.68875
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,156.255,57.63375,39.745625,37.5025
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,52.928823529,19.754705882,13.705882353,12.458235294
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,22,123,7.2723577236,2.3217886179,1.8191869919,1.5980487805
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,38.833333333,13.005,9.3458333333,9.4941666667
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,86.31,17.048076923,12.002692308,12.178461538
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,62,62,399.36516129,73.67483871,55.393225806,52.353064516
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,63.686086957,39.022608696,29.772173913,28.897391304
1003843202,ROBKE,GREGORY,J,MD,M,I,45 RESNIK ROAD,SUITE 302,PLYMOUTH,MA,02360,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,18,18,66,33,25.87,25.87
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,204,448,448,93.841629464,39.449888393,28.074017857,27.7359375
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,62,121,121,278.35652893,84.063801653,61.366115702,63.124628099
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,47,98,255,103.3667451,33.240078431,24.528666667,24.400705882
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,88,211,1147,53.630244115,18.285789015,13.656983435,13.872362685
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,107,258,1391,41.710474479,15.377167505,11.275715313,11.134658519
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,223,534,534,171.43050562,54.093464419,39.076629213,39.531479401
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,248,341,341,53.687595308,18.516070381,14.086392962,13.682521994
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,39,47,47,32.239148936,11.118085106,7.9810638298,7.4965957447
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,69,165,165,60.292848485,12.040181818,8.4609090909,8.2018181818
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,235,544,3185,8.2827629513,2.0088288854,1.5056043956,1.5222919937
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,32,39,39,21.001025641,5.9038461538,4.3979487179,4.4125641026
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,131,177,177,40.966553672,12.890451977,9.7560451977,9.9667231638
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,308.64219512,84.213902439,62.729268293,64.098536585
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,690.504,210.57633333,164.578,171.714
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,55,55,55,415.00472727,130.65290909,101.07109091,103.214
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,100,583,583,146.34102916,29.95619211,21.994356775,23.599279588
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,32,359.683125,72.06,52.96875,51.5859375
1003843335,CETEL,MINDY,B,M.D.,F,I,6725 MESA RIDGE RD,SUITE 224,SAN DIEGO,CA,921212923,US,Physician/Neuropsychiatry,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,95.727272727,36.58,28.67,29.433636364
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,31,84,289,73.02283737,8.32,6.1552249135,6.1552249135
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.990769231,3.38,2.65,2.65
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,27,55,13.715636364,1.42,1.0532727273,1.0532727273
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,280,14.118357143,5.54,3.8310357143,3.8310357143
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,39.55,17,11.108333333,11.326666667
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,57,537.70175439,78,57.629122807,51.675964912
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,74.705263158,38,26.654210526,26.403684211
1003843590,JACKSON,WILLIAM,G,M.D.,M,I,46 TOLL RD,UNIT B,SALISBURY,MA,019521435,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,15,4942,0.3435451234,0.0465499798,0.0360279239,0.0360279239
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,77,152,62.816973684,8.32,6.0507236842,6.0507236842
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,22,29,13.120344828,1.42,1.1175862069,1.1175862069
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,17.69,11.558333333,11.275
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,52.367647059,13.317058824,9.8329411765,9.8605882353
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,4.6277777778,3.1911111111,3.1911111111
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,13,167.18923077,32.736153846,23.28,23.361538462
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,69.99,45.725,45.608333333
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,5801,0.129772453,0.0461110153,0.0322823651,0.0322823651
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1680,1.9858214286,0.1335714286,0.09825,0.09825
1003843624,BRIGGS,RICHARD,,M.D.,M,I,1101 E HOLLY BLVD,,BRANDON,SD,570051426,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,33,33,23.88,23.88
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,104.40961538,17.088461538,13.396538462,13.513076923
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,18,18,44.873333333,5.9066666667,4.6327777778,3.8727777778
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,101,101,401.38217822,81.246534653,62.278316832,54.691287129
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,341.93684211,41.6,32.61,29.673157895
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,8431,0.4329605029,0.0457869766,0.0359044004,0.0359020282
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1800,1.6808277778,0.1322666667,0.0976555556,0.0976555556
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,151.136,41.6,32.61,29.634
1003843657,WISE,ROBERT,,M.D.,M,I,5501 HOPKINS BAYVIEW CIR,,BALTIMORE,MD,212246821,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,45,45,39.6,33,25.295111111,25.295111111
1003843681,GILLICK,ALAN,P,M.D.,M,I,334 MAIN ST,STE 1,DICKSON CITY,PA,185191620,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,26,26,26,147.92307692,55.644615385,43.625,36.46
1003843681,GILLICK,ALAN,P,M.D.,M,I,334 MAIN ST,STE 1,DICKSON CITY,PA,185191620,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,148.9375,58.876,46.158,40.79
1003843681,GILLICK,ALAN,P,M.D.,M,I,334 MAIN ST,STE 1,DICKSON CITY,PA,185191620,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,470.27538462,389.4,298.36923077,303.61923077
1003843681,GILLICK,ALAN,P,M.D.,M,I,334 MAIN ST,STE 1,DICKSON CITY,PA,185191620,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1221.19,1017.66,797.85,886.5
1003843772,BONDOW,STEVEN,,MD,M,I,1155 N MAYFAIR RD,PLANK ROAD CLINIC,MILWAUKEE,WI,532263462,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,12.491818182,1.42,0.7127272727,0.7127272727
1003843772,BONDOW,STEVEN,,MD,M,I,1155 N MAYFAIR RD,PLANK ROAD CLINIC,MILWAUKEE,WI,532263462,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,139.3,17.5,12.105882353,11.947058824
1003843806,MORGAN,MITCHELL,A,MD,M,I,1131 S CLIFTON AVE,SUITE B,WICHITA,KS,672182955,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,18,18,12.827272727,12.309090909
1003843806,MORGAN,MITCHELL,A,MD,M,I,1131 S CLIFTON AVE,SUITE B,WICHITA,KS,672182955,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,77.18,77.18,53.648181818,48.385454545
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,33,93,222,65.022567568,8.32,5.5853153153,5.5853153153
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,21,47,67,12.367910448,1.42,0.9488059701,0.9488059701
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,28,56,113,5.7348672566,1.9998230088,1.4553097345,1.1
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,515,24.312524272,13.101786408,10.072,10.091980583
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,239,635.61,267.31682008,209.57548117,210.4560251
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,259,40,9.3480694981,7.3284942085,7.3284942085
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,259,175,29.213822394,22.903204633,22.903204633
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,159.10428571,67.115,52.62,38.538571429
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,52,58,69.453275862,22.086896552,15.134482759,11.956724138
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,20,112,113,28.352123894,7.7025663717,5.5338938053,3.5472566372
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,44,17.043636364,13.367272727,11.666363636
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,28,153,163,369.90355828,103.70490798,75.912576687,55.079018405
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,23,250,45.290869565,34.08173913,30.41
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.6087361111,8.6087361111
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,34,150,16967,1.2217186303,0.1337166264,0.0958460541,0.0958460541
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,44,2220,12.429612613,2.9458918919,2.2114189189,2.2114189189
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,73.502592593,28.928148148,21.612962963,13.532962963
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,228,62.116363636,48.705454545,29.209090909
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,124.43,45.96,36.035,30.233333333
1003843848,AZAN,KENNETH,N,MD,M,I,1718 S INGRAM AVE,SUITE C,SEDALIA,MO,653017505,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,34,161,161,89.571428571,33,23.35242236,23.35242236
1003843871,NUDELMAN,STANLEY,J,M.D.,M,I,3521 NW SAMARITAN DR,SUITE 201,CORVALLIS,OR,973304744,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,27,101,63.225643564,8.32,6.1759405941,6.1759405941
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,31,31,164.49290323,36.21,25.642580645,27.658387097
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,446.47111111,82.51,53.908333333,57.022777778
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,74,71.957837838,17.397297297,13.588513514,14.401351351
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,31,31,269.45935484,50.918709677,39.267419355,42.09
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,28,28,81.251428571,16.602857143,12.095714286,13.076428571
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,81.561333333,11.402666667,8.346,8.516
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,23,45,260,12.200923077,1.9164615385,1.4342692308,1.5185
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,31.56,5.67,4.45,4.63
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,47.881666667,12,8.8872222222,9.7788888889
1003843905,ALTOBELLI,ANTHONY,,MD,M,I,593 CRANBURY RD,SUITE 2,EAST BRUNSWICK,NJ,088164093,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,212.34863636,28.37,21.238636364,22.381363636
1003844366,O'BRIEN,THOMAS,M,M.D.,M,I,7335 YANKEE RD,SU. 201,LIBERTY TOWNSHIP,OH,450440006,US,Physician/Undefined Physician type[6],S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,251.24941176,19.71,15.45,15.45
1003844366,O'BRIEN,THOMAS,M,M.D.,M,I,7335 YANKEE RD,SU. 201,LIBERTY TOWNSHIP,OH,450440006,US,Physician/Undefined Physician type[6],S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,17,59,293.37,37.38,29.306779661,29.306779661
1003844366,O'BRIEN,THOMAS,M,M.D.,M,I,7335 YANKEE RD,SU. 201,LIBERTY TOWNSHIP,OH,450440006,US,Physician/Undefined Physician type[6],S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,19,86.31,17.275789474,12.830526316,12.826842105
1003844366,O'BRIEN,THOMAS,M,M.D.,M,I,7335 YANKEE RD,SU. 201,LIBERTY TOWNSHIP,OH,450440006,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,31,519.51,77.309677419,56.617419355,51.498387097
1003844366,O'BRIEN,THOMAS,M,M.D.,M,I,7335 YANKEE RD,SU. 201,LIBERTY TOWNSHIP,OH,450440006,US,Physician/Undefined Physician type[6],S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,84,28.29,5.9747619048,4.6844047619,4.6842857143
1003844457,MCGINN,MARY,A,MD,F,I,BAY PINES VA HEALTHCARE SYSTEM,10000 BAY PINES BLVD,ST PETERSBURG,FL,33744,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17,12.234166667,12.234166667
1003844457,MCGINN,MARY,A,MD,F,I,BAY PINES VA HEALTHCARE SYSTEM,10000 BAY PINES BLVD,ST PETERSBURG,FL,33744,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,79.88,57.401666667,50.818333333
1003844523,STOVALL,DON,O,M.D.,M,I,2880 TRICOM ST,,NORTH CHARLESTON,SC,294069171,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,1600,1328.44,1004.1257143,853.835
1003844648,BETTING,GARY,R,MD,M,I,515 E BROADWAY,CENTER FOR FAMILY MEDICINE,BISMARCK,ND,58501,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,900,1.3515111111,0.136,0.1005333333,0.1005333333
1003844648,BETTING,GARY,R,MD,M,I,515 E BROADWAY,CENTER FOR FAMILY MEDICINE,BISMARCK,ND,58501,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,56,151,405,53.885703704,8.32,5.9122222222,5.9122222222
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,12.35047619,3.38,2.5238095238,2.5238095238
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,17.164,2.12,1.5586666667,1.5586666667
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,33,64,87,13.960344828,1.42,1.0388505747,1.0388505747
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,230,5.8379130435,5.4086956522,3.8696086957,3.9674782609
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,330,8.28,2.96,2.1096969697,2.1096969697
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,26,76.100769231,71.483846154,53.447692308,53.506923077
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,30.978181818,29.19,22.885,22.886060606
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,28.68,8.2,5.8454545455,5.8454545455
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,10.26,3.66,2.6090909091,3.0845454545
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,22,41,5.812195122,1.47,1.1507317073,1.1507317073
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,56,12.308571429,2.01,1.5767857143,1.59
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,67,98,56.733571429,17.29,13.009081633,12.99255102
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,12,29,57,39.807017544,4.6384210526,3.2028070175,3.2010526316
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,24,113,161,427.9747205,70.23,53.393043478,53.105900621
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,35,51.63,37.44,29.35,29.441428571
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,6337,0.1859444532,0.0467997475,0.0358166325,0.0358166325
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,2100,1.0636190476,0.1310571429,0.100152381,0.100152381
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0431538462,2.2089230769,2.2089230769
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,30,8.0961904762,6.349047619,6.2576190476
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,450,119.07529412,87.311764706,85.954117647
1003844754,CHEATHAM,GREGORY,S,MD,M,I,1813 BELTLINE RD SW,,DECATUR,AL,356015506,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,60,61,97.131147541,33,25.445901639,25.445901639
1003844804,CHANG,VON,,MD,M,I,222 STATE AVE N,,KENT,WA,980304544,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,49,91,63.64956044,8.32,5.6702197802,5.6702197802
1003844804,CHANG,VON,,MD,M,I,222 STATE AVE N,,KENT,WA,980304544,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,24,28,12.171785714,1.42,0.9971428571,0.9971428571
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,46,76.308695652,8.32,5.1030434783,5.1030434783
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,16,17.391875,1.42,0.90875,0.90875
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,27,135.81407407,33.22,26.046666667,25.947407407
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,70.5925,17.4,12.503333333,12.8975
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,66.6,11.5,8.5452631579,8.6368421053
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,101,7.6568316832,2,1.5528712871,1.5735643564
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,37,520.50810811,32.562162162,23.406486486,23.179459459
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,778.79333333,76.58,55.0275,50.16
1003844820,PIMENTEL,SEVERINO,,M.D.,M,I,21304 PROVINCIAL BLVD,,KATY,TX,774507580,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,35.56,27.88,29.51
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,37,106,63.189811321,8.2845283019,6.0017924528,6.0224528302
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,9.7281818182,4.1,3.21,3.21
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,490,16.025183673,7,5.488,5.488
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,210,6.2023809524,3.04,2.3834761905,2.3834761905
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,23,375.89086957,107.6973913,83.196956522,69.775652174
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,3173,0.2415884021,0.0453797668,0.0355814686,0.0355814686
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,2921,1.222872304,0.1378842862,0.1054912701,0.1054912701
1003844838,CRANMER,CURTIS,J,M.D.,M,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,95.294117647,33,25.505882353,25.505882353
1003844903,MITCHELL,PENNY,L,FNP,F,I,232 SHARON AVE NW,,LENOIR,NC,286454326,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,11,29,29,122.36,87.93,66.236896552,74.64862069
1003844903,MITCHELL,PENNY,L,FNP,F,I,232 SHARON AVE NW,,LENOIR,NC,286454326,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,143,52.968333333,41.526666667,37.283333333
1003844903,MITCHELL,PENNY,L,FNP,F,I,232 SHARON AVE NW,,LENOIR,NC,286454326,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,8.4116666667,6.5966666667,6.5091666667
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,35,98,51.503367347,8.32,6.2997959184,6.2997959184
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.727272727,3.38,2.65,2.65
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,23,14.517826087,1.42,1.1182608696,1.1182608696
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,46,8.9506521739,1.9947826087,1.5073913043,1.1
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,454.62727273,109.28272727,81.009545455,63.518181818
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,45,74.196888889,23.755777778,16.844222222,13.120444444
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,45,55.376,17.039777778,13.358666667,11.882222222
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,237.9352381,65.2,48.872380952,40.564761905
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,23,23,75.852608696,21.81,16.419565217,13.452173913
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,34,34,92.705,16.389117647,12.293529412,8.5317647059
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,43,190,11.958789474,2.5977894737,1.9252631579,1.5055263158
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,49.965882353,14.257647059,11.175294118,10.318823529
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,94.526206897,20.437931034,14.948275862,12.761724138
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.36,38.353333333,38.325833333
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,24,232.35,53.2375,40.019166667,36.017083333
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,89.72,16.350714286,12.818571429,10.48
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,40,44,53.308181818,8.2106818182,5.9868181818,3.5295454545
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,18,274.01944444,39.745555556,28.549444444,24.911111111
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,93,93,568.14096774,93.524301075,67.208602151,49.564193548
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,29,1740,15.58,9.6333793103,7.3399655172,7.3399655172
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,3346,0.1622803347,0.0458726838,0.0351195457,0.0351195457
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,2160,1.0559166667,0.1397083333,0.1032222222,0.1032222222
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1350,12.86,3.0450444444,2.3873407407,2.3873407407
1003844952,HUBBARD,FRANK,L,DO,M,I,2340 E MAIN ST,,CUSHING,OK,740232905,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,14,71,71,126.42253521,33,24.412535211,24.412535211
1003844960,HONG,CHUN,,MD PHD,M,I,11357 SUNSET HILLS RD,,RESTON,VA,20190,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,27,144,71.960416667,8.32,6.198125,6.198125
1003844960,HONG,CHUN,,MD PHD,M,I,11357 SUNSET HILLS RD,,RESTON,VA,20190,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,19,15.253157895,1.42,1.0542105263,1.0542105263
1003845082,BEERNINK,DIANE,C,ARNP,F,I,5921 M MARKET ST,,SPOKANE,WA,99208,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,31,76.094516129,8.32,2.3148387097,2.3148387097
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,19,41,505,56.232851485,19.63019802,14.669584158,14.669584158
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,19,41,1160,8.2108275862,2.6296551724,2.0615775862,2.0615775862
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,5.4583333333,0.51,0.4,0.4
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,46,105,497,63.80277666,8.3026156942,6.2774849095,6.2922132797
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,15.148181818,3.38,2.65,2.65
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,22.502666667,2.12,1.67,1.67
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,47,111,14.617117117,1.42,1.0730630631,1.0730630631
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,31,33,587.93393939,338.00454545,257.27181818,257.27181818
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1060,16.316858491,10.675264151,8.3693962264,8.3693962264
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,19,87,90,426.76588889,251.037,191.62588889,191.68311111
1003845207,SERGEV,ORLIN,,"M.D., PH.D.",M,I,622 OLD TROLLEY RD,SUITE 102,SUMMERVILLE,SC,294855674,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,370.76,264.16,207.1,207.1
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,132,7.1434848485,2.91,2.2121969697,2.2121969697
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,840,0.1485714286,0.11,0.0772380952,0.0783571429
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,23,44,4480,0.8938392857,0.4382142857,0.3435848214,0.3441450893
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,440,6.8648636364,3.04,2.3834090909,2.3834090909
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,950,0.6557052632,0.27,0.2116421053,0.2116421053
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,16,466,11.093991416,8.28,6.4444420601,6.4444420601
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,330,28.409090909,18.5,14.504,14.504
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,539,6.536419295,5.95,4.6648423006,4.6648423006
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,465,3.1970967742,2.4,1.8816129032,1.8816129032
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,21,946,6.5249682875,3.67,2.8773361522,2.8773361522
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,8,18,31,2162,0.2349398705,0.13,0.0962904718,0.0962904718
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,20,35,4152,0.7144966281,0.4491787091,0.3517485549,0.3523578998
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,1397,2.1813672155,1.9697637795,1.4446599857,1.444853257
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,14,140,27.42,25,19.527214286,19.127214286
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,90,8.75,7.68,6.0215555556,6.4284444444
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,49.175,38.555,40.923333333
1003845223,FINNEGAN,MATTHEW,J,MD,M,I,120 WHITE HORSE PIKE,SUITE 102,HADDON HEIGHTS,NJ,080351938,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1716.46,546.12,417.12153846,408.76615385
1003845371,MCGINTY,JOHN,E,M.D.,M,I,1100 REID PKWY,SUITE 210,RICHMOND,IN,473741157,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,55,55,37,21.715818182,15.438545455,13.693272727
1003845371,MCGINTY,JOHN,E,M.D.,M,I,1100 REID PKWY,SUITE 210,RICHMOND,IN,473741157,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,34.064545455,26.708181818,25.501818182
1003845371,MCGINTY,JOHN,E,M.D.,M,I,1100 REID PKWY,SUITE 210,RICHMOND,IN,473741157,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,63,63,270,97.952380952,71.614761905,60.424761905
1003845371,MCGINTY,JOHN,E,M.D.,M,I,1100 REID PKWY,SUITE 210,RICHMOND,IN,473741157,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,3722,2692.594,2107.7925,2107.7925
1003845421,DIAZ,LAMBERTO,,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,13,151,45.79384106,19.576556291,13.499337748,13.499337748
1003845421,DIAZ,LAMBERTO,,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,350,6.3822,2.6228571429,1.7041428571,1.7041428571
1003845421,DIAZ,LAMBERTO,,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,55,137,659,55.621229135,8.315629742,5.7517754173,5.7517754173
1003845421,DIAZ,LAMBERTO,,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,12.957777778,3.38,2.5027777778,2.5027777778
1003845421,DIAZ,LAMBERTO,,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,39,93,12.013010753,1.42,1.1123655914,1.1123655914
1003845421,DIAZ,LAMBERTO,,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,81.262,21.788,17.080666667,15.629333333
1003845488,SHETH,JAYESH,,MD,M,I,6823 HIGHWAY 311,,SELLERSBURG,IN,471721801,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,682,275,6.2518181818,4.9014662757,4.1632258065
1003845488,SHETH,JAYESH,,MD,M,I,6823 HIGHWAY 311,,SELLERSBURG,IN,471721801,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7080,4.123,0.36,0.2822372881,0.2900847458
1003845504,TSAI,HAROLD,H,M.D.,M,I,11181 HEALTH PARK BLVD STE 1115,,NAPLES,FL,341105742,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,24,8.57,8.57,6.44,6.5375
1003845504,TSAI,HAROLD,H,M.D.,M,I,11181 HEALTH PARK BLVD STE 1115,,NAPLES,FL,341105742,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,5158,0.1490538969,0.13,0.1019096549,0.1019096549
1003845504,TSAI,HAROLD,H,M.D.,M,I,11181 HEALTH PARK BLVD STE 1115,,NAPLES,FL,341105742,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,5068,2.2741318074,1.7446803473,1.311195738,1.5331412786
1003845504,TSAI,HAROLD,H,M.D.,M,I,11181 HEALTH PARK BLVD STE 1115,,NAPLES,FL,341105742,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,27,11.633703704,10.547777778,7.6585185185,7.9659259259
1003845504,TSAI,HAROLD,H,M.D.,M,I,11181 HEALTH PARK BLVD STE 1115,,NAPLES,FL,341105742,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,70,7.2857142857,6.66,5.079,5.7115714286
1003845611,MURPHY,STEPHEN,P,MD,M,I,21 MAIN ST,SUITE 3C,NORTH READING,MA,01864,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,24,104,78.141057692,8.32,5.0171153846,5.0171153846
1003845611,MURPHY,STEPHEN,P,MD,M,I,21 MAIN ST,SUITE 3C,NORTH READING,MA,01864,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,607.29560976,78,59.104146341,52.997317073
1003845611,MURPHY,STEPHEN,P,MD,M,I,21 MAIN ST,SUITE 3C,NORTH READING,MA,01864,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,231.17419355,38,29.79,29.519032258
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,48,73,255,455,77.290813187,8.32,5.8478461538,5.8478461538
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,42,99,100,35.9519,1.42,1.008,1.008
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,28,107.91571429,70.981428571,55.650714286,56.103928571
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,58,47.664482759,28.828965517,22.602413793,22.88637931
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,134.38,52.5,41.16,41.107777778
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,30.928571429,17,13.33,13.54
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,216.16266667,77.74,60.95,55.144666667
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,69.89,15.365,12.043571429,14.494642857
1003845660,RAKHMANCHIK,EMMANUIL,,MD,M,I,11 W END AVE,STE 1,BROOKLYN,NY,112354812,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,20.57,6.975,5.4703571429,6.8189285714
1003845801,NEYTMAN,GENE,,DO,M,I,1674 MERIDIAN AVE,SUITE 201,MIAMI BEACH,FL,331392801,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,27,97,50.222680412,8.32,5.9843298969,5.9843298969
1003845801,NEYTMAN,GENE,,DO,M,I,1674 MERIDIAN AVE,SUITE 201,MIAMI BEACH,FL,331392801,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,25,47,14.05,1.42,1.0204255319,1.0204255319
1003845975,DUMPE,TERESA,A,CRNP,F,I,11110 MEDICAL CAMPUS RD,103,HAGERSTOWN,MD,217426700,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,34,76,271,65.874317343,8.32,5.8526937269,5.8526937269
1003845975,DUMPE,TERESA,A,CRNP,F,I,11110 MEDICAL CAMPUS RD,103,HAGERSTOWN,MD,217426700,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,15.263157895,3.38,2.0921052632,2.0921052632
1003845975,DUMPE,TERESA,A,CRNP,F,I,11110 MEDICAL CAMPUS RD,103,HAGERSTOWN,MD,217426700,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,39,71,15.410985915,1.42,1.0191549296,1.0191549296
1003845975,DUMPE,TERESA,A,CRNP,F,I,11110 MEDICAL CAMPUS RD,103,HAGERSTOWN,MD,217426700,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.35,34.750833333,38.731666667
1003845975,DUMPE,TERESA,A,CRNP,F,I,11110 MEDICAL CAMPUS RD,103,HAGERSTOWN,MD,217426700,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,44.17,32.6275,35.6275
1003845975,DUMPE,TERESA,A,CRNP,F,I,11110 MEDICAL CAMPUS RD,103,HAGERSTOWN,MD,217426700,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,25.87,25.87
1003846056,YARLAGADDA,CHAKRI,,M.D.,M,I,1001 BELMONT AVE,,YOUNGSTOWN,OH,445041003,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3735.4545455,2705.4772727,2107.4454545,2107.4454545
1003846221,ZABHER,HENOCK,G,M.D.,M,I,2301 S FM 51 STE 400,,DECATUR,TX,762343864,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3750,2739.8326667,2148.0293333,2148.0293333
1003846288,CAL,STANLEY,,MD,M,I,1500 S MAIN ST,,FORT WORTH,TX,761044917,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,38,88,42.556136364,8.32,5.8556818182,5.8556818182
1003846288,CAL,STANLEY,,MD,M,I,1500 S MAIN ST,,FORT WORTH,TX,761044917,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,28,15.661785714,1.42,0.9971428571,0.9971428571
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,31,81,231,58.568658009,8.32,5.9777922078,5.9777922078
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,9.8892307692,3.38,2.2423076923,2.2423076923
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,23,32,11.911875,1.42,1.0109375,1.0109375
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,226.08666667,86.36,61.9875,62.2525
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,31,39,84.495384615,32.50974359,21.103333333,21.626153846
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,48.977692308,17.796923077,11.779230769,11.896923077
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,23,23,51.456521739,12.206956522,9.1373913043,8.7369565217
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,44,120,6.48525,2,1.38625,1.4096666667
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,162.62607143,33.733571429,20.978928571,19.976071429
1003846320,SUSOIU TCACIUC,DANIELA,,MD,F,I,6681 RIDGE RD,SUITE 400,PARMA,OH,441295713,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,274.82555556,78,56.62037037,55.907037037
1003846445,BESHIRES,ERIC,D,M.D.,M,I,5345 N PRESIDENT GEORGE BUSH HWY,,GARLAND,TX,750402767,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,35,144,66.736527778,8.32,5.7522916667,5.7522916667
1003846445,BESHIRES,ERIC,D,M.D.,M,I,5345 N PRESIDENT GEORGE BUSH HWY,,GARLAND,TX,750402767,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,18,13.487222222,1.42,1.0261111111,1.0261111111
1003846445,BESHIRES,ERIC,D,M.D.,M,I,5345 N PRESIDENT GEORGE BUSH HWY,,GARLAND,TX,750402767,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1980,3,2.04,1.5268737374,1.5268737374
1003846510,ALEXANDER,BROOKE,E,DO,F,I,6501 GARFIELD AVE,,BELL GARDENS,CA,902011805,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,1.8290909091,1.6709090909,1.3100075758,1.5993333333
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,34,91,67.187362637,8.32,5.9796703297,5.9796703297
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,240,8.46,7,5.0306666667,5.0306666667
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,79.731818182,51.047272727,40.023636364,35.894545455
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,2.44,2.02,1.53725,1.53725
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,210.27916667,78.266666667,61.36,51.396666667
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,62.052666667,26.780666667,20.992,17.026666667
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,24,101,9.9872277228,3.1956435644,2.4708910891,1.8432673267
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,47,83.087021277,22.676595745,16.189574468,12.218723404
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,39.941818182,30.788181818
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,141.92210526,50.226842105,37.566842105,29.367894737
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,71,465.2515493,102.35295775,75.158309859,54.55971831
1003846577,KJERSTAD,HEATHER,D,MD,F,I,33 WEST MAIN STREET,BELGRADE CLINIC PLLP,BELGRADE,MT,597143716,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,146.74727273,44.560909091,31.950909091,27.482727273
1003846809,ODOM,LEANDRE,W,D.O.,M,I,2313 E MAIN ST,SUITE B,NEW IBERIA,LA,705604091,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,54,133,36.361654135,8.32,5.7413533835,5.7413533835
1003846809,ODOM,LEANDRE,W,D.O.,M,I,2313 E MAIN ST,SUITE B,NEW IBERIA,LA,705604091,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,34,48,8.7964583333,1.3954166667,0.98125,1.000625
1003846809,ODOM,LEANDRE,W,D.O.,M,I,2313 E MAIN ST,SUITE B,NEW IBERIA,LA,705604091,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,229.40666667,70.23,45.883333333,45.6
1003846809,ODOM,LEANDRE,W,D.O.,M,I,2313 E MAIN ST,SUITE B,NEW IBERIA,LA,705604091,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64.05,37.44,26.904166667,27.0675
1003846809,ODOM,LEANDRE,W,D.O.,M,I,2313 E MAIN ST,SUITE B,NEW IBERIA,LA,705604091,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,26.190769231,20.064615385,14.268461538,13.338461538
1003846817,ANDERSEN,DONALD,H,M.D.,M,I,915 OLD FERN HILL RD,"BLDG., B SUITE 202",WEST CHESTER,PA,193804269,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,44,7990,0.3142803504,0.13,0.1003854819,0.1003854819
1003846817,ANDERSEN,DONALD,H,M.D.,M,I,915 OLD FERN HILL RD,"BLDG., B SUITE 202",WEST CHESTER,PA,193804269,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,35.74,35.74,25.472727273,25.472727273
1003846817,ANDERSEN,DONALD,H,M.D.,M,I,915 OLD FERN HILL RD,"BLDG., B SUITE 202",WEST CHESTER,PA,193804269,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,12,54,11605,6.2980525636,1.9509306333,1.5209909522,1.5841266695
1003846817,ANDERSEN,DONALD,H,M.D.,M,I,915 OLD FERN HILL RD,"BLDG., B SUITE 202",WEST CHESTER,PA,193804269,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,74,10140,14.085246548,7.1721005917,5.6099901381,5.6099901381
1003846817,ANDERSEN,DONALD,H,M.D.,M,I,915 OLD FERN HILL RD,"BLDG., B SUITE 202",WEST CHESTER,PA,193804269,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,1960,10.685714286,7.87,6.096877551,6.1032857143
1003846817,ANDERSEN,DONALD,H,M.D.,M,I,915 OLD FERN HILL RD,"BLDG., B SUITE 202",WEST CHESTER,PA,193804269,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,37,260,4.4883076923,1.5736923077,1.2299230769,1.3656538462
1003846833,SOMERVELL,PAMELA,M,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,32,134,53.509776119,8.32,5.5358955224,5.5358955224
1003846833,SOMERVELL,PAMELA,M,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,46,17.482608696,1.42,1.0652173913,1.0652173913
1003846833,SOMERVELL,PAMELA,M,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,82.179,19.57675,13.67475,12.2315
1003846833,SOMERVELL,PAMELA,M,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.31,22.4775,16.3775,12.904166667
1003846833,SOMERVELL,PAMELA,M,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,25,27,232.35,64.643333333,50.676666667,43.931111111
1003846833,SOMERVELL,PAMELA,M,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,23,232.35,60.17,47.172608696,38.790869565
1003846833,SOMERVELL,PAMELA,M,M.D.,F,I,308 W MAIN ST,,SALTVILLE,VA,243703112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,72,75,517.1832,86.818133333,60.906533333,49.666666667
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,43,108,53.410648148,8.32,6.3407407407,6.3407407407
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.01,3.38,2.65,2.65
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,30,13.671,1.42,1.004,1.004
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,187.60214286,90.109285714,70.652142857,67.848571429
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,29,71.973448276,34.397931034,26.96862069,25.917586207
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,58,48.600172414,19.42,15.226206897,14.551896552
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,12,61,36.009836066,16,10.487540984,9.9439344262
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,21,21,127.55238095,58.463809524,39.454285714,36.737142857
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,21,21,40.975238095,17.904285714,12.745238095,12.785714286
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,35,35,42.118285714,12.956,9.3888571429,8.392
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,19,33,186,6.7345698925,2.3083870968,1.6983333333,1.4904301075
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,19.706666667,6.3806666667,5.0046666667,4.6593333333
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,40,17.63,13.191818182,12.928181818
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,6.3846153846,3.5746153846,2.7938461538
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,5.5,2.71,1.9525,2.0858333333
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,27,250,250,220,76.48,56.46344,51.70552
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,67,67,220,36.5,28.192835821,29.019850746
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.158083333,11.0515,8.6644166667,8.6644166667
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,3.345875,3.0416666667,2.3846944444,2.3846944444
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,19,13.326666667,12.371666667
1003846882,CORRAL,DAVID,F,MD,M,I,6410 SOUTHWEST BLVD,SUITE 220,BENBROOK,TX,761093914,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,36.25,33,25.87,25.87
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,34,34,75.142941176,42.701176471,28.595,26.681470588
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,19,23,23,221.32434783,98.965652174,75.845652174,66.09826087
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,14,22,40,99.05775,35.932,28.171,25.91725
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,18,23,23,160.09217391,62.561304348,36.594782609,33.709565217
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,33,39,39,47.313076923,20.536923077,14.551538462,12.815641026
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,25,32,129,6.0651937984,2.3848837209,1.4780620155,1.3434883721
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,287.5,108.66666667,75.531666667,57.54625
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,19,110,110,30.075,14.118727273,10.481363636,9.526
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,19,119,119,157.20957983,40.017647059,27.487394958,23.683865546
1003846908,KAIROUZ,JEANNE,M,MD,F,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,295,69.81,50.169166667,50.169166667
1003847054,WEISMAN,GLENDA,,MD,F,I,13232 N TATUM BLVD,,PHOENIX,AZ,850326459,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,65,74.676,8.32,6.0201538462,6.0201538462
1003847245,MAGAVI,SHIVAYOGI,V,MD,M,I,57 NORTH ST,SUITE 103,DANBURY,CT,068105660,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,29,81,71.052716049,8.32,5.7972839506,5.7972839506
1003847245,MAGAVI,SHIVAYOGI,V,MD,M,I,57 NORTH ST,SUITE 103,DANBURY,CT,068105660,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,31,13.752258065,1.42,1.0067741935,1.0067741935
1003847286,BOWYER,TONI,H,PA-C,F,I,98 WILLOW LN,,SPARTANBURG,SC,293071357,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,27,25.124444444,4.72,3.4,3.3792592593
1003847369,CAMPANELLA,BRENT,O,M.D.,M,I,5131 ESSEN LN,,BATON ROUGE,LA,708093541,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,43,59.105116279,8.32,6.1595348837,6.1595348837
1003847369,CAMPANELLA,BRENT,O,M.D.,M,I,5131 ESSEN LN,,BATON ROUGE,LA,708093541,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,12.902307692,1.42,1.1169230769,1.1169230769
1003847369,CAMPANELLA,BRENT,O,M.D.,M,I,5131 ESSEN LN,,BATON ROUGE,LA,708093541,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,67.66,18.5,12.395833333,11.555833333
1003847369,CAMPANELLA,BRENT,O,M.D.,M,I,5131 ESSEN LN,,BATON ROUGE,LA,708093541,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,145,30.2775,23.735,24.265
1003847369,CAMPANELLA,BRENT,O,M.D.,M,I,5131 ESSEN LN,,BATON ROUGE,LA,708093541,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,36,444.37,71,49.388611111,48.561944444
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,45,143,61.94958042,8.32,5.81,5.81
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,35,10.813428571,1.42,1.0517142857,1.0517142857
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,450,37.666666667,2.99,2.344,2.3660888889
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,155.48225806,17.095483871,13.404193548,13.521612903
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,632.43,82.196666667,64.441666667,64.918333333
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,100.52121212,13.138484848,9.6745454545,9.8036363636
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,108.08,32.706071429,21.505714286,21.684642857
1003847450,TURNER,RICHARD,B,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,81,81,1277.7322222,65.843703704,49.88308642,53.003950617
1003847518,PATEL,NATU,R,M.D,M,I,2792 EGYPT ROAD,,AUDUBON,PA,194032255,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,56,66.404464286,8.32,6.0566071429,6.0566071429
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,45,118,334,46.146377246,8.314251497,5.7361976048,5.7406886228
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,26,26,14.490769231,3.38,2.5480769231,2.5480769231
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,18,21,21,19.58,2.12,1.510952381,1.510952381
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,36,70,117,12.347350427,1.42,1.0205128205,1.0205128205
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,28.46,22.31,22.31
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.54,5.54,4.34,4.34
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,24,10.93,10.93,8.57,8.57
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,3152,0.44,0.44,0.3362087563,0.3362087563
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,25,50,88.9244,71.56,56.105,56.105
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,138,65,43.56,34.151666667,34.150217391
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,990,8.28,8.28,6.3744949495,6.3744949495
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,447,18.5,18.5,14.504049217,14.504049217
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,300,10.93,10.93,8.5690666667,8.5690666667
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,778,2.4,2.4,1.8816323907,1.8816323907
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,732,5.28,5.28,4.1395765027,4.1395765027
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,330,3.67,3.67,2.8773333333,2.8773333333
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,684,2.14,2.14,1.6778654971,1.6935818713
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,27,1743,0.4476133104,0.4476133104,0.3509236948,0.3526391279
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,6.5012,1.38,0.9972,1.0656
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,609,84.994055829,3,2.2322495895,2.2466338259
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,759,12.49,5.5,4.3119762846,4.1947167325
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6174,3.4996290897,0.39,0.2943197279,0.2808503401
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,7986,0.6,0.31,0.2430453293,0.2430453293
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,9666,1.2937595696,0.65,0.5095975585,0.5165135527
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,27,27,124.38296296,62.55,49.04,48.48
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,28,9.4454545455,5.7609090909,5.8763636364
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,20,20,162.0485,48.95,32.981,32.5185
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,16,319.663125,123.675,96.96375,98.941875
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,49.959473684,17.25,12.808421053,12.826315789
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,104.55,47.39,33.772727273,34.263636364
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,27.244390244,5.3487804878,3.5985365854,2.9946341463
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,43,43,236.66534884,79.88,58.340465116,51.820930233
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,262.5,35.63,27.93,29.378333333
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2040,1.0223529412,0.1336470588,0.0900637255,0.0900637255
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,21,105,105,69.949047619,17.415047619,11.976952381,12.356761905
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,33,33,20.278787879,7.4454545455,5.0078787879,5.7236363636
1003847617,MENDIRATTA,SURINDER,,MD,M,I,20905 GREENFIELD RD,SUITE 502,SOUTHFIELD,MI,480755360,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,24,99,33,22.63625,22.63625
1003847971,TOMBOULIAN,SHERRYL,J,"M.D., P.H.D",F,I,205 ORCHARD DR,,SISSETON,SD,572622312,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,23,45,89.745555556,8.32,6.2317777778,6.2317777778
1003847971,TOMBOULIAN,SHERRYL,J,"M.D., P.H.D",F,I,205 ORCHARD DR,,SISSETON,SD,572622312,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,86.31,22.407142857,15.434285714,11.769142857
1003847971,TOMBOULIAN,SHERRYL,J,"M.D., P.H.D",F,I,205 ORCHARD DR,,SISSETON,SD,572622312,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,519.51,103.089375,77.08875,52.7325
1003847971,TOMBOULIAN,SHERRYL,J,"M.D., P.H.D",F,I,205 ORCHARD DR,,SISSETON,SD,572622312,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3812,0.5042392445,0.0463090241,0.0334207765,0.0334207765
1003847971,TOMBOULIAN,SHERRYL,J,"M.D., P.H.D",F,I,205 ORCHARD DR,,SISSETON,SD,572622312,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1320,8.7839090909,3.0705454545,2.2351818182,2.2351818182
1003847971,TOMBOULIAN,SHERRYL,J,"M.D., P.H.D",F,I,205 ORCHARD DR,,SISSETON,SD,572622312,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,2.9981666667,0.219,0.1574305556,0.1574305556
1003847971,TOMBOULIAN,SHERRYL,J,"M.D., P.H.D",F,I,205 ORCHARD DR,,SISSETON,SD,572622312,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,68.64,33,24.8352,24.8352
1003848078,COHEN,MATTHEW,A,MD,M,I,31 VILLAGE SQ,,CHELMSFORD,MA,018242712,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,45,4350,5.2386206897,2.04,1.5354827586,1.5354827586
1003848078,COHEN,MATTHEW,A,MD,M,I,31 VILLAGE SQ,,CHELMSFORD,MA,018242712,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,3690,12.328861789,7.2085365854,5.6497235772,5.6650352304
1003848078,COHEN,MATTHEW,A,MD,M,I,31 VILLAGE SQ,,CHELMSFORD,MA,018242712,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,38,17.455263158,9.8078947368,6.9218421053,7.8376315789
1003848078,COHEN,MATTHEW,A,MD,M,I,31 VILLAGE SQ,,CHELMSFORD,MA,018242712,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,45,14.237333333,7.46,5.5884444444,5.5884444444
1003848136,CRISTESCU,CORINA,,M.D.,F,I,111 MALTESE DR,,MIDDLETOWN,NY,109402115,US,Physician/Internal Medicine,S,E0197,"Air pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40.72,11.485,9.005,11.001666667
1003848136,CRISTESCU,CORINA,,M.D.,F,I,111 MALTESE DR,,MIDDLETOWN,NY,109402115,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,134.38,46.733529412,36.640588235,38.685882353
1003848136,CRISTESCU,CORINA,,M.D.,F,I,111 MALTESE DR,,MIDDLETOWN,NY,109402115,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.44,5.5416666667,4.3483333333,3.5666666667
1003848243,CATANZARO,ANDREW,J,MD,M,I,12901 W NATIONAL AVENUE,,NEW BERLIN,WI,53151,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,40,91.99575,8.32,4.06275,4.06275
1003848292,DIMARTINO,NICHOLAS,,DO,M,I,5724 CLYMER RD,,QUAKERTOWN,PA,189513266,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,19,55,73.620181818,8.32,5.8109090909,5.8109090909
1003848292,DIMARTINO,NICHOLAS,,DO,M,I,5724 CLYMER RD,,QUAKERTOWN,PA,189513266,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8575,2.4025,3.0716666667
1003848300,KING,KATHLEEN,,MD,F,I,601 WALNUT STREET,THE CURTIS CENTER STE 640S,PHILADELPHIA,PA,19106,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,36,74.996388889,8.32,6.1580555556,6.1580555556
1003848300,KING,KATHLEEN,,MD,F,I,601 WALNUT STREET,THE CURTIS CENTER STE 640S,PHILADELPHIA,PA,19106,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,16.766153846,1.42,0.8615384615,0.8615384615
1003848458,STEWART,GARY,W,M.D.,M,I,N84W16889 MENOMONEE AVE,,MENOMONEE FALLS,WI,530512810,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,17.766,7,4.9890909091,4.9890909091
1003848458,STEWART,GARY,W,M.D.,M,I,N84W16889 MENOMONEE AVE,,MENOMONEE FALLS,WI,530512810,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,8.253,4.03,3.0062727273,3.0062727273
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,57,193,77.994145078,8.32,6.0829533679,6.0829533679
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,24,51,15.68745098,1.42,1.1145098039,1.1145098039
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,216.57416667,56,36.583333333,35.716666667
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,62,9.6812903226,2.3,1.6288709677,1.4377419355
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,27.3,2.8,2.1953333333,2.1953333333
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,175,50.805263158,39.828421053,40.795789474
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,86.31,17.014285714,12.198285714,12.359714286
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,54,54,42.34,41.81
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,50,50,39.2,37.63
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,19,50.73,3.9789473684,3.1168421053,3.7336842105
1003848532,LOONEY,JOHN JOSEPH,,M.D.,M,I,100 HIGHLAND ST,,MILTON,MA,021863881,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,66,75,519.51,77.776533333,58.4576,54.352533333
1003848540,ABRAHAM,VICTOR,E,MD,M,I,1099 MEDICAL CENTER DR,STE 101,WILMINGTON,NC,284017353,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,2340,3,1.73,1.297008547,1.5275512821
1003848540,ABRAHAM,VICTOR,E,MD,M,I,1099 MEDICAL CENTER DR,STE 101,WILMINGTON,NC,284017353,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,1800,12,6.68,5.2371222222,5.6395833333
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,34,79,212,76.392311321,8.32,5.4349528302,5.4349528302
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.989090909,3.38,1.9272727273,1.9272727273
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,41,47,14.643404255,1.42,0.9276595745,0.9276595745
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,290.93882353,94.154117647,73.814705882,70.292941176
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,38,122.78,35.316578947,27.687368421,25.943157895
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,66,68.754393939,19.480454545,15.272878788,14.564545455
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,67,44.103283582,17.798656716,13.07,11.009701493
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,29,29,177.62137931,61.301034483,47.116896552,42.786896552
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,21,30,30,62.646333333,19.447666667,15.241,14.521333333
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,19,34,34,57.874117647,12.601470588,9.8811764706,9.1138235294
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,20,38,204,8.5031862745,2.2624019608,1.7741666667,1.6280392157
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,53.143636364,13.349090909,10.466363636,10.354545455
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,142.98866667,43.641333333,34.214666667,28.137666667
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,504.90866667,70.23,47.718666667,47.424
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1200,1.022625,0.128125,0.0868166667,0.0868166667
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,60.35,19.959354839,15.049677419,13.891935484
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,138.58,62.701818182,49.158181818,36.390909091
1003848565,HURD QUINONES,MARY,K,MD,F,I,3305 SW 34TH CIR,STE 201,OCALA,FL,344746616,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.518181818,23.518181818
1003848649,MILLER,RHEE,W,MD,F,I,5303 ADAMS ST NE,STE C,COVINGTON,GA,300146208,US,Physician/Interventional Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,22,22,4709.9236364,1328.44,1037.2259091,924.49909091
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,28,97,216,68.534444444,8.32,5.5300925926,5.5300925926
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,36,55,15.235272727,1.42,0.9538181818,0.9538181818
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,175.53714286,53.23,38.749285714,39.889285714
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,86,8.9644186047,1.94,1.3013953488,1.3686046512
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,43,59.710930233,17.16,11.402790698,11.47255814
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1687.66,1074.31,842.26,842.26
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,42,404.73071429,72.45,45.926666667,44.405
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2400,1.0981458333,0.137175,0.0984666667,0.0984666667
1003848763,TRACY,ROBERT,N,M.D.,M,I,125 ST. MICHAEL DRIVE,,COLD SPRING,KY,410769999,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,33,33,22.897,22.897
1003848789,LINDSEY,MARK,R,M.D.,M,I,3901 MEDICAL PKWY,SUITE 200,AUSTIN,TX,787564027,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,170,2.9147058824,2.91,2.2818823529,2.2818823529
1003848789,LINDSEY,MARK,R,M.D.,M,I,3901 MEDICAL PKWY,SUITE 200,AUSTIN,TX,787564027,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,885,14.303954802,13.13,10.294,10.294
1003848789,LINDSEY,MARK,R,M.D.,M,I,3901 MEDICAL PKWY,SUITE 200,AUSTIN,TX,787564027,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,149,620,326.82,256.22711409,256.22711409
1003848789,LINDSEY,MARK,R,M.D.,M,I,3901 MEDICAL PKWY,SUITE 200,AUSTIN,TX,787564027,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,177,48.54,9.35,7.33,7.33
1003848789,LINDSEY,MARK,R,M.D.,M,I,3901 MEDICAL PKWY,SUITE 200,AUSTIN,TX,787564027,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,177,101.16,29.22,22.908531073,22.908531073
1003848797,LISH,JEFFREY,R,M.D.,M,I,984 MEDICAL DR STE 1,,BRIGHAM CITY,UT,843024712,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,55,130,73.326307692,8.32,5.1248461538,5.1248461538
1003848797,LISH,JEFFREY,R,M.D.,M,I,984 MEDICAL DR STE 1,,BRIGHAM CITY,UT,843024712,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,79.857333333,17.91,9.36,9.0433333333
1003848797,LISH,JEFFREY,R,M.D.,M,I,984 MEDICAL DR STE 1,,BRIGHAM CITY,UT,843024712,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,149.73666667,49.88,36.493333333,35.121333333
1003848797,LISH,JEFFREY,R,M.D.,M,I,984 MEDICAL DR STE 1,,BRIGHAM CITY,UT,843024712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,369.1596,70.48,49.9574,49.5122
1003848797,LISH,JEFFREY,R,M.D.,M,I,984 MEDICAL DR STE 1,,BRIGHAM CITY,UT,843024712,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,39.6,31.05,29.638333333
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,58,150,382,56.689528796,8.32,5.394947644,5.394947644
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,14,29,29,14.875172414,3.38,2.1931034483,2.1931034483
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,22.615,2.12,1.5308333333,1.5308333333
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,39,80,126,27.500555556,1.42,0.983015873,0.983015873
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,7.75,7.75,6.0162208333,6.1181208333
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,E0197,"Air pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40.72,11.546666667,7.15,9.2083333333
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,12,12,12,52.115,45.309166667,33.686666667,57.89
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1120,0.8445446429,0.0454196429,0.0346071429,0.0346071429
1003848805,GOYAL,ALOK,,M.D.,M,I,2509 PARK AVE,SUITE#1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,24.729166667,24.729166667
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,83,51.566144578,8.32,5.9925301205,5.9925301205
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,29,12.277931034,1.42,0.9989655172,0.9989655172
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,8.9334210526,1.61,1.2628947368,1.1539473684
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,35,91.986,20.589428571,16.058,13.623428571
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4828.8,1074.31,842.26,842.26
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,211.86571429,31.23,20.773333333,20.780952381
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,64,73,549.49342466,82.069863014,62.083287671,53.015753425
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,40,2370,15.58,9.6358607595,7.4334388186,7.4334388186
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1873,0.2476988788,0.0456914042,0.0357981847,0.0357981847
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1590,12.775968553,3.0084716981,2.3586666667,2.3586666667
1003849035,EL ZIND,NABILA,H,M.D.,F,I,4411 W GORE BLVD,SUITE B4,LAWTON,OK,735055977,US,Physician/Neurology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,49,49,123.91836735,33,25.87,25.87
1003849191,KNAKAL,ROGER,C,M.D.,M,I,790 COLLEGE PKWY,,COLCHESTER,VT,054463007,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,130,49.645,38.922142857,36.285
1003849191,KNAKAL,ROGER,C,M.D.,M,I,790 COLLEGE PKWY,,COLCHESTER,VT,054463007,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,20,12.713076923,9.9661538462,9.94
1003849191,KNAKAL,ROGER,C,M.D.,M,I,790 COLLEGE PKWY,,COLCHESTER,VT,054463007,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,112.5862069,35.064827586,26.881034483,25.013793103
1003849191,KNAKAL,ROGER,C,M.D.,M,I,790 COLLEGE PKWY,,COLCHESTER,VT,054463007,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,139.09263158,29.562105263,23.175263158,24.83
1003849233,MAJCHER,GRZEGORZ,,M.D.,M,I,3858 W CARSON ST,SUITE 123,TORRANCE,CA,905036709,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,75,204,85.275588235,8.32,5.9446078431,5.9446078431
1003849233,MAJCHER,GRZEGORZ,,M.D.,M,I,3858 W CARSON ST,SUITE 123,TORRANCE,CA,905036709,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,28,43,13.81744186,1.42,1.063255814,1.063255814
1003849233,MAJCHER,GRZEGORZ,,M.D.,M,I,3858 W CARSON ST,SUITE 123,TORRANCE,CA,905036709,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5874,0.765,0.2994382022,0.223629554,0.231154239
1003849282,SIDWANI-CHAWLA,SEEMA,,D.O,F,I,302 UNIVERSITY BLVD,,ROUND ROCK,TX,786651032,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,49,114,513,57.752319688,8.32,6.1539766082,6.1539766082
1003849282,SIDWANI-CHAWLA,SEEMA,,D.O,F,I,302 UNIVERSITY BLVD,,ROUND ROCK,TX,786651032,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,12.642666667,3.38,2.65,2.65
1003849282,SIDWANI-CHAWLA,SEEMA,,D.O,F,I,302 UNIVERSITY BLVD,,ROUND ROCK,TX,786651032,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,16.737272727,2.12,1.67,1.67
1003849282,SIDWANI-CHAWLA,SEEMA,,D.O,F,I,302 UNIVERSITY BLVD,,ROUND ROCK,TX,786651032,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,38,99,11.661010101,1.42,1.0457575758,1.0457575758
1003849282,SIDWANI-CHAWLA,SEEMA,,D.O,F,I,302 UNIVERSITY BLVD,,ROUND ROCK,TX,786651032,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,44,44,357.75772727,250.99590909,196.78045455,196.87
1003849407,GANESAN,GEETHA,,M.D.,F,I,14555 W NATIONAL AVE,,NEW BERLIN,WI,531514494,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,20,44,176,79.493806818,8.32,6.0777272727,6.0777272727
1003849779,KAILASAM,MALA,T,MD,F,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,191112434,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,33,49.649393939,8.32,5.7321212121,5.7321212121
1003849779,KAILASAM,MALA,T,MD,F,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,191112434,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,18,14.826666667,1.42,0.99,0.99
1003849837,RIDDLE,JENTRY,D,PA,F,I,4204 EAST STAN SCHLEUTER LOOP,,KILLEEN,TX,765428352,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,50,50,29.1368,4.4958,2.9728,3.0814
1003849837,RIDDLE,JENTRY,D,PA,F,I,4204 EAST STAN SCHLEUTER LOOP,,KILLEEN,TX,765428352,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,68.78,53.92,54.586666667
1003849845,DALRYMPLE,BRIAN,,,M,I,500 LAUCHWOOD DR,,LAURINBURG,NC,283525501,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,23,72.515652174,22.370434783,17.536956522,14.315217391
1003849845,DALRYMPLE,BRIAN,,,M,I,500 LAUCHWOOD DR,,LAURINBURG,NC,283525501,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,23,312.69826087,101.79913043,79.812608696,61.773478261
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,44,182,52.351923077,8.32,6.489010989,6.489010989
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,23,23,15.217391304,3.38,2.65,2.65
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,24.727272727,2.12,1.67,1.67
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,26,61,13.88295082,1.42,1.0950819672,1.0950819672
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,40,7.638,2.06,1.4535,1.43425
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,221.88,30.395555556,20.851666667,21.256111111
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,2625,0.47,0.0466780952,0.0295809524,0.0295809524
1003849902,JEFFRIES,RICHARD,H,DO,M,I,4830 LONDONDERRY RD,,HARRISBURG,PA,171095207,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,22.916666667,22.916666667
1003849928,PHILLIPS,SPENCER,D,MD,M,I,2113 MANOR RIDGE DR,,LANCASTER,PA,176034215,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,32,80,63.41175,8.32,5.706125,5.706125
1003849928,PHILLIPS,SPENCER,D,MD,M,I,2113 MANOR RIDGE DR,,LANCASTER,PA,176034215,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,21,14.94,1.42,1.0123809524,1.0123809524
1003849928,PHILLIPS,SPENCER,D,MD,M,I,2113 MANOR RIDGE DR,,LANCASTER,PA,176034215,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,58,6.6779310345,2.06,1.4479310345,1.4279310345
1003849928,PHILLIPS,SPENCER,D,MD,M,I,2113 MANOR RIDGE DR,,LANCASTER,PA,176034215,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,175,44.920909091,35.215454545,36.297272727
1003849928,PHILLIPS,SPENCER,D,MD,M,I,2113 MANOR RIDGE DR,,LANCASTER,PA,176034215,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,39.702857143,4.3242857143,3.3942857143,3.7
1003849928,PHILLIPS,SPENCER,D,MD,M,I,2113 MANOR RIDGE DR,,LANCASTER,PA,176034215,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,339.804,67.72,53.1,54.1432
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,156.78857143,53.697857143,42.1,36.671428571
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,41.150526316,9.7694736842,7.2236842105,6.8631578947
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,175,61.299,46.6065,36.7115
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,6.6,2.0423529412,1.4170588235,1.3517647059
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,7.0517241379,3.7413793103,2.7313793103,2.1003448276
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,212.565,77.281111111,57.628888889,53.191111111
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,34,65,19.484705882,11.433235294,10.103823529
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,27,27,118.55407407,29.297037037,20.502962963,19.466296296
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,22,22,307.63136364,43.811818182,34.347272727,29.064545455
1003849951,HILL,SCOT,,PA,M,I,1 SISKIN PLZ,STE 101,CHATTANOOGA,TN,374031306,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,7,17,64,64,38.0259375,10.018125,7.40453125,6.47921875
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,28,92,60.137717391,8.1634782609,5.4784782609,5.4784782609
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,13.476521739,1.42,1.1147826087,1.1147826087
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,19,19,143.97473684,49.414210526,37.895789474,30.269473684
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,125,77.311578947,60.611578947,44.207894737
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,48.88,24.164444444,18.073333333,13.278888889
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,29,171,7.3803508772,3.1863157895,2.4361988304,1.6799415205
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,52,67.607884615,22.780576923,16.423653846,12.344807692
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,32,140.08,45.3521875,33.1365625,24.2128125
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,141,150,327.8236,103.97493333,77.0978,55.148066667
1003850066,ZEILER,STEVEN,B,MD,M,I,1830 BLAKE AVE,,GLENWOOD SPRINGS,CO,816014275,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,220,44.745,32.344166667,27.056666667
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,55,71.280545455,8.32,6.046,6.046
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,11.982727273,1.42,1.12,1.12
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,64.409375,6.568125,4.84625,3.16875
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,38,544.39631579,86.03,67.448421053,58.989736842
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,238.33333333,35.66,27.96,29.380833333
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,2160,0.92,0.1385138889,0.1035555556,0.1035555556
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,12.86,2.9798461538,2.1522820513,2.1522820513
1003850132,ALDRICH,ASHLEY,N,M.D.,F,I,505 S MAIN ST,,PORTER,OK,744541015,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,132,33,23.8004,23.8004
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,329,11.626474164,6.6376595745,5.203768997,4.1629179331
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6942,0.4540363008,0.3323638721,0.2401065975,0.2241731489
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,14,14,85.025714286,64.345714286,50.447142857,48.32
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,59,59,59,129.82542373,52.790677966,40.764915254,36.826101695
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,36,36,36,122.86111111,57.74,44.041666667,42.099722222
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,173.80896552,52.473793103,39.554137931,36.71
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,160.45916667,48.155,37.755,38.135833333
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,30,82.499,17.643,11.124333333,10.831
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,3775.52,913.16,695.42428571,821.76428571
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,32.719,4.933,2.97,2.817
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,36,512.08388889,71.601944444,45.4925,44.0875
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,62,62,81.927258065,19.482903226,13.65016129,12.691612903
1003850322,JINDAL,PRITI,V,MD,F,I,2455 N TAMARACK TRL,,BLOOMINGTON,IN,47408,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,126.35545455,27.772727273,21.773636364,21.773636364
1003850355,CASKIE,DANIEL,A,PA-C,M,I,8901 UNIVERSITY BLVD,,NORTH CHARLESTON,SC,294069116,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,40,210,210,210,1476.2613333,1320.6955238,1020.189,871.26171429
1003850355,CASKIE,DANIEL,A,PA-C,M,I,8901 UNIVERSITY BLVD,,NORTH CHARLESTON,SC,294069116,US,Physician Assistant,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,79,79,83,785.89759036,727.70457831,567.06325301,477.16361446
1003850355,CASKIE,DANIEL,A,PA-C,M,I,8901 UNIVERSITY BLVD,,NORTH CHARLESTON,SC,294069116,US,Physician Assistant,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,71,71,79,938.32582278,857.58734177,668.98113924,674.32164557
1003850355,CASKIE,DANIEL,A,PA-C,M,I,8901 UNIVERSITY BLVD,,NORTH CHARLESTON,SC,294069116,US,Physician Assistant,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,20,21,37,465.12945946,453.21756757,355.32243243,354.02378378
1003850355,CASKIE,DANIEL,A,PA-C,M,I,8901 UNIVERSITY BLVD,,NORTH CHARLESTON,SC,294069116,US,Physician Assistant,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,30,151,152,165,128.95836364,106.30460606,82.840606061,88.351939394
1003850355,CASKIE,DANIEL,A,PA-C,M,I,8901 UNIVERSITY BLVD,,NORTH CHARLESTON,SC,294069116,US,Physician Assistant,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,32,105,105,157,541.6933121,471.19974522,367.94044586,363.90840764
1003850355,CASKIE,DANIEL,A,PA-C,M,I,8901 UNIVERSITY BLVD,,NORTH CHARLESTON,SC,294069116,US,Physician Assistant,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,11,11,11,826.32272727,732.02,573.91,568.53
1003850389,RAMESHBABU,ALAGUSIVA,K,MD,F,I,834 WEST MEETING ST,SUITE F,LANCASTER,SC,297206220,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,57.193181818,8.32,4.7418181818,4.7418181818
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,33,46,46,154.09826087,129.07804348,101.19152174,81.370217391
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,88,133,133,89.203082707,80.954962406,63.165864662,50.475413534
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,108,137,137,28.930583942,25.414233577,19.922262774,16.479489051
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,48,59,59,13.99559322,12.711186441,9.9691525424,8.8079661017
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,113,176,176,24.253579545,21.136875,16.568125,11.971590909
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,112,174,932,3.6256330472,3.2297854077,2.5320600858,1.9470386266
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,92,115,115,9.5034782609,8.4906086957,6.6622608696,5.5210434783
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,27,27,27,19.377037037,16.51,12.939259259,11.02962963
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,53,55,116.93218182,86.216727273,66.017636364,65.069272727
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,2350,1298.09,1015.604375,1015.604375
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,50,260,260,22.654346154,18.871192308,14.779769231,12.095576923
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,23,30,23.556333333,6.631,4.72,3.5913333333
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,52,332,332,70.360391566,50.617590361,39.227168675,30.019457831
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,110.26909091,101.38363636,79.487272727,58.419090909
1003850397,FAHED,GEORGE,P,MD,M,I,917 AVE TITO CASTRO,TORRE MEDICA SAN LUCAS SUITE 701,PONCE,PR,007160000,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33.923076923,33,25.87,25.87
1003850413,NAM,DANIEL,,"MD, PHD",M,I,154 MORTIMER AVE,,RUTHERFORD,NJ,070701615,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,60.831515152,4.6184848485,3.1863636364,3.2060606061
1003850413,NAM,DANIEL,,"MD, PHD",M,I,154 MORTIMER AVE,,RUTHERFORD,NJ,070701615,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,350.61333333,70.056666667,50.375833333,50.2725
1003850439,BOWSER,CORINNA,S,M.D.,F,I,200 MERION AVE,,NARBERTH,PA,190722417,US,Physician/Allergy/ Immunology,S,J1568,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,600,265.04883333,36.71925,28.78785,28.78785
1003850496,DALLIS,JAMES,,M.D.,M,I,800 AUSTIN DR,,DEMOREST,GA,305354508,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,271.10157895,266.98,201.75894737,210.83473684
1003850553,HASNAIN,IMRAN,,MD,M,I,1157 W GRAND BLVD,,CORONA,CA,928824392,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,43,88,83.778522727,8.32,5.3879545455,5.3879545455
1003850553,HASNAIN,IMRAN,,MD,M,I,1157 W GRAND BLVD,,CORONA,CA,928824392,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,792,0.1440530303,0.12,0.0940909091,0.0940909091
1003850553,HASNAIN,IMRAN,,MD,M,I,1157 W GRAND BLVD,,CORONA,CA,928824392,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,2066,0.5427976767,0.45,0.3527831559,0.3527831559
1003850553,HASNAIN,IMRAN,,MD,M,I,1157 W GRAND BLVD,,CORONA,CA,928824392,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,3,3,2.352,2.3650555556
1003850553,HASNAIN,IMRAN,,MD,M,I,1157 W GRAND BLVD,,CORONA,CA,928824392,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,4.86,4.98,3.9042465753,4.1629315068
1003850553,HASNAIN,IMRAN,,MD,M,I,1157 W GRAND BLVD,,CORONA,CA,928824392,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4500,0.36,0.36,0.2634666667,0.27
1003850553,HASNAIN,IMRAN,,MD,M,I,1157 W GRAND BLVD,,CORONA,CA,928824392,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5445,0.2998181818,0.2999449036,0.2351570248,0.2430394858
1003850603,OWENS,STEVEN,A,D.O.,M,I,839 S CEDAR ST STE 100,,MASON,MI,488542063,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,20,53.49,17.27,13.54,13.54
1003850603,OWENS,STEVEN,A,D.O.,M,I,839 S CEDAR ST STE 100,,MASON,MI,488542063,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,20,322.188,69.81,54.73,54.73
1003850645,DAR,ZAHID,N,MD,M,I,855 N WESTHAVEN DR,,OSHKOSH,WI,549047668,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,796,44.136055276,5.0481155779,3.9212939698,3.9212939698
1003850660,SPEACH,DAVID,P,M.D.,M,I,601 ELMWOOD AVE,BOX 665,ROCHESTER,NY,146420001,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,64.87,48.782727273,34.11,34.11
1003850710,JOHNSON,TODD,L,M.D.,M,I,4466 FULTON DR NW,,CANTON,OH,447182864,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,3735,2701.45125,2117.938125,2117.938125
1003850736,OWEN,ROBERT,D,M.D.,M,I,1401 HARRODSBURG RD,SUITE A540,LEXINGTON,KY,40504,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,1733.7723529,1328.44,984.51529412,847.11352941
1003850967,WILLIAMS,MICHAEL,D,MD,M,I,100 COUNTY ROAD B,,SHAWANO,WI,541667072,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,17,69,125,78.60536,8.32,5.84512,5.84512
1003850967,WILLIAMS,MICHAEL,D,MD,M,I,100 COUNTY ROAD B,,SHAWANO,WI,541667072,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,16,15.909375,1.42,0.97875,0.97875
1003850967,WILLIAMS,MICHAEL,D,MD,M,I,100 COUNTY ROAD B,,SHAWANO,WI,541667072,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,240,9.1588333333,5.54,3.9761666667,3.9761666667
1003850983,CORWIN,CHRISTOPHER,R,DPM,M,I,11459 JOHNS CREEK PKWY.,STE. 260,JOHNS CREEK,GA,300973515,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,350,266.98,200.87238095,210.45238095
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,520,0.4191538462,0.12,0.0940384615,0.0940384615
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,1760,0.5573636364,0.44,0.3449886364,0.3449886364
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,38,88.882631579,71.56,54.561315789,54.561052632
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,11,192,35.068958333,23.66,18.549479167,18.549479167
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,19,376,10.509680851,8.28,6.4916223404,6.4916223404
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,24,1264,0.1764082278,0.13,0.1019462025,0.1019462025
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,4226.3127273,622.55818182,488.08363636,496.12272727
1003850991,MOTLEY,TRAVIS,A,DPM,M,I,800 5TH AVE STE 400,,FORT WORTH,TX,761047305,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,60,52.27,43.56,34.1515,34.149833333
1003851056,SHARMA,MRINAL,,MD,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,12,21,21,204.9352381,119.04333333,86.153809524,62.097619048
1003851056,SHARMA,MRINAL,,MD,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,37.253571429,23.82,17.562142857,13.164285714
1003851056,SHARMA,MRINAL,,MD,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,51.928333333,19.485,14.715555556,9.35
1003851056,SHARMA,MRINAL,,MD,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,24,46,6.8847826087,2.9826086957,2.0519565217,1.3515217391
1003851056,SHARMA,MRINAL,,MD,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,18.868181818,8.7727272727,6.8827272727,5.0063636364
1003851056,SHARMA,MRINAL,,MD,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,129.531,22.2805,15.2285,11.8015
1003851056,SHARMA,MRINAL,,MD,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,507.49,102.96090909,73.354090909,53.111818182
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,24,24,119.50166667,40.25625,29.6975,28.649583333
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,660,8.4090909091,7.37,5.778,5.778
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,380,5.5,5.23,4.1002631579,4.1002631579
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,344.94,87.704444444,61.118888889,60.302777778
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,43,97.793023256,32.688604651,25.628372093,25.916976744
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,11,19,19,179.22894737,53.632631579,38.733684211,39.514210526
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,22,22,68.999090909,17.967272727,12.800909091,12.794545455
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,56.195,12.14,7.9333333333,7.6333333333
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,20,35,195,8.7625641026,2.107025641,1.5411794872,1.4823076923
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,12,12,24.805833333,6.0391666667,3.9483333333,3.875
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,34.7,11.558333333,9.0583333333,9.4083333333
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,23,105.32869565,48.913043478,38.347826087,38.297391304
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3775.52,1074.31,832.69533333,832.69533333
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,318.61052632,33.483947368,25.03,25.224473684
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,31,31,48.24483871,15.221290323,11.209677419,13.589677419
1003851064,AHMED,MOSTAQUE,,,M,I,555 ROCKAWAY PKWY,,BROOKLYN,NY,112123132,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,20.43,6.9631578947,5.1142105263,6.4178947368
1003851254,DHANDA,ANAND,M,MD LLC,M,I,8028 RITCHIE HWY,#114,PASADENA,MD,21122,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,10.81,10.81,7.7045454545,7.8018181818
1003851254,DHANDA,ANAND,M,MD LLC,M,I,8028 RITCHIE HWY,#114,PASADENA,MD,21122,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,7.38,7.38,5.2590909091,5.3254545455
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,33,95,247,51.974736842,8.32,6.4165587045,6.4165587045
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,10.441666667,3.38,2.65,2.65
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,35,58,13.001896552,1.42,1.1144827586,1.1144827586
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,308.16461538,94.29,72.122307692,66.041538462
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,34,126.50970588,34.02,26.672941176,25.918823529
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,70.779333333,18.946,14.428,13.683333333
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,68.833529412,12.737647059,9.99,9.12
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,21,114,8.4794736842,2.0959649123,1.6430701754,1.5916666667
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,258,70.899031008,4.98,3.9040697674,4.1631782946
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,6120,7.2381960784,1.1143267974,0.8595637255,0.9345702614
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,48,48,76.698958333,17.243958333,12.670416667,12.695
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,21,38.546666667,5.6585714286,4.439047619,3.4333333333
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,18,18,253.80444444,34.322222222,26.887777778,26.101111111
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,13,91,91,465.28230769,77.36,57.040549451,51.575934066
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,174.97692308,40.62,29.4,27.428461538
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,780,0.9764615385,0.1390769231,0.1090384615,0.1090384615
1003851262,GABROY,JAMES,B,MD,M,I,1535 WEST WARM SPRING ROAD,SUITE 135,HENDERSON,NV,89014,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,116.76923077,33,25.87,25.87
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,59,86,86,126.99639535,39.009767442,28.46755814,28.336511628
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,84,147,147,345.23782313,87.874013605,63.04,62.262244898
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,68,117,276,114.44224638,34.43673913,25.378985507,24.657717391
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,33,58,288,67.343333333,19.240138889,13.6725,13.166736111
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,29,47,252,44.493769841,15.12,10.647698413,10.684166667
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,81,140,140,196.9365,55.009785714,40.156071429,39.899285714
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,142,183,183,60.203879781,18.012459016,13.057704918,13.001092896
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,13,13,23.383846154,10.478461538,7.5853846154,7.5230769231
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,99,192,192,70.77421875,12.025677083,8.8549479167,8.6722395833
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,146,275,1446,8.9473236515,2.052780083,1.4942738589,1.4811825726
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,78,106,106,23.697641509,6.0179245283,4.3878301887,4.3523584906
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,81,110,110,48.388818182,13.381909091,9.6731818182,9.5838181818
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,73,77,68.548051948,18.024805195,12.85974026,12.303766234
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,17.29,13.55,13.53
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,204.48684211,48.31,33.892631579,33.695263158
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,37.63
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,23,107,108,459.95777778,90.824537037,67.596296296,64.568148148
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,43,43,43,464.27093023,137.89906977,99.294186047,96.241395349
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,26,81.75,13.57,9.0030769231,8.9230769231
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,33.949565217,4.5917391304,3.405,3.4034782609
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,68,309,322,288.01378882,34.071273292,24.736801242,23.846149068
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,28,193,200,429.9254,72.88585,53.60605,51.25095
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,50,175.6208,38.6334,28.3614,27.7274
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,17.215025,9.653,7.5331833333,7.5331833333
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,53,12785,0.2171012906,0.0465076261,0.0331505671,0.0331505671
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,31,3520,1.0662642045,0.1370823864,0.1043863636,0.1043863636
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1290,12.980806202,2.9756976744,2.3329612403,2.3329612403
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,0.75,0.219,0.1716818182,0.1716818182
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,85,37.740967742,27.692580645,27.614193548
1003851395,DEFEO,DAVID,,M.D.,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,18,77,77,77.474025974,33,24.19012987,24.19012987
1003851676,GUTSMANN,ASTRID,,"DO, PH.D.",F,I,411 E MCDERMOTT DR,,ALLEN,TX,750022854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,77,233,61.198755365,8.32,5.8506008584,5.8506008584
1003851676,GUTSMANN,ASTRID,,"DO, PH.D.",F,I,411 E MCDERMOTT DR,,ALLEN,TX,750022854,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,45,13.220666667,1.42,1.0415555556,1.0415555556
1003851718,MEDFORD,WILLIAM,L,MD,M,I,2300 PENNSYLVANIA AVE,SUITE 2A,WILMINGTON,DE,198061392,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,73,67.004657534,17.883561644,13.472876712,13.947123288
1003851718,MEDFORD,WILLIAM,L,MD,M,I,2300 PENNSYLVANIA AVE,SUITE 2A,WILMINGTON,DE,198061392,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,26,26,206.89923077,52.634230769,38.054615385,39.488846154
1003851718,MEDFORD,WILLIAM,L,MD,M,I,2300 PENNSYLVANIA AVE,SUITE 2A,WILMINGTON,DE,198061392,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,21,21,68.584761905,17.240952381,12.213809524,12.64952381
1003851718,MEDFORD,WILLIAM,L,MD,M,I,2300 PENNSYLVANIA AVE,SUITE 2A,WILMINGTON,DE,198061392,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,20,20,80.981,12.037,9.438,9.149
1003851718,MEDFORD,WILLIAM,L,MD,M,I,2300 PENNSYLVANIA AVE,SUITE 2A,WILMINGTON,DE,198061392,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,26,149,9.4613422819,2.0169127517,1.5499328859,1.5586577181
1003851718,MEDFORD,WILLIAM,L,MD,M,I,2300 PENNSYLVANIA AVE,SUITE 2A,WILMINGTON,DE,198061392,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,38.497142857,12.334285714,9.67,10.242142857
1003851718,MEDFORD,WILLIAM,L,MD,M,I,2300 PENNSYLVANIA AVE,SUITE 2A,WILMINGTON,DE,198061392,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,145.9775,31.285,24.525,25.195
1003851817,MEHTA,SAMIR,,MD,M,I,3737 MARKET ST,7 FLOOR,PHILADELPHIA,PA,191045545,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,70.610909091,16.492727273,12.931818182,14.288181818
1003851817,MEHTA,SAMIR,,MD,M,I,3737 MARKET ST,7 FLOOR,PHILADELPHIA,PA,191045545,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,26.944545455,7.61,5.9654545455,6.7181818182
1003851825,EGGLESTON,KEVIN,L,M.D.,M,I,36500 AURORA DR,,SUMMIT,WI,530664899,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,91.965,22.297857143,17.48,13.960714286
1003851825,EGGLESTON,KEVIN,L,M.D.,M,I,36500 AURORA DR,,SUMMIT,WI,530664899,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,491.45785714,102.34714286,80.242142857,57.622142857
1003851833,RICCHIUTI,DANIEL,J,M.D.,M,I,602 PARMALEE AVE,SUITE 300,YOUNGSTOWN,OH,445101653,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1140,0.3057894737,0.13,0.102,0.102
1003851833,RICCHIUTI,DANIEL,J,M.D.,M,I,602 PARMALEE AVE,SUITE 300,YOUNGSTOWN,OH,445101653,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,46,3000,5.4064,1.9218,1.4316733333,1.51959
1003851833,RICCHIUTI,DANIEL,J,M.D.,M,I,602 PARMALEE AVE,SUITE 300,YOUNGSTOWN,OH,445101653,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,2370,9.2456962025,6.2107594937,4.8692405063,5.6683291139
1003851833,RICCHIUTI,DANIEL,J,M.D.,M,I,602 PARMALEE AVE,SUITE 300,YOUNGSTOWN,OH,445101653,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,116,3.849137931,1.7503448276,1.1773275862,1.2161206897
1003851890,DUA,PUNKAJ,K,MD,M,I,2010 HEALTH CAMPUS DR,,HARRISONBURG,VA,228018679,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,26,242.51692308,84.716153846,66.418461538,65.821538462
1003851890,DUA,PUNKAJ,K,MD,M,I,2010 HEALTH CAMPUS DR,,HARRISONBURG,VA,228018679,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,29.35,29.51
1003851965,KAVIANI,KIAN,,MD,M,I,10215 FERNWWOD RD,SUITE 315,BETHESDA,MD,20817,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,25,46,119,64.804117647,8.32,6.248487395,6.248487395
1003851965,KAVIANI,KIAN,,MD,M,I,10215 FERNWWOD RD,SUITE 315,BETHESDA,MD,20817,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,19,27,14.11,1.42,1.1148148148,1.1148148148
1003851965,KAVIANI,KIAN,,MD,M,I,10215 FERNWWOD RD,SUITE 315,BETHESDA,MD,20817,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3849,0.1838373604,0.0464925955,0.0364484282,0.0364484282
1003851965,KAVIANI,KIAN,,MD,M,I,10215 FERNWWOD RD,SUITE 315,BETHESDA,MD,20817,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1003852054,VENTER,JOHNNY,L,DO,M,I,3125 DR RUSSELL SMITH WAY,,CARTHAGE,MO,648367402,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1001.46,773.19333333,830.30416667
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,24,74,200,58.7734,8.32,5.3688,5.3688
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.647142857,3.38,2.65,2.65
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,25,37,15.88972973,1.4086486486,0.9259459459,0.9259459459
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1440,0.44,0.44,0.3449652778,0.3449652778
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,28.882888889,4.9795555556,3.5644444444,3.3444444444
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,139.63,30.81,24.152857143,25.220714286
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.65,9.88,7.7472727273,7.7881818182
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,47,387.62212766,70.04,54.389148936,54.209148936
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.2225,35.56,27.88,29.51
1003852070,RAE,ROBERT,S,MD,M,I,5200 HARROUN RD,,SYLVANIA,OH,435602168,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,122.03363636,95.670909091,95.99
1003852187,NAGEL,KIMBERLY,F,ARNP,F,I,5701 W 119TH ST,SUITE 345,OVERLAND PARK,KS,66209,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,36,146,63.379246575,8.32,5.2076712329,5.2076712329
1003852187,NAGEL,KIMBERLY,F,ARNP,F,I,5701 W 119TH ST,SUITE 345,OVERLAND PARK,KS,66209,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,26,14.656923077,1.42,0.9,0.9
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,30,3.2613333333,0.51,0.3733333333,0.3733333333
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,63,157,612,52.322287582,8.309248366,6.1758986928,6.1843300654
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,20,54,54,13.80037037,3.38,2.5027777778,2.5027777778
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,20,26,26,22.176923077,2.12,1.5415384615,1.5415384615
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,45,98,200,14.5989,1.42,1.09215,1.09215
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,40,40,32.443,26.47,20.241,21.68475
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,192,2.49,2.49,1.9516666667,1.9516666667
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,7,2.27,1.4830952381,1.4830952381
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,46,12.315217391,9.29,6.8713043478,8.0280434783
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,24.56,7.46,5.0625,5.0625
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,250,8.3,7,5.488,5.488
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,260,6.0924615385,5.54,4.3434615385,4.3434615385
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,1744,0.4455905963,0.4372477064,0.3427924312,0.3427924312
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,920,0.4670652174,0.27,0.2116304348,0.2116304348
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,682,7.37,6.26,4.9079032258,5.6991055718
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,431,5.3281438515,5.23,3.6049651972,3.6049651972
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,490,3.5134693878,3.04,2.3834693878,2.3834693878
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,249,23.66,23.66,18.418795181,18.418795181
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,259,10.93,10.93,8.5691891892,8.5691891892
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,23,774,2.4,2.4,1.8451808786,1.8451808786
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,47,18.29,18.29,14.33893617,14.33893617
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,1191,0.4493702771,0.4493702771,0.3523173804,0.3527875735
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,11,33,70,6.1191428571,2.1185714286,1.6232857143,1.1568571429
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,30,3.0813333333,1.4766666667,1.0863333333,0.898
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,16,35,35,267.386,119.27971429,88.835428571,66.967428571
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,11,24,24,169.16666667,73.73,49.948333333,35.716666667
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,23,23,44.03826087,23.39173913,17.661304348,13.448695652
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,28,55,55,53.060545455,19.692181818,14.156,8.5789090909
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,81,114,7.419122807,3.0731578947,2.3476315789,1.6956140351
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,23,31,31,19.634516129,8.4216129032,5.9451612903,4.3348387097
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,155,71.732941176,50.344117647,39.051764706
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,64,56.09984375,21.8003125,15.31765625,12.69828125
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,63.43,45.594545455,39.048181818
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,25,25,117.25,60.5588,44.2296,35.6876
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,59.384545455,43.37,35.657272727
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,30.093913043,10.183043478,7.827826087,6.2213043478
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,137,65.471428571,51.325714286,39.02
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,12,12,12,59.274166667,52.950833333,41.514166667,55.48
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,99,102,252.59431373,100.18,72.77245098,53.125980392
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,13,208.46153846,45.274615385,35.497692308,30.066923077
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,6075,0.2851308642,0.0464460905,0.0318650206,0.0318650206
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,82,11523,1.6746862796,0.1361312158,0.1002586132,0.1002586132
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1680,10.549755952,3.0075357143,2.2725238095,2.2725238095
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,43,43,55,24.817209302,13.399302326,10.260232558
1003852252,HOMER,PATRICK,J,D.O.,M,I,1600 NORTH MAIN,,LOVINGTON,NM,882602813,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,91,91,84.274725275,33,23.908791209,23.908791209
1003852302,TAYLOR,ROBERT,S,M.D.,M,I,8080 BLUEBONNET BLVD,STE 3000,BATON ROUGE,LA,708107827,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,3549,0.285350803,0.13,0.0973513666,0.0973513666
1003852302,TAYLOR,ROBERT,S,M.D.,M,I,8080 BLUEBONNET BLVD,STE 3000,BATON ROUGE,LA,708107827,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,41,6510,3.8296774194,1.9193087558,1.4735652842,1.5590614439
1003852302,TAYLOR,ROBERT,S,M.D.,M,I,8080 BLUEBONNET BLVD,STE 3000,BATON ROUGE,LA,708107827,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,31,9.3806451613,7.46,4.7167741935,4.7167741935
1003852450,KURECKI,SCOTT,P,D.P.M.,M,I,12757 TAMIAMI TRL S,,NORTH PORT,FL,342871934,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,62,62,124,75,71.56,54.29516129,54.29516129
1003852450,KURECKI,SCOTT,P,D.P.M.,M,I,12757 TAMIAMI TRL S,,NORTH PORT,FL,342871934,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,48,48,288,40.104166667,29.19,22.776458333,22.777986111
1003852450,KURECKI,SCOTT,P,D.P.M.,M,I,12757 TAMIAMI TRL S,,NORTH PORT,FL,342871934,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,84,51.142857143,43.051428571,33.380595238,33.578690476
1003852450,KURECKI,SCOTT,P,D.P.M.,M,I,12757 TAMIAMI TRL S,,NORTH PORT,FL,342871934,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,11,128,7.84,7.84,5.74421875,6.107578125
1003852450,KURECKI,SCOTT,P,D.P.M.,M,I,12757 TAMIAMI TRL S,,NORTH PORT,FL,342871934,US,Podiatry,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,41,41,41,20,18.29,14.34,14.34
1003852450,KURECKI,SCOTT,P,D.P.M.,M,I,12757 TAMIAMI TRL S,,NORTH PORT,FL,342871934,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,198,163.71923077,125.65307692,123.90846154
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,5550,4.9281837838,0.5690990991,0.4113477477,0.4113477477
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1950,0.1159333333,0.013,0.0102,0.0102
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3120,3.9785833333,1.2999230769,1.0085480769,1.0085480769
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,17.983166667,7.5108181818,5.888469697,5.888469697
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,62.377857143,19.498571429,14.268571429,13.098571429
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,21.282142857,8.5378571429,6.2492857143,6.1592857143
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,24,24,17.027619048,17.027619048
1003852567,LAMARCHE,MAXIMO,B,M.D.,M,I,300 W SAINT MARY BLVD,,LAFAYETTE,LA,705064638,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,16,16,12.54,12.54
1003852708,CHEN,ANNE,A,M.D.,F,I,1127 TEXAS ST,SUITE A,FAIRFIELD,CA,945335745,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,97,289,75.107197232,8.32,5.2912802768,5.2912802768
1003852708,CHEN,ANNE,A,M.D.,F,I,1127 TEXAS ST,SUITE A,FAIRFIELD,CA,945335745,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,45,65,18.426153846,1.42,1.0301538462,1.0301538462
1003852708,CHEN,ANNE,A,M.D.,F,I,1127 TEXAS ST,SUITE A,FAIRFIELD,CA,945335745,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,66,10.425454545,2.02,1.2966666667,1.3045454545
1003852708,CHEN,ANNE,A,M.D.,F,I,1127 TEXAS ST,SUITE A,FAIRFIELD,CA,945335745,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,136.896,17.09,11.613333333,11.75
1003852708,CHEN,ANNE,A,M.D.,F,I,1127 TEXAS ST,SUITE A,FAIRFIELD,CA,945335745,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,519.5625,67.308,47.693,49.74275
1003852708,CHEN,ANNE,A,M.D.,F,I,1127 TEXAS ST,SUITE A,FAIRFIELD,CA,945335745,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,525.375,36.845,25.29625,25.89875
1003852708,CHEN,ANNE,A,M.D.,F,I,1127 TEXAS ST,SUITE A,FAIRFIELD,CA,945335745,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1938.7318182,151.82818182,119.03727273,119.03090909
1003852815,BRENNER,LOUIS,,M.D.,M,I,1113 ALTA AVE,SUITE 110,UPLAND,CA,917862800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,48,42.995,8.32,5.7072916667,5.7072916667
1003852815,BRENNER,LOUIS,,M.D.,M,I,1113 ALTA AVE,SUITE 110,UPLAND,CA,917862800,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,60.896333333,17,12.441333333,12.647666667
1003852815,BRENNER,LOUIS,,M.D.,M,I,1113 ALTA AVE,SUITE 110,UPLAND,CA,917862800,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,358.07033333,79.22,58.490333333,51.602333333
1003852849,VANDENBURGH,CORTNEY,A,DO,F,I,1450 AVIATION DR,SUITE 100,HAILEY,ID,833338785,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,60,22.451578947,16.341052632,12.344210526
1003852849,VANDENBURGH,CORTNEY,A,DO,F,I,1450 AVIATION DR,SUITE 100,HAILEY,ID,833338785,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,337.05875,103.089375,75.2209375,49.5990625
1003852880,WILLIAMS,HEATHER,C,MD,F,I,8450 NORTHWEST BLVD,,INDIANAPOLIS,IN,462781381,US,Physician/Hand Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,118.24,91.27,71.56,79.51
1003852880,WILLIAMS,HEATHER,C,MD,F,I,8450 NORTHWEST BLVD,,INDIANAPOLIS,IN,462781381,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,64,66,76,68.247631579,59.666447368,46.221447368,46.109342105
1003852880,WILLIAMS,HEATHER,C,MD,F,I,8450 NORTHWEST BLVD,,INDIANAPOLIS,IN,462781381,US,Physician/Hand Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,21,27,29.85,29.85,23.4,57.536666667
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,46,83.495652174,71.56,54.849347826,54.849347826
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,82,53.359756098,43.56,34.151463415,34.149756098
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,29.345454545,8.8563636364,6.9481818182,7.5145454545
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,326.82,68.78,53.92,54.653333333
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,44.77,29.055454545,20.714545455,21.199090909
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,65.977142857,18.821904762,13.508095238,13.512857143
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,25.28,7.8533333333,5.5072222222,5.8616666667
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,98.51,78.81,61.79,68.66
1003853011,BROWN,BEIL,C,D.P.M.,M,I,"1665 ANTILLEY RD., SUITE 210",,ABILENE,TX,796065223,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,328.15727273,251.28,170.91454545,190.81272727
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,56,2.4028571429,2.4028571429,1.8839285714,3.1964285714
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,9.3120833333,8.1,6.35,6.4233333333
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.33625,4.265,3.3425,3.3758333333
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,94.261818182,17.09,13.4,13.518181818
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1623.09,913.16,715.92,831.73166667
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,401.78230769,67.321538462,52.780769231,54.482307692
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,1710,3.7324912281,0.5676842105,0.4127719298,0.4127719298
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1650,0.1308060606,0.0130909091,0.0092787879,0.0092787879
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,766,3.167154047,0.8725848564,0.6296866841,0.6296866841
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,24,24,16.938,16.938
1003853227,JOSEPH,SAMUEL,G,D.O.,M,I,104 W. 5TH AVE.,SUITE 400 W.,SPOKANE,WA,992044800,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,34,16,16,12.171176471,12.171176471
1003853268,FOX,ROBERT,E,MD,M,I,268 POST RD,SUITE 203,WESTERLY,RI,028916600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,22,45,98,64.969387755,8.32,5.8563265306,5.8563265306
1003853268,FOX,ROBERT,E,MD,M,I,268 POST RD,SUITE 203,WESTERLY,RI,028916600,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,24,30,10.215666667,1.42,0.894,0.894
1003853268,FOX,ROBERT,E,MD,M,I,268 POST RD,SUITE 203,WESTERLY,RI,028916600,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,314.568,52.82,40.098666667,41.451333333
1003853268,FOX,ROBERT,E,MD,M,I,268 POST RD,SUITE 203,WESTERLY,RI,028916600,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,111.61909091,19.562727273,15.342727273,14.191818182
1003853268,FOX,ROBERT,E,MD,M,I,268 POST RD,SUITE 203,WESTERLY,RI,028916600,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,86,13.72627907,2.54,1.8526744186,1.4805813953
1003853268,FOX,ROBERT,E,MD,M,I,268 POST RD,SUITE 203,WESTERLY,RI,028916600,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,227.57333333,31.823333333,21.492222222,21.634814815
1003853276,HART,NORA,C,MD,F,I,17183 I H 45 S STE 550,,SHENANDOAH,TX,77385,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,22,64.305,8.32,6.2240909091,6.2240909091
1003853276,HART,NORA,C,MD,F,I,17183 I H 45 S STE 550,,SHENANDOAH,TX,77385,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,61,5.4945901639,2,1.5683606557,1.5870491803
1003853276,HART,NORA,C,MD,F,I,17183 I H 45 S STE 550,,SHENANDOAH,TX,77385,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,100,33.466666667,20.338333333,20.128333333
1003853466,ELYASH,SEMYON,,,M,I,745 OCEAN PKWY,,BROOKLYN,NY,112301113,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,56,114,78.148508772,8.32,6.5214035088,6.5214035088
1003853466,ELYASH,SEMYON,,,M,I,745 OCEAN PKWY,,BROOKLYN,NY,112301113,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,43.251578947,1.42,1.12,1.12
1003853508,CHANG,SYLVIA,S,M.D.,F,I,"4924 CAMPBELL BOULEVARD, SUITE 200",JOHNS HOPKINS COMMUNITY PHYSICIANS,BALTIMORE,MD,212635914,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,88,71.735909091,8.32,6.0776136364,6.0776136364
1003853508,CHANG,SYLVIA,S,M.D.,F,I,"4924 CAMPBELL BOULEVARD, SUITE 200",JOHNS HOPKINS COMMUNITY PHYSICIANS,BALTIMORE,MD,212635914,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,30,17.095,1.42,1.0403333333,1.0403333333
1003853599,BARGER,GEOFFREY,R,MD,M,I,4201 ST ANTOINE,SUITE 8D,DETROIT,MI,482012153,US,Physician/Neurology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,16,5105,14.295915769,0.9797198825,0.7681018609,0.7681018609
1003853599,BARGER,GEOFFREY,R,MD,M,I,4201 ST ANTOINE,SUITE 8D,DETROIT,MI,482012153,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1003853599,BARGER,GEOFFREY,R,MD,M,I,4201 ST ANTOINE,SUITE 8D,DETROIT,MI,482012153,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,18,16,16,12.54,12.54
1003853680,KADDIS,MONA,S,M.D.,F,I,14 PROSPECT ST,2ND FLOOR,MILFORD,MA,017573003,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,19,1344,33.405364583,4.549389881,3.56671875,3.56671875
1003853680,KADDIS,MONA,S,M.D.,F,I,14 PROSPECT ST,2ND FLOOR,MILFORD,MA,017573003,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1003853797,SILVA,JANE,T,M.D.,F,I,200 TRAPELLO ROAD,FERNALD DEVELOPMNT CTR,NORTH WALTHAM,MA,02452,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,12,53,1561,25.151537476,4.9,3.6651569507,3.988033312
1003853797,SILVA,JANE,T,M.D.,F,I,200 TRAPELLO ROAD,FERNALD DEVELOPMNT CTR,NORTH WALTHAM,MA,02452,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,11,62,20050,1.3814234414,0.3655341646,0.2716952618,0.2752573566
1003853797,SILVA,JANE,T,M.D.,F,I,200 TRAPELLO ROAD,FERNALD DEVELOPMNT CTR,NORTH WALTHAM,MA,02452,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,32.28,11.924761905,9.3452380952,9.2066666667
1003853797,SILVA,JANE,T,M.D.,F,I,200 TRAPELLO ROAD,FERNALD DEVELOPMNT CTR,NORTH WALTHAM,MA,02452,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,35,23.18,11.192,8.7731428571,8.7311428571
1003853797,SILVA,JANE,T,M.D.,F,I,200 TRAPELLO ROAD,FERNALD DEVELOPMNT CTR,NORTH WALTHAM,MA,02452,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,380.12666667,225.09,176.46571429,176.46571429
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,73,110,7540,0.1507281167,0.1199681698,0.0910729443,0.091096817
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,26,102.52153846,71.5,56.058076923,56.105
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,67,82,43.56,32.641343284,32.639701493
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,55,79,2890,2.9724913495,2.4,1.8536089965,1.8536089965
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,475,3.5404210526,2.73,2.1403368421,2.1403368421
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,21,23,91,22.20978022,18.29,14.024285714,14.024285714
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,570,4.7231578947,3.67,2.7763157895,2.7763157895
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,51,76,8401,2.6584156648,2.16,1.6822461612,1.6822461612
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,73,113,14988,0.1658279957,0.13,0.0986489191,0.0986489191
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,1623,0.6080406654,0.4499075786,0.3285027726,0.3285767098
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,126,6.7957142857,1.28,1.0033333333,1.0033333333
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,19,35,425,34.885411765,24.842352941,19.476376471,19.207011765
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,18,31,260,15.978846154,8.2432692308,6.4627307692,6.4288076923
1003853862,REGISTER,SAMUEL,D,MD,M,I,3500 SPRINGHILL DR STE 200A,,NORTH LITTLE ROCK,AR,721172948,US,Physician/Anesthesiology,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,18,49,49,2096.2404082,498.15306122,390.55714286,472.94122449
1003853888,DEMAIO,FRANK,,M.D.,M,I,1047 E ALMOND ST,,VINELAND,NJ,083604841,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,400.985,67.72,47.79,49.462
1003853987,BEG,SIMIN,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,105,19.71,15.45,15.45
1003853987,BEG,SIMIN,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,21,61,200,37.38,29.306393443,29.306393443
1003853987,BEG,SIMIN,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.541818182,4.9290909091,3.8690909091,3.6881818182
1003853987,BEG,SIMIN,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,1186,64.462529511,1.5480522766,1.2136846543,1.2136846543
1003854258,YOUNG,KEITH,,M.D.,M,I,205 S MCCRARY ST,,WOODBURY,TN,371901439,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,31,60.45516129,8.32,4.4193548387,4.4193548387
1003854258,YOUNG,KEITH,,M.D.,M,I,205 S MCCRARY ST,,WOODBURY,TN,371901439,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,200,17.1944,7,5.3791,5.3791
1003854282,THUKKARAM,KAVITHA,,M.D,F,I,212 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,28,75,340.22106667,8.32,6.1736,6.1736
1003854282,THUKKARAM,KAVITHA,,M.D,F,I,212 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,20,15.7165,1.42,1.002,1.002
1003854282,THUKKARAM,KAVITHA,,M.D,F,I,212 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,134.38,49.261666667,30.650555556,29.450555556
1003854282,THUKKARAM,KAVITHA,,M.D,F,I,212 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,28,28,157.66,48.753214286,38.223928571,40.060357143
1003854282,THUKKARAM,KAVITHA,,M.D,F,I,212 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,34,68.795882353,15.712941176,11.323235294,13.194705882
1003854282,THUKKARAM,KAVITHA,,M.D,F,I,212 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,23,22.649130435,7.1756521739,4.11,5.5347826087
1003854282,THUKKARAM,KAVITHA,,M.D,F,I,212 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,25.87,25.87
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,34,70,77.024285714,8.32,5.5227142857,5.5227142857
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,128.40941176,39.51,29.157647059,28.754117647
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,44,144.99681818,33.6,25.145227273,24.777954545
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,188.38272727,56.21,38.933636364,37.943636364
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,75.976428571,18.25,13.287857143,13.055714286
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,25,113,9.8269026549,2.08,1.572300885,1.5383185841
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,82.507708333,17.91,14.04,13.54
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,365,91.494285714,71.731428571,70.29
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,68.603448276,12.990344828,8.7444827586,9.034137931
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,228.2376,32.5932,24.3048,24.3116
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,61,433.38721311,70.48,55.25,54.728688525
1003854324,FRANDSEN,TRACY,M,M.D.,M,I,325 W CENTER ST,,SPANISH FORK,UT,846602060,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,66,18.192941176,14.26,14.638823529
1003854365,CROWELL,MARY,W,MD,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,02601,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,27,333,64.671531532,19.601081081,15.181291291,15.181291291
1003854365,CROWELL,MARY,W,MD,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,02601,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,26,770,8.5422207792,2.6290909091,2.0342857143,2.0342857143
1003854365,CROWELL,MARY,W,MD,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,02601,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,82,210,1075,71.967711628,8.32,6.1342139535,6.1342139535
1003854365,CROWELL,MARY,W,MD,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,02601,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,16,18,10.583333333,3.38,2.65,2.65
1003854365,CROWELL,MARY,W,MD,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,02601,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,36,70,149,15.29885906,1.42,1.0544295302,1.0544295302
1003854365,CROWELL,MARY,W,MD,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,02601,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,11,62,62,319.56145161,251.02193548,194.48677419,194.55564516
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,145,229,229,84.541004367,40.448908297,30.875676856,29.709563319
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,109,200,201,255.60900498,90.61681592,67.407313433,64.593631841
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,94,186,480,95.2391875,34.817458333,26.624125,25.439895833
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,53,98,483,63.082443064,19.614554865,15.14552795,14.318012422
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,47,75,394,43.066472081,15.916142132,11.886192893,11.278680203
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,111,182,182,168.0417033,56.286153846,42.116868132,40.832197802
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,188,227,227,53.96215859,18.977268722,14.240440529,13.53784141
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,54,112,112,67.449375,12.561160714,9.2574107143,8.8354464286
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,203,371,1894,8.8239651531,2.1694561774,1.6553009504,1.5559186906
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,111,135,135,17.572518519,6.1994814815,4.7607407407,4.55
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,83,97,97,33.088762887,14.14742268,10.781649485,10.17443299
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,35,86.31,19.068571429,14.013428571,12.638285714
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,32,181,181,314.68685083,89.979281768,66.666187845,63.794254144
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,54,54,918.32111111,195.63481481,146.40574074,152.07259259
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,27,27,27,398.21518519,145.58148148,110.25555556,103.54111111
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,70,362,369,43.82701897,13.69804878,10.273143631,10.036422764
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,85,458,468,154.93961538,34.065811966,25.095512821,23.906260684
1003854464,GRAINGER,TERRY,A,MD,M,I,8 RICHLAND MEDICAL PARK DR STE 100,,COLUMBIA,SC,29203,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,68,77,484.28714286,75.277532468,55.964025974,51.751298701
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,63,143,70.938951049,8.32,5.0637062937,5.0637062937
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,25,42,21.093571429,1.42,1.0611904762,1.0611904762
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,22.89,10.940909091,8.5772727273,8.8472727273
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,33,21.952727273,10.39969697,8.1533333333,8.2424242424
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,393.93,217.88545455,170.81636364,170.81636364
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,639.995,65.7,45.07125,48.3925
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,9417,0.2932494425,0.0461070405,0.0331315706,0.0331315706
1003854571,HOPE,BRADLEY,,M.D.,M,I,4141 STATE ST,,SANTA BARBARA,CA,931101814,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,82.5,33,24.348235294,24.348235294
1003854597,MEDIWALA,RAHUL,N,,M,I,1500 E 2ND ST,SUITE 201,RENO,NV,895021262,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,3060,5.1090947712,0.5532745098,0.3830457516,0.3830457516
1003854597,MEDIWALA,RAHUL,N,,M,I,1500 E 2ND ST,SUITE 201,RENO,NV,895021262,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,2476,3.0660864297,1.2826615509,1.0055936995,1.0055896607
1003854597,MEDIWALA,RAHUL,N,,M,I,1500 E 2ND ST,SUITE 201,RENO,NV,895021262,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,24,24,17.829473684,17.829473684
1003854597,MEDIWALA,RAHUL,N,,M,I,1500 E 2ND ST,SUITE 201,RENO,NV,895021262,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,28,16,16,12.542142857,12.542142857
1003854746,CARDIN,JOAN,P,NP,F,I,912 W MAIN ST,,HOMER,LA,710403328,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,32,49.414375,8.32,6.11625,6.11625
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,33,88,199,64.533819095,8.32,5.8009045226,5.8009045226
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.749090909,3.38,2.4090909091,2.4090909091
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,44,51,24.294509804,1.42,1.0733333333,1.0733333333
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,4.956,4.19,3.285,3.285
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,11,11,148.56090909,59.090909091,46.328181818,48.168181818
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,47.59,5.01,3.93,3.9481818182
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,25.285454545,19.822727273,23.448181818
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,398.546,71.5,42.539333333,41.476
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,2282,0.5415293602,0.0474189308,0.0243032428,0.0243032428
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,86.571333333,16.81,13.179333333,15.712
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,27.108181818,21.25,25.039090909
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,25.126785714,7.14,5.5971428571,6.9725
1003854761,MAO,CHENG-AN,,M.D.,M,I,871 ALLWOOD RD,,CLIFTON,NJ,070121943,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,16,16,33,33,21.019375,21.019375
1003854803,MCWILLIAMS,SEAN,M,MD,M,I,7720 US HIGHWAY 98 W,370,DESTIN,FL,325507230,US,Physician/Otolaryngology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,870,7.1512183908,2.8924137931,2.2676781609,2.2676781609
1003854803,MCWILLIAMS,SEAN,M,MD,M,I,7720 US HIGHWAY 98 W,370,DESTIN,FL,325507230,US,Physician/Otolaryngology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,33,33,25.87,25.87
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,22,76,46.588552632,8.32,5.5190789474,5.5190789474
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.425333333,3.38,2.12,2.12
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,32,13.63875,1.42,1.00875,1.00875
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,104.27772727,50.046363636,28.229545455,21.697272727
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,194.008125,120.11625,79.68375,61.135
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,27,44,80.15,45.466136364,29.784772727,23.01
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,178.25923077,74.776923077,50.293846154,36.256923077
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,25,25,43.5036,25.138,18.0752,13.4912
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,45,152,6.7821710526,3.1391447368,2.2786842105,1.5126315789
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,13,13,32.753076923,15.801538462,10.763846154,9.1607692308
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,27,94.678148148,21.656666667,14.986296296,12.139259259
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,51.207058824,17.332352941,9.6541176471,7.7764705882
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,223.9875,50.115833333,37.135,23.0525
1003854878,GROSE,CRAIG,M,M.D.,M,I,716 S HIGHWAY 99,,FILLMORE,UT,846315134,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,136,141,371.72787234,101.89673759,75.946312057,54.842907801
1003855099,MILLER,KATHERINE,E,M.D.,F,I,119 WINDSOR ST,,CAMBRIDGE,MA,021393647,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,36,69.771944444,8.32,6.5216666667,6.5216666667
1003855149,PATTON,ARTHUR,F,M.D.,M,I,527 FIELDSTOWN RD,SUITE C,GARDENDALE,AL,350714418,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,30,76,221,69.014479638,8.3004524887,5.210678733,5.2298190045
1003855149,PATTON,ARTHUR,F,M.D.,M,I,527 FIELDSTOWN RD,SUITE C,GARDENDALE,AL,350714418,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,31,68,14.230441176,1.42,0.9329411765,0.9329411765
1003855149,PATTON,ARTHUR,F,M.D.,M,I,527 FIELDSTOWN RD,SUITE C,GARDENDALE,AL,350714418,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,11,11,83.918181818,17.98,14.09,13.733636364
1003855149,PATTON,ARTHUR,F,M.D.,M,I,527 FIELDSTOWN RD,SUITE C,GARDENDALE,AL,350714418,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,113.65962963,34.315555556,24.018888889,21.741481481
1003855149,PATTON,ARTHUR,F,M.D.,M,I,527 FIELDSTOWN RD,SUITE C,GARDENDALE,AL,350714418,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,35,510.39514286,94.234285714,73.880285714,56.526571429
1003855149,PATTON,ARTHUR,F,M.D.,M,I,527 FIELDSTOWN RD,SUITE C,GARDENDALE,AL,350714418,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1950,1.1644615385,0.1334,0.1013692308,0.1013692308
1003855149,PATTON,ARTHUR,F,M.D.,M,I,527 FIELDSTOWN RD,SUITE C,GARDENDALE,AL,350714418,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,71.5,33,22.304444444,22.304444444
1003855172,GAERTE,GLEN,R,O.D.,M,I,1300 E COOLEY DR,,COLTON,CA,923243905,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,70,70,50.306666667,48.409166667
1003855172,GAERTE,GLEN,R,O.D.,M,I,1300 E COOLEY DR,,COLTON,CA,923243905,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,11,85.818181818,60.168181818,46.465454545,42.851818182
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,45,114,348,76.18158046,8.32,5.791408046,5.791408046
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,21,40,55,17.057272727,1.42,1.0143636364,1.0143636364
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,34,6.03,1.8888235294,1.3882352941,1.4991176471
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,95,45.797272727,35.906363636,36.263636364
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,58.725,17.27,12.827368421,12.827368421
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,30,12.193333333,8.6933333333,8.7316666667
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,85,46.082727273,36.123636364,35.465454545
1003855206,HEIDEL,RANDY,S,MD,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,267.051,69.81,53.6354,53.6354
1003855354,LAKIN,RAYMOND,,MD,M,I,6221 N FEDERAL HWY,,FT LAUDERDALE,FL,333081903,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,990,0.92,0.1328181818,0.0958585859,0.0958585859
1003855354,LAKIN,RAYMOND,,MD,M,I,6221 N FEDERAL HWY,,FT LAUDERDALE,FL,333081903,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1003855537,GANNON,CAROLINE,L,D.P.M.,F,I,100 COVEY DR,SUITE 309,FRANKLIN,TN,370675665,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,191.05,74.55,58.45,62.254545455
1003855537,GANNON,CAROLINE,L,D.P.M.,F,I,100 COVEY DR,SUITE 309,FRANKLIN,TN,370675665,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,499,267.2,207.04894737,215.95263158
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,75,245,70.907142857,8.32,5.7738367347,5.7738367347
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,12.307142857,3.38,2.65,2.65
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,29,56,14.642142857,1.42,1.0469642857,1.0469642857
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,19,42,5.5238095238,1.47,1.0952380952,1.0952380952
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,2.1,1.28,1,0.96
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,28.633333333,11.54,8.2958333333,8.3508333333
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,60,59.377333333,17.29,13.098333333,13.081
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,41,26.588292683,4.626097561,3.2982926829,3.296097561
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,130.135,32.592857143,22.146428571,21.707142857
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,113,115,334.9046087,70.23,53.623652174,53.372347826
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,11642,0.188974403,0.0463786291,0.0292406803,0.0292406803
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,2490,1.6502610442,0.1374457831,0.1077871486,0.1077871486
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,51.53,20.064615385,15.731538462,14.741538462
1003855560,FREEMAN,LUCIUS,B,MD,M,I,645 MCQUEEN SMITH RD N,SUITE 105,PRATTVILLE,AL,360667268,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,54,54,99,33,23.47462963,23.47462963
1003855651,VITA,ELEANOR,O,MD,F,I,134 SOUTHVIEW ST,,OWATONNA,MN,550603241,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,27,97,82.31556701,8.32,5.8501030928,5.8501030928
1003855719,KOVACHEVICH,MARTIN,,M.D.,M,I,2050 PFINGSTEN RD,SUITE 330,GLENVIEW,IL,600261324,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,55,178,75.283595506,8.32,5.3288764045,5.3288764045
1003855719,KOVACHEVICH,MARTIN,,M.D.,M,I,2050 PFINGSTEN RD,SUITE 330,GLENVIEW,IL,600261324,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,32,43,15.084186047,1.42,0.8827906977,0.8827906977
1003855719,KOVACHEVICH,MARTIN,,M.D.,M,I,2050 PFINGSTEN RD,SUITE 330,GLENVIEW,IL,600261324,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24,9.9009090909,6.8545454545,6.2636363636
1003855784,PACE,SIDNEY,K,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,50,22.212307692,17.413076923,13.993076923
1003855784,PACE,SIDNEY,K,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1074.31,842.26,842.26
1003855784,PACE,SIDNEY,K,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,212.49307692,100.58923077,77.046153846,56.028461538
1003855784,PACE,SIDNEY,K,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,60.567333333,24.176,16.712666667,12.225333333
1003855800,CHEN,WILLIAM,M,M.D.,M,I,4331 BRIGHTWOOD DR,SUITE 100,HOUSTON,TX,770681704,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,31,108,53.822222222,8.32,6.1598148148,6.1598148148
1003855800,CHEN,WILLIAM,M,M.D.,M,I,4331 BRIGHTWOOD DR,SUITE 100,HOUSTON,TX,770681704,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,19,36,10.968611111,1.42,1.0825,1.0825
1003855800,CHEN,WILLIAM,M,M.D.,M,I,4331 BRIGHTWOOD DR,SUITE 100,HOUSTON,TX,770681704,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,34.29,17.282,11.588,11.353333333
1003856089,MALDONADO,ROLANDO,R,MD,M,I,548 WAUGH DR,,HOUSTON,TX,770192002,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,34,65.292058824,8.32,4.6035294118,4.6035294118
1003856089,MALDONADO,ROLANDO,R,MD,M,I,548 WAUGH DR,,HOUSTON,TX,770192002,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1364,0.4031451613,0.0470821114,0.0333577713,0.0333577713
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,12,37,393,42.661272265,19.630330789,14.817913486,14.817913486
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,12,37,910,8.5987802198,2.6294505495,1.9932087912,1.9932087912
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,29,100,66.5642,8.32,6.3921,6.3921
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,166.09090909,54.9,43.04,42.876363636
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,71.172727273,14.770909091,11.580909091,10.171818182
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,78,11.013333333,2.3107692308,1.8119230769,1.6947435897
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,702.21225,350.559,272.05675,272.05675
1003856188,UNGER,JEFFREY,R,M.D.,M,I,14726 RAMONA AVE,#110,CHINO,CA,917105730,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,11,90,90,384.126,250.94066667,196.73733333,196.86966667
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,33,106,312,53.864294872,8.3000961538,6.2042307692,6.219775641
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,16.388888889,3.38,2.65,2.65
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,23.909090909,2.12,1.67,1.67
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,21,59,103,18.857475728,1.42,1.0168932039,1.0168932039
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,31,73,7.1309589041,1.47,0.9775342466,0.9775342466
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,20.61,5.54,4.3433519553,4.1781284916
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,7565,0.8997752809,0.31,0.2430469266,0.2430469266
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,24,237.82,50.58625,34.567916667,32.784166667
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,93.57,17.29,11.291666667,11.276666667
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,11,63,63,44.252380952,4.6433333333,3.1766666667,3.2179365079
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,31.32,10.684545455,8.3763636364,8.3854545455
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,44,10.374545455,8.1390909091,7.7890909091
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,434,205.78181818,152.63272727,152.63272727
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,591.40785714,70.23,47.476428571,47.185
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,34,11399,0.3127756821,0.0462900254,0.0326546188,0.0326546188
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,36,3180,1.4654433962,0.1317735849,0.0801886792,0.0801886792
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,157.61272727,19.852727273,13.040909091,11.907272727
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,51.630666667,31.198,24.456,22.62
1003856477,ESCHETE,MARY,L,MD,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,65,65,118.29230769,33,21.485230769,21.485230769
1003856535,ELLENBOGEN,JEFFREY,M,M.D.,M,I,55 FRUIT STREET,WANG 720 (NEUROLOGY),BOSTON,MA,02114,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,140.03,55.3,42.883333333,42.475
1003856535,ELLENBOGEN,JEFFREY,M,M.D.,M,I,55 FRUIT STREET,WANG 720 (NEUROLOGY),BOSTON,MA,02114,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,7.2,2.2909090909,1.7957575758,1.5916666667
1003856535,ELLENBOGEN,JEFFREY,M,M.D.,M,I,55 FRUIT STREET,WANG 720 (NEUROLOGY),BOSTON,MA,02114,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,64,14.176363636,10.087727273,9.6004545455
1003856535,ELLENBOGEN,JEFFREY,M,M.D.,M,I,55 FRUIT STREET,WANG 720 (NEUROLOGY),BOSTON,MA,02114,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,261,30.989459459,21.564594595,21.563513514
1003856717,DEAR,CARL,,PAC,M,I,3500 I-30,,MESQUITE,TX,75150,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,47,64.107446809,8.32,5.9670212766,5.9670212766
1003856964,LAN,ANDREW,E,MD,M,I,1010 CENTRAL PARK AVE,,YONKERS,NY,107041044,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,50,598.3008,8.32,6.2616,6.2616
1003856964,LAN,ANDREW,E,MD,M,I,1010 CENTRAL PARK AVE,,YONKERS,NY,107041044,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,20,18.4025,1.42,1.005,1.005
1003856980,MARTINEZ,JORGE,A,MD,M,I,2021 PERDIDO ST,,NEW ORLEANS,LA,701121352,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,20,17,12.219166667,12.398333333
1003856980,MARTINEZ,JORGE,A,MD,M,I,2021 PERDIDO ST,,NEW ORLEANS,LA,701121352,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,71,51.021666667,50.324166667
1003857111,DIXON,CHARLES,,M.D.,M,I,1287 BURNS WAY,,KALISPELL,MT,599013109,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,43.0575,19.399375,11.479375,10.1475
1003857111,DIXON,CHARLES,,M.D.,M,I,1287 BURNS WAY,,KALISPELL,MT,599013109,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,324.81918919,90.905945946,65.742972973,49.475135135
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,30,97,285,63.015824561,8.32,5.7403859649,5.7403859649
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,29,48,12.01875,1.42,0.97375,0.97375
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,1832,2.5289847162,2.04,1.5993668122,1.5993668122
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,81.483333333,50.38,36.688333333,29.930833333
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,3.3,2.0048,1.47,1.086
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,18,103.04277778,46.140555556,32.99,23.873888889
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,37.453636364,24.958181818,19.563636364,15.474545455
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,52,6.1719230769,2.9376923077,2.2011538462,1.6611538462
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.6,7.6325,4.7716666667,2.535
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,533.565,101.0125,73.734444444,55.173611111
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,70.116666667,44.745,32.344166667,27.6525
1003857178,FELSTED,LAURA,A,DO,F,I,130 FISHER RD STE 3,MOUNTAINVIEW MEDICAL,BERLIN,VT,056029516,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,62.64,20.782307692,8.5338461538,6.0461538462
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,70,159,71.277044025,8.32,4.8917610063,4.8917610063
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,29,11.693103448,1.42,0.9620689655,0.9620689655
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,13,26,96.958461538,71.56,56.105,56.105
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.33,11.636363636,12.167272727
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,38.370714286,4.5857142857,3.0732142857,3.1832142857
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,220,71.06,48.456538462,47.665
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,390,4.9258974359,0.5565897436,0.4255384615,0.4255384615
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,2760,3.3903985507,1.3168913043,0.9870905797,0.9870905797
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1450,0.5043793103,0.047537931,0.0360758621,0.0360758621
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,470,4.5678297872,0.0696595745,0.0489148936,0.0489148936
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,133.02857143,24.262857143,17.954285714,19.39
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,38.1,9.1404347826,7.1713043478,6.7330434783
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.36,30.86,29.6225
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,18.82,18.82
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,21,16,16,11.942857143,11.942857143
1003857186,KILDUFF,PATRICK,,D.O.,M,I,176 N MAIN ST,,SHAVERTOWN,PA,187081121,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,74.684210526,33,24.614736842,24.614736842
1003857210,SOO-HOO,DORENE,,D.P.M.,F,I,185 CANAL ST,SUITE 206,NEW YORK,NY,100134537,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,26,26,52,84.87,71.56,53.934615385,53.931730769
1003857210,SOO-HOO,DORENE,,D.P.M.,F,I,185 CANAL ST,SUITE 206,NEW YORK,NY,100134537,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,100,54.9736,29.0906,22.8075,22.8867
1003857236,FORD,JANICE,L,M.D.,F,I,1107 GLENWOOD DR,,WEST MONROE,LA,712915503,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,33,33.803939394,8.32,6.1263636364,6.1263636364
1003857236,FORD,JANICE,L,M.D.,F,I,1107 GLENWOOD DR,,WEST MONROE,LA,712915503,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.68,1.5509090909,1.2145454545,1.2145454545
1003857236,FORD,JANICE,L,M.D.,F,I,1107 GLENWOOD DR,,WEST MONROE,LA,712915503,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,94.064666667,18.345,13.881,13.079
1003857236,FORD,JANICE,L,M.D.,F,I,1107 GLENWOOD DR,,WEST MONROE,LA,712915503,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,58,59,561.63559322,73.344237288,56.488644068,53.828305085
1003857236,FORD,JANICE,L,M.D.,F,I,1107 GLENWOOD DR,,WEST MONROE,LA,712915503,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,268.095,37.44,29.35,29.51
1003857251,SHARMA,MANJOO,,MD,F,I,226 CLINTON ST,,HEMPSTEAD,NY,115502614,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3346.5983333,1074.31,830.30416667,830.30416667
1003857269,GUPTA,RITA,,M.D.,F,I,8926 WOODYARD RD,SUITE 201,CLINTON,MD,207354220,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,37,43.912432432,35.291891892,25.482432432,28.315135135
1003857301,MINERS,MARY LYNN,,N.P.,F,I,6565 E CARONDELET DR,STE 155,TUCSON,AZ,857103587,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,854,45.869543326,4.6091334895,3.6135714286,3.6135714286
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,48,90,90,84.439666667,40.759777778,29.849111111,28.810333333
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,263.17333333,102.27,73.901666667,62.188333333
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,36,71,325,56.738830769,19.473784615,14.171076923,13.629938462
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,30,59,283,37.451095406,15.516572438,11.641413428,11.450989399
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,67,138,138,156.37963768,55.970072464,40.558333333,39.717826087
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,70,94,94,53.907021277,19.022553191,14.054042553,13.329361702
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,20.86,10.987272727,8.6136363636,8.2263636364
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,27,59,59,58.726271186,13.151694915,9.2916949153,8.303559322
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,66,122,719,7.5694714882,2.2750208623,1.6954798331,1.5386648122
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,20.81125,6.5329166667,5.1191666667,4.6975
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,39,52,52,30.329038462,13.365576923,10.428269231,10.317307692
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,33,140,140,62.129142857,14.334571429,10.309428571,9.9518571429
1003857384,EARLEY,CHRISTOPHER,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,43,201,203,243.30600985,34.078226601,24.372561576,24.1708867
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,48,123,57.301463415,8.32,6.3103252033,6.3103252033
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,11.45,3.38,2.2714285714,2.2714285714
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,23,35,12.375714286,1.42,1.0511428571,1.0511428571
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,28.46,28.46,22.31,22.31
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,216,2.49,2.49,1.9516666667,1.9516666667
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,690,6.0282608696,2.2691304348,1.7790144928,1.7796956522
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,34,78,15.881282051,9.2874358974,7.0367948718,8.3083333333
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,390,34.86,34.86,27.330307692,27.330307692
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,246,8.28,8.28,6.4916260163,6.4916260163
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,156,10.93,10.93,8.4518589744,8.4518589744
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,66,18.29,18.29,14.338484848,14.338484848
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,182.13,89.62,65.432857143,63.697857143
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,29,85.35862069,34.52,23.396896552,22.522413793
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,35.445,17.25,12.592857143,12.98
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,36.278421053,12.61,9.3984210526,8.8289473684
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,30,105,5.012,2.22,1.7079047619,1.5886666667
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,212.23272727,47.080909091,31.196363636,31.661818182
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,65,65,82.715076923,17.807076923,13.516769231,13.123384615
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,45,46,53.332826087,6.4439130435,4.8495652174,3.5804347826
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,54,54,90.574074074,33.444444444,24.698703704,23.491481481
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,114.06857143,46.160714286,36.002142857,37.155714286
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,71,71,358.18915493,77.422535211,58.17056338,52.592816901
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,1799,1.0397609783,0.1263535297,0.0869316287,0.0869316287
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,99.953928571,19.285714286,14.615357143,13.638571429
1003857459,KHALIL,SHOAIB,,M.D.,M,I,141 S WESTMEADOW DR,,CLEBURNE,TX,760334586,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,23,23,86.347826087,33,23.620434783,23.620434783
1003857749,DAVIS,LABRONZ,,,M,I,2872 W BROAD ST,,COLUMBUS,OH,432042645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,50,103,65.018737864,8.32,6.0798058252,6.0798058252
1003857749,DAVIS,LABRONZ,,,M,I,2872 W BROAD ST,,COLUMBUS,OH,432042645,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,24,13.924583333,1.4025,1.0683333333,1.0854166667
1003857749,DAVIS,LABRONZ,,,M,I,2872 W BROAD ST,,COLUMBUS,OH,432042645,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,22,519.51,79.3,54.063636364,48.652727273
1003857830,JOHNSTON,MIRANDA,C,P.A.,F,I,281 W 4TH ST,,INDEPENDENCE,LA,704432386,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,598.41428571,220.21357143,172.65,138.77857143
1003858044,BARKIN,NEIL,J,M.D.,M,I,6000 EXECUTIVE BLVD,SUITE 510,ROCKVILLE,MD,208523803,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,193.77,137.81166667,108.04416667,102.51
1003858051,HOWARD,ANGUS,C,M.D.,M,I,595 HURRICANE SHOALS RD NW STE 100,,LAWRENCEVILLE,GA,30046,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,170,10.25,7.06,5.2094117647,5.2094117647
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,3.13,3.13,2.454,2.454
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,33,1920,0.1477864583,0.119375,0.0935572917,0.094046875
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,33,1896,0.5111761603,0.4356118143,0.3415453586,0.3449894515
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,17,445,9.3339325843,8.2462921348,6.4650786517,6.491505618
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,13,436,27.730389908,18.5,14.503990826,14.503990826
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,135,11.707777778,10.93,8.1697037037,8.1697037037
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,384,1.1866666667,1.08,0.69671875,0.69671875
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,11,510,14.253823529,7.13,5.5899803922,5.5899803922
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,37,2345,0.140869936,0.13,0.1019658849,0.1019658849
1003858077,BROWN,DENNIS,P,M.D.,M,I,95 LEONARD AVE,SUITE 301,WASHINGTON,PA,153013368,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,18,42,4089,0.7885228662,0.4499461971,0.3455245781,0.345578381
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,36,2.5622222222,0.51,0.4,0.4
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,90,272,58.815808824,8.32,6.1649632353,6.1649632353
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,44,44,15.249090909,3.38,2.5295454545,2.5295454545
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,19,19,26.692631579,2.12,1.67,1.67
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,51,95,16.067578947,1.42,1.076,1.076
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,25,1356,8.28,8.28,6.4915339233,6.4915339233
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,614,198.98371336,5.25,4.1007654723,4.1455374593
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6840,3.346,0.3,0.2351959064,0.2430380117
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,1200,63.25,49.59,48.425833333
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,58,32.37,13.419166667,14.24
1003858143,HERRERA,CARLOS,R,MD,M,I,325 W 20TH ST,,HOUSTON,TX,770082436,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,534.570625,76.58,60.03,56.71125
1003858150,LUCKEY,CAROL,R,NP,F,I,120 E CHURCH ST,,LEXINGTON,TN,38351,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,58.012857143,22.125714286,15.924285714,12.528095238
1003858150,LUCKEY,CAROL,R,NP,F,I,120 E CHURCH ST,,LEXINGTON,TN,38351,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,353.39,99.926666667,74.787619048,53.342380952
1003858267,FAISAL,MUHAMMAD,R,M.D.,M,I,111 HIGHWAY 70 E,,DICKSON,TN,370552080,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,59,389.76,71.679661017,54.268135593,53.243050847
1003858267,FAISAL,MUHAMMAD,R,M.D.,M,I,111 HIGHWAY 70 E,,DICKSON,TN,370552080,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,103.10482143,35.56,27.382142857,28.903035714
1003858747,NAIK,SANDIP,J,MD,M,I,1102 W 32ND ST,,JOPLIN,MO,648043503,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,45,405,72.972,57.208222222,54.782888889
1003858747,NAIK,SANDIP,J,MD,M,I,1102 W 32ND ST,,JOPLIN,MO,648043503,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,105,40.820588235,32.000882353,29.631176471
1003858762,GOODALE,MIRANDA,A,DPM,F,I,955 W CRAIG AVE,,BRAZIL,IN,478347400,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,93,93,186,74.29,71.56,54.895322581,54.895322581
1003858762,GOODALE,MIRANDA,A,DPM,F,I,955 W CRAIG AVE,,BRAZIL,IN,478347400,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,82,82,488,30.31,29.19,22.885,22.886495902
1003858762,GOODALE,MIRANDA,A,DPM,F,I,955 W CRAIG AVE,,BRAZIL,IN,478347400,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,150,72.45,49.614666667,56.020666667
1003858762,GOODALE,MIRANDA,A,DPM,F,I,955 W CRAIG AVE,,BRAZIL,IN,478347400,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,180,162.87,111.34277778,110.24666667
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,31,83,49.45746988,8.2102409639,5.4418072289,5.5278313253
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,22,15.753181818,1.42,0.9118181818,0.9118181818
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,31.25,4.653125,3.10375,3.063125
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,427.62882353,69.81,54.73,54.73
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.62425,7.3461527778,7.3461527778
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,960,3.8236979167,0.1384375,0.1085104167,0.1085104167
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.8975833333,2.2717222222,2.2717222222
1003858770,SHAY,ERIC,S,M.D.,M,I,601 JOHN ST,SUITE M-170,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,96,33,25.87,25.87
1003858903,ARMSTRONG,JODIE,A,M.D.,F,I,1950 LAUREL MANOR DR,SUITE 250,THE VILLAGES,FL,321625603,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,35,35,35,70.098285714,69.182,49.353428571,45.853714286
1003858903,ARMSTRONG,JODIE,A,M.D.,F,I,1950 LAUREL MANOR DR,SUITE 250,THE VILLAGES,FL,321625603,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,33,74.515151515,66.683636364,51.901515152,52.804242424
1003858978,GARCIA,FRANCISCO,J,M.D.,M,I,400 CONCORD PLAZA DR STE 300,,SAN ANTONIO,TX,782166991,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,12,12,207,33.477826087,25.6,19.377342995,19.377342995
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,43,4787,0.3857384583,0.13,0.0920430332,0.0920430332
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,54,5225,4.5565837321,1.73,1.2833320574,1.5127272727
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,66,21.508181818,10.802878788,8.3592424242,8.4640909091
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,16.69,8.28,5.9491666667,5.9491666667
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,650,8.4670769231,5.74,4.3616307692,4.3616307692
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,300,16.882533333,9.86,7.1735666667,7.1735666667
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,670,12.249343284,7,5.488,5.488
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,28,970,6.3699175258,4.04,3.0428969072,3.0428969072
1003859075,JONES,MARKLYN,J,MD,M,I,2777 MILE HIGH STADIUM CIR,,DENVER,CO,802115222,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,700,0.4557142857,0.2664285714,0.2013285714,0.2041
1003859091,TSAI,JOHN,C,M.D.,M,I,4466 FULTON DR NW,,CANTON,OH,447182864,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,495,69.81,54.73,54.73
1003859091,TSAI,JOHN,C,M.D.,M,I,4466 FULTON DR NW,,CANTON,OH,447182864,US,Physician/Cardiac Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,36.14,28.33,29.51
1003859091,TSAI,JOHN,C,M.D.,M,I,4466 FULTON DR NW,,CANTON,OH,447182864,US,Physician/Cardiac Surgery,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,11,32,32,3722.5,2546.449375,1985.52875,1985.52875
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,830,8.1789156627,3.8685542169,2.7260843373,2.7260843373
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,29,15.194482759,7.46,5.8482758621,6.4948275862
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,19,28,12.89,4.0985714286,2.6378571429,2.6385714286
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,39,1350,10.043533333,5.7382222222,4.3610074074,4.3624
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,74,1332,5.5178303303,2.8981381381,2.1089339339,2.1185510511
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,440,24.9735,9.86,7.7301590909,7.7301590909
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,52,1325,12.444950943,6.9963773585,5.1866490566,5.1897207547
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,25,605,10.336528926,5.5380165289,4.3304628099,4.3320165289
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,2400,3.2789125,1.9495,1.4905666667,1.4910583333
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,40,930,6.8138387097,4.03,3.0916021505,3.0916021505
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,560,8.7957142857,3.13,2.1034285714,2.1034285714
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,380,6.4873157895,4.04,3.1674473684,3.1674473684
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,57,4530,0.6817483444,0.27,0.1952980132,0.1952980132
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,700,9.0902285714,3.034,2.2694571429,2.2741571429
1003859141,WERNER,ANDREW,M,M.D.,M,I,1811 E BERT KOUNS STE 430,,SHREVEPORT,LA,71105,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,18,932,0.7379935622,0.24,0.1881545064,0.2116416309
1003859174,MARTIN,MICHELLE,,PAC,F,I,100 JAY STREET,,STANFORD,KY,404847511,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,59,104,43.712115385,8.32,5.0793269231,5.0793269231
1003859174,MARTIN,MICHELLE,,PAC,F,I,100 JAY STREET,,STANFORD,KY,404847511,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,27,29,14.658275862,1.42,0.8096551724,0.8096551724
1003859174,MARTIN,MICHELLE,,PAC,F,I,100 JAY STREET,,STANFORD,KY,404847511,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,50.773,7.636,5.5816666667,3.6336666667
1003859174,MARTIN,MICHELLE,,PAC,F,I,100 JAY STREET,,STANFORD,KY,404847511,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,58.105
1003859174,MARTIN,MICHELLE,,PAC,F,I,100 JAY STREET,,STANFORD,KY,404847511,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,51,33,25.87,25.87
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,58,197,463,80.52838013,8.32,5.9582073434,5.9582073434
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.955789474,3.38,2.65,2.65
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,45,103,140,14.829214286,1.42,1.0533571429,1.0533571429
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,20,24.951,9.29,6.916,8.2195
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,24,24,48,110.67416667,71.557083333,54.59375,54.595833333
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,336,96.040625,5.2,3.6083035714,3.6886904762
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,29,29,29,108.34827586,42.033793103,31.82,35.233448276
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,202.57666667,45.88,34.586666667,36.805416667
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4706.98,1074.31,842.26,842.26
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,36.000322581,3.9483870968,2.7290322581,3.3219354839
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,237.35166667,78.27,61.37,54.73
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,21,5474,0.4148154914,0.0449689441,0.0332517355,0.0332517355
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,36.345,16.127333333,12.255,13.838
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,13.652727273,8.6645454545,6.5190909091,6.6263636364
1003859265,TORRES,EFRAIN,A,M.D.,M,I,54 BRIGHAM ST,,NEW BEDFORD,MA,027402208,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,20,20,37.95,33,24.5765,24.5765
1003859299,KERN,KRISTI,,D.O.,F,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495463631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,47,55.592978723,8.32,5.9670212766,5.9670212766
1003859299,KERN,KRISTI,,D.O.,F,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495463631,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1200,2.25,2.04,1.479825,1.479825
1003859315,HANABERGH,RODOLFO,,MD,M,I,7490 SW 23RD ST,201,MIAMI,FL,331551419,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,11,20,40,1.24,0.51,0.4,0.4
1003859315,HANABERGH,RODOLFO,,MD,M,I,7490 SW 23RD ST,201,MIAMI,FL,331551419,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,12,41,199,48.02,8.32,6.5229145729,6.5229145729
1003859315,HANABERGH,RODOLFO,,MD,M,I,7490 SW 23RD ST,201,MIAMI,FL,331551419,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,12,41,41,14.88,3.38,2.65,2.65
1003859315,HANABERGH,RODOLFO,,MD,M,I,7490 SW 23RD ST,201,MIAMI,FL,331551419,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,12,20,20,28.18,2.12,1.67,1.67
1003859315,HANABERGH,RODOLFO,,MD,M,I,7490 SW 23RD ST,201,MIAMI,FL,331551419,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,12,41,100,15.7,1.42,1.1118,1.1118
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,42,82,43.088536585,8.32,5.3293902439,5.3293902439
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,20,21.539,1.42,0.836,0.836
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,66.8,28.46,22.31,22.31
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,29,25.58,10.93,8.57,8.57
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,8.1029411765,2.8747058824,2.0977941176,1.4833823529
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,138.33333333,58.8625,42.843333333,33.421666667
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,69,69,67.88,21.550434783,15.677536232,12.503043478
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,55,55,24,8.1512727273,5.8898181818,3.3716363636
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,93,93,427.66290323,97.777204301,70.279677419,50.526129032
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2964,3.0390148448,0.0862854251,0.0629385965,0.0629385965
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,2130,2.5820093897,0.1361830986,0.1067746479,0.1067746479
1003859406,HAN,ROBERT,F,MD,M,I,417 WASHINGTON AVE,,IRON RIVER,MI,499352214,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,33,33,33,25.086060606,25.086060606
1003859414,KUMAR,RAVI,I,"M.D.,",M,I,1101 N CHERRY ST,,TULARE,CA,932742231,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,51,88,69.493295455,8.32,4.8297727273,4.8297727273
1003859414,KUMAR,RAVI,I,"M.D.,",M,I,1101 N CHERRY ST,,TULARE,CA,932742231,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,10.098235294,1.42,0.8564705882,0.8564705882
1003859414,KUMAR,RAVI,I,"M.D.,",M,I,1101 N CHERRY ST,,TULARE,CA,932742231,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2625,0.17,0.0460571429,0.0361028571,0.0361028571
1003859414,KUMAR,RAVI,I,"M.D.,",M,I,1101 N CHERRY ST,,TULARE,CA,932742231,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,56,156,67.293782051,8.32,5.6025,5.6025
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,20,15.7335,1.42,1.002,1.002
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,325,14.227692308,7,5.488,5.488
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,595.96727273,92.769090909,63.28,59.208181818
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,28,210.49428571,34.180714286,24.879285714,24.135
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,30,79.429,17.5,9.8643333333,9.7623333333
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,30,475.457,78.98,51.713,46.698
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,2090,1.3803636364,0.1335741627,0.1047511962,0.1047511962
1003859422,CHARLE,EDWIN,L,M.D.,M,I,255 ROUTE 108,,SOMERSWORTH,NH,038781543,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,66,33,23.283,23.283
1003859455,JENKINS,JEFFREY,S,M.D.,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,47.167272727,36.977272727,36.297272727
1003859455,JENKINS,JEFFREY,S,M.D.,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,149.8125,32.32125,25.340625,24.83875
1003859455,JENKINS,JEFFREY,S,M.D.,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,395,98.215,69.105,81.991666667
1003859547,VANDE MERWE,DAVID,A,MD,M,I,390 N MAIN ST,,BOUNTIFUL,UT,840106046,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,15,42,59.475238095,8.32,5.9004761905,5.9004761905
1003859547,VANDE MERWE,DAVID,A,MD,M,I,390 N MAIN ST,,BOUNTIFUL,UT,840106046,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,127.12666667,39.456666667,28.365833333,28.030833333
1003859547,VANDE MERWE,DAVID,A,MD,M,I,390 N MAIN ST,,BOUNTIFUL,UT,840106046,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,78,8.6728205128,2.0676923077,1.6203846154,1.5938461538
1003859547,VANDE MERWE,DAVID,A,MD,M,I,390 N MAIN ST,,BOUNTIFUL,UT,840106046,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,65,13.355454545,7.3263636364,7.3309090909
1003859547,VANDE MERWE,DAVID,A,MD,M,I,390 N MAIN ST,,BOUNTIFUL,UT,840106046,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,389.088,32.460666667,22.331333333,22.337333333
1003859547,VANDE MERWE,DAVID,A,MD,M,I,390 N MAIN ST,,BOUNTIFUL,UT,840106046,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,25,39,425.05282051,70.988717949,52.21974359,51.748717949
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,140,260,260,97.167,41.434076923,29.891846154,28.285653846
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,93,178,179,287.37575419,91.831340782,63.521899441,60.263184358
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,59,116,253,94.804901186,35.132252964,26.507312253,25.195296443
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,46,74,294,53.453979592,19.236258503,13.911870748,13.538605442
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,17,50,76,321,37.206417445,15.582866044,11.578722741,11.291557632
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,23,155,269,270,183.21540741,58.614925926,42.16937037,39.567851852
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,233,306,306,58.88130719,19.639477124,14.183137255,13.093333333
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,27,30,30,25.759,10.794333333,8.1883333333,7.885
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,87,142,142,66.230633803,11.924929577,8.1002816901,7.9425352113
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,202,363,1967,7.8647534316,2.1083375699,1.5236349771,1.4747280122
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,34,42,42,20.248809524,6.3552380952,4.6323809524,4.3535714286
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,133,170,170,38.303294118,14.084705882,10.297529412,9.7431764706
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,14,84,85,274.76552941,89.534117647,66.172352941,61.968470588
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,35,35,35,349.82914286,149.75085714,109.96228571,100.87514286
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,49,54,80.002222222,12.459444444,9.7672222222,9.8968518519
1003859596,BARR,MARY,,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,58,395,400,191.233,34.98655,25.79075,24.116725
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,119,275,44.119672727,8.32,5.8005818182,5.8005818182
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,23,88,103,15.676504854,1.42,1.0093203883,1.0093203883
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,106.3225,16.98,11.831111111,12.002777778
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,1537.95,913.16,703.44434783,829.78434783
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,486.18421053,71.06,49.845789474,49.201052632
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,1110,5.5601351351,0.5735405405,0.4496576577,0.4496576577
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,4.8749615385,1.2999230769,1.0191666667,1.0191666667
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,17,156.97647059,15.405882353,12.080588235,13.869411765
1003859661,DOAN,ALEXANDER,D,MD,M,I,105 N BASCOM AVE,#103,SAN JOSE,CA,951281811,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,35,16,16,12.54,12.54
1003859679,TAYLOR,CHARLES,W,M.D.,M,I,12697 E 51ST ST,,TULSA,OK,741466236,US,Physician/Medical Oncology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,196.2,47.641818182,37.352727273,37.372727273
1003859679,TAYLOR,CHARLES,W,M.D.,M,I,12697 E 51ST ST,,TULSA,OK,741466236,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,59.546363636,17,13.33,13.520909091
1003859679,TAYLOR,CHARLES,W,M.D.,M,I,12697 E 51ST ST,,TULSA,OK,741466236,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,362.99454545,77.18,60.51,55.246363636
1003859679,TAYLOR,CHARLES,W,M.D.,M,I,12697 E 51ST ST,,TULSA,OK,741466236,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,36,2632,45.756371581,5.1979217325,4.0751709726,4.0751595745
1003859679,TAYLOR,CHARLES,W,M.D.,M,I,12697 E 51ST ST,,TULSA,OK,741466236,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,33,33,24,24,18.82,18.82
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,27,27,166.37592593,39.803333333,27.621481481,27.633703704
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,37,96,200,8.19,1.4913,1.0806,1.0638
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,40,52,52,81.247307692,11.960576923,8.6640384615,8.3794230769
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,14,18,5.91,1.2888888889,1.0088888889,0.9616666667
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,42,93,93,476.95419355,86.369462366,60.951935484,61.065376344
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,42,105,266,178.38729323,33.497593985,24.598721805,24.303195489
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,23,42,214,99.866261682,18.78,14.718971963,14.591869159
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,12,26,116,74.132068966,15.637241379,9.4759482759,9.4626724138
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,34,65,67,292.59164179,55.535522388,38.967910448,38.914029851
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,72,101,101,89.633267327,17.994158416,13.389405941,13.403465347
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,69,143,146,97.018767123,11.54,8.7400684932,8.8019863014
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,79,167,819,12.885335775,2.0315384615,1.5212942613,1.530964591
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,34.734166667,5.91,4.64,4.6566666667
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,49,62,62,51.851290323,13.29,10.251935484,10.187419355
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,50,352,374,83.313903743,17.379278075,12.827379679,12.741657754
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.32,34.841666667,34.841666667
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,57,57,204.48684211,48.013508772,31.797192982,31.824561404
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,32.890833333,32.661666667
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,65,65,4289.1135385,1073.2130769,836.39538462,837.22615385
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,17,475.99235294,94.194705882,70.23,70.23
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,39,173,217,81.75,12.992672811,9.6958525346,9.5773732719
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,28,156,181,48.617237569,4.5725414365,3.3806077348,3.3790055249
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,39,198,232,271.62836207,32.703706897,24.621551724,24.175
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,11,12,12,422.1325,70.74,55.46,55.46
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,91,653,709,504.32373766,71.111184767,52.798279267,51.937616361
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,81,87,245.40229885,37.44,28.000574713,28.132988506
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,42,237,39921,0.1804280955,0.0462215375,0.0334047243,0.0334047243
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,33,210,19590,1.0800587034,0.1349464012,0.0986426748,0.0986426748
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,55,3270,12.099058104,3.0451376147,2.3087033639,2.3087033639
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,40,1904,0.8838497899,0.2186239496,0.1543592437,0.1543592437
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,83.181818182,37.44,29.35,29.495454545
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,68,449,449,123.40089087,33,24.207951002,24.207951002
1003859687,JOHNSON,STEPHEN,M,M.D.,M,I,1613 OAKWOOD ST,,BEDFORD,VA,245231213,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,66,66,51.74,51.74
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,33,112,207,66.182125604,8.3130434783,5.3745410628,5.38
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,10.61,3.38,2.4291666667,2.4291666667
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,26,14.562692308,1.42,0.9892307692,0.9892307692
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,345.79,106.57764706,75.252352941,62.469411765
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,80.122173913,45.223913043,32.964782609,23.664782609
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,17,81,28.41,20.326049383,15.93617284,12.711111111
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,13,23,23,136.3126087,77.872173913,61.050869565,45.086956522
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,25,25,53.9608,23.946,18.2084,14.112
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,28,28,56.708928571,20.637142857,15.582142857,9.7746428571
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,42,195,6.9291794872,3.0202051282,2.315025641,1.6411282051
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,32.460967742,20.301612903,15.915806452,13.532903226
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,26.4971875,6.745625,4.7203125,3.19
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,49,50,122.144,57.8944,42.6026,31.6662
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,137,144,433.989375,97.1825,70.829930556,53.486388889
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,19.286153846,9.6192307692,7.4907435897,7.4907435897
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,3883,0.202438836,0.0467731136,0.0278959567,0.0278959567
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,45,4740,1.7715443038,0.1342721519,0.0914662447,0.0914662447
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,64,3606,10.679769828,2.9620493622,2.1928729895,2.1928729895
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,68.351515152,30.464545455,22.138484848,13.000606061
1003859778,HOLTER,JEREMY,P,MD,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,19,99,99,65.333333333,33,23.518181818,23.518181818
1003859786,SCHNEIDERHAN,JOSEPH,A,O.D.,M,I,16 MINNESOTA AVE W STE 102,,GLENWOOD,MN,563341558,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,108.36,54.4012,38.0888,48.5816
1003859786,SCHNEIDERHAN,JOSEPH,A,O.D.,M,I,16 MINNESOTA AVE W STE 102,,GLENWOOD,MN,563341558,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,23,82.5,66.61,46.190869565,48.100869565
1003859919,ARANA,MILTON,J,PA-C,M,I,3330 WATERMAN WAY,,TAVARES,FL,327785250,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,38,63,211,60.312322275,8.32,6.398436019,6.398436019
1003859919,ARANA,MILTON,J,PA-C,M,I,3330 WATERMAN WAY,,TAVARES,FL,327785250,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,24,47,13.733404255,1.42,1.0425531915,1.0425531915
1003859919,ARANA,MILTON,J,PA-C,M,I,3330 WATERMAN WAY,,TAVARES,FL,327785250,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,220,79.2,61.046363636,54.355454545
1003859919,ARANA,MILTON,J,PA-C,M,I,3330 WATERMAN WAY,,TAVARES,FL,327785250,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,15.290833333,9.5698333333,7.50275,7.50275
1003859919,ARANA,MILTON,J,PA-C,M,I,3330 WATERMAN WAY,,TAVARES,FL,327785250,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,1620,11.544895062,3.0327777778,2.3777160494,2.3777160494
1003859919,ARANA,MILTON,J,PA-C,M,I,3330 WATERMAN WAY,,TAVARES,FL,327785250,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,37,37,83.925675676,33,25.87,25.87
1003860040,TALAVERA,JOYCE,R,MD,F,I,202 ELMER ST,,WESTFIELD,NJ,070902128,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,73.284230769,8.32,6.5207692308,6.5207692308
1003860081,WILBUR,MARK,J,,M,I,846 HIGH POINT DR NE,,BYRON,MN,559204407,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,27,51,45.317843137,8.32,5.2437254902,5.2437254902
1003860081,WILBUR,MARK,J,,M,I,846 HIGH POINT DR NE,,BYRON,MN,559204407,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,15,16.047333333,1.42,0.8933333333,0.8933333333
1003860081,WILBUR,MARK,J,,M,I,846 HIGH POINT DR NE,,BYRON,MN,559204407,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1560,2.0842371795,0.1356538462,0.1028461538,0.1028461538
1003860081,WILBUR,MARK,J,,M,I,846 HIGH POINT DR NE,,BYRON,MN,559204407,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,33,33,25.87,25.87
1003860172,BALON,STANLEY,R,M.D.,M,I,175 NATE WHIPPLE HWY,SUITE 204,CUMBERLAND,RI,028641416,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,34,104,223,68.157982063,8.32,5.7021973094,5.7021973094
1003860172,BALON,STANLEY,R,M.D.,M,I,175 NATE WHIPPLE HWY,SUITE 204,CUMBERLAND,RI,028641416,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,21,68,71,15.195633803,1.42,0.9935211268,0.9935211268
1003860172,BALON,STANLEY,R,M.D.,M,I,175 NATE WHIPPLE HWY,SUITE 204,CUMBERLAND,RI,028641416,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,104.90333333,42.23,33.1075,30.8725
1003860172,BALON,STANLEY,R,M.D.,M,I,175 NATE WHIPPLE HWY,SUITE 204,CUMBERLAND,RI,028641416,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,214.34583333,53.2325,41.735,42.739166667
1003860172,BALON,STANLEY,R,M.D.,M,I,175 NATE WHIPPLE HWY,SUITE 204,CUMBERLAND,RI,028641416,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,65,9.772,2.3673846154,1.7338461538,1.4941538462
1003860172,BALON,STANLEY,R,M.D.,M,I,175 NATE WHIPPLE HWY,SUITE 204,CUMBERLAND,RI,028641416,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,286.969375,32.4875,24.7446875,24.7934375
1003860172,BALON,STANLEY,R,M.D.,M,I,175 NATE WHIPPLE HWY,SUITE 204,CUMBERLAND,RI,028641416,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,519.51,78.75,52.593333333,46.621851852
1003860198,SEIKEN,GAIL,L,M.D.,F,I,4915 AUBURN AVE,SUITE 104,BETHESDA,MD,208142636,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,2100,0.156147619,0.0132857143,0.0104142857,0.0104142857
1003860198,SEIKEN,GAIL,L,M.D.,F,I,4915 AUBURN AVE,SUITE 104,BETHESDA,MD,208142636,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1003860198,SEIKEN,GAIL,L,M.D.,F,I,4915 AUBURN AVE,SUITE 104,BETHESDA,MD,208142636,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,16,16,12.54,12.54
1003860438,BOSE,REENA,,M.D.,F,I,899 MAIN ST,,BUFFALO,NY,142031109,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,27,69,66.346086957,8.32,6.0501449275,6.0501449275
1003860438,BOSE,REENA,,M.D.,F,I,899 MAIN ST,,BUFFALO,NY,142031109,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,6.36375,2,1.47125,1.4928125
1003860438,BOSE,REENA,,M.D.,F,I,899 MAIN ST,,BUFFALO,NY,142031109,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,28.23,5.9927272727,4.435,3.475
1003860453,LOMELI,LIBERTY,,PA-C,M,I,1107 WEST POPLAR AVE.,,PORTERVILLE,CA,932575839,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,38,62.287105263,8.32,4.8052631579,4.8052631579
1003860453,LOMELI,LIBERTY,,PA-C,M,I,1107 WEST POPLAR AVE.,,PORTERVILLE,CA,932575839,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1993.54,913.16,715.92,831.73166667
1003860453,LOMELI,LIBERTY,,PA-C,M,I,1107 WEST POPLAR AVE.,,PORTERVILLE,CA,932575839,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,71.11,55.75,54.786666667
1003860453,LOMELI,LIBERTY,,PA-C,M,I,1107 WEST POPLAR AVE.,,PORTERVILLE,CA,932575839,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,2970,0.92,0.134979798,0.0994006734,0.0994006734
1003860453,LOMELI,LIBERTY,,PA-C,M,I,1107 WEST POPLAR AVE.,,PORTERVILLE,CA,932575839,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,24,132,33,23.714166667,23.714166667
1003860651,VEALE,MICHAEL,R,MD,M,I,1711 S STEPHENSON AVE,,IRON MOUNTAIN,MI,498013639,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,45,45,35.28,63.1
1003860651,VEALE,MICHAEL,R,MD,M,I,1711 S STEPHENSON AVE,,IRON MOUNTAIN,MI,498013639,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,50.181818182,46.458181818,29.239090909,36.274545455
1003860651,VEALE,MICHAEL,R,MD,M,I,1711 S STEPHENSON AVE,,IRON MOUNTAIN,MI,498013639,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,263,263,190.10791667,202.27875
1003860669,SANTIAGO,ARTHUR,F,M.D.,M,I,307 GROVE ST,,RAHWAY,NJ,070652525,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,77,223,54.698475336,8.32,5.6308071749,5.6308071749
1003860669,SANTIAGO,ARTHUR,F,M.D.,M,I,307 GROVE ST,,RAHWAY,NJ,070652525,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,11.301111111,3.38,2.3555555556,2.3555555556
1003860669,SANTIAGO,ARTHUR,F,M.D.,M,I,307 GROVE ST,,RAHWAY,NJ,070652525,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,44,67,11.448507463,1.42,0.9988059701,0.9988059701
1003860669,SANTIAGO,ARTHUR,F,M.D.,M,I,307 GROVE ST,,RAHWAY,NJ,070652525,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,68.222,14.232666667,10.406666667,12.372
1003860669,SANTIAGO,ARTHUR,F,M.D.,M,I,307 GROVE ST,,RAHWAY,NJ,070652525,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,579.88,142.46333333,99.740833333,92.755
1003860784,THOMAS,ERNEST,M,M.D.,M,I,360 DARDANELLI LN,SUITE 1A,LOS GATOS,CA,950321421,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,27,99,52.474040404,8.32,6.5222222222,6.5222222222
1003860784,THOMAS,ERNEST,M,M.D.,M,I,360 DARDANELLI LN,SUITE 1A,LOS GATOS,CA,950321421,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,26,26,15,3.38,2.65,2.65
1003860784,THOMAS,ERNEST,M,M.D.,M,I,360 DARDANELLI LN,SUITE 1A,LOS GATOS,CA,950321421,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,25,2.12,1.67,1.67
1003860784,THOMAS,ERNEST,M,M.D.,M,I,360 DARDANELLI LN,SUITE 1A,LOS GATOS,CA,950321421,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,17,32,15,1.42,1.110625,1.110625
1003860891,COOPER,TIMOTHY,E,,M,I,330 POMFRET STREET,,PUTNAM,CT,06260,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,51,80,72.28575,8.32,5.678125,5.678125
1003860891,COOPER,TIMOTHY,E,,M,I,330 POMFRET STREET,,PUTNAM,CT,06260,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,16,17.45875,1.42,0.9075,0.9075
1003860891,COOPER,TIMOTHY,E,,M,I,330 POMFRET STREET,,PUTNAM,CT,06260,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,50,26.449166667,20.7375,14.19
1003860982,WITHERSPOON,CHRISTI,A,M.D.,F,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,60,127,66.987480315,8.32,6.3677952756,6.3677952756
1003860982,WITHERSPOON,CHRISTI,A,M.D.,F,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,33,44,14.646136364,1.42,1.0913636364,1.0913636364
1003860982,WITHERSPOON,CHRISTI,A,M.D.,F,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50.34,39.46,38.24
1003860990,TILLES,STEVEN,J,DPM,M,I,1814 WESTCHESTER DRIVE,SUITE 300,HIGH POINT,NC,272624820,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,299,266.98,205.92083333,214.7025
1003861055,COOKINGHAM,GAIL,A,MD,F,I,2820 STABLE DRIVE,,KIMBALL,MI,48074,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,3900,0.3370692308,0.0463846154,0.0349487179,0.0349487179
1003861055,COOKINGHAM,GAIL,A,MD,F,I,2820 STABLE DRIVE,,KIMBALL,MI,48074,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,7.3344583333,2.9730833333,2.1752638889,2.1752638889
1003861055,COOKINGHAM,GAIL,A,MD,F,I,2820 STABLE DRIVE,,KIMBALL,MI,48074,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,38.210526316,33,24.508421053,24.508421053
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,30,44.344,8.32,6.5206666667,6.5206666667
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,11.388,9.86,7.0858333333,7.0858333333
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.262,1.95,1.4369305556,1.4369305556
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,16,135,16418,4.9902259715,0.5658423681,0.4335296626,0.433526008
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,1650,0.1622969697,0.0134363636,0.0105393939,0.0105393939
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,72,9780,5.6898568507,1.269809816,0.9741881391,0.9741881391
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,3654,3.8271538041,2.8174603175,2.1573727422,2.1573727422
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,17,142,142,24.338028169,24,18.301830986,18.301830986
1003861147,MCCABE,JAMES,C,M.D.,M,I,1302 MEDICAL CENTER DR,,WILMINGTON,NC,284017503,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,16,118,128,16.15625,16,12.383984375,12.383984375
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,46,129,306,62.520424837,8.32,5.9898039216,5.9898039216
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,13.057272727,3.38,2.65,2.65
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,22.979090909,2.12,1.67,1.67
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,29,64,91,14.873956044,1.42,1.0918681319,1.0918681319
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,8.19,2.07,1.623125,1.15
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,35,35,180.40914286,76.379428571,59.883142857,41.654857143
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,47.542857143,22.913714286,17.536285714,14.003428571
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,19,21,154.57380952,60.89,47.736666667,43.232857143
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,270.29411765,104.17,81.671764706,60.087647059
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,44,3651,1.6642508902,0.1346370857,0.0973514106,0.0973514106
1003861162,PENNINGTON,JESSICA,A,MD,F,I,2750 BATTLEFIELD MEMORIAL HWY,,BEREA,KY,404038332,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,44,44,82.5,33,23.300454545,23.300454545
1003861261,KLEIN,ANN,T,MD,F,I,7447 E BERRY AVE,250,GREENWOOD VILLAGE,CO,801112146,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,9.6738461538,2.0338461538,1.5937179487,1.5916666667
1003861261,KLEIN,ANN,T,MD,F,I,7447 E BERRY AVE,250,GREENWOOD VILLAGE,CO,801112146,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,842.56269231,28.97,21.846153846,22.411153846
1003861279,MILLER,JOSEPH,K,MD,M,I,1219 LEXINGTON AVE STE B,,THOMASVILLE,NC,27360,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,220,30.46,18.426153846,18.003076923
1003861279,MILLER,JOSEPH,K,MD,M,I,1219 LEXINGTON AVE STE B,,THOMASVILLE,NC,27360,US,Physician/Neurology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.65,11.590909091,8.0181818182,7.6109090909
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,21,54,77.17962963,8.32,5.9188888889,5.9188888889
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,15.845333333,1.42,0.8906666667,0.8906666667
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,99,108,74.744814815,21.325185185,15.336666667,12.800555556
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,184.22272727,58.255454545,45.672727273,37.63
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,34.081176471,4.2794117647,2.3041176471,2.5852941176
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,112,121,465.21157025,95.535041322,69.07661157,52.578347107
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,19,232.63157895,45.235263158,33.737368421,27.963684211
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,2465,1.1509208925,0.1319634888,0.0769087221,0.0769087221
1003861618,RILEY,GAYLE,E,MD,F,I,350 LYCKMAN PL,,FOUNTAIN,CO,808172861,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,111.15789474,33,16.866315789,16.866315789
1003861881,TOWNSEND,JESSICA,D,M.D.,F,I,12 W SOUTH ST,,MANNING,SC,291022925,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,29,70,76.420571429,8.32,6.5222857143,6.5222857143
1003861881,TOWNSEND,JESSICA,D,M.D.,F,I,12 W SOUTH ST,,MANNING,SC,291022925,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,35.03,6.873125,4.589375,3.19125
1003861881,TOWNSEND,JESSICA,D,M.D.,F,I,12 W SOUTH ST,,MANNING,SC,291022925,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,68.357142857,33,24.022142857,24.022142857
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,34,67,74.048955224,8.32,6.3270149254,6.3270149254
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,14,15.022142857,1.42,1.1171428571,1.1171428571
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,125.77714286,62.320714286,48.862857143,42.849285714
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,44.390909091,20.318181818,15.922727273,14.055454545
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,43.101666667,15.455833333,12.1175,9.12
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,5.4174358974,2.36,1.8508974359,1.5933333333
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.55,2.8166666667,2.8166666667
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,115,50.985,39.976,27.61
1003861915,GOPAL,MEENAKSHI,,MD,F,I,812 AMHERST ST,SUITE 101,WINCHESTER,VA,226013344,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,494.44444444,70.23,55.06,54.871111111
1003861923,CLANCY,TAMARA,R,MD,F,I,3635 S CLYDE MORRIS BLVD,SUITE 900,PORT ORANGE,FL,321292300,US,Physician/Hand Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,100.75,88.155,69.115,69.115
1003861923,CLANCY,TAMARA,R,MD,F,I,3635 S CLYDE MORRIS BLVD,SUITE 900,PORT ORANGE,FL,321292300,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,17,57.352941176,57.352941176,44.964705882,149.74411765
1003861964,SALAMA,DANIEL,,DPM,M,I,24333 ORCHARD LAKE RD,SUITE C,FARMINGTON HILLS,MI,48336,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,16.23,12.72,13.1
1003862236,BENSON,DON,,M.D.,M,I,320 W 10TH AVE,A445 STARLING LOVING HALL,COLUMBUS,OH,432101280,US,Hematopoietic Cell Transplantation and Cellular Therapy,S,J8600,"Melphalan; oral, 2 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,256,12.513320313,11.798125,9.2496875,9.2496875
1003862236,BENSON,DON,,M.D.,M,I,320 W 10TH AVE,A445 STARLING LOVING HALL,COLUMBUS,OH,432101280,US,Hematopoietic Cell Transplantation and Cellular Therapy,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,17.565333333,17.565333333
1003862376,BROWN,PAUL,J,M.D.,M,I,3333 SKYPARK DR,,TORRANCE,CA,905055023,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,38,93,84.138924731,8.32,5.9602150538,5.9602150538
1003862558,BUCHANAN,MISTY,A,PA,F,I,2800 DARROW RD,,WALKERTOWN,NC,270519206,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,497.255,70.23,51.127142857,50.811428571
1003862558,BUCHANAN,MISTY,A,PA,F,I,2800 DARROW RD,,WALKERTOWN,NC,270519206,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1260,1.9820079365,0.1348571429,0.0941269841,0.0941269841
1003862558,BUCHANAN,MISTY,A,PA,F,I,2800 DARROW RD,,WALKERTOWN,NC,270519206,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,63,145,74.463862069,8.32,6.0271034483,6.0271034483
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,22,15.116363636,1.42,1.1163636364,1.1163636364
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,7.1564102564,2.8523076923,2.1002564103,1.4707692308
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,200,5.3591666667,3.902311828,3.0040591398
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3948,8.7516109422,1.2183333333,0.9470263425,0.7830521783
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,331.4,116.67,83.256363636,55.152727273
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,33,494.48545455,114.68787879,84.483636364,56.321515152
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1320,1.4594469697,0.1382272727,0.1042651515,0.1042651515
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,45.009230769,11.966153846,9.3853846154,7.1261538462
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,1416.085,222.211875,168.434375,118.790625
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,1356.4491667,297.36083333,221.17333333,173.57166667
1003862855,BETKER,KIMBERLEY,A,FNP,F,I,6279 SOUTH HORNELL RD,,HORNELL,NY,148439030,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,63.9375,33,24.7725,24.7725
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,17,40,471,54.793163482,19.644840764,15.302887473,15.302887473
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,16,37,1270,7.3868503937,2.6348031496,2.0167637795,2.0167637795
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,46,81,230,1109,66.53908927,8.32,5.7761767358,5.7761767358
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,18,39,40,11.85425,3.38,2.31875,2.31875
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,16,18,18,16.644444444,2.12,1.2988888889,1.2988888889
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,36,81,220,14.667863636,1.42,1.0420454545,1.0420454545
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,806.56461538,384.06230769,290.06923077,290.06923077
1003862897,MURPHY,TONI,M,D.O,F,I,600 HARLEM RD,,WEST SENECA,NY,142241151,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,326.916,251.11,196.87,196.87
1003863036,KUMMER,JOSEPH,L,M.D.,M,I,1600 S 48TH ST,SUITE 600,LINCOLN,NE,685061275,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,60,13.648461538,9.8146153846,9.6738461538
1003863036,KUMMER,JOSEPH,L,M.D.,M,I,1600 S 48TH ST,SUITE 600,LINCOLN,NE,685061275,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,199.35571429,39.867142857,30.735238095,26.443809524
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,37,58.575675676,8.32,4.9348648649,4.9348648649
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,175,51.396153846,20.743076923,18.730769231
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,24,175,48.455,37.32875,38.83625
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,51.512916667,17.812916667,13.435833333,13.183333333
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,38.270357143,4.04,2.7128571429,3.1767857143
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,110,43.72,26.36375,25.69875
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,306.585,79.273333333,60.057666667,53.424333333
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,21,121.19047619,28.745238095,22.538571429,18.312857143
1003863226,BOETTCHER,IRIS,,MD,F,I,7751 BYRON CENTER AVE SW,SUITE C,BYRON CENTER,MI,493158001,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.75,35.66,27.96,29.380833333
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,64,151,56.231523179,8.32,5.0562251656,5.0562251656
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,21,38,14.625526316,1.42,0.8802631579,0.8802631579
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,1.95,1.95,1.4502083333,1.4502083333
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,400,0.27,0.24,0.1881,0.2116
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,37,709,57.957997179,7.5282228491,5.7909026798,4.4696614951
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,37,10649,1.1290975678,0.4070147432,0.3134444549,0.2577068269
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,38.02,22.97,18.006666667,14.332666667
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,39.63,7.9045454545,6.1945454545,4.0272727273
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,73.146896552,10.676551724,8.0668965517,3.9196551724
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,326.85311111,93.308888889,72.29,55.736888889
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,264.5075,37.44,29.35,29.35
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1500,1.5088466667,0.13464,0.0982933333,0.0982933333
1003863234,HERBERT,ALLEN,J,MD,M,I,411 E VAUGHN AVE,SUITE 203,RUSTON,LA,712705972,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,74.684210526,33,23.146842105,23.146842105
1003863317,KIM,PIUS,J,M.D.,M,I,101 E VALENCIA MESA DR,,FULLERTON,CA,928353809,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,17,58.235294118,14.982352941,10.182941176,11.102352941
1003863317,KIM,PIUS,J,M.D.,M,I,101 E VALENCIA MESA DR,,FULLERTON,CA,928353809,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,85,73.133333333,48.561333333,46.814
1003863440,TZAGOURNIS,ADAM,,MD,M,I,700 E BROAD ST,2ND FLOOR,COLUMBUS,OH,432153946,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,3,2.3519354839,2.3664247312
1003863440,TZAGOURNIS,ADAM,,MD,M,I,700 E BROAD ST,2ND FLOOR,COLUMBUS,OH,432153946,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5580,3.016,0.3,0.2352043011,0.2423799283
1003863549,YANG,DANIEL,B,MD,M,I,1600 PHILLIPS RD,,TALLAHASSEE,FL,323085304,US,Physician/Diagnostic Radiology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,40,134,78.255447761,8.32,5.9385074627,5.9385074627
1003863663,JACOBS,KELLIE,L,MD,F,I,3500 ORCHARD PL,,BELLINGHAM,WA,982251749,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,58,58.713448276,8.32,3.3743103448,3.3743103448
1003863796,OBER,ANDREW,I,M.D.,M,I,114R HIGHLAND AVE,,SALEM,MA,019702723,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,415.00533333,42.315090909,33.175060606,33.175045455
1003863929,TAYLOR,LEE,B,MD,M,I,3021 REIDVILLE RD,,SPARTANBURG,SC,293015643,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,29,77,72.420779221,8.32,6.5215584416,6.5215584416
1003863929,TAYLOR,LEE,B,MD,M,I,3021 REIDVILLE RD,,SPARTANBURG,SC,293015643,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,598.21428571,191.49,150.13,147.92428571
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,29,98,203,56.426551724,8.32,5.81591133,5.81591133
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,16.923076923,3.38,2.65,2.65
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,38,59,15.943728814,1.42,0.9449152542,0.9449152542
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,80.64,18.070625,12.8909375,12.2696875
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,165,51.44,37.193636364,22.669090909
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,51,51,418.40078431,93.045098039,69.45745098,52.694313725
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,3918,0.3544257274,0.0467662072,0.0366717713,0.0366717713
1003864018,HOFFMAN,NANCY,M,CNP,F,I,100 RIVER VALLEY BLVD,,NEW RICHMOND,OH,451578566,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,25.87,25.87
1003864042,EMELIANCHIK,ANTHONY,J,DPM,M,I,2051 PREVATT ST,SUITE B,EUSTIS,FL,327266141,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,38,71.56,71.56,56.105,56.105
1003864042,EMELIANCHIK,ANTHONY,J,DPM,M,I,2051 PREVATT ST,SUITE B,EUSTIS,FL,327266141,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,102,29.19,29.19,22.885,22.886568627
1003864091,SUBRAMANIAN,THYAGARAJAN,,MD,M,I,30 HOPE DR STE 1300,,HERSHEY,PA,170332036,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,72.96,19.71,15.4525,15.4525
1003864091,SUBRAMANIAN,THYAGARAJAN,,MD,M,I,30 HOPE DR STE 1300,,HERSHEY,PA,170332036,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,364,150.6,37.38,29.305714286,29.305714286
1003864091,SUBRAMANIAN,THYAGARAJAN,,MD,M,I,30 HOPE DR STE 1300,,HERSHEY,PA,170332036,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,364,363.31285714,213.95,167.73678571,167.73678571
1003864117,ALEX,SUSAN,,M.D.,F,I,221 STERLING FARMS DR.,,JACKSON,TN,383053609,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2322,3.4979801895,0.5730964686,0.3898535745,0.3898449612
1003864117,ALEX,SUSAN,,M.D.,F,I,221 STERLING FARMS DR.,,JACKSON,TN,383053609,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,15.924615385,15.924615385
1003864117,ALEX,SUSAN,,M.D.,F,I,221 STERLING FARMS DR.,,JACKSON,TN,383053609,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,16,16,11.816666667,11.816666667
1003864190,SCHIFF,MARVIN,I,"M.D., P.A.",M,I,27 NE 1ST AVE,,POMPANO BEACH,FL,330606609,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,22,27,85.416666667,8.32,6.0425925926,6.0425925926
1003864190,SCHIFF,MARVIN,I,"M.D., P.A.",M,I,27 NE 1ST AVE,,POMPANO BEACH,FL,330606609,US,Physician/Family Practice,S,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7,7,5.488,6.3798181818
1003864190,SCHIFF,MARVIN,I,"M.D., P.A.",M,I,27 NE 1ST AVE,,POMPANO BEACH,FL,330606609,US,Physician/Family Practice,S,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,14,14,10.688541667,10.988958333
1003864216,ALIWALAS,MARTHA,G,M.D.,F,I,4939 BRITTONFIELD PKWY,SUITE 101,EAST SYRACUSE,NY,130579208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,22,52,135,65.518814815,8.32,5.5557777778,5.5557777778
1003864216,ALIWALAS,MARTHA,G,M.D.,F,I,4939 BRITTONFIELD PKWY,SUITE 101,EAST SYRACUSE,NY,130579208,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,15,19,14.396315789,1.42,1.1168421053,1.1168421053
1003864216,ALIWALAS,MARTHA,G,M.D.,F,I,4939 BRITTONFIELD PKWY,SUITE 101,EAST SYRACUSE,NY,130579208,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,18.92,14.19,7.8494117647,9.9705882353
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,71.755,40,28.224,27.4845
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,256.4385,84.95,57.39,58.599
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,50,106.9838,32.8632,25.0436,25.1912
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,42.977058824,17.885882353,14.020588235,14.06
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,32,165,7.3431515152,2,1.5113939394,1.5330909091
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,13,13,42.202307692,13,9.0669230769,9.2084615385
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,106,107,86.575794393,18,13.582523364,13.049813084
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,17,86.31,27.689411765,21.705294118,20.556470588
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,18,519.51,77.18,60.51,56.006666667
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,55,57,104.32684211,49.952280702,37.136842105,35.732105263
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,35.7556,4.1072,3.216,3.726
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,41,262,263,292.14619772,77.236197719,57.921558935,52.799543726
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,21,118,118,161.43957627,37.167881356,28.125,28.402457627
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,1440,16.537986111,10.986083333,8.4877222222,8.4877222222
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,3712,0.2546955819,0.0463685345,0.0363469828,0.0363469828
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1976,2.2096052632,0.1350607287,0.1059008097,0.1059008097
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,38,2310,12.258874459,3.0200649351,2.3677445887,2.3677445887
1003864240,WILLNER,DEBORAH,J,P.A.,F,I,11900 SOUTHWEST HWY,,PALOS PARK,IL,604641200,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,39,39,71.076923077,33,25.206666667,25.206666667
1003864265,ASTIZ,DONNA,,MD,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,57.8,16.04,9.9583333333,10.96
1003864265,ASTIZ,DONNA,,MD,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,71.5,46.716666667,45.608333333
1003864596,ROBERTS,KIRSTEN,L,F.N.P.,F,I,5050 NE HOYT ST STE 117,,PORTLAND,OR,97213,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,716.66727273,77.18,60.51,56.825454545
1003864703,COON,KELLY,J,M.D.,F,I,4021 AVENUE B,,SCOTTSBLUFF,NE,693614602,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,59,78.924915254,22.90559322,16.691694915,12.613050847
1003864703,COON,KELLY,J,M.D.,F,I,4021 AVENUE B,,SCOTTSBLUFF,NE,693614602,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,84,89,450.88910112,102.15258427,75.151573034,50.586741573
1003864752,VASI,RAHIB,N,M.D.,M,I,311 NILLES RD,STE C,FAIRFIELD,OH,450142621,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,104,60.666442308,8.32,6.335,6.335
1003864752,VASI,RAHIB,N,M.D.,M,I,311 NILLES RD,STE C,FAIRFIELD,OH,450142621,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.15,3.6083333333,3.1916666667
1003864760,EMERY,ROSE,M,M.D.,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,20,78,67.978333333,8.32,6.5226923077,6.5226923077
1003864760,EMERY,ROSE,M,M.D.,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,18,550.61222222,38.503888889,30.186111111,29.5
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,51,97,66.440824742,8.32,5.6453608247,5.6453608247
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,26,27,13.118518519,1.42,0.9948148148,0.9948148148
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.5,12.576666667,12.411666667
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,33,503.32454545,78.98,58.167272727,51.403636364
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1380,5.1964782609,0.0764782609,0.0550869565,0.0550869565
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1020,1.6899313725,0.1358235294,0.0984607843,0.0984607843
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,145,38.91,30.51,29.51
1003864778,BUONO,DAVID,,MD,M,I,212 CALEF HWY,,EPPING,NH,030422322,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,68.64,33,22.7656,22.7656
1003864950,ROBINSON,BRIAN,T,MD,M,I,1001 W 10TH ST,,INDIANAPOLIS,IN,462022859,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,55.34,17.506111111,11.96,11.793333333
1003864950,ROBINSON,BRIAN,T,MD,M,I,1001 W 10TH ST,,INDIANAPOLIS,IN,462022859,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,364.32,79.396111111,51.799444444,45.608333333
1003864992,MONTALDO,THOMAS,J,M.D.,M,I,1070 N STONE ST,SUITE A,DELAND,FL,327200919,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,27,61,158,56.89056962,8.32,5.9432278481,5.9432278481
1003864992,MONTALDO,THOMAS,J,M.D.,M,I,1070 N STONE ST,SUITE A,DELAND,FL,327200919,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,12.609411765,3.38,2.65,2.65
1003864992,MONTALDO,THOMAS,J,M.D.,M,I,1070 N STONE ST,SUITE A,DELAND,FL,327200919,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.469090909,2.12,1.67,1.67
1003864992,MONTALDO,THOMAS,J,M.D.,M,I,1070 N STONE ST,SUITE A,DELAND,FL,327200919,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,25,34,13.051176471,1.42,1.1158823529,1.1158823529
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,430,9.910627907,3.9,3.0576046512,3.0576046512
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,12.731666667,8.265,5.9433333333,5.9566666667
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,34,4.5011764706,2.73,2.0141176471,2.0141176471
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,17,19,10.065263158,4.1,3.2110526316,3.2110526316
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,280,10.401571429,7.06,5.0944642857,5.0944642857
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,25,770,9.908,5.74,4.362012987,4.362012987
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,17,197,3.6517766497,2.9075634518,2.2794416244,2.2804060914
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,70,8.44,5.54,4.0332857143,4.0332857143
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,930,3.804172043,3.1,2.4303763441,2.4303763441
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,400,5.3204,4.03,3.005375,3.005375
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,480,4.7097916667,3.13,2.35175,2.35175
1003865023,SUN,JOHN,H,MD,M,I,9397 CROWN CREST BLVD,SUITE 201,PARKER,CO,801388575,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,24,1730,0.6299595376,0.27,0.2116358382,0.2116358382
1003865049,JURGENS,WILLIAM,L,M.D.,M,I,1100 CARSON AVE,,LA JUNTA,CO,810502751,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,26.272727273,6.0490909091,4.4136363636,3.1745454545
1003865213,DUMENIGO,RODOLFO,,M.D.,M,I,1200 ALTON RD,,MIAMI BEACH,FL,331393810,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,64,56.1796875,8.32,5.095625,5.095625
1003865213,DUMENIGO,RODOLFO,,M.D.,M,I,1200 ALTON RD,,MIAMI BEACH,FL,331393810,US,Physician/Cardiovascular Disease (Cardiology),S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,274,16,5.82,4.3096350365,3.9520437956
1003865213,DUMENIGO,RODOLFO,,M.D.,M,I,1200 ALTON RD,,MIAMI BEACH,FL,331393810,US,Physician/Cardiovascular Disease (Cardiology),S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,5324,0.85,0.3,0.2212847483,0.2288072878
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,27,43,86,2.0437209302,0.51,0.4,0.4
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,75,132,410,1490,57.48957047,8.3142818792,6.2117516779,6.2162080537
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,43,131,131,14.838473282,3.38,2.65,2.65
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,40,61,61,26.019508197,2.12,1.67,1.67
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,48,84,216,448,28.014575893,1.42,1.08625,1.08625
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,77.245833333,67.3925,52.835,58.7425
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,13,50,53,457.63264151,251.00698113,196.78924528,196.86962264
1003865262,CHERTMAN,MARCOS,M,M.D.,M,I,1321 NW 14TH ST,SUITE 304,MIAMI,FL,331251673,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,377.12083333,263.92083333,194.95666667,195.14416667
1003865320,DIAMOND,HOWARD,,M.D,M,I,1033 7TH AVE N,,ST PETERSBURG,FL,337051305,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,40,74.186,8.32,5.49875,5.49875
1003865320,DIAMOND,HOWARD,,M.D,M,I,1033 7TH AVE N,,ST PETERSBURG,FL,337051305,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,545.79473684,79.88,62.62,55.135789474
1003865338,BRENNER,WARREN,S,M.D.,M,I,6282 LINTON BLVD,,DELRAY BEACH,FL,334846416,US,Physician/Hematology-Oncology,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,300,17.119,7.06,5.535,5.535
1003865338,BRENNER,WARREN,S,M.D.,M,I,6282 LINTON BLVD,,DELRAY BEACH,FL,334846416,US,Physician/Hematology-Oncology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,320,13.945,5.74,4.5,4.5
1003865338,BRENNER,WARREN,S,M.D.,M,I,6282 LINTON BLVD,,DELRAY BEACH,FL,334846416,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,13,50,3553,43.219783282,4.652820152,3.6074359696,3.6074359696
1003865338,BRENNER,WARREN,S,M.D.,M,I,6282 LINTON BLVD,,DELRAY BEACH,FL,334846416,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,14,702,10.763148148,4.1619088319,3.2629344729,3.2629344729
1003865338,BRENNER,WARREN,S,M.D.,M,I,6282 LINTON BLVD,,DELRAY BEACH,FL,334846416,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,18,53,53,24,24,18.82,18.82
1003865536,MILLER,STEPHEN,C,DO,M,I,7380 VOLKSWAGON DRIVE,SUITE 110,CHATTANOOGA,TN,37416,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,31,81.848387097,8.32,6.1006451613,6.1006451613
1003865536,MILLER,STEPHEN,C,DO,M,I,7380 VOLKSWAGON DRIVE,SUITE 110,CHATTANOOGA,TN,37416,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1812.76,1074.31,830.30416667,830.30416667
1003865585,MAYER,ROBERT,S,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,141.69333333,44.399166667,34.808333333,36.46
1003865585,MAYER,ROBERT,S,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Physical Medicine and Rehabilitation,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,45.672727273,35.802727273,36.122727273
1003865585,MAYER,ROBERT,S,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,19,19,183.85578947,54.381578947,38.542105263,39.654210526
1003865585,MAYER,ROBERT,S,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,30,5.4642857143,4.2057142857,3.6566666667
1003865585,MAYER,ROBERT,S,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100,39.820909091,31.218181818,31.218181818
1003865890,WOOD,PETER,B,DPM,M,I,3600 GASTON AVE,402 BARNETT TOWER,DALLAS,TX,752461800,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,16,1600,0.55,0.44,0.32773125,0.32773125
1003865890,WOOD,PETER,B,DPM,M,I,3600 GASTON AVE,402 BARNETT TOWER,DALLAS,TX,752461800,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,26,75.19,71.56,51.789615385,51.788846154
1003865890,WOOD,PETER,B,DPM,M,I,3600 GASTON AVE,402 BARNETT TOWER,DALLAS,TX,752461800,US,Podiatry,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,12,156,27.32,22.42,17.449423077,17.449423077
1003865890,WOOD,PETER,B,DPM,M,I,3600 GASTON AVE,402 BARNETT TOWER,DALLAS,TX,752461800,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,13,1500,0.16,0.13,0.0951066667,0.0951066667
1003865965,BROPHY,ROBERT,P,MD,M,I,2600 SIXTH STREET,AULTMAN HOSPITAL,CANTON,OH,44710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,48,57.986875,8.32,5.435,5.435
1003865965,BROPHY,ROBERT,P,MD,M,I,2600 SIXTH STREET,AULTMAN HOSPITAL,CANTON,OH,44710,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,38,12.052631579,2.03,1.2576315789,1.2576315789
1003865965,BROPHY,ROBERT,P,MD,M,I,2600 SIXTH STREET,AULTMAN HOSPITAL,CANTON,OH,44710,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,4950,0.17,0.0477272727,0.0340686869,0.0340686869
1003865965,BROPHY,ROBERT,P,MD,M,I,2600 SIXTH STREET,AULTMAN HOSPITAL,CANTON,OH,44710,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,990,0.75,0.2194545455,0.1565454545,0.1565454545
1003865965,BROPHY,ROBERT,P,MD,M,I,2600 SIXTH STREET,AULTMAN HOSPITAL,CANTON,OH,44710,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,102,49.69872549,8.32,5.627745098,5.627745098
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,14.55173913,1.42,0.9691304348,0.9691304348
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,138.52,75.998333333,51.725833333,37.850833333
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,48.428571429,20.535,15.376428571,9.2914285714
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,22,56,6.4414285714,2.9707142857,2.0133928571,1.3444642857
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,139.375,52.94,41.502083333,25.325
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,2.1391527778,0.1354166667,0.0986180556,0.0986180556
1003866104,CRIST,GENE,A,D.O.,M,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,23.518181818,23.518181818
1003866179,MCKINNEY,SCOTT,W,D.P.M.,M,I,3692 E SAM HOUSTON PKWY S,SUITE 100,PASADENA,TX,775053137,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,85.87,71.56,51.48625,51.48625
1003866179,MCKINNEY,SCOTT,W,D.P.M.,M,I,3692 E SAM HOUSTON PKWY S,SUITE 100,PASADENA,TX,775053137,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,72,52.27,43.56,34.151527778,34.149861111
1003866237,EXSTROM,BRYCE,A,P.A.,M,I,350 W 23RD ST,SUITE D,FREMONT,NE,680252592,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,161.42857143,45.74,30.321428571,25.164285714
1003866237,EXSTROM,BRYCE,A,P.A.,M,I,350 W 23RD ST,SUITE D,FREMONT,NE,680252592,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,102.61833333,75.474166667,75.474166667
1003866237,EXSTROM,BRYCE,A,P.A.,M,I,350 W 23RD ST,SUITE D,FREMONT,NE,680252592,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125,44.745,32.344166667,32.344166667
1003866245,TALBERT,BEVERLY,J,M.D.,F,I,825 NE 10TH ST,OUPB5350,OKLAHOMA CITY,OK,731045417,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,38,60,180,43.481777778,36.327166667,26.728722222,28.797055556
1003866245,TALBERT,BEVERLY,J,M.D.,F,I,825 NE 10TH ST,OUPB5350,OKLAHOMA CITY,OK,731045417,US,Physician/General Surgery,S,L8020,"Breast prosthesis, mastectomy form",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,19,261.84210526,219.67,172.22263158,169.3
1003866245,TALBERT,BEVERLY,J,M.D.,F,I,825 NE 10TH ST,OUPB5350,OKLAHOMA CITY,OK,731045417,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,24,377.04166667,322.67583333,247.00208333,259.72875
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,40,102,361,65.482714681,8.32,5.9373407202,5.9373407202
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,36,49,13.203673469,1.42,1.0024489796,1.0024489796
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,156,2.49,2.49,1.9516666667,1.9516666667
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,35.74,34.7,27.2025,28.02
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.28,13.28,10.41,10.41
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,33,26.965151515,10.884545455,8.5336363636,8.5575757576
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,120.24777778,40.12,31.46,30.5
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,17,21.218823529,15.632941176,12.257647059,13.736470588
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,232.92363636,90,70.56,67.84
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,85.800869565,32.75,25.675652174,25.919130435
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,224.40833333,54.5,42.73,42.86
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,66.580666667,18.78,14.72,14.06
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,116,7.5982758621,2.1,1.646637931,1.5917241379
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,27.390909091,12.84,10.06,10.34
1003866278,SCIARA,PATRICK,S,MD,M,I,19829 N 27TH AVE,,PHOENIX,AZ,850274001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,215.54461538,31.035384615,23.178846154,23.947692308
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,48,152,48.503092105,8.3010526316,5.9926315789,5.9926315789
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,6.1188888889,1.42,1.1155555556,1.1155555556
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,253.49090909,82.94,61.794545455,64.357272727
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,69,58.107536232,17,12.618115942,12.824347826
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,55.05,3.7051612903,2.4167741935,3.0277419355
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,39.9,31.591666667,22.156666667,22.071666667
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,67,70,345.41042857,77.166571429,56.522,51.239142857
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,36,8057,0.2971937446,0.0460369865,0.0316557031,0.0316557031
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,810,0.8925802469,0.2190740741,0.1495802469,0.1495802469
1003866286,GREWE,TERENCE,E,D.O.,M,I,3316 E 21ST ST,SUITE A,TULSA,OK,741141967,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,46,46,91.108695652,33,22.810217391,22.810217391
1003866302,DURVE,MOHAN,J,MD,M,I,6115 POWERS BLVD,202,PARMA,OH,441295471,US,Physician/Allergy/ Immunology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,144.27,38.493636364,30.181818182,27.623636364
1003866302,DURVE,MOHAN,J,MD,M,I,6115 POWERS BLVD,202,PARMA,OH,441295471,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,720,11.975347222,2.9275,2.1883194444,2.1883194444
1003866302,DURVE,MOHAN,J,MD,M,I,6115 POWERS BLVD,202,PARMA,OH,441295471,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,79.85,33,22.420666667,22.420666667
1003866328,MUNVES,JONATHAN,H,MD,M,I,2597 SCHOENERSVILLE RD,SUITE 302,BETHLEHEM,PA,180177325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,27,75,214,73.758224299,8.32,5.508271028,5.508271028
1003866328,MUNVES,JONATHAN,H,MD,M,I,2597 SCHOENERSVILLE RD,SUITE 302,BETHLEHEM,PA,180177325,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,21,44,72,16.840833333,1.42,0.9438888889,0.9438888889
1003866328,MUNVES,JONATHAN,H,MD,M,I,2597 SCHOENERSVILLE RD,SUITE 302,BETHLEHEM,PA,180177325,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,239.03285714,31.072857143,22.246428571,23.403571429
1003866328,MUNVES,JONATHAN,H,MD,M,I,2597 SCHOENERSVILLE RD,SUITE 302,BETHLEHEM,PA,180177325,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,71.11,51.104166667,50.169166667
1003866328,MUNVES,JONATHAN,H,MD,M,I,2597 SCHOENERSVILLE RD,SUITE 302,BETHLEHEM,PA,180177325,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,128,23.16,18.155,21.615
1003866328,MUNVES,JONATHAN,H,MD,M,I,2597 SCHOENERSVILLE RD,SUITE 302,BETHLEHEM,PA,180177325,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,38.1,7.5566666667,5.3055555556,5.8911111111
1003866369,ROSENBERG,ANNE,M,MD,F,I,7500 FRANCE AVE S,,EDINA,MN,554353400,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,11,29,350,54.449371429,19.6294,13.944942857,13.944942857
1003866369,ROSENBERG,ANNE,M,MD,F,I,7500 FRANCE AVE S,,EDINA,MN,554353400,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,28,880,7.0261022727,2.6311363636,1.8795113636,1.8795113636
1003866369,ROSENBERG,ANNE,M,MD,F,I,7500 FRANCE AVE S,,EDINA,MN,554353400,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,47,54,130,682,78.482565982,8.32,6.155,6.155
1003866369,ROSENBERG,ANNE,M,MD,F,I,7500 FRANCE AVE S,,EDINA,MN,554353400,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,15,19,43,18.105581395,1.42,0.9323255814,0.9323255814
1003866369,ROSENBERG,ANNE,M,MD,F,I,7500 FRANCE AVE S,,EDINA,MN,554353400,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,744.75,345.2475,258.71666667,258.71666667
1003866369,ROSENBERG,ANNE,M,MD,F,I,7500 FRANCE AVE S,,EDINA,MN,554353400,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,1760,16.396352273,10.675920455,8.3699204545,8.3699204545
1003866369,ROSENBERG,ANNE,M,MD,F,I,7500 FRANCE AVE S,,EDINA,MN,554353400,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,16,92,95,378.16484211,250.99505263,196.77989474,196.86957895
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,24,81,71.874567901,8.32,5.0727160494,5.0727160494
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,275.00727273,86.88,68.11,67.864545455
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,67.129230769,17.99,13.428461538,13.394615385
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,65.826,12.04,9.44,9.1413333333
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,70,7.8237142857,2.04,1.5984285714,1.5917142857
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,148.27615385,17.52,11.626153846,11.456923077
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17.52,13.74,13.54
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.74,35.445454545,34.332727273
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,90.128,32.0612,20.7612,21.3644
1003866393,ABOAF,ALAN,P,MD,M,I,13111 E BRIARWOOD AVE,STE 250,CENTENNIAL,CO,801123930,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,672.67705882,78.49,54.499411765,48.298823529
1003866401,ECK,ANITA,,PA-C,F,I,200 N MAIN ST,,WAYLAND,NY,145721034,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,37,83,76.197108434,8.32,5.7692771084,5.7692771084
1003866401,ECK,ANITA,,PA-C,F,I,200 N MAIN ST,,WAYLAND,NY,145721034,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,14,15.92,1.42,0.8785714286,0.8785714286
1003866435,TUTT,JENNIFER,M,MD,F,I,8300 ALCOTT ST STE 302,,WESTMINSTER,CO,800314030,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,59,75.045762712,8.32,5.8586440678,5.8586440678
1003866435,TUTT,JENNIFER,M,MD,F,I,8300 ALCOTT ST STE 302,,WESTMINSTER,CO,800314030,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,64,9.0678125,2.04,1.44859375,1.4425
1003866435,TUTT,JENNIFER,M,MD,F,I,8300 ALCOTT ST STE 302,,WESTMINSTER,CO,800314030,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,17.52,17.52,12.666315789,12.476842105
1003866435,TUTT,JENNIFER,M,MD,F,I,8300 ALCOTT ST STE 302,,WESTMINSTER,CO,800314030,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,3775.52,913.16,715.92,842.26
1003866435,TUTT,JENNIFER,M,MD,F,I,8300 ALCOTT ST STE 302,,WESTMINSTER,CO,800314030,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,459.1355814,78.49,57.661627907,51.177674419
1003866435,TUTT,JENNIFER,M,MD,F,I,8300 ALCOTT ST STE 302,,WESTMINSTER,CO,800314030,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.76,30.39,29.51
1003866435,TUTT,JENNIFER,M,MD,F,I,8300 ALCOTT ST STE 302,,WESTMINSTER,CO,800314030,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.76,30.39,29.51
1003866542,LEE,ROBERT,E,M.D.,M,I,1206 ROUTE 72 W,,MANAHAWKIN,NJ,080502414,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,37,37,37,59.946216216,59.946216216,45.508648649,50.784324324
1003866542,LEE,ROBERT,E,M.D.,M,I,1206 ROUTE 72 W,,MANAHAWKIN,NJ,080502414,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,43.84,43.84,34.37,29.681818182
1003866542,LEE,ROBERT,E,M.D.,M,I,1206 ROUTE 72 W,,MANAHAWKIN,NJ,080502414,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,60.182307692,60.182307692,41.325769231,36.164615385
1003866542,LEE,ROBERT,E,M.D.,M,I,1206 ROUTE 72 W,,MANAHAWKIN,NJ,080502414,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,42,77.83,77.83,59.566428571,52.806666667
1003866633,KACHAVOS,PETER,G,MD,M,I,4 ELLIOT WAY,SUITE 102,MANCHESTER,NH,031033551,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,30.712727273,24.077272727,24.087272727
1003866641,BATTIN,JOHN,A,M.D.,M,I,1000 J D ANDERSON DR,SUITE 401,MORGANTOWN,WV,265051241,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,2480,0.39,0.13,0.090391129,0.090391129
1003866641,BATTIN,JOHN,A,M.D.,M,I,1000 J D ANDERSON DR,SUITE 401,MORGANTOWN,WV,265051241,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,12,57,11790,4.4356403732,1.8727480916,1.4187972858,1.5450245971
1003866823,PATEL,SANJAY,A,M.D.,M,I,310 SE 29TH PL,SUITE-100,OCALA,FL,344710486,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,47,159,58.047924528,8.32,6.3120754717,6.3120754717
1003866823,PATEL,SANJAY,A,M.D.,M,I,310 SE 29TH PL,SUITE-100,OCALA,FL,344710486,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,29,54,14.86962963,1.42,1.0922222222,1.0922222222
1003866823,PATEL,SANJAY,A,M.D.,M,I,310 SE 29TH PL,SUITE-100,OCALA,FL,344710486,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,59.041666667,12,8.6258333333,8.4083333333
1003866823,PATEL,SANJAY,A,M.D.,M,I,310 SE 29TH PL,SUITE-100,OCALA,FL,344710486,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.97,12.1,12.1
1003866823,PATEL,SANJAY,A,M.D.,M,I,310 SE 29TH PL,SUITE-100,OCALA,FL,344710486,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,111.17777778,48.635,38.128888889,37.155
1003866823,PATEL,SANJAY,A,M.D.,M,I,310 SE 29TH PL,SUITE-100,OCALA,FL,344710486,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,23,386.2926087,77.18,60.51,55.978695652
1003867037,ECKSTROM,JENNIE,W,M.D.,F,I,1111 BAKER AVE,GLACIER MEDICAL ASSOCIATES,WHITEFISH,MT,599372901,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,47,54.38212766,8.32,6.5223404255,6.5223404255
1003867037,ECKSTROM,JENNIE,W,M.D.,F,I,1111 BAKER AVE,GLACIER MEDICAL ASSOCIATES,WHITEFISH,MT,599372901,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,81.376875,21.24625,13.85875,10.993125
1003867037,ECKSTROM,JENNIE,W,M.D.,F,I,1111 BAKER AVE,GLACIER MEDICAL ASSOCIATES,WHITEFISH,MT,599372901,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,515.46843137,97.52,69.588235294,49.896470588
1003867151,HEBERT,DAVID,A,M.D.,M,I,7301 ROGERS AVE,,FORT SMITH,AR,729034100,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,76.635517241,23.045172414,17.036551724,12.804827586
1003867151,HEBERT,DAVID,A,M.D.,M,I,7301 ROGERS AVE,,FORT SMITH,AR,729034100,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,32.1009375,5.850625,4.358125,3.410625
1003867151,HEBERT,DAVID,A,M.D.,M,I,7301 ROGERS AVE,,FORT SMITH,AR,729034100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,49,433.08040816,105.46693878,78.542244898,53.169795918
1003867243,MELTON,KAYLA,S,O.D.,F,I,1500 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639013318,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,23,23,51.614782609,45.697826087,35.83,46.374782609
1003867243,MELTON,KAYLA,S,O.D.,F,I,1500 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639013318,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,38,27.078947368,26.325789474,20.641052632,37.157368421
1003867276,RATTNER,ZACHARY,G,M.D.,M,I,995 GATEWAY CENTER WAY,SUITE 207,SAN DIEGO,CA,921024500,US,Physician/Interventional Radiology,S,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,24,48.69,48.69,38.17,38.17
1003867300,ODELL,SHARON,M,MD,F,I,54 TOWER RD NE,,MARIETTA,GA,300606977,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,35,93,194,61.678814433,8.2977319588,5.8012371134,5.8230412371
1003867300,ODELL,SHARON,M,MD,F,I,54 TOWER RD NE,,MARIETTA,GA,300606977,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,11.976842105,3.38,2.65,2.65
1003867300,ODELL,SHARON,M,MD,F,I,54 TOWER RD NE,,MARIETTA,GA,300606977,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,17.025454545,2.12,1.67,1.67
1003867300,ODELL,SHARON,M,MD,F,I,54 TOWER RD NE,,MARIETTA,GA,300606977,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,22,50,64,12.58171875,1.42,1.03,1.03
1003867300,ODELL,SHARON,M,MD,F,I,54 TOWER RD NE,,MARIETTA,GA,300606977,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,132.73846154,29.292307692,20.667692308,18.611538462
1003867300,ODELL,SHARON,M,MD,F,I,54 TOWER RD NE,,MARIETTA,GA,300606977,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,7.5,5.1818181818,5.6263636364
1003867334,FALANA,BABAJIDE,O,M.D.,M,I,2000 DAN PROCTOR DRIVE,,ST MARYS,GA,31558,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,57.54,19.409655172,13.81137931,12.289655172
1003867334,FALANA,BABAJIDE,O,M.D.,M,I,2000 DAN PROCTOR DRIVE,,ST MARYS,GA,31558,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,346.34,87.544137931,64.41,53.268965517
1003867433,ABOU ASSI,WALID,G,M.D.,M,I,7605 FOREST AVE,SUITE 109,RICHMOND,VA,232294938,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,3.5163333333,0.571,0.4476363636,0.4476363636
1003867433,ABOU ASSI,WALID,G,M.D.,M,I,7605 FOREST AVE,SUITE 109,RICHMOND,VA,232294938,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,2100,0.4548857143,0.0132142857,0.0095809524,0.0095809524
1003867433,ABOU ASSI,WALID,G,M.D.,M,I,7605 FOREST AVE,SUITE 109,RICHMOND,VA,232294938,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,5.9535,1.26075,0.9884583333,0.9884583333
1003867433,ABOU ASSI,WALID,G,M.D.,M,I,7605 FOREST AVE,SUITE 109,RICHMOND,VA,232294938,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,24,24,18.7425,18.7425
1003867433,ABOU ASSI,WALID,G,M.D.,M,I,7605 FOREST AVE,SUITE 109,RICHMOND,VA,232294938,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,17,16,16,12.54,12.54
1003867466,YOSTEN,LISA,D,MD,F,I,2700 W NORFOLK AVE,,NORFOLK,NE,687014438,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,25,5.9171428571,4.12,2.8971428571
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,24,66.5825,28.46,22.31125,22.31125
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,3940,0.2158274112,0.13,0.1019137056,0.1019137056
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,22,14.655909091,5.54,4.3404545455,4.3404545455
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,26,1757,2.8207171315,2.2508537279,1.6550028458,1.6700284576
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,28,122,31800,3.6914245283,2.036918239,1.5527820755,1.5551968553
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,24,5459,7.3893185565,6.15,4.7953159919,5.6280802345
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,39,6670,14.965757121,7.88,6.1224122939,6.1224122939
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,26,70,213,16.510610329,10.889342723,7.4791079812,7.508028169
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,62,220,11.495909091,7.4421818182,5.6220454545,5.6360454545
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,54,588,1.8956972789,1.6843537415,1.2591836735,1.3350340136
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,610,16.77947541,9.851147541,7.3664590164,7.3733934426
1003867482,GURALNICK,MICHAEL,L,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF UROLOGY,MILWAUKEE,WI,532263522,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,20,970,8.0366701031,4.0200412371,2.9502371134,2.9688247423
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,74,124,124,90.95266129,39.617983871,27.706290323,27.122580645
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,30,57,3.631754386,1.6273684211,1.0314035088,0.9347368421
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,40,65,65,243.18061538,93.302,69.626923077,64.355538462
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,34,67,144,85.233958333,35.976319444,26.920625,24.685277778
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,49,93,373,65.110214477,18.977184987,14.112037534,13.771635389
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,27,67,212,33.604811321,16.267924528,11.639198113,10.797688679
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,85,136,136,131.34551471,57.294852941,39.155,37.251397059
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,119,153,153,45.907647059,18.727254902,13.292875817,12.705947712
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,45,76,76,42.708552632,12.666184211,9.5640789474,8.7227631579
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,110,213,913,6.9793756846,2.1109200438,1.5199014239,1.4575136911
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,20,24,24,15.969166667,6.6566666667,5.2220833333,4.6566666667
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,49,64,64,25.118125,13.37625,9.715,9.579375
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,57.375,17.731875,12.8959375,12.6090625
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.69,12.714166667,12.430833333
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225,69.99,50.2975,50.180833333
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,79.3625,50.63,31.703125,31.12625
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,54,54,2000,999.74777778,771.48537037,825.44537037
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,319.58095238,90.981428571,68.451904762,67.566190476
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,1488.4,911.6547619,709.65333333,709.65333333
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,19,19,381.15789474,138.51263158,108.59473684,104.66736842
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,24,118,118,38.264661017,13.837542373,9.8933050847,9.9507627119
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,,36,36,24.919444444,5.4391666667,4.0411111111,3.3530555556
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,52,260,286,124.02027972,34.821223776,24.537412587,23.102622378
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,29,193,193,363.37647668,72.584352332,51.152849741,49.130103627
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,110.10869565,38.017391304,27.718913043,27.487173913
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,2010,23.621368159,9.6483283582,7.4929004975,7.4929004975
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,56,4545,19.21009681,11.177174917,8.7003586359,8.7003520352
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,21,31,95,12148,1.9105046098,0.1354585117,0.0973081989,0.0973081989
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,17,74,5850,10.59257265,3.0796478632,2.3283008547,2.3282991453
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,69,69,65.652173913,40.106811594,27.337971014,25.937536232
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,28,122,122,40.844262295,33,24.809754098,24.809754098
1003867573,MARTINELLI,JOSEPH,J,MD,M,I,920 E 1ST ST,STE P201,DULUTH,MN,558052201,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,38,38,66,66,49.016842105,49.016842105
1003867664,KARASSIK,EMILY,G,PA-C,F,I,1450 AVIATION DR,SUITE 100,HAILEY,ID,833338785,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,55,57.368181818,8.32,6.0489090909,6.0489090909
1003867664,KARASSIK,EMILY,G,PA-C,F,I,1450 AVIATION DR,SUITE 100,HAILEY,ID,833338785,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,122.25,47.23,33.892727273,21.254545455
1003867714,HELFAND,IRA,,M.D.,M,I,1515 ALLEN ST,,SPRINGFIELD,MA,011181803,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,674.8,33.155,25.994285714,26.142142857
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,34,73,205,65.298097561,8.32,5.7262926829,5.7262926829
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,23,26,15.327692308,1.42,0.99,0.99
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,52,86.31,23.454615385,17.238653846,12.9525
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,17,81,81,29.253703704,8.5620987654,6.2939506173,4.3627160494
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,370.50941176,61.228823529,44.935882353,25.893529412
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,61,505.76360656,107.41327869,80.706393443,54.124918033
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,16,17,3462,0.4827989601,0.0454708261,0.0262651646,0.0262651646
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,16,36,3546,1.2990186125,0.1307698816,0.0875155104,0.0875155104
1003867771,O'BRIEN,KEVIN,,MD,M,I,2413 HIGH ST,,LOGANSPORT,IN,469471637,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,23,37,37,33,33,22.02027027,22.02027027
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,12.385,4.21,3.3,3.3
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,256.40090909,88.127272727,69.094545455,67.84
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,30,106.93666667,33.003333333,24.992,25.054333333
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,47.664285714,17.905714286,13.027857143,13.059285714
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,81,8.1204938272,1.9644444444,1.5401234568,1.5898765432
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,22,27,40.616296296,17.207037037,13.490740741,13.522592593
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,111.33272727,50,39.2,37.63
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,33.309310345,5.34,2.8827586207,2.3310344828
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,184.97,34.64,27.152857143,25.039285714
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,13,72,79,245.71936709,77.778860759,57.857848101,52.382025316
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,5043,0.4269204838,0.0465238945,0.0337418203,0.0337418203
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,662,12.387975831,3.0878700906,2.4209063444,2.4209063444
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,68.15,35.27,25.131212121,27.033030303
1003867839,JACOB,SHIBIN,,MD,M,I,101 E WT HARRIS BLVD,BLDG 5000 SUITE #5101,CHARLOTTE,NC,282623485,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,,31,31,77.709677419,33,24.358709677,24.358709677
1003867862,RAHM,ROBIN,L,M.D.,F,I,4106 W LAKE MARY BLVD STE 213,,LAKE MARY,FL,327462403,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,13,32,52.328125,42.22125,33.101875,31.0759375
1003868027,KHOURY,BILL,J,M.D.,M,I,1818 VERDUGO BLVD,STE 302,GLENDALE,CA,912081442,US,Physician/Emergency Medicine,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,12,123.88833333,95.87,75.17,75.17
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,73,127,127,83.517244094,46.850314961,34.285669291,28.902913386
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,17,34,5.1364705882,1.6411764706,1.15,1.0291176471
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,85,146,147,266.8837415,114.43129252,84.616530612,65.720680272
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,51,125,247,114.6354251,43.308178138,32.599676113,25.712024291
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,17,27,73,70.206712329,22.923424658,17.971917808,14.918630137
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,14,23,87,50.561264368,19.721724138,15.062068966,11.620229885
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,57,83,84,174.35952381,69.507261905,52.923809524,42.814047619
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,126,164,164,52.792256098,23.593597561,17.779878049,13.889573171
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,56,99,99,59.636161616,18.227878788,13.381919192,8.8822222222
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,109,200,922,7.1545336226,2.7337744035,2.040824295,1.5569631236
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,27,27,17.85962963,8.2977777778,6.34,5.1137037037
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,41,46,46,40.314782609,15.52673913,11.751956522,10.227173913
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,78.863684211,21.518421053,15.298947368,12.178947368
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,13,65,65,326.10907692,102.24738462,74.911846154,61.044615385
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,21,21,21,325.47619048,175.15238095,133.73952381,101.11571429
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,12,67,68,50.175441176,15.506323529,11.405,10.219117647
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,23.887567568,6.9908108108,5.1864864865,3.5162162162
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,47,325,328,148.15859756,48.125335366,35.007682927,24.147621951
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,30,224,228,335.28355263,96.789736842,72.444692982,55.27872807
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,40,161.007,45.1905,34.61025,29.12525
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1320,12.987727273,9.6623181818,7.57525,7.57525
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,26,74,22000,0.3672431818,0.0456040909,0.0330168182,0.0330168182
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3261,2.4264274762,0.07125115,0.0504354492,0.0504354492
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,43,5435,2.0927543698,0.1358325667,0.1002115915,0.1002115915
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1980,9.6305505051,2.9881818182,2.1978232323,2.1978232323
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,32,2112,2.93140625,0.2192092803,0.1668323864,0.1668276515
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,88,88,66.555113636,43.656704545,32.241590909,29.154772727
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,28,110,110,44.4,33,23.988545455,23.988545455
1003868126,AVENDANO,CHRISTOPHER,E,M.D.,M,I,2800 HAYES AVE,BUILDING G,SANDUSKY,OH,448707248,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,66,66,47.76,47.76
1003868159,POLTINNIKOV,IGOR,M,M.D.,M,I,200 VILLAGE DR,,GREENSBURG,PA,156013783,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,314,6.52,3,2.3520700637,2.3676751592
1003868159,POLTINNIKOV,IGOR,M,M.D.,M,I,200 VILLAGE DR,,GREENSBURG,PA,156013783,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5144,1.2421461897,0.2774300156,0.217498056,0.2430443235
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,51,129,64.309457364,8.32,6.1679844961,6.1679844961
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,23,28,13.268928571,1.42,1.0378571429,1.0378571429
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,399,34.86,34.86,27.330325815,27.330325815
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,29,1038,8.28,8.28,6.4915606936,6.4915606936
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,378,18.5,18.5,14.160026455,14.160026455
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,140,10.93,10.93,8.5690714286,8.5690714286
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,127.74,60.165454545,47.169090909,36.46
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,33.868,8.71,6.83,4.3873333333
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,7.62,3.11,2.4416666667,2.275
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,9.5,6.0966666667,4.7783333333,4.0683333333
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,28.34,12.001666667,8.5816666667,7.9491666667
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,202.63111111,89.86,70.055185185,54.917407407
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,0.9630694444,0.1335833333,0.0971736111,0.0971736111
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,51.7116,22.2408,17.4328,14.9032
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.04,9.9116666667,7.77,6.8016666667
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,136.41285714,39.56,31.02,29.563928571
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,474.65,171.30166667,128.91333333,105.57
1003868282,CIULLA,ANTHONY,P,M.D.,M,I,22266 HIGHWAY 25,,COLUMBIANA,AL,350518618,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,78,33,23.518181818,23.518181818
1003868290,BAKKER,AMY,L,PAC,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,29,59,36.715254237,7.5769491525,4.5988135593,4.9959322034
1003868290,BAKKER,AMY,L,PAC,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,91.313333333,56.6475,41.0475
1003868324,HOLLYWOOD,JENNIFER,A,MD,F,I,538 CYNWOOD DRIVE,STE 2,EASTON,MD,21601,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,15.95,4.1681818182,3.2677878788,2.4980909091
1003868324,HOLLYWOOD,JENNIFER,A,MD,F,I,538 CYNWOOD DRIVE,STE 2,EASTON,MD,21601,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,8757,1.2342857143,0.4010071942,0.2980073084,0.2368733585
1003868381,RAPPAPORT,DANIEL,M,MD,M,I,3321 CHESTNUT ST,,WHITEHALL,PA,180527411,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,38,119,237,55.891181435,8.32,5.6971308017,5.6971308017
1003868381,RAPPAPORT,DANIEL,M,MD,M,I,3321 CHESTNUT ST,,WHITEHALL,PA,180527411,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,9.8775,3.38,2.4291666667,2.4291666667
1003868381,RAPPAPORT,DANIEL,M,MD,M,I,3321 CHESTNUT ST,,WHITEHALL,PA,180527411,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,25,57,68,10.784411765,1.42,0.9852941176,0.9852941176
1003868381,RAPPAPORT,DANIEL,M,MD,M,I,3321 CHESTNUT ST,,WHITEHALL,PA,180527411,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,8.6138461538,2.0030769231,1.5708974359,1.5906410256
1003868381,RAPPAPORT,DANIEL,M,MD,M,I,3321 CHESTNUT ST,,WHITEHALL,PA,180527411,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,41.477058824,3.98,3.1182352941,3.7058823529
1003868381,RAPPAPORT,DANIEL,M,MD,M,I,3321 CHESTNUT ST,,WHITEHALL,PA,180527411,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,71.11,45.613636364,44.779090909
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,32,93,68.005591398,8.1651612903,6.2606451613,6.3819354839
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,58,3210,1.334682243,0.4688971963,0.3325669782,0.3441993769
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,1980,7.2978131313,2.5876060606,1.9653333333,1.9653333333
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,66,108,956,116567,4.8919315072,0.5662686695,0.4275119888,0.4282911115
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,30,57,354,49120,0.0889075733,0.0127506107,0.0098141287,0.0098141287
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,57,8970,1.8321181717,0.7408963211,0.5391125975,0.5391125975
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,62,105,879,153444,3.7333900967,1.2735859988,0.9721501004,0.9781569172
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,11,106,14940,3.7626666667,2.8390863454,2.1967871486,2.1967871486
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,20,181,6915,15.690756327,7.3705003615,5.6580433839,5.6580433839
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,7,20,20,20,50,50,39.2,39.2
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,84,127,1053,1056,24.096590909,24,18.332348485,18.332348485
1003868597,DUCKER,JOHN,T,MD,M,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,78,123,1226,1535,16.70228013,16,12.234996743,12.234996743
1003868654,LINTNER,SCOTT,A,MD,M,I,8450 NORTHWEST BLVD,,INDIANAPOLIS,IN,462781381,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,33,33,118.24,91.27,71.56,79.269090909
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,42,87,74.222298851,8.32,6.291954023,6.291954023
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,96.963333333,38.47,30.16,30.5
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,164.734,54.583333333,42.796,42.86
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,64.470625,17.3,13.56,14.06
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,20,78,7.9902564103,1.9984615385,1.5678205128,1.5924358974
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,100,33.03,21.909166667,21.546666667
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,173.63444444,79.88,57.981481481,51.251851852
1003868902,WHITING,MARK,A,MD,M,I,400 PINELLAS ST,SUITE 350,CLEARWATER,FL,337563312,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,19,84.210526316,35.31,26.232631579,27.981052632
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,25,25,25,187.2964,49.1152,38.5072,36.46
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,131.37181818,54.442727273,42.683636364,40.790909091
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,14,66,66,120,75.53,55.947121212,55.967424242
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1140,181.27833333,142.11666667,110.05166667
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,L1600,"Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,140,116.94,86.803076923,96.441538462
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,31,33,158.76787879,117.67,75.914242424,86.241515152
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,52,53,129,98.43,71.308301887,64.20509434
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,161.31571429,127.21,88.840952381,77.757619048
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,92.153846154,53.2,32.084615385,36.992307692
1003868977,ATKINS,LEROY,S,M.D.,M,I,305 PAUL BRYANT DR,,TUSCALOOSA,AL,354012094,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,351,266.98,209.31,218.89
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,41,143,278,54.080323741,8.32,6.0150719424,6.0150719424
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,28,34,13.981764706,1.42,1.0841176471,1.0841176471
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,62.553333333,28.46,18.591666667,18.591666667
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,21,23.814285714,10.427142857,7.4128571429,7.8214285714
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,260,13.469230769,7,5.2191538462,5.2191538462
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,780,4.5430769231,2.02,1.5836666667,1.5836666667
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,82,82.606097561,18.36,12.990853659,13.139756098
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,22,22,237.57,55.4,38.270454545,37.829545455
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,26,26,79.344615385,17.94,12.687307692,12.687307692
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,28,28,80.565714286,11.08,8.2846428571,8.6928571429
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,31,130,11.581538462,1.99,1.4302307692,1.457
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,25.0925,5.77,3.9708333333,4.0875
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,17.69,13.87,13.53
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,3775.52,1020.1,799.76,840.48916667
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,39,39,419.54769231,32.99,19.101538462,19.211282051
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,473.48173913,76.263913043,56.150652174,51.135217391
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2700,0.3530148148,0.0456148148,0.031662963,0.031662963
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,920,0.6806956522,0.135673913,0.1063695652,0.1063695652
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,260.51428571,38.68,25.988571429,25.352142857
1003869058,KROHN,JEFFREY,D,MD,M,I,111 S MAIN ST,,KINGSLEY,IA,510285021,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,34.2,33,24.5765,24.5765
1003869280,KUPFERER,VALERIE,A,D.O.,F,I,628 N 14TH ST,,MURPHYSBORO,IL,629661807,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,15.58,9.5660625,7.3645,7.3645
1003869280,KUPFERER,VALERIE,A,D.O.,F,I,628 N 14TH ST,,MURPHYSBORO,IL,629661807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,132,33,25.87,25.87
1003869371,BRAZINSKI,MARK,S,MD,M,I,503 E PARKER RD,,MORGANTON,NC,286555104,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,125.76,117.67,86.13,95.324705882
1003869413,SHERRILL,GARY,B,M.D.,M,I,501 N ELAM AVE,,GREENSBORO,NC,274031118,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,43,3332,44.462698079,5.2299279712,4.0513565426,4.0513535414
1003869413,SHERRILL,GARY,B,M.D.,M,I,501 N ELAM AVE,,GREENSBORO,NC,274031118,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,32,32,24,24,18.82,18.82
1003869413,SHERRILL,GARY,B,M.D.,M,I,501 N ELAM AVE,,GREENSBORO,NC,274031118,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1003869488,SNYDER,HARVEY,A,MD,M,I,210 W ATLANTIC AVE,,HADDON HEIGHTS,NJ,080351715,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,632.43,82.963636364,59.055454545,60.879090909
1003869488,SNYDER,HARVEY,A,MD,M,I,210 W ATLANTIC AVE,,HADDON HEIGHTS,NJ,080351715,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,70.855384615,29.898461538,23.443076923,24.576923077
1003869686,SPOOR,LORI,A,DO,F,I,2501 W. KENNEDY BLVD.,,TAMPA,FL,336092501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,29,80,68.484875,8.32,6.114875,6.114875
1003869686,SPOOR,LORI,A,DO,F,I,2501 W. KENNEDY BLVD.,,TAMPA,FL,336092501,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,16,15.959375,1.42,1.04875,1.04875
1003869686,SPOOR,LORI,A,DO,F,I,2501 W. KENNEDY BLVD.,,TAMPA,FL,336092501,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,402,275,5.91,4.6335323383,4.1632089552
1003869686,SPOOR,LORI,A,DO,F,I,2501 W. KENNEDY BLVD.,,TAMPA,FL,336092501,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5266,2.868059248,0.32,0.2508868211,0.2430459552
1003869686,SPOOR,LORI,A,DO,F,I,2501 W. KENNEDY BLVD.,,TAMPA,FL,336092501,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.43,4.25,3.975
1003869744,MCGUIRE,JOHN,R,MD,M,I,9200 W WISCONSIN AVE,PHYSICAL MEDICINE AND REHABILITATION,MILWAUKEE,WI,532263522,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,62,62,395,116.40758065,86.633709677,86.633709677
1003869744,MCGUIRE,JOHN,R,MD,M,I,9200 W WISCONSIN AVE,PHYSICAL MEDICINE AND REHABILITATION,MILWAUKEE,WI,532263522,US,Physician/Physical Medicine and Rehabilitation,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,52,64,395,114.99203125,87.5603125,87.5603125
1003869744,MCGUIRE,JOHN,R,MD,M,I,9200 W WISCONSIN AVE,PHYSICAL MEDICINE AND REHABILITATION,MILWAUKEE,WI,532263522,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,168.22,33.369090909,26.159090909,26.159090909
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,28,68,210,69.200952381,8.32,5.6531428571,5.6531428571
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,24,44,15.692727273,1.42,1.0395454545,1.0395454545
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,25,50,7.9936,2.0308,1.5396,1.1316
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,214.5725,63.6975,49.9425,36.209166667
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,66,73.791818182,21.849090909,15.91469697,13.685151515
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,40,41,45.272439024,7.4407317073,5.6253658537,3.4882926829
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,101,109,460.83844037,101.59651376,75.876972477,57.595137615
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,4368,0.321978022,0.0458470696,0.0359409341,0.0359409341
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,48,4830,0.9589606625,0.1352546584,0.0927453416,0.0927453416
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,38.72,27.6,26.836363636
1003869884,FIORE,SUSAN,M,MD,F,I,245 LOWER MAIN ST,,ANDES,NY,13731,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,61,61,114.14754098,33,24.173606557,24.173606557
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,11,29,108,58.813981481,8.32,6.0910185185,6.0910185185
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,697,68.346484935,3.11,2.3299139168,2.26241033
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,420,7.7,5.82,4.2837619048,3.9123333333
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,8282,1.5729715045,0.38,0.2805856073,0.2727589954
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,10060,1.247583499,0.2891451292,0.2266610338,0.2418658052
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,88.29,56.235,40.9085,37.8535
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,28.468125,6.465,5.06875,3.879375
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,94.95,38.867272727,27.083636364,22.661818182
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,18.6,5.59,3.1854545455,2.8727272727
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,26,429.24538462,90.01,66.110384615,51.488846154
1003869918,FEANNY,ELIAS,A,MD,M,I,9275 SW 152 ST,STE 101,MIAMI,FL,33157,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,250,35.11,25.809375,27.820625
1003870007,KANG,SANG-MO,,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,388,37.527835052,13.05943299,10.238479381,10.291546392
1003870007,KANG,SANG-MO,,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,334,752.48,326.74538922,256.16862275,256.16862275
1003870007,KANG,SANG-MO,,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,334,40,9.3479041916,7.3283532934,7.3283532934
1003870007,KANG,SANG-MO,,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,334,175,29.213293413,22.903353293,22.903323353
1003870007,KANG,SANG-MO,,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,2640,3.3528257576,1.2919772727,1.0128977273,1.0128977273
1003870007,KANG,SANG-MO,,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,24,24,18.82,18.82
1003870007,KANG,SANG-MO,,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,22,16,16,12.541818182,12.541818182
1003870031,BARKWAY,LAURIE,A,D.O.,F,I,6869 S OCCIDENTAL RD,,TECUMSEH,MI,492869784,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,34,73,213,51.721361502,8.32,5.878685446,5.878685446
1003870031,BARKWAY,LAURIE,A,D.O.,F,I,6869 S OCCIDENTAL RD,,TECUMSEH,MI,492869784,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,41,63,13.641269841,1.42,1.0266666667,1.0266666667
1003870031,BARKWAY,LAURIE,A,D.O.,F,I,6869 S OCCIDENTAL RD,,TECUMSEH,MI,492869784,US,Physician/Emergency Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,80.74,45.109090909,35.364545455,25.92
1003870031,BARKWAY,LAURIE,A,D.O.,F,I,6869 S OCCIDENTAL RD,,TECUMSEH,MI,492869784,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,24.436666667,8.0555555556,5.7088888889,4.02
1003870031,BARKWAY,LAURIE,A,D.O.,F,I,6869 S OCCIDENTAL RD,,TECUMSEH,MI,492869784,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,4914,0.2525681726,0.0467480667,0.0366544567,0.0366544567
1003870031,BARKWAY,LAURIE,A,D.O.,F,I,6869 S OCCIDENTAL RD,,TECUMSEH,MI,492869784,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,71.51,28.506363636,22.349545455,14.289090909
1003870031,BARKWAY,LAURIE,A,D.O.,F,I,6869 S OCCIDENTAL RD,,TECUMSEH,MI,492869784,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,33,33,24.792083333,24.792083333
1003870049,BEAN,BRIAN,,M.D.,M,I,#2 ST VINCENT CIRCLE,,LITTLE ROCK,AR,72205,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,18,14.11,13.54
1003870049,BEAN,BRIAN,,M.D.,M,I,#2 ST VINCENT CIRCLE,,LITTLE ROCK,AR,72205,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1048.7,810.22416667,830.30416667
1003870049,BEAN,BRIAN,,M.D.,M,I,#2 ST VINCENT CIRCLE,,LITTLE ROCK,AR,72205,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,519.51,71,52.626521739,51.736956522
1003870056,HRAB,DAWN,P,M.D.,F,I,1835 MAPLE RD,,WILLIAMSVILLE,NY,142212711,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.76,11.084545455,8.6927272727,8.8609090909
1003870056,HRAB,DAWN,P,M.D.,F,I,1835 MAPLE RD,,WILLIAMSVILLE,NY,142212711,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,33,21.476666667,10.014545455,7.8503030303,8.2142424242
1003870056,HRAB,DAWN,P,M.D.,F,I,1835 MAPLE RD,,WILLIAMSVILLE,NY,142212711,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,342.42,217.88545455,170.81636364,170.81636364
1003870056,HRAB,DAWN,P,M.D.,F,I,1835 MAPLE RD,,WILLIAMSVILLE,NY,142212711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.18,77.18,51.249166667,45.9425
1003870056,HRAB,DAWN,P,M.D.,F,I,1835 MAPLE RD,,WILLIAMSVILLE,NY,142212711,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.25,41.25,29.645,27.050833333
1003870148,ABRAHAMSON,ANNE,M,MD,F,I,3247 BIDDLE AVE,,WYANDOTTE,MI,481925951,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,94.8925,48.65,38.14,36.628
1003870148,ABRAHAMSON,ANNE,M,MD,F,I,3247 BIDDLE AVE,,WYANDOTTE,MI,481925951,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,41,41,137.27170732,50.087073171,35.75902439,35.24804878
1003870148,ABRAHAMSON,ANNE,M,MD,F,I,3247 BIDDLE AVE,,WYANDOTTE,MI,481925951,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,25.2916,17.25,12.9792,12.9992
1003870148,ABRAHAMSON,ANNE,M,MD,F,I,3247 BIDDLE AVE,,WYANDOTTE,MI,481925951,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,5,2.72,2.14,2.25
1003870148,ABRAHAMSON,ANNE,M,MD,F,I,3247 BIDDLE AVE,,WYANDOTTE,MI,481925951,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28.36,13.986666667,10.968333333,10.804166667
1003870148,ABRAHAMSON,ANNE,M,MD,F,I,3247 BIDDLE AVE,,WYANDOTTE,MI,481925951,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,141.9056,79.88,58.8616,51.2776
1003870148,ABRAHAMSON,ANNE,M,MD,F,I,3247 BIDDLE AVE,,WYANDOTTE,MI,481925951,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,78,78,67.152435897,17.87,13.461794872,13.721923077
1003870395,SIMANONOK,JOHN,P,MD,M,I,2901 W KINNICKINNIC RIVER PKWY STE 309,,MILWAUKEE,WI,532153660,US,Physician/Internal Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,12,21,245,38.211836735,25.111836735,19.687469388,19.238897959
1003870395,SIMANONOK,JOHN,P,MD,M,I,2901 W KINNICKINNIC RIVER PKWY STE 309,,MILWAUKEE,WI,532153660,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,12,19,165,19.892424242,8.3009090909,6.5078787879,6.4312121212
1003870395,SIMANONOK,JOHN,P,MD,M,I,2901 W KINNICKINNIC RIVER PKWY STE 309,,MILWAUKEE,WI,532153660,US,Physician/Internal Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,12,27,27,2175.9474074,651.8337037,510.20111111,461.46555556
1003870478,HAMASAKI,CRAIG,Y,M.D.,M,I,98-1247 KAAHUMANU STREET,SUITE 224,AIEA,HI,96701,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,93.6,60.851428571,43.805,36.436428571
1003870478,HAMASAKI,CRAIG,Y,M.D.,M,I,98-1247 KAAHUMANU STREET,SUITE 224,AIEA,HI,96701,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,33.653636364,26.385454545,25.501818182
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,13,77,154,36.936948052,8.32,6.265974026,6.265974026
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,50,50,11.16,1.42,1.12,1.12
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,29,180,61515,4.5213622694,0.5669407462,0.4378728765,0.4378728765
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,20,133,68550,0.072353027,0.0128271335,0.0100593727,0.0100593727
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,26,183,37680,3.9823182059,1.1985429936,0.9379416136,0.9379416136
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,1,15,15,15,50,50,39.2,39.2
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,30,160,160,24,24,18.82,18.82
1003870486,MELCHER,MARC,L,"MD, PHD",M,I,750 WELCH RD STE 200,,PALO ALTO,CA,943041509,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,35,363,416,16,16,12.4365625,12.4365625
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,34,95,254,59.19,8.32,6.085511811,6.085511811
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,16.764705882,3.38,2.65,2.65
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,37,65,16.947846154,1.42,1.0793846154,1.0793846154
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,44,48,101.35416667,60.929791667,42.140208333,31.39125
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,78,88,43.215795455,21.645113636,16.799204545,14.091931818
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,12.75862069,6.6489655172,4.9613793103,3.2627586207
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,85,59.113333333,42.529166667,32.9275
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,121,132,258.22568182,103.17575758,78.628030303,56.645530303
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,60,44.745,34.169722222,28.894722222
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,6910,0.443633864,0.0462575977,0.0330144718,0.0330144718
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,46,4350,1.6518781609,0.1344965517,0.0973149425,0.0973149425
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,450,11.6794,2.9247333333,2.293,2.293
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,1320,2.6062954545,0.2187727273,0.1494848485,0.1494848485
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,45,45,75.815777778,39.662888889,26.372666667,18.258666667
1003870494,ROMERO,CESAR,,MD,M,I,1336 MILITARY ST S,,HAMILTON,AL,355705005,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,20,76,76,40.815789474,33,22.466052632,22.466052632
1003870536,BARLOW,BRAD,,MD,M,I,351 SW 9TH ST,,ONTARIO,OR,979142639,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330.825,102.61833333,80.455,58.105
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,41,111,52.914324324,8.3024324324,5.2741441441,5.2879279279
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,24,34,11.765294118,1.42,0.7876470588,0.7876470588
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,54,70.068888889,16.951851852,12.417222222,11.021296296
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,243.985625,58.175,40.41375,37.625
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,69.908181818,19.769090909,15.496363636,14.057272727
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,73.475555556,14.938333333,10.695,8.1077777778
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,20,108,9.4522222222,2.3785185185,1.7453703704,1.4751851852
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,312,6.52,3,2.141025641,2.1556089744
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4644,1.2412230835,0.36,0.2655232558,0.273120155
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,16.59,10.636363636,11.191818182
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,192.12526316,29.368421053,14.559473684,14.971578947
1003870585,KRUSZEWSKI,DAVID,M,DO,M,I,3125 FRENCH ST,,ERIE,PA,165041068,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,396.15384615,87.532307692,60.56,46.569230769
1003870635,BELL,BRENDA,K,MD,F,I,1919 S 40TH,STE 207,LINCOLN,NE,68506,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,82,297,72.404343434,8.32,5.7976430976,5.7976430976
1003870759,CLINE,VIVIAN,,MD,F,I,301 SETON PKWY,SUITE 104,ROUND ROCK,TX,786658002,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,40.203333333,22.1975,17.400833333,14.033333333
1003870759,CLINE,VIVIAN,,MD,F,I,301 SETON PKWY,SUITE 104,ROUND ROCK,TX,786658002,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,183.41916667,102.07833333,80.031666667,58.525
1003870759,CLINE,VIVIAN,,MD,F,I,301 SETON PKWY,SUITE 104,ROUND ROCK,TX,786658002,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,23,40.173043478,35.737391304,28.016521739,30.496086957
1003870981,GARCIA,PAUL,J,DO,M,I,5701 BRYANT IRVIN RD,SUITE 302,FORT WORTH,TX,761324029,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,25,62,245,55.144612245,8.32,5.8571428571,5.8571428571
1003870981,GARCIA,PAUL,J,DO,M,I,5701 BRYANT IRVIN RD,SUITE 302,FORT WORTH,TX,761324029,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,12,18,39,14.826923077,1.42,1.0858974359,1.0858974359
1003870981,GARCIA,PAUL,J,DO,M,I,5701 BRYANT IRVIN RD,SUITE 302,FORT WORTH,TX,761324029,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,64.03,49.087333333,30.12,28.192
1003870981,GARCIA,PAUL,J,DO,M,I,5701 BRYANT IRVIN RD,SUITE 302,FORT WORTH,TX,761324029,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,121.63636364,36.5,23.416363636,24.186363636
1003870981,GARCIA,PAUL,J,DO,M,I,5701 BRYANT IRVIN RD,SUITE 302,FORT WORTH,TX,761324029,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,16,25.97,21.91375,15.90625,13.64375
1003870981,GARCIA,PAUL,J,DO,M,I,5701 BRYANT IRVIN RD,SUITE 302,FORT WORTH,TX,761324029,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,10.8,9,6.3508333333,6.1591666667
1003871013,BRYANT,HENRY,G,DPM,M,I,2030 WALTON WAY,,AUGUSTA,GA,309044120,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,28,150,74.55,51.025357143,55.426428571
1003871013,BRYANT,HENRY,G,DPM,M,I,2030 WALTON WAY,,AUGUSTA,GA,309044120,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,325,266.98,203.87130435,213.45173913
1003871013,BRYANT,HENRY,G,DPM,M,I,2030 WALTON WAY,,AUGUSTA,GA,309044120,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,275,163.79,118.88666667,117.115
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,24,70,907,34.004685777,19.625920617,15.229779493,15.229779493
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,24,73,2357,10.149499364,2.6290538821,2.0128383538,2.0128383538
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,67,75,206,1012,71.926610672,8.32,5.7908695652,5.7908695652
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,32,71,140,15.703071429,1.42,1.0506428571,1.0506428571
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,528.17733333,346.86933333,268.34955556,268.34955556
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,13,37,4280,17.019936916,10.922011682,8.5293411215,8.5293411215
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,19,60,63,414.09238095,251.11,196.87,196.87
1003871047,DENNEY,AMANDA,M,M.D.,F,I,4440 RED BANK RD,SUITE 210,CINCINNATI,OH,452272177,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,365.57375,262.51375,205.809375,207.1
1003871138,PORTER,PATRICIA,A,CRNP,F,I,100 N ACADEMY AVE,,DANVILLE,PA,178221341,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,14,20,230,55.601478261,19.471434783,14.996695652,14.996695652
1003871138,PORTER,PATRICIA,A,CRNP,F,I,100 N ACADEMY AVE,,DANVILLE,PA,178221341,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,13,18,505,8.3515841584,2.6130693069,1.8641386139,1.8641386139
1003871138,PORTER,PATRICIA,A,CRNP,F,I,100 N ACADEMY AVE,,DANVILLE,PA,178221341,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,41,103,376,70.148244681,8.32,5.4971010638,5.4971010638
1003871138,PORTER,PATRICIA,A,CRNP,F,I,100 N ACADEMY AVE,,DANVILLE,PA,178221341,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,22,82,14.219390244,1.42,1.0324390244,1.0324390244
1003871138,PORTER,PATRICIA,A,CRNP,F,I,100 N ACADEMY AVE,,DANVILLE,PA,178221341,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,614.19071429,349.04142857,273.64714286,273.64714286
1003871138,PORTER,PATRICIA,A,CRNP,F,I,100 N ACADEMY AVE,,DANVILLE,PA,178221341,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,660,16.404878788,10.262393939,7.8283030303,7.8283030303
1003871138,PORTER,PATRICIA,A,CRNP,F,I,100 N ACADEMY AVE,,DANVILLE,PA,178221341,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,250.746,250.746,196.58466667,196.86866667
1003871179,KOTELSKIY,OLEG,,D.O.,M,I,3816 NOSTRAND AVE,,BROOKLYN,NY,112352013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,29,132,214,74.521495327,8.32,5.6773364486,5.6773364486
1003871179,KOTELSKIY,OLEG,,D.O.,M,I,3816 NOSTRAND AVE,,BROOKLYN,NY,112352013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,21,56,59,35.704915254,1.42,1.0247457627,1.0247457627
1003871179,KOTELSKIY,OLEG,,D.O.,M,I,3816 NOSTRAND AVE,,BROOKLYN,NY,112352013,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,18,108.54555556,50,32.666666667,32.622222222
1003871179,KOTELSKIY,OLEG,,D.O.,M,I,3816 NOSTRAND AVE,,BROOKLYN,NY,112352013,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,1651,1.0390854028,0.0468443368,0.0294972744,0.0294972744
1003871179,KOTELSKIY,OLEG,,D.O.,M,I,3816 NOSTRAND AVE,,BROOKLYN,NY,112352013,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,62.7,33,21.9895,21.9895
1003871245,LITZINGER,STACEY,L,PA-C,F,I,320 E NORTH AVE,,PITTSBURGH,PA,152124756,US,Physician Assistant,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,,14,40,49.13075,36.25925,26.76875,28.8615
1003871294,PATEL,KIRITKUMAR,C,M.D.,M,I,42557 WOODWARD AVE,SUITE 200,BLOOMFIELD HILLS,MI,483045206,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,422.19375,79.88,54.316875,47.898125
1003871294,PATEL,KIRITKUMAR,C,M.D.,M,I,42557 WOODWARD AVE,SUITE 200,BLOOMFIELD HILLS,MI,483045206,US,Interventional Cardiology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,166.92307692,35.63,27.93,29.388461538
1003871401,FAULKNER,PAMELA,P,D.O.,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,56,138,71.760144928,8.32,5.6538405797,5.6538405797
1003871401,FAULKNER,PAMELA,P,D.O.,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,26,12.05,1.42,1.0307692308,1.0307692308
1003871401,FAULKNER,PAMELA,P,D.O.,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,65.789473684,23.384736842,18.331578947,13.846842105
1003871401,FAULKNER,PAMELA,P,D.O.,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,7.9045454545,6.1945454545,4.0272727273
1003871401,FAULKNER,PAMELA,P,D.O.,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,50.682727273,39.734545455,25.501818182
1003871401,FAULKNER,PAMELA,P,D.O.,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,358.8,105.1808,80.0736,55.7808
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,1800,1.6225166667,0.5163666667,0.3875666667,0.3875666667
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,2400,5.745725,2.580975,1.91145,1.91145
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,13722,1.5178421513,1.2523393091,0.9818320944,0.9818313657
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,85,196,1576,211929,4.012250565,0.5669435047,0.4210443592,0.4278856598
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,43,129,910,142860,0.0723723926,0.0130593588,0.0098607028,0.0098605628
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,65,10320,1.5416531008,0.7394069767,0.5654418605,0.5654418605
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,15,148,16032,3.896819486,1.1748590319,0.8466997255,0.8782597305
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,58,148,1145,148338,3.7998434656,2.8338971808,2.1504207958,2.1824850005
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,51,2520,24.011583333,7.4438928571,5.5912063492,5.5912063492
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,584.55,167.49,119.35666667,109.85416667
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,101,208,1489,1489,24,24,18.276944258,18.276944258
1003871443,MERTZ,JIM,I,MD,M,I,4320 WORNALL RD.,STE 208,KANSAS CITY,MO,641113255,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,89,208,2210,2839,16.019725255,16,12.263441353,12.263441353
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,61,171,524,57.579446565,8.32,5.6515839695,5.6515839695
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,15,28,28,12.983571429,3.38,2.4607142857,2.4607142857
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,13.02,2.12,1.67,1.67
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,35,61,93,12.852258065,1.42,0.9837634409,0.9837634409
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,17,82.870588235,41.573529412,32.592941176,27.688823529
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,23,90,6.8102222222,2.256,1.7703333333,1.6528888889
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,79.265714286,16.78,12.210714286,12.597857143
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,38.773478261,3.9130434783,2.7382608696,3.3043478261
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,128.76923077,46.148461538,36.184615385,25.224615385
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,58,416.24758621,71.5,53.160344828,51.922068966
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,6668,0.2337867427,0.0464277145,0.033084883,0.033084883
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,3714,1.3008696823,0.1367716747,0.1072428648,0.1072428648
1003871518,PAYNE,STEPHEN,C,MD,M,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,46,46,93.260869565,33,24.745217391,24.745217391
1003871559,MARKHAM,KEVIN,M,M.D.,M,I,521 MONROE ST,,PETOSKEY,MI,497702266,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,740,13.617027027,5.74,4.2973108108,4.2973108108
1003871559,MARKHAM,KEVIN,M,M.D.,M,I,521 MONROE ST,,PETOSKEY,MI,497702266,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,15,6.44,5.045,5.045
1003871559,MARKHAM,KEVIN,M,M.D.,M,I,521 MONROE ST,,PETOSKEY,MI,497702266,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,530,23.936716981,9.86,7.6324339623,7.6324339623
1003871559,MARKHAM,KEVIN,M,M.D.,M,I,521 MONROE ST,,PETOSKEY,MI,497702266,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1080,2.5575,1.95,1.4438888889,1.4438888889
1003871559,MARKHAM,KEVIN,M,M.D.,M,I,521 MONROE ST,,PETOSKEY,MI,497702266,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,370,6.3749459459,3.04,2.3834594595,2.3834594595
1003871617,HARMS,BRUCE,A,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Colorectal Surgery (Proctology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,457,69.81,54.73,54.73
1003871617,HARMS,BRUCE,A,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Colorectal Surgery (Proctology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,135,36.14,28.33,29.51
1003871724,NGUYEN,TUNG,T,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,41,116,75.649482759,8.32,6.1842241379,6.1842241379
1003871724,NGUYEN,TUNG,T,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,25,32,15.0221875,1.42,1.0475,1.0475
1003871724,NGUYEN,TUNG,T,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,55.295714286,3.5578571429,2.6078571429,3.4478571429
1003871724,NGUYEN,TUNG,T,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,18,232.01388889,27.122777778,18.937777778,18.111666667
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,37,109,295,65.75179661,8.3094915254,5.9169830508,5.925220339
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,19,39,53,12.032641509,1.42,1.0950943396,1.0950943396
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,364,6.5583516484,5.23,4.1003296703,4.1003296703
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,78.946285714,16.78,12.398571429,12.784285714
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1266.28,1074.31,836.28208333,836.28208333
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,35.974166667,4,2.7808333333,3.23125
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,439.57176471,71.5,54.411176471,53.120294118
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,34,10848,0.2679544617,0.0463384956,0.0316334808,0.031632559
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,23,2608,1.1358013804,0.1251878834,0.0876878834,0.0876878834
1003871799,DONOHUE,TERRENCE,P,M.D.,M,I,2355 POPLAR LEVEL RD,STE. 200-A,LOUISVILLE,KY,402171395,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,21,49,49,63.795918367,33,22.005918367,22.005918367
1003871898,MAHONEY,CORINNE,,PA,F,I,111 BROOKLINE AVE,,BOSTON,MA,022153903,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,112.95,43.201176471,33.872941176,36.315882353
1003871955,MEYER,MARKUS,,M.D.,M,I,2450 RIVERSIDE AVE,,MINNEAPOLIS,MN,554541450,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,286.49473684,90.112631579,70.653157895,56.861578947
1003871955,MEYER,MARKUS,,M.D.,M,I,2450 RIVERSIDE AVE,,MINNEAPOLIS,MN,554541450,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,54.25,45.002727273,35.284545455,30.166363636
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,54,152,395,61.136,8.32,5.9914936709,5.9914936709
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,14,30,30,15.166333333,3.38,2.5616666667,2.5616666667
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,14,19,19,23.502105263,2.12,1.5821052632,1.5821052632
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,25,58,83,15.746626506,1.42,0.9931325301,0.9931325301
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,28,28,127.155,48.958571429,37.180714286,29.825714286
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,83.685454545,71.56,52.042272727,52.042272727
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,27,27,286.56222222,120.71407407,90.784074074,67.367037037
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,13,32,60,134.95066667,46.4975,35.499833333,26.058
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,66,73.383333333,23.130606061,18.134393939,14.551969697
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,206.20352941,69.370588235,54.386470588,43.363529412
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,30,30,78.543333333,23.203,17.827666667,14.055
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,71.2675,19.14,15,10.218333333
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,40,207,9.7107246377,3.0257971014,2.3726570048,1.7170048309
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,16,22,22,52.602727273,15.359090909,12.038181818,10.589090909
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,33,38,109.46842105,17.689210526,13.868684211,12.382631579
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,242.13647059,45.454901961,34.114313725,26.449019608
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,11,11,11,35.370909091,33.570909091,24.822727273,58.41
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,430.53264706,89.328823529,66.449705882,52.622058824
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,143.4375,43.7325,32.820625,28.045625
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9555454545,2.3171666667,2.3171666667
1003871997,MANALICH,CARLOS,M,M.D.,M,I,115 OVERLAND DR,,GREENWOOD,SC,296464053,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,99,33,25.87,25.87
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,35,100,311,63.723504823,8.32,6.0442765273,6.0442765273
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,15.916666667,3.38,2.0979166667,2.0979166667
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,48,89,14.842921348,1.42,1.0019101124,1.0019101124
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,261.09230769,87.37,65.100769231,64.500769231
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,28,89.776071429,32.76,25.684285714,25.893214286
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,53.874545455,17.9,14.03,14.054545455
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,53.609090909,11.66,9.14,9.12
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,21,117,10.95025641,2.06,1.5322222222,1.5138461538
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.010909091,5.93,4.2272727273,4.2272727273
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,49.800909091,16.59,12.113636364,12.508636364
1003872128,ROZICK,MARK,S,M.D.,M,I,819 E BISHOP ST,,BELLEFONTE,PA,168232319,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,93,93,293.46408602,67.72,48.52483871,49.923655914
1003872169,CHAE,SARAH,,MD,F,I,6405 DAY ST,,RIVERSIDE,CA,925070901,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,16,59,68.275932203,8.32,5.8589830508,5.8589830508
1003872169,CHAE,SARAH,,MD,F,I,6405 DAY ST,,RIVERSIDE,CA,925070901,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,5.8676470588,5.8676470588,4.6035294118,3.8188235294
1003872169,CHAE,SARAH,,MD,F,I,6405 DAY ST,,RIVERSIDE,CA,925070901,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,85,26.7425,20.966666667,20.550833333
1003872201,WATTERS,RUSSELL,B,MD,M,I,301 GRADY RD,,ETOWAH,TN,373311903,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,24,59,152,61.642368421,8.32,6.0931578947,6.0931578947
1003872201,WATTERS,RUSSELL,B,MD,M,I,301 GRADY RD,,ETOWAH,TN,373311903,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.588333333,3.38,2.65,2.65
1003872201,WATTERS,RUSSELL,B,MD,M,I,301 GRADY RD,,ETOWAH,TN,373311903,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,25,29,16.37,1.42,1.1179310345,1.1179310345
1003872201,WATTERS,RUSSELL,B,MD,M,I,301 GRADY RD,,ETOWAH,TN,373311903,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1440,2.2369722222,0.13175,0.09575,0.09575
1003872201,WATTERS,RUSSELL,B,MD,M,I,301 GRADY RD,,ETOWAH,TN,373311903,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,120,56.671428571,44.425714286,24.272857143
1003872201,WATTERS,RUSSELL,B,MD,M,I,301 GRADY RD,,ETOWAH,TN,373311903,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,57.75,33,23.714166667,23.714166667
1003872219,GOETTER,STEPHEN,R,M.D.,M,I,304 W HAY ST,STE 312,DECATUR,IL,625266328,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,41,85.293658537,8.32,6.2043902439,6.2043902439
1003872219,GOETTER,STEPHEN,R,M.D.,M,I,304 W HAY ST,STE 312,DECATUR,IL,625266328,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,58,25.607,20.076,14.917
1003872219,GOETTER,STEPHEN,R,M.D.,M,I,304 W HAY ST,STE 312,DECATUR,IL,625266328,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,295,93.474166667,73.285,54.73
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,86,156,156,84.015576923,37.389487179,28.162307692,29.310576923
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,45,81,81,222.19604938,83.15,61.978518519,64.591481481
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,19,35,102,81.089411765,32.05,24.109117647,24.900392157
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,22,38,198,49.181666667,17.605252525,12.648434343,13.392121212
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,18,38,216,42.152361111,14.383518519,10.499259259,11.070324074
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,75,137,137,168.09,51.174014599,36.600145985,39.304087591
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,103,137,137,48.862627737,16.738832117,12.147007299,13.073357664
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,24.72,9.8990909091,7.0481818182,7.4445454545
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,29,53,53,43.450377358,11.819056604,8.4045283019,8.2871698113
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,106,209,1210,5.883768595,1.9688347107,1.4689173554,1.5166859504
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,75,100,100,18.7507,5.8441,4.314,4.3834
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,40,47,47,27.553829787,12.006595745,8.6142553191,9.4606382979
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,257.6869697,76.50969697,53.857272727,57.845151515
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,30,30,30,356.26,130.68933333,99.040666667,100.76866667
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,27.298,5.322,3.0508,2.602
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,63,320,328,136.3397561,31.099268293,23.164268293,24.016006098
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,66,345.74545455,71.624545455,50.710606061,49.426818182
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,46,5163,2.0153515398,0.1343075731,0.092653496,0.092653496
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,29,78.644137931,35.396551724,24.735172414,26.467931034
1003872268,ZUBAIR,MOHAMMAD,A,MD,M,I,900 WOODBRIDGE CTR DR,,WOODBRIDGE,NJ,070951324,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,48,48,76.354166667,33,22.768125,22.768125
1003872284,NEGVESKY,GERALD,J,MD,M,I,300 PLAZA COURT SUITE A,,EAST STROUDSBURG,PA,183018260,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,39,57.783589744,56.286666667,41.733333333,50.531538462
1003872284,NEGVESKY,GERALD,J,MD,M,I,300 PLAZA COURT SUITE A,,EAST STROUDSBURG,PA,183018260,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,49,42.533877551,42.111020408,33.014693878,28.64
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,55,59.179454545,8.32,6.0478181818,6.0478181818
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,17.842692308,1.42,1.1130769231,1.1130769231
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,156,26.231538462,10.93,7.91,7.91
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,620,275,5.82,4.5629032258,4.2031935484
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,8652,6.8337864078,0.68,0.5312736939,0.5166030975
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,101.21818182,53.440909091,41.898181818,37.532727273
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,36,36,125.04444444,59.766666667,46.86,44.041111111
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,52.166666667,11.533333333,7.9070833333,8.0341666667
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,60,60,51.598666667,22.527166667,17.158333333,14.9825
1003872375,KOCH,HOWARD,S,MD,M,I,8391 W OAKLAND PK BLVD,MEDICAL MULTI SPECIALTY GRP,SUNRISE,FL,33351,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,56,56,19.306071429,9.8867857143,7.3175,6.8860714286
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,17,17,100.89647059,41.077647059,30.414117647,28.697647059
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,56,60.343928571,17.97,14.088571429,14.502321429
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,82,43.140365854,16.24804878,12.738780488,11.879268293
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,174.61916667,55.505,42.139583333,41.39
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,55.911428571,18.809285714,14.740714286,14.064285714
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,53.837368421,10.04,7.0415789474,8.2594736842
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,39,225,8.3457777778,2.0184,1.5033333333,1.5046666667
1003872391,RATAJ,MARIE,D,ANP,F,I,92 SPRINGVIEW LANE,SOUTH CAROLINA SLEEP MEDICINE,SUMMERVILLE,SC,29485,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,161.97454545,35.028181818,27.458181818,27.523636364
1003872425,WOODS,KRISTIN,D,PA-C,F,I,1806 QUINCY ST,,PLAINVIEW,TX,79072,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,72.576923077,33,23.88,23.88
1003872573,KRIMERMAN,NAUM,,MD,M,I,2139 AUBURN AVE,ROOM 6166,CINCINNATI,OH,452192906,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,60.015,17.30375,13.1471875,13.1225
1003872573,KRIMERMAN,NAUM,,MD,M,I,2139 AUBURN AVE,ROOM 6166,CINCINNATI,OH,452192906,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50,5.2538461538,4.1153846154,3.6384615385
1003872573,KRIMERMAN,NAUM,,MD,M,I,2139 AUBURN AVE,ROOM 6166,CINCINNATI,OH,452192906,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,54,334.37185185,77.908333333,58.294074074,52.992407407
1003872714,TILLERSON,ELBERT,S,MD,M,I,1125 MADISON ST.,,JEFFERSON CITY,MO,651021128,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,396.00727273,80.57,57.732727273,49.753636364
1003872888,LIS,BARBARA,D,M.D.,F,I,1239 CEDAR RD,,CHESAPEAKE,VA,233227103,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,35,89,64.349101124,8.32,6.2292134831,6.2292134831
1003872888,LIS,BARBARA,D,M.D.,F,I,1239 CEDAR RD,,CHESAPEAKE,VA,233227103,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,25,16.3156,1.42,1.0264,1.0264
1003872888,LIS,BARBARA,D,M.D.,F,I,1239 CEDAR RD,,CHESAPEAKE,VA,233227103,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,25.997142857,5.8228571429,3.4307142857,2.86
1003872961,GOO,JULIE,A,MD,F,I,2636 TELEGRAPH AVE,,BERKELEY,CA,947043322,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,53,83.253207547,8.32,5.2681132075,5.2681132075
1003873035,DAUCETT,MICHELLE,L,D.O.,F,I,825 N 10TH ST,,SANTA PAULA,CA,930601309,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,68,56.619117647,8.32,6.1389705882,6.1389705882
1003873035,DAUCETT,MICHELLE,L,D.O.,F,I,825 N 10TH ST,,SANTA PAULA,CA,930601309,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,70.323636364,10.53,8.25,9.0409090909
1003873035,DAUCETT,MICHELLE,L,D.O.,F,I,825 N 10TH ST,,SANTA PAULA,CA,930601309,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,58,8.250862069,2,1.5684482759,1.5896551724
1003873035,DAUCETT,MICHELLE,L,D.O.,F,I,825 N 10TH ST,,SANTA PAULA,CA,930601309,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,167.93,46.482727273,25.02,27.134545455
1003873035,DAUCETT,MICHELLE,L,D.O.,F,I,825 N 10TH ST,,SANTA PAULA,CA,930601309,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,253.94,28.806666667,21.808888889,24.264444444
1003873035,DAUCETT,MICHELLE,L,D.O.,F,I,825 N 10TH ST,,SANTA PAULA,CA,930601309,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,405.3256,70.85,55.55,54.7628
1003873035,DAUCETT,MICHELLE,L,D.O.,F,I,825 N 10TH ST,,SANTA PAULA,CA,930601309,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,108.57142857,36,28.22,29.325714286
1003873050,MCWHORTER,RICHARD,D,MD,M,I,2 EAST APPLEBY RD.,SUITE 201,FAYETTEVILLE,AR,72703,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,4030,0.3344168734,0.13,0.09508933,0.09508933
1003873050,MCWHORTER,RICHARD,D,MD,M,I,2 EAST APPLEBY RD.,SUITE 201,FAYETTEVILLE,AR,72703,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,64,8345,3.435237867,1.7851839425,1.2222348712,1.413267825
1003873050,MCWHORTER,RICHARD,D,MD,M,I,2 EAST APPLEBY RD.,SUITE 201,FAYETTEVILLE,AR,72703,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,4180,9.8342105263,6.15,3.2637296651,3.8048038278
1003873068,MAHRAN,LEWIS,A,DO,M,I,1250 W NATIONAL RD,SUITE 400,ENGLEWOOD,OH,453159505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,36,107,280,51.8995,8.32,6.1130714286,6.1130714286
1003873068,MAHRAN,LEWIS,A,DO,M,I,1250 W NATIONAL RD,SUITE 400,ENGLEWOOD,OH,453159505,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,34,64,11.5859375,1.405,1.0725,1.08515625
1003873159,WILLNER,HENRY,S,MD,M,I,2900 TELESTAR CT,,FALLS CHURCH,VA,220421206,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,32,32,97.76,46.7821875,26.945,25.98375
1003873183,KLOPUKH,BORIS,V,MD,M,I,21110 BISCAYNE BLVD,SUITE 201,AVENTURA,FL,331801227,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1590,4.63,2.04,1.5091006289,1.5091006289
1003873332,HYPPOLITE,JENNY,,MD,F,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,26,83,198,60.609343434,8.32,4.9399494949,4.9399494949
1003873332,HYPPOLITE,JENNY,,MD,F,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,35,44,12.975,1.42,0.8627272727,0.8627272727
1003873332,HYPPOLITE,JENNY,,MD,F,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,29,519.51,69.62,51.795517241,51.917931034
1003873357,STULL,PHILIP,A,MD,M,I,1411 S POTOMAC ST,STE 400,AURORA,CO,80012,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,11,11,184,85.5,25.6,19.98423913,19.98423913
1003873456,PROVOST,RANDALL,,MD,M,I,98 DOCTORS DR,SUITE 200,SYLVA,NC,287794501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,44,86,70.347674419,8.32,5.7624418605,5.7624418605
1003873456,PROVOST,RANDALL,,MD,M,I,98 DOCTORS DR,SUITE 200,SYLVA,NC,287794501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,15.386666667,1.42,1.12,1.12
1003873456,PROVOST,RANDALL,,MD,M,I,98 DOCTORS DR,SUITE 200,SYLVA,NC,287794501,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,71.901428571,22.829285714,15.765,11.597142857
1003873456,PROVOST,RANDALL,,MD,M,I,98 DOCTORS DR,SUITE 200,SYLVA,NC,287794501,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,7.5041666667,5.4783333333,3.1916666667
1003873456,PROVOST,RANDALL,,MD,M,I,98 DOCTORS DR,SUITE 200,SYLVA,NC,287794501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,437.3775,107.32875,80.413125,51.309375
1003873464,SELLERS,JOSEPH,R,M.D.,M,I,121 LEGION DR,,COBLESKILL,NY,120435111,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,61,179,59.693631285,8.32,6.0736871508,6.0736871508
1003873464,SELLERS,JOSEPH,R,M.D.,M,I,121 LEGION DR,,COBLESKILL,NY,120435111,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1003873464,SELLERS,JOSEPH,R,M.D.,M,I,121 LEGION DR,,COBLESKILL,NY,120435111,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,47,14.460851064,1.42,1.0904255319,1.0904255319
1003873464,SELLERS,JOSEPH,R,M.D.,M,I,121 LEGION DR,,COBLESKILL,NY,120435111,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,274.56,79.48,55.1365,52.1005
1003873464,SELLERS,JOSEPH,R,M.D.,M,I,121 LEGION DR,,COBLESKILL,NY,120435111,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,1926,2.0921547248,0.1342627207,0.0939460021,0.0939460021
1003873464,SELLERS,JOSEPH,R,M.D.,M,I,121 LEGION DR,,COBLESKILL,NY,120435111,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,33,33,22.995555556,22.995555556
1003873639,BAUER,MEGGAN,E,MD,F,I,4250 E CAMELBACK RD STE K100,,PHOENIX,AZ,850188374,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,44,34.785,8.32,6.5227272727,6.5227272727
1003873639,BAUER,MEGGAN,E,MD,F,I,4250 E CAMELBACK RD STE K100,,PHOENIX,AZ,850188374,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,135.368,30.74,23.507333333,24.285333333
1003873662,RANSONE,STERLING,N,MD,M,I,16681 PULLER HIGHWAY,,DELTAVILLE,VA,23043,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,38,117,282,52.122198582,8.314893617,6.1990425532,6.2040425532
1003873662,RANSONE,STERLING,N,MD,M,I,16681 PULLER HIGHWAY,,DELTAVILLE,VA,23043,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,29,29,14.320689655,3.38,2.644137931,2.644137931
1003873662,RANSONE,STERLING,N,MD,M,I,16681 PULLER HIGHWAY,,DELTAVILLE,VA,23043,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,19.62,2.12,1.67,1.67
1003873662,RANSONE,STERLING,N,MD,M,I,16681 PULLER HIGHWAY,,DELTAVILLE,VA,23043,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,20,42,75,14.701066667,1.42,1.1006666667,1.1006666667
1003873662,RANSONE,STERLING,N,MD,M,I,16681 PULLER HIGHWAY,,DELTAVILLE,VA,23043,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,69.413571429,18.305,11.268571429,10.652142857
1003873662,RANSONE,STERLING,N,MD,M,I,16681 PULLER HIGHWAY,,DELTAVILLE,VA,23043,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,33.9825,4.355,3.42,3.6416666667
1003873662,RANSONE,STERLING,N,MD,M,I,16681 PULLER HIGHWAY,,DELTAVILLE,VA,23043,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,49,419.0677551,89.809795918,64.866530612,51.730816327
1003873670,ROBINSON,GEORGE,C,M.D.,M,I,100 MEDICAL CENTER DR,SUITE 205,GADSDEN,AL,359031134,US,Physician/Thoracic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,37.44,29.35,29.496666667
1003873902,NACIER,PAUL,E,M.D.,M,I,124 E 43RD ST,SUITE 1,BROOKLYN,NY,112033049,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,85.531724138,8.32,6.0748275862,6.0748275862
1003874017,KIKI,JEFFREY,K,D.O.,M,I,3950 KEENE RD,,WEST RICHLAND,WA,99353,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,29,76,208,51.960048077,8.32,5.5815865385,5.5815865385
1003874017,KIKI,JEFFREY,K,D.O.,M,I,3950 KEENE RD,,WEST RICHLAND,WA,99353,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,24,13.95375,1.42,1.0225,1.0225
1003874017,KIKI,JEFFREY,K,D.O.,M,I,3950 KEENE RD,,WEST RICHLAND,WA,99353,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,98,17.09,13.4,13.519166667
1003874017,KIKI,JEFFREY,K,D.O.,M,I,3950 KEENE RD,,WEST RICHLAND,WA,99353,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,39.07,4.294,3.366,3.8006666667
1003874017,KIKI,JEFFREY,K,D.O.,M,I,3950 KEENE RD,,WEST RICHLAND,WA,99353,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,290,65.7,51.51,54.461666667
1003874033,WILKINSON,JOE,B,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,21,21,21,129.35190476,53.836666667,41.06952381,35.333333333
1003874033,WILKINSON,JOE,B,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,122.15714286,59.880714286,46.945,40.742142857
1003874033,WILKINSON,JOE,B,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,73.181818182,28.353636364,22.23,14.289090909
1003874033,WILKINSON,JOE,B,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,16,129.15,129.15,91.60875,92.799375
1003874033,WILKINSON,JOE,B,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,219.64,219.64,168.71727273,168.45545455
1003874033,WILKINSON,JOE,B,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,219.64,219.64,172.2,171.97142857
1003874033,WILKINSON,JOE,B,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,16,16,52.63,52.63,32.3275,37.250625
1003874041,ZONOUZI-ZADEH,FARIDEH,,M.D.,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE,BROOKLYN,NY,112374006,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,43,55.045116279,8.32,5.9146511628,5.9146511628
1003874041,ZONOUZI-ZADEH,FARIDEH,,M.D.,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE,BROOKLYN,NY,112374006,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,21,32.647619048,1.42,1.1152380952,1.1152380952
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,47,146,48.79239726,8.32,5.9931506849,5.9931506849
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,17.714285714,3.38,2.4607142857,2.4607142857
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,29,53,15.939056604,1.42,1.0935849057,1.0935849057
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,403,46.799131514,5.5,4.3119851117,4.2081637717
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,2891,1.2182635766,0.3833898305,0.3005811138,0.2900899343
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,31.61,17.25,12.905454545,12.925454545
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,190.64,79.549090909,62.360909091,54.720909091
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,16.721818182,6.9381818182,7.3690909091
1003874082,BARAKA,SAMI,M,MD,M,I,1622 EUREKA RD,,WYANDOTTE,MI,481926104,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,41.25,33,23.714166667,23.714166667
1003874181,RICHINS,MATTHEW,B,DPM,M,I,2024 S MAIDEN LANE,STE 201,JOPLIN,MO,648041611,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,37,155,77.004054054,58.275135135,60.51
1003874181,RICHINS,MATTHEW,B,DPM,M,I,2024 S MAIDEN LANE,STE 201,JOPLIN,MO,648041611,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,62,62,88,650,452.98375,338.0125,336.99920455
1003874181,RICHINS,MATTHEW,B,DPM,M,I,2024 S MAIDEN LANE,STE 201,JOPLIN,MO,648041611,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,350,251.28,197,214.91
1003874181,RICHINS,MATTHEW,B,DPM,M,I,2024 S MAIDEN LANE,STE 201,JOPLIN,MO,648041611,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,33,43,220,156.47395349,119.41744186,122.98348837
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,27,65,67.414923077,8.32,5.9210769231,5.9210769231
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,20,20,101.8335,39.734,26.749,26.189
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,21,56,8.19,1.5210714286,1.1894642857,1.1798214286
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,14,18,19,83.224736842,10.604210526,8.3078947368,8.9278947368
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,314.21470588,85.52,63.105882353,63.917058824
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,28,50,119.5674,32.92,24.6754,24.7778
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,231.77263158,63.972631579,46.514736842,39.441052632
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,19,19,67.241052632,20.266315789,13.640526316,11.828421053
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,18,18,80.651666667,15.467777778,12.124444444,9.12
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,17,35,158,11.587088608,2.1794936709,1.6094936709,1.492721519
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,12,13,13,45.975384615,13.170769231,9.54,9.5623076923
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,45,86.31,18.177777778,13.656666667,12.933777778
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,232.35,62.771818182,49.210909091,38.843636364
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4430.1,1052.85,825.43,842.26
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,61,70,50.73,3.988,2.574,3.0211428571
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,33,220,233,531.9204721,65.963004292,47.995965665,50.813390558
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1140,15.58,9.6252105263,7.3676578947,7.3676578947
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1275,0.17,0.0447686275,0.0350823529,0.0350823529
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,3690,1.3490108401,0.1300813008,0.0975663957,0.0975663957
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,11,69,3872,12.682716942,2.9190340909,2.2186647727,2.2186647727
1003874199,ROWLEY,MILDRED,H,MD,F,I,390 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,14,73,73,123.8630137,33,25.87,25.87
1003874264,GERGES,ASHRAF,A,M.D.,M,I,1600 DIAMOND ST,,ONAWA,IA,510401548,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,7.4023076923,4.4969230769,2.7153846154
1003874322,BARATTA,BRENDA,B,MD,F,I,2021 WINTON RD S,,ROCHESTER,NY,146183957,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,39,114,62.464035088,8.32,5.835,5.835
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,55,126,372,59.701155914,8.32,5.9590860215,5.9590860215
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,31,31,9.9974193548,3.38,2.564516129,2.564516129
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,18,18,16.53,2.12,1.5772222222,1.5772222222
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,37,76,115,13.60973913,1.42,1.0277391304,1.0277391304
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,200.63230769,56,43.9,42.86
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,105.62666667,17.46,12.862777778,12.721111111
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.3881818182,4.2245454545,3.4827272727
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,51,358.60019608,82,60.128039216,53.005098039
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,41.6,29.645454545,26.827272727
1003874355,MILLER,STEVEN,C,M.D.,M,I,1838 GREENE TREE RD STE 135,,PIKESVILLE,MD,212087108,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,34.446363636,17.030454545,13.350909091,13.694545455
1003874371,MANGIN,EARL,L,MD,M,I,6400 FANNIN ST,SUITE 3000,HOUSTON,TX,770301521,US,Physician/Cardiovascular Disease (Cardiology),S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16.57,8.15,6.3881818182,7.0981818182
1003874371,MANGIN,EARL,L,MD,M,I,6400 FANNIN ST,SUITE 3000,HOUSTON,TX,770301521,US,Physician/Cardiovascular Disease (Cardiology),S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,192,64.300909091,50.412727273,51.772727273
1003874397,FOLLO,JOSEPH,M,MD,M,I,1129 BLOOMFIELD AVE,SUITE 205,WEST CALDWELL,NJ,07006,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,18,47,80.23787234,8.32,5.9672340426,5.9672340426
1003874413,RUBIO,ERNESTO,,M.D.,M,I,5785 CENTENNIAL CENTER BLVD. STE. 230,,LAS VEGAS,NV,89149,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,24,69,151,56.432980132,8.32,6.1767549669,6.1767549669
1003874413,RUBIO,ERNESTO,,M.D.,M,I,5785 CENTENNIAL CENTER BLVD. STE. 230,,LAS VEGAS,NV,89149,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,13.461111111,3.38,2.65,2.65
1003874413,RUBIO,ERNESTO,,M.D.,M,I,5785 CENTENNIAL CENTER BLVD. STE. 230,,LAS VEGAS,NV,89149,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,41,57,17.338421053,1.42,1.0557894737,1.0557894737
1003874439,BADGER,RODNEY,S,MD,M,I,30 N 1900 E,,SALT LAKE CITY,UT,841320002,US,Clinical Cardiatric Electrophysiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,76.917,21.83725,17.11925,13.6805
1003874439,BADGER,RODNEY,S,MD,M,I,30 N 1900 E,,SALT LAKE CITY,UT,841320002,US,Clinical Cardiatric Electrophysiology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,34.494166667
1003874439,BADGER,RODNEY,S,MD,M,I,30 N 1900 E,,SALT LAKE CITY,UT,841320002,US,Clinical Cardiatric Electrophysiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,421.72297297,99.461081081,75.603243243,58.09972973
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,31,72,77.00875,8.32,5.9777777778,5.9777777778
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,24,16.094166667,1.42,1.1166666667,1.1166666667
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,105.93733333,40.410666667,31.682666667,30.548
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,98,82.473163265,18.959693878,13.625102041,13.333061224
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,27,27,195.09407407,54.991481481,37.647407407,37.462222222
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,18,18,76.161666667,19.198333333,13.370555556,12.497777778
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,83.6305,13,9.6805,8.7175
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,35,201,8.6988059701,2.0886567164,1.6156716418,1.5727860697
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,244.04272727,32.585,21.999090909,21.960454545
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6109090909,7.5197424242,7.5197424242
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9555454545,2.3171666667,2.3171666667
1003874504,SMITH,SAMUEL,J,MD,M,I,8641 WILSHIRE BLVD,220,BEVERLY HILLS,CA,90211,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,196.58142857,60.83,44.497857143,40.607142857
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,58.856,18.287333333,13.38,13.122666667
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,61.243333333,14.538666667,11.398666667,9.296
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,22,107,9.8701869159,2.3562616822,1.8472897196,1.6002803738
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,20,55.07,15.2,11.324,10.316
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,34,227.66029412,36.328235294,24.917941176,21.699117647
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,226.15,90.01,63.200833333,48.681666667
1003874561,MARTINEZ,CARLOS,M,MD,M,I,235 NE 8TH ST,,HOMESTEAD,FL,33030,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,63.14,35.11,22.941666667,25.005
1003874793,SHENAI,USHA,R,M.D.,F,I,10196 SPRINGFIELD PIKE,,CINCINNATI,OH,452151448,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,37,74,66.376756757,8.3054054054,5.282027027,5.2891891892
1003874793,SHENAI,USHA,R,M.D.,F,I,10196 SPRINGFIELD PIKE,,CINCINNATI,OH,452151448,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,21,12.465238095,1.42,1.0657142857,1.0657142857
1003874801,VELASQUEZ,PEDRO,,MD,M,I,1068 CRESTHAVEN RD STE 300,,MEMPHIS,TN,38119,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,26,132,69.92280303,8.32,6.3308333333,6.3308333333
1003874801,VELASQUEZ,PEDRO,,MD,M,I,1068 CRESTHAVEN RD STE 300,,MEMPHIS,TN,38119,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,38,16.265526316,1.42,1.0260526316,1.0260526316
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,43,154,273,74.023589744,8.32,5.5037728938,5.5037728938
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,25,25,12.0664,1.42,1.0304,1.0304
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,350,6.7808571429,5.74,4.3669428571,4.3669428571
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,80.1965,10.81,8.475,8.475
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,226.78571429,86.92,58.656428571,58.399285714
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,19,89.736842105,33.06,24.554736842,24.554736842
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,12,34,109,78.608073394,18.36,13.470642202,13.623119266
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,25,25,221.2512,55.5888,39.4228,38.7724
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,25,29,29,68.210689655,18.006896552,13.142758621,13.090344828
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,33,33,69.364242424,11.133636364,8.1960606061,8.5739393939
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,43,121,9.8680991736,1.9944628099,1.4475206612,1.4740495868
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,13,13,21.182307692,5.77,4.53,4.66
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,17.69,13.87,13.560909091
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,650,214.1625,155.94666667,152.13666667
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,47.5,5.4323809524,4.0985714286,4.0985714286
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,11,83,83,158.13253012,31.121325301,21.411927711,21.517228916
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,428.86692308,69.99,52.759615385,52.625
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2163,0.4173509015,0.048136847,0.0247295423,0.0247295423
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,1800,1.7938666667,0.1347333333,0.0995888889,0.0995888889
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1140,8.4103157895,2.9888947368,2.2221578947,2.2221578947
1003874967,KIPP,RICHARD,J,D.O.,M,I,3520 SINGING HILLS BLVD,,SIOUX CITY,IA,511065110,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,35,35,33,33,22.119142857,22.119142857
1003875063,SOTO,NORBERTO,L,M.D.,M,I,106 GRAND AVE,SUITE 490,ENGLEWOOD,NJ,076313574,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,18,165,27.42,24.47,19.18430303,19.2
1003875063,SOTO,NORBERTO,L,M.D.,M,I,106 GRAND AVE,SUITE 490,ENGLEWOOD,NJ,076313574,US,Physician/Plastic and Reconstructive Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,95,8.75,7.68,6.0214736842,6.4285263158
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,49,189,53.924761905,8.32,6.0665079365,6.0665079365
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.937142857,3.38,2.65,2.65
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,30,77,16.92974026,1.42,1.0550649351,1.0550649351
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,364,8.8284615385,6.26,4.5303846154,5.3502472527
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,364,6.2707692308,5.23,4.1003296703,4.1003296703
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,156,4.5061538462,3.8046153846,2.9444871795,2.9486538462
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,310,116.56166667,86.434166667,86.434166667
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,383.59952381,103.51555556,78.312380952,57.98952381
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,90.35,44.745,32.344166667,27.056666667
1003875154,PATEL,HALESH,M,MD FACP,M,I,530 WEST UNION STREET,SUITE C,ATHENS,OH,45701,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,94.875,33,21.28125,21.28125
1003875295,PRIEGO,VICTOR,M,M.D.,M,I,6410 ROCKLEDGE DR,SUITE 660,BETHESDA,MD,208171809,US,Physician/Hematology-Oncology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,18,463.88888889,358.5,281.06,281.06
1003875345,FUNDERBURK,MARCIA,W,M.D.,F,I,1255 LILA ST,UFJP LEM TURNER FAMILY PRACTICE CENTER,JACKSONVILLE,FL,322083550,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,52.689615385,8.32,6.5207692308,6.5207692308
1003875345,FUNDERBURK,MARCIA,W,M.D.,F,I,1255 LILA ST,UFJP LEM TURNER FAMILY PRACTICE CENTER,JACKSONVILLE,FL,322083550,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,15,17.045333333,1.42,1.1173333333,1.1173333333
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,61,190,417,63.233956835,8.32,6.0112470024,6.0112470024
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,2.65,2.65
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,23,57,70,13.220142857,1.42,1.0374285714,1.0374285714
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,36,36,138.96638889,42.057777778,31.530277778,29.4525
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,16,178,422,826,8.0452663438,1.674188862,1.1831113801,1.0429782082
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,9,75,99,99,80.544848485,13.996464646,10.048888889,8.1708080808
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,5,29,30,39,2.1771794872,0.6066666667,0.4751282051,0.4207692308
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,53,122,122,441.45409836,94.258196721,69.42,64.153442623
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,54,154,371,170.54770889,35.956307278,27.332587601,25.385876011
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,41,103,508,99.549527559,22.103070866,16.751240157,14.326476378
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,21,58,257,69.236575875,16.919533074,11.510311284,10.174669261
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,58,142,142,278.3006338,63.752394366,45.577253521,39.343802817
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,103,153,153,82.48,20.257320261,15.183333333,13.550718954
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,36.182727273,11.171818182,8.76,8.15
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,89,211,211,94.527914692,14.258199052,11.049004739,9.3642180095
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,104,273,1362,12.467041116,2.3526211454,1.8111013216,1.5918135095
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,63,94,94,30.939574468,6.8420212766,5.2719148936,4.6743617021
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,71,101,101,49.786534653,14.145445545,10.772178218,10.088613861
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4788,2.1826190476,0.31,0.2430430242,0.2430430242
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,193.18588235,55.234117647,43.307058824,36.46
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,89,626,674,84.102091988,19.334065282,14.110994065,12.769391691
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,232.35,53.86,39.546111111,39.172777778
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,8,29,149,161,199.60093168,52.79,37.336397516,34.322919255
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,232.35,49.67,37.558333333,36.311666667
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,16,116,116,3900.3555172,1001.46,778.9075,835.03318966
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,25,26,258.53846154,86.485,65.410384615,64.796923077
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,542.33181818,142.41272727,111.65272727,110.84272727
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,21,109,118,66.501610169,14.699745763,10.684576271,9.7923728814
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,15,121,720,761,44.968791064,5.361261498,3.8352562418,3.2854402102
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,42,271,283,229.79826855,37.725547703,27.919929329,24.548021201
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,13,13,13,451.18076923,70.74,55.46,55.46
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,145,1036,1108,483.85136282,79.760604693,58.896110108,52.132797834
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,35,220,226,235.27039823,40.283097345,30.543141593,28.832123894
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,9,44,44,44,140.03977273,57,42.917727273,42.917727273
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,40,2400,14.085625,9.637025,7.4466458333,7.4466458333
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,2340,15.803504274,11.260666667,8.768534188,8.768534188
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,24,104,30846,0.2224184659,0.0469821046,0.0348077547,0.0348077547
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,5985,2.8429072682,0.0851060986,0.0635906433,0.0635889724
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,34,270,1492,172105,1.13538247,0.1343837773,0.0965999826,0.0965999826
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,26,128,7650,10.583586928,2.8750235294,2.2220535948,2.2220535948
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,15,76,4832,1.8372392384,0.2190086921,0.1574772351,0.1574772351
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,31,136.04709677,18.729354839,13.830322581,13.675483871
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,94,105,60.339714286,40.175238095,29.184285714,27.398380952
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,35,275,1599,1599,104.77345216,33,23.676854284,23.676854284
1003875360,SCHNEIDER,THOMAS,W,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,21,36,36,66,66,46.169722222,46.169722222
1003875410,SAHA,BANANI,,MD,F,I,2140 FISHER RD,,MECHANICSBURG,PA,170555122,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,45,72.131777778,8.32,6.2333333333,6.2333333333
1003875451,REDDY,NAVEEN,,MD,M,I,2705 S ALMA SCHOOL RD,STE 1,CHANDLER,AZ,852864400,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,41,1200,1144.1987805,896.6195122,886.95365854
1003875535,RIGGS,HEATHER,D,M.D.,F,I,3700 SOUTHERN BVLD.,STE. 401,KETTERING,OH,454291226,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,37,20.641818182,14.826363636,12.3
1003875535,RIGGS,HEATHER,D,M.D.,F,I,3700 SOUTHERN BVLD.,STE. 401,KETTERING,OH,454291226,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,270,88.572727273,64.007272727,49.754545455
1003875717,HENSARLING,JEFFREY,K,MD,M,I,10630 CLEMSON BLVD,SUITE 100,SENECA,SC,296784546,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,21,21,21,241.32047619,50.632857143,39.695238095,38.807142857
1003875717,HENSARLING,JEFFREY,K,MD,M,I,10630 CLEMSON BLVD,SUITE 100,SENECA,SC,296784546,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,188.80136364,60.157727273,47.161818182,43.566818182
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,32.76,27.45,21.52,22.277083333
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,35.435,29.69,23.28,23.28
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,6.615,5.54,4.34,4.34
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,48,13.04375,10.93,8.57,8.57
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,160,8.364,7,5.145,5.145
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,364,5.82,4.67,3.5199175824,4.0075549451
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17,13.33,13.5225
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,42.761578947,4.1536842105,3.0447368421,3.6084210526
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,11.275,5.05,3.3,3.2916666667
1003875733,PELLITTIERI,ARTHUR,,M.D.,M,I,222 ALEXANDER ST,SUITE 5000,ROCHESTER,NY,146074039,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,77.18,60.51,55.2025
1003875832,MONTUFAR,HENGELBERTH,D,D.P.M.,M,I,36640 HERITAGE DR,,RICHMOND,MI,480621937,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,102,102,204,75,71.56,55.633235294,55.633137255
1003875832,MONTUFAR,HENGELBERTH,D,D.P.M.,M,I,36640 HERITAGE DR,,RICHMOND,MI,480621937,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,93,93,558,35,29.19,22.885017921,22.886666667
1003875832,MONTUFAR,HENGELBERTH,D,D.P.M.,M,I,36640 HERITAGE DR,,RICHMOND,MI,480621937,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,59.505,17.244375,11.925,12.311875
1003875832,MONTUFAR,HENGELBERTH,D,D.P.M.,M,I,36640 HERITAGE DR,,RICHMOND,MI,480621937,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,15,15,125,109.14,85.56,94.436
1003875832,MONTUFAR,HENGELBERTH,D,D.P.M.,M,I,36640 HERITAGE DR,,RICHMOND,MI,480621937,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,350,251.28,197,217.84761905
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,34,94,274,72.927372263,8.32,6.1133211679,6.1133211679
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,14.910588235,3.38,2.65,2.65
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,23,49,71,15.807605634,1.42,1.0515492958,1.0515492958
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,137.736,40,29.269333333,28.515333333
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,82,63.826463415,19.56,15.335487805,14.65695122
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,194.69055556,56,41.461111111,40.594444444
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,70.02,19.287692308,12.781538462,11.984615385
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,92,10.482826087,2.0854347826,1.6347826087,1.597826087
1003875923,ROBERTSON,BRUCE,A,M.D,M,I,13851 E 14TH ST,SUITE 102,SAN LEANDRO,CA,945782628,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,410.67259259,33.846666667,26.532592593,24.892592593
1003875931,HEINEKEN,CHRISTIAN,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,58,128,71.874765625,8.32,5.8075,5.8075
1003875931,HEINEKEN,CHRISTIAN,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,31,39,16.883333333,1.42,0.9153846154,0.9153846154
1003876095,CLARK,JENNIFER,L,M.D.,F,I,4945 WILLIAMS DR,,GEORGETOWN,TX,786282008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,32,76,296,61.761925676,8.2934121622,6.086722973,6.1038513514
1003876095,CLARK,JENNIFER,L,M.D.,F,I,4945 WILLIAMS DR,,GEORGETOWN,TX,786282008,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,28,45,14.190888889,1.42,0.9415555556,0.9415555556
1003876103,SHORE,STEPHEN,R,MD,M,I,1901 HAMILTON ST STE 300,,ALLENTOWN,PA,181046461,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,59,207,71.538019324,8.32,6.0282608696,6.0282608696
1003876103,SHORE,STEPHEN,R,MD,M,I,1901 HAMILTON ST STE 300,,ALLENTOWN,PA,181046461,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,25,34,14.895588235,1.42,1.0832352941,1.0832352941
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,24,24,18.82,21.146666667
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,12.5,10.34,8.1,8.4133333333
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,11,68,1441,13.060867453,4.9,3.8415128383,4.07888966
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,2280,0.755995614,0.36,0.28225,0.2868991228
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,10317,0.653873219,0.2949403896,0.2312290394,0.2418096346
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,35,11540,1.3815138648,0.5509558059,0.4319506066,0.5076204506
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,28,28,103.67857143,58,45.47,47.098571429
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,30,45.584,5.6,3.7073333333,3.0653333333
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,46,48,22.5,4.86,3.81,3.945
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1560,2.0622948718,0.1306923077,0.0919871795,0.0919871795
1003876186,ACHAR,PANKAJA,,MD,F,I,707 SOUTH ORANGE AVE,,SOUTH ORANGE,NJ,07079,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,76.3125,33,22.63625,22.63625
1003876228,KURIAN,LISA,,M.D.,F,I,75 HOLLY HILL LN,,GREENWICH,CT,068306098,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,60.492727273,8.32,4.7418181818,4.7418181818
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,49,49,93.83122449,39.56,29.265714286,28.775714286
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,55,114,114,317.61403509,94.170964912,65.794736842,60.670877193
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,49,113,255,114.11188235,36.651607843,26.792156863,24.239568627
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,51,112,562,59.681298932,20.283985765,14.982188612,13.764234875
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,23,38,188,50.026170213,15.58,10.849414894,10.586542553
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,77,161,161,175.93453416,56.35621118,41.575279503,40.376708075
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,113,155,155,64.105225806,18.883741935,14.299806452,13.641290323
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,17,17,30.457058824,10.45,8.19,8.1523529412
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,105,216,216,54.860092593,14.41537037,10.726666667,8.7974537037
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,122,262,1483,8.0469318948,2.2963991908,1.695954147,1.5105596763
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,76,101,101,22.889306931,6.7001980198,5.1130693069,4.5635643564
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,58,78,78,43.297051282,13.203846154,9.5933333333,9.581025641
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,43,43,91.824418605,18,13.45372093,12.963255814
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,2071.17,1074.31,832.69533333,832.69533333
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,351.89166667,109.03,85.480833333,80.300833333
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,26,26,384.72538462,140.51,107.43115385,103.02115385
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,42,45,54.938888889,14.808222222,11.613777778,10.655111111
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,22.114285714,8.2057142857,5.0971428571,3.1685714286
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,53,297,298,204.46077181,35.810402685,26.873389262,24.959060403
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,108,111,461.97342342,86.84,62.704504505,51.278918919
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,103.33333333,39.51,27.537777778,26.271944444
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,285.6,39.51,29.349473684,28.034210526
1003876236,KUHN,KARL,P,MD,M,I,397 WALLACE RD,STE 415,NASHVILLE,TN,372114854,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,25.585833333,25.585833333
1003876368,LANDAU,ALAN,,M.D.,M,I,875 ROOSEVELT HWY STE 132,,COLCHESTER,VT,05446,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,292,100,4.73,3.7081506849,4.1161986301
1003876368,LANDAU,ALAN,,M.D.,M,I,875 ROOSEVELT HWY STE 132,,COLCHESTER,VT,05446,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4072,1.6389341847,0.3527504912,0.2765496071,0.2888777014
1003876418,FELDMAN,LEON,A,M.D.,M,I,39000 BOB HOPE DR,HAL B WALLIS BLDG,RANCHO MIRAGE,CA,922703221,US,Clinical Cardiatric Electrophysiology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,222.32615385,93.531538462,68.265384615,62.813846154
1003876418,FELDMAN,LEON,A,M.D.,M,I,39000 BOB HOPE DR,HAL B WALLIS BLDG,RANCHO MIRAGE,CA,922703221,US,Clinical Cardiatric Electrophysiology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,31,91.011612903,38.487741935,29.289354839,25.081935484
1003876418,FELDMAN,LEON,A,M.D.,M,I,39000 BOB HOPE DR,HAL B WALLIS BLDG,RANCHO MIRAGE,CA,922703221,US,Clinical Cardiatric Electrophysiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,56.978181818,14.693636364,10.665454545,8.2909090909
1003876418,FELDMAN,LEON,A,M.D.,M,I,39000 BOB HOPE DR,HAL B WALLIS BLDG,RANCHO MIRAGE,CA,922703221,US,Clinical Cardiatric Electrophysiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,72,9.5775,2.315,1.7934722222,1.5704166667
1003876418,FELDMAN,LEON,A,M.D.,M,I,39000 BOB HOPE DR,HAL B WALLIS BLDG,RANCHO MIRAGE,CA,922703221,US,Clinical Cardiatric Electrophysiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,30.5375,22.764166667,24.0075
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,41,128,92.86078125,8.32,5.85796875,5.85796875
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,12,16.138333333,1.42,0.745,0.745
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,48.668235294,12.518823529,9.4529411765,9.4970588235
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,19.53,4.9485714286,3.5471428571,3.3928571429
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,205.56736842,33.535263158,24.594736842,23.836315789
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,487.19411765,69.81,51.510588235,51.510588235
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,2334,0.2035389889,0.0474335904,0.0362039417,0.0362039417
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,107.94,36.14,26.37,27.569333333
1003876459,KURTZ,R,C,MD,M,I,6408 COPPS AVE STE 100,,MONONA,WI,537163702,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,75.428571429,33,22.174285714,22.174285714
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,21,61,188,60.192819149,8.32,4.8538829787,4.8538829787
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,34,49,12.462040816,1.42,0.9118367347,0.9118367347
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,117.95454545,51.047272727,33.360909091,28.808181818
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,11,14,14,250,127.39,81.844285714,59.160714286
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,80,47.537,37.267,28.176
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,60,27.91,21.881428571,17.105
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,20,20,74,25.9965,16.057,13.0675
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,42,81,9.9135802469,3.0069135802,2.0519753086,1.5671604938
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,12,14,14,29.857142857,15.865,9.89,8.6985714286
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,55,22.4775,15.626666667,11.6525
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,100,18.04037037,14.144074074,11.462592593
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,202.62818182,49.141363636,38.523636364,32.080454545
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,390.84,99.926666667,69.573095238,46.678809524
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2948,0.3508378562,0.0464857531,0.0341214383,0.0341214383
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,6.3066666667,3.0133157895,2.2366140351,2.2366140351
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,25.025,18.505833333,12.008333333
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,10.185,7.98,6.16
1003876533,TRUSOCK,BRUCE,J,MD,M,I,600 MACINNES DR.,,HOUGHTON,MI,499301569,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,33,33,24.745217391,24.745217391
1003876582,HYMAN,CHARLES,F,O.D.,M,I,1028 N MISSOURI ST,SUITE 1,WEST MEMPHIS,AR,723012613,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,59.166666667,51.258333333,36.92,49.826666667
1003876582,HYMAN,CHARLES,F,O.D.,M,I,1028 N MISSOURI ST,SUITE 1,WEST MEMPHIS,AR,723012613,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,59.166666667,56.025,41.475,41.14
1003876715,RACKISH,MARK,A,M.D.,M,I,1705 WARREN AVE,SUITE 101-103,WILLIAMSPORT,PA,177012647,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,709.4,144.40636364,108.29272727,113.73545455
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,40,124,395,56.109772152,8.32,6.0450379747,6.0450379747
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,23,23,14.828695652,3.38,2.65,2.65
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,22.131428571,2.12,1.67,1.67
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,22,40,68,14.729264706,1.42,1.0976470588,1.0976470588
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,76,7.0452631579,3.84,2.7442105263,2.7442105263
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,465,9.8980645161,5.54,4.343483871,4.343483871
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,13.1,6.74,4.3681818182,4.3681818182
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1462,0.1249247606,0.1101504788,0.0767099863,0.0767099863
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1368,0.44,0.44,0.3449488304,0.3449488304
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,38,810,5.4111111111,3.04,2.0235555556,2.0235555556
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,21,453,34.834834437,34.834834437,27.310507726,27.330242826
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,20,218,23.66,23.66,18.549266055,18.549266055
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,24,37,1077,8.28,8.28,6.1657103064,6.1657103064
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,22,502,3.79,3.79,2.7937051793,2.7937051793
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,33,103,18.645145631,18.29,14.327961165,14.327961165
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,25,2540,0.45,0.45,0.3527952756,0.3527952756
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,35,1043,7.4069223394,3.1309108341,2.3452540748,2.3009587728
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,37,24194,0.7614714392,0.313961726,0.2432069935,0.2432069935
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,100.91214286,55.716428571,43.682857143,38.538571429
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,45.318181818,13.727272727,9.0445454545,7.8581818182
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,36,39,212.65076923,61.718461538,46.665897436,38.645641026
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,96,96,89.114583333,18.231875,13.5834375,12.888645833
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4783.4981818,942.14,738.64,842.26
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,38.396666667,4.55,3.0423333333,3.0413333333
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,87,87,390.60195402,79.615402299,59.00954023,52.271724138
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,78.433333333,19.412,14.268666667,13.098666667
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,35.196428571,8.5378571429,6.6957142857,6.5992857143
1003876731,BARTON,BRUCE,W,MD,M,I,201 4TH ST STE 3D,,ALEXANDRIA,LA,713018421,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,556.875,163.89333333,128.49333333,126.20833333
1003876863,SCHOON,JEFFREY,C,DO,M,I,6010 MILLS CIVIC PKWY,SUITE 200,WEST DES MOINES,IA,502668345,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,36,86,191,67.073298429,8.32,5.6433507853,5.6433507853
1003876863,SCHOON,JEFFREY,C,DO,M,I,6010 MILLS CIVIC PKWY,SUITE 200,WEST DES MOINES,IA,502668345,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,23,27,16.614444444,1.42,1.077037037,1.077037037
1003876863,SCHOON,JEFFREY,C,DO,M,I,6010 MILLS CIVIC PKWY,SUITE 200,WEST DES MOINES,IA,502668345,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1860,2.2,2.04,1.5346827957,1.5346827957
1003876863,SCHOON,JEFFREY,C,DO,M,I,6010 MILLS CIVIC PKWY,SUITE 200,WEST DES MOINES,IA,502668345,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,78.744545455,17.94,12.985454545,12.985454545
1003876863,SCHOON,JEFFREY,C,DO,M,I,6010 MILLS CIVIC PKWY,SUITE 200,WEST DES MOINES,IA,502668345,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,170,31.34,24.573333333,24.621111111
1003876863,SCHOON,JEFFREY,C,DO,M,I,6010 MILLS CIVIC PKWY,SUITE 200,WEST DES MOINES,IA,502668345,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,377.5,69.99,54.837857143,54.707857143
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,6.0357142857,0.51,0.4,0.4
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,57,173,452,53.531858407,8.32,6.1692699115,6.1692699115
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,39,39,15.165384615,3.38,2.5820512821,2.5820512821
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,16,21,21,23.048571429,2.12,1.67,1.67
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,36,83,138,14.988695652,1.4176811594,1.0645652174,1.0663768116
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,160,6.542125,5.54,3.991875,3.991875
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,160,4.88475,4.04,2.969375,2.969375
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,42,57,5.480877193,1.6643859649,1.1835087719,1.0615789474
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,1.1076923077,0.6861538462,0.5046153846,0.3876923077
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,25,25,2.5404,1.4128,1.0216,0.8968
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,306.62133333,65.698,50.238,43.294
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,73.969285714,21.469285714,14.797857143,12.692142857
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,22,22,93.025909091,15.766363636,12.11,9.92
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,30,158,11.619936709,2.337721519,1.7778481013,1.6184810127
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,139.59384615,59.163076923,43.67,35.581538462
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,13,38,38,202.43473684,61.708421053,45.362894737,38.097368421
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,82.450833333,18.3375,12.044166667,11.790833333
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,67,67,28.255820896,4.7994029851,3.228358209,3.0697014925
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,164.11230769,63.458461538,49.753846154,33.516923077
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,23,131,305,210.70881967,37.452655738,26.779672131,21.983737705
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,210.625,41.6871875,31.8025,28.643125
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,18.040681818,9.6109090909,7.405,7.405
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,59,12396,0.411100355,0.0472055502,0.0312552436,0.0312544369
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2445,2.1994192229,0.0694723926,0.0544662577,0.0544662577
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,18,46,6900,1.5129521739,0.1329434783,0.0884637681,0.0884637681
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,650,1.1761076923,0.2194307692,0.1352307692,0.1352307692
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,29,29,69.223448276,19.79862069,11.346551724,10.237931034
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,125,38.878928571,30.48,26.023571429
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,49,49,143,31.799591837,24.339795918,22.03
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,26.725263158,8.1578947368,5.4673684211,5.7626315789
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,56,56,85,35.96,26.829821429,27.925714286
1003876871,HASANAJ,XAJE,A,M.D.,M,I,507 HIGHLAND PARK DR,,EDEN,NC,272884936,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,26,99,99,62.262626263,33,23.394040404,23.394040404
1003876947,THIEBLEMONT,MICHAEL,A,MD,M,I,46 RED HILL CT,,NEWPORT,PA,170748706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,27,78,57.492564103,8.32,6.1051282051,6.1051282051
1003876947,THIEBLEMONT,MICHAEL,A,MD,M,I,46 RED HILL CT,,NEWPORT,PA,170748706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,24,15.9825,1.42,1.0233333333,1.0233333333
1003876947,THIEBLEMONT,MICHAEL,A,MD,M,I,46 RED HILL CT,,NEWPORT,PA,170748706,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,104.79416667,31.7525,22.9775,23.4175
1003876947,THIEBLEMONT,MICHAEL,A,MD,M,I,46 RED HILL CT,,NEWPORT,PA,170748706,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,336.66592593,71.700740741,56.220740741,57.66962963
1003876947,THIEBLEMONT,MICHAEL,A,MD,M,I,46 RED HILL CT,,NEWPORT,PA,170748706,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.72,30.36,29.52
1003877085,GILLIAM,JOHN,S,MD,M,I,20172 E STAGECOACH TRL,,MAYER,AZ,863332357,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,321.25727273,68.78,53.92,54.574545455
1003877127,FOSTER,LARRY,D,DO,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,24,79,136,53.060661765,8.2957352941,5.0746323529,5.0936029412
1003877127,FOSTER,LARRY,D,DO,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,16.249333333,1.42,0.7466666667,0.7466666667
1003877127,FOSTER,LARRY,D,DO,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,5371,0.4165592999,0.0462036865,0.0345187116,0.0345149879
1003877127,FOSTER,LARRY,D,DO,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,840,0.9789404762,0.1334285714,0.0981190476,0.0981190476
1003877127,FOSTER,LARRY,D,DO,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,11.910733333,2.9752,2.0668666667,2.0668666667
1003877127,FOSTER,LARRY,D,DO,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,87,33,24.694090909,24.694090909
1003877259,OAKES-LOTTRIDGE,ANDREW,J,M.D.,M,I,1315 FLORIDA AVE,,FORT MYERS,FL,339017707,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,63,67.363968254,8.32,6.1088888889,6.1088888889
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,61,61,114.53590164,40,30.845901639,30.018688525
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,41,6.9636585366,1.45,1.0802439024,1.093902439
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,59.773333333,13.436666667,8.9686666667,7.8686666667
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,60,129,129,227.46992248,99.436046512,77.067829457,68.087984496
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,60,135,317,90.664952681,38.357255521,29.801829653,26.005930599
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,21,44,213,65.297652582,20.738309859,14.83657277,13.433333333
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,42,101,505,41.396237624,16.02249505,11.994376238,11.388415842
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,61,141,141,163.74617021,61.362056738,45.631631206,41.008723404
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,109,154,154,50.556233766,18.307857143,13.821688312,13.573831169
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,25.416875,9.92,7.29375,7.67
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,102,220,220,62.619636364,14.740090909,11.071954545,9.0336363636
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,118,265,1473,9.1043312967,2.3739782756,1.7930278344,1.5591649695
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,24,24,24.49125,6.8679166667,5.1570833333,4.52625
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,65,88,88,27.070568182,12.461590909,9.3670454545,9.8757954545
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,76,82,45.94195122,18,13.421707317,12.893414634
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,299.09,91.153846154,61.571153846,53.092692308
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,25,25,25,328.2092,151.3496,118.66,108.7516
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,13,62,68,48.462941176,14.840882353,10.676323529,9.6766176471
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,47,110,22.350909091,5.8712727273,4.6049090909,3.8356363636
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,57,330,331,174.45190332,37.906042296,28.733564955,25.205679758
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,37,327,332,352.93683735,90.01,68.079427711,53.542620482
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,77,77,230.90909091,35.11,25.742337662,27.729090909
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,15.58,9.598,7.3654222222,7.3654222222
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,23,93,22215,0.2351145622,0.0462421787,0.0328840873,0.0328840873
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,3.0262857143,2.3726309524,2.3726309524
1003877325,LABI,MARLON,A,M.D.,M,I,9800 W SAMPLE RD,SUITE C,CORAL SPRINGS,FL,330654039,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,91,91,97.42032967,33,23.595714286,23.595714286
1003877366,STERN,BRIGITTE,K,MD,F,I,64580 VAN DYKE RD,SUITE C,WASHINGTON,MI,480952857,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,37,101,40.572079208,8.32,5.6821782178,5.6821782178
1003877366,STERN,BRIGITTE,K,MD,F,I,64580 VAN DYKE RD,SUITE C,WASHINGTON,MI,480952857,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,23,34,11.725882353,1.42,0.9847058824,0.9847058824
1003877366,STERN,BRIGITTE,K,MD,F,I,64580 VAN DYKE RD,SUITE C,WASHINGTON,MI,480952857,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.5041666667,2.38,1.1266666667
1003877366,STERN,BRIGITTE,K,MD,F,I,64580 VAN DYKE RD,SUITE C,WASHINGTON,MI,480952857,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,607.93,157.41,123.4075,117.2775
1003877366,STERN,BRIGITTE,K,MD,F,I,64580 VAN DYKE RD,SUITE C,WASHINGTON,MI,480952857,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,101.0625,33,22.63625,22.63625
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,24,68,156,55.701987179,8.32,4.9339102564,4.9339102564
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,24,35,10.16,1.42,0.8611428571,0.8611428571
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,26,65.33,28.125769231,21.19,21.451923077
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,27,32,22.3746875,10.93,7.230625,7.230625
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,692,16.390187861,7.7792485549,5.9578468208,4.1511560694
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,6455,1.6079628195,0.4710069713,0.3551340046,0.2824322231
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,18,18,18,161.41833333,57.351666667,38.62,30.473888889
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,30,181.751,71.986666667,53.447333333,39.165
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,46,47,72.012765957,21.953191489,16.599787234,13.46787234
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,35.789565217,15.603043478,12.233043478,11.582173913
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,36.67,15.066956522,11.810869565,10.951304348
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,420.19,237.35652174,186.08434783,186.08434783
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,63,63,451.61206349,98.520952381,73.6,51.407777778
1003877499,OSTERBUR,WILLIAM,H,MD,M,I,5735 MEEKER RD,,GREENVILLE,OH,45331,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,33,95.181818182,28.608787879,17.811818182,10.668181818
1003877549,MORENO,LUZ,S,MD,F,I,637 W MITCHELL ST,,MILWAUKEE,WI,532043513,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,34,50.863823529,8.32,5.2082352941,5.2082352941
1003877549,MORENO,LUZ,S,MD,F,I,637 W MITCHELL ST,,MILWAUKEE,WI,532043513,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,14.544705882,1.42,0.7705882353,0.7705882353
1003877929,NGO,VAN,T,M.D.,F,I,1700 UNIVERSITY DR E,,COLLEGE STATION,TX,778402661,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,22,57,52.209824561,8.32,6.2936842105,6.2936842105
1003877929,NGO,VAN,T,M.D.,F,I,1700 UNIVERSITY DR E,,COLLEGE STATION,TX,778402661,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,22,10.69,1.42,1.0636363636,1.0636363636
1003877929,NGO,VAN,T,M.D.,F,I,1700 UNIVERSITY DR E,,COLLEGE STATION,TX,778402661,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.4,13.69,10.733333333,10.796666667
1003877929,NGO,VAN,T,M.D.,F,I,1700 UNIVERSITY DR E,,COLLEGE STATION,TX,778402661,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,622.99571429,154.41571429,121.06,120.67285714
1003878026,PERRY,PETER,,P.A.-C,M,I,1409 KINGSLEY AVE,SUITE 6A,ORANGE PARK,FL,320734537,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,26,54,59.973518519,8.32,4.5905555556,4.5905555556
1003878026,PERRY,PETER,,P.A.-C,M,I,1409 KINGSLEY AVE,SUITE 6A,ORANGE PARK,FL,320734537,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,2.0327272727,2.0327272727,1.5066848485,1.5123818182
1003878026,PERRY,PETER,,P.A.-C,M,I,1409 KINGSLEY AVE,SUITE 6A,ORANGE PARK,FL,320734537,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,874.72,31.666666667,22.165833333,22.045
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,23,70,170,49.743470588,8.32,6.1768823529,6.1768823529
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,18,18,48.342222222,24.191111111,16.366111111,12.143333333
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,52.544545455,17.660909091,12.01,8.4909090909
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,124.16666667,59.78,43.665,35.231666667
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,64.912,21.788,15.785666667,12.528666667
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,27.77,7.5666666667,5.47625,3.3008333333
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,93,98,438.83387755,98.435306122,71.642142857,50.918265306
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,3580,0.3110530726,0.0461899441,0.0268156425,0.0268156425
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,2208,1.5959601449,0.1402264493,0.1099365942,0.1099365942
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,645,10.257410853,2.9791627907,2.2353953488,2.2353953488
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,55,44.34,34.765,30.025714286
1003878042,BASS,JAMES,W,M.D.,M,I,1800 W. 1ST ST.,SUITE 102,ELK CITY,OK,736442339,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,49.5,33,23.283,23.283
1003878083,GOTTLOB,CHARLES,A,MD,M,I,660 GOLDEN RIDGE RD,SUITE 250,GOLDEN,CO,804019541,US,Physician/Sports Medicine,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,162.89,100.42,78.73,86.855
1003878273,MAJCHROWSKI,HELEN,,F.N.P.-C,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,012014147,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,28,64,135,69.589925926,8.32,5.9380740741,5.9380740741
1003878273,MAJCHROWSKI,HELEN,,F.N.P.-C,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,012014147,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,77.45,51.67,32.873125,34.2325
1003878273,MAJCHROWSKI,HELEN,,F.N.P.-C,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,012014147,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,77.45,47.78,31.215625,31.391875
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,27,30,27.384814815,21.46962963,22.251481481
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,27,12.5,10.842592593,8.5003703704,8.57
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,221,13878,7.4893860787,7.146048422,5.5941843205,5.760937455
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,850,0.36,0.13,0.1019529412,0.1019529412
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,80,80,63.1375,52.94,41.5,41.5
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,218,3547,4.4478855371,3.81,2.987318861,2.987318861
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,33,298,6759,14.013611481,4.99966859,3.9197218523,4.1511007545
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,13,42.676923077,25,19.6,20.329230769
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,44,15708,0.7878023937,0.3660122231,0.286951235,0.2898287497
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,15,120,39516,0.6629266626,0.3,0.235199919,0.2428644094
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,16,134,46245,1.454166937,0.6416509893,0.5030608714,0.5169162072
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,21,108,5540,1.4997292419,0.6978158845,0.5470559567,0.5558158845
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,23,138,138,130.94202899,59.751304348,46.842608696,48.287318841
1003878372,FARHAT,SAMIR,A,M.D.,M,I,3201 KINGS HWY,,BROOKLYN,NY,112342625,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,29,186,199,30.150753769,5.1823115578,4.0661306533,3.9548743719
1003878489,SCOTT,DAVID,L,"M.D., P.H.D.",M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,28,9.6157142857,7.3557142857,5.77,6.8128571429
1003878489,SCOTT,DAVID,L,"M.D., P.H.D.",M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,2670,0.3821348315,0.13,0.0962022472,0.0962022472
1003878489,SCOTT,DAVID,L,"M.D., P.H.D.",M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,4170,5.3132374101,2.04,1.5685995204,1.5685995204
1003878489,SCOTT,DAVID,L,"M.D., P.H.D.",M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,2430,8.4351851852,7.19,5.6369423868,5.6669711934
1003878489,SCOTT,DAVID,L,"M.D., P.H.D.",M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,34,11.245,9.29,7.2823529412,8.5708823529
1003878562,TRAMONTE,JEFFREY,J,M.D.,M,I,300 UNIVERSITY BLVD BLDG A,,ROUND ROCK,TX,78665,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,2029.33,1074.31,833.293125,833.293125
1003878687,LIM,GEORGE,T,M.D,M,I,3505 NW 84TH AVE,,SUNRISE,FL,333516607,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,28,75.710357143,8.32,5.1235714286,5.1235714286
1003878778,ILOEJE,VIVIEN,A,MD,F,I,94 CONNECTICUT BLVD,,EAST HARTFORD,CT,061083013,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,21,60,59.186166667,8.32,5.2176666667,5.2176666667
1003878778,ILOEJE,VIVIEN,A,MD,F,I,94 CONNECTICUT BLVD,,EAST HARTFORD,CT,061083013,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,26,16.836153846,1.42,0.8161538462,0.8161538462
1003878778,ILOEJE,VIVIEN,A,MD,F,I,94 CONNECTICUT BLVD,,EAST HARTFORD,CT,061083013,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,48.169166667,5.9375,4.1725,3.285
1003878869,GOPAL,RAJESH,,M.D.,M,I,14540 OLD SAINT AUGUSTINE RD,SUITE 2307,JACKSONVILLE,FL,322587418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,28,59,162,77.595061728,8.32,5.7972839506,5.7972839506
1003878869,GOPAL,RAJESH,,M.D.,M,I,14540 OLD SAINT AUGUSTINE RD,SUITE 2307,JACKSONVILLE,FL,322587418,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,28,33,16.956969697,1.42,0.9824242424,0.9824242424
1003878869,GOPAL,RAJESH,,M.D.,M,I,14540 OLD SAINT AUGUSTINE RD,SUITE 2307,JACKSONVILLE,FL,322587418,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,69,8.3775362319,1.8639130435,1.2372463768,1.3585507246
1003878869,GOPAL,RAJESH,,M.D.,M,I,14540 OLD SAINT AUGUSTINE RD,SUITE 2307,JACKSONVILLE,FL,322587418,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,78.058235294,18.485882353,13.734117647,14.201764706
1003878869,GOPAL,RAJESH,,M.D.,M,I,14540 OLD SAINT AUGUSTINE RD,SUITE 2307,JACKSONVILLE,FL,322587418,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,150.47,32.5,23.52,23.446666667
1003878869,GOPAL,RAJESH,,M.D.,M,I,14540 OLD SAINT AUGUSTINE RD,SUITE 2307,JACKSONVILLE,FL,322587418,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,272.56545455,272.56545455
1003878869,GOPAL,RAJESH,,M.D.,M,I,14540 OLD SAINT AUGUSTINE RD,SUITE 2307,JACKSONVILLE,FL,322587418,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,572.154,84.2648,61.258,56.824
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,24,32,2212,0.1820976492,0.12,0.0906916817,0.0906916817
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,22,29,2138,0.6506173994,0.44,0.3449906455,0.3449906455
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,28,95.949285714,71.56,56.105,56.105
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,21,540,11.762333333,8.28,6.4915925926,6.4915925926
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,18,19,380,6.7702631579,5.26,3.8967631579,3.911
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,12,23,602,6.4792358804,3.67,2.8508637874,2.8508637874
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,39,60,6021,0.1654509218,0.13,0.1019232686,0.1019232686
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,30,46,4196,0.6735605338,0.4498951382,0.347671592,0.3477526215
1003878927,BERNSTEIN,BRENT,H,D.P.M.,M,I,303 W BROAD ST,,BETHLEHEM,PA,180185526,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,81.25,16.666666667,13.066666667,14.553333333
1003879024,BOTHAM,MARK,J,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,102.61833333,71.2375,69.9775
1003879024,BOTHAM,MARK,J,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Thoracic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,44.745,32.344166667,31.506666667
1003879131,DELLOCK,CAREY,A,MD,F,I,2631 CENTENNIAL BLVD,SUITE 200,TALLAHASSEE,FL,323080588,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,160,49.941818182,39.151818182,38.431818182
1003879131,DELLOCK,CAREY,A,MD,F,I,2631 CENTENNIAL BLVD,SUITE 200,TALLAHASSEE,FL,323080588,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,20.748333333,15.435,12.778333333
1003879131,DELLOCK,CAREY,A,MD,F,I,2631 CENTENNIAL BLVD,SUITE 200,TALLAHASSEE,FL,323080588,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,480.39928571,84.110714286,59.876071429,48.861071429
1003879172,GOLIO,ANTHONY,G,M.D.,M,I,896 VETERANS LN,,NATRONA HEIGHTS,PA,150651939,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,3500,3.2922285714,1.9498285714,1.4694457143,1.54048
1003879354,MCGRATH,DAVID,P,MD,M,I,421 N MAIN ST,,LEEDS,MA,010539764,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,77.55,51.361818182,46.395454545
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,31,96,212,68.974669811,8.32,5.9368396226,5.9368396226
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,26,26,12.497692308,3.38,2.65,2.65
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,55,64,39.86,1.42,1.048125,1.048125
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,65.302454545,3.06,2.1809090909,2.1552727273
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2475,1.6363636364,0.36,0.2565656566,0.2638949495
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,29,30,190.26833333,47.763,36.335,37.965666667
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,42.557142857,11.210357143,8.1096428571,7.9596428571
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,36,44.111111111,10.16,7.6808333333,7.6327777778
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,504.368,207.7184,151.3664,151.3664
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,96.62,76,59.58,54.73
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,745,1.8315302013,0.0462147651,0.0221342282,0.0221342282
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,52,52,33.406538462,15.65,11.008846154,13.395384615
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,52.16,40,31.36,29.51
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,13,77,34.214285714,25.922597403,20.323246753,20.323246753
1003879446,MASONE,PASQUALE,,MD,M,I,3180 MAIN ST,SUITE 301,BRIDGEPORT,CT,066064237,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,16.739411765,16.739411765
1003879453,HAKIM,LAWRENCE,S,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1350,0.39,0.13,0.092837037,0.092837037
1003879453,HAKIM,LAWRENCE,S,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,3981,9.65,6.15,4.5004596835,5.2734363225
1003879560,GIARDINA,ANTHONY,,DO,M,I,349 PIERCE ST,,KINGSTON,PA,187045120,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,29,62.376551724,8.32,6.0724137931,6.0724137931
1003879560,GIARDINA,ANTHONY,,DO,M,I,349 PIERCE ST,,KINGSTON,PA,187045120,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,26,86.31,16.33,11.377692308,12.122692308
1003879560,GIARDINA,ANTHONY,,DO,M,I,349 PIERCE ST,,KINGSTON,PA,187045120,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,44,47.155,3.7763636364,2.9590909091,3.5525
1003879560,GIARDINA,ANTHONY,,DO,M,I,349 PIERCE ST,,KINGSTON,PA,187045120,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,82,90,499.54266667,71.06,53.234,52.406444444
1003879560,GIARDINA,ANTHONY,,DO,M,I,349 PIERCE ST,,KINGSTON,PA,187045120,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,6449,0.177273996,0.0462877966,0.0337199566,0.0337199566
1003879560,GIARDINA,ANTHONY,,DO,M,I,349 PIERCE ST,,KINGSTON,PA,187045120,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,127.5,33,23.738181818,23.738181818
1003879685,TRAN,TINH,,MD,M,I,824 E CARSON ST,SUITE 104,CARSON,CA,907452262,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,39,86.618974359,8.32,4.8515384615,4.8515384615
1003879685,TRAN,TINH,,MD,M,I,824 E CARSON ST,SUITE 104,CARSON,CA,907452262,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,295,100,3,2.352,2.3676949153
1003879685,TRAN,TINH,,MD,M,I,824 E CARSON ST,SUITE 104,CARSON,CA,907452262,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5223,1.4016044419,0.3,0.2351962474,0.2430403982
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,60,9366,0.3696604741,0.13,0.0987475977,0.0987475977
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,25,25,15,11.88,8.9376,10.2208
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,40,35.74,27.84,27.84
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,69,10736,4.4498882265,1.9365871833,1.4910897914,1.5696581595
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,4992,11.556089744,7.2280769231,5.6668088942,5.6683173077
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,40,67,25.776865672,10.219253731,7.3410447761,7.8623880597
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,47,66,11.42969697,7.46,5.5839393939,5.5839393939
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,280,23.054285714,9.58,7.0636428571,7.0636428571
1003879719,DEL TERZO,MICHAEL,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,400,9.6868,4.034,3.15,3.15465
1003879743,BHALLA,JAGMINDER,S,M.D.,M,I,1781 W ROMNEYA DR,STE C,ANAHEIM,CA,928011818,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,28,77,66.991688312,8.32,4.5733766234,4.5733766234
1003879743,BHALLA,JAGMINDER,S,M.D.,M,I,1781 W ROMNEYA DR,STE C,ANAHEIM,CA,928011818,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,19,10.991052632,1.42,0.8226315789,0.8226315789
1003879743,BHALLA,JAGMINDER,S,M.D.,M,I,1781 W ROMNEYA DR,STE C,ANAHEIM,CA,928011818,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,16.885517241,3.474137931,2.4706896552,3.2482758621
1003879743,BHALLA,JAGMINDER,S,M.D.,M,I,1781 W ROMNEYA DR,STE C,ANAHEIM,CA,928011818,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,8301,0.3563028551,0.0462618962,0.0342826166,0.0342826166
1003879743,BHALLA,JAGMINDER,S,M.D.,M,I,1781 W ROMNEYA DR,STE C,ANAHEIM,CA,928011818,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,52.78125,33,25.0615625,25.0615625
1003879768,HARRYHILL,JOSEPH,F,MD,M,I,51 N 39TH ST,MOB SUITE 300,PHILADELPHIA,PA,191042640,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,2406,11.061346633,7.23,5.6335203658,5.6335203658
1003879826,JULIAN,KATHERINE,A,MD,F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,22,56,57.64375,8.32,6.5210714286,6.5210714286
1003879826,JULIAN,KATHERINE,A,MD,F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,22,10.835454545,1.42,1.0663636364,1.0663636364
1003879826,JULIAN,KATHERINE,A,MD,F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,32.845454545,22.718181818,21.245454545
1003879826,JULIAN,KATHERINE,A,MD,F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1290,0.92,0.1329534884,0.1042635659,0.1042635659
1003879826,JULIAN,KATHERINE,A,MD,F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,14,45,26.63,20.87,19.96
1003879875,GAWEL,MAREK,M,MD,M,I,161 RIVERSIDE DRIVE,SUITE 306,BINGHAMTON,NY,13905,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,23,47,72.768510638,8.32,6.0144680851,6.0144680851
1003879875,GAWEL,MAREK,M,MD,M,I,161 RIVERSIDE DRIVE,SUITE 306,BINGHAMTON,NY,13905,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,19,17.160526316,1.42,1.0610526316,1.0610526316
1003879909,CUTONE,JENNIFER,,M.D.,F,I,30 W COLE RD,,BIDDEFORD,ME,040059458,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,46,165,52.970909091,8.32,5.9983636364,5.9983636364
1003879909,CUTONE,JENNIFER,,M.D.,F,I,30 W COLE RD,,BIDDEFORD,ME,040059458,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,32,7.3028125,1.418125,1.0421875,1.0434375
1003879925,BORGER,HOWARD,E,MD,M,I,355 TOWER RD NE,SUITE 100,MARIETTA,GA,300609408,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,95.911538462,77.93,60.149230769,54.41
1003879933,PRAVIA,CRISTINA,I,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,33331,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,36,99,67.933434343,8.32,5.3352525253,5.3352525253
1003879933,PRAVIA,CRISTINA,I,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,33331,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,16,25,17.5076,1.42,0.9384,0.9384
1003879933,PRAVIA,CRISTINA,I,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,33331,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,92.66,36.709090909,25.390909091,25.390909091
1003879974,REUSSER,LAYNE,M,M.D.,M,I,9350 E 35TH ST N,STE 101,WICHITA,KS,672262019,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,52.155,19.30125,15.13,15.023125
1003879974,REUSSER,LAYNE,M,M.D.,M,I,9350 E 35TH ST N,STE 101,WICHITA,KS,672262019,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,35,338.52914286,92.093142857,68.388857143,57.483714286
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,59,149,423,78.433475177,8.32,5.3185106383,5.3185106383
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,41,54,16.617592593,1.42,0.847037037,0.847037037
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,29,29,315.02241379,91.60137931,67.356206897,63.466206897
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,26,48,152.71,32.91,24.241041667,24.38375
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,58,90.212068966,20.652068966,14.54637931,12.875344828
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,15,23,23,227.89347826,60.203913043,38.784782609,34.789565217
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,30,42,42,66.504285714,19.209761905,13.822380952,12.896428571
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,29,48,48,70.31125,13.236041667,9.7847916667,8.5604166667
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,48,181,10.994585635,2.1722651934,1.565801105,1.475801105
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,21,21,14.290952381,6.1961904762,4.4119047619,4.2071428571
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,41.263333333,12.8475,8.3258333333,8.63
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,226.79105263,46.658947368,28.782631579,29.965789474
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,60,63,86.31,16.855079365,11.612063492,11.930634921
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,11,46,46,51.895652174,14.381956522,10.344130435,9.5686956522
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,21.68,5.7012903226,4.1219354839,3.3687096774
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,15,74,75,190.11746667,36.488666667,26.155733333,24.081333333
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,137,145,467.63082759,74.237517241,52.68737931,49.132827586
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,2441,0.2844489963,0.0470176157,0.0368701352,0.0368701352
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,570,4.7575614035,0.0806315789,0.0608070175,0.0608070175
1003880055,CHOI,SUSAN,W,MD,F,I,3 TIOGA BLVD,,APALACHIN,NY,137324150,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,27,27,55,33,22.037407407,22.037407407
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,37,117,65.45042735,8.32,6.2441025641,6.2441025641
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,21,30,13.481666667,1.42,1.0786666667,1.0786666667
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,68.086666667,20.098333333,15.76,14.065833333
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,68.118461538,12.609230769,9.8807692308,9.12
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,22,94,9.9941489362,2.3606382979,1.7434042553,1.4909574468
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,66.775833333,17.169166667,11.590833333,11.6725
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,632.43,85.581818182,67.093636364,67.093636364
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,13,174.88153846,33.684615385,24.489230769,23.423076923
1003880113,COTTON,SHAWN,,M.D.,M,I,112 OLEAN ST,SUITE 220,EAST AURORA,NY,140522540,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,448.88083333,77.140833333,52.915416667,47.880416667
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,29,87,231,50.686450216,8.32,5.5353246753,5.5353246753
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.94,3.38,2.65,2.65
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,22,49,81,11.962469136,1.4140740741,0.9882716049,0.9937037037
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,17.646666667,2.05,1.608,1.591
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,26,786,46.205089059,3.4287022901,2.5845165394,2.2841857506
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,33,961,207.62792924,7.3694068678,5.7775546306,4.1472216441
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4550,0.7417582418,0.37,0.2707846154,0.2707846154
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,14751,3.3854260728,0.412555081,0.3155447088,0.2358579079
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,22,11734,4.7093514573,0.7603417419,0.5838801773,0.5016848475
1003880162,GARZA-GONGORA,ARTURO,G,M.D.,M,I,7210 MCPHERSON AVE,SUITE 120,LAREDO,TX,780416507,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,102.78,30.713636364,21.245454545,21.254545455
1003880170,BRODIE,TODD,D,MD,M,I,730 GOODLETTE RD N,STE 205,NAPLES,FL,341025618,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,,21,267,51.976104869,19.650786517,15.286254682,15.286254682
1003880170,BRODIE,TODD,D,MD,M,I,730 GOODLETTE RD N,STE 205,NAPLES,FL,341025618,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,21,670,7.3097014925,2.6340298507,2.0650149254,2.0650149254
1003880170,BRODIE,TODD,D,MD,M,I,730 GOODLETTE RD N,STE 205,NAPLES,FL,341025618,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,54,77,147,602,73.310963455,8.32,5.8294352159,5.8294352159
1003880170,BRODIE,TODD,D,MD,M,I,730 GOODLETTE RD N,STE 205,NAPLES,FL,341025618,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,11.5,3.38,2.65,2.65
1003880170,BRODIE,TODD,D,MD,M,I,730 GOODLETTE RD N,STE 205,NAPLES,FL,341025618,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,32,42,81,13.859012346,1.42,1.0585185185,1.0585185185
1003880170,BRODIE,TODD,D,MD,M,I,730 GOODLETTE RD N,STE 205,NAPLES,FL,341025618,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,23,2020,16.16399505,10.707990099,8.3240643564,8.3240643564
1003880170,BRODIE,TODD,D,MD,M,I,730 GOODLETTE RD N,STE 205,NAPLES,FL,341025618,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,11,44,51,585.63313725,251.00294118,196.78607843,196.86960784
1003880220,HOLTZ,CHRISTINA,,DO,F,I,5858 W MAIN ST STE 130,,FRISCO,TX,750334507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,32,54.8378125,8.32,6.5209375,6.5209375
1003880352,KRICK,ANDREW,E,MD,M,I,310 FARM LANE,,DOYLESTOWN,PA,189014732,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,28,128,77.670703125,8.32,5.720703125,5.720703125
1003880352,KRICK,ANDREW,E,MD,M,I,310 FARM LANE,,DOYLESTOWN,PA,189014732,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,14,17.120714286,1.42,0.9571428571,0.9571428571
1003880352,KRICK,ANDREW,E,MD,M,I,310 FARM LANE,,DOYLESTOWN,PA,189014732,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60.84,16.08,11.267272727,12.219090909
1003880352,KRICK,ANDREW,E,MD,M,I,310 FARM LANE,,DOYLESTOWN,PA,189014732,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,430.92,77.18,55.009090909,49.745454545
1003880360,RUSSIN,STANLEY,J,M.D.,M,I,100 N CADEMY AVE,,DANVILLE,PA,178224973,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,38.635,16.59,10.515,11.07125
1003880360,RUSSIN,STANLEY,J,M.D.,M,I,100 N CADEMY AVE,,DANVILLE,PA,178224973,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,227.65581395,77.459069767,55.794418605,49.829534884
1003880360,RUSSIN,STANLEY,J,M.D.,M,I,100 N CADEMY AVE,,DANVILLE,PA,178224973,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,67.21,41.397777778,31.334444444,28.424814815
1003880469,VOLOSHIN,MICHAEL,D,M.D.,M,I,337 SOMERSET ST,,JOHNSTOWN,PA,159012541,US,Physician/Hematology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,29,2128,40.561456767,4.9323590226,3.7995629699,3.7995629699
1003880469,VOLOSHIN,MICHAEL,D,M.D.,M,I,337 SOMERSET ST,,JOHNSTOWN,PA,159012541,US,Physician/Hematology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,18.82,18.82
1003880469,VOLOSHIN,MICHAEL,D,M.D.,M,I,337 SOMERSET ST,,JOHNSTOWN,PA,159012541,US,Physician/Hematology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,34.526315789,16,12.54,12.54
1003880527,SINGH,GITA,S,MD,F,I,2512 E DUPONT RD,SUITE 100,FORT WAYNE,IN,468251675,US,Physician/Obstetrics & Gynecology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,1476,0.39,0.13,0.0937127371,0.0937127371
1003880527,SINGH,GITA,S,MD,F,I,2512 E DUPONT RD,SUITE 100,FORT WAYNE,IN,468251675,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,1476,4.35,1.73,1.2460840108,1.4742682927
1003880576,NEHMETALLAH,JULES,M,MD,M,I,410 DARLING AVE,,WAYCROSS,GA,315015246,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,119.27769231,63.698461538,49.940769231,36.46
1003880576,NEHMETALLAH,JULES,M,MD,M,I,410 DARLING AVE,,WAYCROSS,GA,315015246,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,42.645833333,18.736666667,14.69,12.048333333
1003880576,NEHMETALLAH,JULES,M,MD,M,I,410 DARLING AVE,,WAYCROSS,GA,315015246,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,94,94,62.444468085,22.487978723,16.994148936,13.126702128
1003880576,NEHMETALLAH,JULES,M,MD,M,I,410 DARLING AVE,,WAYCROSS,GA,315015246,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,72,72,33.756944444,7.4420833333,5.7165277778,3.6515277778
1003880576,NEHMETALLAH,JULES,M,MD,M,I,410 DARLING AVE,,WAYCROSS,GA,315015246,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,26,144,144,314.28597222,98.118611111,73.600069444,52.282638889
1003880576,NEHMETALLAH,JULES,M,MD,M,I,410 DARLING AVE,,WAYCROSS,GA,315015246,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,44,44,65,42.550909091,32.614318182,28.839090909
1003880576,NEHMETALLAH,JULES,M,MD,M,I,410 DARLING AVE,,WAYCROSS,GA,315015246,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,45,49.832666667,26.995777778,20.845555556,15.850444444
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,38,104,244,66.402991803,8.2727868852,5.9917622951,6.0288114754
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,32,36,13.819444444,1.42,0.9633333333,0.9633333333
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,12,12,180.74416667,61.116666667,41.081666667,36.480833333
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,17,17,53.827058824,19.064117647,14.024705882,13.232941176
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,12,12,56.361666667,14.074166667,9.3508333333,7.5633333333
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,19,81,6.79,2.4533333333,1.7265432099,1.4145679012
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,127.39,59.265833333,45.551666667,38.065833333
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,17.69,11.059166667,10.776666667
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,42,42,211.49714286,36.550714286,23.61047619,21.145714286
1003880592,LAREW,RICHARD,E,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,567.24392857,69.99,47.031428571,46.911428571
1003880626,SCAGLIA,BENNETT,P,M.D.,M,I,311 N CLYDE MORRIS BLVD,SUITE 360,DAYTONA BEACH,FL,321142781,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1758,5.7592832765,2.04,1.5177246871,1.5177246871
1003880774,HAILU,THEODOROS,,MD,M,I,5000 W OAKLAND PARK BLVD,,LAUDERDALE LAKES,FL,333131503,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,10.943636364,6.0218181818,4.7227272727,3.6854545455
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,36,3553.4,1022.69,800.7225,837.82
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,595.19294118,88.155882353,66.334117647,63.861764706
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,930,3.6310645161,0.4729677419,0.3542043011,0.3542043011
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,69,3437,4.7977276695,0.5702734943,0.4430811754,0.4444137329
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,61,11825,0.1366080338,0.0125928118,0.0098765328,0.0098748414
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,4110,2.5867956204,1.3219708029,1.0331605839,1.0364793187
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,662,21.206435045,7.5317522659,5.4895166163,5.733141994
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2246,3.6343722173,0.0588512912,0.0461308994,0.0461308994
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,44.560909091,34.938181818,30.815454545
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,79,79,24,24,18.343544304,18.343544304
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,19,111,140,16,16,12.450642857,12.450642857
1003880865,WYLAM,MARK,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,33,33,24.694090909,24.694090909
1003880873,SHELTON,SUSAN,,FNP,F,I,1881 PISGAH DR,BUILDING A,HENDERSONVILLE,NC,287913760,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,75,67.805066667,8.32,6.1994666667,6.1994666667
1003880873,SHELTON,SUSAN,,FNP,F,I,1881 PISGAH DR,BUILDING A,HENDERSONVILLE,NC,287913760,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,22,14.376818182,1.42,1.0640909091,1.0640909091
1003880873,SHELTON,SUSAN,,FNP,F,I,1881 PISGAH DR,BUILDING A,HENDERSONVILLE,NC,287913760,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,83.9945,18.49,14.1225,13.2585
1003880873,SHELTON,SUSAN,,FNP,F,I,1881 PISGAH DR,BUILDING A,HENDERSONVILLE,NC,287913760,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,423.23892857,86.84,68.08,55.683571429
1003880873,SHELTON,SUSAN,,FNP,F,I,1881 PISGAH DR,BUILDING A,HENDERSONVILLE,NC,287913760,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2508,0.3290191388,0.0462041467,0.0289114833,0.0289114833
1003880873,SHELTON,SUSAN,,FNP,F,I,1881 PISGAH DR,BUILDING A,HENDERSONVILLE,NC,287913760,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,21.166363636,21.166363636
1003880907,STORCH,SAMUEL,J,M.D.,M,I,5950 UNIVERSITY AVE STE 341,,WEST DES MOINES,IA,502668289,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1800,0.35,0.13,0.0951222222,0.0951222222
1003880907,STORCH,SAMUEL,J,M.D.,M,I,5950 UNIVERSITY AVE STE 341,,WEST DES MOINES,IA,502668289,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,9.65,6.68,5.1459444444,5.5412569444
1003881012,RASKY,ADAM,L,MD,M,I,505 NE 87TH AVE,SUITE 100,VANCOUVER,WA,986641989,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,98.160833333,68.285833333,53.5325,52.836666667
1003881012,RASKY,ADAM,L,MD,M,I,505 NE 87TH AVE,SUITE 100,VANCOUVER,WA,986641989,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,61.625,57.463333333,41.684166667,40.829583333
1003881061,SMITH,BILL,M,M.D.,M,I,1200 PINEVILLE RD,,CHATTANOOGA,TN,374052645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,39,67.669230769,8.32,5.1838461538,5.1838461538
1003881061,SMITH,BILL,M,M.D.,M,I,1200 PINEVILLE RD,,CHATTANOOGA,TN,374052645,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,21.309090909,17.014545455,9.6836363636,10.017272727
1003881061,SMITH,BILL,M,M.D.,M,I,1200 PINEVILLE RD,,CHATTANOOGA,TN,374052645,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,90.177222222,76.392222222,49.333333333,45.624444444
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,700,7.0591428571,3.8882857143,3.0484142857,3.0576
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,31,42,14.702619048,8.2735714286,6.0216666667,6.0266666667
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,52,26.422884615,2.7294230769,2.14,2.1403846154
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,27,16.725555556,4.0985185185,2.6174074074,2.6181481481
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,18,53,1550,11.715206452,5.7384516129,4.4300064516,4.4312193548
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,431,5.6040139211,2.9084686775,2.1689327146,2.170162413
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,17,64,11.71203125,6.434375,4.728125,4.73234375
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,490,23.791265306,9.8555102041,7.4338163265,7.4373265306
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,66,1870,15.574791444,6.999144385,5.3872994652,5.3879679144
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,30,750,9.1679066667,5.5384,4.2262933333,4.2275466667
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,44,4320,4.3165833333,1.9497222222,1.515474537,1.5156921296
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,430,7.8723023256,4.0281395349,3.1581627907,3.159627907
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,54,3240,0.6474012346,0.27,0.211654321,0.211654321
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,520,23.966269231,10.803076923,8.1936923077,8.1991153846
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,32,1160,6.5248103448,3.0394827586,2.3829310345,2.3833362069
1003881277,LAKE,THOMAS,R,MD,M,I,255 MONMOUTH RD,,OAKHURST,NJ,077551515,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,42,2155,0.6945846868,0.2688863109,0.2058700696,0.2067424594
1003881293,CHENG,TIEN,C,M.D.,M,I,5101 WASHINGTON ST,SUITE #24,GURNEE,IL,600315916,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,54,87.094444444,8.32,4.5431481481,4.5431481481
1003881293,CHENG,TIEN,C,M.D.,M,I,5101 WASHINGTON ST,SUITE #24,GURNEE,IL,600315916,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,16,18.75625,1.42,0.90625,0.90625
1003881293,CHENG,TIEN,C,M.D.,M,I,5101 WASHINGTON ST,SUITE #24,GURNEE,IL,600315916,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,24,86.31,17.5,13.72,13.5775
1003881293,CHENG,TIEN,C,M.D.,M,I,5101 WASHINGTON ST,SUITE #24,GURNEE,IL,600315916,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,32,519.51,78.09,61.22,55.7440625
1003881343,JONES,KEVIN,C,DO,M,I,2504 XENIA ST,,PLAINVIEW,TX,79072,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,13,45,45,3734,2535.1317778,1984.3546667,1984.3546667
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,33,96,74.650208333,8.32,5.8427083333,5.8427083333
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,25,19.0928,1.42,1.0704,1.0704
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,25,86.31,21.8668,16.5456,13.2296
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,37.56,6.7728571429,4.7907142857,3.3364285714
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,66,73,475.67835616,99.779178082,75.043835616,52.931232877
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,23.891666667,10.719166667,8.4041666667,6.6716666667
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,30.111666667
1003881400,LASHBROOK,LORIE,A,MD,F,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,57.75,33,23.714166667,23.714166667
1003881475,DELORI,EVELYNE,L,RNCS MSN,F,I,585 597 MERRIMACK STREET,LOWELL COMMUNITY HEALTH CENTER,LOWELL,MA,01854,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,31,71,78.862816901,8.32,5.2364788732,5.2364788732
1003881475,DELORI,EVELYNE,L,RNCS MSN,F,I,585 597 MERRIMACK STREET,LOWELL COMMUNITY HEALTH CENTER,LOWELL,MA,01854,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,16.320833333,1.42,0.6533333333,0.6533333333
1003881483,WHALEN,RICHARD,M,MD,M,I,825 FAIRFAX AVE,SUITE 118,NORFOLK,VA,235071914,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,47.327272727,18.668181818,13.831363636,13.693636364
1003881483,WHALEN,RICHARD,M,MD,M,I,825 FAIRFAX AVE,SUITE 118,NORFOLK,VA,235071914,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,16.428571429,8.3333333333,6.16,6.4742857143
1003881558,FONTENOT,RAY,,M.D.,M,I,740 HOSPITAL DR,SUITE 300,BEAUMONT,TX,777014664,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,85.021538462,11.439230769,8.2792307692,8.4184615385
1003881558,FONTENOT,RAY,,M.D.,M,I,740 HOSPITAL DR,SUITE 300,BEAUMONT,TX,777014664,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,11.846666667,2.0025,1.5704166667,1.5901388889
1003881558,FONTENOT,RAY,,M.D.,M,I,740 HOSPITAL DR,SUITE 300,BEAUMONT,TX,777014664,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,60,30.393636364,23.83,24.057272727
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,66,165,51.959333333,8.32,6.1267272727,6.1267272727
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,13.012777778,3.38,2.65,2.65
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,34,55,12.596363636,1.42,1.0345454545,1.0345454545
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,42,42,42,134.65619048,55.98,43.885,36.536666667
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,25,16.181818182,12.688181818,12.047272727
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,135.9475,56.337,44.1665,40.756
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,22,27,273.77259259,59.181111111,46.397777778,39.667037037
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,60.4356,19.2968,13.9348,12.4528
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,14,14,28,17.91,12.719285714,9.9707142857,10.01
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,30,48.15,30.534666667,23.940666667,22.605
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,59,378.54050847,75.689491525,56.07779661,51.620169492
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,3845,0.2131235371,0.046449935,0.0335370611,0.0335370611
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,40,40,68.17375,20.9065,15.9525,14.1555
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,76,76,100.14407895,39.23,30.754736842,23.648947368
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,245.345625,57.75125,45.278125,37.52875
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,25.544761905,10.860952381,8.5161904762,7.9852380952
1003881608,SCROGGINS,JOHN,W,MD,M,I,8288 S BROADWAY AVE,,TYLER,TX,757035262,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,113.4375,33,24.253125,24.253125
1003881632,DIMOND,PAUL,M,M.D.,M,I,360 GIFFORD ST,,FALMOUTH,MA,025402912,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,70,70,75,100,93.8732,73.6008,77.228533333
1003881632,DIMOND,PAUL,M,M.D.,M,I,360 GIFFORD ST,,FALMOUTH,MA,025402912,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,115,115,86.856470588,91.197058824
1003881632,DIMOND,PAUL,M,M.D.,M,I,360 GIFFORD ST,,FALMOUTH,MA,025402912,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,26,28,71.5625,69.457857143,54.454642857,48.167857143
1003881632,DIMOND,PAUL,M,M.D.,M,I,360 GIFFORD ST,,FALMOUTH,MA,025402912,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,325,321.7845,252.279,224.2765
1003881681,MURPHY,TIMOTHY,D,,M,I,316 MARTIN LUTHER KING JR WAY,SUITE 212,TACOMA,WA,984054252,US,Physician/Pediatric Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,46,5.2623913043,4.1,3.215,3.3006521739
1003881681,MURPHY,TIMOTHY,D,,M,I,316 MARTIN LUTHER KING JR WAY,SUITE 212,TACOMA,WA,984054252,US,Physician/Pediatric Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1616.07,913.16,715.92,842.26
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,64,162,67.012530864,8.32,5.9585185185,5.9585185185
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,24,43,13.142790698,1.42,1.0111627907,1.0111627907
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,9.73,8.69,6.81,6.81
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,15.44,13.8,10.82,10.82
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,34,20.040588235,10.93,8.57,8.57
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,4384,0.44,0.44,0.3449566606,0.3449566606
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,20,40,98.831,71.443,53.208,53.29975
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,50.47,35.27,27.65,27.64625
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,20,93,39.116451613,29.169354839,22.532688172,22.550537634
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,481,8.41,8.41,6.5933679834,6.5933679834
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,31,782,11.95,5.6717391304,4.4466368286,4.1971099744
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,9549,1.3254215101,0.6674049639,0.5232464132,0.518201906
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,17,17,73.411764706,63.411764706,49.714117647,48.298823529
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,187.06736842,54.345789474,42.607894737,38.947368421
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,36.772222222,18,11.758333333,11.283333333
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,16.188275862,5.1296551724,4.02,3.9286206897
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,38,385.28631579,77.18,47.532105263,42.809473684
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,53.770555556,21.6975,16.571388889,14.066944444
1003881699,ZHADOVICH,KIRILL,,M.D.,M,I,7900 N MILWAUKEE AVE,SUITE 2-24,NILES,IL,607143159,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,21.125517241,9.2255172414,6.9986206897,6.2827586207
1003881731,MAY,STANLEY,C,MD,M,I,7555 SALTSBURG RD,,PITTSBURGH,PA,152353634,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,27,81,72.533333333,8.32,5.8779012346,5.8779012346
1003881731,MAY,STANLEY,C,MD,M,I,7555 SALTSBURG RD,,PITTSBURGH,PA,152353634,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,27,13.467777778,1.42,1.0744444444,1.0744444444
1003881731,MAY,STANLEY,C,MD,M,I,7555 SALTSBURG RD,,PITTSBURGH,PA,152353634,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,8.5863636364,7.8663636364,6.166569697,6.1772848485
1003881731,MAY,STANLEY,C,MD,M,I,7555 SALTSBURG RD,,PITTSBURGH,PA,152353634,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,54,10.775555556,2,1.3940740741,1.4185185185
1003881731,MAY,STANLEY,C,MD,M,I,7555 SALTSBURG RD,,PITTSBURGH,PA,152353634,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.1,12.2925,12.425833333
1003881749,BRIZZOLARA,JOHN,P,M.D.,M,I,1300 CENTERVIEW DR,,LITTLE ROCK,AR,722114349,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,43,5880,0.2234693878,0.13,0.0906445578,0.0906445578
1003881749,BRIZZOLARA,JOHN,P,M.D.,M,I,1300 CENTERVIEW DR,,LITTLE ROCK,AR,722114349,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,14,52,8640,3.1028472222,1.92,1.350619213,1.4316527778
1003881749,BRIZZOLARA,JOHN,P,M.D.,M,I,1300 CENTERVIEW DR,,LITTLE ROCK,AR,722114349,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,68,11780,8.4951273345,6.1421561969,4.8154482173,5.5874371817
1003881749,BRIZZOLARA,JOHN,P,M.D.,M,I,1300 CENTERVIEW DR,,LITTLE ROCK,AR,722114349,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,52,19.913461538,10.880384615,7.6894230769,7.6894230769
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,52,66.263076923,8.32,6.2713461538,6.2713461538
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,686,1.33,0.4939358601,0.3871720117,0.3871720117
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,1440,5.4196111111,2.6034583333,2.0411111111,2.0411111111
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,1680,3.8636964286,0.5945416667,0.441452381,0.441452381
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,8700,0.1368804598,0.0130344828,0.0102172414,0.0102172414
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2070,1.436173913,0.7395652174,0.5798164251,0.5798164251
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,4020,3.522221393,1.2739552239,0.9987761194,0.9987761194
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,49,49,24,24,18.282653061,18.28244898
1003881889,CHUNG,PHILIP,W,M.D.,M,I,2841 LOMITA BLVD 215,,TORRANCE,CA,905055111,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,69,69,23.884057971,16,12.54,12.54
1003881897,BAER,ROBERT,M,MD,M,I,2500 E PROSPECT ROAD,"ORTHOPAEDIC CENTER OF THE ROCKIES,PC",FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,21.125,21.125,15.8725,45.975
1003881897,BAER,ROBERT,M,MD,M,I,2500 E PROSPECT ROAD,"ORTHOPAEDIC CENTER OF THE ROCKIES,PC",FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,283.66666667,244.44,186.24714286,213.49666667
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,38,123,255,52.475764706,8.32,5.626627451,5.626627451
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,23,31,10.820967742,1.42,1.0435483871,1.0435483871
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,11,15,15,80.17,51.114,35.364666667,27.893333333
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,32,64,6.9490625,1.985,1.5153125,1.1140625
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,12,21,21,207.28,129.47666667,97.253333333,65.94047619
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,17,26,52,7.3365384615,3.2984615385,2.2455769231,1.4434615385
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,422,6.55,4.2030805687,3.2951421801,2.3688862559
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,6416,1.3259959476,0.8637531172,0.654819202,0.4981982544
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,136.89357143,67.760714286,53.129285714,42.344285714
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,56,57,36.204561404,21.775789474,15.34245614,12.159473684
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,216.35,146.112,114.55,83.958
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,36.13,18.1496875,12.918125,10.53625
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,15.782105263,7.6715789474,5.9173684211,4.6763157895
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,134.05,50.194545455,37.219393939,23.51969697
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,100,102,310.71372549,98.144705882,71.520098039,50.391960784
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,149.3725,44.34,33.395833333,28.285416667
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,81.994285714,61.116190476,47.914285714,41.623333333
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,8822,0.3514769893,0.0464747223,0.027051689,0.027051689
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,46,4920,1.240148374,0.1354512195,0.0995386179,0.0995386179
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,89,89,64.042022472,30.204606742,22.495280899,14.99988764
1003881921,SABEDRA,MIGUEL,R,M.D.,M,I,501 N 4TH ST,,MARLOW,OK,730551807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,54,54,80.666666667,33,23.282407407,23.282407407
1003881988,LAMBERT,LINDA,S,DPM,F,I,7351 LAKE ST,,RIVER FOREST,IL,603052214,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,75,75,150,71.573333333,71.321066667,52.4264,52.612866667
1003881988,LAMBERT,LINDA,S,DPM,F,I,7351 LAKE ST,,RIVER FOREST,IL,603052214,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,71,71,420,29.571428571,29.108571429,22.822333333,22.885190476
1003882093,PIGA,SAMUEL,A,M.D.,M,I,3105 W 15TH ST,SUITE E,PLANO,TX,750757700,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,701.35578947,76.48,53.864210526,49.235789474
1003882150,DASGUPTA,KAJAL,,M.D.,F,I,2101 E JEFFERSON ST,KAISER PERMANENTE MEDICARE ENROLLMENT,ROCKVILLE,MD,208524908,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,19,94,13.92,2,1.535106383,1.5557446809
1003882200,MCCLUSKEY,TODD,D,DO,M,I,3308 W EDGEWOOD DR,SUITE B,JEFFERSON CITY,MO,651096891,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,79.691304348,8.32,5.3865217391,5.3865217391
1003882200,MCCLUSKEY,TODD,D,DO,M,I,3308 W EDGEWOOD DR,SUITE B,JEFFERSON CITY,MO,651096891,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.69,13.87,13.558333333
1003882200,MCCLUSKEY,TODD,D,DO,M,I,3308 W EDGEWOOD DR,SUITE B,JEFFERSON CITY,MO,651096891,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,37.576666667,29.46,31.985
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,89.454375,38.63,30.28,30.476875
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,13,27,27,311.6137037,87.515185185,67.765555556,68.514814815
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,50,131.8936,31.86,24.9776,25.8612
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,66,69.615,17.41,12.408939394,13.249242424
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,26,126,52.349206349,15.317142857,11.342222222,11.236031746
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,23,50,50,199.2658,55.0458,39.2868,39.0286
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,28,42,42,61.618571429,18.517857143,13.592619048,13.355
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,60,60,69.449166667,11.7545,8.5395,8.61
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,34,70,398,8.6116582915,1.9761809045,1.4976884422,1.5572864322
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,19,19,22.574210526,6.12,4.5473684211,4.4221052632
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,16,24,24,44.357916667,14.505,11.374166667,10.494166667
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,134.20736842,34.124736842,23.124736842,22.031315789
1003882242,NATHAN,KERRY,,PA,F,I,31150 HOOVER,SUITE B,WARREN,MI,48093,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,17.131666667,7.42,7.8283333333
1003882259,ORELLANA,IGNACIO,,MD,M,I,720 COLLINS ST,UNIT B,JOLIET,IL,604321615,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,30,79,73.215443038,8.32,5.9436708861,5.9436708861
1003882259,ORELLANA,IGNACIO,,MD,M,I,720 COLLINS ST,UNIT B,JOLIET,IL,604321615,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,22,27,14.422222222,1.42,0.9111111111,0.9111111111
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,25,25,86.6504,39.5516,29.6168,29.5264
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,26,26,206.42653846,94.276923077,68.471153846,64.454615385
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,29,53,78.262830189,34,26.109245283,25.41245283
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,173.02833333,54.555833333,42.773333333,42.881666667
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,25,25,57.588,18.5004,13.9344,13.8016
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,44.79,12.449411765,9.1852941176,8.6647058824
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,22,45,165,7.8703030303,2.0370909091,1.4648484848,1.4704848485
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,,14,14,35.313571429,12.920714286,9.3957142857,9.6085714286
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,28,28,126.77035714,17.166428571,11.533214286,11.61
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,11,16,237.2625,45.50625,35.67875,37.63
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,586.8225,91.164375,63.705625,63.180625
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,11,67,67,63.978656716,5.9162686567,3.8982089552,3.0871641791
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,151.25581395,34.89627907,26.197209302,24.587209302
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,35,256,256,421.86464844,77.229257813,55.950078125,51.318007812
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,71,71,134.56507042,36.26,27.552957746,28.610140845
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,37,9460,0.3980813953,0.0465623679,0.0332272727,0.0332272727
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,57,6768,2.266427305,0.1352763002,0.1040484634,0.1040484634
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,82,82,105.79512195,36.26,24.758658537,25.766219512
1003882325,YEE,EMILY,L,MD,F,I,5200 CENTRE AVE,"SHADYSIDE MEDICAL BUILDING, SUITE 610",PITTSBURGH,PA,152321300,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,19,74,74,57.608108108,33,24.327027027,24.327027027
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,41,83,66.334096386,8.32,4.9872289157,4.9872289157
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,4180,2.3695669856,1.73,1.3219784689,1.554562201
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,16.59,11,11.551538462
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.3072727273,3.3809090909,3.6854545455
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,50,54,519.51,67.72,51.261851852,52.801481481
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,250,38.72,30.36,29.688
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,36,2460,0.9208943089,0.1342195122,0.0996869919,0.0996869919
1003882382,HINMAN,MICHAEL,D,PA,M,I,3 BRIDGE STREET,SUITE 3,CARTHAGE,NY,13619,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,43,43,104.37209302,33,23.463488372,23.463488372
1003882432,RESTA,LEE,,M.D.,M,I,400 CAMPUS BLVD STE 100,,WINCHESTER,VA,226016906,US,Physician/Hematology-Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,348,14.956896552,3.08,2.4148275862,2.3679310345
1003882432,RESTA,LEE,,M.D.,M,I,400 CAMPUS BLVD STE 100,,WINCHESTER,VA,226016906,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6132,1.4822700587,0.31,0.2430528376,0.2430528376
1003882432,RESTA,LEE,,M.D.,M,I,400 CAMPUS BLVD STE 100,,WINCHESTER,VA,226016906,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,22,75,5689,43.132800141,4.9947301811,3.8906538935,3.8906538935
1003882432,RESTA,LEE,,M.D.,M,I,400 CAMPUS BLVD STE 100,,WINCHESTER,VA,226016906,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,22,42,42,24,24,18.82,18.82
1003882432,RESTA,LEE,,M.D.,M,I,400 CAMPUS BLVD STE 100,,WINCHESTER,VA,226016906,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,15,45,47,20.085106383,16,12.54,12.54
1003882515,KRUMINS,PETER,E,MD,M,I,7308 BRIDGEPORT WAY W,SUITE 201,LAKEWOOD,WA,984998000,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,92,88.345,64.4575,58.298333333
1003882515,KRUMINS,PETER,E,MD,M,I,7308 BRIDGEPORT WAY W,SUITE 201,LAKEWOOD,WA,984998000,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,335,335,255.72590909,211.97590909
1003882523,SHIROLAWALA,PANKAJ,R,M.D.,M,I,609 AMBOY AVE STE 101,,PERTH AMBOY,NJ,088612577,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,39,121,56.515702479,8.32,5.0667768595,5.0667768595
1003882523,SHIROLAWALA,PANKAJ,R,M.D.,M,I,609 AMBOY AVE STE 101,,PERTH AMBOY,NJ,088612577,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,16,28,27.382857143,1.42,0.8907142857,0.8907142857
1003882523,SHIROLAWALA,PANKAJ,R,M.D.,M,I,609 AMBOY AVE STE 101,,PERTH AMBOY,NJ,088612577,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,58.64,40.2575,31.5675,32.825
1003882523,SHIROLAWALA,PANKAJ,R,M.D.,M,I,609 AMBOY AVE STE 101,,PERTH AMBOY,NJ,088612577,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,970,2.5481958763,0.1308041237,0.0885051546,0.0885051546
1003882523,SHIROLAWALA,PANKAJ,R,M.D.,M,I,609 AMBOY AVE STE 101,,PERTH AMBOY,NJ,088612577,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,21.558333333,21.558333333
1003882531,CUSKELLY,WILLIAM,A,MD,M,I,EAST HIGHWAY 262,,MONTEZUMA CREEK,UT,845340130,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,23,28.218695652,28.149565217,13.924782609,14.19
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,2200,0.2590909091,0.13,0.1019,0.1019
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,9.25,8.25,6.47,6.4336363636
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,4.75,4.31,3.38,3.38
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,60.2155,20.5905,15.448,12.8765
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,47.39,27.8625,28.3725
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,36,43,50.73,3.9606976744,3.0344186047,3.4920930233
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,11,76,77,473.38402597,83.367532468,61.052727273,51.342207792
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,188.27586207,35.66,27.96,29.456551724
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,1500,18.06492,9.6139,7.5372866667,7.5372866667
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,15.412823529,11.288588235,8.709627451,8.709627451
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,53,11200,0.2451464286,0.04709375,0.0328910714,0.0328892857
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1050,2.1423809524,0.1380285714,0.0978190476,0.0978190476
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,49,2894,12.677415342,3.0042259848,2.3553317208,2.3553317208
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,32,3975,56.18083522,46.840971069,34.679506918,34.679506918
1003882622,LEHMAN,MARYKAY,,M.D.,F,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,25,103,103,77.213592233,33,24.39368932,24.39368932
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.91,14.04,13.54
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,54.89,31.075833333,30.255
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,33.783870968,5.3667741935,3.4977419355,3.1119354839
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,122.25,43.368235294,34.001176471,26.125882353
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,424.044,70.48,49.725,49.248
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1090,1.4297431193,0.138146789,0.1083211009,0.1083211009
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,1320,9.8781818182,3.0966742424,2.3938257576,2.3938257576
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,528,196.01416667,153.67,116.15
1003882630,MCHOOD,CRAIG,H,M.D.,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024003,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,79.894736842,33,25.87,25.87
1003882697,SERSANTI,JOHN,P,MD,M,I,3 PLAZA DR,STE 10,TOMS RIVER,NJ,08757,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,30,80,204,61.738235294,8.32,6.2817647059,6.2817647059
1003882697,SERSANTI,JOHN,P,MD,M,I,3 PLAZA DR,STE 10,TOMS RIVER,NJ,08757,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.205,3.38,2.65,2.65
1003882697,SERSANTI,JOHN,P,MD,M,I,3 PLAZA DR,STE 10,TOMS RIVER,NJ,08757,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,38,54,16.297777778,1.42,1.0955555556,1.0955555556
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,76,48.930921053,8.32,5.4913157895,5.4913157895
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,22,5.7618181818,1.42,0.9645454545,0.9645454545
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,20,20,86.184,39.51,29.431,29.0145
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,288.89636364,88.22,64.949090909,63.809090909
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,23,66,89.368787879,33.6,24.01969697,23.64530303
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,20,20,64.3145,18.25,13.5945,13.3695
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,24,140,8.372,2.08,1.4902857143,1.4569285714
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,986.58,773.47,842.25
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,153.304,31.798,24.928,24.936
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,326.02857143,70.48,55.25,54.72
1003882713,DUKE,KEVIN,R,D.O.,M,I,382 W 280 N,,PROVIDENCE,UT,843320609,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,39.6,31.05,29.51
1003882721,KIRKLAND,RICHARD,I,MD,M,I,513 BROOKWOOD BLVD,SUITE 501,BIRMINGHAM,AL,352096862,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,24,73,43.135890411,42.52,28.448356164,26.466849315
1003882721,KIRKLAND,RICHARD,I,MD,M,I,513 BROOKWOOD BLVD,SUITE 501,BIRMINGHAM,AL,352096862,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,17,318.83,318.83,249.06,262.94823529
1003882739,SODERQUIST,CATHERINE,C,MD,F,I,1222 E WOODLAND AVE,,BARRON,WI,548121765,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,51,108,61.415462963,8.32,5.8583333333,5.8583333333
1003882739,SODERQUIST,CATHERINE,C,MD,F,I,1222 E WOODLAND AVE,,BARRON,WI,548121765,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,153.10714286,6.5557142857,4.724,2.9937142857
1003882739,SODERQUIST,CATHERINE,C,MD,F,I,1222 E WOODLAND AVE,,BARRON,WI,548121765,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1003882788,BARNETT,SARAH,J,PA C,F,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,38,91,56.924395604,8.32,5.5626373626,5.5626373626
1003882788,BARNETT,SARAH,J,PA C,F,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,11.975833333,1.42,1.1183333333,1.1183333333
1003882903,MCDONALD,JOYCE,A,DO,F,I,13700 19 MILE RD,,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,41,84,43.783809524,8.32,4.8126190476,4.8126190476
1003882903,MCDONALD,JOYCE,A,DO,F,I,13700 19 MILE RD,,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,12.695,3.38,1.9875,1.9875
1003882903,MCDONALD,JOYCE,A,DO,F,I,13700 19 MILE RD,,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,24,26,12.111923077,1.42,0.8184615385,0.8184615385
1003882903,MCDONALD,JOYCE,A,DO,F,I,13700 19 MILE RD,,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,221.88210526,79.88,62.62,55.135789474
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,77,198,74.078535354,8.32,5.3406565657,5.3406565657
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,13,16.897692308,1.42,0.7738461538,0.7738461538
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,18,18,66.81,49.156666667,31.461666667,24.093333333
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,24,59.925,48.3225,36.69125,26.719166667
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,53,34.45,25.998301887,20.080188679,14.443396226
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,20,53,24.15,18.713773585,11.807358491,9.3313207547
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,14,16,16,101.35,73.73,48.96625,34.82375
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,20,23,23,34.426521739,24.380434783,15.341304348,10.606521739
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,35.6,20.748333333,14.586666667,8.5641666667
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,20,40,156,4.6055128205,2.8664102564,1.8893589744,1.3239102564
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,18,20,20,21.028,15.1885,8.0695,6.822
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,65.029090909,37.942727273,24.231818182
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,125,46.659714286,33.289428571,24.371142857
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,49,240,95.62,70.452244898,50.524081633
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,963,0.7093561786,0.0455244029,0.0356801661,0.0356801661
1003882945,SAWYER,DOUGLAS,E,M.D.,M,I,2235 DUBOIS DR,,WARSAW,IN,465803212,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1003882952,GUTMAN,JONATHAN,A,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,760.48,78.49,57.684375,51.734375
1003882952,GUTMAN,JONATHAN,A,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Medical Oncology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,771,4.4536835279,0.5663942931,0.4172114137,0.4172114137
1003882952,GUTMAN,JONATHAN,A,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,24,24,18.82,18.82
1003882960,MEYER,KEITH,C,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Pulmonary Disease,S,A7018,"Water, distilled, used with large volume nebulizer, 1000 ml",D1E - Other DME,Durable Medical Equipment,N,1,,12,224,1.0757589286,0.3807142857,0.2985714286,0.2598660714
1003882960,MEYER,KEITH,C,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3676.5617647,919.45,712.41058824,833.82058824
1003883133,WILLKOM,MIGNONETTE,M,M.D.,F,I,42 FENTON ST,,LIVERMORE,CA,945504144,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,44,73.631363636,8.32,6.3747727273,6.3747727273
1003883133,WILLKOM,MIGNONETTE,M,M.D.,F,I,42 FENTON ST,,LIVERMORE,CA,945504144,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,16,16.526875,1.42,1.11625,1.11625
1003883174,SCHEID,DEWEY,C,MD,M,I,900 NE 10TH ST,,OKLAHOMA CITY,OK,731045420,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,24,90,63.008444444,8.32,6.5222222222,6.5222222222
1003883174,SCHEID,DEWEY,C,MD,M,I,900 NE 10TH ST,,OKLAHOMA CITY,OK,731045420,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,26,17.057307692,1.42,1.0707692308,1.0707692308
1003883174,SCHEID,DEWEY,C,MD,M,I,900 NE 10TH ST,,OKLAHOMA CITY,OK,731045420,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,134.68,77.8,61,56.611
1003883257,LEBOVIC,RICHARD,I,DPM,M,I,623 N WOOD AVE,,LINDEN,NJ,070364151,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,200,94.8,69.304615385,59.109230769
1003883299,KEEFE,PATRICIA,A,PA-C,F,I,4647 MANATEE AVENUE W,,BRADENTON,FL,342093816,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,50.73,4.355,2.72,2.9716666667
1003883372,ILES,LYNETTE,I,M.D.,F,I,301 SOUTH IOWA AVE,,WASHINGTON,IA,523531753,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,24,4.53,3.2923076923,3.2923076923
1003883372,ILES,LYNETTE,I,M.D.,F,I,301 SOUTH IOWA AVE,,WASHINGTON,IA,523531753,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,155,32.165,15.838333333,15.951666667
1003883372,ILES,LYNETTE,I,M.D.,F,I,301 SOUTH IOWA AVE,,WASHINGTON,IA,523531753,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,395.26315789,90.268421053,67.883157895,51.849473684
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,249,543,543,124.20090239,39.779281768,28.835377532,28.28640884
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,22,134,299,299,377.20846154,85.673110368,62.953043478,63.641371237
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,140,333,828,151.93138889,32.713055556,24.431956522,24.677318841
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,115,261,1279,86.330023456,18.159163409,13.421078968,13.787771697
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,87,225,1111,60.238343834,15.552646265,10.951872187,10.691143114
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,209,478,478,240.91259414,54.165878661,39.620878661,40.108828452
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,311,445,445,78.462674157,17.735775281,13.135932584,13.309258427
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,31,41,41,37.823902439,10.122682927,7.7441463415,7.9353658537
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,95,230,230,89.693956522,11.990391304,8.8284347826,8.5740869565
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,335,804,4148,10.310216972,2.0265236258,1.5238476374,1.5285366442
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,71,109,109,27.230642202,6.0203669725,4.252293578,4.2155963303
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,219,296,296,51.402668919,13.079527027,9.6430743243,9.7362162162
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,59,59,89.69220339,17.07559322,12.465084746,12.611016949
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,32,35,236.41,51.464,36.818285714,38.292
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,25,25,236.41,46.4576,31.9528,33.2472
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,1979.54,1074.31,832.01214286,832.01214286
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,36,36,379.23083333,86.195,61.680833333,60.339722222
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,63,63,63,491.53650794,137.48571429,102.62238095,100.72095238
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,16,103,103,59.072038835,13.45631068,9.6215533981,9.6149514563
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,50.73,4.145,3.108,3.7115
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,140,828,833,210.2167467,33.706806723,23.939159664,23.117815126
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,39,269,271,475.47697417,76.509298893,56.779889299,52.115313653
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,78,81,220.13444444,36.336049383,28.144444444,29.103950617
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1470,21.965054422,9.6109795918,7.4374081633,7.4374081633
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,25,6710,0.2428390462,0.0462861401,0.0362876304,0.0362876304
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1350,9.7694074074,3.0082666667,2.3033407407,2.3033407407
1003883463,NEMIVANT,RAVI,,MD,M,I,100 SPALDING DR,STE 102,NAPERVILLE,IL,605406550,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,40,40,57.75,33,25.87,25.87
1003883562,PRAGER,DIANE,J,MD,F,I,8940 N WOOD SAGE RD,,PEORIA,IL,61615,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,74.704285714,22.829285714,17.896428571,13.96
1003883562,PRAGER,DIANE,J,MD,F,I,8940 N WOOD SAGE RD,,PEORIA,IL,61615,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,408.01857143,105.31,82.565714286,57.622857143
1003883562,PRAGER,DIANE,J,MD,F,I,8940 N WOOD SAGE RD,,PEORIA,IL,61615,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,26,1936,81,4.9877944215,3.9104390496,3.9104390496
1003883562,PRAGER,DIANE,J,MD,F,I,8940 N WOOD SAGE RD,,PEORIA,IL,61615,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,19,52,53.648653846,41.17,32.276730769,30.928461538
1003883562,PRAGER,DIANE,J,MD,F,I,8940 N WOOD SAGE RD,,PEORIA,IL,61615,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1003883562,PRAGER,DIANE,J,MD,F,I,8940 N WOOD SAGE RD,,PEORIA,IL,61615,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,21,16,16,12.54,12.54
1003883612,KAISER,WILLIAM,J,MD,M,I,1007 GREENFIELD DR,,TIFTON,GA,317943795,US,Physician/General Surgery,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,24,833.9,687.48,538.98416667,560.80625
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,26,26,116.54769231,38.55,27.768846154,28.032692308
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,26,50,3.9616,1.5236,0.9484,0.9204
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,2.02,1.279375,0.6815625,0.66
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,44,67,67,278.99223881,86.475671642,65.415671642,65.455373134
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,38,68,131,118.17541985,33.526717557,24.53519084,24.192290076
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,25,45,214,68.751775701,18.78,13.418551402,13.26682243
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,13,14,69,55.333043478,15.12,10.46884058,10.50942029
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,39,62,62,162.05467742,54.47,37.794516129,37.938064516
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,68,77,77,75.759220779,17.905974026,13.484545455,13.510519481
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,64,98,98,64.857653061,11.553367347,8.1621428571,8.2217346939
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,76,114,611,9.4777741408,2.0124549918,1.4517348609,1.4662684124
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,32,36,36,50.729722222,13.320277778,9.5752777778,9.485
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,65,65,81.579846154,17.29,12.626,12.614923077
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,232.35,53.32,37.051666667,37.051666667
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,7,,65,65,134.11046154,49.669692308,33.226461538,32.001692308
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,232.35,48.31,33.671111111,33.448888889
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,4430.1,1074.31,836.28208333,836.28208333
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1600,1074.31,842.26,842.26
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,376.83586207,83.664827586,57.995517241,57.995517241
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,58,58,120,13.57,9.9062068966,9.7627586207
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,59,59,30.111355932,4.4920338983,3.1789830508,3.1881355932
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,15,98,99,218.38939394,31.853939394,22.311313131,21.884141414
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,22,164,166,382.79981928,70.23,52.757168675,52.486987952
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,62,112.30806452,37.44,28.876612903,29.032096774
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,16.004681818,9.6391818182,7.5571212121,7.5571212121
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,49,13690,0.336734843,0.0468918919,0.030715851,0.030715851
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,540,12.86,2.7166666667,2.1298333333,2.1298333333
1003883620,HELMI,MOHAMED,K,MD,M,I,5149 N. 9TH AVE.,SUITE 120,PENSACOLA,FL,325048734,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,57,57,85.105263158,33,22.239122807,22.239122807
1003883711,KOMAR,MARK,K,MD,M,I,9500 MENTOR AVE,SUITE 100,MENTOR,OH,440608713,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,67,186,65.619032258,8.32,5.4346774194,5.4346774194
1003883711,KOMAR,MARK,K,MD,M,I,9500 MENTOR AVE,SUITE 100,MENTOR,OH,440608713,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,30,36,12.567222222,1.42,0.9622222222,0.9622222222
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,55,172,374,80.461122995,8.32,5.6068716578,5.6068716578
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,28,63,77,17.118701299,1.42,1.0449350649,1.0449350649
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,26,26,83.027307692,38.89,27.777692308,27.777692308
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,285.24153846,86.53,67.84,67.84
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,33,106.51515152,32.73,25.66,25.914848485
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,50,56.2004,18.5068,14.5088,14.5352
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,14,29,92,53.973043478,15.357608696,11.006195652,10.859021739
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,34,45,45,182.60222222,55.631777778,39.699333333,39.058222222
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,41,50,50,64.665,18.2346,13.422,13.2272
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,24,24,39.2375,11.64,9.12,9.12
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,32,54,168,6.4589285714,1.8771428571,1.4351190476,1.5326785714
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,13.235,6.14,4.4664285714,4.3521428571
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,17,20,20,58.183,13.43,10.0035,9.842
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,279.73,50.318333333,36.909166667,37.226666667
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,49.690714286,12.619285714,9.4376190476,9.5152380952
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,209.97488889,33.571333333,25.782222222,25.212888889
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,523.86275862,82.498965517,55.705517241,45.929655172
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,169.21846154,36.14,20.439230769,21.313846154
1003883786,CASPER,N,T,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,113.69692308,19.128461538,13.6,13.373846154
1003883794,ROBBINS,ANGELA,B,M.D.,F,I,702 CANTON RD NE,,MARIETTA,GA,300607271,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,18,84,46.344047619,42.52,33.336428571,31.859761905
1003883794,ROBBINS,ANGELA,B,M.D.,F,I,702 CANTON RD NE,,MARIETTA,GA,300607271,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,17,350.95764706,318.01647059,249.32470588,262.92529412
1003883968,PRESTON,REBECCA,C,M.D.,F,I,4479 CENTRAL AVE,,WESTERN SPRINGS,IL,605581714,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,2127,1.4026375176,0.1326798307,0.0910249177,0.0910249177
1003883976,MARISKANISH,PAUL,C,MD,M,I,315 W MAIN ST,,PLATTEVILLE,WI,538183132,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,22.253636364,17.445454545,13.53
1003883976,MARISKANISH,PAUL,C,MD,M,I,315 W MAIN ST,,PLATTEVILLE,WI,538183132,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24,7.6325,5.5783333333,3.285
1003883976,MARISKANISH,PAUL,C,MD,M,I,315 W MAIN ST,,PLATTEVILLE,WI,538183132,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,341.20916667,102.61833333,80.455,54.73
1003884156,CLAYDON,CHARLES,R,MD,M,I,605 WILSON CREEK RD,SUITE 102,LAWRENCEBURG,IN,47025,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,41,79,72.831518987,8.32,5.8626582278,5.8626582278
1003884156,CLAYDON,CHARLES,R,MD,M,I,605 WILSON CREEK RD,SUITE 102,LAWRENCEBURG,IN,47025,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,15,15.594,1.42,1.1166666667,1.1166666667
1003884198,ROCK,LEE,W,MD,M,I,401 PHALEN BLVD - MS 41103F,HEALTHPARTNERS SPECIALTY CENTER 401,ST. PAUL,MN,551305302,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,25,50.608,28.46,19.6328,19.6328
1003884198,ROCK,LEE,W,MD,M,I,401 PHALEN BLVD - MS 41103F,HEALTHPARTNERS SPECIALTY CENTER 401,ST. PAUL,MN,551305302,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,6.8,5.54,3.6166666667,3.6166666667
1003884198,ROCK,LEE,W,MD,M,I,401 PHALEN BLVD - MS 41103F,HEALTHPARTNERS SPECIALTY CENTER 401,ST. PAUL,MN,551305302,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,31,20.202903226,10.93,7.7406451613,7.7406451613
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,30,76,71.510131579,8.32,5.9215789474,5.9215789474
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,162.22466667,48.377333333,37.688,31.040666667
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,357.11818182,122.39,95.953636364,67.848181818
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,27,161.76444444,43.264074074,33.918888889,27.59
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,264.55714286,81.507142857,60.532142857,41.627857143
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,78.96875,24.781875,19.429375,14.06
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,100,11.5044,2.852,2.0238,1.4643
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,45,86.31,22.444666667,16.268888889,12.461111111
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,11,14,388.51714286,115.28357143,85.535,64.407142857
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,66.088235294,15.631764706,9.5323529412,8.0147058824
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,257.82,45.273913043,31.821304348,23.539565217
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,75,80,491.8335,101.111,72.089875,47.988
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,23,156.08695652,44.656956522,33.584782609,28.854347826
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1425,0.17,0.0441614035,0.0346105263,0.0346105263
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1530,4.2283856209,0.1345686275,0.0948039216,0.0948039216
1003884289,KITCHEN,TIMOTHY,M,MD,M,I,138 E MAIN ST,,WESTFIELD,NY,147871121,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,31,64.935483871,33,24.200967742,24.200967742
1003884370,CILMI,SALVATORE,A,MD,M,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296500,US,Physician/Infectious Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2850,1074.31,842.26,842.26
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,46,45.353043478,8.32,6.2380434783,6.2380434783
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,14,72.919285714,1.42,0.9585714286,0.9585714286
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,270.168,124.49733333,89.924,63.453333333
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,212.3845,77.813,50.9535,35.4885
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,22,22,57.573181818,25.209090909,18.170909091,12.900909091
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,29,29,61.314827586,21.254137931,14.687241379,8.375862069
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,39,184,6.7019565217,3.2134782609,2.284076087,1.4920108696
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,16.780833333,8.5725,6.7258333333,4.6575
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,39.386875,15.913125,11.034375,9.12875
1003884388,BOLOTTE,CHARLES,P,MD,M,I,141 HIGHWAY 402,,NAPOLEONVILLE,LA,703902217,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,49,49,193.0622449,42.996122449,29.651836735,21.090612245
1003884578,WOTKOWICZ,CHAD,,M.D.,M,I,17 OLD ROLLINSFORD ROAD,DOCTORS PARK BLDG A,DOVER,NH,038202892,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,3636,0.39,0.13,0.0933608361,0.0933608361
1003884578,WOTKOWICZ,CHAD,,M.D.,M,I,17 OLD ROLLINSFORD ROAD,DOCTORS PARK BLDG A,DOVER,NH,038202892,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,92,11190,5.4830098302,2.0286934763,1.532075067,1.5409383378
1003884578,WOTKOWICZ,CHAD,,M.D.,M,I,17 OLD ROLLINSFORD ROAD,DOCTORS PARK BLDG A,DOVER,NH,038202892,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,2856,9.65,7.23,5.6137044818,5.6137044818
1003884578,WOTKOWICZ,CHAD,,M.D.,M,I,17 OLD ROLLINSFORD ROAD,DOCTORS PARK BLDG A,DOVER,NH,038202892,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,43,11.924883721,10.92627907,8.5669767442,8.57
1003884578,WOTKOWICZ,CHAD,,M.D.,M,I,17 OLD ROLLINSFORD ROAD,DOCTORS PARK BLDG A,DOVER,NH,038202892,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,31,7.6038709677,6.3374193548,4.9519354839,5.7448387097
1003884602,ENGSTROM,PAUL,F,M.D.,M,I,204 W 2ND ST,STE 1,ROSWELL,NM,882014669,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,62.178461538,61.023076923,47.842307692,50.465384615
1003884610,SLONEK,RONALD,,MD,M,I,220 SPRINGFIELD DR STE 210,,BLOOMINGDALE,IL,601082215,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,31,76,160,70.68475,8.32,5.5184375,5.5184375
1003884610,SLONEK,RONALD,,MD,M,I,220 SPRINGFIELD DR STE 210,,BLOOMINGDALE,IL,601082215,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,21,44,49,16.951428571,1.42,1.0273469388,1.0273469388
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,86,178,178,93.129269663,42.00011236,31.211685393,28.816123596
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,,50,98,6.5731632653,1.7257142857,1.2655102041,1.1651020408
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,45.124375,13.73625,10.1425,8.511875
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,,31,31,4.8548387097,1.4587096774,1.0722580645,0.9922580645
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,32,383,708,708,229.48362994,95.511539548,71.347387006,65.307570621
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,23,317,630,1284,90.771666667,37.000903427,28.284595016,25.536028037
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,29,376,660,2762,53.799442433,21.016097031,15.722519913,14.134026068
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,24,384,706,3192,38.221375313,16.644642857,12.306011905,11.375416667
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,38,795,1434,1434,148.26740586,60.874051604,44.789672245,40.860362622
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,44,1081,1402,1402,47.257425107,19.658281027,14.792931526,13.7010699
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,85,96,96,28.316354167,11.01125,8.0079166667,7.6129166667
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,40,1002,1876,1876,55.783379531,14.117681237,10.615575693,9.0923933902
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,44,1043,2021,11120,7.254977518,2.3449505396,1.7655152878,1.5680980216
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,34,568,733,733,17.411759891,6.5716780355,4.9138472033,4.526425648
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,29,498,640,640,23.6145625,13.66903125,10.29784375,9.962546875
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,48,48,60.120833333,18.695625,13.987916667,12.866041667
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,15,72,462,462,279.754329,105.50333333,80.680692641,69.062272727
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,918.125,270.319375,204.9596875,163.43
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,3894.125,1126.3625,844.643125,844.643125
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,293,295,295,421.21237288,155.52725424,120.55352542,106.73132203
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,12,43,254,255,402.57180392,14.556431373,11.073960784,9.8069019608
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,20,121,121,28.469008264,6.2019008264,4.7300826446,3.663553719
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,29,507,2962,2979,126.36259483,38.591866398,28.165360859,24.434679423
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,23,162,164,333.02121951,80.832256098,62.339756098,55.775731707
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,16,102,102,105.12509804,39.524705882,30.049019608,28.692941176
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,5724,0.1902271139,0.0462665968,0.0343396226,0.0343396226
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,15,61,6869,1.821289853,0.1326612316,0.1008574756,0.1008574756
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,35,2010,9.6453631841,2.9980149254,2.2071840796,2.2071791045
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,480,2.1936875,0.2185625,0.1714166667,0.1714166667
1003884669,DALY,JAMES,A,MD,M,I,340 HODGSON CT,SUITE 2,SAVANNAH,GA,314061520,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,20,103,103,76.347087379,33,25.116504854,25.116504854
1003884677,TEE,DAVID,F,M. D.,M,I,380 PLEASANT ST,SUITE 1-1,MALDEN,MA,021488123,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,74,63.294864865,8.32,6.0341891892,6.0341891892
1003884875,RICHARDSON,LORRIE,A,OD,F,I,742 N YORK ST,,MUSKOGEE,OK,744033866,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,122.04619048,65.095238095,51.036190476,51.373333333
1003884875,RICHARDSON,LORRIE,A,OD,F,I,742 N YORK ST,,MUSKOGEE,OK,744033866,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,43,16.046511628,15.447209302,12.110930233,12.629534884
1003884883,COLLINS,EMMA,M,PA,F,I,2105 BRAXTON LN,SUITE 101,GREENSBORO,NC,274082801,US,Physician Assistant,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,85,13.39,10.4975,9.7475
1003884883,COLLINS,EMMA,M,PA,F,I,2105 BRAXTON LN,SUITE 101,GREENSBORO,NC,274082801,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,225,55.25,43.316,40.129333333
1003884917,WONG,WILLIAM,S,D.P.M. P.A.,M,I,927 S FLORIDA AVE,,LAKELAND,FL,338031149,US,Podiatry,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,183.85,79.7325,62.5075,55.055833333
1003884917,WONG,WILLIAM,S,D.P.M. P.A.,M,I,927 S FLORIDA AVE,,LAKELAND,FL,338031149,US,Podiatry,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,220,193.61,151.79,150.38636364
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,52,103,103,91.005048544,43.289029126,32.889708738,29.830970874
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,66,119,119,216.53411765,108.11109244,81.848655462,67.29092437
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,57,116,309,86.677702265,41.347378641,32.233754045,26.612168285
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,42,83,434,57.759608295,20.346336406,15.197949309,14.070184332
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,50,97,528,38.500871212,17.691780303,12.633257576,10.953882576
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,94,184,184,137.73978261,64.281195652,45.338532609,38.997717391
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,138,172,172,45.87622093,21.243255814,15.280290698,13.116976744
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,30,36,36,25.196944444,11.416388889,8.9522222222,8.15
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,112,222,222,42.959684685,16.19990991,12.106891892,9.1424774775
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,158,311,1804,7.8685476718,2.5913636364,1.9527660754,1.5724611973
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,72,88,88,17.15625,7.7006818182,5.8821590909,4.6747727273
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,46,57,57,40.425964912,13.73245614,10.661754386,10.218421053
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,43,44,258.13704545,94.923181818,68.893863636,67.789318182
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,774.875,319.90083333,250.80416667,184.14833333
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,4,43,43,43,6943.7209302,1081.75,848.00581395,848.00581395
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,25,25,25,369.1632,183.2608,137.9436,101.868
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,15,88,91,17.581098901,13.723186813,9.9982417582,10.030989011
1003884933,WILSON,KATHLEEN,R,MD,F,I,703 HILL COUNTRY DR,SUITE 302,KERRVILLE,TX,780286162,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,53,320,322,101.14996894,41.868012422,30.897857143,24.829037267
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,50,134,52.964477612,8.32,5.9285074627,5.9285074627
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,11.446315789,3.38,2.65,2.65
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,47,14.833829787,1.42,1.0672340426,1.0672340426
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,245.82,46.3875,21.613333333,23.5925
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,66.64,46.18,27.846153846,27.1
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,48.765714286,4.3071428571,3.1571428571,3.3828571429
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,304.15538462,78.23,58.036923077,51.427692308
1003884941,LAPLACE,PETER,B,MD,M,I,426 E FREEMASON ST,,NORFOLK,VA,23510,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,38.05,29.83,29.51
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,960,18.2871875,7.0925,5.5605,5.66925
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,900,12.600666667,5.23,4.1003333333,4.1003333333
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,334,9.0645508982,3.81,2.9873053892,2.9873053892
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,327,3.85,3.08,2.414587156,2.3719877676
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,398,8.677839196,6.0540703518,4.7464321608,4.1630653266
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4233,0.83,0.66,0.517448618,0.517448618
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,261.81166667,47.805,37.48,36.528333333
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,7,18,18,18,266.80611111,55.341111111,43.388333333,40.900555556
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,8,21,90,94,337.11404255,55.505212766,41.485425532,38.157234043
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,159.16666667,49.4,32.771666667,32.295833333
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,69.198378378,17.29,12.817567568,12.798648649
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,23.692777778,4.63,3.005,3.0033333333
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,58,58,460.75568966,71.996551724,53.869310345,53.564482759
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,10,44,236,251,106.3347012,19.91749004,14.559760956,13.263944223
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,140.17647059,35.964117647,26.923529412,21.946470588
1003884966,CAMPBELL,DAVID,W,MD,M,I,4676 LEE HWY,,DUBLIN,VA,240843871,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,11,69,69,24.062608696,8.5017391304,6.1230434783,5.9915942029
1003885088,TOWNSEND,RICHARD,W,MD,M,I,120 GATEWAY CIR UNIT 1,,JACKSONVILLE,FL,322594083,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,45,170,68.408647059,8.32,6.292,6.292
1003885088,TOWNSEND,RICHARD,W,MD,M,I,120 GATEWAY CIR UNIT 1,,JACKSONVILLE,FL,322594083,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,33,14.912727273,1.42,1.0133333333,1.0133333333
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,3.8161538462,0.51,0.4,0.4
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,14,4.9,1,0.7814285714,0.7814285714
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,91,273,750,61.800413333,8.32,5.9795866667,5.9795866667
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,25,64,64,13.1096875,3.38,2.60859375,2.60859375
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,28,38,38,17.781052632,2.12,1.5821052632,1.5821052632
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,58,150,221,15.197013575,1.42,1.0195022624,1.0195022624
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,600,0.5525,0.27,0.2116,0.2116
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,35,35,125.13314286,48.073142857,36.360285714,29.932857143
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,256,10.2,7.37,5.7780859375,5.7780859375
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.86,3.04,2.2302727273,2.2302727273
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.19,1.7475,1.2641666667,1.0541666667
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,25,122,74.760655738,25.111967213,18.439098361,13.802377049
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,17,85,66.438117647,20.991764706,15.769294118,12.309411765
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,23,44,44,217.39590909,76.204545455,56.53,42.265909091
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,31,31,82.877096774,25.58516129,19.551935484,14.467741935
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,19,19,92.563684211,20.549473684,15.577894737,9.2963157895
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,25,55,276,11.197246377,2.9087318841,2.1589492754,1.5742028986
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,20,25,25,53.62,15.7224,12.0972,10.444
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,395,7.302556962,6.3210379747,4.9558481013,4.2146329114
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,6979,0.8473047715,0.753428858,0.5495730047,0.4818999857
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,91.3075,80.404166667,63.038333333,50.936666667
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,102,16.290769231,12.769230769,10.212307692
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,222.59259259,66.460740741,50.683703704,37.426296296
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,73,90.595479452,22.754109589,17.224383562,13.963561644
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,750,259.83882353,203.71529412,157.48235294
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,57,57,101.21052632,16.750175439,12.554561404,10.436140351
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,50.09125,7.4795,5.773,3.4635
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,12,73,73,347.77808219,45.108082192,34.030273973,26.501369863
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,12,12,12,62.58,52.948333333,40.106666667,58.2675
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.906666667,9.3641666667,7.3375,5.2625
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,21.902727273,12.666363636,8.8490909091,7.4
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,33,21.546969697,12.12969697,8.5042424242,6.8745454545
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,75,14.954285714,11.724285714,9.4428571429
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,319.83818182,205.51818182,152.18454545,152.39090909
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,95,103,508.80174757,104.33786408,80.696407767,56.964563107
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,65,6926,1.3477909327,0.134047069,0.1035244008,0.1035244008
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,100,31.834090909,24.958181818,15.615
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,638.58333333,213.72,167.55222222,112.63
1003885153,ZIMMER,WILLIAM,,MD,M,I,1107A BROOKDALE ST,,MARTINSVILLE,VA,241124501,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,16,62,62,104.85483871,33,25.452741935,25.452741935
1003885302,BUTLER,LISA,C,,F,I,790 EAST BONITA AVE,2ND FLOOR,POMONA,CA,917671906,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,20,60,135,72.471777778,8.1945925926,4.7878518519,4.8262222222
1003885302,BUTLER,LISA,C,,F,I,790 EAST BONITA AVE,2ND FLOOR,POMONA,CA,917671906,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,22,27,13.601481481,1.42,0.9511111111,0.9511111111
1003885302,BUTLER,LISA,C,,F,I,790 EAST BONITA AVE,2ND FLOOR,POMONA,CA,917671906,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,51.5625,33,22.63625,22.63625
1003885351,RITTER,MICHAEL,W,MD,M,I,1 S PARK ST,,MADISON,WI,537151375,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,12,12,33,33,17.246666667,17.246666667
1003885419,PAZ,ROBERT,A,M.D.,M,I,9000 FRANKLIN SQUARE DR,,BALTIMORE,MD,212373901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,230,82,57.7275,49.192142857
1003885419,PAZ,ROBERT,A,M.D.,M,I,9000 FRANKLIN SQUARE DR,,BALTIMORE,MD,212373901,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,41.6,27.175,24.591666667
1003885435,HAIKES,KELLY,R,CRNP,F,I,125 SCRANTON POCONO HWY,,SCRANTON,PA,185052274,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,29,76,71.95,8.32,4.9776315789,4.9776315789
1003885435,HAIKES,KELLY,R,CRNP,F,I,125 SCRANTON POCONO HWY,,SCRANTON,PA,185052274,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,16,20,14.0965,1.42,0.504,0.504
1003885500,HANNA,MOUSA,M,D.O.,M,I,1411 N FLAGLER DR,SUITE 6300,WEST PALM BEACH,FL,334013404,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,30,65.897,8.32,6.0863333333,6.0863333333
1003885500,HANNA,MOUSA,M,D.O.,M,I,1411 N FLAGLER DR,SUITE 6300,WEST PALM BEACH,FL,334013404,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,168.37090909,132.00363636,119.86727273
1003885500,HANNA,MOUSA,M,D.O.,M,I,1411 N FLAGLER DR,SUITE 6300,WEST PALM BEACH,FL,334013404,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,112.2,33,24.145333333,24.145333333
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,60,162,49.329074074,8.32,5.9992592593,5.9992592593
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,16.578947368,3.38,2.3710526316,2.3710526316
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,23.75,2.12,1.5308333333,1.5308333333
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,33,61,15.673442623,1.42,1.0763934426,1.0763934426
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,360,13.122222222,5.54,3.8608888889,3.8608888889
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,1080,4.7844444444,2.02,1.5268796296,1.5268796296
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,18,720,9.9283333333,8.28,6.4915833333,6.4915833333
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,480,1.75,1.08,0.8466666667,0.8466666667
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,36,980,73.479061224,3.3695102041,2.6417244898,2.3676020408
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,14,72,1940,55.04764433,5.3735206186,4.1545979381,4.1184484536
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,5959,0.756002685,0.4697818426,0.3683185098,0.2900855848
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,16,75,34639,1.3015450792,0.3013975577,0.2362963711,0.2413123935
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,31,11670,2.7201919452,0.62,0.4860779777,0.5148851757
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,13,56,56,374.45,66.10375,50.108214286,46.946607143
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,56,62,51.155645161,17.079193548,12.932580645,13.083870968
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,23,23,33.33826087,5.5465217391,4.0326086957,3.7939130435
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,12,63,63,36.928571429,6.2850793651,4.8644444444,4.0207936508
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,96,110,299.23445455,79.684,59.747818182,53.049545455
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,76,57,41.023333333,41.023333333
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,16,6212,0.5555054733,0.0458837733,0.0327285898,0.0327285898
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,29,50,5504,1.3951144622,0.1321438953,0.1016515262,0.1016515262
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,65,18.293333333,13.034666667,12.967333333
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,25,8.3,5.2328571429,5.2907142857
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,200,36.68,28.75,29.47
1003885575,MOHIUDDIN,ABDUL,Q,MD,M,I,1012 WINSTON CHURCHILL DR,,HOPEWELL,VA,238605141,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,24,41,41,45.073170732,33,23.346097561,23.346097561
1003885583,CROTTY,BRIAN,,D.O.,M,I,1919 S WHEELING AVE,LL 100,TULSA,OK,74104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,38,119,44.879495798,8.32,6.0015966387,6.0015966387
1003885583,CROTTY,BRIAN,,D.O.,M,I,1919 S WHEELING AVE,LL 100,TULSA,OK,74104,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.465454545,3.38,2.4090909091,2.4090909091
1003885583,CROTTY,BRIAN,,D.O.,M,I,1919 S WHEELING AVE,LL 100,TULSA,OK,74104,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,18,29,14.782068966,1.42,1.0496551724,1.0496551724
1003885583,CROTTY,BRIAN,,D.O.,M,I,1919 S WHEELING AVE,LL 100,TULSA,OK,74104,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,37.5,8.2936363636,6.5009090909,7.0363636364
1003885583,CROTTY,BRIAN,,D.O.,M,I,1919 S WHEELING AVE,LL 100,TULSA,OK,74104,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,51.81,17,12.545882353,12.684705882
1003885583,CROTTY,BRIAN,,D.O.,M,I,1919 S WHEELING AVE,LL 100,TULSA,OK,74104,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,317.44,77.18,60.51,56.89125
1003885583,CROTTY,BRIAN,,D.O.,M,I,1919 S WHEELING AVE,LL 100,TULSA,OK,74104,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,69,33,21.166363636,21.166363636
1003885724,NOGUEIRA,BEATRICE,,MD,F,I,475 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,19,49.617894737,5.0015789474,3.9252631579,3.6157894737
1003885898,OFFICER,THOMAS,P,M.D.,M,I,101 PARK HILL DR,,FREDERICKSBURG,VA,224013357,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,1260,3.9351190476,0.5582857143,0.4376666667,0.4376666667
1003885898,OFFICER,THOMAS,P,M.D.,M,I,101 PARK HILL DR,,FREDERICKSBURG,VA,224013357,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1003885898,OFFICER,THOMAS,P,M.D.,M,I,101 PARK HILL DR,,FREDERICKSBURG,VA,224013357,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,21,16,16,12.54,12.54
1003886094,HOULIHAN,DANIEL,L,D.O.,M,I,351 EXECUTIVE PKWY,,ROCKFORD,IL,611075339,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,3410,0.39,0.13,0.0951671554,0.0951671554
1003886094,HOULIHAN,DANIEL,L,D.O.,M,I,351 EXECUTIVE PKWY,,ROCKFORD,IL,611075339,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,5160,3.4763953488,2.04,1.5715523256,1.5715523256
1003886094,HOULIHAN,DANIEL,L,D.O.,M,I,351 EXECUTIVE PKWY,,ROCKFORD,IL,611075339,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,2504,9.5999680511,6.15,4.7716333866,5.5507268371
1003886128,GANNON,DAVID,L,M.D.,M,I,2550 24TH ST,,ROCK ISLAND,IL,612015304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,19,62,60.218387097,8.32,6.1014516129,6.1014516129
1003886128,GANNON,DAVID,L,M.D.,M,I,2550 24TH ST,,ROCK ISLAND,IL,612015304,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,21,13.176666667,1.42,1.0628571429,1.0628571429
1003886128,GANNON,DAVID,L,M.D.,M,I,2550 24TH ST,,ROCK ISLAND,IL,612015304,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,18,406.02944444,69.81,47.33,47.33
1003886128,GANNON,DAVID,L,M.D.,M,I,2550 24TH ST,,ROCK ISLAND,IL,612015304,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,70.507692308,36.14,24.069230769,25.180769231
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,34,100,184,34.560326087,8.32,5.1450543478,5.1450543478
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,17,36,42,6.8873809524,1.42,0.9580952381,0.9580952381
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,0.1625333333,0.13,0.1019333333,0.1019333333
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,3810,2.1057086614,1.9086614173,1.4587349081,1.5564934383
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,31,64,8.19,2.03625,1.5565625,1.1359375
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,310.07769231,123.05615385,96.474615385,67.846153846
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,126.68826087,48.834782609,38.286521739,25.91826087
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,61,94.990819672,24.331639344,17.761967213,13.649836066
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,220.79578947,75.878947368,57.007894737,43.3
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,19,19,63.907368421,24.230526316,18.467894737,14.354210526
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,23,23,79.411304348,20.992608696,16.01826087,9.7165217391
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,31,122,13.901229508,3.2681967213,2.5049180328,1.6518852459
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,26.827272727,8.8745454545,6.4954545455,4.4954545455
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,29,14.033333333,10.35,8.35
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,275.96846154,64.798076923,49.325384615,37.368076923
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,84,84,101.01214286,22.266428571,16.922619048,13.261785714
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,34,34,150.34411765,61.011764706,46.618823529,37.308529412
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,36.772580645,7.085483871,5.4364516129,3.6790322581
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,101.7447619,34.414285714,25.750952381,30.57047619
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,44,165.46522727,43.399545455,31.285909091,25.238181818
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,127,129,402.51,102.53069767,78.069612403,54.178449612
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,55,12137,0.2745077037,0.0462684354,0.0319469391,0.0319469391
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,36,3390,0.92,0.1340088496,0.1026489676,0.1026489676
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,119.34,42.917368421,33.642631579,21.01
1003886169,YOUNG,TIMOTHY,,MD,M,I,195 HOSPITAL DRIVE,SUITE B,CHEROKEE VILLAGE,AR,72529,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,87,87,117.20689655,33,24.049885057,24.049885057
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,26,55,184,60.192282609,8.32,6.3142934783,6.3142934783
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,20,37,69,14.102318841,1.42,1.1149275362,1.1149275362
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,918,8.28,8.28,6.4915359477,6.4915359477
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,25,586,10.901331058,10.901331058,8.5466723549,8.5691296928
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,59,11.275254237,2,1.4089830508,1.4330508475
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,460,118.88591304,4.86,3.7639782609,4.1168043478
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,5828,1.4002230611,0.3097340426,0.2251990391,0.2254066575
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,39.940434783,11.426086957,8.93,9.3056521739
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,34.97,20.795882353,16.302941176,14.635294118
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,14.32375,8.28125,6.125,6.4375
1003886193,KAGAN,JEFFREY,M,M.D.,M,I,365 WILLARD AVE,SUITE 2-D,NEWINGTON,CT,061112373,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1003886326,TRIVEDI,SURESH,,M.D.,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,175,48.705,38.185,38.165833333
1003886326,TRIVEDI,SURESH,,M.D.,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,36.88,15.78,12.372727273,13.539090909
1003886326,TRIVEDI,SURESH,,M.D.,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,35,3.744,2.934,3.604
1003886326,TRIVEDI,SURESH,,M.D.,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,192.58,47.718461538,36.652307692,36.141538462
1003886326,TRIVEDI,SURESH,,M.D.,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,230,77.259,60.574,54.894
1003886532,TAYLOR,WILLIAM,J,M.D.,M,I,1338 HIGHWAY 14,,SIMPSONVILLE,SC,296815637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,51,133,64.941428571,8.32,5.0995488722,5.0995488722
1003886532,TAYLOR,WILLIAM,J,M.D.,M,I,1338 HIGHWAY 14,,SIMPSONVILLE,SC,296815637,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,22,13.513181818,1.42,1.0163636364,1.0163636364
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,63,48.920634921,8.32,5.7980952381,5.7980952381
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,20,14.578,1.42,0.949,0.949
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,155,298,298,75.397483221,39.476510067,29.342986577,28.883624161
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,123,241,241,223.82045643,88.035643154,64.130912863,62.952074689
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,92,227,338,89.728934911,33.225680473,24.432011834,24.288757396
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,43,144,327,58.336697248,18.314801223,13.700183486,13.808103976
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,49,140,377,36.40795756,15.572068966,11.023660477,10.71469496
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,106,194,194,150.25541237,56.269845361,41.370773196,40.142061856
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,202,255,255,53.338509804,18.396705882,13.618,13.276117647
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,25,26,26,22.184230769,10.613461538,8.0026923077,7.8430769231
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,51,111,111,65.621621622,12.193243243,8.6805405405,8.2411711712
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,198,590,1903,5.9753757225,2.0673620599,1.514303731,1.4859747767
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,80,97,97,30.507628866,13.790618557,10.62556701,10.188041237
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,54,54,256.55203704,88.569259259,65.546851852,64.292407407
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,672.77777778,251.65027778,194.43722222,167.94416667
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,60,60,60,322.892,132.98366667,100.78516667,99.443666667
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,18,92,92,33.379891304,12.231956522,7.1745652174,7.0690217391
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,20,17.97,4.745,3.7255,3.615
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,92,528,533,134.72909944,34.587711069,24.400037523,23.284409006
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,39,302.76564103,70.304615385,51.652307692,51.393846154
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,3390,2.0246578171,0.1342300885,0.0935457227,0.0935457227
1003886565,GUPTA,ASHOK,K,MD,M,I,101 E SPICERVILLE HWY,STE 300,EATON RAPIDS,MI,488271919,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,50.068965517,33,23.75,23.75
1003886698,KIM,STEVEN,W,MD,M,I,2151 N HARBOR BLVD STE 3200,,FULLERTON,CA,928353826,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,728,41.1425,5.4015796703,4.2348351648,4.2348351648
1003886755,KRAJCIK,ROBERT,J,MD,M,I,29325 HEALTH CAMPUS DR,SUITE 3,WESTLAKE,OH,441458201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,58,173,55.182601156,8.32,6.0208092486,6.0208092486
1003886755,KRAJCIK,ROBERT,J,MD,M,I,29325 HEALTH CAMPUS DR,SUITE 3,WESTLAKE,OH,441458201,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,12.475384615,3.38,2.65,2.65
1003886755,KRAJCIK,ROBERT,J,MD,M,I,29325 HEALTH CAMPUS DR,SUITE 3,WESTLAKE,OH,441458201,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,27,39,9.4594871795,1.42,1.1153846154,1.1153846154
1003886755,KRAJCIK,ROBERT,J,MD,M,I,29325 HEALTH CAMPUS DR,SUITE 3,WESTLAKE,OH,441458201,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,8.7566666667,2,1.5683333333,1.5918055556
1003886755,KRAJCIK,ROBERT,J,MD,M,I,29325 HEALTH CAMPUS DR,SUITE 3,WESTLAKE,OH,441458201,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,6570,0.2788508371,0.0463059361,0.0263805175,0.0263759513
1003886755,KRAJCIK,ROBERT,J,MD,M,I,29325 HEALTH CAMPUS DR,SUITE 3,WESTLAKE,OH,441458201,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,58.666666667,33,20.634444444,20.634444444
1003886789,DEMPSEY,MICHAEL,L,D.P.M.,M,I,7500 BARLITE BLVD,SUITE 311,SAN ANTONIO,TX,782241361,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,38,73.066315789,71.56,56.105,56.105
1003886789,DEMPSEY,MICHAEL,L,D.P.M.,M,I,7500 BARLITE BLVD,SUITE 311,SAN ANTONIO,TX,782241361,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,63,29.746190476,29.19,22.885079365,22.886349206
1003886862,YOUNG,ROBERT,,MD,M,I,720 ESKENAZI AVENUE,"OCC, 6TH FLOOR",INDIANAPOLIS,IN,462025166,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,61.3625,20.17,14.54,13.039166667
1003886862,YOUNG,ROBERT,,MD,M,I,720 ESKENAZI AVENUE,"OCC, 6TH FLOOR",INDIANAPOLIS,IN,462025166,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,113.7825,24.9375,16.544166667,18.694166667
1003886953,HERNANDEZ,FERNANDO,,MD,M,I,7243 DELLA DRIVE,"FLOOR 3, SUITE K",ORLANDO,FL,32819,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,30,93,60.030860215,8.32,6.311827957,6.311827957
1003886953,HERNANDEZ,FERNANDO,,MD,M,I,7243 DELLA DRIVE,"FLOOR 3, SUITE K",ORLANDO,FL,32819,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,17.325333333,3.38,2.65,2.65
1003886953,HERNANDEZ,FERNANDO,,MD,M,I,7243 DELLA DRIVE,"FLOOR 3, SUITE K",ORLANDO,FL,32819,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,22,39,18.096410256,1.42,1.0856410256,1.0856410256
1003886953,HERNANDEZ,FERNANDO,,MD,M,I,7243 DELLA DRIVE,"FLOOR 3, SUITE K",ORLANDO,FL,32819,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,530.24,79.2,62.09,55.65
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,52,204,74.237647059,8.32,5.6271078431,5.6271078431
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,38,15.283684211,1.42,1.1121052632,1.1121052632
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,152,2.91,2.91,2.2816447368,2.2816447368
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,1.95,1.95,1.5288333333,1.5288333333
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,2024,0.44,0.44,0.344965415,0.344965415
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.27,0.27,0.2116,0.2116
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,475,0.27,0.27,0.2116,0.2116
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,34,1485,8.28,8.28,6.1843434343,6.1843434343
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,296,10.93,10.93,8.2795945946,8.2795945946
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,24,28.21625,4.6841666667,3.6695833333,3.6175
1003887001,MURPHY-FIENGO,MARY,S,D.O.,F,I,1527 ROUTE 12,SUITE 1,GALES FERRY,CT,063351800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,417.072,69.62,54.59,54.646
1003887019,WOO,KENNETH,R,M.D.,M,I,2007 ROCK SPRING RD,,FOREST HILL,MD,210502620,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,2265,0.2505960265,0.13,0.0979072848,0.0979072848
1003887019,WOO,KENNETH,R,M.D.,M,I,2007 ROCK SPRING RD,,FOREST HILL,MD,210502620,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,28.446666667,11.88,9.31,10.82
1003887019,WOO,KENNETH,R,M.D.,M,I,2007 ROCK SPRING RD,,FOREST HILL,MD,210502620,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,12,70,7725,3.6527067961,2.0358058252,1.5776919094,1.5810537217
1003887019,WOO,KENNETH,R,M.D.,M,I,2007 ROCK SPRING RD,,FOREST HILL,MD,210502620,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,19,73,11182,8.6501878018,7.23,5.5508236451,5.5508236451
1003887019,WOO,KENNETH,R,M.D.,M,I,2007 ROCK SPRING RD,,FOREST HILL,MD,210502620,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,36,20.486388889,10.93,8.57,8.57
1003887019,WOO,KENNETH,R,M.D.,M,I,2007 ROCK SPRING RD,,FOREST HILL,MD,210502620,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,21,17.77952381,6.5,5.0966666667,5.849047619
1003887019,WOO,KENNETH,R,M.D.,M,I,2007 ROCK SPRING RD,,FOREST HILL,MD,210502620,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,2.15,1.8,1.2925,1.2925
1003887068,RIENZO,FRANCIS,G,MD,M,I,2164 HIGHWAY 35,,SEA GIRT,NJ,087501013,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,47,119,75.152268908,8.32,5.931092437,5.931092437
1003887068,RIENZO,FRANCIS,G,MD,M,I,2164 HIGHWAY 35,,SEA GIRT,NJ,087501013,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,23,15.446956522,1.42,1.02,1.02
1003887076,NUELLE,BETHANN,M,FNP-C,F,I,1300 SOUTH COLUMBIA ROAD,,GRAND FORKS,ND,58201,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,12,26,26,51.47,37.38,29.3,29.3
1003887076,NUELLE,BETHANN,M,FNP-C,F,I,1300 SOUTH COLUMBIA ROAD,,GRAND FORKS,ND,58201,US,Nurse Practitioner,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,325,197.78928571,155.06642857,155.06642857
1003887076,NUELLE,BETHANN,M,FNP-C,F,I,1300 SOUTH COLUMBIA ROAD,,GRAND FORKS,ND,58201,US,Nurse Practitioner,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,12,26,236,2.9622033898,1.5476694915,1.2133050847,1.2133050847
1003887159,HINSON,TONY,,MD,M,I,920 CHURCH ST N,SUITE 255,CONCORD,NC,280252927,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,22.75,17.15,13.45,13.54
1003887159,HINSON,TONY,,MD,M,I,920 CHURCH ST N,SUITE 255,CONCORD,NC,280252927,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,27,235.91259259,89.905925926,70.49037037,56.23
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,111,150,150,80.087333333,44.821466667,31.438866667,27.942733333
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,82,113,113,238.80707965,103.06761062,73.200176991,63.046902655
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,55,95,172,96.308023256,36.811453488,25.725697674,24.139011628
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,23,37,164,48.562195122,18.633414634,13.031036585,13.362073171
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,14,22,86,42.151162791,16.738372093,12.218604651,11.379767442
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,69,106,106,138.12990566,63.322641509,46.650566038,42.063207547
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,128,143,143,47.495454545,22.697062937,16.826783217,14.010699301
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,19,19,21.575263158,11.502105263,7.2521052632,6.4342105263
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,33,56,56,63.39125,13.095357143,9.55875,8.6144642857
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,142,231,1040,5.7755961538,2.1996346154,1.5876346154,1.5053846154
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,37,43,43,15.013953488,6.12,4.0186046512,3.9013953488
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,60,67,67,35.002089552,14.648208955,10.683731343,9.7386567164
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,14,57,60,293.54483333,118.54016667,87.123666667,74.031166667
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,47,49,700.20408163,268.47408163,205.41387755,162.96285714
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,16,16,328.94125,165.346875,124.990625,99.041875
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,52,209,213,37.099342723,20.59685446,15.831830986,11.885539906
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,19,78,403,405,135.2542963,46.206197531,35.257481481,27.727925926
1003887290,FRANKOWSKI,MARTHA,A,MD,F,I,550 MUNSON AVE,,TRAVERSE CITY,MI,496863580,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,37,250,79.88,57.973243243,50.500810811
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,34,68,76.009411765,8.32,6.1364705882,6.1364705882
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,320,8.55,6.26,4.908,5.6964375
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,150,6.7,5.21,4.0848666667,4.0991333333
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,368,5.8,5.26,3.8085326087,3.8444836957
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3260,1.57,1.24,0.9721656442,0.9507055215
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1166.04,913.16,715.92,831.73166667
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,52.6,40.645454545,25.400909091,28.063636364
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,501.33333333,79,55.987,50.219
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,113,39,28.031666667,27.14
1003887324,OGDEN,DAVID,L,M.D.,M,I,1300 S ELISEO DR,203,GREENBRAE,CA,949042023,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,25.87,25.87
1003887381,GUNDUMALLA,GOPI,K,MD,M,I,4439 STATE ROUTE 159,STE 204,CHILLICOTHE,OH,456018207,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,96,96,39.920833333,17.4603125,13.119270833,12.971458333
1003887381,GUNDUMALLA,GOPI,K,MD,M,I,4439 STATE ROUTE 159,STE 204,CHILLICOTHE,OH,456018207,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,31.223333333,4.8066666667,3.275,3.135
1003887381,GUNDUMALLA,GOPI,K,MD,M,I,4439 STATE ROUTE 159,STE 204,CHILLICOTHE,OH,456018207,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,114,114,255.33798246,70.942982456,54.024210526,53.22122807
1003887423,LACUESTA,PURCHIT,V,M.D.,F,I,7400 W ADDISON ST,,CHICAGO,IL,606343418,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,73.5,18,14.11,13.54
1003887423,LACUESTA,PURCHIT,V,M.D.,F,I,7400 W ADDISON ST,,CHICAGO,IL,606343418,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,296.66666667,77.18,60.51,54.72
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,52,174,327,64.765535168,8.32,5.6576452599,5.6576452599
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,44,45,12.609777778,1.42,1.0204444444,1.0204444444
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,320,6.4046875,5.5384375,4.03784375,4.1958125
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,900,0.44,0.44,0.3143333333,0.3143333333
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,160,5,3.04,1.936375,1.936375
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,32,1045,8.28,8.28,6.2170334928,6.2170334928
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,45,18.29,18.29,14.339777778,14.339777778
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1224,0.45,0.45,0.3528186275,0.3528186275
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,309.58333333,117.23583333,79.814166667,56.539166667
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,177.72857143,71.785714286,51.345,38.228571429
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,20,20,74.407,24.9585,17.226,11.951
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,57.055555556,21.876666667,16.031111111,8.1066666667
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,20,120,9.609,2.9965,2.2608333333,1.5135833333
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,22.345454545,7.9936363636,5.8018181818,4.2281818182
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2898,1.35,0.4938509317,0.3748412698,0.2777363699
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,50,8.2908,6.4988,3.6936
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,137.5,40.7975,23.158333333,15.375
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,26,455.54307692,105.80692308,79.775384615,57.974615385
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,3863,0.1660626456,0.0461195962,0.0297411338,0.0297411338
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1109,1.7601172227,0.1288007214,0.1009828674,0.1009828674
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,156.78,45.975454545,36.041818182,21.169090909
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,110,44.745,29.605833333,25.193333333
1003887431,MINION,RANDALL,K,MD,M,I,800 KENYON RD,,FORT DODGE,IA,505015776,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,36,36,71.5,33,22.995555556,22.995555556
1003887449,PANNETON,JEAN,M,MD,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG SUITE 100,VIRGINIA BEACH,VA,234525765,US,Physician/Interventional Radiology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,5.5,2.97,2.33,2.26
1003887449,PANNETON,JEAN,M,MD,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG SUITE 100,VIRGINIA BEACH,VA,234525765,US,Physician/Interventional Radiology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,23.75,18.62,21.068333333
1003887449,PANNETON,JEAN,M,MD,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG SUITE 100,VIRGINIA BEACH,VA,234525765,US,Physician/Interventional Radiology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,7.9166666667,6.2066666667,6.5016666667
1003887514,WRIGHT,ERINN,,,F,I,15 HOSPITAL DR,,BRIDGTON,ME,040091156,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,19,67,77.61641791,8.32,5.4517910448,5.4517910448
1003887514,WRIGHT,ERINN,,,F,I,15 HOSPITAL DR,,BRIDGTON,ME,040091156,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.597272727,8.1063636364,5.38,3.0672727273
1003887597,PARKER,DAVID,J,D.O.,M,I,11310 HURON ST,SUITE 100,NORTHGLENN,CO,802343046,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,62,57.630806452,8.32,5.7864516129,5.7864516129
1003887597,PARKER,DAVID,J,D.O.,M,I,11310 HURON ST,SUITE 100,NORTHGLENN,CO,802343046,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,703.96416667,819.77583333
1003887597,PARKER,DAVID,J,D.O.,M,I,11310 HURON ST,SUITE 100,NORTHGLENN,CO,802343046,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,70,70,525.35457143,78.146714286,55.157714286,49.119714286
1003887597,PARKER,DAVID,J,D.O.,M,I,11310 HURON ST,SUITE 100,NORTHGLENN,CO,802343046,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,236.68571429,38.76,28.942857143,28.146666667
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,33,112,59.547053571,8.32,5.5323214286,5.5323214286
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,21,14.842380952,1.42,1.0066666667,1.0066666667
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,267.27636364,56.52,40.290909091,39.096363636
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,12.888181818,2.14,1.5242424242,1.4546969697
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,56.473636364,16.99,13.32,13.520454545
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,39,459.0825641,81.5,62.261538462,54.502307692
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,4598,0.1967246629,0.0467203132,0.0298412353,0.0298390605
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,18.74,13.465833333,12.008333333
1003887621,BEVIS,ROBERT,H,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,12,66,33,17.246666667,17.246666667
1003887688,NYDAM,GLEN,D,O.D.,M,I,305 N SANBORN BLVD,,MITCHELL,SD,573012449,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,70.657419355,70.657419355,51.840322581,49.490645161
1003887688,NYDAM,GLEN,D,O.D.,M,I,305 N SANBORN BLVD,,MITCHELL,SD,573012449,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,23,42,79.380952381,66.53,46.709047619,48.655
1003887738,GREOS,LEON,S,MD,M,I,125 RAMPART WAY,SUITE 200,DENVER,CO,802306406,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,280,124.29525,39.9925,31.354107143,31.353964286
1003887738,GREOS,LEON,S,MD,M,I,125 RAMPART WAY,SUITE 200,DENVER,CO,802306406,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,47.142857143,33,22.174285714,22.174285714
1003887738,GREOS,LEON,S,MD,M,I,125 RAMPART WAY,SUITE 200,DENVER,CO,802306406,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,897.86416667,358.5,281.06,281.06
1003887761,TOMCI,THOMAS,G,MD,M,I,539 GREEN ST,,GREENSBURG,PA,15601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,33,60.51969697,8.32,5.5342424242,5.5342424242
1003887761,TOMCI,THOMAS,G,MD,M,I,539 GREEN ST,,GREENSBURG,PA,15601,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.1,11.175,11.311666667
1003887761,TOMCI,THOMAS,G,MD,M,I,539 GREEN ST,,GREENSBURG,PA,15601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,426.31230769,77.5,49.262307692,44.668846154
1003887779,JACKSON,GLENNA,S,M.D.,F,I,3780 MEDINA RD,STE. 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,25,56,49.350892857,8.32,5.8225,5.8225
1003887779,JACKSON,GLENNA,S,M.D.,F,I,3780 MEDINA RD,STE. 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,83.97,33.48,24.053333333,23.750833333
1003887779,JACKSON,GLENNA,S,M.D.,F,I,3780 MEDINA RD,STE. 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,54,8.1274074074,2.0288888889,1.5335185185,1.5353703704
1003887779,JACKSON,GLENNA,S,M.D.,F,I,3780 MEDINA RD,STE. 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,465,125,2.97,2.1734623656,2.2079569892
1003887779,JACKSON,GLENNA,S,M.D.,F,I,3780 MEDINA RD,STE. 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,5295,3.7129745042,0.36,0.2687743154,0.2755524079
1003887779,JACKSON,GLENNA,S,M.D.,F,I,3780 MEDINA RD,STE. 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,519.51,77.882857143,61.058571429,55.645714286
1003887779,JACKSON,GLENNA,S,M.D.,F,I,3780 MEDINA RD,STE. 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,615.78947368,138.94736842,108.93473684,99.072631579
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,45,32.34,34.739166667
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,41.307272727,5.3827272727,4.2227272727,3.6881818182
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,42,469.82666667,77.18047619,60.50952381,54.808571429
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,142,40.22,31.53,29.51
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,18.991818182,9.66,7.5734242424,7.5734242424
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,960,9.74171875,3.0834375,2.4174479167,2.4174479167
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,171.13636364,38.454545455,30.146363636,29.437272727
1003887803,MCCORMACK,MEREDITH,C,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,38.823529412,33,25.87,25.87
1003887852,RAINFORD,NORBERT,W,MD,M,I,200 E ECKERSON RD,SUITE 200,NEW CITY,NY,109567153,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,45.463333333,28.141666667,29.773333333
1003887852,RAINFORD,NORBERT,W,MD,M,I,200 E ECKERSON RD,SUITE 200,NEW CITY,NY,109567153,US,Physician/Cardiovascular Disease (Cardiology),S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,128.98,41.641666667,28.196666667,30.915833333
1003887852,RAINFORD,NORBERT,W,MD,M,I,200 E ECKERSON RD,SUITE 200,NEW CITY,NY,109567153,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,35,519.51,76.59,57.969142857,55.845142857
1003887860,GIPE,STACEY,,PA,F,I,270 COPPERFIELD BLVD NE,STE 102,CONCORD,NC,280252441,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,32,57.7290625,8.32,6.520625,6.520625
1003887860,GIPE,STACEY,,PA,F,I,270 COPPERFIELD BLVD NE,STE 102,CONCORD,NC,280252441,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,5.9657142857,1.9478571429,1.4364285714,1.0678571429
1003887860,GIPE,STACEY,,PA,F,I,270 COPPERFIELD BLVD NE,STE 102,CONCORD,NC,280252441,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,72.756666667,19.692666667,14.444666667,13.894666667
1003887860,GIPE,STACEY,,PA,F,I,270 COPPERFIELD BLVD NE,STE 102,CONCORD,NC,280252441,US,Physician Assistant,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,47.108333333,38.888333333
1003887860,GIPE,STACEY,,PA,F,I,270 COPPERFIELD BLVD NE,STE 102,CONCORD,NC,280252441,US,Physician Assistant,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,37.63
1003887860,GIPE,STACEY,,PA,F,I,270 COPPERFIELD BLVD NE,STE 102,CONCORD,NC,280252441,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,19,19,418.84263158,78.765263158,52.95,47.786315789
1003887886,JOSEPH,BOBBY,Z,M.D.,M,I,1414 W FAIR AVE,SUITE 216,MARQUETTE,MI,498552675,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,26,85,533.08247059,19.695411765,14.713647059,14.713647059
1003887886,JOSEPH,BOBBY,Z,M.D.,M,I,1414 W FAIR AVE,SUITE 216,MARQUETTE,MI,498552675,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,4680,33.583846154,9.8411538462,7.7154615385,7.7154615385
1003887886,JOSEPH,BOBBY,Z,M.D.,M,I,1414 W FAIR AVE,SUITE 216,MARQUETTE,MI,498552675,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,960,415.00525,42.47,33.294739583,33.294739583
1003887886,JOSEPH,BOBBY,Z,M.D.,M,I,1414 W FAIR AVE,SUITE 216,MARQUETTE,MI,498552675,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1230,0.92,0.1315365854,0.0853739837,0.0853739837
1003887886,JOSEPH,BOBBY,Z,M.D.,M,I,1414 W FAIR AVE,SUITE 216,MARQUETTE,MI,498552675,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,28,144,271.37673611,2.6388888889,2.0690972222,2.0690972222
1003887886,JOSEPH,BOBBY,Z,M.D.,M,I,1414 W FAIR AVE,SUITE 216,MARQUETTE,MI,498552675,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,119.625,33,22.63625,22.63625
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,47,64.424255319,8.32,6.2438297872,6.2438297872
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.34,0.9545454545,1.0477272727
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,225.081875,87.54,60.05125,59.409375
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,36,82.138333333,33.48,25.516666667,25.195833333
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,16,16,55.583125,18,12.34625,12.3025
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,19,19,58.459473684,12.36,9.18,8.67
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,28,112,9.3260714286,2,1.540625,1.5629464286
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,17,13.33,13.51375
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,55.07,13.188378378,10.338918919,10.475675676
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,257.82,35.466,27.809333333,25.550666667
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,493.29380952,78,61.15,56.258571429
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,37,112.13216216,21.114864865,14.964864865,13.42
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,267.46,74.9325,58.7475,54.769166667
1003887902,SURSO,JOHN,M,M.D.,M,I,3780 MEDINA RD,SUITE 310,MEDINA,OH,442569311,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,33.932307692,9.5130769231,7.1176923077,6.5211538462
1003887936,POWELL,CHARLES,C,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,28,118,57.961271186,8.32,5.8066101695,5.8066101695
1003887936,POWELL,CHARLES,C,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,30,21.922666667,1.42,0.9663333333,0.9663333333
1003887936,POWELL,CHARLES,C,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,6.2,2.99,2.344,2.3655151515
1003887936,POWELL,CHARLES,C,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4576,4.6938811189,0.6298623252,0.4938111888,0.5155922203
1003887936,POWELL,CHARLES,C,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.81,17,13.185833333,13.379166667
1003887936,POWELL,CHARLES,C,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,44.06,14.148181818,11.091818182,11.157272727
1003887936,POWELL,CHARLES,C,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,317.44,77.18,55.4675,50.6425
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,37,81,275,63.249018182,8.32,6.1150545455,6.1150545455
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,20,20,16.2875,3.38,2.65,2.65
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,23.284545455,2.12,1.67,1.67
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,36,56,16.339464286,1.42,1.0751785714,1.0751785714
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,58,9.8868965517,2.14,1.6768965517,1.5931034483
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,146.7156,38.6496,24.4732,22.7368
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40,10.76,7.6727272727,7.5254545455
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,479.400625,81.5,61.903125,53.0196875
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,4417,0.3302399819,0.0464976228,0.0349784922,0.0349784922
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,690,0.9391304348,0.1309565217,0.0947536232,0.0947536232
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,600.26,165.79263158,129.98210526,126.54736842
1003888041,SUN,DANTON,M,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,74.25,33,24.792083333,24.792083333
1003888058,CONWAY,DONNA,,NP,F,I,900 HERTEL AVE,,BUFFALO,NY,142162611,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,57.494545455,10.5,6.7336363636,6.7654545455
1003888090,HIJAZI,SAMAR,,MD,F,I,7707 PARAGON RD,SUITE 101,DAYTON,OH,454594041,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,47,74.914680851,8.32,5.8282978723,5.8282978723
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,55,158,352,66.514375,8.32,5.8139488636,5.8139488636
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.65,2.65
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,35,58,81,12.915432099,1.42,1.0192592593,1.0192592593
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,20,20,182.7115,41.7365,29.6535,27.441
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,31,8.9048387097,1.51,1.1087096774,1.0825806452
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,29,29,497.80068966,93.796206897,68.669655172,63.248275862
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,326.96363636,56,39.909090909,38.963636364
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,24,24,90.579166667,19.41375,13.982083333,12.888333333
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,102.58263158,11.738421053,7.8010526316,7.7473684211
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,44,163,13.692699387,2.3157668712,1.6925766871,1.4750306748
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,47,53,93.86,17.5,12.684528302,12.53509434
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2125.24,1074.31,842.26,842.26
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,687.76,84.053571429,65.895,65.895
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,31,38,88.915789474,13.458947368,9.1610526316,9.1010526316
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,45,55.180222222,3.8793333333,2.9551111111,3.5222222222
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,41,44,262.9875,32.272727273,21.56,21.436363636
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,91,104,587.81769231,79.839038462,58.525384615,51.323461538
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,15.58,9.59985,7.3298083333,7.3298083333
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,66,16141,0.2690304194,0.0464072858,0.0346762902,0.0346762902
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1530,0.92,0.1349411765,0.075,0.075
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,67.657368421,9.4568421053,6.9847368421,6.1605263158
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,1794.0994737,161.36,119.38105263,104.08947368
1003888207,FARIS,KEVIN,,M.D.,M,I,201 S PARK LN,,ALTUS,OK,735215733,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,76,76,107.25,33,23.6125,23.6125
1003888223,ARTHUR,CHRISTY,,MD,F,I,3707 BRAMBLETON AVE,,ROANOKE,VA,240183658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,48,109,62.220550459,8.32,6.0422018349,6.0422018349
1003888223,ARTHUR,CHRISTY,,MD,F,I,3707 BRAMBLETON AVE,,ROANOKE,VA,240183658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,21,11.14,1.42,0.9038095238,0.9038095238
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,26,338,47.155887574,19.638461538,13.770384615,13.770384615
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,25,770,7.987012987,2.6322077922,1.8271038961,1.8271038961
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,6.4675,0.51,0.4,0.4
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,115,308,1394,57.624418938,8.32,6.162482066,6.162482066
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,10,30,74,74,13.25972973,3.38,2.5783783784,2.5783783784
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,29,39,39,19.265128205,2.12,1.6271794872,1.6271794872
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,35,62,141,347,13.721354467,1.42,1.0680403458,1.0680403458
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,11,11,11,46.146363636,42.122727273,33.022727273,58.893636364
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,603.3815,355.8705,271.828,271.828
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,19,62,64,380.4,251.0246875,196.803125,196.8696875
1003888264,GIBSON,CARL,A,M.D.,M,I,12200 WARWICK BLVD,SUITE 590B,NEWPORT NEWS,VA,236012344,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,323.28307692,246.34,193.13,198.50307692
1003888355,SELL,JARRETT,K,MD,M,I,2626 N 3RD ST,,HARRISBURG,PA,171102044,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,64,55.57671875,8.32,6.251875,6.251875
1003888405,MOLINARO,JEFFREY,T,DPM,M,I,101 DIXIE DR,,OAKDALE,PA,150711516,US,Podiatry,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,200,190.54555556,146.43074074,146.88944444
1003888405,MOLINARO,JEFFREY,T,DPM,M,I,101 DIXIE DR,,OAKDALE,PA,150711516,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,450,260.020625,203.853125,218.89
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,33,77,202,75.433118812,8.3001485149,6.0324752475,6.048019802
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,33,43,11.301860465,1.42,1.063255814,1.063255814
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,9.68,8.69,6.384375,6.384375
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,12.79,9.29,6.825,8.135
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,141.69066667,39.1,26.563333333,26.424666667
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,53,63.660377358,18.2,12.922075472,13.212264151
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,26,26,214.18269231,56,40.955,39.954615385
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,18,18,67.380555556,17.95,13.288333333,13.278888889
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,75.034615385,10.56,8.28,9.12
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,21,106,9.2174528302,2.09,1.5661320755,1.5195283019
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,636,80.512028302,3,2.237327044,2.2510220126
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6890,3.7094716981,0.37,0.2798345428,0.2798345428
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,403.8,78.45,61.5,61.5
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,52,52,350.38769231,31.153846154,22.012307692,21.888076923
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,30,391.903,93.288666667,71.148666667,53.114666667
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,35.0825,29.515833333
1003888462,BROWN,STEVEN,D,MD,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,3170,1.6095772871,0.1326624606,0.0982523659,0.0982523659
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,28,28,28,140.38107143,44.500357143,34.886785714,36.238571429
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,37.428125,9.16625,6.789375,7.663125
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,160.60869565,48.653913043,38.14173913,39.313478261
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,89,89,13.406292135,2.76,2.0968539326,2.1807865169
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,129.61538462,15.47,11.196923077,12.110769231
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,16,79,79,149.05063291,31.8,23.533037975,25.288607595
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,50,8,5.5323529412,5.5258823529
1003888504,GREGORY,HUGH,H,,M,I,55 MONUMENT RD,,YORK,PA,174035023,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,66,66,26.382878788,7.9933333333,6.0071212121,6.5010606061
1003888546,BALDWIN,STEVEN,A,MD,M,I,1898 E SOUTHERN AVE,,TEMPE,AZ,85282,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,13,76,79,45.011012658,5.2259493671,3.9559493671,3.4840506329
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,120,26.19,18.46,14.473,14.473
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,11.48,7.37,5.778,5.778
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,44,7.665,4.21,3.3031818182,3.3031818182
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,10.275,5.23,4.1003333333,4.1003333333
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,17.64137931,8.2303448276,6.4527586207,6.4320689655
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,25,7.256,4.31,3.38,3.38
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,5.56,1.59,1.2475,1.2475
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,143.32,52.94,41.5,41.5
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6.6666666667,3.81,2.987,2.987
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,150,64,50.18,48.32
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,20,2000,1073.16,837.758,838.613
1003888900,TAMEZ,JOSEPH,,MD,M,I,102 HIGHLAND AVE SE,,ROANOKE,VA,240132254,US,Physician/Pediatric Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,22,24,100.93333333,34.675,25.750833333,30.42625
1003888959,NEWTON,ROBERT,K,MD,M,I,9560 E 59TH ST,,INDIANAPOLIS,IN,462161010,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,33,76,206,67.647572816,8.32,5.5053883495,5.5053883495
1003888959,NEWTON,ROBERT,K,MD,M,I,9560 E 59TH ST,,INDIANAPOLIS,IN,462161010,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,19,27,51,14.842941176,1.42,0.9398039216,0.9398039216
1003888959,NEWTON,ROBERT,K,MD,M,I,9560 E 59TH ST,,INDIANAPOLIS,IN,462161010,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,57.1,45.208333333,31.705833333,33.503333333
1003888959,NEWTON,ROBERT,K,MD,M,I,9560 E 59TH ST,,INDIANAPOLIS,IN,462161010,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,30,30,19.675833333,19.675833333
1003889197,BATISTA,PHILIP,,MD,M,I,1010 JOHNSON FERRY RD,,MARIETTA,GA,300682108,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,39,89,60.827977528,8.32,5.4095505618,5.4095505618
1003889197,BATISTA,PHILIP,,MD,M,I,1010 JOHNSON FERRY RD,,MARIETTA,GA,300682108,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,28,12.155714286,1.42,0.7578571429,0.7578571429
1003889254,YATES,DORCAS,A,RN CFNP,F,I,1010 E ROOSEVELT AVE,,GRANTS,NM,870202118,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4786.5714286,833.94714286,653.815,545.75785714
1003889262,OTT,MARK,J,M.D.,M,I,5169 S COTTONWOOD ST,SUITE 400,MURRAY,UT,841076767,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,1147,12.982528335,12.901168265,10.114629468,10.199476896
1003889262,OTT,MARK,J,M.D.,M,I,5169 S COTTONWOOD ST,SUITE 400,MURRAY,UT,841076767,US,Physician/General Surgery,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,133,465.58,268.11067669,210.19766917,210.19766917
1003889262,OTT,MARK,J,M.D.,M,I,5169 S COTTONWOOD ST,SUITE 400,MURRAY,UT,841076767,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,180,89.92,9.3416666667,7.3235,7.3235
1003889262,OTT,MARK,J,M.D.,M,I,5169 S COTTONWOOD ST,SUITE 400,MURRAY,UT,841076767,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,180,42.77,29.193333333,22.887611111,22.887611111
1003889304,MIKOL,EDWARD,J,MD,M,I,3545 HIGHWAY 17,SUITE 200,MURRELLS INLET,SC,295765113,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,143.8775,49.965,39.173333333,36.46
1003889304,MIKOL,EDWARD,J,MD,M,I,3545 HIGHWAY 17,SUITE 200,MURRELLS INLET,SC,295765113,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,105.29411765,28.465882353,22.314705882,21.915882353
1003889304,MIKOL,EDWARD,J,MD,M,I,3545 HIGHWAY 17,SUITE 200,MURRELLS INLET,SC,295765113,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,32.125,8.36625,6.56,6.678125
1003889304,MIKOL,EDWARD,J,MD,M,I,3545 HIGHWAY 17,SUITE 200,MURRELLS INLET,SC,295765113,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,29,159.31034483,126.05896552,98.827931034,87.48
1003889304,MIKOL,EDWARD,J,MD,M,I,3545 HIGHWAY 17,SUITE 200,MURRELLS INLET,SC,295765113,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,917.27272727,732.02,566.55772727,561.66772727
1003889353,LOURY,MARK,C,M.D.,M,I,2001 S SHIELDS ST STE E101,,FORT COLLINS,CO,805261872,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,57,10.441578947,2.08,1.258245614,1.2287719298
1003889361,FOX,KAREN,E,D.O.,F,I,10000 ANNS CHOICE WAY,,WARMINSTER,PA,189743527,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1080,5.7368148148,0.567,0.4445277778,0.4445277778
1003889361,FOX,KAREN,E,D.O.,F,I,10000 ANNS CHOICE WAY,,WARMINSTER,PA,189743527,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1003889361,FOX,KAREN,E,D.O.,F,I,10000 ANNS CHOICE WAY,,WARMINSTER,PA,189743527,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,20,16,16,12.54,12.54
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,7,0.51,0.3272727273,0.3272727273
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,84,235,612,54.087058824,8.32,5.7986928105,5.7986928105
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,20,50,50,11.6792,3.38,2.544,2.544
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,22,30,30,17.366666667,2.12,1.5586666667,1.5586666667
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,54,111,180,12.565333333,1.42,1.0022222222,1.0022222222
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,19,38,87.733421053,71.56,56.001842105,56.001842105
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,96,35.528645833,29.19,22.885,22.886458333
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,12,50,136,5.3547058824,1.9257352941,1.4352941176,1.1333088235
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,26,80,4.1775,1.40525,1.100875,0.986625
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,79.593076923,17.252307692,11.222307692,6.9823076923
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,12,27,69,1.4065217391,0.6214492754,0.4128985507,0.3626086957
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,4,12,31,49,3.2518367347,1.493877551,1.1051020408,0.9373469388
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,23,23,341.21043478,123.81956522,87.876956522,68.072173913
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,12,24,59,145.83627119,43.269491525,30.694915254,23.900338983
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,75,53.958133333,25.507333333,19.1436,14.252666667
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,23,24,199.0025,77.795833333,60.990833333,46.06125
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,33,34,54.760588235,24.757058824,19.407941176,15.41
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,41,42,62.447619048,21.511904762,16.619761905,11.051428571
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,30,155,11.738903226,3.2083870968,2.4472258065,1.5839354839
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,22,23,20.033043478,8.6208695652,6.7639130435,5.5343478261
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,40,42,187.10666667,67.915,52.392380952,38.040952381
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,74,77,61.983766234,19.20961039,13.884415584,12.709480519
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,51,54,31.949259259,7.58,5.6724074074,3.6407407407
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,170.774,44.983333333,30.097,21.416333333
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,37.324285714,36.232142857,24.172142857,52.447857143
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,23,167,173,377.23508671,94.47433526,70.721907514,54.332023121
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1440,13.94,11.230541667,8.7051458333,8.7051458333
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,45,9455,0.3130544685,0.0467128503,0.0322400846,0.0322400846
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,13,77,10050,1.6320318408,0.1336328358,0.0963721393,0.0963721393
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,47,47,77.765957447,27.80212766,21.183617021,14.164042553
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,75,37.44,24.834615385,24.988461538
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,15,1288.1866667,184.44066667,144.60466667,109.814
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1017.92,257.63,201.9825,166.5525
1003889387,ODOM,JOHN,N,MD,M,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,20,138,138,83.217391304,33,24.437536232,24.437536232
1003889411,TOWNSEND,WINSTON,J,MD,M,I,1836 S MACARTHUR BLVD,,SPRINGFIELD,IL,627044030,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,68,147,71.400748299,8.32,5.9901360544,5.9901360544
1003889411,TOWNSEND,WINSTON,J,MD,M,I,1836 S MACARTHUR BLVD,,SPRINGFIELD,IL,627044030,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,25,25,25,126.0472,51.6588,40.5032,36.4772
1003889411,TOWNSEND,WINSTON,J,MD,M,I,1836 S MACARTHUR BLVD,,SPRINGFIELD,IL,627044030,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,9.88,7.7472727273,7.7881818182
1003889411,TOWNSEND,WINSTON,J,MD,M,I,1836 S MACARTHUR BLVD,,SPRINGFIELD,IL,627044030,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,441.65857143,69.81,49.517619048,49.517619048
1003889411,TOWNSEND,WINSTON,J,MD,M,I,1836 S MACARTHUR BLVD,,SPRINGFIELD,IL,627044030,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,25,25,78.746,24.7236,18.2952,13.8152
1003889411,TOWNSEND,WINSTON,J,MD,M,I,1836 S MACARTHUR BLVD,,SPRINGFIELD,IL,627044030,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,25.817142857,10.443333333,7.6119047619,6.2671428571
1003889411,TOWNSEND,WINSTON,J,MD,M,I,1836 S MACARTHUR BLVD,,SPRINGFIELD,IL,627044030,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,590,122.03363636,82.628181818,82.947272727
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,40,160,48.4176875,8.32,6.3595625,6.3595625
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,22,28,11.337857143,3.38,2.65,2.65
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,18.12125,2.12,1.67,1.67
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,19,29,63,11.445714286,1.42,1.1126984127,1.1126984127
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,109.46,48.707777778,36.866666667,36.386666667
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,182.5,50.51,37.39875,37.43375
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,303.32444444,134.10833333,97.172222222,91.701111111
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,3775.52,1074.31,842.26,842.26
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,42,36,28.227142857,26.714285714
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,384.6608,76.48,59.96,57.4448
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,66.098461538,18,10.853846154,10.076923077
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,151.13,30.374782609,23.813043478,22.693043478
1003889478,ORAMALU,FRANCIS,C,MD,M,I,4510 MEDICAL CENTER DR,SUITE 313,MCKINNEY,TX,750691650,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,54.615,8.864375,6.94625,6.80875
1003889494,KLEPFER,DOUGLAS,F,D.P.M.,M,I,694 PONT READING RD,FIRST FLOOR,ARDMORE,PA,190031917,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,82.076923077,71.56,53.925769231,53.925384615
1003889494,KLEPFER,DOUGLAS,F,D.P.M.,M,I,694 PONT READING RD,FIRST FLOOR,ARDMORE,PA,190031917,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,68,35,29.19,22.885,22.886323529
1003889551,ROY,JESS,T,D.O.,M,I,7912 E 31ST CT,SUITE 220,TULSA,OK,741451315,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,52,106,62.357641509,8.32,6.1533018868,6.1533018868
1003889551,ROY,JESS,T,D.O.,M,I,7912 E 31ST CT,SUITE 220,TULSA,OK,741451315,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,20,14.837,1.42,1.057,1.057
1003889551,ROY,JESS,T,D.O.,M,I,7912 E 31ST CT,SUITE 220,TULSA,OK,741451315,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,196.2,47.771428571,37.454285714,37.474285714
1003889551,ROY,JESS,T,D.O.,M,I,7912 E 31ST CT,SUITE 220,TULSA,OK,741451315,US,Physician/Emergency Medicine,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,20.53,16.6825,13.075,13.095
1003889551,ROY,JESS,T,D.O.,M,I,7912 E 31ST CT,SUITE 220,TULSA,OK,741451315,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,368.71866667,77.18,56.476,51.844
1003889551,ROY,JESS,T,D.O.,M,I,7912 E 31ST CT,SUITE 220,TULSA,OK,741451315,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1814,0.1609536935,0.0450330761,0.0289966924,0.0289966924
1003889551,ROY,JESS,T,D.O.,M,I,7912 E 31ST CT,SUITE 220,TULSA,OK,741451315,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,110.19,29.660909091,23.256363636,21.773636364
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,42,99,60.154545455,8.32,5.665959596,5.665959596
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,16,9.8325,1.42,1.11625,1.11625
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,273.14363636,56.98,44.67,42.85
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,76.78,12.75,9.1666666667,8.4333333333
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,70,10.832,2.09,1.498,1.4592857143
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,17.25,13.52,13.538333333
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,35,6.1423076923,3.4730769231,2.7876923077
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,512.94117647,77.36,57.082352941,51.858823529
1003889585,TALLEY,JEANIENE,A,MD,F,I,650 N NELLIS,,LAS VEGAS,NV,89110,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,50,37.198181818,23.412272727,19.821818182
1003889726,GOLDMAN,MARC,A,MD,M,I,77 BOYLSTON STREET,,SPRINGFIELD,MA,01104,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,54,159,58.899748428,8.32,6.066163522,6.066163522
1003889726,GOLDMAN,MARC,A,MD,M,I,77 BOYLSTON STREET,,SPRINGFIELD,MA,01104,US,Physician/Gastroenterology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,25,42,13.634761905,1.42,1.0604761905,1.0604761905
1003889726,GOLDMAN,MARC,A,MD,M,I,77 BOYLSTON STREET,,SPRINGFIELD,MA,01104,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,320,3.326625,3.0315625,1.95459375,1.96075
1003889726,GOLDMAN,MARC,A,MD,M,I,77 BOYLSTON STREET,,SPRINGFIELD,MA,01104,US,Physician/Gastroenterology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,510,0.75,0.2193921569,0.1418039216,0.1418039216
1003889726,GOLDMAN,MARC,A,MD,M,I,77 BOYLSTON STREET,,SPRINGFIELD,MA,01104,US,Physician/Gastroenterology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,89.571428571,33,22.802380952,22.802380952
1003889775,KAUFMAN,TARA,K,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,53,51.429245283,8.32,5.7830188679,5.7830188679
1003889775,KAUFMAN,TARA,K,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,11.058461538,1.42,0.9476923077,0.9476923077
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,77,63.850779221,8.32,6.1876623377,6.1876623377
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,29,14.756551724,1.42,1.0748275862,1.0748275862
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,247.91090909,90.23,37.027272727,35.283636364
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,32,98.668125,34,19.98,19.4259375
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,55.002941176,12.51,7.46,6.9752941176
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,118,8.8174576271,2,1.2692372881,1.29
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,20.093333333,17.1,10.869333333,10.997333333
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,21,257.82,33.377142857,26.158571429,24.557619048
1003889858,FARRELL,MICHAEL,J,MD,M,I,1307 FEDERAL ST,SUITE B300,PITTSBURGH,PA,152124769,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,104.27647059,77.5,46.463529412,42.207058824
1003889916,GUGLANI,SEEMA,,MD,F,I,1604 BURTNER RD,"2ND FLOOR, SUITE 2100",NATRONA HEIGHTS,PA,150652845,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,24,51.7525,8.32,5.4366666667,5.4366666667
1003889916,GUGLANI,SEEMA,,MD,F,I,1604 BURTNER RD,"2ND FLOOR, SUITE 2100",NATRONA HEIGHTS,PA,150652845,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,55,6.3701818182,2,1.5685454545,1.5887272727
1003889916,GUGLANI,SEEMA,,MD,F,I,1604 BURTNER RD,"2ND FLOOR, SUITE 2100",NATRONA HEIGHTS,PA,150652845,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,286.04285714,83.044285714,65.108571429,64.73952381
1003889916,GUGLANI,SEEMA,,MD,F,I,1604 BURTNER RD,"2ND FLOOR, SUITE 2100",NATRONA HEIGHTS,PA,150652845,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,335,77.5,55.865454545,50.383636364
1003889916,GUGLANI,SEEMA,,MD,F,I,1604 BURTNER RD,"2ND FLOOR, SUITE 2100",NATRONA HEIGHTS,PA,150652845,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,4200,0.17,0.0465,0.0364547619,0.0364547619
1003889916,GUGLANI,SEEMA,,MD,F,I,1604 BURTNER RD,"2ND FLOOR, SUITE 2100",NATRONA HEIGHTS,PA,150652845,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,36.26,25.845454545,26.851818182
1003889916,GUGLANI,SEEMA,,MD,F,I,1604 BURTNER RD,"2ND FLOOR, SUITE 2100",NATRONA HEIGHTS,PA,150652845,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,25.87,25.87
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,66,169,406,63.579187192,8.32,5.398546798,5.398546798
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,15.9904,3.38,2.12,2.12
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,30.007333333,2.12,1.4473333333,1.4473333333
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,37,70,106,22.700943396,1.42,0.9162264151,0.9162264151
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,190,6.3094736842,5.54,3.8858947368,3.8858947368
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,740,0.4435135135,0.44,0.3356351351,0.3356351351
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,130,5.1,3.58,2.4246153846,2.4246153846
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,21,42,99.377619048,71.56,56.105,56.105
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,88,39.449318182,29.19,22.885,22.886818182
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,27,50,5.9622,1.9158,1.502,1.171
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,13,17,2.4,1.4870588235,0.9770588235,0.7941176471
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,16,26,26,385.61192308,124.74153846,97.796153846,72.674230769
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,13,27,56,175.83142857,48.603035714,38.104464286,29.190892857
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,13,15,15,167.094,74.637333333,55.373333333,43.417333333
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,24,30,30,65.903,25.839666667,20.254,15.543333333
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,26,26,81.541538462,23.219230769,18.200769231,9.5630769231
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,15,31,142,10.890422535,3.0811267606,2.3414084507,1.6282394366
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,12,12,25.971666667,9.195,7.2075,4.9208333333
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,12,13,13,45.668461538,16.334615385,12.801538462,10.761538462
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,45,45,176.43333333,65.612888889,43.751777778,32.385111111
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,92,92,62.505869565,22.434673913,16.61423913,12.974782609
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,30,30,148.018,60.062,42.679666667,34.474
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,19,21,53.355238095,16.507619048,12.391428571,9.8214285714
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,74,75,31.913333333,7.6902666667,5.2233333333,2.9986666667
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,12,68,70,181.72514286,46.006714286,32.427142857,22.218714286
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,25,172,179,328.05569832,99.734189944,71.994636872,50.593798883
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,91.304,44.178,32.447333333,28.024
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1500,16.287733333,9.6748,7.5391733333,7.5391733333
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,750,18.348,11.3124,8.6776666667,8.6776666667
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,43,7170,0.4020892608,0.0458661088,0.0301073919,0.0301073919
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,17,69,5760,1.6630572917,0.1321458333,0.0917777778,0.0917777778
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,55,3030,11.828646865,2.9760594059,2.2631221122,2.2631221122
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,637,0.7221350078,0.2185086342,0.1713029827,0.1713029827
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,50,50,62.82,28.8778,21.442,14.5836
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,32,27.2,10.93625,8.5740625,6.515625
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,599.5,185.79382353,141.4,100.42294118
1003889957,SCHROEDER,JENNIFER,S,MD,F,I,521 E MAIN ST,,MT STERLING,IL,623531378,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,28,124,124,89.685483871,33,23.923225806,23.923225806
1003890054,KLEINPELL,GORDON,J,DPM,M,I,2814 LEE BLVD,SUITE 2,LEHIGH ACRES,FL,339711567,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,19,20,95.303,74.13,58.12,62.8675
1003890054,KLEINPELL,GORDON,J,DPM,M,I,2814 LEE BLVD,SUITE 2,LEHIGH ACRES,FL,339711567,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,459.6975,264.03625,198.035,208.555
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,55,124,124,68.371612903,40.979919355,30.812419355,29.298548387
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,90,183,186,166.12182796,96.809516129,72.851290323,65.400913978
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,73,160,284,59.499753521,35.417183099,26.449894366,24.754823944
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,27,72,190,44.023684211,19.478,14.640157895,14.014315789
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,17,59,157,32.323057325,15.532738854,11.063184713,10.842866242
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,34,66,66,124.46681818,59.598181818,43.280454545,39.924545455
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,122,158,158,36.230886076,19.526012658,14.377911392,13.249367089
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,67,118,120,32.421666667,14.081,10.789583333,9.0259166667
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,116,399,1342,4.5932861401,2.1971982116,1.6451639344,1.5257377049
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,14.707647059,6.9005882353,5.1235294118,4.3858823529
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,65,79,80,25.01575,13.657625,9.941875,9.667625
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,28,158,164,187.00079268,92.842256098,69.532560976,64.907865854
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,16,110,121,687.33041322,230.01909091,176.28553719,160.29305785
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,32,32,32,219.6759375,137.2753125,107.6253125,104.8025
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,38,211,223,39.653183857,14.520762332,10.722286996,9.890941704
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,54,328,333,110.90366366,36.164294294,26.728258258,24.590540541
1003890112,WAGNER,LANA,K,MD,F,I,4100 HIGH RESORT BLVD SE,PMG RIO RANCHO HIGH RESORT 4100,RIO RANCHO,NM,871245901,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,138,145,92.238137931,86.09,61.684758621,50.860689655
1003890500,GARTI,JASON,T,M.D.,M,I,800 N WESTMORELAND RD,SUITE 100,LAKE FOREST,IL,600451673,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,17,38,88,78.887386364,8.32,6.1504545455,6.1504545455
1003890500,GARTI,JASON,T,M.D.,M,I,800 N WESTMORELAND RD,SUITE 100,LAKE FOREST,IL,600451673,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,17,13.827058824,1.42,0.9870588235,0.9870588235
1003890500,GARTI,JASON,T,M.D.,M,I,800 N WESTMORELAND RD,SUITE 100,LAKE FOREST,IL,600451673,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,685.384,77.908,59.668666667,53.318666667
1003890500,GARTI,JASON,T,M.D.,M,I,800 N WESTMORELAND RD,SUITE 100,LAKE FOREST,IL,600451673,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,36.82,28.87,29.52
1003890641,DECANDIA,GREGORY,G,MD,M,I,1461 SOUTH BRITAIN ROAD,,SOUTHBURY,CT,064880901,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2464,0.44,0.44,0.3449512987,0.3449512987
1003890641,DECANDIA,GREGORY,G,MD,M,I,1461 SOUTH BRITAIN ROAD,,SOUTHBURY,CT,064880901,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,31,1020,8.28,8.28,6.4860980392,6.4860980392
1003890641,DECANDIA,GREGORY,G,MD,M,I,1461 SOUTH BRITAIN ROAD,,SOUTHBURY,CT,064880901,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,189,10.93,10.93,8.5692063492,8.5692063492
1003890641,DECANDIA,GREGORY,G,MD,M,I,1461 SOUTH BRITAIN ROAD,,SOUTHBURY,CT,064880901,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,12,263.55166667,44.925,35.223333333,36.723333333
1003890716,WHITE,GEORGE,M,M.D.,M,I,801 N ORANGE AVE,SUITE 600,ORLANDO,FL,328011026,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,197,209,209,200,126.69727273,98.162583732,87.252248804
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,42,120,304,70.281447368,8.32,5.5870723684,5.5870723684
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,37,46,16.65826087,1.42,0.8982608696,0.8982608696
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,19,19,75.263157895,38.89,28.885263158,28.885263158
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,260.85357143,86.53,54.76,54.76
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,100.83333333,32.73,19.938333333,20.2
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,168.53333333,54.79,41.577333333,41.487333333
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,18,22,22,56.181818182,17.97,12.948636364,12.932272727
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,19,39,78,5.1538461538,2.03,1.4723076923,1.4723076923
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,39.75,13.43,9.6525,9.4941666667
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,215,46.92,29.041666667,29.465
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,17.27,12.411666667,12.411666667
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,49.5,13.3,10.43,10.4575
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,17.545454545,5.2018181818,4.0818181818,3.9090909091
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,172.60869565,35.299565217,27.674347826,27.152173913
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,54,349.74814815,69.81,51.689444444,51.689444444
1003890864,BIERNAT,BOZENA,J,MD,F,I,555 REDBIRD CIR,SUITE 300,DE PERE,WI,541157977,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,107.57894737,36.14,28.33,29.323684211
1003890898,SCOTT,RAYMOND,H,MD,M,I,235 W 6TH ST,,RENO,NV,895034548,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,41.3,17.09,12.506666667,12.64
1003890898,SCOTT,RAYMOND,H,MD,M,I,235 W 6TH ST,,RENO,NV,895034548,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,40,3.79,2.7415384615,3.1584615385
1003890898,SCOTT,RAYMOND,H,MD,M,I,235 W 6TH ST,,RENO,NV,895034548,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,341.08333333,65.7,49.070833333,52.313611111
1003890898,SCOTT,RAYMOND,H,MD,M,I,235 W 6TH ST,,RENO,NV,895034548,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,165,16.479230769,10.868974359,11.118461538
1003890898,SCOTT,RAYMOND,H,MD,M,I,235 W 6TH ST,,RENO,NV,895034548,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,350,67.44,48.063636364,45.681818182
1003890906,MAYNARD,PRISCA,,M.D.,F,I,111 S GRANT AVE,,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,244.83906977,85.80744186,63.254651163,52.559302326
1003890906,MAYNARD,PRISCA,,M.D.,F,I,111 S GRANT AVE,,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,79.81,20.791818182,16.305454545,14.289090909
1003890906,MAYNARD,PRISCA,,M.D.,F,I,111 S GRANT AVE,,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,31.241428571,10.491428571,8.2185714286,7.0342857143
1003890906,MAYNARD,PRISCA,,M.D.,F,I,111 S GRANT AVE,,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,42,69.7,38.855714286,29.002619048,27.963571429
1003890948,BAUMGRATZ,WILLIAM,A,MD,M,I,232 W 25TH ST,,ERIE,PA,165440002,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,7.9045454545,6.1945454545,3.6854545455
1003891011,NEWELL,KATHRYN,D,M.D.,F,I,4860 Y ST,SUITE 0101,SACRAMENTO,CA,958172307,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,245.00363636,51.13,37.868181818,40.385454545
1003891011,NEWELL,KATHRYN,D,M.D.,F,I,4860 Y ST,SUITE 0101,SACRAMENTO,CA,958172307,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,79.699166667,12.04,8.6533333333,8.3866666667
1003891011,NEWELL,KATHRYN,D,M.D.,F,I,4860 Y ST,SUITE 0101,SACRAMENTO,CA,958172307,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,11.300735294,2,1.43,1.4520588235
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,16,41,78,73.995128205,8.32,5.4338461538,5.4338461538
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.9225,1.42,0.91,0.91
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,28,97.5,33.869642857,26.5525,25.917857143
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,53.012857143,17.94,14.06,14.06
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,22,22,56.783181818,11.08,7.8909090909,8.3209090909
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,19,106,6.6854716981,1.99,1.56,1.5916037736
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,16.655714286,5.77,4.53,4.6507142857
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,650,274.31230769,202.13461538,153.16769231
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,68.073333333,4.75,3.578974359,3.578974359
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,141,31.67,21.728,21.82
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,585.24,74.279166667,52.873333333,49.3825
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,7163,0.927875192,0.0458159989,0.0313136954,0.0313136954
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,990,2.9790505051,0.2187171717,0.1404141414,0.1404141414
1003891086,TAYLOR-STEWART,RITA,J,PA-C,F,I,205 MAIN ST,,VAN HORNE,IA,523469713,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,36,36,33,33,24.432777778,24.432777778
1003891177,DAVIS,SARAH,M,M.D.,F,I,6 FARLEY RD,,BRUNSWICK,ME,040112642,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,22,74,64.670540541,8.32,6.3455405405,6.3455405405
1003891177,DAVIS,SARAH,M,M.D.,F,I,6 FARLEY RD,,BRUNSWICK,ME,040112642,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,14.273333333,1.42,1.1146666667,1.1146666667
1003891177,DAVIS,SARAH,M,M.D.,F,I,6 FARLEY RD,,BRUNSWICK,ME,040112642,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,9.99,9.29,7.28,8.4481818182
1003891177,DAVIS,SARAH,M,M.D.,F,I,6 FARLEY RD,,BRUNSWICK,ME,040112642,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,2.6570454545,2.6509090909,2.0790909091,2.0790909091
1003891177,DAVIS,SARAH,M,M.D.,F,I,6 FARLEY RD,,BRUNSWICK,ME,040112642,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,29.95,4.7169230769,3.3873076923,3.3353846154
1003891177,DAVIS,SARAH,M,M.D.,F,I,6 FARLEY RD,,BRUNSWICK,ME,040112642,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,4608,0.4533528646,0.0457790799,0.0311132813,0.0311132813
1003891177,DAVIS,SARAH,M,M.D.,F,I,6 FARLEY RD,,BRUNSWICK,ME,040112642,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,23.394,23.394
1003891219,BOND,THOMAS,W,M.D.,M,I,1331 MINNICH RD,,NEW HAVEN,IN,467742051,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,48,104,70.810769231,8.32,5.7700961538,5.7700961538
1003891219,BOND,THOMAS,W,M.D.,M,I,1331 MINNICH RD,,NEW HAVEN,IN,467742051,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,15.1725,1.42,1.025,1.025
1003891219,BOND,THOMAS,W,M.D.,M,I,1331 MINNICH RD,,NEW HAVEN,IN,467742051,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,199.41846154,86.675384615,56.917692308,49.523846154
1003891375,KLOTZMAN,LEWIS,,DPM,M,I,5922 YORK RD,,BALTIMORE,MD,212123028,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,40,80,80.775,71.56,54.702375,54.702375
1003891375,KLOTZMAN,LEWIS,,DPM,M,I,5922 YORK RD,,BALTIMORE,MD,212123028,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,231,45,43.56,34.077575758,34.075887446
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,33,108,322,69.786118012,8.32,5.7433850932,5.7433850932
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,2.1681818182,2.1681818182
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,33,57,16.436315789,1.42,0.9968421053,0.9968421053
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,91,201,201,112.72363184,39.691492537,28.742238806,28.185223881
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,64,144,144,244.07784722,86.901944444,61.373402778,61.19125
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,66,159,356,99.48988764,33.509662921,24.467050562,24.16738764
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,24,49,248,54.616330645,18.345846774,13.341169355,13.501935484
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,22,56,293,39.987235495,14.941228669,10.914163823,11.082832765
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,45,105,105,151.5447619,52.58552381,38.06447619,39.585428571
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,100,139,139,54.26057554,18.407769784,13.619280576,13.313597122
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,21,44,44,55.596590909,10.505681818,7.6986363636,8.52
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,104,238,1305,7.4999923372,2.077440613,1.4954712644,1.4676398467
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,65,80,80,32.479375,14.154125,10.3645,9.70575
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1750,913.16,702.87727273,829.21727273
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,85.37,13.47,9.7995,9.724
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,35,152,152,124.64717105,33.582631579,22.561513158,21.402960526
1003891508,COKER,CLARENCE,E,MD,M,I,2006 AUGUSTA HWY,,LEXINGTON,SC,290722208,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,86,86,394.07860465,77.993255814,58.758604651,52.529534884
1003891524,JANSSEN,ANDREW,G,M.D.,M,I,7529 SE TUALATIN VALLEY HWY,,HILLSBORO,OR,971238252,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,38,38,77.45,55.598947368,36.234473684,31.111842105
1003891813,FRELIER,STEVEN,R,MD,M,I,430 CLAREMONT CT,SUITE 213,COLONIAL HEIGHTS,VA,238341770,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,245.50916667,77.36,56.435,51.5875
1003891813,FRELIER,STEVEN,R,MD,M,I,430 CLAREMONT CT,SUITE 213,COLONIAL HEIGHTS,VA,238341770,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,36.68,28.75,29.446666667
1003891854,CIRENZA,EMANUEL,,M.D.,M,I,590 PETER JEFFERSON PLACE,SUITE 175,CHARLOTTESVILLE,VA,229110001,US,Physician/Hematology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,193.2,63.0915,49.462,40.546
1003891854,CIRENZA,EMANUEL,,M.D.,M,I,590 PETER JEFFERSON PLACE,SUITE 175,CHARLOTTESVILLE,VA,229110001,US,Physician/Hematology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,1615,0.7817275542,0.730501548,0.5727120743,0.5727120743
1003892001,SIEGEL,LYDIA,C,"MD, MPH",F,I,301 SOUTH HUNTINGTON AVENUE,,JAMAICA PLAIN,MA,02130,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,31,80.207096774,8.32,5.6796774194,5.6796774194
1003892001,SIEGEL,LYDIA,C,"MD, MPH",F,I,301 SOUTH HUNTINGTON AVENUE,,JAMAICA PLAIN,MA,02130,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,13.015454545,1.42,1.12,1.12
1003892001,SIEGEL,LYDIA,C,"MD, MPH",F,I,301 SOUTH HUNTINGTON AVENUE,,JAMAICA PLAIN,MA,02130,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,3.8769230769,3.0369230769,3.6384615385
1003892027,ROSE,DOUGLAS,J,M.D.,M,I,102 E RAVINE RD,,KINGSPORT,TN,376603814,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,44,83.54,8.32,6.1897727273,6.1897727273
1003892027,ROSE,DOUGLAS,J,M.D.,M,I,102 E RAVINE RD,,KINGSPORT,TN,376603814,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,13.549333333,1.42,0.896,0.896
1003892084,MISISCHIA,MARY,J,D.O.,F,I,801 PRINCETON AVE SW STE 229,,BIRMINGHAM,AL,352111322,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,31,1864,28.817296137,5.2757027897,3.9923229614,3.9923229614
1003892084,MISISCHIA,MARY,J,D.O.,F,I,801 PRINCETON AVE SW STE 229,,BIRMINGHAM,AL,352111322,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,125,16,12.54,12.54
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,29,70,130,7.5194615385,1.4645384615,1.0769230769,1.0806923077
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,12,13,13,82.53,10.073846154,7.2623076923,8.4576923077
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,330.49818182,91.228181818,71.522727273,67.846363636
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,44,139.37818182,34.478181818,24.962045455,24.113863636
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,247.99466667,53.459333333,41.906666667,42.852666667
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,76.613333333,18.512,14.516,14.064
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,18,100.41055556,10.916111111,8.2305555556,8.7977777778
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,24,138,11.107826087,2.1652173913,1.6975362319,1.5949275362
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,48.553571429,12.128571429,9.51,10.293571429
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,107,122,82.601803279,17.29442623,12.700163934,12.643278689
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,15,15,119.49,44.234,32.084666667,35.086
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,1970.8885714,1074.31,832.01214286,832.01214286
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,26,157,174,42.954195402,4.6911494253,3.5355172414,3.5685632184
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,30,208,224,417.87910714,72.111160714,52.979508929,51.154151786
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,250,39.8585,30.8355,29.142
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,9,14,14,14,81.428571429,57,41.497857143,41.497857143
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,34,2010,15.655447761,9.6390447761,7.4269452736,7.4269452736
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,68,3810,16.24775853,11.46403937,8.9174514436,8.9174514436
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,57,14533,0.2238127021,0.0463455584,0.0338987133,0.0338987133
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,25,73,6903,1.4185296248,0.1343300014,0.0915007968,0.0915007968
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,22,94,5970,11.687440536,2.9927688442,2.3039849246,2.3039849246
1003892134,NAMASSIVAYA,NALINI,J,MD,F,I,35 RIVERSIDE DR,,UTICA,NY,135022320,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,47,208,208,89.639423077,33,24.62625,24.62625
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,17,13.12,10.93,8.57,8.57
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,27,4800,0.44,0.44,0.34495,0.34495
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,414,8.28,8.28,6.4916425121,6.4916425121
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,150,10.93,10.93,8.5691333333,8.5691333333
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,237,2.4,2.4,1.8816455696,1.8816455696
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,20,696,3.67,3.67,2.7952155172,2.7952155172
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,27,3296,0.45,0.45,0.3528216019,0.3528216019
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.07,16.5,11.068333333,11.068333333
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1300,1074.31,842.26,842.26
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,67.75,39.505833333,30.968333333,26.705833333
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,66.26,40.796666667,31.983333333,31.983333333
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,244.24,77.297142857,51.957142857,51.04
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,49,49,79.81,20.025510204,14.4,12.896734694
1003892217,GHOUBRIAL,SAM,N,MD,M,I,195 WADSWORTH RD,SUITE 402,WADSWORTH,OH,44281,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,31.536111111,9.0286111111,6.4319444444,5.8752777778
1003892316,JANUMPALLY,LINGAIAH,,MD,M,I,42135 10TH ST W,SUITE # 301,LANCASTER,CA,935347095,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.83,20.9675,16.435,14.493333333
1003892357,VENARSKE,DANIEL,L,M.D,M,I,1513 LAKELAND DR.,SUITE 101,JACKSON,MS,39216,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,35,50,1258.122,19.71,15.451,15.451
1003892357,VENARSKE,DANIEL,L,M.D,M,I,1513 LAKELAND DR.,SUITE 101,JACKSON,MS,39216,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,39,3640,160.76348352,9.8476153846,7.7204972527,7.7204945055
1003892357,VENARSKE,DANIEL,L,M.D,M,I,1513 LAKELAND DR.,SUITE 101,JACKSON,MS,39216,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,34,51,419.93,2.64,2.07,2.07
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,36,103,331,57.512477341,8.3160725076,6.213081571,6.2146223565
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,12.016363636,3.38,2.5295454545,2.5295454545
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,23,54,102,11.729901961,1.42,1.0926470588,1.0926470588
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,86.31,17.36,12.809411765,12.76
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,41.86,5.285,3.0427777778,2.715
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,11.454545455,8.98,9.0127272727
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,69,69,417.36275362,79,53.344637681,47.493043478
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,480,15.58,9.63675,7.4332708333,7.4332708333
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,450,12.86,3.0764666667,2.4119333333,2.4119333333
1003892399,AVERA,LEAH,M,MD,F,I,6147 STATE ROUTE 122 STE 200,,MIDDLETOWN,OH,450055201,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,20,117.15,33,23.283,23.283
1003892423,DRIBAN,DAVID,E,MD,M,I,239 CHRISTIANA RD,,NEW CASTLE,DE,197202907,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,25,53,147,72.63,8.32,6.2720408163,6.2720408163
1003892423,DRIBAN,DAVID,E,MD,M,I,239 CHRISTIANA RD,,NEW CASTLE,DE,197202907,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,33,53,12.99754717,1.42,1.0730188679,1.0730188679
1003892423,DRIBAN,DAVID,E,MD,M,I,239 CHRISTIANA RD,,NEW CASTLE,DE,197202907,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,75,16.858571429,13.215714286,14.345714286
1003892522,SEIFERT,BRENT,W,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,54,140,66.494285714,8.32,5.6178571429,5.6178571429
1003892522,SEIFERT,BRENT,W,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,19,12.869473684,1.42,1.0589473684,1.0589473684
1003892522,SEIFERT,BRENT,W,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,17.15,13.45,13.5355
1003892522,SEIFERT,BRENT,W,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,450.35078431,77.452352941,60.725882353,54.869607843
1003892548,TRUONG,KHAI,C,M.D.,M,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,49.75,23.4625,18.3925,14.031666667
1003892548,TRUONG,KHAI,C,M.D.,M,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,2502.9866667,1074.31,837.48694444,837.48694444
1003892548,TRUONG,KHAI,C,M.D.,M,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,38,41,28.193170732,8.547804878,6.6124390244,4.1087804878
1003892548,TRUONG,KHAI,C,M.D.,M,I,1860 JH OBRYAN AVE,,GRAND RIVERS,KY,420459049,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,361,112.416,86.907,66.405
1003892589,GARROW,GEORGE,C,MD,M,I,100 SHENANGO AVE,,SHARON,PA,161461503,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1980,8.5863636364,7.8663636364,6.0947474747,6.1047626263
1003892589,GARROW,GEORGE,C,MD,M,I,100 SHENANGO AVE,,SHARON,PA,161461503,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,75,21.788,16.086,12.628
1003892589,GARROW,GEORGE,C,MD,M,I,100 SHENANGO AVE,,SHARON,PA,161461503,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,350,97.342666667,72.333333333,51.081333333
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,60,215,434,57.442603687,8.32,6.0884331797,6.0884331797
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,12.082666667,3.38,2.4733333333,2.4733333333
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,40,116,139,15.568920863,1.42,1.0456115108,1.0456115108
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,9,7.88,6.1115185185,6.1115185185
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,50,50,100,83.2336,71.4788,54.8576,54.8575
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,47,47,258,35.744496124,29.19,22.352790698,22.354302326
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,32.315454545,16.990909091,13.318181818,10.027272727
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,51,51,151.49411765,67.565098039,44.930784314,31.034509804
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,12,71,79,53.986835443,22.251012658,17.082151899,13.570506329
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,46.925833333,37.63
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,13,84,84,24.11952381,6.7572619048,4.9078571429,3.3453571429
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,20,130,136,306.5825,103.06308824,78.725955882,53.976176471
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,51.63,44.900769231,35.204615385,29.516153846
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1080,17.762564815,9.6226111111,7.4112777778,7.4112777778
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,18,50,9851,0.5481829256,0.0460308598,0.0318881332,0.0318881332
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,4197,2.983783655,0.1342411246,0.0948606147,0.0948606147
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,1410,12.360822695,3.1362340426,2.3950780142,2.3950780142
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,705,3.660893617,0.2194326241,0.172,0.172
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,47,47,58.352978723,29.304468085,22.362978723,14.39787234
1003892720,PEDERSEN,PAUL,C,M.D.,M,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,21,79,79,44.278481013,33,23.905189873,23.905189873
1003892761,ALLEN,MICHAEL,W,DO,M,I,220 E ROGERS RD,,LONGMONT,CO,805016027,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,44,66.093181818,8.32,6.5231818182,6.5231818182
1003892761,ALLEN,MICHAEL,W,DO,M,I,220 E ROGERS RD,,LONGMONT,CO,805016027,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,195,32.295,19.0525,19.06
1003892761,ALLEN,MICHAEL,W,DO,M,I,220 E ROGERS RD,,LONGMONT,CO,805016027,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,41,394.26195122,70.48,50.403658537,49.925365854
1003892761,ALLEN,MICHAEL,W,DO,M,I,220 E ROGERS RD,,LONGMONT,CO,805016027,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,118.8,39.6,31.05,29.51
1003892779,FAGHIH VASEGHI,MOEIN,,M.D,M,I,282 SOUTH AVE STE 102,,FANWOOD,NJ,070231346,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,46,64.387391304,8.32,6.52,6.52
1003892779,FAGHIH VASEGHI,MOEIN,,M.D,M,I,282 SOUTH AVE STE 102,,FANWOOD,NJ,070231346,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,30.386666667,1.42,1.12,1.12
1003892779,FAGHIH VASEGHI,MOEIN,,M.D,M,I,282 SOUTH AVE STE 102,,FANWOOD,NJ,070231346,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,22.581818182,17.705454545,21.434545455
1003892779,FAGHIH VASEGHI,MOEIN,,M.D,M,I,282 SOUTH AVE STE 102,,FANWOOD,NJ,070231346,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,20.57,6.6831578947,5.2405263158,6.4215789474
1003892787,UMRAN,KUSAI,A,MD,M,I,600 N MAIN ST,,MOUNT VERNON,MO,657121004,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,149.53,58.870625,46.1575,36.46
1003892787,UMRAN,KUSAI,A,MD,M,I,600 N MAIN ST,,MOUNT VERNON,MO,657121004,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,32,22.49,4.8909375,3.835,3.835
1003892787,UMRAN,KUSAI,A,MD,M,I,600 N MAIN ST,,MOUNT VERNON,MO,657121004,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,28,6.06,3.0185714286,2.3621428571,2.3228571429
1003892787,UMRAN,KUSAI,A,MD,M,I,600 N MAIN ST,,MOUNT VERNON,MO,657121004,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,36,324.39,69.99,54.87,54.73
1003892787,UMRAN,KUSAI,A,MD,M,I,600 N MAIN ST,,MOUNT VERNON,MO,657121004,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,24,118.77625,21.559583333,16.904166667,16.476666667
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,52,95,95,71.103473684,45.675157895,33.996631579,29.317368421
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,57,97,97,271.94556701,107.44804124,80.396185567,66.236804124
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,57,114,256,109.6796875,38.368554687,28.679375,24.906757813
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,24,44,197,47.497309645,21.290203046,15.922944162,13.820050761
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,31,49,49,141.22489796,63.743673469,46.78,39.767346939
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,81,100,100,44.8749,21.4876,15.6445,13.3015
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,35,64,64,55.47265625,14.01203125,10.365,8.5784375
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,81,155,912,6.3500548246,2.4144736842,1.7868421053,1.5089364035
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,26,36,36,18.225833333,6.7438888889,4.9988888889,4.3944444444
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,23,26,26,46.108846154,13.850769231,10.465384615,9.9369230769
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,250,95.094090909,69.111818182,57.964545455
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,24,71,71,30.018591549,15.199014085,10.488309859,9.0466197183
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,8.4336363636,6.61,3.8890909091
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,31,166,166,121.96638554,39.615060241,29.318433735,24.060481928
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,87,88,304.98886364,85.830454545,62.475681818,51.871363636
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,34,6995,0.4583959971,0.0462487491,0.0326933524,0.0326933524
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,502,3.54687251,0.2184661355,0.1712948207,0.1712948207
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,41,41,75,41.297073171,30.811707317,28.606829268
1003892829,SCHWARTZ,MARLENE,,M.D.,F,I,112 MANSFIELD AVE,"PULMONARY DISEASE DIVISION, HATCH WING",WILLIMANTIC,CT,062262045,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,18,38,38,33.684210526,33,24.508421053,24.508421053
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,20,20,138.822,41.0065,27.326,26.0035
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,13,26,26,430.03961538,86.611538462,62.488461538,62.560384615
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,22,54,166.82611111,32.371851852,25.378148148,25.893518519
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,64,86.835,17.855625,12.7334375,13.31015625
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,58,71.696206897,15.10137931,10.372413793,10.427241379
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,20,37,37,262.64945946,52.838918919,38.103513514,39.442432432
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,31,40,40,74.398,17.6085,13.122,13.3695
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,39,39,80.986410256,10.452051282,7.7943589744,8.6366666667
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,26,52,296,10.043310811,2.0458108108,1.5079054054,1.4942905405
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,16,16,24.26875,6.02,4.72,4.6675
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,19,27,27,46.824814815,13.44962963,10.145185185,9.9688888889
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,43,40.321860465,18.065116279,13.021162791,12.49744186
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,1488.4,1037.0086667,762.244,762.244
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,31,50.73,3.7819354839,2.5674193548,3.1496774194
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,420.51619048,36.759047619,19.138571429,14.473333333
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,67,76,332.99828947,79.39,58.26,52.085263158
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,J7612,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3300,1.4158151515,0.2094545455,0.1642181818,0.1642181818
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,12,39,4367,0.8281222807,0.0461735745,0.0317815434,0.0317792535
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,2670,1.9452958801,0.1330674157,0.0982247191,0.0982247191
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,2460,9.7917764228,3.1477804878,2.4245,2.4245
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,101.83473684,40.62,28.497368421,27.025789474
1003892860,HARMON,KEITH,,MD,M,I,6490 EXCELSIOR BLVD,SUITE W300,ST LOUIS PARK,MN,554264705,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,20,65,65,39.092307692,33,24.278,24.278
1003892886,BETTS,CHARLES,S,M.D.,M,I,1831 N FAYETTEVILLE ST,,ASHEBORO,NC,272033273,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,52.302727273,16.66,13.06,13.496363636
1003892886,BETTS,CHARLES,S,M.D.,M,I,1831 N FAYETTEVILLE ST,,ASHEBORO,NC,272033273,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,306.34416667,81.64,58.666666667,50.941666667
1003892886,BETTS,CHARLES,S,M.D.,M,I,1831 N FAYETTEVILLE ST,,ASHEBORO,NC,272033273,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,990,2.4093333333,0.1351818182,0.105979798,0.105979798
1003892886,BETTS,CHARLES,S,M.D.,M,I,1831 N FAYETTEVILLE ST,,ASHEBORO,NC,272033273,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,74.684210526,33,24.508421053,24.508421053
1003892894,LOPEZ,CARLOS,A,"M.D.,M.P.H.",M,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,47,114,78.019385965,8.32,5.7234210526,5.7234210526
1003892894,LOPEZ,CARLOS,A,"M.D.,M.P.H.",M,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,22,14.942727273,1.42,1.0672727273,1.0672727273
1003892894,LOPEZ,CARLOS,A,"M.D.,M.P.H.",M,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,185,14.884810811,9.86,7.73,7.73
1003892894,LOPEZ,CARLOS,A,"M.D.,M.P.H.",M,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,660,2.3823787879,1.95,1.5288333333,1.5288333333
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,130.33333333,58.11,45.56,37.218333333
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,151.83333333,59.136666667,46.362,41.574666667
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,388.5,178.54583333,139.9775,128.585
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,16,59,59,240,63.013050847,49.407118644,42.461355932
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,25.2,7.3621428571,5.7678571429,3.9064285714
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,19,19,19,98.947368421,47.205263158,37.009473684,31.011578947
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,21,80,80,77.925,24.7125,18.96025,15.56425
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,141.28,41.715714286,32.698571429,22.996428571
1003892951,SIMMONS,CAROL,W,"RN,FNP,APN",F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,54,54,24.466666667,11.58,8.7896296296,7.1381481481
1003892993,SEMRAD,ALISON,,D.O.,F,I,4150 V ST,#3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,56,289,81.811591696,8.32,6.1697231834,6.1697231834
1003892993,SEMRAD,ALISON,,D.O.,F,I,4150 V ST,#3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,21,65,22.045384615,1.42,1.0618461538,1.0618461538
1003893033,HAMM,RONALD,,PA,M,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,2.0516666667,1.3966666667,0.9583333333
1003893033,HAMM,RONALD,,PA,M,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,115.8075,90.7975,62.32375
1003893033,HAMM,RONALD,,PA,M,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.7882916667,8.7882916667
1003893033,HAMM,RONALD,,PA,M,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1500,0.3148,0.04656,0.02174,0.02174
1003893033,HAMM,RONALD,,PA,M,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,41,5130,0.9497076023,0.1345497076,0.090454191,0.090454191
1003893033,HAMM,RONALD,,PA,M,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,30,1800,12.86,3.0370666667,2.2408555556,2.2408555556
1003893033,HAMM,RONALD,,PA,M,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,55,55,126.6,33,22.981454545,22.981454545
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,39,89,221,71.671900452,8.32,6.1087782805,6.1087782805
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,23,52,70,15.427571429,1.42,1.068,1.068
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,210,5.9016190476,5.54,4.1127142857,4.1127142857
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.1578333333,2.02,1.4516944444,1.4516944444
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,24,50,50,188.8872,96.455,70.8078,63.3064
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,69.77,38.911111111,30.51,26.797777778
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,26,53,41.662075472,20.256037736,13.593018868,12.355471698
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,18,30,30,118.03333333,56.211333333,41.198333333,40.010333333
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,39,52,52,37.428269231,19.816923077,14.078846154,12.742307692
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,38,74,74,41.139189189,13.285405405,9.5872972973,8.4902702703
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,37,79,186,4.8084946237,2.2969892473,1.6697311828,1.4882795699
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,18,19,19,15.334736842,6.2394736842,4.3921052632,4.1605263158
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,27,33,33,21.025151515,13.510606061,9.9733333333,9.7242424242
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5190,0.7732369942,0.6121310212,0.4729576108,0.4866801541
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,87,87,44.620574713,17.25,13.209195402,13.229195402
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,33.309375,4.5625,3.57375,3.523125
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,96.99,31.341071429,22.534285714,22.543571429
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.504166667,5.1,3.3333333333,3.8816666667
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,164,164,106.81512195,69.62,52.175853659,52.316280488
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,50,5414,0.369268563,0.0463206502,0.035467307,0.035467307
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,50.22,39.68,29.4745,27.9545
1003893082,ONEILL,DOUGLAS,B,MD,M,I,71 HOSPITAL AVE,,NORTH ADAMS,MA,01247,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,43,43,33,33,24.666744186,24.666744186
1003893116,KIM,YOON,J,MD,F,I,9114 PHILADELPHIA RD SUITE 108,"STE 108, MEDICAL HEALTH GROUP AT WHITE MARSH",BALTIMORE,MD,212374317,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,41,129,66.412713178,8.32,5.6124806202,5.6124806202
1003893116,KIM,YOON,J,MD,F,I,9114 PHILADELPHIA RD SUITE 108,"STE 108, MEDICAL HEALTH GROUP AT WHITE MARSH",BALTIMORE,MD,212374317,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,30,14.623333333,1.42,1.0046666667,1.0046666667
1003893132,BUTTNER,WILLIAM,M,MD,M,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,14.595384615,1.42,1.0307692308,1.0307692308
1003893132,BUTTNER,WILLIAM,M,MD,M,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,103.81272727,81.393636364,81.393636364
1003893132,BUTTNER,WILLIAM,M,MD,M,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,44.597272727,34.966363636,34.966363636
1003893215,HOLTHAUS,KEVIN,,MD,M,I,1361 13TH AVE S,STE 150,JACKSONVILLE BEACH,FL,322503233,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,155.01818182,50.905454545,39.91,40.514545455
1003893215,HOLTHAUS,KEVIN,,MD,M,I,1361 13TH AVE S,STE 150,JACKSONVILLE BEACH,FL,322503233,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,42.162727273,29.381818182,29.381818182
1003893215,HOLTHAUS,KEVIN,,MD,M,I,1361 13TH AVE S,STE 150,JACKSONVILLE BEACH,FL,322503233,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,216.99272727,32.727272727,23.52,23.376363636
1003893264,LINGELBACH-LORENZ,ANNA,S,PA-C,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Physician Assistant,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,142,13.31,10.93,8.5691549296,8.5691549296
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,33,80,230,67.530782609,8.32,5.739,5.739
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,35,15.662857143,1.42,1.0205714286,1.0205714286
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,86.31,17.695,13.025,12.6925
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,41.882142857,4.64,2.6,2.4142857143
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,57,499.33526316,94.679649123,71.35,53.358070175
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,477.36,44.560909091,34.938181818,29.515454545
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2220,1.8230315315,0.1332162162,0.0946486486,0.0946486486
1003893322,SMITH,DIANE,E,MD,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,52.8,33,23.283,23.283
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,45,120,255,50.589019608,8.32,5.8832941176,5.8832941176
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,26,26,14.610769231,3.38,2.5480769231,2.5480769231
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,14,15,15,18.922666667,2.12,1.67,1.67
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,26,40,60,14.340166667,1.42,1.023,1.023
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,20,8.19,1.931,1.513,1.1855
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,77.13,19.732727273,14.982424242,11.404848485
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,312.41875,72.02875,50.579375,37.5025
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,102.21588235,18.347058824,13.788823529,8.5835294118
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,23,130,14.228769231,2.9523076923,2.2330769231,1.5196923077
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,86.31,22.9084375,17.9584375,13.53
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1048.7,810.22416667,830.30416667
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,81.75,16.798888889,12.483333333,9.8533333333
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,50.73,6.7204347826,4.9530434783,3.232173913
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,257.82,42.873783784,32.915945946,23.378918919
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,82,82,519.51,106.01902439,78.903292683,51.806829268
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,13.94,11.325461538,8.8792564103,8.8792564103
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1589,1.0021334172,0.1344933921,0.0917180617,0.0917180617
1003893330,DIPONIO,RUSSELL,,MD,M,I,4444 W BRISTOL RD STE 150,,FLINT,MI,48507,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,31,125.61290323,33,23.760322581,23.760322581
1003893355,KASPERBAUER,JAN,L,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,19,7810,2.7235083227,0.3097221511,0.2428194622,0.2430371319
1003893413,HOPPS,CARIN,V,M.D.,F,I,2120 W CENTRAL AVE,,TOLEDO,OH,436063834,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,4284,3.8905882353,1.92,1.467875817,1.5543020542
1003893413,HOPPS,CARIN,V,M.D.,F,I,2120 W CENTRAL AVE,,TOLEDO,OH,436063834,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,34,22.215882353,10.93,8.065,8.065
1003893454,WAGLE,NIKHIL,S,MD,M,I,2001 5TH ST,SUITE 49,SILVIS,IL,61282,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,102,114,114,67.401140351,67.251929825,51.269649123,50.381315789
1003893454,WAGLE,NIKHIL,S,MD,M,I,2001 5TH ST,SUITE 49,SILVIS,IL,61282,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,25,48.954,48.954,38.3768,41.9016
1003893454,WAGLE,NIKHIL,S,MD,M,I,2001 5TH ST,SUITE 49,SILVIS,IL,61282,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,91,97,172,50.759360465,49.85627907,39.088023256,41.918895349
1003893454,WAGLE,NIKHIL,S,MD,M,I,2001 5TH ST,SUITE 49,SILVIS,IL,61282,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,23,42,112.52380952,63.91952381,49.125238095,50.912619048
1003893538,RIVERA,JUAN,J,D.P.M.,M,I,2835 W DE LEON ST,SUITE 101,TAMPA,FL,336094168,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,133,71.56,54.825555556,54.825555556
1003893538,RIVERA,JUAN,J,D.P.M.,M,I,2835 W DE LEON ST,SUITE 101,TAMPA,FL,336094168,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,102,81,43.56,33.344705882,33.343235294
1003893538,RIVERA,JUAN,J,D.P.M.,M,I,2835 W DE LEON ST,SUITE 101,TAMPA,FL,336094168,US,Podiatry,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,20,22,100.75,91.59,71.808181818,71.808181818
1003893538,RIVERA,JUAN,J,D.P.M.,M,I,2835 W DE LEON ST,SUITE 101,TAMPA,FL,336094168,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,488.16666667,266.98,203.97333333,211.95666667
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,25,69,171,62.01619883,8.32,6.1783625731,6.1783625731
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,26,31,21.722258065,1.42,1.1167741935,1.1167741935
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,34,249.22647059,71.56,49.504411765,49.504411765
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,78,60.615641026,29.19,22.334358974,22.336025641
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,38.269090909,25.683636364,20.132727273,14.767272727
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,41.203636364,22.559090909,17.684545455,10.158181818
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,6.9206060606,3.3509090909,2.6274242424,1.7165151515
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,136.94,86.2555,67.622,42.839
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,70,70,37.121428571,21.985,16.040571429,12.607
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,21.473333333,9.5346666667,7.476,4.1533333333
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,122.67307692,52.870769231,41.453846154,31.351923077
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,120,68.068571429,53.365714286,39.807142857
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,108,110,294.78163636,98.730181818,72.815909091,53.246636364
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,49,49,66.073469388,30.435102041,23.469591837,14.468163265
1003893579,WATKINS-BROWN,FELICIA,A,M.D.,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,108,43.868333333,34.3875,23.329166667
1003893595,MISTRY,VIJAY,G,M.D.,M,I,6770 MAYFIELD RD # 425,,MAYFIELD HTS,OH,441242299,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3750,2480.02,1944.335,1944.335
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,19,19.623684211,7.04,5.52,6.4905263158
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,29,48,13.203333333,4.0958333333,3.1433333333,3.1454166667
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,44,1020,11.040470588,5.7317647059,4.4657941176,4.4722647059
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,217,7.7841474654,2.8966359447,2.2707373272,2.2812442396
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,62,302,14.728245033,6.4390728477,5.0145033113,5.0151655629
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,295,25.603932203,9.86,7.3369830508,7.3369830508
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,40,1070,13.195794393,6.9629906542,5.0828691589,5.1007476636
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,680,14.642647059,5.5364705882,4.0032058824,4.0063235294
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,33,1120,8.1043571429,4.0285714286,2.9662321429,2.9673571429
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,23,51,3400,0.7101323529,0.27,0.2085264706,0.2085264706
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,43,1110,7.9315945946,3.9685585586,3.1025585586,3.1036936937
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,28,560,6.036875,3.0367857143,2.1938571429,2.1965892857
1003893629,WATERS,GREGORY,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,23,54,3200,0.556809375,0.259296875,0.188575,0.195390625
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,22,109,44.125504587,8.32,5.0864220183,5.0864220183
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,17,43,17.558139535,1.42,0.906744186,0.906744186
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,8.19,2.12875,1.589375,1.078125
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,17,32,32,288.48875,111.153125,78.11,60.7628125
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,12,27,57,136.02105263,42.603508772,30.312982456,22.997192982
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,54,53.943518519,24.837407407,19.465185185,14.544814815
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,19,30,30,151.86533333,74.637333333,52.699333333,38.467666667
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,32,39,39,51.945897436,23.157948718,15.455128205,11.665641026
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,31,57,57,57.333333333,18.240175439,13.030701754,8.3873684211
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,33,65,320,8.31996875,2.944375,2.189625,1.54025
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,24,24,21.431666667,7.69125,5.60625,4.38625
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,18,20,20,28.45,15.304,10.3035,8.789
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,32.5,11.534545455,7.2636363636,5.4209090909
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,80,82,57.570853659,21.63304878,15.829512195,14.168536585
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,2790.6257143,913.16,715.92,842.26
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,20.3,6.2013043478,4.6513043478,3.3304347826
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,39,112.97923077,43.969230769,33.422307692,27.721538462
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,20,107,109,365.61669725,98.062293578,71.988623853,59.212568807
1003893652,DUGGAN,FREDERICK,T,M.D.,M,I,1600 22ND AVE,MEDICAL TOWERS III,MERIDIAN,MS,393013223,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,250,46.365,36.3525,29.519166667
1003893702,HARTLEY,PATRICK,G,MD MBBCH,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,99,22.4775,16.3775,14.8725
1003893702,HARTLEY,PATRICK,G,MD MBBCH,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,272.57142857,106.38666667,77.717619048,57.951904762
1003893702,HARTLEY,PATRICK,G,MD MBBCH,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,18.883166667,9.6325,7.551875,7.551875
1003893702,HARTLEY,PATRICK,G,MD MBBCH,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1092,8.7787637363,2.9422893773,2.3067582418,2.3067582418
1003893702,HARTLEY,PATRICK,G,MD MBBCH,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,33,33,25.87,25.87
1003893751,DENNEY,BRUCE,W,MD,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,93.440769231,34.406923077,24.990384615,23.867692308
1003893751,DENNEY,BRUCE,W,MD,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,74.269333333,15.21,11.5275,11.500166667
1003893751,DENNEY,BRUCE,W,MD,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,297.50285714,54.279285714,36.171428571,36.74
1003893751,DENNEY,BRUCE,W,MD,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,17,17,66.48,18.827647059,11.345882353,10.775294118
1003893751,DENNEY,BRUCE,W,MD,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,75.692727273,13.557272727,8.8554545455,7.5127272727
1003893751,DENNEY,BRUCE,W,MD,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,24,144,10.795833333,2.1025,1.3776388889,1.3269444444
1003893751,DENNEY,BRUCE,W,MD,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,228.8,65.7,48.076,50.920666667
1003893801,NGUYEN,THERESA THANH,N,M.D.,F,I,15576 BROOKHURST ST STE B,,WESTMINSTER,CA,926837586,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,82,245,517,47.935125725,8.32,5.0804255319,5.0804255319
1003893801,NGUYEN,THERESA THANH,N,M.D.,F,I,15576 BROOKHURST ST STE B,,WESTMINSTER,CA,926837586,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,38,77,205,224,15.6596875,1.42,0.8591964286,0.8591964286
1003893801,NGUYEN,THERESA THANH,N,M.D.,F,I,15576 BROOKHURST ST STE B,,WESTMINSTER,CA,926837586,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,360,71.11,55.75,54.73
1003893801,NGUYEN,THERESA THANH,N,M.D.,F,I,15576 BROOKHURST ST STE B,,WESTMINSTER,CA,926837586,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2498,0.4148078463,0.0466333066,0.0332385909,0.0332385909
1003893801,NGUYEN,THERESA THANH,N,M.D.,F,I,15576 BROOKHURST ST STE B,,WESTMINSTER,CA,926837586,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,74.35,36,28.22,29.51
1003893801,NGUYEN,THERESA THANH,N,M.D.,F,I,15576 BROOKHURST ST STE B,,WESTMINSTER,CA,926837586,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,85.105263158,33,25.228421053,25.228421053
1003893926,CHUNG,EUGENE,,M.D.,M,I,2123 AUBURN AVE,SU. 137,CINCINNATI,OH,452192906,US,Physician/Undefined Physician type[6],S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,56,58,844.74931034,19.699310345,15.442068966,15.442068966
1003893926,CHUNG,EUGENE,,M.D.,M,I,2123 AUBURN AVE,SU. 137,CINCINNATI,OH,452192906,US,Physician/Undefined Physician type[6],S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,59,329,519.1987234,37.353100304,29.285045593,29.285045593
1003893926,CHUNG,EUGENE,,M.D.,M,I,2123 AUBURN AVE,SU. 137,CINCINNATI,OH,452192906,US,Physician/Undefined Physician type[6],S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,43.31875,17.335,12.9834375,12.935625
1003893926,CHUNG,EUGENE,,M.D.,M,I,2123 AUBURN AVE,SU. 137,CINCINNATI,OH,452192906,US,Physician/Undefined Physician type[6],S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,1171.55,201.29583333,157.81583333,157.81583333
1003893926,CHUNG,EUGENE,,M.D.,M,I,2123 AUBURN AVE,SU. 137,CINCINNATI,OH,452192906,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,251.47,78.18125,57.586875,51.5346875
1003893926,CHUNG,EUGENE,,M.D.,M,I,2123 AUBURN AVE,SU. 137,CINCINNATI,OH,452192906,US,Physician/Undefined Physician type[6],S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,59,2437,65.716565449,1.5909971276,1.2472917522,1.2472917522
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,30,70,197,58.854720812,8.32,6.2659898477,6.2659898477
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,11,22,22,13.280909091,3.38,2.4659090909,2.4659090909
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,19,36,48,14.008125,1.42,1.0466666667,1.0466666667
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,7.6716666667,1.3833333333,0.90625,0.9679166667
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,9.14,7.1666666667,7.2633333333
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,200,49.04,33.323571429,32.621428571
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,200.86428571,49.168571429,33.236428571,32.593571429
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,48,48,33.736875,5.5764583333,4.06125,3.37875
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,26,447.34769231,79.88,62.62,55.631538462
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2100,1.2053190476,0.1333714286,0.0890380952,0.0890380952
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,11.278988095,2.9481428571,2.3113690476,2.3113690476
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,83.22,17.5825,9.54,9.9741666667
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,26.983636364,21.152727273,20.565454545
1003893934,KORKIGIAN,ARMEN,A,DO,M,I,2635 COOLIDGE HWY,,BERKLEY,MI,480721554,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,37,37,110.59459459,33,21.674864865,21.674864865
1003893967,KOENIG,JOSEPH,,M.D.,M,I,13600 E 86TH ST N,STE 400,OWASSO,OK,740558731,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,72,162,55.637469136,8.32,5.5554320988,5.5554320988
1003893967,KOENIG,JOSEPH,,M.D.,M,I,13600 E 86TH ST N,STE 400,OWASSO,OK,740558731,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,21,11.980952381,1.42,0.9038095238,0.9038095238
1003894007,LEMME,DAVID,R,"D.O., M.P.H.",M,I,165 SE ELY ST,,OAK HARBOR,WA,982773748,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,42,48.821190476,8.32,6.2104761905,6.2104761905
1003894007,LEMME,DAVID,R,"D.O., M.P.H.",M,I,165 SE ELY ST,,OAK HARBOR,WA,982773748,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,22.688571429,17.786190476,13.816666667
1003894007,LEMME,DAVID,R,"D.O., M.P.H.",M,I,165 SE ELY ST,,OAK HARBOR,WA,982773748,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,102.96090909,78.006818182,52.242272727
1003894007,LEMME,DAVID,R,"D.O., M.P.H.",M,I,165 SE ELY ST,,OAK HARBOR,WA,982773748,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,588,12.695816327,3.1045748299,2.434047619,2.434047619
1003894056,CASEY,MICHAEL,J,M.D.,M,I,3604 BUSH ST,2ND FLOOR,RALEIGH,NC,276097511,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,3210,6.1579190031,0.5681214953,0.4139501558,0.4139501558
1003894056,CASEY,MICHAEL,J,M.D.,M,I,3604 BUSH ST,2ND FLOOR,RALEIGH,NC,276097511,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,3300,0.0910727273,0.0131363636,0.0098060606,0.0098060606
1003894056,CASEY,MICHAEL,J,M.D.,M,I,3604 BUSH ST,2ND FLOOR,RALEIGH,NC,276097511,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1980,2.3783333333,0.7385454545,0.579020202,0.579020202
1003894056,CASEY,MICHAEL,J,M.D.,M,I,3604 BUSH ST,2ND FLOOR,RALEIGH,NC,276097511,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,5556,4.4070770338,1.2315784737,0.9128923686,0.9128923686
1003894056,CASEY,MICHAEL,J,M.D.,M,I,3604 BUSH ST,2ND FLOOR,RALEIGH,NC,276097511,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1860,4.750827957,2.7938387097,2.1903548387,2.1903548387
1003894056,CASEY,MICHAEL,J,M.D.,M,I,3604 BUSH ST,2ND FLOOR,RALEIGH,NC,276097511,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,39,25.076923077,24,18.350769231,18.350769231
1003894056,CASEY,MICHAEL,J,M.D.,M,I,3604 BUSH ST,2ND FLOOR,RALEIGH,NC,276097511,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,69,88,16,16,11.828295455,11.828295455
1003894114,HAIKES,SUSAN,U,MSN CRNP,F,I,334 MAIN ST,,DICKSON CITY,PA,185191668,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,71.69,59.74,46.83,46.375
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1560,0.4969230769,0.13,0.1019102564,0.1019102564
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,4220,2.3245971564,1.73,1.3375094787,1.5805450237
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,6084,10.830226824,7.1941814596,5.627504931,5.6555802104
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,84,255,29.487058824,10.902235294,8.0433333333,8.0650588235
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,27,870,9.784183908,3.9,2.951816092,2.951816092
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,46,19.363913043,7.7669565217,5.9580434783,6.3626086957
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,26,19.253846154,4.1,3.2134615385,3.2134615385
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,610,10.980327869,5.74,4.5000655738,4.5000655738
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,350,21.793,9.2,7.2128857143,7.2128857143
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,17,152,3.1639473684,1.7684210526,1.3861184211,1.4108552632
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,114,12.785350877,6.44,5.0485087719,5.0485087719
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,680,16.765808824,9.86,7.5870441176,7.5870441176
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,1200,16.3409,7,5.488,5.488
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,140,20.1515,9.58,7.5103571429,7.5103571429
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,48,1860,8.2369784946,4.0363870968,3.1645322581,3.1673709677
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,1482,0.842780027,0.4,0.2627935223,0.2627935223
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,32,2543,0.6133621707,0.27,0.2116673221,0.2116673221
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,45,2264,0.7891519435,0.27,0.2069787986,0.2069787986
1003894197,STECKEL,JOPH,,MD,M,I,535 PLANDOME RD,,MANHASSET,NY,110301961,US,Physician/Urology,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,19,39.674210526,17.84,13.984210526,13.984210526
1003894213,SMITH,CURTIS,N,MD,M,I,110 W CASTLE ST,SUITE 200,MOUNT SHASTA,CA,960672206,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,583.14916667,83.776666667,65.68,61.48
1003894262,STARK,HEATHER,,MD,F,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,44,110,48.048090909,8.32,5.3951818182,5.3951818182
1003894262,STARK,HEATHER,,MD,F,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,14.3248,3.38,2.332,2.332
1003894262,STARK,HEATHER,,MD,F,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,23.181428571,2.12,1.4314285714,1.4314285714
1003894262,STARK,HEATHER,,MD,F,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,32,45,14.036888889,1.42,1.0151111111,1.0151111111
1003894262,STARK,HEATHER,,MD,F,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,49.363636364,20.202727273,15.835454545,9.12
1003894262,STARK,HEATHER,,MD,F,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,32.462903226,7.0522580645,4.8358064516,3.0329032258
1003894270,WILLIAMS,FRANCES,A,MD,F,I,9507 HOSPITAL AVENUE,,NASSAWADOX,VA,23413,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,39.55,22.125714286,17.345238095,13.53
1003894270,WILLIAMS,FRANCES,A,MD,F,I,9507 HOSPITAL AVENUE,,NASSAWADOX,VA,23413,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,235.2,99.926666667,78.344285714,54.73
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,51,125,315,59.230126984,8.32,5.6821269841,5.6821269841
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.4291666667,2.4291666667
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,20.525454545,2.12,1.5181818182,1.5181818182
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,28,52,76,11.796973684,1.4073684211,1.0471052632,1.0569736842
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,29.503333333,29.503333333,23.134166667,23.28
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.8,2.27,1.7397922078,1.7397922078
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,23,11.866956522,10.867391304,8.5230434783,8.5708695652
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,533,12.83380863,7.8946904315,6.189380863,4.3075984991
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,9275,0.676683558,0.4007633423,0.3142005391,0.2430436658
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,15,89,101,73.931980198,23.243069307,17.568118812,13.748811881
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,37.818,9.2293333333,7.2366666667,4.0463333333
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,28,173,192,399.28973958,103.11760417,78.356197917,56.365364583
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,34,8699,0.3437831935,0.0452040464,0.0341280607,0.0341280607
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,3770,1.7074960212,0.1349098143,0.1029124668,0.1029124668
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,66.604545455,35.813636364,28.078181818,16.544545455
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,111.99,57.070833333,44.746666667,23.285
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,56.79,40.729411765,29.997058824,27.843529412
1003894403,JONES,STANLEY,G,M.D.,M,I,1012 N MAIN ST,,SIKESTON,MO,638015044,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,46,46,33.52173913,33,25.571956522,25.571956522
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,32,86.088125,8.32,6.520625,6.520625
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,42.36,15.24,10.954166667,12.098333333
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,5.92,2.27,1.6228831169,1.6228831169
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,17.34,10.93,7.7909090909,7.7909090909
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,46,19.704782609,7.06,5.2943478261,5.6123913043
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,15.7,4.23,3.3163333333,3.2456666667
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4829,3.5979498861,0.37,0.2900683371,0.2900683371
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,34.7,11.781818182,9.2390909091,9.7127272727
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,47.049090909,36.883636364,38.434545455
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,3,,23,34,1423.7117647,1074.31,842.26,842.26
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1995,1074.31,836.28208333,836.28208333
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,128.98,44.860588235,33.249411765,35.072941176
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,69.89,15.479230769,12.133076923,14.517692308
1003894429,RESNICK,JACK,,M.D.,M,I,501 MAIN ST,,ROOSEVELT ISLAND,NY,100440025,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,20.57,7.1802941176,5.6291176471,6.8444117647
1003894460,SINICROPI,STEFANO,M,MD,M,I,7373 FRANCE AVE S STE 408,,EDINA,MN,554354549,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,19,19,19,4995,4378.96,3433.11,3433.11
1003894544,BURNS,DAVID,,PA-C,M,I,400 CELEBRATION PL,SUITE A350,CELEBRATION,FL,347474970,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,32,53,170,62.624764706,8.32,5.6017058824,5.6017058824
1003894544,BURNS,DAVID,,PA-C,M,I,400 CELEBRATION PL,SUITE A350,CELEBRATION,FL,347474970,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,21,27,14.152592593,1.42,0.9503703704,0.9503703704
1003894544,BURNS,DAVID,,PA-C,M,I,400 CELEBRATION PL,SUITE A350,CELEBRATION,FL,347474970,US,Physician Assistant,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,483.23,117.02,74.947142857,74.947142857
1003894619,YODER,CORDELL,L,MD,M,I,1701 SOUTH BLVD EAST,STE 250,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,77,46.490909091,8.32,6.1827272727,6.1827272727
1003894619,YODER,CORDELL,L,MD,M,I,1701 SOUTH BLVD EAST,STE 250,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,29,13.969655172,1.42,1.0379310345,1.0379310345
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,16,28,56,8.19,1.45,1.0539285714,1.0682142857
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,236.83733333,100.01,78.41,69.258
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,32,112.890625,38.72,30.3571875,26.1975
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,18,33,142,58.697464789,21,14.970915493,13.328380282
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,41,203,43.584679803,16.048522167,11.549753695,10.911773399
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,34,73,73,158.1869863,61.823287671,45.76,40.61739726
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,40,51,51,49.891372549,18.328431373,13.526470588,13.239411765
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,42,87,87,63.685172414,14.972528736,11.203333333,8.8370114943
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,42,90,488,9.3536885246,2.3977868852,1.8061885246,1.5453688525
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,23,30,30,28.420666667,12.46,9.77,10.321
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,71,71,57.015633803,18,13.116338028,12.650704225
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,51.88,40.67,41.705833333
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50,39.2,37.760833333
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,832.47833333,832.47833333
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,308,96,75.264,65.602
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,45.0695,15.2,9.536,8.456
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,22,156,159,50.014654088,5.8250314465,4.042327044,3.2033962264
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,21,123,123,162.67081301,36.981056911,24.386910569,20.62300813
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,25,198,202,365.25014851,90.311287129,66.852326733,53.599158416
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,109.855,35.11,27.53,29.38625
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1260,15.58,9.6219285714,7.3158571429,7.3158571429
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,29,101,20557,0.2323242691,0.0466021307,0.0329941139,0.0329941139
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,4732,3.7428529163,0.0773372781,0.0489180051,0.0489158918
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1140,11.504157895,3.1652368421,2.4815789474,2.4815789474
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,31,113,5173,1.712284941,0.2189773826,0.1502165088,0.1502165088
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,142.27578947,36.183684211,25.193157895,26.013157895
1003894692,BARRIO,JUAN,L,M.D.,M,I,9495 SW 72ND ST,SUITE B210,MIAMI,FL,331733253,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,34,143,143,87.965034965,33,24.032167832,24.032167832
1003894700,MANN-HARBONIC,BARBARA,L,MD,F,I,7173 BERNVILLE RD,,BERNVILLE,PA,195068624,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,49,150,56.331266667,8.32,6.1713333333,6.1713333333
1003894700,MANN-HARBONIC,BARBARA,L,MD,F,I,7173 BERNVILLE RD,,BERNVILLE,PA,195068624,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,25,32,12.565,1.42,1.01125,1.01125
1003894700,MANN-HARBONIC,BARBARA,L,MD,F,I,7173 BERNVILLE RD,,BERNVILLE,PA,195068624,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1080,1.1303333333,0.1365555556,0.1070555556,0.1070555556
1003894700,MANN-HARBONIC,BARBARA,L,MD,F,I,7173 BERNVILLE RD,,BERNVILLE,PA,195068624,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,72.6,33,24.145333333,24.145333333
1003894726,FERNANDEZ,JOSE,J,MD,M,I,2404 E RIVER RD,BLD 2 STE 100,TUCSON,AZ,857186520,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,250,42.101052632,29.838421053,30.758947368
1003894775,ROBERTS,AMY,E,M.D.,F,I,8888 LADUE RD STE 210,,SAINT LOUIS,MO,631242056,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,21,94.680952381,8.32,2.7952380952,2.7952380952
1003894775,ROBERTS,AMY,E,M.D.,F,I,8888 LADUE RD STE 210,,SAINT LOUIS,MO,631242056,US,Physician/Emergency Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,175.22,28.06,14.024545455,16.144545455
1003894932,GARNER,ANDREW,W,M.D.,M,I,8 HARRISON AVE,,GLENS FALLS,NY,128012828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,16,35,56.382571429,8.32,6.15,6.15
1003894932,GARNER,ANDREW,W,M.D.,M,I,8 HARRISON AVE,,GLENS FALLS,NY,128012828,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,52.486666667,4.0766666667,2.5786666667,2.9233333333
1003895095,STITT,ALYSSA,L,MD,F,I,1230 E MAIN STREET,MANKATO CLINIC,MANKATO,MN,560028674,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,26,68,179,72.278547486,8.32,5.6478212291,5.6478212291
1003895095,STITT,ALYSSA,L,MD,F,I,1230 E MAIN STREET,MANKATO CLINIC,MANKATO,MN,560028674,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,27,16.52037037,1.42,0.9085185185,0.9085185185
1003895095,STITT,ALYSSA,L,MD,F,I,1230 E MAIN STREET,MANKATO CLINIC,MANKATO,MN,560028674,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,20,4.7615789474,3.5557894737,3.5557894737
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,296,435,435,124.85124138,40.406482759,29.038068966,28.172827586
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,20,38,6.0926315789,1.68,1.1805263158,1.0289473684
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,30,192,308,308,381.63327922,92.805324675,67.733311688,63.981980519
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,31,188,371,719,148.88465925,34.747746871,25.864923505,24.844394993
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,23,188,329,1314,84.61130898,20.199824962,15.045707763,13.916499239
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,25,239,427,1665,60.56242042,15.75951952,11.285867868,10.873633634
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,33,402,666,667,220.25641679,58.819190405,42.063388306,39.362668666
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,40,563,728,728,73.146565934,18.362376374,13.307664835,13.03842033
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,63,77,77,42.47025974,10.114155844,7.4062337662,7.6209090909
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,288,538,538,72.238921933,12.471449814,9.393401487,8.8197211896
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,40,549,937,5283,9.5306170736,2.1389664963,1.6025553663,1.5326272951
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,226,288,288,24.673784722,6.1211111111,4.5714236111,4.4680555556
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,27,311,388,388,50.172835052,13.073943299,9.7556443299,9.8432989691
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,13,88,95,91.854421053,18.818631579,13.252421053,12.516315789
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,,36,36,169.7625,50.523333333,36.244444444,34.366388889
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,14,76,82,506.22390244,87.228292683,66.62195122,65.458658537
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,23,752.3826087,254.98826087,193.67434783,184.28478261
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,20,20,667.986,138.934,104.359,100.3475
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,17,174,861,953,61.924249738,12.889024134,9.456547744,9.3378488982
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,29,231,1254,1341,261.50368382,34.75191648,25.232475764,23.852266965
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,44,334,356,436.3027809,80.781601124,59.677949438,52.560702247
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,185.25727273,39.14,29.285454545,28.275
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1560,18.768564103,9.6338076923,7.4139230769,7.4139230769
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,40,11752,0.2559181416,0.0467579986,0.0326650783,0.0326650783
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,52,8161,1.7527398603,0.1354135523,0.1038034555,0.1038034555
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,1950,11.060441026,3.0746,2.3425128205,2.3425128205
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,650,2.1273076923,0.2185692308,0.1646923077,0.1646923077
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,135,142,128.35478873,39.068169014,28.162957746,27.175422535
1003895236,OJILE,JOSEPH,M,M.D.,M,I,11200 TESSON FERRY RD,SUITE 100,SAINT LOUIS,MO,631236922,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,21,114,114,73.815789474,33,25.077280702,25.077280702
1003895293,BACH,IAN,S,M.D.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,25,52,73.129807692,8.32,5.8825,5.8825
1003895293,BACH,IAN,S,M.D.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,15,15.186,1.42,1.1173333333,1.1173333333
1003895293,BACH,IAN,S,M.D.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,19,159.26105263,31.512105263,23.115789474,23.798947368
1003895293,BACH,IAN,S,M.D.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,760.48,78.49,55.17,49.415384615
1003895293,BACH,IAN,S,M.D.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.76,25.325,24.591666667
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,75,125,55.75784,8.32,5.87576,5.87576
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,25,31,15.833548387,1.42,0.9735483871,0.9735483871
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,37,6.2640540541,1.96,1.3305405405,1.0202702703
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,30,10.068,3.16,2.4786666667,1.592
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,73.982325581,22.878372093,17.587906977,13.635348837
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,26,26,109.02576923,60.253076923,44.461538462,34.993076923
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,35.52,7.8964705882,6.1911764706,4.1605882353
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,382.77936508,102.08,78.080793651,56.152222222
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6289090909,7.5296515152,7.5296515152
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.251583333,8.6653333333,8.6653333333
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,6691,0.3038036168,0.0466656703,0.0341025258,0.0341025258
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.1627916667,2.1627916667
1003895541,HARTNESS,BIRTHA,V,ANP,F,I,195 HOSPITAL DRIVE,SUITE A,CHEROKEE VILLAGE,AR,72529,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,48,48,105.1875,33,25.331041667,25.331041667
1003895574,CURIO,PETER,,M.D.,M,I,515 N US HIGHWAY 141,,CRIVITZ,WI,541141639,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,48,55.939791667,8.32,5.163125,5.163125
1003895574,CURIO,PETER,,M.D.,M,I,515 N US HIGHWAY 141,,CRIVITZ,WI,541141639,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,823.31166667,46.071666667,24.165833333,13.815
1003895749,HORWITZ,JONATHAN,P,D.O.,M,I,2521 GLENN HENDREN DR,,LIBERTY,MO,640683388,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5010,3.1199580838,0.4111377246,0.3223333333,0.2451077844
1003896010,KOEFOOT,RICHARD,B,M.D.,M,I,620 N ALPHA ST,,GRAND ISLAND,NE,688034316,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,97,13230,0.39,0.13,0.0892191988,0.0892191988
1003896010,KOEFOOT,RICHARD,B,M.D.,M,I,620 N ALPHA ST,,GRAND ISLAND,NE,688034316,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,25,165,26224,4.1850800793,2.0373779744,1.523402227,1.5254583588
1003896010,KOEFOOT,RICHARD,B,M.D.,M,I,620 N ALPHA ST,,GRAND ISLAND,NE,688034316,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,20.98,10.67,7.6725,7.8858333333
1003896028,VOYACK,MICHAEL,J,D.O.,M,I,1001 LINCOLN DR W STE F,,MARLTON,NJ,080531534,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,60,126,69.476349206,8.32,5.6413492063,5.6413492063
1003896028,VOYACK,MICHAEL,J,D.O.,M,I,1001 LINCOLN DR W STE F,,MARLTON,NJ,080531534,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,21,24,15.524166667,1.42,1.025,1.025
1003896028,VOYACK,MICHAEL,J,D.O.,M,I,1001 LINCOLN DR W STE F,,MARLTON,NJ,080531534,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,270,23.517037037,9.86,7.4437037037,7.4437037037
1003896028,VOYACK,MICHAEL,J,D.O.,M,I,1001 LINCOLN DR W STE F,,MARLTON,NJ,080531534,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,3208,0.2058697007,0.0456421446,0.0350249377,0.0350249377
1003896028,VOYACK,MICHAEL,J,D.O.,M,I,1001 LINCOLN DR W STE F,,MARLTON,NJ,080531534,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,16,16,82.5,33,24.253125,24.253125
1003896051,LAU,AUGUSTINE,W,M.D.,M,I,2375 S. RIDGEVIEW DRIVE,,YUMA,AZ,85364,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,26,1836,86.439172113,5.2685675381,3.9784749455,3.9784749455
1003896051,LAU,AUGUSTINE,W,M.D.,M,I,2375 S. RIDGEVIEW DRIVE,,YUMA,AZ,85364,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,32.714285714,16,12.54,12.54
1003896093,KONG,XING,,NP,F,I,855 N WESTHAVEN DR,,OSHKOSH,WI,549047668,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,326.12583333,36.14,28.33,29.313333333
1003896143,STROEBEL,ROBERT,J,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,35,83,59.596506024,8.32,4.2427710843,4.2427710843
1003896143,STROEBEL,ROBERT,J,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,15,14.504,1.42,0.596,0.596
1003896143,STROEBEL,ROBERT,J,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,65,17.935454545,14.063636364,13.892727273
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,16,54,97,60.417319588,8.32,5.6472164948,5.6472164948
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,11.308823529,1.42,0.9882352941,0.9882352941
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,45,8.38,5.1816666667,3.0033333333
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,100.90545455,79.111818182,62.093636364
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,4113,0.1538584974,0.0459591539,0.0280598104,0.0280598104
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1980,1.1554040404,0.1337727273,0.099030303,0.099030303
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,0.7136212121,0.2186363636,0.1403787879,0.1403787879
1003896168,STANBERY,DAVID,L,MD,M,I,388 E HOWARD ST,,WILLARD,OH,448901656,US,Physician/General Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,30,69.3,33,23.283,23.283
1003896184,TEMPEL,LAUREN,K,,F,I,1175 SOUTH PERRY STREET,,CASTLE ROCK,CO,80104,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,465.67272727,78.49,61.53,54.73
1003896234,SAEDI,SEAN,S,M. D.,M,I,11120 NEW HAMPSHIRE AVE,SUITE 305,SILVER SPRING,MD,209042633,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,52,133,469,63.300063966,8.32,5.9765031983,5.9765031983
1003896234,SAEDI,SEAN,S,M. D.,M,I,11120 NEW HAMPSHIRE AVE,SUITE 305,SILVER SPRING,MD,209042633,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,12.852727273,3.38,2.4090909091,2.4090909091
1003896234,SAEDI,SEAN,S,M. D.,M,I,11120 NEW HAMPSHIRE AVE,SUITE 305,SILVER SPRING,MD,209042633,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,17.013333333,2.12,1.67,1.67
1003896234,SAEDI,SEAN,S,M. D.,M,I,11120 NEW HAMPSHIRE AVE,SUITE 305,SILVER SPRING,MD,209042633,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,35,84,133,15.550451128,1.42,1.0233834586,1.0233834586
1003896234,SAEDI,SEAN,S,M. D.,M,I,11120 NEW HAMPSHIRE AVE,SUITE 305,SILVER SPRING,MD,209042633,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,61,52.213934426,18.43,14.449016393,14.517377049
1003896234,SAEDI,SEAN,S,M. D.,M,I,11120 NEW HAMPSHIRE AVE,SUITE 305,SILVER SPRING,MD,209042633,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,7.1272727273,2.28,1.7866666667,1.6625757576
1003896234,SAEDI,SEAN,S,M. D.,M,I,11120 NEW HAMPSHIRE AVE,SUITE 305,SILVER SPRING,MD,209042633,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,38.1,10.400714286,8.1578571429,7.5692857143
1003896333,MCDONALD,MARK,G,M.D.,M,I,801 MEDICAL DR,SUITE A,LIMA,OH,458044099,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,21,21,316,35.110759494,25.6,20.070474684,20.070474684
1003896333,MCDONALD,MARK,G,M.D.,M,I,801 MEDICAL DR,SUITE A,LIMA,OH,458044099,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,12,12,211.16666667,137.94,104.775,99.134166667
1003896374,GOLDSTEIN,JACOB,B,D.P.M.,M,I,230-C EAST MAIN ST.,,GARDNER,KS,660301643,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,70,88,71.56,55.672428571,55.672285714
1003896374,GOLDSTEIN,JACOB,B,D.P.M.,M,I,230-C EAST MAIN ST.,,GARDNER,KS,660301643,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,156,40,29.19,22.885,22.886346154
1003896408,GREENBERG,DAVID,M,,M,I,274 IRON KING,,DURANGO,CO,813019417,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,34.02,25.593076923,17.150769231,19.282307692
1003896408,GREENBERG,DAVID,M,,M,I,274 IRON KING,,DURANGO,CO,813019417,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,12.970769231,9.9015384615,6.4484615385,7.0607692308
1003896408,GREENBERG,DAVID,M,,M,I,274 IRON KING,,DURANGO,CO,813019417,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,141,7.36,7.36,5.1768085106,5.1768085106
1003896408,GREENBERG,DAVID,M,,M,I,274 IRON KING,,DURANGO,CO,813019417,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,26,64,20.398846154,14.844230769,12.493076923
1003896408,GREENBERG,DAVID,M,,M,I,274 IRON KING,,DURANGO,CO,813019417,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,26,410,89.023846154,67.495769231,52.621153846
1003896408,GREENBERG,DAVID,M,,M,I,274 IRON KING,,DURANGO,CO,813019417,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,,46,46,55.752173913,27.24,18.983913043,12.55326087
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,1.995,0.51,0.3666666667,0.3666666667
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,40,123,324,51.319166667,8.312962963,5.7827469136,5.7896296296
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,17,34,34,15.288823529,3.38,2.2602941176,2.2602941176
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,17,21,21,20.93047619,2.12,1.510952381,1.510952381
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,27,64,121,15.318016529,1.42,0.9933884298,0.9933884298
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,30,12.615333333,9.29,7.2806666667,8.5656666667
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,7.525,7.3,5.725,5.85
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,330,8.3321818182,5.74,4.3916666667,4.3916666667
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,17.88,9.86,7.73,7.73
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,22,48,4.93,1.47,1.1504166667,1.1504166667
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.24,0.97,0.96
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,180.22931034,56.703793103,43.2,37.310344828
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,35,60.585142857,17.29,12.775714286,12.758571429
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,56,56,30.931428571,4.63625,3.2739285714,3.2578571429
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,109.23076923,36.212307692,22.656538462,18.882307692
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,59,377.46101695,70.23,52.826271186,52.549830508
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.5826363636,7.4754545455,7.4754545455
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2395,0.5320793319,0.0468141962,0.0328517745,0.0328517745
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1140,2.0156578947,0.1377105263,0.1021140351,0.1021140351
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0379090909,2.3817424242,2.3817424242
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.75,0.2191818182,0.1718787879,0.1718787879
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,29,29,88.131034483,20.289655172,13.700344828,12.65137931
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,100,29.129565217,18.765652174,17.356086957
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,305.44,77.170909091,53.78,48.727272727
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,520.18,208.19090909,163.21727273,117.24454545
1003896416,GATON,FREDDY,,M.D.,M,I,106 MCCRARY AVE,,ROBERTA,GA,310784916,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,69.3,33,24.145333333,24.145333333
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,70,1152,1152,1152,1574.6185156,1019.4605903,765.67480903,851.91306424
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,38,563,564,620,953.5496129,694.567,537.6981129,474.23596774
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,94,96,127,1089.4137795,811.45086614,625.21031496,666.54685039
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,91,92,149,542.83073826,444.19946309,345.79020134,351.35201342
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,48,660,663,752,140.96833777,107.7374734,83.517539894,87.866489362
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,51,51,81,64.901604938,48.245555556,37.827777778,38.429876543
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,13,107.08461538,92.660769231,72.650769231,79.51
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,70,78,107,526.00149533,431.13,338,343.52542056
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,54,423,431,591,543.51467005,458.29196277,356.56152284,362.53091371
1003896523,GUPTA,ADARSH,K,D.O.,M,I,42 LAUREL RD E,UDP #2100,STRATFORD,NJ,080841354,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,54,433,442,442,874.30266968,663.15565611,516.23072398,564.3559276
1003896622,HENDERSON,LOIS,M,FNP,F,I,1076 W CHANDLER BLVD,SUITE 113,CHANDLER,AZ,852245225,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,46,68.382608696,8.32,6.5234782609,6.5234782609
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,45,124,357,64.668711485,8.32,5.5054621849,5.5054621849
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,11.58125,3.38,2.31875,2.31875
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,40,73,11.241232877,1.42,1.0539726027,1.0539726027
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,36.45,28.46,16.7325,16.7325
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,6.22,5.54,3.255,3.255
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.42,10.74,6.0525,6.2125
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9.18,7.46,4.3875,4.3875
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6507692308,7.5661923077,7.5661923077
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0431538462,2.3858589744,2.3858589744
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,452,1.0650221239,0.2185840708,0.1714159292,0.1714159292
1003896689,EWY,KRISTEN,,PA,F,I,2600 N WOODLAWN ST,,WICHITA,KS,672202729,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,100.73684211,33,24.508421053,24.508421053
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,60,93.886666667,18.78,14.723666667,14.551
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,51,66.966666667,15.152352941,11.879607843,11.889607843
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,27,27,250.1537037,54.625555556,41.535925926,41.552592593
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,27,27,73.441481481,17.885185185,14.014444444,14.052592593
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,31,31,79.523870968,11.649677419,9.1358064516,9.1087096774
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,34,178,9.0980898876,2.01,1.576741573,1.5906741573
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,59.673846154,13.199230769,9.5476923077,9.5692307692
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,15,81.75,12.668,9.9326666667,9.826
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,227.04111111,4.79,3.7566666667,3.7533333333
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,63,71,363.69943662,34.276056338,26.537323944,26.060985915
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,45,515.92222222,70.23,53.836444444,53.519111111
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,10.729985507,3.0050434783,2.3559710145,2.3559710145
1003896770,SANE,ANEYSA,C,MD,F,I,46 WESLEY RD,,DALEVILLE,VA,240833082,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,40.615384615,33,25.87,25.87
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,43,108,61.332777778,8.3019444444,5.4201851852,5.4296296296
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,25,17.168,1.42,0.9832,0.9832
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,690,3.5169565217,3.1,2.3246666667,2.3246666667
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,95,11.34,9.58,7.1693684211,7.1693684211
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,167.85714286,56.26,40.959285714,39.887857143
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,57.274166667,12,8.6258333333,8.3841666667
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,8.8383333333,2,1.4376388889,1.4615277778
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,18.19,11.739090909,11.074545455
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,276.6225,31.52,24.72,23.38
1003896895,DIEDERICH,PAUL,G,M.D.,M,I,10787 NALL AVE,STE. 310,OVERLAND PARK,KS,662111375,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,571.14642857,78.325714286,48.243571429,42.62
1003896903,BURNS,THOMAS,E,M.D.,M,I,1541 RIVERBOAT CENTER DR,,JOLIET,IL,604319341,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,4770,0.3224947589,0.13,0.0804863732,0.0804863732
1003896903,BURNS,THOMAS,E,M.D.,M,I,1541 RIVERBOAT CENTER DR,,JOLIET,IL,604319341,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,77,13970,3.8892841804,2.0367358626,1.4277551897,1.4303113815
1003896903,BURNS,THOMAS,E,M.D.,M,I,1541 RIVERBOAT CENTER DR,,JOLIET,IL,604319341,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,3720,12.411290323,7.87,6.1641586022,6.1719704301
1003896929,PANDYA,HIMANSHU,,MD,M,I,25720 HILLSIDE AVE,,FLORAL PARK,NY,110041653,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,26,65,67.399384615,8.32,5.0361538462,5.0361538462
1003896929,PANDYA,HIMANSHU,,MD,M,I,25720 HILLSIDE AVE,,FLORAL PARK,NY,110041653,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,15,16,40.66,1.42,0.83875,0.83875
1003896929,PANDYA,HIMANSHU,,MD,M,I,25720 HILLSIDE AVE,,FLORAL PARK,NY,110041653,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,151.62,43.723636364,34.279090909,36.46
1003896929,PANDYA,HIMANSHU,,MD,M,I,25720 HILLSIDE AVE,,FLORAL PARK,NY,110041653,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,28,5.2,4.08,3.9933333333
1003896929,PANDYA,HIMANSHU,,MD,M,I,25720 HILLSIDE AVE,,FLORAL PARK,NY,110041653,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,4410,0.3968979592,0.0466054422,0.0287664399,0.0287664399
1003896929,PANDYA,HIMANSHU,,MD,M,I,25720 HILLSIDE AVE,,FLORAL PARK,NY,110041653,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,32.025,6.825,5.3525,6.6725
1003896929,PANDYA,HIMANSHU,,MD,M,I,25720 HILLSIDE AVE,,FLORAL PARK,NY,110041653,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,22.285833333,22.285833333
1003896994,AMAN,TAMRA,,D.O.,F,I,3100 MACCORKLE AVE SE STE 205,,CHARLESTON,WV,253041228,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,21,69,58.449710145,8.32,5.7657971014,5.7657971014
1003896994,AMAN,TAMRA,,D.O.,F,I,3100 MACCORKLE AVE SE STE 205,,CHARLESTON,WV,253041228,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,29,11.87137931,1.42,0.9979310345,0.9979310345
1003896994,AMAN,TAMRA,,D.O.,F,I,3100 MACCORKLE AVE SE STE 205,,CHARLESTON,WV,253041228,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,66.322941176,17.75,13.911176471,13.894117647
1003896994,AMAN,TAMRA,,D.O.,F,I,3100 MACCORKLE AVE SE STE 205,,CHARLESTON,WV,253041228,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,18,17,4.71,3.6938888889,3.6927777778
1003896994,AMAN,TAMRA,,D.O.,F,I,3100 MACCORKLE AVE SE STE 205,,CHARLESTON,WV,253041228,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,292.91117647,73.935882353,57.965882353,57.263529412
1003897000,CARTWRIGHT,THOMAS,J,MD,M,I,17270 RED OAK DR,STE 200,HOUSTON,TX,770902632,US,Physician/Orthopedic Surgery,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,67.62,46.146363636,36.177272727,36.177272727
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,225,71.56,56.108703704,56.102407407
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,158,35,29.19,22.886139241,22.886582278
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,150,8,5.26,4.1239333333,4.1376
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,23,1500,861.01,672.75565217,560.25565217
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,54,102,700,444.28215686,346.91862745,352.4977451
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,500,398.77,312.63958333,310.60416667
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,58,200,104.65,82.049827586,69.12137931
1003897034,KELLEY,LEROY,J,DPM,M,I,480 WASHINGTON ST,SUITE 1,NORWOOD,MA,020622347,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,47,48,91,350,166.01989011,130.16065934,126.6910989
1003897042,MITCHELL,PHILIP,K,M.D.,M,I,116 SEVEN MILE RIDGE RD,,BURNSVILLE,NC,287148509,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,80,175,81.443828571,8.32,5.3355428571,5.3355428571
1003897042,MITCHELL,PHILIP,K,M.D.,M,I,116 SEVEN MILE RIDGE RD,,BURNSVILLE,NC,287148509,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,27,15.794074074,1.42,1.0348148148,1.0348148148
1003897042,MITCHELL,PHILIP,K,M.D.,M,I,116 SEVEN MILE RIDGE RD,,BURNSVILLE,NC,287148509,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,41.891785714,22.407142857,17.032857143,13.691785714
1003897042,MITCHELL,PHILIP,K,M.D.,M,I,116 SEVEN MILE RIDGE RD,,BURNSVILLE,NC,287148509,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,155.99,49.193333333,38.57,37.938888889
1003897042,MITCHELL,PHILIP,K,M.D.,M,I,116 SEVEN MILE RIDGE RD,,BURNSVILLE,NC,287148509,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,287.36,100.18,69.478529412,57.424117647
1003897042,MITCHELL,PHILIP,K,M.D.,M,I,116 SEVEN MILE RIDGE RD,,BURNSVILLE,NC,287148509,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3276,0.4297619048,0.0467002442,0.0366208791,0.0366208791
1003897042,MITCHELL,PHILIP,K,M.D.,M,I,116 SEVEN MILE RIDGE RD,,BURNSVILLE,NC,287148509,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,25.87,25.87
1003897091,WILLIAMS,VERNON,,M.D.,M,I,1100 N 19TH ST,SUITE 4D,ABILENE,TX,796012344,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,240,5.9265833333,4.03,2.5085833333,2.5085833333
1003897240,LYTTON,MARGARET,S,M.D.,F,I,145 N NARBERTH AVE,,NARBERTH,PA,190721923,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,51,64.078235294,8.32,6.267254902,6.267254902
1003897380,GASTON,ROBERT,B,MD,M,I,3939 CENTRAL PIKE,,HERMITAGE,TN,37076,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,48,109,323,68.927894737,8.32,5.640371517,5.640371517
1003897380,GASTON,ROBERT,B,MD,M,I,3939 CENTRAL PIKE,,HERMITAGE,TN,37076,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,20,50,71,13.651126761,1.42,1.0847887324,1.0847887324
1003897380,GASTON,ROBERT,B,MD,M,I,3939 CENTRAL PIKE,,HERMITAGE,TN,37076,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,24,139.375,53.3875,41.8525,38.734166667
1003897380,GASTON,ROBERT,B,MD,M,I,3939 CENTRAL PIKE,,HERMITAGE,TN,37076,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50.34,33.9825,32.305
1003897380,GASTON,ROBERT,B,MD,M,I,3939 CENTRAL PIKE,,HERMITAGE,TN,37076,US,Physician/General Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,9.805,7.6925,6.9216666667
1003897414,THANDLA,SUSHAMA,K,MD,F,I,987 R C HOAG DR,,SALAMANCA,NY,147791365,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,52,11.472884615,3.0426923077,2.3373076923,1.6678846154
1003897414,THANDLA,SUSHAMA,K,MD,F,I,987 R C HOAG DR,,SALAMANCA,NY,147791365,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,98.411428571,22.407142857,17.565714286,13.96
1003897414,THANDLA,SUSHAMA,K,MD,F,I,987 R C HOAG DR,,SALAMANCA,NY,147791365,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,20.942142857,16.845,12.379285714,10.216428571
1003897414,THANDLA,SUSHAMA,K,MD,F,I,987 R C HOAG DR,,SALAMANCA,NY,147791365,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,95.3125,7.5828125,5.413125,3.215
1003897414,THANDLA,SUSHAMA,K,MD,F,I,987 R C HOAG DR,,SALAMANCA,NY,147791365,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,176.25,55.326875,41.22,25.695625
1003897414,THANDLA,SUSHAMA,K,MD,F,I,987 R C HOAG DR,,SALAMANCA,NY,147791365,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,399.23076923,104.06769231,81.591538462,67.191538462
1003897497,BAKER,JOSHUA,S,PAC,M,I,65 PROFESSIONAL PL STE 102103,,BRIDGEPORT,WV,263300258,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,998,0.1668336673,0.0459218437,0.035991984,0.035991984
1003897497,BAKER,JOSHUA,S,PAC,M,I,65 PROFESSIONAL PL STE 102103,,BRIDGEPORT,WV,263300258,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,107.25,33,25.87,25.87
1003897554,BENDA,THOMAS,J,M.D.,M,I,535 CEDAR CROSS ROAD,,DUBUQUE,IA,520037704,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,7.3383333333,2.4,1.6040277778,1.4172222222
1003897554,BENDA,THOMAS,J,M.D.,M,I,535 CEDAR CROSS ROAD,,DUBUQUE,IA,520037704,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,50,51,135.70588235,36.477843137,25.439411765,21.380588235
1003897554,BENDA,THOMAS,J,M.D.,M,I,535 CEDAR CROSS ROAD,,DUBUQUE,IA,520037704,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,379.23076923,86.675384615,58.757692308,46.31
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,33,33,103.27757576,39.909393939,29.449090909,28.650909091
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,19,37,37,255.82162162,87.307837838,66.637297297,65.975945946
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,17,43,88,100.40068182,33.409772727,25.182045455,24.936363636
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,13,23,111,49.767657658,19.262432432,14.984864865,14.836756757
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,14,73,51.20630137,15.384794521,11.423561644,11.254794521
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,20,41,41,163.61682927,58.528780488,42.729512195,39.731219512
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,33,46,46,49.975,19.112826087,14.359347826,13.454565217
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,17,38,38,57.473947368,13.119473684,9.9481578947,9.0792105263
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,37,79,458,8.6226637555,2.0320524017,1.5338646288,1.5172925764
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,18,27,27,22.188148148,6.2796296296,4.9244444444,4.657037037
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,22,29,29,43.775172414,14.695862069,11.521724138,10.500689655
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,373.125,89.12,69.8725,69.34125
1003897562,ALMSADDI,MALAZ,,MD,M,I,2525 S TELEGRAPH RD,SUITE 200,BLOOMFIELD HILLS,MI,483020286,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,13,46,46,205.39130435,34.227608696,26.347391304,26.176304348
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,44,95,41.432,8.32,5.5414736842,5.5414736842
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,428.11111111,120.43444444,90.233888889,66.401111111
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,204.375,45.376875,35.575,26.858125
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,72,70.3275,26.776666667,18.664444444,12.223611111
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,224.705,77.618571429,57.485,39.798571429
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,18,18,70.253333333,25.630555556,19.625,13.595
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,20,20,62.78,20.297,15.4075,9.2425
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,15,31,175,10.9864,3.1342857143,2.3359428571,1.5302857143
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,59.9375,22.4775,16.3775,12.904166667
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,56,56,200,44.718928571,27.295892857,17.557321429
1003897661,MADSEN,BRENT,L,PA-C,M,I,120 PARK AVE,,HEBRON,NE,68370,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,258.8925,102.61833333,70.83,48.983333333
1003897737,MILLER,ADRIENE,R,D.O.,F,I,400 S DIXIE HWY,SUITE 12,LAKE WORTH,FL,334604457,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,26,807,58.593556382,3.0531722429,2.2124535316,2.1891449814
1003897737,MILLER,ADRIENE,R,D.O.,F,I,400 S DIXIE HWY,SUITE 12,LAKE WORTH,FL,334604457,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,9222,1.8596291477,0.3755627846,0.2820787248,0.2777195836
1003897737,MILLER,ADRIENE,R,D.O.,F,I,400 S DIXIE HWY,SUITE 12,LAKE WORTH,FL,334604457,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,76.901666667,48.883333333,38.326666667,37.188333333
1003897737,MILLER,ADRIENE,R,D.O.,F,I,400 S DIXIE HWY,SUITE 12,LAKE WORTH,FL,334604457,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,277.25454545,178.72272727,140.11727273,121.73636364
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,35,81,197,57.785380711,8.32,6.2574111675,6.2574111675
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,30,44,13.503863636,1.42,1.1152272727,1.1152272727
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,118.22137931,4.8331034483,3.6686206897,3.6144827586
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,22.540909091,10.573636364,8.2927272727,8.77
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,685.176875,69.62,54.59,54.7125
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,629,2.0195866455,0.1392845787,0.1092209857,0.1092209857
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,285.6,39.68,31.11,29.800909091
1003897935,SCOPELLITO-OLSEN,ANNA,M,M.D.,F,I,25A JUNE ST STE 111,,SANFORD,ME,040732642,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,82.5,33,23.714166667,23.714166667
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,71,166,65.99373494,8.32,5.6584337349,5.6584337349
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,23,10.866956522,1.42,1.1173913043,1.1173913043
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,124.49263158,17.52,13.016842105,12.837894737
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,568.89454545,79.96,59.246181818,51.865090909
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37,27.690833333,28.190833333
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2100,1.9399428571,0.1350285714,0.0747904762,0.0747904762
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37,29.01,29.51
1003898065,HERBST,BERNARD,M,MD,M,I,5839 E WASHINGTON ST,,INDIANAPOLIS,IN,462196560,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,17.246666667,17.246666667
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,29,67,166,62.789216867,8.31,6.0314457831,6.0392771084
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.550666667,3.38,2.4733333333,2.4733333333
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,18.056363636,2.12,1.5181818182,1.5181818182
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,27,39,14.342564103,1.42,1.0294871795,1.0294871795
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,137.59357143,59.165714286,46.39,42.86
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,53.7325,13.891666667,10.893333333,9.12
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,69,7.9855072464,2.1586956522,1.6475362319,1.5475362319
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,17.29,11.955882353,11.938235294
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,45.21875,11.87875,6.65375,6.55375
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,160.13478261,31.30173913,19.492608696,19.083043478
1003898107,MCLEOD,JULIAN,,PA-C,M,I,804 ENGLISH ROAD,SUITE 100,ROCKY MOUNT,NC,27804,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,507.152,72.7915,47.8425,47.5535
1003898131,JOHNSTON,MARK,H,MD,M,I,2112 HARRISBURG PIKE,SUITE 202,LANCASTER,PA,176012644,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7786,0.9330850244,0.3,0.2352003596,0.2423580786
1003898271,KOLIA,BASIRMOHMAD,F,M.D.,M,I,9135 PISCATAWAY RD,SUITE 310,CLINTON,MD,207352549,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,43,62.439767442,8.2890697674,4.8527906977,4.8830232558
1003898271,KOLIA,BASIRMOHMAD,F,M.D.,M,I,9135 PISCATAWAY RD,SUITE 310,CLINTON,MD,207352549,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.2083333333,2.2083333333
1003898271,KOLIA,BASIRMOHMAD,F,M.D.,M,I,9135 PISCATAWAY RD,SUITE 310,CLINTON,MD,207352549,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,17,15.115294118,1.42,0.8552941176,0.8552941176
1003898271,KOLIA,BASIRMOHMAD,F,M.D.,M,I,9135 PISCATAWAY RD,SUITE 310,CLINTON,MD,207352549,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,44.44,34.84,37.3975
1003898396,DAVIS,STEVEN,J,DO,M,I,511 BRANTLEY ST,,OPP,AL,364671702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,50,50.255,8.32,6.2618,6.2618
1003898396,DAVIS,STEVEN,J,DO,M,I,511 BRANTLEY ST,,OPP,AL,364671702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,26,15.653076923,1.42,1.1134615385,1.1134615385
1003898396,DAVIS,STEVEN,J,DO,M,I,511 BRANTLEY ST,,OPP,AL,364671702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,260.435,89.806,61.4425,48.5455
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,11,12,24,4.9166666667,0.51,0.3666666667,0.3666666667
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,47,106,388,47.386520619,8.32,6.1667525773,6.1667525773
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,23,40,40,14.187,3.38,2.58375,2.58375
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,25,28,28,17.843571429,2.12,1.6103571429,1.6103571429
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,32,56,124,15.449516129,1.42,1.0325,1.0325
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8.5981818182,7.39,5.79,6.7172727273
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.69,5.54,4.34,4.34
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,14.15,13.8,10.82,10.82
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,58,19.853448276,9.29,7.2813793103,8.5220689655
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,440,15.056363636,7,5.488,5.488
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,925,0.511427027,0.26,0.203827027,0.210972973
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,33,8.19,2.1266666667,1.666969697,1.32
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,2.4463636364,1.6018181818,1.2545454545,1
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,43,1277,8.0668676586,7.2425606891,5.6780971026,4.1630070478
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,10664,0.5812565641,0.4658139535,0.3645123781,0.2894036009
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6750,0.9283333333,0.8496,0.666082963,0.517437037
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,100,82.92,65.011818182,48.32
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,122.2175,53.360833333,35.223333333,30.383333333
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,32,32,162.470625,56.5228125,35.8103125,31.6925
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,52,52,141.92326923,64.809615385,49.625961538,38.486153846
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,78.949230769,20.724423077,14.269423077,11.968846154
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,58,58,4430.1,932.60913793,724.20344828,833.11741379
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,20,20,31.6075,4.4,3.124,3.0705
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,11,11,11,70.192727273,60.413636364,47.365454545,54.180909091
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,107.81714286,57.149047619,43.048095238,33.44
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,16.3771875,11.1925,8.36375,3.5796875
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,24.738823529,11.197058824,8.2370588235,6.33
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,127,134,500.90701493,97.584328358,72.004328358,54.461492537
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,7176,0.3856382386,0.0459671126,0.0344941472,0.0344941472
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,41,4050,1.2474716049,0.1376888889,0.1032419753,0.1032419753
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,13,84,87,86.711034483,24.021954023,15.803678161,11.787701149
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,77.2,45.138125,35.39,26.13125
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,134.32,60.804615385,47.670769231,36.226153846
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,24.468780488,10.127317073,7.6092682927,6.1743902439
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,562.796,209.46733333,158.05733333,104.18266667
1003898412,ALLEN,SAMUEL,M,M.D.,M,I,603 S ARCHUSA AVE,,QUITMAN,MS,393552331,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,74,74,94.540540541,33,24.821216216,24.821216216
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,17,43,1258.1239535,19.71,15.451860465,15.451860465
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,38.78,27.866666667,22.775
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.6981818182,2.5545454545,3.1581818182
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,657.20714286,77.55,56.005238095,50.513809524
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.45,40,31.36,29.664166667
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,4830,160.95910559,9.850310559,7.7226459627,7.7226459627
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,1660,342.63727108,40.056114458,31.404018072,31.404018072
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,1680,523.94853571,37.730880952,29.580988095,29.580988095
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,21,5727,0.2348349921,0.0461201327,0.0323205867,0.0323205867
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,61,413.04622951,2.64,2.07,2.07
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,39.1875,33,24.253125,24.253125
1003898420,KRINZMAN,STEPHEN,J,M.D.,M,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Physician/Pulmonary Disease,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,43,43,897.11,358.5,281.06,281.06
1003898602,ZINBERG,JONATHAN,,MD,M,I,657 CENTRAL AVE,,CEDARHURST,NY,115162320,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,420,7.065,3,2.184,2.1977142857
1003898602,ZINBERG,JONATHAN,,MD,M,I,657 CENTRAL AVE,,CEDARHURST,NY,115162320,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,7772,0.9398957797,0.3,0.2258221822,0.232261966
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,24,59,205,69.644585366,8.32,6.2995609756,6.2995609756
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,30,35,12.353428571,1.42,1.0217142857,1.0217142857
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,181.44277778,51.8,39.986111111,42.235555556
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,56.391428571,9.25,7.25,9.12
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,97,7.784742268,1.87,1.4667010309,1.5934020619
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60.84,17.052727273,13.37,13.404545455
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,243.10961538,30.456538462,23.875384615,25.474615385
1003898651,BROWNLEE,CAROLINE,D,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,427.77,70.871666667,55.56,54.728333333
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,31,68,258,64.007906977,8.32,6.4261627907,6.4261627907
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,30,43,14.125116279,1.42,1.0381395349,1.0381395349
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,36,5.6308333333,2.6877777778,2.1077777778,1.7077777778
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,357.27,167.84416667,120.22083333,95.165833333
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,45.223846154,21.303076923,13.712307692,11.219230769
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,57,57,60.92,7.499122807,5.4112280702,3.4278947368
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,106.48,53.634166667,42.046666667,30.146666667
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,342.05724138,99.629655172,71.928275862,55.352758621
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,17,55,6786,2.1288977306,0.1353949307,0.099083407,0.099083407
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,72.63,25.943,18.899,13.617
1003898677,ENO,LISA,M,FNP,F,I,197 EAST MAIN STREET,SUITE 101,FORT KENT,ME,04743,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,55,55,49.909090909,33,24.443636364,24.443636364
1003898685,DAVIS,JAMES,D,DPM,M,I,9351 GRANT ST,SUITE 490,THORNTON,CO,802294358,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,26,26,325.5,271.16,211.31884615,217.37653846
1003898768,GRASSO,JOSEPH,F,O.D.,M,I,15 N LOCUST ST,,PINCKNEYVILLE,IL,622741147,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,71.94,71.94,53.082352941,50.337058824
1003898768,GRASSO,JOSEPH,F,O.D.,M,I,15 N LOCUST ST,,PINCKNEYVILLE,IL,622741147,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,19,88.605263158,66.61,49.475789474,50.976315789
1003898842,BELL,KENNETH,A,DO,M,I,2901 TRANSPORT ST SE,,ALBUQUERQUE,NM,87106,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,459,8.28,8.28,6.491546841,6.491546841
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,29,72,163,46.527300613,8.32,6.3227607362,6.3227607362
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,32,43,11.843488372,1.42,1.0372093023,1.0372093023
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,8.9763636364,3.6236363636,2.8422727273,1.5936363636
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,22,81.169090909,20.910454545,16.393181818,13.53
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,7.2838461538,5.7092307692,3.5523076923
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,454.65411765,94.86,74.371176471,54.73
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,3.179,1.3368333333,0.9499027778,0.9499027778
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1080,2.4093333333,0.1345,0.0978703704,0.0978703704
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,7.3344583333,3.003,2.2024027778,2.2024027778
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,16,16,11.575384615,11.575384615
1003898859,MABRY,TINA,U,FNP,F,I,24489 HIGHWAY 80,,LAKE,MS,390923511,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,24.022142857,24.022142857
1003899147,WU,XIAOLING,,MD,F,I,224 S WOODS MILL RD,SUITE 370 SOUTH,CHESTERFIELD,MO,630173451,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,21,46,71.518478261,8.32,5.1030434783,5.1030434783
1003899147,WU,XIAOLING,,MD,F,I,224 S WOODS MILL RD,SUITE 370 SOUTH,CHESTERFIELD,MO,630173451,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,35,80.672571429,71.56,56.105142857,56.104857143
1003899147,WU,XIAOLING,,MD,F,I,224 S WOODS MILL RD,SUITE 370 SOUTH,CHESTERFIELD,MO,630173451,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,99,32.836666667,29.19,22.885050505,22.886666667
1003899147,WU,XIAOLING,,MD,F,I,224 S WOODS MILL RD,SUITE 370 SOUTH,CHESTERFIELD,MO,630173451,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3315,1.3010799397,0.68,0.5331131222,0.5174449472
1003899147,WU,XIAOLING,,MD,F,I,224 S WOODS MILL RD,SUITE 370 SOUTH,CHESTERFIELD,MO,630173451,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1003899220,DOBESH,RONALD,,M.D.,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,96.64,22.8715,16.4375,12.177
1003899220,DOBESH,RONALD,,M.D.,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,561.11111111,99.687407407,69.520740741,46.654074074
1003899303,HASHEY,TERRY,D,D.O.,M,I,9191 RG SKINNER PARKWAY STE 603,,JACKSONVILLE,FL,32256,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,64,80.7525,8.32,6.5228125,6.5228125
1003899303,HASHEY,TERRY,D,D.O.,M,I,9191 RG SKINNER PARKWAY STE 603,,JACKSONVILLE,FL,32256,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,60,8.343,1.85,1.45,1.592
1003899436,HODKIN,MICHAEL,J,MD,M,I,200 N TILLOTSON AVE,,MUNCIE,IN,473043988,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,26,65.386538462,62.796153846,44.108076923,47.388076923
1003899436,HODKIN,MICHAEL,J,MD,M,I,200 N TILLOTSON AVE,,MUNCIE,IN,473043988,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,38,57.052631579,50.385789474,39.489736842,43.404473684
1003899519,CAROS,LELA,,M.D.,F,I,"15 PARKMAN ST, WANG 555",BULFINCH MEDICAL GROUP,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,32,95,82.847263158,8.32,5.6981052632,5.6981052632
1003899519,CAROS,LELA,,M.D.,F,I,"15 PARKMAN ST, WANG 555",BULFINCH MEDICAL GROUP,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,18.427647059,1.42,0.72,0.72
1003899535,WALLACE,CINDA,L,NP,F,I,115 DREW AVE SE,,MADELIA,MN,560621841,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,70,62.571714286,8.32,6.5237142857,6.5237142857
1003899683,BAGLEY,PETER,H,M.D.,M,I,119 BELMONT ST,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,01605,US,Physician/Pulmonary Disease,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.07,5.74,4.125,4.125
1003899683,BAGLEY,PETER,H,M.D.,M,I,119 BELMONT ST,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,01605,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,4.8,3.81,2.824969697,2.824969697
1003899683,BAGLEY,PETER,H,M.D.,M,I,119 BELMONT ST,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,01605,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,2861.8485714,1074.31,838.79928571,838.79928571
1003899683,BAGLEY,PETER,H,M.D.,M,I,119 BELMONT ST,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,01605,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,68,68,3335.9732353,1069.8847059,831.80441176,834.40647059
1003899774,NAKKASH,EMAD,,MD,M,I,22039 JOHN R RD,,HAZEL PARK,MI,480301712,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,109,109,109,130,72.73,54.542110092,50.825504587
1003899774,NAKKASH,EMAD,,MD,M,I,22039 JOHN R RD,,HAZEL PARK,MI,480301712,US,Physician/Ophthalmology,S,V2104,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,100,101,183,150,39,29.433278689,30.486010929
1003899881,GOOCH,MARY,K,MD,F,I,8072 NORMANDY DR,,FORT RILEY,KS,664427069,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,87.8,51.114,39.426,31.424
1003899881,GOOCH,MARY,K,MD,F,I,8072 NORMANDY DR,,FORT RILEY,KS,664427069,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,73.590909091,26.723636364,19.530909091,13.590909091
1003899881,GOOCH,MARY,K,MD,F,I,8072 NORMANDY DR,,FORT RILEY,KS,664427069,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,20,56,8.865,3.2242857143,2.3371428571,1.585
1003899881,GOOCH,MARY,K,MD,F,I,8072 NORMANDY DR,,FORT RILEY,KS,664427069,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,49.736842105,18.044210526,11.709473684,8.0978947368
1003899881,GOOCH,MARY,K,MD,F,I,8072 NORMANDY DR,,FORT RILEY,KS,664427069,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,134.64,50.4034,35.0344,22.1758
1003899881,GOOCH,MARY,K,MD,F,I,8072 NORMANDY DR,,FORT RILEY,KS,664427069,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,486.8,103.372,70.49,51.8672
1003899881,GOOCH,MARY,K,MD,F,I,8072 NORMANDY DR,,FORT RILEY,KS,664427069,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,143.75,44.745,32.35125,28.397291667
1003899915,GREINER,WILLIAM,S,MD,M,I,2040 HUTTON RD,SUITE 102,KANSAS CITY,KS,661094526,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,58,60.26362069,8.32,6.5220689655,6.5220689655
1003899972,WASH,JONATHAN,G,D.P.M.,M,I,5100 FRANKLIN AVE,SUITE C,WACO,TX,767106922,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,44.977142857,16.965238095,9.35,9.3571428571
1003900242,HASHEM,BASSAM,E,M.D,M,I,224 HAMBURG TPKE STE 4023,,WAYNE,NJ,07470,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,217.1,71.5,56.06,54.73
1003900242,HASHEM,BASSAM,E,M.D,M,I,224 HAMBURG TPKE STE 4023,,WAYNE,NJ,07470,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,61.96,35.5,27.83,29.51
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,69,165,345,46.660231884,8.32,4.9868115942,4.9868115942
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,61,131,138,19.415942029,1.42,0.8756521739,0.8756521739
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,11.041666667,2.0225,1.5858333333,1.5877777778
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,660,3.2854545455,2.94,2.2479848485,2.3049545455
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4320,0.43,0.37,0.2900833333,0.2900833333
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5760,0.35,0.3,0.2168229167,0.22359375
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,75.49,44.827142857,27.5725,27.915
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,36,37,54.78,3.3556756757,2.5394594595,3.5713513514
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,214.82083333,32.115,25.174166667,25.094166667
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,20,9.838125,5.530625,7.038125
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,472.03941176,71.11,55.75,54.79
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,3937,0.4653924308,0.0472771146,0.0277444755,0.0277444755
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,1292,9.9092414861,3.0726780186,2.3050619195,2.3050619195
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,29.14,14.608333333,10.848888889,13.13
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,62.490909091,22.513636364,17.650909091,23.282727273
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,27,125.68592593,119.93,84.604074074,79.616296296
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,16,16,12.54,12.54
1003900366,TRAM,HIEU N,,MD,M,I,15355 BROOKHURST STREET,SUITE 102,WESTMINSTER,CA,926837077,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,37,57.081081081,33,23.772432432,23.772432432
1003900424,KUBITSCHEK,LOIS,A,GNP,F,I,17 W. EXCHANGE STREET,SUITE 600,ST. PAUL,MN,55102,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,520,0.1719615385,0.12,0.094,0.094
1003900424,KUBITSCHEK,LOIS,A,GNP,F,I,17 W. EXCHANGE STREET,SUITE 600,ST. PAUL,MN,55102,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,562,25.920533808,18.5,14.504003559,14.504003559
1003900424,KUBITSCHEK,LOIS,A,GNP,F,I,17 W. EXCHANGE STREET,SUITE 600,ST. PAUL,MN,55102,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,19,26,449,16.523006682,10.93,7.9300668151,7.9300668151
1003900424,KUBITSCHEK,LOIS,A,GNP,F,I,17 W. EXCHANGE STREET,SUITE 600,ST. PAUL,MN,55102,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,555,4.5227027027,2.4,1.8816396396,1.8816396396
1003900424,KUBITSCHEK,LOIS,A,GNP,F,I,17 W. EXCHANGE STREET,SUITE 600,ST. PAUL,MN,55102,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,20,2880,0.6775,0.45,0.3528159722,0.3528159722
1003900440,PETRIE,DAVID,,MD,M,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,47,42.605319149,8.32,5.9663829787,5.9663829787
1003900440,PETRIE,DAVID,,MD,M,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,363,12.996528926,4.85,3.4776033058,3.8460330579
1003900440,PETRIE,DAVID,,MD,M,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4452,0.62,0.2991913747,0.2288162624,0.2372933513
1003900440,PETRIE,DAVID,,MD,M,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,35,76.439142857,16.316571429,12.789428571,13.518
1003900440,PETRIE,DAVID,,MD,M,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,21,39.456666667,4.1371428571,2.9519047619,3.2514285714
1003900440,PETRIE,DAVID,,MD,M,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,41,434.99341463,68.331707317,53.236097561,54.349268293
1003900440,PETRIE,DAVID,,MD,M,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,104.25666667,18.48,14.486666667,15.530833333
1003900549,GUYER,JANET,E,M.D.,F,I,#4 HWY 71 NE,,MOUNTAINBURG,AR,72946,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,70,46.520571429,8.32,6.2437142857,6.2437142857
1003900549,GUYER,JANET,E,M.D.,F,I,#4 HWY 71 NE,,MOUNTAINBURG,AR,72946,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,21.558181818,15.543636364,12.301818182
1003900549,GUYER,JANET,E,M.D.,F,I,#4 HWY 71 NE,,MOUNTAINBURG,AR,72946,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,413.80058824,87.065294118,64.744117647,51.526470588
1003900549,GUYER,JANET,E,M.D.,F,I,#4 HWY 71 NE,,MOUNTAINBURG,AR,72946,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2052,0.1430653021,0.0486013645,0.0380994152,0.0380994152
1003900549,GUYER,JANET,E,M.D.,F,I,#4 HWY 71 NE,,MOUNTAINBURG,AR,72946,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1560,1.28075,0.1379230769,0.1081602564,0.1081602564
1003900549,GUYER,JANET,E,M.D.,F,I,#4 HWY 71 NE,,MOUNTAINBURG,AR,72946,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,33,33,25.87,25.87
1003900929,METWALLY,ASHRAF,A,MD,M,I,364 86TH ST,,BROOKLYN,NY,112095002,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,27,51,82.981372549,8.32,5.4982352941,5.4982352941
1003900960,SOHEL,MUHAMMAD,J,M.D  AND  INTERNIST,M,I,805 W LA VETA AVE,SUITE 110,ORANGE,CA,928683901,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,32,70.0575,8.32,3.668125,3.668125
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,22,58,188,54.659414894,8.32,6.284787234,6.284787234
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.004285714,3.38,2.4607142857,2.4607142857
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,27,53,12.968490566,1.42,1.0716981132,1.0716981132
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,40,8.19,1.47,1.0925,1.0925
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,71.160909091,13.804545455,9.9309090909,8.2536363636
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,77.008333333,17.27,12.895238095,12.895238095
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,443.61906977,69.81,50.911627907,50.911627907
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,47,5278,0.9898692687,0.133757105,0.1007540735,0.1007540735
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,147.34076923,36.14,26.150769231,27.353076923
1003901034,BRENNAN,GERARD,P,MD,M,I,420 WHITEHALL RD,,MUSKEGON,MI,494453299,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,53,53,128.26415094,33,24.405660377,24.405660377
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,121,258,61.398410853,8.32,5.8148062016,5.8148062016
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,38,55,12.908727273,1.42,0.9723636364,0.9723636364
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,86,9.0446511628,2.1306976744,1.4512790698,1.3736046512
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,26,26,26,273.58846154,48.989230769,36.882307692,36.064615385
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,65.666666667,16.030555556,11.313888889,11.106111111
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,210.13333333,55.952,43.867333333,42.786
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,54,54,242.22222222,53.327222222,34.292962963,30.673888889
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,26,58.630769231,17.29,12.491153846,12.477307692
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,211.61142857,33.317142857,23.85,23.410714286
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,44,71.818181818,12.760227273,10.003863636,9.4109090909
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,45,352.09644444,70.23,50.165777778,49.916444444
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,111.25,37.44,29.35,29.49
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,170.45454545,38.656363636,30.302727273,29.34
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,474.38181818,159.43,124.99818182,113.97909091
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,17,82,82,84.207317073,20.83195122,14.186219512,12.858902439
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,72,74,129.01972973,34.409054054,25.223918919,21.411486486
1003901117,CLAY,SCOTT,C,MD,M,I,3222 SHRINE RD STE A,,BRUNSWICK,GA,315204357,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,22,25,9.2927272727,7.2881818182,6.9986363636
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,2500,905.69,710.06,802.67230769
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,1,13,13,25,800,309.74,242.8348,282.2616
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,25,146.25,21.9964,15.5476,12.21
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,14,229.05285714,48.268571429,35.321428571,35.321428571
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,19,60.204210526,8.6705263158,5.7705263158,5.3989473684
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,16,678.058125,595.0575,448.585625,420.24875
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,24,142.58083333,125.90208333,98.710833333,99.149166667
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,14,16,86.698125,78.4875,61.53625,68.6575
1003901133,BLACKLIDGE,DOUGLAS,,DPM,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,20,260,251.716,197.342,217.7955
1003901539,GONZALES,JOSEPH,A,MD,M,I,200 HENRY CLAY AVENUE,,NEW ORLEANS,LA,70118,US,Physician/Orthopedic Surgery,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,454.32727273,217.88545455,170.81636364,170.81636364
1003901646,BELLNER,LISA,A,MD,F,I,6441 DEANE HILL DRIVE,,KNOXVILLE,TN,37919,US,Physician/Physical Medicine and Rehabilitation,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,41.5,10.34,7.3696969697,7.2096969697
1003902008,GREEN,THOMAS,,M.D.,M,I,534 CARATOKE HWY,,MOYOCK,NC,279588740,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,74.492978723,20.723404255,14.75106383,12.125744681
1003902008,GREEN,THOMAS,,M.D.,M,I,534 CARATOKE HWY,,MOYOCK,NC,279588740,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,23.977222222,4.765,2.8944444444,2.8777777778
1003902008,GREEN,THOMAS,,M.D.,M,I,534 CARATOKE HWY,,MOYOCK,NC,279588740,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,49,325.37163265,92.30244898,68.375714286,51.687346939
1003902065,WEINSTEIN,JAY,S,MD,F,I,170 W 12TH ST,MEDICINE/GENERAL MEDICINE,NEW YORK,NY,100118202,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,62,45.933387097,8.32,5.6806451613,5.6806451613
1003902073,ANANDA,ANUPAMA,,M.D.,F,I,190 WILLIS AVE,SUITE 210,MINEOLA,NY,115012649,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,32,87,218,67.374954128,8.32,5.8994954128,5.8994954128
1003902073,ANANDA,ANUPAMA,,M.D.,F,I,190 WILLIS AVE,SUITE 210,MINEOLA,NY,115012649,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,12.501818182,3.38,2.65,2.65
1003902073,ANANDA,ANUPAMA,,M.D.,F,I,190 WILLIS AVE,SUITE 210,MINEOLA,NY,115012649,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,26,46,64,14.350625,1.42,1.04859375,1.04859375
1003902180,KHOO,EVELYN,,MD,F,I,1501 TROUSDALE DR,3RD FLOOR,BURLINGAME,CA,940104506,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,33,112,75.563482143,8.32,5.5390178571,5.5390178571
1003902180,KHOO,EVELYN,,MD,F,I,1501 TROUSDALE DR,3RD FLOOR,BURLINGAME,CA,940104506,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,30,14.432333333,1.42,0.8546666667,0.8546666667
1003902370,RAHMAN,ASIF,,M.D.,M,I,2345 CHESTERFIELD AVE,SUITE 301,CHARLESTON,WV,253041062,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,64,5177,3.3138690361,0.5684006181,0.4269557659,0.4269557659
1003902370,RAHMAN,ASIF,,M.D.,M,I,2345 CHESTERFIELD AVE,SUITE 301,CHARLESTON,WV,253041062,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,41,4605,0.0865081433,0.0131444083,0.0100998914,0.0100998914
1003902370,RAHMAN,ASIF,,M.D.,M,I,2345 CHESTERFIELD AVE,SUITE 301,CHARLESTON,WV,253041062,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,1800,2.7099388889,1.3355,1.0470166667,1.0470166667
1003902370,RAHMAN,ASIF,,M.D.,M,I,2345 CHESTERFIELD AVE,SUITE 301,CHARLESTON,WV,253041062,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,5880,4.249829932,2.828122449,2.2054268707,2.2054268707
1003902370,RAHMAN,ASIF,,M.D.,M,I,2345 CHESTERFIELD AVE,SUITE 301,CHARLESTON,WV,253041062,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,14.636030303,7.438,5.6372121212,5.6372121212
1003902370,RAHMAN,ASIF,,M.D.,M,I,2345 CHESTERFIELD AVE,SUITE 301,CHARLESTON,WV,253041062,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,75,75,24,24,17.822933333,17.822933333
1003902370,RAHMAN,ASIF,,M.D.,M,I,2345 CHESTERFIELD AVE,SUITE 301,CHARLESTON,WV,253041062,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,102,110,16,16,12.426,12.426
1003902511,SUAREZ,ZORAIDA,I,M.D.,F,I,5363 BALBOA BLVD,STE 433,ENCINO,CA,91316,US,Physician/Neurology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,44,137,53.289343066,8.32,6.1412408759,6.1412408759
1003902511,SUAREZ,ZORAIDA,I,M.D.,F,I,5363 BALBOA BLVD,STE 433,ENCINO,CA,91316,US,Physician/Neurology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,14.88,3.38,2.65,2.65
1003902511,SUAREZ,ZORAIDA,I,M.D.,F,I,5363 BALBOA BLVD,STE 433,ENCINO,CA,91316,US,Physician/Neurology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,29,45,14.180888889,1.42,1.0142222222,1.0142222222
1003902511,SUAREZ,ZORAIDA,I,M.D.,F,I,5363 BALBOA BLVD,STE 433,ENCINO,CA,91316,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,666.926875,77.18,42.578125,38.23625
1003902511,SUAREZ,ZORAIDA,I,M.D.,F,I,5363 BALBOA BLVD,STE 433,ENCINO,CA,91316,US,Physician/Neurology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1440,0.3448611111,0.0477916667,0.0374722222,0.0374722222
1003902511,SUAREZ,ZORAIDA,I,M.D.,F,I,5363 BALBOA BLVD,STE 433,ENCINO,CA,91316,US,Physician/Neurology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1003903071,FRANCHI,ROBERT,J,DO,M,I,37555 GARFIELD RD,SUITE 100,CLINTON TOWNSHIP,MI,480363659,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,45,49,49,98.935714286,72.630408163,56.941836735,53.144693878
1003903071,FRANCHI,ROBERT,J,DO,M,I,37555 GARFIELD RD,SUITE 100,CLINTON TOWNSHIP,MI,480363659,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,36,64.236111111,37.83,29.659444444,28.813888889
1003903071,FRANCHI,ROBERT,J,DO,M,I,37555 GARFIELD RD,SUITE 100,CLINTON TOWNSHIP,MI,480363659,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,38,74,79.5,52.13,40.87,43.487027027
1003903121,TRESSLER,MARC,,DO,M,I,353 NEW SHACKLE RD.,SUITE 240C,HENDERSONVILLE,TN,37075,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,55.588235294,23.227058824,17.210588235,13.355294118
1003903121,TRESSLER,MARC,,DO,M,I,353 NEW SHACKLE RD.,SUITE 240C,HENDERSONVILLE,TN,37075,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,25,10.567692308,8.2861538462,6.7876923077
1003903121,TRESSLER,MARC,,DO,M,I,353 NEW SHACKLE RD.,SUITE 240C,HENDERSONVILLE,TN,37075,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,35,471.14285714,266.98,207.368,216.67428571
1003903121,TRESSLER,MARC,,DO,M,I,353 NEW SHACKLE RD.,SUITE 240C,HENDERSONVILLE,TN,37075,US,Physician/Orthopedic Surgery,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,22,231.31818182,163.79,122.39590909,120.57590909
1003903139,PEREIRA,JASON,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,26,73,62.871917808,8.32,5.3617808219,5.3617808219
1003903139,PEREIRA,JASON,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,19,5.3694736842,1.42,1.1157894737,1.1157894737
1003903139,PEREIRA,JASON,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,66.645,14.349285714,10.452142857,8.6157142857
1003903139,PEREIRA,JASON,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,9.8190909091,2.1818181818,1.7103030303,1.61
1003903139,PEREIRA,JASON,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,86.31,17.763333333,12.982666667,12.678666667
1003903139,PEREIRA,JASON,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,519.51,81.303333333,59.997333333,52.081333333
1003903378,BESING,DEREK,A,DPM,M,I,202 BROADWAY ST,,VINCENNES,IN,475911228,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,90,72.45,49.197857143,55.611428571
1003903378,BESING,DEREK,A,DPM,M,I,202 BROADWAY ST,,VINCENNES,IN,475911228,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,345,252.065,194.115,215.3895
1003903378,BESING,DEREK,A,DPM,M,I,202 BROADWAY ST,,VINCENNES,IN,475911228,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,280,162.87,125.23235294,124.14
1003903550,MALOSSI,JENNIFER,A,M.D.,F,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,4320,0.39,0.13,0.0848796296,0.0848796296
1003903550,MALOSSI,JENNIFER,A,M.D.,F,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,3980,4.0726130653,1.8063316583,1.2918718593,1.4750502513
1003903568,STEINMETZ,JAMES,R,M.D.,M,I,169 RIVERSIDE DR,DEPAUL PAVILION,BINGHAMTON,NY,139054246,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,3604,0.2850943396,0.13,0.0938790233,0.0938790233
1003903568,STEINMETZ,JAMES,R,M.D.,M,I,169 RIVERSIDE DR,DEPAUL PAVILION,BINGHAMTON,NY,139054246,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,4650,3.9092258065,1.778,1.3455892473,1.5517698925
1003903568,STEINMETZ,JAMES,R,M.D.,M,I,169 RIVERSIDE DR,DEPAUL PAVILION,BINGHAMTON,NY,139054246,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,540,9.0881111111,6.937,5.2155,5.4452037037
1003903568,STEINMETZ,JAMES,R,M.D.,M,I,169 RIVERSIDE DR,DEPAUL PAVILION,BINGHAMTON,NY,139054246,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,32,94,19.735212766,10.823297872,8.0156382979,8.0892553191
1003903568,STEINMETZ,JAMES,R,M.D.,M,I,169 RIVERSIDE DR,DEPAUL PAVILION,BINGHAMTON,NY,139054246,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,24,12.04625,7.06,5.535,5.82375
1003903568,STEINMETZ,JAMES,R,M.D.,M,I,169 RIVERSIDE DR,DEPAUL PAVILION,BINGHAMTON,NY,139054246,US,Physician/Urology,S,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,340,21.464176471,10.18,7.5591470588,7.5591470588
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,72,142,45.142183099,8.32,5.7411267606,5.7411267606
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,9.1653333333,3.38,2.65,2.65
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.790909091,2.12,1.67,1.67
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,28,37,7.7037837838,1.42,1.0567567568,1.0567567568
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,120,60.23,47.216363636,38.249090909
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,17,166.03058824,75.612941176,59.280588235,41.421176471
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,50.73,6.8542857143,5.1128571429,3.5385714286
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,34.363636364,26.944545455,25.782727273
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,57,386.07807018,87.004912281,66.934912281,60.765789474
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1410,1.2284468085,0.1399787234,0.1097446809,0.1097446809
1003903584,LANCE,CHRISTIAN,A,M.D.,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,89.571428571,33,25.87,25.87
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,68,26.698382353,8.32,6.5225,6.5225
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,22,45,8.19,1.34,1.0033333333,1.1022222222
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,169.74545455,56,43.9,42.86
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,56.265454545,12.36,9.69,9.2754545455
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,59,11.28,2,1.5684745763,1.5871186441
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,381.36,48.75,26.264166667,26.230833333
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,46,86.31,17,13.040217391,13.242173913
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,13.33,13.5225
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78,61.15,55.265
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,20,21,55.07,13.185714286,9.8447619048,9.989047619
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,38.23,5.9081818182,3.7731818182,2.9631818182
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,29,217.06034483,34.442413793,27.007241379,24.72137931
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,75,84,512.95595238,78,58.966071429,53.004642857
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,18,250,36,28.22,29.51
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,1290,20.018914729,11.183255814,8.656496124,8.656496124
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,46,6447,1.472546921,0.1359717698,0.1066170312,0.1066170312
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,990,12.86,2.747969697,2.1544141414,2.1544141414
1003903600,CLARY,STEPHEN,J,M.D.,M,I,6087 RIDGE RD,SUITE 2,PARMA,OH,441294472,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,69,69,83.217391304,33,25.87,25.87
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,93.186923077,38.63,25.621538462,25.821538462
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,32,32,262.044375,89.3253125,63.485625,61.4678125
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,39,73.307692308,34.191282051,25.526153846,24.650512821
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,37,37,128.46513514,55.234864865,40.617297297,40.341351351
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,26,35,35,54.450285714,18.640285714,13.090857143,12.613142857
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,50,50,67.2874,11.7854,8.5006,8.4474
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,28,57,320,6.3924375,1.9619375,1.4708125,1.530375
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,15,21,21,44.878095238,14.517142857,10.845238095,9.9847619048
1003903832,KUBEK,DOUGLAS,C,D.O.,M,I,21000 E 12 MILE RD,STE 111,SAINT CLAIR SHORES,MI,480811156,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,14,81,82,152.74390244,35.08695122,26.410853659,24.485853659
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,86.31,18,13.169333333,12.865333333
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,26,422.11346154,89.075384615,67.409615385,54.540384615
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,915,0.6100218579,0.4986338798,0.3909508197,0.3909508197
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,65,6014,4.2888410376,0.5699617559,0.4170003326,0.4170003326
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,7725,0.0286045307,0.0125644013,0.0098511327,0.0098511327
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,5130,1.7965224172,0.7410409357,0.5809785575,0.5809785575
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,7560,2.7451137566,0.898952381,0.7001283069,0.7001283069
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,77,19440,4.9542602881,2.8197592593,2.1959022634,2.195901749
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,44.560909091,34.938181818,29.515454545
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,112,112,24,24,18.651964286,18.651964286
1003903923,GILBERT,EDWARD,M,MD,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,20,127,145,16,16,12.367586207,12.367586207
1003903931,YU,WILLIAM,R,MD,M,I,1836 SOUTH MACARTHUR BLVD,,SPRINGFIELD,IL,62704,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,34,97,78.998865979,8.32,5.7636082474,5.7636082474
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,16,610,0.1601803279,0.1185245902,0.0928688525,0.0928688525
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,20,1060,0.5804339623,0.44,0.344990566,0.344990566
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,19,388,32.919484536,23.66,18.386572165,18.386572165
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,747,26.906626506,18.5,12.487001339,12.487001339
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,24,276,15.574347826,10.93,8.1964492754,8.1964492754
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,18,4200,0.0928857143,0.05,0.0392,0.0392
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,1250,0.188176,0.13,0.101928,0.101928
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,30,3236,0.646999382,0.45,0.3462700865,0.3462700865
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3021.5670588,152.48235294,119.54882353,117.03058824
1003903956,CASE,SARA,A,MD,F,I,62 OLD FORGE HOLLOW RD,,BANTAM,CT,067501315,US,Physician/General Surgery,S,E0371,"Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,698.07,208.88875,163.76875,114.78
1003904277,SOSINA,INNA,,M.D.,F,I,DR. SUSAN SMITH MCKINNEY NURSING & REHAB. CENTER,594 ALBANY AVENUE,BROOKLYN,NY,11203,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,69.888235294,16.311764706,10.450588235,12.264117647
1003904277,SOSINA,INNA,,M.D.,F,I,DR. SUSAN SMITH MCKINNEY NURSING & REHAB. CENTER,594 ALBANY AVENUE,BROOKLYN,NY,11203,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,21.259411765,7.4329411765,4.7476470588,5.7441176471
1003904293,MCCABE,DANA,M,PA-C,F,I,4929 COUNTY ROAD P43,FORT CALHOUN CLINIC,FORT CALHOUN,NE,68023,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,32,93,224,58.8009375,8.32,5.9099553571,5.9099553571
1003904293,MCCABE,DANA,M,PA-C,F,I,4929 COUNTY ROAD P43,FORT CALHOUN CLINIC,FORT CALHOUN,NE,68023,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,21,26,15.337307692,1.42,1.0315384615,1.0315384615
1003904293,MCCABE,DANA,M,PA-C,F,I,4929 COUNTY ROAD P43,FORT CALHOUN CLINIC,FORT CALHOUN,NE,68023,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,14.116363636,1.87,1.4666666667,1.5933333333
1003904293,MCCABE,DANA,M,PA-C,F,I,4929 COUNTY ROAD P43,FORT CALHOUN CLINIC,FORT CALHOUN,NE,68023,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,26,536.23692308,77.18,55.855384615,50.510769231
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,307,307,614,85,71.56,52.791074919,52.791009772
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,179,179,1067,40,29.19,22.569250234,22.570871603
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,55,55,330,75,43.56,33.479424242,33.477787879
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,73,73,427,74.7870726,43.56,34.151615925,34.149929742
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,35,55,725,485.16,378.232,388.82836364
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,800,457.39,342.31833333,337.95583333
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,35,55,525,356.34,279.37,310.41
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,37,38,58,99.812758621,78.81,61.79,68.656551724
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,400,266.98,172.82411765,180.85705882
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,260,154.76666667,121.33466667,119.75
1003904467,KIEFER,JOSEPH,E,D.P.M.,M,I,1851 N 9TH AVE.,,PENSACOLA,FL,325034535,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,78,78,78,201.53846154,163.79,125.11025641,123.29038462
1003904681,GREANEY,PATRICK,J,M.D.,M,I,840 WALNUT ST,15TH FLOOR,PHILADELPHIA,PA,191075109,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,12,125,36.9776,24.8544,19.486,19.27688
1003904681,GREANEY,PATRICK,J,M.D.,M,I,840 WALNUT ST,15TH FLOOR,PHILADELPHIA,PA,191075109,US,Physician/Plastic and Reconstructive Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,85,14.102941176,7.7411764706,6.0691764706,6.3325882353
1003904814,STEINMETZ,BARRY,A,MD,M,I,1760 TERMINO AVE,SUITE 301,LONG BEACH,CA,908042105,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,5.8625,5.1,3.9983333333,4.1492777778
1003904814,STEINMETZ,BARRY,A,MD,M,I,1760 TERMINO AVE,SUITE 301,LONG BEACH,CA,908042105,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5030,0.4316620278,0.37,0.2745904573,0.2745904573
1003904814,STEINMETZ,BARRY,A,MD,M,I,1760 TERMINO AVE,SUITE 301,LONG BEACH,CA,908042105,US,Physician/Gastroenterology,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,65.07,61.8,48.45,48.331818182
1003904814,STEINMETZ,BARRY,A,MD,M,I,1760 TERMINO AVE,SUITE 301,LONG BEACH,CA,908042105,US,Physician/Gastroenterology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,5.95,5.32,4.17,3.9790909091
1003905480,FORMAN,PETER,H,MD,M,I,1499 NEW SCOTLAND RD,,SLINGERLANDS,NY,121599209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,29,68.59137931,8.32,5.1737931034,5.1737931034
1003905480,FORMAN,PETER,H,MD,M,I,1499 NEW SCOTLAND RD,,SLINGERLANDS,NY,121599209,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.55,13.76,13.54
1003905480,FORMAN,PETER,H,MD,M,I,1499 NEW SCOTLAND RD,,SLINGERLANDS,NY,121599209,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.48,62.31,54.72
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,33,72,233,71.494120172,8.32,6.1670815451,6.1670815451
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,40,58,16.287241379,1.42,1.0570689655,1.0570689655
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,14,69,41.09826087,14.302608696,11.213333333,11.791594203
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,167.55769231,51.626153846,40.475384615,42.758461538
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,59.379166667,17.2,13.485,13.966666667
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,53.88,11.493846154,9.0092307692,9.1230769231
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,78,6.7474358974,1.9553846154,1.4783333333,1.5375641026
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,137.16363636,44.117272727,34.587272727,36.306363636
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,161.31,30.158108108,22.444594595,23.392972973
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2418,0.2969023987,0.0458105873,0.0306079404,0.0306079404
1003905498,GJENVICK,TIMOTHY,C,M.D.,M,I,1600 PERRINEVILLE RD,,MONROE TWP,NJ,088314923,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,82.5,33,24.022142857,24.022142857
1003906454,SPURGIN,RANDAL,T,MD,M,I,207 CARTER ST,,BERRYVILLE,AR,726164303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,23,65,143,51.036223776,8.32,5.663986014,5.663986014
1003906454,SPURGIN,RANDAL,T,MD,M,I,207 CARTER ST,,BERRYVILLE,AR,726164303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,29,40,10.9915,1.42,1.02,1.02
1003906454,SPURGIN,RANDAL,T,MD,M,I,207 CARTER ST,,BERRYVILLE,AR,726164303,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,40,76.8045,26.856,20.25425,13.825
1003906454,SPURGIN,RANDAL,T,MD,M,I,207 CARTER ST,,BERRYVILLE,AR,726164303,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,51,9.3050980392,3.0541176471,2.1166666667,1.3425490196
1003906454,SPURGIN,RANDAL,T,MD,M,I,207 CARTER ST,,BERRYVILLE,AR,726164303,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,134.45,47.542727273,34.926363636,23.376363636
1003906454,SPURGIN,RANDAL,T,MD,M,I,207 CARTER ST,,BERRYVILLE,AR,726164303,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,738.63652174,101.79913043,74.24826087,49.604347826
1003906470,VALENTIN,EDWIN,,M.D.,M,I,AVE NOGAL 2 D 1,LOMAS VERDES,BAYAMON,PR,00956,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,80,55.353375,8.32,6.3595,6.3595
1003906470,VALENTIN,EDWIN,,M.D.,M,I,AVE NOGAL 2 D 1,LOMAS VERDES,BAYAMON,PR,00956,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,18,12.19,1.42,1.0511111111,1.0511111111
1003906470,VALENTIN,EDWIN,,M.D.,M,I,AVE NOGAL 2 D 1,LOMAS VERDES,BAYAMON,PR,00956,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,9.9132,6.648,3.6504,2.4412
1003906512,CORREDOR,DANIEL,G,MD,M,I,11929 W AIRPORT BLVD,SUITE 402,STAFFORD,TX,774772451,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,40,123,423,55.51858156,8.32,5.8887234043,5.8887234043
1003906512,CORREDOR,DANIEL,G,MD,M,I,11929 W AIRPORT BLVD,SUITE 402,STAFFORD,TX,774772451,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,8.9163636364,3.38,2.65,2.65
1003906512,CORREDOR,DANIEL,G,MD,M,I,11929 W AIRPORT BLVD,SUITE 402,STAFFORD,TX,774772451,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,12.985,2.12,1.67,1.67
1003906512,CORREDOR,DANIEL,G,MD,M,I,11929 W AIRPORT BLVD,SUITE 402,STAFFORD,TX,774772451,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,25,64,133,9.4866917293,1.42,1.0882706767,1.0882706767
1003906603,GUPTA,SUMATI,V,MD,F,I,1950 CIRCLE OF HOPE,CLINIC 2B,SALT LAKE CITY,UT,841125550,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,289.3,102.61833333,80.455,54.73
1003906603,GUPTA,SUMATI,V,MD,F,I,1950 CIRCLE OF HOPE,CLINIC 2B,SALT LAKE CITY,UT,841125550,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,35.0825,29.515833333
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,44,92,58.785108696,8.32,5.9552173913,5.9552173913
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,17.272727273,3.38,2.65,2.65
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,26,37,16.728648649,1.42,1.0262162162,1.0262162162
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,165,46.147142857,36.180714286,37.753571429
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,48.438333333,4.02,2.37,2.605
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,409.16421053,77.36,60.65,54.73
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,36.68,26.136363636,26.912727273
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,3747,0.2421777422,0.0466639979,0.0343688284,0.0343688284
1003906645,ESSAH,PAULINA,,M.D.,F,I,719 N 25TH ST,,RICHMOND,VA,232236539,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,33.382352941,33,21.304705882,21.304705882
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,90,168,168,131.33059524,39.18827381,29.604880952,29.390833333
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,1080,3.144,2.52,1.9756666667,2.2056666667
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,103,184,184,445.86173913,88.564836957,65.679673913,64.27798913
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,86,162,420,158.32766667,32.679166667,24.779785714,25.050928571
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,59,95,505,77.182732673,18.233465347,13.697861386,13.938257426
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,41,80,425,73.7012,15.052329412,10.999152941,11.086352941
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,126,211,211,262.52753555,53.348436019,39.87507109,40.819620853
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,205,260,260,84.3205,17.936384615,13.4455,13.444769231
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,51.886666667,10.058666667,7.8853333333,8.1293333333
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,159,255,255,91.218509804,12.002745098,9.1701960784,8.9141960784
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,210,392,2216,10.042075812,2.0371119134,1.5381633574,1.5339666065
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,65,84,84,30.005952381,5.9697619048,4.5671428571,4.54
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,117,140,140,59.104142857,12.275428571,9.6189285714,10.260785714
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,65,78,72.261025641,16.967692308,12.282051282,12.493717949
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1275.14,1074.31,831.415,831.415
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,4430.1,1074.31,836.15461538,836.15461538
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,51,58,618.63431034,79.809137931,58.21,60.003448276
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,72,72,72,761.8375,132.39722222,100.17805556,101.00041667
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,11,38,48,81.75,13.10375,10.057291667,10.251458333
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,25,50.73,3.284,2.4736,3.4708
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,153,747,773,623.12954722,32.597257439,23.262729625,23.730155239
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,70,82,478.94280488,76.75902439,54.97304878,50.605
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,2834,0.2832921665,0.0460868031,0.0361256175,0.0361220889
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,12.9955,3.034,2.3786759259,2.3786759259
1003906801,RAMPERSAUD,RAJENDRA,M,MD,M,I,970 NORTH BROADWAY SUITE 209,RAJENDRA M RAMPERSAUD MD,YONKERS,NY,107011311,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,104.28,33,25.87,25.87
1003906959,LARSON,ANNE,M,M.D.,F,I,1560 N 115TH ST STE 207,,SEATTLE,WA,981338414,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,12,85,5445,3.196912764,0.5077263545,0.3740716253,0.3740716253
1003906959,LARSON,ANNE,M,M.D.,F,I,1560 N 115TH ST STE 207,,SEATTLE,WA,981338414,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,71,71,24,24,16.964507042,16.964507042
1003906959,LARSON,ANNE,M,M.D.,F,I,1560 N 115TH ST STE 207,,SEATTLE,WA,981338414,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,24,16,16,12.54125,12.54125
1003907098,KEESEE,SEAN,T,MD,M,I,5 ALUMNI DR FL 2,,EXETER,NH,038332128,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,29,79.687931034,21.573793103,15.369310345,12.131034483
1003907098,KEESEE,SEAN,T,MD,M,I,5 ALUMNI DR FL 2,,EXETER,NH,038332128,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,42.449411765,7.7229411765,4.3994117647,2.6270588235
1003907098,KEESEE,SEAN,T,MD,M,I,5 ALUMNI DR FL 2,,EXETER,NH,038332128,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,51,450.78117647,100.28745098,75.227254902,51.668431373
1003907098,KEESEE,SEAN,T,MD,M,I,5 ALUMNI DR FL 2,,EXETER,NH,038332128,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,163.46153846,44.526923077,34.911538462,29.515384615
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,41,83,27.727228916,10.927108434,8.1544578313,8.1544578313
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,20,20.555,7.598,5.356,5.9025
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,400,12.7295,5.74,4.287325,4.287325
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,152,5.0826315789,2.91,2.2813815789,2.2813815789
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,42,13.767857143,6.44,4.8085714286,4.8085714286
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,30,730,24.840328767,9.8569863014,7.3929589041,7.3929589041
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,160,10.638,7,4.6916875,4.6916875
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,44,980,8.9578673469,4.0379591837,3.1334183673,3.1334183673
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,660,0.6849393939,0.4,0.3040454545,0.3040454545
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,1160,0.5826551724,0.2661206897,0.1949310345,0.1979741379
1003907312,LEE,CHERYL,T,MD,F,I,300 W 10TH AVE,1ST FLOOR,COLUMBUS,OH,432101280,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,525,0.7320380952,0.26,0.1836571429,0.1914857143
1003907387,RUBAUM,LAD,E,MD,M,I,14860 ROSCOE BLVD,NO 305,PANORAMA CITY,CA,91402,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,330.17636364,34.461818182,14.929090909,14.871818182
1003907585,GINN,WILLIAM,N,M.D.,M,I,751 S MIAMI ST,,WEST MILTON,OH,453831303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,58,142,44.24971831,8.32,5.8792253521,5.8792253521
1003907585,GINN,WILLIAM,N,M.D.,M,I,751 S MIAMI ST,,WEST MILTON,OH,453831303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,26,10.189615385,1.42,0.9453846154,0.9453846154
1003907585,GINN,WILLIAM,N,M.D.,M,I,751 S MIAMI ST,,WEST MILTON,OH,453831303,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,79.447857143,18.077857143,11.225,10.653571429
1003907585,GINN,WILLIAM,N,M.D.,M,I,751 S MIAMI ST,,WEST MILTON,OH,453831303,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,505.08513514,78.376756757,38.915675676,34.682972973
1003907585,GINN,WILLIAM,N,M.D.,M,I,751 S MIAMI ST,,WEST MILTON,OH,453831303,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,36,85.625,19.791666667,9.7372222222,8.7136111111
1003907783,GRIFFIN,PATRICIA,C,MD,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,12,256,9.7421875,3.08,2.4146484375,2.36765625
1003907783,GRIFFIN,PATRICIA,C,MD,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,26,14266,1.0769648114,0.2694953035,0.2111439787,0.2428999019
1003907783,GRIFFIN,PATRICIA,C,MD,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Radiation Oncology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,27,5.16,3.7125,3.6208333333
1003908237,BEAVER,GARY,L,O.D.,M,I,300 W LAUREL ST,,INDEPENDENCE,KS,673013315,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,65,63.93862069,50.13137931,51.959655172
1003908237,BEAVER,GARY,L,O.D.,M,I,300 W LAUREL ST,,INDEPENDENCE,KS,673013315,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,55.45,50.821,39.843,42.414
1003908237,BEAVER,GARY,L,O.D.,M,I,300 W LAUREL ST,,INDEPENDENCE,KS,673013315,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,20,35,70.428571429,62.765428571,49.209142857,52.544285714
1003908344,JOHNSTON,BARBARA,E,MD,F,I,275 7TH AVE,,NEW YORK,NY,100016708,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,52,129.10211538,8.32,5.7676923077,5.7676923077
1003908435,SHARP,KENNETH,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,35,55.994285714,42.52,28.811428571,26.524
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,784,4.4088520408,4.1,3.2036607143,2.3570535714
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,1365,7.9509010989,7.2201538462,5.6382271062,4.1405567766
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,10493,0.5578595254,0.4906194606,0.3717859525,0.2784646907
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,13461,0.4672171458,0.3929886338,0.2890647054,0.2247529901
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,8385,0.9536529517,0.7848443649,0.5982075134,0.5003315444
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,30.75,12.82,10.046315789,4.4094736842
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,86,86,29.863255814,13.202906977,10.110348837,9.0315116279
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,70,70,29.959857143,13.026857143,10.214571429,8.9528571429
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,98,98,360.34959184,212.63642857,152.27377551,152.27367347
1003908476,DAHL,ERIC,P,DO,M,I,1487 BELK BLVD,,OXFORD,MS,386555371,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,237.33,54.833333333,40.034166667,25.555833333
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,67,170,73.356705882,8.32,6.098,6.098
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,13,13.984615385,1.42,1.1184615385,1.1184615385
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,72.821538462,14.584615385,11.433076923,9.2515384615
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,10.890588235,2.2705882353,1.7805882353,1.5879411765
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,17,12.118181818,12.332727273
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,112.77,47.29,33.980833333,34.5525
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,25.73,5.6563636364,3.9081818182,3.0727272727
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,422.94648649,78,57.844594595,53.68027027
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2775,0.2820252252,0.0467711712,0.0342018018,0.0342018018
1003909169,SENFT,JAMES,,MD,M,I,9000 MENTOR AVE STE 105,,MENTOR,OH,440604497,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,77,33,22.995555556,22.995555556
1003909219,BAER,HEATHER,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,15,22,395,94.780909091,74.310454545,86.849090909
1003909219,BAER,HEATHER,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Physical Medicine and Rehabilitation,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,18,25,395,94.2864,71.0796,83.744
1003909219,BAER,HEATHER,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,11,34,35.176470588,15.26,9.8526470588,9.8526470588
1003909383,PATEL,NEETA,J,M.D.,F,I,11205 ALPHARETTA HWY STE B-6A,,ROSWELL,GA,300765610,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,36,80.673055556,8.32,4.5302777778,4.5302777778
1003909771,MILLER,KELLI,J,M.D.,F,I,215 PESETAS LANE,,SANTA BARBARA,CA,93110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,82,70.233414634,8.32,6.2034146341,6.2034146341
1003909904,MONIER,CHARLES,S,MD,M,I,504 JACK MILLER ROAD,SUITE 7,VILLE PLATTE,LA,705865600,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,171.46933333,97.342666667,76.318,60.13
1003910290,DENATALE,JOSEPH,J,MD,M,I,455 CENTRAL PARK AVE,SUITE 208,SCARSDALE,NY,105831060,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,41,39.09804878,8.32,5.0904878049,5.0904878049
1003910290,DENATALE,JOSEPH,J,MD,M,I,455 CENTRAL PARK AVE,SUITE 208,SCARSDALE,NY,105831060,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,19,10.145789474,1.42,0.82,0.82
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,40,40,40,97.0335,45.02475,35.299,36.25
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,15.0875,9.9275,7.7884375,7.6871875
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,202.84153846,47.010769231,36.859230769,40.795384615
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,200,44.639230769,24.220769231,24.333846154
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,24,107,107,152.12504673,50.686542056,39.73728972,40.310373832
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,36.363636364,6.0240909091,4.7254545455,3.9368181818
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,82.5,11.090714286,5.7557142857,5.9185714286
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,241.66666667,79.646666667,51.728333333,46.174166667
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,18,18,18,94.744444444,37.749444444,29.598888889,29.372777778
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,50,299,299,83.20735786,17.488327759,12.041605351,12.191505017
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,136,25.756111111,18.295555556,19.926666667
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,175,42.77125,31.519375,34.829375
1003910324,MANION,EUGENE,T,MD,M,I,900 BESTGATE ROAD,SUITE 303,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,7,32,142,142,28.698732394,9.1650704225,5.9041549296,5.4450704225
1003910472,PRABHAT,ARVIND,,MD,M,I,1131 BROAD ST STE 103,,SHREWSBURY,NJ,077024334,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,60,9.918,1.91,1.4985,1.5835
1003910472,PRABHAT,ARVIND,,MD,M,I,1131 BROAD ST STE 103,,SHREWSBURY,NJ,077024334,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,156.124,30.262,23.73,24.936
1003910563,WUERMSER,LISA-ANN,,MD,F,I,3915 GOLDEN VALLEY RD,,MINNEAPOLIS,MN,554224249,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,635,2.2397637795,2.2397637795,1.5907874016,1.6152125984
1003910563,WUERMSER,LISA-ANN,,MD,F,I,3915 GOLDEN VALLEY RD,,MINNEAPOLIS,MN,554224249,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2300,7.8008695652,7.8008695652,6.1158652174,6.1779043478
1003910563,WUERMSER,LISA-ANN,,MD,F,I,3915 GOLDEN VALLEY RD,,MINNEAPOLIS,MN,554224249,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,29,9.1493103448,9.1493103448,5.6931034483,7.1186206897
1003910563,WUERMSER,LISA-ANN,,MD,F,I,3915 GOLDEN VALLEY RD,,MINNEAPOLIS,MN,554224249,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,46,7.2039130435,7.2039130435,4.9143478261,5.1158695652
1003910647,ROTHMAN,MICOL,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,28,361,63.48299169,19.643878116,15.400554017,15.400554017
1003910647,ROTHMAN,MICOL,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,29,875,8.3316114286,2.6317714286,2.01592,2.01592
1003910647,ROTHMAN,MICOL,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,25,57,317,76.093217666,8.32,5.8150788644,5.8150788644
1003910647,ROTHMAN,MICOL,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,16,42,17.041190476,1.42,1.1138095238,1.1138095238
1003910647,ROTHMAN,MICOL,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,732.33538462,343.03307692,262.89897436,262.89897436
1003910647,ROTHMAN,MICOL,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,2220,17.022644144,10.847828829,8.5046846847,8.5046846847
1003910647,ROTHMAN,MICOL,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,71,71,349.47676056,250.99464789,196.77957746,196.86957746
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,31,89,241,59.770746888,8.32,5.8728630705,5.8728630705
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.25,3.38,2.2083333333,2.2083333333
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,40,78,15.108333333,1.42,0.9856410256,0.9856410256
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,180.7776,66.1912,49.8464,35.23
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,24,210,210,39.817714286,22.379,16.712285714,13.142
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,21.615833333,8.2608333333,5.8716666667,3.19
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,36,302,302,296.15536424,103.79125828,78.214701987,56.395960265
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,60,45.42,33.281666667,27.770555556
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,2941,0.3728731724,0.0458415505,0.0295409725,0.0295409725
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1110,1.7195495495,0.1361351351,0.1018108108,0.1018108108
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,73.084444444,27.514074074,21.038148148,14.17962963
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,139.46074074,45.272592593,34.567407407,24.26962963
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,179.1,44.781818182,32.124090909,27.483181818
1003910670,ENRICO-SIMON,AGNES,A,M.D.,F,I,2420 JEFFERSON AVE,,PT PLEASANT,WV,255501528,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,24,24,37.125,33,23.53625,23.53625
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,34,66,56.992878788,8.32,4.9040909091,4.9040909091
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,23,13.016956522,1.42,0.8260869565,0.8260869565
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,81.8825,18.03,13.965625,14.2778125
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,35.545454545,15.17,8.6545454545,8.6545454545
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,170.494,54.79,34.36,34.297
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,50.190588235,17.97,11.812352941,11.798235294
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,52.953529412,12.507647059,9.2641176471,8.5835294118
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,35,81,6.7758024691,2.0792592593,1.4750617284,1.4364197531
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,31.177333333,13.43,8.424,8.2973333333
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,56.25,17.27,12.69375,12.69375
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,15,4.8661538462,3.82,3.6538461538
1003910753,BUCHWEITZ,CYNTHIA,A,MD,F,I,2035 ASHER CT,SUITE 200,EAST LANSING,MI,488238480,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,258.33333333,69.81,52.279259259,52.279259259
1003911009,PARISI,BRUCE,A,M.D.,M,I,1600 167TH ST STE 500,,CALUMET CITY,IL,604095457,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,30,71,237,67.289409283,8.32,5.4496202532,5.4496202532
1003911009,PARISI,BRUCE,A,M.D.,M,I,1600 167TH ST STE 500,,CALUMET CITY,IL,604095457,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,21,45,62,16.594677419,1.42,0.9716129032,0.9716129032
1003911009,PARISI,BRUCE,A,M.D.,M,I,1600 167TH ST STE 500,,CALUMET CITY,IL,604095457,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,88.405,18,13.4045,12.863
1003911009,PARISI,BRUCE,A,M.D.,M,I,1600 167TH ST STE 500,,CALUMET CITY,IL,604095457,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,389.94684211,77.18,58.732894737,54.009736842
1003911033,FUZAYLOVA,SVETLANA,,MD,F,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,35,79.154,8.32,5.2174285714,5.2174285714
1003911058,MCALISTER,ROBERT,L,MD,M,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,38,54.045,8.32,5.835,5.835
1003911058,MCALISTER,ROBERT,L,MD,M,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,395,105.89588235,83.024117647,57.456470588
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,57,168,440,51.193954545,8.32,5.9265909091,5.9265909091
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,27,27,13.573333333,3.38,2.65,2.65
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,17,21,21,17.878095238,2.12,1.67,1.67
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,34,73,116,12.093103448,1.42,1.0474137931,1.0474137931
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,102,9.2517647059,6.3082352941,4.3773529412,4.4869607843
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,46.590909091,9.8281818182,7.0990909091,6.9190909091
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,69,16.48,11.796521739,12.420434783
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,27.663478261,3.2173913043,2.5217391304,3.5339130435
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,176.955,30.188333333,21.118333333,21.278333333
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,45,11.322727273,8.8772727273,9.0127272727
1003911587,PRICE,ROBERT,A,MD,M,I,1701 MAGNOLIA WAY STE 101,,AUGUSTA,GA,30909,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,395,70.78,47.417,46.75
1003911611,REEVES,MARY,A,MD,F,I,910 RUSH DR,,SALIDA,CO,812019665,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,22.253636364,16.089090909,12.3
1003911611,REEVES,MARY,A,MD,F,I,910 RUSH DR,,SALIDA,CO,812019665,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100,59.384545455,42.807272727,34.209090909
1003911645,AMIN,KALPESH,S,M.D.,M,I,6911 FOREST AVE,,RIDGEWOOD,NY,113854457,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,42,74.801428571,8.32,4.8133333333,4.8133333333
1003911645,AMIN,KALPESH,S,M.D.,M,I,6911 FOREST AVE,,RIDGEWOOD,NY,113854457,US,Physician/Cardiovascular Disease (Cardiology),S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,38,38,38,138.02,43.865263158,33.485263158,35.246578947
1003911645,AMIN,KALPESH,S,M.D.,M,I,6911 FOREST AVE,,RIDGEWOOD,NY,113854457,US,Physician/Cardiovascular Disease (Cardiology),S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,22,22,22,146.89,49.064545455,38.46,40.179545455
1003911645,AMIN,KALPESH,S,M.D.,M,I,6911 FOREST AVE,,RIDGEWOOD,NY,113854457,US,Physician/Cardiovascular Disease (Cardiology),S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,70.2,29.68,23.27,27.677272727
1003911645,AMIN,KALPESH,S,M.D.,M,I,6911 FOREST AVE,,RIDGEWOOD,NY,113854457,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,46,46,69.618043478,16.10326087,12.307173913,14.416086957
1003911645,AMIN,KALPESH,S,M.D.,M,I,6911 FOREST AVE,,RIDGEWOOD,NY,113854457,US,Physician/Cardiovascular Disease (Cardiology),S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,45,45,20.57,7.2762222222,5.7062222222,6.8988888889
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,57,53.872280702,8.32,5.8471929825,5.8471929825
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,20,10.242,1.42,0.893,0.893
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,8.5981818182,7.39,5.5268181818,6.4190909091
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,5.69,5.54,4.1427272727,4.1427272727
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,14.15,13.8,10.328181818,10.328181818
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,44,11.2,10.93,8.1804545455,8.1804545455
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,40,40,53.965,53.3875,41.8575,40.006
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,8.744,5.6505,4.432,3.5855
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,47.886538462,47.390384615,37.154615385,37.928461538
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,52,99.06,59.3,44.145769231,50.351153846
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,55.025,20.591842105,15.163947368,13.292368421
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,69.902285714,32.200857143,25.242571429,22.129142857
1003911975,GUTIERREZ,LUIS,F,MD,M,I,9690 W SAMPLE RD STE 101,,CORAL SPRINGS,FL,330654031,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,48,48,18.107083333,8.8941666667,6.6958333333,6.5191666667
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,44,8.15,6.44,5.045,5.045
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,6.73,5.54,4.3435,4.3435
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,5.176,4.04,3.1675,3.1675
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,1100,0.305,0.27,0.2116,0.2116
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,52,1560,7.35,7.35,5.7623333333,5.7773974359
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,325,0.61,0.27,0.2116,0.2116
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,41,2460,0.34,0.13,0.102,0.102
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,39.21,11.66,9.14,9.12
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,22,44,4.8,2.06,1.615,1.59
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,140,53.44,41.9,41.9
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,54,1620,4.4,3.81,2.987,2.987
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,361,6.4443213296,3,2.2152354571,2.2307479224
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,27,396,5425,13.820770507,4.85,3.7803502304,4.1304921659
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,14,213,40166,1.1846823184,0.3388746701,0.2603341134,0.2843696161
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,142,31860,1.2226741996,0.2915819209,0.2199855618,0.2343603264
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,68,14381,2.7583721577,1.0687921563,0.8379194771,0.9452173006
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,42,9348,2.0510269576,0.6004343175,0.4707370561,0.5174433034
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,14,161,2813,3.3522929257,0.6922858159,0.5427657305,0.5562140064
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,21,145,145,140.29655172,59.02,45.657517241,47.484896552
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,185,48.140625,35.603125,36.77875
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,185,43.6,26.584444444,27.692222222
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,110,29.31,12.732727273,13.164545455
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,58,58,25,10.353448276,8.120862069,8.2767241379
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,71,15,4.865915493,3.8133802817,3.9395774648
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,62,73,25,9.3667123288,7.2387671233,7.5612328767
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,58,58,280,203.17327586,144.51637931,144.51603448
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,59,4,2.7894915254,2.1811864407,2.163559322
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,20,12.451714286,9.7591428571,10.401142857
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,K0040,"Adjustable angle footplate, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,35,10,4.6788571429,3.6622857143,3.8294285714
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,K0105,"Iv hanger, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,16,8.59875,6.741875,6.943125
1003912031,CREVECOEUR,ROLAND,J,M.D,M,I,1800 N JUNIATA ST,,HOLLIDAYSBURG,PA,166481997,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,25,7.5192857143,5.8935714286,6.3617857143
1003912163,HARTZOG,JOSEPH,M,MD,M,I,710 VENTURE DR,,MORGANTOWN,WV,265087306,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,29.337142857,4.7964285714,3.7592857143,3.8621428571
1003912163,HARTZOG,JOSEPH,M,MD,M,I,710 VENTURE DR,,MORGANTOWN,WV,265087306,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.45,28.805,22.5775,21.6225
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,80,35.159,8.32,6.52225,6.52225
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,41,11.17902439,1.42,1.1146341463,1.1146341463
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,20,89,11250,7.8255324444,0.5581804444,0.4223111111,0.4223084444
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,4230,2.5827021277,0.7363404255,0.5634940898,0.5634940898
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,3060,11.97120915,1.1852941176,0.9019771242,0.9019771242
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,63,9660,7.3590641822,2.7824875776,2.164489648,2.164489648
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,20,87,87,24,24,18.82,18.82
1003912288,MEDINA CABAN,GERARDO,J,MD,M,I,1050 LOS CORAZONES AVE,SUITE 102,MAYAGUEZ,PR,006807042,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,24,108,158,16,16,12.460886076,12.460886076
1003912395,HODOS,MICHAEL,J,DPM,M,I,833-C WAKE FOREST BUSINESS PARK,,WAKE FOREST,NC,275876519,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,147.48,74.55,52.0232,56.3952
1003912718,FINE,ALAN,I,M.D.,M,I,8 MOUNTAIN BLVD,,WARREN,NJ,070592638,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,106,63.922924528,8.32,5.9687735849,5.9687735849
1003912718,FINE,ALAN,I,M.D.,M,I,8 MOUNTAIN BLVD,,WARREN,NJ,070592638,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,28,15.945,1.42,1.075,1.075
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,63,5026,0.39,0.13,0.0924353363,0.0924353363
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,60,7776,5.8523148148,1.73,1.0029539609,1.1800167181
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,64,9660,9.7101449275,6.15,4.7920548654,5.5520165631
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,56,17.0725,10.93,8.2639285714,8.2639285714
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,22,620,10.99016129,5.74,4.5000645161,4.5000645161
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,400,20.8218,9.86,7.371375,7.371375
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,400,11.6231,7,4.992125,4.992125
1003912726,LENZ,DEAN,L,M.D.,M,I,1520 S LIBERTY DR,,BLOOMINGTON,IN,474035167,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,40,860,7.2636976744,4.04,3.1305465116,3.1305465116
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,31,106,293,53.775665529,8.32,6.0607508532,6.0607508532
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,28,28,15.027142857,3.38,2.65,2.65
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,20.443333333,2.12,1.67,1.67
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,21,51,84,13.296904762,1.42,1.0879761905,1.0879761905
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,123.47,42.152222222,30.963333333,29.056111111
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.18375,1.5525,1.2153125,1.15
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,84.441538462,12.53,9.8184615385,9.0707692308
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,14,26,26,498.90038462,93.638461538,69.23,63.648461538
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,13,27,66,195.26924242,35.272878788,26.790151515,25.161969697
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,18,105,72.69,17.213809524,12.644571429,11.416666667
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,25,25,292.1424,64.4152,45.158,38.7052
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,21,27,27,86.702222222,20.291111111,15.902962963,14.341481481
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,40,40,89.92825,14.93125,11.22775,8.94675
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,24,51,284,15.088098592,2.4750352113,1.8480633803,1.5606338028
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,16,21,21,55.366190476,13.585238095,10.154285714,9.8514285714
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,153.71846154,57.770769231,41.905384615,41.347692308
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,43,75.779534884,17.29,12.604651163,12.586976744
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,304.456,119.45533333,93.652666667,72.763333333
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,26,29,44.31862069,4.7927586207,3.2975862069,3.3068965517
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,11,61,65,431.78230769,40.549538462,28.078,23.205384615
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,70,74,429.97851351,75.238513514,56.955405405,52.775945946
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,31,1860,15.58,9.617,7.4625860215,7.4625860215
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,1680,0.92,0.1361607143,0.1002619048,0.1002619048
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,59,3540,12.86,3.0477118644,2.2831242938,2.2831242938
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,62.325454545,21.505454545,14.501818182,13.368181818
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,110.12333333,29.8225,14.524166667,13.3075
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,32.562857143,9.1057142857,6.5464285714,6.4585714286
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,599.5,179.76571429,140.93857143,138.96714286
1003912775,LAMB,BENJAMIN,W,M.D.,M,I,148 SAULS ST,,LAKE CITY,SC,295602631,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,74,74,119.95945946,33,25.520405405,25.520405405
1003912809,MARUSH,ARTHUR,,MD,M,I,2270 KIMBALL STREET,TRAUBE MARUSH PLAWES MD PC,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,55,168,54.063392857,8.32,6.2116666667,6.2116666667
1003912809,MARUSH,ARTHUR,,MD,M,I,2270 KIMBALL STREET,TRAUBE MARUSH PLAWES MD PC,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,10.036470588,3.38,2.4941176471,2.4941176471
1003912809,MARUSH,ARTHUR,,MD,M,I,2270 KIMBALL STREET,TRAUBE MARUSH PLAWES MD PC,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,28,48,11.302083333,1.42,1.0683333333,1.0683333333
1003912833,FAUVER,SHAWN,,FNP,F,I,1001 W EAGLE DR,,DECATUR,TX,762343745,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,76.48,54.521666667,49.719166667
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,54,68.022962963,8.0366666667,6.1692592593,6.4190740741
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,255.21,86.33,67.68,67.84
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,22,94.065454545,33.48,26.244545455,25.929545455
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,51.450909091,17.88,14.01,14.06
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,78.636363636,11.54,9.05,9.12
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,24,69,8.4704347826,2.01,1.5782608696,1.5911594203
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17.29,13.55,13.541666667
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,500,86.707894737,67.976842105,67.976842105
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,149.23076923,32.76,24.767307692,24.276153846
1003913021,EHRHART,TROY,J,MD,M,I,1899 N MARINE BLVD,,JACKSONVILLE,NC,285466555,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,70.23,55.06,54.918333333
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,40,115,210,68.770238095,8.32,5.5279047619,5.5279047619
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,33,35,15.440285714,1.42,0.8634285714,0.8634285714
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,14,75,82.126666667,20.5456,13.3704,11.915466667
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,11,51,66.885490196,15.27,11.267647059,11.195490196
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,17,30,30,261.83066667,57.844,41.973333333,39.672
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,21,21,78.95047619,17.94,13.557619048,13.557619048
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,75.117333333,11.08,8.3326666667,8.7553333333
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,28,164,8.5523170732,1.99,1.4937804878,1.5228658537
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,57.321818182,13.665454545,10.714545455,10.34
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.69,12.609090909,12.330909091
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,190,30.832307692,22.384615385,22.488461538
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,384.11347826,69.99,48.883478261,48.767826087
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.68,25.266666667,24.659166667
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1530,1.819248366,0.1326862745,0.1004509804,0.1004509804
1003913138,JACOBSEN,MATTHEW,W,MD,M,I,7441 O ST,STE 400,LINCOLN,NE,685102468,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,57.75,33,23.714166667,23.714166667
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,51,122,443,80.019209932,8.32,6.1468848758,6.1468848758
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,16.153846154,3.38,2.65,2.65
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,24,56,95,15.472526316,1.42,1.0562105263,1.0562105263
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,250,6.81,5.74,4.5,4.5
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,380,13.969578947,5.54,4.0003157895,4.0003157895
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,260,4.272,3.04,2.2928846154,2.2928846154
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,51.885714286,11.54,7.7571428571,7.8314285714
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,88,7.5068181818,2.01,1.4693181818,1.4859090909
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,19.865454545,5.91,4.2181818182,4.2381818182
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.54,4.3432258065,4.1632258065
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,13925,3.2673084381,0.31,0.2430398564,0.2430398564
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,128.97,47.822727273,37.493636364,36.609090909
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,160.30666667,52.901333333,41.471333333,40.826
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,26,63.516153846,17.584230769,13.259615385,13.241923077
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,19,19,37.843684211,5.2952631579,4.1531578947,4.1473684211
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,458.72869565,71.343695652,55.93326087,55.622826087
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2546,0.1995600943,0.0454202671,0.0356087981,0.0356087981
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,26,32,97.4515625,19.715,14.1196875,13.498125
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,43,43,103.91534884,35.387209302,27.741860465,26.375813953
1003913252,PATEL,BHADRESH,K,M.D.,M,I,3775 N LECANTO HWY,,BEVERLY HILLS,FL,344653559,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,33,34.945454545,8.8533333333,6.7539393939,6.7157575758
1003913336,YIAN,CHRISTOPHER,H,M.D.,M,I,24411 HEALTH CENTER DR STE 600,,LAGUNA HILLS,CA,926533687,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,10.450555556,5.21,4.0846666667,4.0964166667
1003913336,YIAN,CHRISTOPHER,H,M.D.,M,I,24411 HEALTH CENTER DR STE 600,,LAGUNA HILLS,CA,926533687,US,Physician/Otolaryngology,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,6.05,2.33,1.82,1.82
1003913336,YIAN,CHRISTOPHER,H,M.D.,M,I,24411 HEALTH CENTER DR STE 600,,LAGUNA HILLS,CA,926533687,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,132,11.38,3.81,2.9872727273,2.9872727273
1003913336,YIAN,CHRISTOPHER,H,M.D.,M,I,24411 HEALTH CENTER DR STE 600,,LAGUNA HILLS,CA,926533687,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,70.795294118,29.521764706,21.897647059,24.007647059
1003913336,YIAN,CHRISTOPHER,H,M.D.,M,I,24411 HEALTH CENTER DR STE 600,,LAGUNA HILLS,CA,926533687,US,Physician/Otolaryngology,S,L8501,Tracheostomy speaking valve,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,208.5,116.79,91.56,99.19875
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,21,62,156,56.016346154,8.32,5.6440384615,5.6440384615
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.769230769,3.38,2.65,2.65
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,32,52,14.203076923,1.42,0.9434615385,0.9434615385
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,175.02058824,59.990588235,44.923529412,35.264117647
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,39.55,22.253636364,14.797272727,11.07
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,22.7188,6.464,4.4126,2.906
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,257.14,104.5025,80.43825,56.39925
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1618,1.9936341162,0.1348887515,0.1057540173,0.1057540173
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,71.147142857,27.183928571,20.588928571,13.684642857
1003913468,JONES,KEVIN,B,M.D.,M,I,214 SW 26TH AVE,SUITE C,MINERAL WELLS,TX,760678249,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,23.88,23.88
1003913526,TREZAK,BRIAN,T,MD,M,I,267 GRANT ST,,BRIDGEPORT,CT,066102805,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,71.543684211,17.387368421,13.628947368,13.536315789
1003913526,TREZAK,BRIAN,T,MD,M,I,267 GRANT ST,,BRIDGEPORT,CT,066102805,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,20,434.217,74.5745,58.4665,54.7375
1003913617,ALVES,TAHIRA,P,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.269090909,18.269090909
1003913617,ALVES,TAHIRA,P,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,11.644285714,11.644285714
1003913674,ALLEN,LARRY,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Advanced Heart Failure and Transplant Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,133,45.048181818,35.318181818,28.330909091
1003913674,ALLEN,LARRY,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Advanced Heart Failure and Transplant Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,511.08615385,100.01538462,73.816153846,50.519230769
1003913674,ALLEN,LARRY,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,3513,6.9370395673,0.5634642755,0.3946000569,0.3946000569
1003913674,ALLEN,LARRY,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,4440,1.8413896396,0.9029481982,0.6847184685,0.6847184685
1003913674,ALLEN,LARRY,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,34,34,24,24,17.712941176,17.712941176
1003913674,ALLEN,LARRY,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,36,41,16,16,11.92902439,11.92902439
1003913682,SIDERIDIS,KOSTAS,,DO,M,I,237 JERICHO TURNPIKE,,SYOSSET,NY,11791,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,600,6.5085,3,2.352,2.3661
1003913682,SIDERIDIS,KOSTAS,,DO,M,I,237 JERICHO TURNPIKE,,SYOSSET,NY,11791,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,9827,1.5081815407,0.3667619823,0.287542485,0.2900814084
1003913740,MCMURRAY,JAMES,G,MD,M,I,303 WILLIAMS AVENUE,SUITE 411,HUNTSVILLE,AL,35801,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,59,11890,3.4801126997,2.0024558452,1.516020185,1.5454533221
1003913740,MCMURRAY,JAMES,G,MD,M,I,303 WILLIAMS AVENUE,SUITE 411,HUNTSVILLE,AL,35801,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,3465,9.6811688312,7.23,5.5855151515,5.5855151515
1003913781,MORRISSEY,ELLEN,C,MD,F,I,2905 TELEGRAPH AVE,,BERKELEY,CA,947052063,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,39,5520,5.3658333333,0.567923913,0.4452572464,0.4452572464
1003913781,MORRISSEY,ELLEN,C,MD,F,I,2905 TELEGRAPH AVE,,BERKELEY,CA,947052063,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,2670,3.6368651685,1.229505618,0.9639138577,0.9639138577
1003913781,MORRISSEY,ELLEN,C,MD,F,I,2905 TELEGRAPH AVE,,BERKELEY,CA,947052063,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2880,3.6111041667,2.82725,2.2165590278,2.2165590278
1003913781,MORRISSEY,ELLEN,C,MD,F,I,2905 TELEGRAPH AVE,,BERKELEY,CA,947052063,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,36,36,24,24,18.82,18.82
1003913781,MORRISSEY,ELLEN,C,MD,F,I,2905 TELEGRAPH AVE,,BERKELEY,CA,947052063,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,38,47,16,16,12.541914894,12.541914894
1003913807,FOND,JASON,E,MD,M,I,408 AIRPORT EXECUTIVE PARK,,NANUET,NY,109545288,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,155,119.07,70.0125,65.61
1003913815,SUKKARIEH,TROY,,MD,M,I,23 KILMER DR,SUITE C,MORGANVILLE,NJ,077511563,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,37,4080,0.2958823529,0.13,0.0996544118,0.0996544118
1003913815,SUKKARIEH,TROY,,MD,M,I,23 KILMER DR,SUITE C,MORGANVILLE,NJ,077511563,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,20,970,3.5598969072,2.2187628866,1.7395360825,1.7435051546
1003913815,SUKKARIEH,TROY,,MD,M,I,23 KILMER DR,SUITE C,MORGANVILLE,NJ,077511563,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,43,5280,4.8190340909,1.95,1.4761799242,1.5411212121
1003913815,SUKKARIEH,TROY,,MD,M,I,23 KILMER DR,SUITE C,MORGANVILLE,NJ,077511563,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,32,82,13.866585366,10.070731707,7.895,8.3224390244
1003913815,SUKKARIEH,TROY,,MD,M,I,23 KILMER DR,SUITE C,MORGANVILLE,NJ,077511563,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,50,12.1836,7.46,5.8486,5.8486
1003913815,SUKKARIEH,TROY,,MD,M,I,23 KILMER DR,SUITE C,MORGANVILLE,NJ,077511563,US,Physician/Urology,S,A4379,"Ostomy pouch, urinary, with faceplate attached, plastic, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.495833333,10.495833333,8.22875,12.586375
1003913815,SUKKARIEH,TROY,,MD,M,I,23 KILMER DR,SUITE C,MORGANVILLE,NJ,077511563,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,470,11.037276596,4.04,3.0999787234,3.0999787234
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,30,85,163,60.324539877,8.32,5.6410429448,5.6410429448
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,23,35,38,14.844473684,1.42,0.9715789474,0.9715789474
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,30,30,133.62766667,39.722333333,28.687333333,28.093
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,98,91.435102041,18.54,13.090204082,13.127040816
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,27,27,227.82962963,54.066666667,41.675555556,42.161851852
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,14,21,21,66.781428571,18.809047619,14.745714286,14.162857143
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,14,35,198,10.352878788,2.0709090909,1.4910606061,1.4642424242
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,127,127,59.636456693,17,12.723070866,12.926929134
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,39.485555556,3.9566666667,2.945,3.5733333333
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,39,39,167.04410256,31.672564103,21.304615385,21.662564103
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,21,153,153,338.82732026,77.18,57.369346405,52.348496732
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,64.985714286,37,29.01,29.51
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,61,9602,0.6082451573,0.0460903978,0.0290928973,0.0290928973
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,780,8.0278076923,2.9993846154,2.351525641,2.351525641
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1491,1.0799664655,0.1823675386,0.1269550637,0.1269550637
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,61.968518519,24.918148148,19.534444444,15.078888889
1003914227,MILSTEIN,ANNA,,M.D.,F,I,6333 WILSHIRE BLVD STE 200,,LOS ANGELES,CA,900485724,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,58,58,33,33,22.01637931,22.01637931
1003914300,COMO,JENNIFER,,M.D.,F,I,1108 W US ROUTE 66,,MORIARTY,NM,870351006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,220,106.38666667,76.036,55.792
1003914300,COMO,JENNIFER,,M.D.,F,I,1108 W US ROUTE 66,,MORIARTY,NM,870351006,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,32.344166667,27.6525
1003914573,ADLER,BRADLEY,K,M.D.,M,I,259 HEATHCOTE RD,,SCARSDALE,NY,105834523,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,69,64.16,8.32,6.1439130435,6.1439130435
1003914573,ADLER,BRADLEY,K,M.D.,M,I,259 HEATHCOTE RD,,SCARSDALE,NY,105834523,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,127.38454545,46.986363636,33.768181818,35.401818182
1003914573,ADLER,BRADLEY,K,M.D.,M,I,259 HEATHCOTE RD,,SCARSDALE,NY,105834523,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,20.57,8.0877777778,6.3405555556,6.9561111111
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,35,112,68.909732143,8.32,5.9430357143,5.9430357143
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,22,13.979090909,1.42,0.9618181818,0.9618181818
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,680,0.1455,0.12,0.0719264706,0.0719264706
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,22,1100,0.5137909091,0.44,0.3324454545,0.3324454545
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,22,29,2990,0.157812709,0.13,0.0962274247,0.0962274247
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,21,30,3668,0.5361804798,0.4494274809,0.3523745911,0.3527644493
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,239.07384615,53.63,38.806153846,39.506923077
1003914680,SHAPIRO,MARK,A,MD,M,I,10 B MEDICAL DR,,PORT JEFFERSON STATION,NY,11776,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,387.87428571,30.935714286,22.599285714,22.823214286
1003914813,PATTON,GEORGE,E,M.D.,M,I,1050 RIVER OAKS DR STE 100,,FLOWOOD,MS,392329564,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,42,95,52.582105263,8.32,5.6982105263,5.6982105263
1003914813,PATTON,GEORGE,E,M.D.,M,I,1050 RIVER OAKS DR STE 100,,FLOWOOD,MS,392329564,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,19,24,11.254166667,1.42,1.0233333333,1.0233333333
1003914813,PATTON,GEORGE,E,M.D.,M,I,1050 RIVER OAKS DR STE 100,,FLOWOOD,MS,392329564,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,26,787,123.15151207,3.18,2.4149682338,2.3092503177
1003914813,PATTON,GEORGE,E,M.D.,M,I,1050 RIVER OAKS DR STE 100,,FLOWOOD,MS,392329564,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,338,275,7.5289349112,5.7045266272,3.9650295858
1003914813,PATTON,GEORGE,E,M.D.,M,I,1050 RIVER OAKS DR STE 100,,FLOWOOD,MS,392329564,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3033,3,0.4355489614,0.3162611276,0.2650214309
1003914813,PATTON,GEORGE,E,M.D.,M,I,1050 RIVER OAKS DR STE 100,,FLOWOOD,MS,392329564,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,8232,2.8761844023,0.3106316812,0.2311103013,0.2333333333
1003914813,PATTON,GEORGE,E,M.D.,M,I,1050 RIVER OAKS DR STE 100,,FLOWOOD,MS,392329564,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4236,6.2456657224,0.7,0.5149386213,0.4861685552
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,17,28,54,7.6688888889,1.4,1.0388888889,1.0916666667
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,21,25,25,71.2584,16.09,12.4552,9.2212
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,11,12,22,2.5909090909,0.6077272727,0.4736363636,0.4195454545
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,24,47,47,438.64425532,84.257234043,61.999574468,63.588723404
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,16,37,105,179.99485714,30.04,22.880285714,25.061142857
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,18,42,233,101.66575107,17.012103004,12.210686695,13.374635193
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,56,77.13,13.64,9.1653571429,10.150178571
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,27,50,50,294.2252,51.2676,37.7844,40.328
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,45,63,63,88.851904762,16.730793651,12.28,13.166825397
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,45,88,88,94.147386364,11.465454545,8.6818181818,8.8022727273
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,51,104,506,12.55715415,1.9840316206,1.4910671937,1.5236561265
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,29.004375,6.0525,4.745625,4.670625
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,29,39,39,51.007692308,12.4,9.4717948718,9.9805128205
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,25,158,182,78.771208791,16.5,12.603296703,13.061593407
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.5,10.783333333,11.408333333
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,50.71,45.6
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,22,232.35,43,33.71,37.273636364
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,11,47,47,473.52957447,84.685957447,64.830638298,67.508085106
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,1277.21,211.53846154,164.95846154,170.00076923
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,13,49,55,81.75,11.658,8.9650909091,9.5201818182
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,40,219,243,41.583909465,6.0999176955,4.4548971193,3.4775308642
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,55,58,231.15482759,33.776724138,25.064137931,23.860517241
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,66,427,459,403.20679739,77.662352941,57.239368192,52.806819172
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,87,87,131.89655172,35.13,26.262988506,27.847931034
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,34,8925,0.17,0.0458151261,0.0322039216,0.0322039216
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1620,0.768,0.1404074074,0.1084135802,0.1084135802
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,78,78,62.456153846,35.726923077,24.683461538,26.394358974
1003914904,BIRCH,MELANIE,L,NP,F,I,1421 E MARKET ST,,WARREN,OH,444836609,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,11,47,47,132.82978723,33,23.983404255,23.983404255
1003915042,ARMSTRONG,BRUCE,W,"P.A.-C. , MHS",M,I,9898 GENESEE AVE,,LA JOLLA,CA,920371205,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.616363636,10.230909091,8.0181818182,7.55
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,10,55,160,2236,56.090509839,19.652602862,14.606918605,14.606918605
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,10,55,163,5124,7.8196818891,2.6332864949,1.9240866511,1.9240866511
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,19,25,50,6.2,0.51,0.384,0.384
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,14,19,22,5.0818181818,1,0.7459090909,0.7459090909
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,69,212,728,2985,62.056820771,8.32,6.0344891122,6.0344891122
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,45,108,108,14.207685185,3.38,2.5518518519,2.5518518519
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,13,50,64,64,21.30265625,2.12,1.6178125,1.6178125
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,43,115,253,619,15.007932149,1.42,1.0595799677,1.0595799677
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,15,15,30,103.44866667,71.288,55.892333333,56.104
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,11,66,35.366060606,29.038181818,22.766363636,22.886363636
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,15,20,20,20,65.1175,54.2815,39.1695,56.1245
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,18,142,142,723.60591549,336.6443662,263.60464789,263.60464789
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,15,53,8050,15.360567702,10.45650559,8.1719813665,8.1719813665
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,30,30,550.10833333,251.11,196.87,196.87
1003915158,VAVRIK,MICHAEL,S,M.D.,M,I,410 DIXIE ST,,CARROLLTON,GA,301173922,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,3,12,26,138,14.453768116,0.608115942,0.4144202899,0.4144202899
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,44,159,50.333773585,8.32,6.2897484277,6.2897484277
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.543076923,3.38,2.65,2.65
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,22,47,14.454468085,1.42,1.1134042553,1.1134042553
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,35,7.8934285714,1.9405714286,1.3045714286,0.9528571429
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,18,214.26666667,74.674444444,56.410555556,44.761111111
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,56,66.3225,22.618214286,16.504464286,13.047857143
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,31,31,108.53870968,61.023548387,42.971935484,34.403225806
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,30,39.129,8.7336666667,6.726,3.678
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,92,92,451.61478261,99.833043478,74.389347826,54.699021739
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,35.0825,29.515833333
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,4287,0.2527198507,0.0460321903,0.0339444833,0.0339444833
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,65,6270,0.9587830941,0.1354258373,0.096046252,0.096046252
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.1702638889,2.1702638889
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,780,0.9818076923,0.2189358974,0.1716410256,0.1716410256
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,13,53.461538462,26.948461538,18.910769231,16.301538462
1003915596,HIGGINS,PATRICIA,,FNP-BC,F,I,250 MT. PLEASANT RD,,BOGATA,TX,75417,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,18,87,87,119.93103448,33,23.181034483,23.181034483
1003915612,MEAD,KAREN,E,M.D.,F,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,364,5.82,4.67,3.4334340659,3.921043956
1003915612,MEAD,KAREN,E,M.D.,F,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,4004,0.43,0.36,0.2822077922,0.2897627373
1003915612,MEAD,KAREN,E,M.D.,F,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.3975,5.05,3.63,4.2075
1003915620,SALAZAR,MARIO,A,M.D.,M,I,3048 N HARLEM AVE,,CHICAGO,IL,606344704,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,52,63.492115385,8.32,5.0167307692,5.0167307692
1003915620,SALAZAR,MARIO,A,M.D.,M,I,3048 N HARLEM AVE,,CHICAGO,IL,606344704,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,22,15.451363636,1.42,0.9604545455,0.9604545455
1003915620,SALAZAR,MARIO,A,M.D.,M,I,3048 N HARLEM AVE,,CHICAGO,IL,606344704,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,112.78,33.056666667,21.982666667,17.347333333
1003915620,SALAZAR,MARIO,A,M.D.,M,I,3048 N HARLEM AVE,,CHICAGO,IL,606344704,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,26.450588235,9.3388235294,5.8341176471,5.1935294118
1003915851,MCINTOSH,SALLY- ANN,T,MD,F,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,28.4,4.355,3.42,3.6416666667
1003915851,MCINTOSH,SALLY- ANN,T,MD,F,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,232,78.58,53.261428571,46.945714286
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,65.7,51.51,54.73
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,1080,1.3338796296,0.4921111111,0.3356203704,0.3356203704
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,900,6.7047333333,2.6050666667,2.0423777778,2.0423777778
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,97,12495,3.5308315326,0.5643217287,0.4331284514,0.4331236495
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,101,15450,0.1417430421,0.0131262136,0.0097644013,0.0097644013
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,3120,2.2098269231,0.7404807692,0.5805480769,0.5805480769
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,100,18780,3.5753961661,1.2748083067,0.9701176784,0.9701176784
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,3120,4.7179102564,2.8062692308,2.1137980769,2.1137980769
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,1451,14.025334252,7.473287388,5.7699724328,5.7699724328
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,17,151,151,24,24,17.958807947,17.958807947
1003915869,MIKESKA,BRETT,W,M D,M,I,875 OAK ST SE STE 5070,,SALEM,OR,973013975,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,16,228,259,16,16,12.225096525,12.225096525
1003915968,MILLER,JAY,J,MD,M,I,107 N REGENCY DR,SUITE 2,BLOOMINGTON,IL,61701,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,4850,4.9206185567,2.04,0.9309298969,0.9309298969
1003915968,MILLER,JAY,J,MD,M,I,107 N REGENCY DR,SUITE 2,BLOOMINGTON,IL,61701,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1800,13,7.87,6.1700555556,6.1779444444
1003915976,DESHPANDE,AASHISH,A,MD,M,I,221 MICHIGAN ST NE STE 400,,GRAND RAPIDS,MI,495032543,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,26.185454545,14.828181818,8.3109090909
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,21,21,100,59.115714286,44.382380952,36.473809524
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,10,4.598,3.2303333333,3.2286666667
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,216.11111111,79.881296296,59.105925926,51.990555556
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,4361,0.075991745,0.0459390048,0.0347512039,0.0347512039
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,60,6360,1.0750487421,0.1346886792,0.1021886792,0.1021886792
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,94,5355,5.0428683473,3.0407507003,2.3276507937,2.3276507937
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,895,0.4715195531,0.2195195531,0.1249162011,0.1249162011
1003916008,LANGOUET-ASTRIE,MURIEL,N,M.D.,F,I,2542 JEFFERSON HWY,SUITE 106,WAYNESBORO,VA,229806500,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,25,135,135,35.094444444,33,24.145333333,24.145333333
1003916123,SHAH,SHABNAM,,M.D.,F,I,1525 CLIFTON RD NE,,ATLANTA,GA,303224200,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,34,80,64.013625,8.32,5.951625,5.951625
1003916123,SHAH,SHABNAM,,M.D.,F,I,1525 CLIFTON RD NE,,ATLANTA,GA,303224200,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,29,16.612758621,1.42,1.0765517241,1.0765517241
1003916248,VALLAPU REDDY,HEMANTH,K,MD,M,I,3311 E MURDOCK ST,,WICHITA,KS,672083054,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,21,519.51,77.18,60.51,54.995714286
1003916263,MONTANG,LISA,R,MD,F,I,1030 INTERNATIONAL BLVD,,OAKLAND,CA,94601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,14,34,79.082058824,8.32,4.2194117647,4.2194117647
1003916263,MONTANG,LISA,R,MD,F,I,1030 INTERNATIONAL BLVD,,OAKLAND,CA,94601,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1200,3.65,1.73,1.3359666667,1.5790583333
1003916263,MONTANG,LISA,R,MD,F,I,1030 INTERNATIONAL BLVD,,OAKLAND,CA,94601,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,7373,0.2625213617,0.0464519192,0.0272575614,0.0272575614
1003916263,MONTANG,LISA,R,MD,F,I,1030 INTERNATIONAL BLVD,,OAKLAND,CA,94601,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,0.75,0.2192142857,0.1352261905,0.1352261905
1003916263,MONTANG,LISA,R,MD,F,I,1030 INTERNATIONAL BLVD,,OAKLAND,CA,94601,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,99,33,19.759047619,19.759047619
1003916321,OHOLLERAN,MICHAEL,S,,M,I,290 REDWOOD SHORES PKWY,,REDWOOD CITY,CA,940651173,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,580,8.2331034483,5.7262068966,4.4892413793,4.4967931034
1003916321,OHOLLERAN,MICHAEL,S,,M,I,290 REDWOOD SHORES PKWY,,REDWOOD CITY,CA,940651173,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,56,7.5735714286,6.44,5.0475,5.0475
1003916321,OHOLLERAN,MICHAEL,S,,M,I,290 REDWOOD SHORES PKWY,,REDWOOD CITY,CA,940651173,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,200,19.33455,9.86,7.6805,7.6805
1003916321,OHOLLERAN,MICHAEL,S,,M,I,290 REDWOOD SHORES PKWY,,REDWOOD CITY,CA,940651173,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,210,7.9778571429,4.03,3.0095238095,3.0095238095
1003916321,OHOLLERAN,MICHAEL,S,,M,I,290 REDWOOD SHORES PKWY,,REDWOOD CITY,CA,940651173,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,524,0.5445801527,0.4,0.3135114504,0.3135114504
1003916321,OHOLLERAN,MICHAEL,S,,M,I,290 REDWOOD SHORES PKWY,,REDWOOD CITY,CA,940651173,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,1090,0.4833027523,0.27,0.2116513761,0.2116513761
1003916321,OHOLLERAN,MICHAEL,S,,M,I,290 REDWOOD SHORES PKWY,,REDWOOD CITY,CA,940651173,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,825,0.5949939394,0.2681818182,0.2102545455,0.2107272727
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,53,186,53.04844086,8.32,6.1716129032,6.1716129032
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,15.293333333,3.38,2.65,2.65
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,24.793571429,2.12,1.67,1.67
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,40,64,15.45609375,1.42,1.01,1.01
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3,2.1381231672,2.1542815249
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4020,3.0537313433,0.38,0.2803781095,0.2725273632
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,76.48,59.96,54.72
1003916370,RAJA,MANISHA,,MD,F,I,801 CONOVER DR,,GRAND PRAIRIE,TX,750511519,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36.5,28.62,29.51
1003916560,ALLEY,DAVID,J,MD,M,I,660 GLADES RD,SUITE 140,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,23,100,64.3575,8.32,6.2617,6.2617
1003916560,ALLEY,DAVID,J,MD,M,I,660 GLADES RD,SUITE 140,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,17,14.722941176,1.42,1.1152941176,1.1152941176
1003916560,ALLEY,DAVID,J,MD,M,I,660 GLADES RD,SUITE 140,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,34,86.31,18,13.695,13.192058824
1003916560,ALLEY,DAVID,J,MD,M,I,660 GLADES RD,SUITE 140,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,28,50.73,5.6514285714,4.2782142857,3.3392857143
1003916560,ALLEY,DAVID,J,MD,M,I,660 GLADES RD,SUITE 140,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,29,519.51,90.01,68.136551724,55.027586207
1003916560,ALLEY,DAVID,J,MD,M,I,660 GLADES RD,SUITE 140,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1317,1.3383143508,0.1371981777,0.1075702354,0.1075702354
1003916560,ALLEY,DAVID,J,MD,M,I,660 GLADES RD,SUITE 140,BOCA RATON,FL,33431,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,105.6,33,25.87,25.87
1003916669,REISSMAN,STEVEN,E,D.O.,M,I,7950 MARTIN LOOP,ADULT PRIMARY CARE CLINIC,FORT BENNING,GA,319055647,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1980,13,7.88,6.105479798,6.105479798
1003916669,REISSMAN,STEVEN,E,D.O.,M,I,7950 MARTIN LOOP,ADULT PRIMARY CARE CLINIC,FORT BENNING,GA,319055647,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,64.364615385,11.54,9.05,9.1146153846
1003916669,REISSMAN,STEVEN,E,D.O.,M,I,7950 MARTIN LOOP,ADULT PRIMARY CARE CLINIC,FORT BENNING,GA,319055647,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,65,8.2730769231,2.01,1.4958461538,1.5093846154
1003916669,REISSMAN,STEVEN,E,D.O.,M,I,7950 MARTIN LOOP,ADULT PRIMARY CARE CLINIC,FORT BENNING,GA,319055647,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,28.692307692,4.7530769231,3.7276923077,3.7246153846
1003916669,REISSMAN,STEVEN,E,D.O.,M,I,7950 MARTIN LOOP,ADULT PRIMARY CARE CLINIC,FORT BENNING,GA,319055647,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,233.85209302,31.834883721,23.440465116,22.979302326
1003916677,KREBSBACH,MICHAEL,J,M.D.,M,I,660 GLADES RD,SUITE 460,BOCA RATON,FL,334316465,US,Physician/Hand Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,4290,735.65,576.10666667,479.97666667
1003916677,KREBSBACH,MICHAEL,J,M.D.,M,I,660 GLADES RD,SUITE 460,BOCA RATON,FL,334316465,US,Physician/Hand Surgery,S,L2795,"Addition to lower extremity orthosis, knee control, full kneecap",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,450,78.698333333,61.7025,67.1775
1003916677,KREBSBACH,MICHAEL,J,M.D.,M,I,660 GLADES RD,SUITE 460,BOCA RATON,FL,334316465,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,80,80,87,310,54.294712644,41.246436782,44.72091954
1003916677,KREBSBACH,MICHAEL,J,M.D.,M,I,660 GLADES RD,SUITE 460,BOCA RATON,FL,334316465,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,23,27,450,78.203703704,57.537407407,62.335185185
1003916784,O'NEAL,SUSAN,M,D.O.,F,I,701 N 1ST ST,,SPRINGFIELD,IL,62781,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,170.33333333,5.02,3.94,3.768
1003916784,O'NEAL,SUSAN,M,D.O.,F,I,701 N 1ST ST,,SPRINGFIELD,IL,62781,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,450.342,98.5285,76.915,67.555
1003916784,O'NEAL,SUSAN,M,D.O.,F,I,701 N 1ST ST,,SPRINGFIELD,IL,62781,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,95.44,19.592857143,15.357142857,14.657142857
1003916784,O'NEAL,SUSAN,M,D.O.,F,I,701 N 1ST ST,,SPRINGFIELD,IL,62781,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,24,8.8128571429,6.9107142857,6.8907142857
1003916883,GALVANI,CARLOS,,M.D.,M,I,2701 E ELVIRA RD,,TUCSON,AZ,857567124,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,390,91.144358974,4.8676923077,3.8160769231,4.1375897436
1003916883,GALVANI,CARLOS,,M.D.,M,I,2701 E ELVIRA RD,,TUCSON,AZ,857567124,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,7483,1.4611973807,0.3189322464,0.2500494454,0.2436629694
1003916974,SNYDER,CHRISTOPHER,E,MD,M,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,60,78.504,8.32,5.2168333333,5.2168333333
1003916974,SNYDER,CHRISTOPHER,E,MD,M,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.29,5.665,3.9866666667,3.2866666667
1003916974,SNYDER,CHRISTOPHER,E,MD,M,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,104.22727273,68.67,53.834545455,61.035454545
1003916974,SNYDER,CHRISTOPHER,E,MD,M,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,78.19,42.890909091,29.663636364,32.516363636
1003917014,MAGEE,JOHN,C,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,4680,1.6797136752,0.4641581197,0.2577008547,0.3107884615
1003917014,MAGEE,JOHN,C,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,29.090909091,24,18.82,18.82
1003917055,PHAM,MATT,H,MD,M,I,500 N RAINBOW BLVD,SUITE 300,LAS VEGAS,NV,891071082,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,13,55.855384615,17.25,11.44,11.46
1003917055,PHAM,MATT,H,MD,M,I,500 N RAINBOW BLVD,SUITE 300,LAS VEGAS,NV,891071082,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,13,314.72153846,77.36,51.319230769,46.31
1003917246,RIENIETS,KIMBERLY,I,D.O.,F,I,215 S WADSWORTH BLVD STE 530,,LAKEWOOD,CO,802261566,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,13,138,64.791449275,19.644855072,14.361884058,14.361884058
1003917246,RIENIETS,KIMBERLY,I,D.O.,F,I,215 S WADSWORTH BLVD STE 530,,LAKEWOOD,CO,802261566,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,370,7.8372972973,2.6335135135,2.0646216216,2.0646216216
1003917246,RIENIETS,KIMBERLY,I,D.O.,F,I,215 S WADSWORTH BLVD STE 530,,LAKEWOOD,CO,802261566,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,42,103,408,76.286568627,8.32,5.483627451,5.483627451
1003917246,RIENIETS,KIMBERLY,I,D.O.,F,I,215 S WADSWORTH BLVD STE 530,,LAKEWOOD,CO,802261566,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,25,54,14.686851852,1.42,1.01,1.01
1003917246,RIENIETS,KIMBERLY,I,D.O.,F,I,215 S WADSWORTH BLVD STE 530,,LAKEWOOD,CO,802261566,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,26,28,572.08428571,251.0125,192.265,192.34107143
1003917287,NISHIMOTO,MITCHELL,,M.D.,M,I,15243 VANOWEN ST,SUITE 406,VAN NUYS,CA,914053605,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,46,79.197391304,8.32,5.3867391304,5.3867391304
1003917287,NISHIMOTO,MITCHELL,,M.D.,M,I,15243 VANOWEN ST,SUITE 406,VAN NUYS,CA,914053605,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,13.0725,1.42,0.9075,0.9075
1003917600,SWIFT,J,D,MD,M,I,2601 CHERRY AVENUE,SUITE 302,BREMERTON,WA,98310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,30,100,66.1944,8.32,6.1966,6.1966
1003917600,SWIFT,J,D,MD,M,I,2601 CHERRY AVENUE,SUITE 302,BREMERTON,WA,98310,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,33,14.145151515,1.42,1.0463636364,1.0463636364
1003917618,BRUNSDON,JENNIFER,L,MD,F,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,34,140,46.691714286,8.32,5.9487857143,5.9487857143
1003917618,BRUNSDON,JENNIFER,L,MD,F,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,164.89272727,49.045454545,29.250909091,23.255454545
1003917618,BRUNSDON,JENNIFER,L,MD,F,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,86.31,22.080322581,17.309677419,13.724193548
1003917618,BRUNSDON,JENNIFER,L,MD,F,I,16 W MAIN ST,,WHITE SULPHUR SPRINGS,MT,596459036,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,49,50,504.1786,97.0412,72.4954,52.2562
1003917790,ARISTIZABAL,CARLOS,A,M.D.,M,I,1000 1ST ST N,,ALABASTER,AL,350078703,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,150,54.317647059,42.586470588,37.597058824
1003917790,ARISTIZABAL,CARLOS,A,M.D.,M,I,1000 1ST ST N,,ALABASTER,AL,350078703,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,65.694117647,21.113529412,16.549411765,14.016470588
1003918004,ANSELL,DAVID,,M.D.,M,I,1725 W HARRISON ST,SUITE 263,CHICAGO,IL,606123841,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,14,266.95,50.340714286,39.467857143,36.078571429
1003918095,ALLURU,INDIRA,,MD,F,I,414 PERRY RD,,GRAND BLANC,MI,484391467,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,39,111,42.036396396,8.32,6.05,6.05
1003918095,ALLURU,INDIRA,,MD,F,I,414 PERRY RD,,GRAND BLANC,MI,484391467,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,23,7.9013043478,1.42,0.9704347826,0.9704347826
1003918152,SHAHEED,NAIM,G,DPM,M,I,5910 HILLANDALE DR,SUITE 102,LITHONIA,GA,30058,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,32,166.6875,71.56,56.1096875,56.1009375
1003918152,SHAHEED,NAIM,G,DPM,M,I,5910 HILLANDALE DR,SUITE 102,LITHONIA,GA,30058,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,56.96969697,29.19,22.886515152,22.886666667
1003918186,YIM,JEFFREY,B,M.D.,M,I,317 W PUEBLO ST,,SANTA BARBARA,CA,931054355,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,458.27586207,67.298275862,51.942413793,53.797586207
1003918186,YIM,JEFFREY,B,M.D.,M,I,317 W PUEBLO ST,,SANTA BARBARA,CA,931054355,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,525,37.64,28.0345,28.0345
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,36,3.6127777778,0.51,0.4,0.4
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,79,163,578,55.602854671,8.32,6.2966782007,6.2966782007
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,19,48,48,12.460416667,3.38,2.5947916667,2.5947916667
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,18,24,24,22.059166667,2.12,1.67,1.67
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,54,97,185,12.971351351,1.42,1.0718918919,1.0718918919
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,109.01666667,39.516666667,30.981666667,30.496666667
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,358.4,89.096428571,62.815,60.862142857
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,72.025,18.545714286,13.49,13.055714286
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,23,138,10.391304348,2.2147826087,1.6582608696,1.5226086957
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,314,94.333821656,3,2.1272611465,2.1418471338
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3557,1.6691369131,0.36,0.2617542873,0.2688614001
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,208,6.5888942308,0.6669230769,0.5227403846,0.5519230769
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,125.26857143,16.79,12.22,12.597142857
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,129.84428571,33.843928571,25.712857143,25.844642857
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,17,23,23,23,40.033913043,37.094347826,27.308695652,55.638695652
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,444.58333333,78.47,58.956666667,52.449583333
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1386,1.963989899,0.1298773449,0.0959307359,0.0959307359
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,646.3,160.40117647,125.75176471,128.92647059
1003918228,BATRA,RAJEEV,,M.D.,M,I,11120 NEW HAMPSHIRE AVE STE 300,,SILVER SPRING,MD,209042680,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,25.475454545,25.475454545
1003918376,WOMACK,JAMES,,PA-C,M,I,327-3 SUNSET AVENUE SW,,NEWTON,GA,39870,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,33,53,86.226981132,8.32,6.2771698113,6.2771698113
1003918376,WOMACK,JAMES,,PA-C,M,I,327-3 SUNSET AVENUE SW,,NEWTON,GA,39870,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,32.955,23.1875,22.728333333
1003918590,KLODNYCKY,MARY,L,M.D.,F,I,2222 W DIVISION ST STE 250,,CHICAGO,IL,606222990,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,59,131,75.628320611,8.32,5.7261832061,5.7261832061
1003918590,KLODNYCKY,MARY,L,M.D.,F,I,2222 W DIVISION ST STE 250,,CHICAGO,IL,606222990,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,38,47,14.768085106,1.42,0.9978723404,0.9978723404
1003918590,KLODNYCKY,MARY,L,M.D.,F,I,2222 W DIVISION ST STE 250,,CHICAGO,IL,606222990,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,90.5,18,13.169333333,12.675333333
1003918590,KLODNYCKY,MARY,L,M.D.,F,I,2222 W DIVISION ST STE 250,,CHICAGO,IL,606222990,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,230,77.18,58.0896,52.7628
1003918590,KLODNYCKY,MARY,L,M.D.,F,I,2222 W DIVISION ST STE 250,,CHICAGO,IL,606222990,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3250,0.3130707692,0.0453723077,0.0334430769,0.0334430769
1003918673,CARROLL,CHRISTOPHER,P,MD,M,I,9400 TURKEY LAKE RD,,ORLANDO,FL,328198001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,73.617272727,16.715454545,10.130909091,10.577272727
1003918848,RICHEY,SARA,J,M.D.,F,I,285 HOSPITAL DR,,CHOWCHILLA,CA,936102041,US,General Practice,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,50,135,56.75,8.32,5.771037037,5.771037037
1003918848,RICHEY,SARA,J,M.D.,F,I,285 HOSPITAL DR,,CHOWCHILLA,CA,936102041,US,General Practice,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,15,28,37,12.052702703,1.42,0.9956756757,0.9956756757
1003918848,RICHEY,SARA,J,M.D.,F,I,285 HOSPITAL DR,,CHOWCHILLA,CA,936102041,US,General Practice,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,190.85714286,20.089285714,14.397857143,12.795714286
1003918855,SMITH,MICHAEL,S,P.A.,M,I,113 E WILLIAMS ST,,OWOSSO,MI,488672360,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,71.24,64.76,49.528461538,45.108461538
1003918855,SMITH,MICHAEL,S,P.A.,M,I,113 E WILLIAMS ST,,OWOSSO,MI,488672360,US,Physician Assistant,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,167.98533333,153.62133333,110.504,109.876
1003918905,MARK,RICHARD,,M.D.,M,I,235 E 38TH ST,,NEW YORK,NY,100162709,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,57.1225,14.65,11.483333333,13.634166667
1003918905,MARK,RICHARD,,M.D.,M,I,235 E 38TH ST,,NEW YORK,NY,100162709,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,18.79,6.65,5.215,6.4
1003918988,WEYRICH,JAMES,H,OD,M,I,909 EAST WISHKAH STREET,,ABERDEEN,WA,98520,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,51.716923077,51.716923077,36.336153846,44.060769231
1003918988,WEYRICH,JAMES,H,OD,M,I,909 EAST WISHKAH STREET,,ABERDEEN,WA,98520,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,22,24.5,24.5,18.336818182,38.536363636
1003919069,VISHWANATH,MADHU,,M.D.,F,I,3969 SOUTH COBB DRIVE SE,SUITE 205,SMYRNA,GA,30080,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,49,58.512857143,8.32,6.1228571429,6.1228571429
1003919069,VISHWANATH,MADHU,,M.D.,F,I,3969 SOUTH COBB DRIVE SE,SUITE 205,SMYRNA,GA,30080,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,15.435263158,1.42,1.0547368421,1.0547368421
1003919473,SACKMAN,IRVIN,E,MD,M,I,130 E BOISE AVE,,BOISE,ID,83706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,37,66,76.156060606,8.32,6.1163636364,6.1163636364
1003919473,SACKMAN,IRVIN,E,MD,M,I,130 E BOISE AVE,,BOISE,ID,83706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,14,15.125714286,1.42,1.0385714286,1.0385714286
1003919655,RAO,NARAKANTI,N,MD,M,I,760 S WASHBURN AVE #7,,CORONA,CA,92882,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,32,114,247,62.151093117,8.32,5.3863562753,5.3863562753
1003919655,RAO,NARAKANTI,N,MD,M,I,760 S WASHBURN AVE #7,,CORONA,CA,92882,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.411428571,3.38,2.65,2.65
1003919655,RAO,NARAKANTI,N,MD,M,I,760 S WASHBURN AVE #7,,CORONA,CA,92882,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,22,58,62,15.794354839,1.42,0.9929032258,0.9929032258
1003919887,MITCHELL,ALISON,,MD,F,I,5050 NE HOYT ST,SUITE 240,PORTLAND,OR,972132991,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,92,69.616195652,8.32,6.3804347826,6.3804347826
1003919960,BEHBAKHT,KIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Obstetrics & Gynecology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,30,175.81,37.38,29.306,29.306
1003919960,BEHBAKHT,KIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Obstetrics & Gynecology,S,J3010,"Injection, fentanyl citrate, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,6750,27.510275556,0.579,0.4539348148,0.4539348148
1003920034,BROWN,RUSSELL,W,PA-C,M,I,7 S HOSPITAL DR,,MURPHYSBORO,IL,629663333,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,59.12,18.906363636,14.818181818,14.332727273
1003920034,BROWN,RUSSELL,W,PA-C,M,I,7 S HOSPITAL DR,,MURPHYSBORO,IL,629663333,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,22,8.4336363636,6.6136363636,6.71
1003920042,WRIGHT,MANFORD,A,MD,M,I,200 E CHESTNUT ST STE 303,,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,41.607906977,18.470697674,14.171162791,13.218604651
1003920042,WRIGHT,MANFORD,A,MD,M,I,200 E CHESTNUT ST STE 303,,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,306.720625,79.9675,62.049166667,54.109375
1003920521,FOGARTY,JULIE,B,M.D.,F,I,8787 BRYAN DAIRY RD,SUITE 320,LARGO,FL,337771256,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,54,109,58.043394495,8.32,5.9833944954,5.9833944954
1003920521,FOGARTY,JULIE,B,M.D.,F,I,8787 BRYAN DAIRY RD,SUITE 320,LARGO,FL,337771256,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,23,25,15.2164,1.42,1.0736,1.0736
1003920521,FOGARTY,JULIE,B,M.D.,F,I,8787 BRYAN DAIRY RD,SUITE 320,LARGO,FL,337771256,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,51.69,51.69,40.531666667,37.458333333
1003920521,FOGARTY,JULIE,B,M.D.,F,I,8787 BRYAN DAIRY RD,SUITE 320,LARGO,FL,337771256,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,55.436666667,17,13.33,13.54
1003920521,FOGARTY,JULIE,B,M.D.,F,I,8787 BRYAN DAIRY RD,SUITE 320,LARGO,FL,337771256,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.5,10.323333333,8.0866666667,7.98
1003920521,FOGARTY,JULIE,B,M.D.,F,I,8787 BRYAN DAIRY RD,SUITE 320,LARGO,FL,337771256,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,287.66194444,79.88,60.880555556,53.858333333
1003920521,FOGARTY,JULIE,B,M.D.,F,I,8787 BRYAN DAIRY RD,SUITE 320,LARGO,FL,337771256,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,509.9,158.89833333,119.61,100.61583333
1003920604,GOINS,MICHAEL,,NP,M,I,743 E 9TH ST,,NEW YORK,NY,100095335,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1639,0.4899328859,0.0478035387,0.0098291641,0.0098291641
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,28.46,22.31,22.31
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,2.49,2.49,1.9516666667,1.9516666667
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,13,10.93,9.29,7.28,8.3715384615
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,2576,0.44,0.44,0.3449689441,0.3449689441
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,294,34.86,34.86,27.33037415,27.33037415
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,48,1779,8.28,8.28,6.4109050028,6.4109050028
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,31,417,10.93,10.93,8.2609832134,8.2609832134
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,750,2.4,2.4,1.86172,1.86172
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,2064,0.4494186047,0.4494186047,0.3523546512,0.352747093
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,38,1100,275,5.25,4.1161181818,4.1632181818
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7680,3.9783333333,0.38,0.2979231771,0.2900872396
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,8835,7.0186666667,0.68,0.5222161856,0.506533107
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,14,14,1200,63.25,49.59,48.32
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,160,49.804,35.128,34.5
1003920760,BUXBAUM,MICHAEL,E,D.O.,M,I,6699 CHIMNEY ROCK RD STE 201,,HOUSTON,TX,770815339,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,65,65,66.807384615,16.470153846,12.486769231,13.736923077
1003920885,SANTIANO,JESUS,G,MD,M,I,100 8TH STREET,,POCOMOKE,MD,218511129,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,30,97,203,53.886403941,8.3058128079,5.923546798,5.9346305419
1003920885,SANTIANO,JESUS,G,MD,M,I,100 8TH STREET,,POCOMOKE,MD,218511129,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,12.808421053,3.38,2.65,2.65
1003920885,SANTIANO,JESUS,G,MD,M,I,100 8TH STREET,,POCOMOKE,MD,218511129,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,33,39,13.628461538,1.42,1.0312820513,1.0312820513
1003920885,SANTIANO,JESUS,G,MD,M,I,100 8TH STREET,,POCOMOKE,MD,218511129,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3045,0.1622036125,0.046591133,0.0278522167,0.0278522167
1003920885,SANTIANO,JESUS,G,MD,M,I,100 8TH STREET,,POCOMOKE,MD,218511129,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,16.462727273,16.462727273
1003920901,JOWERS,JONATHAN,R,MD,M,I,210 OAK ST,,MARTINEZ,GA,30907,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,55,98,70.675510204,8.32,5.5242857143,5.5242857143
1003920901,JOWERS,JONATHAN,R,MD,M,I,210 OAK ST,,MARTINEZ,GA,30907,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,20,20,13.51,1.42,0.952,0.952
1003921065,PENTI,BRIAN,R,M.D.,M,I,850 HARRISON AVE,YACC 4,BOSTON,MA,021184001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,64,86.1696875,8.32,6.11359375,6.11359375
1003921172,WILDE,JAMES,O,M.D.,M,I,201 S. MARKET ST.,,CHARLESTON,MS,38921,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,116.4,67.004444444,52.528888889,39.143333333
1003921172,WILDE,JAMES,O,M.D.,M,I,201 S. MARKET ST.,,CHARLESTON,MS,38921,US,Physician/Family Practice,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,12.19,8.4066666667,5.6216666667,4.3416666667
1003921172,WILDE,JAMES,O,M.D.,M,I,201 S. MARKET ST.,,CHARLESTON,MS,38921,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,78.560689655,29.710689655,22.796206897,16.533448276
1003921172,WILDE,JAMES,O,M.D.,M,I,201 S. MARKET ST.,,CHARLESTON,MS,38921,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,36,160.62,46.612222222,32.849166667,21.093333333
1003921222,ODDMAN,STACEY,J,,F,I,4004 N OCEAN BLVD,,FT LAUDERDALE,FL,333086420,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,97,66.39742268,8.32,6.5216494845,6.5216494845
1003921222,ODDMAN,STACEY,J,,F,I,4004 N OCEAN BLVD,,FT LAUDERDALE,FL,333086420,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,14.920769231,1.42,1.115,1.115
1003921222,ODDMAN,STACEY,J,,F,I,4004 N OCEAN BLVD,,FT LAUDERDALE,FL,333086420,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,353.11272727,98.181818182,76.974545455,67.093636364
1003921354,BIXLER,JILL,E,MD,F,I,1000 WALL STREET,,ANN ARBOR,MI,481051912,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,15,90.196,70.931333333,55.61,53.084
1003921461,BARMAKI,ALI-REZA,,M.D.,M,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,55.312727273,3.5218181818,2.7663636364,3.5018181818
1003921537,BRANOFF,RICHARD,,MD,M,I,545 W GRANADA BLVD,,ORMOND BEACH,FL,321745103,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.46,4.28,3.9775
1003921552,MEHTA,HEMANGINI,J,M.D.,F,I,14050 NW 14TH ST,SUITE 190,SUNRISE,FL,333232865,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,506,88.683794466,5.82,4.5628656126,4.1995454545
1003921552,MEHTA,HEMANGINI,J,M.D.,F,I,14050 NW 14TH ST,SUITE 190,SUNRISE,FL,333232865,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,10812,5.996463189,0.68,0.5268442471,0.5126378098
1003921552,MEHTA,HEMANGINI,J,M.D.,F,I,14050 NW 14TH ST,SUITE 190,SUNRISE,FL,333232865,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,59.028181818,21.164545455,16.595454545,16.02
1003921552,MEHTA,HEMANGINI,J,M.D.,F,I,14050 NW 14TH ST,SUITE 190,SUNRISE,FL,333232865,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,20,9.4452941176,7.4035294118,7.1570588235
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,8,48,140,1758,52.744442548,19.636643914,15.128003413,15.128003413
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,8,46,130,4120,7.7159053398,2.6324271845,1.9929223301,1.9929223301
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,19,25,50,6.7696,0.51,0.368,0.368
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,66,183,463,2478,53.822352704,8.3191404358,6.1559322034,6.1566020985
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,51,109,109,14.191009174,3.38,2.5041284404,2.5041284404
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,45,57,57,21.006140351,2.12,1.6114035088,1.6114035088
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,50,127,253,627,12.906539075,1.42,1.0727910686,1.0727910686
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,11,22,91.266363636,71.366363636,55.953181818,56.105
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,13,19,19,19,66.123157895,62.936315789,49.342631579,56.073157895
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,6,17,114,114,606.29298246,349.38210526,268.88017544,268.88017544
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,14,46,5940,14.875191919,10.400851852,8.0621632997,8.0621632997
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,11,43,43,323.23837209,251.04651163,196.82023256,196.86976744
1003921610,BAKLEH,MUHAMMAD,,M.D.,M,I,5040 VILLA LINDE PKWY,,FLINT,MI,485323445,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,89,12.741348315,0.6070786517,0.4512359551,0.4512359551
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,57,166,51.567168675,8.32,5.7763855422,5.7763855422
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.666666667,3.38,2.5027777778,2.5027777778
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,29,56,12.946428571,1.42,0.93375,0.93375
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,8.19,1.38,1.085,1.1463888889
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,7,,28,28,167.99357143,48.570714286,34.855,34.141071429
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,148.56,45.2275,35.4575,37.959166667
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E0373,Nonpowered advanced pressure reducing mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,614.47,264.4725,207.34,130.72916667
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,42,60.262380952,17.256666667,11.916190476,11.925714286
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,19,19,28.746842105,5.2926315789,3.7221052632,3.4984210526
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,112.051875,46.02,36.07375,34.908125
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,14,63,69,328.94550725,79.688695652,57.152608696,52.8
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,275,35.63,25.390909091,26.719090909
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,5412,0.2438488544,0.0463192905,0.0278030303,0.0278030303
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,2728,1.6299046921,0.1346444282,0.072771261,0.072771261
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1215,1.0444691358,0.2193580247,0.1677530864,0.1677530864
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,8,12,45,45,70.772444444,17.544888889,12.337333333,12.844666667
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,196.29,68.51,49.580833333,50.32
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,23.765142857,7.8425714286,5.6808571429,6.3588571429
1003921891,KIARASH,ARASH,,"M.D., M.S.",M,I,25500 GODDARD RD.,,TAYLOR,MI,48180,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,46,46,108.32608696,33,23.693913043,23.693913043
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,40.769230769,22.059230769,16.265384615,16.283076923
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,978.99363636,767.53272727,767.53272727
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,88,90,23.401,5.433,3.935,3.4162222222
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,266.10571429,98.53,68.961428571,46.911428571
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1954,3.6445547595,0.0820522006,0.0602149437,0.0602149437
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1725,101.90855072,47.157031884,36.908382609,36.908382609
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,420,261.3037619,42.811452381,33.564071429,33.564071429
1003921933,TAYLOR,BRANDIE,,ANP,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,54,54,63.425925926,33,24.461111111,24.461111111
1003921982,ODELL,CAROL,,FNP,F,I,3055 ROSLYN ST,,DENVER,CO,802383323,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,197.83272727,17.52,11.807727273,11.635
1003921982,ODELL,CAROL,,FNP,F,I,3055 ROSLYN ST,,DENVER,CO,802383323,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,3775.52,913.16,712.91,839.25058824
1003921982,ODELL,CAROL,,FNP,F,I,3055 ROSLYN ST,,DENVER,CO,802383323,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,874.72,30.674705882,15.611176471,16.318235294
1003921982,ODELL,CAROL,,FNP,F,I,3055 ROSLYN ST,,DENVER,CO,802383323,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,1004.2991304,78.49,56.179565217,49.970869565
1003921982,ODELL,CAROL,,FNP,F,I,3055 ROSLYN ST,,DENVER,CO,802383323,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,285.6,38.986153846,25.860769231,24.97
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,14,34,123,45.513089431,8.32,5.7271544715,5.7271544715
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,21,21,103.55,46.265238095,36.27047619,28.068571429
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,44,75,60.15,25.507333333,18.098266667,13.283333333
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,21,21,181.44666667,74.378095238,56.068095238,44.477619048
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,14,14,61.558571429,25.929285714,20.324285714,14.695714286
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,26,26,65.19,21.703076923,16.626538462,10.549230769
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,18,82,168,8.3295238095,3.0814285714,2.2704761905,1.5547619048
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,11,14,14,29.05,15.865,12.433571429,10.535714286
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,66.755,22.522272727,17.308636364,13.519545455
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,28.842272727,7.5613636364,5.3754545455,3.0718181818
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,169.93416667,39.64375,20.314583333,14.610833333
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,34,457.50235294,102.84,78.309705882,56.280882353
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,2490,0.6185341365,0.1333373494,0.0946827309,0.0946827309
1003922014,WILLIAMS,JEANNE,H,"M.D., PH.D",F,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,27,80.666666667,33,22.037407407,22.037407407
1003922048,CHIQUES-COLON,LILLIAM,S,MD,F,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,29,63,169,60.954911243,8.32,6.0968639053,6.0968639053
1003922048,CHIQUES-COLON,LILLIAM,S,MD,F,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,21,29,15.049310345,1.42,1.0768965517,1.0768965517
1003922386,COUREY,MARK,S,,M,I,1 GUSTAVE LEVY PLACE,BOX 1191,NEW YORK,NY,100294201,US,Physician/Otolaryngology,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,222,4.176036036,3,2.3520720721,2.7336486486
1003922386,COUREY,MARK,S,,M,I,1 GUSTAVE LEVY PLACE,BOX 1191,NEW YORK,NY,100294201,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,450,10.124,5.23,3.8395111111,3.8395111111
1003922386,COUREY,MARK,S,,M,I,1 GUSTAVE LEVY PLACE,BOX 1191,NEW YORK,NY,100294201,US,Physician/Otolaryngology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,9.6176923077,7.68,5.5569230769,5.9430769231
1003922386,COUREY,MARK,S,,M,I,1 GUSTAVE LEVY PLACE,BOX 1191,NEW YORK,NY,100294201,US,Physician/Otolaryngology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,42,4.5952380952,3.9,2.7669047619,3.0795238095
1003922394,OTRUSINIK,RUDOLF,,MD,M,I,1300 N 500 E,SUITE 320,LOGAN,UT,843412408,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,97.990769231,39.51,29.003076923,28.513076923
1003922394,OTRUSINIK,RUDOLF,,MD,M,I,1300 N 500 E,SUITE 320,LOGAN,UT,843412408,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,53.106363636,19.401818182,11.283636364,10.225454545
1003922394,OTRUSINIK,RUDOLF,,MD,M,I,1300 N 500 E,SUITE 320,LOGAN,UT,843412408,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,74,6.9783783784,2.2210810811,1.6928378378,1.5487837838
1003922394,OTRUSINIK,RUDOLF,,MD,M,I,1300 N 500 E,SUITE 320,LOGAN,UT,843412408,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,247.86,84.506666667,66.255,64.918333333
1003922394,OTRUSINIK,RUDOLF,,MD,M,I,1300 N 500 E,SUITE 320,LOGAN,UT,843412408,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,394.7425,101.17833333,79.325,54.771666667
1003922394,OTRUSINIK,RUDOLF,,MD,M,I,1300 N 500 E,SUITE 320,LOGAN,UT,843412408,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,75,39.6,31.05,29.628461538
1003922576,ALFREDSON,KNUTE,S,MD,M,I,655 MAIN ST,,FITCHBURG,MA,014203107,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,74,151,70.658807947,8.32,5.9608609272,5.9608609272
1003922576,ALFREDSON,KNUTE,S,MD,M,I,655 MAIN ST,,FITCHBURG,MA,014203107,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,37,16.537837838,1.42,0.9956756757,0.9956756757
1003922584,REDDY,PARISHURAMA,S,M.D.,M,I,1801 N SENATE BLVD,SUITE 355,INDIANAPOLIS,IN,462021252,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,24,213,16658,4.2685508464,0.5657810061,0.3993420579,0.3993402569
1003922584,REDDY,PARISHURAMA,S,M.D.,M,I,1801 N SENATE BLVD,SUITE 355,INDIANAPOLIS,IN,462021252,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,3525,0.0852964539,0.0128765957,0.0098638298,0.0098638298
1003922584,REDDY,PARISHURAMA,S,M.D.,M,I,1801 N SENATE BLVD,SUITE 355,INDIANAPOLIS,IN,462021252,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,118,16200,2.4450882716,1.2627444444,0.9446604938,0.9446604938
1003922584,REDDY,PARISHURAMA,S,M.D.,M,I,1801 N SENATE BLVD,SUITE 355,INDIANAPOLIS,IN,462021252,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,4260,6.5545704225,2.8074929577,2.1684859155,2.1684859155
1003922584,REDDY,PARISHURAMA,S,M.D.,M,I,1801 N SENATE BLVD,SUITE 355,INDIANAPOLIS,IN,462021252,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,25,186,186,24,24,17.674408602,17.674408602
1003922584,REDDY,PARISHURAMA,S,M.D.,M,I,1801 N SENATE BLVD,SUITE 355,INDIANAPOLIS,IN,462021252,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,23,192,218,16,16,11.825,11.825
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,53,158,69.724873418,8.3108860759,6.0611392405,6.0682911392
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,22,47,15.974468085,1.42,1.0178723404,1.0178723404
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,25,25,25,145.8284,49.4692,35.6824,33.9048
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,154.51,52.624545455,41.264545455,37.876363636
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,180.55416667,49.26,35.649166667,33.438333333
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,320.19818182,79.8,54.029090909,48.690454545
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,108.35636364,71.913636364,71.905454545
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,5498,0.1866351401,0.0463859585,0.032517279,0.032517279
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,350,1.1479428571,0.2188857143,0.1448,0.1448
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,45,95.795555556,20.277777778,14.917777778,13.423111111
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,56.79,39.14,30.68,29.705
1003922634,ESPANA,CHRISTOPHER,B,M.D.,M,I,3165 MCKELVEY RD STE 100,,BRIDGETON,MO,63044,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,122.1,33,23.283,23.283
1003922709,REGER,PAUL,J,MD,M,I,739 N JEFFERSON ST,SUITE 200,MASCOUTAH,IL,622581447,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,50,121,51.772892562,8.32,5.8743801653,5.8743801653
1003922709,REGER,PAUL,J,MD,M,I,739 N JEFFERSON ST,SUITE 200,MASCOUTAH,IL,622581447,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,28,34,13.437941176,1.42,0.9664705882,0.9664705882
1003922709,REGER,PAUL,J,MD,M,I,739 N JEFFERSON ST,SUITE 200,MASCOUTAH,IL,622581447,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.99,57.484166667,50.169166667
1003922709,REGER,PAUL,J,MD,M,I,739 N JEFFERSON ST,SUITE 200,MASCOUTAH,IL,622581447,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,71.64,18.683333333,10.41,9.89
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,40,116,325,70.205476923,8.32,5.8692,5.8692
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.4291666667,2.4291666667
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,34,51,13.872352941,1.42,1.0290196078,1.0290196078
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.7,3.97,3.1125,3.1125
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,15,26,26,201.63076923,128.53576923,94.310769231,64.892307692
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,11,20,41,75.226097561,49.847073171,39.079512195,28.12
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,60,24.9996,18.9328,13.886
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,13,26,26,126.15615385,74.776923077,54.288461538,38.851923077
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,29,43,43,63.650465116,25.399534884,19.184418605,13.613255814
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,25,45,45,47.852666667,20.779333333,15.840222222,9.1493333333
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,31,55,129,5.8999224806,3.081627907,2.348372093,1.6273643411
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,303.74909091,66.391818182,41.564545455,28.825454545
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,84,84,76.091904762,22.618214286,16.913333333,13.473095238
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,35,21.520714286,16.872857143,11.937142857
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,60,7.095,4.9557142857,3.27
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,170.83333333,67.008888889,52.532222222,37.921666667
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,102,102,437.95754902,104.17,77.949411765,55.373529412
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,6891,0.1797765201,0.046488173,0.0317907415,0.0317907415
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,48,6045,1.8106451613,0.1358742763,0.102942928,0.102942928
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,11.439166667,2.801,2.196,2.196
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,78.421052632,28.295263158,19.656315789,12.337368421
1003922782,VASSAY,JULIAN,,M.D.,M,I,101 PROFESSIONAL PLAZA,,MATTOON,IL,61938,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,75,75,48.84,33,24.145333333,24.145333333
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,24,48,138,65.666956522,8.32,5.6244202899,5.6244202899
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,26,42,15.464285714,1.42,0.9835714286,0.9835714286
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,52.166923077,10.72,8.41,9.13
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,109,7.2340366972,1.92,1.5066972477,1.5933944954
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,167.94857143,48.27,33.390952381,33.577619048
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,13,13,54.271538462,16.78,13.15,13.500769231
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,48.485,4,2.6633333333,3.2433333333
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,137.80363636,32.321818182,25.340909091,25.494545455
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,26.61,11.8225,7.8975,7.9225
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,56,58,418.58896552,71.237241379,50.312413793,49.325
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,4462,0.3019565217,0.0459054236,0.0312774541,0.0312774541
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,36,4045,1.4743411619,0.1330556242,0.099592089,0.099592089
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,104.40428571,18.878571429,14.802857143,13.795
1003922923,MARKERT,JOHN,L,MD,M,I,1169 EASTERN PKWY STE 2265,,LOUISVILLE,KY,40217,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,13,52,52,44.423076923,33,23.558269231,23.558269231
1003922931,NOE,CARL,E,MD,M,I,1801 INWOOD RD,OUTPATIENT BUILDING WA 7.5,DALLAS,TX,753909189,US,Physician/Anesthesiology,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,23,61,165,105,76.628666667,59.20830303,59.20830303
1003923004,REED,JENNIFER,R,M.D.,F,I,880 KEMPSVILLE RD,STE 1000,NORFOLK,VA,235023931,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,17,61,38.377868852,34.581967213,27.112459016,30.6
1003923053,WALZ CALVEY,ANNE,E,PA-C,F,I,14555 W NATIONAL AVE,SUITE 165,NEW BERLIN,WI,531514494,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,19,49.065789474,3.9031578947,2.9663157895,3.4478947368
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,61,124,50.685645161,8.32,5.6183064516,5.6183064516
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,47,52,9.1830769231,1.42,0.9461538462,0.9461538462
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,8.125,7,5.0894722222,5.0894722222
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,25,50,6.8244,2.0344,1.4424,1.012
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,35,69.300285714,22.576,16.419142857,14.778285714
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,20.647777778,7.8783333333,5.5705555556,3.0033333333
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,47,439.73255319,103.17957447,77.08,64.16212766
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,5592,0.1597567954,0.0465593705,0.0305740343,0.0305740343
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,4920,1.3687743902,0.1347865854,0.0934939024,0.0934939024
1003923129,BERNARD,JAMES,W,MD,M,I,106 W 12TH ST,,CARUTHERSVILLE,MO,638301890,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,56,56,98.410714286,33,21.896428571,21.896428571
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,52,65.056153846,8.32,6.3959615385,6.3959615385
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,15.070625,1.42,1.1175,1.1175
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,38,17.653157895,10.93,7.2160526316,7.2160526316
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,39,76.696410256,17.55,11.815384615,11.638461538
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,121.5296,18.3892,13.19,12.886
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,53.98,53.98,42.32,41.843333333
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,3775.52,913.16,715.92,842.26
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25,4.11,3.22,3.7266666667
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,18,145,146,567.25835616,80.202739726,59.403493151,51.642260274
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38,27.3075,27.050833333
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,274.67234043,40.204893617,30.229574468,28.280425532
1003923194,GELLER,IVAN,B,MD,M,I,3885 UPHAM ST,100,WHEAT RIDGE,CO,800334880,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,52.8,33,19.743333333,19.743333333
1003923335,BUCCHIERI,JOHN,S,M.D.,M,I,9500 MENTOR AVE,SUITE 210,MENTOR,OH,440608713,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,48,52,57,65,64.557192982,50.61,46.34877193
1003923335,BUCCHIERI,JOHN,S,M.D.,M,I,9500 MENTOR AVE,SUITE 210,MENTOR,OH,440608713,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,25,70,70,53.8196,66.2296
1003923368,LOVELL,ALLISON,A,M.D.,F,I,1555 S PALM CANYON DR BLDG C,,PALM SPRINGS,CA,922648354,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,48,61.839791667,8.32,4.07625,4.07625
1003923715,GOODSPEED,ERIC,P,D.O.,M,I,3215 N NORTHHILLS BLVD,,FAYETTEVILLE,AR,727034424,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,14,465.29428571,70.659285714,51.127142857,50.811428571
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,31,70,186,61.849892473,8.32,5.399516129,5.399516129
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,37,46,13.984565217,1.42,0.8736956522,0.8736956522
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,486,33.991769547,2.6476131687,2.0758641975,4.5541563786
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,162,600,326.82,256.22716049,256.22716049
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,162,35,9.35,7.3301234568,7.3301234568
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,162,65,29.22,22.908395062,22.908395062
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,53,71.455849057,16.793962264,12.666603774,13.009433962
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,16,50.73,4.1875,3.0925,3.32625
1003923731,BUCHANAN,SANDRA,,MD,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,70,82,398.9754878,79.179878049,58.929146341,52.572195122
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,55,92,92,71.991956522,41.183586957,31.9575,30.391304348
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,43,110,189,5.3951851852,1.5002645503,1.1574074074,1.1334391534
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,50,53,53,44.532264151,12.476792453,9.6030188679,9.0566037736
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,8,35,56,56,4.2735714286,1.3075,1.0217857143,0.9632142857
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,182,370,370,245.62243243,94.051108108,70.65327027,65.713135135
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,94,260,372,107.46276882,36.608091398,28.062822581,25.690376344
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,30,74,180,61.648944444,20.7405,15.735888889,14.2875
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,21,59,198,37.658333333,15.892575758,11.177575758,10.685808081
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,91,171,172,153.53162791,58.846453488,42.628837209,39.849186047
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,222,296,296,50.915574324,18.943783784,14.324831081,13.668175676
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,25,26,26,26.555769231,10.886538462,8.3757692308,7.9934615385
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,201,404,404,52.927623762,13.386386139,9.9682920792,8.7929207921
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,252,668,1760,8.9966818182,2.2731988636,1.7036875,1.53825
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,34,42,42,18.455714286,6.7542857143,5.0676190476,4.5045238095
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,98,118,118,40.681694915,13.905508475,10.106864407,9.6547457627
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,28,190,201,73.565373134,19.38,14.552686567,13.117512438
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,23,23,180.48869565,50.56,34.469565217,35.813478261
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,49,49,187.31081633,51.169183673,39.526326531,37.331632653
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,23,23,82.003478261,48.44,33.537391304,33.336521739
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,17,97,97,361.75659794,100.3756701,77.359690722,70.751752577
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,1642.5,897.41,692.274375,692.274375
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,74,75,75,392.01786667,144.11306667,112.9856,105.8156
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,57,60,71.775166667,14.953166667,11.005,9.6193333333
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,14,115,656,670,37.964313433,5.0414328358,3.624880597,3.3173283582
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,116,719,721,160.43353675,37.594604716,28.168016644,25.201262136
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,116,1023,1048,379.98457061,76.091259542,56.396288168,52.207242366
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,73,78,202.12307692,40.103846154,30.642820513,29.028974359
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,16,20,20,20,62.7,57,41.025,41.025
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,1770,15.640785311,9.6561694915,7.508039548,7.508039548
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,960,13.94,11.1604375,8.6003854167,8.6003854167
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,41,89,327,68343,0.3633467948,0.0462177546,0.0336075384,0.0336073921
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,46,8877,3.2097972288,0.0722180917,0.0513810972,0.0513810972
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,47,4978,1.903141824,0.1371675372,0.105373644,0.105373644
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,51,2571,11.940528977,2.9908323609,2.281100739,2.281100739
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,21,67,3104,1.5487113402,0.2186372423,0.1620231959,0.1620231959
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,28,240,240,84.315166667,38.040125,28.497125,28.41075
1003923814,RESTELLI,EVAN,R,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,42,110,396,396,61.929292929,33,24.393080808,24.393055556
1003923863,JAKAWICH,ESTHER,C,ARNP,F,I,6718 144TH ST NW,,GIG HARBOR,WA,983328738,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,480,3.7491666667,0.219,0.150375,0.150375
1003923996,ZABLOTNEY,DAVID,C,MD,M,I,5333 DOUGLAS AVE,,RACINE,WI,53402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,29,82,214,69.939345794,8.32,5.4024299065,5.4024299065
1003923996,ZABLOTNEY,DAVID,C,MD,M,I,5333 DOUGLAS AVE,,RACINE,WI,53402,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.005454545,3.38,1.9272727273,1.9272727273
1003923996,ZABLOTNEY,DAVID,C,MD,M,I,5333 DOUGLAS AVE,,RACINE,WI,53402,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,40,59,14.363220339,1.42,0.8694915254,0.8694915254
1003923996,ZABLOTNEY,DAVID,C,MD,M,I,5333 DOUGLAS AVE,,RACINE,WI,53402,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,69.81,50.820714286,50.820714286
1003923996,ZABLOTNEY,DAVID,C,MD,M,I,5333 DOUGLAS AVE,,RACINE,WI,53402,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,23,90.427826087,31.40173913,21.966956522,21.966956522
1003923996,ZABLOTNEY,DAVID,C,MD,M,I,5333 DOUGLAS AVE,,RACINE,WI,53402,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,23,28.184347826,8.2908695652,6.1495652174,6.2513043478
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,46,127,387,68.757390181,8.32,5.3284237726,5.3284237726
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,13,14.855384615,3.38,2.65,2.65
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,23,59,91,15.610659341,1.42,0.881978022,0.881978022
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,131.85,45.665454545,32.733636364,27.718181818
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,4.3203448276,1.9320689655,1.4275862069,1.08
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,293.87133333,116.53933333,86.342666667,63.322
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,19,89.112105263,45.635263158,35.776842105,27.645263158
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,49,67.04244898,26.452857143,19.250204082,13.5
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,18,31,31,187.62387097,71.362903226,47.620645161,35.747419355
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,27,39,39,68.43025641,23.932820513,16.438205128,12.122051282
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,27,27,63.058148148,19.83962963,12.775185185,6.9785185185
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,40,130,11.527615385,2.8015384615,2.0037692308,1.4531538462
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,16.382307692,8.1430769231,5.8653846154,4.2053846154
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,37.644545455,15.133636364,10.836363636,9.4
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,53,65.679811321,22.263773585,16.890377358,13.133018868
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,40,40,53.1735,19.494,14.95125,10.33925
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,44,44,34.169545455,7.8004545455,5.4315909091,3.1472727273
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,198.49,57.404468085,43.202765957,26.04
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,91,92,403.4723913,103.76521739,79.469565217,53.835217391
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,58.8,45.15,33.312857143,27.589047619
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,5422,0.2423330874,0.046233862,0.0320933235,0.0320933235
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2758,1.9221501088,0.1368237854,0.0914612038,0.0914612038
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,206.26888889,52.385,36.682777778,32.704444444
1003924085,SAVEGNAGO,A,K,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,40,33,33,21.9895,21.9895
1003924168,RAHBAN,ALFRED,,M.D.A MEDICAL CORPOR,M,I,5901 W OLYMPIC BLVD,SUITE 307,LOS ANGELES,CA,900364667,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,43,77.710697674,8.32,6.0674418605,6.0674418605
1003924168,RAHBAN,ALFRED,,M.D.A MEDICAL CORPOR,M,I,5901 W OLYMPIC BLVD,SUITE 307,LOS ANGELES,CA,900364667,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,79.236666667,22.549166667,16.46,12.713333333
1003924416,PACIFICO,MARLIS,,M.D.,F,I,3200 W LIBERTY RD,SUITE C,ANN ARBOR,MI,481039746,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,26,66,66.311060606,8.32,5.138030303,5.138030303
1003924416,PACIFICO,MARLIS,,M.D.,F,I,3200 W LIBERTY RD,SUITE C,ANN ARBOR,MI,481039746,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.088333333,3.38,2.4291666667,2.4291666667
1003924416,PACIFICO,MARLIS,,M.D.,F,I,3200 W LIBERTY RD,SUITE C,ANN ARBOR,MI,481039746,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,24,15.34,1.42,0.93,0.93
1003924580,NAKAMOTO,BEAU,K,M.D.,M,I,888 S KING ST,,HONOLULU,HI,968133009,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,17.46,14.19,11.125,13.954166667
1003924630,VOSSLER,MARK,R,MD,M,I,12333 NE 130TH LANE,#320,KIRKLAND,WA,980343039,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.34,60.63,54.73
1003924630,VOSSLER,MARK,R,MD,M,I,12333 NE 130TH LANE,#320,KIRKLAND,WA,980343039,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,39.3,30.81,29.51
1003924838,GODINE,JOHN,E,MD PHD,M,I,50 STANIFORD STREET,3RD FLOOR S50 3 DIABETES UNIT,BOSTON,MA,02114,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,21,174,30.511724138,19.628045977,15.107586207,15.129885057
1003924838,GODINE,JOHN,E,MD PHD,M,I,50 STANIFORD STREET,3RD FLOOR S50 3 DIABETES UNIT,BOSTON,MA,02114,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,450,4.4133333333,2.6337777778,2.0648888889,2.0648888889
1003924838,GODINE,JOHN,E,MD PHD,M,I,50 STANIFORD STREET,3RD FLOOR S50 3 DIABETES UNIT,BOSTON,MA,02114,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,16,114,114,320.93570175,250.83815789,195.39842105,195.61105263
1003924861,SMITH,KIMBERLY,S,M.D.,F,I,4205 MCAULEY BLVD,SUITE 301,OKLAHOMA CITY,OK,731208347,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,19,395,95.663684211,71.760526316,84.338947368
1003924945,LOCONTE,DONALD,D,OD,M,I,10339 W LINCOLN HWY,,FRANKFORT,IL,604231280,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,40,40,71.89025,71.89025,56.361,52.81
1003924945,LOCONTE,DONALD,D,OD,M,I,10339 W LINCOLN HWY,,FRANKFORT,IL,604231280,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,39,97.5,52.13,40.87,43.55
1003924945,LOCONTE,DONALD,D,OD,M,I,10339 W LINCOLN HWY,,FRANKFORT,IL,604231280,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,44,71.564090909,65.988181818,51.736363636,54.09
1003924960,KOOPMAN,RICHELLE,J,MD,F,I,2325 SMILEY LN,,COLUMBIA,MO,652021947,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.5483333333,2.8166666667,2.8166666667
1003925033,MOREY,DAWN,E,DO,F,I,2609 ELECTRIC AVE,STE B,PORT HURON,MI,480606589,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,240,6.25375,5.74,4.3125,4.3125
1003925033,MOREY,DAWN,E,DO,F,I,2609 ELECTRIC AVE,STE B,PORT HURON,MI,480606589,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.7618181818,3.04,2.1853636364,2.1853636364
1003925041,LI,HUILIN,,M.D.,M,I,621 S NEW BALLAS RD,SUITE 3016B,SAINT LOUIS,MO,631418232,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,46.243333333,3.8875,3.0425,3.66
1003925041,LI,HUILIN,,M.D.,M,I,621 S NEW BALLAS RD,SUITE 3016B,SAINT LOUIS,MO,631418232,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,23,31,585.89032258,92.20516129,72.288709677,56.289032258
1003925074,KHALILY,CYNA,,MD,M,I,210 E GRAY ST,SUITE 604,LOUISVILLE,KY,402023900,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,35,35,35,147,49.751714286,37.939714286,36.165142857
1003925074,KHALILY,CYNA,,MD,M,I,210 E GRAY ST,SUITE 604,LOUISVILLE,KY,402023900,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,12.52,8.354516129,5.595483871,6.4209677419
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,33,99,55.051313131,8.32,5.863030303,5.863030303
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,16.764705882,3.38,2.4941176471,2.4941176471
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,39,17.340769231,1.42,0.9420512821,0.9420512821
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.19,1.47,1.15,1.15
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,79.864888889,17.993333333,12.897777778,12.328222222
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,20,23,205.85434783,50.885652174,36.457826087,34.357826087
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,519.51,70.74,50.418181818,50.418181818
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,495.78283333,70.430333333,48.667166667,48.216166667
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,0.75,0.2190909091,0.1717424242,0.1717424242
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,13,191.47384615,29.646153846,21.579230769,20.083846154
1003925108,SUTHERLAND,IDA,E,FNP-BC,F,I,600 RANDOLPH ST,,RADFORD,VA,241412428,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,112.2,33,23.283,23.283
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,42,127,64.671023622,8.32,5.9054330709,5.9054330709
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,24,42,17.45952381,1.42,1.0061904762,1.0061904762
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,332,81.551204819,3.24,2.3104819277,2.1848192771
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,8986,1.6362163365,0.32,0.2274271088,0.2205697752
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,145.05176471,53.088823529,36.997058824,33.398823529
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,89.86,64.579166667,50.169166667
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,0.92,0.1361818182,0.0684393939,0.0684393939
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.56,28.435,27.050833333
1003925207,ASKEW,WILLIE,D,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,132,33,18.261176471,18.261176471
1003925629,MAVES,STEPHANIE,M,MD,F,I,1777 W GRAND AVE,,PORT WASHINGTON,WI,530742077,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,28,85,74.734,8.32,6.216,6.216
1003925629,MAVES,STEPHANIE,M,MD,F,I,1777 W GRAND AVE,,PORT WASHINGTON,WI,530742077,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,14,24,16.049583333,1.42,1.0220833333,1.0220833333
1003925751,SABHARWAL,MASKEEN,K,MD,F,I,1860 MOWRY AVE,SUITE 101,FREMONT,CA,945381730,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,100,73.886666667,57.926666667,54.565
1003926031,VANTRE,SCOTT,T,DPM,M,I,2004 BREMO RD,200 VIRGINIA FOOT & ANKLE CENTER PC,RICHMOND,VA,23226,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1160,0.4234482759,0.12,0.0941206897,0.0941206897
1003926031,VANTRE,SCOTT,T,DPM,M,I,2004 BREMO RD,200 VIRGINIA FOOT & ANKLE CENTER PC,RICHMOND,VA,23226,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,96.658181818,71.56,56.105,56.105
1003926031,VANTRE,SCOTT,T,DPM,M,I,2004 BREMO RD,200 VIRGINIA FOOT & ANKLE CENTER PC,RICHMOND,VA,23226,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,405,6.5111111111,3.67,2.8747654321,2.8747654321
1003926031,VANTRE,SCOTT,T,DPM,M,I,2004 BREMO RD,200 VIRGINIA FOOT & ANKLE CENTER PC,RICHMOND,VA,23226,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,1000,0.398,0.13,0.09584,0.09584
1003926049,WATSON,STACEY,,,F,I,8450 N 32ND ST,,RICHLAND,MI,490839418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,61,128,55.63796875,8.32,5.8609375,5.8609375
1003926049,WATSON,STACEY,,,F,I,8450 N 32ND ST,,RICHLAND,MI,490839418,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,24,12.32875,1.42,0.885,0.885
1003926049,WATSON,STACEY,,,F,I,8450 N 32ND ST,,RICHLAND,MI,490839418,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,62.253333333,36.810952381,28.47047619,25.528095238
1003926049,WATSON,STACEY,,,F,I,8450 N 32ND ST,,RICHLAND,MI,490839418,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,54,54,22.296851852,4.8383333333,3.4677777778,3.2407407407
1003926122,TRITTO,MICHAEL,,D.P.M.,M,I,11801 ROCKVILLE PIKE,SUITE 105,ROCKVILLE,MD,208522734,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,27,552,279.25,213.6162963,213.57925926
1003926122,TRITTO,MICHAEL,,D.P.M.,M,I,11801 ROCKVILLE PIKE,SUITE 105,ROCKVILLE,MD,208522734,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,314.26666667,158.95,122.57666667,124.224
1003926270,LAW,CHARLES,R,M.D.,M,I,120 OSLO CIR,,BIRMINGHAM,AL,352115965,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,52.854545455,36.563636364,32.027272727
1003926270,LAW,CHARLES,R,M.D.,M,I,120 OSLO CIR,,BIRMINGHAM,AL,352115965,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,3,,12,20,425.5905,173.86,127.4,102.0355
1003926270,LAW,CHARLES,R,M.D.,M,I,120 OSLO CIR,,BIRMINGHAM,AL,352115965,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,,14,64,33.735,15.2525,11.9578125,11.9578125
1003926296,PAK,CHONG,H,MD,M,I,25 N WINFIELD RD,STE 400,WINFIELD,IL,60190,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,420.937,70.547,47.0985,47.0985
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,46,123,65.266341463,8.3066666667,6.045203252,6.0582926829
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,27,14.393703704,1.42,0.9911111111,0.9911111111
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,474.09923077,86.33,67.68,67.815384615
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,48,166.56083333,33.48,26.247083333,25.951458333
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,50,75.1776,18.78,14.7238,14.5928
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,195.39076923,54.47,36.139230769,36.260769231
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,69.879375,17.88,14.01,14.0475
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,69.588888889,11.54,8.2511111111,8.3116666667
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,22,132,11.097348485,2.01,1.505,1.5187878788
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,32,68.94375,17.29,12.703125,12.69
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,29,31,129.88548387,48.31,36.658064516,36.424193548
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,75,77,413.20480519,70.23,49.342597403,49.073766234
1003926353,BATES,CHAD,,M.D.,M,I,2033 MEADOWVIEW LANE,SUITE 200 HOLSTON MEDICAL GROUP PC,KINGSPORT,TN,37660,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,157.85714286,37.44,22.488571429,22.598571429
1003926643,COFFIN,JANIS,S,DO,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,220,70.78,51.221538462,50.510769231
1003926932,DIZON,ALITA,L,M.D.,F,I,377 JERSEY AVE,SUITE 460,JERSEY CITY,NJ,073024325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,31,63,62.526666667,8.32,5.2804761905,5.2804761905
1003926932,DIZON,ALITA,L,M.D.,F,I,377 JERSEY AVE,SUITE 460,JERSEY CITY,NJ,073024325,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,21.363846154,1.42,0.9446153846,0.9446153846
1003927088,MCGOURTY,MARY,K,N.P.,F,I,68 MAIN ST,,PEPPERELL,MA,014631560,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1666,0.519759904,0.0460864346,0.036122449,0.036122449
1003927088,MCGOURTY,MARY,K,N.P.,F,I,68 MAIN ST,,PEPPERELL,MA,014631560,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,34.5,33,25.87,25.87
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,20,20,154.785,39.9445,26.645,25.96
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,27,27,473.68074074,87.54,58.462592593,57.848148148
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,46,184.44521739,32.4,25.4,25.88326087
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,98,67.715714286,15.101632653,10.564489796,10.567040816
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,14,33,33,276.14515152,55.250909091,39.559090909,39.064242424
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,34,34,86.295294118,17.887647059,12.798823529,12.828235294
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,45,45,95.312,12.147555556,8.6811111111,8.3326666667
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,56,264,12.230227273,2.0481060606,1.5634848485,1.5485606061
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,22,22,48.614545455,13.072272727,9.7854545455,9.8722727273
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,4430.1,1074.31,828.71307692,828.71307692
1003927138,NAGEL,KELLY,L,FNP,F,I,505 CORPORATE CENTER DR,,VANDALIA,OH,453771167,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,313.0575,77.18,45.84125,41.499375
1003927278,DUFECK,DAVID,R,OD,M,I,301 N BROADWAY,,DEPERE,WI,54115,US,Optometry,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,61.5,61.5,43.836363636,50.73
1003927559,NIEWIAROWSKA,ANNA,A,M.D.,F,I,800 OSTRUM ST,SUITE 300,FOUNTAIN HILL,PA,180151015,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,25,1190,72.635294118,5.5521092437,4.2322857143,4.2322857143
1003927559,NIEWIAROWSKA,ANNA,A,M.D.,F,I,800 OSTRUM ST,SUITE 300,FOUNTAIN HILL,PA,180151015,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,23,50,16,12.54,12.54
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,156,455,1132,53.5254947,8.32,5.9528975265,5.9528975265
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,15.632222222,3.38,2.65,2.65
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,107,218,290,15.480275862,1.42,1.0091034483,1.0091034483
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,560,7.9232857143,5.74,4.5001071429,4.5001071429
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,450,18.6816,2.96,2.3206666667,2.3206666667
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,10.59,8.1,6.35,6.415
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,5,4.31,3.38,3.38
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,25,5.3396,1.49,1.1656,1.1512
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,5,1.14,0.8158333333,0.8875
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,51.365714286,17.09,10.528571429,10.66
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,75,75,25,4.042,2.7852,3.2333333333
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,17,32,32,32,25.3796875,24.6090625,17.5809375,47.755
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,42,38.176428571,10.589047619,8.3019047619,8.2226190476
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,34,34,381.17647059,65.7,42.745,45.895
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,80,37.64,26.827272727,26.827272727
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,18,47,8569,0.4578865679,0.0457311238,0.0332290816,0.0332279146
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,26,2457,2.0593732194,0.1384818885,0.1008140008,0.1008140008
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,1247,11.056495589,2.8331836407,2.0023015237,2.0023015237
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,512,3.4250195313,0.2176757813,0.1523046875,0.1522851563
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,54,54,79.132222222,17.583333333,11.371851852,11.651481481
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,6,11,14,35,243.90685714,133.85028571,104.93857143,104.93857143
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,31.153846154,8.82,5.9284615385,5.7253846154
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,6,14,20,229,28.037598253,23.41,18.353449782,18.353449782
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,28,530.35714286,148.155,116.1575,116.15035714
1003927567,KANO,CHARLIE,L,MD,M,I,220 E 13TH ST,,MERCED,CA,953406242,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,27,82,82,41.853658537,33,24.292560976,24.292560976
1003927633,DYER,JEROMY,D,PA,M,I,973 MICA DR,SUITE 201,CARSON CITY,NV,897057255,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,15,120,70.94,55.62,46.958666667
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,13,4.6769230769,1,0.7207692308,0.7207692308
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,46,163,452,58.104380531,8.32,6.0936946903,6.0936946903
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,13.28,3.38,2.3043478261,2.3043478261
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,18.345714286,2.12,1.5507142857,1.5507142857
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,29,96,148,14.382567568,1.42,1.0618918919,1.0618918919
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,76.525384615,12,9.41,9.12
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,75,8.5216,2.08,1.63,1.5916
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,51,60.861176471,18,13.28,12.754705882
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,210.85823529,49.67,38.95,37.63
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1001.46,785.15,842.26
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,57.435,13.46,10.55,10.48
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,167.86,31.5,24.7,23.644
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,21,176.74428571,53.701428571,39.838571429,35.560952381
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,82,86,459.47825581,79.8,57.793139535,51.055697674
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1380,1.9530724638,0.1357826087,0.1064710145,0.1064710145
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,108.945,20.089285714,13.3,12.004285714
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,156.59333333,39.14,28.123333333,27.050833333
1003927773,ELJAIEK,FELIPE,,M.D.,M,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,25.87,25.87
1003927948,DONNERSBERGER,DAVID,R,MD,M,I,530 WINNETKA AVE,,WINNETKA,IL,600934023,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,28,185,69.177567568,8.32,6.4522162162,6.4522162162
1003927948,DONNERSBERGER,DAVID,R,MD,M,I,530 WINNETKA AVE,,WINNETKA,IL,600934023,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,27,197.78481481,50.827407407,35.091111111,34.052962963
1003927948,DONNERSBERGER,DAVID,R,MD,M,I,530 WINNETKA AVE,,WINNETKA,IL,600934023,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,415.374,76.762,59.4275,53.967
1003927948,DONNERSBERGER,DAVID,R,MD,M,I,530 WINNETKA AVE,,WINNETKA,IL,600934023,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,75.456875,20.7928125,15.8071875,13.916875
1003927948,DONNERSBERGER,DAVID,R,MD,M,I,530 WINNETKA AVE,,WINNETKA,IL,600934023,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,21.07,9.996,7.84,6.98
1003927963,MAALA SARAO,NORMA,M,M.D.,F,I,3440 W CARSON ST,SUITE 302,TORRANCE,CA,905035730,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,48,81.314791667,8.32,5.4354166667,5.4354166667
1003927963,MAALA SARAO,NORMA,M,M.D.,F,I,3440 W CARSON ST,SUITE 302,TORRANCE,CA,905035730,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,3.5859444444,0.567,0.4061805556,0.4061805556
1003927963,MAALA SARAO,NORMA,M,M.D.,F,I,3440 W CARSON ST,SUITE 302,TORRANCE,CA,905035730,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.1304722222,1.26075,0.9863402778,0.9863402778
1003927963,MAALA SARAO,NORMA,M,M.D.,F,I,3440 W CARSON ST,SUITE 302,TORRANCE,CA,905035730,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,17.251666667,17.251666667
1003927963,MAALA SARAO,NORMA,M,M.D.,F,I,3440 W CARSON ST,SUITE 302,TORRANCE,CA,905035730,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1003928409,WILLIAMS,DORIAN,J,M.D.,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,14.49,7.6325,5.5783333333,3.5983333333
1003928425,PERERA,GUIBEL,,M.D.,F,I,10710 SW 38TH ST,,MIAMI,FL,331653619,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,540,1.3453333333,0.4857777778,0.3808333333,0.3808333333
1003928425,PERERA,GUIBEL,,M.D.,F,I,10710 SW 38TH ST,,MIAMI,FL,331653619,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,69,182,594,72.7253367,8.3055218855,5.903973064,5.9170875421
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.625,3.38,2.484375,2.484375
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,28,58,90,13.515555556,1.42,1.0402222222,1.0402222222
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,23,59,59,179.49220339,37.814067797,26.640847458,27.477627119
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,18,37,74,8.19,1.48,1.0972972973,1.0883783784
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,14,14,78.838571429,9.795,7.1935714286,8.1507142857
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,22,49,49,490.01244898,84.606326531,60.962244898,62.200816327
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,22,55,143,185.19412587,31.045174825,22.581048951,23.854195804
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,17,35,163,108.13693252,17.039386503,12.090122699,13.299202454
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,19,40,40,315.0455,51.0205,37.14175,39.88225
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,39,57,57,92.008245614,16.83754386,12.506140351,13.311929825
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,31,31,99.270967742,10.003225806,7.1029032258,8.0903225806
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,41,90,461,13.569154013,1.974208243,1.4289370933,1.4681778742
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,35.37,5.62,4.0090909091,4.2636363636
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,27,39,39,51.755384615,12.510512821,9.0556410256,9.5825641026
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,58.5,49.971666667,39.175,40.125833333
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,58,43.5,31.554827586,32.704137931
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,26,165,184,86.31,15.887717391,11.992228261,13.01951087
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,50,50,3669.7158,1074.0762,833.4686,833.6518
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,11,53,57,81.75,12.475087719,9.5977192982,9.9231578947
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,72,79,48.12443038,3.8870886076,2.6046835443,3.1955696203
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,14,88,91,257.82,32.034395604,24.368791209,24.65
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,38,249,277,517.88722022,71.950685921,53.921299639,52.254404332
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,54,3478,16.530828062,9.6370040253,7.4616963772,7.4616963772
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1080,17.788703704,11.142805556,8.7340740741,8.7340740741
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,65,10420,0.2570067179,0.0456065259,0.0339932821,0.0339932821
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,23,93,7500,1.185928,0.131724,0.0912853333,0.0912853333
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,13,61,3392,10.934607901,2.9641332547,2.2362411557,2.2362411557
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,855,0.75,0.2193684211,0.1599883041,0.1599883041
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,40,18.92,14.54475,10.287,12.363
1003928953,RAM,PADMA,,MD,F,I,300 STATE ROUTE 104,SUITE 1,OSWEGO,NY,131262956,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,42,204,204,92.691176471,33,24.437598039,24.437598039
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,37,82,239,67.386276151,8.32,5.8123430962,5.8123430962
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.810526316,3.38,2.5105263158,2.5105263158
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,24,53,80,15.116625,1.42,1.074,1.074
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,230,10.02,3.9,2.9245652174,2.9245652174
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,235,25.352,9.86,7.6325957447,7.6325957447
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,155.38789474,49.736842105,38.993684211,38.940526316
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,20,338.064,77.74,60.95,57.218
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,2580,4.8187635659,0.5433255814,0.3878294574,0.3878294574
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,3150,0.1065238095,0.0129047619,0.0080285714,0.0080285714
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,43.9265,15.959,12.509,15.0565
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,24,24,16.185217391,16.185217391
1003928987,DESROCHES,LIONEL,E,M.D.,M,I,1975 LINDEN BLVD,SUITE 105,ELMONT,NY,110034025,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,16,16,11.994782609,11.994782609
1003929027,BLESSING,MATTHEW,S,MD,M,I,23213 PACIFIC HWY S,,KENT,WA,980322721,US,Physician/Pediatric Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1633.01,913.16,703.96416667,830.30416667
1003929043,COHEN,CHARMIAN,D,M.D.,F,I,1200 WATERS PL STE M105,,BRONX,NY,104610367,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,57,185,554,78.952833935,8.32,5.9262815884,5.9262815884
1003929043,COHEN,CHARMIAN,D,M.D.,F,I,1200 WATERS PL STE M105,,BRONX,NY,104610367,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,27,27,16.260740741,3.38,2.65,2.65
1003929043,COHEN,CHARMIAN,D,M.D.,F,I,1200 WATERS PL STE M105,,BRONX,NY,104610367,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,21.721538462,2.12,1.67,1.67
1003929043,COHEN,CHARMIAN,D,M.D.,F,I,1200 WATERS PL STE M105,,BRONX,NY,104610367,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,39,99,169,18.44112426,1.42,1.0076923077,1.0076923077
1003929043,COHEN,CHARMIAN,D,M.D.,F,I,1200 WATERS PL STE M105,,BRONX,NY,104610367,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,960,16.443208333,10.703833333,8.2955208333,8.2955208333
1003929043,COHEN,CHARMIAN,D,M.D.,F,I,1200 WATERS PL STE M105,,BRONX,NY,104610367,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,14,43,43,250.91953488,250.91953488,196.72069767,196.86930233
1003929043,COHEN,CHARMIAN,D,M.D.,F,I,1200 WATERS PL STE M105,,BRONX,NY,104610367,US,Physician/Internal Medicine,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,263.92083333,263.92083333,206.9125,207.1
1003929340,SHANKERMAN,ROBERT,,MD,M,I,3550 Q STREET,STE 202 AND 304,BAKERSFIELD,CA,933011645,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,44,90.631136364,8.32,5.0386363636,5.0386363636
1003929340,SHANKERMAN,ROBERT,,MD,M,I,3550 Q STREET,STE 202 AND 304,BAKERSFIELD,CA,933011645,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,95,16.695,11.745,12.875833333
1003929472,WATTERS,DONALD,H,MD,M,I,305 GRADY RD,STE A,ETOWAH,TN,373311903,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,51,99,69.631616162,8.32,5.5528282828,5.5528282828
1003929472,WATTERS,DONALD,H,MD,M,I,305 GRADY RD,STE A,ETOWAH,TN,373311903,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,19,13.022105263,1.42,1,1
1003929472,WATTERS,DONALD,H,MD,M,I,305 GRADY RD,STE A,ETOWAH,TN,373311903,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,70.616666667,22.97,18.006666667,13.864444444
1003929472,WATTERS,DONALD,H,MD,M,I,305 GRADY RD,STE A,ETOWAH,TN,373311903,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,399.72777778,103.87444444,78.119444444,54.219444444
1003929472,WATTERS,DONALD,H,MD,M,I,305 GRADY RD,STE A,ETOWAH,TN,373311903,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,3414,0.3396660808,0.0458142941,0.0359197422,0.0359197422
1003929472,WATTERS,DONALD,H,MD,M,I,305 GRADY RD,STE A,ETOWAH,TN,373311903,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,79.588235294,33,25.87,25.87
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,158,317,317,86.225709779,41.153753943,30.708611987,29.06022082
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,115,240,240,308.47970833,94.690833333,69.811041667,63.984375
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,86,179,350,108.32448571,34.962857143,26.533257143,25.1284
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,48,95,386,66.341088083,20.318704663,14.700932642,13.545829016
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,22,48,228,55.625350877,15.804210526,11.806052632,11.340570175
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,106,221,221,202.04968326,56.832081448,39.799773756,38.366244344
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,201,266,266,59.622142857,19.577631579,14.226015038,13.072406015
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,31,39,39,34.876923077,11.191538462,8.1084615385,7.6071794872
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,44,77,77,77.710649351,12.21012987,8.9494805195,8.537012987
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,196,396,1734,9.4353979239,2.3048788927,1.6838408304,1.4919031142
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,132,166,166,25.316506024,6.0786746988,4.4777108434,4.3721084337
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only",D1E - Other DME,Durable Medical Equipment,N,2,30,47,68,52.329264706,13.259411765,9.7847058824,8.4447058824
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,140,174,174,43.300057471,13.069655172,9.6451149425,9.761091954
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17,11.565833333,11.7625
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,344.23511628,88.203255814,67.656744186,64.966976744
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,950,224.421875,175.946875,168.725625
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,34,34,34,380.88235294,140.81058824,110.39205882,104.7
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,64,371,371,187.90253369,34.374177898,24.667061995,23.722749326
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,60,377.08333333,78,56.054166667,50.490166667
1003929696,CHANG,JACQUELINE,C,M.D.,F,I,330 BROOKLINE AVE,KIERSTEIN B23,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,38,27.081818182,26.827272727
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,23,59,133,61.708270677,8.32,5.7369924812,5.7369924812
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,28,31,15.698387097,1.42,0.9374193548,0.9374193548
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,45,11.97,8.3972222222,8.46
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,178,46.158333333,32.376111111,33.406111111
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,17.09,13.4,13.53
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,99,45.31625,35.52875,37.62125
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,8.4763636364,6.6509090909,6.9054545455
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,6.41,2.82,2.21,2.26
1003929720,CHEN,ROBERT,P,M.D.,M,I,528 CAPITOLA AVE,,CAPITOLA,CA,950102750,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,517.21142857,65.7,48.695714286,51.916428571
1003929803,HAWBLITZEL YARNALL,KIMBERLY,,M.D.,F,I,815 BROAD ST,,DURHAM,NC,277054137,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,17,40,104,83.358365385,8.32,6.3348076923,6.3348076923
1003929803,HAWBLITZEL YARNALL,KIMBERLY,,M.D.,F,I,815 BROAD ST,,DURHAM,NC,277054137,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,18.66,1.42,1.0522222222,1.0522222222
1003929837,KRISILOFF,MILTON,,MD,M,I,2001 SANTA MONICA BLVD,SUITE 1165 W,SANTA MONICA,CA,904042102,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1530,3.7274509804,1.73,1.3563333333,1.5850392157
1003929837,KRISILOFF,MILTON,,MD,M,I,2001 SANTA MONICA BLVD,SUITE 1165 W,SANTA MONICA,CA,904042102,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,2.655,1.8,1.41,1.41
1003929985,DENOUDEN,LAURA,B,M.D.,F,I,3850 S NATIONAL AVE,#700,SPRINGFIELD,MO,658075287,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,42,63.395,8.32,4.3483333333,4.3483333333
1003930215,COTANT,MATTHEW,B,M.D.,M,I,3577 W 13 MILE RD,SUITE 404,ROYAL OAK,MI,480736710,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,1106,38.591898734,4.9133092224,3.6696383363,3.6696383363
1003932476,GROGAN,JAMES,A,PA,M,I,5730 MAIN ST,,LEXINGTON,MI,484508800,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.3,22.4775,17.620833333,13.53
1003932955,TOWNSEND,JACOB,C,MD,M,I,100 PILOT MEDICAL DR,SUITE 300,BIRMINGHAM,AL,352353411,US,Interventional Cardiology,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,25,10.026666667,7.8633333333,7.3108333333
1003933268,GILL,STEPHANIE,,NP,F,I,95 CHAPEL ST,SUITE 3 AB,NORWOOD,MA,020623155,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,44,87.173181818,8.32,6.2259090909,6.2259090909
1003933268,GILL,STEPHANIE,,NP,F,I,95 CHAPEL ST,SUITE 3 AB,NORWOOD,MA,020623155,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,20,86.31,17,12.6635,12.729
1003933268,GILL,STEPHANIE,,NP,F,I,95 CHAPEL ST,SUITE 3 AB,NORWOOD,MA,020623155,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,20,519.51,78,58.0925,56.4875
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,30,67.828333333,8.32,6.5203333333,6.5203333333
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,64,3955,4.095357775,0.4440986094,0.3315448799,0.3315448799
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,1680,8.3843571429,2.5932857143,2.0331369048,2.0331369048
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,40,154,80040,1.5372578711,1.2457432534,0.9620502249,0.9659326587
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,73,116,599,102073,5.1197408717,0.5658015342,0.4188842299,0.4236101614
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,30,67,311,58926,0.0720186335,0.0130217561,0.0096539728,0.0096539728
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,58,8700,2.5249632184,0.7392965517,0.5674344828,0.5674344828
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,64,127,664,107876,3.7125410657,1.2445108272,0.9524136972,0.9546906634
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,14,70,7980,4.120122807,2.8178270677,2.1895388471,2.1895388471
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2768,18.436412572,7.383125,5.716925578,5.716925578
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,11,2940,10.674346939,8.4607959184,6.633255102,6.633255102
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,6,16,16,16,50,50,39.2,39.2
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,94,184,788,788,23.92893401,23.92893401,18.295901015,18.295901015
1003933326,ASCH,WILLIAM,S,"M.D., PH.D.",M,I,20 YORK STREET CB 2041,HOSPITALIST SERVICE,NEW HAVEN,CT,06510,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,88,187,981,1238,16.155088853,16,12.104838449,12.104838449
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,360,6.1375,3,2.352,2.3676666667
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5638,0.7770840724,0.66,0.5174370344,0.5174370344
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,77,77,77,97.107532468,50.762207792,38.828831169,35.83987013
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,129.41,55.727272727,43.688181818,43.343636364
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,231.524,51.254,30.347333333,29.270666667
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,33.578,17,13.33,13.5085
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,66.529375,28.5,22.34,22.55125
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,17,17,17,40.469411765,21.62,16.95,17.962941176
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,19,72,74,21.783783784,11.019324324,8.4410810811,9.2731081081
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,344.35826087,77.357391304,60.649130435,55.614347826
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,21,21,21,68.683809524,33.4,26.19,28.59
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,179.285,155.16,121.65,115.418125
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,38,191,192,39.807708333,23.83953125,17.680208333,13.893072917
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,20,61,39.7985,29.8465,26.2975
1003934043,GRITTON,RAYMOND,D,MD,M,I,960 E GREEN ST,SUITE 254,PASADENA,CA,911062401,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,32,161,161,21.054037267,9.12,6.8249068323,6.5163354037
1003934365,GOMEZ,FELIPE,D,MD,M,I,1605 E INTERSTATE HIGHWAY 2,STE D,MISSION,TX,785726607,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,44,63.037727273,8.32,5.9290909091,5.9290909091
1003934365,GOMEZ,FELIPE,D,MD,M,I,1605 E INTERSTATE HIGHWAY 2,STE D,MISSION,TX,785726607,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,13.811,1.42,1.001,1.001
1003934589,RIVERA DE LA VEGA,ANA,I,M.D.,F,I,100 PASEO SAN PABLO,"EDIF. DR. ARTURO CADILLA, SUITE 201",BAYAMON,PR,009617019,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,19,38,8.32,8.32,6.52,6.52
1003934589,RIVERA DE LA VEGA,ANA,I,M.D.,F,I,100 PASEO SAN PABLO,"EDIF. DR. ARTURO CADILLA, SUITE 201",BAYAMON,PR,009617019,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,1.42,1.42,1.12,1.12
1003934589,RIVERA DE LA VEGA,ANA,I,M.D.,F,I,100 PASEO SAN PABLO,"EDIF. DR. ARTURO CADILLA, SUITE 201",BAYAMON,PR,009617019,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,28,2835,14.176366843,0.5728571429,0.4077178131,0.4077107584
1003934589,RIVERA DE LA VEGA,ANA,I,M.D.,F,I,100 PASEO SAN PABLO,"EDIF. DR. ARTURO CADILLA, SUITE 201",BAYAMON,PR,009617019,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.2140777778,0.01325,0.0104,0.0104
1003934589,RIVERA DE LA VEGA,ANA,I,M.D.,F,I,100 PASEO SAN PABLO,"EDIF. DR. ARTURO CADILLA, SUITE 201",BAYAMON,PR,009617019,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2700,14.50797037,2.7676666667,2.0942555556,2.0942555556
1003934589,RIVERA DE LA VEGA,ANA,I,M.D.,F,I,100 PASEO SAN PABLO,"EDIF. DR. ARTURO CADILLA, SUITE 201",BAYAMON,PR,009617019,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,17.641818182,17.641818182
1003934589,RIVERA DE LA VEGA,ANA,I,M.D.,F,I,100 PASEO SAN PABLO,"EDIF. DR. ARTURO CADILLA, SUITE 201",BAYAMON,PR,009617019,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,51,15.411764706,15.411764706,11.832941176,11.832941176
1003935032,JONES,DAVID,,FNP,M,I,598 N UNION AVE,STE 335,NEW BRAUNFELS,TX,781304136,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,501,2.4,2.4,1.8816367265,1.8816367265
1003935032,JONES,DAVID,,FNP,M,I,598 N UNION AVE,STE 335,NEW BRAUNFELS,TX,781304136,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,105,9.1,8.22,6.444,6.4318095238
1003935032,JONES,DAVID,,FNP,M,I,598 N UNION AVE,STE 335,NEW BRAUNFELS,TX,781304136,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1716.46,500.56307692,392.44153846,460.58076923
1003935479,BADGER,WILLIAM,J,M.D.,M,I,77 W FOREST AVE,SUITE 108,FLAGSTAFF,AZ,860011479,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,3840,0.4100390625,0.13,0.0987291667,0.0987291667
1003935479,BADGER,WILLIAM,J,M.D.,M,I,77 W FOREST AVE,SUITE 108,FLAGSTAFF,AZ,860011479,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,50,8030,3.9515965131,2.04,1.5525317559,1.5525317559
1003936766,CADET-SAINTILUS,KAREN,,M.D.,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,70,202,67.90950495,8.32,5.8584158416,5.8584158416
1003936766,CADET-SAINTILUS,KAREN,,M.D.,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,41,52,14.733653846,1.42,1.0734615385,1.0734615385
1003936766,CADET-SAINTILUS,KAREN,,M.D.,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,334,9,3,2.3519760479,2.366257485
1003936766,CADET-SAINTILUS,KAREN,,M.D.,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4578,1.3096068152,0.37,0.2806181739,0.2806181739
1003936766,CADET-SAINTILUS,KAREN,,M.D.,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,240.95,53.521818182,41.961818182,36.131818182
1003936766,CADET-SAINTILUS,KAREN,,M.D.,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,32.05,4.9581818182,3.8909090909,3.6863636364
1003936766,CADET-SAINTILUS,KAREN,,M.D.,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,34.31,10.448181818,8.1954545455,6.5209090909
1003937079,KASTEN,KEVIN,,MD,M,I,1025 MOREHEAD MEDICAL DR,SUITE 300,CHARLOTTE,NC,282042963,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,460,7.8353043478,5.7334782609,4.495,4.495
1003937079,KASTEN,KEVIN,,MD,M,I,1025 MOREHEAD MEDICAL DR,SUITE 300,CHARLOTTE,NC,282042963,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,378,3.9148412698,2.8893121693,2.2651587302,2.2797089947
1003937079,KASTEN,KEVIN,,MD,M,I,1025 MOREHEAD MEDICAL DR,SUITE 300,CHARLOTTE,NC,282042963,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,310,10.906129032,6.9848387097,5.4760967742,5.4781290323
1003937079,KASTEN,KEVIN,,MD,M,I,1025 MOREHEAD MEDICAL DR,SUITE 300,CHARLOTTE,NC,282042963,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,1525,0.3944131148,0.27,0.2116721311,0.2116721311
1003937079,KASTEN,KEVIN,,MD,M,I,1025 MOREHEAD MEDICAL DR,SUITE 300,CHARLOTTE,NC,282042963,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,430,4.8340232558,3.0386046512,2.3306976744,2.3317906977
1003937079,KASTEN,KEVIN,,MD,M,I,1025 MOREHEAD MEDICAL DR,SUITE 300,CHARLOTTE,NC,282042963,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,14,1100,0.5007636364,0.26,0.2038181818,0.2102454545
1003937194,RIVERA,JOSE,A,PAC,M,I,7503 ATLANTIC AVE STE D,,CUDAHY,CA,90201,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,57,123,48.799512195,8.32,5.7260162602,5.7260162602
1003937194,RIVERA,JOSE,A,PAC,M,I,7503 ATLANTIC AVE STE D,,CUDAHY,CA,90201,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,43,51,25.508431373,1.42,0.9631372549,0.9631372549
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,32,82,82,105.55060976,39.959512195,29.945,29.194512195
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,20,57,57,313.74210526,85,58.543333333,59.722105263
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,21,55,152,120.70197368,33,24.124736842,24.167631579
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,14,37,217,91.094285714,17.996682028,13.798294931,14.179354839
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,14,29,161,59.450186335,15.702732919,11.263229814,10.891863354
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,30,68,68,209.81588235,55.913970588,42.277647059,41.383970588
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,46,68,68,71.841029412,17.999117647,13.426470588,13.383676471
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,11,18,18,30,10.150555556,7.9583333333,8.1322222222
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,42,42,77.975238095,12.05452381,8.7735714286,8.4852380952
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,50,123,726,8.9001652893,2.0028099174,1.5403168044,1.5600275482
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,30,44,44,23.956136364,6.0018181818,4.4877272727,4.4409090909
1003937350,HALABI,SAHAR,,M.D,F,I,680 N LAKE SHORE DR,SUITE 1210,CHICAGO,IL,606114546,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,18,24,24,53.955416667,13,8.91625,9.07125
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,17,202,63.284851485,19.67009901,14.710792079,14.710792079
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,490,7.5935510204,2.6375510204,2.0677755102,2.0677755102
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,13,3.8461538462,1,0.7815384615,0.7815384615
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,166,507,1821,53.085996705,8.3047007139,6.2131521142,6.2244865459
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,32,61,61,13.098688525,3.38,2.65,2.65
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,31,37,37,16.66972973,2.12,1.67,1.67
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,81,163,340,12.017264706,1.42,1.0741176471,1.0741176471
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,45,93.222222222,71.56,53.611555556,53.611333333
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,83,53.253012048,43.56,33.908192771,33.906746988
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,15,24,24,24,121.53833333,46.41375,36.38875,47.004166667
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1780,16.554747191,10.686213483,8.2976179775,8.2976179775
1003937715,RAJA,DAYAL,D,M.D.,M,I,1729 BURRSTONE RD,SLOCUM-DICKSON MEDICAL GROUP,NEW HARTFORD,NY,134131001,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,27,27,352.09,251.11,196.87,196.87
1003937889,BAINS,AMARPREET,S,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.74,50.791666667,45.608333333
1003937947,HADJINIAN,SANDRA,J,MD,F,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,2280,0.39,0.13,0.1019078947,0.1019078947
1003937947,HADJINIAN,SANDRA,J,MD,F,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,47,5670,6.4087301587,2.04,1.5129611993,1.5129611993
1003937947,HADJINIAN,SANDRA,J,MD,F,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,4740,9.65,7.23,5.6640886076,5.6640886076
1003938119,THORNBURG,KAREN,A,MD,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,49444,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,33,113,60.004513274,8.32,5.5990265487,5.5990265487
1003938119,THORNBURG,KAREN,A,MD,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,49444,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,18,25,17.8568,1.42,0.9824,0.9824
1003938119,THORNBURG,KAREN,A,MD,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,49444,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,24,53.44,4.7241666667,3.70625,3.7545833333
1003938119,THORNBURG,KAREN,A,MD,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,49444,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,135.18909091,58.384545455,45.773181818,39.517727273
1003938119,THORNBURG,KAREN,A,MD,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,49444,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1309,2.1854927426,0.1442704354,0.1131245225,0.1131245225
1003938119,THORNBURG,KAREN,A,MD,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,49444,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,25.87,25.87
1003938143,TRZEBIATOWSKI,VIRGINIA,H,APNP,F,I,190 GRAND SEASONS DRIVE,,WAUPACA,WI,54481,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,350.65615385,93.632307692,67.427692308,49.136923077
1003938770,LIU,JINGBO,,M.D.,M,I,199 HEMPSTEAD TPKE,,WEST HEMPSTEAD,NY,115521536,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,33,84,57.839404762,8.32,4.9982142857,4.9982142857
1003938770,LIU,JINGBO,,M.D.,M,I,199 HEMPSTEAD TPKE,,WEST HEMPSTEAD,NY,115521536,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,22,8.905,1.42,0.8627272727,0.8627272727
1003938770,LIU,JINGBO,,M.D.,M,I,199 HEMPSTEAD TPKE,,WEST HEMPSTEAD,NY,115521536,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,128.98,41.63,30.4925,31.301666667
1003939117,DUNCAN,GRAHAM,S,MD,M,I,940 GOLF HOUSE RD E,,STONEY CREEK,NC,27377,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,28,88,65.758522727,8.32,6.0765909091,6.0765909091
1003939117,DUNCAN,GRAHAM,S,MD,M,I,940 GOLF HOUSE RD E,,STONEY CREEK,NC,27377,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,28,15.213214286,1.42,1.115,1.115
1003939117,DUNCAN,GRAHAM,S,MD,M,I,940 GOLF HOUSE RD E,,STONEY CREEK,NC,27377,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,7616,0.6441596639,0.296612395,0.2166977416,0.2267633929
1003939117,DUNCAN,GRAHAM,S,MD,M,I,940 GOLF HOUSE RD E,,STONEY CREEK,NC,27377,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,456.26365854,78.857073171,60.258536585,53.861463415
1003939117,DUNCAN,GRAHAM,S,MD,M,I,940 GOLF HOUSE RD E,,STONEY CREEK,NC,27377,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,100,35.96,28.19,29.432352941
1003939117,DUNCAN,GRAHAM,S,MD,M,I,940 GOLF HOUSE RD E,,STONEY CREEK,NC,27377,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,88.25,24.765333333,16.505333333,12.176
1003939117,DUNCAN,GRAHAM,S,MD,M,I,940 GOLF HOUSE RD E,,STONEY CREEK,NC,27377,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,85,35.96,27.3,28.517692308
1003939968,FASORANTI,OLADEPO,C,MBBS,M,I,11475 ROBINSON DRIVE NW - MAILSTOP 32600A,HEALTHPARTNERS COON RAPIDS CLINIC,COON RAPIDS,MN,554333746,US,Physician/Family Practice,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,395,112.585,83.714583333,83.714583333
1003941600,CARTER,RENEE,Y,M.D.,F,I,1250 E MARSHALL ST,,RICHMOND,VA,232985051,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,36,50.887222222,8.32,6.5233333333,6.5233333333
1003941824,SKINNER,AARON,N,MD,M,I,200 E CHESTNUT ST,SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,40.287333333,16.814,11.861666667,12.225
1003941824,SKINNER,AARON,N,MD,M,I,200 E CHESTNUT ST,SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,286.634,71.415333333,51.255666667,50.036666667
1003942558,FERRER,AMIHAN,A,M.D.,F,I,700 LILLY RD NE,,OLYMPIA,WA,985065115,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,22.4775,17.620833333,14.031666667
1003942558,FERRER,AMIHAN,A,M.D.,F,I,700 LILLY RD NE,,OLYMPIA,WA,985065115,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,80.455,58.105
1003943416,BOND,JOHN,A,MD,M,I,4420 IRVING BLVD NW,,ALBUQUERQUE,NM,871145915,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,31,88,64.679772727,8.32,6.3002272727,6.3002272727
1003943416,BOND,JOHN,A,MD,M,I,4420 IRVING BLVD NW,,ALBUQUERQUE,NM,871145915,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,26,16.296153846,1.42,1.0288461538,1.0288461538
1003943416,BOND,JOHN,A,MD,M,I,4420 IRVING BLVD NW,,ALBUQUERQUE,NM,871145915,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,507.58375,86.09,67.49,59.515
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,26,99,202,71.623118812,8.32,5.3924752475,5.3924752475
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,16,14.213125,1.42,0.62875,0.62875
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,86.31,22.97,17.012,12.828666667
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,519.51,106.38666667,79.425333333,52.431333333
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,3944,0.2993331643,0.0458823529,0.0295233266,0.0295233266
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1986,1.6320694864,0.1405186304,0.1065458207,0.1065458207
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,750,7.2690933333,3.00952,2.35948,2.35948
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,115.41666667,30.985,23.091666667,14.075833333
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,622.80769231,214.61,168.25,156.95923077
1003943465,SCOTT,LISA,C,PHYSICIANS ASSISTANT,F,I,69 WOLF ACRES DRIVE,,OAKLAND,MD,21550,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,31,42.580645161,33,23.726129032,23.726129032
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,23,35,35,81.261714286,39.527714286,29.260571429,28.712571429
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,14,15,15,44.578666667,12.356,8.7306666667,8.1566666667
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,86,141,141,236.3429078,91.747092199,69.349432624,65.551560284
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,59,100,211,106.5035545,35.987251185,27.628199052,25.563459716
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,25,50,229,65.665065502,19.681179039,14.74650655,13.949650655
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,37,63,255,44.885647059,15.243843137,11.306941176,11.252156863
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,95,159,159,135.93591195,58.487232704,43.81591195,40.986415094
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,161,190,190,47.410052632,19.044947368,14.480263158,13.696263158
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,140,235,235,32.398042553,12.717021277,9.7064680851,8.954
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,126,226,986,7.3067647059,2.1739046653,1.6485902637,1.545020284
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,98,118,118,16.055847458,6.3894067797,4.8830508475,4.5492372881
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,60,71,71,25.551830986,13.62056338,10.678450704,10.387605634
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,93,100,55.5234,18.3958,13.1655,12.6421
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,19,74.382631579,48.31,37.88,37.656315789
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,16,68,70,296.729,86.480428571,57.881428571,57.407428571
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,53,53,53,326.17150943,140.13584906,103.9590566,99.034339623
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,23,131,132,28.864469697,4.9834090909,3.7165151515,3.5575757576
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,92,568,576,123.51131944,35.028923611,25.123541667,23.644670139
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,31,216,228,332.76399123,77.927368421,58.188815789,52.987105263
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,36,8304,0.5106731696,0.0463547688,0.0348759634,0.0348759634
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,28,78,8564,1.7326681457,0.1386069594,0.1025642223,0.1025642223
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1072,10.503777985,3.176119403,2.3562406716,2.3562406716
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,86,86,72.255232558,39.544069767,31.002674419,29.504767442
1003943556,DINESH CHANDRA,KYATHANAHALLY,M,M.D.,M,I,701 UNIVERSITY BLVD E,SUITE 711,TUSCALOOSA,AL,354012086,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,30,39,97,97,45.24742268,33,25.44628866,25.44628866
1003943879,BAIG,MIRZA,M,M.D.,M,I,3020 N MCCORD RD,SUITE 100,TOLEDO,OH,436151702,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2370,0.2608860759,0.13,0.1019493671,0.1019493671
1003943879,BAIG,MIRZA,M,M.D.,M,I,3020 N MCCORD RD,SUITE 100,TOLEDO,OH,436151702,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,54,6934,3.1917940583,1.9321142198,1.463575137,1.5390798962
1003943879,BAIG,MIRZA,M,M.D.,M,I,3020 N MCCORD RD,SUITE 100,TOLEDO,OH,436151702,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,2220,8.7581081081,6.15,4.8216126126,5.5767972973
1003943879,BAIG,MIRZA,M,M.D.,M,I,3020 N MCCORD RD,SUITE 100,TOLEDO,OH,436151702,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,40,31.7715,10.93,7.7125,7.7125
1003943879,BAIG,MIRZA,M,M.D.,M,I,3020 N MCCORD RD,SUITE 100,TOLEDO,OH,436151702,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,1.87,1.8,1.41125,1.41125
1003943879,BAIG,MIRZA,M,M.D.,M,I,3020 N MCCORD RD,SUITE 100,TOLEDO,OH,436151702,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,320,9.3033125,4.04,3.167375,3.167375
1003944604,BASHAR,BELA,R,MD,F,I,55 DIMOCK ST,DIMOCK COMMUNITY HEALTH CENTER,ROXBURY,MA,021191029,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,42,76.851666667,8.32,5.2802380952,5.2802380952
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,51,175,51.931371429,8.32,5.5242857143,5.5242857143
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,21,33,11.733636364,1.42,1.08,1.08
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,94.362727273,48.862727273,38.309090909,30.49
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,82,6.5369512195,2.9009756098,2.2553658537,1.6498780488
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,81.969545455,21.985,16.556818182,13.188636364
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,110,61.14875,47.939375,38.464375
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,473.33181818,91.209090909,65.852727273,57.773636364
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,180,48.478,36.281,23.378
1003944646,DIEHL,JENNIFER,,MD,F,I,15 ENTERPRISE DR,,AUGUSTA,ME,043307894,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,376.91313725,101.95333333,77.589607843,54.171960784
1003945221,KHAN,ABDUL,H,M.D.,M,I,719 ELYSIAN FIELDS AVE,,NEW ORLEANS,LA,701178511,US,Physician/Psychiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,33.75,19.293478261,9.5869565217,8.5434782609
1003945221,KHAN,ABDUL,H,M.D.,M,I,719 ELYSIAN FIELDS AVE,,NEW ORLEANS,LA,701178511,US,Physician/Psychiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,16.23,9.2808695652,4.6173913043,4.0173913043
1003945320,FRIEDL,CHARLES,A,D.O.,M,I,1206 E 9TH ST,,LOCKPORT,IL,60441,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,42,66.527619048,8.32,4.3471428571,4.3471428571
1003945320,FRIEDL,CHARLES,A,D.O.,M,I,1206 E 9TH ST,,LOCKPORT,IL,60441,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,77.18,48.553333333,43.729166667
1003946062,MAYER,DAVID,R,D.O.,M,I,2903 WALL TRIANA HWY STE 6,,HUNTSVILLE,AL,358241537,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,48,99,75.152626263,8.32,6.1387878788,6.1387878788
1003946062,MAYER,DAVID,R,D.O.,M,I,2903 WALL TRIANA HWY STE 6,,HUNTSVILLE,AL,358241537,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,21,21,21.556190476,1.42,1.0133333333,1.0133333333
1003946062,MAYER,DAVID,R,D.O.,M,I,2903 WALL TRIANA HWY STE 6,,HUNTSVILLE,AL,358241537,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.34,37.024545455,29.029090909,26.159090909
1003947516,TENDLER,AMY,,PA,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277104000,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,1650,0.39,0.13,0.1019030303,0.1019030303
1003947516,TENDLER,AMY,,PA,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277104000,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,2910,2.9629896907,1.9025773196,1.4423195876,1.5450309278
1003948100,DORAN,TATIANA,D,FNP,F,I,103 WILLOW ST STE B,,NASHVILLE,IN,474487605,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,42,138,71.188768116,8.32,5.249057971,5.249057971
1003948100,DORAN,TATIANA,D,FNP,F,I,103 WILLOW ST STE B,,NASHVILLE,IN,474487605,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,25,16.6796,1.42,0.9356,0.9356
1003948100,DORAN,TATIANA,D,FNP,F,I,103 WILLOW ST STE B,,NASHVILLE,IN,474487605,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,20.75,4.6366666667,2.0372222222,1.9522222222
1003948464,LEVINE,MICHAEL,J,MD,M,I,1 HOLLOW LN,SUITE 103,NEW HYDE PARK,NY,110421220,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,32,77.075,8.32,6.5209375,6.5209375
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,57,100,100,110.5507,40.8282,30.8041,29.4529
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,43,97,97,317.58309278,94.509175258,68.190309278,62.628247423
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,32,61,151,108.9902649,35.504370861,27.182715232,25.377615894
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,24,38,184,63.559945652,19.949347826,14.846032609,13.807173913
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,25,53,248,37.904112903,15.563266129,10.768508065,10.521572581
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,66,124,124,200.99548387,55.876693548,41.36766129,40.5375
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,93,120,120,63.954083333,18.94225,14.2335,13.509416667
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,50,103,103,65.21592233,12.949902913,9.3839805825,8.4666019417
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,101,213,1193,8.7313160101,2.2871751886,1.6969153395,1.5185666387
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,68,80,80,25.5165,6.55875,4.95825,4.493875
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,45,54,54,39.75,13.530185185,10.017592593,9.7796296296
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,39.839090909,17.46,13.69,13.54
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,2762.3230189,913.16,709.08132075,835.42132075
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,39,39,404.26025641,93.076923077,71.325128205,68.3
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,451.05909091,144,112.9,105.81818182
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,47.546875,14.4,9.87875,9.2965625
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,50.73,5.4347058824,3.7788235294,3.1152941176
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,35,206,206,166.83830097,33.130631068,24.553495146,24.325873786
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,27,135,146,302.20431507,80.453972603,58.421232877,51.078630137
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,51,51,119.08764706,41.560784314,29.382352941,26.677647059
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1595,2.1930282132,0.0452727273,0.0337492163,0.0337492163
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,863,4.4453650058,0.219165701,0.1718076477,0.1718076477
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,63,81.48015873,40.914285714,30.272539683,28.023174603
1003949348,GOSNELL,MARK,S,M.D.,M,I,515 FAIRMOUNT AVE STE 500,,TOWSON,MD,212865466,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,41.608695652,33,25.60173913,25.60173913
1003949587,ROBERTSON,KRISTIN,C,RN FNP-C,F,I,805 GULF ST.,,LAMAR,MO,647591238,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,46,70,56.344571429,8.32,5.218,5.218
1003949587,ROBERTSON,KRISTIN,C,RN FNP-C,F,I,805 GULF ST.,,LAMAR,MO,647591238,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,288.07045455,100.90545455,72.169090909,50.086363636
1003949595,FLICK,CONRAD,,M.D.,M,I,3500 BUSH ST,,RALEIGH,NC,276097509,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,17,54,74.512962963,8.32,6.0392592593,6.0392592593
1003949595,FLICK,CONRAD,,M.D.,M,I,3500 BUSH ST,,RALEIGH,NC,276097509,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,107.3705,36.25,25.0225,22.7055
1003949595,FLICK,CONRAD,,M.D.,M,I,3500 BUSH ST,,RALEIGH,NC,276097509,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,81,6.4758024691,2.15,1.6016049383,1.5219753086
1003949595,FLICK,CONRAD,,M.D.,M,I,3500 BUSH ST,,RALEIGH,NC,276097509,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,36.159090909,6.1436363636,4.8145454545,3.39
1003949595,FLICK,CONRAD,,M.D.,M,I,3500 BUSH ST,,RALEIGH,NC,276097509,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,235.444375,33.85125,23.4175,22.01625
1003949751,KUNZ,RICHARD,D,M.D.,M,I,1250 E MARSHALL ST,PHYSICAL MED AND REHAB,RICHMOND,VA,232985051,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,12.283333333,9.6325,7.9866666667
1003949751,KUNZ,RICHARD,D,M.D.,M,I,1250 E MARSHALL ST,PHYSICAL MED AND REHAB,RICHMOND,VA,232985051,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,34,46.258823529,10.07,7.6676470588,7.3376470588
1003949751,KUNZ,RICHARD,D,M.D.,M,I,1250 E MARSHALL ST,PHYSICAL MED AND REHAB,RICHMOND,VA,232985051,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,519.05454545,199.73,156.58,156.58
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,122,55.732622951,8.32,5.9687704918,5.9687704918
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.4291666667,2.4291666667
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,15.428095238,1.42,0.9561904762,0.9561904762
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,279,419,419,81.576945107,51.082625298,38.277899761,30.453770883
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,194,284,284,212.01373239,129.49330986,98.086619718,70.251619718
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,146,235,406,98.475123153,47.076945813,35.881896552,26.563522167
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,71,109,331,56.319516616,26.089093656,19.693081571,14.719003021
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,53,76,282,41.051843972,19.714858156,13.862978723,11.148085106
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,138,213,213,133.78948357,78.7,59.202629108,44.425399061
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,297,353,353,40.60694051,25.619036827,19.699716714,14.727195467
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,32,34,34,51.233823529,12.852058824,9.8191176471,8.3794117647
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,36,65,65,60.341692308,19.439230769,14.139076923,10.361230769
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,327,555,2694,6.5462323682,3.0493355605,2.3098144024,1.6797921307
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,231,261,261,11.031724138,8.7527586207,6.7063218391,4.752835249
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,144,163,163,45.161165644,15.976441718,12.073006135,10.329202454
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,37,240,242,327.39876033,124.30115702,95.678181818,69.326652893
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,49,49,49,464.85714286,190.78530612,145.13,107.38469388
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,83,412,412,40.854635922,18.255509709,13.343325243,9.9112135922
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,145,865,865,165.0877341,47.935734104,35.318127168,24.323040462
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,26,218,218,447.86463303,104.03577982,78.989174312,55.704770642
1003949926,SPEER,DANIELLE,L,,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70.2,44.745,35.0825,30.111666667
1003950171,NUNEZ,RAFAEL,A,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,37,86.31,16.992162162,12.242162162,12.434324324
1003950171,NUNEZ,RAFAEL,A,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,23,50.73,4.2156521739,3.1295652174,3.3465217391
1003950171,NUNEZ,RAFAEL,A,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,62,69,512.03768116,80.999130435,59.621304348,51.906376812
1003950171,NUNEZ,RAFAEL,A,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,21,93.883809524,35.78,25.378571429,26.803333333
1003950171,NUNEZ,RAFAEL,A,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,17,168.20941176,21.309411765,16.703529412,14.891176471
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,23,90,45.440888889,8.32,6.5218888889,6.5218888889
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,12,271.89333333,48.9,38.34,35.23
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,750,173.61636364,136.11363636,118.25818182
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,32,86.31,17.6975,13.8725,13.575625
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,28,519.51,81.804285714,64.135,55.907142857
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,36,99.06,60.397777778,47.351111111,53.859444444
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,36,36,54.055555556,20.837777778,15.352777778,13.298611111
1003950551,WALKER,MONICA,,M.D.,F,I,4152 W BLUE HERON BLVD,123,RIVIERA BEACH,FL,334044811,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,20.701904762,8.9871428571,6.3066666667,5.8661904762
1003950569,WAUGH,ROBERT,P,MD,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,39,43,79.441860465,70.94,54.326046512,46.126046512
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,21,21,21,65.149047619,46.329047619,36.320952381,36.301904762
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,78.2784,17.0112,12.5356,12.7348
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,55.251764706,3.3564705882,2.4829411765,3.37
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,106.64538462,41.43,32.483076923,35.153846154
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,104.59230769,25.786923077,20.216153846,22.420769231
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,78,78,480.87410256,75.131794872,56.304615385,52.33974359
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,960,1.0664479167,0.13821875,0.0941458333,0.0941458333
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,52,52,97.342307692,17.393846154,13.418653846,14.249038462
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,320.66666667,54.166666667,42.466666667,39.488333333
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,67.536875,9.59,7.51875,6.59875
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39,30.58,29.51
1003951013,HUSSAIN,YUSRA,N,M.D.,F,I,770 WELCH RD,SUITE # 250,PALO ALTO,CA,943041511,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,22.637272727,22.637272727
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,30,111,59.880540541,8.32,5.4645045045,5.4645045045
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,26,13.642307692,1.42,1.1146153846,1.1146153846
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,313.37636364,88.22,69.17,67.97
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,114.68714286,33.6,26.341428571,25.964285714
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,201.25,56.21,44.07,42.960833333
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,71.338333333,18.25,14.31,14.06
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,75.221333333,12.17,9.55,9.158
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,24,138,11.544347826,2.08,1.6300724638,1.5950724638
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,87,87,75.111034483,18.055172414,12.701494253,12.196091954
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,60,4.6746153846,3.2823076923,3.3865384615
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,166.86928571,33.36,26.152142857,26.156428571
1003951229,HATTEL,DIANE,E,FNP-C,F,I,3235 SPARKS RD,SUITE 200,CHEYENNE,WY,820016151,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,137,148,385.95554054,73.135405405,52.764324324,50.206554054
1003951245,NICHOLS,DAVID,,M.D.,M,I,2018 PULLIAM ST,,SAN ANGELO,TX,76905,US,Physician/Internal Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,25,53,515,83.603553398,25.193106796,19.751262136,19.232427184
1003951245,NICHOLS,DAVID,,M.D.,M,I,2018 PULLIAM ST,,SAN ANGELO,TX,76905,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,25,45,315,53.744444444,8.4463492063,6.6216190476,6.4288888889
1003951245,NICHOLS,DAVID,,M.D.,M,I,2018 PULLIAM ST,,SAN ANGELO,TX,76905,US,Physician/Internal Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,25,56,56,4818,725.51982143,568.12071429,502.81803571
1003951377,LODHA,NARENDRA,M,MD,M,I,202 UNION AVE,# A,BROOKLYN,NY,112117467,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,33,73.518787879,8.32,6.1275757576,6.1275757576
1003951377,LODHA,NARENDRA,M,MD,M,I,202 UNION AVE,# A,BROOKLYN,NY,112117467,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,31.99,25.08,25.293333333
1003951377,LODHA,NARENDRA,M,MD,M,I,202 UNION AVE,# A,BROOKLYN,NY,112117467,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1560,2.2078141026,0.1359230769,0.0995961538,0.0995961538
1003951377,LODHA,NARENDRA,M,MD,M,I,202 UNION AVE,# A,BROOKLYN,NY,112117467,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,23.88,23.88
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,24,31.23875,26.096666667,20.463333333,21.814166667
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,24,11.967083333,9.3225,7.3058333333,8.2604166667
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,436,0.1442201835,0.1142201835,0.0895412844,0.0895412844
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,27,1504,9.093643617,7.0882978723,5.5572074468,5.7579920213
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,782,6.1242455243,5.23,4.1003324808,4.1003324808
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,358,9.0952793296,8.28,6.4915642458,6.4915642458
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,762,4.5348031496,3.81,2.987007874,2.987007874
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,344,6.4656104651,3.08,2.4146802326,2.3677906977
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,26,735,212.94544218,5.7858911565,4.3528843537,4.2071428571
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,44,21398,2.3958112908,0.3131605758,0.2375268717,0.2387302552
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,20,20,751.585,65.5785,46.3995,45.1905
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,119.15285714,53.627142857,42.044285714,41.002142857
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,35,35,192.85714286,47.96,34.522285714,33.887428571
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,182.30769231,60.199230769,47.194615385,41.311538462
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,21.153846154,4.9746153846,3.6415384615,3.6373076923
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,121.66666667,58.962,46.221333333,39.149333333
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,70.23,55.06,54.918333333
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,40,43,83.186511628,22.018139535,16.267674419,13.62744186
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,65,65,75.26,32.546923077,25.513846154,24.255230769
1003951591,DITARANTO,ANTHONY,V,MD,M,I,118 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049229,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,26.666666667,9.4422222222,7.4055555556,7.2988888889
1003951617,KLOS,STEPHEN,S,M.D.,M,I,325 E SILVER SPRING DR,,WHITEFISH BAY,WI,532175222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,56,69.7375,8.32,5.4733928571,5.4733928571
1003951617,KLOS,STEPHEN,S,M.D.,M,I,325 E SILVER SPRING DR,,WHITEFISH BAY,WI,532175222,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,71.82,20.31125,14.780416667,14.162916667
1003951617,KLOS,STEPHEN,S,M.D.,M,I,325 E SILVER SPRING DR,,WHITEFISH BAY,WI,532175222,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,459.52736842,79.98,59.4,53.1
1003951617,KLOS,STEPHEN,S,M.D.,M,I,325 E SILVER SPRING DR,,WHITEFISH BAY,WI,532175222,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75.47,15.897272727,10.990909091,12.060909091
1003951617,KLOS,STEPHEN,S,M.D.,M,I,325 E SILVER SPRING DR,,WHITEFISH BAY,WI,532175222,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25.83,7.5209090909,5.2,5.6663636364
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,12,21,40,7.272,1.578,1.17925,1.094
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,12,26,26,429.48,98.735384615,74.774230769,65.263076923
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,28,56,157.43285714,38.387857143,29.601428571,25.418214286
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,16,16,70.3075,19.5675,14.459375,13.18375
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,28,28,84.033571429,13.841428571,10.523928571,8.7942857143
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,42,166,12.247590361,2.3453012048,1.7806626506,1.5354216867
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,31,269,273,69.678571429,17.816336996,13.184249084,12.904249084
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,32,36,398.86388889,90.288888889,69.128333333,62.653333333
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,75.236666667,13.626190476,8.6385714286,8.4833333333
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,44,44,35.727045455,4.2275,2.9586363636,3.1740909091
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,212.83459459,31.608108108,21.605135135,20.21027027
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,46,343,352,396.06508523,75.090255682,54.708125,51.794630682
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,15,93.808,43.54,34.138,29.516666667
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,8076,0.2045889054,0.0463100545,0.0337407132,0.0337407132
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,19,76,8970,1.0018740245,0.1333979933,0.0939498328,0.0939498328
1003951625,MATYASIK,STANLEY,J,DO,M,I,12502 WILLOWBROOK ROAD,SUITE 280,CUMBERLAND,MD,21502,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,25,110,111,102.02702703,33,23.221711712,23.221711712
1003951658,UTLEY,EDITH,,PA,F,I,340 EISENHOWER DR,,SAVANNAH,GA,314061600,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,13,13,33.923076923,33,25.87,25.87
1003951724,PICKERING,TREVOR,R,M.D.,M,I,1325 E FORTIFICATION ST,,JACKSON,MS,392022442,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,57,57,57,208.42719298,64.339298246,50.443333333,36.474385965
1003951724,PICKERING,TREVOR,R,M.D.,M,I,1325 E FORTIFICATION ST,,JACKSON,MS,392022442,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,6,76,76,76,66.174078947,56.840921053,44.564342105,41.130657895
1003951724,PICKERING,TREVOR,R,M.D.,M,I,1325 E FORTIFICATION ST,,JACKSON,MS,392022442,US,Physician/Orthopedic Surgery,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,9.8025,7.69,7.75
1003951724,PICKERING,TREVOR,R,M.D.,M,I,1325 E FORTIFICATION ST,,JACKSON,MS,392022442,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,105.64454545,82.821818182,96.310909091
1003951724,PICKERING,TREVOR,R,M.D.,M,I,1325 E FORTIFICATION ST,,JACKSON,MS,392022442,US,Physician/Orthopedic Surgery,S,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,21,145,118.14,90.437142857,75.677142857
1003951724,PICKERING,TREVOR,R,M.D.,M,I,1325 E FORTIFICATION ST,,JACKSON,MS,392022442,US,Physician/Orthopedic Surgery,S,L3332,"Lift, elevation, inside shoe, tapered, up to one-half inch",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,20,20,15.68,40.307692308
1003952326,ROCK,ELIZABETH,,M.D.,F,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,15,4861,1.6092059247,0.3684776795,0.2693766715,0.2705698416
1003952599,BEARD,DAVID,A,MD,M,I,2600 6TH ST SW,,CANTON,OH,447101702,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,49.543809524,17.27,12.895238095,12.895238095
1003952599,BEARD,DAVID,A,MD,M,I,2600 6TH ST SW,,CANTON,OH,447101702,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,304.41333333,70.345833333,50.379166667,50.169166667
1003952797,AKHAVAN,AFSHIN,,DO,M,I,530 E WASHINGTON BLVD,,LOS ANGELES,CA,900153723,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,44,129,66.906744186,8.32,5.8147286822,5.8147286822
1003952797,AKHAVAN,AFSHIN,,DO,M,I,530 E WASHINGTON BLVD,,LOS ANGELES,CA,900153723,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.96,3.38,2.65,2.65
1003952797,AKHAVAN,AFSHIN,,DO,M,I,530 E WASHINGTON BLVD,,LOS ANGELES,CA,900153723,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,44,14.799318182,1.42,1.0638636364,1.0638636364
1003952870,CHILDRESS,KRISTEN,M,ARNP,F,I,2431 ANDERSON AVE,,PORT ORCHARD,WA,983661302,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,74.71,33.471666667,26.24,24.393333333
1003953415,ROBINSON,BARBARA,J,APRN,F,I,3880 FALMOUTH ROAD,,COTUIT,MA,026353659,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,29,84.855517241,8.32,3.5979310345,3.5979310345
1003953415,ROBINSON,BARBARA,J,APRN,F,I,3880 FALMOUTH ROAD,,COTUIT,MA,026353659,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,4.5746666667,3.3546666667,3.304
1003953662,HOUSTON,GREGORY,H,P.A.,M,I,3525 INDEPENDENCE DR,,BIRMINGHAM,AL,352095709,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,18.623636364,9.6745454545,6.6818181818,6.2545454545
1003953704,WHITE,SAMUEL,C,MD,M,I,300 UNION ST,,EVANSVILLE,WI,535361175,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,36,81,57.86654321,8.32,5.4004938272,5.4004938272
1003953704,WHITE,SAMUEL,C,MD,M,I,300 UNION ST,,EVANSVILLE,WI,535361175,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,460.99666667,69.81,45.655,45.655
1003953704,WHITE,SAMUEL,C,MD,M,I,300 UNION ST,,EVANSVILLE,WI,535361175,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2862,0.6174283718,0.0461250874,0.0221907757,0.0221907757
1003953704,WHITE,SAMUEL,C,MD,M,I,300 UNION ST,,EVANSVILLE,WI,535361175,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,66,33,18.478571429,18.478571429
1003954140,BUCCI,RUDOLF,D,FNP,M,I,928 FRENCH RD STE B,,CHEEKTOWAGA,NY,142273632,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,54,65,213,687,73.879956332,8.3122852984,5.9533770015,5.9571615721
1003954140,BUCCI,RUDOLF,D,FNP,M,I,928 FRENCH RD STE B,,CHEEKTOWAGA,NY,142273632,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,16.537692308,3.38,2.65,2.65
1003954140,BUCCI,RUDOLF,D,FNP,M,I,928 FRENCH RD STE B,,CHEEKTOWAGA,NY,142273632,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,39,90,155,17.421419355,1.42,0.9939354839,0.9939354839
1003954553,CANE,LAURENCE,Z,D.P.M.,M,I,3057 TRENWEST DR,,WINSTON SALEM,NC,271033220,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,48,155,71.56,53.827708333,53.827708333
1003954553,CANE,LAURENCE,Z,D.P.M.,M,I,3057 TRENWEST DR,,WINSTON SALEM,NC,271033220,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,126,66,29.19,22.885,22.886666667
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,20,20,88.81,39.0685,29.128,28.9955
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,47,91,7.3140659341,1.5859340659,1.1513186813,1.066043956
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,16,21,21,61.649047619,9.7080952381,6.8766666667,8.1071428571
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,33,72,72,235.35638889,86.552916667,66.202083333,66.687361111
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,32,74,177,90.908418079,32.341299435,25.354689266,25.909435028
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,17,34,183,51.308797814,17.983442623,13.934371585,14.371857923
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,17,26,146,36.963424658,15.046575342,11.795890411,11.852671233
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,32,58,58,151.21862069,51.783965517,40.599482759,42.649137931
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,60,79,79,46.550506329,18.528607595,14.346455696,13.888481013
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,20.295,10.48,8.21,8.155
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,51,102,102,50.596960784,11.105784314,8.5585294118,8.9352941176
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,67,133,726,6.6470385675,1.9950964187,1.5654269972,1.598815427
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,49,63,63,16.605555556,5.8777777778,4.5555555556,4.5887301587
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,37,47,47,27.920638298,13.25893617,10.250425532,10.19212766
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,52,408,414,47.730628019,16.960048309,12.491062802,12.714951691
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,14,14,200.175,44.861428571,35.178571429,36.75
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,61,61,2904.7957377,1042.6083607,809.13295082,831.91557377
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,,23,23,329.76521739,89.63826087,66.869565217,68.406956522
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,1139.0942857,213.60428571,167.46285714,165.89571429
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,1230.62,978.99363636,767.53272727,767.53272727
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,15,15,15,392.88266667,148.488,116.41,104.37866667
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,55.771818182,13.151515152,10.309090909,10.471515152
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,17,117,117,32.53974359,3.8256410256,2.7476923077,3.3436752137
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,22,87,87,160.82310345,39.324597701,28.42816092,25.417241379
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,85,620,623,300.47317817,72.387544141,52.985698234,51.124398074
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,50,143.3116,36.772,25.6572,26.2884
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,63,3486,16.197446931,9.6389959839,7.4784165232,7.4784165232
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,1440,14.220340278,11.223083333,8.6993055556,8.6993055556
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,18,47,12133,0.2796983434,0.0467641968,0.0348454628,0.0348454628
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1947,2.970575244,0.095336415,0.0747508988,0.0747508988
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,28,40,141,12979,1.1824562755,0.1328561522,0.0968163957,0.0968163957
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,104,6120,12.54674183,3.0227401961,2.3599493464,2.3599493464
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,112.88,36.82,26.945333333,27.518666667
1003954876,ESTERLE,MARK,E,M.D.,M,I,4003 KRESGE WAY,SUITE 312,LOUISVILLE,KY,402074652,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,41,60,222,222,93.513513514,33,24.588153153,24.588153153
1003955170,EDMINSTEN,JAMIE,T,PA-C,F,I,3650 W ROCK CREEK RD,,NORMAN,OK,730722202,US,Physician Assistant,S,A4481,"Tracheostoma filter, any type, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1140,0.7969473684,0.42,0.2426578947,0.2426578947
1003955170,EDMINSTEN,JAMIE,T,PA-C,F,I,3650 W ROCK CREEK RD,,NORMAN,OK,730722202,US,Physician Assistant,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,43,4380,3.3886506849,2.7997716895,2.1585159817,2.158696347
1003955170,EDMINSTEN,JAMIE,T,PA-C,F,I,3650 W ROCK CREEK RD,,NORMAN,OK,730722202,US,Physician Assistant,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,21,1460,5.2609589041,3.23,2.5323424658,2.5323424658
1003955493,GONZALEZ,DENISE,R,MD,F,I,1001 POTRERO AVE,1M,SAN FRANCISCO,CA,941103518,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,41,100,44.2316,8.32,5.0215,5.0215
1003955493,GONZALEZ,DENISE,R,MD,F,I,1001 POTRERO AVE,1M,SAN FRANCISCO,CA,941103518,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,27,33,16.356060606,1.42,0.9481818182,0.9481818182
1003955493,GONZALEZ,DENISE,R,MD,F,I,1001 POTRERO AVE,1M,SAN FRANCISCO,CA,941103518,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,85,50.556363636,34.972727273,32.036363636
1003956178,STEWART,ALAN,D,M.D.,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,462,223.48484848,7.2273593074,5.6662337662,4.1884199134
1003956178,STEWART,ALAN,D,M.D.,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5940,3.346,0.4,0.2980808081,0.2294680135
1003956178,STEWART,ALAN,D,M.D.,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,78.792857143,20.718571429,13.045714286,11.920714286
1003956178,STEWART,ALAN,D,M.D.,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,47.271818182,6.6718181818,4.9,3.0727272727
1003956178,STEWART,ALAN,D,M.D.,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,38,461.51973684,89.33,59.967894737,45.458947368
1003956178,STEWART,ALAN,D,M.D.,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,19.588181818,12.737272727,10.718181818
1003956285,ALI,FAZAL,A,MD,M,I,4221 S WESTERN AVE,SUITE 5020,OKLAHOMA CITY,OK,731093447,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,113,61.755044248,8.32,6.4653982301,6.4653982301
1003956616,SUE-WAH-SING,CECIL,B,M.D.,M,I,819 CYPRESS VILLAGE BLVD,,RUSKIN,FL,335736834,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,46,104,64.091730769,8.32,5.3924038462,5.3924038462
1003956616,SUE-WAH-SING,CECIL,B,M.D.,M,I,819 CYPRESS VILLAGE BLVD,,RUSKIN,FL,335736834,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,18,14.282222222,1.42,1.0544444444,1.0544444444
1003956616,SUE-WAH-SING,CECIL,B,M.D.,M,I,819 CYPRESS VILLAGE BLVD,,RUSKIN,FL,335736834,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,15,141.828,54.41,33.096,30.215333333
1003957481,SEBESTA,DONNA,L,CNP,F,I,1900 S GRANDVIEW AVE,,SIOUX FALLS,SD,571034153,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,22.4775,17.620833333,13.53
1003957481,SEBESTA,DONNA,L,CNP,F,I,1900 S GRANDVIEW AVE,,SIOUX FALLS,SD,571034153,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,102.61833333,80.455,54.73
1003957788,SANDHU,PEERAN,D,M.D.,M,I,511 S SANTA FE AVE,SUITE 200,SALINA,KS,674014145,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,6,,30,2392,13.283620401,3.7476588629,2.9381605351,2.9381605351
1003957788,SANDHU,PEERAN,D,M.D.,M,I,511 S SANTA FE AVE,SUITE 200,SALINA,KS,674014145,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,33,33,24,24,18.82,18.82
1003957788,SANDHU,PEERAN,D,M.D.,M,I,511 S SANTA FE AVE,SUITE 200,SALINA,KS,674014145,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,16,16,12.54,12.54
1003957895,VILLARAMA,EDUARDO,T,MD,M,I,847 W CHILDS AVE,SUITE B,MERCED,CA,953416862,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,25,64,49.20015625,8.32,5.09609375,5.09609375
1003957895,VILLARAMA,EDUARDO,T,MD,M,I,847 W CHILDS AVE,SUITE B,MERCED,CA,953416862,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,16,26,14.279230769,1.42,0.9426923077,0.9426923077
1003957895,VILLARAMA,EDUARDO,T,MD,M,I,847 W CHILDS AVE,SUITE B,MERCED,CA,953416862,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,680.15666667,65.7,51.51,54.300666667
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,42,106,106,126.75235849,41.07254717,28.918396226,27.547735849
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,16,43,91,8.5272527473,1.5025274725,1.0708791209,1.0502197802
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,11,16,16,70.31625,12.526875,9.821875,9.679375
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,88,217,217,427.55142857,94.486129032,66.047788018,60.351658986
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,86,243,581,152.61180723,36.417796902,26.937108434,24.461858864
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,23,51,250,96.7676,21.28484,15.52516,13.39244
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,14,31,156,60.703974359,16.021474359,10.642628205,9.9776282051
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,46,82,82,253.0052439,62.61804878,45.34804878,39.555243902
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,128,181,181,77.86281768,20.10320442,15.024917127,13.496298343
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,86,180,180,78.810722222,13.558111111,10.201388889,8.6658333333
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,141,318,1597,11.233043206,2.2839762054,1.7481840952,1.5554038823
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,28,33,33,24.65,6.1518181818,4.6857575758,4.5284848485
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,80,113,113,46.287433628,13.986814159,10.36159292,9.7790265487
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,143,145,68.61337931,18.725931034,13.795931034,13.023586207
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,18,20,232.35,55.4775,39.581,33.9425
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,3268.54,1020.1,791.78944444,828.38666667
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,13,71,73,475.88561644,97.684931507,74.827534247,66.474657534
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,1250.4061111,258.58694444,191.90888889,155.84722222
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1394.6618182,978.99363636,767.53272727,767.53272727
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,35,35,35,663.28828571,138.49142857,106.38171429,102.73371429
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,17,93,95,62.892631579,13.782736842,9.9263157895,9.6706315789
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,22,136,142,43.760211268,4.6013380282,3.2085915493,3.196971831
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,57,292,295,364.84871186,36.916271186,26.088847458,23.353457627
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,42,361,364,492.86736264,82.100631868,60.868516484,52.540357143
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,86,86,177.98895349,37.41627907,26.210348837,26.39255814
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,64,3840,17.833565104,9.640453125,7.3424427083,7.3424427083
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,59,3480,17.733689655,11.216327586,8.6740057471,8.6740057471
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,62,10337,0.329723324,0.0464815711,0.0320025152,0.0320015478
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,28,148,11573,1.8697822518,0.1349053832,0.0982476454,0.0982476454
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,1860,15.444354839,2.9318064516,2.2985591398,2.2985591398
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,799,2.3747559449,0.2202252816,0.1443804756,0.1443804756
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,67,170.19402985,39.973283582,29.482835821,27.797462687
1003957903,ALVAREZ,JORGE,L,M.D.,M,I,1325 SAN MARCO BLVD,SUITE 300,JACKSONVILLE,FL,322078568,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,26,53,289,289,71.709342561,33,24.258719723,24.258719723
1003957952,BASS,ROBERT,A,M.D.,M,I,1747 MEDICAL CENTER PKWY STE 210,,MURFREESBORO,TN,371292563,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,64,11350,0.4581938326,0.13,0.09609163,0.09609163
1003957952,BASS,ROBERT,A,M.D.,M,I,1747 MEDICAL CENTER PKWY STE 210,,MURFREESBORO,TN,371292563,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,87,14790,4.1285598377,1.92,1.4612521974,1.551693712
1003957952,BASS,ROBERT,A,M.D.,M,I,1747 MEDICAL CENTER PKWY STE 210,,MURFREESBORO,TN,371292563,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,875,0.9274285714,0.24,0.1021485714,0.1165714286
1003958059,HOY,MATTHEW,T,PA,M,I,78 MEDICAL CENTER DRIVE,,FISHERSVILLE,VA,22939,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,56.891666667,49.329444444,38.675,36.505555556
1003958059,HOY,MATTHEW,T,PA,M,I,78 MEDICAL CENTER DRIVE,,FISHERSVILLE,VA,22939,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,41,15.365853659,4.8368292683,3.1385365854,3.1356097561
1003958059,HOY,MATTHEW,T,PA,M,I,78 MEDICAL CENTER DRIVE,,FISHERSVILLE,VA,22939,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,265,70.23,55.06,54.72
1003958059,HOY,MATTHEW,T,PA,M,I,78 MEDICAL CENTER DRIVE,,FISHERSVILLE,VA,22939,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,50,28.446666667,22.299333333,21.646
1003958059,HOY,MATTHEW,T,PA,M,I,78 MEDICAL CENTER DRIVE,,FISHERSVILLE,VA,22939,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,37.44,29.35,29.51
1003958208,LINDSAY,MILJURINE,T,P.A.,F,I,650 PENNSYLVANIA AVE SE,SUITE 50,WASHINGTON,DC,200034318,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,41,80,322,68.292111801,8.32,6.1175776398,6.1175776398
1003958208,LINDSAY,MILJURINE,T,P.A.,F,I,650 PENNSYLVANIA AVE SE,SUITE 50,WASHINGTON,DC,200034318,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,27,40,14.164,1.42,0.94725,0.94725
1003958208,LINDSAY,MILJURINE,T,P.A.,F,I,650 PENNSYLVANIA AVE SE,SUITE 50,WASHINGTON,DC,200034318,US,Physician Assistant,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2320,11.82975431,9.6207155172,7.5426422414,7.5426422414
1003958208,LINDSAY,MILJURINE,T,P.A.,F,I,650 PENNSYLVANIA AVE SE,SUITE 50,WASHINGTON,DC,200034318,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,18,19,447.60210526,251.11,196.87,196.87
1003959974,NAINI,PRANITHA,,MD,F,I,100 WELLNESS WAY,,MILFORD,DE,199634364,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,20,1932,97.8,4.715015528,3.6965786749,3.6965786749
1003959974,NAINI,PRANITHA,,MD,F,I,100 WELLNESS WAY,,MILFORD,DE,199634364,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,1689,97.964067496,2.4640142096,1.9317821196,1.9317821196
1003959974,NAINI,PRANITHA,,MD,F,I,100 WELLNESS WAY,,MILFORD,DE,199634364,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,52.615384615,24,18.82,18.82
1003959974,NAINI,PRANITHA,,MD,F,I,100 WELLNESS WAY,,MILFORD,DE,199634364,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,28,53.607142857,16,12.54,12.54
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,15,124,3797,275,5.18,3.8885251514,3.9779615486
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,14,122,3767,200.7963897,4.07,2.9790868065,3.0307831165
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,22,217,65951,2.6985469515,0.3089658989,0.222829525,0.223654683
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,39,12032,15.268051862,1.1790192819,0.9005028258,0.920092254
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,10096,6.2107725832,0.6577773376,0.4872711965,0.4890124802
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,56,2703,6.8127968923,0.6800443951,0.501391047,0.5201405845
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,18,18,1200,61.64,48.32,48.32
1003960519,CHENGSON,RICHARD,A,M.D.,M,I,2501 MAPLE ST,,ABILENE,TX,796025058,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,98.226428571,29.81,15.023571429,15.03
1003960907,BRADFORD,CONSTANCE,,"RN, FNP-C",F,I,202 JEFFERSON ST,,NEWHEBRON,MS,391403809,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,913.16,702.87727273,817.73181818
1003961236,KHAZANCHI,ARUN,P,M.D.,M,I,11505 PALMBRUSH TRL,SUITE 200,LAKEWOOD RANCH,FL,342022917,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,8502,1.1637355916,0.3266996001,0.2561350271,0.2430416373
1003961368,SCHINDELHEIM,ADAM,M,M.D.,M,I,3 COOPER PLZ RM 104,,CAMDEN,NJ,08103,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,134.38,46.898823529,36.769411765,38.684705882
1003961368,SCHINDELHEIM,ADAM,M,M.D.,M,I,3 COOPER PLZ RM 104,,CAMDEN,NJ,08103,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,70,70,69.532571429,16.252428571,12.033142857,13.281
1003961368,SCHINDELHEIM,ADAM,M,M.D.,M,I,3 COOPER PLZ RM 104,,CAMDEN,NJ,08103,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,119.34,21.866153846,15.894615385,19.294615385
1003961368,SCHINDELHEIM,ADAM,M,M.D.,M,I,3 COOPER PLZ RM 104,,CAMDEN,NJ,08103,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,52,52,20.57,7.0526923077,5.0294230769,5.9180769231
1003961400,ADAMOV,ELENA,,MD,F,I,1427 VINE ST,6TH FL,PHILADELPHIA,PA,191021031,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,36,69.095,8.32,4.7094444444,4.7094444444
1003961400,ADAMOV,ELENA,,MD,F,I,1427 VINE ST,6TH FL,PHILADELPHIA,PA,191021031,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,12.955263158,1.42,0.8842105263,0.8842105263
1003961400,ADAMOV,ELENA,,MD,F,I,1427 VINE ST,6TH FL,PHILADELPHIA,PA,191021031,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1003961400,ADAMOV,ELENA,,MD,F,I,1427 VINE ST,6TH FL,PHILADELPHIA,PA,191021031,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,608.57142857,77.18,60.51,54.72
1003961756,VINCIGUERRA,VINCENT,,MD,M,I,THE MONTER CANCER CENTER,450 LAKEVILLE ROAD,LAKE SUCCESS,NY,11042,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,75,19.71,15.45,15.45
1003961756,VINCIGUERRA,VINCENT,,MD,M,I,THE MONTER CANCER CENTER,450 LAKEVILLE ROAD,LAKE SUCCESS,NY,11042,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,78.75,37.38,29.3,29.3
1003961756,VINCIGUERRA,VINCENT,,MD,M,I,THE MONTER CANCER CENTER,450 LAKEVILLE ROAD,LAKE SUCCESS,NY,11042,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,17,97,6917,54.058255024,5.1023781986,3.9044817117,3.9044788203
1003961756,VINCIGUERRA,VINCENT,,MD,M,I,THE MONTER CANCER CENTER,450 LAKEVILLE ROAD,LAKE SUCCESS,NY,11042,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,132,14.141060606,1.5791666667,1.2377272727,1.2377272727
1003961756,VINCIGUERRA,VINCENT,,MD,M,I,THE MONTER CANCER CENTER,450 LAKEVILLE ROAD,LAKE SUCCESS,NY,11042,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,17,66,66,24,24,18.82,18.82
1003961756,VINCIGUERRA,VINCENT,,MD,M,I,THE MONTER CANCER CENTER,450 LAKEVILLE ROAD,LAKE SUCCESS,NY,11042,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,15,34,34,16,16,12.54,12.54
1003961764,MAKSOUD,AZIZ,R,MD,M,I,9350 E 35TH ST N,STE 101,WICHITA,KS,672262019,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,28,86.31,18,13.102142857,12.776428571
1003961764,MAKSOUD,AZIZ,R,MD,M,I,9350 E 35TH ST N,STE 101,WICHITA,KS,672262019,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,52,519.51,77.089615385,58.2225,53.841153846
1003962242,WECHSLER,HELENE,,M.D.,F,I,10900 N SCOTTSDALE RD,SUITE 104,SCOTTSDALE,AZ,852545216,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,57,72.960175439,8.32,6.2933333333,6.2933333333
1003962242,WECHSLER,HELENE,,M.D.,F,I,10900 N SCOTTSDALE RD,SUITE 104,SCOTTSDALE,AZ,852545216,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1260,4.35,2.04,1.5993333333,1.5993333333
1003962622,HARTSHORN,CODY,J,MD,M,I,1308E PALUXY RD,SUITE 300,GRANBURY,TX,760485655,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,90,53.2,41.71,45.355714286
1003962762,LATIMER,WILLIAM,L,PA-C,M,I,2201 W SUDBURY DR,SUITE C,BLOOMINGTON,IN,474033811,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,67.833,24.308,16.176,10.916
1003962820,YOUNUS,SUMERA,,M.D.,F,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,39,148,72.411216216,8.32,6.257972973,6.257972973
1003962820,YOUNUS,SUMERA,,M.D.,F,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,18,33,14.582727273,1.42,1.0127272727,1.0127272727
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,15,62,123,6.0539837398,1.46,1.0891869919,1.098699187
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,29,58,2.02,1.25,0.98,0.9660344828
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,12,14,14,68.025,13.368571429,10.477142857,9.0885714286
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,6,,20,26,1.8830769231,0.5769230769,0.4496153846,0.4207692308
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,2.1,1.35,1.06,0.9683333333
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,232.96,84,65.86,67.84
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,59,8.18,1.87,1.4666101695,1.593220339
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,140,153,70.988300654,17.005686275,12.06875817,12.251045752
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,1769.6551724,913.16,710.97275862,819.88655172
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,17,92,112,44.529196429,4.8433035714,3.6308035714,3.4546428571
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,49,322,347,384.76455331,70.973371758,51.894697406,51.145533141
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1260,16.095650794,9.6749047619,7.5776666667,7.5776666667
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,18.425722222,11.203444444,8.783537037,8.783537037
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,36,8685,0.191138745,0.046044905,0.0335532527,0.0335532527
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,53,6088,1.8875689882,0.1340834428,0.1015555191,0.1015555191
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,14,102,5910,10.987969543,2.9610609137,2.2906311337,2.2906311337
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64.54,39.51,30.98,29.755
1003963141,HARRIS,KATARINA,,M.D.,F,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,27,137,137,77.802919708,33,25.492335766,25.492335766
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,42,108,386,50.720181347,8.32,6.201373057,6.201373057
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,35,35,14.942857143,3.38,2.4228571429,2.4228571429
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,11,16,16,24.4375,2.12,1.565625,1.565625
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,23,47,94,13.067234043,1.42,1.0785106383,1.0785106383
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,4.0966666667,4.0966666667,3.2125,3.215
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,19.3125,19.3125,14.543,14.556708333
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.27,0.24,0.1882,0.2116
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,690,34.86,34.86,27.330217391,27.330217391
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,22,891,18.771380471,18.5,14.020931538,14.020931538
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,24,48,8.1552083333,2.0191666667,1.5295833333,1.2729166667
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,78.512307692,18.455384615,12.605384615,9.6546153846
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,24,66,66,353.60651515,119.83727273,82.846060606,60.184090909
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,24,64,179,130.70022346,44.529273743,31.617374302,23.67849162
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,124,84.180967742,27.186129032,19.636209677,13.78016129
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,55,58.968545455,19.831818182,13.885090909,10.566727273
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,26,26,246.47115385,77.917692308,56.549615385,39.573076923
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,35,51,51,70.318627451,24.82745098,18.971960784,14.07627451
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,35,86,86,77.07872093,20.589069767,15.745348837,9.5597674419
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,37,97,543,10.236537753,3.1289502762,2.3648066298,1.5784714549
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,27,41,41,27.712195122,8.25,6.3470731707,4.6826829268
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,26,36,36,41.016111111,15.687222222,11.981111111,10.128888889
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,153.26,54.22,39.015454545,34.161818182
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,132.67571429,75.932142857,51.340714286,31.873571429
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,133,136,73.85875,22.12,16.464485294,13.045735294
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,13,98,98,4432.9253061,1048.9613265,816.46377551,835.51928571
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,44,44,34.436363636,7.6327272727,5.2959090909,3.6109090909
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,12,52,53,205.79471698,55.161132075,42.762264151,28.185283019
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,46,355,359,461.75069638,100.65949861,75.151448468,53.120835655
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,27,250,45.51,35.682222222,29.782222222
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1350,15.58,9.6348888889,7.4474740741,7.4474740741
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,5925,0.17,0.0466734177,0.0313400844,0.0313400844
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,44,4200,1.0651428571,0.1328642857,0.0838619048,0.0838619048
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0074615385,2.3578717949,2.3578717949
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,13,77,77,70.202987013,29.881818182,21.913116883,13.876103896
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,37,37,26.408108108,11.053513514,8.6645945946,6.4918918919
1003963208,FOX,PATRICK,J,MD,M,I,1201 S. MENA ST.,,MENA,AR,719534280,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,14,98,98,128.35714286,33,23.100816327,23.100816327
1003963539,DAVIS,ALAN,C,M.D.,M,I,3005 HILLRISE DR,,LAS CRUCES,NM,880114703,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,42,156.68,130.57,98.73952381,98.873095238
1003963539,DAVIS,ALAN,C,M.D.,M,I,3005 HILLRISE DR,,LAS CRUCES,NM,880114703,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,63.84,53.2,38.730714286,43.453571429
1003963992,KATANOV,SVETLANA,,OD,F,I,10423 OUEENS BLVD,,FOREST HILLS,NY,11375,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,60.3125,60.03875,47.070625,51.728125
1003963992,KATANOV,SVETLANA,,OD,F,I,10423 OUEENS BLVD,,FOREST HILLS,NY,11375,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,21.71875,16.06,12.595,13.7284375
1003964156,EVANS,JOHN,C,M.D.,M,I,112 S NORTHWEST HWY,,PARK RIDGE,IL,600684260,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,41,102,79.520588235,8.32,5.0934313725,5.0934313725
1003964156,EVANS,JOHN,C,M.D.,M,I,112 S NORTHWEST HWY,,PARK RIDGE,IL,600684260,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,23,27,14.644074074,1.42,0.7455555556,0.7455555556
1003964156,EVANS,JOHN,C,M.D.,M,I,112 S NORTHWEST HWY,,PARK RIDGE,IL,600684260,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,330,77.18,47.466363636,42.73
1003964420,TRIVEDI,MANOJ,M,M.D.,M,I,802 OLD SPRINGFIELD AVE,,SUMMIT,NJ,079011130,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,44,117,63.14974359,8.32,6.1876923077,6.1876923077
1003964420,TRIVEDI,MANOJ,M,M.D.,M,I,802 OLD SPRINGFIELD AVE,,SUMMIT,NJ,079011130,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,16,13.1025,1.42,0.97625,0.97625
1003964883,MILANES-SKOPP,ROSE,,DO,F,I,1530 HILLHURST AVE,,LOS ANGELES,CA,900275516,US,Physician/Preventive Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,32,65,71.523692308,8.32,5.1063076923,5.1063076923
1003964883,MILANES-SKOPP,ROSE,,DO,F,I,1530 HILLHURST AVE,,LOS ANGELES,CA,900275516,US,Physician/Preventive Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,22,11.837727273,1.42,0.8627272727,0.8627272727
1003965146,SCHERER,JUDITH,,NP FNP,F,I,209 W STATE ST,,ITHACA,NY,148505429,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,499.59166667,76.676666667,60.121666667,54.458333333
1003965377,AISENBERG,GABRIEL,M,M.D.,M,I,705 E HOUSTON ST,,CLEVELAND,TX,773274630,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,40.350769231,18.126538462,13.167692308,13.030384615
1003965377,AISENBERG,GABRIEL,M,M.D.,M,I,705 E HOUSTON ST,,CLEVELAND,TX,773274630,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,228.39884615,76.58,55.556923077,50.715
1003965385,BAILONY,FADI,,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,304.05052632,78.616842105,55.118947368,49.346315789
1003965385,BAILONY,FADI,,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,35.31,27.69,29.358333333
1003965906,AHMED,NABEEL,K,M.D.,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,41,51.367560976,8.32,6.522195122,6.522195122
1003965906,AHMED,NABEEL,K,M.D.,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,3720,7.7236048387,0.5900967742,0.4255215054,0.4255134409
1003965906,AHMED,NABEEL,K,M.D.,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,2850,0.2461964912,0.0131052632,0.0102807018,0.0102807018
1003965906,AHMED,NABEEL,K,M.D.,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,5280,6.1707083333,2.8253181818,2.207125,2.207125
1003965906,AHMED,NABEEL,K,M.D.,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,573.65,165.67818182,129.89,127.12181818
1003965906,AHMED,NABEEL,K,M.D.,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,21,24,24,17.923809524,17.923809524
1003965906,AHMED,NABEEL,K,M.D.,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,39,16,16,12.218461538,12.218461538
1003966037,DRUZHNIKOV,VALERIE,,PA-C,F,I,804 HARBOR BLVD,,WEST SACRAMENTO,CA,956912202,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,24,51,88,56.165454545,8.32,3.9347727273,3.9347727273
1003966037,DRUZHNIKOV,VALERIE,,PA-C,F,I,804 HARBOR BLVD,,WEST SACRAMENTO,CA,956912202,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,36,38,11.878421053,1.42,0.7068421053,0.7068421053
1003966037,DRUZHNIKOV,VALERIE,,PA-C,F,I,804 HARBOR BLVD,,WEST SACRAMENTO,CA,956912202,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,161.74545455,29.57,16.865454545,17.069090909
1003966128,HAMAWY,DORIS,A,M.D.,F,I,10230 W SAMPLE RD,,CORAL SPRINGS,FL,330653940,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,29,72,52.323611111,8.32,6.15875,6.15875
1003966128,HAMAWY,DORIS,A,M.D.,F,I,10230 W SAMPLE RD,,CORAL SPRINGS,FL,330653940,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.316923077,3.38,2.65,2.65
1003966128,HAMAWY,DORIS,A,M.D.,F,I,10230 W SAMPLE RD,,CORAL SPRINGS,FL,330653940,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,19,11.263157895,1.42,1.0557894737,1.0557894737
1003966128,HAMAWY,DORIS,A,M.D.,F,I,10230 W SAMPLE RD,,CORAL SPRINGS,FL,330653940,US,Physician/Family Practice,S,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,390,10.271794872,10.271794872,7.9104102564,10.788564103
1003966342,KURKER,RAYMOND,C,MD,M,I,25 OAKLAND RD,SUITE 1,SOUTH WINDSOR,CT,060742834,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,67,233,64.63888412,8.32,5.7767811159,5.7767811159
1003966342,KURKER,RAYMOND,C,MD,M,I,25 OAKLAND RD,SUITE 1,SOUTH WINDSOR,CT,060742834,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,36,51,10.641372549,1.42,1.0501960784,1.0501960784
1003966342,KURKER,RAYMOND,C,MD,M,I,25 OAKLAND RD,SUITE 1,SOUTH WINDSOR,CT,060742834,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,10.053571429,2,1.5683333333,1.585
1003966342,KURKER,RAYMOND,C,MD,M,I,25 OAKLAND RD,SUITE 1,SOUTH WINDSOR,CT,060742834,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,893,2.2396304591,0.1377715566,0.1079843225,0.1079843225
1003966342,KURKER,RAYMOND,C,MD,M,I,25 OAKLAND RD,SUITE 1,SOUTH WINDSOR,CT,060742834,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,33,33,25.87,25.87
1003966359,SAH,ALEXANDER,P,MD,M,I,38690 STIVERS ST STE A,,FREMONT,CA,945365336,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,1,26,26,26,22.49,22.49,17.63,18.479230769
1003966359,SAH,ALEXANDER,P,MD,M,I,38690 STIVERS ST STE A,,FREMONT,CA,945365336,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,149,149,149,107.11,48.014563758,37.643087248,36.638724832
1003966482,TOMA,CORNELIUS,,MD,M,I,8 QUAKERBRIDGE PLZ,,MERCERVILLE,NJ,086191255,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,41,84,57.891547619,8.32,6.0551190476,6.0551190476
1003966482,TOMA,CORNELIUS,,MD,M,I,8 QUAKERBRIDGE PLZ,,MERCERVILLE,NJ,086191255,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,11.138823529,3.38,2.4941176471,2.4941176471
1003966482,TOMA,CORNELIUS,,MD,M,I,8 QUAKERBRIDGE PLZ,,MERCERVILLE,NJ,086191255,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,24,11.014166667,1.42,1.0708333333,1.0708333333
1003966839,MALARA,TANIA,J,O.D.,F,I,345 N YORK RD,,HATBORO,PA,190402045,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,60.216923077,60.216923077,43.596153846,48.861538462
1003966839,MALARA,TANIA,J,O.D.,F,I,345 N YORK RD,,HATBORO,PA,190402045,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,10,10,7.84,12.960833333
1003966961,SMITH,DAVID,P,M.D.,M,I,133 E 1ST NORTH ST,SUITE 2 MAGNOLIA SQUARE,SUMMERVILLE,SC,294836873,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,34,82,59.976463415,8.32,6.043902439,6.043902439
1003966961,SMITH,DAVID,P,M.D.,M,I,133 E 1ST NORTH ST,SUITE 2 MAGNOLIA SQUARE,SUMMERVILLE,SC,294836873,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,25,12.2988,1.42,0.9816,0.9816
1003967084,KELLY,THOMAS,J,MD,M,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.92,58.11,45.559090909,41.643636364
1003967621,LIU,RICHARD,C,D.O.,M,I,1501 TROUSDALE DR,,BURLINGAME,CA,940104506,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,507.5,79,61.94,54.73
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,68,138.13926471,20.232647059,15.454117647,13.688676471
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,18,22,199.13545455,53.294545455,38.247727273,34.209090909
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1001.46,782.7275,835.07833333
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,20,21,34.012380952,5.0047619048,3.5780952381,3.3247619048
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,21,137,142,374.79485915,87.349507042,66.656971831,53.835633803
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,42,13109,0.2710488977,0.0457754215,0.0315851705,0.0315851705
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,54,56,189.28571429,42.606428571,32.8175,29.113571429
1003967696,GRIMM,MARK,H,MD,M,I,3231 S NATIONAL AVE,,SPRINGFIELD,MO,658077304,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,16,47,47,58.276595745,33,22.567446809,22.567446809
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,62,216,428,49.306168224,8.32,6.1278504673,6.1278504673
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,15.294117647,3.38,2.65,2.65
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,29,63,91,9.481978022,1.42,1.0923076923,1.0923076923
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,18,38,69,7.261884058,2.1347826087,1.6366666667,1.1479710145
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,357.89733333,114.70533333,83.542,61.958666667
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,33,153.16242424,43.102424242,32.315454545,24.441515152
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,187.37090909,77.441818182,57.905454545,42.38
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,59.15,25.415,19.921111111,14.554444444
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,51.115625,20.134375,15.783125,9.843125
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,26,110,10.920454545,2.9360909091,2.2880909091,1.6524545455
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,15.03,7.5136363636,5.8906060606,4.163
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4815,0.8601246106,0.4800934579,0.376384216,0.2900685358
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,261.08307692,59.269230769,43.254615385,32.262307692
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,90,95,69.690526316,22.078315789,16.693473684,13.231789474
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,4430.1,1001.46,784.17807692,836.89538462
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,51.771428571,15.650714286,8.5328571429,7.5428571429
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,26,178,178,36.718595506,7.9384269663,6.0398314607,3.6604494382
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,174.958125,40.7778125,26.961875,20.4034375
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,45.3725,13.746666667,10.776666667,9.2016666667
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,32,213,224,399.01147321,100.465,76.485357143,53.748571429
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,39,250,44.776153846,33.505128205,28.002564103
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,160.63636364,57,41.631818182,41.631818182
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1590,16.284805031,9.627490566,7.5411383648,7.5411383648
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,28,118,20429,0.294412355,0.0461887513,0.034414313,0.0344128445
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,3060,1.049503268,0.1348137255,0.1012614379,0.1012614379
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,16,65,3632,12.293012115,2.9888298458,2.2694410793,2.2694410793
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,30,32,140.80875,30.81375,23.2575,15.354375
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,51.63,44.513571429,34.901071429,29.770714286
1003967951,HANEY,GLENNETTE,,APRN,F,I,100 MEDICAL DRIVE,,ALTON,MO,656060468,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,34,141,141,89.921985816,33,24.937092199,24.937092199
1003967977,KHAN,IQBAL,A,M.D.,M,I,1513 UNION AVE,SUITE 2800,MOBERLY,MO,652709402,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,271.71071429,116.61428571,86.043571429,62.998571429
1003967977,KHAN,IQBAL,A,M.D.,M,I,1513 UNION AVE,SUITE 2800,MOBERLY,MO,652709402,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,106.0165625,43.8671875,34.391875,25.9178125
1003967977,KHAN,IQBAL,A,M.D.,M,I,1513 UNION AVE,SUITE 2800,MOBERLY,MO,652709402,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,55.057272727,24.360909091,17.679090909,12.782727273
1003967977,KHAN,IQBAL,A,M.D.,M,I,1513 UNION AVE,SUITE 2800,MOBERLY,MO,652709402,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,16,16,44.98375,17.576875,12.51875,7.98
1003967977,KHAN,IQBAL,A,M.D.,M,I,1513 UNION AVE,SUITE 2800,MOBERLY,MO,652709402,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,112,6.9610714286,2.8525892857,2.2364285714,1.6291964286
1003967977,KHAN,IQBAL,A,M.D.,M,I,1513 UNION AVE,SUITE 2800,MOBERLY,MO,652709402,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,181.300625,59.23375,46.436875,28.615625
1003968231,SHERMAN,LORA,C,MD,F,I,4455 CORDATA PKWY,,BELLINGHAM,WA,982268037,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,329.1815,65.7,44.7115,47.852
1003968231,SHERMAN,LORA,C,MD,F,I,4455 CORDATA PKWY,,BELLINGHAM,WA,982268037,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,201.104,37.64,25.0835,25.0835
1003968702,LIPPMANN,FREDERICK,J,MD,M,I,5785 CENTENNIAL CENTER BLVD STE 230,,LAS VEGAS,NV,89149,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,61,60.904754098,8.32,4.4908196721,4.4908196721
1003968702,LIPPMANN,FREDERICK,J,MD,M,I,5785 CENTENNIAL CENTER BLVD STE 230,,LAS VEGAS,NV,89149,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,26,10.341923077,1.42,0.8553846154,0.8553846154
1003969536,PASPULA,ARUNA,,MD,F,I,13900 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,32,99,55.296161616,8.32,5.9392929293,5.9392929293
1003969684,ALDRED,JASON,L,M.D.,M,I,610 S SHERMAN ST,SUITE 201,SPOKANE,WA,992021342,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,79,299,72.96,19.689264214,15.213010033,15.213010033
1003969684,ALDRED,JASON,L,M.D.,M,I,610 S SHERMAN ST,SUITE 201,SPOKANE,WA,992021342,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,12,89,2315,136.29514471,33.896846652,26.531766739,26.531766739
1003969684,ALDRED,JASON,L,M.D.,M,I,610 S SHERMAN ST,SUITE 201,SPOKANE,WA,992021342,US,Physician/Neurology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,710.272,196.30422222,147.74333333,147.74333333
1003969684,ALDRED,JASON,L,M.D.,M,I,610 S SHERMAN ST,SUITE 201,SPOKANE,WA,992021342,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,12,109,2933,320.53590522,214.10416638,167.83730992,167.83730992
1003969874,KNOWLTON,STEPHEN,D,M.D.,M,I,601 W HARRISON ST,,REIDSVILLE,NC,273204621,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,29,46,54.757826087,8.32,5.8154347826,5.8154347826
1003969874,KNOWLTON,STEPHEN,D,M.D.,M,I,601 W HARRISON ST,,REIDSVILLE,NC,273204621,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,16,12.92875,1.42,0.90875,0.90875
1003969874,KNOWLTON,STEPHEN,D,M.D.,M,I,601 W HARRISON ST,,REIDSVILLE,NC,273204621,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,47.605,37.323333333,35.456666667
1003969874,KNOWLTON,STEPHEN,D,M.D.,M,I,601 W HARRISON ST,,REIDSVILLE,NC,273204621,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,105.01636364,82.335454545,58.411818182
1003969874,KNOWLTON,STEPHEN,D,M.D.,M,I,601 W HARRISON ST,,REIDSVILLE,NC,273204621,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,6223,0.2859955006,0.0464599068,0.0299887514,0.0299887514
1003969874,KNOWLTON,STEPHEN,D,M.D.,M,I,601 W HARRISON ST,,REIDSVILLE,NC,273204621,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33.555555556,33,22.609444444,22.609444444
1003970336,MCPHERSON,DENISE,M,ARNP,F,I,12600 CREEKSIDE LN,SUITE 7,FORT MYERS,FL,339193353,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,26,134,33.694029851,8.32,6.2309701493,6.2309701493
1003970336,MCPHERSON,DENISE,M,ARNP,F,I,12600 CREEKSIDE LN,SUITE 7,FORT MYERS,FL,339193353,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,18,40,4.65,1.42,1.114,1.114
1003970336,MCPHERSON,DENISE,M,ARNP,F,I,12600 CREEKSIDE LN,SUITE 7,FORT MYERS,FL,339193353,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,14,50.73,4.3071428571,3.1571428571,3.3828571429
1003970336,MCPHERSON,DENISE,M,ARNP,F,I,12600 CREEKSIDE LN,SUITE 7,FORT MYERS,FL,339193353,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1290,0.704744186,0.1385581395,0.1086356589,0.1086356589
1003970336,MCPHERSON,DENISE,M,ARNP,F,I,12600 CREEKSIDE LN,SUITE 7,FORT MYERS,FL,339193353,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,47.805434783,21.4,15.720869565,14.267608696
1003970781,BROWNE,CHARLENE,,MD,F,I,31/32 A TROLLEY SQUARE,,WILMINGTON,DE,19806,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,43,73.271395349,8.32,6.2188372093,6.2188372093
1003970963,STURM,ELIZABETH,A,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,221.78,81.266,63.712,54.73
1003970963,STURM,ELIZABETH,A,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,137.176,40.554,31.796,29.698666667
1003971003,AMOLIK,SHARMILA,P,M.D.,F,I,2575 E BIDWELL ST STE 100,,FOLSOM,CA,956306445,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,874.72,45.344,35.552,30.428
1003971276,RUSSO-ALESI,FRANK,G,MD,M,I,330 TURNER MCCALL BLVD SW,,ROME,GA,301655630,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,108.2852381,74.55,58.45,63.1
1003971276,RUSSO-ALESI,FRANK,G,MD,M,I,330 TURNER MCCALL BLVD SW,,ROME,GA,301655630,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,338.62857143,266.98,209.31,218.20571429
1003971441,VARGAS,JOSE,R,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,450,4.6813333333,2.6373333333,1.8461555556,1.8461555556
1003971441,VARGAS,JOSE,R,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,56,127,571,69.373134851,8.32,5.8454465849,5.8454465849
1003971441,VARGAS,JOSE,R,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,16.786315789,3.38,2.5105263158,2.5105263158
1003971441,VARGAS,JOSE,R,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,21.919285714,2.12,1.67,1.67
1003971441,VARGAS,JOSE,R,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,30,55,117,14.592393162,1.42,1.0372649573,1.0372649573
1003971441,VARGAS,JOSE,R,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,272.56545455,272.56545455
1003971839,HENNIGAN,MICHAEL,A,M.D.,M,I,1717 N E ST STE 533,,PENSACOLA,FL,325016365,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,18,64,55.55046875,8.32,6.52296875,6.52296875
1003971839,HENNIGAN,MICHAEL,A,M.D.,M,I,1717 N E ST STE 533,,PENSACOLA,FL,325016365,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,28,125,134,512.17014925,251.11,196.87,196.87
1003971839,HENNIGAN,MICHAEL,A,M.D.,M,I,1717 N E ST STE 533,,PENSACOLA,FL,325016365,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,344.01875,262.33375,205.66833333,207.1
1003973165,LESSIN,BRUCE,E,M.D.,M,I,1313 DOLLEY MADISON BLVD,SUITE 207,MCLEAN,VA,221013953,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,48,150,65.172333333,8.32,6.0869333333,6.0869333333
1003973165,LESSIN,BRUCE,E,M.D.,M,I,1313 DOLLEY MADISON BLVD,SUITE 207,MCLEAN,VA,221013953,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.222857143,3.38,2.65,2.65
1003973165,LESSIN,BRUCE,E,M.D.,M,I,1313 DOLLEY MADISON BLVD,SUITE 207,MCLEAN,VA,221013953,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,27,12.941851852,1.42,1.1148148148,1.1148148148
1003973165,LESSIN,BRUCE,E,M.D.,M,I,1313 DOLLEY MADISON BLVD,SUITE 207,MCLEAN,VA,221013953,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,388.38090909,78.953636364,61.898181818,57.482727273
1003973231,BOURBON,REBECCA,L,P.A.-C,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,46,84.045,8.32,5.3876086957,5.3876086957
1003973231,BOURBON,REBECCA,L,P.A.-C,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,16.536315789,1.42,0.8205263158,0.8205263158
1003973231,BOURBON,REBECCA,L,P.A.-C,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,18.5,18.5,14.5,13.62
1003973231,BOURBON,REBECCA,L,P.A.-C,F,I,4005 HIGH RESORT BLVD SE,,RIO RANCHO,NM,871245906,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.09,86.09,67.49,55.793333333
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,26,509.06307692,288.28,226.01423077,233.52346154
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,393.59,372.41,291.97,247.05307692
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,14,14,531.46428571,480.92,377.05,418.93
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,17,30,803.40866667,761.584,597.08133333,562.786
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,20,134.868,124.57,97.611,96.9515
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L5910,"Addition, endoskeletal system, below knee, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,395.96923077,350.17,274.53846154,302.69307692
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L7520,"Repair prosthetic device, labor component, per 15 minutes",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,39,164,32.5,30.87,23.57695122,23.57695122
1003973272,LONG,RANDI,J,M.D.,F,I,3601 W 13 MILE ROAD,,ROYAL OAK,MI,48073,US,Physician/Physical Medicine and Rehabilitation,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,27,129,21.389302326,20.097674419,15.679922481,16.279844961
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,17,158,54.634810127,19.658987342,14.504303797,14.504303797
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,400,7.09275,2.634,2.065025,2.065025
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,71,187,553,75.213905967,8.32,5.5727305606,5.5727305606
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,40,69,87,15.668275862,1.42,0.8991954023,0.8991954023
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,91.567272727,71.56,49.555454545,49.554545455
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,540,2.24,2.24,1.6219444444,1.6219444444
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,16,31,31,517.23903226,126.79806452,94.63483871,67.519354839
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,24,167.84166667,47.013333333,35.665,26.0925
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,325.26315789,78.744210526,61.734210526,45.555789474
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,28,28,98.029285714,25.405714286,18.808214286,13.881785714
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,39,39,97.778974359,22.682820513,17.525641026,9.4687179487
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,49,237,12.909831224,3.3654008439,2.6240506329,1.6426582278
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,17,24,24,60.607916667,15.9325,12.017083333,10.02375
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,27,161,183,98.416502732,24.562513661,18.603169399,14.196612022
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,11,34,38,232.35,59.473684211,43.616842105,36.15
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,31,54.98,7.9232258065,5.86,3.4632258065
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,38,373.44842105,57.067105263,42.008157895,27.3
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,577.092,339.936,256.94333333,256.94333333
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,61.197272727,12.600909091,7.4054545455,6.5127272727
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,48,343,371,524.43735849,102.56272237,76.126819407,53.596253369
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,87,95,241.15789474,44.826,34.454210526,29.943684211
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,4153,0.2106982904,0.046604864,0.0344401637,0.0344401637
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,689,1.2324383164,0.1414223512,0.1108998549,0.1108998549
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1110,12.86,3.0268108108,2.2572072072,2.2572072072
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.75,0.2190909091,0.1718181818,0.1718181818
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,43,43,158.52,28.047906977,20.431860465,13.161395349
1003973397,LOPEZ,G. MICHAEL,,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,108.9,33,25.87,25.87
1003973637,CHERIAN,JACOB,,M.D.,M,I,5450 KNOLL NORTH DR,,COLUMBIA,MD,210452300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,32,78,61.972179487,8.32,6.0194871795,6.0194871795
1003973637,CHERIAN,JACOB,,M.D.,M,I,5450 KNOLL NORTH DR,,COLUMBIA,MD,210452300,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,12.887272727,3.38,2.65,2.65
1003973637,CHERIAN,JACOB,,M.D.,M,I,5450 KNOLL NORTH DR,,COLUMBIA,MD,210452300,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,11.3275,1.42,1.0475,1.0475
1003973637,CHERIAN,JACOB,,M.D.,M,I,5450 KNOLL NORTH DR,,COLUMBIA,MD,210452300,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,17.46,12.445454545,12.309090909
1003973637,CHERIAN,JACOB,,M.D.,M,I,5450 KNOLL NORTH DR,,COLUMBIA,MD,210452300,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,240.85714286,33.782857143,26.487857143,26.430714286
1003973637,CHERIAN,JACOB,,M.D.,M,I,5450 KNOLL NORTH DR,,COLUMBIA,MD,210452300,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,9.945,7.79,8.0975
1003973637,CHERIAN,JACOB,,M.D.,M,I,5450 KNOLL NORTH DR,,COLUMBIA,MD,210452300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,409,82,58.445454545,49.754545455
1003973645,NOVAK,RUSSELL,W,MD,M,I,1950 ARLINGTON ST,SUITE 310,SARASOTA,FL,342393506,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,530,0.7136226415,0.27,0.1637169811,0.1637169811
1003973645,NOVAK,RUSSELL,W,MD,M,I,1950 ARLINGTON ST,SUITE 310,SARASOTA,FL,342393506,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,460,0.9660869565,0.27,0.2116521739,0.2116521739
1003973645,NOVAK,RUSSELL,W,MD,M,I,1950 ARLINGTON ST,SUITE 310,SARASOTA,FL,342393506,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,33,72,57.765555556,42.52,33.336111111,30.752638889
1003973645,NOVAK,RUSSELL,W,MD,M,I,1950 ARLINGTON ST,SUITE 310,SARASOTA,FL,342393506,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,25,389.0664,318.83,249.9616,265.7016
1003974270,TURPEN,VALERIE,A,NP,F,I,1750 OAK HILL RD,,EVANSVILLE,IN,477114364,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,61,71.126229508,8.32,6.0950819672,6.0950819672
1003974270,TURPEN,VALERIE,A,NP,F,I,1750 OAK HILL RD,,EVANSVILLE,IN,477114364,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,69.81,54.73,54.73
1003975145,BALL,JOHN,H,PA-C,M,I,395 W BULLDOG BLVD STE 401,,PROVO,UT,846043338,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,47,166,529,74.943251418,8.32,5.4626654064,5.4626654064
1003975145,BALL,JOHN,H,PA-C,M,I,395 W BULLDOG BLVD STE 401,,PROVO,UT,846043338,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,26,14.603846154,1.42,1.1134615385,1.1134615385
1003975145,BALL,JOHN,H,PA-C,M,I,395 W BULLDOG BLVD STE 401,,PROVO,UT,846043338,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,36,36,275.04805556,250.95833333,196.75111111,196.86944444
1003975244,JOO,ADAM,C,M.D.,M,I,1300 MICCOSUKEE RD,HOSPITALIST GROUP,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,55.45625,17.29,12.703125,12.684375
1003975244,JOO,ADAM,C,M.D.,M,I,1300 MICCOSUKEE RD,HOSPITALIST GROUP,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,290,80.827272727,55.909090909,55.909090909
1003975244,JOO,ADAM,C,M.D.,M,I,1300 MICCOSUKEE RD,HOSPITALIST GROUP,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,30,41.746,4.9133333333,3.7406666667,3.7536666667
1003975244,JOO,ADAM,C,M.D.,M,I,1300 MICCOSUKEE RD,HOSPITALIST GROUP,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,322.31034483,70.872068966,53.664482759,53.087241379
1003975244,JOO,ADAM,C,M.D.,M,I,1300 MICCOSUKEE RD,HOSPITALIST GROUP,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,37.2625,29.211666667,29.51
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,185.29411765,48.472941176,37.283529412,36.584705882
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,21,57.142857143,19.972857143,15.655714286,13.816666667
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,113.08,46.09125,36.134375,35.52875
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,375.71428571,86.584285714,67.882857143,54.725714286
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,2056,4.7501799611,0.5800145914,0.3815856031,0.3815856031
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,1650,0.1421575758,0.0136484848,0.0106848485,0.0106848485
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2640,5.6866022727,1.2974545455,1.0171931818,1.0171931818
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,24,24,18.192666667,18.192666667
1003975285,DUNMIRE,ROBERT,B,MD,M,I,2809 MCLAMB PLACE,,GOLDSBORO,NC,275341647,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,25,16,16,12.5408,12.5408
1003975400,WILT,MARK,F,P. A.,M,I,12502 WILLOWBROOK RD,SUITE 470,CUMBERLAND,MD,215026491,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,15,45,45,3735.7777778,2613.8628889,2048.4002222,2048.4004444
1003975509,JIMENEZ,JESUS,G,MD,M,I,2800 S SEACREST BLVD,SUITE 200,BOYNTON BEACH,FL,334357960,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,5.6923076923,4.0253846154,3.0231923077,3.0268076923
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,37,102,46.072647059,8.32,5.6901960784,5.6901960784
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,30,14.537666667,1.42,1.041,1.041
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,361,78.764542936,5.5,3.9536565097,3.8170637119
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,35,64.605428571,17.25,12.747428571,12.760571429
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,132.93,50.313333333,35.594166667,34.37
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,60,438.91116667,79.88,56.928666667,51.135333333
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,250,35.63,22.693125,24.34625
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,26.52,7.75125,5.623125,6.315
1003975517,DOURRA,HADI,A,M.D,M,I,27144 JOY RD,,REDFORD,MI,482392368,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,68.357142857,33,18.478571429,18.478571429
1003975558,MARTIN,LYNN,K,MD,F,I,2550 WAUKEGAN RD,SUITE 100,GLENVIEW,IL,600251777,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,26,56,150,81.840333333,8.32,6.0867333333,6.0867333333
1003975558,MARTIN,LYNN,K,MD,F,I,2550 WAUKEGAN RD,SUITE 100,GLENVIEW,IL,600251777,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,28,17.573571429,1.42,1.0364285714,1.0364285714
1003975558,MARTIN,LYNN,K,MD,F,I,2550 WAUKEGAN RD,SUITE 100,GLENVIEW,IL,600251777,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,448.71526316,76.96,57.152631579,52.276842105
1003975558,MARTIN,LYNN,K,MD,F,I,2550 WAUKEGAN RD,SUITE 100,GLENVIEW,IL,600251777,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,40.788181818,31.974545455,25.039090909
1003975558,MARTIN,LYNN,K,MD,F,I,2550 WAUKEGAN RD,SUITE 100,GLENVIEW,IL,600251777,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,26.52,9.6218181818,7.5472727273,6.7190909091
1003975707,ADERHOLD,WILLIAM,J,PA,M,I,105 GAY ST,,ERWIN,TN,37650,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,26,64,74.69390625,8.32,6.31765625,6.31765625
1003975707,ADERHOLD,WILLIAM,J,PA,M,I,105 GAY ST,,ERWIN,TN,37650,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,172.50909091,31.802727273,22.765909091,22.344545455
1003975707,ADERHOLD,WILLIAM,J,PA,M,I,105 GAY ST,,ERWIN,TN,37650,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,220,70.23,50.471666667,50.315833333
1003975707,ADERHOLD,WILLIAM,J,PA,M,I,105 GAY ST,,ERWIN,TN,37650,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,220,37.44,27.776666667,27.938333333
1003975871,KERR,WILLIAM,D,MD,M,I,1000 CENTRAL ST,SUITE 640,EVANSTON,IL,602011777,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,30,71,478,78.432468619,8.32,5.8824895397,5.8824895397
1003975871,KERR,WILLIAM,D,MD,M,I,1000 CENTRAL ST,SUITE 640,EVANSTON,IL,602011777,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,27,92,16.196847826,1.42,1.0047826087,1.0047826087
1003975871,KERR,WILLIAM,D,MD,M,I,1000 CENTRAL ST,SUITE 640,EVANSTON,IL,602011777,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,277.28090909,250.61363636,196.48090909,196.67454545
1003975897,REZAK,MICHAEL,,"MD, PHD",M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,31,116,72.96,19.699310345,15.443965517,15.443965517
1003975897,REZAK,MICHAEL,,"MD, PHD",M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,45,1232,99.746590909,25.110909091,19.661331169,19.661331169
1003975897,REZAK,MICHAEL,,"MD, PHD",M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,81.024545455,45.797272727,31.681818182,32.085454545
1003975897,REZAK,MICHAEL,,"MD, PHD",M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,656.75228571,188.45228571,143.57114286,143.57085714
1003975897,REZAK,MICHAEL,,"MD, PHD",M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,46,1232,312.3937013,213.95,167.64581169,167.64581169
1003976077,LEE,KEVIN,S,MD,M,I,1649 DEER PARK AVENUE,,DEER PARK,NY,11729,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,41,71.950731707,8.32,5.2490243902,5.2490243902
1003976077,LEE,KEVIN,S,MD,M,I,1649 DEER PARK AVENUE,,DEER PARK,NY,11729,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,18.338181818,1.42,0.9163636364,0.9163636364
1003976341,MCDONALD,ANNMARIE,,MD,F,I,13203 120TH AVE,,SOUTH OZONE PARK,NY,114202916,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,51,83,82.597349398,8.32,5.3440963855,5.3440963855
1003976341,MCDONALD,ANNMARIE,,MD,F,I,13203 120TH AVE,,SOUTH OZONE PARK,NY,114202916,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,14,113.03214286,1.42,0.88,0.88
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,7.5,0.51,0.4,0.4
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,35,88,245,53.376408163,8.2906122449,5.6100408163,5.634244898
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.901428571,3.38,2.4607142857,2.4607142857
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,40,74,14.016486486,1.42,0.9941891892,0.9941891892
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,330,6.2760909091,5.54,4.2117575758,4.2117575758
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,720,2,1.95,1.5288333333,1.5288333333
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,14,95.217857143,38.55,30.22,30.432142857
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,24,24,265.90333333,86.33,64.86,65.008333333
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,133.92923077,33.48,23.332307692,23.002307692
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,70,80.590142857,18.713142857,13.409142857,13.338285714
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,208.92111111,54.552777778,40.401666667,40.464444444
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,22,22,61.785454545,17.88,14.01,14.053181818
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,22,22,58.319545455,11.560909091,8.655,8.7068181818
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,39,156,12.024294872,2.0096153846,1.5554487179,1.5688461538
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,182.23333333,49.849333333,39.079333333,38.404666667
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,36.769230769,5.6792307692,3.9146153846,3.4630769231
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,50,50,169.1194,33.6648,26.394,25.9106
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,25,519.51,70.23,47.6796,47.4624
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,39,39,60.808717949,20.530769231,15.609230769,14.359230769
1003976564,CRETA,MICHAEL,,DO,M,I,2604 DR MARTIN LUTHER KING JR BLVD,,NEW BERN,NC,285624238,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,80.823529412,33,25.87,25.87
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,19,58,754,58.400066313,19.640517241,15.071777188,15.071777188
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,18,58,1804,8.2463359202,2.6316629712,2.0171064302,2.0171064302
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,61,77,170,1125,73.240204444,8.32,6.2241511111,6.2241511111
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,23,41,110,13.380636364,1.42,1.0019090909,1.0019090909
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,735.70421053,341.05421053,267.38473684,267.38473684
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,46,5940,14.26093266,10.332606061,8.1007794613,8.1007794613
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,35,214,217,410.89870968,251.09741935,196.27152074,196.28133641
1003976895,DILLINGER,JAMIE,L,C.R.N.P.,F,I,21 INDUSTRIAL BLVD,SUITE 101,PAOLI,PA,193011610,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,32,32,32,377.4659375,237.82,181.9665625,200.680625
1003977414,GOENKA,ANAMIKA,,MD,F,I,700 LAWN AVE,,SELLERSVILLE,PA,189601548,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,42.067777778,17.041388889,12.973888889,13.110277778
1003977414,GOENKA,ANAMIKA,,MD,F,I,700 LAWN AVE,,SELLERSVILLE,PA,189601548,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,242.10526316,74.360263158,55.253157895,52.008421053
1003977414,GOENKA,ANAMIKA,,MD,F,I,700 LAWN AVE,,SELLERSVILLE,PA,189601548,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,59.12,20.4,15.994,14.844
1003977422,SILIS,GEORGE,P,MD,M,I,5115 FRANCONIA ROAD,SUTIE G,ALEXANDRIA,VA,22310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,24,64,75.57828125,8.32,5.299375,5.299375
1003977422,SILIS,GEORGE,P,MD,M,I,5115 FRANCONIA ROAD,SUTIE G,ALEXANDRIA,VA,22310,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,22,14.359090909,9.68,7.59,8.57
1003977422,SILIS,GEORGE,P,MD,M,I,5115 FRANCONIA ROAD,SUTIE G,ALEXANDRIA,VA,22310,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.12,3.6492668622,3.8016715543
1003977422,SILIS,GEORGE,P,MD,M,I,5115 FRANCONIA ROAD,SUTIE G,ALEXANDRIA,VA,22310,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,6186,2.773457808,0.3,0.2204170708,0.2282460394
1003977422,SILIS,GEORGE,P,MD,M,I,5115 FRANCONIA ROAD,SUTIE G,ALEXANDRIA,VA,22310,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,17.509090909,13.725454545,14.289090909
1003978354,FLINT,ELIZABETH,M,CRNP,F,I,1704 S FOREST AVE,,LUVERNE,AL,360497306,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,32,56.403125,8.32,6.5225,6.5225
1003978354,FLINT,ELIZABETH,M,CRNP,F,I,1704 S FOREST AVE,,LUVERNE,AL,360497306,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23,7.2181818182,4.8872727273,2.7654545455
1003978354,FLINT,ELIZABETH,M,CRNP,F,I,1704 S FOREST AVE,,LUVERNE,AL,360497306,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,83.776666667,65.68,54.73
1003978354,FLINT,ELIZABETH,M,CRNP,F,I,1704 S FOREST AVE,,LUVERNE,AL,360497306,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1003979048,UFONDU,EBELE,E,MD,F,I,941 WHITEHORSE AVENUE,SUITE 14,HAMILTON,NJ,08610,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,29,56.733793103,8.32,5.6217241379,5.6217241379
1003979048,UFONDU,EBELE,E,MD,F,I,941 WHITEHORSE AVENUE,SUITE 14,HAMILTON,NJ,08610,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,10,4.3072727273,3.3809090909,3.66
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,14,35,74,8.19,1.5035135135,1.1156756757,1.0883783784
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,15,18,18,82.53,8.72,6.84,8.9555555556
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,312.20166667,59.146666667,46.369166667,44.994166667
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,20,20,92.3365,19.2935,15.1295,14.102
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,21,21,82.9,12.003809524,9.4185714286,9.1285714286
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,24,117,10.925384615,2.1264102564,1.668034188,1.6464957265
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,27,159,180,86.307944444,17.581333333,13.173,12.956333333
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,42,48,232.35,45.634166667,34.3075,35.743958333
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,19,632.43,81.663157895,64.022105263,64.738421053
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,17,97,104,50.73,3.9630769231,2.9857692308,3.4925961538
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,18,257.82,34.678333333,27.188888889,26.457222222
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,62,413,440,497.90068182,79.851090909,59.971363636,53.093977273
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,76,87,250,41.115517241,31.481034483,29.044942529
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,42,2490,15.458289157,9.5975180723,7.4300040161,7.4300040161
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,13.94,11.075333333,8.5902555556,8.5902555556
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,19,65,13896,0.2567523028,0.0455188543,0.0288442717,0.0288421128
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,14,70,7050,1.1968425532,0.1360425532,0.099306383,0.099306383
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,67,3754,11.687184337,3.0265290357,2.2949893447,2.2949893447
1003979121,AZAD,ABUL,K,MD,M,I,2125 RIVER ROAD,SUITE 203,SCHENECTADY,NY,12309,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,30,155,155,100.70322581,33,24.543354839,24.543354839
1003979188,BLISS,LINDLEY,T,MD,M,I,350 W THOMAS RD,,PHOENIX,AZ,850134409,US,Hospitalist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,91.38,29.394545455,23.038181818,20.564545455
1003979261,SMITH,MICHAEL,L,MD,M,I,550 1ST AVE,NYU MEDICAL CENTER DEPT OF NEUROSURGERY,NEW YORK,NY,100166402,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,5108.3333333,4378.96,3433.11,3433.11
1003980178,GUSTAFSON,GAY,L,DPM,F,I,7700 MENAUL BLVD NE,STE D,ALBUQUERQUE,NM,871104616,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,71.56,71.56,56.105,56.105
1003980178,GUSTAFSON,GAY,L,DPM,F,I,7700 MENAUL BLVD NE,STE D,ALBUQUERQUE,NM,871104616,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,108,43.56,43.56,34.151666667,34.15
1003980178,GUSTAFSON,GAY,L,DPM,F,I,7700 MENAUL BLVD NE,STE D,ALBUQUERQUE,NM,871104616,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,17,193,10.93,10.93,8.5691709845,8.5691709845
1003980178,GUSTAFSON,GAY,L,DPM,F,I,7700 MENAUL BLVD NE,STE D,ALBUQUERQUE,NM,871104616,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,457.35,457.35,355.29,350.79133333
1003980186,AJLOUNI,SAYYAH,,MD,M,I,527 EAST CENTRAL AVENUE,,MIAMISBURG,OH,45342,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,48,61.010625,8.32,6.2504166667,6.2504166667
1003980186,AJLOUNI,SAYYAH,,MD,M,I,527 EAST CENTRAL AVENUE,,MIAMISBURG,OH,45342,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,19,16.094736842,1.42,1.0568421053,1.0568421053
1003980186,AJLOUNI,SAYYAH,,MD,M,I,527 EAST CENTRAL AVENUE,,MIAMISBURG,OH,45342,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,36,284.20388889,85.659444444,61.888055556,51.221944444
1003980277,BEAL,CHRISTOPHER,T,D.O.,M,I,110 W HIGHAM ST,,SAINT JOHNS,MI,488791559,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,65,229,47.820131004,8.32,6.2927074236,6.2927074236
1003980277,BEAL,CHRISTOPHER,T,D.O.,M,I,110 W HIGHAM ST,,SAINT JOHNS,MI,488791559,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,27,53,12.584528302,1.42,1.0716981132,1.0716981132
1003980277,BEAL,CHRISTOPHER,T,D.O.,M,I,110 W HIGHAM ST,,SAINT JOHNS,MI,488791559,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,15,5.4366666667,4.0677777778,3.8944444444
1003980277,BEAL,CHRISTOPHER,T,D.O.,M,I,110 W HIGHAM ST,,SAINT JOHNS,MI,488791559,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,40,28.313181818,21.146363636,21.146363636
1003980277,BEAL,CHRISTOPHER,T,D.O.,M,I,110 W HIGHAM ST,,SAINT JOHNS,MI,488791559,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,92.291666667,18.534166667,13.770833333,13.328333333
1003980277,BEAL,CHRISTOPHER,T,D.O.,M,I,110 W HIGHAM ST,,SAINT JOHNS,MI,488791559,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,85,25.46,19.96,19.96
1003980277,BEAL,CHRISTOPHER,T,D.O.,M,I,110 W HIGHAM ST,,SAINT JOHNS,MI,488791559,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,23.615384615,7.73,5.5938461538,5.6953846154
1003980566,PAPPAS,PETER,B,M.D.,M,I,76 BROOKWOOD AVE,,SANTA ROSA,CA,954044312,US,Physician/Orthopedic Surgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,503.79875,417.679375,318.495,283.945
1003980756,SOOD,ARCHNA,,MD,F,I,12998 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923958316,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,55,60.644727273,8.32,5.0990909091,5.0990909091
1003980798,ASHE,REBECCA,,MD,F,I,301 INDUSTRIAL RD,,SAN CARLOS,CA,94070,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,24,73,68.516575342,8.32,5.8071232877,5.8071232877
1003980798,ASHE,REBECCA,,MD,F,I,301 INDUSTRIAL RD,,SAN CARLOS,CA,94070,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,20,16.096,1.42,1.115,1.115
1003980863,SICKELS,WENDY,,MD,F,I,250 LOCUST ST,,SANTA CRUZ,CA,950603813,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,37,68.866486486,8.32,4.0540540541,4.0540540541
1003980947,RUBIN,NANCY,,D.O.,F,I,5 HARRIS CT,"BLDG T, 2ND FL SUITE 201",MONTEREY,CA,939405750,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,25,1904,43.89042542,4.7576207983,3.4872426471,3.4872426471
1003980947,RUBIN,NANCY,,D.O.,F,I,5 HARRIS CT,"BLDG T, 2ND FL SUITE 201",MONTEREY,CA,939405750,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,24,77,65.002727273,47.07,35.424285714,29.434025974
1003980947,RUBIN,NANCY,,D.O.,F,I,5 HARRIS CT,"BLDG T, 2ND FL SUITE 201",MONTEREY,CA,939405750,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,24,24,18.82,18.82
1003981135,REDDY,ANIL,K,M.D.,M,I,9725 EAST 79TH STREET,SUIT A,TULSA,OK,741334569,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,53.2875,47.9975,37.63,36.358333333
1003981135,REDDY,ANIL,K,M.D.,M,I,9725 EAST 79TH STREET,SUIT A,TULSA,OK,741334569,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,22,154,157,36.25,29.465031847,21.280254777,19.921847134
1003981168,ANNAMRAJU,ANANTH,,M.D.,M,I,1164 E HOME RD,,SPRINGFIELD,OH,455032726,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,35,6100,0.714852459,0.13,0.0973704918,0.0973704918
1003981168,ANNAMRAJU,ANANTH,,M.D.,M,I,1164 E HOME RD,,SPRINGFIELD,OH,455032726,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,560,4.8447142857,2.27,1.4460178571,1.4460178571
1003981168,ANNAMRAJU,ANANTH,,M.D.,M,I,1164 E HOME RD,,SPRINGFIELD,OH,455032726,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,58,9450,3.9938730159,1.9234285714,1.3873703704,1.469042328
1003981168,ANNAMRAJU,ANANTH,,M.D.,M,I,1164 E HOME RD,,SPRINGFIELD,OH,455032726,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,64,28.2215625,10.93,8.006875,8.006875
1003981168,ANNAMRAJU,ANANTH,,M.D.,M,I,1164 E HOME RD,,SPRINGFIELD,OH,455032726,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,42,24.68,7.46,5.4530952381,5.4530952381
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,66,200,51.8721,8.32,5.63395,5.63395
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.115714286,3.38,2.4607142857,2.4607142857
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,25,39,10.301794872,1.42,1.0584615385,1.0584615385
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,23,46,87.580869565,71.56,53.67,53.662173913
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,15.05,4.7342857143,3.21,3.0707142857
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,3360,0.1700178571,0.0455833333,0.0357380952,0.0357380952
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,810,2.4204938272,0.2183333333,0.1581481481,0.1581481481
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60.79,19.256666667,15.093333333,14.593333333
1003981176,JOHNSON,ROSA,L,D.O.,F,I,4 LONGMEADOW VILLAGE DR,,NILES,MI,491207809,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,33,33,24.792083333,24.792083333
1003981275,SINGH,PADMINIE,P,MD,F,I,2821 E PRESIDENT GEORGE BUSH HWY,SUITE 103,RICHARDSON,TX,750824277,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,18,35,118,67.701694915,8.32,6.5221186441,6.5221186441
1003981275,SINGH,PADMINIE,P,MD,F,I,2821 E PRESIDENT GEORGE BUSH HWY,SUITE 103,RICHARDSON,TX,750824277,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.62425,7.3558611111,7.3558611111
1003981275,SINGH,PADMINIE,P,MD,F,I,2821 E PRESIDENT GEORGE BUSH HWY,SUITE 103,RICHARDSON,TX,750824277,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9458461538,2.3095641026,2.3095641026
1003981275,SINGH,PADMINIE,P,MD,F,I,2821 E PRESIDENT GEORGE BUSH HWY,SUITE 103,RICHARDSON,TX,750824277,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2189230769,0.1716923077,0.1716923077
1003981275,SINGH,PADMINIE,P,MD,F,I,2821 E PRESIDENT GEORGE BUSH HWY,SUITE 103,RICHARDSON,TX,750824277,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,100.73684211,33,25.87,25.87
1003981358,LANZINGER,WILLIAM,,MD,M,I,4302 ALLEN RD,,STOW,OH,442241070,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,21,86,64.76,47.300952381,43.459047619
1003981515,HASAN,MOHAMMAD,A,MD,M,I,2495 NEWBRIDGE ROAD,,BELLMORE,NY,11710,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,45,58.466888889,8.32,6.5224444444,6.5224444444
1003981705,SULLIVAN,LAURA,J,MD,F,I,195 CANAL ST,,MALDEN,MA,021486701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,26,122,68.12704918,8.32,5.9880327869,5.9880327869
1003981705,SULLIVAN,LAURA,J,MD,F,I,195 CANAL ST,,MALDEN,MA,021486701,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,40,14.2235,1.42,1.114,1.114
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,25,65,174,51.472241379,8.2703448276,5.8211494253,5.8502873563
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,12.737142857,3.38,2.5238095238,2.5238095238
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,15.683076923,2.12,1.5415384615,1.5415384615
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,26,45,14.042444444,1.42,1.016,1.016
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,36,6.7933333333,2.1133333333,1.5155555556,1.0233333333
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,75.034285714,22.618214286,17.198214286,13.476785714
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,45.584,8.2908,6.3052,3.5136
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,64.081818182,54.502727273,39.532727273,51.857272727
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,81,86,503.74162791,98.324186047,70.731511628,53.558255814
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,34,8625,0.2910434783,0.0467663768,0.0347385507,0.0347385507
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,44,137.01704545,26.019772727,20.071590909,13.908636364
1003981879,SMITH,ROBERT,,MD,M,I,740 MEDICAL CENTER DR,,WEST POINT,MS,397739317,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,46,46,121.23913043,33,24.745217391,24.745217391
1003982059,FILNER,IVAN,M,D.O.,M,I,15182 N 75TH AVE,180,PEORIA,AZ,853814722,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,64,56.065,8.32,6.114375,6.114375
1003982059,FILNER,IVAN,M,D.O.,M,I,15182 N 75TH AVE,180,PEORIA,AZ,853814722,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,29,16.362758621,1.42,0.9993103448,0.9993103448
1003982299,BURROUGHS,FLEMING,,MD,M,I,715 N LEE ST,,AMERICUS,GA,31719,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,67,67,80.320597015,21.048059701,15.792089552,13.244925373
1003982299,BURROUGHS,FLEMING,,MD,M,I,715 N LEE ST,,AMERICUS,GA,31719,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,67,67,426.34447761,93.207164179,69.507313433,53.888507463
1003982299,BURROUGHS,FLEMING,,MD,M,I,715 N LEE ST,,AMERICUS,GA,31719,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,70.6,22.967333333,16.085333333,11.934666667
1003982380,PHIEL-BURKETT,BEVERLY,A,C.R.N.P,F,I,423 S WASHINGTON ST,,GETTYSBURG,PA,173252526,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,81.545,11.737142857,8.5171428571,8.4685714286
1003982380,PHIEL-BURKETT,BEVERLY,A,C.R.N.P,F,I,423 S WASHINGTON ST,,GETTYSBURG,PA,173252526,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,108,12.291111111,2.2214814815,1.5812037037,1.4434259259
1003982695,MORGAN,MICHAEL,R,M.D.,M,I,1381 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032934,US,Physician/Infectious Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,17,64,64.43625,19.690625,15.4375,15.4375
1003982695,MORGAN,MICHAEL,R,M.D.,M,I,1381 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032934,US,Physician/Infectious Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,4960,38.152258065,9.8408145161,7.715203629,7.715203629
1003982695,MORGAN,MICHAEL,R,M.D.,M,I,1381 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032934,US,Physician/Infectious Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,65,8.1253846154,2.6369230769,2.0675384615,2.0675384615
1003982877,SHAIKH,AHMARI,,M.D.,F,I,2200 W HIGGINS RD,SUITE 245,HOFFMAN ESTATES,IL,601952428,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,23,84,60.283571429,8.32,6.056547619,6.056547619
1003982877,SHAIKH,AHMARI,,M.D.,F,I,2200 W HIGGINS RD,SUITE 245,HOFFMAN ESTATES,IL,601952428,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,35,18.288,1.42,1.1137142857,1.1137142857
1003983164,SANDELL,SARAH,L,MD,F,I,3742 KATELLA AVE,SUITE 302,LOS ALAMITOS,CA,907202445,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,31,80.84483871,8.32,6.5216129032,6.5216129032
1003983404,KROK,KAREN,L,MD,F,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,55,4680,4.2883098291,0.5735512821,0.3768974359,0.3768974359
1003983404,KROK,KAREN,L,MD,F,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,1800,2.5182166667,1.0730277778,0.7882,0.7882
1003983404,KROK,KAREN,L,MD,F,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,1110,5.0398648649,2.8658648649,2.2468288288,2.2468288288
1003983404,KROK,KAREN,L,MD,F,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,70,70,24,24,16.508,16.508
1003983404,KROK,KAREN,L,MD,F,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,37,37,16,16,11.862162162,11.862162162
1003983594,KADER,RICHARD,A,D.O.,M,I,1201 NEW RD STE 150A,,LINWOOD,NJ,082211100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,40,86,308,63.277337662,8.32,6.1596428571,6.1596428571
1003983594,KADER,RICHARD,A,D.O.,M,I,1201 NEW RD STE 150A,,LINWOOD,NJ,082211100,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.316923077,3.38,2.65,2.65
1003983594,KADER,RICHARD,A,D.O.,M,I,1201 NEW RD STE 150A,,LINWOOD,NJ,082211100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,41,63,14.020793651,1.42,0.9558730159,0.9558730159
1003983594,KADER,RICHARD,A,D.O.,M,I,1201 NEW RD STE 150A,,LINWOOD,NJ,082211100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,186.74142857,3.97,2.4485714286,2.7257142857
1003983743,GORSLINE,ROBERT,T,MD,M,I,3777 TRUEMAN CT,,HILLIARD,OH,430262496,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,30,106,106,83.1,95.08
1003983743,GORSLINE,ROBERT,T,MD,M,I,3777 TRUEMAN CT,,HILLIARD,OH,430262496,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,36,36,36,375,251.28,189.19305556,210.09361111
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,52,165,59.629090909,8.32,6.2060606061,6.2060606061
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,40,10.2965,1.42,1.02975,1.02975
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,290,9.4717241379,5.735862069,4.4968275862,4.5000689655
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.19,2.0516666667,1.3966666667,1.1333333333
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,48,11.42625,2.8575,2.2416666667,1.64875
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,86.31,23.201764706,18.188235294,13.884117647
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,28.627857143,7.0930952381,5.3876190476,3.3257142857
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,41,519.51,106.01902439,79.622682927,53.452439024
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,5742,0.2174207593,0.0472640195,0.0282131661,0.0282131661
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,3544,1.2079288939,0.1368566591,0.0981066591,0.0981066591
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,870,12.801586207,2.8196551724,2.2106206897,2.2106206897
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,64.614285714,24.021428571,13.539285714,9.4564285714
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1689.78,196.01416667,153.67,116.15
1003983776,NIEHAUS,KAREN,,M.D.,F,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,48,48,117.5625,33,23.434791667,23.434791667
1003983800,KRAWCHUCK,JULIE,D,CFNP,F,I,3901 GEORGIA ST NE,,ALBUQUERQUE,NM,871101359,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,23,296,48.671081081,19.641925676,15.067364865,15.067364865
1003983800,KRAWCHUCK,JULIE,D,CFNP,F,I,3901 GEORGIA ST NE,,ALBUQUERQUE,NM,871101359,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,23,675,7.7163111111,2.6311111111,2.0627111111,2.0627111111
1003983800,KRAWCHUCK,JULIE,D,CFNP,F,I,3901 GEORGIA ST NE,,ALBUQUERQUE,NM,871101359,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,45,144,627,84.102567783,8.32,6.1574322169,6.1574322169
1003983800,KRAWCHUCK,JULIE,D,CFNP,F,I,3901 GEORGIA ST NE,,ALBUQUERQUE,NM,871101359,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,29,81,17.443209877,1.42,1.044691358,1.044691358
1003983800,KRAWCHUCK,JULIE,D,CFNP,F,I,3901 GEORGIA ST NE,,ALBUQUERQUE,NM,871101359,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2260,16.409809735,10.784920354,8.4553716814,8.4553716814
1003983958,LAI,ANDREW,S,MD,M,I,3811 VALLEY CENTRE DR,,SAN DIEGO,CA,921303318,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,27,93,75.856129032,8.32,6.2992473118,6.2992473118
1003983958,LAI,ANDREW,S,MD,M,I,3811 VALLEY CENTRE DR,,SAN DIEGO,CA,921303318,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,13.926666667,1.42,0.9333333333,0.9333333333
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,56,83.734821429,8.32,5.8232142857,5.8232142857
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,15.583333333,1.42,1.0453333333,1.0453333333
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,34.7,12.550769231,9.8407692308,10.32
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,32,32,141.3096875,47.578125,34.4559375,35.66875
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,36.5,17,12.817307692,13.021153846
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,217.1,77.55,58.773333333,53.108
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,5242,0.2913716139,0.0460911866,0.036140786,0.036140786
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,122.64166667,21.119166667,16.558333333,20.514166667
1003984212,MAKHIJANI,SUNITA,M,M.D.,F,I,12 LITTLE NECK RD,,CENTERPORT,NY,117211613,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,33,33,24.5765,24.5765
1003984303,NEUMEISTER,RICK,D,MD,M,I,601 W SPRUCE ST,STE E,MISSOULA,MT,59802,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,67.77625,67.77625,53.13,53.16125
1003984303,NEUMEISTER,RICK,D,MD,M,I,601 W SPRUCE ST,STE E,MISSOULA,MT,59802,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,25,68.1364,66.0588,49.7272,51.9008
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1215,1.7631111111,0.5491604938,0.4209876543,0.4209876543
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,104,17475,5.7729201717,0.5686569385,0.4307782546,0.4307782546
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,62,9775,0.119769821,0.0130240409,0.0102086957,0.0102086957
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,48,9600,3.5621770833,1.172775,0.9116885417,0.9116885417
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,49,8350,4.5641844311,2.788611976,2.1582215569,2.1868347305
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,21,10710,9.8580196078,8.5279495798,6.6859094304,6.6859094304
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,28,143,143,24,24,18.556783217,18.556783217
1003984550,KARTHIKEYAN,VANJI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,29,174,192,16,16,12.409375,12.409375
1003984592,ROBINSON,KRISTY,L,FNP,F,I,1668 W PEACE ST,,CANTON,MS,390465332,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,28,63,35.38968254,8.32,5.9006349206,5.9006349206
1003984592,ROBINSON,KRISTY,L,FNP,F,I,1668 W PEACE ST,,CANTON,MS,390465332,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,7.8413333333,3.38,2.2966666667,2.2966666667
1003984592,ROBINSON,KRISTY,L,FNP,F,I,1668 W PEACE ST,,CANTON,MS,390465332,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,25,8.124,1.42,0.9816,0.9816
1003984592,ROBINSON,KRISTY,L,FNP,F,I,1668 W PEACE ST,,CANTON,MS,390465332,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,18,14.11,13.54
1003984659,SHEPHERD,ANGELA,J,MD,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775551250,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,40,159,58.973333333,8.32,5.6514465409,5.6514465409
1003984659,SHEPHERD,ANGELA,J,MD,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775551250,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,15.194736842,3.38,2.3710526316,2.3710526316
1003984659,SHEPHERD,ANGELA,J,MD,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775551250,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,25,56,14.681964286,1.42,0.9546428571,0.9546428571
1003984659,SHEPHERD,ANGELA,J,MD,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775551250,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,21.968,17.32,12.02,11.982666667
1003984659,SHEPHERD,ANGELA,J,MD,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775551250,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,13.518571429,3.8671428571,3.0314285714,3.4628571429
1003984659,SHEPHERD,ANGELA,J,MD,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775551250,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,107,76.58,52.026,47.424
1003984659,SHEPHERD,ANGELA,J,MD,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775551250,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,22.995454545,22.995454545
1003985029,LEBOW,JOHN,R,DO,M,I,1755 COBURG RD STE 301,,EUGENE,OR,974014982,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,63,86.521746032,8.32,5.096984127,5.096984127
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,20,259,32.133822394,19.647760618,15.403552124,15.403552124
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,600,10.29515,2.632,2.0634,2.0634
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,56,111,311,1139,69.124881475,8.32,6.0284196664,6.0284196664
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.231578947,3.38,2.65,2.65
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,21.582666667,2.12,1.67,1.67
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,40,67,138,241,14.103775934,1.42,1.0129045643,1.0129045643
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,1920,16.407510417,10.7358125,8.256953125,8.256953125
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,23,110,110,483.54427273,251.11,196.87,196.87
1003985078,BINDRA,SANJIT,S,M.D.,M,I,7225 OLD OAK BLVD STE B311,,CLEVELAND,OH,441303376,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,22,22,22,465.27,264.16,207.1,207.1
1003985367,SIEGEL,ROBERT,S,M.D.,M,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Hematology-Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,330,27.009090909,3.0509090909,2.3918787879,2.3662424242
1003985367,SIEGEL,ROBERT,S,M.D.,M,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,7153,1.9298895568,0.3052257794,0.2392954005,0.2422522019
1003985367,SIEGEL,ROBERT,S,M.D.,M,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,1008,39.795,4.9919940476,3.8691071429,3.8691071429
1003985367,SIEGEL,ROBERT,S,M.D.,M,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1003985615,HENDERSON,DEBORAH,M,MD,F,I,908 E JEFFERSON ST,STE G1,CHARLOTTESVILLE,VA,229025375,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,25,57,61.56877193,8.32,4.6903508772,4.6903508772
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,70,57.502857143,8.32,6.5217142857,6.5217142857
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,6,,31,33,293.25151515,64.863939394,49.687878788,39.873636364
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,38,38,58.332368421,19.898421053,14.419736842,12.462894737
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,1488.4,977.18066667,760.12066667,760.12066667
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,49,49,47.166938776,5.2016326531,3.8369387755,3.4251020408
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,105.90909091,43.633636364,34.211818182,26.916363636
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,145.66,72.218181818,50.409090909,42.649090909
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,64,64,338.85359375,92.49546875,68.645625,51.19203125
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,3433,0.2208855229,0.0464462569,0.0364083892,0.0364083892
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,29,2488,1.6475120579,0.1337017685,0.0982516077,0.0982516077
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1050,12.86,2.9356857143,2.3015904762,2.3015904762
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,73.423809524,23.095714286,16.514285714,13.153809524
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,643.45818182,198.95090909,155.97909091,153.71
1003986167,FREEBURNE,JASON,K,ARNP,M,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,46,46,97.565217391,33,24.745217391,24.745217391
1003986316,COOK,LISA,,PA,F,I,W129N7055 NORTHFIELD DR,"BLDG A, STE 203",MENOMONEE FALLS,WI,530510538,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,30,56,313,71.942428115,8.32,5.9497444089,5.9497444089
1003986316,COOK,LISA,,PA,F,I,W129N7055 NORTHFIELD DR,"BLDG A, STE 203",MENOMONEE FALLS,WI,530510538,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,26,67,14.838059701,1.42,1.0940298507,1.0940298507
1003986514,MILLS,WILLIAM,L,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,86.966666667,50.866666667,39.876666667,39.216666667
1003986514,MILLS,WILLIAM,L,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,4995,4378.96,3433.11,3433.11
1003986514,MILLS,WILLIAM,L,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,L0626,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,124,76.07,56.82,56.097407407
1003986514,MILLS,WILLIAM,L,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,381.81818182,76.07,59.64,58.958181818
1003986696,DRAPER,CATHRYN,D,ARNP,F,I,520 SW RAMSEY AVE STE 204,,GRANTS PASS,OR,975275535,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,87,33,25.87,25.87
1003987298,SHAH,KIRIT,C,M.D.,M,I,6252 S ARCHER RD,,SUMMIT,IL,605011720,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,31,64.98,8.32,5.8916129032,5.8916129032
1003987298,SHAH,KIRIT,C,M.D.,M,I,6252 S ARCHER RD,,SUMMIT,IL,605011720,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.0127272727,3.1418181818,3.6336363636
1003987397,RACHERLA,SARASWATHI,V,M.D.,F,I,1 E NEW YORK AVE,,SOMERS POINT,NJ,082442340,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,75,4.1881818182,2.7236363636,2.9990909091
1003987397,RACHERLA,SARASWATHI,V,M.D.,F,I,1 E NEW YORK AVE,,SOMERS POINT,NJ,082442340,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,46,365,67.72,51.993478261,53.623478261
1003987397,RACHERLA,SARASWATHI,V,M.D.,F,I,1 E NEW YORK AVE,,SOMERS POINT,NJ,082442340,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,42,85,38.72,30.36,29.52
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,630,3.5513174603,0.4992857143,0.3792539683,0.3792539683
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,4.8248333333,2.59275,2.0327083333,2.0327083333
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,38,81,594,92130,5.110499403,0.5702818843,0.4330598068,0.433057853
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,30,169,24600,0.1024126016,0.0130528455,0.0097727642,0.0097727642
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,51,5032,1.3612182035,0.7425476948,0.563622814,0.563622814
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,37,194,33240,5.0156191336,1.1673026474,0.8926636582,0.8926636582
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,21,30,228,36300,4.7485355372,2.8284809917,2.1823763085,2.1823763085
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,11,11,50,50,35.636363636,35.636363636
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,46,89,564,564,24,24,18.408368794,18.408368794
1003987496,BHASKARAN,MADHU,,MD,M,I,NEPHROLOGY,100 COMMUNITY DRIVE,GREAT NECK,NY,11021,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,38,89,640,774,16.258397933,16,12.340801034,12.340801034
1003987611,ASHOK,KRISHNAMURTHY,,MD,M,I,6718 S WESTERN AVE,,OKLAHOMA CITY,OK,731391807,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,36,66,59.332727273,8.32,5.8542424242,5.8542424242
1003987611,ASHOK,KRISHNAMURTHY,,MD,M,I,6718 S WESTERN AVE,,OKLAHOMA CITY,OK,731391807,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,9.5669230769,1.42,1.0338461538,1.0338461538
1003987611,ASHOK,KRISHNAMURTHY,,MD,M,I,6718 S WESTERN AVE,,OKLAHOMA CITY,OK,731391807,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1974,0.5187386018,0.0464285714,0.0336068896,0.0336068896
1003987611,ASHOK,KRISHNAMURTHY,,MD,M,I,6718 S WESTERN AVE,,OKLAHOMA CITY,OK,731391807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,63.25,33,23.714166667,23.714166667
1003987678,MAHOOD,TIMOTHY,M,MD,M,I,3219 MERAMEC ST,,SAINT LOUIS,MO,631184305,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,64,64.06828125,8.32,5.50328125,5.50328125
1003987678,MAHOOD,TIMOTHY,M,MD,M,I,3219 MERAMEC ST,,SAINT LOUIS,MO,631184305,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,27,14.994074074,1.42,0.9059259259,0.9059259259
1003987678,MAHOOD,TIMOTHY,M,MD,M,I,3219 MERAMEC ST,,SAINT LOUIS,MO,631184305,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,480.89214286,82.65,64.794285714,56.967142857
1003987678,MAHOOD,TIMOTHY,M,MD,M,I,3219 MERAMEC ST,,SAINT LOUIS,MO,631184305,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,34,5203,0.291082068,0.045298866,0.0287199692,0.0287199692
1003987678,MAHOOD,TIMOTHY,M,MD,M,I,3219 MERAMEC ST,,SAINT LOUIS,MO,631184305,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,66,33,19.935714286,19.935714286
1003988007,DAAKE,CAROL,J,RN MSN APN,F,I,645 N ARLINGTON AVE STE 460,,RENO,NV,895034451,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,360.32882353,65.7,48.48,51.747647059
1003988148,TRAN,THUY,D,MD,M,I,604 ASH STREET,,MERKEL,TX,79536,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,39,18.29,18.29,14.34,14.34
1003988486,SIWIK,VIOLET,P,MD,F,I,707 N ALVERNON WAY STE 101,,TUCSON,AZ,857111830,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,48,84.214583333,8.32,5.5714583333,5.5714583333
1003988734,BENOIT,DANIEL,A,ARNP,M,I,6043 WINTHROP COMMERCE AVE,SUITE 201,RIVERVIEW,FL,335784272,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1590,9.65,6.15,4.821591195,5.6204025157
1003988759,CRAIG,JESSICA,S,MD,F,I,75-5751 KUAKINI HWY,SUITE 104,KAILUA KONA,HI,967401752,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,20,73.7145,8.32,2.969,2.969
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,59,64.086610169,8.32,5.1947457627,5.1947457627
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,181.38,36.21,28.39,30.49
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,40,13.92,1.91,1.499,1.5925
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,E0197,"Air pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40.72,11.932727273,8.5772727273,10.641818182
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,53,54,48.692962963,5.7037037037,4.042962963,3.3433333333
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,19,257.82,33.348947368,26.144736842,27.415263158
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.7,9.025,7.0733333333,7.8366666667
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,519.51,71.161,53.752,52.692
1003989237,MENASHE,RICHARD,B,DO,M,I,15 SO MAIN ST,,EDISON,NJ,08837,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,122.64705882,33,24.348235294,24.348235294
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,36,8.5133333333,7.39,5.6291666667,6.5711111111
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,36,5.69,5.54,4.2194444444,4.2194444444
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,14.15,13.8,10.82,10.82
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,18.48,16.48,11.843333333,12.969166667
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,44,81,11.2,9.29,7.1002469136,8.2824691358
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,420,7.557,6.26,4.6407380952,5.4485952381
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,780,5.346,5.23,4.0768717949,4.0768717949
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,40,78.882,71.56,56.105,56.105
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,641,4.0590015601,3.81,2.8472074883,2.8472074883
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,17,117,3491,7.9078458894,6.5674820968,5.1488599255,4.1630077342
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6183,0.6237069384,0.4848552483,0.380129387,0.2900824842
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,64,37077,0.4337629797,0.3675556275,0.2813393748,0.2362132859
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,44,21240,0.9194171375,0.7543116761,0.5880969868,0.514153484
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,44,44,88.403409091,70.453636364,52.823181818,46.407954545
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,170.85714286,67.626428571,50.275,36.122142857
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,32,32,116.1909375,71.019375,54.0753125,39.6140625
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,96.12,67.195,52.68,40.530833333
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,12,74,74,14.668108108,7.7254054054,5.8206756757,3.8544594595
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,60.6,26.951724138,21.13,14.928965517
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,77.145714286,42.155238095,31.867142857,23.688095238
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,26.363636364,10.080909091,7.2909090909,5.7854545455
1003989245,THOMPSON,WILLIAM,P,MD,M,I,269 WILDWOOD TERRACE EXT,,YAZOO CITY,MS,391947607,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,51.7,43.56,34.151666667,34.150138889
1003989377,THOMAS,LYNN,A,MD,F,I,1221 MERCANTILE LN,KAISER PERMANENTE LARGO MEDICAL CENTER,LARGO,MD,207745374,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,59,2.8786440678,2.3,1.6810169492,1.4838983051
1003989377,THOMAS,LYNN,A,MD,F,I,1221 MERCANTILE LN,KAISER PERMANENTE LARGO MEDICAL CENTER,LARGO,MD,207745374,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,39.9,35.256923077,22.896923077,22.836923077
1003989377,THOMAS,LYNN,A,MD,F,I,1221 MERCANTILE LN,KAISER PERMANENTE LARGO MEDICAL CENTER,LARGO,MD,207745374,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,137.5,18.285,14.3325,14.19
1003989559,BARTIS,STEVEN,,DPM,M,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,92.912727273,71.56,56.105,56.105
1003989559,BARTIS,STEVEN,,DPM,M,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,80.65,80.65,62.1175,61.988333333
1003989757,DENNETT,RONALD,B,MD,M,I,73 MARKET ST,,YONKERS,NY,107107616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,56,180,53.873111111,8.32,5.6531111111,5.6531111111
1003989757,DENNETT,RONALD,B,MD,M,I,73 MARKET ST,,YONKERS,NY,107107616,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,12.701428571,3.38,2.4607142857,2.4607142857
1003989757,DENNETT,RONALD,B,MD,M,I,73 MARKET ST,,YONKERS,NY,107107616,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,50,12.1364,1.42,1.068,1.068
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,51,104,104,141.50057692,41.893557692,31.873557692,29.691346154
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,42,75,75,280.37013333,92.067866667,69.323333333,65.677066667
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,41,80,174,117.13068966,35.420517241,26.492298851,24.930517241
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,33,65,321,51.688847352,21.364174455,16.067725857,13.896012461
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,29,54,273,47.936483516,15.671538462,11.482637363,11.103076923
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,64,124,124,159.57943548,60.927177419,45.665322581,40.874516129
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,100,132,132,53.199924242,19.286666667,14.518787879,13.53719697
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,60,99,99,55.478181818,12.953939394,9.6804040404,8.6925252525
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,100,189,1097,7.437183227,2.2566636281,1.7059617138,1.5407657247
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,38,48,48,19.178125,6.1035416667,4.3875,4.1002083333
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,51,68,68,35.364264706,13.431029412,10.072352941,9.8838235294
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,100,51.0175,39.995833333,37.63
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,45,45,327.17844444,102.79555556,77.753111111,65.546222222
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,765,219.12076923,160.75384615,153.32384615
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,22,22,335.25681818,147.97681818,116.01318182,104.7
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,34,218,219,225.84420091,36.679086758,27.301050228,23.887625571
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,19,26,26,112.74,70.74,45.678461538,45.678461538
1003989856,HOWE,CLIFFORD,S,MD,M,I,1619 N GREENWOOD,SUITE 309,PUEBLO,CO,810032657,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,34,276,278,261.5147482,73.703884892,53.814208633,50.951834532
1003989872,ROSEN,JANE,C,PA-C,F,I,4 W ROLLING CROSSROADS STE 100,,CATONSVILLE,MD,212286280,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,52,75.979807692,8.32,6.0194230769,6.0194230769
1003989872,ROSEN,JANE,C,PA-C,F,I,4 W ROLLING CROSSROADS STE 100,,CATONSVILLE,MD,212286280,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,12.743888889,1.42,1.0522222222,1.0522222222
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,134.42307692,41.237692308,32.328461538,30.49
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,37,60,60,297.64083333,102.86416667,77.216,66.425166667
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,21,36,71,95.637746479,41.116338028,31.144225352,25.514507042
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,25,79,72.990632911,18.973544304,12.55721519,12.345443038
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,15,67,53.537761194,18.417761194,13.262537313,10.828059701
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,30,56,56,196.90178571,59.892857143,42.606071429,39.936071429
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,65,77,77,57.944935065,20.717272727,15.131948052,13.536493506
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,59,96,96,58.01,13.973958333,10.270625,8.909375
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,65,107,458,10.329279476,2.3440611354,1.7244323144,1.534650655
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,18,20,20,18.1445,7.254,4.966,4.2285
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,36,43,43,42.312093023,14.094883721,10.386744186,9.7827906977
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,,33,35,448.11942857,106.72342857,71.859714286,61.225142857
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,495.26714286,150.16428571,102.41857143,99.895
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,39,44,66.196363636,15.590454545,11.214545455,9.6815909091
1003990383,WILSON-CARR,NICOLE,E,FNP-BC,F,I,1 MEDICAL CENTER DR,,MORGANTOWN,WV,265061200,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,23,162,165,221.13175758,40.856787879,29.995636364,25.693818182
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,31,68,200,68.4037,8.32,6.04955,6.04955
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,33,57,14.803508772,1.42,0.9389473684,0.9389473684
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,86.31,17.15,12.7775,12.869
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,155.83,32.33,23.53,21.841428571
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,519.51,78.448,59.0284,52.5408
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,3511,0.4333608659,0.045445742,0.0278040444,0.0278040444
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,630,1.0363968254,0.1286666667,0.0705555556,0.0705555556
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,94.684210526,21.851578947,17.132105263,14.017894737
1003990458,ADAMS,CAROLINE,,NP,F,I,340 JAKE ALEXANDER BLVD W,,SALISBURY,NC,281471364,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,87.45,33,21.9895,21.9895
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,40,114,271,49.796568266,8.32,6.2329889299,6.2329889299
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,14,37,37,14.103243243,3.38,2.65,2.65
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,21,21,22.094285714,2.12,1.67,1.67
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,36,81,109,13.505045872,1.42,1.0439449541,1.0439449541
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,425,6.9581411765,5.23,4.1003294118,4.1003294118
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,26,97.150384615,71.402307692,55.981153846,56.104615385
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,,37,73,9.5317808219,1.95,1.4934246575,1.1378082192
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,19,19,241.39105263,108.63842105,77.643684211,62.915263158
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,39.684375,21.3725,15.87625,13.185
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,47.049545455,16.800909091,12.315,8.8336363636
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,27,90,7.0106666667,2.7711111111,2.0164444444,1.4806666667
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,16.686666667,7.162,5.278,4.5406666667
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,38,38,153.17342105,64.712105263,47.421842105,36.389736842
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,66,62.734545455,20.857272727,15.671363636,13.279848485
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,75,48.31,37.88,37.63
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,43.635,34.578333333,24.998333333,29.98
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,151.22823529,42.418529412,31.912352941,25.708235294
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,100.63862069,56.855172414,43.008965517,37.704827586
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,103,104,326.0525,93.81125,67.021826923,50.457307692
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,39,7676,0.2963626889,0.0462167796,0.0341584158,0.0341584158
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,420,0.75,0.2187857143,0.1593809524,0.1593809524
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,40,40,85.39675,25.25225,18.71775,14.34825
1003990656,ALEMANY,FERNANDO,,"M.D.,",M,I,3975 I-49 S SERVICES RD,SUITE 200,OPELOUSAS,LA,705700758,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,50,50,94.38,33,23.5744,23.5744
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,261,504,504,94.892698413,40.407361111,29.82531746,28.786111111
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,87,188,188,320.14505319,93.09,68.398351064,63.703989362
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,19,85,194,459,138.46766885,33.958474946,25.376971678,24.678366013
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,29,137,271,1419,77.375630726,19.886744186,14.308026779,13.386088795
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,21,142,274,1432,49.259671788,15.298547486,11.18877095,11.08577514
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,37,294,574,575,195.71906087,59.461078261,42.79493913,39.496713043
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,38,358,483,483,63.359606625,18.978467909,14.125548654,13.39447205
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,58,68,68,32.540441176,11.074411765,8.4188235294,7.9110294118
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,109,209,209,82.191913876,12.859043062,9.658277512,8.7486124402
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,39,358,677,3907,8.6038648579,2.2667980548,1.6854210392,1.5192142309
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,75,103,103,21.91592233,6.3178640777,4.5314563107,4.3031067961
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,32,187,236,236,40.23940678,13.98059322,10.417754237,9.8527966102
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,260,126.5,99.174545455,67.093636364
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,36,41,1066.3356098,240.03365854,177.68341463,163.9795122
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,79,80,80,344.378625,145.3735,109.130375,102.033125
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,16,78,89,85.683370787,13.93,9.7939325843,9.3325842697
1003990714,MARGELLI,DAVID,M,PA-C,M,I,801 BROADWAY STE 701,,SEATTLE,WA,981224313,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,29,152,1012,1018,169.23369352,36.37845776,26.135776031,24.124214145
1003990870,MANGURTEN,HOWARD,S,MD,M,I,990 GRAND CANYON PARKWAY,SUITE 310,HOFFMAN ESTATES,IL,60169,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,66,64.573939394,8.32,5.5331818182,5.5331818182
1003990870,MANGURTEN,HOWARD,S,MD,M,I,990 GRAND CANYON PARKWAY,SUITE 310,HOFFMAN ESTATES,IL,60169,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,13,16.452307692,1.42,1.0323076923,1.0323076923
1003990946,KOHLER,WILLIAM,,,M,I,407 ALBANY SHAKER RD,,LOUDONVILLE,NY,122111900,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,38,65.403684211,8.32,6.5215789474,6.5215789474
1003990953,KARASIS,MICHAEL,J,M.D.,M,I,526 W SOUTH ST,,WOODSTOCK,IL,600983749,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1620,0.3677777778,0.13,0.0943703704,0.0943703704
1003990953,KARASIS,MICHAEL,J,M.D.,M,I,526 W SOUTH ST,,WOODSTOCK,IL,600983749,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,4320,4.9291666667,2.04,1.5976712963,1.5976712963
1003991035,FOSSELLA,FRANK,V,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Medical Oncology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,36.416153846,5.17,3.6907692308,3.0553846154
1003991035,FOSSELLA,FRANK,V,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,15,270.61666667,84.172666667,65.989333333,54.793333333
1003991159,KIM,JOHN,S,M.D.,M,I,11911 ARTESIA BLVD,#101,CERRITOS,CA,907014070,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,75,163,43.852883436,8.32,5.7613496933,5.7613496933
1003991159,KIM,JOHN,S,M.D.,M,I,11911 ARTESIA BLVD,#101,CERRITOS,CA,907014070,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,39,47,8.6131914894,1.42,0.9038297872,0.9038297872
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,52,179,59.533575419,8.32,5.4075977654,5.4075977654
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,26,42,13.59,1.42,0.9821428571,0.9821428571
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,22,6.7727272727,6.6018181818,4.7063636364,5.3345454545
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,120,1.7875,1.7875,1.3078333333,1.3173333333
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,114.46153846,39.8,29.73,29.086923077
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,196.67642857,56.46,44.27,42.960714286
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,56.240625,18.705,14.66,14.09625
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,102,8.4594117647,2.0011764706,1.5689215686,1.5890196078
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,33.208181818,13.951818182,10.94,10.34
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,25,50,17.808,13.2364,12.842
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,125,40.324,29.889,22.989
1003991324,DRUMM,DANIEL,R,M.D.,M,I,1000 E PARIS AVE SE STE 100,,GRAND RAPIDS,MI,49546,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,26,300,80.96,58.651538462,52.372692308
1003991340,HYDE,MARTHA,L,MD,F,I,"3400 CALIFORNIA AVE SW, STE 300",,SEATTLE,WA,98116,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,42,98,53.67122449,8.32,5.9789795918,5.9789795918
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,51,214,68.822383178,8.32,5.9422429907,5.9422429907
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,17,18.608823529,1.42,0.9847058824,0.9847058824
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,384,2.75,2.27,1.6313802083,1.6313802083
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,12.25,10.93,7.49875,7.49875
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,25,12.94,7.35,4.8384,4.9316
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.1409090909,5.74,4.0909090909,4.0909090909
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,200,6.6,5.36,3.9739,3.9739
1003991449,MCBROOM,SAUL,A,MD,M,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.96,45.785454545,35.899090909,36.480909091
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,33,92,254,65.848503937,8.32,6.2623622047,6.2623622047
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,9.3963636364,3.38,2.65,2.65
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,34,54,10.800925926,1.42,1.0525925926,1.0525925926
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,141.70357143,39.35,26.442857143,26.134285714
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,346.83375,88.78625,60.9825,59.36
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,33,123.50242424,33.324242424,23.081515152,22.882121212
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,78.752,18.064,13.22,13.122666667
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,24,135,9.9065185185,2.0422222222,1.5882222222,1.5798518519
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,97,100,80.9423,18,13.6867,13.1908
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,137,141,440.04177305,80.4,61.287446809,53.811489362
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,810,11.528518519,3.014962963,2.3637407407,2.3637407407
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,72,22.422173913,16.17,13.23173913
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39.82,31.22,29.52
1003991498,STONEBURNER,HUGH,M,,M,I,1525 W 2100 S,,SALT LAKE CITY,UT,841191401,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,48.230769231,33,25.87,25.87
1003991548,JAMES,FELICE,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,52,196,68.579336735,8.3115816327,6.1830102041,6.1830102041
1003991548,JAMES,FELICE,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.23375,3.38,2.65,2.65
1003991548,JAMES,FELICE,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,23,58,15.964310345,1.42,1.1127586207,1.1127586207
1003991548,JAMES,FELICE,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,29.562758621,5.5855172414,4.1817241379,3.4079310345
1003991548,JAMES,FELICE,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1192,0.564966443,0.0464261745,0.0324916107,0.0324916107
1003991548,JAMES,FELICE,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,79.894736842,33,24.508421053,24.508421053
1003992058,SHEPARD,SUSANNA,M,FNP,F,I,609 N HIGHLAND ST,,GASTONIA,NC,280522179,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,52,71.234423077,8.32,4.8909615385,4.8909615385
1003992058,SHEPARD,SUSANNA,M,FNP,F,I,609 N HIGHLAND ST,,GASTONIA,NC,280522179,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,1.8503333333,1.7141666667,1.3173083333,1.5727666667
1003992058,SHEPARD,SUSANNA,M,FNP,F,I,609 N HIGHLAND ST,,GASTONIA,NC,280522179,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,49.07,17.15,12.178461538,12.271153846
1003992058,SHEPARD,SUSANNA,M,FNP,F,I,609 N HIGHLAND ST,,GASTONIA,NC,280522179,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,33.153333333,5.6366666667,0,0
1003992058,SHEPARD,SUSANNA,M,FNP,F,I,609 N HIGHLAND ST,,GASTONIA,NC,280522179,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,225.83666667,79,53.091428571,46.911428571
1003992058,SHEPARD,SUSANNA,M,FNP,F,I,609 N HIGHLAND ST,,GASTONIA,NC,280522179,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1258,1.4670111288,0.1344992051,0.0989427663,0.0989427663
1003992058,SHEPARD,SUSANNA,M,FNP,F,I,609 N HIGHLAND ST,,GASTONIA,NC,280522179,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,23.714166667,23.714166667
1003992074,CEKA,BARI,F,M.D.,M,I,7098 AMBOY ROAD,,STATEN ISLAND,NY,103072001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,60,161,424,56.792523585,8.32,5.5408490566,5.5408490566
1003992074,CEKA,BARI,F,M.D.,M,I,7098 AMBOY ROAD,,STATEN ISLAND,NY,103072001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,30,30,13.676666667,3.38,2.385,2.385
1003992074,CEKA,BARI,F,M.D.,M,I,7098 AMBOY ROAD,,STATEN ISLAND,NY,103072001,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,20.60125,2.12,1.67,1.67
1003992074,CEKA,BARI,F,M.D.,M,I,7098 AMBOY ROAD,,STATEN ISLAND,NY,103072001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,34,62,97,19.406597938,1.42,1.0216494845,1.0216494845
1003992074,CEKA,BARI,F,M.D.,M,I,7098 AMBOY ROAD,,STATEN ISLAND,NY,103072001,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,166.63454545,49.090909091,35.28,35.236363636
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,18,18,149.96,44.137222222,30.531111111,27.129444444
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,87,109,109,292.42642202,107.28880734,79.824587156,66.24266055
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,77,218,232,182.90465517,40.779094828,29.221637931,24.159181034
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,27,53,53,68,21.731886792,14.970943396,13.13754717
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,20,31,69,62.392463768,18.389710145,12.560724638,10.173478261
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,38,46,46,178.85608696,67.595652174,49.467173913,40.663913043
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,117,140,140,59.6585,22.331285714,16.686857143,13.686
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,102,126,126,70.269126984,16.952301587,12.831746032,9.1123809524
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,147,413,514,31.320272374,2.6642801556,1.9107198444,1.5105252918
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,108,128,128,34.921875,7.62578125,5.840625,4.679609375
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,12,13,13,77.292307692,14.089230769,11.043846154,10.972307692
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,14,232.35,58.82,46.115,38.583571429
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,27,116,122,447.48885246,104.56803279,77.78352459,63.399016393
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,35,223,240,918,241.53779167,183.60816667,156.58741667
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,43,43,43,475.81395349,161.1027907,125.64325581,105.62395349
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,18.092727273,8.42,6.6690909091
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,95,434,456,266.74344298,40.708991228,29.402609649,23.556403509
1003992140,WILLMORE,JENNY,R,P.A.-C.,F,I,605 MAPLE AVE,,SAINT ANTHONY,ID,834455529,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,73,81,534.22222222,87.983209877,67.414814815,53.562469136
1003992264,SHIN,FRANK,D,M.D.,M,I,1440 S DE ANZA BLVD,SUITE A,SAN JOSE,CA,951294666,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,31,60,79.417,8.32,4.9366666667,4.9366666667
1003992264,SHIN,FRANK,D,M.D.,M,I,1440 S DE ANZA BLVD,SUITE A,SAN JOSE,CA,951294666,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,16.98,10.397272727,10.628181818
1003992264,SHIN,FRANK,D,M.D.,M,I,1440 S DE ANZA BLVD,SUITE A,SAN JOSE,CA,951294666,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,71.06,46.425,45.69
1003992470,NGATUVAI,TAUAINA,J,M.D.,M,I,680 E. MAIN ST.,,LEHI,UT,840432241,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,986.58,773.47,836.51833333
1003992470,NGATUVAI,TAUAINA,J,M.D.,M,I,680 E. MAIN ST.,,LEHI,UT,840432241,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,305,87.336363636,68.472727273,67.209090909
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,50,169,348,75.987155172,8.32,5.5796264368,5.5796264368
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,45,144,149,16.388322148,1.42,0.9616107383,0.9616107383
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,46,46,92,71.412391304,69.899565217,54.358478261,54.821304348
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,45,45,270,32.180444444,28.853111111,22.621074074,22.774296296
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,306.3925,48.266,36.118,37.0455
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,30.42,16.08,12.6,13.4556
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,180.92,77.18,60.51,55.1832
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,148.80727273,15.75,10.104545455,10.887272727
1003992579,LEYZIN,MARA,,M.D.,F,I,8025 CASTOR AVE,,PHILADELPHIA,PA,191522733,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70.822727273,7.41,4.7536363636,5.1181818182
1003992694,BROOKSHIRE,BARBRA,B,O.D.,F,I,3902 13TH AVE S,,FARGO,ND,581033357,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,25,64.08,61.0932,47.8984,54.092
1003992769,PAAUW,DOUGLAS,S,,M,I,UWMC-ROOSEVELT,4245 ROOSEVELT WAY NE,SEATTLE,WA,981056920,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,66,84.821818182,8.32,6.5224242424,6.5224242424
1003992769,PAAUW,DOUGLAS,S,,M,I,UWMC-ROOSEVELT,4245 ROOSEVELT WAY NE,SEATTLE,WA,981056920,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,18.45,1.42,1.1166666667,1.1166666667
1003992819,GOSS,J,R,MD,M,I,HARBORVIEW MEDICAL CENTER,325 9TH AVE,SEATTLE,WA,98104,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,41.078928571,8.32,6.5214285714,6.5214285714
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,27,12.813333333,4.05,3.0585185185,3.0966666667
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,35,876,9.1709589041,5.74,4.4202511416,4.4202511416
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,224,3.891875,2.9089285714,2.2805357143,2.2813839286
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,42,9.6561904762,6.44,5.0488095238,5.0488095238
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,480,17.817083333,9.86,7.6385416667,7.6385416667
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,360,10.351277778,6.6555,5.2178888889,5.488
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.8893333333,3.1,2.2310694444,2.2310694444
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1320,3.5784015152,1.95,1.4200909091,1.4200909091
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,590,7.5759830508,4.03,3.1595762712,3.1595762712
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,2130,0.623915493,0.27,0.211657277,0.211657277
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,500,5.33124,3.04,2.38338,2.38338
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,1050,0.6193809524,0.27,0.2116761905,0.2116761905
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,865,19.290300578,13.126601156,10.236323699,10.236323699
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,359,319.22005571,207.70593315,162.84116992,162.84116992
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,359,28,9.3480501393,7.3284679666,7.3284679666
1003992918,CARVETH,WILLIAM,L,MD,M,I,6121 N THESTA,SUITE 202,FRESNO,CA,93710,US,Physician/Colorectal Surgery (Proctology),S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,359,85,29.213760446,22.903649025,22.903649025
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,40,134,361,99.211495845,8.32,5.5459833795,5.5459833795
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,47,70,14.367,1.42,1.0031428571,1.0031428571
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,94.668333333,48.545,38.06,30.49
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,63.676764706,24.63,17.896176471,13.267058824
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,160.54384615,72.683076923,49.732307692,36.266153846
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,63.6025,26.153333333,19.343333333,13.645
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,78,5.5782051282,2.75,2.0517948718,1.6148717949
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,16,106,106,554.79198113,8.3402830189,6.3202830189,3.9754716981
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,362.875,102.61833333,74.266666667,55.8125
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,4402,0.6638346206,0.0473057701,0.0306497047,0.0306497047
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,24,75,9047,2.3724549574,0.1369448436,0.103102686,0.103102686
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,900,23.911377778,3.1339333333,2.4570111111,2.4570111111
1003993148,POPP,JASON,C,MD,M,I,900 N 2ND ST,SUITE 200,ROCHELLE,IL,610681717,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,19,70,70,54.214285714,33,23.460714286,23.460714286
1003993163,ANDERSON,MARK,D,MD,M,I,1928 ALCOA HWY,B100,KNOXVILLE,TN,37920,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,402,17.665671642,3.3226368159,2.5332338308,2.3497263682
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,66,157,70.030509554,8.32,5.9819745223,5.9819745223
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,18,14.439444444,1.42,0.9911111111,0.9911111111
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,162.24869565,47.46826087,37.217391304,36.55173913
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,10,2.9528571429,2.3133333333,2.2552380952
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,34,504.10117647,74.735588235,57.916764706,54.050294118
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,249,36.14,25.754545455,26.853636364
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1200,16.2049,10.69775,8.2674666667,8.2674666667
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,1.9450555556,0.1345,0.0978958333,0.0978958333
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,8.7972692308,3.0852307692,2.2885512821,2.2885512821
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,47,47,87.89212766,21.241914894,16.651489362,15.332765957
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,25.5625,9.3884375,7.3621875,7.123125
1003993288,BRACKETT,ERIC,,MD,M,I,1332 LINCOLN AVE,,EVANSVILLE,IN,477141516,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,33,33,25.87,25.87
1003993387,WEGNER,ELFIE,,RN P,F,I,33 OVERLOOK RD,,SUMMIT,NJ,079013570,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,31,77,64.467402597,8.32,6.2677922078,6.2677922078
1003993387,WEGNER,ELFIE,,RN P,F,I,33 OVERLOOK RD,,SUMMIT,NJ,079013570,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,24,14.984583333,1.42,1.07,1.07
1003994013,FEEMAN,WILLIAM,E,M.D.,M,I,640 S WINTERGARDEN RD,,BOWLING GREEN,OH,434023544,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,341.58,102.61833333,80.455,54.73
1003994013,FEEMAN,WILLIAM,E,M.D.,M,I,640 S WINTERGARDEN RD,,BOWLING GREEN,OH,434023544,US,Physician/General Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,52.25,44.745,35.0825,29.515833333
1003994112,SPACCAPANICCIA,MARK,,D.P.M.,M,I,2340 S HIGHLAND AVE,,LOMBARD,IL,601485371,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1320,0.1045454545,0.1045454545,0.0819621212,0.0898257576
1003994112,SPACCAPANICCIA,MARK,,D.P.M.,M,I,2340 S HIGHLAND AVE,,LOMBARD,IL,601485371,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,30,30,60,125.8,71.56,51.680166667,51.680166667
1003994112,SPACCAPANICCIA,MARK,,D.P.M.,M,I,2340 S HIGHLAND AVE,,LOMBARD,IL,601485371,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,108,242.27777778,29.19,22.885,22.886666667
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.48,1.16,1.15
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,55,8.7970909091,2.05,1.6065454545,1.5936363636
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,70,72,42.0775,17,12.655833333,12.853472222
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,220.95,83.614,65.549333333,66.709333333
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,924.60454545,720.85818182,720.85818182
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,40,47,50.73,3.579787234,2.4225531915,3.1846808511
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,275.31647059,31.287647059,13.632352941,13.87
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,51,428,436,282.18332569,78.139243119,57.97603211,52.063669725
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,35,293,296,85.777027027,41.373040541,31.119459459,28.484966216
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,52,2970,17.132414141,9.6316767677,7.5029191919,7.5029191919
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,17,33,9481,0.5522318321,0.0465098618,0.0364687269,0.0364687269
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3324,2.8624819495,0.0772262335,0.0565162455,0.0565162455
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,36,4269,1.3294096978,0.1351628016,0.1034293746,0.1034293746
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,33,1740,10.350350575,2.9813793103,2.3374137931,2.3374137931
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,44,221.77272727,41.25,31.292272727,28.590909091
1003994260,BARBAKOFF,JAY,M,MD,M,I,60 NORTH COUNTRY RD,SUITE 203,PORT JEFFERSON,NY,11777,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,32,125,125,71.016,33,25.66304,25.66304
1003994583,GARG,ANIL,K,MD,M,I,7978 FIELDING LN,,GREENDALE,WI,531292112,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,11,31,104,51.107692308,8.32,6.5234615385,6.5234615385
1003994583,GARG,ANIL,K,MD,M,I,7978 FIELDING LN,,GREENDALE,WI,531292112,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,15,3.38,2.65,2.65
1003994583,GARG,ANIL,K,MD,M,I,7978 FIELDING LN,,GREENDALE,WI,531292112,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,21,47,15.055531915,1.42,1.1125531915,1.1125531915
1003994583,GARG,ANIL,K,MD,M,I,7978 FIELDING LN,,GREENDALE,WI,531292112,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,398.24761905,79.98,62.487619048,55.267619048
1003994583,GARG,ANIL,K,MD,M,I,7978 FIELDING LN,,GREENDALE,WI,531292112,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,540,3.0881666667,0.1332777778,0.0994074074,0.0994074074
1003994583,GARG,ANIL,K,MD,M,I,7978 FIELDING LN,,GREENDALE,WI,531292112,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,90.82,31.736153846,23.106923077,22.970769231
1003994583,GARG,ANIL,K,MD,M,I,7978 FIELDING LN,,GREENDALE,WI,531292112,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,230,37.46,29.37,29.496
1003994856,BUSSA,SWAROOPA,R,MD,F,I,27400 HESPERIAN BLVD,,HAYWARD,CA,945454235,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2975,913.16,715.92,842.26
1003994856,BUSSA,SWAROOPA,R,MD,F,I,27400 HESPERIAN BLVD,,HAYWARD,CA,945454235,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,41.72,3.2804761905,2.5704761905,3.6466666667
1003994930,SHALEV,NOGA,,MD,F,I,622 W 168TH ST,HP 6,NEW YORK,NY,100323720,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,47,107,70.429719626,8.32,5.9113084112,5.9113084112
1003994930,SHALEV,NOGA,,MD,F,I,622 W 168TH ST,HP 6,NEW YORK,NY,100323720,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,38,38,16.834210526,1.42,1.0905263158,1.0905263158
1003995457,ARASHAHI,ROBERT,B,M.D.,M,I,5652 E BASELINE RD,,MESA,AZ,852064713,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,161.96,18.77,14.718333333,14.651666667
1003995457,ARASHAHI,ROBERT,B,M.D.,M,I,5652 E BASELINE RD,,MESA,AZ,852064713,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,646.64421053,86.526315789,67.837368421,55.353157895
1003995457,ARASHAHI,ROBERT,B,M.D.,M,I,5652 E BASELINE RD,,MESA,AZ,852064713,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.72,18.366666667,14.398333333,13.826666667
1003995499,HAYES,DAWN,M,M.D.,F,I,4948 SAN JUAN AVE,,FAIR OAKS,CA,956284606,US,Physician/Preventive Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,744,0.1572580645,0.0459677419,0.0359946237,0.0359946237
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1620,0.1351851852,0.1085185185,0.0827592593,0.0827592593
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,13,323,10.08,8.28,6.0590712074,6.0590712074
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,324,22.53,18.5,14.503981481,14.503981481
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,19,215,13.31,10.93,8.5689767442,8.5689767442
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,290,2.91,2.4,1.8816551724,1.8816551724
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,27,5450,0.1555963303,0.1272477064,0.0988256881,0.1009834862
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,23,2160,0.56,0.45,0.3528148148,0.3528148148
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,14,18,135.04333333,95.87,75.165555556,75.165555556
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,11,24,300,27.42,25.112,19.687866667,19.2459
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,12,23,205,8.7926829268,7.7482926829,6.0746341463,6.3592195122
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,49.24,11.039230769,8.6538461538,10.32
1003995580,SIRENNE,DENISE,,CRNP,F,I,200 MEMORIAL AVENUE,CARROLL HOSPITAL CENTER,WESTMINSTER,MD,21157,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,11,26,26,1716.46,726.17269231,569.31346154,507.15076923
1003995648,YAN,QINGWEI,R,M.D.,M,I,3100 TELEGRAPH AVE,SUITE 3000,OAKLAND,CA,946093210,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,2274,0.3380211082,0.13,0.0911961302,0.0911961302
1003995648,YAN,QINGWEI,R,M.D.,M,I,3100 TELEGRAPH AVE,SUITE 3000,OAKLAND,CA,946093210,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,46,4734,3.60373891,1.7261977186,1.2504140262,1.4631643431
1003995648,YAN,QINGWEI,R,M.D.,M,I,3100 TELEGRAPH AVE,SUITE 3000,OAKLAND,CA,946093210,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,48,19.23375,10.93,7.319375,7.319375
1003995648,YAN,QINGWEI,R,M.D.,M,I,3100 TELEGRAPH AVE,SUITE 3000,OAKLAND,CA,946093210,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,48,13.07125,7.35,5.6416666667,5.7160416667
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,34,34,126.95,38.637647059,27.614411765,27.809411765
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,19,51,118,7.4718644068,1.38,1.0109322034,1.0772881356
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,21,23,23,77.008695652,14.37,11.268695652,9.4904347826
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,39,70,71,226.43225352,85.601549296,63.341690141,64.045915493
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,24,43,83,67.599638554,31.943855422,24.555903614,25.36746988
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,13,22,111,43.207747748,17.41,13.226846847,14.051891892
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,47,97,97,167.63391753,55.05,40.42814433,40.152680412
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,77,98,98,50.503061224,18.276836735,13.303979592,13.069591837
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,14,14,13.786428571,10.7,7.7907142857,7.585
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,66,117,117,58.908632479,11.507179487,8.4383760684,8.5323076923
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,79,159,852,6.2931690141,1.9450704225,1.4119366197,1.4775821596
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,27,27,15.737037037,6.12,4.2666666667,4.1577777778
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,36,47,47,36.160638298,14.368297872,10.805957447,9.9612765957
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,41,221,247,42.90194332,17.250404858,12.888340081,12.905101215
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,15,15,137.09933333,47.39,31.197333333,31.629333333
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2200,1074.31,837.405,837.405
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,26,28,250.87607143,88.796785714,66.476428571,65.835357143
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,24,24,24,305.15458333,131.94,96.93,98.099166667
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,16,65,77,46.343246753,11.823766234,8.597012987,8.7025974026
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,21,133,137,48.772262774,5.6472262774,4.227080292,3.5706569343
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,52,307,329,129.25136778,32.930668693,23.771702128,23.545075988
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,68,411,451,264.1018847,79.768359202,59.293614191,52.67232816
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,108,118,224.68237288,35.63,27.219915254,28.675932203
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,154.71428571,57,44.69,44.69
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,20,144,8640,16.27190162,9.6225277778,7.4209340278,7.4209340278
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,26,93,17466,0.2707288446,0.0461559602,0.0343896714,0.0343896714
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,49,5610,0.9460909091,0.1348074866,0.0998734403,0.0998734403
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,21,147,8820,12.428810658,3.0196666667,2.3674421769,2.3674421769
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,47,2033,1.7023216921,0.219267093,0.1706640433,0.1706640433
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,230.92275862,35.63,26.882758621,28.421724138
1003995689,GANDHI,RAVINDER,,M.D.,M,I,2025 FORD AVE,,WYANDOTTE,MI,481922312,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,43,229,229,109.51965066,33,25.238165939,25.238165939
1003995697,SURA,PRASHANT,,M.D.,M,I,4309 W MEDICAL CENTER DR STE A102,,MCHENRY,IL,600508436,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,478.08833333,78.09,61.22,55.090555556
1003995713,KO,TAK MING,,MD,M,I,2480 S WOODWORTH LOOP STE 180,,PALMER,AK,996457408,US,Physician/General Surgery,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,7.378,4.91,2.7992727273,2.7992727273
1003995713,KO,TAK MING,,MD,M,I,2480 S WOODWORTH LOOP STE 180,,PALMER,AK,996457408,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,180,11.864166667,7,5.488,5.488
1003995713,KO,TAK MING,,MD,M,I,2480 S WOODWORTH LOOP STE 180,,PALMER,AK,996457408,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,500,0.44724,0.272,0.18702,0.18582
1003995754,MULLER,JEFFERY,A,M.D.,M,I,341 MAGNOLIA AVE STE 201,,CORONA,CA,928793332,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,48,54.495625,8.32,6.5220833333,6.5220833333
1003995754,MULLER,JEFFERY,A,M.D.,M,I,341 MAGNOLIA AVE STE 201,,CORONA,CA,928793332,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,19,14.544736842,1.42,1.1136842105,1.1136842105
1003995754,MULLER,JEFFERY,A,M.D.,M,I,341 MAGNOLIA AVE STE 201,,CORONA,CA,928793332,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,636.40444444,79.22,62.11,57.6
1003995754,MULLER,JEFFERY,A,M.D.,M,I,341 MAGNOLIA AVE STE 201,,CORONA,CA,928793332,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,64.285714286,22.873571429,16.34,13.047142857
1003995754,MULLER,JEFFERY,A,M.D.,M,I,341 MAGNOLIA AVE STE 201,,CORONA,CA,928793332,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37.15,29.13,29.51
1003996042,TZELLAS,ANDREW,,M.D,M,I,85 LAFAYETTE STREET,COMMUINITY HEALTH CENTER INC,NEW BRITAIN,CT,06051,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,52,152,55.58375,8.32,5.8351973684,5.8351973684
1003996042,TZELLAS,ANDREW,,M.D,M,I,85 LAFAYETTE STREET,COMMUINITY HEALTH CENTER INC,NEW BRITAIN,CT,06051,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.956363636,3.38,2.3618181818,2.3618181818
1003996042,TZELLAS,ANDREW,,M.D,M,I,85 LAFAYETTE STREET,COMMUINITY HEALTH CENTER INC,NEW BRITAIN,CT,06051,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,24,46,14.108913043,1.42,1.0656521739,1.0656521739
1003996042,TZELLAS,ANDREW,,M.D,M,I,85 LAFAYETTE STREET,COMMUINITY HEALTH CENTER INC,NEW BRITAIN,CT,06051,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2080,0.6954807692,0.0447451923,0.03175,0.03175
1003996042,TZELLAS,ANDREW,,M.D,M,I,85 LAFAYETTE STREET,COMMUINITY HEALTH CENTER INC,NEW BRITAIN,CT,06051,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,90.899285714,49.331428571,36.571428571,29.233571429
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,283.10142857,124.26,97.418571429,70.835
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,25,90.0196,45.966,36.0368,27.7232
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,178.91571429,71.785714286,52.914285714,43.457142857
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,45.61,25.584615385,17.96,12.692307692
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,35.3,19.004545455,14.897272727,10.171818182
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,24,140,5.4651428571,2.7942857143,2.0391428571,1.546
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,174.7292,50.6668,35.932,22.4416
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,37,397.43027027,101.90540541,78.280540541,55.44
1003996240,ABREU,JOSEPH,E,MD,M,I,1215 NEW LITCHFIELD STREET,,TORRINGTON,CT,06790,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,87.99,44.745,34.465,29.494166667
1003996380,SAMBELL,ANDREW,C,M.D.,M,I,801 W INTERSTATE 20 STE 1,,ARLINGTON,TX,760175851,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,6390,0.211971831,0.13,0.0976197183,0.0976197183
1003996380,SAMBELL,ANDREW,C,M.D.,M,I,801 W INTERSTATE 20 STE 1,,ARLINGTON,TX,760175851,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,22,15.273636364,15.273636364,9.8145454545,12.070454545
1003996380,SAMBELL,ANDREW,C,M.D.,M,I,801 W INTERSTATE 20 STE 1,,ARLINGTON,TX,760175851,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,16,69,17960,3.602045657,2.0391314031,1.5068001114,1.5073234967
1003996380,SAMBELL,ANDREW,C,M.D.,M,I,801 W INTERSTATE 20 STE 1,,ARLINGTON,TX,760175851,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,20,9.29,9.29,6.552,7.8715
1003996448,SHETH,RITA,,MD,F,I,11175 CAMPUS ST,,LOMA LINDA,CA,923501700,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,2310,10.032207792,0.5754155844,0.4511298701,0.4511298701
1003996448,SHETH,RITA,,MD,F,I,11175 CAMPUS ST,,LOMA LINDA,CA,923501700,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,6450,0.0775348837,0.0134666667,0.0087658915,0.0087658915
1003996448,SHETH,RITA,,MD,F,I,11175 CAMPUS ST,,LOMA LINDA,CA,923501700,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,24,24,17.565333333,17.565333333
1003996448,SHETH,RITA,,MD,F,I,11175 CAMPUS ST,,LOMA LINDA,CA,923501700,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,38,16,16,12.542894737,12.542894737
1003996521,ISOM,ADOLPH,,MD,M,I,3280 DAUPHIN ST,"BUILDING B, SUITE 118",MOBILE,AL,366064060,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,113.83909091,73.514545455,57.635454545,44.940909091
1003996521,ISOM,ADOLPH,,MD,M,I,3280 DAUPHIN ST,"BUILDING B, SUITE 118",MOBILE,AL,366064060,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,83.062857143,22.686190476,14.03,10.945238095
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,50,194,44.971134021,8.32,6.1192783505,6.1192783505
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,12.802105263,3.38,2.65,2.65
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,37,82,12.05695122,1.42,1.0862195122,1.0862195122
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,330,24.147272727,5.31,3.6751212121,3.6751212121
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,177.03833333,50.625,39.691666667,40.125833333
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,45.17,17.27,11.734666667,11.734666667
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,25.677692308,4.8661538462,3.6379487179,3.4717948718
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,64,64,243.14953125,71.4240625,45.91171875,45.27890625
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,89.082307692,20.22,15.85,15.305384615
1003996547,GALONSKY,BRUCE,W,MD,M,I,363 FREMONT STREET,SUITE 203,BATTLE CREEK,MI,49017,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,57.017179487,36.14,23.452051282,24.56025641
1003996794,BHATIA,HARISH,,M.D.,M,I,6300 159TH ST STE C,,OAK FOREST,IL,604522779,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,71,79.213380282,8.32,5.3283098592,5.3283098592
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,90,40,31.36,30.49
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,309,88.43,59.425714286,58.148571429
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,42,112,34,23.125714286,22.386666667
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,12,26,147,99,19.457755102,15.254897959,14.551632653
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,14,28,28,179,56.272857143,44.117857143,42.86
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,17,23,23,76,19.686956522,15.435217391,14.06
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,12,13,13,30,10.5,8.2292307692,8.15
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,11,26,26,79,13.438076923,10.533846154,9.12
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,17,42,252,8,2.1254761905,1.6661904762,1.5917063492
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,15,22,22,22,6.0395454545,4.7295454545,4.65
1003996844,HAMZA,MOHSEN,M,M.D.,M,I,11600 WILSHIRE BLVD,SUITE # 420,LOS ANGELES,CA,900255781,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,11,49,49,252,34.528979592,25.895102041,24.905918367
1003996935,SHARP,CHRISTOPHER,D,MD,M,I,900 BLAKE WILBUR DR,,PALO ALTO,CA,943042201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,31,82.745806452,8.32,5.8903225806,5.8903225806
1003996984,PERSSON,SUSAN,L,PA C,F,I,7 ATKINSON DR STE 111,,LUDINGTON,MI,494311953,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,40,144,64.887638889,8.32,6.2055555556,6.2055555556
1003996984,PERSSON,SUSAN,L,PA C,F,I,7 ATKINSON DR STE 111,,LUDINGTON,MI,494311953,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,30,9.199,1.42,1.0756666667,1.0756666667
1003996984,PERSSON,SUSAN,L,PA C,F,I,7 ATKINSON DR STE 111,,LUDINGTON,MI,494311953,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,73.025853659,22.057073171,16.199756098,12.54
1003996984,PERSSON,SUSAN,L,PA C,F,I,7 ATKINSON DR STE 111,,LUDINGTON,MI,494311953,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,35.05,7.9045454545,6.1945454545,3.6854545455
1003996984,PERSSON,SUSAN,L,PA C,F,I,7 ATKINSON DR STE 111,,LUDINGTON,MI,494311953,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,486.10630435,94.917826087,67.399782609,48.261086957
1003996984,PERSSON,SUSAN,L,PA C,F,I,7 ATKINSON DR STE 111,,LUDINGTON,MI,494311953,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2422,0.209566474,0.0454748142,0.0322502064,0.0322460776
1003996984,PERSSON,SUSAN,L,PA C,F,I,7 ATKINSON DR STE 111,,LUDINGTON,MI,494311953,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,119.625,33,24.792083333,24.792083333
1003997115,COUGHLAN,ANN,M,M.D.,F,I,5 MILES CENTER WAY,UNIT 1,DAMARISCOTTA,ME,045434067,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,44,100,59.925,8.32,5.7388,5.7388
1003997115,COUGHLAN,ANN,M,M.D.,F,I,5 MILES CENTER WAY,UNIT 1,DAMARISCOTTA,ME,045434067,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,21,12.556190476,1.42,1.0638095238,1.0638095238
1003997438,PAPAMICHAEL,MICHAEL,J,M.D.,M,I,4401 FRANCIS LEWIS BLVD,,BAYSIDE,NY,113613028,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,45,76.354888889,8.32,5.9417777778,5.9417777778
1003997479,ARUN,ANURADHA,A,M.D.,F,I,9801 GEORGIA AVE,SUITE 224,SILVER SPRING,MD,209025276,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,34,65,226,68.202876106,8.32,5.9919911504,5.9919911504
1003997479,ARUN,ANURADHA,A,M.D.,F,I,9801 GEORGIA AVE,SUITE 224,SILVER SPRING,MD,209025276,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1003997479,ARUN,ANURADHA,A,M.D.,F,I,9801 GEORGIA AVE,SUITE 224,SILVER SPRING,MD,209025276,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,26,45,86,13.728023256,1.42,1.0747674419,1.0747674419
1003997479,ARUN,ANURADHA,A,M.D.,F,I,9801 GEORGIA AVE,SUITE 224,SILVER SPRING,MD,209025276,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.532727273,10.558181818,4.0327272727,5.6927272727
1003998147,GUADIZ,RAMON,A,M.D.,M,I,3625 MARTIN LUTHER KING JR BLVD,SUITE 2,LYNWOOD,CA,902623509,US,Physician/Neurology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,48,65.184375,8.32,6.2508333333,6.2508333333
1003998147,GUADIZ,RAMON,A,M.D.,M,I,3625 MARTIN LUTHER KING JR BLVD,SUITE 2,LYNWOOD,CA,902623509,US,Physician/Neurology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,5130,3.5127017544,0.5682865497,0.4375087719,0.4375087719
1003998147,GUADIZ,RAMON,A,M.D.,M,I,3625 MARTIN LUTHER KING JR BLVD,SUITE 2,LYNWOOD,CA,902623509,US,Physician/Neurology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,5040,2.7779007937,1.226952381,0.9168869048,0.9168869048
1003998147,GUADIZ,RAMON,A,M.D.,M,I,3625 MARTIN LUTHER KING JR BLVD,SUITE 2,LYNWOOD,CA,902623509,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,24,24,18.24969697,18.24969697
1003998147,GUADIZ,RAMON,A,M.D.,M,I,3625 MARTIN LUTHER KING JR BLVD,SUITE 2,LYNWOOD,CA,902623509,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,27,16,16,12.54,12.54
1003998345,SHERMAN,STEVEN,,MD,M,I,9599 MORITZ WAY,,DELRAY BEACH,FL,334463686,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,50.8804,21.3372,16.7312,15.4192
1003998345,SHERMAN,STEVEN,,MD,M,I,9599 MORITZ WAY,,DELRAY BEACH,FL,334463686,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,20.62,9.6358333333,7.555,7.5766666667
1003998386,RUNNING,CHARLES,R,M.D.,M,I,13900 W NATIONAL AVE,PROHEALTH CARE MEDICAL ASSOCIATES INC,NEW BERLIN,WI,531519515,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,98,59.665816327,8.32,6.1232653061,6.1232653061
1003998386,RUNNING,CHARLES,R,M.D.,M,I,13900 W NATIONAL AVE,PROHEALTH CARE MEDICAL ASSOCIATES INC,NEW BERLIN,WI,531519515,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,26,16.516538462,1.42,1.0715384615,1.0715384615
1003998386,RUNNING,CHARLES,R,M.D.,M,I,13900 W NATIONAL AVE,PROHEALTH CARE MEDICAL ASSOCIATES INC,NEW BERLIN,WI,531519515,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,394,79.98,56.025,48.71
1003998519,SCHULTEIS-WILSON,JANELL,R,M.D.,F,I,N84W16889 MENOMONEE AVE,,MENOMONEE FALLS,WI,530512810,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,28,70,78.143285714,8.32,6.0561428571,6.0561428571
1003998642,MICHAELS,ANTHONY,J,MD,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,15,102,12300,5.5548861789,0.5620406504,0.4093357724,0.4344065041
1003998642,MICHAELS,ANTHONY,J,MD,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Gastroenterology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2235,0.0741700224,0.0124697987,0.0097852349,0.0097852349
1003998642,MICHAELS,ANTHONY,J,MD,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1290,2.964875969,0.7434883721,0.582875969,0.582875969
1003998642,MICHAELS,ANTHONY,J,MD,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,15,92,12520,5.4074193291,2.8361964856,2.0350511182,2.2187220447
1003998642,MICHAELS,ANTHONY,J,MD,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Gastroenterology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,2,,24,7200,11.008633333,8.4879833333,6.6545833333,6.6545833333
1003998642,MICHAELS,ANTHONY,J,MD,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,108,108,24,24,18.82,18.82
1003998642,MICHAELS,ANTHONY,J,MD,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,18,126,142,16,16,12.452394366,12.452394366
1003998709,KAPLAN,BARRY,H,"M.D., PHD",M,I,176-60 UNION TURNPIKE,SUITE 360,FRESH MEADOWS,NY,11366,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.74,60.95,54.73
1003998709,KAPLAN,BARRY,H,"M.D., PHD",M,I,176-60 UNION TURNPIKE,SUITE 360,FRESH MEADOWS,NY,11366,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,35,1582,71.788615676,4.9593299621,3.8815423515,3.8815423515
1003998709,KAPLAN,BARRY,H,"M.D., PHD",M,I,176-60 UNION TURNPIKE,SUITE 360,FRESH MEADOWS,NY,11366,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,24,24,18.82,18.82
1003998709,KAPLAN,BARRY,H,"M.D., PHD",M,I,176-60 UNION TURNPIKE,SUITE 360,FRESH MEADOWS,NY,11366,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,16,16,12.54,12.54
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,72.96,19.686153846,15.431538462,15.431538462
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,40,93,71.997849462,8.32,6.1017204301,6.1017204301
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,110,4.323,4.21,3.301,3.301
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,31,62,6.9085483871,1.48,1.0851612903,1.0767741935
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,2.39,2.33,1.82,1.82
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,3.894,3.81,2.987,2.987
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3500,3.06564,0.3673571429,0.2880114286,0.2890885714
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,122.27,43.694545455,27.204545455,27.410909091
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,269.75882353,95.136470588,71.072941176,57.975294118
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,5200,37.650773077,14.040307692,11.007598077,11.007598077
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6593571429,7.5265833333,7.5265833333
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,38,11839,0.3750375876,0.0457884956,0.0330120787,0.0330120787
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,34,2040,12.292848039,3.0176176471,2.3658382353,2.3658382353
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,702,3.092977208,0.2191452991,0.1718233618,0.1718233618
1003998816,CAREY,TERENCE,L,M.D.,M,I,7125 S BRADEN AVE,,TULSA,OK,741366302,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,53,53,64.754716981,33,25.381886792,25.381886792
1003998832,PREISLER,GARY,L,,M,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,63,146,77.900958904,8.32,5.5280136986,5.5280136986
1003998832,PREISLER,GARY,L,,M,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,17,23,17.907391304,1.42,0.9713043478,0.9713043478
1003998832,PREISLER,GARY,L,,M,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,166.63384615,45.377692308,24.126923077,24.757692308
1003998832,PREISLER,GARY,L,,M,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1003998840,GOVINDARAJU,KANAKADURGA,,MD,F,I,147 ELMHURST,SUITE 200,KYLE,TX,786406119,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,35,95,43.935578947,8.0764210526,6.3316842105,6.5228421053
1003998840,GOVINDARAJU,KANAKADURGA,,MD,F,I,147 ELMHURST,SUITE 200,KYLE,TX,786406119,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.265,3.38,2.65,2.65
1003998840,GOVINDARAJU,KANAKADURGA,,MD,F,I,147 ELMHURST,SUITE 200,KYLE,TX,786406119,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,26,10.569230769,1.42,1.1130769231,1.1130769231
1003998873,KELLEY,DIANE,L,CRNP,F,I,1276 NORTH LOCUST AVE.,FIRST FLOOR SUITE D,FLORENCE,AL,356334425,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,13,52,56,59.611607143,4.85,3.6830357143,3.6805357143
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,67,141,53.812624113,8.32,5.8462411348,5.8462411348
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.384615385,3.38,2.65,2.65
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,38,53,14.243584906,1.42,1.0305660377,1.0305660377
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,37,17.41,13.65,13.65
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,54.5,35.608333333,34.841666667
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50,34.365,32.926666667
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,79.3,62.17,62.17
1003998964,CLEMENCY,KAREN,A,MD,F,I,1020 DENNISON AVE,SUITE 200,COLUMBUS,OH,432013497,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,6294,0.2150953289,0.0483269781,0.0316968541,0.0316968541
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,120,312,756,64.437473545,8.32,5.9680291005,5.9680291005
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,13.92,3.38,2.65,2.65
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,20.506666667,2.12,1.67,1.67
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,45,84,128,15.35484375,1.42,1.028046875,1.028046875
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,2340,3.1623076923,1.73,1.295008547,1.538034188
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,23,23,78.623478261,52.135217391,40.877391304,32.557826087
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,37,37,74,81.094864865,71.533243243,55.068648649,55.089594595
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,29,29,174,35.398275862,29.176206897,22.874195402,22.886551724
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,17,30,5.543,2.1,1.561,1.1426666667
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,31,58,58,270.29517241,122.48534483,88.425862069,64.976551724
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,29,60,106,111.045,46.313773585,34.441981132,25.322264151
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,16,32,119,73.931176471,24.91,17.095210084,12.611932773
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,16,33,121,45.206115702,20.25661157,14.747024793,11.280743802
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,38,72,72,176.70236111,76.24875,55.395555556,41.204305556
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,59,78,78,55.025128205,24.542051282,17.697435897,13.223461538
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,50,92,92,62.402282609,20.566304348,15.307065217,9.0861956522
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,60,109,534,8.2334456929,3.2683895131,2.4764044944,1.6560486891
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,23,29,29,18.171034483,8.225862069,6.0996551724,4.6331034483
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,31,39,39,29.063076923,15.652307692,11.121282051,9.6171794872
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,10,21,21,21,130.17285714,66.99047619,52.521428571,40.039047619
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,10,13,13,13,28.928461538,18.825384615,14.759230769,12.630769231
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,133.88416667,77.773333333,60.973333333,47.944166667
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,22,22,210.22727273,66.856363636,48.721818182,34.497272727
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,111,111,50.635135135,22.224594595,16.33027027,13.263783784
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,20,20,101.1155,56.957,40.5305,33.867
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,299.73684211,130.15578947,102.04052632,81.385789474
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,15,74,74,24.776081081,7.9385135135,6.0267567568,3.6998648649
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,20,117,120,158.07516667,47.232916667,33.013916667,22.8275
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,12,12,12,40.625,38.4075,27.1,57.71
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,132.99076923,68.887692308,54.006923077,39.777692308
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,34,238,238,320.57,99.749495798,73.305,58.760840336
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,48,10620,0.2646318267,0.0463502825,0.0321365348,0.03213371
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,12,1200,1.5290333333,0.12575,0.0872333333,0.0872333333
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,13,60,60,87.290333333,28.698333333,21.380166667,14.722666667
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,125.65217391,48.734347826,36.762608696,26.700434783
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,114.85931034,34.517931034,25.984827586,18.935517241
1003999251,BUTLER,DANNY,N,MD,M,I,2603 KENTUCKY AVENUE,SUITE 303,PADUCAH,KY,42003,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,15,52,52,48.452884615,33,23.3825,23.3825
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,38,100,54.3466,8.32,5.2418,5.2418
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,10.611904762,1.42,0.9,0.9
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,19,8.6757894737,2.0789473684,1.63,1.1878947368
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,54.236153846,5.5776923077,4.3746153846,4.37
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,117.48166667,31.546666667,21.641666667,21.214444444
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,558.04285714,70.23,55.06,54.768571429
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,269.13666667,37.44,29.35,29.501111111
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1530,1.2669934641,0.1363921569,0.103379085,0.103379085
1003999459,STEPHENS,MATILDA,E,FNP,F,I,3400 MEDICAL PARK DR STE B,,MONROE,LA,712032300,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,102.3,33,25.59,25.59
1003999715,ROBINSON,RUSSELL,L,MD,M,I,235 SW DADE ST,,MADISON,FL,323402363,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,46,73.849565217,8.32,5.6730434783,5.6730434783
1003999715,ROBINSON,RUSSELL,L,MD,M,I,235 SW DADE ST,,MADISON,FL,323402363,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,129.12166667,82.803333333,60.986666667,41.4225
1003999715,ROBINSON,RUSSELL,L,MD,M,I,235 SW DADE ST,,MADISON,FL,323402363,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,38.054545455,22.864545455,17.009090909,9.25
1003999715,ROBINSON,RUSSELL,L,MD,M,I,235 SW DADE ST,,MADISON,FL,323402363,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,46,5.7645652174,3.2726086957,2.4567391304,1.5389130435
1003999715,ROBINSON,RUSSELL,L,MD,M,I,235 SW DADE ST,,MADISON,FL,323402363,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,151.6375,51.49375,33.095833333,19.634583333
1003999756,STEVENSON,CHARLES,G,OD,M,I,770 HWY 331 SOUTH,SUITE 1,DEFUNIAK SPRINGS,FL,32435,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,98.285714286,73.97,54.260952381,49.273809524
1003999756,STEVENSON,CHARLES,G,OD,M,I,770 HWY 331 SOUTH,SUITE 1,DEFUNIAK SPRINGS,FL,32435,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,24,46,54,49.57,36.335,40.059565217
1003999756,STEVENSON,CHARLES,G,OD,M,I,770 HWY 331 SOUTH,SUITE 1,DEFUNIAK SPRINGS,FL,32435,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,31,24.677419355,16.793548387,12.337419355,12.959032258
1003999780,ERLACHER,GRAHAM,H,M.D.,M,I,98 DOCTORS DR STE 200,,SYLVA,NC,287794502,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,23,105,59.967047619,8.32,6.2122857143,6.2122857143
1003999780,ERLACHER,GRAHAM,H,M.D.,M,I,98 DOCTORS DR STE 200,,SYLVA,NC,287794502,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.909090909,3.38,2.65,2.65
1003999780,ERLACHER,GRAHAM,H,M.D.,M,I,98 DOCTORS DR STE 200,,SYLVA,NC,287794502,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,40,15.927,1.42,1.114,1.114
1013000173,RAYALA,CHRISTOPHER,Z,M.D.,M,I,10950 CHAPEL HILL RD,,MORRISVILLE,NC,275608852,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,23,70,76.57,8.32,5.9625714286,5.9625714286
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,7.0172727273,3,2.352,2.3548484848
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4950,2.36,0.3,0.2352,0.2366262626
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,54,54,156.78592593,47.777777778,36.151111111,36.102037037
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,135.57076923,44.830769231,35.140769231,36.013076923
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,47.66,31.500909091,24.697272727,28.870909091
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,24.01,8.8972727273,6.6709090909,8.3513636364
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,65.280909091,15.14,9.8890909091,12.405454545
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,21.053636364,16.504545455,21.773636364
1013000272,WOLF-KLEIN,GISELE,,MD,F,I,2800 MARCUS AVE,SUITE 200,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,21.546666667,6.825,4.5291666667,5.8991666667
1013000538,BHATIA,RAJA,S,DO,M,I,2334 RICHMOND RD,,STATEN ISLAND,NY,103062346,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,67,84.547761194,8.32,6.3262686567,6.3262686567
1013000538,BHATIA,RAJA,S,DO,M,I,2334 RICHMOND RD,,STATEN ISLAND,NY,103062346,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,18,11.026111111,1.42,1.1144444444,1.1144444444
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,30,5.8146666667,0.51,0.4,0.4
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,55,136,402,1343,55.643239017,8.3083320923,6.2163142219,6.225465376
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,34,74,74,12.096486486,3.38,2.6141891892,2.6141891892
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,30,37,37,20.067567568,2.12,1.67,1.67
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,35,73,164,322,18.530807453,1.42,1.0689130435,1.0689130435
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,17,17,34,73.131176471,71.094117647,55.737941176,55.965882353
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,80,29.50425,28.98,22.7205,22.839
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,14,14,14,166.35071429,45.667142857,35.802857143,55.497142857
1013000629,NELSON,PEGGY,,M.D.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,690.05470588,250.94941176,196.74411765,196.86941176
1013000769,MLNARIK,JASON,M,DO,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,25,117.5676,117.5676,84.8792,94.614
1013000769,MLNARIK,JASON,M,DO,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,735.65,730.48615385,572.70153846,488.01538462
1013000769,MLNARIK,JASON,M,DO,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,444.11,443.89545455,348.01181818,343.74
1013000769,MLNARIK,JASON,M,DO,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,52,55,55,53.414545455,53.2,40.193272727,44.706727273
1013000769,MLNARIK,JASON,M,DO,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,270.56941176,266.98,209.31,218.32647059
1013000801,WILSON,MICHAEL,D,MD,M,I,1104 PROFESSIONAL BLVD,,DALTON,GA,307202588,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,519.51,70.17,55.02,54.756363636
1013000801,WILSON,MICHAEL,D,MD,M,I,1104 PROFESSIONAL BLVD,,DALTON,GA,307202588,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,20,22,108.50590909,53.2,41.71,46.139090909
1013000868,GREEN,MONITA,Y,M.D.,F,I,232 HOSPITAL DR,SUITE A,UKIAH,CA,954824562,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,40,107,73.462149533,8.32,5.8521495327,5.8521495327
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,55,158,424,60.62245283,8.32,5.3955896226,5.3955896226
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.927692308,3.38,2.65,2.65
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,31,71,101,13.835940594,1.42,1.0166336634,1.0166336634
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,412.71142857,95.145,64.861428571,58.156428571
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,31,166.06677419,37.110967742,25.790645161,22.614193548
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,63,60.512222222,15.404603175,11.446349206,11.274761905
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,25,25,216.3908,55.632,41.8496,41.2348
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,22,22,73.475,18.552272727,13.26,12.781818182
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,31,31,76.065483871,12.364516129,8.9322580645,8.4135483871
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,31,169,9.7997633136,2.1373964497,1.5646153846,1.4873372781
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,70.865,13.5775,9.7783333333,9.4783333333
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,55,55,60.875454545,19.178181818,13.271272727,12.815818182
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,48,48,56.37125,4.5672916667,3.2689583333,3.0904166667
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,52,52,553.25903846,32.030576923,18.833076923,18.822884615
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,22,160,161,355.89732919,72.89689441,52.598757764,50.197763975
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,250,38.68,28.635555556,27.960555556
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,51,5063,1.2745269603,0.1326703535,0.0942208177,0.0942208177
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,60,20.747096774,14.792258065,12.254193548
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,135.6936,38.68,29.7136,28.9522
1013000892,CLARK,ROBERT,C,M.D.,M,I,901 HEARTLAND RD,STE 3800,SAINT JOSEPH,MO,645066200,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,43,43,51.418604651,33,23.710232558,23.710232558
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,32,91,238,40.260546218,8.32,6.0013445378,6.0013445378
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,11.649565217,3.38,2.5347826087,2.5347826087
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,20.306153846,2.12,1.67,1.67
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,48,84,12.108452381,1.42,1.0347619048,1.0347619048
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,45,22.212307692,16.839230769,13.241153846
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,35,6.8819230769,5.1165384615,3.2492307692
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,320,104.5025,80.0646875,54.2853125
1013001189,JONES,MATTHEW,B,M.D.,M,I,30 CIRCLE J DR,SUITE 1,LAUREL,MS,394401980,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,39.795833333,30.1725,20.035833333
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,30,72,256,58.168242188,8.32,6.29859375,6.29859375
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,24,39,14.243076923,1.42,1.0574358974,1.0574358974
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,112.73769231,38.89,26.546923077,26.546923077
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,56,55.920714286,15.421428571,12.091071429,12.091071429
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,15,19,19,170.72894737,58.496842105,43.596315789,43.304736842
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,19,19,52.119473684,19.110526316,13.867894737,13.891578947
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,24,117,6.1678632479,2.0776068376,1.5475213675,1.5457264957
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,584.00355556,31.286888889,21.663555556,20.946444444
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,38,279.66447368,71.846052632,52.005526316,51.475
1013001437,ALOFF,JENNIFER,R,M.D.,F,I,920 WEST WACKERLY STREET,,MIDLAND,MI,48640,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,80.905,19.256666667,15.093333333,14.593333333
1013001544,MARTIN,BRADFORD,S,FNP-C,M,I,2500 NORTH STATE STREET,DEPARTMENT OF ORTHOPEDICS,JACKSON,MS,392164505,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,24.648,10.128666667,7.7046666667,7.2363333333
1013001544,MARTIN,BRADFORD,S,FNP-C,M,I,2500 NORTH STATE STREET,DEPARTMENT OF ORTHOPEDICS,JACKSON,MS,392164505,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,113.82978723,23.832553191,17.000425532,12.833829787
1013001544,MARTIN,BRADFORD,S,FNP-C,M,I,2500 NORTH STATE STREET,DEPARTMENT OF ORTHOPEDICS,JACKSON,MS,392164505,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,25.135135135,10.64027027,7.9332432432,6.2862162162
1013001619,PLISS,LAWRENCE,B,M.D.,M,I,91 CAMP STREET,,HYANNIS,MA,02601,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,86.31,17.25,13.52,13.54
1013001619,PLISS,LAWRENCE,B,M.D.,M,I,91 CAMP STREET,,HYANNIS,MA,02601,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,147.2716,34.9608,27.4064,26.4876
1013001619,PLISS,LAWRENCE,B,M.D.,M,I,91 CAMP STREET,,HYANNIS,MA,02601,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,19,128,136,389.99227941,69.62,54.59,54.704264706
1013001619,PLISS,LAWRENCE,B,M.D.,M,I,91 CAMP STREET,,HYANNIS,MA,02601,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,65,65,201.53846154,39.68,31.11,29.559230769
1013001619,PLISS,LAWRENCE,B,M.D.,M,I,91 CAMP STREET,,HYANNIS,MA,02601,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1365,0.3158168498,0.0446227106,0.034996337,0.034996337
1013001619,PLISS,LAWRENCE,B,M.D.,M,I,91 CAMP STREET,,HYANNIS,MA,02601,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,55.833333333,39.68,31.11,29.576666667
1013001619,PLISS,LAWRENCE,B,M.D.,M,I,91 CAMP STREET,,HYANNIS,MA,02601,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,38.125,33,25.87,25.87
1013001759,KLAPOWITZ,JULIAN,M,M.D.,M,I,178 E 85TH ST,,NEW YORK,NY,100282119,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,61,66.781639344,8.32,5.5616393443,5.5616393443
1013001775,NELSON,HEATHER,B,PA-C,F,I,400 AVENUE K SE,SUITE 11,WINTER HAVEN,FL,338804146,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,34,66.280294118,8.32,5.7544117647,5.7544117647
1013001775,NELSON,HEATHER,B,PA-C,F,I,400 AVENUE K SE,SUITE 11,WINTER HAVEN,FL,338804146,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,4.6384615385,3.64,3.8969230769
1013001775,NELSON,HEATHER,B,PA-C,F,I,400 AVENUE K SE,SUITE 11,WINTER HAVEN,FL,338804146,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,81.5,63.9,54.73
1013001841,HAAS,LAURIE,,MD,F,I,160 N EAGLE CREEK DR,SUITE 202,LEXINGTON,KY,405092121,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,450,8.6982222222,5.74,4.2517111111,4.2517111111
1013001841,HAAS,LAURIE,,MD,F,I,160 N EAGLE CREEK DR,SUITE 202,LEXINGTON,KY,405092121,US,Physician/Gastroenterology,S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,460,4.7234347826,3.13,2.3473043478,2.3473043478
1013001841,HAAS,LAURIE,,MD,F,I,160 N EAGLE CREEK DR,SUITE 202,LEXINGTON,KY,405092121,US,Physician/Gastroenterology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1325,0.4537584906,0.27,0.2116603774,0.2116603774
1013001841,HAAS,LAURIE,,MD,F,I,160 N EAGLE CREEK DR,SUITE 202,LEXINGTON,KY,405092121,US,Physician/Gastroenterology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,725,0.4891586207,0.24,0.1881931034,0.21
1013002435,ANDERSON,ALBERT,R,MD,M,I,81767 DR CARREON BLVD STE 102,,INDIO,CA,922015598,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,37,106,64.370943396,8.32,5.0450943396,5.0450943396
1013002435,ANDERSON,ALBERT,R,MD,M,I,81767 DR CARREON BLVD STE 102,,INDIO,CA,922015598,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.926153846,3.38,2.4461538462,2.4461538462
1013002435,ANDERSON,ALBERT,R,MD,M,I,81767 DR CARREON BLVD STE 102,,INDIO,CA,922015598,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,31,43,15.116046512,1.42,0.8027906977,0.8027906977
1013002435,ANDERSON,ALBERT,R,MD,M,I,81767 DR CARREON BLVD STE 102,,INDIO,CA,922015598,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,112.77,44.99,35.27,37.63
1013002435,ANDERSON,ALBERT,R,MD,M,I,81767 DR CARREON BLVD STE 102,,INDIO,CA,922015598,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1255.73,913.16,715.92,842.26
1013002435,ANDERSON,ALBERT,R,MD,M,I,81767 DR CARREON BLVD STE 102,,INDIO,CA,922015598,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,912.3325,912.3325,710.71333333,837.7025
1013002435,ANDERSON,ALBERT,R,MD,M,I,81767 DR CARREON BLVD STE 102,,INDIO,CA,922015598,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,507.036,79.22,62.11,54.73
1013002518,LAVOY,JEFFREY,R,M.D.,M,I,637 E MAIN ST,,MESA,AZ,852038791,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,54,39.997962963,8.32,6.2575925926,6.2575925926
1013002518,LAVOY,JEFFREY,R,M.D.,M,I,637 E MAIN ST,,MESA,AZ,852038791,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,15.983333333,1.42,1.0216666667,1.0216666667
1013002526,GREENE,LEE,H,M.D.,M,I,15300 JOG RD.,#205,DELRAY BEACH,FL,33446,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,70,68.986571429,8.32,6.5231428571,6.5231428571
1013002526,GREENE,LEE,H,M.D.,M,I,15300 JOG RD.,#205,DELRAY BEACH,FL,33446,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,71.927142857,18,13.102142857,12.613571429
1013002526,GREENE,LEE,H,M.D.,M,I,15300 JOG RD.,#205,DELRAY BEACH,FL,33446,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,44.6875,44.6875,35.035,36.2275
1013002526,GREENE,LEE,H,M.D.,M,I,15300 JOG RD.,#205,DELRAY BEACH,FL,33446,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,444.29888889,90.01,66.693888889,53.449444444
1013002526,GREENE,LEE,H,M.D.,M,I,15300 JOG RD.,#205,DELRAY BEACH,FL,33446,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,47.695555556,21.520555556,16.03,15.076666667
1013002526,GREENE,LEE,H,M.D.,M,I,15300 JOG RD.,#205,DELRAY BEACH,FL,33446,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,18.721818182,9.53,6.8690909091,6.4154545455
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,77.671818182,21.048181818,16.502727273,15.231818182
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,21.134545455,9.4163636364,7.3827272727,7.1227272727
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,350,117.67,92.26,102.51
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,2177,735.65,564.90307692,478.14230769
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,30,30,30,221,74.55,53.681,58.096666667
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1004,339.18,252.86727273,275.73727273
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,1072,362.05,277.27,259.68
1013002849,HAKIM,FARID,A,M.D.,M,I,10475 CENTURION PKWY N,SUITE 220,JACKSONVILLE,FL,322565003,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,48,50,51,790,267.22058824,208.36372549,217.5672549
1013002880,SAI,PADMAJA,,M.D.,F,I,61 MEMORIAL MEDICAL PKWY STE 2812,FLORIDA CANCER SPECIALISTS P L,PALM COAST,FL,321645999,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.79,13.16,13.53
1013002880,SAI,PADMAJA,,M.D.,F,I,61 MEMORIAL MEDICAL PKWY STE 2812,FLORIDA CANCER SPECIALISTS P L,PALM COAST,FL,321645999,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,519.51,79.2,59.8725,52.775357143
1013002880,SAI,PADMAJA,,M.D.,F,I,61 MEMORIAL MEDICAL PKWY STE 2812,FLORIDA CANCER SPECIALISTS P L,PALM COAST,FL,321645999,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,20,1732,55.858140878,5.016091224,3.7669457275,3.7669457275
1013002880,SAI,PADMAJA,,M.D.,F,I,61 MEMORIAL MEDICAL PKWY STE 2812,FLORIDA CANCER SPECIALISTS P L,PALM COAST,FL,321645999,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,24,91,56.535604396,42.52,33.336593407,30.923076923
1013002880,SAI,PADMAJA,,M.D.,F,I,61 MEMORIAL MEDICAL PKWY STE 2812,FLORIDA CANCER SPECIALISTS P L,PALM COAST,FL,321645999,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,16,22,394.71454545,318.83,247.25,262.27454545
1013002880,SAI,PADMAJA,,M.D.,F,I,61 MEMORIAL MEDICAL PKWY STE 2812,FLORIDA CANCER SPECIALISTS P L,PALM COAST,FL,321645999,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,15,15,24,24,18.82,18.82
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,7,1,0.4254545455,0.4254545455
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,57,169,413,62.214891041,8.3095399516,5.0167070218,5.0262711864
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,42,42,14.717142857,3.38,2.1452380952,2.1452380952
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,21.8175,2.12,1.356875,1.356875
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,36,69,90,15.314444444,1.42,0.8426666667,0.8426666667
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,320,5.629875,5.198125,3.69046875,3.82371875
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,97,99.982268041,25.474639175,18.981030928,13.651443299
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,272.99,76.9655,58.503,41.023
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,86.365833333,24.7,19.3625,14.06
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,21,21,93.19952381,20.649047619,16.188095238,9.12
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,20,108,12.284444444,3.0564814815,2.3637037037,1.5637962963
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,305,7.91,4.1073770492,3.0871803279,2.2441639344
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,2550,0.6386078431,0.4125882353,0.3234745098,0.243027451
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,34,34,152.96558824,72.666470588,53.23,36.985882353
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,626.84,158.98333333,123.48933333,103.81133333
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,204.18636364,57.126363636,41.870909091,34.713636364
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,21.123043478,8.8169565217,6.9113043478,4.0130434783
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,257.82,52.897857143,39.007857143,23.377142857
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,519.51,99.579354839,72.575806452,53.478387097
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,250,44.423793103,32.564482759,27.973103448
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,4156,0.3310899904,0.0468214629,0.0314509143,0.0314509143
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1350,1.8584296296,0.1324444444,0.0830888889,0.0830888889
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,58,59,65.158983051,26.142372881,19.92559322,13.837288136
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,37,92.788108108,40.539189189,29.450540541,21.224864865
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,585,275.54923077,216.02846154,151.19307692
1013003037,DAY,EUGENE,D,M.D.,M,I,104 NEW COLLEGE ST,,OXFORD,NC,275652929,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,50.068965517,33,19.625517241,19.625517241
1013003136,GREENE,BRENNAN,P,MD,M,I,1536 STORY AVE,THE EYE CARE INSTITUTE BUILDING,LOUISVILLE,KY,402061738,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,30,30,30,75.978333333,75.398333333,59.111,53.073
1013003136,GREENE,BRENNAN,P,MD,M,I,1536 STORY AVE,THE EYE CARE INSTITUTE BUILDING,LOUISVILLE,KY,402061738,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,26,26,40,102.1925,67.46225,52.893,54.0935
1013003151,SHANNON,VICKIE,R,M.D.,F,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,73.708571429,20.107857143,13.728571429,11.6
1013003151,SHANNON,VICKIE,R,M.D.,F,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,470.61727273,90.705454545,60.638636364,44.954090909
1013003318,NOTO,MICHAEL,P,DPM,M,I,209 4TH AVE,,SAINT ALBANS,WV,251772821,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,97,1.9484536082,0.44,0.3445360825,0.3445360825
1013003318,NOTO,MICHAEL,P,DPM,M,I,209 4TH AVE,,SAINT ALBANS,WV,251772821,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,1620,0.3948148148,0.13,0.101962963,0.101962963
1013003318,NOTO,MICHAEL,P,DPM,M,I,209 4TH AVE,,SAINT ALBANS,WV,251772821,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,805,0.8864596273,0.4467701863,0.3502484472,0.3521863354
1013003425,KHAN,QAMAR,J,M.D.,M,I,2330 SHAWNEE MISSION PKWY,"SUITE 210, MAIL STOP 5003",WESTWOOD,KS,662052005,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,532,18.01887218,1.799887218,1.4111090226,1.4111090226
1013003425,KHAN,QAMAR,J,M.D.,M,I,2330 SHAWNEE MISSION PKWY,"SUITE 210, MAIL STOP 5003",WESTWOOD,KS,662052005,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,12,79,5768,57.21448509,5.0529680999,3.9015551318,3.9015551318
1013003425,KHAN,QAMAR,J,M.D.,M,I,2330 SHAWNEE MISSION PKWY,"SUITE 210, MAIL STOP 5003",WESTWOOD,KS,662052005,US,Physician/Hematology-Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,21.739090909,15.438181818,13.098181818
1013003425,KHAN,QAMAR,J,M.D.,M,I,2330 SHAWNEE MISSION PKWY,"SUITE 210, MAIL STOP 5003",WESTWOOD,KS,662052005,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,33,90,48.232,38.664555556,28.288888889,28.713666667
1013003425,KHAN,QAMAR,J,M.D.,M,I,2330 SHAWNEE MISSION PKWY,"SUITE 210, MAIL STOP 5003",WESTWOOD,KS,662052005,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,13,310.21307692,310.21307692,241.45923077,259.87
1013003425,KHAN,QAMAR,J,M.D.,M,I,2330 SHAWNEE MISSION PKWY,"SUITE 210, MAIL STOP 5003",WESTWOOD,KS,662052005,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,12,58,58,24,24,18.82,18.82
1013003425,KHAN,QAMAR,J,M.D.,M,I,2330 SHAWNEE MISSION PKWY,"SUITE 210, MAIL STOP 5003",WESTWOOD,KS,662052005,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,36,16,16,12.54,12.54
1013003540,KROGH,BENJAMIN,J,D.O.,M,I,822 EAST MAIN STREET #7,,GRANTSVILLE,UT,84029,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,28.46,22.31,22.31
1013003540,KROGH,BENJAMIN,J,D.O.,M,I,822 EAST MAIN STREET #7,,GRANTSVILLE,UT,84029,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.54,5.54,4.34,4.34
1013003540,KROGH,BENJAMIN,J,D.O.,M,I,822 EAST MAIN STREET #7,,GRANTSVILLE,UT,84029,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,10.93,10.93,8.57,8.57
1013003540,KROGH,BENJAMIN,J,D.O.,M,I,822 EAST MAIN STREET #7,,GRANTSVILLE,UT,84029,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,102.61833333,80.455,71.605
1013003581,SMITH,KAREN,A,FNP,F,I,3320 N. BENZING RD.,,ORCHARD PARK,NY,14127,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,43.446666667,17,12.219166667,12.415833333
1013003664,PARKER,JAYA,,MD,F,I,1714 WEIN ST,,HERMANN,MO,650411571,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,77.048,21.788,16.086,12.628
1013003664,PARKER,JAYA,,MD,F,I,1714 WEIN ST,,HERMANN,MO,650411571,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,54.73
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,56,116,54.776293103,8.32,5.284137931,5.284137931
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,23,14.55826087,1.42,0.9695652174,0.9695652174
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,19.75,7.37,5.5390555556,3.9554166667
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5112,0.81,0.4,0.3135915493,0.2430516432
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.3581818182,5.7672727273,4.9509090909
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,433.00666667,102.61833333,80.455,54.73
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3594,0.5281246522,0.0459126322,0.032935448,0.032935448
1013003755,SHIREK,CATHERINE,E,MD,F,I,1000 HIGHWAY 12,,HETTINGER,ND,586397530,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1013004142,FOWLER,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,21,272,47.340294118,19.622242647,14.856066176,14.856066176
1013004142,FOWLER,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,570,5.9326315789,2.6273684211,2.0597719298,2.0597719298
1013004142,FOWLER,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,38,105,565,66.273522124,8.32,6.0147079646,6.0147079646
1013004142,FOWLER,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,21,49,13.06122449,1.42,1.0908163265,1.0908163265
1013004142,FOWLER,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,320.07545455,251.11,196.87,196.87
1013004290,SCHULTZ,KARL,F,MD,M,I,5315 ELLIOTT DRIVE,SUITE 304,YPSILANTI,MI,481978634,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,135,49.247407407,38.610740741,36.584444444
1013004290,SCHULTZ,KARL,F,MD,M,I,5315 ELLIOTT DRIVE,SUITE 304,YPSILANTI,MI,481978634,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,139.50052632,137.71052632,107.96,102.5
1013004290,SCHULTZ,KARL,F,MD,M,I,5315 ELLIOTT DRIVE,SUITE 304,YPSILANTI,MI,481978634,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,755.57666667,671.71666667,526.62619048,486.84238095
1013004324,REED,MARK,L,MD,M,I,3789 COVINGTON PIKE,,MEMPHIS,TN,381352279,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,35,79,213,70.878028169,8.32,5.7255399061,5.7255399061
1013004324,REED,MARK,L,MD,M,I,3789 COVINGTON PIKE,,MEMPHIS,TN,381352279,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,19,27,37,13.587837838,1.42,1.0259459459,1.0259459459
1013004324,REED,MARK,L,MD,M,I,3789 COVINGTON PIKE,,MEMPHIS,TN,381352279,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,234.12230769,34.275384615,26.877692308,25.416153846
1013004324,REED,MARK,L,MD,M,I,3789 COVINGTON PIKE,,MEMPHIS,TN,381352279,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,432.976,86.84,68.08,54.73
1013004415,TURNER,DENNIS,L,DPM,M,I,674 ST GEORGES AVE,,RAHWAY,NJ,070652538,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,36,72,138.09888889,71.56,56.105,56.105
1013004415,TURNER,DENNIS,L,DPM,M,I,674 ST GEORGES AVE,,RAHWAY,NJ,070652538,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,207,27.296521739,27.296521739,21.400966184,22.842318841
1013004415,TURNER,DENNIS,L,DPM,M,I,674 ST GEORGES AVE,,RAHWAY,NJ,070652538,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,155,4.311483871,3.6679354839,2.8756774194,2.8772903226
1013004415,TURNER,DENNIS,L,DPM,M,I,674 ST GEORGES AVE,,RAHWAY,NJ,070652538,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,276,260.69,204.38,218.89
1013004589,MURPHY,DONALD,J,MD,M,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Physician/Geriatric Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,26,27,93.617777778,53.98,40.752592593,40.29037037
1013004589,MURPHY,DONALD,J,MD,M,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Physician/Geriatric Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,38,39,124.06769231,49.74,36.990512821,35.77
1013004589,MURPHY,DONALD,J,MD,M,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Physician/Geriatric Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,16,7.9,1.96,1.54,1.530625
1013004589,MURPHY,DONALD,J,MD,M,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Physician/Geriatric Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,14,10,2.92,2.29,2.2621428571
1013004589,MURPHY,DONALD,J,MD,M,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,126.4637037,17.226666667,13.504814815,14.331851852
1013004589,MURPHY,DONALD,J,MD,M,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,35.9435,9.374,7.35,6.9925
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,53,53,88.687169811,39.4,29.724339623,29.407358491
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,240,20,18.46,14.4725,14.4725
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7.85,6.26,4.908,5.7055
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,60,5,4.1,3.214,3.2928333333
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,5,5,3.92,4.0853055556
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,72,8.3,8.1,6.35,6.4218055556
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,4.5,4.31,3.3775,3.3775
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,18,35,69,6.0175362319,1.51,1.1850724638,1.1568115942
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,2.02,1.25,0.98,0.965
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,32,32,259.0071875,87.494375,65.5934375,64.664375
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,12,35,100,101.4837,34.343,26.926,25.926
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,123,48.580569106,18,14.111707317,14.465853659
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,21,115,35.732521739,15.38,12.056956522,11.91773913
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,23,46,46,159.405,53.75,41.223913043,41.822391304
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,32,46,46,61.68326087,18.709782609,14.268695652,13.731086957
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,24.482727273,11.2,8.78,8.2645454545
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,23,23,53.267826087,13.287826087,10.41826087,9.147826087
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,31,74,434,6.2717511521,2.0486635945,1.6028801843,1.584562212
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,17.364166667,5.9,4.63,4.6483333333
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7509,"Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,370,7.5,1.59,1.2466486486,1.2466486486
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7,3.81,2.987,2.987
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,14,115,119,117.2689916,16.977647059,12.861092437,13.053529412
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,232.35,44.508421053,34.900526316,37.63
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,34,1114.1570588,912.57588235,715.46176471,830.88294118
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,49,49,3311.75,912.95734694,712.16938776,836.08979592
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,246.32,83.590243902,62.03,63.382439024
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,1508.1564103,981.78282051,760.86846154,760.86846154
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,433.98916667,130.48,102.29,104.0975
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,22,142,142,34.906549296,3.2883098592,2.3528169014,3.3683802817
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,18,81,81,275.63666667,30.27,21.774938272,23.542716049
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,37,301,302,574.8894702,72.533377483,53.505033113,51.673377483
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,67,67,161.22328358,36.58,27.814179104,28.346716418
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,57,3420,20.197368421,11.151982456,8.7350263158,8.7350263158
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,5480,0.3527974453,0.0456350365,0.0341058394,0.0341058394
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,15,51,4529,1.7744336498,0.1341642747,0.0997747847,0.0997747847
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,11,59,3540,14.294915254,3.0999491525,2.4303898305,2.4303898305
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,285.6,36.58,26.464615385,27.276923077
1013004852,YAMANAKA,MARK,K,M.D.,M,I,3231 WARING CT,SUITE D,OCEANSIDE,CA,920564510,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,27,119,119,88.260504202,33,24.551008403,24.551008403
1013004985,YOUNG,BRUCE,P,MD,M,I,1821 NE 25TH ST,,LIGHTHOUSE POINT,FL,330647744,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,319.75,271.3775,212.7575,219.9425
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,3.6742857143,0.51,0.4,0.4
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,45,143,460,61.392347826,8.32,6.0733478261,6.0733478261
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,27,27,15.317037037,3.38,2.65,2.65
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,25.921428571,2.12,1.67,1.67
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,24,57,101,14.478514851,1.42,1.091980198,1.091980198
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,16,30,58,6.7082758621,1.9629310345,1.4375862069,1.0887931034
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,89.18,20.725454545,14.435454545,7.4281818182
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,31,180.84451613,43.173548387,33.847419355,27.833870968
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,276.21538462,74.776923077,54.999230769,41.533076923
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,86.946363636,24.665454545,17.918181818,13.594545455
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,91.536842105,19.69,14.903157895,9.2463157895
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,23,130,12.875076923,2.8098461538,2.1215384615,1.6155384615
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,76.391162791,22.328604651,16.463255814,13.006046512
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,18,98,98,42.026836735,7.8321428571,4.8665306122,2.9287755102
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,64,65,493.02369231,103.372,78.448461538,57.895230769
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,250,46.77,36.67,30.07
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,15.58,9.6340454545,7.4443939394,7.4443939394
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,58,6647,0.3892688431,0.0464811193,0.0291183993,0.0291183993
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,48,4077,1.1016777042,0.1341967133,0.0856463086,0.0856463086
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,168.25363636,65.102727273,51.04,36.390909091
1013005313,GUTHRIE,KELLEY,J,M.D.,F,I,1300 W 2ND ST,,ROCK FALLS,IL,610711005,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,23,103,103,100.2815534,33,21.46038835,21.46038835
1013005412,PATEL,VIPUL,R,DPM,M,I,421 ADAM SHEPHERD PKWY,SUITE 100,SHEPHERDSVILLE,KY,401656640,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,67,67,133,83.62406015,71.56,54.60443609,54.604360902
1013005412,PATEL,VIPUL,R,DPM,M,I,421 ADAM SHEPHERD PKWY,SUITE 100,SHEPHERDSVILLE,KY,401656640,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,64,64,380,33.642105263,28.908052632,22.581684211,22.583289474
1013005412,PATEL,VIPUL,R,DPM,M,I,421 ADAM SHEPHERD PKWY,SUITE 100,SHEPHERDSVILLE,KY,401656640,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,309,266.98,195.69684211,202.82789474
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,51,79.865490196,8.32,5.2429411765,5.2429411765
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,19,14.911052632,1.42,0.9389473684,0.9389473684
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,0.39,0.13,0.0940615385,0.0940615385
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,9.65,7.23,5.6209615385,5.6209615385
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,20,20,88.874,39.562,27.9595,27.4845
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,29,29,227.83724138,86.707931034,63.326206897,63.289655172
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,26,70,88.028,33.726857143,26.061714286,25.568285714
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,45.064375,19.06375,13.3525,12.53375
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,41.166666667,13,8.4916666667,7.6891666667
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,34,189,9.319047619,2.0752380952,1.4535449735,1.4247619048
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,60.9,47.470588235,31.597058824,31.085294118
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,121,121,46.923471074,17,12.593553719,12.77231405
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,913.16,709.58909091,835.92909091
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,2514.9372414,913.16,710.97275862,837.31275862
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,287.5432,88.6664,64.1092,61.1664
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,14,86,86,7,3.9197674419,2.9413953488,3.5703488372
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,61,61,118.20983607,30.339672131,18.84295082,19.098196721
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,38,259,259,338.99772201,77.18,55.527567568,50.64023166
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,65,65,119.84615385,37,25.168153846,25.619846154
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,14,31,5155,0.3964364694,0.0468166828,0.0331251212,0.0331231814
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,53,53,108,37,28.140943396,28.624528302
1013005503,DEA,DANIEL,K,M.D.,M,I,2701 W ALAMEDA AVE,SUITE 601,BURBANK,CA,915054402,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,30,30,33.6,33,22.923666667,22.923666667
1013005537,FORSCH,RANDALL,T,MD,M,I,14700 EAST OLD US 12,,CHELSEA,MI,481181185,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,75,230,60.924043478,8.3025652174,6.1682173913,6.1818695652
1013005537,FORSCH,RANDALL,T,MD,M,I,14700 EAST OLD US 12,,CHELSEA,MI,481181185,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,20,14.8025,3.38,2.65,2.65
1013005537,FORSCH,RANDALL,T,MD,M,I,14700 EAST OLD US 12,,CHELSEA,MI,481181185,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,29,39,14.875384615,1.42,1.0879487179,1.0879487179
1013005537,FORSCH,RANDALL,T,MD,M,I,14700 EAST OLD US 12,,CHELSEA,MI,481181185,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,64,10.353125,1.99625,1.565,1.591875
1013005537,FORSCH,RANDALL,T,MD,M,I,14700 EAST OLD US 12,,CHELSEA,MI,481181185,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,63.377368421,17.27,13.54,13.54
1013005537,FORSCH,RANDALL,T,MD,M,I,14700 EAST OLD US 12,,CHELSEA,MI,481181185,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,36,422.60666667,72.3275,56.7025,54.7275
1013005685,SASTRY,TEJASWI,R,M.D.,F,I,10710 CHARTER DR,SUITE G020,COLUMBIA,MD,210443128,US,Physician/Hematology-Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,1315,15.206,13.13,10.184889734,10.184889734
1013005685,SASTRY,TEJASWI,R,M.D.,F,I,10710 CHARTER DR,SUITE G020,COLUMBIA,MD,210443128,US,Physician/Hematology-Oncology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,153,646.52,326.82,256.22712418,256.22712418
1013005685,SASTRY,TEJASWI,R,M.D.,F,I,10710 CHARTER DR,SUITE G020,COLUMBIA,MD,210443128,US,Physician/Hematology-Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,43,259,10,9.35,7.33,7.33
1013005685,SASTRY,TEJASWI,R,M.D.,F,I,10710 CHARTER DR,SUITE G020,COLUMBIA,MD,210443128,US,Physician/Hematology-Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,44,261,29.985057471,29.22,22.908659004,22.908659004
1013005685,SASTRY,TEJASWI,R,M.D.,F,I,10710 CHARTER DR,SUITE G020,COLUMBIA,MD,210443128,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,722,39.658864266,4.9873545706,3.9100692521,3.9100692521
1013005867,PACACCIO,DOUGLAS,,DPM,M,I,215 HILLCREST AVE,SUITE B,YORKVILLE,IL,605601366,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,75,71.56,54.411388889,54.403611111
1013005867,PACACCIO,DOUGLAS,,DPM,M,I,215 HILLCREST AVE,SUITE B,YORKVILLE,IL,605601366,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,84,60,43.56,34.15,34.147261905
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,54,183,62.758087432,8.32,5.7201639344,5.7201639344
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,23,43,12.307209302,1.42,0.9841860465,0.9841860465
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,215.675625,56.7025,42.768125,41.1675
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,65.344285714,18.277857143,13.347857143,13.068571429
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,57.306470588,12.308823529,9.1247058824,8.5858823529
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,98,9.4987755102,2.05,1.5081632653,1.4955102041
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,175,46.553846154,25.545384615,25.293846154
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,47.272727273,17.27,13.54,13.54
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,53,53,28.85754717,4.6096226415,3.2379245283,3.3433962264
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,132.70588235,33.318235294,24.744705882,24.75
1013005875,ROSARIO FELICIANO,RALPHIE,A,MD,M,I,1665 ANTILLEY RD STE 260,,ABILENE,TX,79606,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,53,348.80867925,68.78,51.110377358,51.888113208
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,32,96,68.3028125,8.32,6.1827083333,6.1827083333
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,21,8.9295238095,1.42,1.1152380952,1.1152380952
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,301.18352941,86,67.42,67.84
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,31,113.44322581,33.22,26.000967742,25.877741935
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,27,150,29.4896,18.5,14.503466667,14.5498
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,22,122,30.396311475,14.93,10.355327869,10.533442623
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,23,55,55,121.57490909,55.57,41.867090909,41.208727273
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,24,37,37,53.216486486,17.4,12.534054054,12.962972973
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,61,61,40.309344262,11.5,8.6691803279,8.7657377049
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,29,68,373,5.0603485255,2,1.4991152815,1.521689008
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,16,19,19,44.642631579,12.82,9.5210526316,9.8242105263
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30.625,13.1075,8.5683333333,8.7766666667
1013006063,ESPER,NANCY,,M.D.,F,I,5959 WEST LOOP S STE 510,,BELLAIRE,TX,774012406,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,17,119,119,233.16302521,31.132436975,20.825462185,20.614033613
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,36,108,294,54.748537415,8.32,5.9231972789,5.9231972789
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,17,22,15.325909091,1.42,1.0154545455,1.0154545455
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,125,9.854,9.8528,7.1116,7.11864
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,27,27,76.427407407,41.841851852,31.683703704,29.80962963
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,5.0981818182,1.51,1.185,1.155
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,21,21,212.99952381,101.63666667,77.391904762,67.512857143
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,25,39,80.506153846,36.905128205,28.27974359,26.393589744
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,23,60,51.034333333,19.681333333,14.472333333,13.5725
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,42,51.309047619,15.298571429,11.430714286,11.326904762
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,24,24,198.23625,59.028333333,44.497083333,41.074166667
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,30,30,55.762,19.717333333,15.037,13.89
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,18,18,88.291666667,13.96,10.388333333,8.6083333333
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,21,70,216,8.7108796296,2.395787037,1.7268055556,1.5055555556
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,19,19,14.794210526,7.0068421053,4.9752631579,4.3173684211
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,35,58.856285714,17.27,13.54,13.54
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,325,87.885,68.90375,69.138125
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,12,15,78.152,17.644666667,13.835333333,10.235333333
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,62,63,46.547142857,4.4766666667,3.4015873016,3.6782539683
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,14,107,114,178.05526316,40.698421053,28.658684211,22.863245614
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,58,66,271.71636364,68.78,51.595757576,52.378030303
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,36.83,23.620909091,24.23
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,65.769230769,57,41.252307692,41.252307692
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,37,2340,12.833811966,9.5574871795,7.4930683761,7.4930683761
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,27,6422,0.2939349112,0.0461600747,0.0346184989,0.0346184989
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,28,2580,1.4005930233,0.1418139535,0.1111860465,0.1111860465
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,2430,6.8502016461,3.0068518519,2.3573909465,2.3573909465
1013006394,MATOUSEK,DAVID,,MD,M,I,330 S 5TH ST STE 302,,ENID,OK,737015862,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,19,68,70,49.971428571,33,25.560428571,25.560428571
1013006592,ROQUE-DIEGUEZ,HILDA,R,M.D.,F,I,317 60TH ST,,WEST NEW YORK,NJ,070935412,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,38,71,56.773661972,8.32,4.8690140845,4.8690140845
1013006592,ROQUE-DIEGUEZ,HILDA,R,M.D.,F,I,317 60TH ST,,WEST NEW YORK,NJ,070935412,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,14.88,3.38,2.4090909091,2.4090909091
1013006592,ROQUE-DIEGUEZ,HILDA,R,M.D.,F,I,317 60TH ST,,WEST NEW YORK,NJ,070935412,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,21,15.17952381,1.42,0.8533333333,0.8533333333
1013006618,LAPOINTE,STEPHAN,J,DPM/PHD,M,I,409 W 10TH ST NE,,ROME,GA,301652640,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,31,31,62,72.832258065,71.56,56.105,56.105
1013006618,LAPOINTE,STEPHAN,J,DPM/PHD,M,I,409 W 10TH ST NE,,ROME,GA,301652640,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,29,29,166,30.954216867,29.19,22.885,22.886746988
1013006618,LAPOINTE,STEPHAN,J,DPM/PHD,M,I,409 W 10TH ST NE,,ROME,GA,301652640,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,13,385.15846154,356.34,279.37,305.63461538
1013006618,LAPOINTE,STEPHAN,J,DPM/PHD,M,I,409 W 10TH ST NE,,ROME,GA,301652640,US,Podiatry,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,17,105.89470588,95.43,74.813529412,70.671764706
1013006618,LAPOINTE,STEPHAN,J,DPM/PHD,M,I,409 W 10TH ST NE,,ROME,GA,301652640,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,38,38,250,250,196,217.08289474
1013006931,KOOPMAN,TONYA,I,NP,F,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,14,36,422,47.656587678,19.662251185,14.827819905,14.827819905
1013006931,KOOPMAN,TONYA,I,NP,F,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,14,39,1090,6.0046605505,2.6344954128,2.0460458716,2.0460458716
1013006931,KOOPMAN,TONYA,I,NP,F,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,82,176,811,72.957262639,8.32,6.1228236745,6.1228236745
1013006931,KOOPMAN,TONYA,I,NP,F,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,31,54,104,14.996538462,1.42,0.9866346154,0.9866346154
1013006931,KOOPMAN,TONYA,I,NP,F,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,9,31,205,205,361.56546341,251.00346341,196.08658537,196.1697561
1013006931,KOOPMAN,TONYA,I,NP,F,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,22,22,22,396.93772727,243.00045455,190.51272727,204.76954545
1013007285,DAINS,BRUCE,G,PAC,M,I,2701 CHESTER AVE,HIGHGROVE MEDICAL CENTER,BAKERSFIELD,CA,93301,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,42,112,74.5325,8.32,5.9392857143,5.9392857143
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,62,61.735483871,8.32,4.8396774194,4.8396774194
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,331.96,92.26,65.713333333,61.978333333
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,22,106.21090909,34.02,19.4,18.919090909
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,55,5.5741818182,2.0596363636,1.4947272727,1.4992727273
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,870,1.9554482759,0.1369310345,0.1073448276,0.1073448276
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,960,10.156125,3.17425,2.4101145833,2.4101145833
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,237.33,30.94,24.255,25.985
1013007301,RICCIO,CHRISTOPHER,M,M.D.,M,I,17 PROSPECT ST,,NASHUA,NH,030603923,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,40.071428571,33,25.87,25.87
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,47,188,57.251489362,8.1088829787,5.7179787234,5.8421276596
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,13.2025,3.38,2.484375,2.484375
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,44,15.958181818,1.42,0.9893181818,0.9893181818
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,28,28,100.41214286,39.555357143,28.8,28.361785714
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,27,27,363.46666667,85.925925926,62.368148148,62.822222222
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,11,29,86,131.27267442,33.16,24.230930233,24.158837209
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,83,70.757349398,18.5,11.847590361,11.897349398
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,169.128,55.57,35.396,34.792
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,26,26,64.114230769,17.4,13.144615385,13.532692308
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,70.195,11.5,9.02,9.12
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,41,246,7.806097561,2,1.4918292683,1.5143495935
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,36.981333333,12.82,10.05,10.35
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,48.83,17.451538462,13.160769231,13.018461538
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,102.35294118,30.710588235,21.304117647,21.087058824
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,31,319.1983871,76.558064516,54.203870968,49.42516129
1013007343,STARTZ,JOHN,A,MD,M,I,100 MEDICAL CENTER BLVD,STE 104,CONROE,TX,77304,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,35.56,25.556666667,27.085
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,52,81,81,133.24938272,52.175432099,39.140123457,30.851975309
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,43,74,74,478.03756757,125.15513514,92.241216216,65.100135135
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,40,105,162,185.41753086,47.697592593,35.24537037,24.99037037
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,24,33,155,87.345225806,27.616580645,20.63716129,14.986258065
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,26,44,224,58.076160714,20.280982143,15.431205357,12.153839286
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,54,81,81,226.51333333,77.11654321,56.679506173,42.42654321
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,92,107,107,82.960654206,26.515046729,19.574953271,13.326448598
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,38,54,54,74.887777778,18.525185185,13.912962963,8.7803703704
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,83,131,728,7.1389972527,2.5790659341,1.9502335165,1.5853983516
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,53,58,58,23.025862069,9.1263793103,6.7022413793,4.5584482759
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,30,36,36,74.105,15.767222222,12.044722222,10.278611111
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,627.4952381,131.82142857,103.34809524,70.426666667
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,46,46,46,614.5,204.03152174,154.68673913,103.84347826
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,72,402,402,596.51771144,56.586393035,41.374577114,24.915
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,15,132,132,760.48,103.40227273,79.518409091,57.921439394
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,4413,0.390072513,0.0453931566,0.0355880354,0.0355835033
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,71,71,285.6,44.579577465,34.027183099,29.489859155
1013007384,BURTON,MELVIN,D,M.D.,M,I,380 HUKU LII PL,SUITE 204,KIHEI,HI,967537043,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,26,26,33,33,25.87,25.87
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,48,51.976875,8.32,6.2483333333,6.2483333333
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,10.8175,1.42,1.0266666667,1.0266666667
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,200.55833333,55.05,35.966666667,35.766666667
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,72,8.1944444444,1.94,1.3933333333,1.4583333333
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,99.99,32.848181818,25.756363636,25.522727273
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,79.88,62.62,56.036666667
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67,35.63,27.93,29.246666667
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1398,5.3670171674,2.9240701001,2.1898497854,2.1898497854
1013007392,HENK,GREGORY,J,D.O.,M,I,42500 HAYES RD,SUITE 800,CLINTON TOWNSHIP,MI,480386760,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,42.142857143,33,18.622142857,18.622142857
1013007681,MORRIS,MOHY,,MD,M,I,1 CHILDRENS WAY # 512-17,,LITTLE ROCK,AR,722023500,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,1100,4.14,2.96,2.3206,2.3206
1013007681,MORRIS,MOHY,,MD,M,I,1 CHILDRENS WAY # 512-17,,LITTLE ROCK,AR,722023500,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,66,5.31,3.81,2.9872727273,2.9872727273
1013007780,KIRKPATRICK,CHARLES,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,23,92,63.713043478,19.71,15.4525,15.4525
1013007780,KIRKPATRICK,CHARLES,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,3560,31.281977528,9.8418764045,7.2327050562,7.2326966292
1013007780,KIRKPATRICK,CHARLES,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,1260,231.05831746,40.054460317,31.402690476,31.402690476
1013007780,KIRKPATRICK,CHARLES,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,23,157,18.132929936,2.64,2.07,2.07
1013008135,KANELLOS,ANGELO,W,M.D.,M,I,10745 DOUBLE R BLVD,,RENO,NV,895218979,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,62,5858,0.3047832025,0.13,0.1011386139,0.1011386139
1013008135,KANELLOS,ANGELO,W,M.D.,M,I,10745 DOUBLE R BLVD,,RENO,NV,895218979,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,560,3.28125,2.27,1.7797142857,1.7797142857
1013008135,KANELLOS,ANGELO,W,M.D.,M,I,10745 DOUBLE R BLVD,,RENO,NV,895218979,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,68,8533,3.56627212,1.9879784367,1.5086440877,1.5489886324
1013008135,KANELLOS,ANGELO,W,M.D.,M,I,10745 DOUBLE R BLVD,,RENO,NV,895218979,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,47,4350,8.6120689655,7.1199310345,5.5490436782,5.6308091954
1013008135,KANELLOS,ANGELO,W,M.D.,M,I,10745 DOUBLE R BLVD,,RENO,NV,895218979,US,Physician/Urology,S,A5105,"Urinary suspensory with leg bag, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,23,45.89,45.89,35.975217391,35.975217391
1013008150,GOORIS,PAUL,R,PA-C,M,I,110 SHEEP SPRINGS WAY,,JEMEZ PUEBLO,NM,87114,US,Physician Assistant,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,250,9.59,5.36,4.20212,4.20212
1013008150,GOORIS,PAUL,R,PA-C,M,I,110 SHEEP SPRINGS WAY,,JEMEZ PUEBLO,NM,87114,US,Physician Assistant,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,1.37,0.27,0.2116666667,0.2116666667
1013008150,GOORIS,PAUL,R,PA-C,M,I,110 SHEEP SPRINGS WAY,,JEMEZ PUEBLO,NM,87114,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,33.668181818,5.6972727273,3.1490909091,2.4581818182
1013008150,GOORIS,PAUL,R,PA-C,M,I,110 SHEEP SPRINGS WAY,,JEMEZ PUEBLO,NM,87114,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,471.5225,86.09,52.3275,41.694166667
1013008275,DIETRICH,JOHN,W,M.D.,M,I,3925 EMBASSY PKWY,,AKRON,OH,443331782,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,47,50,746.28,314.795,239.2164,248.1034
1013008275,DIETRICH,JOHN,W,M.D.,M,I,3925 EMBASSY PKWY,,AKRON,OH,443331782,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,21,21,150,64.520952381,48.853333333,44.981904762
1013008275,DIETRICH,JOHN,W,M.D.,M,I,3925 EMBASSY PKWY,,AKRON,OH,443331782,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,25,25,580,239.044,182.1468,180.9992
1013008275,DIETRICH,JOHN,W,M.D.,M,I,3925 EMBASSY PKWY,,AKRON,OH,443331782,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,14,190,85.32,62.876428571,63.261428571
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,5,,55,130,61.680153846,19.700461538,14.969769231,14.969769231
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,31,39.148387097,3.9712903226,2.9296774194,3.495483871
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,7020,51.969195157,13.485888889,10.572937322,10.572937322
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,6160,47.59249026,9.8476136364,7.7205243506,7.7205243506
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,6520,49.457322086,14.004332822,10.978389571,10.978389571
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,23.770666667,9.6325,7.3739722222,7.3739722222
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1302,0.3293317972,0.0452380952,0.0319738863,0.0319738863
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,0.92,0.1368125,0.1072916667,0.1072916667
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1060,13.408575472,2.9723018868,2.3302830189,2.3302830189
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,55,158,47.10221519,2.4081012658,1.7838607595,1.9581012658
1013008333,ROOKLIN,ANTHONY,,MD,M,I,1 PRESIDENTS DRIVE,PRESIDENTS HOUSE CCMC,UPLAND,PA,19013,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,37,37,70.459459459,33,25.170810811,25.170810811
1013008648,MORRIS,MICHAEL,J,MD,M,I,PO BOX 4574,,CRESTLINE,CA,923254574,US,General Practice,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,194,194,194,1600.5241753,1146.6552062,837.95097938,825.47963918
1013008648,MORRIS,MICHAEL,J,MD,M,I,PO BOX 4574,,CRESTLINE,CA,923254574,US,General Practice,T,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,105,105,113,944.80159292,658.40424779,500.81628319,465.25079646
1013008648,MORRIS,MICHAEL,J,MD,M,I,PO BOX 4574,,CRESTLINE,CA,923254574,US,General Practice,T,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,109,109,118,149.26330508,116.25271186,90.436779661,88.151610169
1013008648,MORRIS,MICHAEL,J,MD,M,I,PO BOX 4574,,CRESTLINE,CA,923254574,US,General Practice,T,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,81,81,132,543.63272727,458.14666667,345.99878788,352.19575758
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,30,30,30,138.895,44.487666667,34.877,36.408333333
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,24.79,4.45,3.49,3.6376923077
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25.63,7.9625,5.864375,6.65375
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,30.35,14.501538462,11.372307692,11.973076923
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,28,28,28,146.89,48.145,37.75,40.691071429
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,362.12,162.53,127.42,127.44
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,24,95,95,134.87073684,50.375157895,38.472736842,39.588210526
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,58,58,22.4,4.5146551724,3.4905172414,3.8056896552
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,19,124.38210526,49.881578947,39.107368421,39.282631579
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,1,19,19,28,33.683214286,18.500714286,14.501785714,15.29
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,33,57.78,27.701515152,21.717272727,22.60030303
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,30,131.99,48.776,38.241333333,39.899333333
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,24.01,11.242307692,8.8161538462,9.7461538462
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,217.1,71.7505,54.93225,54.344
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,N,1,14,14,14,496.96,264.83571429,207.635,232.56
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,16,41.6425,24.681875,19.348125,23.0875
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,32,32,32,70.2,34.73375,27.2246875,29.2034375
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,29,29,29,358.58,147.45137931,115.60310345,114.08448276
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,58,64,61.48296875,18.39171875,14.33421875,14.7065625
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,41,212,220,115.44827273,25.213181818,19.043590909,21.467045455
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,49,242,244,20.404590164,8.2221721311,6.2589344262,6.7717213115
1013008846,FRANCESCO,BARBARA,L,APN-C,F,I,199 NEW ROAD SUITE 61-175,,LINWOOD,NJ,082211201,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,61.96,39.525,29.979,28.802333333
1013008879,QAISRANI,NOSHIN,,M.D.,F,I,110 IRVING ST NW,,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,136.05263158,16.79,11.774736842,12.155263158
1013008879,QAISRANI,NOSHIN,,M.D.,F,I,110 IRVING ST NW,,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,504.68421053,78.47,55.044210526,48.968947368
1013009067,BAINS,BHUPINDER,,M.D,F,I,216 N AZUSA AVE,,AZUSA,CA,917023524,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,28,82.175,8.32,5.1228571429,5.1228571429
1013009067,BAINS,BHUPINDER,,M.D,F,I,216 N AZUSA AVE,,AZUSA,CA,917023524,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,13.415882353,1.42,0.8564705882,0.8564705882
1013009067,BAINS,BHUPINDER,,M.D,F,I,216 N AZUSA AVE,,AZUSA,CA,917023524,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,4200,0.17,0.046,0.0334309524,0.0334309524
1013009067,BAINS,BHUPINDER,,M.D,F,I,216 N AZUSA AVE,,AZUSA,CA,917023524,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,420,0.75,0.2188571429,0.1594285714,0.1594285714
1013009067,BAINS,BHUPINDER,,M.D,F,I,216 N AZUSA AVE,,AZUSA,CA,917023524,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,125.4,33,22.978666667,22.978666667
1013009133,WILKINS,JOHN,P,MD,M,I,1375 E 20TH AVE,,DENVER,CO,802055422,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,874.72,34.40375,21.295,22.12
1013009349,PEPE,JOHN,M,M.D.,M,I,1550 RICHMOND AVE,SUITE 205,STATEN ISLAND,NY,10314,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,1800,1.21455,0.7426,0.5822333333,0.5822333333
1013009349,PEPE,JOHN,M,M.D.,M,I,1550 RICHMOND AVE,SUITE 205,STATEN ISLAND,NY,10314,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,7.9142777778,7.46725,5.8543333333,5.8543333333
1013009349,PEPE,JOHN,M,M.D.,M,I,1550 RICHMOND AVE,SUITE 205,STATEN ISLAND,NY,10314,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1013009349,PEPE,JOHN,M,M.D.,M,I,1550 RICHMOND AVE,SUITE 205,STATEN ISLAND,NY,10314,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,22,16,16,11.97,11.97
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,62,56.052419355,8.32,4.2935483871,4.2935483871
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,155,6.01,6.01,4.712,4.712
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,348,2.49,2.49,1.9516666667,1.9516666667
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,31,31,5.54,5.54,4.34,4.34
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,18.02,18.02,14.13,14.13
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,44,69,10.93,10.93,8.0731884058,8.0731884058
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,30,7.46,7.46,5.85,5.85
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,41,4136,0.44,0.44,0.3449734043,0.3449734043
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,17.84,15.51,12.16,13.483636364
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,32,858,8.28,8.28,6.4916317016,6.4916317016
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,536,5.95,5.95,4.6648880597,4.6648880597
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,55,20.617818182,18.29,14.339818182,14.339818182
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,35,996,3.67,3.67,2.8773393574,2.8773393574
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,1692,0.45,0.45,0.3528191489,0.3528191489
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,30,30,210.95266667,55.057333333,39.290333333,34.474
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,73.671587302,17.09952381,12.954603175,13.097142857
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,11,103,103,1537.95,1074.31,836.86864078,836.86864078
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,28,179,179,345.89111732,67.576424581,49.270670391,50.890446927
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,60,37.64,26.7434375,26.7434375
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,74,74,145.08743243,21.405135135,16.120405405,13.39
1013009513,ALEGRE,ELMER,E,M.D.,M,I,1715 KUENZLI ST,,RENO,NV,895021117,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,195.90636364,153.59454545,153.59090909
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,180,369,369,130.99734417,39.442357724,29.591707317,29.228536585
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,61,136,136,393.03029412,84.706102941,61.258161765,62.646323529
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,59,162,395,155.42736709,32.193797468,24.037898734,24.695063291
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,108,244,1275,89.191976471,17.893121569,13.115443137,13.64572549
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,81,182,945,69.898116402,15.38415873,11.251661376,11.104730159
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,191,409,409,260.19413203,52.88391198,39.144229829,40.48207824
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,248,361,361,79.851772853,17.553462604,12.857396122,13.16132964
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,32.209166667,10.053333333,7.88,8.15
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,89,196,196,96.77377551,11.363010204,8.2789285714,8.4802040816
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,231,530,2872,11.231740947,2.0154038997,1.5083844011,1.5212047354
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,83,119,119,32.926134454,5.964789916,4.3631092437,4.3378991597
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,180,246,246,48.631544715,13.020365854,9.5946341463,9.7211788618
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,35,36,1261.3283333,235.115,184.32666667,182.94277778
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,412.64538462,130.74076923,102.50153846,104.71461538
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,69,307,308,60.639415584,13.372207792,10.056525974,10.055194805
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,89,520,520,198.25953846,33.802865385,25.192211538,24.56125
1013009653,SETHI,PRADIP,,MD,M,I,40 NORTH AIRLITE ST,SUITE 2,ELGIN,IL,601234965,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35,8.2233333333,6.4483333333,6.4958333333
1013009729,KABTIMER,HAILU,T,MD,M,I,919 W MAIN ST M3,,HENDERSONVILLE,TN,37075,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,29,76.981034483,8.32,3.1482758621,3.1482758621
1013009729,KABTIMER,HAILU,T,MD,M,I,919 W MAIN ST M3,,HENDERSONVILLE,TN,37075,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,12.6475,1.42,0.56,0.56
1013009794,NESHEIWAT,FAWAZ,,D.P.M.,M,I,488 SCHOOLEYS MOUNTAIN RD,HASTINGS COMMONS 1B,HACKETTSTOWN,NJ,078404001,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2100,0.16,0.13,0.1019142857,0.1019142857
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,32,73,205,51.317463415,8.32,5.5991219512,5.5991219512
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,19,19,14.526315789,3.38,1.9526315789,1.9526315789
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,13,13,21.4,2.12,1.2846153846,1.2846153846
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,26,45,67,12.138358209,1.42,0.9655223881,0.9655223881
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,202.2375,85.5,64.729166667,65.538333333
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,58.401052632,11.5,8.5452631579,8.6473684211
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,85,4.7564705882,1.94,1.4842352941,1.5561176471
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,17.197222222,5.7566666667,4.5133333333,3.7533333333
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,150,33.280526316,24.623157895,24.376842105
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,35.92,11.582272727,9.0822727273,8.8763636364
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,36.67,10.472272727,8.2113636364,8.2481818182
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,420.19,217.88545455,170.81636364,170.81636364
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,323.902,79.88,54.701333333,48.477333333
1013009901,NEUMANN,FREDRIC,I,D.O.,M,I,39880 VAN DYKE,SUITE 102,STERLING HEIGHTS,MI,48313,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,14,14,40.071428571,33,25.87,25.87
1013009950,LESSER,EUGENE,A,D.O.,M,I,166 KINSLEY ST,SUITE 101,NASHUA,NH,030603676,US,Physician/Neurology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,390,41.969230769,3.3653846154,2.6384358974,2.3676666667
1013009950,LESSER,EUGENE,A,D.O.,M,I,166 KINSLEY ST,SUITE 101,NASHUA,NH,030603676,US,Physician/Neurology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,27,14710,2.4735873555,0.3265547247,0.2560197145,0.2409299796
1013009950,LESSER,EUGENE,A,D.O.,M,I,166 KINSLEY ST,SUITE 101,NASHUA,NH,030603676,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,8,25,160,171,2247.5209357,1038.4922222,806.97842105,833.99444444
1013009950,LESSER,EUGENE,A,D.O.,M,I,166 KINSLEY ST,SUITE 101,NASHUA,NH,030603676,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,4,12,53,53,836.29490566,368.03754717,288.54056604,318.85792453
1013009950,LESSER,EUGENE,A,D.O.,M,I,166 KINSLEY ST,SUITE 101,NASHUA,NH,030603676,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,6,12,55,55,80.862727273,42.427090909,33.263818182,34.601818182
1013009950,LESSER,EUGENE,A,D.O.,M,I,166 KINSLEY ST,SUITE 101,NASHUA,NH,030603676,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,73.698181818,52.845454545,38.393636364,35.468181818
1013010081,BEARD,MARK,N,MD,M,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,33,81.570909091,8.32,6.5218181818,6.5218181818
1013010164,ABROMS,JAMES,M,MD,M,I,1817 OXMOOR RD,,BIRMINGHAM,AL,35209,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,20,42,52.354761905,8.32,5.9014285714,5.9014285714
1013010164,ABROMS,JAMES,M,MD,M,I,1817 OXMOOR RD,,BIRMINGHAM,AL,35209,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,13,9.15,1.42,0.9461538462,0.9461538462
1013010271,TANZER,PETER,P,M.D.,M,I,300 HALKET ST 1700,,PITTSBURGH,PA,152133108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,28,70.051428571,8.32,3.7264285714,3.7264285714
1013010271,TANZER,PETER,P,M.D.,M,I,300 HALKET ST 1700,,PITTSBURGH,PA,152133108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,16.932857143,1.42,0.7171428571,0.7171428571
1013010271,TANZER,PETER,P,M.D.,M,I,300 HALKET ST 1700,,PITTSBURGH,PA,152133108,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.1,13.41,13.528181818
1013010271,TANZER,PETER,P,M.D.,M,I,300 HALKET ST 1700,,PITTSBURGH,PA,152133108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,50.085882353,6.1694117647,4.8382352941,3.8870588235
1013010271,TANZER,PETER,P,M.D.,M,I,300 HALKET ST 1700,,PITTSBURGH,PA,152133108,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,90,90,385.03788889,88.073222222,64.983888889,53.398888889
1013010271,TANZER,PETER,P,M.D.,M,I,300 HALKET ST 1700,,PITTSBURGH,PA,152133108,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,70.611904762,38.684285714,28.976904762,28.356904762
1013010297,AGULO,CASIMIRO,,MD,M,I,8800 LOCKWOOD,,SKOKIE,IL,60077,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,38,83.033684211,8.32,4.4610526316,4.4610526316
1013010297,AGULO,CASIMIRO,,MD,M,I,8800 LOCKWOOD,,SKOKIE,IL,60077,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.005454545,1.42,0.8172727273,0.8172727273
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,24,77,145,64.253517241,8.32,5.8042068966,5.8042068966
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,20,21,12.828571429,1.42,1.0123809524,1.0123809524
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,200,8.2933,6.6703,5.0298,5.0298
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,135.69,46.572857143,34.722857143,29.547857143
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,532.24,121.13,85.692857143,65.086428571
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,202.53724138,44.665862069,32.669310345,26.163103448
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,88,80.195909091,20.16625,15.810454545,12.583522727
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,12,27,27,264.97740741,76.468888889,59.949259259,47.602592593
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,32,32,96.199375,25.641875,20.099375,15.729375
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,23,23,85.526956522,21.641304348,16.963478261,11.123478261
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,35,206,12.666990291,2.8486407767,2.1305339806,1.652038835
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,14,21,21,69.150952381,15.48,12.131904762,10.600952381
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,32,121.06875,22.9084375,16.744375,12.779375
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,52.921304348,7.3069565217,4.9895652174,3.2652173913
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,617.36272727,39.595454545,28.691818182,21.254545455
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,54,626.60777778,105.54925926,78.084814815,53.435
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,11873,0.2683483534,0.0461509307,0.0328063674,0.0328055251
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1026,9.6346588694,3.0562865497,2.3322807018,2.3322807018
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,32.344166667,27.6525
1013010313,YOUNG,MARK,E,MD,M,I,300 3RD AVE,,SIDNEY,OH,453651169,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,37,37,33,33,23.772432432,23.772432432
1013010545,RICHMOND,SONJA,,M.D.,F,I,12118 CHANCERY STATION CIR,,RESTON,VA,201905800,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,31.711428571,25.398571429,19.911428571,22.070714286
1013010545,RICHMOND,SONJA,,M.D.,F,I,12118 CHANCERY STATION CIR,,RESTON,VA,201905800,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,19,11.852105263,10.588421053,8.2984210526,8.5694736842
1013010545,RICHMOND,SONJA,,M.D.,F,I,12118 CHANCERY STATION CIR,,RESTON,VA,201905800,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,25,175.9996,48.8676,38.3104,39.3416
1013010545,RICHMOND,SONJA,,M.D.,F,I,12118 CHANCERY STATION CIR,,RESTON,VA,201905800,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,26,26,75.643846154,18.417692308,13.856923077,14.011538462
1013010545,RICHMOND,SONJA,,M.D.,F,I,12118 CHANCERY STATION CIR,,RESTON,VA,201905800,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,27,24.887407407,23.106296296,15.01037037,17.055555556
1013010545,RICHMOND,SONJA,,M.D.,F,I,12118 CHANCERY STATION CIR,,RESTON,VA,201905800,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,34.984615385,8.2346153846,6.0046153846,6.1784615385
1013010628,GUERRERO-GUZMAN,ROSALINA,,MD,F,I,675 W CENTRAL RD,SUITE 101,ARLINGTON HEIGHTS,IL,600052376,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,30,69,190,78.113157895,8.32,4.4967894737,4.4967894737
1013010628,GUERRERO-GUZMAN,ROSALINA,,MD,F,I,675 W CENTRAL RD,SUITE 101,ARLINGTON HEIGHTS,IL,600052376,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,35,48,13.800833333,1.42,0.7204166667,0.7204166667
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,29,90,276,69.182536232,8.32,5.0811231884,5.0811231884
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,25,39,15.543076923,1.42,0.8866666667,0.8866666667
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,14.956363636,2.7418181818,1.8277272727,1.3983333333
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1200,82.92,65.011818182,48.32
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,154.03764706,19.130588235,14.118235294,12.739411765
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,94.222142857,7.0410714286,5.1310714286,3.8110714286
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,141.07636364,41.265454545,32.351818182,25.765454545
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,82,82,491.51963415,92.998780488,66.797560976,51.824390244
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,900,17.595222222,9.6253333333,7.3868555556,7.3868555556
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,990,11.909555556,3.0513030303,2.1050909091,2.1050909091
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,95.4416,29.0528,21.6236,14.4892
1013011006,RACINE,MAURICE,A,MD,M,I,481 ROUTE 11,,CHAMPLAIN,NY,129194819,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,24,24,56.375,33,22.63625,22.63625
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,21,60,208,66.351682692,8.32,6.0940384615,6.0940384615
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,26,26,15,3.38,2.5480769231,2.5480769231
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,25,2.12,1.5586666667,1.5586666667
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,13,33,70,14.755714286,1.42,1.0822857143,1.0822857143
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,26,70.5,28.46,19.735769231,19.735769231
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,25,15.54,5.54,3.8192,3.8192
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,26,30.57,10.67,7.4042307692,7.6026923077
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,440,15.735090909,6.8714545455,5.3872954545,5.488
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,28,28,161.035,48.938214286,35.989642857,28.651785714
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,401,10.141945137,3.04,2.3833665835,2.3833665835
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,377,8.28,8.28,6.3606100796,6.3606100796
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,358,18.5,18.5,14.503994413,14.503994413
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,7.6382352941,2.0988235294,1.6452941176,1.1911764706
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,16,33,33,407.73818182,119.99181818,91.387272727,67.923636364
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,14,43,80,161.003125,45.1805,34.57,25.254875
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,57,108.81122807,27.444736842,20.218596491,14.219824561
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,298.91894737,77.311578947,55.649473684,41.044210526
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,24,35,35,78.302,25.257142857,19.352,14.675428571
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,25,25,86.1276,22.5988,17.3136,10.6064
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,24,62,226,12.167787611,3.1427433628,2.3863716814,1.6058849558
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,17,22,22,41.169090909,15.85,11.909545455,10.119090909
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,7.37,5.7780645161,4.1632258065
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3960,3.1197272727,0.4,0.3135909091,0.243030303
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,75.655,22.4775,15.755833333,12.089583333
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,40,42,81.75,17.899285714,13.482619048,9.7392857143
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,47,47,47.924042553,5.3838297872,3.6793617021,3.0519148936
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,70,73,241.44493151,51.086027397,38.515342466,25.033424658
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,33,277,287,504.40442509,100.5095122,72.245121951,50.217804878
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,54,250,44.371296296,33.036296296,28.285
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,41,2460,15.58,9.599195122,7.3425528455,7.3425528455
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,59,5190,1.1682813102,0.1338612717,0.0892042389,0.0892042389
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,1680,12.781482143,3.1000714286,2.3483333333,2.3483333333
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,102.685,27.767777778,20.97,13.098888889
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,13,76,79,154.89,43.817088608,30.19556962,25.868987342
1013011014,SENSENEY,STEVEN,A,M.D.,M,I,512 NORTH GREEN ST,,VALENTINE,NE,692011982,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,93,93,123.90322581,33,23.637204301,23.637096774
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,37,69,200,71.75645,8.32,5.4086,5.4086
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,26,41,71,15.443802817,1.42,0.9733802817,0.9733802817
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,354,28,2.99,2.3440112994,2.3676836158
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,354,30,5.07,3.9044067797,4.0764971751
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,625,21.7776,4.08,3.143168,3.19016
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,45,17462,1.2962134922,0.3506121865,0.260946627,0.2762226549
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,86.31,17.084782609,12.813478261,12.94
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,85.184375,4.02625,2.2275,2.69
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,419.85,91.6775,71.8725,68.45
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,519.51,69.787428571,49.952285714,50.345714286
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,2937,1.2201464079,0.1342832823,0.0894960844,0.0894960844
1013011055,KRISHNAMOORTHI,SOMA,,M.D.,F,I,850 W CALIFORNIA STREET,,ESCALON,CA,953201506,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,33,110,33,21.562121212,21.562121212
1013011170,AMARAN,THANGARAJ,,MD,M,I,950 SOUTH MAIN ST,SUITE 5,CELINA,OH,45822,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,3270,3.0344036697,1.8525688073,1.3776880734,1.5279174312
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,9.4681818182,6.5454545455,6.2545454545
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,37,65.802972973,17.29,12.085135135,12.067837838
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,25.064705882,4.3947058824,2.7835294118,2.7835294118
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,24,168,174,344.15896552,70.29908046,49.74954023,49.398678161
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,4.5428333333,0.5755,0.3744861111,0.3744861111
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2400,0.17,0.0466916667,0.0285416667,0.0285416667
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,29,61,61,61,1628.2239344,1319.347541,992.17786885,844.50672131
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,22,22,24,935.46,726.32041667,561.48291667,472.66875
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,26,26,31,141.40129032,106.25290323,83.305483871,88.848387097
1013011303,BAKER,STEPHEN,W,MD,M,I,14055 SEAWAY RD.,,GULFPORT,MS,39503,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,132,33,23.146842105,23.146842105
1013011337,TYSON,TERESA,,FNP-BC,F,I,208 FRONT ST W,,COEBURN,VA,242303502,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.05,13.262727273,8.2009090909,6.7609090909
1013011337,TYSON,TERESA,,FNP-BC,F,I,208 FRONT ST W,,COEBURN,VA,242303502,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,26.185454545,20.53,13.496363636
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,68,178,72.080842697,8.32,5.9148314607,5.9148314607
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,22,31,13.187419355,1.42,0.9716129032,0.9716129032
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.3816666667,3.1,2.2310694444,2.2310694444
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.7,1.47,1.0454545455,1.0454545455
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,86.31,17.27,13.54,13.54
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,519.51,69.81,48.147878788,48.147878788
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,5096,0.181510989,0.0465286499,0.0343072998,0.0343072998
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,658,2.3020212766,0.1322796353,0.0829635258,0.0829635258
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,645.14,180.60818182,141.59454545,142.07
1013011394,HENSOLD,JAMES,F,M.D.,M,I,1201 N CUMMINGS LN,,WASHINGTON,IL,615719267,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,86.307692308,33,22.885,22.885
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,38,75.179210526,8.32,6.5221052632,6.5221052632
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,14,15,15,27.965333333,9.8493333333,7.716,8.8413333333
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,12,12,22,1,0.5954545455,0.465,0.4227272727
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,7.41,1.3753846154,1.0769230769,0.9876923077
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,68.155,19.769166667,14.385,12.415416667
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,1574.0111111,1046.98,624.515,624.515
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,65,34.631666667,24.205,22.106666667
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,19,111,111,21.925585586,5.3526126126,4.0804504505,3.6931531532
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,51,51,440.78313725,83.15372549,63.626666667,56.24372549
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.78,27.866666667,27.125
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,3588,0.2267753623,0.0453929766,0.0355824972,0.0355824972
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,45,3612,70.164911406,46.272876523,33.358712625,33.358712625
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,1596,207.24360902,41.239605263,30.006065163,30.006065163
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,64.381538462,41.312307692,32.389230769,32.426153846
1013011899,FLUME,PATRICK,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,18,82,82,58.292682927,33,25.554512195,25.554512195
1013011980,PERNA,JACQUELYN,D,D.O.,F,I,4600 BROADWAY STE 1100,,SACRAMENTO,CA,958201527,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,43,73.503953488,8.32,5.9141860465,5.9141860465
1013012038,CALHOON,SHANNAN,M,"CNM, ARNP",F,I,4000 BEESTON HILL MEDICAL CENTER,SUITE 1,CHRISTIANSTED,VI,00820,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,11,40,87,80.336206897,8.32,4.6687356322,4.6687356322
1013012038,CALHOON,SHANNAN,M,"CNM, ARNP",F,I,4000 BEESTON HILL MEDICAL CENTER,SUITE 1,CHRISTIANSTED,VI,00820,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,21,21,11.059047619,1.42,0.8533333333,0.8533333333
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,26,310,55.927870968,19.624,15.123064516,15.123064516
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,25,766,7.5395039164,2.6281984334,1.9793603133,1.9793603133
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,72,157,668,73.546571856,8.32,6.0540568862,6.0540568862
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,11.115384615,3.38,2.65,2.65
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,28,53,106,13.392830189,1.42,1.0619811321,1.0619811321
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,44,91,91,138.30967033,39.358571429,28.027142857,27.715384615
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,34,74,74,435.62310811,88.189459459,62.896351351,61.755405405
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,35,77,188,158.9368617,33.320212766,24.102978723,23.913138298
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,32,72,360,105.93580556,17.979361111,12.686833333,13.131638889
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,15,33,171,77.598011696,15.402105263,10.943976608,10.79374269
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,46,100,100,285.8288,56.7758,40.6575,39.1894
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,75,110,110,90.747727273,18.007272727,13.134545455,13.086727273
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,41.333333333,10.22,8.02,8.15
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,34,72,72,78.876527778,12.491805556,9.1354166667,8.5240277778
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,76,164,943,10.325758218,2.0419724284,1.4471580064,1.4402969247
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,23,30,30,25.673666667,6.121,4.4803333333,4.3533333333
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,58,78,78,59.843076923,13.338974359,9.8411538462,9.7385897436
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,57,66.527894737,18,13.119824561,12.649824561
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,986.58,773.47,836.51833333
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,304.16666667,91.23,59.829166667,58.51
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,80.41,12.7624,9.17,9.2224
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,21,122,122,448.35696721,29.827213115,20.717868852,22.53442623
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,641.80875,335.34916667,252.67041667,253.49125
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,126,140,367.91921429,80.329142857,60.8015,54.513428571
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,3600,16.249525,10.749272222,8.4274277778,8.4274277778
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,72,22.3475,13.495833333,10.8525
1013012418,ROBERTS,PHILIP,L,MD,M,I,10965 STATE STREET,100,SANDY,UT,84070,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,21,22,795.835,250.98590909,196.77272727,196.86954545
1013012491,STANGL,JOSEPH,A,P.A.,M,I,3802 RAYNOR PKWY,,BELLEVUE,NE,681236048,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,69.448846154,8.32,6.5207692308,6.5207692308
1013012491,STANGL,JOSEPH,A,P.A.,M,I,3802 RAYNOR PKWY,,BELLEVUE,NE,681236048,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,250,29.035714286,19.462857143,22.36
1013012491,STANGL,JOSEPH,A,P.A.,M,I,3802 RAYNOR PKWY,,BELLEVUE,NE,681236048,US,Physician Assistant,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,14.16,10.21,8,8.352
1013012566,JIMENEZ,ANGELICA,R,M.D.,F,I,1150 N 35TH AVE,SUITE 135,HOLLYWOOD,FL,330215424,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,53.041666667,41.588333333,37.3775
1013012566,JIMENEZ,ANGELICA,R,M.D.,F,I,1150 N 35TH AVE,SUITE 135,HOLLYWOOD,FL,330215424,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,134.79,17.3175,11.81375,11.84
1013012566,JIMENEZ,ANGELICA,R,M.D.,F,I,1150 N 35TH AVE,SUITE 135,HOLLYWOOD,FL,330215424,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,460,69.927826087,49.813913043,50.407826087
1013012566,JIMENEZ,ANGELICA,R,M.D.,F,I,1150 N 35TH AVE,SUITE 135,HOLLYWOOD,FL,330215424,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,55,22.172857143,17.387142857,15.119285714
1013012707,SCHEPPERS,DENNIS,R,M.D.,M,I,3216 ELUA ST,,LIHUE,HI,967661213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,77.037083333,8.32,5.9766666667,5.9766666667
1013012707,SCHEPPERS,DENNIS,R,M.D.,M,I,3216 ELUA ST,,LIHUE,HI,967661213,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,364,6.31,6.31,4.7568681319,4.1535714286
1013012707,SCHEPPERS,DENNIS,R,M.D.,M,I,3216 ELUA ST,,LIHUE,HI,967661213,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,4725,0.73,0.73,0.556615873,0.5115047619
1013012707,SCHEPPERS,DENNIS,R,M.D.,M,I,3216 ELUA ST,,LIHUE,HI,967661213,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,18.974545455,14.880909091,9.2118181818
1013012707,SCHEPPERS,DENNIS,R,M.D.,M,I,3216 ELUA ST,,LIHUE,HI,967661213,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,207.27272727,65.029090909,50.986363636,36.298181818
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,366,754,755,114.11210596,41.127735099,31.443403974,29.858860927
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,270,555,556,337.91820144,92.93028777,69.487158273,65.045539568
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,239,543,1142,133.27794221,34.260341506,26.210595447,25.37852014
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,138,292,1404,70.382998575,19.406531339,14.625619658,14.03517094
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,19,113,246,1137,51.257977133,15.62239226,11.564459103,11.250246262
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,26,269,560,561,200.71374332,55.043065954,41.410124777,41.152459893
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,476,626,626,62.033913738,19.125670927,14.606629393,13.770910543
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,28,35,35,30.568285714,10.758,8.4331428571,8.1585714286
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,161,320,321,70.62271028,12.328722741,9.1199688474,8.6649221184
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,28,508,1148,5886,8.7905912334,2.2359327217,1.6867889908,1.5450237853
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,343,449,449,23.243385301,6.0407126949,4.6187082405,4.5524276169
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,226,292,292,46.026506849,13.04890411,10.008287671,10.10760274
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,25,123,130,426.76676923,85.686307692,64.976153846,64.467769231
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,22,28,944.01607143,218.29642857,165.35785714,164.01178571
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,93,94,94,418.29606383,137.30968085,105.11351064,102.45925532
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,31,96,106,76.547358491,13.980943396,9.8229245283,9.336509434
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,18,229,1338,1371,200.73439825,32.599781182,24.457330416,24.233063457
1013012723,KHANNA,AMIT,,MD,M,I,365 MONTAUK AVE,,NEW LONDON,CT,063204700,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,39,364.94435897,69.62,54.59,54.712051282
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,30,91,224,67.484776786,8.32,5.996875,5.996875
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,37,46,12.849130435,1.42,1.0419565217,1.0419565217
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,36,13.84,10.51,8.24,8.5516666667
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,280,5.2185714286,3.9,3.0575357143,3.0575357143
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.05,7,5.488,5.488
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,450,5.9408,4.04,3.1674444444,3.1674444444
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,400,77.18,60.51,54.72
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,15.58,9.6491904762,7.564968254,7.564968254
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2547,0.2150647821,0.0451629368,0.0354063604,0.0354063604
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,40,31.36,29.51
1013012822,SKALSKI,ARTHUR,H,MD,M,I,151 HAZARD AVE,SUITE 10,ENFIELD,CT,060824584,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,123.39130435,33,25.87,25.87
1013012855,ORSATTI,JOANN,M,NP-C,F,I,434 PROSPECT ST,"LITCHFIELD HILLS FAMILY MEDICINE, LLC",TORRINGTON,CT,067904937,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,30,58,70.168103448,8.32,6.0536206897,6.0536206897
1013012855,ORSATTI,JOANN,M,NP-C,F,I,434 PROSPECT ST,"LITCHFIELD HILLS FAMILY MEDICINE, LLC",TORRINGTON,CT,067904937,US,Nurse Practitioner,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,660,4.4936363636,1.95,1.4153787879,1.4153787879
1013012855,ORSATTI,JOANN,M,NP-C,F,I,434 PROSPECT ST,"LITCHFIELD HILLS FAMILY MEDICINE, LLC",TORRINGTON,CT,067904937,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,70.99,16.990909091,13.318181818,10.027272727
1013012855,ORSATTI,JOANN,M,NP-C,F,I,434 PROSPECT ST,"LITCHFIELD HILLS FAMILY MEDICINE, LLC",TORRINGTON,CT,067904937,US,Nurse Practitioner,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,3.3,1.5315151515,1,0.8181818182
1013012855,ORSATTI,JOANN,M,NP-C,F,I,434 PROSPECT ST,"LITCHFIELD HILLS FAMILY MEDICINE, LLC",TORRINGTON,CT,067904937,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,10.99,3.6387878788,2.4006060606,1.8412121212
1013012855,ORSATTI,JOANN,M,NP-C,F,I,434 PROSPECT ST,"LITCHFIELD HILLS FAMILY MEDICINE, LLC",TORRINGTON,CT,067904937,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,193.59,59.323157895,41.374210526,21.455263158
1013013028,MCENTIRE,BRENT,E,MD,M,I,4420 DIXIE HWY,STE. 114,LOUISVILLE,KY,402162988,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,33,87.482424242,8.32,4.7418181818,4.7418181818
1013013028,MCENTIRE,BRENT,E,MD,M,I,4420 DIXIE HWY,STE. 114,LOUISVILLE,KY,402162988,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,179.00625,47.515625,37.251875,37.360625
1013013028,MCENTIRE,BRENT,E,MD,M,I,4420 DIXIE HWY,STE. 114,LOUISVILLE,KY,402162988,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,74.7,25.99625,19.18125,13.369375
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,28.269230769,28.269230769,18.766923077,18.923846154
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,23,32.540869565,29.523043478,22.14826087,22.270434783
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,36,11.648611111,10.863333333,7.8133333333,7.8677777778
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,210,5.5057142857,5.5057142857,3.9047619048,3.929952381
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,330,3.0245454545,3.0245454545,2.1561212121,2.1677878788
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,56,105.85,71.56,56.105,56.105
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,316,5.95,4.2851265823,3.3595253165,2.4993670886
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,10610,0.75,0.4073930254,0.3160697455,0.2469557022
1013013093,DAHLBERG,THOMAS,E,MD,M,I,101 S MAIN ST,,ROGERSVILLE,MO,657429357,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,153,64.44,43.56,34.151633987,34.149934641
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,33,90,276,73.05307971,8.32,5.9786594203,5.9786594203
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,22,53,88,13.882954545,1.42,1.0267045455,1.0267045455
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,68,67.664117647,15.74,12.34,12.004264706
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,259.78764706,56,38.646470588,37.851176471
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,72.317692308,18,11.939230769,11.904615385
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,73.476153846,12.08,8.7415384615,8.4453846154
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,23,117,11.266923077,2,1.5147863248,1.535982906
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,218.31,54.633333333,39.977777778,36.727222222
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,46,46.76,18,14.11,13.589565217
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,132.46,48.6725,30.4825,28.944166667
1013013119,O'ROURKE,WILLIAM,T,MD,M,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,61,367.07540984,76.700327869,59.488032787,54.727213115
1013013218,RASSAI,HAMID,R,,M,I,3903 LONE TREE WAY,,ANTIOCH,CA,945096249,US,Physician/General Surgery,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,1300,878.62,688.84,799.34909091
1013013218,RASSAI,HAMID,R,,M,I,3903 LONE TREE WAY,,ANTIOCH,CA,945096249,US,Physician/General Surgery,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,1,11,11,22,500,364.4,285.69,285.69
1013013648,COOPER,TOM,,M.D.,M,I,561 MEDICAL DR,,CLARKSDALE,MS,386146733,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,36,69.444444444,69.308333333,49.744166667,48.446666667
1013013648,COOPER,TOM,,M.D.,M,I,561 MEDICAL DR,,CLARKSDALE,MS,386146733,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,35,62,63.064516129,49.941129032,37.165,41.088064516
1013013796,POPE,KELLY,A,APRN,F,I,2355 POPLAR LEVEL RD,STE 405,LOUISVILLE,KY,402171395,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,71.5,56.06,54.73
1013013796,POPE,KELLY,A,APRN,F,I,2355 POPLAR LEVEL RD,STE 405,LOUISVILLE,KY,402171395,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,616,113.07178571,5.2954707792,4.1516720779,4.1516720779
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,133.59157895,52.503157895,41.162631579,36.46
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,156.44466667,58.228666667,45.649333333,40.791333333
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,81,82,89,154.63325843,117.93516854,86.863707865,73.474606742
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,154.35,119.11785714,93.394285714,101.77714286
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,964.94,723.44454545,567.18090909,480.62181818
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,119.72,91.27,69.349230769,77.053846154
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,29,69.8,53.2,36.376551724,40.816551724
1013014133,MEHTA,SANJIV,,MD,M,I,4001 KRESGE WAY,SUITE 100,LOUISVILLE,KY,402074640,US,Physician/Orthopedic Surgery,S,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,444.91,346.55666667,270.80066667,287.88733333
1013014166,MILKIE,CHRISTOPHER,J,DPM,M,I,10125 WEST NORTH AVENUE,,WAUWATOSA,WI,53226,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,56,75,71.56,52.0975,52.0975
1013014166,MILKIE,CHRISTOPHER,J,DPM,M,I,10125 WEST NORTH AVENUE,,WAUWATOSA,WI,53226,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,170,35,29.19,22.618882353,22.620529412
1013014166,MILKIE,CHRISTOPHER,J,DPM,M,I,10125 WEST NORTH AVENUE,,WAUWATOSA,WI,53226,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,650,454.96,339.97083333,337.30166667
1013014166,MILKIE,CHRISTOPHER,J,DPM,M,I,10125 WEST NORTH AVENUE,,WAUWATOSA,WI,53226,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,31,32,280,162.87,124.140625,123.013125
1013014521,VELASCO,SONIA,C,MD,F,I,172 NEWARK AVE,,JERSEY CITY,NJ,07302,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,67.70875,8.32,4.485625,4.485625
1013014539,MCKINLEY,LINDSAY,K,OD,F,I,16605 ALBERTA ST,,ONEIDA,TN,378416283,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,77.762307692,77.603076923,57.473076923,49.436923077
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,43,80.120697674,8.32,6.5220930233,6.5220930233
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,832,18.387860577,13.126466346,10.29125,10.29125
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,256,450,373.44,292.77597656,292.77597656
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,292,24.914383562,9.3476027397,7.3281164384,7.3281164384
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,292,49.828767123,29.212328767,22.902534247,22.902534247
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,39,39,138.23,48.96025641,38.383076923,39.334102564
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,67.12,19.49,14.057857143,14.339285714
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,972.47,972.47,760.606875,773.736875
1013014752,LIFSCHUTZ,HARRY,,M.D.,M,I,81709 DR CARREON BLVD,STE D1,INDIO,CA,922015578,US,Physician/General Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,16,827.2275,827.2275,648.545625,677.690625
1013014802,MAGEE,EUGENE,A,M.D.,M,I,9662 PENNSYLVANIA AVE,,UPPER MARLBORO,MD,207723670,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,75,12450,4.4072353414,0.5642289157,0.4235044177,0.423502008
1013014802,MAGEE,EUGENE,A,M.D.,M,I,9662 PENNSYLVANIA AVE,,UPPER MARLBORO,MD,207723670,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2250,0.0829244444,0.0133333333,0.0104577778,0.0104577778
1013014802,MAGEE,EUGENE,A,M.D.,M,I,9662 PENNSYLVANIA AVE,,UPPER MARLBORO,MD,207723670,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,46,5820,4.6081340206,1.3763505155,1.0558591065,1.0558591065
1013014802,MAGEE,EUGENE,A,M.D.,M,I,9662 PENNSYLVANIA AVE,,UPPER MARLBORO,MD,207723670,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,30,3120,4.6178525641,2.8529807692,2.2321698718,2.2321698718
1013014802,MAGEE,EUGENE,A,M.D.,M,I,9662 PENNSYLVANIA AVE,,UPPER MARLBORO,MD,207723670,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,84,84,24,24,18.147857143,18.147857143
1013014802,MAGEE,EUGENE,A,M.D.,M,I,9662 PENNSYLVANIA AVE,,UPPER MARLBORO,MD,207723670,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,83,85,16,16,12.392470588,12.392470588
1013015031,MCKAY,MARK,T,M.D.,M,I,2200 WABASH AVE,,SPRINGFIELD,IL,627045352,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,37,92,72.182282609,8.32,5.530326087,5.530326087
1013015031,MCKAY,MARK,T,M.D.,M,I,2200 WABASH AVE,,SPRINGFIELD,IL,627045352,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,241.5,47.625714286,34.850714286,35.211428571
1013015031,MCKAY,MARK,T,M.D.,M,I,2200 WABASH AVE,,SPRINGFIELD,IL,627045352,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,84,17.855454545,13.063636364,12.567272727
1013015247,FOLGOSA,MAURO,,MD,M,I,290 COUNTRY CLUB DR,SUITE 100,STOCKBRIDGE,GA,302819069,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,6030,0.3723880597,0.13,0.0957661692,0.0957661692
1013015247,FOLGOSA,MAURO,,MD,M,I,290 COUNTRY CLUB DR,SUITE 100,STOCKBRIDGE,GA,302819069,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,2.75,2.27,1.6178787879,1.6178787879
1013015247,FOLGOSA,MAURO,,MD,M,I,290 COUNTRY CLUB DR,SUITE 100,STOCKBRIDGE,GA,302819069,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,92,13950,4.0779311828,2.0224516129,1.5474172043,1.5603017921
1013015247,FOLGOSA,MAURO,,MD,M,I,290 COUNTRY CLUB DR,SUITE 100,STOCKBRIDGE,GA,302819069,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,3390,9.65,7.1,5.5534011799,5.6553244838
1013015247,FOLGOSA,MAURO,,MD,M,I,290 COUNTRY CLUB DR,SUITE 100,STOCKBRIDGE,GA,302819069,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,13.46,9.29,6.6181818182,7.8154545455
1013015247,FOLGOSA,MAURO,,MD,M,I,290 COUNTRY CLUB DR,SUITE 100,STOCKBRIDGE,GA,302819069,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,470,4.9607021277,4.0204255319,3.152,3.1627021277
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,250,335,335,68.654447761,40.794537313,31.169552239,30.402626866
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,39,121,161,6.4760248447,1.4880124224,1.1042236025,1.0901242236
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,62.399285714,11.802142857,8.4371428571,8.2685714286
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,220,296,296,211.37709459,93.162060811,71.509932432,67.779797297
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,64,104,205,110.52843902,35.929219512,27.575268293,25.583804878
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,50,78,237,56.708481013,20.203755274,15.55371308,14.47092827
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,22,36,126,51.438809524,15.925396825,11.108809524,10.773174603
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,19,264,359,359,130.99988858,58.491309192,43.950083565,41.63729805
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,464,569,569,40.226977153,19.113602812,14.543321617,13.87602812
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,18,18,24.266111111,11.137222222,8.28,7.9383333333
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,137,194,194,41.709484536,13.288247423,10.240154639,8.9987628866
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,254,369,1389,9.6967962563,2.2801079914,1.7582577394,1.620950324
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,173,204,204,13.542892157,6.294754902,4.7950490196,4.5593627451
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,58,67,67,30.599850746,13.744776119,10.464626866,10.079402985
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,42,332,339,60.119587021,18.628731563,14.192920354,13.186430678
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,60,17.685454545,13.861363636,13.530909091
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,380,71.595909091,56.130454545,54.737727273
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,22,22,208.10454545,59.041363636,40.257727273,36.105454545
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,22,24,165.27791667,51.295833333,38.500833333,36.082916667
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,22,22,208.10454545,54.607272727,38.702272727,33.705454545
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,22,160,160,3597.744375,925.24625,713.889125,824.619875
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,43,203,203,297.66837438,99.407093596,75.549507389,69.346453202
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,522.19,239.98952381,188.15380952,176.60071429
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,132,132,132,321.62810606,148.70363636,116.07068182,110.14075758
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,59.869565217,11.805217391,8.792173913,8.7086956522
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,18,61,353,355,38.57571831,4.9761408451,3.6854647887,3.3911549296
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,75,35.5875,27.8975,32.445833333
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,179,1075,1080,142.76715741,37.331083333,28.442361111,25.841416667
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,68,547,554,362.77610108,75.928700361,58.084440433,53.722509025
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,58.125,37.7315625,29.57875,29.72375
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,8,11,11,11,57,57,44.69,44.69
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,15.58,9.5793125,7.4437291667,7.4437291667
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.194583333,8.5820416667,8.5820416667
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,59,172,44930,0.3606888493,0.0463986201,0.0342624082,0.0342624082
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,6269,3.3890891689,0.0701132557,0.0549720849,0.0549720849
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,28,149,17721,1.4476197732,0.1348067265,0.1007798657,0.1007798657
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,58,3570,11.403257703,2.9016890756,2.2749439776,2.2749439776
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,1155,0.8973939394,0.2183463203,0.1711601732,0.1711601732
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,101,101,55.247524752,37.846039604,28.987425743,28.775742574
1013015254,HOLDEN,EDSEL,P,MD,M,I,541 W COLLEGE ST,SUITE 2200,FLORENCE,AL,356305323,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,27,86,346,346,64.475433526,33,24.824219653,24.824219653
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,75,139,139,105.33007194,40.37647482,30.344244604,29.315899281
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,279,486,486,391.85154321,89.711255144,66.913312757,64.604218107
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,18,152,310,626,195.6315655,35.157300319,26.221086262,24.637284345
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,147,302,1093,99.966248856,19.522881976,14.190667887,13.565059469
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,103,232,922,67.858752711,15.877852495,11.525791757,11.014522777
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,373,636,636,220.32495283,56.659261006,40.352468553,39.038160377
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,611,764,764,73.83171466,18.368298429,13.634267016,13.363010471
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,51,61,61,45.055737705,10.772459016,8.3070491803,8.0063934426
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,531,891,891,72.481840629,12.374848485,9.2668125701,8.7358810325
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,30,605,1258,4279,10.086389343,2.1781444263,1.6410913765,1.5316732882
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,224,269,269,19.519628253,6.1724163569,4.6815241636,4.4787732342
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,318,395,395,52.471696203,13.065696203,9.8191392405,9.9351139241
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,142,146,87.213972603,17.90109589,13.746849315,13.508219178
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,80,52.97,41.53,41.763333333
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,80,48,37.63,37.63
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,39,197,209,444.99923445,94.708277512,72.178708134,66.421004785
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,71,71,71,735.32647887,134.72873239,105.63070423,105.07957746
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,211,1192,1206,40.109212272,12.788358209,9.6190049751,9.484933665
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,40.654545455,4.2531818182,3.1804545455,3.2822727273
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,324,1837,1856,279.05205819,34.219294181,25.214299569,24.145404095
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,47,250,260,433.28946154,71.907846154,54.784153846,53.746153846
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,58,74,177.59797297,37.274189189,29.219459459,29.641081081
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,15.307083333,11.101166667,8.4376574074,8.4376574074
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3132,0.2352745849,0.0448595147,0.0351819923,0.0351819923
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1980,0.92,0.1353333333,0.1061313131,0.1061313131
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,2040,12.594147059,2.9546617647,2.3164803922,2.3164803922
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.83,28.87,29.456666667
1013015270,SHAH,ASHVIN,K,M.D.,M,I,2110 W 24TH ST,,YUMA,AZ,853648878,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,59,59,96.762711864,33,25.87,25.87
1013015585,EDWARDS,STEPHEN,P,O. D.,M,I,302 RAILROAD ST,,WATER VALLEY,MS,389653032,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,63.538461538,63.533076923,46.961153846,49.59
1013015585,EDWARDS,STEPHEN,P,O. D.,M,I,302 RAILROAD ST,,WATER VALLEY,MS,389653032,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,23,47.608695652,47.608695652,35.873043478,39.59
1013015585,EDWARDS,STEPHEN,P,O. D.,M,I,302 RAILROAD ST,,WATER VALLEY,MS,389653032,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,19,47.210526316,47.210526316,37.011578947,42.311578947
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,50,129,337,69.460267062,8.32,5.6010979228,5.6010979228
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,30,66,85,15.112470588,1.42,0.9327058824,0.9327058824
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,23,8.9847826087,1.71,0.9939130435,0.8704347826
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,89.23,14.195,10.1325,8.3158333333
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,86.31,18.364444444,13.389722222,12.628611111
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,48,61,50.890163934,6.776557377,4.9868852459,3.4698360656
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,57,519.51,84.57754386,63.91877193,54.987192982
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1386,17.698326118,9.6022438672,7.4206709957,7.4206709957
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.592375,8.592375
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,52,10518,0.2603993155,0.045859479,0.0284978133,0.0284978133
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,100.75,20.388888889,14.413888889,11.886666667
1013015635,RAWLINSON,WILLIAM,T,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,93,93,113.25806452,33,23.415698925,23.415698925
1013015817,DIMARZIO,LISA,A,MD,F,I,2003 MEDICAL PARKWAY,SUITE 100,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,29,60,211,68.291895735,8.32,5.7801895735,5.7801895735
1013015817,DIMARZIO,LISA,A,MD,F,I,2003 MEDICAL PARKWAY,SUITE 100,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,25,48,14.877708333,1.42,1.0685416667,1.0685416667
1013015817,DIMARZIO,LISA,A,MD,F,I,2003 MEDICAL PARKWAY,SUITE 100,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,150.01526316,57.472631579,45.055263158,43.119473684
1013015817,DIMARZIO,LISA,A,MD,F,I,2003 MEDICAL PARKWAY,SUITE 100,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,77,8.3446753247,2.3825974026,1.8681818182,1.5918181818
1013015817,DIMARZIO,LISA,A,MD,F,I,2003 MEDICAL PARKWAY,SUITE 100,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,65,17.46,13.042608696,12.970869565
1013015817,DIMARZIO,LISA,A,MD,F,I,2003 MEDICAL PARKWAY,SUITE 100,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,18,42.668333333,5.0972222222,2.7822222222,2.4411111111
1013015817,DIMARZIO,LISA,A,MD,F,I,2003 MEDICAL PARKWAY,SUITE 100,ANNAPOLIS,MD,21401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,409,82,58.699565217,54.543043478
1013015890,WEHNER,LAURIE,A,CRNP,F,I,113 W MCMURRAY RD,,MCMURRAY,PA,15317,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,146.25,22.347391304,16.509130435,13.535217391
1013015890,WEHNER,LAURIE,A,CRNP,F,I,113 W MCMURRAY RD,,MCMURRAY,PA,15317,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,62.16,8.92,6.99,6.5016666667
1013016138,BLUBAUGH,MICHAEL,L,MD,M,I,461 SPRUCE ST,,WALTERBORO,SC,294882766,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,33,57.691212121,8.32,4.5472727273,4.5472727273
1013016138,BLUBAUGH,MICHAEL,L,MD,M,I,461 SPRUCE ST,,WALTERBORO,SC,294882766,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,16.613636364,13.022727273,9.7563636364
1013016138,BLUBAUGH,MICHAEL,L,MD,M,I,461 SPRUCE ST,,WALTERBORO,SC,294882766,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,70.417272727,55.209090909,38.434545455
1013016138,BLUBAUGH,MICHAEL,L,MD,M,I,461 SPRUCE ST,,WALTERBORO,SC,294882766,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,40,21.615625,16.013125,12.684375
1013016138,BLUBAUGH,MICHAEL,L,MD,M,I,461 SPRUCE ST,,WALTERBORO,SC,294882766,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,125,52.337692308,41.03,25.175384615
1013016138,BLUBAUGH,MICHAEL,L,MD,M,I,461 SPRUCE ST,,WALTERBORO,SC,294882766,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,220,96.02375,71.548125,51.309375
1013016138,BLUBAUGH,MICHAEL,L,MD,M,I,461 SPRUCE ST,,WALTERBORO,SC,294882766,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,26.135,20.49,15.1125
1013016187,TRESS,JONATHAN,H,M.D.,M,I,100 RETREAT AVE,SUITE 200,HARTFORD,CT,061062528,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,34,62.145588235,8.32,5.7538235294,5.7538235294
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,36,125,53.41616,8.32,6.31352,6.31352
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,41,13.998292683,1.42,1.0604878049,1.0604878049
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,300,9.0786666667,5.5333333333,3.7091333333,3.7143666667
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,860,0.4499883721,0.2420930233,0.1528372093,0.1746976744
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,300,5.9673333333,3.038,2.223,2.2245666667
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,705,0.476751773,0.27,0.1986382979,0.1986382979
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,16,2.5625,1.8875,1.330625,1.056875
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,170.99692308,119.79846154,93.920769231,74.283076923
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,68.078823529,43.891176471,29.355882353,24
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,45.231538462,23.408461538,18.350769231,14.668461538
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,41.233571429,20.306428571,15.92,10.772857143
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,40,43,113.32348837,59.449767442,44.822093023,35.790465116
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,15,50.146666667,23.364,18.315333333,13.53
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,17,34.848235294,16.490588235,12.929411765,11.280588235
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,67,67,18.299253731,5.8167164179,4.1656716418,3.2501492537
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,24,83.455,49.659166667,38.93,27.967083333
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,35,249.06657143,87.876285714,65.480571429,51.637142857
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,6308,0.05,0.0453741281,0.0315963855,0.0315948003
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1052,0.1983079848,0.1336121673,0.1047528517,0.1047528517
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,744,0.22,0.218266129,0.1568413978,0.1568413978
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,103.38,35.518214286,27.071428571,21.403571429
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.79,37.44,29.35,29.51
1013016732,VISHWANATH,SASIKUMAR,,M.D.,M,I,1073 3RD ST,,FLORALA,AL,364423231,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,13,32,32,33,33,23.4446875,23.4446875
1013016815,GENTILE,MARIO,,MD,M,I,31 SHERMAN ST,SUITE 1400,JAMESTOWN,NY,147017079,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,86.31,22.576,17.698,13.53
1013016815,GENTILE,MARIO,,MD,M,I,31 SHERMAN ST,SUITE 1400,JAMESTOWN,NY,147017079,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,519.51,103.372,81.046,54.73
1013016849,PACK,CURTIS,B,DO,M,I,503 ROOSEVELT BLVD,,ELEANOR,WV,25070,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,92,157,56.594394904,8.32,5.0277070064,5.0277070064
1013016849,PACK,CURTIS,B,DO,M,I,503 ROOSEVELT BLVD,,ELEANOR,WV,25070,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,24,27,15.894074074,1.42,0.7866666667,0.7866666667
1013016849,PACK,CURTIS,B,DO,M,I,503 ROOSEVELT BLVD,,ELEANOR,WV,25070,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,389.33086957,90.489565217,60.9,47.14173913
1013016849,PACK,CURTIS,B,DO,M,I,503 ROOSEVELT BLVD,,ELEANOR,WV,25070,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,146.36363636,42.396818182,30.254545455,27.159545455
1013016930,DERGHAM,BACHAR,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,13,60,4568,41.524853327,5.2045074431,4.0489316988,4.0489316988
1013016930,DERGHAM,BACHAR,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,13,42,42,24,24,18.82,18.82
1013016930,DERGHAM,BACHAR,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,16,16,12.54,12.54
1013016963,BROTHERS,DEBRA,J,CNP,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,26,66,60.664090909,8.32,6.3083333333,6.3083333333
1013016989,PENGILLY,DANETTE,,GNP-C,F,I,310 N 10TH ST,,BISMARCK,ND,585014516,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,273.94285714,81.176857143,59.098857143,50.334857143
1013016989,PENGILLY,DANETTE,,GNP-C,F,I,310 N 10TH ST,,BISMARCK,ND,585014516,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,225,38.68,29.00173913,28.226956522
1013016989,PENGILLY,DANETTE,,GNP-C,F,I,310 N 10TH ST,,BISMARCK,ND,585014516,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,133,44.745,32.344166667,27.056666667
1013017193,PATEL,NEELA,K,M.D.,F,I,21408 HILLSIDE AVE,FIRST FLOOR,QUEENS VILLAGE,NY,114271808,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,30,83.056333333,8.32,6.0906666667,6.0906666667
1013017284,HUSSAIN,SYED FAIYAZ,,MD,M,I,208 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,13,255,42.879411765,19.613960784,15.377176471,15.377176471
1013017284,HUSSAIN,SYED FAIYAZ,,MD,M,I,208 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,46,75,232,1043,120.37991371,8.2384276127,6.0468072867,6.0949089166
1013017284,HUSSAIN,SYED FAIYAZ,,MD,M,I,208 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,23,25,13.906,3.38,2.65,2.65
1013017284,HUSSAIN,SYED FAIYAZ,,MD,M,I,208 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,42,92,211,18.006872038,1.42,1.0344549763,1.0344549763
1013017284,HUSSAIN,SYED FAIYAZ,,MD,M,I,208 BRIDGE ST,,METUCHEN,NJ,088402290,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,687.46,318.69,236.80727273,236.80727273
1013017557,MESHON,ALAN,L,D.P.M.,M,I,407 W LINCOLN HWY,SUITE 30,EXTON,PA,193412521,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,68.29,68.29,53.535,56.1
1013017557,MESHON,ALAN,L,D.P.M.,M,I,407 W LINCOLN HWY,SUITE 30,EXTON,PA,193412521,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,41.58,41.58,32.598333333,34.15
1013017656,JANKOWSKI,JAMES,J,O.D.,M,I,307 MADISON ST.,,IRONTON,OH,456381638,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,37,80.648918919,70.04027027,54.913513514,52.806486486
1013017656,JANKOWSKI,JAMES,J,O.D.,M,I,307 MADISON ST.,,IRONTON,OH,456381638,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,23,68.217391304,50.62,39.685652174,43.18
1013017656,JANKOWSKI,JAMES,J,O.D.,M,I,307 MADISON ST.,,IRONTON,OH,456381638,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,35,67.085714286,52.13,40.87,43.559142857
1013017680,MONDAY,MICHAEL,D,MD,M,I,1775 SPRING CREEK DR,,BILLINGS,MT,591026754,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,519.51,92.78375,72.74125,55.0225
1013017680,MONDAY,MICHAEL,D,MD,M,I,1775 SPRING CREEK DR,,BILLINGS,MT,591026754,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,250,42.736875,33.50875,30.380625
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,42,62,62,118.71580645,41.721129032,32.295,30.337741935
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,56.693076923,12.128461538,9.5046153846,9.0892307692
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,55,96,96,352.4265625,98.54,74.788958333,67.272083333
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,45,99,178,150.00685393,37.491853933,28.502134831,25.512921348
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,15,29,148,87.876351351,21.115675676,16.554054054,14.678108108
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,26,45,45,224.12177778,60.978888889,47.006222222,42.944666667
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,72,90,90,65.886111111,19.893888889,15.036333333,13.776888889
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,29,55,55,80.260545455,14.650727273,11.186727273,9.4027272727
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,68,125,607,9.6047611203,2.2842009885,1.76276771,1.5956672158
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,14,14,28.504285714,7.0821428571,5.5564285714,4.7057142857
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,35,44,44,56.943409091,14.123863636,10.826590909,10.228636364
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,68,68,97.033970588,18.125588235,13.771029412,13.196911765
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,2867.76,1074.31,839.39375,839.39375
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,13,59,59,426.18966102,106.89745763,79.614576271,66.272372881
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,12,57,59,1338.2432203,236.43220339,182.93169492,172.08288136
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,20,20,20,440.9415,161.692,111.2565,92.823
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,24,28,77.275714286,15.405357143,12.081428571,10.852857143
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,79.31,39.670909091,31.103636364,24.846363636
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,18,126,129,35.217286822,5.217751938,4.0651162791,3.6203875969
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,39.820909091,27.545454545,27.545454545
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,34,221,226,217.52946903,37.368362832,26.642920354,22.542300885
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,19,131,138,507.11855072,87.704492754,66.252898551,52.882391304
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,182.21294118,40.364117647,31.649411765,29.511176471
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,54,3186,17.48457941,9.6280194601,7.4582925298,7.4582925298
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1260,21.914214286,10.994142857,8.5055793651,8.5055793651
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,12,1989,0.5495022624,0.0466867773,0.0315485168,0.0315485168
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,21,2300,1.8393347826,0.1403956522,0.1100869565,0.1100869565
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,14,75,4448,11.91471223,3.0211690647,2.3186870504,2.3186870504
1013017748,PERVEZ,ADNAN,,MD,M,I,4414 LAKE BOONE TRL STE 402,,RALEIGH,NC,276077520,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,25,97,97,53.432989691,33,25.720412371,25.720412371
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,31,100,238,66.692983193,8.32,5.6063865546,5.6063865546
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,23,34,14.645294118,1.42,1.0176470588,1.0176470588
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,9.73,8.69,6.81,6.81
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,15.44,13.8,10.82,10.82
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,30,17.931333333,10.828,8.49,8.57
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,24,7.91,7.46,5.85,5.85
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.6417083333,4.9058333333,3.2484166667,3.2484166667
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,6.3786666667,5.36,4.202,4.202
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,440,4.2185454545,4.0213636364,3.1241590909,3.1309318182
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,2084,0.4438147793,0.44,0.3449568138,0.3449568138
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,1346,0.4629271917,0.4497771174,0.3526448737,0.3527265973
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,67.212727273,19.346363636,13.750909091,12.789090909
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,22,22,233.32863636,51.325454545,40.240909091,39.528181818
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,69.311666667,4.77,3.745,3.5683333333
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,31.5,5.04,3.95,3.95
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,5002,0.2742942823,0.0450459816,0.0348680528,0.0348680528
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1140,1.3464298246,0.1343684211,0.105377193,0.105377193
1013017797,RICHARDS,JENNIFER,E,M.D.,F,I,1100 CENTRE WEST DR,,SPRINGFIELD,IL,627042100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,31,31,48.967741935,33,25.035483871,25.035483871
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,49,111,60.759009009,8.32,3.7608108108,3.7608108108
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,38,50,14.6888,1.42,0.7372,0.7372
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,52.483636364,12.21,8.7,8.2909090909
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,6.91,2.02,1.4630769231,1.4715384615
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,378.96444444,83.638888889,61.05,61.375555556
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,25,3.97,2.6871428571,3.1285714286
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,350,65.7,46.604285714,49.901428571
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3298,0.6077653123,0.0462856277,0.0328168587,0.0328168587
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,0.92,0.1369130435,0.0915507246,0.0915507246
1013017995,INGLET,JENNIFER,,PAC,F,I,520 KENTUCKY ST,,GRIDLEY,CA,959482116,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,84.652173913,33,22.495652174,22.495652174
1013018035,HOLMES,JARROD,P,MD,M,I,3555 ROUND BARN CIR,,SANTA ROSA,CA,95403,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,45,2807,38.178877805,4.7416458853,3.7120306377,3.7120306377
1013018035,HOLMES,JARROD,P,MD,M,I,3555 ROUND BARN CIR,,SANTA ROSA,CA,95403,US,Physician/Medical Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,14,5780,16.993141869,1.1683702422,0.9160121107,0.9160121107
1013018035,HOLMES,JARROD,P,MD,M,I,3555 ROUND BARN CIR,,SANTA ROSA,CA,95403,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,43,43,24,24,18.82,18.82
1013018035,HOLMES,JARROD,P,MD,M,I,3555 ROUND BARN CIR,,SANTA ROSA,CA,95403,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,32,34,16.235294118,16,12.54,12.54
1013018068,MATTES,LEONARD,M,M.D.,M,I,1199 PARK AVE,SUITE 1F,NEW YORK,NY,101281711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,407.85714286,77.36,54.737142857,49.24
1013018068,MATTES,LEONARD,M,M.D.,M,I,1199 PARK AVE,SUITE 1F,NEW YORK,NY,101281711,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,19,19,44.055789474,15.582105263,12.213684211,14.427894737
1013018068,MATTES,LEONARD,M,M.D.,M,I,1199 PARK AVE,SUITE 1F,NEW YORK,NY,101281711,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,12.855714286,7.3471428571,5.76,6.9535714286
1013018068,MATTES,LEONARD,M,M.D.,M,I,1199 PARK AVE,SUITE 1F,NEW YORK,NY,101281711,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,85,38.71,26.014285714,25.294285714
1013018357,RASOOL,ALTAF,,M.D,M,I,88 NORWICH NEW LONDON TPKE,SUITE 2,UNCASVILLE,CT,063822518,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,1489,7.2343116185,0.5695903291,0.4465681666,0.4465681666
1013018357,RASOOL,ALTAF,,M.D,M,I,88 NORWICH NEW LONDON TPKE,SUITE 2,UNCASVILLE,CT,063822518,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,1300,8.0230615385,1.2947769231,1.0151307692,1.0151230769
1013018357,RASOOL,ALTAF,,M.D,M,I,88 NORWICH NEW LONDON TPKE,SUITE 2,UNCASVILLE,CT,063822518,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,24,24,18.82,18.82
1013018357,RASOOL,ALTAF,,M.D,M,I,88 NORWICH NEW LONDON TPKE,SUITE 2,UNCASVILLE,CT,063822518,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,16,16,12.54,12.54
1013018431,PENDOLA,CHRISTOPHER,A,M.D.,M,I,2212 N JOHN B DENNIS HWY,SUITE C,KINGSPORT,TN,376605894,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,19,64.438947368,54.450526316,40.795263158,44.267368421
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,34,105,328,64.648628049,8.32,6.273902439,6.273902439
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,24,24,14.544166667,3.38,2.5395833333,2.5395833333
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,25,2.12,1.5181818182,1.5181818182
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,34,66,14.876666667,1.42,1.0639393939,1.0639393939
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,19,37,8.19,1.6767567568,1.1056756757,0.9818918919
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,583.45090909,100.81181818,74.207272727,67.771818182
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,26,218.875,37.198461538,26.961153846,25.281153846
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,58,11.966896552,2.2910344828,1.6127586207,1.4377586207
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,37,64.907567568,18,12.851621622,12.481891892
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,22,22,160.15909091,58.285454545,45.696818182,37.69
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,4223.3905263,1001.46,782.94710526,838.55447368
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,20,64.7295,13.46,10.55,10.501
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,29,50.73,3.9810344828,2.6148275862,3.1455172414
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,23,291.34956522,34.695652174,24.699130435,23.797826087
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,116,116,503.72853448,79.73862069,55.818275862,49.675775862
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,39.14,28.123333333,27.050833333
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,13.94,11.214521739,8.7922173913,8.7922173913
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,5165,0.2147028074,0.0464549855,0.0299922556,0.0299922556
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,2400,1.1434,0.13495,0.1012708333,0.1012708333
1013018654,DUDLEY,VIVIAN,,,F,I,125 N OLD HWY 66,,BOURBON,MO,65441,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,58,58,120.05172414,33,23.639827586,23.639827586
1013018944,SCHLESINGER,BRIAN,A,PA-C,M,I,1037 E. PALMDALE BLVD.,,PALMDALE,CA,93550,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,64,65.2596875,8.32,6.318125,6.318125
1013019017,ALDRICH,PETER,D,M.D.,M,I,15025 INNOVATION DR,,SAN DIEGO,CA,921283409,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,11563,3.3584017988,0.31,0.2430364092,0.2430364092
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,54,152,337,74.299614243,8.3053115727,6.0371810089,6.0486646884
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,29,29,14.911724138,3.38,2.65,2.65
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,21.449411765,2.12,1.67,1.67
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,30,64,85,14.236117647,1.42,1.0908235294,1.0908235294
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,36,8.19,1.8961111111,1.3466666667,1.0225
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,14,24,24,243.54166667,118.23875,77.592083333,57.37375
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,16,48.9475,39.901875,27.698125,22.880625
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,37,50.121621622,24.289459459,17.996486486,14.187837838
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,17,28,28,145.90357143,71.583928571,50.925357143,38.957857143
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,30,38,38,47.795263158,22.677631579,15.438947368,12.482368421
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,36,36,58.62,18.960833333,13.082777778,8.0813888889
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,25,47,185,7.5888108108,2.8419459459,1.8942702703,1.3480540541
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,20.571764706,7.8041176471,5.5188235294,4.2764705882
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,19,23,23,29.844347826,15.439130435,9.9708695652,8.4413043478
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,200,57.79,43.637826087,35.74
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,123,124,87.202419355,21.968467742,16.328548387,13.142419355
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,41.45,6.56,4.7786666667,3.154
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,13,89,89,221.39168539,48.056067416,29.922134831,25.249775281
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,129.31130435,59.749130435,45.236956522,35.560869565
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,189,189,465.9242328,100.03021164,73.608571429,54.784550265
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,51,3000,16.106286667,9.63272,7.4347233333,7.4347233333
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2855,0.5521085814,0.0450227671,0.0333660245,0.0333660245
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,53,53,70.709433962,28.066603774,21.189245283,13.917924528
1013019033,LAMON,JAMES,C,MD,M,I,320 SUNSET CIRCLE,,MOULTRIE,GA,31768,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,16,67,67,114.26865672,33,25.483880597,25.483880597
1013019280,ASHLEY,JEFFREY,V,M.D.,M,I,3200 MACCORKLE AVE SE,FIFTH FLOOR,CHARLESTON,WV,253041227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,62,138.34112903,8.32,6.1016129032,6.1016129032
1013019280,ASHLEY,JEFFREY,V,M.D.,M,I,3200 MACCORKLE AVE SE,FIFTH FLOOR,CHARLESTON,WV,253041227,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50.73,4.5842857143,3.1657142857,3.1647619048
1013019280,ASHLEY,JEFFREY,V,M.D.,M,I,3200 MACCORKLE AVE SE,FIFTH FLOOR,CHARLESTON,WV,253041227,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,469.73272727,70.23,55.06,54.735454545
1013019280,ASHLEY,JEFFREY,V,M.D.,M,I,3200 MACCORKLE AVE SE,FIFTH FLOOR,CHARLESTON,WV,253041227,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.44,26.904166667,27.0675
1013019280,ASHLEY,JEFFREY,V,M.D.,M,I,3200 MACCORKLE AVE SE,FIFTH FLOOR,CHARLESTON,WV,253041227,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3599,0.1751014171,0.0456487913,0.0357849403,0.0357849403
1013019280,ASHLEY,JEFFREY,V,M.D.,M,I,3200 MACCORKLE AVE SE,FIFTH FLOOR,CHARLESTON,WV,253041227,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,128,33,25.728,25.728
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,71,151,57.581390728,8.2874834437,5.1820529801,5.207615894
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,23,26,16.575,1.42,0.8176923077,0.8176923077
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,32,73.5375,71.0725,45.649375,46.0403125
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,102,31.853627451,28.98245098,22.404117647,22.568039216
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,52.031818182,19.12,12.293636364,12.188181818
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,54.174705882,14.063529412,9.9635294118,8.7141176471
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,99,11.594242424,2.4072727273,1.7922222222,1.5382828283
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,34.189285714,4.6185714286,3.1392857143,3.1392857143
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,71,20.22,10.855714286,10.001428571
1013019363,JOHNSON,ROBYN,M,M.D.,F,I,1712-A EAST BROAD AVENUE,,ALBANY,GA,31705,US,Physician/Internal Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,28,453.47714286,453.47714286,355.52571429,354.02392857
1013019439,BERRY,ALEXANDER,M,M.D.,M,I,"100 WASON AVE, SUITE 240",HOLYOKE MEDICACAL CENTER - UROLOGY,SPRINGFIELD,MA,01107,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,74,3.2004054054,2.49,1.9517567568,1.9517567568
1013019439,BERRY,ALEXANDER,M,M.D.,M,I,"100 WASON AVE, SUITE 240",HOLYOKE MEDICACAL CENTER - UROLOGY,SPRINGFIELD,MA,01107,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,43,3450,2.8982608696,2.04,1.5577478261,1.5577478261
1013019439,BERRY,ALEXANDER,M,M.D.,M,I,"100 WASON AVE, SUITE 240",HOLYOKE MEDICACAL CENTER - UROLOGY,SPRINGFIELD,MA,01107,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,3510,9.2123076923,7.2266666667,5.6143219373,5.6169373219
1013019439,BERRY,ALEXANDER,M,M.D.,M,I,"100 WASON AVE, SUITE 240",HOLYOKE MEDICACAL CENTER - UROLOGY,SPRINGFIELD,MA,01107,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,17,9.9176470588,9.2688235294,7.2647058824,8.57
1013019439,BERRY,ALEXANDER,M,M.D.,M,I,"100 WASON AVE, SUITE 240",HOLYOKE MEDICACAL CENTER - UROLOGY,SPRINGFIELD,MA,01107,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,24,8.1045833333,7.4579166667,5.8475,5.8495833333
1013019439,BERRY,ALEXANDER,M,M.D.,M,I,"100 WASON AVE, SUITE 240",HOLYOKE MEDICACAL CENTER - UROLOGY,SPRINGFIELD,MA,01107,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,88,1.6964772727,1.53,1.2,1.4104545455
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,2.8592307692,0.51,0.4,0.4
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,75,202,632,58.885648734,8.313164557,5.8956170886,5.9009810127
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,30,30,16.070666667,3.38,2.2966666667,2.2966666667
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,18,18,21.171111111,2.12,1.4844444444,1.4844444444
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,45,91,152,14.845723684,1.42,0.9830263158,0.9830263158
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,5.0327142857,3.04,2.3835,2.3835
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,33,62,62,326.95209677,123.52016129,91.44516129,64.839354839
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,29,68,148,140.71243243,46.486351351,35.180945946,25.730540541
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,191.67333333,80.081333333,57.135333333,37.498666667
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,38,51,51,59.827254902,24.558235294,18.337058824,13.375294118
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,42,78,78,64.617307692,20.476538462,15.278589744,8.9769230769
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,40,79,424,9.8279716981,2.9137735849,2.2012735849,1.5621698113
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,34,44,44,22.935454545,9.2063636364,6.9840909091,4.695
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,20,30,30,35.795666667,15.690333333,11.921333333,10.086666667
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,61,1830,14.863245902,7.4995081967,5.7306994536,4.2727540984
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,13881,1.3328434551,0.4607211296,0.3606793459,0.299376846
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,29,17719,0.8610531068,0.3924516056,0.3076827135,0.2436785372
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,26,26,67.860769231,62.880769231,44.001923077,32.520769231
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,158,161,54.327018634,22.59068323,17.431490683,13.482111801
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,13,13,87.298461538,59.297692308,46.489230769,40.710769231
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,28,29,412.73448276,127.37448276,99.860689655,70.556896552
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,43,41.626744186,7.6306976744,5.3902325581,3.1255813953
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,46,46,133,57.054782609,42.141521739,24.963478261
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,11.266666667,11.266666667,8.06,6.1525
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,31.25,13.770416667,10.797916667,8.815
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,31.25,13.3575,10.47625,8.1883333333
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,375,217.65269231,170.01384615,170.01384615
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,43,314,322,347.26869565,103.20347826,78.30015528,53.745745342
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,900,17.541611111,9.6121333333,7.5359111111,7.5359111111
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,33,2100,18.408690476,11.1076,8.7084,8.7084
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,20,80,11277,1.0201746919,0.1328278798,0.0971996098,0.0971996098
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,63,3122,11.097399103,3.0643625881,2.2645996156,2.2645996156
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,69,24.043142857,15.143142857,10.354285714
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,100,43.225,28.562142857,20.851428571
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,150,44.34,32.237307692,27.245
1013019454,BHAGAT,ANJNI,,MD,F,I,5 CLAY ST,,MALONE,NY,129531905,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,21,126,126,43.476190476,33,24.022142857,24.022142857
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,41,100,330,72.356272727,8.32,5.9494848485,5.9494848485
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,12.509047619,3.38,2.429047619,2.429047619
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,29,62,105,15.818857143,1.42,0.9880952381,0.9880952381
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,33,6.6603030303,1.5309090909,1.046969697,1.0136363636
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,70,7.1888571429,1.83,1.3925714286,1.5427142857
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,40,42,48.535,4.0233333333,2.0947619048,2.7128571429
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,63,510.00904762,85.978730159,58.90952381,48.203809524
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,42,8179,0.2700330114,0.0461596772,0.0278615968,0.0278615968
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35.96,23.491666667,24.866666667
1013019470,AVBUERE,EDWIN,A,MD,M,I,3231 YANCEYVILLE STREET,,GREENSBORO,NC,27405,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,39,39,78.692307692,33,22.575897436,22.575897436
1013019512,MEWAR,SAMIR,,M.D.,M,I,2300 MANCHESTER EXPY STE 1001,BUTLER PAVILION,COLUMBUS,GA,319046802,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,17.29,13.55,13.539090909
1013019512,MEWAR,SAMIR,,M.D.,M,I,2300 MANCHESTER EXPY STE 1001,BUTLER PAVILION,COLUMBUS,GA,319046802,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,18,354.80944444,70.23,55.06,54.871111111
1013019579,KLEMA,JOHN,W,DO,M,I,4963 NE GOODVIEW CIR STE B,,LEES SUMMIT,MO,640642491,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,68,52.381029412,8.32,6.1389705882,6.1389705882
1013019579,KLEMA,JOHN,W,DO,M,I,4963 NE GOODVIEW CIR STE B,,LEES SUMMIT,MO,640642491,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,15,257.82,44.628666667,31.142,24.772666667
1013019579,KLEMA,JOHN,W,DO,M,I,4963 NE GOODVIEW CIR STE B,,LEES SUMMIT,MO,640642491,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,412.89375,78.53,53.865,50.0175
1013019744,MIRYALA,SHYAMALA,,MD,F,I,4400 LONG PRAIRIE RD,,FLOWER MOUND,TX,750281892,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,48,52.1875,17.63,13.82,13.548125
1013019744,MIRYALA,SHYAMALA,,MD,F,I,4400 LONG PRAIRIE RD,,FLOWER MOUND,TX,750281892,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.93,6.4672727273,5.07,3.8009090909
1013019744,MIRYALA,SHYAMALA,,MD,F,I,4400 LONG PRAIRIE RD,,FLOWER MOUND,TX,750281892,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,48,215.22083333,76.48,59.96,55.0475
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,51,44.57,8.32,5.2458823529,5.2458823529
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,433.03384615,126.42692308,87.893076923,63.846923077
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,224.20235294,71.328235294,46.918823529,34.415294118
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,21,21,73.693333333,24.809047619,16.70952381,12.388571429
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,28,28,78.501785714,21.070714286,16.09,9.1392857143
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,13,31,182,12.026373626,3.249010989,2.5280769231,1.6203846154
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,23.580909091,9.2063636364,7.2172727273,4.65
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,44.985714286,15.535,12.175,10.34
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,80.083953488,21.366511628,15.015581395,11.956744186
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,27,32,179.721875,58.04375,42.20875,34.8625
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,35,43,185.25023256,45.797209302,33.791860465,22.504418605
1013019793,COMLY,WILLIAM,M,MD,M,I,3116 WILLETT DRIVE,,LARAMIE,WY,82072,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,97,103,473.79223301,97.313398058,71.059126214,52.19592233
1013019868,STINGER,ROBERT,B,MD,M,I,3301 WOODBURN RD #208,,ANNANDALE,VA,220031200,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,143.12,41.528571429,32.557857143,35.824285714
1013019918,WEISS,RICHARD,C,MD,M,I,303 N CLYDE MORRIS BLVD,HALIFAX REGIONAL ONCOLOGY CENTER,DAYTONA BEACH,FL,321142709,US,Physician/Hematology-Oncology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,21,91.693333333,8.32,4.6604761905,4.6604761905
1013019918,WEISS,RICHARD,C,MD,M,I,303 N CLYDE MORRIS BLVD,HALIFAX REGIONAL ONCOLOGY CENTER,DAYTONA BEACH,FL,321142709,US,Physician/Hematology-Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,408,125,3.08,2.4145098039,2.371004902
1013019918,WEISS,RICHARD,C,MD,M,I,303 N CLYDE MORRIS BLVD,HALIFAX REGIONAL ONCOLOGY CENTER,DAYTONA BEACH,FL,321142709,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,7532,2.627952735,0.3,0.2351978226,0.2423592671
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,23,273,55.087765568,19.650952381,15.406373626,15.406373626
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,678,8.3612094395,2.6321533923,2.063539823,2.063539823
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,43,54,169,547,53.758884826,8.32,6.0809140768,6.0809140768
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,12.502173913,3.38,2.5347826087,2.5347826087
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,21.313846154,2.12,1.5415384615,1.5415384615
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,29,70,128,13.215703125,1.42,1.036015625,1.036015625
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,638.66236842,346.24894737,263.90710526,264.21815789
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1040,16.193961538,10.750923077,8.3158653846,8.3158653846
1013020072,ROSE,VIVIAN,P,M.D.,M,I,1505 N UNIVERSITY DR,SUITE 300,CORAL SPRINGS,FL,330718921,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,28,38,486.90052632,251.11,196.87,196.87
1013020080,JONES,MICHAEL,L,M.D.,M,I,7940 FLOYD CURL DR,SUITE 560,SAN ANTONIO,TX,782293905,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,28,28,121.49,104.26,81.74,85.84
1013020080,JONES,MICHAEL,L,M.D.,M,I,7940 FLOYD CURL DR,SUITE 560,SAN ANTONIO,TX,782293905,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,18,70,53.2,41.71,46.092222222
1013020189,TERENS,WILLIAM,,MD,M,I,10 PARSONAGE RD,SUITE 118,EDISON,NJ,088372429,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,33,4250,0.1557364706,0.13,0.1005482353,0.1005482353
1013020189,TERENS,WILLIAM,,MD,M,I,10 PARSONAGE RD,SUITE 118,EDISON,NJ,088372429,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,12,41,6421,2.9901152468,1.95,1.4412521414,1.51229715
1013020189,TERENS,WILLIAM,,MD,M,I,10 PARSONAGE RD,SUITE 118,EDISON,NJ,088372429,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,2040,7.4689411765,7.0529411765,5.4591862745,5.598004902
1013020189,TERENS,WILLIAM,,MD,M,I,10 PARSONAGE RD,SUITE 118,EDISON,NJ,088372429,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,47,16.900851064,10.34,7.9334042553,8.3391489362
1013020189,TERENS,WILLIAM,,MD,M,I,10 PARSONAGE RD,SUITE 118,EDISON,NJ,088372429,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,49,14.086734694,7.46,5.4904081633,5.4904081633
1013020288,WENSTRUP,SUSIE,M,M.D.,F,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,30,95,275,55.134727273,8.3152727273,5.4941454545,5.4983272727
1013020288,WENSTRUP,SUSIE,M,M.D.,F,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,22,13.189090909,3.38,2.5295454545,2.5295454545
1013020288,WENSTRUP,SUSIE,M,M.D.,F,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,22.089090909,2.12,1.5181818182,1.5181818182
1013020288,WENSTRUP,SUSIE,M,M.D.,F,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,20,51,97,14.564123711,1.42,1.0345360825,1.0345360825
1013020288,WENSTRUP,SUSIE,M,M.D.,F,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,375.73555556,65.7,45.712962963,48.874074074
1013020288,WENSTRUP,SUSIE,M,M.D.,F,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,525,37.64,24.591666667,24.591666667
1013020437,DUONG,HUONG,T,M.D.,F,I,17400 IRVINE BLVD,SUITE F,TUSTIN,CA,927803030,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,26,78.021538462,8.32,6.5207692308,6.5207692308
1013020486,PINKSTAFF,DAVID,M,MD,M,I,601 W STATE HIGHWAY 6,SUITE 105,WACO,TX,767105575,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,43,4410,0.3197052154,0.13,0.0842335601,0.0842335601
1013020486,PINKSTAFF,DAVID,M,MD,M,I,601 W STATE HIGHWAY 6,SUITE 105,WACO,TX,767105575,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,24,41,19.400487805,13.653658537,9.9134146341,10.028292683
1013020486,PINKSTAFF,DAVID,M,MD,M,I,601 W STATE HIGHWAY 6,SUITE 105,WACO,TX,767105575,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,17,15.964117647,15.240588235,11.948235294,13.603529412
1013020486,PINKSTAFF,DAVID,M,MD,M,I,601 W STATE HIGHWAY 6,SUITE 105,WACO,TX,767105575,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,61,9140,5.5796717724,2.0390153173,1.2294234136,1.2301958425
1013020486,PINKSTAFF,DAVID,M,MD,M,I,601 W STATE HIGHWAY 6,SUITE 105,WACO,TX,767105575,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,32,1404,9.7181196581,7.19,4.8121225071,4.8347507123
1013020486,PINKSTAFF,DAVID,M,MD,M,I,601 W STATE HIGHWAY 6,SUITE 105,WACO,TX,767105575,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,30,65,12.293692308,9.2756923077,6.5981538462,7.6687692308
1013020486,PINKSTAFF,DAVID,M,MD,M,I,601 W STATE HIGHWAY 6,SUITE 105,WACO,TX,767105575,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,31,74,9.6809459459,6.3324324324,4.9640540541,5.6313513514
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,36,124,63.987903226,8.32,6.417016129,6.417016129
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,24,13.177916667,1.42,1.1120833333,1.1120833333
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,123.98272727,39.250909091,30.776363636,30.498181818
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,223.748,89.708,66.7955,64.74
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,40,79.4885,34.782,25.21125,24.16425
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,74,64.347972973,19.5,15.288378378,14.561756757
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,207.49842105,59.004210526,45.128421053,41.793684211
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,22,22,56.229545455,17.449545455,13.080909091,13.431363636
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,25,25,66.9068,13.0384,9.0952,8.0492
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,38,201,10.292935323,2.0767164179,1.5350746269,1.4970149254
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,25.905454545,6.6390909091,5.2009090909,4.65
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,25.37,12.48,7.3858333333,7.9225
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,16.466666667,12.913333333,13.54
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,12,62,62,210.88677419,36.197258065,26.274354839,24.003870968
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,59,351.98745763,79.1,59.855762712,52.920677966
1013020593,DESAI,KALPANA,P,MD,F,I,773 HIGHWAY 466,,LADY LAKE,FL,321596340,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1548,2.0152971576,0.1339018088,0.0910077519,0.0910077519
1013020759,SAM,SUSAN,,M.D.,F,I,1740 W TAYLOR ST,DEPT 3462,CHICAGO,IL,606127232,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,41,114,457,76.083632385,8.32,6.0434573304,6.0434573304
1013020759,SAM,SUSAN,,M.D.,F,I,1740 W TAYLOR ST,DEPT 3462,CHICAGO,IL,606127232,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,23,41,99,16.07020202,1.42,1.0127272727,1.0127272727
1013020759,SAM,SUSAN,,M.D.,F,I,1740 W TAYLOR ST,DEPT 3462,CHICAGO,IL,606127232,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,980,16.420173469,10.546897959,8.1224183673,8.1224183673
1013020882,BYRD,TEMPLE,B,FNP,F,I,101 CABARRUS AVE E STE 200,,CONCORD,NC,280253781,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2200,3.99,1.73,1.3563,1.59935
1013021195,BOCTOR,SHERIEV,Y,DO,M,I,21212 NORTHWEST FWY STE 425B,,CYPRESS,TX,774295887,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,36,110,63.660272727,8.3102727273,6.3960909091,6.4037272727
1013021195,BOCTOR,SHERIEV,Y,DO,M,I,21212 NORTHWEST FWY STE 425B,,CYPRESS,TX,774295887,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,22,41,14.108536585,1.42,1.0873170732,1.0873170732
1013021195,BOCTOR,SHERIEV,Y,DO,M,I,21212 NORTHWEST FWY STE 425B,,CYPRESS,TX,774295887,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2460,1.0207845528,0.1316585366,0.0932682927,0.0932682927
1013021195,BOCTOR,SHERIEV,Y,DO,M,I,21212 NORTHWEST FWY STE 425B,,CYPRESS,TX,774295887,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,106.17391304,33,23.620434783,23.620434783
1013021229,ATTAWAY,DEAN,S,M. D.,M,I,4120 FIVE FORKS TRICKUM RD SW,,LILBURN,GA,300473130,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,44,108,70.383240741,8.32,5.0724074074,5.0724074074
1013021229,ATTAWAY,DEAN,S,M. D.,M,I,4120 FIVE FORKS TRICKUM RD SW,,LILBURN,GA,300473130,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,21,15.556190476,1.42,0.9052380952,0.9052380952
1013021302,MARIER,ROBERT,L,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,70121,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,27.167692308,17.133846154,11.893461538,12.009230769
1013021302,MARIER,ROBERT,L,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,70121,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,136.38461538,70.644615385,48.960769231,48.515
1013021369,DE LA MOTTA-MURRAY,SHERYL,C,M.D.,F,I,3555 CENTERVILLE HWY,STE 100,SNELLVILLE,GA,300396456,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,53,144,61.349791667,8.32,6.1527083333,6.1527083333
1013021369,DE LA MOTTA-MURRAY,SHERYL,C,M.D.,F,I,3555 CENTERVILLE HWY,STE 100,SNELLVILLE,GA,300396456,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,16.42,3.38,2.65,2.65
1013021369,DE LA MOTTA-MURRAY,SHERYL,C,M.D.,F,I,3555 CENTERVILLE HWY,STE 100,SNELLVILLE,GA,300396456,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,23,39,13.997948718,1.42,1.0851282051,1.0851282051
1013021435,SHARDA,NEERA,,MD,F,I,12700 SOUTHFORK RD,STE 200/220,SAINT LOUIS,MO,631283201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,38,110,67.513454545,8.32,5.0985454545,5.0985454545
1013021435,SHARDA,NEERA,,MD,F,I,12700 SOUTHFORK RD,STE 200/220,SAINT LOUIS,MO,631283201,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,15.666666667,3.38,2.4733333333,2.4733333333
1013021435,SHARDA,NEERA,,MD,F,I,12700 SOUTHFORK RD,STE 200/220,SAINT LOUIS,MO,631283201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,26,30,16.004666667,1.42,0.9686666667,0.9686666667
1013021435,SHARDA,NEERA,,MD,F,I,12700 SOUTHFORK RD,STE 200/220,SAINT LOUIS,MO,631283201,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8875,3.0425,3.6125
1013021658,DAY,STEPHEN,D,M.D.,M,I,4367 SNAPFINFER WOODS DR,,DECATUR,GA,30035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,35,84.329142857,8.32,6.3382857143,6.3382857143
1013021781,OLIGA,JOHN,,M.D.,M,I,4153B FLAT SHOALS PKWY,STE 200,DECATUR,GA,300344189,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,28,108,54.405555556,8.32,5.6772222222,5.6772222222
1013021781,OLIGA,JOHN,,M.D.,M,I,4153B FLAT SHOALS PKWY,STE 200,DECATUR,GA,300344189,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.4291666667,2.4291666667
1013021781,OLIGA,JOHN,,M.D.,M,I,4153B FLAT SHOALS PKWY,STE 200,DECATUR,GA,300344189,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,32,16.320625,1.42,0.974375,0.974375
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,28,73,205,49.786926829,8.32,5.6317560976,5.6317560976
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,12.742222222,3.38,2.65,2.65
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14.891666667,2.12,1.67,1.67
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,44,76,11.435131579,1.42,0.9681578947,0.9681578947
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,72.869090909,50.377272727,39.491818182,38.522727273
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,10.684545455,8.3763636364,8.3854545455
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,10.374545455,8.1390909091,7.7890909091
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,263.4,205.51818182,161.11909091,161.32545455
1013021930,CARIDEO,LOUIS,N,MD,M,I,808 S BATTLEFIELD BLVD,,CHESAPEAKE,VA,233226611,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,18.513846154,8.1015384615,5.9007692308,5.8707692308
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,35,150,57.683466667,8.32,6.3049333333,6.3049333333
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,15,3.38,2.65,2.65
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,41,15.188780488,1.42,1.0863414634,1.0863414634
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,86.31,18,12.934166667,12.482916667
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.6872727273,3.5427272727,2.7654545455
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,21,10.990588235,8.1317647059,8.27
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,519.51,90.01,70.57,57.898
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,929,1.0604843918,0.1398600646,0.0979009688,0.0979009688
1013022193,WILBORN,ANITA,M,MD,F,I,1717 N FLAGLER DR,SUITE 3,WEST PALM BEACH,FL,334076555,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,132,33,23.650555556,23.650555556
1013022326,IJAZ,SAJEEL,,M.D.,M,I,UK HOSPITAL MEDICINE,"800 ROSE STREET, MN604",LEXINGTON,KY,405360001,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.075833333,22.4775,16.3775,12.4025
1013022326,IJAZ,SAJEEL,,M.D.,M,I,UK HOSPITAL MEDICINE,"800 ROSE STREET, MN604",LEXINGTON,KY,405360001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,127.66583333,102.61833333,77.4525,51.7275
1013022433,POOR,PHILIP,W,M.D.,M,I,500 UNIVERSITY AVE,STE 240,SACRAMENTO,CA,958256524,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,51,81.483921569,8.32,5.4996078431,5.4996078431
1013022797,MANDEL,YULIYA,P,M.D.,F,I,298 WASHINGTON ST FL 4,,GLOUCESTER,MA,019304832,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,88,79.961136364,8.32,5.33625,5.33625
1013022797,MANDEL,YULIYA,P,M.D.,F,I,298 WASHINGTON ST FL 4,,GLOUCESTER,MA,019304832,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,21,13.60047619,1.42,0.8523809524,0.8523809524
1013022979,BENITEZ,MARCO,A,M.D,M,I,511 GASLIGHT BLVD,,LUFKIN,TX,759043127,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,13,23,23,328.61391304,112.91304348,78.443913043,59.466086957
1013022979,BENITEZ,MARCO,A,M.D,M,I,511 GASLIGHT BLVD,,LUFKIN,TX,759043127,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,11,20,43,121.64325581,41.036744186,28.338372093,22.570930233
1013022979,BENITEZ,MARCO,A,M.D,M,I,511 GASLIGHT BLVD,,LUFKIN,TX,759043127,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,314.64,70.615714286,54.327142857,41.821428571
1013022979,BENITEZ,MARCO,A,M.D,M,I,511 GASLIGHT BLVD,,LUFKIN,TX,759043127,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,25,25,121.3644,22.8888,16.9824,13.9324
1013022979,BENITEZ,MARCO,A,M.D,M,I,511 GASLIGHT BLVD,,LUFKIN,TX,759043127,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,27,27,89.221851852,18.757777778,13.584814815,8.5792592593
1013022979,BENITEZ,MARCO,A,M.D,M,I,511 GASLIGHT BLVD,,LUFKIN,TX,759043127,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,36,208,14.303942308,2.9075961538,2.1768269231,1.6089423077
1013022979,BENITEZ,MARCO,A,M.D,M,I,511 GASLIGHT BLVD,,LUFKIN,TX,759043127,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,16,93,93,356.14043011,47.013548387,32.723763441,22.189784946
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,39,112,315,70.077333333,8.3179365079,5.5775873016,5.5792063492
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,53,67,13.064776119,1.42,0.9643283582,0.9643283582
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,130.90909091,77.441818182,56.428181818,43.62
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,59.411666667,26.153333333,19.201666667,15.113333333
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,49.333333333,19.59,14.4025,8.2466666667
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,15,33,5.9060606061,2.96,2.2148484848,1.8106060606
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,57,77.381052632,22.036842105,17.275614035,13.96877193
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,178.05263158,61.761578947,45.732105263,40.051578947
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,56.91,7.1895833333,5.6358333333,4.4241666667
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,83,83,461.19180723,100.21204819,78.568072289,58.694337349
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1620,19.255283951,9.6704074074,7.5815925926,7.5815925926
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,3942,0.766861999,0.045971588,0.0360553019,0.0360553019
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,3379,1.3535631844,0.135847884,0.1065078426,0.1065078426
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,2040,9.3549264706,3.1333529412,2.3285980392,2.3285980392
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,550,3.61,0.2190909091,0.1718181818,0.1718181818
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,77.353846154,44.526923077,34.911538462,29.515384615
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,719.00473684,221.04368421,165.74315789,113.08421053
1013023258,JOAG,KIRAN,,M.D.,M,I,200 RICHMOND AVE E,,MATTOON,IL,619384652,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,60,60,41.25,33,25.438833333,25.438833333
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,19,238,58.126722689,19.676134454,14.852731092,14.852731092
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,565,8.3245486726,2.6357522124,1.9564778761,1.9564778761
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,67,265,799,75.37146433,8.32,5.9715894869,5.9715894869
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,15.155,3.38,2.385,2.385
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,34,71,117,15.936837607,1.42,1.0103418803,1.0103418803
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,700,0.1980857143,0.12,0.0940428571,0.0940428571
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,17,3820,0.0967931937,0.05,0.0392094241,0.0392094241
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,1548,0.7029521964,0.45,0.3528229974,0.3528229974
1013023274,HUANG,FRANK,T,MD,M,I,1235 W VINE ST,SUITE 22,LODI,CA,952405144,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,39,39,250.97,250.97,196.76025641,196.86948718
1013023357,KOTAK,SANDEEP,V,MD,M,I,36100 EUCLID AVENUE,240,WILLOUGHBY,OH,44094,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,54,117,71.203418803,8.32,5.8823076923,5.8823076923
1013023357,KOTAK,SANDEEP,V,MD,M,I,36100 EUCLID AVENUE,240,WILLOUGHBY,OH,44094,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,24,12.110416667,1.42,0.9766666667,0.9766666667
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,63,162,60.335185185,8.32,5.9985802469,5.9985802469
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.25,3.38,2.65,2.65
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,31,44,14.055,1.42,1.04,1.04
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,4.455,3.83,2.541,2.5938461538
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,11.59,8.28,5.9,5.9
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4397,"Irrigation supply; sleeve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,60,8.328,4.65,3.3421666667,3.886
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,160,10.0745,5.54,3.1749375,3.1749375
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,3.922,1.95,1.4862777778,1.4862777778
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.429,0.27,0.2116,0.2116
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,160,5.128875,3.04,2.3830625,2.3830625
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,49.855,35.078333333,34.26
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,17,86.31,17,12.545882353,12.697058824
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,56.79,12.126153846,9.5061538462,9.1092307692
1013023480,WILKINSON,THOMAS,C,MD,M,I,408 MANATEE AVE E,,BRADENTON,FL,342081135,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,36,495.15555556,81.13,58.3,51.393333333
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,80,197,60.010812183,8.32,6.1050253807,6.1050253807
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.810909091,3.38,2.65,2.65
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,28,46,14.02673913,1.42,1.1160869565,1.1160869565
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,232.75363636,53.83,42.2,42.85
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,66.092307692,12.21,8.8338461538,8.4184615385
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,63,15.787142857,2.02,1.5596825397,1.5679365079
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,86.31,17.09,11.131818182,11.257272727
1013023738,LANE,EDWARD,M,MD,M,I,820 MEMORIAL STREET,SUITE 1,PROSSER,WA,993502504,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,40,502.608,65.7,47.64675,50.7665
1013023944,BURRIS,REBECCA,H,C.F.N.P.,F,I,827 F. E. SELLERS HIGHWAY,,MONTICELLO,MS,39654,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,31,54,200,26.37485,8.32,5.9353,5.9353
1013023944,BURRIS,REBECCA,H,C.F.N.P.,F,I,827 F. E. SELLERS HIGHWAY,,MONTICELLO,MS,39654,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,26,41,73,15.821917808,1.42,1.0545205479,1.0545205479
1013023944,BURRIS,REBECCA,H,C.F.N.P.,F,I,827 F. E. SELLERS HIGHWAY,,MONTICELLO,MS,39654,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,2790,2.45,1.89,1.3842007168,1.4941971326
1013023944,BURRIS,REBECCA,H,C.F.N.P.,F,I,827 F. E. SELLERS HIGHWAY,,MONTICELLO,MS,39654,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,45,22.212307692,16.265384615,16.158461538
1013023944,BURRIS,REBECCA,H,C.F.N.P.,F,I,827 F. E. SELLERS HIGHWAY,,MONTICELLO,MS,39654,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,150,52.16,39.172666667,39.008666667
1013023944,BURRIS,REBECCA,H,C.F.N.P.,F,I,827 F. E. SELLERS HIGHWAY,,MONTICELLO,MS,39654,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,320,100.58923077,70.963846154,70.576153846
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,179,324,324,87.94367284,40.716358025,29.616512346,28.39308642
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,131,235,235,267.77851064,94.855361702,69.588425532,64.058851064
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,105,305,469,103.31289979,35.281492537,25.917100213,24.429914712
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,36,103,356,67.063202247,19.989606742,15.235758427,14.203651685
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,30,89,249,49.402971888,15.240120482,11.082088353,11.027188755
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,92,160,160,167.76525,59.04675,43.009625,39.7888125
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,211,288,288,51.6046875,19.291701389,14.061076389,13.179027778
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,20,20,23.4325,11.209,8.7895,8.2785
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,37,71,71,67.244647887,13.399295775,9.8435211268,8.7898591549
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,26,217,544,1852,7.0980831533,2.1824946004,1.6145302376,1.5053509719
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,130,182,182,29.012032967,13.960494505,9.9321428571,9.4254945055
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,50.15,47.37,37.14,37.575555556
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,16,69,69,290.19478261,94.790289855,69.545362319,65.993333333
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,620.28333333,197.345,137.15444444,133.90555556
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,62,62,62,426.17225806,141.47677419,107.29467742,105.66241935
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,13,54,59,73.218983051,13.122372881,9.1869491525,9.0313559322
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,106,628,633,155.59202212,36.30835703,26.198909953,23.576650869
1013024140,KATZ,WILLIAM,M,MD,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,19,137,137,291.31416058,77.469051095,56.918029197,51.930583942
1013024280,KING,VERA,S,ARNP,F,I,109 DANIEL DR,,DANVILLE,KY,404222527,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,34,48,71.1175,8.32,5.7083333333,5.7083333333
1013024280,KING,VERA,S,ARNP,F,I,109 DANIEL DR,,DANVILLE,KY,404222527,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,75.15,22.829285714,16.726190476,12.602380952
1013024280,KING,VERA,S,ARNP,F,I,109 DANIEL DR,,DANVILLE,KY,404222527,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,49,49,97.626734694,7.9063265306,5.9991836735,3.6240816327
1013024280,KING,VERA,S,ARNP,F,I,109 DANIEL DR,,DANVILLE,KY,404222527,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,54,460.82351852,101.36222222,74.454074074,52.337592593
1013024280,KING,VERA,S,ARNP,F,I,109 DANIEL DR,,DANVILLE,KY,404222527,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,3646,0.2178606692,0.0467251783,0.0366319254,0.0366319254
1013024280,KING,VERA,S,ARNP,F,I,109 DANIEL DR,,DANVILLE,KY,404222527,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,67.434782609,33,24.745217391,24.745217391
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,35,183,60.519125683,8.32,5.4564480874,5.4564480874
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.927272727,3.38,1.6863636364,1.6863636364
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,30,14.360333333,1.42,0.7793333333,0.7793333333
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,8.4116666667,1.8883333333,1.48,1.15
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,68.65,17.388181818,13.633636364,9.0736363636
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,481.00222222,115.56555556,80.366666667,58.441666667
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,56,189.72285714,43.553392857,31.263035714,23.947142857
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,93,97.330752688,27.288494624,20.34172043,15.323548387
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,16,244.6125,73.73,57.805,49.2625
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,20,20,83.7195,24.1145,18.901,15.395
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,27,27,100.98333333,20.873703704,16.363333333,10.405555556
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,33,189,12.86962963,3.0219047619,2.3693650794,1.6793650794
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,50.545,15.535,12.175,10.34
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,60,64,69.25484375,23.093125,17.03859375,13.58375
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,34,34,223.38823529,58.089411765,36.651764706,29.484705882
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,47.6,9.0104,7.0624,3.7832
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,38,43,192.9544186,58.42627907,45.803255814,29.036976744
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,31,242,246,352.96231707,103.55609756,77.132560976,55.712073171
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,254.28571429,43.362857143,32.120857143,27.924285714
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,840,15.58,9.6699642857,7.5812261905,7.5812261905
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,13.94,11.3064,8.7048444444,8.7048444444
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,35,3090,0.9648511327,0.1347864078,0.1056860841,0.1056860841
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,86.111111111,45.33,35.541111111,29.905925926
1013024330,MOONEY,TODD,S,M.D.,M,I,400 E 200 N,,PANGUITCH,UT,847590389,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,50,50,130.02,33,25.87,25.87
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,55,215,54.156093023,8.32,6.2516744186,6.2516744186
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,26,41,7.816097561,1.42,1.0336585366,1.0336585366
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,168.9175,55.973333333,43.883333333,42.879166667
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.25,11.266666667,11.286666667
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,501.706,69.62,49.131,49.276
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1380,2.1057391304,0.1401304348,0.109884058,0.109884058
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,145,39.68,31.11,29.643333333
1013024363,GILROY,JAMES,H,MD FACP,M,I,277 POST ROAD,,MOODY,ME,04054,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,59.4,33,25.87,25.87
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,50,169,79.846094675,8.32,5.6005325444,5.6005325444
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,27,36,15.412777778,1.42,0.9305555556,0.9305555556
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,22,117.34181818,32.949545455,24.846363636,24.939545455
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,64,7.406875,2.070625,1.625,1.593125
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,79.63,17.5,11.885,11.731428571
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,19,50.73,3.9357894737,3.0836842105,3.7026315789
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,166.3,32.342580645,23.58,23.392580645
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,478.89428571,79.48,53.408571429,47.445
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1800,2.0494666667,0.1364666667,0.0888222222,0.0888222222
1013024546,KARLS,CHARLENE,M,DO,F,I,700 N LAKE AVE STE 102,,TWIN LAKES,WI,531819436,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,21.932857143,21.932857143
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,29,74,168,66.501607143,8.32,5.7446428571,5.7446428571
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,30,39,12.591794872,1.42,1.0297435897,1.0297435897
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,61,768,10.851875,10.851875,8.4744270833,8.535625
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,130.844,48.236,37.818,39.806
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,47.913333333,17,13.33,13.5225
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.4563636364,4.2836363636,3.5854545455
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,276.79761905,76,59.58,54.960952381
1013024736,NEUBERGER,SANTI,J,M.D.,M,I,1290 SUMMER ST,,STAMFORD,CT,069055360,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,43.0025,15.2,11.9175,13.485833333
1013024793,ZINNI,RICHARD,A,DO,M,I,13301 MILES AVE,,CLEVELAND,OH,441055521,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,59,45.994067797,8.32,5.6374576271,5.6374576271
1013024793,ZINNI,RICHARD,A,DO,M,I,13301 MILES AVE,,CLEVELAND,OH,441055521,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,13.787619048,1.42,1.0076190476,1.0076190476
1013024801,CLEEMAN,EDMOND,,MD,M,I,57 W 57TH ST,15TH FLOOR,NEW YORK,NY,100192802,US,Physician/Plastic and Reconstructive Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,134.38,43.13,30.053333333,31.512222222
1013024801,CLEEMAN,EDMOND,,MD,M,I,57 W 57TH ST,15TH FLOOR,NEW YORK,NY,100192802,US,Physician/Plastic and Reconstructive Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,16.86,13.22,13.54
1013024801,CLEEMAN,EDMOND,,MD,M,I,57 W 57TH ST,15TH FLOOR,NEW YORK,NY,100192802,US,Physician/Plastic and Reconstructive Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.36,60.65,54.73
1013024801,CLEEMAN,EDMOND,,MD,M,I,57 W 57TH ST,15TH FLOOR,NEW YORK,NY,100192802,US,Physician/Plastic and Reconstructive Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,1557.0871429,848.65857143,655.09642857,665.82642857
1013025055,CHESSMAN,ALEXANDER,,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,65,57.483384615,8.32,5.7198461538,5.7198461538
1013025055,CHESSMAN,ALEXANDER,,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,49.32,17.04,13.36,13.5096
1013025055,CHESSMAN,ALEXANDER,,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,278.87162162,74,58.02,55.174594595
1013025055,CHESSMAN,ALEXANDER,,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294250001,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,38.78,30.4,29.584166667
1013025097,JORDAN-WAGNER,DIANE,,M.D.,F,I,1429 N 6TH ST,,TERRE HAUTE,IN,478041037,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,27,97,647.49329897,19.694020619,15.439793814,15.439793814
1013025097,JORDAN-WAGNER,DIANE,,M.D.,F,I,1429 N 6TH ST,,TERRE HAUTE,IN,478041037,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,5000,61.0848,9.84148,7.715722,7.715722
1013025097,JORDAN-WAGNER,DIANE,,M.D.,F,I,1429 N 6TH ST,,TERRE HAUTE,IN,478041037,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2000,414.517525,41.9608,32.89726,32.89726
1013025097,JORDAN-WAGNER,DIANE,,M.D.,F,I,1429 N 6TH ST,,TERRE HAUTE,IN,478041037,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,28,243,343.8136214,2.6376954733,2.0677366255,2.0677366255
1013025097,JORDAN-WAGNER,DIANE,,M.D.,F,I,1429 N 6TH ST,,TERRE HAUTE,IN,478041037,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,25.87,25.87
1013025220,ALI,ASEM,H,MD / MBBS,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,24,311,57.441286174,19.632250804,14.530643087,14.530643087
1013025220,ALI,ASEM,H,MD / MBBS,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,25,730,7.6583972603,2.6317808219,1.9781780822,1.9781780822
1013025220,ALI,ASEM,H,MD / MBBS,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,69,138,509,1846,74.311966414,8.32,6.0062730228,6.0062730228
1013025220,ALI,ASEM,H,MD / MBBS,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,11.591764706,3.38,2.4941176471,2.4941176471
1013025220,ALI,ASEM,H,MD / MBBS,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,65,170,335,13.859074627,1.42,1.0547164179,1.0547164179
1013025220,ALI,ASEM,H,MD / MBBS,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,16,16,656.95,345.2475,261.705625,261.705625
1013025220,ALI,ASEM,H,MD / MBBS,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,29,29,251.01586207,251.01586207,196.7962069,196.86965517
1013025683,IRVIN,JEFFREY,D,O.D.,M,I,634 CROSS VALLEY CIR,,EVANSVILLE,IN,477105238,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,73.286842105,72.450526316,53.8,50.466842105
1013025683,IRVIN,JEFFREY,D,O.D.,M,I,634 CROSS VALLEY CIR,,EVANSVILLE,IN,477105238,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,21,47.976190476,47.72047619,35.546190476,41.847619048
1013025683,IRVIN,JEFFREY,D,O.D.,M,I,634 CROSS VALLEY CIR,,EVANSVILLE,IN,477105238,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,26,57.5,57.5,45.08,53.396923077
1013025865,SANCHEZ-ALDANA,GABRIEL,,M.D.,M,I,1400 S GRAND AVE STE 700,,LOS ANGELES,CA,900153068,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,26,94.722692308,8.32,5.2688461538,5.2688461538
1013025865,SANCHEZ-ALDANA,GABRIEL,,M.D.,M,I,1400 S GRAND AVE STE 700,,LOS ANGELES,CA,900153068,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,3.6681818182,2.2827272727,2.92
1013025915,LEE,YONG,L,MD,M,I,"888 TIANLIN LU, BUILDING 1E,",,SHANGHAI,ZZ,200233,CN,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,198.58,47.203333333,37.011333333,38.363333333
1013025915,LEE,YONG,L,MD,M,I,"888 TIANLIN LU, BUILDING 1E,",,SHANGHAI,ZZ,200233,CN,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,145.65,41.598333333,32.615,35.296666667
1013025915,LEE,YONG,L,MD,M,I,"888 TIANLIN LU, BUILDING 1E,",,SHANGHAI,ZZ,200233,CN,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,80.432666667,22.186666667,16.005333333,13.389333333
1013025923,BOCK,ALAN,S,M.D.,M,I,5401 N PORTLAND,SUITE 220,OKLAHOMA CITY,OK,731122082,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,39,131,56.970687023,8.32,5.7751908397,5.7751908397
1013025923,BOCK,ALAN,S,M.D.,M,I,5401 N PORTLAND,SUITE 220,OKLAHOMA CITY,OK,731122082,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,16,13.1075,1.42,1.11625,1.11625
1013025923,BOCK,ALAN,S,M.D.,M,I,5401 N PORTLAND,SUITE 220,OKLAHOMA CITY,OK,731122082,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,87.379166667,10.56,8.28,9.12
1013025923,BOCK,ALAN,S,M.D.,M,I,5401 N PORTLAND,SUITE 220,OKLAHOMA CITY,OK,731122082,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,72,10.159305556,2.3872222222,1.8711111111,1.5918055556
1013025923,BOCK,ALAN,S,M.D.,M,I,5401 N PORTLAND,SUITE 220,OKLAHOMA CITY,OK,731122082,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,292.56142857,106.36619048,83.38952381,66.383333333
1013025923,BOCK,ALAN,S,M.D.,M,I,5401 N PORTLAND,SUITE 220,OKLAHOMA CITY,OK,731122082,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,149.2225,39.5925,29.081071429,23.985357143
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,53.773684211,39.62,30.391578947,29.851578947
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,26,156,31.133205128,18.5,13.945512821,13.992371795
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,12,70,27.791142857,14.93,10.701857143,10.876857143
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,39,39,99.296153846,55.57,40.344871795,39.707435897
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,36.086363636,17.363636364,13.432727273,13.842727273
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,38.07125,11.5,8.45625,8.55875
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,42,251,4.3212749004,2,1.5308366534,1.5532270916
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,31.278181818,12.670909091,9.9336363636,10.348181818
1013025998,CHOW,CLEMENT,,M.D.,M,I,14833 SOUTHWEST FWY,,SUGAR LAND,TX,774785016,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,282.805,32.379,24.435,24.24725
1013026004,JABRI,MOHAMED,I,MD,M,I,1149 DICKENS AVE,,NAPERVILLE,IL,605634303,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,16.3775,12.4025
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,39,113,257,50.359766537,8.32,5.8888326848,5.8888326848
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,18,39,50,17.9474,1.42,0.961,0.961
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,64.090909091,48.044545455,36.763636364,29.586363636
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,31,31,337.9883871,114.99225806,84.628387097,64.163870968
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,29,85,119.09623529,42.640352941,31.808352941,24.746470588
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,31,171,61.514210526,26.034912281,19.842748538,14.55754386
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,53,55.433207547,20.359056604,15.713773585,13.439622642
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,41,41,195.53780488,76.416097561,55.939512195,42.222439024
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,26,37,37,65.97027027,25.373513514,18.004864865,13.021081081
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,19,54,54,72.566666667,20.119444444,15.212777778,9.4627777778
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,25,62,371,9.0802695418,3.088032345,2.2589487871,1.5479514825
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,22.377272727,9.2063636364,5.52,3.3818181818
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,18,25,25,39.8592,15.9508,11.5992,9.6224
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,44.64,21.788,15.485333333,12.028
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50.9425,22.4775,16.3775,12.904166667
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,364.12583333,102.61833333,73.275,51.345
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,128.988,7.036,4.79,2.928
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,84,84,343.82345238,47.211547619,31.884285714,22.531309524
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,532.055,103.089375,77.08875,51.309375
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.8251111111,0.1379166667,0.1080833333,0.1080833333
1013026178,MILLER,JAMES,W,MD,M,I,1021 W 14TH ST,,HASTINGS,NE,689013046,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,29.515833333
1013026269,HARKER,JOHN,N,DO,M,I,12955 SEMINOLE BLVD,,LARGO,FL,337782399,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,84.6875,20.999285714,16.465,14.113214286
1013026665,YOON,JULIE,E,MD,F,I,300 WHITE SPRUCE BLVD,SUITE 100,ROCHESTER,NY,146231606,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,44,86.088636364,8.32,5.3359090909,5.3359090909
1013026665,YOON,JULIE,E,MD,F,I,300 WHITE SPRUCE BLVD,SUITE 100,ROCHESTER,NY,146231606,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,54,8.33,7.68,6.022037037,6.4281481481
1013026665,YOON,JULIE,E,MD,F,I,300 WHITE SPRUCE BLVD,SUITE 100,ROCHESTER,NY,146231606,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,108,3.79,3.79,2.9710185185,3.3790740741
1013026665,YOON,JULIE,E,MD,F,I,300 WHITE SPRUCE BLVD,SUITE 100,ROCHESTER,NY,146231606,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,120,43.1,28.591538462,30.086923077
1013026665,YOON,JULIE,E,MD,F,I,300 WHITE SPRUCE BLVD,SUITE 100,ROCHESTER,NY,146231606,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,52.58,41.87,32.825,32.825
1013026699,CHINEN,JAVIER,,M.D.,M,I,17350 ST LUKES WAY,SUITE 200,THE WOODLANDS,TX,773844100,US,Physician/Pediatric Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,20,75,436.41013333,19.693466667,14.614933333,14.614933333
1013026699,CHINEN,JAVIER,,M.D.,M,I,17350 ST LUKES WAY,SUITE 200,THE WOODLANDS,TX,773844100,US,Physician/Pediatric Medicine,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,793.12235294,14.421176471,10.051764706,10.051764706
1013026699,CHINEN,JAVIER,,M.D.,M,I,17350 ST LUKES WAY,SUITE 200,THE WOODLANDS,TX,773844100,US,Physician/Pediatric Medicine,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1040,108.43784615,39.970461538,31.29475,31.29475
1013026699,CHINEN,JAVIER,,M.D.,M,I,17350 ST LUKES WAY,SUITE 200,THE WOODLANDS,TX,773844100,US,Physician/Pediatric Medicine,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,128,85.683828125,2.6375,1.938671875,1.938671875
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,60,99,100,124.9323,39.1027,28.2171,28.0428
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,43,79,79,339.71101266,95.382025316,70.874303797,64.580379747
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,36,82,160,139.51725,35.768625,27.3595,25.6459375
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,14,42,107,69.595514019,19.42,14.418691589,13.729252336
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,22,41,166,61.521204819,15.67626506,10.88253012,10.51126506
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,57,87,87,196.87149425,58.543678161,42.69091954,39.734482759
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,94,119,119,65.615714286,19.333697479,14.325714286,13.232941176
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,29,46,46,66.40326087,13.993478261,10.777173913,8.8954347826
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,93,183,690,9.7004782609,2.1874927536,1.6555072464,1.5438695652
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,18,20,20,23.2,6.564,5.1505,4.651
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,41,51,51,41.77745098,13.65372549,10.293921569,9.99
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,45,49,493.19795918,91.816530612,64.12877551,59.705714286
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,702.00923077,221.24461538,154.63884615,132.64923077
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,11,11,514.37272727,166.24090909,130.33454545,104.64363636
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,29,173,178,41.654325843,14.172134831,10.356797753,9.6247752809
1013026798,GRANT,STEPHEN,B,MD,M,I,1449 NW 128TH ST,,CLIVE,IA,503257400,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,66,396,402,168.93935323,37.154253731,25.989527363,22.177910448
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,29,63,130,61.284461538,8.32,5.6977692308,5.6977692308
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,15,25,34,14.905588235,1.42,1.0176470588,1.0176470588
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.19,1.9615384615,1.5376923077,1.2038461538
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,86.31,22.576,17.271714286,13.315428571
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,703.96416667,830.30416667
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,50.73,7.7375,6.0646428571,3.7542857143
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,75,76,519.51,101.23,77.006973684,54.701184211
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1170,13.94,11.086615385,8.4467008547,8.4467008547
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,37,4995,0.3632712713,0.0461541542,0.0358958959,0.0358958959
1013026947,HUGHEY,TONYA,C,CFNP,F,I,940 BROOKWAY BLVD,,BROOKHAVEN,MS,396012644,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,115.67647059,33,25.87,25.87
1013026954,EMHOF,LESLIE,S,MD,M,I,1525 KILLEARN CENTER BLVD,,TALLAHASSEE,FL,323093434,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,46,46,77.954130435,50.756086957,39.79,39.09173913
1013026954,EMHOF,LESLIE,S,MD,M,I,1525 KILLEARN CENTER BLVD,,TALLAHASSEE,FL,323093434,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,36.971935484,17.29,13.55,13.530645161
1013026954,EMHOF,LESLIE,S,MD,M,I,1525 KILLEARN CENTER BLVD,,TALLAHASSEE,FL,323093434,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,127.39529412,70.23,55.06,54.74
1013026954,EMHOF,LESLIE,S,MD,M,I,1525 KILLEARN CENTER BLVD,,TALLAHASSEE,FL,323093434,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,22,118,118,31.831440678,20.600254237,15.466271186,13.964152542
1013027101,WOMACK,LARRY,W,O.D.,M,I,2518 HILLSBORO BLVD,,MANCHESTER,TN,373556535,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,17,55.209411765,55.209411765,43.284117647,48.057647059
1013027101,WOMACK,LARRY,W,O.D.,M,I,2518 HILLSBORO BLVD,,MANCHESTER,TN,373556535,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,28,24.696428571,24.696428571,19.363928571,33.278214286
1013027200,MITCHELL,DAVID,R,MD,M,I,5970 CHURCHVIEW DR,,ROCKFORD,IL,611072574,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,48,169,73.127869822,8.32,5.0075739645,5.0075739645
1013027200,MITCHELL,DAVID,R,MD,M,I,5970 CHURCHVIEW DR,,ROCKFORD,IL,611072574,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,33,15.509393939,1.42,1.046969697,1.046969697
1013027200,MITCHELL,DAVID,R,MD,M,I,5970 CHURCHVIEW DR,,ROCKFORD,IL,611072574,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4400,2.54,0.37,0.2900909091,0.2900909091
1013027200,MITCHELL,DAVID,R,MD,M,I,5970 CHURCHVIEW DR,,ROCKFORD,IL,611072574,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,410.6952381,69.81,54.73,54.73
1013027200,MITCHELL,DAVID,R,MD,M,I,5970 CHURCHVIEW DR,,ROCKFORD,IL,611072574,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,240,47.553333333,33.358333333,33.358333333
1013027200,MITCHELL,DAVID,R,MD,M,I,5970 CHURCHVIEW DR,,ROCKFORD,IL,611072574,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,71,36.14,28.33,29.51
1013027259,ROMEO,LAUREN,E,MD,F,I,465 MINUTEMEN CSWY,,COCOA BEACH,FL,329312881,US,Physician/Undefined Physician type[6],S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,185,31.523945946,23.66,17.385081081,17.385081081
1013027259,ROMEO,LAUREN,E,MD,F,I,465 MINUTEMEN CSWY,,COCOA BEACH,FL,329312881,US,Physician/Undefined Physician type[6],S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,21,300,22.8148,10.93,8.5691333333,8.5691333333
1013027259,ROMEO,LAUREN,E,MD,F,I,465 MINUTEMEN CSWY,,COCOA BEACH,FL,329312881,US,Physician/Undefined Physician type[6],S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,13,463,3.8843844492,2.4,1.8816198704,1.8816198704
1013027259,ROMEO,LAUREN,E,MD,F,I,465 MINUTEMEN CSWY,,COCOA BEACH,FL,329312881,US,Physician/Undefined Physician type[6],S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,16,20,2461,0.4628118651,0.13,0.1019097928,0.1019097928
1013027259,ROMEO,LAUREN,E,MD,F,I,465 MINUTEMEN CSWY,,COCOA BEACH,FL,329312881,US,Physician/Undefined Physician type[6],S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,13,19,2125,0.8591152941,0.4498588235,0.3526682353,0.3526682353
1013027267,FLOYD,WALDO,E,MD,M,I,3708 NORTHSIDE DR,,MACON,GA,312102404,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,465.90909091,296.63,220.90090909,242.72090909
1013027267,FLOYD,WALDO,E,MD,M,I,3708 NORTHSIDE DR,,MACON,GA,312102404,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,24,70,53.2,38.92,43.249583333
1013027838,BUI,AMY,T,M.D.,F,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,37,107,402,60.476865672,8.32,5.9346268657,5.9346268657
1013027838,BUI,AMY,T,M.D.,F,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,12.736,3.38,2.65,2.65
1013027838,BUI,AMY,T,M.D.,F,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,23,52,108,13.566388889,1.42,1.0624074074,1.0624074074
1013027861,PTAKOWSKI,GEORGE,A,MD,M,I,PO BOX 147,,POCONO LAKE,PA,183470147,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,77.365,8.32,6.53,6.53
1013027903,DAMEK,HERMAN,A,M.D.,M,I,1000 W SOUTH BOULDER RD,SUITE 110,LAFAYETTE,CO,800262752,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,56.344705882,17.52,13.74,13.54
1013027903,DAMEK,HERMAN,A,M.D.,M,I,1000 W SOUTH BOULDER RD,SUITE 110,LAFAYETTE,CO,800262752,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,66,66,358.195,72.543181818,53.494393939,51.445757576
1013027903,DAMEK,HERMAN,A,M.D.,M,I,1000 W SOUTH BOULDER RD,SUITE 110,LAFAYETTE,CO,800262752,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,91.428571429,39.6,31.05,29.62
1013027903,DAMEK,HERMAN,A,M.D.,M,I,1000 W SOUTH BOULDER RD,SUITE 110,LAFAYETTE,CO,800262752,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1469,1.1415452689,0.1376242342,0.1079033356,0.1079033356
1013027903,DAMEK,HERMAN,A,M.D.,M,I,1000 W SOUTH BOULDER RD,SUITE 110,LAFAYETTE,CO,800262752,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,34.95,33,25.87,25.87
1013028000,NEWMAN,STEVEN,M,M.D.,M,I,50 CROSS PARK CT,,GREENVILLE,SC,296054263,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,75,75.805466667,8.32,6.4353333333,6.4353333333
1013028067,MARCIANO,GIOVANNI,,DO,M,I,8616 JAMAICA AVE,,WOODHAVEN,NY,114212042,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,38,74,64.976351351,8.32,6.1701351351,6.1701351351
1013028380,MULROONEY,BRIAN,C,M.D.,M,I,1150 EAGLETREE LN SE,,HUNTSVILLE,AL,358016446,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,67,67,67,126.47940299,76.571044776,56.057462687,51.241940299
1013028380,MULROONEY,BRIAN,C,M.D.,M,I,1150 EAGLETREE LN SE,,HUNTSVILLE,AL,358016446,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,32,32,63,62.059047619,49.471428571,38.787619048,41.936825397
1013028380,MULROONEY,BRIAN,C,M.D.,M,I,1150 EAGLETREE LN SE,,HUNTSVILLE,AL,358016446,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,70.583181818,65.973181818,46.894090909,48.165
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,15,57,122,100.08737705,8.32,5.772295082,5.772295082
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,24,26,21.386923077,1.42,1.0761538462,1.0761538462
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,9.8,6.34,4.3523076923,5.1138461538
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,114.57875,47.289375,34.96625,29.3275
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,68.11,25.012727273,19.605454545,14.06
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,73,8.0461643836,3.3079452055,2.4482191781,1.5734246575
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,149.19272727,72.028181818,56.472727273,40.62
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,33.169130435,8.412173913,6.2782608696,3.5969565217
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,127.79727273,51.44,40.326363636,25.501818182
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,49,12.263846154,9.6184615385,8.1392307692
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,128,134,374.23179104,98.836268657,73.564029851,52.314477612
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,17.505888889,9.7422,7.6378666667,7.6378666667
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,12.86,3.0546153846,2.3948461538,2.3948461538
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,126.455,44.745,32.344166667,27.6525
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,960.31692308,175.83384615,137.68461538,107.91923077
1013028422,PREUSS,HEATHER,L,MD,F,I,1100 HIGHWAY 71 S STE 101,,HOT SPRINGS,SD,577478801,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,109.5,33,24.694090909,24.694090909
1013028570,HALL,MELISSA,L,M.D.,F,I,204 S ADAMS ST,,SAINT CROIX FALLS,WI,540249449,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,23,28.076521739,8.32,3.1186956522,3.1186956522
1013028638,DAYSON,DON,A,M.D.,M,I,222 W 116TH ST,J'VALLD CENTER,NEW YORK,NY,100262416,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,28,45,46.925777778,8.32,6.0875555556,6.0875555556
1013028638,DAYSON,DON,A,M.D.,M,I,222 W 116TH ST,J'VALLD CENTER,NEW YORK,NY,100262416,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,23,23,28.440869565,1.42,0.9739130435,0.9739130435
1013028729,TROPEA,JOSEPH,N,DO,M,I,925 CHESTNUT STREET,SUITE 320A,PHILADELPHIA,PA,191075109,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,18,1552,52.018054124,4.5913337629,3.5996198454,3.5996198454
1013028729,TROPEA,JOSEPH,N,DO,M,I,925 CHESTNUT STREET,SUITE 320A,PHILADELPHIA,PA,191075109,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1013028737,DEELEY,CHERYL,S,NP,F,I,300 MERIDIAN CENTER,SUITE 320,ROCHESTER,NY,14618,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.07,17,13.33,13.54
1013028737,DEELEY,CHERYL,S,NP,F,I,300 MERIDIAN CENTER,SUITE 320,ROCHESTER,NY,14618,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,77.18,60.51,54.72
1013028737,DEELEY,CHERYL,S,NP,F,I,300 MERIDIAN CENTER,SUITE 320,ROCHESTER,NY,14618,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,152.39964286,17.025714286,13.342142857,14.463928571
1013028737,DEELEY,CHERYL,S,NP,F,I,300 MERIDIAN CENTER,SUITE 320,ROCHESTER,NY,14618,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,39,39,66.474102564,8.2058974359,6.4292307692,6.871025641
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,249.29333333,98.808333333,69.431666667,60.435833333
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,81,39.708148148,20.055679012,15.724197531,14.551728395
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,15,61,67.104098361,20.926393443,16.407213115,12.073934426
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,22,22,158.11545455,64.498181818,48.671818182,40.966818182
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,19,24,24,56.8625,21.271666667,16.023333333,13.474166667
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,13,28,28,48.068214286,14.877857143,10.990357143,8.4882142857
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,17,38,191,8.9179581152,2.6366492147,1.9952356021,1.5261256545
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,11,12,12,33.315,13.725,9.8216666667,9.4783333333
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,109.5553125,46.3671875,33.73875,23.0803125
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,28,13.4,2.6535714286,2.0807142857,1.53
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,33,12.07,3.8836363636,3.0463636364,2.3057575758
1013028745,GOBLE,MYLES,B,MD,M,I,525 N. KEENE STREET,SUITE 301,COLUMBIA,MO,65201,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,32,123.589375,23.279375,17.7,13.3296875
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,52,136,311,66.043247588,8.32,5.4997749196,5.4997749196
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.945714286,3.38,2.2714285714,2.2714285714
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,26,50,60,13.852666667,1.42,0.9876666667,0.9876666667
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,16.04,11.427272727,12.41
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,61,191.50180328,71.789508197,51.658196721,50.525901639
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,15,4890,0.342809816,0.046591002,0.0230981595,0.0230981595
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,71.984642857,16.316428571,11.972857143,13.566428571
1013028844,DIMEDIO,LISA,C,D.O.,F,I,1A REGULUS DRIVE,,TURNERSVILLE,NJ,08012,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,14,14,33,33,20.326428571,20.326428571
1013028976,COTTEREL,RONALD,D,MD,M,I,635 ANDERSON RD,SUITE 12,DAVIS,CA,956163505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,33,70,64.461714286,8.32,5.964,5.964
1013028976,COTTEREL,RONALD,D,MD,M,I,635 ANDERSON RD,SUITE 12,DAVIS,CA,956163505,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,17,15.97,1.42,0.9211764706,0.9211764706
1013029198,FRIES,EDWARD,H,O.D.,M,I,303 S WASHBURN ST,,DECATUR,TX,762341633,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,80.865,65.065,44.050769231,45.900769231
1013029198,FRIES,EDWARD,H,O.D.,M,I,303 S WASHBURN ST,,DECATUR,TX,762341633,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,72,60,57.24,39.888888889,38.523472222
1013029198,FRIES,EDWARD,H,O.D.,M,I,303 S WASHBURN ST,,DECATUR,TX,762341633,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,58,23.655172414,21.41,16.064827586,13.462586207
1013029214,FORBES KEARNS,JACQUELYN,,"MS,ARNP-C",F,I,2727 PLAZA DR,,WAUSAU,WI,544014129,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,16.613636364,13.022727273,9.7563636364
1013029214,FORBES KEARNS,JACQUELYN,,"MS,ARNP-C",F,I,2727 PLAZA DR,,WAUSAU,WI,544014129,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100,59.618181818,46.739090909,36.478181818
1013029263,VANECK,JULIE,A,MD,F,I,760 W 4TH ST,,RUSH CITY,MN,550699063,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,39,125,80.23976,8.32,5.76224,5.76224
1013029263,VANECK,JULIE,A,MD,F,I,760 W 4TH ST,,RUSH CITY,MN,550699063,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,18,13.428333333,1.42,0.9922222222,0.9922222222
1013029263,VANECK,JULIE,A,MD,F,I,760 W 4TH ST,,RUSH CITY,MN,550699063,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,81.504545455,65.586363636,49.11,35.055454545
1013029263,VANECK,JULIE,A,MD,F,I,760 W 4TH ST,,RUSH CITY,MN,550699063,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,479.06842105,88.324736842,29.585789474,24.778421053
1013029263,VANECK,JULIE,A,MD,F,I,760 W 4TH ST,,RUSH CITY,MN,550699063,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,50.848181818,40.059090909,23.873636364,16.692727273
1013029289,SHAH,GAURAV,R,MD,M,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,2205,6.5102993197,0.5697913832,0.4153877551,0.4153877551
1013029289,SHAH,GAURAV,R,MD,M,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,2.81625,1.26075,0.9479166667,0.9479166667
1013029289,SHAH,GAURAV,R,MD,M,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,24,24,17.879,17.879
1013029289,SHAH,GAURAV,R,MD,M,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,37,16,16,12.201081081,12.201081081
1013029313,LIU,CHAPLIN,L,MD,M,I,13847 E 14TH STREET,209,SAN LEADNRO,CA,94578,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,22,64,62.305625,8.32,5.70671875,5.70671875
1013029313,LIU,CHAPLIN,L,MD,M,I,13847 E 14TH STREET,209,SAN LEADNRO,CA,94578,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,21,10.805714286,1.42,1.0604761905,1.0604761905
1013029313,LIU,CHAPLIN,L,MD,M,I,13847 E 14TH STREET,209,SAN LEADNRO,CA,94578,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,288.01357143,50.684285714,39.732857143,40.228571429
1013029313,LIU,CHAPLIN,L,MD,M,I,13847 E 14TH STREET,209,SAN LEADNRO,CA,94578,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,19,86.31,17.11,12.713684211,12.835789474
1013029313,LIU,CHAPLIN,L,MD,M,I,13847 E 14TH STREET,209,SAN LEADNRO,CA,94578,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,115,50,39.2,37.772727273
1013029313,LIU,CHAPLIN,L,MD,M,I,13847 E 14TH STREET,209,SAN LEADNRO,CA,94578,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.54,3.6227272727,2.8445454545,3.6854545455
1013029313,LIU,CHAPLIN,L,MD,M,I,13847 E 14TH STREET,209,SAN LEADNRO,CA,94578,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,19,519.51,79,58.68,51.849473684
1013029487,HETTENA,AVI,J,M.D.,M,I,"6037 LA GRANADA, SUITE C",,RANCHO SANTA FE,CA,92067,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,32.734285714,27.45,13.834285714,14.695714286
1013029487,HETTENA,AVI,J,M.D.,M,I,"6037 LA GRANADA, SUITE C",,RANCHO SANTA FE,CA,92067,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,6.61,5.54,2.79,2.79
1013029487,HETTENA,AVI,J,M.D.,M,I,"6037 LA GRANADA, SUITE C",,RANCHO SANTA FE,CA,92067,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,13.034285714,10.93,5.5092857143,5.5092857143
1013029487,HETTENA,AVI,J,M.D.,M,I,"6037 LA GRANADA, SUITE C",,RANCHO SANTA FE,CA,92067,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.4225,7.06,4.15125,4.485
1013029487,HETTENA,AVI,J,M.D.,M,I,"6037 LA GRANADA, SUITE C",,RANCHO SANTA FE,CA,92067,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.612,5.54,3.9815416667,3.9815416667
1013029487,HETTENA,AVI,J,M.D.,M,I,"6037 LA GRANADA, SUITE C",,RANCHO SANTA FE,CA,92067,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.63,3.04,2.147625,2.147625
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,28,66,62.596363636,8.32,6.1256060606,6.1256060606
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,67,125,125,94.1936,41.00024,31.11008,29.61824
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,8.19,1.5075,1.1172222222,1.0922222222
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,61,96,96,302.785,94.555833333,68.493854167,63.18875
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,49,180,257,121.10105058,34.891050584,26.553190661,25.256031128
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,33,104,310,82.317354839,19.858322581,14.611612903,13.69216129
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,17,45,131,61.923587786,15.854961832,11.664885496,11.19740458
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,49,89,89,235.35168539,55.634157303,40.785617978,40.094831461
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,105,138,138,56.135362319,19.452753623,14.809565217,13.723913043
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,43,85,85,83.630470588,12.212705882,9.1552941176,8.7648235294
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,105,347,966,9.1531884058,2.2889026915,1.7513975155,1.5674741201
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,30,36,36,17.531666667,6.0230555556,4.4566666667,4.4008333333
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,71,95,95,46.725473684,13.152,9.9868421053,10.020736842
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,21,86.31,17,13.33,13.44
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,4706.98,1074.31,836.35478261,836.35478261
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,700,208.39583333,142.5725,135.7425
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,325,141,96.7225,91.9775
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,68,75,50.73,3.9816,2.968,3.5777333333
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,32,189,189,175,33.352910053,23.249312169,22.537089947
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,78,81,369.78222222,77.872222222,57.735432099,52.520123457
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,85.5,57,40.965833333,40.965833333
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,22.074071429,9.5763571429,7.38725,7.38725
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1380,22.999847826,11.403043478,8.9400289855,8.9400289855
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,42,363,70.18768595,5.3672176309,4.0554545455,4.0554545455
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,37,5604,0.4241309779,0.046879015,0.0363418986,0.0363401142
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,31,133,14885,1.8617406785,0.1368041653,0.1004823648,0.1004823648
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,1322,10.353600605,2.9755824508,2.2284871407,2.2284871407
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,138.21176471,38.705882353,29.421764706,28.650294118
1013029651,RISK,CLIFFORD,G,"M.D., PH.D.",M,I,320 BOLTON ST,SUITE 101,MARLBOROUGH,MA,017523980,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,40,193,193,57.621761658,33,24.739326425,24.739326425
1013029826,CALDWELL,KAYA,S,M.D.,F,I,1380 UPPER HEMBREE ROAD,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,29,70.696206897,8.32,5.8489655172,5.8489655172
1013030378,KELLEY,KURT,,M.D.,M,I,8 MASON ST,,BRUNSWICK,ME,040111514,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,27.575,27.575,21.6205,37.6685
1013030378,KELLEY,KURT,,M.D.,M,I,8 MASON ST,,BRUNSWICK,ME,040111514,US,Physician/Ophthalmology,S,V2750,"Anti-reflective coating, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,21,25.714285714,18.45,14.464761905,15.541428571
1013030824,GREEN,JENNIFER,J,APRN,F,I,25 SHERINGTON DR,SUITE D,BLUFFTON,SC,29910,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,29,87,63.557241379,8.32,6.5216091954,6.5216091954
1013030824,GREEN,JENNIFER,J,APRN,F,I,25 SHERINGTON DR,SUITE D,BLUFFTON,SC,29910,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,214.28571429,70.23,51.127142857,50.835714286
1013030824,GREEN,JENNIFER,J,APRN,F,I,25 SHERINGTON DR,SUITE D,BLUFFTON,SC,29910,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1974,0.3542654509,0.0469807497,0.0247720365,0.0247720365
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,30,1680,2.7273630952,0.4684047619,0.3533511905,0.3533511905
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2640,1.3267954545,1.2444545455,0.9266780303,0.9266780303
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,44,182,23655,3.952428662,0.5599682942,0.3956808286,0.4195569647
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,61,303,48090,0.0526046995,0.0129887711,0.0094734872,0.0094734872
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,92,15570,1.3652896596,0.7405337187,0.5665523443,0.5665523443
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,60,327,55860,3.6445025063,1.2193320802,0.8863993913,0.9279538131
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,18,80,329,329,24,24,18.10887538,18.10887538
1013031749,WANG,JEFFREY,H,MD,M,I,701 PARK AVE,S5.117,MINNEAPOLIS,MN,554151623,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,106,579,606,16.052805281,16,12.084884488,12.084884488
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1830,0.2,0.13,0.1019508197,0.1019508197
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,95,17160,3.4097902098,1.73,1.3303205128,1.5692354312
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,147,16820,12,6.6752734839,5.1804155767,5.5925243757
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,16,58,143,20.705314685,10.834895105,8.210979021,8.2788811189
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,670,10.786134328,5.74,4.2314179104,4.2314179104
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,140,15.599571429,7.96,4.9035714286,4.9035714286
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,31,392,4.0169387755,2.91,2.2350510204,2.2350510204
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,480,16.8685,9.86,7.6781875,7.6781875
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,37,770,13.223896104,7,4.4707012987,4.4707012987
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,26,680,15.311308824,7.2466176471,5.2278088235,5.2967794118
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,55,1166,8.1247255575,4.04,2.7738421955,2.7738421955
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,32,1895,0.4757730871,0.27,0.211646438,0.211646438
1013031996,MCCARTHY,ROC,,DO,M,I,1814 NEW HANOVER MEDICAL PARK DR,,WILMINGTON,NC,284035350,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,43,1890,0.6137566138,0.2594708995,0.1872962963,0.1949047619
1013032697,KAUFMAN,LISA,C,M.D.,F,I,1145 19TH ST NW,#800,WASHINGTON,DC,200363701,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,67,80.230895522,8.32,5.1597014925,5.1597014925
1013032713,ESTRADA,DEXTER,T,M.D.,M,I,7130 N MILLBROOK AVE STE 100,,FRESNO,CA,93720,US,Physician/Hematology-Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,668,19.513488024,12.614550898,9.8898952096,10.290583832
1013032713,ESTRADA,DEXTER,T,M.D.,M,I,7130 N MILLBROOK AVE STE 100,,FRESNO,CA,93720,US,Physician/Hematology-Oncology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,267,400,373.44,292.77610487,292.77610487
1013032713,ESTRADA,DEXTER,T,M.D.,M,I,7130 N MILLBROOK AVE STE 100,,FRESNO,CA,93720,US,Physician/Hematology-Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,314,28,9.3477707006,7.3282484076,7.3282484076
1013032713,ESTRADA,DEXTER,T,M.D.,M,I,7130 N MILLBROOK AVE STE 100,,FRESNO,CA,93720,US,Physician/Hematology-Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,314,85,29.212866242,22.902898089,22.902898089
1013032713,ESTRADA,DEXTER,T,M.D.,M,I,7130 N MILLBROOK AVE STE 100,,FRESNO,CA,93720,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,255.5,68.615,53.7925,54.6155
1013033190,HAN,STEVEN,,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042133,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,48,3750,0.39,0.13,0.0970106667,0.0970106667
1013033190,HAN,STEVEN,,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042133,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,46,5100,4.7089411765,2.04,1.5207843137,1.5207843137
1013033190,HAN,STEVEN,,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042133,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,46,3510,9.8341880342,7.23,5.6274586895,5.6274586895
1013033513,JONECKIS,CARRIE,A,PA-C,F,I,2002 MEDICAL PKWY,"SAJAK BUILDING, SUITE 230",ANNAPOLIS,MD,214013046,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,26,67,73.019850746,8.32,5.9374626866,5.9374626866
1013033513,JONECKIS,CARRIE,A,PA-C,F,I,2002 MEDICAL PKWY,"SAJAK BUILDING, SUITE 230",ANNAPOLIS,MD,214013046,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.88,17.46,13.69,13.54
1013033513,JONECKIS,CARRIE,A,PA-C,F,I,2002 MEDICAL PKWY,"SAJAK BUILDING, SUITE 230",ANNAPOLIS,MD,214013046,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,19,236.05894737,33.896315789,23.602105263,23.307894737
1013033513,JONECKIS,CARRIE,A,PA-C,F,I,2002 MEDICAL PKWY,"SAJAK BUILDING, SUITE 230",ANNAPOLIS,MD,214013046,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,230,82,64.29,54.73
1013033778,FORONDA,JEANETTE,E,PA-C,F,I,2800 LINCOLN BLVD,,OROVILLE,CA,959665961,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,2282,0.2259333918,0.13,0.101919369,0.101919369
1013033778,FORONDA,JEANETTE,E,PA-C,F,I,2800 LINCOLN BLVD,,OROVILLE,CA,959665961,US,Physician Assistant,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,455,4.1323076923,2.27,1.7797142857,1.7797142857
1013033778,FORONDA,JEANETTE,E,PA-C,F,I,2800 LINCOLN BLVD,,OROVILLE,CA,959665961,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,2472,3.0791262136,2.0390291262,1.5515088997,1.5522694175
1013033778,FORONDA,JEANETTE,E,PA-C,F,I,2800 LINCOLN BLVD,,OROVILLE,CA,959665961,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,2010,7.2156716418,7.2156716418,5.6395671642,5.6507960199
1013033778,FORONDA,JEANETTE,E,PA-C,F,I,2800 LINCOLN BLVD,,OROVILLE,CA,959665961,US,Physician Assistant,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1560,11.4,7.88,6.0859487179,6.0859487179
1013033778,FORONDA,JEANETTE,E,PA-C,F,I,2800 LINCOLN BLVD,,OROVILLE,CA,959665961,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,24,19.36,10.93,8.57,8.57
1013033778,FORONDA,JEANETTE,E,PA-C,F,I,2800 LINCOLN BLVD,,OROVILLE,CA,959665961,US,Physician Assistant,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,54.52,38.96,30.55,30.55
1013034727,PATEL,JAY,K,MB.CHB,M,I,309 NEW ST,CAROLINA KIDNEY ASSOCIATES,GREENSBORO,NC,274053654,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,9525,5.4496031496,0.5668724409,0.410943832,0.410943832
1013034727,PATEL,JAY,K,MB.CHB,M,I,309 NEW ST,CAROLINA KIDNEY ASSOCIATES,GREENSBORO,NC,274053654,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,3750,0.0266666667,0.01304,0.0102293333,0.0102293333
1013034727,PATEL,JAY,K,MB.CHB,M,I,309 NEW ST,CAROLINA KIDNEY ASSOCIATES,GREENSBORO,NC,274053654,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,2.185,0.7411818182,0.5811212121,0.5811212121
1013034727,PATEL,JAY,K,MB.CHB,M,I,309 NEW ST,CAROLINA KIDNEY ASSOCIATES,GREENSBORO,NC,274053654,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,1920,9.1486666667,1.0883125,0.8097760417,0.8097760417
1013034727,PATEL,JAY,K,MB.CHB,M,I,309 NEW ST,CAROLINA KIDNEY ASSOCIATES,GREENSBORO,NC,274053654,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,4980,5.8859518072,2.7929518072,2.1604879518,2.1604879518
1013034727,PATEL,JAY,K,MB.CHB,M,I,309 NEW ST,CAROLINA KIDNEY ASSOCIATES,GREENSBORO,NC,274053654,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,54,54,24,24,18.022777778,18.022777778
1013034727,PATEL,JAY,K,MB.CHB,M,I,309 NEW ST,CAROLINA KIDNEY ASSOCIATES,GREENSBORO,NC,274053654,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,78,82,16,16,12.29804878,12.29804878
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,39.981666667,15.371666667,12.055833333,9.0791666667
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,115.70542857,19.724285714,14.295142857,13.160857143
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,16,80,80,37.2765,5.912875,4.595375,3.8205
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,137,137,537.02211679,74.803430657,55.026569343,51.489489051
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,156.13288136,37.169491525,27.697118644,28.04440678
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6507692308,7.5500128205,7.5500128205
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,31,9724,0.2063389552,0.0462093789,0.0328815302,0.0328815302
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,16,61,6239,1.8127696746,0.1332152589,0.0909152108,0.0909152108
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,1410,9.971858156,3.0188085106,2.3667730496,2.3667730496
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,615,0.75,0.219300813,0.1719349593,0.1719349593
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,644,165.51486025,44.057251553,34.540916149,34.540916149
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,112.49210526,36.14,26.838947368,27.723684211
1013035310,GRIFFITH,BRIAN,D,M.D.,M,I,202 S PARK ST,,MADISON,WI,537151507,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,22,95,95,53.842105263,33,24.236105263,24.236105263
1013035609,CORPUZ,SANTIAGO,D,M.D.,M,I,4643 BEVERLY BLVD STE 101,,LOS ANGELES,CA,900043101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,43,55.863023256,8.32,6.5227906977,6.5227906977
1013035609,CORPUZ,SANTIAGO,D,M.D.,M,I,4643 BEVERLY BLVD STE 101,,LOS ANGELES,CA,900043101,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,56.777142857,25.072857143,19.655714286,15.261428571
1013035609,CORPUZ,SANTIAGO,D,M.D.,M,I,4643 BEVERLY BLVD STE 101,,LOS ANGELES,CA,900043101,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,25.907142857,9.4628571429,7.4157142857,7.0578571429
1013036342,SABER,KENDALL,,FNP,F,I,179 N BROAD ST,,NORWICH,NY,138151019,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,25,56.0564,8.32,6.0004,6.0004
1013036342,SABER,KENDALL,,FNP,F,I,179 N BROAD ST,,NORWICH,NY,138151019,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,73,410.45986301,98.540273973,72.243150685,53.735205479
1013036342,SABER,KENDALL,,FNP,F,I,179 N BROAD ST,,NORWICH,NY,138151019,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,56.95,44.6316,31.4284,26.7904
1013036342,SABER,KENDALL,,FNP,F,I,179 N BROAD ST,,NORWICH,NY,138151019,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,56.95,44.745,35.0825,29.81375
1013036706,ILOZUE,FRANCES,E,M.D.,F,I,2200 MAIN ST,,BUFFALO,NY,142142635,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,73,144,74.366875,8.32,6.0677083333,6.0677083333
1013036706,ILOZUE,FRANCES,E,M.D.,F,I,2200 MAIN ST,,BUFFALO,NY,142142635,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,31,32,18.4940625,1.42,1.119375,1.119375
1013036706,ILOZUE,FRANCES,E,M.D.,F,I,2200 MAIN ST,,BUFFALO,NY,142142635,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,14,398.43142857,77.18,58.280714286,52.491428571
1013036706,ILOZUE,FRANCES,E,M.D.,F,I,2200 MAIN ST,,BUFFALO,NY,142142635,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1689,0.3862640616,0.0452989935,0.035500296,0.035500296
1013036714,REITMAN,LESLIE,W,MD,M,I,2550 S PARKER RD,,AURORA,CO,800141622,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,65.27,47.764285714,34.95,35.234285714
1013036714,REITMAN,LESLIE,W,MD,M,I,2550 S PARKER RD,,AURORA,CO,800141622,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,384.22571429,78.49,59.987619048,53.187142857
1013037738,GONZALEZ,CRISTINA,M,M.D.,F,I,1825 EASTCHESTER RD,DOM 2-76,BRONX,NY,104612301,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,36.5,16.86,11.203636364,11.473636364
1013037738,GONZALEZ,CRISTINA,M,M.D.,F,I,1825 EASTCHESTER RD,DOM 2-76,BRONX,NY,104612301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,217.1,77.36,49.622727273,45.855454545
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,245.57411765,55.14,43.23,42.881764706
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,76.665833333,19.31,15.14,14.15
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,66.131111111,12.944444444,10.146666667,9.1794444444
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,25,147,10.613061224,2.0863265306,1.6355102041,1.5936054422
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,70.709333333,18.429333333,14.451333333,14.42
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,2610.4470588,913.16,707.48058824,833.82058824
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,772.34909091,36.411363636,28.543636364,28.685454545
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,59,59,588.78338983,75.019491525,57.655423729,54.186779661
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,357.82608696,36.260869565,27.164782609,28.120434783
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,30,2542,1.7661526357,0.1382769473,0.1020141621,0.1020141621
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,333.736,37,29.01,29.49
1013037779,EPSTEIN,JOEL,D,M.D.,M,I,3650 SOUTH ST,SUITE 308,LAKEWOOD,CA,907121502,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,12,34,34,51.176470588,33,23.857647059,23.857647059
1013038371,DAVIS,JEREMY,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 208,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1440,0.3575,0.13,0.0955277778,0.0955277778
1013038371,DAVIS,JEREMY,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 208,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,3450,4.5154434783,2.04,1.5734202899,1.5734202899
1013038371,DAVIS,JEREMY,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 208,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1740,10.743310345,7.8551724138,6.1332586207,6.1527241379
1013038371,DAVIS,JEREMY,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 208,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,39,13.474102564,7.4579487179,5.8476923077,5.8492307692
1013039486,MORSE,DARIN,C,D.O.,M,I,501 LAPEER,,SAGINAW,MI,486071208,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,5.75,0.51,0.3666666667,0.3666666667
1013039486,MORSE,DARIN,C,D.O.,M,I,501 LAPEER,,SAGINAW,MI,486071208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,48,207,54.49173913,8.32,5.9688888889,5.9688888889
1013039486,MORSE,DARIN,C,D.O.,M,I,501 LAPEER,,SAGINAW,MI,486071208,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,16.363636364,3.38,2.2886363636,2.2886363636
1013039486,MORSE,DARIN,C,D.O.,M,I,501 LAPEER,,SAGINAW,MI,486071208,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,28,45,14.354444444,1.42,1.0153333333,1.0153333333
1013039486,MORSE,DARIN,C,D.O.,M,I,501 LAPEER,,SAGINAW,MI,486071208,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,650.01,238.71454545,174.10909091,141.12181818
1013039601,LANDMAN,MICHAEL,J,M.D.,M,I,25 MARSTON ST,,LAWRENCE,MA,018412310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,84,59.925595238,8.32,5.7460714286,5.7460714286
1013039601,LANDMAN,MICHAEL,J,M.D.,M,I,25 MARSTON ST,,LAWRENCE,MA,018412310,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,1260,5.3140555556,1.156,0.840047619,0.840047619
1013039601,LANDMAN,MICHAEL,J,M.D.,M,I,25 MARSTON ST,,LAWRENCE,MA,018412310,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2625,0.17,0.0461485714,0.0361714286,0.0361714286
1013039601,LANDMAN,MICHAEL,J,M.D.,M,I,25 MARSTON ST,,LAWRENCE,MA,018412310,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1013039601,LANDMAN,MICHAEL,J,M.D.,M,I,25 MARSTON ST,,LAWRENCE,MA,018412310,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,16,16,12.05,12.05
1013039601,LANDMAN,MICHAEL,J,M.D.,M,I,25 MARSTON ST,,LAWRENCE,MA,018412310,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1013039734,GAMARRA,ROBERTO,M,M.D.,M,I,30055 NORTHWESTERN HWY,SUITE 250,FARMINGTON HILLS,MI,483343230,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.5,4.139941349,4.0047214076
1013039759,COCHRAN,JASON,,DO,M,I,2815 S PENNSYLVANIA AVE,SUITE 204,LANSING,MI,48910,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,15,69,69,69,110.65521739,49.987246377,38.123333333,35.481014493
1013040096,ROBISCHON,STEPHEN,,"PA-C, MPAS",M,I,9200 W WISCONSIN AVE,DIVISION OF VASCULAR SURGERY,MILWAUKEE,WI,532263522,US,Physician Assistant,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,22,1600,0.9890625,0.12,0.09410625,0.09410625
1013040096,ROBISCHON,STEPHEN,,"PA-C, MPAS",M,I,9200 W WISCONSIN AVE,DIVISION OF VASCULAR SURGERY,MILWAUKEE,WI,532263522,US,Physician Assistant,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,3800,0.9536842105,0.05,0.0392,0.0392
1013040096,ROBISCHON,STEPHEN,,"PA-C, MPAS",M,I,9200 W WISCONSIN AVE,DIVISION OF VASCULAR SURGERY,MILWAUKEE,WI,532263522,US,Physician Assistant,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1845,1,0.45,0.3527696477,0.3527696477
1013041144,AKINSOTO,OLAKUNLE,P,M.D,M,I,1201 7TH SEST,,DECATUR,AL,356013337,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,69.127272727,47.563636364,34.025454545,33.095454545
1013041144,AKINSOTO,OLAKUNLE,P,M.D,M,I,1201 7TH SEST,,DECATUR,AL,356013337,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,49,55,60.442181818,17.29,12.564545455,12.549272727
1013041144,AKINSOTO,OLAKUNLE,P,M.D,M,I,1201 7TH SEST,,DECATUR,AL,356013337,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,5.7055555556,4.9222222222,3.5133333333,3.5322222222
1013041144,AKINSOTO,OLAKUNLE,P,M.D,M,I,1201 7TH SEST,,DECATUR,AL,356013337,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,72,77,266.12038961,70.23,48.941038961,48.684155844
1013041144,AKINSOTO,OLAKUNLE,P,M.D,M,I,1201 7TH SEST,,DECATUR,AL,356013337,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,51.63,37.44,9.5427272727,9.6245454545
1013041144,AKINSOTO,OLAKUNLE,P,M.D,M,I,1201 7TH SEST,,DECATUR,AL,356013337,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,37.44,26.904166667,27.0675
1013041532,GRIERSON,RANDOLPH,J,D.O.,M,I,5 N ATKINSON DR,SUITE #200,LUDINGTON,MI,494312918,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,112.5,34.976111111,27.421666667,15.28
1013041532,GRIERSON,RANDOLPH,J,D.O.,M,I,5 N ATKINSON DR,SUITE #200,LUDINGTON,MI,494312918,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,24,65,64.76,46.539583333,42.4875
1013041540,LIM,INDRA,,MD,M,I,800 E 28TH ST STE 1750,,MINNEAPOLIS,MN,554073723,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,665,4.3426315789,2.27,1.6860300752,1.6860300752
1013041540,LIM,INDRA,,MD,M,I,800 E 28TH ST STE 1750,,MINNEAPOLIS,MN,554073723,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,3510,4.2794871795,2.04,1.4767094017,1.4767094017
1013041540,LIM,INDRA,,MD,M,I,800 E 28TH ST STE 1750,,MINNEAPOLIS,MN,554073723,US,Physician/Physical Medicine and Rehabilitation,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,33,380,2.7921578947,1.7987368421,1.3664736842,1.3677105263
1013041540,LIM,INDRA,,MD,M,I,800 E 28TH ST STE 1750,,MINNEAPOLIS,MN,554073723,US,Physician/Physical Medicine and Rehabilitation,S,A4618,Breathing circuits,D1E - Other DME,Durable Medical Equipment,N,1,,13,35,38.59,8.65,6.7814285714,7.6648571429
1013041540,LIM,INDRA,,MD,M,I,800 E 28TH ST STE 1750,,MINNEAPOLIS,MN,554073723,US,Physician/Physical Medicine and Rehabilitation,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,18,950,4.1620210526,2.96,2.3206526316,2.3206526316
1013041540,LIM,INDRA,,MD,M,I,800 E 28TH ST STE 1750,,MINNEAPOLIS,MN,554073723,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,55,55,141.54545455,33.776181818,26.481090909,21.569454545
1013042209,PERRAUT,MICHAEL,E,M.D.,M,I,22590 SHADY CT,,CALIFORNIA,MD,206195009,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,19,72,55.324444444,8.32,5.7977777778,5.7977777778
1013042209,PERRAUT,MICHAEL,E,M.D.,M,I,22590 SHADY CT,,CALIFORNIA,MD,206195009,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,23,10.811304348,1.42,0.9669565217,0.9669565217
1013042209,PERRAUT,MICHAEL,E,M.D.,M,I,22590 SHADY CT,,CALIFORNIA,MD,206195009,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50,4.3866666667,3.4433333333,3.74
1013042431,PAPA,MICHELLE,E,DO,F,I,1100 S BROOM ST,,WILMINGTON,DE,198054585,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,22,57,138,58.6,8.32,6.0497101449,6.0497101449
1013042431,PAPA,MICHELLE,E,DO,F,I,1100 S BROOM ST,,WILMINGTON,DE,198054585,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,25,29,13.498965517,1.42,1.0413793103,1.0413793103
1013042431,PAPA,MICHELLE,E,DO,F,I,1100 S BROOM ST,,WILMINGTON,DE,198054585,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,175,49.64125,38.91875,38.89875
1013042431,PAPA,MICHELLE,E,DO,F,I,1100 S BROOM ST,,WILMINGTON,DE,198054585,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1074.31,833.36166667,833.36166667
1013042431,PAPA,MICHELLE,E,DO,F,I,1100 S BROOM ST,,WILMINGTON,DE,198054585,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.18,28.36,29.51
1013043520,GUDA,SIVAKOTI,N,M.D,M,I,333 COTTMAN AVE,,PHILADELPHIA,PA,191112434,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,19,287.15789474,74.243157895,58.207894737,55.334736842
1013043520,GUDA,SIVAKOTI,N,M.D,M,I,333 COTTMAN AVE,,PHILADELPHIA,PA,191112434,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,14,17.042142857,7.0492857143,5.1528571429,5.885
1013043520,GUDA,SIVAKOTI,N,M.D,M,I,333 COTTMAN AVE,,PHILADELPHIA,PA,191112434,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,17,74.157647059,36.670588235,28.751176471,29.451176471
1013043595,IORIO,RALPH,E,M.D,M,I,896 CENTRAL AVE,,WOODMERE,NY,115982147,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,29,57,70.942280702,8.32,5.4914035088,5.4914035088
1013043595,IORIO,RALPH,E,M.D,M,I,896 CENTRAL AVE,,WOODMERE,NY,115982147,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,16,11.700625,1.42,0.90875,0.90875
1013043595,IORIO,RALPH,E,M.D,M,I,896 CENTRAL AVE,,WOODMERE,NY,115982147,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,32.027857143,3.7957142857,2.9785714286,3.7314285714
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,52,84.802692308,8.32,6.5228846154,6.5228846154
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,21,47,148,38115,5.1631504657,0.5706417421,0.4207574446,0.4207561328
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,30,76,32625,0.0448833716,0.0132257471,0.0103442146,0.0103442146
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,1560,1.7786602564,0.7431153846,0.5027564103,0.5027564103
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,24,96,16990,3.4113290171,1.322267216,1.03008299,1.03008299
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,17,88,16818,4.7442870734,2.8941830182,2.2690355571,2.2690355571
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,33,2235,22.066666667,7.4497404922,5.4554451902,5.4554451902
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,2,19,19,19,50,50,39.2,39.2
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,32,58,197,197,24,24,18.028274112,18.028274112
1013043728,VAGEFI,PARSIA,A,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,27,55,200,242,16,16,12.437479339,12.437479339
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,30,67,190,62.942842105,8.32,5.4923157895,5.4923157895
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,20,35,40,15.69,1.42,1.034,1.034
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,182.59769231,58.406923077,45.790769231,42.462307692
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,29,63.125517241,17.577931034,13.778965517,13.771724138
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,31,426.99096774,75.561935484,59.240322581,56.96516129
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,3928,2.0555880855,0.1371232179,0.1075101833,0.1075101833
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,90.82,38.202307692,28.337692308,24.915384615
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,115.02733333,35.87,28.118,22.62
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,26.52,9.9466666667,7.4605555556,6.8461111111
1013043959,BIGOL,PERCIVAL,A,MD,M,I,2500 W HIGGINS RD,SUITE 280,HOFFMAN ESTATES,IL,601697220,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,33,33,25.87,25.87
1013044007,MURPHY,CAROLINE,A,PA,F,I,111 E 210TH ST,MMC - DEPT. OF CARDIOLOGY,BRONX,NY,104672401,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,40,72.492,8.32,5.4425,5.4425
1013044411,CHOI,WEN-YIN,,DPM,F,I,4053 LONE TREE WAY,,ANTIOCH,CA,945316200,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,66,92.912727273,71.56,56.105,56.105
1013044411,CHOI,WEN-YIN,,DPM,F,I,4053 LONE TREE WAY,,ANTIOCH,CA,945316200,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,48,37.928333333,29.19,22.885,22.88625
1013044411,CHOI,WEN-YIN,,DPM,F,I,4053 LONE TREE WAY,,ANTIOCH,CA,945316200,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,49,60.716122449,43.56,34.152040816,34.15
1013044411,CHOI,WEN-YIN,,DPM,F,I,4053 LONE TREE WAY,,ANTIOCH,CA,945316200,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,22,92,83.01,65.08,63.280909091
1013044833,FRIMODIG,MINDY,M,DO,F,I,100 COUNTY ROAD B,,SHAWANO,WI,541667072,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,37,86,64.304534884,8.32,4.7777906977,4.7777906977
1013044833,FRIMODIG,MINDY,M,DO,F,I,100 COUNTY ROAD B,,SHAWANO,WI,541667072,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,18,17.534444444,1.42,0.8055555556,0.8055555556
1013044833,FRIMODIG,MINDY,M,DO,F,I,100 COUNTY ROAD B,,SHAWANO,WI,541667072,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,13.273333333,8.3925,6.8858333333
1013044833,FRIMODIG,MINDY,M,DO,F,I,100 COUNTY ROAD B,,SHAWANO,WI,541667072,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,425.35,91.313333333,71.59,54.73
1013045525,PATEL,NILESH,,MD,M,I,1000 BLYTHE BLVD,,CHARLOTTE,NC,282035812,US,Physician/Emergency Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,350,20.12,6.26,4.908,5.778
1013045525,PATEL,NILESH,,MD,M,I,1000 BLYTHE BLVD,,CHARLOTTE,NC,282035812,US,Physician/Emergency Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,10.213333333,5.23,4.1003333333,4.1003333333
1013045525,PATEL,NILESH,,MD,M,I,1000 BLYTHE BLVD,,CHARLOTTE,NC,282035812,US,Physician/Emergency Medicine,S,L8501,Tracheostomy speaking valve,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,278.8,141.71,111.1,101.75
1013045624,COCO,MARSHALL,Q,NP,M,I,2730 AMBASSADOR CAFFERY PKWY,,LAFAYETTE,LA,705065904,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,153.18,30.42,18.026666667,17.65
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,108,52.995648148,8.32,6.2812962963,6.2812962963
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.46,3.38,2.65,2.65
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,53,11.671886792,1.42,1.0279245283,1.0279245283
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,337.26153846,123.05615385,96.474615385,71.064615385
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,13,13,53.616923077,24.641538462,18.946923077,14.281538462
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,63.152941176,20.515882353,15.487058824,9.2494117647
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,21,110,10.08,3.2003636364,2.4127272727,1.5307272727
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,79.076923077,61.208461538,47.986153846,39.683846154
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,110.49821429,49.548214286,38.845,25.816071429
1013045913,COFFEY,J,C,MD,M,I,1900 W 2ND ST,SUITE C,ELK CITY,OK,736444328,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,200,96.02375,67.8125,67.1825
1013045970,EDRIS,MARWAN,,M.D.,M,I,25283 CABOT ROAD,SUITE 106,LAGUNA HILLS,CA,92653,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,28,65.653214286,8.32,5.8232142857,5.8232142857
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,477,879,879,132.90205916,38.39261661,28.659169511,29.055415245
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,363,637,638,237.73931034,87.016253918,65.572617555,65.283510972
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,19,320,659,1326,94.3913273,32.134487179,24.115279035,24.869683258
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,147,257,1227,49.447098615,18.308353708,13.468606357,13.719608802
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,213,382,1738,40.218918297,15.037704258,10.931455696,11.035834292
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,397,679,680,149.67347059,53.771852941,39.671352941,40.412985294
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,681,880,880,48.957693182,17.516636364,13.169840909,13.489363636
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,116,126,126,24.873809524,10.651190476,7.8888095238,7.7288888889
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,224,388,388,54.863530928,10.831829897,7.9402319588,8.5881701031
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,676,1222,6246,7.1416090298,1.9261879603,1.4361959654,1.5167355107
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,91,102,102,18.821470588,5.3382352941,4.0370588235,4.4239215686
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,17,307,375,375,26.73184,13.675973333,10.380533333,10.034
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,19,105,107,373.39037383,81.635794393,61.764672897,65.047943925
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,183,183,183,352.72409836,134.32349727,103.24661202,102.89218579
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,13,78,85,80.038823529,13.819882353,9.8143529412,9.3345882353
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,373,2161,2177,142.60703261,32.835259531,23.464621038,23.080817639
1013046051,HOWARD,MATTHEW,K,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 311,AUGUSTA,GA,309012651,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,140,140,254.21157143,77.732,58.550571429,52.7255
1013046994,BARNWELL-GRAYSON,ANNE,B,MD,F,I,225 HOSPITAL DR,,GALAX,VA,243332228,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,380,9.7821052632,3.04,2.3833947368,2.3833947368
1013046994,BARNWELL-GRAYSON,ANNE,B,MD,F,I,225 HOSPITAL DR,,GALAX,VA,243332228,US,Physician/General Surgery,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,12,13,13,528.85461538,95.592307692,65.391538462,58.866923077
1013046994,BARNWELL-GRAYSON,ANNE,B,MD,F,I,225 HOSPITAL DR,,GALAX,VA,243332228,US,Physician/General Surgery,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,15,27,53,195.76603774,36.38754717,24.567735849,22.185283019
1013046994,BARNWELL-GRAYSON,ANNE,B,MD,F,I,225 HOSPITAL DR,,GALAX,VA,243332228,US,Physician/General Surgery,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,15,26,113,14.839292035,2.2571681416,1.5477876106,1.3922123894
1013046994,BARNWELL-GRAYSON,ANNE,B,MD,F,I,225 HOSPITAL DR,,GALAX,VA,243332228,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,19.567272727,7.74,6.5618181818
1013046994,BARNWELL-GRAYSON,ANNE,B,MD,F,I,225 HOSPITAL DR,,GALAX,VA,243332228,US,Physician/General Surgery,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,278.92,35.826956522,21.346956522,19.312173913
1013046994,BARNWELL-GRAYSON,ANNE,B,MD,F,I,225 HOSPITAL DR,,GALAX,VA,243332228,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,519.51,80.616129032,51.214193548,43.718064516
1013047620,NORMANDIN,CHRISTINE,M,FNP,F,I,70 MAIN ST,,FLORENCE,MA,010621466,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,49,83.684693878,8.32,6.4926530612,6.4926530612
1013048024,YOON,SUKHOON,,M.D.,M,I,800 W RANDOL MILL RD,,ARLINGTON,TX,760122504,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1200,62.55,49.04,48.32
1013048057,MILLIKEN,JOHN,P,MD,M,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842342,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,53,265,27.183811321,13.127358491,10.097698113,10.097698113
1013048057,MILLIKEN,JOHN,P,MD,M,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842342,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,54,372,496.72852151,326.75301075,255.92731183,255.92731183
1013048057,MILLIKEN,JOHN,P,MD,M,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842342,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,53,370,203.94,9.3481081081,7.3285135135,7.3285135135
1013048057,MILLIKEN,JOHN,P,MD,M,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842342,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,54,372,652.88575269,29.213978495,22.903844086,22.903844086
1013048800,RICE,JOEL,M,CNP,M,I,1510 COLUMBUS AVE,SUITE 230,WASHINGTON COURT HOUSE,OH,431601899,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,22,81,47.195802469,8.32,5.9596296296,5.9596296296
1013048800,RICE,JOEL,M,CNP,M,I,1510 COLUMBUS AVE,SUITE 230,WASHINGTON COURT HOUSE,OH,431601899,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1013048800,RICE,JOEL,M,CNP,M,I,1510 COLUMBUS AVE,SUITE 230,WASHINGTON COURT HOUSE,OH,431601899,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,36,14.076944444,1.42,1.0197222222,1.0197222222
1013048800,RICE,JOEL,M,CNP,M,I,1510 COLUMBUS AVE,SUITE 230,WASHINGTON COURT HOUSE,OH,431601899,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,0.76,0.1345,0.1054791667,0.1054791667
1013048800,RICE,JOEL,M,CNP,M,I,1510 COLUMBUS AVE,SUITE 230,WASHINGTON COURT HOUSE,OH,431601899,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,25.87,25.87
1013049758,ZAZZO,LAWRENCE,J,D.O.,M,I,439 CLINTON ST,,CAMDEN,NJ,081033529,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,76.985263158,23.073684211,16.517368421,14.006842105
1013049758,ZAZZO,LAWRENCE,J,D.O.,M,I,439 CLINTON ST,,CAMDEN,NJ,081033529,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,469.39318182,102.96090909,72.841818182,58.351818182
1013050368,FANNIN,FRANKLIN,W,M.D.,M,I,2245 WINCHESTER AVE,,ASHLAND,KY,411017848,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.7090909091,2.9054545455,3.4818181818
1013050541,OLONAN,CHRISTOPHER,D,MD,M,I,1835 EL CAJON BOULEVARD,SUITE 8,SAN DIEGO,CA,92103,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,376.95636364,72.06,55.42,53.811818182
1013050541,OLONAN,CHRISTOPHER,D,MD,M,I,1835 EL CAJON BOULEVARD,SUITE 8,SAN DIEGO,CA,92103,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,124.36272727,36.58,26.063636364,26.845454545
1013050764,LEE,SANGJIN,,"MD, MSC",M,I,2902 BRADFORD ST NE,,GRAND RAPIDS,MI,49525,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,544.28380952,19.71,15.45,15.45
1013050764,LEE,SANGJIN,,"MD, MSC",M,I,2902 BRADFORD ST NE,,GRAND RAPIDS,MI,49525,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,23,77,361.91142857,37.38,29.306883117,29.306883117
1013050764,LEE,SANGJIN,,"MD, MSC",M,I,2902 BRADFORD ST NE,,GRAND RAPIDS,MI,49525,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,787,95.693189327,1.5859847522,1.2434561626,1.2434561626
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,39,160,53.689375,8.32,6.196625,6.196625
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.12,3.38,2.65,2.65
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,36,13.270277778,1.42,1.0194444444,1.0194444444
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,76.376363636,10,7.84,9.12
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,10.145384615,2,1.4476923077,1.4715384615
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,220.1,26.51,20.79,23.38
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,700,432.76190476,318.79285714,356.5647619
1013051036,GRAVES,CHRISTY,,M.D.,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,70458,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,560.67217391,71,49.422608696,48.573478261
1013051069,HAZELBERG,MICHAEL,D,DO,M,I,2514 S 102ND ST STE 160,,WEST ALLIS,WI,532272142,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,400.926,97.530666667,76.190666667,57.539333333
1013051069,HAZELBERG,MICHAEL,D,DO,M,I,2514 S 102ND ST STE 160,,WEST ALLIS,WI,532272142,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,118.224,43.188,33.862,29.956
1013051432,SOLIMAN,MONA,,M.D.,F,I,11200 GOVERNOR MANLY WAY,,RALEIGH,NC,276148599,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,49,117,66.962649573,8.32,6.0720512821,6.0720512821
1013051432,SOLIMAN,MONA,,M.D.,F,I,11200 GOVERNOR MANLY WAY,,RALEIGH,NC,276148599,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,23,17.243913043,1.42,0.9704347826,0.9704347826
1013051432,SOLIMAN,MONA,,M.D.,F,I,11200 GOVERNOR MANLY WAY,,RALEIGH,NC,276148599,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1008.46,149.55,117.25,114.78
1013051432,SOLIMAN,MONA,,M.D.,F,I,11200 GOVERNOR MANLY WAY,,RALEIGH,NC,276148599,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,12.266666667,3.061,2.3998472222,2.3998472222
1013051432,SOLIMAN,MONA,,M.D.,F,I,11200 GOVERNOR MANLY WAY,,RALEIGH,NC,276148599,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,106.66666667,33,24.432777778,24.432777778
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,46,135,57.840888889,8.32,5.7703703704,5.7703703704
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,34,14.160294118,1.4105882353,0.8776470588,0.885
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,653,24.423675345,23.66,18.549402757,18.549402757
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,240,8.698,8.41,6.5936666667,6.5936666667
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,172.09090909,49.771818182,37.298181818,37.693181818
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,25.333636364,17.564545455,12.538181818,12.327272727
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,28,336.73142857,75.93,57.602857143,52.988928571
1013052406,UDDIN,MOHAMMAD,N,MD,M,I,7151 COLLEYVILLE BLVD,SUITE 103,COLLEYVILLE,TX,760348029,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,19,94,94,69.071702128,19.14893617,13.787553191,12.872021277
1013052463,FREYTAG,ADDIE,L,FNP,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,37887,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,519.51,105.01636364,76.901818182,49.754545455
1013052463,FREYTAG,ADDIE,L,FNP,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,37887,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3590,0.3511142061,0.0467130919,0.0312534819,0.0312534819
1013052463,FREYTAG,ADDIE,L,FNP,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,37887,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,96.642857143,33,22.195714286,22.195714286
1013052539,VARUGHESE,BEENA,K,MD,F,I,40 PINNACLE PKWY,SUITE 212,ELGIN,SC,290458390,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,28,75,50.3472,8.32,5.5654666667,5.5654666667
1013052539,VARUGHESE,BEENA,K,MD,F,I,40 PINNACLE PKWY,SUITE 212,ELGIN,SC,290458390,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,16.083846154,1.42,1.0692307692,1.0692307692
1013052539,VARUGHESE,BEENA,K,MD,F,I,40 PINNACLE PKWY,SUITE 212,ELGIN,SC,290458390,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,18.687272727,14.654545455,13.890909091
1013053305,SCHRADER,SHARI,A,APRNBC,F,I,300 RANDALL RD,WOUND CENTER,GENEVA,IL,601344200,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,16,1260,0.1494761905,0.12,0.0940793651,0.0940793651
1013053305,SCHRADER,SHARI,A,APRNBC,F,I,300 RANDALL RD,WOUND CENTER,GENEVA,IL,601344200,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,444,10.756486486,8.28,6.0529504505,6.0529504505
1013053305,SCHRADER,SHARI,A,APRNBC,F,I,300 RANDALL RD,WOUND CENTER,GENEVA,IL,601344200,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,180,14.625333333,10.93,8.0899444444,8.0899444444
1013053305,SCHRADER,SHARI,A,APRNBC,F,I,300 RANDALL RD,WOUND CENTER,GENEVA,IL,601344200,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,11,16,210,27.42,24.732142857,19.39,19.200571429
1013053305,SCHRADER,SHARI,A,APRNBC,F,I,300 RANDALL RD,WOUND CENTER,GENEVA,IL,601344200,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,11,16,130,9.01,8.24,6.46,6.4311538462
1013053305,SCHRADER,SHARI,A,APRNBC,F,I,300 RANDALL RD,WOUND CENTER,GENEVA,IL,601344200,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,766.58333333,158.33333333,114.04083333,111.06416667
1013053305,SCHRADER,SHARI,A,APRNBC,F,I,300 RANDALL RD,WOUND CENTER,GENEVA,IL,601344200,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,12,19,19,1716.46,651.96736842,503.96842105,496.18473684
1013053982,RHEAULT,MICHELLE,N,M.D.,F,I,2512 S 7TH ST,PEDIATRIC SPECIALTY CARE,MINNEAPOLIS,MN,554541404,US,Physician/Pediatric Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,5510,4.4436987296,0.5630798548,0.4346606171,0.4415952813
1013053982,RHEAULT,MICHELLE,N,M.D.,F,I,2512 S 7TH ST,PEDIATRIC SPECIALTY CARE,MINNEAPOLIS,MN,554541404,US,Physician/Pediatric Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1013053982,RHEAULT,MICHELLE,N,M.D.,F,I,2512 S 7TH ST,PEDIATRIC SPECIALTY CARE,MINNEAPOLIS,MN,554541404,US,Physician/Pediatric Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,18,16,16,12.541666667,12.541666667
1013054378,SUDDUTH,NICOLE,,MD,F,I,115 LOCUST ST,,SANTA CRUZ,CA,950603907,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,54,125,56.246,8.32,6.27952,6.27952
1013054378,SUDDUTH,NICOLE,,MD,F,I,115 LOCUST ST,,SANTA CRUZ,CA,950603907,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,19,31,9.2393548387,1.42,1.1148387097,1.1148387097
1013054378,SUDDUTH,NICOLE,,MD,F,I,115 LOCUST ST,,SANTA CRUZ,CA,950603907,US,Physician/Internal Medicine,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,31.47,8.96,7.03,7.89
1013054378,SUDDUTH,NICOLE,,MD,F,I,115 LOCUST ST,,SANTA CRUZ,CA,950603907,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,49,10.397272727,8.1518181818,8.2390909091
1013054378,SUDDUTH,NICOLE,,MD,F,I,115 LOCUST ST,,SANTA CRUZ,CA,950603907,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,819.65714286,153.92714286,120.68285714,120.67714286
1013054378,SUDDUTH,NICOLE,,MD,F,I,115 LOCUST ST,,SANTA CRUZ,CA,950603907,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,99,33,25.87,25.87
1013054386,KUYPER,DANIEL,,MD,M,I,3931 LOUISIANA AVE. S. SUITE E500,,ST LOUIS PARK,MN,55426,US,Physician/Neurology,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,16.228888889,11.656666667,9.1366666667,9.0383333333
1013054386,KUYPER,DANIEL,,MD,M,I,3931 LOUISIANA AVE. S. SUITE E500,,ST LOUIS PARK,MN,55426,US,Physician/Neurology,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,18.176315789,10.805789474,8.4736842105,8.4889473684
1013054386,KUYPER,DANIEL,,MD,M,I,3931 LOUISIANA AVE. S. SUITE E500,,ST LOUIS PARK,MN,55426,US,Physician/Neurology,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,313.88,221.92,173.98,173.98
1013054386,KUYPER,DANIEL,,MD,M,I,3931 LOUISIANA AVE. S. SUITE E500,,ST LOUIS PARK,MN,55426,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,76.3,31.62375,24.7925,22.540416667
1013054386,KUYPER,DANIEL,,MD,M,I,3931 LOUISIANA AVE. S. SUITE E500,,ST LOUIS PARK,MN,55426,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,18.46,8.99,7.0466666667,6.85
1013054436,HESS,SUZANNE,M,N.P.,F,I,349 E NORTHFIELD RD,SUITE 200,LIVINGSTON,NJ,070394802,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,68.831363636,8.32,5.9336363636,5.9336363636
1013054477,KING,LINDSAY,,M.D.,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277106110,US,Physician/Gastroenterology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,360,1.2599444444,0.48575,0.3594166667,0.3594166667
1013054477,KING,LINDSAY,,M.D.,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277106110,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,21,164,17990,4.7923146192,0.5622701501,0.4214018899,0.4214002223
1013054477,KING,LINDSAY,,M.D.,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277106110,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,14,101,12970,1.6975273709,0.9333384734,0.6926576715,0.6926576715
1013054477,KING,LINDSAY,,M.D.,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277106110,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,720,4.3550555556,2.841,2.2273611111,2.2273611111
1013054477,KING,LINDSAY,,M.D.,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277106110,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,25,27,203,203,24,24,18.078325123,18.078325123
1013054477,KING,LINDSAY,,M.D.,F,I,40 DUKE MEDICINE CIR,,DURHAM,NC,277106110,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,20,109,119,16.067226891,16,12.069915966,12.069915966
1013054717,DUARTE,STEPHANIE,R,"MSN,FNP,BC",F,I,1601 N STATE ROUTE 7,,PLEASANT HILL,MO,640801945,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,59.683076923,13.5,10.58,10.503076923
1013054717,DUARTE,STEPHANIE,R,"MSN,FNP,BC",F,I,1601 N STATE ROUTE 7,,PLEASANT HILL,MO,640801945,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,24,44.142916667,6.9408333333,4.6141666667,3.6916666667
1013054717,DUARTE,STEPHANIE,R,"MSN,FNP,BC",F,I,1601 N STATE ROUTE 7,,PLEASANT HILL,MO,640801945,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,429.66,78.53,61.56,55.341818182
1013054865,COHEN-GADOL,SHARIAR,,M.D.,M,I,558 SAINT CHARLES DR,"SUITE 110, 111",THOUSAND OAKS,CA,913603903,US,Physician/Rheumatology,S,A4326,"Male external catheter with integral collection chamber, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,32.95,10.52,7.5579166667,8.74875
1013054865,COHEN-GADOL,SHARIAR,,M.D.,M,I,558 SAINT CHARLES DR,"SUITE 110, 111",THOUSAND OAKS,CA,913603903,US,Physician/Rheumatology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,760,162.60965789,39.962105263,31.141605263,31.141605263
1013055425,BUNKER,BRETT,R,P.A.,M,I,9677 BREWERTON RD,,BREWERTON,NY,130298738,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,75,62.2064,8.32,5.9997333333,5.9997333333
1013055425,BUNKER,BRETT,R,P.A.,M,I,9677 BREWERTON RD,,BREWERTON,NY,130298738,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,452.072,67.72,49.56,50.457333333
1013055425,BUNKER,BRETT,R,P.A.,M,I,9677 BREWERTON RD,,BREWERTON,NY,130298738,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,150,38.72,30.36,29.52
1013055425,BUNKER,BRETT,R,P.A.,M,I,9677 BREWERTON RD,,BREWERTON,NY,130298738,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1650,1.0380424242,0.1349090909,0.0958606061,0.0958606061
1013055425,BUNKER,BRETT,R,P.A.,M,I,9677 BREWERTON RD,,BREWERTON,NY,130298738,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,76.043478261,33,22.495652174,22.495652174
1013056043,VU,HUYENTRANG,,MD,F,I,UNM HOSPITAL INTERNAL MEDICINE,2211 LOMAS BLVD NE,ALBUQUERQUE,NM,871310001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,20,86.09,86.09,50.9185,41.6855
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,750,7.6093333333,5.74,4.50008,4.50008
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,157,3.7203184713,2.91,2.1359872611,2.1359872611
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,440,15.168,9.86,7.4012045455,7.4012045455
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,56,1330,7.7869924812,7,5.1979849624,5.1979849624
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,1410,3.1167375887,1.95,1.3987092199,1.3987092199
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,49,980,5.3780612245,4.03,2.944622449,2.944622449
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,410,4.4246341463,3.04,1.9763902439,1.9763902439
1013056050,KRIER,KELLY,J,MD,F,I,575 S 70TH ST,SUITE 310,LINCOLN,NE,68510,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,47,2025,0.7320987654,0.27,0.205382716,0.205382716
1013056308,GERDES,GERALD,G,O.D.,M,I,414 E 7TH AVE,,OAKDALE,LA,714632624,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,57.896551724,53.410344828,41.874482759,52.81
1013056308,GERDES,GERALD,G,O.D.,M,I,414 E 7TH AVE,,OAKDALE,LA,714632624,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,58,124.12068966,55.887241379,43.81,43.17
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,25,60,123,8.211300813,1.4575609756,1.102601626,1.1099186992
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,24,30,31,82.742903226,13.726451613,10.412903226,9.1141935484
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,98.961818182,21.343636364,14.213636364,12.219090909
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,19,82,14.747682927,2.6058536585,1.9356097561,1.5252439024
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,86.31,18.690434783,14.656956522,13.53826087
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,14,86,105,51.077142857,5.8022857143,4.4584761905,3.7087619048
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,267.52352941,46.220588235,32.178235294,24.918823529
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,16,123,129,519.51,81.249612403,63.223023256,54.844651163
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,25,250,35.5332,27.8644,29.3684
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,16,131,7860,15.58,9.6484732824,7.5213816794,7.5213816794
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,11,85,4950,13.94,11.237654545,8.7545272727,8.7545272727
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,21,103,10950,0.17,0.0452995434,0.0355004566,0.0355004566
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,1920,0.92,0.13671875,0.1015,0.1015
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,29,200,11790,12.86,3.0009109415,2.3405699746,2.3405699746
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,11,75,3915,0.75,0.2187228608,0.1714661558,0.1714661558
1013056761,KIM,EUGENE,,M.D.,M,I,2929 DESERT STORM DR,"USASOC (AOMD), ATTN: SURGEON SECTION",FORT BRAGG,NC,283109110,US,Physician/Psychiatry,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,40,267,267,131.60449438,32.975280899,25.827602996,25.827602996
1013056787,ROY,MADHURINA,,M.D,F,I,9505 19TH AVE SE,STE 100,EVERETT,WA,982083843,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,19,57.330526316,8.32,4.8573684211,4.8573684211
1013056787,ROY,MADHURINA,,M.D,F,I,9505 19TH AVE SE,STE 100,EVERETT,WA,982083843,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,519.51,77.34,58.10375,52.94125
1013056787,ROY,MADHURINA,,M.D,F,I,9505 19TH AVE SE,STE 100,EVERETT,WA,982083843,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.3,28.2425,27.159166667
1013056993,HARTMANN,REID,A,M.D.,M,I,2123 AUBURN AVE,SUITE 235,CINCINNATI,OH,452192906,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,30,81,60.509012346,8.32,6.1248148148,6.1248148148
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,52,117,70.736923077,8.32,5.4481196581,5.4481196581
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,17.987222222,1.42,1.0555555556,1.0555555556
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,26,136.00076923,38.291538462,30.021153846,25.918846154
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,55.589230769,19.984615385,13.66,12.173846154
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,76,9.8628947368,2.5217105263,1.8538157895,1.4675
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,183.75857143,17.69,13.87,13.554285714
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,22.49,5.3267741935,3.8329032258,3.3058064516
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,69,86,379.12569767,70.062674419,52.374883721,52.207209302
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,250,38.68,28.853913043,28.184782609
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1080,2.5147222222,0.1334444444,0.1046388889,0.1046388889
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,24,200,38.814583333,29.1625,28.550416667
1013057488,SPARKS,JAY,L,MD,M,I,3231 S NATIONAL AVE,SUITE 220,SPRINGFIELD,MO,658077304,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,38.823529412,33,25.87,25.87
1013057991,SYKES,GERARD,F,MD,M,I,3510 JOHNSON AVE,,BRONX,NY,104631603,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,44,113,73.830088496,8.32,5.4250442478,5.4250442478
1013057991,SYKES,GERARD,F,MD,M,I,3510 JOHNSON AVE,,BRONX,NY,104631603,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,23,11.774347826,1.42,1.0156521739,1.0156521739
1013057991,SYKES,GERARD,F,MD,M,I,3510 JOHNSON AVE,,BRONX,NY,104631603,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,134.38,46.004,36.064,37.58
1013057991,SYKES,GERARD,F,MD,M,I,3510 JOHNSON AVE,,BRONX,NY,104631603,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,9.2845454545,6.4690909091,8.2518181818
1013057991,SYKES,GERARD,F,MD,M,I,3510 JOHNSON AVE,,BRONX,NY,104631603,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,68.752727273,14.72,11.538181818,13.884545455
1013057991,SYKES,GERARD,F,MD,M,I,3510 JOHNSON AVE,,BRONX,NY,104631603,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,6.8190909091,5.3454545455,6.5245454545
1013058130,ASIKA,KIMKYA,C,M.D.,F,I,107 MEDICAL DR,,ELIZABETH CITY,NC,279093361,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,55,127,55.885354331,8.32,5.3917322835,5.3917322835
1013058130,ASIKA,KIMKYA,C,M.D.,F,I,107 MEDICAL DR,,ELIZABETH CITY,NC,279093361,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,13,13.701538462,3.38,2.4461538462,2.4461538462
1013058130,ASIKA,KIMKYA,C,M.D.,F,I,107 MEDICAL DR,,ELIZABETH CITY,NC,279093361,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,30,39,16.268205128,1.42,0.9158974359,0.9158974359
1013058130,ASIKA,KIMKYA,C,M.D.,F,I,107 MEDICAL DR,,ELIZABETH CITY,NC,279093361,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1110,1.4197657658,0.1419189189,0.1088378378,0.1088378378
1013058130,ASIKA,KIMKYA,C,M.D.,F,I,107 MEDICAL DR,,ELIZABETH CITY,NC,279093361,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,75.428571429,33,24.022142857,24.022142857
1013058213,CHENG,YIJUN,,M.D.,M,I,295 ESSJAY RD,,WILLIAMSVILLE,NY,142218216,US,Physician/Hematology-Oncology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,840,250.01066667,42.620785714,33.414714286,33.414714286
1013058452,BOVA,ABBY,R,MD,F,I,4205 MCAULEY BLVD,STE 375,OKLAHOMA CITY,OK,731209391,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,742,39.455781671,5.2986118598,4.154083558,4.154083558
1013058452,BOVA,ABBY,R,MD,F,I,4205 MCAULEY BLVD,STE 375,OKLAHOMA CITY,OK,731209391,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,19,59,44.033898305,36.28,28.058644068,30.09220339
1013058841,KATZ,MARCIA,,M.D.,F,I,1015 W LAWRENCE AVE,,CHICAGO,IL,606405017,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,31,72.994516129,8.32,4.1403225806,4.1403225806
1013058957,THALASILA,ANURADHA,,M.D.,F,I,157 BROAD ST STE 317,,RED BANK,NJ,077012013,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,21.44,5.625,4.1192857143,3.3785714286
1013058957,THALASILA,ANURADHA,,M.D.,F,I,157 BROAD ST STE 317,,RED BANK,NJ,077012013,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,279.12,70,54.88,54.74
1013059005,DODT,BRUCE,I,MD,M,I,500 N WALL ST STE 300,,KANKAKEE,IL,609012942,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,190.71428571,58.345,40.252142857,33.592857143
1013059054,HUANG,CINDY,X,MD,F,I,10403 HOSPITAL DR STE G7,,CLINTON,MD,207353138,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,14,278.18,43.475,29.260714286,30.462142857
1013059211,ABDEL-RAHMAN,RANIA,,M.D.,F,I,4168 SOUTHPOINT PKWY S,SUITE 103,JACKSONVILLE,FL,322160966,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,1320,12.033166667,2.5912727273,1.9068333333,1.9068333333
1013059211,ABDEL-RAHMAN,RANIA,,M.D.,F,I,4168 SOUTHPOINT PKWY S,SUITE 103,JACKSONVILLE,FL,322160966,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,3825,0.0740993464,0.0130039216,0.0091189542,0.0091189542
1013059211,ABDEL-RAHMAN,RANIA,,M.D.,F,I,4168 SOUTHPOINT PKWY S,SUITE 103,JACKSONVILLE,FL,322160966,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,43,6236,4.7869708146,1.3380885183,1.0423669019,1.0423669019
1013059211,ABDEL-RAHMAN,RANIA,,M.D.,F,I,4168 SOUTHPOINT PKWY S,SUITE 103,JACKSONVILLE,FL,322160966,US,Physician/Internal Medicine,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,33.0825,7.50675,5.8852916667,5.8852916667
1013059211,ABDEL-RAHMAN,RANIA,,M.D.,F,I,4168 SOUTHPOINT PKWY S,SUITE 103,JACKSONVILLE,FL,322160966,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,44,44,24,24,17.981590909,17.981590909
1013059211,ABDEL-RAHMAN,RANIA,,M.D.,F,I,4168 SOUTHPOINT PKWY S,SUITE 103,JACKSONVILLE,FL,322160966,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,50,67,16,16,12.242686567,12.242686567
1013059245,JOHNSON,ROGENA,K,M.D.,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,53,166,40.569457831,8.32,5.1861445783,5.1861445783
1013059245,JOHNSON,ROGENA,K,M.D.,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,43,16.975813953,1.42,1.01,1.01
1013059245,JOHNSON,ROGENA,K,M.D.,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,32,7.5803125,1.89625,1.2484375,0.9359375
1013059245,JOHNSON,ROGENA,K,M.D.,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,43.481333333,5.9113333333,3.4386666667,2.481
1013059245,JOHNSON,ROGENA,K,M.D.,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,37,5770,0.5330953206,0.046407279,0.0332443674,0.0332443674
1013059245,JOHNSON,ROGENA,K,M.D.,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,2789,1.3028970957,0.134571531,0.1006238795,0.1006238795
1013059245,JOHNSON,ROGENA,K,M.D.,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,56,56,78.964285714,33,23.098214286,23.098214286
1013059468,PATEL,SEEMA,K,MD,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012386,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,4.5681818182,3.5854545455,3.8181818182
1013060458,SORIA,EMILIO,,M.D.,M,I,7891 BROADWAY STE G,,MERRILLVILLE,IN,464105556,US,Psychiatry & Neurology,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,3.6344117647,2.31,1.8117647059,1.5932352941
1013060458,SORIA,EMILIO,,M.D.,M,I,7891 BROADWAY STE G,,MERRILLVILLE,IN,464105556,US,Psychiatry & Neurology,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,55.2748,34.154,17.7424,16.5192
1013060664,BROWNE,LISA,M,RPA-C,F,I,6511 SPRING BROOK AVE,SUITE 1001,RHINEBECK,NY,125723709,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,48,72.005416667,8.32,6.25,6.25
1013060664,BROWNE,LISA,M,RPA-C,F,I,6511 SPRING BROOK AVE,SUITE 1001,RHINEBECK,NY,125723709,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,15.062631579,1.42,0.8842105263,0.8842105263
1013060664,BROWNE,LISA,M,RPA-C,F,I,6511 SPRING BROOK AVE,SUITE 1001,RHINEBECK,NY,125723709,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.09,50.370833333,50.169166667
1013060698,INAMINE,GARY,S,MD,M,I,1660 S KING ST,101,HONOLULU,HI,968262066,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,39,106.17948718,18.5,14.503589744,14.551794872
1013060698,INAMINE,GARY,S,MD,M,I,1660 S KING ST,101,HONOLULU,HI,968262066,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,94.791818182,16.51,11.54,12.677272727
1013060698,INAMINE,GARY,S,MD,M,I,1660 S KING ST,101,HONOLULU,HI,968262066,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,64.229230769,11.04,7.9846153846,8.4638461538
1013060698,INAMINE,GARY,S,MD,M,I,1660 S KING ST,101,HONOLULU,HI,968262066,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,62,7.1503225806,2.14,1.6766129032,1.5916129032
1013061084,SHERR,GREGORY,T,M.D.,M,I,1121 NW 64TH TER,SUITE A,GAINESVILLE,FL,326054243,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,4995,4378.96,3433.11,3433.11
1013061431,MANDANAS,LINDA,D,MD,F,I,144 W 5TH ST,,OSWEGO,NY,131262552,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6854545455,7.5933787879,7.5933787879
1013061431,MANDANAS,LINDA,D,MD,F,I,144 W 5TH ST,,OSWEGO,NY,131262552,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0208181818,2.3683484848,2.3683484848
1013061431,MANDANAS,LINDA,D,MD,F,I,144 W 5TH ST,,OSWEGO,NY,131262552,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,31,77,58.963116883,8.32,6.5219480519,6.5219480519
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,24,11.209583333,1.42,1.1166666667,1.1166666667
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,237.20785714,74.867142857,57.922142857,43.915714286
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,71.428,19.203333333,14.382666667,9.2153333333
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,96,10.34625,2.999375,2.2405208333,1.5188541667
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,50,22.370434783,16.88826087,12.94173913
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,206.301,40.244,26.384,18.704
1013061456,HAYDEN,DONALD,B,MD,M,I,733 SW STATE ROAD 47,,LAKE CITY,FL,320250453,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,364.18166667,95.835333333,71.016666667,50.947
1013062009,WILSON,MARLENE,M,FNP,F,I,6745 GRAY RD STE D,,INDIANAPOLIS,IN,462373236,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,27.62,7.2327272727,5.0090909091,5.6990909091
1013062009,WILSON,MARLENE,M,FNP,F,I,6745 GRAY RD STE D,,INDIANAPOLIS,IN,462373236,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,584.0675,128.79,89.013333333,83.825833333
1013062538,LIM,HELOISE,N,NP,F,I,229 7TH ST,,SAN FRANCISCO,CA,941034003,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,23,45,84.456666667,8.32,3.334,3.334
1013062538,LIM,HELOISE,N,NP,F,I,229 7TH ST,,SAN FRANCISCO,CA,941034003,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,18,20.352777778,1.42,0.7433333333,0.7433333333
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,62,159,65.619371069,8.32,5.7420125786,5.7420125786
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,39,13.218974359,1.42,0.8587179487,0.8587179487
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,62,10.916129032,2.8987096774,2.2158064516,1.7608064516
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,19,64,23.384736842,17.188947368,12.461052632
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,42.448333333,34.835833333
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,42.544166667,33.55
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,4102.81,913.16,709.94208333,831.01791667
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,37.0952,8.8328,6.7796,4.7788
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,39,402.80769231,105.22717949,79.435641026,57.632564103
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,510,19.064372549,9.5955882353,7.2416078431,7.2416078431
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1644,0.271770073,0.0473600973,0.0371167883,0.0371167883
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,1542,10.05580415,3.0801167315,2.3217769131,2.3217769131
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,870,1.8723103448,0.2193678161,0.172,0.172
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,45.002727273,35.284545455,30.166363636
1013062686,KAUFFMAN,CLINTON,L,MD,M,I,540 HOSPITAL DR,,WINAMAC,IN,46996,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,30,30,56.1,33,25.87,25.87
1013062835,REY,FRANCISCO,J,M.D.,M,I,3030 NORTH ROCKY POINT DRIVE WEST,SUITE 670,TAMPA,FL,336075906,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,141.68769231,48.97,38.4,35.24
1013062835,REY,FRANCISCO,J,M.D.,M,I,3030 NORTH ROCKY POINT DRIVE WEST,SUITE 670,TAMPA,FL,336075906,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,20,21,75.374761905,19.6,10.246666667,8.7333333333
1013063239,GARCIA,ALFREDO,,MD,M,I,1722 S CAROLINA ST,SUITE A,HARLINGEN,TX,785508306,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,77,279,53.451899642,8.32,6.1450179211,6.1450179211
1013063239,GARCIA,ALFREDO,,MD,M,I,1722 S CAROLINA ST,SUITE A,HARLINGEN,TX,785508306,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,52,87,11.187931034,1.42,1.011954023,1.011954023
1013063627,MIRFAKHRAEE,SASAN,,MD,M,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907201,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,11,27,349,42.458223496,19.630057307,14.722893983,14.722893983
1013063627,MIRFAKHRAEE,SASAN,,MD,M,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907201,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,11,24,780,9.0473846154,2.63,1.9822564103,1.9822564103
1013063627,MIRFAKHRAEE,SASAN,,MD,M,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907201,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,58,58,140,687,70.09643377,8.3190538574,5.9999272198,6.0006695779
1013063627,MIRFAKHRAEE,SASAN,,MD,M,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907201,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,8.2676923077,3.38,2.2423076923,2.2423076923
1013063627,MIRFAKHRAEE,SASAN,,MD,M,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907201,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,20,42,111,13.435405405,1.42,1.0336036036,1.0336036036
1013063627,MIRFAKHRAEE,SASAN,,MD,M,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907201,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,687.46,318.69,242.63285714,242.63285714
1013063627,MIRFAKHRAEE,SASAN,,MD,M,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907201,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,12,41,41,302.73658537,251.04341463,193.31829268,193.3704878
1013063635,BARGAS,ROYCE,L,DO,F,I,3839 S BOULEVARD STE 100,,EDMOND,OK,73013,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,502.8975,92.353333333,72.41,54.73
1013064054,TUERK,INGOLF,,M.D.,M,I,11 NEVINS ST,STE 303,BRIGHTON,MA,021353514,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,560,8.6933571429,4.0385714286,2.9100357143,2.9111607143
1013064138,ALAM,SAROOR,,MD,M,I,1200 W SOUTH ST,,PLANO,IL,605451790,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,40,133,58.436541353,8.32,6.425112782,6.425112782
1013064138,ALAM,SAROOR,,MD,M,I,1200 W SOUTH ST,,PLANO,IL,605451790,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,26,52,15.884807692,1.42,1.115,1.115
1013064138,ALAM,SAROOR,,MD,M,I,1200 W SOUTH ST,,PLANO,IL,605451790,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,122.88,32.1,22.515833333,22.1325
1013064138,ALAM,SAROOR,,MD,M,I,1200 W SOUTH ST,,PLANO,IL,605451790,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,4446,0.2398358075,0.0466239316,0.0344894287,0.0344894287
1013064138,ALAM,SAROOR,,MD,M,I,1200 W SOUTH ST,,PLANO,IL,605451790,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,26.52,8.955,6.4458333333,6.1566666667
1013064138,ALAM,SAROOR,,MD,M,I,1200 W SOUTH ST,,PLANO,IL,605451790,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,39.6,33,25.87,25.87
1013064245,DRACE,LEIGH,P,CFNP,F,I,18401 DOGWOOD LN,,SAUCIER,MS,395749612,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,150,60.179545455,47.180454545,38.433181818
1013064245,DRACE,LEIGH,P,CFNP,F,I,18401 DOGWOOD LN,,SAUCIER,MS,395749612,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,129,54.33,42.593,36.7825
1013064245,DRACE,LEIGH,P,CFNP,F,I,18401 DOGWOOD LN,,SAUCIER,MS,395749612,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,10.937272727,8.5763636364,6.9027272727
1013064245,DRACE,LEIGH,P,CFNP,F,I,18401 DOGWOOD LN,,SAUCIER,MS,395749612,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,25.4725,16.768333333,11.705833333
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,9.55,8.05,3.6808333333,4.235
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,6.58,5.54,2.6707692308,2.6707692308
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,14.1,11.88,5.4308333333,7.095
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,12.28,10.34,4.9846153846,5.4969230769
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,8.86,7.46,3.6,3.6
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,36,36,150.17666667,49.003333333,34.935833333,35.726944444
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,16.08,12.6,13.4525
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,3.8888888889,3.0488888889,3.6288888889
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,24.01,10.677333333,8.3693333333,9.48
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,43,43,217.1,77.18,57.659069767,52.273255814
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,43,43,69.89,17.703488372,13.496511628,14.286976744
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,34,121.37764706,24.144705882,16.623823529,19.427352941
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,20.57,7.7802564103,5.4328205128,5.93
1013064377,HAIMOWITZ,DANIEL,,MD,M,I,1 GARDENIA RD,,LEVITTOWN,PA,190573411,US,Physician/Geriatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,33,33,21.019375,21.019375
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,8,25,25,25,126.1268,51.6936,40.2448,38.5368
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,8,13,13,13,29.103846154,16.105384615,11.678461538,11.466923077
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,9.9776923077,7.2292307692,6.6023076923
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,55.243,20.6635,15.452,13.1555
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,42.343076923,4.6930769231,2.3407692308,2.3392307692
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,63,4.9438095238,3.0228571429,2.3676190476,2.25
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,24.7028,14.1692,11.106,10.9076
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,61,61,298.15,79.515081967,60.434754098,53.586557377
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,57.857142857,30.906666667,24.232380952,23.259047619
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,46,46,65.565217391,19.664782609,13.341304348,12.286304348
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,146.66157895,38.83,26.242105263,20.193684211
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,119,52.968333333,41.526666667,37.618333333
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,15.416666667,8.6933333333,6.0333333333,5.48
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,44,8.6325,6.77,6.677
1013064815,GREER,DAVID,,MD,M,I,185 CHATEAU DR SW STE 301,,HUNTSVILLE,AL,358017413,US,Physician/Neurology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,79.166666667,38.40375,28.883333333,28.289583333
1013064963,DUCKETT,ASHLEY,,MD,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258900,US,Hospitalist,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,903,27.879291251,13.071838317,10.248394241,10.293997785
1013064963,DUCKETT,ASHLEY,,MD,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258900,US,Hospitalist,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,189,325,268.44,210.45592593,210.45592593
1013064963,DUCKETT,ASHLEY,,MD,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258900,US,Hospitalist,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,189,25,9.35,7.33,7.33
1013064963,DUCKETT,ASHLEY,,MD,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258900,US,Hospitalist,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,189,50,29.22,22.908571429,22.908571429
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,11,336,113.83928571,3.8323214286,3.0045833333,2.4958035714
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,19,11662,1.9652195164,0.3653695764,0.2864474361,0.24939633
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,41.608,12.22,8.898,7.7273333333
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,16,190.978125,52.658125,41.280625,38.166875
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,477.31,380.32411765,298.17705882,318.07352941
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,59.164285714,35.5875,24.586428571,28.929285714
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,154.37142857,57.918095238,43.041904762,34.493809524
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,2,,11,20,423.477,169.83,133.147,100.82
1013064989,LEE,CHRISTOPHER,,MD,M,I,1601 21ST AVE S,DEPARTMENT OF NEUROLOGY,NASHVILLE,TN,372123103,US,Physician/Neurology,S,E1029,"Wheelchair accessory, ventilator tray, fixed",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,117.48727273,31.61,24.779090909,24.721818182
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,242,423,425,170.78115294,39.655505882,30.586564706,30.007176471
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,83,163,166,443.88596386,95.141686747,70.638433735,64.815301205
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,86,200,518,166.8469112,35.790250965,26.862393822,24.905135135
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,82,148,766,97.589751958,19.259686684,14.606331593,14.136553525
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,130,246,1303,63.864819647,15.409976976,11.225679202,11.054528012
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,211,369,369,259.20829268,57.097208672,43.355555556,41.603468835
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,271,350,350,89.433685714,18.887428571,14.480057143,13.850828571
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,33,35,35,56.573714286,10.302857143,7.828,7.9171428571
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,34,67,68,91.313823529,15.994558824,12.093235294,9.2136764706
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,275,491,2821,14.729308756,2.1564622474,1.6534314073,1.5634704006
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,15,22,22,34.035454545,7.9940909091,6.0331818182,4.7713636364
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,17,125,158,158,51.977721519,13.498481013,10.499493671,10.294177215
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,78,78,442.82051282,88.163461538,67.984871795,66.762307692
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,12,74,74,900.21256757,219.90418919,170.46472973,163.07486486
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,148,148,148,655.45655405,133.53702703,100.04243243,100.05297297
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,7.2181818182,5.2181818182,3.0727272727
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,192,1094,1094,286.37633455,33.020859232,24.281727605,24.309872029
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,75,75,498.31706667,74.8588,57.31,54.105866667
1013064997,ANDERSEN,IVY,M,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38.76,30.39,29.583333333
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,60,114,519,58.341888247,8.3173217726,6.1710019268,6.1731021195
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,19,31,31,15.170967742,3.38,2.65,2.65
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,20,23,23,18.813043478,2.12,1.5973913043,1.5973913043
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,43,72,170,15.290411765,1.42,1.0214117647,1.0214117647
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,29,95.264827586,35.916551724,28.157586207,25.917931034
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,52,86.31,16.806153846,11.768076923,12.083653846
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,44.44,29.033333333,31.94
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,36,42.153333333,5.6388888889,4.2719444444,3.5725
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,19,19,19,52.282631579,47.003157895,36.849473684,56.683684211
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,272.79,46.1075,28.735,28.815833333
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,34.8175,27.2975,26.199166667
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,66,502.8730303,77.962121212,57.270909091,51.914545455
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,8012,0.4943684473,0.0470157264,0.0317111832,0.0317111832
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,11.904787879,3.1930909091,2.286030303,2.286030303
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,75,18.702702703,14.66027027,14.517567568
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,105.72789474,22.741578947,17.826315789,20.704210526
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,38.1,10.14875,7.7255,6.766
1013065267,ONWUKA,CHIKE,G,M.D.,M,I,9135 PISCATAWAY ROAD,SUITE 420,CLINTON,MD,20735,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,92.4,33,25.87,25.87
1013065499,MENSING,ELIZABETH,A,MD,F,I,300 W OTTLEY AVE,,FRUITA,CO,815212118,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,24,4.715,3.6925,3.7958333333
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,14,43,549,51.405628415,19.645063752,14.782003643,14.782003643
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,14,36,1100,7.1821909091,2.6334545455,2.0645454545,2.0645454545
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,121,222,572,3158,68.941010133,8.32,5.9984103863,5.9984103863
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,9,26,58,58,12.165689655,3.38,2.65,2.65
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,22,26,26,18.039615385,2.12,1.67,1.67
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,58,90,178,472,14.432182203,1.42,1.0429237288,1.0429237288
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,49.025,43.715833333,32.9375,46.074166667
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,28,2920,15.890678082,10.71080137,8.3828972603,8.3828972603
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,34,170,172,397.45930233,250.99889535,196.55424419,196.64093023
1013065556,SORUCO,LUIS,F,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,26,26,26,416.65153846,264.16,207.1,207.1
1013065606,SANDS-SOLGI,SANDRA,S,"D.O., PH.D.",F,I,5959 GREENBACK LN STE 500,,CITRUS HEIGHTS,CA,95621,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,82,154,69.827467532,8.32,4.7852597403,4.7852597403
1013065606,SANDS-SOLGI,SANDRA,S,"D.O., PH.D.",F,I,5959 GREENBACK LN STE 500,,CITRUS HEIGHTS,CA,95621,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,26,14.093461538,1.42,1.0330769231,1.0330769231
1013065846,NGUYEN,JENNIFER,T,MD,F,I,9400 ROSECRANS AVE,,BELLFLOWER,CA,907062246,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,51,77.34745098,8.32,6.2670588235,6.2670588235
1013066257,MITRAKUL,WIMOL,A,MD,F,I,15728 S ROUTE 59,,PLAINFIELD,IL,605442693,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,79.275,8.32,5.216,5.216
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,17,47,601,37.641514143,19.637787022,14.845540765,14.845540765
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,16,46,1505,9.8426312292,2.6320265781,1.9901196013,1.9901196013
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,55,96,233,1128,61.798306738,8.32,6.2119414894,6.2119414894
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,18,32,33,12.132727273,3.38,2.5696969697,2.5696969697
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,20,24,24,19.409583333,2.12,1.67,1.67
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,43,84,180,13.888,1.42,1.0770555556,1.0770555556
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,13,13,13,51.994615385,48.031538462,37.655384615,55.189230769
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,6,,21,21,686.51190476,328.80714286,244.11857143,244.11857143
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,2560,14.554617188,10.302375,8.0159140625,8.0159140625
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,11,22,119,120,364.90491667,250.45658333,196.35766667,196.86975
1013066869,HAQ,SEEMA,,M.D.,F,I,3300 COLORADO BLVD,,DENTON,TX,762106864,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,9,16,16,16,368.218125,263.980625,206.959375,207.1
1013067040,FOX,RENA,K,MD,F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,42,129,72.26379845,8.32,6.0165116279,6.0165116279
1013067040,FOX,RENA,K,MD,F,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,22,41,17.137560976,1.42,0.8975609756,0.8975609756
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,47,3420,3.031625731,0.4829298246,0.3627748538,0.3627748538
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,33,32,228,39327,5.6746812622,0.5670132479,0.4292229257,0.4362084573
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,8550,0.0675859649,0.0127368421,0.0097964912,0.0097964912
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,68,7740,3.4091459948,1.2366162791,0.9398346253,0.9398346253
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,22,19,124,18250,5.6300663014,2.8498378082,2.1100186301,2.2169408219
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,2610,29.735524904,7.4398199234,5.8114482759,5.8114482759
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,39,38,238,238,24.218487395,24,18.345546218,18.345546218
1013067057,RIELLA,LEONARDO,V,"M.D., PHD",M,I,221 LONGWOOD AVE FL 3,TRANSPLANT RESEARCH CENTER,BOSTON,MA,021155804,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,30,30,193,210,16.038095238,16,12.122571429,12.122571429
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,54,145,75.565517241,8.32,5.5624827586,5.5624827586
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,21,28,15.749642857,1.42,0.9164285714,0.9164285714
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,13,101.06153846,34.02,23.780769231,23.255384615
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,50.449230769,5.0538461538,3.9607692308,3.9046153846
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,499.29315789,76.122105263,56.226842105,51.274210526
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,20.777696078,9.6281764706,7.3339411765,7.3339411765
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,14,1315,1.7587072243,0.1358326996,0.0903422053,0.0903422053
1013067297,DAVILA,MARIA,A,MD,F,I,1611 HOOKSETT RD,,HOOKSETT,NH,031061621,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,34,34,44.647058824,33,24.348235294,24.348235294
1013067602,MCCOLLUM,JODI,L,PA,F,I,420 W MAGNETIC ST,SUITE ER,MARQUETTE,MI,498552711,US,Physician Assistant,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,11,90,80.3,26.62,20.87,19.478333333
1013067669,NOTH,JAMES,M,M.D.,M,I,828 N CASS AVE,SUITE 1 B,WESTMONT,IL,605591394,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,27,75,72.73,57.02,53.112592593
1013067669,NOTH,JAMES,M,M.D.,M,I,828 N CASS AVE,SUITE 1 B,WESTMONT,IL,605591394,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,30,59,87.372881356,52.13,40.177288136,42.687118644
1013067669,NOTH,JAMES,M,M.D.,M,I,828 N CASS AVE,SUITE 1 B,WESTMONT,IL,605591394,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,29,58,20,16.21,12.71,13.901724138
1013067982,ELKINS,TINA,P,M.D.,F,I,5380 S RAINBOW BLVD STE 324,,LAS VEGAS,NV,891181878,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,333.33,47.076666667,34.041666667,22.08
1013068089,WEAVER,JAMIE,E,DPM,F,I,1250 PINE RIDGE RD,SUITE 203,NAPLES,FL,341088913,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,47,47,47,200,76.090425532,58.447659574,61.558085106
1013068089,WEAVER,JAMIE,E,DPM,F,I,1250 PINE RIDGE RD,SUITE 203,NAPLES,FL,341088913,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,45,45,300,268.09333333,208.994,217.27511111
1013068089,WEAVER,JAMIE,E,DPM,F,I,1250 PINE RIDGE RD,SUITE 203,NAPLES,FL,341088913,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,42,400,163.43285714,128.13047619,126.56595238
1013068212,ROTH,RANDY,,M.D.,M,I,2809 DENNY AVE,,PASCAGOULA,MS,395815301,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,25,4.4688235294,3.5047058824,3.7752941176
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,21,7.7428571429,1.48,1.0495238095,1.0414285714
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,62,11.616774194,2.4780645161,1.9422580645,1.6003225806
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,81,84,86.116071429,17.884285714,12.706547619,12.270357143
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,15,15,208.03666667,49.123333333,38.513333333,37.734666667
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,424.405,117.575,87.069166667,72.995833333
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,1006.1881818,775.81,775.81
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,14,76,77,40.615714286,5.9015584416,4.2502597403,3.3935064935
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,36,242,248,459.46899194,81.701935484,60.508387097,53.131572581
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,135,140,145.01214286,37.913428571,29.288714286,29.015642857
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,64,4290,23.375174825,9.6585804196,7.5592214452,7.5592214452
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,900,19.692633333,11.123533333,8.4540555556,8.4540555556
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,32,126,36940,0.2898218733,0.046353817,0.0339845696,0.0339845696
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,3972,2.5136958711,0.0883232628,0.0692497482,0.0692497482
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,18,83,5340,9.2379625468,2.9088089888,2.2774775281,2.2774775281
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,70.761363636,36.5,27.319090909,28.219545455
1013068261,HARROLD,BRADLEY,R,M.D.,M,I,111 S GRANT AVE,2ND FL,COLUMBUS,OH,432154701,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,43,172,172,59.895348837,33,24.714476744,24.714476744
1013068279,MCCANCE,SEAN,E,M.D.,M,I,1155 PARK AVE,SUITE E,NEW YORK,NY,10128,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,138.185,43.516666667,34.116666667,36.318333333
1013068279,MCCANCE,SEAN,E,M.D.,M,I,1155 PARK AVE,SUITE E,NEW YORK,NY,10128,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,38,38,38,986.07394737,972.19157895,762.20157895,775.54973684
1013068881,GIBSON,MICHAEL,G,M.D.,M,I,4515 SOUTHLAKE PKWY STE 200,,HOOVER,AL,352443319,US,Physician/Interventional Pain Management,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,82.394545455,53.828181818,53.855454545
1013069020,IODICE,SUZANNE,A,M.D.,F,I,2809 DENNY AVE,,PASCAGOULA,MS,395815301,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,124.61538462,51.649230769,40.49,39.796153846
1013069020,IODICE,SUZANNE,A,M.D.,F,I,2809 DENNY AVE,,PASCAGOULA,MS,395815301,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,64.166666667,18.82,13.469333333,12.456
1013069020,IODICE,SUZANNE,A,M.D.,F,I,2809 DENNY AVE,,PASCAGOULA,MS,395815301,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,61.726190476,5.6685714286,3.0980952381,2.1514285714
1013069020,IODICE,SUZANNE,A,M.D.,F,I,2809 DENNY AVE,,PASCAGOULA,MS,395815301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,58,58,298.27586207,80.67137931,58.419137931,50.745
1013069020,IODICE,SUZANNE,A,M.D.,F,I,2809 DENNY AVE,,PASCAGOULA,MS,395815301,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,49.376296296,39.984074074,29.781481481,28.064444444
1013069046,MARCUM,BOBBY,L,C-FNP,M,I,1340 HAL GREER BOULEVARD,ATTN: TAMMIE SILVA,HUNTINGTON,WV,257013800,US,Nurse Practitioner,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,21,21,115.49,82.864285714,62.432857143,60.995714286
1013069046,MARCUM,BOBBY,L,C-FNP,M,I,1340 HAL GREER BOULEVARD,ATTN: TAMMIE SILVA,HUNTINGTON,WV,257013800,US,Nurse Practitioner,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,155.1,118.366,92.802,87.952666667
1013069046,MARCUM,BOBBY,L,C-FNP,M,I,1340 HAL GREER BOULEVARD,ATTN: TAMMIE SILVA,HUNTINGTON,WV,257013800,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,23,83.28,59.257391304,42.783043478,42.774782609
1013069046,MARCUM,BOBBY,L,C-FNP,M,I,1340 HAL GREER BOULEVARD,ATTN: TAMMIE SILVA,HUNTINGTON,WV,257013800,US,Nurse Practitioner,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,359.07,272.49862069,205.43965517,209.94034483
1013069186,BUETHE,DAVID,D,M.D.,M,I,7614 JACQUE ROAD,SUITE A,HUDSON,FL,34607,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,39,18.564615385,13.8,6.8261538462,6.8261538462
1013069186,BUETHE,DAVID,D,M.D.,M,I,7614 JACQUE ROAD,SUITE A,HUDSON,FL,34607,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,35,7560,4.2575793651,2.0235714286,1.5493015873,1.5623888889
1013069186,BUETHE,DAVID,D,M.D.,M,I,7614 JACQUE ROAD,SUITE A,HUDSON,FL,34607,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,34,23.003529412,10.93,8.5694117647,8.5694117647
1013069186,BUETHE,DAVID,D,M.D.,M,I,7614 JACQUE ROAD,SUITE A,HUDSON,FL,34607,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,74,10.494054054,7.4383783784,4.1716216216,4.1886486486
1013069699,BAKER,ROBERT,C,MD,M,I,1502 SE 28TH ST,SUITE 8,BENTONVILLE,AR,727123988,US,Physician/Anesthesiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,410,70.23,50.501363636,50.192727273
1013069897,MANSUETTA,NICHOLAS,T,D.O.,M,I,2810 W. 35TH ST,,KEARNEY,NE,688452909,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,436,219.76,172.29,171.97
1013069897,MANSUETTA,NICHOLAS,T,D.O.,M,I,2810 W. 35TH ST,,KEARNEY,NE,688452909,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,18,225.16666667,211.335,165.68277778,256.17
1013069897,MANSUETTA,NICHOLAS,T,D.O.,M,I,2810 W. 35TH ST,,KEARNEY,NE,688452909,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,92,120,123,112.80487805,54.062926829,40.691788618,43.948943089
1013069939,NICHOLS,ROBERT,K,M.D.,M,I,120 E MAIN ST,,PRATTVILLE,AL,360673114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,27,88,63.259090909,8.32,6.15125,6.15125
1013069939,NICHOLS,ROBERT,K,M.D.,M,I,120 E MAIN ST,,PRATTVILLE,AL,360673114,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,64.547142857,17.29,12.916666667,12.898571429
1013069939,NICHOLS,ROBERT,K,M.D.,M,I,120 E MAIN ST,,PRATTVILLE,AL,360673114,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,32,33.2403125,4.715,3.5921875,3.589375
1013069939,NICHOLS,ROBERT,K,M.D.,M,I,120 E MAIN ST,,PRATTVILLE,AL,360673114,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,380.60128205,70.23,53.648205128,53.334358974
1013069939,NICHOLS,ROBERT,K,M.D.,M,I,120 E MAIN ST,,PRATTVILLE,AL,360673114,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2773,0.1776920303,0.0463757663,0.0363577353,0.0363577353
1013069939,NICHOLS,ROBERT,K,M.D.,M,I,120 E MAIN ST,,PRATTVILLE,AL,360673114,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,53.467727273,19.852727273,14.052272727,12.9
1013069939,NICHOLS,ROBERT,K,M.D.,M,I,120 E MAIN ST,,PRATTVILLE,AL,360673114,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,127.05,33,24.5765,24.5765
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,31,78,151,52.782251656,8.32,5.6567549669,5.6567549669
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,29,71,71,13.244366197,1.42,0.978028169,0.978028169
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,728,5.1,5.1,3.9642857143,4.1289972527
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3991,0.369481333,0.3633249812,0.2551265347,0.2610498622
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3324,0.6600060168,0.6594043321,0.473799639,0.4742689531
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,22,22,61.8,61.8,48.45,48.32
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,111.3,50.87,39.89,36.46
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,31,31,31,129.41,56.01,43.91,40.8
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,26,150,50.690769231,39.748461538,37.949230769
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,121.29411765,35.794705882,28.06,27.952352941
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,25,100,43.1792,33.8504,36.032
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,5.32,5.32,4.17,3.96
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,19,19,38,29.517368421,20.138421053,15.79,15.314736842
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,25,25,25,100.0308,21.6448,16.9692,18.1796
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,502.5,77.18,60.51,55.329473684
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,525,37,29.01,29.468333333
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,25,134.8872,33.4,26.19,29.214
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,30,197,242,61.394049587,23.691983471,18.360082645,14.259338843
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,69,81,82.345679012,36.887530864,28.477901235,24.180123457
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,57,61,83.941967213,34.653770492,26.043934426,20.220819672
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,45,54,21.835925926,8.9344444444,6.8827777778,6.5568518519
1013070234,DUONG,HAN,V,M.D.& D.O.,F,I,8632 VALLEY BLVD,SUITE D,ROSEMEAD,CA,917701740,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33.142857143,33,22.174285714,22.174285714
1013070309,FENTON,BRADLEY,W,MD,M,I,1100 WALNUT ST,SUITE #601,PHILADELPHIA,PA,19107,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,50,44.356,8.32,6,6
1013070473,LAZAROUS,PATSY,C,MD,F,I,12917 SE 38TH ST,STE 100,BELLEVUE,WA,980061349,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,38,108,66.924907407,8.32,5.3146296296,5.3146296296
1013070473,LAZAROUS,PATSY,C,MD,F,I,12917 SE 38TH ST,STE 100,BELLEVUE,WA,980061349,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,26,14.608461538,1.42,0.8326923077,0.8326923077
1013071448,ODOM,RAYNELL,R,NP,F,I,4303 VANCE JACKSON,,SAN ANTONIO,TX,78230,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,185,48.262727273,37.835454545,38.431818182
1013071612,LEISAWITZ,ELLIOTT,G,M.D.,M,I,1020 GRINGS HILL RD,,READING,PA,196088844,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,486,12.49,4.85,3.3589506173,3.6794238683
1013071612,LEISAWITZ,ELLIOTT,G,M.D.,M,I,1020 GRINGS HILL RD,,READING,PA,196088844,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,5944,0.6,0.2237382234,0.163384926,0.2258882907
1013071620,GOIKHBERG,MARINA,,MD,F,I,1039 RICHMOND RD,,STATEN ISLAND,NY,103042401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,60,123,79.928943089,8.32,6.2031707317,6.2031707317
1013071620,GOIKHBERG,MARINA,,MD,F,I,1039 RICHMOND RD,,STATEN ISLAND,NY,103042401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,30,36,59.771666667,1.42,1.0861111111,1.0861111111
1013072271,WEINSTEIN MAYER,SHERRY,J,MD,F,I,10 HOPKINS PLZ,,BALTIMORE,MD,212012900,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,187.73181818,56,43.9,42.954545455
1013072271,WEINSTEIN MAYER,SHERRY,J,MD,F,I,10 HOPKINS PLZ,,BALTIMORE,MD,212012900,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,61.117272727,13.04,10.22,9.22
1013072271,WEINSTEIN MAYER,SHERRY,J,MD,F,I,10 HOPKINS PLZ,,BALTIMORE,MD,212012900,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,14,84,7.9464285714,2.3,1.8033333333,1.6067857143
1013072271,WEINSTEIN MAYER,SHERRY,J,MD,F,I,10 HOPKINS PLZ,,BALTIMORE,MD,212012900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,232.58285714,17.46,12.712142857,12.572857143
1013072271,WEINSTEIN MAYER,SHERRY,J,MD,F,I,10 HOPKINS PLZ,,BALTIMORE,MD,212012900,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,813.21111111,33.915925926,25.715555556,25.395555556
1013072271,WEINSTEIN MAYER,SHERRY,J,MD,F,I,10 HOPKINS PLZ,,BALTIMORE,MD,212012900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,760.48,82,59.46825,50.62525
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,28,73,62.909041096,8.32,4.7031506849,4.7031506849
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,27,12.92,1.42,1.1125925926,1.1125925926
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,22.6,5.33,4.1786666667,4.1643055556
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6420,3.8272897196,0.678728972,0.5186183801,0.5068847352
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,3.3233333333,0.7,0.5486666667,0.556
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,576,103.99324653,5.1843923611,4.0645486111,4.0645486111
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,5475,0.3687031963,0.0462611872,0.0357643836,0.0357643836
1013072313,DORZAB,LINDA,L,MD,F,I,3464 W 171ST ST,,STILWELL,KS,66085,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,40.615384615,33,23.88,23.88
1013072347,MILLER,LUCY,,MD,F,I,353 BLAIR PARK RD,,WILLISTON,VT,054957530,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,64,53.33,8.185,6.2475,6.361875
1013072347,MILLER,LUCY,,MD,F,I,353 BLAIR PARK RD,,WILLISTON,VT,054957530,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,477.36,69.62,45.491666667,45.628333333
1013072347,MILLER,LUCY,,MD,F,I,353 BLAIR PARK RD,,WILLISTON,VT,054957530,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,318.6,39.68,28.250833333,26.9175
1013072453,HENNESSY,BRIAN,B,MD,M,I,90 MORGAN ST,STE 202,STAMFORD,CT,069055466,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,41,79.263170732,8.32,5.8846341463,5.8846341463
1013072461,PINO,JORGE,A,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,13,203,49.946157635,19.65044335,15.405714286,15.405714286
1013072461,PINO,JORGE,A,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,360,7.2975,2.6333333333,2.0644444444,2.0644444444
1013072461,PINO,JORGE,A,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,41,100,419,58.200310263,8.32,6.2578520286,6.2578520286
1013072461,PINO,JORGE,A,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,10.0375,3.38,2.65,2.65
1013072461,PINO,JORGE,A,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,15.513333333,2.12,1.67,1.67
1013072461,PINO,JORGE,A,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,SUITE 307,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,44,96,12.6771875,1.42,1.1021875,1.1021875
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,90,76.902555556,8.32,5.5462222222,5.5462222222
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,24,15.570833333,1.42,0.8375,0.8375
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,58.464615385,11.924615385,9.35,9.12
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,6.6746153846,2.0023076923,1.5702564103,1.5907692308
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,58,62.393965517,17,12.32637931,12.525344828
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,424.49428571,33.733571429,26.445357143,25.916071429
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,93,94,407.51670213,80.10212766,59.089468085,51.855957447
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,219.33,35.31,27.69,29.51
1013073188,EKANAYAKE,DHAMMIKA,,M.D.,M,I,10045 CORTEZ BLVD STE 122,,WEEKI WACHEE,FL,346136332,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,26.13,20.193636364,15.834545455,13.495454545
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,92,176,177,120.72446328,39.509774011,28.226214689,27.84220339
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,94,191,191,361.8421466,89.345968586,59.213036649,57.487643979
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,18,80,183,447,139.0763311,34.694161074,24.769709172,23.556487696
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,50,94,480,75.917895833,19.707416667,13.9100625,13.1911875
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,50,107,564,61.024592199,15.634414894,11.528546099,11.177624113
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,102,203,203,228.37103448,60.544433498,43.794137931,39.85773399
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,30,171,228,228,76.552017544,19.245438596,13.383157895,12.570219298
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,23,31,31,41.688387097,10.815483871,7.8587096774,7.6358064516
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,103,206,206,69.197524272,12.754514563,9.0104854369,8.277961165
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,179,379,2102,9.0298144624,2.1506707897,1.5835585157,1.4980685062
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,45,61,61,21.412786885,6.6926229508,4.7406557377,4.211147541
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,110,142,142,53.645,13.317887324,9.7634507042,9.6887323944
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,17.52,13.74,13.54
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,1695.95,913.16,712.01826087,832.86521739
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,59,61,562.18639344,90.179508197,66.551967213,62.023442623
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,23,23,23,539.32,131.96043478,103.46086957,104.58608696
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,13,20,66,71,79.438028169,13.716619718,9.4921126761,9.305915493
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,76,352,358,380.43877095,35.128798883,23.142486034,21.266117318
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,67,68,408.55117647,79.96,62.69,55.900588235
1013073543,MANCHANDA,SHALINI,K,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,246.66666667,37,29.01,29.426666667
1013073857,LEFEBRE- FERNANDEZ,AMEDEE,,MD,M,I,503 CALLE MUNOZ RIVERA,,PENUELAS,PR,006241705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,40,37.614,8.32,6.19625,6.19625
1013073857,LEFEBRE- FERNANDEZ,AMEDEE,,MD,M,I,503 CALLE MUNOZ RIVERA,,PENUELAS,PR,006241705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,20,11.584,1.42,1.056,1.056
1013074442,MEMON,AAMIR,A,M.D.,M,I,1710 N RANDALL RD STE 330,,ELGIN,IL,601239405,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,4217,5.62831871,0.5626416884,0.4247474508,0.4247403367
1013074442,MEMON,AAMIR,A,M.D.,M,I,1710 N RANDALL RD STE 330,,ELGIN,IL,601239405,US,Physician/Internal Medicine,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,39600,0.5716818182,0.4555,0.3498669192,0.3498669192
1013074442,MEMON,AAMIR,A,M.D.,M,I,1710 N RANDALL RD STE 330,,ELGIN,IL,601239405,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,2770,3.5031768953,1.1507725632,0.8798447653,0.8798447653
1013074442,MEMON,AAMIR,A,M.D.,M,I,1710 N RANDALL RD STE 330,,ELGIN,IL,601239405,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,4020,4.3527736318,2.8417462687,2.1922363184,2.1922363184
1013074442,MEMON,AAMIR,A,M.D.,M,I,1710 N RANDALL RD STE 330,,ELGIN,IL,601239405,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,57,57,24,24,18.82,18.82
1013074442,MEMON,AAMIR,A,M.D.,M,I,1710 N RANDALL RD STE 330,,ELGIN,IL,601239405,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,53,56,16,16,12.316428571,12.316428571
1013074632,ADLER,KENT,M,M.D.,M,I,218 DE ANZA BLVD,,SAN MATEO,CA,944023913,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,28,28,150.2,19.71,15.45,15.45
1013074632,ADLER,KENT,M,M.D.,M,I,218 DE ANZA BLVD,,SAN MATEO,CA,944023913,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,28,28,200,37.38,29.3,29.3
1013074632,ADLER,KENT,M,M.D.,M,I,218 DE ANZA BLVD,,SAN MATEO,CA,944023913,US,Physician/Medical Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,650,201.99714286,158.36571429,158.36571429
1013074632,ADLER,KENT,M,M.D.,M,I,218 DE ANZA BLVD,,SAN MATEO,CA,944023913,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,26,1806,28.261616833,4.5511517165,3.4886877076,3.4886655592
1013074632,ADLER,KENT,M,M.D.,M,I,218 DE ANZA BLVD,,SAN MATEO,CA,944023913,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,28,276,17.308586957,1.6876811594,1.3230797101,1.3230797101
1013074632,ADLER,KENT,M,M.D.,M,I,218 DE ANZA BLVD,,SAN MATEO,CA,944023913,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,24,24,18.82,18.82
1013074632,ADLER,KENT,M,M.D.,M,I,218 DE ANZA BLVD,,SAN MATEO,CA,944023913,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,16,16,12.54,12.54
1013074681,JAQUITH-HOUSTON,THOMAS,E,M.D.,M,I,826 SOUTHBRIDGE STREET,SAINT VINCENT MEDICAL GROUP AT AUBURN,AUBURN,MA,015011332,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,44,118,59.629067797,8.32,6.1908474576,6.1908474576
1013074681,JAQUITH-HOUSTON,THOMAS,E,M.D.,M,I,826 SOUTHBRIDGE STREET,SAINT VINCENT MEDICAL GROUP AT AUBURN,AUBURN,MA,015011332,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.0515,8.4651388889,8.4651388889
1013074681,JAQUITH-HOUSTON,THOMAS,E,M.D.,M,I,826 SOUTHBRIDGE STREET,SAINT VINCENT MEDICAL GROUP AT AUBURN,AUBURN,MA,015011332,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,124.38461538,33,25.87,25.87
1013075332,ROSE,ANNA,M,ADULT NURSE PRACTITI,F,I,1400 PELHAM PARKWAY,JACOBI MEDICAL CENTER,BRONX,NY,104611138,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,36,79.379722222,8.32,5.435,5.435
1013075332,ROSE,ANNA,M,ADULT NURSE PRACTITI,F,I,1400 PELHAM PARKWAY,JACOBI MEDICAL CENTER,BRONX,NY,104611138,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,39.17,1.42,1.0323076923,1.0323076923
1013075423,ANDERSON,MELANIE,A,PA-C,F,I,3655 E 104TH AVE,,THORNTON,CO,802334469,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,20,105.655,17.52,13.74,13.54
1013075423,ANDERSON,MELANIE,A,PA-C,F,I,3655 E 104TH AVE,,THORNTON,CO,802334469,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,29,553.08344828,78.49,61.53,55.198965517
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,15,3.8533333333,1,0.7826666667,0.7826666667
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,54,140,523,58.057590822,8.2208795411,6.0999808795,6.1582600382
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,15,45,45,14.344888889,3.38,2.65,2.65
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,23,23,22.569565217,2.12,1.67,1.67
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,25,65,125,15.5096,1.42,1.07848,1.07848
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,36,8.19,1.48,0.9022222222,0.8955555556
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,40,81,81,444.79098765,90.112222222,66.745061728,64.490987654
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,34,81,202,178.85435644,35.106930693,26.20519802,24.772920792
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,21,97,94.962268041,19.475876289,14.965876289,14.297319588
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,31,70,345,75.018898551,15.100521739,10.312811594,10.358811594
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,44,88,89,274.95550562,54.808988764,37.433258427,37.31988764
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,80,104,104,82.929134615,17.829134615,12.914230769,13.071153846
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,83,174,174,88.856436782,12.314137931,9.0782183908,8.6220114943
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,81,175,837,12.784767025,2.0375149343,1.4778853047,1.4805973716
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,29,34,34,22.668529412,6.1567647059,4.4144117647,4.2452941176
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,42,57,57,51.475438596,12.144736842,9.3424561404,10.16
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,137,141,59.54141844,17.93035461,13.426382979,13.14929078
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,154.70454545,49.078181818,31.592727273,30.788181818
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,18,632.43,96.262222222,75.466111111,74.209444444
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,17,17,638.39588235,140.29176471,109.98882353,104.86823529
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,23,74,110,81.75,13.505,9.1239090909,9.0509090909
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,44,219,270,215.35562963,33.488851852,23.446740741,22.139259259
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,30,237,260,380.62034615,79.341730769,59.358653846,53.242692308
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,205,36.0075,25.241071429,26.57
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1380,15.58,9.622173913,7.4398188406,7.4398188406
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,10495,0.2172215341,0.0458484993,0.0319980943,0.0319980943
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,39,3330,1.0094684685,0.1362432432,0.0943093093,0.0943093093
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9555454545,2.3171666667,2.3171666667
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,105.66470588,29.708235294,23.289411765,22.114117647
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1735.29,153.865,117.67,114.14083333
1013075894,LUMAPAS,NEAL,C,M.D.,M,I,12030 S OHIO ST,,DUNNELLON,FL,344317036,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,87,87,113.79310345,33,24.102183908,24.102183908
1013076058,GOMEZ-VAZQUEZ,EDUARDO,,M.D.,M,I,7210 MCPHERSON RD,SUITE #115,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,33,78,183,33.490655738,8.32,5.7368306011,5.7368306011
1013076058,GOMEZ-VAZQUEZ,EDUARDO,,M.D.,M,I,7210 MCPHERSON RD,SUITE #115,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,12.690416667,3.38,2.5395833333,2.5395833333
1013076058,GOMEZ-VAZQUEZ,EDUARDO,,M.D.,M,I,7210 MCPHERSON RD,SUITE #115,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,26,54,65,9.7452307692,1.42,1.0310769231,1.0310769231
1013076058,GOMEZ-VAZQUEZ,EDUARDO,,M.D.,M,I,7210 MCPHERSON RD,SUITE #115,LAREDO,TX,780416507,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,14.211904762,4.5871428571,3.1752380952,3.2819047619
1013076058,GOMEZ-VAZQUEZ,EDUARDO,,M.D.,M,I,7210 MCPHERSON RD,SUITE #115,LAREDO,TX,780416507,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,13,3235,0.1453601236,0.0451715611,0.0354188563,0.0354188563
1013076058,GOMEZ-VAZQUEZ,EDUARDO,,M.D.,M,I,7210 MCPHERSON RD,SUITE #115,LAREDO,TX,780416507,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,22,22,33,33,24.694090909,24.694090909
1013076314,RAMAIAH,MANJUNATH,,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,35.197586207,16.913103448,12.805862069,13.078275862
1013076314,RAMAIAH,MANJUNATH,,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,196.97,76.455862069,57.9,53.032758621
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,89,198,198,124.19106061,39.810555556,30.261060606,29.596868687
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,46,103,103,256.51427184,97.336796117,72.294368932,64.572912621
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,44,112,254,102.73972441,37.46503937,28.03523622,24.829448819
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,45,110,553,56.430524412,20.625641953,15.812983725,14.2720434
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,47,104,533,40.149587242,16.076622889,11.973996248,11.308442777
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,99,224,224,157.42910714,60.859776786,46.705,42.115758929
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,129,193,193,52.585284974,18.310673575,14.049015544,13.773678756
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,26.88,9.9372727273,7.7936363636,8.1163636364
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,53,116,116,62.902327586,14.271810345,11.000172414,8.9781034483
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,134,319,1749,8.3071812464,2.3473184677,1.8052715838,1.5679588336
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,31,31,20.843870968,6.7903225806,5.3261290323,4.6512903226
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,71,92,92,31.419456522,12.587608696,9.7564130435,10.215217391
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,94,108,70.015740741,18.528888889,13.871203704,13.53
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,13,112.77,50,39.2,37.750769231
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,45,45,3438.3715556,1074.31,839.07177778,839.07177778
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,23,24,555.26875,97.1125,70.6325,64.2175
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,37,37,37,373.12432432,149.36324324,117.10243243,106.26432432
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,55.213333333,15.02375,8.3858333333,7.4304166667
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,31,55,26.952909091,5.4945454545,4.3090909091,3.8201818182
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,62,393,408,151.04892157,37.866348039,28.212034314,24.592401961
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,54,372,396,393.14467172,83.912171717,61.904974747,52.63479798
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,25,185,203,235.51724138,35.886600985,27.02320197,28.30862069
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1290,16.480302326,9.5710232558,7.3942248062,7.3942248062
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,35,2070,13.819130435,11.251637681,8.659821256,8.659821256
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,8247,0.1875203104,0.0460688735,0.0314259731,0.0314247605
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1920,0.6899322917,0.1305625,0.0935989583,0.0935989583
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,46,2400,12.373504167,3.08545,2.359225,2.359225
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,152.6125,36.296875,23.180625,24.299375
1013076470,FARADYAN,SAM,M,M.D.,M,I,525 OKEECHOBEE BLVD,14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,18,106,106,119.13915094,33,24.283773585,24.283773585
1013076504,OLLEE,SHARON,C,MD,F,I,4100 HEALTHWAY DR,,AURORA,IL,605044163,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,25,67,184,81.343967391,8.32,5.1040217391,5.1040217391
1013076504,OLLEE,SHARON,C,MD,F,I,4100 HEALTHWAY DR,,AURORA,IL,605044163,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,18,41,61,18.978032787,1.42,0.9137704918,0.9137704918
1013076504,OLLEE,SHARON,C,MD,F,I,4100 HEALTHWAY DR,,AURORA,IL,605044163,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,29.874705882,17.64,12.167647059,11.943529412
1013076504,OLLEE,SHARON,C,MD,F,I,4100 HEALTHWAY DR,,AURORA,IL,605044163,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,171.965,76.284285714,51.575,46.905
1013076546,GALLO,STEPHEN,J,M.D.,M,I,100 WASON AVENUE,SUITE 120,SPRINGFIELD,MA,011071119,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,38,3945,0.3423193916,0.13,0.0995868188,0.0995868188
1013076546,GALLO,STEPHEN,J,M.D.,M,I,100 WASON AVENUE,SUITE 120,SPRINGFIELD,MA,011071119,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,53,7225,3.5669411765,2.0075432526,1.5626117647,1.5880581315
1013076546,GALLO,STEPHEN,J,M.D.,M,I,100 WASON AVENUE,SUITE 120,SPRINGFIELD,MA,011071119,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,2370,8.9148101266,7.23,5.5767594937,5.5767594937
1013076546,GALLO,STEPHEN,J,M.D.,M,I,100 WASON AVENUE,SUITE 120,SPRINGFIELD,MA,011071119,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,3280,9.1195121951,7.87,6.1607896341,6.1681280488
1013076546,GALLO,STEPHEN,J,M.D.,M,I,100 WASON AVENUE,SUITE 120,SPRINGFIELD,MA,011071119,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,20,9.2,9.2,6.486,7.7455
1013076546,GALLO,STEPHEN,J,M.D.,M,I,100 WASON AVENUE,SUITE 120,SPRINGFIELD,MA,011071119,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,38,20.188421053,7.4373684211,5.8313157895,5.8492105263
1013076546,GALLO,STEPHEN,J,M.D.,M,I,100 WASON AVENUE,SUITE 120,SPRINGFIELD,MA,011071119,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,124,3.5401612903,1.53,1.0837096774,1.245
1013077130,SAIDI,JOHNAQA,,M.D.,M,I,9220 S PENNSYLVANIA AVE STE A,,OKLAHOMA CITY,OK,731596909,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,72,61.323055556,8.32,4.7113888889,4.7113888889
1013077130,SAIDI,JOHNAQA,,M.D.,M,I,9220 S PENNSYLVANIA AVE STE A,,OKLAHOMA CITY,OK,731596909,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,27,14.915185185,1.42,0.797037037,0.797037037
1013077130,SAIDI,JOHNAQA,,M.D.,M,I,9220 S PENNSYLVANIA AVE STE A,,OKLAHOMA CITY,OK,731596909,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2594,0.3581187355,0.0459329221,0.0333693138,0.0333693138
1013077130,SAIDI,JOHNAQA,,M.D.,M,I,9220 S PENNSYLVANIA AVE STE A,,OKLAHOMA CITY,OK,731596909,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,55,33,22.420666667,22.420666667
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,57,55.367368421,8.32,6.2929824561,6.2929824561
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,381.07666667,89.5,66.444166667,64.115833333
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,37,135.17675676,33.763513514,23.047567568,22.541081081
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,67.208333333,18.006666667,12.939166667,12.888333333
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,110,10.208,2,1.3117272727,1.3349090909
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,86.491818182,48.479090909,38.006363636,38.328181818
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,16.79,12.063333333,12.441666667
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,250,31.6875,24.8425,24.976666667
1013077148,LEONARD,DAVID,D,M.D.,M,I,3911 OLD LEE HWY,SUITE #41C,FAIRFAX,VA,220302434,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,409,78.47,61.2975,54.5075
1013077213,MORENO,LEONEL,G,M.D.,M,I,606 S BROADWAY AVENUE,,MCALLEN,TX,785014906,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,40.634545455,8.32,5.9272727273,5.9272727273
1013077213,MORENO,LEONEL,G,M.D.,M,I,606 S BROADWAY AVENUE,,MCALLEN,TX,785014906,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.548181818,1.42,1.0181818182,1.0181818182
1013077486,MATHEW,BINDU,N,MD,F,I,14 CHURCH ST,SUITE 200,OSSINING,NY,105624831,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,22,71,45.72084507,8.32,6.1546478873,6.1546478873
1013077486,MATHEW,BINDU,N,MD,F,I,14 CHURCH ST,SUITE 200,OSSINING,NY,105624831,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,27,7.9777777778,1.42,1.1133333333,1.1133333333
1013077486,MATHEW,BINDU,N,MD,F,I,14 CHURCH ST,SUITE 200,OSSINING,NY,105624831,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.612,5.54,4.3435,4.3435
1013077486,MATHEW,BINDU,N,MD,F,I,14 CHURCH ST,SUITE 200,OSSINING,NY,105624831,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,900,2.8284,1.95,1.5288333333,1.5288333333
1013077486,MATHEW,BINDU,N,MD,F,I,14 CHURCH ST,SUITE 200,OSSINING,NY,105624831,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,168,5.82,4.82,3.7785714286,4.1308333333
1013077486,MATHEW,BINDU,N,MD,F,I,14 CHURCH ST,SUITE 200,OSSINING,NY,105624831,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,2088,1.32,1.1,0.8623802682,0.9416954023
1013077486,MATHEW,BINDU,N,MD,F,I,14 CHURCH ST,SUITE 200,OSSINING,NY,105624831,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,108.98,26.916666667,18.88,22.0875
1013077510,MHOON,JOHN,M,M.D.,M,I,2973 12TH STREET SE,,SALEM,OR,973026162,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,36,5880,0.2502040816,0.13,0.1019183673,0.1019183673
1013077510,MHOON,JOHN,M,M.D.,M,I,2973 12TH STREET SE,,SALEM,OR,973026162,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,51,8015,4.5563755459,2.04,1.5792326887,1.5792326887
1013077569,WINIKOFF,JANET,,MD,F,I,2001 SANTA MONICA BLVD STE 860,,SANTA MONICA,CA,904042189,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,51,172,628,73.173535032,8.32,6.1482802548,6.1482802548
1013077569,WINIKOFF,JANET,,MD,F,I,2001 SANTA MONICA BLVD STE 860,,SANTA MONICA,CA,904042189,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,25,67,109,12.245504587,1.42,1.1050458716,1.1050458716
1013078120,MABEN,FRANK,G,DPM,M,I,595 N DOBSON RD,#D-71,CHANDLER,AZ,852244226,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,150,71.56,56.105,56.105
1013078120,MABEN,FRANK,G,DPM,M,I,595 N DOBSON RD,#D-71,CHANDLER,AZ,852244226,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,45,43.56,34.151666667,34.150277778
1013078120,MABEN,FRANK,G,DPM,M,I,595 N DOBSON RD,#D-71,CHANDLER,AZ,852244226,US,Podiatry,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100.75,82.43,64.626363636,64.626363636
1013078120,MABEN,FRANK,G,DPM,M,I,595 N DOBSON RD,#D-71,CHANDLER,AZ,852244226,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,499,293.17,227.24285714,217.06642857
1013078179,DAVIS,ROBERT,G,MD,M,I,3129 HENDRICKS AVENUE,,JACKSONVILLE,FL,322074217,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,1.4038333333,0.48575,0.3594166667,0.3594166667
1013078179,DAVIS,ROBERT,G,MD,M,I,3129 HENDRICKS AVENUE,,JACKSONVILLE,FL,322074217,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,54,4080,4.7558112745,0.5757573529,0.4310710784,0.4310710784
1013078179,DAVIS,ROBERT,G,MD,M,I,3129 HENDRICKS AVENUE,,JACKSONVILLE,FL,322074217,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,3150,0.1303619048,0.0133873016,0.0102285714,0.0102285714
1013078179,DAVIS,ROBERT,G,MD,M,I,3129 HENDRICKS AVENUE,,JACKSONVILLE,FL,322074217,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,40,5580,4.0821308244,1.3030967742,0.9769874552,0.9769874552
1013078179,DAVIS,ROBERT,G,MD,M,I,3129 HENDRICKS AVENUE,,JACKSONVILLE,FL,322074217,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,2160,4.8077777778,2.7846805556,2.1831898148,2.1831898148
1013078179,DAVIS,ROBERT,G,MD,M,I,3129 HENDRICKS AVENUE,,JACKSONVILLE,FL,322074217,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,70,70,24,24,18.718571429,18.718571429
1013078179,DAVIS,ROBERT,G,MD,M,I,3129 HENDRICKS AVENUE,,JACKSONVILLE,FL,322074217,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,71,84,16,16,12.195714286,12.195714286
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,573,2.4534031414,2.4,1.8816230366,1.8816230366
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,25,45,604,60.478145695,21.34,16.438476821,18.544072848
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,25,47,407,39.552579853,7.1573710074,5.3398034398,5.9954791155
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,E0194,Air fluidized bed,D1E - Other DME,Durable Medical Equipment,Y,1,21,85,85,4000,2755.7164706,2156.2208235,2418.138
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,89.230769231,52.661538462,41.289230769,37.941538462
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,75,54.365652174,42.623043478,41.484782609
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,13,54,54,440.37037037,195.55481481,153.31444444,134.69925926
1013078278,TRABANCO,CARLOS,L,M.D,M,I,3735 SW 8TH ST STE 204,,CORAL GABLES,FL,331343161,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,23,51,51,3204.7058824,799.82392157,627.06411765,521.06431373
1013078286,ZAMAN,IMTIAZ,,MD,M,I,805 RODMAN AVE,,PORTSMOUTH,VA,237073119,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,8.28,8.28,6.4916666667,6.4916666667
1013078286,ZAMAN,IMTIAZ,,MD,M,I,805 RODMAN AVE,,PORTSMOUTH,VA,237073119,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,353,275,5.09,3.9906232295,4.1632011331
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,25,73,196,64.426326531,8.32,4.9914795918,4.9914795918
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,15.131764706,3.38,2.0264705882,2.0264705882
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,30,15.675666667,1.42,0.965,0.965
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,33,33,160.74090909,48.28,35.095757576,28.205757576
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,34,34,462.81911765,117.06352941,87.527058824,65.085588235
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,17,36,92,169.3825,43.904673913,33.508913043,25.391521739
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,56,107.64571429,26.21,20.06125,15.021071429
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,22,22,270.365,76.204545455,57.601363636,42.075909091
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,27,37,37,81.696216216,25.118108108,18.880810811,13.540540541
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,22,22,99.083636364,22.697272727,17.793636364,10.697727273
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,57,300,12.408533333,3.138,2.4042333333,1.5672
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,17,23,23,50.524782609,15.682608696,11.841304348,10.128695652
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,61.6,5.5202234637,4.3277653631,3.2745810056
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5445,3.84,0.482892562,0.3785895317,0.2926758494
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,86.31,21.472258065,15.098709677,11.930645161
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,44.183333333,34.8875
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,56,59,76.923728814,17.605423729,12.036610169,8.8218644068
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,50.73,7.3907692308,5.7938461538,3.38
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,76,80,244.07175,51.51525,37.382875,23.969875
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,147,147,469.3962585,105.1170068,78.674081633,53.433741497
1013078344,JUDY,CARY,J,D.O.,M,I,95 E CENTER,,GUNNISON,UT,84634,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,238.37209302,45.187674419,35.185348837,29.771395349
1013078393,HALEY,ROGER,J,M.D. F.A.C.P.,M,I,515 S LOCUST ST,,VISALIA,CA,932772616,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,2760,4.2211702899,0.5627391304,0.4411956522,0.4411956522
1013078393,HALEY,ROGER,J,M.D. F.A.C.P.,M,I,515 S LOCUST ST,,VISALIA,CA,932772616,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,3780,3.5309497354,1.2415238095,0.9402539683,0.9402539683
1013078393,HALEY,ROGER,J,M.D. F.A.C.P.,M,I,515 S LOCUST ST,,VISALIA,CA,932772616,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,2640,4.0573333333,2.8218181818,2.2123030303,2.2123030303
1013078393,HALEY,ROGER,J,M.D. F.A.C.P.,M,I,515 S LOCUST ST,,VISALIA,CA,932772616,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,960,17.917083333,7.456,5.84553125,5.84553125
1013078393,HALEY,ROGER,J,M.D. F.A.C.P.,M,I,515 S LOCUST ST,,VISALIA,CA,932772616,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,24,24,18.650322581,18.650322581
1013078393,HALEY,ROGER,J,M.D. F.A.C.P.,M,I,515 S LOCUST ST,,VISALIA,CA,932772616,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,34,16,16,12.54,12.54
1013078732,MEZITIS,SPYROS,G,"MD, PHD",M,I,220 E 69TH ST,,NEW YORK,NY,100215737,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,66,77,186,919,67.783133841,8.32,6.1814254625,6.1814254625
1013078732,MEZITIS,SPYROS,G,"MD, PHD",M,I,220 E 69TH ST,,NEW YORK,NY,100215737,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,11,32,32,14.55125,3.38,2.5671875,2.5671875
1013078732,MEZITIS,SPYROS,G,"MD, PHD",M,I,220 E 69TH ST,,NEW YORK,NY,100215737,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,22.34375,2.12,1.67,1.67
1013078732,MEZITIS,SPYROS,G,"MD, PHD",M,I,220 E 69TH ST,,NEW YORK,NY,100215737,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,38,75,181,17.539502762,1.42,1.0577900552,1.0577900552
1013078732,MEZITIS,SPYROS,G,"MD, PHD",M,I,220 E 69TH ST,,NEW YORK,NY,100215737,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,38,38,430.79131579,250.96631579,196.75736842,196.86947368
1013078781,ROYBAL,ANITA,M,MD,F,I,1101 GOLF COURSE RD SE,SUITE 201,RIO RANCHO,NM,871244731,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,198,400,326.82,256.22712121,256.22712121
1013078781,ROYBAL,ANITA,M,MD,F,I,1101 GOLF COURSE RD SE,SUITE 201,RIO RANCHO,NM,871244731,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,198,25,9.35,7.33,7.33
1013078781,ROYBAL,ANITA,M,MD,F,I,1101 GOLF COURSE RD SE,SUITE 201,RIO RANCHO,NM,871244731,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,198,100,29.22,22.908535354,22.908535354
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,25,73,949,51.669072708,19.629315068,14.768040042,14.768040042
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,25,69,2100,6.8422904762,2.6302857143,2.05,2.05
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,13,5.6461538462,1,0.7807692308,0.7807692308
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,107,258,1527,63.905900458,8.3124557957,6.2469024231,6.2528225278
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,20,51,51,12.546666667,3.38,2.4941176471,2.4941176471
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,18.78625,2.12,1.6004166667,1.6004166667
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,43,117,313,13.099233227,1.42,1.0811182109,1.0811182109
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,778.56956522,374.11434783,287.06782609,287.06782609
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2140,16.088457944,10.632074766,8.2795233645,8.2795233645
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,35,214,214,333.1771028,250.93140187,196.60663551,196.74602804
1013078880,O'KEEFE,JULIE,,MD,F,I,985 PRINCE FREDERICK BLVD STE 201,,PRINCE FREDERICK,MD,206783492,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,323.9055,246.6835,193.397,201.0155
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,34,123,248,66.630322581,8.32,5.2135483871,5.2135483871
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.054285714,3.38,2.0821428571,2.0821428571
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,32,37,13.668378378,1.42,0.9067567568,0.9067567568
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,54.349166667,16.4,8.6975,6.0875
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,98,21.757692308,14.761538462,11.448461538
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,14,85,85,28.016588235,7.6871764706,5.4168235294,3.4195294118
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,74,74,330.40040541,99.461081081,68.41527027,46.394459459
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,66.048571429,45.728571429,35.853571429,30.028571429
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,5840,0.177010274,0.0461815068,0.0293732877,0.0293732877
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,1710,1.7821812865,0.1315964912,0.0660350877,0.0660350877
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,74.31,25.637,18.419,12.008
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,212.36166667,111.90777778,81.942222222,66.666666667
1013079144,LUNDQUIST,CHRISTOPHER,J,M.D.,M,I,1050 W ELM AVE STE 110,,HERMISTON,OR,978382713,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,43,43,51.418604651,33,18.880930233,18.880930233
1013079367,HO,KAREN,J,M.D.,F,I,676 N SAINT CLAIR ST STE 650,,CHICAGO,IL,606112929,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,2562.3345455,639.57727273,501.42909091,486.98909091
1013079441,DELVALLE,DIANA,M,M.D.,F,I,900 NW 13TH ST,SUITE 206,BOCA RATON,FL,334862335,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,233.47714286,100.01,78.41,67.85
1013079441,DELVALLE,DIANA,M,M.D.,F,I,900 NW 13TH ST,SUITE 206,BOCA RATON,FL,334862335,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,36,88.7725,38.72,30.356388889,25.919166667
1013079441,DELVALLE,DIANA,M,M.D.,F,I,900 NW 13TH ST,SUITE 206,BOCA RATON,FL,334862335,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,45.990666667,15,11.76,9.296
1013079441,DELVALLE,DIANA,M,M.D.,F,I,900 NW 13TH ST,SUITE 206,BOCA RATON,FL,334862335,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,98,6.5784693878,2.4,1.8817346939,1.6094897959
1013079441,DELVALLE,DIANA,M,M.D.,F,I,900 NW 13TH ST,SUITE 206,BOCA RATON,FL,334862335,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,111.87083333,40.08125,29.09375,25.10375
1013079490,BEECH,DAPHNE,B,FNP,F,I,1417 MONROE AVE,,MEMPHIS,TN,381043634,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6455384615,7.3781666667,7.3781666667
1013079490,BEECH,DAPHNE,B,FNP,F,I,1417 MONROE AVE,,MEMPHIS,TN,381043634,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,975,0.17,0.0457128205,0.0357948718,0.0357948718
1013079490,BEECH,DAPHNE,B,FNP,F,I,1417 MONROE AVE,,MEMPHIS,TN,381043634,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.93625,2.3020416667,2.3020416667
1013079490,BEECH,DAPHNE,B,FNP,F,I,1417 MONROE AVE,,MEMPHIS,TN,381043634,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,25.87,25.87
1013079581,KREDAN,TAWFIK,M,MD,M,I,207 CONNOR CT,,NISKAYUNA,NY,123093523,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,53.583125,20.15875,15.8,14.65875
1013079581,KREDAN,TAWFIK,M,MD,M,I,207 CONNOR CT,,NISKAYUNA,NY,123093523,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,171.64764706,88.311176471,69.237647059,61.870588235
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,48,95,60.914842105,8.32,5.3158947368,5.3158947368
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,26,34,51.584705882,1.42,0.9188235294,0.9188235294
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,32.375,26.27,18.883333333,20.63
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,41,14.497317073,9.29,7.1043902439,8.3987804878
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,50,17.29,12.703125,12.684375
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,48.31,36.050833333,35.800833333
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,22,39.685,5.1845454545,3.6040909091,3.2754545455
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,44,402.86772727,70.23,49.412045455,49.103409091
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1560,1.8496987179,0.1419230769,0.0858397436,0.0858397436
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,64.614285714,21.464642857,16.828928571,14.034285714
1013079615,NAYAK,GURURAJ,,M.D.,M,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,97.058823529,33,20.953529412,20.953529412
1013080027,SLADE,LISA,D,FNP-BC,F,I,605 STADIUM DR,,HATTIESBURG,MS,394014156,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,31,85,36.979411765,8.32,5.6011764706,5.6011764706
1013080316,ANDERSON,MARY,K,PA-C,F,I,480 OSBORNE RD NE,,FRIDLEY,MN,554322773,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,27,61,76.260983607,8.32,5.6680327869,5.6680327869
1013080316,ANDERSON,MARY,K,PA-C,F,I,480 OSBORNE RD NE,,FRIDLEY,MN,554322773,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,16,18.053125,1.42,0.9775,0.9775
1013080316,ANDERSON,MARY,K,PA-C,F,I,480 OSBORNE RD NE,,FRIDLEY,MN,554322773,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,15,1752,0.3907534247,0.045,0.0324429224,0.0324372146
1013080316,ANDERSON,MARY,K,PA-C,F,I,480 OSBORNE RD NE,,FRIDLEY,MN,554322773,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,21,21,42.428571429,33,25.87,25.87
1013080654,CHENG,HELEN,Y,M.D.,F,I,3427 ROBIN LN STE 100,,CAMERON PARK,CA,956827255,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,41,107,75.124205607,8.32,6.4008411215,6.4008411215
1013080654,CHENG,HELEN,Y,M.D.,F,I,3427 ROBIN LN STE 100,,CAMERON PARK,CA,956827255,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,532.72727273,71.74,51.127272727,49.754545455
1013080670,GINSBERG,BURTON,,D.O.,M,I,596 MAIN ST,,SCHWENKSVILLE,PA,194731011,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,14,42,110,66.760909091,8.32,5.9890909091,5.9890909091
1013080670,GINSBERG,BURTON,,D.O.,M,I,596 MAIN ST,,SCHWENKSVILLE,PA,194731011,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,18,12.573333333,1.42,0.9922222222,0.9922222222
1013080670,GINSBERG,BURTON,,D.O.,M,I,596 MAIN ST,,SCHWENKSVILLE,PA,194731011,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1740,0.3403908046,0.0478448276,0.0294367816,0.0294367816
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,45,184,64.833206522,8.32,6.1678804348,6.1678804348
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,12.265,3.38,2.65,2.65
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,25,58,13.933965517,1.42,1.0560344828,1.0560344828
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,59,109.02237288,25.432033898,18.901016949,13.513898305
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,253.54444444,76.501666667,59.976666667,42.86
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,79.205714286,23.674285714,17.581428571,13.093571429
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,98.632142857,20.525714286,15.447142857,8.4785714286
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,23,110,11.985545455,2.9937272727,2.2610909091,1.5526363636
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,33,90.692727273,21.895454545,16.712727273,13.302424242
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,50,35.619166667,34.18
1013080761,KNIGHT,JOHN,D,M.D.,M,I,100 MEDICAL CENTER PKWY,SUITE 1000,HUNTSVILLE,TX,773404945,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,37,293.8527027,100.68324324,75.706756757,52.866216216
1013080852,POLISNER,DAVID,A,MD,M,I,144 STATE ST,,PORTLAND,ME,041013776,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,999.08,783.27,836.88818182
1013080878,OTT,ANITA,,DO,F,I,5030 STATE ROAD,SUITE 2-400,DREXEL HILL,PA,190264605,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,62,59.399354839,8.32,5.6806451613,5.6806451613
1013080878,OTT,ANITA,,DO,F,I,5030 STATE ROAD,SUITE 2-400,DREXEL HILL,PA,190264605,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,17,12.175882353,1.42,0.9823529412,0.9823529412
1013080878,OTT,ANITA,,DO,F,I,5030 STATE ROAD,SUITE 2-400,DREXEL HILL,PA,190264605,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8216666667,2.3666666667,2.92
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,25,57,159,75.916037736,8.32,5.7833333333,5.7833333333
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,17,19,13.908421053,1.42,0.8831578947,0.8831578947
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,78.720666667,49.646,38.924,31.282666667
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,255.98166667,136.25833333,106.82666667,81.795833333
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,13,85,24.823846154,15.763076923,11.19
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,236.84210526,73.013684211,50.371052632,36.437894737
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,19,19,66.697368421,26.318421053,18.989473684,13.516842105
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,48.520833333,23.005,17.195833333,11.2525
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,32,63,5.8701587302,2.8711111111,2.0274603175,1.4877777778
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,21.153846154,7.5207692308,5.8938461538,3.7246153846
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,190,54.296666667,40.019259259,27.686296296
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,139.16666667,54.871666667,37.791666667,29.429166667
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,21,12.972727273,10.173636364,8.4736363636
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,435.15,100.18,73.118823529,54.367058824
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1050,2.0198190476,0.1286857143,0.0957238095,0.0957238095
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,95,29.464,23.098,14.991
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,29.605833333,24.5975
1013080894,HOFFMAN,MICHAEL,H,MD,M,I,3415 CUSTER ST,SUITE D,MANITOWOC,WI,542204324,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,535,265.74727273,208.34636364,174.86454545
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,25,46,92,1.2730434783,0.51,0.3913043478,0.3913043478
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,42,148,562,49.894092527,8.32,6.0615836299,6.0615836299
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,28,96,96,15.146666667,3.38,2.5671875,2.5671875
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,27,42,42,27.738571429,2.12,1.6302380952,1.6302380952
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,32,95,235,15.737659574,1.42,1.0934468085,1.0934468085
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,3.3448571429,2.27,1.5067619048,1.5067619048
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,20.55,10.93,7.8558333333,7.8558333333
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9.6683333333,7.46,5.3625,5.3625
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,24,3.5,1.45,0.0945833333,0.1141666667
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,24,2,1.11,0.0725,0.1904166667
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,,11,24,1,0.5,0.0325,0.0716666667
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,12,3,1.37,0.09,0.0808333333
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,85.208,55.42,43.452,40.137333333
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,90,50,28.163846154,26.956153846
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,7.3395,6.118,4.43725,3.4625
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,64.596363636,38.867272727,30.469090909,25.494545455
1013081397,TORRES,PASTOR,M,MD,M,I,665 E 49TH ST,,HIALEAH,FL,330131963,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,15,8.45,4.965,4.62
1013081603,ZITO,JOSEPH,R,MD,M,I,1515 N FLAGLER DR STE 600,,WEST PALM BEACH,FL,334013430,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,58.471818182,13.778181818,10.801818182,9.36
1013081603,ZITO,JOSEPH,R,MD,M,I,1515 N FLAGLER DR STE 600,,WEST PALM BEACH,FL,334013430,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,84,7.3207142857,2.3514285714,1.8436904762,1.6125
1013081603,ZITO,JOSEPH,R,MD,M,I,1515 N FLAGLER DR STE 600,,WEST PALM BEACH,FL,334013430,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,308,89.388181818,70.079090909,67.093636364
1013081603,ZITO,JOSEPH,R,MD,M,I,1515 N FLAGLER DR STE 600,,WEST PALM BEACH,FL,334013430,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,14,212.32571429,38.173571429,27.93,23.695714286
1013081611,KUJOK,HUSSAM,,MD,M,I,3609 MISSION AVE,SUITE A,CARMICHAEL,CA,956082955,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,33,85,273,69.855054945,8.2989010989,5.6548351648,5.6713919414
1013081611,KUJOK,HUSSAM,,MD,M,I,3609 MISSION AVE,SUITE A,CARMICHAEL,CA,956082955,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,20,32,51,12.514117647,1.42,1.0278431373,1.0278431373
1013081611,KUJOK,HUSSAM,,MD,M,I,3609 MISSION AVE,SUITE A,CARMICHAEL,CA,956082955,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,47,691.76340426,71.74,53.402765957,51.989148936
1013081611,KUJOK,HUSSAM,,MD,M,I,3609 MISSION AVE,SUITE A,CARMICHAEL,CA,956082955,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,93.5375,17.63,10.8625,12.290833333
1013081611,KUJOK,HUSSAM,,MD,M,I,3609 MISSION AVE,SUITE A,CARMICHAEL,CA,956082955,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,285.6,37.58,27.942571429,27.991428571
1013081678,ADAMS,JOHN,B,MD,M,I,1055 RIBAUT RD,SUITE 10,BEAUFORT,SC,299025423,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,36,5700,0.2391368421,0.13,0.0981508772,0.0981508772
1013081678,ADAMS,JOHN,B,MD,M,I,1055 RIBAUT RD,SUITE 10,BEAUFORT,SC,299025423,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.688,2.27,1.7797142857,1.7797142857
1013081678,ADAMS,JOHN,B,MD,M,I,1055 RIBAUT RD,SUITE 10,BEAUFORT,SC,299025423,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,6480,2.6976111111,2.04,1.5772052469,1.5772052469
1013081678,ADAMS,JOHN,B,MD,M,I,1055 RIBAUT RD,SUITE 10,BEAUFORT,SC,299025423,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,2970,10.11979798,7.23,5.5758383838,5.5758383838
1013081678,ADAMS,JOHN,B,MD,M,I,1055 RIBAUT RD,SUITE 10,BEAUFORT,SC,299025423,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,29,98,17.687959184,10.81744898,8.4808163265,8.5403061224
1013081678,ADAMS,JOHN,B,MD,M,I,1055 RIBAUT RD,SUITE 10,BEAUFORT,SC,299025423,US,Physician/Urology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,28.636315789,4.6968421053,3.4884210526,3.3484210526
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,45,82,82,98.225487805,40.220853659,29.964512195,29.013414634
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,43,79,79,339.52696203,97.389746835,72.18721519,63.837848101
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,32,69,100,107.4483,33.4311,23.8188,23.5101
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,34,66,44.122878788,18.546363636,14.539393939,14.541515152
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,26,42,42,171.94642857,55.859285714,41.623333333,40.693333333
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,64,86,86,52.256976744,19.063255814,14.485232558,13.616976744
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,24,52,52,76.244423077,15.844807692,12.096153846,8.8163461538
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,56,150,543,9.0328913444,2.3107550645,1.7386187845,1.5247513812
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,24,36,36,22.3125,6.4275,4.8325,4.4433333333
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,40,55,55,34.904727273,13.297454545,10.093272727,9.9790909091
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,239.64652174,82.79173913,62.4,64.149130435
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,577.366,216.226,163.7812,165.826
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,320.85933333,133.59,98.972,98.947333333
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,30.11,13.359090909,10.161515152,10.162121212
1013081702,SAULAT,BILAL,,"M.D.,",M,I,301 S 7TH AVE,SUITE 210,READING,PA,196111410,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,26,125,125,112.17536,32.35824,21.73296,22.10608
1013081801,BARNEY,DOUGLAS,P,MD,M,I,2132 NORTH 1700 WEST,SUITE 100,LAYTON,UT,840417059,US,Physician/Emergency Medicine,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,13,21,115.07333333,95.626666667,74.971428571,75.162380952
1013081801,BARNEY,DOUGLAS,P,MD,M,I,2132 NORTH 1700 WEST,SUITE 100,LAYTON,UT,840417059,US,Physician/Emergency Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,11,14,195,84.615384615,24.27,18.690769231,18.823076923
1013081801,BARNEY,DOUGLAS,P,MD,M,I,2132 NORTH 1700 WEST,SUITE 100,LAYTON,UT,840417059,US,Physician/Emergency Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,125,53.9,8.54,6.69504,6.48224
1013081801,BARNEY,DOUGLAS,P,MD,M,I,2132 NORTH 1700 WEST,SUITE 100,LAYTON,UT,840417059,US,Physician/Emergency Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,11,24,24,4818,575.68166667,451.3275,485.88833333
1013082098,BONAZINGA,BARTHOLOMEW,J,"M.D., F.A.C.C.",M,I,12 COMMONS ST,,RUTLAND,VT,05701,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1080,5.7434074074,0.567,0.4445277778,0.4445277778
1013082098,BONAZINGA,BARTHOLOMEW,J,"M.D., F.A.C.C.",M,I,12 COMMONS ST,,RUTLAND,VT,05701,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2880,10.781208333,1.26075,0.9386006944,0.9386006944
1013082098,BONAZINGA,BARTHOLOMEW,J,"M.D., F.A.C.C.",M,I,12 COMMONS ST,,RUTLAND,VT,05701,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1013082098,BONAZINGA,BARTHOLOMEW,J,"M.D., F.A.C.C.",M,I,12 COMMONS ST,,RUTLAND,VT,05701,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1013082254,GRABOWSKI,DARIUSZ,,M.D.,M,I,934 MANHATTAN AVE,,BROOKLYN,NY,112225915,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,18,50,55,57.087454545,8.32,5.6974545455,5.6974545455
1013082254,GRABOWSKI,DARIUSZ,,M.D.,M,I,934 MANHATTAN AVE,,BROOKLYN,NY,112225915,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,37.8525,1.42,1.0266666667,1.0266666667
1013082254,GRABOWSKI,DARIUSZ,,M.D.,M,I,934 MANHATTAN AVE,,BROOKLYN,NY,112225915,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2301,0.4239504563,0.046097349,0.0361408083,0.0361408083
1013082254,GRABOWSKI,DARIUSZ,,M.D.,M,I,934 MANHATTAN AVE,,BROOKLYN,NY,112225915,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,450,11.9476,3.1718666667,2.4866666667,2.4866666667
1013082254,GRABOWSKI,DARIUSZ,,M.D.,M,I,934 MANHATTAN AVE,,BROOKLYN,NY,112225915,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,25.87,25.87
1013082585,BROOKS,ALBERT,D,MD,M,I,7601 NATURAL BRIDGE RD,STE 102,SAINT LOUIS,MO,631214904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,52,55.191346154,8.32,5.7694230769,5.7694230769
1013082585,BROOKS,ALBERT,D,MD,M,I,7601 NATURAL BRIDGE RD,STE 102,SAINT LOUIS,MO,631214904,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,23,18.385652174,1.42,1.0156521739,1.0156521739
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,23,24,117.75125,38.6225,29.564583333,29.740416667
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,35,8.19,1.4731428571,1.0882857143,1.0851428571
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,21,43,44,426.22590909,84.998863636,63.721818182,64.8575
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,14,17,42,156.04071429,33.750952381,26.458809524,25.950952381
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,26,146,94.779178082,19.63890411,14.647876712,13.843287671
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,45,49.256888889,15.08,11.822444444,11.881777778
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,20,38,38,243.33763158,54.601842105,41.685263158,41.768684211
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,34,45,45,82.552444444,17.336666667,13.287333333,13.728222222
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,55,55,98.318909091,12.042181818,8.9472727273,8.6661818182
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,33,75,402,11.943532338,2.0062686567,1.5498258706,1.5665422886
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,26,26,30.725769231,6.12,4.6153846154,4.5023076923
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,16,20,20,46.2085,12.08,9.47,10.2095
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,46,56,89.472857143,17,12.528571429,12.7375
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,4430.1,1074.31,833.293125,833.293125
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,269.25727273,77.121818182,54.754545455,55.909090909
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,34,47,34.436808511,13.052978723,10.23106383,10.316595745
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,46.189411765,4.3017647059,3.1952941176,3.5570588235
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,15,80,99,184.1420202,34.305757576,26.41040404,25.709090909
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,37,274,305,442.70055738,79.953934426,59.24852459,52.20557377
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,44,218.63636364,35.31,22.876818182,24.480454545
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,16,43,12220,0.2055286416,0.0454697218,0.0302463175,0.0302463175
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1250,2.362584,0.130648,0.093728,0.093728
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,12.985076923,3.0690769231,2.4061794872,2.4061794872
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,834,2.5340167866,0.2195803357,0.1721702638,0.1721702638
1013082635,AXEL,JONATHAN,P,M.D.,M,I,631 W LUMSDEN RD,,BRANDON,FL,335115911,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,19,58,58,70.719827586,33,24.141551724,24.141551724
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,49,126,326,50.779141104,8.32,5.9797546012,5.9797546012
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,29,29,16.640689655,3.38,2.65,2.65
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,21.489333333,2.12,1.67,1.67
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,30,61,92,14.349782609,1.42,1.0915217391,1.0915217391
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,2092,0.44,0.44,0.3449521989,0.3449521989
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,24,970,34.86,34.86,27.330247423,27.330247423
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,743,8.28,8.28,6.4915343203,6.4915343203
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,533,18.5,18.5,14.234840525,14.234840525
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,45,18.29,18.29,14.339333333,14.339333333
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,876,0.45,0.45,0.3527968037,0.3527968037
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,41,81,4.4865432099,2.1224691358,1.6011111111,1.1279012346
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,29,58,2.02,1.4810344828,1.1234482759,0.9367241379
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,15,459,243.27154684,5.5873856209,4.1154901961,3.9441830065
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,103.84615385,72.816923077,57.088461538,42.526153846
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,43,43.339767442,20.40372093,14.63744186,12.551860465
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50.83625,48.074375,37.69125,31.604375
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,109,110,331.98772727,91.548363636,68.117,52.048
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,19.340909091,9.6109090909,7.4493181818,7.4493181818
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2385,0.4599161426,0.0434842767,0.0329266247,0.0329266247
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,46,5220,1.5723218391,0.1359712644,0.1045287356,0.1045287356
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,11.448205882,2.9332941176,2.2997254902,2.2997254902
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,3.52,0.2191818182,0.1718030303,0.1718030303
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,37.782608696,27.92,20.427826087,14.775652174
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,111.99,41.101111111,31.021666667,19.959444444
1013083062,CORBIN,TIMOTHY,J,M.D.,M,I,859 AIRPORT DRIVE,,ALEXANDER CITY,AL,350103443,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,63,63,69.142857143,33,25.459365079,25.459365079
1013083187,GALEN,RENEE,M,MD,F,I,4233 GATEWAY BLVD,,NEWBURGH,IN,476308900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,41,118,63.047966102,8.32,6.0805084746,6.0805084746
1013083187,GALEN,RENEE,M,MD,F,I,4233 GATEWAY BLVD,,NEWBURGH,IN,476308900,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,19,39,10.29025641,1.42,1.1146153846,1.1146153846
1013083187,GALEN,RENEE,M,MD,F,I,4233 GATEWAY BLVD,,NEWBURGH,IN,476308900,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,31.05,4.11,2.9522905028,2.9761452514
1013083187,GALEN,RENEE,M,MD,F,I,4233 GATEWAY BLVD,,NEWBURGH,IN,476308900,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,2116,6.5092438563,0.64,0.5017627599,0.5174385633
1013083187,GALEN,RENEE,M,MD,F,I,4233 GATEWAY BLVD,,NEWBURGH,IN,476308900,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,1443,5.1281635482,0.6852182952,0.5047262647,0.5242273042
1013083187,GALEN,RENEE,M,MD,F,I,4233 GATEWAY BLVD,,NEWBURGH,IN,476308900,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,208.97,47.768823529,33.35,33.213529412
1013083385,KULAS,DANIEL,J,MD,M,I,849 KELLOGG AVE,,JANESVILLE,WI,535462808,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,50,95,70.050736842,8.32,5.8364210526,5.8364210526
1013083385,KULAS,DANIEL,J,MD,M,I,849 KELLOGG AVE,,JANESVILLE,WI,535462808,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,18,11.989444444,1.42,0.9322222222,0.9322222222
1013083385,KULAS,DANIEL,J,MD,M,I,849 KELLOGG AVE,,JANESVILLE,WI,535462808,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,516.27314286,69.81,51.602571429,51.602571429
1013083385,KULAS,DANIEL,J,MD,M,I,849 KELLOGG AVE,,JANESVILLE,WI,535462808,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,4600,0.5420695652,0.0469,0.036776087,0.036776087
1013083385,KULAS,DANIEL,J,MD,M,I,849 KELLOGG AVE,,JANESVILLE,WI,535462808,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,105,36.14,26.150769231,27.307692308
1013083385,KULAS,DANIEL,J,MD,M,I,849 KELLOGG AVE,,JANESVILLE,WI,535462808,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,33,33,25.87,25.87
1013083401,SINHA,LALENDRA,K,M.D.,M,I,1731 SEAGIRT BLVD,,FAR ROCKAWAY,NY,116914513,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,135,214,555.43443925,8.32,5.4108878505,5.4108878505
1013083401,SINHA,LALENDRA,K,M.D.,M,I,1731 SEAGIRT BLVD,,FAR ROCKAWAY,NY,116914513,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,26,95,97,31.845051546,1.42,0.9348453608,0.9348453608
1013083708,GRANT,ANNE,M,MD,F,I,5154 COOK ST NE,,COVINGTON,GA,300142630,US,Clinic or Group Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,40,100,63.2368,8.32,5.9108,5.9108
1013083708,GRANT,ANNE,M,MD,F,I,5154 COOK ST NE,,COVINGTON,GA,300142630,US,Clinic or Group Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,24,9.61375,1.42,1.0233333333,1.0233333333
1013083708,GRANT,ANNE,M,MD,F,I,5154 COOK ST NE,,COVINGTON,GA,300142630,US,Clinic or Group Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,3457,0.1768296211,0.0454006364,0.035585768,0.035585768
1013083708,GRANT,ANNE,M,MD,F,I,5154 COOK ST NE,,COVINGTON,GA,300142630,US,Clinic or Group Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,96.642857143,33,24.476071429,24.476071429
1013083781,PRASAD,SUDHA,R,MD,F,I,3836 PARK AVE,,MEMPHIS,TN,381116633,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,47,123,67.023739837,8.32,4.9195121951,4.9195121951
1013083781,PRASAD,SUDHA,R,MD,F,I,3836 PARK AVE,,MEMPHIS,TN,381116633,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,38,50,19.6296,1.42,0.8464,0.8464
1013083781,PRASAD,SUDHA,R,MD,F,I,3836 PARK AVE,,MEMPHIS,TN,381116633,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,42.751875,7.675,5.585,3.65875
1013083880,STONE,ALAN,W,MD,M,I,2021 K ST NW,SUITE 404,WASHINGTON,DC,200061003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,59,69.213898305,8.32,6.3005084746,6.3005084746
1013083880,STONE,ALAN,W,MD,M,I,2021 K ST NW,SUITE 404,WASHINGTON,DC,200061003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,16,18.901875,1.42,1.04625,1.04625
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,28,78.905357143,8.32,6.0557142857,6.0557142857
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,92.633571429,42.295714286,30.857142857,29.280714286
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,309.37230769,96.22,69.870769231,66.193076923
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,21,100.65619048,35.876190476,26.985238095,25.527142857
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,19,19,53.423157895,19.483684211,13.719473684,13.055789474
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,18,56,5.8114285714,2.2685714286,1.5898214286,1.4653571429
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,31.271666667,13.435833333,10.533333333,10.5575
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.3,4.745,3.4316666667,3.3783333333
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,147.68043478,31.084347826,19.520434783,19.314347826
1013083997,DZEN,JEREMY,A,DO,M,I,29 NORTHWEST BLVD,,NASHUA,NH,03063,US,Physician/Internal Medicine,S,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,66.65,45.179090909,35.419090909,35.042727273
1013084086,POPIS-MATEJAK,BEATA,E,MD,F,I,1901 1ST AVE,,NEW YORK,NY,100297404,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,217.1,77.36,60.65,55.268181818
1013084573,VALLS,LUIS,A,MD,M,I,4212 NE BROADWAY ST,,PORTLAND,OR,972131460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,31,73.277419355,8.32,6.5225806452,6.5225806452
1013084573,VALLS,LUIS,A,MD,M,I,4212 NE BROADWAY ST,,PORTLAND,OR,972131460,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18,12.934166667,12.411666667
1013084573,VALLS,LUIS,A,MD,M,I,4212 NE BROADWAY ST,,PORTLAND,OR,972131460,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,55.4675,50.16
1013084615,MILLER,LYNN,M,DO,F,I,6 RED FOREST LN,,NORTH OAKS,MN,551276352,US,Physician/Neurosurgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,352.25,249.3,195.45,213.55
1013085042,TZANIDES,ELIAS,L,M.D.,M,I,8407 FORT HAMILTON PKWY,,BROOKLYN,NY,112094805,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,69,74.786231884,8.32,5.6717391304,5.6717391304
1013085091,UCHE,ANAYOCHUKWU,,M.D.,M,I,2771 SILVER CREEK RD,,BULLHEAD CITY,AZ,864427959,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,54,69.741666667,8.32,6.522037037,6.522037037
1013085141,DURAND,MARGARET,,APN,F,I,401 W 2ND ST,,RENO,NV,895035345,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,35,460.00285714,65.7,48.566571429,51.832857143
1013085141,DURAND,MARGARET,,APN,F,I,401 W 2ND ST,,RENO,NV,895035345,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,208.82352941,37.64,29.51,29.51
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,57,205,66.741512195,8.32,5.888195122,5.888195122
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,12.265,3.38,2.484375,2.484375
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,40,75,14.110666667,1.42,1.0401333333,1.0401333333
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,277.40923077,54.32,39.313846154,39.567692308
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,11.611818182,2.2963636364,1.6365151515,1.4663636364
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.12,4.0141935484,4.1632258065
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8160,3.0473333333,0.3,0.217620098,0.2254607843
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,127.05166667,44.953333333,35.243333333,36.165
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,40,40,175,47.433,33.98025,34.92425
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,42.438,5.95,4.668,4.038
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,276.625,79.534,56.09575,49.39675
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,65,65,79.087384615,18.436615385,13.434615385,13.191846154
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,90.428571429,36.492142857,26.707142857,22.959285714
1013085505,ARORA,RAKESH,,M.D.,M,I,14300 GALLANT FOX LN,SUITE 222,BOWIE,MD,207154003,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,61,61,25.503278689,9.5927868852,6.9460655738,6.1798360656
1013085547,SEKARAN,JAYASHREE,,M.D.,F,I,HENRY FORD HEALTH SYSTEM,3500 FIFTEEN MILE ROAD,STERLING HEIGHTS,MI,48310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,34,93,73.452258065,8.32,5.5407526882,5.5407526882
1013085547,SEKARAN,JAYASHREE,,M.D.,F,I,HENRY FORD HEALTH SYSTEM,3500 FIFTEEN MILE ROAD,STERLING HEIGHTS,MI,48310,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,24,28,47.331071429,1.42,0.9192857143,0.9192857143
1013085596,BERGMAN,DONALD,A,M.D.,M,I,1199 PARK AVE,SUITE 1F,NEW YORK,NY,101281711,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,31,103,276,67.91442029,8.32,6.2615217391,6.2615217391
1013085596,BERGMAN,DONALD,A,M.D.,M,I,1199 PARK AVE,SUITE 1F,NEW YORK,NY,101281711,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,37,56,15.528214286,1.42,1.0771428571,1.0771428571
1013085661,ELLNER,ANDREW,L,M.D.,M,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,50,76.6662,8.32,6.2614,6.2614
1013085661,ELLNER,ANDREW,L,M.D.,M,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,78,78,56.054166667,50.169166667
1013085679,MOORE JARMON,MARQUISHA,D,MD,F,I,817 PRINCETON AVE SW,SUITE 304,BIRMINGHAM,AL,352111333,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,32,85,71.654588235,8.32,6.0615294118,6.0615294118
1013085679,MOORE JARMON,MARQUISHA,D,MD,F,I,817 PRINCETON AVE SW,SUITE 304,BIRMINGHAM,AL,352111333,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,21,13.882380952,1.42,1.0647619048,1.0647619048
1013085679,MOORE JARMON,MARQUISHA,D,MD,F,I,817 PRINCETON AVE SW,SUITE 304,BIRMINGHAM,AL,352111333,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,67.721428571,20.962857143,16.43,13.53
1013085679,MOORE JARMON,MARQUISHA,D,MD,F,I,817 PRINCETON AVE SW,SUITE 304,BIRMINGHAM,AL,352111333,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,46,47,41.578297872,7.799787234,5.9634042553,3.6417021277
1013085679,MOORE JARMON,MARQUISHA,D,MD,F,I,817 PRINCETON AVE SW,SUITE 304,BIRMINGHAM,AL,352111333,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,294.00384615,97.152307692,76.168461538,56.543846154
1013085679,MOORE JARMON,MARQUISHA,D,MD,F,I,817 PRINCETON AVE SW,SUITE 304,BIRMINGHAM,AL,352111333,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,46.655555556,21.417777778,14.182777778,11.883333333
1013085851,BECKENHAUER,CAROL,M,FNP,F,I,12016 N RADIO STATION RD,,SENECA,SC,296781143,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,47,56.381702128,8.32,6.1053191489,6.1053191489
1013085851,BECKENHAUER,CAROL,M,FNP,F,I,12016 N RADIO STATION RD,,SENECA,SC,296781143,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,19,16.518421053,1.42,1.1126315789,1.1126315789
1013085851,BECKENHAUER,CAROL,M,FNP,F,I,12016 N RADIO STATION RD,,SENECA,SC,296781143,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,21.985,16.489,13.1545
1013085851,BECKENHAUER,CAROL,M,FNP,F,I,12016 N RADIO STATION RD,,SENECA,SC,296781143,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,519.51,99.926666667,75.498095238,54.052380952
1013085851,BECKENHAUER,CAROL,M,FNP,F,I,12016 N RADIO STATION RD,,SENECA,SC,296781143,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.424153846,8.6619230769,8.6619230769
1013085851,BECKENHAUER,CAROL,M,FNP,F,I,12016 N RADIO STATION RD,,SENECA,SC,296781143,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,132,33,24.432777778,24.432777778
1013086198,BRYAN,BLACKSHEAR,M,MD,M,I,1233 N 30TH ST,,BILLINGS,MT,591010127,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,25,75.786,19.5972,15.3624,13.5376
1013086198,BRYAN,BLACKSHEAR,M,MD,M,I,1233 N 30TH ST,,BILLINGS,MT,591010127,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,5,3.3641666667,2.6375,2.2520833333
1013086198,BRYAN,BLACKSHEAR,M,MD,M,I,1233 N 30TH ST,,BILLINGS,MT,591010127,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,59,8,5.2477966102,4.1108474576,3.9674576271
1013086198,BRYAN,BLACKSHEAR,M,MD,M,I,1233 N 30TH ST,,BILLINGS,MT,591010127,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,424.67185185,81.808888889,62.088148148,52.695555556
1013086198,BRYAN,BLACKSHEAR,M,MD,M,I,1233 N 30TH ST,,BILLINGS,MT,591010127,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,47,114.41489362,21.631276596,16.649361702,14.378297872
1013086198,BRYAN,BLACKSHEAR,M,MD,M,I,1233 N 30TH ST,,BILLINGS,MT,591010127,US,Physician/Physical Medicine and Rehabilitation,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,15,9.1066666667,7.1383333333,6.26
1013086263,WITTNAM,CHARLES,,MD,M,I,2675 CENTRAL AVE,,BILLINGS,MT,591026686,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,32,94,235,73.346297872,8.32,5.7085531915,5.7085531915
1013086263,WITTNAM,CHARLES,,MD,M,I,2675 CENTRAL AVE,,BILLINGS,MT,591026686,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,13.321875,1.42,1.045,1.045
1013086263,WITTNAM,CHARLES,,MD,M,I,2675 CENTRAL AVE,,BILLINGS,MT,591026686,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,30,8.5566666667,2.216,1.3026666667,1.1673333333
1013086263,WITTNAM,CHARLES,,MD,M,I,2675 CENTRAL AVE,,BILLINGS,MT,591026686,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,62.797058824,19.522058824,13.187352941,11.722941176
1013086263,WITTNAM,CHARLES,,MD,M,I,2675 CENTRAL AVE,,BILLINGS,MT,591026686,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,50.243333333,4.19,2.8426666667,2.9373333333
1013086263,WITTNAM,CHARLES,,MD,M,I,2675 CENTRAL AVE,,BILLINGS,MT,591026686,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,85,86,392.16604651,75.892093023,54.77127907,50.611511628
1013086263,WITTNAM,CHARLES,,MD,M,I,2675 CENTRAL AVE,,BILLINGS,MT,591026686,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,175.51724138,39.998275862,29.158275862,27.527931034
1013086305,AL-HALAWANI,MONTHER,H,M.D.,M,I,502 CORNER DR,,BRANDON,FL,335115724,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,58,90,192,807,67.148711276,8.2628996283,6.2430731103,6.2766666667
1013086305,AL-HALAWANI,MONTHER,H,M.D.,M,I,502 CORNER DR,,BRANDON,FL,335115724,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,14.964705882,3.38,2.65,2.65
1013086305,AL-HALAWANI,MONTHER,H,M.D.,M,I,502 CORNER DR,,BRANDON,FL,335115724,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,55,92,194,14.404948454,1.42,1.0567010309,1.0567010309
1013086305,AL-HALAWANI,MONTHER,H,M.D.,M,I,502 CORNER DR,,BRANDON,FL,335115724,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,18,22,22,22,24.365454545,23.755,18.621818182,56.802272727
1013086347,STONE,AMY,G,M.D.,F,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,35,81,79.926790123,8.32,5.554691358,5.554691358
1013086347,STONE,AMY,G,M.D.,F,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,21,17.115238095,1.42,0.8514285714,0.8514285714
1013086347,STONE,AMY,G,M.D.,F,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,234,47.3725,34.0025,34.954166667
1013086420,BARON,ARI,D,M.D.,M,I,2100 WEBSTER STREET SUITE 225,,SAN FRANCISCO,CA,94115,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,23,162,162,118.55802469,19.71,15.35462963,15.35462963
1013086420,BARON,ARI,D,M.D.,M,I,2100 WEBSTER STREET SUITE 225,,SAN FRANCISCO,CA,94115,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,23,162,162,171.82098765,37.38,29.119135802,29.119135802
1013086420,BARON,ARI,D,M.D.,M,I,2100 WEBSTER STREET SUITE 225,,SAN FRANCISCO,CA,94115,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,15,47,47,654.14893617,213.0987234,167.07021277,167.07021277
1013086420,BARON,ARI,D,M.D.,M,I,2100 WEBSTER STREET SUITE 225,,SAN FRANCISCO,CA,94115,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,47,3920,51.984701531,5.3496096939,4.1342040816,4.1342015306
1013086420,BARON,ARI,D,M.D.,M,I,2100 WEBSTER STREET SUITE 225,,SAN FRANCISCO,CA,94115,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,14,108,866,15.319330254,1.6332909931,1.2805889145,1.2805889145
1013086420,BARON,ARI,D,M.D.,M,I,2100 WEBSTER STREET SUITE 225,,SAN FRANCISCO,CA,94115,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,24,24,18.82,18.82
1013086420,BARON,ARI,D,M.D.,M,I,2100 WEBSTER STREET SUITE 225,,SAN FRANCISCO,CA,94115,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,33,16,16,12.54,12.54
1013086560,MOOSAVY,AZITA,R,M.D,F,I,266 S COLLEGE AVE,,NEWARK,DE,197115235,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,49.045454545,38.451818182,38.431818182
1013086693,JANSEN,ELIZABETH,M,M.D.,F,I,16528 E DESMET CT STE 3100,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,36,82.322222222,8.32,6.5213888889,6.5213888889
1013086693,JANSEN,ELIZABETH,M,M.D.,F,I,16528 E DESMET CT STE 3100,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,14.823333333,1.42,1.1183333333,1.1183333333
1013086693,JANSEN,ELIZABETH,M,M.D.,F,I,16528 E DESMET CT STE 3100,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,581.9837037,65.7,46.195925926,49.357037037
1013086693,JANSEN,ELIZABETH,M,M.D.,F,I,16528 E DESMET CT STE 3100,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,660,1.3853636364,0.1374090909,0.1077575758,0.1077575758
1013086693,JANSEN,ELIZABETH,M,M.D.,F,I,16528 E DESMET CT STE 3100,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600,151.82818182,119.03727273,119.03090909
1013086693,JANSEN,ELIZABETH,M,M.D.,F,I,16528 E DESMET CT STE 3100,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,92.4,33,25.87,25.87
1013087147,ALVAREZ,DONA,M,M.D.,F,I,311 N 4TH ST,SUITE 3,OAKLAND,MD,215501395,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,79.681818182,69.049090909,54.136363636,39.105454545
1013087147,ALVAREZ,DONA,M,M.D.,F,I,311 N 4TH ST,SUITE 3,OAKLAND,MD,215501395,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,77,59.74,46.83,46.34
1013087311,HUANG,SHERRY,,MD,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,66,71.022727273,8.32,5.9281818182,5.9281818182
1013087386,WIECZOREK,SUSAN,C,"NP-C, CWOCN",F,I,808 21ST ST,,COLUMBUS,GA,319048817,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,25,50,6.7648,1.47,1.104,1.104
1013087386,WIECZOREK,SUSAN,C,"NP-C, CWOCN",F,I,808 21ST ST,,COLUMBUS,GA,319048817,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.53
1013087386,WIECZOREK,SUSAN,C,"NP-C, CWOCN",F,I,808 21ST ST,,COLUMBUS,GA,319048817,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1200,15.58,9.628325,7.3094916667,7.3094916667
1013087386,WIECZOREK,SUSAN,C,"NP-C, CWOCN",F,I,808 21ST ST,,COLUMBUS,GA,319048817,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,4898,0.3503940384,0.0468885259,0.0350653328,0.0350653328
1013087386,WIECZOREK,SUSAN,C,"NP-C, CWOCN",F,I,808 21ST ST,,COLUMBUS,GA,319048817,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,109.42,73.813636364,72.733636364
1013087386,WIECZOREK,SUSAN,C,"NP-C, CWOCN",F,I,808 21ST ST,,COLUMBUS,GA,319048817,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,45,112.2,33,25.295111111,25.295111111
1013087410,AGNER,MARIA TERESA,C,MD,F,I,11 TECHNOLOGY DR,,IRVINE,CA,926182302,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,398,275,5.0103015075,3.9280904523,4.1629899497
1013087410,AGNER,MARIA TERESA,C,MD,F,I,11 TECHNOLOGY DR,,IRVINE,CA,926182302,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1200,60.57,47.49,48.33
1013087451,LEE,BENJAMIN,R,MD,M,I,1501 N CAMPBELL AVE,"DIVISION UROLOGY, BOX 245077",TUCSON,AZ,857245077,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,14,22.91,8.28,5.5735714286,5.5735714286
1013087451,LEE,BENJAMIN,R,MD,M,I,1501 N CAMPBELL AVE,"DIVISION UROLOGY, BOX 245077",TUCSON,AZ,857245077,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,250,9.851,4.04,3.16716,3.16716
1013087493,WEATHERS,SUZANN,H,M.D.,F,I,87 SPRINGVIEW LN,,SUMMERVILLE,SC,294859077,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,24,120,50,8.32,6.5229166667,6.5229166667
1013087493,WEATHERS,SUZANN,H,M.D.,F,I,87 SPRINGVIEW LN,,SUMMERVILLE,SC,294859077,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,15.833333333,3.38,2.65,2.65
1013087493,WEATHERS,SUZANN,H,M.D.,F,I,87 SPRINGVIEW LN,,SUMMERVILLE,SC,294859077,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,20,57,18.333333333,1.42,1.1136842105,1.1136842105
1013087659,PARKER,WENDY,J,M.D.,F,I,307 W CENTRAL ST,,NATICK,MA,017603719,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,26,60,80.632166667,8.32,5.6515,5.6515
1013087659,PARKER,WENDY,J,M.D.,F,I,307 W CENTRAL ST,,NATICK,MA,017603719,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,20,16.617,1.42,0.947,0.947
1013087659,PARKER,WENDY,J,M.D.,F,I,307 W CENTRAL ST,,NATICK,MA,017603719,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,164.63578947,34.054736842,25.407894737,24.196842105
1013087956,CHARETTE,DEBORAH,J,PAC,F,I,202 JAMES STREET,,BRACKETTVILLE,TX,788320093,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,29,116,47.21,8.32,5.3734482759,5.3734482759
1013087956,CHARETTE,DEBORAH,J,PAC,F,I,202 JAMES STREET,,BRACKETTVILLE,TX,788320093,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,16.077777778,3.38,1.7666666667,1.7666666667
1013087956,CHARETTE,DEBORAH,J,PAC,F,I,202 JAMES STREET,,BRACKETTVILLE,TX,788320093,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,48,17.229166667,1.42,0.83375,0.83375
1013087956,CHARETTE,DEBORAH,J,PAC,F,I,202 JAMES STREET,,BRACKETTVILLE,TX,788320093,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,64,22.4775,16.3775,12.4025
1013087956,CHARETTE,DEBORAH,J,PAC,F,I,202 JAMES STREET,,BRACKETTVILLE,TX,788320093,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,45,46,24,7.1156521739,4.3806521739,2.9147826087
1013087956,CHARETTE,DEBORAH,J,PAC,F,I,202 JAMES STREET,,BRACKETTVILLE,TX,788320093,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,47,410,101.25531915,71.030212766,46.910425532
1013088095,BERLIN,ROSS,,M.D.,M,I,61 W. JIMMIE LEEDS ROAD,,POMONA,NJ,082400723,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,33,33,33,124.51515152,44.440606061,34.840606061,36.413030303
1013088095,BERLIN,ROSS,,M.D.,M,I,61 W. JIMMIE LEEDS ROAD,,POMONA,NJ,082400723,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,59.12,19.852727273,15.565454545,14.395454545
1013088095,BERLIN,ROSS,,M.D.,M,I,61 W. JIMMIE LEEDS ROAD,,POMONA,NJ,082400723,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,125,25.306842105,19.84,22.289473684
1013088095,BERLIN,ROSS,,M.D.,M,I,61 W. JIMMIE LEEDS ROAD,,POMONA,NJ,082400723,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,920,144.40636364,113.21181818,118.65454545
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,56,117,57.833504274,8.32,6.1322222222,6.1322222222
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,23,32,14.9615625,1.42,1.116875,1.116875
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,9.75,7,5.1230909091,5.1230909091
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.36,4.03,2.8962083333,2.8962083333
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,66,76,65.650657895,19.2975,14.393421053,13.010789474
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1311.925,1074.31,830.30416667,830.30416667
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,23.693714286,6.8154285714,4.8228571429,2.9931428571
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,111,117,367.93487179,101.81521368,78.803675214,55.351367521
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,130,44.34,34.765,29.912222222
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,13.94,11.167416667,8.5595555556,8.5595555556
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1888,0.3614194915,0.0461758475,0.0347298729,0.0347298729
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1140,1.9639385965,0.1396842105,0.1095526316,0.1095526316
1013088947,BAKER,BRENDA,J,MD,F,I,BUILDING 37,HIGHWAY 343,NEON,KY,41840,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,91.034482759,33,24.977931034,24.977931034
1013089028,DIAS,TAHA,,MD,M,I,4112 ISLAND LAKES DR,,WINTER HAVEN,FL,33881,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,554.19125,80.6375,59.2275,54.069375
1013089259,STAPOR,DAVID,J,M.D.,M,I,1200 BROOKS LN,SUITE 240,CLAIRTON,PA,150253747,US,Physician/Orthopedic Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,13.94,11.409090909,8.9445454545,9.0072727273
1013089572,ADEBAJO,ADELERO,O,M.D.,F,I,1520 LAUREL ST,,COLUMBIA,SC,292012623,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,55,56.907818182,8.32,6.0470909091,6.0470909091
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,57,93,93,109.64526882,39.412903226,29.720645161,29.292150538
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,55,93,93,308.9944086,87.017741935,63.368709677,63.141290323
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,50,89,195,122.38112821,33.101692308,24.814205128,24.757128205
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,37,66,307,70.683355049,18.160716612,13.499087948,13.786254072
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,26,56,287,47.75456446,15.417526132,11.860522648,11.663379791
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,64,112,112,180.14901786,56.662321429,42.730982143,41.188303571
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,95,114,114,58.582280702,18.719210526,14.454122807,13.845350877
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,27.919166667,10.251666667,8.0416666667,8.15
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,60,107,107,73.608317757,12.091028037,8.6321495327,8.3011214953
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,114,215,1055,8.4958767773,2.0477725118,1.5101706161,1.4956966825
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,76,91,91,21.69956044,5.9469230769,4.4736263736,4.4650549451
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,52,67,67,39.562089552,12.828507463,9.6301492537,9.9394029851
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,13,59,63,446.43873016,90.52968254,67.512698413,65.192857143
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,591.33,251.94,197.52363636,165.24
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,22,22,365.85,139.03818182,106.08818182,101.78272727
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,11,58,66,53.670454545,14.03030303,10.844242424,10.321212121
1013089598,ALATTAR,MAHA,,MD,F,I,1101 SAM PERRY BLVD,SUITE 414,FREDERICKSBURG,VA,224014467,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,43,239,245,139.19285714,33.438653061,25.362530612,24.672571429
1013089762,O'KEEFE,PHILIP,J,MD,M,I,45 CASTRO STREET,SUITE 138,SAN FRANCISCO,CA,94114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,81,74.859506173,8.32,6.0397530864,6.0397530864
1013089762,O'KEEFE,PHILIP,J,MD,M,I,45 CASTRO STREET,SUITE 138,SAN FRANCISCO,CA,94114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,15,17.193333333,1.42,0.9666666667,0.9666666667
1013090018,BOEHM,LAURIE,K,PA,F,I,7720 US HIGHWAY 98 W,SUITE 110,MIRAMAR BEACH,FL,325507230,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,70.23,53.76,53.420769231
1013090018,BOEHM,LAURIE,K,PA,F,I,7720 US HIGHWAY 98 W,SUITE 110,MIRAMAR BEACH,FL,325507230,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,3732.8571429,2783.6971429,2182.4192857,2182.4192857
1013090224,CHANSKY,MARIA,Y,MD,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,13,48,144,75.543888889,8.32,5.6159027778,5.6159027778
1013090224,CHANSKY,MARIA,Y,MD,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,51,9.1023529412,2.2494117647,1.7635294118,1.591372549
1013090224,CHANSKY,MARIA,Y,MD,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,105.23076923,59.071538462,44.395384615,35.713076923
1013090224,CHANSKY,MARIA,Y,MD,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,29.290810811,6.9018918919,4.9194594595,3.0751351351
1013090224,CHANSKY,MARIA,Y,MD,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,105.564,53.947333333,38.849333333,29.149333333
1013090224,CHANSKY,MARIA,Y,MD,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,228,97.9456,66.2708,45.0164
1013090455,RENCH,JENNIFER,A,MD,F,I,825 WALTON DR,,PLYMOUTH,WI,530735022,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,53.884230769,8.32,6.0192307692,6.0192307692
1013090554,HEITZ,LAURA,J,NP,F,I,2620 COMMERCIAL WAY,SUITE 051,ROCK SPRINGS,WY,829014755,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,110.04,22.913333333,17.024861111,13.652916667
1013090554,HEITZ,LAURA,J,NP,F,I,2620 COMMERCIAL WAY,SUITE 051,ROCK SPRINGS,WY,829014755,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,304.97,68.492857143,48.124285714,37.592142857
1013090554,HEITZ,LAURA,J,NP,F,I,2620 COMMERCIAL WAY,SUITE 051,ROCK SPRINGS,WY,829014755,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,94.664210526,18.178421053,13.718947368,8.64
1013090554,HEITZ,LAURA,J,NP,F,I,2620 COMMERCIAL WAY,SUITE 051,ROCK SPRINGS,WY,829014755,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,13.92,2.755,2.123125,1.5595833333
1013090554,HEITZ,LAURA,J,NP,F,I,2620 COMMERCIAL WAY,SUITE 051,ROCK SPRINGS,WY,829014755,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,78.873333333,22.4775,14.719722222,11.233611111
1013090554,HEITZ,LAURA,J,NP,F,I,2620 COMMERCIAL WAY,SUITE 051,ROCK SPRINGS,WY,829014755,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,36,50.73,8.0141666667,6.0119444444,3.5966666667
1013090554,HEITZ,LAURA,J,NP,F,I,2620 COMMERCIAL WAY,SUITE 051,ROCK SPRINGS,WY,829014755,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,463.46984127,99.208888889,70.315714286,48.387301587
1013090877,KLEIN,JOEL,B,MD,M,I,3144 STATE ST,,MEDFORD,OR,975048450,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,532.72727273,65.7,46.827272727,50.120909091
1013090935,LOK,ANNA,S,MD,F,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,5415,2.524744229,0.5630064635,0.4413961219,0.4413961219
1013090935,LOK,ANNA,S,MD,F,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,53,7200,2.1196875,0.7403583333,0.5609152778,0.5609152778
1013090935,LOK,ANNA,S,MD,F,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3120,3.1499583333,1.2813846154,0.9586121795,0.9586121795
1013090935,LOK,ANNA,S,MD,F,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,85,85,27.541176471,24,18.598588235,18.598588235
1013090935,LOK,ANNA,S,MD,F,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,22,17.136363636,16,12.54,12.54
1013091339,THOMAS,KAREN,M,DO,F,I,816 INDEPENDENCE BLVD,STE 2H,VIRGINIA BEACH,VA,234556010,US,Physician/Neurology,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,68.405714286,46.505,34.114285714,36.053571429
1013091339,THOMAS,KAREN,M,DO,F,I,816 INDEPENDENCE BLVD,STE 2H,VIRGINIA BEACH,VA,234556010,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,80.318181818,52.109090909,36.934545455,36.380909091
1013091339,THOMAS,KAREN,M,DO,F,I,816 INDEPENDENCE BLVD,STE 2H,VIRGINIA BEACH,VA,234556010,US,Physician/Neurology,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,13.19,7.8817647059,6.1794117647,6.4241176471
1013091339,THOMAS,KAREN,M,DO,F,I,816 INDEPENDENCE BLVD,STE 2H,VIRGINIA BEACH,VA,234556010,US,Physician/Neurology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28,9.9,7.7583333333,8.72
1013091339,THOMAS,KAREN,M,DO,F,I,816 INDEPENDENCE BLVD,STE 2H,VIRGINIA BEACH,VA,234556010,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,45.472222222,18.909444444,14.3325,14.215277778
1013091339,THOMAS,KAREN,M,DO,F,I,816 INDEPENDENCE BLVD,STE 2H,VIRGINIA BEACH,VA,234556010,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,45,45,17.044444444,8.1666666667,6.0106666667,6.2966666667
1013091362,COHEN,JOEL,M,M.D.,M,I,36 E 72ND ST,,NEW YORK,NY,10021,US,Physician/Cardiovascular Disease (Cardiology),S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,3188,0.44,0.44,0.3449592221,0.3449592221
1013091362,COHEN,JOEL,M,M.D.,M,I,36 E 72ND ST,,NEW YORK,NY,10021,US,Physician/Cardiovascular Disease (Cardiology),S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,1004,18.5,18.5,14.504003984,14.504003984
1013091362,COHEN,JOEL,M,M.D.,M,I,36 E 72ND ST,,NEW YORK,NY,10021,US,Physician/Cardiovascular Disease (Cardiology),S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,154.88,47.134615385,36.956923077,38.845384615
1013091362,COHEN,JOEL,M,M.D.,M,I,36 E 72ND ST,,NEW YORK,NY,10021,US,Physician/Cardiovascular Disease (Cardiology),S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,133.69,42.7375,33.5075,36.2275
1013091362,COHEN,JOEL,M,M.D.,M,I,36 E 72ND ST,,NEW YORK,NY,10021,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,82.1036,15.1736,11.4584,13.7824
1013091362,COHEN,JOEL,M,M.D.,M,I,36 E 72ND ST,,NEW YORK,NY,10021,US,Physician/Cardiovascular Disease (Cardiology),S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,22.076857143,7.0414285714,5.376,6.56
1013091669,BROZ,GWEN,M,DO,F,I,46 N MAIN ST,,W BROOKFIELD,MA,01585,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,71,68.432112676,8.32,5.8792957746,5.8792957746
1013091669,BROZ,GWEN,M,DO,F,I,46 N MAIN ST,,W BROOKFIELD,MA,01585,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,50.73,3.8646153846,2.16,2.8138461538
1013091669,BROZ,GWEN,M,DO,F,I,46 N MAIN ST,,W BROOKFIELD,MA,01585,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,519.51,78.75,53.539333333,47.432666667
1013091800,HOLT,JAMES,B,M.D.,M,I,75 OLD GRAHAM RD,,PITTSBORO,NC,273125655,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,62,60.525483871,8.32,5.2901612903,5.2901612903
1013091941,NICHOLSON,TIMOTHY,,,M,I,1184 STATE ROUTE 50,,BURNT HILLS,NY,120191923,US,Physician/Pediatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,50.73,3.7883333333,1.8733333333,2.4791666667
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,23,23,238.51695652,111.8726087,85.865652174,66.003478261
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,42,108.09,41.766666667,32.744761905,25.917857143
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,147.5975,65.406666667,51.281666667,42.86
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,18,18,44.115,21.994444444,17.242222222,14.062222222
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,23,23,49.636956522,17.218695652,13.496086957,9.12
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,36,147,7.6571428571,2.6240816327,2.0574829932,1.592585034
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,57.138863636,21.4775,16.231590909,13.065681818
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,139.0392,54.9652,41.0228,28.5928
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,381.32690909,100.25418182,75.390909091,52.571272727
1013091966,KOHLI,SATISH,,M.D.,M,I,3340 W OKMULGEE ST,,MUSKOGEE,OK,744015069,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3750,2692.594,1672.128,1672.128
1013092147,YONAN,SAMEH,R,MD,M,I,4804 LEAVITT RD,,LORAIN,OH,440532382,US,Physician/Pain Management,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,11.49,11.15875,7.674375,6.901875
1013092147,YONAN,SAMEH,R,MD,M,I,4804 LEAVITT RD,,LORAIN,OH,440532382,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,1500,1257.37,985.78,886.51
1013092428,GROVE,JAMES,D,O.D.,M,I,303 N MAIN ST,,URBANA,OH,430781605,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,70,52.13,40.87,43.559
1013092543,CARLTON,KIM,M,PA-C,F,I,450 S WILLARD ST,SUITE 115,COTTONWOOD,AZ,863266743,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,34,81,72.092716049,8.32,4.7497530864,4.7497530864
1013092543,CARLTON,KIM,M,PA-C,F,I,450 S WILLARD ST,SUITE 115,COTTONWOOD,AZ,863266743,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,17.034545455,1.42,1.0181818182,1.0181818182
1013092543,CARLTON,KIM,M,PA-C,F,I,450 S WILLARD ST,SUITE 115,COTTONWOOD,AZ,863266743,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,50.922142857,17.27,11.605714286,11.605714286
1013092543,CARLTON,KIM,M,PA-C,F,I,450 S WILLARD ST,SUITE 115,COTTONWOOD,AZ,863266743,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,26.750571429,4.5871428571,3.4977142857,3.5914285714
1013092543,CARLTON,KIM,M,PA-C,F,I,450 S WILLARD ST,SUITE 115,COTTONWOOD,AZ,863266743,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,264.565,68.78,45.606428571,46.437142857
1013092543,CARLTON,KIM,M,PA-C,F,I,450 S WILLARD ST,SUITE 115,COTTONWOOD,AZ,863266743,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,19.340909091,9.651,7.4216666667,7.4216666667
1013092543,CARLTON,KIM,M,PA-C,F,I,450 S WILLARD ST,SUITE 115,COTTONWOOD,AZ,863266743,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,38.823529412,33,25.87,25.87
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,90,123,123,119.15170732,44.926585366,33.17,29.997886179
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,22,53,102,7.1017647059,1.7558823529,1.3031372549,1.0837254902
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,2.9875,1.4516666667,1.13875,0.965
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,79,107,107,348.93084112,109.08962617,82.711308411,68.842149533
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,20,73,152,191,113.35382199,42.423403141,32.523560209,26.343036649
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,44,85,196,70.214744898,23.821428571,18.11255102,14.343928571
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,35,64,157,48.226242038,18.507834395,13.920382166,11.958980892
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,76,114,115,208.31382609,68.30026087,49.638173913,40.91626087
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,143,185,185,72.384756757,22.575243243,16.897837838,13.932324324
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,35,39,39,40.803846154,12.160512821,9.1033333333,7.9069230769
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,53,75,75,64.831466667,17.750266667,13.532666667,9.6726666667
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,129,226,892,9.01867713,2.7007735426,2.0185313901,1.5918721973
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,70,92,92,34.488586957,7.8704347826,6.0048913043,4.8685869565
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,70,83,83,36.928433735,14.718072289,11.265542169,10.325662651
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,21,57,351,365,78.756054795,21.285260274,15.895726027,13.645041096
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.69,12.609090909,12.3
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,46,46,180.50108696,52.58826087,36.003478261,32.854565217
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,18,100,100,535.3757,108.377,81.4113,68.24
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,15,16,803.460625,267.438125,200.348125,182.086875
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,978.99363636,754.48909091,754.48909091
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,39,39,39,387.28461538,163.14410256,125.58230769,111.39128205
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,42,187,197,45.192182741,15.844670051,11.589746193,10.459847716
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,19,99,102,54.513137255,6.1282352941,4.5543137255,3.4118627451
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,20,95,556,567,249.08885362,44.488112875,32.573597884,26.277530864
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,24,109,721,774,442.16547804,89.266124031,65.953372093,53.205762274
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,17,87,93,200.6372043,40.729354839,28.215591398,26.312365591
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,23,131,8040,17.246869403,9.5302537313,7.4048221393,7.4048221393
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,29,144,8586,18.663232006,11.174338458,8.5306627067,8.530661542
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,23,68,16279,0.3146212912,0.0461686836,0.0353989803,0.0353989803
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,33,126,9738,1.4366461286,0.133574656,0.1000266995,0.1000266995
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,31,49,226,12696,18.164052457,2.9849480151,2.2922266856,2.2922266856
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,360,0.75725,0.2190277778,0.1716944444,0.1716944444
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,156,179,90.007765363,42.967877095,31.123519553,27.823240223
1013092725,ZOELLNER-GULLETTE,LISA,M,APRN BC,F,I,1723 BROADWAY ST STE 205,,CAPE GIRARDEAU,MO,637014556,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,36,76,326,326,64.32208589,33,25.552576687,25.552576687
1013092758,FEDERICO,MONICA,,MD,F,I,13123 E 16TH AVE,,AURORA,CO,800457106,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,703.96416667,830.30416667
1013092931,YUNUS,TAHIR,M,M.D.,M,I,820 PRUDENTIAL DR STE 304,,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,59.26,51.285384615,40.208461538,40.653076923
1013092931,YUNUS,TAHIR,M,M.D.,M,I,820 PRUDENTIAL DR STE 304,,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,28,39.762142857,16.5,12.94,13.497142857
1013092931,YUNUS,TAHIR,M,M.D.,M,I,820 PRUDENTIAL DR STE 304,,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,38.173846154,4.2892307692,3.3615384615,3.7246153846
1013092931,YUNUS,TAHIR,M,M.D.,M,I,820 PRUDENTIAL DR STE 304,,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,29,231.38034483,77.18,58.90862069,53.717931034
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,4,,33,105,75.805142857,19.692285714,15.291333333,15.291333333
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,5,,29,359,155.15743733,37.322479109,28.986935933,28.986935933
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,59,60,39.055666667,18.460166667,14.010666667,13.782666667
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,13,100,109,351.28816514,76.397431193,57.789174312,53.83293578
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,45,138.4,36.507333333,27.353555556,28.010888889
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,10100,112.99531485,62.110089109,48.69430297,48.69430297
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,392,754.55357143,570.69686224,447.33627551,447.33627551
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,1717.0357143,297.86857143,229.23928571,229.23928571
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.83,28.87,29.51
1013093293,BARTOLOME,SONJA,D,M.D.,F,I,5323 HARRY HINES BLVD,HQ1.200,DALLAS,TX,753907201,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,99,33,24.022142857,24.022142857
1013093475,BAUR,MARTIN,C,M.D.,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,53,149,54.868322148,8.32,5.0826174497,5.0826174497
1013093475,BAUR,MARTIN,C,M.D.,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,20,10.399,1.42,0.893,0.893
1013093475,BAUR,MARTIN,C,M.D.,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,81.083913043,17.5,12.900434783,12.728695652
1013093475,BAUR,MARTIN,C,M.D.,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,392.79695652,79.48,56.89173913,49.96173913
1013093475,BAUR,MARTIN,C,M.D.,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,3846,0.3888975559,0.0466406656,0.0314794592,0.0314794592
1013093475,BAUR,MARTIN,C,M.D.,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,559,1.3830053667,0.2193738819,0.1466189624,0.1466189624
1013093475,BAUR,MARTIN,C,M.D.,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,33,33,20.392916667,20.392916667
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,227.28333333,58.804166667,38.6675,37.558333333
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,67.48,12.222307692,8.8153846154,8.4276923077
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,7.5327272727,1.9618181818,1.5374242424,1.5916666667
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,52,60.879230769,17.91,11.516153846,11.150769231
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,105.08347826,17.91,11.996521739,11.583478261
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,107,108,415.92212963,70.48,47.136018519,46.713981481
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.6,31.05,29.638333333
1013093517,GUSTAFSON,CRAIG,A,MD,M,I,2478 PATTERSON RD,SUITE 27,GRAND JUNCTION,CO,815051266,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,59.12,16.731666667,12.050833333,12.405833333
1013093558,DIPSIA,ANTOINE,G,M.D.,M,I,4215 NORWOOD AVE #01,,W. SACRAMENTO,CA,958383300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,67,102,61.781078431,8.32,6.0129411765,6.0129411765
1013093558,DIPSIA,ANTOINE,G,M.D.,M,I,4215 NORWOOD AVE #01,,W. SACRAMENTO,CA,958383300,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,24,29,12.314137931,1.42,0.9620689655,0.9620689655
1013093582,WASSERMAN,DANA,,NP,F,I,9327 N 3RD ST,SUITE 100,PHOENIX,AZ,850202471,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,28,70.129285714,8.32,5.1264285714,5.1264285714
1013093731,HORN,JAY,A,M.D.,M,I,333 POST RD W,,WESTPORT,CT,068804701,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,33,76.705454545,8.32,5.9290909091,5.9290909091
1013093731,HORN,JAY,A,M.D.,M,I,333 POST RD W,,WESTPORT,CT,068804701,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.4309090909,3.7754545455,3.1745454545
1013093731,HORN,JAY,A,M.D.,M,I,333 POST RD W,,WESTPORT,CT,068804701,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,78.19,41.936666667,29.178333333,33.35
1013093889,MANGO,MARTIN,N,M.D.,M,I,1825 MAPLE RD,,WILLIAMSVILLE,NY,142212723,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,60,61.727833333,8.32,5.1096666667,5.1096666667
1013093889,MANGO,MARTIN,N,M.D.,M,I,1825 MAPLE RD,,WILLIAMSVILLE,NY,142212723,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,14,12.48,1.42,0.88,0.88
1013093939,BURNEY,HEATHER,,MD,F,I,1801 ROZZELLES FERRY RD,,CHARLOTTE,NC,282084228,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,39,134,71.961492537,8.32,6.2309701493,6.2309701493
1013093939,BURNEY,HEATHER,,MD,F,I,1801 ROZZELLES FERRY RD,,CHARLOTTE,NC,282084228,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.646666667,3.38,2.65,2.65
1013093939,BURNEY,HEATHER,,MD,F,I,1801 ROZZELLES FERRY RD,,CHARLOTTE,NC,282084228,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,24,54,18.423888889,1.42,1.055,1.055
1013093954,EL-BEDAWI,KHALID,,MD,M,I,1515 W NORTH AVE,,BALTIMORE,MD,212171735,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,36,67.119166667,8.32,5.2258333333,5.2258333333
1013094093,HESS,CHERYL ANN,,"LCSW, PMHNP",F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,27,69.084814815,8.32,4.8303703704,4.8303703704
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,54,131,62.431908397,8.32,5.7751908397,5.7751908397
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.909090909,3.38,2.65,2.65
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,28,42,15.48,1.42,1.0080952381,1.0080952381
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,39,39.397435897,16.727948718,12.125128205,11.752820513
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,69,7.7901449275,2.1889855072,1.6652173913,1.5826086957
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.25,13.52,13.535
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,11.093333333,2.8558333333,2.8833333333
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,324.8285,75.56,59.24,55.632
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,4002,0.3204847576,0.0450424788,0.0353198401,0.0353198401
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,8.6665,3.003,2.354375,2.354375
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,980,2.8291632653,0.2193367347,0.1698979592,0.1698979592
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,699.15,157.41,123.4075,116.09916667
1013094184,FIELDS,DAVID,A,MD,M,I,96 TARA COMMONS DR,,LOGANVILLE,GA,300528031,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,33,33,25.87,25.87
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,43,80,91.875,19.71,15.065375,15.065375
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,30,30,240,37.38,27.346666667,27.346666667
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,39,22.212307692,16.265384615,12.489230769
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,510,198.45368421,155.58736842,155.58736842
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,270,100.58923077,74.266153846,50.52
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2500,250.2248,42.22072,33.101056,33.101056
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,16,1712,30.922149533,3.9932359813,3.1306950935,3.1306950935
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,30,241,5.5822821577,1.6767219917,1.2453941909,1.2453941909
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,228,50,2.64,2.07,2.07
1013094382,KUDALKAR,PRASAD,R,MD,M,I,7675 WELLNESS WAY,SUITE 301,WEST CHESTER,OH,450692509,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,24,24,18.82,18.82
1013094515,DRISCOLL,JAMES,A,M.D.,M,I,1305 W 34TH ST STE 400,,AUSTIN,TX,787051922,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,32.226363636,20.409090909,20.651818182
1013094663,HOLLOWELL,SYLVIA,K,MD,F,I,20905 GREENFIELD,#507,SOUTHFIELD,MI,48075,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,42,46.928333333,8.32,5.900952381,5.900952381
1013094853,HUMMEL,SCOTT,L,M.D.,M,I,1500 E MEDICAL CENTER DR,LEVEL 3 CARDIOVASCULAR CENTER,ANN ARBOR,MI,481095856,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,59,9267,2.5746455163,0.5567983166,0.431312183,0.4313111039
1013094853,HUMMEL,SCOTT,L,M.D.,M,I,1500 E MEDICAL CENTER DR,LEVEL 3 CARDIOVASCULAR CENTER,ANN ARBOR,MI,481095856,US,Advanced Heart Failure and Transplant Cardiology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,3075,0.3,0.0130536585,0.0102276423,0.0102276423
1013094853,HUMMEL,SCOTT,L,M.D.,M,I,1500 E MEDICAL CENTER DR,LEVEL 3 CARDIOVASCULAR CENTER,ANN ARBOR,MI,481095856,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,47,14160,2.2511567797,1.2246440678,0.9542358757,0.9542358757
1013094853,HUMMEL,SCOTT,L,M.D.,M,I,1500 E MEDICAL CENTER DR,LEVEL 3 CARDIOVASCULAR CENTER,ANN ARBOR,MI,481095856,US,Advanced Heart Failure and Transplant Cardiology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,12,1800,10,8.48725,6.6540166667,6.654
1013094853,HUMMEL,SCOTT,L,M.D.,M,I,1500 E MEDICAL CENTER DR,LEVEL 3 CARDIOVASCULAR CENTER,ANN ARBOR,MI,481095856,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,64,64,30.78125,24,18.5259375,18.5259375
1013094853,HUMMEL,SCOTT,L,M.D.,M,I,1500 E MEDICAL CENTER DR,LEVEL 3 CARDIOVASCULAR CENTER,ANN ARBOR,MI,481095856,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,65,136,20.779411765,16,12.542867647,12.542867647
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,43,112,320,64.64653125,8.32,5.98778125,5.98778125
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,14,31,31,13.144516129,3.38,2.65,2.65
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,16.837647059,2.12,1.67,1.67
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,27,63,81,15.23345679,1.42,1.0335802469,1.0335802469
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,115.55454545,41.277272727,29.510909091,28.878181818
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,31,8.19,1.6632258065,1.1535483871,1.004516129
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,334.48,96.792380952,75.786666667,68.046190476
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,49,133.02612245,37.651020408,27.744693878,24.435510204
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,14,84,50.387738095,15.44,11.240357143,11.042261905
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,234.219,58.2,43.3485,40.717
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,21,21,68.363809524,19.179047619,12.937619048,12.09047619
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,30,30,71.196333333,11.245333333,8.7803333333,9.087
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,40,235,9.3539574468,2.0695319149,1.5428510638,1.5122978723
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,22.114285714,6.4592857143,4.9514285714,4.54
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,15,21,21,57.020952381,15.467142857,12.125238095,10.424761905
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,11,19,71.323684211,20.866315789,16.354210526,16.253157895
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,314.09363636,93.26,73.112727273,73.112727273
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,18,57.683333333,14.894444444,11.026666667,9.8977777778
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,35.891,5.683,4.15,3.514
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,30,255.346,33.718,21.519666667,19.702
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,41,440.55243902,92.750731707,69.394390244,62.23097561
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6407692308,7.454,7.454
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2520,1.0335634921,0.1341071429,0.0756309524,0.0756309524
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1200,12.86,3.01985,2.28795,2.28795
1013094903,CALDWELL,RONALD,R,M.D.,M,I,15 SKYLAND INN DR,,ARDEN,NC,287047714,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,33,33,132,33,23.298181818,23.298181818
1013094978,CHILDRESS,THOMAS,W,D.P.M,M,I,3 AUDUBON PLAZA DR,SUITE 320,LOUISVILLE,KY,402171319,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,92,92,184,79.773586957,71.216956522,54.02423913,54.293097826
1013094978,CHILDRESS,THOMAS,W,D.P.M,M,I,3 AUDUBON PLAZA DR,SUITE 320,LOUISVILLE,KY,402171319,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,91,91,546,32,29.19,22.770494505,22.772087912
1013094978,CHILDRESS,THOMAS,W,D.P.M,M,I,3 AUDUBON PLAZA DR,SUITE 320,LOUISVILLE,KY,402171319,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,42,42,300,266.98,203.56904762,212.92119048
1013094978,CHILDRESS,THOMAS,W,D.P.M,M,I,3 AUDUBON PLAZA DR,SUITE 320,LOUISVILLE,KY,402171319,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,17,250,154.71,121.04411765,119.50352941
1013094978,CHILDRESS,THOMAS,W,D.P.M,M,I,3 AUDUBON PLAZA DR,SUITE 320,LOUISVILLE,KY,402171319,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,250,163.79,128.41,126.52
1013094994,WEBER,HEATHER,,NP,F,I,315 W OLD KEY DR,,PERU,IN,469709057,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,33,9.7745454545,2.8933333333,2.2696969697,1.7181818182
1013094994,WEBER,HEATHER,,NP,F,I,315 W OLD KEY DR,,PERU,IN,469709057,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,19,86.31,21.518421053,15.012105263,12.525789474
1013094994,WEBER,HEATHER,,NP,F,I,315 W OLD KEY DR,,PERU,IN,469709057,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,81.75,17.190833333,12.513333333,9.3133333333
1013094994,WEBER,HEATHER,,NP,F,I,315 W OLD KEY DR,,PERU,IN,469709057,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,45.1875,7.7575,5.7775,3.6916666667
1013094994,WEBER,HEATHER,,NP,F,I,315 W OLD KEY DR,,PERU,IN,469709057,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,20,226.615,57.484,43.3415,29.2105
1013094994,WEBER,HEATHER,,NP,F,I,315 W OLD KEY DR,,PERU,IN,469709057,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,55,364.01254545,105.01636364,79.182727273,54.797636364
1013095041,ABU BAKAR,INJIL,,MD,F,I,3 VILLAGE GRN N STE 321,THE PINEHILLS,PLYMOUTH,MA,023608803,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,43,134,75.714552239,8.32,6.3762686567,6.3762686567
1013095041,ABU BAKAR,INJIL,,MD,F,I,3 VILLAGE GRN N STE 321,THE PINEHILLS,PLYMOUTH,MA,023608803,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,21,86.31,17,12.695238095,12.757619048
1013095041,ABU BAKAR,INJIL,,MD,F,I,3 VILLAGE GRN N STE 321,THE PINEHILLS,PLYMOUTH,MA,023608803,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,21,519.51,78,58.238095238,56.70952381
1013095041,ABU BAKAR,INJIL,,MD,F,I,3 VILLAGE GRN N STE 321,THE PINEHILLS,PLYMOUTH,MA,023608803,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1166,0.3089108062,0.0453859348,0.033619211,0.033619211
1013095587,ZARRAGA,ANTONIO,L,MD,M,I,804 N. DUPONT BLVD,,MILFORD,DE,19963,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,37,114,70.175438596,8.32,5.2037719298,5.2037719298
1013095587,ZARRAGA,ANTONIO,L,MD,M,I,804 N. DUPONT BLVD,,MILFORD,DE,19963,US,Physician/Infectious Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,24,31,13.65,1.42,0.9719354839,0.9719354839
1013095587,ZARRAGA,ANTONIO,L,MD,M,I,804 N. DUPONT BLVD,,MILFORD,DE,19963,US,Physician/Infectious Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,16.59,11.142857143,11.667619048
1013095587,ZARRAGA,ANTONIO,L,MD,M,I,804 N. DUPONT BLVD,,MILFORD,DE,19963,US,Physician/Infectious Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,41.411,4.2775,3.2025,3.49
1013095587,ZARRAGA,ANTONIO,L,MD,M,I,804 N. DUPONT BLVD,,MILFORD,DE,19963,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,519.51,67.72,48.298484848,49.904848485
1013095587,ZARRAGA,ANTONIO,L,MD,M,I,804 N. DUPONT BLVD,,MILFORD,DE,19963,US,Physician/Infectious Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,38.72,30.36,29.52
1013095603,JOHN,THOMAS,M,M. D.,M,I,782 OLD HICKORY BLVD,SUITE 203,BRENTWOOD,TN,370274561,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2700,0.17,0.0463333333,0.0363185185,0.0363185185
1013095603,JOHN,THOMAS,M,M. D.,M,I,782 OLD HICKORY BLVD,SUITE 203,BRENTWOOD,TN,370274561,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.75,0.219,0.1717575758,0.1717575758
1013095603,JOHN,THOMAS,M,M. D.,M,I,782 OLD HICKORY BLVD,SUITE 203,BRENTWOOD,TN,370274561,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,234,543,543,100.53211786,39.649189687,28.754732965,28.178471455
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,89,225,225,322.4856,85.526844444,62.813911111,63.547333333
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,89,218,556,130.31165468,33.112913669,25.050359712,24.97778777
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,116,244,1294,62.001591963,18.411901082,13.867187017,13.972156105
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,52,115,628,45.005143312,15.285127389,11.319538217,11.22138535
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,180,393,393,175.7846056,52.645725191,38.763180662,40.196590331
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,247,342,342,60.411578947,18.39751462,14.107660819,13.75002924
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,17,17,40.957058824,10.731764706,7.9494117647,7.6735294118
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,25,50,50,68.1212,12.0562,8.8594,8.5648
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,248,605,3174,8.8134562067,2.0712192817,1.5551165721,1.5219817265
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,24,32,32,23.25,5.7940625,4.4071875,4.515
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,140,191,191,44.840837696,13.128586387,9.7856544503,9.8438743455
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,13,58,58,330.86293103,85.826551724,60.137758621,59.423965517
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,787.26238095,199.70333333,149.73761905,156.25285714
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,81,82,82,516.73292683,131.51463415,103.10585366,105.72597561
1013095777,KHAN,AMER,H,MD,M,I,3001 DOUGLAS BLVD,SUITE 220,ROSEVILLE,CA,956613851,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,131,673,673,171.58833581,34.03423477,24.811292719,24.435557207
1013095892,MCGAVERN,MEGAN,B,D.O.,F,I,12652 JEFFERSON AVE,,NEWPORT NEWS,VA,236024392,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,35,84,312,50.662371795,8.32,6.3968269231,6.3968269231
1013095892,MCGAVERN,MEGAN,B,D.O.,F,I,12652 JEFFERSON AVE,,NEWPORT NEWS,VA,236024392,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,16,34,34,14.107058824,3.38,2.65,2.65
1013095892,MCGAVERN,MEGAN,B,D.O.,F,I,12652 JEFFERSON AVE,,NEWPORT NEWS,VA,236024392,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,22.004444444,2.12,1.67,1.67
1013095892,MCGAVERN,MEGAN,B,D.O.,F,I,12652 JEFFERSON AVE,,NEWPORT NEWS,VA,236024392,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,26,56,125,13.07768,1.42,1.0952,1.0952
1013095892,MCGAVERN,MEGAN,B,D.O.,F,I,12652 JEFFERSON AVE,,NEWPORT NEWS,VA,236024392,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,13.371666667,4.5783333333,3.5933333333,3.8283333333
1013095991,SIDHU,RABINDER,S,M.D.,M,I,7151 N CEDAR AVE,SUITE #103,FRESNO,CA,937203389,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,54.905555556,3.3633333333,2.4761111111,3.1733333333
1013095991,SIDHU,RABINDER,S,M.D.,M,I,7151 N CEDAR AVE,SUITE #103,FRESNO,CA,937203389,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,71,55.66,54.814545455
1013095991,SIDHU,RABINDER,S,M.D.,M,I,7151 N CEDAR AVE,SUITE #103,FRESNO,CA,937203389,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1886,1.3212884411,0.1327200424,0.0968345705,0.0968345705
1013095991,SIDHU,RABINDER,S,M.D.,M,I,7151 N CEDAR AVE,SUITE #103,FRESNO,CA,937203389,US,Physician/Allergy/ Immunology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,625,0.808048,0.219152,0.171792,0.171792
1013095991,SIDHU,RABINDER,S,M.D.,M,I,7151 N CEDAR AVE,SUITE #103,FRESNO,CA,937203389,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,31,31,103.25806452,33,23.366451613,23.366451613
1013096288,DORSETT,MELISSA,A,DPM,F,I,3430 NEWBURG RD,STE 153,LOUISVILLE,KY,40218,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,56,89,71.56,56.105,56.105
1013096288,DORSETT,MELISSA,A,DPM,F,I,3430 NEWBURG RD,STE 153,LOUISVILLE,KY,40218,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,120,36,36,28.223333333,32.668333333
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,44,117,294,50.654863946,8.32,5.8782653061,5.8782653061
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.398461538,3.38,2.65,2.65
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,40,48,15.21625,1.42,1.0475,1.0475
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,20,46,46,464.77978261,86.33,60.825869565,60.989130435
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,16,42,121,186.41785124,33.48,23.963636364,23.641818182
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,115,106.34721739,19.004434783,13.420956522,13.130695652
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,13,31,160,72.75975,15.12,11.5204375,11.5574375
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,22,47,47,302.25617021,54.600212766,41.902553191,41.94893617
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,39,57,57,86.352631579,17.919298246,13.549649123,13.567894737
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,34,70,70,93.482428571,11.582857143,8.5495714286,8.6021428571
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,35,79,425,13.354729412,2.0304705882,1.5376470588,1.5408941176
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,27,40,40,52.2805,13.304,10.1705,10.086
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,30,69.786,17.29,12.646666667,12.63
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,81.75,13.744736842,9.3768421053,9.1052631579
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,53.48,4.85,3.6629166667,3.6591666667
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,63,63,262.07873016,32.02952381,23.575873016,23.111269841
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,48,390.228125,70.23,52.96625,52.654791667
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,3916,0.4622369765,0.0458120531,0.0359193054,0.0359193054
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,25,2700,1.7171037037,0.1356111111,0.0879851852,0.0879851852
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,55,19.931428571,14.268571429,13.098571429
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22,8.4116666667,5.9025,5.8175
1013096486,CRANE,RICHARD,D,M.D.,M,I,16 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,14,41,41,52.317073171,33,23.346097561,23.346097561
1013096940,BOMMAKANTI,SATYA,V,MD,F,I,701 PARK AVE,,MINNEAPOLIS,MN,554151623,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,24,24,18.82,18.82
1013096981,FESPERMAN,JOHN,E,FNP,M,I,10130 PERIMETER PKWY STE 200,,CHARLOTTE,NC,282160197,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,15,15,39.299333333,9.0213333333,7.0746666667,4.5366666667
1013096981,FESPERMAN,JOHN,E,FNP,M,I,10130 PERIMETER PKWY STE 200,,CHARLOTTE,NC,282160197,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,326.96785714,103.59285714,81.22,80.762857143
1013096981,FESPERMAN,JOHN,E,FNP,M,I,10130 PERIMETER PKWY STE 200,,CHARLOTTE,NC,282160197,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,,40,42,105.31547619,23.581190476,17.808571429,13.918095238
1013097229,GIZDAVCIC,VESNA,M,MD,F,I,275 SEVENTH AVENUE,"UNION HEALTH CENTER, INC.",NEW YORK,NY,10001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,49,55.653061224,8.32,5.7234693878,5.7234693878
1013097229,GIZDAVCIC,VESNA,M,MD,F,I,275 SEVENTH AVENUE,"UNION HEALTH CENTER, INC.",NEW YORK,NY,10001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,24.939411765,1.42,0.9188235294,0.9188235294
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,137.7425,41.73125,29.36625,32.663125
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,879.39,94.900909091,65.654545455,110.79454545
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,58.50875,16.97,13.31,13.51125
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,7,3.3066666667,2.4094444444,3.4605555556
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.63,7.83,5.4181818182,5.8109090909
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,368.1975,71.11,55.75,54.8575
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,61,61,32.418032787,14.53557377,9.3791803279,11.686229508
1013097260,RIVERO,JORGE,A,MD,M,I,23521 PASEO DE VALENCIA,SUITE 108,LAGUNA HILLS,CA,926533107,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,29.066666667,20.108333333,14.108333333,19.548333333
1013097278,PLONKA,RANDY,J,MD,M,I,5979 LAKESHORE,,FT GRATIOT,MI,48059,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,42,132,48.418484848,8.32,6.0776515152,6.0776515152
1013097278,PLONKA,RANDY,J,MD,M,I,5979 LAKESHORE,,FT GRATIOT,MI,48059,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,15.692307692,3.38,2.65,2.65
1013097278,PLONKA,RANDY,J,MD,M,I,5979 LAKESHORE,,FT GRATIOT,MI,48059,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,40,16.463,1.42,1.087,1.087
1013097278,PLONKA,RANDY,J,MD,M,I,5979 LAKESHORE,,FT GRATIOT,MI,48059,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,18,372.64333333,79.677777778,59.141111111,52.118888889
1013097278,PLONKA,RANDY,J,MD,M,I,5979 LAKESHORE,,FT GRATIOT,MI,48059,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,86.08,39.125384615,30.675384615,22.006153846
1013097286,COWART,REESHEMAN,G,DPM,F,I,2630 KINGSBRIDGE TER,#3H,BRONX,NY,104637503,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,71.403846154,71.403846154,51.504230769,51.623846154
1013097328,TAYLOR,EVANGELINE,M,PA-C,F,I,2525 KANEVILLE RD,,GENEVA,IL,601342578,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,89,64.76,50.77,46.718333333
1013097534,SENDER,MARK,B,"M.D., IN",M,I,23928 LYONS AVE STE 202,,NEWHALL,CA,913212454,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,80,7679,0.4307084256,0.13,0.0975543691,0.0975543691
1013097534,SENDER,MARK,B,"M.D., IN",M,I,23928 LYONS AVE STE 202,,NEWHALL,CA,913212454,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,20,106,13186,4.9085924465,1.73,1.3357826483,1.5681222509
1013097534,SENDER,MARK,B,"M.D., IN",M,I,23928 LYONS AVE STE 202,,NEWHALL,CA,913212454,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,46,5390,10.213747681,7.23,5.5351038961,5.5351038961
1013097534,SENDER,MARK,B,"M.D., IN",M,I,23928 LYONS AVE STE 202,,NEWHALL,CA,913212454,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,3990,12.497744361,7.88,6.137122807,6.137122807
1013097534,SENDER,MARK,B,"M.D., IN",M,I,23928 LYONS AVE STE 202,,NEWHALL,CA,913212454,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,88,2.7845454545,1.8,1.2181818182,1.2181818182
1013097583,SAVAGE,PENNIE,D,CRNP,F,I,31535 SPEARIN RD,,SALISBURY,MD,218041568,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,15,8.5090909091,6.6736363636,7.4381818182
1013097583,SAVAGE,PENNIE,D,CRNP,F,I,31535 SPEARIN RD,,SALISBURY,MD,218041568,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,18,81,81,85.740740741,55.661358025,41.639135802,40.111234568
1013097583,SAVAGE,PENNIE,D,CRNP,F,I,31535 SPEARIN RD,,SALISBURY,MD,218041568,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,7,4.1881818182,3.2872727273,3.5836363636
1013097583,SAVAGE,PENNIE,D,CRNP,F,I,31535 SPEARIN RD,,SALISBURY,MD,218041568,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,120,50.508,39.6,40.13
1013097583,SAVAGE,PENNIE,D,CRNP,F,I,31535 SPEARIN RD,,SALISBURY,MD,218041568,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,170.69866667,68.672,53.846,54.73
1013097583,SAVAGE,PENNIE,D,CRNP,F,I,31535 SPEARIN RD,,SALISBURY,MD,218041568,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,52,52,42.384615385,23.889615385,18.729615385,17.357307692
1013097583,SAVAGE,PENNIE,D,CRNP,F,I,31535 SPEARIN RD,,SALISBURY,MD,218041568,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,51,51,19.215686275,8.6445098039,6.6435294118,6.5449019608
1013097815,LOEW,PATRICK,D,PA-C,M,I,2600 39TH AVE NE,,MINNEAPOLIS,MN,554214379,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,34,86.873235294,8.32,5.37,5.37
1013097815,LOEW,PATRICK,D,PA-C,M,I,2600 39TH AVE NE,,MINNEAPOLIS,MN,554214379,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,321.34733333,46.612,36.544,37.515333333
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,58,58.655344828,8.32,6.2975862069,6.2975862069
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.24,2.24,1.6099285714,1.6338571429
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,12.66,7.35,5.28,5.3716666667
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,1140,3.5387017544,2.96,2.3206666667,2.3206666667
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1500,0.1625,0.13,0.1019,0.1019
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,18,552,187.70326087,4.9854347826,3.9083695652,4.1282971014
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,18,8246,1.4278195489,0.3025624545,0.2372107689,0.2423405287
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,55,56,121.33303571,50.432142857,36.250178571,34.609285714
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,32,32,201.44875,122.34625,93.3271875,96.94625
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,47.79,20.323333333,15.044666667,15.025333333
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,56,1475.3142857,936.18142857,730.14803571,838.43946429
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,39,40,99.30675,42.97925,29.313,31.52825
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,39,679.81025641,80.586153846,60.332564103,55.433589744
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,56,56,48.985535714,22.984285714,16.585357143,12.777857143
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,171.95529412,78.84,61.812352941,53.204117647
1013097831,FOXMAN,ALEX,,M.D.,M,I,9400 BRIGHTON WAY,STE 410,BEVERLY HILLS,CA,902104703,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,285.6,37,27.076,27.551333333
1013097856,PERSAUD,DUSTAFF,R,ED.D MBA PA-C,M,I,269 N 1ST AVE,,IOWA CITY,IA,522453616,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,19,36,83,81.527228916,8.32,5.7372289157,5.7372289157
1013097856,PERSAUD,DUSTAFF,R,ED.D MBA PA-C,M,I,269 N 1ST AVE,,IOWA CITY,IA,522453616,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,14,21,15.068571429,1.42,1.01,1.01
1013097906,HOROWITZ,KIM,,M.D.,M,I,20797 SANTA LUCIA ST,,TEHACHAPI,CA,935618676,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,18,49,79,78.349367089,8.32,5.3664556962,5.3664556962
1013097906,HOROWITZ,KIM,,M.D.,M,I,20797 SANTA LUCIA ST,,TEHACHAPI,CA,935618676,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,25,25,17.0124,1.42,0.896,0.896
1013097906,HOROWITZ,KIM,,M.D.,M,I,20797 SANTA LUCIA ST,,TEHACHAPI,CA,935618676,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,239.19846154,53.293846154,35.298461538,36.416923077
1013097906,HOROWITZ,KIM,,M.D.,M,I,20797 SANTA LUCIA ST,,TEHACHAPI,CA,935618676,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,88.016153846,12.699230769,9.9569230769,9.12
1013097906,HOROWITZ,KIM,,M.D.,M,I,20797 SANTA LUCIA ST,,TEHACHAPI,CA,935618676,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,10.81375,2,1.5683333333,1.5916666667
1013097906,HOROWITZ,KIM,,M.D.,M,I,20797 SANTA LUCIA ST,,TEHACHAPI,CA,935618676,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,124.67772727,16.98,12.705,12.907727273
1013097906,HOROWITZ,KIM,,M.D.,M,I,20797 SANTA LUCIA ST,,TEHACHAPI,CA,935618676,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,558.28323529,72.06,56.5,54.938235294
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,64,139,139,94.187985612,38.57352518,26.654028777,26.897194245
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,26,52,7.0153846154,1.4211538462,1.0682692308,1.1076923077
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,34,68,68,253.68882353,84.202205882,56.429411765,58.217647059
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,31,67,173,109.31907514,32.30416185,23.978381503,24.543410405
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,42,105,567,51.745396825,18,12.839065256,13.244215168
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,25,52,279,39.525698925,15.019498208,10.656272401,10.753405018
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,73,175,175,154.42685714,56.891314286,39.278742857,37.795257143
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,91,126,126,47.617857143,17.600952381,12.384285714,12.629444444
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,44,96,96,46.27375,10.9971875,7.8914583333,8.355
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,90,197,1142,7.4449649737,2.0100875657,1.4608756567,1.4753415061
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,62,80,80,18.539625,5.838875,4.187125,4.254625
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,58,77,77,36.45,13.28987013,9.3414285714,9.2702597403
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,101,104,26.093461538,17.25,12.499807692,12.518076923
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,33,34,189.585,45.81,33.807058824,35.492647059
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,155.02,90.367333333,70.843333333,71.896666667
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,372.10173913,136.74782609,107.20565217,104.59565217
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,39,187,191,138.45366492,33.598324607,24.957748691,24.349424084
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,25,184,205,188.05995122,75.78204878,55.450390244,51.491365854
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,132.06896552,36.560344828,28.663103448,29.521034483
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,1080,19.419675926,9.6133333333,7.5368518519,7.5368518519
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,4387,0.2258468202,0.0460861637,0.0288124003,0.0288124003
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,51,4259,1.481134069,0.1342756516,0.1001690538,0.1001690538
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1080,10.693648148,3.0433611111,2.2531759259,2.2531759259
1013097971,SIORE,AMSEL,M,MD,M,I,1800 TREE LANE ROAD,SUITE 200,SNELLVILLE,GA,30078,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,17,77,77,66.428571429,33,25.198051948,25.198051948
1013098136,HURST,LAINIE,,M.D.,F,I,635 MADISON AVE,8TH FLOOR,NEW YORK,NY,100221009,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,39,120,58.205916667,8.32,6.1965,6.1965
1013098326,SMITH,CYNTHIA,J,PC-C,F,I,1100 HOLLENBECK LN,,DEER LODGE,MT,597222317,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,19.35,7.5041666667,5.4783333333,3.505
1013098516,LU,CHONG-PING,C,M.D.,M,I,1000 E LATHAM AVE STE E,,HEMET,CA,925434409,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,59.34,12,9.41,9.1463636364
1013098516,LU,CHONG-PING,C,M.D.,M,I,1000 E LATHAM AVE STE E,,HEMET,CA,925434409,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,29,47.883448276,17,12.870344828,13.024137931
1013098516,LU,CHONG-PING,C,M.D.,M,I,1000 E LATHAM AVE STE E,,HEMET,CA,925434409,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,164.19428571,30.202142857,22.098571429,23.399285714
1013098516,LU,CHONG-PING,C,M.D.,M,I,1000 E LATHAM AVE STE E,,HEMET,CA,925434409,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,57,62,404.83725806,79.22,59.954193548,54.002580645
1013098516,LU,CHONG-PING,C,M.D.,M,I,1000 E LATHAM AVE STE E,,HEMET,CA,925434409,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,57.75,33,23.714166667,23.714166667
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,68,140,499,78.86242485,8.32,5.9335671343,5.9335671343
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,48,99,166,15.992650602,1.42,1.026686747,1.026686747
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,225,75.4225,59.135,42.083333333
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,45,11.0675,8.675,7.4216666667
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,11,11,11,40.819090909,37.233636364,29.190909091,58.952727273
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,505.902,79.22,57.969333333,51.081333333
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,525,37.15,26.7025,27.090833333
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,61,10860,4.5564346225,0.5648517495,0.4169742173,0.4273222836
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,7470,0.1182985274,0.0129598394,0.0101686747,0.010167336
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,63,7830,6.123247765,1.1804061303,0.8429003831,0.8999246488
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,23,100,22.277391304,16.505217391,12.865217391
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,K0462,"Temporary replacement for patient owned equipment being repaired, any type",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,429.21181818,269.37,211.19,211.19
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,3,,14,164,32.359756098,22.892317073,17.948170732,17.948109756
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,79,79,24,24,18.581772152,18.581772152
1013098557,CHANDRASHEKAR,JAMBUR,E,M.D.,M,I,81719 DR. CARREON BLVD,STE A,INDIO,CA,92201,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,87,114,16,16,12.274210526,12.274210526
1013098821,SMILTNEEK,ERIC,A,MD,M,I,210 WISCONSIN AMERICAN DR,,FOND DU LAC,WI,549372999,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,5.25,2.04,1.5993333333,1.5993333333
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,136,332,94.083192771,8.32,5.9131325301,5.9131325301
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.886315789,3.38,2.65,2.65
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,79,110,16.690454545,1.42,1.0149090909,1.0149090909
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,7,5.54,4.3435,4.3435
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,3,3,2.352,2.375625
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,1112,7.8300359712,3,2.3521402878,2.3656564748
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,30,652,14,4.9,3.8415337423,4.1171319018
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,10434,0.6757945179,0.3,0.2326864098,0.2405347901
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,15841,1.5118748816,0.6260924184,0.4898649075,0.510921659
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,16,16,130,58,45.47,47.429375
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,158.98666667,49.655,38.93,41.105
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,62,67,67,16.04,11.631940299,12.581940299
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,34.41952381,5.5,4.3157142857,3.5752380952
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,22,23,30,4.75,3.3965217391,3.5808695652
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,250,70.74,39.061428571,39.061428571
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,91,96,239.71875,71.5,51.9509375,50.7734375
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,62,11291,0.5847524577,0.0465981755,0.0346966611,0.0346948897
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,27,180,15851,2.4062967636,0.133947385,0.0949940067,0.0949940067
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,37,1665,3.281951952,0.2189009009,0.1427927928,0.1427927928
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,63.716666667,15.46,11.510277778,13.436944444
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,24.739411765,6.5970588235,4.5952941176,5.9770588235
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,61.96,35.5,25.139545455,26.705
1013098862,PINAL,JOSE,,MD,M,I,526 42ND ST,,UNION CITY,NJ,070872607,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,36,201,201,35.955223881,33,23.366069652,23.366069652
1013098995,GULANIKAR,AVINASH,C,"M.D,",M,I,294 EAST LAYFAIR DR,,FLOWOOD,MS,39232,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,33,3930,0.39,0.13,0.0871603053,0.0871603053
1013098995,GULANIKAR,AVINASH,C,"M.D,",M,I,294 EAST LAYFAIR DR,,FLOWOOD,MS,39232,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,96,12060,5.4577487562,1.89,1.4280679934,1.5404444444
1013099480,MCKEON,PATRICIA,F,PA,F,I,780 MAIN ST,STE 1,GT BARRINGTON,MA,012302180,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,171.5625,29.81,21.909375,21.91875
1013099548,RICHARDSON,PEGGY,,M.D.,F,I,20755 GREENFIELD RD,SUITE # 802,SOUTHFIELD,MI,48075,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,33,70,40.013142857,8.32,5.9631428571,5.9631428571
1013099548,RICHARDSON,PEGGY,,M.D.,F,I,20755 GREENFIELD RD,SUITE # 802,SOUTHFIELD,MI,48075,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,14.121176471,3.38,2.65,2.65
1013099548,RICHARDSON,PEGGY,,M.D.,F,I,20755 GREENFIELD RD,SUITE # 802,SOUTHFIELD,MI,48075,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,33,40,16.05475,1.42,0.977,0.977
1013099548,RICHARDSON,PEGGY,,M.D.,F,I,20755 GREENFIELD RD,SUITE # 802,SOUTHFIELD,MI,48075,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,104.55,47.39,33.772727273,34.263636364
1013099548,RICHARDSON,PEGGY,,M.D.,F,I,20755 GREENFIELD RD,SUITE # 802,SOUTHFIELD,MI,48075,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,324.7525,79.88,47.571875,43.6225
1013099647,STEIN,ANNA,L,MD,F,I,400 S 43RD ST,,RENTON,WA,980555714,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,328.57727273,77.34,60.63,54.73
1013099647,STEIN,ANNA,L,MD,F,I,400 S 43RD ST,,RENTON,WA,980555714,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,39.3,30.81,29.51
1013099746,TAN,KWAN,T,M.D.,M,I,7872 WALKER ST,,LA PALMA,CA,906231796,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,21,35,61.706,8.32,5.4037142857,5.4037142857
1013099746,TAN,KWAN,T,M.D.,M,I,7872 WALKER ST,,LA PALMA,CA,906231796,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,66.176470588,30.480588235,23.902352941,25.14
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,53,147,69.989659864,8.32,6.5220408163,6.5220408163
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,16.666666667,3.38,2.65,2.65
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,24.086363636,2.12,1.67,1.67
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,35,16.996571429,1.42,1.1142857143,1.1142857143
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,180.03,61.271666667,48.035833333,42.86
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,57.4775,14.711666667,10.554166667,8.36
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,87,9.6248275862,2.3731034483,1.684137931,1.4391954023
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,26,185.01692308,38.825769231,28.288076923,23.903461538
1013099761,GUNTHER,ELIZABETH,A,D.O.,F,I,130 JFK DR,STE 134,LAKE WORTH,FL,334621133,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,30,417.97566667,88.809,69.432666667,55.590666667
1013100767,PINGLETON,DAWN,E,D.O.,F,I,1530 LONE OAK RD,,PADUCAH,KY,420037901,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,219.5,71.222727273,48.848181818,32.028181818
1013100767,PINGLETON,DAWN,E,D.O.,F,I,1530 LONE OAK RD,,PADUCAH,KY,420037901,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,48,48,49.8125,22.564375,17.067083333,13.719166667
1013100767,PINGLETON,DAWN,E,D.O.,F,I,1530 LONE OAK RD,,PADUCAH,KY,420037901,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,1561.02,1074.31,833.00387097,833.00387097
1013100767,PINGLETON,DAWN,E,D.O.,F,I,1530 LONE OAK RD,,PADUCAH,KY,420037901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,48,48,327.75,103.43520833,78.605208333,57.518958333
1013100775,PARKS,CAROL,L,,F,I,1225 E COOLSPRING AVE,2-E,MICHIGAN CITY,IN,463606312,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,23,88,64.323522727,8.32,6.3742045455,6.3742045455
1013100775,PARKS,CAROL,L,,F,I,1225 E COOLSPRING AVE,2-E,MICHIGAN CITY,IN,463606312,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,75.514090909,17.331363636,13.588181818,13.54
1013100775,PARKS,CAROL,L,,F,I,1225 E COOLSPRING AVE,2-E,MICHIGAN CITY,IN,463606312,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,54,54,50,5.02,3.94,3.77
1013100775,PARKS,CAROL,L,,F,I,1225 E COOLSPRING AVE,2-E,MICHIGAN CITY,IN,463606312,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,41,391.12390244,70.023658537,54.897560976,54.897560976
1013100866,JAMES,DONALD,L,DO,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,26,62,46.396129032,8.32,6.5227419355,6.5227419355
1013100866,JAMES,DONALD,L,DO,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,20,15.8795,1.42,1.1145,1.1145
1013100866,JAMES,DONALD,L,DO,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,218.74411765,7.0088235294,5.28,4.0529411765
1013100866,JAMES,DONALD,L,DO,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,167.68866667,24.807333333,16.567333333,11.061333333
1013101021,GARCIA MEDINA,AURELIO,,MD,M,I,MANSION DEL LAGO CALLE 3 # 89,,PONCE,PR,007320067,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,36.655384615,26.547692308,20.814615385,19.52
1013101021,GARCIA MEDINA,AURELIO,,MD,M,I,MANSION DEL LAGO CALLE 3 # 89,,PONCE,PR,007320067,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,16.525,11.826666667,9.2675,8.705
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,57,136,71.106323529,8.32,5.7969852941,5.7969852941
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,13,14,12.582857143,1.42,0.9585714286,0.9585714286
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,382,6.1141099476,2.91,2.2815183246,2.2815183246
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,226.99,58.303636364,45.706363636,42.911818182
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,834.45777778,32.44,21.555555556,21.664444444
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,37,616.02054054,69.99,51.904054054,51.779189189
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,19.517060606,9.651,7.4321363636,7.4321363636
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,10.353194444,3.01175,2.3612361111,2.3612361111
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,38.68,27.987692308,27.24
1013101054,PLOOSTER,WAYNE,,DO,M,I,717 SAINT FRANCIS ST,,RAPID CITY,SD,577014677,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1013101443,BIZZELL,NICOLE,P,NP-C,F,I,129 CARL VINSON PKWY,,WARNER ROBINS,GA,310885817,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,39,77.580769231,8.32,5.8520512821,5.8520512821
1013101948,ALI,ASJAD,M,M.D.,M,I,27 SHREWSBURY ST,,HOLDEN,MA,015201842,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17,12.219166667,12.433333333
1013101948,ALI,ASJAD,M,M.D.,M,I,27 SHREWSBURY ST,,HOLDEN,MA,015201842,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,77.55,55.733333333,50.169166667
1013102979,GREENBERG,JOHANNA,E,PA-C,F,I,220 MILLPOND,#100,STANSBURY PARK,UT,840749745,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,87,51.768965517,8.32,5.9228735632,5.9228735632
1013102979,GREENBERG,JOHANNA,E,PA-C,F,I,220 MILLPOND,#100,STANSBURY PARK,UT,840749745,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,1.3329166667,0.1345,0.0902916667,0.0902916667
1013102979,GREENBERG,JOHANNA,E,PA-C,F,I,220 MILLPOND,#100,STANSBURY PARK,UT,840749745,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,21.558333333,21.558333333
1013103076,POLKAMPALLI,NANDAKISHORE,,M.D,M,I,37 BALL PARK ROAD,SUITE 201,HARLAN,KY,40831,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,33,80.050909091,22.432727273,16.681515152,13.481818182
1013103076,POLKAMPALLI,NANDAKISHORE,,M.D,M,I,37 BALL PARK ROAD,SUITE 201,HARLAN,KY,40831,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,1561.02,1074.31,831.32583333,831.32583333
1013103076,POLKAMPALLI,NANDAKISHORE,,M.D,M,I,37 BALL PARK ROAD,SUITE 201,HARLAN,KY,40831,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,9.82,7.6984615385,4.1976923077
1013103076,POLKAMPALLI,NANDAKISHORE,,M.D,M,I,37 BALL PARK ROAD,SUITE 201,HARLAN,KY,40831,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,51,496.58568627,103.72666667,78.980196078,57.447254902
1013103076,POLKAMPALLI,NANDAKISHORE,,M.D,M,I,37 BALL PARK ROAD,SUITE 201,HARLAN,KY,40831,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,20,146.25,26.966,21.142,13.536
1013103076,POLKAMPALLI,NANDAKISHORE,,M.D,M,I,37 BALL PARK ROAD,SUITE 201,HARLAN,KY,40831,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,20,62.16,10.894,8.541,6.364
1013103100,HARRIS,WILLIAM,,DPM,M,I,1190 HIGHWAY 9 BYP W,,LANCASTER,SC,297201709,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,28,28,56,139.54107143,71.56,50.318928571,50.318571429
1013103100,HARRIS,WILLIAM,,DPM,M,I,1190 HIGHWAY 9 BYP W,,LANCASTER,SC,297201709,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,24,144,57.665,29.19,22.667916667,22.669444444
1013103100,HARRIS,WILLIAM,,DPM,M,I,1190 HIGHWAY 9 BYP W,,LANCASTER,SC,297201709,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,20,148.968,74.55,58.45,63.1
1013103100,HARRIS,WILLIAM,,DPM,M,I,1190 HIGHWAY 9 BYP W,,LANCASTER,SC,297201709,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,26,969.65692308,485.16,353.555,363.56076923
1013103100,HARRIS,WILLIAM,,DPM,M,I,1190 HIGHWAY 9 BYP W,,LANCASTER,SC,297201709,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,27,713.5437037,356.34,263.32185185,292.57888889
1013103100,HARRIS,WILLIAM,,DPM,M,I,1190 HIGHWAY 9 BYP W,,LANCASTER,SC,297201709,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,26,157.82692308,78.81,58.167692308,64.634230769
1013103100,HARRIS,WILLIAM,,DPM,M,I,1190 HIGHWAY 9 BYP W,,LANCASTER,SC,297201709,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,40,41,499.98,266.98,208.30097561,217.1802439
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,36.393333333,24.19,15.8,19.009166667
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,,76,3155,3.0061077655,2.2698098257,1.6871473851,1.687296355
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2040,3.1124705882,2.0388235294,1.5280833333,1.529004902
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,93,16420,11.181326431,7.87,6.1269269184,6.134544458
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,85,163,13.86404908,10.928527607,8.1479754601,8.1491411043
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,86,194,9.1088659794,7.4591752577,5.547371134,5.5480412371
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1200,0.5,0.4,0.2874666667,0.2874666667
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,1000,0.49,0.27,0.2116,0.2116
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,36,36,36,79.375,70.195555556,55.034444444,37.568333333
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,33,33,33,69.425757576,52.159393939,40.895151515,40.795151515
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,34,34,83.784117647,53.418823529,41.882647059,38.835588235
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,35.92,11.01875,8.13,8.136875
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,19,19,25,62.712,29.2392,22.9212,22.6708
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,20,20,26,118.28846154,53.704615385,42.105,40.255769231
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,38,38,917.97526316,432.22105263,330.21657895,330.21657895
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,25,31.942,10.472,7.8996,7.5736
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,18,18,18,46.681111111,35.488888889,27.823888889,29.34
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,19,19,19,238.41842105,156.94210526,123.04789474,113.97894737
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,21,116,116,38.733275862,21.849051724,16.694655172,14.217931034
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,29,76.165862069,35.366551724,26.848275862,21.355862069
1013103886,DALAL,KEVIN,L,M.D.,M,I,1611 NW 12TH AVE,"REHABILITATION BASEMENT FLOOR, SUITE 105",MIAMI,FL,331361005,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,23,118,120,16.5075,9.4858333333,7.25175,6.6955
1013104546,MASSOUMI BAVIL,FARDAD,,MD,M,I,5500 HOHMAN AVE,2A,HAMMOND,IN,463201965,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,31,84,67.692261905,8.32,6.0554761905,6.0554761905
1013104546,MASSOUMI BAVIL,FARDAD,,MD,M,I,5500 HOHMAN AVE,2A,HAMMOND,IN,463201965,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,22,30,13.498666667,1.42,1.0033333333,1.0033333333
1013104900,STARK,TRACEY,A,ARNP,F,I,204 S COLLEGE ST,,SCOTT CITY,KS,67871,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,27,100.74296296,8.32,5.0737037037,5.0737037037
1013104918,CAPLAN,AMBER,L,CNP,F,I,227 E LOUDON AVE,,LOUDONVILLE,OH,448429662,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.3,62.17,54.73
1013105477,ST. JAMES,LUTHER,,M.D.,M,I,1890 LPGA BLVD,170,DAYTONA BEACH,FL,321177130,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,56,194,60.627474227,8.32,5.3457216495,5.3457216495
1013105477,ST. JAMES,LUTHER,,M.D.,M,I,1890 LPGA BLVD,170,DAYTONA BEACH,FL,321177130,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,22,30,13.602333333,1.42,1.0423333333,1.0423333333
1013105477,ST. JAMES,LUTHER,,M.D.,M,I,1890 LPGA BLVD,170,DAYTONA BEACH,FL,321177130,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,51.88,33.275454545,34.353636364
1013105477,ST. JAMES,LUTHER,,M.D.,M,I,1890 LPGA BLVD,170,DAYTONA BEACH,FL,321177130,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,50.73,4.355,3.2883333333,3.5216666667
1013105477,ST. JAMES,LUTHER,,M.D.,M,I,1890 LPGA BLVD,170,DAYTONA BEACH,FL,321177130,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1439,1.010694927,0.1380333565,0.1082348853,0.1082348853
1013105477,ST. JAMES,LUTHER,,M.D.,M,I,1890 LPGA BLVD,170,DAYTONA BEACH,FL,321177130,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,123.16666667,33,25.87,25.87
1013105816,NISHI,SHAWN,P,M.D.,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,71,6.4797183099,2.034084507,1.4625352113,1.4702816901
1013105816,NISHI,SHAWN,P,M.D.,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,50,67.7944,17.32,12.7946,12.773
1013105816,NISHI,SHAWN,P,M.D.,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,25,4.0214285714,3.1522857143,3.5757142857
1013105816,NISHI,SHAWN,P,M.D.,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,66,66,274.45636364,76.58,60.03,55.363636364
1013105816,NISHI,SHAWN,P,M.D.,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,35.56,27.88,29.361818182
1013105816,NISHI,SHAWN,P,M.D.,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2616,0.5433027523,0.0478975535,0.0375573394,0.0375573394
1013105816,NISHI,SHAWN,P,M.D.,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,17,17,56.485294118,33,25.87,25.87
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,58,169,63.792366864,8.32,6.0768639053,6.0768639053
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16,3.38,2.65,2.65
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,37,45,14.123777778,1.42,0.992,0.992
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,16,12.92,10.93,8.57,8.57
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,2.6616666667,2.02,1.4396969697,1.4396969697
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,A6238,"Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,50,30.394,25.66,20.1172,20.1172
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,12.136,2.0786666667,1.6293333333,1.5926666667
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,7959,0.6098404322,0.2992838296,0.2266164091,0.2350182184
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,29.691428571,8.3571428571,6.1178571429,6.95
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,65.875,13.359285714,9.7307142857,9.7314285714
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,203.12941176,31.034117647,24.107058824,24.529411765
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,496.69263158,67.72,50.305263158,51.7
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,3214,0.7004667082,0.0461947729,0.0348039826,0.0348039826
1013105949,BOGGS,LAURA,E,DO,F,I,53-59 PUBLIC SQUARE,SUITE 301,WATERTOWN,NY,136014034,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,23,23,33,33,24.745217391,24.745217391
1013106038,VANN,RYAN,C,PA-C,M,I,147 PEACHTREE LANE,,ADVANCE,NC,270066907,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,58,169,68.801597633,8.32,5.8832544379,5.8832544379
1013106038,VANN,RYAN,C,PA-C,M,I,147 PEACHTREE LANE,,ADVANCE,NC,270066907,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,30,57,15.756140351,1.42,0.919122807,0.919122807
1013106038,VANN,RYAN,C,PA-C,M,I,147 PEACHTREE LANE,,ADVANCE,NC,270066907,US,Physician Assistant,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1550,1074.31,829.21727273,829.21727273
1013106038,VANN,RYAN,C,PA-C,M,I,147 PEACHTREE LANE,,ADVANCE,NC,270066907,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,24.270909091,4.7027272727,3.2163636364,3.2127272727
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,94.007272727,40.99,32.13,30.49
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,58,57.691206897,19.563103448,14.845517241,14.179482759
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,151.23055556,55.665555556,43.637777778,42.86
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,52.906923077,18.915384615,14.833076923,14.06
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,92,7.4576086957,2.2634782609,1.7395652174,1.5710869565
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,36.88,17.46,13.69,13.54
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,44.44,29.033333333,31.94
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,26.859545455,6.0477272727,4.7440909091,3.5340909091
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,216.9375,32.07625,23.67,23.56125
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,33,332.91030303,81.543030303,61.983030303,53.07030303
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,3696,0.3604897186,0.0462905844,0.0362959957,0.0362959957
1013106178,BERNSTEIN,RICHARD,A,M.D.,M,I,133 DEFENSE HWY,SUITE 109,ANNAPOLIS,MD,214017098,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,203.1,41.6,29.8925,27.050833333
1013106525,DAUD AGUERO,BENJAMIN,Y,M.D.,M,I,86 W UNDERWOOD ST,MP 80,ORLANDO,FL,328062008,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,67.656666667,16.36,11.974666667,12.673
1013106525,DAUD AGUERO,BENJAMIN,Y,M.D.,M,I,86 W UNDERWOOD ST,MP 80,ORLANDO,FL,328062008,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,434.41133333,79.2,58.163,51.326666667
1013106582,TAM,JESSICA,W,MD,F,I,1717 S J ST,,TACOMA,WA,984054933,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,484.96,71.862352941,49.205294118,48.291176471
1013106715,COTTY,CHRISTIE,L,PA,F,I,200 BELLE TERRE RD #110,,PORT JEFFERSON,NY,11777,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,23,45,137,68.822116788,8.32,6.0994160584,6.0994160584
1013106715,COTTY,CHRISTIE,L,PA,F,I,200 BELLE TERRE RD #110,,PORT JEFFERSON,NY,11777,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,23,14.14173913,1.42,1.1139130435,1.1139130435
1013107184,PRASAD,MANOOJ,,DPM,M,I,637 RIVER AVE,SUITE B,LAKEWOOD,NJ,087015227,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,18,34,374.43058824,71.277647059,55.887647059,56.103823529
1013107184,PRASAD,MANOOJ,,DPM,M,I,637 RIVER AVE,SUITE B,LAKEWOOD,NJ,087015227,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,89,155.62932584,29.058539326,22.783033708,22.886292135
1013107366,EDGAR,JENNIFER,S,"APRN, BC",F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,39,39,197.07230769,50.597692308,38.439230769,37.657179487
1013107366,EDGAR,JENNIFER,S,"APRN, BC",F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,54,54,64.858333333,17.732777778,13.348148148,13.755555556
1013107366,EDGAR,JENNIFER,S,"APRN, BC",F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,105.715,26.813571429,18.086428571,17.584285714
1013107366,EDGAR,JENNIFER,S,"APRN, BC",F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,25.827058824,7.4329411765,4.8605882353,5.5794117647
1013107556,DEO,ANEET,J,M.D.,F,I,875 OAK ST SE STE 5070,,SALEM,OR,973013998,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,82,13168,3.7184811665,0.5645762454,0.4316805893,0.4316783111
1013107556,DEO,ANEET,J,M.D.,F,I,875 OAK ST SE STE 5070,,SALEM,OR,973013998,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,42,6300,0.0915174603,0.0128809524,0.0098444444,0.0098444444
1013107556,DEO,ANEET,J,M.D.,F,I,875 OAK ST SE STE 5070,,SALEM,OR,973013998,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1710,1.2804035088,0.7402105263,0.5803274854,0.5803274854
1013107556,DEO,ANEET,J,M.D.,F,I,875 OAK ST SE STE 5070,,SALEM,OR,973013998,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,51,7080,1.9684661017,0.9705480226,0.742329096,0.742329096
1013107556,DEO,ANEET,J,M.D.,F,I,875 OAK ST SE STE 5070,,SALEM,OR,973013998,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,840,6.4653214286,2.8422142857,2.0785119048,2.0785119048
1013107556,DEO,ANEET,J,M.D.,F,I,875 OAK ST SE STE 5070,,SALEM,OR,973013998,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,111,111,24,24,18.018558559,18.018558559
1013107556,DEO,ANEET,J,M.D.,F,I,875 OAK ST SE STE 5070,,SALEM,OR,973013998,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,95,100,16,16,12.1638,12.1638
1013107572,DYALRAM,DONITA,,MD,F,I,650 W BALTIMORE ST,SUITE 1401,BALTIMORE,MD,212011510,US,Physician/Maxillofacial Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,393,11.386768448,3,2.3520101781,2.3659033079
1013107572,DYALRAM,DONITA,,MD,F,I,650 W BALTIMORE ST,SUITE 1401,BALTIMORE,MD,212011510,US,Physician/Maxillofacial Surgery,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4741,0.37,0.37,0.2900906982,0.2900906982
1013107572,DYALRAM,DONITA,,MD,F,I,650 W BALTIMORE ST,SUITE 1401,BALTIMORE,MD,212011510,US,Physician/Maxillofacial Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,6822,0.8472647318,0.322984462,0.2380489592,0.2278701261
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,29,82,241,59.761327801,8.32,5.645560166,5.645560166
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,25,42,10.21547619,1.42,0.8747619048,0.8747619048
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,83.480666667,21.788,14.096666667,10.824
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,29.95,7.6319230769,5.8419230769,3.7976923077
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,74,75,478.68226667,99.151466667,72.21,49.5732
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,3260,0.2841104294,0.0462147239,0.0346687117,0.0346687117
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,42,5256,1.2309550989,0.1341400304,0.0917237443,0.0917237443
1013107879,HUNOLD,ROBERT,N,D.O.,M,I,24 MILES CENTER WAY,,DAMARISCOTTA,ME,045434047,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,45,45,88.866666667,33,23.017777778,23.017777778
1013108059,DEVISETTY,VIKRAM,K,"M.D., M.B.A., M.P.H.",M,I,660 N WESTMORELAND RD,,LAKE FOREST,IL,600451659,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,62.93,17.5,13.72,13.589090909
1013108059,DEVISETTY,VIKRAM,K,"M.D., M.B.A., M.P.H.",M,I,660 N WESTMORELAND RD,,LAKE FOREST,IL,600451659,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,377.355,78.09,61.22,56.5
1013108372,NEKKANTI,SWAPNA,,M.D,F,I,701 N 1ST ST,,SPRINGFIELD,IL,627810001,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,35,7.7236363636,6.0554545455,3.7890909091
1013108372,NEKKANTI,SWAPNA,,M.D,F,I,701 N 1ST ST,,SPRINGFIELD,IL,627810001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,33,453.44575758,80.175151515,61.430909091,53.303636364
1013108372,NEKKANTI,SWAPNA,,M.D,F,I,701 N 1ST ST,,SPRINGFIELD,IL,627810001,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,67.142,36.14,28.33,29.352666667
1013108653,MOORE,GREGORY,T,D.O.,M,I,2901 ACME BRICK PLZ,,FORT WORTH,TX,761094124,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,20,20,133.0955,104.26,77.9745,81.441
1013108661,ECKARD,ALEXIS,A,MD,F,I,255 W 5TH STREET,SUITE 300,ROME,GA,30165,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,138,15.987826087,10.93,8.312173913,8.312173913
1013109081,CHUKWUANI,VIVIAN,A,MD,F,I,2550 SOM CENTER RD # WH20,,WILLOUGHBY HILLS,OH,440949655,US,Hospitalist,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,48.361818182,31.93,30.502727273
1013109933,ATLURI,SAI,,MD,F,I,4502 E 41ST ST,,TULSA,OK,741352536,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,308.33333333,68.78,46.7775,47.595
1013109933,ATLURI,SAI,,MD,F,I,4502 E 41ST ST,,TULSA,OK,741352536,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65.26,36.83,24.058333333,24.723333333
1013110121,MITCHELL,DIANNE,I,DPM,F,I,3000 Q ST,4TH FLOOR PODIATRY,SACRAMENTO,CA,958167058,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,21,42,111,71.56,50.761666667,50.761666667
1013110121,MITCHELL,DIANNE,I,DPM,F,I,3000 Q ST,4TH FLOOR PODIATRY,SACRAMENTO,CA,958167058,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,66,182,43.56,34.151666667,34.15
1013110519,HUANG,CHRIS,,M.D.,M,I,430 PENNSYLVANIA AVE,240,GLEN ELLYN,IL,60137,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,26,49,49,33.986923077,42.145384615
1013110584,SANTIAGO,WILMA,I,M.D.,F,I,1970 N BROAD ST,,LANSDALE,PA,194461002,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,24,52.913333333,8.32,4.8929166667,4.8929166667
1013110584,SANTIAGO,WILMA,I,M.D.,F,I,1970 N BROAD ST,,LANSDALE,PA,194461002,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,10.183157895,1.42,0.9431578947,0.9431578947
1013110865,LATEEF,KAMRAN,,MD,M,I,901 18TH ST E,,TIFTON,GA,317943648,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,44.674146341,18.808292683,13.496829268,12.324390244
1013110865,LATEEF,KAMRAN,,MD,M,I,901 18TH ST E,,TIFTON,GA,317943648,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,24.222222222,4.55,3.005,3.0033333333
1013110865,LATEEF,KAMRAN,,MD,M,I,901 18TH ST E,,TIFTON,GA,317943648,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,282.43902439,79.709512195,56.891219512,49.450243902
1013110998,DESAI,DEVANG,M,M.D.,M,I,645 N ARLINGTON AVE STE 555,,RENO,NV,89503,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,325.73913043,83.128695652,65.175217391,54.45
1013110998,DESAI,DEVANG,M,M.D.,M,I,645 N ARLINGTON AVE STE 555,,RENO,NV,89503,US,Interventional Cardiology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,37.64,29.51,29.51
1013111004,NIEMEYER,LEE,E,MD,M,I,379 DIXMYTH AVE,,CINCINNATI,OH,45220,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,28,111,39.397927928,8.32,6.0287387387,6.0287387387
1013111004,NIEMEYER,LEE,E,MD,M,I,379 DIXMYTH AVE,,CINCINNATI,OH,45220,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,8.436,3.38,2.2966666667,2.2966666667
1013111004,NIEMEYER,LEE,E,MD,M,I,379 DIXMYTH AVE,,CINCINNATI,OH,45220,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,38,5.5997368421,1.42,1.1139473684,1.1139473684
1013111004,NIEMEYER,LEE,E,MD,M,I,379 DIXMYTH AVE,,CINCINNATI,OH,45220,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.73,5.6163636364,4.4018181818,3.9290909091
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,101,248,62.039879032,8.32,5.8651209677,5.8651209677
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,13.712941176,3.38,2.4941176471,2.4941176471
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,45,71,13.308873239,1.42,1.0369014085,1.0369014085
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,65,8.238,7.06,4.684,4.684
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,20,20,181.38,50.1965,34.642,27.017
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,200,3.55,3.04,2.1375,2.1375
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,462.36666667,119.82583333,87.172916667,64.563333333
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,23,63,189.42,44.51968254,33.085238095,24.272698413
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,19,72,74.005694444,20.241944444,13.542638889,9.9172222222
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,296.965625,78.83375,50.018125,34.48625
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,25,25,84.5172,25.526,18.806,13.6308
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,89.7825,20.974,14.5305,8.4605
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,39,182,13.443461538,2.8704395604,2.0646153846,1.4570879121
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,50.981428571,15.558571429,10.593571429,8.9871428571
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,254.36923077,55.181538462,36.456153846,28.916923077
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,29,83.232758621,21.838275862,17.118275862,14.156551724
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,50.73,6.9631578947,5.4594736842,3.6747368421
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,241.39,50.584375,25.914375,15.704375
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,77,80,427.71825,95.26,71.039125,53.640625
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,236.15384615,43.405384615,30.310769231,26.598461538
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1620,13.386666667,11.018444444,8.4443765432,8.4443765432
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,4063,0.3627492001,0.0460004922,0.0360595619,0.0360571007
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,2220,10.795558559,3.0877297297,2.3803693694,2.3803693694
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,484,1.3098760331,0.2190289256,0.1717355372,0.1717355372
1013111376,MORIN,BRADLEY,S,M.D.,M,I,225 S PINE ST,SUITE #200,SEYMOUR,IN,472742365,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,90,33,25.87,25.87
1013111475,KODENCHERY,MIHAS,M,MD,M,I,5800 BROADWAY,SUITE A-J,MERRILLVILLE,IN,464102601,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125,78.57,61.6,55.3025
1013111475,KODENCHERY,MIHAS,M,MD,M,I,5800 BROADWAY,SUITE A-J,MERRILLVILLE,IN,464102601,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.9,28.93,29.461666667
1013111475,KODENCHERY,MIHAS,M,MD,M,I,5800 BROADWAY,SUITE A-J,MERRILLVILLE,IN,464102601,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,3725,2701.45125,2104.969375,2104.969375
1013111921,BARCENA,JULIO,A,MD,M,I,2250 S DIXIE HWY,,MIAMI,FL,331332360,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,48,72.578125,8.32,6.2510416667,6.2510416667
1013112069,IBIKUNLE,OLUMUYIWA,A,M.D,M,I,99 BEAUVOIR AVE,,SUMMIT,NJ,079013533,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,9.565,7.68,6.0225,6.3960416667
1013112069,IBIKUNLE,OLUMUYIWA,A,M.D,M,I,99 BEAUVOIR AVE,,SUMMIT,NJ,079013533,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.62,3.9,3.06,3.3533333333
1013112069,IBIKUNLE,OLUMUYIWA,A,M.D,M,I,99 BEAUVOIR AVE,,SUMMIT,NJ,079013533,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,3.64,1.45,1.14,1.1583333333
1013112069,IBIKUNLE,OLUMUYIWA,A,M.D,M,I,99 BEAUVOIR AVE,,SUMMIT,NJ,079013533,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,2.2,1.3,1.02,0.9654545455
1013112069,IBIKUNLE,OLUMUYIWA,A,M.D,M,I,99 BEAUVOIR AVE,,SUMMIT,NJ,079013533,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,6.3390909091,3.1690909091,4.4654545455
1013112077,JAVELLANA,TAMMY,,F.N.P,F,I,2017 SAINT JOHN AVE,SUITE B,DYERSBURG,TN,380242209,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,38,109,52.633027523,8.32,6.0943119266,6.0943119266
1013112077,JAVELLANA,TAMMY,,F.N.P,F,I,2017 SAINT JOHN AVE,SUITE B,DYERSBURG,TN,380242209,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,32,13.8653125,1.42,1.113125,1.113125
1013112077,JAVELLANA,TAMMY,,F.N.P,F,I,2017 SAINT JOHN AVE,SUITE B,DYERSBURG,TN,380242209,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,80.812727273,20.235454545,15.862727273,9.12
1013112077,JAVELLANA,TAMMY,,F.N.P,F,I,2017 SAINT JOHN AVE,SUITE B,DYERSBURG,TN,380242209,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,62,11.040967742,3.0341935484,2.3790322581,1.5932258065
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,40,86,286,57.59041958,8.32,6.0518881119,6.0518881119
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,27,47,12.509574468,1.42,1.0434042553,1.0434042553
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,33,182.78848485,33.933939394,25.53969697,24.851818182
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,88.843636364,12.047272727,9.4454545455,9.1727272727
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,71,11.789577465,2.0202816901,1.5843661972,1.59
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,55.436666667,16.79,13.16,13.488888889
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,319.83666667,79.2,62.09,55.547777778
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,51.53,21.1025,14.845833333,12.735
1013112580,EISENHUT,JOSHUA,R,MD,M,I,305 MEMORIAL MEDICAL PKWY STE 502,,DAYTONA BEACH,FL,321175169,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,99,33,25.87,25.87
1013112911,SINGH,PRIYANKA,,M.D.,F,I,2509 PARK AVE,SUITE 1A,SOUTH PLAINFIELD,NJ,070805300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,468.69,69.585454545,44.901818182,45.151818182
1013113265,PACACCIO,JENNIFER,J,D.P.M.,F,I,2180 OAKLAND DR,UNIT A,SYCAMORE,IL,601783122,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,75,71.56,56.11,56.1
1013113364,GUPTA,NITIN,,M.D.,M,I,980 JOHNSON FY RD NE STE 820,,ATLANTA,GA,303421608,US,Physician/Gastroenterology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,230,21.708695652,9.86,7.73,7.73
1013113364,GUPTA,NITIN,,M.D.,M,I,980 JOHNSON FY RD NE STE 820,,ATLANTA,GA,303421608,US,Physician/Gastroenterology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,255,13.987137255,7,5.1651764706,5.1651764706
1013113364,GUPTA,NITIN,,M.D.,M,I,980 JOHNSON FY RD NE STE 820,,ATLANTA,GA,303421608,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,430,7.9302325581,4.03,3.0125813953,3.0125813953
1013114305,BALIGA,PRASHANT,,M.D.,M,I,915 GORDON AVE,,THOMASVILLE,GA,317926614,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,6.8118181818,4.9,3.0727272727
1013114420,TSAI,WILBERT,T,MD,M,I,1900 ROYALTY DR STE 250,,POMONA,CA,917673043,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,71,131,70.074045802,8.32,5.9217557252,5.9217557252
1013114420,TSAI,WILBERT,T,MD,M,I,1900 ROYALTY DR STE 250,,POMONA,CA,917673043,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,40,43,16.424186047,1.42,0.963255814,0.963255814
1013114420,TSAI,WILBERT,T,MD,M,I,1900 ROYALTY DR STE 250,,POMONA,CA,917673043,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,744,7.37,6.26,4.9079032258,5.7782258065
1013114420,TSAI,WILBERT,T,MD,M,I,1900 ROYALTY DR STE 250,,POMONA,CA,917673043,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,291,3.8281443299,3.81,2.9870790378,2.9870790378
1013114420,TSAI,WILBERT,T,MD,M,I,1900 ROYALTY DR STE 250,,POMONA,CA,917673043,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,399,5.8,4.9321804511,3.7152882206,4.0115538847
1013114420,TSAI,WILBERT,T,MD,M,I,1900 ROYALTY DR STE 250,,POMONA,CA,917673043,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,51.731428571,4.3871428571,2.85,3.2971428571
1013114420,TSAI,WILBERT,T,MD,M,I,1900 ROYALTY DR STE 250,,POMONA,CA,917673043,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,5.95,5.1128571429,3.4264285714,3.89
1013114503,BAKER,GILES,A,CRNP,M,I,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,189511573,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,98,72.937346939,8.32,4.9245918367,4.9245918367
1013114503,BAKER,GILES,A,CRNP,M,I,1021 PARK AVE,SUITE 203,QUAKERTOWN,PA,189511573,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,15,21,14.590952381,1.42,0.9561904762,0.9561904762
1013114628,SINGH,SURJEET,,M.D.,M,I,2598 WINDMILL PKWY,,HENDERSON,NV,890745476,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,33,33,33,129.93939394,79.835151515,52.988484848,46.722121212
1013114628,SINGH,SURJEET,,M.D.,M,I,2598 WINDMILL PKWY,,HENDERSON,NV,890745476,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,14,70.357142857,54.388571429,36.915,37.877857143
1013114628,SINGH,SURJEET,,M.D.,M,I,2598 WINDMILL PKWY,,HENDERSON,NV,890745476,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,42,67.952380952,60.572142857,43.673333333,40.866904762
1013114933,LEE,MICHAEL,D,M.D.,M,I,15004 INNOVATION DR,,SAN DIEGO,CA,921283491,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,27,63,78.728412698,8.32,5.410952381,5.410952381
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,23,23,110.80043478,40.237391304,31.55173913,30.630869565
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,29,94,226,6.5177876106,1.4589380531,1.0943362832,1.1034955752
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,16,17,17,60.654117647,12.772352941,10.015882353,9.0747058824
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,5.91,1.4,1.1,0.96
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,16,36,36,333.02194444,88.71,67.697777778,66.286111111
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,16,40,95,138.37578947,34.229473684,26.026736842,25.223894737
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,254.88727273,58.454545455,37.522727273,35.067272727
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,21,29,29,67.973103448,19.244137931,15.08862069,14.19862069
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,23,23,75.60173913,12.408695652,9.3191304348,8.7604347826
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,21,50,270,8.8126666667,2.2215925926,1.6670740741,1.537037037
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,21,138,138,86.486956522,19.623550725,14.857246377,13.500507246
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,3240.7011765,913.16,715.90441176,831.09676471
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,670.45714286,90.697142857,71.11,65.895
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,41,246,253,40.457549407,4.8743478261,3.3643083004,3.2081818182
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,38,39,256.56923077,34.389230769,26.322307692,24.713333333
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,43,325,325,391.74258462,78.304676923,59.8232,53.866092308
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,117,118,126.55508475,36.894152542,28.296440678,28.788220339
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,12,16,16,16,106.875,57,41.896875,41.896875
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,69,4050,16.838,9.6202444444,7.432782716,7.432782716
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1320,15.599666667,11.181590909,8.7446818182,8.7446818182
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,28,5060,0.2433162055,0.0458636364,0.0359565217,0.0359545455
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,32,52,191,21192,1.7025368063,0.135106644,0.1031091921,0.1031091921
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,52,3582,10.683241206,3.0878419877,2.4208738135,2.4208738135
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,253.58938776,36.933061224,28.367142857,28.922653061
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,30,59,247,249,89.060240964,33,25.281325301,25.281325301
1013115039,SHWAIKI,WASSIM,,M.D.,M,I,8840 CALUMET AVE STE 203,,MUNSTER,IN,463212546,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,14,14,66,66,51.74,51.74
1013115112,DURBHAKULA,SEETHA,M,M.D.,F,I,7617 LITTLE RIVER TURNPIKE,SUITE 600,ANNANDALE,VA,220032603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,29,67,62.95761194,8.32,5.4502985075,5.4502985075
1013115112,DURBHAKULA,SEETHA,M,M.D.,F,I,7617 LITTLE RIVER TURNPIKE,SUITE 600,ANNANDALE,VA,220032603,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,17,14.107058824,1.42,1.0529411765,1.0529411765
1013115237,IRVIN,CARRIE,A,PA-C,F,I,1524 EUBANK BLVD NE STE 6,,ALBUQUERQUE,NM,871124160,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30.389166667,15.31,8.5608333333,9.75
1013115237,IRVIN,CARRIE,A,PA-C,F,I,1524 EUBANK BLVD NE STE 6,,ALBUQUERQUE,NM,871124160,US,Physician Assistant,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,129.87909091,70.105454545,51.759090909,34.255454545
1013115302,RICE,SHAWN,C,D.O.,M,I,175 HOSPITAL DR,,WINCHESTER,KY,403919591,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,61.380625,20.20796875,14.52671875,13.1009375
1013115302,RICE,SHAWN,C,D.O.,M,I,175 HOSPITAL DR,,WINCHESTER,KY,403919591,US,Physician/Emergency Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,1934.6626087,1074.31,833.9826087,833.9826087
1013115302,RICE,SHAWN,C,D.O.,M,I,175 HOSPITAL DR,,WINCHESTER,KY,403919591,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,73,198.40260274,86.202328767,62.929041096,54.94630137
1013115955,REYNOLDS,MELANIE,R,FNP,F,I,3132 OLD JACKSONVILLE RD,SUITE 200,SPRINGFIELD,IL,627047400,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,23,59.210434783,8.32,5.6739130435,5.6739130435
1013115955,REYNOLDS,MELANIE,R,FNP,F,I,3132 OLD JACKSONVILLE RD,SUITE 200,SPRINGFIELD,IL,627047400,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,4.895,3.8425,3.6625
1013115955,REYNOLDS,MELANIE,R,FNP,F,I,3132 OLD JACKSONVILLE RD,SUITE 200,SPRINGFIELD,IL,627047400,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,225,69.81,51.940909091,51.940909091
1013115955,REYNOLDS,MELANIE,R,FNP,F,I,3132 OLD JACKSONVILLE RD,SUITE 200,SPRINGFIELD,IL,627047400,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,36.14,28.33,29.402727273
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,29,9.2593103448,7.77,6.0910344828,8.5710344828
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,64,17.0603125,2.32,1.7621875,2.085625
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,41,15.948780488,4.05,3.1763414634,3.2136585366
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,35,1210,8.2079834711,5.74,4.3815371901,4.3815371901
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,190,10.79,10.79,8.4594736842,8.4751578947
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,764,3.9058638743,2.9008115183,2.2742801047,2.2814790576
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,460,10.895565217,7,5.488,5.488
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,560,7.7717142857,5.54,4.3434464286,4.3434464286
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,690,5.0352028986,4.03,3.1595072464,3.1595072464
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,2080,0.6578365385,0.27,0.2116394231,0.2116394231
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,470,10.682425532,5.26,4.035787234,4.035787234
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,530,4.767754717,3.04,2.3833584906,2.3833584906
1013116003,CHRISTANTE,DARA,H,MD,F,I,217 W CATALDO AVE,,SPOKANE,WA,992012217,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,1100,0.5692545455,0.2604545455,0.2042636364,0.2114727273
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,57.083548387,15.4,9.5298387097,9.4079032258
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,224.00315789,64.316842105,44.048947368,37.317894737
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,19,19,79.037894737,20.624736842,14.16,12.215263158
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,22,22,83.388636364,14.411363636,9.9572727273,7.9204545455
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,21,122,10.73442623,2.1809836066,1.5600819672,1.4518032787
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,,13,13,53.709230769,13.413076923,9.1830769231,9.0007692308
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,44,87.835681818,23.135,16.490909091,15.248863636
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,56.19,36.708333333,34.833333333
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.84,34.4575,33.136666667
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,1488.4,934.8025,723.919375,723.919375
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,35,47.054285714,5.0205714286,3.8257142857,3.4934285714
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,216.3008,46.1996,32.83,21.7468
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,41,257,274,472.03850365,78.515291971,58.220547445,52.846131387
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,13,90,92,91.037826087,37.064782609,28.43,28.804673913
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,20.109041667,9.67165,7.4630083333,7.4630083333
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,11,3942,0.2845281583,0.0465195332,0.0339954338,0.033992897
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,2970,1.1376296296,0.1344848485,0.0953501684,0.0953501684
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,750,7.2910266667,2.95384,2.1245333333,2.1245333333
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,78,81,163.54209877,36.872592593,26.410864198,27.001851852
1013116334,MINTZ,EDWARD,P,MD,M,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,15,61,61,54.098360656,33,23.396229508,23.396229508
1013116532,NAIR,PREETHA,,M.D.,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907208,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,43.905454545,17.63,13.401212121,13.146363636
1013116532,NAIR,PREETHA,,M.D.,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907208,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1013116532,NAIR,PREETHA,,M.D.,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907208,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,247.43030303,76.48,58.143030303,53.538181818
1013116714,ALJAWADI,GEORGIA,,D.O.,F,I,480 4TH AVE,SUITE 202,CHULA VISTA,CA,919104410,US,Physician/Osteopathic Manipulative Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,38,67.048421053,8.32,6.1786842105,6.1786842105
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,60,8.7675,8.647,6.325,6.3596666667
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,21,28.46,28.46,21.778571429,21.778571429
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,23,44,6.0609090909,5.9472727273,4.3461363636,4.395
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,109,13075,0.3879349904,0.13,0.094214914,0.094214914
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,41,89,16.125168539,13.796629213,10.090561798,10.093820225
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,133,15680,5.022684949,1.7427997449,1.3127104592,1.5406632653
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,2280,9.65,7.03,5.4539429825,5.5922017544
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,70,161,14.682608696,10.928509317,8.1321118012,8.1336024845
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,73,168,9.5455357143,7.459047619,5.5281547619,5.5291071429
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,0.09,0.09,0.064625,0.064625
1013117092,RICHTER,ERIC,,MD,M,I,4100 JERRY MURPHY RD,,PUEBLO,CO,810011046,US,Physician/Urology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1392,0.1580172414,0.13,0.0975287356,0.0975287356
1013117217,KING,TRAVIS,G,M.D.,M,I,7301 MILWAUKEE AVENUE,,LUBBOCK,TX,79424,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,37,69,46.45826087,8.0466666667,5.2927536232,5.5131884058
1013117217,KING,TRAVIS,G,M.D.,M,I,7301 MILWAUKEE AVENUE,,LUBBOCK,TX,79424,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,9.20625,1.42,0.98,0.98
1013117217,KING,TRAVIS,G,M.D.,M,I,7301 MILWAUKEE AVENUE,,LUBBOCK,TX,79424,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,33,395.71272727,100.90545455,73.678181818,56.349090909
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,34,89,44.412247191,8.32,6.1623595506,6.1623595506
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,13.065,1.42,0.9277777778,0.9277777778
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.19,2.0957142857,1.4614285714,0.9942857143
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,12,21,22,414.72454545,123.97545455,88.923181818,72.005909091
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,29,61,154.34786885,46.069016393,34.061967213,27.785901639
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,22,22,80.081363636,26.176363636,20.518181818,16.531818182
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,98.810526316,21.398421053,16.774736842,10.944210526
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,35,147,11.430748299,3.1804081633,2.4460544218,1.8720408163
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,48.522142857,15.7,12.304285714,11.318571429
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,50,50,86.31,22.4578,16.4118,12.4476
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,48.233846154,18.120769231,11.536153846,8.5846153846
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,183.07473684,49.784210526,33.896842105,21.785789474
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,73,75,519.51,102.76906667,75.626133333,50.119066667
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1793,0.2905354155,0.0470775237,0.0338148355,0.0338148355
1013117498,SAMARITONI,ADAM,,D.O.,M,I,6500 HOSPITAL DR,FAMILY MEDICINE,HANNIBAL,MO,634016890,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,126.78947368,33,23.146842105,23.146842105
1013117688,COX,JOSEPH,B,MD,M,I,4120 W MEMORIAL RD,SUITE 300,OKLAHOMA CITY,OK,73120,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,142.91933333,59.106666667,46.342666667,40.127333333
1013117688,COX,JOSEPH,B,MD,M,I,4120 W MEMORIAL RD,SUITE 300,OKLAHOMA CITY,OK,73120,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,28,28,28,5516,4378.96,3430.3075,3430.3075
1013117688,COX,JOSEPH,B,MD,M,I,4120 W MEMORIAL RD,SUITE 300,OKLAHOMA CITY,OK,73120,US,Physician/Neurosurgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,56,56,56,1480,1001.69,775.34142857,766.38428571
1013117795,KAHEN-BITON,TANAZ,,M.D.,F,I,501 WASHINGTON ST,,SAN DIEGO,CA,921032231,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,260,72.06,56.5,54.73
1013117795,KAHEN-BITON,TANAZ,,M.D.,F,I,501 WASHINGTON ST,,SAN DIEGO,CA,921032231,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,70,36.58,28.67,29.51
1013117803,MIERZWIAK,JESSE,L,MD,M,I,3124 S 19TH ST,STE 320,TACOMA,WA,984052433,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,2330,0.39,0.13,0.0936008584,0.0936008584
1013117803,MIERZWIAK,JESSE,L,MD,M,I,3124 S 19TH ST,STE 320,TACOMA,WA,984052433,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,89,12550,5.8182709163,2.04,1.5054247012,1.5054247012
1013118090,ROOT,CONNIE,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,19,52,669,55.687952167,19.62612855,14.580074738,14.580074738
1013118090,ROOT,CONNIE,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,20,54,1781,7.5205951713,2.6296687254,1.9826221224,1.9826221224
1013118090,ROOT,CONNIE,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,72,90,190,1171,69.633023057,8.3193339026,6.1983005978,6.1988300598
1013118090,ROOT,CONNIE,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,26,37,90,12.612,1.42,1.0888888889,1.0888888889
1013118090,ROOT,CONNIE,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,710.26,361.8459375,281.7196875,281.7196875
1013118090,ROOT,CONNIE,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,24,2610,15.591716475,10.53667433,8.1508275862,8.1508237548
1013118090,ROOT,CONNIE,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,280.31434783,251.11,196.87,196.87
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,29,2720,0.15,0.12,0.0940992647,0.0940992647
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,14,1320,0.5481818182,0.44,0.3449848485,0.3449848485
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,26,28,476,28.761386555,23.66,18.247983193,18.247983193
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,16,365,10.05369863,8.28,6.4915068493,6.4915068493
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,14,181,10.24,8.41,6.5936464088,6.5936464088
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,14,224,13.263928571,10.93,8.5690625,8.5690625
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,39,49,1287,2.9058041958,2.4,1.8816083916,1.8816083916
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,21,23,2732,0.16,0.13,0.1019143485,0.1019143485
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,27,34,3236,0.56,0.45,0.3528121137,0.3528121137
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,138.23,50.352727273,39.475454545,40.455454545
1013118801,BIVENS,JOSEPH,K,M.D.,M,I,751 W LEGION RD STE 300,,BRAWLEY,CA,92227,US,Physician/Plastic and Reconstructive Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,764.02,145.14545455,113.79272727,128.30181818
1013118884,SUN,CHAO,,M.D.,M,I,5700 STONERIDGE MALL RD STE 100,,PLEASANTON,CA,945882872,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,35,83.833142857,8.32,2.7951428571,2.7951428571
1013118884,SUN,CHAO,,M.D.,M,I,5700 STONERIDGE MALL RD STE 100,,PLEASANTON,CA,945882872,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,18,18.232777778,1.42,0.4977777778,0.4977777778
1013119148,OFOSU,ERIC,,MD,M,I,201 E GROVER ST,,SHELBY,NC,281503917,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,174.75,63.186875,40.83375,29.33
1013119148,OFOSU,ERIC,,MD,M,I,201 E GROVER ST,,SHELBY,NC,281503917,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,257.7571875,101.67625,77.8484375,55.7084375
1013119148,OFOSU,ERIC,,MD,M,I,201 E GROVER ST,,SHELBY,NC,281503917,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,62.792592593,44.25,33.798888889,28.884444444
1013119221,NAIR,REKHA,H,M.D.,F,I,385 SOUTHBRIDGE ST,,AUBURN,MA,015012498,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,28,94,64.002765957,8.32,5.8284042553,5.8284042553
1013119288,NATHAN,CHITRA,,M.D.,F,I,203 MILLS AVE,,GREENVILLE,SC,296054019,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,5719,4.7155446756,0.5691869208,0.4211557965,0.4211557965
1013119288,NATHAN,CHITRA,,M.D.,F,I,203 MILLS AVE,,GREENVILLE,SC,296054019,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,900,0.066,0.0130333333,0.0101666667,0.0101666667
1013119288,NATHAN,CHITRA,,M.D.,F,I,203 MILLS AVE,,GREENVILLE,SC,296054019,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,44,4620,3.9307207792,1.1636969697,0.8667640693,0.8667640693
1013119288,NATHAN,CHITRA,,M.D.,F,I,203 MILLS AVE,,GREENVILLE,SC,296054019,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,39,39,24,24,18.82,18.82
1013119288,NATHAN,CHITRA,,M.D.,F,I,203 MILLS AVE,,GREENVILLE,SC,296054019,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,51,64,16,16,12.3440625,12.3440625
1013119528,GATES,CHARLEY,B,MD,M,I,46 WINDOM HILL PL,,PITTSBURGH,PA,152031339,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,12,75.745833333,70.425,55.215833333,47.114166667
1013119650,BOLZ,ANGELA,D,D.O.,F,I,10507 E 91ST ST,,TULSA,OK,741335589,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,51.81,17,13.33,13.530454545
1013119650,BOLZ,ANGELA,D,D.O.,F,I,10507 E 91ST ST,,TULSA,OK,741335589,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,317.44,77.18,60.51,54.983181818
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,61,162,64.409814815,8.2637654321,6.0350617284,6.0738888889
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,2.65,2.65
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,23,30,15.021333333,1.42,1.0413333333,1.0413333333
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.1,1.9427272727,1.5227272727,1.15
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.4263636364,1.1177272727,0.9622727273
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,143.01,48.323333333,33.895833333,33.3275
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,11.08,2.9730833333,2.1366944444,2.1366944444
1013120104,WARREN,JOHN,,,M,I,1100 RUBY TYLER PKWY,,TUSCALOOSA,AL,354042959,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,33,33,25.87,25.87
1013120633,LEES,TOBY,,M.D.,M,I,4881 SUGAR MAPLE DR BLDG 830,88SGC,WPAFB,OH,454335529,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,43,6290,0.349936407,0.13,0.0960937997,0.0960937997
1013120633,LEES,TOBY,,M.D.,M,I,4881 SUGAR MAPLE DR BLDG 830,88SGC,WPAFB,OH,454335529,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,4030,4.0489330025,1.92,1.4516823821,1.5462630273
1013120633,LEES,TOBY,,M.D.,M,I,4881 SUGAR MAPLE DR BLDG 830,88SGC,WPAFB,OH,454335529,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,4170,9.3963597122,6.15,4.723501199,5.5397913669
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,51,155,79.787483871,8.32,5.848516129,5.848516129
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,24,15.919166667,1.42,0.9283333333,0.9283333333
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,21.104,9.7246666667,7.0013333333,6.8813333333
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,45,101.77222222,17.09,12.506666667,12.634222222
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,193.25454545,46.58,30.668181818,31.507272727
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,130.07,4.14,2.86,3.3188888889
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,76,79,489.03582278,65.7,49.07,52.239240506
1013121060,COLMENARES ROYS,CARRIE,L,M.D.,F,I,400 HICKORY ST NW,STE 300,ALBANY,OR,973211700,US,Physician/Pediatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,26,66.055769231,19.130769231,14.999230769,15.41
1013121243,EATON,STEPHEN,R,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,1760,0.9636363636,0.44,0.3449772727,0.3449772727
1013121243,EATON,STEPHEN,R,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,1766,0.691608154,0.13,0.1019309173,0.1019309173
1013121243,EATON,STEPHEN,R,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,1824,1.0123684211,0.45,0.3527960526,0.3527960526
1013121383,TESTA,CHRISTINE,A,ANP,F,I,1225 GRAHAM RD STE C-2310,,FLORISSANT,MO,630318023,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,493.15923077,79.8,59.108461538,52.483076923
1013121383,TESTA,CHRISTINE,A,ANP,F,I,1225 GRAHAM RD STE C-2310,,FLORISSANT,MO,630318023,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,134.9175,39.14,28.123333333,27.148333333
1013121474,CONNOLLY,EUGENE,M,RPA-C,M,I,518 MONTAUK HWY,SUITE 102,AMAGANSETT,NY,119302110,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,26,91,53.55021978,8.32,6.5217582418,6.5217582418
1013121474,CONNOLLY,EUGENE,M,RPA-C,M,I,518 MONTAUK HWY,SUITE 102,AMAGANSETT,NY,119302110,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,5.740952381,1.42,1.060952381,1.060952381
1013122092,JUSTICE,JOY,L,FNP,F,I,111 GATEWAY CENTER DR,,KERNERSVILLE,NC,272842999,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,33.447575758,4.2009090909,3.1912121212,3.5503030303
1013122498,LEVINE,RAPHAEL,K,MD,M,I,354 OLD HOOK ROAD,SUITE 103,WESTWOOD,NJ,07675,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,56,15.306363636,12.000909091,14.281818182
1013122498,LEVINE,RAPHAEL,K,MD,M,I,354 OLD HOOK ROAD,SUITE 103,WESTWOOD,NJ,07675,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,6.7972727273,5.3272727273,6.7118181818
1013122498,LEVINE,RAPHAEL,K,MD,M,I,354 OLD HOOK ROAD,SUITE 103,WESTWOOD,NJ,07675,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,22,56.875,54.674090909,42.864545455,44.591363636
1013122597,PARHIZGAR,ALIREZA,,M.D.,M,I,6720 BERTNER AVENUE,,HOUSTON,TX,77030,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,56.553636364,19.398181818,13.973636364,12.306363636
1013122597,PARHIZGAR,ALIREZA,,M.D.,M,I,6720 BERTNER AVENUE,,HOUSTON,TX,77030,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,338.64909091,88.82,65.646363636,50.74
1013122977,SPERLING,BRIAN,L,D.O.,M,I,2 IVY BROOK RD,STE 115,SHELTON,CT,064846416,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,3290,0.39,0.13,0.096337386,0.096337386
1013122977,SPERLING,BRIAN,L,D.O.,M,I,2 IVY BROOK RD,STE 115,SHELTON,CT,064846416,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,3650,4.4910410959,1.95,1.5205479452,1.5841424658
1013123058,WEICHBRODT,MATTHEW,T,DO,M,I,10494 W THUNDERBIRD BLVD,SUITE 102,SUN CITY,AZ,853513058,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,103.4,69.320344828,52.417931034,45.049655172
1013123165,UDALL,DAVID,B,MD,M,I,109 REID RD,,JUNCTION,TX,768493008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,68,54.896911765,8.32,6.1385294118,6.1385294118
1013123165,UDALL,DAVID,B,MD,M,I,109 REID RD,,JUNCTION,TX,768493008,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.384615385,3.38,2.2423076923,2.2423076923
1013123165,UDALL,DAVID,B,MD,M,I,109 REID RD,,JUNCTION,TX,768493008,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,34,15.734705882,1.42,1.0488235294,1.0488235294
1013123165,UDALL,DAVID,B,MD,M,I,109 REID RD,,JUNCTION,TX,768493008,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,125,51.426428571,40.322857143,31.13
1013123165,UDALL,DAVID,B,MD,M,I,109 REID RD,,JUNCTION,TX,768493008,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,208.2,99.7544,68.8246,55.0618
1013123165,UDALL,DAVID,B,MD,M,I,109 REID RD,,JUNCTION,TX,768493008,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,200,44.88,32.085,28.771111111
1013123165,UDALL,DAVID,B,MD,M,I,109 REID RD,,JUNCTION,TX,768493008,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,599.5,252.588,198.026,142.29666667
1013123371,DAVIS,AMANDA,S,M.D.,F,I,2000 E GREENVILLE ST,SUITE 3700,ANDERSON,SC,296211580,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,45,66.116222222,8.32,5.5066666667,5.5066666667
1013123371,DAVIS,AMANDA,S,M.D.,F,I,2000 E GREENVILLE ST,SUITE 3700,ANDERSON,SC,296211580,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1080,1.8276574074,0.1345,0.105462963,0.105462963
1013123371,DAVIS,AMANDA,S,M.D.,F,I,2000 E GREENVILLE ST,SUITE 3700,ANDERSON,SC,296211580,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,390,8.991974359,2.9037692308,2.0856666667,2.0856666667
1013123371,DAVIS,AMANDA,S,M.D.,F,I,2000 E GREENVILLE ST,SUITE 3700,ANDERSON,SC,296211580,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,24.6275,24.6275
1013123389,RUSSELL,HOLLY ANN,E,M.D.,F,I,777 S CLINTON AVE,,ROCHESTER,NY,146201448,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,73.921818182,8.32,4.1490909091,4.1490909091
1013123504,KIM,DAE HYUN,,"M.D., M.P.H.",M,I,110 FRANCIS ST,LMOB SUITE 1A,BOSTON,MA,022155501,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,31,81.412258065,8.32,5.6803225806,5.6803225806
1013123579,O'BRIEN,JOHN,P,MD.,M,I,132 1/2 ALBANY STREET,,CAZENOVIZ,NY,13035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,60,60.317,8.32,6.1945,6.1945
1013123579,O'BRIEN,JOHN,P,MD.,M,I,132 1/2 ALBANY STREET,,CAZENOVIZ,NY,13035,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,74.802,15.72,10.8504,11.9524
1013123579,O'BRIEN,JOHN,P,MD.,M,I,132 1/2 ALBANY STREET,,CAZENOVIZ,NY,13035,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,398.291,70,48.8485,48.7585
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,47,102,69.380882353,8.32,5.4357843137,5.4357843137
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,24,35,17.081142857,1.42,0.934,0.934
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,16,17.34,10.93,5.891875,5.891875
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,86.31,16.965555556,11.826666667,11.978888889
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,53.327272727,3.9145454545,3.0636363636,3.6336363636
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,43,43,519.51,71.081860465,52.589069767,51.901162791
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1737,1.9148186528,0.1318307427,0.0939493379,0.0939493379
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.72,15.005,11.765,14.19
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.68,7.9625,6.24,6.6725
1013123892,KISSINGER,GLENN,C,MD,M,I,271 NORTH L STREET,,DINUBA,CA,936182107,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,33,69,33,24.302121212,24.302121212
1013124015,MAYER,MARK,D,MD,M,I,320 E CHICAGO ST,,COLDWATER,MI,490362068,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,42.778333333,41.795,32.765833333,42.0225
1013124312,CUMBO-NACHELI,GUSTAVO,,,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,31,74.597096774,19.504193548,15.29483871,13.730967742
1013124312,CUMBO-NACHELI,GUSTAVO,,,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,55,61,357.4542623,84.472459016,63.690327869,53.242459016
1013124312,CUMBO-NACHELI,GUSTAVO,,,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,35.66,27.96,29.380833333
1013124759,WHATLEY,PATRICIA,D,MD,F,I,7373 PERKINS RD,ATTN: DEE / ADMINISTRATION,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,37,93.127027027,8.32,5.2878378378,5.2878378378
1013124981,PADGETT,DANIAL,,MD,M,I,1 BURDICK EXPY W,,MINOT,ND,587014406,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,300,100.35733333,73.760666667,52.844666667
1013124981,PADGETT,DANIAL,,MD,M,I,1 BURDICK EXPY W,,MINOT,ND,587014406,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,55,44.64375,32.949375,28.565
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,116.94769231,37.81,29.411538462,30.163076923
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,68.310909091,16.963636364,13.302727273,13.958181818
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,105,9.5703809524,2.0305714286,1.506952381,1.5196190476
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,42,42,206.17214286,32.710238095,22.473809524,22.491904762
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,64,341.851875,70.28125,49.7175,49.3675
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,138.56888889,35,22.126296296,24.215925926
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,1965,0.6856284987,0.0470839695,0.0339898219,0.0339898219
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,14,1407,2.1057711443,0.1340724947,0.1051314854,0.1051314854
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,660,11.163454545,2.7659545455,2.1685151515,2.1685151515
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,71.834285714,35.285714286,26.356190476,28.030952381
1013125053,RANA,HARIS,I,MD,M,I,240 EASTON AVE,,NEW BRUNSWICK,NJ,089011723,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,13,32,32,33,33,24.253125,24.253125
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,11,5,5,3.7481818182,4.4663636364
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,52,6970,0.1785509326,0.13,0.1019354376,0.1019354376
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,27,139,23420,4.0650042699,1.7381340734,1.2261152861,1.4315341588
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,27,113,24.926460177,10.84380531,8.4955752212,8.5632743363
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,660,9.5840909091,5.74,4.5001212121,4.5001212121
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,700,13.826057143,7,5.488,5.488
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,850,7.9224235294,4.04,3.1673411765,3.1673411765
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,1835,0.5499346049,0.2682234332,0.203013624,0.2047520436
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,975,0.7816923077,0.2459384615,0.1831794872,0.2023384615
1013125871,POWELL,CHARLES,R,M.D.,M,I,535 BARNHILL DR.,,INDIANAPOLIS,IN,46202,US,Physician/Urology,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,4200,0.0278571429,0.0242857143,0.0175428571,0.0382666667
1013125988,SARAGE,ANTHONY,L,D.P.M.,M,I,264 N MAIN ST,SUITE 11,E LONGMEADOW,MA,010281815,US,Podiatry,S,L2112,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,400,400,313.6,368.83
1013126200,LO,MATTHEW,C,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907201,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1013126564,PANGAN,RYANN,A,M.D.,M,I,613 23RD ST STE 130,,ASHLAND,KY,411012876,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2250,1.6567333333,0.5699866667,0.4407155556,0.4407155556
1013126564,PANGAN,RYANN,A,M.D.,M,I,613 23RD ST STE 130,,ASHLAND,KY,411012876,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,2700,0.8130333333,0.6572555556,0.4618777778,0.4618777778
1013126564,PANGAN,RYANN,A,M.D.,M,I,613 23RD ST STE 130,,ASHLAND,KY,411012876,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,24,24,17.157826087,17.157826087
1013126564,PANGAN,RYANN,A,M.D.,M,I,613 23RD ST STE 130,,ASHLAND,KY,411012876,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,16,16,11.942857143,11.942857143
1013126861,RIGGENBACH,MICHAEL,D,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,56,56,56,99.375,92.934107143,69.587321429,84.325357143
1013126861,RIGGENBACH,MICHAEL,D,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,18,21,228.57142857,143.74857143,109.08095238,164.50380952
1013126861,RIGGENBACH,MICHAEL,D,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,38,65,53.2,36.221842105,41.014473684
1013126861,RIGGENBACH,MICHAEL,D,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,22,185,77.25,60.157272727,66.886818182
1013127331,AGUINAGA MEZA,MELINA,T,M.D.,F,I,GILL HEART INSITUTE 800 ROSE ST,G100,LEXINGTON,KY,405360200,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,43.235294118,20.951764706,15.015882353,13.267058824
1013127331,AGUINAGA MEZA,MELINA,T,M.D.,F,I,GILL HEART INSITUTE 800 ROSE ST,G100,LEXINGTON,KY,405360200,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,198.125,94.52125,65.7875,54.633125
1013127554,FATIMA,RUQAYA,,M.D.,F,I,1450 TREAT BLVD,SUITE 160,WALNUT CREEK,CA,945972168,US,Physician/Family Practice,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,120,106.50636364,83.496363636,80.444545455
1013127638,ALMUBARAK,MOHAMMED,,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26505,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,8768,1.424169708,0.3223962135,0.2363937044,0.2266754106
1013127638,ALMUBARAK,MOHAMMED,,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26505,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,50.023846154,17.29,13.55,13.531538462
1013127638,ALMUBARAK,MOHAMMED,,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26505,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,405.77086957,71.013913043,50.476956522,50.299565217
1013127638,ALMUBARAK,MOHAMMED,,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26505,US,Physician/Hematology-Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,19.852727273,15.565454545,14.395454545
1013127836,KHALIFE,MUSTAPHA,A,MD,M,I,11937 US HIGHWAY 271,,TYLER,TX,757083154,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,35,3284,47.936656516,5.2063672351,4.0325030451,4.0325
1013127836,KHALIFE,MUSTAPHA,A,MD,M,I,11937 US HIGHWAY 271,,TYLER,TX,757083154,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,24,24,18.82,18.82
1013127836,KHALIFE,MUSTAPHA,A,MD,M,I,11937 US HIGHWAY 271,,TYLER,TX,757083154,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,16,16,12.54,12.54
1013127893,MOESNER,PATRICIA,A,MD,F,I,19725 ALLEN RD,SUITE 102,BROWNSTOWN TWP,MI,481831090,US,Physician/Anesthesiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,999,996.34,726.2975,721.08333333
1013127919,EPSTEIN,ANDREW,S,M.D.,M,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,24,2069,43.482295795,4.4735041083,3.5072257129,3.5072257129
1013127919,EPSTEIN,ANDREW,S,M.D.,M,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1013128552,TORABI,SOHEILA,,M.D.,F,I,146 N HILL ST,,ARVIN,CA,932031014,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,19,64,46.8553125,8.32,5.3003125,5.3003125
1013128552,TORABI,SOHEILA,,M.D.,F,I,146 N HILL ST,,ARVIN,CA,932031014,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,15,31,14.583870968,1.42,0.8980645161,0.8980645161
1013128552,TORABI,SOHEILA,,M.D.,F,I,146 N HILL ST,,ARVIN,CA,932031014,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1993.54,913.16,709.34083333,825.1525
1013128651,BRZANA,JESSICA,A,MD,F,I,751 NE BLAKELY DR STE 5010,,ISSAQUAH,WA,98029,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,15,187,69.062245989,19.627112299,15.387807487,15.387807487
1013128651,BRZANA,JESSICA,A,MD,F,I,751 NE BLAKELY DR STE 5010,,ISSAQUAH,WA,98029,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,530,9.3777169811,2.6301886792,2.0087924528,2.0087924528
1013128651,BRZANA,JESSICA,A,MD,F,I,751 NE BLAKELY DR STE 5010,,ISSAQUAH,WA,98029,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,51,124,699,66.3390701,8.32,6.1962660944,6.1962660944
1013128651,BRZANA,JESSICA,A,MD,F,I,751 NE BLAKELY DR STE 5010,,ISSAQUAH,WA,98029,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,35,90,10.789,1.42,1.0522222222,1.0522222222
1013128651,BRZANA,JESSICA,A,MD,F,I,751 NE BLAKELY DR STE 5010,,ISSAQUAH,WA,98029,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,679.60857143,356.62928571,279.59642857,279.59642857
1013128651,BRZANA,JESSICA,A,MD,F,I,751 NE BLAKELY DR STE 5010,,ISSAQUAH,WA,98029,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,38,38,306.15552632,251.03815789,196.81368421,196.86973684
1013128693,TAYLOR,MEREDITH,L,M.D.,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,50,110,65.104727273,8.32,5.8691818182,5.8691818182
1013128693,TAYLOR,MEREDITH,L,M.D.,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,363.88,73.705,57.785,55.292142857
1013128792,DEMBLA,VIKAS,,M.D.,M,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,20,105,105,100,19.71,15.302857143,15.302857143
1013128792,DEMBLA,VIKAS,,M.D.,M,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,20,106,106,210,37.38,29.023584906,29.023584906
1013128792,DEMBLA,VIKAS,,M.D.,M,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,19,51,51,525,205.62745098,159.53333333,159.53333333
1013128792,DEMBLA,VIKAS,,M.D.,M,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,1008,44.054494048,5.0457638889,3.9558928571,3.9558928571
1013128792,DEMBLA,VIKAS,,M.D.,M,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,21,100,875,12.460342857,1.688,1.3064342857,1.3064342857
1013128925,JNANANAND,NAYANTARA,,M.D.,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,44,97,60.756391753,8.32,5.176185567,5.176185567
1013128925,JNANANAND,NAYANTARA,,M.D.,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,21,24,10.43125,1.42,0.885,0.885
1013128925,JNANANAND,NAYANTARA,,M.D.,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,14,22,68.461818182,18.73,14.683636364,13.555454545
1013128925,JNANANAND,NAYANTARA,,M.D.,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,42.168333333,6.4091666667,4.5691666667,3.2816666667
1013128925,JNANANAND,NAYANTARA,,M.D.,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,197.64727273,32.843636364,10.371818182,8.5245454545
1013128925,JNANANAND,NAYANTARA,,M.D.,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,34,352.96117647,97.901470588,76.754411765,59.387352941
1013128925,JNANANAND,NAYANTARA,,M.D.,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,152.13769231,46.396153846,36.376923077,31.169230769
1013129329,CARMENT,JOHN,M,MD,M,I,4444 E. 41ST ST,"3RD FLOOR, STE A",TULSA,OK,741352527,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,42,110,47.795272727,8.2829090909,6.2003636364,6.2319090909
1013129329,CARMENT,JOHN,M,MD,M,I,4444 E. 41ST ST,"3RD FLOOR, STE A",TULSA,OK,741352527,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,17,12.581176471,1.42,1.1176470588,1.1176470588
1013129329,CARMENT,JOHN,M,MD,M,I,4444 E. 41ST ST,"3RD FLOOR, STE A",TULSA,OK,741352527,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,64.846363636,17,12.118181818,12.323181818
1013129329,CARMENT,JOHN,M,MD,M,I,4444 E. 41ST ST,"3RD FLOOR, STE A",TULSA,OK,741352527,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,56.54,46.263636364,23.228181818,23.452727273
1013129329,CARMENT,JOHN,M,MD,M,I,4444 E. 41ST ST,"3RD FLOOR, STE A",TULSA,OK,741352527,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,40,326.03325,77.18,53.05125,48.02475
1013129394,BUTREY,CHARLES,M,MD,M,I,1480 CENTER RD,SUITE A,AVON,OH,440111239,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,88,246,63.059918699,8.32,6.071504065,6.071504065
1013129394,BUTREY,CHARLES,M,MD,M,I,1480 CENTER RD,SUITE A,AVON,OH,440111239,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.577777778,3.38,2.65,2.65
1013129394,BUTREY,CHARLES,M,MD,M,I,1480 CENTER RD,SUITE A,AVON,OH,440111239,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,53,76,15.011447368,1.42,1.0121052632,1.0121052632
1013129394,BUTREY,CHARLES,M,MD,M,I,1480 CENTER RD,SUITE A,AVON,OH,440111239,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,8.3561290323,2.1703225806,1.7017741935,1.5896774194
1013129394,BUTREY,CHARLES,M,MD,M,I,1480 CENTER RD,SUITE A,AVON,OH,440111239,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,20,50.73,6.314,4.95,3.828
1013129394,BUTREY,CHARLES,M,MD,M,I,1480 CENTER RD,SUITE A,AVON,OH,440111239,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,30,320.40133333,77.589333333,58.789666667,53.287666667
1013129394,BUTREY,CHARLES,M,MD,M,I,1480 CENTER RD,SUITE A,AVON,OH,440111239,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,62.435882353,39.577058824,31.027058824,29.932941176
1013129816,BOMBACK,ANDREW,S,M.D.,M,I,622 W 168TH ST,PH 4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,83,8655,3.9225268631,0.5636314269,0.4171530907,0.4171461583
1013129816,BOMBACK,ANDREW,S,M.D.,M,I,622 W 168TH ST,PH 4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,825,0.182,0.0129454545,0.0100969697,0.0100969697
1013129816,BOMBACK,ANDREW,S,M.D.,M,I,622 W 168TH ST,PH 4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,3420,2.1758157895,0.7374736842,0.5781812865,0.5781812865
1013129816,BOMBACK,ANDREW,S,M.D.,M,I,622 W 168TH ST,PH 4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,1200,4.4429916667,1.0611,0.8319083333,0.8319083333
1013129816,BOMBACK,ANDREW,S,M.D.,M,I,622 W 168TH ST,PH 4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,61,9060,4.5639613687,2.8199900662,2.1978156733,2.1978156733
1013129816,BOMBACK,ANDREW,S,M.D.,M,I,622 W 168TH ST,PH 4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,80,80,24,24,18.21875,18.21875
1013129816,BOMBACK,ANDREW,S,M.D.,M,I,622 W 168TH ST,PH 4-124,NEW YORK,NY,100323720,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,107,123,16,16,12.132439024,12.132439024
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,22,59,763,53.923669725,19.631179554,15.307051114,15.307051114
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,22,58,1785,8.5316134454,2.6305882353,2.062302521,2.062302521
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,62,114,309,1231,59.492542648,8.3078960195,6.21264013,6.2226807474
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,30,30,13.145333333,3.38,2.65,2.65
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,19.675555556,2.12,1.67,1.67
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,49,109,233,12.552832618,1.42,1.1087553648,1.1087553648
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,14,14,14,48.891428571,47.747857143,37.432857143,58.837142857
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,12,45,45,733.292,339.936,256.66444444,256.66444444
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,41,2480,16.233616935,10.718314516,8.401108871,8.401108871
1013129931,LONG,AMANDA,N,D.O.,F,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,20,95,95,261.27694737,250.93757895,192.63694737,192.77178947
1013130186,PHILLIPS,JOSEPH,J,M.D.,M,I,1118 ROSS CLARK CIR,500,DOTHAN,AL,363013001,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,1170,0.3366666667,0.13,0.0974188034,0.0974188034
1013130186,PHILLIPS,JOSEPH,J,M.D.,M,I,1118 ROSS CLARK CIR,500,DOTHAN,AL,363013001,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,317,4.4022397476,2.27,1.6307570978,1.6307570978
1013130186,PHILLIPS,JOSEPH,J,M.D.,M,I,1118 ROSS CLARK CIR,500,DOTHAN,AL,363013001,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,12,43,6866,3.7969094087,2.04,1.5214418876,1.5214418876
1013130186,PHILLIPS,JOSEPH,J,M.D.,M,I,1118 ROSS CLARK CIR,500,DOTHAN,AL,363013001,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,27,19.088518519,10.565555556,8.2833333333,8.5688888889
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,10,29,74,895,47.166480447,19.636223464,15.074201117,15.074201117
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,29,66,2105,6.8557767221,2.6327790974,2.0203515439,2.0203515439
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,43,109,576,60.487430556,8.32,6.1010069444,6.1010069444
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,14.725555556,3.38,2.5027777778,2.5027777778
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,19.469090909,2.12,1.67,1.67
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,48,112,13.521517857,1.42,1.094375,1.094375
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,22,82.079090909,71.407272727,55.985,56.105
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,54,54,662.4762963,342.17277778,268.12796296,268.12796296
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1410,16.955163121,10.659070922,8.211787234,8.211787234
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,30,147,149,424.41872483,251.00194631,194.26738255,194.35208054
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,15,15,15,489.70333333,264.16,207.1,207.1
1013130525,VOLLBRECHT,JILL,E,MD,F,I,1221 SIXTH ST STE 208,,TRAVERSE CITY,MI,496842360,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,14.75,0.6058333333,0.435,0.435
1013130749,HOLLIE,OBA,H,M.D.,M,I,511 8TH ST,,CLARKSVILLE,TN,370403093,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,26,61,73.502786885,8.32,5.6672131148,5.6672131148
1013130749,HOLLIE,OBA,H,M.D.,M,I,511 8TH ST,,CLARKSVILLE,TN,370403093,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,100,4.26,3.34,3.2456666667
1013130749,HOLLIE,OBA,H,M.D.,M,I,511 8TH ST,,CLARKSVILLE,TN,370403093,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5564,1.5714018692,0.38,0.2979205607,0.2900934579
1013130996,INGLES,JEANNE,L,FNP-BC,F,I,21 CENTRAL AVE,,GALLIPOLIS,OH,456311803,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,35,107,60.801308411,8.32,5.6187850467,5.6187850467
1013130996,INGLES,JEANNE,L,FNP-BC,F,I,21 CENTRAL AVE,,GALLIPOLIS,OH,456311803,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,37,16.87,1.42,0.9921621622,0.9921621622
1013130996,INGLES,JEANNE,L,FNP-BC,F,I,21 CENTRAL AVE,,GALLIPOLIS,OH,456311803,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.075833333,22.4775,17.620833333,17.620833333
1013130996,INGLES,JEANNE,L,FNP-BC,F,I,21 CENTRAL AVE,,GALLIPOLIS,OH,456311803,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,127.66583333,102.61833333,80.455,80.455
1013130996,INGLES,JEANNE,L,FNP-BC,F,I,21 CENTRAL AVE,,GALLIPOLIS,OH,456311803,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,21.087083333,6.73,4.77125,3.2479166667
1013131119,JABBOUR,ALBERT,K,PA,M,I,30410 HIGHWAY 200,,PONDERAY,ID,838529601,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,35,53.622571429,8.32,5.032,5.032
1013131119,JABBOUR,ALBERT,K,PA,M,I,30410 HIGHWAY 200,,PONDERAY,ID,838529601,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,24.39,8.1678571429,5.4514285714,3.5342857143
1013131119,JABBOUR,ALBERT,K,PA,M,I,30410 HIGHWAY 200,,PONDERAY,ID,838529601,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1938,0.4863261094,0.0453044376,0.0299845201,0.0299845201
1013131119,JABBOUR,ALBERT,K,PA,M,I,30410 HIGHWAY 200,,PONDERAY,ID,838529601,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,39.6,33,22.398666667,22.398666667
1013131275,RAJA,ALI,I,"MD, MSC",M,I,FIVE ST. VINCENT CIRCLE,SUITE 210,LITTLE ROCK,AR,722055412,US,Physician/Neurosurgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,16,16,35.47375,24.08,16.51125,18.545
1013131275,RAJA,ALI,I,"MD, MSC",M,I,FIVE ST. VINCENT CIRCLE,SUITE 210,LITTLE ROCK,AR,722055412,US,Physician/Neurosurgery,S,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,19,19,19,579.01789474,401.09,291.79684211,287.88684211
1013131325,ERPELDING,JASON,M,M.D.,M,I,2301 25TH ST S,,FARGO,ND,581036104,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,49.874285714,49.874285714,37.002857143,43.243571429
1013131721,BOLENBAUGH,LYNN,A,PA-C,F,I,578 N LEAVITT RD,,AMHERST,OH,440011131,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,37,17.27,13.54,13.54
1013131721,BOLENBAUGH,LYNN,A,PA-C,F,I,578 N LEAVITT RD,,AMHERST,OH,440011131,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,69.81,54.73,54.73
1013131747,BROWN,DAVID,G,M.D.,M,I,6286 BRIARCREST AVE,SUITE 200,MEMPHIS,TN,381204023,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,292.61076923,49.873076923,36.309230769,35.231538462
1013131747,BROWN,DAVID,G,M.D.,M,I,6286 BRIARCREST AVE,SUITE 200,MEMPHIS,TN,381204023,US,Physician/Orthopedic Surgery,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,83.533333333,46.813333333,30.905,20.401666667
1013131747,BROWN,DAVID,G,M.D.,M,I,6286 BRIARCREST AVE,SUITE 200,MEMPHIS,TN,381204023,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,25.728,10.7344,7.4792,5.978
1013131747,BROWN,DAVID,G,M.D.,M,I,6286 BRIARCREST AVE,SUITE 200,MEMPHIS,TN,381204023,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,460,154.71,121.29,119.75
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,92.566666667,38.55,30.22,30.49
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,133,208,208,242.31908654,91.531634615,68.277211538,64.556490385
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,88,161,286,106.18660839,35.095384615,26.850174825,25.52486014
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,41,61,211,64.37985782,19.60535545,13.995545024,13.442890995
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,34,63,229,34.982008734,15.320087336,11.597510917,11.478209607
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,96,144,144,169.86715278,55.768263889,41.185763889,40.487222222
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,220,278,278,47.293093525,18.616151079,13.755323741,13.281978417
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,39,42,42,31.395714286,10.578333333,7.9019047619,7.7619047619
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,224,360,360,49.601972222,12.604361111,9.2440277778,8.5753611111
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,230,433,1546,6.2113389392,2.1501746442,1.6112225097,1.5280012937
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,104,131,131,14.671755725,6.2748091603,4.6766412214,4.4317557252
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,106,125,125,28.33912,13.52504,10.02032,9.79056
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,34,196,198,342.15848485,88.911111111,63.553131313,60.233383838
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,682.60375,234.90916667,184.17083333,157.78125
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,27,27,27,448.34888889,143.34555556,106.16555556,99.147407407
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,76,393,394,36.256370558,13.077664975,9.5397461929,9.1124873096
1013132323,FOREMAN,ADAM,N,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,15,107,628,634,129.74776025,35.285520505,25.499605678,23.729116719
1013132406,ORR,WAYNE,S,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,444,39.79972973,13.070855856,10.247725225,10.294099099
1013132406,ORR,WAYNE,S,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/General Surgery,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,73,225,207.75,160.91041096,160.91041096
1013132406,ORR,WAYNE,S,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/General Surgery,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,127,822.83464567,373.44,292.77582677,292.77582677
1013132406,ORR,WAYNE,S,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,194,201.57216495,9.35,7.33,7.33
1013132406,ORR,WAYNE,S,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,200,117.62,29.22,22.90855,22.90855
1013132596,HOUSTON,CARON,A,MD,F,I,1201 ALHAMBRA BLVD,SUITE 220,SACRAMENTO,CA,958165238,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,27,71.367037037,8.32,6.5203703704,6.5203703704
1013132596,HOUSTON,CARON,A,MD,F,I,1201 ALHAMBRA BLVD,SUITE 220,SACRAMENTO,CA,958165238,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,45,45,83.426666667,51.212,40.152,39.997555556
1013132596,HOUSTON,CARON,A,MD,F,I,1201 ALHAMBRA BLVD,SUITE 220,SACRAMENTO,CA,958165238,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,445.34823529,73.725294118,51.179411765,48.291176471
1013132596,HOUSTON,CARON,A,MD,F,I,1201 ALHAMBRA BLVD,SUITE 220,SACRAMENTO,CA,958165238,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,33,17.481764706,13.708823529,14.956470588
1013133016,SINGHAL,MANUJ,C,M.D.,M,I,5000 LONG PRAIRIE RD,,FLOWER MOUND,TX,75028,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,135,46.833333333,36.719166667,36.46
1013133016,SINGHAL,MANUJ,C,M.D.,M,I,5000 LONG PRAIRIE RD,,FLOWER MOUND,TX,75028,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,203.76923077,104.26,81.74,86.155384615
1013133073,BRUNTON,JASON,P,MD,M,I,720 W CENTRAL AVE,,EL DORADO,KS,670422112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,14,86.31,17.987142857,12.094285714,11.646428571
1013133073,BRUNTON,JASON,P,MD,M,I,720 W CENTRAL AVE,,EL DORADO,KS,670422112,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,24,42.301666667,4.19875,3.17125,3.4995833333
1013133073,BRUNTON,JASON,P,MD,M,I,720 W CENTRAL AVE,,EL DORADO,KS,670422112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,23,519.51,76.597391304,53.809565217,50.513913043
1013133412,VENKAT,DEEPAK,,M.D.,M,I,11100 EUCLID AVE,WEARN 2ND FLOOR,CLEVELAND,OH,441061716,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,39,145,16255,3.9898498923,0.5787960627,0.4461058136,0.4461051984
1013133412,VENKAT,DEEPAK,,M.D.,M,I,11100 EUCLID AVE,WEARN 2ND FLOOR,CLEVELAND,OH,441061716,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,4200,1.6203690476,0.7361428571,0.5765214286,0.5765214286
1013133412,VENKAT,DEEPAK,,M.D.,M,I,11100 EUCLID AVE,WEARN 2ND FLOOR,CLEVELAND,OH,441061716,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,29,125,13500,2.4580444444,1.2554111111,0.965102963,0.9651022222
1013133412,VENKAT,DEEPAK,,M.D.,M,I,11100 EUCLID AVE,WEARN 2ND FLOOR,CLEVELAND,OH,441061716,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,1740,15.633183908,7.5457931034,5.8501436782,5.8501436782
1013133412,VENKAT,DEEPAK,,M.D.,M,I,11100 EUCLID AVE,WEARN 2ND FLOOR,CLEVELAND,OH,441061716,US,Physician/Gastroenterology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,3,16,59,20250,9.8937807407,8.4637155556,6.4870177778,6.6385802469
1013133412,VENKAT,DEEPAK,,M.D.,M,I,11100 EUCLID AVE,WEARN 2ND FLOOR,CLEVELAND,OH,441061716,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,59,204,204,24,24,18.703137255,18.703137255
1013133412,VENKAT,DEEPAK,,M.D.,M,I,11100 EUCLID AVE,WEARN 2ND FLOOR,CLEVELAND,OH,441061716,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,59,190,191,16,16,12.47434555,12.47434555
1013133560,LATIF,ASMA,,M.D.,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,32,32,21,16,12.54,12.54
1013133768,WALN,OLGA,,M.D.,F,I,6560 FANNIN ST,STE 802,HOUSTON,TX,770302761,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,72.96,19.686153846,15.433846154,15.433846154
1013133768,WALN,OLGA,,M.D.,F,I,6560 FANNIN ST,STE 802,HOUSTON,TX,770302761,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,364,150.6,37.334615385,29.270164835,29.270164835
1013133768,WALN,OLGA,,M.D.,F,I,6560 FANNIN ST,STE 802,HOUSTON,TX,770302761,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,364,363.31285714,213.95,167.73678571,167.73678571
1013133826,PACK,VITIA,A,LICENSED MASSAGE THE,F,I,2295 N UNIVERSITY DR,,PEMBROKE PINES,FL,330243611,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,36.18,20.282272727,15.902727273,13.694545455
1013133826,PACK,VITIA,A,LICENSED MASSAGE THE,F,I,2295 N UNIVERSITY DR,,PEMBROKE PINES,FL,330243611,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15.500909091,8.7063636364,6.8218181818,6.3463636364
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,4.2727272727,0.51,0.3636363636,0.3636363636
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,52,227,47.889118943,8.32,6.0053744493,6.0053744493
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,41,41,15.127804878,3.38,2.5207317073,2.5207317073
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,21.807,2.12,1.503,1.503
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,18,50,112,15.971339286,1.42,1.0246428571,1.0246428571
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,620,10.714322581,4.03,3.1595,3.1595
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,1175,0.8561702128,0.27,0.2116680851,0.2116680851
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,637,0.9069387755,0.27,0.2116954474,0.2116954474
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,40,8.19,1.75,1.3015,1.1035
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,50.73,4.06,2.9605555556,3.3788888889
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,5850,0.2393128205,0.0459521368,0.0321418803,0.0321418803
1013134295,KUFFA,ROBERT,K,D.O.,M,I,6061 N SAGINAW RD,,MOUNT MORRIS,MI,484582438,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,128.46428571,33,24.022142857,24.022142857
1013134394,MOSS,BRIAN,H,DO,M,I,415 W GOLF RD,SUITE 68,ARLINGTON HEIGHTS,IL,600053929,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,142.72727273,100.42,77.92,84.282727273
1013134469,HUMBURG,BURT,,MD,M,I,1000 4TH ST SW,,MASON CITY,IA,504012800,US,Hospitalist,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,12.52,11.376363636,8.0290909091,6.26
1013134469,HUMBURG,BURT,,MD,M,I,1000 4TH ST SW,,MASON CITY,IA,504012800,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,215,98.85,69.635526316,47.528684211
1013134469,HUMBURG,BURT,,MD,M,I,1000 4TH ST SW,,MASON CITY,IA,504012800,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,100,44.07,30.902222222,26.235555556
1013134659,AMARO,ANASTASSIA,,MD,F,I,3400 CIVIC CENTER BOULEVARD,"WEST PAVILION, 4TH FLOOR",PHILADELPHIA,PA,191045134,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,48,106,427,70.549789227,8.32,6.2320843091,6.2320843091
1013134659,AMARO,ANASTASSIA,,MD,F,I,3400 CIVIC CENTER BOULEVARD,"WEST PAVILION, 4TH FLOOR",PHILADELPHIA,PA,191045134,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,11.874285714,3.38,2.65,2.65
1013134659,AMARO,ANASTASSIA,,MD,F,I,3400 CIVIC CENTER BOULEVARD,"WEST PAVILION, 4TH FLOOR",PHILADELPHIA,PA,191045134,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,26,44,102,14.814411765,1.42,1.0479411765,1.0479411765
1013134659,AMARO,ANASTASSIA,,MD,F,I,3400 CIVIC CENTER BOULEVARD,"WEST PAVILION, 4TH FLOOR",PHILADELPHIA,PA,191045134,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,27,27,334.1,251.00888889,196.79074074,196.86962963
1013134683,MORISSETTE,SABINA,A,M.D.,F,I,20 PLANTATION DR,,JAFFREY,NH,034526631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,20,58,119,60.106134454,8.1339495798,4.5450420168,4.6907563025
1013134683,MORISSETTE,SABINA,A,M.D.,F,I,20 PLANTATION DR,,JAFFREY,NH,034526631,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,86.31,23.251428571,18.227142857,16.937142857
1013134683,MORISSETTE,SABINA,A,M.D.,F,I,20 PLANTATION DR,,JAFFREY,NH,034526631,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,7.69,6.8873684211,4.0657894737,2.7852631579
1013134683,MORISSETTE,SABINA,A,M.D.,F,I,20 PLANTATION DR,,JAFFREY,NH,034526631,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,513.89,101.86466667,73.887,59.379
1013134683,MORISSETTE,SABINA,A,M.D.,F,I,20 PLANTATION DR,,JAFFREY,NH,034526631,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2611,0.572152432,0.0469781693,0.009536576,0.009536576
1013134683,MORISSETTE,SABINA,A,M.D.,F,I,20 PLANTATION DR,,JAFFREY,NH,034526631,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,33,33,14.782857143,14.782857143
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,33,121,93.750495868,8.32,5.8754545455,5.8754545455
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,18,16.723333333,1.42,0.93,0.93
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,86.012666667,38.89,28.457333333,28.457333333
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,63,62,18.03,12.788730159,13.213809524
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,198.71866667,54.79,41.072666667,40.988
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,17,17,98.460588235,17.97,13.261176471,13.244705882
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,24,120,4.247,1.67,1.30925,1.5291666667
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.075,6.14,4.4091666667,4.2625
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,95.25,13.3,10.43,10.464615385
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,275,37.156153846,29.13,28.472307692
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,529.25714286,81.179047619,63.474761905,54.560952381
1013134725,QUINN,MARIAH,A,M.D.,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,135,40.898,32.064,29.434
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,41,41,41,152.13073171,49.807804878,38.248780488,35.752926829
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,150,58.131666667,45.575,40.7225
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,28.642857143,11.471428571,8.6267857143,7.6317857143
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,40,15.720666667,12.324,11.017333333
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,6,20,109,109,198.0733945,52.828073394,39.015045872,36.58559633
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,375.88461538,138.68692308,108.73307692,101.37769231
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,42.105,17.96,14.08,13.711818182
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,24,24,90,51.36,34.29125,31.98125
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,23,85,85,31.197647059,7.1789411765,5.5012941176,3.8211764706
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,6,15,15,21,59.280952381,33.671904762,26.398571429,22.601428571
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,7.3,3.5116666667,2.669,2.1786666667
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,28.724210526,14.625263158,10.360526316,9.6826315789
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,88,88,227.1525,83.891704545,65.006931818,59.404090909
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,6,16,16,16,144.733125,41.57625,30.5875,27.8775
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,33,33,58.192424242,21.298181818,15.507272727,12.926666667
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,26,142,142,108.40274648,29.72556338,22.162957746,21.136549296
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,155.32266667,40.951333333,24.650666667,19.988666667
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,220.86818182,87.246363636,60.354545455,45.681818182
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,7,20,109,109,23.644220183,9.5027522936,7.0577981651,6.6878899083
1013135623,DAVIS,THOMAS,E,M.D.,M,I,2412 MCCALLIE AVE,HEALTHSOUTH CHATTANOOGA REHAB. HOSP.,CHATTANOOGA,TN,374043398,US,Physician/Physical Medicine and Rehabilitation,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,11,11,33,33,23.518181818,23.518181818
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,38,105,243,75.555349794,8.32,5.0987242798,5.0987242798
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,41,50,16.379,1.42,1.0048,1.0048
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,149.91769231,54.47,41.579230769,41.729230769
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,46.824666667,17.88,13.076,13.12
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,41.496923077,11.54,7.6576923077,7.7215384615
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,22,88,7.7344318182,2.01,1.4340909091,1.4490909091
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,142.22222222,47.475555556,29.908333333,29.358333333
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,21,73.561428571,17.29,13.55,13.54047619
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,60,60,34.764,5.2265,3.8545,3.4906666667
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,55,55,109.552,36.248727273,27.166909091,24.420727273
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,81,88,409.31159091,75.22875,55.760113636,55.3875
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.44,28.598333333,28.744166667
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,16,39,15232,0.2049737395,0.04653427,0.0323844538,0.0323844538
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1017,2.4954965585,0.2186823992,0.1613765978,0.1613765978
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,37.44,24.458333333,24.625
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,599.5,191.49,150.13,148.035
1013136464,KHAJAVI,MEHRAN,,M.D.,M,I,2011 PROFESSIONAL COURT,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,27,27,55,33,22.995555556,22.995555556
1013136563,REYES-VILLA,DANIEL,J,M.D.,M,I,841 BLOSSOM HILL RD STE 215,,SAN JOSE,CA,951232704,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,19.4,16.628571429,13.038571429,14.727142857
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,30,80,1030,60.094912621,19.65131068,15.086708738,15.086708738
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,31,85,2589,9.0404480494,2.632815759,1.9867246041,1.9867246041
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,85,93,225,1230,67.737869919,8.32,6.1691869919,6.1691869919
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,27,78,11.406410256,1.42,1.1137179487,1.1137179487
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,13,73,73,732.25616438,344.88369863,261.67082192,261.67082192
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,21,21,96,9860,16.754724138,10.777935091,8.4425172414,8.4425162272
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,46,238,243,379.29452675,251.0762963,196.60679012,196.63308642
1013137934,JOHNSON,JOSEPH,A,PA,M,I,1800 HOWELL MILL RD NW,SUITE 450,ATLANTA,GA,303182538,US,Internal Medicine,T,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,39,39,39,375.05179487,248.9025641,195.14692308,206.18461538
1013137942,EKATAN,ANDREW,O,M.D.,M,I,101 E WOOD ST,SUITE 401,SPARTANBURG,SC,293033040,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,177.90909091,54.912727273,43.05,42.730909091
1013137942,EKATAN,ANDREW,O,M.D.,M,I,101 E WOOD ST,SUITE 401,SPARTANBURG,SC,293033040,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,49,55.206122449,18.489387755,13.358979592,12.43
1013137942,EKATAN,ANDREW,O,M.D.,M,I,101 E WOOD ST,SUITE 401,SPARTANBURG,SC,293033040,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,47,336.94978723,78.695957447,59.253829787,52.432553191
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,43,92,92,114.90402174,41.233586957,30.611956522,29.002717391
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,16,29,8.0789655172,1.4610344828,1.1468965517,1.1517241379
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,45,86,86,314.99139535,99.843604651,75.284534884,67.494302326
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,40,72,161,105.48484472,38.812732919,29.397515528,25.363664596
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,24,42,184,67.0325,21.304184783,15.044347826,13.026793478
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,21,40,183,45.366065574,15.493661202,10.559016393,10.34010929
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,53,102,102,234.9972549,60.394901961,45.52,41.978039216
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,82,107,107,66.790093458,19.811308411,14.892429907,13.768224299
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,45,91,91,79.225824176,13.103076923,9.373956044,8.7347252747
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,81,172,931,10.499677766,2.119924812,1.554189044,1.5193125671
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,24,31,31,26.302258065,6.6209677419,4.8364516129,4.4258064516
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,64,80,80,52.236375,15.2285,11.386125,10.0685
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,63,64,64.29,19.19546875,13.685,12.2615625
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,53.404814815,19.774814815,13.112962963,11.203703704
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,41,41,232.35,54.079756098,42.395853659,41.8
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,41,41,184.63243902,51.42097561,36.552926829,34.058536585
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,42,42,232.35,50.971428571,39.964285714,37.63
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3272.1333333,1074.31,842.26,842.26
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,533.1075,85.49,55.065,50.465833333
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,1120.0326667,231.654,166.14866667,135.998
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,11,74,75,39.384533333,14.7236,10.958933333,9.9445333333
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,22,41.06,4.0772727273,2.6427272727,2.9763636364
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,53,326,330,181.97187879,34.866363636,24.674545455,21.710515152
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,28,233,234,429.18495726,90.698205128,66.321581197,51.118931624
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,160,39.155777778,28.658444444,27.598444444
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1680,15.261553571,11.301642857,8.8605238095,8.8605238095
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,12.86,3.0948695652,2.3305869565,2.3305869565
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,42,118.46857143,42.818571429,31.287619048,27.745952381
1013138064,WINTERS,ADAM,C,N.P.,M,I,30 CHOCTAW ST,SUITE A,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,42,42,103.71428571,33,25.093333333,25.093333333
1013138528,MIKETA,JOHN,P,DPM,M,I,122 NORTH MAIN ST,,FUQUAY VARINA,NC,275261933,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,40,95,71.56,50.499,50.4935
1013138619,SCHELLHAMMER,MICHAEL,S,PA-C,M,I,680 PELLIS RD,,GREENSBURG,PA,156014453,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,28,28,28,113.32,50.08,39.262857143,37.582857143
1013138619,SCHELLHAMMER,MICHAEL,S,PA-C,M,I,680 PELLIS RD,,GREENSBURG,PA,156014453,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,126,48.12,37.73,40.660454545
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,82,197,460,57.961065217,8.32,5.9151304348,5.9151304348
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,27,27,13.344444444,3.38,2.4537037037,2.4537037037
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,13,15,15,19.470666667,2.12,1.5586666667,1.5586666667
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,58,100,140,15.3095,1.42,1.0287142857,1.0287142857
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,16,30,60,6.5643333333,1.988,1.3913333333,1.0188333333
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,72.813636364,16.549090909,12.068181818,8.25
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,43.417857143,23.62,18.515,14.06
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,45.584615385,18.692307692,14.653076923,9.12
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,19,59,6.1138983051,2.7054237288,2.1211864407,1.5945762712
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,15.416666667,12.8025,10.040833333,8.2616666667
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,141.49333333,81.468333333,63.871666667,45.111666667
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,122,123,64.628780488,21.683902439,16.756178862,14.281382114
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,232.35,55.817142857,40.815714286,34.942142857
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,39,35.612564103,8.6353846154,6.5838461538,4.0243589744
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,25,166.76,56.7032,43.8376,31.308
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,39,305,317,323.82832808,100.06252366,75.128611987,55.893659306
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,79.128888889,45.69,35.823333333,29.782592593
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.603,7.2550119048,7.2550119048
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,60,14945,0.2039344262,0.0462970893,0.0342596186,0.0342596186
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,67,6775,1.4882199262,0.1342715867,0.0976339483,0.0976339483
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,39,40,55,23.37125,17.606,13.11775
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,558.334375,192.985,140.86,106.21125
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,626.8,392.25916667,296.52916667,255.365
1013139096,CLARKE,JEFFREY,,PA,M,I,619 JEFFERSON ST,,WHITEVILLE,NC,284723707,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,25,119,119,99.882352941,33,24.348235294,24.348235294
1013139641,STEFANIAK,HEATHER,M,MD,F,I,2845 GREENBRIER RD STE 240,,GREEN BAY,WI,543116519,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,2130,0.19,0.13,0.0976150235,0.0976150235
1013139641,STEFANIAK,HEATHER,M,MD,F,I,2845 GREENBRIER RD STE 240,,GREEN BAY,WI,543116519,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,99,15255,4.2157620452,1.9718256309,1.5291432317,1.5825912815
1013139641,STEFANIAK,HEATHER,M,MD,F,I,2845 GREENBRIER RD STE 240,,GREEN BAY,WI,543116519,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,4880,9.7852459016,6.15,4.7922028689,5.6076905738
1013139641,STEFANIAK,HEATHER,M,MD,F,I,2845 GREENBRIER RD STE 240,,GREEN BAY,WI,543116519,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,41,11.68097561,10.84804878,8.5051219512,8.5480487805
1013139641,STEFANIAK,HEATHER,M,MD,F,I,2845 GREENBRIER RD STE 240,,GREEN BAY,WI,543116519,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,460,11.460869565,5.74,4.188326087,4.188326087
1013139641,STEFANIAK,HEATHER,M,MD,F,I,2845 GREENBRIER RD STE 240,,GREEN BAY,WI,543116519,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,32,460,2.9695652174,1.8,1.4111086957,1.4111086957
1013139898,ROBINSON,DAN,E,D.P.M.,M,I,98 POPLAR ST,,BLACKFOOT,ID,832211758,US,Podiatry,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,26,93,78.005376344,8.32,6.1015053763,6.1015053763
1013139898,ROBINSON,DAN,E,D.P.M.,M,I,98 POPLAR ST,,BLACKFOOT,ID,832211758,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,14,118.5,78.81,58.286428571,63.293571429
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,46,69.683695652,8.32,6.2380434783,6.2380434783
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,19,16.191578947,1.42,1.0568421053,1.0568421053
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,24,24,24,1066.6441667,1000.3491667,777.66583333,771.69166667
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,46,157,157,157,1403.4334395,1319.7,1026.3043312,879.14528662
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,18,1123.4922222,911.52388889,714.63611111,719.04444444
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,30,31,37,128.9927027,113.30621622,88.831081081,78.257567568
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,12,13,968.21923077,720.15846154,564.60461538,480.62230769
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,27,147,152,219,994.69082192,873.84538813,684.42479452,677.57840183
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,96,99,153,508.89091503,456.97496732,358.07823529,353.98764706
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,32,157,165,235,124.69548936,106.40744681,82.436425532,87.55493617
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,19,405.96368421,374.24421053,293.40789474,267.28736842
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,42,43,58,538.85206897,443.17413793,347.44637931,343.82982759
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,34,78,80,103,544.71815534,471.11126214,367.74097087,364.00786408
1013139906,KING,DENNIS,R,M.D.,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,37,108,108,108,813.26833333,729.405,571.85935185,568.62907407
1013140334,COLON-CASASNOVAS,NORMAN,E,M.D.,M,I,CARR 693 ESQUINA AVE JOSE EFRAIN,DOCTORS CENTER CLINIC DORADO PLAZA DORADA SHOPPING #24,DORADO,PR,006460000,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2200,8,7.87,6.1701,6.1771909091
1013140334,COLON-CASASNOVAS,NORMAN,E,M.D.,M,I,CARR 693 ESQUINA AVE JOSE EFRAIN,DOCTORS CENTER CLINIC DORADO PLAZA DORADA SHOPPING #24,DORADO,PR,006460000,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,2.58,1.8,1.41125,1.41125
1013140342,ARAD,DANIT,,M.D.,F,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.5,16.86,12.018181818,12.345454545
1013140342,ARAD,DANIT,,M.D.,F,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,237.54615385,76.458461538,57.548461538,52.539230769
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,121.86,43.024545455,33.732727273,32.651818182
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,26,40,40,421.21175,96.1105,70.8625,68.58325
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,25,56,92,165.34152174,35.358913043,27.162934783,26.47576087
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,32,71,78.209295775,18.03,10.092535211,10.391549296
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,18,27,27,246.33185185,54.987407407,38.265185185,38.041851852
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,40,51,51,71.702352941,19.154705882,14.247647059,14.000392157
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,34,47,47,77.068723404,12.607234043,9.220212766,8.9538297872
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,34,83,245,9.977755102,2.1550612245,1.4982857143,1.4596326531
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,23,23,25.734782609,6.5139130435,4.6847826087,4.5804347826
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,19,23,23,50.23173913,13.896521739,10.042608696,9.8769565217
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,48,23.763666667,17.727666667,16.523666667
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,445.48827586,96.258275862,73.300689655,72.305517241
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,14,83,83,40.71746988,12.71060241,8.9472289157,8.983253012
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,34.329,7.1825,5.633,4.021
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,16,124,126,278.02357143,33.817857143,24.267460317,23.553650794
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,405.50220588,75.886470588,56.978235294,52.809117647
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,114.54545455,37.106363636,29.088181818,29.839090909
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,172.8,36.14,28.33,29.313333333
1013141035,MULLAN-TOWNS,ERIN,M,PA-C,F,I,700 S PARK ST,,MADISON,WI,537151830,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,23.283571429,23.283571429
1013141076,HARGREAVES,SARA,E,MD,F,I,1500 S 48TH ST,STE 400,LINCOLN,NE,685061276,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,16,130,85.588461538,26.412307692,20.707153846,19.358307692
1013141076,HARGREAVES,SARA,E,MD,F,I,1500 S 48TH ST,STE 400,LINCOLN,NE,685061276,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,100,53.9,8.9455,7.013,6.5014
1013141076,HARGREAVES,SARA,E,MD,F,I,1500 S 48TH ST,STE 400,LINCOLN,NE,685061276,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,4818,920.86230769,721.95692308,540.02923077
1013141209,SMITH,JASON,T,D.P.M.,M,I,1117 MCLAIN ST,SUITE 500,NEWPORT,AR,721123500,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1200,0.15,0.12,0.0941083333,0.0941083333
1013141209,SMITH,JASON,T,D.P.M.,M,I,1117 MCLAIN ST,SUITE 500,NEWPORT,AR,721123500,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,46,95.973043478,71.56,56.105,56.105
1013141209,SMITH,JASON,T,D.P.M.,M,I,1117 MCLAIN ST,SUITE 500,NEWPORT,AR,721123500,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,420,28.82,23.66,18.549357143,18.549357143
1013141209,SMITH,JASON,T,D.P.M.,M,I,1117 MCLAIN ST,SUITE 500,NEWPORT,AR,721123500,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1500,0.16,0.13,0.1019,0.1019
1013141209,SMITH,JASON,T,D.P.M.,M,I,1117 MCLAIN ST,SUITE 500,NEWPORT,AR,721123500,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,120,55,43.56,34.151666667,34.150166667
1013141522,MAZER,ADRIEN,J,MD,M,I,2500 WISCONSIN AVE NW,412,WASHINGTON,DC,200074504,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,40.196521739,17.46,12.351304348,12.227391304
1013141522,MAZER,ADRIEN,J,MD,M,I,2500 WISCONSIN AVE NW,412,WASHINGTON,DC,200074504,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,238.39130435,82,58.699565217,50.802173913
1013141555,ALLEN,SCOTT,F,MD,M,I,1550 BARKLEY CIR,,FORT MYERS,FL,339074539,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,78.49,56.4025,50.735833333
1013141555,ALLEN,SCOTT,F,MD,M,I,1550 BARKLEY CIR,,FORT MYERS,FL,339074539,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.76,27.8575,27.124166667
1013141555,ALLEN,SCOTT,F,MD,M,I,1550 BARKLEY CIR,,FORT MYERS,FL,339074539,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3686,2361.9233333,1846.1546667,1846.1546667
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,48,114,42.337982456,8.32,5.7535087719,5.7535087719
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,14.011578947,3.38,2.2315789474,2.2315789474
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,35,46,12.976521739,1.42,1.0195652174,1.0195652174
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,136.80571429,48.545,38.06,31.339285714
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,16,183.61625,77.1325,57.525,41.781875
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,52.4,24.790769231,18.233846154,13.576923077
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,24,110,11.346545455,3.16,2.478,1.7160909091
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,20,86.31,21.6895,14.0195,11.125
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,17,232.35,59.915882353,42.120588235,33.202941176
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,42,44,116.73727273,49.475681818,38.204318182,26.186818182
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,93,96,508.10270833,99.321041667,74.261979167,53.02
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1725,0.17,0.0443652174,0.0347536232,0.0347536232
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,7.2858115942,3.0050434783,2.2223043478,2.2223043478
1013141621,SWIFT,SHANNON,S,M.D.,F,I,175 VOLUNTEER PKWY,,CLINTON,AR,720318001,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,89.571428571,33,25.87,25.87
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,23,607,34.86,34.86,27.33029654,27.33029654
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,34,944,8.2788559322,8.2788559322,6.4309851695,6.431875
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,27,1056,18.5,18.5,14.504005682,14.504005682
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,19,328,7.3453658537,7.3453658537,5.7588109756,5.770304878
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,21,72,18.29,18.29,14.339583333,14.339583333
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1016,0.45,0.45,0.3528051181,0.3528051181
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,25,25,25,122.9328,52.9004,41.4744,36.5584
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,122.82142857,56.18,44.043571429,41.230714286
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,11,44,44,150.53090909,53.508636364,36.371818182,33.718636364
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,66.5775,17.9225,14.045,13.576666667
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,20.75,5.868125,4.6009375,3.809375
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,39,282.52641026,89.663589744,68.732564103,54.535384615
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,E2602,"General use wheelchair seat cushion, width 22 inches or greater, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,161.88,82.6,64.76,63.285333333
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,15,60,60,61.7315,21.466333333,15.067166667,12.939333333
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,18,83,83,123.46891566,32.459277108,24.724578313,22.528072289
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,23.431666667,9.6788888889,7.5905555556,7.3055555556
1013141951,AZZAM,MOHANNAD,F,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,188.8,39.7636,31.1792,29.5708
1013142025,YODER,DUNCAN,P,M.D.,M,I,DIVISION OF TRANSPLANT SURGERY,983285 NEBRASKA MEDICAL CENTER,OMAHA,NE,681983285,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,15,155,37.65483871,25.628064516,20.092580645,19.222774194
1013142025,YODER,DUNCAN,P,M.D.,M,I,DIVISION OF TRANSPLANT SURGERY,983285 NEBRASKA MEDICAL CENTER,OMAHA,NE,681983285,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,110,17.245454545,8.3490909091,6.5456363636,6.4286363636
1013142025,YODER,DUNCAN,P,M.D.,M,I,DIVISION OF TRANSPLANT SURGERY,983285 NEBRASKA MEDICAL CENTER,OMAHA,NE,681983285,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,2233.3833333,729.45166667,571.8875,497.44666667
1013142686,PRATT,ADRIANA,,M.D.,F,I,"15801 W SH 71, BLDG 1",,BEE CAVE,TX,78738,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,530.98529412,31.764705882,24.903529412,24.764705882
1013142827,KAMAT,DEEPTI,V,MD,F,I,4201 ST ANTIONE,DETROIT MEDICAL CENTER,DETROIT,MI,482016507,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,26.59,17.25,13.52,13.54
1013142827,KAMAT,DEEPTI,V,MD,F,I,4201 ST ANTIONE,DETROIT MEDICAL CENTER,DETROIT,MI,482016507,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,176.96642857,79.88,60.383571429,52.765714286
1013142876,GILLETTE,ERICA,L,M.D.,F,I,6675 HOLMES RD,STE 360,KANSAS CITY,MO,641311150,US,Physician/Family Practice,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,395,116.23842105,91.137894737,91.132105263
1013143718,BLANKENSHIP,CRYSTAL,,M.D.,F,I,635 ANDERSON RD,SUITE 10,DAVIS,CA,956163505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,26,69.904615385,8.32,5.7688461538,5.7688461538
1013143742,ETZEL,ANDREW,K,DO,M,I,2115 CHAPLINE ST,,WHEELING,WV,260033859,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.31,17.29,12.420833333,12.4025
1013143742,ETZEL,ANDREW,K,DO,M,I,2115 CHAPLINE ST,,WHEELING,WV,260033859,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,430.21516129,86.072580645,63.197741935,53.226774194
1013143742,ETZEL,ANDREW,K,DO,M,I,2115 CHAPLINE ST,,WHEELING,WV,260033859,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,70.357142857,45.034285714,30.615,26.322142857
1013144021,MOY,LACEY,D,MD,F,I,1506 W REYNOLDS ST,,PONTIAC,IL,617649674,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,33,120,58.215083333,8.32,6.4135833333,6.4135833333
1013144021,MOY,LACEY,D,MD,F,I,1506 W REYNOLDS ST,,PONTIAC,IL,617649674,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,28,15.0575,1.42,1.075,1.075
1013144021,MOY,LACEY,D,MD,F,I,1506 W REYNOLDS ST,,PONTIAC,IL,617649674,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,5572,0.1875035894,0.046022972,0.0360821967,0.0360821967
1013144021,MOY,LACEY,D,MD,F,I,1506 W REYNOLDS ST,,PONTIAC,IL,617649674,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,116.36842105,33,25.87,25.87
1013144484,KAZAMEL,MOHAMED,,M.D.,M,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Neurology,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1600,913.16,705.99909091,832.33909091
1013144484,KAZAMEL,MOHAMED,,M.D.,M,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,56,56,1603.2673214,913.16,708.23410714,823.29375
1013144484,KAZAMEL,MOHAMED,,M.D.,M,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,536.51428571,384.18285714,298.54914286,305.43285714
1013144484,KAZAMEL,MOHAMED,,M.D.,M,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,212.37037037,36.905555556,28.931481481,33.647777778
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,75,158,73.153544304,8.32,5.5881012658,5.5881012658
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,17,22,14.561818182,1.42,0.9627272727,0.9627272727
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,17,41,81,8.1088888889,1.4512345679,1.0222222222,1.0365432099
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,92.320588235,17.29,13.55,13.532352941
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,726.68333333,830.30416667
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,65,71,43.748028169,4.57,2.9833802817,3.1273239437
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,275.2225,35.49,27.825,27.3625
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28.5,11.235,8.8075,8.8141666667
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,554.5725,70.34,52.392142857,52.016428571
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,24,94,17070,0.3133151728,0.0455957821,0.0335348565,0.0335348565
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,870,2.0628275862,0.1316551724,0.1032413793,0.1032413793
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,18,155.50833333,21.23,16.645,15.28
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,39,230.80410256,32.232564103,25.267179487,23.467179487
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,34,66.118823529,9.2170588235,7.2288235294,7.1247058824
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,609.5,161.04,126.2625,124.00583333
1013144559,HEBERT,CHRISTY,L,FNP,F,I,8120 MAIN ST STE 301,,HOUMA,LA,703603403,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,26,97,97,94.639175258,33,24.103402062,24.103402062
1013144674,SMITH,JAMIE,M,M.D.,F,I,200 VIRGIL AVE SE,,MOUNT VERNON,IA,523141589,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,25,61.8844,8.32,5.482,5.482
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,40,63,63,66.114603175,39.745079365,31.167777778,30.635079365
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,19,46,5.4936956522,1.68,1.2613043478,1.107826087
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,50,112,112,209.40142857,89.849910714,65.15375,63.053482143
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,45,111,305,79.20042623,34.850295082,26.287377049,25.042032787
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,45,88,485,31.939010309,18.992329897,14.634453608,14.292103093
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,30,62,346,25.809855491,15.675953757,11.040491329,10.748034682
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,70,145,145,95.172068966,57.833034483,43.414482759,41.190344828
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,110,148,148,34.862635135,18.248851351,13.771486486,13.600337838
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,19.156153846,10.409230769,8.1638461538,8.15
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,75,195,195,35.037333333,12.667538462,9.5317435897,8.8355384615
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,114,272,1436,4.7151810585,2.108356546,1.5745891365,1.5194568245
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,26,36,36,19.335833333,6.15,4.6761111111,4.5308333333
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,31,40,40,35.499,13.6745,10.06725,9.7165
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,77,79,74.401139241,18.91835443,14.144683544,13.235189873
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,1561.02,1074.31,832.69533333,832.69533333
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,54,54,142.96296296,83.178148148,59.753888889,60.206111111
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,1488.4,976.13105263,757.73684211,757.73684211
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,45,45,45,344.00533333,135.09644444,103.62933333,102.09133333
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,37.286923077,14.760769231,11.575,10.479615385
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,61,299,299,113.06535117,35.82735786,26.266254181,24.749297659
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,136,138,357.45862319,85.644202899,64.742246377,54.381304348
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,108.4375,38.82921875,30.0328125,28.94828125
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.186928571,11.077928571,8.6851309524,8.6851309524
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,28,4644,0.2694832041,0.0474267873,0.0347975883,0.0347975883
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1287,1.9452913753,0.1331080031,0.1043512044,0.1043512044
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,1832,8.263739083,2.965529476,2.2962718341,2.2962718341
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,690,0.9187536232,0.2178695652,0.1707971014,0.1707971014
1013144690,OOLUT,PRIYA,N,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,19,57,57,67.48245614,33,25.87,25.87
1013144948,BECK,AARON,J,MD,M,I,1520 MADISON AVE,,FORT ATKINSON,WI,535383100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,22,78,209,76.521196172,8.32,6.1166028708,6.1166028708
1013144948,BECK,AARON,J,MD,M,I,1520 MADISON AVE,,FORT ATKINSON,WI,535383100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,27,15.367407407,1.42,1.0748148148,1.0748148148
1013144948,BECK,AARON,J,MD,M,I,1520 MADISON AVE,,FORT ATKINSON,WI,535383100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,22.4775,16.3775,12.4025
1013144948,BECK,AARON,J,MD,M,I,1520 MADISON AVE,,FORT ATKINSON,WI,535383100,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,223.42,50.313636364,39.448181818,25.501818182
1013144948,BECK,AARON,J,MD,M,I,1520 MADISON AVE,,FORT ATKINSON,WI,535383100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,498.85081081,103.12756757,76.008108108,51.387027027
1013144948,BECK,AARON,J,MD,M,I,1520 MADISON AVE,,FORT ATKINSON,WI,535383100,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,444,2.2372522523,0.1393918919,0.1092792793,0.1092792793
1013144948,BECK,AARON,J,MD,M,I,1520 MADISON AVE,,FORT ATKINSON,WI,535383100,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,109.15,40.2275,29.1375,20.235833333
1013145101,VANMETER,KIPP,E,DO,M,I,117 ALBANY TPKE,,CANTON,CT,060192507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,54,52.674444444,8.32,5.3264814815,5.3264814815
1013145275,ANDELLOUX,DEREK,A,MD,M,I,3461 S COUNTY TRL,,E GREENWICH,RI,028181465,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,27,70.581481481,8.32,6.2807407407,6.2807407407
1013145531,STEVENS,MARK,J,D.O.,M,I,5504 MENAUL BLVD NE STE F,,ALBUQUERQUE,NM,871103184,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,33,66.493333333,33.257878788,25.248181818,20.051515152
1013146216,KHAN,ABDULQUADER,,M.D.,M,I,720 RUGBY RD,,BROOKLYN,NY,112302410,US,Physician/Anesthesiology,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,1400,972.47,759.98105263,771.03736842
1013146331,MCCOY,CAROLINE,,ANP-BC,F,I,1968 PEACHTREE RD NW,"BUILDING 77, 5TH FLOOR",ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,16,33,5226,5.3918427095,0.5755836204,0.3182338308,0.3182319173
1013146331,MCCOY,CAROLINE,,ANP-BC,F,I,1968 PEACHTREE RD NW,"BUILDING 77, 5TH FLOOR",ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,33,2760,3.5111123188,0.9775217391,0.6581014493,0.6581014493
1013146331,MCCOY,CAROLINE,,ANP-BC,F,I,1968 PEACHTREE RD NW,"BUILDING 77, 5TH FLOOR",ATLANTA,GA,303091281,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,23,51,51,24,24,14.307254902,14.307254902
1013146331,MCCOY,CAROLINE,,ANP-BC,F,I,1968 PEACHTREE RD NW,"BUILDING 77, 5TH FLOOR",ATLANTA,GA,303091281,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,16,31,44,16,16,11.1175,11.1175
1013146364,THORSELL,ASHLEY,,M.D.,F,I,215 PESETAS LN,,SANTA BARBARA,CA,93110,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,14,180,59.921444444,19.642833333,15.399777778,15.399777778
1013146364,THORSELL,ASHLEY,,M.D.,F,I,215 PESETAS LN,,SANTA BARBARA,CA,93110,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,525,8.1556,2.6331428571,2.0643428571,2.0643428571
1013146364,THORSELL,ASHLEY,,M.D.,F,I,215 PESETAS LN,,SANTA BARBARA,CA,93110,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,41,75,334,88.71497006,8.32,6.1364670659,6.1364670659
1013146364,THORSELL,ASHLEY,,M.D.,F,I,215 PESETAS LN,,SANTA BARBARA,CA,93110,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,21,18.391428571,1.42,1.0633333333,1.0633333333
1013146364,THORSELL,ASHLEY,,M.D.,F,I,215 PESETAS LN,,SANTA BARBARA,CA,93110,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,703,343.20461538,269.07076923,269.07076923
1013146364,THORSELL,ASHLEY,,M.D.,F,I,215 PESETAS LN,,SANTA BARBARA,CA,93110,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,11,55,55,253.34345455,251.06036364,196.83109091,196.86981818
1013146398,MURTHY,GIRISH,J,M.D.,M,I,1011 14TH AVE NW,,ARDMORE,OK,734011828,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,60,63,94.172698413,22.407142857,17.328888889,13.601904762
1013146398,MURTHY,GIRISH,J,M.D.,M,I,1011 14TH AVE NW,,ARDMORE,OK,734011828,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,12,67,67,4810.288209,1074.31,838.44597015,838.44597015
1013146398,MURTHY,GIRISH,J,M.D.,M,I,1011 14TH AVE NW,,ARDMORE,OK,734011828,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,31,55.279354839,8.2625806452,6.3596774194,3.9158064516
1013146398,MURTHY,GIRISH,J,M.D.,M,I,1011 14TH AVE NW,,ARDMORE,OK,734011828,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,65,68,561.43676471,101.51,76.948970588,54.102205882
1013146398,MURTHY,GIRISH,J,M.D.,M,I,1011 14TH AVE NW,,ARDMORE,OK,734011828,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,100,30.702941176,24.071764706,14.638823529
1013146422,K C,DIPAK,B,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,33.149,16.988,13.3175,13.531
1013146422,K C,DIPAK,B,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,125.603,77.204,60.528,55.0165
1013146430,HOMMOS,MUSAB,S,"M.B., B.S.",M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,85259,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1980,2.9476717172,0.9344545455,0.6694141414,0.6694141414
1013146505,KABLAWI,RAWAN,,MD,F,I,3000 CORAL HILLS DR,ER DEPT,CORAL SPRINGS,FL,330654108,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.98,3.9,2.7416666667,3.315
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,46,119,419,63.173126492,8.32,6.2734606205,6.2734606205
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,13.673,3.38,2.5175,2.5175
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,19.552727273,2.12,1.5181818182,1.5181818182
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,46,91,13.735384615,1.42,1.029010989,1.029010989
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,23,23,136.32347826,48.982608696,35.470434783,28.942608696
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,112,77.665625,23.752857143,16.373303571,12.549821429
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,61,37.924262295,19.197377049,15.051147541,12.796557377
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,15,24,24,223.49,69.748333333,50.756666667,40.43
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,23,23,64.53,22.314782609,16.136086957,12.966521739
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,60.51,15.918,11.806666667,8.67
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,20,37,194,8.9146391753,2.7839175258,2.0369587629,1.5319587629
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,52.044545455,15.64,11.232727273,9.4
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,60,69.346833333,22.479,16.725833333,13.144666667
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,34,43,78.634651163,17.318604651,12.501162791,9.3537209302
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,30.27,8.82125,6.2595833333,3.9754166667
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,54,63,234.52015873,48.364126984,35.344761905,24.267142857
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,96,100,377.9354,103.4026,75.7802,51.4352
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,55.445882353,45.340588235,33.616470588,28.622352941
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,76.363636364,26.463636364,19.875,12.900909091
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,87.65,39.253529412,23.461176471,16.202941176
1013146794,KAUR,LAKHVIR,,MD,F,I,2 MEDICAL PLAZA DR STE 200,,ROSEVILLE,CA,956613042,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1013146901,SHETH,SAMAR,,MD,M,I,6624 FANNIN ST,SUITE 2320,HOUSTON,TX,770302312,US,Interventional Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,73,84,63.935714286,19.71,15.450833333,15.450833333
1013146901,SHETH,SAMAR,,MD,M,I,6624 FANNIN ST,SUITE 2320,HOUSTON,TX,770302312,US,Interventional Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,73,207,234.04516908,37.38,29.306135266,29.306135266
1013146901,SHETH,SAMAR,,MD,M,I,6624 FANNIN ST,SUITE 2320,HOUSTON,TX,770302312,US,Interventional Cardiology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,578.14285714,204.80238095,160.5652381,160.5652381
1013146901,SHETH,SAMAR,,MD,M,I,6624 FANNIN ST,SUITE 2320,HOUSTON,TX,770302312,US,Interventional Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,54,4241,127.38012733,1.5853784485,1.2429427022,1.2429427022
1013146901,SHETH,SAMAR,,MD,M,I,6624 FANNIN ST,SUITE 2320,HOUSTON,TX,770302312,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,3750,2606.5521429,2038.4128571,2038.4128571
1013147099,CHUNG,GAR,W,D.O.,M,I,620 SHADOW LANE,,LAS VEGAS,NV,891064194,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,67.25,17.762666667,13.020666667,12.638
1013147099,CHUNG,GAR,W,D.O.,M,I,620 SHADOW LANE,,LAS VEGAS,NV,891064194,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,6.2933333333,4.9338888889,4.0538888889
1013147099,CHUNG,GAR,W,D.O.,M,I,620 SHADOW LANE,,LAS VEGAS,NV,891064194,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,375,80.738461538,58.633846154,50.519230769
1013147099,CHUNG,GAR,W,D.O.,M,I,620 SHADOW LANE,,LAS VEGAS,NV,891064194,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,30.692307692,16.519230769,12.020769231,13.201538462
1013147099,CHUNG,GAR,W,D.O.,M,I,620 SHADOW LANE,,LAS VEGAS,NV,891064194,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,49.263157895,37.005263158,20.926315789,17.716842105
1013147107,LULE,ENOCH,,M.D.,M,I,4234 RIVERWALK PKWY STE 230,,RIVERSIDE,CA,925053312,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,392.85714286,72.768095238,57.05047619,54.902857143
1013147107,LULE,ENOCH,,M.D.,M,I,4234 RIVERWALK PKWY STE 230,,RIVERSIDE,CA,925053312,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,36.25,28.42,29.51
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,224.12214286,56.076428571,35.184285714,28.777142857
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0950,"Wheelchair accessory, tray, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,39,39,39,770.70666667,84.55,65.221794872,58.349487179
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,55,56,110,44.177454545,13.404545455,10.184,9.8778181818
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0953,"Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,28,28,53,257.59169811,88.318113208,69.240754717,59.615471698
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,102,102,102,487.72578431,187.18490196,145.24460784,112.38068627
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,77,426,426,51.719694836,12.324366197,9.3756338028,8.9090610329
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,83,88,185,237.89740541,92.444648649,70.573459459,57.806972973
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0958,"Manual wheelchair accessory, one-arm drive attachment, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,77.47,33.753333333,26.456666667,25.838095238
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,26,246.12038462,78.863076923,61.831538462,55.891923077
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,3,28,28,56,61.371428571,20.476071429,15.65875,14.906964286
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,100,100,199,113.23025126,30.489899497,23.903316583,22.645628141
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,147,149,293,243.94508532,56.649215017,43.416313993,39.996928328
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,93,94,95,140.314,25.986315789,20.165052632,18.796315789
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,3,24,179,179,1103.8153631,449.60648045,347.31642458,347.31642458
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1002,"Wheelchair accessory, power seating system, tilt only",D1D - Wheelchairs,Durable Medical Equipment,N,3,28,28,28,11996.785714,3724.35,2919.89,2768.9414286
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction",D1D - Wheelchairs,Durable Medical Equipment,N,2,73,73,73,23579.099178,8479.7,6486.7476712,5901.8136986
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,94,94,94,6473.9706383,1104.4585106,856.64457447,824.39776596
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,13,58.427692308,14.844615385,11.639230769,11.565384615
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,4,124,184,428,560.21581776,192.76962617,149.03497664,106.63252336
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,4,158,929,1105,64.127466063,11.005918552,8.2968597285,7.9610226244
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1029,"Wheelchair accessory, ventilator tray, fixed",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,424.17607143,29.953928571,23.48,23.409285714
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,81,434,434,439.38320276,220.59064516,168.53774194,168.53758065
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,84.072142857,34.454285714,27.01,25.931428571
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,438.4,197.42,142.82083333,142.82083333
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,N,3,15,15,15,813.52333333,302.694,237.306,233.24933333
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2203,"Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 inches",D1D - Wheelchairs,Durable Medical Equipment,N,3,20,20,20,1010.9125,414.6665,325.1005,314.5895
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2211,"Manual wheelchair accessory, pneumatic propulsion tire, any size, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,39,39,77,51.013246753,32.747922078,25.671818182,25.082207792
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,70,70,140,52.524142857,28.692,22.495428571,21.357285714
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,23,1269.1304348,87.850869565,68.873913043,61.626956522
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,45,45,45,626.34577778,141.17066667,110.67933333,104.75133333
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2310,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,4008.1,1077.6181818,844.85090909,814.85818182
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2311,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,91,91,91,6412.9775824,2272.103956,1781.3321978,1650.1689011
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,71,71,71,1094.8,360.50422535,278.72647887,278.88
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2323,"Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated",D1D - Wheelchairs,Durable Medical Equipment,N,2,19,19,19,189.95263158,63.680526316,49.927894737,48.638421053
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2359,"Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,2,56,56,112,936.25428571,195.865,150.81669643,129.14205357
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,4,47,47,93,528.09247312,129.62591398,96.31655914,84.590430108
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2363,"Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,4,30,30,60,778.92366667,179.254,135.81966667,113.81733333
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,4,35,35,70,193.37085714,78.588,60.262428571,57.266857143
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,1315.8746154,508.11538462,398.36384615,377.28076923
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue",D1D - Wheelchairs,Durable Medical Equipment,N,2,71,71,71,1380.1211268,471,369.26,346.15732394
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2386,"Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,15,15,30,261.828,137.86933333,108.08833333,95.207
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2392,"Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,19,21,68,159.09485294,51.293529412,40.215882353,35.974558824
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,29,29,29,627.36551724,39.635862069,29.99137931,28.814827586
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2607,"Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,28,28,28,813.31428571,250.39142857,192.7575,159.37464286
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2609,"Custom fabricated wheelchair seat cushion, any size",D1D - Wheelchairs,Durable Medical Equipment,N,2,35,35,35,3793.8968571,1322.9137143,1037.1668571,1037.1665714
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,38,39,39,942.80974359,158.90846154,124.57897436,118.06
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2613,"Positioning wheelchair back cushion, posterior, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,18,18,18,949.60555556,316.85611111,239.55111111,232.61444444
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,23,23,23,1280.8956522,363.46565217,284.95826087,268.94782609
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2617,"Custom fabricated wheelchair back cushion, any size, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,38,38,38,5534.0881579,1848.9947368,1449.6107895,1449.6105263
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,71,71,71,1713.2,514.07577465,392.15338028,296.27394366
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,59,59,59,855.6559322,306.25728814,231.38813559,224.33728814
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,73,73,73,933.79260274,313.82835616,246.03630137,236.60232877
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,19,142,142,152.82042254,37.142887324,27.643169014,24.483450704
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,N,3,39,39,39,5131.3482051,2079.8325641,1563.5348718,1564.2776923
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0015,"Detachable, non-adjustable height armrest, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,27.7,11.510833333,9.0241666667,8.54375
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0019,"Arm pad, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,22,22,41,147.71463415,14.550731707,11.408536585,10.777073171
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0038,"Leg strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,22,22,26,95.438461538,22.38,16.947692308,16.947692308
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0040,"Adjustable angle footplate, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,56,56,110,190.19336364,55.118909091,42.679636364,39.884090909
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,8,62,77,184,244.49331522,88.227554348,68.32125,68.321141304
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,33,149,149,43.270268456,9.6631543624,7.1512080537,6.3311409396
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,8,91,128,599,34.544407346,15.251218698,11.447579299,11.447378965
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,N,2,36,36,36,1627.9027778,850.95777778,656.40972222,613.43027778
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,592.275,149.625,113.39166667,102.43083333
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,67,420,426,617.18838028,150.5408216,113.93753521,105.41309859
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,23,139,139,722.07395683,199.7728777,149.95640288,148.40071942
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,11826.923077,2273.4,1781.9307692,1781.9307692
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0856,"Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,15241.126667,5502.4,4313.88,4313.88
1013147255,KIM,DANIEL,,MD,M,I,480 MEDICAL CENTER DR,1030 DODD HALL,COLUMBUS,OH,432101229,US,Physician/Physical Medicine and Rehabilitation,S,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,N,2,68,68,68,17128.575294,5511.2,4268.1811765,4268.1811765
1013147305,DIRAMIO,SARAH,A,APRN,F,I,6 FIELDSTONE CMNS,SUITE D,TOLLAND,CT,060843419,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2076,0.4264884393,0.0457321773,0.02511079,0.02511079
1013147420,TEH,YEW-XIN,,MD,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,14,170,47.708705882,19.638882353,14.501411765,14.501411765
1013147420,TEH,YEW-XIN,,MD,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,550,6.6439636364,2.6334545455,1.7408727273,1.7408727273
1013147420,TEH,YEW-XIN,,MD,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,27,151,71.629072848,8.32,6.3503311258,6.3503311258
1013147420,TEH,YEW-XIN,,MD,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,621.40736842,352.23631579,276.15210526,276.15210526
1013147420,TEH,YEW-XIN,,MD,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,860,16.690011628,10.940139535,8.410255814,8.410255814
1013147420,TEH,YEW-XIN,,MD,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,366.66636364,251.11,196.87,196.87
1013147859,BUSHEY,NATALIE,J,PA-C,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician Assistant,S,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.45,8.45,6.624875,14.420833333
1013147883,MACALLISTER,REBECCA,L,MD,F,I,600 HIGHLAND AVE,,MADISON,WI,537923522,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,457,69.81,54.73,54.73
1013147883,MACALLISTER,REBECCA,L,MD,F,I,600 HIGHLAND AVE,,MADISON,WI,537923522,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,135,36.14,28.33,29.313333333
1013148204,RAO,VEITLA,S,MD,F,I,3003 W GOOD HOPE RD,,MILWAUKEE,WI,532092042,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,26,57,256,61.41140625,8.32,6.115,6.115
1013148204,RAO,VEITLA,S,MD,F,I,3003 W GOOD HOPE RD,,MILWAUKEE,WI,532092042,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,27,60,14.471833333,1.42,1.0393333333,1.0393333333
1013148204,RAO,VEITLA,S,MD,F,I,3003 W GOOD HOPE RD,,MILWAUKEE,WI,532092042,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,29,29,298.74,251.11,196.87,196.87
1013148535,CHAVEZ,ROCKY,,M.D.,M,I,9710 BRIMHALL RD,,BAKERSFIELD,CA,933122779,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,46,68.999130435,8.32,6.2376086957,6.2376086957
1013148535,CHAVEZ,ROCKY,,M.D.,M,I,9710 BRIMHALL RD,,BAKERSFIELD,CA,933122779,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,13,9.5,1.42,1.1184615385,1.1184615385
1013148576,MANYAM,MALIKA,,M.D.,F,I,1860 TOWN CENTER DR STE 340,,RESTON,VA,201905912,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,25.938461538,6.1192307692,4.5392307692,3.3784615385
1013148576,MANYAM,MALIKA,,M.D.,F,I,1860 TOWN CENTER DR STE 340,,RESTON,VA,201905912,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,239.16666667,70.23,55.06,54.748333333
1013148725,HOEWING,HEATHER,,PA-C,F,I,1906 FAIRVIEW AVE,STE 230,CALDWELL,ID,836055407,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,42,112,63.498392857,8.32,5.5333928571,5.5333928571
1013148725,HOEWING,HEATHER,,PA-C,F,I,1906 FAIRVIEW AVE,STE 230,CALDWELL,ID,836055407,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,51.37,18.59,13.394772727,12.425681818
1013148725,HOEWING,HEATHER,,PA-C,F,I,1906 FAIRVIEW AVE,STE 230,CALDWELL,ID,836055407,US,Physician Assistant,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,991.0996875,77.18,54.8371875,49.59
1013148725,HOEWING,HEATHER,,PA-C,F,I,1906 FAIRVIEW AVE,STE 230,CALDWELL,ID,836055407,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,30,6.3809090909,4.5963636364,3.5290909091
1013148725,HOEWING,HEATHER,,PA-C,F,I,1906 FAIRVIEW AVE,STE 230,CALDWELL,ID,836055407,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,547.705625,96.25875,75.46875,57.25875
1013148725,HOEWING,HEATHER,,PA-C,F,I,1906 FAIRVIEW AVE,STE 230,CALDWELL,ID,836055407,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,250,44.745,35.0825,30.111666667
1013148725,HOEWING,HEATHER,,PA-C,F,I,1906 FAIRVIEW AVE,STE 230,CALDWELL,ID,836055407,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,15,15,15,1721.7606667,1064.73,818.42933333,863.288
1013148832,THORPE,WILLIAM,W,D.O.,M,I,3333 SPRINGHILL DR,,NORTH LITTLE ROCK,AR,721172922,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,41.944722222,18.143055556,12.632222222,12.050277778
1013148832,THORPE,WILLIAM,W,D.O.,M,I,3333 SPRINGHILL DR,,NORTH LITTLE ROCK,AR,721172922,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,243.10305556,71.727777778,49.932222222,48.674722222
1013148832,THORPE,WILLIAM,W,D.O.,M,I,3333 SPRINGHILL DR,,NORTH LITTLE ROCK,AR,721172922,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,12,12,112.20416667,31.735,23.08,20.513333333
1013149145,RASSI STELLA,NICOLE,,MD,F,I,UNIVERSITY DISTRICT HOSPITAL,MEDICAL CENTER PO 2116,SAN JUAN,PR,009222116,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,15,54.542,30.574,23.970666667,15.626
1013149798,LINN,MARY,A,PA-C,F,I,1001 TOWSON AVE,,FORT SMITH,AR,729014921,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,75.155,17.29,12.582142857,12.565
1013149798,LINN,MARY,A,PA-C,F,I,1001 TOWSON AVE,,FORT SMITH,AR,729014921,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,464.755,70.23,50.526428571,50.235
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,35,82,75.699390244,8.32,5.0618292683,5.0618292683
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,17.029545455,1.42,1.0654545455,1.0654545455
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,240.95,62.613636364,45.596363636,33.095454545
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,72.77,23.298333333,18.263888889,13.864444444
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,34.31,10.861666667,7.9375,6.1533333333
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,42,10.433333333,8.18,7.98
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,441.255,102.61833333,74.4775,50.86
1013149889,MYERS,RACHEL,N,M.D.,F,I,109 N FRANKLIN ST,,BYRON,IL,610101441,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1019.8,139.48416667,97.395833333,93.634166667
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,41,65,149,59.044697987,8.3063087248,5.7671812081,5.7779194631
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,23,26,14.096538462,1.42,1.0746153846,1.0746153846
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,669.45533333,85.52,62.58,63.286
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,26,162.13076923,32.92,23.824615385,23.923461538
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,46,91.950652174,18.56,13.92,13.92
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,295.00571429,53.83,42.2,42.85
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,17,17,113.96647059,18.06,13.327058824,13.238823529
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,27,27,180.24555556,12.21,8.8611111111,8.4611111111
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,19,39,124,17.842741935,2.02,1.5083870968,1.5162096774
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,2008.3015789,203.27368421,151.81631579,151.85421053
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,114.54117647,13.138529412,10.298823529,10.437647059
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,108.07,4.4452,3.3264,3.788
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,110.4162963,33.188148148,26.019259259,26.211851852
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,60,1209.1091667,66.578333333,45.148333333,47.791333333
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,14,1824,2.0559594298,0.1438651316,0.1049122807,0.1049122807
1013149996,HER,NOU,,,F,I,5974 PENTZ RD,,PARADISE,CA,959695509,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,14,14,33,33,22.174285714,22.174285714
1013150051,KOLLI,HARI,K,M.B.B.S. (M.D.),M,I,2617 MITCHAM DR STE 102,,TALLAHASSEE,FL,323085479,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,2460,5.0525691057,0.5786544715,0.4176910569,0.4176910569
1013150051,KOLLI,HARI,K,M.B.B.S. (M.D.),M,I,2617 MITCHAM DR STE 102,,TALLAHASSEE,FL,323085479,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,900,3.4798555556,1.2308,0.8721333333,0.8721333333
1013150051,KOLLI,HARI,K,M.B.B.S. (M.D.),M,I,2617 MITCHAM DR STE 102,,TALLAHASSEE,FL,323085479,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,24,24,17.829473684,17.829473684
1013150051,KOLLI,HARI,K,M.B.B.S. (M.D.),M,I,2617 MITCHAM DR STE 102,,TALLAHASSEE,FL,323085479,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,40,16,16,11.60175,11.60175
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,20,91,65.204175824,8.32,5.9493406593,5.9493406593
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,57,5.8077192982,2.08,1.4585964912,1.4250877193
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,125,17.91,13.455,12.975833333
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,986.58,773.47,842.25
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,375,70.48,55.25,54.756551724
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6531538462,7.3841282051,7.3841282051
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1050,0.17,0.0460190476,0.0360380952,0.0360380952
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,2.9872142857,2.342,2.342
1013150218,ELLIS,KURTIS,D,M.D.,M,I,1915 W 5950 S,,ROY,UT,840671454,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,23,132,33,24.745217391,24.745217391
1013150374,JAGER,ZACHARY,S,MD,M,I,7220 S HIGHWAY 16,,RAPID CITY,SD,577028708,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,320,320,250.88,255.54764706
1013150374,JAGER,ZACHARY,S,MD,M,I,7220 S HIGHWAY 16,,RAPID CITY,SD,577028708,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,30,53,53,35.915333333,40.334333333
1013151018,SHAH,SIMANT,,MD,M,I,3400 SPRUCE ST,ONE MALONEY,PHILADELPHIA,PA,191044206,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,15.8475,12.425,14.0475
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,8.6307142857,8.5492857143,4.7714285714,4.8907142857
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,13.725,13.682142857,7.505,7.6014285714
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,28,10.850714286,10.835714286,6.0535714286,6.13
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,760,0.125,0.12,0.0890526316,0.0890526316
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,1932,1,0.77,0.5728623188,0.5728623188
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,684,11.659342105,5.12,4.0140350877,4.1564912281
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,11522,0.6087693109,0.3877998611,0.2923112307,0.2792319042
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,28,28,113.32,67.4,52.84,48.32
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,61.666666667,48.886666667,38.33,39.146666667
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,19.67,4.98,3.9,3.95
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,47.536585366,20.884146341,15.858780488,14.165609756
1013151091,MCLENDON,RONALD,,M.D.,M,I,1500 LAFAYETTE ST,SUITE 141,GRETNA,LA,700535732,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,15.044814815,10.353333333,7.7751851852,6.8011111111
1013151141,GOLAWALA,MUSHFEKA,M,M.D,F,I,20384 HACIENDA CT,,BOCA RATON,FL,334986603,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,26,10.93,10.93,7.5811538462,7.5811538462
1013151141,GOLAWALA,MUSHFEKA,M,M.D,F,I,20384 HACIENDA CT,,BOCA RATON,FL,334986603,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,30,7.46,7.46,5.07,5.07
1013151141,GOLAWALA,MUSHFEKA,M,M.D,F,I,20384 HACIENDA CT,,BOCA RATON,FL,334986603,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2092,0.44,0.44,0.3449474187,0.3449474187
1013151141,GOLAWALA,MUSHFEKA,M,M.D,F,I,20384 HACIENDA CT,,BOCA RATON,FL,334986603,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,639,8.28,8.28,5.753286385,5.753286385
1013151141,GOLAWALA,MUSHFEKA,M,M.D,F,I,20384 HACIENDA CT,,BOCA RATON,FL,334986603,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,39.308947368,5.5621052632,4.3636842105,3.5978947368
1013151141,GOLAWALA,MUSHFEKA,M,M.D,F,I,20384 HACIENDA CT,,BOCA RATON,FL,334986603,US,Physician/Internal Medicine,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,28,99.06,59.3,43.169285714,49.672857143
1013151141,GOLAWALA,MUSHFEKA,M,M.D,F,I,20384 HACIENDA CT,,BOCA RATON,FL,334986603,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,50.791818182,20.536818182,15.410909091,13.683181818
1013151273,CARTWRIGHT,ANGELA,E,APN,F,I,10100 KANIS RD,,LITTLE ROCK,AR,722056202,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,45,85.318444444,21.404888889,16.448222222,13.633111111
1013151273,CARTWRIGHT,ANGELA,E,APN,F,I,10100 KANIS RD,,LITTLE ROCK,AR,722056202,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,45,514.64288889,95.056888889,73.197111111,56.213777778
1013151497,BOLLAM,GEETA,,MD,F,I,556 E 115TH ST,,CHICAGO,IL,606285740,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,32,53.84625,8.32,6.3184375,6.3184375
1013151539,LAYMANCE,HALEY,,FNP,F,I,2497 S ROANE ST,SUITE 110,HARRIMAN,TN,377488670,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,65,31.543846154,24.730769231,16.986153846
1013151539,LAYMANCE,HALEY,,FNP,F,I,2497 S ROANE ST,SUITE 110,HARRIMAN,TN,377488670,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,25,13.743076923,10.770769231,7.8892307692
1013151836,WARD,MICHAEL,H,M.D.,M,I,508 FULTON ST,,DURHAM,NC,277053875,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,33.97,9.2727272727,6.9409090909,3.9236363636
1013151968,BARACALDO VILLALBA,RAFAEL,M,M.D.,M,I,401 E SPRUCE ST,,GARDEN CITY,KS,678465679,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,44,61.381136364,8.32,5.3361363636,5.3361363636
1013151968,BARACALDO VILLALBA,RAFAEL,M,M.D.,M,I,401 E SPRUCE ST,,GARDEN CITY,KS,678465679,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,5550,2.6637459459,0.5676288288,0.4375171171,0.4426306306
1013151968,BARACALDO VILLALBA,RAFAEL,M,M.D.,M,I,401 E SPRUCE ST,,GARDEN CITY,KS,678465679,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2700,1.3812925926,0.9456222222,0.7413851852,0.7413851852
1013151968,BARACALDO VILLALBA,RAFAEL,M,M.D.,M,I,401 E SPRUCE ST,,GARDEN CITY,KS,678465679,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,6600,3.8495015152,2.8269363636,2.191380303,2.191380303
1013151968,BARACALDO VILLALBA,RAFAEL,M,M.D.,M,I,401 E SPRUCE ST,,GARDEN CITY,KS,678465679,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,17.049666667,7.46725,5.8173333333,5.8173333333
1013151968,BARACALDO VILLALBA,RAFAEL,M,M.D.,M,I,401 E SPRUCE ST,,GARDEN CITY,KS,678465679,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,49,24,24,18.435918367,18.435918367
1013151968,BARACALDO VILLALBA,RAFAEL,M,M.D.,M,I,401 E SPRUCE ST,,GARDEN CITY,KS,678465679,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,49,16,16,12.54,12.54
1013152461,STEWART,STEPHEN,P,MD,M,I,2265 BAGNELL DAM BLVD,SIUTE 103,LAKE OZARK,MO,650498603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,58.105
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,24,2280,0.1592982456,0.12,0.0907982456,0.0907982456
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,40,81.88,71.487,56.04775,56.105
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,94,44.591914894,29.152340426,22.855425532,22.886595745
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,564,12.458723404,8.41,6.4532624113,6.4532624113
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,676,4.9013017751,3.67,2.7821449704,2.7821449704
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,22,1980,2.64,2.16,1.6312828283,1.6312828283
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,36,6600,0.16,0.13,0.0926484848,0.0926484848
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,2412,0.6674626866,0.45,0.3389344942,0.3389344942
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,75.43,28.9575,21.80375,15.51375
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,131.25,69.025454545,54.116363636,38.532727273
1013152677,SKURKA,JOSEPH,E,DPM,M,I,216 W WALNUT ST STE A,,DANVILLE,KY,404221832,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,313.18333333,267.49166667,200.81166667,209.02722222
1013152768,CADEIRAS,MARTIN,,MD,M,I,100 MEDICAL PLZ,630,LOS ANGELES,CA,900950001,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,40,3150,6.4160444444,0.5698507937,0.4336095238,0.4336095238
1013152768,CADEIRAS,MARTIN,,MD,M,I,100 MEDICAL PLZ,630,LOS ANGELES,CA,900950001,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,5280,2.7408143939,1.2954090909,0.9884166667,0.9884166667
1013152768,CADEIRAS,MARTIN,,MD,M,I,100 MEDICAL PLZ,630,LOS ANGELES,CA,900950001,US,Physician/Cardiovascular Disease (Cardiology),S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,11,2460,22.82,8.4875365854,6.6542398374,6.6542398374
1013152768,CADEIRAS,MARTIN,,MD,M,I,100 MEDICAL PLZ,630,LOS ANGELES,CA,900950001,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,29,29,24,24,18.82,18.82
1013152768,CADEIRAS,MARTIN,,MD,M,I,100 MEDICAL PLZ,630,LOS ANGELES,CA,900950001,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,37,43,16,16,12.249767442,12.249767442
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,19,42,8.19,1.5352380952,1.2011904762,1.1523809524
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,16,17,17,64.398235294,11.366470588,8.9088235294,8.9982352941
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,29,228,235,57.993574468,18.026085106,13.648170213,13.061021277
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,144.11666667,47.1,32.826666667,33.507777778
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,29,29,2278.6531034,1073.3186207,720.32724138,720.98068966
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,21,107,108,37.273055556,4.9266666667,3.7696296296,3.6543518519
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,38,281,288,324.73555556,82.8675,62.480277778,53.225277778
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,57,57,88.947368421,38.05,28.783333333,28.491403509
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,35,2100,17.049309524,9.6864571429,7.5941761905,7.5941761905
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,65,3900,18.207494872,11.3582,8.8691512821,8.8691487179
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,22,56,13835,0.3424922299,0.0465898085,0.0353682689,0.0353682689
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,19,84,4125,11.510249697,2.9608436364,2.296249697,2.296249697
1013153014,DESAI,HIMANSHU,D,M.D.,M,I,713 VOLVO PKWY,SUITE 101,CHESAPEAKE,VA,233201614,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,31,131,131,74.454198473,33,25.672519084,25.672519084
1013153063,KURN,DAVID,J,M.D.,M,I,1996 WALDEN DR,,GAYLORD,MI,497358241,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24,7.9045454545,6.1945454545,3.6854545455
1013153147,PROKOP-FETTIG,DONNA,M,P.A.-C,F,I,1201 SAM BASS RD,,ROUND ROCK,TX,786814137,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,160,47.751904762,35.232380952,35.753333333
1013153147,PROKOP-FETTIG,DONNA,M,P.A.-C,F,I,1201 SAM BASS RD,,ROUND ROCK,TX,786814137,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,34.688333333,3.9,3.055,3.66
1013153147,PROKOP-FETTIG,DONNA,M,P.A.-C,F,I,1201 SAM BASS RD,,ROUND ROCK,TX,786814137,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,58,58,69.83,20.505517241,14.813448276,12.897068966
1013153147,PROKOP-FETTIG,DONNA,M,P.A.-C,F,I,1201 SAM BASS RD,,ROUND ROCK,TX,786814137,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,25.28,8.0827027027,5.9535135135,6.2243243243
1013153865,ASHER,AMY,V,DO,F,I,95 LEONARD AVE,BLDG 2,WASHINGTON,PA,153013368,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,347.42,77.18,47.006666667,45.886666667
1013154038,SHULTIS,MICHAEL,S,PA-C,M,I,3911 CASTLEVALE RD,SUITE 301,YAKIMA,WA,989027807,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,115.63636364,103.98363636,81.522727273,102.5
1013154327,HUMAYUN,WASAY,,M.D.,M,I,5140 N CALIFORNIA AVE,STE 700,CHICAGO,IL,606253657,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,31,60.035806452,8.32,6.5216129032,6.5216129032
1013154327,HUMAYUN,WASAY,,M.D.,M,I,5140 N CALIFORNIA AVE,STE 700,CHICAGO,IL,606253657,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,46.76,18,14.11,13.5875
1013154327,HUMAYUN,WASAY,,M.D.,M,I,5140 N CALIFORNIA AVE,STE 700,CHICAGO,IL,606253657,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,385,77.18,60.51,55.2025
1013154384,BOON,JOHN,R,M.D.,M,I,16651 SOUTHWEST FWY,MOB 1 SUITE 310,SUGAR LAND,TX,774792345,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,2490,0.3430120482,0.13,0.0921124498,0.0921124498
1013154384,BOON,JOHN,R,M.D.,M,I,16651 SOUTHWEST FWY,MOB 1 SUITE 310,SUGAR LAND,TX,774792345,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,55,4260,4.8021126761,2.04,1.5264600939,1.5264600939
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,17,26,52,1.9480769231,0.51,0.4,0.4
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,110,271,750,53.874973333,8.32,6.2183733333,6.2183733333
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,26,69,69,14.574202899,3.38,2.5731884058,2.5731884058
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,23,28,28,24.530714286,2.12,1.6103571429,1.6103571429
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,78,155,262,14.505381679,1.42,1.0634732824,1.0634732824
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,11.5,2.99,2.1636923077,2.1877948718
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,305,38.716393443,5.07,3.8352131148,4.0232459016
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3352,1.8753102625,0.37,0.2900865155,0.2900865155
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5740,1.1561324042,0.259912892,0.2037682927,0.2430348432
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,25,25,25,118.8192,46.21,34.7808,34.9852
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,4,21,21,21,34.210952381,15.69,11.714285714,11.466666667
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,13,80,80,138.23,48.8295,37.709125,38.70375
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,111.88333333,17.09,12.761904762,12.888095238
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,197.99423077,4.1776923077,3.2746153846,3.7038461538
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,177,40.991818182,28.463636364,28.463636364
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,111.88,46.478461538,36.44,38.3
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,63.42,33.437368421,25.121052632,25.121052632
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,11.081818182,8.69,8.9863636364
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,41,684.07487805,65.7,50.494390244,53.557317073
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,72.045,38.110909091,29.878636364,30.491818182
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E2376,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,150.85,91.099090909,71.429090909,71.42
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,86.179090909,35.41,27.76,29.052727273
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,345.98,140.57,110.21,113.29454545
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,5209,0.5910789019,0.0459205222,0.0360049914,0.0360049914
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,77,77,83.040779221,18.284545455,14.337272727,14.592857143
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,4,,15,90,198.60488889,143.01388889,112.12288889,112.12288889
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,285.6,37.64,29.51,29.51
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,5,,24,232,22.809741379,21.348448276,16.627112069,16.627112069
1013154400,ZADEH,ALIDAD,M,D.O.,M,I,1600 S. IMPERIAL AVE,STE #3,EL CENTRO,CA,92243,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,40,40,33.6,33,25.87,25.87
1013154632,HARE,BRADLEY,D,M.D.,M,I,80 INTERSTATE SOUTH DR STE B,,JASPER,GA,30143,US,Physician/General Surgery,S,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,32,57.758125,48.69,38.17125,38.17125
1013154632,HARE,BRADLEY,D,M.D.,M,I,80 INTERSTATE SOUTH DR STE B,,JASPER,GA,30143,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,12,135,27.42,25,19.013481481,18.613481481
1013154632,HARE,BRADLEY,D,M.D.,M,I,80 INTERSTATE SOUTH DR STE B,,JASPER,GA,30143,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,150,48.184615385,37.775384615,40.648461538
1013154632,HARE,BRADLEY,D,M.D.,M,I,80 INTERSTATE SOUTH DR STE B,,JASPER,GA,30143,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,1716.46,564.25238095,435.53714286,440.3947619
1013155019,RAOOF,MUSTAFA,,M.D.,M,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Physician/Surgical Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,150,22.046,13.13,10.294066667,10.294066667
1013155019,RAOOF,MUSTAFA,,M.D.,M,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Physician/Surgical Oncology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,75,375,268.44,210.45653333,210.45653333
1013155019,RAOOF,MUSTAFA,,M.D.,M,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Physician/Surgical Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,75,25,9.35,7.33,7.33
1013155019,RAOOF,MUSTAFA,,M.D.,M,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Physician/Surgical Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,75,50,29.22,22.9084,22.9084
1013155050,RUEDA,JAIME,J,,M,I,1709 DRYDEN RD,STE 5.70,HOUSTON,TX,770302400,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.46,17.32,12.448333333,12.411666667
1013155050,RUEDA,JAIME,J,,M,I,1709 DRYDEN RD,STE 5.70,HOUSTON,TX,770302400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,78.111764706,76.58,56.498823529,51.501176471
1013155050,RUEDA,JAIME,J,,M,I,1709 DRYDEN RD,STE 5.70,HOUSTON,TX,770302400,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,136.59090909,16.905454545,13.252727273,14.414545455
1013155050,RUEDA,JAIME,J,,M,I,1709 DRYDEN RD,STE 5.70,HOUSTON,TX,770302400,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,58.635454545,7.6354545455,5.9836363636,6.7281818182
1013155092,SOFIANOS,DMITRI,,M.D.,M,I,4425 PAULSEN ST,,SAVANNAH,GA,314053662,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,82.652307692,47.785384615,37.464615385,36.586153846
1013155092,SOFIANOS,DMITRI,,M.D.,M,I,4425 PAULSEN ST,,SAVANNAH,GA,314053662,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,26,26,26,5250,4378.96,3427.5915385,3427.5915385
1013156108,VELAZQUEZ,ELIZABETH,N,MD,F,I,7766 EWING BLVD,SUITE L,FLORENCE,KY,410427537,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,45,67,68.43880597,8.32,5.94,5.94
1013156108,VELAZQUEZ,ELIZABETH,N,MD,F,I,7766 EWING BLVD,SUITE L,FLORENCE,KY,410427537,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,23,24,15.337083333,1.42,1.0258333333,1.0258333333
1013156108,VELAZQUEZ,ELIZABETH,N,MD,F,I,7766 EWING BLVD,SUITE L,FLORENCE,KY,410427537,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,77.58,17.16,13.46,13.533333333
1013156108,VELAZQUEZ,ELIZABETH,N,MD,F,I,7766 EWING BLVD,SUITE L,FLORENCE,KY,410427537,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,430.7021875,72.45,53.25,51.5034375
1013156124,RUNYON,BRADLEY,J,O.D.,M,I,830 W MICHIGAN AVE,,MARSHALL,MI,490681446,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,65.271818182,65.271818182,46.945,46.19
1013156124,RUNYON,BRADLEY,J,O.D.,M,I,830 W MICHIGAN AVE,,MARSHALL,MI,490681446,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,38,56.605263158,46.313157895,36.31,40.853684211
1013156728,YURICH,JOSEPH,F,M.D.,M,I,7641 MARKET ST STE 2,,YOUNGSTOWN,OH,445126010,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,170,11.832647059,5.74,4.5,4.5
1013156728,YURICH,JOSEPH,F,M.D.,M,I,7641 MARKET ST STE 2,,YOUNGSTOWN,OH,445126010,US,Physician/General Surgery,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,220,12.553454545,7,5.1106818182,5.1106818182
1013156728,YURICH,JOSEPH,F,M.D.,M,I,7641 MARKET ST STE 2,,YOUNGSTOWN,OH,445126010,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,600,0.43185,0.24,0.1802833333,0.2040166667
1013156850,AZARI,SORAYA,,M.D.,F,I,1001 POTRERO AVE # 1M3,,SAN FRANCISCO,CA,941103518,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,48,92.495,8.32,5.9120833333,5.9120833333
1013157353,HECKERT,CATHERINE,A,NPF,F,I,243 GEORGIA STREET,SUITE B,VALLEJO,CA,945905905,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,38,111,66.735675676,8.32,5.1711711712,5.1711711712
1013157353,HECKERT,CATHERINE,A,NPF,F,I,243 GEORGIA STREET,SUITE B,VALLEJO,CA,945905905,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,26,56,14.280714286,1.42,0.9553571429,0.9553571429
1013157353,HECKERT,CATHERINE,A,NPF,F,I,243 GEORGIA STREET,SUITE B,VALLEJO,CA,945905905,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,502.5,65.7,51.51,54.73
1013157791,PASQUALE,MICHAEL,,"MSN, RN, APN-C",M,I,297 LAFAYETTE AVE,,HAWTHORNE,NJ,075061919,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,49.08,8.32,6.0542857143,6.0542857143
1013158047,PATEL,AMUL,S,D.O.,M,I,187 MILLBURN AVE,SUITE 101,MILLBURN,NJ,070411847,US,Physician/Anesthesiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,11,1038.7818182,972.47,666.40909091,679.53909091
1013158047,PATEL,AMUL,S,D.O.,M,I,187 MILLBURN AVE,SUITE 101,MILLBURN,NJ,070411847,US,Physician/Anesthesiology,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,51,51,51,1320.9064706,1017.66,748.65117647,837.30117647
1013158047,PATEL,AMUL,S,D.O.,M,I,187 MILLBURN AVE,SUITE 101,MILLBURN,NJ,070411847,US,Physician/Anesthesiology,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,19,19,19,122.41421053,120.31684211,58.247894737,67.283157895
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,55,127,53.283149606,8.32,5.5662204724,5.5662204724
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,31,16.922903226,1.42,0.8990322581,0.8990322581
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,240.48,48.31,37.88,37.63
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,160.03259259,33.048888889,21.415185185,20.994074074
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,397,70.23,51.389333333,51.117333333
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3387,0.4500501919,0.0463330381,0.029276646,0.029276646
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,94.555,19.498571429,11.210714286,10.709285714
1013158088,DEGATUR,BENJAMIN,T,M.D.,M,I,206 CHAMPAGNE BLVD,SUITE A,BREAUX BRIDGE,LA,705173734,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,48.230769231,33,21.89,21.89
1013158179,LEVITZ,LILIA,,D.O,F,I,49 WEED AVE,,STATEN ISLAND,NY,103064922,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,54,90,84.398666667,8.32,6.2322222222,6.2322222222
1013158179,LEVITZ,LILIA,,D.O,F,I,49 WEED AVE,,STATEN ISLAND,NY,103064922,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,27,27,37.361481481,1.42,1.12,1.12
1013158179,LEVITZ,LILIA,,D.O,F,I,49 WEED AVE,,STATEN ISLAND,NY,103064922,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,14.711818182,14.72,11.538181818,13.884545455
1013158179,LEVITZ,LILIA,,D.O,F,I,49 WEED AVE,,STATEN ISLAND,NY,103064922,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,6.6818181818,6.6818181818,5.24,6.5327272727
1013158427,BLOOMGARDEN,JESSICA,,MD,F,I,4399 N NOB HILL RD,,SUNRISE,FL,333515813,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,18,18,18,91.798333333,52.936666667,41.502777778,37.443333333
1013158427,BLOOMGARDEN,JESSICA,,MD,F,I,4399 N NOB HILL RD,,SUNRISE,FL,333515813,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,97.34826087,51.583478261,40.443913043,40.777826087
1013158427,BLOOMGARDEN,JESSICA,,MD,F,I,4399 N NOB HILL RD,,SUNRISE,FL,333515813,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,27,75.26962963,56.144444444,44.02,40.452222222
1013158427,BLOOMGARDEN,JESSICA,,MD,F,I,4399 N NOB HILL RD,,SUNRISE,FL,333515813,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,20.333333333,18,14.11,13.54
1013158427,BLOOMGARDEN,JESSICA,,MD,F,I,4399 N NOB HILL RD,,SUNRISE,FL,333515813,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,93.34,90.01,70.57,54.73
1013158427,BLOOMGARDEN,JESSICA,,MD,F,I,4399 N NOB HILL RD,,SUNRISE,FL,333515813,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,36,36,47.158055556,23.736111111,18.613888889,16.463888889
1013158427,BLOOMGARDEN,JESSICA,,MD,F,I,4399 N NOB HILL RD,,SUNRISE,FL,333515813,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,31,31,17.577419355,10.519677419,8.2496774194,7.7364516129
1013158658,MACKEY,RENEE,L,D.P.M.,F,I,2950 W MARKET ST,,FAIRLAWN,OH,443333614,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,28,84.067142857,71.56,54.986428571,54.986428571
1013159011,WEXLER,ORREN,,M.D.,M,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,1771.4285714,1074.31,837.04952381,837.04952381
1013159383,BOYETTE,KRISTINA,G,A.P.N.,F,I,3809 COVINGTON PIKE,,MEMPHIS,TN,381352209,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,40,73.7675,8.32,6.195,6.195
1013159508,CHARON,MOLLIE,A,MD,F,I,530 WI DELLS PARKWAY SOUTH,,LAKE DELTON,WI,53940,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,374.07571429,88.557619048,63.667619048,49.207619048
1013159763,ALFONSO,BIANCA,D,MD,F,I,6141 SUNSET DR STE 402,,SOUTH MIAMI,FL,331435026,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,38,166,74.167228916,8.32,6.0129518072,6.0129518072
1013159763,ALFONSO,BIANCA,D,MD,F,I,6141 SUNSET DR STE 402,,SOUTH MIAMI,FL,331435026,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,21,39,16.255384615,1.42,1.0856410256,1.0856410256
1013159763,ALFONSO,BIANCA,D,MD,F,I,6141 SUNSET DR STE 402,,SOUTH MIAMI,FL,331435026,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,250.8825,250.8825,196.69166667,196.86916667
1013160043,IACOVELLA,GINA,M,"M.D., MS",F,I,3140 S FALKENBURG RD STE 201,,RIVERVIEW,FL,335782594,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2125,1074.31,830.30416667,830.30416667
1013160068,TOMPKINS,MICHAEL,C,DO,M,I,9430 PARK WEST BLVD STE 130,,KNOXVILLE,TN,379234205,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,33,302.27272727,266.98,204.45393939,211.19878788
1013160118,CHAMPION,SHEENA,R,CRNP,F,I,1717 6TH AVE S,,BIRMINGHAM,AL,352497613,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,10.026666667,7.8633333333,7.2633333333
1013160423,MENON,SANDHYA,,M.D.,F,I,5405 OKEECHOBEE BLVD,STE. 303,WEST PALM BEACH,FL,334174543,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,50.4,8.32,4.52,4.52
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,34,95,197,63.608832487,8.3134010152,5.9924365482,5.9989340102
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,25,29,13.695862069,1.42,1.1182758621,1.1182758621
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,3.86,3.84,2.4627272727,2.4627272727
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.919,3.97,2.853125,2.853125
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,220.59133333,119.46066667,88.633333333,66.112
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,55,54.129454545,18.190727273,12.511454545,10.388909091
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,18,18,139.94111111,79.778888889,54.547777778,36.522777778
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,23,23,46.854782609,26.016956522,18.717391304,13.224347826
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,27,27,56.401481481,19.10037037,13.57962963,8.6037037037
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,34,148,7.3764864865,2.9486486486,2.1926351351,1.5383783784
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,29.677857143,15.373571429,11.244285714,9.8007142857
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,21.985,16.489,12.8535
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,285,126.5,98.795,66.714545455
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,35,17.216222222,12.726222222,9.9326666667
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,164.24285714,41.282142857,28.376904762,20.739761905
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,408.444,101.5632,76.8772,55.4212
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1500,15.814793333,9.6256,7.45082,7.45082
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,3837,0.2452124055,0.0454104769,0.0355929111,0.0355929111
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1980,13.733515152,2.9178787879,2.2876212121,2.2876212121
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,69,25.093529412,15.808235294,10.975882353
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,96,44.560909091,31.950909091,26.832727273
1013160761,ANDERSON,DOROTHY,J,ARNP,F,I,221 MAIN AVE,,CLINTON,IA,527322241,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,111.61764706,33,25.109117647,25.109117647
1013161306,ABRAHAM,SUNIL,J,M.D.,M,I,13010 HESPERIA ROAD,STE. 300,VICTORVILLE,CA,923958315,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,28,85,71.440588235,8.32,5.5274117647,5.5274117647
1013161306,ABRAHAM,SUNIL,J,M.D.,M,I,13010 HESPERIA ROAD,STE. 300,VICTORVILLE,CA,923958315,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,28,37,18.094054054,1.42,0.9351351351,0.9351351351
1013161306,ABRAHAM,SUNIL,J,M.D.,M,I,13010 HESPERIA ROAD,STE. 300,VICTORVILLE,CA,923958315,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,20.866470588,14.790588235,11.970588235
1013161306,ABRAHAM,SUNIL,J,M.D.,M,I,13010 HESPERIA ROAD,STE. 300,VICTORVILLE,CA,923958315,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,91.982727273,64.170454545,47.455
1013161538,SINGH,RANJODH,,MD,M,I,304 W HAY ST,STE 313,DECATUR,IL,625264167,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,30,660,6.8136363636,5.74,4.5000454545,4.5000454545
1013161538,SINGH,RANJODH,,MD,M,I,304 W HAY ST,STE 313,DECATUR,IL,625264167,US,Physician/General Surgery,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6,4.91,3.8494166667,3.8494166667
1013161538,SINGH,RANJODH,,MD,M,I,304 W HAY ST,STE 313,DECATUR,IL,625264167,US,Physician/General Surgery,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,345,11.687536232,10.81,8.0611014493,8.0611014493
1013162452,HONG,ERIC,,M.D.,M,I,9834 GENESEE AVE,SUITE 300,LA JOLLA,CA,920371223,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,438.08,72.06,54.1175,52.458125
1013162833,ZAPALAC,JULIANE,J,PA,F,I,1120 AVENUE G,,BAY CITY,TX,774143541,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,38,52.826052632,8.32,4.8047368421,4.8047368421
1013162833,ZAPALAC,JULIANE,J,PA,F,I,1120 AVENUE G,,BAY CITY,TX,774143541,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,68,10.533382353,3.2270588235,2.5294117647,1.5926470588
1013162833,ZAPALAC,JULIANE,J,PA,F,I,1120 AVENUE G,,BAY CITY,TX,774143541,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,34.688333333,8.0075,5.9758333333,3.3783333333
1013162833,ZAPALAC,JULIANE,J,PA,F,I,1120 AVENUE G,,BAY CITY,TX,774143541,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,211.70807692,48.996153846,37.318076923,26.105
1013163054,LOCKARD,JOYCE,P,FNP,F,I,2106 LOOP RD STE A,,WINNSBORO,LA,712953343,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,81.2271875,8.32,6.1125,6.1125
1013163054,LOCKARD,JOYCE,P,FNP,F,I,2106 LOOP RD STE A,,WINNSBORO,LA,712953343,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,45.108461538,21.757692308,17.056923077,13.636923077
1013163054,LOCKARD,JOYCE,P,FNP,F,I,2106 LOOP RD STE A,,WINNSBORO,LA,712953343,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,42,42,22.998809524,7.2145238095,5.2811904762,3.5038095238
1013163054,LOCKARD,JOYCE,P,FNP,F,I,2106 LOOP RD STE A,,WINNSBORO,LA,712953343,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,339.17,97.849411765,74.746176471,55.465
1013163120,SINHA,SWASTIK,K,M.D.,M,I,510 LINCOLN DR,,HERRIN,IL,629486334,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,102.61833333,78.909166667,53.184166667
1013163120,SINHA,SWASTIK,K,M.D.,M,I,510 LINCOLN DR,,HERRIN,IL,629486334,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,160.37,27.58,21.6225,21.6225
1013163120,SINHA,SWASTIK,K,M.D.,M,I,510 LINCOLN DR,,HERRIN,IL,629486334,US,Physician/Orthopedic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,44.745,35.0825,29.515833333
1013163120,SINHA,SWASTIK,K,M.D.,M,I,510 LINCOLN DR,,HERRIN,IL,629486334,US,Physician/Orthopedic Surgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,500,437.88,343.29,296.78538462
1013163120,SINHA,SWASTIK,K,M.D.,M,I,510 LINCOLN DR,,HERRIN,IL,629486334,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,62,62,62,1500,1257.37,985.78,892.91451613
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,29.628571429,10.982857143,8.6142857143,8.7207142857
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,15,15,30,54.29,28.973333333,22.716,22.482
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,13,13,26,120.14230769,54.358461538,42.617692308,39.952692308
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,44,33.769090909,9.8854545455,7.7454545455,8.1163636364
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,40.01,11.07,8.3504,8.3684
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,357.43266667,213.044,167.02,167.02
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,407,92.129090909,59.19,59.180909091
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,17,88,88,60.7725,21.265454545,15.037727273,13.042613636
1013163146,LEE,ROBERT,,M.D.,M,I,3000 N IH 35 STE 660,,AUSTIN,TX,787051851,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,49,49,23.244897959,9.402244898,6.5795918367,6.1514285714
1013163427,HOLLOWAY,JODI,F,ARNP,F,I,315 W 3RD ST N,,NEWTON,IA,502082015,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,38,96,65.343333333,8.32,5.2988541667,5.2988541667
1013163427,HOLLOWAY,JODI,F,ARNP,F,I,315 W 3RD ST N,,NEWTON,IA,502082015,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,22,34,14.908529412,1.42,0.9526470588,0.9526470588
1013163427,HOLLOWAY,JODI,F,ARNP,F,I,315 W 3RD ST N,,NEWTON,IA,502082015,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,14,84.669285714,22.829285714,16.830714286,15.143571429
1013163427,HOLLOWAY,JODI,F,ARNP,F,I,315 W 3RD ST N,,NEWTON,IA,502082015,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,41,42,41.021904762,8.53,6.225,3.6104761905
1013163427,HOLLOWAY,JODI,F,ARNP,F,I,315 W 3RD ST N,,NEWTON,IA,502082015,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,35,8253,0.1775027263,0.0468447837,0.0314964255,0.0314964255
1013163427,HOLLOWAY,JODI,F,ARNP,F,I,315 W 3RD ST N,,NEWTON,IA,502082015,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,31,31,68.129032258,33,23.366451613,23.366451613
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,78,63.371025641,8.32,6.2526923077,6.2526923077
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,32.0625,1.42,1.1125,1.1125
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,645,8.5157674419,3.9,3.057627907,3.057627907
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,26,18.604230769,7.69,6.0296153846,6.4388461538
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,36,1070,9.4128691589,5.74,4.4580280374,4.4580280374
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,800,18.391825,9.86,7.7300875,7.7300875
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,950,3.2756,1.95,1.5288315789,1.5288315789
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,1135,0.4894449339,0.27,0.2023171806,0.2023171806
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,25,1075,0.6495255814,0.27,0.2116651163,0.2116651163
1013163641,DORMAN,CHRISTINE,A,N.P.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,540,9.4422777778,3.0048333333,2.2178888889,2.2178888889
1013163849,LUCAS,QUINTON,A,M.D.,M,I,20945 GREAT MILLS RD,SUITE 203,LEXINGTON PARK,MD,206534369,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,32,79.26625,8.32,5.298125,5.298125
1013163849,LUCAS,QUINTON,A,M.D.,M,I,20945 GREAT MILLS RD,SUITE 203,LEXINGTON PARK,MD,206534369,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.245,1.42,0.7466666667,0.7466666667
1013163849,LUCAS,QUINTON,A,M.D.,M,I,20945 GREAT MILLS RD,SUITE 203,LEXINGTON PARK,MD,206534369,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,30.403636364,18.932727273,19.192727273
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,45,18.688444444,15.115111111,11.848666667,12.634666667
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,46,273,278,51.817014388,18.701546763,14.084388489,13.65381295
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,145.39,18,14.11,13.616
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,3775.52,1074.31,838.27472222,838.27472222
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,59,62,50.73,4.1522580645,3.1587096774,3.665483871
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,129.72,38.512,30.196,30.196
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,126,838,841,441.85423306,77.655992866,58.761296076,53.331724138
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,55,379,384,163.29234375,36.935833333,28.7525,29.287213542
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,14,17,17,17,83.823529412,57,44.69,44.69
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,3600,132.12406667,62.0535,48.649933333,48.649933333
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,1440,20.146180556,9.6353333333,7.5540902778,7.5540902778
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,15,4088,0.253683953,0.0458659491,0.0359662427,0.0359637965
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,34,40,88,10979,1.9358885144,0.1347609072,0.1026969669,0.1026969669
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,30,840,763.71428571,578.874,453.83717857,453.83717857
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,347.97818182,297.80545455,233.47909091,233.47909091
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,46,46,246.91521739,36.868695652,27.489130435,28.010652174
1013164086,KELLER,MICHAEL,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073361,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,34,40,114,114,62.526315789,33,24.962280702,24.962280702
1013164136,DICKEY,MARIA,I,DO,F,I,3901 LAS POSAS RD,SUITE # 10,CAMARILLO,CA,930101501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,60,74.0095,8.32,5.2181666667,5.2181666667
1013164136,DICKEY,MARIA,I,DO,F,I,3901 LAS POSAS RD,SUITE # 10,CAMARILLO,CA,930101501,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,67.12,18.602857143,14.581428571,14.968571429
1013164243,HERRERA,FERNANDO,A,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Plastic and Reconstructive Surgery,S,E1825,"Dynamic adjustable finger extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,395,95.696666667,67.130833333,79.67
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,20,23,23,250.95130435,87.37,63.850869565,63.370434783
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,21,32,41,97.929756098,32.76,25.332439024,25.501707317
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,16,55,49.568,18.19,14.197818182,14.462727273
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,25,29,29,163.26793103,52.99,41.54,42.723448276
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,37,40,40,49.18075,17.9,13.67925,13.7065
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,35,44,44,52.465909091,11.66,8.9704545455,8.9527272727
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,44,65,210,6.0441904762,2.06,1.6066190476,1.5886666667
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,22,22,17.302272727,5.93,4.65,4.65
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,17,18,18,40.321666667,12.36,9.3244444444,9.83
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,411.69,133.59,104.73,104.70857143
1013164342,GARG,KAWISH,,M.D,M,I,503 NORTH 21ST ST.,,CAMP HILL,PA,170118672,US,Physician/Psychiatry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,19,56,57,161.72157895,34.966315789,25.796315789,26.152280702
1013164391,CHAKEER,RIDHA,,M.D.,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,64.374761905,8.32,5.8995238095,5.8995238095
1013164391,CHAKEER,RIDHA,,M.D.,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.99,4.0127272727,3.1418181818,3.6781818182
1013164391,CHAKEER,RIDHA,,M.D.,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,297.76,74.114666667,58.104666667,54.894
1013164680,HEGERICH,DAVID,J,M.D.,M,I,1560 MAREMONT RD,,KNOXVILLE,TN,379180964,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,61,74.445737705,18.49,13.539836066,12.72147541
1013164680,HEGERICH,DAVID,J,M.D.,M,I,1560 MAREMONT RD,,KNOXVILLE,TN,379180964,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,49,312.63959184,86.623673469,65.695306122,54.966938776
1013164771,NAMENYI,PAMELA,,"FNP, PNP",F,I,6509 S SANTA FE DR,,LITTLETON,CO,801202910,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,107.27272727,44.480909091,29.484545455,19.129090909
1013165141,RIVERA-JIMENEZ,JOSE,D,MD,M,I,7754 BAY ST,SUITE 6&7,SEBASTIAN,FL,329583427,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,3741.1111111,2637.4822222,2059.8155556,2059.8155556
1013165174,O'DEA,JAMES,N,M.D.,M,I,8094 BEECHMONT AVE,,CINCINNATI,OH,452553145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,17,31,111,41.765855856,8.3074774775,6.0430630631,6.0528828829
1013165174,O'DEA,JAMES,N,M.D.,M,I,8094 BEECHMONT AVE,,CINCINNATI,OH,452553145,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,30,12.23,1.42,1.003,1.003
1013165174,O'DEA,JAMES,N,M.D.,M,I,8094 BEECHMONT AVE,,CINCINNATI,OH,452553145,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,275.605,79,61.94,55.63125
1013165679,LESTER,DEBRA,S,NP,F,I,1050 DELAWARE AVE,,MARION,OH,433026416,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,77.055925926,8.32,6.5214814815,6.5214814815
1013165752,WALKER,ERIN,G,PA-C,F,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,102.61833333,70.493333333,45.608333333
1013165851,LANG,CAMILLE,E,M.D.,F,I,320 E MAIN ST,"CENTRAL LAKES MEDICAL CLINIC, PA",CROSBY,MN,564411645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,29,77,40.475194805,8.32,6.0990909091,6.0990909091
1013165851,LANG,CAMILLE,E,M.D.,F,I,320 E MAIN ST,"CENTRAL LAKES MEDICAL CLINIC, PA",CROSBY,MN,564411645,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,46.126666667,25.695,26.795833333
1013165851,LANG,CAMILLE,E,M.D.,F,I,320 E MAIN ST,"CENTRAL LAKES MEDICAL CLINIC, PA",CROSBY,MN,564411645,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,27.343125,8.761875,6.86875,4.184375
1013166156,SOTOLONGO,ROBERTO,,MD,M,I,11760 SW 156TH CT,,MIAMI,FL,331966896,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,39,39,110.28820513,52.305897436,37.03025641,34.145384615
1013166156,SOTOLONGO,ROBERTO,,MD,M,I,11760 SW 156TH CT,,MIAMI,FL,331966896,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,36.455714286,5.9580952381,4.3980952381,3.4776190476
1013166156,SOTOLONGO,ROBERTO,,MD,M,I,11760 SW 156TH CT,,MIAMI,FL,331966896,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,55,11.764,9.218,9.3553333333
1013166156,SOTOLONGO,ROBERTO,,MD,M,I,11760 SW 156TH CT,,MIAMI,FL,331966896,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,45.532307692,22.386153846,17.554615385,15.436923077
1013166156,SOTOLONGO,ROBERTO,,MD,M,I,11760 SW 156TH CT,,MIAMI,FL,331966896,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,13,78.963076923,34.05,22.785384615,17.912307692
1013166156,SOTOLONGO,ROBERTO,,MD,M,I,11760 SW 156TH CT,,MIAMI,FL,331966896,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,82.64,53.507857143,39.15,35.592857143
1013166156,SOTOLONGO,ROBERTO,,MD,M,I,11760 SW 156TH CT,,MIAMI,FL,331966896,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,35,18.787142857,9.6517142857,7.3771428571,6.8302857143
1013166768,HAFEMANN,SUSAN,L,APNP,F,I,4448 W LOOMIS RD,,GREENFIELD,WI,532204800,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,72,65.180555556,8.32,5.2420833333,5.2420833333
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,317,566,566,99.135106007,40.433109541,29.373869258,28.381484099
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,108,188,188,313.79553191,88.57356383,65.437712766,63.82356383
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,92,233,386,126.1453886,35.120051813,26.025673575,24.559818653
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,19,123,287,889,78.368841395,19.516996625,13.916310461,13.378672666
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,107,273,720,44.349958333,15.707375,11.413347222,11.064375
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,260,428,429,182.71815851,55.690559441,40.542727273,39.895617716
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,350,452,452,61.900176991,18.653871681,13.894867257,13.380663717
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,37,43,43,37.559534884,10.716744186,8.1095348837,7.8953488372
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,23,23,85.405652174,15.34826087,12.030869565,9.6230434783
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,354,778,2629,8.3100798783,2.1377253709,1.588546976,1.5173107645
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,17,17,22.204705882,6.2452941176,4.6152941176,4.3864705882
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,221,264,264,41.538333333,13.265492424,9.9103409091,9.8509090909
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,23,126,135,284.23155556,87.116814815,64.878592593,62.756740741
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,884.495,212.8875,154.94833333,152.13666667
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,21,21,448.83190476,132.79619048,102.21238095,102.79904762
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,114,567,616,46.147987013,13.259123377,9.7593019481,9.7902597403
1013166966,GRIFFITH,MARTHA,,PA-C,F,I,3333 RIVERBEND DRIVE,SLEEP CENTER,SPRINGFIELD,OR,974778800,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,146,894,957,160.50728318,32.999498433,24.206071055,23.726739812
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,49,141,384,63.564739583,8.32,6.0391145833,6.0391145833
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,18,10.693333333,3.38,2.5027777778,2.5027777778
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,41,71,13.161267606,1.42,0.9422535211,0.9422535211
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,19,39,39,175.66820513,49.815384615,37.166666667,29.376153846
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,35,70,8.1274285714,2.0217142857,1.5122857143,1.1042857143
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,14,19,19,82.53,17.363157895,13.089473684,9.0978947368
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,15,33,33,497.41818182,118.66393939,88.382727273,63.650909091
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,14,34,83,179.72385542,45.246746988,34.238554217,24.864096386
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,12,23,133,74.473759398,19.531729323,14.720526316,11.356842105
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,16,33,33,309.25393939,75.927878788,58.098787879,43.113333333
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,31,43,43,90.894651163,24.954883721,18.835581395,13.40627907
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,21,21,95.221428571,19.297619048,15.036190476,9.029047619
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,29,64,317,14.121766562,3.0958359621,2.4275078864,1.6530599369
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,12,17,17,52.98,15.602941176,12.228235294,10.34
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,381.36,63.448,40.618,29.950666667
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,50,65,86.31,22.757846154,17.610923077,14.611384615
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,4430.1,1052.85,819.45208333,835.58083333
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,15,47,56,81.75,18.153928571,13.819107143,10.348571429
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,36,50.73,8.0497222222,6.1066666667,3.6388888889
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,16,70,75,251.27306667,49.806533333,37.416933333,25.1208
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,16,104,125,519.51,102.64848,78.48712,59.37832
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,23,250,44.023043478,33.087826087,28.231304348
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,118,7080,16.127283898,9.6353728814,7.4405254237,7.4405254237
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,11,76,9375,0.17,0.0458944,0.0347893333,0.0347893333
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,40,2616,0.9915137615,0.1359671254,0.097220948,0.097220948
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,14,128,7680,12.341980469,3.0235859375,2.370515625,2.370515625
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,885,0.75,0.218519774,0.1713107345,0.1713107345
1013167303,PEDDAGOVINDU,BHAVANI,,MD,F,I,1900 WOODLAND DR,,COOS BAY,OR,974202045,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,23,189,189,125.71428571,33,25.168148148,25.168148148
1013168251,KOTTURI,SHIVA,K,M.D.,M,I,37 W CENTURY RD STE 111,,PARAMUS,NJ,076521466,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,32,69.7465625,8.32,4.075625,4.075625
1013168467,SIDDIQUE,MAHBUBUR,,MD,M,I,1 COOPER PLZ,,CAMDEN,NJ,081031461,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,171.615,43.320833333,33.9675,36.0275
1013168467,SIDDIQUE,MAHBUBUR,,MD,M,I,1 COOPER PLZ,,CAMDEN,NJ,081031461,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,22,407.74,72,55.259545455,54.087272727
1013168467,SIDDIQUE,MAHBUBUR,,MD,M,I,1 COOPER PLZ,,CAMDEN,NJ,081031461,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,81.708571429,36.3,28.46,28.985
1013168483,YARBROUGH,CORINNE,A,M.D.,F,I,300 FIR ST,,SAN DIEGO,CA,921012327,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,34,69.227941176,8.32,3.8352941176,3.8352941176
1013168558,BABAYEUSKI,ALEXANDR,,MD,M,I,303 PARKWAY DR NE,GME-INTERNAL MEDICINE,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,115.09,48,37.63,36.60625
1013168558,BABAYEUSKI,ALEXANDR,,MD,M,I,303 PARKWAY DR NE,GME-INTERNAL MEDICINE,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,225,51.181176471,40.124705882,40.68
1013168558,BABAYEUSKI,ALEXANDR,,MD,M,I,303 PARKWAY DR NE,GME-INTERNAL MEDICINE,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,490.32258065,75.56,59.24,56.621290323
1013168558,BABAYEUSKI,ALEXANDR,,MD,M,I,303 PARKWAY DR NE,GME-INTERNAL MEDICINE,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,100,36.25,28.42,29.253529412
1013168558,BABAYEUSKI,ALEXANDR,,MD,M,I,303 PARKWAY DR NE,GME-INTERNAL MEDICINE,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,143,19.058823529,13.281176471,12.387647059
1013168558,BABAYEUSKI,ALEXANDR,,MD,M,I,303 PARKWAY DR NE,GME-INTERNAL MEDICINE,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,37,8.1442857143,6.3785714286,6.7721428571
1013168558,BABAYEUSKI,ALEXANDR,,MD,M,I,303 PARKWAY DR NE,GME-INTERNAL MEDICINE,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,85,36.524615385,28.634615385,29.342307692
1013169077,HAND,REBECCA,L,N.P.,F,I,UVA HOSPITAL,"HOSPITAL DRIVE, 3RD FLOOR",CHARLOTTESVILLE,VA,229080001,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,120,50.4025,39.51625,36.46
1013169135,SEDLACEK,MICHELLE,W,PA-C,F,I,6320 W UNION HILLS DR,BLDG B #2600,GLENDALE,AZ,853081096,US,Physician Assistant,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,710,3.76,2.27,1.7796901408,1.7796901408
1013169135,SEDLACEK,MICHELLE,W,PA-C,F,I,6320 W UNION HILLS DR,BLDG B #2600,GLENDALE,AZ,853081096,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,660,6.2,2.04,1.5993333333,1.5993333333
1013169135,SEDLACEK,MICHELLE,W,PA-C,F,I,6320 W UNION HILLS DR,BLDG B #2600,GLENDALE,AZ,853081096,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,28,17.677142857,10.835714286,8.495,8.5528571429
1013169846,KANTZLER,AIMEE,S,NP,F,I,18101 OAKWOOD BLVD,,DEARBORN,MI,481244089,US,Nurse Practitioner,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,88.792608696,43.773043478,33.213478261,33.752173913
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,61,103,103,92.205339806,42.110582524,32.598349515,30.117864078
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,61,110,110,268.53572727,94.598727273,70.824545455,65.920181818
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,58,121,269,104.8227881,36.113271375,27.441263941,25.377695167
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,21,94,228,997,60.427301906,19.176589769,13.878355065,13.47446339
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,68,143,650,44.911584615,15.653492308,11.077523077,10.702938462
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,154,332,332,171.33259036,58.56810241,42.721927711,39.89253012
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,182,254,254,55.525551181,19.132992126,14.186692913,13.287519685
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,43,52,52,23.309807692,11.152307692,8.2944230769,7.7398076923
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,142,324,324,60.571635802,11.903148148,8.8672222222,8.7613271605
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,199,483,2381,8.1582570349,2.2288786224,1.6756320874,1.5373876522
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,154,202,202,19.863168317,6.3568316832,4.8397029703,4.5446534653
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,104,139,139,33.077482014,14.198633094,10.837625899,10.119208633
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,424.12185185,86.198148148,66.310740741,66.310740741
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,91,91,91,392.45791209,138.56758242,106.92318681,102.92604396
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,31,33,71.248181818,19.626363636,15.387272727,11.093939394
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,134,778,782,145.49968031,34.762250639,26.141265985,25.328030691
1013169945,CRUCE,MEGAN,E,A.P.N.,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,237.88022222,71,54.423111111,53.534444444
1013170141,COOKE,ELISABETH,S,MD,F,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1013170232,AMIN,TANAY,J,M.D.,M,I,9165 W THUNDERBIRD RD,SUITE 200,PEORIA,AZ,853814847,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,250,215.89058824,167.34411765,169.80176471
1013170232,AMIN,TANAY,J,M.D.,M,I,9165 W THUNDERBIRD RD,SUITE 200,PEORIA,AZ,853814847,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,35,90,70.520571429,55.290857143,47.401428571
1013170372,TESCH,JULIA,,DO,F,I,50505 SCHOENHERR RD,SUITE 340,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,52,40.959807692,8.32,6.0790384615,6.0790384615
1013170372,TESCH,JULIA,,DO,F,I,50505 SCHOENHERR RD,SUITE 340,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,15,8.9106666667,1.42,1.1173333333,1.1173333333
1013170430,KHAN,MUSHKBAR,,M.D.,F,I,2340 E 10TH ST,,INDIANAPOLIS,IN,462012008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,50,71.4574,8.32,4.9572,4.9572
1013170430,KHAN,MUSHKBAR,,M.D.,F,I,2340 E 10TH ST,,INDIANAPOLIS,IN,462012008,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,699.15,157.41,123.4075,116.09916667
1013170448,MSIKINYA,PHUMEZA,,MD,F,I,8920 SOUTHPOINTE DR STE B,,INDIANAPOLIS,IN,46227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,38,137,68.274452555,8.32,6.2857664234,6.2857664234
1013170448,MSIKINYA,PHUMEZA,,MD,F,I,8920 SOUTHPOINTE DR STE B,,INDIANAPOLIS,IN,46227,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,40,15.234,1.42,1.08675,1.08675
1013170448,MSIKINYA,PHUMEZA,,MD,F,I,8920 SOUTHPOINTE DR STE B,,INDIANAPOLIS,IN,46227,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,232.62857143,71.532857143,56.085,37.745714286
1013170448,MSIKINYA,PHUMEZA,,MD,F,I,8920 SOUTHPOINTE DR STE B,,INDIANAPOLIS,IN,46227,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,31.950555556,5.0855555556,3.7283333333,3.3805555556
1013170448,MSIKINYA,PHUMEZA,,MD,F,I,8920 SOUTHPOINTE DR STE B,,INDIANAPOLIS,IN,46227,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,395.12076923,105.56769231,82.768461538,64.076153846
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,45,46,60.321086957,19.308478261,14.839130435,13.367173913
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1066,1066,835.74,842.26
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,52.4525,8.2583333333,6.4725,4.1725
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,12,84,84,309.64678571,82.05547619,61.856547619,53.245595238
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,960,16.965625,9.65,7.56559375,7.56559375
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,1800,1.1268333333,0.1318,0.0973055556,0.0973055556
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1320,9.8422727273,3.0245909091,2.3713030303,2.3713030303
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,37.44,26.681818182,26.845454545
1013170794,MUELLER,JOSEPH,C,MD,M,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,29,29,67.810344828,33,25.530344828,25.530344828
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,14,19,38,1.8463157895,0.51,0.4,0.4
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,25,63,300,47.5386,8.32,6.4117333333,6.4117333333
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,23,57,57,14.894736842,3.38,2.65,2.65
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,21,28,28,27.839285714,2.12,1.67,1.67
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,25,62,148,15.235135135,1.42,1.0968243243,1.0968243243
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E0197,"Air pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.4,11.505,6.2458333333,8.4658333333
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,53,53,108.25,57.148490566,42.093773585,37.534150943
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E0372,"Powered air overlay for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,424.41914286,208.92857143,163.8,127.89771429
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,31.6825,6.4715,4.7775,3.762
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,96.12,42.870909091,25.206363636,26.102727273
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,46.636363636,11.313636364,8.8690909091,8.8754545455
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,44.836363636,10.983636364,8.6172727273,8.2781818182
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,529.03636364,217.88545455,170.81636364,170.81636364
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,70,99.06,69.756714286,54.689714286,60.371142857
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,51.53,20.440857143,14.800857143,13.673142857
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,90.91,54.94,43.075,41.338333333
1013170893,FERSOBE,SAADIA,,MD,F,I,804 EMMETT ST,,KISSIMMEE,FL,347415434,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,65.9475,8.8583333333,6.9466666667,6.8641666667
1013170919,HARPER,DONALD,D,NP,M,I,9825 EAGLE DR,,BAYTOWN,TX,775239847,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,62,80.067096774,8.32,4.8725806452,4.8725806452
1013171339,HU,JETHRO,L,MD,M,I,8700 BEVERLY BLVD,,WEST HOLLYWOOD,CA,900481804,US,Physician/Neurology,S,J8597,"Antiemetic drug, oral, not otherwise specified",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,4200,4.6694761905,0.0330857143,0.02595,0.0259428571
1013171339,HU,JETHRO,L,MD,M,I,8700 BEVERLY BLVD,,WEST HOLLYWOOD,CA,900481804,US,Physician/Neurology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,15,48,13488,15.440817764,1.2242007711,0.9597753559,0.9597753559
1013171339,HU,JETHRO,L,MD,M,I,8700 BEVERLY BLVD,,WEST HOLLYWOOD,CA,900481804,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,15,40,40,24,24,18.82,18.82
1013171339,HU,JETHRO,L,MD,M,I,8700 BEVERLY BLVD,,WEST HOLLYWOOD,CA,900481804,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,30,47,16,16,12.54,12.54
1013171420,GUPTA,SAMEER,,"MD, MPH",M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,18,24,88,19.71,15.45,15.45
1013171420,GUPTA,SAMEER,,"MD, MPH",M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,22,90,37.38,29.3,29.3
1013171420,GUPTA,SAMEER,,"MD, MPH",M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,15,2912,4.4539114011,3.0010370879,2.3528399725,2.3528399725
1013171420,GUPTA,SAMEER,,"MD, MPH",M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,18,238,5.1193697479,1.691092437,1.3257983193,1.3257983193
1013171628,AHMAD,USMAN,,MD,M,I,9500 EUCLID AVE,J4-1,CLEVELAND,OH,441950001,US,Physician/Thoracic Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6835,1.7317922458,0.3991485004,0.2919356255,0.2247622531
1013171636,BALARAM,AJAY,K,MD,M,I,515 W ALGONQUIN RD,,ARLINGTON HEIGHTS,IL,600054439,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,15,996,447.63,350.94066667,308.68933333
1013171636,BALARAM,AJAY,K,MD,M,I,515 W ALGONQUIN RD,,ARLINGTON HEIGHTS,IL,600054439,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,532,239.33,187.63583333,186.16916667
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,276,9.87,3,2.2497101449,2.6698913043
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,112.13631579,17.713157895,13.884736842,13.600526316
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,53.32,38.325833333,38.325833333
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,232.35,57.546,42.591333333,36.011333333
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,48.31,34.723333333,34.494166667
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,71,71,2760.1732394,1074.31,838.21859155,838.21859155
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,21,121.29,4.0414285714,2.8466666667,3.2166666667
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,533.51741935,80.410322581,61.263870968,54.329677419
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6407692308,7.4526410256,7.4526410256
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,3162,0.3476850095,0.0458380772,0.0359424415,0.0359329538
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9377692308,2.3032307692,2.3032307692
1013171735,BICE,THOMAS,J,MD,M,I,130 MASON FARM RD,CB #7020,CHAPEL HILL,NC,275996134,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,77,33,25.87,25.87
1013171891,MARTINEZ,DENISE,A,M.D.,F,I,3640 MIDDLEBURY RD,,IOWA CITY,IA,522452712,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,34,77,61.459350649,8.32,5.3575324675,5.3575324675
1013171891,MARTINEZ,DENISE,A,M.D.,F,I,3640 MIDDLEBURY RD,,IOWA CITY,IA,522452712,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,133,30.59,18.590909091,18.698181818
1013171891,MARTINEZ,DENISE,A,M.D.,F,I,3640 MIDDLEBURY RD,,IOWA CITY,IA,522452712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,313.04347826,69.99,52.484347826,52.362608696
1013171891,MARTINEZ,DENISE,A,M.D.,F,I,3640 MIDDLEBURY RD,,IOWA CITY,IA,522452712,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,107.60869565,38.68,29.00173913,28.226956522
1013171933,LEE,CLIFTON,,,M,I,611 GIDNEY AVE,,NEWBURGH,NY,125502823,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,29,103,82.776601942,8.32,6.2058252427,6.2058252427
1013171933,LEE,CLIFTON,,,M,I,611 GIDNEY AVE,,NEWBURGH,NY,125502823,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,25,17.8944,1.42,0.9784,0.9784
1013172022,LYBARGER,KRISTOPHER,S,D.O.,M,I,2340 E MEYER BLVD BLDG 2,STE 546,KANSAS CITY,MO,641321105,US,Physician/Obstetrics & Gynecology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,58,508.2,268.44,210.45603448,210.45603448
1013172022,LYBARGER,KRISTOPHER,S,D.O.,M,I,2340 E MEYER BLVD BLDG 2,STE 546,KANSAS CITY,MO,641321105,US,Physician/Obstetrics & Gynecology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,65,25.3,9.35,7.33,7.33
1013172022,LYBARGER,KRISTOPHER,S,D.O.,M,I,2340 E MEYER BLVD BLDG 2,STE 546,KANSAS CITY,MO,641321105,US,Physician/Obstetrics & Gynecology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,65,63.8,29.22,22.908769231,22.908769231
1013172121,MALYS,LISA,A,DO,F,I,3477 COMMERCE PKWY,SUITE A,WOOSTER,OH,446917126,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,31,69,55.863623188,8.32,5.2937681159,5.2937681159
1013172121,MALYS,LISA,A,DO,F,I,3477 COMMERCE PKWY,SUITE A,WOOSTER,OH,446917126,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,14.622222222,1.42,1.1144444444,1.1144444444
1013172170,SUBRAMANIAN,SRILAKSHMI,,MD,F,I,400 US HIGHWAY 130,,EAST WINDSOR,NJ,085202792,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,45,30.859555556,7.8024444444,5.804,6.0253333333
1013172485,AMERY,SAHAR,,M.D.,F,I,315 S MANNING BLVD,,ALBANY,NY,12208,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,475,86.84,68.08,54.73
1013172485,AMERY,SAHAR,,M.D.,F,I,315 S MANNING BLVD,,ALBANY,NY,12208,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,85,39.51,30.718125,29.248125
1013172683,HOPKINS,LAUREN,C,D.O.,F,I,3500 NW 56TH ST STE 100,,OKLAHOMA CITY,OK,731124517,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,30,75,61.968533333,8.32,6.1732,6.1732
1013172683,HOPKINS,LAUREN,C,D.O.,F,I,3500 NW 56TH ST STE 100,,OKLAHOMA CITY,OK,731124517,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,23,15.451304348,1.42,1.0673913043,1.0673913043
1013172683,HOPKINS,LAUREN,C,D.O.,F,I,3500 NW 56TH ST STE 100,,OKLAHOMA CITY,OK,731124517,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2160,1.4408888889,0.1353333333,0.0859027778,0.0859027778
1013172709,LANGENBERG,CHRISTIE,J,MD,F,I,1 GENERAL STREET,"LAMPREY BUILDING, 4TH FLOOR",LAWRENCE,MA,01843,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,63,94.380634921,8.32,6.2082539683,6.2082539683
1013173012,PAGE,JAMES,E,M.D.,M,I,200 LEE ST,,WINSLOW,AZ,860472603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,29,89,203,60.087241379,8.32,6.1463546798,6.1463546798
1013173012,PAGE,JAMES,E,M.D.,M,I,200 LEE ST,,WINSLOW,AZ,860472603,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,29,42,11.192380952,1.42,1.0369047619,1.0369047619
1013173012,PAGE,JAMES,E,M.D.,M,I,200 LEE ST,,WINSLOW,AZ,860472603,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,36,56.16,20.925833333,15.991111111,13.323333333
1013173012,PAGE,JAMES,E,M.D.,M,I,200 LEE ST,,WINSLOW,AZ,860472603,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,77.45,57.045714286,31.530714286,26.860714286
1013173012,PAGE,JAMES,E,M.D.,M,I,200 LEE ST,,WINSLOW,AZ,860472603,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,53,53,24,7.6186792453,3.7230188679,2.1843396226
1013173012,PAGE,JAMES,E,M.D.,M,I,200 LEE ST,,WINSLOW,AZ,860472603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,53,369.65132075,96.011698113,71.614339623,52.119245283
1013173384,MURCH,SCOTT,R,MD,M,I,3200 WESTHILL DR,SUITE 201,WAUSAU,WI,544014705,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,12,17.008333333,17.008333333,13.3325,43.531666667
1013173590,DOUGLAS,LAURIE,E,MD,F,I,301 S 28TH AVE,,HATTIESBURG,MS,394017233,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,33,2612,57.803437979,5.1046937213,4.0020980092,4.0020980092
1013173590,DOUGLAS,LAURIE,E,MD,F,I,301 S 28TH AVE,,HATTIESBURG,MS,394017233,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,18,54,72.5,42.52,31.48462963,29.618888889
1013173590,DOUGLAS,LAURIE,E,MD,F,I,301 S 28TH AVE,,HATTIESBURG,MS,394017233,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,46.954545455,24,18.82,18.82
1013173590,DOUGLAS,LAURIE,E,MD,F,I,301 S 28TH AVE,,HATTIESBURG,MS,394017233,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,26,49.538461538,16,12.54,12.54
1013173723,IYENGAR,SUMATHY,N,"M.D.,",F,I,1000 4TH ST SW,MERCY MEDICAL CENTER-HOSPITALIST DEPT,MASON CITY,IA,504012800,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,100,20.072941176,13.981764706,11.938235294
1013173723,IYENGAR,SUMATHY,N,"M.D.,",F,I,1000 4TH ST SW,MERCY MEDICAL CENTER-HOSPITALIST DEPT,MASON CITY,IA,504012800,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,23,6.6089473684,4.99,3.5768421053
1013173723,IYENGAR,SUMATHY,N,"M.D.,",F,I,1000 4TH ST SW,MERCY MEDICAL CENTER-HOSPITALIST DEPT,MASON CITY,IA,504012800,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,215,84.22,58.831764706,48.127058824
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,73,128,128,111.2553125,43.21015625,32.601875,29.632421875
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,37,8.19,2.0459459459,1.5348648649,1.0881081081
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,83.160909091,18.099090909,13.281818182,9.0345454545
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,39,72,72,371.12138889,109.31416667,82.147361111,66.016944444
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,34,68,161,149.68776398,41.758322981,32.20515528,25.712981366
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,19,44,172,83.206104651,18.988953488,14.710116279,14.373837209
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,21,40,196,64.87872449,16.752602041,12.409642857,11.172193878
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,45,80,80,213.810125,57.548375,41.750625,39.854625
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,79,101,101,70.805445545,20.755346535,15.792079208,13.854158416
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,16,16,38.81625,11.7575,9.22125,8.15
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,86,170,879,10.47069397,2.4754266212,1.8636860068,1.5439817975
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,49,59,59,24.268644068,7.0186440678,5.3698305085,4.6540677966
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7045,"Exhalation port with or without swivel used with accessories for positive airway devices, replacement only",D1E - Other DME,Durable Medical Equipment,N,3,14,26,26,29.95,12.445,9.3819230769,8.6796153846
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,37,45,45,43.024666667,14.158666667,10.669333333,9.9293333333
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,94,103,90.220485437,21.142912621,16.140679612,13.44038835
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,4818.5709091,913.16,715.92,842.26
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,21,133,139,554.63856115,107.72158273,80.704892086,67.187266187
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,117.8385,41.57,32.59,32.59
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,27,27,27,383.88185185,146.97814815,111.89259259,106.15555556
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,28,109,131,88.552900763,16.089770992,12.112977099,10.250687023
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,58,62,55.095806452,6.854516129,5.3727419355,3.7411290323
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,52,247,263,243.26551331,39.850152091,30.098022814,24.926730038
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,29,174,187,500.91620321,94.154545455,72.952085561,55.572513369
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,71.856842105,41.484210526,32.524736842,30.266842105
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,15.58,9.68,7.4296888889,7.4296888889
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,54,12794,0.1972221354,0.0462544943,0.0360489292,0.0360481476
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,3156,1.3035836502,0.1347401774,0.0818948035,0.0818948035
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,1380,12.759123188,3.0417826087,2.3847826087,2.3847826087
1013174432,OVERDORF,COLLEEN,M,DO,F,I,500 LILLY RD NE STE 201,,OLYMPIA,WA,985065197,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,17,92,92,118.27173913,33,23.901630435,23.901630435
1013174481,YOUNG,GEOFFREY,D,M.D.,M,I,8900 N. KENDALL DR,MIAMI CANCER INSTITUTE,MIAMI,FL,331762118,US,Physician/Otolaryngology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,89.75,5.335,3.83625,3.6208333333
1013174523,SOHAGIA,KINJAL,,MD,M,I,732 THIMBLE SHOALS BLVD STE 803,,NEWPORT NEWS,VA,236064218,US,Physician/Family Practice,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,114,47.135,32.4045,32.4045
1013174531,MILLER,DANIELLE,J,MD,F,I,3045 MARIETTA AVE,,LANCASTER,PA,176011321,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,30,3.644,2.06,1.3996666667,1.3796666667
1013174531,MILLER,DANIELLE,J,MD,F,I,3045 MARIETTA AVE,,LANCASTER,PA,176011321,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,99.430666667,31.264,19.404,19.850666667
1013174689,GLASSNER,PHILIP,J,M.D.,M,I,6 SAND HILL RD,SUITE 102,FLEMINGTON,NJ,088224946,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,138.02,44.477333333,32.546666667,34.164
1013174689,GLASSNER,PHILIP,J,M.D.,M,I,6 SAND HILL RD,SUITE 102,FLEMINGTON,NJ,088224946,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,847.315,727.83083333,568.58333333,478.58416667
1013174697,VITALE,MARK,A,"MD, MPH",M,I,6 GREENWICH OFFICE PARK,,GREENWICH,CT,068315151,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,49,51,55,215.19545455,215.19545455,168.06272727,171.23345455
1013174697,VITALE,MARK,A,"MD, MPH",M,I,6 GREENWICH OFFICE PARK,,GREENWICH,CT,068315151,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,50,52,70.821538462,69.456923077,52.341538462,44.738076923
1013174697,VITALE,MARK,A,"MD, MPH",M,I,6 GREENWICH OFFICE PARK,,GREENWICH,CT,068315151,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,23,23,236.92608696,232.94782609,182.6273913,185.89956522
1013174861,DOMBROFF,MARLO,K,PA,F,I,UNIVERSITY ASSOCIATES IN OB GYN UFPC,STONY BROOK CANCER CENTER,STONY BROOK,NY,117948091,US,Physician Assistant,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,5.0833333333,4.19,3.0857361111,3.0857361111
1013174887,WALTER,ALTA,F,RN MSN GNP-BC,F,I,1140 COUNTY ROAD 130,,GATESVILLE,TX,765283867,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,23.951875,4.450625,3.279375,3.385625
1013174887,WALTER,ALTA,F,RN MSN GNP-BC,F,I,1140 COUNTY ROAD 130,,GATESVILLE,TX,765283867,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,335.35305556,79.645,57.946666667,53.466388889
1013174887,WALTER,ALTA,F,RN MSN GNP-BC,F,I,1140 COUNTY ROAD 130,,GATESVILLE,TX,765283867,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,5319,0.313784546,0.047215642,0.0349351382,0.0349351382
1013174887,WALTER,ALTA,F,RN MSN GNP-BC,F,I,1140 COUNTY ROAD 130,,GATESVILLE,TX,765283867,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1380,1.8034782609,0.1329782609,0.0884637681,0.0884637681
1013174887,WALTER,ALTA,F,RN MSN GNP-BC,F,I,1140 COUNTY ROAD 130,,GATESVILLE,TX,765283867,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,73.333333333,33,22.995555556,22.995555556
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,48,86.670833333,16.595,12.735833333,13.253958333
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,2131.088,1074.31,841.7736,841.7736
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,323.55,114.818125,86.839375,67.556875
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,31.446363636,24.657272727,24.782727273
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,,79,91,465.62516484,75.023956044,56.963296703,53.563626374
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,102.4725,36.688333333,28.764583333,29.674583333
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,2700,7.2323777778,0.5602481481,0.4392333333,0.4392333333
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,6300,5.1631126984,1.3153984127,1.0312698413,1.0312698413
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,53.886363636,39.259090909,28.472727273
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,20,20,24,24,18.82,18.82
1013175371,ROBBINS,HILARY,Y,MD,F,I,622 W 168TH ST,"DEPARTMENT OF PULMONARY AND CRITICAL CARE, PH-8",NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,45,54,16,16,12.540185185,12.540185185
1013175439,WON,ELIZABETH,S,MD,F,I,500 WESTCHESTER AVE,,WEST HARRISON,NY,106043200,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,21,71,5203,41.814107246,4.8205573707,3.6966000384,3.6966000384
1013175439,WON,ELIZABETH,S,MD,F,I,500 WESTCHESTER AVE,,WEST HARRISON,NY,106043200,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,21,57,57,24,24,18.82,18.82
1013175439,WON,ELIZABETH,S,MD,F,I,500 WESTCHESTER AVE,,WEST HARRISON,NY,106043200,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,16,16,12.54,12.54
1013175769,REARDON,KELLI,A,M.D.,F,I,2871 IVY RD,,CHARLOTTESVILLE,VA,229039304,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,323,15,3.08,2.4147678019,2.3678328173
1013175769,REARDON,KELLI,A,M.D.,F,I,2871 IVY RD,,CHARLOTTESVILLE,VA,229039304,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,5395,0.8824170528,0.3141556997,0.2463095459,0.2480203892
1013175900,MILLER,TIMOTHY,J,M.D.,M,I,17270 RED OAK DR,SUITE 200,HOUSTON,TX,770902618,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,21,22,100,96.59,72.702727273,60.656363636
1013175900,MILLER,TIMOTHY,J,M.D.,M,I,17270 RED OAK DR,SUITE 200,HOUSTON,TX,770902618,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,100,84.061578947,65.904736842,70.887894737
1013175900,MILLER,TIMOTHY,J,M.D.,M,I,17270 RED OAK DR,SUITE 200,HOUSTON,TX,770902618,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,50,450,251.594,195.4968,215.3896
1013175918,RONCALLI,LUCIA,D,MD,F,I,1010 SUNDOWN TRL,,SANTA ROSA,CA,954041115,US,Physician/Undefined Physician type[6],S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,157.72,17.09,12.283333333,12.406666667
1013175918,RONCALLI,LUCIA,D,MD,F,I,1010 SUNDOWN TRL,,SANTA ROSA,CA,954041115,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,507.5,65.7,44.9975,48.0175
1013175942,WILSON,ADAM,N,M.D.,M,I,1300 FRANKLIN AVE,,GARDEN CITY,NY,115301886,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,33,33,36,74.001666667,67.599722222,53.000833333,46.985277778
1013175942,WILSON,ADAM,N,M.D.,M,I,1300 FRANKLIN AVE,,GARDEN CITY,NY,115301886,US,Physician/Orthopedic Surgery,S,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,26,37.984615385,37.984615385,29.778846154,25.295384615
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,27,54,49.229259259,8.32,5.8872222222,5.8872222222
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,22,9.7422727273,1.42,1.0681818182,1.0681818182
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.68125,10.18,7.3832083333,7.3832083333
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.18,3.04,2.3835,2.3835
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,197.36944444,56.686666667,42.306666667,38.882777778
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,16,99,105,73.960761905,18.935142857,14.282666667,13.046285714
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,130,53.973636364,42.316363636,36.054545455
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,5.13,4.02,3.95
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,18,142,148,446.65621622,88.266351351,66.774391892,53.347297297
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,241.92307692,40,31.36,29.51
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3675,0.17,0.0468979592,0.0307510204,0.0307510204
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,96.597222222,24.035,18.845,15.28
1013176023,JAMES,KEVIN,M,M.D.,M,I,250 BLOUNT MEMORIAL HOSPITAL,PHYSICIAN OFFICE BUILDING,MARYVILLE,TN,378045904,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,23.119285714,23.119285714
1013176122,CORTES,STEVEN,A,M.D.,M,I,550 WATER ST,SUITE A,SANTA CRUZ,CA,950604124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,23,65,139,60.818273381,8.32,6.1009352518,6.1009352518
1013176122,CORTES,STEVEN,A,M.D.,M,I,550 WATER ST,SUITE A,SANTA CRUZ,CA,950604124,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,14,15,18.986666667,1.42,1.1186666667,1.1186666667
1013176122,CORTES,STEVEN,A,M.D.,M,I,550 WATER ST,SUITE A,SANTA CRUZ,CA,950604124,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,2430,3.3148148148,1.73,1.2972921811,1.5402921811
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,25,25,112.116,38.384,30.0972,30.4468
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,279.34,83.47,65.44,67.699375
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,41,118.3404878,31.66,24.820487805,25.836829268
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,56.388571429,16.922857143,12.322142857,13.075
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,121,9.1675206612,2,1.5683471074,1.5904958678
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,72,74,89.561486486,16.994864865,12.962432432,13.15027027
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,68,68,51.524705882,3.3280882353,2.3267647059,3.2497058824
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,167,169,507.22656805,70.675502959,54.090236686,53.435443787
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,87,87,409.90804598,36.594022989,28.022988506,28.787931034
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,13,4969,0.3912879855,0.0457114107,0.0358422218,0.0358422218
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1080,1.9158796296,0.1285277778,0.1007962963,0.1007962963
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,2046,13.313416422,3.0091837732,2.3592228739,2.3592228739
1013176213,TSENG,WILL,,M.D.,M,I,2520 SAMARITAN DR,SUITE 210,SAN JOSE,CA,951244106,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,14,49,49,56.12244898,33,25.87,25.87
1013176262,MORAN,JENNIFER,D,M.D.,F,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,44.95375,17.27,13.54,13.54
1013176262,MORAN,JENNIFER,D,M.D.,F,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,214.845,68.78,53.92,54.72
1013176312,HEIKS,SAMUEL,J,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,549136957,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,68,138,76.503695652,8.32,4.8315942029,4.8315942029
1013176312,HEIKS,SAMUEL,J,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,549136957,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,17,12.135294118,1.42,0.7247058824,0.7247058824
1013176312,HEIKS,SAMUEL,J,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,549136957,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,80.85,19.79,15.515714286,15.515714286
1013176312,HEIKS,SAMUEL,J,MD,M,I,3916 N INTERTECH CT,,APPLETON,WI,549136957,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,401.488,69.81,48.9912,48.9912
1013176320,LEYDON,GEORGE,F,DO,M,I,5249 E TERRACE DR,,MADISON,WI,537188339,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,85,84.020705882,8.32,5.4481176471,5.4481176471
1013176320,LEYDON,GEORGE,F,DO,M,I,5249 E TERRACE DR,,MADISON,WI,537188339,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,78.224545455,17.97,12.809090909,12.792727273
1013176320,LEYDON,GEORGE,F,DO,M,I,5249 E TERRACE DR,,MADISON,WI,537188339,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,60.660833333,11.64,6.84,6.84
1013176320,LEYDON,GEORGE,F,DO,M,I,5249 E TERRACE DR,,MADISON,WI,537188339,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,63,9.390952381,1.9538095238,1.3874603175,1.4473015873
1013176320,LEYDON,GEORGE,F,DO,M,I,5249 E TERRACE DR,,MADISON,WI,537188339,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,367.27722222,34.827777778,25.513888889,24.891111111
1013176387,STILES,BRENDON,M,M.D.,M,I,525 E 68TH ST,M404,NEW YORK,NY,100654870,US,Physician/Thoracic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,36.5,16.936363636,12.073181818,12.329545455
1013176387,STILES,BRENDON,M,M.D.,M,I,525 E 68TH ST,M404,NEW YORK,NY,100654870,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,217.1,77.567272727,56.646363636,51.115
1013176759,MASOOD,IQBAL,,MD,M,I,1300 S COLUMBIA RD,,GRAND FORKS,ND,58201,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1080,4.4422314815,0.5507222222,0.4317592593,0.4317592593
1013176759,MASOOD,IQBAL,,MD,M,I,1300 S COLUMBIA RD,,GRAND FORKS,ND,58201,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1013176759,MASOOD,IQBAL,,MD,M,I,1300 S COLUMBIA RD,,GRAND FORKS,ND,58201,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,16,16,12.54,12.54
1013176932,SARIN,APARNA,,,F,I,17 E 102ND ST,,NEW YORK,NY,100295204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,26,76.826153846,8.32,6.2730769231,6.2730769231
1013176965,HOPKINS,SHAWN,M,PA-C,M,I,810 W H SMITH BLVD,,GREENVILLE,NC,278343763,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,117.58545455,53.18,41.693636364,36.46
1013176965,HOPKINS,SHAWN,M,PA-C,M,I,810 W H SMITH BLVD,,GREENVILLE,NC,278343763,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,109.54545455,53.2,41.71,46.35
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,43,133,321,59.282928349,8.32,5.6649221184,5.6649221184
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,29,29,13.943103448,3.38,2.6062068966,2.6062068966
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,21.846666667,2.12,1.67,1.67
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,28,65,100,16.9963,1.42,1.0266,1.0266
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,26,78.941538462,69.421538462,48.995384615,50.671538462
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,45,22.829285714,16.830714286,12.563571429
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,23,5.832,0.9706666667,0.9013333333
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,13.526153846,11.44,8.0830769231,3.1284615385
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,35,18.610909091,12.989090909,10.987272727
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,216.53111111,105.38177778,79.467111111,66.311111111
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,52.16625,30.43675,22.421,15.53475
1013177138,WRIGHT,THAMRAH,,M.D.,F,I,1918 RANDOLPH RD STE 275,,CHARLOTTE,NC,282071109,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,71.666666667,45.42,35.611666667,34.47
1013177252,OWENS,ELISABETH,I,ACNP,F,I,3031 NEW BERN AVE STE 306,,RALEIGH,NC,276102989,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,441.60307692,84.284615385,60.84,50.570769231
1013177401,AFGHANI,MAHMOOD,,MD,M,I,1300 ROANOKE AVE,MEDICAL STAFF OFFICE,RIVERHEAD,NY,119012031,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,41,41,779.02829268,77.55,57.395365854,51.769512195
1013177401,AFGHANI,MAHMOOD,,MD,M,I,1300 ROANOKE AVE,MEDICAL STAFF OFFICE,RIVERHEAD,NY,119012031,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,285.6,41.25,30.228421053,27.621842105
1013177484,ROSS,BENJAMIN,W,MD,M,I,105 E. MAIN STREET,,WAUKON,IA,521721735,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,31,96.088709677,8.32,4.8387096774,4.8387096774
1013177484,ROSS,BENJAMIN,W,MD,M,I,105 E. MAIN STREET,,WAUKON,IA,521721735,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,54.73
1013177518,GERSHMAN,BORIS,,M.D.,M,I,195 COLLYER ST,SUITE 201,PROVIDENCE,RI,029041869,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1860,7.1816129032,2.04,1.5993333333,1.5993333333
1013177518,GERSHMAN,BORIS,,M.D.,M,I,195 COLLYER ST,SUITE 201,PROVIDENCE,RI,029041869,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,1593,8.5574387947,6.15,4.8215944758,5.6683176397
1013177609,HUSSEY,MICHAEL,M,MD,M,I,800 FAIR PARK BLVD,,LITTLE ROCK,AR,72204,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,22,22,205,104.26,78.024545455,83.568636364
1013177674,FUSCO,HEIDI,N,M.D.,F,I,5 E 98TH ST,6TH FLOOR,NEW YORK,NY,100296501,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,37.416923077,10.811923077,8.4796153846,8.6507692308
1013177674,FUSCO,HEIDI,N,M.D.,F,I,5 E 98TH ST,6TH FLOOR,NEW YORK,NY,100296501,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,29.244666667,9.996,7.83,8.1993333333
1013177674,FUSCO,HEIDI,N,M.D.,F,I,5 E 98TH ST,6TH FLOOR,NEW YORK,NY,100296501,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,451.54153846,212.53192308,166.61846154,166.61846154
1013177674,FUSCO,HEIDI,N,M.D.,F,I,5 E 98TH ST,6TH FLOOR,NEW YORK,NY,100296501,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,37.468571429,7.2,5.6471428571,7.0385714286
1013177906,FAELDONEA-SERUELO,RHYL ANN,F,M.D.,F,I,225 E 2ND AVE,STE. 101,ESCONDIDO,CA,920254212,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,34,68,81.964852941,8.32,5.5616176471,5.5616176471
1013177906,FAELDONEA-SERUELO,RHYL ANN,F,M.D.,F,I,225 E 2ND AVE,STE. 101,ESCONDIDO,CA,920254212,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,18.054615385,1.42,1.0338461538,1.0338461538
1013177906,FAELDONEA-SERUELO,RHYL ANN,F,M.D.,F,I,225 E 2ND AVE,STE. 101,ESCONDIDO,CA,920254212,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,78,7.8538461538,2,1.4476923077,1.4715384615
1013177948,SWOFFORD,NICOLE,S,MD,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,54,143,52.582937063,8.32,6.1116083916,6.1116083916
1013177948,SWOFFORD,NICOLE,S,MD,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,18,35,10.26,1.42,1.0811428571,1.0811428571
1013177948,SWOFFORD,NICOLE,S,MD,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,55,58.513636364,19.437090909,14.965636364,14.018
1013177948,SWOFFORD,NICOLE,S,MD,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,64,365.49,83.470625,64.000625,54.6490625
1013177948,SWOFFORD,NICOLE,S,MD,F,I,200 N VIRGINIA ST,,TERRELL,TX,751602732,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,85.411764706,33,25.87,25.87
1013178029,STAFFORD,TODD,S,MD,M,I,2 DUDLEY ST,SUITE 470,PROVIDENCE,RI,029053236,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,665,26.125097744,13.13,10.294,10.294
1013178029,STAFFORD,TODD,S,MD,M,I,2 DUDLEY ST,SUITE 470,PROVIDENCE,RI,029053236,US,Physician/General Surgery,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,127,550,268.44,210.45590551,210.45590551
1013178029,STAFFORD,TODD,S,MD,M,I,2 DUDLEY ST,SUITE 470,PROVIDENCE,RI,029053236,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,133,85,9.35,7.33,7.33
1013178029,STAFFORD,TODD,S,MD,M,I,2 DUDLEY ST,SUITE 470,PROVIDENCE,RI,029053236,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,133,85,29.22,22.908571429,22.908571429
1013178052,APEL,PETER,J,"M.D., PH.D.",M,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,37.857142857,36.767142857,28.825,42.296428571
1013178052,APEL,PETER,J,"M.D., PH.D.",M,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,29,45.379310345,45.379310345,35.577241379,59.861034483
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,64,171,67.90619883,8.32,6.1411111111,6.1411111111
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.25,3.38,2.65,2.65
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,39,16.553589744,1.42,1.1143589744,1.1143589744
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,54.28,4.16,3.0426666667,3.164
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.98,3.9,3.9458333333
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1290,0.92,0.134,0.1050930233,0.1050930233
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0155384615,2.3262435897,2.3262307692
1013178110,MOORE,JUSTIN,M,MD,M,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,118.8,33,25.87,25.87
1013178227,KING,ASHLEY,B,MD,F,I,4724 N DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,94,12590,5.7854567117,2.037045274,1.5666131851,1.568929309
1013178227,KING,ASHLEY,B,MD,F,I,4724 N DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1860,9.65,7.23,5.6683333333,5.6683333333
1013178235,ULLAH,ASHFAQ,,MD,M,I,123 SUMMER ST,,WORCESTER,MA,016081216,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,86.31,17.2,13.486,13.64
1013178235,ULLAH,ASHFAQ,,MD,M,I,123 SUMMER ST,,WORCESTER,MA,016081216,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,23,519.51,78.626086957,61.64173913,57.376956522
1013178326,BRANTL,RYLAN,J,MD,M,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,23,8.2895652174,6.2882608696,4.7691304348
1013178375,MILLER,BRENT,C,M.D.,M,I,800 MONTCLAIR RD,SUITE 101,BIRMINGHAM,AL,352131908,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5118,2.8324228214,0.6922039859,0.5426885502,0.5160785463
1013178375,MILLER,BRENT,C,M.D.,M,I,800 MONTCLAIR RD,SUITE 101,BIRMINGHAM,AL,352131908,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,27,164.5837037,54.165925926,38.298888889,34.477777778
1013178375,MILLER,BRENT,C,M.D.,M,I,800 MONTCLAIR RD,SUITE 101,BIRMINGHAM,AL,352131908,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2500,913.16,711.54,827.35166667
1013178375,MILLER,BRENT,C,M.D.,M,I,800 MONTCLAIR RD,SUITE 101,BIRMINGHAM,AL,352131908,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,573.13142857,87.055714286,63.219285714,53.065
1013178375,MILLER,BRENT,C,M.D.,M,I,800 MONTCLAIR RD,SUITE 101,BIRMINGHAM,AL,352131908,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,55,55,56.393636364,21.390727273,14.822363636,12.665454545
1013178375,MILLER,BRENT,C,M.D.,M,I,800 MONTCLAIR RD,SUITE 101,BIRMINGHAM,AL,352131908,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,102,39.263846154,30.783076923,23.029230769
1013178375,MILLER,BRENT,C,M.D.,M,I,800 MONTCLAIR RD,SUITE 101,BIRMINGHAM,AL,352131908,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,35,10.213684211,8.0073684211,6.6994736842
1013178466,MCLAUGHLIN,JOSEPH,F,M.D.,M,I,100 HAYNES ST,SECOND FLOOR,MANCHESTER,CT,060404113,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,12,880,68.966363636,4.9627954545,3.7277840909,3.7277840909
1013178912,HOLZMAN,MICHAEL,A,,M,I,6431 FANNIN ST,SUITE JJL 310,HOUSTON,TX,770301501,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,335.1,278.432,218.28866667,218.90333333
1013178961,CAVALLI,KELLY,A,D.O.,F,I,2901 JOLLY RD,,PLYMOUTH MEETING,PA,194622324,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,19.73,4.1846666667,3.2786666667,3.8666666667
1013179001,JOHNSON,JUSTIN,D,M.D.,M,I,1401 HARRODSBURG RD,SUITE C-215,LEXINGTON,KY,405043751,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1754,0.2275826682,0.13,0.0705587229,0.0705587229
1013179001,JOHNSON,JUSTIN,D,M.D.,M,I,1401 HARRODSBURG RD,SUITE C-215,LEXINGTON,KY,405043751,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,2624,2.7877743902,1.7601829268,1.0698551829,1.2253010671
1013179001,JOHNSON,JUSTIN,D,M.D.,M,I,1401 HARRODSBURG RD,SUITE C-215,LEXINGTON,KY,405043751,US,Physician/Urology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,29.75,17.29,13.55,13.53
1013179001,JOHNSON,JUSTIN,D,M.D.,M,I,1401 HARRODSBURG RD,SUITE C-215,LEXINGTON,KY,405043751,US,Physician/Urology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,177.08333333,70.23,50.471666667,50.188333333
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,22,273,52.44978022,19.661172161,13.955164835,13.955164835
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,22,640,7.576875,2.63375,1.918140625,1.918140625
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,48,106,311,1458,68.209766804,8.3101783265,5.8797736626,5.8874759945
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,11.287777778,3.38,2.65,2.65
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,18.907272727,2.12,1.67,1.67
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,35,80,196,13.238673469,1.42,1.0168877551,1.0168877551
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,763.84666667,354.1,277.61333333,277.61333333
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,36,191,193,431.29668394,251.03927461,195.75720207,195.81238342
1013179308,MUHAMMAD,CHALAK,N,"MD, MPH",M,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Family Practice,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,26,26,26,370.85576923,237.72038462,185.53038462,203.87538462
1013179357,GARREAN,CAROL,P,M.D.,F,I,1818 CAREW ST,SUITE 260,FORT WAYNE,IN,468054788,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,26,57,187,66.174491979,8.32,6.0860962567,6.0860962567
1013179357,GARREAN,CAROL,P,M.D.,F,I,1818 CAREW ST,SUITE 260,FORT WAYNE,IN,468054788,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,27,54,13.88462963,1.42,1.1137037037,1.1137037037
1013179548,GRAY,CHANCELLOR,F,MD,M,I,3450 HULL RD,,GAINESVILLE,FL,326074144,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,147.68333333,52.72875,41.340416667,36.592083333
1013179548,GRAY,CHANCELLOR,F,MD,M,I,3450 HULL RD,,GAINESVILLE,FL,326074144,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,28,28,28,140.6825,59.433571429,46.594642857,40.957142857
1013179548,GRAY,CHANCELLOR,F,MD,M,I,3450 HULL RD,,GAINESVILLE,FL,326074144,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,57.957058824,23.304705882,17.431176471,13.823529412
1013179548,GRAY,CHANCELLOR,F,MD,M,I,3450 HULL RD,,GAINESVILLE,FL,326074144,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,30.135,9.6829166667,7.3329166667,6.5733333333
1013179563,ALMO,SARIA,R,PA-C,F,I,3361 HIGHWAY 9 E,,LITTLE RIVER,SC,295667826,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,57,144,63.257916667,8.32,5.5769444444,5.5769444444
1013179563,ALMO,SARIA,R,PA-C,F,I,3361 HIGHWAY 9 E,,LITTLE RIVER,SC,295667826,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,19,27,15.684814815,1.42,1.0340740741,1.0340740741
1013179563,ALMO,SARIA,R,PA-C,F,I,3361 HIGHWAY 9 E,,LITTLE RIVER,SC,295667826,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,15,79,83,24.731927711,4.6396385542,3.435060241,3.4328915663
1013179563,ALMO,SARIA,R,PA-C,F,I,3361 HIGHWAY 9 E,,LITTLE RIVER,SC,295667826,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,32,410,70.23,54.320625,54.0553125
1013179639,GABEL,ELIZABETH,A,NP-C,F,I,1479 N RIVER RD,,FREMONT,OH,434209760,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,34,68,67.065588235,8.32,6.1389705882,6.1389705882
1013179712,SAIED,FADI,S,D.O.,M,I,2400 BAHAMAS DR,,BAKERSFIELD,CA,933090745,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,15,25,25,350,133.21,100.0464,100.0444
1013179712,SAIED,FADI,S,D.O.,M,I,2400 BAHAMAS DR,,BAKERSFIELD,CA,933090745,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,178.5825,116.6975,91.4875,80.56
1013179712,SAIED,FADI,S,D.O.,M,I,2400 BAHAMAS DR,,BAKERSFIELD,CA,933090745,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,63,66,66,1019.7878788,655.22378788,513.69272727,492.40242424
1013179712,SAIED,FADI,S,D.O.,M,I,2400 BAHAMAS DR,,BAKERSFIELD,CA,933090745,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,67,71,72,1476.0566667,849.98,665.15833333,675.83986111
1013179712,SAIED,FADI,S,D.O.,M,I,2400 BAHAMAS DR,,BAKERSFIELD,CA,933090745,US,Physician/Orthopedic Surgery,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,77,81,83,200.35313253,116.73554217,90.384819277,87.525783133
1013180090,FIELD,BRIAN,A,M.D.,M,I,7447 W TALCOTT AVE,SUITE 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,17.27,13.54,13.54
1013180090,FIELD,BRIAN,A,M.D.,M,I,7447 W TALCOTT AVE,SUITE 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,315,69.81,54.73,54.73
1013180108,SPECA,JOELLEN,C,M.D.,F,I,4420 LAKE BOONE TRL,SUITE 200,RALEIGH,NC,276077505,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,86.84,68.08,54.73
1013180108,SPECA,JOELLEN,C,M.D.,F,I,4420 LAKE BOONE TRL,SUITE 200,RALEIGH,NC,276077505,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,1036,39.736496139,5.0870173745,3.9882432432,3.9882432432
1013180108,SPECA,JOELLEN,C,M.D.,F,I,4420 LAKE BOONE TRL,SUITE 200,RALEIGH,NC,276077505,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,24,24,18.82,18.82
1013180124,ASHRAF,ALI,,M.D.,M,I,1121 N CENTRAL AVENUE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,251.52736842,79.805263158,59.298421053,51.849473684
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,52,147,324,73.009969136,8.32,5.8466975309,5.8466975309
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,24,25,14.6872,3.38,2.65,2.65
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,20.176875,2.12,1.67,1.67
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,32,65,84,16.452142857,1.42,1.0502380952,1.0502380952
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,61.448,22.13275,16.60475,13.004
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,87,87,308.45505747,101.18896552,75.872068966,53.012068966
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,3300,2.0962242424,0.1311454545,0.084630303,0.084630303
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,70.890909091,45.002727273,33.790909091,28.327272727
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,599.5,137.26666667,107.61,84.47
1013180132,LUTHER,MICHAEL,,M.D.,M,I,5104 US HIGHWAY 431,,ALBERTVILLE,AL,359500237,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,20.696,20.696
1013181072,MROZ,MELISSA,A,M.D.,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,53,69.771886792,8.32,6.029245283,6.029245283
1013181072,MROZ,MELISSA,A,M.D.,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.04,11.0075,8.6325,8.8008333333
1013181072,MROZ,MELISSA,A,M.D.,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.63,9.945,7.79,8.1591666667
1013181072,MROZ,MELISSA,A,M.D.,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,393.93,216.3725,157.67416667,157.67416667
1013181072,MROZ,MELISSA,A,M.D.,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75.26,27.8525,21.8375,23.178333333
1013181072,MROZ,MELISSA,A,M.D.,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2074,0.1953037608,0.0463307618,0.0363211186,0.0363211186
1013181072,MROZ,MELISSA,A,M.D.,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,114,33,25.87,25.87
1013181270,ROSS,ROBERT,M,M.D.,M,I,1401 OLD MILL CIR STE A,,WINSTON SALEM,NC,271032973,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35.072666667,7.002,5.4886666667,3.604
1013181361,DUCK ROBERTSHAW,MARY,M,M.D.,F,I,4460 RED BANK RD,,CINCINNATI,OH,452272172,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,36,58.981111111,8.32,5.925,5.925
1013181387,HERNANDEZ MONDRAGON,RUBEN,H,MD,M,I,1520 N SENATE AVE,,INDIANAPOLIS,IN,462022213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,35,138,67.015362319,8.32,6.0972463768,6.0972463768
1013181387,HERNANDEZ MONDRAGON,RUBEN,H,MD,M,I,1520 N SENATE AVE,,INDIANAPOLIS,IN,462022213,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,21,43,18.238837209,1.42,1.0879069767,1.0879069767
1013181387,HERNANDEZ MONDRAGON,RUBEN,H,MD,M,I,1520 N SENATE AVE,,INDIANAPOLIS,IN,462022213,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.7618181818,3.04,2.0845,2.0845
1013181387,HERNANDEZ MONDRAGON,RUBEN,H,MD,M,I,1520 N SENATE AVE,,INDIANAPOLIS,IN,462022213,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,127.40375,17.52,12.88125,12.70625
1013181387,HERNANDEZ MONDRAGON,RUBEN,H,MD,M,I,1520 N SENATE AVE,,INDIANAPOLIS,IN,462022213,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,760.48,79.96,62.69,55.453636364
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,56,164,368,54.063233696,8.32,6.0267934783,6.0267934783
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,21,21,11.114285714,3.38,2.65,2.65
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,33,86,106,12.01245283,1.42,1.0126415094,1.0126415094
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,870,3.4313793103,1.95,1.528816092,1.528816092
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,28,28,121.30785714,48.613928571,35.704285714,28.301071429
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,20,30,30,365.084,120.92133333,85.499666667,63.477333333
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,25,52,162.90538462,47.416153846,36.032115385,25.986153846
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,91,96.30043956,25.87,19.225604396,13.592087912
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,26,123,55.272439024,19.861626016,14.883577236,11.480487805
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,21,44,44,225.09568182,74.86,54.152727273,38.711590909
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,40,54,54,69.002407407,25.42037037,18.478333333,13.083518519
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,37,37,77.131351351,20.900810811,15.84027027,8.9397297297
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,36,73,333,9.9656756757,3.083963964,2.216036036,1.4111411411
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,21.454117647,9.4523529412,6.8064705882,4.1035294118
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,51.218888889,15.535,12.16,10.476666667
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,22.6,7.37,5.778,4.4008055556
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6219,2.1672937771,0.3982280109,0.3122109664,0.2538736131
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,75.707916667,22.4775,15.134166667,11.525833333
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,261.53846154,138.64923077,108.7,75.672307692
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,36,38,59.604473684,18.605263158,13.367894737,9.6518421053
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,40.438,6.738,4.5566666667,2.928
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,12,79,81,259.52320988,53.664938272,40.035555556,26.077407407
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,121,126,478.3002381,97.999365079,70.952539683,51.861111111
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,20.855858974,9.7301538462,7.6284230769,7.6284230769
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,7058,0.3683210541,0.0464635874,0.0298044772,0.0298044772
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1980,0.9486969697,0.1343939394,0.0888434343,0.0888434343
1013181601,NEILL,JAMES,J,M.D.,M,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,47,47,66.771276596,33,22.629787234,22.629787234
1013181775,MARUYAMA,HIROMI,,M.D.,M,I,1230 E MAIN ST,,MANKATO,MN,560015066,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,30,59.062666667,8.32,6.0876666667,6.0876666667
1013182005,MITLYNG,SARA,J,M.D.,F,I,6600 EXCELSIOR BLVD,SUITE 100,ST LOUIS PARK,MN,554264744,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,28,121,74.614876033,8.32,5.643553719,5.643553719
1013182013,OGUNLESI,OLUSEGUN,A,"M.D, M.H.S",M,I,8587 EAST AVENUE,,MENTOR,OH,440604301,US,Physician/Infectious Disease,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,18,20,396,21.122424242,8.28,6.0196212121,6.0196212121
1013182013,OGUNLESI,OLUSEGUN,A,"M.D, M.H.S",M,I,8587 EAST AVENUE,,MENTOR,OH,440604301,US,Physician/Infectious Disease,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,14,19,258,15.341627907,10.93,8.5691472868,8.5691472868
1013182013,OGUNLESI,OLUSEGUN,A,"M.D, M.H.S",M,I,8587 EAST AVENUE,,MENTOR,OH,440604301,US,Physician/Infectious Disease,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,15,17,1344,0.24578125,0.13,0.1019345238,0.1019345238
1013182112,CRADDOCK,MICHELLE,M,ANP,F,I,625 BELLE TERRE RD,SUITE 119 PORT JEFFERSON MEDICAL ASSOC,PORT JEFFERSON,NY,11777,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,59.792,8.32,6.5212,6.5212
1013182443,DIXON,JUSTIN,K,M.D.,M,I,336 29TH ST,,ASHLAND,KY,411011900,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,29,4385,3.3716875713,1.7572976055,1.3498928164,1.5228734322
1013182450,ROSATO,MELISSA,,MD,F,I,239 HURFFVILLE CROSSKEYS RD,,SEWELL,NJ,080804002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,78,69.305641026,8.32,6.0202564103,6.0202564103
1013182450,ROSATO,MELISSA,,MD,F,I,239 HURFFVILLE CROSSKEYS RD,,SEWELL,NJ,080804002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,24,16.8425,1.42,1.0675,1.0675
1013182450,ROSATO,MELISSA,,MD,F,I,239 HURFFVILLE CROSSKEYS RD,,SEWELL,NJ,080804002,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.2654545455,2.9454545455,3.0927272727
1013182641,PIKE,REBECCA,E,M.D.,F,I,24 HOSPITAL AVE,,DANBURY,CT,06810,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,17,48.291176471,4.3947058824,3.4464705882,3.4458823529
1013182641,PIKE,REBECCA,E,M.D.,F,I,24 HOSPITAL AVE,,DANBURY,CT,06810,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,313.56866667,70.23,44.048,43.776
1013182641,PIKE,REBECCA,E,M.D.,F,I,24 HOSPITAL AVE,,DANBURY,CT,06810,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,26.570833333,26.734166667
1013182898,LEONARDI,ROBERT,A,M.D.,M,I,2728 SUNSET BLVD STE 300,,WEST COLUMBIA,SC,291694815,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,419.67333333,74,58.02,55.004166667
1013183516,SCHREIFELS,DAWN,A,M.D.,F,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,33,82,77.262195122,8.32,6.0448780488,6.0448780488
1013183516,SCHREIFELS,DAWN,A,M.D.,F,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,521.2,78.49,54.883333333,49.216666667
1013183623,CABRAL,CAROLINA,,M.D.,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,43,43,694.96837209,19.71,15.45,15.45
1013183623,CABRAL,CAROLINA,,M.D.,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,64,119,481.78512605,37.38,29.304621849,29.304621849
1013183623,CABRAL,CAROLINA,,M.D.,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,63,2396,166.4986227,1.5700459098,1.2308889816,1.2308889816
1013184431,WILLIAMS,BENJAMIN,,MD,M,I,82 S 1100 E STE 303,,SALT LAKE CITY,UT,841021891,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,67.71,54.519090909,42.744545455,46.962727273
1013184456,TRUJILLO,ISRAEL,T,M.D.,M,I,27 W MICHELTORENA ST,,SANTA BARBARA,CA,931012509,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,39,96,69.6325,8.32,5.2201041667,5.2201041667
1013184456,TRUJILLO,ISRAEL,T,M.D.,M,I,27 W MICHELTORENA ST,,SANTA BARBARA,CA,931012509,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,26,15.424230769,1.42,0.9884615385,0.9884615385
1013184456,TRUJILLO,ISRAEL,T,M.D.,M,I,27 W MICHELTORENA ST,,SANTA BARBARA,CA,931012509,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,65.7,51.51,54.461666667
1013184456,TRUJILLO,ISRAEL,T,M.D.,M,I,27 W MICHELTORENA ST,,SANTA BARBARA,CA,931012509,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,37.64,29.51,29.51
1013184571,BHUTANI,MANISHA,,MD,F,I,1021 MOREHEAD MEDICAL DR,SUITE A,CHARLOTTE,NC,282042990,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,966,6.4291407867,3.9043581781,2.9868115942,2.9868115942
1013184571,BHUTANI,MANISHA,,MD,F,I,1021 MOREHEAD MEDICAL DR,SUITE A,CHARLOTTE,NC,282042990,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1013184977,SOUCY,ADRIENNE,E,MD,F,I,10123 SE MARKET ST,,PORTLAND,OR,972162532,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,760.48,77.18,60.51,54.72
1013185867,MARCHANT,MILFORD,H,M.D.,M,I,2900 S HANOVER ST,,BALTIMORE,MD,212251232,US,Physician/Sports Medicine,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,135.62235294,120.62,90.16,84.738235294
1013186212,BARNES,ESTHER,S,DPM,F,I,175 COMMONS LOOP,SUITE 400,KALISPELL,MT,599011904,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,77,77,154,170,71.56,55.658311688,55.658311688
1013186212,BARNES,ESTHER,S,DPM,F,I,175 COMMONS LOOP,SUITE 400,KALISPELL,MT,599011904,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,65,66,372,90,43.56,31.748225806,31.74672043
1013186212,BARNES,ESTHER,S,DPM,F,I,175 COMMONS LOOP,SUITE 400,KALISPELL,MT,599011904,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,48,164,227,15,8.41,6.5391629956,6.5391629956
1013186923,YONEY,TONYA,A,DO,F,I,33758 YUCAIPA BLVD,,YUCAIPA,CA,923992243,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,502.43714286,79.22,57.673571429,50.820714286
1013187293,BRIONES -MULL,WILMA,K,M.D.,F,I,6000 JOE FRANK HARRIS PKWY NW,,ADAIRSVILLE,GA,301032443,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1900,1074.31,830.30416667,830.30416667
1013187616,POMINVILLE,STACY,L,NP,F,I,10 N MAIN ST,,CHARLTON,MA,015071590,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,14,13.632142857,1.42,1.0385714286,1.0385714286
1013187681,HARRISON,RICHARD,J,M.D.,M,I,709 S HARBOR CITY BLVD,SUITE 100,MELBOURNE,FL,329011938,US,Physician/Hand Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,3,16,109,109,121.51605505,79.488715596,61.158807339,61.158807339
1013187681,HARRISON,RICHARD,J,M.D.,M,I,709 S HARBOR CITY BLVD,SUITE 100,MELBOURNE,FL,329011938,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,59,59,251.66,126.7559322,92.908474576,82.016271186
1013187681,HARRISON,RICHARD,J,M.D.,M,I,709 S HARBOR CITY BLVD,SUITE 100,MELBOURNE,FL,329011938,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,15,16,105.26,53.2,36.49625,41.28125
1013188291,CAUDELL,GAGE,M,D.P.M.,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,19,108.89473684,72.45,49.795789474,55.184736842
1013188291,CAUDELL,GAGE,M,D.P.M.,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,19,22,831.60818182,671.76,518.45636364,552.41181818
1013188291,CAUDELL,GAGE,M,D.P.M.,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,22,25,158.592,126.52,98.974,98.9264
1013188291,CAUDELL,GAGE,M,D.P.M.,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,21,24,97.46,78.81,61.409583333,67.950416667
1013188291,CAUDELL,GAGE,M,D.P.M.,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,20,370.875,251.28,196.703,217.4985
1013188291,CAUDELL,GAGE,M,D.P.M.,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,19,244.57894737,162.87,124.35315789,123.25421053
1013188903,ROBERTS,CHERYL,J,MD,F,I,100 ESTRADA SQ,,HOBE SOUND,FL,334552400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,70.23,47.434545455,47.126363636
1013189166,GOLDBERG,ANDREA,E,MD,F,I,4375 E IRMA LN,,PHOENIX,AZ,850504312,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,50,69.4836,8.32,6.4882,6.4882
1013189281,SADAT,KAMEL,,,M,I,3180 N LAKE SHORE DR APT 4B,,CHICAGO,IL,606574859,US,Hospitalist,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3750,2725.2976923,2136.6338462,2136.6338462
1013189331,ROSSEL,DEBORAH,L,NP,F,I,1716 WILLIAMS HWY,,GRANTS PASS,OR,975275661,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1680,0.92,0.1352857143,0.0995952381,0.0995952381
1013189331,ROSSEL,DEBORAH,L,NP,F,I,1716 WILLIAMS HWY,,GRANTS PASS,OR,975275661,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1013189364,AJAYI,JULIUS,O,MD,M,I,2930 HORIZON PARK DR,SUITE B/C,SUWANEE,GA,300247252,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,45,117,64.474700855,8.32,5.8746153846,5.8746153846
1013189364,AJAYI,JULIUS,O,MD,M,I,2930 HORIZON PARK DR,SUITE B/C,SUWANEE,GA,300247252,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,18,28,12.983571429,1.42,0.9571428571,0.9571428571
1013189364,AJAYI,JULIUS,O,MD,M,I,2930 HORIZON PARK DR,SUITE B/C,SUWANEE,GA,300247252,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,51.44,40.326363636,25.501818182
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,27,79,181,43.162430939,8.32,5.800718232,5.800718232
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.833333333,3.38,2.4291666667,2.4291666667
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,13,30,42,17.206666667,1.42,1.0354761905,1.0354761905
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,313.8,62.948,45.278,35.393333333
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,71.38862069,22.902068966,16.186896552,12.115172414
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,59,59,36.774915254,7.3303389831,5.5610169492,3.4928813559
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,94,101,493.57811881,105.78970297,78.123663366,53.167920792
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,49,11298,0.1911701186,0.0465338998,0.0288139494,0.0288139494
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,3390,0.8440678466,0.1377433628,0.1080176991,0.1080176991
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,786,0.3930279898,0.2198346056,0.1464122137,0.1464122137
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,107.82894737,21.913684211,16.429473684,12.64
1013189398,BUCKALEW,KIMBERLY,L,CRNP,F,I,209 MAIN ST,,WEDOWEE,AL,362785139,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,16,76,76,80.236842105,33,23.270394737,23.270394737
1013189505,REED,PAMELA,D,"APRN, ACNPC-AG",F,I,2801 MEDICAL CENTER DR,,POCAHONTAS,AR,724559436,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,740.39916667,68.78,53.92,53.92
1013189646,FREEBY,MATTHEW,J,M.D.,M,I,1150 SAINT NICHOLAS AVE,2ND FLOOR,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,24,258,45.917054264,19.664341085,15.416937984,15.416937984
1013189646,FREEBY,MATTHEW,J,M.D.,M,I,1150 SAINT NICHOLAS AVE,2ND FLOOR,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,610,8.2693442623,2.6380327869,2.0681803279,2.0681803279
1013189646,FREEBY,MATTHEW,J,M.D.,M,I,1150 SAINT NICHOLAS AVE,2ND FLOOR,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,79,215,752,77.941289894,8.32,6.1609707447,6.1609707447
1013189646,FREEBY,MATTHEW,J,M.D.,M,I,1150 SAINT NICHOLAS AVE,2ND FLOOR,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,38,73,125,19.2616,1.42,1.03488,1.03488
1013189646,FREEBY,MATTHEW,J,M.D.,M,I,1150 SAINT NICHOLAS AVE,2ND FLOOR,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1160,17.717422414,10.766896552,8.44125,8.44125
1013189646,FREEBY,MATTHEW,J,M.D.,M,I,1150 SAINT NICHOLAS AVE,2ND FLOOR,NEW YORK,NY,100323822,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,20,121,121,264.12785124,248.93033058,193.80876033,195.28991736
1013190370,CHEN,WEI,C,MD,F,I,751 S BASCOM AVE,INT MED,SAN JOSE,CA,951282604,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,40,69.136,16.98,12.6445,12.862
1013190370,CHEN,WEI,C,MD,F,I,751 S BASCOM AVE,INT MED,SAN JOSE,CA,951282604,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,45.672941176,3.3073529412,2.3117647059,3.4247058824
1013190370,CHEN,WEI,C,MD,F,I,751 S BASCOM AVE,INT MED,SAN JOSE,CA,951282604,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,54,457.4687037,71.06,52.462407407,51.536851852
1013190370,CHEN,WEI,C,MD,F,I,751 S BASCOM AVE,INT MED,SAN JOSE,CA,951282604,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,4064,0.2206397638,0.0467249016,0.0281766732,0.0281766732
1013190370,CHEN,WEI,C,MD,F,I,751 S BASCOM AVE,INT MED,SAN JOSE,CA,951282604,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,87.45,33,25.5145,25.5145
1013190461,ANSARI,MOHAMMED,Z,M.D.,M,I,16659 SOUTHWEST FWY,SUITE 361,SUGAR LAND,TX,774792375,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,28,60,321,72.305077882,8.32,6.0354517134,6.0354517134
1013190461,ANSARI,MOHAMMED,Z,M.D.,M,I,16659 SOUTHWEST FWY,SUITE 361,SUGAR LAND,TX,774792375,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,17,34,80,16.77725,1.42,1.072125,1.072125
1013190545,PANUNCIALMAN,IAN NOEL TADEO DON,D,M.D.,M,I,234 STATE ST,,BREWER,ME,044121519,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,46,58.753913043,8.32,6.2389130435,6.2389130435
1013191451,VANDEBERG,MICHELLE,L,ARNP,F,I,4205 GLASS RD NE,,CEDAR RAPIDS,IA,524022514,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,47,83.606808511,8.32,6.5221276596,6.5221276596
1013191451,VANDEBERG,MICHELLE,L,ARNP,F,I,4205 GLASS RD NE,,CEDAR RAPIDS,IA,524022514,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,180.26,4.7,3.6854545455,3.6854545455
1013191733,RAMSDALE,ERIKA,E,M.D.,F,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,4,,35,35,27.250285714,19.71,14.567142857,14.567142857
1013191733,RAMSDALE,ERIKA,E,M.D.,F,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,4,,35,35,64.837142857,37.38,27.625714286,27.625714286
1013191733,RAMSDALE,ERIKA,E,M.D.,F,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Medical Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,284.28846154,208.13461538,160.67461538,160.93846154
1013191733,RAMSDALE,ERIKA,E,M.D.,F,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,35,314,4.5112101911,1.6439490446,1.2206687898,1.2206687898
1013192004,GUTIERREZ,KIMBERLEE,C,FNP,F,I,301 40TH ST,,LUBBOCK,TX,794042746,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,65,70.204,8.32,5.3183076923,5.3183076923
1013192004,GUTIERREZ,KIMBERLEE,C,FNP,F,I,301 40TH ST,,LUBBOCK,TX,794042746,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,19.920833333,15.6175,13.533333333
1013192004,GUTIERREZ,KIMBERLEE,C,FNP,F,I,301 40TH ST,,LUBBOCK,TX,794042746,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,48,25.675,25.675
1013192004,GUTIERREZ,KIMBERLEE,C,FNP,F,I,301 40TH ST,,LUBBOCK,TX,794042746,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,220,78.547,54.406,47.532
1013192046,NUTTER,CARLA,R,PA-C,F,I,4169 KANAWHA AVENUE SW,,SOUTH CHARLESTON,WV,25309,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,14,77.692142857,20.547857143,16.109285714,14.395
1013192046,NUTTER,CARLA,R,PA-C,F,I,4169 KANAWHA AVENUE SW,,SOUTH CHARLESTON,WV,25309,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,1391.6578378,1074.31,835.92675676,835.92675676
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,20,20,85.487,40,29.953,29.17
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,18,31,31,382.33354839,90.477096774,60.420967742,58.602580645
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,12,23,57,151.21280702,35.792982456,25.387192982,24.022105263
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,17,17,171.52647059,55.738235294,38.854705882,37.938235294
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,24,28,28,76.544285714,19.010357143,13.364285714,12.566428571
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,16,21,21,76.863333333,14.585238095,9.5857142857,7.8514285714
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,30,43,233,9.833304721,2.2440772532,1.6436480687,1.5160944206
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,12,14,14,48.027142857,13.262857143,10.397142857,10.299285714
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,357.23333333,77.81875,57.55125,60.640416667
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,882.84,206.1725,161.645,164.0925
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,27,100,100,171.0986,30.3593,20.6642,21.6865
1013192384,SHETTY,SAFAL,,MD,M,I,6001 PROFESSIONAL PKWY STE 2020,,DOUGLASVILLE,GA,301345632,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,68.78,41.965,42.8
1013192798,MARTINEZ-IRIZARRY,ALFONSO,E,M.D.,M,I,1623 SW 1ST AVE,,OCALA,FL,344716528,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,46,56.197608696,8.32,6.2386956522,6.2386956522
1013192798,MARTINEZ-IRIZARRY,ALFONSO,E,M.D.,M,I,1623 SW 1ST AVE,,OCALA,FL,344716528,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,316.83272727,107.36090909,84.17,67.843636364
1013192798,MARTINEZ-IRIZARRY,ALFONSO,E,M.D.,M,I,1623 SW 1ST AVE,,OCALA,FL,344716528,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,53.844545455,20.108181818,11.994545455,10.310909091
1013192798,MARTINEZ-IRIZARRY,ALFONSO,E,M.D.,M,I,1623 SW 1ST AVE,,OCALA,FL,344716528,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,55.132666667,16.42,11.619333333,8.6073333333
1013192798,MARTINEZ-IRIZARRY,ALFONSO,E,M.D.,M,I,1623 SW 1ST AVE,,OCALA,FL,344716528,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,75,8.336,2.5641333333,1.9682666667,1.6504
1013192798,MARTINEZ-IRIZARRY,ALFONSO,E,M.D.,M,I,1623 SW 1ST AVE,,OCALA,FL,344716528,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,21,180.80571429,42.624285714,31.488571429,27.647142857
1013192798,MARTINEZ-IRIZARRY,ALFONSO,E,M.D.,M,I,1623 SW 1ST AVE,,OCALA,FL,344716528,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,340.38809524,98.041904762,76.867142857,54.865
1013192970,SANTOS,CLAUDIA,Y,M.D.,F,I,530 SAN PEDRO AVE,,SAN ANTONIO,TX,782125006,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,58.60037037,17,12.836296296,13.04037037
1013192970,SANTOS,CLAUDIA,Y,M.D.,F,I,530 SAN PEDRO AVE,,SAN ANTONIO,TX,782125006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,27,351.03,73,54.18037037,51.865925926
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,32,116,72.297586207,8.32,5.6225862069,5.6225862069
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,3.3,1.5233333333,1.1925,0.9641666667
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,60,6.2266666667,2.4153333333,1.894,1.5921666667
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,78.080769231,18.079230769,14.175384615,14
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,21.514285714,7.7385714286,4.7671428571,2.4128571429
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,222.48,39.506086957,24.229565217,17.280869565
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,486.14125,99.968333333,78.3775,57.259375
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,244.69714286,44.860714286,35.173214286,29.771428571
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1400,5.2080428571,0.5722714286,0.4152571429,0.4152571429
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1400,3.9012428571,1.2741571429,0.9432714286,0.9432714286
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,4166,0.4113682189,0.0463850216,0.0291790687,0.0291790687
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1560,1.0390384615,0.1389230769,0.1089294872,0.1089294872
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,16,16,12.54,12.54
1013193093,WILSON,JOHN,,MD,M,I,156 MAIN ST,,MONTPELIER,VT,056022702,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,67.941176471,33,24.348235294,24.348235294
1013193259,RODRIGUES,RODRIGO,T,MD,M,I,47 CONGRESS ST,,SALEM,MA,01970,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,70,22.535,17.668333333,14.736666667
1013193259,RODRIGUES,RODRIGO,T,MD,M,I,47 CONGRESS ST,,SALEM,MA,01970,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,9.015,7.0633333333,6.6325
1013193556,FULCHER,STACIE,M,PA-C,F,I,2500 NE NEFF RD,,BEND,OR,977016015,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.09,10.05,10.1925
1013193663,HAUG,WILLIAM,A,D.O.,M,I,11 ROBINSON STREET,SUITE 100,POTTSTOWN,PA,194646439,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,72,78.961666667,8.32,5.9781944444,5.9781944444
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,450,737,737,84.919945726,41.218683853,31.040067843,29.429687924
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,19,35,68,8.7801470588,1.5220588235,1.1914705882,1.1502941176
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,36,42,42,81.102142857,13.382619048,10.261904762,8.9
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,264,468,468,348.97702991,96.211410256,72.694786325,65.975192308
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,190,377,728,128.52135989,36.578763736,28.176895604,25.825576923
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,119,209,817,84.0750306,19.48873929,14.40619339,13.843414933
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,67,130,535,64.517700935,15.943663551,12.192766355,11.699757009
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,254,424,424,231.02179245,58.218891509,42.840778302,40.453113208
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,480,597,597,76.529078727,19.645644891,14.827872697,13.68159129
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,40,47,47,34.238723404,10.829361702,8.4917021277,8.2010638298
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,62,104,104,80.517884615,13.913461538,10.552980769,8.9914423077
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,501,956,4117,9.7290891426,2.2466383289,1.7077653631,1.5614112218
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,239,301,301,22.888571429,6.8106312292,5.1536877076,4.5747508306
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,225,267,267,38.628314607,13.988689139,10.631722846,10.099962547
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,23,115,124,79.3825,19.555725806,14.447096774,13.043870968
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,123.92,47.37,27.855,28.336666667
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,4430.1,1074.31,842.26,842.26
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,27,172,172,459.16738372,91.156162791,69.704534884,65.000755814
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,1245.8258065,246.00903226,188.24258065,181.81580645
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,77,78,78,554.72692308,155.10269231,119.24794872,105.06371795
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,91,431,437,54.185583524,12.632608696,8.8748283753,8.6781464531
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,38,219,222,39.704324324,5.253963964,3.962972973,3.5078828829
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,221,1232,1238,196.14912763,37.095565428,27.125250404,23.852084006
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,97,737,749,382.28461949,77.04317757,58.550186916,53.192790387
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,28,242,242,130.0761157,37.922066116,28.632066116,28.470413223
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,9,18,18,18,126.66666667,57,43.784444444,43.784444444
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,33,197,11610,16.281118002,9.602374677,7.3755073213,7.3755073213
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,1740,13.94,11.049827586,8.4157356322,8.4157356322
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,21,40,130,35647,0.2525129744,0.0464344826,0.0332412265,0.0332412265
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,1018,1.7110019646,0.1249115914,0.0938998035,0.0938998035
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,37,215,12786,12.196814485,2.9916424214,2.3342444862,2.3342444862
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,51,2509,1.728409725,0.2193662814,0.1608210442,0.1608210442
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,165.83125,39.0346875,30.6015625,29.475
1013194042,DODDA,VENKATA,R,M.D,M,I,1505 EASTLAND DR,SUITE 320,BLOOMINGTON,IL,617013534,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,60,300,300,106.21,33,25.266366667,25.266366667
1013194208,DURHAM,JOSHUA,,D.O.,M,I,6533 W EMERALD,,BOISE,ID,83704,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,70,81.918571429,8.32,5.8708571429,5.8708571429
1013194208,DURHAM,JOSHUA,,D.O.,M,I,6533 W EMERALD,,BOISE,ID,83704,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,70.685454545,18.513030303,13.185454545,12.303030303
1013194208,DURHAM,JOSHUA,,D.O.,M,I,6533 W EMERALD,,BOISE,ID,83704,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,51.37,18.59,11.656,10.824
1013194208,DURHAM,JOSHUA,,D.O.,M,I,6533 W EMERALD,,BOISE,ID,83704,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,927.31733333,77.18,52.442,47.424
1013194208,DURHAM,JOSHUA,,D.O.,M,I,6533 W EMERALD,,BOISE,ID,83704,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,30,5.69,2.8671428571,2.1728571429
1013194208,DURHAM,JOSHUA,,D.O.,M,I,6533 W EMERALD,,BOISE,ID,83704,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,404.80233333,77.14,54.794333333,49.776333333
1013194208,DURHAM,JOSHUA,,D.O.,M,I,6533 W EMERALD,,BOISE,ID,83704,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,18,18,33,33,24.432777778,24.432777778
1013194216,MASLANEK,WILHELMINA,J,CRNP,F,I,3400 SPRUCE ST,6 PENN TOWER,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,28,4365,4.3460160367,0.5630332188,0.3623459336,0.3623459336
1013194216,MASLANEK,WILHELMINA,J,CRNP,F,I,3400 SPRUCE ST,6 PENN TOWER,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,1860,3.1375752688,0.8821612903,0.6467473118,0.6467473118
1013194216,MASLANEK,WILHELMINA,J,CRNP,F,I,3400 SPRUCE ST,6 PENN TOWER,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,24,24,14.285,14.285
1013194216,MASLANEK,WILHELMINA,J,CRNP,F,I,3400 SPRUCE ST,6 PENN TOWER,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,22,34,16,16,10.5,10.5
1013194299,HOLMES,CARMEN,L,P.A.,F,I,3435 NE LOOP 286,,PARIS,TX,754605002,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,90,53.2,38.501538462,43.230769231
1013194299,HOLMES,CARMEN,L,P.A.,F,I,3435 NE LOOP 286,,PARIS,TX,754605002,US,Physician Assistant,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,270,154.7,104.78333333,103.59333333
1013194596,TURNER,CHRISTINE,K,"M.S.N, A.R.N.P.",F,I,309 ARNOW DR,,SAINT MARYS,GA,315583176,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,27,116,59.103103448,8.32,6.2409482759,6.2409482759
1013194596,TURNER,CHRISTINE,K,"M.S.N, A.R.N.P.",F,I,309 ARNOW DR,,SAINT MARYS,GA,315583176,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,37,15.923513514,1.42,1.0848648649,1.0848648649
1013194596,TURNER,CHRISTINE,K,"M.S.N, A.R.N.P.",F,I,309 ARNOW DR,,SAINT MARYS,GA,315583176,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,201.9875,77.18,53.594375,48.89125
1013194596,TURNER,CHRISTINE,K,"M.S.N, A.R.N.P.",F,I,309 ARNOW DR,,SAINT MARYS,GA,315583176,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,2010,0.9430597015,0.134,0.0982985075,0.0982985075
1013194596,TURNER,CHRISTINE,K,"M.S.N, A.R.N.P.",F,I,309 ARNOW DR,,SAINT MARYS,GA,315583176,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,114,33,22.342272727,22.342272727
1013194661,OSINUBI,FIDELIA,O,MD,F,I,3885 PRINCETON LAKES WAY,SUITE 402,ATLANTA,GA,303315599,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,36,128,60.6959375,8.32,6.318046875,6.318046875
1013194661,OSINUBI,FIDELIA,O,MD,F,I,3885 PRINCETON LAKES WAY,SUITE 402,ATLANTA,GA,303315599,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.65,2.65
1013194661,OSINUBI,FIDELIA,O,MD,F,I,3885 PRINCETON LAKES WAY,SUITE 402,ATLANTA,GA,303315599,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,39,13.431025641,1.42,1.1141025641,1.1141025641
1013194661,OSINUBI,FIDELIA,O,MD,F,I,3885 PRINCETON LAKES WAY,SUITE 402,ATLANTA,GA,303315599,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,176.47058824,46.842941176,34.681764706,35.27
1013194661,OSINUBI,FIDELIA,O,MD,F,I,3885 PRINCETON LAKES WAY,SUITE 402,ATLANTA,GA,303315599,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,75,17.573636364,12.545454545,12.309090909
1013194661,OSINUBI,FIDELIA,O,MD,F,I,3885 PRINCETON LAKES WAY,SUITE 402,ATLANTA,GA,303315599,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,31.090909091,24.371818182,24.872727273
1013194661,OSINUBI,FIDELIA,O,MD,F,I,3885 PRINCETON LAKES WAY,SUITE 402,ATLANTA,GA,303315599,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,114,33,25.87,25.87
1013195395,WILLIAMS,BENJAMIN,B,M.D.,M,I,771 E BAYOU PINES DR,,LAKE CHARLES,LA,706017183,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,37,107,63.308411215,8.32,5.4568224299,5.4568224299
1013195395,WILLIAMS,BENJAMIN,B,M.D.,M,I,771 E BAYOU PINES DR,,LAKE CHARLES,LA,706017183,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,22,13.799090909,1.42,0.81,0.81
1013195395,WILLIAMS,BENJAMIN,B,M.D.,M,I,771 E BAYOU PINES DR,,LAKE CHARLES,LA,706017183,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.91,4.67,2.2533333333,2.2533333333
1013195395,WILLIAMS,BENJAMIN,B,M.D.,M,I,771 E BAYOU PINES DR,,LAKE CHARLES,LA,706017183,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,599.5,208.386,163.378,144.082
1013195395,WILLIAMS,BENJAMIN,B,M.D.,M,I,771 E BAYOU PINES DR,,LAKE CHARLES,LA,706017183,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,99.545454545,33,19.9,19.9
1013196773,MILLER,FRANCINE,P,CRNP,F,I,4595 NEW FALLS RD STE A,,LEVITTOWN,PA,19056,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,45.209090909,31.272727273,32.153636364
1013196773,MILLER,FRANCINE,P,CRNP,F,I,4595 NEW FALLS RD STE A,,LEVITTOWN,PA,19056,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.08,10.5,11.47
1013196773,MILLER,FRANCINE,P,CRNP,F,I,4595 NEW FALLS RD STE A,,LEVITTOWN,PA,19056,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,77.18,53.72,48.413333333
1013196989,KLAPPER,JACOB,A,M.D.,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Thoracic Surgery,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,120,47.800909091,37.48,37.193636364
1013197276,COLOMBO,MONICA,L,M.D.,F,I,1061 HARMON AVE,,FORT STEWART,GA,313145674,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,595,3.0676470588,2.27,1.6750252101,1.6750252101
1013197276,COLOMBO,MONICA,L,M.D.,F,I,1061 HARMON AVE,,FORT STEWART,GA,313145674,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,55,7500,7.368,1.83,1.361424,1.5119826667
1013197276,COLOMBO,MONICA,L,M.D.,F,I,1061 HARMON AVE,,FORT STEWART,GA,313145674,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,4780,9.65,7.23,5.5564142259,5.5564142259
1013197276,COLOMBO,MONICA,L,M.D.,F,I,1061 HARMON AVE,,FORT STEWART,GA,313145674,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,84,12.130714286,7.46,5.8482142857,5.8482142857
1013197276,COLOMBO,MONICA,L,M.D.,F,I,1061 HARMON AVE,,FORT STEWART,GA,313145674,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,2.655,1.8,1.41,1.41
1013197573,MOUSTIATSE,ADELIA,,"M.D.,",F,I,2555 KENNEDY BLVD,,JERSEY CITY,NJ,073042165,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,54,58.052962963,8.32,6.0385185185,6.0385185185
1013197573,MOUSTIATSE,ADELIA,,"M.D.,",F,I,2555 KENNEDY BLVD,,JERSEY CITY,NJ,073042165,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,23,20.472173913,1.42,0.9252173913,0.9252173913
1013197805,BARGE,JAIDEEP,U,MD,M,I,7600 W TIDWELL RD STE 103,,HOUSTON,TX,770405719,US,Physician/Diagnostic Radiology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,126.66909091,43.451818182,34.061818182,23.030909091
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,62,235,51.996425532,8.32,5.8562978723,5.8562978723
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,28,28,13.250714286,3.38,2.5553571429,2.5553571429
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,21.885384615,2.12,1.5415384615,1.5415384615
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,43,86,13.020813953,1.42,1.0219767442,1.0219767442
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,62,40.315483871,16.05,12.583709677,12.016290323
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,139.87833333,61.89,48.52,43.488888889
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,20,20,58.365,15.794,12.382,9.9115
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,109,7.6937614679,2.52,1.9755963303,1.6927522936
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,41.87,32.825,32.825
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,156.32692308,42.040769231,28.35,21.262692308
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,55,21.783571429,17.077857143,14.657142857
1013198118,CORTES,DENNIS,A,MD,M,I,12600 PEMBROKE RD,SUITE 206,MIRAMAR,FL,330272544,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,639.7,155.336,113.47333333,102.118
1013198886,HASHMI,IMADUDDIN,S,MD,M,I,427 CONEY ISLAND AVE,,BROOKLYN,NY,112182605,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,35,76,65.750921053,8.32,5.7326315789,5.7326315789
1013198886,HASHMI,IMADUDDIN,S,MD,M,I,427 CONEY ISLAND AVE,,BROOKLYN,NY,112182605,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,28,22.575714286,1.42,0.9971428571,0.9971428571
1013199009,DERSCHEID,RAYDEEN,E,ARNP,F,I,120 S TAYLOR ST,,MOUNT AYR,IA,508541829,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,21,51,123,79.175934959,8.32,5.8744715447,5.8744715447
1013199009,DERSCHEID,RAYDEEN,E,ARNP,F,I,120 S TAYLOR ST,,MOUNT AYR,IA,508541829,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,95.84,22.3396,15.9588,12.0876
1013199009,DERSCHEID,RAYDEEN,E,ARNP,F,I,120 S TAYLOR ST,,MOUNT AYR,IA,508541829,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,295,99.687407407,71.515555556,48.648888889
1013199009,DERSCHEID,RAYDEEN,E,ARNP,F,I,120 S TAYLOR ST,,MOUNT AYR,IA,508541829,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2615,0.5463403442,0.0459388145,0.0328642447,0.0328642447
1013199009,DERSCHEID,RAYDEEN,E,ARNP,F,I,120 S TAYLOR ST,,MOUNT AYR,IA,508541829,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,33,33,24.145333333,24.145333333
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,39,152,49.980592105,8.3025657895,6.0373026316,6.0509210526
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,31,13.048064516,1.42,1.0780645161,1.0780645161
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,128.47785714,41.63,32.642857143,30.49
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,82.53,11.848181818,8.0318181818,7.84
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,66,61.525,20.285757576,15.904545455,14.551818182
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,185.992,58.298,45.702666667,42.851333333
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,70.012307692,18.923846154,14.836923077,14.06
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,23,126,9.9750793651,2.1857142857,1.7148412698,1.5934126984
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,41.875454545,13.399090909,10.507272727,10.349090909
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,86.31,19.176808511,14.179574468,12.79212766
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,49,50,50.73,4.9894,3.7918,3.5702
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,90,96,528.4096875,77.504375,57.0803125,51.67125
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,6422,0.228816568,0.0461382747,0.0336701962,0.0336701962
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,3.2295,2.5319583333,2.5319583333
1013199108,HOLMES,AARON,K,MD,M,I,380 9TH ST,,FLORENCE,OR,974399470,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,43,43,115.88372093,33,24.711860465,24.711860465
1013199181,NAYAR,ANJELI,K,M.D.,F,I,307 BOATNER RD STE 114,,EGLIN AFB,FL,325421302,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,80.4,11.4975,9.0175,9.118125
1013199181,NAYAR,ANJELI,K,M.D.,F,I,307 BOATNER RD STE 114,,EGLIN AFB,FL,325421302,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,22,92,11.727391304,2.0073913043,1.5752173913,1.5910869565
1013199181,NAYAR,ANJELI,K,M.D.,F,I,307 BOATNER RD STE 114,,EGLIN AFB,FL,325421302,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,238.66470588,38.174117647,29.929411765,29.367058824
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,280.90461538,82,45.359230769,48.123076923
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,30,106.11366667,31.5,17.788,18.759666667
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,69,65.499130435,17.5,12.526956522,13.376666667
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,172.29294118,55,39.542941176,39.298235294
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,64.637333333,17,10.295333333,10.968
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,25,25,74.334,11.37,7.3508,7.5368
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,35,162,8.0401234568,2,1.4042592593,1.4256790123
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,42.58,17,11.848888889,12.058611111
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,50,39.2,37.63
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,99.956521739,30,19.429565217,19.313913043
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,136,136,337.72911765,73,53.17875,50.917720588
1013199512,HILBURN,STEVEN,,MD,M,I,8715 VILLAGE DR,SUITE 514,SAN ANTONIO,TX,782175405,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,53,114.36792453,35,26.223773585,28.274150943
1013199637,WORTHINGSTUN,DEAN,D,D.O.,M,I,980 E MAIN ST,SUITE 300,BLUE RIDGE,GA,305137139,US,Physician/General Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,128.84210526,128.84210526,101.01210526,167.11526316
1013199637,WORTHINGSTUN,DEAN,D,D.O.,M,I,980 E MAIN ST,SUITE 300,BLUE RIDGE,GA,305137139,US,Physician/General Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,30,30,67.71,53.2,41.389333333,45.72
1013199637,WORTHINGSTUN,DEAN,D,D.O.,M,I,980 E MAIN ST,SUITE 300,BLUE RIDGE,GA,305137139,US,Physician/General Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,280,240.54,188.58,188.06357143
1013199637,WORTHINGSTUN,DEAN,D,D.O.,M,I,980 E MAIN ST,SUITE 300,BLUE RIDGE,GA,305137139,US,Physician/General Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,98.661538462,77.25,60.56,66.772307692
1013199843,ROWE,MICHELLE,J,D.O.,F,I,500 W HOSPITAL RD,,FRENCH CAMP,CA,952319693,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,116,53.907327586,8.32,6.2427586207,6.2427586207
1013199843,ROWE,MICHELLE,J,D.O.,F,I,500 W HOSPITAL RD,,FRENCH CAMP,CA,952319693,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,40,12.6525,1.42,1.1145,1.1145
1013199843,ROWE,MICHELLE,J,D.O.,F,I,500 W HOSPITAL RD,,FRENCH CAMP,CA,952319693,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,365.29411765,71,45.837647059,45.290588235
1013199843,ROWE,MICHELLE,J,D.O.,F,I,500 W HOSPITAL RD,,FRENCH CAMP,CA,952319693,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,550,36,25.868333333,27.0775
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,27,74,191,40.130314136,8.304921466,6.100104712,6.1118848168
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,21,12.904761905,3.38,2.5238095238,2.5238095238
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.163636364,2.12,1.5181818182,1.5181818182
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,28,51,11.386666667,1.42,1.091372549,1.091372549
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,24,48,8.09125,2.0775,1.5245833333,1.1075
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,381.36,70.851666667,52.345833333,39.9075
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,57,61,86.31,22.122786885,16.364262295,12.944098361
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,126.47,60.89,44.986666667,36.011333333
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,61,66,33.958484848,7.16,5.2271212121,3.4216666667
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,85,86,488.78151163,99.655348837,73.673953488,54.334069767
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,5751,0.1431368458,0.0450026082,0.0352790819,0.0352790819
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,3030,0.9706930693,0.1361188119,0.0923234323,0.0923234323
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9881818182,2.2262727273,2.2262727273
1013200062,KIDWAI,SHAHROZ,,M.D.,M,I,1321 W 2ND AVE,SUITE 100,CORSICANA,TX,751103798,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,53,53,117.05660377,33,24.570754717,24.570754717
1013200328,HENDERSON,JORDAN,A,D.O.,M,I,8121 ROURK ST,,MYRTLE BEACH,SC,29572,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,495,70.23,55.06,54.72
1013200328,HENDERSON,JORDAN,A,D.O.,M,I,8121 ROURK ST,,MYRTLE BEACH,SC,29572,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,6,,13,1722,9.7553948897,3.0613646922,2.4001219512,2.4001219512
1013200484,OBICHERE,UCHENNA,A,CRNP,F,I,1160 VARNUM ST NE,SUITE 317,WASHINGTON,DC,200172107,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,21,47,71.68787234,8.32,5.9659574468,5.9659574468
1013200484,OBICHERE,UCHENNA,A,CRNP,F,I,1160 VARNUM ST NE,SUITE 317,WASHINGTON,DC,200172107,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,13,20.677692308,1.42,1.1169230769,1.1169230769
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,34,102,246,58.554593496,8.32,5.5707317073,5.5707317073
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,11.85375,3.38,2.153125,2.153125
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,40,66,9.7481818182,1.42,0.9960606061,0.9960606061
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,49.57,16.78,12.210714286,12.516428571
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.23,3.7090909091,2.9054545455,3.4818181818
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,141.76,31.480625,23.110625,23.14625
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,254.60977273,71.5,50.530227273,49.381590909
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,13.94,11.231,8.7514871795,8.7514871795
1013200534,WARNER,BONNIE,,APRN,F,I,4500 CHURCHMAN AVE,SUITE 101,LOUISVILLE,KY,402151188,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,118.8,33,25.87,25.87
1013201144,RAJA,SOBIA,S,M.D.,F,I,24 FRANK LLOYD WRIGHT DR LBBY C,,ANN ARBOR,MI,481059484,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,15,53,179,64.533351955,8.32,5.793575419,5.793575419
1013201250,KOPLIN,STEPHEN,A,M.D.,M,I,8901 WISCONSIN AVE,,BETHESDA,MD,208895600,US,Student in an Organized Health Care Education/Training Program,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,74,70.909459459,19.45,13.447297297,12.797702703
1013201250,KOPLIN,STEPHEN,A,M.D.,M,I,8901 WISCONSIN AVE,,BETHESDA,MD,208895600,US,Student in an Organized Health Care Education/Training Program,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,191.808,52.696,32.976,34.574
1013201250,KOPLIN,STEPHEN,A,M.D.,M,I,8901 WISCONSIN AVE,,BETHESDA,MD,208895600,US,Student in an Organized Health Care Education/Training Program,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,58.678181818,17.516363636,9.0109090909,9.4736363636
1013201250,KOPLIN,STEPHEN,A,M.D.,M,I,8901 WISCONSIN AVE,,BETHESDA,MD,208895600,US,Student in an Organized Health Care Education/Training Program,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,63.392857143,10.63,7.14,7.9585714286
1013201250,KOPLIN,STEPHEN,A,M.D.,M,I,8901 WISCONSIN AVE,,BETHESDA,MD,208895600,US,Student in an Organized Health Care Education/Training Program,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,90,7.804,1.9073333333,1.0633333333,1.1907777778
1013201359,GUERRERO-PEZZANO,TATYANA,,M.D.,F,I,6900 GONZALES RD SW,,ALBUQUERQUE,NM,871212401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,33,81.073636364,8.32,4.943030303,4.943030303
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,27,1000,0.21069,0.1188,0.08993,0.09087
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,280,1.0585714286,0.44,0.2957142857,0.2957142857
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,52,83.730769231,71.56,56.105192308,56.104807692
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,25,115,47.652173913,43.56,34.151565217,34.149826087
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,16,630,86.945238095,34.86,27.330269841,27.330269841
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,21,765,5.7715686275,2.4,1.8816470588,1.8816470588
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,14,940,0.2084042553,0.13,0.0927765957,0.0927765957
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1378,0.6574020319,0.45,0.352808418,0.352808418
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,24,1320,3.6131818182,1.97,1.4858257576,1.4858257576
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,70.185,20.0125,14.6995,13.1585
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,31.58,9.4581818182,6.5363636364,5.6936363636
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,15,563.50933333,472.64,370.55,389.59933333
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,16,21,437.28666667,356.34,279.37,308.93190476
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,17,22,97.519545455,78.81,61.79,68.346363636
1013201417,THOMAS,RANDALL,C,D.P.M.,M,I,3695 N HIGH ST,,COLUMBUS,OH,432143520,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,500,251.28,195.2105,216.006
1013201557,POLVANOVA,STELLA,,N.P.,F,I,529 BEACH 20TH ST,,FAR ROCKAWAY,NY,116913645,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,57.24,15.56,12.145,14.493181818
1013201615,REED,BRENT,D,M.D.,M,I,9055 KATY FWY STE 200,,HOUSTON,TX,770241629,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,29,55.577241379,8.32,6.5210344828,6.5210344828
1013201623,LEESTMA,MICAH,J,D.O.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,34,106,68.76509434,8.1569811321,6.0248113208,6.1525471698
1013201623,LEESTMA,MICAH,J,D.O.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,17,13.773529412,1.42,0.9870588235,0.9870588235
1013201623,LEESTMA,MICAH,J,D.O.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,38,18.62,18.62,14.6,13.595789474
1013201623,LEESTMA,MICAH,J,D.O.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,42,127.27785714,78.57,60.133333333,53.917619048
1013201623,LEESTMA,MICAH,J,D.O.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.551875,7.551875
1013201623,LEESTMA,MICAH,J,D.O.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,12.86,2.9959130435,2.3488115942,2.3488115942
1013201623,LEESTMA,MICAH,J,D.O.,M,I,3231 EUCLID AVE,5TH FLOOR,BERWYN,IL,604023471,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1013201920,HASKELL,PATRICK,A,D.O.,M,I,601 E 15TH ST,,AUSTIN,TX,787011930,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.35,17.35,12.466666667,12.411666667
1013201920,HASKELL,PATRICK,A,D.O.,M,I,601 E 15TH ST,,AUSTIN,TX,787011930,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,73,73,52.460833333,50.169166667
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,89,69.258876404,8.32,6.5229213483,6.5229213483
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,174.60933333,49.646,36.674666667,28.457333333
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,407.99941176,121.86647059,91.110588235,66.316470588
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,30,221.16033333,44.395,33.659,25.272666667
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,222.1425,78.83375,61.804375,44.460625
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,22,22,76.001363636,25.440454545,19.940909091,14.464545455
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,84.070555556,19.62,15.38,9.7627777778
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,32,169,10.68591716,3.1830769231,2.4958579882,1.6013609467
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,19.700714286,8.4178571429,6.5992857143,4.9185714286
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,45,94.769777778,23.747555556,17.147777778,14.186666667
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,765,331.9395,253.0705,159.4435
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,169.98818182,50.897954545,37.5525,25.049772727
1013202449,BRIMHALL,DARRELL,M,M.D.,M,I,1121 S MAIN ST,,SNOWFLAKE,AZ,859375645,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,15,97,103,431.58932039,102.14271845,74.785728155,54.15038835
1013202563,MOUTON,CYNTHIA,R,M.D.,F,I,859 WINTER ST,,LUCEDALE,MS,394526603,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,45.535625,21.506875,14.995,12.59125
1013202563,MOUTON,CYNTHIA,R,M.D.,F,I,859 WINTER ST,,LUCEDALE,MS,394526603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,263.69225806,101.03806452,75.359677419,53.811935484
1013202803,WANJERI-HASEN,CHRISTINE,T,D.O.,F,I,2966 STREET RD,,BENSALEM,PA,190202604,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,34,63.513823529,8.32,6.1376470588,6.1376470588
1013203058,POFF,JENNIFER,E,FNP-BC,F,I,250 STANAFORD RD,,BECKLEY,WV,258013140,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,32,84,60.188452381,8.32,6.3664285714,6.3664285714
1013203058,POFF,JENNIFER,E,FNP-BC,F,I,250 STANAFORD RD,,BECKLEY,WV,258013140,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,25,13.6992,1.42,1.116,1.116
1013203058,POFF,JENNIFER,E,FNP-BC,F,I,250 STANAFORD RD,,BECKLEY,WV,258013140,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.29,13.55,13.53
1013203058,POFF,JENNIFER,E,FNP-BC,F,I,250 STANAFORD RD,,BECKLEY,WV,258013140,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,102.21,26.88625,15.02,18.305
1013203058,POFF,JENNIFER,E,FNP-BC,F,I,250 STANAFORD RD,,BECKLEY,WV,258013140,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,50,12.08,9.47,8.99
1013203058,POFF,JENNIFER,E,FNP-BC,F,I,250 STANAFORD RD,,BECKLEY,WV,258013140,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,48,478.44375,79.644791667,54.17,47.5475
1013203058,POFF,JENNIFER,E,FNP-BC,F,I,250 STANAFORD RD,,BECKLEY,WV,258013140,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,222.30769231,37.44,29.35,29.485384615
1013203165,LURVEY,ROBERT,,MD,M,I,2315 STOCKTON BLVD # OP512,,SACRAMENTO,CA,958172201,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,19,76,8162,0.3273205097,0.13,0.0981707915,0.0981707915
1013203165,LURVEY,ROBERT,,MD,M,I,2315 STOCKTON BLVD # OP512,,SACRAMENTO,CA,958172201,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,68,9405,4.616969697,1.73,1.3563264221,1.5923657629
1013203165,LURVEY,ROBERT,,MD,M,I,2315 STOCKTON BLVD # OP512,,SACRAMENTO,CA,958172201,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,29,112,16257,9.9857372209,7.1895497324,5.6202811097,5.6457452174
1013203173,TZELEPIS,ELIAS,,M.D.,M,I,BROAD AND VINE STREETS,"HAHNEMANN UNIVERSITY HOSPITAL,",PHILADELPHIA,PA,19102,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,32,112,72.664642857,8.32,5.9398214286,5.9398214286
1013203173,TZELEPIS,ELIAS,,M.D.,M,I,BROAD AND VINE STREETS,"HAHNEMANN UNIVERSITY HOSPITAL,",PHILADELPHIA,PA,19102,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,23,15.072173913,1.42,1.1160869565,1.1160869565
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,23,56,143,52.44958042,8.32,6.2485314685,6.2485314685
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.016666667,3.38,2.65,2.65
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,25,38,11.056842105,1.42,1.0863157895,1.0863157895
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,42,18.240833333,13.055,12.405
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,17.946,8.0326666667,6.298,3.6786666667
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,40,302.3775,85.235,65.3305,53.38325
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1908,0.2206498952,0.0469549266,0.0339412998,0.0339412998
1013203280,SVESTKA,ERIC,W,M.D.,M,I,4343 W NEWBERRY RD,STE 12,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,79.2,33,24.145333333,24.145333333
1013203306,DICKEY,JOHN,P,M.D.,M,I,2615 CHESTER AVE,,BAKERSFIELD,CA,933012014,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,16.98,13.31,13.53
1013203306,DICKEY,JOHN,P,M.D.,M,I,2615 CHESTER AVE,,BAKERSFIELD,CA,933012014,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,42.812,3.284,1.9273333333,2.9533333333
1013203306,DICKEY,JOHN,P,M.D.,M,I,2615 CHESTER AVE,,BAKERSFIELD,CA,933012014,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,72.06,56.5,54.73
1013203306,DICKEY,JOHN,P,M.D.,M,I,2615 CHESTER AVE,,BAKERSFIELD,CA,933012014,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,146.25,15.632,12.256,14.31
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,73,213,65.473755869,8.32,6.1679812207,6.1679812207
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,2.65,2.65
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,33,52,14.547884615,1.42,1.0513461538,1.0513461538
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,116.84357143,47.469285714,34.745,32.345
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,368.22875,120.73875,84.194375,75.413125
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,37,148.44513514,48.004054054,35.471351351,30.776756757
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,250.29666667,78.266666667,55.352222222,45.864444444
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,21,25,25,74.9916,25.1496,17.4384,15.3544
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,15,91.778,22.751333333,15.787333333,11.877333333
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,27,133,10.228120301,2.9479699248,2.0181954887,1.8080451128
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,12,12,28.18,9.6525,6.385,5.2191666667
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,44.985,15.865,10.275,9.6878571429
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1582.84,1074.31,842.26,842.26
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,42.14,16.655714286,12.727142857,9.8905714286
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,30.57,7.5523076923,5.3302564103,3.1
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,47,48,163.205,49.899375,37.792083333,25.653333333
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,14.14,12.130909091,9.5145454545,7.7890909091
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,61,394.1595082,107.17803279,77.882622951,54.482622951
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,13.94,11.177285714,8.7630357143,8.7630357143
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,8074,0.1651523408,0.0465283626,0.0286735199,0.0286735199
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,17,47,5154,1.4472797827,0.1368218859,0.1030675204,0.1030675204
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,1020,11.847960784,2.8452352941,2.1494117647,2.1494117647
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,294.71,165.67909091,129.88636364,95.99
1013203314,WILFORD,JONATHAN,,DO,M,I,927 BROADWAY ST,SUITE 121,QUINCY,IL,623012719,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,19,74,74,67.439189189,33,24.212567568,24.212567568
1013203553,HANSON,JESSICA,A,M.D.,F,I,3555 S NATIONAL AVE,,SPRINGFIELD,MO,658077310,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,27,27,27,149.35111111,53.369259259,41.844444444,39.931851852
1013203553,HANSON,JESSICA,A,M.D.,F,I,3555 S NATIONAL AVE,,SPRINGFIELD,MO,658077310,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,41.475652174,14.485217391,10.388695652,9.8747826087
1013203553,HANSON,JESSICA,A,M.D.,F,I,3555 S NATIONAL AVE,,SPRINGFIELD,MO,658077310,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,53,53,71,23.238679245,18.220566038,15.689433962
1013203553,HANSON,JESSICA,A,M.D.,F,I,3555 S NATIONAL AVE,,SPRINGFIELD,MO,658077310,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,173.2362069,53.668275862,37.717241379,23.484827586
1013203553,HANSON,JESSICA,A,M.D.,F,I,3555 S NATIONAL AVE,,SPRINGFIELD,MO,658077310,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,26.22,12.267857143,9.6157142857,8.3057142857
1013203561,HAMADAH,ABDURRAHMAN,M,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,20,16,16,11.935,11.935
1013203603,OLSON,REBECCA,J,CNP,F,I,825 E 8TH ST,,WINNER,SD,575802634,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,37,61,85.179016393,8.32,5.7731147541,5.7731147541
1013203843,STRONG,CLAYTON,E,M.D.,M,I,2200 FOREST RIDGE PKWY,SUITE 240,NEW CASTLE,IN,473622943,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,16,138.225,136.53375,107.041875,102.779375
1013203934,ENG,CHRISTINE,,M.D.,F,I,65 WALNUT ST,,WELLESLEY HILLS,MA,024812118,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,74.59,43.51,21.706363636,21.706363636
1013203959,RITTENBERG,LAUREN,,D.O.,F,I,5670 N PROFESSIONAL PARK DR STE 100,,TUCSON,AZ,857047878,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,3510,3.1555384615,2.04,1.5993561254,1.5993561254
1013204023,TARNG,GEORGE,,"MD, MPH",M,I,744 BROADWAY,,BAYONNE,NJ,070023989,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.04,11.5225,12.503333333
1013204023,TARNG,GEORGE,,"MD, MPH",M,I,744 BROADWAY,,BAYONNE,NJ,070023989,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,23,50.73,4.56,3.5717391304,3.717826087
1013204023,TARNG,GEORGE,,"MD, MPH",M,I,744 BROADWAY,,BAYONNE,NJ,070023989,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,519.51,72,54.192,52.816
1013204148,MERRITT,CARRIE,H,PA,F,I,105 STADIUM OAKS DR,,CLEMMONS,NC,270128962,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,52,69.110961538,8.32,6.1453846154,6.1453846154
1013204171,YOUSSEF,CHANTAL,,MD,F,I,13105 BUCKS RIDGE CT,,ELLICOTT CITY,MD,21042,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,262.495,45.966666667,36.0375,37.195833333
1013204171,YOUSSEF,CHANTAL,,MD,F,I,13105 BUCKS RIDGE CT,,ELLICOTT CITY,MD,21042,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,192.58,43.365454545,34,34.453636364
1013204726,ISAAC,SHIMIA,,D.O.,F,I,1200 E MICHIGAN AVE,SUITE 245,LANSING,MI,489121800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,42,47.070952381,8.32,6.2114285714,6.2114285714
1013204726,ISAAC,SHIMIA,,D.O.,F,I,1200 E MICHIGAN AVE,SUITE 245,LANSING,MI,489121800,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,226.07142857,69.81,54.73,54.73
1013204726,ISAAC,SHIMIA,,D.O.,F,I,1200 E MICHIGAN AVE,SUITE 245,LANSING,MI,489121800,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.14,28.33,29.51
1013204734,BAILEY,JOANNA,M,M.D.,F,I,585 APPALACHIAN HIGHWAY,,PINEVILLE,WV,248740430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,41,58,73.804655172,8.32,5.8543103448,5.8543103448
1013204734,BAILEY,JOANNA,M,M.D.,F,I,585 APPALACHIAN HIGHWAY,,PINEVILLE,WV,248740430,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,21,21,13.945238095,1.42,0.96,0.96
1013204734,BAILEY,JOANNA,M,M.D.,F,I,585 APPALACHIAN HIGHWAY,,PINEVILLE,WV,248740430,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,92.588235294,17.315294118,11.354705882,8.0435294118
1013204734,BAILEY,JOANNA,M,M.D.,F,I,585 APPALACHIAN HIGHWAY,,PINEVILLE,WV,248740430,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,76.729473684,22.140526316,16.480526316,13.361052632
1013204734,BAILEY,JOANNA,M,M.D.,F,I,585 APPALACHIAN HIGHWAY,,PINEVILLE,WV,248740430,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,26,6.7977777778,4.6555555556,2.8788888889
1013204734,BAILEY,JOANNA,M,M.D.,F,I,585 APPALACHIAN HIGHWAY,,PINEVILLE,WV,248740430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,444.05578947,100.04,72.141578947,53.232105263
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,67,183,62.573989071,8.32,5.6313661202,5.6313661202
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,25,44,13.93,1.42,1.0895454545,1.0895454545
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.19,1.47,1.0678571429,1.0678571429
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,50.72,11.778181818,9.2354545455,9.12
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,53,6.869245283,2.0513207547,1.6088679245,1.5932075472
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,35,81.210571429,18.532,13.750285714,12.756857143
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,35.469642857,4.5671428571,3.0989285714,3.0971428571
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,138.34652174,40.980434783,32.129565217,27.403913043
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,61,509.09836066,74.70295082,56.949344262,53.12704918
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3000,0.17,0.0460266667,0.0287133333,0.0287133333
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,2370,0.9263206751,0.1363670886,0.1069198312,0.1069198312
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,99.09047619,21.755714286,15.698095238,13.435714286
1013204742,ADAMS,ANDREW,B,M.D.,M,I,149 DRINKWATER RD,,BAY ST LOUIS,MS,395201658,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,128.19230769,33,23.88,23.88
1013204932,FAGBEMI,RUTH,I,M.D,F,I,7300 S RAEFORD RD,,FAYETTEVILLE,NC,283046162,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,46,46,29.6,7.122173913,5.5813043478,3.647826087
1013204932,FAGBEMI,RUTH,I,M.D,F,I,7300 S RAEFORD RD,,FAYETTEVILLE,NC,283046162,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,48.914166667,38.354166667,26.464166667
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,39,1890,0.1444973545,0.12,0.092962963,0.092962963
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,429,8.28,8.28,6.2646620047,6.2646620047
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,213,12.27084507,10.93,8.5692018779,8.5692018779
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,28,53,1797,1.1391318865,1.08,0.7901279911,0.7901279911
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,58,93,3027,2.5613478692,2.4,1.7940832507,1.7940832507
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,28,975,3.0023076923,2.73,1.9028,1.9028
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,38,66,2379,3.7174148802,3.5466708701,2.7101345103,2.7101345103
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,12,540,8.4216666667,7.13,5.5620925926,5.5620925926
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,19,2700,0.1553333333,0.13,0.0996555556,0.0996555556
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,24,34,4248,0.4677518832,0.4491078154,0.3418973635,0.3425400188
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,15,15,95.87,95.87,66.621333333,66.621333333
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,13,41,515,27.42,24.47,19.184524272,19.199067961
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,13,37,305,8.75,7.68,6.0212131148,6.4021639344
1013205400,MOHSEN,EKRAM,,D.O.,M,I,30 PROSPECT AVE,MEDICAL PLAZA BUILDING SUITE 401,HACKENSACK,NJ,076011915,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,12,42,42,1716.46,523.89928571,410.74214286,449.18928571
1013205533,KUDIWU,CRISTAL,,M.D.,F,I,3000 HOSPITAL BLVD FL 2,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,67.668292683,17.29,13.55,13.53097561
1013205533,KUDIWU,CRISTAL,,M.D.,F,I,3000 HOSPITAL BLVD FL 2,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,31,31,100,52.779032258,38.503870968,34.985806452
1013205533,KUDIWU,CRISTAL,,M.D.,F,I,3000 HOSPITAL BLVD FL 2,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,2133.3333333,1074.31,826.31888889,826.31888889
1013205533,KUDIWU,CRISTAL,,M.D.,F,I,3000 HOSPITAL BLVD FL 2,,ROSWELL,GA,30076,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,42,351.78095238,70.23,55.06,54.736190476
1013205723,FOSTER,PAUL,E,PA-C,M,I,2137 LAKESIDE DR,STE 100,LYNCHBURG,VA,245016806,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,61,69,23.185362319,7.0053623188,5.1394202899,3.3727536232
1013205970,MORRIS,DANIEL,J,D.O.,M,I,1446 JONES DAIRY RD STE 100,,JASPER,AL,35501,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,120,82.394545455,64.593636364,64.618181818
1013205970,MORRIS,DANIEL,J,D.O.,M,I,1446 JONES DAIRY RD STE 100,,JASPER,AL,35501,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,22,24,60,53.2,41.71,46.35
1013205970,MORRIS,DANIEL,J,D.O.,M,I,1446 JONES DAIRY RD STE 100,,JASPER,AL,35501,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,298.75,266.98,208.43333333,217.175
1013206556,MARIANI,HANNA,,M.D.,F,I,6308 8TH AVE,STE 3070,KENOSHA,WI,531435031,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,58,262,66.500648855,8.2760305344,6.0161450382,6.050648855
1013206556,MARIANI,HANNA,,M.D.,F,I,6308 8TH AVE,STE 3070,KENOSHA,WI,531435031,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,22,50,15.4972,1.42,0.9804,0.9804
1013206556,MARIANI,HANNA,,M.D.,F,I,6308 8TH AVE,STE 3070,KENOSHA,WI,531435031,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,39,39,250.97,250.97,194.78717949,194.89641026
1013206572,KLEE,ELLEN,D,NP,F,I,170 GOVERNORS AVE,LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER,MEDFORD,MA,021551643,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,56,98,211,955,75.787015707,8.32,5.9147434555,5.9147434555
1013206572,KLEE,ELLEN,D,NP,F,I,170 GOVERNORS AVE,LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER,MEDFORD,MA,021551643,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.4090909091,2.4090909091
1013206572,KLEE,ELLEN,D,NP,F,I,170 GOVERNORS AVE,LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER,MEDFORD,MA,021551643,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,34,68,133,14.641278195,1.42,1.0216541353,1.0216541353
1013206572,KLEE,ELLEN,D,NP,F,I,170 GOVERNORS AVE,LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER,MEDFORD,MA,021551643,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,13,57,57,450.79017544,251.01421053,196.79491228,196.86964912
1013206572,KLEE,ELLEN,D,NP,F,I,170 GOVERNORS AVE,LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER,MEDFORD,MA,021551643,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,379.95272727,241.76090909,184.97363636,196.21454545
1013206598,FAHMY,HAZEM,,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,36.88,16.882352941,13.232352941,13.479411765
1013206598,FAHMY,HAZEM,,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,59,373.23372881,91.101864407,71.425254237,57.527627119
1013206598,FAHMY,HAZEM,,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,43,197.09302326,42.909069767,32.985348837,29.471162791
1013206614,DEGUZMAN,JACKI,M,M.D.,F,I,10105 BANBURRY CROSS DR,SUITE 150,LAS VEGAS,NV,891446646,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,41,64.898780488,8.32,5.8868292683,5.8868292683
1013206614,DEGUZMAN,JACKI,M,M.D.,F,I,10105 BANBURRY CROSS DR,SUITE 150,LAS VEGAS,NV,891446646,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,181.68,31.691818182,24.02,23.257272727
1013206796,WONG,LENA,,M.D.,F,I,167 NORTH MAIN STREER,,TUBA CITY,AZ,860450600,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,326,30,4.07,3.0575153374,3.1124539877
1013206796,WONG,LENA,,M.D.,F,I,167 NORTH MAIN STREER,,TUBA CITY,AZ,860450600,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2976,1.72,0.37,0.2900705645,0.2900705645
1013206929,CONTIGUGLIA-AKCAN,DOROTHY,J,M.D./M.P.H.,F,I,6601 SW 62ND AVE,,SOUTH MIAMI,FL,331433300,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,44,16.97,10.983636364,8.6172727273,8.5145454545
1013206978,EMRICH,JENNIFER,L,P.A.,F,I,200 RED CREEK DR STE 100,,ROCHESTER,NY,146235261,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,36,80.530833333,8.32,5.6169444444,5.6169444444
1013206978,EMRICH,JENNIFER,L,P.A.,F,I,200 RED CREEK DR STE 100,,ROCHESTER,NY,146235261,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,23.714166667,23.714166667
1013207166,MAYE,ALEEA,S,,F,I,908 EDEN WAY N,SUITE 100,CHESAPEAKE,VA,233203336,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,45,53.190666667,8.32,5.9417777778,5.9417777778
1013207208,POTINI,VISHNU,C,MD,M,I,90 BERGEN ST,DOC SUITE 7300,NEWARK,NJ,071032425,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,71,20.996923077,16.462307692,15.112307692
1013207208,POTINI,VISHNU,C,MD,M,I,90 BERGEN ST,DOC SUITE 7300,NEWARK,NJ,071032425,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,30,9.1930769231,7.21,7.1061538462
1013207208,POTINI,VISHNU,C,MD,M,I,90 BERGEN ST,DOC SUITE 7300,NEWARK,NJ,071032425,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,319.75,266.98,209.31,217.29333333
1013207596,MEICHSNER,ELIZABETH,,M.D.,F,I,400 E 1ST ST,,MORRIS,MN,562671408,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,25,66,82.884090909,8.32,5.8303030303,5.8303030303
1013207596,MEICHSNER,ELIZABETH,,M.D.,F,I,400 E 1ST ST,,MORRIS,MN,562671408,US,Physician/Family Practice,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1642.5,978.99363636,767.53272727,767.53272727
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,41,107,70.615140187,8.32,4.6323364486,4.6323364486
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,18,17.019444444,1.42,0.7433333333,0.7433333333
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,163.11076923,56.26,40.716923077,39.659230769
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,55.668333333,12,8.6258333333,8.3841666667
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,48,9.8229166667,2,1.56875,1.591875
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,169.11333333,37.826,29.658,28.406
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,519.51,78.53,61.56,57.7125
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,16,250,37.15,29.13,29.34375
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2125,0.3277411765,0.0461788235,0.0318823529,0.0318823529
1013207836,ABERNATHY,AVERY,T,D.O.,M,I,6450 N CHATHAM AVE,,KANSAS CITY,MO,641512403,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,42.9,33,24.5765,24.5765
1013208156,SHERMAN,THOMAS,I,M.D.,M,I,170 N POINTE BLVD,,LANCASTER,PA,176014132,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,30,30,162.3,84.58,59.656333333,57.734333333
1013208156,SHERMAN,THOMAS,I,M.D.,M,I,170 N POINTE BLVD,,LANCASTER,PA,176014132,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,475,279.25,218.93,218.90230769
1013208313,BROOKS,WALKER,,MD,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,282035812,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,169.61538462,52.696153846,33.37,30.713846154
1013208354,LEE,MARIA,L,M.D.,F,I,6200 W PARKER RD,,PLANO,TX,750938185,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,87.336428571,18.983571429,14.399285714,13.053928571
1013208354,LEE,MARIA,L,M.D.,F,I,6200 W PARKER RD,,PLANO,TX,750938185,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,428.3575,81.449285714,61.928214286,52.804285714
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,24,70,134,65.86358209,8.32,5.695,5.695
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,29,13.992068966,1.42,1.1165517241,1.1165517241
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,23,13.035652174,10.93,8.57,8.57
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,23,8.19,1.9304347826,1.5134782609,1.1504347826
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,486.14666667,114.34833333,73.480833333,52.925833333
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,34,179.61823529,43.008823529,31.715588235,23.914411765
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,73,11.732876712,2.9079452055,2.1656164384,1.4787671233
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,7139,0.5226194145,0.22612971,0.1685866368,0.2375920997
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,45,13.805714286,9.4285714286,7.6685714286
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,176,55.611428571,38.148095238,31.725714286
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,23,89.286086957,22.627391304,17.034782609,12.887391304
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,42.459642857,8.4885714286,6.5232142857,3.7535714286
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,110,120,518.48875,98.096333333,71.56825,51.11725
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,24,250,44.745,33.918333333,28.649583333
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,8512,0.2277008929,0.0457918233,0.0319208177,0.0319208177
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1259,0.8076727562,0.1369737887,0.0958617951,0.0958617951
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,29.311818182,21.670909091,13.098181818
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,125,41.216666667,30.869333333,30.396
1013208438,HOWE,EVAN,C,"MD, PHD, MPH",M,I,18200 LORAIN AVE,,CLEVELAND,OH,441115605,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,47,47,108.82978723,33,21.884042553,21.884042553
1013208495,WALKER,DERREL,V,M.D.,M,I,1055 N CURTIS ROAD,,BOISE,ID,83706,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,125,14.987142857,9.9264285714,12.219285714
1013208545,NEBEKER,JEREMY,,MD,M,I,18275 N 59TH AVENUE,BLDG K 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,58,72.025862069,8.32,6.2965517241,6.2965517241
1013208545,NEBEKER,JEREMY,,MD,M,I,18275 N 59TH AVENUE,BLDG K 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,181.68,31.22,24.4825,25.239166667
1013208545,NEBEKER,JEREMY,,MD,M,I,18275 N 59TH AVENUE,BLDG K 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,77.36,77.36,60.65,55.914
1013208545,NEBEKER,JEREMY,,MD,M,I,18275 N 59TH AVENUE,BLDG K 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1013208628,ROMAN,JORGE,E,NP,M,I,1141 PEAR TREE LN,SUITE 100,NAPA,CA,945586484,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,23,40,27.4745,8.32,5.869,5.869
1013209188,MARTIN,MARY,L,"RN, ANP-C",F,I,5746 N BROADWAY ST,,KANSAS CITY,MO,641183998,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,221.59636364,34.386363636,23.969090909,22.669090909
1013209188,MARTIN,MARY,L,"RN, ANP-C",F,I,5746 N BROADWAY ST,,KANSAS CITY,MO,641183998,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,519.51,78.53,53.229375,46.816875
1013209568,ANDERSON,LORRAINE,,MD,F,I,8700 BEVERLY BLVD,RM 5512,LOS ANGELES,CA,90048,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,26,78,104.37564103,19.702051282,15.447051282,15.447051282
1013209568,ANDERSON,LORRAINE,,MD,F,I,8700 BEVERLY BLVD,RM 5512,LOS ANGELES,CA,90048,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,35,3.8575,3.0225,3.34125
1013209568,ANDERSON,LORRAINE,,MD,F,I,8700 BEVERLY BLVD,RM 5512,LOS ANGELES,CA,90048,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,58.9,13.911818182,10.906363636,10.981818182
1013209568,ANDERSON,LORRAINE,,MD,F,I,8700 BEVERLY BLVD,RM 5512,LOS ANGELES,CA,90048,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3960,34.238010101,13.538818182,10.614439394,10.614439394
1013209568,ANDERSON,LORRAINE,,MD,F,I,8700 BEVERLY BLVD,RM 5512,LOS ANGELES,CA,90048,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,4160,54.511961538,9.8548076923,7.7261754808,7.7261754808
1013209568,ANDERSON,LORRAINE,,MD,F,I,8700 BEVERLY BLVD,RM 5512,LOS ANGELES,CA,90048,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,26,122,25.226721311,2.6386885246,2.0687704918,2.0687704918
1013209717,WILBANKS,ASHLEY,N,NP-C,F,I,550 REDMOND RD NW,SUITE A,ROME,GA,301651416,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,53,74.626415094,8.32,6.5226415094,6.5226415094
1013209717,WILBANKS,ASHLEY,N,NP-C,F,I,550 REDMOND RD NW,SUITE A,ROME,GA,301651416,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,60.46,17.29,11.396875,11.379375
1013209717,WILBANKS,ASHLEY,N,NP-C,F,I,550 REDMOND RD NW,SUITE A,ROME,GA,301651416,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,842.26,842.26
1013209717,WILBANKS,ASHLEY,N,NP-C,F,I,550 REDMOND RD NW,SUITE A,ROME,GA,301651416,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,84.732857143,4.8242857143,3.3007142857,3.2978571429
1013209717,WILBANKS,ASHLEY,N,NP-C,F,I,550 REDMOND RD NW,SUITE A,ROME,GA,301651416,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,413.2872,79.3884,57.8564,50.3804
1013209717,WILBANKS,ASHLEY,N,NP-C,F,I,550 REDMOND RD NW,SUITE A,ROME,GA,301651416,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,651.65928571,143.85035714,104.07035714,89.384642857
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,23,23,118.5673913,39.001304348,30.580869565,30.493913043
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,14,40,6.345,1.51,1.185,1.15575
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,16,17,17,70.698235294,10.112941176,7.4658823529,8.6276470588
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,384.12,91.07,71.4,67.85
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,42,144.32,34.05,26.696666667,25.916904762
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,19,19,233.70105263,53.596315789,41.019473684,41.727894737
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,71.261666667,17.995833333,14.106666667,14.06625
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,92.157272727,12.08,8.6090909091,8.3545454545
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,38,214,8.4662616822,2.06,1.5965420561,1.5767757009
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,28.022631579,5.9963157895,4.45,4.4105263158
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,59,61,36.428852459,16.08,12.186885246,13.079016393
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,75,16.08,11.630769231,12.507692308
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,300,77.18,55.855384615,50.956153846
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,28,150,151,44.859205298,3.8764238411,2.7634437086,3.3398675497
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,49,51,163.45137255,32.372156863,22.95254902,23.070392157
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,33,208,215,296.76418605,76.74,58.246093023,53.339953488
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,128,134,134.86126866,37.128358209,28.509328358,28.870223881
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,136.92307692,57,44.69,44.69
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1170,15.760504274,9.5940769231,7.5217606838,7.5217606838
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,27,90,14812,0.2985565757,0.0463293276,0.0361328652,0.036131515
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,2610,1.137605364,0.1345402299,0.0992145594,0.0992145594
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,26,107,6180,11.631297735,2.9909854369,2.2874110032,2.2874110032
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,85,37,27.398333333,27.905555556
1013210764,MILLIKEN,MELINDA,R,CRNP,F,I,100 LANCASTER AVENUE,SUITE 230,WYNNEWOOD,PA,19096,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,42,137,137,94.240875912,33,25.87,25.87
1013211481,LOURIE,JEFFREY,W,F.N.P.,M,I,1 BLANCHARD CT STE 205,,MONTPELIER,VT,05602,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,46,56.315434783,8.32,5.387173913,5.387173913
1013211879,JOSEPH,JAMES,,M.D.,M,I,970 NORTH BROADWAY,SUITE 204,YONKERS,NY,107011310,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,138.02,44.095,33.786666667,37.118333333
1013211879,JOSEPH,JAMES,,M.D.,M,I,970 NORTH BROADWAY,SUITE 204,YONKERS,NY,107011310,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,146.89,50.95,37.73,40.384117647
1013212448,DELGADO,GUSTAVO,A,M.D,M,I,4815 ALAMEDA AVE,,EL PASO,TX,799052705,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,15,25.25,21.884666667,17.16,15.290666667
1013212745,KNOX,JILL,M,PA,F,I,1540 LAKE LANSING RD,SUITE G02,LANSING,MI,489123756,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,22.4775,17.620833333,13.53
1013212745,KNOX,JILL,M,PA,F,I,1540 LAKE LANSING RD,SUITE G02,LANSING,MI,489123756,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225,102.61833333,80.455,58.105
1013212794,STEPHENS,MARTHA,A,PA,F,I,4851 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,16,2.93,1.8975,1.485,1.238125
1013212794,STEPHENS,MARTHA,A,PA,F,I,4851 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician Assistant,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,22,1.8818181818,1.3604545455,1.0668181818,0.9827272727
1013212794,STEPHENS,MARTHA,A,PA,F,I,4851 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician Assistant,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,2.0692307692,1.5938461538,1.2484615385,1.0253846154
1013212794,STEPHENS,MARTHA,A,PA,F,I,4851 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,45.01,23.298333333,16.934444444,12.612777778
1013212794,STEPHENS,MARTHA,A,PA,F,I,4851 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,20.590645161,8.4538709677,6.2370967742,3.7467741935
1013212794,STEPHENS,MARTHA,A,PA,F,I,4851 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,219.57333333,104.71185185,77.669259259,52.175925926
1013212794,STEPHENS,MARTHA,A,PA,F,I,4851 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1200,12.258675,0.13015,0.0906916667,0.0906916667
1013213776,MADAHAR,SHAUN,,M.D.,M,I,200 E CHESTNUT ST,SERVICE BUILDING SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,37.695652174,16.828913043,12.006521739,12.376521739
1013213776,MADAHAR,SHAUN,,M.D.,M,I,200 E CHESTNUT ST,SERVICE BUILDING SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,3095.26,993.735,764.92153846,828.09153846
1013213776,MADAHAR,SHAUN,,M.D.,M,I,200 E CHESTNUT ST,SERVICE BUILDING SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,61,61,285.87754098,71.564918033,52.497213115,51.265901639
1013213776,MADAHAR,SHAUN,,M.D.,M,I,200 E CHESTNUT ST,SERVICE BUILDING SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,62.5,36.14,28.33,28.92
1013216068,GADZINSKI-WORDSWORTH,NICHOLAS,M,D.O.,M,I,15400 19 MILE RD,,CLINTON TOWNSHIP,MI,48038,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,32.343529412,5.4852941176,4.0611764706,3.3788235294
1013216266,MURRAY,THOMAS,B,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,20,54,158,80.071898734,8.32,5.7807594937,5.7807594937
1013216266,MURRAY,THOMAS,B,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,19,17.38,1.42,1.1168421053,1.1168421053
1013216266,MURRAY,THOMAS,B,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,42.4725,21.985,17.235,13.993125
1013216266,MURRAY,THOMAS,B,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,64,64,21.14671875,7.7275,5.64296875,3.43453125
1013216266,MURRAY,THOMAS,B,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,252.969375,98.85,77.5,61.3675
1013216266,MURRAY,THOMAS,B,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1020,1.5706470588,0.1384411765,0.0978431373,0.0978431373
1013216266,MURRAY,THOMAS,B,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,23418,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,71.653076923,30.721538462,23.531923077,15.007692308
1013216373,BANGART,KEITH,T,DPM,M,I,13660 N 94TH DR,#F1,PEORIA,AZ,853814836,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,26,81.048461538,71.56,51.790384615,51.789615385
1013216373,BANGART,KEITH,T,DPM,M,I,13660 N 94TH DR,#F1,PEORIA,AZ,853814836,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,345,5.6869565217,2.4,1.7180289855,1.7180289855
1013216373,BANGART,KEITH,T,DPM,M,I,13660 N 94TH DR,#F1,PEORIA,AZ,853814836,US,Podiatry,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,170,86.355714286,67.704285714,67.704285714
1013216373,BANGART,KEITH,T,DPM,M,I,13660 N 94TH DR,#F1,PEORIA,AZ,853814836,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,350,294.91458333,229.50083333,217.63
1013216613,WEINTRAUB,JENNIFER,,,F,I,17 E 102ND ST,,NEW YORK,NY,100295204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,28,70.117857143,8.32,6.0553571429,6.0553571429
1013218197,HENDERSON,JOY,,PA-C,F,I,599 W GERMANTOWN PIKE,,EAST NORRITON,PA,19403,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,262.08333333,77.18,50.971666667,45.664166667
1013218908,BUSCHMANN,DONALD,K,M.D.,M,I,2424 WILSHIRE BLVD,,SANTA MONICA,CA,904035806,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,44.7,8.32,5.9766666667,5.9766666667
1013219278,HAMPTON,KYLE,N,D.O.,M,I,1830 LAPORTE AVE,,FORT COLLINS,CO,805212341,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,24,86.31,17.91,14.04,13.560833333
1013219278,HAMPTON,KYLE,N,D.O.,M,I,1830 LAPORTE AVE,,FORT COLLINS,CO,805212341,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,24,519.51,70.48,55.25,54.742083333
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1176,2.0995323129,0.13,0.1019472789,0.1019472789
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,1710,3.9942105263,2.04,1.5154385965,1.5154385965
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1710,9.1562397661,6.5331578947,5.1220116959,5.6661345029
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,30,85,25.123529412,9.4422352941,6.7158823529,7.8817647059
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,26,12.881538462,6.5123076923,4.6553846154,5.3284615385
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,920,7.2044782609,3.6352173913,2.8499130435,3.0452608696
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,28,11.086428571,4.1,3.2139285714,3.2139285714
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,410,9.1043902439,5.74,4.5001219512,4.5001219512
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,52,2.655,1.8,1.41,1.41
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9.03,6.44,4.6245833333,4.6245833333
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,560,25.952964286,9.86,7.5519642857,7.5519642857
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,660,9.5616060606,4.04,3.1418181818,3.1418181818
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,925,0.5245837838,0.27,0.2116648649,0.2116648649
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,1280,0.9063203125,0.27,0.1992734375,0.1992734375
1013219328,GODOY,GUILHERME,,MD,M,I,6620 MAIN ST,"SUITE 1325, MS BCM380",HOUSTON,TX,770302348,US,Physician/Urology,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,3380,0.0705621302,0.05,0.0368816568,0.0368816568
1013220060,TOMES,LAUREN,J,DO,F,I,1511 JOHNSON AVE,STE 104,BRIDGEPORT,WV,263301016,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,36,99,241,58.702946058,8.32,5.710373444,5.710373444
1013220060,TOMES,LAUREN,J,DO,F,I,1511 JOHNSON AVE,STE 104,BRIDGEPORT,WV,263301016,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,23,56,76,10.397105263,1.42,0.9546052632,0.9546052632
1013220060,TOMES,LAUREN,J,DO,F,I,1511 JOHNSON AVE,STE 104,BRIDGEPORT,WV,263301016,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,81.848,22.773,17.355,14.113333333
1013220060,TOMES,LAUREN,J,DO,F,I,1511 JOHNSON AVE,STE 104,BRIDGEPORT,WV,263301016,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,12.070833333,6.165,4.8333333333,3.9266666667
1013220060,TOMES,LAUREN,J,DO,F,I,1511 JOHNSON AVE,STE 104,BRIDGEPORT,WV,263301016,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,35,553.82971429,99.496,70.509428571,48.948857143
1013220060,TOMES,LAUREN,J,DO,F,I,1511 JOHNSON AVE,STE 104,BRIDGEPORT,WV,263301016,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1920,1.7177291667,0.13640625,0.1069739583,0.1069739583
1013220060,TOMES,LAUREN,J,DO,F,I,1511 JOHNSON AVE,STE 104,BRIDGEPORT,WV,263301016,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,69,33,25.87,25.87
1013220490,FENNERN,TRISHA,J,NP-C,F,I,1418 S BROADWAY STE B,,MINOT,ND,587016109,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,41,93,71.964731183,8.32,5.9597849462,5.9597849462
1013220508,RAKOWSKI,JANA,,NP,F,I,1040 TACOMA AVE,,BISMARCK,ND,585047452,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,32,58,61.323793103,8.32,4.8418965517,4.8418965517
1013220508,RAKOWSKI,JANA,,NP,F,I,1040 TACOMA AVE,,BISMARCK,ND,585047452,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2186,2.6,1.73,1.2906678866,1.5337191217
1013220508,RAKOWSKI,JANA,,NP,F,I,1040 TACOMA AVE,,BISMARCK,ND,585047452,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,136.25,31.974615385,23.28,23.386153846
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,31,82,319,48.640219436,8.32,5.9154231975,5.9154231975
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,13.26125,3.38,2.31875,2.31875
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,21,36,83,10.657590361,1.42,1.0478313253,1.0478313253
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,27,86,7.0718604651,1.9404651163,1.5209302326,1.2013953488
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,15,24,24,237.11375,112.5225,75.66,58.280416667
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,151.96,71.988823529,56.438235294,42.86
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,30,30,51.387,23.203,16.628666667,12.951333333
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,32,32,54.94375,18.2371875,12.95,8.3415625
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,37,116,7.4020689655,2.6534482759,1.9894827586,1.5276724138
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,30.343636364,15.64,10.208181818,8.46
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,53.889230769,23.576153846,18.481538462,14.1
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,36.6,16.11,10.524545455,7.6518181818
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,46,46,25.419782609,6.2347826087,4.6743478261,3.5230434783
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,140.96,42.165,27.4565,19.994
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,132,132,280.94431818,101.54507576,77.215075758,58.346590909
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,14.691045455,11.509,9.0230909091,9.0230909091
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,9698,0.475293875,0.0458620334,0.0359579295,0.0359579295
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,3086,1.7969993519,0.1347666883,0.0950972132,0.0950972132
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,570,0.9489473684,0.2187894737,0.1714912281,0.1714912281
1013220573,KASTNING,SCOTT,C,PA-C,M,I,302 W CHESTNUT ST,,BRECKENRIDGE,MI,486159579,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,49,49,85.530612245,33,24.814081633,24.814081633
1013220839,CHAMBERS,JOY,,RN,F,I,5225 E MAIN ST STE 5223,,COLUMBUS,OH,43213,US,Nurse Practitioner,S,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less",D1E - Other DME,Durable Medical Equipment,N,2,28,28,28,1200,1011.35,792.9,792.9
1013221274,DIAZ RODRIGUEZ,HECTOR,J,M.D.,M,I,400 BALTIMORE,,SAN ANTONIO,TX,78215,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,690,4.571,0.605,0.4743043478,0.4743043478
1013221274,DIAZ RODRIGUEZ,HECTOR,J,M.D.,M,I,400 BALTIMORE,,SAN ANTONIO,TX,78215,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1013221290,GUPTA,NAGENDRA,,MD,M,I,807 S PONDEROSA ST,,PAYSON,AZ,855415542,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,65,67,37.325373134,17.103731343,13.407462687,13.556268657
1013221290,GUPTA,NAGENDRA,,MD,M,I,807 S PONDEROSA ST,,PAYSON,AZ,855415542,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,78,78,254.32461538,77.056666667,59.643461538,55.545512821
1013221415,COLLIER,RACHEL,C,DPM,F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,210.92,18.169411765,13.194117647,12.841176471
1013221415,COLLIER,RACHEL,C,DPM,F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,37.32,8.7770588235,6.3717647059,6.0388235294
1013221449,TABRIZIAN,ATOUSA,M,,F,I,7101 CLARENDON RD,#4,BETHESDA,MD,208145528,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,36.88,16.33,12.8,13.49826087
1013221449,TABRIZIAN,ATOUSA,M,,F,I,7101 CLARENDON RD,#4,BETHESDA,MD,208145528,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,230,78.47,59.655757576,53.277272727
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,37,136,69.342720588,8.32,6.0036764706,6.0036764706
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,9.9257142857,1.42,1.1171428571,1.1171428571
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,219.53,59.3,40.938333333,38.215833333
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,63.723529412,12.54,9.7241176471,9.0141176471
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,96,7.97375,2.26,1.6611458333,1.5009375
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,100.88,17.26,13.53,13.54
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,291.07181818,36.412727273,28.548181818,25.494545455
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,460.5278125,77.34,55.36859375,50.2059375
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,39.3,28.2425,27.050833333
1013221522,WALTON,KRISTY,A,MD,F,I,5700 100TH ST SW STE 510,LAKEWOOD CLINIC,LAKEWOOD,WA,984992767,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,108.9,39.3,29.098333333,28.051111111
1013221589,VAGHELA,GOPALBHAI,K,MD,M,I,1040 MARLBORO WAY,SUITE 1,BENNETTSVILLE,SC,295122494,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,142.74,47.167272727,33.714545455,33.274545455
1013221589,VAGHELA,GOPALBHAI,K,MD,M,I,1040 MARLBORO WAY,SUITE 1,BENNETTSVILLE,SC,295122494,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,47.605172414,18.20137931,13.283448276,12.804482759
1013221589,VAGHELA,GOPALBHAI,K,MD,M,I,1040 MARLBORO WAY,SUITE 1,BENNETTSVILLE,SC,295122494,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,1135.476,990.7725,776.7665,842.26
1013221589,VAGHELA,GOPALBHAI,K,MD,M,I,1040 MARLBORO WAY,SUITE 1,BENNETTSVILLE,SC,295122494,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,19.73,6.986875,5.4775,3.73
1013221589,VAGHELA,GOPALBHAI,K,MD,M,I,1040 MARLBORO WAY,SUITE 1,BENNETTSVILLE,SC,295122494,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,32,331.1546875,75.4084375,55.9953125,53.0196875
1013221845,NARAYAN,ANAND,,M.D.,M,I,468 N VERMONT AVE,,DINUBA,CA,936181631,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,31,62,68.585483871,8.32,5.6798387097,5.6798387097
1013221845,NARAYAN,ANAND,,M.D.,M,I,468 N VERMONT AVE,,DINUBA,CA,936181631,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,14.793333333,1.42,0.9706666667,0.9706666667
1013221845,NARAYAN,ANAND,,M.D.,M,I,468 N VERMONT AVE,,DINUBA,CA,936181631,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,3441,0.2448968323,0.0459750073,0.0360418483,0.0360418483
1013221845,NARAYAN,ANAND,,M.D.,M,I,468 N VERMONT AVE,,DINUBA,CA,936181631,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,99,33,25.87,25.87
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,26,70,169,64.519585799,8.32,5.9822485207,5.9822485207
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,17,32,51,15.02,1.42,1.0494117647,1.0494117647
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,75.910769231,20.11,14.990769231,9.2923076923
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,84,9.8344047619,3.0294047619,2.1221428571,1.4623809524
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,74,82,90.727682927,21.808292683,16.18695122,13.163292683
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,100,104,480.97413462,99.795,74.101826923,52.439134615
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,33.834378788,7.4677272727,5.6373030303,5.6373030303
1013221969,AKINMURELE,OLADOTUN,O,MD,M,I,42121 US HWY 70 N,,PORTALES,NM,881309347,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1013222413,VANDERKLOK,ELEANOR,L,CRNP,F,I,925 CHESTNUT ST,SUITE 320A,PHILADELPHIA,PA,191074216,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,20,1920,44.951765625,4.6165260417,3.6193697917,3.6193697917
1013222413,VANDERKLOK,ELEANOR,L,CRNP,F,I,925 CHESTNUT ST,SUITE 320A,PHILADELPHIA,PA,191074216,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,24,24,18.82,18.82
1013222603,DATLA,SWATHI,,M.B.B.S.,F,I,3535 SOUTHERN BLVD,,KETTERING,OH,454291221,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,151.73,56.9,44.614545455,38.431818182
1013223064,GRAZETTE,LUANDA,,M.D.,F,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,123.75,19.71,14.484375,14.484375
1013223064,GRAZETTE,LUANDA,,M.D.,F,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,16,52,213.46153846,37.38,28.179807692,28.179807692
1013223064,GRAZETTE,LUANDA,,M.D.,F,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,468,63.298739316,1.5739102564,1.1377136752,1.1377136752
1013223130,LONG,JENNIFER,L,APN,F,I,1009 HIGHWAY 18,,LAKE CITY,AR,724379622,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,33,55.337272727,8.32,6.5221212121,6.5221212121
1013223130,LONG,JENNIFER,L,APN,F,I,1009 HIGHWAY 18,,LAKE CITY,AR,724379622,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,18,24,15.446666667,1.42,0.9775,0.9775
1013223130,LONG,JENNIFER,L,APN,F,I,1009 HIGHWAY 18,,LAKE CITY,AR,724379622,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,48.177692308,17.423846154,13.655384615,13.636923077
1013223130,LONG,JENNIFER,L,APN,F,I,1009 HIGHWAY 18,,LAKE CITY,AR,724379622,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,361.696,91.752285714,68.964,53.199428571
1013223130,LONG,JENNIFER,L,APN,F,I,1009 HIGHWAY 18,,LAKE CITY,AR,724379622,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,167.7325,46.1625,36.19375,29.965625
1013223130,LONG,JENNIFER,L,APN,F,I,1009 HIGHWAY 18,,LAKE CITY,AR,724379622,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,6762,0.2063043478,0.0461342798,0.0281721384,0.0281721384
1013223130,LONG,JENNIFER,L,APN,F,I,1009 HIGHWAY 18,,LAKE CITY,AR,724379622,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,45,45,129.8,33,24.145333333,24.145333333
1013223643,GONZALEZ PEREZ,RICHARD,,M.D.,M,I,2020 W 64TH ST,,HIALEAH,FL,330162607,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,222.23333333,73,57.23,54.938333333
1013223643,GONZALEZ PEREZ,RICHARD,,M.D.,M,I,2020 W 64TH ST,,HIALEAH,FL,330162607,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,466.25,35.56,27.88,29.374166667
1013223866,PILLING,LINDSEY,,PA-C,F,I,900 COOPER AVE,SUITE .3100,SAGINAW,MI,486025182,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,19,163.24,137.94,108.14,102.5
1013225226,PATEL,SEJAL,A,PA-C,F,I,700 NE 87TH AVE,,VANCOUVER,WA,98664,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,36,91,406,60.614137931,8.32,5.8757142857,5.8757142857
1013225226,PATEL,SEJAL,A,PA-C,F,I,700 NE 87TH AVE,,VANCOUVER,WA,98664,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,13,36,63,11.714603175,1.42,1.08,1.08
1013225226,PATEL,SEJAL,A,PA-C,F,I,700 NE 87TH AVE,,VANCOUVER,WA,98664,US,Physician Assistant,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1300,17.465907692,10.677584615,8.3171076923,8.3171076923
1013226794,HARRIS,CAREY,,,F,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,56,213,72.837934272,8.32,5.8487793427,5.8487793427
1013226794,HARRIS,CAREY,,,F,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,17,26,17.912692308,1.42,1.1161538462,1.1161538462
1013226794,HARRIS,CAREY,,,F,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,66,17.27,11.605714286,11.605714286
1013226794,HARRIS,CAREY,,,F,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,353.96212121,69.81,51.233030303,51.233030303
1013226794,HARRIS,CAREY,,,F,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,125.176,36.14,28.074,29.1596
1013227743,BROWN,CARLA,,FNP-BC,F,I,102 WEST FREEDOM DRIVE,,LIBERTY,MS,396450511,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,27,68,44.094117647,8.32,5.2161764706,5.2161764706
1013227743,BROWN,CARLA,,FNP-BC,F,I,102 WEST FREEDOM DRIVE,,LIBERTY,MS,396450511,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,19,15.263157895,1.42,0.9389473684,0.9389473684
1013228022,COHEN BUCAY,ABRAHAM,,,M,I,736 CAMBRIDGE ST,,BOSTON,MA,021352907,US,Student in an Organized Health Care Education/Training Program,T,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,2400,3.5944833333,1.239425,0.9195791667,0.9195791667
1013228022,COHEN BUCAY,ABRAHAM,,,M,I,736 CAMBRIDGE ST,,BOSTON,MA,021352907,US,Student in an Organized Health Care Education/Training Program,T,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,24,24,17.803333333,17.803333333
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,26,92,160,59.7106875,8.32,5.5619375,5.5619375
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,12,29,31,13.253225806,1.42,0.9387096774,0.9387096774
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,164.24461538,48.121538462,29.941538462,23.453846154
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,77,69.730909091,19.52038961,14.904285714,11.493246753
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,302.66842105,71.581052632,53.567368421,40.305789474
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,89.614,24.898666667,19.516,14.06
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,23,122,15.554754098,2.728852459,2.1107377049,1.5640163934
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,381.36,65.086153846,51.03,37.941538462
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,62.676451613,19.862258065,13.839354839,11.892580645
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,50.73,9.0846875,6.819375,3.9109375
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,36,226.4425,44.078611111,31.444444444,20.782222222
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,93,93,470.95075269,96.887419355,70.579892473,51.655913978
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,44.560909091,31.480909091,26.362727273
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,6801,0.3966857815,0.0470916042,0.0319600059,0.0319600059
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1677,1.2779785331,0.1348360167,0.0862015504,0.0862015504
1013228360,FOUNTAIN,RHONDA,L,NP-C,F,I,806 W COMMERCE ST,,BROWNSTOWN,IN,472201200,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,32,51.5625,33,21.8278125,21.8278125
1013228402,SOLE,JOSHUA,S,MD,M,I,2805 5TH ST,100,RAPID CITY,SD,577017306,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,60.351904762,44.792857143,28.284285714,28.36
1013228568,TYE,ELIZABETH,J,FNP-C,F,I,2701 MEREDYTH DR,,ALBANY,GA,317072267,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,31,70,361,70.529141274,8.32,6.172299169,6.172299169
1013228568,TYE,ELIZABETH,J,FNP-C,F,I,2701 MEREDYTH DR,,ALBANY,GA,317072267,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,17,45,14.515555556,1.42,0.9402222222,0.9402222222
1013228568,TYE,ELIZABETH,J,FNP-C,F,I,2701 MEREDYTH DR,,ALBANY,GA,317072267,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,1540,16.55374026,10.93787013,8.5753051948,8.5753051948
1013228733,FAZAL,ZANIRA,,M.D.,F,I,18 OLD ETNA RD,,LEBANON,NH,03766,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,32,81,296,51.736385135,8.32,6.0818918919,6.0818918919
1013228733,FAZAL,ZANIRA,,M.D.,F,I,18 OLD ETNA RD,,LEBANON,NH,03766,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.103076923,3.38,2.65,2.65
1013228733,FAZAL,ZANIRA,,M.D.,F,I,18 OLD ETNA RD,,LEBANON,NH,03766,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,48,90,14.041333333,1.42,1.1028888889,1.1028888889
1013228733,FAZAL,ZANIRA,,M.D.,F,I,18 OLD ETNA RD,,LEBANON,NH,03766,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,7.2618181818,2,1.5683333333,1.5916666667
1013228733,FAZAL,ZANIRA,,M.D.,F,I,18 OLD ETNA RD,,LEBANON,NH,03766,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.553636364,17,13.33,13.54
1013228733,FAZAL,ZANIRA,,M.D.,F,I,18 OLD ETNA RD,,LEBANON,NH,03766,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,338.58545455,73,57.23,54.73
1013228840,MAKI,MERCEDES,A,PA,F,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,48,71.727916667,8.32,4.6377083333,4.6377083333
1013228857,HAWLEY,STEVEN,M,D.P.M.,M,I,1201 GRAMPIAN BLVD,SUITE 2F,WILLIAMSPORT,PA,177011965,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,850,0.8085882353,0.44,0.345,0.345
1013228857,HAWLEY,STEVEN,M,D.P.M.,M,I,1201 GRAMPIAN BLVD,SUITE 2F,WILLIAMSPORT,PA,177011965,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,109.71692308,71.56,51.789230769,51.789230769
1013228857,HAWLEY,STEVEN,M,D.P.M.,M,I,1201 GRAMPIAN BLVD,SUITE 2F,WILLIAMSPORT,PA,177011965,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,914,0.2645842451,0.13,0.1019584245,0.1019584245
1013228857,HAWLEY,STEVEN,M,D.P.M.,M,I,1201 GRAMPIAN BLVD,SUITE 2F,WILLIAMSPORT,PA,177011965,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,333,279.25,218.93,218.89307692
1013228873,PICKER,DAVID,M,MD,M,I,1402 S GRAND BLVD,,SAINT LOUIS,MO,631041004,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8875,3.0425,3.6125
1013228964,MISRA,SURESH,K,M.D.,M,I,3509 N BROAD ST,"BOYER PAVILION, 2ND FLOOR",PHILADELPHIA,PA,191404105,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,37,104,81.34,8.32,5.70625,5.70625
1013228964,MISRA,SURESH,K,M.D.,M,I,3509 N BROAD ST,"BOYER PAVILION, 2ND FLOOR",PHILADELPHIA,PA,191404105,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,27,19.954444444,1.42,1.0740740741,1.0740740741
1013228980,RAM,PRABHU,S,M.D,M,I,19 STURDY ST,,ATTLEBORO,MA,027033152,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,36,85,91.587647059,8.32,5.218,5.218
1013228980,RAM,PRABHU,S,M.D,M,I,19 STURDY ST,,ATTLEBORO,MA,027033152,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,14,15.172857143,1.42,1.1185714286,1.1185714286
1013229053,NETH,ZAROH,L,M.D.,F,I,13861 HULL STREET RD,,MIDLOTHIAN,VA,231122091,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,44,108,73.710648148,8.32,5.6158333333,5.6158333333
1013229053,NETH,ZAROH,L,M.D.,F,I,13861 HULL STREET RD,,MIDLOTHIAN,VA,231122091,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,16,15.1775,1.42,0.9075,0.9075
1013229053,NETH,ZAROH,L,M.D.,F,I,13861 HULL STREET RD,,MIDLOTHIAN,VA,231122091,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,165.45,44.174615385,22.538461538,24.166153846
1013229053,NETH,ZAROH,L,M.D.,F,I,13861 HULL STREET RD,,MIDLOTHIAN,VA,231122091,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,7.8818181818,4.3636363636,4.7281818182
1013229053,NETH,ZAROH,L,M.D.,F,I,13861 HULL STREET RD,,MIDLOTHIAN,VA,231122091,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,22,519.51,77.36,60.65,58.228181818
1013229103,RAJU,ROBIN,D,D.O,M,I,1 LONG WHARF DR FL 6,,NEW HAVEN,CT,06511,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,67.72,41.1425,42.8425
1013229236,SCHUPP,WILLIAM,H,MD,M,I,842 NE ALICES RD,,WAUKEE,IA,502638857,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,55,117,84.692991453,8.32,5.252991453,5.252991453
1013229236,SCHUPP,WILLIAM,H,MD,M,I,842 NE ALICES RD,,WAUKEE,IA,502638857,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1926,1.4403478712,0.1386967809,0.1045015576,0.1045015576
1013229236,SCHUPP,WILLIAM,H,MD,M,I,842 NE ALICES RD,,WAUKEE,IA,502638857,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,67.65,33,23.283,23.283
1013229251,LIMPUS,ANGELA,R,FNP-C,F,I,4941 N TOWNE CENTRE DR,,OZARK,MO,657218280,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,34,58.724705882,8.32,4.9882352941,4.9882352941
1013229251,LIMPUS,ANGELA,R,FNP-C,F,I,4941 N TOWNE CENTRE DR,,OZARK,MO,657218280,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,23.326666667,4.7270833333,3.2375,3.2375
1013229269,NAINI,GREESHMA,R,M.D.,F,I,495 WESTERN AVE,,BRIGHTON,MA,021351007,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,23,80,55.685875,8.32,3.74975,3.74975
1013229269,NAINI,GREESHMA,R,M.D.,F,I,495 WESTERN AVE,,BRIGHTON,MA,021351007,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,33,10.010606061,1.42,0.5406060606,0.5406060606
1013229368,TITSWORTH,WILLIAM,L,"M.D., PH.D.",M,I,2603 KENTUCKY AVE,SUITE 402,PADUCAH,KY,420033814,US,Physician/Neurosurgery,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,609.5,212.22818182,166.38545455,131.54818182
1013229814,GOODMAN,MICHAEL,,M.D.,M,I,7991 BEECHMONT AVE,,CINCINNATI,OH,452553189,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1013229897,ZELINSKAS,SARA,,DPM,F,I,100 CONSTITUTION DR,217,VIRGINIA BEACH,VA,234626799,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,84.706666667,71.56,49.595416667,49.595416667
1013229897,ZELINSKAS,SARA,,DPM,F,I,100 CONSTITUTION DR,217,VIRGINIA BEACH,VA,234626799,US,Podiatry,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,5.5,2.9693333333,2.3293333333,2.26
1013229897,ZELINSKAS,SARA,,DPM,F,I,100 CONSTITUTION DR,217,VIRGINIA BEACH,VA,234626799,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,25,8.0357142857,6.3,6.5992857143
1013229897,ZELINSKAS,SARA,,DPM,F,I,100 CONSTITUTION DR,217,VIRGINIA BEACH,VA,234626799,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,84.352941176,84.008823529,65.866470588,63.86
1013229897,ZELINSKAS,SARA,,DPM,F,I,100 CONSTITUTION DR,217,VIRGINIA BEACH,VA,234626799,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,23,23,281.01869565,277.64956522,217.67521739,218.47869565
1013230598,BUTCHER,JENNIFER,L,"APRN, NP-C",F,I,1055 N 500 W,SUITE 101,PROVO,UT,846043305,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,102.71871795,17.91,13.68,13.244102564
1013230598,BUTCHER,JENNIFER,L,"APRN, NP-C",F,I,1055 N 500 W,SUITE 101,PROVO,UT,846043305,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,98,99,519.76262626,70.712727273,53.758383838,53.137171717
1013231075,SMITH,HENRY,P,M.D.,M,I,7419 E 67TH PL,,TULSA,OK,741331816,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,148.66428571,59.100714286,44.486428571,25.044285714
1013231299,BOONE,REBECCA,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,16,208,49.831730769,19.67125,15.421923077,15.421923077
1013231299,BOONE,REBECCA,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,540,8.2843888889,2.6355555556,2.0661851852,2.0661851852
1013231299,BOONE,REBECCA,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,82,103,187,931,70.326154672,8.32,6.1582814178,6.1582814178
1013231299,BOONE,REBECCA,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,49,55,79,193,13.632694301,1.42,0.9869948187,0.9869948187
1013231299,BOONE,REBECCA,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,586.69714286,364.21714286,285.54571429,285.54571429
1013231299,BOONE,REBECCA,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,13,57,57,316.48421053,251.01421053,196.44526316,196.52017544
1013231372,WORRELL,MBETTIE,,R.N.,F,I,555 GLASGOW ST,,STOWE,PA,194646557,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,24,41,61.846341463,8.32,6.0443902439,6.0443902439
1013231786,WILKERSON,JENNIFER,K,APRN,F,I,318 S 7TH ST,,MAYFIELD,KY,420662337,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,29,67,61.30358209,8.32,5.061641791,5.061641791
1013231786,WILKERSON,JENNIFER,K,APRN,F,I,318 S 7TH ST,,MAYFIELD,KY,420662337,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,32,60.315625,22.1696875,16.631875,13.0140625
1013231786,WILKERSON,JENNIFER,K,APRN,F,I,318 S 7TH ST,,MAYFIELD,KY,420662337,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,22.186363636,8.5204545455,6.6790909091,3.9581818182
1013231786,WILKERSON,JENNIFER,K,APRN,F,I,318 S 7TH ST,,MAYFIELD,KY,420662337,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,20,402.555,98.85,71.523,51.282
1013231786,WILKERSON,JENNIFER,K,APRN,F,I,318 S 7TH ST,,MAYFIELD,KY,420662337,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,56.666666667,28.928333333,22.68,14.553333333
1013231786,WILKERSON,JENNIFER,K,APRN,F,I,318 S 7TH ST,,MAYFIELD,KY,420662337,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,124.39,63.961818182,50.145454545,36.390909091
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,27,38,39,106.24487179,42.222307692,32.116153846,29.519487179
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,64,77,77,272.00961039,97.268831169,76.261948052,69.522077922
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,42,62,93,113.42956989,39.218602151,30.74655914,27.080322581
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,18,25,73,66.516575342,21.217808219,16.635068493,15.522739726
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,15,65,39.735384615,17.032,13.353076923,11.910461538
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,62,76,76,150.91473684,61.47,47.617631579,43.404473684
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,112,121,121,50.62338843,19.610495868,15.253636364,14.238016529
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,22,22,24.814090909,10.911363636,8.555,8.1213636364
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,95,116,116,52.803793103,14.148534483,11.012327586,9.8856034483
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,120,188,526,7.1334410646,2.3688022814,1.8387262357,1.6360836502
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,17,19,19,17.954736842,7.6194736842,5.4684210526,4.3515789474
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,22,23,23,40.895652174,14.147391304,11.09173913,10.710434783
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,115.26,18.836363636,14.768181818,13.560909091
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,21,91,91,336.69164835,114.41714286,88.555054945,74.588791209
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,691.4,247.1075,193.7275,191.3875
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,90,461,463,41.309654428,14.583671706,11.381274298,10.521317495
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,79,442,448,183.2171875,39.024508929,29.803526786,26.477834821
1013231950,SHAVER,JASON,,PA-C,M,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,358.201,92.1405,72.239,54.737
1013232248,ANDREOLI,NINA,N,MD,F,I,1000 GALLOPING HILL RD,,UNION,NJ,070837989,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,43.85,34.380909091,36.298181818
1013232248,ANDREOLI,NINA,N,MD,F,I,1000 GALLOPING HILL RD,,UNION,NJ,070837989,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,11.590416667,3.1096875,2.33225,2.33225
1013232248,ANDREOLI,NINA,N,MD,F,I,1000 GALLOPING HILL RD,,UNION,NJ,070837989,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,24.022142857,24.022142857
1013232297,GONSAHN-BOLLIE,SYLVIA,M,M.D.,F,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,42,104,72.668076923,8.32,5.7066346154,5.7066346154
1013232297,GONSAHN-BOLLIE,SYLVIA,M,M.D.,F,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,21,14.126666667,1.42,0.96,0.96
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,29.571428571,27.385714286,21.47,22.197142857
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,12.5,10.93,8.57,8.57
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,399,8.28,8.28,6.4916290727,6.4916290727
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,361,14,5,3.92,4.1272022161
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,4332,1.45,0.65,0.50960988,0.5162880886
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,694,1.5,0.71,0.5566138329,0.5566138329
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,51,51,146.26490196,49.871764706,37.188823529,37.198823529
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,128.98,45.472068966,31.893448276,32.787241379
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,5.2,4.08,3.9716666667
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,40,40,23.8225,9.575,6.7835,8.49625
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,45,45,69.723777778,16.204888889,12.702222222,15.12
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,90.2008,21.23,14.8272,19.6996
1013232396,KAMAL,SYED,A,M.D.,M,I,59 NORTH CT,,ROSLYN HEIGHTS,NY,115772110,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,14,70,70,20.013571429,7.228,5.4571428571,6.7297142857
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,84,130,132,84.38280303,41.609772727,30.030606061,28.489469697
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,72,120,121,257.03760331,93.742892562,69.697024793,65.208099174
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,52,97,184,77.916304348,34.079728261,25.758478261,24.981956522
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,28,41,166,45.053855422,18.114216867,12.497590361,12.8
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,37,60,238,35.70487395,15.904159664,11.96697479,11.505294118
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,97,146,147,152.49013605,59.285646259,41.507006803,39.02244898
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,157,211,211,52.996161137,19.731658768,14.044549763,12.922417062
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,16,16,18.921875,10.695,7.87125,7.643125
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,58,84,84,50.626785714,12.874285714,9.3304761905,8.4973809524
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,133,207,1098,6.3713570128,2.0996903461,1.524298725,1.4782149362
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,25,29,29,15.759655172,6.555862069,4.4486206897,4.0344827586
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,68,86,86,29.506744186,14.217093023,10.544651163,9.8636046512
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,61,61,270.03278689,102.4357377,79.280983607,69.196065574
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,601.75071429,240.26142857,173.70142857,155.13714286
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,35,35,35,303.43142857,140.49314286,107.19114286,101.17771429
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,47.7890625,11.58,4.9234375,4.9934375
1013232453,ZOMERLEI,AMY,L,NP,F,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,58,347,347,129.47317003,34.653025937,23.840230548,22.066253602
1013232545,YU,YUE,,M.D.,M,I,300 COMMUNITY DR,,MANHASSET,NY,110303816,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,24.01,9.7031578947,7.6063157895,9.1710526316
1013232545,YU,YUE,,M.D.,M,I,300 COMMUNITY DR,,MANHASSET,NY,110303816,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,69.108125,14.78125,11.585,13.645
1013232560,PARKER,NATHAN,J,MD,M,I,515 MINOR AVE STE 300,,SEATTLE,WA,981042133,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,30,86.31,17.319,12.223333333,12.185666667
1013232560,PARKER,NATHAN,J,MD,M,I,515 MINOR AVE STE 300,,SEATTLE,WA,981042133,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,18,55.251111111,6.3666666667,4.9872222222,3.4683333333
1013232560,PARKER,NATHAN,J,MD,M,I,515 MINOR AVE STE 300,,SEATTLE,WA,981042133,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,69,71,423.76464789,77.324507042,56.540704225,51.15
1013232560,PARKER,NATHAN,J,MD,M,I,515 MINOR AVE STE 300,,SEATTLE,WA,981042133,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,194.15617647,39.3,30.81,29.51
1013232560,PARKER,NATHAN,J,MD,M,I,515 MINOR AVE STE 300,,SEATTLE,WA,981042133,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,69,33,25.87,25.87
1013233055,BURGOON,REBECCA,M,PA,F,I,1657 HOLLAND RD STE A,,MAUMEE,OH,435371661,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,45,67.969333333,8.32,5.5062222222,5.5062222222
1013233071,WALSH,KEVIN,M,M.D.,M,I,2580 HAYMAKER RD,SUITE 106,MONROEVILLE,PA,151463518,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,5715.4545455,4378.96,3433.11,3433.11
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,428.59636364,78.370909091,55.754545455,49.749090909
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,66,7695,4.2859259259,0.5606939571,0.4081845354,0.4246536712
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,2700,0.0839111111,0.0138888889,0.0108851852,0.0108851852
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1020,3.8301470588,1.1508235294,0.8909803922,0.8909803922
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1440,5.0333541667,2.8008333333,1.9965625,1.9965625
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,780,10.275089744,7.4142307692,5.7442307692,5.7442307692
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,2,,17,4080,11.621473039,8.4657058824,6.637129902,6.637129902
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,16,77,77,24,24,18.184805195,18.184805195
1013233113,RYLAND,KRISTEN,,ARNP,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,46,60,16,16,12.1225,12.1225
1013233535,CHANG,ANITA,,MD,F,I,818 WEBSTER ST,ASIAN HEALTH SERVICES,OAKLAND,CA,94607,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,40,77,201,76.65800995,8.3167661692,3.9654726368,3.9680099502
1013233535,CHANG,ANITA,,MD,F,I,818 WEBSTER ST,ASIAN HEALTH SERVICES,OAKLAND,CA,94607,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,11,15,15,3.38,3.38,1.06,1.06
1013233535,CHANG,ANITA,,MD,F,I,818 WEBSTER ST,ASIAN HEALTH SERVICES,OAKLAND,CA,94607,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,35,62,87,12.869770115,1.42,0.7303448276,0.7303448276
1013233535,CHANG,ANITA,,MD,F,I,818 WEBSTER ST,ASIAN HEALTH SERVICES,OAKLAND,CA,94607,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,39.484210526,22.368421053,16.404210526,14.604210526
1013233709,KERN,CARRIE,L,,F,I,530 W CAIRNS ST,,ELLSWORTH,WI,540119225,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,32,112,68.811428571,8.32,6.0575892857,6.0575892857
1013233709,KERN,CARRIE,L,,F,I,530 W CAIRNS ST,,ELLSWORTH,WI,540119225,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,64,12.86671875,2.17,1.70171875,1.6215625
1013233709,KERN,CARRIE,L,,F,I,530 W CAIRNS ST,,ELLSWORTH,WI,540119225,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,4.0428263889,1.26075,0.9818888889,0.9818888889
1013233709,KERN,CARRIE,L,,F,I,530 W CAIRNS ST,,ELLSWORTH,WI,540119225,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,66,33,22.420666667,22.420666667
1013233816,DEXTER,KELSEY,B,M.D.,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,28,38,135,59.992296296,8.32,5.5560740741,5.5560740741
1013233816,DEXTER,KELSEY,B,M.D.,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,11,18,14.781666667,1.42,1.1144444444,1.1144444444
1013233816,DEXTER,KELSEY,B,M.D.,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,753.54727273,381.46227273,299.06681818,299.06681818
1013233816,DEXTER,KELSEY,B,M.D.,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,41,123,127,307.67850394,250.74456693,196.58354331,196.63385827
1013233816,DEXTER,KELSEY,B,M.D.,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,34,34,34,380.34764706,263.69029412,206.51117647,206.87970588
1013233964,CHAN,SHARON,H,M.D.,F,I,350 HAWTHORNE AVE RM 2346,,OAKLAND,CA,946093108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,3.6227272727,2.8445454545,3.6854545455
1013234012,LIN,EDWARD,A,MD,M,I,784 FRANKLIN AVE STE 250,,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,172.84727273,119.07,93.35,89.614545455
1013234012,LIN,EDWARD,A,MD,M,I,784 FRANKLIN AVE STE 250,,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,42,83.467142857,70.94,54.457142857,46.121428571
1013234137,ALDERS,MICHELLE,R,D.O.,F,I,301 FISHER ST,,BILOXI,MS,395342508,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,52.527878788,21.150606061,13.658484848,12.711818182
1013234137,ALDERS,MICHELLE,R,D.O.,F,I,301 FISHER ST,,BILOXI,MS,395342508,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,76.614473684,4.7647368421,3.6181578947,3.6152631579
1013234137,ALDERS,MICHELLE,R,D.O.,F,I,301 FISHER ST,,BILOXI,MS,395342508,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,150,30.42,20.442857143,20.342142857
1013234137,ALDERS,MICHELLE,R,D.O.,F,I,301 FISHER ST,,BILOXI,MS,395342508,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,44,44,387.50363636,81.873181818,55.790909091,46.417272727
1013234137,ALDERS,MICHELLE,R,D.O.,F,I,301 FISHER ST,,BILOXI,MS,395342508,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,124.09090909,41.680909091,32.677272727,29.441818182
1013234715,KAPLAN,BENJAMIN,M,MD,M,I,21 W COLUMBIA ST,,ORLANDO,FL,328062028,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,22,33,135,81.599555556,8.32,6.1358518519,6.1358518519
1013234715,KAPLAN,BENJAMIN,M,MD,M,I,21 W COLUMBIA ST,,ORLANDO,FL,328062028,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,15,32,16.31625,1.42,1.114375,1.114375
1013234715,KAPLAN,BENJAMIN,M,MD,M,I,21 W COLUMBIA ST,,ORLANDO,FL,328062028,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,284,79.2,62.09,56.202
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,13,133,56.410526316,19.619097744,15.381052632,15.381052632
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,310,7.5619354839,2.6283870968,2.0606129032,2.0606129032
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,161,425,1694,75.758305785,8.32,5.8390141677,5.8390141677
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,21,21,16.175714286,3.38,2.5238095238,2.5238095238
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,20.468333333,2.12,1.67,1.67
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,74,154,284,14.718908451,1.42,1.0321478873,1.0321478873
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,34.807272727,34.280909091,26.873636364,58.951818182
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,37,195,201,752.88606965,251.05567164,196.79238806,196.83477612
1013234889,STRONG,JODI,L,APNP,F,I,824 ILLINOIS AVE,,STEVENS POINT,WI,544813112,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,22,22,22,452.23409091,239.83,188.02,204.48954545
1013234996,PATEL,BHAVIK,,MD,M,I,1500 S MAIN ST,,FORT WORTH,TX,761044917,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,45.721764706,17.704705882,11.878235294,11.621176471
1013234996,PATEL,BHAVIK,,MD,M,I,1500 S MAIN ST,,FORT WORTH,TX,761044917,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,269.83454545,74.753636364,50.009090909,46.455757576
1013235100,SHAH,NEIL,K,M.D.,M,I,850 PETER BRYCE BLVD,,TUSCALOOSA,AL,354017419,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,295.14,125.29,84.505384615,80.720769231
1013235100,SHAH,NEIL,K,M.D.,M,I,850 PETER BRYCE BLVD,,TUSCALOOSA,AL,354017419,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,358.485,100.79214286,76.352142857,52.081428571
1013235357,SUE,ALAN,W,DPM,M,I,2060 4TH ST,UNIT 140,BERKELEY,CA,947101955,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,83.703125,83.01,65.08,63.22375
1013235357,SUE,ALAN,W,DPM,M,I,2060 4TH ST,UNIT 140,BERKELEY,CA,947101955,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,293.61933333,293.17,224.772,214.54333333
1013235464,MENON,SUMA,,M.D.,F,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,110.73333333,25.412,19.922666667,15.473333333
1013236165,AIDOO,CHRISTIAN,,M.D,M,I,2303 FLOWERS CREEK DR,,MCDONOUGH,GA,302534900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17,13.33,13.54
1013236165,AIDOO,CHRISTIAN,,M.D,M,I,2303 FLOWERS CREEK DR,,MCDONOUGH,GA,302534900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,515.80083333,77.101666667,60.448333333,54.720833333
1013236256,JOHNSON,ALICIA,L,DPM,F,I,1601 MAIN ST STE 210,,RICHMOND,TX,774693230,US,Podiatry,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,15,19,245,106.36,83.39,87.986315789
1013236348,SCHNETZER,RYAN,E,M.D.,M,I,3708 NORTHSIDE DR,,MACON,GA,312102404,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,26,1665,1328.44,1035.9815385,886.94346154
1013236371,ADABALA,MADHURI,,,F,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,82.0815,18.0985,12.8575,12.2095
1013236371,ADABALA,MADHURI,,,F,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,842.26,842.26
1013236371,ADABALA,MADHURI,,,F,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,25,50.73,5.27,4.1292,3.7832
1013236371,ADABALA,MADHURI,,,F,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,654.52363636,81.114545455,63.424772727,54.562045455
1013236371,ADABALA,MADHURI,,,F,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,285.6,38.306666667,30.032222222,29.511111111
1013236660,DERANIYAGALA,ROHAN,L,M.D.,M,I,18101 OAKWOOD BLVD,,DEARBORN,MI,481244089,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,9325,1.6954552279,0.3002262735,0.2353747989,0.2430391421
1013236660,DERANIYAGALA,ROHAN,L,M.D.,M,I,18101 OAKWOOD BLVD,,DEARBORN,MI,481244089,US,Physician/Radiation Oncology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,24,4.95,3.88,3.95
1013236827,JOHN,KATIE,L,FNP,F,I,225 SOUTH MAIN STREET,BARRE INTERNAL MEDICINE,BARRE,VT,05641,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,42,370,56.717945946,19.634594595,15.393243243,15.393243243
1013236827,JOHN,KATIE,L,FNP,F,I,225 SOUTH MAIN STREET,BARRE INTERNAL MEDICINE,BARRE,VT,05641,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,12,39,880,6.8835909091,2.6359090909,2.0513181818,2.0513181818
1013236827,JOHN,KATIE,L,FNP,F,I,225 SOUTH MAIN STREET,BARRE INTERNAL MEDICINE,BARRE,VT,05641,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,80,195,1128,70.520824468,8.32,5.6542907801,5.6542907801
1013236827,JOHN,KATIE,L,FNP,F,I,225 SOUTH MAIN STREET,BARRE INTERNAL MEDICINE,BARRE,VT,05641,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,37,52,146,13.362123288,1.42,0.9146575342,0.9146575342
1013236827,JOHN,KATIE,L,FNP,F,I,225 SOUTH MAIN STREET,BARRE INTERNAL MEDICINE,BARRE,VT,05641,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,21,21,21,21.614761905,21.614761905,16.944285714,52.41
1013236827,JOHN,KATIE,L,FNP,F,I,225 SOUTH MAIN STREET,BARRE INTERNAL MEDICINE,BARRE,VT,05641,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,636.58142857,318.69,246.74428571,246.74428571
1013236827,JOHN,KATIE,L,FNP,F,I,225 SOUTH MAIN STREET,BARRE INTERNAL MEDICINE,BARRE,VT,05641,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,267.44666667,250.95833333,196.75111111,196.86944444
1013237296,ESEH-LOGUE,ROSEMARY,,M.D.,F,I,2060 SPACE PARK DR STE 302,,HOUSTON,TX,770583675,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,22,47,74.326808511,8.32,6.5206382979,6.5206382979
1013237296,ESEH-LOGUE,ROSEMARY,,M.D.,F,I,2060 SPACE PARK DR STE 302,,HOUSTON,TX,770583675,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,18,20,15.894,1.42,1.119,1.119
1013237486,FEINGOLD,SHIRI,B,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT ST.,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,54,69.997592593,8.32,6.2807407407,6.2807407407
1013237486,FEINGOLD,SHIRI,B,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT ST.,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,19,13.661052632,1.42,1.0536842105,1.0536842105
1013237486,FEINGOLD,SHIRI,B,M.D.,F,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT ST.,BOSTON,MA,02114,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,192.52117647,34.415882353,25.538235294,24.430588235
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,70,59.279714286,8.32,6.5232857143,6.5232857143
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,31,18.631290323,1.42,1.0061290323,1.0061290323
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,81.613157895,18.603684211,11.795789474,11.116842105
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,45,490.30733333,87.028,61.851555556,49.988222222
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,14.74047619,11.154,8.5739642857,8.5739642857
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2411,0.1870551638,0.0456988801,0.0310659477,0.0310659477
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1013237536,STEPP,BENJAMIN,N,M.D.,M,I,590 MEDICAL PARK DR,,MARSHALL,NC,287536807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,111.51724138,33,23.193793103,23.193793103
1013237619,VANSTEENWYK-MARSH,GRETCHEN,M,D.O.,F,I,1233 PLUMAS ST,SUITE A,YUBA CITY,CA,959913410,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,36,93,258,70.612713178,8.32,5.851124031,5.851124031
1013237619,VANSTEENWYK-MARSH,GRETCHEN,M,D.O.,F,I,1233 PLUMAS ST,SUITE A,YUBA CITY,CA,959913410,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,29,40,15.0875,1.42,1.004,1.004
1013237619,VANSTEENWYK-MARSH,GRETCHEN,M,D.O.,F,I,1233 PLUMAS ST,SUITE A,YUBA CITY,CA,959913410,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,5.5,1.73,1.279,1.5220092593
1013237619,VANSTEENWYK-MARSH,GRETCHEN,M,D.O.,F,I,1233 PLUMAS ST,SUITE A,YUBA CITY,CA,959913410,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,48,84.501875,17.09,12.5625,12.692916667
1013237619,VANSTEENWYK-MARSH,GRETCHEN,M,D.O.,F,I,1233 PLUMAS ST,SUITE A,YUBA CITY,CA,959913410,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,147.08333333,32.0025,23.16,23.375833333
1013237619,VANSTEENWYK-MARSH,GRETCHEN,M,D.O.,F,I,1233 PLUMAS ST,SUITE A,YUBA CITY,CA,959913410,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,60,494.0835,65.7,48.930166667,52.137166667
1013237676,FILETA,JOHN,B,MD,M,I,7101 FAIRWAY DR,,PALM BEACH GARDENS,FL,334183701,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,28,28,28,62.980714286,59.846428571,46.913214286,52.588928571
1013237676,FILETA,JOHN,B,MD,M,I,7101 FAIRWAY DR,,PALM BEACH GARDENS,FL,334183701,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,18,74.555555556,63.807777778,44.263888889,37.363888889
1013237676,FILETA,JOHN,B,MD,M,I,7101 FAIRWAY DR,,PALM BEACH GARDENS,FL,334183701,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,27,27,44,82.590909091,69.588181818,52.13,51.727727273
1013237817,ROSE,KATHERINE,D,M.D.,F,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,59,85.401186441,8.32,6.3016949153,6.3016949153
1013237866,SALCIDO,MARTHA,C,PA,F,I,425 W CENTRAL AVE,,LOMPOC,CA,934362805,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,25,68,140,80.044785714,8.32,5.7767857143,5.7767857143
1013237866,SALCIDO,MARTHA,C,PA,F,I,425 W CENTRAL AVE,,LOMPOC,CA,934362805,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,29,37,15.634054054,1.42,1.0264864865,1.0264864865
1013237866,SALCIDO,MARTHA,C,PA,F,I,425 W CENTRAL AVE,,LOMPOC,CA,934362805,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,24,54.78,4.0525,3.17625,3.59625
1013237866,SALCIDO,MARTHA,C,PA,F,I,425 W CENTRAL AVE,,LOMPOC,CA,934362805,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,225.30727273,34.017272727,26.669090909,26.916363636
1013238138,FIFE,KIMBERLY,H,DO,F,I,240 HOSPITAL DR NE,,BOLIVIA,NC,284228346,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,59,142,62.307323944,8.3177464789,6.1984507042,6.1984507042
1013238138,FIFE,KIMBERLY,H,DO,F,I,240 HOSPITAL DR NE,,BOLIVIA,NC,284228346,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,19,23,14.587391304,1.42,1.0695652174,1.0695652174
1013238138,FIFE,KIMBERLY,H,DO,F,I,240 HOSPITAL DR NE,,BOLIVIA,NC,284228346,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,60,60,80.488833333,22.4485,15.608666667,11.7495
1013238138,FIFE,KIMBERLY,H,DO,F,I,240 HOSPITAL DR NE,,BOLIVIA,NC,284228346,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,36.992857143,7.5792857143,5.81,3.5514285714
1013238138,FIFE,KIMBERLY,H,DO,F,I,240 HOSPITAL DR NE,,BOLIVIA,NC,284228346,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,70,73,484.63739726,102.79410959,77.295479452,55.042191781
1013238229,GREENLEE,ADAM,,MD,M,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,28,95,75.165157895,8.32,3.844,3.844
1013238229,GREENLEE,ADAM,,MD,M,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,22,13.039545455,1.42,1.0672727273,1.0672727273
1013238229,GREENLEE,ADAM,,MD,M,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,155.13,32.2925,25.315,25.325
1013238229,GREENLEE,ADAM,,MD,M,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2035,0.2114938575,0.0478476658,0.0183439803,0.0183439803
1013238229,GREENLEE,ADAM,,MD,M,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,87,33,15.061818182,15.061818182
1013238245,ADAMU,IBRAHIM,W,MD,M,I,710 NEWNAN CROSSING BYP,SUITE 200,NEWNAN,GA,302632384,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,230,12.76,5.74,4.3043478261,4.3043478261
1013238245,ADAMU,IBRAHIM,W,MD,M,I,710 NEWNAN CROSSING BYP,SUITE 200,NEWNAN,GA,302632384,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,210,17.772,7,5.2266666667,5.2266666667
1013238245,ADAMU,IBRAHIM,W,MD,M,I,710 NEWNAN CROSSING BYP,SUITE 200,NEWNAN,GA,302632384,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,280,7.7425714286,4.03,3.0141428571,3.0141428571
1013238278,KIM,HYO-JIN,,M.D.,F,I,1045 W STEPHENSON ST,,FREEPORT,IL,61032,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,71.090909091,18.655454545,8.3809090909,8.0027272727
1013238278,KIM,HYO-JIN,,M.D.,F,I,1045 W STEPHENSON ST,,FREEPORT,IL,61032,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,290.34666667,76.741333333,41.538666667,38.651333333
1013238351,MCLEAN-NOWINSKI,PENNY,M,MSN-CNP,F,I,1445 WAMPANOAG TRL UNIT 205,,RIVERSIDE,RI,029151019,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,35,77.129714286,8.32,5.7774285714,5.7774285714
1013238351,MCLEAN-NOWINSKI,PENNY,M,MSN-CNP,F,I,1445 WAMPANOAG TRL UNIT 205,,RIVERSIDE,RI,029151019,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,16,14.74875,1.42,1.115,1.115
1013238401,ABAZID,AHMAD,G,M.D,M,I,4927 LAKE RIDGE PKWY STE 100,,GRAND PRAIRIE,TX,75052,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65.26,36.83,26.464166667,27.063333333
1013239029,PALMER,MELISSA,J,PA-C,F,I,151 PARKVIEW DRIVE,,MILLERSBURG,OH,44654,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,35,46.314,8.32,6.5225714286,6.5225714286
1013239029,PALMER,MELISSA,J,PA-C,F,I,151 PARKVIEW DRIVE,,MILLERSBURG,OH,44654,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,165,38.082105263,20.334736842,14.766315789
1013239029,PALMER,MELISSA,J,PA-C,F,I,151 PARKVIEW DRIVE,,MILLERSBURG,OH,44654,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,519.51,100.90545455,73.678181818,55.277272727
1013239029,PALMER,MELISSA,J,PA-C,F,I,151 PARKVIEW DRIVE,,MILLERSBURG,OH,44654,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,90.75,33,25.87,25.87
1013240134,RYAN,MARTHA,L,ARNP,F,I,300 S 8TH ST,SUITE 480 WEST,MURRAY,KY,420712400,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,49.75,22.829285714,15.765,11.597142857
1013240134,RYAN,MARTHA,L,ARNP,F,I,300 S 8TH ST,SUITE 480 WEST,MURRAY,KY,420712400,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,312,105.31,74.449285714,46.973571429
1013240357,PATEL,KRUPA,,D.P.M,F,I,19 EDGEFIELD DR,,MORRIS PLAINS,NJ,079501967,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,140,71.56,56.105,56.105
1013240357,PATEL,KRUPA,,D.P.M,F,I,19 EDGEFIELD DR,,MORRIS PLAINS,NJ,079501967,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,27.24,27.24,21.356666667,22.886666667
1013241173,VAKDE,TRUPTI,A,,F,I,1650 GRAND CONCOURSE,DEPARTMENT OF MEDICINE,BRONX,NY,104577606,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,36.5,16.86,13.22,13.523157895
1013241173,VAKDE,TRUPTI,A,,F,I,1650 GRAND CONCOURSE,DEPARTMENT OF MEDICINE,BRONX,NY,104577606,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,250.03212121,77.383030303,60.668181818,54.909393939
1013241231,CASTLE,AARON,B,FNP,M,I,937 FRANKLIN BLVD,,LEMOORE,CA,932464700,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,52,51.033076923,8.32,6.1875,6.1875
1013241231,CASTLE,AARON,B,FNP,M,I,937 FRANKLIN BLVD,,LEMOORE,CA,932464700,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,22,9.7609090909,1.42,1.0654545455,1.0654545455
1013241231,CASTLE,AARON,B,FNP,M,I,937 FRANKLIN BLVD,,LEMOORE,CA,932464700,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,104.28266667,17.27,12.637333333,12.637333333
1013241231,CASTLE,AARON,B,FNP,M,I,937 FRANKLIN BLVD,,LEMOORE,CA,932464700,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48,35.480833333,35.480833333
1013241231,CASTLE,AARON,B,FNP,M,I,937 FRANKLIN BLVD,,LEMOORE,CA,932464700,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,391.46933333,68.78,50.325333333,51.086
1013241231,CASTLE,AARON,B,FNP,M,I,937 FRANKLIN BLVD,,LEMOORE,CA,932464700,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,900,0.92,0.134,0.0868888889,0.0868888889
1013241231,CASTLE,AARON,B,FNP,M,I,937 FRANKLIN BLVD,,LEMOORE,CA,932464700,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,90.315789474,33,24.293157895,24.293157895
1013241454,DORSEY,MICHELLE,L,PA-C,F,I,1840 F ST,,GENEVA,NE,683612211,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,12,18,36,44.281666667,8.32,6.2369444444,6.2369444444
1013241454,DORSEY,MICHELLE,L,PA-C,F,I,1840 F ST,,GENEVA,NE,683612211,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,630,2.439,0.1344761905,0.1054285714,0.1054285714
1013241496,TORRES HURTADO,JUAN,M,M.D.,M,I,J1 CALLE JESUS FERNANDEZ,TURABO GARDENS,CAGUAS,PR,007276066,US,Physician/General Practice,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,660,24.31,22.1,17.326333333,14.732090909
1013241496,TORRES HURTADO,JUAN,M,M.D.,M,I,J1 CALLE JESUS FERNANDEZ,TURABO GARDENS,CAGUAS,PR,007276066,US,Physician/General Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,341,6.71,6.1,4.3615249267,3.7895601173
1013241496,TORRES HURTADO,JUAN,M,M.D.,M,I,J1 CALLE JESUS FERNANDEZ,TURABO GARDENS,CAGUAS,PR,007276066,US,Physician/General Practice,S,A7001,"Canister, non-disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,41.35,37.59,29.47,29.206363636
1013241843,RAYBON,TONI,L,A.R.N.P.,F,I,1505 S 7TH ST,,LOUISVILLE,KY,402081710,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,31,85,53.491176471,8.32,5.7557647059,5.7557647059
1013241843,RAYBON,TONI,L,A.R.N.P.,F,I,1505 S 7TH ST,,LOUISVILLE,KY,402081710,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,1.7281818182,1.7281818182
1013241843,RAYBON,TONI,L,A.R.N.P.,F,I,1505 S 7TH ST,,LOUISVILLE,KY,402081710,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,31,17.498709677,1.42,0.9335483871,0.9335483871
1013241967,SANDHU,JUJHAR,,M.D,F,I,1000 SUTTER ST,,YUBA CITY,CA,959913459,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,49,87,182,72.617802198,8.32,5.7700549451,5.7700549451
1013241967,SANDHU,JUJHAR,,M.D,F,I,1000 SUTTER ST,,YUBA CITY,CA,959913459,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,22,35,40,14.41025,1.42,0.8665,0.8665
1013241967,SANDHU,JUJHAR,,M.D,F,I,1000 SUTTER ST,,YUBA CITY,CA,959913459,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,266.52258065,80.558709677,61.151612903,53.101935484
1013241967,SANDHU,JUJHAR,,M.D,F,I,1000 SUTTER ST,,YUBA CITY,CA,959913459,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2598,0.2197036182,0.0450384911,0.0353156274,0.0353156274
1013241967,SANDHU,JUJHAR,,M.D,F,I,1000 SUTTER ST,,YUBA CITY,CA,959913459,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,58.817142857,19.787857143,15.511428571,16.445
1013241967,SANDHU,JUJHAR,,M.D,F,I,1000 SUTTER ST,,YUBA CITY,CA,959913459,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,92.4,33,25.87,25.87
1013242080,GIRSHA,LENSA,G,"BSN, MS, APN",F,I,611 E DOUGLAS RD,SUITE 309,MISHAWAKA,IN,465451464,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,76,83.376973684,8.32,5.4069736842,5.4069736842
1013242080,GIRSHA,LENSA,G,"BSN, MS, APN",F,I,611 E DOUGLAS RD,SUITE 309,MISHAWAKA,IN,465451464,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,32.543333333,22.8275,22.071666667
1013242288,SWEAT,MARCIE,J,FNP-BC,F,I,823 JUNCTION HWY,,KERRVILLE,TX,780285056,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,37,102,51.675686275,8.32,5.243627451,5.243627451
1013242288,SWEAT,MARCIE,J,FNP-BC,F,I,823 JUNCTION HWY,,KERRVILLE,TX,780285056,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,9.8946666667,3.38,2.12,2.12
1013242288,SWEAT,MARCIE,J,FNP-BC,F,I,823 JUNCTION HWY,,KERRVILLE,TX,780285056,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,10.0284375,1.42,0.905,0.905
1013242460,NEILL,TRAVIS,J,PA-C,M,I,5920 MCINTYRE ST,#300,GOLDEN,CO,804037445,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.415,13.6575,13.529166667
1013242460,NEILL,TRAVIS,J,PA-C,M,I,5920 MCINTYRE ST,#300,GOLDEN,CO,804037445,US,Physician Assistant,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240,78.2425,61.3375,55.2325
1013242460,NEILL,TRAVIS,J,PA-C,M,I,5920 MCINTYRE ST,#300,GOLDEN,CO,804037445,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,78.49,61.53,55.296666667
1013242460,NEILL,TRAVIS,J,PA-C,M,I,5920 MCINTYRE ST,#300,GOLDEN,CO,804037445,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.76,30.39,29.583333333
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,14,48,91,76.243846154,8.32,4.7965934066,4.7965934066
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.651666667,1.42,0.84,0.84
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,181.38,50.38,36.688333333,27.949166667
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,3.25,1.7563636364,1.2609090909,1.0454545455
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,61,13.213770492,3.0714754098,2.2344262295,1.4355737705
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,81.75,17.893809524,12.376190476,9.3066666667
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,246.80647059,48.017352941,35.363235294,23.534705882
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,457.45433333,107.894,80.607333333,55.467333333
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2521,0.3957675526,0.0463030543,0.0281316938,0.0281316938
1013242502,KAWULOK,DEBRA,A,FNP-C,F,I,304 COFFEEN AVE,STE A,SHERIDAN,WY,828014803,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,33,33,22.847272727,22.847272727
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,21,100,62.1926,8.32,6.3925,6.3925
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,49,11.661666667,9.145,9.1083333333
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,63,6.3758730159,2.0125396825,1.5785714286,1.5911111111
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.29,13.55,13.53
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,130.52631579,34.654736842,20.475263158,20.161052632
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,45,12.164545455,5.5618181818,5.3
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,70.23,55.06,54.748333333
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,10.90875,9.6350833333,7.5539027778,7.5539027778
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,6.63,3.01175,2.3612361111,2.3612361111
1013242932,DAMERON,DANA,D,D.O.,M,I,4848 GRAPEVINE WAY,,DAVIE,FL,333313358,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,25.87,25.87
1013243138,GORE,TERESA,A,ANP-BC,F,I,11 NEVINS ST,SUITE 401,BRIGHTON,MA,02135,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,129.28,15.86,11.971176471,12.631176471
1013243138,GORE,TERESA,A,ANP-BC,F,I,11 NEVINS ST,SUITE 401,BRIGHTON,MA,02135,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,25.84,7.76,6.09,6.16
1013243872,BAUSCH,MARTHA,C,NP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275144220,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,1725,7.4011884058,0.5650724638,0.3666608696,0.3666608696
1013243872,BAUSCH,MARTHA,C,NP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275144220,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,18.341333333,18.341333333
1013245000,ANDELIN,SCOTT,A,MD,M,I,4403 HARRISON BLVD,STE A-700,OGDEN,UT,844033271,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,22,83.365,22.364545455,17.532272727,13.607272727
1013245000,ANDELIN,SCOTT,A,MD,M,I,4403 HARRISON BLVD,STE A-700,OGDEN,UT,844033271,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,443.27034483,92.15,72.246551724,54.763793103
1013245000,ANDELIN,SCOTT,A,MD,M,I,4403 HARRISON BLVD,STE A-700,OGDEN,UT,844033271,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,160,38.68,30.32,30.025454545
1013245091,PITTMAN,LESLIE,A,M.D.,F,I,17 WHITE ST,,CLEVELAND,GA,305281140,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,22,69,60.073768116,8.32,4.4430434783,4.4430434783
1013245091,PITTMAN,LESLIE,A,M.D.,F,I,17 WHITE ST,,CLEVELAND,GA,305281140,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,175,54.429285714,40.823571429,23.377142857
1013245091,PITTMAN,LESLIE,A,M.D.,F,I,17 WHITE ST,,CLEVELAND,GA,305281140,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,427.57923077,111.02461538,77.890769231,54.92
1013245240,DONO,EMMA,H,,F,I,6 TSIENNETO RD STE 100,,DERRY,NH,03038,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,55.7,44.310909091,30.765454545,33.471818182
1013246008,ROY,KAJAL,S,M.D.,F,I,1443 RIVERSIDE STATION BLVD,,SECAUCUS,NJ,070944403,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,175,46.280909091,36.286363636,36.306363636
1013246008,ROY,KAJAL,S,M.D.,F,I,1443 RIVERSIDE STATION BLVD,,SECAUCUS,NJ,070944403,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,403.706,78.47,53.317333333,47.432666667
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,47,170,64.437823529,8.32,6.0645882353,6.0645882353
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,25,53,14.839622642,1.42,0.9658490566,0.9658490566
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.39,1.09,1.1445454545
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,32.294285714,17.46,12.712142857,12.594285714
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,45,32.34,34.543333333
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,267.54222222,82,57.146666667,49.711111111
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2888,0.2420290859,0.0457686981,0.0330090028,0.0330090028
1013246081,PATHAK,SUJAY,,MD,M,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,127.5,33,24.694090909,24.694090909
1013246099,FRISONI,LORENZA,,,F,I,527 S BLACK HORSE PIKE,,BLACKWOOD,NJ,080122868,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,22,70.199090909,8.32,5.3345454545,5.3345454545
1013246701,FIALA,KYLE,,DPM,M,I,1100 VIRGINIA AVE,,COLUMBIA,MO,652120001,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,431.11111111,251.28,188.88111111,208.33944444
1013246834,TISCANI,JOSEPH,P,FNP,M,I,5107 MEDICAL DRIVE,DIABETES AND GLANDULAR DISEASE CLINIC,SAN ANTONIO,TX,782294801,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,33,172,70.063313953,8.32,6.244127907,6.244127907
1013246834,TISCANI,JOSEPH,P,FNP,M,I,5107 MEDICAL DRIVE,DIABETES AND GLANDULAR DISEASE CLINIC,SAN ANTONIO,TX,782294801,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,33,14.647575758,1.42,1.0448484848,1.0448484848
1013246834,TISCANI,JOSEPH,P,FNP,M,I,5107 MEDICAL DRIVE,DIABETES AND GLANDULAR DISEASE CLINIC,SAN ANTONIO,TX,782294801,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,329.35631579,251.11,196.87,196.87
1013246925,HUNT,LAURA,B,MSN,F,I,5169 S COTTONWOOD ST,STE 320,MURRAY,UT,841076767,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,13,16,16,12.541538462,12.541538462
1013247493,BHARDWAJ,SHILPA,,M.D,F,I,1200 N ELM ST,MOSES H CONE MEMORIAL HOSPITAL,GREENSBORO,NC,274011004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,475,80.21375,62.8825,55.308125
1013247493,BHARDWAJ,SHILPA,,M.D,F,I,1200 N ELM ST,MOSES H CONE MEMORIAL HOSPITAL,GREENSBORO,NC,274011004,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,85,36.145,28.335,29.4275
1013247808,CHAPMAN,KARLEE,,NP,F,I,2400 S PEORIA ST,#100,AURORA,CO,800145476,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,26,608.45692308,78.49,59.163461538,53.409615385
1013247915,VARUGHESE,CHRISTOPHER,J,M.D.,M,I,555 VALLEYVIEW PL,,STATEN ISLAND,NY,103145534,US,Physician/Cardiovascular Disease (Cardiology),S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,2,26,26,26,949.88923077,880.30307692,684.64115385,804.88153846
1013247915,VARUGHESE,CHRISTOPHER,J,M.D.,M,I,555 VALLEYVIEW PL,,STATEN ISLAND,NY,103145534,US,Physician/Cardiovascular Disease (Cardiology),S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,2,25,25,50,393.248,364.4,285.69,285.69
1013248004,JENNINGS,LISA,A,ACNP,F,I,4330 WORNALL RD STE 2000,,KANSAS CITY,MO,641115939,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,4635,5.0081402373,0.5806580367,0.4254541532,0.4254541532
1013248004,JENNINGS,LISA,A,ACNP,F,I,4330 WORNALL RD STE 2000,,KANSAS CITY,MO,641115939,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,5936,3.7812061995,1.2029497978,0.9430997305,0.9430997305
1013248004,JENNINGS,LISA,A,ACNP,F,I,4330 WORNALL RD STE 2000,,KANSAS CITY,MO,641115939,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,24,24,18.481875,18.481875
1013248004,JENNINGS,LISA,A,ACNP,F,I,4330 WORNALL RD STE 2000,,KANSAS CITY,MO,641115939,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,38,16,16,12.543421053,12.543421053
1013249549,MARCELIN,PRUDENT,,MD,M,I,670 N ORLANDO AVE STE 1012,,MAITLAND,FL,327514465,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,26,95,59.993263158,8.32,6.1104210526,6.1104210526
1013249549,MARCELIN,PRUDENT,,MD,M,I,670 N ORLANDO AVE STE 1012,,MAITLAND,FL,327514465,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,27,13.96,1.42,1.0703703704,1.0703703704
1013249549,MARCELIN,PRUDENT,,MD,M,I,670 N ORLANDO AVE STE 1012,,MAITLAND,FL,327514465,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,79.272,16.36,12.83,13.54
1013249549,MARCELIN,PRUDENT,,MD,M,I,670 N ORLANDO AVE STE 1012,,MAITLAND,FL,327514465,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,507.255,79.2,59.502916667,52.449583333
1013249630,SWISHER,LAUREN,A,"MMSC., PA-C, ATC",F,I,17 RIVERSIDE ST,SUITE 101,NASHUA,NH,030621304,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,3290,3.4462006079,2.0302735562,1.5917294833,1.5984103343
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,53,146,87.196917808,8.32,6.3885616438,6.3885616438
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,26,33,20.150606061,1.42,1.0484848485,1.0484848485
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,190.86,44,27.107142857,27.877857143
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,57.1,48.18125,37.77,39.63625
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,55.34,17.52,13.74,13.54
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,22,6.72,5.7272727273,4.49,3.9027272727
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,347.08606061,79.96,62.69,54.73
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,1738,1.9845224396,0.1342002301,0.1020598389,0.1020598389
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,175.22,29.618333333,16.5,18.748333333
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,937.09,157.60272727,123.55727273,137.64727273
1013249838,WAGLE,KAMAL,C,MD,M,I,1633 N CAPITAL AVE,SUITE 322,INDIANAPOLIS,IN,462021476,US,Physician/Geriatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,26,26,33,33,24.875,24.875
1013249929,SANDERSON,PENNY,M,"APRN, FNP-C",F,I,1517 BROADWAY,SUITE 124,SCOTTSBLUFF,NE,693613184,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,37.63
1013250166,CAPLE,ANNETTE,D,NP,F,I,1300 WESLEY DR,,MEMPHIS,TN,381166426,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,49,76.827959184,8.32,5.3234693878,5.3234693878
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,32,100,232,51.851939655,8.32,5.6793103448,5.6793103448
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.909090909,3.38,2.65,2.65
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,25,56,14.349821429,1.42,1.0746428571,1.0746428571
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.45,10.93,7.8558333333,7.8558333333
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,328.52307692,126.42692308,99.117692308,71.065384615
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,27,134.55703704,47.013333333,36.857777778,26.476296296
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,272.93176471,74.530588235,56.647647059,42.581176471
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,18,18,77.323333333,24.313333333,19.057777778,14.06
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,29,29,85.680689655,22.056896552,17.290689655,9.5137931034
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,40,182,10.786153846,3.1501098901,2.4700549451,1.6825274725
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,18,18,30.545,8.2455555556,6.4688888889,4.6555555556
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,149.61666667,62.948,46.79,35.231333333
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,60,77.048,22.4775,16.626166667,12.828666667
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,4430.1,1048.7,822.18,841.30380952
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,19,632.43,120.29157895,94.307368421,64.738421053
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,38,44.636052632,7.9463157895,6.2286842105,3.8431578947
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,16,96,97,199.22226804,48.31814433,36.388247423,25.270309278
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,71,72,465.43180556,101.99027778,76.627638889,52.237638889
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,1620,13.94,11.153666667,8.6150555556,8.6150555556
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,58,12075,0.1631809524,0.0462393375,0.0329084886,0.0329076605
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1439,0.7737178596,0.1337109104,0.0972411397,0.0972411397
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,1740,12.192637931,2.981,2.3091149425,2.3091149425
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1125,0.75,0.2186222222,0.1713955556,0.1713955556
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,1825.3273913,199.41130435,155.56565217,119.95086957
1013250182,HENDERSON,NATHAN,R,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,76,76,125.70065789,33,25.87,25.87
1013250331,BECHTOLD,BRIAN,J,MD,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,36,50.566388889,8.32,6.1594444444,6.1594444444
1013250653,BERENDES,GABRIEL,T,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,54601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,38,106,65.417830189,8.32,6.1871698113,6.1871698113
1013250653,BERENDES,GABRIEL,T,MD,M,I,800 WEST AVE S,,LA CROSSE,WI,54601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,15,15.476666667,1.42,1.0413333333,1.0413333333
1013250778,DELEON,KATRINA,,MD,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,502.5,72.06,56.5,54.73
1013253384,PETRUSEVSKA,ELENA,,PA-C,F,I,840 W IRVING PARK RD,STE 301,CHICAGO,IL,606133011,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,41,41,167.92,52.767804878,38.18195122,34.870487805
1013253384,PETRUSEVSKA,ELENA,,PA-C,F,I,840 W IRVING PARK RD,STE 301,CHICAGO,IL,606133011,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,260.39891304,75.109782609,53.328913043,49.763695652
1013253384,PETRUSEVSKA,ELENA,,PA-C,F,I,840 W IRVING PARK RD,STE 301,CHICAGO,IL,606133011,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,86,86,90.82,34.646976744,24.46755814,22.364069767
1013253384,PETRUSEVSKA,ELENA,,PA-C,F,I,840 W IRVING PARK RD,STE 301,CHICAGO,IL,606133011,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,112.78,33.022142857,25.885714286,22.81
1013253384,PETRUSEVSKA,ELENA,,PA-C,F,I,840 W IRVING PARK RD,STE 301,CHICAGO,IL,606133011,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,18,111,111,26.52,9.0936036036,6.6597297297,6.2520720721
1013253384,PETRUSEVSKA,ELENA,,PA-C,F,I,840 W IRVING PARK RD,STE 301,CHICAGO,IL,606133011,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,61.96,36.171219512,26.23902439,27.313414634
1013253566,HECKMAN,ERIC,C,PA-C,M,I,2001 VAIL AVE,SUITE 200,CHARLOTTE,NC,282071248,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,143,20.986666667,14.675833333,12.250833333
1013253566,HECKMAN,ERIC,C,PA-C,M,I,2001 VAIL AVE,SUITE 200,CHARLOTTE,NC,282071248,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,8.4075,5.8758333333,5.6675
1013253566,HECKMAN,ERIC,C,PA-C,M,I,2001 VAIL AVE,SUITE 200,CHARLOTTE,NC,282071248,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,45,45,45,267.53333333,266.496,199.08088889,207.58977778
1013253566,HECKMAN,ERIC,C,PA-C,M,I,2001 VAIL AVE,SUITE 200,CHARLOTTE,NC,282071248,US,Physician Assistant,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,19,199,154.71,109.53368421,108.07421053
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,39,48,48,152.47979167,39.928333333,30.057083333,29.370208333
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,43,59,59,400.52220339,90.721525424,68.797627119,66.107457627
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,36,63,140,150.68007143,34,26.085571429,25.483928571
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,18,48,93.30625,19.92875,15.624166667,14.59375
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,11,19,70,56.516714286,16.106857143,12.626714286,11.908428571
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,21,27,27,195.87555556,59.058518519,44.616296296,41.68037037
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,59,67,67,73.714029851,18.166716418,14.03,13.859850746
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,28,42,43,80.090930233,12.047674419,9.4462790698,9.1820930233
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,65,96,534,10.979213483,2.096011236,1.6242134831,1.5801872659
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,46,53,54,29.968888889,6.0585185185,4.6572222222,4.5772222222
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,19,23,23,53.916956522,12.956086957,10.15173913,10.303478261
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,35,36,552.40805556,90.664444444,68.471111111,67.085
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,1408.773,225.0075,176.4075,166.935
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,30,139,149,68.13409396,12.298255034,9.0017449664,8.9514765101
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,36,159,171,256.14807018,34.447368421,23.739590643,22.625906433
1013253970,BOIRE,AFOUSSATOU,,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,347.54727273,79.920909091,62.655454545,54.971818182
1013254101,RICHARDS,HEIDI,,NP,F,I,900 COOPER AVE STE 3100,,SAGINAW,MI,486025182,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,26,26,26,1359.4884615,1257.37,963.43038462,864.16038462
1013254101,RICHARDS,HEIDI,,NP,F,I,900 COOPER AVE STE 3100,,SAGINAW,MI,486025182,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,43,711.10604651,662.49023256,514.74976744,475.98348837
1013254101,RICHARDS,HEIDI,,NP,F,I,900 COOPER AVE STE 3100,,SAGINAW,MI,486025182,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,17,17,27,925.27222222,869.65296296,681.80925926,677.69
1013254101,RICHARDS,HEIDI,,NP,F,I,900 COOPER AVE STE 3100,,SAGINAW,MI,486025182,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,40,40,70,138.491,117.36142857,89.795714286,86.630285714
1013254101,RICHARDS,HEIDI,,NP,F,I,900 COOPER AVE STE 3100,,SAGINAW,MI,486025182,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,19,19,19,855.77894737,704.5,531.38736842,547.58789474
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,15,36,458,57.273558952,19.649082969,14.302227074,14.302227074
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,14,32,1040,8.1816153846,2.6353846154,1.9213365385,1.9213365385
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,61,150,791,64.74562579,8.32,5.7478128951,5.7478128951
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,23,31,79,11.304050633,1.42,1.0998734177,1.0998734177
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,752.93428571,349.04142857,263.39928571,263.39928571
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,37,3480,13.238853448,9.9380201149,7.7501982759,7.7501982759
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,28,114,114,295.47307018,251.03815789,195.55508772,195.61122807
1013254358,HOUSE,ASHLEY,B,FNP-C,F,I,4540 W RAILROAD ST,,GULFPORT,MS,395012480,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,23,23,23,332.33,264.03521739,200.76434783,200.86217391
1013254366,CHIANG,KAIMING,,PA,M,I,140 LINCOLN AVE,,HAVERHILL,MA,018306700,US,Physician Assistant,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,150,150,117.6,171.88
1013255637,BOWLES-CHILDRESS,MELINDA,,,F,I,1 HOSPITAL DR FL 1,,CHARLOTTESVILLE,VA,22908,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,3060,1.3712810458,0.8860849673,0.6947026144,0.6946993464
1013255637,BOWLES-CHILDRESS,MELINDA,,,F,I,1 HOSPITAL DR FL 1,,CHARLOTTESVILLE,VA,22908,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1013256072,FOO,DESMOND,,M.D.,M,I,41-1347 KALANIANAOLE HWY,KALO CLINIC,WAIMANALO,HI,967951247,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,30,69.071666667,8.32,5.651,5.651
1013256072,FOO,DESMOND,,M.D.,M,I,41-1347 KALANIANAOLE HWY,KALO CLINIC,WAIMANALO,HI,967951247,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,21,14.492380952,1.42,1.0123809524,1.0123809524
1013256072,FOO,DESMOND,,M.D.,M,I,41-1347 KALANIANAOLE HWY,KALO CLINIC,WAIMANALO,HI,967951247,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,595,5.06,2.54,1.7502857143,1.5634789916
1013256072,FOO,DESMOND,,M.D.,M,I,41-1347 KALANIANAOLE HWY,KALO CLINIC,WAIMANALO,HI,967951247,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,19,24.413684211,12.16,9.5357894737,8.5726315789
1013256072,FOO,DESMOND,,M.D.,M,I,41-1347 KALANIANAOLE HWY,KALO CLINIC,WAIMANALO,HI,967951247,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,98.4,43.875,34.3975,37.9675
1013256387,FERRIS,KAREN,E,ARNP,F,I,1921 WALDEMERE ST,STE 705,SARASOTA,FL,342392943,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,220,81.13,63.6,54.72
1013256387,FERRIS,KAREN,E,ARNP,F,I,1921 WALDEMERE ST,STE 705,SARASOTA,FL,342392943,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,200,36.02,28.24,29.52
1013257062,PIERRE ODUWO-OKETCH,NATALIE,,FNP,F,I,28309 ALFREDS WAY,,SANTA CLARITA,CA,913503862,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,32,82.0965625,8.32,4.89,4.89
1013257468,REED,PATRICK,R,PA-C,M,I,101 W 8TH AVE STE 100L-1,,SPOKANE,WA,992042307,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,44,44.404318182,8.32,5.7809090909,5.7809090909
1013257468,REED,PATRICK,R,PA-C,M,I,101 W 8TH AVE STE 100L-1,,SPOKANE,WA,992042307,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,65.7,49.168636364,52.425454545
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,42,130,68.903076923,8.32,6.1713846154,6.1713846154
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,17.673846154,3.38,2.4461538462,2.4461538462
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,28,16.633214286,1.42,0.915,0.915
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,462,3.1913419913,2.2699134199,1.7796320346,1.7796969697
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,38,18.578421053,9.6289473684,7.5489473684,8.4202631579
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,15,66,66,134.38,45.160454545,29.51530303,31.324242424
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,18,86.31,15.75,12.35,13.473888889
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,48,48,36.695208333,5.6145833333,4.2052083333,3.500625
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,248.15538462,32.008461538,25.096153846,26.14
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,128.98,46.9292,34.6556,35.2988
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,24.3,11.084545455,8.6927272727,8.8763636364
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,26.090909091,10.014545455,7.8445454545,8.2472727273
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,316.60454545,217.88545455,157.77363636,157.77363636
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,60.618181818,28.047272727,21.99,23.452727273
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,42,519.51,70.142857143,54.992380952,54.747857143
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,7009,0.3159908689,0.0472278499,0.031790555,0.031790555
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,1918,2.0122419187,0.1403336809,0.1043534932,0.1043534932
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,50,50,69.3896,15.6884,9.5218,11.5452
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,48,48,20.57,6.9860416667,4.17375,5.3308333333
1013257740,BROOKS,TERRY,K,NP-C,M,I,40 MONMOUTH RD,,OAKHURST,NJ,077551654,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,77.057142857,33,22.174285714,22.174285714
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,25,25,459.6284,84.4836,60.174,61.736
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,23,68,174.80485294,31.46,23.038235294,24.305441176
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,84,117.2702381,21.047142857,16.500714286,14.551309524
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,329.74105263,58.725263158,46.04,42.623157895
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,24,24,92.032083333,19.002916667,14.309166667,13.474166667
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,31,31,92.816774194,9.9074193548,7.414516129,8.6638709677
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,36,216,13.584814815,2.06,1.5340740741,1.502962963
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,11,18,18,50.358888889,14.14,10.477777778,9.8005555556
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,58.524,20.2865,14.492,12.1935
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,401.8965625,82.856875,56.06625,46.0828125
1013258193,FAIRCHILDS,MARY,E,NP,F,I,3 SAINT FRANCIS DR STE 490,,GREENVILLE,SC,296013973,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,25.87,25.87
1013258243,VARNER,ZOE,,PA-C,F,I,800 OAK RIDGE TPKE,SUITE 800,OAK RIDGE,TN,378306957,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,31,6000,0.2897,0.13,0.0998866667,0.0998866667
1013258243,VARNER,ZOE,,PA-C,F,I,800 OAK RIDGE TPKE,SUITE 800,OAK RIDGE,TN,378306957,US,Physician Assistant,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,665,3.2915789474,2.27,1.7797142857,1.7797142857
1013258243,VARNER,ZOE,,PA-C,F,I,800 OAK RIDGE TPKE,SUITE 800,OAK RIDGE,TN,378306957,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,64,9480,4.5666983122,1.73,1.328556962,1.5477299578
1013258243,VARNER,ZOE,,PA-C,F,I,800 OAK RIDGE TPKE,SUITE 800,OAK RIDGE,TN,378306957,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,68,15.028382353,9.29,7.1929411765,8.3494117647
1013258243,VARNER,ZOE,,PA-C,F,I,800 OAK RIDGE TPKE,SUITE 800,OAK RIDGE,TN,378306957,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,25,82,10.942073171,6.34,4.7473170732,5.4832926829
1013258383,MEYERS,KATHRIN,R,D.O.,F,I,24800 SE STARK ST,,GRESHAM,OR,970303378,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,760.48,77.18,60.51,54.872368421
1013258383,MEYERS,KATHRIN,R,D.O.,F,I,24800 SE STARK ST,,GRESHAM,OR,970303378,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,285.6,40,31.36,29.569677419
1013259076,MATHES,LENORA,M,M.D.,F,I,4100 HIGH RESORT BLVD SE,,RIO RANCHO,NM,87124,US,Psychiatry & Neurology,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,62,5.8162903226,2.1,1.6201612903,1.6032258065
1013259100,RYAN,SCOTT,J,MD,M,I,6400 FANNIN ST,,HOUSTON,TX,770301521,US,Surgery,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,32.344166667,27.6525
1013259449,GAZO,JOSHUA,G,M.D.,M,I,1906 BELLEVIEW AVE SE,,ROANOKE,VA,240141838,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,490,70.23,50.8215,50.499
1013259449,GAZO,JOSHUA,G,M.D.,M,I,1906 BELLEVIEW AVE SE,,ROANOKE,VA,240141838,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,37.44,24.458333333,24.625
1013259696,JAFILAN,LENA,,M.D.,F,I,9550 W 167TH ST,,ORLAND PARK,IL,604675561,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,76,75.712368421,8.32,5.5625,5.5625
1013260694,HOWELL,AMY,E,PA-C,F,I,5169 S COTTONWOOD ST,"SUITE 320, ECCLES OUTPATIENT CENTER",MURRAY,UT,841076767,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,125,17.91,14.04,13.6025
1013260694,HOWELL,AMY,E,PA-C,F,I,5169 S COTTONWOOD ST,"SUITE 320, ECCLES OUTPATIENT CENTER",MURRAY,UT,841076767,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,389.60869565,70.48,55.25,54.881304348
1013261619,WHITE-CRAWFORD,ALFE,F,FNP-C,F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,266,4.9815789474,3.24,2.540037594,2.3769172932
1013261619,WHITE-CRAWFORD,ALFE,F,FNP-C,F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,114,1676,8.2875178998,6.32,4.9380847255,4.1928878282
1013261619,WHITE-CRAWFORD,ALFE,F,FNP-C,F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,4438,0.5455385309,0.39,0.3057548445,0.2909936909
1013261619,WHITE-CRAWFORD,ALFE,F,FNP-C,F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,58,17390,0.4571270845,0.3195215641,0.2421420357,0.2367176538
1013261619,WHITE-CRAWFORD,ALFE,F,FNP-C,F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,56,14899,0.8783730452,0.6569877173,0.5092959259,0.5092959259
1013261619,WHITE-CRAWFORD,ALFE,F,FNP-C,F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,25,25,101.33,67.5,52.92,49.056
1013261619,WHITE-CRAWFORD,ALFE,F,FNP-C,F,I,9155 CRESTWYN HILLS DR,,MEMPHIS,TN,381258501,US,Nurse Practitioner,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,14.312,5.42,4.25,4.276
1013261908,HOHN,ERIC,A,M.D.,M,I,4140 JADE ST STE 100,,CAPITOLA,CA,95010,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,12,325,133.89,101.04416667,86.461666667
1013262245,NGETICH,DINAH,C,FNP-C,F,I,10320 FELD FARM LN,SUITE 300,CHARLOTTE,NC,282108483,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,48.31,34.723333333,34.494166667
1013262245,NGETICH,DINAH,C,FNP-C,F,I,10320 FELD FARM LN,SUITE 300,CHARLOTTE,NC,282108483,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,143,20.061578947,12.222105263,11.030526316
1013262245,NGETICH,DINAH,C,FNP-C,F,I,10320 FELD FARM LN,SUITE 300,CHARLOTTE,NC,282108483,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,143,25.846,20.258,21.282
1013262245,NGETICH,DINAH,C,FNP-C,F,I,10320 FELD FARM LN,SUITE 300,CHARLOTTE,NC,282108483,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,26.3125,8.099375,5.928125,6.2578125
1013262674,YADAV,NEHA,,M.D,F,I,10217 125TH STREET CT E FL 2,,PUYALLUP,WA,983742761,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,88.909411765,8.32,6.1388235294,6.1388235294
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,26,26,26,126.84769231,50.547307692,39.629615385,36.915384615
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,23,23,23,196.11826087,57.83826087,45.347391304,41.384782609
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,30,10.621666667,7.49875,7.0566666667
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,16,60,66,140.46,55.916515152,43.116515152,40.479848485
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,86.31,17.17375,13.461875,13.509375
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,20,83.136,54.744,42.918,40.873
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,44,3.6063636364,1.2131818182,0.95,1.0011363636
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,64,5.29,1.87375,1.4715625,1.5253125
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,68,105,8.7947619048,2.9335238095,2.1659047619,2.1221904762
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,64,15,5.4725,4.29,4.0075
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,519.51,73.528235294,57.645294118,55.671176471
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,39,169,194,74.366443299,21.702680412,16.496185567,14.610876289
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,39,101.98307692,34.576153846,27.106410256,23.208205128
1013262708,AHUJA,MICHAEL,,M.D.,M,I,12440 CORTEZ BLVD,,BROOKSVILLE,FL,346132628,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,40,27.8655,9.402,7.2115,7.13975
1013262765,KAUR,RAMANDEEP,,M.D.,F,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271574201,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,45,17.29,10.727083333,10.715416667
1013262765,KAUR,RAMANDEEP,,M.D.,F,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271574201,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,272.35,70.23,49.610416667,49.369583333
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,33,127,47.968503937,8.32,6.3575590551,6.3575590551
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.357142857,3.38,2.4607142857,2.4607142857
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,23,53,13.816981132,1.42,1.0926415094,1.0926415094
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,50,22.4775,15.626666667,11.6525
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,32.645714286,6.8571428571,5.0285714286,3.379047619
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,94.0896,48.0956,37.7048,25.5584
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,49,390.89122449,103.00285714,72.400204082,49.470408163
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,1980,1.7056818182,0.1356363636,0.0980909091,0.0980909091
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,55.272352941,45.340588235,33.616470588,28.622352941
1013262922,MORSE,JAMIE,L,NP-C,F,I,2588 N WESTWOOD BLVD,,POPLAR BLUFF,MO,639012339,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,23,23,33,33,24.745217391,24.745217391
1013263136,HAGGINS,SYDNEY,E,M.D,F,I,315 W KANSAS STREET,,OKARCHE,OK,73762,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,111.71,47.23,33.892727273,21.254545455
1013263136,HAGGINS,SYDNEY,E,M.D,F,I,315 W KANSAS STREET,,OKARCHE,OK,73762,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,260,10.404615385,10.404615385,8.1574230769,8.1572307692
1013263136,HAGGINS,SYDNEY,E,M.D,F,I,315 W KANSAS STREET,,OKARCHE,OK,73762,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1140,0.1323421053,0.1323421053,0.1037807018,0.1037807018
1013263136,HAGGINS,SYDNEY,E,M.D,F,I,315 W KANSAS STREET,,OKARCHE,OK,73762,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,73.5,20.3735,11.925,9.37475
1013263219,MARKOVIC,JELENA,,M.D,F,I,402 W COUNTRY CLUB RD,,ROSWELL,NM,882015247,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,30,38.999,8.32,6.5206666667,6.5206666667
1013263219,MARKOVIC,JELENA,,M.D,F,I,402 W COUNTRY CLUB RD,,ROSWELL,NM,882015247,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,14,11.498571429,1.42,1.1185714286,1.1185714286
1013263219,MARKOVIC,JELENA,,M.D,F,I,402 W COUNTRY CLUB RD,,ROSWELL,NM,882015247,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,95,36.883636364,28.918181818,33.054545455
1013263409,TRESKY,TRACY,L,FNP-C,F,I,210 WOODHAVEN DR,,SEVEN FIELDS,PA,160467828,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,40.01,11.702857143,9.175,9.2371428571
1013263409,TRESKY,TRACY,L,FNP-C,F,I,210 WOODHAVEN DR,,SEVEN FIELDS,PA,160467828,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,81.634615385,17.495384615,13.717692308,14.101538462
1013263946,CORREA,CHRISTOPHER,D,DPM,M,I,3312 LONGMIRE DR,,COLLEGE STATION,TX,778455812,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,64,64,128,75.5,71.56,54.7975,54.7965625
1013263946,CORREA,CHRISTOPHER,D,DPM,M,I,3312 LONGMIRE DR,,COLLEGE STATION,TX,778455812,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,67,67,400,48.5,43.56,33.3915,33.390125
1013263946,CORREA,CHRISTOPHER,D,DPM,M,I,3312 LONGMIRE DR,,COLLEGE STATION,TX,778455812,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,19,117.11894737,96.59,71.735263158,59.779473684
1013263946,CORREA,CHRISTOPHER,D,DPM,M,I,3312 LONGMIRE DR,,COLLEGE STATION,TX,778455812,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,35,253.11285714,248.77457143,195.04514286,217.56171429
1013263979,SCHULTZ,BETHANY,K,CNP,F,I,112 SAINT OLAF AVE S,,CANBY,MN,562201433,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,22,36,71.897777778,8.32,6.5233333333,6.5233333333
1013263979,SCHULTZ,BETHANY,K,CNP,F,I,112 SAINT OLAF AVE S,,CANBY,MN,562201433,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,45,23.758,18.624,13.53
1013263979,SCHULTZ,BETHANY,K,CNP,F,I,112 SAINT OLAF AVE S,,CANBY,MN,562201433,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,280,112.416,88.138,54.73
1013264126,MARRINER,KEN,M,M.D.,M,I,3451 E 12TH ST,,OAKLAND,CA,946013463,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,42,120,91.084166667,8.32,4.2391666667,4.2391666667
1013264126,MARRINER,KEN,M,M.D.,M,I,3451 E 12TH ST,,OAKLAND,CA,946013463,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,26,35,16.633714286,1.42,0.8931428571,0.8931428571
1013264126,MARRINER,KEN,M,M.D.,M,I,3451 E 12TH ST,,OAKLAND,CA,946013463,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.914,3.97,3.1125,3.1125
1013264175,COTE,EMILY,A,FNP-BC,F,I,5549 US HIGHWAY 93 N,,FLORENCE,MT,598336845,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,372.2044,72.5192,51.1112,50.6448
1013264589,ESHAGHI,NINA,,M.D.,F,I,500 CADMUS LN STE 211,,EASTON,MD,216013857,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,40,202,59.90960396,8.32,5.228019802,5.228019802
1013264589,ESHAGHI,NINA,,M.D.,F,I,500 CADMUS LN STE 211,,EASTON,MD,216013857,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,11.769285714,3.38,2.0821428571,2.0821428571
1013264589,ESHAGHI,NINA,,M.D.,F,I,500 CADMUS LN STE 211,,EASTON,MD,216013857,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,22,59,15.280847458,1.42,0.7742372881,0.7742372881
1013264589,ESHAGHI,NINA,,M.D.,F,I,500 CADMUS LN STE 211,,EASTON,MD,216013857,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,20,86.31,22.8715,17.9295,15.6835
1013264589,ESHAGHI,NINA,,M.D.,F,I,500 CADMUS LN STE 211,,EASTON,MD,216013857,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,22,257.82,48.335909091,36.325909091,22.670909091
1013264589,ESHAGHI,NINA,,M.D.,F,I,500 CADMUS LN STE 211,,EASTON,MD,216013857,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,23,519.51,101.79913043,77.213913043,64.011304348
1013265487,BISHOP,HEIDI,F,PA-C,F,I,1041 NOELL LN,SUITE 105,ROCKY MOUNT,NC,278042058,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,48.768181818,25.192727273,22.376363636
1013265487,BISHOP,HEIDI,F,PA-C,F,I,1041 NOELL LN,SUITE 105,ROCKY MOUNT,NC,278042058,US,Physician Assistant,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.16,3.7125,3.6291666667
1013266162,PEZANT,WANDA,L,APRN,F,I,3501 HIGHWAY 10,,JACKSON,LA,707486238,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,39,65.936923077,8.32,6.5228205128,6.5228205128
1013266162,PEZANT,WANDA,L,APRN,F,I,3501 HIGHWAY 10,,JACKSON,LA,707486238,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,92.78,18.5,13.291666667,12.411666667
1013266162,PEZANT,WANDA,L,APRN,F,I,3501 HIGHWAY 10,,JACKSON,LA,707486238,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,558.47,71,51.021666667,50.169166667
1013266592,REBELO,NATALIE,,NP,F,I,874 PURCHASE ST,,NEW BEDFORD,MA,02740,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,22,81.323181818,8.32,4.15,4.15
1013266881,VORVICK,LINDA,J,MD,F,I,314 NE THORNTON PLACE,,SEATTLE,WA,981250000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,52,129,72.700930233,8.32,5.6128682171,5.6128682171
1013266881,VORVICK,LINDA,J,MD,F,I,314 NE THORNTON PLACE,,SEATTLE,WA,981250000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,16,17,12.792941176,1.42,0.9211764706,0.9211764706
1013266881,VORVICK,LINDA,J,MD,F,I,314 NE THORNTON PLACE,,SEATTLE,WA,981250000,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,13,55.328461538,4.0476923077,2.7353846154,3.3984615385
1013266881,VORVICK,LINDA,J,MD,F,I,314 NE THORNTON PLACE,,SEATTLE,WA,981250000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,519.51,77.34,59.405416667,53.997083333
1013266881,VORVICK,LINDA,J,MD,F,I,314 NE THORNTON PLACE,,SEATTLE,WA,981250000,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,250,39.3,28.756,27.629333333
1013266881,VORVICK,LINDA,J,MD,F,I,314 NE THORNTON PLACE,,SEATTLE,WA,981250000,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1650,0.92,0.1325454545,0.0940121212,0.0940121212
1013266881,VORVICK,LINDA,J,MD,F,I,314 NE THORNTON PLACE,,SEATTLE,WA,981250000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,116.36842105,33,23.692105263,23.692105263
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,25,61,134,44.260820896,8.32,5.6807462687,5.6807462687
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,13.004545455,1.42,0.4072727273,0.4072727273
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,39,8.2674358974,1.9805128205,1.4223076923,1.0682051282
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,76.627333333,22.379,16.549,12.828666667
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,4430.1,913.16,709.94208333,831.01791667
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,422.12479167,100.7725,76.640625,54.680208333
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,3989,0.3450238155,0.0465229381,0.0295713211,0.0295713211
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,1740,1.0355287356,0.1351551724,0.1028218391,0.1028218391
1013267152,JUSTICE,SAMANTHA,J,NP,F,I,1310 MAIN STREET,,TISHOMINGO,MS,388733887,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,39,39,111.69230769,33,24.10974359,24.10974359
1013267194,GEORGE,AMRUTHA MARY,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,13,60,70.273,8.32,6.5233333333,6.5233333333
1013268564,SHEA,MEGGAN,,F.N.P,F,I,656 ELMWOOD AVE,,BUFFALO,NY,142221836,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,35,80.556285714,8.32,5.5894285714,5.5894285714
1013268630,VILLARIZ,CELINE,T,NP,F,I,8410 W THOMAS RD STE 138,,PHOENIX,AZ,850373374,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,47,66.329574468,8.32,6.2453191489,6.2453191489
1013268929,GREEN,NICOLE,A,NP,F,I,3800 ST MARY DR,SUITE 103,VALPARAISO,IN,463837502,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,68,72.796470588,8.32,5.7536764706,5.7536764706
1013268929,GREEN,NICOLE,A,NP,F,I,3800 ST MARY DR,SUITE 103,VALPARAISO,IN,463837502,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,19,15.611578947,1.42,0.9421052632,0.9421052632
1013268929,GREEN,NICOLE,A,NP,F,I,3800 ST MARY DR,SUITE 103,VALPARAISO,IN,463837502,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,13.4,10.51,10.482727273
1013268929,GREEN,NICOLE,A,NP,F,I,3800 ST MARY DR,SUITE 103,VALPARAISO,IN,463837502,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,150.9035,35.221,24.689,23.16
1013270024,ELSHERIF,DANA,,M.D.,F,I,6920 INDIANAPOLIS BLVD,,HAMMOND,IN,463242206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,44,70.644545455,8.32,6.2238636364,6.2238636364
1013270099,CHAWLA,PRIANKA,,M.D.,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,48,78.072708333,8.32,6.521875,6.521875
1013270099,CHAWLA,PRIANKA,,M.D.,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,834.8525,834.8525
1013270446,MINIATI,ALEXANDRA,,M.D.,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,153.44,17.144736842,13.44,13.54
1013270446,MINIATI,ALEXANDRA,,M.D.,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2266,1074.31,830.30416667,830.30416667
1013270446,MINIATI,ALEXANDRA,,M.D.,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,760.48,73.410952381,54.645714286,52.273333333
1013270446,MINIATI,ALEXANDRA,,M.D.,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,285.6,38.916363636,29.155909091,28.254090909
1013270503,GISVOLD,CHRISTINA,R,FNP-C,F,I,300 N 7TH ST,,BISMARCK,ND,58501,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,36,16.226666667,12.726666667,11.044166667
1013270503,GISVOLD,CHRISTINA,R,FNP-C,F,I,300 N 7TH ST,,BISMARCK,ND,58501,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,92,45.834166667,35.935833333,29.009166667
1013270768,KOROS,SOTIRIOS,,D.O.,M,I,4421 EASTGATE BLVD,SUITE 300,CINCINNATI,OH,452454501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,54,118,70.860762712,8.32,4.7388983051,4.7388983051
1013270768,KOROS,SOTIRIOS,,D.O.,M,I,4421 EASTGATE BLVD,SUITE 300,CINCINNATI,OH,452454501,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,22,15.373181818,1.42,1.0636363636,1.0636363636
1013271246,OAKESON,DACIA,D,NP-C,F,I,224 E 14TH ST. STE 100,,HASTINGS,NE,68901,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,35,60,57.975666667,8.32,4.2401666667,4.2401666667
1013271246,OAKESON,DACIA,D,NP-C,F,I,224 E 14TH ST. STE 100,,HASTINGS,NE,68901,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,13,24.069230769,1.42,0.86,0.86
1013271477,MARSHALL,ELISE,H,DO,F,I,1 MEDICAL PARK BLVD,,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,298.58117647,53.802941176,42.182352941,36.611176471
1013271477,MARSHALL,ELISE,H,DO,F,I,1 MEDICAL PARK BLVD,,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,473.62108696,81.559782609,60.25,51.177391304
1013271477,MARSHALL,ELISE,H,DO,F,I,1 MEDICAL PARK BLVD,,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,100,43.284,31.494,27.295333333
1013271477,MARSHALL,ELISE,H,DO,F,I,1 MEDICAL PARK BLVD,,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,85,37.44,28.127083333,28.26875
1013271485,AHMAD,HAMAD,,MD,M,I,4772 NAVY RD,SUITE A,MILLINGTON,TN,380531927,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,50.73,6.990625,5.474375,3.59
1013271485,AHMAD,HAMAD,,MD,M,I,4772 NAVY RD,SUITE A,MILLINGTON,TN,380531927,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,20,519.51,86.84,68.08,58.0675
1013271485,AHMAD,HAMAD,,MD,M,I,4772 NAVY RD,SUITE A,MILLINGTON,TN,380531927,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,126.54545455,33,25.87,25.87
1013271709,HUTCHISON,CAITLIN,J,M.D.,F,I,1334 TERRY AVE,,SEATTLE,WA,981012747,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,40.934516129,16.51483871,7.5096774194,9.06
1013271741,LI,CONRAD,,M.D.,M,I,1 HEALTHY WAY,,OCEANSIDE,NY,115721551,US,Hospitalist,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,7.17,3,2.1381818182,2.1527878788
1013271741,LI,CONRAD,,M.D.,M,I,1 HEALTHY WAY,,OCEANSIDE,NY,115721551,US,Hospitalist,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4686,1.5845070423,0.6542253521,0.4973538199,0.5018822023
1013271873,SUSEK,MEHGAN,M,D.P.M.,F,I,1800 MULBERRY ST,,SCRANTON,PA,185102369,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,220.38461538,71.56,56.105,56.105
1013271873,SUSEK,MEHGAN,M,D.P.M.,F,I,1800 MULBERRY ST,,SCRANTON,PA,185102369,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,50,177.66,43.56,34.1522,34.1522
1013271899,STROBEL,JOSEPH,M,D.O.,M,I,2860 CHANNING WAY,SUITE 213,IDAHO FALLS,ID,834047541,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,32,68.5440625,22.705625,17.33375,14.438125
1013271899,STROBEL,JOSEPH,M,D.O.,M,I,2860 CHANNING WAY,SUITE 213,IDAHO FALLS,ID,834047541,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,43,453.69093023,90.654883721,69.004651163,52.81255814
1013272301,MARCHESIELLO,GREGORY,D,PA-C,M,I,8322 BELLONA AVE,SUITE 100,TOWSON,MD,212042065,US,Physician Assistant,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,44,44,44,227.64,42.731136364,33.503181818,34.970454545
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,28,90.601071429,8.32,5.1239285714,5.1239285714
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,35,28.46,20.450833333,20.450833333
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,35,29.69,21.986666667,21.986666667
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,29,12.95,10.27,7.504137931,7.9793103448
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,140,8,7,5.488,5.488
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,170,5,3.04,2.3832941176,2.3832941176
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3437,0.8772185045,0.4855135292,0.3806313646,0.3068926389
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1020.1,799.76,838.71833333
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,39,8.1805263158,4.55,2.3315789474
1013272517,MENUEY,NICOLE,R,ARNP,F,I,601 HIGHWAY 218 N,,LA PORTE CITY,IA,506511012,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,123.88888889,43.773333333,27.137777778,16.885555556
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,66,234,55.001495726,8.32,6.5028632479,6.5028632479
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,13,29,29,13.496551724,3.38,2.5586206897,2.5586206897
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,14,14,22.358571429,2.12,1.67,1.67
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,42,82,13.409268293,1.42,1.0747560976,1.0747560976
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,8.3916666667,2.0255555556,1.5866666667,1.15
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,24,24,404.92,116.17416667,87.939583333,65.017916667
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,40,153.303,44.395,34.08975,25.27
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,84.506666667,25.133333333,19.706666667,14.06
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,91.372941176,19.875294118,14.988823529,8.5835294118
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,26,119,11.402605042,2.991092437,2.2261344538,1.4863865546
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,61,127.96754098,23.099180328,17.721311475,13.462459016
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,87.694285714,17.397142857,13.64,10.48
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,43.091363636,7.6327272727,5.4877272727,3.1736363636
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,53,54,225.55185185,51.781111111,40.11537037,29.095185185
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,18,154,157,581.04363057,105.33057325,79.872038217,54.050700637
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,250,45.242571429,33.594857143,28.130571429
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,7220,0.2175955679,0.0467229917,0.0347839335,0.0347839335
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2760,2.0208224638,0.1345869565,0.0956485507,0.0956485507
1013272723,AHMED,AYESHA,M,M.D.,F,I,4715 S FLORIDA AVE STE 200,,LAKELAND,FL,338132101,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,46,46,80.347826087,33,23.278478261,23.278478261
1013272939,KELLEY,KRISTEN,,D.O.,F,I,1134 STATE ROUTE 29,GREENWICH FAMILY HEALTH CENTER,GREENWICH,NY,128346107,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,36,76,52.429473684,8.32,6.3486842105,6.3486842105
1013272939,KELLEY,KRISTEN,,D.O.,F,I,1134 STATE ROUTE 29,GREENWICH FAMILY HEALTH CENTER,GREENWICH,NY,128346107,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,22,13.635,1.42,1.1181818182,1.1181818182
1013272939,KELLEY,KRISTEN,,D.O.,F,I,1134 STATE ROUTE 29,GREENWICH FAMILY HEALTH CENTER,GREENWICH,NY,128346107,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,50.73,4.2775,3.3575,3.66
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,77,128,128,148.18914063,39.846328125,30.71640625,30.08421875
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,46,80,80,315.7475,94.599625,73.610625,68.525875
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,48,90,207,124.23280193,37.613478261,29.244299517,26.279227053
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,20,33,166,68.215481928,20.803313253,15.915421687,14.214518072
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,18,27,132,43.925833333,15.48,12.135833333,11.893636364
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,39,60,60,155.42233333,55.750833333,43.712666667,42.8725
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,72,93,93,68.152580645,18.922043011,14.669462366,13.92172043
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,25.629333333,10.652,8.3546666667,8.15
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,80,136,733,7.9587585266,2.2230832196,1.694324693,1.5526875853
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,31,38,38,43.005526316,13.429210526,9.9710526316,9.8105263158
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,37,44,516.32522727,91.251363636,70.624772727,69.09
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,27,29,1040.6793103,259.35,201.07551724,165.1337931
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,33,33,33,330.71575758,135.26060606,102.75515152,101.43454545
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,47,52,70.149038462,15.068846154,11.812307692,10.093269231
1013272962,CUTLER,LAURA,A,ANP-BC,F,I,80 VERMONT AVE,,OAK RIDGE,TN,378306474,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,32,260,261,157.82429119,36.527701149,28.360727969,25.938850575
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,65,67.765230769,8.32,4.7156923077,4.7156923077
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,21,615,28.341463415,6.0012195122,4.7048780488,4.2623902439
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,61,100.26377049,17.679180328,12.939016393,12.734098361
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,50.73,4.4,2.461,2.567
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,108,111,474.8172973,69.744864865,51.893783784,51.909369369
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,930,19.154043011,9.6417096774,7.404827957,7.404827957
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1380,1.5304855072,0.1336086957,0.0869565217,0.0869565217
1013272970,VALENTINE,DEBORAH,E,APRN,F,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,31,74.516129032,33,24.693870968,24.693870968
1013272988,MUGO,PATTI,,MD,F,I,1120 W UNIVERSITY AVE STE 101,,FLAGSTAFF,AZ,860012851,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,56,42.871964286,8.32,5.1235714286,5.1235714286
1013272988,MUGO,PATTI,,MD,F,I,1120 W UNIVERSITY AVE STE 101,,FLAGSTAFF,AZ,860012851,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,86.818181818,17.437727273,13.055454545,12.924545455
1013272988,MUGO,PATTI,,MD,F,I,1120 W UNIVERSITY AVE STE 101,,FLAGSTAFF,AZ,860012851,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,334.54545455,71.140454545,53.319545455,52.243636364
1013273259,LOVE,SAMUEL,H,M.D.,M,I,4107 MEDICAL PARKWAY,STE 210,AUSTIN,TX,787563738,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,135,48.515454545,38.034545455,36.46
1013273283,CHEN,DORIS,P,,F,I,960 N SAN ANTONIO RD STE 101,,LOS ALTOS,CA,940221346,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,18,55,76.589636364,8.32,5.9298181818,5.9298181818
1013273374,KO,MARY,P,APN NURSE PRACTITION,F,I,3800 N. CALIFORNIA AVE,,CHICAGO,IL,60618,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,167.92090909,49.17,24.531818182,22.425454545
1013273606,FAN,WEI,,M.D.,F,I,2401 RESEARCH BLVD STE 370,,ROCKVILLE,MD,208503269,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,50,45.4672,8.32,6.5212,6.5212
1013273606,FAN,WEI,,M.D.,F,I,2401 RESEARCH BLVD STE 370,,ROCKVILLE,MD,208503269,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,3.5484615385,1.42,1.12,1.12
1013273606,FAN,WEI,,M.D.,F,I,2401 RESEARCH BLVD STE 370,,ROCKVILLE,MD,208503269,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,192.58,43.85,34.380909091,34.447272727
1013273796,NELSON,BRYAN,T,MD,M,I,1201 ALHAMBRA BLVD STE 330,,SACRAMENTO,CA,958165242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,59,75.13779661,8.32,4.3113559322,4.3113559322
1013273812,MCFEE,KELLY,D,APRN,F,I,137 N BELT HWY,,SAINT JOSEPH,MO,645063491,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,276,4.5335507246,3.67,2.8773550725,2.8773550725
1013273960,MARSTON,KATHERINE,M,D.O.,F,I,32901 23 MILE ROAD SUITE 100,,CHESTERFIELD,MI,480474032,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,33.365,5.6125,3.7233333333,3.0966666667
1013273960,MARSTON,KATHERINE,M,D.O.,F,I,32901 23 MILE ROAD SUITE 100,,CHESTERFIELD,MI,480474032,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,288.50142857,79.88,62.62,55.284285714
1013273960,MARSTON,KATHERINE,M,D.O.,F,I,32901 23 MILE ROAD SUITE 100,,CHESTERFIELD,MI,480474032,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,35.63,27.93,29.378333333
1013273986,BELMONTE,LEANDRA,,D.O.,F,I,820 PRUDENTIAL DR,SUITE 304,JACKSONVILLE,FL,322078210,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,75.519230769,16.5,12.685384615,13.286153846
1013273986,BELMONTE,LEANDRA,,D.O.,F,I,820 PRUDENTIAL DR,SUITE 304,JACKSONVILLE,FL,322078210,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,453.92307692,77.18,55.855384615,50.510769231
1013274356,QUADE,SANDRALEE,S,NP,F,I,1080 W FOND DU LAC ST,,RIPON,WI,549719286,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,26,82.405769231,8.32,6.5203846154,6.5203846154
1013274638,NICHOLS,KELLYROSE,M,D.O.,F,I,8745 LAKE STREET RD,,LE ROY,NY,144829344,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,29,72,73.878472222,8.32,5.48625,5.48625
1013274638,NICHOLS,KELLYROSE,M,D.O.,F,I,8745 LAKE STREET RD,,LE ROY,NY,144829344,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,26,13.850769231,1.42,1.0311538462,1.0311538462
1013274638,NICHOLS,KELLYROSE,M,D.O.,F,I,8745 LAKE STREET RD,,LE ROY,NY,144829344,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,36,7.0266666667,3.0144444444,2.3647222222,1.6469444444
1013274638,NICHOLS,KELLYROSE,M,D.O.,F,I,8745 LAKE STREET RD,,LE ROY,NY,144829344,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,53.54826087,22.113478261,17.335652174,13.53
1013274638,NICHOLS,KELLYROSE,M,D.O.,F,I,8745 LAKE STREET RD,,LE ROY,NY,144829344,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,159.93818182,51.437272727,35.626363636,23.208181818
1013274638,NICHOLS,KELLYROSE,M,D.O.,F,I,8745 LAKE STREET RD,,LE ROY,NY,144829344,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,290.01333333,98.85,77.5,60.13
1013274778,BRUNS,STEPHANIE,M,MD,F,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,24,381.875,78,61.15,54.9975
1013274778,BRUNS,STEPHANIE,M,MD,F,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36,28.22,29.51
1013275817,QURESHI,RABIA,M,MD,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,837.5025,837.5025
1013275817,QURESHI,RABIA,M,MD,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,74,58.02,54.73
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,72,67.800555556,8.32,6.3368055556,6.3368055556
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,254.70545455,73.94,57.340909091,42.231818182
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,53,12.148301887,3.2469811321,2.5464150943,1.5928301887
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,25,8.1314285714,6.1995238095,3.7180952381
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,51.731666667,40.555833333,26.621666667
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,96.337777778,68.966111111,50.696666667
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.6525
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1769,1.1976144715,0.1357094404,0.101780667,0.101780667
1013275916,BALTARO,ELIZABETH,B,MD,F,I,1614 NC HIGHWAY 56,,CREEDMOOR,NC,275228297,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,125.4,33,24.145333333,24.145333333
1013275940,BALES,ABIGAIL,M,MD,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,76,203,80.171674877,8.32,5.352955665,5.352955665
1013275940,BALES,ABIGAIL,M,MD,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,28,30,17.395333333,1.42,0.9693333333,0.9693333333
1013275940,BALES,ABIGAIL,M,MD,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3919,0.6420643021,0.31,0.2218958918,0.2218958918
1013275940,BALES,ABIGAIL,M,MD,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,1200,919.45,720.85,825.70409091
1013275940,BALES,ABIGAIL,M,MD,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,253.78,69.81,51.309375,51.309375
1013275940,BALES,ABIGAIL,M,MD,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,33,33,21.89,21.89
1013276062,BEAUBRUN,ESIRA,J,MD,F,I,323 BELLEVILLE AVE FL 2,,BLOOMFIELD,NJ,070033648,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,144.44636364,50.392727273,39.509090909,41.636363636
1013276104,MISHRA,SHREELA,,,F,I,7085 N CHESTNUT AVE STE 101,,FRESNO,CA,937200353,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,47,205,68.423804878,8.32,5.8197073171,5.8197073171
1013276641,CHRISTENSEN,ALISA-ANN,,D.O.,F,I,520 VIOLET RD,,CRITTENDEN,KY,41030,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,36,70.593333333,8.32,5.435,5.435
1013276708,BLAIR,GISELLE,D,M.D.,F,I,925 BRANCH CT,STE. 201,GROVETOWN,GA,308133325,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,21,58,68.340862069,8.32,5.7346551724,5.7346551724
1013276765,CHEATHAM-TERRY,JACQUELYN,,D.O,F,I,1025 N MAIN ST,,CEDARTOWN,GA,301252036,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,34,67,67.933134328,8.32,5.9382089552,5.9382089552
1013276765,CHEATHAM-TERRY,JACQUELYN,,D.O,F,I,1025 N MAIN ST,,CEDARTOWN,GA,301252036,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,20,13.733,1.42,1.0065,1.0065
1013276765,CHEATHAM-TERRY,JACQUELYN,,D.O,F,I,1025 N MAIN ST,,CEDARTOWN,GA,301252036,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,11.900833333,8.5166666667,6.7625
1013276765,CHEATHAM-TERRY,JACQUELYN,,D.O,F,I,1025 N MAIN ST,,CEDARTOWN,GA,301252036,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,559.67166667,121.46,95.23,64.855
1013276815,UMUNAKWE,CHUKWUMA,,M.D.,M,I,990 OAK RIDGE TPKE,,OAK RIDGE,TN,378306976,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,350,85.04625,66.6825,54.52625
1013276898,COSENTINO,NICHOLAS,P,D.O,M,I,1650 COWLES ST,,FAIRBANKS,AK,99701,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,394.64285714,102.53714286,77.613928571,52.158928571
1013276898,COSENTINO,NICHOLAS,P,D.O,M,I,1650 COWLES ST,,FAIRBANKS,AK,99701,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,350,45.15,31.748888889,26.237777778
1013276971,SHILMAN,ALLA,,D.O.,F,I,11600 W 2ND PL,,LAKEWOOD,CO,802281527,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,153.44,17.679090909,13.446060606,13.146969697
1013276971,SHILMAN,ALLA,,D.O.,F,I,11600 W 2ND PL,,LAKEWOOD,CO,802281527,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,70,70,727.83357143,77.274142857,57.939857143,52.594
1013276971,SHILMAN,ALLA,,D.O.,F,I,11600 W 2ND PL,,LAKEWOOD,CO,802281527,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,285.6,38.76,28.138888889,27.356666667
1013276997,HOSFIELD,HEATHER,,NP,F,I,13121 OLIO RD,#100,FISHERS,IN,46037,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,16,44,569,54.309912127,19.632091388,14.692741652,14.692741652
1013276997,HOSFIELD,HEATHER,,NP,F,I,13121 OLIO RD,#100,FISHERS,IN,46037,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,15,43,1317,8.4949658314,2.6309794989,1.9743963554,1.9743963554
1013276997,HOSFIELD,HEATHER,,NP,F,I,13121 OLIO RD,#100,FISHERS,IN,46037,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,66,88,226,935,73.917550802,8.3122994652,5.9096791444,5.9157112299
1013276997,HOSFIELD,HEATHER,,NP,F,I,13121 OLIO RD,#100,FISHERS,IN,46037,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,37,38,61,123,15.738699187,1.42,0.9965853659,0.9965853659
1013276997,HOSFIELD,HEATHER,,NP,F,I,13121 OLIO RD,#100,FISHERS,IN,46037,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,714.9592,331.4376,248.3672,248.3672
1013276997,HOSFIELD,HEATHER,,NP,F,I,13121 OLIO RD,#100,FISHERS,IN,46037,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,34,1920,16.061328125,10.68815625,8.3183541667,8.3183541667
1013276997,HOSFIELD,HEATHER,,NP,F,I,13121 OLIO RD,#100,FISHERS,IN,46037,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,328.71913043,251.11,196.87,196.87
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,24,50,98,64.835612245,8.32,6.3229591837,6.3229591837
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,16,13.02375,1.42,0.97625,0.97625
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.495,7.35,5.28,5.3641666667
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,62.65625,49.92125,39.14,31.233125
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,188.6,118,92.51,67.845
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,33,66.700909091,45.109090909,35.365151515,25.917878788
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,40.377272727,25.012727273,19.605454545,14.869090909
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,95,5.0021052632,2.92,2.2897894737,1.6590526316
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,361,10.816481994,7.4093905817,5.8089473684,4.1954570637
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4201,0.7042013806,0.388574149,0.3026707927,0.2451273506
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,140,50.844545455,37.513636364,28.302727273
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,11.746666667,8.8433333333,3.6208333333
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,240.9375,102.61833333,74.1575,52.228333333
1013277409,BOTIC,JULIJANA,,M.D.,F,I,300 S BRUCE ST,,MARSHALL,MN,562581934,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,61.153846154,44.900769231,32.676923077,27.796153846
1013277714,OTTEN,NICHOLAS,C,MD,M,I,252 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,169.62,54.136666667,42.444666667,40.687333333
1013277714,OTTEN,NICHOLAS,C,MD,M,I,252 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,151.072,17.3804,12.536,12.464
1013277714,OTTEN,NICHOLAS,C,MD,M,I,252 MCHENRY ST,,BURLINGTON,WI,531051828,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,465.21212121,73.326363636,50.514848485,48.323030303
1013278084,WELLER,WILLIAM,J,M.D.,M,I,7545 AIRWAYS BLVD,,SOUTHAVEN,MS,386715806,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,36,39,63,53.2,41.71,45.516666667
1013278092,POHL,KYLE,,M.D.,M,I,4000 AMBASSADOR DR,,ANCHORAGE,AK,995085909,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,22.4775,15.134166667,11.776666667
1013278092,POHL,KYLE,,M.D.,M,I,4000 AMBASSADOR DR,,ANCHORAGE,AK,995085909,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,395,101.38363636,73.987272727,53.443636364
1013278316,SRAN,MANPREET,,MD,M,I,9975 S EASTERN AVE STE 110,,LAS VEGAS,NV,891837950,US,Internal Medicine,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,33,299,299,299,1387.9800334,1185.9993311,920.01100334,888.96923077
1013278316,SRAN,MANPREET,,MD,M,I,9975 S EASTERN AVE STE 110,,LAS VEGAS,NV,891837950,US,Internal Medicine,T,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,25,239,239,422,1037.3930332,875.31777251,686.03909953,679.50227488
1013278316,SRAN,MANPREET,,MD,M,I,9975 S EASTERN AVE STE 110,,LAS VEGAS,NV,891837950,US,Internal Medicine,T,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,131,131,233,534.35206009,457.0555794,357.22266094,354.1216309
1013278316,SRAN,MANPREET,,MD,M,I,9975 S EASTERN AVE STE 110,,LAS VEGAS,NV,891837950,US,Internal Medicine,T,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,26,240,242,425,135.926,106.49877647,79.690752941,83.779976471
1013278316,SRAN,MANPREET,,MD,M,I,9975 S EASTERN AVE STE 110,,LAS VEGAS,NV,891837950,US,Internal Medicine,T,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,110,110,199,59.37,49.630502513,38.908190955,38.559447236
1013278316,SRAN,MANPREET,,MD,M,I,9975 S EASTERN AVE STE 110,,LAS VEGAS,NV,891837950,US,Internal Medicine,T,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,27,100,101,126,555.62690476,471.54531746,367.19928571,364.22436508
1013278316,SRAN,MANPREET,,MD,M,I,9975 S EASTERN AVE STE 110,,LAS VEGAS,NV,891837950,US,Internal Medicine,T,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,31,239,239,239,866.5867364,789.78577406,618.96058577,579.40690377
1013278852,SCHULTE,LESLIE,A,MD,F,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,49503,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,69.62,50.040833333,50.185
1013278852,SCHULTE,LESLIE,A,MD,F,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,49503,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39.68,28.5175,27.050833333
1013278902,TAVARES,ROBERT,J,M.D.,M,I,85 HERRICK ST,LAHEY AT BEVERLY HOSPITAL,BEVERLY,MA,019151790,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.2545454545,3.3327272727,3.9909090909
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,16,34,48,71.188333333,8.32,6.3889583333,6.3889583333
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,41,165.26487805,42.29,31.978780488,25.842682927
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,84.320909091,23.628181818,15.963636364,11.503636364
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,99.850714286,18.273571429,12.845714286,8.4685714286
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,23,134,12.452238806,2.8102985075,2.0015671642,1.5112686567
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,33,86.31,21.537272727,15.527878788,12.482424242
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,257.82,32.884166667,19.75,18.851666667
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,43,492.24139535,92.367209302,68.384186047,51.880465116
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6300714286,7.3791785714,7.3791785714
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2487,0.5452352232,0.0468797748,0.0367551267,0.0367551267
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,930,1.0132258065,0.2192580645,0.1718602151,0.1718602151
1013278944,AVAGYAN,JULETTA,,M.D.,F,I,1 MEMORIAL DR,,ALTON,IL,62002,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,86.307692308,33,25.87,25.87
1013279215,MALIK,ROBIN,,M.D.,F,I,9228 MEDICAL PLAZA DR,,CHARLESTON,SC,294069125,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,58,58,47.555344828,17.10862069,12.492413793,12.609827586
1013279215,MALIK,ROBIN,,M.D.,F,I,9228 MEDICAL PLAZA DR,,CHARLESTON,SC,294069125,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,25.980714286,5.4007142857,4.2314285714,3.74
1013279215,MALIK,ROBIN,,M.D.,F,I,9228 MEDICAL PLAZA DR,,CHARLESTON,SC,294069125,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,74,74,267.62594595,74.060540541,54.83,51.804054054
1013279215,MALIK,ROBIN,,M.D.,F,I,9228 MEDICAL PLAZA DR,,CHARLESTON,SC,294069125,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,60,38.78,30.4,29.578461538
1013279371,CONRAD,NIKOLA,C,M.D.,F,I,21400 E 11 MILE RD,,SAINT CLAIR SHORES,MI,480811566,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,51,49.945882353,8.32,6.3947058824,6.3947058824
1013279439,KUHN,SARAH,M,MD,F,I,701 GROVE RD FL 5,,GREENVILLE,SC,296054210,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,28.06,17,13.33,13.5225
1013279504,ABDALLA,PETER,,DO,M,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,86.31,22.325652174,16.853043478,12.966956522
1013279504,ABDALLA,PETER,,DO,M,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,520.64586207,103.1137931,79.424137931,53.771034483
1013279504,ABDALLA,PETER,,DO,M,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,109.7,43.935,28.970833333,24.595833333
1013279918,REESE,EDWARD,D,M.D.,M,I,983075 NEBRASKA MEDICAL CTR,,OMAHA,NE,681983075,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,522.37882353,71.835294118,56.313529412,55.065294118
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,50,117,65.378376068,8.32,6.0764102564,6.0764102564
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,14,16.840714286,1.42,1.0371428571,1.0371428571
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,101.58882353,38.5,30.18,30.453529412
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,202.4,86.92,68.15,67.9
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,30,39,76.251025641,33.06,25.255384615,25.255384615
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,33,92.096969697,22.950909091,15.641212121,12.161212121
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,187.51692308,60.676923077,47.321538462,42.700769231
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,51.64125,18.770625,14.71125,14.06
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,22,108,7.9294444444,2.2016666667,1.7260185185,1.5859259259
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,24,74.7325,17.69,13.87,13.544166667
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,23,33.12,13.32,10.45,10.465652174
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,44.462307692,4.75,3.4646153846,3.4646153846
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,39,44,126.30727273,32.165,24.690909091,24.771363636
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,40,429.657,69.99,53.2475,53.1145
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,5940,0.1368097643,0.0462777778,0.0362811448,0.0362811448
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1200,1.5796166667,0.1384,0.0843333333,0.0843333333
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,600,5.25425,3.1306,2.3546,2.3546
1013279967,LUETKEMEYER,CRAIG,A,M.D.,M,I,1014 MADISON ST,,JEFFERSON CITY,MO,651013458,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,23,23,42.597826087,33,23.620434783,23.620434783
1013280031,SPIVEY,KIMBERLY,N,FNP,F,I,51 11TH AVE,,AYNOR,SC,295113249,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,30,90,44.507444444,8.32,6.2595555556,6.2595555556
1013280031,SPIVEY,KIMBERLY,N,FNP,F,I,51 11TH AVE,,AYNOR,SC,295113249,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,26,5.7934615385,1.42,1.1161538462,1.1161538462
1013280031,SPIVEY,KIMBERLY,N,FNP,F,I,51 11TH AVE,,AYNOR,SC,295113249,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,60.103636364,11.54,7.4045454545,7.4736363636
1013280031,SPIVEY,KIMBERLY,N,FNP,F,I,51 11TH AVE,,AYNOR,SC,295113249,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,8.0788888889,2.01,1.3138888889,1.3297222222
1013280031,SPIVEY,KIMBERLY,N,FNP,F,I,51 11TH AVE,,AYNOR,SC,295113249,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,37.36,17.29,13.55,13.53
1013280031,SPIVEY,KIMBERLY,N,FNP,F,I,51 11TH AVE,,AYNOR,SC,295113249,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225.3,70.23,55.06,54.72
1013280643,SCHROEDER,JODI,A,APRN,F,I,1990 DOVER RD,SUITE 201,EPSOM,NH,032344146,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,37,47.000540541,8.32,5.4643243243,5.4643243243
1013280916,LEID,MONICA,R,PA-C,F,I,3421 BENSON AVE,SUITE 210,BALTIMORE,MD,212271056,US,Physician Assistant,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,199,64.23,47.203125,56.2225
1013281476,WIJESINGHE,EKMINI,,MD,F,I,835 S VAN BUREN ST,ST VINCENT HOSPITAL,GREEN BAY,WI,543013526,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,32,60.07625,16.45625,12.4978125,13.0746875
1013281476,WIJESINGHE,EKMINI,,MD,F,I,835 S VAN BUREN ST,ST VINCENT HOSPITAL,GREEN BAY,WI,543013526,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,3.2727272727,2.1381818182,3.3036363636
1013281476,WIJESINGHE,EKMINI,,MD,F,I,835 S VAN BUREN ST,ST VINCENT HOSPITAL,GREEN BAY,WI,543013526,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,31,294.82709677,70.75483871,55.133870968,54.463548387
1013281476,WIJESINGHE,EKMINI,,MD,F,I,835 S VAN BUREN ST,ST VINCENT HOSPITAL,GREEN BAY,WI,543013526,US,Physician/Internal Medicine,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3750,2716.2133333,2129.5116667,2129.5116667
1013281609,THOMAS,JEFF,R,P.A.,M,I,4200 STOCKTON DR,,NORTH LITTLE ROCK,AR,721172915,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,35,4200,0.39,0.13,0.1019214286,0.1019214286
1013281609,THOMAS,JEFF,R,P.A.,M,I,4200 STOCKTON DR,,NORTH LITTLE ROCK,AR,721172915,US,Physician Assistant,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,18,13.8,10.82,10.82
1013281609,THOMAS,JEFF,R,P.A.,M,I,4200 STOCKTON DR,,NORTH LITTLE ROCK,AR,721172915,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,35,6840,3.9424385965,1.92,1.495502924,1.5875087719
1013281609,THOMAS,JEFF,R,P.A.,M,I,4200 STOCKTON DR,,NORTH LITTLE ROCK,AR,721172915,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,39,5580,9.7091935484,6.1466129032,4.8189336918,5.5772849462
1013281609,THOMAS,JEFF,R,P.A.,M,I,4200 STOCKTON DR,,NORTH LITTLE ROCK,AR,721172915,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,15,7.46,5.85,5.85
1013282201,COCHARD,EMILY,J,MD,F,I,8330 NAAB RD STE 340,,INDIANAPOLIS,IN,462602279,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,364.32,79.96,62.69,56.056666667
1013282987,ROBINSON,LARISSA,,CRNP,F,I,2201 N AIRPORT RD,,JASPER,AL,355047058,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,34,102,36.612254902,8.32,5.1154901961,5.1154901961
1013282987,ROBINSON,LARISSA,,CRNP,F,I,2201 N AIRPORT RD,,JASPER,AL,355047058,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,31,49,12.115714286,1.42,0.8881632653,0.8881632653
1013282987,ROBINSON,LARISSA,,CRNP,F,I,2201 N AIRPORT RD,,JASPER,AL,355047058,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,28,40.642857143,6.3335714286,4.4617857143,3.4460714286
1013282987,ROBINSON,LARISSA,,CRNP,F,I,2201 N AIRPORT RD,,JASPER,AL,355047058,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,3982,0.2816725264,0.0461727775,0.0334354596,0.0334354596
1013282987,ROBINSON,LARISSA,,CRNP,F,I,2201 N AIRPORT RD,,JASPER,AL,355047058,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,93.5,33,25.87,25.87
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,48,71.43625,71.43625,46.476666667,46.58125
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,29.113076923,29.113076923,22.82474359,22.886666667
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,31.8,16.849166667,13.208333333,9.44
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,163.53333333,73.500555556,57.627777778,44.555
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,65.357333333,21,13.479333333,11.626666667
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,46.026923077,5.2676923077,3.3523076923,2.6538461538
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,27,480.99555556,96.337777778,67.626666667,50.19962963
1013283209,WILSON,MEGAN,B,D.O.,F,I,309 N 14TH ST,,OKEMAH,OK,748592028,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,692.66923077,181.22,134.52076923,113.57384615
1013283407,SHEHAN,MARIA,L,PA,F,I,321 N HIGHLAND,SUITE 200,SHERMAN,TX,75092,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,112.36363636,30.713636364,19.228181818,19.236363636
1013283449,MCDANIEL,RENNY,T,"M.D., M.P.H.",M,I,15 S 1000 E STE 100,,PAYSON,UT,846515592,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,28,116,47.722155172,8.32,5.6799137931,5.6799137931
1013283449,MCDANIEL,RENNY,T,"M.D., M.P.H.",M,I,15 S 1000 E STE 100,,PAYSON,UT,846515592,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,47,15.374468085,1.42,1.0185106383,1.0185106383
1013283449,MCDANIEL,RENNY,T,"M.D., M.P.H.",M,I,15 S 1000 E STE 100,,PAYSON,UT,846515592,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55.545454545,26.185454545,18.783636364,11.909090909
1013283464,ELEY,MILISSA,A,,F,I,333 S MADISON ST,,MUNCIE,IN,473052465,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,19,195.11578947,32.453157895,22.898421053,22.14
1013283464,ELEY,MILISSA,A,,F,I,333 S MADISON ST,,MUNCIE,IN,473052465,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2612,0.174881317,0.0455819296,0.0357274119,0.0357274119
1013283464,ELEY,MILISSA,A,,F,I,333 S MADISON ST,,MUNCIE,IN,473052465,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,112.2,33,25.87,25.87
1013284702,CHAN,STACY,S,M.D.,F,I,8700 BEVERLY BLVD,,WEST HOLLYWOOD,CA,900481804,US,Student in an Organized Health Care Education/Training Program,T,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,11.4,2.85,1.6725,1.6916666667
1013285097,BELYKH,ELENA,,MD,F,I,6325 HOSPITAL PKWY,,JOHNS CREEK,GA,300975775,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,28,53.928214286,17.25,11.588571429,11.608571429
1013285097,BELYKH,ELENA,,MD,F,I,6325 HOSPITAL PKWY,,JOHNS CREEK,GA,300975775,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,39,377.14461538,75.56,51.697948718,47.828974359
1013285097,BELYKH,ELENA,,MD,F,I,6325 HOSPITAL PKWY,,JOHNS CREEK,GA,300975775,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,36.25,26.051666667,27.073333333
1013285386,KELLEY,MICHAEL,J,PA-C,M,I,1 TROWBRIDGE RD,SUITE 100,BOURNE,MA,025323660,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,78.68625,8.32,4.89,4.89
1013285386,KELLEY,MICHAEL,J,PA-C,M,I,1 TROWBRIDGE RD,SUITE 100,BOURNE,MA,025323660,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,50.73,4.4155555556,3.1196296296,3.2955555556
1013285618,EVANSON,EVEN,R,PA-C,M,I,3841 PIPER ST,SUITE T-100,ANCHORAGE,AK,995084624,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,22.4775,17.620833333,13.53
1013285618,EVANSON,EVEN,R,PA-C,M,I,3841 PIPER ST,SUITE T-100,ANCHORAGE,AK,995084624,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,395,109.72733333,86.027333333,54.73
1013285618,EVANSON,EVEN,R,PA-C,M,I,3841 PIPER ST,SUITE T-100,ANCHORAGE,AK,995084624,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,300,46.022307692,36.083846154,29.518461538
1013286020,BROWN,KIMBERLY,J,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,29,80,169,59.367751479,8.32,5.4820710059,5.4820710059
1013286020,BROWN,KIMBERLY,J,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,29,14.365172414,1.42,1,1
1013286020,BROWN,KIMBERLY,J,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,27,83.270740741,22.313333333,15.11037037,11.748518519
1013286020,BROWN,KIMBERLY,J,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,55,344.45181818,99.261090909,69.271090909,48.937636364
1013286020,BROWN,KIMBERLY,J,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,689,2.0876342525,0.1327140784,0.1002612482,0.1002612482
1013286020,BROWN,KIMBERLY,J,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,8.3707948718,3.1047692308,2.4341666667,2.4341666667
1013286020,BROWN,KIMBERLY,J,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,30,30,33,33,22.420666667,22.420666667
1013286269,MANGANELLO,JENNIFER,L,NP,F,I,407 S SCHWARTZ AVE,SUITE 101,FARMINGTON,NM,87401,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,71.543684211,23.384736842,18.331578947,13.846842105
1013286269,MANGANELLO,JENNIFER,L,NP,F,I,407 S SCHWARTZ AVE,SUITE 101,FARMINGTON,NM,87401,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,459.34043478,102.46782609,75.64826087,51.818695652
1013286855,BATTISTA,AMANDA,J,PA,F,I,100 E 77TH ST,,NEW YORK,NY,100751850,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,30,30,30,154,42.882666667,30.251,33.158333333
1013287002,MERRILL,JONAS,,PA-C,M,I,12252 WILLIAMS RD SE,,CUMBERLAND,MD,215027960,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,19,77,141,124.03304965,8.32,5.9495035461,5.9495035461
1013287002,MERRILL,JONAS,,PA-C,M,I,12252 WILLIAMS RD SE,,CUMBERLAND,MD,215027960,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,29,33.526551724,1.42,1.0006896552,1.0006896552
1013287002,MERRILL,JONAS,,PA-C,M,I,12252 WILLIAMS RD SE,,CUMBERLAND,MD,215027960,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,39,2520,4.9791428571,0.1329047619,0.0890396825,0.0890396825
1013287002,MERRILL,JONAS,,PA-C,M,I,12252 WILLIAMS RD SE,,CUMBERLAND,MD,215027960,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,30,30,33,33,22.420666667,22.420666667
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,480,5.5158333333,5.218625,3.9791666667,3.988125
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,25,10.1684,8.2512,6.4696,6.4296
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,13,4.0984615385,3.66,2.87,3.3015384615
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,44,5080,3.4376496063,2.8,2.1861614173,2.1861614173
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1845,5.7355176152,3.23,2.5323306233,2.5323306233
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,231,6.3253246753,3.81,2.5603463203,2.5603463203
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,6,,39,977,55.388495394,3.6342579324,2.8492937564,2.3829989765
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,7,,48,23499,1.0959866377,0.3554266139,0.2786535597,0.2427162858
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,60,38.65,28.135714286,28.135714286
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,29.5,5.16,3.7183333333,3.6291666667
1013287101,DZIEGIELEWSKI,PETER,T,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,E1700,Jaw motion rehabilitation system,D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,48.55,31.295675676,23.92027027,23.92027027
1013287820,MUKHERJEE-CLAVIN,BIPASHA,,"MD, PHD",F,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Student in an Organized Health Care Education/Training Program,T,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,45.885,35.973333333,37.196666667
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,56,59.122321429,8.32,6.0294642857,6.0294642857
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,30,8.925,2.1066666667,1.65,1.15
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,61,63,94.076825397,22.782380952,17.386031746,13.409206349
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,4828.8,1074.31,842.26,842.26
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,34,34,51.451470588,8.6011764706,6.2082352941,3.7294117647
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,67,71,564.61380282,102.98985915,75.350140845,51.4
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1110,15.58,9.6212702703,7.4138108108,7.4138108108
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2424,0.1857838284,0.0438036304,0.034339934,0.034339934
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,2220,0.8867567568,0.1370945946,0.1037927928,0.1037927928
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,30,1770,12.86,3.0624067797,2.3259548023,2.3259548023
1013288687,BUYCKS,RHEA,M,PA-C,F,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,43,43,127.39534884,33,25.87,25.87
1013290162,SEPTER,MICHELLE,D,FNP-BC,F,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197182200,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,22.4775,15.134166667,11.275
1013290162,SEPTER,MICHELLE,D,FNP-BC,F,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197182200,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,102.61833333,70.985833333,45.680833333
1013290162,SEPTER,MICHELLE,D,FNP-BC,F,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197182200,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,150,15.939090909,12.497272727,13.495454545
1013290162,SEPTER,MICHELLE,D,FNP-BC,F,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197182200,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,38.1,7.48,5.8627272727,6.3454545455
1013290816,BIRD,SHAWNA,L,,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,66,66.934090909,8.32,6.5225757576,6.5225757576
1013290816,BIRD,SHAWNA,L,,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,34,4.85,3.5925,3.58875
1013290816,BIRD,SHAWNA,L,,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,120.265,56.236875,44.08875,37.03
1013291046,DAVIDSON-BELL,VICTORIA,A,APN,F,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,73.055555556,24.106111111,18.896111111,15.957222222
1013291277,MCDOWELL,JESSICA,,,F,I,2900 W OKLAHOMA AVE,,MILWAUKEE,WI,532154330,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,92.4,30.099090909,20.506363636,20.506363636
1013291277,MCDOWELL,JESSICA,,,F,I,2900 W OKLAHOMA AVE,,MILWAUKEE,WI,532154330,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,489.3,69.81,44.779090909,44.779090909
1013291350,RICHARD,SHELLY,S,"ANP,C",F,I,501 W SAINT MARY BLVD STE 200,,LAFAYETTE,LA,705064665,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,31,8.6438709677,1.8532258065,1.3780645161,1.0761290323
1013291350,RICHARD,SHELLY,S,"ANP,C",F,I,501 W SAINT MARY BLVD STE 200,,LAFAYETTE,LA,705064665,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,726.68333333,830.30416667
1013291475,HOFFMAN,RUTH,A,PA-C,F,I,2251 CONNECTICUT AVE S,,SARTELL,MN,56377,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,66,61.16030303,8.32,5.0409090909,5.0409090909
1013291475,HOFFMAN,RUTH,A,PA-C,F,I,2251 CONNECTICUT AVE S,,SARTELL,MN,56377,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,17,22.401764706,1.42,0.7870588235,0.7870588235
1013291475,HOFFMAN,RUTH,A,PA-C,F,I,2251 CONNECTICUT AVE S,,SARTELL,MN,56377,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,712.286,71.69,56.202,56.099333333
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,36,88,62.160113636,8.32,5.4836363636,5.4836363636
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,20,13.0865,1.42,1.062,1.062
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,68.610909091,38.89,29.688181818,29.688181818
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,9.2728,2.03,1.5922,1.5922
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.27,12.309090909,12.309090909
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,47.710526316,11.902105263,8.1115789474,8.1384210526
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,4.77,3.745,3.5825
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,190.76114286,32.592285714,22.789428571,22.240285714
1013291715,MOY,SHARON,L,D.O,F,I,1300 FRANKLIN AVE,SUITE 100,NORMAL,IL,617613592,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,69.81,51.068461538,51.068461538
1013291756,JONES,LINDSEY,E,"MHS, PA-C",F,I,1000 BOULDERS PKWY,SUITE 200,NORTH CHESTERFIELD,VA,232255545,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,37.168571429,17.407857143,13.328571429,13.310714286
1013291756,JONES,LINDSEY,E,"MHS, PA-C",F,I,1000 BOULDERS PKWY,SUITE 200,NORTH CHESTERFIELD,VA,232255545,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,89,89,1861.8517978,1072.3725843,834.3147191,835.80123596
1013291756,JONES,LINDSEY,E,"MHS, PA-C",F,I,1000 BOULDERS PKWY,SUITE 200,NORTH CHESTERFIELD,VA,232255545,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,22,37.535,4.6940909091,3.6859090909,3.8168181818
1013291756,JONES,LINDSEY,E,"MHS, PA-C",F,I,1000 BOULDERS PKWY,SUITE 200,NORTH CHESTERFIELD,VA,232255545,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,57,57,247.34807018,78.887719298,60.268947368,55.004035088
1013291822,SCOTT,ERIN,C,PA-C,F,I,200 HAWKINS DR,"DEPARTMENT OF FAMILY MEDICINE, OFFICE # 01286-B",IOWA CITY,IA,522421009,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,332.64708333,69.99,50.2975,50.175
1013292192,FERGUSON,KELLY,A,A.R.N.P.,F,I,EMILE @ 42ND ST,,OMAHA,NE,68198,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,3090,3.0419546926,0.559592233,0.4101423948,0.4101423948
1013292192,FERGUSON,KELLY,A,A.R.N.P.,F,I,EMILE @ 42ND ST,,OMAHA,NE,68198,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1980,3.8911919192,1.4360909091,1.1259090909,1.1259090909
1013292192,FERGUSON,KELLY,A,A.R.N.P.,F,I,EMILE @ 42ND ST,,OMAHA,NE,68198,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,24,24,17.964545455,17.964545455
1013292192,FERGUSON,KELLY,A,A.R.N.P.,F,I,EMILE @ 42ND ST,,OMAHA,NE,68198,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,21,16,16,12.54,12.54
1013292564,ROSSITER,MEGAN,L,PA-C,F,I,4692 BROWNSBORO RD,,WINSTON SALEM,NC,271063410,US,Physician Assistant,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,30,165,58.759333333,46.067,38.546666667
1013292564,ROSSITER,MEGAN,L,PA-C,F,I,4692 BROWNSBORO RD,,WINSTON SALEM,NC,271063410,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,65,69,55,23.220434783,17.895797101,14.384782609
1013292564,ROSSITER,MEGAN,L,PA-C,F,I,4692 BROWNSBORO RD,,WINSTON SALEM,NC,271063410,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,63,68,22,9.3954411765,7.2402941176,6.6557352941
1013292952,CARLSON,LAUREN,,"NP-C, ARNP",F,I,205 MAIN ST,,AUMSVILLE,OR,973259018,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,49,65.805918367,8.32,6.0616326531,6.0616326531
1013292952,CARLSON,LAUREN,,"NP-C, ARNP",F,I,205 MAIN ST,,AUMSVILLE,OR,973259018,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,20,3.91,2.3571428571,2.800952381
1013293422,COONS,CHRISTOPHER,S,D.O.,M,I,101 W 8TH AVE,,SPOKANE,WA,992042307,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,451,8.28,8.28,6.4914855876,6.4914855876
1013293422,COONS,CHRISTOPHER,S,D.O.,M,I,101 W 8TH AVE,,SPOKANE,WA,992042307,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,17.09,12.181818182,12.304545455
1013293422,COONS,CHRISTOPHER,S,D.O.,M,I,101 W 8TH AVE,,SPOKANE,WA,992042307,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,332.81181818,65.7,46.827272727,49.461818182
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,23,50,4.8708,2.0232,1.5864,1.26
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,25,175,178,53.639325843,22.804775281,17.038988764,13.694157303
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,42,42,1620.8204762,1074.31,838.84404762,838.84404762
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,12,79,79,23.494177215,8.3535443038,6.3950632911,4.3437974684
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,46,332,344,298.41244186,106.07994186,79.775406977,57.221017442
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,51,156.07529412,45.340588235,34.905098039,30.388431373
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2520,2.3215357143,0.0782380952,0.0613412698,0.0613412698
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,63,7740,2.0803604651,0.136248062,0.1057790698,0.1057790698
1013294164,ELGARIED,YOUSOF,E,MBBS,M,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,71,71,49.732394366,33,25.505633803,25.505633803
1013294198,WILSON,ELIZABETH,M,FNP-BC,F,I,18947 JOHN J WILLIAMS HWY,,REHOBOTH BEACH,DE,199714474,US,Nurse Practitioner,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,70,602.09328571,326.82,256.22728571,256.22728571
1013294198,WILSON,ELIZABETH,M,FNP-BC,F,I,18947 JOHN J WILLIAMS HWY,,REHOBOTH BEACH,DE,199714474,US,Nurse Practitioner,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,70,53.132,9.35,7.33,7.33
1013294198,WILSON,ELIZABETH,M,FNP-BC,F,I,18947 JOHN J WILLIAMS HWY,,REHOBOTH BEACH,DE,199714474,US,Nurse Practitioner,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,70,155.42114286,29.22,22.908571429,22.908571429
1013294941,ASHLEY,MATT,S,M.D.,M,I,2090 NE WYATT CT STE 101,,BEND,OR,977017691,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,86,9613,0.39,0.13,0.0931270155,0.0931270155
1013294941,ASHLEY,MATT,S,M.D.,M,I,2090 NE WYATT CT STE 101,,BEND,OR,977017691,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,820,2.6584146341,2.27,1.7189146341,1.7189146341
1013294941,ASHLEY,MATT,S,M.D.,M,I,2090 NE WYATT CT STE 101,,BEND,OR,977017691,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,102,12186,4.8998563926,2.0033677991,1.4804833415,1.5091982603
1013294941,ASHLEY,MATT,S,M.D.,M,I,2090 NE WYATT CT STE 101,,BEND,OR,977017691,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,71,7362,9.8045232274,7.23,5.6369559902,5.6369559902
1013294941,ASHLEY,MATT,S,M.D.,M,I,2090 NE WYATT CT STE 101,,BEND,OR,977017691,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,68,12.243970588,6.58,5.0067647059,5.4372058824
1013294941,ASHLEY,MATT,S,M.D.,M,I,2090 NE WYATT CT STE 101,,BEND,OR,977017691,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,120,2.083,1.8,1.4108333333,1.4108333333
1013295047,SEEPANA,VIJAYA,,MD,F,I,4101 MEDICAL CENTER DR,,FAYETTEVILLE,NY,130666600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,26,70,70.622571429,8.32,5.4967142857,5.4967142857
1013295179,ALQAQA,ASHRAF,Y,MD,M,I,143 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,116,46.512,33.408666667,23.481333333
1013295468,MOSQUERA,ALEJANDRO,R,M.D.,M,I,9555 SW 162ND AVE,,MIAMI,FL,331966408,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,13.6425,5.9755,4.4695,3.547
1013295468,MOSQUERA,ALEJANDRO,R,M.D.,M,I,9555 SW 162ND AVE,,MIAMI,FL,331966408,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,68.333333333,44.6875,35.035,36.2275
1013295534,AL-JAGHBEER,MOHAMMED,,,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,42.268461538,5.57,3.0253846154,2.34
1013295534,AL-JAGHBEER,MOHAMMED,,,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,38,604.72236842,85.668947368,63.591052632,53.793684211
1013295534,AL-JAGHBEER,MOHAMMED,,,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,18,250,36,28.22,29.008333333
1013295534,AL-JAGHBEER,MOHAMMED,,,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,29.605833333,25.193333333
1013295831,JOHN,MELISSA,,M.D.,F,I,1650 HUNTINGDON PIKE,STE. 156,MEADOWBROOK,PA,190468004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,41,104,67.920384615,8.32,5.2446153846,5.2446153846
1013295831,JOHN,MELISSA,,M.D.,F,I,1650 HUNTINGDON PIKE,STE. 156,MEADOWBROOK,PA,190468004,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,19,27,15.191111111,1.42,0.9511111111,0.9511111111
1013295880,LEWIS,KATHY,L,NP,F,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,52,80,146,701,70.968402282,8.32,5.9770613409,5.9770613409
1013295880,LEWIS,KATHY,L,NP,F,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,19,34,80,17.729125,1.42,1.0435,1.0435
1013295880,LEWIS,KATHY,L,NP,F,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,18,62,63,343.18301587,251.11,196.87,196.87
1013295880,LEWIS,KATHY,L,NP,F,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,386.95117647,250.92,196.73,206.49
1013296052,DEESE,KAREN,F,FNP-C,F,I,1400 20TH AVE STE D,,MERIDIAN,MS,39301,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,19.8,8.571875,6.719375,4.035
1013296169,LEGER,NICOLE,M,N.P.,F,I,54 COURT ST,,TAUNTON,MA,027803201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,42,70.80452381,8.32,6.2114285714,6.2114285714
1013296169,LEGER,NICOLE,M,N.P.,F,I,54 COURT ST,,TAUNTON,MA,027803201,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,50.73,3.6857142857,2.2828571429,2.8835714286
1013296169,LEGER,NICOLE,M,N.P.,F,I,54 COURT ST,,TAUNTON,MA,027803201,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2343,0.22342723,0.0458130602,0.0288305591,0.0288305591
1013296169,LEGER,NICOLE,M,N.P.,F,I,54 COURT ST,,TAUNTON,MA,027803201,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,21.166363636,21.166363636
1013296292,KAMEL,KAMAL,,MD,M,I,1086 FRANKLIN ST,,JOHNSTOWN,PA,159054305,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,35.144615385,21.530769231,13.89,10.756153846
1013296292,KAMEL,KAMAL,,MD,M,I,1086 FRANKLIN ST,,JOHNSTOWN,PA,159054305,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,26.666666667,6.1616666667,3.0722222222,2.395
1013296292,KAMEL,KAMAL,,MD,M,I,1086 FRANKLIN ST,,JOHNSTOWN,PA,159054305,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,202.14285714,98.917142857,64.745,45.894285714
1013296722,MARQUIS,DALLAS,R,PA-C,M,I,1012 UNION ST,,BANGOR,ME,044013060,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,32,54.245,8.32,6.1125,6.1125
1013296722,MARQUIS,DALLAS,R,PA-C,M,I,1012 UNION ST,,BANGOR,ME,044013060,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,22.858333333,6.4627777778,3.6522222222,2.1277777778
1013296722,MARQUIS,DALLAS,R,PA-C,M,I,1012 UNION ST,,BANGOR,ME,044013060,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,274.56,69.62,45.491666667,45.64
1013296771,KODLIPET JAGADEESH,KAVYASHRI,,MD,F,I,37399 GARFIELD RD STE 106,,CLINTON TWP,MI,480363672,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,44,104,67.216826923,8.32,5.8308653846,5.8308653846
1013296771,KODLIPET JAGADEESH,KAVYASHRI,,MD,F,I,37399 GARFIELD RD STE 106,,CLINTON TWP,MI,480363672,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,23,36,24.192222222,1.42,1.0502777778,1.0502777778
1013297118,SHTEIN,LYUDMILA,,DO,F,I,1068 CONEY ISLAND AVE,,BROOKLYN,NY,112302303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,66,56.229545455,8.32,4.6445454545,4.6445454545
1013297118,SHTEIN,LYUDMILA,,DO,F,I,1068 CONEY ISLAND AVE,,BROOKLYN,NY,112302303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,26,16.584615385,1.42,0.6876923077,0.6876923077
1013297118,SHTEIN,LYUDMILA,,DO,F,I,1068 CONEY ISLAND AVE,,BROOKLYN,NY,112302303,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,45,35.28,37.0425
1013297357,KAUR,RUPINDER,P,M.D.,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,347111979,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.36,11.663636364,12.39
1013297357,KAUR,RUPINDER,P,M.D.,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,347111979,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,266.07846154,79.2,56.093076923,49.299230769
1013297357,KAUR,RUPINDER,P,M.D.,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,347111979,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,105.625,18.19,14.26,13.1
1013297399,MAINALI,NABA RAJ,,MD,M,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,67.72,53.1,54.73
1013297399,MAINALI,NABA RAJ,,MD,M,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,38.72,30.36,29.52
1013298033,AKIN,MELISSA,D,NP,F,I,932 W IDAHO AVE,STE 100,ONTARIO,OR,979142155,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,43,156,59.887820513,8.32,5.9370512821,5.9370512821
1013298033,AKIN,MELISSA,D,NP,F,I,932 W IDAHO AVE,STE 100,ONTARIO,OR,979142155,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,26,10.311153846,1.42,1.0719230769,1.0719230769
1013298033,AKIN,MELISSA,D,NP,F,I,932 W IDAHO AVE,STE 100,ONTARIO,OR,979142155,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,63.758571429,24.94,19.55,19.55
1013298033,AKIN,MELISSA,D,NP,F,I,932 W IDAHO AVE,STE 100,ONTARIO,OR,979142155,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,40.050833333,31.358333333
1013298033,AKIN,MELISSA,D,NP,F,I,932 W IDAHO AVE,STE 100,ONTARIO,OR,979142155,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,353.99085714,103.76057143,81.351142857,76.278571429
1013298363,PRENTICE,DANIEL,R,PA-C,M,I,1514 W 23RD ST,,PANAMA CITY,FL,32405,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,12.34,9.6754545455,9.53
1013298363,PRENTICE,DANIEL,R,PA-C,M,I,1514 W 23RD ST,,PANAMA CITY,FL,32405,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.7027272727,3.6881818182,3.6854545455
1013298363,PRENTICE,DANIEL,R,PA-C,M,I,1514 W 23RD ST,,PANAMA CITY,FL,32405,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,257.82,32.76,22.015384615,21.578461538
1013298363,PRENTICE,DANIEL,R,PA-C,M,I,1514 W 23RD ST,,PANAMA CITY,FL,32405,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1800,0.92,0.1371,0.1014277778,0.1014277778
1013298363,PRENTICE,DANIEL,R,PA-C,M,I,1514 W 23RD ST,,PANAMA CITY,FL,32405,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,116.76923077,33,23.88,23.88
1013298413,ZIMBREK,ZVONIMIR,,A.R.N.P.,M,I,7928 WEST DR,APT 411,NORTH BAY VILLAGE,FL,331415552,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,28.636428571,18,13.102142857,12.613571429
1013298413,ZIMBREK,ZVONIMIR,,A.R.N.P.,M,I,7928 WEST DR,APT 411,NORTH BAY VILLAGE,FL,331415552,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,103.70142857,90.01,61.33,48.042857143
1013298629,CHOPRA,AMIT,,"M.D,",M,I,47 NEW SCOTLAND AVE,MAIL CODE 91,ALBANY,NY,122083412,US,Physician/Critical Care (Intensivists),S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,168,10.659285714,3,2.3517857143,2.7675
1013298629,CHOPRA,AMIT,,"M.D,",M,I,47 NEW SCOTLAND AVE,MAIL CODE 91,ALBANY,NY,122083412,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,31,83.724516129,17.209354839,13.490322581,13.635806452
1013298629,CHOPRA,AMIT,,"M.D,",M,I,47 NEW SCOTLAND AVE,MAIL CODE 91,ALBANY,NY,122083412,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,54,600.7937037,77.084444444,60.433888889,57.533148148
1013298629,CHOPRA,AMIT,,"M.D,",M,I,47 NEW SCOTLAND AVE,MAIL CODE 91,ALBANY,NY,122083412,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,214.21052632,41.75,31.007368421,28.973684211
1013298629,CHOPRA,AMIT,,"M.D,",M,I,47 NEW SCOTLAND AVE,MAIL CODE 91,ALBANY,NY,122083412,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,33,33,25.87,25.87
1013299627,DALPRAT,JOSE,R,D.O.,M,I,6025 N FIGUEROA ST STE B,,LOS ANGELES,CA,900421365,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,71,64.475211268,8.32,5.9136619718,5.9136619718
1013299627,DALPRAT,JOSE,R,D.O.,M,I,6025 N FIGUEROA ST STE B,,LOS ANGELES,CA,900421365,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,21,16.222380952,1.42,0.9028571429,0.9028571429
1013300490,LEE,ALICE,,,F,I,2701 DEKALB PIKE,,NORRISTOWN,PA,194011820,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,353.6625,82,64.29,56.323333333
1013300839,ELCHAMI,FAHED,N,DPM,M,I,6000 N ALLEN RD,,PEORIA,IL,616143294,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,92.19,72.611538462,56.926923077,62.615384615
1013300839,ELCHAMI,FAHED,N,DPM,M,I,6000 N ALLEN RD,,PEORIA,IL,616143294,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,95,96,96,319.75,251.44354167,195.29885417,215.46458333
1013300896,ANDERSON,STACEY,M,APRN,F,I,107 S BROADWAY ST,,CARLISLE,KY,403111150,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,32,59.320625,8.32,5.7475,5.7475
1013300896,ANDERSON,STACEY,M,APRN,F,I,107 S BROADWAY ST,,CARLISLE,KY,403111150,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,25.354545455,1.42,1.0181818182,1.0181818182
1013300896,ANDERSON,STACEY,M,APRN,F,I,107 S BROADWAY ST,,CARLISLE,KY,403111150,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,102.08,80.032857143,54.73
1013301076,MUONG,JENNIFER,S,,F,I,216 W 10TH AVE STE 204,,KENNEWICK,WA,993366304,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,23,74.193913043,8.32,4.8239130435,4.8239130435
1013301191,KADITZ,EMILY,,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Student in an Organized Health Care Education/Training Program,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4706.98,1074.31,842.26,842.26
1013301290,GOITIA,JESSE,J,M.D.,M,I,4150 V ST # 1110,,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,50,115.9012,8.32,6.2618,6.2618
1013301407,FOFANA,OLITHA,J,AGPCNP-BC,F,I,10911 RHODE ISLAND CIR N,,CHAMPLIN,MN,553163256,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,77.261851852,19.066666667,14.451481481,14.078148148
1013301407,FOFANA,OLITHA,J,AGPCNP-BC,F,I,10911 RHODE ISLAND CIR N,,CHAMPLIN,MN,553163256,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,31.813913043,8.8291304348,6.6382608696,6.3926086957
1013301563,BRODY,HEATHER,,,F,I,1500 OGLETHORPE AVE,BUILDING 200D,ATHENS,GA,306062179,US,Student in an Organized Health Care Education/Training Program,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,75,20.040454545,15.708181818,13.803636364
1013301563,BRODY,HEATHER,,,F,I,1500 OGLETHORPE AVE,BUILDING 200D,ATHENS,GA,306062179,US,Student in an Organized Health Care Education/Training Program,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1500,1074.31,830.30416667,830.30416667
1013301563,BRODY,HEATHER,,,F,I,1500 OGLETHORPE AVE,BUILDING 200D,ATHENS,GA,306062179,US,Student in an Organized Health Care Education/Training Program,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,19.73,6.1676190476,4.8352380952,4.8342857143
1013301563,BRODY,HEATHER,,,F,I,1500 OGLETHORPE AVE,BUILDING 200D,ATHENS,GA,306062179,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,300,87.623181818,68.697727273,56.565909091
1013301589,SHARGORODSKAYA,RUSLANA,,,F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,5760,4.9782048611,0.5566631944,0.4100590278,0.4100590278
1013301589,SHARGORODSKAYA,RUSLANA,,,F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,37,16,16,11.184324324,11.184324324
1013302579,HUANG,MATTHEW,,,M,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197182200,US,Student in an Organized Health Care Education/Training Program,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.88,15.75,12.35,13.54
1013302579,HUANG,MATTHEW,,,M,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197182200,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,230,74,58.02,54.73
1013302645,IRIZARRY GATELL,VIVIAN,,,F,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25.95,3.8426666667,3.008,3.5206666667
1013303411,KIM,CHRISTOPHER,,"B.SC., M.D.",M,I,3635 VISTA AVENUE,"DEPARTMENT OF ORTHOPEDIC SURGERY, 7TH FL DESLOGE TOWER",ST. LOUIS,MO,63110,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,100.75,81.8575,63.768333333,63.768333333
1013303692,THESING,CLAIRE,E,,F,I,7037 S STONY ISLAND AVE,,CHICAGO,IL,60649,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,16.08,16.08,11.55,12.5
1013303692,THESING,CLAIRE,E,,F,I,7037 S STONY ISLAND AVE,,CHICAGO,IL,60649,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.18,77.18,55.4675,50.16
1013303932,VU,JULIA,,MD,F,I,1900 10TH AVE,,COLUMBUS,GA,319013600,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,29,7.725,5.2475,3.0033333333
1013304526,MCGLAMERY,ZOE,,,F,I,147 WESTBROOK RD,,ESSEX,CT,064261512,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,60,33,25.87,25.87
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,11,29,29,485.55724138,94.198965517,62.135862069,57.846896552
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,11,30,84,181.98214286,35.425238095,24.653809524,23.338809524
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,306.49,64.04,45.924545455,41.291818182
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,25,25,92.2004,19.7144,14.2832,13.3104
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,32,32,103.2003125,13.949375,10.0578125,8.964375
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,21,48,282,13.68212766,2.2793617021,1.6710283688,1.5384042553
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,22,31,31,34.356774194,6.7977419355,5.174516129,4.6212903226
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,12,15,15,51.114666667,13.087333333,9.598,9.6826666667
1013305283,MORTENSEN,BRUCE,A,PA,M,I,2000 S THOMPSON ST,,FLAGSTAFF,AZ,860018759,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,478.55310345,71.882758621,47.097586207,45.662413793
1013305895,GOODMAN,AMBER,,PA-C,F,I,1001 TOWSON AVE,,FORT SMITH,AR,729014921,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,28,34.240714286,3.7560714286,2.9478571429,3.7925
1013305895,GOODMAN,AMBER,,PA-C,F,I,1001 TOWSON AVE,,FORT SMITH,AR,729014921,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,198.95333333,71,55.66,54.73
1013306067,WOODS,AMY,C,CRNP,F,I,1369A GEORGE WALLACE HWY,,RUSSELLVILLE,AL,356543281,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,27,53.734814815,8.32,4.8311111111,4.8311111111
1013306067,WOODS,AMY,C,CRNP,F,I,1369A GEORGE WALLACE HWY,,RUSSELLVILLE,AL,356543281,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,2880,0.8575,0.1353541667,0.0947638889,0.0947638889
1013306067,WOODS,AMY,C,CRNP,F,I,1369A GEORGE WALLACE HWY,,RUSSELLVILLE,AL,356543281,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,122.1,33,23.764,23.764
1013306166,GRUSH,ANARIZA,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,36,63.376388889,8.32,3.0802777778,3.0802777778
1013306166,GRUSH,ANARIZA,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,74.307692308,17.27,13.54,13.54
1013306166,GRUSH,ANARIZA,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,475,71.504827586,53.267758621,51.901034483
1013306166,GRUSH,ANARIZA,,,F,I,1001 W BROADWAY,,FARMINGTON,NM,874015638,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,100.15789474,38.399473684,28.240526316,27.624736842
1013306455,MILLER,CLEMENTINE,,ADULT NP,F,I,1205 TROY SCHENECTADY RD STE 101,,LATHAM,NY,121101074,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,23,75.597826087,8.32,5.1060869565,5.1060869565
1013306547,TYUS,BRITTNEY,,NP-C,F,I,509 WHEAT AVE,,BAINBRIDGE,GA,398194321,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,21,44,81.697727273,8.32,6.4438636364,6.4438636364
1013306547,TYUS,BRITTNEY,,NP-C,F,I,509 WHEAT AVE,,BAINBRIDGE,GA,398194321,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,179.46,72.028181818,49.48,34.214545455
1013306547,TYUS,BRITTNEY,,NP-C,F,I,509 WHEAT AVE,,BAINBRIDGE,GA,398194321,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,52,52,28.383846154,7.2196153846,5.3332692308,3.5092307692
1013308352,MCCHESSNEY,ANGELA,,NP,F,I,2600 N DETROIT ST,,LAGRANGE,IN,467611154,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,306.84,47.597692308,34.481538462,33.721538462
1013308352,MCCHESSNEY,ANGELA,,NP,F,I,2600 N DETROIT ST,,LAGRANGE,IN,467611154,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,28,381.36,47.625714286,35.680357143,36.092857143
1013308352,MCCHESSNEY,ANGELA,,NP,F,I,2600 N DETROIT ST,,LAGRANGE,IN,467611154,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,47,62,146.25,19.008064516,14.468225806,14.071290323
1013308360,NAJJAR,BRYAN,,PA,M,I,2020 59TH ST W,,BRADENTON,FL,342094604,US,Physician Assistant,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,4,40,51,725,33.072413793,23.588551724,18.493462069,19.093310345
1013308360,NAJJAR,BRYAN,,PA,M,I,2020 59TH ST W,,BRADENTON,FL,342094604,US,Physician Assistant,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,40,50,485,13.242268041,8.1491752577,6.3891134021,6.4213608247
1013308360,NAJJAR,BRYAN,,PA,M,I,2020 59TH ST W,,BRADENTON,FL,342094604,US,Physician Assistant,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,4,40,64,64,2055.6909375,762.01109375,597.42046875,518.920625
1013308436,KINGSTON,MEAGHAN,D,APRN,F,I,1045 W MAIN ST STE C,,WALNUT RIDGE,AR,72476,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.93,70.417272727,55.209090909,38.434545455
1013308436,KINGSTON,MEAGHAN,D,APRN,F,I,1045 W MAIN ST STE C,,WALNUT RIDGE,AR,72476,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,37,7.7745454545,6.0936363636,4.2445454545
1013308436,KINGSTON,MEAGHAN,D,APRN,F,I,1045 W MAIN ST STE C,,WALNUT RIDGE,AR,72476,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.72,11.484545455,9.0027272727,6.9027272727
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,59.65047619,8.32,6.210952381,6.210952381
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,51,84,84,105.2597619,48.17952381,35.588690476,28.874166667
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,30,49,49,334.81836735,113.70918367,80.404693878,61.405918367
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,28,49,116,145.31568966,42.917068966,33.340172414,25.997068966
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,20,40,180,73.687944444,25.202944444,18.388277778,13.926833333
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,13,61,63.472786885,20.300983607,15.916065574,12.073278689
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,31,55,55,180.00127273,73.746,55.347636364,41.450181818
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,49,54,54,55.777037037,24.775740741,18.273703704,13.747777778
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,67.349090909,17.869090909,14.01,9.1827272727
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,55,99,578,9.7442906574,2.4183391003,1.7960899654,1.5225951557
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,47,52,52,15.776153846,7.6569230769,5.9286538462,4.7501923077
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,42,45,45,56.912888889,15.432,11.878666667,10.201777778
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,56,56,2741.1689286,921.28428571,703.97660714,819.16375
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,21,293.35714286,106.77142857,75.806190476,54.20047619
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,45,45,49.5,5.2915555556,3.7491111111,3.3475555556
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,43,195,195,245.18717949,38.822512821,25.02025641,19.23
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,33,262,262,374.90458015,97.977824427,72.249198473,53.303931298
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,158,158,243.35443038,43.744556962,32.636265823,28.600253165
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,870,2.0182988506,0.1248965517,0.0885287356,0.0885287356
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,350,45.044615385,35.317307692,29.513461538
1013308543,BOUYEA-FRANCIES,LISA,,APRN-FNP,F,I,1363 W SPRUCE AVE,,WASILLA,AK,996545327,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,24.022142857,24.022142857
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,36,92,237,72.685232068,8.32,5.475907173,5.475907173
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,12,25,37,14.936486486,1.42,1.0259459459,1.0259459459
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,101,9.25,5.54,3.9130693069,3.9130693069
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,180,4.95,3.04,1.7212222222,1.7212222222
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,222.48,44.224545455,31.536363636,21.254545455
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,25,391.2464,119.6512,93.8116,77.41
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,62.125,46.422857143,36.397857143,33.094285714
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1890,2.2059153439,0.1377936508,0.0964920635,0.0964920635
1013308642,WARREN,TAMMY,,NP,F,I,100 RIVER ST,,SPRINGFIELD,VT,051562930,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,33,33,23.406190476,23.406190476
1013308931,GOSWAMI,BIJOYA,,,F,I,8900 VAN WYCK EXPY,,JAMAICA,NY,114182832,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,37,94,58.532659574,8.32,6.2456382979,6.2456382979
1013308931,GOSWAMI,BIJOYA,,,F,I,8900 VAN WYCK EXPY,,JAMAICA,NY,114182832,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,19,13.929473684,1.42,1.0568421053,1.0568421053
1013308931,GOSWAMI,BIJOYA,,,F,I,8900 VAN WYCK EXPY,,JAMAICA,NY,114182832,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,5.36,4.1418181818,3.2545454545,3.4818181818
1013308972,MUL,ELINE,L,PA-C,F,I,7801 OLD BRANCH AVE,SUITE 202,CLINTON,MD,207351608,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,3075,4.1125398374,0.575996748,0.4515902439,0.4515902439
1013308972,MUL,ELINE,L,PA-C,F,I,7801 OLD BRANCH AVE,SUITE 202,CLINTON,MD,207351608,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,1980,3.9351565657,1.1396666667,0.8698838384,0.8698838384
1013308972,MUL,ELINE,L,PA-C,F,I,7801 OLD BRANCH AVE,SUITE 202,CLINTON,MD,207351608,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,24,24,18.82,18.82
1013308972,MUL,ELINE,L,PA-C,F,I,7801 OLD BRANCH AVE,SUITE 202,CLINTON,MD,207351608,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,35,16,16,12.54,12.54
1013309590,KIRSCH,BRENNA,,APRN,F,I,1402 W 4TH ST,,GILLETTE,WY,827163328,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,35,77.926571429,8.32,5.7774285714,5.7774285714
1013310051,SALCER,KIMBERLY,,,F,I,36100 EUCLID AVE,SUITE 270,WILLOUGHBY,OH,440944456,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,495,78,57.328125,51.309375
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,50,50.5782,8.32,5.8706,5.8706
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,35,8.0545714286,1.5717142857,1.2308571429,1.1908571429
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,18,152,154,38.446753247,5.6607792208,4.2735064935,3.6297402597
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,93.83,33.669705882,24.760294118,23.681764706
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,97,97,495.9985567,80.884329897,62.797731959,54.66742268
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,3210,0.1820186916,0.046152648,0.0361806854,0.0361806854
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,38,3660,0.9714043716,0.1333360656,0.1010901639,0.1010901639
1013310143,CARTER,SAMANTHA,P,CRNP,F,I,4300 W MAIN ST STE 15,,DOTHAN,AL,363051058,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,37,37,130.37837838,33,24.471621622,24.471621622
1013310291,HUDSON,KEVIN,R,PA,M,I,2815 W ANDREW JOHNSON HWY,,MORRISTOWN,TN,378143216,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,146.25,27.836666667,20.756111111,13.623333333
1013310739,STONE,MARIA,,FNP-BC,F,I,1725 W HARRISON ST STE 809,,CHICAGO,IL,606123861,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4912,2.5257166124,0.3615472313,0.2834548046,0.2430374593
1013311109,SMITH,JARITZA,,ARNP,F,I,2776 CLEVELAND AVE,,FORT MYERS,FL,339015855,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,131.19,49.597333333,36.389333333,34.448
1013311109,SMITH,JARITZA,,ARNP,F,I,2776 CLEVELAND AVE,,FORT MYERS,FL,339015855,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,40,17,12.545882353,12.746470588
1013311109,SMITH,JARITZA,,ARNP,F,I,2776 CLEVELAND AVE,,FORT MYERS,FL,339015855,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,220,80,59.030588235,53.860588235
1013311109,SMITH,JARITZA,,ARNP,F,I,2776 CLEVELAND AVE,,FORT MYERS,FL,339015855,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,51.53,20.210666667,13.58,12.225333333
1013311174,MASURE,KATRINA,M,APRN,F,I,1 MEDICAL CENTER DR,DHMC-EMERGENCY MEDICINE,LEBANON,NH,037561000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,32,69.243125,8.32,6.1125,6.1125
1013311174,MASURE,KATRINA,M,APRN,F,I,1 MEDICAL CENTER DR,DHMC-EMERGENCY MEDICINE,LEBANON,NH,037561000,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.6,7.2181818182,4.2254545455,2.1509090909
1013311174,MASURE,KATRINA,M,APRN,F,I,1 MEDICAL CENTER DR,DHMC-EMERGENCY MEDICINE,LEBANON,NH,037561000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,517.80571429,105.31,78.296428571,56.606428571
1013311174,MASURE,KATRINA,M,APRN,F,I,1 MEDICAL CENTER DR,DHMC-EMERGENCY MEDICINE,LEBANON,NH,037561000,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70.2,44.745,33.375,27.808333333
1013311497,HORST,JOEL,,PA-C,M,I,5295 NE ELAM YOUNG PKWY,SUITE 180,HILLSBORO,OR,971247567,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,1335.4030769,1064.73,834.74,882.51846154
1013311703,ARGOTE,KENNETH,,ARNP,M,I,1502 E FOWLER AVE,,TAMPA,FL,336125416,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,38,28.549473684,8.32,4.1184210526,4.1184210526
1013311778,BATT,MELISSA,,ARNP,F,I,411 LAUREL ST STE 3262,,DES MOINES,IA,503143027,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,69.99,54.87,54.741666667
1013312297,LOI,IRENE,S,DPM,F,I,233 BROADWAY,640,NEW YORK,NY,102790001,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,75.549090909,43.56,34.155,34.151363636
1013312495,WERTZ,MAUREEN,A,ARNP,F,I,1720 WALDORF DRIVE,,NORTH PORT,FL,34288,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,16,200,50.70875,39.755,38.905
1013312529,ONYIRIMBA,ESTHER,,,F,I,870 CRESTMARK DR,,LITHIA SPRINGS,GA,301222665,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,175.22,34.390909091,21.411818182,19.62
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,36,95,67.140105263,8.32,5.8365263158,5.8365263158
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,18,29,13.202068966,1.42,0.9620689655,0.9620689655
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,3.1,1.4,1.1,1.1458333333
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.24,0.97,0.9608333333
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,51.0436,18.49,13.9104,12.9888
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,227.16540541,86.84,62.56,50.292432432
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,5400,0.532,0.04625,0.0362611111,0.0362611111
1013312537,WATSON,EMILY,P,PA-C,F,I,1272 EAST ST,,WAYNESVILLE,NC,287863437,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,25.87,25.87
1013312693,FLEIG,ALISON,,PA-C,F,I,3830 WOODLEY RD STE 2A,,TOLEDO,OH,436061177,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,27,76,200,54.58545,8.32,6.13055,6.13055
1013312693,FLEIG,ALISON,,PA-C,F,I,3830 WOODLEY RD STE 2A,,TOLEDO,OH,436061177,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,11,17,24.168235294,1.42,0.9182352941,0.9182352941
1013312784,GAY,STEPHANIE,E,PA-C,F,I,462 1ST AVE,,NEW YORK,NY,100169196,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,31,66,75.426818182,8.32,5.9277272727,5.9277272727
1013312818,OKRAY,ASHLEY,,PA,F,I,1725 W HARRISON ST,SUITE 955,CHICAGO,IL,60612,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,35,69,72.322463768,8.32,6.5205797101,6.5205797101
1013312818,OKRAY,ASHLEY,,PA,F,I,1725 W HARRISON ST,SUITE 955,CHICAGO,IL,60612,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,21,14.868571429,1.42,1.119047619,1.119047619
1013312818,OKRAY,ASHLEY,,PA,F,I,1725 W HARRISON ST,SUITE 955,CHICAGO,IL,60612,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,37.36,4.1883333333,3.28,3.7591666667
1013312818,OKRAY,ASHLEY,,PA,F,I,1725 W HARRISON ST,SUITE 955,CHICAGO,IL,60612,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,17.401875,9.9225,7.7825,6.97625
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,27,87,155,69.554580645,8.32,5.4024516129,5.4024516129
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,23,25.773478261,1.42,1.0226086957,1.0226086957
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,145.66944444,75.242222222,57.508333333,41.378333333
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,45.390833333,24.585,19.27,14.06
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,50.220555556,21.124444444,16.56,9.7627777778
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,19,105,6.892,3.0457142857,2.3880952381,1.6707619048
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,40,22.97,17.012,13.430666667
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,400.043,47.9885,36.3285,24.4545
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,220,106.38666667,79.425333333,56.481333333
1013314350,RIESBERG,VALERIE,A,ARNP,F,I,515 PACIFIC AVE,,AUDUBON,IA,500251056,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,24.022142857,24.022142857
1013314384,MANUEL,SAMANTHA,,NP-C,F,I,1021 W OAKLAND AVE,SUITE 301,JOHNSON CITY,TN,376042191,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,18,50.73,4.47,3.13,3.1288888889
1013314384,MANUEL,SAMANTHA,,NP-C,F,I,1021 W OAKLAND AVE,SUITE 301,JOHNSON CITY,TN,376042191,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,90.152777778,67.622777778,51.683888889
1013314384,MANUEL,SAMANTHA,,NP-C,F,I,1021 W OAKLAND AVE,SUITE 301,JOHNSON CITY,TN,376042191,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,250,41.068333333,30.566111111,27.885555556
1013314715,KERR,LAURA,,PA,F,I,2000 S WHEELING AVE,STE 200,TULSA,OK,741045649,US,Physician Assistant,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,4995,4378.96,3200.0758333,3200.0758333
1013315001,FULLER,JONATHAN,H,D.O.,M,I,1401 RAINBOW DR STE B,,GADSDEN,AL,359015319,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,577.42,263.09933333,206.27133333,186.322
1013316488,MATSUMURA,MAKI,,NP-C,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,37,104,77.362211538,8.32,6.27125,6.27125
1013316488,MATSUMURA,MAKI,,NP-C,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,22,15.979545455,1.42,0.9136363636,0.9136363636
1013316488,MATSUMURA,MAKI,,NP-C,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1318,1.7193626707,0.1338239757,0.0966616085,0.0966616085
1013316488,MATSUMURA,MAKI,,NP-C,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,58.588235294,33,24.348235294,24.348235294
1013316934,GANT,CHRISTA,,NP-C,F,I,1919 STATE ST,SUITE 440,NEW ALBANY,IN,471504929,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,34,64,64.03734375,8.32,6.2171875,6.2171875
1013316934,GANT,CHRISTA,,NP-C,F,I,1919 STATE ST,SUITE 440,NEW ALBANY,IN,471504929,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,15,16.926,1.42,1.0413333333,1.0413333333
1013316934,GANT,CHRISTA,,NP-C,F,I,1919 STATE ST,SUITE 440,NEW ALBANY,IN,471504929,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,913.16,715.92,831.73166667
1013316934,GANT,CHRISTA,,NP-C,F,I,1919 STATE ST,SUITE 440,NEW ALBANY,IN,471504929,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,33.377209302,5.6025581395,3.78,3.0825581395
1013316934,GANT,CHRISTA,,NP-C,F,I,1919 STATE ST,SUITE 440,NEW ALBANY,IN,471504929,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,126.66666667,35.51,25.058888889,23.375555556
1013316934,GANT,CHRISTA,,NP-C,F,I,1919 STATE ST,SUITE 440,NEW ALBANY,IN,471504929,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,812,3.0231403941,0.2192857143,0.171908867,0.171908867
1013317254,SMOGOLESKI,JOANNA,,,F,I,5300 MEMORIAL DR,,TWO RIVERS,WI,542413923,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,459.53333333,98.85,72.519166667,50.169166667
1013318559,GEBHARDT,EMILY,,PA-C,F,I,18931 W WASHINGTON ST,SUITE 100,GRAYSLAKE,IL,600301101,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,18,71,61.742535211,8.32,6.121971831,6.121971831
1013318559,GEBHARDT,EMILY,,PA-C,F,I,18931 W WASHINGTON ST,SUITE 100,GRAYSLAKE,IL,600301101,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,27,15.276666667,1.42,1.0311111111,1.0311111111
1013318864,AGBOOLA,TANNEH,P,APN,F,I,1435 LIBERTY ST,,HAMILTON,NJ,086292220,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,36.5,16.04,12.57,13.23
1013318864,AGBOOLA,TANNEH,P,APN,F,I,1435 LIBERTY ST,,HAMILTON,NJ,086292220,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,217.1,72,56.45,55.088333333
1013318864,AGBOOLA,TANNEH,P,APN,F,I,1435 LIBERTY ST,,HAMILTON,NJ,086292220,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,69.89,16.945555556,13.286296296,15.113703704
1013318864,AGBOOLA,TANNEH,P,APN,F,I,1435 LIBERTY ST,,HAMILTON,NJ,086292220,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,20.57,7.4733333333,5.8558333333,7.0083333333
1013319391,FILIPOWICZ,REBECCA,,"PA-C, MS",F,I,63351 US HIGHWAY 93,,RONAN,MT,598642702,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,50.73,8.663125,6.565625,3.51875
1013319391,FILIPOWICZ,REBECCA,,"PA-C, MS",F,I,63351 US HIGHWAY 93,,RONAN,MT,598642702,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,519.51,113.48,85.456470588,58.657647059
1013320332,BRIGMON,MATTHEW,,MD,M,I,500 W 4TH ST,,ODESSA,TX,797615001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,42.081785714,18.913571429,13.860714286,12.785714286
1013320332,BRIGMON,MATTHEW,,MD,M,I,500 W 4TH ST,,ODESSA,TX,797615001,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,4430.1,1074.31,842.26,842.26
1013320332,BRIGMON,MATTHEW,,MD,M,I,500 W 4TH ST,,ODESSA,TX,797615001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,324.36241379,79.679310345,58.453448276,52.092413793
1013320423,PUNJABI,PAAWAN,V,M.D.,M,I,330 BROOKLINE AVE,,BOSTON,MA,022155400,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,149.16333333,48.75,35.28,35.235833333
1013320787,ZAMIR,AREEB,,M.D.,M,I,1255 S CEDAR CREST BLVD,SUITE 3200,ALLENTOWN,PA,181036256,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,532.43555556,89.092222222,69.854444444,54.73
1013320985,OTT,ANDREW,T,O.D.,M,I,518 FRANKLIN ST,,PELLA,IA,502191636,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,43.723333333,43.723333333,34.280833333,42.613333333
1013321306,SEAMAN,LAURA,,FNP-C,F,I,441 W ELM ST,,LEBANON,MO,65536,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,51,109,58.68293578,8.32,5.6129357798,5.6129357798
1013321306,SEAMAN,LAURA,,FNP-C,F,I,441 W ELM ST,,LEBANON,MO,65536,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,22,28,13.330714286,1.42,0.9178571429,0.9178571429
1013321306,SEAMAN,LAURA,,FNP-C,F,I,441 W ELM ST,,LEBANON,MO,65536,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,21,22.49,6.3428571429,4.8,3.219047619
1013321306,SEAMAN,LAURA,,FNP-C,F,I,441 W ELM ST,,LEBANON,MO,65536,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,14,441.11357143,92.39,72.434285714,55.45
1013321306,SEAMAN,LAURA,,FNP-C,F,I,441 W ELM ST,,LEBANON,MO,65536,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3300,0.1588181818,0.047,0.0334969697,0.0334969697
1013321306,SEAMAN,LAURA,,FNP-C,F,I,441 W ELM ST,,LEBANON,MO,65536,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.981818182,23.981818182
1013321322,LERNER,BRIAN,S,MD,M,I,9300 DEWITT LOOP,ATTN: CYNDI MILES FAMILY MEDICINE RESIDENCY COORDINATOR,FT BELVOIR,VA,220605285,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1160.3869231,209.43846154,153.16153846,152.16230769
1013321546,STRICKLAND,WILLIAM,,,M,I,3799 12TH STREET EXT STE 105,,CAYCE,SC,290333750,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,32,61.65875,8.32,6.2784375,6.2784375
1013321546,STRICKLAND,WILLIAM,,,M,I,3799 12TH STREET EXT STE 105,,CAYCE,SC,290333750,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3600,3.928,0.37,0.2900666667,0.2900666667
1013321561,CRAIG,DAVID,A,MD,M,I,545 S BOEHNE CAMP RD,,EVANSVILLE,IN,47712,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,89.56,22.4775,15.134166667,11.275
1013321561,CRAIG,DAVID,A,MD,M,I,545 S BOEHNE CAMP RD,,EVANSVILLE,IN,47712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,475.976,97.342666667,59.663333333,39.083333333
1013321660,FLANDERS,CHRISTIAN,A,M.D.,M,I,820 E 17TH ST,,CHEYENNE,WY,820014714,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,20,35,65,82.141230769,8.32,5.6206153846,5.6206153846
1013321660,FLANDERS,CHRISTIAN,A,M.D.,M,I,820 E 17TH ST,,CHEYENNE,WY,820014714,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,35,80.170285714,23.251428571,18.227142857,14.046
1013321660,FLANDERS,CHRISTIAN,A,M.D.,M,I,820 E 17TH ST,,CHEYENNE,WY,820014714,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,8.536,6.6913333333,4.1633333333
1013321660,FLANDERS,CHRISTIAN,A,M.D.,M,I,820 E 17TH ST,,CHEYENNE,WY,820014714,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,49,409.51387755,97.665714286,74.755510204,56.229183673
1013321660,FLANDERS,CHRISTIAN,A,M.D.,M,I,820 E 17TH ST,,CHEYENNE,WY,820014714,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,58.384615385,28.255384615,22.15,15.112307692
1013321660,FLANDERS,CHRISTIAN,A,M.D.,M,I,820 E 17TH ST,,CHEYENNE,WY,820014714,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,147.15,61.83,48.476363636,29.176363636
1013321868,GERLACH,MICHAEL,S,P.A.,M,I,1601 SOUTH MAIN STREET,,FALL RIVER,MA,027242107,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,17,25.557647059,9.29,6.8529411765,7.4788235294
1013321876,LEONARDI,MARY,J,PA,F,I,3443 PELHAM RD,SUITE 200,GREENVILLE,SC,296154178,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,20.35,15.95,13.931333333
1013321876,LEONARDI,MARY,J,PA,F,I,3443 PELHAM RD,SUITE 200,GREENVILLE,SC,296154178,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,90.722,71.128,57.424
1013321983,MULLIN,CONOR,,MD,M,I,930 BLUE STAR HWY,,SOUTH HAVEN,MI,490907758,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,18,50.73,4.8533333333,3.81,3.7066666667
1013321983,MULLIN,CONOR,,MD,M,I,930 BLUE STAR HWY,,SOUTH HAVEN,MI,490907758,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1200,1.62795,0.14525,0.1139,0.1139
1013322163,HAINES,ALYSHA,M,APRN,F,I,537 S FREEBORN ST,,MARION,KS,668611243,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,48.230769231,33,17.91,17.91
1013322387,HICKOK,EVONNE,A,FNP-C,F,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,31,57.076774194,8.32,4.2070967742,4.2070967742
1013322387,HICKOK,EVONNE,A,FNP-C,F,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,25,8.2778571429,6.4885714286,3.78
1013322643,BELDON,SARA,M,APRN,F,I,2114 STATE ROUTE 113 E,,MILAN,OH,448469483,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,35,83,67.880120482,8.32,5.4222891566,5.4222891566
1013323187,NASH,JAMES,,DO,M,I,1111 6TH AVE,,DES MOINES,IA,503142613,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,39,112,67.644821429,8.2741071429,6.2536607143,6.2895535714
1013323187,NASH,JAMES,,DO,M,I,1111 6TH AVE,,DES MOINES,IA,503142613,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,17,32,13.693125,1.42,1.0446875,1.0446875
1013323419,MASTRANGELO,ASHLEY,N,DPM,F,I,111 BREWSTER ST,,PAWTUCKET,RI,028604474,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,43,43,350.88372093,334.06627907,260.39465116,218.65093023
1013323922,RISCHLING,KARI,,FNP-C,F,I,3909 NEW VISION DR,,FORT WAYNE,IN,468451725,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,28,74,75.017027027,8.32,6.1691891892,6.1691891892
1013323922,RISCHLING,KARI,,FNP-C,F,I,3909 NEW VISION DR,,FORT WAYNE,IN,468451725,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,52,22.4775,17.620833333,13.53
1013323922,RISCHLING,KARI,,FNP-C,F,I,3909 NEW VISION DR,,FORT WAYNE,IN,468451725,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25,6.758125,3.731875,2.27875
1013323922,RISCHLING,KARI,,FNP-C,F,I,3909 NEW VISION DR,,FORT WAYNE,IN,468451725,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,504.92785714,105.31,79.902857143,52.067142857
1013324193,TAHSIN,SAIF,M,MD,M,I,620 SKYLINE DR,,JACKSON,TN,383013923,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,75,23.051,18.069666667,14.133333333
1013324193,TAHSIN,SAIF,M,MD,M,I,620 SKYLINE DR,,JACKSON,TN,383013923,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1074.31,842.26,842.26
1013324193,TAHSIN,SAIF,M,MD,M,I,620 SKYLINE DR,,JACKSON,TN,383013923,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,45,400,95.072222222,72.383333333,55.293777778
1013324193,TAHSIN,SAIF,M,MD,M,I,620 SKYLINE DR,,JACKSON,TN,383013923,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,75,41.583157895,31.056315789,28.723684211
1013324334,GALLAGHER,KIMBERLY,,FNP,F,I,2101 SHILOH CHURCH RD,STE 202,DAVIDSON,NC,280367601,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,28,81.170357143,8.32,4.1928571429,4.1928571429
1013324730,BENCHEKROUN BELABBES,HANAA,,MD,F,I,350 ENGLE ST,,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,50,17.836428571,13.978571429,13.531428571
1013324730,BENCHEKROUN BELABBES,HANAA,,MD,F,I,350 ENGLE ST,,ENGLEWOOD,NJ,076311808,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,337.78470588,74.304117647,58.254117647,54.742352941
1013324904,MORGAN,ANGELA,B,PA-C,F,I,20 S PARK ST,,MADISON,WI,537151348,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,50.015652174,12.145217391,8.9313043478,8.9730434783
1013324904,MORGAN,ANGELA,B,PA-C,F,I,20 S PARK ST,,MADISON,WI,537151348,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,205.894,33.2972,24.1428,23.4276
1013324920,BROWN,JENNIFER,,AGNP,F,I,3608 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574347,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,41,78.54195122,8.32,5.4109756098,5.4109756098
1013325646,HAAPAPURO,KIMBERLY,,PA,F,I,1025 PENNOCK PL,SUITE 121,FORT COLLINS,CO,805243257,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,70.48,45.204545455,44.770909091
1013325927,BRIDEN,NEILE,E,NP-C,F,I,1700 BRAZOS AVE,,ROCKDALE,TX,765672517,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,48,68.890833333,8.32,6.521875,6.521875
1013326172,GRABOWSKI,JESSICA,,PA-C,F,I,57 UNION ST,SUITE 101,WESTFIELD,MA,010852658,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,35.425,3.8063636364,2.6390909091,2.9577272727
1013326503,PESETSKY,LAURA,,CNP,F,I,18697 BAGLEY RD,,MIDDLEBURG HEIGHTS,OH,441303417,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,108.79,48.75,38.22,38.171666667
1013326503,PESETSKY,LAURA,,CNP,F,I,18697 BAGLEY RD,,MIDDLEBURG HEIGHTS,OH,441303417,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,11.305454545,8.8654545455,8.6327272727
1013326503,PESETSKY,LAURA,,CNP,F,I,18697 BAGLEY RD,,MIDDLEBURG HEIGHTS,OH,441303417,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,45,20,10.155111111,7.9624444444,8.0095555556
1013326503,PESETSKY,LAURA,,CNP,F,I,18697 BAGLEY RD,,MIDDLEBURG HEIGHTS,OH,441303417,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,263.4,211.30636364,165.65818182,166.07090909
1013326503,PESETSKY,LAURA,,CNP,F,I,18697 BAGLEY RD,,MIDDLEBURG HEIGHTS,OH,441303417,US,Nurse Practitioner,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,850,30.694545455,24.064545455,22.795454545
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,40,85,60.030588235,8.32,5.7534117647,5.7534117647
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,16,19,12.005263158,1.42,0.9410526316,0.9410526316
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.53,22.4775,15.626666667,11.6525
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,17.87,9.3428571429,3.2414285714,2.1185714286
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,219.42307692,109.28538462,77.453076923,49.972692308
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,23,23,23,1278.3152174,1017.66,764.61913043,849.41521739
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,18,960.34055556,848.43833333,640.49555556,653.01166667
1013326834,TURNER,WESLEY,,D.O.,M,I,705 MAIN ST,,DANVILLE,VA,24541,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,17,118.99294118,109.26941176,85.668235294,88.847058824
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,34,110,216,65.14037037,8.32,5.8524537037,5.8524537037
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,31,11.206774194,1.42,0.9380645161,0.9380645161
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,16,10.855,10.74,8.42,8.566875
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,280,5.8398571429,4.03,3.1595714286,3.1595714286
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,73.928571429,50.615,37.274285714,28.312142857
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,465,0.9283225806,0.27,0.2116129032,0.2116129032
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,223.54545455,123.97545455,97.195454545,67.846363636
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,13,23,112,44.142857143,27.4,20.622946429,15.206964286
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,58,27.724137931,17.992413793,13.985862069,11.963103448
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,24,31,31,138.88612903,78.559354839,58.548064516,43.399354839
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,31,39,39,49.064102564,26.153333333,19.963589744,14.247179487
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,33,33,49.761818182,22.286969697,16.556363636,9.3427272727
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,30,54,292,6.9835616438,3.2565753425,2.3714041096,1.544760274
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,23,23,18.75826087,9.4547826087,7.1886956522,4.7956521739
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,12,15,15,34.812,15.92,11.725333333,9.8333333333
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,32.927857143,22.04,17.28,13.394285714
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,15,101,102,137.20970588,54.141666667,41.156176471,27.283823529
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,33,270.35030303,100.90545455,73.945757576,51.096363636
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,200,44.745,33.713333333,28.584166667
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,5495,0.3346096451,0.0458089172,0.0339126479,0.0339126479
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,10.633166667,3.003,2.3211388889,2.3211388889
1013327659,JOHNSON,CIERRA,,MD,F,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,34.8,33,25.506,25.506
1013328483,JOCHIMS,AMY,C,M.D.,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,108.393125,17.91,14.04,13.54
1013328483,JOCHIMS,AMY,C,M.D.,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,383.268125,70.48,55.25,54.72
1013328640,WINDLE,SAMANTHA,K,D.O.,F,I,1400 MEDICAL CAMPUS DR,,TRAVERSE CITY,MI,496847823,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,31,64.959677419,8.32,6.4977419355,6.4977419355
1013329085,GRIFFIN,ALISON,,,F,I,69 HWY 516,,OLD BRIDGE,NJ,088571416,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,77.233636364,8.32,4.7418181818,4.7418181818
1013329515,BORROMEO,RALPH,J,APRN,M,I,3835 S JONES BLVD,,LAS VEGAS,NV,891037125,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.0625,13.3775,13.5225
1013329515,BORROMEO,RALPH,J,APRN,M,I,3835 S JONES BLVD,,LAS VEGAS,NV,891037125,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,36.21,5.8561538462,3.6976923077,2.86
1013329515,BORROMEO,RALPH,J,APRN,M,I,3835 S JONES BLVD,,LAS VEGAS,NV,891037125,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78.755,61.745,55.345
1013330018,KAPLAN,ADAM,C,M.D.,M,I,19 DAVIS AVE FL 6,,NEPTUNE,NJ,077534488,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,25,60,85.062166667,8.32,5.4348333333,5.4348333333
1013330018,KAPLAN,ADAM,C,M.D.,M,I,19 DAVIS AVE FL 6,,NEPTUNE,NJ,077534488,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,17,13.827647059,1.42,1.0505882353,1.0505882353
1013330141,DICKERSON,ERIN,,FNP,F,I,1920 KIRBY PKWY,STE 202,GERMANTOWN,TN,381383696,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,31,80,48.792375,8.32,5.62875,5.62875
1013330141,DICKERSON,ERIN,,FNP,F,I,1920 KIRBY PKWY,STE 202,GERMANTOWN,TN,381383696,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,15,6.3213333333,1.42,0.8933333333,0.8933333333
1013330729,DELSIGNORE,MARIE,,NP,F,I,1234 NEW CREEK HWY,,KEYSER,WV,267269505,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,75,47.450533333,8.32,5.6933333333,5.6933333333
1013330729,DELSIGNORE,MARIE,,NP,F,I,1234 NEW CREEK HWY,,KEYSER,WV,267269505,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,21,3.7485714286,2.01,1.4295238095,1.44
1013330729,DELSIGNORE,MARIE,,NP,F,I,1234 NEW CREEK HWY,,KEYSER,WV,267269505,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,12.479411765,4.8182352941,3.7788235294,3.7752941176
1013330729,DELSIGNORE,MARIE,,NP,F,I,1234 NEW CREEK HWY,,KEYSER,WV,267269505,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,48.52952381,17.695238095,11.835238095,11.851428571
1013330919,QUIEL COJOCARU,LUIS,A,M.D.,M,I,25 HIGHLAND AVE,,NEWBURYPORT,MA,019503867,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,82.499636364,22.361090909,16.615272727,13.02
1013330919,QUIEL COJOCARU,LUIS,A,M.D.,M,I,25 HIGHLAND AVE,,NEWBURYPORT,MA,019503867,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,2624.8828571,1048.7,815.16028571,834.66657143
1013330919,QUIEL COJOCARU,LUIS,A,M.D.,M,I,25 HIGHLAND AVE,,NEWBURYPORT,MA,019503867,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,69,69,162.88115942,99.929130435,74.725507246,54.263333333
1013330992,SHLEEF,LARA,,PA,F,I,4524 N MARYVALE PKWY,SUITE 220,PHOENIX,AZ,850311730,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,76.904166667,8.32,5.3854166667,5.3854166667
1013331677,BURNETTE,KRISTIN,,FNP,F,I,501 20TH ST,SUITE 404,KNOXVILLE,TN,379161809,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,25,112,72.160446429,8.32,6.0570535714,6.0570535714
1013331735,LISINSCHI,ADRIANA,,M.D.,F,I,3 CROSSING BLVD,SUITE ONE,HALFMOON,NY,120654154,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,980,30.438673469,4.3017142857,3.3725510204,3.3725510204
1013332915,WILSON,BRYAN,,MD,M,I,9040 JACKSON AVE,,TACOMA,WA,984312869,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,175,69.123529412,49.224117647,49.81
1013332915,WILSON,BRYAN,,MD,M,I,9040 JACKSON AVE,,TACOMA,WA,984312869,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,50,38.128235294,26.420588235,26.038235294
1013334036,WOLOSKI,JASON,R,M.D.,M,I,499 WYOMING AVE.,,KINGSTON,PA,187043833,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,69,140,82.435857143,8.32,6.0554285714,6.0554285714
1013334036,WOLOSKI,JASON,R,M.D.,M,I,499 WYOMING AVE.,,KINGSTON,PA,187043833,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,36,38,15.565526316,1.42,1.0015789474,1.0015789474
1013334069,MODICA,MICHAEL,D,M.D.,M,I,1542 TULANE AVE # T4M-2,,NEW ORLEANS,LA,701122865,US,Hospitalist,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,19.51,11.643333333,9.1216666667,8.7516666667
1013334218,CHEPLOWITZ,DANIELLE,,AGPCNP-BC,F,I,24 MAGOTHY BEACH RD,,PASADENA,MD,211224414,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,40,40,174.425,46.105,32.454,33.02
1013334218,CHEPLOWITZ,DANIELLE,,AGPCNP-BC,F,I,24 MAGOTHY BEACH RD,,PASADENA,MD,211224414,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,149.53125,47.35125,31.180625,31.69625
1013334218,CHEPLOWITZ,DANIELLE,,AGPCNP-BC,F,I,24 MAGOTHY BEACH RD,,PASADENA,MD,211224414,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,79.8428,18.0668,13.4824,13.1076
1013334333,ACOSTA RUIZ,ARMANDO,,ARNP,M,I,139 NE 15TH ST,,HOMESTEAD,FL,330304508,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,33,129,55.028139535,8.32,6.3210852713,6.3210852713
1013334333,ACOSTA RUIZ,ARMANDO,,ARNP,M,I,139 NE 15TH ST,,HOMESTEAD,FL,330304508,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,14.88,3.38,2.65,2.65
1013334333,ACOSTA RUIZ,ARMANDO,,ARNP,M,I,139 NE 15TH ST,,HOMESTEAD,FL,330304508,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,23,51,15.87627451,1.42,1.0909803922,1.0909803922
1013334333,ACOSTA RUIZ,ARMANDO,,ARNP,M,I,139 NE 15TH ST,,HOMESTEAD,FL,330304508,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,2996,0.1482242991,0.045570761,0.0341955941,0.0341955941
1013334333,ACOSTA RUIZ,ARMANDO,,ARNP,M,I,139 NE 15TH ST,,HOMESTEAD,FL,330304508,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1710,1.9841111111,0.1315789474,0.0743099415,0.0743099415
1013334333,ACOSTA RUIZ,ARMANDO,,ARNP,M,I,139 NE 15TH ST,,HOMESTEAD,FL,330304508,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,29,29,40.931034483,33,20.517586207,20.517586207
1013334408,REXROAT,LAUREN,,FNP-BC,F,I,1250 8TH AVE STE 570,,FORT WORTH,TX,761044145,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,27,95,55.252947368,8.32,5.1489473684,5.1489473684
1013334408,REXROAT,LAUREN,,FNP-BC,F,I,1250 8TH AVE STE 570,,FORT WORTH,TX,761044145,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,14.348,1.42,1.0696,1.0696
1013334408,REXROAT,LAUREN,,FNP-BC,F,I,1250 8TH AVE STE 570,,FORT WORTH,TX,761044145,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,460.86956522,101.79913043,70.976521739,46.551304348
1013334432,HUANG,MIAO,,M.D.,M,I,375 DIXMYTH AVE,,CINCINNATI,OH,452202475,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,760.48,77.34,60.63,54.73
1013334432,HUANG,MIAO,,M.D.,M,I,375 DIXMYTH AVE,,CINCINNATI,OH,452202475,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,39.3,30.81,29.51
1013334556,UPALA,SIKARIN,,M.D.,M,I,4101 N WATER TOWER PL,,MOUNT VERNON,IL,62864,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,40,58.95375,8.32,6.52225,6.52225
1013335215,BLISS,MEGAN,,,F,I,3354 W 7800 S,,WEST JORDAN,UT,840884506,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,610.55111111,83.602222222,60.736666667,50.253333333
1013336171,NEGANDHI,PRIYA,V,MD,F,I,200 SE HOSPITAL AVE,,STUART,FL,349942346,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,58.802777778,17.251944444,13.144444444,13.157222222
1013336171,NEGANDHI,PRIYA,V,MD,F,I,200 SE HOSPITAL AVE,,STUART,FL,349942346,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,8.525,4.37375,3.4320833333,3.8145833333
1013336171,NEGANDHI,PRIYA,V,MD,F,I,200 SE HOSPITAL AVE,,STUART,FL,349942346,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,212.70285714,71.092857143,53.727428571,52.760571429
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3.08,2.414516129,2.3674193548
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4655,2.8588614393,0.3744833512,0.2936047261,0.2900902256
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,1969,5.7604266125,0.66,0.517440325,0.517440325
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,15.58,9.6875,7.5949833333,7.5949833333
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,825,0.17,0.0460969697,0.0361090909,0.0361090909
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,12.86,2.98835,2.3428916667,2.3428916667
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599,154.18545455,111.37454545,109.52
1013336296,GONZALEZ,MISTY,,M.D.,F,I,2800 FAYETTEVILLE RD,,VAN BUREN,AR,729566523,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,132,33,25.87,25.87
1013336759,TRACY,DENISE,,"APRN, FNP-C",F,I,3715 NORTHSIDE PKWY NW,,ATLANTA,GA,303272882,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,122.56944444,3,2.1494166667,2.1655277778
1013336759,TRACY,DENISE,,"APRN, FNP-C",F,I,3715 NORTHSIDE PKWY NW,,ATLANTA,GA,303272882,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6600,3.1197272727,0.3,0.2245090909,0.2323454545
1013336833,NEWBILL,GEORGE,,DO,M,I,7910 US HIGHWAY 117 S,UNIT 120,ROCKY POINT,NC,284579431,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,24,52,63.230769231,8.32,5.6446153846,5.6446153846
1013336833,NEWBILL,GEORGE,,DO,M,I,7910 US HIGHWAY 117 S,UNIT 120,ROCKY POINT,NC,284579431,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,20,16.558,1.42,1.06,1.06
1013336833,NEWBILL,GEORGE,,DO,M,I,7910 US HIGHWAY 117 S,UNIT 120,ROCKY POINT,NC,284579431,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,439.20266667,95.74,75.062,54.727333333
1013336833,NEWBILL,GEORGE,,DO,M,I,7910 US HIGHWAY 117 S,UNIT 120,ROCKY POINT,NC,284579431,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,78,33,25.87,25.87
1013336916,GUNTER,AMANDA,,FNP,F,I,1500 OGLETHORPE AVE STE 200A,,ATHENS,GA,30606,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,650,290.97636364,228.13090909,156.06
1013336916,GUNTER,AMANDA,,FNP,F,I,1500 OGLETHORPE AVE STE 200A,,ATHENS,GA,30606,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,503.86,30.983333333,21.084444444,20.656666667
1013336999,PALMISANO,MEGAN,K,M.D.,F,I,4220 HARDING PIKE STE 500,,NASHVILLE,TN,372052005,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70,23.694545455,18.579090909,14.646363636
1013336999,PALMISANO,MEGAN,K,M.D.,F,I,4220 HARDING PIKE STE 500,,NASHVILLE,TN,372052005,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.538181818,8.2645454545,6.8454545455
1013337211,MCINTYRE,MICHELLE,,,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,57,55.894385965,8.32,5.6054385965,5.6054385965
1013337211,MCINTYRE,MICHELLE,,,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,11.171875,1.42,1.1175,1.1175
1013337211,MCINTYRE,MICHELLE,,,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,28.56,10.934,8.574,4.3026666667
1013337211,MCINTYRE,MICHELLE,,,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,139.62,53.518333333,40.879166667,24.999166667
1013337526,HERBERT,ARIANA,N,M.D.,F,I,630 N MAIN ST,,SPRINGBORO,OH,450667519,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,44,57.9475,8.32,4.1502272727,4.1502272727
1013337708,MARX,ABIGAIL,,PA-C,F,I,2811 TRICOM ST,,NORTH CHARLESTON,SC,294069172,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,1500,1328.44,1041.5,900.59090909
1013338342,JAGELS,DANIELLE,A,,F,I,300 UTAH ST,2ND FLOOR,HIAWATHA,KS,664342314,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,119.23,54.934444444,41.151111111,25.006111111
1013338342,JAGELS,DANIELLE,A,,F,I,300 UTAH ST,2ND FLOOR,HIAWATHA,KS,664342314,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2269,0.4352137506,0.0426663729,0.0304275011,0.0304275011
1013338342,JAGELS,DANIELLE,A,,F,I,300 UTAH ST,2ND FLOOR,HIAWATHA,KS,664342314,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,23.88,23.88
1013338722,MEKA,MEENA,K,M.D.,F,I,2740 S BRISTOL ST STE 208,,SANTA ANA,CA,927046233,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,56,61.665178571,8.32,6.0569642857,6.0569642857
1013338722,MEKA,MEENA,K,M.D.,F,I,2740 S BRISTOL ST STE 208,,SANTA ANA,CA,927046233,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,212.84,71.447222222,52.917222222,51.745555556
1013338722,MEKA,MEENA,K,M.D.,F,I,2740 S BRISTOL ST STE 208,,SANTA ANA,CA,927046233,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175.55,36,25.868333333,27.185
1013339290,KHAWAJA,FARIHA,B,M.D.,F,I,255 ENTERPRISE BLVD,SUITE 101,GREENVILLE,SC,296156300,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,152.72266667,17.312,13.568,13.944666667
1013339290,KHAWAJA,FARIHA,B,M.D.,F,I,255 ENTERPRISE BLVD,SUITE 101,GREENVILLE,SC,296156300,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,71.945333333,6.38,5,6.15
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,41,145,49.590827586,8.32,5.2720689655,5.2720689655
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.65,2.65
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,19,44,13.313181818,1.42,1.0109090909,1.0109090909
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,20,20,244.85,49.1725,38.5475,38.2025
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,94.228421053,17.27,13.54,13.54
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,58,63,568.03460317,68.78,49.075238095,49.803015873
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1710,0.8661929825,0.1245614035,0.0668947368,0.0668947368
1013339563,HAUGHTON,KELSEY,,PA-C,F,I,1505 E MAIN ST,,STIGLER,OK,744622913,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,87,33,19.990454545,19.990454545
1013340025,BARTOSZEK,JACOB,,D.P.M.,M,I,917 RINEHART RD,SUITE 1051,LAKE MARY,FL,327464802,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,34,85.87,71.56,56.105,56.105
1013340108,TICCONY,TRACEY,R,N.P.C.,F,I,455 BARCLAY CIR,SUITE D,ROCHESTER HILLS,MI,483074774,US,Registered Nurse,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,42,79.361666667,8.32,5.2780952381,5.2780952381
1013340264,EDWARDS-KELTGEN,EMMA,,"DNP, FNP-C",F,I,3830 E VAN BUREN ST,,PHOENIX,AZ,850086920,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,21,67.628571429,8.32,5.5914285714,5.5914285714
1013340744,JOHNSON,WILLIAM,K,NP,M,I,1175 PINE ST,SUITE 100,ARCADIA,LA,710013121,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,58.373571429,8.32,5.3575,5.3575
1013340744,JOHNSON,WILLIAM,K,NP,M,I,1175 PINE ST,SUITE 100,ARCADIA,LA,710013121,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,54.785,7.6313636364,5.3754545455,3.0872727273
1013340744,JOHNSON,WILLIAM,K,NP,M,I,1175 PINE ST,SUITE 100,ARCADIA,LA,710013121,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,16,546.455,107.32875,84.14875,67.38625
1013340744,JOHNSON,WILLIAM,K,NP,M,I,1175 PINE ST,SUITE 100,ARCADIA,LA,710013121,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3074,0.1750227716,0.0454424203,0.0329245283,0.0329245283
1013340744,JOHNSON,WILLIAM,K,NP,M,I,1175 PINE ST,SUITE 100,ARCADIA,LA,710013121,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1410,0.9262198582,0.1284042553,0.0929503546,0.0929503546
1013340744,JOHNSON,WILLIAM,K,NP,M,I,1175 PINE ST,SUITE 100,ARCADIA,LA,710013121,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,125.17241379,33,24.085862069,24.085862069
1013341114,YOUNG,TANA,,CRNP,F,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,52,66.049230769,8.32,5.4146153846,5.4146153846
1013341114,YOUNG,TANA,,CRNP,F,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,403,107.02153846,3,2.317146402,2.3329528536
1013341114,YOUNG,TANA,,CRNP,F,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,7254,2.6656410256,0.3329528536,0.2610352909,0.2900744417
1013342039,ARNOLD,BRITNEY,N,PA-C,F,I,405 W JACKSON ST,,CARBONDALE,IL,629011462,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,125,64.76,50.77,46.981428571
1013342039,ARNOLD,BRITNEY,N,PA-C,F,I,405 W JACKSON ST,,CARBONDALE,IL,629011462,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,425,251.28,197,216.2632
1013342757,COLLINS,LEIA,L,PA-C,F,I,4735 OGLETOWN- STANTON RD MAP 2 SUITE 1208,,NEWARK,DE,197132072,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,2580,4.8298837209,1.95,1.451372093,1.5219186047
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,296,5.1275337838,3.53,2.7676689189,2.7676689189
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,331,15.864048338,3,2.1388519637,2.1534441088
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,6608,0.8410472155,0.3,0.2241691889,0.231378632
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,227.5,46.783888889,36.678333333,38.498333333
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,909,97.135714286,76.16,106.22428571
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,68.75,15.75,12.35,13.356923077
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,350,70,54.88,54.758125
1013343201,CATONG,SUZETTE,S,APN,F,I,RIVERVIEW MEDICAL CENTER,1 RIVERVIEW PLAZA,RED BANK,NJ,077011864,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.57,6.8775,4.9775,6.2816666667
1013343805,BOBACK,CHANNING,E,PA-C,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,47,65,222,857,65.775577596,8.32,6.2418903151,6.2418903151
1013343805,BOBACK,CHANNING,E,PA-C,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,29,57,125,14.3344,1.42,1.0424,1.0424
1013343805,BOBACK,CHANNING,E,PA-C,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Physician Assistant,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,24,2180,16.273238532,11.039091743,8.6049036697,8.6049036697
1013343805,BOBACK,CHANNING,E,PA-C,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,11,65,65,329.002,250.942,195.39015385,195.52138462
1013344167,LEE,JINHO,A,PA,M,I,8767 WILSHIRE BLVD # 201,,BEVERLY HILLS,CA,902112714,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,36,78.952222222,8.32,4.5294444444,4.5294444444
1013344167,LEE,JINHO,A,PA,M,I,8767 WILSHIRE BLVD # 201,,BEVERLY HILLS,CA,902112714,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,3.7763636364,2.9590909091,3.5836363636
1013344365,GARD,STEVEN,V,PA-C,M,I,"16 WEST MAIN, BOX Q",,WHITE SULPHUR SPINGS,MT,59645,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,45,30.005111111,7.808,5.0122222222,5.426
1013344365,GARD,STEVEN,V,PA-C,M,I,"16 WEST MAIN, BOX Q",,WHITE SULPHUR SPINGS,MT,59645,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,16.3775,12.904166667
1013344365,GARD,STEVEN,V,PA-C,M,I,"16 WEST MAIN, BOX Q",,WHITE SULPHUR SPINGS,MT,59645,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,102.61833333,71.373333333,49.443333333
1013344506,LONG,CAMERON,,,M,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,1642.2356522,942.14,732.40173913,822.50652174
1013344506,LONG,CAMERON,,,M,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,33.75,20.454545455,16.036363636,14.289090909
1013344506,LONG,CAMERON,,,M,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,16.23,9.8381818182,7.7209090909,6.7190909091
1013345321,MCKEOWN,LEANNE,,PA-C,F,I,925 CHESTNUT ST,FIFTH FLOOR,PHILADELPHIA,PA,191074216,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,41,41,41,137.43902439,44.23804878,33.83195122,35.477804878
1013346634,RIMMASCH,ALEC,H,NP-C,M,I,175 N 100 W STE 104,,VERNAL,UT,840782054,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,133,58.304705882,45.707647059,30.119411765
1013347392,HULL,VIRGINIA,,PA,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,38,80,51.631,8.284,4.72775,4.763
1013347392,HULL,VIRGINIA,,PA,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,15,18,11.945555556,1.42,0.8688888889,0.8688888889
1013347608,GARVIN,COURTNEY,L,PA-C,F,I,1930 TAMARACK RD,,NEWARK,OH,430552303,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,381.36,50.115454545,39.292727273,38.506363636
1013347608,GARVIN,COURTNEY,L,PA-C,F,I,1930 TAMARACK RD,,NEWARK,OH,430552303,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,79.3,58.025333333,51.577333333
1013348507,AJIDUAH,VALERIE,O,PA,F,I,3946 NORWOOD AVE,,SACRAMENTO,CA,958381092,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,44,122,237,45.335232068,8.32,4.3718987342,4.3718987342
1013348507,AJIDUAH,VALERIE,O,PA,F,I,3946 NORWOOD AVE,,SACRAMENTO,CA,958381092,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,26,45,47,10.93212766,1.42,0.6668085106,0.6668085106
1013348507,AJIDUAH,VALERIE,O,PA,F,I,3946 NORWOOD AVE,,SACRAMENTO,CA,958381092,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,390.64,71.74,56.24,54.73
1013348507,AJIDUAH,VALERIE,O,PA,F,I,3946 NORWOOD AVE,,SACRAMENTO,CA,958381092,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,77.44,37.58,29.46,29.51
1013348556,ALIFF,SUSAN,,APRN,F,I,2930 CARTER AVE,,ASHLAND,KY,411011943,US,Nurse Practitioner,S,L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,1117,969.87625,760.37875,751.18
1013348945,KUNTZ,MARIBETH,,PA-C,F,I,MARSHALL PICKINS CLINIC,"2100 ERWIN ROAD, BOX 3886, DUMC",DURHAM,NC,277100000,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,48,52.72375,8.32,5.8258333333,5.8258333333
1013349950,PALMER,KENYA,D,NP,F,I,732 HARRISON AVE,"PRESTON, 2ND FLOOR",BOSTON,MA,021182309,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,91.767391304,8.32,6.522173913,6.522173913
1013350149,CHAVEZ-MILLER,KALEE,A,NP,F,I,509 MAIN STREET,,LA JARA,CO,81140,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,26,64,70.08296875,8.32,6.2015625,6.2015625
1013350149,CHAVEZ-MILLER,KALEE,A,NP,F,I,509 MAIN STREET,,LA JARA,CO,81140,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,64.273142857,21.042,15.811714286,13.061428571
1013350149,CHAVEZ-MILLER,KALEE,A,NP,F,I,509 MAIN STREET,,LA JARA,CO,81140,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,16,28.284375,6.2525,4.899375,4.978125
1013350149,CHAVEZ-MILLER,KALEE,A,NP,F,I,509 MAIN STREET,,LA JARA,CO,81140,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,213.6375,49.488125,38.1225,24.163125
1013350149,CHAVEZ-MILLER,KALEE,A,NP,F,I,509 MAIN STREET,,LA JARA,CO,81140,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,293.97270833,99.045416667,75.162083333,54.978541667
1013350198,LAROCHE,ELISE,R,M.D.,F,I,747 E COUNTY LINE RD STE D,,GREENWOOD,IN,461431082,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,21,62,82.211129032,8.32,4.7059677419,4.7059677419
1013350198,LAROCHE,ELISE,R,M.D.,F,I,747 E COUNTY LINE RD STE D,,GREENWOOD,IN,461431082,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,13.703888889,1.42,0.8677777778,0.8677777778
1013350206,ALENCHERRY,SONIA,S,M.D.,F,I,4232 MALL DR,,STEUBENVILLE,OH,43952,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,28,65.560357143,8.32,4.6596428571,4.6596428571
1013350206,ALENCHERRY,SONIA,S,M.D.,F,I,4232 MALL DR,,STEUBENVILLE,OH,43952,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,71.418181818,44,31.363636364,32.110909091
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,20,40,8.19,1.6835,1.26125,1.12725
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,19,168.48947368,35.837368421,28.098947368,28.294210526
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,58.347272727,19.769090909,15.496363636,14.717272727
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,13,76.882307692,14.066923077,10.252307692,8.42
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,20,64,9.3796875,2.356875,1.79265625,1.640625
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,52,78.951538462,19.260384615,14.345769231,13.009423077
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,2948.0581818,1074.31,842.26,842.26
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,50,50,38.146,5.1432,3.6932,3.5652
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,160.782,32.849333333,23.358333333,23.275666667
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,28,178,197,470.20502538,84.609847716,62.820050761,51.949441624
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,31,125.80645161,42.095806452,33.006129032,29.777741935
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,4715,0.1639893955,0.045068929,0.0353297985,0.0353297985
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2195,2.5753348519,0.058546697,0.0420273349,0.0420273349
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,20,77,8550,2.488025731,0.1347719298,0.101845614,0.101845614
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,35,1980,10.574494949,2.9210606061,2.1740454545,2.1740454545
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,125.544,41.8368,30.2742,27.1566
1013350362,RANASURIYA,GANGA,R,MD,F,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,32,111,111,79.594594595,33,25.403873874,25.403873874
1013350859,MORCOMB,ERIN,F,MD,F,I,815 10TH ST S,,LA CROSSE,WI,546014764,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,20,4.9529787234,3.655106383,3.445106383
1013351279,HOEL,MEGAN,J,DO,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,17,35,99,73.082727273,8.32,5.5709090909,5.5709090909
1013351279,HOEL,MEGAN,J,DO,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,15.483684211,1.42,1.0563157895,1.0563157895
1013351279,HOEL,MEGAN,J,DO,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,12.092727273,9.4836363636,9.5245454545
1013351279,HOEL,MEGAN,J,DO,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,131.71,32.543333333,25.513333333,24.727777778
1013351279,HOEL,MEGAN,J,DO,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,368.75,69.81,54.73,54.73
1013351279,HOEL,MEGAN,J,DO,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,36.14,28.33,29.51
1013351410,AFZAL,MARIUM,P,M.D.,F,I,3030 WATERVIEW PKWY,,RICHARDSON,TX,750801400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,65,26.386923077,8.1686153846,6.4033846154,6.4033846154
1013351758,MANGE,KATHERINE,L,CRNP,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Nurse Practitioner,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,2604,26.815960061,1.7047926267,1.3365552995,1.3365552995
1013351758,MANGE,KATHERINE,L,CRNP,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,352332110,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1013351881,RENZ,MEGAN,E,APRN-CNS,F,I,6151 S YALE AVE,SUITE A-100,TULSA,OK,741361907,US,Certified Clinical Nurse Specialist,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,12.894615385,3.1907692308,2.5030769231,2.0111538462
1013351881,RENZ,MEGAN,E,APRN-CNS,F,I,6151 S YALE AVE,SUITE A-100,TULSA,OK,741361907,US,Certified Clinical Nurse Specialist,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,88.831,17.0975,13.404,10.4795
1013351881,RENZ,MEGAN,E,APRN-CNS,F,I,6151 S YALE AVE,SUITE A-100,TULSA,OK,741361907,US,Certified Clinical Nurse Specialist,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,27,274.20740741,51.917037037,40.701111111,28.18962963
1013351881,RENZ,MEGAN,E,APRN-CNS,F,I,6151 S YALE AVE,SUITE A-100,TULSA,OK,741361907,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,28,564.84857143,108.54,82.963928571,52.775357143
1013352004,GILL,RAVNEET,K,"MPH, MD",F,I,1026 A AVE NE,,CEDAR RAPIDS,IA,524025036,US,Physician/Hospice and Palliative Care,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,31,1740,0.15,0.12,0.0940574713,0.0940574713
1013352004,GILL,RAVNEET,K,"MPH, MD",F,I,1026 A AVE NE,,CEDAR RAPIDS,IA,524025036,US,Physician/Hospice and Palliative Care,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,170,13.31,10.93,8.5690588235,8.5690588235
1013352004,GILL,RAVNEET,K,"MPH, MD",F,I,1026 A AVE NE,,CEDAR RAPIDS,IA,524025036,US,Physician/Hospice and Palliative Care,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,488,1.31,1.08,0.8467008197,0.8467008197
1013352004,GILL,RAVNEET,K,"MPH, MD",F,I,1026 A AVE NE,,CEDAR RAPIDS,IA,524025036,US,Physician/Hospice and Palliative Care,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,22,534,4.46,3.67,2.6455992509,2.6455992509
1013352004,GILL,RAVNEET,K,"MPH, MD",F,I,1026 A AVE NE,,CEDAR RAPIDS,IA,524025036,US,Physician/Hospice and Palliative Care,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,22,33,3640,0.56,0.45,0.3528214286,0.3528214286
1013352343,GOMEZ DE TAVAREZ,BRUNEL,T,MD,F,I,14405 ARBOR GREEN TRL,,LAKEWOOD RANCH,FL,342028409,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,50,161,35.331304348,8.32,5.7522360248,5.7522360248
1013352343,GOMEZ DE TAVAREZ,BRUNEL,T,MD,F,I,14405 ARBOR GREEN TRL,,LAKEWOOD RANCH,FL,342028409,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.58,3.38,2.65,2.65
1013352343,GOMEZ DE TAVAREZ,BRUNEL,T,MD,F,I,14405 ARBOR GREEN TRL,,LAKEWOOD RANCH,FL,342028409,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,38,70,10.143142857,1.42,0.9705714286,0.9705714286
1013352343,GOMEZ DE TAVAREZ,BRUNEL,T,MD,F,I,14405 ARBOR GREEN TRL,,LAKEWOOD RANCH,FL,342028409,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,199,50.622727273,36.199090909,32.027272727
1013352343,GOMEZ DE TAVAREZ,BRUNEL,T,MD,F,I,14405 ARBOR GREEN TRL,,LAKEWOOD RANCH,FL,342028409,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,25,5.385,2.8583333333,2.1125
1013352343,GOMEZ DE TAVAREZ,BRUNEL,T,MD,F,I,14405 ARBOR GREEN TRL,,LAKEWOOD RANCH,FL,342028409,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,403.07692308,91.893076923,65.148076923,49.972692308
1013353150,BAVINENI,MAHESH,,MD,M,I,4301 W MARKHAM ST,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,13,13,39.278461538,18.615384615,12.482307692,12.005384615
1013353150,BAVINENI,MAHESH,,MD,M,I,4301 W MARKHAM ST,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,22,22,255.42136364,90.54,68.453181818,61.531363636
1013353176,ADAMS,JOANNA,G,NP,F,I,9430 PARK WEST BLVD STE 130,,KNOXVILLE,TN,379234205,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,150,57.390416667,44.995416667,36.46
1013353259,WEMPLE,SALLIE,M,MD,F,I,218 N 2ND ST,,ALLENTOWN,PA,181023508,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16,10.45,11.49
1013353259,WEMPLE,SALLIE,M,MD,F,I,218 N 2ND ST,,ALLENTOWN,PA,181023508,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,71.11,46.458333333,45.608333333
1013353960,HADRA,KRYSTINA,M,PA,F,I,4401 CORTEZ RD W,,BRADENTON,FL,342103142,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,35,65.154,8.32,6.5225714286,6.5225714286
1013353960,HADRA,KRYSTINA,M,PA,F,I,4401 CORTEZ RD W,,BRADENTON,FL,342103142,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50.73,4.33,3.395,3.74
1013353960,HADRA,KRYSTINA,M,PA,F,I,4401 CORTEZ RD W,,BRADENTON,FL,342103142,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,110.78571429,33,25.804285714,25.804285714
1013354018,LARSEN,KENDRA,L,FNP-C,F,I,111 W. 1ST STREET,TRINITY COMMUNITY CLINIC-VELVA,VELVA,ND,587900070,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,99,59.783434343,8.32,6.5225252525,6.5225252525
1013354018,LARSEN,KENDRA,L,FNP-C,F,I,111 W. 1ST STREET,TRINITY COMMUNITY CLINIC-VELVA,VELVA,ND,587900070,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,36,16.792777778,1.42,1.1130555556,1.1130555556
1013354018,LARSEN,KENDRA,L,FNP-C,F,I,111 W. 1ST STREET,TRINITY COMMUNITY CLINIC-VELVA,VELVA,ND,587900070,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,3120,2.8653846154,1.73,1.3563237179,1.5993429487
1013354018,LARSEN,KENDRA,L,FNP-C,F,I,111 W. 1ST STREET,TRINITY COMMUNITY CLINIC-VELVA,VELVA,ND,587900070,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,575,181.75454545,129.44727273,94.467272727
1013354034,SEARFOSS,ABBY,G,CNP,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,56,58.332678571,8.32,6.4053571429,6.4053571429
1013354034,SEARFOSS,ABBY,G,CNP,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,14,14.281428571,1.42,1.0385714286,1.0385714286
1013354034,SEARFOSS,ABBY,G,CNP,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,52.023103448,21.883103448,15.097241379,12.078965517
1013354034,SEARFOSS,ABBY,G,CNP,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,306.74931034,98.070344828,68.848275862,50.004137931
1013354190,FAUSTIN,MARCIA,,M.D.,F,I,200 W ARBOR DR # MC8809,,SAN DIEGO,CA,921031911,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,50,81.9814,8.32,4.9568,4.9568
1013354190,FAUSTIN,MARCIA,,M.D.,F,I,200 W ARBOR DR # MC8809,,SAN DIEGO,CA,921031911,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,64.297368421,16.701578947,13.097368421,14.345263158
1013354208,PENG,ANGEL,Y,M.D.,F,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,391.93869565,79.339130435,48.764347826,47.444347826
1013354208,PENG,ANGEL,Y,M.D.,F,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,41.75,32.73,29.51
1013354513,MCCAMBRIDGE,AMANDA,J,MD,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,55426,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,27.142857143,7.4157142857,5.6414285714,3.379047619
1013354588,WITTY,SHANNON,E,M.D.,F,I,180 S 3RD ST STE 400,,BELLEVILLE,IL,622201952,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,52.89,37.576666667,20.945833333,23.403333333
1013354588,WITTY,SHANNON,E,M.D.,F,I,180 S 3RD ST STE 400,,BELLEVILLE,IL,622201952,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,12,423.32583333,90.215,65.514166667,61.599166667
1013354943,SULIEMAN,MAHA,O,MBBS,F,I,1364 CLIFTON RD NE,,ATLANTA,GA,30322,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,140,16.79,11.868461538,12.246153846
1013354943,SULIEMAN,MAHA,O,MBBS,F,I,1364 CLIFTON RD NE,,ATLANTA,GA,30322,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,19,44.736842105,5.4342105263,3.6136842105,2.9642105263
1013354943,SULIEMAN,MAHA,O,MBBS,F,I,1364 CLIFTON RD NE,,ATLANTA,GA,30322,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,510,78.47,54.421538462,48.415
1013355114,DEAN,JUSTIN,W,M.D.,M,I,2125 CHARLIE HALL BVLD,STE 2,CHARLESTON,SC,29414,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,29,39,104,63.849615385,8.32,5.9575961538,5.9575961538
1013355114,DEAN,JUSTIN,W,M.D.,M,I,2125 CHARLIE HALL BVLD,STE 2,CHARLESTON,SC,29414,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,13,18,13.241111111,1.42,1.1172222222,1.1172222222
1013355114,DEAN,JUSTIN,W,M.D.,M,I,2125 CHARLIE HALL BVLD,STE 2,CHARLESTON,SC,29414,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,76.656363636,71.56,56.105,56.105
1013355114,DEAN,JUSTIN,W,M.D.,M,I,2125 CHARLIE HALL BVLD,STE 2,CHARLESTON,SC,29414,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,66,31.914545455,29.19,22.885,22.886666667
1013355114,DEAN,JUSTIN,W,M.D.,M,I,2125 CHARLIE HALL BVLD,STE 2,CHARLESTON,SC,29414,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,27,28,72.049285714,13.09,9.8935714286,10.067857143
1013355114,DEAN,JUSTIN,W,M.D.,M,I,2125 CHARLIE HALL BVLD,STE 2,CHARLESTON,SC,29414,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,212.44807692,32.974230769,21.889615385,22.712307692
1013355148,MILLER,CYNTHIA,R,NP,F,I,17520 OLD JEFFERSON HWY STE B,,PRAIRIEVILLE,LA,70769,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,47.47,17.772727273,13.93,13.496363636
1013355379,TREADWAY,RICHARD,E,MSN-FNP,M,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,48.62475,18.69825,13.94975,12.8545
1013355379,TREADWAY,RICHARD,E,MSN-FNP,M,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,26.608125,4.780625,3.6434375,3.640625
1013355379,TREADWAY,RICHARD,E,MSN-FNP,M,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,259.19288462,80.351346154,59.923846154,51.929807692
1013355544,LLOYD,SCOTT,S,MD,M,I,8992 UNIVERSITY BLVD STE 300,,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,31,93,60.900215054,8.32,6.3816129032,6.3816129032
1013355544,LLOYD,SCOTT,S,MD,M,I,8992 UNIVERSITY BLVD STE 300,,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.158461538,3.38,2.65,2.65
1013355544,LLOYD,SCOTT,S,MD,M,I,8992 UNIVERSITY BLVD STE 300,,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,26,13.283461538,1.42,1.1173076923,1.1173076923
1013355544,LLOYD,SCOTT,S,MD,M,I,8992 UNIVERSITY BLVD STE 300,,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,34.06,13.055405405,10.232972973,10.429189189
1013355544,LLOYD,SCOTT,S,MD,M,I,8992 UNIVERSITY BLVD STE 300,,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,40,40,126.56025,32.99275,25.8645,26.6145
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,32,95,49.456947368,8.32,5.9606315789,5.9606315789
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,168.60333333,48.684285714,34.850952381,35.25952381
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,65.129166667,19.1875,15.0425,14.039166667
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,30.11,14.465333333,11.343333333,10.48
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,19.525517241,4.9337931034,3.8727586207,3.7106896552
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,99.95,35.60047619,27.91,24.853809524
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,19,396.90578947,77.965263158,61.124736842,56.861578947
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1560,2.2431025641,0.1323461538,0.103775641,0.103775641
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,14,109.18071429,19.107857143,14.974285714,13.411428571
1013355569,AHMED,SAMI,,M.D.,M,I,215 E MANSION ST STE 1E,,MARSHALL,MI,490681167,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,14,14,33,33,25.87,25.87
1013355684,LOTT,KATHERINE,D,DO,F,I,2050 PFINGSTEN RD STE 200,,GLENVIEW,IL,60026,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,38,83.890526316,8.32,6.5215789474,6.5215789474
1013355684,LOTT,KATHERINE,D,DO,F,I,2050 PFINGSTEN RD STE 200,,GLENVIEW,IL,60026,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,121.8,58.658333333,45.985,41.3025
1013355684,LOTT,KATHERINE,D,DO,F,I,2050 PFINGSTEN RD STE 200,,GLENVIEW,IL,60026,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,183.43153846,52.952307692,31.386153846,28.5
1013355684,LOTT,KATHERINE,D,DO,F,I,2050 PFINGSTEN RD STE 200,,GLENVIEW,IL,60026,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,293.11764706,77.18,49.831764706,45.063529412
1013355684,LOTT,KATHERINE,D,DO,F,I,2050 PFINGSTEN RD STE 200,,GLENVIEW,IL,60026,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,64.08,21.956888889,16.862,14.357555556
1013355684,LOTT,KATHERINE,D,DO,F,I,2050 PFINGSTEN RD STE 200,,GLENVIEW,IL,60026,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,25.34,9.6693333333,7.4306666667,6.6995555556
1013355684,LOTT,KATHERINE,D,DO,F,I,2050 PFINGSTEN RD STE 200,,GLENVIEW,IL,60026,US,Physician/Family Practice,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,523.7,168.6875,129.81416667,113.7825
1013355759,GREENE,DYLAN,C,M.D,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,22,48,59.390833333,8.32,3.3972916667,3.3972916667
1013355759,GREENE,DYLAN,C,M.D,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,9.1335714286,1.42,0.32,0.32
1013355759,GREENE,DYLAN,C,M.D,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,48,10,1.99,1.235,1.266875
1013355759,GREENE,DYLAN,C,M.D,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,170,29.69,19.272105263,19.375263158
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,29,90,50.626,8.32,6.0876666667,6.0876666667
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,17,10.346470588,1.42,1.0505882353,1.0505882353
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,54,5,2.9525925926,2.3157407407,1.707962963
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,200,61.574,48.27,38.5675
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,36.637666667,22.773,16.857666667,13.832
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,26,7.1495348837,5.4351162791,3.6227906977
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,112.45,57.894705882,45.390588235,28.871764706
1013356120,PRUTHI,KAPIL,,D.O.,M,I,100 HOSPITAL AVE,,DU BOIS,PA,158011440,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,76,76,210.00552632,104.8,79.097763158,58.788552632
1013356534,GERO,JENNIFER,A,M.D.,F,I,1311 N MILDRED RD,,CORTEZ,CO,813212231,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,16,56.5,20.623125,16.168125,13.505
1013356534,GERO,JENNIFER,A,M.D.,F,I,1311 N MILDRED RD,,CORTEZ,CO,813212231,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,354.11764706,88.923529412,69.715882353,54.839411765
1013356559,GOYAL,SONIA,,D.P.M.,F,I,4646 N MARINE DR,,CHICAGO,IL,606405759,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,80,71.56,56.105,56.105
1013356559,GOYAL,SONIA,,D.P.M.,F,I,4646 N MARINE DR,,CHICAGO,IL,606405759,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,35,29.19,22.885,22.886410256
1013357029,MCCARTHY,MELISSA,,NP,F,I,960 JOHNSON FERRY RD,STE 500,ATLANTA,GA,303421631,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,1500,1074.31,587.43578947,587.43578947
1013357029,MCCARTHY,MELISSA,,NP,F,I,960 JOHNSON FERRY RD,STE 500,ATLANTA,GA,303421631,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,3.542,2.782,3.604
1013357185,ELTERMAN,FRANK,M,D.O.,M,I,2351 E 22ND ST,,CLEVELAND,OH,441153111,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,64.65125,17.145,13.44,13.535
1013357185,ELTERMAN,FRANK,M,D.O.,M,I,2351 E 22ND ST,,CLEVELAND,OH,441153111,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,389.54,75.115,58.89,54.725
1013357268,TABIOS,RAY,,D.O.,M,I,300 HOLLYWOOD BLVD.,,ORWIGSBURG,PA,179616037,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,41,102.18731707,8.32,6.5214634146,6.5214634146
1013357268,TABIOS,RAY,,D.O.,M,I,300 HOLLYWOOD BLVD.,,ORWIGSBURG,PA,179616037,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,16.510909091,1.42,1.12,1.12
1013357268,TABIOS,RAY,,D.O.,M,I,300 HOLLYWOOD BLVD.,,ORWIGSBURG,PA,179616037,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24,7.5041666667,5.8816666667,3.5666666667
1013357334,ROYALS,KATHERINE,O,M.D.,F,I,102 SHELBY SPEIGHTS DR,,PURVIS,MS,394754151,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,27,77,48.976233766,8.32,5.6750649351,5.6750649351
1013357334,ROYALS,KATHERINE,O,M.D.,F,I,102 SHELBY SPEIGHTS DR,,PURVIS,MS,394754151,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,33,16.807575758,1.42,0.9466666667,0.9466666667
1013357334,ROYALS,KATHERINE,O,M.D.,F,I,102 SHELBY SPEIGHTS DR,,PURVIS,MS,394754151,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,19.08,11.313636364,8.8690909091,8.8754545455
1013357334,ROYALS,KATHERINE,O,M.D.,F,I,102 SHELBY SPEIGHTS DR,,PURVIS,MS,394754151,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,17.7,10.983636364,8.6172727273,8.2781818182
1013357334,ROYALS,KATHERINE,O,M.D.,F,I,102 SHELBY SPEIGHTS DR,,PURVIS,MS,394754151,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,317.69,217.88545455,170.81636364,170.81636364
1013357334,ROYALS,KATHERINE,O,M.D.,F,I,102 SHELBY SPEIGHTS DR,,PURVIS,MS,394754151,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,27.45,8.6927272727,6.8172727273,6.7272727273
1013357334,ROYALS,KATHERINE,O,M.D.,F,I,102 SHELBY SPEIGHTS DR,,PURVIS,MS,394754151,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,53.133333333,33,24.145333333,24.145333333
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,224.98294118,52.814117647,40.056470588,41.513529412
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,13,13,60.856153846,17.9,14.03,14.057692308
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,28.235454545,11.66,9.14,9.12
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,22,81,10.428148148,2.06,1.4638271605,1.4437037037
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,122,127,50.249055118,16.545826772,11.852992126,12.328503937
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,208.53821429,77.860714286,58.910714286,60.248214286
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,16,24,71.895833333,13.359166667,9.1695833333,9.17
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,76,85,23.325294118,4.3352941176,3.2207058824,3.5162352941
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,26,27,162.49888889,33.652222222,24.677777778,25.053703704
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,25,160,167,321.38772455,70.273892216,51.385628743,52.239760479
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,13.94,11.215181818,8.5753484848,8.5753484848
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,30,6589,0.3117605099,0.0458870845,0.0359735924,0.0359735924
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,750,12.755133333,3.061,2.3998666667,2.3998666667
1013357375,THOMAS,KENDOL,K,M.D.,M,I,100 RAWLINS DR,NANTICOKE PHYSICIAN NETWORK,SEAFORD,DE,199735881,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,33,33,87,33,25.87,25.87
1013357458,RUSSELL,HORACE,A,MD,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,25,18,18,13.5456,13.044
1013357458,RUSSELL,HORACE,A,MD,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,185.91333333,79.41,60.399666667,54.286666667
1013357573,KHANGURA,DARSHAN,S,M.D.,M,I,2400 32ND AVE S,,FARGO,ND,58103,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,28,113,59.449911504,8.32,6.215840708,6.215840708
1013357573,KHANGURA,DARSHAN,S,M.D.,M,I,2400 32ND AVE S,,FARGO,ND,58103,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,250.86181818,250.86181818,192.03545455,192.22909091
1013357714,CUMMINS,KATHERINE,,DPM,F,I,1345 UNITY PL STE 225,,LAFAYETTE,IN,479055762,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,38,3160,0.3,0.12,0.0941107595,0.0941107595
1013357714,CUMMINS,KATHERINE,,DPM,F,I,1345 UNITY PL STE 225,,LAFAYETTE,IN,479055762,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,14,480,58.32,23.66,18.549354167,18.549354167
1013357714,CUMMINS,KATHERINE,,DPM,F,I,1345 UNITY PL STE 225,,LAFAYETTE,IN,479055762,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,36,1365,0.33,0.13,0.101992674,0.101992674
1013357714,CUMMINS,KATHERINE,,DPM,F,I,1345 UNITY PL STE 225,,LAFAYETTE,IN,479055762,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,35,4613,1.13,0.45,0.3527704314,0.3527704314
1013357714,CUMMINS,KATHERINE,,DPM,F,I,1345 UNITY PL STE 225,,LAFAYETTE,IN,479055762,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,11,155,79.983870968,25.852258065,20.268193548,19.265290323
1013357714,CUMMINS,KATHERINE,,DPM,F,I,1345 UNITY PL STE 225,,LAFAYETTE,IN,479055762,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,270,251.28,188.46764706,210.35823529
1013357714,CUMMINS,KATHERINE,,DPM,F,I,1345 UNITY PL STE 225,,LAFAYETTE,IN,479055762,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,175,162.87,127.69,126.53
1013358019,GRINDBERG,CHRISTIAN,,DO,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,78,63.318076923,8.32,6.3542307692,6.3542307692
1013358019,GRINDBERG,CHRISTIAN,,DO,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,16.5,8.054375,5.935,3.343125
1013358019,GRINDBERG,CHRISTIAN,,DO,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,126.60428571,104.90214286,82.245714286,57.622857143
1013358019,GRINDBERG,CHRISTIAN,,DO,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1620,2.0531049383,0.139037037,0.1022716049,0.1022716049
1013358134,YIM,HOI-WING,S,M.D.,F,I,111 CENTRAL AVE,,NEWARK,NJ,071021909,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,472.595,65.7,51.51,54.52875
1013358142,SINGH,HARLEEN,,MD,F,I,35 LUMPKIN CAMPGROUND RD N,,DAWSONVILLE,GA,305346206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,29,76.189310345,8.32,6.0713793103,6.0713793103
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,47.598181818,16.78,12.353030303,12.67
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,55,55,50.73,3.9054545455,2.82,3.4167272727
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,87,89,329.80685393,71.5,53.563483146,52.398089888
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36.82,28.87,29.52
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,19.275,9.6433333333,7.3610972222,7.3610972222
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,2400,0.92,0.13525,0.1060666667,0.1060666667
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,126.40909091,99.102727273,95.567272727
1013358183,JACKSON,MARKQUETTA,R,FNP,F,I,9200 SHELBYVILLE RD STE 530,,LOUISVILLE,KY,402225144,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,33,94.181818182,33,25.87,25.87
1013358282,HALLEY,KRISTINA,M,P.A.C.,F,I,1051 W US ROUTE 6,SUITE 100,MORRIS,IL,604504200,US,Physician Assistant,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,8.22,5.74,4.2352941176,4.2352941176
1013358282,HALLEY,KRISTINA,M,P.A.C.,F,I,1051 W US ROUTE 6,SUITE 100,MORRIS,IL,604504200,US,Physician Assistant,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,7.515,5.26,3.9667352941,3.9667352941
1013358381,CROWLEY,CAITLIN,R,FNP-BC,F,I,10 GOVE ST,,EAST BOSTON,MA,021281920,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,34,82.070588235,8.32,6.5217647059,6.5217647059
1013358639,JOGINPALLY,TEJASWINI,,M.D.,F,I,138 SERVICE RD RM A225,,EAST LANSING,MI,488241376,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,598.85090909,69.81,49.754545455,49.754545455
1013358795,BOLDT,EDITH,S,N.P.,F,I,7230 N MILLBROOK AVE,,FRESNO,CA,937203340,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,33,71,243,78.28781893,8.32,6.3618106996,6.3618106996
1013358795,BOLDT,EDITH,S,N.P.,F,I,7230 N MILLBROOK AVE,,FRESNO,CA,937203340,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,26,16.075769231,1.42,0.9423076923,0.9423076923
1013358795,BOLDT,EDITH,S,N.P.,F,I,7230 N MILLBROOK AVE,,FRESNO,CA,937203340,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,708.29272727,328.34727273,257.42181818,257.42181818
1013358795,BOLDT,EDITH,S,N.P.,F,I,7230 N MILLBROOK AVE,,FRESNO,CA,937203340,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,72,72,247.57972222,236.48083333,185.39916667,195.72291667
1013358795,BOLDT,EDITH,S,N.P.,F,I,7230 N MILLBROOK AVE,,FRESNO,CA,937203340,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,212.91333333,212.42666667,166.54166667,207.1
1013359231,CADORNA,CARRIE,L,A.P.R.N.,F,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,2340,0.39,0.13,0.0940512821,0.0940512821
1013359231,CADORNA,CARRIE,L,A.P.R.N.,F,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,370,2.75,2.27,1.7796756757,1.7796756757
1013359231,CADORNA,CARRIE,L,A.P.R.N.,F,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,2220,4.5412162162,2.04,1.510027027,1.510027027
1013359231,CADORNA,CARRIE,L,A.P.R.N.,F,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,13.46,10.67,8.3691666667,8.5783333333
1013359298,MAXWELL,LORI,A,APRN,F,I,1245 S UTICA AVE FL 1,,TULSA,OK,741044214,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,83.476818182,8.32,6.52,6.52
1013359298,MAXWELL,LORI,A,APRN,F,I,1245 S UTICA AVE FL 1,,TULSA,OK,741044214,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,55.678181818,17,13.33,13.520909091
1013359298,MAXWELL,LORI,A,APRN,F,I,1245 S UTICA AVE FL 1,,TULSA,OK,741044214,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,428.79555556,77.18,60.51,55.041666667
1013359314,SARGSYAN,EMMA,,MD,F,I,1101 26TH ST S,,GREAT FALLS,MT,594055161,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,388.70266667,75.030666667,49.255666667,45.530333333
1013359397,VUNNAM,SANDHYA,,M.D.,F,I,1000 E MOUNTAIN BLVD,,WILKES BARRE,PA,18711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,569,77.18,60.51,55.2025
1013359397,VUNNAM,SANDHYA,,M.D.,F,I,1000 E MOUNTAIN BLVD,,WILKES BARRE,PA,18711,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,435,35.13,27.54,29.330909091
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,24,66,187,54.819625668,8.2697860963,6.2617647059,6.3014973262
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,35,53,14.364150943,1.42,1.0735849057,1.0735849057
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,72.10173913,23.141304348,16.843478261,12.615217391
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,121.45363636,57.126363636,41.038181818,34.209090909
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,453.657,104.87933333,76.734333333,50.922666667
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,10.996909091,8.4042272727,8.4042272727
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,5299,0.1776278543,0.0470107567,0.0347688243,0.0347688243
1013359538,RAWLS,KELLY,E,PHYSICIAN ASSISTANT,F,I,205 HOSPITAL DR,SUITE A,MC KENZIE,TN,382011649,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,33,33,129,33,24.302121212,24.302121212
1013359769,STALLINGS,HEATHER,,APN,F,I,621 E MATTHEWS AVE,,JONESBORO,AR,724013145,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,49.585833333,7.6325,5.9816666667,3.66
1013359769,STALLINGS,HEATHER,,APN,F,I,621 E MATTHEWS AVE,,JONESBORO,AR,724013145,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,25,519.51,108.7984,85.3012,54.9316
1013359769,STALLINGS,HEATHER,,APN,F,I,621 E MATTHEWS AVE,,JONESBORO,AR,724013145,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3217,0.3808672676,0.0466490519,0.0365713398,0.0365713398
1013359769,STALLINGS,HEATHER,,APN,F,I,621 E MATTHEWS AVE,,JONESBORO,AR,724013145,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1470,0.92,0.1346530612,0.098170068,0.098170068
1013359769,STALLINGS,HEATHER,,APN,F,I,621 E MATTHEWS AVE,,JONESBORO,AR,724013145,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,99,33,24.792083333,24.792083333
1013360148,LOPEZ,ALISA,M,CNP,F,I,5320 HARROUN RD,,SYLVANIA,OH,43560,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55,21.705833333,17.020833333,14.916666667
1013361112,CARTER,LISA,M,PA-C,F,I,EMILE @ 42ND ST,,OMAHA,NE,681980001,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,65,42.52,8.32,6.5226153846,6.5226153846
1013361112,CARTER,LISA,M,PA-C,F,I,EMILE @ 42ND ST,,OMAHA,NE,681980001,US,Physician Assistant,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,320,130.9,89.584545455,85.109090909
1013361112,CARTER,LISA,M,PA-C,F,I,EMILE @ 42ND ST,,OMAHA,NE,681980001,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,480.44235294,133.76470588,99.865294118,94.647647059
1013361617,ARMSTRONG,BROOKE,,,F,I,14901 N PENNSYLVANIA AVE,,OKLAHOMA CITY,OK,731346069,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,73.5,19.350526316,15.173684211,14.247368421
1013362334,ESKANDAFI,HUSSAM,,M.D,M,I,3 ERIE CT,SUITE L700,OAK PARK,IL,603022519,US,Student in an Organized Health Care Education/Training Program,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25.95,3.7909090909,2.9672727273,3.4727272727
1013362672,WILEY,LORI,J,FNP-C,F,I,1214 E NATIONAL AVE STE 90A,,BRAZIL,IN,478342746,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,5.12,3.7033333333,3.5453333333
1013363894,BARKER,EVE,,MD,F,I,1044 N MOZART ST STE 100,,CHICAGO,IL,606223644,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.34,77.34,60.63,55.221666667
1013364272,REISDORPH,CHARLA,,APRN,F,I,3520 SW 6TH AVE.,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,44,92,361,57.014875346,8.32,6.0626592798,6.0626592798
1013364272,REISDORPH,CHARLA,,APRN,F,I,3520 SW 6TH AVE.,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,23,37,17.989459459,1.42,0.9943243243,0.9943243243
1013364405,FIELDS,ANGELA,,NURSE PRACTITIONER,F,I,1240 RIDGEWAY DR,,CASTLEWOOD,VA,242246397,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50,13.468666667,8.9393333333,8.5466666667
1013364405,FIELDS,ANGELA,,NURSE PRACTITIONER,F,I,1240 RIDGEWAY DR,,CASTLEWOOD,VA,242246397,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,48,48,180,62.072708333,42.889583333,33.096041667
1013364405,FIELDS,ANGELA,,NURSE PRACTITIONER,F,I,1240 RIDGEWAY DR,,CASTLEWOOD,VA,242246397,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,68.53,20.52125,16.085416667,14.031666667
1013364405,FIELDS,ANGELA,,NURSE PRACTITIONER,F,I,1240 RIDGEWAY DR,,CASTLEWOOD,VA,242246397,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,54,54,70.505555556,4.9066666667,3.712962963,3.6074074074
1013364405,FIELDS,ANGELA,,NURSE PRACTITIONER,F,I,1240 RIDGEWAY DR,,CASTLEWOOD,VA,242246397,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,417.3648,88.3064,69.2332,57.966
1013364405,FIELDS,ANGELA,,NURSE PRACTITIONER,F,I,1240 RIDGEWAY DR,,CASTLEWOOD,VA,242246397,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,13,59,59,67.245762712,28.09220339,21.536101695,15.168135593
1013364785,HUGHES,JILL,,,F,I,408 N STATE OF FRANKLIN RD,SUITE 12,JOHNSON CITY,TN,376046089,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1400,0.55,0.44,0.3449714286,0.3449714286
1013364785,HUGHES,JILL,,,F,I,408 N STATE OF FRANKLIN RD,SUITE 12,JOHNSON CITY,TN,376046089,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1950,0.16,0.13,0.1019076923,0.1019076923
1013364785,HUGHES,JILL,,,F,I,408 N STATE OF FRANKLIN RD,SUITE 12,JOHNSON CITY,TN,376046089,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,958.49333333,150.604,117.264,116.52666667
1013364785,HUGHES,JILL,,,F,I,408 N STATE OF FRANKLIN RD,SUITE 12,JOHNSON CITY,TN,376046089,US,Nurse Practitioner,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,1300,1021.7430769,767.94076923,777.29153846
1013364785,HUGHES,JILL,,,F,I,408 N STATE OF FRANKLIN RD,SUITE 12,JOHNSON CITY,TN,376046089,US,Nurse Practitioner,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,1,13,13,26,500,364.4,285.69,285.69
1013365071,BLANKENSHIP,HILLARY,,APN,F,I,1560 N BROAD ST,,LEXINGTON,TN,383514765,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,23,48,62.731041667,8.32,5.4354166667,5.4354166667
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,17,31,116,48.752413793,8.32,5.96,5.96
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,21,39,11.437179487,1.42,1.0282051282,1.0282051282
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,358,12,7.37,5.3772905028,5.3772905028
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,12,7.3788268156,5.4045530726,3.8772346369
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3520,0.64,0.4756676136,0.3708607955,0.2928011364
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,175,65.838571429,51.62,37.747857143
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,41,46.392926829,22.489512195,15.810731707,13.054634146
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,55,321.76072727,106.66072727,78.648,57.483272727
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,2698,1.7930429948,0.135585619,0.1054521868,0.1054521868
1013366616,VANWORMER,RACHEL,,NP,F,I,1360 N SAINT HELEN RD,,SAINT HELEN,MI,486569521,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,35,35,68.057142857,33,25.87,25.87
1013366707,ALDRETE,CHRISTIAN,A,PA-C,M,I,530 SAN PEDRO AVE,,SAN ANTONIO,TX,782125006,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,34.2,17.5075,12.319166667,12.794166667
1013367226,CAMP,REBECCA,A,,F,I,14309 CANTRELL RD,,LITTLE ROCK,AR,722234217,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,71.05,22.09,11.546666667,14.406666667
1013367945,POSEY,KAREN,,NP-C,F,I,9018 HUNT RD,,ST LOUISVILLE,OH,430719697,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,490.31692308,100.58923077,74.266153846,50.52
1013368380,WERNCKE,CHELSEA,,OD,F,I,8010 OAK PARK RD NE,,NEW SALISBURY,IN,471618401,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,73.963076923,72.516153846,43.861538462,40.615384615
1013368646,MCCARTY,RYAN,,M.D.,M,I,701 N 1ST ST,,SPRINGFIELD,IL,627023757,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.17,7.9745454545,8.0127272727
1013368646,MCCARTY,RYAN,,M.D.,M,I,701 N 1ST ST,,SPRINGFIELD,IL,627023757,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,650,187.90545455,147.31727273,153.67545455
1013368828,MCDONOUGH,TALIA,,PA-C,F,I,2800 ASHTON DR STE 100,,WILMINGTON,NC,28412,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,25,125.76,117.67,92.26,102.51
1013369586,LANG,ABIGAIL,H,PA-C,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Physician Assistant,S,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,49.16,45.15,35.4,40.0875
1013369891,STRASSER,MORDECHAI,,,M,I,2127 NEW YORK AVE,,BROOKLYN,NY,112105423,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,438,17.127853881,5,3.92,4.1269178082
1013369891,STRASSER,MORDECHAI,,,M,I,2127 NEW YORK AVE,,BROOKLYN,NY,112105423,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,56,56,140.75910714,47.901785714,34.295357143,34.283035714
1013369891,STRASSER,MORDECHAI,,,M,I,2127 NEW YORK AVE,,BROOKLYN,NY,112105423,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,129.76117647,46.525294118,36.47,37.375294118
1013369891,STRASSER,MORDECHAI,,,M,I,2127 NEW YORK AVE,,BROOKLYN,NY,112105423,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,127,127,69.200472441,15.071968504,11.043307087,13.390629921
1013369891,STRASSER,MORDECHAI,,,M,I,2127 NEW YORK AVE,,BROOKLYN,NY,112105423,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,119.34,20.9075,16.39,21.6225
1013369891,STRASSER,MORDECHAI,,,M,I,2127 NEW YORK AVE,,BROOKLYN,NY,112105423,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,19,142,142,20.735070423,6.7316197183,4.9195070423,6.2152112676
1013370279,MARKELZ,KATHERINE,A,,F,I,42 SUMMER ST STE 301,,PITTSFIELD,MA,012014652,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,44,95.990681818,8.32,4.7443181818,4.7443181818
1013372390,FARR,ERIN,L,NP,F,I,2780 EAST MAIN STREET,LTC HEALTH SOLUTIONS,SPARTANBURG,SC,29307,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,16,58,9.98,8.32,6.2972413793,6.2972413793
1013372390,FARR,ERIN,L,NP,F,I,2780 EAST MAIN STREET,LTC HEALTH SOLUTIONS,SPARTANBURG,SC,29307,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,16,29,1.7,1.42,1.0751724138,1.0751724138
1013372390,FARR,ERIN,L,NP,F,I,2780 EAST MAIN STREET,LTC HEALTH SOLUTIONS,SPARTANBURG,SC,29307,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,42,43,168.48232558,52.506744186,38.748604651,36.135813953
1013372390,FARR,ERIN,L,NP,F,I,2780 EAST MAIN STREET,LTC HEALTH SOLUTIONS,SPARTANBURG,SC,29307,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,28,82.97,17.29,12.582142857,12.564285714
1013372390,FARR,ERIN,L,NP,F,I,2780 EAST MAIN STREET,LTC HEALTH SOLUTIONS,SPARTANBURG,SC,29307,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,38,504.55157895,70.23,53.433947368,53.112105263
1013372390,FARR,ERIN,L,NP,F,I,2780 EAST MAIN STREET,LTC HEALTH SOLUTIONS,SPARTANBURG,SC,29307,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,34,36,71.259722222,19.140555556,14.08,13.571388889
1013372978,NAMIKI,RYO,,PA-C,M,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,86.31,17.385294118,13.631764706,13.562941176
1013372978,NAMIKI,RYO,,PA-C,M,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,28.5875,4.80125,3.325625,3.169375
1013372978,NAMIKI,RYO,,PA-C,M,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,29,519.51,71.198965517,50.637586207,49.820344828
1013373141,CHERNISH,INESSA,P,PAC,F,I,980 PROFESSIONAL PARK DR,SUITE A,CLARKSVILLE,TN,370405251,US,Physician Assistant,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,425,339.04,265.81,292.91
1013373141,CHERNISH,INESSA,P,PAC,F,I,980 PROFESSIONAL PARK DR,SUITE A,CLARKSVILLE,TN,370405251,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,34,1496.8870588,1314.9108824,1030.8929412,891.05911765
1013374271,FADUM,SHAWN,,PA,M,I,1104 WALNUT DR,,ARDMORE,OK,734012353,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,36,37.139722222,8.0058333333,6.2752777778,3.9733333333
1013374503,HARRIS,AARON,C,PA,M,I,120 HOSPITAL DR,SUITE 130,JEFFERSON CITY,TN,377605287,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.29,13.55,13.53
1013374503,HARRIS,AARON,C,PA,M,I,120 HOSPITAL DR,SUITE 130,JEFFERSON CITY,TN,377605287,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,70.23,55.06,54.72
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,36,119,59.666638655,8.32,5.9737815126,5.9737815126
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,41,13.827073171,1.42,1.1141463415,1.1141463415
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,280,97.614428571,4.8,3.7632857143,4.1631071429
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,41,41,144.09512195,47.089268293,36.067560976,36.966341463
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,56.55,47.5004,35.9124,37.9916
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,20.181612903,3.8151612903,2.6561290323,3.2403225806
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,18,455.25555556,77.18,50.425,47.53
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2340,1.2484401709,0.1335384615,0.1000512821,0.1000512821
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,69.89,16.0125,11.115,11.8985
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,60.077692308,24.718461538,19.38,21.578461538
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,20.57,7.5335,5.229,5.5945
1013374735,CHIGER,JUDITH,L,M.D.,F,I,10125 VERREE RD,SUITE 203,PHILADELPHIA,PA,191163611,US,Physician/Pain Management,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,28,103.71428571,33,23.098214286,23.098214286
1013375484,STONE,LEAH,,,F,I,726 N LOCUST AVE,"1ST FL, STE D",LAWRENCEBURG,TN,384642865,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,45,66.591333333,8.32,6.5224444444,6.5224444444
1013375484,STONE,LEAH,,,F,I,726 N LOCUST AVE,"1ST FL, STE D",LAWRENCEBURG,TN,384642865,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,51,51,25,7.3247058824,5.4570588235,3.7894117647
1013375500,RENNER,ARTHUR,,,F,I,601 EAST ST N,,ELGIN,ND,585337105,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,173,62.333333333,48.87,36.225
1013376128,JOYNER,COLBY,E,PA-C,M,I,7005 WALLACE RD STE 600,,CHARLOTTE,NC,28212,US,Physician Assistant,S,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less",D1E - Other DME,Durable Medical Equipment,N,2,87,87,87,1200,1013.5183908,794.6,792.9
1013376474,FLOWERS,JACQUELYN,M,FNP,F,I,7630 RIVERS EDGE DR,,COLUMBUS,OH,432351329,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,49.9225,12.14,9.52,9.1533333333
1013376474,FLOWERS,JACQUELYN,M,FNP,F,I,7630 RIVERS EDGE DR,,COLUMBUS,OH,432351329,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,81,6.8720987654,2.14,1.6767901235,1.5927160494
1013376474,FLOWERS,JACQUELYN,M,FNP,F,I,7630 RIVERS EDGE DR,,COLUMBUS,OH,432351329,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,275,83.676315789,61.787368421,62.004210526
1013376474,FLOWERS,JACQUELYN,M,FNP,F,I,7630 RIVERS EDGE DR,,COLUMBUS,OH,432351329,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,113.85925926,32.396666667,22.754814815,21.684444444
1013376474,FLOWERS,JACQUELYN,M,FNP,F,I,7630 RIVERS EDGE DR,,COLUMBUS,OH,432351329,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,36.5,28.62,29.435833333
1013377092,LAWSON,HALEY,,,F,I,1035 RED BUD RD NE,SUITE 201,CALHOUN,GA,307016010,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,4030,3.7773945409,2.03,1.5915086849,1.5982977667
1013377902,NOVAK,LARA,A,,F,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician Assistant,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,28,41.960714286,34.216071429,26.824642857,30.291785714
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,76.727272727,38.89,30.49,30.49
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,22,6.16,1.6690909091,1.1513636364,0.9945454545
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,321.89533333,97.206,76.21,67.842
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,23,156.08869565,41.713913043,32.329130435,26.183478261
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,63.520714286,20.395714286,15.990714286,14.070714286
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,25,65,8.4935384615,2.4604615385,1.9312307692,1.6263076923
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,29,65.435172414,22.796206897,15.383793103,12.287931034
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,69.892857143,14.137857143,10.258571429,8.9907142857
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,47,47,30.37212766,8.0836170213,6.3372340426,4.2053191489
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,232.70705882,42.339411765,31.164705882,23.897058824
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,20,113,127,540.60480315,80.686141732,60.726614173,54.789448819
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,39,132.13846154,38.865641026,29.596666667,29.626923077
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1260,16.868928571,9.6571428571,7.4573253968,7.4573253968
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1038,1.2579865125,0.0868786127,0.0681213873,0.0681213873
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,17,62,7575,1.8602336634,0.1358085809,0.1007273927,0.1007273927
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,1230,11.404796748,2.926398374,2.1776666667,2.1776666667
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,30,167.53033333,37.972333333,29.768,29.471666667
1013377969,HINTZ,MIRANDA,M,APNP,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,21,73,73,47.095890411,33,23.912328767,23.912328767
1013379114,PEREZ,KATHERINE,,,F,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175,77.34,60.63,54.73
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,104.01272727,40.04,23.678181818,23
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,307.38666667,89.55,62.734,60.613333333
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,40,129.3495,34.16,24.40325,23.60875
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,240.332,54.694666667,40.008,40.001333333
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,21,21,79.638571429,17.906666667,12.836666667,12.862857143
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,74.535,12.045625,9.445625,9.12
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,31,175,9.4345142857,2.1201142857,1.5164571429,1.4541714286
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,38.99,12.95,10.15,10.34
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,30,32,67.81875,17.41,13.0746875,12.968125
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,46,47,476.31340426,79.3,60.847234043,53.565531915
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,250,36.5,28.62,29.51
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,11,3588,0.3852954292,0.0458500557,0.0359476031,0.0359476031
1013380120,HOPKINS,ALISHA,,,F,I,1520 OLD HENDERSON RD,,COLUMBUS,OH,432203639,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,12,12,66,33,25.87,25.87
1013380138,BRAUER,SAMUEL,D,PA,M,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,16,86,109,57.33706422,8.32,6.1075229358,6.1075229358
1013380138,BRAUER,SAMUEL,D,PA,M,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,155,56.048695652,43.939130435,25.747826087
1013380138,BRAUER,SAMUEL,D,PA,M,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,300,107.32875,80.413125,53.998125
1013380138,BRAUER,SAMUEL,D,PA,M,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1933,0.4829125711,0.0454216244,0.0343559234,0.0343559234
1013380138,BRAUER,SAMUEL,D,PA,M,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,125,45.491052632,35.667368421,32.856842105
1013380138,BRAUER,SAMUEL,D,PA,M,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,33,33,22.63625,22.63625
1013380187,DORNIN,LAUREN,,"DNP, AGNP-C",F,I,310 FISK ST,,PITTSBURGH,PA,152011708,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,90.143870968,21.775483871,17.074516129,15.652580645
1013380393,CLEARY-LYNCH,CAITLIN,,PA-C,F,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,20,80,80,61.1765,61.5565
1013380393,CLEARY-LYNCH,CAITLIN,,PA-C,F,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician Assistant,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,18,116,116,84.456666667,88.422777778
1013380393,CLEARY-LYNCH,CAITLIN,,PA-C,F,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician Assistant,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,13,42,42,28.270769231,30.931538462
1013380393,CLEARY-LYNCH,CAITLIN,,PA-C,F,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician Assistant,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,149.56521739,149.56521739,115.17695652,117.66782609
1013381813,PRETORIUS,URSULA,J,,F,I,835 GLENROCK RD,SUITE 100,NORFOLK,VA,235023767,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,135,32.90625,25.79875,26.2975
1013382209,ALBERT,SHERRI,L,APN,F,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,29.781666667,6.9688888889,5.26,3.3788888889
1013383090,GRIFFITH,CHELSEA,E,APRN,F,I,4411 HIGHWAY 5 N,,BRYANT,AR,720227005,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.23,3.8018181818,2.6272727273,3.1454545455
1013383223,KELLY,LORI,,NP,F,I,439 HINSDALE RD,,CAMILLUS,NY,130311648,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,15.72,12.33,13.54
1013383223,KELLY,LORI,,NP,F,I,439 HINSDALE RD,,CAMILLUS,NY,130311648,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,19,519.51,70,54.88,54.73
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,95.535833333,38.848333333,30.4575,30.508333333
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,20,56,5.4057142857,1.6807142857,1.2758928571,1.1105357143
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,64,100,100,222.1162,90.7737,67.7873,64.9029
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,52,116,165,93.569818182,34.903030303,26.383454545,25.077090909
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,38,83,275,58.307418182,19.149454545,13.761236364,13.323672727
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,17,60,38.9845,15.004,11.763166667,11.887333333
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,59,100,100,174.4827,55.6337,41.2897,40.4655
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,116,137,137,46.229489051,18.470510949,13.65729927,13.296350365
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,119,210,210,44.090666667,12.800952381,9.703047619,8.8406190476
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,126,311,1034,6.2500193424,2.1740038685,1.6214216634,1.5171760155
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,59,69,69,14.942898551,6.418115942,4.8314492754,4.4934782609
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,42,46,46,26.505869565,13.068913043,10.000434783,10.109130435
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,25,163,168,55.227738095,18.778095238,14.027678571,13.430535714
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,208.41181818,44.17,31.481818182,34.55
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,49,50,385.206,79.983,61.114,62.7188
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,17,17,314.74823529,134.34882353,99.594117647,98.974705882
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,25,139,144,44.870694444,13.860902778,10.645833333,10.189722222
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,20,93,95,37.797263158,4.864,3.448,3.3386315789
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,84,446,456,149.96971491,34.281820175,25.203991228,24.044035088
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,31,208,214,291.1128972,74.724392523,56.301121495,53.536915888
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,27,178.12,38.151111111,28.786666667,28.417777778
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,21,60,17884,0.2912010736,0.046269291,0.0343485797,0.0343485797
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,30,4320,2.095537037,0.1348472222,0.0956273148,0.0956273148
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,9.952,3.003,2.1910416667,2.1910416667
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,25,70,70,62.7,33,24.252142857,24.252142857
1013384072,SPRENKLE,SHANNON,,CRNP,F,I,12502 WILLOWBROOK RD,SUITE 280,CUMBERLAND,MD,215026491,US,Nurse Practitioner,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,70.307692308,66,51.390769231,51.390769231
1013385061,CONVERSE,CURTIS,D,D.O.,M,I,400 N PEPPER AVE,,COLTON,CA,923241819,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79.22,62.11,57.413636364
1013386432,REDDY,SILPA,,D.O.,F,I,6719 ALVARADO RD,SUITE 108,SAN DIEGO,CA,921205270,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,3.1727272727,2.4827272727,3.3854545455
1013386432,REDDY,SILPA,,D.O.,F,I,6719 ALVARADO RD,SUITE 108,SAN DIEGO,CA,921205270,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,502.5,72.06,53.361111111,51.689444444
1013386432,REDDY,SILPA,,D.O.,F,I,6719 ALVARADO RD,SUITE 108,SAN DIEGO,CA,921205270,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,525,36.58,28.67,29.51
1013386838,CUTTING,SAMANTHA,,,F,I,44 W 21ST ST,SUITE 101,NORTHAMPTON,PA,180671221,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,21,73.828095238,8.32,5.9004761905,5.9004761905
1013386929,GROCE,JUSTIN,,APRN,M,I,115 WINWOOD DR,SUITE 105,LEBANON,TN,370871340,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,72.93,8.32,6.5204166667,6.5204166667
1013386929,GROCE,JUSTIN,,APRN,M,I,115 WINWOOD DR,SUITE 105,LEBANON,TN,370871340,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,44.666666667,19.268666667,10.098666667,9.03
1013386929,GROCE,JUSTIN,,APRN,M,I,115 WINWOOD DR,SUITE 105,LEBANON,TN,370871340,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,137.14366667,34.901,25.709666667,24.892333333
1013387018,LEGGETT,LAUREN,A,AGACNP,F,I,1918 RANDOLPH RD STE 580,,CHARLOTTE,NC,28207,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2430,5.5788888889,1.8333333333,1.4373333333,1.5993497942
1013387018,LEGGETT,LAUREN,A,AGACNP,F,I,1918 RANDOLPH RD STE 580,,CHARLOTTE,NC,28207,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,2040,8.4160294118,6.5117647059,5.1052107843,5.6397352941
1013387182,GALLI,KELLEEN,,RN,F,I,1531 ESPLANADE,,CHICO,CA,959263310,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,450,65.7,51.51,54.73
1013387240,PREO,LINDSEY,R,APRN,F,I,1952 WHITNEY AVE,,HAMDEN,CT,065171209,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,45,75.311777778,8.32,6.2315555556,6.2315555556
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,57,53.933157895,8.32,5.8352631579,5.8352631579
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,23,16.033913043,1.42,1.0156521739,1.0156521739
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,36,54.425,17.29,12.797222222,12.779444444
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,29,24.748275862,4.8213793103,3.7810344828,3.7665517241
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,63,358.05095238,70.23,50.833650794,50.558730159
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1546,0.2662160414,0.0465717982,0.0365006468,0.0365006468
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,136.77666667,107.23666667,105.7
1013387349,BYRD,MARY,B,FNP,F,I,800 S MOHAWK DR,SUITE E,ERWIN,TN,376502124,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,108.70588235,33,25.87,25.87
1013387406,BELL,KEVIN,,PA,M,I,6410 S KINGS RANCH RD,,GOLD CANYON,AZ,851187352,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,25,108,75.469722222,8.32,5.6769444444,5.6769444444
1013387406,BELL,KEVIN,,PA,M,I,6410 S KINGS RANCH RD,,GOLD CANYON,AZ,851187352,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,18,14.126666667,1.42,0.99,0.99
1013387430,JURGENSEN,LIANA,M,PA,F,I,1200 EAGLE AVE,,OCEAN,NJ,077127631,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,136.32588235,44.472941176,32.816470588,33.481176471
1013387851,KLOOSTER,ONNA,,FNP,F,I,8510 BRYANT ST,200,WESTMINSTER,CO,800313844,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,16,37.295,8.32,5.70875,5.70875
1013387851,KLOOSTER,ONNA,,FNP,F,I,8510 BRYANT ST,200,WESTMINSTER,CO,800313844,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,137.54705882,17.657647059,12.211764706,12.014705882
1013387851,KLOOSTER,ONNA,,FNP,F,I,8510 BRYANT ST,200,WESTMINSTER,CO,800313844,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,40,4.93,3.8845,2.73,3.234
1013387851,KLOOSTER,ONNA,,FNP,F,I,8510 BRYANT ST,200,WESTMINSTER,CO,800313844,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,563.35825,76.087,53.42,50.58075
1013388180,HAGUE,NATALIE,M,PA,F,I,100 E WARM SPRINGS AVE STE B,,BOISE,ID,837126243,US,Physician Assistant,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,70,72.111428571,26.266428571,20.592714286,19.2
1013388404,HEATH,CALEB,,NP-C,M,I,975 E 3RD ST STE C-830,,CHATTANOOGA,TN,374032147,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,46.590909091,11.487272727,9.0027272727,7.5072727273
1013388404,HEATH,CALEB,,NP-C,M,I,975 E 3RD ST STE C-830,,CHATTANOOGA,TN,374032147,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,77.370526316,22.774210526,16.093157895,11.950526316
1013389683,VASOLD,AMBER,,,F,I,16 ABERDEEN SHOPPING PLZ,,ABERDEEN,MD,210012247,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,51,67.32,8.32,6.521372549,6.521372549
1013390491,BUESSER,JULIA,F,,F,I,3 S GREENLEAF ST,STE J,GURNEE,IL,600313377,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,31,3870,6.4487648579,2.04,1.5485917313,1.5485917313
1013390491,BUESSER,JULIA,F,,F,I,3 S GREENLEAF ST,STE J,GURNEE,IL,600313377,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,1770,10.578949153,6.15,4.7947514124,5.4692711864
1013390574,SWARINGEN,RAEGAN,J,FNP,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,28144,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,17.15,11.076470588,11.171764706
1013390574,SWARINGEN,RAEGAN,J,FNP,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,28144,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,50.73,5.7214285714,4.1835714286,3.3807142857
1013390574,SWARINGEN,RAEGAN,J,FNP,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,28144,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,79,53.884705882,47.098823529
1013390574,SWARINGEN,RAEGAN,J,FNP,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,28144,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,0.92,0.132,0.1002261905,0.1002261905
1013390574,SWARINGEN,RAEGAN,J,FNP,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,28144,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,3.003,2.3262916667,2.3262916667
1013390574,SWARINGEN,RAEGAN,J,FNP,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,28144,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,133.44444444,33,23.953703704,23.953703704
1013390756,WRIGHT,GREGORY,,PA-C,M,I,203 COMMERCE DR,SUITE G,QUARRYVILLE,PA,175669020,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,39,107,68.117383178,8.32,5.5461682243,5.5461682243
1013390756,WRIGHT,GREGORY,,PA-C,M,I,203 COMMERCE DR,SUITE G,QUARRYVILLE,PA,175669020,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,56.576923077,13.358461538,9.6723076923,9.6738461538
1013390756,WRIGHT,GREGORY,,PA-C,M,I,203 COMMERCE DR,SUITE G,QUARRYVILLE,PA,175669020,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,29,44.519310345,4.685862069,2.63,2.8955172414
1013390756,WRIGHT,GREGORY,,PA-C,M,I,203 COMMERCE DR,SUITE G,QUARRYVILLE,PA,175669020,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,169.66827586,30.320689655,22.978965517,23.395517241
1013390756,WRIGHT,GREGORY,,PA-C,M,I,203 COMMERCE DR,SUITE G,QUARRYVILLE,PA,175669020,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,24,519.51,67.72,49.732083333,51.244166667
1013390764,MCQUEEN,EMILY,B,FNP,F,I,1901 SOUTH SHADY STREET,,MOUNTAIN CITY,TN,37683,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,45,115,39.577478261,8.32,6.1820869565,6.1820869565
1013390764,MCQUEEN,EMILY,B,FNP,F,I,1901 SOUTH SHADY STREET,,MOUNTAIN CITY,TN,37683,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,10.014210526,1.42,1.1157894737,1.1157894737
1013390764,MCQUEEN,EMILY,B,FNP,F,I,1901 SOUTH SHADY STREET,,MOUNTAIN CITY,TN,37683,US,Nurse Practitioner,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,291,165.58545455,129.82272727,102.69454545
1013390764,MCQUEEN,EMILY,B,FNP,F,I,1901 SOUTH SHADY STREET,,MOUNTAIN CITY,TN,37683,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,7.8825,5.8766666667,3.6916666667
1013391689,CARRIER,JODEE,,"APRN, FNP-C",F,I,803 N FOREMAN ST,SUITE 102,VINITA,OK,743011435,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,78.253636364,9.9554545455,7.1454545455,4.06
1013391689,CARRIER,JODEE,,"APRN, FNP-C",F,I,803 N FOREMAN ST,SUITE 102,VINITA,OK,743011435,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,99.256363636,51.44,40.326363636,27.459090909
1013391762,HENDERSON,MARY,,FNP,F,I,447 MCALISTER RD,STE 2400,LINCOLNTON,NC,280924114,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,66,180,49.181944444,8.32,5.5803888889,5.5803888889
1013391762,HENDERSON,MARY,,FNP,F,I,447 MCALISTER RD,STE 2400,LINCOLNTON,NC,280924114,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,31,46,21.589130435,1.42,0.9947826087,0.9947826087
1013391762,HENDERSON,MARY,,FNP,F,I,447 MCALISTER RD,STE 2400,LINCOLNTON,NC,280924114,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,7.12,5.8254545455,4.5645454545,3.7245454545
1013391762,HENDERSON,MARY,,FNP,F,I,447 MCALISTER RD,STE 2400,LINCOLNTON,NC,280924114,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1800,0.92,0.1364666667,0.1070055556,0.1070055556
1013391762,HENDERSON,MARY,,FNP,F,I,447 MCALISTER RD,STE 2400,LINCOLNTON,NC,280924114,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,104.71428571,33,25.87,25.87
1013392620,SAMS,ANGELA,L,NP,F,I,4498 1ST AVE,,EVANSVILLE,IN,477103622,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,507.47,69.81,44.779090909,44.779090909
1013393537,APPLEBOME,BETHANY,M,PA,F,I,57 WHITE OWL LN,,CASHIERS,NC,287174514,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,22,81.662727273,8.32,6.52,6.52
1013393537,APPLEBOME,BETHANY,M,PA,F,I,57 WHITE OWL LN,,CASHIERS,NC,287174514,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,62,62,34.200322581,4.5319354839,3.4966129032,3.6469354839
1013393537,APPLEBOME,BETHANY,M,PA,F,I,57 WHITE OWL LN,,CASHIERS,NC,287174514,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,13,1016,2.0655019685,0.1403838583,0.0906397638,0.0906397638
1013394246,ZEDNIK,TERESA,R,APN,F,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,604631256,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,67.523846154,56.734615385,44.480769231,40.658461538
1013394246,ZEDNIK,TERESA,R,APN,F,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,604631256,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,95,35.5005,26.509,30.3475
1013394550,RISMYHR,CHARLES,,MD,M,I,319 HIGHWAY 36 BYP S,STE 401,GATESVILLE,TX,765282741,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,29,122,53.72852459,8.3044262295,6.4040163934,6.4159836066
1013394550,RISMYHR,CHARLES,,MD,M,I,319 HIGHWAY 36 BYP S,STE 401,GATESVILLE,TX,765282741,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,35,16.563142857,1.42,1.0811428571,1.0811428571
1013394550,RISMYHR,CHARLES,,MD,M,I,319 HIGHWAY 36 BYP S,STE 401,GATESVILLE,TX,765282741,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,24.174,4.19,3.0613333333,3.162
1013395086,CHUNDURU,MEDHA,,MD,F,I,1221 E STATE ST,,ROCKFORD,IL,611042231,US,Student in an Organized Health Care Education/Training Program,T,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125,44.766363636,30.079090909,29.571818182
1013395086,CHUNDURU,MEDHA,,MD,F,I,1221 E STATE ST,,ROCKFORD,IL,611042231,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,445,69.81,48.524166667,48.524166667
1013395748,STROMSNESS,JOSEPH,,"APRN, CNP",M,I,707 ASH ST,ESSENTIA HEALTH SPOONER CLINIC,SPOONER,WI,548011234,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,175,55.181538462,27.460769231,20.417692308
1013396548,SWANBERG,CALEB,,MD,M,I,74 ACCESS HWY,,CARIBOU,ME,047363807,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,116.70928571,19.416428571,13.215,13.179285714
1013396548,SWANBERG,CALEB,,MD,M,I,74 ACCESS HWY,,CARIBOU,ME,047363807,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,37.865,7.6,5.546875,3.55625
1013396548,SWANBERG,CALEB,,MD,M,I,74 ACCESS HWY,,CARIBOU,ME,047363807,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,369.43655172,81.027586207,59.543448276,52.359655172
1013396548,SWANBERG,CALEB,,MD,M,I,74 ACCESS HWY,,CARIBOU,ME,047363807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,103.38461538,33,25.87,25.87
1013396878,FLOYD,TOMMIE,J,A.P.N.,F,I,845 SCENIC HWY,#100,LAWRENCEVILLE,GA,300467103,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,34,46.587941176,8.32,5.7547058824,5.7547058824
1013397363,LUTZ,GINA,,M.D.,F,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,68.78,44.933333333,45.768333333
1013397363,LUTZ,GINA,,M.D.,F,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Student in an Organized Health Care Education/Training Program,T,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.83,25.9025,26.501666667
1013397827,ARIAS,YASNAY,,ARNP,F,I,8251 W BROWARD BLVD,SUITE 103,PLANTATION,FL,333242703,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,36.629047619,20.022380952,13.644285714,11.973809524
1013397967,BURNLEY,KATHERINE,A,ANP-C,F,I,2133 VADALABENE DR,SUITE 5B,MARYVILLE,IL,620625839,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,35,78.351714286,8.32,6.5231428571,6.5231428571
1013397967,BURNLEY,KATHERINE,A,ANP-C,F,I,2133 VADALABENE DR,SUITE 5B,MARYVILLE,IL,620625839,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,12,154.51,58.333333333,45.733333333,38.963333333
1013397967,BURNLEY,KATHERINE,A,ANP-C,F,I,2133 VADALABENE DR,SUITE 5B,MARYVILLE,IL,620625839,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,28,381.36,52.939642857,41.503928571,41.523214286
1013397967,BURNLEY,KATHERINE,A,ANP-C,F,I,2133 VADALABENE DR,SUITE 5B,MARYVILLE,IL,620625839,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.8845454545,3.0436363636,3.6318181818
1013397967,BURNLEY,KATHERINE,A,ANP-C,F,I,2133 VADALABENE DR,SUITE 5B,MARYVILLE,IL,620625839,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,15,73,80,133.19325,19.70975,13.892,13.05425
1013397967,BURNLEY,KATHERINE,A,ANP-C,F,I,2133 VADALABENE DR,SUITE 5B,MARYVILLE,IL,620625839,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,13,27.315384615,9.5084615385,6.9207692308,6.1592307692
1013397983,TANG,LEI,,APN,F,I,110 REHILL AVE,,SOMERVILLE,NJ,088762519,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,23,519.51,70,54.88,54.821304348
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,60,178,72.931797753,8.3056179775,5.8881460674,5.8993820225
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,31,42,15.656666667,1.42,1.064047619,1.064047619
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,30,5.5706666667,3.4666666667,2.719,1.5906666667
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,99,36.718095238,28.49047619,20.417142857
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,31.64,20.13,15.782,10.479333333
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,30,7.6308333333,2.88875,1.6891666667
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,110.5,60.395,47.34625,26.2975
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,16.32,7.4845454545,5.8695454545,4.6436363636
1013398023,LAKE,LISA,A,DNP,F,I,1225 S GEAR AVE,SUITE 159,WEST BURLINGTON,IA,526551691,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,282,107.6973913,81.839130435,57.633043478
1013398049,WILLIAMS,AUDRA,D,M.D.,F,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.9265,4.03,2.994,2.994
1013398478,STAPP,HEATHER,D,APRN-CNS,F,I,3400 E FRANK PHILLIPS BLVD,#5,BARTLESVILLE,OK,740062495,US,Certified Clinical Nurse Specialist,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,25,278.7792,48.5516,35.9944,22.4432
1013398478,STAPP,HEATHER,D,APRN-CNS,F,I,3400 E FRANK PHILLIPS BLVD,#5,BARTLESVILLE,OK,740062495,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,718.75,95.62,61.75,42.592857143
1013399195,REZAI,MOHAMMED,,D.O.,M,I,1035 PLACER ST,,REDDING,CA,960011125,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,38,78.98,8.32,4.8063157895,4.8063157895
1013399195,REZAI,MOHAMMED,,D.O.,M,I,1035 PLACER ST,,REDDING,CA,960011125,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,65.7,40.588421053,43.937368421
1013399195,REZAI,MOHAMMED,,D.O.,M,I,1035 PLACER ST,,REDDING,CA,960011125,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,250,37.64,27.402142857,27.402142857
1013399252,PARKER,CORRIE,P,FNP,F,I,4916 PLANK RD,,NORTH GARDEN,VA,229591613,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,48.323333333,37.883333333,37.186666667
1013399773,HOUSER,ASHLEY,,D.O.,F,I,1010 N KANSAS ST,,WICHITA,KS,672143124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,70.336785714,8.32,5.1239285714,5.1239285714
1013399773,HOUSER,ASHLEY,,D.O.,F,I,1010 N KANSAS ST,,WICHITA,KS,672143124,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,192,0.3333333333,0.2192708333,0.1336458333,0.1336458333
1013399773,HOUSER,ASHLEY,,D.O.,F,I,1010 N KANSAS ST,,WICHITA,KS,672143124,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,21.166363636,21.166363636
1013411065,HILLEY,SHANNON,,NP,M,I,2605 GAULT AVE N STE 200,,FORT PAYNE,AL,359673700,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,53.2,53.2,41.71,44.803333333
1013411065,HILLEY,SHANNON,,NP,M,I,2605 GAULT AVE N STE 200,,FORT PAYNE,AL,359673700,US,Nurse Practitioner,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,266.98,266.98,209.31,217.29333333
1013412238,CLIPPINGER,WILLIAM,,PA-C,M,I,75 FRANCIS ST,,BOSTON,MA,021156106,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,2910,4.8210171821,0.5851649485,0.4587628866,0.4587628866
1013415157,BENTON,AUSTIN,F,PA-C,M,I,1400 8TH AVE,,FORT WORTH,TX,761044110,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,34,111,15510,4.1945654417,0.5796183108,0.4544229529,0.4544210187
1013415157,BENTON,AUSTIN,F,PA-C,M,I,1400 8TH AVE,,FORT WORTH,TX,761044110,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,18,27,16050,0.0613246106,0.0126728972,0.0099339564,0.0099339564
1013415157,BENTON,AUSTIN,F,PA-C,M,I,1400 8TH AVE,,FORT WORTH,TX,761044110,US,Physician Assistant,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,5520,1.5061068841,0.7331304348,0.5747826087,0.5747826087
1013415157,BENTON,AUSTIN,F,PA-C,M,I,1400 8TH AVE,,FORT WORTH,TX,761044110,US,Physician Assistant,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,40,121,23400,4.2002824786,2.9417692308,2.2861162393,2.3004940171
1013415157,BENTON,AUSTIN,F,PA-C,M,I,1400 8TH AVE,,FORT WORTH,TX,761044110,US,Physician Assistant,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,45,1757,15.795702903,7.5915822425,5.9517985202,5.9517985202
1013415157,BENTON,AUSTIN,F,PA-C,M,I,1400 8TH AVE,,FORT WORTH,TX,761044110,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,54,173,173,24,24,18.82,18.82
1013415157,BENTON,AUSTIN,F,PA-C,M,I,1400 8TH AVE,,FORT WORTH,TX,761044110,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,52,181,185,16,16,12.54,12.54
1013416460,ROBBINS-SMITH,DIANA,,NP,F,I,275 GUTHRIE DR,,TROY,PA,169478115,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,22.684705882,10.368235294,8.1294117647,6.2623529412
1013421015,BUTLER,ARLENE,E,NP,F,I,1 HOSPITAL PLAZA,3RD FLOOR - CENTER BUILDING,STAMFORD,CT,06904,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,61,6.6967213115,2.0059016393,1.5727868852,1.5878688525
1013421015,BUTLER,ARLENE,E,NP,F,I,1 HOSPITAL PLAZA,3RD FLOOR - CENTER BUILDING,STAMFORD,CT,06904,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,186.1225,35.721666667,28.005833333,28.859166667
1013422344,ONKUNDI,ROSELYNE,B,NP,F,I,610 E DR MARTIN LUTHER KING JR DR,,MAXTON,NC,28364,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,900,0.9366444444,0.1388,0.1088333333,0.1088333333
1013426642,MINER,MALLORY,,,F,I,1230 W 24TH ST,,YUMA,AZ,853646232,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,64.3,27.393636364,17.110909091,10.593636364
1013426824,KATTIE,BLANCHE,C,FNP-BC,F,I,7474 GREENWAY CENTER DR STE 1100,,GREENBELT,MD,20770,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,185,185,185,1575.852,1019.8348108,786.67335135,851.36394595
1013426824,KATTIE,BLANCHE,C,FNP-BC,F,I,7474 GREENWAY CENTER DR STE 1100,,GREENBELT,MD,20770,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,90,91,93,1020.1462366,642.82892473,499.11139785,481.88817204
1013426824,KATTIE,BLANCHE,C,FNP-BC,F,I,7474 GREENWAY CENTER DR STE 1100,,GREENBELT,MD,20770,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,30,32,37,1006.2916216,824.24243243,643.13513514,668.05648649
1013426824,KATTIE,BLANCHE,C,FNP-BC,F,I,7474 GREENWAY CENTER DR STE 1100,,GREENBELT,MD,20770,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,119,122,128,132.3175,109.65296875,84.615234375,86.89359375
1013426824,KATTIE,BLANCHE,C,FNP-BC,F,I,7474 GREENWAY CENTER DR STE 1100,,GREENBELT,MD,20770,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,81,81,112,568.55464286,458.51678571,359.480625,363.94669643
1013426824,KATTIE,BLANCHE,C,FNP-BC,F,I,7474 GREENWAY CENTER DR STE 1100,,GREENBELT,MD,20770,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,60,60,60,900.77866667,653.24,512.14,551.606
1013427970,KENNY,MICHELLE,,NP,F,I,529 MAIN ST STE 216,,CHARLESTOWN,MA,021291122,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,214.48769231,55.126153846,43.215384615,44.268461538
1013427970,KENNY,MICHELLE,,NP,F,I,529 MAIN ST STE 216,,CHARLESTOWN,MA,021291122,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,122.9892,19.2392,15.0832,15.8224
1013427970,KENNY,MICHELLE,,NP,F,I,529 MAIN ST STE 216,,CHARLESTOWN,MA,021291122,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,27.276111111,9.6305555556,7.5488888889,7.6255555556
1013430354,STEIN,THOMAS,A,PA-C,M,I,410 BIRCHARD AVE,,FREMONT,OH,434202967,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,29,77,59.954025974,8.32,5.6746753247,5.6746753247
1013430354,STEIN,THOMAS,A,PA-C,M,I,410 BIRCHARD AVE,,FREMONT,OH,434202967,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,3923,0.3090542952,0.0453912822,0.0303696151,0.0303696151
1013430354,STEIN,THOMAS,A,PA-C,M,I,410 BIRCHARD AVE,,FREMONT,OH,434202967,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,66,33,21.558333333,21.558333333
1013430438,WILLIAMS,CANDY,M,,F,I,14634 SAINT STEPHENS AVE,,CHATOM,AL,365186711,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,146.19,76.15,59.703333333,40.482222222
1013432194,KRONE,MAGHAN,,NP,F,I,ELM AND CARLTON STREET,,BUFFALO,NY,142630001,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,11,45,45,138.70888889,19.71,15.45,15.45
1013432194,KRONE,MAGHAN,,NP,F,I,ELM AND CARLTON STREET,,BUFFALO,NY,142630001,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,11,47,47,115.8012766,37.38,29.3,29.3
1013432194,KRONE,MAGHAN,,NP,F,I,ELM AND CARLTON STREET,,BUFFALO,NY,142630001,US,Nurse Practitioner,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,495.91857143,214.62071429,168.26357143,168.26357143
1013432194,KRONE,MAGHAN,,NP,F,I,ELM AND CARLTON STREET,,BUFFALO,NY,142630001,US,Nurse Practitioner,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,11,2340,28.785226496,1.4912649573,1.1691623932,1.1691623932
1013432194,KRONE,MAGHAN,,NP,F,I,ELM AND CARLTON STREET,,BUFFALO,NY,142630001,US,Nurse Practitioner,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,11,47,563,5.8269271758,1.748330373,1.3706571936,1.3706571936
1013434570,GRIMES,BRITTANY,N,FNP-C,F,I,129 E REDSTONE AVE STE A,,CRESTVIEW,FL,325395350,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3750,2779.8038462,2179.3669231,2179.3669231
1013434638,ORGEL,HALLIE,,"DNP, RN, FNP-BC",F,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,59,81.638135593,8.32,5.7483050847,5.7483050847
1013434927,WALSH,KELLY,A,,F,I,317 E 34TH ST,,NEW YORK,NY,100164974,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,15,55,3932,5.3929679552,0.5706739573,0.4429552391,0.4463580875
1013434927,WALSH,KELLY,A,,F,I,317 E 34TH ST,,NEW YORK,NY,100164974,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,3526,0.1045689166,0.0134912082,0.0105728871,0.0105728871
1013434927,WALSH,KELLY,A,,F,I,317 E 34TH ST,,NEW YORK,NY,100164974,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,38,4440,4.3588558559,1.412018018,1.1020045045,1.1058220721
1013434927,WALSH,KELLY,A,,F,I,317 E 34TH ST,,NEW YORK,NY,100164974,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,16,57,57,24,24,18.82,18.82
1013434927,WALSH,KELLY,A,,F,I,317 E 34TH ST,,NEW YORK,NY,100164974,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,74,74,16,16,12.54,12.54
1013435080,CLENDENIN,WHITNEY,,NP-C,F,I,138 DUBLIN SQUARE RD STE B,,ASHEBORO,NC,272038601,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,27.530909091,11.012272727,8.6304545455,7.715
1013435080,CLENDENIN,WHITNEY,,NP-C,F,I,138 DUBLIN SQUARE RD STE B,,ASHEBORO,NC,272038601,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,86.086956522,51.773913043,40.590869565,40.340869565
1013435080,CLENDENIN,WHITNEY,,NP-C,F,I,138 DUBLIN SQUARE RD STE B,,ASHEBORO,NC,272038601,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,459.77727273,73.341818182,57.498181818,54.722727273
1013435080,CLENDENIN,WHITNEY,,NP-C,F,I,138 DUBLIN SQUARE RD STE B,,ASHEBORO,NC,272038601,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,13,87.848461538,20.689230769,16.22,14.776923077
1013435080,CLENDENIN,WHITNEY,,NP-C,F,I,138 DUBLIN SQUARE RD STE B,,ASHEBORO,NC,272038601,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,77.592272727,27.985454545,21.936818182,22.632272727
1013435080,CLENDENIN,WHITNEY,,NP-C,F,I,138 DUBLIN SQUARE RD STE B,,ASHEBORO,NC,272038601,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,19,25.341052632,8.4952631579,6.6605263158,6.9152631579
1013437342,TEDLA,EDEN,,PA-C,F,I,200 HAWTHORNE LN,,CHARLOTTE,NC,282042515,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.7027272727,3.6881818182,3.6854545455
1013438399,BOYER,CRYSTAL,,NP-C,F,I,303 WILLS WAY,,BOSSIER CITY,LA,711129806,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,33,731,8.28,8.28,6.4915321477,6.4915321477
1013438399,BOYER,CRYSTAL,,NP-C,F,I,303 WILLS WAY,,BOSSIER CITY,LA,711129806,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,34,571,10.93,10.93,8.5691768827,8.5691768827
1013438399,BOYER,CRYSTAL,,NP-C,F,I,303 WILLS WAY,,BOSSIER CITY,LA,711129806,US,Nurse Practitioner,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,2.42,1.2775,0.9983333333,1.0004166667
1013438399,BOYER,CRYSTAL,,NP-C,F,I,303 WILLS WAY,,BOSSIER CITY,LA,711129806,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,6.3,2.995,2.3458333333,2.2583333333
1013438399,BOYER,CRYSTAL,,NP-C,F,I,303 WILLS WAY,,BOSSIER CITY,LA,711129806,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,92,35.765384615,28.038461538,26.046153846
1013438399,BOYER,CRYSTAL,,NP-C,F,I,303 WILLS WAY,,BOSSIER CITY,LA,711129806,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,29.8225,23.3775,21.7575
1013438795,SURMAN,ALEXANDRA,L,PA,F,I,5758 S MARYLAND AVE,,CHICAGO,IL,606371426,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,41,3780,0.3866666667,0.13,0.1019259259,0.1019259259
1013438795,SURMAN,ALEXANDRA,L,PA,F,I,5758 S MARYLAND AVE,,CHICAGO,IL,606371426,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,49,6165,5.4386618005,1.8597323601,1.4580194647,1.5952019465
1013438886,REIDY,SHAWN,P,MD,M,I,300 LAFAYETTE AVE SE,,GRAND RAPIDS,MI,495034692,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,50,17.76,13.93,13.54
1013438886,REIDY,SHAWN,P,MD,M,I,300 LAFAYETTE AVE SE,,GRAND RAPIDS,MI,495034692,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,79.88,62.62,54.72
1013439025,THARMAKULASINGAM,SARANYA,,MD,F,I,102 W KENWOOD AVE STE 100,,DECATUR,IL,625264379,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,38,68.610263158,8.32,6.5205263158,6.5205263158
1013439025,THARMAKULASINGAM,SARANYA,,MD,F,I,102 W KENWOOD AVE STE 100,,DECATUR,IL,625264379,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,155.13,32.543333333,21.845,21.089166667
1013439710,KATZ,MICHAELA,,PA-C,F,I,2 W 42ND ST STE 3100,,SCOTTSBLUFF,NE,693610612,US,Physician Assistant,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,405,13,8.28,6.4915308642,6.4915308642
1013439710,KATZ,MICHAELA,,PA-C,F,I,2 W 42ND ST STE 3100,,SCOTTSBLUFF,NE,693610612,US,Physician Assistant,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,234,15,10.93,8.5691025641,8.5691025641
1013439710,KATZ,MICHAELA,,PA-C,F,I,2 W 42ND ST STE 3100,,SCOTTSBLUFF,NE,693610612,US,Physician Assistant,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,1209,2,0.88,0.6899338296,0.6899338296
1013439710,KATZ,MICHAELA,,PA-C,F,I,2 W 42ND ST STE 3100,,SCOTTSBLUFF,NE,693610612,US,Physician Assistant,S,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,1574,2,1.43,1.1211054638,1.1211054638
1013441773,SOLTYS,MATTHEW,D,,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Student in an Organized Health Care Education/Training Program,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,90.576666667,32.73,25.628333333,25.858333333
1013442219,SORRILL,WESLEY,T,M.D.,M,I,701 GROVE RD,5TH FLOOR SUPPORT TOWER,GREENVILLE,SC,296054210,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.45,28.066666667,19.6825,18.850833333
1013442516,ARGUMANIZ,ANA,M,NP,F,I,1749 PINE ST,,ABILENE,TX,796013043,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,36,74.492777778,8.32,6.5219444444,6.5219444444
1013442516,ARGUMANIZ,ANA,M,NP,F,I,1749 PINE ST,,ABILENE,TX,796013043,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,39.365,4.7305555556,2.7327777778,2.8511111111
1013442516,ARGUMANIZ,ANA,M,NP,F,I,1749 PINE ST,,ABILENE,TX,796013043,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,20,377.9165,68.78,48.528,49.109
1013442516,ARGUMANIZ,ANA,M,NP,F,I,1749 PINE ST,,ABILENE,TX,796013043,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1105,1.8998823529,0.1435656109,0.112561086,0.112561086
1013442516,ARGUMANIZ,ANA,M,NP,F,I,1749 PINE ST,,ABILENE,TX,796013043,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,48.230769231,33,23.88,23.88
1013443118,MCMULLIN,AIMEE,,M.D.,F,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Student in an Organized Health Care Education/Training Program,T,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,134.38,50.095625,39.278125,37.433125
1013443118,MCMULLIN,AIMEE,,M.D.,F,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Student in an Organized Health Care Education/Training Program,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,59.12,17.181818182,13.470909091,14.289090909
1013443118,MCMULLIN,AIMEE,,M.D.,F,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Student in an Organized Health Care Education/Training Program,T,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,23.06,8.0836363636,6.3363636364,6.7163636364
1013444892,NIETO,SANDRA,,FNP,F,I,710 E 6TH ST,,ODESSA,TX,797614655,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,40,22.403043478,16.975217391,16.558695652
1013444892,NIETO,SANDRA,,FNP,F,I,710 E 6TH ST,,ODESSA,TX,797614655,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,258.75,74.633333333,58.51,54.698888889
1013445667,HSU,RUBY,,,F,I,450 STANYAN ST FL 6,,SAN FRANCISCO,CA,941171019,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,21,28.03,18.75,14.7,13.1
1013447267,MALECHA,PATRICK,W,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT ST.,BOSTON,MA,02114,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17,13.33,13.54
1013447267,MALECHA,PATRICK,W,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT ST.,BOSTON,MA,02114,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,78,61.15,54.73
1013447358,RAJAN,SHIRANI,D,MD MSPH,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Psychiatry & Neurology,T,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,47.21,37.0075,38.078333333
1013449156,ALLE,ANNA,,CNP,F,I,835 ZIMINA DR NW,,ALBUQUERQUE,NM,871201860,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,55,11.776,6.9593333333,6.612
1013449206,DELA ROSA,MARIA ELENA,,NP,F,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,2910,4.3392886598,0.5738487973,0.4330515464,0.4330515464
1013449206,DELA ROSA,MARIA ELENA,,NP,F,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,2204,18.010176951,7.4956442831,5.876592559,5.876592559
1013449206,DELA ROSA,MARIA ELENA,,NP,F,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,35,24,24,18.82,18.82
1013449206,DELA ROSA,MARIA ELENA,,NP,F,I,1500 DUARTE RD,,DUARTE,CA,910103012,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,18,16,16,12.541111111,12.541111111
1013452150,BERNACCHI,DANIELLE,M,"MSN, FNP-C, APNP",F,I,W308S2809 WILD BERRY CT,,WAUKESHA,WI,531889105,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,45,7.5007142857,5.8785714286,3.8621428571
1013452150,BERNACCHI,DANIELLE,M,"MSN, FNP-C, APNP",F,I,W308S2809 WILD BERRY CT,,WAUKESHA,WI,531889105,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,48.8675,37.916666667,24.928333333
1013452150,BERNACCHI,DANIELLE,M,"MSN, FNP-C, APNP",F,I,W308S2809 WILD BERRY CT,,WAUKESHA,WI,531889105,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,352.78714286,105.31,81.145714286,59.095714286
1013452200,VIGIL,JUAN,C,,M,I,943 S BENEVA RD STE 306,,SARASOTA,FL,342322473,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,19,536.90631579,80.543684211,63.140526316,56.597368421
1013452200,VIGIL,JUAN,C,,M,I,943 S BENEVA RD STE 306,,SARASOTA,FL,342322473,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,19,53.592631579,36.02,28.24,29.183157895
1013452325,MEAD-HAHN,TERESA,L,,F,I,2922 ANGELIQUE ST,,SAINT JOSEPH,MO,645013437,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,30,66.334,8.32,4.348,4.348
1013452325,MEAD-HAHN,TERESA,L,,F,I,2922 ANGELIQUE ST,,SAINT JOSEPH,MO,645013437,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,409.755,110.155,86.365,54.73
1013452325,MEAD-HAHN,TERESA,L,,F,I,2922 ANGELIQUE ST,,SAINT JOSEPH,MO,645013437,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,35.0825,29.515833333
1013452325,MEAD-HAHN,TERESA,L,,F,I,2922 ANGELIQUE ST,,SAINT JOSEPH,MO,645013437,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1319,2.2771721001,0.1345109932,0.0670962851,0.0670962851
1013452325,MEAD-HAHN,TERESA,L,,F,I,2922 ANGELIQUE ST,,SAINT JOSEPH,MO,645013437,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,19.68,19.68
1013452333,BROWN,MICHELLE,A,,F,I,600 MAIN AVE S,,BAUDETTE,MN,566232855,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,113.92333333,79.358333333,52.358333333
1013452424,SIMPSON,CHRISTIN,A,FNP,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,491.72285714,79.8,50.342857143,43.883571429
1013452879,CLARK,CRYSTAL,L,APRN-C,F,I,1101 SW 29TH ST,,TOPEKA,KS,666111200,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,35,42.374285714,8.32,6.3608571429,6.3608571429
1013452879,CLARK,CRYSTAL,L,APRN-C,F,I,1101 SW 29TH ST,,TOPEKA,KS,666111200,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,153.44,17.69,13.87,13.53
1013452879,CLARK,CRYSTAL,L,APRN-C,F,I,1101 SW 29TH ST,,TOPEKA,KS,666111200,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,69.99,54.87,54.73
1013452879,CLARK,CRYSTAL,L,APRN-C,F,I,1101 SW 29TH ST,,TOPEKA,KS,666111200,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,1020,19.343235294,9.6335,7.2801470588,7.2801470588
1013452879,CLARK,CRYSTAL,L,APRN-C,F,I,1101 SW 29TH ST,,TOPEKA,KS,666111200,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,33,33,25.87,25.87
1013453075,INMAN,MELISSA,L,APN,F,I,5668 E STATE ST,,ROCKFORD,IL,611082464,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,66,17.27,13.54,13.54
1013453075,INMAN,MELISSA,L,APN,F,I,5668 E STATE ST,,ROCKFORD,IL,611082464,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,324.4,69.81,54.73,54.73
1013453190,THORNTON,ALICIA,,PA-C,F,I,528 W MARKET ST,SUITE 200A,LIMA,OH,458014762,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,296.18875,70.61375,55.026875,54.396875
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,33,13.098181818,10.93,8.5693939394,8.5693939394
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,580,5.3162068966,3.32,2.6029655172,3.0575862069
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,79,92,10.484891304,7.97,6.1820652174,6.4172826087
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,30,31,5.4609677419,4.1,3.2103225806,3.2103225806
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,340,10.000941176,7.06,5.5350588235,5.5350588235
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,35,118,2790,7.2601218638,5.74,4.5000322581,4.5000322581
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,190,12.972,10.81,8.4750526316,8.4750526316
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,66,920,3.5993152174,2.9070217391,2.2791847826,2.2815326087
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,32,7.7240625,6.44,5.04625,5.04625
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,92,1985,11.822025189,9.86,7.6495516373,7.6495516373
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,300,9.0244,7,5.1221333333,5.1221333333
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,255,12.216,10.18,7.9810196078,7.9810196078
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1380,2.7039130435,1.95,1.5288043478,1.5288043478
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,88,1890,4.8693650794,4.03,3.1295873016,3.1295873016
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,420,4.8434285714,4.04,2.9512619048,2.9512619048
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,1005,0.4752238806,0.4,0.3135024876,0.3135024876
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,115,6500,0.3544615385,0.27,0.2116138462,0.2116138462
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,230,12.972,10.81,8.475,8.475
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,30,900,0.3422666667,0.26,0.2039444444,0.2114
1013453752,MAKOVETSKAIA,MARINA,,,F,I,1775 DEMPSTER ST,#936,PARK RIDGE,IL,600681143,US,Nurse Practitioner,S,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,145,10.068,8.39,6.578,6.578
1013454776,HOYT,KATHRYN,C,,F,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,40,44,35,35,27.44,44.200227273
1013454776,HOYT,KATHRYN,C,,F,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician Assistant,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,45.846153846,45.846153846,35.943076923,64.827692308
1013454974,REYNOLDS,REBECCA,L,PA-C,F,I,509 N BRIGHTLEAF BLVD,,SMITHFIELD,NC,275774407,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,59.621538462,17.96,14.08,13.747692308
1013454974,REYNOLDS,REBECCA,L,PA-C,F,I,509 N BRIGHTLEAF BLVD,,SMITHFIELD,NC,275774407,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,414.81833333,86.84,68.08,59.18
1013455153,COLLINS-SMITH,SHANA,M,N.P.,F,I,12016 N RADIO STATION RD,,SENECA,SC,296781143,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,56,83.1925,8.32,6.1741071429,6.1741071429
1013455252,BANCROFT,ERIN,,APNP,F,I,855 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2189,0.9736683417,0.1335769758,0.0972453175,0.0972453175
1013455252,BANCROFT,ERIN,,APNP,F,I,855 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,23.283,23.283
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,129.78571429,42.913571429,33.648571429,33.037857143
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,218.75,102.525625,78.586875,71.621875
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,29,81.24137931,40.27,31.570344828,28.177931034
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,44,57.840909091,23.915,18.748863636,15.972045455
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,42.727272727,20.228181818,12.275,9.905
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,155,71.655,56.175,47.128333333
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,15,15,49.678666667,22.693333333,17.793333333,15.666666667
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,52.064285714,18.390714286,14.417857143,10.093571429
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,17,39,174,9.3977011494,2.7544827586,2.0983333333,1.7151149425
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,39.98125,18.289166667,13.74875,13.022916667
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2500,1074.31,833.36636364,833.36636364
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,280,118.959375,93.263125,91.526875
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,25,7.6538461538,5.4084615385,3.2061538462
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,50,50,142.8,42.2224,32.8712,28.7562
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,277.398125,91.1675,67.6040625,53.409375
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,6357,0.2923108384,0.0470646531,0.0336526664,0.0336526664
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,23,2998,1.4338358906,0.1362441628,0.1068412275,0.1068412275
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,643,2.8116174184,0.2198289269,0.1723639191,0.1723639191
1013455310,GESSLER,KRISTA,D,NP,F,I,13181 OLD NASHVILLE HWY,SUITE 150,SMYRNA,TN,371674032,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,17,35,35,35.828571429,33,25.130857143,25.130857143
1013456128,KNAPP,LYDIA,,FNP,F,I,9790 MERCER RD,,NORWICH,OH,437679748,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,27,94,64.412021277,8.32,6.2041489362,6.2041489362
1013456128,KNAPP,LYDIA,,FNP,F,I,9790 MERCER RD,,NORWICH,OH,437679748,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,38,14.998421053,1.42,1.1136842105,1.1136842105
1013456128,KNAPP,LYDIA,,FNP,F,I,9790 MERCER RD,,NORWICH,OH,437679748,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,3090,0.2008932039,0.0450194175,0.0350679612,0.0350679612
1013456128,KNAPP,LYDIA,,FNP,F,I,9790 MERCER RD,,NORWICH,OH,437679748,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,107.25,33,25.425,25.425
1013456755,MATZ,JAMIE,A,NP,F,I,7222 ENGLE RD,,FORT WAYNE,IN,468042222,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,12,88,88,28.56,6.07375,4.6573863636,3.6660227273
1013456755,MATZ,JAMIE,A,NP,F,I,7222 ENGLE RD,,FORT WAYNE,IN,468042222,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,16,3169,0.3160586936,0.0442537078,0.0347017987,0.0346986431
1013456755,MATZ,JAMIE,A,NP,F,I,7222 ENGLE RD,,FORT WAYNE,IN,468042222,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,15,24,24,33,33,25.87,25.87
1013457050,ZWONITZER,STEPHANIE,,CRNP,F,I,2001 MEDICAL PKWY,,ANNAPOLIS,MD,21401,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,133.75,21.895833333,17.1675,17.295833333
1013457381,SHERMAN,LYDIA,N,CNP,F,I,606 24TH AVE S #620,,MINNEAPOLIS,MN,55454,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,61,59.704098361,8.32,6.522295082,6.522295082
1013457969,WILLIAMS,KORI,R,FNP,F,I,8307 BRIMHALL RD,STE 1707,BAKERSFIELD,CA,933122251,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,15.071818182,9.4481818182,11.404545455
1013459148,MORREALE,NATALIE,,,F,I,1006 PROCURE ST,SUITE 100,FUQUAY VARINA,NC,275262627,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,110,49.9,36.2475,22.728333333
1013459478,ROSENBAUM,AMY,,PA-C,F,I,501 WASHINGTON ST,,SAN DIEGO,CA,921032231,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,65.581666667,8.32,5.9683333333,5.9683333333
1013460260,DOERR,MARK,,PA,M,I,23823 FORD RD,,DEARBORN,MI,481281206,US,Physician Assistant,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,82.435454545,42.58,33.38,35.04
1013460260,DOERR,MARK,,PA,M,I,23823 FORD RD,,DEARBORN,MI,481281206,US,Physician Assistant,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,29,29,87.58,80.74,60.885172414,66.593448276
1013460567,WEAVER,HOLLY,M,A-GNP-C,F,I,1125 MICHIGAN AVE E,STE. 5,BATTLE CREEK,MI,490146832,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.73,4.52,2.9045454545,2.7654545455
1013461425,THOMAS,MARITESS,,FNP-C,F,I,1058 BEAR CREEK BLVD,,HAMPTON,GA,302281849,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,40,47.455,8.32,6.52225,6.52225
1013461425,THOMAS,MARITESS,,FNP-C,F,I,1058 BEAR CREEK BLVD,,HAMPTON,GA,302281849,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,6607,0.2637520811,0.0457166641,0.0344483124,0.0344483124
1013461425,THOMAS,MARITESS,,FNP-C,F,I,1058 BEAR CREEK BLVD,,HAMPTON,GA,302281849,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,99,33,24.145333333,24.145333333
1013461441,JAMES,TARA,N,PA-C,F,I,609 N CAROL MALONE BLVD STE 100,,GRAYSON,KY,411431123,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,34,86,82.879767442,8.32,5.3840697674,5.3840697674
1013461441,JAMES,TARA,N,PA-C,F,I,609 N CAROL MALONE BLVD STE 100,,GRAYSON,KY,411431123,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1110,2.0033063063,0.1337567568,0.1048918919,0.1048918919
1013461441,JAMES,TARA,N,PA-C,F,I,609 N CAROL MALONE BLVD STE 100,,GRAYSON,KY,411431123,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,33,33,25.87,25.87
1013461508,GILBERT,BRECKEN,,,F,I,306 E MAUMEE ST STE 201,,ANGOLA,IN,467032035,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.6,11.534545455,9.0454545455,7.0890909091
1013461508,GILBERT,BRECKEN,,,F,I,306 E MAUMEE ST STE 201,,ANGOLA,IN,467032035,US,Nurse Practitioner,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,802.41,164.21833333,128.74833333,99.365833333
1013461763,BLYTH,CATHERINE,,FNP-BC,F,I,1250 CHESTER BLVD.,SUITE 1,RICHMOND,IN,473741944,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,40,82,71.099756098,8.32,6.1575609756,6.1575609756
1013461763,BLYTH,CATHERINE,,FNP-BC,F,I,1250 CHESTER BLVD.,SUITE 1,RICHMOND,IN,473741944,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,20,10.55,8.2721052632,3.9105263158
1013461763,BLYTH,CATHERINE,,FNP-BC,F,I,1250 CHESTER BLVD.,SUITE 1,RICHMOND,IN,473741944,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,270,117.22909091,91.912727273,65.775454545
1013461763,BLYTH,CATHERINE,,FNP-BC,F,I,1250 CHESTER BLVD.,SUITE 1,RICHMOND,IN,473741944,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,25.87,25.87
1013461961,BORAKOVE,ALEXANDRA,,,F,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,30,5.5626470588,4.0002941176,3.2811764706
1013462035,JOHNSON,JESSICA,,,F,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,25,45,246,68.839268293,8.32,6.0458943089,6.0458943089
1013462332,DESERRES,DANIELLE,E,PA-C,F,I,3300 MAIN STREET,,SPRINGFIELD,MA,011071112,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,33,124,88.680806452,8.32,5.6807258065,5.6807258065
1013462332,DESERRES,DANIELLE,E,PA-C,F,I,3300 MAIN STREET,,SPRINGFIELD,MA,011071112,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,22,15.010909091,1.42,0.9127272727,0.9127272727
1013463603,STEPHENS,TIFFANY,S,PA-C,F,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,48,49,49,92.19,74.55,55.431632653,59.607755102
1013463686,CENTURIONI,CHELSEA,,PA,F,I,427 GUY PARK AVE,,AMSTERDAM,NY,120101064,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,65,66.104153846,8.32,6.2209230769,6.2209230769
1013463686,CENTURIONI,CHELSEA,,PA,F,I,427 GUY PARK AVE,,AMSTERDAM,NY,120101064,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,13.833571429,1.42,1.1153571429,1.1153571429
1013464148,COVERT,COURTNEY,R,,F,I,98-1005 MOANALUA RD SPC 400,,AIEA,HI,96701,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,39,60.040512821,8.32,6.1879487179,6.1879487179
1013464148,COVERT,COURTNEY,R,,F,I,98-1005 MOANALUA RD SPC 400,,AIEA,HI,96701,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,31.37,12.3375,9.6725,9.6925
1013464304,SAVANI,RUCHI,,,F,I,1333 BURR RIDGE PKWY,,BURR RIDGE,IL,605276423,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,167.92,49.17,34.492105263,31.530526316
1013464304,SAVANI,RUCHI,,,F,I,1333 BURR RIDGE PKWY,,BURR RIDGE,IL,605276423,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,21.063157895,9.2842105263,6.8752631579,6.1152631579
1013464494,BRIDGES,AMY,,,F,I,716 S MAIN ST,,RIPLEY,MS,386632909,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,24,15.935,9.3204166667,7.1058333333,4.1291666667
1013464494,BRIDGES,AMY,,,F,I,716 S MAIN ST,,RIPLEY,MS,386632909,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,16.033035714,9.6815714286,7.419547619,7.419547619
1013464494,BRIDGES,AMY,,,F,I,716 S MAIN ST,,RIPLEY,MS,386632909,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,3410,0.1767390029,0.0469325513,0.0319178886,0.0319178886
1013464494,BRIDGES,AMY,,,F,I,716 S MAIN ST,,RIPLEY,MS,386632909,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,119.08695652,33,23.620434783,23.620434783
1013466200,WATSON,BENJAMIN,,PA-C,M,I,520 S EAGLE RD,SUITE 1234,MERIDIAN,ID,836426351,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,29,145,65.53062069,8.32,6.5228965517,6.5228965517
1013466200,WATSON,BENJAMIN,,PA-C,M,I,520 S EAGLE RD,SUITE 1234,MERIDIAN,ID,836426351,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,12,40,10.89075,1.42,1.113,1.113
1013466481,DECORTE,KATHLEEN,,FNP-C,F,I,5521 W LINCOLN HWY,SUITE 100,CROWN POINT,IN,463071097,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,16,13.453125,5.25125,4.12375,3.821875
1013466523,SMITH,LAUREN,D,APRN,F,I,1221 S BROADWAY,,LEXINGTON,KY,40504,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,44,4768,0.3744127517,0.13,0.0965016779,0.0965016779
1013466523,SMITH,LAUREN,D,APRN,F,I,1221 S BROADWAY,,LEXINGTON,KY,40504,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,49,6680,3.7143413174,2.0372155689,1.5641661677,1.5663488024
1013466705,GIANCOLA,DAVID,,P.A.,M,I,2405 E 14 MILE RD,,STERLING HEIGHTS,MI,483105961,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,76,48.334342105,8.32,6.4459210526,6.4459210526
1013466960,FOX,ANGELA,,FNP,F,I,135 MEMORIAL DR,,LURAY,VA,228351016,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,35,77,64.521948052,8.32,6.0133766234,6.0133766234
1013466960,FOX,ANGELA,,FNP,F,I,135 MEMORIAL DR,,LURAY,VA,228351016,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1013466960,FOX,ANGELA,,FNP,F,I,135 MEMORIAL DR,,LURAY,VA,228351016,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,22,14.894545455,1.42,1.0677272727,1.0677272727
1013466960,FOX,ANGELA,,FNP,F,I,135 MEMORIAL DR,,LURAY,VA,228351016,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,30.73,7.9045454545,6.1945454545,4.0272727273
1013467018,HAGEN,BRITTANY,,P.A.,F,I,14701 VICTOR HUGO BLVD N,,HUGO,MN,550384561,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,62.353846154,8.32,6.0192307692,6.0192307692
1013467240,SMITH,JENNIFER,,PA-C,F,I,302 3RD ST SE,SUITE 150,LOVELAND,CO,805376419,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,34,54.630588235,8.32,6.5211764706,6.5211764706
1013467406,ROBERTS,ELIZABETH,A,PA-C,F,I,111 ROBERTS RD STE 200,,GRINDSTONE,PA,154421105,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,5.98,2.8866666667,2.3325
1013468222,WYNN,SAVANNA,,APRN,F,I,132 VILLAGE CENTER RD,,HARLAN,KY,408311777,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,22,6.4535714286,2.56,1.4485714286
1013468347,MOREAU,COURTNEY,,FNP,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,79.112380952,8.32,6.449047619,6.449047619
1013469204,WILBORN,WHITNEY,H,DNP,F,I,101 AUBREYS LOOP,,SOUTH BOSTON,VA,245925054,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,33,69,156,44.884230769,8.32,6.0612179487,6.0612179487
1013469204,WILBORN,WHITNEY,H,DNP,F,I,101 AUBREYS LOOP,,SOUTH BOSTON,VA,245925054,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,31,43,9.65,1.42,1.0381395349,1.0381395349
1013469204,WILBORN,WHITNEY,H,DNP,F,I,101 AUBREYS LOOP,,SOUTH BOSTON,VA,245925054,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,16,256.87125,74.440625,58.363125,38.90125
1013469204,WILBORN,WHITNEY,H,DNP,F,I,101 AUBREYS LOOP,,SOUTH BOSTON,VA,245925054,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,41.2575,11.145625,8.74,6.799375
1013469246,KAMAL,ADEEL,,PA-C,M,I,13152 MILLBANK DR,,PLAINFIELD,IL,605855293,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,38.67,20.563157895,15.398421053,12.894736842
1013469246,KAMAL,ADEEL,,PA-C,M,I,13152 MILLBANK DR,,PLAINFIELD,IL,605855293,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,229.98157895,93.678947368,70.222631579,52.114736842
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,40,79,67.649367089,8.32,5.2840506329,5.2840506329
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,25,17.4696,1.42,0.848,0.848
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,2400,2.93,2.04,1.5395541667,1.5395541667
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,12,10.51,7.5533333333,7.89
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9,7.46,5.3625,5.3625
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,20.12,5.6542857143,3.3371428571,2.6719047619
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,4196,0.360300286,0.0459270734,0.0333746425,0.0333746425
1013900174,CARLSON,ROBERT,D,M.D.,M,I,47 E MAIN ST,,STAFFORD SPRINGS,CT,060761227,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,24.145333333,24.145333333
1013900190,KERSHEN,GLENN,E,MD,M,I,1117 S WASHINGTON AVE,,SAGINAW,MI,486012558,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,17,9.3211764706,8.69,6.4094117647,6.4094117647
1013900190,KERSHEN,GLENN,E,MD,M,I,1117 S WASHINGTON AVE,,SAGINAW,MI,486012558,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,28,126,17030,0.3109430417,0.13,0.0975390487,0.0975390487
1013900190,KERSHEN,GLENN,E,MD,M,I,1117 S WASHINGTON AVE,,SAGINAW,MI,486012558,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,33,170,28422,4.185715291,2.0384800507,1.5592885793,1.5596977693
1013900190,KERSHEN,GLENN,E,MD,M,I,1117 S WASHINGTON AVE,,SAGINAW,MI,486012558,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,3390,8.4911858407,6.1388495575,4.7499646018,5.4811651917
1013900190,KERSHEN,GLENN,E,MD,M,I,1117 S WASHINGTON AVE,,SAGINAW,MI,486012558,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,53,11.020943396,10.451509434,7.5479245283,7.9230188679
1013900190,KERSHEN,GLENN,E,MD,M,I,1117 S WASHINGTON AVE,,SAGINAW,MI,486012558,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,36,6.6333333333,6.555,4.2761111111,5.0136111111
1013900190,KERSHEN,GLENN,E,MD,M,I,1117 S WASHINGTON AVE,,SAGINAW,MI,486012558,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,480,4.19,4.04,2.8190833333,2.8190833333
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,26,57,247,65.518461538,8.32,6.5224291498,6.5224291498
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,13.749333333,3.38,2.65,2.65
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,17.597272727,2.12,1.67,1.67
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,33,68,15.142647059,1.42,1.1127941176,1.1127941176
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,152,11580,4.0961131261,0.5640043178,0.4332322971,0.4332305699
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,4680,2.1829893162,0.7393782051,0.5796709402,0.5796709402
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,79,6754,3.0420328694,1.3297897542,1.0332810187,1.0332810187
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,45,7440,3.912172043,2.8275403226,2.2066962366,2.2066962366
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,134,134,24,24,18.398656716,18.398656716
1013900299,STEMMER,CRAIG,L,MD,M,I,2900 N MILITARY TRL,STE 195,BOCA RATON,FL,334316365,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,14,173,214,16,16,12.411495327,12.411495327
1013900307,POLITI,JOEL,R,M.D.,M,I,170 TAYLOR STATION RD,,COLUMBUS,OH,432134441,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,24,24,24,77.758333333,52.396666667,39.510416667,35.912916667
1013900307,POLITI,JOEL,R,M.D.,M,I,170 TAYLOR STATION RD,,COLUMBUS,OH,432134441,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,19,38.543684211,18.988421053,7.1552631579,6.2105263158
1013900307,POLITI,JOEL,R,M.D.,M,I,170 TAYLOR STATION RD,,COLUMBUS,OH,432134441,US,Physician/Orthopedic Surgery,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,123.78,49.4,38.663636364,35.254545455
1013900414,MASEL,JONATHAN,L,MD,M,I,4030 SHERIDAN ST,SUITE C,HOLLYWOOD,FL,330213564,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,455,4.34,2.27,1.7797142857,1.7797142857
1013900414,MASEL,JONATHAN,L,MD,M,I,4030 SHERIDAN ST,SUITE C,HOLLYWOOD,FL,330213564,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,4620,5.2384415584,2.018961039,1.5397640693,1.5562489177
1013900414,MASEL,JONATHAN,L,MD,M,I,4030 SHERIDAN ST,SUITE C,HOLLYWOOD,FL,330213564,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,1070,10.624953271,6.15,4.5543271028,5.3535327103
1013900414,MASEL,JONATHAN,L,MD,M,I,4030 SHERIDAN ST,SUITE C,HOLLYWOOD,FL,330213564,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,17.72,10.93,8.57,8.57
1013900497,GARZA,PABLO,,M.D.,M,I,2806 N NAVARRO ST,SUITE D,VICTORIA,TX,779013905,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,87.740769231,20.276153846,15.878461538,10.725384615
1013900497,GARZA,PABLO,,M.D.,M,I,2806 N NAVARRO ST,SUITE D,VICTORIA,TX,779013905,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,90,11.048,2.9573333333,2.318,1.7593333333
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,62,107,386,739,77.879215156,8.32,6.1054668471,6.1054668471
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,50,81,203,219,29.171187215,1.42,1.0424657534,1.0424657534
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6.93,6.93,5.433,5.518
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,9.68,9.68,6.9565833333,7.077
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.44,0.44,0.345,0.345
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,10.62,10.62,7.7628333333,7.887
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7,7,5.488,6.3963333333
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,37,37,74,82.190675676,70.441621622,55.227702703,56.103648649
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,36,37,182,42.69032967,28.922967033,22.675879121,22.886373626
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,120,7.23,7.23,5.668,5.753
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1500,0.4631266667,0.13,0.1019,0.1019
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,11.155,2.9555454545,2.3171666667,2.3171666667
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,22.865,15.53,12.172857143,14.439285714
1013900513,STAROSTA,ZALMAN,D,MD,M,I,3044 CONEY ISLAND AVE,1ST FLOOR,BROOKLYN,NY,112355255,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,25.228,25.228
1013900588,KALANI,EQUBAL,E,MD,M,I,1501 S PINELLAS AVE,SUITE S,TARPON SPRINGS,FL,346891955,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,38,108,51.385925926,8.32,6.4023148148,6.4023148148
1013900588,KALANI,EQUBAL,E,MD,M,I,1501 S PINELLAS AVE,SUITE S,TARPON SPRINGS,FL,346891955,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,42,13.348809524,1.42,1.0352380952,1.0352380952
1013900588,KALANI,EQUBAL,E,MD,M,I,1501 S PINELLAS AVE,SUITE S,TARPON SPRINGS,FL,346891955,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,17,97,13.92,2.0841237113,1.4403092784,1.3971134021
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,45,119,266,59.743458647,8.32,5.3169548872,5.3169548872
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,35,63,73,14.758356164,1.42,0.8273972603,0.8273972603
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,2.25,2.03,1.5915333333,1.5986242424
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,18,93,53.273548387,15.12,11.379354839,11.417849462
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,30,30,201.53533333,54.47,41.286333333,41.432666667
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,28,28,61.092857143,17.951428571,12.064642857,12.058214286
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,39,39,67.826923077,11.573589744,8.38,8.4207692308
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,44,202,9.8127722772,2.0186633663,1.5133663366,1.5215841584
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,46.215,13.29,10.42,10.34
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,12,56,56,186.24392857,34.343571429,23.671428571,23.118928571
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,22.212727273,22.212727273,12.89,53.386363636
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,574,3.6574738676,0.2203484321,0.17271777,0.17271777
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,100,18.2,8.1427777778,7.5577777778
1013900604,LIMBURG,JOHN,A,M.D.,M,I,7000 WELLNESS WAY,SUITE 130,ST. SIMONS ISLAND,GA,31522,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1013900612,BELL,PATRICK,J,OD,M,I,GREAT LAKES EYE INSTITUTE,2393 SCHUST RD,SAGINAW,MI,48603,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,72.677333333,72.677333333,53.218666667,49.561333333
1013900638,BLOCK,STANLEY,H,MD,M,I,355 PRAIRIE AVE,,PROVIDENCE,RI,029051928,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,2170,0.2108341014,0.0475898618,0.0214976959,0.0214976959
1013900638,BLOCK,STANLEY,H,MD,M,I,355 PRAIRIE AVE,,PROVIDENCE,RI,029051928,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,13.507857143,13.507857143
1013900695,TRECHA,RANDAL,R,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,164.894,62.17,46.313333333,35.969333333
1013900695,TRECHA,RANDAL,R,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,40,40,40,4995,4378.96,3433.11,3433.11
1013900695,TRECHA,RANDAL,R,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,995,991.73142857,765.245,763.26857143
1013900695,TRECHA,RANDAL,R,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,49,49,49,1250,1154.3693878,901.47061224,883.56653061
1013900802,BALOG,ISTVAN,,MD,M,I,1299 GA HWY 57,BETWEEN 1-95 AND HWY 17 @ EULONIA,TOWNSEND,GA,313318128,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,32,123,49.07203252,8.32,6.1707317073,6.1707317073
1013900802,BALOG,ISTVAN,,MD,M,I,1299 GA HWY 57,BETWEEN 1-95 AND HWY 17 @ EULONIA,TOWNSEND,GA,313318128,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,15.227272727,3.38,2.4090909091,2.4090909091
1013900802,BALOG,ISTVAN,,MD,M,I,1299 GA HWY 57,BETWEEN 1-95 AND HWY 17 @ EULONIA,TOWNSEND,GA,313318128,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,24.75,2.12,1.5308333333,1.5308333333
1013900802,BALOG,ISTVAN,,MD,M,I,1299 GA HWY 57,BETWEEN 1-95 AND HWY 17 @ EULONIA,TOWNSEND,GA,313318128,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,24,51,15.031372549,1.42,1.03,1.03
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,27,101,53.913267327,8.32,5.7474257426,5.7474257426
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.987368421,3.38,2.65,2.65
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,25.578181818,2.12,1.67,1.67
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,22,39,15.094615385,1.42,1.0841025641,1.0841025641
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,61,7.4980327869,2.0250819672,1.5872131148,1.5893442623
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,3.8,2.35,2.97
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,15,166.92333333,36.32,28.474666667,27.582666667
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,240.78769231,77.18,60.51,54.942692308
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,3344,0.1912021531,0.0456429426,0.0309629187,0.0309629187
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1200,1.69595,0.13985,0.1096583333,0.1096583333
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,27.215454545,11.702727273,10.887272727
1013900893,BARROS,MELCHOR,G,MD,M,I,1301 PLANTATION ISLAND DR S,102-B,ST AUGUSTINE,FL,320803108,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,30,30,50.475,33,24.145333333,24.145333333
1013900919,LAVA,NEIL,S,M.D.,M,I,12 EXECUTIVE PARK DRIVE,,ATLANTA,GA,303292206,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1600,1074.31,830.30416667,830.30416667
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,35,96,287,46.774216028,8.32,5.3463414634,5.3463414634
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,21,25,16.3996,1.42,0.8936,0.8936
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,188.38714286,49.797142857,34.222857143,26.134285714
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,86.157692308,22.906923077,14.928461538,11.227692308
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,22,88,13.672613636,3.1406818182,2.3595454545,1.5304545455
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,210.29090909,90.733636364,71.135454545,45.956363636
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,34,84.853529412,21.811176471,16.111764706,13.02
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,43.488333333,34.494166667
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,567.61571429,117.93535714,87.75,63.141071429
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,81.75,17.037931034,12.159655172,9.2803448276
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,257.82,52.6025,39.167916667,25.624166667
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,51,443.16980392,103.72666667,78.982941176,57.445490196
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,3767,0.2200398195,0.0455561455,0.0327820547,0.0327820547
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,134.76538462,21.497692308,13.529230769,11.753846154
1013900943,ROBERTS,ANDY,A,M.D.,M,I,109 E CHURCH ST,,GREENEVILLE,TN,377455603,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,105.84,33,23.8004,23.8004
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,59,179,52.332849162,8.32,6.1577653631,6.1577653631
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,26,36,12.670833333,1.42,1.085,1.085
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,98.265833333,50.38,39.5,32.471666667
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,25,112.554,45.966,33.7444,25.0484
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,35,46.502857143,24.51,18.033142857,13.708857143
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,61.127142857,25.257142857,19.797142857,15.331428571
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,48,8.4458333333,2.8558333333,2.16625,1.5691666667
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,34.736842105,17.074736842,12.777894737,10.286842105
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,145.23388889,52.005277778,36.953055556,27.314166667
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,370.34666667,97.342666667,76.318,57.43
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,5684,0.3039883885,0.0463740324,0.0363546798,0.0363546798
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1800,1.7518666667,0.1315333333,0.0970777778,0.0970777778
1013900950,BESAW,BETH,A,MD,F,I,1250 RALSTON AVE,SUITE 104,DEFIANCE,OH,435125311,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,71.076923077,33,24.875,24.875
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,6.2857142857,0.51,0.4,0.4
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,45,145,385,54.091402597,8.32,5.9784415584,5.9784415584
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,18,35,35,16.073714286,3.38,2.5742857143,2.5742857143
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,22.238888889,2.12,1.67,1.67
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,26,65,104,16.856153846,1.42,1.0728846154,1.0728846154
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6.8,4.91,3.849,3.849
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,17,28,5.6832142857,1.6007142857,1.2557142857,1.1521428571
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,26,55,55,234.63490909,86.507454545,61.678181818,61.696
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,13,41,43,95.968604651,33.48,24.409767442,24.125813953
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,32,87,82.082758621,18.78,14.493218391,14.323793103
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,21,45,45,165.93111111,54.47,38.198888889,38.342444444
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,45,61,61,50.638688525,17.912786885,12.657704918,12.679672131
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,41,82,82,56.03804878,11.55597561,8.1102439024,8.1665853659
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,46,124,273,9.0315750916,2.028021978,1.4892307692,1.4870695971
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,19,24,24,39.88,13.29,9.9858333333,9.9125
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,179.76571429,46.87,33.685,33.103571429
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,50,17.29,11.086363636,11.079090909
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,11,22,133,133,46.231503759,4.6023308271,3.1688721805,3.1669924812
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,13,91,91,155.44384615,33.952197802,24.709120879,23.263846154
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,346.76458333,70.23,46.85625,46.714583333
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,37,6730,0.3546463596,0.0468811293,0.0332095097,0.0332095097
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,3750,2.0032133333,0.133408,0.090064,0.090064
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1200,9.226875,3.06625,2.26625,2.26625
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,74.343333333,37.44,29.35,29.496666667
1013901164,FARINA,NICHOLAS,,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,20,63,63,50.761904762,33,23.407460317,23.407460317
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,59,198,71.367272727,8.32,6.0825757576,6.0825757576
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,15.294117647,3.38,2.65,2.65
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,26.666666667,2.12,1.5308333333,1.5308333333
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,43,73,17.32630137,1.42,1.0383561644,1.0383561644
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,14,364.3,48.515714286,38.038571429,36.908571429
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,19,47.863157895,11.127894737,8.7305263158,8.4273684211
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,34,34,70.284411765,24.425294118,14.548235294,10.362058824
1013901222,MORAFA,OLAWALE,A,MD,M,I,2693 UNION AVENUE EXT,SUITE 100,MEMPHIS,TN,381124403,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15,10.730909091,8.4127272727,6.4527272727
1013901248,VALICENTI,DANIEL,N,MD,M,I,50 MAUDE ST,4TH FLOOR,PROVIDENCE,RI,029084325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,57,63.547719298,8.32,5.939122807,5.939122807
1013901248,VALICENTI,DANIEL,N,MD,M,I,50 MAUDE ST,4TH FLOOR,PROVIDENCE,RI,029084325,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,22,15.086818182,1.42,1.0627272727,1.0627272727
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,35,105,316,48.595348101,8.32,6.0033227848,6.0033227848
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.222857143,3.38,2.65,2.65
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,35,80,13.75525,1.42,1.100125,1.100125
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,68.411818182,57.541818182,39.809090909,32.027272727
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,171.48235294,18.68,14.64,13.921764706
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,107.27272727,32.474545455,25.468181818,24.087272727
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,532.31921053,87,63.353157895,58.032105263
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,7.3344583333,3.003,2.16275,2.16275
1013901289,MCMILLIN,RODNEY,M,M.D.,M,I,408 N ROANE ST,,HARRIMAN,TN,377482057,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,33,33,24.946071429,24.946071429
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,34,75,210,57.398761905,8.2740952381,5.8069047619,5.8376190476
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,25,46,61,13.674590164,1.42,1.0254098361,1.0254098361
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,236.60307692,55.741538462,40.479230769,39.640769231
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,78,11.852307692,2.3,1.8033333333,1.5916666667
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,94.167073171,17.46,13.356097561,13.213414634
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,67.132352941,14.234117647,9.2641176471,8.6776470588
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,260.56636364,32.717272727,22.497727273,22.372727273
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,62,459.02290323,82,62.216129032,54.352258065
1013901321,RAMIREZ,SALVACION,D,MD,F,I,7845 OAKWOOD RD,STE 307,GLEN BURNIE,MD,210614280,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,34,114.41176471,41.6,31.650882353,29.280294118
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,14,160,64.973,19.6615625,13.295625,13.295625
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,330,9.1022424242,2.64,1.5905757576,1.5905757576
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,76,294,808,46.639975248,8.32,5.9202846535,5.9202846535
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,26,61,74,15.829324324,1.42,0.9816216216,0.9816216216
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,78.64,41.863636364,30.067272727,27.744545455
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,111.55333333,58.294666667,42.851333333,40.002666667
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,17,17,51.889411765,19.075294118,13.332941176,12.448823529
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,63.871428571,12.646428571,9.2742857143,8.4778571429
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,28,118,7.5066949153,2.2742372881,1.7333050847,1.5430508475
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,145.6576,50.8368,37.9552,37.6136
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,174.67166667,31.0525,21.381666667,21.38875
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,9.55,9.5174166667,7.2624027778,7.2624027778
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,4.7285714286,3.066,2.4037698413,2.4037698413
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,35.5825,27.645625,16.073125,15.714375
1013901461,WASHBURN,DANIEL,D,MD,M,I,615 E OKLAHOMA AVE STE 208,,ENID,OK,737015952,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,33,33,25.87,25.87
1013901578,CHEYBANI,KIANOUSH,,M.D.,F,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584583,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,152.032,54.5624,42.7764,41.34
1013901578,CHEYBANI,KIANOUSH,,M.D.,F,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584583,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,43.5,34.1,35.23
1013901578,CHEYBANI,KIANOUSH,,M.D.,F,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584583,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,75.14,19.864705882,15.573529412,14.895294118
1013901578,CHEYBANI,KIANOUSH,,M.D.,F,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584583,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,171.55,74.295454545,51.4,45.681818182
1013901578,CHEYBANI,KIANOUSH,,M.D.,F,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584583,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,29.84,9.5333333333,7.47,6.84
1013901594,SINCLAIR,BRIAN,R,MD,M,I,1450 ROSS CLARK CIR STE 400,,DOTHAN,AL,363014770,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,51.072105263,24.006842105,18.818947368,16.454736842
1013901594,SINCLAIR,BRIAN,R,MD,M,I,1450 ROSS CLARK CIR STE 400,,DOTHAN,AL,363014770,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,73.335,59.855,43.488333333,34.494166667
1013901594,SINCLAIR,BRIAN,R,MD,M,I,1450 ROSS CLARK CIR STE 400,,DOTHAN,AL,363014770,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,11,58,62,283.03741935,103.7616129,72.845322581,58.941129032
1013901594,SINCLAIR,BRIAN,R,MD,M,I,1450 ROSS CLARK CIR STE 400,,DOTHAN,AL,363014770,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,44.295517241,40.412758621,23.128965517,21.956206897
1013901628,CESA,KENNETH,G,DPM,M,I,290 ESSEX ST,,BEVERLY,MA,019151944,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,29,160,71.56,56.107931034,56.102068966
1013901628,CESA,KENNETH,G,DPM,M,I,290 ESSEX ST,,BEVERLY,MA,019151944,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,75,75,29.19,22.886133333,22.886666667
1013901693,LEE,CHRISTOPHER,S,M.D.,M,I,2950 COLLEGE DR,SUITE 2E,VINELAND,NJ,083606933,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,41,55.829268293,27.01,21.174634146,21.894146341
1013901693,LEE,CHRISTOPHER,S,M.D.,M,I,2950 COLLEGE DR,SUITE 2E,VINELAND,NJ,083606933,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,26.593333333,11.88,9.31,10.568333333
1013901693,LEE,CHRISTOPHER,S,M.D.,M,I,2950 COLLEGE DR,SUITE 2E,VINELAND,NJ,083606933,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,26,5200,2.982,1.9062115385,1.4531596154,1.5280788462
1013901693,LEE,CHRISTOPHER,S,M.D.,M,I,2950 COLLEGE DR,SUITE 2E,VINELAND,NJ,083606933,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,56,18.808571429,10.34,8.1051785714,8.42875
1013901693,LEE,CHRISTOPHER,S,M.D.,M,I,2950 COLLEGE DR,SUITE 2E,VINELAND,NJ,083606933,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,63,17.681904762,7.46,5.8487301587,5.8487301587
1013901768,TORRES-SILVA,CHERIE,A,"M.D., M.P.H.",F,I,3333 BURNET AVE,MLC 2021,CINCINNATI,OH,452293026,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.93,22.790909091,17.866363636,14.077272727
1013901768,TORRES-SILVA,CHERIE,A,"M.D., M.P.H.",F,I,3333 BURNET AVE,MLC 2021,CINCINNATI,OH,452293026,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,309.60761905,89.508571429,69.81,56.391428571
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,3.435,0.51,0.4,0.4
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,85,234,563,62.74714032,8.32,5.9098756661,5.9098756661
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,27,27,15.856296296,3.38,2.65,2.65
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,22.418888889,2.12,1.67,1.67
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,50,101,120,16.003416667,1.42,1.0586666667,1.0586666667
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,42,75.946666667,71.56,54.37047619,54.370238095
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,114,30,29.19,22.885,22.886666667
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,35,3.4265714286,1.45,1.0054285714,1.0211428571
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.25,0.98,0.965
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,14,118.575,49.897142857,36.572142857,36.883571429
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,94.312857143,46.655714286,33.740714286,32.415714286
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,56.931428571,17.76,13.266666667,12.895238095
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,22,5.72,4.745,3.3113636364,3.3313636364
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,315.20545455,70.04,49.918181818,49.754545455
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,720,22.049972222,9.6065833333,7.4634305556,7.4634305556
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,8168,0.4467384917,0.0463418217,0.0349791871,0.0349791871
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1379,1.9170558376,0.137715736,0.107991298,0.107991298
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,960,11.254979167,3.0095625,2.0745104167,2.0745104167
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,63.43,31.827142857,18.007142857,14.447142857
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,34,34,17.073529412,7.7179411765,5.0305882353,5.4017647059
1013901925,CULP,STEVEN,M,MD,M,I,1025 W MEETING ST,SUITE 200,LANCASTER,SC,297202204,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,53,53,36.735849057,33,25.381886792,25.381886792
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,28,111,50.808558559,8.32,5.9936936937,5.9936936937
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,25,15.0208,1.4072,0.9256,0.9356
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,10.99,10.74,7.0166666667,7.1733333333
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,8.99,7.46,5.2275,5.2275
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,115,8.7730434783,7,5.2493913043,5.2493913043
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.9196666667,2.0146666667,1.4946666667,1.0733333333
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,293.64333333,78.266666667,61.36,44.994166667
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,126.36181818,26.723636364,20.947272727,14.869090909
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,96.142777778,21.124444444,16.56,10.511111111
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,94,13.132659574,3.089787234,2.4227659574,1.6189361702
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,52,96.637692308,22.439615385,16.923846154,13.174615385
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,232.35,61.304,45.9985,36.416
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,51.787692308,7.2838461538,5.7092307692,3.5523076923
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,136.46368421,52.071052632,39.234210526,26.636842105
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,122,122,535.91877049,102.92721311,78.313442623,55.581803279
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,201.42857143,45.103714286,35.363714286,29.925142857
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,44,2400,19.036770833,9.6720125,7.5299125,7.5299125
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,41,6065,0.3084946414,0.045653751,0.0280774938,0.0280774938
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,2340,1.2568632479,0.1346538462,0.0950683761,0.0950683761
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,88,4890,11.825879346,3.0413128834,2.2700572597,2.2700572597
1013901958,RAINS,CELESTE,J,DO,F,I,212 MAPLE AVE,,OAKLEY,KS,677481220,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,20,116,116,84.543103448,33,23.933362069,23.933362069
1013902022,HAUAN,MICHAEL,,MD,M,I,1600 E BROADWAY,,COLUMBIA,MO,652015844,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,60.28,4.8032258065,3.2690322581,3.2690322581
1013902048,KELCHLIN,ANN,B,NP,F,I,132 MACARTHUR AVE,,COBLESKILL,NY,120433603,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,31,75,71.6468,8.32,6.3484,6.3484
1013902048,KELCHLIN,ANN,B,NP,F,I,132 MACARTHUR AVE,,COBLESKILL,NY,120433603,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,45,17.55,13.76,13.54
1013902048,KELCHLIN,ANN,B,NP,F,I,132 MACARTHUR AVE,,COBLESKILL,NY,120433603,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,274.56,79.48,62.31,54.72
1013902048,KELCHLIN,ANN,B,NP,F,I,132 MACARTHUR AVE,,COBLESKILL,NY,120433603,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,21.166363636,21.166363636
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,13,980,0.8560918367,0.12,0.0941122449,0.0941122449
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,680,0.6095,0.44,0.345,0.345
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,18,545,12.851559633,8.28,5.7769724771,5.7769724771
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,204,15.492941176,10.93,6.6170588235,6.6170588235
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,1360,0.9675735294,0.13,0.0869264706,0.0869264706
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,16,2313,0.87769131,0.45,0.3152615651,0.3152615651
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,15,2136,2.145,1.97,1.4122893258,1.4122893258
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,37,38,38,97.411842105,72.45,55.305263158,60.983684211
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,22,899.75181818,671.76,526.66,562.53
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,24,74.501666667,59.82,46.9,42.4525
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,21,28,160.69357143,126.52,99.195,99.151785714
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,23,29,99.22137931,78.81,61.79,68.421034483
1013902089,PARMENTER,MATTHEW,A,DPM,M,I,2920 MCINTYRE DR,SUITE 100,BLOOMINGTON,IN,474034221,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,332.10909091,251.28,197,218.89
1013902097,VOILES,STEVEN JOHN,,M.D.,M,I,1411 S GREEN ST,SUITE 210,BROWNSBURG,IN,461122049,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,53,113,78.754690265,8.32,5.714159292,5.714159292
1013902097,VOILES,STEVEN JOHN,,M.D.,M,I,1411 S GREEN ST,SUITE 210,BROWNSBURG,IN,461122049,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,23,16.007391304,1.42,1.0673913043,1.0673913043
1013902097,VOILES,STEVEN JOHN,,M.D.,M,I,1411 S GREEN ST,SUITE 210,BROWNSBURG,IN,461122049,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,79.26,12.52,9.1185714286,8.5271428571
1013902097,VOILES,STEVEN JOHN,,M.D.,M,I,1411 S GREEN ST,SUITE 210,BROWNSBURG,IN,461122049,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,90,9.974,2.12,1.5524444444,1.4917777778
1013902097,VOILES,STEVEN JOHN,,M.D.,M,I,1411 S GREEN ST,SUITE 210,BROWNSBURG,IN,461122049,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,566.12655172,80.000344828,57.613103448,51.542758621
1013902097,VOILES,STEVEN JOHN,,M.D.,M,I,1411 S GREEN ST,SUITE 210,BROWNSBURG,IN,461122049,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,285.6,37,25.597058824,26.053529412
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,4,,62,181,64.129502762,19.696298343,15.441325967,15.441325967
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,24,57,100,37.38,29.3,29.3
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,17,43,85,7.3516470588,1.4785882353,1.1042352941,1.0964705882
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,19,24,24,82.53,11.787916667,9.245,9.10125
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,42,45,50.73,4.2413333333,3.1786666667,3.5757777778
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,61.81875,14.2078125,11.13625,11.6434375
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,4800,34.268866667,13.527,10.60516875,10.60516875
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,37,13640,38.115184751,9.8434516129,7.7172653959,7.7172631965
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,800,222.8045,40.0798,31.4225375,31.4225375
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3900,45.7056,14.079153846,11.015830769,11.015830769
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,15,94,5370,15.58,9.6258156425,7.4286592179,7.4286592179
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,47,2340,13.94,11.116435897,8.6157649573,8.6157649573
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,28,183,10260,12.625766082,2.9600526316,2.3055565302,2.3055565302
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,35,154,11.130519481,2.6379220779,2.0683116883,2.0683116883
1013902204,WINDOM,HUGH,H,M.D.,M,I,3570 S TUTTLE AVE,,SARASOTA,FL,342396405,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,27,191,191,121.11518325,33,25.734554974,25.734554974
1013902261,OBER,DANIEL,H,PA,M,I,315 75TH ST W,,BRADENTON,FL,342093201,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,50.73,4.4407692308,2.5523076923,2.9676923077
1013902329,HUDSON,SUE,B,MD,F,I,802 NEWTOWN RD,,VIRGINIA BEACH,VA,234621116,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,18,49,66.051020408,8.32,6.5214285714,6.5214285714
1013902329,HUDSON,SUE,B,MD,F,I,802 NEWTOWN RD,,VIRGINIA BEACH,VA,234621116,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,19,15.206315789,1.42,1.1126315789,1.1126315789
1013902329,HUDSON,SUE,B,MD,F,I,802 NEWTOWN RD,,VIRGINIA BEACH,VA,234621116,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,24.546428571,4.3071428571,3.1571428571,3.3828571429
1013902329,HUDSON,SUE,B,MD,F,I,802 NEWTOWN RD,,VIRGINIA BEACH,VA,234621116,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,34,502.78588235,78.602647059,56.060294118,49.799705882
1013902329,HUDSON,SUE,B,MD,F,I,802 NEWTOWN RD,,VIRGINIA BEACH,VA,234621116,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,9.6325,9.6325,7.551875,7.551875
1013902329,HUDSON,SUE,B,MD,F,I,802 NEWTOWN RD,,VIRGINIA BEACH,VA,234621116,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,390,4.5855897436,3.0155384615,2.3642051282,2.3642051282
1013902329,HUDSON,SUE,B,MD,F,I,802 NEWTOWN RD,,VIRGINIA BEACH,VA,234621116,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1013902352,TOBEY,JOHN,,MD,M,I,5387 MANHATTAN CIR,SUITE 200,BOULDER,CO,803034284,US,Physician/Physical Medicine and Rehabilitation,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,19,60,53.2,33.568421053,38.218421053
1013902410,WILLIAMS,LISABETH,A,M.D.,F,I,2020 COWAN HWY,STE. 2,WINCHESTER,TN,373982446,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,29,2600,1253.4241379,849.03103448,738.09137931
1013902428,SCHACHTER,RICHARD,S,DPM,M,I,28 THROCKMORTON LN,,OLD BRIDGE,NJ,088572558,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1444,0.5501385042,0.4495844875,0.3525,0.3528185596
1013902477,POWELL,DAVID,E,MD,M,I,211 MOUNTAIN AVE,"ASSOCIATES IN CARDIOVASCULAR DISEASE, LLC",SPRINGFIELD,NJ,070812221,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,66,60.663181818,8.32,5.7684848485,5.7684848485
1013902493,MALACH,BARBARA,,MD,F,I,2627B HYLAN BLVD,,STATEN ISLAND,NY,103064353,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,62.531724138,8.32,4.7524137931,4.7524137931
1013902493,MALACH,BARBARA,,MD,F,I,2627B HYLAN BLVD,,STATEN ISLAND,NY,103064353,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,14.890714286,1.42,0.8,0.8
1013902550,HOLUKA,EUGENE,,MD,M,I,584 FOREST AVE,,STATEN ISLAND,NY,103102512,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,45,186,316,106.2403481,8.32,5.6139556962,5.6139556962
1013902550,HOLUKA,EUGENE,,MD,M,I,584 FOREST AVE,,STATEN ISLAND,NY,103102512,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,33,81,84,94.191190476,1.42,0.8526190476,0.8526190476
1013902550,HOLUKA,EUGENE,,MD,M,I,584 FOREST AVE,,STATEN ISLAND,NY,103102512,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,17,365,77.74,53.990588235,48.657058824
1013902550,HOLUKA,EUGENE,,MD,M,I,584 FOREST AVE,,STATEN ISLAND,NY,103102512,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,45,4608,0.7465559896,0.04484375,0.0336740451,0.0336740451
1013902550,HOLUKA,EUGENE,,MD,M,I,584 FOREST AVE,,STATEN ISLAND,NY,103102512,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,311,5.0632154341,0.2177813505,0.1706430868,0.1706430868
1013902550,HOLUKA,EUGENE,,MD,M,I,584 FOREST AVE,,STATEN ISLAND,NY,103102512,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,16,29,29,33,33,24.977931034,24.977931034
1013902725,EPPERSON,STEPHEN,P,MD,M,I,1401 CHESTER BLVD,,RICHMOND,IN,473741908,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,19.727272727,18.093636364,12.864090909,12.334545455
1013902725,EPPERSON,STEPHEN,P,MD,M,I,1401 CHESTER BLVD,,RICHMOND,IN,473741908,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,89.090909091,71.476363636,50.786818182,49.796818182
1013902758,BABCOCK,CHRISTINE,M,A.N.P.,F,I,506 LAKE ST,,KENAI,AK,996116937,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,40,88,52.428181818,8.32,6.3004545455,6.3004545455
1013902758,BABCOCK,CHRISTINE,M,A.N.P.,F,I,506 LAKE ST,,KENAI,AK,996116937,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,20,14.267,1.42,1.062,1.062
1013902758,BABCOCK,CHRISTINE,M,A.N.P.,F,I,506 LAKE ST,,KENAI,AK,996116937,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,64,13.0390625,2.40875,1.88875,1.5925
1013902758,BABCOCK,CHRISTINE,M,A.N.P.,F,I,506 LAKE ST,,KENAI,AK,996116937,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,134.87272727,46.068181818,34.553939394,22.67030303
1013902758,BABCOCK,CHRISTINE,M,A.N.P.,F,I,506 LAKE ST,,KENAI,AK,996116937,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,410.5,101.5855,79.6455,57.7735
1013902758,BABCOCK,CHRISTINE,M,A.N.P.,F,I,506 LAKE ST,,KENAI,AK,996116937,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,250,44.664,34.559333333,29.532666667
1013902758,BABCOCK,CHRISTINE,M,A.N.P.,F,I,506 LAKE ST,,KENAI,AK,996116937,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,115.85625,23.74625,17.416875,12.28125
1013902782,BISHOP,ROBERT,G,MD,M,I,397 WALLACE RD,BLDG C SUITE 100,NASHVILLE,TN,372114854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,66,65.850757576,8.32,6.1265151515,6.1265151515
1013902782,BISHOP,ROBERT,G,MD,M,I,397 WALLACE RD,BLDG C SUITE 100,NASHVILLE,TN,372114854,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,27,15.068518519,1.42,1.0311111111,1.0311111111
1013902782,BISHOP,ROBERT,G,MD,M,I,397 WALLACE RD,BLDG C SUITE 100,NASHVILLE,TN,372114854,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.9045454545,6.1945454545,3.6854545455
1013902865,HARO,ALFONSO,,DPM,M,I,200 WESTGATE DR,SUITE A,WEST END,NC,273768038,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,237,240,474,91.109957806,71.56,54.449746835,54.443270042
1013902865,HARO,ALFONSO,,DPM,M,I,200 WESTGATE DR,SUITE A,WEST END,NC,273768038,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,224,224,1340,40.228358209,29.19,22.436119403,22.437656716
1013902865,HARO,ALFONSO,,DPM,M,I,200 WESTGATE DR,SUITE A,WEST END,NC,273768038,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,90,50,43.56,34.151666667,34.15
1013902865,HARO,ALFONSO,,DPM,M,I,200 WESTGATE DR,SUITE A,WEST END,NC,273768038,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,13,120,120,87.263846154,88.263076923
1013902865,HARO,ALFONSO,,DPM,M,I,200 WESTGATE DR,SUITE A,WEST END,NC,273768038,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,300,154.71,121.29,119.827
1013902865,HARO,ALFONSO,,DPM,M,I,200 WESTGATE DR,SUITE A,WEST END,NC,273768038,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,200,163.79,119.71583333,118.26916667
1013902899,MCCORMACK,SHARON,J,MD,F,I,5411 OLD FREDERICK RD,SUITE 18,BALTIMORE,MD,212292195,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,36,114,58.262807018,8.32,5.7783333333,5.7783333333
1013902899,MCCORMACK,SHARON,J,MD,F,I,5411 OLD FREDERICK RD,SUITE 18,BALTIMORE,MD,212292195,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,39,15.273333333,1.42,0.9433333333,0.9433333333
1013902899,MCCORMACK,SHARON,J,MD,F,I,5411 OLD FREDERICK RD,SUITE 18,BALTIMORE,MD,212292195,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,88.44,17.46,12.445454545,12.315909091
1013902899,MCCORMACK,SHARON,J,MD,F,I,5411 OLD FREDERICK RD,SUITE 18,BALTIMORE,MD,212292195,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,370,82,56.789545455,48.338636364
1013902931,COGGIOLA,PETER,A,"MSN, NP",M,I,400 NORTH MAIN STREET,WYOMING COUNTY COMMUNITY SNIF,WARSAW,NY,14569,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,58,11.85137931,2.9427586207,2.1244827586,1.4282758621
1013902931,COGGIOLA,PETER,A,"MSN, NP",M,I,400 NORTH MAIN STREET,WYOMING COUNTY COMMUNITY SNIF,WARSAW,NY,14569,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,7.9045454545,6.1945454545,3.6854545455
1013902931,COGGIOLA,PETER,A,"MSN, NP",M,I,400 NORTH MAIN STREET,WYOMING COUNTY COMMUNITY SNIF,WARSAW,NY,14569,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,170.01238095,43.798571429,34.336190476,24.491428571
1013902931,COGGIOLA,PETER,A,"MSN, NP",M,I,400 NORTH MAIN STREET,WYOMING COUNTY COMMUNITY SNIF,WARSAW,NY,14569,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,424.55190476,106.38666667,77.19952381,52.857142857
1013903129,RIGGS,DAVID,A,D.O.,M,I,307 BOATNER RD,,EGLIN AFB,FL,325421391,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,58,28.705517241,15.12,9.8105172414,9.8517241379
1013903129,RIGGS,DAVID,A,D.O.,M,I,307 BOATNER RD,,EGLIN AFB,FL,325421391,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,126.16428571,54.47,36.608571429,36.764285714
1013903129,RIGGS,DAVID,A,D.O.,M,I,307 BOATNER RD,,EGLIN AFB,FL,325421391,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,52.376111111,11.54,8.3455555556,8.4177777778
1013903129,RIGGS,DAVID,A,D.O.,M,I,307 BOATNER RD,,EGLIN AFB,FL,325421391,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,22,121,7.9524793388,2.01,1.4723966942,1.4892561983
1013903129,RIGGS,DAVID,A,D.O.,M,I,307 BOATNER RD,,EGLIN AFB,FL,325421391,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,204.41255814,31.599069767,21.688139535,21.274651163
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,3696,0.44,0.44,0.3449540043,0.3449540043
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,612,34.86,34.86,27.330294118,27.330294118
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,24,918,8.28,8.28,6.4090958606,6.4090958606
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,9.8081818182,7.6909090909,7.8018181818
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,58,60,175,54.72,37.68,33.217166667
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,19,120,50.360526316,36.934736842,34.175789474
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,8.0181818182,3.12,1.5590909091,1.4554545455
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,26,139,139,61.095683453,21.951151079,15.01294964,12.763165468
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,180,78.138181818,54.054545455,45.681818182
1013903160,HILL,GREGORY,G,MD,M,I,2619 DECATUR HWY,,FULTONDALE,AL,350681723,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,29.5,10.4855,6.626,5.6835
1013903202,JOHNSON,DESIREE,B,MD,F,I,201 WOODSON ST STE A,,SALISBURY,NC,281443286,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,84,42.296666667,8.32,5.8102380952,5.8102380952
1013903202,JOHNSON,DESIREE,B,MD,F,I,201 WOODSON ST STE A,,SALISBURY,NC,281443286,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,44.145,6.1028571429,4.385,3.6192857143
1013903202,JOHNSON,DESIREE,B,MD,F,I,201 WOODSON ST STE A,,SALISBURY,NC,281443286,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,399.34897436,85.178461538,62.358974359,50.804615385
1013903202,JOHNSON,DESIREE,B,MD,F,I,201 WOODSON ST STE A,,SALISBURY,NC,281443286,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,28,147.14285714,39.330714286,28.679642857,28.769642857
1013903202,JOHNSON,DESIREE,B,MD,F,I,201 WOODSON ST STE A,,SALISBURY,NC,281443286,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35.27,27.66,29.365
1013903210,NAGARKAR,JYOTI,D,MD,F,I,80 ERDMAN WAY,SUITE 207,LEOMINSTER,MA,014531840,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,39,119,237,80.179620253,8.32,5.6959915612,5.6959915612
1013903210,NAGARKAR,JYOTI,D,MD,F,I,80 ERDMAN WAY,SUITE 207,LEOMINSTER,MA,014531840,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,25,44,48,14.312916667,1.42,0.9610416667,0.9610416667
1013903210,NAGARKAR,JYOTI,D,MD,F,I,80 ERDMAN WAY,SUITE 207,LEOMINSTER,MA,014531840,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,23,86.31,17.391304348,13.635217391,13.54
1013903210,NAGARKAR,JYOTI,D,MD,F,I,80 ERDMAN WAY,SUITE 207,LEOMINSTER,MA,014531840,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,6.5708333333,3.8875,3.0425,3.6125
1013903210,NAGARKAR,JYOTI,D,MD,F,I,80 ERDMAN WAY,SUITE 207,LEOMINSTER,MA,014531840,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,26,519.51,78.311538462,61.396538462,54.963461538
1013903210,NAGARKAR,JYOTI,D,MD,F,I,80 ERDMAN WAY,SUITE 207,LEOMINSTER,MA,014531840,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1843,0.2538632664,0.045843733,0.0265653825,0.0265653825
1013903210,NAGARKAR,JYOTI,D,MD,F,I,80 ERDMAN WAY,SUITE 207,LEOMINSTER,MA,014531840,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,66,33,19.833666667,19.833666667
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,86,185,64.297081081,8.32,5.9702702703,5.9702702703
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,39,42,15.433095238,1.42,1.0119047619,1.0119047619
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,28,21.752142857,10.93,8.57,8.57
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,210,16.772095238,5.54,4.3433809524,4.3433809524
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,550,0.5127272727,0.24,0.1882,0.2116
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,336,28.73,23.66,18.549375,18.549375
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,31,920,8.82,8.28,6.4916086957,6.4916086957
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,1.341,1.08,0.8466666667,0.8466666667
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,17,415,2.7469879518,2.4,1.8816626506,1.8816626506
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,19,3.7015789474,1.47,1.1568421053,1.1568421053
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,30,70.075666667,19.701,15.441333333,13.530666667
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3006.75,1048.7,822.18,840.58666667
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,40,40,27.65125,4.62275,3.1055,3.097
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,113.13727273,41.237272727,29.981818182,21.254545455
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,42,42,353.99738095,90.747857143,71.147857143,54.733571429
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,690,15.58,9.591826087,7.5199710145,7.5199710145
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,60.161290323,19.568387097,13.65516129,12.85
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,15,8.7765217391,5.8869565217,5.8347826087
1013903269,HODGES,VERYL,D,DO,M,I,300 CARSON ST,,JONESBORO,AR,724013104,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,132,33,25.87,25.87
1013903400,FERRI,FRED,,MD,M,I,1539 ATWOOD AVE,SUITE 101,JOHNSTON,RI,029193262,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,62,123,74.66796748,8.32,5.9908943089,5.9908943089
1013903400,FERRI,FRED,,MD,M,I,1539 ATWOOD AVE,SUITE 101,JOHNSTON,RI,029193262,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,19,24,16.261666667,1.42,1.1158333333,1.1158333333
1013903400,FERRI,FRED,,MD,M,I,1539 ATWOOD AVE,SUITE 101,JOHNSTON,RI,029193262,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,122.30272727,42.64,30.390909091,27.985454545
1013903400,FERRI,FRED,,MD,M,I,1539 ATWOOD AVE,SUITE 101,JOHNSTON,RI,029193262,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,79,11.440886076,2.54,1.9915189873,1.652278481
1013903426,OLIVER,CARL,G,PA,M,I,502 SUMTER ST,,MONTEZUMA,GA,310631734,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,31,64.826451613,8.32,6.3122580645,6.3122580645
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,56,148,419,65.29973747,8.32,5.8574224344,5.8574224344
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,11,23,23,14.880869565,3.38,2.65,2.65
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,22.412727273,2.12,1.67,1.67
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,30,70,104,16.825384615,1.42,0.9755769231,0.9755769231
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,185.36416667,40,31.36,30.5625
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,448.661875,85,63.0275,64.1525
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,37,172.01567568,33,25.872432432,25.914054054
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,86.707333333,18,14.11,14.06
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,14,27,149,11.652885906,2,1.5473154362,1.5693959732
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,52.817692308,13,10.19,10.34
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,41.365,17.958333333,12.31375,11.8475
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,3775.52,1074.31,835.17862069,835.17862069
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1488.4,1022.0516667,801.29083333,801.29083333
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,81.333333333,31.5,20.583333333,19.483333333
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,13.97,10.58,6.176875,6.15625
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,385,77.315294118,57.226176471,51.501176471
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,3068,0.8738396349,0.0466297262,0.0331681877,0.0331649283
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,17,1796,2.4621547884,0.1362360802,0.100785078,0.100785078
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,85.46,80.72,63.2875,54.4375
1013903509,GLICK,BARRY,,DO,M,I,810 BIESTERFIELD RD,SUITE 306,ELK GROVE VILLAGE,IL,600077312,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,33,33,33,33,23.766060606,23.766060606
1013903574,ZOLNIERZ,ROSEMARIE,N,PAC,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,48,79.846666667,8.3064583333,5.6958333333,5.7064583333
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,47.55,48.548,38.066666667,36.46
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,41,41,131.16585366,50.476341463,35.115121951,33.608292683
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,40,17.018125,12.953125,13.14875
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.355,3.42,3.66
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,96.12,46.337857143,27.197142857,26.784285714
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,220,79.555909091,59.520909091,55.873636364
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,14,14,14,39.617857143,38.419285714,30.119285714,29.34
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,31,217,222,39.200135135,19.569414414,14.772477477,13.58990991
1013903590,BIANCA,VINCENT,C,MD,M,I,9015 STRADA STELL CT,SUITE 201,NAPLES,FL,341094373,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,70,71,18.769859155,8.2732394366,6.2435211268,6.4673239437
1013903624,NAISMITH,ROBERT,A,MD,M,I,601 TEXAN TRL,STE. 100,CORPUS CHRISTI,TX,784112548,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,3320,0.2030120482,0.13,0.1019126506,0.1019126506
1013903624,NAISMITH,ROBERT,A,MD,M,I,601 TEXAN TRL,STE. 100,CORPUS CHRISTI,TX,784112548,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,8010,4.2744394507,2.04,1.580752809,1.580752809
1013903624,NAISMITH,ROBERT,A,MD,M,I,601 TEXAN TRL,STE. 100,CORPUS CHRISTI,TX,784112548,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,8190,8.654984127,7.068021978,5.4941147741,5.6184578755
1013903632,KRZYZAK,RICHARD,B,OD,M,I,4871 W TAFT RD,,LIVERPOOL,NY,130884819,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,103.76470588,60.583529412,41.909411765,46.441764706
1013904093,ALAWWA,ABDUL,K,M.D.,M,I,1031 SUNCREST DR,,LAPEER,MI,484461136,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,3715.7142857,2429.4071429,1885.0921429,1885.0921429
1013904150,SWANGO,JOHN,S,M.D.,M,I,1229 E SEMINOLE ST,,SPRINGFIELD,MO,658042227,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,41,69.05,54.07,40.137073171,43.855121951
1013904150,SWANGO,JOHN,S,M.D.,M,I,1229 E SEMINOLE ST,,SPRINGFIELD,MO,658042227,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,36,46,100.72,78.88,61.465,66.796521739
1013904168,CUBBAGE,BRIAN,K,MD,M,I,30 SHADY LN,,WHITE STONE,VA,225782601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,48,120,64.584333333,8.32,5.3269166667,5.3269166667
1013904168,CUBBAGE,BRIAN,K,MD,M,I,30 SHADY LN,,WHITE STONE,VA,225782601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,36,14.914444444,1.42,1.0216666667,1.0216666667
1013904168,CUBBAGE,BRIAN,K,MD,M,I,30 SHADY LN,,WHITE STONE,VA,225782601,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,15,86.31,22.182,17.389333333,13.53
1013904168,CUBBAGE,BRIAN,K,MD,M,I,30 SHADY LN,,WHITE STONE,VA,225782601,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,35,519.51,97.624,74.830571429,55.665714286
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,54,116,62.377068966,8.32,5.7921551724,5.7921551724
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,16,20,13.265,1.42,1.062,1.062
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,62.474545455,25.142727273,18.293636364,14.238181818
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,76.11,20.974,15.770666667,9.2833333333
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,95,10.297578947,3.2073684211,2.4775789474,1.7309473684
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,27,59.407407407,18.301111111,13.919259259,9.7225925926
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,45.212777778,6.8811111111,5.1927777778,3.3166666667
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,197.52375,49.2125,36.965,23.58375
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,348.61960784,104.61333333,78.503529412,56.374117647
1013904184,RAWDON,MICHAEL,A,FNP MSN,M,I,128 N WHITNEY AVE,,COOKEVILLE,TN,385012493,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,126.47058824,43.911176471,26.697058824,22.991176471
1013904341,WALKER,ARTHUR,W,MD,M,I,806 E MAIN ST,,WAVERLY,TN,371851814,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6068,0.7720764667,0.732181938,0.5274604483,0.4790705339
1013904358,WALKER,PAUL,R,M.D.,M,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMTOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,704.46909091,97.713939394,76.61,57.191818182
1013904358,WALKER,PAUL,R,M.D.,M,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMTOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Internal Medicine,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,12,17,1344,9.3945610119,4.0742559524,3.194233631,3.194233631
1013904358,WALKER,PAUL,R,M.D.,M,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMTOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,253.24516129,42.819677419,33.571290323,29.970967742
1013904358,WALKER,PAUL,R,M.D.,M,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMTOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,14,26,26,25.192307692,24,18.82,18.82
1013904416,FERRANTE,CHRISTOPHER,R,MD,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,230.60565217,45.78,35.891304348,36.408695652
1013904416,FERRANTE,CHRISTOPHER,R,MD,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,145.02923077,21.38,12.892307692,16.266923077
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,28,81,265,67.144339623,8.32,5.8286415094,5.8286415094
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,13,14.158461538,3.38,2.56,2.56
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,27,37,15.005945946,1.42,1.0251351351,1.0251351351
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,388.80333333,83.47,59.986666667,62.044166667
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,37,152.72891892,32.2,23.196486486,23.738648649
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,80.9575,11.91,9.34,9.1566666667
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,26,127,11.137165354,2,1.568503937,1.59
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,21,86.31,16.98,13.31,13.467142857
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,75,34.840909091,27.311818182,32.136363636
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,17.657647059,9.7270588235,7.6270588235,7.8423529412
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,21,519.51,77.36,60.65,56.421428571
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,8.0381818182,6.3,6.5127272727
1013904515,HAACKE GOLDEN,ERIC,J,MD,M,I,2367 COLONY CROSSING PLACE,,MIDLOTHIAN,VA,23112,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,592.03058824,117.00058824,88.277058824,95.542941176
1013904531,OBERMAN,RONALD,,D P M,M,I,1891 W HILLSBORO BLVD,,DEERFIELD BEACH,FL,334421401,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,58,75,71.56,54.00637931,54.006206897
1013904531,OBERMAN,RONALD,,D P M,M,I,1891 W HILLSBORO BLVD,,DEERFIELD BEACH,FL,334421401,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,114,30,29.19,22.885,22.886666667
1013904531,OBERMAN,RONALD,,D P M,M,I,1891 W HILLSBORO BLVD,,DEERFIELD BEACH,FL,334421401,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,63,45,43.56,34.151587302,34.14984127
1013904606,MOTAMEDI,ATA,,MD,M,I,17904 GEORGIA AVE,SUITE # 304,OLNEY,MD,208322239,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,31,71,192,68.386354167,8.32,5.9768229167,5.9768229167
1013904606,MOTAMEDI,ATA,,MD,M,I,17904 GEORGIA AVE,SUITE # 304,OLNEY,MD,208322239,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,2.47,2.47
1013904606,MOTAMEDI,ATA,,MD,M,I,17904 GEORGIA AVE,SUITE # 304,OLNEY,MD,208322239,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,28,33,14.961515152,1.42,1.083030303,1.083030303
1013904606,MOTAMEDI,ATA,,MD,M,I,17904 GEORGIA AVE,SUITE # 304,OLNEY,MD,208322239,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,140,17.46,13.69,13.54
1013904606,MOTAMEDI,ATA,,MD,M,I,17904 GEORGIA AVE,SUITE # 304,OLNEY,MD,208322239,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,232.53,32.705,23.0125,22.728333333
1013904606,MOTAMEDI,ATA,,MD,M,I,17904 GEORGIA AVE,SUITE # 304,OLNEY,MD,208322239,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,470,81.495714286,63.894285714,54.73
1013904622,HENRY,RICHARD,E,MD,M,I,800 FALLS AVE,SUITE 2,TWIN FALLS,ID,833013366,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,22,42,8.0021428571,1.7802380952,1.274047619,1.040952381
1013904622,HENRY,RICHARD,E,MD,M,I,800 FALLS AVE,SUITE 2,TWIN FALLS,ID,833013366,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,28,28,41.536785714,6.3189285714,4.6660714286,3.3839285714
1013904622,HENRY,RICHARD,E,MD,M,I,800 FALLS AVE,SUITE 2,TWIN FALLS,ID,833013366,US,Physician/Allergy/ Immunology,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1020,14.945784314,11.064588235,8.5401568627,8.5401568627
1013904622,HENRY,RICHARD,E,MD,M,I,800 FALLS AVE,SUITE 2,TWIN FALLS,ID,833013366,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,48,3690,1.3293495935,0.1344715447,0.0895582656,0.0895582656
1013904622,HENRY,RICHARD,E,MD,M,I,800 FALLS AVE,SUITE 2,TWIN FALLS,ID,833013366,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,13,56,3242,12.193846391,2.9641887724,2.2455613819,2.2455613819
1013904622,HENRY,RICHARD,E,MD,M,I,800 FALLS AVE,SUITE 2,TWIN FALLS,ID,833013366,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,69,69,100.68115942,33,24.495942029,24.495942029
1013904655,VAINIO,ARNE,,MD,M,I,927 TRETTEL LN,,CLOQUET,MN,557201345,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,16,9.5733333333,5.3325,5.1858333333
1013904655,VAINIO,ARNE,,MD,M,I,927 TRETTEL LN,,CLOQUET,MN,557201345,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,31.466666667,24.668333333,24.675
1013904655,VAINIO,ARNE,,MD,M,I,927 TRETTEL LN,,CLOQUET,MN,557201345,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,376.53133333,69.882,51.128,51.090666667
1013904671,SERVIES,HERSCHELL,,M.D.,M,I,2705 N LEBANON ST STE 140,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,12,330,34.907090909,23.66,18.549333333,18.549333333
1013904671,SERVIES,HERSCHELL,,M.D.,M,I,2705 N LEBANON ST STE 140,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,21,27,990,12.616050505,8.28,6.4915959596,6.4915959596
1013904671,SERVIES,HERSCHELL,,M.D.,M,I,2705 N LEBANON ST STE 140,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,14,180,12.219888889,8.41,6.5936666667,6.5936666667
1013904671,SERVIES,HERSCHELL,,M.D.,M,I,2705 N LEBANON ST STE 140,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,23,360,14.686555556,10.93,8.2766388889,8.2766388889
1013904671,SERVIES,HERSCHELL,,M.D.,M,I,2705 N LEBANON ST STE 140,,LEBANON,IN,460528622,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,14,1567,0.8585832802,0.45,0.3527823867,0.3527823867
1013904689,HUI,RAYMOND,C,M.D.,M,I,758 OLD NORCROSS RD,SUITE 100,LAWRENCEVILLE,GA,300463385,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,121.18111111,53.225,41.726666667,36.46
1013904689,HUI,RAYMOND,C,M.D.,M,I,758 OLD NORCROSS RD,SUITE 100,LAWRENCEVILLE,GA,300463385,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,130.735625,52.28,38.41875,38.240625
1013904689,HUI,RAYMOND,C,M.D.,M,I,758 OLD NORCROSS RD,SUITE 100,LAWRENCEVILLE,GA,300463385,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,35,140,117.67,83.866285714,94.262857143
1013904689,HUI,RAYMOND,C,M.D.,M,I,758 OLD NORCROSS RD,SUITE 100,LAWRENCEVILLE,GA,300463385,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,21,65,53.2,39.723809524,44.419047619
1013904788,KLOCEK,JAMES,J,D.P.M.,M,I,106 MILFORD ST,SUITE 504-A,SALISBURY,MD,218046953,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,23,45,105.45511111,71.56,51.205777778,51.205333333
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,30,89,113,52.633362832,8.32,5.714159292,5.714159292
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.763333333,1.42,0.84,0.84
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,67,131.69641791,26.255671642,19.38761194,14.709552239
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,329.39166667,75.242222222,54.558333333,41.511666667
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,112.78461538,25.670769231,20.121538462,15.429230769
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,70.529,20.8855,15.869,10.3995
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,22,130,12.771384615,3.1244615385,2.368,1.7072307692
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1020.1,787.80416667,830.30416667
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,288.75,8.3617142857,6.5534285714,4.3302857143
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,874.72,50.7116,35.7236,21.5112
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,79,79,759.26417722,100.8521519,75.025696203,52.576455696
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,140.84347826,40.047391304,28.544347826,26.887826087
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,2520,1.6476269841,0.1336666667,0.0913333333,0.0913333333
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,285.6,45.113181818,33.8775,28.337727273
1013904812,COUSE,BRIAN,E,MD,M,I,1400 SENATE AVE,"PCI - RED OAK, SUITE # 105",RED OAK,IA,515661271,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,35,35,38,33,24.119142857,24.119142857
1013904887,SAUVAGE,LESTER,R,MD,M,I,515 MINOR AVE,SUITE 300,SEATTLE,WA,981042120,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,18,77.088333333,8.32,5.8027777778,5.8027777778
1013904887,SAUVAGE,LESTER,R,MD,M,I,515 MINOR AVE,SUITE 300,SEATTLE,WA,981042120,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,39.8115625,18.4390625,14.090625,13.97375
1013904887,SAUVAGE,LESTER,R,MD,M,I,515 MINOR AVE,SUITE 300,SEATTLE,WA,981042120,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,23.771818182,8.1759090909,5.4059090909,5.4354545455
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,72,177,471,71.219023355,8.32,6.0343099788,6.0343099788
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,15,30,30,15.874666667,3.38,2.5616666667,2.5616666667
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,22.189090909,2.12,1.67,1.67
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,48,104,168,18.779166667,1.42,1.0351190476,1.0351190476
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,502,6.876812749,3.24,2.4490438247,2.3033665339
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,4117,1.3163930046,0.32,0.239171727,0.2328054409
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,28,28,218.22571429,49.618571429,34.646428571,33.645714286
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,47.727272727,33.141818182,33.095454545
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,465.442,146.56,105.33733333,92.046666667
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,86.31,18.45,14.46,13.5975
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,19,50.73,7.1563157895,5.0631578947,3.3189473684
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.72,13.701666667,10.736666667,8.8791666667
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,519.51,86.183571429,57.739642857,47.2325
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,34,1830,15.58,9.5902295082,7.4179508197,7.4179508197
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2147,0.2240381928,0.046101537,0.032272939,0.032272939
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,37,2338,0.9873652695,0.1373823781,0.1077031651,0.1077031651
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,42,2190,12.887931507,3.0115205479,2.3073744292,2.3073744292
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,77.925,23.275,17.6955,14.977
1013904895,STILES,ALLISON,M,MD,F,I,1325 EASTMORELAND AVE STE 585,,MEMPHIS,TN,381047506,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,76,76,122.88157895,33,25.529605263,25.529605263
1013905009,COOLEY,JANINE,R,MD,F,I,1200 112TH AVE NE,STE C160,BELLEVUE,WA,980043732,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,34,68.342352941,8.32,4.6023529412,4.6023529412
1013905017,VU,CHUNG,H,MD,M,I,2593 S KING RD,#15,SAN JOSE,CA,951221880,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,40,113,221,67.771402715,8.32,5.5706334842,5.5706334842
1013905017,VU,CHUNG,H,MD,M,I,2593 S KING RD,#15,SAN JOSE,CA,951221880,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,37,99,104,14.752788462,1.42,0.9576923077,0.9576923077
1013905017,VU,CHUNG,H,MD,M,I,2593 S KING RD,#15,SAN JOSE,CA,951221880,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.98,12.200833333,12.425833333
1013905017,VU,CHUNG,H,MD,M,I,2593 S KING RD,#15,SAN JOSE,CA,951221880,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55,10.5725,6.5875,7.2325
1013905017,VU,CHUNG,H,MD,M,I,2593 S KING RD,#15,SAN JOSE,CA,951221880,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,71.06,52.49,51.51
1013905017,VU,CHUNG,H,MD,M,I,2593 S KING RD,#15,SAN JOSE,CA,951221880,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,214.448,15.714,11.2572,12.918
1013905017,VU,CHUNG,H,MD,M,I,2593 S KING RD,#15,SAN JOSE,CA,951221880,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1013905025,BUCKLEY,FREDERICK,O,M.D.,M,I,104 ENDICOTT ST,SUITE 200,DANVERS,MA,019233623,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,17,722,0.1685595568,0.12,0.0940166205,0.0940166205
1013905025,BUCKLEY,FREDERICK,O,M.D.,M,I,104 ENDICOTT ST,SUITE 200,DANVERS,MA,019233623,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,15,19,676,0.177204142,0.13,0.1019674556,0.1019674556
1013905025,BUCKLEY,FREDERICK,O,M.D.,M,I,104 ENDICOTT ST,SUITE 200,DANVERS,MA,019233623,US,Physician/General Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,15,22,108.91636364,95.87,75.163636364,75.163636364
1013905108,BUCKLE,DAVID,,MD,M,I,333 ELM ST,SUITE 220,DEDHAM,MA,020264530,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,64,61.729375,8.32,5.3246875,5.3246875
1013905108,BUCKLE,DAVID,,MD,M,I,333 ELM ST,SUITE 220,DEDHAM,MA,020264530,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,87.272727273,41,29.218181818,27.868181818
1013905108,BUCKLE,DAVID,,MD,M,I,333 ELM ST,SUITE 220,DEDHAM,MA,020264530,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,58,9.4827586207,2.3,1.5155172414,1.3477586207
1013905108,BUCKLE,DAVID,,MD,M,I,333 ELM ST,SUITE 220,DEDHAM,MA,020264530,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,39.55,17,12.219166667,12.415833333
1013905108,BUCKLE,DAVID,,MD,M,I,333 ELM ST,SUITE 220,DEDHAM,MA,020264530,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,491.34896552,78,53.437931034,48.346551724
1013905108,BUCKLE,DAVID,,MD,M,I,333 ELM ST,SUITE 220,DEDHAM,MA,020264530,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,177.69230769,38,27.498461538,27.261538462
1013905116,BROOKS,JULIUS,,M.D,M,I,1000 ATLANTIC AVE,,CAMDEN,NJ,081041132,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,25,87,210,67.461285714,8.32,6.0466190476,6.0466190476
1013905116,BROOKS,JULIUS,,M.D,M,I,1000 ATLANTIC AVE,,CAMDEN,NJ,081041132,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,47,63,15.139365079,1.42,1.0092063492,1.0092063492
1013905132,BLANDON,SANDRA,,NP,F,I,235 PORT RICHMOND AVE,,STATEN ISLAND,NY,103021701,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,16,48.161875,8.32,5.7125,5.7125
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,21,21,118.4952381,38.975238095,29.103809524,29.038095238
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,810,7.1133333333,2.66,2.0854320988,2.2945308642
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,23,52,7.6223076923,1.51,1.1394230769,1.1126923077
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,9,12,14,14,70.044285714,10.7,8.3864285714,8.8328571429
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,14,17,5.2252941176,1.25,0.98,0.9605882353
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,16,34,34,369.37882353,90.683529412,57.281176471,54.825294118
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,13,28,75,132.97986667,33.902,23.440133333,22.8544
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,21,21,206.54952381,53.22047619,38.236190476,39.358571429
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,26,26,69.52,17.916153846,12.538461538,12.560769231
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,25,25,59.9068,11.8408,7.2684,7.1744
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,26,54,294,7.4361904762,2.0575510204,1.4304081633,1.4139455782
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,23,23,25.167391304,5.9604347826,4.0565217391,4.05
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,15,17,17,42.428235294,12.478235294,9.2982352941,9.7341176471
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,15,79,85,68.514823529,17.098235294,12.685529412,12.958470588
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,781.2,50,32.666666667,34.948333333
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,27,27,131.15777778,52.899259259,41.472962963,37.688148148
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,252,45,32.34,34.3475
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,3021.0526316,1074.31,833.62631579,833.62631579
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,300,85.085,66.70625,69.137083333
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,28,30,1230.62,907.38133333,698.83333333,698.83366667
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,11,50,51,32.285882353,4.0433333333,2.8694117647,3.2690196078
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,177,39.820909091,31.218181818,31.218181818
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,519.84222222,31.855555556,24.98,25.098518519
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,18,52,328,348,490.12755747,75.388706897,56.704252874,52.92433908
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,21,144,157,176.30573248,36.832484076,28.877834395,29.408407643
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,33,152,26700,4.1543254682,0.5741303371,0.4496599251,0.4496599251
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,41,6300,0.0669825397,0.0129047619,0.0101206349,0.0101206349
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,3510,1.3111168091,0.728965812,0.5715156695,0.5715156695
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,18,61,8580,3.1721200466,1.4472517483,1.1329195804,1.1329195804
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,15,99,6600,20.574657576,9.6251227273,7.4528742424,7.4528742424
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1500,18.605146667,11.2148,8.79242,8.7924133333
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,17,74,21185,0.341734718,0.0463757376,0.0353136653,0.0353131933
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,38,4074,1.2659131075,0.1334290623,0.100586647,0.100586647
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,15,94,5609,11.311745409,3.0165894099,2.3429684436,2.3429684436
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,1742,2.8166991963,0.2190183697,0.1716991963,0.1716934558
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,127.82636364,36.780909091,23.705454545,24.504545455
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,11,11,50,50,39.2,39.2
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,18,39,179,179,24,24,18.82,18.82
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,35,132,139,19.683453237,16,12.54,12.54
1013905157,CRINER,GERARD,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,25,38,174,174,82.724137931,33,25.423965517,25.423965517
1013905249,URBON,RICHARD,L,M.D.,M,I,4328 CASHMERE DR NE,,LACEY,WA,985166283,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,197.96733333,76.564,54.264333333,49.132333333
1013905249,URBON,RICHARD,L,M.D.,M,I,4328 CASHMERE DR NE,,LACEY,WA,985166283,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,74.590588235,39.3,30.81,29.51
1013905249,URBON,RICHARD,L,M.D.,M,I,4328 CASHMERE DR NE,,LACEY,WA,985166283,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,50,39.3,29.2695,28.0345
1013905306,MARTIN,PAMELA,B,MD,F,I,300 N RUFE SNOW DR,,KELLER,TX,762484235,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,27,83.45962963,8.32,6.2188888889,6.2188888889
1013905520,DORSEY,ROBERT,F,M.D.,M,I,210 NE TUDOR RD,,LEES SUMMIT,MO,640865696,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,30,572,28.454615385,23.66,18.212482517,18.212482517
1013905520,DORSEY,ROBERT,F,M.D.,M,I,210 NE TUDOR RD,,LEES SUMMIT,MO,640865696,US,Physician/General Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,30,553,1.2805244123,1.08,0.8468535262,0.8468535262
1013905520,DORSEY,ROBERT,F,M.D.,M,I,210 NE TUDOR RD,,LEES SUMMIT,MO,640865696,US,Physician/General Surgery,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,51,21.921764706,18.29,14.339607843,14.339607843
1013905546,TWEEDT,APRIL,D,D.O.,F,I,18111 PRINCE PHILIP DR,T-12,OLNEY,MD,208321513,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,44,160,58.0533125,8.32,6.0335,6.0335
1013905546,TWEEDT,APRIL,D,D.O.,F,I,18111 PRINCE PHILIP DR,T-12,OLNEY,MD,208321513,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,32,11.3515625,1.42,1.1128125,1.1128125
1013905546,TWEEDT,APRIL,D,D.O.,F,I,18111 PRINCE PHILIP DR,T-12,OLNEY,MD,208321513,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,69.53,16.933571429,11.393571429,11.687857143
1013905546,TWEEDT,APRIL,D,D.O.,F,I,18111 PRINCE PHILIP DR,T-12,OLNEY,MD,208321513,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,431.16866667,79.411333333,54.449333333,48.07
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,51,108,274,68.214781022,8.32,6.1684671533,6.1684671533
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,17,3.38,2.65,2.65
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,28,45,61,15.696885246,1.42,1.0973770492,1.0973770492
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,33,33,103.46757576,39,28.726666667,28.644848485
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,202.47555556,90.24,70.75,68.163333333
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,44,93.776363636,35,27.312272727,25.929318182
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,16,35,140,42.925571429,19.5,14.352,13.6945
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,48,27.843333333,15.64,12.261875,11.90125
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,27,50,50,122.103,56.2242,42.3176,41.1956
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,34,43,43,37.937209302,16.825116279,13.189534884,13.997906977
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,20,35,35,30.743428571,11.986857143,9.1308571429,8.9091428571
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,30,67,319,6.3645141066,2.0001880878,1.539153605,1.5611598746
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,19,19,9.7878947368,6.2131578947,4.8673684211,4.6626315789
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,31.316363636,12.48,8.8909090909,9.4127272727
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,108.25,58.452105263,44.965263158,39.937894737
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,217.3,144.08,112.95,105.96923077
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,18,52,52,92.484615385,38.404038462,27.495769231,24.670576923
1013905629,GORDON,MICHAEL,D,M.D.,M,I,3191 E SEMORAN BLVD,,APOPKA,FL,327035943,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,279.902,78.796,53.706,52.338666667
1013905645,OJHA,ASHISH,K,MD,M,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,36,80,222,70.732657658,8.32,6.1698648649,6.1698648649
1013905645,OJHA,ASHISH,K,MD,M,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,44,67,16.200597015,1.42,1.0804477612,1.0804477612
1013905645,OJHA,ASHISH,K,MD,M,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,27.144166667,3.9866666667,3.12,3.7533333333
1013905645,OJHA,ASHISH,K,MD,M,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,23,341.53869565,79.8,59.84,52.690869565
1013905645,OJHA,ASHISH,K,MD,M,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,51.847647059,21.484117647,16.841764706,16.404705882
1013905645,OJHA,ASHISH,K,MD,M,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,94.194736842,28.804210526,22.580526316,22.084736842
1013905645,OJHA,ASHISH,K,MD,M,I,730 MALABAR RD,,MALABAR,FL,329503140,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,180.47136364,35.31,26.33,28.170909091
1013905652,MINTZER,CATHARINE,M,M.D.,F,I,725 CONCORD AVE,SUITE 4100,CAMBRIDGE,MA,021381040,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,23,71,70.713380282,8.32,4.8681690141,4.8681690141
1013905652,MINTZER,CATHARINE,M,M.D.,F,I,725 CONCORD AVE,SUITE 4100,CAMBRIDGE,MA,021381040,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,23.518181818,23.518181818
1013905785,ADAMS,SCOTT,B,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,42,84,37.897380952,8.1142857143,5.9776190476,6.078452381
1013905785,ADAMS,SCOTT,B,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,25,5.4996,1.42,1.0704,1.0704
1013905785,ADAMS,SCOTT,B,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,152.42823529,33.998823529,25.755294118,25.252941176
1013905801,DIPIRRO,JOSEPH,,M.D.,M,I,2625 HARLEM RD,SUITE 180,CHEEKTOWAGA,NY,142254031,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,49,48.623877551,8.32,6.2546938776,6.2546938776
1013905801,DIPIRRO,JOSEPH,,M.D.,M,I,2625 HARLEM RD,SUITE 180,CHEEKTOWAGA,NY,142254031,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17,13.33,13.54
1013905801,DIPIRRO,JOSEPH,,M.D.,M,I,2625 HARLEM RD,SUITE 180,CHEEKTOWAGA,NY,142254031,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,77.18,60.51,54.72
1013906031,OPPENHEIMER,ROBERT,L,MD,M,I,1921 WALDEMERE ST,SUITE 605,SARASOTA,FL,342392943,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,29,61,74.989836066,8.32,5.8790163934,5.8790163934
1013906031,OPPENHEIMER,ROBERT,L,MD,M,I,1921 WALDEMERE ST,SUITE 605,SARASOTA,FL,342392943,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,296.59588235,81.13,59.858823529,52.023529412
1013906163,CONNERS,MARY,V,NP,F,I,630 BROADWAY ST,,MADISON,IN,47250,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,38,97,53.670412371,8.32,5.7145360825,5.7145360825
1013906163,CONNERS,MARY,V,NP,F,I,630 BROADWAY ST,,MADISON,IN,47250,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,22,30,11.360333333,1.42,0.856,0.856
1013906163,CONNERS,MARY,V,NP,F,I,630 BROADWAY ST,,MADISON,IN,47250,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,86.31,20.239310345,14.921034483,12.814827586
1013906163,CONNERS,MARY,V,NP,F,I,630 BROADWAY ST,,MADISON,IN,47250,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,43.488333333,34.494166667
1013906163,CONNERS,MARY,V,NP,F,I,630 BROADWAY ST,,MADISON,IN,47250,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,68,69,467.42130435,99.824637681,73.795507246,55.479275362
1013906163,CONNERS,MARY,V,NP,F,I,630 BROADWAY ST,,MADISON,IN,47250,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2400,1.102075,0.1332,0.075425,0.075425
1013906163,CONNERS,MARY,V,NP,F,I,630 BROADWAY ST,,MADISON,IN,47250,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,32,79.40625,33,20.543125,20.543125
1013906171,TARR,BRYANT,A,DPM,M,I,111 BOSTON POST RD,SUITE 108,SUDBURY,MA,017762463,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,73,73,146,75.308219178,71.56,56.105,56.105
1013906171,TARR,BRYANT,A,DPM,M,I,111 BOSTON POST RD,SUITE 108,SUDBURY,MA,017762463,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,71,71,426,46.895774648,29.19,22.885,22.886643192
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,55,122,66.734836066,8.32,5.2919672131,5.2919672131
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,20,20,17.3655,1.42,0.896,0.896
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,100,8.6732,6.4288,4.0304,4.0388
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,280,8.4317857143,5.54,3.8585714286,3.8585714286
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,30,430,3.841627907,3.04,2.2724651163,2.2724651163
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,675,0.524637037,0.24,0.1672592593,0.191362963
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,38,91.834736842,71.32,52.307894737,52.496052632
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,463.67692308,110.73769231,81.708461538,62.735384615
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,167.61862069,40.774827586,31.967586207,25.891034483
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,78.932666667,15.976666667,11.850666667,9.2833333333
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,65,11.840923077,2.3286153846,1.7769230769,1.5433846154
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,405.98,123.16916667,96.563333333,96.563333333
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,490.30733333,95.628,74.974,60.13
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,6629,0.8301071051,0.0449343792,0.031626188,0.031626188
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1020,1.0394607843,0.1374705882,0.1077745098,0.1077745098
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,990,10.173171717,2.9018181818,1.9451111111,1.9451111111
1013906296,DWYER,DANIEL,J,MD,M,I,111 W HIGH ST,,ROCKVILLE,IN,478721735,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,13,27,27,62.333333333,33,25.87,25.87
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,44,97,62.799278351,8.32,6.3879381443,6.3879381443
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,26,12.780384615,1.42,1.0719230769,1.0719230769
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,801,14.825617978,6.7744694132,5.2655930087,5.0651560549
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,11753,1.498757764,0.7919816217,0.6087058623,0.6089619672
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,40.948,22.576,17.259,13.427
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,10,7.7223529412,6.0517647059,3.7094117647
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,225.29170732,102.7102439,77.611463415,54.035853659
1013906452,FABREGAS-SCHINDLER,JULIE,,DO,F,I,235 SW DADE ST,SUITE #2,MADISON,FL,323402361,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,91.38,39.795833333,24.605833333,14.97
1013906569,BETRO SHKANE,JULIE,,DO,F,I,1256 CULVER AVE,,UTICA,NY,135014253,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,36,78,59.237948718,8.32,6.3556410256,6.3556410256
1013906569,BETRO SHKANE,JULIE,,DO,F,I,1256 CULVER AVE,,UTICA,NY,135014253,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,19,16.733157895,1.42,1.0578947368,1.0578947368
1013906569,BETRO SHKANE,JULIE,,DO,F,I,1256 CULVER AVE,,UTICA,NY,135014253,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,33.82,4.1995238095,2.6566666667,2.950952381
1013906585,MILLER,KATHERINE,L,C.R.N.P.,F,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,20.95,17.654705882,13.838235294,13.565294118
1013906585,MILLER,KATHERINE,L,C.R.N.P.,F,I,5920 MCINTYRE ST,,GOLDEN,CO,804037445,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,99.95,70.377058824,55.171764706,54.751176471
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,38,3580,0.5627932961,0.44,0.3295614525,0.3295614525
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,27,41,979,32.301889683,23.66,18.549417773,18.549417773
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,138,28.623768116,22.42,17.577463768,17.577463768
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,25,41,880,13.799681818,10.93,8.3675227273,8.3675227273
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,282,2.91,2.4,1.8816666667,1.8816666667
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,22,645,4.8142325581,3.67,2.8773178295,2.8773178295
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6261,"Wound filler, gel/paste, per fluid ounce, not otherwise specified",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,14,46,70.091304348,41.80826087,32.776304348,32.776304348
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,40,58,10064,0.1821124801,0.13,0.09813593,0.09813593
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,22,31,3407,0.5995773408,0.449955973,0.3378485471,0.3378808336
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,18,198,1.6054545455,1.28,1.0033838384,1.0033838384
1013906627,SAMUEL,LYNN,H,MD,F,I,493 BLACKWELL RD,SUITE 101A,WARRENTON,VA,201862628,US,Physician/Pathology,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,13,121,66.178512397,24.88,19.505950413,19.253057851
1013906684,CHOUDHARY,NIRAJ,,M.D.,M,I,360 E MEDICAL CENTER BLVD,SUITE A,WEBSTER,TX,775984321,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,22,74,64.112837838,8.32,6.3458108108,6.3458108108
1013906684,CHOUDHARY,NIRAJ,,M.D.,M,I,360 E MEDICAL CENTER BLVD,SUITE A,WEBSTER,TX,775984321,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,26.953846154,16.238461538,11.82,13.220769231
1013906957,MOORE,ROBERT,W,M.D.,M,I,225 PECAN PARK AVE,,ALEXANDRIA,LA,713033361,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,29,66.037931034,8.32,4.7224137931,4.7224137931
1013906957,MOORE,ROBERT,W,M.D.,M,I,225 PECAN PARK AVE,,ALEXANDRIA,LA,713033361,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,17.29,13.55,13.53
1013906957,MOORE,ROBERT,W,M.D.,M,I,225 PECAN PARK AVE,,ALEXANDRIA,LA,713033361,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.55,3.5683333333,3.5666666667
1013906957,MOORE,ROBERT,W,M.D.,M,I,225 PECAN PARK AVE,,ALEXANDRIA,LA,713033361,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,70.23,55.06,54.72
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,27,80,205,70.819121951,8.32,5.7591219512,5.7591219512
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,16.145454545,3.38,2.1681818182,2.1681818182
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,21,39,17.802820513,1.42,0.9712820513,0.9712820513
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,55,64.889090909,20.129090909,14.002363636,10.729818182
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,229.93,79.334117647,62.196470588,45.872941176
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,74.068888889,25.246666667,18.921111111,13.713888889
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,26,26,81.571153846,22.137307692,17.356538462,10.005384615
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,30,163,10.867730061,3.2181595092,2.4798159509,1.6123312883
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,24,175,175,67.358685714,22.744857143,16.805314286,13.0212
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,38.836923077,21.530384615,16.305,13.241153846
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,199.61538462,92.951538462,70.543461538,66.652692308
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,99.578571429,59.707142857,36.560714286,29.11
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,25,533.7496,108.728,85.242,63.3356
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,28,68.053928571,17.387857143,12.804642857,10.34
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,7.334,5.266,3.1533333333
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,190.27,45.484358974,33.008717949,27.676153846
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,39,311,314,414.38283439,102.2956051,76.775636943,54.032452229
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,233.33333333,44.205,34.659166667,29.911944444
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1289,0.9709775019,0.1315671063,0.1031574864,0.1031574864
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1082,12.49155268,2.9464325323,2.3100184843,2.3100184843
1013907013,KULP,EDWARD,,PAC,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,32,119.6875,33,25.87,25.87
1013907096,SMITH,AMY,P,NP,F,I,2170 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507026,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,29,58.747931034,8.32,5.3982758621,5.3982758621
1013907096,SMITH,AMY,P,NP,F,I,2170 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507026,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,86.31,19.179,14.590666667,13.281666667
1013907096,SMITH,AMY,P,NP,F,I,2170 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507026,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,519.51,71.88516129,50.797419355,49.530967742
1013907096,SMITH,AMY,P,NP,F,I,2170 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507026,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,840,0.92,0.1358214286,0.1064880952,0.1064880952
1013907096,SMITH,AMY,P,NP,F,I,2170 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507026,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,24,119.625,33,25.87,25.87
1013907203,WALTERS,JOHN,R,MD,M,I,703 N A ST,,OXNARD,CA,930304309,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,36,55.636388889,8.32,5.7977777778,5.7977777778
1013907203,WALTERS,JOHN,R,MD,M,I,703 N A ST,,OXNARD,CA,930304309,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,16.97,13.31,13.54
1013907203,WALTERS,JOHN,R,MD,M,I,703 N A ST,,OXNARD,CA,930304309,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1537.95,913.16,703.96416667,830.30416667
1013907203,WALTERS,JOHN,R,MD,M,I,703 N A ST,,OXNARD,CA,930304309,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,116,116,335.23905172,71.107327586,55.125603448,54.1675
1013907203,WALTERS,JOHN,R,MD,M,I,703 N A ST,,OXNARD,CA,930304309,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,87,87,76.206896552,35.984827586,27.883908046,29.041034483
1013907203,WALTERS,JOHN,R,MD,M,I,703 N A ST,,OXNARD,CA,930304309,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,79.2,33,22.420666667,22.420666667
1013907229,HORN,RUSSELL,A,PA,M,I,208 LIFELINE RD,SUITE 203,STROUDSBURG,PA,183606473,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,95,82.415157895,8.32,5.4231578947,5.4231578947
1013907229,HORN,RUSSELL,A,PA,M,I,208 LIFELINE RD,SUITE 203,STROUDSBURG,PA,183606473,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,26,16.783846154,1.42,1.0315384615,1.0315384615
1013907229,HORN,RUSSELL,A,PA,M,I,208 LIFELINE RD,SUITE 203,STROUDSBURG,PA,183606473,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,30,4.4034615385,3.4565384615,3.7676923077
1013907237,RITCHEY,DASEN,R,M.D.,M,I,350 HOSPITAL WAY,SUITE 270,SOMERSET,KY,425032872,US,Physician/General Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,170,67.274166667,40.79,28.221666667
1013907260,JOHNSTONE,REID,F,MD,M,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,44,136,1258.125,19.700882353,14.991617647,14.991617647
1013907260,JOHNSTONE,REID,F,MD,M,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,37,12634,159.8005034,9.8410226373,7.7088966281,7.7088966281
1013907260,JOHNSTONE,REID,F,MD,M,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,800,414.1923375,41.4187,32.4722875,32.4722875
1013907260,JOHNSTONE,REID,F,MD,M,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,44,224,419.930625,2.6385714286,2.0688839286,2.0688839286
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,42,137,69.742773723,8.32,5.5456934307,5.5456934307
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,34,15.237941176,1.42,1.1147058824,1.1147058824
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,21,60.716190476,28.46,21.247619048,21.247619048
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,240,2.613,2.49,1.8540833333,1.8540833333
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,30,21.510333333,10.93,8.2843333333,8.2843333333
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.31,4.1632258065,4.1632258065
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,190.86956522,47.67173913,31.022608696,31.403913043
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,56,56,75,17.27,12.44375,12.44375
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,17.27,12.411666667,12.411666667
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,60,64,50.136875,4.809375,3.4428125,3.275
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,112.22222222,46.667777778,34.961111111,34.375
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,8.4,1.95,1.4207142857,1.4207142857
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,37.142857143,5.1085714286,4.0057142857,3.9977142857
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,117,120,391.902,69.81,50.706083333,50.706083333
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,75,36.14,23.877857143,25.014285714
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,42,27.808125,21.8075,21.8075
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,99.332727273,37.45,29.358181818,29.329090909
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1170,3.5665555556,0.5693076923,0.4109316239,0.4109316239
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.1304722222,1.26075,0.9424097222,0.9424097222
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,31,4136,1.6912983559,0.1340473888,0.0864724371,0.0864724371
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,47,53,78.388301887,19.183962264,14.438113208,13.967169811
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,95.740740741,30.965185185,22.500740741,22.314074074
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,49,49,150,50.27244898,39.185102041,39.177755102
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,9.02,7.075,7.185
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,17.251666667,17.251666667
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,16,16,12.54,12.54
1013907419,INABNIT,RALPH,E,DO,M,I,211 N EDDY ST.,,SOUTH BEND,IN,466173096,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,77,33,21.905185185,21.904814815
1013907583,REISS,GEORGE,E,M.D.,M,I,740 HARRISON AVE,,PANAMA CITY,FL,324012524,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,30,63,67.42968254,41.803650794,31.016507937,29.207301587
1013907708,MCGOVERN,RUTH ANNE,,NP,F,I,15 N MORRIS ST,,PORTLAND,OR,972271541,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1680,0.92,0.1337142857,0.0983630952,0.0983630952
1013907708,MCGOVERN,RUTH ANNE,,NP,F,I,15 N MORRIS ST,,PORTLAND,OR,972271541,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,30,56,48.506964286,8.32,6.0558928571,6.0558928571
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,18,12.326666667,1.42,1.1177777778,1.1177777778
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,188.94777778,116.40666667,85.806111111,67.453888889
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,25,69.77,41.9096,30.5652,23.8244
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,19,19,38.315789474,24.953684211,18.74,14.257894737
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,18,18,38.684444444,17.956111111,12.956111111,8.1066666667
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,20,100,4.5998,2.7286,1.9665,1.5119
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15.24,8.3718181818,6.0963636364,4.2272727273
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,74.554,22.576,16.703333333,12.628
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,54,54,19.73,6.7483333333,3.8312962963,2.2737037037
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,103.3573913,44.890652174,28.702391304,18.305434783
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,54,54,293.18111111,94.342962963,66.348888889,50.494259259
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,54.974545455,28.506363636,22.35,14.822272727
1013907815,SPORLEDER,CHRISTOPHER,J,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,18.971333333,18.971333333
1013907963,ZAJAC,ROBERT,A,MD,M,I,150 E SONTERRA BLVD,SUITE 170,SAN ANTONIO,TX,782584098,US,Physician/Infectious Disease,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,530.76923077,358.5,281.06,281.06
1013908060,SEPTER,MICHAEL,J,D.O.,M,I,6735 CASCADE RD SE,SUITE 300,GRAND RAPIDS,MI,495466887,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,32,116,54.355517241,8.32,6.2977586207,6.2977586207
1013908060,SEPTER,MICHAEL,J,D.O.,M,I,6735 CASCADE RD SE,SUITE 300,GRAND RAPIDS,MI,495466887,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.466666667,3.38,2.4733333333,2.4733333333
1013908060,SEPTER,MICHAEL,J,D.O.,M,I,6735 CASCADE RD SE,SUITE 300,GRAND RAPIDS,MI,495466887,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,34,15.847352941,1.42,1.1152941176,1.1152941176
1013908060,SEPTER,MICHAEL,J,D.O.,M,I,6735 CASCADE RD SE,SUITE 300,GRAND RAPIDS,MI,495466887,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,35.833888889,4.0744444444,3.1111111111,3.6086111111
1013908128,CHRISTA,MICHAEL,W,MD,M,I,4250 BROWNSVILLE RD,,POWDER SPRINGS,GA,301272559,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,33,110,198,78.482676768,8.32,5.5741919192,5.5741919192
1013908128,CHRISTA,MICHAEL,W,MD,M,I,4250 BROWNSVILLE RD,,POWDER SPRINGS,GA,301272559,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,27,28,14.763571429,1.42,1.1192857143,1.1192857143
1013908128,CHRISTA,MICHAEL,W,MD,M,I,4250 BROWNSVILLE RD,,POWDER SPRINGS,GA,301272559,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,133,32.955,23.1875,22.7675
1013908185,NOWORATZKY,GARY,L,P.A.,M,I,501 RITA LN,STE. 113,ARLINGTON,TX,760144573,US,Physician Assistant,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,12,13,26,4.6992307692,0.51,0.4,0.4
1013908185,NOWORATZKY,GARY,L,P.A.,M,I,501 RITA LN,STE. 113,ARLINGTON,TX,760144573,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,27,71,455,41.24432967,8.32,6.509010989,6.509010989
1013908185,NOWORATZKY,GARY,L,P.A.,M,I,501 RITA LN,STE. 113,ARLINGTON,TX,760144573,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,22,49,49,13.959591837,3.38,2.65,2.65
1013908185,NOWORATZKY,GARY,L,P.A.,M,I,501 RITA LN,STE. 113,ARLINGTON,TX,760144573,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,22,25,25,20.0472,2.12,1.67,1.67
1013908185,NOWORATZKY,GARY,L,P.A.,M,I,501 RITA LN,STE. 113,ARLINGTON,TX,760144573,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,24,53,179,13.685307263,1.42,1.1129050279,1.1129050279
1013908185,NOWORATZKY,GARY,L,P.A.,M,I,501 RITA LN,STE. 113,ARLINGTON,TX,760144573,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,327.91066667,251.11,196.87,196.87
1013908573,PERSAUD,SASENARINE,S,MD,M,I,314 N MAIN ST,,CLAWSON,MI,480171525,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,39,107,41.025981308,8.32,5.9119626168,5.9119626168
1013908573,PERSAUD,SASENARINE,S,MD,M,I,314 N MAIN ST,,CLAWSON,MI,480171525,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,29,40,10.661,1.42,0.9765,0.9765
1013908573,PERSAUD,SASENARINE,S,MD,M,I,314 N MAIN ST,,CLAWSON,MI,480171525,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,33.565625,5.504375,4.06125,3.80625
1013908573,PERSAUD,SASENARINE,S,MD,M,I,314 N MAIN ST,,CLAWSON,MI,480171525,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1380,0.2833043478,0.1338478261,0.0871449275,0.0871449275
1013908573,PERSAUD,SASENARINE,S,MD,M,I,314 N MAIN ST,,CLAWSON,MI,480171525,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,41.8,33,22.420666667,22.420666667
1013908599,FISHMAN,LEORA,,MD,F,I,1020 BROADWAY,,SOMERVILLE,MA,021441819,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,40,36.0905,8.32,6.52225,6.52225
1013908656,KENNEL,MELINDA,K,O.D.,F,I,408 S 8TH AVE,,BROKEN BOW,NE,688222009,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,60.95,60.95,43.436363636,46.750909091
1013908656,KENNEL,MELINDA,K,O.D.,F,I,408 S 8TH AVE,,BROKEN BOW,NE,688222009,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,21,101,51.24,38.155714286,40.018571429
1013908771,LEGROW,ROBERT,S,M.D.,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,33,90,245,71.389510204,8.32,5.4689795918,5.4689795918
1013908771,LEGROW,ROBERT,S,M.D.,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,16,40,64,16.1215625,1.42,0.95875,0.95875
1013908771,LEGROW,ROBERT,S,M.D.,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,76,9.7735526316,2.7005263158,2.1180263158,1.7576315789
1013908771,LEGROW,ROBERT,S,M.D.,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4417,0.9299298166,0.5009440797,0.3896105954,0.2900882952
1013908771,LEGROW,ROBERT,S,M.D.,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,2130,2.0659577465,0.1361267606,0.0913615023,0.0913615023
1013908771,LEGROW,ROBERT,S,M.D.,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,33,33,21.558333333,21.558333333
1013908979,KELLY,JAMES,D,MD,M,I,2351 CLAY ST,SUITE 510,SAN FRANCISCO,CA,941151931,US,Physician/Orthopedic Surgery,S,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,28,28,80,69.8725,52.820714286,44.241071429
1013908979,KELLY,JAMES,D,MD,M,I,2351 CLAY ST,SUITE 510,SAN FRANCISCO,CA,941151931,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,77,79,79,195,133.46632911,102.74379747,86.683924051
1013908995,JANSEN,KEVIN,L,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,6.8778333333,0.48575,0.38075,0.38075
1013908995,JANSEN,KEVIN,L,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,103,7815,4.4416916187,0.562996801,0.4364043506,0.4364043506
1013908995,JANSEN,KEVIN,L,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,46,6900,0.1620086957,0.0129565217,0.0096855072,0.0096855072
1013908995,JANSEN,KEVIN,L,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,38,4680,3.9682371795,1.2363717949,0.9514764957,0.9514764957
1013908995,JANSEN,KEVIN,L,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,2400,3.9341,2.8261,2.2156666667,2.2156666667
1013908995,JANSEN,KEVIN,L,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,91,91,24,24,17.992747253,17.992747253
1013908995,JANSEN,KEVIN,L,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,109,136,16,16,12.541617647,12.541617647
1013909001,SCHUNEMANN,CHRISTIE,A,FNP,F,I,30550 UTICA RD,,ROSEVILLE,MI,480661528,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,40,40,200,51.111,39.51975,38.7555
1013909001,SCHUNEMANN,CHRISTIE,A,FNP,F,I,30550 UTICA RD,,ROSEVILLE,MI,480661528,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,53.751578947,5.6352631579,2.7073684211,2.3010526316
1013909001,SCHUNEMANN,CHRISTIE,A,FNP,F,I,30550 UTICA RD,,ROSEVILLE,MI,480661528,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,15,60,10.804,7.9386666667,8.2666666667
1013909001,SCHUNEMANN,CHRISTIE,A,FNP,F,I,30550 UTICA RD,,ROSEVILLE,MI,480661528,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,76,77,95.495324675,17.705454545,12.72,13.111168831
1013909001,SCHUNEMANN,CHRISTIE,A,FNP,F,I,30550 UTICA RD,,ROSEVILLE,MI,480661528,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,25.12,7.8,6.12,6.795
1013909019,RABIN,RONALD,P,MD,M,I,4224 HOUMA BLVD,SUITE 600,METAIRIE,LA,700062933,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.19,2.19,1.5737857143,1.6326904762
1013909019,RABIN,RONALD,P,MD,M,I,4224 HOUMA BLVD,SUITE 600,METAIRIE,LA,700062933,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,2580,6.5941860465,6.15,2.7066162791,3.1739263566
1013909019,RABIN,RONALD,P,MD,M,I,4224 HOUMA BLVD,SUITE 600,METAIRIE,LA,700062933,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,48,13.065,10.715,8.0570833333,8.21625
1013909019,RABIN,RONALD,P,MD,M,I,4224 HOUMA BLVD,SUITE 600,METAIRIE,LA,700062933,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,42,11.842380952,7.3,3.6911904762,3.809047619
1013909019,RABIN,RONALD,P,MD,M,I,4224 HOUMA BLVD,SUITE 600,METAIRIE,LA,700062933,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,5.58,3.9,2.8865,2.8865
1013909019,RABIN,RONALD,P,MD,M,I,4224 HOUMA BLVD,SUITE 600,METAIRIE,LA,700062933,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,13.724,9.58,6.8847777778,6.8847777778
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,65.062727273,28.46,21.295909091,21.295909091
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,24.881428571,10.93,8.1619047619,8.1619047619
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,34,100.25823529,71.56,51.597647059,51.597352941
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,50.47,35.27,27.65,27.645
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,62,44.478064516,29.19,22.380645161,22.382903226
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,18,630,2.6542857143,1.08,0.8466666667,0.8466666667
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,12.058636364,5.7690909091,4.522969697,4.2150909091
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,75.02,65.983636364,51.725454545,48.878181818
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,40,40,102.449,53.9675,36.656,34.899
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,142.01333333,53.333333333,41.813333333,39.146666667
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,759.36,163.63636364,128.29090909,125.21454545
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,117.74153846,50.076153846,39.262307692,37.726153846
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19,5.3863636364,4.2218181818,3.9845454545
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,19.476923077,11.992307692,9.4015384615,9.1761538462
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,54.526666667,35.81,28.078333333,28.27
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,298.70727273,76.166363636,54.510454545,50.01
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,61.546666667,24.7375,19.3925,17.749166667
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,49.075,32.54375,24.476666667,22.197083333
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,168.22,30.076363636,23.583636364,26.169090909
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,25.101176471,9.2564705882,7.2564705882,7.2429411765
1013909068,MATTERA,ANTHONY,M,DO,M,I,1230 E 164TH ST,,SOUTH HOLLAND,IL,604733210,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,91.778666667,36.858666667,26.968,27.478666667
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,60,137,589,60.384142615,8.32,5.7270118846,5.7270118846
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,11.605882353,3.38,2.65,2.65
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,33,57,115,13.003304348,1.42,1.0175652174,1.0175652174
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,15,30,89.133333333,71.485333333,52.335333333,52.401
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,26.2272,7.328,5.5984,3.5296
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,367.95095238,106.38666667,83.198571429,56.447142857
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,14.4665,2.9881818182,2.3427575758,2.3427575758
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,62.5,27.6625,21.688333333,16.145
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,378.81428571,251.11,196.87,196.87
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.75,45.002727273,35.284545455,30.166363636
1013909217,LAMIE,STEVEN,M,M. D.,M,I,3537 W FRONT ST,SUITE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,24.022142857,24.022142857
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,62,195,426,62.487183099,8.32,5.77342723,5.77342723
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,31,31,15.584516129,3.38,2.0516129032,2.0516129032
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,17,17,21.122352941,2.12,1.5717647059,1.5717647059
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,32,72,96,14.638125,1.42,0.988125,0.988125
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,48,7.375,5.87,4.6,4.703125
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,27.06,22.04,17.275,17.275
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,28,11.051428571,10.827142857,8.1825,8.2571428571
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,332.01230769,123.05615385,93.090769231,64.461538462
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,25,44,122.23363636,46.894318182,36.113409091,25.329318182
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,54.021666667,23.005,17.389166667,8.4741666667
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,24,80,6.83,3.0025,2.35475,1.592
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,250,68.636666667,49.540833333,34.2525
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,112,116,77.557413793,25.331293103,18.504913793,14.047327586
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,39,39,148.94230769,58.710512821,41.842051282,33.977692308
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,715.92,831.73166667
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,47.210833333,17.796666667,12.023333333,8.7341666667
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,32.952380952,6.2033333333,3.42,2.2714285714
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,132.85909091,46.622272727,31.851363636,20.19
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,40.01,13.243157895,8.7910526316,7.3957894737
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,23,184,185,442.46291892,99.288108108,74.162108108,55.819027027
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,32.344166667,27.056666667
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2626,0.4987166794,0.0459063214,0.0311005331,0.0311005331
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,2250,1.4073511111,0.1395466667,0.1045733333,0.1045733333
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,8.8536805556,3.003,2.1601527778,2.1601527778
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,70.388378378,30.886756757,23.696756757,15.16972973
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,107,66.123333333,44.1575,31.045
1013909241,WEGG,DANIEL,L,MD,M,I,105 E 2ND ST,,RIDGEVILLE,IN,473801325,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,39,50.769230769,33,24.543333333,24.543333333
1013909266,AIRHART,RICHARD,A,M.D.,M,I,4315 HOUMA BLVD,400,METAIRIE,LA,700062940,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2280,5.5831578947,1.92,1.5021666667,1.5863464912
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,89,194,61.300927835,8.32,5.5145876289,5.5145876289
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.909090909,3.38,2.65,2.65
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,42,52,21.877307692,1.42,0.8807692308,0.8807692308
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,74.545454545,22.253636364,15.679545455,12.164545455
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,305.71166667,102.61833333,73.730625,50.218125
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1678,0.1633969011,0.0446543504,0.0275983313,0.0275983313
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,780,1.2824871795,0.1347692308,0.0986923077,0.0986923077
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,49.784375,25.275,17.714375,12.28
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.683636364,6.9490909091,5.04
1013909282,HOLBROOK,ROBIN,D,PAC,M,I,7629 KY ROUTE 979,,GRETHEL,KY,416316304,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,82.5,33,21.558333333,21.558333333
1013909316,JACKS,DENNIS,W,M.D.,M,I,1609 W 40TH AVE,STE 301,PINE BLUFF,AR,716036329,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,4500,4.1094,1.92,1.4964888889,1.5905644444
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,96.696666667,40.873333333,23.752,23.168
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,19,8.8452631579,1.4505263158,1.1394736842,1.1484210526
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,15,31,31,426.42612903,86.200645161,63.473870968,63.826774194
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,16,40,101,161.70643564,33.879207921,26.56039604,25.884356436
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,11,20,110,60.310818182,15.590727273,10.794454545,10.514454545
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,27,28,250.70107143,55.065714286,37.899285714,38.403928571
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,29,37,37,77.155405405,18.854324324,13.244864865,12.807837838
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,21,42,43,86.249069767,12.473255814,9.7823255814,9.1404651163
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,30,68,351,12.351452991,2.1559259259,1.6064387464,1.518974359
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,17,17,27.896470588,6.4905882353,4.8088235294,4.6070588235
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,21,29,29,44.535862069,12.702068966,8.9410344828,9.3372413793
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,88,99,107.18060606,17.058282828,12.967979798,13.135656566
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,36,36,165.69027778,44.113888889,30.711944444,33.649166667
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,81.75,13.930769231,10.924615385,11.003076923
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,50.73,5.9338888889,4.5430555556,3.7322222222
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,76,79,212.84987342,31.220759494,23.803037975,24.638860759
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,46,268,294,478.92408163,79.659863946,59.570238095,54.336768707
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,65,129.07692308,39.277692308,30.263538462,29.087384615
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,15.899984848,9.6199090909,7.542,7.542
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,25,9697,0.2663916675,0.044809735,0.0316860885,0.0316860885
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1854,1.6610895361,0.1402588997,0.1041370011,0.1041370011
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,870,11.647425287,3.0333793103,2.378183908,2.378183908
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,600,1.37325,0.21845,0.1713,0.1713
1013909365,CLEMENTS,NEIL,C,MD,M,I,6567 E CARONDELET DR,STE #215,TUCSON,AZ,857102156,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,17,52,52,67.269230769,33,24.875,24.875
1013909407,TSAI,ISAAC,K,M.D.,M,I,341 MAGNOLIA AVE.,SUITE 205,CORONA,CA,928793120,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,49,70.82877551,8.32,5.3502040816,5.3502040816
1013909530,GALLER,LEONARD,,M.D.,M,I,718 SHORE RD,,SOMERS POINT,NJ,082442331,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,87,10.266896552,6.44,4.8167816092,4.8167816092
1013909530,GALLER,LEONARD,,M.D.,M,I,718 SHORE RD,,SOMERS POINT,NJ,082442331,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,105,7.46,7,4.9653333333,4.9653333333
1013909530,GALLER,LEONARD,,M.D.,M,I,718 SHORE RD,,SOMERS POINT,NJ,082442331,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,440,5.0358636364,3.04,2.2974545455,2.2974545455
1013909530,GALLER,LEONARD,,M.D.,M,I,718 SHORE RD,,SOMERS POINT,NJ,082442331,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,825,0.4619878788,0.27,0.2116969697,0.2116969697
1013909605,BIRDWELL,BRIAN,G,M.D.,M,I,4202 SW LEE BLVD,,LAWTON,OK,735058300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,23,64.793913043,8.32,6.522173913,6.522173913
1013909605,BIRDWELL,BRIAN,G,M.D.,M,I,4202 SW LEE BLVD,,LAWTON,OK,735058300,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,300,3.08,2.968,2.1384,2.1885333333
1013909605,BIRDWELL,BRIAN,G,M.D.,M,I,4202 SW LEE BLVD,,LAWTON,OK,735058300,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,90.9,50.433333333,34.223333333,33.876666667
1013909605,BIRDWELL,BRIAN,G,M.D.,M,I,4202 SW LEE BLVD,,LAWTON,OK,735058300,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,27.007692308,4.5107692308,3.1953846154,3.2946153846
1013909605,BIRDWELL,BRIAN,G,M.D.,M,I,4202 SW LEE BLVD,,LAWTON,OK,735058300,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,68.15,26.598,17.68,17.298666667
1013909605,BIRDWELL,BRIAN,G,M.D.,M,I,4202 SW LEE BLVD,,LAWTON,OK,735058300,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,251.11,251.11,196.87,196.87
1013909662,BOWMAN,MICHAEL,W,MD,M,I,20130 ROUTE 19,SUITE 1100,CRANBERRY TWP,PA,160666218,US,Physician/Orthopedic Surgery,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,169.3,70.755,55.475833333,38.265
1013909662,BOWMAN,MICHAEL,W,MD,M,I,20130 ROUTE 19,SUITE 1100,CRANBERRY TWP,PA,160666218,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,28.44,11.250909091,8.8218181818,6.5309090909
1013909662,BOWMAN,MICHAEL,W,MD,M,I,20130 ROUTE 19,SUITE 1100,CRANBERRY TWP,PA,160666218,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,279.098,279.098,211.8465,211.9275
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,34,75,182,54.225054945,8.32,6.0555494505,6.0555494505
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,13.87875,3.38,2.65,2.65
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,37,49,11.878367347,1.42,1.0718367347,1.0718367347
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,452.3712,85.5,64.3488,65.102
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,22,56,155.18678571,31.86,23.936428571,24.775714286
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,138.11,55.05,36.175454545,35.874545455
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,19,19,71.745263158,18.28,14.33,14.074210526
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,28,28,88.385357143,11.5,8.6978571429,8.7921428571
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,30,170,9.0151764706,1.94,1.4127058824,1.4804705882
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,43.205384615,14.41,11.3,10.413846154
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3,2.3519354839,2.3677419355
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,5118,2.5568581477,0.39,0.2777237202,0.2620476749
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,58.96,17.25,11.223636364,11.242727273
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,15,81.75,12.313333333,8.274,8.362
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,31,212.60516129,33.02483871,21.703870968,21.554516129
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,318.53388889,79.88,55.662222222,49.078888889
1013909795,MIANECKI,THOMAS,L,DO,M,I,32901 23 MILE RD,SUITE 100,CHESTERFIELD,MI,480474063,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,100,19.559230769,14.024615385,14.444615385
1013909803,PLATT,ROBERT,N,M.D.,M,I,1485 UNION VALLEY RD,SUITE D,WEST MILFORD,NJ,074801336,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,77,185,73.150108108,8.32,5.6816216216,5.6816216216
1013909803,PLATT,ROBERT,N,M.D.,M,I,1485 UNION VALLEY RD,SUITE D,WEST MILFORD,NJ,074801336,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,26,34,17.510882353,1.42,0.9855882353,0.9855882353
1013909803,PLATT,ROBERT,N,M.D.,M,I,1485 UNION VALLEY RD,SUITE D,WEST MILFORD,NJ,074801336,US,Physician/Cardiovascular Disease (Cardiology),S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,741,98.92,77.555,119.54583333
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,11,143,66.178531469,19.597272727,15.363916084,15.363916084
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,55,184,65.765978261,8.32,6.0261956522,6.0261956522
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,28,16.190357143,1.42,1.0339285714,1.0339285714
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,21,107,65.400560748,15.21,11.367196262,11.341495327
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,29,29,271.91137931,53.83,37.834482759,38.47862069
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,18,18,88.183333333,18.06,13.126111111,13.037222222
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,30,30,94.781333333,12.21,8.294,7.919
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,39,207,13.972318841,2.02,1.4319323671,1.44
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,32.361538462,5.96,3.9515384615,3.9430769231
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,47.344615385,13.07,10.25,10.334615385
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,143.4175,32.450227273,24.916363636,25.107954545
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,327.7385,65.7,49.416,52.49525
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,160.04347826,37.64,27.781304348,27.781304348
1013909811,BERRY,SHANNON,M,M.D.,F,I,295 POSADA LN,SUITE D,TEMPLETON,CA,934654055,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,250.928,250.928,196.72733333,196.86933333
1013909878,DAVIDSON,DIANA,E,MD,F,I,2009 HOLTON RD,,N MUSKEGON,MI,494451578,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,51,54.139803922,8.32,6.0109803922,6.0109803922
1013909878,DAVIDSON,DIANA,E,MD,F,I,2009 HOLTON RD,,N MUSKEGON,MI,494451578,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,42,8.7228571429,2.03,1.5926190476,1.5926190476
1013909878,DAVIDSON,DIANA,E,MD,F,I,2009 HOLTON RD,,N MUSKEGON,MI,494451578,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,343.902,69.81,47.432666667,47.432666667
1013909951,KOHEN,MICHAEL,D,M.D.,M,I,709 N CLYDE MORRIS BLVD,,DAYTONA BEACH,FL,321141603,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,4646,0.6095888937,0.0464399483,0.0316831683,0.0316831683
1013909951,KOHEN,MICHAEL,D,M.D.,M,I,709 N CLYDE MORRIS BLVD,,DAYTONA BEACH,FL,321141603,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,23,23,50.217391304,33,22.495652174,22.495652174
1013910033,HUBBARD,GARRICK,P,M.D.,M,I,1815 N CAPITOL AVE,STE 405,INDIANAPOLIS,IN,462021465,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,23.450555556,9.6325,7.3526111111,7.3526111111
1013910033,HUBBARD,GARRICK,P,M.D.,M,I,1815 N CAPITOL AVE,STE 405,INDIANAPOLIS,IN,462021465,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,189.02608333,3.003,2.354375,2.354375
1013910033,HUBBARD,GARRICK,P,M.D.,M,I,1815 N CAPITOL AVE,STE 405,INDIANAPOLIS,IN,462021465,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,69.473684211,33,25.87,25.87
1013910082,RABORN,WESTLEY,E,D.O.,M,I,2704 N GALLOWAY AVE,STE 103,MESQUITE,TX,751506378,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,6.2583333333,4.3908333333,3.2975
1013910082,RABORN,WESTLEY,E,D.O.,M,I,2704 N GALLOWAY AVE,STE 103,MESQUITE,TX,751506378,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,104.23545455,32.167272727,25.218181818,23.88
1013910140,O'SHEA,GERALDINE,T,DO,F,I,235 NEW YORK RANCH RD,STE B,JACKSON,CA,956422147,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,63,164,58.641219512,8.32,5.4604268293,5.4604268293
1013910140,O'SHEA,GERALDINE,T,DO,F,I,235 NEW YORK RANCH RD,STE B,JACKSON,CA,956422147,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,24,27,14.112962963,1.42,1.0355555556,1.0355555556
1013910140,O'SHEA,GERALDINE,T,DO,F,I,235 NEW YORK RANCH RD,STE B,JACKSON,CA,956422147,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,99,81.753030303,25.43040404,17.024545455,12.357474747
1013910140,O'SHEA,GERALDINE,T,DO,F,I,235 NEW YORK RANCH RD,STE B,JACKSON,CA,956422147,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,295.81055556,75.242222222,48.514444444,34.758333333
1013910140,O'SHEA,GERALDINE,T,DO,F,I,235 NEW YORK RANCH RD,STE B,JACKSON,CA,956422147,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,114,9.4478947368,3.1284210526,2.4528947368,1.6646491228
1013910140,O'SHEA,GERALDINE,T,DO,F,I,235 NEW YORK RANCH RD,STE B,JACKSON,CA,956422147,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,370.75375,121.46,95.23,67.38625
1013910223,NGUYEN,BINH,Q,M.D.,M,I,759 45TH AVE,STE 101,MUNSTER,IN,463212938,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,34,72.719411765,72.719411765,57.011764706,53.296764706
1013910223,NGUYEN,BINH,Q,M.D.,M,I,759 45TH AVE,STE 101,MUNSTER,IN,463212938,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,23,90,66.61,52.223913043,54.012608696
1013910249,FLORES,ANTONIO,J,MD,M,I,2531 CLEVELAND AVE,STE 1,FT MYERS,FL,339014900,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,212.35,117.8335,84.1885,80.5135
1013910249,FLORES,ANTONIO,J,MD,M,I,2531 CLEVELAND AVE,STE 1,FT MYERS,FL,339014900,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,437,296.63,232.55,256.17
1013910249,FLORES,ANTONIO,J,MD,M,I,2531 CLEVELAND AVE,STE 1,FT MYERS,FL,339014900,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,552,376.5005,295.1785,305.67
1013910249,FLORES,ANTONIO,J,MD,M,I,2531 CLEVELAND AVE,STE 1,FT MYERS,FL,339014900,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,80.592592593,56.711111111,43.673703704,45.044814815
1013910249,FLORES,ANTONIO,J,MD,M,I,2531 CLEVELAND AVE,STE 1,FT MYERS,FL,339014900,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,28,29,347,240.25172414,182.92551724,180.82413793
1013910256,ACOSTAMADIEDO,JOSE,M,MD,M,I,212 CORNELIA ST,,PLATTSBURGH,NY,129012306,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,98.617272727,22.790909091,17.866363636,14.203636364
1013910256,ACOSTAMADIEDO,JOSE,M,MD,M,I,212 CORNELIA ST,,PLATTSBURGH,NY,129012306,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,534.14454545,105.01636364,82.335454545,58.87
1013910264,BRENNAN,CYNTHIA,M,M.D.,F,I,9100 N MAY AVE,,OKLAHOMA CITY,OK,731204417,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,15.54,5.32,4.171,4.1636666667
1013910264,BRENNAN,CYNTHIA,M,M.D.,F,I,9100 N MAY AVE,,OKLAHOMA CITY,OK,731204417,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,2645,0.9299206049,0.31,0.2430283554,0.2430283554
1013910280,LEU,PATRICK,B,MD,M,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,2220,0.2227027027,0.13,0.0991801802,0.0991801802
1013910280,LEU,PATRICK,B,MD,M,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,17,72,15730,3.3267577877,2.04,1.5370063573,1.5370063573
1013910280,LEU,PATRICK,B,MD,M,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,41,6570,10.204866058,7.23,5.5819147641,5.5819147641
1013910280,LEU,PATRICK,B,MD,M,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,67,20.655522388,10.572089552,8.2891044776,8.51
1013910298,SCHELLHASE,JILL,A,M.D.,F,I,11925 LITHOPOLIS RD NW,,CANAL WINCHESTER,OH,431109585,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,32,61.805625,8.32,5.19625,5.19625
1013910298,SCHELLHASE,JILL,A,M.D.,F,I,11925 LITHOPOLIS RD NW,,CANAL WINCHESTER,OH,431109585,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,152.34545455,118.93727273,109.24545455
1013910306,JONES,DAVID,E,MD,M,I,2845 FARRELL CRESCENT,,OWENSBORO,KY,42303,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,43,43,43,89.11372093,77.605116279,56.429534884,48.918837209
1013910306,JONES,DAVID,E,MD,M,I,2845 FARRELL CRESCENT,,OWENSBORO,KY,42303,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,30,55,75.227272727,50.125636364,34.962727273,39.167090909
1013910306,JONES,DAVID,E,MD,M,I,2845 FARRELL CRESCENT,,OWENSBORO,KY,42303,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,27,87.777777778,67.717407407,49.156666667,50.141481481
1013910546,SHARIF,M,A,M.D.,M,I,4802 N LOOP 289,,LUBBOCK,TX,794163025,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,27,44.16037037,22.029259259,15.830740741,13.30962963
1013910546,SHARIF,M,A,M.D.,M,I,4802 N LOOP 289,,LUBBOCK,TX,794163025,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,20,20,215.291,97.238,67.9445,57.068
1013910561,PIZZANO,DAVID,,DPM,M,I,66 TOWNE CTR,SUITE 405,SUCCASUNNA,NJ,078761345,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,68,150,71.56,55.548529412,55.539558824
1013910561,PIZZANO,DAVID,,DPM,M,I,66 TOWNE CTR,SUITE 405,SUCCASUNNA,NJ,078761345,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,32,186,60,29.19,22.886666667,22.886666667
1013910603,ARNZ,MICHAEL,,D.P.M.,M,I,1500 DELHI ST,STE 2200,DUBUQUE,IA,520016359,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,363,12.988429752,8.28,6.4916528926,6.4916528926
1013910603,ARNZ,MICHAEL,,D.P.M.,M,I,1500 DELHI ST,STE 2200,DUBUQUE,IA,520016359,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,1557,0.8820809249,0.13,0.0891779062,0.0891779062
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,55,176,474,77.630021097,8.32,5.5952531646,5.5952531646
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,20,41,59,14.110847458,1.42,0.9457627119,0.9457627119
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,290,3.3218965517,3.04,2.3834137931,2.3834137931
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,73.7895,19.571,15.343,13.838
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,116.52878788,4.6181818182,3.6245454545,3.473030303
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,511.33403226,79.492258065,58.835645161,51.896935484
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,21,91,10621,1.9637934281,0.134686941,0.0930515017,0.0930515017
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,31,2280,14.93495614,3.0905921053,2.3762368421,2.3762368421
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,233.316,40.24,30.131,28.0515
1013910645,POSER,ROLF,F,M.D.,M,I,635 PARK AVE,,COLUMBUS,WI,539252604,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,66,66,33,33,23.065606061,23.065606061
1013910694,SWILLIE,RODNEY,K,MD,M,I,3686 GRANDVIEW PKWY STE 600,,BIRMINGHAM,AL,352433406,US,Physician/Neurology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,375,133.62545455,91.718181818,82.946363636
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,36,66,183,71.71863388,8.32,6.058579235,6.058579235
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,17,27,44,15.088409091,1.42,1.0622727273,1.0622727273
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.19,1.64,1.1861538462,1.0615384615
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,151.78857143,61.071428571,40.951428571,35.488571429
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,57,57,44.02245614,7.1861403509,4.9222807018,3.2928070175
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,780,0.395974359,0.0445897436,0.032025641,0.032025641
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,0.92,0.1352857143,0.1060714286,0.1060714286
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,52.686666667,23.265,18.235,15.275
1013910736,CRENSHAW,JAMES,H,M.D.,M,I,805 SAINT VINCENTS DR,SUITE 510,BIRMINGHAM,AL,352051636,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,96,33,25.87,25.87
1013910751,JIMENEZ,RODOLFO,,D.O.,M,I,1260 S CAMPBELL RD,,GREEN VALLEY,AZ,85614,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,39,67.501025641,8.32,5.6866666667,5.6866666667
1013910751,JIMENEZ,RODOLFO,,D.O.,M,I,1260 S CAMPBELL RD,,GREEN VALLEY,AZ,85614,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,4887,0.2921751586,0.0463617761,0.035885001,0.0358829548
1013910751,JIMENEZ,RODOLFO,,D.O.,M,I,1260 S CAMPBELL RD,,GREEN VALLEY,AZ,85614,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,584,2.1202568493,0.2191438356,0.1718321918,0.1718321918
1013910751,JIMENEZ,RODOLFO,,D.O.,M,I,1260 S CAMPBELL RD,,GREEN VALLEY,AZ,85614,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,33,33,24.348235294,24.348235294
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,226,421,421,94.748978622,39.868266033,28.922707838,28.237648456
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,108,218,218,285.44678899,85.000229358,60.89706422,62.088761468
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,107,223,603,113.46741294,33.969834163,25.030331675,24.362537313
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,94,169,932,58.617339056,19.392542918,13.910429185,13.30972103
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,107,205,1127,41.85336291,15.890026619,11.330505768,10.827914818
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,200,385,385,195.572,55.541428571,39.893792208,39.310779221
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,264,344,344,57.776511628,19.15380814,14.320087209,13.450290698
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,22,25,25,44.142,11.022,8.0252,7.6192
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,83,152,152,62.903486842,13.719013158,9.0774342105,7.7381578947
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,285,506,2990,7.8569397993,2.0802842809,1.508,1.4728896321
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,36,47,47,21.269787234,6.1642553191,3.9195744681,3.7691489362
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,168,210,210,38.141428571,13.68647619,10.035190476,9.6867142857
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,47,86.238297872,17.082340426,12.825531915,12.960851064
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,3450,913.16,712.42073171,838.76073171
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,24,119,119,344.59344538,88.619327731,64.34907563,62.851932773
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,655.28857143,225.27357143,166.36642857,159.81714286
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,55,55,55,400.28145455,133.34581818,103.78636364,103.95854545
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,45,13.629459459,10.405675676,10.382972973
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,96,556,556,261.82733813,34.039478417,25.126276978,24.010431655
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,119,119,518.58495798,77.844201681,59.743865546,54.168151261
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,208.71666667,38.895384615,30.497692308,29.564871795
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,2040,24.035813725,11.113941176,8.713372549,8.713372549
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,5486,0.3860754648,0.0454593511,0.031707984,0.031707984
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,35,3777,2.0692719089,0.1326052423,0.0996346307,0.0996346307
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,48,2640,13.363700758,2.9510227273,2.2300530303,2.2300530303
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,243.81190476,38.423809524,30.125238095,29.713809524
1013910777,LIM,MELISSA,S,M.D.,F,I,170 ALAMEDA DE LAS PULGAS,,REDWOOD CITY,CA,940622751,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,88,88,97.193181818,33,24.694090909,24.694090909
1013910819,MILEM,CHARLES,A,MD,M,I,2831 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,63,63,49.39,119.75
1013910827,KANTER,LEWIS,J,M.D.,M,I,2412 N PONDEROSA DR,STE B111,CAMARILLO,CA,930102379,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,7120,25.426123596,9.8411123596,7.6952794944,7.6952794944
1013910827,KANTER,LEWIS,J,M.D.,M,I,2412 N PONDEROSA DR,STE B111,CAMARILLO,CA,930102379,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,75.428571429,33,25.87,25.87
1013910850,CALLAWAY,GEORGE,H,MD,M,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician/Sports Medicine,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,127.09677419,125.35645161,96.266129032,87.039354839
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,54,113,65.929115044,8.32,5.0980530973,5.0980530973
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,29,30,18.719,1.42,1.0446666667,1.0446666667
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,724.81454545,89.77,62.194545455,59.893636364
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,28,237.98428571,34.6,21.965,20.886428571
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,69,11.521304348,2.31,1.4965217391,1.3350724638
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,26,26,81.962307692,47.525384615,29.124615385,31.201153846
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,748.13538462,78.57,55.013846154,49.729230769
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,19.35,14.51,5.419047619,7.3642857143
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,50,50,35,26.0804,20.4416,22.5988
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,13.56969697,7.6554545455,5.8312121212,6.6739393939
1013911031,MADDACK,DONALD,J,DO,M,I,3125 WILLOWCREEK RD,,PORTAGE,IN,463684423,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.9,24.108333333,24.665
1013911346,NEACE,BEVERLY,P,PAC,F,I,101 TOWN AND COUNTRY LN STE 100,,HAZARD,KY,417019524,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,37,93,67.228494624,8.32,5.8201075269,5.8201075269
1013911346,NEACE,BEVERLY,P,PAC,F,I,101 TOWN AND COUNTRY LN STE 100,,HAZARD,KY,417019524,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,24,34,18.902647059,1.42,1.0182352941,1.0182352941
1013911346,NEACE,BEVERLY,P,PAC,F,I,101 TOWN AND COUNTRY LN STE 100,,HAZARD,KY,417019524,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,62,64,20.14,7.77171875,5.46828125,3.17984375
1013911346,NEACE,BEVERLY,P,PAC,F,I,101 TOWN AND COUNTRY LN STE 100,,HAZARD,KY,417019524,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,20,133,62.9225,49.334,32.2435
1013911346,NEACE,BEVERLY,P,PAC,F,I,101 TOWN AND COUNTRY LN STE 100,,HAZARD,KY,417019524,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,121,58.295454545,41.231818182,31.412727273
1013911346,NEACE,BEVERLY,P,PAC,F,I,101 TOWN AND COUNTRY LN STE 100,,HAZARD,KY,417019524,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,410,95.62,63.005357143,45.073214286
1013911346,NEACE,BEVERLY,P,PAC,F,I,101 TOWN AND COUNTRY LN STE 100,,HAZARD,KY,417019524,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,25.956363636,16.857272727,10.718181818
1013911387,SCOTHORN,DONALD,M,O.D.,M,I,70 SUMMERFIELD CT,,ROANOKE,VA,240194579,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,34,34,34,60.386470588,60.386470588,47.346764706,52.499411765
1013911387,SCOTHORN,DONALD,M,O.D.,M,I,70 SUMMERFIELD CT,,ROANOKE,VA,240194579,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,21,54.833333333,52.246666667,38.494761905,39.166666667
1013911387,SCOTHORN,DONALD,M,O.D.,M,I,70 SUMMERFIELD CT,,ROANOKE,VA,240194579,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,25,38,82.5,70.16,55.01,54.138421053
1013911395,LIU,SOPHIE,I,D.P.M.,F,I,1475 KISKER RD,STE 260,SAINT CHARLES,MO,633048788,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,23,25,25,19.6,63.100434783
1013911395,LIU,SOPHIE,I,D.P.M.,F,I,1475 KISKER RD,STE 260,SAINT CHARLES,MO,633048788,US,Podiatry,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,71,190,190,147.00957746,147.84929577
1013911395,LIU,SOPHIE,I,D.P.M.,F,I,1475 KISKER RD,STE 260,SAINT CHARLES,MO,633048788,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,23,160,156.3,122.54,126.34695652
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,60,173,57.083410405,8.32,5.8286705202,5.8286705202
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.921666667,3.38,2.65,2.65
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,35,48,13.779583333,1.42,1.0229166667,1.0229166667
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,17,86,77.13,14.041860465,9.9345348837,10.742790698
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,319.38,52.034117647,38.218823529,39.968823529
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,94.17,17.669285714,13.846428571,14.06
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,21,21,104.07,12.293809524,9.6380952381,9.1085714286
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,26,140,13.92,1.9834285714,1.5325,1.5661428571
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,86.31,16.5,11.199545455,11.758636364
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,81.75,11.510952381,8.0466666667,8.5066666667
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,20,38.7015,5.812,3.9135,3.097
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,39,257.82,32.066666667,22.017692308,20.974358974
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,519.51,77.18,57.035454545,52.035454545
1013911403,DETESCO,THOMAS,N,M.D.,M,I,7341 EISENHOWER DR,,BOARDMAN,OH,445125900,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,99.45,26.25,7.4836363636,7.2581818182
1013911445,SABER,ELIE,N,M.D.,M,I,1200 BINZ ST,STE 635,HOUSTON,TX,770046900,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,92,77.608695652,8.32,6.0261956522,6.0261956522
1013911460,GADOWSKI,DOUGLAS,R,MD,M,I,25775 MCBEAN PKWY,STE 105,VALENCIA,CA,913553702,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,50,41.1778,8.32,6.1012,6.1012
1013911460,GADOWSKI,DOUGLAS,R,MD,M,I,25775 MCBEAN PKWY,STE 105,VALENCIA,CA,913553702,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,128.42608696,52.845652174,36.876086957,34.773913043
1013911460,GADOWSKI,DOUGLAS,R,MD,M,I,25775 MCBEAN PKWY,STE 105,VALENCIA,CA,913553702,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,86.31,17.093333333,13.402592593,13.522962963
1013911460,GADOWSKI,DOUGLAS,R,MD,M,I,25775 MCBEAN PKWY,STE 105,VALENCIA,CA,913553702,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,476.52227273,77.116363636,57.709545455,52.759090909
1013911544,FUENTES,DAVID,,MD,M,I,109 FALLS CT,STE 100,BOERNE,TX,780062978,US,Physician/Allergy/ Immunology,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1890,2.7828518519,0.0801904762,0.0628677249,0.0628677249
1013911544,FUENTES,DAVID,,MD,M,I,109 FALLS CT,STE 100,BOERNE,TX,780062978,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,33,33,25.87,25.87
1013911544,FUENTES,DAVID,,MD,M,I,109 FALLS CT,STE 100,BOERNE,TX,780062978,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,21,600,358.5,281.06,281.06
1013911593,ANSARI,RAFAT,H,M.D.,M,I,5340 HOLY CROSS PKWY,,MISHAWAKA,IN,465451470,US,Physician/Medical Oncology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,460,16.865217391,7,5.4078478261,5.4078478261
1013911593,ANSARI,RAFAT,H,M.D.,M,I,5340 HOLY CROSS PKWY,,MISHAWAKA,IN,465451470,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,39,58,149,58.667785235,41.17,31.371610738,29.981073826
1013911593,ANSARI,RAFAT,H,M.D.,M,I,5340 HOLY CROSS PKWY,,MISHAWAKA,IN,465451470,US,Physician/Medical Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,24,30,346.04,339.9,262.60666667,261.91333333
1013911635,BALTZ,JOHN,,FNP,M,I,143 KENNEDY DR,,MARTIN,TN,382373309,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,55,103,36.665436893,8.1921359223,5.5767961165,5.6823300971
1013911635,BALTZ,JOHN,,FNP,M,I,143 KENNEDY DR,,MARTIN,TN,382373309,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,11.64,1.42,1.05,1.05
1013911635,BALTZ,JOHN,,FNP,M,I,143 KENNEDY DR,,MARTIN,TN,382373309,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,77,9.0192207792,3.5262337662,2.6268831169,1.6802597403
1013911635,BALTZ,JOHN,,FNP,M,I,143 KENNEDY DR,,MARTIN,TN,382373309,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,469.48730769,104.06769231,76.993846154,50.52
1013911635,BALTZ,JOHN,,FNP,M,I,143 KENNEDY DR,,MARTIN,TN,382373309,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1620,1.5882654321,0.136962963,0.099537037,0.099537037
1013911635,BALTZ,JOHN,,FNP,M,I,143 KENNEDY DR,,MARTIN,TN,382373309,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,40.92,33,25.5648,25.5648
1013911668,YOUNG,TAMMY,H,M.D.,F,I,1227 N STATE ST,STE 101,JACKSON,MS,392022002,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,16,58,4988,34.264989976,4.5182097033,3.4739675221,3.4739635124
1013911668,YOUNG,TAMMY,H,M.D.,F,I,1227 N STATE ST,STE 101,JACKSON,MS,392022002,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,32,49,124,54.523306452,42.487016129,31.703951613,29.521532258
1013911668,YOUNG,TAMMY,H,M.D.,F,I,1227 N STATE ST,STE 101,JACKSON,MS,392022002,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,16,356.115625,306.945625,240.645625,262.753125
1013911668,YOUNG,TAMMY,H,M.D.,F,I,1227 N STATE ST,STE 101,JACKSON,MS,392022002,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,15,34,34,35.882352941,24,18.82,18.82
1013911668,YOUNG,TAMMY,H,M.D.,F,I,1227 N STATE ST,STE 101,JACKSON,MS,392022002,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,26,27,64.444444444,16,11.146666667,11.146666667
1013911684,WEBB,PAMELA,R,FNP- BC,F,I,1362 TAPPAHANNOCK BLVD,,TAPPAHANNOCK,VA,225609309,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,38,105,62.4,8.32,5.9005714286,5.9005714286
1013911684,WEBB,PAMELA,R,FNP- BC,F,I,1362 TAPPAHANNOCK BLVD,,TAPPAHANNOCK,VA,225609309,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,35,16.073428571,1.42,1.1148571429,1.1148571429
1013911684,WEBB,PAMELA,R,FNP- BC,F,I,1362 TAPPAHANNOCK BLVD,,TAPPAHANNOCK,VA,225609309,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,309,100.985,73.293333333,62.189166667
1013911684,WEBB,PAMELA,R,FNP- BC,F,I,1362 TAPPAHANNOCK BLVD,,TAPPAHANNOCK,VA,225609309,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,36,112,38.474166667,28.530555556,24.283611111
1013911684,WEBB,PAMELA,R,FNP- BC,F,I,1362 TAPPAHANNOCK BLVD,,TAPPAHANNOCK,VA,225609309,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,79,15.653333333,12.2725,9.12
1013911684,WEBB,PAMELA,R,FNP- BC,F,I,1362 TAPPAHANNOCK BLVD,,TAPPAHANNOCK,VA,225609309,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,90,8,2.2893333333,1.7952222222,1.5921111111
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,26,26,91.629230769,39.96,30.125,29.381923077
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,38,75,75,345.28,88.7952,64.700933333,63.111333333
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,35,70,147,142.67210884,33.989115646,25.674353741,24.988027211
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,44,74,370,68.690540541,18.5,13.616405405,13.662783784
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,21,42,207,57.629565217,15.68,12.159082126,11.794347826
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,79,130,130,188.19115385,58,43.036769231,40.735846154
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,109,143,143,63.992377622,16.533566434,12.386573427,13.394125874
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,21,21,53.980952381,9.8795238095,7.5919047619,7.9271428571
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,93,173,173,41.653815029,11.132138728,8.2226589595,8.5886127168
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,109,209,1179,5.2183715013,2.1434605598,1.5874978796,1.5091518236
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,78,104,104,12.143365385,5.99,4.3704807692,4.3356730769
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,46,57,57,58.286666667,12.10122807,9.2152631579,10.011052632
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,47,52.275106383,19.544042553,14.906595745,14.303617021
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,110.19,91.336842105,68.197894737,64.74
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,291,142,97.126111111,91.965
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,38,255,263,233.13346008,33.077984791,22.516235741,21.824980989
1013911734,SUGIHARA,STUART,,M.D.,M,I,321 N KUAKINI ST,STE 502,HONOLULU,HI,968172361,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,49,53,234.91415094,81.09,61.057169811,52.71754717
1013911791,TAYLOR,CHRISTOPHER,T,MD,M,I,1124 E WEISGARBER RD,STE 100,KNOXVILLE,TN,379092686,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,74.428571429,74.11952381,49.82,46.545238095
1013911791,TAYLOR,CHRISTOPHER,T,MD,M,I,1124 E WEISGARBER RD,STE 100,KNOXVILLE,TN,379092686,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,33,74.090909091,50.01,34.457272727,38.412121212
1013911858,FREELOVE,ROBERT,S,MD,M,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,15,55.858666667,8.32,6.5246666667,6.5246666667
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,65,57.846153846,8.32,6.3213846154,6.3213846154
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,23,17.455217391,1.42,1.112173913,1.112173913
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,363.40466667,86.33,54.144,54.290666667
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,35,150.27885714,33.48,22.430285714,22.147714286
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,65.321428571,17.88,12.057857143,12.108571429
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,85.865555556,11.54,8.5472222222,8.615
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,116,10.647155172,2.01,1.4951724138,1.5101724138
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,59.615384615,17.29,10.423076923,10.407692308
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,40.25,11.315,6.2116666667,6.1716666667
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,165.8627027,30.42,19.982432432,19.677567568
1013911874,WHILES,RICK,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207349,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,373.2795,88.7615,61.3315,46.7685
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,49,139,70.062877698,8.32,5.7241007194,5.7241007194
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,24,16.727083333,1.42,1.0233333333,1.0233333333
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,260.22769231,86.33,67.68,67.84
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,27,97.268888889,33.48,26.248148148,25.918148148
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,60.654545455,17.88,12.880909091,12.930909091
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,60.434166667,11.54,9.05,9.12
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,90,9.0053333333,2.01,1.4717777778,1.4882222222
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,12.420833333,12.4025
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,143.07692308,32.76,21.403846154,21.016153846
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,88,88,408.24590909,74.646590909,54.87125,51.165681818
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,3839,0.1483823912,0.0462307893,0.0318259964,0.0318259964
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1920,1.8458489583,0.136125,0.095375,0.095375
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,570,9.9039473684,3.0897894737,2.1908245614,2.1908245614
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37.44,29.35,29.495454545
1013911890,BROCKMYRE,ANDREW,,MD,M,I,240 MEDICAL PARK BLVD,STE 3600,BRISTOL,TN,376207346,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,35,56,33,23.652571429,23.652571429
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,65,139,54.375251799,8.32,6.0351079137,6.0351079137
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,30,15.230666667,1.42,1.114,1.114
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.1,1.51,1.185,1.155
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.22,0.955,0.965
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,55.207272727,18.744545455,13.443636364,12.749090909
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,36,73.693888889,17.27,12.787777778,12.787777778
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,9.9973913043,4.6734782609,2.3286956522,2.4460869565
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,65,509.54430769,68.78,51.084,51.807692308
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,3136,0.4482780612,0.0457270408,0.0339126276,0.0339126276
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,11.08,2.9977272727,2.2936969697,2.2936969697
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,61.071428571,18.689285714,4.4042857143,4.4042857143
1013911908,COTTON,MARK,W,DO,M,I,5610 SW LEE BLVD,,LAWTON,OK,735059635,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,25,25,48.84,33,24.8352,24.8352
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,29,70,60.446857143,8.32,5.869,5.869
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,9.1294117647,1.42,0.9176470588,0.9176470588
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,8.9068965517,1.51,1.0624137931,1.0375862069
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,72.384615385,13.902307692,9.5146153846,7.7369230769
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,23,126,10.481269841,2.2228571429,1.5638095238,1.4157142857
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,36,75.633888889,17.27,13.54,13.54
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,70,48,28.2225,28.2225
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,50.73,4.4878571429,3.3153571429,3.4225
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,56,72,450.50666667,70.761388889,53.957916667,52.999861111
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,250,36.83,26.649230769,27.251538462
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6593571429,7.5729285714,7.5729285714
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,2076,1.3674903661,0.1299903661,0.1019171484,0.1019171484
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,12.86,2.8323,2.2205416667,2.2205416667
1013911916,WOODARD,WYATT,D,"MSN, FNP",M,I,320 N LEROUX ST,STE B,FLAGSTAFF,AZ,860014535,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,28,100.17857143,33,24.946071429,24.946071429
1013911924,WANG,ALLAN,V,"MD, PHD",M,I,75-166 KALANI ST,SUITE 204,KAILUA KONA,HI,967401857,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,200,42.625714286,33.414285714,29.757142857
1013911924,WANG,ALLAN,V,"MD, PHD",M,I,75-166 KALANI ST,SUITE 204,KAILUA KONA,HI,967401857,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,7200,71.505055556,14.097111111,11.04455,11.04455
1013911981,SHAPPELL,KRISTIE,K,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,26,26,26,70.950769231,70.950769231,55.626153846,52.965384615
1013911981,SHAPPELL,KRISTIE,K,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,25,75.66,65.8868,51.6528,54.09
1013911999,CASCONE,JOHN,J,M.D.,M,I,2301 HOLMES ST,DEPARTMENT OF MEDICINE,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,26,81.522307692,71.56,56.105,56.105
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,47,107,67.07271028,8.32,5.7400934579,5.7400934579
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,93.22,38.89,26.69625,26.69625
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,479.12272727,86.53,59.611818182,59.611818182
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,19,184.88631579,32.73,25.66,25.873684211
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,33,75.19,19.113636364,13.699393939,13.278484848
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,218.58421053,55.351052632,36.959473684,36.437894737
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,26,26,65.6,18.116923077,12.578846154,12.447307692
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,60.881176471,12.575294118,9.8535294118,9.12
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,54,128,7.59296875,2.13390625,1.6071875,1.525703125
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,53.406363636,13.43,10.53,10.374545455
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,25,4.8414285714,3.3935714286,3.235
1013912005,COTTONE,MICHAEL,A,MD,M,I,855 ILLINI DR,STE 300,SILVIS,IL,612822904,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,11,63,66,190.24848485,36.528939394,27.539090909,24.273636364
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,44,55.001590909,8.32,6.5206818182,6.5206818182
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,14.692857143,1.42,1.12,1.12
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,25.01,24.19,17.38,20.799166667
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,523,214.76826004,5.38,3.9799617591,3.9283365201
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3720,4.088,0.37,0.2900645161,0.2900645161
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.12,4.015,4.0125
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,82,62.234166667,52.675
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,250,43.341666667,30.401666667,33.7925
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.1,8.7616666667,6.1483333333,5.8175
1013912039,MORETZ,GLORIA,F,FNP CRNP,F,I,103 BATA BLVD,JOHN HOPKINS COMMUNITY PHYSICIANS WATERS EDGE,BALTIMORE,MD,21017,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,41.6,32.61,29.51
1013912096,PIZZA,ERIC,A,MD,M,I,3500 EXECUTIVE PKWY,,TOLEDO,OH,436061319,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,33,13,13,8.34,8.9951515152
1013912096,PIZZA,ERIC,A,MD,M,I,3500 EXECUTIVE PKWY,,TOLEDO,OH,436061319,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,29,4720,4.2202966102,1.92,1.5052987288,1.588190678
1013912096,PIZZA,ERIC,A,MD,M,I,3500 EXECUTIVE PKWY,,TOLEDO,OH,436061319,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,1984,9.3163810484,5.9958165323,4.6284122984,5.5900907258
1013912096,PIZZA,ERIC,A,MD,M,I,3500 EXECUTIVE PKWY,,TOLEDO,OH,436061319,US,Physician/Urology,S,A4356,"External urethral clamp or compression device (not to be used for catheter clamp), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,89.16,51.35,40.26,40.26
1013912096,PIZZA,ERIC,A,MD,M,I,3500 EXECUTIVE PKWY,,TOLEDO,OH,436061319,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,34,17.425882353,10.93,7.0576470588,7.0576470588
1013912096,PIZZA,ERIC,A,MD,M,I,3500 EXECUTIVE PKWY,,TOLEDO,OH,436061319,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,27,10,7.46,4.9822222222,4.9822222222
1013912096,PIZZA,ERIC,A,MD,M,I,3500 EXECUTIVE PKWY,,TOLEDO,OH,436061319,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,76,4.8784210526,1.8,1.4102631579,1.4102631579
1013912104,WEIDMAN,COREY,,PA-C,M,I,JACKSON RIVER ORTHOPEDICS,"1 ARH LANE, STE 102",LOW MOOR,VA,24457,US,Physician Assistant,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,91.707333333,89.38,70.07,76.294
1013912104,WEIDMAN,COREY,,PA-C,M,I,JACKSON RIVER ORTHOPEDICS,"1 ARH LANE, STE 102",LOW MOOR,VA,24457,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,59.416875,59.33125,46.51,46.37125
1013912120,SCHRIEVER,JENNIFER,A,MD,F,I,4405 E 26TH ST,,SIOUX FALLS,SD,571034136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,43,65,64.405076923,8.32,5.7210769231,5.7210769231
1013912120,SCHRIEVER,JENNIFER,A,MD,F,I,4405 E 26TH ST,,SIOUX FALLS,SD,571034136,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,378,6.7,5.36,3.9515079365,3.9165873016
1013912120,SCHRIEVER,JENNIFER,A,MD,F,I,4405 E 26TH ST,,SIOUX FALLS,SD,571034136,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,4536,0.69,0.37,0.2793738977,0.2793738977
1013912120,SCHRIEVER,JENNIFER,A,MD,F,I,4405 E 26TH ST,,SIOUX FALLS,SD,571034136,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,4.44,3.0727272727,3.0727272727
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,49,100,30.1626,8.32,5.6742,5.6742
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,5.0465,1.42,0.896,0.896
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,60,56.24,23.988666667,18.557,15.601833333
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,40,46,20,7.2734782609,5.7008695652,3.6808695652
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,77,96,290.18791667,103.089375,79.33,63.14875
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,4814,0.5299522227,0.0458122144,0.0344786041,0.0344786041
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2340,1.1457264957,0.1324102564,0.1038119658,0.1038119658
1013912179,DELAND-REEVES,CHRISTINA,J,CD,F,I,1075 N WASHINGTON ST,,GREENFIELD,OH,45123,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,27,27,33,33,25.598148148,25.598148148
1013912187,WALL,HAVEN,N,MD,M,I,RR 2 BOX 171C,,LEWISBURG,WV,249019318,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,467.81727273,74.054545455,37.436363636,35.053636364
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,92,163,163,86.411533742,40.568159509,30.236441718,29.214969325
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,21,45,88,7.1348863636,1.4928409091,1.1220454545,1.1002272727
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,15,17,17,63.296470588,13.859411765,9.5970588235,8.0076470588
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,12,13,15,1.4886666667,0.6086666667,0.4786666667,0.4253333333
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,4,,18,20,5.3925,1.39,1.041,0.9265
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,70,134,134,251.98477612,94.239776119,69.922761194,65.359776119
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,58,123,265,100.1634717,35.638,27.049056604,25.442339623
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,56,108,542,55.258690037,20.205073801,14.484612546,13.561254613
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,42,89,427,40.974637002,16.192248244,11.525995316,10.922482436
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,108,215,215,151.46869767,60.163581395,43.363581395,39.631069767
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,158,205,205,57.963463415,19.540780488,14.074829268,13.104243902
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,83,176,176,53.789375,13.734034091,10.259488636,8.8244318182
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,170,348,1674,6.7648924731,2.17390681,1.6383512545,1.5452628435
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,55,70,70,17.755,6.5422857143,4.9894285714,4.5381428571
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,108,134,134,31.366865672,13.62619403,10.464104478,10.223059701
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,43,307,318,67.763962264,18.253522013,13.534874214,12.774874214
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,11,83,83,3644.9207229,1074.31,811.20795181,811.20795181
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,11,63,63,327.29412698,85.61952381,61.673968254,58.57968254
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,829.36,231.42857143,181.44,173.62928571
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,27,27,27,374.98925926,146.1737037,107.41777778,100.01407407
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,11,49,50,95.4842,16.304,12.3686,10.198
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,37,219,219,26.442648402,6.479086758,4.6714155251,3.4960273973
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,53,266,267,197.13202247,41.684531835,30.225992509,25.583033708
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,144,969,982,346.52886965,85.717148676,63.527484725,54.861965377
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,26,128,131,165.60038168,37.540992366,26.972519084,27.119312977
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,41,130,41570,0.3536858311,0.0462812124,0.0320300698,0.0320300698
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,36,136,17058,1.6698170946,0.1357679681,0.100712862,0.100712862
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,47,2700,9.8402296296,2.9819407407,2.319,2.319
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1081,1.4325254394,0.2183626272,0.1403700278,0.1403700278
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,43,333,333,76.471681682,39.389189189,28.951051051,28.121891892
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,59,237,237,63.17721519,33,24.180168776,24.180168776
1013912211,MAKADIA,ASHOK,P,M.D.,M,I,3600 KOLBE RD,STE 109,LORAIN,OH,440531652,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,29,29,66,66,44.811724138,44.811724138
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,11,130,42.330769231,19.679,14.975692308,14.975692308
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,24,32,64,4.2203125,0.51,0.3875,0.3875
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,133,412,1393,61.312993539,8.32,6.0766834171,6.0766834171
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,38,94,95,13.968210526,3.38,2.5384210526,2.5384210526
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,38,52,52,19.984423077,2.12,1.5736538462,1.5736538462
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,65,155,326,14.413773006,1.42,1.0730981595,1.0730981595
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,299.32363636,123.97545455,90.347272727,63.580909091
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,12,25,55,137.69418182,47.108545455,36.736727273,27.910363636
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,62,69.059677419,27.493225806,18.367096774,11.664677419
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,19,19,171.18263158,77.311578947,60.611578947,46.903684211
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,25,25,58.4836,26.2788,20.5984,14.772
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,32,32,59.1840625,22.1175,17.336875,10.92
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,43,194,8.5735051546,2.9744329897,2.3294845361,1.6919587629
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,338,15,4.2198224852,3.3084023669,2.3678402367
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5748,1.6905219207,0.4963587335,0.3891440501,0.2900626305
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,47,47,200,64.241276596,48.941702128,36.633191489
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,58,53.57362069,22.698275862,16.608448276,13.191206897
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,46.925833333,37.63
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,11,57,57,31.771052632,7.8205263158,5.578245614,3.5061403509
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,182.47846154,57.182692308,42.845769231,30.521538462
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,72.066923077,66.900769231,48.097692308,54.451538462
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,130,64.547083333,49.065833333,35.2975
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,86,87,330.1645977,102.22850575,75.942183908,57.095977011
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,5316,0.229089541,0.0474134688,0.0289747931,0.0289747931
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,35,2799,1.6017541979,0.1314112183,0.0991425509,0.0991425509
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,420,12.86,2.9615714286,2.3218571429,2.3218571429
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,970,1.5611340206,0.2203608247,0.1406494845,0.1406494845
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,96,96,74.309895833,26.691041667,19.446770833,13.289166667
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,666.66666667,251.11,196.87,196.87
1013912583,POWERS,LINDA,P,MD,F,I,514 W ATLANTIC ST,,SOUTH HILL,VA,239701906,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,18,67,67,87.671641791,33,24.321492537,24.321492537
1013912591,VERHEYDEN,JAMES,R,M.D.,M,I,2200 NE NEFF RD.,STE. 200,BEND,OR,97701,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,39,39,291.28615385,290.35435897,221.81282051,248.85923077
1013912591,VERHEYDEN,JAMES,R,M.D.,M,I,2200 NE NEFF RD.,STE. 200,BEND,OR,97701,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,26,168.65384615,168.65384615,128.26692308,144.24653846
1013912591,VERHEYDEN,JAMES,R,M.D.,M,I,2200 NE NEFF RD.,STE. 200,BEND,OR,97701,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,14,70.110714286,57.857857143,45.362142857,51.645714286
1013912591,VERHEYDEN,JAMES,R,M.D.,M,I,2200 NE NEFF RD.,STE. 200,BEND,OR,97701,US,Physician/Hand Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,41,43,85,84.544186047,64.87255814,65.042325581
1013912591,VERHEYDEN,JAMES,R,M.D.,M,I,2200 NE NEFF RD.,STE. 200,BEND,OR,97701,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,42,54,108.61111111,84.333333333,66.115740741,66.332407407
1013912591,VERHEYDEN,JAMES,R,M.D.,M,I,2200 NE NEFF RD.,STE. 200,BEND,OR,97701,US,Physician/Hand Surgery,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,33,34,168.97058824,168.97058824,129.39823529,173.68941176
1013912609,SIVER,JACALYN,C,P.A.-C,F,I,219 OAK DR S STE A,,LAKE JACKSON,TX,775665675,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.1,16.335,11.491666667,12.805833333
1013912617,SOO,CHENG,L,MD,M,I,1044 S.W. 44TH ST.,,OKLAHOMA CITY,OK,73109,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,168.22545455,56.648181818,44.415454545,36.46
1013912617,SOO,CHENG,L,MD,M,I,1044 S.W. 44TH ST.,,OKLAHOMA CITY,OK,73109,US,Physician/Orthopedic Surgery,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,2215,1185.42,923.85192308,887.58576923
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,55,177,48.865084746,8.32,6.4852542373,6.4852542373
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,12.998333333,3.38,2.65,2.65
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,46,14.295217391,1.42,1.112173913,1.112173913
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,22,86.31,16.99,12.109090909,12.267272727
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,25,50.73,4.288,3.2416,3.4712
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,53,482.23471698,81.5,60.489811321,53.223018868
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,250,35.78,28.05,29.51
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,15.58,9.5232727273,7.4662424242,7.4662424242
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,12.86,3.1407142857,2.4623452381,2.4623452381
1013912625,FAVILLI,LUIS,C,MD,M,I,3650 INNOVATION DR,,LAKELAND,FL,338124105,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,104.5,33,24.432777778,24.432777778
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,27,82,59.641585366,8.32,6.5219512195,6.5219512195
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.19,2.0325,1.515625,1.078125
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,330.280625,126.21625,95.128125,71.866875
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,119.40653846,46.207692308,36.226923077,28.232692308
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,66.542727273,23.670909091,18.552727273,15.327272727
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,78.732666667,21.01,16.47,10.526666667
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,101,10.367524752,3.2637623762,2.5581188119,1.7658415842
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,38,81.532368421,23.073684211,17.302631579,12.891052632
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,81.75,16.735333333,12.754,9.424
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,193.62363636,51.060909091,39.253030303,25.943636364
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,61,421.36836066,102.92721311,78.457704918,53.402295082
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,68,8640,1.1155289352,0.133125,0.0936527778,0.0936527778
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,35,2370,11.754130802,3.0657594937,2.2543164557,2.2543164557
1013912716,HEINE,RONALD,W,M.D.,M,I,117 MEDICAL CIRCLE,,ATHENS,TX,75751,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,71,71,123.63380282,33,24.776901408,24.776901408
1013912724,SCHRAM,ALAN,,DPM,M,I,6704 PARK AVE,,ALLEN PARK,MI,481012034,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,30,30,60,147.613,71.56,56.105,56.105
1013912724,SCHRAM,ALAN,,DPM,M,I,6704 PARK AVE,,ALLEN PARK,MI,481012034,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,25,25,150,34.9336,29.19,22.885,22.886133333
1013912799,BOLINGER,MURRITA,C,CFNP,F,I,606 WASHINGTON STREET,,RAVENSWOOD,WV,261641373,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,46,147,61.508571429,8.32,5.1981632653,5.1981632653
1013912799,BOLINGER,MURRITA,C,CFNP,F,I,606 WASHINGTON STREET,,RAVENSWOOD,WV,261641373,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,12.655454545,3.38,1.5659090909,1.5659090909
1013912799,BOLINGER,MURRITA,C,CFNP,F,I,606 WASHINGTON STREET,,RAVENSWOOD,WV,261641373,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,29,36,12.354722222,1.42,0.8061111111,0.8061111111
1013912823,MORRISON,BRYAN,K,M.D.,M,I,801 E WHITESTONE BLVD,BLDG C,CEDAR PARK,TX,786135028,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,28,60,73.9855,8.32,6.0863333333,6.0863333333
1013912823,MORRISON,BRYAN,K,M.D.,M,I,801 E WHITESTONE BLVD,BLDG C,CEDAR PARK,TX,786135028,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,15,13.438,1.42,0.9693333333,0.9693333333
1013912831,KAVORKIAN,VERONICA,A,MD,F,I,2701 CHAMBERLAIN LN,,LOUISVILLE,KY,402451603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,31,97,49.964536082,8.32,5.8507216495,5.8507216495
1013912831,KAVORKIAN,VERONICA,A,MD,F,I,2701 CHAMBERLAIN LN,,LOUISVILLE,KY,402451603,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,34,12.165,1.42,0.9847058824,0.9847058824
1013912831,KAVORKIAN,VERONICA,A,MD,F,I,2701 CHAMBERLAIN LN,,LOUISVILLE,KY,402451603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,354.71136364,74.392272727,58.326363636,54.790454545
1013912880,SHARP,THOMAS,W,M.D.,M,I,421 S LANDMARK AVE,,BLOOMINGTON,IN,474035003,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,69.81,50.169166667,50.169166667
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,19,41,138,61.519710145,8.32,5.9764492754,5.9764492754
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,18,15.591111111,1.42,0.9277777778,0.9277777778
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,420,15.158857143,7,5.2266666667,5.2266666667
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,420,8.3674285714,4.03,3.0792380952,3.0792380952
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,251.24454545,56,39.909090909,39.058181818
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,86.613846154,18,14.11,14.067692308
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,10.581875,2,1.4729166667,1.4933333333
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,86,94,64.30712766,17.747340426,13.039574468,12.713829787
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.51,17.51,12.585833333,12.411666667
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.8,79.8,57.346666667,50.169166667
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,22,46.576363636,4.105,3.215,3.5509090909
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,106.66666667,30,23.52,23.38
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,40,297,310,337.14625806,80.045387097,59.615193548,52.530419355
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,233.63636364,38,29.672272727,29.404545455
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1320,0.92,0.1363636364,0.1069469697,0.1069469697
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.9275,2.2951805556,2.2951805556
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,249.45777778,38,27.804,27.548888889
1013912963,BAHR,PAOLO,J,DO,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,121,33,25.87,25.87
1013912989,DE ASIS,MA. LOURDES,,M.D.,F,I,2 CROSFIELD AVE,STE 406,WEST NYACK,NY,109942212,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,38,1191.9078947,19.71,15.452894737,15.452894737
1013912989,DE ASIS,MA. LOURDES,,M.D.,F,I,2 CROSFIELD AVE,STE 406,WEST NYACK,NY,109942212,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3960,163.41251515,13.479181818,10.567676768,10.567676768
1013912989,DE ASIS,MA. LOURDES,,M.D.,F,I,2 CROSFIELD AVE,STE 406,WEST NYACK,NY,109942212,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,45,419.93022222,2.64,2.07,2.07
1013912989,DE ASIS,MA. LOURDES,,M.D.,F,I,2 CROSFIELD AVE,STE 406,WEST NYACK,NY,109942212,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,25.87,25.87
1013913011,BUNNER,JULIE,S,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,30,385,49.869168831,19.636727273,15.394857143,15.394857143
1013913011,BUNNER,JULIE,S,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,11,30,960,6.60378125,2.63375,2.0647916667,2.0647916667
1013913011,BUNNER,JULIE,S,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,77,238,977,61.435547595,8.3170522006,6.1335107472,6.1358137155
1013913011,BUNNER,JULIE,S,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,12.248823529,3.38,2.65,2.65
1013913011,BUNNER,JULIE,S,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,27,56,91,11.75021978,1.4107692308,1.0468131868,1.053956044
1013913011,BUNNER,JULIE,S,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,727.9,337.43647059,264.54823529,264.54823529
1013913011,BUNNER,JULIE,S,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,1720,16.787534884,10.89894186,8.4505116279,8.4505116279
1013913045,FLOWERS,JEREMY,R,N.P.,M,I,4452 PARK BLVD,STE 203,SAN DIEGO,CA,921164051,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,20,580,39.098793103,3,2.2591896552,2.2749137931
1013913045,FLOWERS,JEREMY,R,N.P.,M,I,4452 PARK BLVD,STE 203,SAN DIEGO,CA,921164051,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,7051,1.4507020281,0.3067025954,0.2348532123,0.2374344065
1013913102,BANSAL,ANKUSH,K,"MD, FACP, SFHM",M,I,14611 SOUTHERN BLVD,1082,LOXAHATCHEE,FL,334706801,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,229.9775,89.810833333,65.431666667,50.166666667
1013913110,COHEN,HOWARD,S,M.D.,M,I,98 JAMES ST,SUITE 313,EDISON,NJ,088203902,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,42,85,70.548235294,8.32,5.9065882353,5.9065882353
1013913110,COHEN,HOWARD,S,M.D.,M,I,98 JAMES ST,SUITE 313,EDISON,NJ,088203902,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,15,18.036,1.42,0.9693333333,0.9693333333
1013913144,RAYNER,DANALYN,K,M.D.,F,I,7102 MINERAL POINT RD,,MADISON,WI,537171706,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,41.5,4.8771428571,2.309047619,2.2080952381
1013913177,POSEY,KRISTI,J,M.D.,F,I,4126 SOUTHWEST FWY,SUITE 800,HOUSTON,TX,770277310,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,95.831818182,40.495,31.749090909,25.919090909
1013913177,POSEY,KRISTI,J,M.D.,F,I,4126 SOUTHWEST FWY,SUITE 800,HOUSTON,TX,770277310,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,71,27.144225352,18.5,12.062816901,12.111971831
1013913177,POSEY,KRISTI,J,M.D.,F,I,4126 SOUTHWEST FWY,SUITE 800,HOUSTON,TX,770277310,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,80.841428571,55.57,40.457857143,39.798571429
1013913177,POSEY,KRISTI,J,M.D.,F,I,4126 SOUTHWEST FWY,SUITE 800,HOUSTON,TX,770277310,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,35.096666667,19.178333333,13.896666667,12.9325
1013913177,POSEY,KRISTI,J,M.D.,F,I,4126 SOUTHWEST FWY,SUITE 800,HOUSTON,TX,770277310,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,26.147857143,14.508571429,10.732857143,8.4785714286
1013913177,POSEY,KRISTI,J,M.D.,F,I,4126 SOUTHWEST FWY,SUITE 800,HOUSTON,TX,770277310,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,23,116,4.630862069,2.2663793103,1.7770689655,1.5918103448
1013913177,POSEY,KRISTI,J,M.D.,F,I,4126 SOUTHWEST FWY,SUITE 800,HOUSTON,TX,770277310,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,27,123.67037037,45.128518519,35.385185185,26.40037037
1013913219,OUTLAW,DAVID,T,MD,M,I,224 HIGH HOUSE RD,STE 100,CARY,NC,275134278,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,75,78.638666667,8.32,5.8268,5.8268
1013913219,OUTLAW,DAVID,T,MD,M,I,224 HIGH HOUSE RD,STE 100,CARY,NC,275134278,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,58,11.384137931,2.0824137931,1.4589655172,1.4279310345
1013913219,OUTLAW,DAVID,T,MD,M,I,224 HIGH HOUSE RD,STE 100,CARY,NC,275134278,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1100.3654545,213.07636364,167.05272727,156.06
1013913276,HAGAN,DANIEL,M,DPM,M,I,3701 HENDERSON DR,,JACKSONVILLE,NC,285465237,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,28,43,3583,0.6069215741,0.44,0.3372788166,0.3372788166
1013913276,HAGAN,DANIEL,M,DPM,M,I,3701 HENDERSON DR,,JACKSONVILLE,NC,285465237,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,24,33,721,29.672482663,23.66,18.375256588,18.375256588
1013913276,HAGAN,DANIEL,M,DPM,M,I,3701 HENDERSON DR,,JACKSONVILLE,NC,285465237,US,Podiatry,S,A6206,"Contact layer, sterile, 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,18,79,6.9,5.63,4.414556962,4.414556962
1013913276,HAGAN,DANIEL,M,DPM,M,I,3701 HENDERSON DR,,JACKSONVILLE,NC,285465237,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,32,48,4744,0.2485328836,0.13,0.0890366779,0.0890366779
1013913276,HAGAN,DANIEL,M,DPM,M,I,3701 HENDERSON DR,,JACKSONVILLE,NC,285465237,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,1125,0.63648,0.45,0.3528,0.3528
1013913276,HAGAN,DANIEL,M,DPM,M,I,3701 HENDERSON DR,,JACKSONVILLE,NC,285465237,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,250,163.79,124.83083333,123.57083333
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,32,92,55.277282609,8.32,6.0964130435,6.0964130435
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.010909091,3.38,2.65,2.65
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,68,37.981176471,15.264705882,10.044705882,9.9976470588
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,159.07789474,54.181578947,37.734736842,38.103157895
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,51.192142857,18.593571429,11.426428571,11.047142857
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,49.244375,12.006875,8.225,8.005
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,120,7.267,2.252,1.6755,1.5218333333
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,50,56.6992,16.79,12.2252,12.5864
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,120,32.461578947,25.452105263,25.726315789
1013913284,BERGER,IRA,L,MD,M,I,1201 SEVEN LOCKS RD,STE 111,ROCKVILLE,MD,208542957,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,73,73,316.06191781,78.47,58.229863014,51.917123288
1013913326,DANKOVICH,MICHAEL,A,OD,M,I,302 W 14TH ST,STE 100,JEFFERSONVILLE,IN,471303751,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,28,28,69.573571429,69.008928571,53.489285714,51.956428571
1013913326,DANKOVICH,MICHAEL,A,OD,M,I,302 W 14TH ST,STE 100,JEFFERSONVILLE,IN,471303751,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,14,78.699285714,50.62,39.687857143,43.18
1013913326,DANKOVICH,MICHAEL,A,OD,M,I,302 W 14TH ST,STE 100,JEFFERSONVILLE,IN,471303751,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,42,75,52.13,40.87,43.42952381
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,35,258,273,84.115347985,17.266666667,12.76974359,12.762051282
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,186.6,46.62,33.504166667,34.516666667
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,87.902857143,7.225,5.6614285714,3.78
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,64,547,555,419.69706306,80.747531532,60.451315315,53.433279279
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,28,243,243,120.51691358,37.485432099,28.642263374,28.731687243
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,1800,17.48845,9.6073333333,7.52275,7.52275
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,19,6356,0.2885918817,0.0457331655,0.025999056,0.025999056
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,5176,4.6633520093,0.0773705564,0.0585935085,0.0585935085
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1266,7.9963902054,3.0451658768,2.3194944708,2.3194944708
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,167.03166667,35.66,26.795,28.102916667
1013913359,GOTTEHRER,ANDREW,,M.D.,M,I,10505 E 91ST ST,SUITE 208,TULSA,OK,741335801,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,14,52,52,36.225961538,33,23.750192308,23.750192308
1013913391,DOMAN,MARK,R,M.D.,M,I,260 HIGHWAY 11 E,,BULLS GAP,TN,377113416,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,45,293.48111111,8.32,6.0228888889,6.0228888889
1013913391,DOMAN,MARK,R,M.D.,M,I,260 HIGHWAY 11 E,,BULLS GAP,TN,377113416,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,22.209230769,7.6896153846,5.7476923077,3.3915384615
1013913391,DOMAN,MARK,R,M.D.,M,I,260 HIGHWAY 11 E,,BULLS GAP,TN,377113416,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,262.56608696,95.577391304,68.437608696,50.539782609
1013913391,DOMAN,MARK,R,M.D.,M,I,260 HIGHWAY 11 E,,BULLS GAP,TN,377113416,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,58.46,44.745,35.0825,30.111666667
1013913391,DOMAN,MARK,R,M.D.,M,I,260 HIGHWAY 11 E,,BULLS GAP,TN,377113416,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,146.25,25.4725,19.97,14.615833333
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,43,116,241,63.699128631,8.32,6.0531120332,6.0531120332
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,32,32,16.2984375,1.42,0.98,0.98
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,80.797272727,71.56,56.105,56.105
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,116,268.2637931,268.2637931,209.08086207,209.08086207
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,116,9.3439655172,9.3439655172,7.3252586207,7.3252586207
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,116,29.200689655,29.200689655,22.893362069,22.893362069
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,45,70.146222222,18.518666667,13.471777778,13.458444444
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,46,401.8026087,78.156521739,57.684347826,57.455217391
1013913417,WENTWORTH,RANCE,,M.D.,M,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,77.2335,20.624,15.4565,14.189
1013913508,EMSLIE,JOSSALYN,T,M.D.,F,I,147 W SIERRA MADRE BLVD,,SIERRA MADRE,CA,910242492,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,23,71.566521739,8.32,5.3886956522,5.3886956522
1013913524,ALLEN,SCOTT,R,MD,M,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,28.509090909,31.293636364
1013913557,BEWLEY-THOMAS,KATHLEEN,M,DO,F,I,3700 W 203RD ST,STE 310,OLYMPIA FIELDS,IL,604611182,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,30,64,65.0125,8.32,5.19671875,5.19671875
1013913557,BEWLEY-THOMAS,KATHLEEN,M,DO,F,I,3700 W 203RD ST,STE 310,OLYMPIA FIELDS,IL,604611182,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,20,15.725,1.42,0.894,0.894
1013913557,BEWLEY-THOMAS,KATHLEEN,M,DO,F,I,3700 W 203RD ST,STE 310,OLYMPIA FIELDS,IL,604611182,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,146.48333333,31.5,24.7,23.38
1013913573,HEJNA,MICHAEL,J,"M.D., PHD.",M,I,353 E BURLINGTON ST,STE 100,RIVERSIDE,IL,605462082,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,70,53.64,42.054545455,38.441818182
1013913573,HEJNA,MICHAEL,J,"M.D., PHD.",M,I,353 E BURLINGTON ST,STE 100,RIVERSIDE,IL,605462082,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,395,122.695,96.2,96.195
1013913581,PHI,ANTHONY,H,M.D.,M,I,13119 VETERANS MEMORIAL DR,,HOUSTON,TX,770141903,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,36,69,48.261594203,8.32,5.4808695652,5.4808695652
1013913581,PHI,ANTHONY,H,M.D.,M,I,13119 VETERANS MEMORIAL DR,,HOUSTON,TX,770141903,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,9.8563636364,3.38,2.4090909091,2.4090909091
1013913581,PHI,ANTHONY,H,M.D.,M,I,13119 VETERANS MEMORIAL DR,,HOUSTON,TX,770141903,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,13.703684211,1.42,0.8842105263,0.8842105263
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,55,152,69.217894737,8.32,5.65625,5.65625
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,15.01,3.38,2.65,2.65
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,27,49,16.128163265,1.42,1.0689795918,1.0689795918
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,26,115.23076923,18.78,14.724615385,14.566923077
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,21,48,95.6,15.12,11.855,11.891041667
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,228.08916667,54.99125,41.1275,40.86375
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,66.083333333,17.88,14.01,14.06
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,21,21,85.759047619,11.701904762,8.7457142857,8.6871428571
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,35,82,9.8243902439,2.01,1.5407317073,1.552195122
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1699,1074.31,842.26,842.26
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,200,32.32125,22.359375,21.91625
1013913631,FOWLER,WALTER,E,"MD, PHD",M,I,4205 BEN FRANKLIN BLVD,,DURHAM,NC,277042143,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,232.05,76.66,60.096363636,53.878181818
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,281.87294118,46.301176471,34.280588235,35.245294118
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,39,77.077179487,17.13974359,11.033846154,11.133846154
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,17,86.31,17.09,12.611764706,12.652941176
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,232.35,58.833846154,42.951538462,35.676153846
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,456.41064516,66.04,41.883225806,44.967741935
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,27,135,151,135.96258278,18.991721854,13.352119205,12.32986755
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,102.44416667,26.275,13.64,14.165833333
1013913763,SNIDOW,JENNIFER,,A.P.R.N.,F,I,1240 E 9TH ST,,RENO,NV,895122964,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,17,62.16,8.19,6.42,6.16
1013913797,BRONZELL-WYNDER,TANYA,M,"DNP, CRNP",F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,705,2.7038865248,0.5872340426,0.4603262411,0.4603262411
1013913797,BRONZELL-WYNDER,TANYA,M,"DNP, CRNP",F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,2730,4.0985897436,0.5582527473,0.4376703297,0.4376703297
1013913797,BRONZELL-WYNDER,TANYA,M,"DNP, CRNP",F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,1960,3.7107244898,1.5641122449,1.2262755102,1.2262755102
1013913797,BRONZELL-WYNDER,TANYA,M,"DNP, CRNP",F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,33,33,24,24,18.82,18.82
1013913797,BRONZELL-WYNDER,TANYA,M,"DNP, CRNP",F,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,21,16.761904762,16,12.540952381,12.540952381
1013913847,ABENANTE,VINCENT,,MD,M,I,588 E BAY AVE,SUITE 1,MANAHAWKIN,NJ,080503392,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,30,72,192,68.119583333,8.32,5.8085416667,5.8085416667
1013913847,ABENANTE,VINCENT,,MD,M,I,588 E BAY AVE,SUITE 1,MANAHAWKIN,NJ,080503392,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,32,42,14.334761905,1.42,1.0366666667,1.0366666667
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,56,188,438,57.559589041,8.32,5.4112328767,5.4112328767
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,33,45,11.774666667,1.4026666667,0.8802222222,0.8935555556
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,1590,2.768672956,2.0392389937,1.5383899371,1.5389874214
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,27,27,93.22,41.644444444,27.78,25.987037037
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,61,4.0486885246,1.751147541,1.3727868852,1.2232786885
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,,11,50,1.07,0.6148,0.4822,0.4456
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,3.42,1.3717857143,1.0742857143,1.0060714286
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,30,42,42,330.0352381,91.578333333,62.554761905,59.627380952
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,23,63,67,97.150447761,37.433432836,26.322238806,23.424776119
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,55,65.933090909,20.271636364,14.584909091,13.242545455
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,20,62,62.300645161,15.318064516,10.048870968,9.935
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,20,31,31,228.89290323,59.978064516,36.854193548,33.181935484
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,49,72,72,56.039444444,19.232083333,12.861666667,12.035555556
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,25.438333333,10.13,7.94,8.15
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,33,54,54,57.372222222,12.312407407,8.3609259259,8.0646296296
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,52,109,281,7.2960854093,2.1768327402,1.4874021352,1.4036298932
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,23,29,29,48.033103448,13.84137931,9.7468965517,9.3648275862
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,54,56,78.200892857,18.655892857,12.283571429,11.357321429
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,400,87.407,63.988,63.154
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,522.55428571,139.39071429,103.63071429,99.048571429
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,24.629090909,5.4770454545,4.2181818182,3.6611363636
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,18,137,138,240.36086957,34.124855072,25.057101449,23.58173913
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,79,81,329.62320988,74.806049383,50.025925926,46.688395062
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,36,12441,0.5721107628,0.046411864,0.034769713,0.034769713
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,122.275,38.68,28.458333333,27.764166667
1013913904,SCHRECK,MICHEAL,E,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,30,30,33,33,23.283,23.283
1013913938,CARUSO,ANTHONY,P,MD,M,I,34612 6TH AVE S,SUITE 210,FEDERAL WAY,WA,980038723,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,61,15.056065574,10.93,8.5685245902,8.5685245902
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,46,163,385,60.028987013,8.32,5.8269090909,5.8269090909
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,27,63,76,19.524210526,1.42,0.8822368421,0.8822368421
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,28.442777778,28.442777778,19.831111111,19.847777778
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,132,2.49,2.49,1.9516666667,1.9516666667
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,5.535,5.535,3.97625,3.9808333333
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,32,38,10.917368421,10.74,7.5336842105,7.6863157895
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,349,34.86,34.86,27.33025788,27.33025788
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,21,666,8.28,8.28,6.4916066066,6.4916066066
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,334.73,125.30333333,85.681666667,63.513333333
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,30,148.81466667,47.013333333,33.005666667,24.072
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,56,97.893571429,25.7,19.575892857,14.030892857
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,248.90227273,74.967272727,56.631818182,43.24
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,21,21,73.041904762,25.257142857,19.055238095,14.661904762
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,27,27,89.229259259,20.873703704,15.99037037,9.2107407407
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,46,192,10.661458333,3.2521875,2.4396354167,1.6061458333
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,109.30916667,22.97,16.682222222,12.488611111
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,232.35,58.82,43.536875,35.278125
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,89.405454545,9.57,7.3554545455,3.8666666667
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,159.06416667,46.28,32.386944444,21.653333333
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,20,140,140,464.91678571,103.049,74.783857143,54.938928571
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,203.44827586,45.261724138,35.487586207,32.066896552
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,780,19.881051282,9.5929230769,7.5208333333,7.5208333333
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,19,27,6502,0.6556459551,0.0470701323,0.0272239311,0.0272239311
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,36,3330,1.4427897898,0.1323243243,0.0857297297,0.0857297297
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,42,2312,10.592288062,3.0785813149,2.4032612457,2.4032612457
1013913961,MAURER,GLENDA,M,M.D.,F,I,711 N NORTON AVE,,NORTON,KS,676541449,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,29,63,63,37.714285714,33,22.584920635,22.584920635
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,73,100.37972603,18.617534247,14.595616438,14.551780822
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,292.55928571,54.41,42.66,42.86
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,79.014615385,18.693846154,13.513846154,13.05
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,87.232941176,11.685882353,9.1611764706,9.12
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,28,125,12.10264,2,1.56856,1.59216
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4686,1.4002560819,0.31,0.2430516432,0.2430516432
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,763.97,157.85833333,123.76333333,121.15666667
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,38,88.959736842,17,12.628421053,12.83
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,48,50,36.4336,6.029,4.722,3.716
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.92,11.168333333,8.7516666667,8.5966666667
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.67,10.25,8.0333333333,7.9841666667
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,420.19,210.825,165.28,165.28
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,128,138,445.57862319,77.18,58.316086957,53.491304348
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,42,134.39380952,40,30.613333333,28.851428571
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,39,8005,0.41275203,0.0466008745,0.030678326,0.030678326
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,30,3538,1.8035161108,0.1346749576,0.1025070661,0.1025070661
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,780,10.788153846,3.0155384615,2.2603076923,2.2603076923
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,84.876923077,40,28.947692308,27.311153846
1013913995,GENOVESI,MICHAEL,G,M.D.,M,I,300 KENSINGTON AVE,,NEW BRITAIN,CT,060513916,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,20,69,69,71.739130435,33,24.745217391,24.745217391
1013914001,BERMUDEZ,EDWARD,R,M.D.,M,I,1921 WALDEMERE ST,SUITE 301,SARASOTA,FL,342392943,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,87,93,276.28086022,79.723548387,59.804946237,52.752043011
1013914001,BERMUDEZ,EDWARD,R,M.D.,M,I,1921 WALDEMERE ST,SUITE 301,SARASOTA,FL,342392943,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3698.2352941,2792.6288235,2177.7076471,2177.7076471
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,22,22,549.02681818,89.209090909,64.812727273,62.717727273
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,120.80136364,33.48,26.246363636,25.916363636
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,356,57.458181818,45.051818182,42.832727273
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,161.2875,18.534375,14.52375,14.06
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,28,28,102.51892857,11.54,9.05,9.115
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,36,100,13.3254,2.01,1.5784,1.5912
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,25.312857143,5.91,4.64,4.6571428571
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,35,3.08,2.2134444444,2.1781944444
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7272,0.8566666667,0.38,0.2881490649,0.2813173817
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,26,40.454230769,17.29,12.507692308,12.497692308
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,66.66,9.4069230769,6.5546153846,6.4561538462
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,285.29,32.448,23.85,23.393
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,33,35,195.23942857,70.23,50.162285714,50.006857143
1013914050,BUTTACI-GUARINO,SALVATORE,,MD,M,I,500 N LEWIS ST,SUITE 100,NEW IBERIA,LA,705632046,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3712.6666667,2361.9233333,1832.6173333,1832.6173333
1013914159,MANION,SEAN,P,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,50,23.4578,10.9204,7.7054,7.7128
1013914159,MANION,SEAN,P,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,460,8.1093043478,5.7347826087,4.4960869565,4.5001956522
1013914159,MANION,SEAN,P,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,405,9.0207901235,6.9920987654,5.4818024691,5.488
1013914159,MANION,SEAN,P,MD,M,I,1925 W MOUNTAIN VIEW AVE,,LONGMONT,CO,805013128,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,560,7.1357857143,4.0371428571,3.1324107143,3.1346428571
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,52,94,53.818617021,8.32,5.1867021277,5.1867021277
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,59.034545455,28.46,20.281818182,20.281818182
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,6.27,3.2145454545,2.5204545455,1.5933333333
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,7.2263636364,5.6654545455,4.1632258065
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5220,3.346,0.4,0.2962873563,0.2257241379
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,22.253636364,14.732727273,11.617272727
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,46.5,17.333,11.004,8.115
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,140,46.83625,31.33375,20.37875
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,46,404.9723913,102.78217391,74.409347826,50.645434783
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3522,0.1906360023,0.0458972175,0.0320670074,0.0320670074
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1200,12.598491667,2.9577,2.2298833333,2.2298833333
1013914209,LIM,LANCE,S,MD,M,I,602 1ST ST NE,SUITE 1,WESSINGTON SPRINGS,SD,573822134,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,106.33333333,33,23.953703704,23.953703704
1013914233,SLATTERY,NANCY,J,MD,F,I,5885 HARRISON AVE,,CINCINNATI,OH,452481651,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,65,152,80.982894737,8.32,5.7938157895,5.7938157895
1013914233,SLATTERY,NANCY,J,MD,F,I,5885 HARRISON AVE,,CINCINNATI,OH,452481651,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,22,18.290454545,1.42,0.9131818182,0.9131818182
1013914233,SLATTERY,NANCY,J,MD,F,I,5885 HARRISON AVE,,CINCINNATI,OH,452481651,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,170,45.838181818,25.367272727,25.755454545
1013914233,SLATTERY,NANCY,J,MD,F,I,5885 HARRISON AVE,,CINCINNATI,OH,452481651,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,444.28526316,79,55.375263158,48.723157895
1013914258,SANABRIA,PEDRO,,MD,M,I,1 D12 EL VIVERO,,GURABO,PR,00778,US,Physician/General Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1980,9.9931060606,0.5617272727,0.3985555556,0.398540404
1013914258,SANABRIA,PEDRO,,MD,M,I,1 D12 EL VIVERO,,GURABO,PR,00778,US,Physician/General Practice,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.2140944444,0.013,0.0102,0.0102
1013914258,SANABRIA,PEDRO,,MD,M,I,1 D12 EL VIVERO,,GURABO,PR,00778,US,Physician/General Practice,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,9.9544814815,2.82975,2.1962638889,2.1962638889
1013914258,SANABRIA,PEDRO,,MD,M,I,1 D12 EL VIVERO,,GURABO,PR,00778,US,Physician/General Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1013914258,SANABRIA,PEDRO,,MD,M,I,1 D12 EL VIVERO,,GURABO,PR,00778,US,Physician/General Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,24,16,16,12.0175,12.0175
1013914266,NEWELL,PATRICIA,A,ARNP,F,I,504 N MACARTHUR AVE,NEPHROLOGY ASSOCIATES,PANAMA CITY,FL,324013636,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,68.13,8.32,6.52,6.52
1013914308,MANCINI,JEAN,M,M.D.,F,I,1 MEDICAL PARK BLVD,STE 450W,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,45,57.848,8.32,5.5077777778,5.5077777778
1013914308,MANCINI,JEAN,M,M.D.,F,I,1 MEDICAL PARK BLVD,STE 450W,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,90.276666667,13.599333333,9.992,8.512
1013914308,MANCINI,JEAN,M,M.D.,F,I,1 MEDICAL PARK BLVD,STE 450W,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,81,13.571851852,2.0495061728,1.5643209877,1.5535802469
1013914308,MANCINI,JEAN,M,M.D.,F,I,1 MEDICAL PARK BLVD,STE 450W,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,58.524,17.29,13.55,13.531
1013914308,MANCINI,JEAN,M,M.D.,F,I,1 MEDICAL PARK BLVD,STE 450W,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,23,75.219130435,13.49826087,10.583478261,9.5713043478
1013914308,MANCINI,JEAN,M,M.D.,F,I,1 MEDICAL PARK BLVD,STE 450W,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,34,207.47617647,35.878235294,28.129411765,25.439411765
1013914308,MANCINI,JEAN,M,M.D.,F,I,1 MEDICAL PARK BLVD,STE 450W,BRISTOL,TN,376207430,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,338.97212121,70.23,55.06,54.73030303
1013914332,BECKER,GERALD,J,MD,M,I,85 SEYMOUR ST,SUITE 607,HARTFORD,CT,061065501,US,Physician/Orthopedic Surgery,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,62.68,47.135,32.8225,32.8225
1013914357,BOLGER,JOSEPH,E,M.D.,M,I,101 OFFICE PARK DRIVE,,MINDEN,LA,71055,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,30,50,8.32,6.5213333333,6.5213333333
1013914357,BOLGER,JOSEPH,E,M.D.,M,I,101 OFFICE PARK DRIVE,,MINDEN,LA,71055,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1013914357,BOLGER,JOSEPH,E,M.D.,M,I,101 OFFICE PARK DRIVE,,MINDEN,LA,71055,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,11,15,15,1.42,1.1146666667,1.1146666667
1013914357,BOLGER,JOSEPH,E,M.D.,M,I,101 OFFICE PARK DRIVE,,MINDEN,LA,71055,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,79.103636364,18.491363636,14.492727273,13.542727273
1013914357,BOLGER,JOSEPH,E,M.D.,M,I,101 OFFICE PARK DRIVE,,MINDEN,LA,71055,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50,4.598,3.3806666667,3.38
1013914357,BOLGER,JOSEPH,E,M.D.,M,I,101 OFFICE PARK DRIVE,,MINDEN,LA,71055,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,339.52153846,75.638461538,55.622051282,51.260512821
1013914399,FABIANO,DANIEL,C,MD,M,I,202 10TH STREET SE,,CEDAR RAPIDS,IA,524032404,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,144.25,46.5,36.46,36.46
1013914399,FABIANO,DANIEL,C,MD,M,I,202 10TH STREET SE,,CEDAR RAPIDS,IA,524032404,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,110,90.83,64.117142857,69.397857143
1013914399,FABIANO,DANIEL,C,MD,M,I,202 10TH STREET SE,,CEDAR RAPIDS,IA,524032404,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,150,133.89,104.97,90.835384615
1013914407,BRAY,EMILY,L,M.D.,F,I,101 HEART DRIVE,ECU PHYSICAINS FAMILY MEDICINE CENTER,GREENVILLE,NC,278344300,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,70.23,46.169166667,45.858333333
1013914472,WOOLEY,DUANE,D,PA-C,M,I,1600 SW ARCHER RD,BOX 100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,115.42105263,42.504210526,33.322105263,35.084210526
1013914514,OLIVIERI,KAREN,L,P.A.,F,I,325 MAIN ST,,NORTHPORT,NY,117681730,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,28,70.624642857,8.32,6.0553571429,6.0553571429
1013914514,OLIVIERI,KAREN,L,P.A.,F,I,325 MAIN ST,,NORTHPORT,NY,117681730,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,874.72,34.215714286,26.826190476,27.006666667
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,44,88,59.324090909,8.32,5.6343181818,5.6343181818
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,66,6.47,3.4172727273,2.6795454545,1.798030303
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,52,100,21.334807692,15.79,13.0975
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,35,17.694,12.9464,9.6416
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,140,53.119375,38.681875,23.133125
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,78,78,350,94.928461538,71.485641026,54.002051282
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,720,19.031902778,9.6325,7.551875,7.551875
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2555,0.1631976517,0.0467553816,0.0366614481,0.0366614481
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1945,1.3981285347,0.1369614396,0.1031876607,0.1031876607
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1080,8.8360648148,3.0855555556,2.2612592593,2.2612592593
1013914597,OLSON,MARY,J,M.D.,F,I,20 S PLUM ST,,VERMILLION,SD,570693346,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,33,33,25.007666667,25.007666667
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,45,152,67.888157895,8.32,6.0071052632,6.0071052632
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.454545455,3.38,2.65,2.65
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,40,14.90525,1.42,1.115,1.115
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,421,33.116627078,4.99,3.8689073634,4.1019952494
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5616,1.3291666667,0.37,0.2677564103,0.2677564103
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,21,381.36,50.028095238,39.219047619,39.675238095
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,41,61.30097561,18.684146341,13.997560976,13.973170732
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,47,48,48.936041667,5.98,4.5095833333,3.6183333333
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,112,114,428.20403509,77.5,57.17122807,51.670175439
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,250,36.26,28.43,29.426923077
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,5811,0.1963896059,0.046962657,0.034911375,0.034911375
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,129.16666667,22.994,15.908666667,13.347333333
1013914605,AL-FAKIH,MOUHANAD,,MD,M,I,261 E CRAWFORD AVE,,CONNELLSVILLE,PA,154253635,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,106.17391304,33,24.745217391,24.745217391
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,80,4692,13.408542199,7.37,5.7780285592,5.7780285592
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,52,1561,7.4838244715,5.23,4.1003331198,4.1003331198
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,17,97.535294118,52.94,41.5,41.5
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,80,1071,6.7662838469,3.81,2.987254902,2.987254902
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,420,13.482857143,4.9666666667,3.8938095238,4.1628571429
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,3360,0.651,0.3,0.2351904762,0.243047619
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,13,13,132.47692308,59.661538462,46.773846154,48.080769231
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,16.73,8.0055555556,6.2755555556,7.5816666667
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,2.8823076923,1.3807692308,1.0861538462,1.2053846154
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,27.42,5.2,4.08,3.9716666667
1013914670,TUFARO,JANET,C,M.D.,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,7.1572727273,5.6118181818,6.7872727273
1013914811,PACHECO,CECILIA,,MD,F,I,7500 BARLITE BLVD,STE 201,SAN ANTONIO,TX,782241361,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.553636364,17,12.118181818,12.294545455
1013914837,HICKS,SARAH,E,PA-C,F,I,990 TAMIAMI TRL N,,NAPLES,FL,341025403,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,3385,4.9552289513,1.73,1.31394387,1.533282127
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,9,97,258,3310,58.854731118,19.632202417,15.113567976,15.113619335
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,99,258,8283,7.8814173609,2.6310805264,1.9951780756,1.9951780756
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,41,50,100,4.583,0.51,0.392,0.392
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,26,31,39,5.4717948718,1,0.7820512821,0.7820512821
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,123,412,1022,6241,66.139186028,8.32,6.2378448967,6.2378448967
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,9,110,240,240,15.098625,3.38,2.6058333333,2.6058333333
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,102,137,137,22.334306569,2.12,1.645620438,1.645620438
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,69,196,423,1218,15.626247947,1.4197372742,1.0817159278,1.0819211823
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,45,45,90,78.337333333,70.803555556,54.89,55.454666667
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,114,33.746842105,29.19,22.885,22.886578947
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,20,117,51.852307692,43.56,34.151196581,34.149059829
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,16,31,32,32,71.5290625,61.0196875,47.286875,55.7334375
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,29,178,178,697.54573034,343.15870787,265.44617978,265.44617978
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,46,51,146,19230,15.87925637,10.592407176,8.2626448258,8.2626448258
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,10,46,208,217,529.39571429,250.67723502,196.53064516,196.86976959
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,10,38,38,38,395.83473684,260.60263158,204.31105263,207.09973684
1013915024,MATHER,SERGIO,R,MD,M,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,13,43,254,14.75,0.6074015748,0.4761417323,0.4761417323
1013915032,WOOD,PETER,,MD,M,I,1610 DRY CREEK DR STE 200,,LONGMONT,CO,805036405,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,50,50,35.933333333,42.635833333
1013915032,WOOD,PETER,,MD,M,I,1610 DRY CREEK DR STE 200,,LONGMONT,CO,805036405,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,260,260,195.86944444,208.41111111
1013915099,BERRY,MICHAEL,A,M.D,M,I,1625 N ALSTON ST,,FOLEY,AL,365352208,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,4.5,4.24,3.0418082192,2.9767671233
1013915099,BERRY,MICHAEL,A,M.D,M,I,1625 N ALSTON ST,,FOLEY,AL,365352208,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6570,0.4,0.39,0.2996133942,0.2852633181
1013915099,BERRY,MICHAEL,A,M.D,M,I,1625 N ALSTON ST,,FOLEY,AL,365352208,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,8730,1.7226666667,0.31,0.2430378007,0.2430378007
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,28,28,106.31857143,37.493571429,27.312857143,28.432142857
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,19,19,313.01684211,82.421052632,64.620526316,67.653157895
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,13,22,57,126.32859649,31.5,23.108070175,24.28122807
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,15,22,117,49.782393162,17.643589744,12.675384615,13.396752137
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,28,134,38.050597015,14.957014925,10.875074627,11.034477612
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,24,47,47,142.17340426,54.934893617,39.411489362,39.21787234
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,33,43,43,57.00255814,17.072093023,12.766976744,13.382093023
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,21,42,42,65.330714286,11.374761905,8.0733333333,8.2685714286
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,37,78,448,8.0295758929,2.00546875,1.4635044643,1.4822544643
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,24,30,30,31.928,12.499333333,9.141,9.6746666667
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,123.53,123.53,96.84,96.84
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,53,61,17.751147541,12.743114754,9.1555737705,9.4726229508
1013915107,OROZCO,CARLOS,R,M.D.,M,I,3121 NORTHWEST BLVD,GEORGETOWN SLEEP CENTER PA,GEORGETOWN,TX,78628,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,79,86,74.119534884,32.603488372,24.048488372,23.881395349
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,54,90,4620,0.1341883117,0.1196103896,0.0926774892,0.0928809524
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,17,426,30.439225352,23.66,18.212746479,18.212746479
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,358,33.693575419,23.66,18.549441341,18.549441341
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,18,29,966,12.497795031,8.28,6.491573499,6.491573499
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,18,456,23.354364035,18.5,14.504013158,14.504013158
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,46,61,998,14.414599198,8.41,6.4152004008,6.4152004008
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,22,24,327,30.299082569,22.42,16.102171254,16.102171254
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,33,44,559,14.946583184,10.93,8.4215742397,8.4215742397
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,22,50,1635,4.8006727829,3.6685321101,2.8761957187,2.8773455657
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,361,9.6006648199,7.13,5.5899722992,5.5899722992
1013915248,CAMODECA,PATRICK,J,DO,M,I,10350 HALIGUS RD,,HUNTLEY,IL,60142,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,49,90,7813,0.6003737361,0.4494931524,0.347281454,0.3476308716
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,106,192,192,106.94265625,39.505520833,29.539739583,29.20671875
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,13,25,48,7.75,1.62125,1.27125,1.1483333333
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,16,17,17,63.504705882,17.682941176,13.867647059,9.2664705882
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,142,246,247,349.70497976,95.307449393,70.681781377,65.449473684
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,20,104,238,497,140.9984507,33.436720322,24.860523139,24.91138833
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,65,130,501,77.514411178,18.891497006,13.211277445,13.283972056
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,21,68,144,596,60.703439597,15.911291946,11.962231544,11.456124161
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,32,171,301,302,219.88188742,57.846788079,41.915496689,40.191721854
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,34,292,392,392,65.283265306,19.61877551,14.596096939,13.635994898
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,34,42,42,30.459761905,10.809047619,7.7692857143,7.4923809524
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,200,366,368,76.882934783,13.746440217,10.27638587,9.0570923913
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,36,278,625,2592,10.524907407,2.237183642,1.6722608025,1.5514814815
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,119,149,149,20.031073826,6.8336241611,5.1977852349,4.6462416107
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,26,135,190,190,42.619789474,13.115631579,9.6802105263,9.7487368421
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,69.262,23.167,18.161,13.831
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,16,60,295,315,452.2564127,92.596888889,68.800444444,64.213968254
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,59,59,59,497.00627119,142.82711864,109.69644068,102.04576271
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,29,100,130,75.765384615,14.112846154,10.549076923,9.8973846154
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,69.5,35.476666667,17.566666667,16.08
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,16,70,72,38.834444444,7.3473611111,5.4416666667,3.6344444444
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,103,496,528,181.39357955,36.951155303,27.580340909,24.861647727
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,19,155,168,350.21803571,86.781666667,65.704285714,53.481130952
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1350,15.58,9.6536666667,7.4621925926,7.4621925926
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,20,3650,0.4067123288,0.0443123288,0.032230137,0.032230137
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,18,80,8100,1.1882864198,0.1341185185,0.1021395062,0.1021395062
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,21,94,5400,10.442516667,2.9736277778,2.29055,2.29055
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.2225,35.56,27.88,29.51
1013915263,LUGHMANI,NAEEM,A,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,32,124,124,89.709677419,33,24.901854839,24.901854839
1013915289,HACKER,TIMOTHY,B,MD,M,I,4640 W ALEXIS RD,,TOLEDO,OH,436231006,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,171.64705882,48.387647059,33.28,33.340588235
1013915289,HACKER,TIMOTHY,B,MD,M,I,4640 W ALEXIS RD,,TOLEDO,OH,436231006,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,58.152380952,19.558095238,14.623809524,13.275238095
1013915321,BURKE,SHELLEY,A,M.D.,F,I,LORAIN COMMUNITY HOSPITAL,3700 KOLBE ROAD,LORAIN,OH,44053,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,24.12,5.7005,3.5975,2.76
1013915321,BURKE,SHELLEY,A,M.D.,F,I,LORAIN COMMUNITY HOSPITAL,3700 KOLBE ROAD,LORAIN,OH,44053,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,244.24,78,61.15,54.95137931
1013915321,BURKE,SHELLEY,A,M.D.,F,I,LORAIN COMMUNITY HOSPITAL,3700 KOLBE ROAD,LORAIN,OH,44053,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,75.299090909,19.886363636,11.581818182,10.32
1013915321,BURKE,SHELLEY,A,M.D.,F,I,LORAIN COMMUNITY HOSPITAL,3700 KOLBE ROAD,LORAIN,OH,44053,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,69.7,36,28.22,29.4584
1013915388,BULLOCK,SONYA,S,PA-C,F,I,511 BELFIELD DR,,EMPORIA,VA,238471217,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,56,56,22.446071429,8.1141071429,4.7957142857,2.7535714286
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,39,41.168205128,8.32,3.3456410256,3.3456410256
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,57,58.724035088,15.078596491,10.576315789,10.641929825
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,268.11111111,54.590555556,40.425555556,40.479444444
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,89.903076923,17.314615385,12.528461538,13.026923077
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,20,20,88.9305,12.04,8.968,8.68
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,111,12.277477477,2,1.5074774775,1.5305405405
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,55.701538462,12.08,8.7415384615,9.6284615385
1013915404,BOWMAN,STEVEN,C,MD,M,I,3251 N MCMULLEN BOOTH RD,SUITE 303,CLEARWATER,FL,337612022,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,391.14857143,81.358571429,57.815714286,49.510952381
1013915461,YANG,ANTHONY,P,M.D,M,I,707 S GARFIELD AVE,,ALHAMBRA,CA,918014438,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,22,50,34.67,24.463181818,19.31
1013915461,YANG,ANTHONY,P,M.D,M,I,707 S GARFIELD AVE,,ALHAMBRA,CA,918014438,US,Physician/Orthopedic Surgery,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,26,140,45.120769231,30.504230769,21.600769231
1013915479,NEUMAN,PAUL,C,DO,M,I,2211 QUARRY DR,SUITE E52,READING,PA,196091161,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,62.454545455,62.454545455,48.964545455,158.89181818
1013915479,NEUMAN,PAUL,C,DO,M,I,2211 QUARRY DR,SUITE E52,READING,PA,196091161,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,20,37,37,29.01,44.616
1013915487,GORAL,ANTONI,B,MD,M,I,8401 CONNECTICUT AVE,SUITE 800,CHEVY CHASE,MD,208155803,US,Physician/Orthopedic Surgery,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,34,100.70588235,84.2,62.561470588,65.277352941
1013915503,HERNANDEZ,ALVARO,A,M.D.,M,I,4646 N MESA,,EL PASO,TX,799123584,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,43,43,43,115.0244186,49.896511628,39.120930233,36.729767442
1013915503,HERNANDEZ,ALVARO,A,M.D.,M,I,4646 N MESA,,EL PASO,TX,799123584,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,12.52,9.9179310345,5.8544827586,5.4624137931
1013915503,HERNANDEZ,ALVARO,A,M.D.,M,I,4646 N MESA,,EL PASO,TX,799123584,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,43,43,43,116.04627907,53.800465116,42.183023256,40.934186047
1013915503,HERNANDEZ,ALVARO,A,M.D.,M,I,4646 N MESA,,EL PASO,TX,799123584,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,4,48,48,960,25.00490625,24.817489583,19.457010417,20.045958333
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,57,57,112.27491228,40.318596491,29.960701754,29.084736842
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,24,54,54,353.85185185,94.831666667,69.153888889,63.358148148
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,21,47,94,143.74776596,36.64893617,27.223510638,24.755106383
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,23,97,67.195979381,20.117628866,15.608041237,14.554123711
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,14,30,151,55.766622517,15.282516556,11.24781457,11.299072848
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,30,63,63,208.64507937,57.531111111,42.81984127,41.041746032
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,49,68,68,63.4575,18.715294118,13.835588235,13.325294118
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,22,52,52,66.121730769,13.373076923,9.7505769231,8.4938461538
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,50,104,521,8.8493666027,2.1506909789,1.6033973129,1.5180422265
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,32,40,40,58.6135,14.16175,10.29525,9.7425
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,450.20869565,88.350869565,63.036521739,58.432173913
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,31.73,4.6202631579,3.4278947368,3.5252631579
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,19,121,121,271.51933884,35.810165289,25.210495868,22.863884298
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,85,85,257.12129412,89.067529412,65.873411765,53.504352941
1013915552,ATKESON,BENJAMIN,G,M.D.,M,I,2076 NC HIGHWAY 42 W,100,CLAYTON,NC,275205302,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67.12,39.51,28.398333333,27.050833333
1013915735,ROUSSERE,JUDE,T,M.D.,M,I,16360 MONTEREY ST,STE 270,MORGAN HILL,CA,950375496,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,360,7.2011666667,5.74,4.5,4.5
1013915735,ROUSSERE,JUDE,T,M.D.,M,I,16360 MONTEREY ST,STE 270,MORGAN HILL,CA,950375496,US,Physician/General Surgery,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,445,13.459573034,10.81,8.4750561798,8.4750561798
1013915735,ROUSSERE,JUDE,T,M.D.,M,I,16360 MONTEREY ST,STE 270,MORGAN HILL,CA,950375496,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,2136,0.4494382022,0.4134831461,0.32417603,0.3449719101
1013915735,ROUSSERE,JUDE,T,M.D.,M,I,16360 MONTEREY ST,STE 270,MORGAN HILL,CA,950375496,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,670,0.4988656716,0.2646716418,0.1917014925,0.1958656716
1013915735,ROUSSERE,JUDE,T,M.D.,M,I,16360 MONTEREY ST,STE 270,MORGAN HILL,CA,950375496,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,12,420,25.270142857,23.506785714,18.429261905,18.549404762
1013915735,ROUSSERE,JUDE,T,M.D.,M,I,16360 MONTEREY ST,STE 270,MORGAN HILL,CA,950375496,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,525,3.752,3.622,2.8396,2.8773142857
1013915735,ROUSSERE,JUDE,T,M.D.,M,I,16360 MONTEREY ST,STE 270,MORGAN HILL,CA,950375496,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,24,2640,0.1432045455,0.13,0.1019242424,0.1019242424
1013915750,FRIEDMAN,ROBERT,L,M.D.,M,I,2055 KIMBALL AVE,SUITE 101,WATERLOO,IA,507025047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,44,77,67.341428571,8.32,5.3205194805,5.3205194805
1013915750,FRIEDMAN,ROBERT,L,M.D.,M,I,2055 KIMBALL AVE,SUITE 101,WATERLOO,IA,507025047,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,362.5,69.99,42.780625,42.666875
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,1950,0.3438461538,0.13,0.0784,0.0784
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,34,4710,4.4875796178,2.04,1.4839447983,1.4839447983
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2280,8.9432894737,7.23,5.6683289474,5.6683289474
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,490,13,7.88,6.1283877551,6.1283877551
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,29,63,20.15952381,10.895714286,8.1346031746,8.1617460317
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,33,9.2163636364,6.41,4.5681818182,5.3618181818
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,10.22,5.74,4.27575,4.27575
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,12.46,7,5.0306666667,5.0306666667
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6,4.04,2.9030833333,2.9030833333
1013915792,SCANLON,ROBERT,C,D.O.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.56,0.27,0.1923636364,0.1923636364
1013915974,WEINSTEIN,JOSEPH,,M.D.,M,I,4212 HEMPSTEAD TPKE,,BETHPAGE,NY,117145701,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,13,13,59.516923077,59.516923077,46.664615385,50.726153846
1013915990,SAVAR,ROBIN,E,D.O.,F,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,41,102,63.099901961,8.32,5.7032352941,5.7032352941
1013915990,SAVAR,ROBIN,E,D.O.,F,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,9.6416666667,3.38,2.2083333333,2.2083333333
1013915990,SAVAR,ROBIN,E,D.O.,F,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,27,12.657407407,1.42,1.0337037037,1.0337037037
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,32,60,76.053833333,8.32,5.8698333333,5.8698333333
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,14,15.430714286,1.42,0.88,0.88
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,6.9118181818,6.2390909091,4.8914393939,5.6197878788
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,3.4191919192,2.96,2.3206666667,2.3206666667
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,5.303030303,5.1712121212,4.0542424242,4.0913030303
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,5,4,3.135,2.5786363636
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,50,50,86.31,17.0324,12.5554,12.739
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,954.16666667,913.16,715.92,842.26
1013916048,NGUYEN,THANG,D,MD,M,I,27830 BRADLEY RD,,SUN CITY,CA,925862239,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,519.51,77.991764706,59.928627451,53.945098039
1013916055,MAHAFFEY,WILLIAM,M,M.D.,M,I,25480 POINT LOOKOUT RD,,LEONARDTOWN,MD,206503801,US,Physician/General Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,3,3,2.352,2.3676666667
1013916055,MAHAFFEY,WILLIAM,M,M.D.,M,I,25480 POINT LOOKOUT RD,,LEONARDTOWN,MD,206503801,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7668,0.3,0.3,0.2351956182,0.2430359937
1013916089,IWANETZ,BOHDAN,A,MD,M,I,713 E 142ND ST,,DOLTON,IL,604191062,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.1713541667,0.12,0.0861666667,0.0861666667
1013916089,IWANETZ,BOHDAN,A,MD,M,I,713 E 142ND ST,,DOLTON,IL,604191062,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,525,5.4702857143,3.67,2.8773142857,2.8773142857
1013916089,IWANETZ,BOHDAN,A,MD,M,I,713 E 142ND ST,,DOLTON,IL,604191062,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,2340,0.6775,0.45,0.3528162393,0.3528162393
1013916238,AUSTIN,JOSEPH,L,M.D.,M,I,127 MCCLANAHAN ST SW,SUITE 300,ROANOKE,VA,240141728,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,450,70.23,54.816363636,54.477272727
1013916238,AUSTIN,JOSEPH,L,M.D.,M,I,127 MCCLANAHAN ST SW,SUITE 300,ROANOKE,VA,240141728,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,37.44,26.681818182,26.845454545
1013916261,RICHARDSON,TRENT,T,M.D.,M,I,2720 N TENAYA WAY,DOHM,LAS VEGAS,NV,891280424,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67.25,17.25,11.266666667,11.286666667
1013916261,RICHARDSON,TRENT,T,M.D.,M,I,2720 N TENAYA WAY,DOHM,LAS VEGAS,NV,891280424,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,375,77.36,50.948333333,45.608333333
1013916279,VERMANI,VIMAL,,M.D.,M,I,2438 N PONDEROSA DR,SUITE # C-101,CAMARILLO,CA,930102369,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2640,3.5385871212,0.5696363636,0.4309810606,0.4309810606
1013916279,VERMANI,VIMAL,,M.D.,M,I,2438 N PONDEROSA DR,SUITE # C-101,CAMARILLO,CA,930102369,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1560,3.1101730769,1.2999230769,0.9656153846,0.9656153846
1013916279,VERMANI,VIMAL,,M.D.,M,I,2438 N PONDEROSA DR,SUITE # C-101,CAMARILLO,CA,930102369,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,17.372307692,17.372307692
1013916279,VERMANI,VIMAL,,M.D.,M,I,2438 N PONDEROSA DR,SUITE # C-101,CAMARILLO,CA,930102369,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,16,16,12.54,12.54
1013916394,CHILAKAMARRI,MADHAVI,,MD,F,I,3909 NEW VISION DR,,FORT WAYNE,IN,468451725,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,66,194,69.594226804,8.32,5.917628866,5.917628866
1013916394,CHILAKAMARRI,MADHAVI,,MD,F,I,3909 NEW VISION DR,,FORT WAYNE,IN,468451725,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,30,51,12.598823529,1.42,1.0929411765,1.0929411765
1013916394,CHILAKAMARRI,MADHAVI,,MD,F,I,3909 NEW VISION DR,,FORT WAYNE,IN,468451725,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,16,50.73,5.125625,2.438125,2.335
1013916493,REIMER,CRAIG,L,MD,M,I,407 W MARKET ST,,POTTSVILLE,PA,179012930,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,47,120,61.44675,8.32,5.7386666667,5.7386666667
1013916493,REIMER,CRAIG,L,MD,M,I,407 W MARKET ST,,POTTSVILLE,PA,179012930,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,20,11.1655,1.42,0.948,0.948
1013916493,REIMER,CRAIG,L,MD,M,I,407 W MARKET ST,,POTTSVILLE,PA,179012930,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,24.357142857,7.1996428571,4.9935714286,2.8964285714
1013916493,REIMER,CRAIG,L,MD,M,I,407 W MARKET ST,,POTTSVILLE,PA,179012930,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,274.344375,95.054375,74.52375,54.285
1013916493,REIMER,CRAIG,L,MD,M,I,407 W MARKET ST,,POTTSVILLE,PA,179012930,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,32.96,27.393333333
1013916493,REIMER,CRAIG,L,MD,M,I,407 W MARKET ST,,POTTSVILLE,PA,179012930,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,7315,0.4149200273,0.0451319207,0.0291332878,0.0291332878
1013916493,REIMER,CRAIG,L,MD,M,I,407 W MARKET ST,,POTTSVILLE,PA,179012930,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,61.875,33,20.89125,20.89125
1013916634,DIESTRO,MARIA,L,FNP,F,I,2548 MEMORIAL BLVD,,PORT ARTHUR,TX,776402825,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,55,38.686,8.32,6.2858181818,6.2858181818
1013916634,DIESTRO,MARIA,L,FNP,F,I,2548 MEMORIAL BLVD,,PORT ARTHUR,TX,776402825,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.086666667,3.38,2.65,2.65
1013916634,DIESTRO,MARIA,L,FNP,F,I,2548 MEMORIAL BLVD,,PORT ARTHUR,TX,776402825,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,26,12.416153846,1.42,1.1107692308,1.1107692308
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,91,199,57.999145729,8.3191959799,4.8828643216,4.8835175879
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,37,52,12.108846154,1.42,0.8155769231,0.8155769231
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,42,3.5785714286,2.0428571429,1.6014285714,1.250952381
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,53,61.651320755,21.580754717,16.916226415,13.643584906
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,21.130769231,7.6896153846,6.0276923077,3.7830769231
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,140.96727273,55.296363636,42.822727273,28.67
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,66,325.63439394,101.09939394,78.875454545,55.64469697
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1556,0.6979177378,0.1362082262,0.1016131105,0.1016131105
1013916691,CAGLE,MARSHA,R,N.P.,F,I,304 WRIGHT ST,,SWEETWATER,TN,378741181,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,42.714285714,33,25.87,25.87
1013916717,GROSS,WAYNE,D,D.O.,M,I,323 MARION AVE NW,SUITE 200,MASSILLON,OH,446463639,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,49,22.1175,16.7075,9.27
1013916717,GROSS,WAYNE,D,D.O.,M,I,323 MARION AVE NW,SUITE 200,MASSILLON,OH,446463639,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,90,6.5973333333,2.8313333333,2.102,1.487
1013916717,GROSS,WAYNE,D,D.O.,M,I,323 MARION AVE NW,SUITE 200,MASSILLON,OH,446463639,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,72.045111111,19.902,14.739333333,12.794444444
1013916717,GROSS,WAYNE,D,D.O.,M,I,323 MARION AVE NW,SUITE 200,MASSILLON,OH,446463639,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,133,49.207368421,37.215789474,24.511052632
1013916717,GROSS,WAYNE,D,D.O.,M,I,323 MARION AVE NW,SUITE 200,MASSILLON,OH,446463639,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,24,199,204,423.30019608,93.094901961,68.212058824,51.926862745
1013916774,ANDERSON,MARIE,B,P.A.,F,I,120 TRINITY PL,,ATHENS,GA,306072100,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.39,0.13,0.0197777778,0.0197777778
1013916774,ANDERSON,MARIE,B,P.A.,F,I,120 TRINITY PL,,ATHENS,GA,306072100,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,62,8557,5.2719422695,2.03,1.3848136029,1.3913170504
1013916808,KLEINHEN,IAN,D,M.D.,M,I,74 MACK ST,,WINDSOR,CT,060952759,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,29,56,210,73.809142857,8.32,5.6888095238,5.6888095238
1013916808,KLEINHEN,IAN,D,M.D.,M,I,74 MACK ST,,WINDSOR,CT,060952759,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,32,51,14.488823529,1.42,0.8519607843,0.8519607843
1013916808,KLEINHEN,IAN,D,M.D.,M,I,74 MACK ST,,WINDSOR,CT,060952759,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,324.99090909,55,36.345454545,36.108181818
1013916808,KLEINHEN,IAN,D,M.D.,M,I,74 MACK ST,,WINDSOR,CT,060952759,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,75.993076923,12.08,8.0130769231,7.7169230769
1013916808,KLEINHEN,IAN,D,M.D.,M,I,74 MACK ST,,WINDSOR,CT,060952759,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,84,9.3428571429,2,1.3442857143,1.3685714286
1013916816,ALLEN II,HARRY,S,M.D.,M,I,214 W PINE ST.,,FLORENCE,SC,295014725,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,12,12,73.270833333,18.046666667,14.140833333,14.051666667
1013916816,ALLEN II,HARRY,S,M.D.,M,I,214 W PINE ST.,,FLORENCE,SC,295014725,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,66.7025,11.54,8.2958333333,8.3625
1013916816,ALLEN II,HARRY,S,M.D.,M,I,214 W PINE ST.,,FLORENCE,SC,295014725,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,15,71,10.594084507,2.01,1.4436619718,1.4605633803
1013916816,ALLEN II,HARRY,S,M.D.,M,I,214 W PINE ST.,,FLORENCE,SC,295014725,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,198.79692308,34.32,26.907692308,26.372307692
1013916816,ALLEN II,HARRY,S,M.D.,M,I,214 W PINE ST.,,FLORENCE,SC,295014725,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,6.34,3.6816666667,2.8866666667,2.4033333333
1013916816,ALLEN II,HARRY,S,M.D.,M,I,214 W PINE ST.,,FLORENCE,SC,295014725,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,59.22,29.347,23.008,15.515
1013916816,ALLEN II,HARRY,S,M.D.,M,I,214 W PINE ST.,,FLORENCE,SC,295014725,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,23.97,11.827368421,9.2705263158,6.9684210526
1013916899,LUNSFORD,JOHN,W,M.D.,M,I,112 CLOVER LN,,HANOVER,PA,173314321,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,44,111,63.725765766,8.32,5.8763063063,5.8763063063
1013916899,LUNSFORD,JOHN,W,M.D.,M,I,112 CLOVER LN,,HANOVER,PA,173314321,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,14,16.760714286,1.42,1.1185714286,1.1185714286
1013916899,LUNSFORD,JOHN,W,M.D.,M,I,112 CLOVER LN,,HANOVER,PA,173314321,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50.03,16.59,13,13.485833333
1013916899,LUNSFORD,JOHN,W,M.D.,M,I,112 CLOVER LN,,HANOVER,PA,173314321,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,100.4247619,31.170952381,21.884285714,22.31952381
1013916899,LUNSFORD,JOHN,W,M.D.,M,I,112 CLOVER LN,,HANOVER,PA,173314321,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,135,67.72,53.1,54.594166667
1013916899,LUNSFORD,JOHN,W,M.D.,M,I,112 CLOVER LN,,HANOVER,PA,173314321,US,Physician/Family Practice,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,195,25.489230769,7.4670769231,5.404,5.404
1013916899,LUNSFORD,JOHN,W,M.D.,M,I,112 CLOVER LN,,HANOVER,PA,173314321,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,17.109090909,17.109090909
1013917061,BURTON,CURTIS,D,M.D.,M,I,188 MEDICAL DR,,HANNIBAL,MO,634016877,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,42,42,42,188.27380952,68.686904762,53.805238095,37.10952381
1013917061,BURTON,CURTIS,D,M.D.,M,I,188 MEDICAL DR,,HANNIBAL,MO,634016877,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,18.78,11.385945946,5.3189189189,4.0913513514
1013917103,POSEY,JON,T,MD,M,I,499 GLOSTER CREEK VLG,SUITE A1,TUPELO,MS,388014600,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,69,5966,0.3551357694,0.13,0.0919175327,0.0919175327
1013917103,POSEY,JON,T,MD,M,I,499 GLOSTER CREEK VLG,SUITE A1,TUPELO,MS,388014600,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,63,5256,4.252739726,1.8961643836,1.3393493151,1.4483028919
1013917103,POSEY,JON,T,MD,M,I,499 GLOSTER CREEK VLG,SUITE A1,TUPELO,MS,388014600,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2585,8.8701160542,7.1990522244,5.5999961315,5.6242591876
1013917111,ROSSER,STEPHEN,P,MD,M,I,750 HARTNESS RD,SUITE G,STATESVILLE,NC,286773400,US,Physician/General Surgery,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,17.51,14.324545455,11.228181818,11.156363636
1013917111,ROSSER,STEPHEN,P,MD,M,I,750 HARTNESS RD,SUITE G,STATESVILLE,NC,286773400,US,Physician/General Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,154.18545455,116.83727273,115.10272727
1013917111,ROSSER,STEPHEN,P,MD,M,I,750 HARTNESS RD,SUITE G,STATESVILLE,NC,286773400,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,56,49.455357143,42.52,33.336428571,31.028928571
1013917129,MANN,ROBERT,,M.D.,M,I,1439 52ND ST,,BROOKLYN,NY,112193920,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,25,71.638,8.32,5.22,5.22
1013917129,MANN,ROBERT,,M.D.,M,I,1439 52ND ST,,BROOKLYN,NY,112193920,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,250.8825,250.8825,184.735,184.91333333
1013917145,KALLER,STANLEY,A,DO,M,I,15111 WHITTIER BLVD,STE 102,WHITTIER,CA,906032136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,38,77.310789474,8.32,3.0884210526,3.0884210526
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,80,164,165,136.5590303,38.737515152,29.090060606,29.261575758
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,26,62,124,8.19,1.4786290323,1.14,1.1326612903
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,16,20,20,71.8975,11.863,8.8345,8.623
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,77,153,153,430.14660131,84.761960784,60.563333333,61.844575163
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,72,178,432,174.42208333,33.631157407,24.758634259,24.353657407
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,80,190,977,93.550798362,19.596008188,14.509181167,13.784636643
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,134,319,1610,68.855838509,15.163559006,10.72563354,10.748925466
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,212,492,495,266.35121212,54.819070707,40.227676768,40.162848485
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,269,379,380,81.1175,17.397789474,12.917657895,13.315157895
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,30,35,35,37.307428571,9.7194285714,7.6174285714,8.1191428571
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,215,487,487,92.493572895,12.045154004,8.8304106776,8.5467145791
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,278,705,3651,11.520884689,2.0071761161,1.4877430841,1.5068775678
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,84,112,112,25.107946429,6.1165178571,4.6683928571,4.5433035714
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,168,230,230,51.89126087,12.196826087,9.1147826087,9.8457391304
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,56,368,401,79.250648379,17.019276808,12.6440399,12.804688279
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,240.03636364,17,12.118181818,12.313636364
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,13,78,78,125.45192308,50,36.773717949,35.324615385
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,65,65,3802.3889231,1074.31,841.80015385,841.80015385
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,17,18,300.68055556,89.625,66.918888889,68.427222222
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,57,58,59,633.06508475,133.28372881,104.50033898,104.41864407
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,49,240,254,71.41984252,11.112992126,7.6653149606,7.8297244094
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,25,142,152,43.451118421,4.1781578947,3.1086184211,3.4451973684
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,116,704,772,234.33413212,33.75376943,25.227849741,24.337292746
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,91,678,722,481.76851801,79.333490305,58.838476454,52.603933518
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,99,108,235.78,35.31,26.920833333,28.635462963
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,6,16,16,16,135.734375,57,44.69,44.69
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,990,16.011606061,9.6338787879,7.3511717172,7.3511717172
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,21,43,180,51043,0.2071625884,0.0463060557,0.0348014419,0.034801246
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,81,8301,1.047574991,0.1347958077,0.0991193832,0.0991193832
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1470,12.646904762,2.9797142857,2.3361156463,2.3361156463
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,228.53333333,35.31,26.353611111,28.135833333
1013917160,SORRESSO,DOMENICK,J,M.D.,M,I,7541 MEDICAL DR,,HUDSON,FL,346676502,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,55,272,273,100.8021978,33,24.660512821,24.660512821
1013917202,YOUNG,DIANA,C,M.D.,F,I,16271 BASS RD,,FT MYERS,FL,339083616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,11,27,66.475555556,8.32,6.0377777778,6.0377777778
1013917202,YOUNG,DIANA,C,M.D.,F,I,16271 BASS RD,,FT MYERS,FL,339083616,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,10,3.9127272727,2.6872727273,3.1063636364
1013917228,MUNOZ,MARIA DE JESUS,,M.D.,F,I,1000 E DOVE AVE,,MCALLEN,TX,785043974,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,30,42.788333333,8.32,6.0863333333,6.0863333333
1013917228,MUNOZ,MARIA DE JESUS,,M.D.,F,I,1000 E DOVE AVE,,MCALLEN,TX,785043974,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,14,14,77.535,11.092857143,8.095,8.4328571429
1013917228,MUNOZ,MARIA DE JESUS,,M.D.,F,I,1000 E DOVE AVE,,MCALLEN,TX,785043974,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,14,79,10.55721519,2.0227848101,1.4667088608,1.4694936709
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,53,120,450,43.363711111,8.32,6.0822444444,6.0822444444
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,18,31,31,12.011612903,3.38,2.564516129,2.564516129
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,16.907058824,2.12,1.5717647059,1.5717647059
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,34,70,130,10.991846154,1.42,1.0633076923,1.0633076923
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,44,7.6818181818,6.44,5.0490909091,5.0490909091
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,4.7,4.02,3.1516538462,3.1516538462
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,44,7.9181818182,1.3922727273,0.9429545455,0.9954545455
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,83.8175,11.5,9.02,9.1116666667
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,78,6.76,1.94,1.52,1.5915384615
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,22,50.73,5.8090909091,4.1854545455,3.5109090909
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,46,50,150,33.3828,25.7024,25.2168
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,26,405.48653846,75.619615385,56.012692308,52.974230769
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,13,74,8156,1.2805210888,0.1363119176,0.0932025503,0.0932025503
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1680,11.544892857,3.2415357143,2.4559464286,2.4559464286
1013917236,PATEL,SUDHA,R,M.D.,F,I,34210 GLENWOOD RD,,WESTLAND,MI,481865439,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,14,69,69,117.65217391,33,21.289565217,21.289565217
1013917285,HOELLRICH,RUDOLF,,MD,M,I,55 COBURG RD,,EUGENE,OR,974012433,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,33,160.21909091,104.38,79.976666667,85.317878788
1013917400,GRINBERG,MIKHAIL,,MD,M,I,1660 EAST 14TH ST,STE 501,BROOKLYN,NY,11229,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,34,50,19.71,15.45,15.45
1013917400,GRINBERG,MIKHAIL,,MD,M,I,1660 EAST 14TH ST,STE 501,BROOKLYN,NY,11229,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,71,44.57,37.38,29.304929577,29.304929577
1013917400,GRINBERG,MIKHAIL,,MD,M,I,1660 EAST 14TH ST,STE 501,BROOKLYN,NY,11229,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,15,25,277.83,209.7396,164.4364,164.4364
1013917459,HALL,CHARLES,E,MD,M,I,3610 SPRINGHILL MEMORIAL DR N,,MOBILE,AL,366081162,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,44.185454545,44.185454545,26.369090909,30.710909091
1013917459,HALL,CHARLES,E,MD,M,I,3610 SPRINGHILL MEMORIAL DR N,,MOBILE,AL,366081162,US,Physician/Physical Medicine and Rehabilitation,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,12.926363636,8.9218181818,6.2163636364,6.1309090909
1013917517,KOKEMOR,JOHN,J,MD,M,I,2633 NAPOLEON AVE,NEW ORLEANS,NEW ORLEANS,LA,701156357,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,63,56.037301587,8.32,6.5187301587,6.5187301587
1013917517,KOKEMOR,JOHN,J,MD,M,I,2633 NAPOLEON AVE,NEW ORLEANS,NEW ORLEANS,LA,701156357,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,386,3.25,3.16,2.4773834197,2.3765284974
1013917517,KOKEMOR,JOHN,J,MD,M,I,2633 NAPOLEON AVE,NEW ORLEANS,NEW ORLEANS,LA,701156357,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7245,0.3500124224,0.3097004831,0.2428088337,0.2430075914
1013917541,VENUGOPAL,CHANDRA,,M.D.,M,I,3347 STATE ROAD 7,SUITE 203,WELLINGTON,FL,334498095,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18,14.11,13.5875
1013917541,VENUGOPAL,CHANDRA,,M.D.,M,I,3347 STATE ROAD 7,SUITE 203,WELLINGTON,FL,334498095,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,12,15,248.632,34.48,23.322666667,22.268666667
1013917541,VENUGOPAL,CHANDRA,,M.D.,M,I,3347 STATE ROAD 7,SUITE 203,WELLINGTON,FL,334498095,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,48,519.51,90.01,68.103541667,52.923541667
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,41,119,277,72.991083032,8.3171841155,5.9790252708,5.9806498195
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,35,40,15.516,1.42,0.867,0.867
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,220.33444444,120.43444444,94.418888889,67.845555556
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,32,101.713125,46.8496875,36.7296875,25.9171875
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,169.08368421,70.148421053,45.896315789,34.433684211
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,22,22,46.640454545,23.729545455,16.964545455,12.563636364
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,31,31,51.528709677,18.962903226,14.21483871,8.5316129032
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,39,189,8.9808465608,3.0441269841,2.3120634921,1.5255026455
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,30,91.362,21.788,15.766,13.312
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,48.728846154,16.182307692,12.242307692,9.6803846154
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,31.829117647,6.8341176471,4.4658823529,2.6176470588
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,41,41,170.37829268,48.08902439,35.598292683,23.332926829
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,68,68,394.36485294,97.52,67.667352941,52.041764706
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,3096,0.6158236434,0.0464567183,0.0332655039,0.0332655039
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,1731,1.3796995956,0.1379433853,0.0959387637,0.0959387637
1013917558,THONDAPU,VANAJA,,MD,F,I,105 E 9TH ST,,CORALVILLE,IA,52241,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,31,31,52.161290323,33,24.151935484,24.151935484
1013917814,CLARK,EDWARD,C,M.D.,M,I,311 W 24TH ST,SUITE 402,ERIE,PA,165022665,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,9.0498333333,2.5964545455,1.9031969697,1.9031969697
1013917814,CLARK,EDWARD,C,M.D.,M,I,311 W 24TH ST,SUITE 402,ERIE,PA,165022665,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,1470,4.2964013605,0.5523061224,0.433,0.433
1013917814,CLARK,EDWARD,C,M.D.,M,I,311 W 24TH ST,SUITE 402,ERIE,PA,165022665,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1560,1.9217051282,0.7489615385,0.5872051282,0.5872051282
1013917814,CLARK,EDWARD,C,M.D.,M,I,311 W 24TH ST,SUITE 402,ERIE,PA,165022665,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,4920,3.8863556911,1.1965853659,0.9381056911,0.9381056911
1013917814,CLARK,EDWARD,C,M.D.,M,I,311 W 24TH ST,SUITE 402,ERIE,PA,165022665,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,4.2499166667,2.8135,2.1061319444,2.1061319444
1013917814,CLARK,EDWARD,C,M.D.,M,I,311 W 24TH ST,SUITE 402,ERIE,PA,165022665,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,40,24,24,18.82,18.82
1013917814,CLARK,EDWARD,C,M.D.,M,I,311 W 24TH ST,SUITE 402,ERIE,PA,165022665,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,43,45,16.177777778,16,12.54,12.54
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,52,66.62,8.32,5.7676923077,5.7676923077
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,11.84,1.42,0.98,0.98
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,29.95,4.8883333333,1.8122222222,1.5022222222
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,747.37848485,99.535151515,74.299090909,54.979090909
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,4953,0.3416474864,0.0463153644,0.0291500101,0.0291500101
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1320,1.4566666667,0.1353409091,0.0999015152,0.0999015152
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,1063,3.3378080903,0.2189934149,0.1427375353,0.1427375353
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,285.6,44.34,30.973461538,26.935
1013918036,ODDLEIFSON,JENNIFER,,PA-C,F,I,592 WEST MAIN ST.-,,WALDOBORO,ME,045726030,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,33,33,20.9648,20.9648
1013918093,REEP,WILMER,L,MD,M,I,2931 RICHMOND RD,,TEXARKANA,TX,755032125,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,43,144,41.447986111,8.32,6.1413194444,6.1413194444
1013918093,REEP,WILMER,L,MD,M,I,2931 RICHMOND RD,,TEXARKANA,TX,755032125,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,17,9.7964705882,3.38,2.3382352941,2.3382352941
1013918093,REEP,WILMER,L,MD,M,I,2931 RICHMOND RD,,TEXARKANA,TX,755032125,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,25,51,12.600980392,1.42,1.0707843137,1.0707843137
1013918093,REEP,WILMER,L,MD,M,I,2931 RICHMOND RD,,TEXARKANA,TX,755032125,US,Physician/General Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,340,3.9964705882,3.9964705882,2.8956764706,2.9154117647
1013918093,REEP,WILMER,L,MD,M,I,2931 RICHMOND RD,,TEXARKANA,TX,755032125,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,23,34.293913043,6.1830434783,4.5508695652,3.3739130435
1013918119,SINGLETON,MICHAEL,J,"M.D., MBA",M,I,8880 S BROADWAY,,LOS ANGELES,CA,900033635,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,69.336071429,8.32,5.5885714286,5.5885714286
1013918218,MILLER,LAURA,M,DO,F,I,30 MEDICAL PARK,SUITE 230,WHEELING,WV,260036391,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,25,52,66.641538462,8.32,6.2698076923,6.2698076923
1013918218,MILLER,LAURA,M,DO,F,I,30 MEDICAL PARK,SUITE 230,WHEELING,WV,260036391,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,14,14.84,1.42,1.0385714286,1.0385714286
1013918218,MILLER,LAURA,M,DO,F,I,30 MEDICAL PARK,SUITE 230,WHEELING,WV,260036391,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,19,40,8.19,1.47,0.9775,0.9775
1013918218,MILLER,LAURA,M,DO,F,I,30 MEDICAL PARK,SUITE 230,WHEELING,WV,260036391,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,86.31,17.288461538,11.465384615,11.45
1013918218,MILLER,LAURA,M,DO,F,I,30 MEDICAL PARK,SUITE 230,WHEELING,WV,260036391,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,26,519.51,73.569230769,45.819615385,43.588461538
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,20,41,41,107.13073171,39.474146341,30.230731707,29.944146341
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,11,23,52,104,7.8235576923,1.5211538462,1.1691346154,1.1286538462
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,12,36,43,43,58.327209302,13.33255814,10.451860465,9.1395348837
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,18,36,36,221.52111111,97.143888889,71.981666667,64.281944444
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,14,33,85,81.010588235,36.885764706,28.918705882,26.039764706
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,14,36,171,45.928304094,19.42,14.692046784,14.060877193
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,,19,107,36.830654206,16.542803738,12.902897196,12.084766355
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,25,52,52,138.4725,57.466923077,44.200384615,42.599423077
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,37,52,52,44.143653846,18.279423077,13.7675,13.509038462
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,22,48,48,50.763125,13.07625,9.8354166667,8.788125
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,39,90,528,7.2407575758,2.3246022727,1.7834469697,1.5812878788
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,25,35,35,28.583714286,13.175714286,10.005714286,10.036
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,20,132,140,65.108928571,17.9955,13.4355,13.035642857
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,73.726956522,17.63,13.160434783,12.883043478
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,462.35304348,76.48,57.353043478,52.340869565
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,24,26,161.02423077,55.601923077,43.592692308,37.63
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,75,87,1542.3649425,1071.243908,835.26666667,837.67137931
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,24,356.97916667,98.296666667,76.248333333,64.103333333
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,450,230.28818182,180.54636364,160.65
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,65,65,1386.1824615,980.24876923,763.044,763.044
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,125.70291667,14.2,10.66625,10.070416667
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,32,253,253,46.34027668,6.5171936759,4.8928458498,3.592055336
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,17,113,113,151.65097345,35.444424779,26.189026549,23.70699115
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,95,731,742,289.68960916,78.298247978,58.318221024,52.599016173
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,73,573,575,82.822121739,37.068608696,27.943669565,28.371547826
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,18.439017544,9.6432105263,7.4344210526,7.4344210526
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,14,81,4590,14.446954248,11.269732026,8.7337102397,8.733708061
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,40,173,31815,0.1815115512,0.0464007544,0.0335260097,0.0335256954
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,23,121,11843,0.948768893,0.1361682006,0.1016963607,0.1016963607
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,24,132,7710,10.095045396,3.0350389105,2.3169494163,2.3169494163
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,990,1.0425454545,0.2185454545,0.1661818182,0.1661818182
1013918234,BRANCACCIO,FRANK,A,M.D.,M,I,411 N WASHINGTON AVE STE 2400,,DALLAS,TX,752461736,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,71,371,371,82.013477089,33,24.574609164,24.574609164
1013918242,PORTER,CARLOS,,M.D.,M,I,5282 MEDICAL DR,SUITE 250,SAN ANTONIO,TX,782294849,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,48,53.532916667,8.32,6.5225,6.5225
1013918283,TAN,KENNETH,,MD,M,I,4300 ROSE DR,,YORBA LINDA,CA,928862026,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,28,78,60.537051282,8.32,6.0206410256,6.0206410256
1013918283,TAN,KENNETH,,MD,M,I,4300 ROSE DR,,YORBA LINDA,CA,928862026,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,137.20117647,39.896470588,23.921176471,23.315882353
1013918283,TAN,KENNETH,,MD,M,I,4300 ROSE DR,,YORBA LINDA,CA,928862026,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,231.72333333,51.688333333,33.316111111,35.685555556
1013918283,TAN,KENNETH,,MD,M,I,4300 ROSE DR,,YORBA LINDA,CA,928862026,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,75.137272727,17.601818182,13.8,14.06
1013918283,TAN,KENNETH,,MD,M,I,4300 ROSE DR,,YORBA LINDA,CA,928862026,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,23,100,9.057,2.0048,1.2893,1.3101
1013918317,MAGEE,RONALD,R,M.D.,M,I,5224 E I 240 SERVICE RD,,OKLAHOMA CITY,OK,731352607,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,13,155,61.536129032,25.335483871,19.862967742,19.307741935
1013918317,MAGEE,RONALD,R,M.D.,M,I,5224 E I 240 SERVICE RD,,OKLAHOMA CITY,OK,731352607,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,110,37.609090909,8.78,6.8830909091,6.4609090909
1013918317,MAGEE,RONALD,R,M.D.,M,I,5224 E I 240 SERVICE RD,,OKLAHOMA CITY,OK,731352607,US,Physician/Vascular Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,384.44615385,100.70923077,69.168461538,45.810769231
1013918317,MAGEE,RONALD,R,M.D.,M,I,5224 E I 240 SERVICE RD,,OKLAHOMA CITY,OK,731352607,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,3439.5377778,919.66888889,713.05055556,495.98666667
1013918317,MAGEE,RONALD,R,M.D.,M,I,5224 E I 240 SERVICE RD,,OKLAHOMA CITY,OK,731352607,US,Physician/Vascular Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,68,29.982941176,22.562941176,13.181764706
1013918416,DEJENE,BROOK,A,MD,M,I,1944 ROUTE 33,MID-ATLANTIC SURGICAL ASSOCIATES - SUITE 201,NEPTUNE,NJ,077534862,US,Physician/Cardiac Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,227.5,44.009166667,34.5025,36.078333333
1013918424,SIMONELLI,PAUL,F,"MD, PH.D.",M,I,100 N ACADEMY AVE,MC 01-11,DANVILLE,PA,178229800,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,36.923076923,5.6715384615,4.4476923077,3.38
1013918424,SIMONELLI,PAUL,F,"MD, PH.D.",M,I,100 N ACADEMY AVE,MC 01-11,DANVILLE,PA,178229800,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,647.276,91.346,68.631,51.9935
1013918424,SIMONELLI,PAUL,F,"MD, PH.D.",M,I,100 N ACADEMY AVE,MC 01-11,DANVILLE,PA,178229800,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,32.344166667,27.056666667
1013918457,PEROFSKY,HOWARD,J,M D,M,I,682 HEMLOCK ST,SUITE 230,MACON,GA,312016883,US,Physician/Plastic and Reconstructive Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,19,1261,0.1317287867,0.12,0.0940840603,0.0940840603
1013918457,PEROFSKY,HOWARD,J,M D,M,I,682 HEMLOCK ST,SUITE 230,MACON,GA,312016883,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,1924,0.5162370062,0.44,0.3292151767,0.3292151767
1013918457,PEROFSKY,HOWARD,J,M D,M,I,682 HEMLOCK ST,SUITE 230,MACON,GA,312016883,US,Physician/Plastic and Reconstructive Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,380,29.840789474,23.66,18.316605263,18.316605263
1013918457,PEROFSKY,HOWARD,J,M D,M,I,682 HEMLOCK ST,SUITE 230,MACON,GA,312016883,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,27,2160,0.1394444444,0.13,0.096287037,0.096287037
1013918457,PEROFSKY,HOWARD,J,M D,M,I,682 HEMLOCK ST,SUITE 230,MACON,GA,312016883,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,18,2738,0.4948137327,0.4492330168,0.3522059898,0.3526661797
1013918481,COMETA,TERESITA,A,MD,F,I,5471 DR MARTIN LUTHER KING DR,,SAINT LOUIS,MO,631124265,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,24,83.979166667,8.32,4.8920833333,4.8920833333
1013918580,PIPARO,TRACEY,M,PA-C,F,I,1 ROBERT WOOD JOHNSON PL,MEB 104,NEW BRUNSWICK,NJ,089011928,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,218.29307692,68.246153846,53.510769231,54.73
1013918580,PIPARO,TRACEY,M,PA-C,F,I,1 ROBERT WOOD JOHNSON PL,MEB 104,NEW BRUNSWICK,NJ,089011928,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,67.388,14.41,10.17,12.015
1013918788,PLASTER,RODNEY,L,MD,M,I,6475 S YALE AVE,STE. 301,TULSA,OK,741367816,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,56,56,56,139.67589286,50.881785714,39.892142857,39.631071429
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,52,53.629038462,8.32,5.7686538462,5.7686538462
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.186666667,3.38,2.2083333333,2.2083333333
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,14.757058824,1.42,0.9835294118,0.9835294118
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,18,84.652222222,33.48,20.408888889,20.188888889
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,50.473333333,12.36,8.835,8.3133333333
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,28,59,5.5908474576,2,1.2506779661,1.2749152542
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.0475,3.9625,3.66
1013918820,VIZY,BARBARA,A,M.D.,F,I,3690 ORANGE PL,SUITE # 230,BEACHWOOD,OH,441224464,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,158.33133333,36.914,27.241333333,24.933333333
1013918853,SHOTEN,STEPHEN,,M.D.,M,I,182 W MONTAUK HWY,SUITE H,HAMPTON BAYS,NY,119462345,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,40,121,62.649008264,8.32,5.6595867769,5.6595867769
1013918853,SHOTEN,STEPHEN,,M.D.,M,I,182 W MONTAUK HWY,SUITE H,HAMPTON BAYS,NY,119462345,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,25,14.656,1.42,1.0256,1.0256
1013918853,SHOTEN,STEPHEN,,M.D.,M,I,182 W MONTAUK HWY,SUITE H,HAMPTON BAYS,NY,119462345,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,480,3.61125,3,2.352,2.3647291667
1013918853,SHOTEN,STEPHEN,,M.D.,M,I,182 W MONTAUK HWY,SUITE H,HAMPTON BAYS,NY,119462345,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,9372,0.3818181818,0.3,0.2351984635,0.2416133163
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,22,83,47.669156627,8.32,6.2075903614,6.2075903614
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,79,78.314936709,18.78,13.536329114,13.384177215
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,21,21,221.9047619,55.235238095,43.298571429,44.031428571
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,65.427272727,19.671818182,15.429090909,14.799090909
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,60.085384615,11.775384615,9.2284615385,9.8969230769
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,105,9.3547619048,2.280952381,1.7880952381,1.6234285714
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,75.655,17,13.33,13.54
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,20,240.5455,32,25.088,24.936
1013918879,SWETZ,MARK,E,M.D.,M,I,3065 SOUTHWESTERN BLVD,SUITE 206,ORCHARD PARK,NY,141271239,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,34,444.72617647,77.18,59.737352941,53.947647059
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,30,30.8,8.32,6.521,6.521
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.12,9.29,7.28,8.4527272727
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,28,37.5,23.4625,17.859642857,14.121785714
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,10,7.342,5.4306666667,3.7786666667
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,50,53,246.47433962,112.87283019,87.368301887,63.726415094
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1680,0.92,0.1359464286,0.1065892857,0.1065892857
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,15,36.666666667,30.432,22.579333333,15.011333333
1013919034,VAN WORMER,MARK,E,MD,M,I,314 N 3RD AVE,,CLAYTON,NM,884153302,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,24,132,33,25.87,25.87
1013919067,DEVEAUX,THERESA,E,CRNP,F,I,301 HOSPITAL DR,,GLEN BURNIE,MD,210615803,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,13,175,36.485142857,25.327428571,19.856742857,19.2
1013919067,DEVEAUX,THERESA,E,CRNP,F,I,301 HOSPITAL DR,,GLEN BURNIE,MD,210615803,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,125,15.974,7.8144,6.1264,6.42896
1013919067,DEVEAUX,THERESA,E,CRNP,F,I,301 HOSPITAL DR,,GLEN BURNIE,MD,210615803,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,2081.3470588,707.34058824,554.54941176,509.88470588
1013919109,ELLIOT,ELIZABETH,S,D.O.,F,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842700,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,28,73,45.99109589,8.32,6.2536986301,6.2536986301
1013919109,ELLIOT,ELIZABETH,S,D.O.,F,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842700,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,28,9.4385714286,1.42,1.0771428571,1.0771428571
1013919109,ELLIOT,ELIZABETH,S,D.O.,F,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842700,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1013919109,ELLIOT,ELIZABETH,S,D.O.,F,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842700,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,501.103125,96.02375,59.385,42.5775
1013919117,BARKER,JOHN,R,M.D.,M,I,10103 RIDGEGATE PKWY,,LONE TREE,CO,801245520,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,4995,4378.96,3433.11,3433.11
1013919133,BRACKETT,JEFFREY,C,MD,M,I,168 N BRENT ST,STE 503,VENTURA,CA,930032840,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,15,15,181.38,38.81,28.401333333,28.462666667
1013919133,BRACKETT,JEFFREY,C,MD,M,I,168 N BRENT ST,STE 503,VENTURA,CA,930032840,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,271.51666667,51,34.981666667,37.92
1013919133,BRACKETT,JEFFREY,C,MD,M,I,168 N BRENT ST,STE 503,VENTURA,CA,930032840,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,84.579166667,16.68,11.980833333,12.990833333
1013919133,BRACKETT,JEFFREY,C,MD,M,I,168 N BRENT ST,STE 503,VENTURA,CA,930032840,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,60,12.388666667,2,1.5166666667,1.5408333333
1013919174,ELLIOTT,JAMES,S,M.D.,M,I,105 CHAMBLISS DR,,HARDINSBURG,KY,401432575,US,Physician/Emergency Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,300,123.16916667,89.025833333,59.793333333
1013919174,ELLIOTT,JAMES,S,M.D.,M,I,105 CHAMBLISS DR,,HARDINSBURG,KY,401432575,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,36.6,4.6491666667,1.8333333333,1.7833333333
1013919182,FRIEDLAND,DANIEL,M,M.D.,M,I,49 HOOPER ST.,MILES FAMILY MEDICINE - WISCASSET,WISCASSET,ME,04578,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,58,60.275862069,8.32,5.7772413793,5.7772413793
1013919182,FRIEDLAND,DANIEL,M,M.D.,M,I,49 HOOPER ST.,MILES FAMILY MEDICINE - WISCASSET,WISCASSET,ME,04578,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,21,519.51,106.38666667,83.41,58.587142857
1013919182,FRIEDLAND,DANIEL,M,M.D.,M,I,49 HOOPER ST.,MILES FAMILY MEDICINE - WISCASSET,WISCASSET,ME,04578,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,134.26,40.662727273,27.949090909,16.330909091
1013919182,FRIEDLAND,DANIEL,M,M.D.,M,I,49 HOOPER ST.,MILES FAMILY MEDICINE - WISCASSET,WISCASSET,ME,04578,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,145.11,67.032727273,47.769090909,32.109090909
1013919182,FRIEDLAND,DANIEL,M,M.D.,M,I,49 HOOPER ST.,MILES FAMILY MEDICINE - WISCASSET,WISCASSET,ME,04578,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,198.12,99.950833333,78.364166667,57.483333333
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,1258.12,19.71,15.45,15.45
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,93,629.90268817,37.38,29.306129032,29.306129032
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,61,94,94,264.48148936,122.51180851,90.134361702,63.300744681
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,44,78,159,117.59591195,44.867044025,32.989496855,24.419811321
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,97,62.316082474,24.799896907,17.67257732,13.362061856
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,12,21,108,54.048333333,19.375462963,13.85212963,10.78462963
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,30,55,55,187.00818182,74.733454545,51.706727273,38.221818182
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,83,101,101,56.816534653,24.378217822,17.201584158,12.771386139
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,80,128,128,50.216015625,20.639375,15.315625,8.691328125
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,82,150,765,6.9634640523,2.9850980392,2.1407189542,1.4612679739
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,69,83,83,18.842289157,8.3225301205,5.9727710843,4.2904819277
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,37,45,45,35.088222222,15.293555556,11.058222222,9.4533333333
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,83,90,77.083333333,21.985,16.571888889,13.144777778
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,38.660833333,31.351666667
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,23,26,137.575,61.208461538,46.399615385,37.348846154
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,24,387.35708333,111.30458333,84.437916667,64.065
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,376.36363636,210.58590909,163.89772727,109.69454545
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,42.723076923,14.765384615,9.7946153846,8.0738461538
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,36,164,171,130.75520468,51.040233918,37.503333333,24.941052632
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,32,214,224,460.20977679,100.86875,76.212455357,56.273348214
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,45.96,36.035,31.901666667
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,627,186.76834131,1.4970334928,1.1736682616,1.1736682616
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,3723.3333333,2665.6004762,2076.1671429,2076.1671429
1013919232,ADAJAR,FUNDADOR,L,MD,M,I,2890 N WILSHIRE BLVD,,ROSWELL,NM,882016514,US,Physician/Cardiovascular Disease (Cardiology),S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,483.23,169.85333333,133.16416667,107.97583333
1013919398,BROTHERTON,TIMOTHY,W,"M,D,",M,I,125 EXECUTIVE DR,STE J,DANVILLE,VA,245414155,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,20,1970,19.597994924,4.5495939086,3.5533857868,3.5533857868
1013919398,BROTHERTON,TIMOTHY,W,"M,D,",M,I,125 EXECUTIVE DR,STE J,DANVILLE,VA,245414155,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,24,24,18.82,18.82
1013919489,KOELSCH,DAVID,W,MD,M,I,300 S 8TH ST,SUITE 401E,MURRAY,KY,42071,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,184,2.87,2.87,2.2505434783,2.28
1013919489,KOELSCH,DAVID,W,MD,M,I,300 S 8TH ST,SUITE 401E,MURRAY,KY,42071,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,900,0.27,0.27,0.2116,0.2116
1013919489,KOELSCH,DAVID,W,MD,M,I,300 S 8TH ST,SUITE 401E,MURRAY,KY,42071,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,460,3.0704347826,3.0034782609,2.2524782609,2.2801956522
1013919588,SAGHIR,SHEIKH,S,MD,M,I,2600 S RAINBOW BLVD,SUITE 108,LAS VEGAS,NV,891464006,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,45,33.2,17.25,11.441777778,11.461777778
1013919588,SAGHIR,SHEIKH,S,MD,M,I,2600 S RAINBOW BLVD,SUITE 108,LAS VEGAS,NV,891464006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,45,171.29244444,77.36,49.867777778,45.000222222
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,27,85,182,63.573791209,8.2250549451,6.1218681319,6.196043956
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,12,26,34,12.262647059,1.42,1.0494117647,1.0494117647
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,19,38,38,381.08526316,126.07210526,96.857105263,69.364736842
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,18,42,142.43119048,46.265238095,36.272380952,25.918571429
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,272.29692308,76.870769231,60.266153846,42.86
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,26,26,82.514615385,25.418076923,19.328846154,14.776153846
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,25,49,49,83.572040816,21.69244898,16.594489796,9.692244898
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,24,56,254,12.409724409,3.2816535433,2.5235433071,1.681023622
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,196.7685,82.3995,64.602,42.892
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.97,22.253636364,16.089090909,12.3
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,42,46,87.877391304,19.519347826,14.548043478,10.091956522
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,17,113,113,21.024690265,7.3154867257,5.122920354,3.1060176991
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,11,53,57,248.76368421,52.127368421,39.817368421,26.845789474
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,63,63,350.3752381,104.95111111,78.941746032,55.967460317
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,6197,0.3327481039,0.0463014362,0.0291205422,0.0291205422
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1020,0.9879117647,0.1357941176,0.1011176471,0.1011176471
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,59.11,26.924166667,21.109166667,14.19
1013919604,REED,CHARLES,E,M.D.,M,I,3326 FRONT ST,SUITE B,WINNSBORO,LA,712956487,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,52.8,33,21.7308,21.7308
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,74,191,487,64.830554415,8.32,6.0666735113,6.0666735113
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,37,37,13.04,3.38,2.5783783784,2.5783783784
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,20.225625,2.12,1.565625,1.565625
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,45,100,132,14.263787879,1.42,1.0232575758,1.0232575758
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10.02,3.65,2.8615,3.0396818182
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,14.658,5.54,4.3435,4.3435
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,240,10.407541667,4.03,3.1595416667,3.1595416667
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.45,1.0593333333,1.0746666667
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,70.29,12.384615385,9.7123076923,9.1815384615
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,65,9.0090769231,2.12,1.6121538462,1.5509230769
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,17.52,11.772352941,11.596470588
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,4056.0542857,913.16,706.83857143,827.16285714
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,50.73,5.2266666667,3.3651851852,2.8796296296
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,257.82,34.72,25.12875,23.486875
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,461.84111111,79.96,56.351666667,48.981296296
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,182.5,37,26.2903125,26.6775
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,6440,0.237810559,0.0463059006,0.0337282609,0.0337282609
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,865,0.9951213873,0.1271676301,0.0933872832,0.0933872832
1013919695,BOYER,DIANNA,L,M.D.,F,I,49 BILLS BLVD,,MARTINSVILLE,IN,461513354,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,44,44,96,33,25.282045455,25.282045455
1013919737,KATZ,DANIEL,,M.D.,M,I,2040 OGDEN AVE STE 304,,AURORA,IL,60504,US,Physician/Vascular Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,5.41,3.4690909091,3.2318181818
1013919752,WHEELER,JONATHAN,W,MD,M,I,999 ADAMS ST,SUITE 200,SAINT HELENA,CA,945741148,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,35,104,86.177980769,8.32,6.1453846154,6.1453846154
1013919752,WHEELER,JONATHAN,W,MD,M,I,999 ADAMS ST,SUITE 200,SAINT HELENA,CA,945741148,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,183.63636364,32.226363636,25.265454545,25.345454545
1013919752,WHEELER,JONATHAN,W,MD,M,I,999 ADAMS ST,SUITE 200,SAINT HELENA,CA,945741148,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,565.42195122,77.353658537,60.647317073,54.651463415
1013919752,WHEELER,JONATHAN,W,MD,M,I,999 ADAMS ST,SUITE 200,SAINT HELENA,CA,945741148,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,525,38.290434783,30.02173913,29.51
1013919752,WHEELER,JONATHAN,W,MD,M,I,999 ADAMS ST,SUITE 200,SAINT HELENA,CA,945741148,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2550,1.5254745098,0.1319882353,0.0981372549,0.0981372549
1013919752,WHEELER,JONATHAN,W,MD,M,I,999 ADAMS ST,SUITE 200,SAINT HELENA,CA,945741148,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1013919760,KITCHENS,RUPA,K,MD,F,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,2990,0.2373913043,0.13,0.101916388,0.101916388
1013919760,KITCHENS,RUPA,K,MD,F,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,17,13.8,9.4675,9.4675
1013919760,KITCHENS,RUPA,K,MD,F,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,64,7590,4.6144927536,2.04,1.5927694335,1.5927694335
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,56,109,63.246055046,8.32,6.0305504587,6.0305504587
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,27,27,12.685925926,1.42,0.9125925926,0.9125925926
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,49.090909091,38.487272727,38.439090909
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.55,13.76,13.54
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,60.51,54.72
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1998,0.3941391391,0.046021021,0.0360760761,0.0360760761
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1020,1.8444803922,0.1384117647,0.1031470588,0.1031470588
1013919778,NWOKORO,UGOCHUKWU,,MD,M,I,1 ELIZABETH PL,STE 260,DAYTON,OH,454173445,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,34.2,33,24.5765,24.5765
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,32,32,168.520625,40.82125,30.1134375,28.588125
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,27,192.32074074,33.537777778,23.485555556,23.11037037
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,32,178,102.75505618,20.220337079,14.534438202,13.258370787
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,36,36,293.43611111,58.673055556,44.615277778,41.459722222
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,26,26,87.414230769,18.855384615,14.777307692,14.058461538
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,99.852105263,11.566315789,8.5884210526,8.6363157895
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,49,266,12.800601504,2.1420300752,1.6198120301,1.5312030075
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,13,19,19,48.858421053,13.734736842,10.767894737,10.348421053
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,632.43,120.76583333,87.141666667,58.084166667
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,26,81.75,12.977307692,10.175769231,10.120384615
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,45,57,235.35719298,38.016842105,29.167719298,25.13877193
1013919877,GOVINDAN,SRINI,,MD,M,I,40 MEDICAL PARK,SUITE 304,WHEELING,WV,260036392,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,23,431.07,84.900869565,61.570434783,49.980869565
1013919893,TUASON,MARIA CONCHITA,M,M.D.,F,I,245 W ROOSEVELT RD,"BLDG 14, SUITE 150",WEST CHICAGO,IL,601853739,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,28,64,73.67921875,8.32,5.40015625,5.40015625
1013919893,TUASON,MARIA CONCHITA,M,M.D.,F,I,245 W ROOSEVELT RD,"BLDG 14, SUITE 150",WEST CHICAGO,IL,601853739,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,18.618461538,1.42,1.0338461538,1.0338461538
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,22,1980,0.3871919192,0.12,0.0940858586,0.0940858586
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,42,3630,0.5498347107,0.44,0.341184573,0.341184573
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,15,188,10.352340426,8.41,6.5938297872,6.5938297872
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,29,7800,0.08,0.05,0.0392,0.0392
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,25,31,1590,2.679245283,2.16,1.693427673,1.693427673
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,36,46,6080,0.2300559211,0.13,0.1010723684,0.1010723684
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,15,1731,0.5912651646,0.45,0.3528191797,0.3528191797
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,24,152,1.5567105263,1.28,1.0032894737,1.0032894737
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,17,29,340,87.057058824,26.245,19.4415,18.213176471
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,17,25,220,50.839318182,8.24,6.1398181818,6.1115909091
1013919943,ZAIOOR,HUSSEIN,,MD,M,I,101 E MILLER RD,,STERLING,IL,610811252,US,Physician/Internal Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,19,31,31,4818,903.15258065,708.07225806,508.95580645
1013919976,DADDONO,ANTHONY,,M.D.,M,I,1790 NATIONS DR,SUITE 102,GURNEE,IL,600319164,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,4848,0.1774814356,0.0461489274,0.0316192244,0.0316192244
1013919976,DADDONO,ANTHONY,,M.D.,M,I,1790 NATIONS DR,SUITE 102,GURNEE,IL,600319164,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,24,24,94.875,33,23.714166667,23.714166667
1013920040,GOLD,KENNETH,J,MD,M,I,75 MOUNT AUBURN ST,HUHS,CAMBRIDGE,MA,021384960,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,17,12.219166667,12.433333333
1013920040,GOLD,KENNETH,J,MD,M,I,75 MOUNT AUBURN ST,HUHS,CAMBRIDGE,MA,021384960,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,78,56.054166667,50.169166667
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,85,7160,0.44,0.44,0.3449874302,0.3449874302
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,26,34,1060,23.33,23.33,18.155330189,18.377443396
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,29,1347,8.166013363,8.166013363,6.3528953229,6.4393689681
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,24,702,18.596752137,18.25957265,14.315441595,14.497849003
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,662,3.61,3.61,2.8302567976,2.8758912387
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,40,66,8200,2.2965853659,2.1402926829,1.6779865854,1.6921939024
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,40,62,6996,0.13,0.13,0.1019168096,0.1019168096
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,500,2.24448,1.9596,1.5364,1.5445
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6450,"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,312,1.5333333333,1.5333333333,1.2020833333,1.5442307692
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,16,49,585,27.42,24.386666667,19.119230769,19.193470085
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,16,47,400,8.7675,7.706,6.041575,6.398225
1013920172,DELPIN,CHRISTINA,A,MD,F,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,14,45,45,1716.46,616.426,483.274,467.42666667
1013920230,HIPOL,ROSARIO,D,M.D.,F,I,701 INDEPENDENCE CIR STE 102,,VIRGINIA BEACH,VA,234556439,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,17.816666667,13.965,13.826666667
1013920230,HIPOL,ROSARIO,D,M.D.,F,I,701 INDEPENDENCE CIR STE 102,,VIRGINIA BEACH,VA,234556439,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,16.352941176,8.2352941176,6.4564705882,6.7464705882
1013920347,SIMON,JENNIFER,C,CFNP,F,I,122 PINNELL STREET,,RIPLEY,WV,25271,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,62,131,68.328396947,8.32,5.3832824427,5.3832824427
1013920347,SIMON,JENNIFER,C,CFNP,F,I,122 PINNELL STREET,,RIPLEY,WV,25271,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,13.282105263,1.42,0.8221052632,0.8221052632
1013920347,SIMON,JENNIFER,C,CFNP,F,I,122 PINNELL STREET,,RIPLEY,WV,25271,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,59.758461538,22.666923077,17.769230769,14.456153846
1013920347,SIMON,JENNIFER,C,CFNP,F,I,122 PINNELL STREET,,RIPLEY,WV,25271,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,360.73090909,100.90545455,79.111818182,62.093636364
1013920347,SIMON,JENNIFER,C,CFNP,F,I,122 PINNELL STREET,,RIPLEY,WV,25271,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,593,0.8168634064,0.2190556492,0.117386172,0.117386172
1013920347,SIMON,JENNIFER,C,CFNP,F,I,122 PINNELL STREET,,RIPLEY,WV,25271,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,21.81875,21.81875
1013920362,THOMAS,CORWIN,A,D.O.,M,I,802 E FARREL RD,,LAFAYETTE,LA,705087208,US,Physician/Cardiovascular Disease (Cardiology),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,1561.02,942.14,732.40173913,831.51695652
1013920362,THOMAS,CORWIN,A,D.O.,M,I,802 E FARREL RD,,LAFAYETTE,LA,705087208,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,142.22,38.532,30.21,29.689333333
1013920362,THOMAS,CORWIN,A,D.O.,M,I,802 E FARREL RD,,LAFAYETTE,LA,705087208,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,20,115,115,418.19991304,82.331391304,59.850782609,50.815043478
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,14,171,43.485380117,19.686432749,15.434619883,15.434619883
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,440,5.1,2.6372727273,2.0675454545,2.0675454545
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,126,486,1336,51.158929641,8.32,6.2014595808,6.2014595808
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,27,27,13.494814815,3.38,2.65,2.65
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,19,19,19.64,2.12,1.67,1.67
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,79,287,375,7.86776,1.42,1.08304,1.08304
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,110,116,28.471206897,28.46,21.605,21.605
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,101,125,10.938,10.93,8.09184,8.09184
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,33,347,5.54,5.54,4.3435446686,4.3435446686
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,3932,0.44,0.44,0.3449643947,0.3449643947
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,43,43,150.30395349,49.441162791,35.217906977,29.182325581
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,476,3.04,3.04,2.3834453782,2.3834453782
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,533,8.41,8.41,6.593358349,6.593358349
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,13,27,27,475.52814815,118.81148148,87.084074074,65.158888889
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,23,67,202.85835821,46.388059701,35.385671642,26.363880597
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,32,154,105.89461039,25.097012987,18.612987013,14.260584416
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,18,108,76.691481481,20.393333333,13.893425926,10.243055556
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,24,49,49,282.45306122,76.676530612,55.987346939,43.786734694
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,36,54,54,80.017962963,24.898148148,18.650740741,14.597592593
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,35,35,96.995714286,20.483714286,15.768,10.834285714
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,27,70,349,13.588825215,2.9205730659,2.2333810888,1.6368194842
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,21,32,32,54.62625,15.5775,11.85625,10.27375
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,266.66,167.89611111,127.63444444,119.65
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,120.625,58.13,43.173125,33.028125
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,47,81.212553191,21.954468085,16.575531915,13.157234043
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,12,42,50,55.95,16.9554,12.1358,10.0656
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,20,22.34,8.456,6.6285,5.535
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,16,83,93,329.34344086,44.16,31.748387097,25.643655914
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,29.305714286,27.847142857,19.535714286,54.436428571
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,35.92,12.275909091,9.0827272727,8.7327272727
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,75,147,9.5,3.5130612245,2.6192517007,2.2451020408
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,72,141,16.4,7.0492198582,5.2754609929,5.1314893617
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,65,134,19.8,8.646119403,6.2047014925,6.0879104478
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,36.67,11.555454545,8.5577272727,8.2245454545
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,420.19,211.83363636,160.13318182,160.13318182
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,88.37,46.145714286,33.877142857,28.99047619
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,12,74,77,493.57324675,101.54285714,77.447272727,55.38025974
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,56,33.810666667,26.507333333,21.843333333
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,E2208,"Wheelchair accessory, cylinder tank carrier, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.67,8.3781818182,6.3336363636,6.1154545455
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1240,17.3905,10.675419355,8.3695725806,8.3695725806
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,35,9841,0.2110313992,0.0460207296,0.0346336754,0.0346336754
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1110,1.8987837838,0.1267297297,0.0993873874,0.0993873874
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,639,3.281799687,0.2205790297,0.1594522692,0.1594522692
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,61.323809524,30.123809524,20.873809524,13.362380952
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,140.97,38.285681818,27.558409091,21.013636364
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,45,45,216.28333333,67.625111111,51.838222222,29.517333333
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,6,,37,38,33.707368421,10.626315789,8.1542105263,7.2273684211
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,303.61411765,240.78352941,188.77294118,195.25058824
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,285.6,44.119090909,31.604545455,26.831818182
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,689.5,211.68181818,162.10181818,133.79
1013920420,MORROW,MICHAEL,S,MD,M,I,600 E 1ST ST,,SPRING VALLEY,IL,613621512,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,44,44,64.5,33,24.106136364,24.106136364
1013920479,RUGGIERO,CORINNE,,D.O.,F,I,605 GORDON DR,,EXTON,PA,193411287,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,80,56.951,8.32,4.8785,4.8785
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,44,129,298,58.770100671,8.32,6.172114094,6.172114094
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,15,40,40,14.9565,3.38,2.58375,2.58375
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,21,21,23.644761905,2.12,1.5904761905,1.5904761905
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,30,73,101,15.078415842,1.42,1.0715841584,1.0715841584
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,122.74727273,49.680909091,35.22,27.719090909
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,75,76.992,26.142,18.636666667,12.692933333
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,25,84,48.444761905,20.092738095,14.757142857,11.052619048
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,17,36,36,304.91333333,78.016944444,55.529166667,38.173888889
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,22,27,27,74.034444444,26.780740741,20.415185185,14.198518519
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,30,30,81.882666667,22.779333333,17.522333333,9.2016666667
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,21,37,221,10.49719457,3.3049773756,2.5346606335,1.6087782805
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,22,22,23.314090909,9.5522727273,7.4881818182,4.8213636364
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,14,20,20,52.3365,16.1125,12.064,10.097
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,124.65266667,22.97,17.509333333,13.928
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,200.47619048,8.0580952381,6.0852380952,3.4323809524
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,35,36,620.94,56.276944444,41.250277778,25.604722222
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,616.20454545,104.19418182,79.052909091,58.349636364
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,49,2940,20.96952381,11.324632653,8.8785544218,8.8785544218
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1620,1.7096666667,0.1400555556,0.1081234568,0.1081234568
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,54,3240,8.4720462963,3.0012592593,2.1642962963,2.1642932099
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,285.6,44.745,35.0825,30.986666667
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,203.11727273,159.23909091,123.89727273
1013920628,HALL,CRAIG,,MD,M,I,3056 PRESTON AVE,,IONE,CA,95640,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,55,55,39,33,24.929272727,24.929272727
1013920651,LYSS,ALAN,P,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,79.8,58.389333333,51.081333333
1013920651,LYSS,ALAN,P,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,16,1134,41.925299824,5.0157495591,3.8898589065,3.8898589065
1013920651,LYSS,ALAN,P,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,24,24,18.82,18.82
1013920867,MIEDZIAK,ANITA,I,M.D.,F,I,419 NORTH HARRISON STREET,SUITE 104,PRINCETON,NJ,08540,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,12,104.08333333,58.575,42.258333333,49.143333333
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,61,117,118,134.81220339,38.715254237,29.655169492,29.771864407
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,26,53,5.3654716981,1.48,1.0724528302,1.0637735849
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.2,0.94,0.965
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,55.267272727,11.781818182,9.2336363636,9.0836363636
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,31,58,58,366.42551724,84.567758621,62.617413793,64.016034483
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,22,42,95,147.03694737,33.620210526,25.814,25.407473684
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,39,77,338,63.678757396,19.858047337,15.13316568,14.173698225
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,21,41,193,58.286632124,15.08,11.638341969,11.705958549
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,74,140,141,190.31617021,54.938794326,41.24751773,41.033687943
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,98,123,123,74.79495935,17.428861789,12.578943089,12.940162602
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,44,84,84,70.099047619,12.033928571,8.8348809524,8.5751190476
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,90,184,966,8.4964492754,2.0151552795,1.5457971014,1.556552795
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,30,39,39,22.633589744,6.12,4.5512820513,4.4382051282
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,52,61,61,55.947377049,12.08,9.47,10.31147541
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,14,115,115,60.775826087,17,12.823826087,13.031913043
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,53,53,148.33396226,49.733584906,36.610188679,35.349811321
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,3495.5278049,1051.7443902,817.5702439,835.26146341
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,20,328.846,88.3445,67.855,68.9815
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,15,1011.586,204.09533333,151.55266667,150.05333333
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,563.71571429,131.42,103.04,104.46285714
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,21,95,109,34.930917431,12.516697248,9.2446788991,9.3922018349
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,17,82,84,36.333452381,4.1422619048,2.769047619,3.1544047619
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,51,303,324,194.53891975,32.810493827,23.880709877,23.429660494
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,43,316,317,371.3144164,79.843280757,59.706056782,52.322649842
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,21,126,133,171.84691729,35.37406015,26.698646617,28.30924812
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,596,5.9622147651,3.1750838926,2.2932550336,2.2932550336
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,29,93,24441,0.3375442903,0.0466224786,0.0353839859,0.0353835768
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,23,89,10741,1.5302094777,0.13255749,0.0970812773,0.0970812773
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,800,1.27305,0.2188625,0.1587625,0.1587625
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,236.63133333,36.178,26.297333333,27.421333333
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,28,43,178,178,60.189606742,33,24.216629213,24.216629213
1013921105,ROZAS,CARLOS,J,MD,M,I,4620 N HABANA AVE,STE 101,TAMPA,FL,336147107,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,15,15,83.6,66,51.74,51.74
1013921154,SHAW,GARY,H,M.D.,M,I,416 CONNABLE AVE,,PETOSKEY,MI,497702212,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,990,4.5195555556,0.5651818182,0.4012424242,0.4012424242
1013921154,SHAW,GARY,H,M.D.,M,I,416 CONNABLE AVE,,PETOSKEY,MI,497702212,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2640,3.9345,1.2947272727,0.985905303,0.985905303
1013921154,SHAW,GARY,H,M.D.,M,I,416 CONNABLE AVE,,PETOSKEY,MI,497702212,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1013921154,SHAW,GARY,H,M.D.,M,I,416 CONNABLE AVE,,PETOSKEY,MI,497702212,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,22,16,16,11.4,11.4
1013921279,KANTOR,ALAN,B,M.D.,M,I,3379 CROMPOND RD,SUITE 310,YORKTOWN HEIGHTS,NY,10598,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,76,218,753,68.744448871,8.32,6.1023638778,6.1023638778
1013921279,KANTOR,ALAN,B,M.D.,M,I,3379 CROMPOND RD,SUITE 310,YORKTOWN HEIGHTS,NY,10598,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,15.264444444,3.38,2.65,2.65
1013921279,KANTOR,ALAN,B,M.D.,M,I,3379 CROMPOND RD,SUITE 310,YORKTOWN HEIGHTS,NY,10598,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,26,69,102,14.314901961,1.42,1.0619607843,1.0619607843
1013921428,BENSON,ROBERT,M,MD,M,I,4451 COUNTRY CLUB RD,SUITE 3A,STATESBORO,GA,304589188,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,47,60.073617021,8.32,6.5217021277,6.5217021277
1013921428,BENSON,ROBERT,M,MD,M,I,4451 COUNTRY CLUB RD,SUITE 3A,STATESBORO,GA,304589188,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,70,4.885,2.6665714286,1.8374285714,1.3908571429
1013921428,BENSON,ROBERT,M,MD,M,I,4451 COUNTRY CLUB RD,SUITE 3A,STATESBORO,GA,304589188,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,133,50.044615385,34.593846154,20.680769231
1013921477,SHAFI,FARIHA,,MD,F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,38,170,82.605470588,8.3118235294,6.3628235294,6.3692352941
1013921477,SHAFI,FARIHA,,MD,F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,20,39,16.985641026,1.42,1.0566666667,1.0566666667
1013921477,SHAFI,FARIHA,,MD,F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,27.51,17.71,12.897857143,12.572857143
1013921477,SHAFI,FARIHA,,MD,F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,20,36.7835,6.324,4.493,3.9005
1013921477,SHAFI,FARIHA,,MD,F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,141.52714286,78.53,57.162857143,50.811428571
1013921477,SHAFI,FARIHA,,MD,F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1678,1.3368772348,0.143647199,0.1126400477,0.1126400477
1013921568,DOYLE,ROBERT,J,D.P.M.,M,I,6550 NAAMAN FOREST BLVD,SUITE 200,GARLAND,TX,750445691,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,450,251.28,197,217.32642857
1013921592,BERARD,CHRISTOPHER,J,D.O.,M,I,200A W MAIN ST STE 103,,BABYLON,NY,117023434,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,32,108,44.939166667,8.32,6.4016666667,6.4016666667
1013921592,BERARD,CHRISTOPHER,J,D.O.,M,I,200A W MAIN ST STE 103,,BABYLON,NY,117023434,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,32,7.1834375,1.42,1.07875,1.07875
1013921592,BERARD,CHRISTOPHER,J,D.O.,M,I,200A W MAIN ST STE 103,,BABYLON,NY,117023434,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,34.658333333,17,11.506666667,11.721666667
1013921592,BERARD,CHRISTOPHER,J,D.O.,M,I,200A W MAIN ST STE 103,,BABYLON,NY,117023434,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,434.41916667,77.55,55.733333333,50.169166667
1013921592,BERARD,CHRISTOPHER,J,D.O.,M,I,200A W MAIN ST STE 103,,BABYLON,NY,117023434,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,41.25,29.4,26.827272727
1013921634,LIBERMAN,MIRYAM,,M.D.,F,I,31822 VILLAGE CENTER RD,SUITE 107,WESTLAKE VILLAGE,CA,913614316,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,62,57.939193548,8.32,6.5237096774,6.5237096774
1013921691,RAYNOR,LEIGHTON,A,M.D.,M,I,335 E PARKER RD,,MORGANTON,NC,286555112,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,29,29,29,79.619655172,77.134482759,57.129655172,50.554482759
1013921691,RAYNOR,LEIGHTON,A,M.D.,M,I,335 E PARKER RD,,MORGANTON,NC,286555112,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,28,73.796428571,43.144285714,33.827142857,42.421071429
1013921691,RAYNOR,LEIGHTON,A,M.D.,M,I,335 E PARKER RD,,MORGANTON,NC,286555112,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,32,63,63,48.3353125,52.4478125
1013921709,KNAPP,PETER,M,M.D.,M,I,12188A N MERIDIAN ST,SUITE #200,CARMEL,IN,460324578,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,69,6690,0.2799103139,0.13,0.0970014948,0.0970014948
1013921709,KNAPP,PETER,M,M.D.,M,I,12188A N MERIDIAN ST,SUITE #200,CARMEL,IN,460324578,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,36,144,25348,5.3029848509,1.7482026195,1.3500019725,1.5496859713
1013921709,KNAPP,PETER,M,M.D.,M,I,12188A N MERIDIAN ST,SUITE #200,CARMEL,IN,460324578,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,24,93,13148,9.1286811682,6.148562519,4.7743573167,5.5094919379
1013921956,COPELAND,KATHRYN,A,M.D.,F,I,12188A N MERIDIAN ST,SUITE 200,CARMEL,IN,460324578,US,Physician/Obstetrics & Gynecology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,2316,0.3278238342,0.13,0.0901079447,0.0901079447
1013921956,COPELAND,KATHRYN,A,M.D.,F,I,12188A N MERIDIAN ST,SUITE 200,CARMEL,IN,460324578,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,42,5588,4.3552612742,1.73,1.2465694345,1.4789495347
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,75,115,115,77.969304348,47.542173913,35.730347826,29.745913043
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,210,385,385,215.89812987,115.96202597,84.338857143,63.487324675
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,175,360,419,96.497589499,42.893221957,31.608042959,24.626897375
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,50,102,265,92.016716981,23.70509434,17.034113208,13.11
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,41,87,174,45.509252874,18.660862069,13.73362069,11.215402299
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,110,192,192,173.80401042,70.5253125,49.698020833,38.31609375
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,306,393,393,77.440356234,22.845877863,16.476335878,12.977201018
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,17,17,31.752941176,11.128235294,7.6976470588,7.3111764706
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,245,448,448,58.010535714,18.465334821,13.510602679,8.6451339286
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,296,641,1593,7.9481795355,2.6721845574,1.9584243566,1.4975392341
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,38,48,48,18.985833333,7.4197916667,5.710625,4.713125
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,42,52,52,48.292307692,14.688846154,10.746730769,9.6163461538
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,44,273,278,364.6026259,117.44280576,88.911043165,69.099136691
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,13,81,81,776.29481481,283.83592593,212.13716049,160.83197531
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,121,579,587,53.471005111,16.627001704,12.232555366,9.7154344123
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,91,520,526,189.72302281,46.840380228,34.344714829,24.287680608
1013922335,KUMAR,MANOJ,,MD,M,I,64 POMEROY ST,,CORTLAND,NY,130452708,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,104,104,296.95548077,96.1025,70.192788462,51.412307692
1013922533,COLVER,KEVIN,J,MD,M,I,1500 SW 1ST AVE,,OCALA,FL,344716504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,340.55882353,75.336470588,55.494117647,51.57
1013922814,ACQUAH,EKOW,E,M.D.,M,I,15200 COMMUNITY RD,4TH FLOOR,GULFPORT,MS,395033085,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,145.6,62.701818182,49.158181818,36.390909091
1013922848,DINSMORE,REX,W,DO,M,I,3033 STATE RD,SUITE 202,CUYAHOGA FALLS,OH,442233614,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,134.45,31.856363636,22.045454545,21.254545455
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,26,50,50,64.2016,39.62,31.07,30.5228
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,33,73,73,161.38958904,87.929589041,66.778356164,65.766027397
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,33,75,213,63.485258216,33.844084507,26.323380282,25.716056338
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,24,45,262,21.884656489,18.477099237,14.023816794,14.083664122
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,25,46,268,16.256343284,14.951716418,11.197985075,11.365746269
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,46,90,90,64.009444444,55.641222222,41.689333333,41.002333333
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,68,95,95,24.494210526,17.500842105,13.284105263,13.598736842
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,52,106,106,21.456226415,11.767075472,8.7933018868,8.6867924528
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,76,163,921,3.0963735071,2.0227361564,1.5338762215,1.5389576547
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,31,43,43,12.413255814,6.1088372093,4.5672093023,4.4397674419
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,27,35,35,25.521142857,12.975142857,9.8842857143,10.038285714
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,281.1,144.89923077,113.6,104.7
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,26,146,147,86.533197279,33.525170068,25.325034014,24.470748299
1013922970,JOKHIO,SHAHZAD,,MD,M,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775555302,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,169.5804,76.58,56.98,52.0944
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,38,109,49.036330275,8.32,6.2823853211,6.2823853211
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,34,14.982352941,1.42,1.115,1.115
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,75.735,11.6055,9.101,9.12
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,108,10.032222222,2.0238888889,1.5875,1.5933333333
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,38,80.618421053,17.364736842,13.252368421,13.176052632
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,48.750769231,4.9746153846,3.9015384615,3.8976923077
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,138.82352941,32.433529412,24.727058824,24.079117647
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,64,69,413.86869565,71.452608696,53.205362319,52.598405797
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,2997,1.0915815816,0.1342342342,0.1052519186,0.1052519186
1013922988,PARISH,BARTON,D,M.D.,M,I,2605 ALBERT PIKE RD,,HOT SPRINGS,AR,719134514,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,105.6,33,25.87,25.87
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,28,76,952,58.623413866,19.642594538,15.100084034,15.100084034
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,28,71,2175,7.9367034483,2.6333793103,2.0281563218,2.0281563218
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,63,354,1328,3559,63.523093566,8.318974431,6.1256588929,6.1264624895
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,26,26,14.036538462,3.38,2.4461538462,2.4461538462
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,22.843571429,2.12,1.5507142857,1.5507142857
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,35,126,276,383,14.705430809,1.42,1.0395561358,1.0395561358
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,46,46,92,80.074021739,71.017391304,53.114347826,53.538804348
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,34,34,204,39.230392157,28.640294118,22.454019608,22.886666667
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,13,13,13,40.713076923,39.236153846,27.866923077,54.276923077
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,16,99,99,671.39737374,339.07757576,264.72242424,264.72242424
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,19,137,10920,14.904878205,10.272163004,8.0436492674,8.0436419414
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,27,118,118,312.34016949,251.04059322,194.71550847,194.76966102
1013923127,JOHNSON,MARK,C,MD,M,I,910 N EISENHOWER AVE,,MASON CITY,IA,504012800,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,310.38086957,264.16,207.1,207.1
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,57,2955,4.3881116751,0.4833299492,0.3710084602,0.3710084602
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,83,5310,8.8767664783,2.5488983051,1.9523427495,1.9874538606
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,10560,1.4848191288,1.2506931818,0.9805464015,0.9805464015
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,22,44,204,36623,5.1742293095,0.5772995112,0.4356368948,0.4389752341
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,52,12025,0.0612191268,0.012989605,0.0092266112,0.0092266112
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,20,70,533,75900,2.7829014493,0.7395913043,0.561016996,0.5638225296
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,11,105,16500,5.5366466667,1.2410078788,0.9419424242,0.9419418182
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,34,116,745,145464,6.0475241297,2.8305756063,2.1320878018,2.1931629132
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,22,49,333,18223,26.427825276,7.4526740932,5.5844438347,5.7341250069
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,9,34,205,87386,10.647159728,8.4959395098,6.5907569862,6.6575718078
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,60,173,1062,1062,24,24,18.501996234,18.501996234
1013923234,NORI,UDAY,S,M.D.,M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,50,169,1099,1276,16.601880878,16,12.459819749,12.459819749
1013923424,PAULO,JIMMY,M,MD,M,I,1 CLARA MAASS DR STE 202,,BELLEVILLE,NJ,071093550,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.44,5.7272727273,4.4936363636,3.7527272727
1013923424,PAULO,JIMMY,M,MD,M,I,1 CLARA MAASS DR STE 202,,BELLEVILLE,NJ,071093550,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,30,103.66133333,71.5,56.06,54.863
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,9.2,7.8,6.12,6.6621428571
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,60,61,32.59295082,26.27,19.131639344,20.618196721
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,29.69,25.24,17.079285714,20.132142857
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,44,44,6.9797727273,5.54,3.9454545455,3.9454545455
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,13.84,11.73,9.19,10.470714286
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,90,107,13.175700935,9.29,6.8717757009,7.9735514019
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,22,8.6,7.3,5.7236363636,5.8322727273
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,168,2.91,2.91,2.28125,2.28125
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,960,2.933125,1.95,1.5288333333,1.5288333333
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,924,0.1236580087,0.1185714286,0.092965368,0.0940909091
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,43,81,15628,0.44,0.44,0.3396538265,0.3396538265
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,850,0.27,0.27,0.2116,0.2116
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,457,7.18,7.05,5.2489934354,5.4262582057
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,373,5.95,5.23,4.056541555,4.056541555
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,3.04,3.04,2.3835,2.3835
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A5114,"Leg strap; foam or fabric, replacement only, per set",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,10.08,8.57,6.3247058824,7.3917647059
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,400,0.27,0.27,0.2116,0.2116
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,16,32,1034,35.858558994,34.847137331,27.320183752,27.330270793
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,34,67,2448,8.6351470588,8.28,6.4234477124,6.4234477124
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,44,2069,18.567061382,18.5,14.472740454,14.472740454
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,1020,6.0375,5.95,4.6648333333,4.6648333333
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,29,45,1344,3.79,3.79,2.9713244048,2.9713244048
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,23,34,512,8.4592773438,8.41,6.115625,6.115625
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,22,363,22.42,22.42,17.577272727,17.577272727
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,19,244,11.627377049,10.93,8.5690163934,8.5690163934
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,18,496,2.4423387097,2.4,1.8816330645,1.8816330645
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,351,5.7312820513,5.28,4.1396866097,4.1396866097
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,22,425,7.36,7.36,5.5666588235,5.5666588235
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,45,19.915777778,18.29,14.339555556,14.339555556
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,52,1993,3.67,3.67,2.8306422479,2.8306422479
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1110,0.13,0.13,0.1000810811,0.1000810811
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,33,88,10490,0.4604461392,0.4498913251,0.3527264061,0.3528083889
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,74,2139,138.58833567,5.3992987377,4.2291725105,4.1674100047
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,74,40264,1.290508643,0.3020308464,0.2292035069,0.2350069541
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,10446,6.3493605208,0.63,0.4801866743,0.5024238943
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,42,42,214.76547619,62.457142857,46.97547619,46.353571429
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,8,25,25,25,115.6652,51.8084,37.606,36.8556
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,8,24,24,24,99.61,61.725416667,46.682083333,40.347916667
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,32,32,191.40625,64.6025,48.18875,37.3771875
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,49,50,80.5,48.942,37.4578,38.2622
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,25,298.008,151.6344,118.8828,104.3404
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,37,38,50.766315789,18.882368421,14.335789474,13.398157895
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,21.109565217,5.0030434783,3.7565217391,3.7865217391
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,14.01,11.443333333,8.2406666667,8.2613333333
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,14,78,79,303.03962025,82.820379747,62.736582278,54.152025316
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,61.041666667,36.25,26.841111111,27.825
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,47,44.923617021,32.561276596,25.528085106,23.250212766
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,21,21,21,56.09047619,39.732857143,29.729047619,27.968095238
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,17,17,17,174.73176471,154.02941176,115.18352941,108.72882353
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,22,130,130,74.502923077,21.813538462,15.436230769,12.459461538
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,23,130,133,52.072932331,31.528646617,23.205714286,20.573533835
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,108.8125,68.169375,50.90875,35.32125
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,17,146.76470588,89.726470588,70.345294118,56.161764706
1013923440,WARD,BRADLEY,L,,M,I,220 HILLS CREEK RD,,TAYLORSVILLE,GA,301782068,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,9.7,7.5488888889,5.4888888889,5.972962963
1013923523,DAVE,NALINI,M,M.D.,F,I,1201D BRIARCREST DR,,BRYAN,TX,778025223,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,54,65.515555556,8.32,5.7501851852,5.7501851852
1013923523,DAVE,NALINI,M,M.D.,F,I,1201D BRIARCREST DR,,BRYAN,TX,778025223,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,20,16.885,1.42,0.944,0.944
1013923598,SWANSON,SHANE,M,M.D.,M,I,1093 HILLTOP DR,,REDDING,CA,960033811,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,22.892,6.9866666667,5.3546666667,3.8766666667
1013923689,OSHEA-WILK,KATHLEEN,,MD,F,I,3330 W 177TH ST,SUITE 1A,HAZEL CREST,IL,604292184,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,36,82,180,61.9095,8.314,5.8307222222,5.8354444444
1013923689,OSHEA-WILK,KATHLEEN,,MD,F,I,3330 W 177TH ST,SUITE 1A,HAZEL CREST,IL,604292184,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14.675833333,3.38,2.65,2.65
1013923689,OSHEA-WILK,KATHLEEN,,MD,F,I,3330 W 177TH ST,SUITE 1A,HAZEL CREST,IL,604292184,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,22,43,52,14.195192308,1.42,0.9890384615,0.9890384615
1013923689,OSHEA-WILK,KATHLEEN,,MD,F,I,3330 W 177TH ST,SUITE 1A,HAZEL CREST,IL,604292184,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,90.5,18,13.623448276,13.112413793
1013923689,OSHEA-WILK,KATHLEEN,,MD,F,I,3330 W 177TH ST,SUITE 1A,HAZEL CREST,IL,604292184,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,260.13888889,77.18,55.4675,50.6425
1013923689,OSHEA-WILK,KATHLEEN,,MD,F,I,3330 W 177TH ST,SUITE 1A,HAZEL CREST,IL,604292184,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,45,33.056666667,24.258666667,19.516
1013923846,CHUA,WINSTON,,MD,M,I,2603 KENTUCKY AVE,SUITE 403,PADUCAH,KY,420033814,US,Physician/Hematology-Oncology,S,J8655,Netupitant 300 mg and palonosetron 0.5 mg,O1E - Other Drugs,Drugs and Nutritional Products,N,1,23,133,133,686.45263158,357.16270677,277.58578947,277.58578947
1013923846,CHUA,WINSTON,,MD,M,I,2603 KENTUCKY AVE,SUITE 403,PADUCAH,KY,420033814,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,42,49.907142857,42.230714286,30.804047619,28.85
1013923846,CHUA,WINSTON,,MD,M,I,2603 KENTUCKY AVE,SUITE 403,PADUCAH,KY,420033814,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,24,115,115,24,24,18.82,18.82
1013923846,CHUA,WINSTON,,MD,M,I,2603 KENTUCKY AVE,SUITE 403,PADUCAH,KY,420033814,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,23,132,132,16,16,12.54,12.54
1013923929,LI,YIBING,,MD,F,I,5401 N KNOXVILLE AVE,STE 117,PEORIA,IL,616145098,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,100.75,86.355714286,67.704285714,67.704285714
1013924174,PELT,ALAN,E,OD,M,I,4340 LAFAYETTE ST,,MARIANNA,FL,32446,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,100,77.93,61.09,55.988461538
1013924174,PELT,ALAN,E,OD,M,I,4340 LAFAYETTE ST,,MARIANNA,FL,32446,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,33,27,17.78,13.095151515,13.133636364
1013924232,HANKINS,JIMMY,S,D.O.,M,I,915 W LAUREL AVE,,FOLEY,AL,365351324,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,1140,142.248,105.7872,104.0752
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,52,127,316,62.855094937,8.32,5.8867721519,5.8867721519
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,25,47,64,13.90171875,1.42,0.9940625,0.9940625
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,253.35058824,86.92,57.53,57.277058824
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,52,51.251538462,15.441923077,9.3732692308,9.1776923077
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,219.27666667,59.973333333,38.166,37.526666667
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,22,22,54.031363636,18.544090909,12.785,12.715909091
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,24,24,53.940416667,11.717916667,7.9170833333,8.30125
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,39,180,8.1688888889,2.194,1.5142777778,1.4751666667
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,20,20,18.207,6.0565,4.134,4.2185
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,137.80444444,20.912222222,16.394444444,13.864444444
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,35,6.4485714286,4.7957142857,3.3785714286
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,344.43707317,34.471707317,25.632195122,23.357560976
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,22.58,9.65,7.57,7.56
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,90,90,587.29822222,80.631222222,60.023222222,57.012222222
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,4198,0.4128346832,0.0469199619,0.0332896617,0.0332896617
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,K0020,"Fixed, adjustable height armrest, pair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,5.5,4.3171428571,3.3828571429,3.44
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,151.60645161,40.506774194,28.803870968,28.228387097
1013924315,THOMAS,STEPHEN,R,DO,M,I,3202 MCINTOSH CIR,STE 302,JOPLIN,MO,648043646,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,33,33,23.842916667,23.842916667
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,18,225,58.953155556,19.638355556,15.372444444,15.372444444
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,530,8.451509434,2.6309433962,1.9454339623,1.9454339623
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,124,167,506,1799,71.89471373,8.32,6.1200611451,6.1200611451
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,20,40,40,13.097,3.38,2.58375,2.58375
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,17,23,23,20.823043478,2.12,1.67,1.67
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,71,90,207,375,15.87968,1.42,1.0310666667,1.0310666667
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,13,13,13,46.276153846,42.809230769,32.296153846,58.494615385
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,20,90,90,260.73077778,249.98488889,194.39377778,194.77633333
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,244.28055556,243.30722222,190.75166667,196.28444444
1013924455,TSENG,CONRAD,,M.D.,M,I,99 N LA CIENEGA BLVD STE 107,,BEVERLY HILLS,CA,902112285,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,64,14.75,0.6075,0.44625,0.44625
1013924489,COZZI,THOMAS,F,MD,M,I,1430 N ARLINGTON HEIGHTS RD,STE. #112,ARLINGTON HEIGHTS,IL,600044830,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,35,61.705142857,8.32,2.9811428571,2.9811428571
1013924489,COZZI,THOMAS,F,MD,M,I,1430 N ARLINGTON HEIGHTS RD,STE. #112,ARLINGTON HEIGHTS,IL,600044830,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,17,10.825882353,1.42,0.4588235294,0.4588235294
1013924489,COZZI,THOMAS,F,MD,M,I,1430 N ARLINGTON HEIGHTS RD,STE. #112,ARLINGTON HEIGHTS,IL,600044830,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,46,46,70,55.96326087,43.876086957,40.304565217
1013924489,COZZI,THOMAS,F,MD,M,I,1430 N ARLINGTON HEIGHTS RD,STE. #112,ARLINGTON HEIGHTS,IL,600044830,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,340,77.18,56.740769231,51.396153846
1013924489,COZZI,THOMAS,F,MD,M,I,1430 N ARLINGTON HEIGHTS RD,STE. #112,ARLINGTON HEIGHTS,IL,600044830,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,61,61,45,34.417213115,25.759016393,20.802131148
1013924489,COZZI,THOMAS,F,MD,M,I,1430 N ARLINGTON HEIGHTS RD,STE. #112,ARLINGTON HEIGHTS,IL,600044830,US,Physician/Geriatric Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,937.09,198.87666667,155.91666667,151.71166667
1013924612,WOOD,HARRISON,W,MD,M,I,2211 LOMAS BLVD NE,,ALBUQUERQUE,NM,871062719,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,3939.165,913.16,703.775625,822.219375
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,51,146,356,60.795533708,8.32,5.8714325843,5.8714325843
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,18,35,53,17.405849057,1.42,0.9894339623,0.9894339623
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.7105,3.04,2.1668181818,2.1668181818
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,208.76,119.68538462,82.242307692,60.626923077
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,17,22,22,62.95,25.012727273,17.174545455,12.240909091
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,13,17,17,41.02,20.814705882,14.54,7.5105882353
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,15,25,50,7.32,2.98,1.984,1.272
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,55,55,50.35,22.468545455,17.071272727,13.147454545
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,29.61,7.9045454545,6.1945454545,4.0272727273
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,163.93368421,44.299210526,29.72,20.641842105
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,73,73,307.63,100.39863014,75.627808219,56.010410959
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,900,21.285411111,9.4434666667,7.1466444444,7.1466444444
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2854,0.6370847933,0.0467729502,0.0328206027,0.0328206027
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1497,2.4228056112,0.1253039412,0.0800334001,0.0800334001
1013924687,DEFREECE,DANIEL,J,MD,M,I,1700 14TH AVE,,NEBRASKA CITY,NE,684101146,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,33,33,24.875,24.875
1013924760,MCGORISK,GERARD,M,MD,M,I,1365 CLIFTON RD NE,,ATLANTA,GA,303221013,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,475,75.56,53.854545455,49.754545455
1013924802,RODRIGUEZ,AUGUSTO,,M.D.,M,I,10234 ROSECRANS AVE,,BELLFLOWER,CA,907062602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,45,80,73.12525,8.32,5.787625,5.787625
1013924802,RODRIGUEZ,AUGUSTO,,M.D.,M,I,10234 ROSECRANS AVE,,BELLFLOWER,CA,907062602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,31.615,1.42,1.12,1.12
1013924851,CALDEMEYER,ROBERT,D,MD,M,I,24 COMPTON ROAD,SUITE 205,CINCINNATI,OH,45216,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,43,116,77.97137931,8.32,5.96,5.96
1013924851,CALDEMEYER,ROBERT,D,MD,M,I,24 COMPTON ROAD,SUITE 205,CINCINNATI,OH,45216,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,18,18,15.98,1.42,1.12,1.12
1013924851,CALDEMEYER,ROBERT,D,MD,M,I,24 COMPTON ROAD,SUITE 205,CINCINNATI,OH,45216,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3135,0.6652631579,0.4040318979,0.2926188198,0.2209569378
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,72.96,19.681818182,15.432727273,15.432727273
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,37,37,92.886756757,39.037297297,30.152432432,30.040540541
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,8.19,1.45,1.1352173913,1.147826087
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,74.599090909,14.372727273,9.1354545455,7.4272727273
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,27,44,44,220.39204545,90.098181818,67.422954545,65.087045455
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,23,33,76,91.359342105,34.875131579,26.619868421,25.496184211
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,27,66,323,48.523065015,19.512074303,14.956315789,14.311052632
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,,19,93,44.623978495,15.64,11.470645161,11.152795699
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,39,88,88,144.09784091,56.287045455,42.246477273,41.152727273
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,65,80,80,46.25025,16.813125,12.628625,13.414125
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,23.096363636,10,7.84,8.0936363636
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,49,98,98,48.553061224,12.00244898,8.9613265306,8.7209183673
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,59,127,653,8.656431853,2.0026646248,1.5070597243,1.5275038285
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,28,33,33,18.154545455,6.2315151515,4.7333333333,4.5439393939
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,36,45,45,26.611333333,12.48,9.5626666667,10.063555556
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,146,157,79.949681529,16.591974522,12.323057325,12.792356688
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,112.77,50,37.333333333,35.912857143
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,4237.5764706,1074.31,835.73941176,835.73941176
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,14,14,429.10214286,103.46285714,76.44,71.757142857
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,1230.62,967.20933333,748.72866667,748.72866667
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,312.76909091,144.08,112.95,106.2
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,45,50,26.0488,14.4084,10.3944,9.7396
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,42,50.075238095,5.8971428571,4.2,3.3166666667
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,32,161,163,128.53631902,36.544969325,26.606134969,23.954355828
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,42,317,338,433.34707101,80.604201183,60.514230769,53.22035503
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,98,106,218.06311321,36.238679245,27.376792453,28.330849057
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,2640,33.579,9.8401818182,7.7147121212,7.7147121212
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,930,13.94,11.501548387,8.7260860215,8.7260860215
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,3221,0.1929493946,0.0456566284,0.0331356722,0.0331356722
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,21,69,6262,1.2622564676,0.1329559246,0.1011849249,0.1011849249
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,12.86,3.081,2.4061825397,2.4061825397
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.55,2.6363636364,2.0672727273,2.0672727273
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,190.5321875,35.11,26.6696875,28.6034375
1013925320,SHAH,RAZA,H,M.D.,M,I,7319 STONEROCK CIR,STE. 106,ORLANDO,FL,328198002,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,24,95,95,112.50789474,33,25.053052632,25.053052632
1013925395,SHAH,DEVINA,A,MD,F,I,11240 S MICHIGAN AVE,,CHICAGO,IL,606284941,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,25,48.6216,8.32,4.9596,4.9596
1013925403,SANTIANO,RENE,B,MD,M,I,1319 NE 134TH ST,STE 107,VANCOUVER,WA,98685,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,69,7.8,2.06,1.4744927536,1.4565217391
1013925403,SANTIANO,RENE,B,MD,M,I,1319 NE 134TH ST,STE 107,VANCOUVER,WA,98685,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,158.53,16.419090909,12.874545455,14.289090909
1013925486,JORGE,CARLOS,B,MD,M,I,15640 DON LOCHMAN LN,SUITE A,CHARLOTTE,NC,282774443,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,97,62.931752577,8.32,5.8635051546,5.8635051546
1013925486,JORGE,CARLOS,B,MD,M,I,15640 DON LOCHMAN LN,SUITE A,CHARLOTTE,NC,282774443,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.2966666667,2.2966666667
1013925486,JORGE,CARLOS,B,MD,M,I,15640 DON LOCHMAN LN,SUITE A,CHARLOTTE,NC,282774443,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,15,34,14.964117647,1.42,1.0476470588,1.0476470588
1013925601,KANANI,HARINI,P,MD,F,I,3929 FERRARA DR,,SILVER SPRING,MD,209064709,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,20,96,56.853645833,8.32,6.1153125,6.1153125
1013925601,KANANI,HARINI,P,MD,F,I,3929 FERRARA DR,,SILVER SPRING,MD,209064709,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,31,14.909354839,1.42,1.04,1.04
1013925601,KANANI,HARINI,P,MD,F,I,3929 FERRARA DR,,SILVER SPRING,MD,209064709,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,63,63,63,1637.4898413,1018.4071429,779.42984127,867.49428571
1013925601,KANANI,HARINI,P,MD,F,I,3929 FERRARA DR,,SILVER SPRING,MD,209064709,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,33,34,35,957.57742857,641.82,503.19,480.63
1013925601,KANANI,HARINI,P,MD,F,I,3929 FERRARA DR,,SILVER SPRING,MD,209064709,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,43,44,48,139.99833333,109.2475,85.652083333,88.846666667
1013925601,KANANI,HARINI,P,MD,F,I,3929 FERRARA DR,,SILVER SPRING,MD,209064709,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,24,24,33,543.99969697,458.27,352.28666667,358.3869697
1013925643,KNEIDEL,MATTHEW,T,MD,M,I,10777 NALL AVE,SUITE 300,OVERLAND PARK,KS,662111231,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,24,24,369.98958333,251.28,181.44916667,200.80166667
1013925684,WANNER,ADAM,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,77,40.328571429,6.7792207792,5.3141558442,12.851428571
1013925684,WANNER,ADAM,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,200.72758621,90.01,70.57,55.822413793
1013925684,WANNER,ADAM,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,4283,0.3016904039,0.0460331543,0.0300233481,0.0300233481
1013925684,WANNER,ADAM,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,19.4025,19.4025
1013925767,ANDERSON,ZACHARY,J,M.D.,M,I,90 MADISON ST,SUITE 504,DENVER,CO,802065418,US,Hospitalist,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,11.938181818,9.3618181818,8.2463636364
1013925767,ANDERSON,ZACHARY,J,M.D.,M,I,90 MADISON ST,SUITE 504,DENVER,CO,802065418,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,5.6133333333,4.0508333333,3.3808333333
1013925767,ANDERSON,ZACHARY,J,M.D.,M,I,90 MADISON ST,SUITE 504,DENVER,CO,802065418,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,43,43,483.13953488,77.368372093,60.199069767,56.447209302
1013925767,ANDERSON,ZACHARY,J,M.D.,M,I,90 MADISON ST,SUITE 504,DENVER,CO,802065418,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,25,8.765,6.4128571429,6.1592857143
1013925767,ANDERSON,ZACHARY,J,M.D.,M,I,90 MADISON ST,SUITE 504,DENVER,CO,802065418,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,85,35.27,27.66,28.93875
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,68,176,75.724431818,8.3126136364,6.2715340909,6.2773295455
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,26,33,12.876060606,1.42,1.0490909091,1.0490909091
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45.658181818,9.5790909091,6.8818181818,6.8818181818
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,49,17.27,12.637333333,12.637333333
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,400,84.900909091,61.849090909,61.849090909
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,25.8,5.172173913,3.9043478261,3.7317391304
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,33.895454545,33.632727273,26.367272727,51.372727273
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,417.41166667,69.81,52.449583333,52.449583333
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,7337,0.4003652719,0.0459165872,0.0322543274,0.0322543274
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2157,2.0509179416,0.1398284655,0.0995224849,0.0995224849
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,128.56666667,20.442222222,16.023333333,15.536666667
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,135,26.873333333,18.481111111,18.481111111
1013925775,RUDISILL,STEPHEN,R,MD,M,I,1650 LEE LANE,OCCUPATION HEALTH SPORTS & FAMILY MEDICINE CENTER,BELOIT,WI,535113935,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,35,35,33,33,22.236571429,22.236571429
1013925833,BICAK-ODAK,VERA,,DO,F,I,1900 23RD ST,,CUYAHOGA FALLS,OH,442231404,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,26,79.838846154,8.32,6.5238461538,6.5238461538
1013925833,BICAK-ODAK,VERA,,DO,F,I,1900 23RD ST,,CUYAHOGA FALLS,OH,442231404,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,77.18,60.51,55.133571429
1013925866,CHANDRA,MAHESH,D,MD,M,I,4911 S ARROWHEAD DR,SUITE 200,INDEPENDENCE,MO,640557005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,50,94,64.009787234,8.32,5.2740425532,5.2740425532
1013925866,CHANDRA,MAHESH,D,MD,M,I,4911 S ARROWHEAD DR,SUITE 200,INDEPENDENCE,MO,640557005,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,10.3,1.42,0.9578571429,0.9578571429
1013925866,CHANDRA,MAHESH,D,MD,M,I,4911 S ARROWHEAD DR,SUITE 200,INDEPENDENCE,MO,640557005,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,14,86.31,17.71,13.89,13.665
1013925866,CHANDRA,MAHESH,D,MD,M,I,4911 S ARROWHEAD DR,SUITE 200,INDEPENDENCE,MO,640557005,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,606.8,49.289230769,38.643846154,25.175384615
1013925866,CHANDRA,MAHESH,D,MD,M,I,4911 S ARROWHEAD DR,SUITE 200,INDEPENDENCE,MO,640557005,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,55,497.14563636,78.53,61.089272727,55.244181818
1013925866,CHANDRA,MAHESH,D,MD,M,I,4911 S ARROWHEAD DR,SUITE 200,INDEPENDENCE,MO,640557005,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,144.85636364,37.15,29.13,29.475454545
1013925866,CHANDRA,MAHESH,D,MD,M,I,4911 S ARROWHEAD DR,SUITE 200,INDEPENDENCE,MO,640557005,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,59.4,33,24.145333333,24.145333333
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,63,3611,3.0991941291,0.421428967,0.3110772639,0.3110772639
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,780,5.8229358974,2.6345384615,2.0654615385,2.0654615385
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,57,137,697,99720,2.1115261733,0.497133574,0.3642508022,0.3672938227
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,25,87,12900,0.0759612403,0.0129906977,0.0090395349,0.0090395349
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,34,7590,1.522458498,0.6737654809,0.4968880105,0.4968880105
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,63,116,630,106560,2.000830518,0.7874817005,0.5848816629,0.5945020646
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,39,6540,4.0905,2.772587156,2.0918868502,2.1390657492
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,36.361954545,7.438,5.8314090909,5.8314090909
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,79,158,750,750,24.048,24,17.804786667,17.804786667
1013926021,HOFFMAN,KIMBERLY,,CNP,F,I,234 GOODMAN ST.,,CINCINNATI,OH,45219,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,62,140,754,841,16.442330559,16,12.03412604,12.03412604
1013926039,SANTOS,RAUL,A,MD,M,I,1600 W COLLEGE ST,SUITE 680,GRAPEVINE,TX,760513580,US,Physician/Cardiovascular Disease (Cardiology),S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,17.966363636,12.827272727,12.309090909
1013926039,SANTOS,RAUL,A,MD,M,I,1600 W COLLEGE ST,SUITE 680,GRAPEVINE,TX,760513580,US,Physician/Cardiovascular Disease (Cardiology),S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,519.51,77.116363636,55.031818182,49.745454545
1013926229,ATKINS,DAVID,R,APRN-BC,M,I,416 E MCPHERSON AVE STE A,,NASHVILLE,GA,316392277,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,23,37.905217391,8.32,5.9582608696,5.9582608696
1013926245,ROGUS,BERNARD,J,MD,M,I,3801 INTERNATIONAL DR #205,,SILVER SPRING,MD,20906,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,23,37.506956522,35.479130435,27.816521739,28.003043478
1013926245,ROGUS,BERNARD,J,MD,M,I,3801 INTERNATIONAL DR #205,,SILVER SPRING,MD,20906,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,34,4890,3.3106339468,2.0328425358,1.5796564417,1.5844662577
1013926245,ROGUS,BERNARD,J,MD,M,I,3801 INTERNATIONAL DR #205,,SILVER SPRING,MD,20906,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,3910,8.9076726343,7.23,5.6316189258,5.6316189258
1013926245,ROGUS,BERNARD,J,MD,M,I,3801 INTERNATIONAL DR #205,,SILVER SPRING,MD,20906,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,26,70,15.877714286,10.893428571,8.1735714286,8.2027142857
1013926245,ROGUS,BERNARD,J,MD,M,I,3801 INTERNATIONAL DR #205,,SILVER SPRING,MD,20906,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,46,9.6082608696,7.4508695652,5.8415217391,5.8486956522
1013926468,BALKISSOON,RONALD,C,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,25,29,70.185862069,16.614137931,11.738275862,12.257241379
1013926468,BALKISSOON,RONALD,C,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,28,32,406.3340625,71.8496875,53.0134375,51.4365625
1013926468,BALKISSOON,RONALD,C,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,1560,20.533192308,9.635,7.5538333333,7.5538333333
1013926468,BALKISSOON,RONALD,C,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2165,0.2950715935,0.0466374134,0.0365542725,0.0365542725
1013926468,BALKISSOON,RONALD,C,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1067,1.9632239925,0.1418837863,0.1112277413,0.1112277413
1013926468,BALKISSOON,RONALD,C,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,1116,9.5390053763,2.9082526882,2.2800448029,2.2800448029
1013926468,BALKISSOON,RONALD,C,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,29,29,43.24137931,33,25.87,25.87
1013926682,FEDDERLY,BRADLEY,J,MD,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,489.3,92.968823529,72.888823529,57.112352941
1013926807,AGEY,MICHAEL,,DO,M,I,9421 MARKETPLACE DR,,NORWALK,IA,502112338,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,30,84,200,70.7677,8.32,5.83565,5.83565
1013926807,AGEY,MICHAEL,,DO,M,I,9421 MARKETPLACE DR,,NORWALK,IA,502112338,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,28,39,14.376666667,1.42,1.0030769231,1.0030769231
1013926906,LEVIN,ESTHER,,MD,F,I,475 BILTMORE WAY,STE 401,CORAL GABLES,FL,331345755,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,123,50.711111111,34.08,31.488333333
1013926906,LEVIN,ESTHER,,MD,F,I,475 BILTMORE WAY,STE 401,CORAL GABLES,FL,331345755,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,18,14.11,13.54
1013926906,LEVIN,ESTHER,,MD,F,I,475 BILTMORE WAY,STE 401,CORAL GABLES,FL,331345755,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,155.85769231,90.01,70.57,55.948461538
1013926906,LEVIN,ESTHER,,MD,F,I,475 BILTMORE WAY,STE 401,CORAL GABLES,FL,331345755,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,34.188333333,23.364166667,18.688333333
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,60,181,64.683259669,8.32,5.1546961326,5.1546961326
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,37,14.48972973,1.42,1.0524324324,1.0524324324
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,67,68,83.306029412,17.572352941,11.368529412,11.148382353
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,32,33,206.68757576,50.482727273,38.321818182,36.455757576
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,50.73,4.1292307692,2.97,3.4238461538
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,122,131,478.0948855,69.897099237,49.203358779,49.231068702
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,104.61538462,37.64,26.105,26.105
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,4181,0.2136905047,0.0463071036,0.0308969146,0.0308969146
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1560,1.6949230769,0.1333653846,0.0530897436,0.0530897436
1013927045,WARNER,TATIANA,M,PA,F,I,3325 RESEARCH WAY,,CARSON CITY,NV,897067913,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,39,101.53846154,33,23.574871795,23.574871795
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,36,1087,5.3151701932,4.9330634775,3.8674977001,4.1486660534
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,11869,0.66,0.6483932935,0.5083393715,0.5160872862
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,16,16,60.12,60.12,47.14,48.255625
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,198.58,49.004347826,36.656521739,37.790869565
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,33.081333333,16.98,13.31,13.412666667
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,5.1438709677,5.0606451613,3.964516129,3.9509677419
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,359.47375,72.06,56.5,55.725625
1013927425,DANQUE,FLORA,I,M.D.,F,I,7918 EL CAJON BLVD,SUITE N322,LA MESA,CA,919426719,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,52,52,81.765192308,22.527692308,16.861153846,14.269423077
1013927607,NICOLETTI,ROSANNA,R,MD,F,I,6567 E CARONDELET DR,SUITE 555,TUCSON,AZ,857106152,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,31,97,71.984226804,8.32,5.5813402062,5.5813402062
1013927607,NICOLETTI,ROSANNA,R,MD,F,I,6567 E CARONDELET DR,SUITE 555,TUCSON,AZ,857106152,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,23,42,14.51952381,1.42,0.8452380952,0.8452380952
1013927607,NICOLETTI,ROSANNA,R,MD,F,I,6567 E CARONDELET DR,SUITE 555,TUCSON,AZ,857106152,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,28,18.978928571,16.94,12.003928571,12.258928571
1013927607,NICOLETTI,ROSANNA,R,MD,F,I,6567 E CARONDELET DR,SUITE 555,TUCSON,AZ,857106152,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,6.95,6.408125,5.024375,4.103125
1013927607,NICOLETTI,ROSANNA,R,MD,F,I,6567 E CARONDELET DR,SUITE 555,TUCSON,AZ,857106152,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,25,77.18,77.18,53.2488,48.1536
1013927755,FLORCZYK,MARGARET,,MD,F,I,3 PARLIN DR STE G,,PARLIN,NJ,088592263,US,Physician/Hematology-Oncology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,38,79.889736842,8.32,5.8342105263,5.8342105263
1013927797,BRENNAN,BRUCE,T,MD,M,I,22 WESTFIELD AVE,,ANSONIA,CT,064011158,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,27,80.627407407,8.32,5.1555555556,5.1555555556
1013927904,ADAMS,BRIAN,A,MD,M,I,2516 E DUPONT RD,,FORT WAYNE,IN,468251608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,44,84,75.878571429,8.32,5.4345238095,5.4345238095
1013927904,ADAMS,BRIAN,A,MD,M,I,2516 E DUPONT RD,,FORT WAYNE,IN,468251608,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,17,18,17.102222222,1.42,1.0566666667,1.0566666667
1013927904,ADAMS,BRIAN,A,MD,M,I,2516 E DUPONT RD,,FORT WAYNE,IN,468251608,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.67,12.972727273,10.173636364,8.4736363636
1013927904,ADAMS,BRIAN,A,MD,M,I,2516 E DUPONT RD,,FORT WAYNE,IN,468251608,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,16,594.813125,69.81,54.73,54.73
1013927904,ADAMS,BRIAN,A,MD,M,I,2516 E DUPONT RD,,FORT WAYNE,IN,468251608,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,923.87,203.11727273,159.23909091,123.89727273
1013927938,WHITE,MELISSA,H,MD,F,I,80 JESSE HILL JR DR SE,,ATLANTA,GA,303033031,US,Physician/Emergency Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,45.81,29.941666667,31.6825
1013928019,JEAN-BAPTISTE,MARC,,MD,M,I,1150 N 35TH AVE,SUITE 135,HOLLYWOOD,FL,330215424,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,66,18,13.623448276,13.112413793
1013928019,JEAN-BAPTISTE,MARC,,MD,M,I,1150 N 35TH AVE,SUITE 135,HOLLYWOOD,FL,330215424,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,352.06896552,90.01,66.109310345,52.047931034
1013928019,JEAN-BAPTISTE,MARC,,MD,M,I,1150 N 35TH AVE,SUITE 135,HOLLYWOOD,FL,330215424,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55,16.95,12.079166667,12.850833333
1013928183,PANKNIN,DANA,D,M.D.,F,I,1185 US HIGHWAY 23 N,,ALPENA,MI,497078018,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,28.506363636,22.35,14.289090909
1013928183,PANKNIN,DANA,D,M.D.,F,I,1185 US HIGHWAY 23 N,,ALPENA,MI,497078018,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,43.181818182,11.402727273,8.9372727273,6.7163636364
1013928282,KHAN,TARIQ,J,MD,M,I,8421 POINTE LOOP DR,,VENICE,FL,34293,US,Physician/Gastroenterology,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,12.236,4.91,3.7367708333,3.7367708333
1013928365,KANCIUS,CHRISTINE,C,DPM,F,I,1945 S MAIN ST,,MORTON,IL,61550,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,77,77,154,70.532467532,70.02025974,48.937727273,50.166168831
1013928365,KANCIUS,CHRISTINE,C,DPM,F,I,1945 S MAIN ST,,MORTON,IL,61550,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,75,76,440,33.5,29.19,22.65675,22.65675
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,54,169,53.161538462,8.32,6.3294674556,6.3294674556
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,26,10.033846154,1.42,1.1153846154,1.1153846154
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,14.77,5.74,4.5000416667,4.5000416667
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,25.848,9.86,7.73,7.73
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,4.7596666667,1.95,1.5288333333,1.5288333333
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,525,6.4384761905,3,2.2081714286,2.2241142857
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,11,100,27341,0.3928737062,0.2864598954,0.2138370945,0.2324256611
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,9756,0.73,0.5920356704,0.4415744157,0.4949323493
1013928407,MURRAY,RICHARD,P,MD,M,I,146 E HOSPITAL DRIVE,SUITE 530,WEST COLUMBIA,SC,291694894,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,99,44,31.146,32.270666667
1013928688,CHANDNA,HARISH,,MD,M,I,2104 PATTERSON DRIVE,,VICTORIA,TX,77901,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,64.433076923,16.171538462,11.217692308,7.7384615385
1013928688,CHANDNA,HARISH,,MD,M,I,2104 PATTERSON DRIVE,,VICTORIA,TX,77901,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,80,9.37625,2.581,1.77275,1.3555
1013928688,CHANDNA,HARISH,,MD,M,I,2104 PATTERSON DRIVE,,VICTORIA,TX,77901,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,12,40,40,3718,2586.307,2023.98775,2023.98775
1013928779,JINICH,DANIEL,B,MD,M,I,2001 SOUTH SHIELDS,BLDG E SUITE 201,FORT COLLINS,CO,80526,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,36,60.938888889,8.32,5.0711111111,5.0711111111
1013928779,JINICH,DANIEL,B,MD,M,I,2001 SOUTH SHIELDS,BLDG E SUITE 201,FORT COLLINS,CO,80526,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.611818182,1.42,1.0181818182,1.0181818182
1013928886,GERMIN,LEO,R,MD,M,I,1691 WEST HORIZON RIDGE PARKWAY,,HENDERSON,NV,890123494,US,Physician/Neurology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.01,10.79,8.4563636364,9.0127272727
1013928910,TERRIEN,EDWARD,F,M.D.,M,I,62 TILLEY DR,,SOUTH BURLINGTON,VT,054034407,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,152,152,457.01467105,72.150657895,49.638289474,47.826118421
1013928910,TERRIEN,EDWARD,F,M.D.,M,I,62 TILLEY DR,,SOUTH BURLINGTON,VT,054034407,US,Interventional Cardiology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,318.84375,41.579375,29.47375,26.645625
1013928969,RIOS,WILLIAM,F,MD,M,I,32 ANTONIO LOPEZ,,TOA ALTA,PR,00954,US,General Practice,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,34,62.727058824,8.32,6.5202941176,6.5202941176
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,233.91076923,90.160769231,59.827692308,57.442307692
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,39,88.675384615,33.483846154,24.603589744,24.174871795
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,89,69.341348315,18.536853933,13.418988764,13.395617978
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,67,58.683134328,15.008059701,10.892089552,11.018507463
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,27,27,211.04222222,56.337037037,42.775555556,41.475555556
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,57.928125,17.0775,11.718125,12.4125
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,30,30,64.218333333,11.815333333,8.9726666667,8.8133333333
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,40,220,8.8645454545,2.0632727273,1.5393636364,1.5127727273
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,40.297142857,12.22,8.91,9.685
1013929017,WILLIAMSON,ROBERT,A,M.D.,M,I,6811 AUSTIN CENTER BLVD,SUITE 300,AUSTIN,TX,787313146,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,55,57,165.31210526,34.010701754,24.52,22.974736842
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,276,546,546,71.176373626,40.189139194,29.759304029,28.85521978
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,133,252,252,221.96587302,91.419722222,66.4,62.941309524
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,21,128,280,588,97.628010204,33.29452381,24.622942177,24.447261905
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,122,236,1157,46.765220398,19.972834918,15.157649092,14.109481417
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,84,162,818,38.058973105,15.362359413,11.1450489,10.999584352
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,24,208,410,410,143.17173171,59.426219512,42.482731707,39.225804878
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,308,408,408,47.684509804,18.888578431,13.739681373,13.070220588
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,71,87,87,27.514482759,11.075172414,8.211954023,7.7163218391
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,37,72,72,57.187777778,13.03625,9.2718055556,8.2833333333
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,298,592,3490,6.6193954155,2.2693868195,1.6713094556,1.5038567335
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,37,48,48,17.078958333,6.5054166667,4.608125,4.195625
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,168,218,218,27.34706422,13.975229358,10.353302752,9.7988073394
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,14,68,68,285.29294118,93.580735294,72.394852941,68.509411765
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,17,107,107,708.31775701,232.95448598,180.04196262,165.77925234
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,76,79,79,304.33632911,142.07341772,109.32075949,103.08721519
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,,39,39,56.526153846,13.88974359,9.2894871795,8.7458974359
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,136,826,826,145.57289346,35.980145278,25.091041162,22.929709443
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,175,77.34,58.539310345,54.266896552
1013929132,GERSAPPE,ANAND,A,"MD, PHD",M,I,550 17TH AVE,,SEATTLE,WA,981225788,US,Physician/Neurology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,100,44.745,32.344166667,27.056666667
1013929181,WESTERMAN,MICHAEL,A,M.D.,M,I,8600 OLD GEORGETOWN RD,,BETHESDA,MD,208141422,US,Specialist,T,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,21,109,109,226.96614679,49.859541284,33.667247706,33.80587156
1013929181,WESTERMAN,MICHAEL,A,M.D.,M,I,8600 OLD GEORGETOWN RD,,BETHESDA,MD,208141422,US,Specialist,T,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,9,2.84,1.998,2.028
1013929181,WESTERMAN,MICHAEL,A,M.D.,M,I,8600 OLD GEORGETOWN RD,,BETHESDA,MD,208141422,US,Specialist,T,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,6,2.4444444444,1.8295555556,1.7073333333
1013929181,WESTERMAN,MICHAEL,A,M.D.,M,I,8600 OLD GEORGETOWN RD,,BETHESDA,MD,208141422,US,Specialist,T,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,69.35,35.77,28.045,28.57
1013929181,WESTERMAN,MICHAEL,A,M.D.,M,I,8600 OLD GEORGETOWN RD,,BETHESDA,MD,208141422,US,Specialist,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,89.5,22.527777778,15.960555556,14.998888889
1013929181,WESTERMAN,MICHAEL,A,M.D.,M,I,8600 OLD GEORGETOWN RD,,BETHESDA,MD,208141422,US,Specialist,T,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,126.37157895,24.705263158,19.368421053,20.735789474
1013929181,WESTERMAN,MICHAEL,A,M.D.,M,I,8600 OLD GEORGETOWN RD,,BETHESDA,MD,208141422,US,Specialist,T,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,165,38.90625,29.0325,26.447916667
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,13,17,34,1.5788235294,0.51,0.4,0.4
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,94,275,624,50.012355769,8.30375,6.1437339744,6.1463461538
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,41,41,15.135609756,3.38,2.65,2.65
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,20,24,24,27.093333333,2.12,1.67,1.67
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,79,205,248,15.379395161,1.42,1.0758870968,1.0758870968
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,24,48,5.09,4.12,2.8935416667,2.9677083333
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,64,64,128,103.70492188,71.56,56.105,56.105
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,50,50,300,32.844,29.19,22.885,22.8865
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,25,38,10.849473684,8.22,5.7678947368,5.7539473684
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,25,76,4.4210526316,3.66,2.5678947368,3.0628947368
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,19,3.8631578947,1.51,1.0631578947,1.0363157895
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,9,19,19,19,120.71842105,46.839473684,36.714736842,36.46
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,8,18,18,18,28.117777778,14.645,11.487777778,12.05
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,28,28,220.45107143,48.632142857,33.040714286,32.731785714
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,140.90529412,49.84,36.28,35.922352941
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,21.691176471,8.6735294118,6.7958823529,6.8188235294
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1798.6,1074.31,842.26,842.26
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,22.725,4.746,3.388,3.4866666667
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,78.258333333,11.125,8.0316666667,8.0316666667
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,414.25,68.78,53.92,54.72
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1530,0.6231764706,0.0467058824,0.036627451,0.036627451
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,748,0.2709358289,0.2189304813,0.1487566845,0.1487566845
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,32,32,80.875,18.9628125,14.45625,14.46125
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,53,53,97.457924528,27.492264151,17.591132075,17.208679245
1013929272,ROSAS,CARLOS,,M.D.,M,I,704 PAREDES LINE RD STE A,,BROWNSVILLE,TX,785212442,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,28.584074074,8.3585185185,5.8322222222,6.1962962963
1013929728,PITTARD,AARON,,MD,M,I,11601 TOEPPERWEIN RD,,SAN ANTONIO,TX,78233,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,77.868461538,65.041538462,44.128846154,45.802307692
1013929728,PITTARD,AARON,,MD,M,I,11601 TOEPPERWEIN RD,,SAN ANTONIO,TX,78233,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,19,60.690526316,56.165789474,41.164736842,40.687894737
1013929728,PITTARD,AARON,,MD,M,I,11601 TOEPPERWEIN RD,,SAN ANTONIO,TX,78233,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,23,73.187391304,70.983043478,46.870869565,45.776956522
1013929744,WAGNER,YVONNE,M,"RN, ANP",F,I,2122 HIGHWAY 71 S,101,COLUMBUS,TX,789343011,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,11,16,23,38.406521739,8.32,6.24,6.24
1013929769,TIMELL,ANNA,M,M.D.,F,I,1302 S MAIN ST,,WATERBURY,CT,067061748,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,50,68.2026,8.32,6.2616,6.2616
1013929769,TIMELL,ANNA,M,M.D.,F,I,1302 S MAIN ST,,WATERBURY,CT,067061748,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,13.55,11.29,8.8533333333,9.04
1013929769,TIMELL,ANNA,M,M.D.,F,I,1302 S MAIN ST,,WATERBURY,CT,067061748,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,12.24,10.2,7.99,8.4
1013929769,TIMELL,ANNA,M,M.D.,F,I,1302 S MAIN ST,,WATERBURY,CT,067061748,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,266.3,221.92,166.00944444,166.00944444
1013929769,TIMELL,ANNA,M,M.D.,F,I,1302 S MAIN ST,,WATERBURY,CT,067061748,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,342.73083333,73.205,52.460833333,50.164166667
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,43,129,271,60.608892989,8.3065313653,6.1732103321,6.1837638376
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,20,40,43,16.548372093,1.42,1.0409302326,1.0409302326
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,30,28.46,16.7325,16.7325
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,3940,10.830456853,7.88,6.1415025381,6.1415025381
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,36,15.119166667,10.263888889,7.3827777778,7.9036111111
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,30,8.112,6.34,3.4873333333,4.358
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,84.25,47.013333333,36.856666667,27.173333333
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,144.2,76.452,52.622,37.822
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,22,22,49.272727273,25.868181818,18.422727273,12.749090909
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,22,22,50.006363636,22.697272727,17.335909091,9.2313636364
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,26,90,6.7771111111,3.51,2.7332222222,1.6048888889
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,16.538461538,10.085384615,7.9053846154,4.9392307692
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,76,23.298333333,17.435,15.119444444
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,134.44470588,53.205294118,37.319019608,22.821960784
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,263.75,107.32875,81.28375,59.66875
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.092409091,10.751454545,8.2118333333,8.2118333333
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1404,4.1480555556,0.5714529915,0.4126282051,0.4126282051
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,1.5109444444,1.2475555556,0.9201666667,0.9201666667
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3136,0.1849075255,0.0457110969,0.0323309949,0.0323309949
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2520,1.5383214286,0.1336547619,0.0972301587,0.0972301587
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,1740,10.170678161,3.005,2.1830862069,2.1830862069
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,18,16.444444444,16,11.146666667,11.146666667
1013929793,HJELLE,ALAN,R,MD,M,I,1519 S PHILLIPS ST,,ALGONA,IA,505113649,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,50,50,52.8,33,24.8352,24.8352
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,68,227,684,64.969298246,8.32,5.7284649123,5.7284649123
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,49,93,142,13.488098592,1.42,0.9350704225,0.9350704225
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,24,78.64,71.1475,46.812916667,47.15875
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,50,31.3548,29.046,22.1154,22.2294
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,86.31,17,12.545882353,12.752647059
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,519.51,77.18,57.820666667,52.931333333
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,37,26.372727273,26.748181818
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,85.16,34.409473684,24.278947368,19.207368421
1013929918,GHARIB,DARIUS,,M.D.,M,I,16133 VENTURA BLVD,350,ENCINO,CA,914362403,US,Physician/Endocrinology,S,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,51,67,33.84,26.531372549,25.441764706
1013930023,TALBOT,LORI,C,MD,F,I,215 BACK NECK ROAD,,BRIDGETON,NJ,08302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,59,152,73.444078947,8.2631578947,5.7915131579,5.8361184211
1013930023,TALBOT,LORI,C,MD,F,I,215 BACK NECK ROAD,,BRIDGETON,NJ,08302,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,19,13.355263158,1.42,1.0589473684,1.0589473684
1013930023,TALBOT,LORI,C,MD,F,I,215 BACK NECK ROAD,,BRIDGETON,NJ,08302,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,32.07,16.59,12,12.540769231
1013930023,TALBOT,LORI,C,MD,F,I,215 BACK NECK ROAD,,BRIDGETON,NJ,08302,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,500,67.72,45.892307692,47.555384615
1013930023,TALBOT,LORI,C,MD,F,I,215 BACK NECK ROAD,,BRIDGETON,NJ,08302,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,3169,0.5042537078,0.047096876,0.0311612496,0.0311612496
1013930023,TALBOT,LORI,C,MD,F,I,215 BACK NECK ROAD,,BRIDGETON,NJ,08302,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,33,33,20.121111111,20.121111111
1013930304,PATEL,BELA,A,MD,F,I,54 ROBBINSVILLE ALLENTOWN RD,,ROBBINSVILLE,NJ,086911625,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,56,65.345178571,8.32,5.4971428571,5.4971428571
1013930387,HARRIS,DANA,M,PAC,F,I,202 MEMORIAL DRIVE,SUITE 1,EVERETT,PA,15537,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,134.475,37.790625,24.765625,20.346875
1013930510,HENDRICKER,GARY,I,M.D.,M,I,25 W LYON ST,,TALLAPOOSA,GA,301761288,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,25,79.5168,8.32,4.6992,4.6992
1013930510,HENDRICKER,GARY,I,M.D.,M,I,25 W LYON ST,,TALLAPOOSA,GA,301761288,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,75.56,59.24,54.73
1013930536,RIVERA,DAVID,R,M.D.,M,I,45 WELLS ST,SUITE 2020,WESTERLY,RI,028912927,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,67.833333333,67.408148148,44.82,44.845555556
1013930536,RIVERA,DAVID,R,M.D.,M,I,45 WELLS ST,SUITE 2020,WESTERLY,RI,028912927,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,20,45,32.88,24.4895,27.1045
1013930536,RIVERA,DAVID,R,M.D.,M,I,45 WELLS ST,SUITE 2020,WESTERLY,RI,028912927,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,69.884,69.687,50.77,50.1315
1013930536,RIVERA,DAVID,R,M.D.,M,I,45 WELLS ST,SUITE 2020,WESTERLY,RI,028912927,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,13.153846154,13.153846154,9.5869230769,13.417692308
1013930700,HORTON,MIRANDA,,M.D.,F,I,21 ABERDEEN DR,,GREENVILLE,SC,296052955,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,42,153,63.891895425,8.32,5.8567973856,5.8567973856
1013930700,HORTON,MIRANDA,,M.D.,F,I,21 ABERDEEN DR,,GREENVILLE,SC,296052955,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,38,9.7655263158,1.42,0.91,0.91
1013930718,SNYDER,ERIC,D,M.D.,M,I,999 WASHINGTON AVE,,HOLLAND,MI,494237722,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,18,18,74.83,70.791111111,55.500555556,53.273333333
1013930718,SNYDER,ERIC,D,M.D.,M,I,999 WASHINGTON AVE,,HOLLAND,MI,494237722,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,57,58,58,60,50.62,39.69,42.879137931
1013930718,SNYDER,ERIC,D,M.D.,M,I,999 WASHINGTON AVE,,HOLLAND,MI,494237722,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,16,30,74.366666667,66.61,52.224666667,53.845333333
1013930825,VELAZQUEZ,ANDREW,J,MD,M,I,790 MONTCLAIR RD,STE 100,BIRMINGHAM,AL,352131966,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,83.980909091,74.494545455,54.478181818,49.856363636
1013930841,OLIVER,KELTON,H,MD,M,I,5955 ZEAMER AVE,,ELMENDORF AFB,AK,995063702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,50,126,70.521825397,8.32,5.3549206349,5.3549206349
1013930841,OLIVER,KELTON,H,MD,M,I,5955 ZEAMER AVE,,ELMENDORF AFB,AK,995063702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,33,47,12.820425532,1.42,0.925106383,0.925106383
1013930841,OLIVER,KELTON,H,MD,M,I,5955 ZEAMER AVE,,ELMENDORF AFB,AK,995063702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,395,97.656923077,73.56,72.673076923
1013930841,OLIVER,KELTON,H,MD,M,I,5955 ZEAMER AVE,,ELMENDORF AFB,AK,995063702,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,44.560909091,34.938181818,34.938181818
1013930841,OLIVER,KELTON,H,MD,M,I,5955 ZEAMER AVE,,ELMENDORF AFB,AK,995063702,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,636.2,275.53727273,216.02,175.18454545
1013930858,EBELING,PATRICK,B,M.D.,M,I,1000 W 140TH STREET,SUITE 201,BURNSVILLE,MN,55337,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,95,72.45,56.8,60.4
1013930890,GRANT,PAUL,J,MD,M,I,1500 EAST MEDICAL CENTER DR,3RD FLOOR TAUBMAN CTR RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,17.213636364,13.490909091,13.856363636
1013931013,WEILAND,PAUL,J,M.D.,M,I,2412 WILKINS DR,,SANFORD,NC,273307268,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1001.46,773.19333333,825.545
1013931088,MADONNA,ROBERT,C,DO,M,I,2504 GARRETT RD,,DREXEL HILL,PA,190261011,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,32,109,300,66.7475,8.32,5.8702666667,5.8702666667
1013931088,MADONNA,ROBERT,C,DO,M,I,2504 GARRETT RD,,DREXEL HILL,PA,190261011,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,25,59,102,15.285196078,1.42,1.0268627451,1.0268627451
1013931088,MADONNA,ROBERT,C,DO,M,I,2504 GARRETT RD,,DREXEL HILL,PA,190261011,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,27.874,3.7813333333,2.9653333333,3.5293333333
1013931153,GRAHAM,STEVEN,D,O.D.,M,I,2136 N KANSAS AVE,,LIBERAL,KS,679012012,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,72.416666667,63.963333333,50.150833333,51.44
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,39,85,62.894588235,8.32,5.7547058824,5.7547058824
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,27,34,35.206176471,1.42,0.9841176471,0.9841176471
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,2560,0.0995390625,0.05,0.033703125,0.033703125
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,180,0.46,0.46,0.3013888889,0.3132222222
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,2376,0.4415151515,0.4415151515,0.3217929293,0.3268981481
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,25,729,16.951714678,5.1,3.9324554184,4.0903840878
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3732,0.37,0.3696034298,0.264193462,0.2645042872
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5616,0.73,0.66,0.5174537037,0.5174537037
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,5.6486956522,5.32,4.17,3.9691304348
1013931179,DELGADO,JOSE,D,MD,M,I,5240 E. BEVERLY BLVD.,,LOS ANGELES,CA,900222002,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2096,0.1279866412,0.0354293893,0.0178959924,0.0178959924
1013931443,MOORE,FRANKLIN,S,D.O.,M,I,4501 MACCORKLE AVE SW,SUITE 301,SOUTH CHARLESTON,WV,253091444,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,51,111,63.742522523,8.32,5.3688288288,5.3688288288
1013931443,MOORE,FRANKLIN,S,D.O.,M,I,4501 MACCORKLE AVE SW,SUITE 301,SOUTH CHARLESTON,WV,253091444,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,26,35,40,12.03025,1.42,1.0065,1.0065
1013931443,MOORE,FRANKLIN,S,D.O.,M,I,4501 MACCORKLE AVE SW,SUITE 301,SOUTH CHARLESTON,WV,253091444,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,357.47636364,57.616363636,41.109090909,40.809090909
1013931443,MOORE,FRANKLIN,S,D.O.,M,I,4501 MACCORKLE AVE SW,SUITE 301,SOUTH CHARLESTON,WV,253091444,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,59.757272727,17.29,13.55,13.535454545
1013931443,MOORE,FRANKLIN,S,D.O.,M,I,4501 MACCORKLE AVE SW,SUITE 301,SOUTH CHARLESTON,WV,253091444,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,36.166956522,4.497826087,2.6456521739,2.6443478261
1013931443,MOORE,FRANKLIN,S,D.O.,M,I,4501 MACCORKLE AVE SW,SUITE 301,SOUTH CHARLESTON,WV,253091444,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,180.21,70.824166667,55.525833333,55.3275
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,40,78,66.261794872,8.32,6.0203846154,6.0203846154
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,17,14.058823529,1.42,0.9864705882,0.9864705882
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,113.49,71.56,56.105,56.105
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,50.47,35.27,27.65,27.645952381
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,84,46.31,29.19,22.885,22.88702381
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,160.625,8.2608333333,6.175,3.8066666667
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,92.9,69.324210526,53.616842105
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,4098,0.1815714983,0.0460273304,0.0360858956,0.0360858956
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,111.625,24.51125,19.2175,13.9175
1013931567,GAGE,ANDREW,R,M.D.,M,I,512 N MAPLE ST,,EFFINGHAM,IL,624012005,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,108.70588235,33,25.87,25.87
1013931930,JUMA,SAAD,,MD,M,I,320 SANTA FE DR STE 108,,ENCINITAS,CA,920245141,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,4400,4.2877272727,1.7722727273,1.3894613636,1.5794772727
1013931997,PETERSON,JOHN,G,"MD, FACC",M,I,212 E CENTRAL AVE,SUITE 240,SPOKANE,WA,992086291,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,65.7,44.471666667,47.76
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,57,183,79.934043716,8.32,5.5952459016,5.5952459016
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,21,39,15.29025641,1.42,0.9428205128,0.9428205128
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,324,4.0411111111,3,2.3521296296,2.367808642
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,9130,0.4674665936,0.2977984666,0.2334676889,0.2424271632
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,18.758064516,17.25,13.52,13.538064516
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,86.348387097,75.56,59.24,55.166451613
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1230,2.4161788618,0.1372439024,0.0987560976,0.0987560976
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,29,24,19.24137931,14.435517241,13.434827586
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,42,46,38.08,30.422608696,21.415869565,19.232391304
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,57,61,11.04557377,7.7957377049,5.7,6.1414754098
1013932003,SNELL,WILLIAM,E,D.O.,M,I,880 CANTON RD NE,SUITE 300,MARIETTA,GA,300607283,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1013932045,FRASIER,BRADLEY,,MD,M,I,3609 VISTA WAY,,OCEANSIDE,CA,920564522,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1905,0.2775590551,0.13,0.1019370079,0.1019370079
1013932045,FRASIER,BRADLEY,,MD,M,I,3609 VISTA WAY,,OCEANSIDE,CA,920564522,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,25,28.334,13.8,10.3872,10.3872
1013932045,FRASIER,BRADLEY,,MD,M,I,3609 VISTA WAY,,OCEANSIDE,CA,920564522,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,72,15075,6.0690845771,1.73,1.3182553897,1.5465273632
1013932045,FRASIER,BRADLEY,,MD,M,I,3609 VISTA WAY,,OCEANSIDE,CA,920564522,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,3000,9,7.88,6.13008,6.13008
1013932045,FRASIER,BRADLEY,,MD,M,I,3609 VISTA WAY,,OCEANSIDE,CA,920564522,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,59,20.200847458,10.93,8.5688135593,8.5688135593
1013932144,LEWIS,WESLEY,J,MD,M,I,6360 S 3000 E,STE 100,SALT LAKE CITY,UT,841216923,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,69,72.025507246,8.32,5.3873913043,5.3873913043
1013932151,PATEL,HIMANSHU,R,D.O.,M,I,712 N WASHINGTON AVE,SUITE 300,DALLAS,TX,752461619,US,Physician/Rheumatology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,1500,1001.69,780.19607143,770.41607143
1013932151,PATEL,HIMANSHU,R,D.O.,M,I,712 N WASHINGTON AVE,SUITE 300,DALLAS,TX,752461619,US,Physician/Rheumatology,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,15,15,1500,875.48,686.37,677.69
1013932326,HUNTINGTON-ALFANO,KIMBERLY,A,D.O.,F,I,3450 LACEY RD,,DOWNERS GROVE,IL,605155430,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,350,33.923076923,26.599230769,25.175384615
1013932334,CHRZANOWSKI,PAUL,J,MD,M,I,200 W 86TH ST,SUITE 1I,NEW YORK,NY,100243303,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,26,128.46576923,8.32,5.7703846154,5.7703846154
1013932359,VAIL,RICHARD,W,M.D.,M,I,3611 PELHAM RD,,GREENVILLE,SC,296155002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,29,79,242,58.110413223,8.32,6.1475619835,6.1475619835
1013932359,VAIL,RICHARD,W,M.D.,M,I,3611 PELHAM RD,,GREENVILLE,SC,296155002,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.470909091,3.38,2.65,2.65
1013932359,VAIL,RICHARD,W,M.D.,M,I,3611 PELHAM RD,,GREENVILLE,SC,296155002,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,27,41,10.152439024,1.42,1.0892682927,1.0892682927
1013932359,VAIL,RICHARD,W,M.D.,M,I,3611 PELHAM RD,,GREENVILLE,SC,296155002,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,8.1281818182,1.87,1.2,1.2975757576
1013932375,BETTINGER,PAUL,C,M.D.,M,I,590 COURT ST,,KEENE,NH,034311719,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,43,44,55,72,70.94,55.525636364,47.262
1013932391,WOLFE,KARL,E,PA-C,M,I,216 OLDS ST,,JONESVILLE,MI,492501128,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,28,75,55.7236,8.32,4.9562666667,4.9562666667
1013932391,WOLFE,KARL,E,PA-C,M,I,216 OLDS ST,,JONESVILLE,MI,492501128,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,22,13.206818182,1.42,0.9654545455,0.9654545455
1013932391,WOLFE,KARL,E,PA-C,M,I,216 OLDS ST,,JONESVILLE,MI,492501128,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,39,58.488205128,21.564358974,16.175384615,12.993076923
1013932391,WOLFE,KARL,E,PA-C,M,I,216 OLDS ST,,JONESVILLE,MI,492501128,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,65,65,381.23076923,98.805384615,72.187692308,49.690153846
1013932409,STEFANIUK,MARK,A,M.D.,M,I,199 W. RAND ROAD,,MOUNT PROSPECT,IL,600561129,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,39,109,72.952201835,8.32,5.9232110092,5.9232110092
1013932409,STEFANIUK,MARK,A,M.D.,M,I,199 W. RAND ROAD,,MOUNT PROSPECT,IL,600561129,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,27,17.373333333,1.42,0.9925925926,0.9925925926
1013932441,SCOTT,NATHAN,,M.D.,M,I,1235 E MONUMENT ST,,BALTIMORE,MD,212025327,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,53,195,53.524307692,8.32,5.7195384615,5.7195384615
1013932441,SCOTT,NATHAN,,M.D.,M,I,1235 E MONUMENT ST,,BALTIMORE,MD,212025327,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.265,3.38,2.4291666667,2.4291666667
1013932441,SCOTT,NATHAN,,M.D.,M,I,1235 E MONUMENT ST,,BALTIMORE,MD,212025327,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,35,73,13.205616438,1.42,1.0224657534,1.0224657534
1013932441,SCOTT,NATHAN,,M.D.,M,I,1235 E MONUMENT ST,,BALTIMORE,MD,212025327,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,27.486470588,5.6394117647,3.2164705882,2.6941176471
1013932565,DAY,TEMPLE,V,M.D.,F,I,16455 STATESVILLE RD,,HUNTERSVILLE,NC,280787135,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,109,69.918165138,8.32,6.5223853211,6.5223853211
1013932565,DAY,TEMPLE,V,M.D.,F,I,16455 STATESVILLE RD,,HUNTERSVILLE,NC,280787135,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,32,12.2725,1.42,1.1128125,1.1128125
1013932565,DAY,TEMPLE,V,M.D.,F,I,16455 STATESVILLE RD,,HUNTERSVILLE,NC,280787135,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,12,16,47.9375,8.69,6.211875,6.124375
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,36,71,71,118.15112676,41.580140845,31.689859155,29.891549296
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,18,34,67,8.19,1.4808955224,1.0914925373,1.0817910448
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,22,25,25,82.53,8.72,6.84,8.7216
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,2.22,0.49,0.38,0.41
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,11,12,5.91,1.0916666667,0.8516666667,0.9516666667
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,40,81,82,430.47658537,95.122926829,70.45804878,64.279634146
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,37,85,201,167.39094527,34.868756219,26.785621891,25.456467662
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,15,25,98,96.555204082,20.026326531,14.929387755,14.034081633
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,17,92,68.376521739,15.925434783,11.667173913,11.127717391
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,28,49,49,237.67571429,55.780408163,43.307755102,42.472857143
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,58,77,77,74.119350649,19.712987013,14.919090909,13.65
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,31,57,57,97.935614035,12.486315789,9.6173684211,9.02
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,58,123,589,12.580237691,2.3222410866,1.8209337861,1.6067572156
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,36,49,49,40.604285714,13.572857143,10.637142857,10.356530612
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,111,137,93.51350365,17.005474453,12.457080292,12.601459854
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,11,37,37,81.75,14.1,9.8554054054,9.347027027
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,34,137,151,50.73,3.9135099338,2.8791390728,3.3993377483
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,29,121,121,280.5885124,33.762892562,24.720743802,24.586859504
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,51,264,281,532.63565836,77.442491103,58.44316726,53.517295374
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,40,247,40,31.36,29.92625
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,2310,24.867831169,9.6137402597,7.5371731602,7.5371731602
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,24,55,173,38981,0.2169192684,0.0464131243,0.0344506298,0.0344506298
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,38,4440,1.041518018,0.1319324324,0.1034617117,0.1034617117
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,46,2850,11.640494737,2.9116210526,2.1995017544,2.1995017544
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,218.35652174,40,31.36,29.670869565
1013932623,CLEMONS,GAYLE,,NP,F,I,55 LAKE AVE N,DEPARTMENT OF PULMONARY MEDICINE,WORCESTER,MA,016550002,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,28,68,235,235,100.82553191,33,24.928723404,24.928723404
1013932854,LUFKIN,ROBERT,C,D.O.,M,I,5050 NE HOYT ST STE 256,,PORTLAND,OR,972132982,US,Physician/Medical Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,2223,38.910467836,2.4581061628,1.8626180837,1.8626180837
1013932854,LUFKIN,ROBERT,C,D.O.,M,I,5050 NE HOYT ST STE 256,,PORTLAND,OR,972132982,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,39,93,230,74.81673913,8.3002173913,6.0130869565,6.0267391304
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,30,47,18.835957447,1.42,1.0680851064,1.0680851064
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,93.326153846,41.416153846,31.208461538,30.145384615
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,166.77333333,57.236666667,44.875,44.994166667
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,65.844166667,19.659166667,15.41,14.915
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,94,8.3663829787,2.2076595745,1.7122340426,1.6685106383
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,208,477.25,268.44,210.45586538,210.45586538
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,208,203.94,9.35,7.33,7.33
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,208,652.88576923,29.22,22.908509615,22.908509615
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,21.81,5.2576923077,3.1946153846,2.6
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,158.756,42.701,31.756,24.117
1013932870,TULLY,ROBERT,P,M.D.,M,I,7525 E BROADWAY RD,STE 2,MESA,AZ,852081154,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,416.705,77.36,50.541666667,45.608333333
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,153.44,17.35,13.6,13.54
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,1045.62,1045.62,819.77,838.51166667
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,35.773809524,3.9428571429,3.0885714286,3.7
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,141.64583333,32.5,25.48,25.341666667
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,56,456.85571429,73,51.183928571,48.953571429
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,65.636,35,22.907,24.75
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,4370,0.1596636156,0.0472837529,0.0366590389,0.0366590389
1013933019,HINZE,JOHN,D,D.O.,M,I,1305 W 34TH ST,SUITE 400,AUSTIN,TX,787051923,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,34.625,33,25.87,25.87
1013933043,SANTIAGO VAZQUEZ,ELVIA,G,MD,F,I,NA43 CALLE 415,COUNTRY CLUB,CAROLINA,PR,009821801,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2700,0.05,0.0446666667,0.0350148148,0.0350148148
1013933043,SANTIAGO VAZQUEZ,ELVIA,G,MD,F,I,NA43 CALLE 415,COUNTRY CLUB,CAROLINA,PR,009821801,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,25.87,25.87
1013933159,SMITH-CUPANI,KIMBERLY,A,MD,F,I,1321 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209436,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,41,56.569268293,8.32,5.913902439,5.913902439
1013933159,SMITH-CUPANI,KIMBERLY,A,MD,F,I,1321 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209436,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,209.69727273,49.597272727,38.883636364,40.571818182
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,45,89,89,98.879101124,39.02011236,29.191348315,29.098314607
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,19,58,6.154137931,1.51,1.144137931,1.1143103448
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,28,56,56,279.99142857,90.825178571,67.383214286,64.278035714
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,25,54,125,115.9008,34.0056,25.78904,25.08336
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,28,62,285,63.623684211,18.115789474,12.863649123,13.228035088
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,31,63,303,47.963465347,15.148316832,11.495214521,11.510924092
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,78,161,161,172.34043478,53.717391304,39.24757764,39.974285714
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,101,137,137,55.554817518,17.976715328,13.471751825,13.446788321
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,58,129,129,58.956511628,12.075193798,9.0258139535,8.7066666667
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,100,209,1138,7.6807381371,2.063602812,1.545483304,1.5232513181
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,41,54,54,20.221296296,5.987962963,4.3435185185,4.3074074074
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,49,64,64,36.1846875,12.4925,9.1815625,9.67734375
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,57,79.403684211,16.08,12.157894737,13.031052632
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,25,25,139.5788,45,33.8688,36.2424
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3500,1074.31,833.24416667,833.24416667
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,23,23,23,371.64043478,132.47521739,98.702608696,99.265652174
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,32,23.605,3.9225,2.83875,3.395
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,41,230,231,119.80883117,32.206233766,23.756277056,23.937056277
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,36,276,291,376.54927835,77.18,58.294604811,53.081718213
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,21,144,155,159.478,37,28.448516129,28.889741935
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,58,3720,19.250158602,9.6166290323,7.4159516129,7.4159516129
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,38,6168,0.4014461738,0.0461819066,0.0296157588,0.0296141375
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,41,5160,1.7151686047,0.1331686047,0.0989224806,0.0989224806
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,15,96,6126,11.308548808,2.978006856,2.3174469474,2.3174469474
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,76,82,87.195121951,37,27.515243902,28.003292683
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,27,131,131,83.244274809,33,25.108244275,25.108244275
1013933217,PIATT,CLARKE,U,M.D.,M,I,825 OLD LANCASTER RD,SUITE 320,BRYN MAWR,PA,190103231,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,66,66,51.74,51.74
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,3.53,3.53,2.536875,2.536875
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,56,3.1657142857,3.1657142857,2.4817857143,2.66875
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,3,,22,52,6.2980769231,4.1276923077,3.1721153846,3.235
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,10.115,8.2278947368,6.2523684211,6.2326315789
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,4.6678947368,4.3047368421,3.1978947368,3.1978947368
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4200,0.72,0.3682380952,0.269347619,0.2710738095
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,11,76,84,82.821309524,23.498452381,17.911071429,16.590952381
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,66.17,18,13.522083333,12.999583333
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,398.29,79.99,60.097083333,52.782083333
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3652.77,1074.31,832.69533333,832.69533333
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,66,66,3669.5086364,1047.8190909,725.16257576,745.06469697
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,76.857142857,36.862857143,27.009285714,30.640714286
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,37,288,305,472.94013115,81.92104918,61.118622951,53.562754098
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,48,222.5775,38.496666667,30.17625,29.506458333
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.7882916667,8.7882916667
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,9046,0.2310512934,0.0460535043,0.030395755,0.030395755
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2820,1.2223546099,0.1325106383,0.0944184397,0.0944184397
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,2532,11.311461295,2.9861769352,2.3411650869,2.3411650869
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,156,162,133.12092593,39.178518519,29.061296296,28.002283951
1013933233,SHIFREN,ADRIAN,,MD,M,I,4921 PARKVIEW PL,8TH FL,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,39,39,76.153846154,33,25.542564103,25.542564103
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,19,244,41.059098361,19.643934426,15.036639344,15.036639344
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,680,8.7141176471,2.6311764706,2.0628088235,2.0628088235
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,73,101,329,1057,62.097114475,8.3191863765,6.178628193,6.1792620624
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,25,45,45,11.076,3.38,2.586,2.586
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,21,28,28,14.838928571,2.12,1.67,1.67
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,55,108,204,12.996029412,1.42,1.0705392157,1.0705392157
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,12,12,12,75.635833333,66.021666667,51.7625,55.270833333
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,506.401,344.913,267.2765,267.2765
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1710,10.43771345,9.455877193,7.4134269006,7.4134035088
1013933266,HINKLE,JEANNEMARIE,D,MD,F,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,23,23,256.49652174,251.11,196.87,196.87
1013933290,HALMOS,BALAZS,,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,36.5,16.86,13.22,13.490769231
1013933290,HALMOS,BALAZS,,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,223.87368421,77.36,60.65,55.664736842
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,219.6,90,68.184545455,65.959090909
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,83.729310345,34,26.656551724,26.070344828
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,125,56.63376,19.32136,14.4156,13.88632
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,14,66,45.010454545,17.762727273,12.236212121,10.754393939
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,14,31,31,166.93580645,59.392258065,43.719354839,40.961290323
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,26,26,51.933076923,18.868461538,14.248076923,13.865384615
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,41,41,57.605853659,13.073658537,9.4373170732,8.6236585366
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,44,251,8.4773705179,2.1324302789,1.6409561753,1.5915139442
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,22.0225,6.155625,4.820625,4.678125
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,28.885882353,13.372352941,10.477058824,10.451764706
1013933407,HOLDEN,SHAUN,B,M.D.,M,I,2820 E. ROCK HAVEN RD.,SUITE 100,HARRISONVILLE,MO,647012082,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,194.37777778,36.58037037,27.767037037,26.508518519
1013933480,KHOURY,FIRAS,G,MD,M,I,15895 SW 72ND AVE STE 250,,TIGARD,OR,972247966,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,7780,3.3857133676,0.5653470437,0.4325822622,0.4325771208
1013933480,KHOURY,FIRAS,G,MD,M,I,15895 SW 72ND AVE STE 250,,TIGARD,OR,972247966,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1800,0.0865944444,0.013,0.0092888889,0.0092888889
1013933480,KHOURY,FIRAS,G,MD,M,I,15895 SW 72ND AVE STE 250,,TIGARD,OR,972247966,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,660,2.1536666667,0.7427272727,0.5288030303,0.5288030303
1013933480,KHOURY,FIRAS,G,MD,M,I,15895 SW 72ND AVE STE 250,,TIGARD,OR,972247966,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,5220,3.0970785441,1.2589195402,0.97898659,0.97898659
1013933480,KHOURY,FIRAS,G,MD,M,I,15895 SW 72ND AVE STE 250,,TIGARD,OR,972247966,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,48,48,24,24,17.64375,17.64375
1013933480,KHOURY,FIRAS,G,MD,M,I,15895 SW 72ND AVE STE 250,,TIGARD,OR,972247966,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,48,48,16,16,12.27875,12.27875
1013933506,FONSECA,WALSTIR,H,MD,F,I,700 W 800 N STE 400,,OREM,UT,840576305,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,76,247,70.976558704,8.32,5.9048582996,5.9048582996
1013933506,FONSECA,WALSTIR,H,MD,F,I,700 W 800 N STE 400,,OREM,UT,840576305,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,26,71,9.4630985915,1.42,1.0508450704,1.0508450704
1013933506,FONSECA,WALSTIR,H,MD,F,I,700 W 800 N STE 400,,OREM,UT,840576305,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,26,5.57,4.367,4.18
1013933506,FONSECA,WALSTIR,H,MD,F,I,700 W 800 N STE 400,,OREM,UT,840576305,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4728,0.5596446701,0.32,0.2508629442,0.2436971235
1013933506,FONSECA,WALSTIR,H,MD,F,I,700 W 800 N STE 400,,OREM,UT,840576305,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,86.31,17.91,13.214117647,12.743529412
1013933506,FONSECA,WALSTIR,H,MD,F,I,700 W 800 N STE 400,,OREM,UT,840576305,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125,17.91,12.87,12.411666667
1013933506,FONSECA,WALSTIR,H,MD,F,I,700 W 800 N STE 400,,OREM,UT,840576305,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,493.9782,70.48,48.1874,47.7422
1013933548,DIAZ,VICTOR,A,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,43,118,60.727711864,8.32,5.5278813559,5.5278813559
1013933548,DIAZ,VICTOR,A,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,23,40,12.44275,1.42,1.00325,1.00325
1013933548,DIAZ,VICTOR,A,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,310,8.1421935484,3,2.0636774194,2.0799032258
1013933548,DIAZ,VICTOR,A,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7999,0.4032279035,0.2856357045,0.2173134142,0.2364658082
1013933548,DIAZ,VICTOR,A,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,91,5.9631868132,0.71,0.5443956044,0.5443956044
1013933548,DIAZ,VICTOR,A,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,33.117333333,3.862,1.5133333333,1.846
1013933548,DIAZ,VICTOR,A,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,48.230769231,33,21.89,21.89
1013933845,SALLSTROM,JOHN,F,PA-C,M,I,103 MEDICAL HEIGHTS DR,,MORGANTON,NC,286555197,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,27,62,50.74983871,8.309516129,5.4690322581,5.4793548387
1013933845,SALLSTROM,JOHN,F,PA-C,M,I,103 MEDICAL HEIGHTS DR,,MORGANTON,NC,286555197,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,70.23,46.589230769,46.301538462
1013933845,SALLSTROM,JOHN,F,PA-C,M,I,103 MEDICAL HEIGHTS DR,,MORGANTON,NC,286555197,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,51,33,21.166363636,21.166363636
1013933878,BRAY,KENDRA,,PA-C,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,31,83,59.194939759,8.32,6.0557831325,6.0557831325
1013933878,BRAY,KENDRA,,PA-C,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,80.978461538,17.062307692,12.353076923,12.511538462
1013933878,BRAY,KENDRA,,PA-C,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,618.96740741,70.066666667,50.258518519,50.19962963
1013933902,ALI,SIBTAIN,H,MD,M,I,8876 GULF FWY,SUITE 215,HOUSTON,TX,770176513,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,3690,5.1838834688,0.5624471545,0.4072845528,0.4072845528
1013933902,ALI,SIBTAIN,H,MD,M,I,8876 GULF FWY,SUITE 215,HOUSTON,TX,770176513,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,2100,0.0766047619,0.0125714286,0.0098619048,0.0098619048
1013933902,ALI,SIBTAIN,H,MD,M,I,8876 GULF FWY,SUITE 215,HOUSTON,TX,770176513,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1560,3.0513333333,0.74,0.5801858974,0.5801858974
1013933902,ALI,SIBTAIN,H,MD,M,I,8876 GULF FWY,SUITE 215,HOUSTON,TX,770176513,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,6660,6.166521021,2.8636756757,1.7870870871,2.1637252252
1013933902,ALI,SIBTAIN,H,MD,M,I,8876 GULF FWY,SUITE 215,HOUSTON,TX,770176513,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,52,52,24,24,18.458076923,18.458076923
1013933902,ALI,SIBTAIN,H,MD,M,I,8876 GULF FWY,SUITE 215,HOUSTON,TX,770176513,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,34,16,16,11.804705882,11.804705882
1013934017,CHAN,WAI LUN,,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,28,87,71.854022989,8.32,6.0724137931,6.0724137931
1013934017,CHAN,WAI LUN,,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,34.174,10.81,8.475,8.475
1013934017,CHAN,WAI LUN,,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,50,21.4925,14.3625,13.281666667
1013934017,CHAN,WAI LUN,,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,280,91.313333333,59.636,54.584
1013934017,CHAN,WAI LUN,,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,133.125,18.38,7.205,6.55
1013934058,RAMINENI,GOPALA,A,MD,M,I,850 HOSPITAL RD,SUITE 1300,INDIANA,PA,157013662,US,Physician/Medical Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,504,10.685337302,1.856547619,1.455515873,1.455515873
1013934058,RAMINENI,GOPALA,A,MD,M,I,850 HOSPITAL RD,SUITE 1300,INDIANA,PA,157013662,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,45,3414,33.948831283,4.976903925,3.827791447,3.827791447
1013934058,RAMINENI,GOPALA,A,MD,M,I,850 HOSPITAL RD,SUITE 1300,INDIANA,PA,157013662,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,27,24,24,18.82,18.82
1013934058,RAMINENI,GOPALA,A,MD,M,I,850 HOSPITAL RD,SUITE 1300,INDIANA,PA,157013662,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,30,16,16,12.540666667,12.540666667
1013934181,YAHYA,ALI,M,MD,M,I,2213 STANLEY AVE SE,,ROANOKE,VA,240142435,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,345,12.154869565,5.38,4.218,4.170173913
1013934181,YAHYA,ALI,M,MD,M,I,2213 STANLEY AVE SE,,ROANOKE,VA,240142435,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,175,50.715,39.76,41.11
1013934181,YAHYA,ALI,M,MD,M,I,2213 STANLEY AVE SE,,ROANOKE,VA,240142435,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,72,72,78.680555556,17.270416667,11.679166667,12.027638889
1013934181,YAHYA,ALI,M,MD,M,I,2213 STANLEY AVE SE,,ROANOKE,VA,240142435,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,150,29.63,20.32625,21.1
1013934181,YAHYA,ALI,M,MD,M,I,2213 STANLEY AVE SE,,ROANOKE,VA,240142435,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,65,65,36.978461538,8.7261538462,6.2429230769,5.9121538462
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,45,141,515,49.609631068,8.32,5.9440194175,5.9440194175
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,40,41,12.285365854,3.38,2.456097561,2.456097561
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,19,19,18.878421053,2.12,1.67,1.67
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,25,72,126,12.133968254,1.42,0.9730952381,0.9730952381
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,8.1170588235,1.5194117647,1.0467647059,1.0147058824
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,549.36142857,90.342857143,54.13,51.141428571
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,40,196.45825,34.77725,25.204,23.8395
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,255.44090909,64.636363636,38.577272727,33.499090909
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,92.570714286,19.86,13.490714286,11.990714286
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,99.519473684,14.032631579,10.466842105,9.2489473684
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,32,133,12.226015038,2.2542105263,1.4620300752,1.3415037594
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,86.31,17.721176471,13.893529412,13.893529412
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,3775.52,913.16,715.92,836.51727273
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,81.75,13.7875,9.8458333333,9.6025
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,24,49.86625,4.77,3.0054166667,2.8729166667
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,210.2496,44.8232,32.986,24.1572
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,91,92,594.28021739,75.212173913,57.569565217,54.214130435
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,285.6,41.303,32.3815,29.5135
1013934611,TUCHSCHERER,ERIC,,M.D.,M,I,2330 S DIXON RD,,KOKOMO,IN,469026400,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,82.5,33,22.174285714,22.174285714
1013934645,LILES,JERRY,,D.O.,M,I,1009 E 6TH ST,,ALICE,TX,783324657,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,26,65,186,28.846075269,8.32,5.8766666667,5.8766666667
1013934645,LILES,JERRY,,D.O.,M,I,1009 E 6TH ST,,ALICE,TX,783324657,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,33,43,6.3909302326,1.42,1.0390697674,1.0390697674
1013934645,LILES,JERRY,,D.O.,M,I,1009 E 6TH ST,,ALICE,TX,783324657,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,21,86.31,21,14.331904762,13.603809524
1013934645,LILES,JERRY,,D.O.,M,I,1009 E 6TH ST,,ALICE,TX,783324657,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,58,519.51,98.85,74.291034483,60.074137931
1013934645,LILES,JERRY,,D.O.,M,I,1009 E 6TH ST,,ALICE,TX,783324657,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,3.4635606061,1.2947272727,1.015030303,1.015030303
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,63,141,395,74.972556962,8.32,5.8098987342,5.8098987342
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,20,37,41,19.644878049,1.42,0.9551219512,0.9551219512
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.85,7.46,5.6545833333,5.6545833333
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,180,0.9153888889,0.12,0.0940555556,0.0940555556
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,19,31,31,67.161290323,41.447419355,31.518709677,30.245806452
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,48,3672,1.6199591503,0.8698529412,0.6819389978,0.6898937908
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,191.48235294,93.693529412,73.459411765,70.398823529
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,50,72.4754,35.5716,27.8232,25.8538
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,50,38.6744,19.5356,15.3162,14.5356
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,117.55294118,59.712941176,44.257647059,40.405882353
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,25,32,32,39.61875,19.540625,14.875625,13.89875
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,23,35,161,4.1277018634,2.2814285714,1.7306832298,1.5265838509
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,15,17,17,44.705882353,13.923529412,10.305294118,9.9047058824
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,234,48.786363636,38.248181818,38.254545455
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,41.909565217,17.626521739,12.639130435,12.38173913
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,77.45,53.86,38.710833333,38.360833333
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,77.45,49.67,35.704166667,34.604166667
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,193.17,104.174375,81.674375,66.6275
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,40,40,34.308,14.78125,11.594,10.22875
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,130.1078125,35.7246875,27.2025,24.3475
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,259.11215686,77.422156863,58.253333333,52.296666667
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,175,41.694545455,32.686818182,29.55
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,61.575757576,22.667272727,17.334848485,13.764848485
1013934785,KENNINGER,RANDALL,A,MD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,105,33,23.518181818,23.518181818
1013934827,STA ROMANA,LEILANE,U,MD,F,I,6127 GREEN BAY RD,#200,KENOSHA,WI,531422929,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,32,122,76.277459016,8.32,5.5601639344,5.5601639344
1013934827,STA ROMANA,LEILANE,U,MD,F,I,6127 GREEN BAY RD,#200,KENOSHA,WI,531422929,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,36,20.093055556,1.42,0.9905555556,0.9905555556
1013935089,LUBLINER,GUY,,M.D.,M,I,2340 CLAY ST,2ND FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,86.31,17.087272727,13.401363636,13.532727273
1013935089,LUBLINER,GUY,,M.D.,M,I,2340 CLAY ST,2ND FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,519.51,75.490909091,59.187272727,55.057727273
1013935154,SHIH,CHIN SHUN,,M.D.,M,I,223 N GARFIELD AVE STE 305,,MONTEREY PARK,CA,917541700,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,48,66.9575,8.32,5.373125,5.373125
1013935154,SHIH,CHIN SHUN,,M.D.,M,I,223 N GARFIELD AVE STE 305,,MONTEREY PARK,CA,917541700,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,16,14.39875,1.42,1.04875,1.04875
1013935220,ALTSHULER,MARC,J,M.D.,M,I,833 CHESTNUT ST,SUITE 301,PHILADELPHIA,PA,191074414,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,42,58.998571429,8.32,4.969047619,4.969047619
1013935253,BABBINO,STEPHEN,J,MD,M,I,604 SMITH RD,,ALBERTVILLE,AL,359513412,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,42.715384615,6.3592307692,4.1461538462,2.6
1013935253,BABBINO,STEPHEN,J,MD,M,I,604 SMITH RD,,ALBERTVILLE,AL,359513412,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1013935303,COHEN,PAUL,A,MD,M,I,801 SPRUCE ST,SUITE 3E,PHILADELPHIA,PA,191075701,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,41,155,70.85916129,8.32,5.4472258065,5.4472258065
1013935303,COHEN,PAUL,A,MD,M,I,801 SPRUCE ST,SUITE 3E,PHILADELPHIA,PA,191075701,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,25,15.1136,1.42,1.068,1.068
1013935303,COHEN,PAUL,A,MD,M,I,801 SPRUCE ST,SUITE 3E,PHILADELPHIA,PA,191075701,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,14,488.15142857,69.071428571,54.158571429,54.612142857
1013935311,MONG,ALAN,T,MD,M,I,4439 STATE ROUTE 159,STE 160,CHILLICOTHE,OH,456018207,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,26,4640,0.6980172414,0.44,0.3396034483,0.3396034483
1013935311,MONG,ALAN,T,MD,M,I,4439 STATE ROUTE 159,STE 160,CHILLICOTHE,OH,456018207,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,515,11.501009709,8.28,6.4915339806,6.4915339806
1013935311,MONG,ALAN,T,MD,M,I,4439 STATE ROUTE 159,STE 160,CHILLICOTHE,OH,456018207,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,22,1033,4.3649177154,3.67,2.8773184898,2.8773184898
1013935311,MONG,ALAN,T,MD,M,I,4439 STATE ROUTE 159,STE 160,CHILLICOTHE,OH,456018207,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,1493,0.6850569324,0.45,0.3244675151,0.3244675151
1013935311,MONG,ALAN,T,MD,M,I,4439 STATE ROUTE 159,STE 160,CHILLICOTHE,OH,456018207,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,155.48166667,65.7425,47.275,36.170833333
1013935311,MONG,ALAN,T,MD,M,I,4439 STATE ROUTE 159,STE 160,CHILLICOTHE,OH,456018207,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,4818,932.53,731.104,559.41066667
1013935329,MULLAH,FARAH,,D.O.,F,I,1 BRANCH ST,,METHUEN,MA,018441923,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,54,113,82.150884956,8.32,5.5987610619,5.5987610619
1013935329,MULLAH,FARAH,,D.O.,F,I,1 BRANCH ST,,METHUEN,MA,018441923,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,19,23,14.304782609,1.42,1.0208695652,1.0208695652
1013935329,MULLAH,FARAH,,D.O.,F,I,1 BRANCH ST,,METHUEN,MA,018441923,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,248.6,47.012857143,34.932142857,35.765
1013935329,MULLAH,FARAH,,D.O.,F,I,1 BRANCH ST,,METHUEN,MA,018441923,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1449,1.1615182885,0.0443064182,0.0347135956,0.0347135956
1013935329,MULLAH,FARAH,,D.O.,F,I,1 BRANCH ST,,METHUEN,MA,018441923,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,659,2.0729590288,0.1313050076,0.0822306525,0.0822306525
1013935329,MULLAH,FARAH,,D.O.,F,I,1 BRANCH ST,,METHUEN,MA,018441923,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,21,21,33,33,23.007619048,23.007619048
1013935568,GORIEL,YOUSIF,H,MD,M,I,15351 W NINE MILE RD,,OAK PARK,MI,48237,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,22,30,71.472666667,8.32,5.1406666667,5.1406666667
1013935600,OWENS,ANN,M,PA-C,F,I,315 E CALEDONIA AVE,,HILLSBORO,ND,58045,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,27,46,42.132173913,8.32,5.6713043478,5.6713043478
1013935600,OWENS,ANN,M,PA-C,F,I,315 E CALEDONIA AVE,,HILLSBORO,ND,58045,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,81.622631579,47.288947368,32.550526316,21.826315789
1013935600,OWENS,ANN,M,PA-C,F,I,315 E CALEDONIA AVE,,HILLSBORO,ND,58045,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,30.812142857,19.342142857,13.000714286,7.1614285714
1013935600,OWENS,ANN,M,PA-C,F,I,315 E CALEDONIA AVE,,HILLSBORO,ND,58045,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,80,4.47225,2.9245,1.901125,1.23725
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,16,51,89,73.466629213,8.32,5.3493258427,5.3493258427
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,17.638571429,1.42,1.04,1.04
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,33,33,35.19,28.46,20.791818182,20.791818182
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,34,3.05,2.49,1.8361764706,1.8361764706
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,35,42,13.462380952,10.93,7.3457142857,7.3457142857
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,27,72.502222222,47.595185185,35.367777778,23.971851852
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,37.68,25.012727273,15.356363636,11.034545455
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,55,3.5083636364,2.9978181818,2.2412727273,1.484
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,505,7.5758415842,4.0569306931,3.1805940594,2.7853069307
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,8145,1.1439705341,0.4628287293,0.3628520565,0.3228532842
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,50.023333333,42.761666667
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,30.100869565,17.314782609,11.05826087,9.5269565217
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,91.55,48.558333333,31.254166667,19.382916667
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,359.83666667,112.416,87.691333333,70.483333333
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,45,3240,2.3477839506,0.133962963,0.096617284,0.096617284
1013935782,BUHR,JAMES,B,MD,M,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,32,32,33,33,23.4446875,23.4446875
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,36,144,277,82.932527076,8.32,5.1527075812,5.1527075812
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,40,42,15.224047619,1.42,0.9861904762,0.9861904762
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,191.11583333,53.63,35.666666667,36.425
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,71.411538462,10.63,7.6892307692,8.3730769231
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,95,8.7707368421,2.26,1.6597894737,1.5150526316
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,52.143333333,17,12.774583333,12.977916667
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1074.31,842.26,842.26
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,27.813333333,3.9566666667,2.635,3.3116666667
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,344.82083333,77.18,57.98875,52.68125
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,5424,0.5565578909,0.0461264749,0.031939528,0.031939528
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1350,2.2699259259,0.1364,0.080762963,0.080762963
1013936137,POLATAIKO,NADIA,,M.D.,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,38,38,33,33,21.104473684,21.104473684
1013936160,MOLAVI,RAMEEN,J,M.D.,M,I,10755 FALLS RD,SUITE 200,LUTHERVILLE,MD,210934515,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,29,88,70.049204545,8.32,5.0394318182,5.0394318182
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,67,196,582,59.112371134,8.32,5.9643298969,5.9643298969
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,41,41,15.498292683,3.38,2.5207317073,2.5207317073
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,20,20,21.82,2.12,1.67,1.67
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,41,98,166,14.142891566,1.42,1.0410843373,1.0410843373
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,32,6.61875,1.39,1.021875,1.08375
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,51.470909091,19,14.9,14.06
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,86,6.91,2.3,1.803372093,1.591744186
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,200,46.667037037,29.963333333,30.179259259
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,107.99724138,17.46,13.217931034,13.119655172
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,45,32.34,34.739166667
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,48,48,41.248541667,5.41125,3.5308333333,2.9408333333
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,47,415.04382979,82,58.554255319,51.84212766
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,5.3431666667,2.59275,1.8585277778,1.8585277778
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.072454545,8.6074090909,8.6074090909
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,13,1865,0.3818873995,0.044772118,0.0326434316,0.0326434316
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,2298,1.2187859008,0.1373716275,0.0943690165,0.0943690165
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9977272727,2.3502424242,2.3502424242
1013936327,KROOPNICK,ROBERT,B,M.D.,M,I,4000 OLD COURT RD,SUITE 300,PIKESVILLE,MD,212082800,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,39,39,104.07692308,33,23.88,23.88
1013936491,HAMILTON,JENNIFER,,M.D.,F,I,225 NEWTOWN RD,1ST FLOOR,WARMINSTER,PA,189745221,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1266,1.6114533965,0.1400789889,0.1098420221,0.1098420221
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,11,137,43.281678832,19.653430657,14.309343066,14.309343066
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,345,7.5907826087,2.6313043478,1.8435072464,1.8435072464
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,103,382,1190,67.837865546,8.32,5.9557815126,5.9557815126
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,13.784375,3.38,2.65,2.65
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,43,82,158,14.984683544,1.42,1.0642405063,1.0642405063
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,450.06238095,328.80714286,250.95047619,250.95047619
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,740,16.503094595,10.583864865,8.1038378378,8.1038378378
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,10,40,185,189,466.00582011,251.05222222,195.53534392,195.58042328
1013936517,EID,WAEL,E,MD,M,I,1500 JAMES SIMPSON JR WAY,SUITE 301,COVINGTON,KY,410110801,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,9,32,32,32,438.4234375,262.334375,200.1746875,201.6059375
1013936749,GUILLIAMS,ERIC,P,M.D.,M,I,1965 S FREMONT AVE,SUITE 370,SPRINGFIELD,MO,658042201,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,2546,0.2910212097,0.13,0.1019167321,0.1019167321
1013936749,GUILLIAMS,ERIC,P,M.D.,M,I,1965 S FREMONT AVE,SUITE 370,SPRINGFIELD,MO,658042201,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,2220,3.4966216216,2.04,1.5347072072,1.5347072072
1013936749,GUILLIAMS,ERIC,P,M.D.,M,I,1965 S FREMONT AVE,SUITE 370,SPRINGFIELD,MO,658042201,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,36,5546,9.0684998197,7.23,5.6520230797,5.6520230797
1013936749,GUILLIAMS,ERIC,P,M.D.,M,I,1965 S FREMONT AVE,SUITE 370,SPRINGFIELD,MO,658042201,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,31,11.571290323,6.41,4.7035483871,5.5383870968
1013936756,CRAYTHORNE,CHARLES,B,M.D.,M,I,613 S MAGNOLIA AVE STE 1,,TAMPA,FL,336062767,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,100.75,88.155,69.115,69.115
1013936764,STARK,CHRISTOPER,J,,M,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Hospitalist,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,260,5.8853846154,4.91,3.5531538462,3.5531538462
1013936764,STARK,CHRISTOPER,J,,M,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Hospitalist,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,205,6.5634634146,5.54,4.1315609756,4.1315609756
1013936764,STARK,CHRISTOPER,J,,M,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,50.163333333,22.70962963,16.697407407,12.974074074
1013936764,STARK,CHRISTOPER,J,,M,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,49.705882353,5.7270588235,4.4882352941,3.5717647059
1013936764,STARK,CHRISTOPER,J,,M,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,51,51,263.82333333,102.04941176,77.780392157,58.962745098
1013936764,STARK,CHRISTOPER,J,,M,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,161.84615385,45.274615385,35.497692308,30.616923077
1013936764,STARK,CHRISTOPER,J,,M,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,60.381818182,19.440909091,11.324545455,9.5272727273
1013936798,KERNAN,MICHAEL,T,MD.,M,I,4104 MEDICAL CENTER DR,SUITE 104,FAYETTEVILLE,NY,130666635,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,49,31.700816327,8.32,6.3891836735,6.3891836735
1013936798,KERNAN,MICHAEL,T,MD.,M,I,4104 MEDICAL CENTER DR,SUITE 104,FAYETTEVILLE,NY,130666635,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,24,7.2895833333,1.42,1.1145833333,1.1145833333
1013936871,VALENT,JASON,,M.D.,M,I,16761 SOUTHPARK CTR,ST30,STRONGSVILLE,OH,441369302,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78,61.15,55.265
1013937036,ROGERS,CHRISTOPHER,,D.O.,M,I,601 JOHN ST,STE 100,KALAMAZOO,MI,490075341,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,1258.12,19.71,15.45,15.45
1013937036,ROGERS,CHRISTOPHER,,D.O.,M,I,601 JOHN ST,STE 100,KALAMAZOO,MI,490075341,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,629.90288462,37.38,29.306730769,29.306730769
1013937036,ROGERS,CHRISTOPHER,,D.O.,M,I,601 JOHN ST,STE 100,KALAMAZOO,MI,490075341,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,760,186.06056579,1.5950526316,1.2505394737,1.2505394737
1013937085,GUERINGER,LLOYD,J,MD,M,I,1202 S TYLER ST,,COVINGTON,LA,704332330,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40.24,22.4775,15.134166667,11.275
1013937085,GUERINGER,LLOYD,J,MD,M,I,1202 S TYLER ST,,COVINGTON,LA,704332330,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,33.75,19.791666667,15.516666667,13.826666667
1013937481,ARAUJO,CARLOS,W,MD,M,I,3006 S MARYLAND PKWY,#205,LAS VEGAS,NV,891092218,US,Physician/Hematology-Oncology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,2850,0.17,0.0463438596,0.0334245614,0.0334245614
1013937481,ARAUJO,CARLOS,W,MD,M,I,3006 S MARYLAND PKWY,#205,LAS VEGAS,NV,891092218,US,Physician/Hematology-Oncology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,450,0.75,0.2191333333,0.1604444444,0.1604444444
1013937481,ARAUJO,CARLOS,W,MD,M,I,3006 S MARYLAND PKWY,#205,LAS VEGAS,NV,891092218,US,Physician/Hematology-Oncology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,125.8125,33,24.253125,24.253125
1013938042,LARAMIE,JEANNINE,,MD,F,I,1515 E ALLUVIAL AVE STE 103,,FRESNO,CA,937203832,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,60,74.471,8.32,5.869,5.869
1013938042,LARAMIE,JEANNINE,,MD,F,I,1515 E ALLUVIAL AVE STE 103,,FRESNO,CA,937203832,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,13.873076923,1.42,1.12,1.12
1013938042,LARAMIE,JEANNINE,,MD,F,I,1515 E ALLUVIAL AVE STE 103,,FRESNO,CA,937203832,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,16.987857143,11.421428571,11.646428571
1013938042,LARAMIE,JEANNINE,,MD,F,I,1515 E ALLUVIAL AVE STE 103,,FRESNO,CA,937203832,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,519.51,70.47,51.534333333,51.081333333
1013938042,LARAMIE,JEANNINE,,MD,F,I,1515 E ALLUVIAL AVE STE 103,,FRESNO,CA,937203832,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,250,35.83,28.09,29.51
1013938042,LARAMIE,JEANNINE,,MD,F,I,1515 E ALLUVIAL AVE STE 103,,FRESNO,CA,937203832,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,82.5,33,25.87,25.87
1013938208,ABDOU,ZAHID,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,69,153,72.899607843,8.32,5.2850980392,5.2850980392
1013938208,ABDOU,ZAHID,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,45,55,41.239454545,1.42,0.9349090909,0.9349090909
1013938208,ABDOU,ZAHID,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,17,63.891764706,17,11.224705882,11.441176471
1013938208,ABDOU,ZAHID,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43.9,31.551666667,34.829166667
1013938208,ABDOU,ZAHID,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.01,10.3125,8.09,8.9575
1013938208,ABDOU,ZAHID,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,469.78307692,77.18,51.628076923,46.729615385
1013938208,ABDOU,ZAHID,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,37,26.5925,27.061666667
1013938224,BRAVO,RUTH,,NP,F,I,460 N ELM ST,,ESCONDIDO,CA,920253002,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,42,155,74.384322581,8.32,5.6807741935,5.6807741935
1013938224,BRAVO,RUTH,,NP,F,I,460 N ELM ST,,ESCONDIDO,CA,920253002,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,39,15.155641026,1.42,1.0571794872,1.0571794872
1013938331,JAVIER,JULIAN,J,MD,M,I,680 2ND AVE N,SUITE 100,NAPLES,FL,341025753,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,40,17.29,12.044444444,12.026666667
1013938331,JAVIER,JULIAN,J,MD,M,I,680 2ND AVE N,SUITE 100,NAPLES,FL,341025753,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,220,70.23,51.389333333,51.083333333
1013938513,PATEL,SHETAL,,MD,F,I,2400 N ROCKTON AVE,,ROCKFORD,IL,611033619,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,46.76,23.615454545,14.925909091,14.534545455
1013938513,PATEL,SHETAL,,MD,F,I,2400 N ROCKTON AVE,,ROCKFORD,IL,611033619,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,401.68,77.18,54.904090909,52.272727273
1013938737,BARTON,JEFFREY,C,DPM,M,I,200 BANNING ST,SUITE 360,DOVER,DE,199043485,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,76,76,152,80.740131579,71.56,54.128223684,54.128223684
1013938737,BARTON,JEFFREY,C,DPM,M,I,200 BANNING ST,SUITE 360,DOVER,DE,199043485,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,71,71,426,31.902816901,29.19,22.503802817,22.505399061
1013938737,BARTON,JEFFREY,C,DPM,M,I,200 BANNING ST,SUITE 360,DOVER,DE,199043485,US,Podiatry,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,60,60,109,23.853211009,22.52146789,17.030733945,33.551559633
1013938737,BARTON,JEFFREY,C,DPM,M,I,200 BANNING ST,SUITE 360,DOVER,DE,199043485,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,175,150.19,117.49333333,118.96
1013938752,RUSSELL,HOWARD,L,MD,M,I,820 N 4TH ST,,FARGO,ND,581220001,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,466.66666667,69.99,54.87,54.765
1013938752,RUSSELL,HOWARD,L,MD,M,I,820 N 4TH ST,,FARGO,ND,581220001,US,Physician/Hematology-Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175,38.68,30.32,29.7125
1013938752,RUSSELL,HOWARD,L,MD,M,I,820 N 4TH ST,,FARGO,ND,581220001,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,1100,50.112054545,4.8226818182,3.7810363636,3.7810363636
1013938752,RUSSELL,HOWARD,L,MD,M,I,820 N 4TH ST,,FARGO,ND,581220001,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1013938802,LARSON,CYNTHIA,,MD,F,I,1700 HIGHWAY 25 N,,BUFFALO,MN,553131930,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,88,208,82.482644231,8.32,6.018125,6.018125
1013938802,LARSON,CYNTHIA,,MD,F,I,1700 HIGHWAY 25 N,,BUFFALO,MN,553131930,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,21,25,14.226,1.42,0.9832,0.9832
1013938802,LARSON,CYNTHIA,,MD,F,I,1700 HIGHWAY 25 N,,BUFFALO,MN,553131930,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,720,1.9670277778,0.1322083333,0.0922777778,0.0922777778
1013938802,LARSON,CYNTHIA,,MD,F,I,1700 HIGHWAY 25 N,,BUFFALO,MN,553131930,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,103.52,40.62,29.195833333,27.254166667
1013938802,LARSON,CYNTHIA,,MD,F,I,1700 HIGHWAY 25 N,,BUFFALO,MN,553131930,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,21.89,21.89
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,40,98,217,63.814285714,8.2713364055,6.0925806452,6.1305529954
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,19,27,31,16.202580645,1.42,1.1174193548,1.1174193548
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,19,32.356315789,28.46,21.135789474,21.135789474
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,18,6.31,5.54,4.34,4.34
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,24,12.22,10.93,7.49875,7.49875
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,4.1,4.05,3.18,3.21
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,330,6.8672727273,5.74,4.5,4.5
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,150,8.4086666667,5.54,3.7044666667,3.7044666667
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,250,6.74,6.74,5.284,5.284
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,780,1.95,1.95,1.5288333333,1.5288333333
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,21,21,98.866666667,50.72047619,39.767142857,31.622380952
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,140,4.5057142857,3.04,2.0426428571,2.0426428571
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,450,0.3001333333,0.2684888889,0.2104222222,0.2116
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,781,8.28,8.28,6.2131498079,6.2131498079
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,185,2.5472972973,2.5438378378,1.9017297297,1.9206486486
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,353.74909091,122.96727273,96.405454545,71.65
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,133.85241379,45.82137931,35.924137931,25.917931034
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,108.9,80.081333333,62.782,44.567333333
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,21,21,49.071904762,26.498095238,20.770952381,14.907619048
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,21,101,8.0348514851,3.2544554455,2.551980198,1.753960396
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,380.69428571,150.2,117.75571429,83.772857143
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,53.131578947,20.902631579,16.083157895,10.561842105
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,42,42.49047619,7.2735714286,5.2697619048,3.1376190476
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,160.3137931,62.311034483,47.957931034,28.062413793
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,85,88,410.43681818,103.98863636,77.025681818,52.467954545
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,109.375,45.3525,34.189583333,28.585416667
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,19.453333333,9.62425,7.5454166667,7.5454166667
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,5980,0.4506923077,0.0460719064,0.0324364548,0.0324364548
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,50,5545,1.5697457169,0.1361442741,0.1008782687,0.1008782687
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,38,2025,11.229901235,2.9569876543,2.3068148148,2.3068148148
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,60,20.725294118,8.62,6.1647058824
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,98,43.868333333,31.988333333,19.405
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,11.266666667,8.0866666667,5.9866666667
1013938844,PLUMAGE,DARRELL,W,MD,M,I,1601 N HARRISON AVE STE 6,,PIERRE,SD,575012383,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,82,82,43.865853659,33,24.292560976,24.292560976
1013938976,ARRAZOLA,ORLANDO,,MD,M,I,13550 SW 88TH ST STE 280A,,MIAMI,FL,331861654,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,44,133,49.711503759,8.32,6.1790225564,6.1790225564
1013938976,ARRAZOLA,ORLANDO,,MD,M,I,13550 SW 88TH ST STE 280A,,MIAMI,FL,331861654,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,14.88,3.38,2.65,2.65
1013938976,ARRAZOLA,ORLANDO,,MD,M,I,13550 SW 88TH ST STE 280A,,MIAMI,FL,331861654,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,24,60,14.221833333,1.42,1.0943333333,1.0943333333
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,47,89,52.960561798,8.32,5.7357303371,5.7357303371
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,95.413529412,21.044705882,15.034313725,12.205490196
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,50.73,6.13,4.2,2.8166666667
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,121,121,490.6977686,94.657024793,69.619917355,51.858016529
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6349285714,7.5537738095,7.5537738095
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,4211,0.1811422465,0.0462526716,0.0362645452,0.0362645452
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1590,12.771446541,3.0211886792,2.2784025157,2.2784025157
1013939024,GARDNER,ELLEN,F,MD,F,I,200 SOUTH 4200 WEST,,PAROWAN,UT,84761,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,27,128.33333333,33,25.87,25.87
1013939081,BEDI,HARJINDER,S,MD,M,I,501 ROUTE 9,,WARETOWN,NJ,087581743,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,48,118,354,52.842175141,8.32,6.2585875706,6.2585875706
1013939081,BEDI,HARJINDER,S,MD,M,I,501 ROUTE 9,,WARETOWN,NJ,087581743,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,12,30,30,11.274666667,3.38,2.65,2.65
1013939081,BEDI,HARJINDER,S,MD,M,I,501 ROUTE 9,,WARETOWN,NJ,087581743,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,14,18,18,14.871111111,2.12,1.67,1.67
1013939081,BEDI,HARJINDER,S,MD,M,I,501 ROUTE 9,,WARETOWN,NJ,087581743,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,31,69,99,13.272222222,1.42,1.046969697,1.046969697
1013939081,BEDI,HARJINDER,S,MD,M,I,501 ROUTE 9,,WARETOWN,NJ,087581743,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,25,86.31,17.1412,13.2076,13.2576
1013939081,BEDI,HARJINDER,S,MD,M,I,501 ROUTE 9,,WARETOWN,NJ,087581743,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,50.73,5.7604166667,4.5195833333,3.7479166667
1013939081,BEDI,HARJINDER,S,MD,M,I,501 ROUTE 9,,WARETOWN,NJ,087581743,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,31,519.51,74.326451613,54.573548387,51.208709677
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,24,58,59,123.66644068,39.986610169,31.349491525,30.578474576
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,18,42,42,414.71190476,93.040238095,71.228095238,66.656904762
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,17,45,105,162.72209524,34.753809524,26.69447619,25.48
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,,26,131,77.144274809,19.131450382,14.319770992,13.909007634
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,78,47.136666667,15.15,11.878076923,11.892692308
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,37,37,205.29351351,55.470540541,42.323783784,41.722432432
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,31,42,42,67.770714286,19.111904762,14.990952381,14.169761905
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,24,24,91.048333333,12.459166667,9.3725,8.7883333333
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,38,86,449,10.225723831,2.035545657,1.5920489978,1.5857906459
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,30,30,24.779333333,6.191,4.85,4.6583333333
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,20,29,29,47.689655172,12.824827586,10.055517241,10.325862069
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,60,72.883333333,17,12.219166667,12.422833333
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,45,35.28,37.473333333
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,493.21269231,81.467307692,61.501153846,61.501153846
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,17,74,77,167.54519481,31.593376623,23.66974026,23.981818182
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,113,142,464.65943662,77.18,57.723661972,53.249647887
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,2400,1.7106833333,0.13645,0.0933416667,0.0933416667
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,92.774375,40,29.4,27.665625
1013939214,GROVER,PRASHANT,,M.D.,M,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,34,34,59.205882353,33,23.587352941,23.587352941
1013939222,RODRIGUEZ,MIGUEL,,M.D.,M,I,2220 W IOWA AVE,,CHICKASHA,OK,730182738,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,26,91.271153846,18.072307692,13.640769231,13.367692308
1013939222,RODRIGUEZ,MIGUEL,,M.D.,M,I,2220 W IOWA AVE,,CHICKASHA,OK,730182738,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,42.204666667,4.0353333333,2.5333333333,2.932
1013939222,RODRIGUEZ,MIGUEL,,M.D.,M,I,2220 W IOWA AVE,,CHICKASHA,OK,730182738,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,40,529.919,80.6845,60.2405,54.73025
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,36,103,365,55.409424658,8.32,6.2150410959,6.2150410959
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,18,45,45,15.246222222,3.38,2.5322222222,2.5322222222
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,18,24,24,23.6175,2.12,1.6004166667,1.6004166667
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,29,67,157,15.887961783,1.42,1.0591082803,1.0591082803
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,52,5.4730769231,1.6584615385,1.2076923077,1.0630769231
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,58.2,47.2875,37.0725,38.1675
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,37,37,109.51756757,53.41,40.761081081,37.702162162
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,20,33.692,4.8155,3.414,3.042
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.52,8.5475,6.6975,6.85
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,20,202.786,74.9575,47.4,46.762
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4322916667,7.4322916667
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1077,0.6092479109,0.0466202414,0.0365273909,0.0365273909
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,4320,1.5741458333,0.1319305556,0.099125,0.099125
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,701.15214286,109.42,77.712142857,76.580714286
1013939339,THOMAS,JAY,C,,M,I,5764 NEW CALHOUN HWY NE,,ROME,GA,301618252,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,39,93.923076923,33,24.543333333,24.543333333
1013939446,KHAN,SHAHEEN,,M.D.,F,I,2201 S STERLING ST,,MORGANTON,NC,286554044,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,20,6.1135294118,4.5782352941,3.3805882353
1013939487,KRISHNAN,SUMANT,G,M.D.,M,I,9301 N CENTRAL EXPY,SUITE 400,DALLAS,TX,752310806,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,44,186,280,105,82.577214286,64.741785714,64.741785714
1013939487,KRISHNAN,SUMANT,G,M.D.,M,I,9301 N CENTRAL EXPY,SUITE 400,DALLAS,TX,752310806,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,118,120,120,265,104.69816667,82.0835,85.61675
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,40,133,429,77.286946387,8.32,5.5626107226,5.5626107226
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,36,50,10.6488,1.42,1.005,1.005
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,8.9133333333,3,2.1661388889,2.1805
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3780,1.6857142857,0.3040132275,0.2181005291,0.2227962963
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50.73,3.59,1.8182352941,2.4341176471
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,60,60,626.49416667,79.35,56.474833333,49.992333333
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,110.5875,40.62,29.859375,27.820625
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,6482,0.3431101512,0.0469561864,0.0350493675,0.0350493675
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,49,2851,2.3048368993,0.1375552438,0.1021220624,0.1021220624
1013939636,SOAR,BART,T,M.D.,M,I,95 SARGENT STREET,,BELCHERTOWN,MA,010079881,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,49,49,39.06122449,33,24.575510204,24.575510204
1013939693,CARLSON,JOSEPH,W,MD,M,I,310 N 9TH ST,,BISMARCK,ND,585014508,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,21,21,21,163.8,54.94047619,43.076190476,36.46
1013939727,SEFTER,JOHN,C,DO,M,I,1700 OLD GATESBURG RD STE 200,,STATE COLLEGE,PA,168032276,US,Physician/Orthopedic Surgery,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,32,1100,972.47,762.42,775.1396875
1013939784,SERCARZ,JOEL,A,MD,M,I,200 MEDICAL PLZ,#550,LOS ANGELES,CA,900950001,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,356,100,3.1865168539,2.4981460674,2.3656741573
1013939784,SERCARZ,JOEL,A,MD,M,I,200 MEDICAL PLZ,#550,LOS ANGELES,CA,900950001,US,Physician/Otolaryngology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,7053,1.6703530413,0.2870608252,0.2250545867,0.2900822345
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,47,111,366,65.504808743,8.32,5.6590983607,5.6590983607
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,13.987,3.38,2.65,2.65
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,21.38,2.12,1.67,1.67
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,25,53,92,13.000978261,1.42,1.0289130435,1.0289130435
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,264,4.0260227273,2.91,2.28125,2.28125
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,184.16117647,98.400588235,77.147647059,68.47
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,42,70.542380952,38.220952381,27.797142857,24.38452381
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,24,117,46.713931624,21,15.461880342,13.746153846
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,18,91,31.25043956,16.05,12.583516484,11.893736264
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,18,44,44,124.50931818,61.89,46.868863636,41.250227273
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,27,36,36,39.971111111,18.336944444,13.979722222,13.669444444
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,55,55,39.462909091,14.874181818,11.233818182,8.8363636364
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,23,54,270,6.6393333333,2.4,1.8397777778,1.5692962963
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,11.302857143,7,5.49,4.65
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,17,21,21,22.407619048,12.49952381,9.3357142857,9.8547619048
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,18,13.367368421,12.827368421
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,49,49,32.613265306,15.2,11.676734694,10.266122449
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,14,82,82,96.76902439,38.814634146,27.475853659,23.101219512
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,57,333.68,88.043684211,66.551403509,52.809649123
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,4.3596666667,0.567,0.3677777778,0.3677777778
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,49.820526316,17.955263158,13.667368421,14.063684211
1013939834,BRASSLOFF,IRA,B,MD,M,I,1552 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,334012302,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,15.398181818,15.398181818
1013939859,SERVICE,GIANNA,L,MD,F,I,485 COLUMBIA AVE E,SUITE 11A,BATTLE CREEK,MI,490145499,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,24,76,63.941447368,8.32,6.0072368421,6.0072368421
1013939859,SERVICE,GIANNA,L,MD,F,I,485 COLUMBIA AVE E,SUITE 11A,BATTLE CREEK,MI,490145499,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,53.737058824,17.27,12.743529412,12.743529412
1013939859,SERVICE,GIANNA,L,MD,F,I,485 COLUMBIA AVE E,SUITE 11A,BATTLE CREEK,MI,490145499,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,20.93,4.52,2.2970588235,2.1870588235
1013939859,SERVICE,GIANNA,L,MD,F,I,485 COLUMBIA AVE E,SUITE 11A,BATTLE CREEK,MI,490145499,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,346.9009375,69.81,46.2225,46.2225
1013939883,DRIPCHAK,PHILIP,O,MD,M,I,8033 DIXIE HWY,STE B,LOUISVILLE,KY,402581344,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,114.12,24.07,17.522142857,18.631428571
1013939883,DRIPCHAK,PHILIP,O,MD,M,I,8033 DIXIE HWY,STE B,LOUISVILLE,KY,402581344,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,282.06928571,264.38071429,207.27214286,218.54785714
1013939917,DIAZ-JOHNSON,NEREIDA,,M.D.,F,I,2401 MORRIS AVE,,UNION,NJ,070835745,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,39,165,62.324060606,8.32,6.0287878788,6.0287878788
1013939917,DIAZ-JOHNSON,NEREIDA,,M.D.,F,I,2401 MORRIS AVE,,UNION,NJ,070835745,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,23,45,13.368666667,1.42,1.0655555556,1.0655555556
1013939917,DIAZ-JOHNSON,NEREIDA,,M.D.,F,I,2401 MORRIS AVE,,UNION,NJ,070835745,US,Physician/Internal Medicine,S,E0197,"Air pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40.72,11.546666667,9.055,10.855833333
1013939917,DIAZ-JOHNSON,NEREIDA,,M.D.,F,I,2401 MORRIS AVE,,UNION,NJ,070835745,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,37.528181818,29.425454545,31.218181818
1013939917,DIAZ-JOHNSON,NEREIDA,,M.D.,F,I,2401 MORRIS AVE,,UNION,NJ,070835745,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,69.89,15.148461538,8.4015384615,10.432307692
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,1940,0.15,0.12,0.0769845361,0.0769845361
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1240,0.55,0.44,0.3449919355,0.3449919355
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,329,10.08,8.28,6.4916413374,6.4916413374
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,851,24.573243243,18.5,14.504007051,14.504007051
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,27,47,613,13.31,10.93,8.5083523654,8.5083523654
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,51,86,10610,0.1606220547,0.13,0.0990348728,0.0990348728
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,20,27,3616,0.5838938053,0.45,0.3249889381,0.3249889381
1013939933,YACONO,DIANE,,NP,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,15,20,116.77,95.87,75.165,75.165
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,5,,138,138,181.05971014,19.71,15.338043478,15.338043478
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,5,,147,509,251.69308448,37.38,29.085343811,29.085343811
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40.909090909,28.920909091,22.677272727,25.501818182
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,585,224.94909091,176.36181818,176.36181818
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,129,2088,33.888151341,5.5147557471,4.3071264368,4.3071216475
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,930,67.287741935,1.5279569892,1.1979247312,1.1979247312
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,1620,3.7355802469,0.4899814815,0.3745925926,0.3745925926
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,17,66,18290,3.2580082012,0.57538655,0.4367605249,0.4367599781
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,61,9075,0.1013498623,0.0129983471,0.0098236915,0.0098236915
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,7320,1.6308715847,0.7196174863,0.5109248634,0.5504931694
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,66,15408,3.1798760384,1.244757918,0.9563687695,0.9647163811
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,1500,18.730693333,7.5427,5.7221666667,5.7221666667
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,22,122,122,24,24,17.938360656,17.938360656
1013940048,VENTURA,HECTOR,O,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Undefined Physician type[6],S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,24,161,181,16,16,12.332154696,12.332154696
1013940188,KASPEROWICZ,RACHAEL,A,MD,F,I,4040 N EUCLID AVE STE B,,BAY CITY,MI,487062493,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,42,57.549761905,8.32,6.5219047619,6.5219047619
1013940477,GOETZINGER,GREGORY,J,OD,M,I,215 E 3RD ST,,CARTHAGE,MO,648361661,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,63.86,63.86,45.518181818,48.320909091
1013940477,GOETZINGER,GREGORY,J,OD,M,I,215 E 3RD ST,,CARTHAGE,MO,648361661,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,37,37,28.074,42.624
1013940501,SINGHAL,SEEMA,,MD,F,I,675 N SAINT CLAIR ST,GALTER 21-100,CHICAGO,IL,606115975,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,13,552,8.9870833333,3.7821195652,2.8151449275,2.8151449275
1013940501,SINGHAL,SEEMA,,MD,F,I,675 N SAINT CLAIR ST,GALTER 21-100,CHICAGO,IL,606115975,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,24,24,18.82,18.82
1013940527,MI,LIJUN,,MD,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,55,114,60.924298246,8.32,6.1789473684,6.1789473684
1013940527,MI,LIJUN,,MD,F,I,601 ELMWOOD AVE,BOX MED,ROCHESTER,NY,146420001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,30,40,15.68275,1.42,1.0605,1.0605
1013940568,PITARO,NATALIE,,M.D.,F,I,12255 S 80TH AVE,,PALOS HEIGHTS,IL,604631270,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,25,64,170,68.827352941,8.32,6.1763529412,6.1763529412
1013940568,PITARO,NATALIE,,M.D.,F,I,12255 S 80TH AVE,,PALOS HEIGHTS,IL,604631270,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,28,39,14.670512821,1.42,1.0861538462,1.0861538462
1013940568,PITARO,NATALIE,,M.D.,F,I,12255 S 80TH AVE,,PALOS HEIGHTS,IL,604631270,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,362.85714286,77.18,56.187857143,50.811428571
1013940568,PITARO,NATALIE,,M.D.,F,I,12255 S 80TH AVE,,PALOS HEIGHTS,IL,604631270,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,90.5,36.96,26.565,27.106666667
1013940568,PITARO,NATALIE,,M.D.,F,I,12255 S 80TH AVE,,PALOS HEIGHTS,IL,604631270,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,25.563076923,21.056153846,14.894615385,12.427692308
1013940584,TOBOLIC,TIMOTHY,J,M.D.,M,I,7740 BYRON CENTER AVE SW,,BYRON CENTER,MI,493156928,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,49,58.446734694,8.32,5.1912244898,5.1912244898
1013940584,TOBOLIC,TIMOTHY,J,M.D.,M,I,7740 BYRON CENTER AVE SW,,BYRON CENTER,MI,493156928,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,335,125,2.93,2.2970447761,2.3675522388
1013940584,TOBOLIC,TIMOTHY,J,M.D.,M,I,7740 BYRON CENTER AVE SW,,BYRON CENTER,MI,493156928,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4190,3.4139618138,0.38,0.2979164678,0.2900787589
1013940584,TOBOLIC,TIMOTHY,J,M.D.,M,I,7740 BYRON CENTER AVE SW,,BYRON CENTER,MI,493156928,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,12.86,3.0155384615,2.3641538462,2.3641538462
1013940584,TOBOLIC,TIMOTHY,J,M.D.,M,I,7740 BYRON CENTER AVE SW,,BYRON CENTER,MI,493156928,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,108.70588235,33,24.936470588,24.936470588
1013940592,PIMENTEL,GONZALO,,MD,M,I,2545 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,230,71.11,51.461538462,50.52
1013940592,PIMENTEL,GONZALO,,MD,M,I,2545 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177300,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36,27.375,28.664166667
1013940675,AGBEMADZO,BERNARD,M,MD,M,I,PMG HEMATOLOGY/ONCOLOGY,8300 CONSTITUTION AVE NE,ALBUQUERQUE,NM,87110,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.253,4.03,3.1595,3.1595
1013940691,LHOTE,AMY,K,CRNP,F,I,921 S BENEVA RD,,SARASOTA,FL,34232,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,30,78.333,8.32,6.5203333333,6.5203333333
1013940709,HARTMAN-ADAMS,HOLLY,B,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,98,60.222959184,8.32,5.5236734694,5.5236734694
1013940709,HARTMAN-ADAMS,HOLLY,B,M.D.,F,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,470.44411765,70.23,42.104705882,42.044705882
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,35,35,107.53685714,39.574,30.140571429,29.618857143
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,368.48230769,86.566923077,62.655384615,62.624615385
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,71,77.652676056,18.46,14.473239437,14.551690141
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,176.79363636,52.26,40.97,42.86
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,18,18,67.710555556,17.276666667,12.788333333,13.317222222
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,16,37,218,8.2836697248,2.0996330275,1.6010550459,1.5478440367
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,17,17,21.695882353,5.9205882353,4.3764705882,4.3852941176
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,37.678181818,12.25,8.7272727273,9.4836363636
1013940717,SCHAFFER,SCOTT,R,"MD, FACS",M,I,406 LIPPINCOTT DR STE F,,MARLTON,NJ,080534168,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,,42,44,103.5025,31.451818182,23.456363636,24.484772727
1013940782,KAZ,ARI,J,MD,M,I,2923 N CALIFORNIA AVE,SUITE 300,CHICAGO,IL,606187702,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,14,17,97.949411765,78.81,55.610588235,61.267647059
1013940782,KAZ,ARI,J,MD,M,I,2923 N CALIFORNIA AVE,SUITE 300,CHICAGO,IL,606187702,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,22,22,23,312.82608696,251.28,190.76217391,209.79652174
1013940840,ZUPPA,JAMES,R,MD,M,I,102 N OAKS DR,,DALTON,GA,307218392,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,47,140,62.695142857,8.32,5.7877857143,5.7877857143
1013940840,ZUPPA,JAMES,R,MD,M,I,102 N OAKS DR,,DALTON,GA,307218392,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,32,48,15.344791667,1.42,1.07,1.07
1013940923,MCBRIDE,TIMOTHY,O,MD,M,I,401 E MAIN ST,,JOHNSON CITY,TN,376014877,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.985,1.47,1.15,1.15
1013940923,MCBRIDE,TIMOTHY,O,MD,M,I,401 E MAIN ST,,JOHNSON CITY,TN,376014877,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3525,0.17,0.0468510638,0.036729078,0.036729078
1013940923,MCBRIDE,TIMOTHY,O,MD,M,I,401 E MAIN ST,,JOHNSON CITY,TN,376014877,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,132,33,25.87,25.87
1013940998,SIMPSON,STEPHEN,T,MD,M,I,1261 HILLCREST ROAD SUITE C,,MOBILE,AL,36695,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,47,158,64.553924051,8.2470886076,5.7219620253,5.7791139241
1013940998,SIMPSON,STEPHEN,T,MD,M,I,1261 HILLCREST ROAD SUITE C,,MOBILE,AL,36695,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,19,32,12.0534375,1.42,0.939375,0.939375
1013940998,SIMPSON,STEPHEN,T,MD,M,I,1261 HILLCREST ROAD SUITE C,,MOBILE,AL,36695,US,Physician/Emergency Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,36,12.34,7.7409090909,7.6245454545
1013940998,SIMPSON,STEPHEN,T,MD,M,I,1261 HILLCREST ROAD SUITE C,,MOBILE,AL,36695,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,189,32.263636364,19.513636364,19.513636364
1013940998,SIMPSON,STEPHEN,T,MD,M,I,1261 HILLCREST ROAD SUITE C,,MOBILE,AL,36695,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,21,333.69285714,70.23,49.816190476,49.508571429
1013940998,SIMPSON,STEPHEN,T,MD,M,I,1261 HILLCREST ROAD SUITE C,,MOBILE,AL,36695,US,Physician/Emergency Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,813.61041667,143.61583333,106.62041667,104.94708333
1013940998,SIMPSON,STEPHEN,T,MD,M,I,1261 HILLCREST ROAD SUITE C,,MOBILE,AL,36695,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,21.558333333,21.558333333
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,13,169,50.429585799,19.638461538,15.208757396,15.208757396
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,390,6.8107692308,2.6307692308,2.0624358974,2.0624358974
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,3.5983333333,0.51,0.4,0.4
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,48,143,500,49.6287,8.32,5.90912,5.90912
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,12,34,34,13.549411765,3.38,2.65,2.65
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,19.52,2.12,1.67,1.67
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,29,63,104,12.820865385,1.42,1.0282692308,1.0282692308
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.39,0.13,0.0934236111,0.0934236111
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2880,3.64,2.04,1.5537777778,1.5537777778
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1020,7.23,7.23,5.5465,5.5465
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,30,59,5.7301694915,2.046440678,1.5181355932,1.0959322034
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,35,2.6731428571,1.5734285714,1.234,1.0162857143
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,321.208,119.46066667,83.611333333,61.589333333
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,26,151.47230769,45.603461538,31.345384615,24.245
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,48,99.737708333,25.785,18.880208333,13.338958333
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,20,20,171.1915,77.813,56.1975,40.464
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,29,29,58.729655172,25.720689655,18.224827586,12.842758621
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,25,25,63.6704,20.4324,14.7368,8.1812
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,23,36,160,9.2293125,3.0475,2.3233125,1.61325
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,15,16,16,23.85875,8.635,6.1075,4.2525
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,41.881666667,15.535,12.175,10.34
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,101,101,74.966534653,22.306831683,16.037722772,12.337722772
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,160,22.4775,17.620833333,14.031666667
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,232.35,58.04375,37.7725,30.574375
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,43.75,19.977142857,15.248928571,11.207142857
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,39,25.350769231,8.7453846154,6.7625641026,3.7669230769
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,151.5,56.546,40.884333333,27.764
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,700.19111111,324.59166667,246.50666667,246.50666667
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,22,36.67,11.322272727,8.1872727273,8.1872727273
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,420.19,213.995,166.58857143,166.58857143
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,212,213,424.95488263,103.62676056,76.860751174,52.695962441
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,154,48.0316,36.344,30.642
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,5527,0.4714492491,0.0462239913,0.030253302,0.030253302
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,14,110,11753,1.6874559687,0.1346252021,0.094991917,0.094991917
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,83,4860,11.195442387,3.0016358025,2.2542962963,2.2542962963
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,43,72.395348837,25.984651163,17.244651163,12.332325581
1013941038,AL-HASHMI,SAMER,,MD,M,I,1006 JACKSON ST,,HUGOTON,KS,67951,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,17,133,133,75.428571429,33,23.932105263,23.932105263
1013941053,BUMP,THOMAS,,M.D.,M,I,3545 W 95TH ST,,EVERGREEN PARK,IL,608052135,US,Clinical Cardiatric Electrophysiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,26,26,45,19.71,15.45,15.45
1013941053,BUMP,THOMAS,,M.D.,M,I,3545 W 95TH ST,,EVERGREEN PARK,IL,608052135,US,Clinical Cardiatric Electrophysiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,27,187,90,37.38,29.305775401,29.305775401
1013941053,BUMP,THOMAS,,M.D.,M,I,3545 W 95TH ST,,EVERGREEN PARK,IL,608052135,US,Clinical Cardiatric Electrophysiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,90.5,18,12.239166667,11.716666667
1013941053,BUMP,THOMAS,,M.D.,M,I,3545 W 95TH ST,,EVERGREEN PARK,IL,608052135,US,Clinical Cardiatric Electrophysiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,229.76,77.18,48.408,43.776
1013941053,BUMP,THOMAS,,M.D.,M,I,3545 W 95TH ST,,EVERGREEN PARK,IL,608052135,US,Clinical Cardiatric Electrophysiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,1760,25.734181818,1.5617897727,1.2244715909,1.2244431818
1013941194,JERANEK,WILLIAM,J,MD,M,I,9555 76TH STREET,,PLEASANT PRAIRIE,WI,53158,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,90,165,74.122545455,8.32,5.6261818182,5.6261818182
1013941194,JERANEK,WILLIAM,J,MD,M,I,9555 76TH STREET,,PLEASANT PRAIRIE,WI,53158,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,33,35,16.79,1.42,0.8314285714,0.8314285714
1013941194,JERANEK,WILLIAM,J,MD,M,I,9555 76TH STREET,,PLEASANT PRAIRIE,WI,53158,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,215,17.418823529,12.252647059,12.152058824
1013941194,JERANEK,WILLIAM,J,MD,M,I,9555 76TH STREET,,PLEASANT PRAIRIE,WI,53158,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,25,3.7186666667,2.418,3.0323333333
1013941194,JERANEK,WILLIAM,J,MD,M,I,9555 76TH STREET,,PLEASANT PRAIRIE,WI,53158,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,403.06435897,76.504615385,53.975641026,49.499487179
1013941228,CHILD,DUSTIN,G,M.D.,M,I,380 N 400 W,,KAYSVILLE,UT,840373135,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.88,34.086666667,32.739166667
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,15,22,122,52.658032787,18.78,14.724098361,14.558934426
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,25,38,41,143.13536585,55.271707317,42.160731707,41.679756098
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,23,29,29,46.567241379,18.497241379,14.002068966,13.566551724
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,40,45,47.6,12.171333333,9.0806666667,8.6557777778
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,24,33,204,8.03,2.1052941176,1.5939705882,1.5358823529
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,19,19,16.772631579,6.2994736842,4.7710526316,4.4847368421
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,26,28,91.946428571,48.31,33.821428571,33.607142857
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,60,12.724375,7.969375,7.849375
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,24,21.5,5.35125,4.1958333333,3.38
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,21,29,133.71793103,32.256551724,20.595172414,19.851724138
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,34,136,174,395.80281609,73.140689655,56.315574713,54.220632184
1013941301,DENT,WILLIAM,W,MD,M,I,801 E 6TH ST,SUITE 201,PANAMA CITY,FL,324013661,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,192.1875,37.44,29.35,29.4
1013941319,SOMMERSCHIELD,STEPHEN,S,M.D.,M,I,7701 SHERIDAN BLVD,,WESTMINSTER,CO,800032605,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,228.8,97.66,76.566842105,56.861578947
1013941327,RHEINFELDER,SHIRLEY,,M.D.,F,I,3149 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863142240,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,30,76,204,60.82372549,8.32,6.2028921569,6.2028921569
1013941327,RHEINFELDER,SHIRLEY,,M.D.,F,I,3149 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863142240,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,31,46,10.541086957,1.42,1.0669565217,1.0669565217
1013941327,RHEINFELDER,SHIRLEY,,M.D.,F,I,3149 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863142240,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,66,66,63.549393939,17.27,12.586969697,12.586969697
1013941327,RHEINFELDER,SHIRLEY,,M.D.,F,I,3149 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863142240,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,22,124,124,320.60290323,68.788306452,49.332096774,50.087741935
1013941327,RHEINFELDER,SHIRLEY,,M.D.,F,I,3149 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863142240,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,61.96,36.83,27.7152,28.304
1013941368,WHITLOW,CHARLES,,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,8.7779166667,4.03,3.1595,3.1595
1013941566,LUSIS,RICHARD,J,M.D.,M,I,12203 CORPORATE PKWY,,MEQUON,WI,530923388,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,37,98,297,83.616969697,8.32,5.4633670034,5.4633670034
1013941566,LUSIS,RICHARD,J,M.D.,M,I,12203 CORPORATE PKWY,,MEQUON,WI,530923388,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,32,41,16.382926829,1.42,0.9541463415,0.9541463415
1013941566,LUSIS,RICHARD,J,M.D.,M,I,12203 CORPORATE PKWY,,MEQUON,WI,530923388,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,52.708333333,14,10.98,10.535555556
1013941566,LUSIS,RICHARD,J,M.D.,M,I,12203 CORPORATE PKWY,,MEQUON,WI,530923388,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,54.47,4.7708333333,3.7366666667,4.1433333333
1013941566,LUSIS,RICHARD,J,M.D.,M,I,12203 CORPORATE PKWY,,MEQUON,WI,530923388,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,183.21428571,33.471428571,26.242857143,25.644285714
1013941566,LUSIS,RICHARD,J,M.D.,M,I,12203 CORPORATE PKWY,,MEQUON,WI,530923388,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,441.6075,79.98,62.7,58.71
1013941566,LUSIS,RICHARD,J,M.D.,M,I,12203 CORPORATE PKWY,,MEQUON,WI,530923388,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,220.35923077,37.46,29.37,29.402307692
1013941673,WEINER,DAVID,M,MD,M,I,161 FORT WASHINGTON AVE,11TH FLOOR,NEW YORK,NY,100323729,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,31,3840,0.37171875,0.13,0.0979427083,0.0979427083
1013941673,WEINER,DAVID,M,MD,M,I,161 FORT WASHINGTON AVE,11TH FLOOR,NEW YORK,NY,100323729,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,43,6660,3.8214189189,1.8123873874,1.3961516517,1.5691066066
1013941673,WEINER,DAVID,M,MD,M,I,161 FORT WASHINGTON AVE,11TH FLOOR,NEW YORK,NY,100323729,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,2120,15.08490566,7.23,5.6683113208,5.6683113208
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,30,111,78.216936937,8.32,5.8172972973,5.8172972973
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,27,18.056666667,1.42,1.0725925926,1.0725925926
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,75,17.504666667,13.724,13.538666667
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,50,5.8775,3.8725,2.9641666667
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,127.38095238,33.767142857,24.170952381,23.408095238
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,360,70.148421053,52.020526316,51.755263158
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.14,25.969166667,27.075
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1265,0.30943083,0.0451936759,0.0336205534,0.0336205534
1013941699,MARTINEZ,KEYNA,A,M.D.,F,I,601 N. MICHIGAN STREET,,LAKEVILLE,IN,46536,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,23.714166667,23.714166667
1013941913,NAPOLI,DAVID,C,MD,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,64,65,70,59.567428571,37.284571429,26.424285714,42.419142857
1013941913,NAPOLI,DAVID,C,MD,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,45,51,79.337843137,61.496666667,47.864509804,61.728627451
1013941939,SAMUEL,ERIC,B,MD,M,I,100 CAMPUS DR,SUITE 12,PORTSMOUTH,NH,038015892,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,56,89.356607143,8.32,4.5416071429,4.5416071429
1013941939,SAMUEL,ERIC,B,MD,M,I,100 CAMPUS DR,SUITE 12,PORTSMOUTH,NH,038015892,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,519.51,78.98,59.34,52.74
1013941947,TAHER,NICK,,M.D.,M,I,1000 JOHNSON FERRY RD,,ATLANTA,GA,303421606,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,472.91666667,75.56,52.020833333,47.886666667
1013941947,TAHER,NICK,,M.D.,M,I,1000 JOHNSON FERRY RD,,ATLANTA,GA,303421606,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,36.25,23.683333333,24.818333333
1013942085,GUTMAN,JASON,P,M.D.,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,983,28.157548321,13.112655137,10.280457782,10.290925738
1013942085,GUTMAN,JASON,P,M.D.,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,347,568.83432277,326.74818444,256.17080692,256.17080692
1013942085,GUTMAN,JASON,P,M.D.,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,341,56.8728739,9.3479472141,7.3283870968,7.3283870968
1013942085,GUTMAN,JASON,P,M.D.,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,347,78.073025937,29.213544669,22.903458213,22.903458213
1013942085,GUTMAN,JASON,P,M.D.,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,624,466.82,365.99,365.99
1013942291,MORETZ,WILLIAM,H,MD,M,I,818 SAINT SEBASTIAN WAY,SUITE 204,AUGUSTA,GA,309012651,US,Physician/Otolaryngology,S,E2120,Pulse generator system for tympanic treatment of inner ear endolymphatic fluid,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,324.39157895,239.33,169.18736842,169.18578947
1013942317,MOSS,JUDITH,A,D.O.,F,I,17327 PAGONIA DR,,CLERMONT,FL,347116009,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,15,35,68.911714286,8.32,5.5891428571,5.5891428571
1013942317,MOSS,JUDITH,A,D.O.,F,I,17327 PAGONIA DR,,CLERMONT,FL,347116009,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,14,13.455,1.42,0.88,0.88
1013942317,MOSS,JUDITH,A,D.O.,F,I,17327 PAGONIA DR,,CLERMONT,FL,347116009,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,67,11.441492537,2,1.4092537313,1.4331343284
1013942341,SUTHRAVE,ASWANI,K,M.D.,M,I,18101 PRINCE PHILIP DR,,OLNEY,MD,208321514,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,100.01076923,29.116923077,22.826153846,21.247692308
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,25,67,173,57.557919075,8.32,5.9940462428,5.9940462428
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,10.936363636,3.38,2.65,2.65
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,26,36,11.099722222,1.42,1.0861111111,1.0861111111
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,61,12.338688525,2.14,1.6767213115,1.6
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.5,13.72,13.556363636
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,111.528125,35.685,27.975,25.63
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,386.53604651,80.67372093,62.770930233,55.04255814
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,77.2,32.330909091,15.654545455,14.604545455
1013942366,AHMED MD,SYED,W,,M,I,675 AVENUE L SE,,WINTER HAVEN,FL,338804219,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,150,35.78,28.05,29.388333333
1013942374,LONGSHAW,KEVIN,M,MD,M,I,9528 WEBB CHAPEL RD,,DALLAS,TX,752204938,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,56,63.105714286,8.32,6.0571428571,6.0571428571
1013942374,LONGSHAW,KEVIN,M,MD,M,I,9528 WEBB CHAPEL RD,,DALLAS,TX,752204938,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,37.418666667,9.098,7.13,6.9886666667
1013942473,MANGUAL,TAMMY,L,ARNP-C,F,I,12470 TELECOM DR STE 300,,TEMPLE TERRACE,FL,336370904,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,307.28769231,79.8,62.56,56.536923077
1013942531,LISAK,JOAN,W,M.D.,F,I,780 CHESTNUT ST,SUITE 20,SPRINGFIELD,MA,011071610,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.35,57.025833333,50.169166667
1013942887,SARDO,STEVEN,P,M.D.,M,I,13041 N DEL WEBB BLVD,,SUN CITY,AZ,853513034,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,40,86.4895,8.32,5.86975,5.86975
1013942895,COVINGTON TARVER,KIMBERLY,C,MD,F,I,2500 NORTH STATE STREET,DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS,JACKSON,MS,392164500,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,32,38.2515625,8.32,5.8221875,5.8221875
1013942895,COVINGTON TARVER,KIMBERLY,C,MD,F,I,2500 NORTH STATE STREET,DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS,JACKSON,MS,392164500,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,104.055,31.854375,22.05,18.711875
1013943448,GRIPPO,GARY,N,D.P.M.,M,I,109 BOSTON POST RD,,ORANGE,CT,064773235,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,24,89.603333333,71.495,52.625416667,52.625416667
1013943620,FURBER,LEWIS,E,FNP,M,I,36977 PARK AVENUE,PITT RIVER HEALTH SERVICES,BURNEY,CA,96013,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,31,83.010645161,8.32,6.1006451613,6.1006451613
1013943620,FURBER,LEWIS,E,FNP,M,I,36977 PARK AVENUE,PITT RIVER HEALTH SERVICES,BURNEY,CA,96013,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,384.91551724,95.526206897,70.772758621,52.241034483
1013943620,FURBER,LEWIS,E,FNP,M,I,36977 PARK AVENUE,PITT RIVER HEALTH SERVICES,BURNEY,CA,96013,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,188.15,97.734166667,76.625833333,57.235
1013943620,FURBER,LEWIS,E,FNP,M,I,36977 PARK AVENUE,PITT RIVER HEALTH SERVICES,BURNEY,CA,96013,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,156.25,44.979473684,35.266315789,29.892631579
1013943661,KEARNS,BRIAN,J,MD,M,I,9205 SW BARNES RD,,PORTLAND,OR,972256603,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,66.5775,18,12.934166667,12.411666667
1013943661,KEARNS,BRIAN,J,MD,M,I,9205 SW BARNES RD,,PORTLAND,OR,972256603,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,379.72416667,77.18,54.691666667,49.384166667
1013943877,KESTENBERG,WILLIAM,L,MD,M,I,32255 NORTHWESTERN HWY,STE 145,FARMINGTON HILLS,MI,483341566,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,16,30,75,51.9748,41.17,29.861866667,28.521066667
1013943950,WAGNER,MELVIN,,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,59.411764706,59.411764706,43.811764706,48.987647059
1013944008,SINGH,DEVIKA,,M.D.,F,I,130 FISHER RD,MOB-B SUITE 3,BERLIN,VT,056029516,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,67.571363636,8.32,6.52,6.52
1013944008,SINGH,DEVIKA,,M.D.,F,I,130 FISHER RD,MOB-B SUITE 3,BERLIN,VT,056029516,US,Physician/Infectious Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.64,25.727272727,16.677272727,11.114545455
1013944016,DAVIDSON,BENTON,J,MD,M,I,1174 CORNUCOPIA ST NW,SUITE 240,SALEM,OR,973043193,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,112,32.226363636,22.458181818,22.649090909
1013944016,DAVIDSON,BENTON,J,MD,M,I,1174 CORNUCOPIA ST NW,SUITE 240,SALEM,OR,973043193,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,71,71,271.86464789,65.7,50.213239437,53.272816901
1013944099,JERNIGAN,THOMAS,L,MD,M,I,2240 SUTHERLAND AVE,STE 104,KNOXVILLE,TN,379192333,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,40,18.68,14.64,13.591666667
1013944099,JERNIGAN,THOMAS,L,MD,M,I,2240 SUTHERLAND AVE,STE 104,KNOXVILLE,TN,379192333,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,220,87,68.21,55.291666667
1013944248,SPITZ,ADAM,F,MD,M,I,1918 RANDOLPH RD,SUITE 220,CHARLOTTE,NC,282071100,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,9,17,52,625,49.09592,19.676272,14.828112,14.828112
1013944248,SPITZ,ADAM,F,MD,M,I,1918 RANDOLPH RD,SUITE 220,CHARLOTTE,NC,282071100,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,16,50,1555,6.7928488746,2.635755627,2.026437299,2.026437299
1013944248,SPITZ,ADAM,F,MD,M,I,1918 RANDOLPH RD,SUITE 220,CHARLOTTE,NC,282071100,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,43,84,570,75.386859649,8.32,6.4266140351,6.4266140351
1013944248,SPITZ,ADAM,F,MD,M,I,1918 RANDOLPH RD,SUITE 220,CHARLOTTE,NC,282071100,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,58,14.273793103,1.42,1.0944827586,1.0944827586
1013944248,SPITZ,ADAM,F,MD,M,I,1918 RANDOLPH RD,SUITE 220,CHARLOTTE,NC,282071100,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,31,3740,16.287911765,10.779331551,8.4509919786,8.4509919786
1013944248,SPITZ,ADAM,F,MD,M,I,1918 RANDOLPH RD,SUITE 220,CHARLOTTE,NC,282071100,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,9,21,117,118,366.52584746,251.06372881,196.29576271,196.33186441
1013944248,SPITZ,ADAM,F,MD,M,I,1918 RANDOLPH RD,SUITE 220,CHARLOTTE,NC,282071100,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,439.5025,251.79583333,197.415,206.23583333
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,38,99,303,60.664983498,8.32,5.5316171617,5.5316171617
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,39,39,14.189230769,3.38,2.5141025641,2.5141025641
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,18,21,21,21.865714286,2.12,1.5904761905,1.5904761905
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,63,108,14.573148148,1.42,0.9494444444,0.9494444444
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.19,1.48,1.16,1.1508333333
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,283.45,54.929333333,37.316,37.162666667
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,90.253076923,17.55,12.629230769,12.94
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,84.955263158,11.951578947,8.3815789474,8.1752631579
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,91,11.461978022,2.0008791209,1.4484615385,1.4685714286
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,26,86.31,16.97,12.798076923,12.968461538
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,23,181.3,37.492173913,29.04173913,28.227826087
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,57,66,388.96060606,76.337575758,53.255757576,49.628939394
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,34,237.05882353,35.979411765,24.797058824,26.092647059
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,5173,0.1761337715,0.0459597912,0.0360293833,0.0360293833
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1620,1.0732407407,0.1365185185,0.1070246914,0.1070246914
1013944370,KETHEESWARAN,BHAVANI,,MD,F,I,2810 SE 3RD CT,,OCALA,FL,344710446,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,118.34482759,33,25.87,25.87
1013944412,KANE,RONALD,M,DPM,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,82,76.46,59.95,63.1
1013944412,KANE,RONALD,M,DPM,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,307,251.28,197,217.06583333
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,670,8,7.37,5.7496567164,5.7496567164
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,1080,3,2.96,2.3206666667,2.3206666667
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,144,5,4.21,3.3008333333,3.3008333333
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,6,5.23,4.1003333333,4.1003333333
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,34,11.147058824,8.2,6.4297058824,6.4297058824
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,5,3.66,2.87,3.3375
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,635,5.605511811,5.12,3.8181732283,3.968992126
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,9125,1.25,1.24,0.9721567123,0.9486432877
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,730,0.7,0.68,0.5331917808,0.5567123288
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,74.166666667,67.4,52.84,48.696666667
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,62.5,48.886666667,38.33,39.064166667
1013944487,MAUMUS,MARIANNE,,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1561.02,942.14,738.52818182,842.14909091
1013944545,WORLEY,THOMAS,P,MD,M,I,1120 E WEISGARBER RD,STE 104,KNOXVILLE,TN,379092685,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,40,19.08254902,14.529019608,13.342156863
1013944545,WORLEY,THOMAS,P,MD,M,I,1120 E WEISGARBER RD,STE 104,KNOXVILLE,TN,379092685,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,220,87.972156863,65.108431373,54.15372549
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,15,46,594,59.472946128,19.642154882,15.182289562,15.182289562
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,15,44,1680,7.8360714286,2.6328571429,1.97175,1.97175
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,84,244,1415,65.632876325,8.32,6.0438374558,6.0438374558
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,13.069411765,3.38,2.65,2.65
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,39,82,262,13.934427481,1.42,1.0961068702,1.0961068702
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,51,51,741.38,343.68529412,264.41372549,264.41372549
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,25,2980,16.400251678,10.744026846,8.3751677852,8.3751610738
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,10,33,128,128,375.95054688,251.00335938,196.78640625,196.86960937
1013944651,CHELLIAH,ARUNA,,MD,F,I,292 SAINT CHARLES WAY,,YORK,PA,174024648,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,8,27,27,27,383.72740741,237.82,186.45,197.92222222
1013944800,WILLIAMS,DOUGLAS,,ARNP,M,I,333 KEEN STREET,,BURKESVILLE,KY,42717,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,75,23.549411765,18.460588235,15.654705882
1013944800,WILLIAMS,DOUGLAS,,ARNP,M,I,333 KEEN STREET,,BURKESVILLE,KY,42717,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,43.659166667,35.606666667
1013944800,WILLIAMS,DOUGLAS,,ARNP,M,I,333 KEEN STREET,,BURKESVILLE,KY,42717,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,45,7.820625,5.676875,3.2375
1013944800,WILLIAMS,DOUGLAS,,ARNP,M,I,333 KEEN STREET,,BURKESVILLE,KY,42717,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,375,107.54615385,82.786666667,59.557435897
1013944859,NAZARIAN,DAVID,G,MD,M,I,999 ROUTE 73 N STE 301,,MARLTON,NJ,080531227,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,22,22,22,135.51227273,44.659545455,33.410454545,34.745454545
1013944859,NAZARIAN,DAVID,G,MD,M,I,999 ROUTE 73 N STE 301,,MARLTON,NJ,080531227,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,5,15,15,15,172.70333333,48.275333333,35.338,38.335333333
1013944859,NAZARIAN,DAVID,G,MD,M,I,999 ROUTE 73 N STE 301,,MARLTON,NJ,080531227,US,Physician/Orthopedic Surgery,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,28.5328,8.4072,6.3392,7.0716
1013944859,NAZARIAN,DAVID,G,MD,M,I,999 ROUTE 73 N STE 301,,MARLTON,NJ,080531227,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,208.47826087,105.51434783,82.721521739,89.967608696
1013944859,NAZARIAN,DAVID,G,MD,M,I,999 ROUTE 73 N STE 301,,MARLTON,NJ,080531227,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,47.773,8.5035,6.6645,7.031
1013944859,NAZARIAN,DAVID,G,MD,M,I,999 ROUTE 73 N STE 301,,MARLTON,NJ,080531227,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,14,191.28928571,138.12071429,100.53142857,95.619285714
1013944891,SARNWICK,RICHARD,D,DO,M,I,1346 E GREEN BAY ST,,SHAWANO,WI,541662210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,23,57,69.130175439,8.32,5.3777192982,5.3777192982
1013944891,SARNWICK,RICHARD,D,DO,M,I,1346 E GREEN BAY ST,,SHAWANO,WI,541662210,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1950,2.29,2.04,1.5257589744,1.5257589744
1013944891,SARNWICK,RICHARD,D,DO,M,I,1346 E GREEN BAY ST,,SHAWANO,WI,541662210,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,388.625,94.41625,63.446875,46.999375
1013944891,SARNWICK,RICHARD,D,DO,M,I,1346 E GREEN BAY ST,,SHAWANO,WI,541662210,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,100,44.745,33.879166667,28.908333333
1013944909,ENG,WILLIAM,W,DPM,M,I,5311 PATTERSON AVE,SUITE 110 THE FOOT CENTER INC,RICHMOND,VA,232262041,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,115,115,229,79.825327511,71.532751092,56.083624454,56.10489083
1013944909,ENG,WILLIAM,W,DPM,M,I,5311 PATTERSON AVE,SUITE 110 THE FOOT CENTER INC,RICHMOND,VA,232262041,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,114,114,672,45.133928571,43.56,33.654017857,33.652559524
1013944909,ENG,WILLIAM,W,DPM,M,I,5311 PATTERSON AVE,SUITE 110 THE FOOT CENTER INC,RICHMOND,VA,232262041,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,23,507.82608696,444.02,348.06086957,353.96130435
1013944909,ENG,WILLIAM,W,DPM,M,I,5311 PATTERSON AVE,SUITE 110 THE FOOT CENTER INC,RICHMOND,VA,232262041,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,20,85,78.81,61.79,67.2855
1013944909,ENG,WILLIAM,W,DPM,M,I,5311 PATTERSON AVE,SUITE 110 THE FOOT CENTER INC,RICHMOND,VA,232262041,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,30,200,158.95,124.62,126.52
1013944917,SUSSMAN,ROBERT,E,DPM,M,I,2260 HWY 33,ROBERT E SUSSMAN DPM,NEPTUNE,NJ,07753,US,Podiatry,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,66,66,51.74,69.213846154
1013944917,SUSSMAN,ROBERT,E,DPM,M,I,2260 HWY 33,ROBERT E SUSSMAN DPM,NEPTUNE,NJ,07753,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,18,300,260.69,204.38,218.08388889
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,28,101,51.006633663,8.32,6.2640594059,6.2640594059
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,14.807058824,1.42,1.1141176471,1.1141176471
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,8.54,7.39,4.9628571429,5.9457142857
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,5.69,5.54,3.72,3.72
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,14.15,13.8,9.2742857143,9.2742857143
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,28,11.2,10.93,7.3457142857,7.3457142857
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,870,8.28,8.28,6.3954022989,6.3954022989
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,138,10.93,10.93,8.5689855072,8.5689855072
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,150.99545455,56.26,34.771818182,33.89
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,7.4366666667,2,1.3934722222,1.4084722222
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,178.51636364,52.03,40.79,36.853636364
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,12,81,82,208.84682927,53.847560976,41.089512195,37.100365854
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,38,62.421842105,16.36,12.492368421,13.057631579
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,29,42.744827586,6.2748275862,4.3593103448,3.3393103448
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,45,12.008666667,9.408,9.0213333333
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,70,76,375.71605263,79.2,59.484210526,53.770526316
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,222.85714286,35.11,27.53,29.227142857
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,38,99.06,66.014210526,49.161578947,54.976315789
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,22,119,119,63.75487395,20.17605042,15.305546218,14.128319328
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,105.18352941,30.958235294,16.490588235,14.088823529
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,183.85,78.751818182,61.743636364,54.818181818
1013944933,IKELER,GEORGE,R,M.D.,M,I,31450 CHURCH ST,,SORRENTO,FL,327769594,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,107.79166667,33,18.6525,18.6525
1013945005,GILBERT,DAVID,H,M.D.,M,I,5301 N. DIXIE HWY,SUITE 203,FT LAUDERDALE,FL,333343403,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,346,296.63,223.65105263,247.27
1013945005,GILBERT,DAVID,H,M.D.,M,I,5301 N. DIXIE HWY,SUITE 203,FT LAUDERDALE,FL,333343403,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,47,49,50,443.2456,374.9974,276.6062,287.9938
1013945005,GILBERT,DAVID,H,M.D.,M,I,5301 N. DIXIE HWY,SUITE 203,FT LAUDERDALE,FL,333343403,US,Physician/Hand Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,38,221,189.34368421,129.29947368,127.60605263
1013945047,MAGLEY,ROBERT,S,MD,M,I,1100 W HIGH ST,,EBENSBURG,PA,159311706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,56,62.134285714,8.32,6.3723214286,6.3723214286
1013945047,MAGLEY,ROBERT,S,MD,M,I,1100 W HIGH ST,,EBENSBURG,PA,159311706,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,4.212,3.0993333333,3.3833333333
1013945047,MAGLEY,ROBERT,S,MD,M,I,1100 W HIGH ST,,EBENSBURG,PA,159311706,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,496,68.054666667,38.94,39.374666667
1013945070,CHENNAULT,JOHN,S,D.O.,M,I,1010 WOODSON DR,,CALDWELL,TX,778361000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,18,35,124,46.637983871,8.2270967742,6.2389516129,6.3118548387
1013945070,CHENNAULT,JOHN,S,D.O.,M,I,1010 WOODSON DR,,CALDWELL,TX,778361000,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,14,13.727142857,3.38,2.65,2.65
1013945070,CHENNAULT,JOHN,S,D.O.,M,I,1010 WOODSON DR,,CALDWELL,TX,778361000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,41,12.397560976,1.42,1.0302439024,1.0302439024
1013945070,CHENNAULT,JOHN,S,D.O.,M,I,1010 WOODSON DR,,CALDWELL,TX,778361000,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.9933333333,3.96,2.8492083333,2.8580416667
1013945070,CHENNAULT,JOHN,S,D.O.,M,I,1010 WOODSON DR,,CALDWELL,TX,778361000,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1831,0.7237192791,0.0445385035,0.0278973239,0.0278973239
1013945070,CHENNAULT,JOHN,S,D.O.,M,I,1010 WOODSON DR,,CALDWELL,TX,778361000,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,498,0.7648995984,0.218875502,0.1454417671,0.1454417671
1013945070,CHENNAULT,JOHN,S,D.O.,M,I,1010 WOODSON DR,,CALDWELL,TX,778361000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,33,33,21.304166667,21.304166667
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,30,78,197,51.710152284,8.32,5.6275126904,5.6275126904
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,13.945,3.38,2.484375,2.484375
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,37,51,11.428431373,1.42,1.0054901961,1.0054901961
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,14.58,5.23,3.8264848485,3.8264848485
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,510,5.1694117647,3.08,2.2735490196,2.2311568627
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,306,10.01,4.26,3.3399673203,3.2460457516
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,32,14313,1.1171452526,0.352707329,0.2637196954,0.2745993153
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,25,86.31,17.3596,13.6048,13.53
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3006.75,1048.7,822.18,842.26
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,50.2345,4.526,3.0705,3.0695
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,46,519.51,70.360652174,55.162391304,54.735
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,19,232.63157895,37.44,29.35,29.51
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1140,0.8124385965,0.1330263158,0.1043245614,0.1043245614
1013945138,CRAFT,CHARLES,W,DO,M,I,20 NORTH ASTER,,GREENWOOD,AR,72936,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,109.15384615,33,25.87,25.87
1013945211,KELLEY,GEORGIA,A,M.D.,F,I,100 BROADWAY,,NORTH HAVEN,CT,064732365,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,38,156,57.60525641,8.32,6.4905128205,6.4905128205
1013945211,KELLEY,GEORGIA,A,M.D.,F,I,100 BROADWAY,,NORTH HAVEN,CT,064732365,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.583333333,3.38,2.4291666667,2.4291666667
1013945211,KELLEY,GEORGIA,A,M.D.,F,I,100 BROADWAY,,NORTH HAVEN,CT,064732365,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,22,41,15.765609756,1.42,1.1136585366,1.1136585366
1013945211,KELLEY,GEORGIA,A,M.D.,F,I,100 BROADWAY,,NORTH HAVEN,CT,064732365,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,30.436666667,5.6166666667,3.797037037,3.1303703704
1013945211,KELLEY,GEORGIA,A,M.D.,F,I,100 BROADWAY,,NORTH HAVEN,CT,064732365,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,3150,0.3116,0.0469015873,0.0338539683,0.0338539683
1013945211,KELLEY,GEORGIA,A,M.D.,F,I,100 BROADWAY,,NORTH HAVEN,CT,064732365,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,66,33,24.432777778,24.432777778
1013945237,GORDON,MICHELLE,B,MD,F,I,1501 E 3RD ST,,DELTA,CO,814162815,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,30,6.9231818182,5.2604545455,3.8227272727
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,6.4727272727,1,0.6381818182,0.6381818182
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,33,112,291,59.392680412,8.32,5.5356357388,5.5356357388
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,26,26,14.771538462,3.38,2.3442307692,2.3442307692
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,24.571428571,2.12,1.4314285714,1.4314285714
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,26,70,98,15.447857143,1.42,0.9803061224,0.9803061224
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,29.209090909,18.811818182,14.740909091,14.06
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,24.79,12.718333333,9.2191666667,8.3683333333
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,3.6322222222,2.1466666667,1.4233333333,1.3288888889
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,52.183333333,17.29,13.55,13.536666667
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,13.725,4.67,1.6908333333,1.6883333333
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,84.089411765,41.024705882,27.954705882,20.627058824
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,260.31,70.23,52.942307692,52.680769231
1013945278,THOMAS,WILLIAM,S,MD,M,I,1234 NEW CREEK HWY,,KEYSER,WV,267269414,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,46.664857143,21.267714286,12.598571429,10.512285714
1013945393,HAMILTON,ROBERT,L,D.O.,M,I,6011 PORTER RD,,GRAND BLANC,MI,484398538,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,36,130,43.111230769,8.32,6.1710769231,6.1710769231
1013945393,HAMILTON,ROBERT,L,D.O.,M,I,6011 PORTER RD,,GRAND BLANC,MI,484398538,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,13.363529412,3.38,2.4941176471,2.4941176471
1013945393,HAMILTON,ROBERT,L,D.O.,M,I,6011 PORTER RD,,GRAND BLANC,MI,484398538,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,27,55,14.853090909,1.42,1.0316363636,1.0316363636
1013945500,DURHAM,DENNIS,,MD,M,I,3501 KNICKERBOCKER RD,,SAN ANGELO,TX,76904,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,61.029375,18.708125,14.666875,13.538125
1013945500,DURHAM,DENNIS,,MD,M,I,3501 KNICKERBOCKER RD,,SAN ANGELO,TX,76904,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,32.133333333,7.0966666667,5.3193333333,3.4446666667
1013945500,DURHAM,DENNIS,,MD,M,I,3501 KNICKERBOCKER RD,,SAN ANGELO,TX,76904,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,306.27296296,81.868148148,59.972592593,50.707777778
1013945518,BEACHY,ROCHELE,M,MD,F,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,27,77,189,67.784232804,8.3185714286,5.7973544974,5.7987301587
1013945518,BEACHY,ROCHELE,M,MD,F,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.6,3.38,2.65,2.65
1013945518,BEACHY,ROCHELE,M,MD,F,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,28,33,15.604545455,1.42,1.0503030303,1.0503030303
1013945518,BEACHY,ROCHELE,M,MD,F,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,24.12,5.91875,4.005,3.0975
1013945518,BEACHY,ROCHELE,M,MD,F,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,24.145333333,24.145333333
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,27,61,255,48.390156863,8.32,6.2665882353,6.2665882353
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,29,29,15.457241379,3.38,2.65,2.65
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,23.752666667,2.12,1.67,1.67
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,36,61,15.446229508,1.42,1.1154098361,1.1154098361
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,52.468076923,18,14.11,13.54
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,52.777777778,10.892592593,8.2318518519,8.3637037037
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,408.0644186,90.01,68.928837209,54.193953488
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3217,0.2188001243,0.0458253031,0.0324867889,0.0324867889
1013945591,GOZANSKY,DAVID,,MD,M,I,4725 N FEDERAL HWY,,FT LAUDERDALE,FL,333084603,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,24.022142857,24.022142857
1013945641,WELLS,PATRICK,R,M.D.,M,I,3525 OLENTANGY RIVER RD,SUITE 5320,COLUMBUS,OH,432143937,US,Physician/Cardiac Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,65.04,49.595,38.88,38.22
1013945773,VEGA,AIDA,C,MD,F,I,234 E 85TH ST,,NEW YORK,NY,100283001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,28,66,46.105,8.32,5.8316666667,5.8316666667
1013945773,VEGA,AIDA,C,MD,F,I,234 E 85TH ST,,NEW YORK,NY,100283001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,23,8.2391304348,1.42,1.1160869565,1.1160869565
1013945799,GORDON,ROBERT,,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Emergency Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,3312.76,1074.31,836.31791667,836.31791667
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,30,66,56.031212121,8.32,6.1281818182,6.1281818182
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,14.0975,1.42,1.115,1.115
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,24,24,139.71416667,43.370833333,34.003333333,30.5175
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,32,63,8.19,2.0517460317,1.5696825397,1.133968254
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,50,106,106,413.64018868,115.79141509,87.046226415,66.461226415
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,48,109,263,164.23361217,43.162623574,32.86634981,25.188973384
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,38,85,445,95.144314607,23.775483146,17.583191011,13.769258427
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,54,145,643,70.649284603,19.164339036,14.730637636,11.712083981
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,99,214,214,279.72892523,70.925514019,53.206542056,41.178831776
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,137,189,189,81.958941799,22.712222222,16.975555556,13.476190476
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,32,41,41,41.352926829,12.123902439,9.2170731707,7.9336585366
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,132,289,289,91.053321799,18.353217993,13.919031142,8.9766089965
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,140,334,1625,12.145046154,2.8204861538,2.1357292308,1.5505292308
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,33,43,43,25.298372093,7.4674418605,5.6190697674,4.6390697674
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,66,91,91,50.376703297,15.086703297,11.204725275,9.8171428571
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,48,95.135,23.4625,17.46,14.816458333
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,232.35,58.82,43.642142857,36.111428571
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,38,38,38,787.42157895,177.15421053,137.42552632,108.70631579
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,21,85,96,73.143333333,15.0234375,10.343229167,8.846875
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,42.758571429,6.6328571429,5.0205714286,3.4908571429
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,68,342,385,243.40085714,44.972935065,33.818597403,25.16174026
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,29,206,229,430.67131004,98.722008734,73.767510917,56.273056769
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,45,244.66666667,43.088222222,33.782888889,29.673555556
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,11060,0.1729439421,0.0465533454,0.0320009042,0.0320009042
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,45,5219,1.4466200422,0.1344682889,0.1054339912,0.1054339912
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1140,12.038763158,2.9223157895,2.2911140351,2.2911140351
1013945815,ALTAJAR,BASSAM,,MD,M,I,425 NURSING HOME DR,,ARCADIA,FL,342663839,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,15,96,96,107.31770833,33,24.5421875,24.5421875
1013945849,BEACH,DEBRA,E,APN,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,324.4,70.728571429,55.45,54.73
1013945849,BEACH,DEBRA,E,APN,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Certified Clinical Nurse Specialist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,93.97,36.14,28.33,29.51
1013945997,MIXON,CAROL,R,F.N.P.,F,I,1 RIVERSIDE CIR,,HAYESVILLE,NC,289047946,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,26,55.377692308,8.32,5.7688461538,5.7688461538
1013945997,MIXON,CAROL,R,F.N.P.,F,I,1 RIVERSIDE CIR,,HAYESVILLE,NC,289047946,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4596388889,7.4596388889
1013945997,MIXON,CAROL,R,F.N.P.,F,I,1 RIVERSIDE CIR,,HAYESVILLE,NC,289047946,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1013946334,ROSS,JENNIFER,L,M.D.,F,I,12006 KILARNEY DR,,FREDERICKSBURG,VA,224077207,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,77,67.491948052,8.32,6.0135064935,6.0135064935
1013946334,ROSS,JENNIFER,L,M.D.,F,I,12006 KILARNEY DR,,FREDERICKSBURG,VA,224077207,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,25,17.1644,1.42,0.9788,0.9788
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,188,317,317,75.443375394,41.339148265,29.418391167,27.817097792
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,130,215,215,281.0267907,92.636976744,67.820511628,63.74255814
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,103,232,412,95.972791262,35.769563107,26.567936893,24.730776699
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,61,139,446,69.760022422,20.535515695,14.117421525,12.685784753
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,29,61,218,47.27766055,15.945963303,10.54233945,10.168853211
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,125,215,215,181.79739535,59.201348837,41.284465116,38.153813953
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,220,276,276,55.836666667,19.886992754,14.392065217,13.07615942
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,39,48,48,29.127916667,10.45,7.333125,7.3008333333
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,26,47,47,61.938297872,13.25893617,9.0338297872,7.8125531915
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,219,457,1825,5.5921589041,2.3772219178,1.6840493151,1.4527232877
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,63,75,75,16.331066667,6.692,4.8982666667,4.3648
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,117,138,138,37.425724638,13.948985507,10.181884058,9.6526811594
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,70.524,19.12125,12.91875,11.6705
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,51.37,21.34862069,15.431034483,14.230344828
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,824.22030303,77.18,56.842727273,51.579090909
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,40,40,123.92,57.51675,40.73325,37.94375
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,43.488333333,34.494166667
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,77.45,55.913,39.813,34.5345
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1550,921.33,722.32,832.25583333
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,19,124,124,268.08040323,90.949919355,67.118064516,62.4725
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,641.27022727,259.2975,196.76840909,162.85204545
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,62,62,62,386.83870968,136.96032258,100.17774194,97.50483871
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,30,30,65.8,15.369,10.307,9.4503333333
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,6.2081818182,4.8663636364,3.6854545455
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,82,565,565,138.37122124,37.052566372,26.514761062,23.422690265
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,109,109,353.54981651,80.78440367,60.077431193,52.511284404
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,229.41176471,38.863529412,30.468823529,30.085294118
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2460,0.3461178862,0.0476910569,0.0373902439,0.0373902439
1013946391,O'DONNELL,JANAT,E,MD,F,I,1075 N. CURTIS RD,SUITE 200,BOISE,ID,837061300,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,44,33,25.87,25.87
1013946532,LEMIEUX,JOHN,R,M.D.,M,I,6630 S. MCCARRAN BLVD,BLDNG B SUITE 16,RENO,NV,895096145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,42,60.902380952,8.32,6.0569047619,6.0569047619
1013946532,LEMIEUX,JOHN,R,M.D.,M,I,6630 S. MCCARRAN BLVD,BLDNG B SUITE 16,RENO,NV,895096145,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,449.63636364,65.7,48.851212121,52.096363636
1013946656,SERIN,CRAIG,D,M.D.,M,I,195 DANBURY RD,"DAVENPORT BUILDING, SUITE 140",WILTON,CT,068974075,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,58,54.295344828,8.32,6.2970689655,6.2970689655
1013946656,SERIN,CRAIG,D,M.D.,M,I,195 DANBURY RD,"DAVENPORT BUILDING, SUITE 140",WILTON,CT,068974075,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,11.023888889,1.42,1.0533333333,1.0533333333
1013946698,LOGUE,STEPHEN,S,M.D.,M,I,1843 QUIET CV,,FAYETTEVILLE,NC,283043857,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,19,68,42.999264706,8.32,6.5226470588,6.5226470588
1013946698,LOGUE,STEPHEN,S,M.D.,M,I,1843 QUIET CV,,FAYETTEVILLE,NC,283043857,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,30,14.445333333,1.42,1.076,1.076
1013946698,LOGUE,STEPHEN,S,M.D.,M,I,1843 QUIET CV,,FAYETTEVILLE,NC,283043857,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,40,41,33.418780488,4.8185365854,3.3392682927,3.2136585366
1013946698,LOGUE,STEPHEN,S,M.D.,M,I,1843 QUIET CV,,FAYETTEVILLE,NC,283043857,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,272.35,70.23,55.06,54.750909091
1013946698,LOGUE,STEPHEN,S,M.D.,M,I,1843 QUIET CV,,FAYETTEVILLE,NC,283043857,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2475,0.2479393939,0.0468848485,0.0300484848,0.0300484848
1013946698,LOGUE,STEPHEN,S,M.D.,M,I,1843 QUIET CV,,FAYETTEVILLE,NC,283043857,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,61.66,19.715,14.863125,14.083125
1013946698,LOGUE,STEPHEN,S,M.D.,M,I,1843 QUIET CV,,FAYETTEVILLE,NC,283043857,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,107.25,33,22.053333333,22.053333333
1013947001,VYAS,DARSHAN,K,M.D.,M,I,140 E BROADWAY ST,,TIPP CITY,OH,453711758,US,Physician/Otolaryngology,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,76,76,76,1284.8881579,1030.2763158,804.36631579,868.10171053
1013947001,VYAS,DARSHAN,K,M.D.,M,I,140 E BROADWAY ST,,TIPP CITY,OH,453711758,US,Physician/Otolaryngology,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,24,27,1026.3844444,850.75296296,666.9862963,674.33888889
1013947001,VYAS,DARSHAN,K,M.D.,M,I,140 E BROADWAY ST,,TIPP CITY,OH,453711758,US,Physician/Otolaryngology,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,25,28,130.30607143,107.535,84.3075,87.455
1013947001,VYAS,DARSHAN,K,M.D.,M,I,140 E BROADWAY ST,,TIPP CITY,OH,453711758,US,Physician/Otolaryngology,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,18,18,23,548.39652174,458.27,353.04956522,357.29304348
1013947001,VYAS,DARSHAN,K,M.D.,M,I,140 E BROADWAY ST,,TIPP CITY,OH,453711758,US,Physician/Otolaryngology,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,67,68,68,821.33485294,672.01794118,522.72485294,554.91485294
1013947035,CUNANAN-BUSH,MARIANNE,R,MD,F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,175,46.368,34.08,35.334666667
1013947035,CUNANAN-BUSH,MARIANNE,R,MD,F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,59,59,36.88,17.457118644,12.759491525,12.624745763
1013947035,CUNANAN-BUSH,MARIANNE,R,MD,F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,30,5.8992307692,4.6269230769,3.8146153846
1013947035,CUNANAN-BUSH,MARIANNE,R,MD,F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,74,74,230,81.840945946,60.858918919,52.073918919
1013947126,FETTING,JOHN,H,M.D.,M,I,10753 FALLS RD,,LUTHERVILLE,MD,210934535,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,409,82,64.29,54.73
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,23,64,804,55.365883085,19.649850746,14.761343284,14.761343284
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,25,62,1835,7.6974986376,2.6316076294,1.9654441417,1.9654441417
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,96,162,542,2202,69.045190736,8.32,5.9798546776,5.9798546776
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,15,28,28,13.567142857,3.38,2.65,2.65
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,15,20,20,19.1515,2.12,1.67,1.67
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,45,61,149,316,14.331550633,1.42,1.0469620253,1.0469620253
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,747.47809524,346.51214286,264.83214286,264.83214286
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,36,3120,18.339038462,10.694705128,8.3386762821,8.3386762821
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,24,88,88,361.60102273,251.11,196.84534091,196.84534091
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,20,20,20,377.118,264.16,207.1,207.1
1013947241,SANKARI,SAMAR,R,MD,F,I,1097 FLEDDERJOHN RD,,CHARLESTON,WV,253144208,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,72,14.182222222,0.6052777778,0.4744444444,0.4744444444
1013947324,SANDS,JAMES,,MD,M,I,2715 E MAIN ST,,VENTURA,CA,930032803,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,80.8935,8.32,5.2185,5.2185
1013947373,RITZE,JAMES,M,D.O.,M,I,3100 S ELM PL,SUITE C,BROKEN ARROW,OK,740127950,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,29,74,81.692432432,8.32,5.8167567568,5.8167567568
1013947514,DAVIS,MICHAEL,L,MD,M,I,1218 MILLENNIUM PKWY,,BRANDON,FL,335113895,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,93.301578947,8.32,5.4942105263,5.4942105263
1013947522,BRADY,DESMONDA,L,MD,F,I,5498 109TH AVENUE,,PULLMAN,MI,49450,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,98,50.811428571,8.32,6.5230612245,6.5230612245
1013947522,BRADY,DESMONDA,L,MD,F,I,5498 109TH AVENUE,,PULLMAN,MI,49450,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,30,14.049,1.42,1.1133333333,1.1133333333
1013947522,BRADY,DESMONDA,L,MD,F,I,5498 109TH AVENUE,,PULLMAN,MI,49450,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,22.911764706,7.8105882353,5.8370588235,3.4447058824
1013947522,BRADY,DESMONDA,L,MD,F,I,5498 109TH AVENUE,,PULLMAN,MI,49450,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,215.95744681,97.146595745,73.621276596,53.269787234
1013947522,BRADY,DESMONDA,L,MD,F,I,5498 109TH AVENUE,,PULLMAN,MI,49450,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,2220,2.637045045,0.1339324324,0.0800900901,0.0800900901
1013947522,BRADY,DESMONDA,L,MD,F,I,5498 109TH AVENUE,,PULLMAN,MI,49450,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,53.873076923,44.661538462,32.762564103,27.979230769
1013947522,BRADY,DESMONDA,L,MD,F,I,5498 109TH AVENUE,,PULLMAN,MI,49450,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,72.6,33,18.9124,18.9124
1013947555,BERG,DANIEL,R,MD,M,I,401 HOLLY HILLS AVE,,SAINT LOUIS,MO,631112410,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,83,81.664096386,8.32,4.7154216867,4.7154216867
1013947555,BERG,DANIEL,R,MD,M,I,401 HOLLY HILLS AVE,,SAINT LOUIS,MO,631112410,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,11.858181818,3.15,2.0209090909,1.8609090909
1013947563,LANDAU,PHILIP,M,MD,M,I,320 GUYS RUN ROAD,,PITTSBURGH,PA,15238,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,356.27461538,77.5,46.206153846,41.567692308
1013947621,HUGHES,MONICA,,APRN,F,I,95 SCOVILL ST,3RD FLOOR,WATERBURY,CT,067061113,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,77.18,55.4675,50.6425
1013947621,HUGHES,MONICA,,APRN,F,I,95 SCOVILL ST,3RD FLOOR,WATERBURY,CT,067061113,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,34.97,16.275714286,12.758571429,14.964285714
1013947621,HUGHES,MONICA,,APRN,F,I,95 SCOVILL ST,3RD FLOOR,WATERBURY,CT,067061113,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,21.53,8.5714285714,6.72,7.0385714286
1013947639,CAVANAUGH,BRENDAN,J,MD,M,I,502 ELM ST NE,,ALBUQUERQUE,NM,871022512,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,105,19.71,15.45,15.45
1013947639,CAVANAUGH,BRENDAN,J,MD,M,I,502 ELM ST NE,,ALBUQUERQUE,NM,871022512,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,14,41,200,37.38,29.306585366,29.306585366
1013947639,CAVANAUGH,BRENDAN,J,MD,M,I,502 ELM ST NE,,ALBUQUERQUE,NM,871022512,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,539.93466667,88.836,65.66,51.081333333
1013947639,CAVANAUGH,BRENDAN,J,MD,M,I,502 ELM ST NE,,ALBUQUERQUE,NM,871022512,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,638,69.35815047,1.4970689655,1.1736206897,1.1736206897
1013947704,WEIRICH,TIMOTHY,P,MD,M,I,1201 7TH ST SE,,DECATUR,AL,356013337,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,35,110,257,45.649883268,8.32,5.9152529183,5.9152529183
1013947704,WEIRICH,TIMOTHY,P,MD,M,I,1201 7TH ST SE,,DECATUR,AL,356013337,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,50,63,14.120634921,1.42,1.0114285714,1.0114285714
1013947704,WEIRICH,TIMOTHY,P,MD,M,I,1201 7TH ST SE,,DECATUR,AL,356013337,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,76.838888889,17.29,12.044444444,12.027407407
1013947704,WEIRICH,TIMOTHY,P,MD,M,I,1201 7TH ST SE,,DECATUR,AL,356013337,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,70.9375,4.58,3.591875,3.59
1013947704,WEIRICH,TIMOTHY,P,MD,M,I,1201 7TH ST SE,,DECATUR,AL,356013337,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,76,434.24026316,70.667105263,52.1175,51.813421053
1013947704,WEIRICH,TIMOTHY,P,MD,M,I,1201 7TH ST SE,,DECATUR,AL,356013337,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,28,3266,1.7007960808,0.1366074709,0.1004164115,0.1004164115
1013947704,WEIRICH,TIMOTHY,P,MD,M,I,1201 7TH ST SE,,DECATUR,AL,356013337,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,41,41,82.195121951,33,22.084146341,22.084146341
1013947803,PRINTON,DEANNE,,MD,F,I,1850 BEAM AVE,,SAINT PAUL,MN,551091162,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,30,75,250,72.8236,8.32,5.5308,5.5308
1013947803,PRINTON,DEANNE,,MD,F,I,1850 BEAM AVE,,SAINT PAUL,MN,551091162,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,25,53,16.269622642,1.42,0.9456603774,0.9456603774
1013947803,PRINTON,DEANNE,,MD,F,I,1850 BEAM AVE,,SAINT PAUL,MN,551091162,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,15.55,5.38,4.218,4.163
1013947803,PRINTON,DEANNE,,MD,F,I,1850 BEAM AVE,,SAINT PAUL,MN,551091162,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,35,520.76542857,78.49,52.843142857,46.820285714
1013947803,PRINTON,DEANNE,,MD,F,I,1850 BEAM AVE,,SAINT PAUL,MN,551091162,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,103.52,40.62,26.541666667,24.6
1013947803,PRINTON,DEANNE,,MD,F,I,1850 BEAM AVE,,SAINT PAUL,MN,551091162,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,33,33,23.88,23.88
1013947829,GREEN,LINDA,M,D.O.,F,I,4727 SAINT ANTOINE ST,SUITE 211,DETROIT,MI,482011461,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,19,41,48.057804878,8.32,6.0456097561,6.0456097561
1013947829,GREEN,LINDA,M,D.O.,F,I,4727 SAINT ANTOINE ST,SUITE 211,DETROIT,MI,482011461,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,20,17.092,1.42,1.005,1.005
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,37,2520,0.5928571429,0.44,0.3449960317,0.3449960317
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,810,5.6577777778,3.67,2.8773209877,2.8773209877
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1740,2.64,2.16,1.6934310345,1.6934310345
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,25,38,5630,0.16,0.13,0.1004529307,0.1004529307
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1740,0.56,0.45,0.3528218391,0.3528218391
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,18,175,27.42,24.89,19.514,19.226914286
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,18,125,9.1,8.2,6.42856,6.42856
1013948025,SHULL,KENNETH,C,MD,M,I,1814 WESTCHESTER DRIVE,SUITE 101,HIGH POINT,NC,272627369,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,875.385,174.97,137.18,125.085625
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,49,124,216,48.378842593,8.32,6.0786574074,6.0786574074
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,30,61,67,13.406716418,1.42,1.0352238806,1.0352238806
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,160,3.5136875,3.13,2.300625,2.300625
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,6.9159677419,2.01,1.5767741935,1.5916129032
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,43,61.009767442,23.540697674,17.916511628,16.118139535
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,35.933333333,35.705
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,37.036521739,4.6517391304,3.3052173913,3.2808695652
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,139.73571429,43.925238095,32.795238095,25.018571429
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,86,88,440.44625,87.109318182,63.05,53.414318182
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,7245,0.2998951001,0.0460427881,0.0345700483,0.0345700483
1013948066,MISKELLY,RANDLE,S,APN,M,I,1306 US HIGHWAY 45 N,,HENDERSON,TN,383404003,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,23,23,71.739130435,33,24.745217391,24.745217391
1013948090,TREADWELL,GEORGE,H,M.D.,M,I,ALLERGY ASTHMA IMMUNOLOGY CENTER PLLC,6401 POPLAR AVENUE SUITE 300,MEMPHIS,TN,381194810,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,11,38,81.792631579,19.71,15.452368421,15.452368421
1013948090,TREADWELL,GEORGE,H,M.D.,M,I,ALLERGY ASTHMA IMMUNOLOGY CENTER PLLC,6401 POPLAR AVENUE SUITE 300,MEMPHIS,TN,381194810,US,Physician/Allergy/ Immunology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,18.01,18.01,12.248333333,11.716666667
1013948090,TREADWELL,GEORGE,H,M.D.,M,I,ALLERGY ASTHMA IMMUNOLOGY CENTER PLLC,6401 POPLAR AVENUE SUITE 300,MEMPHIS,TN,381194810,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,77.18,77.18,48.087647059,43.32
1013948090,TREADWELL,GEORGE,H,M.D.,M,I,ALLERGY ASTHMA IMMUNOLOGY CENTER PLLC,6401 POPLAR AVENUE SUITE 300,MEMPHIS,TN,381194810,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,5300,83.159913208,9.8434188679,7.7172433962,7.7172433962
1013948090,TREADWELL,GEORGE,H,M.D.,M,I,ALLERGY ASTHMA IMMUNOLOGY CENTER PLLC,6401 POPLAR AVENUE SUITE 300,MEMPHIS,TN,381194810,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,3188,0.3143161857,0.0467659975,0.0316373902,0.0316373902
1013948090,TREADWELL,GEORGE,H,M.D.,M,I,ALLERGY ASTHMA IMMUNOLOGY CENTER PLLC,6401 POPLAR AVENUE SUITE 300,MEMPHIS,TN,381194810,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,24,24,57.75,33,24.792083333,24.792083333
1013948231,FEINSTEIN,RALPH,S,M.D.,M,I,526 ALTAMONT AVE,,SCHENECTADY,NY,123031039,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.67,8.5409090909,5.9090909091,6.6
1013948231,FEINSTEIN,RALPH,S,M.D.,M,I,526 ALTAMONT AVE,,SCHENECTADY,NY,123031039,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,76.311052632,15.649473684,11.569473684,12.636842105
1013948231,FEINSTEIN,RALPH,S,M.D.,M,I,526 ALTAMONT AVE,,SCHENECTADY,NY,123031039,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,31.58,7.3454545455,5.0818181818,5.6863636364
1013948256,PRECIADO,JOSEPHINE,P,"M.D.,",F,I,300 N SAN ANTONIO RD,,SANTA BARBARA,CA,931101332,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,41,115,247,65.165101215,8.32,5.5176923077,5.5176923077
1013948256,PRECIADO,JOSEPHINE,P,"M.D.,",F,I,300 N SAN ANTONIO RD,,SANTA BARBARA,CA,931101332,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,33,67,76,13.533421053,1.42,0.9410526316,0.9410526316
1013948256,PRECIADO,JOSEPHINE,P,"M.D.,",F,I,300 N SAN ANTONIO RD,,SANTA BARBARA,CA,931101332,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,17.09,12.694736842,12.786315789
1013948256,PRECIADO,JOSEPHINE,P,"M.D.,",F,I,300 N SAN ANTONIO RD,,SANTA BARBARA,CA,931101332,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,67.55,4.3627272727,2.61,3.0545454545
1013948256,PRECIADO,JOSEPHINE,P,"M.D.,",F,I,300 N SAN ANTONIO RD,,SANTA BARBARA,CA,931101332,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,40,519.51,65.7,49.693,52.4505
1013948256,PRECIADO,JOSEPHINE,P,"M.D.,",F,I,300 N SAN ANTONIO RD,,SANTA BARBARA,CA,931101332,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1620,1.2512530864,0.1329259259,0.0974814815,0.0974814815
1013948256,PRECIADO,JOSEPHINE,P,"M.D.,",F,I,300 N SAN ANTONIO RD,,SANTA BARBARA,CA,931101332,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,93.5,33,24.432777778,24.432777778
1013948314,XU,MIN,,MD,F,I,227 MADISON ST,,NEW YORK,NY,100027537,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,14,49.630714286,8.32,5.1307142857,5.1307142857
1013948421,TYNER,MICHAEL,A,MD,M,I,160 MACGREGOR PINES DR,SUITE 310,CARY,NC,27511,US,Physician/General Surgery,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,226.66666667,42.208333333,24.490277778,17.175555556
1013948637,DAVIS,MONICA,A,P.A.,F,I,5547 W MAIN ST,,VERONA,NY,134783426,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,51,21.421764706,8.32,5.3705882353,5.3705882353
1013948645,DILLARD,CARRIE,M,MD,F,I,1340 HAL GREER BLVD,,HUNTINGTON,WV,257013800,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,10.461538462,5.0373076923,3.5157692308,3.1623076923
1013948751,OSTREM,JILL,L,MD,F,I,400 PARNASSUS AVE,DEPARTMENT OF NEUROLOGY,SAN FRANCISCO,CA,941430348,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,51,72.96,19.71,15.452352941,15.452352941
1013948751,OSTREM,JILL,L,MD,F,I,400 PARNASSUS AVE,DEPARTMENT OF NEUROLOGY,SAN FRANCISCO,CA,941430348,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,364,150.6,37.38,29.305714286,29.305714286
1013948751,OSTREM,JILL,L,MD,F,I,400 PARNASSUS AVE,DEPARTMENT OF NEUROLOGY,SAN FRANCISCO,CA,941430348,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,364,363.31285714,213.95,167.73678571,167.73678571
1013948793,LEE,ANITA,C,MD,F,I,51 N 39TH ST,,PHILADELPHIA,PA,191042640,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,33,84.086666667,8.32,6.5221212121,6.5221212121
1013948900,LE,THANG,D,MD,M,I,800 W RANDOL MILL RD STE 2300,,ARLINGTON,TX,760122504,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,19.656315789,17.63,13.82,13.545263158
1013948900,LE,THANG,D,MD,M,I,800 W RANDOL MILL RD STE 2300,,ARLINGTON,TX,760122504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,92.64,76.48,59.96,54.72
1013948934,TOBBAGI,HABIB,,MD,M,I,200 JOSE FIGUERES AVE,SUITE 260,SAN JOSE,CA,951161500,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,4.4796666667,0.5617272727,0.3566666667,0.3566666667
1013948934,TOBBAGI,HABIB,,MD,M,I,200 JOSE FIGUERES AVE,SUITE 260,SAN JOSE,CA,951161500,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,14,16,16,10.749285714,10.749285714
1013949031,ROY,THOMAS,M,MD,M,I,CORNER OF SIDNEY AND LAMONT,111-B,MOUNTAIN HOME,TN,37614,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,62.14826087,17.29,11.782608696,11.766956522
1013949031,ROY,THOMAS,M,MD,M,I,CORNER OF SIDNEY AND LAMONT,111-B,MOUNTAIN HOME,TN,37614,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,232.35,58.966923077,43.056923077,34.735384615
1013949031,ROY,THOMAS,M,MD,M,I,CORNER OF SIDNEY AND LAMONT,111-B,MOUNTAIN HOME,TN,37614,US,Internal Medicine,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1812.76,1073.16,841.36,842.26
1013949031,ROY,THOMAS,M,MD,M,I,CORNER OF SIDNEY AND LAMONT,111-B,MOUNTAIN HOME,TN,37614,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,67,67,362.26373134,71.712238806,48.299104478,46.929850746
1013949031,ROY,THOMAS,M,MD,M,I,CORNER OF SIDNEY AND LAMONT,111-B,MOUNTAIN HOME,TN,37614,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,220,37.44,27.8825,28.0365
1013949288,KESSLER,CHARLES,W,MD,M,I,650 DITTMER AVENUE,,PUEBLO,CO,810051212,US,Physician/Plastic and Reconstructive Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,380,363.16,277.16894737,298.11894737
1013949296,HUNT,DONNA,J,ARNP,F,I,820 S MCCLELLAN ST STE 500,,SPOKANE,WA,992042450,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,340.89307692,65.7,51.51,54.234615385
1013949296,HUNT,DONNA,J,ARNP,F,I,820 S MCCLELLAN ST STE 500,,SPOKANE,WA,992042450,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,37.64,29.51,29.51
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,58,125,127,153.0792126,38.470629921,28.735590551,29.038188976
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,35,70,71,359.77971831,84.994647887,62.082816901,63.106338028
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,34,59,136,132.03772059,33.749338235,24.844852941,24.398161765
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,25,53,261,82.887203065,19.64,15.214904215,14.440689655
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,26,55,265,56.660792453,15.08,11.331283019,11.397018868
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,50,114,116,231.975,54.552068966,41.144741379,41.22612069
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,69,96,96,74.4465625,17.3259375,13.2978125,13.728229167
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,36.583333333,9.71,7.61,8.105
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,23,50,51,68.451372549,12.047843137,9.4462745098,9.151372549
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,84,187,1012,10.361679842,2.0037252964,1.4984387352,1.5172529644
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,29,38,38,25.935789474,6.12,4.5473684211,4.4184210526
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,48,69,69,48.739710145,12.096376812,9.2084057971,10.021449275
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,78,94,67.565,19.820957447,13.898297872,13.590744681
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,402.11272727,131.68454545,103.24636364,104.7
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,32,48.3178125,4.29,3.36375,3.75
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,25,117,119,226.29714286,33.311176471,24.321680672,23.875294118
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,73,498,570,441.94880702,80.15545614,59.135245614,52.175421053
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,121,145,243.37931034,35.558,26.928896552,28.462206897
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,13.94,11.288588235,8.7653039216,8.7653039216
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,2065,1.6251719128,0.1311283293,0.0948716707,0.0948716707
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,204.62702703,35.342432432,27.715405405,29.460810811
1013949544,GOMEZ,NELSON,A,M.D.,M,I,910 OAKFIELD DR,,BRANDON,FL,335114936,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,120.68571429,33,25.130857143,25.130857143
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,70.916153846,40.095384615,26.666153846,25.799230769
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,29,83.931034483,33.294482759,23.468275862,23.283448276
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,63,59.684761905,19.094285714,12.253174603,11.834285714
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,157.32235294,57.281176471,43.987647059,43.438823529
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,14,14,53.859285714,18.19,14.261428571,14.06
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,41.02,13.551666667,10.621666667,10.084166667
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,24,144,5.81,2.1525,1.5563888889,1.5178472222
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,16,16,15.953125,6.330625,4.96125,4.893125
1013949601,YHIP,JAMES,P,M.D.,M,I,198 COHASSET RD,,CHICO,CA,959262202,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,354.09090909,90.628181818,65.619090909,49.754545455
1013949619,PALO,MATTI,W,MD,M,I,70411 HIGHWAY 21,,COVINGTON,LA,704338103,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,11,135.30181818,106.34636364,83.375454545,87.48
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,11700,1.4865931624,1.2535384615,0.9827760684,0.9827760684
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,31,206,31890,4.6949194105,0.5745468799,0.43272217,0.4327193478
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,37,5850,0.0893777778,0.0132564103,0.009834188,0.009834188
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,4634,3.9440914976,1.3087354338,1.0260336642,1.0260336642
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,27,132,18810,4.8167426901,2.8347240829,2.2032030835,2.2032030835
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,660,17.228924242,7.4974545455,5.8779848485,5.8779848485
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,31,215,215,24,24,18.382325581,18.382325581
1013950062,WELCH,BYRON,R,MD,M,I,4100 DUVAL RD,"BLDG 4, STE 102",AUSTIN,TX,787594277,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,37,246,292,16,16,12.283116438,12.283116438
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,53,134,62.510895522,8.3159701493,5.058358209,5.0614925373
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,13,37,41,13.187073171,1.42,0.927804878,0.927804878
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,44,10.360909091,1.99,1.56,1.5854545455
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,67.380583333,5.515,4.3236666667,3.2456666667
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8104,1.3566633761,0.3998025666,0.2957416091,0.2253331688
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,59.384545455,46.557272727,38.843636364
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,69.99,54.87,54.73
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,0.92,0.1351818182,0.089469697,0.089469697
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,810,12.755148148,3.0382962963,2.3820246914,2.3820246914
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,933.3425,172.6525,135.3575,132.25625
1013950070,WILEY,BRADLEY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,119.08695652,33,23.620434783,23.620434783
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,4,,30,260,78.199615385,25.675769231,19.912346154,19.143269231
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,180,54.152777778,8.6533333333,6.6057222222,6.3061666667
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,21,41,41,41,119.31219512,52.081219512,40.832439024,36.75804878
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,43.55,10.691333333,5.4706666667,4.7413333333
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,25,25,25,120.1012,60.9148,46.0876,39.1604
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,183.21875,78.70875,46.89875,46.89875
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,129,132,2149,85.43969288,22.154899953,17.096147045,19.630711959
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,395,110.67571429,86.765714286,102.07571429
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,4749.5808696,785.96695652,606.27217391,466.96217391
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,61.443076923,35.636923077,27.94,16.859230769
1013950120,WALDROP,JOHN,I,M.D.,M,I,6262 VETERANS PKWY,,COLUMBUS,GA,319093540,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,12,14,170,118.14,83.711428571,71.059285714
1013950138,WINNICKI,MICHAEL,S,MD,M,I,ELM AND CARLTON ST,,BUFFALO,NY,142630001,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,8.0363636364,4.4509090909,5.2945454545
1013950377,BABCOCK,PETER,E,ACNP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,463.39285714,83.062142857,62.957857143,54.883928571
1013950377,BABCOCK,PETER,E,ACNP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,100,35.96,28.19,29.408461538
1013950377,BABCOCK,PETER,E,ACNP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,85,36.680666667,26.876,28.042
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,74,55.41972973,8.32,6.1701351351,6.1701351351
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,4.4172727273,2.27,1.7796666667,1.7796666667
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,20.56,10.93,8.57,8.57
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,8.13,7.06,5.0740555556,5.0740555556
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.89,3.89,2.798125,2.8985
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,60.816428571,12.17,7.5035714286,7.2035714286
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,89,7.0530337079,1.9923595506,1.4514606742,1.4233707865
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7200,0.53,0.32,0.2508833333,0.2436875
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,41.326923077,17.91,13.23,12.778076923
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,81,81,263.48641975,70.48,50.601604938,50.137037037
1013950435,BOWMAN,JEFFERY,,DO,M,I,3198 F RD,,GRAND JUNCTION,CO,815044032,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,39.6,28.303333333,26.891666667
1013950443,SMITH,YNOLDE,F,DO,F,I,2151 N HARBOR BLVD,SUITE 3200,FULLERTON,CA,928353820,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,22,92.878636364,8.32,4.7463636364,4.7463636364
1013950476,JAMAL,ASAD,,M.D.,M,I,403 E 1ST ST,,DIXON,IL,61021,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,38,7.3295,5.745,3.736
1013950476,JAMAL,ASAD,,M.D.,M,I,403 E 1ST ST,,DIXON,IL,61021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,336,113.23818182,88.782727273,65.775454545
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,95,275,539,14.953079777,7.5242671614,5.7623191095,6.0703896104
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,95,223,229,3.8538864629,1.42,1.1099563319,1.1099563319
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,76,76,152,72.265460526,70.661184211,54.459342105,55.104342105
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,76,76,456,30.536754386,29.19,22.511907895,22.513442982
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,72.934545455,12.645454545,8.0809090909,7.4618181818
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,36,36,65.694444444,52.361111111,38.96,36.592777778
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,13,98,98,37.260612245,3.8455102041,2.7597959184,3.3510204082
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,26,209.67923077,30.823461538,19.093846154,19.916153846
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,1,30,182,182,122.08752747,98.627307692,73.878076923,66.635714286
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,123,933,956,106.8234728,79.005669456,57.92707113,58.061025105
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E0855,Cervical traction equipment not requiring additional stand or frame,D1E - Other DME,Durable Medical Equipment,Y,1,12,81,81,63.765432099,46.194938272,35.780864198,36.344814815
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,22,97.926363636,48.45,37.985,40.01
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,61,365.71278689,75,54.864590164,51.261639344
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,E1399,"Durable medical equipment, miscellaneous",D1E - Other DME,Durable Medical Equipment,N,1,,15,18,25,10.518333333,8.2444444444,8.2444444444
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,104,104,34.854615385,18.42375,14.073173077,13.771153846
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,52,52,603.32673077,169.6875,131.78346154,114.98673077
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,L0456,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,969.62769231,969.62769231,749.14692308,740.88538462
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,987.85,987.85,774.47,775.15727273
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,16,16,486.10375,470.11,354.3375,351.15875
1013950484,PEAN,HAROLD,J,MD,M,I,210 S BRYAN RD,SUITE 4,MISSION,TX,785726204,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,103.29411765,33,25.87,25.87
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,11,14,28,2.4607142857,0.51,0.4,0.4
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,4.5666666667,1,0.7808333333,0.7808333333
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,70,178,684,54.498406433,8.32,6.4176461988,6.4176461988
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,27,67,67,13.673432836,3.38,2.65,2.65
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,26,36,36,20.715833333,2.12,1.67,1.67
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,43,90,168,13.135892857,1.42,1.0926190476,1.0926190476
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,7.8369230769,1.47,1.0615384615,1.0615384615
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,69.443846154,12.452307692,9.05,8.3730769231
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,109,84.341009174,18.967155963,13.445137615,13.135045872
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,198.69904762,54.555238095,38.709047619,38.789047619
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,62.03,17.985263158,13.438947368,13.406315789
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,32,32,66.5259375,12.098125,9.2046875,8.8359375
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,29,135,9.3825925926,2.0264444444,1.5896296296,1.5925925926
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,154.192,57.810666667,45.320666667,44.208
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,53,57.475471698,18.164528302,14.236603774,13.533773585
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,24,24,88.725,48.31,37.88,37.63
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,632.43,80.827272727,57.939090909,57.939090909
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,25,63.1596,12.8224,10.0536,9.6444
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,18,87,88,33.06,5.0647727273,3.7798863636,3.4297727273
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,24,205.065,39.335,30.14875,25.607916667
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,15,15,15,77.85,63.975333333,50.156,58.816666667
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,124,135,336.97296296,72.516962963,55.62962963,53.542666667
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,765,4.8954117647,0.5810718954,0.4555555556,0.4555555556
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,3900,0.5866358974,0.4586923077,0.3443128205,0.3443128205
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1650,0.0805393939,0.013,0.0102,0.0102
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,1500,3.35384,1.31644,1.03206,1.03206
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,69,9148,0.798527547,0.1349114561,0.1012964582,0.1012964582
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,780,5.3733076923,2.9377692308,2.3032307692,2.3032307692
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,20,97.5,23.7785,18.6425,14.408
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,998.32363636,169.10727273,132.58272727,131.44818182
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,24,24,18.82,18.82
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,35,16,16,12.541142857,12.541142857
1013950542,PINZON,ERNESTO,,MD,M,I,2950 ALT US HWY 27 S,SUITE A,SEBRING,FL,338704973,US,Physician/Nephrology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,71,71,102.14788732,33,25.126338028,25.126338028
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,67,74.518955224,8.32,5.3535820896,5.3535820896
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,14,22.180714286,1.42,1.0385714286,1.0385714286
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,25,25,73.5048,43.0604,31.5416,28.2624
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,11,37,86,177,5.9188700565,1.7092090395,1.2311299435,1.0485875706
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,23,24,24,56.57,14.080833333,11.040833333,9.0725
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,14,15,17,1.1188235294,0.5764705882,0.4511764706,0.42
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,20,23,25,3.2216,1.4048,1.026,0.888
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,23,23,397.23652174,104.42391304,71.789565217,58.099565217
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,13,42,50,84.5296,39.3694,28.5768,23.6934
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,11,35,80,50.3065,19.3335,13.462875,12.855125
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,13,20,20,175.2805,56.84,40.8715,39.163
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,24,24,48.424583333,19.17,14.53875,13.56375
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,19,19,66.285263158,12.506842105,8.8036842105,8.1668421053
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,24,74,168,11.114285714,2.4313095238,1.7560119048,1.4475
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5863,1.1543578373,0.31,0.2280658366,0.2280658366
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,93,615,618,50.292427184,19.351925566,14.187087379,12.937330097
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,17,74,74,109.91959459,50.109324324,34.101216216,32.544864865
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,787.8,240.24235294,171.58705882,137.67176471
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,35,228,228,50.734035088,5.7195175439,4.2182017544,3.4271491228
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,114.76190476,41.461428571,28.052380952,20.037142857
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,22,9.7272727273,2.8490909091,2.2327272727,2.25
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,19,171,1325,1331,397.30695718,79.007543201,58.168888054,51.571104433
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,134,136,142.01022059,38.998235294,30.216544118,29.248382353
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,9,16,16,16,64.125,57,41.896875,41.896875
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,14,99,5670,17.7114903,9.5837671958,7.4498095238,7.4498095238
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,37,75,301,77328,0.2955329247,0.0468694393,0.0334357542,0.0334356249
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,33,60,231,29156,1.3870301139,0.1350703114,0.0988125943,0.0988125943
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,27,161,8805,10.374802953,3.1149108461,2.3740499716,2.3740488359
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,20,76,4843,1.7336072682,0.2193062152,0.1615837291,0.1615816643
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,165.02375,20.140625,14.88875,13.09875
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,126.73846154,30.576153846,23.972307692,21.494615385
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,79,81,185.05679012,37.757160494,27.99654321,28.260617284
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,386.16777778,161.78,114.29444444,114.21444444
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,51,135,561,562,56.263345196,33,24.318398577,24.318398577
1013950559,BAKER,THOMAS,B,M.D.,M,I,6700 W 9TH AVE,,AMARILLO,TX,791061729,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,21,21,66,66,51.74,51.74
1013950682,VAZQUEZ TORRES,MARIA DE LAS,M,M.D.,F,I,7714 E COLONIAL DR,,ORLANDO,FL,328078422,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,66,49.921818182,8.32,6.5227272727,6.5227272727
1013950682,VAZQUEZ TORRES,MARIA DE LAS,M,M.D.,F,I,7714 E COLONIAL DR,,ORLANDO,FL,328078422,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.89,3.38,2.65,2.65
1013950682,VAZQUEZ TORRES,MARIA DE LAS,M,M.D.,F,I,7714 E COLONIAL DR,,ORLANDO,FL,328078422,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,35,13.28,1.42,1.1125714286,1.1125714286
1013950682,VAZQUEZ TORRES,MARIA DE LAS,M,M.D.,F,I,7714 E COLONIAL DR,,ORLANDO,FL,328078422,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,16.36,12.83,13.54
1013950682,VAZQUEZ TORRES,MARIA DE LAS,M,M.D.,F,I,7714 E COLONIAL DR,,ORLANDO,FL,328078422,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,79.2,57.463333333,50.169166667
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,370,7.5597297297,5.74,4.1122972973,4.1122972973
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,280,8.234,4.91,3.8495,3.8495
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,37,710,3.4893943662,2.9042253521,2.1489014085,2.1535774648
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,62,13.376290323,6.3983870968,5.015483871,5.0446774194
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,15,505,17.73750495,9.4536633663,7.335049505,7.648019802
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,420,7.7948571429,6.9923809524,5.1919285714,5.1979047619
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,1862,2.6906068743,1.9480665951,1.4292696026,1.4309129968
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,300,5.012,4.0120333333,3.0401,3.0542
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,690,0.3553623188,0.27,0.2116521739,0.2116521739
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,380,5.1706052632,2.88,2.2579473684,2.3833684211
1013950690,ONDRULA,DAVID,P,MD,M,I,802 FOX GLN,,BARRINGTON,IL,600101860,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,16,700,0.5649857143,0.26,0.2038571429,0.2099571429
1013951003,KRAMER,JAMES,S,MD,M,I,1130 N CHURCH ST,SUITE 100,GREENSBORO,NC,274011008,US,Physician/Family Practice,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,127,126.46833333,99.153333333,87.470833333
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,54,137,58.295182482,8.32,5.3808759124,5.3808759124
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,24,15.624166667,1.42,1.11375,1.11375
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,25,25,73.936,48.984,37.0552,31.3028
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,20,20,248.8235,124.573,97.3985,72.139
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,25,29,87.062068966,45.207586207,34.453448276,26.581034483
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,58.795,25.526,18.45,12.73
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,51,115,7.7169565217,3.212173913,2.4895652174,1.8497391304
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,365,4.4030410959,4.0445205479,3.1709589041,2.3678630137
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6944,0.4908381336,0.3956451613,0.3101843318,0.2430342742
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,90,92,55.229673913,22.563152174,17.03923913,13.661521739
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,16,232.35,53.43125,35.755,31.948125
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,269,114.03409091,89.403181818,65.905
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,40,16.327659574,12.39212766,9.4391489362
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,80,80,135.64425,46.220625,33.518875,22.7895
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,167,170,353.68447059,106.19582353,79.550176471,57.035117647
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,2040,1.9361421569,0.1351764706,0.0845833333,0.0845833333
1013951060,CROSE,HUNTER,C,MD,M,I,401 W PENNSYLVANIA AVE,,ANACONDA,MT,597111931,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,33,33,20.4625,20.4625
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,42,95,337,65.416617211,8.32,5.8702373887,5.8702373887
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,15.538461538,3.38,2.4461538462,2.4461538462
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,30,63,91,13.889010989,1.42,0.9197802198,0.9197802198
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,370,7.4056486486,5.7367567568,4.4975405405,4.5000810811
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,300,9.8306666667,9.8306666667,7.7070666667,7.73
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,300,4.0193333333,4.0193333333,3.1512,3.1597
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,54.24,41.912727273,28.906363636,32.422727273
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.99,4.0127272727,3.1418181818,3.6781818182
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,71.34,35.859090909,28.115454545,32.136363636
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,339.2795,77.9445,58.0295,52.2785
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,206.25,36.945,27.194166667,27.6925
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,21.8,17.684,12.348666667,12.685333333
1013951094,OSTROWSKI,MICHELE,J,M.D.,F,I,7905 CALUMET AVE,HAMMOND CLINIC LLC,MUNSTER,IN,463211215,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,24.145333333,24.145333333
1013951250,FARMER,CHRISTOPHER,D,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,236,121.81384615,95.503076923,102.50923077
1013951250,FARMER,CHRISTOPHER,D,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,900,866.99571429,675.49571429,673.46714286
1013951250,FARMER,CHRISTOPHER,D,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,900,746.84928571,585.53,646.16
1013951250,FARMER,CHRISTOPHER,D,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,190,190,140.66772727,228.96681818
1013951250,FARMER,CHRISTOPHER,D,M.D.,M,I,1 S KEENE ST,,COLUMBIA,MO,652017199,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,20,81,55.139,37.863,40.292
1013951292,JONES,MARC,A,M.D.,M,I,1901 16TH STREET,,BEDFORD,IN,47421,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,72.708571429,72.708571429,55.269642857,51.217142857
1013951292,JONES,MARC,A,M.D.,M,I,1901 16TH STREET,,BEDFORD,IN,47421,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,13,50.62,50.62,39.69,43.18
1013951292,JONES,MARC,A,M.D.,M,I,1901 16TH STREET,,BEDFORD,IN,47421,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,39,52.052564103,52.052564103,40.809487179,43.352051282
1013951532,CAMPBELL,JOHN,A,MD,M,I,34515 9TH AVE S,,FEDERAL WAY,WA,980036761,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,51.63,39.3,28.009090909,26.827272727
1013951698,MOYES,ANDREW,L,M.D.,M,I,5844 NW BARRY RD,SUITE 200,KANSAS CITY,MO,64154,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,72,72,72,87.468333333,58.246944444,45.051805556,51.838472222
1013951698,MOYES,ANDREW,L,M.D.,M,I,5844 NW BARRY RD,SUITE 200,KANSAS CITY,MO,64154,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,22,68.704545455,51.139090909,40.090909091,43.038181818
1013951698,MOYES,ANDREW,L,M.D.,M,I,5844 NW BARRY RD,SUITE 200,KANSAS CITY,MO,64154,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,44,44,79,66.979493671,50.435696203,38.534556962,42.137341772
1013951698,MOYES,ANDREW,L,M.D.,M,I,5844 NW BARRY RD,SUITE 200,KANSAS CITY,MO,64154,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,22,83.163636364,63.09,49.46,54.46
1013951698,MOYES,ANDREW,L,M.D.,M,I,5844 NW BARRY RD,SUITE 200,KANSAS CITY,MO,64154,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,25,25,45,94.344888889,62.060222222,44.350222222,49.671777778
1013951698,MOYES,ANDREW,L,M.D.,M,I,5844 NW BARRY RD,SUITE 200,KANSAS CITY,MO,64154,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,31,32,58,13.982758621,12.754827586,9.6763793103,13.022241379
1013951763,CLEMMONS,ANDREW,C,D.O.,M,I,601 E SAN ANTONIO ST,STE 501,VICTORIA,TX,779016004,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,10.696,7,5.0658461538,5.0658461538
1013951763,CLEMMONS,ANDREW,C,D.O.,M,I,601 E SAN ANTONIO ST,STE 501,VICTORIA,TX,779016004,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,5.9265,4.03,3.0298461538,3.0298461538
1013951763,CLEMMONS,ANDREW,C,D.O.,M,I,601 E SAN ANTONIO ST,STE 501,VICTORIA,TX,779016004,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,420,0.8216666667,0.27,0.2116666667,0.2116666667
1013951763,CLEMMONS,ANDREW,C,D.O.,M,I,601 E SAN ANTONIO ST,STE 501,VICTORIA,TX,779016004,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,650,0.9,0.27,0.2116,0.2116
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,30,62,158,62.034493671,8.32,5.8613291139,5.8613291139
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,22,31,14.966774194,1.42,1.0074193548,1.0074193548
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,48,8.3408333333,1.47,1.0541666667,1.0541666667
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,290.955,86.33,67.68,67.826666667
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,57.293636364,18.771818182,13.436363636,12.782727273
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,68.783571429,14.645,10.835714286,8.4757142857
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,16,72,7.6330555556,2.3016666667,1.8058333333,1.5911111111
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,11,44,44,146.96,56.974545455,39.853409091,35.038863636
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,51,51,74.491960784,18.500588235,13.586666667,12.639019608
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,20,20,109.2465,48.31,34.7265,34.4895
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,13,65,65,338.55276923,76.228923077,53.689230769,48.880615385
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6371428571,7.5408928571,7.5408928571
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,40,7798,0.2244152347,0.0466247756,0.0333239292,0.0333239292
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,3.0519285714,2.3927380952,2.3927380952
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1410,1.0106170213,0.2188794326,0.1643333333,0.1643333333
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,60.267692308,20.064615385,11.204615385,10.334615385
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,25.614375,8.96375,6.24875,6.164375
1013951771,CORALES,DANILO,,,M,I,1401 HARRODSBURG RD,B 299,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,44,44,96,33,24.106136364,24.106136364
1013951805,STEEDMAN,JOHN,T,MD,M,I,3801 5TH ST SE,SUITE 110,PUYALLUP,WA,983742106,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,786.66666667,551.74,432.56,476.615
1013951870,BADDAY,JALAL,M,M.D.,M,I,1060 E FOOTHILL BLVD,201,UPLAND,CA,917864027,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,51,168,78.957380952,8.32,4.5253571429,4.5253571429
1013951870,BADDAY,JALAL,M,M.D.,M,I,1060 E FOOTHILL BLVD,201,UPLAND,CA,917864027,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,31,16.734516129,1.42,0.8258064516,0.8258064516
1013951870,BADDAY,JALAL,M,M.D.,M,I,1060 E FOOTHILL BLVD,201,UPLAND,CA,917864027,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2500,2.8556,1.9284,1.454476,1.541956
1013951870,BADDAY,JALAL,M,M.D.,M,I,1060 E FOOTHILL BLVD,201,UPLAND,CA,917864027,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,420,10.427428571,5.54,4.136547619,4.136547619
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,63,135,64.346740741,8.32,6.1347407407,6.1347407407
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,23,26,14.889615385,1.42,1.1176923077,1.1176923077
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,90.5,18,14.11,13.54
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,27,301.47555556,76.907037037,58.268888889,53.122222222
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,90.5,36.96,28.98,29.465833333
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,1873,0.3351575013,0.0472450614,0.0358035238,0.0358035238
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1944,2.3256584362,0.0843518519,0.0661419753,0.0661419753
1013951912,EVANS BECKMAN,LINDA,C,MD,F,I,14741 RAVINIA AVE,,ORLAND PARK,IL,60462,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,33,33,24.432777778,24.432777778
1013951987,RICHARDSON,RANDY,K,MD,M,I,1308 BELK BLVD,,OXFORD,MS,386555302,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,40,40,40,84.77775,75.6225,56.21,49.691
1013951987,RICHARDSON,RANDY,K,MD,M,I,1308 BELK BLVD,,OXFORD,MS,386555302,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,23,46,45.336521739,45.336521739,32.446956522,39.208043478
1013951987,RICHARDSON,RANDY,K,MD,M,I,1308 BELK BLVD,,OXFORD,MS,386555302,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,38,67.02,67.02,52.545,54.008684211
1013952050,CHAPMAN,MICHAEL,W,MD,M,I,6085 HEARTLAND DR STE 205,,ZIONSVILLE,IN,460774433,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,34,77.396176471,8.32,5.8991176471,5.8991176471
1013952050,CHAPMAN,MICHAEL,W,MD,M,I,6085 HEARTLAND DR STE 205,,ZIONSVILLE,IN,460774433,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,37,17.52,12.490909091,12.309090909
1013952050,CHAPMAN,MICHAEL,W,MD,M,I,6085 HEARTLAND DR STE 205,,ZIONSVILLE,IN,460774433,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,382.2795,79.96,59.5555,51.9935
1013952050,CHAPMAN,MICHAEL,W,MD,M,I,6085 HEARTLAND DR STE 205,,ZIONSVILLE,IN,460774433,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6481818182,7.3646060606,7.3646060606
1013952050,CHAPMAN,MICHAEL,W,MD,M,I,6085 HEARTLAND DR STE 205,,ZIONSVILLE,IN,460774433,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,540,12.86,2.9603333333,2.3208703704,2.3208703704
1013952050,CHAPMAN,MICHAEL,W,MD,M,I,6085 HEARTLAND DR STE 205,,ZIONSVILLE,IN,460774433,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1013952118,HOPPES,TOBIN,J,M.D.,M,I,135 COMMONS WAY,,KALISPELL,MT,599011900,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,15,117,21615,1.9294272496,0.5658736988,0.4287124682,0.4287124682
1013952118,HOPPES,TOBIN,J,M.D.,M,I,135 COMMONS WAY,,KALISPELL,MT,599011900,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,83,13200,0.1088962121,0.0131219697,0.0102878788,0.0102878788
1013952118,HOPPES,TOBIN,J,M.D.,M,I,135 COMMONS WAY,,KALISPELL,MT,599011900,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1440,1.4465972222,0.7405,0.5805833333,0.5805833333
1013952118,HOPPES,TOBIN,J,M.D.,M,I,135 COMMONS WAY,,KALISPELL,MT,599011900,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,96,16080,3.1414608209,0.9413457711,0.7198289801,0.7198283582
1013952118,HOPPES,TOBIN,J,M.D.,M,I,135 COMMONS WAY,,KALISPELL,MT,599011900,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,41,6180,4.6223527508,2.8514660194,2.2111601942,2.2111601942
1013952118,HOPPES,TOBIN,J,M.D.,M,I,135 COMMONS WAY,,KALISPELL,MT,599011900,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,20,139,139,24,24,18.419064748,18.419064748
1013952118,HOPPES,TOBIN,J,M.D.,M,I,135 COMMONS WAY,,KALISPELL,MT,599011900,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,17,179,212,16,16,12.390188679,12.390188679
1013952159,PARESA,KENITH,K,MD,M,I,6221 WILSHIRE BLVD,SUITE 620,LOS ANGELES,CA,900485201,US,Physician/Physical Medicine and Rehabilitation,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,2000,1146.08,898.52,888.21714286
1013952159,PARESA,KENITH,K,MD,M,I,6221 WILSHIRE BLVD,SUITE 620,LOS ANGELES,CA,900485201,US,Physician/Physical Medicine and Rehabilitation,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,1200,658.83,516.52,486.60333333
1013952324,FEISTNER-LEUNING,HEIDI,,M.D.,F,I,2100 S MARION RD,,SIOUX FALLS,SD,57106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,15,56,101,70.80960396,8.32,5.2965346535,5.2965346535
1013952324,FEISTNER-LEUNING,HEIDI,,M.D.,F,I,2100 S MARION RD,,SIOUX FALLS,SD,57106,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,14,18.567857143,1.42,0.8,0.8
1013952324,FEISTNER-LEUNING,HEIDI,,M.D.,F,I,2100 S MARION RD,,SIOUX FALLS,SD,57106,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,140,32.39,23.28,23.378181818
1013952324,FEISTNER-LEUNING,HEIDI,,M.D.,F,I,2100 S MARION RD,,SIOUX FALLS,SD,57106,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,69.99,54.87,54.73
1013952423,KHILNANI,RESHAM,,M.D.,F,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,24,76,62.473026316,8.32,6.1790789474,6.1790789474
1013952423,KHILNANI,RESHAM,,M.D.,F,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,67,6225,4.4510329317,0.570713253,0.4285815261,0.4285783133
1013952423,KHILNANI,RESHAM,,M.D.,F,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,2400,3.9017083333,1.3385,1.049375,1.049375
1013952423,KHILNANI,RESHAM,,M.D.,F,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,4560,3.7575175439,2.8406578947,2.2118355263,2.2118355263
1013952423,KHILNANI,RESHAM,,M.D.,F,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,53,53,24,24,18.109811321,18.109811321
1013952423,KHILNANI,RESHAM,,M.D.,F,I,500 SE OSCEOLA ST,STE 200,STUART,FL,349942364,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,60,76,16,16,11.718684211,11.718684211
1013952530,HOFFMEIER,HAROLD,J,P.A.,M,I,104 S PORTER ST,,WATKINS GLEN,NY,148911622,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,30,68.452333333,8.32,6.0863333333,6.0863333333
1013952704,VASQUEZ,NED,F,MD,M,I,401 RAILROAD ST W,,MISSOULA,MT,598024109,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,8.6141935484,2.08,1.1567741935,1.1296774194
1013952746,TSAO,JERRY,Y,MD,M,I,7850 PARKWOOD CIRCLE DR STE A-6,,HOUSTON,TX,770366760,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,21,81.217619048,8.32,4.6576190476,4.6576190476
1013952761,OSTOLASA,SIS,E,PA,F,I,3025 W CHERRY LANE,STE B,MERIDIAN,ID,83642,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,6.165,4.8325,3.66
1013952878,KAPOOR,NITIN,,DO,M,I,470 JOHNSON RD,SUITE 10,WASHINGTON,PA,153018944,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,201,45.735454545,35.854545455,36.297272727
1013952878,KAPOOR,NITIN,,DO,M,I,470 JOHNSON RD,SUITE 10,WASHINGTON,PA,153018944,US,Physician/Internal Medicine,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,3514,19.748377917,1.509501992,1.1834433694,1.1834433694
1013952878,KAPOOR,NITIN,,DO,M,I,470 JOHNSON RD,SUITE 10,WASHINGTON,PA,153018944,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1013952894,GILESTRA,ROSA,A,MD,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,294.94235294,69.81,44.664117647,44.664117647
1013952910,BLACKMAN,MARY,E,M.D.,F,I,79 SAND PIT ROAD,102,DANBURY,CT,068104010,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,35,83,239,63.948786611,8.2665271967,6.059665272,6.1015481172
1013952910,BLACKMAN,MARY,E,M.D.,F,I,79 SAND PIT ROAD,102,DANBURY,CT,068104010,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,26,49,74,12.292702703,1.42,1.0547297297,1.0547297297
1013952910,BLACKMAN,MARY,E,M.D.,F,I,79 SAND PIT ROAD,102,DANBURY,CT,068104010,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,13.33,13.54
1013952910,BLACKMAN,MARY,E,M.D.,F,I,79 SAND PIT ROAD,102,DANBURY,CT,068104010,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,59,59,46.814237288,5.8598305085,4.2789830508,3.4120338983
1013952928,HEFFINGTON,MARK,W,MD,M,I,57 WHITE OWL LANE,,CASHIERS,NC,287171828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,35,81.673714286,8.32,5.4942857143,5.4942857143
1013953033,SCHMITT,KARL,M,M.D.,M,I,413 S LOOP RD,,EDGEWOOD,KY,410175446,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,13,22,50.986818182,8.32,5.6354545455,5.6354545455
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,43,126,220,50.309181818,8.32,5.2056818182,5.2056818182
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,30,51,56,15.397321429,1.42,0.8385714286,0.8385714286
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,22,44,3.1,2.0909090909,1.5813636364,1.0977272727
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,22,44,2.02,1.4709090909,1.1040909091,0.9179545455
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,242.77777778,122.86888889,94.343333333,70.51
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,32,112.5,45.376875,35.5753125,27.79875
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,68,48.705882353,26.122058824,19.805735294,14.534705882
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,139.26764706,76.131764706,59.687058824,42.86
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,21,24,24,48.126666667,24.535,19.231666667,14.384166667
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,21,34,34,47.823529412,20.270882353,15.594117647,9.5235294118
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,21,31,180,6.668,3.06,2.3402222222,1.6304444444
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,18,21,21,18.828571429,8.4404761905,6.3776190476,4.709047619
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,24.5,15.7275,12.325833333,10.568333333
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,41,57.56097561,23.498536585,18.056829268,14.623170732
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,82.653846154,58.342307692,45.406153846,38.322307692
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,48,48,28.293958333,7.974375,6.1741666667,3.74625
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,126.26923077,45.811153846,28.559615385,19.741153846
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,144,147,380.27210884,103.62034014,76.395034014,53.913401361
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,46,5248,1.5368025915,0.1374790396,0.1009032012,0.1009032012
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1170,9.6060854701,2.8669487179,2.2477008547,2.2477008547
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,37.424545455,29.340909091,16.544545455
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,111.99,42.149,29.8325,18.9875
1013953157,BARNETT,MATTHEW,E,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,46,46,33.423913043,33,24.690217391,24.690217391
1013953322,MILIAN,CEFERINO,A,MD,M,I,4343 W FLAGLER ST,STE 500,CORAL GABLES,FL,331341586,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,25,59.168,8.32,5.9988,5.9988
1013953330,SINGLETON,GREGORY,,MD,M,I,1620 BROUGHTON STREET,,ORANGEBURG,SC,29115,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,37,116,261,66.03697318,8.32,5.9133333333,5.9133333333
1013953330,SINGLETON,GREGORY,,MD,M,I,1620 BROUGHTON STREET,,ORANGEBURG,SC,29115,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.4090909091,2.4090909091
1013953330,SINGLETON,GREGORY,,MD,M,I,1620 BROUGHTON STREET,,ORANGEBURG,SC,29115,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,52,65,14.977230769,1.42,1.0483076923,1.0483076923
1013953330,SINGLETON,GREGORY,,MD,M,I,1620 BROUGHTON STREET,,ORANGEBURG,SC,29115,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.49,8.3136363636,6.5190909091,4.0272727273
1013953330,SINGLETON,GREGORY,,MD,M,I,1620 BROUGHTON STREET,,ORANGEBURG,SC,29115,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,27,4.97,3.9,3.9545454545
1013953330,SINGLETON,GREGORY,,MD,M,I,1620 BROUGHTON STREET,,ORANGEBURG,SC,29115,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,4645,0.3101657696,0.046131324,0.0361679225,0.0361679225
1013953330,SINGLETON,GREGORY,,MD,M,I,1620 BROUGHTON STREET,,ORANGEBURG,SC,29115,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,103.71428571,33,25.87,25.87
1013953397,NGUYEN,KIM-DUNG,T,M.D.,F,I,5130 DUKE ST,8,ALEXANDRIA,VA,223042924,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,23,49,109,69.249266055,8.2833944954,5.0406422018,5.0740366972
1013953397,NGUYEN,KIM-DUNG,T,M.D.,F,I,5130 DUKE ST,8,ALEXANDRIA,VA,223042924,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,22,26,15.603076923,1.42,0.9453846154,0.9453846154
1013953405,OWEN,CYNTHIA,M,MD,F,I,3065 WINDSOR RD,,RED LION,PA,173568533,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,48,109,65.85293578,8.32,6.1629357798,6.1629357798
1013953405,OWEN,CYNTHIA,M,MD,F,I,3065 WINDSOR RD,,RED LION,PA,173568533,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,29,13.058275862,1.42,1.0003448276,1.0003448276
1013953405,OWEN,CYNTHIA,M,MD,F,I,3065 WINDSOR RD,,RED LION,PA,173568533,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,2.1784230769,0.1359230769,0.0995641026,0.0995641026
1013953405,OWEN,CYNTHIA,M,MD,F,I,3065 WINDSOR RD,,RED LION,PA,173568533,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,23.518181818,23.518181818
1013953520,BLECHER,ANDREW,M,M.D.,M,I,6815 NOBLE AVE,,VAN NUYS,CA,914053796,US,Physician/Family Practice,S,L1846,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,12,1300.3316667,1300.3316667,1012.2075,886.575
1013953520,BLECHER,ANDREW,M,M.D.,M,I,6815 NOBLE AVE,,VAN NUYS,CA,914053796,US,Physician/Family Practice,S,L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,140.75666667,123.79,97.050416667,98.54875
1013953546,MULLAPUDI,RAJYALAXMI,,M.D.,F,I,5666 E STATE ST,,ROCKFORD,IL,611082425,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,324.4,69.81,54.73,54.73
1013953637,TOLLE-BRUMFIELD,KIMBERLEY,A,NP,F,I,1460 LUDLOW RD,,XENIA,OH,453857900,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,190,15.646052632,5.54,4.1144210526,4.1144210526
1013953637,TOLLE-BRUMFIELD,KIMBERLEY,A,NP,F,I,1460 LUDLOW RD,,XENIA,OH,453857900,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,200,10.6825,3.04,2.38315,2.38315
1013953637,TOLLE-BRUMFIELD,KIMBERLEY,A,NP,F,I,1460 LUDLOW RD,,XENIA,OH,453857900,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,183.06421053,56.042105263,37.868947368,29.667368421
1013953637,TOLLE-BRUMFIELD,KIMBERLEY,A,NP,F,I,1460 LUDLOW RD,,XENIA,OH,453857900,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,53.169333333,21,16.463333333,13.53
1013953637,TOLLE-BRUMFIELD,KIMBERLEY,A,NP,F,I,1460 LUDLOW RD,,XENIA,OH,453857900,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,311.21913043,91.968695652,72.103913043,54.73
1013953637,TOLLE-BRUMFIELD,KIMBERLEY,A,NP,F,I,1460 LUDLOW RD,,XENIA,OH,453857900,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,23,99.211304348,23.002608696,16.781304348,11.960869565
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,44,109,234,61.649188034,8.32,5.2960683761,5.2960683761
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,28,28,11.782857143,3.38,2.3660714286,2.3660714286
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,22.236428571,2.12,1.5507142857,1.5507142857
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,48,57,12.932982456,1.42,1.0192982456,1.0192982456
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,11,11,62.363636364,18.687272727,14.650909091,14.176363636
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,67,9.0180597015,2.2385074627,1.7552238806,1.6091044776
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,68.125555556,17.26,12.026666667,12.036111111
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,25,175.4468,35.604,25.8204,24.0664
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,517.28464286,77.34,54.3075,49.076785714
1013953652,LAMBERT,ALAIN,L,MD,M,I,34503 9TH AVE S,STE 100,FEDERAL WAY,WA,980038727,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,109.36571429,22.241428571,16.521428571,14.003333333
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,35,107,297,66.82986532,8.32,6.2364309764,6.2364309764
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,13.749333333,3.38,2.65,2.65
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,19.468333333,2.12,1.67,1.67
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,55,87,13.991954023,1.42,1.0770114943,1.0770114943
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,30.991086957,4.41,2.9602173913,3.1110869565
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,50,291.8432,72,55.321,53.6698
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,121.34105263,36.3,28.46,29.51
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,16,25,6336,0.4266887626,0.0472238005,0.035,0.035
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,119.34,24.216470588,18.986470588,22.87
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,19,77.724210526,36.3,28.46,29.454736842
1013953660,CHERNOFF,BRIAN,H,M.D.,M,I,17 W RED BANK AVE,"WOODBURY MEDICAL CENTER, SUITE 207",WOODBURY,NJ,080961630,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,16,26,26,53.076923077,33,24.875,24.875
1013953728,BOUCHER,HENRY,R,MD,M,I,3333 NORTH CALVERT STREET,SUITE 400,BALTIMORE,MD,21218,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,395,111.741875,87.6125,87.605
1013953736,ANDERSON,NORMA,E,M.D.,F,I,7700 CAT HOLLOW DR STE 205,,ROUNDROCK,TX,78681,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,52,75.668076923,8.32,6.5215384615,6.5215384615
1013953900,TIBBETTS,RYAN,M,MD,M,I,4700 SETON CENTER PKWY,STE 200,AUSTIN,TX,787594107,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,350,104.26,81.74,86.045
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,64,66,81.411060606,19.365151515,14.065,12.538636364
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,100,54,39.083076923,34.735384615
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,126,129,379.40100775,92.877984496,68.752945736,51.645968992
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,226.52173913,40.415217391,30.257391304,28.387826087
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,3071,0.2827092152,0.0476359492,0.0373363725,0.0373363725
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,2243,2.0581007579,0.1354346857,0.1061970575,0.1061970575
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,864,12.934976852,3.0389467593,2.3237152778,2.3237152778
1013953918,STAUBER,CHRISTIAN,L,MD,M,I,2240 SUTHERLAND AVE,SUITE 103,KNOXVILLE,TN,37919,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,31,31,77.709677419,33,25.87,25.87
1013953975,SHARAFATKHAH,MATIN,,M.D,M,I,1655 E 13TH ST,,BROOKLYN,NY,112291101,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,130,269,1346,2307,102.58161248,8.32,6.0830819246,6.0830819246
1013953975,SHARAFATKHAH,MATIN,,M.D,M,I,1655 E 13TH ST,,BROOKLYN,NY,112291101,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,100,193,657,682,67.389721408,1.42,1.050601173,1.050601173
1013953975,SHARAFATKHAH,MATIN,,M.D,M,I,1655 E 13TH ST,,BROOKLYN,NY,112291101,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,23,23,46,69.462608696,69.462608696,54.460434783,56.102826087
1013953975,SHARAFATKHAH,MATIN,,M.D,M,I,1655 E 13TH ST,,BROOKLYN,NY,112291101,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,17,18,96,29.096458333,28.88625,22.646979167,22.886666667
1013953975,SHARAFATKHAH,MATIN,,M.D,M,I,1655 E 13TH ST,,BROOKLYN,NY,112291101,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,27,34,34,34,49.020588235,42.487647059,32.724117647,58.372352941
1013954049,BRUNO,TERRY,L,F.N.P.,F,I,500 MAIN ST,,CABOOL,MO,65689,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,22,44,53.464772727,8.32,5.1563636364,5.1563636364
1013954049,BRUNO,TERRY,L,F.N.P.,F,I,500 MAIN ST,,CABOOL,MO,65689,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,46.760833333,39.4975
1013954049,BRUNO,TERRY,L,F.N.P.,F,I,500 MAIN ST,,CABOOL,MO,65689,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,22.82,7.4173529412,4.2532352941,2.4841176471
1013954049,BRUNO,TERRY,L,F.N.P.,F,I,500 MAIN ST,,CABOOL,MO,65689,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,724,12.641132597,3.0699861878,2.2870994475,2.2870994475
1013954049,BRUNO,TERRY,L,F.N.P.,F,I,500 MAIN ST,,CABOOL,MO,65689,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,765,2.378627451,0.219254902,0.1383921569,0.1383921569
1013954049,BRUNO,TERRY,L,F.N.P.,F,I,500 MAIN ST,,CABOOL,MO,65689,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,101.0625,33,24.253125,24.253125
1013954163,BERNSTEIN,JOSEPH,B,M.D.,M,I,9876 QUEENS BLVD,SUITE P2,REGO PARK,NY,113744356,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,61,47.609836066,8.32,6.0940983607,6.0940983607
1013954163,BERNSTEIN,JOSEPH,B,M.D.,M,I,9876 QUEENS BLVD,SUITE P2,REGO PARK,NY,113744356,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,23,8.4013043478,1.42,1.0165217391,1.0165217391
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,5.3836363636,0.51,0.3636363636,0.3636363636
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,30,100,228,54.696754386,8.32,6.1346491228,6.1346491228
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,33,33,13.133939394,3.38,2.4893939394,2.4893939394
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,17.79375,2.12,1.565625,1.565625
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,61,77,11.633636364,1.42,1.0738961039,1.0738961039
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,162.31727273,53.63,42.04,42.776363636
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,48.247272727,12.08,9.47,9.12
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,67,7.0570149254,2.06,1.6150746269,1.5953731343
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,82.775,16.08,11.8125,12.699375
1013954171,HIRSCH,MICHAEL,A,MD,M,I,1811 BETHLEHEM PIKE,A108,FLOURTOWN,PA,190311111,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,449.09481481,77.18,56.027777778,50.881111111
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,6.13,2.96,2.3206666667,2.3206666667
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,340,10.65,5.23,4.1003235294,4.1003235294
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,20,8.22,6.4425,6.4334090909
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,10,3.66,2.87,3.2852272727
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,330,7.9,3.81,2.987,2.987
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.05818182,17,13.33,13.54
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1800,1074.31,836.955,836.955
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,499.09090909,73,57.23,54.73
1013954221,PATEL,TARAK,J,MD,M,I,4114 POND HILL ROAD,SUITE 101,SAN ANTONIO,TX,78231,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1013954296,GREELEY,KARA,W,M.D.,F,I,3860 W OGDEN AVE,,CHICAGO,IL,606232460,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,24,64.330833333,8.32,2.7520833333,2.7520833333
1013954320,BEST,AARON,P,MD,M,I,1601 NEW CASTLE RD,,FORREST CITY,AR,723352218,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,620,275,5.728,4.4908387097,4.1632258065
1013954320,BEST,AARON,P,MD,M,I,1601 NEW CASTLE RD,,FORREST CITY,AR,723352218,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,8360,3.2983636364,0.3,0.2351961722,0.2430334928
1013954320,BEST,AARON,P,MD,M,I,1601 NEW CASTLE RD,,FORREST CITY,AR,723352218,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7146,6.4815883011,0.7614441646,0.5969745312,0.5174419256
1013954320,BEST,AARON,P,MD,M,I,1601 NEW CASTLE RD,,FORREST CITY,AR,723352218,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,157.38545455,20.11,14.527272727,12.305454545
1013954320,BEST,AARON,P,MD,M,I,1601 NEW CASTLE RD,,FORREST CITY,AR,723352218,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,497.46,86.845714286,63.999285714,50.820714286
1013954643,SNYDER DOUGHERTY,LORRAINE,C,MD,F,I,915 LAWN AVE,SUITE 202,SELLERSVILLE,PA,189601551,US,Physician/Hematology-Oncology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,25.272727273,7.9472727273,6.2327272727,6.7163636364
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,244,34.813114754,18.46,14.472540984,14.472540984
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,1080,4.94,2.52,1.9756666667,2.2631666667
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,19,34,5.6294117647,4.21,3.3035294118,3.3035294118
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,10,5.23,4.1003333333,4.1003333333
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,24,40,42.49825,7.88,6.178,6.366
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,31,78,7.7017948718,4.08,3.198974359,3.3466666667
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A7020,"Interface for cough stimulating device, includes all components, replacement only",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,31.333333333,15.7,12.31,12.727777778
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,80,9.732,2.3,1.383375,1.236875
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,660,7.2251515152,3.7763636364,2.9606363636,2.987
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3500,1074.31,830.30416667,830.30416667
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,2628.9411765,1074.31,833.82058824,833.82058824
1013954734,BROWN,ROBERT,,M.D.,M,I,55 FRUIT ST,MASS. GENERAL HOSPITAL PULMONARY UNIT,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,712.286,78,58.704,54.5952
1013954791,MURPHY,ELISABETH,S,GNP,F,I,3164 US 70 HWY,,BLACK MOUNTAIN,NC,287116302,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,30,44.047,7.432,5.6086666667,5.6086666667
1013954791,MURPHY,ELISABETH,S,GNP,F,I,3164 US 70 HWY,,BLACK MOUNTAIN,NC,287116302,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,506.40428571,86.84,52.97,43.434285714
1013954809,DECARLO,JOSEPH,L,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,3400,0.3229411765,0.13,0.0959117647,0.0959117647
1013954809,DECARLO,JOSEPH,L,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,50,7690,4.1778283485,2.0396358908,1.5291079324,1.5293927178
1013954809,DECARLO,JOSEPH,L,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,1020,11.13,7.0385294118,5.5182254902,5.6646470588
1013954809,DECARLO,JOSEPH,L,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,728,0.8559615385,0.27,0.1898626374,0.1898626374
1013954957,WARWAR,JIHAD,N,M. D.,M,I,72 N BRENT ST,,VENTURA,CA,930032808,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,44,64.194090909,8.32,5.6322727273,5.6322727273
1013955053,HAGAN,PHILLIP,F,M.D.,M,I,10100 E SHANNON WOODS ST,SUITE 100,WICHITA,KS,672264104,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,195.18533333,133.48266667,104.65066667,94.47
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,21,60,75.445166667,8.32,6.0876666667,6.0876666667
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,18,3.58,3.58,1.8711111111,1.8711111111
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,18,9.29,9.29,4.8533333333,6.2466666667
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,18,6.34,6.34,3.3133333333,4.2644444444
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,56.991818182,37.29,26.572727273,27.746363636
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,126.40727273,89.62,63.881818182,61.901818182
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,31,57.295483871,34.52,23.071935484,22.072903226
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,28.310714286,17.25,13.52,14.06
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,17.3325,12.61,9.0658333333,8.36
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,22,124,3.4577419355,2.22,1.5069354839,1.3777419355
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,17,190.11764706,84.9,54.814117647,50.647058824
1013955087,PAVEY,SCOTT,A,M.D.,M,I,1615 HOSPITAL PKWY,SUITE 103,BEDFORD,TX,760225934,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,15,59.118666667,32.9,18.802,17.715333333
1013955137,LUCAS,CHARLES,E,MD,M,I,4160 JOHN R ST,SUITE 615,DETROIT,MI,482012020,US,Physician/General Surgery,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,130,13.641538462,10.81,8.475,8.475
1013955137,LUCAS,CHARLES,E,MD,M,I,4160 JOHN R ST,SUITE 615,DETROIT,MI,482012020,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,351,26.850797721,13.13,10.294102564,10.294102564
1013955137,LUCAS,CHARLES,E,MD,M,I,4160 JOHN R ST,SUITE 615,DETROIT,MI,482012020,US,Physician/General Surgery,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,82,494,268.44,210.45585366,210.45585366
1013955137,LUCAS,CHARLES,E,MD,M,I,4160 JOHN R ST,SUITE 615,DETROIT,MI,482012020,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,82,130,9.35,7.33,7.33
1013955137,LUCAS,CHARLES,E,MD,M,I,4160 JOHN R ST,SUITE 615,DETROIT,MI,482012020,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,82,130,29.22,22.908536585,22.908536585
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,45,89,10204,0.5438857311,0.44,0.3333418267,0.3333418267
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,21,43,1209,28.755674111,23.66,18.549346567,18.549346567
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,264,10.21125,8.41,6.5936363636,6.5936363636
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,14,3700,0.079027027,0.05,0.0373027027,0.0373027027
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,21,46,1466,2.8894952251,2.4,1.8431173261,1.8431173261
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,22,364,9.1631593407,7.36,5.5447802198,5.5447802198
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,19,38,5010,0.1604650699,0.13,0.1019221557,0.1019221557
1013955186,GOTT,KERRY,N,M.D.,M,I,255 E BONITA AVE,,POMONA,CA,917671923,US,Physician/Infectious Disease,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,16,2151,0.630209205,0.45,0.3331287773,0.3331287773
1013955285,KLEBANOV,IRINA,,D.O.,F,I,1517 VOORHIES AVE,,BROOKLYN,NY,112353970,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,43,45.410232558,8.32,6.2188372093,6.2188372093
1013955285,KLEBANOV,IRINA,,D.O.,F,I,1517 VOORHIES AVE,,BROOKLYN,NY,112353970,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,961,1.4641519251,0.048314256,0.0350468262,0.0350468262
1013955285,KLEBANOV,IRINA,,D.O.,F,I,1517 VOORHIES AVE,,BROOKLYN,NY,112353970,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,33,33,23.146842105,23.146842105
1013955541,JAREK,MARK,J,MD,M,I,121 CAHILL RD,,BRANSON,MO,656162036,US,Physician/Rheumatology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600,140.63454545,97.212727273,94.661818182
1013955624,ONISILE,OLUDARE,,MD,M,I,4607 N 12TH ST,,PHOENIX,AZ,850144006,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,32,89,68.761460674,8.32,6.0084269663,6.0084269663
1013955624,ONISILE,OLUDARE,,MD,M,I,4607 N 12TH ST,,PHOENIX,AZ,850144006,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,27,40,13.5585,1.42,0.9485,0.9485
1013955657,FILBRANDT,PHILLIP,R,M.D.,M,I,340 W EAST AVE,,CHICO,CA,959267238,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,1135,3.538722467,2.27,1.673339207,1.673339207
1013955657,FILBRANDT,PHILLIP,R,M.D.,M,I,340 W EAST AVE,,CHICO,CA,959267238,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,57,19.554210526,10.93,8.2685964912,8.2685964912
1013955657,FILBRANDT,PHILLIP,R,M.D.,M,I,340 W EAST AVE,,CHICO,CA,959267238,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,59,14.991186441,7.35,5.2928813559,5.3811864407
1013955657,FILBRANDT,PHILLIP,R,M.D.,M,I,340 W EAST AVE,,CHICO,CA,959267238,US,Physician/Physical Medicine and Rehabilitation,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,124,4.0193548387,1.8,1.3653225806,1.3653225806
1013955855,NGUYEN,VU,,,M,I,2800 MARCUS AVE,,LAKE SUCCESS,NY,110421008,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,53,777,28.473127413,13.041904762,10.225006435,10.291248391
1013955855,NGUYEN,VU,,,M,I,2800 MARCUS AVE,,LAKE SUCCESS,NY,110421008,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,45,315,477.25,268.31022222,210.35406349,210.35406349
1013955855,NGUYEN,VU,,,M,I,2800 MARCUS AVE,,LAKE SUCCESS,NY,110421008,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,240,203.94,9.35,7.33,7.33
1013955855,NGUYEN,VU,,,M,I,2800 MARCUS AVE,,LAKE SUCCESS,NY,110421008,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,53,366,652.8857377,29.207759563,22.898934426,22.898934426
1013955905,MCKIBBEN,DENNIS,W,D.P.M.,M,I,7501 HOSPITAL DR,SUITE 303,SACRAMENTO,CA,958235405,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,36,129.94444444,71.56,56.108055556,56.101944444
1013955905,MCKIBBEN,DENNIS,W,D.P.M.,M,I,7501 HOSPITAL DR,SUITE 303,SACRAMENTO,CA,958235405,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,65,104.83076923,43.56,34.151230769,34.148307692
1013955996,MORGAN,SHERRI,L,MD,F,I,601 CLARA BARTON BLVD,SUITE 340,GARLAND,TX,750425738,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,19,19,67.469473684,19.052631579,14.016315789,13.226842105
1013956036,CLARK-HARMON,MARIA,R,ANP,F,I,3521 NW SAMARITAN DR,SUITE 201,CORVALLIS,OR,973304744,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,56,137,68.41729927,8.32,5.9501459854,5.9501459854
1013956036,CLARK-HARMON,MARIA,R,ANP,F,I,3521 NW SAMARITAN DR,SUITE 201,CORVALLIS,OR,973304744,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,14.823846154,1.42,1.12,1.12
1013956036,CLARK-HARMON,MARIA,R,ANP,F,I,3521 NW SAMARITAN DR,SUITE 201,CORVALLIS,OR,973304744,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,18.72,4.1336363636,3.24,3.6854545455
1013956150,KELLY,MICHAEL,W,MD,M,I,8851 ELLSTREE LN,SUITE 200,RALEIGH,NC,276172045,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,19,20,20,83.958,74.6125,56.023,51.163
1013956150,KELLY,MICHAEL,W,MD,M,I,8851 ELLSTREE LN,SUITE 200,RALEIGH,NC,276172045,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,17,32,68.015625,49.9940625,36.746875,40.9053125
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,76,42.797368421,8.32,6.1893421053,6.1893421053
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,13.895294118,3.38,2.4941176471,2.4941176471
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,32,12.7559375,1.42,1.08125,1.08125
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,27,47,47,108.89106383,39.726382979,29.227234043,28.813191489
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,47,63,87,4.2813793103,1.5734482759,1.1706896552,1.0931034483
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,,13,14,0.9085714286,0.5428571429,0.4242857143,0.4157142857
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,6,15,21,21,3.3852380952,1.2257142857,0.8333333333,0.8323809524
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,107,231,231,209.80714286,90.07038961,69.900822511,67.576406926
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,99,524,593,80.120134907,34.309865093,26.747166948,25.998988196
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,32,104,237,69.73535865,19.004683544,13.53814346,13.208227848
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,22,115,42.714869565,15.38826087,11.548608696,11.375304348
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,49,102,102,151.06490196,57.196666667,41.193823529,39.466960784
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,141,190,190,43.239894737,18.304736842,13.787526316,13.518052632
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,124,284,284,40.226373239,12.578521127,9.6530985915,9.0115492958
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,142,683,1095,7.894283105,2.169652968,1.6655707763,1.5768584475
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,25,29,29,20.880344828,6.2451724138,4.5993103448,4.3603448276
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,55,60,60,29.9315,13.1935,10.179666667,10.124833333
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,516,54.288372093,3.2290697674,2.5315891473,2.3676937984
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,28,28,75.720357143,48.743214286,32.143928571,32.295357143
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,69,469,469,42.371343284,17.938827292,13.33336887,12.842217484
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,20,20,80,48,37.63,37.63
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1807.7784615,1074.31,833.63384615,833.63384615
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,306.66162162,92.224864865,70.651351351,65.944054054
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,1495.2488889,977.18066667,755.33733333,755.33733333
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,74,376,376,29.612925532,12.598138298,9.3186968085,9.2424734043
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,75,446,446,11.600538117,4.6684753363,3.259573991,3.2969506726
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,57.861818182,45.675454545,35.809090909,35.809090909
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,84,425,425,112.73536471,33.906964706,24.6228,23.908235294
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,113.08,46.528181818,36.480909091,36.480909091
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,15.67,8.6627272727,6.7872727273,6.8981818182
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.01,11.125,6.8833333333,6.8833333333
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,11,16,16,76.53,70.74,48.5275,48.5275
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,80,526,530,230.97411321,72.934,53.706150943,51.513962264
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,27,196.66666667,40.535925926,31.482962963,29.26962963
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,22,22,22,57,57,42.658636364,42.658636364
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6910909091,7.4826363636,7.4826363636
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,26,121,312,64986,0.221796233,0.0463150525,0.0342370664,0.0342346044
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,2590,3.7479227799,0.071042471,0.0551776062,0.0551776062
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,1679,1.5231149494,0.1288802859,0.0864860036,0.0864860036
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,810,8.9845185185,2.9423333333,2.3067901235,2.3067901235
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,0.75,0.2181587302,0.171,0.171
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,20.772941176,15.9,11.694117647,12.329411765
1013956176,HUANG,BENSON,Y,M.D.,M,I,1710 E SAUNDERS ST,STE B 290,LAREDO,TX,780415443,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,107,292,292,42.26369863,33,24.435308219,24.435308219
1013956218,MILLARD,JEFFREY,R,MD,M,I,30 E APPLE ST,STE 6250,DAYTON,OH,454092939,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,46.14,19.84,13.291666667,11.275
1013956218,MILLARD,JEFFREY,R,MD,M,I,30 E APPLE ST,STE 6250,DAYTON,OH,454092939,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,245.00958333,74.605,54.321666667,50.573958333
1013956218,MILLARD,JEFFREY,R,MD,M,I,30 E APPLE ST,STE 6250,DAYTON,OH,454092939,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,69.7,37.344615385,28.147307692,28.384230769
1013956309,GIURINI,JOHN,M,DPM,M,I,185 PILGRIM RD,DIVISION OF PODIATRY,BOSTON,MA,022155324,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,36,158.62666667,71.528888889,50.48,50.504444444
1013956309,GIURINI,JOHN,M,DPM,M,I,185 PILGRIM RD,DIVISION OF PODIATRY,BOSTON,MA,022155324,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,25,116,183.87508621,43.56,32.474655172,32.472931034
1013956309,GIURINI,JOHN,M,DPM,M,I,185 PILGRIM RD,DIVISION OF PODIATRY,BOSTON,MA,022155324,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,13,14,392.69428571,335.04,262.67,234.52571429
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,64,221,64.355158371,8.32,5.3714479638,5.3714479638
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,28,51,15.462941176,1.42,1.0917647059,1.0917647059
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,71.177142857,22.97,17.296190476,13.172380952
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21.626,8.4333333333,6.2886666667,3.704
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22,13.273333333,10.4075,8.9091666667
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,311.4264,106.0852,77.3722,50.952
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,4915,0.278982706,0.0453489318,0.0333062055,0.0333062055
1013956432,JOHNSON,SIGRID,R,MD,F,I,205 SUMMIT ST,,SWEETWATER,TN,378742534,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,98.55,33,24.5765,24.5765
1013956457,DALLDORF,PETER,G,MD,M,I,1915 LENDEW ST,,GREENSBORO,NC,274087033,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,119,53.2,38.730714286,43.453571429
1013956473,NAGABHAIRU,LALBAHADUR,S,MD,M,I,2060 N DONNELLY ST,,MOUNT DORA,FL,327572824,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,58,557,20.901669659,10.272423698,7.7960861759,9.4778635548
1013956473,NAGABHAIRU,LALBAHADUR,S,MD,M,I,2060 N DONNELLY ST,,MOUNT DORA,FL,327572824,US,Physician/Gastroenterology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,343,517.25,373.44,292.77574344,292.77574344
1013956473,NAGABHAIRU,LALBAHADUR,S,MD,M,I,2060 N DONNELLY ST,,MOUNT DORA,FL,327572824,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,51,356,170.07685393,9.3480337079,7.3284550562,7.3284550562
1013956473,NAGABHAIRU,LALBAHADUR,S,MD,M,I,2060 N DONNELLY ST,,MOUNT DORA,FL,327572824,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,59,405,558.29580247,29.214469136,22.904222222,22.904222222
1013956507,SCHAEFFER,MATTHEW,W,MD,M,I,915 OLD FERN HILL RD STE 1,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,64.87,50.155833333,39.32125,39.32125
1013956507,SCHAEFFER,MATTHEW,W,MD,M,I,915 OLD FERN HILL RD STE 1,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,250,49.93,39.1425,38.3325
1013956507,SCHAEFFER,MATTHEW,W,MD,M,I,915 OLD FERN HILL RD STE 1,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,480.848,389.4,305.29,310.19
1013956572,WOOLERY,WILLIAM,A,DO,M,I,11111 PANAMA CITY BEACH PARKWAY,,PANAMA CITY BEACH,FL,32413,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,315.692,70.5305,41.5305,41.0405
1013956572,WOOLERY,WILLIAM,A,DO,M,I,11111 PANAMA CITY BEACH PARKWAY,,PANAMA CITY BEACH,FL,32413,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,37.44,26.318181818,26.481818182
1013956622,RAMIREZ,DAVID,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,24,2198,14.266578708,4.185878071,3.2817379436,3.2817379436
1013956622,RAMIREZ,DAVID,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,18.82,18.82
1013956648,SPENCER,H,T,MD,M,I,3130 STATE HWY RTE 6,,WELLFLEET,MA,026677402,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,33,108,86.318796296,8.32,4.0803703704,4.0803703704
1013956705,SWANSON,JOEL,C,MD,M,I,"323 E RIVERSIDE DR, SUITE 224",SAMG EHP FAMILY MEDICINE,EAGLE,ID,836166815,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,100,65.8346,8.32,5.1288,5.1288
1013956705,SWANSON,JOEL,C,MD,M,I,"323 E RIVERSIDE DR, SUITE 224",SAMG EHP FAMILY MEDICINE,EAGLE,ID,836166815,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,6.4438709677,2.25,1.5927419355,1.4377419355
1013956705,SWANSON,JOEL,C,MD,M,I,"323 E RIVERSIDE DR, SUITE 224",SAMG EHP FAMILY MEDICINE,EAGLE,ID,836166815,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,646.14,77.18,55.4675,50.16
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,42,44.740714286,8.32,5.5902380952,5.5902380952
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,17,9.2917647059,1.42,0.9188235294,0.9188235294
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.29,12.318181818,12.3
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,38,388.45289474,73.232105263,53.000263158,50.582894737
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,4282,0.3858710883,0.0465927137,0.0339560953,0.0339560953
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,2.6947847222,0.1310833333,0.0952152778,0.0952152778
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,146.1675,39.32,28.903125,27.675
1013956721,WATKINS,DAVID,S,PA-C,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,33,33,24.508421053,24.508421053
1013956838,RICHIE,DOUGLAS,H,D.P.M.,M,I,550 PACIFIC COAST HWY,#209,SEAL BEACH,CA,907405999,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,100,82.550869565,64.47173913,63.11
1013956838,RICHIE,DOUGLAS,H,D.P.M.,M,I,550 PACIFIC COAST HWY,#209,SEAL BEACH,CA,907405999,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,650,650,509.6,558.74928571
1013956838,RICHIE,DOUGLAS,H,D.P.M.,M,I,550 PACIFIC COAST HWY,#209,SEAL BEACH,CA,907405999,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,28,28,250,250,190.43821429,211.69321429
1013956846,KLIMAS,JOHN,T,MD,M,I,2600 E 7TH ST,UNIT A,CHARLOTTE,NC,282044375,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,23,83,572.72831325,19.695060241,15.440963855,15.440963855
1013956846,KLIMAS,JOHN,T,MD,M,I,2600 E 7TH ST,UNIT A,CHARLOTTE,NC,282044375,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,5900,108.05252203,9.8371525424,7.7123254237,7.7123254237
1013956846,KLIMAS,JOHN,T,MD,M,I,2600 E 7TH ST,UNIT A,CHARLOTTE,NC,282044375,US,Physician/Allergy/ Immunology,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,22.2015,11.265166667,8.6326527778,8.6326527778
1013956846,KLIMAS,JOHN,T,MD,M,I,2600 E 7TH ST,UNIT A,CHARLOTTE,NC,282044375,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,825,0.17,0.0466545455,0.0365333333,0.0365333333
1013956846,KLIMAS,JOHN,T,MD,M,I,2600 E 7TH ST,UNIT A,CHARLOTTE,NC,282044375,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,12.374940476,3.076,2.4116071429,2.4116071429
1013956846,KLIMAS,JOHN,T,MD,M,I,2600 E 7TH ST,UNIT A,CHARLOTTE,NC,282044375,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,23,113,133.69867257,2.1469026549,1.6832743363,2.0687610619
1013956846,KLIMAS,JOHN,T,MD,M,I,2600 E 7TH ST,UNIT A,CHARLOTTE,NC,282044375,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,80.347826087,33,25.87,25.87
1013957166,GARVIN,MICHAEL,A,DPM,M,I,1791 SE PORT ST LUCIE BLVD,,PORT ST LUCIE,FL,349525479,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,101,101,202,79.851485149,71.56,55.013811881,55.004554455
1013957166,GARVIN,MICHAEL,A,DPM,M,I,1791 SE PORT ST LUCIE BLVD,,PORT ST LUCIE,FL,349525479,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,99,100,592,34.949324324,29.19,22.833817568,22.833834459
1013957166,GARVIN,MICHAEL,A,DPM,M,I,1791 SE PORT ST LUCIE BLVD,,PORT ST LUCIE,FL,349525479,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,273,266.6655,208.9905,218.817
1013957166,GARVIN,MICHAEL,A,DPM,M,I,1791 SE PORT ST LUCIE BLVD,,PORT ST LUCIE,FL,349525479,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,38,200,163.85,128.45710526,126.57
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,11,11,810.90909091,60.436363636,47.380909091,48.087272727
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,132.46913043,44.37173913,30.23173913,31.957826087
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,24.765294118,10.641176471,8.34,8.3894117647
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,16,144.125,61.9375,41.94625,42.053125
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,50,47.6112,18.118,13.812,13.7506
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,25,99.3784,48.0612,37.6852,37.608
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25.6,12.785,8.125,8.5925
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,58,290.0862069,82.660344828,62.673965517,56.334137931
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,100.0675,37.6225,29.501666667,29.368333333
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,17,68,73,90.438767123,19.914246575,14.218767123,14.361232877
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,19,107,107,134.26,25.363271028,18.661308411,20.475700935
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,267.46,68.863636364,49.992727273,52.275454545
1013957216,MAMLOUK,LOTFI,F,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,72,72,31.58,7.7334722222,5.815,6.4775
1013957232,ALLEN,DAVID,M,D.P.M.,M,I,1123 S PALESTINE ST,SUITE 200,ATHENS,TX,757513646,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,29,29,130,96.59,65.240689655,54.146896552
1013957232,ALLEN,DAVID,M,D.P.M.,M,I,1123 S PALESTINE ST,SUITE 200,ATHENS,TX,757513646,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,325,251.28,186.66625,203.08375
1013957307,PILLAI,SRINIVASAN,,MD,M,I,1803 PARK CENTER DR,STE 114,ORLANDO,FL,328356216,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,77,57.423246753,8.32,5.6755844156,5.6755844156
1013957307,PILLAI,SRINIVASAN,,MD,M,I,1803 PARK CENTER DR,STE 114,ORLANDO,FL,328356216,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,29,15.282068966,1.42,0.92,0.92
1013957307,PILLAI,SRINIVASAN,,MD,M,I,1803 PARK CENTER DR,STE 114,ORLANDO,FL,328356216,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,24.19,18.96,21.091818182
1013957307,PILLAI,SRINIVASAN,,MD,M,I,1803 PARK CENTER DR,STE 114,ORLANDO,FL,328356216,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,21,10.93,10.93,8.57,8.57
1013957307,PILLAI,SRINIVASAN,,MD,M,I,1803 PARK CENTER DR,STE 114,ORLANDO,FL,328356216,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,61,7.4144262295,2,1.4140983607,1.4380327869
1013957307,PILLAI,SRINIVASAN,,MD,M,I,1803 PARK CENTER DR,STE 114,ORLANDO,FL,328356216,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,274.73875,79.6,59.796666667,52.775833333
1013957307,PILLAI,SRINIVASAN,,MD,M,I,1803 PARK CENTER DR,STE 114,ORLANDO,FL,328356216,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,16,17,53.467647059,20.075882353,15.737647059,14.96
1013957356,FRYDMAN,JARROD,M,D.O.,M,I,350 N PINE ISLAND RD,SUITE #302,PLANTATION,FL,333241849,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,36,63,58.976031746,8.32,6.2126984127,6.2126984127
1013957356,FRYDMAN,JARROD,M,D.O.,M,I,350 N PINE ISLAND RD,SUITE #302,PLANTATION,FL,333241849,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,13.811176471,1.42,1.0494117647,1.0494117647
1013957356,FRYDMAN,JARROD,M,D.O.,M,I,350 N PINE ISLAND RD,SUITE #302,PLANTATION,FL,333241849,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,80.940434783,38.72,29.036521739,25.177391304
1013957356,FRYDMAN,JARROD,M,D.O.,M,I,350 N PINE ISLAND RD,SUITE #302,PLANTATION,FL,333241849,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,54,8.4587037037,2.4,1.8814814815,1.6242592593
1013957356,FRYDMAN,JARROD,M,D.O.,M,I,350 N PINE ISLAND RD,SUITE #302,PLANTATION,FL,333241849,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,217.756,40.378,31.654,26.486
1013957489,HODGINS LEVEY,KRISTA,,N.P.,F,I,224 ALEXANDER ST,SUITE 200,ROCHESTER,NY,146074000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,69,285,78.472807018,8.32,6.294,6.294
1013957661,HUANG,YA-LAN,,MD,F,I,1330 ROCKEFELLER AVE,SUITE 450,EVERETT,WA,982011684,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,102,8705,3.8313337163,0.5705203906,0.427774842,0.4277713957
1013957661,HUANG,YA-LAN,,MD,F,I,1330 ROCKEFELLER AVE,SUITE 450,EVERETT,WA,982011684,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,2850,0.128354386,0.0130526316,0.0096631579,0.0096631579
1013957661,HUANG,YA-LAN,,MD,F,I,1330 ROCKEFELLER AVE,SUITE 450,EVERETT,WA,982011684,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,4510,3.7739645233,1.2986518847,0.9886563193,0.9886563193
1013957661,HUANG,YA-LAN,,MD,F,I,1330 ROCKEFELLER AVE,SUITE 450,EVERETT,WA,982011684,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,66,5760,4.523515625,2.8256197917,2.1820225694,2.1820225694
1013957661,HUANG,YA-LAN,,MD,F,I,1330 ROCKEFELLER AVE,SUITE 450,EVERETT,WA,982011684,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,1530,18.25254902,7.4766470588,5.8616993464,5.8616993464
1013957661,HUANG,YA-LAN,,MD,F,I,1330 ROCKEFELLER AVE,SUITE 450,EVERETT,WA,982011684,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,100,100,24,24,18.4436,18.4436
1013957661,HUANG,YA-LAN,,MD,F,I,1330 ROCKEFELLER AVE,SUITE 450,EVERETT,WA,982011684,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,129,142,16,16,12.187253521,12.187253521
1013957679,NATHAN,ROSS,,MD,M,I,3918 LONG BEACH BLVD,SUITE 100,LONG BEACH,CA,908072666,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,600,467.87,366.81,305.67
1013957679,NATHAN,ROSS,,MD,M,I,3918 LONG BEACH BLVD,SUITE 100,LONG BEACH,CA,908072666,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,45,45,300,233.5,171.29288889,173.92733333
1013957976,MCDONALD,GARY,R,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,40,88,199,69.250854271,8.32,5.5055778894,5.5055778894
1013957976,MCDONALD,GARY,R,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,15,16.333333333,3.38,2.2966666667,2.2966666667
1013957976,MCDONALD,GARY,R,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,33,45,17.844,1.42,0.9164444444,0.9164444444
1013957976,MCDONALD,GARY,R,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,965.22461538,74.063076923,56.436923077,54.123076923
1013957976,MCDONALD,GARY,R,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,181.27833333,142.11666667,110.05166667
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,39,96,252,66.24031746,8.32,5.5388095238,5.5388095238
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,26,32,11.8325,1.42,0.943125,0.943125
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,13,80,57.0025,15.2225,11.935125,11.88775
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,22,22,207.88454545,54.726818182,40.97,40.9
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,19,19,60.697368421,17.985263158,13.355263158,13.320526316
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,21,21,59.938571429,11.602380952,8.2366666667,8.2542857143
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,22,127,9.5848818898,2.0218110236,1.4369291339,1.4431496063
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,41.536363636,13.29,8.5254545455,8.46
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,22.49,4.43,3.1925,3.1916666667
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,426.97294118,31.016470588,22.447058824,22.004705882
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,42,416.95547619,70.19,51.612380952,51.353333333
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,8470,0.1888394333,0.0451463991,0.0298040142,0.0298040142
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,11.6325,2.9729411765,2.3308039216,2.3308039216
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,18,120.26722222,19.21,14.268888889,13.098888889
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,200,37.44,29.35,29.51
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,532.34285714,179.76571429,138.58285714,136.42214286
1013958008,ESTES,DAVID,S,M.D.,M,I,1 MERCY WAY,,BELLA VISTA,AR,727143000,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,48,48,111.375,33,24.652916667,24.652916667
1013958131,WESTERMANN,ROBERT,B,MD,M,I,2000 S 900 E,,SALT LAKE CITY,UT,841053208,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,40,75,79.646133333,8.32,5.6878666667,5.6878666667
1013958131,WESTERMANN,ROBERT,B,MD,M,I,2000 S 900 E,,SALT LAKE CITY,UT,841053208,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,232.87925926,80.4,60.77037037,53.317777778
1013958131,WESTERMANN,ROBERT,B,MD,M,I,2000 S 900 E,,SALT LAKE CITY,UT,841053208,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,150,39.82,31.22,29.674545455
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,29,65,264,62.75405303,8.3103409091,5.9029545455,5.910530303
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,13.114736842,3.38,2.5105263158,2.5105263158
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,32,59,13.69559322,1.42,0.9820338983,0.9820338983
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,145.52,39.1,21.219230769,21.120769231
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,340,6.772,3.04,2.3833529412,2.3833529412
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,31,47.211612903,14.71,9.3006451613,9.6564516129
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,184.13692308,56,32.196153846,31.395384615
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,60.801428571,17.95,9.045,9.0392857143
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,22,78,7.1507692308,2.09,1.2175641026,1.1879487179
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,600,187.77272727,138.44,147.29
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,55.13,3.6,2.35,2.9316666667
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.35,10.220909091,8.0154545455,8.2545454545
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,220,77.8,61,58.69
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,99.380769231,38,27.498461538,27.24
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,200,38,29.79,29.526470588
1013958321,CLAPP,TODD,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,736.78,153.98818182,120.72363636,119.03
1013958388,GARG,ASHWANI,K,MD,M,I,2200 W HIGGINS RD,SUITE 225,HOFFMAN ESTATES,IL,601692426,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,18,59,81.905084746,8.32,6.5222033898,6.5222033898
1013958388,GARG,ASHWANI,K,MD,M,I,2200 W HIGGINS RD,SUITE 225,HOFFMAN ESTATES,IL,601692426,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,485.23533333,74.018,58.028,56.028
1013958388,GARG,ASHWANI,K,MD,M,I,2200 W HIGGINS RD,SUITE 225,HOFFMAN ESTATES,IL,601692426,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,113,35.56,27.88,29.51
1013958537,JOHNSON,MARISE,K,M.D.,F,I,1280 BURNS WAY,,KALISPELL,MT,599013110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,52,133,73.161203008,8.32,6.0309774436,6.0309774436
1013958537,JOHNSON,MARISE,K,M.D.,F,I,1280 BURNS WAY,,KALISPELL,MT,599013110,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,25,30,16.451,1.42,1.0793333333,1.0793333333
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,64,138,52.015289855,8.267826087,5.678115942,5.7189855072
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,25,41,10.775121951,1.42,1.0336585366,1.0336585366
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,21,277.1652381,77.275238095,57.439047619,41.92952381
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,22,81.239545455,23.328181818,17.609090909,14.283181818
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,36.175714286,8.0578571429,6.3171428571,3.62
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,48,441.77708333,105.04270833,75.817708333,53.463958333
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,143.05555556,45.15,33.574444444,30.446666667
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,2580,2.0871434109,0.1380465116,0.1040193798,0.1040193798
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,675,3.3194814815,0.2189481481,0.1716148148,0.1716148148
1013958552,BOWERS,JEFFERY,J,MD,M,I,204 PATRICK AVE,,URBANA,OH,430782302,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,33,33,24.454848485,24.454848485
1013958677,AUSTIN,AMANDA,C,MD,F,I,2522 S CROATAN HWY,STE 1B,NAGS HEAD,NC,279598809,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,25,70,74.327857143,8.2985714286,5.3874285714,5.3874285714
1013958677,AUSTIN,AMANDA,C,MD,F,I,2522 S CROATAN HWY,STE 1B,NAGS HEAD,NC,279598809,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1797,0.1172676683,0.0460489705,0.0360934891,0.0360934891
1013958677,AUSTIN,AMANDA,C,MD,F,I,2522 S CROATAN HWY,STE 1B,NAGS HEAD,NC,279598809,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1013958776,ABU-HALIMAH,AHMAD,J,M.D.,M,I,VANDERBILT UNIVERSITY MEDICAL CTR. CARDIOLOGY DIVISION.,"383 PRB, 2220 PIERCE AVE.",NASHVILLE,TN,37232,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,40.050833333,38.033333333
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,41,91,53.969010989,8.32,6.4505494505,6.4505494505
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,9.4907692308,3.38,2.65,2.65
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,29,32,14.0040625,1.42,1.0140625,1.0140625
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,13.463636364,5.54,4.3435,4.3435
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,7.2890909091,3.04,2.3835,2.3835
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,37,9.1751351351,2.06,1.5278378378,1.5064864865
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,44.17,28.858333333,31.983333333
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,38.634166667,13.358333333,10.478333333,10.48
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,49.638947368,4.0878947368,2.6647368421,2.9668421053
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,21,137.27571429,30.705714286,24.072857143,24.472380952
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,67.72,53.1,54.73
1013958842,WESTGATE,RANDY,R,MD,M,I,2 COLLEGE AVE,,MOUNTVILLE,PA,175541546,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,103.71428571,33,24.022142857,24.022142857
1013958875,TENCH,MAVOLA,,MD,F,I,1120 DELSEA DR N,,GLASSBORO,NJ,080281444,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,31,79,199,67.15718593,8.32,6.2267336683,6.2267336683
1013958875,TENCH,MAVOLA,,MD,F,I,1120 DELSEA DR N,,GLASSBORO,NJ,080281444,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,15.128235294,3.38,2.65,2.65
1013958875,TENCH,MAVOLA,,MD,F,I,1120 DELSEA DR N,,GLASSBORO,NJ,080281444,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,37,50,15.909,1.42,1.0712,1.0712
1013958875,TENCH,MAVOLA,,MD,F,I,1120 DELSEA DR N,,GLASSBORO,NJ,080281444,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,47.562727273,37.286363636,38.431818182
1013958875,TENCH,MAVOLA,,MD,F,I,1120 DELSEA DR N,,GLASSBORO,NJ,080281444,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,75,4.195625,3.099375,3.400625
1013958917,ROBERTS,JACK,T,MD,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,74.7325,18.68,14.64,13.648928571
1013958917,ROBERTS,JACK,T,MD,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,401.28236842,86.433684211,67.765789474,56.148947368
1013959022,CROSSER,LINDA,G,RN CNS,F,I,4440 BROADWAY ST,,KANSAS CITY,MO,641113315,US,Certified Clinical Nurse Specialist,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,64,3.83,1.69,1.1915625,1.299375
1013959022,CROSSER,LINDA,G,RN CNS,F,I,4440 BROADWAY ST,,KANSAS CITY,MO,641113315,US,Certified Clinical Nurse Specialist,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,62,5.02,2.9587096774,2.1693548387,2.1190322581
1013959022,CROSSER,LINDA,G,RN CNS,F,I,4440 BROADWAY ST,,KANSAS CITY,MO,641113315,US,Certified Clinical Nurse Specialist,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,46.01,30.52875,22.43375,21.88125
1013959022,CROSSER,LINDA,G,RN CNS,F,I,4440 BROADWAY ST,,KANSAS CITY,MO,641113315,US,Certified Clinical Nurse Specialist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,68,69,172.36028986,30.680144928,21.466811594,19.125362319
1013959022,CROSSER,LINDA,G,RN CNS,F,I,4440 BROADWAY ST,,KANSAS CITY,MO,641113315,US,Certified Clinical Nurse Specialist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,21.171428571,9.3904761905,7.0357142857,6.3861904762
1013959048,AUSTIN,KYLE,,P.A.,M,I,1287 BURNS WAY,,KALISPELL,MT,599013109,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,94.86,65.455882353,48.790588235
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,301,528,528,126.21282197,39.72282197,30.114090909,29.569715909
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,190,328,328,302.62375,89.672896341,68.594146341,66.432682927
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,19,187,343,722,118.83307479,34.157451524,26.185470914,25.38
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,136,231,1075,66.000623256,18.905423256,14.208046512,13.952362791
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,109,210,1020,49.651627451,15.383264706,11.707147059,11.561303922
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,26,261,458,458,188.42093886,56.736921397,42.573668122,41.177183406
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,31,397,502,503,61.057316103,18.525526839,14.27499006,13.857276342
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,42,48,48,36.7575,10.245,7.8725,7.965
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,105,149,149,48.346577181,12.624295302,9.5248322148,8.8122818792
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,390,707,3985,7.2699196989,2.1230388959,1.615749059,1.5541781681
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,66,82,82,20.54902439,6.3076829268,4.8832926829,4.6390243902
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,28,203,244,244,44.154959016,13.305614754,10.183032787,10.103811475
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,40,115.30575,18.01325,13.7695,13.2255
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,31,160,191,374.63356021,95.280418848,72.707853403,68.057382199
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,12,54,252,304,913.57976974,229.77029605,176.54407895,165.69092105
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,140,142,142,408.70633803,135.17267606,103.85591549,103.06359155
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,11,34,120,159,75.728553459,14.077295597,10.633081761,10.40572327
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,223.83545455,4.6127272727,3.3036363636,3.3781818182
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,22,241,1226,1403,153.10642195,32.963200285,23.693649323,23.153328582
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,29,189,232,352.07603448,71.327155172,52.846896552,52.213922414
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.6,28.4625,27.050833333
1013959188,JACOBSON,MICHAEL,D,PA-C,M,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,75,120.96533333,39.6,30.1988,29.3364
1013959253,SUGAR,MARK,S,M.D.,M,I,27800 MEDICAL CENTER ROAD,SUITE 244,MISSION VIEJO,CA,92691,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,63.545454545,33,23.518181818,23.518181818
1013959287,KUPPERSMITH,RONALD,B,M.D.,M,I,1730 BIRMINGHAM DR,,COLLEGE STATION,TX,778454063,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,86,9.2446511628,2.05,1.3451162791,1.3325581395
1013959287,KUPPERSMITH,RONALD,B,M.D.,M,I,1730 BIRMINGHAM DR,,COLLEGE STATION,TX,778454063,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,8183,2.3531858732,0.31,0.2430392277,0.2430392277
1013959337,SCHLANGER,REBECCA,L,CNP,F,I,6550 BORAH HILL RD,,SUGAR GROVE,OH,431559732,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,250.68,79.3,62.17,57.985
1013959337,SCHLANGER,REBECCA,L,CNP,F,I,6550 BORAH HILL RD,,SUGAR GROVE,OH,431559732,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36.5,28.62,28.990833333
1013959618,MIHAILOFF,VASSILY,,MD,M,I,28 W COLE RD,,BIDDEFORD,ME,040059428,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,86.91,4.5885714286,2.940952381,2.8961904762
1013959618,MIHAILOFF,VASSILY,,MD,M,I,28 W COLE RD,,BIDDEFORD,ME,040059428,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,4993,0.304810735,0.0467734829,0.0355617865,0.0355617865
1013959618,MIHAILOFF,VASSILY,,MD,M,I,28 W COLE RD,,BIDDEFORD,ME,040059428,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,52.8,33,24.8352,24.8352
1013959675,HACKER,RICHARD,K,MD,M,I,412 COMO RD,,LAKE COMO,PA,184371020,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,48,139,50.638417266,8.32,4.4282014388,4.4282014388
1013959675,HACKER,RICHARD,K,MD,M,I,412 COMO RD,,LAKE COMO,PA,184371020,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,44,13.297045455,1.42,0.6586363636,0.6586363636
1013959675,HACKER,RICHARD,K,MD,M,I,412 COMO RD,,LAKE COMO,PA,184371020,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,22,375.98045455,100.90545455,79.111818182,60.252727273
1013959741,WIITA,BRUCE,E,M.D.,M,I,1002 S OLD DIXIE HWY,SUITE 104,JUPITER,FL,334587202,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,34,7040,4.5362926136,2.04,1.5981051136,1.5981051136
1013959741,WIITA,BRUCE,E,M.D.,M,I,1002 S OLD DIXIE HWY,SUITE 104,JUPITER,FL,334587202,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,51,17.985098039,10.92372549,8.5647058824,8.5696078431
1013959741,WIITA,BRUCE,E,M.D.,M,I,1002 S OLD DIXIE HWY,SUITE 104,JUPITER,FL,334587202,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,440,8.037,4.04,3.1116590909,3.1116590909
1013960012,JOSEPH,LEO,M,MD,M,I,300 W HOSPITAL RD,,FORT GORDON,GA,309055741,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,15,68.535333333,16.48,6.8906666667,7.2993333333
1013960012,JOSEPH,LEO,M,MD,M,I,300 W HOSPITAL RD,,FORT GORDON,GA,309055741,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,3.0666666667,0.47,1.7286666667
1013960012,JOSEPH,LEO,M,MD,M,I,300 W HOSPITAL RD,,FORT GORDON,GA,309055741,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,45,10.920909091,8.5609090909,8.5109090909
1013960012,JOSEPH,LEO,M,MD,M,I,300 W HOSPITAL RD,,FORT GORDON,GA,309055741,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,25,347.7804,70.78,48.8312,48.3076
1013960111,HUYNH,THUAN,P,M.D.,M,I,3740 N JOSEY LN STE 212,,CARROLLTON,TX,750072472,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,16,62.42125,8.32,5.71,5.71
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,420,11.045428571,7.3607142857,5.7707142857,5.778
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,35,35,344.19485714,87.842285714,62.973714286,62.079428571
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,45,117.25355556,32.726666667,24.516888889,24.717777778
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,13,23,120,63.244333333,18.546,14.540833333,14.552416667
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,94,65.84212766,15.14,10.193404255,10.214893617
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,33,60,61,221.48901639,53.80147541,40.109508197,40.694590164
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,42,53,53,77.621698113,18.05245283,13.353584906,13.289811321
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,44,84,85,56.002588235,12.133764706,8.9590588235,8.6352941176
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,47,94,524,7.6153625954,2.0405534351,1.5625381679,1.556259542
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,25,25,25.2812,5.9972,4.698,4.654
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,19,26,26,39.505384615,12.298076923,9.6407692308,10.286923077
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,21,21,21,433.98047619,135.2347619,106.02190476,104.90285714
1013960210,MODLIN,SAUL,M,MD,M,I,300 GARDEN CITY PLAZA,SUITE 248,GARDEN CITY,NY,115303330,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,30,141,160,285.41975,33.2195,25.128625,25.2699375
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,36,123,61.733495935,8.32,6.203902439,6.203902439
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,16.650666667,3.38,2.65,2.65
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,29,47,16.768723404,1.42,1.1153191489,1.1153191489
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,125,55.343333333,38.568888889,34.797037037
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,38.346363636,17.32,12.345454545,12.31030303
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,25,30.798,4.09,2.9044,3.4968
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,323.4333871,76.58,55.144193548,50.763064516
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1690,1.602887574,0.1354556213,0.0825325444,0.0825325444
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,38,62.922631579,16.533157895,12.027368421,13.251315789
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,75.719090909,32.488636364,24.111363636,24.712272727
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,26,27,115.6337037,23.446296296,17.765555556,21.097037037
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,25.28,7.3775,5.6885,6.33
1013960228,KILLAM,RONALD,W,MD,M,I,11821 EAST FWY STE 175,,HOUSTON,TX,770291960,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,183.47272727,35.56,26.612727273,27.816818182
1013960244,BRISBIN,BEVERLEE,A,MD,F,I,10330 S ROBERTS RD,"MIDAMERICA ORTHOPAEDICS, S.C.",PALOS HILLS,IL,604651971,US,Physician/Family Practice,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,95,64.76,50.77,46.35
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,310.38461538,99.148461538,72.493846154,62.630769231
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,63.636363636,21.897272727,15.552424242,12.936212121
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,16,23,23,190,64.142608696,42.996086957,37.106521739
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,19,23,23,81.956521739,20.49173913,14.160869565,12.226086957
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,23,23,63.52173913,13.973478261,9.6969565217,7.9160869565
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,15,22,127,10,2.5184251969,1.8170866142,1.4437007874
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,18,18,24.5,7.1477777778,5.1044444444,4.15
1013960285,SUNDARAM,KALYANA,,MD,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,170,30.79,17.579259259,17.682962963
1013960301,STEVENS,TOMMY,S,MD,M,I,2298 S CENTER RD,,BURTON,MI,485191166,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,30,78,190,30.915578947,8.32,5.8346315789,5.8346315789
1013960301,STEVENS,TOMMY,S,MD,M,I,2298 S CENTER RD,,BURTON,MI,485191166,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,17,42,51,9,1.42,1.0082352941,1.0082352941
1013960368,KEVAN,BENJAMIN,D,"ATC, PAC",M,I,3620 NW SAMARITAN DRIVE,,CORVALLIS,OR,97330,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,79.396428571,18.805357143,11.514285714,11.796785714
1013960368,KEVAN,BENJAMIN,D,"ATC, PAC",M,I,3620 NW SAMARITAN DRIVE,,CORVALLIS,OR,97330,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,345.84,335.04,262.67,218.89
1013960384,SUKARI,AMMAR,,M.D.,M,I,4100 JOHN R,KARMANOS CANCER CENTER,DETROIT,MI,482012013,US,Physician/Hematology-Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,585,125,3,2.2273162393,2.2432991453
1013960384,SUKARI,AMMAR,,M.D.,M,I,4100 JOHN R,KARMANOS CANCER CENTER,DETROIT,MI,482012013,US,Physician/Hematology-Oncology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,48,1377,146.89498911,4.33,3.3708641975,3.2320697168
1013960384,SUKARI,AMMAR,,M.D.,M,I,4100 JOHN R,KARMANOS CANCER CENTER,DETROIT,MI,482012013,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,48,32450,2.4040983051,0.31,0.2302844376,0.2302844376
1013960384,SUKARI,AMMAR,,M.D.,M,I,4100 JOHN R,KARMANOS CANCER CENTER,DETROIT,MI,482012013,US,Physician/Hematology-Oncology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,450,35.5875,27.8975,32.445833333
1013960384,SUKARI,AMMAR,,M.D.,M,I,4100 JOHN R,KARMANOS CANCER CENTER,DETROIT,MI,482012013,US,Physician/Hematology-Oncology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,138,4.95,3.686,3.757
1013960400,CULP,STEPHEN,C,MD,M,I,3830 BEE RIDGE RD,SUITE 201,SARASOTA,FL,342331105,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,17,13.33,13.501818182
1013960400,CULP,STEPHEN,C,MD,M,I,3830 BEE RIDGE RD,SUITE 201,SARASOTA,FL,342331105,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,37.187894737,4.2542105263,3.3357894737,3.7336842105
1013960400,CULP,STEPHEN,C,MD,M,I,3830 BEE RIDGE RD,SUITE 201,SARASOTA,FL,342331105,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,33,339.67030303,81.13,63.6,54.989090909
1013960426,RESTER,JAMES,T,M.D.,M,I,1101 W I30,SUITE # 101,ROYSE CITY,TX,75189,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,68,210,57.027,8.32,5.5901428571,5.5901428571
1013960426,RESTER,JAMES,T,M.D.,M,I,1101 W I30,SUITE # 101,ROYSE CITY,TX,75189,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,15.476190476,3.38,2.2714285714,2.2714285714
1013960426,RESTER,JAMES,T,M.D.,M,I,1101 W I30,SUITE # 101,ROYSE CITY,TX,75189,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,29,15.206206897,1.42,0.9593103448,0.9593103448
1013960426,RESTER,JAMES,T,M.D.,M,I,1101 W I30,SUITE # 101,ROYSE CITY,TX,75189,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,76.48,76.48,51.857297297,47.325405405
1013960582,HOUTCHENS,JEANNE,E,R.N.P.,F,I,593 EDDY ST,APC 7,PROVIDENCE,RI,029034923,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,68,8.3702941176,2.54,1.6401470588,1.3577941176
1013960582,HOUTCHENS,JEANNE,E,R.N.P.,F,I,593 EDDY ST,APC 7,PROVIDENCE,RI,029034923,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,23,289.01086957,78.75,61.74,55.034782609
1013960590,ZIETLOW,CARY,,M.D.,M,I,45 N MADISON AVE,,GREENWOOD,IN,461423526,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45.023333333,8.9375,7.0075,7.455
1013960590,ZIETLOW,CARY,,M.D.,M,I,45 N MADISON AVE,,GREENWOOD,IN,461423526,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,44,44,37,17.52,12.803181818,12.639545455
1013960590,ZIETLOW,CARY,,M.D.,M,I,45 N MADISON AVE,,GREENWOOD,IN,461423526,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,26.825217391,6.4347826087,5.0434782609,3.6982608696
1013960590,ZIETLOW,CARY,,M.D.,M,I,45 N MADISON AVE,,GREENWOOD,IN,461423526,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,42,270,79.96,57.150714286,50.517380952
1013960756,HUANG,GARY,Y,MD,M,I,67555 E PALM CANYON DR STE C112,,CATHEDRAL CITY,CA,922345412,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,29,89,208,77.205769231,8.32,6.2078846154,6.2078846154
1013960756,HUANG,GARY,Y,MD,M,I,67555 E PALM CANYON DR STE C112,,CATHEDRAL CITY,CA,922345412,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,26,40,13.7305,1.42,1.1145,1.1145
1013960756,HUANG,GARY,Y,MD,M,I,67555 E PALM CANYON DR STE C112,,CATHEDRAL CITY,CA,922345412,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,224.615,32.885,24.538333333,26.029166667
1013960772,ACOSTA,JORGE,L,MD,M,I,938-B SW 82 AVE,,MIAMI,FL,33144,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,25,84,179,63.732122905,8.32,5.9402793296,5.9402793296
1013960772,ACOSTA,JORGE,L,MD,M,I,938-B SW 82 AVE,,MIAMI,FL,33144,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.906666667,3.38,2.65,2.65
1013960772,ACOSTA,JORGE,L,MD,M,I,938-B SW 82 AVE,,MIAMI,FL,33144,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,33,37,17.543513514,1.42,1.0572972973,1.0572972973
1013960772,ACOSTA,JORGE,L,MD,M,I,938-B SW 82 AVE,,MIAMI,FL,33144,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,63.513333333,51.073333333,33.332666667,30.568666667
1013960772,ACOSTA,JORGE,L,MD,M,I,938-B SW 82 AVE,,MIAMI,FL,33144,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,33,103.3230303,34.024848485,20.583030303,16.25
1013960772,ACOSTA,JORGE,L,MD,M,I,938-B SW 82 AVE,,MIAMI,FL,33144,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,30,30.294,9.202,6.6966666667,6.243
1013960806,POGGIO,ANTHONY,,DPM,M,I,2059 CLINTON AVE,,ALAMEDA,CA,945014379,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,1668,0.6126618705,0.45,0.3528297362,0.3528297362
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,21,72,50,8.32,6.5220833333,6.5220833333
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,15,3.38,2.6442105263,2.6442105263
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,17,29,15,1.42,1.1117241379,1.1117241379
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,34.050588235,24.174705882,18.948235294,22.295882353
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,13.005882353,9.6735294118,7.5852941176,8.5647058824
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,30,815,150.69909202,5.2818527607,3.9893006135,4.0130429448
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,27,12477,1.6456696321,0.3206556063,0.2498140579,0.2414578825
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,61.36,47.2415,34.8485,37.6605
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,68.7475,46.18,27.15,26.826666667
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,150,5,3.92,3.9475
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,77,77,41.631168831,17.750909091,12.195194805,12.083246753
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,62.183333333,23.333333333,16.333333333,18.803333333
1013960814,GHOBRIAL,MOHIB,N,MD,M,I,109C WIMBLEDON SQUARE,,CHESAPEAKE,VA,23320,US,Physician/General Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,54,54,11.740740741,7.8703703704,5.3355555556,5.6387037037
1013960988,STROSBERG,JONATHAN,,MD,M,I,12902 MAGNOLIA DR,,TAMPA,FL,336129416,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,30,31,180,12807,30.71239088,4.4712422894,3.4932115249,3.4932107441
1013960988,STROSBERG,JONATHAN,,MD,M,I,12902 MAGNOLIA DR,,TAMPA,FL,336129416,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,31,33,206,44830,14.498268793,1.3154905197,1.0185079188,1.0185079188
1013960988,STROSBERG,JONATHAN,,MD,M,I,12902 MAGNOLIA DR,,TAMPA,FL,336129416,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,28,32,125,125,24.496,24,18.82,18.82
1013960988,STROSBERG,JONATHAN,,MD,M,I,12902 MAGNOLIA DR,,TAMPA,FL,336129416,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,26,27,154,212,17.254716981,16,12.421981132,12.421981132
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,172.93157895,41.821052632,29.395789474,27.280526316
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,16,31,8.0522580645,1.5835483871,1.1277419355,1.0387096774
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,14,31,31,440.88,94.167741935,67.461290323,62.087096774
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,31,77,187.95337662,34.828441558,26.181038961,24.822727273
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,24,42.53,19.33,15.154583333,14.55375
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,199.76,54.876363636,35.685454545,35.540909091
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,30,30,69.525,19.408,14.339333333,13.287
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,26,26,60.310384615,12.126923077,9.5138461538,9.1296153846
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,58,225,12.451511111,2.2550222222,1.7531111111,1.5834666667
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,20,20,50.7685,13.28,10.4115,10.34
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,66,71,77.374084507,18.133521127,12.65028169,12.014084507
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,41.562553191,17.401489362,12.304255319,12.231276596
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,248.18066667,70.061333333,48.480166667,48.356833333
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,21,189,189,94.661111111,51.67,37.308306878,38.60952381
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,27,28,221.83928571,52.955,37.2325,33.6
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,19,170,170,96.584705882,47.78,35.253058824,35.422411765
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,244.31153846,87.498461538,66.081923077,65.291153846
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,45.049411765,4.7652941176,2.9152941176,2.5847058824
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,37,215.82540541,30.346756757,22.527297297,22.536756757
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,139,154,351.50272727,72.234285714,52.562792208,50.713116883
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,52,3120,14.459676282,9.5983076923,7.4453141026,7.4453141026
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,26,72,13711,0.3691226023,0.0475144045,0.0347210269,0.0347210269
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1020,1.7785196078,0.0785294118,0.0484117647,0.0484117647
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,2100,1.4848142857,0.1344142857,0.1040666667,0.1040666667
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1508,10.812599469,3.0057493369,2.356505305,2.356505305
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,59.323043478,39.68,31.11,29.579565217
1013961010,DOYLE,DANIEL,M,MD,M,I,725 NORTH ST,PULMONARY MEDICINE,PITTSFIELD,MA,01201,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,37,121,121,59.181818182,33,23.731983471,23.731983471
1013961143,BATCHA,FRANK,M,MD,M,I,1450 AVIATION DR,SUITE 100,HAILEY,ID,833338785,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1800,4.1973166667,1.66665,1.2840666667,1.5503944444
1013961234,NABERS JR,JAMES,W,D.O.,M,I,219 HOSPITAL RD,,RED BAY,AL,35582,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,22,45,110,48.700818182,8.32,6.0461818182,6.0461818182
1013961234,NABERS JR,JAMES,W,D.O.,M,I,219 HOSPITAL RD,,RED BAY,AL,35582,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,21,16.377619048,1.42,1.0628571429,1.0628571429
1013961234,NABERS JR,JAMES,W,D.O.,M,I,219 HOSPITAL RD,,RED BAY,AL,35582,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,55,23.874210526,18.690526316,14.259473684
1013961598,VAYSER,DEAN,J,D.P.M.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,16,520,0.1465384615,0.12,0.0940192308,0.0940192308
1013961598,VAYSER,DEAN,J,D.P.M.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,166,28.940240964,23.66,18.549277108,18.549277108
1013961598,VAYSER,DEAN,J,D.P.M.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,1550,0.16,0.13,0.1019419355,0.1019419355
1013961598,VAYSER,DEAN,J,D.P.M.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,901,0.5611098779,0.45,0.3528301887,0.3528301887
1013961598,VAYSER,DEAN,J,D.P.M.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,319.75,294.499,228.5335,217.0805
1013961788,YANG,DAVID,,D.P.M.,M,I,20072 SW BIRCH ST,SUITE 260,NEWPORT BEACH,CA,926600794,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,74,153.56,71.56,53.084189189,53.084189189
1013961788,YANG,DAVID,,D.P.M.,M,I,20072 SW BIRCH ST,SUITE 260,NEWPORT BEACH,CA,926600794,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,210,60,29.19,22.853428571,22.854952381
1013961861,BEAMER,EMILY,K,MD,F,I,1011 LAKE ST,SUITE 300,OAK PARK,IL,603011148,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,44,63.626363636,8.32,6.2263636364,6.2263636364
1013961861,BEAMER,EMILY,K,MD,F,I,1011 LAKE ST,SUITE 300,OAK PARK,IL,603011148,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,17,11.403529412,1.42,1.0505882353,1.0505882353
1013961861,BEAMER,EMILY,K,MD,F,I,1011 LAKE ST,SUITE 300,OAK PARK,IL,603011148,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.96,28.98,29.465833333
1013961879,WADE,BRIAN,K,M.D.,M,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,17,13.8,9.3773333333,9.3773333333
1013961879,WADE,BRIAN,K,M.D.,M,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,,64,8715,4.9928376363,2.0397246127,1.5650304073,1.5652461274
1013961879,WADE,BRIAN,K,M.D.,M,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,17,26,18.538076923,10.908076923,8.2230769231,8.2407692308
1013961879,WADE,BRIAN,K,M.D.,M,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,18,9.7777777778,9.7777777778,6.7944444444,28.872222222
1013961895,FAULKNER,KELLY,D,A.R.N.P.,F,I,5150 VILLAGE SQUARE DRIVE,,PADUCAH,KY,420019060,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,353.65,165.67909091,126.11090909,92.214545455
1013961978,BURGESS,ROBERT,,,M,I,101 E MINNESOTA ST,SUITE 210,RAPID CITY,SD,577017756,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,4.8423333333,3.81,2.5884722222,2.5884722222
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,29,67,170,52.625823529,8.32,6.2142352941,6.2142352941
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.01,3.38,2.65,2.65
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,31,48,13.661458333,1.42,1.093125,1.093125
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,394.52466667,128.22466667,95.505333333,66.114
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,16,35,145.89228571,44.619428571,34.163714286,26.468
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,67,68.548358209,26.192089552,19.099552239,14.181044776
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,22,22,239.29318182,75.956363636,55.449090909,42.455909091
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,21,21,59.991428571,25.648095238,17.879047619,13.162857143
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,27,27,79.162222222,21.205925926,15.614814815,9.4166666667
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,27,136,13.906764706,3.2164705882,2.3869117647,1.5855147059
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,24.618181818,9.0518181818,6.6354545455,5.0209090909
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,883,18.911007928,13.126987542,10.163306908,10.163306908
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,278,650.65,268.44,210.4557554,210.4557554
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,77,528.94,326.49636364,255.97337662,255.97337662
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,355,125.55,9.348028169,7.3284507042,7.3284507042
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,355,220.75,29.213690141,22.903605634,22.903605634
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,84,84,60.919880952,22.353809524,16.925119048,14.477261905
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,160.85769231,60.253076923,44.064615385,34.735384615
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,350,123.16916667,96.508333333,66.571666667
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,43.958947368,6.53,4.7357894737,3.2010526316
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,176.50266667,43.049,32.549333333,28.215
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,25,187,187,257.44839572,99.40026738,74.29513369,61.659037433
1013961994,CROOM,JAMES,C,M.D.,M,I,230 HIGHWAY 5 N STE 20,,MOUNTAIN HOME,AR,726533031,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,52.95,43.911176471,30.562941176,29.354117647
1013962059,BRINGARDNER,KIRSTEN,C,PA-C,F,I,30 LOCUST ST,COOLEY DICKINSON HOSPITALIST PROGRAM,NORTHAMPTON,MA,010602052,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,842.26,842.26
1013962166,CUOZZO,GREGORY,J,MD,M,I,102 COMMONS WAY,,TOMS RIVER,NJ,08755,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,27,92,59.658913043,8.32,5.8131521739,5.8131521739
1013962166,CUOZZO,GREGORY,J,MD,M,I,102 COMMONS WAY,,TOMS RIVER,NJ,08755,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,21,8.5128571429,1.42,1.0628571429,1.0628571429
1013962166,CUOZZO,GREGORY,J,MD,M,I,102 COMMONS WAY,,TOMS RIVER,NJ,08755,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,16,16,16,12.5425,12.5425
1013962174,MITCHELL,ANDREW,,MD,M,I,16222 W US HIGHWAY 24,,WOODLAND PARK,CO,808638762,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,82,90.724756098,8.32,6.522195122,6.522195122
1013962174,MITCHELL,ANDREW,,MD,M,I,16222 W US HIGHWAY 24,,WOODLAND PARK,CO,808638762,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,10.21,2,1.5683333333,1.5902083333
1013962174,MITCHELL,ANDREW,,MD,M,I,16222 W US HIGHWAY 24,,WOODLAND PARK,CO,808638762,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6182,2.2798447104,0.32,0.2508799741,0.2430524102
1013962174,MITCHELL,ANDREW,,MD,M,I,16222 W US HIGHWAY 24,,WOODLAND PARK,CO,808638762,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,46.235833333,38.32
1013962174,MITCHELL,ANDREW,,MD,M,I,16222 W US HIGHWAY 24,,WOODLAND PARK,CO,808638762,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,136.92307692,32.307692308,22.118461538,22.001538462
1013962174,MITCHELL,ANDREW,,MD,M,I,16222 W US HIGHWAY 24,,WOODLAND PARK,CO,808638762,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,210.9,79.621875,50.689375,44.954375
1013962224,DHIMAN,DARSHAN,K,M.D.,M,I,1011 E DEVONSHIRE AVE,SUITE 201,HEMET,CA,925433033,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,1560,5.1628974359,0.5863076923,0.4596666667,0.4596666667
1013962224,DHIMAN,DARSHAN,K,M.D.,M,I,1011 E DEVONSHIRE AVE,SUITE 201,HEMET,CA,925433033,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,2880,2.4739166667,1.4919166667,1.1509618056,1.1509618056
1013962224,DHIMAN,DARSHAN,K,M.D.,M,I,1011 E DEVONSHIRE AVE,SUITE 201,HEMET,CA,925433033,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2340,10.28,2.8364615385,2.162474359,2.162474359
1013962224,DHIMAN,DARSHAN,K,M.D.,M,I,1011 E DEVONSHIRE AVE,SUITE 201,HEMET,CA,925433033,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,24,24,18.82,18.82
1013962224,DHIMAN,DARSHAN,K,M.D.,M,I,1011 E DEVONSHIRE AVE,SUITE 201,HEMET,CA,925433033,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,38,16,16,12.541842105,12.541842105
1013962299,RAJANI,VAKESH,,M.D.,M,I,1840 MEASE DR,SUITE 401B,SAFETY HARBOR,FL,346956602,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,17,13.33,13.33
1013962299,RAJANI,VAKESH,,M.D.,M,I,1840 MEASE DR,SUITE 401B,SAFETY HARBOR,FL,346956602,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,37.42,3.9484615385,2.6323076923,3.0153846154
1013962299,RAJANI,VAKESH,,M.D.,M,I,1840 MEASE DR,SUITE 401B,SAFETY HARBOR,FL,346956602,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,31,313.39322581,79.88,62.62,58.797419355
1013962372,GLATTERER,MILTON,S,MD,M,I,2500 ROCKY MOUNTAIN AVE STE 100,,LOVELAND,CO,805389004,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,505.39461538,100.14615385,78.516153846,54.77
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,65,152,70.842039474,8.32,5.3971052632,5.3971052632
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,31,31,17.862258065,1.42,0.8309677419,0.8309677419
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9272727273,3.0763636364,3.6854545455
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.92,10.900909091,8.5418181818,8.3772727273
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.67,10.004545455,7.8409090909,7.7890909091
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,420.19,205.78181818,156.45545455,156.45545455
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,678.384,78,58.381,52.6355
1013962430,KHOORY,WISSAM,J,M.D.,M,I,20 HOPE AVE,SUITE G03,WALTHAM,MA,024532721,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,38,25.818,25.594
1013962471,HOPKINSON,LYN,,NP,F,I,110 IRVING ST NW,,WASHINGTON,DC,200102976,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,47,61,122,479,65.220187891,8.32,6.4680584551,6.4680584551
1013962471,HOPKINSON,LYN,,NP,F,I,110 IRVING ST NW,,WASHINGTON,DC,200102976,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,51,70,130,18.361384615,1.42,1.106,1.106
1013962471,HOPKINSON,LYN,,NP,F,I,110 IRVING ST NW,,WASHINGTON,DC,200102976,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,260.01833333,251.0175,190.325,190.3975
1013962513,NAYAK,ALICE,C,MD,F,I,9290 SE SUNNYBROOK BLVD,SUITE 120,CLACKAMAS,OR,970156899,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,48,58.704166667,8.32,5.9789583333,5.9789583333
1013962539,MOBARAK,REZA,,DPM,M,I,502 N VALLEY PKWY,STE 2,LEWISVILLE,TX,750673437,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,58,217.24137931,71.56,56.105,56.105
1013962539,MOBARAK,REZA,,DPM,M,I,502 N VALLEY PKWY,STE 2,LEWISVILLE,TX,750673437,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,162,100,43.56,34.151666667,34.150308642
1013962539,MOBARAK,REZA,,DPM,M,I,502 N VALLEY PKWY,STE 2,LEWISVILLE,TX,750673437,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,38,425,307.60526316,241.16842105,238.70473684
1013962539,MOBARAK,REZA,,DPM,M,I,502 N VALLEY PKWY,STE 2,LEWISVILLE,TX,750673437,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,300,251.28,197,214.91
1013962562,BHATT,NIKHIL,Y,MD,M,I,1006 NEW MOODY LANE,,LA GRANGE,KY,40031,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240.62,71.5,51.388333333,50.169166667
1013962562,BHATT,NIKHIL,Y,MD,M,I,1006 NEW MOODY LANE,,LA GRANGE,KY,40031,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36.82,26.464166667,27.126666667
1013962620,ABRAHAM,RALPH,L,MD,M,I,115 CHRISTIAN DR,,RAYVILLE,LA,712693658,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.88,7.5041666667,5.8816666667,3.88
1013962653,BUDEIRI,HANAN,N,M.D.,F,I,3601 SW 160TH AVE,SUITE 250,MIRAMAR,FL,330276308,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,15.7,13.8,10.82,10.82
1013962653,BUDEIRI,HANAN,N,M.D.,F,I,3601 SW 160TH AVE,SUITE 250,MIRAMAR,FL,330276308,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.79,9.29,7.28,8.4481818182
1013962653,BUDEIRI,HANAN,N,M.D.,F,I,3601 SW 160TH AVE,SUITE 250,MIRAMAR,FL,330276308,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,27,27,60.443333333,29.797407407,23.362592593,15.268888889
1013962810,BACON,STACY,A,M.D.,F,I,21212 NORTHWEST FWY STE 605,,CYPRESS,TX,774295889,US,Physician/Orthopedic Surgery,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,84.68,71.56,51.434166667,51.425833333
1013962810,BACON,STACY,A,M.D.,F,I,21212 NORTHWEST FWY STE 605,,CYPRESS,TX,774295889,US,Physician/Orthopedic Surgery,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,69,51.553333333,43.56,33.696956522,33.693913043
1013962810,BACON,STACY,A,M.D.,F,I,21212 NORTHWEST FWY STE 605,,CYPRESS,TX,774295889,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,46,46,46,408.34782609,96.59,74.073913043,62.551304348
1013962810,BACON,STACY,A,M.D.,F,I,21212 NORTHWEST FWY STE 605,,CYPRESS,TX,774295889,US,Physician/Orthopedic Surgery,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,16,16,1940.25,457.35,358.56,354.30375
1013962810,BACON,STACY,A,M.D.,F,I,21212 NORTHWEST FWY STE 605,,CYPRESS,TX,774295889,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,62,64,64,995,251.28,189.583125,210.1046875
1013962810,BACON,STACY,A,M.D.,F,I,21212 NORTHWEST FWY STE 605,,CYPRESS,TX,774295889,US,Physician/Orthopedic Surgery,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,695.08333333,163.78,123.70333333,121.98
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,43,140,351,61.686096866,8.32,5.7241310541,5.7241310541
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,23,12.973913043,1.42,1.0686956522,1.0686956522
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,62.703888889,49.768333333,35.271111111,27.762777778
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,191.66857143,124.26,95.016428571,68.432142857
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,38,69.160526316,48.115789474,37.722631579,27.105263158
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,18,18,43.505555556,25.630555556,20.09,14.554444444
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,22,126,6.9747619048,3.1885714286,2.3313492063,1.688968254
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,59.384545455,46.557272727,37.63
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,842.26,842.26
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,43.333333333,17.423055556,13.016666667,10.1775
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,140,51.856511628,39.250232558,26.321162791
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,592.874,110.155,84.7785,57.1935
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,4224,0.1744152462,0.0461197917,0.0322372159,0.0322372159
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1050,7.3257238095,3.0494857143,2.3908,2.3908
1013962919,FERRIE,DEREK,J,MD,M,I,2100 HIGHLAND WAY,STE K,MITCHELL,SD,573016409,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,25,25,44.88,33,21.7308,21.7308
1013962968,VIRA,INDU,N,M.D.,F,I,202 STUYVESANT AVE,,NEWARK,NJ,071063053,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,36,65.013611111,8.32,4.7094444444,4.7094444444
1013963172,MOCK,PRESLEY,M,MD,M,I,8440 WALNUT HILL LN,STE 500,DALLAS,TX,752313833,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,34.125,26.7575,25.5825
1013963180,MAHER,JAMES,C,M.D.,M,I,720 US HIGHWAY 27 N,,MARSHALL,MI,490689609,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,29,120,45.200083333,8.32,5.9925833333,5.9925833333
1013963180,MAHER,JAMES,C,M.D.,M,I,720 US HIGHWAY 27 N,,MARSHALL,MI,490689609,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,24,18.235,1.42,1.1158333333,1.1158333333
1013963180,MAHER,JAMES,C,M.D.,M,I,720 US HIGHWAY 27 N,,MARSHALL,MI,490689609,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,33.649285714,17.27,11.358214286,11.358214286
1013963180,MAHER,JAMES,C,M.D.,M,I,720 US HIGHWAY 27 N,,MARSHALL,MI,490689609,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,19.826,4.7,3.124,2.988
1013963180,MAHER,JAMES,C,M.D.,M,I,720 US HIGHWAY 27 N,,MARSHALL,MI,490689609,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,226.54375,69.81,49.5990625,49.5990625
1013963180,MAHER,JAMES,C,M.D.,M,I,720 US HIGHWAY 27 N,,MARSHALL,MI,490689609,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,59.12,19.431818182,14.407272727,13.913636364
1013963180,MAHER,JAMES,C,M.D.,M,I,720 US HIGHWAY 27 N,,MARSHALL,MI,490689609,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,19.9,19.9
1013963255,TRAN,VAN,T,DO,F,I,6511 JOHNSON DRIVE,MISSION FAMILY HEALTH CARE,MISSION,KS,66205,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,44,124,66.75266129,8.32,5.4175,5.4175
1013963255,TRAN,VAN,T,DO,F,I,6511 JOHNSON DRIVE,MISSION FAMILY HEALTH CARE,MISSION,KS,66205,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,27,16.215555556,1.42,0.9714814815,0.9714814815
1013963255,TRAN,VAN,T,DO,F,I,6511 JOHNSON DRIVE,MISSION FAMILY HEALTH CARE,MISSION,KS,66205,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,62,10.763870968,2,1.5591935484,1.5829032258
1013963255,TRAN,VAN,T,DO,F,I,6511 JOHNSON DRIVE,MISSION FAMILY HEALTH CARE,MISSION,KS,66205,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,102.59529412,17.699411765,13.062352941,12.738235294
1013963255,TRAN,VAN,T,DO,F,I,6511 JOHNSON DRIVE,MISSION FAMILY HEALTH CARE,MISSION,KS,66205,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,564.15870968,76.547419355,55.999677419,51.429677419
1013963297,WUBSHET,BERHANE,,M.D.,M,I,9131 175TH ST,,JAMAICA,NY,114325517,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,31.97,27.45,17.572,18.336
1013963297,WUBSHET,BERHANE,,M.D.,M,I,9131 175TH ST,,JAMAICA,NY,114325517,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,17,12.24,10.93,7.5617647059,7.5617647059
1013963297,WUBSHET,BERHANE,,M.D.,M,I,9131 175TH ST,,JAMAICA,NY,114325517,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,36,312,13.460480769,5,3.92,4.15375
1013963297,WUBSHET,BERHANE,,M.D.,M,I,9131 175TH ST,,JAMAICA,NY,114325517,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,31,3906,1.38,0.65,0.5096031746,0.5172068612
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,26,63,148,69.216013514,8.32,6.0806081081,6.0806081081
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,17.9575,1.42,1.05,1.05
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,10.99,10.27,7.3181818182,7.8495454545
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4366,"Ostomy vent, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,2,1.46,1.0404545455,1.0404545455
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,9.3325,7.6,5.96,6.49
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8,4.05,3.18,3.21
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,8,5.74,4.3579090909,4.3579090909
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,130,4.499,4.499,3.2556923077,5.1035384615
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,12,10.81,8.475,8.475
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,3.125,2.91,2.0738636364,2.0738636364
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,11,9.58,7.5105,7.5105
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,0.7996666667,0.27,0.2116666667,0.2116666667
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,47.5,21.380833333,16.761666667,13.53
1013963339,CLEMONS,ROBERT,W,MD,M,I,220 ESSIE DAVISON DR,,CLARINDA,IA,516322915,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,364.45,102.69875,78.189375,56.355625
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,24,53,53,177.57811321,50.103018868,37.372830189,30.110188679
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,105,223,223,466.37878924,118.04107623,86.9767713,65.374529148
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,93,227,577,178.44161179,44.634038128,33.961819757,25.571559792
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,45,105,517,103.06468085,24.882688588,18.405048356,13.641682785
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,30,71,387,74.710697674,20.186330749,15.001447028,11.197648579
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,72,164,164,291.3377439,75.560426829,56.5075,41.102439024
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,165,236,236,84.388771186,23.690635593,18.202245763,14.190635593
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,24,32,32,44.25,12.956875,9.6465625,7.661875
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,148,329,329,92.188449848,19.435957447,14.978024316,9.3496656535
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,174,434,2222,12.652538254,2.850990099,2.1883078308,1.5930828083
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,148,211,211,31.431279621,8.8656872038,6.8312796209,4.8304265403
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,92,143,143,50.981048951,15.437622378,11.704615385,10.112587413
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,24,115,122,538.02491803,133.13754098,101.53581967,72.614098361
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1481.97,301.21916667,236.16083333,159.885
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,57,246,265,71.166528302,17.917132075,13.590377358,10.216679245
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,46,248,265,234.48384906,51.48890566,38.944981132,25.449886792
1013963354,GUPTA,VINITA,,M.D.,F,I,71 PROSPECT AVE STE 210,,HUDSON,NY,125342907,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,356.89459459,96.185675676,70.535945946,52.21972973
1013963446,COMADOLL,JAMES,L,MD,M,I,810 MITCHELL AVE,,SALISBURY,NC,281446253,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,122.15956522,49.050434783,38.456086957,36.558695652
1013963446,COMADOLL,JAMES,L,MD,M,I,810 MITCHELL AVE,,SALISBURY,NC,281446253,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,27,27,27,125.50148148,54.120740741,42.431111111,40.891851852
1013963446,COMADOLL,JAMES,L,MD,M,I,810 MITCHELL AVE,,SALISBURY,NC,281446253,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,143,19.52,12.393636364,10.718181818
1013963446,COMADOLL,JAMES,L,MD,M,I,810 MITCHELL AVE,,SALISBURY,NC,281446253,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,149.73,117.67,86.883571429,96.536428571
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,39,89,52.794044944,8.32,6.0088764045,6.0088764045
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,23,12.086086957,1.42,0.972173913,0.972173913
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,3.06,1.47,1.15,1.15
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,146.87909091,54.79,42.95,42.868181818
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,57.316666667,17.97,13.150666667,13.134666667
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,54.011666667,11.64,8.6133333333,8.6133333333
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,21,64,7.09171875,2.03,1.543125,1.543125
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,141.65521739,34.852608696,25.922608696,25.179565217
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,420.30923077,69.81,45.546923077,45.546923077
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,6658,0.362817663,0.0460243316,0.031264644,0.0312601382
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,8.8392272727,2.9977272727,2.1328636364,2.1328636364
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,407,2.9456756757,0.2186977887,0.1714742015,0.1714742015
1013963628,FIORENTINO,JULIA,,MD,F,I,6046 WHIPPLE AVE NW,,NORTH CANTON,OH,447207616,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,33,33,22.63625,22.63625
1013963677,SHUMPERT,EVELYNNE,D,"RNC, MSN, FNP",F,I,5900 GARNERS FERRY RD,,COLUMBIA,SC,292091301,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,34,78,58.176538462,8.2607692308,5.5858974359,5.6232051282
1013963677,SHUMPERT,EVELYNNE,D,"RNC, MSN, FNP",F,I,5900 GARNERS FERRY RD,,COLUMBIA,SC,292091301,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,15.525,3.38,2.31875,2.31875
1013963677,SHUMPERT,EVELYNNE,D,"RNC, MSN, FNP",F,I,5900 GARNERS FERRY RD,,COLUMBIA,SC,292091301,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,29,17.066551724,1.42,1.0006896552,1.0006896552
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,24,52,165,72.886,8.32,5.6132727273,5.6132727273
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,25,31,13.786451613,1.42,0.8638709677,0.8638709677
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,53,56.225849057,19.45,13.81,13.284528302
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,166.714375,56.26,41.353125,40.259375
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,47.991428571,18,13.102142857,13.059285714
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,55.392857143,12,8.1014285714,7.8535714286
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,22,116,8.585,2,1.4873275862,1.5082758621
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,20.768333333,6.13,4,3.8875
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,381.36,47.641818182,5.6290909091,5.6363636364
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,86.31,17.71,12.897857143,12.572857143
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,519.51,78.53,61.56,54.72
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,175.22,38.320909091,30.043636364,25.199090909
1013963727,CHRISJOHN,BRADLEY,D,D.O.,M,I,615 SW 3RD ST,,LEES SUMMIT,MO,640632204,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1706.23,152.73272727,119.74181818,119.07363636
1013963768,BORDERS-ROBINSON,ANGALA,B,DO,F,I,2828 CHICAGO AVE STE 200,,MINNEAPOLIS,MN,554071544,US,Physician/Neurology,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,289.5,217.88545455,170.81636364,170.81636364
1013963792,KNIGHT,RAYMOND,W,MD,M,I,6308 8TH AVE,STE 2000,KENOSHA,WI,53143,US,Internal Medicine,T,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,560,527.70475,35.372857143,27.476035714,27.476035714
1013963792,KNIGHT,RAYMOND,W,MD,M,I,6308 8TH AVE,STE 2000,KENOSHA,WI,53143,US,Internal Medicine,T,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,897.11,358.5,281.06,281.06
1013963818,AUSTIN,JASON,K,D.O,M,I,1524 ATWOOD AVE STE 220,,JOHNSTON,RI,029193278,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,63,68.756031746,8.32,6.1084126984,6.1084126984
1013963818,AUSTIN,JASON,K,D.O,M,I,1524 ATWOOD AVE STE 220,,JOHNSTON,RI,029193278,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,14.475294118,1.42,1.1164705882,1.1164705882
1013963818,AUSTIN,JASON,K,D.O,M,I,1524 ATWOOD AVE STE 220,,JOHNSTON,RI,029193278,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,50.73,3.59,2.6092857143,3.1885714286
1013963883,SHECKMAN,PETER,R,MD,M,I,496 LYNNFIELD ST,,LYNN,MA,01904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,45,63.512,8.32,6.3777777778,6.3777777778
1013963925,FRANKENHOFF,JESSICA,A,MD,F,I,1250 E MARSHALL ST,ORTHOPAEDIC SURGERY,RICHMOND,VA,232985051,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,15,15,67.71,59.74,43.708,43.283333333
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,401,600,600,73.163666667,44.515933333,31.436033333,27.496683333
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,136,195,195,276.90164103,103.29907692,71.845794872,59.934205128
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,162,407,500,88.1129,38.31512,26.49532,22.96872
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,175,376,922,55.405249458,22.987950108,16.024078091,12.881106291
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,260,606,1412,39.260396601,17.525956091,12.104362606,10.405949008
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,378,545,545,165.54623853,65.715229358,45.179944954,37.324
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,495,589,589,51.150764007,21.529558574,14.78704584,12.353989813
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,133,156,156,35.214615385,11.716858974,7.6323076923,6.7603205128
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,81,105,105,50.940666667,16.158952381,11.183238095,7.8536190476
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,560,1290,3549,7.1949506903,2.6401239786,1.8310228233,1.3978219217
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,155,181,181,16.134088398,7.6882320442,5.4482872928,4.1696685083
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,291,336,336,31.545208333,14.425416667,10.121130952,9.2810416667
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,270.44372093,87.978139535,56.933488372,55.164418605
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,646.78275,294.8215,227.558,161.4735
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,406.78947368,160.61210526,116.39210526,96.522631579
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,32,132,132,38.616818182,14.052878788,9.2465151515,8.8745454545
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,123,704,704,135.3547017,38.672073864,26.085852273,21.109176136
1013963958,HOLLE,ROLF,H,M.D.,M,I,1782 ELISON LN UNIT 3,,MISSOULA,MT,598023684,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,296.32625,100.263125,68.79375,51.579375
1013964014,CHARMAN,CHARLES,S,MD,M,I,310 SUNNYVIEW LANE,,KALISPELL,MT,59901,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,59.411764706,37.684705882,29.544705882,22.077058824
1013964014,CHARMAN,CHARLES,S,MD,M,I,310 SUNNYVIEW LANE,,KALISPELL,MT,59901,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,334.14266667,82.980333333,65.053666667,56.109
1013964204,WRY,ANN,M,MD,F,I,114 ESSEX ST,,ROCHELLE PARK,NJ,076624335,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,124,64.521693548,8.32,6.4170967742,6.4170967742
1013964204,WRY,ANN,M,MD,F,I,114 ESSEX ST,,ROCHELLE PARK,NJ,076624335,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,103.93,43.541666667,34.136666667,35.206666667
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,5.54,5.54,4.34,4.34
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,1920,0.47875,0.44,0.344984375,0.344984375
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,372,5.23,5.23,4.1003225806,4.1003225806
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,510,8.9976470588,8.28,6.311745098,6.311745098
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,402,8.41,8.41,6.5933333333,6.5933333333
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,131.99,42.040833333,30.248333333,33.5025
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,31,37,234.26783784,47.696486486,37.394594595,37.751621622
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,51.714285714,17.36,13.61,13.54
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,305.71428571,79,60.196,53.166285714
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,66,66,93.035757576,15.778787879,10.333181818,11.620151515
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,134.26,25.615294118,19.005294118,20.76
1013964246,ALLENDOERFER FERNANDEZ,RUTH,,M.D.,F,I,237 WILLIAM HOWARD TAFT RD,"3RD FLOOR, ROOM 64",CINCINNATI,OH,452192610,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,36,31.58,7.1219444444,5.0888888889,5.945
1013964287,LITTLEFIELD,MEGAN,B,M.D.,F,I,123 S 27TH ST,,BILLINGS,MT,591014227,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,57.4665625,17.91,11.255,10.84875
1013964287,LITTLEFIELD,MEGAN,B,M.D.,F,I,123 S 27TH ST,,BILLINGS,MT,591014227,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,47,379.5787234,68.230638298,46.647659574,47.97106383
1013964287,LITTLEFIELD,MEGAN,B,M.D.,F,I,123 S 27TH ST,,BILLINGS,MT,591014227,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,2925,0.17,0.0462119658,0.0248854701,0.0248854701
1013964287,LITTLEFIELD,MEGAN,B,M.D.,F,I,123 S 27TH ST,,BILLINGS,MT,591014227,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,126.17647059,33,19.782941176,19.782941176
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,44,85,85,85.001294118,48.652470588,35.513411765,29.067294118
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,186,346,346,248.25303468,116.12867052,86.906647399,67.468786127
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,109,281,404,120.69314356,44.412524752,33.235792079,25.439876238
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,57,142,326,76.584202454,25.351380368,18.969570552,14.280521472
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,37,97,214,47.432009346,18.949485981,13.86817757,11.224859813
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,139,237,237,167.70632911,73.981476793,55.0192827,41.351983122
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,278,354,354,51.551158192,23.469463277,17.917146893,14.103022599
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,29.25,11.91125,8.780625,7.640625
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,288,509,509,55.765500982,19.348565815,14.621964637,9.3811394892
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,334,960,2170,8.9512488479,2.9756866359,2.2424423963,1.5940460829
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,75,96,96,16.9521875,8.22125,6.3946875,5.0122916667
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,106,136,136,40.000441176,15.45625,11.543897059,10.067279412
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,132,146,65.496712329,22.281438356,16.965205479,13.58609589
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,23,96,109,302.95275229,138.85908257,105.36366972,74.911009174
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,1199.1235714,347.74678571,272.635,198.13214286
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,101,102,102,321.87960784,176.61441176,137.0027451,109.72421569
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,25,102,111,80.598378378,15.924684685,11.582882883,9.6918918919
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,74,74,32.55027027,8.4228378378,6.4221621622,3.7283783784
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,175,1100,1139,203.7309043,49.032870939,36.694547849,26.504161545
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,253.57666667,70.74,49.8775,49.8775
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,46,319,342,360.3897076,96.409824561,72.200233918,54.217982456
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,27,169.68,40.235555556,30.327407407,28.672222222
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,16,42,11549,0.3222781193,0.0466438653,0.0353753572,0.0353753572
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1620,0.473191358,0.1328888889,0.1042098765,0.1042098765
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,83,84,91.22047619,43.736071429,32.335119048,28.524047619
1013964303,VETTICHIRA,SAJEEV,P,MD,M,I,147 HWY 24,"HESTRON PLAZA, SUITE 102",MOREHEAD CITY,NC,285578998,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,53,53,35.603773585,33,24.405660377,24.405660377
1013964386,FUCHS,ALBERT,C,M.D.,M,I,8500 WILSHIRE BLVD,SUITE 605,BEVERLY HILLS,CA,902113121,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3500,913.16,703.96416667,830.30416667
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,25,25,132.4096,40,27.5968,26.866
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,402.89538462,85,61.513846154,62.736923077
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,29,153.85931034,34.05,25.127931034,24.350344828
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,93,81.918602151,19.56,15.335591398,14.551827957
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,32,32,236.5609375,56,42.05125,41.0759375
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,27,27,80.712222222,19.39,14.074074074,13.018518519
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,68.792,14,10.98,9.12
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,35,191,8.8119371728,2.09,1.5582198953,1.5129319372
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,63.632,13.74,10.77,10.368666667
1013964410,MURPHY,MICHAEL,P,M.D.,M,I,1776 YGNACIO VALLEY RD,STE.210,WALNUT CREEK,CA,945983190,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,30,688.486,38.252,29.988,28.296
1013964667,SADDINGTON,JULIA,M,P.A.,F,I,1115 BOULDERS PKWY,SUITE 100,NORTH CHESTERFIELD,VA,232254067,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,147.95454545,46.199090909,33.434545455,33.898181818
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,19,65,194,73.71443299,8.2903092784,5.5013917526,5.5245876289
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,28,13.233928571,1.42,0.9928571429,0.9928571429
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,53,102.98943396,20,15.68,14.658301887
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,212.31842105,56,41.589473684,40.713684211
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,93.322857143,19.5,15.29,14.147857143
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,71.483636364,12.08,9.47,9.2154545455
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,15,81,10.025185185,2.3,1.8033333333,1.6256790123
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,45.209090909,31.272727273,31.927272727
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,144.84,33.9175,24.7775,23.64
1013964717,MASCOLI,NICHOLAS MICHAEL,,M.D.,M,I,2000 WASHINGTON ST,SUITE 546,NEWTON LOWER FALLS,MA,024621650,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,14,605.57071429,78,52.414285714,49.204285714
1013964774,STEIN,JAY,J,M.D.,M,I,8635 W 3RD ST,SUITE 460W,LOS ANGELES,CA,900486101,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,3790,3.4017941953,1.73,1.3563113456,1.5576728232
1013964840,HERON,JAMES,,MD,M,I,5401 S CONGRESS AVE,#218,ATLANTIS,FL,334626635,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,28,54,65.733888889,8.32,5.0718518519,5.0718518519
1013964840,HERON,JAMES,,MD,M,I,5401 S CONGRESS AVE,#218,ATLANTIS,FL,334626635,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,32,83.808125,38.22875,27.938125,23.8859375
1013964840,HERON,JAMES,,MD,M,I,5401 S CONGRESS AVE,#218,ATLANTIS,FL,334626635,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,10.725,2.4,1.8816666667,1.5916666667
1013964840,HERON,JAMES,,MD,M,I,5401 S CONGRESS AVE,#218,ATLANTIS,FL,334626635,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,299.59,51,36.648333333,38.515
1013964840,HERON,JAMES,,MD,M,I,5401 S CONGRESS AVE,#218,ATLANTIS,FL,334626635,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,50.73,5.7828571429,4.3295238095,3.4395238095
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,16,194,56.053814433,19.668453608,13.940979381,13.940979381
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,530,7.5704339623,2.6354716981,2.0661698113,2.0661698113
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,57,74,227,814,65.76495086,8.3137346437,6.1334398034,6.1383538084
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,14.75375,3.38,2.484375,2.484375
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,34,67,119,14.702352941,1.42,1.0682352941,1.0682352941
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,692.08727273,338.00454545,264.99363636,264.99363636
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2810,16.195266904,10.604046263,8.3042170819,8.3042170819
1013964857,GRABOWSKI,ELIZABETH,M,"ARNP, BC-ADM, FAAN",F,I,4010 DANA RD,,CRESTWOOD,KY,400149224,US,Certified Clinical Nurse Specialist,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,26,26,286.04807692,251.005,196.78769231,196.86961538
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,38,95,218,57.757293578,8.32,6.2174770642,6.2174770642
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,13.562,3.38,2.65,2.65
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,18.329090909,2.12,1.67,1.67
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,43,64,14.703125,1.42,1.08,1.08
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,66,67,77.568656716,22.558358209,16.348059701,13.057910448
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,85,86,334.12906977,104.63395349,77.934302326,54.806395349
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,45.002727273,35.284545455,30.166363636
1013964931,ROBERTS,RITA,S,D.O.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 206",PORTSMOUTH,OH,456622677,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,72,22.729230769,13.386153846,9.74
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,52,142,78.092464789,8.32,5.8792253521,5.8792253521
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,23,28,14.978571429,1.42,0.9564285714,0.9564285714
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,72.739090909,11.958181818,8.9081818182,8.7
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,9.8836363636,2.0009090909,1.4821212121,1.4996969697
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,175,47.436363636,34.436818182,34.612272727
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,36.88,15.75,12.35,13.54
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,16.467692308,10.942307692,8.5815384615,8.75
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,16.906923077,9.8861538462,7.7438461538,8.1130769231
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,276.52307692,214.42307692,162.76846154,163.29153846
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,222.2,74,58.02,54.73
1013964964,BIANCHI,ALESSANDRO,,D.O.,M,I,6300 LIMESTONE RD,SUITE C,HOCKESSIN,DE,197079178,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,29.35,29.51
1013965003,COHEN,JAMES,P,M.D.,M,I,133 LITTLETON RD,SUITE 202,WESTFORD,MA,018863198,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,32,51,81.245490196,8.32,5.2437254902,5.2437254902
1013965003,COHEN,JAMES,P,M.D.,M,I,133 LITTLETON RD,SUITE 202,WESTFORD,MA,018863198,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,13,66,11.586363636,2.2927272727,1.7377272727,1.531969697
1013965003,COHEN,JAMES,P,M.D.,M,I,133 LITTLETON RD,SUITE 202,WESTFORD,MA,018863198,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,720.31833333,78,61.15,56.335
1013965193,AHMED,SYED,A,MD,M,I,125 EXECUTIVE DR,SUITE K,DANVILLE,VA,245414155,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,34,62.500882353,8.32,6.1370588235,6.1370588235
1013965193,AHMED,SYED,A,MD,M,I,125 EXECUTIVE DR,SUITE K,DANVILLE,VA,245414155,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,100.35733333,74.697333333,51.417333333
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,25,26,1258.1203846,19.71,15.450384615,15.450384615
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,26,110,629.90245455,37.38,29.307,29.307
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,399,49.949097744,4.5354636591,3.5556892231,3.5556892231
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,63,6217,5.0804970243,0.5796413061,0.4388547531,0.4388547531
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,5340,3.0073127341,1.5683707865,1.229593633,1.229593633
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,960,4.1875416667,2.91603125,2.28615625,2.28615625
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,1211,16.470660611,7.4460033031,5.8376961189,5.837671346
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,55,55,24,24,18.82,18.82
1013965482,MENDEZ,JOSE,C,MD,M,I,3410 WORTH ST,250,DALLAS,TX,752462003,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,80,85,16,16,12.540235294,12.540235294
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,74,190,500,58.0757,8.32,5.88982,5.88982
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,13,29,29,12.395862069,3.38,2.375862069,2.375862069
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,19.972857143,2.12,1.67,1.67
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,41,74,109,11.240825688,1.412293578,1.0168807339,1.0228440367
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,20,7.949,7.46,5.265,5.265
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,5.6376190476,1.8242857143,1.0671428571,0.8214285714
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,379.8675,106.92875,74.735,61.978125
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,39,157.32717949,40.563076923,29.708461538,24.982307692
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,11,11,264.70181818,65.568181818,47.121818182,41.291818182
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,16,16,77.289375,22.66625,16.79125,13.7375
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,23,23,81.12,16.483913043,12.922608696,10.599565217
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,28,152,10.695,2.5942105263,2.0341447368,1.6750657895
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,81.181041667,29.156666667,20.990833333,14.997708333
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,15,19,44.523684211,6.5836842105,4.7457894737,3.2010526316
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,48.984166667,38.400833333,26.470833333
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,144,144,455.72770833,98.664236111,73.065486111,51.088958333
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,105.17241379,44.758965517,34.774827586,29.690344828
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,39,11404,0.2654577341,0.0463644335,0.0335969835,0.0335969835
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,2759,1.4560021747,0.1347299746,0.091141718,0.091141718
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,14,14,146.20142857,21.665,13.897857143,10.604285714
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,32.816315789,10.003157895,6.4252631579,4.8631578947
1013965532,COMIANOS,MARC,J,DO,M,I,3418 CASEY ST,,LORIS,SC,29569,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,14,48,48,86.625,33,21.558333333,21.558333333
1013965599,ZEVALLOS,GABRIEL,,MD,M,I,215 MARION AVE,,MCCOMB,MS,396482705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,12,23,48.02,8.32,3.4017391304,3.4017391304
1013965599,ZEVALLOS,GABRIEL,,MD,M,I,215 MARION AVE,,MCCOMB,MS,396482705,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,146.67833333,50.733333333,39.5325,38.899166667
1013965599,ZEVALLOS,GABRIEL,,MD,M,I,215 MARION AVE,,MCCOMB,MS,396482705,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,101,101,29.13990099,18.533762376,13.813861386,12.873168317
1013965599,ZEVALLOS,GABRIEL,,MD,M,I,215 MARION AVE,,MCCOMB,MS,396482705,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,19.95,3.4865,2.739,3.548
1013965599,ZEVALLOS,GABRIEL,,MD,M,I,215 MARION AVE,,MCCOMB,MS,396482705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,23,145,145,166.89372414,75.332896552,56.726137931,52.521172414
1013965599,ZEVALLOS,GABRIEL,,MD,M,I,215 MARION AVE,,MCCOMB,MS,396482705,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,75,38.05,29.83,29.519142857
1013965649,RABINS,SY,,DO,M,I,921 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,28,57,207,70.554782609,8.32,5.5102415459,5.5102415459
1013965649,RABINS,SY,,DO,M,I,921 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,22,36,13.411388889,1.42,1.0511111111,1.0511111111
1013965649,RABINS,SY,,DO,M,I,921 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,55.286666667,18.825833333,14.39,13.323333333
1013965649,RABINS,SY,,DO,M,I,921 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,72,334.84958333,84.711388889,64.6425,54.2575
1013965649,RABINS,SY,,DO,M,I,921 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,21,250,36.02,28.24,29.52
1013965649,RABINS,SY,,DO,M,I,921 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,7797,0.1673682185,0.0462485571,0.0312979351,0.0312979351
1013965649,RABINS,SY,,DO,M,I,921 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,128.04,33,22.7656,22.7656
1013965987,WINTERS,DAVID,,MD,M,I,1206 E 9TH ST,,LOCKPORT,IL,60441,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,15,38,66,76.310757576,8.2192424242,5.6522727273,5.7312121212
1013965987,WINTERS,DAVID,,MD,M,I,1206 E 9TH ST,,LOCKPORT,IL,60441,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,21,21,14.099047619,1.42,0.8533333333,0.8533333333
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,22,56,726,54.837479339,19.626735537,14.003526171,14.003526171
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,22,60,1887,7.0722734499,2.6300582936,1.863418124,1.863418124
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,49,131,437,1548,62.039935401,8.32,5.888630491,5.888630491
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.088333333,3.38,2.65,2.65
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,22.320909091,2.12,1.3663636364,1.3663636364
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,30,62,110,14.295636364,1.4047272727,0.9713636364,0.9831818182
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,28,83.542857143,71.56,53.989285714,53.989285714
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,60,58.645,43.56,34.151666667,34.1505
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,742.02190476,343.98285714,252.97380952,252.97380952
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,1480,16.335297297,10.876905405,8.5275135135,8.5275135135
1013965995,SCHROEDER,LEROY,L,M.D.,M,I,200 W PEARL ST,,FINDLAY,OH,458401332,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,12,79,79,314.38810127,251.07544304,195.02670886,195.05379747
1013966076,MUELLER,KENNETH,R,O.D.,M,I,215 PROGRESS RD,,HANNIBAL,MO,634016637,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,63.613571429,63.613571429,49.877142857,52.418571429
1013966076,MUELLER,KENNETH,R,O.D.,M,I,215 PROGRESS RD,,HANNIBAL,MO,634016637,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,26,105,62.09,48.676153846,53.881923077
1013966076,MUELLER,KENNETH,R,O.D.,M,I,215 PROGRESS RD,,HANNIBAL,MO,634016637,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,17.5,16.067142857,12.000714286,13.207619048
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,5,,54,205,78.621268293,19.685804878,15.433560976,15.433560976
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,11,38,205.26315789,37.38,28.404473684,28.404473684
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,18,25,5.525,4.1055555556,3.5661111111
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,388.3775,13.771666667,10.800833333,10.9625
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,19,519.51,82,64.29,54.73
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,7120,42.187705056,13.513764045,10.594789326,10.594789326
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,20060,65.251684945,9.8391455633,7.4207238285,7.4207238285
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,1480,270.98640541,40.159864865,31.485337838,31.485337838
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,51,291,59.245773196,2.6367010309,2.0673883162,2.0673883162
1013966100,MATZ,JONATHAN,,M.D.,M,I,7939 HONEYGO BLVD,SUITE 219,BALTIMORE,MD,212364931,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,27,447.22222222,358.5,281.06,281.06
1013966464,TISHLER,ROY,B,MD PHD,M,I,75 FRANCIS ST ASB1-L2,BRIGHAM AND WOMENS HOSPITAL RADIATION ONCOLOGY,BOSTON,MA,02115,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,9658,0.8698902464,0.31,0.243037896,0.243037896
1013966472,JAFRI,SYED,H,MD,M,I,1300 W TERRELL AVE FL 2,,FORT WORTH,TX,761042820,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,23,32.466086957,17.535652174,13.146086957,12.944782609
1013966472,JAFRI,SYED,H,MD,M,I,1300 W TERRELL AVE FL 2,,FORT WORTH,TX,761042820,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,26,168.76730769,76.471538462,57.645384615,52.820769231
1013966498,WELLS,DAVID,A,MD,M,I,1219 SMOKEY PARK HWY,HOMINY VALLEY FAMILY HEALTH CENTER,CANDLER,NC,28715,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,170.75,51.36,35.4575,33.038333333
1013966514,ROSEN,SCOTT,I,MD,M,I,2031 HAY TERRACE,,EASTON,PA,18042,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,,30,67,14.498059701,10.047462687,7.5325373134,8.1271641791
1013966514,ROSEN,SCOTT,I,MD,M,I,2031 HAY TERRACE,,EASTON,PA,18042,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,65,10.487846154,7.4323076923,5.2841538462,5.3058461538
1013966548,URQUICO,CECILIA,T,M.D.,F,I,2501 W 12TH ST,SUITE 1,ERIE,PA,165054527,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,48,121,59.729256198,8.3092561983,5.6509917355,5.6594214876
1013966548,URQUICO,CECILIA,T,M.D.,F,I,2501 W 12TH ST,SUITE 1,ERIE,PA,165054527,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,24,32,14.450625,1.42,1.00875,1.00875
1013966548,URQUICO,CECILIA,T,M.D.,F,I,2501 W 12TH ST,SUITE 1,ERIE,PA,165054527,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,28,204.79071429,45.156785714,34.179642857,35.276428571
1013966548,URQUICO,CECILIA,T,M.D.,F,I,2501 W 12TH ST,SUITE 1,ERIE,PA,165054527,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,86.31,16.59,12.409090909,12.945454545
1013966548,URQUICO,CECILIA,T,M.D.,F,I,2501 W 12TH ST,SUITE 1,ERIE,PA,165054527,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,500.67555556,67.72,48.675,50.34
1013966548,URQUICO,CECILIA,T,M.D.,F,I,2501 W 12TH ST,SUITE 1,ERIE,PA,165054527,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2987,0.1735319719,0.0470338132,0.0285403415,0.0285403415
1013966548,URQUICO,CECILIA,T,M.D.,F,I,2501 W 12TH ST,SUITE 1,ERIE,PA,165054527,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,121.57894737,33,19.062105263,19.062105263
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,23,44,99,76.155050505,8.32,5.5988888889,5.5988888889
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,14,25,28,16.231428571,1.42,0.9585714286,0.9585714286
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,73.908125,40.029375,31.38875,30.56
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,87,46.534482759,19.119310345,14.762643678,14.323563218
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,20,20,130.425,54.508,40.6,40.7185
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,42.40125,19.403125,13.36875,12.34375
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,28,159,9.4972327044,2.1479245283,1.5598742138,1.4737735849
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,36.479090909,13.186363636,9.4172727273,9.4054545455
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,173.235,33.201875,26.035,26.233125
1013966621,BAINS,JAGDEEP,K,M.D,F,I,13927 W GRAND AVE,SUITE 401,SURPRISE,AZ,853742438,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.72,10.301666667,8.075,8.72
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,22,53,162,58.732098765,8.32,6.3215432099,6.3215432099
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,37,8.0967567568,1.42,1.1140540541,1.1140540541
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,94.833333333,50.38,39.5,30.49
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,12,23,23,358.05173913,122.76304348,96.244782609,67.846086957
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,11,21,41,135.52243902,45.736097561,35.857073171,25.918292683
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,19,19,151.53789474,69.861052632,52.292105263,43.3
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,23,29,29,65.787931034,23.046896552,18.064137931,14.367241379
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,29,29,83.610344828,18.406551724,14.08137931,9.2044827586
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,22,43,214,11.037663551,3.0245794393,2.3629439252,1.6235046729
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,21,21,27.801428571,8.31,6.5152380952,4.829047619
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,54.608461538,15.446153846,12.105384615,10.34
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,239,71.804666667,56.297333333,37.58
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,62.964358974,21.856153846,17.134102564,13.53025641
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,368.56173913,98.970869565,77.593043478,65.958695652
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,15,765,345.46,270.844,187.23666667
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,29.675,15.491666667,12.147222222,9.8994444444
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,84,84,163.09738095,50.000238095,37.454642857,24.075357143
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,122,122,443.49188525,103.68688525,79.456721311,54.304262295
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,161,45.312,35.527,29.8745
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1247,0.3412429832,0.047425822,0.0231836407,0.0231836407
1013966795,TURGEON,ELIZABETH,C,M.D.,F,I,5171 CUB LAKE RD # 270,,SHOW LOW,AZ,859017888,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,21.89,21.89
1013966878,PARIAL,ARNOLD,M,M.D.,M,I,600 S LAKEVIEW ST,SUITE 102,STURGIS,MI,490912371,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,28,28,28,69.165357143,57.340714286,40.670714286,46.131785714
1013966878,PARIAL,ARNOLD,M,M.D.,M,I,600 S LAKEVIEW ST,SUITE 102,STURGIS,MI,490912371,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,24,32,32,21.382083333,34.421666667
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,31,84,261,61.836858238,8.32,5.6975862069,5.6975862069
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.098333333,3.38,2.65,2.65
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,40,65,13.549076923,1.42,1.0458461538,1.0458461538
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,29,159.73482759,46.291034483,30.979310345,20.887241379
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,9.8548387097,3.2761290323,2.5688709677,1.5932258065
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,65.3792,20.1556,15.7988,14.9748
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,44.857142857,8.5942857143,6.7378571429,4.3278571429
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,58,447.12051724,96.150862069,71.261896552,55.841551724
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,166.72444444,44.34,27.555555556,23.354444444
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,960,16.206125,10.70575,8.315625,8.315625
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,7754,0.1625109621,0.0467977818,0.0324142378,0.0324142378
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,120.59210526,24.825263158,17.187368421,11.718421053
1013966886,OAKLEY,JAIME,,MD,M,I,1404 TUSCULUM BLVD,"LAUGHLIN MOB #3, SUITE 2100/2300",GREENEVILLE,TN,377454395,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,36,96.25,33,23.428611111,23.428611111
1013966977,MCWILLIAMS,RYAN,T,MD,M,I,4320 DIPLOMACY DR,SUITE 1191,ANCHORAGE,AK,995085925,US,Physician/General Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,5775,1.0415584416,0.5023515152,0.3826458874,0.2912675325
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,121.57958333,45.23375,35.463333333,36.46
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,179.0635,47.665,37.3725,38.1675
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,28,28,104.95214286,48.333928571,36.690714286,38.602142857
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,37,17.52,13.74,13.54
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,34.93,5.712,4.478,3.832
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,31.32,11.305454545,8.8654545455,8.6327272727
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,28,85.392857143,29.83,23.387142857,22.605
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,15,15,15,84.543333333,26.086666667,20.452,18.176
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,33,36.666666667,10.17,7.9745454545,8.0163636364
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,449.18181818,211.83363636,166.07090909,166.07090909
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,336.536,79.96,62.69,54.73
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,12,12,12,95.0475,37.95,29.755,29.34
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,27,30.694814815,19.997777778,15.68,14.402222222
1013967066,WILLIAMS,ALLISON,E,MD,F,I,6330 E 75TH STREET,SUITE 110,INDIANAPOLIS,IN,462502717,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,54,54,105.29592593,26.686851852,20.923148148,22.598518519
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,23,64,141,72.618368794,8.32,6.3639007092,6.3639007092
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,14.804615385,3.38,2.4461538462,2.4461538462
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,30,38,16.589736842,1.42,1.0589473684,1.0589473684
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,280.05,53.83,42.2,42.85
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,95.708823529,12.21,9.57,9.12
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,94,12.601276596,2.02,1.585,1.5932978723
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,104.56,17.09,13.4,13.514705882
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,220,30.155625,22.195,22.421875
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,395.29411765,65.7,51.51,54.351176471
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,2.1643541667,0.1366666667,0.1071805556,0.1071805556
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,450,7.3313555556,3.1114666667,2.4393333333,2.4393333333
1013967215,BRINK,DANIEL,J,M.D.,M,I,1215 PLUMAS ST,SUITE 800,YUBA CITY,CA,959913455,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,25.87,25.87
1013967223,LAIBLE,JEANNE,M,PA,F,I,110 W 2ND ST,,STUART,NE,687800110,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,65,13.432615385,3.3446153846,2.6226153846,1.8852307692
1013967223,LAIBLE,JEANNE,M,PA,F,I,110 W 2ND ST,,STUART,NE,687800110,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50.73,8.6035294118,6.4594117647,3.7317647059
1013967223,LAIBLE,JEANNE,M,PA,F,I,110 W 2ND ST,,STUART,NE,687800110,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,53,503.15037736,103.54264151,74.089056604,51.935660377
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,18,700,0.66,0.44,0.345,0.345
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,70,70,140,104.48171429,71.56,55.454857143,55.454785714
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,71,71,419,64.853818616,43.56,34.151670644,34.150071599
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,15,435,52.29,34.86,27.330321839,27.330321839
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,15,435,3.6,2.4,1.8816551724,1.8816551724
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,15,435,2.96,1.97,1.5443448276,1.5443448276
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,E0140,"Walker, with trunk support, adjustable or fixed height, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,31.86,23.177272727,18.172727273,18.467272727
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,77.86,20.21375,15.84625,14.83875
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,50,54,57,135,75.061403509,56.274210526,60.676666667
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,180,124.71,89.248235294,86.873529412
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,61,62,62,400,266.94629032,202.75258065,211.6616129
1013967249,SHANE,AMBER,M,DPM,F,I,250 N ALAFAYA TRL,STE 115,ORLANDO,FL,328284315,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,250,163.79,121.09666667,119.31466667
1013967520,KELLER,MALVIN,S,M.D.,M,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,52,163,65.453312883,8.32,5.67,5.67
1013967520,KELLER,MALVIN,S,M.D.,M,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,20,38,12.507894737,1.42,0.9652631579,0.9652631579
1013967520,KELLER,MALVIN,S,M.D.,M,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,25,519.51,70,52.6848,52.5408
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,37,105,63.846285714,8.3076190476,5.6431428571,5.6528571429
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,26,15.203461538,1.42,0.8584615385,0.8584615385
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,111.50333333,49.4625,33.156666667,26.399166667
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,394.670625,120.73875,80.533125,60.355625
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,16,16,62.8575,24.78625,17.4825,13.7425
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,13,20,71,10.044929577,3.2529577465,2.3512676056,1.4707042254
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,27,31,63.028387097,20.288064516,15.906774194,11.255483871
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,30,202.408,60.251666667,44.273666667,29.320666667
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1770,1.2672824859,0.1352542373,0.1060621469,0.1060621469
1013967694,BINDER KUYKENDALL,LAUREN,,P.A.-C,F,I,523 E FRANKLIN AVE,,WEATHERFORD,OK,730965337,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,49.5,33,25.87,25.87
1013967835,DALATI,FAKHRI,,M.D.,M,I,,,,XX,,XX,Physician/Emergency Medicine,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,135,58.7175,46.0325,38.7725
1013967835,DALATI,FAKHRI,,M.D.,M,I,,,,XX,,XX,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,45,45,47.311111111,20.520666667,15.423333333,13.062444444
1013967835,DALATI,FAKHRI,,M.D.,M,I,,,,XX,,XX,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,45,45,213.286,88.122,64.690444444,51.460444444
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,35,96,293,61.834266212,8.3109556314,5.9622866894,5.9693515358
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,26,40,10.143,1.42,1.08825,1.08825
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,4650,4.0106451613,2.04,1.5684946237,1.5684946237
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,88.771176471,40,29.827647059,29.06
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,319.511,90.728,71.1325,68.0285
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,58,128.97793103,33.106896552,25.956896552,25.926551724
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,53.87125,16.521875,11.543229167,10.8203125
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,177.63315789,63.770526316,45.066842105,40.078421053
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,20,20,73.9135,19.7725,15.501,14.569
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,23,23,83.803043478,14.266086957,10.746086957,9.2882608696
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,38,228,8.3927192982,2.3594736842,1.8031578947,1.6057017544
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,23.114166667,6.9758333333,5.4683333333,5.0258333333
1013967975,BRITT,DIANE,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,98.75,38.885,30.485,29.51
1013968148,HERSON,PATRICIA,,C.R.N.P.,F,I,1100 CENTRAL AVE SE,PALLIATIVE CARE,ALBUQUERQUE,NM,871064930,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,19,18.5,18.5,14.5,13.590526316
1013968148,HERSON,PATRICIA,,C.R.N.P.,F,I,1100 CENTRAL AVE SE,PALLIATIVE CARE,ALBUQUERQUE,NM,871064930,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,19,86.09,86.09,67.49,55.401578947
1013968239,SIA,IMELDA,A,MD,F,I,113 W LAKE ST,,BLOOMINGDALE,IL,601081006,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,57,142,340,73.232558824,8.32,6.0102647059,6.0102647059
1013968239,SIA,IMELDA,A,MD,F,I,113 W LAKE ST,,BLOOMINGDALE,IL,601081006,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,35,79,108,17.21212963,1.42,1.0335185185,1.0335185185
1013968239,SIA,IMELDA,A,MD,F,I,113 W LAKE ST,,BLOOMINGDALE,IL,601081006,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,4116,0.6025145773,0.046601069,0.0348688047,0.0348663751
1013968239,SIA,IMELDA,A,MD,F,I,113 W LAKE ST,,BLOOMINGDALE,IL,601081006,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,435,1.8789655172,0.135908046,0.0883448276,0.0883448276
1013968239,SIA,IMELDA,A,MD,F,I,113 W LAKE ST,,BLOOMINGDALE,IL,601081006,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,23.0585,23.0585
1013968478,COLE,ERIC,L,MD,M,I,1690 SKYLYN DR STE 300A,,SPARTANBURG,SC,293071022,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,37,101,267,59.676629213,8.32,5.8137827715,5.8137827715
1013968478,COLE,ERIC,L,MD,M,I,1690 SKYLYN DR STE 300A,,SPARTANBURG,SC,293071022,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,12.954444444,3.38,2.0611111111,2.0611111111
1013968478,COLE,ERIC,L,MD,M,I,1690 SKYLYN DR STE 300A,,SPARTANBURG,SC,293071022,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,32,51,13.301764706,1.42,0.8521568627,0.8521568627
1013968478,COLE,ERIC,L,MD,M,I,1690 SKYLYN DR STE 300A,,SPARTANBURG,SC,293071022,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,39,52.982820513,17.29,13.202564103,13.185641026
1013968478,COLE,ERIC,L,MD,M,I,1690 SKYLYN DR STE 300A,,SPARTANBURG,SC,293071022,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,84,103,386.33281553,70.23,53.101165049,52.830582524
1013968478,COLE,ERIC,L,MD,M,I,1690 SKYLYN DR STE 300A,,SPARTANBURG,SC,293071022,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,24,150.815,37.44,28.127083333,28.282083333
1013968478,COLE,ERIC,L,MD,M,I,1690 SKYLYN DR STE 300A,,SPARTANBURG,SC,293071022,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,76.501818182,18.2,8.9863636364,8.1345454545
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,64,194,51.279381443,8.32,6.0511340206,6.0511340206
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,23,13.877391304,3.38,2.5347826087,2.5347826087
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.58,2.12,1.67,1.67
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,22,43,74,13.677972973,1.42,1.0383783784,1.0383783784
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,15,4.1,2.9425,2.9425
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,3.58,2.91,2.0911458333,2.0911458333
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,12.786363636,5.36,3.8615,3.8615
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.429,0.27,0.1939666667,0.1939666667
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,5.921,3.97,2.9577361111,2.9577361111
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.9,0.27,0.2116,0.2116
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,7.8545454545,1.9918181818,1.5609090909,1.1986363636
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,14,75,32.73,18.861428571,19.107857143
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,38,4.7631578947,2.03,1.5094736842,1.5094736842
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4140,0.6583333333,0.37,0.2648574879,0.2648574879
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,146.93888889,49.279444444,38.637777778,36.507777778
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,11,42,42,171.63714286,55.262380952,39.26452381,36.351190476
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,50,17.27,13.54,13.54
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,39,39,26.051025641,4.9815384615,3.91,3.7669230769
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,301.125,69.81,54.73,54.73
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,40,25.95625,17.4475,17.4475
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3922,0.1998929118,0.0464048955,0.036381948,0.036381948
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,18,118,118,106.94915254,19.49720339,14.130254237,13.342118644
1013968536,FARUQI,TABASSUM,,M.D.,F,I,1540 LAKE LANSING RD,STE. 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,105.6,33,25.87,25.87
1013968569,JOSEFSKI,MARK,,MD,M,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,40,99,70.008888889,8.2932323232,5.2488888889,5.2697979798
1013968569,JOSEFSKI,MARK,,MD,M,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,24,15.445,1.42,0.7416666667,0.7416666667
1013968569,JOSEFSKI,MARK,,MD,M,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,200,4.09,3.1350555556,3.1708333333
1013968569,JOSEFSKI,MARK,,MD,M,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3690,3.114,0.3,0.2147913279,0.2221273713
1013968569,JOSEFSKI,MARK,,MD,M,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,96,11.7925,0.7,0.5030208333,0.5101041667
1013968569,JOSEFSKI,MARK,,MD,M,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,723.40769231,67.72,44.930769231,45.371538462
1013968569,JOSEFSKI,MARK,,MD,M,I,1 FAMILY PRACTICE DR,,KINGSTON,NY,124016449,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,38.72,27.6,27.6
1013968577,MCGONIGAL,MICHAEL,P,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,40,59.9985,8.32,5.54375,5.54375
1013968577,MCGONIGAL,MICHAEL,P,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,49,8.4787755102,2.066122449,1.4285714286,1.3969387755
1013968577,MCGONIGAL,MICHAEL,P,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,19,522.33157895,89.003684211,69.78,69.124736842
1013968577,MCGONIGAL,MICHAEL,P,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,207.50294118,77.5,59.182352941,54.216470588
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,32,74,211,59.408199052,8.281943128,6.0899526066,6.1197630332
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,14.485454545,3.38,2.65,2.65
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,25,31,13.79483871,1.42,1.08,1.08
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,217.82909091,49.941818182,34.801818182,34.301818182
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,17,67.647058824,17.257058824,12.729411765,12.736470588
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,22,33.361818182,4.9645454545,3.8936363636,3.8890909091
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,28,253.24464286,71.482857143,54.076428571,52.779285714
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,21,3595,0.3095104312,0.0452378303,0.0303727399,0.0303727399
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,67.12,37.44,29.35,29.495454545
1013968650,SPIERS,LATESSA,,MD,F,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,22,64.5,33,21.166363636,21.166363636
1013968668,GLENNEY,DANIEL,T,M.D.,M,I,82 NEW PARK AVE,,NORTH FRANKLIN,CT,062541807,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,75,70.94,47.851428571,39.72
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,42,42,167.89261905,40.892380952,28.453809524,27.449761905
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,14,43,6.1876744186,1.4769767442,1.0051162791,0.9995348837
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,17,34,34,450.46588235,95.223529412,70.664705882,65.081470588
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,14,36,101,171.49366337,35.737524752,26.019306931,23.992574257
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,28,140,110.04,20.279142857,13.475142857,12.483285714
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,78,74.53025641,16.497692308,10.867692308,9.8266666667
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,18,42,43,300.19604651,59.827674419,41.239302326,37.808139535
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,31,46,46,85.465,19.449565217,14.065,13.079782609
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,30,31,89.751290323,14.208387097,10.262903226,8.2790322581
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,31,71,364,13.006703297,2.3062637363,1.7136538462,1.5232967033
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,21,34,34,51.011176471,13.953235294,9.8267647059,9.2617647059
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,87,87,84.295862069,19.085172414,11.327011494,10.717586207
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,160.85769231,57.875384615,45.376153846,41.706153846
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,60,64,219.9421875,49.844375,35.03265625,33.60375
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,160.85769231,53.057692308,41.598461538,37.516923077
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,14,20,67.9375,12.8565,6.523,6.545
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.77,2.9583333333,2.8166666667
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,21,27,210.67814815,34.165185185,22.38037037,21.777407407
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,176,185,539.34351351,84.501297297,59.969837838,54.576
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,36,236.66666667,38.7975,28.841111111,28.419444444
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,47,13160,0.2534148936,0.0463920973,0.0330129179,0.0330129179
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,33,5546,1.3080382257,0.1333699964,0.1026000721,0.1026000721
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,158.46111111,36.781111111,26.567037037,27.334814815
1013968700,ISRABIAN,VATCHE,A,MD,M,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,75,76,78.592105263,33,23.866973684,23.866973684
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,62,156,62.971794872,8.32,5.6451923077,5.6451923077
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,28,52,15.191346154,1.42,1.0288461538,1.0288461538
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,60.882352941,20.745882353,15.384117647,12.734117647
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,80,44.17,34.63,34.902727273
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,322.76380952,87.661904762,63.082380952,49.340952381
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2199,0.2033515234,0.0465711687,0.0365029559,0.0365029559
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,77.5,18.05,10.440833333,11.54
1013968734,PEDONE,MICHAEL,A,D.O.,M,I,1400 NINTH AVE.,,ALTOONA,PA,16602,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,82.5,33,24.432777778,24.432777778
1013968742,CROMPTON,JOHN,D,M.D.,M,I,2520 VALLEY DRIVE,SUITE 211,POINT PLEASANT,WV,25550,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,111.110625,65.77875,51.5675,40.63
1013968742,CROMPTON,JOHN,D,M.D.,M,I,2520 VALLEY DRIVE,SUITE 211,POINT PLEASANT,WV,25550,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,132.25454545,73.245454545,57.423636364,45.920909091
1013968775,HAWKINS,ROBERT,W,N.P.,M,I,1422 OLD WEISGARBER RD,,KNOXVILLE,TN,379092674,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,56,56,58,65.948275862,53.2,39.103103448,43.093103448
1013968817,USMANI,ALI,,MD,M,I,103 MCKNIGHT DR,SUITE A,MIDDLETOWN,OH,450444890,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,78,2,2,1.2064102564,1.2294871795
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,37,84,182,79.895054945,8.32,5.7917032967,5.7917032967
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,25,47,54,15.070740741,1.42,0.9722222222,0.9722222222
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,12.755,6.44,4.6245833333,4.6245833333
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,250,11.10664,5.54,4.31784,4.31784
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.956,4.03,3.1595,3.1595
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,49,80.177959184,28.978571429,22.718163265,16.645510204
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,235.28,78.266666667,58.741111111,44.985
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,75.024375,25.173125,19.033125,14.569375
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,78.01,20.748333333,14.586666667,9.6075
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,63,9.1425396825,3.2726984127,2.5103174603,1.740952381
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,55.60425,22.2805,15.9745,12.6285
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,59,365.45508475,96.864745763,70.952711864,50.816101695
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1332,0.622972973,0.0478378378,0.0177552553,0.0177552553
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1674,1.9475866189,0.1342831541,0.1052986858,0.1052986858
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,95.529090909,21.554545455,15.454545455,12.503636364
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,172.8,41.231363636,29.657272727,27.171818182
1013968825,RIGGS,STEPHEN,C,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,21.558333333,21.558333333
1013968916,JOHNSON,DAVID,A,MD,M,I,500 MCFARLAND STREET,HEALTHSTAR PHYSICIANS,MORRISTOWN,TN,37814,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,18,245.93333333,53.652222222,40.066111111,39.479444444
1013968916,JOHNSON,DAVID,A,MD,M,I,500 MCFARLAND STREET,HEALTHSTAR PHYSICIANS,MORRISTOWN,TN,37814,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,45.454545455,17.29,11.177727273,11.162272727
1013968916,JOHNSON,DAVID,A,MD,M,I,500 MCFARLAND STREET,HEALTHSTAR PHYSICIANS,MORRISTOWN,TN,37814,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,114.70555556,48.31,37.88,37.63
1013968916,JOHNSON,DAVID,A,MD,M,I,500 MCFARLAND STREET,HEALTHSTAR PHYSICIANS,MORRISTOWN,TN,37814,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,27,42.971111111,4.4822222222,1.752962963,1.7518518519
1013968916,JOHNSON,DAVID,A,MD,M,I,500 MCFARLAND STREET,HEALTHSTAR PHYSICIANS,MORRISTOWN,TN,37814,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,16,84,89,92.429775281,19.496404494,13.041460674,12.051123596
1013968932,MARGULIES,JERRY,,D.O.,M,I,66 BUCK RD,,HOLLAND,PA,18966,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,27,70,170,78.006941176,8.32,5.4317058824,5.4317058824
1013968932,MARGULIES,JERRY,,D.O.,M,I,66 BUCK RD,,HOLLAND,PA,18966,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,25,16.0972,1.42,0.936,0.936
1013969039,JIMINEZ,VICTOR,K,M.D.,M,I,4704 WHITESBURG DR S,SUITE 100,HUNTSVILLE,AL,358021679,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,5080,0.39,0.13,0.0979074803,0.0979074803
1013969039,JIMINEZ,VICTOR,K,M.D.,M,I,4704 WHITESBURG DR S,SUITE 100,HUNTSVILLE,AL,358021679,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,65,11720,3.9421843003,2.04,1.5766015358,1.5766015358
1013969039,JIMINEZ,VICTOR,K,M.D.,M,I,4704 WHITESBURG DR S,SUITE 100,HUNTSVILLE,AL,358021679,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,885,13.976101695,7.23,5.5650056497,5.5650056497
1013969039,JIMINEZ,VICTOR,K,M.D.,M,I,4704 WHITESBURG DR S,SUITE 100,HUNTSVILLE,AL,358021679,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,510,13,7.88,5.8966862745,5.8966862745
1013969039,JIMINEZ,VICTOR,K,M.D.,M,I,4704 WHITESBURG DR S,SUITE 100,HUNTSVILLE,AL,358021679,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,227,2.5126872247,1.8,1.4111013216,1.4111013216
1013969104,SHAH,ALI,A,MD,M,I,4896 CHAMBERS RD,,DENVER,CO,802395152,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,51,64.854901961,8.32,5.1154901961,5.1154901961
1013969104,SHAH,ALI,A,MD,M,I,4896 CHAMBERS RD,,DENVER,CO,802395152,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,170.47,30.58,23.98,24.603333333
1013969161,BOTWIN,ALLISON,J,M.D.,M,I,340 S FARRELL DR,SUITE A-206,PALM SPRINGS,CA,922627963,US,Physician/Psychiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,513.24315789,79.22,60.330526316,53.727368421
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,57,190,429,62.196270396,8.32,5.6013986014,5.6013986014
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,26,26,11.114615385,3.38,2.3442307692,2.3442307692
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,16.713333333,2.12,1.4473333333,1.4473333333
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,64,92,12.553586957,1.42,1.0065217391,1.0065217391
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,29.660909091,29.660909091,19.047272727,19.075454545
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,132,2.4872727273,2.4872727273,1.5968181818,1.599469697
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,10.919090909,10.919090909,7.0118181818,7.0227272727
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,7.4527272727,6.34,4.0663636364,4.9822727273
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,200,6.312,2.9088,2.2803,2.28125
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,47,6.8268085106,6.44,5.05,5.05
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,2552,0.44,0.44,0.299572884,0.299572884
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,850,0.4417647059,0.27,0.2116,0.2116
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,3.9669230769,3.9669230769,3.1100769231,3.1125
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,487,0.5128336756,0.26,0.2039425051,0.211211499
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,33,492,8.41,8.41,6.4900406504,6.4900406504
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,35,517,3.67,3.67,2.7104642166,2.7104642166
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,13,13,52.425384615,17.915384615,12.955384615,12.983076923
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,53.925454545,10.176363636,7.2618181818,8.32
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,81,6.7722222222,2.0007407407,1.5302469136,1.5512345679
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7260,3.2431487603,0.3,0.2254793388,0.233322314
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,150,45.196153846,30.006153846,30.782307692
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,23,23,181.56608696,50.473913043,33.502608696,33.754782609
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,43.603589744,17.113846154,12.459487179,12.575384615
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,198.068,31.636666667,20.032666667,20.196
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,126.36363636,47.5,37.24,38.508181818
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,45,12.063636364,9.4554545455,9.05
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,312.55803922,73.689411765,54.507843137,51.655490196
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.651,7.4368939394,7.4368939394
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1771,0.1545793337,0.0460079051,0.0282891022,0.0282891022
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,12.86,3.0125882353,2.3618921569,2.3618921569
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,39,39,64.666666667,19.426153846,14.343333333,13.641794872
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,26,27,94.23037037,36.205925926,26.962222222,20.904444444
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,198.12,73.825,57.876666667,53.041666667
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,25.392727273,7.7890909091,5.0918181818,5.7263636364
1013969245,KEARSE,JAMES,C,MD,M,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,97.730769231,33,23.88,23.88
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,22,78,67.023974359,8.32,6.4026923077,6.4026923077
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,26,14.934615385,1.42,1.115,1.115
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,34,34,132.11764706,39.229117647,29.858235294,29.591176471
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,199.54545455,86.541363636,67.852272727,67.750454545
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,11,19,38,80,32.81,25.721842105,25.864473684
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,21,104,47.442307692,15.814038462,11.133942308,10.612307692
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,26,26,156.30769231,56.589230769,42.803461538,41.147692308
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,29,29,47.848275862,19.05,14.443793103,13.576206897
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,42,251,6.6529880478,2.0419920319,1.5656972112,1.5495219124
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,11,13,13,24.923076923,13.97,10.96,10.35
1013969393,MIKOLA,MICHAEL,,MD,M,I,180 WINGO WAY,STSE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,127.65382979,35.40787234,24.198510638,21.615531915
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,61,184,51.906032609,8.32,5.955923913,5.955923913
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,12.565,3.38,2.65,2.65
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,25,53,11.823396226,1.42,1.0722641509,1.0722641509
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,199.29461538,63.982307692,46.536153846,39.559230769
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,84,7.1623809524,2.3928571429,1.6369047619,1.3664285714
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,80.86,19.78375,14.39375,14.462916667
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,103.48363636,41.500909091,32.537272727,34.453636364
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,50,497.2078,75.6144,49.2022,50.9452
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,3400,0.3323823529,0.0451529412,0.0305529412,0.0305529412
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,2069,1.5659835669,0.1348042533,0.0906524891,0.0906524891
1013969401,GRIEVES,KELLY,C,MD,F,I,9911 N NEVADA ST,,SPOKANE,WA,992181298,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,24,24,66,33,21.003333333,21.003333333
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,78,155,48.586451613,8.32,5.4284516129,5.4284516129
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,13.437142857,3.38,1.8928571429,1.8928571429
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,34,41,14.197560976,1.42,0.9531707317,0.9531707317
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,371,125,3.17,2.4854716981,2.3677358491
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5266,3.1280212685,0.32,0.2508868211,0.2430459552
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,59.6375,17.090625,13.39875,13.536875
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,32,418.31125,78.3721875,59.481875,53.750625
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,15,78.436666667,35.31,25.844,27.330666667
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,4147,0.4725126598,0.0465251989,0.0315866892,0.0315866892
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1290,2.8162790698,0.1313953488,0.0861395349,0.0861395349
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1210,11.807471074,3.0145867769,2.2539586777,2.2539586777
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,40,43,65.52627907,21.270465116,16.252790698,14.017209302
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,15,89.529333333,30.55,19.16,16.766
1013969575,KAY,WALTER,J,D.O.,M,I,2724 PARK DR,,CLEARWATER,FL,33763,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,33,33,24.391714286,24.391714286
1013969583,COPPOLA,JOSEPH,P,DO,M,I,5108 TIDEWATER PRESERVE BLVD,,BRADENTON,FL,342085706,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,288.49428571,49.454285714,35.972142857,33.914285714
1013969583,COPPOLA,JOSEPH,P,DO,M,I,5108 TIDEWATER PRESERVE BLVD,,BRADENTON,FL,342085706,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,47,61,84.032459016,17.291803279,13.10852459,13.119508197
1013969583,COPPOLA,JOSEPH,P,DO,M,I,5108 TIDEWATER PRESERVE BLVD,,BRADENTON,FL,342085706,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,55,69,471.76202899,73.900869565,54.62884058,52.40057971
1013969583,COPPOLA,JOSEPH,P,DO,M,I,5108 TIDEWATER PRESERVE BLVD,,BRADENTON,FL,342085706,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,34,146.25,20.053235294,15.722058824,14.905
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,48,137,65.341970803,8.32,6.0457664234,6.0457664234
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,30,14.603,1.42,1.1146666667,1.1146666667
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,36,69,7.0301449275,1.51,1.1508695652,1.1239130435
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.24,0.97,0.9609090909
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,62,83.574677419,14.71,11.144193548,11.505
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,15,341.85066667,56,43.9,42.86
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,13,110.09692308,10.813846154,8.4784615385,9.12
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,20,91,14.737472527,2.0838461538,1.6331868132,1.5915384615
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,9.87,7.8116666667,6.1233333333,7.1733333333
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,53,55.257924528,17.5,13.202264151,13.066415094
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,23,88.656521739,13.458695652,10.548695652,10.482608696
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,24,54.9625,4.2233333333,2.4866666667,2.9229166667
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,23,279.83,32.173913043,23.179130435,23.03826087
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,76,401.29263158,77.852631579,57.105131579,51.557105263
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,46,9986,0.2420558782,0.0460424594,0.0360975366,0.0360975366
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,2430,1.4763786008,0.1354567901,0.1039465021,0.1039465021
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,2250,10.1364,2.9972133333,2.2860622222,2.2860622222
1013969625,GRANDLE,SUSAN,B,"ARNP, PHD.",F,I,5622 N PORTLAND AVE,#102,OKLAHOMA CITY,OK,731122096,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,73,73,94.02739726,33,25.515616438,25.515616438
1013969732,PIRRALLO,RONALD,G,MD,M,I,701 GROVE RD,,GREENVILLE,SC,296054210,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,142.08818182,17.705454545,13.876363636,14.286363636
1013969732,PIRRALLO,RONALD,G,MD,M,I,701 GROVE RD,,GREENVILLE,SC,296054210,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,74.471818182,6.9581818182,5.4527272727,6.7118181818
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,49,137,48.380583942,8.32,5.7132116788,5.7132116788
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,15.333333333,3.38,2.4733333333,2.4733333333
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,15,35,59,12.670508475,1.42,0.9810169492,0.9810169492
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,32,103.2325,21.615625,16.013125,13.060625
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,3775.52,1074.31,830.79722222,830.79722222
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,864.64,121.2685,95.07,69.3965
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,135.73714286,8.0685714286,6.3242857143,3.86
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,104,104,575.29461538,101.45884615,74.558365385,54.121442308
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1776,0.9783671171,0.1375394144,0.0904335586,0.0904335586
1013969757,SINGH,DILBAGH,,MD,M,I,6 NORTH CENTER STREET,,BRADFORD,PA,16701,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,56.76,33,22.7656,22.7656
1013969765,BLANK,SETH,D,MD,M,I,144 STATE ST,THIRD FLOOR,PORTLAND,ME,041013776,US,Physician/Thoracic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,57.85,32.067142857,25.14,19.462142857
1013969765,BLANK,SETH,D,MD,M,I,144 STATE ST,THIRD FLOOR,PORTLAND,ME,041013776,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,301.565,111.77,87.631428571,54.73
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,44,110,309,70.451359223,8.32,5.9186407767,5.9186407767
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,16,15.9375,3.38,2.31875,2.31875
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,26,50,88,15.767727273,1.42,1.0254545455,1.0254545455
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,32,75.27125,70.9925,52.214375,52.5503125
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,78,34.853846154,28.904615385,22.23525641,22.397435897
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,16,31,7.9277419355,2.1774193548,1.7074193548,1.194516129
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,348.71764706,124.44411765,89.127647059,62.326470588
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,41,154.62512195,47.268780488,34.723658537,24.684146341
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,66.513076923,25.286923077,19.823846154,14.648461538
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,85.010909091,20.039090909,15.704545455,10.145454545
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,90,10.060888889,3.0933333333,2.4257777778,1.6832222222
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,39.733333333,7.37,5.778,4.1943611111
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4104,2.7543859649,0.485,0.363501462,0.275952729
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3840,0.8887473958,0.4,0.3072552083,0.2366927083
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,30,15.971538462,11.769230769,8.9438461538
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,11,37,37,181.36972973,73.797837838,50.558648649,34.716216216
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,95,96,74.2703125,22.354375,16.436458333,12.7315625
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3100,1074.31,833.36916667,833.36916667
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,155.88,7.93,5.854,3.5175
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,288.75,49.83,36.200833333,22.728333333
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,108.47142857,67.205714286,50.932380952,37.363809524
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,40.003846154,14.747692308,11.562307692,9.5346153846
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,23,173,179,439.18201117,100.72871508,74.323910615,51.496759777
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,22,207.95454545,45.444545455,35.630909091,30.167272727
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,13.94,11.129571429,8.5548214286,8.5548214286
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,52,10310,0.3074403492,0.0458380213,0.0324597478,0.0324597478
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,39,5070,1.1127968442,0.134739645,0.0981183432,0.0981183432
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1560,12.774352564,3.0083076923,2.3585384615,2.3585384615
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,0.75,0.2188571429,0.171547619,0.171547619
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,60.326923077,25.929230769,18.113076923,13.432307692
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,145,37.024545455,29.029090909,26.398181818
1013969849,DARTT,RICHARD,M,M.D.,M,I,106 COMMERCIAL DR,,HARRODSBURG,KY,403301084,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,91,91,95.010989011,33,23.717472527,23.717472527
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,42,114,412,71.720364078,8.315631068,5.9155582524,5.9189805825
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,42,65,20.948615385,1.42,0.9955384615,0.9955384615
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,80,81,33.68654321,16.673209877,11.948518519,12.374320988
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,17.362222222,4.9730555556,3.9013888889,3.7052777778
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,111,114,186.67438596,79.2,58.27745614,52.596052632
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,16,3388,1.7456404959,0.128066706,0.0778896104,0.0778896104
1013969898,AHMED,SYED,B,M.D.,M,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,40.845,20.0685,14.714,13.157
1013969906,THOMPSON,CANDACE,L,D.O.,F,I,9E DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,38,75.602368421,8.32,5.8344736842,5.8344736842
1013969906,THOMPSON,CANDACE,L,D.O.,F,I,9E DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,409.28666667,94.58,74.15,68.365833333
1013969906,THOMPSON,CANDACE,L,D.O.,F,I,9E DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,163.36857143,35,27.44,26.026428571
1013969906,THOMPSON,CANDACE,L,D.O.,F,I,9E DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,69.73,12.08,9.47,9.145
1013969906,THOMPSON,CANDACE,L,D.O.,F,I,9E DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,108,8.9905555556,2.3,1.7361111111,1.5361111111
1013969906,THOMPSON,CANDACE,L,D.O.,F,I,9E DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,129.28,17.62,11.882666667,12.598666667
1013969930,BOYNTON,CYNTHIA,S,M.D.,F,I,1540 LAKE LANSING RD,STE 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,27,111,61.813333333,8.32,6.5224324324,6.5224324324
1013969930,BOYNTON,CYNTHIA,S,M.D.,F,I,1540 LAKE LANSING RD,STE 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.65,2.65
1013969930,BOYNTON,CYNTHIA,S,M.D.,F,I,1540 LAKE LANSING RD,STE 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,36,15.565833333,1.42,1.1144444444,1.1144444444
1013969930,BOYNTON,CYNTHIA,S,M.D.,F,I,1540 LAKE LANSING RD,STE 201,LANSING,MI,489123756,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,350,69.81,46.5205,46.5205
1013969997,RIDENOUR,RYAN,R,DO,M,I,1800 E PARK AVE,,STATE COLLEGE,PA,168036709,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,2500,1074.31,842.26,842.26
1013969997,RIDENOUR,RYAN,R,DO,M,I,1800 E PARK AVE,,STATE COLLEGE,PA,168036709,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,242.85714286,68.328571429,53.576428571,54.147857143
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,51,114,289,54.761314879,8.32,6.3183391003,6.3183391003
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,12.144615385,3.38,2.4461538462,2.4461538462
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,29,52,76,12.647894737,1.42,1.1013157895,1.1013157895
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,15.75,10.977777778,12.052222222
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,50.73,5.6184210526,3.9747368421,3.26
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,40,519.51,70,51.183,51.05925
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1980,5.4770151515,0.7395454545,0.5262828283,0.5262828283
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,34,5309,0.2353682426,0.0454115653,0.0324788096,0.0324788096
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.6,22.425,17.5825,21.6225
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,8.46,6.8775,5.3925,6.6725
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,17.109090909,17.109090909
1013970086,GILIBERTI,ROCCO,A,D.O.,M,I,2911 HIGHWAY 88,SUITE B3,POINT PLEASANT BEACH,NJ,087422871,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,111,33,23.660909091,23.660909091
1013970151,MERANDA,JOHN,R,MD,M,I,167 W MAIN RD STE G,,CONNEAUT,OH,440302057,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,17,47,84,64.74202381,8.32,5.9788095238,5.9788095238
1013970151,MERANDA,JOHN,R,MD,M,I,167 W MAIN RD STE G,,CONNEAUT,OH,440302057,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,17,11.202352941,1.42,1.0529411765,1.0529411765
1013970151,MERANDA,JOHN,R,MD,M,I,167 W MAIN RD STE G,,CONNEAUT,OH,440302057,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,21.656666667,15.648333333,12.612777778
1013970151,MERANDA,JOHN,R,MD,M,I,167 W MAIN RD STE G,,CONNEAUT,OH,440302057,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,7.7385714286,5.2871428571,2.8957142857
1013970151,MERANDA,JOHN,R,MD,M,I,167 W MAIN RD STE G,,CONNEAUT,OH,440302057,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,64,70,519.51,100.788,70.309857143,47.825285714
1013970151,MERANDA,JOHN,R,MD,M,I,167 W MAIN RD STE G,,CONNEAUT,OH,440302057,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1830,1.1192240437,0.1341311475,0.0901147541,0.0901147541
1013970151,MERANDA,JOHN,R,MD,M,I,167 W MAIN RD STE G,,CONNEAUT,OH,440302057,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,66,33,20.121111111,20.121111111
1013970185,KLEIST,PAUL,C,MD,M,I,3824 NORTHERN PIKE,STE 525,MONROEVILLE,PA,151462141,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,97.595,38,24.825,25.553333333
1013970185,KLEIST,PAUL,C,MD,M,I,3824 NORTHERN PIKE,STE 525,MONROEVILLE,PA,151462141,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,50.376666667,18.15,14.23,14.06
1013970185,KLEIST,PAUL,C,MD,M,I,3824 NORTHERN PIKE,STE 525,MONROEVILLE,PA,151462141,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,99,9.0418181818,2,1.5683838384,1.5919191919
1013970185,KLEIST,PAUL,C,MD,M,I,3824 NORTHERN PIKE,STE 525,MONROEVILLE,PA,151462141,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,29,167.1062069,34.057241379,25.84,24.23862069
1013970193,WALTER,HARRY,J,D.O.,M,I,8380 ZUNI ST,SUITE 200,WESTMINSTER,CO,802214778,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.6825,8.6825,5.675,5.6825
1013970193,WALTER,HARRY,J,D.O.,M,I,8380 ZUNI ST,SUITE 200,WESTMINSTER,CO,802214778,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,13.7875,13.7875,9.0166666667,9.02875
1013970193,WALTER,HARRY,J,D.O.,M,I,8380 ZUNI ST,SUITE 200,WESTMINSTER,CO,802214778,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.92,10.92,7.8558333333,7.8658333333
1013970193,WALTER,HARRY,J,D.O.,M,I,8380 ZUNI ST,SUITE 200,WESTMINSTER,CO,802214778,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.4533333333,7.4533333333,5.3625,5.3691666667
1013970193,WALTER,HARRY,J,D.O.,M,I,8380 ZUNI ST,SUITE 200,WESTMINSTER,CO,802214778,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,1.7983333333,1.7983333333,1.2575,1.2591666667
1013970326,BOMBER,JEFFREY,W,D.O.,M,I,1725 WESTERN AVE,SUITE A,FINDLAY,OH,458401345,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,50,21.904,8.32,6.0008,6.0008
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,48,141,328,56.879603659,8.32,5.8339939024,5.8339939024
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,14.635384615,3.38,2.4461538462,2.4461538462
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,30,35,14.707428571,1.42,0.9902857143,0.9902857143
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,73,14.164931507,10.86260274,8.515890411,8.515890411
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,26,26,109.06423077,41.231923077,29.311538462,28.070769231
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,290.20375,96.37875,75.5625,73.029375
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,33,134.00787879,35.592121212,24.661212121,24.498484848
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,64,92.815,21.2215625,14.9790625,13.03
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,64,74.57125,16.53421875,12.87453125,11.8078125
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,20,31,31,207.66806452,59.168387097,43.663870968,40.056774194
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,28,34,34,83.983823529,19.818529412,14.288235294,13.357647059
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,60.873333333,13.963333333,10.412777778,9.2811111111
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,29,48,234,10.198888889,2.2453846154,1.5281623932,1.4115384615
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,46.067333333,13.398666667,9.8233333333,9.66
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,20,4.08,3.1986666667,3.2413939394
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4950,5.62,1.24,0.9515474747,0.9301737374
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,14,61,61,31.40704918,14.448196721,10.482295082,9.962295082
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,44.403333333,4.0986666667,2.574,2.9946666667
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,17,83,83,189.15662651,36.311686747,25.758313253,24.053855422
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,11,11,11,42.061818182,40.840909091,28.623636364,49.08
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120.18,42.721818182,33.494545455,35.467272727
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,74,74,441.4627027,80.83,60.543513514,52.576621622
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,100,16.37,7.5529411765,7.8417647059
1013970342,FOSTER MEDICAL CORP,TERRANCE,J,M.D.,M,I,274 COHASSET RD,SUITE100,CHICO,CA,959262236,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25.3,8.4381818182,6.6154545455,6.3463636364
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,79,362,633,73.680963665,8.32,5.5491943128,5.5491943128
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,8.4975,3.38,2.65,2.65
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,32,83,102,18.123627451,1.42,1.0521568627,1.0521568627
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,2.6,1.73,1.3563333333,1.5790833333
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,29,58,4.5648275862,1.9806896552,1.5132758621,1.1112068966
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,13,18,18,275,120.43444444,92.008888889,70.083888889
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,11,25,25,102,45.966,36.036,26.5216
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,171,70.675,51.480833333,43.556666667
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,22,25,25,58,24.2416,17.4592,14.0032
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,19,22,22,60,19.539545455,15.316818182,10.171818182
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,19.75,7.4915384615,5.5241025641,3.8717179487
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3084,0.8,0.485,0.3778891051,0.287733463
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,59.85,21.985,16.169285714,12.563571429
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,50,50,36,17.548,13.0632,9.3786
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,56,56,93.642857143,54.302857143,41.346428571,25.420178571
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,95,95,276,99.564,71.467157895,49.041157895
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,48,48,225,44.745,33.02875,28.863125
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.5890138889,8.5890138889
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,3055,0.5208052373,0.0475744681,0.0346055646,0.0346055646
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1200,2.1073333333,0.14155,0.1109583333,0.1109583333
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,12.86,3.0385882353,2.3822745098,2.3822745098
1013970532,ANDERSON,PATRICIA,W,MD,F,I,938 2ND AVE W,,DICKINSON,ND,586013916,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,41,41,74.048780488,33,25.23902439,25.23902439
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,43,58.003255814,8.32,5.7646511628,5.7646511628
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,85,10.584352941,2.02,1.4092941176,1.4163529412
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,68.821818182,17.09,10.963636364,11.008181818
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,185.76388889,4,2.97,3.3538888889
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,583.73333333,31.181666667,16.644444444,16.784444444
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,65,65,535.39630769,65.7,47.526769231,50.313692308
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,113,37.64,29.51,29.51
1013970540,KORDUS,MICHAEL,J,MD,M,I,2859 STATE ST,SUITE 101,MEDFORD,OR,975048495,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.64,29.51,29.51
1013970565,PETRI PICKSTONE,BENITA,M,MD,F,I,920 N HAMILTON RD,SUITE 300,GAHANNA,OH,432301757,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,72,208,64.349711538,8.32,5.6302884615,5.6302884615
1013970565,PETRI PICKSTONE,BENITA,M,MD,F,I,920 N HAMILTON RD,SUITE 300,GAHANNA,OH,432301757,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1013970565,PETRI PICKSTONE,BENITA,M,MD,F,I,920 N HAMILTON RD,SUITE 300,GAHANNA,OH,432301757,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,31,61,14.505245902,1.42,0.9675409836,0.9675409836
1013970565,PETRI PICKSTONE,BENITA,M,MD,F,I,920 N HAMILTON RD,SUITE 300,GAHANNA,OH,432301757,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,495.05388889,79.3,58.716111111,54.582777778
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,29,108,266,65.436616541,8.32,5.805112782,5.805112782
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,20,54,80,13.232375,1.42,1.01725,1.01725
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,18,33,5.16,1.5463636364,1.1763636364,1.1157575758
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,155.05125,58.998125,41.636875,38.221875
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,58.410588235,18.668823529,13.804705882,13.230588235
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,22,22,53.872272727,12.944090909,9.6922727273,8.6959090909
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,26,151,7.3354966887,2.1264238411,1.5348344371,1.4659602649
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.221666667,5.91,4.2533333333,4.27
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,48.6,19.9192,15.0168,13.2312
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,93,93,21.935483871,5.095483871,3.5724731183,3.2253763441
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,302.92510638,34.222978723,23.574893617,21.533829787
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,12,98,98,399.8722449,83.693979592,62.133367347,53.072857143
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,76,39.306,30.814,30.931333333
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,17,42,11952,0.3182304217,0.0470138889,0.0347029786,0.0347029786
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,19,1979,1.7331177362,0.1319403739,0.0813996968,0.0813996968
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,16,786,1.8040458015,0.2198346056,0.1723536896,0.1723536896
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,143,19.931428571,15.627142857,14.429285714
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,134.04444444,39.678888889,30.01962963,28.414814815
1013970573,WEISS,ANNE,M,FNP C,F,I,525 AMHERST ST,SUITE 104,WINCHESTER,VA,226013881,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,25,66,66,64.5,33,23.126212121,23.126212121
1013970763,RONAGHAN,CATHERINE,A,M.D.,F,I,3202 21ST ST,,LUBBOCK,TX,794101430,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,22.4775,16.3775,12.904166667
1013970805,SINGH,ANIL,,M.D.,M,I,1101 W UNIVERSITY DR,,ROCHESTER,MI,483071863,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,48.947368421,5.4531578947,4.2747368421,3.5568421053
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,35,71,227,71.099207048,8.32,5.4027312775,5.4027312775
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,25,34,11.253529412,1.42,0.9508823529,0.9508823529
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,178.19789474,38.48,28.572631579,28.888947368
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,61,77.13,15.06,11.806721311,11.891967213
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,298.87454545,51.64,40.100909091,42.480909091
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,82.14125,16.84,13.2,13.9525
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,23,128,12.8990625,2,1.568359375,1.591484375
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,30.494545455,5.58,4.37,4.6245454545
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,13,81.75,13.446923077,10.538461538,10.493846154
1013970847,DAVIS BROWN,ANGELA,D,M.D.,F,I,2600 GLASGOW AVE,SUITE 124,NEWARK,DE,197024773,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,49,51,199.45647059,30.954901961,20.121568627,20.821960784
1013970896,DRUCK,JENNIFER,R,PAC,F,I,141 E EMAUS AVE,,ALLENTOWN,PA,181035824,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,42,53.051666667,8.32,6.2114285714,6.2114285714
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,87,11417,0.4156389594,0.1296216169,0.0977936411,0.0977936411
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,106,3.738490566,2.49,1.9153773585,1.9153773585
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,29,17.437931034,13.8,10.073793103,10.073793103
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,25,134,22102,4.5940485024,1.8283711881,1.3847801104,1.5351018007
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,63,10375,10.301439036,7.2064009639,5.5366255422,5.5505021687
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,13,40,83,17.372168675,9.7402409639,7.2712048193,8.133253012
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,67,10.408208955,7.46,5.4994029851,5.4994029851
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,116,3.5834482759,1.8,1.4106034483,1.4106034483
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,305,21.789639344,9.58,7.5106885246,7.5106885246
1013970920,LUDEMAN,DOUGLAS,H,M.D.,M,I,9101 STONY POINT DR,,RICHMOND,VA,23235,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,430,7.6875116279,4.04,3.1673953488,3.1673953488
1013971027,KIM,PAUL,J,DPM,M,I,1801 INWOOD ROAD,,DALLAS,TX,753902113,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,27,27,54,111,71.56,53.163333333,53.161111111
1013971027,KIM,PAUL,J,DPM,M,I,1801 INWOOD ROAD,,DALLAS,TX,753902113,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,25,25,92,182,43.56,34.150978261,34.149021739
1013971027,KIM,PAUL,J,DPM,M,I,1801 INWOOD ROAD,,DALLAS,TX,753902113,US,Podiatry,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,2640,0.0968901515,0.05,0.0392007576,0.0392007576
1013971027,KIM,PAUL,J,DPM,M,I,1801 INWOOD ROAD,,DALLAS,TX,753902113,US,Podiatry,S,L5000,"Partial foot, shoe insert with longitudinal arch, toe filler",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,11,739,538.88,422.48,424.98363636
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,22,53,4760,0.241302521,0.1189285714,0.0918571429,0.0921554622
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,960,0.55,0.44,0.345,0.345
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,225,26.6872,23.66,18.549466667,18.549466667
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,15,648,9.6670987654,7.9317283951,6.2184876543,6.2184876543
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,465,21.49,18.5,13.755053763,13.755053763
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,80,9.16,8.26,6.475125,6.475125
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,264,27.016363636,22.42,17.395075758,17.395075758
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,34,409,13.178875306,10.93,8.5063080685,8.5063080685
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,4720,0.101779661,0.05,0.0392033898,0.0392033898
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,15,37,2042,4.4971547502,3.67,2.8632125367,2.8632125367
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,14,661,8.3478517398,7.13,5.5899092284,5.5899092284
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,20,3150,0.16,0.13,0.1019142857,0.1019142857
1013971092,GORDON,DONAL,K,MD,M,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,36,5194,0.5421409318,0.4497400847,0.3434828648,0.3436676935
1013971142,WILLIAMS,DONNETTE,F,M.D.,F,I,21 HOSPITAL DR,SUITE 290,PALM COAST,FL,321642452,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,56,118,58.993474576,8.32,6.1338135593,6.1338135593
1013971142,WILLIAMS,DONNETTE,F,M.D.,F,I,21 HOSPITAL DR,SUITE 290,PALM COAST,FL,321642452,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,17.692307692,3.38,2.65,2.65
1013971142,WILLIAMS,DONNETTE,F,M.D.,F,I,21 HOSPITAL DR,SUITE 290,PALM COAST,FL,321642452,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,36,43,12.67372093,1.42,1.04,1.04
1013971142,WILLIAMS,DONNETTE,F,M.D.,F,I,21 HOSPITAL DR,SUITE 290,PALM COAST,FL,321642452,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,34.678181818,27.183636364,25.641818182
1013971142,WILLIAMS,DONNETTE,F,M.D.,F,I,21 HOSPITAL DR,SUITE 290,PALM COAST,FL,321642452,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,519.51,79.2,54.785294118,49.157058824
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,27,63,149,64.09557047,8.32,6.0842281879,6.0842281879
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,20,24,11.011666667,1.42,1.1183333333,1.1183333333
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,6.4,1.09,0.85,0.95
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,34,67.349117647,18.2,14.269117647,14.485
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,21,78,7.0251282051,2,1.3935897436,1.4135897436
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,329,60.634164134,2.99,2.3440121581,2.3665957447
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4093,1.8661861715,0.3533667237,0.2770486196,0.2900903982
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,63.613043478,17,13.33,13.530869565
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,43.98,4.2375,3.3191666667,3.66
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,77.876666667,32.4225,23.46,23.38
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,31.901578947,9.0384210526,6.3473684211,6.8357894737
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,331.54,77.005925926,58.159259259,52.909259259
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1498,0.9551268358,0.1347930574,0.1057076101,0.1057076101
1013971191,MAHAFFEY,ROBERT,M,MD,M,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,99,33,25.87,25.87
1013971225,TANNA,BHAVNA,N,M.D.,F,I,601 W TERRELL AVE,,FORT WORTH,TX,76104,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,465,125,3,2.1951397849,2.2090967742
1013971225,TANNA,BHAVNA,N,M.D.,F,I,601 W TERRELL AVE,,FORT WORTH,TX,76104,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4464,3,0.38,0.2821236559,0.2749283154
1013971266,MALONEY,MICHAEL,C,O.D.,M,I,2601 S TAMIAMI TRL,,SARASOTA,FL,342394504,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,31,31,31,174.93548387,75.848064516,51.575806452,45.527096774
1013971266,MALONEY,MICHAEL,C,O.D.,M,I,2601 S TAMIAMI TRL,,SARASOTA,FL,342394504,US,Optometry,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,22,51.045454545,32.88,25.77,28.248636364
1013971266,MALONEY,MICHAEL,C,O.D.,M,I,2601 S TAMIAMI TRL,,SARASOTA,FL,342394504,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,28,99,67.955714286,47.397857143,48.222857143
1013971316,RISINGER,RANDALL,J,MD,M,I,277 MIDDLE TPKE W,,MANCHESTER,CT,06040,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,995,852.29888889,641.82555556,651.50222222
1013971316,RISINGER,RANDALL,J,MD,M,I,277 MIDDLE TPKE W,,MANCHESTER,CT,06040,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,18,90,70.94,48.617222222,40.368333333
1013971316,RISINGER,RANDALL,J,MD,M,I,277 MIDDLE TPKE W,,MANCHESTER,CT,06040,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,395,329.05714286,252.94285714,221.67142857
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,120,4.176,3,2.352,2.7333333333
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,32,32,1258.12,19.71,15.45,15.45
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,34,234,613.75145299,37.38,29.305726496,29.305726496
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,43,1302,7.9850537634,7.3388940092,5.6434331797,5.6678110599
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,1080,3.144,2.52,1.9756666667,2.2919166667
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,4.1090909091,4.1090909091,3.2190909091,3.2909090909
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,32,934,5.7708351178,5.23,4.1003319058,4.1003319058
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,2200,0.05,0.05,0.0392,0.0392
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,23,54,8.2955555556,7.4577777778,5.8462962963,6.3746296296
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,49,3.9228571429,3.8934693878,3.0542857143,3.3334693878
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,32,621,4.3701288245,3.81,2.9870531401,2.9870531401
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,944,14,4.82,3.7786652542,4.0774364407
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,7573,0.8037396012,0.36,0.2822514195,0.2884827677
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,7588,0.6607366895,0.3,0.2351937269,0.2415432261
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3452,1.4525782155,0.61,0.4782473928,0.5028679027
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,19,19,130,58.6,45.94,47.818947368
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,129.599375,41.31,30.365625,33.2275
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,28,28,141.80928571,47.742142857,36.224642857,37.398928571
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,119.61545455,43.972727273,28.295454545,29.112727273
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1052.3527273,1052.0390909,824.79454545,842.25454545
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,30,5.03,3.94,3.9480645161
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,24.01,9.6270967742,7.5470967742,9.1570967742
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,23,262.11304348,75.107826087,56.977826087,53.230869565
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,1243,193.05049879,1.5473209976,1.2130651649,1.2130651649
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,68,68,63.329264706,15.536911765,11.592352941,13.716176471
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,119.34,21.2884,15.0044,19.4432
1013971498,BUDDHAVARAPU,RAJASEKHAR,,M.D.,M,I,425 GRAND STREET,,NEW YORK,NY,10002,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,67,67,19.121940299,6.8432835821,4.9586567164,6.2326865672
1013971563,WISTER,MILAN,,M.D.,M,I,1838 GREENE TREE RD,SUITE 535,PIKESVILLE,MD,212086391,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,43,101,55.190693069,8.32,6.3292079208,6.3292079208
1013971563,WISTER,MILAN,,M.D.,M,I,1838 GREENE TREE RD,SUITE 535,PIKESVILLE,MD,212086391,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1013971563,WISTER,MILAN,,M.D.,M,I,1838 GREENE TREE RD,SUITE 535,PIKESVILLE,MD,212086391,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,24,35,14.916571429,1.42,1.0834285714,1.0834285714
1013971563,WISTER,MILAN,,M.D.,M,I,1838 GREENE TREE RD,SUITE 535,PIKESVILLE,MD,212086391,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,70,44.787272727,35.112727273,36.307272727
1013971563,WISTER,MILAN,,M.D.,M,I,1838 GREENE TREE RD,SUITE 535,PIKESVILLE,MD,212086391,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,125.26857143,17.46,13.364047619,13.224761905
1013971563,WISTER,MILAN,,M.D.,M,I,1838 GREENE TREE RD,SUITE 535,PIKESVILLE,MD,212086391,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,52,474.05365385,82,63.053653846,54.229038462
1013971597,GONZAGA,FE,Q,MD,F,I,529 W WHEATLAND RD,,DUNCANVILLE,TX,75137,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,2.6963636364,0.51,0.4,0.4
1013971597,GONZAGA,FE,Q,MD,F,I,529 W WHEATLAND RD,,DUNCANVILLE,TX,75137,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,30,65,226,43.443362832,8.32,6.3540707965,6.3540707965
1013971597,GONZAGA,FE,Q,MD,F,I,529 W WHEATLAND RD,,DUNCANVILLE,TX,75137,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,22,37,37,12.932702703,3.38,2.65,2.65
1013971597,GONZAGA,FE,Q,MD,F,I,529 W WHEATLAND RD,,DUNCANVILLE,TX,75137,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,18,21,21,23.007619048,2.12,1.67,1.67
1013971597,GONZAGA,FE,Q,MD,F,I,529 W WHEATLAND RD,,DUNCANVILLE,TX,75137,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,27,58,98,14.168163265,1.42,1.1021428571,1.1021428571
1013971597,GONZAGA,FE,Q,MD,F,I,529 W WHEATLAND RD,,DUNCANVILLE,TX,75137,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,5.58,6.4225,5.035,3.7658333333
1013971597,GONZAGA,FE,Q,MD,F,I,529 W WHEATLAND RD,,DUNCANVILLE,TX,75137,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,99.45,30.084210526,23.585263158,22.205263158
1013971621,REILLY,ELIZABETH,A,DPM,F,I,300 PASTEUR DR,,PALO ALTO,CA,943052200,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,111,71.56,56.105,56.105
1013971621,REILLY,ELIZABETH,A,DPM,F,I,300 PASTEUR DR,,PALO ALTO,CA,943052200,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,84,182,43.56,34.151666667,34.15
1013971621,REILLY,ELIZABETH,A,DPM,F,I,300 PASTEUR DR,,PALO ALTO,CA,943052200,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,19,976,701.31,549.83,561.19315789
1013971621,REILLY,ELIZABETH,A,DPM,F,I,300 PASTEUR DR,,PALO ALTO,CA,943052200,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,14,536.66142857,475.12,372.49785714,310.41571429
1013971621,REILLY,ELIZABETH,A,DPM,F,I,300 PASTEUR DR,,PALO ALTO,CA,943052200,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,16,137.82375,105.08,77.1,65.08625
1013971654,LONG,RONALD,M,M.D.,M,I,1208 PARKWAY DR,SUITE C,GOLDSBORO,NC,275349432,US,Physician/Anesthesiology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,52,19.852727273,15.565454545,14.395454545
1013971654,LONG,RONALD,M,M.D.,M,I,1208 PARKWAY DR,SUITE C,GOLDSBORO,NC,275349432,US,Physician/Anesthesiology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36,11.266666667,8.8341666667,6.9383333333
1013971654,LONG,RONALD,M,M.D.,M,I,1208 PARKWAY DR,SUITE C,GOLDSBORO,NC,275349432,US,Physician/Anesthesiology,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,689.5,257.63,195.60416667,164.00833333
1013971654,LONG,RONALD,M,M.D.,M,I,1208 PARKWAY DR,SUITE C,GOLDSBORO,NC,275349432,US,Physician/Anesthesiology,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,33,1992.0033333,1326.2863636,1036.7493939,883.43878788
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,26880,1.3260398065,1.2443035714,0.9755334821,0.9755334821
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,76,138,33557,0.5200840361,0.5151661352,0.4034731949,0.4035333909
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,71,128,85550,0.060161543,0.0132385739,0.0102634717,0.0102634717
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,70,192,45836,0.5571504931,0.5571504931,0.432883105,0.4341646304
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,11,25,5640,4.360537234,2.7633617021,2.0901595745,2.0901595745
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,1,43,43,43,50,50,39.2,39.2
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,51,127,127,24,24,18.82,18.82
1013971670,KNECHTLE,STUART,J,MD,M,I,5105 WMB,101 WOODRUFF CIRCLE,ATLANTA,GA,303220001,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,86,253,341,16,16,12.54,12.54
1013971803,HUTCHISON,JULIEANNE,B,"MSN, ACNP, RN",F,I,3601 TVC,,NASHVILLE,TN,372325100,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,38,16.942894737,10.204473684,8.0002631579,8.5702631579
1013971803,HUTCHISON,JULIEANNE,B,"MSN, ACNP, RN",F,I,3601 TVC,,NASHVILLE,TN,372325100,US,Nurse Practitioner,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,25,16.1872,4.1,3.2132,3.2132
1013971803,HUTCHISON,JULIEANNE,B,"MSN, ACNP, RN",F,I,3601 TVC,,NASHVILLE,TN,372325100,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,360,8.4023333333,5.74,4.4105,4.4105
1013971803,HUTCHISON,JULIEANNE,B,"MSN, ACNP, RN",F,I,3601 TVC,,NASHVILLE,TN,372325100,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,480,12.1475,7,5.2593333333,5.2593333333
1013971803,HUTCHISON,JULIEANNE,B,"MSN, ACNP, RN",F,I,3601 TVC,,NASHVILLE,TN,372325100,US,Nurse Practitioner,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,600,5.7608,4.04,3.0722666667,3.0722666667
1013971803,HUTCHISON,JULIEANNE,B,"MSN, ACNP, RN",F,I,3601 TVC,,NASHVILLE,TN,372325100,US,Nurse Practitioner,S,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,38,13.766315789,1.5515789474,1.2160526316,1.2621052632
1013971803,HUTCHISON,JULIEANNE,B,"MSN, ACNP, RN",F,I,3601 TVC,,NASHVILLE,TN,372325100,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,475,0.6915368421,0.2557894737,0.2005684211,0.2116631579
1013971852,HUSAIN,KHURSHID,,M.D.,M,I,1245 FOREST HILL DR,,MARION,OH,433026529,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,35,45.039142857,8.32,6.15,6.15
1013971852,HUSAIN,KHURSHID,,M.D.,M,I,1245 FOREST HILL DR,,MARION,OH,433026529,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,920,165.67909091,125.88454545,91.988181818
1013972009,BASU,SANDEEP,K,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,34,2436,37.145336617,4.9800328407,3.8535591133,3.8535591133
1013972009,BASU,SANDEEP,K,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,38,38,24,24,18.82,18.82
1013972009,BASU,SANDEEP,K,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,16,16,12.54,12.54
1013972058,GELFAND,JONATHAN,L,M.D.,M,I,205 RHYLE LN,,BALA CYNWYD,PA,190042323,US,Physician/Hospice and Palliative Care,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,204.68928571,45,35.28,37.63
1013972058,GELFAND,JONATHAN,L,M.D.,M,I,205 RHYLE LN,,BALA CYNWYD,PA,190042323,US,Physician/Hospice and Palliative Care,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,278.25166667,75.741111111,52.658888889,48.964444444
1013972322,HOFFMAN,DAVID,S,M.D.,M,I,803 SPRINGFIELD AVE,,SUMMIT,NJ,079015110,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,60.62,60.62,47.53,52.81
1013972322,HOFFMAN,DAVID,S,M.D.,M,I,803 SPRINGFIELD AVE,,SUMMIT,NJ,079015110,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,20,66.67,66.67,52.27,43.557
1013972413,MILES,DAWN,S,DPM,F,I,320 ZEAGLER DR,STE B,PALATKA,FL,32177,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,830,0.2684337349,0.12,0.0940481928,0.0940481928
1013972413,MILES,DAWN,S,DPM,F,I,320 ZEAGLER DR,STE B,PALATKA,FL,32177,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,66,105.21212121,71.56,56.109393939,56.101515152
1013972413,MILES,DAWN,S,DPM,F,I,320 ZEAGLER DR,STE B,PALATKA,FL,32177,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,13,540,4.6061111111,1.97,1.5444074074,1.5444074074
1013972413,MILES,DAWN,S,DPM,F,I,320 ZEAGLER DR,STE B,PALATKA,FL,32177,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,117,66,43.56,34.15,34.147179487
1013972413,MILES,DAWN,S,DPM,F,I,320 ZEAGLER DR,STE B,PALATKA,FL,32177,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,385.85,266.98,201.3865,209.6455
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,43,129,229,64.732358079,8.32,5.6307860262,5.6307860262
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,38,40,15.65275,1.42,0.938,0.938
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,33,3316,0.44,0.44,0.3449788902,0.3449788902
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,28,50,961,8.28,8.28,6.4916024974,6.4916024974
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,23,503,18.5,18.5,14.503996024,14.503996024
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,288,3.79,3.79,2.9714583333,2.9714583333
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,307,22.42,22.42,17.378013029,17.378013029
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,23,43,472,10.93,10.93,8.4758262712,8.4758262712
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,191,7.36,7.36,5.4681675393,5.4681675393
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,26,542,3.67,3.67,2.8773431734,2.8773431734
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1100,0.13,0.13,0.1019181818,0.1019181818
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,37,3820,0.45,0.45,0.3528193717,0.3528193717
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,179.37785714,33.48,23.021785714,22.703571429
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,12,12,72.021666667,17.88,12.8425,12.893333333
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,23,118,9.74,2.01,1.4169491525,1.4328813559
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,24,29,77.738965517,19.496551724,13.785517241,12.130344828
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,35,182.01114286,32.737714286,23.85,23.499714286
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,152.84,49.952727273,39.16,38.555454545
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,64,501.3746875,76.490625,56.945,52.43140625
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.44,29.35,29.496666667
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,59.565238095,19.354285714,15.174761905,13.93047619
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,82.239375,32.47875,22.316875,20.374375
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,20.606,9.4133333333,6.1313333333,5.6113333333
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,636.2,193.125,146.555,146.555
1013972538,SHEIKH,AZHAR,,MD,M,I,1060 WILLIAM WAY NW,,CLEVELAND,TN,373124369,US,Physician/Internal Medicine,S,L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,20,444.1045,444.1045,348.18,344.85
1013972561,COLE,SYLVIA,A,MD,F,I,825 BARRET AVE,,LOUISVILLE,KY,402041743,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,60,79.858666667,8.32,5.869,5.869
1013972561,COLE,SYLVIA,A,MD,F,I,825 BARRET AVE,,LOUISVILLE,KY,402041743,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,18.793333333,1.42,1.0266666667,1.0266666667
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,83,181,59.278508287,8.32,5.7652486188,5.7652486188
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,2.65,2.65
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,39,57,17.55245614,1.42,1.0584210526,1.0584210526
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.47,1.0454545455,1.0454545455
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,176.65909091,49.941818182,39.151818182,38.791818182
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,32,70.32875,17.29,13.55,13.53
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,57,60,462.11916667,70.23,52.307,51.989666667
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2874,0.1840083507,0.0463117606,0.0334203201,0.0334203201
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,129.18769231,29.646153846,23.239230769,21.494615385
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,25.756923077,8.5815384615,6.73,6.6330769231
1013972587,STUTESMAN,MICHAEL,S,M.D.,M,I,607 E PARKER RD,,MORGANTON,NC,286558105,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,24.022142857,24.022142857
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,26,44,44,85.211136364,39.465,28.235,27.751136364
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,15,32,32,275.26,93.0734375,68.7675,63.5796875
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,11,32,54,105.02259259,35.512222222,27.333518519,25.203703704
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,20,71,71.974225352,22.622535211,16.404225352,13.246056338
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,44,39.853409091,15.58,12.213636364,11.898863636
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,28,48,48,183.61145833,59.410833333,44.480416667,40.887291667
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,41,55,55,87.445636364,18.442727273,13.211636364,12.830545455
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,27,27,48.297037037,14.727777778,11.212592593,8.8092592593
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,39,77,220,6.3941363636,2.324,1.7320909091,1.5017272727
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,17,17,13.948823529,6.4688235294,5.0705882353,4.6629411765
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,28,34,34,36.061176471,13.23,10.323823529,10.266470588
1013972595,KOMINSKY,ALAN,H,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,21,122,122,229.24319672,39.327213115,27.824180328,23.575409836
1013972660,PATEL,DARSHAN,B,M.D.,M,I,2450 BUTLER ST,,EASTON,PA,180425303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,51,142,74.355,8.32,5.6952112676,5.6952112676
1013972660,PATEL,DARSHAN,B,M.D.,M,I,2450 BUTLER ST,,EASTON,PA,180425303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,24,26.615416667,1.42,0.93,0.93
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,47,112,79.712410714,8.32,5.7366071429,5.7366071429
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,12.3525,1.42,0.83625,0.83625
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,180,22.08,18.5,13.982666667,13.982666667
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,A6407,"Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,2.52,2.11,1.5164722222,1.5164722222
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.31,20.5075,11.104166667,9.02
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,37.321621622,8.0375675676,4.8116216216,2.9764864865
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,442.79307692,101.74871795,72.162051282,51.79
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1080,1.7683981481,0.1328611111,0.0965740741,0.0965740741
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,330.41052632,44.467894737,28.417368421,25.101578947
1013972678,MORGAN,SARAH,E,MD,F,I,4 SLAPP HILL ROAD,,HARDWICK,VT,05843,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,33,33,24.348235294,24.348235294
1013972744,DONNELLY,DIANE,K,MD,F,I,304 N WATER ST,,LANCASTER,PA,176033374,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,62,66.940322581,8.32,6.1009677419,6.1009677419
1013972744,DONNELLY,DIANE,K,MD,F,I,304 N WATER ST,,LANCASTER,PA,176033374,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,155.13,30.198181818,23.675454545,24.050909091
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,41,94,292,52.891780822,8.32,5.9273972603,5.9273972603
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,28,28,14.892857143,3.38,2.4607142857,2.4607142857
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,25,2.12,1.5415384615,1.5415384615
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,25,51,87,14.123333333,1.42,1.0713793103,1.0713793103
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,132,2.9372727273,2.49,1.7742424242,1.7742424242
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,24.690909091,10.93,7.7909090909,7.7909090909
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,131.21714286,39.902142857,31.279285714,30.550714286
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,289.68857143,86.741428571,63.16,62.997142857
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,257.07375,58.61875,45.961875,42.948125
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,71.013571429,18.375714286,14.359285714,14.02
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,70.566,11.616666667,9.0793333333,9.0953333333
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,24,120,11.127333333,2.0105,1.4984166667,1.5139166667
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,175,49.671818182,38.943636364,39.467272727
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,69,69.082318841,17.554057971,12.419565217,12.284057971
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,188.91,32.609285714,23.84,23.387857143
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,104,116,443.21767241,77.3625,53.841810345,49.476465517
1013972819,POFF,DOUGLAS,W,DO,M,I,11017 WEST THIRD ST,,FOWLER,MI,48835,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,93.5,33,25.87,25.87
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,24,3168,0.4728282828,0.44,0.3449621212,0.3449621212
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,19,522,8.3022988506,8.28,6.4915708812,6.4915708812
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,228,8.41,8.41,6.5935087719,6.5935087719
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,156,22.42,22.42,17.577435897,17.577435897
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,17,348,11.682413793,10.93,8.5690517241,8.5690517241
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,20,606,2.6935643564,2.4,1.8816336634,1.8816336634
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,25,2380,0.4961344538,0.4487394958,0.3518235294,0.3527941176
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,496,275,5.18,4.0609677419,4.1501612903
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,51,51,264.84058824,52.631960784,39.810980392,37.09
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,43,43,72.959767442,22.09744186,16.173255814,14.270697674
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,143.11888889,32.214722222,24.056111111,20.899444444
1013973015,NOWOTNY,STEVEN,E,D.O.,M,I,4818 HOLLY RD,SUITE A,CORPUS CHRISTI,TX,784114734,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,34,23.076470588,10.109117647,7.5288235294,6.8935294118
1013973304,SCHIFFERDECKER,BRANISLAV,,M.D.,M,I,4050 W. MEMORIAL RD.,THIRD FLOOR,OKLAHOMA CITY,OK,73120,US,Interventional Cardiology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,56,77.291964286,8.32,6.5226785714,6.5226785714
1013973304,SCHIFFERDECKER,BRANISLAV,,M.D.,M,I,4050 W. MEMORIAL RD.,THIRD FLOOR,OKLAHOMA CITY,OK,73120,US,Interventional Cardiology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,217,71.305333333,53.584666667,37.682
1013973304,SCHIFFERDECKER,BRANISLAV,,M.D.,M,I,4050 W. MEMORIAL RD.,THIRD FLOOR,OKLAHOMA CITY,OK,73120,US,Interventional Cardiology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4850.95,1074.31,841.6175,841.6175
1013973304,SCHIFFERDECKER,BRANISLAV,,M.D.,M,I,4050 W. MEMORIAL RD.,THIRD FLOOR,OKLAHOMA CITY,OK,73120,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,17,51,51,3731.1764706,2584.2229412,2023.2015686,2023.2015686
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,21,21,21,106.04761905,57.194285714,44.842380952,36.46
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,61.923076923,10.517692308,8.2430769231,7.4138461538
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,90.124375,60.0175,47.048125,40.79
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,48,48,22.38,11.307916667,8.6879166667,7.4014583333
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,35,35,103.07771429,52.799428571,41.392857143,37.038285714
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,21,7.2885714286,3.2657142857,2.56,2.2638095238
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,21,612.77142857,77.348571429,57.398095238,52.15047619
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,,17,17,61.991176471,25.795294118,20.225882353,16.795882353
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,18,123,133,91.502481203,35.491654135,25.151804511,19.549323308
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,150,41.401428571,30.250714286,23.416428571
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,25,10.168421053,7.1784210526,5.8336842105
1013973387,SERRO,ROBERT,J,MD,M,I,3443 DICKERSON PIKE,SUITE G-30,NASHVILLE,TN,372072519,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,285.6,37.854,29.676,29.488666667
1013973429,AHMAD,SALEEM,,M.D.,M,I,540 LINCOLN PARK BLVD,SUITE 200,KETTERING,OH,454296401,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,353.81,77.18,48.382,44.329
1013973460,LEE,LORETTA,L,M.D.,F,I,4001 DALE ST,SUITE 210,ANCHORAGE,AK,995085445,US,Physician/Interventional Pain Management,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,47,73.747234043,8.32,3.7472340426,3.7472340426
1013973460,LEE,LORETTA,L,M.D.,F,I,4001 DALE ST,SUITE 210,ANCHORAGE,AK,995085445,US,Physician/Interventional Pain Management,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,151.54090909,72.164545455,44.651818182,35.272727273
1013973460,LEE,LORETTA,L,M.D.,F,I,4001 DALE ST,SUITE 210,ANCHORAGE,AK,995085445,US,Physician/Interventional Pain Management,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,7.1064285714,2.4542857143,1.695952381,1.4236904762
1013973460,LEE,LORETTA,L,M.D.,F,I,4001 DALE ST,SUITE 210,ANCHORAGE,AK,995085445,US,Physician/Interventional Pain Management,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,49.5,7.1,4.765,2.8172222222
1013973460,LEE,LORETTA,L,M.D.,F,I,4001 DALE ST,SUITE 210,ANCHORAGE,AK,995085445,US,Physician/Interventional Pain Management,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,27,137.2962963,47.496296296,27.777407407,22.000740741
1013973528,BAILEY,KAREN,A,APRN,F,I,300 S 8TH ST,SUITE 509E,MURRAY,KY,420712400,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,19,53.106315789,8.32,5.4957894737,5.4957894737
1013973528,BAILEY,KAREN,A,APRN,F,I,300 S 8TH ST,SUITE 509E,MURRAY,KY,420712400,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,133,57.974736842,41.827368421,24.504736842
1013973577,LUCAS,MELISSA,,MD,F,I,1501 MADISON RD,3RD FLOOR,WALNUT HILLS,OH,452061706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,33,56,69.241785714,8.32,4.4264285714,4.4264285714
1013973577,LUCAS,MELISSA,,MD,F,I,1501 MADISON RD,3RD FLOOR,WALNUT HILLS,OH,452061706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,22,11.087727273,1.42,0.7118181818,0.7118181818
1013973627,LEVISS,JONATHAN,A,MD,M,I,874 PURCHASE ST,,NEW BEDFORD,MA,027406232,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,68.451363636,8.32,1.1854545455,1.1854545455
1013973635,HO,ELIZABETH,C,MD,F,I,820 S MCCLELLAN ST STE 200,,SPOKANE,WA,992042456,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,97,76.420927835,8.32,5.7826804124,5.7826804124
1013973635,HO,ELIZABETH,C,MD,F,I,820 S MCCLELLAN ST STE 200,,SPOKANE,WA,992042456,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,300,15.7544,9.86,7.6491,7.6491
1013973635,HO,ELIZABETH,C,MD,F,I,820 S MCCLELLAN ST STE 200,,SPOKANE,WA,992042456,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,320,4.6505,3.04,2.23446875,2.23446875
1013973775,WEITZMAN,SIMON,L,MD,M,I,105 CHESTNUT,SUITE 26 INTERNISTS ASSOCIATED,NEEDHAM,MA,02192,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,74.566428571,8.32,6.0546428571,6.0546428571
1013973783,TUNG,JAGDEEP,S,MD,M,I,1142 21ST ST,,MANHATTAN BEACH,CA,902662924,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,393,5.1,5.1,3.9983715013,4.1153180662
1013973783,TUNG,JAGDEEP,S,MD,M,I,1142 21ST ST,,MANHATTAN BEACH,CA,902662924,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,76.432173913,17,10.460434783,10.670869565
1013973783,TUNG,JAGDEEP,S,MD,M,I,1142 21ST ST,,MANHATTAN BEACH,CA,902662924,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,5.32,5.32,4.17,4.0125
1013973783,TUNG,JAGDEEP,S,MD,M,I,1142 21ST ST,,MANHATTAN BEACH,CA,902662924,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,502.5,77.18,43.221428571,39.361428571
1013973858,RATHBURN,JENIANE,L,PA-C,F,I,201 E MAIN STREET,CONCORD HEALTH CENTER,CONCORD,VT,058240355,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,11.404166667,7.8925
1013973874,OLAECHEA,REYNALDO,A,MD,M,I,124 HAYES ST,,CROSSVILLE,TN,38555,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,12,244,30.614467213,23.66,18.54942623,18.54942623
1013973874,OLAECHEA,REYNALDO,A,MD,M,I,124 HAYES ST,,CROSSVILLE,TN,38555,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,192,17.309375,10.93,8.5691666667,8.5691666667
1013973916,BARUCHIN,MITCHELL,A,M.D.,M,I,120 FRANKLIN ST,,JERSEY CITY,NJ,073072326,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,295,30.398947368,22.638947368,23.417894737
1013974021,MEHTA,NEIL,B,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,36,98,72.994795918,8.32,6.1896938776,6.1896938776
1013974021,MEHTA,NEIL,B,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,30,14.313333333,1.42,1.0406666667,1.0406666667
1013974070,ZIOMEK,KATHLEEN,A,N.P.,F,I,239 BRYANT ST,UNIVERSITY INTERNAL MEDICINE AND PEDIATRICS,BUFFALO,NY,142222006,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,28,53.263214286,8.32,4.4260714286,4.4260714286
1013974112,MCCOMBS,ERNESTO,A,D.O.,M,I,501 S RANCHO DR,SUITE C15,LAS VEGAS,NV,891064828,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,25,58,170,71.273882353,8.32,6.1953529412,6.1953529412
1013974112,MCCOMBS,ERNESTO,A,D.O.,M,I,501 S RANCHO DR,SUITE C15,LAS VEGAS,NV,891064828,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,18,36,43,15.450465116,1.42,1.0402325581,1.0402325581
1013974112,MCCOMBS,ERNESTO,A,D.O.,M,I,501 S RANCHO DR,SUITE C15,LAS VEGAS,NV,891064828,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,241.63636364,66.116363636,41.773636364,33.349090909
1013974112,MCCOMBS,ERNESTO,A,D.O.,M,I,501 S RANCHO DR,SUITE C15,LAS VEGAS,NV,891064828,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,60,8.208,2.454,1.9236666667,1.592
1013974112,MCCOMBS,ERNESTO,A,D.O.,M,I,501 S RANCHO DR,SUITE C15,LAS VEGAS,NV,891064828,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,16.191666667,12.688333333,13.826666667
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,133.7625,44.783333333,35.10875,36.46
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,15.62,7.9733333333,4.896,5.7173333333
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,138.10153846,48.17,34.864615385,37.952307692
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,167.93,48.953157895,38.376315789,39.426315789
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,59.989230769,19.042307692,12.814615385,13.845384615
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,117.59,25.669166667,20.124166667,22.730833333
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,150.6355,43.371,31.7775,33.7105
1013974237,HEMTASILPA,SOMKIAT,,M.D.,M,I,2802 PAPERMILL RD,,WYOMISSING,PA,196101065,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,42,27.291428571,8.1242857143,6.1878571429,6.6714285714
1013974393,MARANDOLA,MICHAEL,S,MD,M,I,26401 CROWN VALLEY PKWY,SUITE 101,MISSION VIEJO,CA,926916302,US,Physician/Sports Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,54.428571429,45.293571429,35.51,36.372857143
1013974393,MARANDOLA,MICHAEL,S,MD,M,I,26401 CROWN VALLEY PKWY,SUITE 101,MISSION VIEJO,CA,926916302,US,Physician/Sports Medicine,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,395,113.9325,84.17625,84.169375
1013974419,MINNING,MICHAEL,P,MD,M,I,830 THOMAS MORE PKWY,SUITE 200 B,EDGEWOOD,KY,410175102,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,28,56,74.423571429,8.32,5.9392857143,5.9392857143
1013974419,MINNING,MICHAEL,P,MD,M,I,830 THOMAS MORE PKWY,SUITE 200 B,EDGEWOOD,KY,410175102,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,17,13.862352941,1.42,1.0511764706,1.0511764706
1013974419,MINNING,MICHAEL,P,MD,M,I,830 THOMAS MORE PKWY,SUITE 200 B,EDGEWOOD,KY,410175102,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50.96,17.16,12.338333333,12.420833333
1013974419,MINNING,MICHAEL,P,MD,M,I,830 THOMAS MORE PKWY,SUITE 200 B,EDGEWOOD,KY,410175102,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,45.608333333,5.9416666667,3.675,2.8166666667
1013974419,MINNING,MICHAEL,P,MD,M,I,830 THOMAS MORE PKWY,SUITE 200 B,EDGEWOOD,KY,410175102,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,361.12,72.45,48.455416667,47.506666667
1013974583,WALVOORD,KEITH,D,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,304.65454545,85.63,54.924545455,55.665454545
1013974583,WALVOORD,KEITH,D,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,31,116.88387097,32.56,20.602258065,20.992903226
1013974583,WALVOORD,KEITH,D,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,174.52785714,56.994285714,35.505,33.675714286
1013974583,WALVOORD,KEITH,D,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,64.570714286,18.277857143,13.347857143,13.086428571
1013974583,WALVOORD,KEITH,D,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,23,23,61.493478261,11.51,7.852173913,7.9473913043
1013974583,WALVOORD,KEITH,D,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,26,139,8.2998561151,2.05,1.4448201439,1.4322302158
1013974583,WALVOORD,KEITH,D,MD,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,155.4626087,31.106521739,24.386086957,24.394782609
1013974609,PIERSON,STEVEN,B,M.D,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,189012503,US,Physician/General Surgery,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,350,109.06,82.695454545,90.540909091
1013974625,BARTHELOW,JOEL,I,M.D.,M,I,114 MISSION RANCH BLVD,SUITE 50,CHICO,CA,959262186,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,68,68,68,75.830441176,75.033823529,56.879705882,51.998970588
1013974625,BARTHELOW,JOEL,I,M.D.,M,I,114 MISSION RANCH BLVD,SUITE 50,CHICO,CA,959262186,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,26,40.769230769,36.17,28.356153846,28.620384615
1013974625,BARTHELOW,JOEL,I,M.D.,M,I,114 MISSION RANCH BLVD,SUITE 50,CHICO,CA,959262186,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,62,72.580645161,61.57,45.40983871,41.37983871
1013974625,BARTHELOW,JOEL,I,M.D.,M,I,114 MISSION RANCH BLVD,SUITE 50,CHICO,CA,959262186,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,77.5,70.03,54.900833333,54.955
1013974625,BARTHELOW,JOEL,I,M.D.,M,I,114 MISSION RANCH BLVD,SUITE 50,CHICO,CA,959262186,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,44,77.5,75.53,59.213863636,54.210227273
1013974633,JANSMA,DAVID,,M.D.,M,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,32,67,70.838059701,8.32,5.8559701493,5.8559701493
1013974633,JANSMA,DAVID,,M.D.,M,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,517.27642857,84.931428571,62.148571429,61.548571429
1013974633,JANSMA,DAVID,,M.D.,M,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.5,10.475,8.2175,8.19
1013974633,JANSMA,DAVID,,M.D.,M,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,77.5,53.090666667,47.864666667
1013974633,JANSMA,DAVID,,M.D.,M,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,135.26785714,21.738571429,14.394285714,11.851428571
1013974633,JANSMA,DAVID,,M.D.,M,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,700,160.325,115.06083333,105.51833333
1013974633,JANSMA,DAVID,,M.D.,M,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,54.214285714,33,22.174285714,22.174285714
1013974658,CANTY,CATHY,W,M.D.,F,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,44,125,48.69856,8.32,5.35848,5.35848
1013974658,CANTY,CATHY,W,M.D.,F,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,16,42,14.642857143,1.42,0.7433333333,0.7433333333
1013974658,CANTY,CATHY,W,M.D.,F,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,54.89,39.444166667,38.316666667
1013974658,CANTY,CATHY,W,M.D.,F,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,386.593125,70.48,46.70125,46.30375
1013974658,CANTY,CATHY,W,M.D.,F,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,57,16.667142857,7.2914285714,7.6721428571
1013974708,BATES,DAVID,W,MD,M,I,75 FRANCIS STREET,BRIGHAM INTERNAL MEDICINE ASSOCIATES,BOSTON,MA,02115,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,275,4.9,3.8416129032,4.1632258065
1013974708,BATES,DAVID,W,MD,M,I,75 FRANCIS STREET,BRIGHAM INTERNAL MEDICINE ASSOCIATES,BOSTON,MA,02115,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7054,3.7101389283,0.3594570456,0.272177488,0.2804408846
1013974740,BORING,BILLY,R,MD,M,I,1441 REDBUD BLVD,STE 111,MCKINNEY,TX,750693233,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,31,85,71.009058824,8.32,5.1407058824,5.1407058824
1013974963,MILSTEIN,MICHAEL,D,D.O.,M,I,3535 MILITARY TRL,SUITE 102,JUPITER,FL,334585009,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,23,58,79.348275862,8.32,4.9468965517,4.9468965517
1013974963,MILSTEIN,MICHAEL,D,D.O.,M,I,3535 MILITARY TRL,SUITE 102,JUPITER,FL,334585009,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,15,13.207333333,1.42,0.968,0.968
1013974963,MILSTEIN,MICHAEL,D,D.O.,M,I,3535 MILITARY TRL,SUITE 102,JUPITER,FL,334585009,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,50.73,5.7364705882,3.99,3.1141176471
1013974963,MILSTEIN,MICHAEL,D,D.O.,M,I,3535 MILITARY TRL,SUITE 102,JUPITER,FL,334585009,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,186.69714286,37.325714286,27.265,22.813571429
1013974989,MORALES,OMAR,L,M.D.,M,I,E25 CALLE HERNANDEZ CARRION,ATENAS,MANATI,PR,006744622,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,12,125.60666667,74.314166667,58.263333333,42.13
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,45,110,58.911181818,8.32,5.573,5.573
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,33,45,14.766222222,1.42,0.9657777778,0.9657777778
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,79.367272727,37.96,24.349090909,25.111818182
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,104.95695652,30.04,21.504347826,23.614782609
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,56,50.897142857,17,11.800357143,13.057142857
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,36,37.793333333,13.77,10.195833333,11.245833333
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,143.046,51.26,32.152,34.954
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,55.142727273,16.68,10.950909091,11.872727273
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,38,115,5.6486956522,2,1.4326956522,1.4556521739
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,67.42,16.5385,11.676,12.261
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,300,80.158333333,55.515,57.476666667
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,28.23,5.0827272727,3.99,3.6854545455
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,43,486.91813953,75.63744186,52.253023256,48.408139535
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,3506,0.3225185396,0.0448003423,0.0299001711,0.0299001711
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,79.81,20.205,15.84,14.19
1013974997,BACHTEL,JEFFREY,D,M.D.,M,I,182 EAST AVE,,TALLMADGE,OH,442782311,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,17,33,33,21.304705882,21.304705882
1013975010,SANDOZ,GEORGE,M,MD,M,I,2376 CYPRESS CIRCLE,SUITE 200,CONWAY,SC,295268994,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,156.15272727,36.872727273,28.909090909,28.707272727
1013975028,STAFFORD,FREDERICK,L,MD,M,I,701 E 28TH STREET,SUITE 416,LONG BEACH,CA,90806,US,Physician/General Surgery,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,75.416666667,43.9,34.42,37.3625
1013975044,JIN,XIAN WEN,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,33,84,275,67.315745455,8.32,6.3803272727,6.3803272727
1013975044,JIN,XIAN WEN,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.424210526,3.38,2.65,2.65
1013975044,JIN,XIAN WEN,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,30,63,15.402857143,1.42,1.096031746,1.096031746
1013975044,JIN,XIAN WEN,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,4.8033333333,1.95,1.5288333333,1.5288333333
1013975077,VISCOMI,JEFFREY,J,M.D.,M,I,10633 PEARL RD,,STRONGSVILLE,OH,441361435,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,32,71.469375,8.32,5.7053125,5.7053125
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,53,78,78,117.84128205,38.55,29.835769231,30.091923077
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,36,71,4.0491549296,1.47,1.1177464789,1.1177464789
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,26,52,2.02,1.24,0.9326923077,0.9230769231
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,12,23,23,3.5660869565,1.28,0.9565217391,0.92
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,77,139,139,259.6942446,86.715467626,63.471582734,63.32294964
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,61,123,236,112.69974576,33.48,24.805381356,24.499194915
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,35,59,273,64.086043956,18.78,14.274212454,14.115787546
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,37,65,278,50.01557554,15.12,11.647122302,11.685431655
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,90,149,149,144.89892617,54.507919463,39.876442953,39.992818792
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,158,193,193,71.12253886,17.942901554,13.411554404,13.410466321
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,22,25,25,35.962,10.4,8.15,8.15
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,106,185,185,64.727027027,11.54,8.6294594595,8.6979459459
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,150,257,1315,8.8911178707,2.01,1.5061825095,1.5221368821
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,24,28,28,16.838571429,5.91,4.3085714286,4.3278571429
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,74,90,90,49.835,13.29,9.9568888889,9.8866666667
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,44,288,300,81.062366667,17.349433333,12.986,12.970233333
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,19,20,232.35,53.32,41.81,41.81
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,25,25,110.588,48.31,36.3648,36.1748
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,19,21,232.35,48.31,37.88,37.63
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1850,1074.31,842.26,842.26
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,58,58,2686.7603448,1049.3039655,813.70689655,833.31137931
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,51,54,480.07962963,83.292592593,64.249814815,64.249814815
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,30,179,182,118.94917582,13.495659341,10.376208791,10.225
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,18,99,100,27.1791,4.6412,3.3019,3.2997
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,46,293,295,202.2300678,33.245830508,24.792067797,24.18420339
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,57,388,403,405.4637469,69.881513648,51.775260546,51.807444169
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,58,62,127.44612903,37.44,28.403225806,28.510322581
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,19.516555556,9.747,7.6416388889,7.6416388889
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,5936,0.5060040431,0.0470013477,0.0297944744,0.0297944744
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,49,5715,1.9884356955,0.1354120735,0.0995275591,0.0995275591
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1446,9.6829183956,2.9499239281,2.213526971,2.213526971
1013975119,MARCO,PETER,A,M.D.,M,I,"5149 N. 9TH AVENUE, SUITE 120",,PENSACOLA,FL,32504,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,20,81,81,41.555555556,33,23.748765432,23.748765432
1013975168,BREWER,DANIEL,E,MD,M,I,1924 ALCOA HWY,U56,KNOXVILLE,TN,379201511,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,46,46,80.136304348,19.073695652,13.652608696,12.377608696
1013975168,BREWER,DANIEL,E,MD,M,I,1924 ALCOA HWY,U56,KNOXVILLE,TN,379201511,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,39,421.63948718,85.214102564,66.806153846,55.417692308
1013975242,REICHSMAN,ANN,B,M.D.,F,I,3569 RIDGE ROAD,,CLEVELAND,OH,441025443,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,47,88.398723404,8.32,5.2736170213,5.2736170213
1013975242,REICHSMAN,ANN,B,M.D.,F,I,3569 RIDGE ROAD,,CLEVELAND,OH,441025443,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,119.76166667,17,12.589444444,12.790555556
1013975242,REICHSMAN,ANN,B,M.D.,F,I,3569 RIDGE ROAD,,CLEVELAND,OH,441025443,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,22,22,468.04227273,78,55.590909091,50.046363636
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,100,340,670,73.479134328,8.32,5.3556268657,5.3556268657
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,42,98,114,17.589122807,1.42,0.9612280702,0.9612280702
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,100.182,51.114,40.076,31.282666667
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,23,46,4.5,2.1991304348,1.6686956522,1.1
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,3.9069230769,1.5938461538,1.0838461538,0.8146153846
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,24,44,44,223.81272727,123.76704545,92.145,64.250454545
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,15,26,44,102.53045455,47.886363636,35.570227273,24.350454545
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,151.07142857,75.337142857,59.063571429,44.689285714
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,31,42,42,48.943809524,25.659047619,19.37047619,13.602380952
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,27,45,45,48.488888889,19.649777778,15.179333333,9.1744444444
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,28,63,232,6.5074568966,3.1818965517,2.4495689655,1.5981034483
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,14,18,18,18.064444444,9.1005555556,7.1344444444,4.65
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,26.640714286,15.7,12.304285714,10.535714286
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,118.42307692,71.861538462,53.288461538,33.655384615
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,94.77,19.03,9.9466666667,9.02
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,285,104.04346154,75.481538462,59.135769231
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,11,54,54,35,16.714444444,12.033333333,9.5096296296
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,62.888679245,7.630754717,5.7298113208,3.5916981132
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,16,85,85,139,54.269058824,41.310588235,25.190588235
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,66,66,336.48545455,95.424242424,68.43530303,48.81030303
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,105,44.745,32.344166667,27.056666667
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,37,9152,0.2355714598,0.0465909091,0.0343826486,0.0343826486
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,4160,1.7409759615,0.1346442308,0.1010048077,0.1010048077
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,41,2520,9.7891626984,3.0717857143,2.3585555556,2.3585555556
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,69,31.3755,24.23,16.212
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,118.63636364,50.666363636,37.757272727,25.513636364
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,98.357142857,44.34,30.853095238,26.001904762
1013975259,BARAKAT,SUHEIL,I,M.D.,M,I,915 13TH AVE N,,CLINTON,IA,527325067,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,26,77,77,33.311688312,33,25.407402597,25.407402597
1013975366,MADARANG,MELCHOR,,MD,M,I,1580 SANTA BARBARA BLVD,,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,25,109,74.446513761,8.32,5.6481651376,5.6481651376
1013975366,MADARANG,MELCHOR,,MD,M,I,1580 SANTA BARBARA BLVD,,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,45.355,11.961666667,8.5958333333,8.3541666667
1013975366,MADARANG,MELCHOR,,MD,M,I,1580 SANTA BARBARA BLVD,,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,67,6.3350746269,2.0004477612,1.4282089552,1.4511940299
1013975366,MADARANG,MELCHOR,,MD,M,I,1580 SANTA BARBARA BLVD,,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,142.66,39.158,30.7,28.025333333
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16.28,8.8563636364,6.9481818182,7.5145454545
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,248.6,57.267826087,44.89826087,40.14826087
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,248.6,54.033333333,37.900833333,33.273333333
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,248.6,47.778666667,35.440666667,36.274
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,30,127.5,48.068333333,32.829666667,31.664666667
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,19,6.28,2.92,2.29,2.2678947368
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.43,29.95,23.4825,23.775
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,79,79,129.28,17.830126582,13.288227848,13.891518987
1013975424,FERREIRA,KRISTEN,,NP,F,I,8 COMMON ST,STE 2,WALTHAM,MA,024514421,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,71,71,25.84,8.6354929577,6.4590140845,6.5269014085
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,48,193,67.548031088,8.32,5.9936787565,5.9936787565
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,35,15.383714286,1.42,1.1131428571,1.1131428571
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,89.59,41.180769231,32.282307692,30.913846154
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,246.59769231,56,43.835384615,42.874615385
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,96,10.164166667,2.311875,1.8126041667,1.615625
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,64.951176471,17,11.761764706,11.965294118
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,190.20193548,34.001612903,25.866451613,24.734193548
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,526.15742857,78,55.908571429,50.405714286
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2234,0.3432811101,0.0481692032,0.0377618621,0.0377618621
1013975457,CUNNINGHAM,MARY,E,D.O.,F,I,2 ESSEX DR,INTERNAL MEDICINE,PEABODY,MA,019602902,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,33,33,25.87,25.87
1013975481,COLE,CHAD,A,P.A.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,47,27.3,21.4,20.98
1013975481,COLE,CHAD,A,P.A.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,19,249.36842105,245.95263158,181.97578947,204.85
1013975481,COLE,CHAD,A,P.A.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,L0456,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,928.17909091,928.17909091,727.69272727,751.18090909
1013975481,COLE,CHAD,A,P.A.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,39,39,1574.1794872,1328.0953846,1019.5317949,872.00564103
1013975481,COLE,CHAD,A,P.A.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,133.18181818,126.1,94.039090909,82.902727273
1013975580,OFORI-KWAKYE,STEPHEN,K,MD,M,I,3201 W GORE BLVD,SUITE 303,LAWTON,OK,735056378,US,Physician/Neurosurgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,111.57727273,65.029090909,46.325454545,32.027272727
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,366,9.9750819672,8.28,6.4914754098,6.4914754098
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,315,13.277238095,10.93,8.568952381,8.568952381
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,E0194,Air fluidized bed,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3167.21,2592.9575,2032.88,2288.0125
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,53.890909091,42.251818182,41.639090909
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,759.36,206.37484848,161.79545455,139.01575758
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,1600,1033.67,810.4,810.4
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,2,13,13,26,592.30769231,364.4,285.69,285.69
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,52.01,12.164545455,9.5363636364,9.0563636364
1013975721,STORTO,DOMINIC,L,DO,M,I,1565 PURDUE DR STE 101B,,FAYETTEVILLE,NC,283035537,US,Physician/General Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,84.95,28.363636364,22.233636364,20.564545455
1013975838,CHU,EDMOND,K,MD,M,I,3010 W ORANGE AVE,SUITE 105,ANAHEIM,CA,92804,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,69,79.733478261,8.32,4.9131884058,4.9131884058
1013975838,CHU,EDMOND,K,MD,M,I,3010 W ORANGE AVE,SUITE 105,ANAHEIM,CA,92804,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,16.135,1.42,0.8757142857,0.8757142857
1013975838,CHU,EDMOND,K,MD,M,I,3010 W ORANGE AVE,SUITE 105,ANAHEIM,CA,92804,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,24,30.260833333,10.60625,7.7641666667,7.89125
1013975838,CHU,EDMOND,K,MD,M,I,3010 W ORANGE AVE,SUITE 105,ANAHEIM,CA,92804,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,16.556,3.488,2.302,3.4366666667
1013975838,CHU,EDMOND,K,MD,M,I,3010 W ORANGE AVE,SUITE 105,ANAHEIM,CA,92804,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,209.7,27.982727273,19.363636364,21.57
1013975838,CHU,EDMOND,K,MD,M,I,3010 W ORANGE AVE,SUITE 105,ANAHEIM,CA,92804,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,131.82266667,71.11,52.033333333,51.081333333
1013975887,VALENT,SCOTT,R,M.D.,M,I,3655 LUTHERAN PKWY,SUITE #201,WHEAT RIDGE,CO,800336018,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,71,71,235.21126761,80.305633803,62.953943662,56.545492958
1013975887,VALENT,SCOTT,R,M.D.,M,I,3655 LUTHERAN PKWY,SUITE #201,WHEAT RIDGE,CO,800336018,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,85,39.561,31.018,29.778666667
1013975887,VALENT,SCOTT,R,M.D.,M,I,3655 LUTHERAN PKWY,SUITE #201,WHEAT RIDGE,CO,800336018,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,200,38.76,30.39,29.551904762
1013975903,KASUNIC,TIMOTHY,C,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,50,6230,27.734556982,4.1237319422,3.2330192616,3.2330192616
1013975903,KASUNIC,TIMOTHY,C,MD,M,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,38,38,24,24,18.82,18.82
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,5.3125,2.59275,2.0327083333,2.0327083333
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,80,15435,4.7950767736,0.566914804,0.4327048915,0.4327029478
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,2400,0.08035,0.0125625,0.0098625,0.0098625
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,86,8626,3.0729492233,1.1974472525,0.9339566427,0.9339566427
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,780,4.7392692308,2.8178461538,1.9453589744,1.9453589744
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,180,7.9155,7.4675,5.8543333333,5.8543333333
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,14,113,113,24,24,18.663893805,18.663893805
1013975937,KOVALIK,EUGENE,C,MD,M,I,DUMC BOX 3014,,DURHAM,NC,277100001,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,13,105,114,16,16,12.430526316,12.430526316
1013975978,HUGHES,THOMAS,A,MD,M,I,1910 NONCONNAH BLVD,SUITE 120,MEMPHIS,TN,381322113,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,36,68,342,57.785584795,8.32,6.3401169591,6.3401169591
1013975978,HUGHES,THOMAS,A,MD,M,I,1910 NONCONNAH BLVD,SUITE 120,MEMPHIS,TN,381322113,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,25,75,8.5998666667,1.42,1.0692,1.0692
1013975978,HUGHES,THOMAS,A,MD,M,I,1910 NONCONNAH BLVD,SUITE 120,MEMPHIS,TN,381322113,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,23,23,251.11,251.11,190.63217391,190.63217391
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,41,103,68.300873786,8.32,6.1409708738,6.1409708738
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,25,16.02,1.42,1.0272,1.0272
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,25,25,96.4112,41,31.8056,30.2216
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,69,59.183478261,15.674637681,11.215362319,10.859275362
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,29,29,201.04793103,56,40.872413793,39.94
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,62.821111111,19.413888889,15.222222222,14.128333333
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,31,182,8.6783516484,2.2930769231,1.679010989,1.4867582418
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.214285714,13.492857143,13.538571429
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,56,56,165.76767857,33.545,24.10875,23.238214286
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,533.68470588,72.084705882,49.325294118,48.282941176
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2425,0.3109195876,0.0450515464,0.0305979381,0.0305979381
1013976117,SCOTT,TRICIA,M,M.D.,F,I,10 ADAMS ST,,N CHELMSFORD,MA,018631746,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,23.714166667,23.714166667
1013976158,GILLIG,FRANKLIN,G,M.D.,M,I,71 HAYNES ST,,MANCHESTER,CT,060404131,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.745,3.7175,3.6641666667
1013976299,SILVER,JOEL,S,M.D.,M,I,43 WOODLAND ST,"SUITE G-80, GOTHIC PARK",HARTFORD,CT,061052363,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,1568,78.24,5.3209056122,4.0800892857,4.0800892857
1013976299,SILVER,JOEL,S,M.D.,M,I,43 WOODLAND ST,"SUITE G-80, GOTHIC PARK",HARTFORD,CT,061052363,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1013976349,TROST,EVAN,S,MD,M,I,8328 E. HARTFORD DR.,,SCOTTSDALE,AZ,85255,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,71.05625,19.575,14.209375,13.6775
1013976463,TINETTI,TIMOTHY,J,MD,M,I,4600 INVESTMENT DR,STE 300,TROY,MI,48098,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,51,143,56.516083916,8.32,5.0925174825,5.0925174825
1013976463,TINETTI,TIMOTHY,J,MD,M,I,4600 INVESTMENT DR,STE 300,TROY,MI,48098,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.732727273,3.38,2.65,2.65
1013976463,TINETTI,TIMOTHY,J,MD,M,I,4600 INVESTMENT DR,STE 300,TROY,MI,48098,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,22,29,13.927241379,1.42,1.0013793103,1.0013793103
1013976463,TINETTI,TIMOTHY,J,MD,M,I,4600 INVESTMENT DR,STE 300,TROY,MI,48098,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,95,16.23,11.66,12.046666667
1013976646,TAT,DAVID,,DO,M,I,1601 OWEN DR,,FAYETTEVILLE,NC,283043425,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,490.815,81.64,60,51.309375
1013976653,STEGMAN,ROGER,J,MD,M,I,9040 REID ST,ATTN MCHJ QCR MADIGAN ARMY MEDICAL CENTER,TACOMA,WA,984311100,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,213.33090909,59.3,40.577272727,37.276363636
1013976653,STEGMAN,ROGER,J,MD,M,I,9040 REID ST,ATTN MCHJ QCR MADIGAN ARMY MEDICAL CENTER,TACOMA,WA,984311100,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,78.150909091,12.54,9.83,9.12
1013976653,STEGMAN,ROGER,J,MD,M,I,9040 REID ST,ATTN MCHJ QCR MADIGAN ARMY MEDICAL CENTER,TACOMA,WA,984311100,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,114,8.2942105263,2.4178947368,1.8955263158,1.5933333333
1013976653,STEGMAN,ROGER,J,MD,M,I,9040 REID ST,ATTN MCHJ QCR MADIGAN ARMY MEDICAL CENTER,TACOMA,WA,984311100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175,77.34,51.241666667,46.325
1013976653,STEGMAN,ROGER,J,MD,M,I,9040 REID ST,ATTN MCHJ QCR MADIGAN ARMY MEDICAL CENTER,TACOMA,WA,984311100,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,39.3,28.2425,27.159166667
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,52,151,63.785629139,8.32,5.1821192053,5.1821192053
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,32,55,16.280909091,1.42,0.8512727273,0.8512727273
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,152.33214286,48.308571429,37.871428571,36.312857143
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,56.102777778,16.910555556,11.795,12.032222222
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,33.867692308,5.5784615385,3.5346153846,3.1192307692
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,60,60,358.51316667,78.4745,57.422333333,53.029666667
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,125.428125,25.03125,19.625,20.7825
1013976687,SYED,GAFFAR,A,MD,M,I,801 TOLL HOUSE AVE,H4,FREDERICK,MD,217014564,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,75.666666667,39.3,30.81,30.16
1013976760,NICHOLS,LI,,MD,F,I,2131 S 17TH ST,,WILMINGTON,NC,284017407,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,44,448.94931818,78.947954545,58.635,58.051818182
1013976760,NICHOLS,LI,,MD,F,I,2131 S 17TH ST,,WILMINGTON,NC,284017407,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,92.178461538,37.44,29.35,29.51
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,35,116,283,80.029257951,8.32,6.03795053,6.03795053
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,183.43071429,119.53642857,69.737857143,54.438571429
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,19,52,5.2725,2.9792307692,2.2684615385,1.6903846154
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,13.871972603,7.6427123288,5.6063287671,3.8095616438
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3544,0.803998307,0.4930840858,0.3865716704,0.2900677201
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,1056,1.1639772727,0.8536363636,0.6666477273,0.5540719697
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,21.44,9.4870588235,6.8676470588,3.3776470588
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,111.26,53.752,42.14,26.492
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,63,237.69063492,102.79777778,74.523650794,49.217936508
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,2640,1.9562575758,0.1335909091,0.0985454545,0.0985454545
1013976794,CARTER,DARRELL,L,MD,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,33,33,23.953703704,23.953703704
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,46,145,73.022275862,8.32,5.8922068966,5.8922068966
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,27,43,14.600232558,1.42,1.0102325581,1.0102325581
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,121.03466667,41.12,32.238,30.49
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,71,71.391126761,16.395070423,11.242253521,10.281690141
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,250.13444444,62.911666667,46.933333333,40.483888889
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,98.346428571,19.853571429,13.551428571,12.056428571
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,23,130,13.152,2.2549230769,1.6946923077,1.5186923077
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,29,90.939655172,17.27,13.54,13.54
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,499.47,95.0575,71.0075,69.600625
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,25,50.73,4.82,3.5,3.3356
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,221.08636364,41.619090909,29.688636364,21.647272727
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,41,531.26463415,79.412439024,62.259268293,55.717804878
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,2945,2.0902071307,0.1321901528,0.0886179966,0.0886179966
1013976802,SCHEIDT,MARTIN,,MD,M,I,1 WALTER SCHOLER DR,,LAFAYETTE,IN,479096303,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,32,32,51.5625,33,21.019375,21.019375
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,945,3.5901798942,0.5052380952,0.3837989418,0.3837989418
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,21840,1.5216584249,1.245956044,0.9768301282,0.9768301282
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,31,38,254,33956,4.4034244316,0.5670385204,0.4248471551,0.4248453881
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,20,124,17325,0.0885904762,0.0130810967,0.00997114,0.00997114
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,720,1.5908333333,0.7413333333,0.5812361111,0.5812361111
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,32,36,265,31692,3.2861595986,1.2836255206,0.9777732551,0.9781525306
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,15,86,9390,4.2408594249,2.8359361022,2.2029669862,2.2029669862
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,5,,21,7320,10.282484973,8.5653934426,6.715273224,6.715273224
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,56,64,384,384,24,24,18.221145833,18.221145833
1013976844,WOJCIECHOWSKI,DAVID,M,D.O.,M,I,"5939 HARRY HINES BLVD POD2, SUITE 700",,DALLAS,TX,753902783,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,44,51,393,424,16.377358491,16,12.316438679,12.316438679
1013976869,KRAMER,STUART,J,MD,M,I,125 EXECUTIVE DR,SUITE A,DANVILLE,VA,245414155,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,77.181818182,59.74,43.679090909,43.189090909
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,27,64,56.8353125,8.32,5.09453125,5.09453125
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,25,11.1856,1.42,0.8496,0.8496
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,308,11.67,4.98,3.9042857143,4.1393506494
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,16.97,13.31,13.527222222
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,37.405454545,3.6363636364,2.8463636364,3.7818181818
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,10.940909091,10.637272727,8.3381818182,8.6245454545
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,10.397272727,10.108181818,7.9245454545,8.0181818182
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,217.88545455,211.83363636,161.32272727,161.32272727
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,71.11,52.652777778,51.689444444
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1350,0.87,0.1372222222,0.1075851852,0.1075851852
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,14.9925,9.3425,11.715833333
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,8.9345454545,8.6863636364,6.8109090909,6.5327272727
1013976984,HELFAT,ARTHUR,J,M.D.,M,I,3400 W BALL RD,100,ANAHEIM,CA,928043738,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,126.61111111,33,25.87,25.87
1013977164,ANWAR,MOHAMMAD,S,MD,M,I,117 EAST KINGSHIGHWAY,,EDEN,NC,27288,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,225,62.767083333,46.025,36.334583333
1013977164,ANWAR,MOHAMMAD,S,MD,M,I,117 EAST KINGSHIGHWAY,,EDEN,NC,27288,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,20,3.9603125,2.926875,3.503125
1013977164,ANWAR,MOHAMMAD,S,MD,M,I,117 EAST KINGSHIGHWAY,,EDEN,NC,27288,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,504.89862069,79.52862069,62.345862069,55.723103448
1013977164,ANWAR,MOHAMMAD,S,MD,M,I,117 EAST KINGSHIGHWAY,,EDEN,NC,27288,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35.96,28.19,29.29
1013977339,BHADKAMKAR,SANDEEP,V,MD,M,I,6801 AIRPORT BLVD,,MOBILE,AL,366083709,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,62,48.813225806,8.32,4.6541935484,4.6541935484
1013977339,BHADKAMKAR,SANDEEP,V,MD,M,I,6801 AIRPORT BLVD,,MOBILE,AL,366083709,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,27,14.153333333,1.42,0.9477777778,0.9477777778
1013977339,BHADKAMKAR,SANDEEP,V,MD,M,I,6801 AIRPORT BLVD,,MOBILE,AL,366083709,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,56,56.250892857,18.035178571,13.892678571,13.295178571
1013977339,BHADKAMKAR,SANDEEP,V,MD,M,I,6801 AIRPORT BLVD,,MOBILE,AL,366083709,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,48,48,40.73375,5.06375,3.970625,3.7066666667
1013977339,BHADKAMKAR,SANDEEP,V,MD,M,I,6801 AIRPORT BLVD,,MOBILE,AL,366083709,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,53,63,353.31746032,75.586031746,57.892063492,54.121428571
1013977339,BHADKAMKAR,SANDEEP,V,MD,M,I,6801 AIRPORT BLVD,,MOBILE,AL,366083709,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,115.83333333,21.79,15.171333333,11.353333333
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,36,128,296,55.384358108,8.2986486486,5.9892567568,6.0060135135
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,9.5855555556,3.38,2.65,2.65
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,24,58,87,13.075862069,1.42,1.0644827586,1.0644827586
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,78,11.908846154,2.0176923077,1.5825641026,1.5894871795
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,275,4.54,3.5593333333,4.1081212121
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5247,16.218867925,1.1,0.8350600343,0.9129045169
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.402363636,8.9395,8.9395
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,6198,0.4774136818,0.0467312036,0.0286866731,0.0286866731
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,16,146.25,16.34,12.80375,13.9175
1013977438,BALSAMO,STEVEN,J,DO,M,I,1 TALLOW WOOD DR,,CLIFTON PARK,NY,120652807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,32,70.125,33,22.63625,22.63625
1013977610,JAMISON,CYNTHIA,R,M.D.,F,I,13523 PLAZA ROAD EXT,,CHARLOTTE,NC,282158921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,35,99,74.44959596,8.32,6.4368686869,6.4368686869
1013977610,JAMISON,CYNTHIA,R,M.D.,F,I,13523 PLAZA ROAD EXT,,CHARLOTTE,NC,282158921,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,235.28,79,61.94,54.73
1013977719,HENSON,DOUGLAS,W,MD,M,I,1600 MEDICAL CENTER DR,SUITE 2500,HUNTINGTON,WV,257013656,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,52.662142857,22.829285714,16.830714286,14.713571429
1013977719,HENSON,DOUGLAS,W,MD,M,I,1600 MEDICAL CENTER DR,SUITE 2500,HUNTINGTON,WV,257013656,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,131.63071429,105.31,78.296428571,65.285
1013977859,LOHANI-SHARMA,BIDYA,,MD,F,I,845 E WARNER RD STE 101,,CHANDLER,AZ,852251058,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,26,48,71.081041667,8.32,6.115625,6.115625
1013977859,LOHANI-SHARMA,BIDYA,,MD,F,I,845 E WARNER RD STE 101,,CHANDLER,AZ,852251058,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,18.448235294,1.42,0.9823529412,0.9823529412
1013977909,BRANCACCIO,ANNE,M,MD,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,General Practice,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,56,50,8.32,6.5230357143,6.5230357143
1013977925,RAJA,HARIKRISHNA,,MD,M,I,3417 GASTON AVE,SUITE # 1000,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1895,1074.31,842.26,842.26
1013977925,RAJA,HARIKRISHNA,,MD,M,I,3417 GASTON AVE,SUITE # 1000,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.08,11.951818182,9.3736363636,9.0709090909
1013977925,RAJA,HARIKRISHNA,,MD,M,I,3417 GASTON AVE,SUITE # 1000,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,170.84181818,130.37,120.32727273
1013977982,SIROTENKO,GEORGE,A,DO,M,I,995 SENATOR KEATING BLVD,BLDG E SUITE 3100,ROCHESTER,NY,14618,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1080,0.92,0.1345,0.1054444444,0.1054444444
1013977982,SIROTENKO,GEORGE,A,DO,M,I,995 SENATOR KEATING BLVD,BLDG E SUITE 3100,ROCHESTER,NY,14618,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1013978006,BANKS,SUSAN,K,CNP,F,I,105 EAST PINON STREET,,MOUNTAINAIR,NM,87036,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,43,96.385581395,18.5,14.162790698,13.269767442
1013978006,BANKS,SUSAN,K,CNP,F,I,105 EAST PINON STREET,,MOUNTAINAIR,NM,87036,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,57,76,507.535,86.09,62.058157895,52.240921053
1013978006,BANKS,SUSAN,K,CNP,F,I,105 EAST PINON STREET,,MOUNTAINAIR,NM,87036,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,26,233.07692308,40.83,25.394230769,23.567307692
1013978006,BANKS,SUSAN,K,CNP,F,I,105 EAST PINON STREET,,MOUNTAINAIR,NM,87036,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3900,0.3519923077,0.0465384615,0.0336512821,0.0336512821
1013978006,BANKS,SUSAN,K,CNP,F,I,105 EAST PINON STREET,,MOUNTAINAIR,NM,87036,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,33,33,23.88,23.88
1013978097,HOYT,KAREN,M,MD,F,I,354 BIRNIE AVE STE 202,,SPRINGFIELD,MA,011071109,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,361,24.957202216,4.86,3.633434903,3.9275900277
1013978097,HOYT,KAREN,M,MD,F,I,354 BIRNIE AVE STE 202,,SPRINGFIELD,MA,011071109,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4920,1.2115630081,0.3089288618,0.242195122,0.2430426829
1013978162,PENA,GUILLERMO,A,MD,M,I,165 BLUE RIDGE OVERLOOK,,BLUE RIDGE,GA,305134431,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,52,127,64.890551181,8.32,4.4045669291,4.4045669291
1013978162,PENA,GUILLERMO,A,MD,M,I,165 BLUE RIDGE OVERLOOK,,BLUE RIDGE,GA,305134431,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,31,14.742258065,1.42,0.8625806452,0.8625806452
1013978162,PENA,GUILLERMO,A,MD,M,I,165 BLUE RIDGE OVERLOOK,,BLUE RIDGE,GA,305134431,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,29.011875,6.884375,4.25875,2.53375
1013978162,PENA,GUILLERMO,A,MD,M,I,165 BLUE RIDGE OVERLOOK,,BLUE RIDGE,GA,305134431,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,133,47.870625,29.8984375,18.4125
1013978162,PENA,GUILLERMO,A,MD,M,I,165 BLUE RIDGE OVERLOOK,,BLUE RIDGE,GA,305134431,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,410,104.23333333,81.026666667,54.035238095
1013978162,PENA,GUILLERMO,A,MD,M,I,165 BLUE RIDGE OVERLOOK,,BLUE RIDGE,GA,305134431,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,15.090833333,15.090833333
1013978253,VOGLER,SCOTT,L,MD,M,I,216 MOORE RD,,KING,NC,270218703,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,63,128,55.7790625,8.314921875,6.05828125,6.062265625
1013978253,VOGLER,SCOTT,L,MD,M,I,216 MOORE RD,,KING,NC,270218703,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,27,27,15,3.38,2.4537037037,2.4537037037
1013978253,VOGLER,SCOTT,L,MD,M,I,216 MOORE RD,,KING,NC,270218703,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,25,2.12,1.5181818182,1.5181818182
1013978253,VOGLER,SCOTT,L,MD,M,I,216 MOORE RD,,KING,NC,270218703,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,30,34,14.756176471,1.42,1.0188235294,1.0188235294
1013978253,VOGLER,SCOTT,L,MD,M,I,216 MOORE RD,,KING,NC,270218703,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,477.33611111,82.282222222,59.353333333,49.847222222
1013978253,VOGLER,SCOTT,L,MD,M,I,216 MOORE RD,,KING,NC,270218703,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,70.125,33,25.87,25.87
1013978287,LOCKE,JAYME,E,M.D.,F,I,720 RUTLAND AVE,"ROSS RESEARCH BUILDING, ROOM765",BALTIMORE,MD,21205,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,26,55,14310,4.4595038435,0.566836478,0.4395765199,0.4395765199
1013978287,LOCKE,JAYME,E,M.D.,F,I,720 RUTLAND AVE,"ROSS RESEARCH BUILDING, ROOM765",BALTIMORE,MD,21205,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,21,39,29290,0.0386876067,0.0128426084,0.0099839536,0.0099839536
1013978287,LOCKE,JAYME,E,M.D.,F,I,720 RUTLAND AVE,"ROSS RESEARCH BUILDING, ROOM765",BALTIMORE,MD,21205,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,24,48,10920,4.2929139194,1.1998131868,0.9204249084,0.9204249084
1013978287,LOCKE,JAYME,E,M.D.,F,I,720 RUTLAND AVE,"ROSS RESEARCH BUILDING, ROOM765",BALTIMORE,MD,21205,US,Physician/General Surgery,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,1,19,19,19,50,50,39.2,39.2
1013978287,LOCKE,JAYME,E,M.D.,F,I,720 RUTLAND AVE,"ROSS RESEARCH BUILDING, ROOM765",BALTIMORE,MD,21205,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,11,24,24,24,24,18.5675,18.5675
1013978287,LOCKE,JAYME,E,M.D.,F,I,720 RUTLAND AVE,"ROSS RESEARCH BUILDING, ROOM765",BALTIMORE,MD,21205,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,26,72,105,16,16,12.181714286,12.181714286
1013978329,HOLZKNECHT,ROBERT,G,M.D.,M,I,444 S MAIN ST,,MADISONVILLE,KY,424312871,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,20.55375,6.50625,4.874375,3.23875
1013978329,HOLZKNECHT,ROBERT,G,M.D.,M,I,444 S MAIN ST,,MADISONVILLE,KY,424312871,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,52.333333333,26.3125,19.028333333,13.255
1013978501,NELSON,SIGRID,A,MD,F,I,100 STATE AVE,,FARIBAULT,MN,550216337,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,46,114,63.393070175,8.32,6.0080701754,6.0080701754
1013978501,NELSON,SIGRID,A,MD,F,I,100 STATE AVE,,FARIBAULT,MN,550216337,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,17,14.583529412,1.42,1.1176470588,1.1176470588
1013978501,NELSON,SIGRID,A,MD,F,I,100 STATE AVE,,FARIBAULT,MN,550216337,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1709,1.4763370392,0.1368227033,0.1072791106,0.1072791106
1013978501,NELSON,SIGRID,A,MD,F,I,100 STATE AVE,,FARIBAULT,MN,550216337,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,25.87,25.87
1013978527,DINH,BICHHUONG,M,MD,F,I,900 CATON AVENUE,,BALTIMORE,MD,21229,US,Hospitalist,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,56.55,44.766666667,30.808333333,32.954166667
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,26,37,37,117.29324324,39.097567568,29.011081081,28.842702703
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,18,22,22,302.85590909,88.105,60.963181818,59.733636364
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,13,17,45,120.08333333,33.697333333,24.408,23.893111111
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,218.73066667,51.82,40.621333333,42.701333333
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,21,21,63.801904762,17.035238095,12.101904762,12.738095238
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,27,43,219,7.2304109589,2.0517808219,1.5501369863,1.5327853881
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,18,18,26.892222222,5.9222222222,4.4011111111,4.3966666667
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,107,107,41.031308411,15.867009346,12.209719626,13.202056075
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,50,50,3775.52,1074.31,839.3906,839.3906
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,300,86.650909091,67.940909091,72.322727273
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,43,43,35.199069767,4.2595348837,3.3393023256,3.9211627907
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,48,53,154.25773585,37.847358491,28.536792453,26.147924528
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,31,165,165,272.49351515,73.894787879,57.234242424,54.669393939
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,117.48347826,38.146086957,29.903478261,29.654782609
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,36,2102,21.278472883,9.6975451951,7.6028591817,7.6028591817
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1073,1.8366542404,0.1352283318,0.1034948742,0.1034948742
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,15,36,1974,12.565248227,3.0929787234,2.4249189463,2.4249189463
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,89.091428571,36.18,28.36,29.071904762
1013978535,BLAKE,AMY,S,FNP-BC,F,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,18,42,42,49.5,33,25.87,25.87
1013978691,JAKUBOWSKI,KRZYSZTOF,,MD,M,I,244 MAIN ST,,MERIDEN,CT,064515149,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,49,136,412,73.07038835,8.32,5.398276699,5.398276699
1013978691,JAKUBOWSKI,KRZYSZTOF,,MD,M,I,244 MAIN ST,,MERIDEN,CT,064515149,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,14.308,3.38,2.385,2.385
1013978691,JAKUBOWSKI,KRZYSZTOF,,MD,M,I,244 MAIN ST,,MERIDEN,CT,064515149,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,27,55,86,14.181162791,1.42,0.9462790698,0.9462790698
1013978691,JAKUBOWSKI,KRZYSZTOF,,MD,M,I,244 MAIN ST,,MERIDEN,CT,064515149,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,16.886923077,12.226153846,12.501538462
1013978691,JAKUBOWSKI,KRZYSZTOF,,MD,M,I,244 MAIN ST,,MERIDEN,CT,064515149,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,423.81,76.258947368,56.671578947,51.84
1013978741,GALLAGHER,LAURIE,A,D.O.,F,I,142 WALLACE AVE STE 201,,DOWNINGTOWN,PA,19335,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,32,73.186875,8.32,5.7053125,5.7053125
1013978766,BENNETT,STEPHEN,G,M.D.,M,I,4140 SOUTHWEST HWY,,HOMETOWN,IL,604561135,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,27,106,75.565188679,8.32,6.2763207547,6.2763207547
1013978766,BENNETT,STEPHEN,G,M.D.,M,I,4140 SOUTHWEST HWY,,HOMETOWN,IL,604561135,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,54.682857143,35.417857143,27.763571429,22.335
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,43,114,63.569736842,8.32,6.2771052632,6.2771052632
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,36,13.336666667,1.42,1.0205555556,1.0205555556
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,10.61,10.61,6.8072727273,7.0690909091
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,510,61.336666667,3,2.2136470588,2.228627451
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,7734,2.8549262995,0.36,0.2671502457,0.2748060512
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.88,16.79,13.16,13.227272727
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,241.5,48.534736842,38.052105263,38.131052632
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,21,20,10.491428571,8.2238095238,8.64
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,230,78.47,61.52,56.767
1013978790,HILL,DARRYL,A,MD,M,I,13635 BALTIMORE AVE,,LAUREL,MD,20707,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,75,39.3,30.81,29.51
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,69,43.594347826,8.32,5.9553623188,5.9553623188
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,34.15,28.46,20.593846154,20.593846154
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,13.12,10.93,8.2938461538,8.2938461538
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,349.16363636,116.00818182,90.948181818,67.844545455
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,65,72.227230769,25.702615385,20.150307692,16.199384615
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,64,62.0690625,20.3365625,15.781875,12.7659375
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,204.88434783,75.505217391,57.612608696,45.730434783
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,80.990625,23.996875,18.80875,15.1725
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,29,29,71.442068966,19.357586207,14.478275862,9.6827586207
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,30,180,8.6066666667,2.81,2.1442777778,1.6791111111
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,50.656666667,15.3425,12.024166667,10.796666667
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,100,22.212307692,15.117692308,11.448461538
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,42.448333333,34.835833333
1013978808,HUNT,THOMAS,E,DO,M,I,7206 MARKET ST STE 100A,,BOARDMAN,OH,445124507,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,495,100.68324324,69.245135135,45.854864865
1013979012,SOLOMON,HARRISON,,MD,M,I,8401 CONNECTICUT AVE,SUITE 800,CHEVY CHASE,MD,208155803,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,118.24,91.27,71.56,77.39
1013979012,SOLOMON,HARRISON,,MD,M,I,8401 CONNECTICUT AVE,SUITE 800,CHEVY CHASE,MD,208155803,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,318,215.58,169.01,171.88
1013979012,SOLOMON,HARRISON,,MD,M,I,8401 CONNECTICUT AVE,SUITE 800,CHEVY CHASE,MD,208155803,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,25,25,611,321.3596,251.942,254.9516
1013979012,SOLOMON,HARRISON,,MD,M,I,8401 CONNECTICUT AVE,SUITE 800,CHEVY CHASE,MD,208155803,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,77,82,86,88,59.794186047,46.129651163,45.60255814
1013979012,SOLOMON,HARRISON,,MD,M,I,8401 CONNECTICUT AVE,SUITE 800,CHEVY CHASE,MD,208155803,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,33,123,83.21,65.24,67.3
1013979012,SOLOMON,HARRISON,,MD,M,I,8401 CONNECTICUT AVE,SUITE 800,CHEVY CHASE,MD,208155803,US,Physician/Orthopedic Surgery,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,450.06363636,305.65,239.63,266.26
1013979061,KUYKENDALL,KEN,,M.D.,M,I,333 S 38TH ST,,MUSKOGEE,OK,744014937,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,47,50.758085106,8.32,6.2438297872,6.2438297872
1013979061,KUYKENDALL,KEN,,M.D.,M,I,333 S 38TH ST,,MUSKOGEE,OK,744014937,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,15,17.333333333,1.42,1.116,1.116
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,57,210,72.884761905,8.2601428571,5.8609047619,5.9078095238
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.25,3.38,2.65,2.65
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,29,63,17.521111111,1.42,0.9544444444,0.9544444444
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,165,58.225,40.846666667,34.61
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,27.42,5.3170833333,4.1654166667,3.6820833333
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,199.23133333,77.830666667,47.793333333,42.484
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,510,17.977313725,9.6522941176,7.0961764706,7.0961764706
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1795,2.1855264624,0.1312590529,0.0908077994,0.0908077994
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.22,21.553333333,10.673333333,8.7333333333
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,83.77,36.711666667,25.746666667,20.0675
1013979228,MONTGOMERY,KIMBERLY,,FNP,F,I,3030 RANDOLPH RD,STE 200,CHARLOTTE,NC,282111368,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,28,61.285714286,33,24.022142857,24.022142857
1013979293,SOLIMAN,NASIER,B,M.D,M,I,137 HELENA AVE,,YONKERS,NY,107103024,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,58,58.095344828,8.32,5.6220689655,5.6220689655
1013979350,BELLO,STEVEN,L,MD,M,I,1879 VETERANS PARK DR,SUITE 1201,NAPLES,FL,341090492,US,Physician/Otolaryngology,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.1545454545,3.1545454545,2.4740909091,3.2390909091
1013979350,BELLO,STEVEN,L,MD,M,I,1879 VETERANS PARK DR,SUITE 1201,NAPLES,FL,341090492,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,685,6.8652116788,5.0933576642,3.9931678832,4.1003357664
1013979350,BELLO,STEVEN,L,MD,M,I,1879 VETERANS PARK DR,SUITE 1201,NAPLES,FL,341090492,US,Physician/Otolaryngology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,21,7.24,7.24,5.6766666667,6.379047619
1013979350,BELLO,STEVEN,L,MD,M,I,1879 VETERANS PARK DR,SUITE 1201,NAPLES,FL,341090492,US,Physician/Otolaryngology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,17.820833333,3.3125,2.5966666667,3.2595833333
1013979350,BELLO,STEVEN,L,MD,M,I,1879 VETERANS PARK DR,SUITE 1201,NAPLES,FL,341090492,US,Physician/Otolaryngology,S,L8501,Tracheostomy speaking valve,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,18,307.87055556,141.71,111.1,102.26944444
1013979426,MAULDIN,FRANK,W,M.D.,M,I,304 10TH AVE NE,,HICKORY,NC,286013883,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,57,67.988947368,19.679649123,15.222631579,14.362982456
1013979426,MAULDIN,FRANK,W,M.D.,M,I,304 10TH AVE NE,,HICKORY,NC,286013883,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,167.80210526,56.497368421,42.051052632,40.598421053
1013979426,MAULDIN,FRANK,W,M.D.,M,I,304 10TH AVE NE,,HICKORY,NC,286013883,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,57.027058824,18.66,14.623529412,14.093529412
1013979426,MAULDIN,FRANK,W,M.D.,M,I,304 10TH AVE NE,,HICKORY,NC,286013883,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,58.980666667,12.521333333,9.818,9.092
1013979426,MAULDIN,FRANK,W,M.D.,M,I,304 10TH AVE NE,,HICKORY,NC,286013883,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,87,7.5947126437,2.0782758621,1.6302298851,1.5913793103
1013979426,MAULDIN,FRANK,W,M.D.,M,I,304 10TH AVE NE,,HICKORY,NC,286013883,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,156.24461538,31.59,21.098076923,20.754615385
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,52,195,414,73.347173913,8.32,5.9956038647,5.9956038647
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.4733333333,2.4733333333
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,22.270909091,2.12,1.5181818182,1.5181818182
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,30,62,85,21.397529412,1.42,0.9976470588,0.9976470588
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,27,86.342222222,40.612962963,30.289259259,26.645185185
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,54,5.3466666667,2.4433333333,1.7192592593,1.4555555556
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,118.52705882,61.914117647,34.071764706,23.214705882
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,90,90,66.457333333,22.98,17.517444444,13.978777778
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,35,35,57.012571429,8.148,6.1791428571,3.5388571429
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,23,5,3.6139130435,2.8330434783,2.25
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,151,151,296.98788079,102.93205298,77.425364238,55.439072848
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,330,44.768823529,33.168235294,28.621176471
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,54,15978,0.5861371886,0.0460896232,0.0333433471,0.0333433471
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,2700,1.7512962963,0.1276666667,0.083937037,0.083937037
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,72,26.956086957,19.880869565,13.229130435
1013979483,GLOCKNER,JENNIFER,K,APRN,F,I,8750 OHIO RIVER RD,,WHEELERSBURG,OH,456941918,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,17,61,61,33.163934426,33,23.325409836,23.325409836
1013979491,JOHANSON,JAMES,E,M.D.,M,I,7907 POWERS BLVD,,CHANHASSEN,MN,553179502,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285,78.49,49.575833333,44.475833333
1013979525,NUSSER,RICHARD,A,MD,M,I,411 30TH ST STE 314,,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,83.943076923,13.862307692,10.026923077,8.7046153846
1013979525,NUSSER,RICHARD,A,MD,M,I,411 30TH ST STE 314,,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,9.5183333333,2.0841666667,1.4973611111,1.4630555556
1013979525,NUSSER,RICHARD,A,MD,M,I,411 30TH ST STE 314,,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,577.736,79,61.94,55.142
1013979525,NUSSER,RICHARD,A,MD,M,I,411 30TH ST STE 314,,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39,30.58,29.51
1013979558,MOVSHOVICH,MARINA,,MD,F,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,49,52,169,464,65.703728448,8.32,5.9584482759,5.9584482759
1013979558,MOVSHOVICH,MARINA,,MD,F,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,11.372380952,3.38,2.1452380952,2.1452380952
1013979558,MOVSHOVICH,MARINA,,MD,F,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,31,77,115,19.656782609,1.42,0.9314782609,0.9314782609
1013979590,ROSAS,KEVIN,E,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,129.62962963,94.8,69.847037037,58.627037037
1013979590,ROSAS,KEVIN,E,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Orthopedic Surgery,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,37,73,211.40410959,186.00438356,140.59136986,144.48054795
1013979590,ROSAS,KEVIN,E,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Orthopedic Surgery,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,28.392857143,28.362142857,22.236428571,34.822142857
1013979590,ROSAS,KEVIN,E,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,340,260.96347826,199.56434783,213.22913043
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,227,386,386,110.70010363,40.102564767,28.426295337,27.589455959
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,83,147,147,331.68829932,87.249455782,63.03952381,62.799387755
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,69,157,295,140.10149153,33.485186441,24.574338983,24.233016949
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,19,109,233,848,86.227959906,19.17134434,13.482358491,13.013136792
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,19,82,186,748,60.68657754,15.511804813,10.693542781,10.454491979
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,28,216,373,373,213.69085791,55.584343164,39.491903485,38.821742627
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,262,342,342,68.067865497,18.406959064,13.424678363,13.070730994
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,33,41,41,38.343170732,11.190487805,8.1617073171,7.5536585366
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,40,70,70,80.766428571,13.038714286,9.2845714286,8.232
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,30,272,579,2243,9.1523896567,2.0879893,1.5249130629,1.4826170308
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,49,60,60,26.186833333,6.3095,4.555,4.333
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,24,146,182,182,44.490604396,13.262252747,9.6096703297,9.5614285714
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,36,214,221,296.30674208,85.365565611,62.483393665,62.674298643
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,661.14026316,211.74342105,155.83657895,155.91
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,34,34,34,436.54588235,131.35,92.325882353,94.021470588
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,88,390,409,45.404132029,13.20205379,9.2038141809,9.3573594132
1013979665,IRBE,DAINIS,,M.D.,M,I,4725 VILLAGE PLAZA LOOP,SUITE 101,EUGENE,OR,974016677,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,115,654,691,146.22590449,31.947221418,22.452561505,22.559565847
1013979723,SANTORY -ORTIZ,JULIO,,,M,I,URB. LA INMACULADA C/1 # 103,,LAS PIEDRAS,PR,00771,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,130.8,68.287142857,53.537619048,40.495238095
1013979723,SANTORY -ORTIZ,JULIO,,,M,I,URB. LA INMACULADA C/1 # 103,,LAS PIEDRAS,PR,00771,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,19,43.015789474,29.862105263,23.412631579,15.711578947
1013979723,SANTORY -ORTIZ,JULIO,,,M,I,URB. LA INMACULADA C/1 # 103,,LAS PIEDRAS,PR,00771,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,18,18.216111111,13.261666667,10.392777778,7.33
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,29,85,275,58.754545455,8.2781090909,6.2528363636,6.2857090909
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,15.277777778,3.38,2.3555555556,2.3555555556
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,32,44,16.087727273,1.42,1.0154545455,1.0154545455
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,116.24642857,50.117857143,36.884285714,28.544285714
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,4.6661538462,2.0523076923,1.6111538462,1.15
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,406.32375,126.21625,92.780625,69.9875
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,40,164.06475,45.966,32.186,24.52825
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,11,26,138,67.250217391,26.914637681,20.552463768,14.024347826
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,30,30,206.09966667,80.081333333,61.210666667,42.427666667
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,27,27,68.442962963,24.38962963,18.227777778,13.552962963
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,34,34,66.956764706,21.244117647,15.766176471,8.9705882353
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,17,48,249,10.597911647,3.2579116466,2.4683935743,1.5816465863
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,65,67.246153846,22.378,16.026615385,12.327846154
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,22,26,81.75,18.420384615,14.442307692,10.741538462
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,38,240.02105263,52.146315789,38.892105263,25.486052632
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,78,78,408.95346154,103.83653846,75.853333333,51.637179487
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,44.745,35.0825,29.515833333
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1860,0.4172795699,0.0459193548,0.0359946237,0.0359946237
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,570,12.86,3.052,2.2049298246,2.2049298246
1013979855,EDWARDS,TRACY,L,MD,M,I,129 SOUTH MAIN ST,SUITE A,HIAWASSEE,GA,30546,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,93.923076923,33,25.87,25.87
1013979939,LUNDGREN,JOHN,P,MD,M,I,4194 LEXINGTON AVE N,,SHOREVIEW,MN,551266106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,28,73,182,75.34043956,8.32,6.03,6.03
1013979939,LUNDGREN,JOHN,P,MD,M,I,4194 LEXINGTON AVE N,,SHOREVIEW,MN,551266106,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,20,29,9.7537931034,1.42,1.0386206897,1.0386206897
1013979962,HART,OLIVER,J,M.D.,M,I,2010 BALDWIN LN,,WINSTON SALEM,NC,271035846,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,4.35,1.73,1.3563333333,1.5790833333
1013980002,MCVICAR,RONALD,J,DO,M,I,1849 SAVAGE RD,,CHARLESTON,SC,294074726,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,39.470769231,15.528461538,11.383846154,9.9192307692
1013980002,MCVICAR,RONALD,J,DO,M,I,1849 SAVAGE RD,,CHARLESTON,SC,294074726,US,Physician/Otolaryngology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.93,5.285,4.14,3.66
1013980002,MCVICAR,RONALD,J,DO,M,I,1849 SAVAGE RD,,CHARLESTON,SC,294074726,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,118.68969697,36.687878788,27.38969697,25.414545455
1013980101,RAMSEY,TARA,J,M.D.,F,I,1606 W LAFAYETTE AVE,SUITE D,JACKSONVILLE,IL,626503707,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,7.8766666667,5.9044444444,3.3166666667
1013980200,DEAN,AMELIA,L,M.D.,F,I,320 N MADISON,,PITTSFIELD,IL,62363,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,54,6.42,2.9933333333,2.2164814815,2.0809259259
1013980200,DEAN,AMELIA,L,M.D.,F,I,320 N MADISON,,PITTSFIELD,IL,62363,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,42.14,17.837777778,13.485,10.040555556
1013980200,DEAN,AMELIA,L,M.D.,F,I,320 N MADISON,,PITTSFIELD,IL,62363,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,26.16,7.6325,5.5783333333,3.285
1013980200,DEAN,AMELIA,L,M.D.,F,I,320 N MADISON,,PITTSFIELD,IL,62363,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,156.38,51.44,38.76,26.042727273
1013980234,KEEFE,BETH,G,M.D.,F,I,600 WALNUT RIDGE DR,,HARTLAND,WI,53029,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,31,96,59.363854167,8.32,6.1140625,6.1140625
1013980234,KEEFE,BETH,G,M.D.,F,I,600 WALNUT RIDGE DR,,HARTLAND,WI,53029,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,27,16.164444444,1.42,0.9903703704,0.9903703704
1013980234,KEEFE,BETH,G,M.D.,F,I,600 WALNUT RIDGE DR,,HARTLAND,WI,53029,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,749.18083333,95.081666667,72.054583333,54.137083333
1013980234,KEEFE,BETH,G,M.D.,F,I,600 WALNUT RIDGE DR,,HARTLAND,WI,53029,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,285.6,44.34,34.765,29.8725
1013980267,ANGLIN,MICKEL,W,M. D.,M,I,13045 SUMMERFIELD SQUARE DR,,RIVERVIEW,FL,335787402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,63,65.647142857,8.32,6.5228571429,6.5228571429
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,51,134,363,81.522672176,8.32,4.95815427,4.95815427
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.92,3.38,1.4454545455,1.4454545455
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,28,64,76,16.080789474,1.42,0.7352631579,0.7352631579
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,651,0.2844854071,0.1283102919,0.1006144393,0.1019508449
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,3.5573684211,2.1263157895,1.3994736842,0.9815789474
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,,16,17,3.4358823529,0.6988235294,0.4923529412,0.3988235294
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,68.815,25.388571429,19.848571429,14.524285714
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,45,104.848,22.444666667,15.605777778,12.559555556
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,21,40.328571429,8.06,5.9123809524,4.22
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,82,94,552.92776596,100.29319149,74.01712766,54.152021277
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,29,230.48,44.59137931,33.828965517,30.570344828
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1646,1.2003159174,0.0474119077,0.0260024301,0.0260024301
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,45,4865,1.5816505653,0.1338561151,0.0868530319,0.0868530319
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,297.46666667,44.61,31.325555556,27.217222222
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,13,13,13,1546.1230769,1109.22,861.60384615,878.48384615
1013980325,CLAY,GARY,A,MD,M,I,1 HOSPITAL CT,,BELLOWS FALLS,VT,051011489,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,18,48,48,37.9375,33,20.55625,20.55625
1013980390,TOM,ANDREA,M,M.D.,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,22,57,280,71.123535714,8.32,6.4659285714,6.4659285714
1013980390,TOM,ANDREA,M,M.D.,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,9.9716666667,3.38,2.65,2.65
1013980390,TOM,ANDREA,M,M.D.,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,25,53,12.648867925,1.42,1.1141509434,1.1141509434
1013980390,TOM,ANDREA,M,M.D.,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,39,39,912.87692308,251.04,196.81512821,196.86974359
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,50,144,374,55.086229947,8.32,5.6960427807,5.6960427807
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,21,21,15.15,3.38,2.65,2.65
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,18.676363636,2.12,1.67,1.67
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,49,115,154,13.655324675,1.42,0.9712987013,0.9712987013
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,23,23,46,79.699565217,71.516956522,56.071521739,56.104347826
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,18,18,108,34.318611111,29.120185185,22.830462963,22.886666667
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,24.02173913,5.4808695652,4.12,3.427826087
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,12,12,12,30.955,30.903333333,24.225833333,58.9025
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,7411,0.4020523546,0.0462380246,0.0362569154,0.0362569154
1013980531,KASMIKHA,RIYADH,P,M.D.,M,I,28500 SOUTHFIELD RD,SUITE 200,LATHRUP VILLAGE,MI,480762722,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,33,33,25.87,25.87
1013980572,RICCI,MEGAN,G,PA-C,F,I,3820 N GRANT AVE,,LOVELAND,CO,805388412,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,132.82051282,32.103846154,24.368717949,24.375641026
1013980697,KIRBY,KENT,A,M.D.,M,I,4599 JENNIFER LANE,,MT. PLEASANT,MI,488583057,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1020,0.39,0.13,0.0929117647,0.0929117647
1013980697,KIRBY,KENT,A,M.D.,M,I,4599 JENNIFER LANE,,MT. PLEASANT,MI,488583057,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,13.77,13.77,10.795,10.82
1013980697,KIRBY,KENT,A,M.D.,M,I,4599 JENNIFER LANE,,MT. PLEASANT,MI,488583057,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,42,7170,3.5833054393,2.04,1.5606080893,1.5606080893
1013980697,KIRBY,KENT,A,M.D.,M,I,4599 JENNIFER LANE,,MT. PLEASANT,MI,488583057,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,58,10.934482759,10.411034483,8.1356896552,8.5320689655
1013980697,KIRBY,KENT,A,M.D.,M,I,4599 JENNIFER LANE,,MT. PLEASANT,MI,488583057,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,54,6.92,6.3822222222,5.0042592593,5.8140740741
1013980697,KIRBY,KENT,A,M.D.,M,I,4599 JENNIFER LANE,,MT. PLEASANT,MI,488583057,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,1.1875,1.1875,0.93125,1.41125
1013980697,KIRBY,KENT,A,M.D.,M,I,4599 JENNIFER LANE,,MT. PLEASANT,MI,488583057,US,Physician/Urology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1200,0.19,0.13,0.1019,0.1019
1013980713,WITKOWSKI,EDMUND,G,M.D.,M,I,836 SUNSET LAKE BLVD,BUILDING A SUITE 205,VENICE,FL,342927554,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,229,120.5025,89.866,98.0235
1013980713,WITKOWSKI,EDMUND,G,M.D.,M,I,836 SUNSET LAKE BLVD,BUILDING A SUITE 205,VENICE,FL,342927554,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,1450,733.30230769,560.04923077,465.76153846
1013980713,WITKOWSKI,EDMUND,G,M.D.,M,I,836 SUNSET LAKE BLVD,BUILDING A SUITE 205,VENICE,FL,342927554,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,1450,730.48615385,572.70153846,483.96615385
1013980713,WITKOWSKI,EDMUND,G,M.D.,M,I,836 SUNSET LAKE BLVD,BUILDING A SUITE 205,VENICE,FL,342927554,US,Physician/Orthopedic Surgery,S,L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,300,155.23807692,119.02769231,117.94653846
1013980713,WITKOWSKI,EDMUND,G,M.D.,M,I,836 SUNSET LAKE BLVD,BUILDING A SUITE 205,VENICE,FL,342927554,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,24,102,56.910833333,41.573333333,43.7575
1013980713,WITKOWSKI,EDMUND,G,M.D.,M,I,836 SUNSET LAKE BLVD,BUILDING A SUITE 205,VENICE,FL,342927554,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,184,95.022666667,67.982,64.437333333
1013980713,WITKOWSKI,EDMUND,G,M.D.,M,I,836 SUNSET LAKE BLVD,BUILDING A SUITE 205,VENICE,FL,342927554,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,300,154.627,109.1285,107.775
1013980770,BLOOD,JOSEPH,B,MD,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,174.56923077,66.570769231,52.193846154,37.940769231
1013980770,BLOOD,JOSEPH,B,MD,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65.52,16.59,13,13.53
1013980770,BLOOD,JOSEPH,B,MD,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,362,67.72,53.1,54.73
1013980770,BLOOD,JOSEPH,B,MD,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,66.6,25.354117647,19.030588235,12.842352941
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,32,35,35,89.832857143,45.428285714,33.477714286,29.462285714
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,148,220,220,290.69927273,100.59686364,72.922090909,63.8325
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,79,159,199,114.92939698,37.986482412,28.091457286,24.791256281
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,35,53,158,83.175443038,21.540126582,16.532848101,14.333924051
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,18,32,119,55.362352941,17.308235294,13.319243697,11.920588235
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,100,139,139,187.70978417,66.660791367,48.45647482,40.177266187
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,230,280,280,60.451214286,21.433071429,15.531964286,13.207678571
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,27,27,26.238888889,11.537037037,8.3851851852,7.6422222222
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,185,295,295,52.928847458,15.518237288,11.351389831,8.5582711864
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,217,379,1715,7.2496559767,2.3645014577,1.7180233236,1.4959300292
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,143,183,183,20.157486339,7.0519672131,5.1341530055,4.3389617486
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,66,73,73,54.593150685,14.473835616,10.474657534,9.6228767123
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,17,92,92,311.08695652,117.17108696,84.315108696,62.230326087
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,678,279.26454545,212.42454545,169.95363636
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,33,33,33,430.64606061,156.44666667,114.69818182,103.02666667
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,56,336,336,37.856934524,14.915059524,10.922321429,9.1891666667
1013980838,NYE,DAVID,A,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,96,583,583,194.90428816,40.859674099,29.764168096,23.875317324
1013980903,MITTELMAN,ABRAHAM,,MD,M,I,3010 WESTCHESTER AVE,SUITE 100,PURCHASE,NY,105772535,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,8,,42,3118,56.874220654,5.1144996793,3.8717350866,3.8717350866
1013980903,MITTELMAN,ABRAHAM,,MD,M,I,3010 WESTCHESTER AVE,SUITE 100,PURCHASE,NY,105772535,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,24,24,18.82,18.82
1013980903,MITTELMAN,ABRAHAM,,MD,M,I,3010 WESTCHESTER AVE,SUITE 100,PURCHASE,NY,105772535,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,21.818181818,16,12.54,12.54
1013980952,LEVY,JONATHAN,C,M.D.,M,I,5597 N DIXIE HWY,,OAKLAND PARK,FL,333343406,US,Physician/Orthopedic Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,510,10,3.11,2.2949019608,2.2408627451
1013980952,LEVY,JONATHAN,C,M.D.,M,I,5597 N DIXIE HWY,,OAKLAND PARK,FL,333343406,US,Physician/Orthopedic Surgery,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6656,1.55,0.68,0.5225585938,0.509289363
1013980952,LEVY,JONATHAN,C,M.D.,M,I,5597 N DIXIE HWY,,OAKLAND PARK,FL,333343406,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,118.24,91.27,71.56,79.51
1013980952,LEVY,JONATHAN,C,M.D.,M,I,5597 N DIXIE HWY,,OAKLAND PARK,FL,333343406,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,93,94,94,127.78,126.32659574,99.037659574,89.174148936
1013981109,LIVINGSTONE,STEVEN,B,D.O.,M,I,1821 SHERMAN DR,SUITE 102,SAINT CHARLES,MO,633033984,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,27,56,65.299821429,8.32,5.2408928571,5.2408928571
1013981349,WARREN,RICHARD,F,MD,M,I,2301 E 93RD ST,SUITE 110,CHICAGO,IL,606173913,US,Physician/Hematology-Oncology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,34,55.881176471,8.32,5.1905882353,5.1905882353
1013981414,SAWYER,JENNY,K,M.D.,F,I,55 N CHILLICOTHE RD STE 100,,AURORA,OH,442028799,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,29,75.091724138,8.32,2.9251724138,2.9251724138
1013981414,SAWYER,JENNY,K,M.D.,F,I,55 N CHILLICOTHE RD STE 100,,AURORA,OH,442028799,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,43.800909091,16.5,12.94,13.54
1013981414,SAWYER,JENNY,K,M.D.,F,I,55 N CHILLICOTHE RD STE 100,,AURORA,OH,442028799,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,261.13727273,77.18,60.51,54.72
1013981471,FLANAGAN,KEVIN,J,MD,M,I,851 MARSHALL PHELPS RD,,WINDSOR,CT,060952108,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,44,104,83.132403846,8.32,5.8938461538,5.8938461538
1013981471,FLANAGAN,KEVIN,J,MD,M,I,851 MARSHALL PHELPS RD,,WINDSOR,CT,060952108,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,32,38,16.063421053,1.42,0.9705263158,0.9705263158
1013981471,FLANAGAN,KEVIN,J,MD,M,I,851 MARSHALL PHELPS RD,,WINDSOR,CT,060952108,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,35.92,11.202941176,8.7788235294,8.6288235294
1013981471,FLANAGAN,KEVIN,J,MD,M,I,851 MARSHALL PHELPS RD,,WINDSOR,CT,060952108,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,36.67,10.281764706,8.0582352941,8.0105882353
1013981471,FLANAGAN,KEVIN,J,MD,M,I,851 MARSHALL PHELPS RD,,WINDSOR,CT,060952108,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,420.19,211.47764706,165.79176471,165.79176471
1013981471,FLANAGAN,KEVIN,J,MD,M,I,851 MARSHALL PHELPS RD,,WINDSOR,CT,060952108,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,25.995,8.8616666667,6.9516666667,7.1733333333
1013981646,SOHN,KENNETH,,MD,M,I,4601 N CONGRESS AVE,,WEST PALM BEACH,FL,334073228,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,68,69.781470588,8.32,6.0425,6.0425
1013981646,SOHN,KENNETH,,MD,M,I,4601 N CONGRESS AVE,,WEST PALM BEACH,FL,334073228,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.52,4.33,3.4663636364
1013981646,SOHN,KENNETH,,MD,M,I,4601 N CONGRESS AVE,,WEST PALM BEACH,FL,334073228,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,257.82,38.5975,30.2575,25.3175
1013981778,FILIPIUK,MAREK,,M.D.,M,I,3880 SALEM LAKE DR,STE F,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,52,42.590961538,17.5,13.192307692,13.033076923
1013981778,FILIPIUK,MAREK,,M.D.,M,I,3880 SALEM LAKE DR,STE F,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,58,62,240.15258065,78.09,59.348548387,53.487903226
1013981778,FILIPIUK,MAREK,,M.D.,M,I,3880 SALEM LAKE DR,STE F,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,210,36.82,28.87,29.42
1013981968,KILLORIN,EDWARD,W,MD,M,I,1538 13TH AVENUE,BLD A,COLUMBUS,GA,31901,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,58,6860,0.3124373178,0.13,0.0983571429,0.0983571429
1013981968,KILLORIN,EDWARD,W,MD,M,I,1538 13TH AVENUE,BLD A,COLUMBUS,GA,31901,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,14,85,10910,5.3442254812,2.0354170486,1.3967836847,1.4003327223
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,142,339,658,53.694908815,8.32,4.7669452888,4.7669452888
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,127,292,306,14.080457516,1.42,0.8156862745,0.8156862745
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,43,43,86,148.35093023,71.56,49.087906977,49.087790698
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,246,50.833333333,29.19,22.434268293,22.435731707
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,61.818235294,45,31.474117647,32.671176471
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,17.747142857,15.69,11.421428571,11.198571429
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,11,11,11,25.674545455,24.890909091,15.130909091,53.335454545
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,334.16666667,71.06,51.0675,50.196388889
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,36.58,28.67,29.44
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1826,0.363932092,0.0446714129,0.0350109529,0.0350109529
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,36.58,26,26.856666667
1013982024,NGUYEN,TUNG,T,DO,M,I,621 TULLY RD,SUITE 105,SAN JOSE,CA,951111013,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,33,33,25.87,25.87
1013982081,WHITE,JOHN,E,M.D.,M,I,2280 MARCOLA RD,,SPRINGFIELD,OR,974772594,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,72,61.273055556,8.32,6.1595833333,6.1595833333
1013982081,WHITE,JOHN,E,M.D.,M,I,2280 MARCOLA RD,,SPRINGFIELD,OR,974772594,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,33,50.73,3.9809090909,3.12,3.5248484848
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,1036,8.2784362934,8.2784362934,6.4902992278,6.491534749
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,2100,0.45,0.45,0.3528047619,0.3528047619
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,54,54,54,143.52907407,44.71537037,34.402962963,35.610185185
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,14.73,8.9747368421,6.3126315789,6.2852631579
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,37,37,37,220,47.925945946,37.578648649,40.575675676
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,63,63,32.888571429,9.3071428571,7.0947619048,7.5698412698
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,49.24,11.770769231,9.2284615385,10.87
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,118.55714286,52.703571429,41.318571429,41.683571429
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,46,257,257,174.57992218,48.658054475,36.79844358,37.271867704
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,495,126.21,91.990909091,106.38181818
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,32.941176471,5.4858823529,4.0602941176,3.3685294118
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,31,32,212.6325,47.581875,36.6740625,36.9896875
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.58,8.0433333333,5.315,5.7
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,45,45,90,78.333333333,29.029111111,22.757444444,22.797444444
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,30,30,60,246.13333333,56.105333333,43.985333333,40.210833333
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,75,32.825,25.637916667,25.97
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,97.4,30.245588235,21.098529412,23.204411765
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,46,46,46,122.08782609,37.922173913,29.734347826,29.554782609
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,18,18,18,331.5,164.67166667,129.10666667,115.05222222
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,89,611,612,91.377696078,17.748022876,12.862026144,13.050245098
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,128,26.241818182,20.574545455,23.188181818
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,48,48,150,31.024583333,20.085208333,19.742291667
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,26.78,8.2,5.2609090909,5.1218181818
1013982248,CASSIDY,ELLEN,B,MD,F,I,8601 VETERANS HWY,STE 204,MILLERSVILLE,MD,211081547,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,74,508,509,33.217642436,9.0518467583,6.5517878193,6.0971709234
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,64,139,50.899856115,8.32,6.1477697842,6.1477697842
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,20,45.86,28.46,22.31,22.31
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,17,14.980588235,10.144117647,7.1094117647,7.5064705882
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,407,8.4020638821,8.28,6.305012285,6.305012285
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,157.52384615,60.313846154,40.600769231,36.353846154
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,55.889333333,20.21,14.902666667,13.122666667
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,48.076,13.121333333,9.124,7.9773333333
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,47,7.3821276596,2.2159574468,1.5380851064,1.3878723404
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,151.31578947,31.941578947,22.256315789,22.078947368
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,631,0.1743264659,0.0466085578,0.0365293185,0.0365293185
1013982347,EBERLY,SCOTT,M,M.D.,M,I,2460 TOWNCREST DR,,IOWA CITY,IA,522406622,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,160.75,26.3,15.465,14.97
1013982370,BROUILLETTE,DOUGLAS,E,M.D.,M,I,8901 INDIAN HILLS DR,SUITE 200,OMAHA,NE,681144057,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,60,7.37,5.778,4.4008055556
1013982370,BROUILLETTE,DOUGLAS,E,M.D.,M,I,8901 INDIAN HILLS DR,SUITE 200,OMAHA,NE,681144057,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5084,0.8900708104,0.3996695515,0.313332022,0.2529032258
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,24,65,181,52.54801105,8.32,5.8309944751,5.8309944751
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,36,36,13.18,3.38,2.5763888889,2.5763888889
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,16,22,22,18.954545455,2.12,1.5940909091,1.5940909091
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,22,46,74,14.204324324,1.42,1.0240540541,1.0240540541
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,17,13.33,13.54
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,9.9272727273,7.7836363636,8.0163636364
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,458.44882353,78.094705882,61.224117647,54.725882353
1013982388,CHARLES,MICHAEL,G,M.D.,M,I,3745 HOLLAND RD,,VIRGINIA BEACH,VA,234522847,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,465.97857143,142.90714286,112.04333333,114.06
1013982453,MCCANN,MICHAEL,,MD,M,I,7401 MAIN ST,,HOUSTON,TX,77030,US,Physician/Anesthesiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,103,103,103,1016.0205825,991.41514563,763.56718447,762.02893204
1013982511,MCDONALD,CHERYL,K,M.D.,F,I,1125 COLLEGE AVE,,FORT WORTH,TX,761044514,US,Physician/Infectious Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,35,93,66.096774194,19.703333333,15.448387097,15.448387097
1013982511,MCDONALD,CHERYL,K,M.D.,F,I,1125 COLLEGE AVE,,FORT WORTH,TX,761044514,US,Physician/Infectious Disease,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,100,14.755,11.57,11.57
1013982511,MCDONALD,CHERYL,K,M.D.,F,I,1125 COLLEGE AVE,,FORT WORTH,TX,761044514,US,Physician/Infectious Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,39,9700,52.188420619,9.8431134021,7.7169969072,7.7169969072
1013982511,MCDONALD,CHERYL,K,M.D.,F,I,1125 COLLEGE AVE,,FORT WORTH,TX,761044514,US,Physician/Infectious Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,39,128,33.535,2.639375,2.06953125,2.06953125
1013982594,KHATRI,BHUPENDRA,O,M.D.,M,I,3237 S 16TH ST,,MILWAUKEE,WI,532154526,US,Physician/Neurology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,2940,0.3459183673,0.13,0.1019081633,0.1019081633
1013982594,KHATRI,BHUPENDRA,O,M.D.,M,I,3237 S 16TH ST,,MILWAUKEE,WI,532154526,US,Physician/Neurology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,3940,3.3144670051,1.892284264,1.4471269036,1.5629340102
1013982594,KHATRI,BHUPENDRA,O,M.D.,M,I,3237 S 16TH ST,,MILWAUKEE,WI,532154526,US,Physician/Neurology,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,5,,12,34,32.705882353,15.26,11.26,11.26
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,25,25,96.4016,39.5788,31.0272,30.4776
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,14,36,68,133,5.5118045113,1.6760902256,1.1709022556,1.0143609023
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,9,35,38,38,48.051315789,12.682105263,8.9576315789,8.6381578947
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,6,21,25,53,1.9341509434,0.5601886792,0.4126415094,0.4060377358
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,6,17,20,22,5.6731818182,1.2372727273,0.7904545455,0.7904545455
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,28,34,34,310.78588235,91.605882353,69.817941176,67.091470588
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,19,53,65,114.08553846,33.834,23.532769231,22.919076923
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,72,60.274027778,21.935972222,17.197916667,14.541805556
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,14,35,78,51.779230769,16.860384615,11.701025641,10.847179487
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,30,40,40,182.52325,61.32525,48.0775,42.8765
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,52,64,64,54.42109375,19.41140625,14.995,13.98125
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,37,58,58,56.475517241,14.221206897,10.521896552,8.7037931034
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,54,119,328,7.3432926829,2.2697560976,1.720945122,1.5582621951
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,27,35,35,41.178857143,14.135428571,10.462571429,9.9071428571
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,4.545,3.5625,3.5025
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,50,279,287,84.064111498,20.137421603,14.85533101,13.823554007
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,47,47,136.35617021,53.313404255,40.974468085,37.169574468
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1020.1,787.80416667,830.30416667
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,73,73,3487.1723288,1026.0408219,795.3960274,833.23849315
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,17,89,89,435.54314607,95.105955056,72.344157303,66.941460674
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,53,54,1332.9318519,974.96481481,760.58314815,760.58314815
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,17,17,503.95529412,143.42117647,112.44294118,104.68176471
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,12,48,241,254,36.704133858,5.0106299213,3.5824015748,3.434488189
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,17,105,105,179.75904762,36.073714286,26.081428571,22.413142857
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,11,14,14,85.702142857,68.274285714,45.603571429,45.603571429
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,110,787,803,402.64125778,78.188518057,57.413138232,51.358268991
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,74,219.72972973,38.080810811,29.34,28.875945946
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,57,57,44.69,44.69
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,104,6780,18.854976401,9.6495132743,7.5317079646,7.5317079646
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,1920,20.583802083,11.19709375,8.7171614583,8.7171614583
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,50,93,273,72819,0.2603842404,0.0462831129,0.0345158544,0.0345154424
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,3286,2.8746256847,0.0766615946,0.0529671333,0.0529640901
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,18,66,9055,1.7021700718,0.1335328548,0.1004892325,0.1004892325
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,15,94,5250,12.068725714,2.9201828571,2.1953104762,2.1953104762
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,784,134.58959184,42.357487245,32.969566327,32.969553571
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,37,251,255,126.65705882,40.007607843,29.772823529,28.105333333
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,57,110,419,419,45.522673031,33,24.779045346,24.779045346
1013982610,WONG,HUMPHREY,,MD,M,I,1801 E 54TH ST,STE 100,DAVENPORT,IA,528077209,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,22,22,66.636363636,66,51.74,51.74
1013982636,MULLEN,JOHN,S,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042120,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,46,4965,4.2169506546,2.04,1.5715790534,1.5715790534
1013982636,MULLEN,JOHN,S,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042120,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,2124,10.541996234,7.23,5.5811911488,5.5811911488
1013982636,MULLEN,JOHN,S,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042120,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2040,11.4,7.88,6.1076127451,6.1076127451
1013982636,MULLEN,JOHN,S,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042120,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,13,52,17.311346154,10.916538462,7.7051923077,7.7111538462
1013982636,MULLEN,JOHN,S,MD,M,I,515 MINOR AVE,SUITE 200,SEATTLE,WA,981042120,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,144,4.56,1.8,1.214375,1.214375
1013982685,WONG,NELSON,,MD,M,I,60 DUNNING RD,,MIDDLETOWN,NY,10940,US,Physician/Pain Management,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,122.62,62.41,48.93,39.860909091
1013982685,WONG,NELSON,,MD,M,I,60 DUNNING RD,,MIDDLETOWN,NY,10940,US,Physician/Pain Management,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,12,68.925,44.925,35.223333333,37.188333333
1013982685,WONG,NELSON,,MD,M,I,60 DUNNING RD,,MIDDLETOWN,NY,10940,US,Physician/Pain Management,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,55.234,24.084,18.88,24.132
1013982685,WONG,NELSON,,MD,M,I,60 DUNNING RD,,MIDDLETOWN,NY,10940,US,Physician/Pain Management,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,11.66,6.5963636364,5.175,6.3295454545
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,30,85,1093,49.887483989,19.640228728,15.249817017,15.249817017
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,29,83,3151,9.4615106315,2.6316217074,2.0631704221,2.0631704221
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,58,213,870,72.148425287,8.32,6.0787241379,6.0787241379
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,44,113,12.689734513,1.42,1.0146902655,1.0146902655
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,12,81,81,622.93234568,344.85765432,265.05320988,265.05320988
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,15,98,9880,16.620576923,10.715888664,8.3632753036,8.3632753036
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,19,100,100,302.041,251.0716,194.5202,194.5502
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,348.750625,264.16,207.1,207.1
1013982693,SMITH,SAMMI,R,MD,F,I,2727 HEARNE AVE,,SHREVEPORT,LA,711033931,US,Nurse Practitioner,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,106,14.365754717,0.6071698113,0.4760377358,0.4760377358
1013982800,HAYES,ESTHER REBECCA,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,290.6,79,55.443076923,48.787692308
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,22,41,88,42.238295455,7.6377272727,4.6546590909,4.6546590909
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,21,10.187142857,1.42,0.7952380952,0.7952380952
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,24,86.31,22.4775,16.3775,12.653333333
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,27.903409091,7.6086363636,5.6334090909,3.4640909091
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,28,519.51,99.095357143,67.165714286,46.433571429
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.435625,7.435625
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1116,0.1491039427,0.0469444444,0.0183781362,0.0183781362
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2400,1.3227875,0.1338375,0.0853,0.0853
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,3.030625,2.3691770833,2.3691770833
1013982818,DIMARSICO,MARY,A,DO,F,I,821 WESTWOOD DR,,SEDALIA,MO,653012102,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,41,41,78.87804878,33,20.191219512,20.191219512
1013982859,MAHMOODIAN,MARYAM,,M.D.,F,I,2217 PRINCESS ANNE ST,,FREDERICKSBURG,VA,224013353,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1650,0.17,0.0462727273,0.0295818182,0.0295818182
1013982859,MAHMOODIAN,MARYAM,,M.D.,F,I,2217 PRINCESS ANNE ST,,FREDERICKSBURG,VA,224013353,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,21.166363636,21.166363636
1013982867,CONNELLY,JOHN,E,DO,M,I,501 N 17TH ST,SUITE # 108,ALLENTOWN,PA,181045044,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,84,172,73.434069767,8.32,5.3848837209,5.3848837209
1013982867,CONNELLY,JOHN,E,DO,M,I,501 N 17TH ST,SUITE # 108,ALLENTOWN,PA,181045044,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,22,24,14.794166667,1.42,1.0716666667,1.0716666667
1013982867,CONNELLY,JOHN,E,DO,M,I,501 N 17TH ST,SUITE # 108,ALLENTOWN,PA,181045044,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,45.556363636,31.646363636,33.352727273
1013982867,CONNELLY,JOHN,E,DO,M,I,501 N 17TH ST,SUITE # 108,ALLENTOWN,PA,181045044,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,71.11,46.458333333,45.608333333
1013982867,CONNELLY,JOHN,E,DO,M,I,501 N 17TH ST,SUITE # 108,ALLENTOWN,PA,181045044,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36,25.556666667,26.8725
1013982883,MARKS,BRIAN,D,D.O.,M,I,7331 E OSBORN DR STE 300,,SCOTTSDALE,AZ,852516422,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,24,71,75.384366197,8.32,5.8785915493,5.8785915493
1013982883,MARKS,BRIAN,D,D.O.,M,I,7331 E OSBORN DR STE 300,,SCOTTSDALE,AZ,852516422,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,17,18.118235294,1.42,1.1188235294,1.1188235294
1013982883,MARKS,BRIAN,D,D.O.,M,I,7331 E OSBORN DR STE 300,,SCOTTSDALE,AZ,852516422,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,250,31.22,24.4825,25.239166667
1013982883,MARKS,BRIAN,D,D.O.,M,I,7331 E OSBORN DR STE 300,,SCOTTSDALE,AZ,852516422,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1013982883,MARKS,BRIAN,D,D.O.,M,I,7331 E OSBORN DR STE 300,,SCOTTSDALE,AZ,852516422,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1013982941,DUNPHY,RONALD,M,D.O.,M,I,150 ISLIP AVE,SUITE 6,ISLIP,NY,117513222,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,48,50.844375,8.32,5.978125,5.978125
1013983055,MALETZ,LOUIS,,MD,M,I,15611 POMERADO RD,,POWAY,CA,920642437,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,30,70,81.404,8.32,5.3112857143,5.3112857143
1013983055,MALETZ,LOUIS,,MD,M,I,15611 POMERADO RD,,POWAY,CA,920642437,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,363,5.8,4.97,3.5636088154,3.8359779614
1013983055,MALETZ,LOUIS,,MD,M,I,15611 POMERADO RD,,POWAY,CA,920642437,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,1665,0.43,0.38,0.2946726727,0.2868048048
1013983055,MALETZ,LOUIS,,MD,M,I,15611 POMERADO RD,,POWAY,CA,920642437,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,312,1.06,0.71,0.5013782051,0.5013782051
1013983055,MALETZ,LOUIS,,MD,M,I,15611 POMERADO RD,,POWAY,CA,920642437,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,301.27058824,72.06,56.5,55.458823529
1013983097,RALPH,WALTER,M,M.D.,M,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Otolaryngology,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,360,3.144,2.52,1.9188333333,2.2350833333
1013983097,RALPH,WALTER,M,M.D.,M,I,1650 GRAND CONCOURSE,,BRONX,NY,104577606,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,360,6.18,5.23,3.7586388889,3.7586388889
1013983196,DREIMAN,CHESTER,J,MD,M,I,4350 WADSWORTH BLVD,#201,WHEAT RIDGE,CO,800334641,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,707.02916667,822.84083333
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,438.93846154,87.74,68.79,67.84
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,69.835,12.135,9.5158333333,9.12
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,106,8.5518867925,2.0405660377,1.5989622642,1.5916981132
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,139.055,17,12.377857143,12.591428571
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,3775.52,1074.31,839.20730769,839.20730769
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,19,732.16,81.663157895,64.022105263,64.702631579
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,874.72,35.413333333,24.596666667,24.749166667
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,44,363,367,458.26831063,77.737929155,57.87599455,51.996730245
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,30,253,254,108.5588189,40.509212598,30.513307087,28.382913386
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,68,13918,0.3988367582,0.0462968817,0.0314542319,0.0314535134
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2376,3.0161153199,0.0689646465,0.0540782828,0.0540782828
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2172,2.2923158379,0.1373066298,0.1076657459,0.1076657459
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,921,12.200662324,2.9191205212,2.2886210641,2.2886210641
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,32,222.9125,40.66,29.8875,27.81375
1013983238,LIU,JEFFREY,,MD,M,I,297 MINEOLA BLVD,,MINEOLA,NY,115011502,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,20,84,84,33,33,23.917142857,23.917142857
1013983295,WAGUESPACK,ROLAND,S,MD,M,I,1108 ST JAMES ST,,VACHERIE,LA,70090,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,63,46.992380952,8.32,6.4184126984,6.4184126984
1013983295,WAGUESPACK,ROLAND,S,MD,M,I,1108 ST JAMES ST,,VACHERIE,LA,70090,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,30,23.217666667,1.42,1.1146666667,1.1146666667
1013983295,WAGUESPACK,ROLAND,S,MD,M,I,1108 ST JAMES ST,,VACHERIE,LA,70090,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,65.454545455,49.745454545,39.000909091,38.434545455
1013983295,WAGUESPACK,ROLAND,S,MD,M,I,1108 ST JAMES ST,,VACHERIE,LA,70090,US,Physician/Family Practice,S,E0373,Nonpowered advanced pressure reducing mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,310,160.72363636,126.00272727,125.21454545
1013983295,WAGUESPACK,ROLAND,S,MD,M,I,1108 ST JAMES ST,,VACHERIE,LA,70090,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,76.69,20.3125,12.658333333,11.28
1013983295,WAGUESPACK,ROLAND,S,MD,M,I,1108 ST JAMES ST,,VACHERIE,LA,70090,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,85.8,33,20.696,20.696
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,11,37,452,53.241327434,19.639358407,15.247544248,15.247544248
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,11,35,1030,7.5536504854,2.6330097087,2.0641941748,2.0641941748
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,97,174,408,2015,63.328009926,8.32,6.1062233251,6.1062233251
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,11,16,16,10.485,3.38,2.65,2.65
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,11,13,13,13.910769231,2.12,1.67,1.67
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,58,80,154,365,13.122794521,1.42,1.0971232877,1.0971232877
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,750.5392,356.9328,279.8344,279.8344
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,2400,16.339420833,10.695866667,8.3257666667,8.3257666667
1013983311,GAYNES-KAPLAN,LYNNE,A,M.D.,F,I,10710 CHARTER DR,STE 410,CIOLUMBIA,MD,210443276,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,12,63,63,289.41793651,250.98,196.76809524,196.86952381
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,33,59,59,151.49474576,40.339152542,30.862542373,29.756101695
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,22,34,34,317.19411765,98.845,70.830882353,63.868235294
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,18,30,70,102.97185714,37.849142857,28.732428571,25.139571429
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,20,33,171,63.605321637,20.489298246,14.967426901,13.575847953
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,20,39,153,47.127320261,16.016013072,10.930130719,10.304183007
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,58,112,112,238.58482143,59.549107143,40.796517857,37.613928571
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,65,83,83,74.607108434,19.07253012,14.125060241,13.430843373
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,40,79,79,75.020253165,12.315063291,8.7053164557,8.4525316456
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,74,134,744,10.549180108,2.1391666667,1.5450268817,1.4722849462
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,18,24,24,27.917916667,6.2075,4.6141666667,4.46375
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,37,42,42,43.943571429,15.434285714,11.810952381,10.328571429
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,56,65.635892857,18.768571429,13.156607143,12.114642857
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,13,62,62,155.87532258,51.555,34.654193548,32.21016129
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,180.83636364,51.36,36.609090909,34.209090909
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1074.31,842.26,842.26
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,3088.745,1074.195,842.17,842.26
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1890.56,220.22727273,170.59090909,153.99272727
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,170.26333333,33.252777778,18.530555556,17.042777778
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,110,111,341.42297297,86.986306306,64.182702703,53.53963964
1013983345,CLARY,LOIS,G,M.D.,F,I,705 6TH AVE W,SUITE A,HENDERSONVILLE,NC,287394164,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,173.66439024,40.25,30.020487805,28.070487805
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,31,68,208,74.779134615,8.32,6.1993269231,6.1993269231
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,39,46,12.832826087,1.42,1.0695652174,1.0695652174
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,28,28,77.296428571,41.025714286,32.157142857,30.609285714
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,303.77533333,92.878666667,69.281333333,64.312666667
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,30,125.921,34.281333333,23.761666667,22.878
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,80,45.6,19.33,15.153875,14.551625
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,23,23,142.99782609,54.96,40.930869565,40.730869565
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,23,23,51.58173913,19.116521739,14.979565217,14.098695652
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,36,204,6.9709803922,2.2278431373,1.6964705882,1.5550980392
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,41.925833333,13.008333333,10.198333333,10.328333333
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,125,46.1925,36.215,38.1675
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,127.48181818,48.603181818,38.104545455,40.036818182
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,24.355333333,4.7693333333,3.2026666667,3.1566666667
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,73,73,238.87821918,32.26630137,24.318356164,24.229041096
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,113.08,46.286363636,36.284545455,36.464545455
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,40.01,10.991538462,8.62,9.1161538462
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,288.50142857,69.62,50.690714286,50.834285714
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2724,2.2159911894,0.1321071953,0.0839500734,0.0839500734
1013983402,ALFONSO,JORGE,A,MD,M,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,39.68,29.276666667,27.6775
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,32,125,361,65.725927978,8.32,5.5689196676,5.5689196676
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,9.8946666667,3.38,2.4733333333,2.4733333333
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,37,69,10.977681159,1.42,0.9536231884,0.9536231884
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,140,9.64,7,5.096,5.096
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,130.78,49.855714286,35.875238095,27.586190476
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,140,4.2128571429,3.04,2.2503571429,2.2503571429
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,334.426,122.382,93.972,65.871333333
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,41,128.39707317,47.268780488,37.058536585,25.917317073
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,76,61.874868421,20.632368421,15.610131579,11.690394737
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,238.68809524,76.97047619,58.09952381,42.038571429
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,21,21,72.425714286,26.153333333,20.5,14.483809524
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,65.468,19.140666667,15.002666667,9.12
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,37,200,8.8929,2.9255,2.1877,1.52895
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,19.727272727,8.1490909091,6.3890909091,4.65
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,57.07875,15.82375,12.40125,10.34
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,83.108636364,18.423181818,14.444545455,10.027727273
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,254.74714286,7.8514285714,6.1535714286,3.78
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,42,42,331.4,46.501428571,33.06452381,21.867619048
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,44,546.78204545,90.709090909,65.797727273,53.436363636
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,63.6,44.335833333,27.16,17.214166667
1013983436,TAWFIK,SHOKRY,,MD,M,I,160 W MAIN ST,,LENA,IL,610489247,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.14,27.796666667,28.681666667
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,63,152,62.534276316,8.32,5.7926315789,5.7926315789
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,14.907142857,3.38,2.4607142857,2.4607142857
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,29,41,15.939268293,1.42,1.0082926829,1.0082926829
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,241.76615385,90,58.993076923,56.481538462
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,36,93.785555556,34,25.720833333,24.981111111
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,66.33,12,9.41,9.1463636364
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,86,10.710813953,2,1.568372093,1.5911627907
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,23,86.31,20.082608696,15.746956522,13.827826087
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.28,7.7127272727,5.4509090909,3.0727272727
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,27,519.51,89.846296296,68.136296296,54.744444444
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1230,1.8634715447,0.1312439024,0.0762764228,0.0762764228
1013983568,PALMERI,MARIA,,MD,F,I,6345 LONG AVE,,SHAWNEE,KS,662162504,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,82.5,33,20.121111111,20.121111111
1013983576,ZWIENER,JULIE,R,MD,F,I,2251 CONNECTICUT AVE S,,SARTELL,MN,563772486,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,66,67.081666667,8.32,5.9290909091,5.9290909091
1013983576,ZWIENER,JULIE,R,MD,F,I,2251 CONNECTICUT AVE S,,SARTELL,MN,563772486,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,29,10.95,10.93,8.57,8.57
1013983576,ZWIENER,JULIE,R,MD,F,I,2251 CONNECTICUT AVE S,,SARTELL,MN,563772486,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,317,125,3.02,2.1361829653,2.1361829653
1013983576,ZWIENER,JULIE,R,MD,F,I,2251 CONNECTICUT AVE S,,SARTELL,MN,563772486,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4120,3.8727669903,0.37,0.2875728155,0.2875728155
1013983584,POTTER,HEATHER,A,MD,F,I,2880 UNIVERSITY AVE,,MADISON,WI,53705,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,23,23,23,85.169130435,68.464782609,51.223478261,48.712608696
1013983584,POTTER,HEATHER,A,MD,F,I,2880 UNIVERSITY AVE,,MADISON,WI,53705,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,26,80.769230769,50.62,36.632307692,40.194230769
1013983584,POTTER,HEATHER,A,MD,F,I,2880 UNIVERSITY AVE,,MADISON,WI,53705,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,40,82.5,69.2,49.36525,49.97325
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,42,96,214,59.528598131,8.32,5.8206542056,5.8206542056
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14.285,3.38,2.65,2.65
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,22,43,50,13.3036,1.42,1.028,1.028
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.99,10.93,8.57,8.57
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.99,7.46,5.85,5.85
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,5.58,3.9,2.8223076923,2.8223076923
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,4.485,3.13,2.2652307692,2.2652307692
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,12,15,24,7.3758333333,1.5625,1.1291666667,1.115
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,25,25,393.8612,91.3972,65.9324,62.4136
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,162.205,34.186153846,22.161538462,21.303076923
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,19,19,189.63157895,54.47,40.462105263,40.598421053
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,33,33,63.194848485,18.257878788,13.457575758,13.206666667
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,30,30,78.565666667,12.617333333,9.2906666667,8.5153333333
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,27,47,225,10.590444444,2.1166666667,1.5336444444,1.4660444444
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,17,17,19.272941176,6.1676470588,4.5688235294,4.3864705882
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,67,84.781492537,17.29,12.943283582,12.925373134
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,246.26,48.31,34.436363636,34.209090909
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,4818.5155556,942.14,738.64,836.50333333
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,26,29,88.42137931,15.322413793,10.913103448,9.635862069
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,17,87,87,27.415862069,5.5028735632,3.9391954023,3.5570114943
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,13,68,71,202.56943662,35.893098592,25.91971831,24.141408451
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.45,8.9218181818,6.9936363636,6.9063636364
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,120,140,438.88864286,70.23,52.700285714,52.391857143
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,7950,0.1914490566,0.0469522013,0.0337194969,0.0337194969
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,930,0.92,0.1372580645,0.1076129032,0.1076129032
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1110,12.91963964,3.0381621622,2.2533693694,2.2533693694
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,124.31,28.67625,21.13,19.695625
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,28.97,8.6325,6.2491666667,6.1741666667
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,759.53842105,152.61473684,115.13789474,113.54421053
1013983592,SANSON,MARSHALL,V,M.D.,M,I,2309 ARKANSAS RD,,WEST MONROE,LA,712917820,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,57,57,130.26315789,33,25.416140351,25.416140351
1013983642,VEMULA,SURESH,,MD,M,I,12221 MERIT DRIVE,SUITE 910,DALLAS,TX,75251,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,15,203.92533333,82.477333333,64.662666667,60.470666667
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,11,41,474,56.749662447,19.621708861,15.383291139,15.387383966
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,38,1130,7.9660442478,2.6346902655,2.0655663717,2.0655663717
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,63,173,843,70.465812574,8.32,5.7421352313,5.7421352313
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,14.24,3.38,2.4461538462,2.4461538462
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,28,69,162,14.008024691,1.42,1.0590123457,1.0590123457
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,24,71.638333333,71.56,55.31125,55.31125
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,634.345,338.608125,256.5,256.5
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,15,67,67,361.59985075,251.11,196.87,196.87
1013983691,KARACSONYI,EVA,,MD,F,I,2150 MAIN STREET,,SPRINGFIELD,MA,01104,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,354.29692308,242,189.73,201.75538462
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,65,8812,0.3654879709,0.13,0.0954448479,0.0954448479
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,32,32,10,2.49,1.7671875,1.7671875
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,58,80,81,35,12.266666667,8.9118518519,10.043209877
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,17,65.630588235,33.516470588,23.526470588,25.306470588
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,73,10244,3.8448262398,2.0226630223,1.5339252245,1.5475165951
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,3113,9.6517185994,6.17,4.7712206874,5.5350144555
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,57,105,117,22.217435897,9.6404273504,7.0468376068,7.9911965812
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,46,80,81,19.666666667,7.4559259259,5.4133333333,5.4166666667
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,240,4.0085416667,3.3166666667,2.38475,2.8518333333
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,104,2.655,1.57,1.1365384615,1.3061538462
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,310,9.7166451613,7,5.016516129,5.016516129
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,320,5.98528125,4.04,3.06821875,3.06821875
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,530,0.5623584906,0.27,0.2116226415,0.2116226415
1013983741,GANCARCZYK,KEVIN,J,M.D.,M,I,10901 E 48TH ST,,TULSA,OK,741465830,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,530,0.8255849057,0.26,0.2038679245,0.2108867925
1013983782,GOPALANI,SALIM,,"M.D.,",M,I,1631 NORTH LOOP W,SUITE 260,HOUSTON,TX,770081500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,70,184,70.810869565,8.32,4.8202717391,4.8202717391
1013983782,GOPALANI,SALIM,,"M.D.,",M,I,1631 NORTH LOOP W,SUITE 260,HOUSTON,TX,770081500,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,35,50,15.9524,1.42,0.7364,0.7364
1013983782,GOPALANI,SALIM,,"M.D.,",M,I,1631 NORTH LOOP W,SUITE 260,HOUSTON,TX,770081500,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,1035,8.28,8.28,6.49152657,6.49152657
1013983782,GOPALANI,SALIM,,"M.D.,",M,I,1631 NORTH LOOP W,SUITE 260,HOUSTON,TX,770081500,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,431,7.0162412993,5.25,3.9727610209,4.0187006961
1013983782,GOPALANI,SALIM,,"M.D.,",M,I,1631 NORTH LOOP W,SUITE 260,HOUSTON,TX,770081500,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,7040,1.2255113636,0.2999573864,0.2351633523,0.2420625
1013983782,GOPALANI,SALIM,,"M.D.,",M,I,1631 NORTH LOOP W,SUITE 260,HOUSTON,TX,770081500,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,187.564,23.605333333,11.706,13.844
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,4.3161538462,0.51,0.3692307692,0.3692307692
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,119,311,817,67.757380661,8.3120318237,5.9096328029,5.9158873929
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,24,53,53,14.767924528,3.38,2.6,2.6
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,37,44,44,16.690227273,2.12,1.5940909091,1.5940909091
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,80,170,235,14.629744681,1.42,1.0352340426,1.0352340426
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,33.67,28.46,20.281818182,20.281818182
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,3.6045454545,2.27,1.4157878788,1.4157878788
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,12.92,10.93,7.7909090909,7.7909090909
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,11.82,7.46,4.7863636364,4.7863636364
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,62,7.5,6.44,5.0491935484,5.0491935484
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,440,9.0909090909,9.0145454545,6.8635454545,7.5262727273
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4,4,2.8746666667,2.8986666667
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,29,29,58,100.53310345,71.479310345,54.092068966,54.155172414
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,25,50,7.5792,1.8624,1.2152,0.92
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,396.18,120.12875,89.47125,66.220625
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,39,165.44538462,44.115128205,33.852307692,26.411025641
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,15,30,144,90.270625,25.102777778,19.388125,14.755277778
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,15,47,59.117234043,20.50893617,14.104255319,11.305744681
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,24,42,42,237.22047619,75.661666667,56.40452381,42.547857143
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,30,39,39,69.466153846,23.309230769,17.263076923,13.802307692
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,43,43,83.926744186,19.345116279,14.209767442,9.541627907
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,28,59,271,13.733948339,2.9975276753,2.2489298893,1.6292250923
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,26,26,27.06,7.8842307692,5.9196153846,4.5196153846
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,52.98,15.243636364,11.461818182,9.9636363636
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,133.58166667,75.83,59.454166667,45.866666667
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,40,40,141.75525,70.0305,50.8475,39.11775
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,69.53,22.4775,17.099722222,13.549444444
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,63,63,21.751746032,8.2998412698,5.8895238095,3.3206349206
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,38,38,184.20368421,51.801578947,38.060263158,28.035789474
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,22,22,22,73.344545455,59.247727273,42.987727273,49.317727273
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,133.69,68.925,53.1575,40.16625
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,708.29272727,328.34727273,253.26363636,253.26363636
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,22.62,11.826666667,8.115,6.2158333333
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,138,143,316.64230769,93.888531469,71.261398601,56.457692308
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,44.560909091,34.938181818,30.165454545
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,4938,0.3484487647,0.0468205751,0.0350222762,0.0350222762
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,67,8422,1.2404903823,0.1349667537,0.0932616956,0.0932616956
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,960,11.154145833,3.1241875,2.4493854167,2.4493854167
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,3.256,0.2191428571,0.1595833333,0.1595833333
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,63,63,118.68063492,50.401111111,37.796507937,24.158412698
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,61.96,42.346363636,32.416969697,29.814545455
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,548.3875,280.8125,215.524375,143.19875
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,69,51.7,43.56,34.151594203,34.15
1013983873,PENNINGTON,KERRY,F,M.D.,M,I,1012 E CHURCH ST,SUITE A,WARREN,AR,716713509,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,81,81,95.533950617,33,22.711481481,22.711481481
1013983915,BREAUX,TODD,F,M.D.,M,I,95 ARCH ST,SUITE 165,AKRON,OH,443041437,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,32,4680,3.8559615385,1.92,1.4294081197,1.5210982906
1013983949,MCCAIG,RUSSELL,R,P.A.,M,I,700 W CENTRAL AVE,STE 205,EL DORADO,KS,670422184,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,57,66,44.647878788,8.32,5.9336363636,5.9336363636
1013983949,MCCAIG,RUSSELL,R,P.A.,M,I,700 W CENTRAL AVE,STE 205,EL DORADO,KS,670422184,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,17.248666667,1.42,0.8213333333,0.8213333333
1013983949,MCCAIG,RUSSELL,R,P.A.,M,I,700 W CENTRAL AVE,STE 205,EL DORADO,KS,670422184,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,46.4625,18,11.836666667,11.314166667
1013983949,MCCAIG,RUSSELL,R,P.A.,M,I,700 W CENTRAL AVE,STE 205,EL DORADO,KS,670422184,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,151.80285714,28.393333333,15.666666667,17.251428571
1013983949,MCCAIG,RUSSELL,R,P.A.,M,I,700 W CENTRAL AVE,STE 205,EL DORADO,KS,670422184,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,28,400.94428571,77.18,53.457857143,48.702142857
1013983949,MCCAIG,RUSSELL,R,P.A.,M,I,700 W CENTRAL AVE,STE 205,EL DORADO,KS,670422184,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,144,3.3325,0.2198611111,0.1726388889,0.1726388889
1013983949,MCCAIG,RUSSELL,R,P.A.,M,I,700 W CENTRAL AVE,STE 205,EL DORADO,KS,670422184,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,79.588235294,33,24.348235294,24.348235294
1013983998,PATEL,MANISH,S,MD,M,I,125 PATERSON ST,ROOM 2330,NEW BRUNSWICK,NJ,089011962,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,15.772307692,12.366923077,13.539230769
1013983998,PATEL,MANISH,S,MD,M,I,125 PATERSON ST,ROOM 2330,NEW BRUNSWICK,NJ,089011962,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,44,477.37090909,69.723181818,53.416818182,53.492954545
1013983998,PATEL,MANISH,S,MD,M,I,125 PATERSON ST,ROOM 2330,NEW BRUNSWICK,NJ,089011962,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,19,250,35,27.44,29.292105263
1013984004,GARCIA,MARI,T,MD,F,I,200 WINSTON CHURCHILLE AVE,SUITE 201,SAN JUAN,PR,00926,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,71.94,68.075454545,53.37,40.359090909
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,15,53,76.318301887,19.686603774,15.433962264,15.433962264
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,1280,113.33334375,62.232109375,48.789976563,48.78996875
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,4.7576060606,0.4686363636,0.3673333333,0.3673333333
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,109,7350,2.7807238095,0.5305034014,0.3901387755,0.3901387755
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2520,1.3708531746,0.7414047619,0.581265873,0.581265873
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,68,11540,2.8604566724,0.9521672444,0.7271343154,0.7271343154
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,52,1950,16.459789744,7.4920564103,5.7046923077,5.7046923077
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1800,297.85076923,233.51461538,233.51461538
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,189,8.55,2.6383068783,2.0683068783,2.0683068783
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,17,108,108,24,24,18.471481481,18.471481481
1013984012,CABUAY,BARRY,M,MD,M,I,800 E 28TH ST STE H2100,,MINNEAPOLIS,MN,554073723,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,18,141,166,16,16,12.122590361,12.122590361
1013984046,AKHMED,NADIA,,M.D.,F,I,3168 BRAVERTON ST,330,EDGEWATER,MD,210372674,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,58,64.674827586,8.32,6.2955172414,6.2955172414
1013984046,AKHMED,NADIA,,M.D.,F,I,3168 BRAVERTON ST,330,EDGEWATER,MD,210372674,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,18,11.318333333,1.42,0.8666666667,0.8666666667
1013984046,AKHMED,NADIA,,M.D.,F,I,3168 BRAVERTON ST,330,EDGEWATER,MD,210372674,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,52,8.94,2.3,1.4742307692,1.3380769231
1013984046,AKHMED,NADIA,,M.D.,F,I,3168 BRAVERTON ST,330,EDGEWATER,MD,210372674,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,28.8,5.8656,4.6012,3.8432
1013984046,AKHMED,NADIA,,M.D.,F,I,3168 BRAVERTON ST,330,EDGEWATER,MD,210372674,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,136.18782609,34.086956522,18.892608696,18.745652174
1013984046,AKHMED,NADIA,,M.D.,F,I,3168 BRAVERTON ST,330,EDGEWATER,MD,210372674,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,265.83,39.3,28.009090909,26.827272727
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,132.86545455,24.320909091,17.854545455,14.560909091
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,112.0565,96.59,74.905,62.916
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,640.574375,503.02,392.1025,433.184375
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,22,151.04636364,118.58,92.963636364,98.864545455
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L2280,"Addition to lower extremity, molded inner boot",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,523.3075,410.93,322.17,355.7325
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,476.04333333,377.67,296.09866667,309.464
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,100.360625,78.81,61.79,68.23
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,42,217.87761905,193.58,151.76142857,149.85
1013984251,STOTLER,WESLEY,M,DO,M,I,4802 S 109TH EAST AVE,,TULSA,OK,741465822,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,43,278.01255814,251.28,196.04790698,217.93790698
1013984392,BURACK,JEDIDIAH,,MD,M,I,55 GREENE AVE,,BROOKLYN,NY,112386406,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1062.62,1062.62,821.14416667,830.30416667
1013984392,BURACK,JEDIDIAH,,MD,M,I,55 GREENE AVE,,BROOKLYN,NY,112386406,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,936,0.6522008547,0.0472542735,0.037008547,0.037008547
1013984392,BURACK,JEDIDIAH,,MD,M,I,55 GREENE AVE,,BROOKLYN,NY,112386406,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1013984723,DRUGER,ROBERT,K,"M.D., PHD",M,I,5633 W GENESEE ST,,CAMILLUS,NY,13031,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,66,66,66,99.029545455,60.882272727,47.7,52.374393939
1013984723,DRUGER,ROBERT,K,"M.D., PHD",M,I,5633 W GENESEE ST,,CAMILLUS,NY,13031,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,19,52.5,49.835789474,39.068947368,33.337368421
1013984723,DRUGER,ROBERT,K,"M.D., PHD",M,I,5633 W GENESEE ST,,CAMILLUS,NY,13031,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,42,52.5,43.84,32.733333333,27.958333333
1013984723,DRUGER,ROBERT,K,"M.D., PHD",M,I,5633 W GENESEE ST,,CAMILLUS,NY,13031,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,35,67,66.67,49.606571429,41.319714286
1013984723,DRUGER,ROBERT,K,"M.D., PHD",M,I,5633 W GENESEE ST,,CAMILLUS,NY,13031,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,17,85,81.52,60.16,52.781176471
1013984723,DRUGER,ROBERT,K,"M.D., PHD",M,I,5633 W GENESEE ST,,CAMILLUS,NY,13031,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,36,79.833333333,77.723611111,59.232222222,52.5875
1013984723,DRUGER,ROBERT,K,"M.D., PHD",M,I,5633 W GENESEE ST,,CAMILLUS,NY,13031,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,58,58,114,16.412280702,15.983859649,12.151052632,13.539035088
1013984731,REID,GERALD,M,MD,M,I,6530 TROOST,STE A,KANSAS CITY,MO,64131,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,118.13,8.32,6.52,6.52
1013984731,REID,GERALD,M,MD,M,I,6530 TROOST,STE A,KANSAS CITY,MO,64131,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,36,4470,4.0028299776,0.5677360179,0.4089597315,0.4089597315
1013984731,REID,GERALD,M,MD,M,I,6530 TROOST,STE A,KANSAS CITY,MO,64131,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,2850,0.0998491228,0.0127894737,0.0088807018,0.0088807018
1013984731,REID,GERALD,M,MD,M,I,6530 TROOST,STE A,KANSAS CITY,MO,64131,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,1710,2.856871345,1.1645789474,0.8520409357,0.8520409357
1013984731,REID,GERALD,M,MD,M,I,6530 TROOST,STE A,KANSAS CITY,MO,64131,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,43,43,24,24,17.506976744,17.506976744
1013984731,REID,GERALD,M,MD,M,I,6530 TROOST,STE A,KANSAS CITY,MO,64131,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,44,64,16,16,12.14921875,12.14921875
1013984848,BAER,JOHN,C,M.D.,M,I,250 E WALNUT ST,,HANOVER,PA,173312534,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,35,35,35,103.24171429,56.958857143,44.036857143,49.396857143
1013984848,BAER,JOHN,C,M.D.,M,I,250 E WALNUT ST,,HANOVER,PA,173312534,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,49,49.397959184,48.40244898,37.94755102,39.420816327
1013984848,BAER,JOHN,C,M.D.,M,I,250 E WALNUT ST,,HANOVER,PA,173312534,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,34,72.958823529,69.061176471,54.144117647,54.147352941
1013984897,LIN,MINGSANG,,M.D.,M,I,1319 PUNAHOU ST,SUITE 515,HONOLULU,HI,968261001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,79.2225,11.04,7.9291666667,8.37
1013984897,LIN,MINGSANG,,M.D.,M,I,1319 PUNAHOU ST,SUITE 515,HONOLULU,HI,968261001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,57,8.5368421053,2.14,1.6085964912,1.5322807018
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,58,77.768793103,8.32,5.5360344828,5.5360344828
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,18,12.642222222,1.42,0.9911111111,0.9911111111
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,40.886842105,8.8936842105,6.7821052632,3.5557894737
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,79.734166667,54.429166667
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,1710,1.8051052632,0.1341052632,0.105128655,0.105128655
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,134.26,43.868333333,34.3875,23.329166667
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35,10.595833333,8.3091666667,6.8633333333
1013984988,ROBERTS,SARA,P,PA,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,51.857142857,33,24.638095238,24.638095238
1013985035,THOMPSON,WILLIAM,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,320734117,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,55,159,37.912515723,8.32,6.3571069182,6.3571069182
1013985035,THOMPSON,WILLIAM,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,320734117,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,11.201304348,1.42,1.1130434783,1.1130434783
1013985035,THOMPSON,WILLIAM,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,320734117,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,14,60,7.4401666667,1.89,1.4813333333,1.5923333333
1013985035,THOMPSON,WILLIAM,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,320734117,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.5,12.94,13.54
1013985035,THOMPSON,WILLIAM,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,320734117,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,11,11,25.9,4.0563636364,2.6654545455,3.1963636364
1013985035,THOMPSON,WILLIAM,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,320734117,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,29,149.60103448,32.413793103,24.331034483,24.255862069
1013985035,THOMPSON,WILLIAM,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,320734117,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,77.18,60.51,54.72
1013985043,AMIN,MAHESH,,MD,M,I,455 PINELLAS ST STE 250,,CLEARWATER,FL,337563367,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,25,127.5408,33.5544,26.3076,25.92
1013985043,AMIN,MAHESH,,MD,M,I,455 PINELLAS ST STE 250,,CLEARWATER,FL,337563367,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,50,8.766,2,1.569,1.592
1013985043,AMIN,MAHESH,,MD,M,I,455 PINELLAS ST STE 250,,CLEARWATER,FL,337563367,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,23,36.384782609,11.999130435,8.5095652174,8.6539130435
1013985043,AMIN,MAHESH,,MD,M,I,455 PINELLAS ST STE 250,,CLEARWATER,FL,337563367,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,99.9575,33.03,23.973333333,23.426666667
1013985068,DIMATTIA,RALPH,R,MD,M,I,100 SENTARA CIR,,WILLIAMSBURG,VA,231885713,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,356.14090909,78.23,58.542272727,52.232727273
1013985068,DIMATTIA,RALPH,R,MD,M,I,100 SENTARA CIR,,WILLIAMSBURG,VA,231885713,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,38.05,29.83,29.51
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,469,990,990,71.961161616,49.543131313,36.288484848,28.599676768
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,28,36,69,38.2,37.558550725,25.757246377,22.494057971
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,176,351,351,269.02720798,121.95017094,87.536182336,62.797749288
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,63,148,274,107.0139781,42.990145985,31.449452555,24.550291971
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,113,257,1104,49.253342391,25.10384058,18.105099638,13.40928442
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,256,576,2495,31.608709419,19.74458517,14.157442886,10.847278557
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,380,783,783,173.74690932,75.175696041,54.03210728,39.315696041
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,170,218,218,59.06206422,24.352155963,17.485688073,12.912568807
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,43,53,53,40.654339623,13.011132075,9.3622641509,7.4430188679
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,64,122,122,56.86,19.276229508,14.403032787,8.7586065574
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,546,1257,4095,9.1571770452,3.0749401709,2.3020634921,1.5467521368
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,45,61,61,17.470655738,8.2121311475,5.9336065574,4.3259016393
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,359,459,459,39.629738562,15.615446623,11.657211329,9.9121132898
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,38,189,189,241.56867725,123.56502646,92.53037037,64.843227513
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,11,48,48,626.98791667,340.25083333,264.14020833,186.57645833
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,202,912,914,31.33095186,18.632035011,13.892242888,10.045404814
1013985084,CARDOSI,PAUL,J,M.D.,M,I,1700 E 19TH ST,,THE DALLES,OR,970583317,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,184,891,894,129.31029083,54.776409396,40.553579418,25.35590604
1013985316,BERTE,MICHAEL,T,MD,M,I,6900 PEARL RD,2ND FLOOR,CLEVELAND,OH,441303639,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,1684,0.4404988124,0.13,0.0910510689,0.0910510689
1013985316,BERTE,MICHAEL,T,MD,M,I,6900 PEARL RD,2ND FLOOR,CLEVELAND,OH,441303639,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,59,11180,3.2523434705,1.909293381,1.4613926655,1.5541994633
1013985316,BERTE,MICHAEL,T,MD,M,I,6900 PEARL RD,2ND FLOOR,CLEVELAND,OH,441303639,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,2940,10.849285714,6.15,4.7511156463,5.5287346939
1013985340,MILLER,WALTER,S,MD,M,I,10042 WOLF ROAD,SUITE A,GRASS VALLEY,CA,95949,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,54,82.313148148,8.32,6.2803703704,6.2803703704
1013985381,TOKE,MADHAVI,K,MD,F,I,275 NICHOLS RD,,FITCHBURG,MA,014201919,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,26,1512,46.900873016,5.018260582,3.9343320106,3.9343320106
1013985381,TOKE,MADHAVI,K,MD,F,I,275 NICHOLS RD,,FITCHBURG,MA,014201919,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,38,86,35.56,35.56,26.345,28.750465116
1013985381,TOKE,MADHAVI,K,MD,F,I,275 NICHOLS RD,,FITCHBURG,MA,014201919,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,393.63384615,393.63384615,295.11384615,259.85538462
1013985381,TOKE,MADHAVI,K,MD,F,I,275 NICHOLS RD,,FITCHBURG,MA,014201919,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,24,24,18.82,18.82
1013985381,TOKE,MADHAVI,K,MD,F,I,275 NICHOLS RD,,FITCHBURG,MA,014201919,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,64,64,34.01796875,27.35,19.9859375,20.82890625
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,67,67,12.975223881,9.29,6.8453731343,8.0389552239
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,270,8.3,7,5.1906666667,5.1906666667
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,7.62,6.74,4.6743076923,4.6743076923
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,330,4.8,4.03,2.968030303,2.968030303
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,240,3.6466666667,3.04,2.11575,2.11575
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,161,2.6026086957,2.352173913,1.7654658385,1.7970807453
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,432,0.54,0.45,0.3071064815,0.3071064815
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,757,7.1643593131,6.8304359313,5.3550858653,4.3238837517
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,10869,0.8656325329,0.66,0.483000276,0.483000276
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,40,40,88.33975,66.169,49.2775,45.904
1013985407,SHATTUCK,DEAVER,T,M.D.,M,I,907 E LAMAR ALEXANDER PKWY,,MARYVILLE,TN,378045015,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,46,46,10.258913043,5.1326086957,3.847826087,3.7797826087
1013985522,CAHOON,DANIEL,V,M.D.,M,I,1055 N 300 W,STE 316,PROVO,UT,846043344,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,26,7180,3.6051086351,1.73,1.2909456825,1.5166044568
1013985530,FONTENOT,MATTHEW,S,M.D.,M,I,1214 COOLIDGE BLVD,,LAFAYETTE,LA,705032621,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,63,66,70.463787879,18.491363636,13.856060606,13.646515152
1013985530,FONTENOT,MATTHEW,S,M.D.,M,I,1214 COOLIDGE BLVD,,LAFAYETTE,LA,705032621,US,Physician/Nephrology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,1561.02,942.14,733.69241379,833.73965517
1013985530,FONTENOT,MATTHEW,S,M.D.,M,I,1214 COOLIDGE BLVD,,LAFAYETTE,LA,705032621,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,24.755,5.03,3.945,3.94
1013985530,FONTENOT,MATTHEW,S,M.D.,M,I,1214 COOLIDGE BLVD,,LAFAYETTE,LA,705032621,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,68,68,442.66058824,78.294117647,58.792794118,57.601764706
1013985605,GUERINI,DEBRA,S,M.D.,F,I,30680 BAINBRIDGE RD,COMMUNITY HOSPITALISTS,CLEVELAND,OH,441392282,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,34,91.947058824,20.747058824,15.387647059,12.725294118
1013985605,GUERINI,DEBRA,S,M.D.,F,I,30680 BAINBRIDGE RD,COMMUNITY HOSPITALISTS,CLEVELAND,OH,441392282,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,64,502.659375,89.700625,67.06921875,52.01125
1013985605,GUERINI,DEBRA,S,M.D.,F,I,30680 BAINBRIDGE RD,COMMUNITY HOSPITALISTS,CLEVELAND,OH,441392282,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,100,39.093,30.6475,29.447
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,42,93,285,57.009894737,8.32,6.1522807018,6.1522807018
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,21,42,60,11.916666667,1.42,1.0788333333,1.0788333333
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,21,21,145.9,49.139047619,38.526666667,30.49
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,412.33230769,122.04461538,95.681538462,71.064615385
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,31,131.27290323,45.15516129,35.401935484,25.918064516
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,42,82.417380952,25.101428571,19.297619048,14.204761905
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,208.42,74.705,53.8545,39.8545
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,22,22,73.037272727,23.571363636,17.060909091,13.131363636
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,26,134,11.225373134,2.8820895522,2.1011940299,1.4503731343
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,46.345,15.59,12.218333333,10.34
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,37.225384615,22.666923077,16.621538462,13.261025641
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,130.73064516,43.569032258,31.635483871,21.870322581
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,89,93,250.67172043,99.095806452,75.711290323,55.965913978
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,3578,0.16245109,0.0462632756,0.0347233091,0.0347233091
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,79.336363636,45.002727273,32.380454545,27.483636364
1013985654,ZIN,THANT,,M.D.,M,I,310 2ND AVE SW,107-A,MIAMI,OK,743546743,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,77,33,24.432777778,24.432777778
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,132.57083333,44.759166667,32.151666667,33.3475
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,31,31,134.38,45.766451613,31.44,32.280967742
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,77,77,116.75688312,23.681168831,17.35012987,19.442207792
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,163.02,48.515263158,36.131052632,35.363684211
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,76,76,20.564736842,7.8975,5.8851315789,6.1922368421
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,17,438.87,268.8,210.74,234.15
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,491.76,329.07,257.99,243.31571429
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,1064.59,771.44,604.80857143,672.00857143
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,16,663.67,480.92,377.0475,418.93
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,17,34,891.56,677.31647059,531.01382353,562.78529412
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L5910,"Addition, endoskeletal system, below knee, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,528.62,352.65,276.48,305.03142857
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,13,845.48,615.92,482.88692308,533.71
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,84,30.08,19.81,15.531666667,16.378571429
1013985746,RILEY,PATRICIA,E,MD,F,I,110 MASONS WAY,,NEWTOWN SQUARE,PA,190731810,US,Physician/Physical Medicine and Rehabilitation,S,L8470,"Prosthetic sock, single ply, fitting, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,84,8.9,6.45,5.0566666667,5.6183333333
1013985860,PABST,SUSAN,J,M.D.,F,I,1501 TATE BLVD SE,SUITE 202,HICKORY,NC,286021384,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,22,66,49.96969697,42.52,33.336515152,31.105151515
1013985860,PABST,SUSAN,J,M.D.,F,I,1501 TATE BLVD SE,SUITE 202,HICKORY,NC,286021384,US,Physician/General Surgery,S,L8020,"Breast prosthesis, mastectomy form",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,19,228.15789474,220.42,172.81,169.16052632
1013985928,GIRONTA,MICHAEL,G,DO,M,I,16 POCONO RD,SUITE 313,DENVILLE,NJ,078342901,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,41,126,59.918888889,8.32,6.5222222222,6.5222222222
1013985928,GIRONTA,MICHAEL,G,DO,M,I,16 POCONO RD,SUITE 313,DENVILLE,NJ,078342901,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,14.94952381,3.38,2.65,2.65
1013985928,GIRONTA,MICHAEL,G,DO,M,I,16 POCONO RD,SUITE 313,DENVILLE,NJ,078342901,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,28,44,14.703863636,1.42,1.1127272727,1.1127272727
1013985928,GIRONTA,MICHAEL,G,DO,M,I,16 POCONO RD,SUITE 313,DENVILLE,NJ,078342901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,27,318.98296296,71.5,47.05037037,45.917777778
1013985928,GIRONTA,MICHAEL,G,DO,M,I,16 POCONO RD,SUITE 313,DENVILLE,NJ,078342901,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,35.5,25.216666667,26.931666667
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,64,182,67.541923077,8.3151648352,5.9921428571,5.9958791209
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,48,11.373125,1.42,1.0925,1.0925
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,325.12705882,99.486470588,67.235294118,57.348823529
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,42,131.61214286,35.335,26.891666667,25.09452381
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,86,73.004883721,22.539767442,15.693837209,12.676046512
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,36,64.183333333,15.326666667,10.260833333,10.132222222
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,14,28,28,197.38607143,61.206071429,43.003214286,38.741071429
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,30,30,60.897,20.407666667,15.997333333,14.301
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,39,39,66.052564103,13.634358974,9.9612820513,8.7071794872
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,48,202,8.7348514851,2.3765346535,1.675,1.4301980198
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,23,23,24.282173913,7.2943478261,5.4956521739,4.6113043478
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,14,20,20,48.6005,12.8335,9.0915,9.322
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,28,81.3,16.535357143,12.957142857,13.435357143
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,168.65916667,53.6425,39.902083333,28.584166667
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,64,493.09578125,82.9296875,62.2203125,56.56828125
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,1620,15.58,9.6273703704,7.4939074074,7.4939074074
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1860,0.8983333333,0.1334354839,0.1046182796,0.1046182796
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,705,12.708624113,2.9973049645,2.3499148936,2.3499148936
1013985936,PATEL,RAJESH,J,M.D.,M,I,116 KERR AVE,SUITE B,JERSEY SHORE,PA,177401720,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,43,43,104.37209302,33,25.87,25.87
1013985951,TESTA,JACK,,DPM,M,I,4808 BERGENLINE AVE,SUITE 202,UNION CITY,NJ,070875172,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,56,104.77,71.56,53.315535714,53.315357143
1013985951,TESTA,JACK,,DPM,M,I,4808 BERGENLINE AVE,SUITE 202,UNION CITY,NJ,070875172,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,90,33.099555556,29.19,22.885,22.886222222
1013985977,MULIA,ANTONIUS,,M.D.,M,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,28,91,211,69.45056872,8.32,5.7446919431,5.7446919431
1013985977,MULIA,ANTONIUS,,M.D.,M,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,34,40,14.52825,1.42,0.97875,0.97875
1013986199,GOLDEN,ROBERT,A,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,26,60,58.379833333,8.32,5.8686666667,5.8686666667
1013986199,GOLDEN,ROBERT,A,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,47.748181818,12.092727273,8.5348484848,8.5763636364
1013986199,GOLDEN,ROBERT,A,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,202.05918919,33.330540541,21.416486486,20.788918919
1013986199,GOLDEN,ROBERT,A,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,522.82,69.81,46.505714286,46.505714286
1013986199,GOLDEN,ROBERT,A,MD,M,I,3102 MERITER WAY,,MADISON,WI,537195833,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,107.94,36.14,25.969166667,27.173333333
1013986256,CARRERAS-SUCHANICK,HELEN,,D.O.,F,I,19 LAKE SHORE DR W,,DUNKIRK,NY,140481513,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,37,106,63.618679245,8.32,6.275754717,6.275754717
1013986256,CARRERAS-SUCHANICK,HELEN,,D.O.,F,I,19 LAKE SHORE DR W,,DUNKIRK,NY,140481513,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,22,13.283181818,1.42,1.0136363636,1.0136363636
1013986256,CARRERAS-SUCHANICK,HELEN,,D.O.,F,I,19 LAKE SHORE DR W,,DUNKIRK,NY,140481513,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,50,22.790909091,17.866363636,13.53
1013986256,CARRERAS-SUCHANICK,HELEN,,D.O.,F,I,19 LAKE SHORE DR W,,DUNKIRK,NY,140481513,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,28.823529412,7.0152941176,5.2847058824,3.3788235294
1013986256,CARRERAS-SUCHANICK,HELEN,,D.O.,F,I,19 LAKE SHORE DR W,,DUNKIRK,NY,140481513,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,326.90341463,106.01902439,80.966829268,52.69804878
1013986256,CARRERAS-SUCHANICK,HELEN,,D.O.,F,I,19 LAKE SHORE DR W,,DUNKIRK,NY,140481513,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.956363636,44.560909091,31.950909091,26.832727273
1013986264,RUPE,JOE,,MD,M,I,16000 JOHNSTON MEMORIAL DR,,ABINGDON,VA,242117659,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,64.331538462,20.272692308,14.848076923,14.840384615
1013986264,RUPE,JOE,,MD,M,I,16000 JOHNSTON MEMORIAL DR,,ABINGDON,VA,242117659,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,95,32.615,21.198571429,21.448571429
1013986264,RUPE,JOE,,MD,M,I,16000 JOHNSTON MEMORIAL DR,,ABINGDON,VA,242117659,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,23.235294118,4.6488235294,3.4470588235,3.4452941176
1013986264,RUPE,JOE,,MD,M,I,16000 JOHNSTON MEMORIAL DR,,ABINGDON,VA,242117659,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,70,35.196428571,22.548571429,26.937142857
1013986264,RUPE,JOE,,MD,M,I,16000 JOHNSTON MEMORIAL DR,,ABINGDON,VA,242117659,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,64,443.4221875,77.90375,57.538125,57.30984375
1013986264,RUPE,JOE,,MD,M,I,16000 JOHNSTON MEMORIAL DR,,ABINGDON,VA,242117659,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,85,37.44,27.5172,27.6784
1013986314,ADAMS,DONALD,S,MD,M,I,3800 HOUMA BLVD,STE. 205,METAIRIE,LA,700064182,US,Physician/Neurology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,7.6116666667,3.05,2.39,2.2616666667
1013986314,ADAMS,DONALD,S,MD,M,I,3800 HOUMA BLVD,STE. 205,METAIRIE,LA,700064182,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,63.119411765,32.358235294,25.37,21.133529412
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,21,21,88.92952381,42.296666667,33.160952381,30.572857143
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,78,60.993076923,18.99,14.505897436,14.204102564
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,205.87208333,55.3475,41.591666667,41.105
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,68.698125,20.593125,14.2525,12.4375
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,87.676363636,16.651818182,12.127272727,8.2909090909
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,36,167,8.7738922156,2.4581437126,1.9071856287,1.5747904192
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,21.808181818,7.3645454545,5.77,4.6572727273
1013986397,AMOILS,CLIFFORD,P,MD,M,I,27879 SMYTH DR,,VALENCIA,CA,91355,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,209.11166667,32.145555556,23.894444444,23.824444444
1013986447,SKY,JOSEPH,C,MD,M,I,101 BODIN CIR,,TRAVIS AFB,CA,945351809,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,14,206.07857143,29.54,17.560714286,17.791428571
1013986512,HEWSON,ROBERT,A,D.P.M.,M,I,344 NIAGARA FALLS BLVD,,BUFFALO,NY,142233044,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,75,71.56,56.026428571,56.026428571
1013986710,SPANGRUDE,KIMBERLY,A,FNP-C,F,I,3354 E RUTLAND PL,,COTTONWOOD HEIGHTS,UT,841215829,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,37,37,37,1302.1518919,1017.66,779.40162162,865.65567568
1013986710,SPANGRUDE,KIMBERLY,A,FNP-C,F,I,3354 E RUTLAND PL,,COTTONWOOD HEIGHTS,UT,841215829,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,11,11,18,856.16555556,804.03,630.36,677.69
1013986710,SPANGRUDE,KIMBERLY,A,FNP-C,F,I,3354 E RUTLAND PL,,COTTONWOOD HEIGHTS,UT,841215829,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,18,18,27,126.40333333,114.78222222,84.676666667,83.532962963
1013986710,SPANGRUDE,KIMBERLY,A,FNP-C,F,I,3354 E RUTLAND PL,,COTTONWOOD HEIGHTS,UT,841215829,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,20,20,35,509.21971429,472.26428571,370.254,365.39
1013986710,SPANGRUDE,KIMBERLY,A,FNP-C,F,I,3354 E RUTLAND PL,,COTTONWOOD HEIGHTS,UT,841215829,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,24,24,24,787.71958333,652.65,505.70208333,562.55208333
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,28,84,54.181785714,8.32,6.211547619,6.211547619
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.794285714,3.38,2.65,2.65
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,37,13.000810811,1.42,1.0524324324,1.0524324324
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,147.8225,75.5275,55.285,41.4225
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,42.649230769,24.938461538,19.551538462,15.316923077
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,46.849333333,20.974,15.770666667,9.2833333333
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,40,9.4825,2.9975,2.2635,1.579
1013986728,BASILE,MICHAEL,W,MD,M,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,153.18,35.148333333,22.587666667,18.704
1013986751,ALARCON-SCHRODER,CARLOS,,MD,M,I,6200 AURORA AVE,,URBANDALE,IA,503222800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,64,116,59.857413793,8.32,5.7343103448,5.7343103448
1013986751,ALARCON-SCHRODER,CARLOS,,MD,M,I,6200 AURORA AVE,,URBANDALE,IA,503222800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,18,27,13.601851852,1.42,0.7859259259,0.7859259259
1013986769,SHAH,VAISHALI,S,MD,F,I,677 CHURCH ST NE,"ATTN: HOSPITALIST OFFICE, WELLSTAR KENNESTONE HOSPITAL",MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,469.11764706,75.56,55.218235294,50.973529412
1013986769,SHAH,VAISHALI,S,MD,F,I,677 CHURCH ST NE,"ATTN: HOSPITALIST OFFICE, WELLSTAR KENNESTONE HOSPITAL",MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,36.25,26.051666667,27.164166667
1013986769,SHAH,VAISHALI,S,MD,F,I,677 CHURCH ST NE,"ATTN: HOSPITALIST OFFICE, WELLSTAR KENNESTONE HOSPITAL",MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,85,36.25,26.697575758,27.803939394
1013986801,BOUCHER,CHARLES,A,MD,M,I,8 HAWTHORNE PL,SUITE 110,BOSTON,MA,021142335,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,62,100,37.38,29.306935484,29.306935484
1013986801,BOUCHER,CHARLES,A,MD,M,I,8 HAWTHORNE PL,SUITE 110,BOSTON,MA,021142335,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,1003,68.749511466,1.5515852443,1.216440678,1.2164107677
1013986884,PATEL,PRITI,A,MD,F,I,233 WINTHROP STREET,,TAUNTON,MA,027803960,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,38,115,270,67.706407407,8.32,5.9658888889,5.9658888889
1013986884,PATEL,PRITI,A,MD,F,I,233 WINTHROP STREET,,TAUNTON,MA,027803960,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,25,61,68,13.226764706,1.42,1.0526470588,1.0526470588
1013986884,PATEL,PRITI,A,MD,F,I,233 WINTHROP STREET,,TAUNTON,MA,027803960,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,52.65,40.806,29.928,34.1985
1013986884,PATEL,PRITI,A,MD,F,I,233 WINTHROP STREET,,TAUNTON,MA,027803960,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1290,1.1416744186,0.136744186,0.1008682171,0.1008682171
1013986884,PATEL,PRITI,A,MD,F,I,233 WINTHROP STREET,,TAUNTON,MA,027803960,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,73.333333333,33,23.953703704,23.953703704
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,43,101,52.047722772,8.32,6.3162376238,6.3162376238
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,14.944444444,3.38,2.65,2.65
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,31,44,15.171590909,1.42,1.0659090909,1.0659090909
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,353,13.775014164,5.54,4.3433711048,4.1931728045
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6778,1.4375007377,0.66,0.5174461493,0.5174461493
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,46.486666667,21.473030303,14.598181818,11.845454545
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.05,5.16,3.7125,3.6291666667
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,428.28878049,97.787317073,68.632682927,49.20902439
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,5323,0.2882491076,0.0458876573,0.0318354311,0.0318354311
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,2.9947142857,2.2691071429,2.2691071429
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,18,18,69.047777778,26.631111111,19.277777778,13.265
1013986892,MAYEAUX,STACEY,W,MD,M,I,519 E PRUDHOMME ST,,OPELOUSAS,LA,705706499,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,125.4,33,24.145333333,24.145333333
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,33,103,408,65.029019608,8.32,6.1315931373,6.1315931373
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,28,29,14.525517241,3.38,2.4672413793,2.4672413793
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,21.4425,2.12,1.565625,1.565625
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,42,97,14.501237113,1.42,1.078556701,1.078556701
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,24,25,177.0664,39.69,29.8752,29.2956
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,29,8.19,1.42,1.0337931034,1.0717241379
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,21,497.2952381,89.232857143,69.958571429,67.84
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,30,185.77266667,35.57,27.887,25.919666667
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,69,64.992463768,15.062173913,11.809565217,11.893188406
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,31,31,299.84741935,56.289677419,42.709032258,41.524516129
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,31,31,91.061935484,17.893225806,14.023870968,14.057741935
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,23,23,95.560434783,12.122173913,9.5091304348,9.12
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,55,293,13.323481229,2.1429351536,1.644778157,1.5608532423
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,52.1225,12.08,9.47,10.34
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,35,74.401714286,16.99,12.558857143,12.760285714
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50.56,38.9225,37.08
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,81,83,48.25,4.2944578313,2.9802409639,3.22
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,14,57,60,251.632,37.8655,27.822,24.5115
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,87,98,414.75469388,81.5,60.875306122,52.641122449
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,177.5862069,35.78,26.296896552,27.718965517
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,28,6389,0.1698716544,0.0466677101,0.0339270621,0.0339270621
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,35.78,25.7125,27.2025
1013986900,POCHCIAL,KAJETAN,M,MD,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,67.269230769,33,22.885,22.885
1013986918,KONZ,CYNTHIA,J,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,48,77,59.831558442,8.32,5.2977922078,5.2977922078
1013986918,KONZ,CYNTHIA,J,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,24.055333333,1.42,1.0453333333,1.0453333333
1013986918,KONZ,CYNTHIA,J,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,75,17.152533333,10.93,8.57,8.57
1013986918,KONZ,CYNTHIA,J,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,20,20,163.741,55.636,37.3785,36.708
1013986918,KONZ,CYNTHIA,J,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,49.581428571,18.217142857,13.272857143,13.055714286
1013986918,KONZ,CYNTHIA,J,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,24,84,7.5271428571,2.1,1.4827380952,1.4376190476
1013986918,KONZ,CYNTHIA,J,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,17,18,175.19222222,37.137777778,26.418333333,26.018333333
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,37,37,95.555135135,39.871351351,30.452702703,30.313243243
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,24,52,52,255.70884615,87.225576923,65.399423077,64.784807692
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,21,48,121,108.82289256,36.15322314,28.117355372,26.101735537
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,15,24,122,59.072622951,19.24,14.46557377,13.999098361
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,21,110,42.959818182,16.243,12.196363636,11.673909091
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,26,53,53,167.87320755,56.222641509,41.634150943,40.927358491
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,42,59,59,52.583559322,18.414576271,13.956610169,13.588474576
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,27,53,53,50.539056604,12,8.8773584906,8.6256603774
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,41,82,467,9.5931477516,2.0678372591,1.5812205567,1.5678158458
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,23,23,20.555217391,6.03,4.72,4.6560869565
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,16,21,21,36.667142857,13.175714286,10.327619048,10.325714286
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,58,13.998666667,10.952666667,10.454
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,73.928571429,5.2476190476,3.1347619048,2.7352380952
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,23,142,142,179.55161972,32.007394366,23.309014085,23.879647887
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,35,620.83885714,79.22,54.969714286,48.433142857
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,37.15,23.304,23.704
1013986959,DUKE,ANDREW,,M.D.,M,I,7117 BROCKTON AVE,,RIVERSIDE,CA,925062615,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,42.428571429,33,20.492857143,20.492857143
1013987023,DANIEL,JOHN,M,DO,M,I,400 N. STATE OF FRANKLIN RD.,,JOHNSON CITY,TN,37614,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,40,18.183571429,14.250714286,13.53
1013987023,DANIEL,JOHN,M,DO,M,I,400 N. STATE OF FRANKLIN RD.,,JOHNSON CITY,TN,37614,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,220,81.010714286,62.76,53.973571429
1013987049,LYNCH,DAVID,P,D.O.,M,I,7340 E BROAD ST,STE B,BLACKLICK,OH,430049625,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,65,60.162153846,8.32,6.0209230769,6.0209230769
1013987049,LYNCH,DAVID,P,D.O.,M,I,7340 E BROAD ST,STE B,BLACKLICK,OH,430049625,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,17.841578947,6.1573684211,4.8278947368,3.7857894737
1013987049,LYNCH,DAVID,P,D.O.,M,I,7340 E BROAD ST,STE B,BLACKLICK,OH,430049625,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,466.04357143,79.3,62.17,55.261428571
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,38,8.19,1.8794736842,1.4736842105,1.1526315789
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,95,10.649052632,2.5035789474,1.9632631579,1.5906315789
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,73.321111111,20.115555556,15.001666667,12.899444444
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,93.005,6.2579411765,4.5264705882,3.3123529412
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,469.4962,80.9488,60.8036,52.8948
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,4290,0.1701445221,0.046039627,0.0341608392,0.0341608392
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,3420,1.0206666667,0.135254386,0.1036666667,0.1036666667
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,12.86,2.9216666667,2.1701851852,2.1701851852
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,570,0.75,0.219,0.1626842105,0.1626842105
1013987064,DOOLITTLE,DOAK,P,MD,M,I,807 N ASH ST,,GORDON,NE,693431132,US,Physician/General Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,41,41,112.68292683,33,25.23902439,25.23902439
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,126.08333333,40.12,31.46,30.5
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,500.97066667,90,65.856,63.498666667
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,35,195.42971429,32.75,24.278285714,24.520285714
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,89,96.885842697,19.804719101,14.850561798,13.874382022
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,291.61142857,54.585714286,42.796666667,42.86
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,21,21,87.653809524,18.792380952,14.72952381,14.091428571
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,99.212222222,11.897777778,8.8061111111,8.6294444444
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,32,186,12.13344086,2.15,1.6327419355,1.5406989247
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,60.781333333,12.867333333,10.082,10.34
1013987072,KHAN,HABIB,U,M.D.,M,I,1653 E MCMURRAY BLVD,SUITE 139,CASA GRANDE,AZ,852222023,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,489.26555556,31.486666667,24.691666667,25.483888889
1013987106,MICHAUD,MARILYN,L,FNP,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,51,57.687647059,8.2905882353,5.9492156863,5.9492156863
1013987106,MICHAUD,MARILYN,L,FNP,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,65.313846154,12.07,8.7415384615,8.4276923077
1013987106,MICHAUD,MARILYN,L,FNP,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,84,7.9607142857,2.22,1.6171428571,1.4794047619
1013987106,MICHAUD,MARILYN,L,FNP,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,17.25,13.52,13.538181818
1013987106,MICHAUD,MARILYN,L,FNP,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,98.522307692,34.393076923,26.960769231,26.967692308
1013987106,MICHAUD,MARILYN,L,FNP,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,274.56,69.62,54.59,54.717272727
1013987148,HOLT,THOMAS,,MD,M,I,600 NW 11TH ST STE E10,,HERMISTON,OR,978388602,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2370,0.2988607595,0.13,0.0954219409,0.0954219409
1013987148,HOLT,THOMAS,,MD,M,I,600 NW 11TH ST STE E10,,HERMISTON,OR,978388602,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,4980,3.5912048193,2.04,1.5712851406,1.5712851406
1013987148,HOLT,THOMAS,,MD,M,I,600 NW 11TH ST STE E10,,HERMISTON,OR,978388602,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1680,9.905,7.23,5.6587797619,5.6587797619
1013987155,ATABONG,SIXTUS,,PA,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,162.68736842,62.461052632,48.97,38.940526316
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,31,107,193,74.538082902,8.32,5.2894300518,5.2894300518
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,29,31,14.619354839,1.42,0.7587096774,0.7587096774
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,340.44769231,119.68538462,78.590769231,56.974615385
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,15,21,21,165.16,75.407142857,55.925714286,42.31
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,22,27,27,59.616296296,24.87,17.186296296,12.882592593
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,32,32,55.679375,19.835,14.6046875,8.265
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,22,32,144,6.8900694444,2.9125,2.0622916667,1.3935416667
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,22,22,18.182272727,8.5613636364,6.2454545455,4.2272727273
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,22.4775,15.626666667,12.154166667
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,50,54,229.4062963,58.256666667,45.515,28.51
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,39,610.69487179,101.74871795,76.64,54.061794872
1013987320,BERENS-BROWNMILLER,KATHY,,PAC,F,I,115 N 14TH ST,,DENISON,IA,51442,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,285.6,44.07,32.388333333,27.535555556
1013987429,HOWARD,CHARLES,A,MD,M,I,1919 S WHEELING AVE,SUITE 600,TULSA,OK,741045638,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,104,3.58,2.91,2.28125,2.28125
1013987429,HOWARD,CHARLES,A,MD,M,I,1919 S WHEELING AVE,SUITE 600,TULSA,OK,741045638,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,0.8216666667,0.27,0.2116666667,0.2116666667
1013987429,HOWARD,CHARLES,A,MD,M,I,1919 S WHEELING AVE,SUITE 600,TULSA,OK,741045638,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.9,0.26,0.2038,0.2116
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,33,57.678787879,8.32,4.7454545455,4.7454545455
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,86.394375,49.233125,38.6,31.233125
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,263.06083333,132.60666667,103.96333333,71.335
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,32,102.32125,44.8859375,33.4003125,24.298125
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,64,6.8103125,3.1740625,2.48875,1.5934375
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,41.5,18.0615,13.003,9.4325
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,162.80387097,51.229677419,36.796129032,22.339677419
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,300,101.5632,74.4704,49.976
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,75,45.002727273,32.297272727,26.833636364
1013987478,RUDEBUSCH,MISTY,,PA-C,F,I,213 S MAIN,,HOWARD,SD,57349,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,24.022142857,24.022142857
1013987551,SHORT,HOWARD,N,"MD, FACS",M,I,1351 JEFFERSON ST,STE 110,WASHINGTON,MO,630906449,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,22,22,66.363636364,62.736363636,42.432272727,46.155454545
1013987551,SHORT,HOWARD,N,"MD, FACS",M,I,1351 JEFFERSON ST,STE 110,WASHINGTON,MO,630906449,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,34,64.088235294,49.149411765,34.993235294,39.623823529
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,38,120,58.808583333,8.32,6.1416666667,6.1416666667
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,21,14.759047619,1.42,1.0619047619,1.0619047619
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,98.445625,39.744375,29.32875,28.6825
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,84,56.985833333,20.733690476,14.62452381,13.024404762
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,172.70043478,59.791304348,44.732608696,40.87173913
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,46.696470588,17.968235294,14.082941176,14.06
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,47.48,12.61,9.89,9.12
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,29,118,8.5550847458,2.3654237288,1.8142372881,1.5577118644
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,24.802727273,13.460909091,9.6245454545,9.4172727273
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,101.48606061,25.124545455,18.983030303,16.723939394
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,51.666666667,5.93,3.564,2.5473333333
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,372.12121212,76.48,56.326060606,52.197575758
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2991,0.1504948178,0.046633233,0.0308793046,0.0308793046
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1050,10.078628571,3.1260285714,2.4368380952,2.4368380952
1013987593,HAMILTON,KENNETH,W,M.D.,M,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,103.71428571,33,23.406190476,23.406190476
1013987700,GASSMAN,VITTORIA,,MD,F,I,120 CONNECTICUT AVE,NORWALK COMMUNITY HEALTH CENTER,NORWALK,CT,068541525,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,29,60.266896552,19.244827586,15.087931034,13.534827586
1013987700,GASSMAN,VITTORIA,,MD,F,I,120 CONNECTICUT AVE,NORWALK COMMUNITY HEALTH CENTER,NORWALK,CT,068541525,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,29,362.76,86.955517241,68.17137931,54.728965517
1013987841,YANG,TING-WEI,,MD,M,I,1 BOONE DRIVE,NAVAL HOSPITAL BREMERTON,BREMERTON,WA,98312,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175,77.34,51.241666667,45.833333333
1013987866,BELL,ALVIN,,"M.D.,F.A.C.P.,F.A.S.",M,I,129 GROVE ST,,MONTCLAIR,NJ,070424021,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,130.405,71.5,56.06,54.840833333
1013987866,BELL,ALVIN,,"M.D.,F.A.C.P.,F.A.S.",M,I,129 GROVE ST,,MONTCLAIR,NJ,070424021,US,Physician/Nephrology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,35.5,27.83,29.37
1013987882,AVERBECK,BETHEL,M,MD,F,I,401 PHALEN BLVD,MAIL STOP 41103F,ST PAUL,MN,551015302,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,6.8083333333,5.54,4.34,4.34
1013987924,ESTEPHAN,FADI,,MD,M,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,44,19.71,15.45,15.45
1013987924,ESTEPHAN,FADI,,MD,M,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,84.538461538,37.38,29.3,29.3
1013987924,ESTEPHAN,FADI,,MD,M,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,21,1682,49.060285375,4.9801486326,3.7091438763,3.7091438763
1013987924,ESTEPHAN,FADI,,MD,M,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,107,13,1.5698130841,1.2305607477,1.2305607477
1013987924,ESTEPHAN,FADI,,MD,M,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,31,35,104,53.236538462,39.11,29.775865385,29.861153846
1013987924,ESTEPHAN,FADI,,MD,M,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,22,451.00909091,344.55318182,263.60863636,259.60363636
1013987924,ESTEPHAN,FADI,,MD,M,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,24,24,18.82,18.82
1013988013,SMITH,JENNIFER,,DO,F,I,14 WYONEGONIC RD,,BRIDGTON,ME,040094652,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,46,57.886956522,8.32,4.2526086957,4.2526086957
1013988013,SMITH,JENNIFER,,DO,F,I,14 WYONEGONIC RD,,BRIDGTON,ME,040094652,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,24,86.31,17.25,12.393333333,12.4125
1013988013,SMITH,JENNIFER,,DO,F,I,14 WYONEGONIC RD,,BRIDGTON,ME,040094652,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,64.783846154,4.38,2.3746153846,2.3515384615
1013988013,SMITH,JENNIFER,,DO,F,I,14 WYONEGONIC RD,,BRIDGTON,ME,040094652,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,24,519.51,69.62,51.015,51.151666667
1013988013,SMITH,JENNIFER,,DO,F,I,14 WYONEGONIC RD,,BRIDGTON,ME,040094652,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2182,0.2528826764,0.0465444546,0.0251145738,0.0251145738
1013988013,SMITH,JENNIFER,,DO,F,I,14 WYONEGONIC RD,,BRIDGTON,ME,040094652,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,85.8,33,17.246666667,17.246666667
1013988021,FRIEDLAND,DAVID,M,M.D.,M,I,5115 CENTRE AVE,3RD FLOOR,PITTSBURGH,PA,152321301,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.1,13.41,13.528181818
1013988021,FRIEDLAND,DAVID,M,M.D.,M,I,5115 CENTRE AVE,3RD FLOOR,PITTSBURGH,PA,152321301,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,77.5,60.76,55.278181818
1013988047,D'ANDREA,GABRIELLA,,MD,F,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,31,2140,40.944542056,5.0136168224,3.8530794393,3.8530794393
1013988047,D'ANDREA,GABRIELLA,,MD,F,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,24,24,18.82,18.82
1013988161,FARMER,JAMES,M,M.D.,M,I,101 KNOTBREAK RD,,SALEM,VA,241535404,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,13,153.94153846,120.62,94.57,88.025384615
1013988161,FARMER,JAMES,M,M.D.,M,I,101 KNOTBREAK RD,,SALEM,VA,241535404,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,65.357142857,59.272857143,43.119285714,43.030714286
1013988211,BEALS,ROBERTA,,DO,F,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,35,66.404857143,8.32,6.1491428571,6.1491428571
1013988211,BEALS,ROBERTA,,DO,F,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,129.41,54.66,42.86,42.86
1013988211,BEALS,ROBERTA,,DO,F,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,12,12,43.485833333,12.641666667,9.1641666667,9.2425
1013988211,BEALS,ROBERTA,,DO,F,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,64,6.650625,2.05,1.55640625,1.54390625
1013988211,BEALS,ROBERTA,,DO,F,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,136.92307692,34.397692308,26.965384615,26.97
1013988211,BEALS,ROBERTA,,DO,F,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,316.21846154,68.78,53.92,54.350769231
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,41,84,71.519642857,8.32,6.21,6.21
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,19,15.502105263,1.42,1.1178947368,1.1178947368
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7,5.74,4.5,4.5
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,3.5,2.91,2.2814,2.2814
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,7,6.44,5.05,5.05
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7,5.54,4.3435,4.3435
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,880,0.1320454545,0.12,0.0940909091,0.0940909091
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3,2.02,1.5836666667,1.5836666667
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,690,9.108,8.28,6.4915797101,6.4915797101
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,288,12.023125,10.93,8.5690277778,8.5690277778
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,2214,0.4950090334,0.45,0.3527958446,0.3527958446
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,350,14,4.9,3.8415428571,4.1116
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4200,0.6637714286,0.3,0.235197619,0.2417833333
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,69.855588235,5.6102941176,3.675,3.0432352941
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,34,35,209.67028571,31.598,23.928857143,24.352571429
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,4.97,3.9,3.95
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,21,288.33333333,76.586666667,60.04,56.604285714
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,275,35.63,27.93,29.388461538
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,18.90684058,9.5773043478,7.1096521739,7.1096521739
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1589,1.4760163625,0.130377596,0.0919257395,0.0919257395
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,19,85,35,25.995789474,28.093157895
1013988286,SINHA,PRABHAT,K,MD,M,I,20 HOSPITAL DR,STE 3,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,35,35,66.942857143,33,24.039142857,24.039142857
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,76.11,38.025,27.346666667,28.04
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,10.816666667,5.21,4.0846666667,4.1003333333
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,143.40545455,84,53.885454545,55.956363636
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,52.676551724,31.5,23.042068966,24.263448276
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,61,33.582622951,17.5,13.160983607,13.992459016
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,22,22,129.79363636,54.953636364,41.124545455,40.911818182
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,22,22,34.053181818,17.056363636,12.768636364,13.463636364
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,21,34.725238095,11.27,8.42,8.7076190476
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,34,179,4.9400558659,2.0016759777,1.5169832402,1.5394413408
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,15.243636364,5.99,4.69,4.65
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,27.233571429,12.05,8.7771428571,9.685
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,72,10.9675,3.81,2.9866666667,2.9866666667
1013988336,ZAPALAC,JEFFREY,S,"M.D., F.A.C.S.",M,I,3705 MEDICAL PKWY,SUITE 310,AUSTIN,TX,787051019,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,137.955,34,22.736,22.606
1013988492,DEWITT,ALAN,N,M.D.,M,I,590 S MAIN ST,,SNOWFLAKE,AZ,859375228,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,696.75636364,92.683636364,61.797272727,44.779090909
1013988658,KARR,JEFFREY,C,DPM,M,I,5421 S FLORIDA AVE,,LAKELAND,FL,33813,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,35,107.516,71.56,49.223428571,49.222857143
1013988658,KARR,JEFFREY,C,DPM,M,I,5421 S FLORIDA AVE,,LAKELAND,FL,33813,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,68,35.470294118,29.19,21.752058824,21.753676471
1013988658,KARR,JEFFREY,C,DPM,M,I,5421 S FLORIDA AVE,,LAKELAND,FL,33813,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,19,252,15,10.93,8.5691666667,8.5691666667
1013988658,KARR,JEFFREY,C,DPM,M,I,5421 S FLORIDA AVE,,LAKELAND,FL,33813,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,21,92.124285714,20.932857143,16.41,14.526666667
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,23,59,164,42.008231707,8.32,5.9647560976,5.9647560976
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,15.235294118,3.38,2.4941176471,2.4941176471
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,16,38,51,13.764313725,1.42,0.9843137255,0.9843137255
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,49.145833333,18.28,14.33,14.06
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,72,5.7261111111,1.94,1.52,1.5855555556
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,148.96846154,51.774615385,30.443846154,29.886153846
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,31.61,17.25,12.096842105,12.114736842
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,231.4175,79.88,60.663125,54.49125
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2160,2.3848611111,0.1318333333,0.0882268519,0.0882268519
1013988773,PRZYBYLSKI,ALBERT,A,D.O.,M,I,36549 HARPER AVE,SUITE B,CLINTON TWP,MI,480352012,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,22.420666667,22.420666667
1013988781,ZUGAREK,MICHAEL,J,PA,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG STE 100,VA BEACH,VA,23452,US,Physician Assistant,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,13,160,27.42,25.3421875,19.8685,19.332375
1013988781,ZUGAREK,MICHAEL,J,PA,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG STE 100,VA BEACH,VA,23452,US,Physician Assistant,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,105,9.1,8.2,6.4288571429,6.4288571429
1013988781,ZUGAREK,MICHAEL,J,PA,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG STE 100,VA BEACH,VA,23452,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17,11.595833333,11.793333333
1013988781,ZUGAREK,MICHAEL,J,PA,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG STE 100,VA BEACH,VA,23452,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,78.23,51.108333333,46.150833333
1013988781,ZUGAREK,MICHAEL,J,PA,M,I,397 LITTLE NECK RD,3300 SOUTH BLDG STE 100,VA BEACH,VA,23452,US,Physician Assistant,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,1716.46,648.91631579,501.19526316,494.34052632
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,38,106,224,112.19419643,8.3007142857,5.9292857143,5.9444196429
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,16.538461538,3.38,2.65,2.65
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,29,47,77,15.516623377,1.42,0.9702597403,0.9702597403
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,19,10.93,10.93,8.3184210526,8.3184210526
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,26,91.956538462,71.347692308,55.938461538,56.103846154
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,66,42.383333333,29.19,22.885151515,22.886515152
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,20,39,3.7184615385,1.9615384615,1.5376923077,1.2282051282
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,20,30,1.79,1.4866666667,1.0596666667,0.8866666667
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,350,15.028028571,7.5866857143,5.9479428571,5.8512285714
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,7299,0.7149938348,0.360405535,0.2825565146,0.2908891629
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,103.6425,67.115,52.62,36.728333333
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,34.845,21.127,16.561,14.734666667
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,13,78,78,26.598846154,7.4787179487,5.3962820513,3.6292307692
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100.90181818,64.312727273,45.743636364,45.430909091
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.87,11.746666667,8.8433333333,3.6208333333
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,261.01692308,100.51589744,77.931794872,56.976923077
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,1256,1.5179538217,0.1348805732,0.1009394904,0.1009394904
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,58.973571429,26.652857143,16.779285714,10.291428571
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,19,86.286315789,61.472631579,48.196842105,32.865789474
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,499.57685714,234.17485714,181.47885714,130.39542857
1013988799,LAHAYE,NICHOLAS,D,M.D.,M,I,4940 VIDRINE RD,,VILLE PLATTE,LA,705868706,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,33,33,23.283,23.283
1013988815,VILA RAMIREZ,RAUL,G,MD,M,I,735 AVE PONCE DE LEON,SUITE 407,SAN JUAN,PR,009175022,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,24,65.633333333,51.639583333,40.481666667,32.265
1013988906,LEVIN,JILL,,"DO, MPH",F,I,40 WRIGHT ST,,PALMER,MA,010691138,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,22,50.73,3.8604545455,2.8936363636,3.5127272727
1013989037,MOLINA,JULIAN,R,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.69,13.87,13.53
1013989037,MOLINA,JULIAN,R,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.99,54.87,54.73
1013989078,CARPENTER,CATHY,P,M.D.,F,I,80 WYNTRE BROOKE DR,,YORK,PA,174034535,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,54,119,77.106722689,8.32,5.6945378151,5.6945378151
1013989078,CARPENTER,CATHY,P,M.D.,F,I,80 WYNTRE BROOKE DR,,YORK,PA,174034535,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,16,13.239375,1.42,0.84,0.84
1013989078,CARPENTER,CATHY,P,M.D.,F,I,80 WYNTRE BROOKE DR,,YORK,PA,174034535,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,191.37352941,31.608823529,22.978235294,23.416470588
1013989078,CARPENTER,CATHY,P,M.D.,F,I,80 WYNTRE BROOKE DR,,YORK,PA,174034535,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,508.41,67.72,46.3932,47.992
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,34,95,255,61.260627451,8.32,6.2405098039,6.2405098039
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,9.2717647059,3.38,2.65,2.65
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,34,53,11.770943396,1.42,1.0739622642,1.0739622642
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,181.46,54.904615385,36.48,36.283846154
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,46,8.4110869565,2.0154347826,1.4445652174,1.4552173913
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,22.4775,17.620833333,14.031666667
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.122727273,43.691818182,35.422727273
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,119.26666667,4.646,3.268,3.266
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,186.63384615,51.206153846,40.143846154,35.126153846
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,32,458.2609375,82.375625,62.8625,54.279375
1013989094,SZABO,ANDREA,T,MD,F,I,5107 S PARK DR,SUITE 205,DURHAM,NC,277138400,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,76.3125,33,25.87,25.87
1013989136,SOLOMON,DANIEL,J,M.D.,M,I,18 BON AIR RD,,LARKSPUR,CA,949391123,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,124.09333333,108.03,78.219166667,73.461666667
1013989136,SOLOMON,DANIEL,J,M.D.,M,I,18 BON AIR RD,,LARKSPUR,CA,949391123,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,24,24,166.31083333,132.66041667,104.00583333,88.199166667
1013989292,DOLAN,MICHAEL,J,O.D.,M,I,4384 LAKEVILLE RD,,GENESEO,NY,144549761,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,79.406,59.451333333,37.107333333,43.216
1013989342,FEDOROWICZ,ANDREW,,MD,M,I,5351 S ROSLYN ST,SUITE 102,GREENWOOD VILLAGE,CO,801112128,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,105.71428571,29.66,23.26,23.935714286
1013989409,SALAMATIN,MARIA,D,MD,F,I,3003 HIGHWAY 95,SUITE 101,BULLHEAD CITY,AZ,864427802,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,47,135,254,58.940590551,8.32,6.0108267717,6.0108267717
1013989409,SALAMATIN,MARIA,D,MD,F,I,3003 HIGHWAY 95,SUITE 101,BULLHEAD CITY,AZ,864427802,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,28,47,51,13.949803922,1.42,0.8552941176,0.8552941176
1013989409,SALAMATIN,MARIA,D,MD,F,I,3003 HIGHWAY 95,SUITE 101,BULLHEAD CITY,AZ,864427802,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1830,3.32,2.04,1.5209344262,1.5209344262
1013989409,SALAMATIN,MARIA,D,MD,F,I,3003 HIGHWAY 95,SUITE 101,BULLHEAD CITY,AZ,864427802,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,86.31,17.27,12.25047619,12.25047619
1013989409,SALAMATIN,MARIA,D,MD,F,I,3003 HIGHWAY 95,SUITE 101,BULLHEAD CITY,AZ,864427802,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,31,519.51,68.78,50.441290323,51.229032258
1013989409,SALAMATIN,MARIA,D,MD,F,I,3003 HIGHWAY 95,SUITE 101,BULLHEAD CITY,AZ,864427802,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1800,0.9866222222,0.1334,0.0963555556,0.0963555556
1013989409,SALAMATIN,MARIA,D,MD,F,I,3003 HIGHWAY 95,SUITE 101,BULLHEAD CITY,AZ,864427802,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,117.85714286,33,25.87,25.87
1013989441,SAETRE,SIV,B,M.D.,F,I,1230 E RUSHOLME ST,STE 203,DAVENPORT,IA,528032400,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,94,95,95,89.716105263,64.674842105,47.989894737,49.695894737
1013989441,SAETRE,SIV,B,M.D.,F,I,1230 E RUSHOLME ST,STE 203,DAVENPORT,IA,528032400,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,17,63.529411765,51.24,40.17,42.997058824
1013989441,SAETRE,SIV,B,M.D.,F,I,1230 E RUSHOLME ST,STE 203,DAVENPORT,IA,528032400,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,41,57.512195122,48.345609756,37.902439024,41.996829268
1013989441,SAETRE,SIV,B,M.D.,F,I,1230 E RUSHOLME ST,STE 203,DAVENPORT,IA,528032400,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,39,73.717948718,64.03,46.924358974,51.158461538
1013989441,SAETRE,SIV,B,M.D.,F,I,1230 E RUSHOLME ST,STE 203,DAVENPORT,IA,528032400,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,51,52,92,70.108695652,62.384782609,46.938913043,51.081847826
1013989441,SAETRE,SIV,B,M.D.,F,I,1230 E RUSHOLME ST,STE 203,DAVENPORT,IA,528032400,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,36,72,14.930555556,14.930555556,11.705555556,13.615138889
1013989524,ORALLO,BALTAZAR,H,MD,M,I,11236 BAPTIST HEALTH DR STE 220,,JACKSONVILLE,FL,322182988,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,30,77,227,51.038414097,8.32,5.8248898678,5.8248898678
1013989524,ORALLO,BALTAZAR,H,MD,M,I,11236 BAPTIST HEALTH DR STE 220,,JACKSONVILLE,FL,322182988,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,27,27,12.908888889,3.38,2.65,2.65
1013989524,ORALLO,BALTAZAR,H,MD,M,I,11236 BAPTIST HEALTH DR STE 220,,JACKSONVILLE,FL,322182988,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,19,19,16.228421053,2.12,1.67,1.67
1013989524,ORALLO,BALTAZAR,H,MD,M,I,11236 BAPTIST HEALTH DR STE 220,,JACKSONVILLE,FL,322182988,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,34,60,10.760833333,1.42,1.0591666667,1.0591666667
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,42,139,68.183956835,8.32,6.0298561151,6.0298561151
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,23,44,14.7175,1.42,1.0384090909,1.0384090909
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,528.298,66.754,52.336,54.73
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,525,37.64,29.51,29.51
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,45,5130,4.7469220273,0.5702631579,0.4094152047,0.4094093567
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,40,4260,3.9022159624,1.3127887324,1.0030821596,1.0030821596
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,37,24,24,17.294054054,17.294054054
1013989540,PAUKERT,THOMAS,T,M.D.,M,I,3443 VILLA LN,SUITE 6,NAPA,CA,945586417,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,56,58,16,16,12.324137931,12.324137931
1013989581,JANICIJEVIC,NENAD,B,M.D.,M,I,1691 WASHINGTON RD,,MT LEBANON,PA,152281643,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,17.1,17.1,12.704210526,12.836315789
1013989581,JANICIJEVIC,NENAD,B,M.D.,M,I,1691 WASHINGTON RD,,MT LEBANON,PA,152281643,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.52,3.2475,2.535
1013989581,JANICIJEVIC,NENAD,B,M.D.,M,I,1691 WASHINGTON RD,,MT LEBANON,PA,152281643,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,128.29268293,77.5,57.796097561,52.207317073
1013989623,WAGNER,DEBRA,A,MD,F,I,727 SE MAIN ST,SUITE 300,SIMPSONVILLE,SC,296813247,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,19,67,60.63880597,8.32,6.522238806,6.522238806
1013989623,WAGNER,DEBRA,A,MD,F,I,727 SE MAIN ST,SUITE 300,SIMPSONVILLE,SC,296813247,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,21,14.352380952,1.42,1.0628571429,1.0628571429
1013989623,WAGNER,DEBRA,A,MD,F,I,727 SE MAIN ST,SUITE 300,SIMPSONVILLE,SC,296813247,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,16,536.9875,115.1525,86.805,61.434375
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,80,249,57.289277108,8.3026506024,6.0371084337,6.0507228916
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,22,22,14.861818182,3.38,2.65,2.65
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,39,70,16.132857143,1.42,1.1148571429,1.1148571429
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,28,12.632142857,10.93,8.5696428571,8.5696428571
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.25,7.46,5.85,5.85
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,75,40.617333333,15.12,10.9064,10.9432
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,137.61076923,54.47,42.71,42.848461538
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,45.897692308,11.54,9.05,9.1092307692
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,84,7.0169047619,2.01,1.5766666667,1.590952381
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,301.18181818,52.295454545,40.999090909,40.075454545
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60.804545455,22.253636364,16.089090909,12.847272727
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,45,45,31.089111111,5.2,2.822,2.82
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,220.62913043,84.900869565,64.617391304,54.599565217
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2159,1.1221676702,0.1338953219,0.0999444187,0.0999444187
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0431538462,2.3486923077,2.3486923077
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,42.21,22.354,17.526,13.972
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,46.8,37.44,29.35,29.456666667
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,124.34181818,97.488181818,95.99
1013989698,MURPHY,TERENCE,J,MD,M,I,2770 CAPITAL MEDICAL BLVD,SUITE 200,TALLAHASSEE,FL,323088417,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,96,33,25.87,25.87
1013989789,UCCIFERRI,MARCO,,DPM,M,I,102 S MAIN ST,,MANVILLE,NJ,088351804,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,86,110,71.56,54.805116279,54.795581395
1013989789,UCCIFERRI,MARCO,,DPM,M,I,102 S MAIN ST,,MANVILLE,NJ,088351804,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,256,65,43.56,33.969921875,33.966679687
1013989789,UCCIFERRI,MARCO,,DPM,M,I,102 S MAIN ST,,MANVILLE,NJ,088351804,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,43,51,94,94,73.198823529,63.017254902
1013989789,UCCIFERRI,MARCO,,DPM,M,I,102 S MAIN ST,,MANVILLE,NJ,088351804,US,Podiatry,S,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,22,25,100,100,75.852,180.9324
1013989789,UCCIFERRI,MARCO,,DPM,M,I,102 S MAIN ST,,MANVILLE,NJ,088351804,US,Podiatry,S,L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,22,44,201.13636364,165.09,129.43,131.50136364
1013989797,NIEDER,STACEY,R,MD,F,I,3801 UNIVERSITY LAKE DR STE 301,,ANCHORAGE,AK,995084658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,58,89.402586207,8.32,4.0953448276,4.0953448276
1013989847,PALMERTON,TODD,,MD,M,I,6415 PETERS CREEK RD,,ROANOKE,VA,240194021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,30,72,222,62.504594595,8.32,5.7332882883,5.7332882883
1013989847,PALMERTON,TODD,,MD,M,I,6415 PETERS CREEK RD,,ROANOKE,VA,240194021,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,35,55,16.044909091,1.42,1.0552727273,1.0552727273
1013989847,PALMERTON,TODD,,MD,M,I,6415 PETERS CREEK RD,,ROANOKE,VA,240194021,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,41,11.890243902,2.01,1.2902439024,1.3046341463
1013989847,PALMERTON,TODD,,MD,M,I,6415 PETERS CREEK RD,,ROANOKE,VA,240194021,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,16,86.31,17.29,13.14125,13.12125
1013989847,PALMERTON,TODD,,MD,M,I,6415 PETERS CREEK RD,,ROANOKE,VA,240194021,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,14.6625,9.3383333333,7.3258333333,7.8958333333
1013989847,PALMERTON,TODD,,MD,M,I,6415 PETERS CREEK RD,,ROANOKE,VA,240194021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,41,518.42439024,70.23,53.717073171,53.40195122
1013989847,PALMERTON,TODD,,MD,M,I,6415 PETERS CREEK RD,,ROANOKE,VA,240194021,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1057.6158333,136.77666667,104.12,102.5825
1013989995,CALLAHAN,BARRY,S,MD,M,I,305 PAUL W BRYANT DR E,,TUSCALOOSA,AL,354012055,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,24,360,296.63,224.79083333,246.44166667
1013989995,CALLAHAN,BARRY,S,MD,M,I,305 PAUL W BRYANT DR E,,TUSCALOOSA,AL,354012055,US,Physician/Orthopedic Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,440,374.64,289.130625,300.895625
1013989995,CALLAHAN,BARRY,S,MD,M,I,305 PAUL W BRYANT DR E,,TUSCALOOSA,AL,354012055,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,68,74,80,92.775,53.2,37.361625,41.805125
1013989995,CALLAHAN,BARRY,S,MD,M,I,305 PAUL W BRYANT DR E,,TUSCALOOSA,AL,354012055,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,21,23,290,240.54,175.12956522,172.99652174
1013989995,CALLAHAN,BARRY,S,MD,M,I,305 PAUL W BRYANT DR E,,TUSCALOOSA,AL,354012055,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,29,32,124.0625,77.25,58.775625,65.5053125
1013989995,CALLAHAN,BARRY,S,MD,M,I,305 PAUL W BRYANT DR E,,TUSCALOOSA,AL,354012055,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,14,230,189.49,138.31142857,136.54142857
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,53,131,71.082061069,8.32,5.9240458015,5.9240458015
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,26,12.581923077,1.42,1.0730769231,1.0730769231
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,27,79.023333333,17.222222222,12.995185185,13.030740741
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,50.73,3.8808510638,2.84,3.4276595745
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,69,467.92,76.738405797,58.424637681,53.174057971
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,132.44740741,38.684444444,29.224444444,28.476296296
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,5499,0.2529059829,0.0457246772,0.0311056556,0.0311056556
1013990050,BUTLIN,JANE,G,MD,F,I,1 PEARL ST,SUITE 2200,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,92.4,33,23.283,23.283
1013990233,ZOLLETT,SCOTT,L,MD,M,I,200 MEDICAL CENTER DR,SUITE 490,MIDDLETOWN,OH,450055182,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,343,3.5650145773,3,2.3521282799,2.3678425656
1013990233,ZOLLETT,SCOTT,L,MD,M,I,200 MEDICAL CENTER DR,SUITE 490,MIDDLETOWN,OH,450055182,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5989,0.7704959092,0.66,0.5023843713,0.5023843713
1013990233,ZOLLETT,SCOTT,L,MD,M,I,200 MEDICAL CENTER DR,SUITE 490,MIDDLETOWN,OH,450055182,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,52.793076923,17.36,13.61,13.556153846
1013990233,ZOLLETT,SCOTT,L,MD,M,I,200 MEDICAL CENTER DR,SUITE 490,MIDDLETOWN,OH,450055182,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,530.24,79,61.94,55.63125
1013990241,KNOTTS,SHERRY,L,O.D.,F,I,216 LINCOLN ST,,GRAFTON,WV,263541442,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,24,61.875,56.39,34.969166667,34.64125
1013990332,LLERA,WALLACE,,M.D.,M,I,401-55 W ALLEGHENY AVE,,PHILADELPHIA,PA,191333644,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,70,36.983714286,8.32,5.2172857143,5.2172857143
1013990332,LLERA,WALLACE,,M.D.,M,I,401-55 W ALLEGHENY AVE,,PHILADELPHIA,PA,191333644,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,25,34,14.792058824,1.42,0.8858823529,0.8858823529
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,57,58,68.827586207,68.827586207,49.864482759,58.572758621
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,11,13,628.43153846,503.02,394.36846154,434.81923077
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,24,24,25,825.814,678.41,522.7468,553.3976
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,17,54.162352941,52.957647059,41.518823529,42.451176471
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,27,28,32,141.9328125,134.67125,105.5821875,99.141875
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,41,42,48,128.76458333,101.79625,79.491666667,69.193541667
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,21,22,20.363636364,20.363636364,15.963181818,30.883636364
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,40,323.05,266.0535,202.82225,212.1815
1013990373,HOUGHTON,MICHAEL,J,MD,M,I,2500 E PROSPECT RD,,FORT COLLINS,CO,805259718,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,79,79,79,243.41772152,155.49873418,119.33443038,117.28443038
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,57,178,475,53.783115789,8.32,5.8639578947,5.8639578947
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,11.794444444,3.38,2.3555555556,2.3555555556
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,25,55,99,11.115959596,1.42,1.0462626263,1.0462626263
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,29,124.52965517,32.2,24.12862069,24.772413793
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,74.221818182,12.349090909,9.6781818182,9.12
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,84,10.572142857,2,1.5683333333,1.5916666667
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,37,44,223.51954545,47.676818182,31.750909091,32.028863636
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,329.39282051,75.56,51.811025641,47.866923077
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,14,146.25,19.357142857,15.176428571,14.106428571
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,55,55,134.85309091,31.723272727,22.773090909,19.603090909
1013990431,GOYCO,OTTO,,,M,I,900 SANDERS RD,SUITE B,CUMMING,GA,300415960,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,17,17,79.588235294,33,22.826470588,22.826470588
1013990506,SISTASIS,ROWENA,M,M.D.,F,I,147 E ACADEMY ST,,ASHEBORO,NC,272035706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,58,84.148793103,8.32,6.0724137931,6.0724137931
1013990522,MURPHY,ELIZABETH,A,M.D.,F,I,55 LAKE AVE N,DEPARTMENT OF PRIMARY CARE,WORCESTER,MA,016550002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,39,72.658974359,8.32,5.5184615385,5.5184615385
1013990548,HARTLEY,BARBARA,H,M.D.,F,I,860 W 4TH ST,,BENSON,AZ,856026437,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,62,96.918548387,17.27,13.321612903,13.321612903
1013990548,HARTLEY,BARBARA,H,M.D.,F,I,860 W 4TH ST,,BENSON,AZ,856026437,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,49.663953488,4.711627907,3.1720930233,3.1237209302
1013990548,HARTLEY,BARBARA,H,M.D.,F,I,860 W 4TH ST,,BENSON,AZ,856026437,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,56,71,479.11225352,68.78,52.376760563,53.044507042
1013990597,ZHANG,YUFEI,,MD,F,I,10024 SE 32ND AVE,,MILWAUKIE,OR,972226514,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,55,70.426909091,8.32,6.2850909091,6.2850909091
1013990654,MALAGON,JOSE,J,MD,M,I,102 S CHARLES G SEIVERS BLVD,,CLINTON,TN,377163916,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,48,155,55.256258065,8.32,5.0151612903,5.0151612903
1013990654,MALAGON,JOSE,J,MD,M,I,102 S CHARLES G SEIVERS BLVD,,CLINTON,TN,377163916,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,39,17.235641026,1.42,0.9723076923,0.9723076923
1013990654,MALAGON,JOSE,J,MD,M,I,102 S CHARLES G SEIVERS BLVD,,CLINTON,TN,377163916,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,2.5,1.73,1.289912037,1.532912037
1013990654,MALAGON,JOSE,J,MD,M,I,102 S CHARLES G SEIVERS BLVD,,CLINTON,TN,377163916,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,25,75.4892,18.68,13.2268,12.5168
1013990654,MALAGON,JOSE,J,MD,M,I,102 S CHARLES G SEIVERS BLVD,,CLINTON,TN,377163916,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,30,461.842,87,63.434666667,55.796
1013990654,MALAGON,JOSE,J,MD,M,I,102 S CHARLES G SEIVERS BLVD,,CLINTON,TN,377163916,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,17,228.82352941,40,31.36,30.054117647
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,46,88,279,66.01483871,8.32,6.1246953405,6.1246953405
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.676666667,3.38,2.65,2.65
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,20,31,45,12.294888889,1.42,1.0166666667,1.0166666667
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,109,47.468348624,18.448715596,13.521376147,13.622568807
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,14,32,32,134.976875,54.32,41.2590625,41.5140625
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,20,20,44.9935,18.717,14.676,14.125
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,27,27,34.914074074,12.048518519,8.4340740741,8.1877777778
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,35,206,5.1567961165,2.2630097087,1.6637378641,1.4994660194
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,13.95125,5.920625,4.359375,4.366875
1013990720,STERN,KATHLEEN,W,M.D.,F,I,610 9TH AVE,,BRUNSWICK,MD,217161828,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,201.69363636,33.82,24.074090909,24.414545455
1013990787,HAWTHORNE,MARY,R,M.D.,F,I,291 LINCOLN ST,SUITE 203,WORCESTER,MA,016053643,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,25,59,207,73.990338164,8.32,6.2592270531,6.2592270531
1013990787,HAWTHORNE,MARY,R,M.D.,F,I,291 LINCOLN ST,SUITE 203,WORCESTER,MA,016053643,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,12,26,38,11.982631579,1.42,0.9681578947,0.9681578947
1013990787,HAWTHORNE,MARY,R,M.D.,F,I,291 LINCOLN ST,SUITE 203,WORCESTER,MA,016053643,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,50.73,4.1188888889,3.2233333333,3.8038888889
1013990811,HANSON,ERIC,,MD,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203305,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,143.57142857,43.397857143,34.019285714,36.46
1013990811,HANSON,ERIC,,MD,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203305,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,154,161,3062,25,22.45634226,17.605630307,19.403938602
1013990811,HANSON,ERIC,,MD,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203305,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,22,23,2338,849.98,660.14217391,670.96043478
1013990811,HANSON,ERIC,,MD,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203305,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,24,192,70.94,55.62,46.726666667
1013990811,HANSON,ERIC,,MD,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203305,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,2351,870.2,682.24,582.74375
1013990837,WHITMAN,LAURA,M,MD,F,I,789 HOWARD AVE,YNHH - PRIMARY CARE CENTER,NEW HAVEN,CT,065191304,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.29,5.52,3.8725,3.1925
1013990837,WHITMAN,LAURA,M,MD,F,I,789 HOWARD AVE,YNHH - PRIMARY CARE CENTER,NEW HAVEN,CT,065191304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,20,308.065,75.43,58.5415,56.3365
1013990845,LEIPHEIMER,LORI,L,CRNP,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,44505,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,43.11,26.424166667,30.414166667
1013990845,LEIPHEIMER,LORI,L,CRNP,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,44505,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,11.776363636,3.6936363636,4.0318181818
1013990845,LEIPHEIMER,LORI,L,CRNP,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,44505,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,257.82,28.16,12.892857143,14.307142857
1013991082,GHOSH,CHIRANTAN,,MD,M,I,1951 51ST ST NE,,CEDAR RAPIDS,IA,524022460,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,30,104,37.38,29.303666667,29.303666667
1013991082,GHOSH,CHIRANTAN,,MD,M,I,1951 51ST ST NE,,CEDAR RAPIDS,IA,524022460,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,19,206,10.023883495,1.7683980583,1.3863592233,1.3863592233
1013991165,BENNETT,DONALD,W,OD MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,25,89,90,90,79.399555556,71.908444444,52.773888889,49.876555556
1013991165,BENNETT,DONALD,W,OD MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,20,36.57,36.57,27.3175,30.176
1013991165,BENNETT,DONALD,W,OD MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,24,24,44,48.139090909,47.528636364,37.264545455,40.989772727
1013991165,BENNETT,DONALD,W,OD MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,24,24,43,52.453488372,44.926511628,35.223488372,41.736511628
1013991165,BENNETT,DONALD,W,OD MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,18,18,33,72.867272727,64.662727273,47.54,50.987575758
1013991165,BENNETT,DONALD,W,OD MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,21,21,39,65.643076923,64.268717949,50.387435897,53.789230769
1013991314,RAND,JOSEPH,,MD,M,I,1921 WALDEMERE ST STE 512,,SARASOTA,FL,342392941,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,37,108,76.401851852,8.32,6.0397222222,6.0397222222
1013991314,RAND,JOSEPH,,MD,M,I,1921 WALDEMERE ST STE 512,,SARASOTA,FL,342392941,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,13,30,19.630666667,1.42,1.076,1.076
1013991488,GAYEN,TAPAN,K,"MD, FACP",M,I,2100 STANTONSBURG RD,PITT COUNTY MEMORIAL HOSPITAL,GREENVILLE,NC,278342818,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,211.85333333,52.229444444,35.634444444,33.302222222
1013991488,GAYEN,TAPAN,K,"MD, FACP",M,I,2100 STANTONSBURG RD,PITT COUNTY MEMORIAL HOSPITAL,GREENVILLE,NC,278342818,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,7.3209090909,5.1263636364,3.0709090909
1013991488,GAYEN,TAPAN,K,"MD, FACP",M,I,2100 STANTONSBURG RD,PITT COUNTY MEMORIAL HOSPITAL,GREENVILLE,NC,278342818,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,460.22727273,92.553636364,70.304090909,57.99
1013991488,GAYEN,TAPAN,K,"MD, FACP",M,I,2100 STANTONSBURG RD,PITT COUNTY MEMORIAL HOSPITAL,GREENVILLE,NC,278342818,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,100,42.596470588,33.396470588,29.934705882
1013991488,GAYEN,TAPAN,K,"MD, FACP",M,I,2100 STANTONSBURG RD,PITT COUNTY MEMORIAL HOSPITAL,GREENVILLE,NC,278342818,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,125.9,22.625,16.074,12.5025
1013991488,GAYEN,TAPAN,K,"MD, FACP",M,I,2100 STANTONSBURG RD,PITT COUNTY MEMORIAL HOSPITAL,GREENVILLE,NC,278342818,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,8.2109090909,5.1136363636,5.04
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,31,104,240,47.74,8.32,5.2721666667,5.2721666667
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.021818182,3.38,1.9272727273,1.9272727273
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,17,35,46,9.8973913043,1.42,0.8452173913,0.8452173913
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,1101,2.27,1.92,1.5053042688,1.589137148
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,193.83384615,70.589230769,44.725384615,32.969230769
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,56.289090909,24.157272727,17.518181818,12.781818182
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,64.016363636,16.526363636,12.037272727,8.2909090909
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,66,8.1981818182,2.8018181818,2.1971212121,1.6103030303
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,269,5.69,4.2198884758,3.3084758364,2.3673605948
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5414,0.5037606206,0.409152198,0.3207979313,0.2430624307
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,285,130.17666667,102.0575,84.2125
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,36,169.67611111,46.651388889,35.615,23.686666667
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,270.87272727,93.711363636,73.470454545,56.8
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,4225,0.1609538462,0.045304142,0.0341727811,0.0341727811
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,65.743529412,43.768235294,34.316764706,30.032941176
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,165.67909091,129.88636364,95.99
1013991538,GARLAPATI,KRISHNAIAH,C,M.D.,M,I,455 W MARKET ST,,TIFFIN,OH,448832670,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,25.87,25.87
1013991553,HADDOCK,DIANE,,M.D.,F,I,4150 V ST,#3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,14,52,70.724615385,8.32,5.2678846154,5.2678846154
1013991611,SIEGFRIED,JILL,,M.D.,F,I,2750 BROADWAY ST,,BOULDER,CO,803043573,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,60.8375,19.6675,13.0775,12.785833333
1013991611,SIEGFRIED,JILL,,M.D.,F,I,2750 BROADWAY ST,,BOULDER,CO,803043573,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,353.925,75.259375,57.225,56.76125
1013991645,GLASS,BURTON,J,MD,M,I,888 OLD COUNTRY RD,,PLAINVIEW,NY,118034914,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,680,0.1695,0.12,0.094,0.094
1013991645,GLASS,BURTON,J,MD,M,I,888 OLD COUNTRY RD,,PLAINVIEW,NY,118034914,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,17,17,2930,0.195,0.13,0.1019078498,0.1019078498
1013991645,GLASS,BURTON,J,MD,M,I,888 OLD COUNTRY RD,,PLAINVIEW,NY,118034914,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,18,2580,0.6775,0.45,0.3528178295,0.3528178295
1013991645,GLASS,BURTON,J,MD,M,I,888 OLD COUNTRY RD,,PLAINVIEW,NY,118034914,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,11,135,27.42,24.38,19.114,19.190444444
1013991645,GLASS,BURTON,J,MD,M,I,888 OLD COUNTRY RD,,PLAINVIEW,NY,118034914,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,85,8.75,7.68,6.0212941176,6.3809411765
1013991645,GLASS,BURTON,J,MD,M,I,888 OLD COUNTRY RD,,PLAINVIEW,NY,118034914,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,18,21,208.33285714,149.56761905,117.26047619,123.88952381
1013991645,GLASS,BURTON,J,MD,M,I,888 OLD COUNTRY RD,,PLAINVIEW,NY,118034914,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1716.46,629.6525,493.6425,480.26166667
1013991678,WITTA,SAMIR,E,MD PHD,M,I,400 INDIANA ST,SUITE 270,GOLDEN,CO,804015027,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,400.16,78.49,58.111666667,52.067222222
1013991678,WITTA,SAMIR,E,MD PHD,M,I,400 INDIANA ST,SUITE 270,GOLDEN,CO,804015027,US,Physician/Hematology-Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,38.76,30.39,29.51
1013991678,WITTA,SAMIR,E,MD PHD,M,I,400 INDIANA ST,SUITE 270,GOLDEN,CO,804015027,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,57,3100,46.259425806,5.1230225806,3.9891419355,3.9891419355
1013991678,WITTA,SAMIR,E,MD PHD,M,I,400 INDIANA ST,SUITE 270,GOLDEN,CO,804015027,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,48,48,24,24,18.82,18.82
1013991694,WEBSTER,TRACY,C,FNP,F,I,123 N MAIN ST,,LONE,TX,756682223,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,46,179,50.582960894,8.32,6.0040782123,6.0040782123
1013991694,WEBSTER,TRACY,C,FNP,F,I,123 N MAIN ST,,LONE,TX,756682223,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,26,26,15.769230769,3.38,2.4461538462,2.4461538462
1013991694,WEBSTER,TRACY,C,FNP,F,I,123 N MAIN ST,,LONE,TX,756682223,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,24.569333333,2.12,1.4473333333,1.4473333333
1013991694,WEBSTER,TRACY,C,FNP,F,I,123 N MAIN ST,,LONE,TX,756682223,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,34,76,16.378815789,1.42,1.0546052632,1.0546052632
1013991694,WEBSTER,TRACY,C,FNP,F,I,123 N MAIN ST,,LONE,TX,756682223,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,296,106.38666667,81.417666667,54.255666667
1013991736,FRANK,STEPHEN,J,MD,M,I,34 VAN GORDAN ST,STE 160,LAKEWOOD,CO,80228,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,48.177692308,17.91,12.96,12.498461538
1013991736,FRANK,STEPHEN,J,MD,M,I,34 VAN GORDAN ST,STE 160,LAKEWOOD,CO,80228,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,288.50142857,70.48,47.357142857,46.902857143
1013991892,BASSETT,TIMOTHY,D,MD,M,I,1781 COMMONS NORTH LOOP,,TUSCALOOSA,AL,354063577,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,39,39,39,4995,4378.96,3433.11,3433.11
1013991892,BASSETT,TIMOTHY,D,MD,M,I,1781 COMMONS NORTH LOOP,,TUSCALOOSA,AL,354063577,US,Physician/Orthopedic Surgery,S,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,476.12,401.13,314.48,310.89818182
1013991942,RICH,DIANE,E,MD,F,I,332 HANOVER STREET NHC,NORTH END COMMUNITY HEALTH CENTER,BOSTON,MA,021131901,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,42,57.018095238,8.32,3.9445238095,3.9445238095
1013991942,RICH,DIANE,E,MD,F,I,332 HANOVER STREET NHC,NORTH END COMMUNITY HEALTH CENTER,BOSTON,MA,021131901,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,20,16.166,1.42,0.669,0.669
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,28,76,63.292105263,8.32,6.2644736842,6.2644736842
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,16.334545455,1.42,1.0627272727,1.0627272727
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,20,94,87.468191489,19.29287234,14.384787234,13.808510638
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,28,28,248.76214286,57.384285714,41.933571429,39.798571429
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,27,27,72.203333333,19.068148148,13.92962963,13.03037037
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,29,29,67.11862069,13.475517241,10.257931034,8.8037931034
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,20,34,164,11.164146341,2.2195121951,1.6022560976,1.4566463415
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,44.638695652,18.312173913,13.763913043,12.95
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,4.5690909091,3.5772727273,3.6854545455
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,152.06181818,32.520909091,22.838863636,22.844545455
1013992015,NEFF,JAMES,M,M.D.,M,I,7121 S PADRE ISLAND DR,,CORPUS CHRISTI,TX,784124940,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,234.726,76.452,59.9364,54.6924
1013992197,TOCCHI,LEE,P,M.D.,M,I,435 DEL NORTE AVE,,YUBA CITY,CA,959914113,US,Physician/Orthopedic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,75,17.09,12.181818182,12.316363636
1013992197,TOCCHI,LEE,P,M.D.,M,I,435 DEL NORTE AVE,,YUBA CITY,CA,959914113,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,350,65.7,46.827272727,50.120909091
1013992403,FIGUEROA ROBLES,JOSE,M,M.D.,M,I,55 CALLE MANUEL CORCHADO,,CAYEY,PR,007363840,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,146.20071429,73.674285714,51.352857143,40.957857143
1013992403,FIGUEROA ROBLES,JOSE,M,M.D.,M,I,55 CALLE MANUEL CORCHADO,,CAYEY,PR,007363840,US,Physician/General Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1650,10.37809697,0.559230303,0.4384484848,0.4384484848
1013992403,FIGUEROA ROBLES,JOSE,M,M.D.,M,I,55 CALLE MANUEL CORCHADO,,CAYEY,PR,007363840,US,Physician/General Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,24,16,16,12.54,12.54
1013992429,WELCOME,AMY,Z,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,57,187,74.985828877,8.32,5.9134224599,5.9134224599
1013992429,WELCOME,AMY,Z,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,25,29,15.486206897,1.42,1.0013793103,1.0013793103
1013992429,WELCOME,AMY,Z,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,19,19,164.21684211,51.8,36.345789474,38.387368421
1013992429,WELCOME,AMY,Z,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,53.953846154,17.944615385,11.900769231,11.897692308
1013992429,WELCOME,AMY,Z,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,20,108,7.7081481481,1.8751851852,1.3890740741,1.4946296296
1013992429,WELCOME,AMY,Z,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,205.24285714,33.140952381,24.58952381,25.994761905
1013992429,WELCOME,AMY,Z,MD,F,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,251.57818182,71,50.6,49.754545455
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,26,93,228,74.444912281,8.32,5.4065350877,5.4065350877
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,29,52,14.257307692,1.42,0.9434615385,0.9434615385
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,8.985,1.9578571429,1.5342857143,1.2
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,15,90,84.148666667,19.338666667,13.423,10.890888889
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,347.65083333,72.509166667,53.213333333,43.556666667
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,113.19363636,20.311818182,13.147272727,8.7372727273
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,78,15.161538462,2.7746153846,1.8682051282,1.4037179487
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,79,83,86.31,22.322048193,15.813493976,12.358433735
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,45.584,6.5875,4.6185,3.285
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,13,83,86,519.51,103.05651163,75.954651163,53.475581395
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,3049,0.2035454247,0.0463397835,0.03361102,0.03361102
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,2565,1.3039064327,0.1373450292,0.0979337232,0.0979337232
1013992445,MCCONNELL,DAVID,H,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,57,57,113.00877193,33,23.727719298,23.727719298
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,61,165,432,67.5275,8.32,5.0897222222,5.0897222222
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,30,62,79,16.252151899,1.42,1.0040506329,1.0040506329
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,29.644285714,29.644285714,21.599285714,21.639285714
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,180,6.0022222222,5.11,3.7066666667,4.4224444444
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,46,11.83326087,10.924782609,8.3808695652,8.3856521739
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,35,35,171.03285714,69.994571429,49.091714286,34.771714286
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,82.818965517,22.290689655,16.445517241,12.804482759
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.94,10.219090909,8.0154545455,6.5209090909
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,21,124,124,331.67241935,104.02225806,77.638548387,54.299758065
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,38,93.525789474,29.944210526,22.971578947,16.91
1013992452,TERAN,GUY,,M.D.,M,I,260 HOSPITAL DR,,UKIAH,CA,954824533,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,89,89,82.12752809,45.186404494,33.129101124,27.485842697
1013992528,GUPTA,ROM,M,M.D.,M,I,3227 LONG BEACH RD,,OCEANSIDE,NY,115723651,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,33,74,82.136486486,8.32,6.1709459459,6.1709459459
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,11,15,30,5.2406666667,0.51,0.3466666667,0.3466666667
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,35,108,415,48.990626506,8.32,5.2565060241,5.2565060241
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,18,45,45,14.228888889,3.38,2.0611111111,2.0611111111
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,16,26,26,20.423846154,2.12,1.4130769231,1.4130769231
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,27,71,171,15.166608187,1.42,0.9116959064,0.9116959064
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,145.48533333,50.38,37.250666667,30.835333333
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,24,47,8.0636170213,1.8906382979,1.4008510638,1.0765957447
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,458.36923077,119.68538462,80.973846154,62.576153846
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,248.01076923,74.776923077,51.373076923,38.236153846
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,87.586666667,24.585,17.971666667,13.63
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,81.831818182,17.773636364,12.081818182,7.4427272727
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,25,146,11.110136986,2.8476712329,1.9417123288,1.4597945205
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,141.64666667,67.8525,53.196666667,38.165
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,72,80,96.978625,22.502125,16.595,13.0755
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,141,149,567.22852349,102.0366443,73.916375839,51.635033557
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,35.0825,29.515833333
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1680,15.751541667,9.6213928571,7.4216309524,7.4216309524
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,4118,0.3799417193,0.0464594463,0.0364108791,0.0364108791
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,59,5969,1.672831295,0.134893617,0.0950092143,0.0950092143
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,1440,10.8430625,3.0135833333,2.3626736111,2.3626736111
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,570,3.0058947368,0.2194035088,0.1720175439,0.1720175439
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,85.334666667,30.257333333,22.281,14.271
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,285.6,44.6316,32.3648,27.4408
1013992536,VIGUILLA,ROBERTO,A,M.D.,M,I,135 LAKE ST,,ROSCOMMON,MI,486537658,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,16,90,90,80.3,33,24.263444444,24.263444444
1013992585,KATHAWALA,ZULEKHA,,MD,F,I,2260 E GLENALDEN DR,,GERMANTOWN,TN,381395451,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,71.0875,18.45,14.058333333,13.393888889
1013992585,KATHAWALA,ZULEKHA,,MD,F,I,2260 E GLENALDEN DR,,GERMANTOWN,TN,381395451,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.82,7.1275,3.4366666667,2.2516666667
1013992585,KATHAWALA,ZULEKHA,,MD,F,I,2260 E GLENALDEN DR,,GERMANTOWN,TN,381395451,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,361.77230769,86.84,66.334358974,56.407435897
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,27,42,42,84.467380952,41.549761905,30.730952381,29.005952381
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,10.315916667,7.37,5.778,5.778
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,9.007,1.722,1.2235,1.036
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,63,94,94,306.665,91.115319149,64.117659574,61.493617021
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,34,92,136,119.825,34.273897059,24.868235294,24.263602941
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,19,37,91,74.883296703,18.03,13.047252747,13.407802198
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,17,29,48.276896552,16.626551724,12.624482759,11.862413793
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,49,62,62,180.93048387,55.400967742,39.272741935,38.722419355
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,103,126,126,53.762619048,18.67468254,13.751428571,13.405
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,63,83,83,53.075421687,12.024578313,8.3493975904,8.0477108434
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,77,126,385,7.5308831169,2.1284415584,1.5297402597,1.4743376623
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,20,20,19.351,6.375,4.5725,4.242
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,46,52,52,51.519230769,13.591923077,10.158076923,9.8636538462
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,117.87,53.44,41.480833333,41.480833333
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,123.153,19.499666667,14.136,12.607666667
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,338.1,90.055,65.371875,64.273125
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,937.04272727,225.91181818,177.11545455,171.40454545
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,32,164,164,46.254573171,12.503292683,8.914695122,8.7652439024
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,50.646842105,4.9715789474,3.34,3.2031578947
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,30,187,187,168.41251337,33.735240642,23.921925134,22.40802139
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,130,131,544.52480916,80.105419847,60.380534351,53.350916031
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,206.95,36.14,28.33,29.51
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,7178,0.3948188911,0.0469113959,0.0336542212,0.0336542212
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,68,11294,1.8781069594,0.1357163095,0.1035124845,0.1035124845
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,67,5016,9.9831738437,3.1228528708,2.4211702552,2.4211682616
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,4.2487777778,0.2196,0.1607555556,0.1607555556
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,16,87,87,33,33,24.085862069,24.085862069
1013992643,DETRANA,PHILIP,M,M.D.,M,I,2414 KOHLER MEMORIAL DR,,SHEBOYGAN,WI,530813129,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,12,12,66,66,51.74,51.74
1013992700,KILE,TODD,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,145.52,145.52,114.09,95.08
1013992700,KILE,TODD,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Orthopedic Surgery,S,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,57,49,49,37.071929825,54.503859649
1013992700,KILE,TODD,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,22,109.55318182,106.94090909,79.990909091,67.457727273
1013992700,KILE,TODD,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,38,289.12,286.90342105,215.31368421,209.45710526
1013992734,SANGKHARAT,AMARIN,,,M,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,140,22.67,17.77,16.959166667
1013992734,SANGKHARAT,AMARIN,,,M,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,510,79.3525,62.2125,55.295833333
1013992775,RAWLS,RUSSELL,J,MD,M,I,3715 PRYTANIA ST,#2B,NEW ORLEANS,LA,701153761,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2200,0.44,0.44,0.3449545455,0.3449545455
1013992775,RAWLS,RUSSELL,J,MD,M,I,3715 PRYTANIA ST,#2B,NEW ORLEANS,LA,701153761,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,508,8.28,8.28,6.4916141732,6.4916141732
1013992775,RAWLS,RUSSELL,J,MD,M,I,3715 PRYTANIA ST,#2B,NEW ORLEANS,LA,701153761,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,126,10.93,10.93,8.5688888889,8.5688888889
1013992783,SULENTIC,JON,E,DO,M,I,275 N BREIEL BLVD,,MIDDLETOWN,OH,450423807,US,Physician/Sports Medicine,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,332.8525,302.48833333,237.15083333,259.59666667
1013992783,SULENTIC,JON,E,DO,M,I,275 N BREIEL BLVD,,MIDDLETOWN,OH,450423807,US,Physician/Sports Medicine,S,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,38.250909091,35.756363636,28.030909091,25.862727273
1013992783,SULENTIC,JON,E,DO,M,I,275 N BREIEL BLVD,,MIDDLETOWN,OH,450423807,US,Physician/Sports Medicine,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,246.65454545,246.65454545,189.53090909,215.04181818
1013992817,BANIRIAH,KATAYOUN,,D.O.,F,I,4845 E THUNDERBIRD RD,,SCOTTSDALE,AZ,852543556,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,48,78.515833333,8.32,5.9789583333,5.9789583333
1013992874,JAIN,RAKESH,K,MD,M,I,7101 JAHNKE RD,SUITE 550,RICHMOND,VA,23225,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3691.8181818,2769.8936364,2158.5545455,2158.5545455
1013992940,HAY,MICHAEL,T,MD,M,I,1301 MONTGOMERY RD,,GRAHAM,TX,764504240,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,19,20,274,32.386350365,25.6,20.070510949,20.070510949
1013992940,HAY,MICHAEL,T,MD,M,I,1301 MONTGOMERY RD,,GRAHAM,TX,764504240,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,22,22,67.71,53.2,41.71,46.35
1013992940,HAY,MICHAEL,T,MD,M,I,1301 MONTGOMERY RD,,GRAHAM,TX,764504240,US,Physician/Orthopedic Surgery,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,17,17,388.94,320.95,251.62,265.39882353
1013992957,COHEN,LARRY,W,M.D.,M,I,14425 BUSTLETON AVE,,PHILADELPHIA,PA,191161177,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,79,146,68.663493151,8.32,5.7631506849,5.7631506849
1013992957,COHEN,LARRY,W,M.D.,M,I,14425 BUSTLETON AVE,,PHILADELPHIA,PA,191161177,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,33,36,14.388888889,1.42,1.025,1.025
1013993005,VUKAS,DANIEL,D,M.D.,M,I,7447 W TALCOTT AVE,SUITE 316,CHICAGO,IL,606313745,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,90.414545455,40,29.105454545,28.471818182
1013993005,VUKAS,DANIEL,D,M.D.,M,I,7447 W TALCOTT AVE,SUITE 316,CHICAGO,IL,606313745,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,38,48.536315789,18,14.111315789,14.516842105
1013993005,VUKAS,DANIEL,D,M.D.,M,I,7447 W TALCOTT AVE,SUITE 316,CHICAGO,IL,606313745,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,157.20545455,56,43.9,43.049090909
1013993005,VUKAS,DANIEL,D,M.D.,M,I,7447 W TALCOTT AVE,SUITE 316,CHICAGO,IL,606313745,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,48,7.474375,2,1.56875,1.5879166667
1013993005,VUKAS,DANIEL,D,M.D.,M,I,7447 W TALCOTT AVE,SUITE 316,CHICAGO,IL,606313745,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,145.02933333,35.7,27.992,26.492
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,53,154,47.668701299,8.3012987013,5.1765584416,5.1911688312
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,20,34,10.591764706,1.4117647059,0.945,0.9514705882
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,31,94.274516129,23.986774194,18.321935484,14.064516129
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,94.002777778,58.82,42.293333333,34.009444444
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,120.74590909,7.4927272727,5.0477272727,2.9354545455
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,62,471.28258065,110.51967742,82.408548387,55.304032258
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,226,45.798,34.5936,28.9096
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,3450,0.17,0.0462173913,0.0330318841,0.0330318841
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1890,1.9707513228,0.139031746,0.1075820106,0.1075820106
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,7.3665,3.003,2.1551111111,2.1551111111
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,0.75,0.2190434783,0.1568550725,0.1568550725
1013993039,BONNETTE,RICK,A,D.O.,M,I,307 S BROADWAY,,SALISBURY,MO,652811037,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,91.034482759,33,24.977931034,24.977931034
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,10,65,65,65,216.95276923,50.202153846,39.359230769,36.959846154
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,51.993157895,15.794736842,12.380526316,12.093684211
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,11,58,58,58,245.0412069,55.407241379,42.719827586,40.654482759
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,6,19,55,91,52.841428571,10.259010989,7.8563736264,7.796043956
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,4,,14,17,74.115294118,15.694705882,11.233529412,9.1194117647
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,12,23,52,70,340.60857143,56.129285714,42.316857143,39.068428571
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,32,78.375625,19.6046875,15.3659375,13.90875
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,49,49,30.034285714,5.5510204082,3.6626530612,3.1783673469
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,6,23,23,44,72.83,29.981363636,23.5025,22.731363636
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,56,66,475.66409091,79.041515152,60.300606061,54.966666667
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,12,187.5,37.44,29.35,29.483333333
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,6,11,11,11,97.954545455,38.656363636,30.302727273,29.575454545
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,27,30,141.78333333,23.969,18.316666667,15.125666667
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,12,50,201,222,156.15792793,33.172972973,24.589369369,21.647432432
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,143,56.155,41.215714286,37.004285714
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,7,18,76,88,35.556818182,9.0535227273,6.6031818182,6.3525
1013993047,MOWERY,DEBORAH,T,MD,F,I,6136 PETERS CREEK RD,,ROANOKE,VA,240194028,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,85,37.44,24.170588235,24.337647059
1013993070,SOLLENBERGER,LAURA,B,MD,F,I,NASON DRIVE,,ROARING SPRING,PA,16673,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,55,16.811818182,13.174545455,13.53
1013993070,SOLLENBERGER,LAURA,B,MD,F,I,NASON DRIVE,,ROARING SPRING,PA,16673,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,340.64285714,69.742285714,50.802571429,50.825428571
1013993070,SOLLENBERGER,LAURA,B,MD,F,I,NASON DRIVE,,ROARING SPRING,PA,16673,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,70,38.72,27.324,26.61
1013993112,ROONEY,MICHAEL,J,OD,M,I,1921 4TH ST,,PERU,IL,613543309,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,25,50.07,50.07,36.84,40.4508
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,202.38095238,46.504285714,33.01047619,33.45047619
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,36.874285714,17.1,13.135,13.228571429
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,57,57,365.06631579,77.5,56.042631579,50.647368421
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,221.57894737,36.26,27.356315789,28.378947368
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,22.325,3.003,2.354375,2.354375
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,95,21.713157895,15.613421053,13.788947368
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,28,99.250357143,36.615714286,26.243928571,27.026071429
1013993161,GERGER,ROBERT,H,D.O.,M,I,607 MICHIGAN AVE,,JEANNETTE,PA,156442433,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,70,39.323857143,8.32,5.1248571429,5.1248571429
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,80.942727273,12.17,8.6818181818,8.3381818182
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,95,9.0061052632,2.08,1.5270526316,1.4935789474
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,329,18.024316109,3.1776595745,2.4912158055,2.3676899696
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,18,9103,2.8612303636,0.3548720202,0.2782203669,0.24304515
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,67.017083333,18.632083333,13.43625,12.411666667
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,842.26
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,604.26521739,87.02,68.224782609,66.905652174
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50.73,4.4525,3.2125,3.318125
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,22,182.64545455,31.165454545,24.432272727,24.436818182
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,107,107,454.60028037,72.178504673,53.780934579,51.954205607
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,235.65217391,39.6,31.05,29.576956522
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2187,0.3253269319,0.1349702789,0.1058161866,0.1058161866
1013993187,MCCORMACK,DEBRA,J,MD,F,I,729 E SPAULDING AVE,,PUEBLO WEST,CO,810073512,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,40.615384615,33,23.88,23.88
1013993195,MCPHERSON,SCOTT,A,,M,I,810 E 23RD ST,,SIOUX FALLS,SD,571052135,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,310.875,296.709375,223.651875,247.203125
1013993245,WOHL,RISE-ANN,,MD,F,I,1775 E SKYLINE DR,STE 175,TUCSON,AZ,857181162,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,52.5,44.426153846,34.827692308,39.301538462
1013993245,WOHL,RISE-ANN,,MD,F,I,1775 E SKYLINE DR,STE 175,TUCSON,AZ,857181162,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,42.375,21.153571429,15.755,13.605714286
1013993245,WOHL,RISE-ANN,,MD,F,I,1775 E SKYLINE DR,STE 175,TUCSON,AZ,857181162,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,19.416666667,10.1025,7.3483333333,6.2141666667
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,11,34,498,47.229919679,19.669538153,14.681124498,14.681124498
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,11,34,1021,6.649294809,2.6352987267,1.9747992165,1.9747992165
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,60,116,324,1687,76.057729698,8.32,5.8997688204,5.8997688204
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14.474166667,3.38,1.7666666667,1.7666666667
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,47,92,188,15.919840426,1.42,1.0367553191,1.0367553191
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,55,55,675.34327273,347.66181818,267.89527273,267.89527273
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2040,16.821004902,10.778465686,8.4503186275,8.4503186275
1013993336,KARAS,TIFFANY,A,MD,F,I,302 RANDALL RD,,GENEVA,IL,601344209,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,46,46,259.04586957,251.05065217,196.82347826,196.86978261
1013993393,MECKELBERG,BRIAN,L,OD,M,I,N2577 PLAZA RD,,WAUTOMA,WI,549827706,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,72.390909091,72.390909091,56.754545455,53.184545455
1013993435,CABREROS,FLORA LORNA,,M.D.,F,I,5992 BERRYHILL RD,SUITE 303,MILTON,FL,32570,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,195.83333333,50.866666667,37.593333333,36.915416667
1013993435,CABREROS,FLORA LORNA,,M.D.,F,I,5992 BERRYHILL RD,SUITE 303,MILTON,FL,32570,US,Physician/Internal Medicine,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,143.4375,45.7,33.590625,33.065625
1013993435,CABREROS,FLORA LORNA,,M.D.,F,I,5992 BERRYHILL RD,SUITE 303,MILTON,FL,32570,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,48,48,97.083333333,19.495,13.525625,12.542916667
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,60,163,417,55.659616307,8.32,5.7541486811,5.7541486811
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,20,47,47,12.836170213,3.38,2.3680851064,2.3680851064
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,18,23,23,19.856521739,2.12,1.5247826087,1.5247826087
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,40,89,116,12.598275862,1.42,1.0112068966,1.0112068966
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,26,62,7.2051612903,1.8243548387,1.3920967742,1.1141935484
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,86.51,13.252307692,8.2646153846,6.9784615385
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,324.38181818,86.33,61.25,61.41
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,18,115,33.48,26.245555556,25.915555556
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,37,81.554594595,23.051081081,18.071081081,14.549459459
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,17,17,218.13,58.669411765,44.852352941,41.710588235
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,71.933684211,18.536315789,14.525263158,14.057368421
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,24,24,46.140416667,11.594583333,8.7154166667,8.7441666667
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,30,90,9.4736666667,2.0155555556,1.565,1.5744444444
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,23.425714286,5.91,4.64,4.66
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,1800,0.871,0.38,0.2731055556,0.26655
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,6336,1.3606439394,0.31,0.2323958333,0.2323958333
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,17,430.87470588,48.703529412,38.181176471,37.508235294
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,66.9090625,18.355,13.53875,12.685
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,76,76,49.232631579,5.3625,3.8423684211,3.2305263158
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,168.74130435,32.183478261,24.714130435,24.245217391
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,103,110,513.23372727,77.598363636,58.093363636,52.045454545
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,41,2220,15.58,9.6385675676,7.2622522523,7.2622522523
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,4796,0.2197018349,0.0453190158,0.0332130942,0.0332130942
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,15,81,7169,1.1447440368,0.1337996931,0.0976775003,0.0976775003
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,36,139.50361111,20.22,15.456944444,14.189444444
1013993484,SEEP,MICHAEL,K,M.D.,M,I,2750 ASTER ST,,LAKE CHARLES,LA,706018824,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,21,127,127,123.50314961,33,24.422362205,24.422362205
1013993641,KEMP,WILLIAM,C,M.D.,M,I,1777 ASHLEY CIR,,BOWLING GREEN,KY,421043339,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,32,70,62.822285714,8.32,5.684,5.684
1013993641,KEMP,WILLIAM,C,M.D.,M,I,1777 ASHLEY CIR,,BOWLING GREEN,KY,421043339,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,15,14.736666667,1.42,0.968,0.968
1013993682,FARLEY,TILLMAN,,MD,M,I,1115 2ND ST,,FORT LUPTON,CO,806211745,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,63,47.72015873,8.32,4.1007936508,4.1007936508
1013993682,FARLEY,TILLMAN,,MD,M,I,1115 2ND ST,,FORT LUPTON,CO,806211745,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,64,17.91,14.04,13.54
1013993682,FARLEY,TILLMAN,,MD,M,I,1115 2ND ST,,FORT LUPTON,CO,806211745,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.54,3.555,3.6516666667
1013993682,FARLEY,TILLMAN,,MD,M,I,1115 2ND ST,,FORT LUPTON,CO,806211745,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,410,70.48,51.115,50.585
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,33,83,60.949518072,8.32,5.7356626506,5.7356626506
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,17,11.48,1.42,1.0664705882,1.0664705882
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,235.27692308,56.08,40.877692308,39.819230769
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,12,12,75.539166667,17.9975,13.014166667,12.990833333
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,20,91,11.586813187,2.0826373626,1.5987912088,1.5571428571
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,86.31,17.114444444,12.679444444,12.801111111
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.9183333333,3.05,2.8166666667
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,31,233.86645161,41.516774194,32.553225806,29.272580645
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,40,479.0835,77.379,56.447,51.80825
1013993716,BROWN,JAMES,J,M.D.,M,I,5147 MANCHESTER RD,,AKRON,OH,443193911,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,19,250,35.13,27.54,29.406315789
1013993732,UKE,EROL,,M.D.,M,I,4410 SUNNYSIDE RD,,EDINA,MN,554241102,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,46,7060,2.6554107649,2.04,1.5665509915,1.5665509915
1013993732,UKE,EROL,,M.D.,M,I,4410 SUNNYSIDE RD,,EDINA,MN,554241102,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,960,6.88,6.15,4.6722083333,5.46596875
1013993732,UKE,EROL,,M.D.,M,I,4410 SUNNYSIDE RD,,EDINA,MN,554241102,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,56,2.06,1.8,1.41,1.41
1013993880,CORNISH,WILLIAM,S,MD,M,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,32,88,60.833636364,8.32,5.9293181818,5.9293181818
1013993880,CORNISH,WILLIAM,S,MD,M,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,203.00923077,57.225384615,33.831538462,24.937692308
1013993880,CORNISH,WILLIAM,S,MD,M,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,20,86.31,21.5865,15.4305,12.837
1013993880,CORNISH,WILLIAM,S,MD,M,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,29,519.51,99.694482759,72.183103448,52.29
1013993880,CORNISH,WILLIAM,S,MD,M,I,825 NW HIGHWAY 101,SUITE A,LINCOLN CITY,OR,973673241,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,64.9,26.185454545,20.53,13.496363636
1013993906,KUTELIA,RAJDEN,E,M.D.,M,I,1706 WASHINGTON WAY,,LONGVIEW,WA,986322952,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,368,4.89,3.3069565217,2.5927717391,2.469048913
1013993906,KUTELIA,RAJDEN,E,M.D.,M,I,1706 WASHINGTON WAY,,LONGVIEW,WA,986322952,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,8645,0.672573742,0.3322024291,0.2604465009,0.2512770388
1013993906,KUTELIA,RAJDEN,E,M.D.,M,I,1706 WASHINGTON WAY,,LONGVIEW,WA,986322952,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,220,88.321724138,69.243793103,56.34862069
1013993906,KUTELIA,RAJDEN,E,M.D.,M,I,1706 WASHINGTON WAY,,LONGVIEW,WA,986322952,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,200,42.067,32.9815,29.871
1013993930,SINGH,RIPUDAMANJIT,,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,14,407.5,69.99,54.87,54.74
1013993971,PISCIOTTO,A,J,,M,I,6835 MYRTLE AVE,,GLENDALE,NY,113857234,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.13,3.5975,2.825,3.5958333333
1013994045,BRALLIER,HUGH,W,MD,M,I,221 W LOYALHANNA ST,,LIGONIER,PA,156581125,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,50.482380952,8.32,6.3057142857,6.3057142857
1013994086,LO,SHELLY,,MD,F,I,2160 S 1ST AVE,"LUH - NORTH ENT., RM. 7604",MAYWOOD,IL,601533328,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,24,67,47.380746269,41.17,26.495970149,25.268358209
1013994102,CARTER,KATRINA,,MD,F,I,1600 E CITRUS AVE,,REDLANDS,CA,923744270,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,56,81.2275,8.32,5.8241071429,5.8241071429
1013994136,MILLMAN,LOUIS,,,M,I,8240 GOLDEN VALLEY RD,,GOLDEN VALLEY,MN,554274476,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,27,62,158,79.685126582,8.32,5.4897468354,5.4897468354
1013994136,MILLMAN,LOUIS,,,M,I,8240 GOLDEN VALLEY RD,,GOLDEN VALLEY,MN,554274476,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,17,30,17.513,1.42,1.078,1.078
1013994342,BLANKENSHIP,JOHN,D,DO,M,I,401 LOWELL DR SE STE 14,,HUNTSVILLE,AL,358013738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,40,99,49.558989899,8.32,5.7309090909,5.7309090909
1013994342,BLANKENSHIP,JOHN,D,DO,M,I,401 LOWELL DR SE STE 14,,HUNTSVILLE,AL,358013738,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,24,12.592916667,1.42,0.975,0.975
1013994342,BLANKENSHIP,JOHN,D,DO,M,I,401 LOWELL DR SE STE 14,,HUNTSVILLE,AL,358013738,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,4235,0.483974026,0.0461322314,0.0330342385,0.0330342385
1013994342,BLANKENSHIP,JOHN,D,DO,M,I,401 LOWELL DR SE STE 14,,HUNTSVILLE,AL,358013738,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,39.1875,33,24.253125,24.253125
1013994383,LASKARIS,EVAN,G,MD,M,I,2650 RIDGE AVE,DIVISION OF EMERGENCY MEDICINE,EVANSTON,IL,602011718,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.99,3.7909090909,2.9672727273,3.4727272727
1013994409,BURTON,JAMES,E,M.D.,M,I,10852 WARWICK BOULEVARD,HILTON FAMILY PRACTICE,NEWPORT NEWS,VA,23601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,88,47.393522727,8.32,5.5586363636,5.5586363636
1013994409,BURTON,JAMES,E,M.D.,M,I,10852 WARWICK BOULEVARD,HILTON FAMILY PRACTICE,NEWPORT NEWS,VA,23601,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,14.7725,3.38,2.31875,2.31875
1013994409,BURTON,JAMES,E,M.D.,M,I,10852 WARWICK BOULEVARD,HILTON FAMILY PRACTICE,NEWPORT NEWS,VA,23601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,33,14.611818182,1.42,1.0133333333,1.0133333333
1013994508,WILLIAMS,CYNTHIA,L,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,34,86,74.375813953,8.32,6.0661627907,6.0661627907
1013994508,WILLIAMS,CYNTHIA,L,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,64,63.65046875,16.4665625,11.81265625,10.785
1013994508,WILLIAMS,CYNTHIA,L,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,246.97692308,60.807692308,44.323846154,39.617692308
1013994508,WILLIAMS,CYNTHIA,L,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,67.348571429,13.537857143,9.9721428571,8.4714285714
1013994508,WILLIAMS,CYNTHIA,L,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,102,8.3429411765,2.2070588235,1.6382352941,1.4985294118
1013994508,WILLIAMS,CYNTHIA,L,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,44.235294118,18.664705882,11.880588235,11.852352941
1013994508,WILLIAMS,CYNTHIA,L,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,253.52941176,84.5,52.117058824,48.993529412
1013994532,SHORE,JORI,L,,F,I,1885 PLAZA DR,PARK NICOLLET CLINIC - EAGAN,EAGAN,MN,551222612,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,52,77.461538462,8.32,6.3182692308,6.3182692308
1013994565,HALLEY,JOAN,E,DO,F,I,4700 POINT FOSDICK DR NW,#220,GIG HARBOR,WA,98335,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,72,9.5276388889,2.325,1.6754166667,1.4598611111
1013994565,HALLEY,JOAN,E,DO,F,I,4700 POINT FOSDICK DR NW,#220,GIG HARBOR,WA,98335,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,55.297142857,3.845,2.8085714286,3.4285714286
1013994565,HALLEY,JOAN,E,DO,F,I,4700 POINT FOSDICK DR NW,#220,GIG HARBOR,WA,98335,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,24,24,166.17041667,42.994583333,33.707916667,28.602083333
1013994565,HALLEY,JOAN,E,DO,F,I,4700 POINT FOSDICK DR NW,#220,GIG HARBOR,WA,98335,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,435,77.34,60.63,54.73
1013994565,HALLEY,JOAN,E,DO,F,I,4700 POINT FOSDICK DR NW,#220,GIG HARBOR,WA,98335,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.3,30.81,29.51
1013994599,SACCO,DIANNE,E,MD,F,I,55 FRUIT ST,DEPT OF UROLOGY,BOSTON,MA,021142621,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,5310,3.6232768362,2.0395480226,1.5989962335,1.5993502825
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,59,211,522,64.637528736,8.32,5.6477586207,5.6477586207
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,12.243636364,3.38,2.65,2.65
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,17.263333333,2.12,1.67,1.67
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,33,89,127,12.581181102,1.42,0.9923622047,0.9923622047
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,213.09461538,51.826153846,34.42,36.813076923
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,61.617692308,10.376923077,6.9015384615,7.9623076923
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,65.470909091,17.96,14.08,13.54
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,26.944642857,8.4385714286,6.6153571429,4.7789285714
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,372.80791667,84.836666667,66.515,56.868333333
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4509,0.257349745,0.0472432912,0.0370392548,0.0370392548
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,600,13.3458,3.13475,2.2185666667,2.2185666667
1013994615,LARAMORE,JOHN,W,MD,M,I,605 GLENWOOD DR,SUITE 404,CHATTANOOGA,TN,374041108,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,41.625,33,25.87,25.87
1013994748,HOMA,JOHN,J,D.O.,M,I,110 MAIN ST,,HYANNIS,MA,026013127,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1860,4.5835483871,2.04,1.5221989247,1.5221989247
1013994755,MAHANOR,ELIZABETH,A,MD,F,I,123 SUMMER ST,,WORCESTER,MA,016081312,US,Physician/Vascular Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,1180,0.1468389831,0.12,0.094059322,0.094059322
1013994755,MAHANOR,ELIZABETH,A,MD,F,I,123 SUMMER ST,,WORCESTER,MA,016081312,US,Physician/Vascular Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,357,30.564285714,23.66,18.549355742,18.549355742
1013994755,MAHANOR,ELIZABETH,A,MD,F,I,123 SUMMER ST,,WORCESTER,MA,016081312,US,Physician/Vascular Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1250,0.1656,0.13,0.101944,0.101944
1013994755,MAHANOR,ELIZABETH,A,MD,F,I,123 SUMMER ST,,WORCESTER,MA,016081312,US,Physician/Vascular Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1680,0.5891071429,0.45,0.3528214286,0.3528214286
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,64,86.31,16.66,12.8559375,13.3078125
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,82.403846154,16.894615385,13.244615385,13.539230769
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,54.8,39.38,38.421666667
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,41.52,29.846666667,34.600833333
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,30,31.267666667,3.9023333333,2.6806666667,3.28
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,40,277,287,488.3843554,80.953972125,61.045400697,53.225923345
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,73,79,231.01265823,35.96,27.833164557,29.090506329
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,1860,18.662123656,9.6410645161,7.3404086022,7.3404086022
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,40,7463,0.3029465362,0.0459614096,0.0315878333,0.0315878333
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,1695,10.455622419,3.025280236,2.2871917404,2.2871917404
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,61,61,85,36.267540984,25.658360656,26.582622951
1013994797,RAMASWAMY,MURALI,,MD FAAFP,M,I,520 N ELAM AVE,,GREENSBORO,NC,274031127,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,60,60,89.1,33,24.785166667,24.785166667
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,18,18,156.39888889,40.389444444,29.279444444,28.143333333
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,456.02421053,88,58.096842105,57.249473684
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,42,169.38095238,33.2,23.933095238,23.84
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,64,82.4221875,15.44,10.0165625,9.84390625
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,303.26125,58.976875,43.4525,40.291875
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,21,21,88.711904762,18.639047619,13.267142857,12.723333333
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,85.217272727,12.54,9.0745454545,8.4290909091
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,32,171,11.694502924,2.0444444444,1.5831578947,1.5737426901
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,12,13,13,49.920769231,13.429230769,10.531538462,10.37
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,57,44.69,42.05
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50.09,39.27,37.766666667
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,71.979166667,13.682083333,9.3779166667,9.1758333333
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,233.18545455,33.575454545,23.308787879,21.367878788
1013994813,FAZILI,ALI,A,MD,M,I,324 E 10TH AVE STE 170,,SALT LAKE CITY,UT,84103,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,15,338.40533333,79.568,46.334,42.448666667
1013994821,LORENZ,ELIZABETH,C,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,1995,3.8392781955,0.5224511278,0.4018245614,0.4018245614
1013994821,LORENZ,ELIZABETH,C,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,30,74,261,28128,4.1954977247,0.5541275597,0.412429252,0.419212884
1013994821,LORENZ,ELIZABETH,C,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,29,97,14610,0.1088193018,0.0128644764,0.0099794661,0.0099794661
1013994821,LORENZ,ELIZABETH,C,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,2520,1.7793690476,0.7565,0.581202381,0.581202381
1013994821,LORENZ,ELIZABETH,C,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,23,54,211,25150,2.2131562624,1.135617495,0.8498039761,0.8601161034
1013994821,LORENZ,ELIZABETH,C,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,32,79,215,215,24,24,18.209674419,18.209674419
1013994821,LORENZ,ELIZABETH,C,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,38,95,340,423,16,16,12.214018913,12.214018913
1013994870,BANKA,MICHAEL,,MD,M,I,1223 MERCY DR,,MUSKEGON,MI,494441829,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,36.011578947,8.2857894737,6.4957894737,6.5226315789
1013994870,BANKA,MICHAEL,,MD,M,I,1223 MERCY DR,,MUSKEGON,MI,494441829,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,223.42,96.056666667,63.41,43.502
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,53.519375,22.396875,12.9,9.825
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,87.3,34.5305,27.071,22.62
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L0625,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder stra",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,60,52.17,40.91,41.5916
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,125,117.9,86.268,72.669333333
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,168,143.56,109.3668,99.3164
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,102,70.22,52.162105263,43.465263158
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,17,77,70.94,55.62,46.885882353
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L3931,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,208.76923077,202.69,158.90769231,142.68
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,40.692307692,33.84,26.53,25.29
1013994896,LEE,MICHAEL,,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE #280,WEST HILLS,CA,913071937,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,24,326.04166667,293.17,227.34375,216.38375
1013994979,DO,PAT,D,MD,M,I,1923 N WEBB RD,,WICHITA,KS,672063405,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,33,258.93939394,133.89,92.765757576,77.386969697
1013994979,DO,PAT,D,MD,M,I,1923 N WEBB RD,,WICHITA,KS,672063405,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,143.33333333,54.07,28.26,32.55
1013994995,FAHEY,PATRICK,,MD,M,I,2160 S FIRST AVE,"LUH-NORTH ENT., RM. 7604",MAYWOOD,IL,60153,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,74.944666667,17.524,11.855333333,11.73
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,29,101,46.452673267,8.32,5.3378217822,5.3378217822
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,25,25,13.412,3.38,1.908,1.908
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,22.412727273,2.12,1.5181818182,1.5181818182
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,12,24,45,14.817777778,1.42,0.9653333333,0.9653333333
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,18,39,3.8882051282,1.51,0.7597435897,0.7420512821
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,,13,16,2.47,1.2,0.5875,0.611875
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,46,55.020217391,17.27,12.176956522,12.176956522
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,42,42,24.976190476,4.7195238095,2.6085714286,2.7145238095
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,77,78,351.33487179,68.78,48.624358974,49.371410256
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,4650,0.1851956989,0.0459354839,0.0228645161,0.0228645161
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,36,3809,0.1844368601,0.1333105802,0.0813048044,0.0813048044
1013995026,TORRES,SHERRON,L,APN,F,I,217 EDWARDS,,MERKEL,TX,795363803,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,13,42,42,36.172619048,33,21.431904762,21.431904762
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,41,41,9.5702439024,8.6395121951,6.1063414634,6.143902439
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,35.397692308,28.46,20.593846154,20.593846154
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,34,35,6.7085714286,5.54,3.72,3.72
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,29,15.803793103,13.735862069,9.2772413793,9.3275862069
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,30,30,23.52,28.02
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,22,100,16676,5.3355510914,2.0023326937,1.5212598945,1.5507885584
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,29,96,13070,8.8594108646,6.2293267024,4.8159066565,5.4546732976
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,37,67,12.65238806,10.920447761,7.7947761194,7.8025373134
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,87,8.6812643678,7.2959770115,5.4545977011,5.5848275862
1013995034,GOLDBERG,GARY,S,MD,M,I,1421 PREMIERE DR,MANKATO CLINIC@ WICKERSHAM CAMPUS,MANKATO,MN,560016076,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,116,1.6077586207,1.3663793103,1.040862069,1.385
1013995042,MILLER,JAMES,A,MD,M,I,1575 LOOKOUT DR,,NORTH MANKATO,MN,560032503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,45,125,354,73.593757062,8.3124293785,5.7954237288,5.8013276836
1013995042,MILLER,JAMES,A,MD,M,I,1575 LOOKOUT DR,,NORTH MANKATO,MN,560032503,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,33,43,16.877209302,1.42,0.9874418605,0.9874418605
1013995042,MILLER,JAMES,A,MD,M,I,1575 LOOKOUT DR,,NORTH MANKATO,MN,560032503,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,14.3,7.35,5.76,5.85
1013995042,MILLER,JAMES,A,MD,M,I,1575 LOOKOUT DR,,NORTH MANKATO,MN,560032503,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,116,2.1175,1.8,1.4110344828,1.4110344828
1013995042,MILLER,JAMES,A,MD,M,I,1575 LOOKOUT DR,,NORTH MANKATO,MN,560032503,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,68.543529412,19.395882353,15.206470588,14.966470588
1013995042,MILLER,JAMES,A,MD,M,I,1575 LOOKOUT DR,,NORTH MANKATO,MN,560032503,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,20,417.402,80.284,60.1985,60.0935
1013995059,BITTNER-FAGAN,HEATHER,,MD,F,I,1401 FOULK RD,SUITE 100B,WILMINGTON,DE,198032763,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,89.571428571,33,25.87,25.87
1013995125,JOSEPH,TEJAL,S,M.D.,F,I,102 N. ADELAIDE STREET,,FENTON,MI,484302670,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,63,38.976031746,8.32,6.2119047619,6.2119047619
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,22,58,166,58.65626506,8.32,5.6496385542,5.6496385542
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,27,40,10.26525,1.42,1.033,1.033
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,106.97615385,51.509230769,37.790769231,29.059230769
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,407.28842105,123.76578947,94.392105263,69.611052632
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,75.257857143,27.273571429,21.378571429,15.331428571
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,27,141,11.787943262,3.2280851064,2.4743971631,1.5990070922
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,67.230909091,22.97,16.65030303,13.02969697
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,81.75,18.938571429,14.021428571,11.188571429
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,49,50,213.927,52.3084,40.3236,28.1686
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,353.17,105.36474576,77.677288136,53.538813559
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,52.888333333,41.464166667,31.018333333
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1620,1.3144814815,0.1308148148,0.0633703704,0.0633703704
1013995141,SNIDER,WILLIAM,C,DO,M,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,51.5625,33,16.615625,16.615625
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,143.54,42.843636364,33.588181818,35.25
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,2928.7676596,1074.31,837.01468085,837.01468085
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,12,53,58,385.68965517,77.951551724,59.240172414,53.927068966
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,900,3.5809777778,0.5670666667,0.4445333333,0.4445333333
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1950,0.0799333333,0.0130769231,0.0102615385,0.0102615385
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,1380,6.5715724638,1.2386086957,0.9143478261,0.9215652174
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,77.5232,17.0216,13.3416,15.8848
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,38.050384615,7.7538461538,6.0823076923,7.4853846154
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,63,67,81.905074627,40.577164179,30.38761194,28.507014925
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1013995190,MCLOUGHLIN,JUDITH,,MD,F,I,1366 VICTORY BLVD,,STATEN ISLAND,NY,103013907,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,25,16,16,12.54,12.54
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,33,103,61.74776699,8.32,6.1424271845,6.1424271845
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,26,12.981538462,1.42,1.0292307692,1.0292307692
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,6.2912903226,3.0406451613,2.2129032258,1.5398387097
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,28.146,8.3035,6.2665,3.8105
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,121.46666667,43.671666667,25.042222222,23.562222222
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,580.32533333,97.342666667,64.364,44.12
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1665,0.1573513514,0.0458918919,0.03596997,0.03596997
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,2725,1.7422715596,0.1350091743,0.1018899083,0.1018899083
1013995372,MCCALL,KATHLEEN,K,M.D.,F,I,37 CLINIC RD,,GOULDSBORO,ME,046074013,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,41.25,33,25.87,25.87
1013995398,MA,RICHARD,H,M.D.,M,I,41 MALL RD LAHEY CLINIC,,BURLINGTON,MA,018050001,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1013995398,MA,RICHARD,H,M.D.,M,I,41 MALL RD LAHEY CLINIC,,BURLINGTON,MA,018050001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,593.65461538,78,61.15,56.705384615
1013995448,BRIGHT,WILLIAM,A,M.D.,M,I,1306 W FRANK AVE,,LUFKIN,TX,759043313,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,27,53.147037037,53.147037037,41.667407407,50.658888889
1013995448,BRIGHT,WILLIAM,A,M.D.,M,I,1306 W FRANK AVE,,LUFKIN,TX,759043313,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,45,41.3,41.3,32.378666667,40.463333333
1013995448,BRIGHT,WILLIAM,A,M.D.,M,I,1306 W FRANK AVE,,LUFKIN,TX,759043313,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,7.5,7.5,5.88,13.985
1013995497,NAKHLIS,FAINA,,MD,F,I,1153 CENTRE ST,FAULKNER BREAST CENTRE,BOSTON,MA,021303446,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,23,51,52.590980392,36.209607843,27.577058824,29.738823529
1013995497,NAKHLIS,FAINA,,MD,F,I,1153 CENTRE ST,FAULKNER BREAST CENTRE,BOSTON,MA,021303446,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,11,12,384.86333333,366.8175,264.075,243.8875
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,,23,1110,3.9166216216,2.27,1.5855045045,1.5855045045
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1920,2.035625,1.95,1.51846875,1.5890208333
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,36,21.073333333,10.34,8.1058333333,8.5683333333
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,24,62,12.509032258,7.46,4.7896774194,4.7896774194
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,200.13538462,47.985384615,37.619230769,40.547692308
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,34.29030303,9.4166666667,7.3821212121,8.1063636364
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,215.61538462,48.799230769,35.708076923,37.104230769
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,197.1125,48.301666667,35.1,36.736666667
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1945.4154545,145.53636364,104.32,112.12
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,782.53615385,50.627692308,37.043076923,36.380769231
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,12,12,23,49.043478261,11.24,8.1734782609,8.972173913
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,35.960833333,11.14875,8.7429166667,8.8970833333
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,4,12,12,24,65.53625,17.704166667,12.914583333,13.9825
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,14,14,27,101.51481481,27.375925926,20.134074074,20.936666667
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,13,13,26,304.20269231,48.495384615,38.018461538,39.593076923
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,13,13,13,118.31846154,20.985384615,15.437692308,16.623076923
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,34,41.508235294,9.9,7.7547058824,8.095
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,433.27166667,219.14625,171.805,171.805
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,282.18636364,77.18,55.009090909,50.271818182
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,588.88454545,140.62181818,101.88909091,104.62181818
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,144.36307692,23.364615385,18.319230769,20.983076923
1013995588,ROMMEL,PATRICK,M,DO,M,I,1513 RACE ST,,PHILADELPHIA,PA,191021125,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,36,36,292.16083333,33.447777778,24.268888889,26.599166667
1013995620,PINTO,EDUARDO,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,50.724482759,21.603103448,16.935862069,14.154137931
1013995620,PINTO,EDUARDO,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,113.08,62.197142857,41.374285714,31.147142857
1013995620,PINTO,EDUARDO,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,319.51043478,90.498043478,69.877391304,56.302173913
1013995646,MCCANLESS,CHRISTOPHER,M,MD,M,I,8595 PICARDY AVE,SUITE 400,BATON ROUGE,LA,708093670,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,210.4725,71.218333333,51.021666667,50.207916667
1013995711,FELICIANO,GEORGE WENDELL,M,M.D.,M,I,8040 CLEARVISTA PKWY,SUITE 500,INDIANAPOLIS,IN,462565630,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,395,120.065,94.136666667,96.194444444
1013995711,FELICIANO,GEORGE WENDELL,M,M.D.,M,I,8040 CLEARVISTA PKWY,SUITE 500,INDIANAPOLIS,IN,462565630,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,68.976363636,20.892727273,16.38,15.081818182
1013995794,PATIL,RAHUL,D,M.D.,M,I,1000 W MORENO ST,,PENSACOLA,FL,325012316,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,18,9.7,6,5.7333333333
1013995794,PATIL,RAHUL,D,M.D.,M,I,1000 W MORENO ST,,PENSACOLA,FL,325012316,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,61.612903226,17.29,11.364516129,11.347741935
1013995794,PATIL,RAHUL,D,M.D.,M,I,1000 W MORENO ST,,PENSACOLA,FL,325012316,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,21.808510638,4.4140425532,2.8506382979,2.9157446809
1013995794,PATIL,RAHUL,D,M.D.,M,I,1000 W MORENO ST,,PENSACOLA,FL,325012316,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,355.1875,70.23,46.456875,46.17
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,76,200,50.16485,8.32,6.1912,6.1912
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,10.650526316,3.38,2.65,2.65
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,43,68,15.731470588,1.42,1.115,1.115
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,22,21.610454545,9.2536363636,7.0927272727,8.2890909091
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,240,16.179916667,3.04,2.3834583333,2.3834583333
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,34.86,34.86,27.330333333,27.330333333
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,318,8.28,8.28,6.4916352201,6.4916352201
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,168,10.93,10.93,8.5691666667,8.5691666667
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,60,18.29,18.29,14.338833333,14.338833333
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,109.337,47.6165,35.55,35.07
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,59,59,69.227457627,17.63,13.117288136,12.856779661
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,88,57.89125,39.216875,32.746875
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,53,53,36.767924528,6.518490566,4.8660377358,3.5511320755
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,25.91826087,4.9504347826,3.8813043478,3.95
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,94,94,521.78957447,76.48,57.335425532,53.266276596
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,108.25,36.5,28.62,28.916666667
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1169,1.5357998289,0.1409751925,0.1058768178,0.1058768178
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,43,43,76.348372093,21.37372093,15.653488372,12.919302326
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,168.52818182,27.22,21.34,20.085454545
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,53.36,9.774,7.661,6.364
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,634.23076923,250.19846154,187.85538462,158.29615385
1013995810,DARAMOLA,JOHN,B,MD,M,I,505 N RIDGEWAY DR,SUITE 282,CLEBURNE,TX,760335118,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,33,33,24.253125,24.253125
1013995869,RACELA,JONNA,L,PA-C,F,I,197 ADAMS RD,,WILLIAMSTOWN,MA,012672930,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,33,81.265454545,8.32,5.5381818182,5.5381818182
1013995869,RACELA,JONNA,L,PA-C,F,I,197 ADAMS RD,,WILLIAMSTOWN,MA,012672930,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,42.788181818,26.954545455,21.13,16.181818182
1013995869,RACELA,JONNA,L,PA-C,F,I,197 ADAMS RD,,WILLIAMSTOWN,MA,012672930,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,13,37,6.2389189189,3.1491891892,2.4697297297,1.8740540541
1013995869,RACELA,JONNA,L,PA-C,F,I,197 ADAMS RD,,WILLIAMSTOWN,MA,012672930,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,22,22,155.98227273,60.766363636,45.516363636,29.075909091
1013995893,BHUTANI,SATISH,K,MD,M,I,1416 HOOPER AVE,,TOMS RIVER,NJ,087532979,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,36,89,71.838651685,8.32,6.2280898876,6.2280898876
1013995893,BHUTANI,SATISH,K,MD,M,I,1416 HOOPER AVE,,TOMS RIVER,NJ,087532979,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,13,15,16.498,1.42,1.0426666667,1.0426666667
1013995893,BHUTANI,SATISH,K,MD,M,I,1416 HOOPER AVE,,TOMS RIVER,NJ,087532979,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2009,0.1653061224,0.0460378298,0.0360876058,0.0360876058
1013995893,BHUTANI,SATISH,K,MD,M,I,1416 HOOPER AVE,,TOMS RIVER,NJ,087532979,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,82.5,33,25.87,25.87
1013995919,ALTENA,GLENDA,M,ARNP,F,I,1000 LINCOLN CIR SE,SUITE 100,ORANGE CITY,IA,510411862,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,14,51,75,45.119333333,8.32,5.9149333333,5.9149333333
1013995919,ALTENA,GLENDA,M,ARNP,F,I,1000 LINCOLN CIR SE,SUITE 100,ORANGE CITY,IA,510411862,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,35,19.084230769,14.963076923,10.351153846
1013995919,ALTENA,GLENDA,M,ARNP,F,I,1000 LINCOLN CIR SE,SUITE 100,ORANGE CITY,IA,510411862,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,140,59.231428571,46.435,28.573571429
1013995950,GOLDEN,MARION,R,D.N.P.,F,I,5976 ROUTE 25A,,WADING RIVER,NY,117922001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,52,129,46.256666667,8.32,6.0154263566,6.0154263566
1013995950,GOLDEN,MARION,R,D.N.P.,F,I,5976 ROUTE 25A,,WADING RIVER,NY,117922001,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.186666667,3.38,2.65,2.65
1013995950,GOLDEN,MARION,R,D.N.P.,F,I,5976 ROUTE 25A,,WADING RIVER,NY,117922001,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,32,40,12.31675,1.42,1.061,1.061
1013995950,GOLDEN,MARION,R,D.N.P.,F,I,5976 ROUTE 25A,,WADING RIVER,NY,117922001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,15,47.643333333,3.542,2.608,3.4433333333
1013995950,GOLDEN,MARION,R,D.N.P.,F,I,5976 ROUTE 25A,,WADING RIVER,NY,117922001,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,11,1541,0.3045554835,0.0472420506,0.0340622972,0.0340622972
1013995950,GOLDEN,MARION,R,D.N.P.,F,I,5976 ROUTE 25A,,WADING RIVER,NY,117922001,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,28,2173,1.9665255407,0.1338426139,0.1049516797,0.1049516797
1013995950,GOLDEN,MARION,R,D.N.P.,F,I,5976 ROUTE 25A,,WADING RIVER,NY,117922001,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,15,31,31,33,33,25.035483871,25.035483871
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,39,138,322,135.43552795,8.32,5.6510559006,5.6510559006
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,34,47,31.430212766,1.42,0.9727659574,0.9727659574
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,135,5.3697777778,5.3697777778,3.2622222222,7.5415555556
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,69.81,54.73,54.73
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,5914,0.4159198512,0.0466706121,0.0275008455,0.0275008455
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,2118,1.1249386213,0.1349527856,0.1006610009,0.1006610009
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,540,7.3874814815,2.8489444444,2.0955925926,2.0955925926
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,30.167272727,18.752727273,18.752727273
1013996107,BRUXVOORT,KRISTEN,R,MD,F,I,1501 THOMPSON ST,,BLOOMER,WI,547241257,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,45,45,33,33,21.845777778,21.845777778
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,76,225,68.890044444,8.32,6.2032444444,6.2032444444
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.833333333,3.38,2.65,2.65
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,27,46,17.354782609,1.42,1.0660869565,1.0660869565
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,59,63.683559322,18.99,12.206610169,11.904237288
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,176.00368421,55.14,36.404210526,36.092631579
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,60.273846154,19.31,13.135384615,12.139230769
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,94,8.7457446809,2.09,1.5338297872,1.490106383
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,483,31.63621118,3.447826087,2.7030641822,2.3676811594
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4800,0.47634375,0.44353125,0.31784375,0.262875
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,27.695714286,3.73,1.86,2.5028571429
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,140,31.799375,24.92625,24.830625
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,39,413.04435897,77.18,56.831025641,51.486666667
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,27,143.33333333,37,29.01,29.491481481
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,87.3,34.505,21.358333333,16.633333333
1013996172,MISCHEL,MATTHEW,G,M.D.,M,I,15211 VANOWEN ST,SUITE 315,VAN NUYS,CA,914053606,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,24,24,15.935384615,15.935384615
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,46,114,313,63.561341853,8.32,6.0206709265,6.0206709265
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,12.05,3.38,2.4607142857,2.4607142857
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,41,60,11.0545,1.42,1.0781666667,1.0781666667
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,34,34,78.660588235,40,28.425882353,27.652941176
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,240.24,91.12,62.858666667,59.699333333
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,33,110.22484848,33.2,23.191818182,23.093030303
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,98,52.206734694,19.89,15.02122449,14.053673469
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,14,29,146,36.91109589,15.08,10.405,10.474657534
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,24,53,53,143.69056604,59.3,40.22754717,37.213962264
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,30,39,39,49.013076923,18.75,13.230512821,12.670769231
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,25,25,46.3904,12.54,8.2572,7.6892
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,30,57,337,6.463768546,2.26,1.5581008902,1.4075964392
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.871818182,6.2236363636,4.8790909091,4.6518181818
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,19,23,23,35.845217391,13.959565217,9.547826087,9.0243478261
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,90.390967742,17.26,13.093548387,13.103225806
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,24,51.365833333,3.6395833333,2.6145833333,3.2033333333
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,15,96,96,127.5,34.77,23.104583333,20.761875
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,60,62,385.59629032,77.34,59.637741935,54.784516129
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,420,12.86,2.9540714286,2.036,2.036
1013996180,SANDALL,CORIE,L,MD,F,I,9230 SKY ISLAND DR E,,BONNEY LAKE,WA,983917385,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,33,33,126,33,24.302121212,24.302121212
1013996362,MACKEY,DANIEL,J,MD,M,I,26 WESTCARE DR STE 301,,SYLVA,NC,287795278,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,102.61833333,73.975833333,48.670833333
1013996362,MACKEY,DANIEL,J,MD,M,I,26 WESTCARE DR STE 301,,SYLVA,NC,287795278,US,Physician/Pediatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.745,29.605833333,24.5975
1013996370,ALLARI,TIMOTHY W,,MD,M,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,30,92,65.220978261,8.32,6.0269565217,6.0269565217
1013996370,ALLARI,TIMOTHY W,,MD,M,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,150,6.09,5.54,4.3431333333,4.3431333333
1013996669,MAIOLO,ANDREW,,MD,M,I,1802 BRAEBURN DR,,SALEM,VA,241537357,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,3744.0740741,2703.0914815,2113.9103704,2113.9103704
1013996859,PERRY,MATTHEW,J,M.D.,M,I,1 S SCHOOL AVE,,SARASOTA,FL,342376014,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,39,3330,0.2814414414,0.13,0.0918618619,0.0918618619
1013996859,PERRY,MATTHEW,J,M.D.,M,I,1 S SCHOOL AVE,,SARASOTA,FL,342376014,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,90,13350,3.3958277154,2.0367041199,1.5240539326,1.5266367041
1013996859,PERRY,MATTHEW,J,M.D.,M,I,1 S SCHOOL AVE,,SARASOTA,FL,342376014,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,47,4550,11.51967033,6.2140879121,4.8718725275,5.5622549451
1013996859,PERRY,MATTHEW,J,M.D.,M,I,1 S SCHOOL AVE,,SARASOTA,FL,342376014,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,12,43,15.082790698,10.095581395,6.5537209302,6.99
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,38,125,254,60.072244094,8.32,4.9042125984,4.9042125984
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,13.863333333,1.42,0.9333333333,0.9333333333
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,28,3.98,1.8842857143,0.85,0.7071428571
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,119.44461538,74.776923077,51.373076923,36.266153846
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,16,16,43.8375,23.996875,15.8875,11.42375
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,38.6875,18.76625,12.821875,7.41
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,60,5.5,2.6333333333,1.8875,1.4336666667
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,96,22.253636364,16.089090909,12.3
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,260,137.25111111,107.60333333,68.336666667
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,33.2,17.638214286,11.929642857,8.3828571429
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,38.034782609,6.3286956522,3.8017391304,2.4
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,115,46.680344828,32.883793103,20.727586207
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,276.73913043,102.78217391,74.648913043,50.994782609
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2759,0.5135991301,0.0459586807,0.0340304458,0.0340304458
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,45,4457,1.7303163563,0.1339847431,0.1011375365,0.1011375365
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,32,2460,10.257585366,3.0498902439,2.3673170732,2.3673170732
1013996875,HOTH,JOELLEN,M,MD,F,I,515 N 3RD ST,,BURLINGTON,IA,526015227,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,58,58,33,33,24.50862069,24.50862069
1013996941,PELLER,RICHARD,J,MD,M,I,1421 PREMIER DR,MANKATO CLINIC,MANKATO,MN,56001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,39,102,284,88.455105634,8.32,5.6044366197,5.6044366197
1013996941,PELLER,RICHARD,J,MD,M,I,1421 PREMIER DR,MANKATO CLINIC,MANKATO,MN,56001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,16,26,10.879615385,1.42,1.03,1.03
1013996941,PELLER,RICHARD,J,MD,M,I,1421 PREMIER DR,MANKATO CLINIC,MANKATO,MN,56001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,66.775833333,17.69,13.87,13.558333333
1013996941,PELLER,RICHARD,J,MD,M,I,1421 PREMIER DR,MANKATO CLINIC,MANKATO,MN,56001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,397.11057143,69.99,53.038571429,52.910571429
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,48,155,71.930774194,8.32,5.4702580645,5.4702580645
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,324.81230769,86.88,68.11,67.860769231
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,27,142.55777778,33.2,26.03,25.931111111
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,60,66.786666667,15.229333333,11.738666667,11.697666667
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,21,21,217.51142857,55.49,39.5,38.988571429
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,19,19,72.805263158,18.017368421,13.368947368,13.32
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,29,29,57.596206897,12.053448276,8.7965517241,8.5248275862
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,37,192,7.6595833333,2.0402083333,1.5410416667,1.5349479167
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,67.898333333,12.78,10.02,10.34
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,85,85,74.751529412,17.52,13.093411765,12.926352941
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,53.98,53.98,42.32,41.843333333
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,49.74,49.74,38.99,37.743333333
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,708.75166667,824.56416667
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,28.23,3.8118181818,2.9872727273,3.4818181818
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,50,50,249.6596,33.0974,22.1724,22.3068
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,27,217,217,410.67894009,78.120875576,58.007511521,52.608479263
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,450,38.76,26.975833333,26.315833333
1013996982,HIRONS,GREGORY,T,M.D.,M,I,7625 W 92ND AVE,,WESTMINSTER,CO,800214567,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,285.6,38.76,27.925945946,27.141081081
1013997030,SANDROCK,CHRISTIAN,E,MD,M,I,3000 Q STREET,,SACRAMENTO,CA,95816,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1230.62,978.99363636,767.53272727,767.53272727
1013997030,SANDROCK,CHRISTIAN,E,MD,M,I,3000 Q STREET,,SACRAMENTO,CA,95816,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,49.221428571,3.5578571429,2.7942857143,3.62
1013997030,SANDROCK,CHRISTIAN,E,MD,M,I,3000 Q STREET,,SACRAMENTO,CA,95816,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,318.29176471,69.608235294,51.540588235,51.368823529
1013997030,SANDROCK,CHRISTIAN,E,MD,M,I,3000 Q STREET,,SACRAMENTO,CA,95816,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,77.44,37.58,29.46,29.51
1013997188,WALLYN,CHRISTOPHER,R,DO,M,I,1455 MONTREAL ST SE,,HUTCHINSON,MN,553500699,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,74.292307692,67.963846154,53.283846154,53.286923077
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,65,181,379,70.206965699,8.32,5.5075461741,5.5075461741
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.4733333333,2.4733333333
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,32,62,70,13.637,1.42,0.9102857143,0.9102857143
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,15,40,86,7.9676744186,1.5041860465,1.041744186,1.0224418605
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,430.071,96.244,66.563,61.45
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,38,70,154.10771429,37.669285714,27.482285714,24.513428571
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,28,102,91.194705882,19.163529412,13.180784314,12.689803922
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,61,68.09,15.489016393,9.8406557377,9.5985245902
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,18,37,37,265.4772973,58.048108108,41.002432432,38.432162162
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,40,40,79.54,19.1995,14.6965,13.9315
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,22,44,44,95.752045455,12.627045455,9.6654545455,9.1461363636
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,51,258,12.385348837,2.1397286822,1.6170155039,1.5610465116
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,22,22,27.917727273,6.1231818182,4.5722727273,4.4409090909
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,19,27,27,46.376296296,13.642592593,9.9885185185,9.7411111111
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,67,74,81.88027027,17.780540541,12.830540541,12.489324324
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,72.337741935,15.511935484,11.081612903,9.6864516129
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,33,50.73,5.0842424242,3.5690909091,3.3096969697
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,65,66,260.41121212,33.828636364,25.387727273,23.729090909
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,22,121,141,504.20304965,73.486524823,51.528865248,48.817021277
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,250,44.038125,32.631875,28.42875
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,20.871297619,9.6300714286,7.4132619048,7.4132619048
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,4487,0.2776977936,0.0465901493,0.027209717,0.027209717
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,23,116,12518,1.2022895031,0.1330156575,0.0896269372,0.0896269372
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1080,8.357,2.9146111111,2.2850740741,2.2850740741
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,25,356.3284,117.1296,89.6348,87.432
1013997337,STEENBERGEN,MICHAEL,G,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,27,125,125,80.52,33,22.0828,22.0828
1013997352,AUTH,DENNIS,A,D.O.,M,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547014398,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,27,63,84.723015873,8.32,5.9001587302,5.9001587302
1013997352,AUTH,DENNIS,A,D.O.,M,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547014398,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,21,6.1452380952,2.0933333333,1.4928571429,1.4433333333
1013997352,AUTH,DENNIS,A,D.O.,M,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547014398,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,143.15,42.655833333,33.443333333,28.856666667
1013997352,AUTH,DENNIS,A,D.O.,M,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547014398,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,57,57,305.27175439,69.81,52.809649123,52.809649123
1013997352,AUTH,DENNIS,A,D.O.,M,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547014398,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,80.68,36.14,27.471515152,28.624545455
1013997352,AUTH,DENNIS,A,D.O.,M,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547014398,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,154.93666667,36.14,28.33,29.018333333
1013997360,REVANA,MADAIAH,,MD PA,M,I,9950 MEMORIAL BLVD,STE 201,HUMBLE,TX,77338,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,59,65.141694915,8.32,6.4108474576,6.4108474576
1013997360,REVANA,MADAIAH,,MD PA,M,I,9950 MEMORIAL BLVD,STE 201,HUMBLE,TX,77338,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.91,3.065,3.66
1013997360,REVANA,MADAIAH,,MD PA,M,I,9950 MEMORIAL BLVD,STE 201,HUMBLE,TX,77338,US,Physician/Cardiovascular Disease (Cardiology),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1140,1.1218245614,0.1353684211,0.0965877193,0.0965877193
1013997360,REVANA,MADAIAH,,MD PA,M,I,9950 MEMORIAL BLVD,STE 201,HUMBLE,TX,77338,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,86.307692308,33,21.89,21.89
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,49,108,272,69.222389706,8.32,5.2022794118,5.2022794118
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.454545455,3.38,2.4090909091,2.4090909091
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,36,46,13.870869565,1.42,0.97,0.97
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,277.77857143,92.015,50,46.304285714
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,42,101.99666667,34.430714286,24.095,23.020238095
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,162.295,58.455,42.206666667,39.288333333
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,17,17,55.484705882,19.389411765,13.542352941,12.405882353
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,23,23,55.987391304,12.411304348,8.74,8.3317391304
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,24,122,7.7347540984,2.2533606557,1.6898360656,1.5140163934
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.972727273,6.2209090909,4.0590909091,3.8409090909
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,28.545384615,13.779230769,10.004615385,9.5484615385
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,44,86.31,18.083409091,12.924318182,12.661590909
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.86,42.23,41.845
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,37.051428571,16.222142857,12.721428571,10.48
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,105.34346154,36.849615385,28.891538462,25.144615385
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,75,88,486.10204545,71.514886364,52.58625,51.801477273
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,17,108.33941176,20.942352941,15.64,13.098823529
1013997436,WEISS,JAMES,J,M.D.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,15,56.79,38.68,28.298666667,27.596666667
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,190,6.088,3.37,2.4366842105,2.855
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,28,28,13.742857143,7.04,5.3228571429,6.2671428571
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,26,34,9.9858823529,4.1,3.0235294118,3.0235294118
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,380,19.549736842,7.06,5.535,5.535
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,,39,850,9.5198823529,5.7230588235,4.4016352941,4.4149058824
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,32,456,4.2123903509,2.745,2.1142763158,2.2441885965
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,52,9.6586538462,6.44,4.8517307692,4.8517307692
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,250,18.6608,9.86,6.7802,6.7802
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,180,9.417,7,5.1831111111,5.1831111111
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,395,7.7556202532,5.54,4.3433164557,4.3433164557
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,22,2595,3.4488978805,1.95,1.51038921,1.51038921
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,1650,5.0398181818,2.09,1.578969697,1.578969697
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,220,7.0597727273,5.3406818182,3.9958636364,4.011
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,20,1820,0.1042527473,0.1039230769,0.081467033,0.0916153846
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,38,4000,0.48677,0.3916,0.306225,0.3157975
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,875,0.4096914286,0.27,0.2116114286,0.2116114286
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,330,3.6206060606,3.04,2.239,2.239
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,,40,1300,0.6565615385,0.27,0.2034923077,0.2034923077
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,221,10.215701357,10.215701357,8.0087782805,9.8524886878
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,16,51,20.283529412,17.993529412,14.107058824,14.339215686
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,705,9.5770212766,3.67,2.8773333333,2.8773333333
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,17,34,6230,0.1312841091,0.127399679,0.0968025682,0.0979775281
1013997477,PRIEST,STEPHEN,G,MD,M,I,1121 CROOKS RD,,ROYAL OAK,MI,480671301,US,Physician/Colorectal Surgery (Proctology),S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,21,4056,0.676254931,0.45,0.3527884615,0.3527884615
1013997485,GRANT,THOMAS,R,MD,M,I,3110 WELLONS BLVD,,NEW BERN,NC,285625247,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,160,51.44,40.326363636,25.501818182
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,82,168,56.176607143,8.1575,5.7175,5.7175
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,25,25,10.7432,1.42,1.0752,1.0752
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,34,8.19,2.0552941176,1.6111764706,1.1917647059
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,41,99.657073171,25.72,20.164146341,14.983658537
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,231.69272727,66.354545455,52.023636364,42.911818182
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,12,12,65.189166667,23.385833333,18.33,14.801666667
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,47,12.209361702,3.1204255319,2.4474468085,1.65
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,22.790909091,16.51,12.847272727
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,35.740952381,15.827142857,8.8471428571,8.0480952381
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,33.727857143,5.5978571429,3.61,2.6557142857
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,34,144.77764706,49.363823529,32.619117647,23.731764706
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,444.95766667,97.342666667,65.486333333,45.920333333
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,39,3630,0.9000523416,0.1348099174,0.1026997245,0.1026997245
1013997493,JABBARI,LINDA,S,DO,F,I,1930 N BUSINESS ROUTE 5,UNIT 1A,CAMDENTON,MO,650202659,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,43,43,125.09302326,33,22.892093023,22.892093023
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,19,71,77.376197183,8.32,5.8515492958,5.8515492958
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,31,16.40483871,1.42,0.97,0.97
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,15,84,47.427857143,15.373809524,10.92,10.80202381
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,174.61263158,55.950526316,39.264210526,38.594736842
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,53.822307692,16.94,12.266153846,12.927692308
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,51.65375,12.02875,8.843125,8.58625
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,110,9.4589090909,2.0163636364,1.5518181818,1.5569090909
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,79.2,62.09,55.343333333
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,10.699666667,2.5860909091,2.0130606061,2.013
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,990,3.0654444444,0.7395454545,0.5797777778,0.5797777778
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2880,3.2499930556,1.25825,0.9864583333,0.9864583333
1013997683,ROCKER,JEFFRY,F,D.O.,M,I,110 ALAFAYA WOODS BLVD,SUITE A,OVIEDO,FL,327656241,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,25,16,16,12.5444,12.5444
1013997741,AKKAD,HAYSAM,,MD,M,I,4239 FARNAM ST,#100,OMAHA,NE,681312868,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,16.3775,12.4025
1013997741,AKKAD,HAYSAM,,MD,M,I,4239 FARNAM ST,#100,OMAHA,NE,681312868,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,102.61833333,73.2625,47.9575
1013997980,DAGAN,TAL,,MD FACS,M,I,420 MADISON AVE,SUITE 503,NEW YORK,NY,100171107,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,120,33.247333333,26.07,26.418666667
1013998020,HOILAND,MELANIE,A,PA,F,I,1495 HWY 101 N,,PLYMOUTH,MN,55447,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,58,79.137068966,8.32,6.5224137931,6.5224137931
1013998038,LAMB,MELISSA,R,"APRN,BC",F,I,229 HEDRICK DR,,NEWPORT,TN,378212902,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,40,72,86.195416667,8.32,4.8913888889,4.8913888889
1013998038,LAMB,MELISSA,R,"APRN,BC",F,I,229 HEDRICK DR,,NEWPORT,TN,378212902,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,20,18.1605,1.42,1.003,1.003
1013998038,LAMB,MELISSA,R,"APRN,BC",F,I,229 HEDRICK DR,,NEWPORT,TN,378212902,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,22.212307692,17.413076923,13.743846154
1013998038,LAMB,MELISSA,R,"APRN,BC",F,I,229 HEDRICK DR,,NEWPORT,TN,378212902,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,50.73,6.9173684211,4.7305263158,3.0242105263
1013998038,LAMB,MELISSA,R,"APRN,BC",F,I,229 HEDRICK DR,,NEWPORT,TN,378212902,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,519.51,102.42,76.524210526,53.616842105
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,43,55.034186047,8.32,6.5220930233,6.5220930233
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,144.38909091,51.047272727,40.023636364,34.813636364
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,416.44,124.764,93.159333333,71.692
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,41,170.27902439,44.945609756,35.237804878,27.01902439
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,88,12.675,3.2165909091,2.5219318182,1.6853409091
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,94,94,76.902340426,22.425106383,16.531595745,14.654574468
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,25,25,85,57.578,36.6712,30.9512
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,952.788,294.104,221.016,154.88333333
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,31,291,295,342.60457627,100.58135593,73.173288136,63.537525424
1013998095,ZWERDLINGER,LISA,P,M.D.,F,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,156.08695652,44.86826087,35.179130435,29.516086957
1013998129,HORSFIELD,MATTHEW,S,MD,M,I,3701 KIRBY DR,SUITE 100,HOUSTON,TX,770983900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,11,34,92,58.594456522,8.32,6.1132608696,6.1132608696
1013998129,HORSFIELD,MATTHEW,S,MD,M,I,3701 KIRBY DR,SUITE 100,HOUSTON,TX,770983900,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,20,7.066,1.42,1.057,1.057
1013998129,HORSFIELD,MATTHEW,S,MD,M,I,3701 KIRBY DR,SUITE 100,HOUSTON,TX,770983900,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2880,7.725,7.725,6.0564166667,6.1779166667
1013998152,MCDERMOTT,DEBORAH,K,M.D.,F,I,4 PARK PL,,SWANSEA,IL,622262965,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,48,70.293958333,8.32,5.570625,5.570625
1013998152,MCDERMOTT,DEBORAH,K,M.D.,F,I,4 PARK PL,,SWANSEA,IL,622262965,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,30.430833333,1.42,1.12,1.12
1013998152,MCDERMOTT,DEBORAH,K,M.D.,F,I,4 PARK PL,,SWANSEA,IL,622262965,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,79.99,57.484166667,50.169166667
1013998152,MCDERMOTT,DEBORAH,K,M.D.,F,I,4 PARK PL,,SWANSEA,IL,622262965,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,37.15,27.919166667,28.2675
1013998202,GILLESPIE,JOHN,A,M.D.,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,94,89.622340426,8.32,5.8290425532,5.8290425532
1013998202,GILLESPIE,JOHN,A,M.D.,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,55,55,42.883090909,16.669090909,12.826363636,13.248909091
1013998202,GILLESPIE,JOHN,A,M.D.,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,54,54,24.936851852,4.2411111111,3.1566666667,3.445
1013998202,GILLESPIE,JOHN,A,M.D.,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,147,44.428333333,29.333333333,29.816666667
1013998202,GILLESPIE,JOHN,A,M.D.,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,64,64,260.15015625,68.835625,52.72546875,53.360625
1013998210,FEIN,DEBORAH,A,MD,F,I,177 N DEAN ST,,ENGLEWOOD,NJ,076312533,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,30,62.795,8.32,3.9126666667,3.9126666667
1013998210,FEIN,DEBORAH,A,MD,F,I,177 N DEAN ST,,ENGLEWOOD,NJ,076312533,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,73,7860,4.9996679389,0.5723396947,0.4276399491,0.4276361323
1013998210,FEIN,DEBORAH,A,MD,F,I,177 N DEAN ST,,ENGLEWOOD,NJ,076312533,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,3660,6.892215847,1.5261803279,1.1965,1.1965
1013998210,FEIN,DEBORAH,A,MD,F,I,177 N DEAN ST,,ENGLEWOOD,NJ,076312533,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,4200,5.6893071429,2.8272571429,2.1869904762,2.1869904762
1013998210,FEIN,DEBORAH,A,MD,F,I,177 N DEAN ST,,ENGLEWOOD,NJ,076312533,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,1680,22.10652381,7.4394821429,5.319875,5.791577381
1013998210,FEIN,DEBORAH,A,MD,F,I,177 N DEAN ST,,ENGLEWOOD,NJ,076312533,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,67,67,24,24,18.539104478,18.539104478
1013998210,FEIN,DEBORAH,A,MD,F,I,177 N DEAN ST,,ENGLEWOOD,NJ,076312533,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,80,88,16,16,12.112613636,12.112613636
1013998244,VOSS,KERSTIN,L,MD,F,I,29 LEWIS AVE,,GREAT BARRINGTON,MA,012301713,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,50.73,4.6233333333,3.6216666667,3.5666666667
1013998327,STALLWORTH,LOVIE,A,M.D.,F,I,1217 CUMBERLAND AVE,,MIDDLESBORO,KY,40965,US,Physician/Pediatric Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,109,6.3021100917,5.54,4.3434862385,4.3434862385
1013998327,STALLWORTH,LOVIE,A,M.D.,F,I,1217 CUMBERLAND AVE,,MIDDLESBORO,KY,40965,US,Physician/Pediatric Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,109,3.4617431193,3.04,2.3834862385,2.3834862385
1013998327,STALLWORTH,LOVIE,A,M.D.,F,I,1217 CUMBERLAND AVE,,MIDDLESBORO,KY,40965,US,Physician/Pediatric Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,1703,0.1495008808,0.13,0.1019260129,0.1019260129
1013998327,STALLWORTH,LOVIE,A,M.D.,F,I,1217 CUMBERLAND AVE,,MIDDLESBORO,KY,40965,US,Physician/Pediatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,285,3.5650877193,3.4556140351,2.7092280702,2.4607017544
1013998327,STALLWORTH,LOVIE,A,M.D.,F,I,1217 CUMBERLAND AVE,,MIDDLESBORO,KY,40965,US,Physician/Pediatric Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,7237,0.7705029708,0.6227746304,0.4882561835,0.5112601907
1013998327,STALLWORTH,LOVIE,A,M.D.,F,I,1217 CUMBERLAND AVE,,MIDDLESBORO,KY,40965,US,Physician/Pediatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,22,7.4981818182,5.8763636364,3.7993939394
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,45,92,92,69.293152174,40.183478261,30.825652174,29.899347826
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,33,34,34,37.420588235,11.289705882,8.5997058824,8.7785294118
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,23,46,46,228.9626087,90.264782609,67.969347826,65.219130435
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,21,44,124,86.641935484,32.933387097,25.565725806,25.656774194
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,24,50,230,51.629130435,19.18,14.535217391,14.059304348
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,26,49,238,51.063697479,15.51,12.152815126,11.916512605
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,49,100,100,158.2026,54.509,41.8395,41.9565
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,67,90,90,51.187222222,18.782888889,14.190222222,13.572
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,39.318461538,10.49,7.5915384615,7.5307692308
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,30,47,47,77.54893617,11.980425532,9.3944680851,9.12
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,71,135,742,9.5458760108,2.100916442,1.5887331536,1.5375471698
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,28,38,38,16.344473684,6,4.5763157895,4.5276315789
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,44,59,59,41.094745763,12.866101695,9.8616949153,10.117457627
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,39,70.571282051,16.983846154,13.318461538,13.466153846
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,642.17,210.49526316,157.47894737,152.17052632
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,15,15,452.27666667,132.20733333,103.65266667,104.7
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,53,373,375,26.864746667,5.8451733333,4.3476533333,3.5593333333
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,28,188,190,324.87778947,31.980736842,23.744263158,23.866894737
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,117,133,324.49789474,77.166466165,59.52,55.481503759
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,450,39.26,28.580833333,27.416666667
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,24,51,13464,0.294696227,0.0460977421,0.0354604872,0.0354590018
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,13,50,5558,1.7148020871,0.1356531126,0.1042029507,0.1042029507
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1530,11.918287582,2.855627451,2.1995098039,2.1995098039
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,180,39.26,30.78,29.710526316
1013998335,BASSIN,AVTAR,S,MD,M,I,13352 N 83RD AVE,SUITE #A 100,PEORIA,AZ,853814158,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,34,37,110,110,53.409090909,33,25.399636364,25.399636364
1013998384,MARTIN,EARL,F,MD,M,I,710 LAWRENCE ST,,TOMBALL,TX,773756455,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,32,111,73.683423423,8.32,6.0518918919,6.0518918919
1013998384,MARTIN,EARL,F,MD,M,I,710 LAWRENCE ST,,TOMBALL,TX,773756455,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,34,16.496764706,1.42,1.0476470588,1.0476470588
1013998384,MARTIN,EARL,F,MD,M,I,710 LAWRENCE ST,,TOMBALL,TX,773756455,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,101.99833333,44.133333333,26.820833333,15.010833333
1013998491,OSUNSANYA,OLAWALE,M,M.D.,M,I,1763 E MAIN ST,,DOTHAN,AL,363013045,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,690,8.0084637681,2.6115217391,1.826,1.826
1013998491,OSUNSANYA,OLAWALE,M,M.D.,M,I,1763 E MAIN ST,,DOTHAN,AL,363013045,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2580,3.1336395349,1.2652325581,0.9528333333,0.9528333333
1013998491,OSUNSANYA,OLAWALE,M,M.D.,M,I,1763 E MAIN ST,,DOTHAN,AL,363013045,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,24,24,17.522068966,17.522068966
1013998491,OSUNSANYA,OLAWALE,M,M.D.,M,I,1763 E MAIN ST,,DOTHAN,AL,363013045,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,16,16,12.54,12.54
1013998574,RIESLAND,RODNEY,,NP,M,I,1414 W FAIR AVE,STE 344,MARQUETTE,MI,498552675,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,62,56.882903226,8.32,5.4924193548,5.4924193548
1013998574,RIESLAND,RODNEY,,NP,M,I,1414 W FAIR AVE,STE 344,MARQUETTE,MI,498552675,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,80,22.212307692,17.413076923,13.53
1013998574,RIESLAND,RODNEY,,NP,M,I,1414 W FAIR AVE,STE 344,MARQUETTE,MI,498552675,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,8.1772727273,5.7490909091,5.7254545455
1013998574,RIESLAND,RODNEY,,NP,M,I,1414 W FAIR AVE,STE 344,MARQUETTE,MI,498552675,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,400,95.62,74.967142857,55.69
1013998574,RIESLAND,RODNEY,,NP,M,I,1414 W FAIR AVE,STE 344,MARQUETTE,MI,498552675,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,27.6625,21.688333333,15.1675
1013998681,BRADFORD,CYNTHIA,A,M.D.,F,I,608 STANTON L YOUNG BLVD,,OKLAHOMA CITY,OK,731045014,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,27,27,27,94.738888889,64.073703704,48.347037037,50.93962963
1013998681,BRADFORD,CYNTHIA,A,M.D.,F,I,608 STANTON L YOUNG BLVD,,OKLAHOMA CITY,OK,731045014,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,26,26,50,82.5232,64.5418,47.7674,50.41
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,146.89,47.706923077,37.402307692,39.56
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,16,65,65,134.38,46.053846154,32.729384615,34.505076923
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,128.98,44.080487805,31.324878049,32.352926829
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,24.01,10.711538462,8.3976923077,9.6923076923
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,7.0228571429,3.0285714286,2.3742857143,2.9364285714
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,41,41,69.89,17.359512195,13.61,15.019268293
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,69,69,119.34,22.463913043,16.194492754,19.919275362
1013998996,GULEYUPOGLU,NILUFER,,MD,F,I,369 LEXINGTON AVE,SUITE 800,NEW YORK,NY,100176506,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,22,105,105,20.57,7.2236190476,5.3760952381,6.4418095238
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,35,103,60.023300971,8.32,6.0788349515,6.0788349515
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,25,41,15.305365854,1.42,0.9787804878,0.9787804878
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,18,40.137777778,28.46,22.31,22.31
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,300,2.49,2.49,1.9516666667,1.9516666667
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,34,39,14.340769231,9.5423076923,7.4784615385,8.5366666667
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,4.1,4.1,3.21,3.21
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,248,2.91,2.91,2.28125,2.28125
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,112,6.44,6.44,5.05,5.05
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,44,880,6.9754545455,5.54,4.3435,4.3435
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,46,2300,0.27,0.27,0.2116,0.2116
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,41,820,3.7580487805,3.04,2.3835,2.3835
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,49,1275,0.27,0.27,0.2116,0.2116
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,17.84,17.84,13.98,13.98
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,30,1557,8.28,8.28,6.3414643545,6.3414643545
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,71,6.7670422535,2.1749295775,1.7054929577,1.5921126761
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,57,1712,248.95619159,5.2436623832,4.0780957944,4.1293341121
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,41,20628,3.189449777,0.301360287,0.2362662401,0.2430448904
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,10830,6.7923721145,0.68,0.5331144968,0.5186269621
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,16,16,1200,63.149375,49.510625,48.79625
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,24,151.0375,47.645,35.858333333,35.229583333
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,94.233333333,52.401666667,41.0825,40.125833333
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,594.436,179.85333333,134.624,121.14666667
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,49,50,72.6444,17.32,13.58,13.552
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17.32,13.58,13.543333333
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,804.16,76.58,55.0275,50.16
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,52.44,41.11,41.8
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,39.2,37.63
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,92,93,363.06655914,76.58,59.422365591,54.531290323
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,220,35.56,27.88,29.442083333
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,15,3414,1.5954481547,0.1300380785,0.0772729936,0.0772729936
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,38,39,59.457948718,16.624615385,12.729230769,14.080769231
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,32,32,113.8290625,23.810625,16.3725,19.6253125
1013999036,HANIF,MUHAMMAD,,M.D.,M,I,13325 HARGRAVE RD,180,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,240.76190476,35.56,27.88,29.51
1013999259,MOSKO,MARY,K,MD,F,I,9403 KENWOOD RD,SUITE C208,BLUE ASH,OH,452426895,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,39,84,70.171190476,8.32,5.356547619,5.356547619
1013999259,MOSKO,MARY,K,MD,F,I,9403 KENWOOD RD,SUITE C208,BLUE ASH,OH,452426895,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,13,13.527692308,1.42,0.9461538462,0.9461538462
1013999408,RHYNE,ALFRED,L,MD,M,I,2001 RANDOLPH RD,,CHARLOTTE,NC,282071215,US,Physician/Orthopedic Surgery,S,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,80,76.07,54.218181818,53.604545455
1013999440,ZIEGLER,CHERYL,L,O.D.,F,I,300 E MILL ST,,PLYMOUTH,WI,530731804,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,72.658181818,72.658181818,56.963636364,53.184545455
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,44,112,358,62.916340782,8.32,6.0672067039,6.0672067039
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,26,26,15.052307692,3.38,2.65,2.65
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,29,64,110,15.551909091,1.42,1.0441818182,1.0441818182
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,34.119411765,3.8952941176,3.0494117647,3.5694117647
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,145.01833333,35,27.443333333,25.973333333
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2696,0.1947255193,0.0457566766,0.0244621662,0.0244621662
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30,20.636363636,4.2818181818,3.5727272727
1013999481,LEON-JAUREGUI,DULCES,,MD,F,I,7634 W BELMONT AVE,,CHICAGO,IL,606343110,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,117.15,33,23.283,23.283
1013999499,ROMANS,MATTHEW,L,M.D.,M,I,242 E ROMIE LN,,SALINAS,CA,939013128,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,762,0.5799868766,0.44,0.345,0.345
1013999499,ROMANS,MATTHEW,L,M.D.,M,I,242 E ROMIE LN,,SALINAS,CA,939013128,US,Physician/Plastic and Reconstructive Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,1041,23.47556196,18.5,14.504005764,14.504005764
1013999499,ROMANS,MATTHEW,L,M.D.,M,I,242 E ROMIE LN,,SALINAS,CA,939013128,US,Physician/Plastic and Reconstructive Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,288,14.463576389,10.93,8.0709375,8.0709375
1013999499,ROMANS,MATTHEW,L,M.D.,M,I,242 E ROMIE LN,,SALINAS,CA,939013128,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,1590,0.5621886792,0.45,0.3528301887,0.3528301887
1013999499,ROMANS,MATTHEW,L,M.D.,M,I,242 E ROMIE LN,,SALINAS,CA,939013128,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4818,618.56,484.95,505.60454545
1013999572,MARTIRE,MICHAEL,P,MD,M,I,121 W CENTURY AVE,,BISMARCK,ND,585031402,US,Physician/Physical Medicine and Rehabilitation,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,41.020833333,28.46,19.5825,19.5825
1013999572,MARTIRE,MICHAEL,P,MD,M,I,121 W CENTURY AVE,,BISMARCK,ND,585031402,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,13,10.93,7.1416666667,7.1416666667
1013999572,MARTIRE,MICHAEL,P,MD,M,I,121 W CENTURY AVE,,BISMARCK,ND,585031402,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9.5,7.46,5.3625,5.3625
1013999713,DENZIN,JOHN,D,MD,M,I,5315 ELLIOTT DR,SUITE 304,YPSILANTI,MI,481978634,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,135,47.788461538,37.466923077,36.589230769
1013999713,DENZIN,JOHN,D,MD,M,I,5315 ELLIOTT DR,SUITE 304,YPSILANTI,MI,481978634,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,137.94,137.94,108.14076923,102.93384615
1013999713,DENZIN,JOHN,D,MD,M,I,5315 ELLIOTT DR,SUITE 304,YPSILANTI,MI,481978634,US,Physician/Orthopedic Surgery,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,870.85,861.92181818,675.75,677.69
1013999796,DUTCHER,TITUS,L,MD,M,I,4907A DOLBEY LANE,,BERLIN,OH,44610,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,22.253636364,16.089090909,12.847272727
1013999796,DUTCHER,TITUS,L,MD,M,I,4907A DOLBEY LANE,,BERLIN,OH,44610,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,95.62,67.252857143,50.269285714
1013999820,FOOTE,DAVID,L,M.D.,M,I,340A MAIN ST,,HUDSON FALLS,NY,128391530,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,41,105,50.156,8.32,5.9003809524,5.9003809524
1013999820,FOOTE,DAVID,L,M.D.,M,I,340A MAIN ST,,HUDSON FALLS,NY,128391530,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,28,39,9.7507692308,1.42,0.9438461538,0.9438461538
1013999820,FOOTE,DAVID,L,M.D.,M,I,340A MAIN ST,,HUDSON FALLS,NY,128391530,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,56,86.31,17.982321429,12.597321429,12.11625
1013999820,FOOTE,DAVID,L,M.D.,M,I,340A MAIN ST,,HUDSON FALLS,NY,128391530,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,21,232.35,44.973809524,31.962380952,34.403333333
1013999820,FOOTE,DAVID,L,M.D.,M,I,340A MAIN ST,,HUDSON FALLS,NY,128391530,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,66,73,519.51,79.193424658,58.398767123,51.09369863
1013999820,FOOTE,DAVID,L,M.D.,M,I,340A MAIN ST,,HUDSON FALLS,NY,128391530,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,7459,0.2951119453,0.0464874648,0.0276216651,0.0276216651
1013999820,FOOTE,DAVID,L,M.D.,M,I,340A MAIN ST,,HUDSON FALLS,NY,128391530,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,37,91.864864865,33,22.091891892,22.091891892
1013999853,HUFFMAN,BRYAN,W,M.D.,M,I,111 W 24TH ST,,HOLLAND,MI,494234791,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,69.001818182,68.431818182,43.989090909,43.708181818
1013999853,HUFFMAN,BRYAN,W,M.D.,M,I,111 W 24TH ST,,HOLLAND,MI,494234791,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,59,52.13,36.698636364,37.735
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,42.493076923,9.02,4.3569230769,4.24
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,13,65,65,303.90907692,49.319692308,37.815846154,37.618769231
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,74.63625,17.0725,11.154166667,11.31375
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,26.65,4.8094117647,3.0023529412,3.1388235294
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,28,484.95428571,70.835,48.747142857,48.01
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,148.71,35.1,27.52,29.036666667
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,40,254,254,146.25948819,17.855905512,12.773976378,12.693031496
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,144.03642857,26.59,20.84,19.96
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,433.06933333,97.916,76.766,59.386666667
1013999879,MULLINAX,MERRYLEE,A,CNP,F,I,3 ROSEBERRY LN,,SIMPSONVILLE,SC,296813620,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,24,135,135,73.263851852,6.8242222222,4.8563703704,5.9888148148
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,70,68.638714286,24.238,19.002571429,14.551571429
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,150.324375,72.02875,50.97,37.625625
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,52.270769231,23.622307692,17.316153846,12.978461538
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,23,23,64.773043478,19.236086957,13.327391304,7.5339130435
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,28,147,8.326122449,3.0055782313,2.1268027211,1.3866666667
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,21.304,8.382,5.55,3.726
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,31.091818182,15.85,11.397272727,9.4
1023000171,DUNCAN,MELINDA,A,D.O.,F,I,112 MEDICAL DR,,PALESTINE,TX,758014780,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,55,56,134.86071429,49.049821429,36.305714286,25.4475
1023000213,DOMENECH,MELISSA,C,PA-C,F,I,102 W MEDICAL PARK DR,,LEXINGTON,NC,272926773,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,24,57,64.887894737,8.32,6.0652631579,6.0652631579
1023000213,DOMENECH,MELISSA,C,PA-C,F,I,102 W MEDICAL PARK DR,,LEXINGTON,NC,272926773,US,Physician Assistant,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,3600,13,7.88,1.7655111111,1.7655111111
1023000213,DOMENECH,MELISSA,C,PA-C,F,I,102 W MEDICAL PARK DR,,LEXINGTON,NC,272926773,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,17.29,13.55,13.53
1023000213,DOMENECH,MELISSA,C,PA-C,F,I,102 W MEDICAL PARK DR,,LEXINGTON,NC,272926773,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,70.23,55.06,54.72
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,31,77,200,68.69065,8.32,5.9319,5.9319
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,26,32,15.6053125,1.42,1.013125,1.013125
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,7.79875,1.34,1.05,1.1333333333
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,38,7.5415789474,2.4294736842,1.9060526316,1.5921052632
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,92.392307692,17,12.304615385,12.486153846
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,41.1504,6.0164,4.718,3.6488
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,85.25,35.531818182,26.037272727,23.679090909
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,358.74657895,78,57.411315789,53.187631579
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,36,28.22,29.51
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,20.7665,11.23,8.8043636364,8.8043636364
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,2910,1.0854158076,0.1354329897,0.1024467354,0.1024467354
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,13.190825,2.96185,2.0829916667,2.0829916667
1023000221,DALESSANDRO,VINCENT,,DO,M,I,8254 MAYFIELD RD,SUITE 4,CHESTERLAND,OH,440262593,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,45,45,94.6,33,25.295111111,25.295111111
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,30,115,57.226173913,8.32,6.182173913,6.182173913
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.714285714,3.38,2.65,2.65
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,31,15.013225806,1.42,1.0419354839,1.0419354839
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,305.48666667,86.33,52.814166667,52.966666667
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,321,15.46728972,3.08,2.4147975078,2.3721183801
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,273,10.574322344,5.6242490842,4.4093772894,4.1630769231
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,9773,1.0797984242,0.3081929807,0.2416310243,0.2430461475
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,519.51,75.395,44.6595,41.044
1023000239,NEWSOME,SAMUEL,C,MD,M,I,304 MOUNTAIN VIEW RD,,KING,NC,270218768,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,146,21.827692308,14.552692308,11.951923077
1023000379,TORRES,PEDRO,P,MD,M,I,3301 S ALAMEDA ST,STE.305,CORPUS CHRISTI,TX,784111882,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,700,0.5119,0.27,0.2116285714,0.2116285714
1023000379,TORRES,PEDRO,P,MD,M,I,3301 S ALAMEDA ST,STE.305,CORPUS CHRISTI,TX,784111882,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,475,0.8039157895,0.27,0.2116,0.2116
1023000387,HUYSSOON,KATHRYN,L,MD,F,I,24988 SE STARK ST,STE 300,GRESHAM,OR,970308322,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,43,66.878604651,8.32,5.9151162791,5.9151162791
1023000387,HUYSSOON,KATHRYN,L,MD,F,I,24988 SE STARK ST,STE 300,GRESHAM,OR,970308322,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,15,54.5,43.604,34.186,37.58
1023000387,HUYSSOON,KATHRYN,L,MD,F,I,24988 SE STARK ST,STE 300,GRESHAM,OR,970308322,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,50.73,3.798,2.79,3.388
1023000387,HUYSSOON,KATHRYN,L,MD,F,I,24988 SE STARK ST,STE 300,GRESHAM,OR,970308322,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,810,0.92,0.1354444444,0.0859876543,0.0859876543
1023000387,HUYSSOON,KATHRYN,L,MD,F,I,24988 SE STARK ST,STE 300,GRESHAM,OR,970308322,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,132,33,22.995555556,22.995555556
1023000486,BORIK,ANNE,,DO,F,I,161 W RODEO RD,,CASA GRANDE,AZ,851226201,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,162.03909091,46.039090909,32.849090909,33.236363636
1023000486,BORIK,ANNE,,DO,F,I,161 W RODEO RD,,CASA GRANDE,AZ,851226201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,410.18,77.36,57.40625,51.48625
1023000486,BORIK,ANNE,,DO,F,I,161 W RODEO RD,,CASA GRANDE,AZ,851226201,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,74,74,67.990540541,20.175,15.074459459,13.706081081
1023000486,BORIK,ANNE,,DO,F,I,161 W RODEO RD,,CASA GRANDE,AZ,851226201,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,29.224444444,9.5333333333,7.1377777778,6.557037037
1023000528,GRABROVAC,JASON,D,PA-C,M,I,1100 NORTHSIDE FORSYTH DR,SUITE 340,CUMMING,GA,300416012,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,54,55,140,117.67,88.905090909,99.248181818
1023000528,GRABROVAC,JASON,D,PA-C,M,I,1100 NORTHSIDE FORSYTH DR,SUITE 340,CUMMING,GA,300416012,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,55,55,150,127.21,99.73,87.925454545
1023000528,GRABROVAC,JASON,D,PA-C,M,I,1100 NORTHSIDE FORSYTH DR,SUITE 340,CUMMING,GA,300416012,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,65,53.2,41.71,46.35
1023000528,GRABROVAC,JASON,D,PA-C,M,I,1100 NORTHSIDE FORSYTH DR,SUITE 340,CUMMING,GA,300416012,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,383.44,266.98,195.79,204.63307692
1023000585,MEDIC,DANIEL,,DO,M,I,8791 BARNES LAKE RD,STE 101,NORTH HUNTINGDON,PA,156423176,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,33,98,57.851326531,8.32,5.1923469388,5.1923469388
1023000585,MEDIC,DANIEL,,DO,M,I,8791 BARNES LAKE RD,STE 101,NORTH HUNTINGDON,PA,156423176,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.158461538,3.38,2.65,2.65
1023000585,MEDIC,DANIEL,,DO,M,I,8791 BARNES LAKE RD,STE 101,NORTH HUNTINGDON,PA,156423176,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,32,14.08875,1.42,1.009375,1.009375
1023000585,MEDIC,DANIEL,,DO,M,I,8791 BARNES LAKE RD,STE 101,NORTH HUNTINGDON,PA,156423176,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,360.92904762,77.5,53.742380952,48.573809524
1023000585,MEDIC,DANIEL,,DO,M,I,8791 BARNES LAKE RD,STE 101,NORTH HUNTINGDON,PA,156423176,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,83.05,36.26,25.587,26.64
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,40,74,68.72527027,8.32,6.4339189189,6.4339189189
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,15,13.885333333,1.42,1.0426666667,1.0426666667
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,27.775833333,25.903333333,20.305833333,20.613333333
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,26,12.413461538,10.93,8.57,8.57
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,33,8.963030303,7.46,5.85,5.85
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,340,8.4988823529,5.54,4.3434411765,4.3434411765
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.16,4.03,3.1595,3.1595
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,920,0.247173913,0.09,0.0705652174,0.0705652174
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,59,75.861016949,18.54,14.534915254,14.551525424
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,13,246.77461538,55.9,43.83,42.86
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,18,72.478333333,12.04,9.44,9.12
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,96,9.6579166667,2.04,1.5984375,1.5916666667
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,103.89636364,17.52,13.74,13.54
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,24,232.35,53.98,38.793333333,38.316666667
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.74,35.740833333,34.494166667
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,16.38,3.930625,3.08,3.56
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,24,227.83083333,32.995,24.86,25.444583333
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,104,105,610.99438095,78.49,59.281142857,53.452571429
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,213.54545455,38.76,27.627272727,27.067272727
1023000619,HUBBARD,DANIEL,L,MD,M,I,221 E HAMPDEN AVE,,ENGLEWOOD,CO,801132620,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,285.6,38.76,29.521714286,28.817714286
1023000635,KIRBY,KARI,,CRNP,F,I,94 MEDICAL CIR,,MOULTON,AL,356501256,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,34,44.207941176,8.32,5.1791176471,5.1791176471
1023000635,KIRBY,KARI,,CRNP,F,I,94 MEDICAL CIR,,MOULTON,AL,356501256,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,48.323333333,26.9175,26.4225
1023000635,KIRBY,KARI,,CRNP,F,I,94 MEDICAL CIR,,MOULTON,AL,356501256,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,23,86.31,17.29,13.55,13.53
1023000635,KIRBY,KARI,,CRNP,F,I,94 MEDICAL CIR,,MOULTON,AL,356501256,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,519.51,70.23,47.8865,47.5805
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,56,140,59.8715,8.32,5.272,5.272
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,18,9.8038888889,1.42,0.9288888889,0.9288888889
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,108.75538462,40.64,30.76,29.353846154
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,240.28727273,91.544545455,59.591818182,55.551818182
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,27,118.69555556,33.837777778,25.383333333,24.755185185
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,20,20,183.875,61.1835,47.971,42.86
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,17,17,68.601176471,19.114117647,14.175882353,13.259411765
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,44.152666667,12.37,9.1213333333,8.554
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,27,146,10.339178082,2.115890411,1.5946575342,1.5268493151
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,82.450833333,17.25,13.52,13.538333333
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,207.892,40.23,29.973333333,23.376
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,29,376.97103448,86.756551724,68.01862069,56.126551724
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,33.793333333,10.993333333,7.87,5.8166666667
1023000643,BEHRMANN,PAUL,J,M.D.,M,I,108 PROMINENCE CT,SUITE 200,DAWSONVILLE,GA,305346339,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,90.315789474,33,21.785263158,21.785263158
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,56,73.240178571,8.32,6.0551785714,6.0551785714
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.19,1.99,1.40125,1.05
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,62.895714286,19.487142857,15.275714286,13.578571429
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,49.1935,6.372,4.9915,4.0615
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,80,82,391.66012195,85.41902439,62.682195122,51.939268293
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,4725,0.17,0.0461904762,0.0291957672,0.0291957672
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,2183,1.2897709574,0.1320293175,0.0973202016,0.0973202016
1023000668,PATEL,INDU,B,MD,F,I,7105 METROPOLITAN BLVD,,BARNHART,MO,630121495,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,105.79411765,33,22.065588235,22.065588235
1023000676,FAULK,KELLIE,A,M.D.,F,I,1400 WESTGATE CENTER DRIVE,SUITE 130,WINSTON SALEM,NC,271033104,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,24,71,267,61.728277154,8.32,6.1317228464,6.1317228464
1023000676,FAULK,KELLIE,A,M.D.,F,I,1400 WESTGATE CENTER DRIVE,SUITE 130,WINSTON SALEM,NC,271033104,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,25,51,14.798235294,1.42,1.0698039216,1.0698039216
1023000676,FAULK,KELLIE,A,M.D.,F,I,1400 WESTGATE CENTER DRIVE,SUITE 130,WINSTON SALEM,NC,271033104,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,41,41,275.07926829,250.92097561,196.72170732,196.8697561
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,16,32.51625,14.18,10.416875,12.285
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,3450,0.3262608696,0.13,0.1010463768,0.1010463768
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,41,18.808292683,13.8,7.3353658537,7.3353658537
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,450,3.0206666667,2.27,1.6821777778,1.6821777778
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,31,162,20346,5.6432301189,1.8349542908,1.3821124545,1.5296878993
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,53,7150,10.501678322,7.183006993,5.5617048951,5.5939440559
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,11,45,102,15.740980392,9.6525490196,7.0468627451,7.9599019608
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,,44,124,12.764919355,7.46,5.7075,5.7075
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,480,18.838395833,9.8329166667,7.7089375,7.7154583333
1023000684,SCHMIDT,MARK,A,M.D.,M,I,1234 FRANKLIN RD SW,,ROANOKE,VA,240164606,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,460,6.718826087,4.0339130435,2.9640869565,2.9688043478
1023000783,DAITCH,JAY,M,M.D.,M,I,20206 FARMINGTON RD,,LIVONIA,MI,481521412,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,34,89,234,59.064444444,8.32,6.1554700855,6.1554700855
1023000783,DAITCH,JAY,M,M.D.,M,I,20206 FARMINGTON RD,,LIVONIA,MI,481521412,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.8,3.38,2.65,2.65
1023000783,DAITCH,JAY,M,M.D.,M,I,20206 FARMINGTON RD,,LIVONIA,MI,481521412,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,20,44,48,14.307291667,1.42,1.0720833333,1.0720833333
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,1080,3,0.12,0.094,0.094
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1680,0.103125,0.103125,0.073172619,0.3435297619
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,90,71.56,54.198055556,54.1975
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,84,50,43.56,34.151666667,34.15
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,26,27,960,40,34.86,27.330291667,27.330291667
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,24,25,870,2.9655172414,2.3862068966,1.8708390805,1.8816551724
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1070,0.8332149533,0.13,0.0923831776,0.0923831776
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,23,24,840,10,1.97,1.5443690476,1.5443690476
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,20,110,72.45,56.8,63.1
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,26,470,470,368.48,390.96
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,26,495,356.34,279.37,310.41
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,26,125,78.81,61.79,68.66
1023000833,POLANSKY,ERIC,J,DPM,M,I,1000 MICHIGAN ST,,SIDNEY,OH,453652404,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,199,162.87,127.69,126.61923077
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,34,125,243,56.066213992,8.32,5.5697119342,5.5697119342
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,31,32,13.329375,1.42,1.049375,1.049375
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,8.865,1.7864285714,1.3160714286,1.0682142857
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,64,9.9459375,2.07875,1.5803125,1.54296875
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,94.034166667,18,13.4045,12.901
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,50.118181818,3.8304545455,3.0013636364,3.6345454545
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,70,543.607,79.99,60.520571429,53.452571429
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,4015,0.304366127,0.0460672478,0.0355417186,0.0355417186
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,14,64,7050,1.4043347518,0.1351262411,0.0958851064,0.0958851064
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,22,67.494090909,23.093181818,17.553636364,13.674545455
1023000908,MCCRACKEN,BOYD,A,M.D.,M,I,201 HEALTH CARE DR,,GREENVILLE,IL,622461155,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,18,84,84,70.714285714,33,24.022142857,24.022142857
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,32,97,303,77.565379538,8.32,5.5692409241,5.5692409241
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.58,3.38,1.9875,1.9875
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,18,44,76,15.492236842,1.42,0.9680263158,0.9680263158
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,68,92.043529412,17.88,13.914558824,14.322647059
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,270.07142857,55.05,43.16,42.924285714
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,75.64,10.813636364,8.4736363636,8.9045454545
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,86,9.3551162791,1.9506976744,1.5303488372,1.5747674419
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,29,103.96551724,33.010344828,24.324482759,18.126551724
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,492.39916667,31.89,23.005833333,22.42625
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,29,542.48275862,79.98,57.960689655,51.08137931
1023001047,BRAND,THOMAS,R,M.D.,M,I,3119 S CLEMENT AVE,,BAYVIEW,WI,532072835,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,90.75,33,21.528333333,21.528333333
1023001088,DALTON,JULIE,L,NP,F,I,16 PAULORNETTE CIR,,ANDOVER,MA,018102838,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,14.009818182,7,5.0853636364,5.0853636364
1023001088,DALTON,JULIE,L,NP,F,I,16 PAULORNETTE CIR,,ANDOVER,MA,018102838,US,Nurse Practitioner,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,8.0883636364,4.04,2.8790909091,2.8790909091
1023001088,DALTON,JULIE,L,NP,F,I,16 PAULORNETTE CIR,,ANDOVER,MA,018102838,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.5578181818,0.27,0.2116,0.2116
1023001088,DALTON,JULIE,L,NP,F,I,16 PAULORNETTE CIR,,ANDOVER,MA,018102838,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.16,3.2236363636,2.5254545455,3.4927272727
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,34,105,300,62.637433333,8.32,5.7915666667,5.7915666667
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,15.28,3.38,2.438,2.438
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,24.75,2.12,1.67,1.67
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,46,72,15.346527778,1.42,1.0222222222,1.0222222222
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,43,60.520232558,18.159302326,12.135581395,11.480930233
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,1336.6523077,1074.31,831.22384615,831.22384615
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,16,81.75,12.44625,9.761875,9.821875
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,44,41.286818182,4.4290909091,2.6063636364,2.8745454545
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,16,257.82,34.565,27.1,27.2325
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,91,92,400.36217391,82.929565217,58.123152174,48.713369565
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,235.9375,40.595,29.9025,27.671875
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,28,4487,0.4362981948,0.0456318253,0.0346668152,0.0346668152
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,3077,1.8487162821,0.1350081248,0.100558986,0.100558986
1023001138,WALLACE,JANET,N,MD,F,I,2900 1ST AVE,OPC SUITE 30,HUNTINGTON,WV,25702,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,46,46,56.673913043,33,24.182826087,24.182826087
1023001245,MULLEN,GREGORY,,MD,M,I,1290 UPPER FRONT ST,,BINGHAMTON,NY,139011043,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,34,73,75.536575342,8.32,5.8963013699,5.8963013699
1023001245,MULLEN,GREGORY,,MD,M,I,1290 UPPER FRONT ST,,BINGHAMTON,NY,139011043,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,185,49.04875,38.45125,39.566875
1023001245,MULLEN,GREGORY,,MD,M,I,1290 UPPER FRONT ST,,BINGHAMTON,NY,139011043,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,395.52833333,67.72,46.4625,47.92375
1023001245,MULLEN,GREGORY,,MD,M,I,1290 UPPER FRONT ST,,BINGHAMTON,NY,139011043,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,16,56.95,38.72,28.02875,27.34625
1023001245,MULLEN,GREGORY,,MD,M,I,1290 UPPER FRONT ST,,BINGHAMTON,NY,139011043,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,747,0.2555421687,0.0461311914,0.0361579652,0.0361579652
1023001245,MULLEN,GREGORY,,MD,M,I,1290 UPPER FRONT ST,,BINGHAMTON,NY,139011043,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,99,33,25.87,25.87
1023001468,BINDAL,AJAY,K,MD,M,I,7737 SOUTHWEST FWY,230,HOUSTON,TX,770741807,US,Physician/Neurosurgery,S,L0486,"Tlso, triplanar control, two piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,13,2552.3846154,1786.8184615,1394.3438462,1452.5584615
1023001484,NORMAN,SOENDA,P,MD,F,I,10211 ALM ST,SUITE 1200,RALEIGH,NC,276178221,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,35,80.534,8.32,6.5234285714,6.5234285714
1023001492,GIANNONE,LOUIS,S,D.P.M.,M,I,411 COMMERCIAL CT,UNIT G,VENICE,FL,342921650,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,71.56,71.56,52.988055556,52.988055556
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,76,226,449,87.816592428,8.2864587973,5.844454343,5.8458797327
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,14,29,29,15.689655172,3.38,2.5586206897,2.5586206897
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,23.264117647,2.12,1.67,1.67
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,39,71,98,43.249285714,1.4186734694,1.081122449,1.0821428571
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.9705714286,2.27,1.5614805195,1.5614805195
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,164.805,48.545,34.828333333,27.8
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,412.81692308,119.68538462,91.961538462,65.974615385
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,33,176.42666667,44.156969697,34.61969697,25.918181818
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,294.97571429,79.562857143,61.547142857,42.031428571
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,85.447777778,24.451111111,19.167222222,14.06
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,23,130,11.989846154,3.0686153846,2.3241538462,1.5279230769
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,58.552727273,16.06,12.586363636,10.34
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,683,19.887847731,4.1889458272,3.1687115666,2.656954612
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2562,6.5040983607,1.2849375488,0.9727400468,0.9727400468
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,9534,2.5423725614,0.4815229704,0.3707258234,0.2832903293
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,35,35,232.28571429,74.686,58.240857143,39.293428571
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,45,71,86.015070423,22.109859155,16.702394366,14.478028169
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,42.612941176,6.5711764706,5.1517647059,4.7882352941
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.8,12.481666667,9.7891666667,7.98
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,72,99,519.51,100.44868687,77.002121212,61.107575758
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2510,0.380940239,0.0457968127,0.0337211155,0.0337211155
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,34,35,127.6,26.846857143,19.95,14.102571429
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,30.677419355,11.826451613,9.2709677419,6.8961290323
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,602.45,189.265,136.42583333,100.64416667
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,605.36636364,218.90787879,164.47242424,111.76878788
1023001500,LANE,ROBERT,E,MD,M,I,600 S CHURCH ST,,HERTFORD,NC,279441205,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,53.625,33,24.792083333,24.792083333
1023001518,KYNCL,JOHN,A,MD,M,I,700 S LEWIS AVE,#210,WAUKEGAN,IL,600856100,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,40,118,74.563220339,8.32,5.6927118644,5.6927118644
1023001518,KYNCL,JOHN,A,MD,M,I,700 S LEWIS AVE,#210,WAUKEGAN,IL,600856100,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,20,34,15.770588235,1.42,0.9761764706,0.9761764706
1023001518,KYNCL,JOHN,A,MD,M,I,700 S LEWIS AVE,#210,WAUKEGAN,IL,600856100,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,49,62.350204082,17.5,13.44,13.300408163
1023001518,KYNCL,JOHN,A,MD,M,I,700 S LEWIS AVE,#210,WAUKEGAN,IL,600856100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,57,60,346.18666667,78.09,60.199666667,55.656666667
1023001518,KYNCL,JOHN,A,MD,M,I,700 S LEWIS AVE,#210,WAUKEGAN,IL,600856100,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,4764,0.1537279597,0.0457241814,0.0339252729,0.0339252729
1023001518,KYNCL,JOHN,A,MD,M,I,700 S LEWIS AVE,#210,WAUKEGAN,IL,600856100,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,94.285714286,33,24.638095238,24.638095238
1023001542,SORCE,TRACY,B,MD,F,I,259 E ERIE ST,STE 2230,CHICAGO,IL,606112987,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,636.2,224.18909091,175.76272727,171.00909091
1023001559,CUNNINGHAM,SEAN,D,M.D.,M,I,1215 PLEASANT ST,STE 206,DES MOINES,IA,50309,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,33,73,206,69.002330097,8.32,5.7625242718,5.7625242718
1023001559,CUNNINGHAM,SEAN,D,M.D.,M,I,1215 PLEASANT ST,STE 206,DES MOINES,IA,50309,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,17,25,15.3924,1.42,1.0272,1.0272
1023001559,CUNNINGHAM,SEAN,D,M.D.,M,I,1215 PLEASANT ST,STE 206,DES MOINES,IA,50309,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,190,61.772352941,45.654705882,40.363529412
1023001559,CUNNINGHAM,SEAN,D,M.D.,M,I,1215 PLEASANT ST,STE 206,DES MOINES,IA,50309,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,83.4375,20.345625,15.94625,14.0875
1023001559,CUNNINGHAM,SEAN,D,M.D.,M,I,1215 PLEASANT ST,STE 206,DES MOINES,IA,50309,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,16,96,11.875,2.33875,1.8335416667,1.5901041667
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,71,27.843380282,8.32,6.5226760563,6.5226760563
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,65.44,11.534545455,8.1545454545,6.2545454545
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,22.97,16.585714286,12.241428571
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,60.513636364,47.441818182,47.441818182
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1035.61,804.945,835.285
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,210.23227273,48.834090909,31.761818182,18.478636364
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,599.83333333,109.93333333,83.649411765,53.875294118
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1023001591,JENKINS,DARLENE,G,CFNP,F,I,546 NORTH 10TH ST.,,FORT SUMNER,NM,88119,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,110,33,22.995555556,22.995555556
1023001633,BEAGLE,LINDA,K,ARNP,F,I,300 S HYDE PARK AVE,STE 210,TAMPA,FL,336064125,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,23,63.373913043,8.32,5.9543478261,5.9543478261
1023001633,BEAGLE,LINDA,K,ARNP,F,I,300 S HYDE PARK AVE,STE 210,TAMPA,FL,336064125,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,93.333333333,11.062,8.672,8.6786666667
1023001633,BEAGLE,LINDA,K,ARNP,F,I,300 S HYDE PARK AVE,STE 210,TAMPA,FL,336064125,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.88,57.401666667,50.16
1023001633,BEAGLE,LINDA,K,ARNP,F,I,300 S HYDE PARK AVE,STE 210,TAMPA,FL,336064125,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,78.392857143,21.320952381,15.307619048,13.638571429
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,25,62,57.041774194,8.32,5.3640322581,5.3640322581
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,200,7.6155,5.54,4.2037,4.2037
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,3.922,1.95,1.3898484848,1.3898484848
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,26,26,65.961538462,48.693461538,38.176923077,30.935384615
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,27,27,277.77925926,120.14666667,88.614814815,62.832962963
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,27,80,86.074,45.23825,34.212625,24.6635
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,172.62833333,76.754444444,57.556111111,41.901666667
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,25,25,56.8572,25.3708,18.64,12.9352
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,59.816,21.651,15.966,8.208
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,46,262,7.5746564885,3.1602290076,2.3427862595,1.5260687023
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,33.546,15.615333333,12.238666667,10.34
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,449.05,126.50090909,86.841818182,61.473636364
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,174.08294118,49.533529412,38.071764706,25.138823529
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,550,103.372,70.526,53.7212
1023001724,SHEPPARD,RONALD,J,MD,M,I,213 E KIMBALL ST,,CALLAWAY,NE,688252589,US,Physician/General Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1200,15.8365,10.9652,8.5043583333,8.5043583333
1023001807,MONTEIRO,ROBERT,W,MD,M,I,315 MEADOWMONT VILLAGE CIR,,CHAPEL HILL,NC,275177583,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,171.27454545,58.64,37.611818182,35.067272727
1023001864,PHAM,THUY,Q,M.D,M,I,6000 N FIGUEROA ST,,LOS ANGELES,CA,900424232,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,34,90,187,70.090855615,8.32,4.1397860963,4.1397860963
1023001864,PHAM,THUY,Q,M.D,M,I,6000 N FIGUEROA ST,,LOS ANGELES,CA,900424232,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,28,64,75,17.022133333,1.42,0.7302666667,0.7302666667
1023001864,PHAM,THUY,Q,M.D,M,I,6000 N FIGUEROA ST,,LOS ANGELES,CA,900424232,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,67.12,24.864,19.492,14.844
1023001880,SMITH,THOMAS,J,MD,M,I,1762 NW 56TH ST,,SEATTLE,WA,981075218,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,37,65.128918919,8.32,5.4654054054,5.4654054054
1023001880,SMITH,THOMAS,J,MD,M,I,1762 NW 56TH ST,,SEATTLE,WA,981075218,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,18.491428571,10.507142857,8.2357142857,8.4992857143
1023001880,SMITH,THOMAS,J,MD,M,I,1762 NW 56TH ST,,SEATTLE,WA,981075218,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,16,30.4025,9.9275,7.7825,7.869375
1023001880,SMITH,THOMAS,J,MD,M,I,1762 NW 56TH ST,,SEATTLE,WA,981075218,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,327.53142857,209.24,146.235,146.235
1023001880,SMITH,THOMAS,J,MD,M,I,1762 NW 56TH ST,,SEATTLE,WA,981075218,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.833333333,28.975,20.324166667,18.850833333
1023001880,SMITH,THOMAS,J,MD,M,I,1762 NW 56TH ST,,SEATTLE,WA,981075218,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,33.13,8.645,6.7783333333,6.5233333333
1023002003,AXLINE,DAVID,R,M.D.,M,I,399 9TH ST N,300,NAPLES,FL,341025820,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,44,17.29,12.420833333,12.4025
1023002003,AXLINE,DAVID,R,M.D.,M,I,399 9TH ST N,300,NAPLES,FL,341025820,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,247.14285714,70.23,51.127142857,50.86
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,36,95,61.315368421,8.32,6.0413684211,6.0413684211
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,42,60.867857143,19.972142857,15.302380952,14.210952381
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,19,232.35,50,31.709473684,30.470526316
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,13,50.73,6.2853846154,4.9276923077,3.9884615385
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,32.975,21.088333333,20.131666667
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,49,377.44469388,90.110612245,69.427346939,65.327755102
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6092307692,7.3497051282,7.3497051282
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9101538462,2.2815769231,2.2815769231
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,390,0.75,0.2197692308,0.1723333333,0.1723333333
1023002011,COWAN,LARRY,I,D.O.,M,I,41 FOSTER DR,,THORNVILLE,OH,430768010,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,102.66666667,33,24.685925926,24.685925926
1023002052,ZUEHLKE,STEPHEN,,M.D.,M,I,289 PLEASANT ST,SUITE 301,FALL RIVER,MA,027213005,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,28,56.538928571,8.32,6.5246428571,6.5246428571
1023002052,ZUEHLKE,STEPHEN,,M.D.,M,I,289 PLEASANT ST,SUITE 301,FALL RIVER,MA,027213005,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,26,519.51,78.27,61.37,57.028461538
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,61,147,53.872312925,8.32,5.8212244898,5.8212244898
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,12.949090909,3.38,2.65,2.65
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,32,46,11.836956522,1.42,1.0689130435,1.0689130435
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,144.29333333,17.63,12.839166667,12.585416667
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,121.81818182,31.5,24.7,23.38
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,474.95882353,79.787352941,55.992941176,49.449558824
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,77.45,36.5,26.018181818,26.929090909
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1320,1.198969697,0.1331363636,0.0919848485,0.0919848485
1023002144,GUROVA,ELENA,,M.D.,F,I,519 N MAIN ST,,CLEBURNE,TX,760333845,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,75.428571429,33,20.590714286,20.590714286
1023002151,HOUSE,MARIA,W,M.D.,F,I,1625 MEDICAL CENTER PT,SUITE 212,COLORADO SPRINGS,CO,809078731,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1025,0.8933170732,0.27,0.2116487805,0.2116487805
1023002169,MODEST,GEOFFREY,A,MD,M,I,500 COLUMBIA RD,,DORCHESTER,MA,021252322,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,35,66.559142857,8.32,5.9617142857,5.9617142857
1023002169,MODEST,GEOFFREY,A,MD,M,I,500 COLUMBIA RD,,DORCHESTER,MA,021252322,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,400,153.70416667,120.50666667,118.58583333
1023002177,JENKINS,JAMES,P,MD,M,I,115 PARK ST SE,SUITE 300,VIENNA,VA,221804653,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,42,92,70.779891304,8.32,6.2372826087,6.2372826087
1023002177,JENKINS,JAMES,P,MD,M,I,115 PARK ST SE,SUITE 300,VIENNA,VA,221804653,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,15.844666667,1.42,1.12,1.12
1023002250,CARTER,ADRIAN,L,D.O.,M,I,802 E OAK ST,,FORT BRANCH,IN,476481666,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,17.603225806,7.7283870968,6.0583870968,3.875483871
1023002292,ROMERO,ALBERTO,J,"M.D,",M,I,4343 FAIRMONT PKWY,,PASADENA,TX,775043305,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,43,120,69.346,8.32,6.1953333333,6.1953333333
1023002292,ROMERO,ALBERTO,J,"M.D,",M,I,4343 FAIRMONT PKWY,,PASADENA,TX,775043305,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.19,3.38,2.65,2.65
1023002292,ROMERO,ALBERTO,J,"M.D,",M,I,4343 FAIRMONT PKWY,,PASADENA,TX,775043305,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,22,40,16.577,1.42,1.058,1.058
1023002342,RAJAN,RAJESWARI,,MD,F,I,250 BLOSSOM ST,STE 400,WEBSTER,TX,775984204,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,59,197,65.66786802,8.32,6.1364974619,6.1364974619
1023002342,RAJAN,RAJESWARI,,MD,F,I,250 BLOSSOM ST,STE 400,WEBSTER,TX,775984204,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,10.027272727,3.38,2.4090909091,2.4090909091
1023002342,RAJAN,RAJESWARI,,MD,F,I,250 BLOSSOM ST,STE 400,WEBSTER,TX,775984204,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,26,51,13.201764706,1.42,1.0474509804,1.0474509804
1023002342,RAJAN,RAJESWARI,,MD,F,I,250 BLOSSOM ST,STE 400,WEBSTER,TX,775984204,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.8281818182,3.0009090909,3.5336363636
1023002342,RAJAN,RAJESWARI,,MD,F,I,250 BLOSSOM ST,STE 400,WEBSTER,TX,775984204,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,0.9974930556,0.14075,0.1103680556,0.1103680556
1023002342,RAJAN,RAJESWARI,,MD,F,I,250 BLOSSOM ST,STE 400,WEBSTER,TX,775984204,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,25.87,25.87
1023002383,KRUCKMEYER,WARREN,G,MD,M,I,224 BROWN ST,,WAUCONDA,IL,600841747,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,58,148,71.890472973,8.32,5.992972973,5.992972973
1023002383,KRUCKMEYER,WARREN,G,MD,M,I,224 BROWN ST,,WAUCONDA,IL,600841747,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,28,40,16.51825,1.42,1.0875,1.0875
1023002383,KRUCKMEYER,WARREN,G,MD,M,I,224 BROWN ST,,WAUCONDA,IL,600841747,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,22,529.59636364,87.694545455,63.477727273,49.754545455
1023002383,KRUCKMEYER,WARREN,G,MD,M,I,224 BROWN ST,,WAUCONDA,IL,600841747,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,4349,0.1733708899,0.0463439871,0.0337916762,0.0337916762
1023002383,KRUCKMEYER,WARREN,G,MD,M,I,224 BROWN ST,,WAUCONDA,IL,600841747,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,531,1.2332768362,0.2193220339,0.1623352166,0.1623352166
1023002383,KRUCKMEYER,WARREN,G,MD,M,I,224 BROWN ST,,WAUCONDA,IL,600841747,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,119.625,33,24.253125,24.253125
1023002466,CLARKE,ERIC,P,MD,M,I,2707 CITICO AVENUE,,CHATTANOOGA,TN,374063402,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,13,67.635384615,53.2,41.71,45.635384615
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,11,29,368,36.010815217,19.633342391,14.840326087,14.840326087
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,29,850,9.6790588235,2.6315294118,1.9169411765,1.9169411765
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,46,67,190,899,62.574705228,8.32,5.9888209121,5.9888209121
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,27,27,14.876296296,3.38,2.65,2.65
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,14,14,22.752857143,2.12,1.67,1.67
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,25,48,132,15.082272727,1.42,1.0118939394,1.0118939394
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,519.45518519,354.1,276.56185185,276.56185185
1023002565,ABRAHAM,MINI,R,M.D.,F,I,10550 QUIVIRA RD,SUITE 530,OVERLAND PARK,KS,662152306,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2180,16.290619266,10.757229358,8.4044036697,8.4044036697
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,24,59,165,69.769333333,8.32,5.8686666667,5.8686666667
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,44,8.1811363636,1.42,1.0388636364,1.0388636364
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,198.85909091,54.47,38.827272727,38.967272727
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,53,9.5775471698,2.01,1.22,1.2369811321
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,12,176.66666667,64,50.18,48.94
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,9.4681818182,7.4181818182,7.0890909091
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,41,68.61804878,17.29,12.88902439,12.870487805
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,43.406428571,12.603571429,8.3621428571,8.2478571429
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,130.5,4.67,3.6625,3.66
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,165.94,32.448,22.26,21.85
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,60,64,355.8903125,70.23,50.7796875,50.47171875
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,121.57894737,37.44,29.35,29.501578947
1023002615,CUMMINGS,DAVID,A,DO,M,I,4079 ELECTRIC RD,,ROANOKE,VA,240144142,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3606,0.2729839157,0.0458069884,0.0359151414,0.0359151414
1023002714,TARIGOPULA,LEENA,,MD,F,I,3400 OLENTANGY RIVER RD,,COLUMBUS,OH,432021523,US,Physician/Gastroenterology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,210,10.599190476,9.86,7.3432380952,7.3432380952
1023002730,HAVILAND-FOLEY,DOLORES,J,MD,F,I,101 ST. JOSEPH'S CANDLER DRIVE,SUITE 200,POOLER,GA,31322,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,31,98,74.418979592,8.32,5.9236734694,5.9236734694
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,11,143,49.457062937,19.653636364,15.408111888,15.408111888
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,386,6.7919170984,2.6337823834,2.0648186528,2.0648186528
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,37,120,396,71.448762626,8.32,6.3580555556,6.3580555556
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,45,10.041555556,1.42,1.0895555556,1.0895555556
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,115.735,39.625,25.28375,24.881875
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,60,90.852166667,19.056666667,13.2665,12.877833333
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,197.07,55.083529412,37.916470588,37.644705882
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,102,9.2758823529,2.0741176471,1.5296078431,1.5007843137
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,160.65230769,35.895384615,28.14,28.355384615
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,687.46,318.69,237.31785714,237.31785714
1023002813,COHEN,MITCHELL,E,M.D.,M,I,2080 CENTURY PARK E,SUITE 1609,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,63,63,250.98,250.98,194.8331746,194.93492063
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,29,72,195,58.782717949,8.3007179487,6.208,6.2230769231
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,13.595,3.38,2.484375,2.484375
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,38,47,13.751489362,1.42,1.0446808511,1.0446808511
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,134,39.904375,29.3925,28.60625
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,221.3625,89.67625,70.181875,67.719375
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,39,88.879487179,33.773846154,26.48,25.918461538
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,55,45,18.270909091,14.324727273,14.552545455
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,126.77181818,54.675454545,41.490454545,41.478636364
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,24,24,47.532083333,17.977916667,13.524166667,13.495833333
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,42.532352941,11.501764706,9.0235294118,9.1152941176
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,38,204,6.5858823529,2.1026470588,1.6005882353,1.5455392157
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,280,84.63,59.5475,59.829166667
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,61,61,130.16393443,34.673278689,26.800491803,24.399508197
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,37,333.73891892,68.78,47.85972973,48.682702703
1023002888,JONES,CHARLES,M,MD,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,241,36.83,27.0895,27.737
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,45,146,342,74.739444444,8.32,5.702748538,5.702748538
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,30,64,81,15.815679012,1.42,0.9504938272,0.9504938272
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,22,7.9736363636,1.4768181818,1.1559090909,1.1559090909
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,5.6492857143,1.2857142857,1.005,0.9678571429
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,160.3475,57.556666667,45.128333333,42.8475
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,49.329166667,18.739166667,14.685,14.055833333
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,50.21,12.977272727,10.176363636,9.12
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,72,9.3008333333,2.0216666667,1.5856944444,1.5926388889
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,335,8.2939104478,3.08,2.4145671642,2.3675223881
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4756,0.7539970563,0.31,0.2430466779,0.2430466779
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,84.432272727,17.29,12.318181818,12.300909091
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,24,40.70625,6.12375,4.8004166667,4.7991666667
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,121.85714286,34.041428571,25.563571429,25.065714286
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,91.12,47.323636364,34.849090909,34.279090909
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,46,434.62347826,70.23,49.210217391,48.907391304
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,239.09090909,37.44,26.681818182,26.830909091
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,5923,0.2136130339,0.046189431,0.0329512072,0.0329512072
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,532.7064,148.8136,116.6732,114.8828
1023002912,LASZEWSKI,MARZENA,T,MD,F,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,127.05,33,24.5765,24.5765
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,134,281,19071,0.3075947774,0.12,0.0940637617,0.0940637617
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,43,3264,0.5746936275,0.44,0.3449877451,0.3449877451
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,204,28.400588235,23.66,18.549411765,18.549411765
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,26,40,1278,10.431611894,8.28,6.4915336463,6.4915336463
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,20,30,1060,22.809028302,18.5,14.503990566,14.503990566
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6206,"Contact layer, sterile, 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,23,124,5.3564516129,4.3820967742,3.4358870968,3.4358870968
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,92,10.024130435,8.26,6.4756521739,6.4756521739
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,29,358,10.490726257,8.41,6.5177374302,6.5177374302
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,23,314,27.69910828,22.42,17.577484076,17.577484076
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,32,42,603,13.275008292,10.93,8.5689883914,8.5689883914
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,51,94,3338,3.012330737,2.4,1.8713541043,1.8713541043
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,11,426,6.9552112676,5.28,4.1395539906,4.1395539906
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6242,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,44,53,925,8.3727675676,6.82,5.3469513514,5.3469513514
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,28,1021,4.4344368266,3.67,2.8042899119,2.8042899119
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,15,16,694,2.5314121037,2.16,1.6934149856,1.6934149856
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,140,294,27162,0.3022244312,0.13,0.1017123187,0.1017123187
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,25,35,3029,0.5416309013,0.36,0.2822152526,0.2822152526
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,81,173,17770,0.6560551491,0.45,0.352809229,0.352809229
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,45,74,7298,2.4649904083,1.97,1.5256741573,1.5256741573
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,21,29,37,116.73891892,95.87,75.165675676,75.165675676
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,,16,223,86.596008969,26.380089686,20.681883408,19.312376682
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,114,50.305,8.8998245614,6.9776315789,6.4852631579
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,64.41,50.497272727,39.446363636
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,715.08525,272.69475,211.1665,139.30425
1023002979,MULLER,PETER,,MD,M,I,244 SMITH CHURCH RD,BUILDING 5,ROANOKE RAPIDS,NC,278704956,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,4705.5,975.606875,764.87625,556.176875
1023002987,PERVEZ,ARSHAD,,M.D.,M,I,2333 BIDDLE AVE,,WYANDOTTE,MI,481924668,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,31,110,232,204.43698276,8.32,5.9879310345,5.9879310345
1023002987,PERVEZ,ARSHAD,,M.D.,M,I,2333 BIDDLE AVE,,WYANDOTTE,MI,481924668,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,45,62,27.630645161,1.42,0.9719354839,0.9719354839
1023002987,PERVEZ,ARSHAD,,M.D.,M,I,2333 BIDDLE AVE,,WYANDOTTE,MI,481924668,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,47.39,33.772727273,34.22
1023002987,PERVEZ,ARSHAD,,M.D.,M,I,2333 BIDDLE AVE,,WYANDOTTE,MI,481924668,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,317.12846154,79.88,54.523076923,47.230769231
1023002987,PERVEZ,ARSHAD,,M.D.,M,I,2333 BIDDLE AVE,,WYANDOTTE,MI,481924668,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2540,1.144507874,0.0464685039,0.027496063,0.027496063
1023002987,PERVEZ,ARSHAD,,M.D.,M,I,2333 BIDDLE AVE,,WYANDOTTE,MI,481924668,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,33,33,22.63625,22.63625
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,60,122,59.092622951,8.32,5.4531147541,5.4531147541
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,25,36,16.888055556,1.42,0.9305555556,0.9305555556
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,13,25,7.0308,1.6956,0.8944,0.7824
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,79.7325,19.2025,13.920833333,13.9075
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,49.65,6.437,3.682,2.384
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,461.96846154,82.514615385,55.859230769,55.65
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,4655,0.2471987111,0.0471256713,0.028481203,0.028481203
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,4680,1.6843226496,0.134025641,0.0903376068,0.0903376068
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,570,13.76822807,3.0653684211,2.216122807,2.216122807
1023003019,JOHNSTON,LARRY,R,M.D.,M,I,3442 US HIGHWAY 431,,ALBERTVILLE,AL,359500203,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,53,53,76.086792453,33,22.144716981,22.144716981
1023003027,MORELLI,DANIEL,J,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,56,66.776785714,8.32,5.5903571429,5.5903571429
1023003027,MORELLI,DANIEL,J,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,73.77625,17,11.83875,12.035833333
1023003027,MORELLI,DANIEL,J,MD,M,I,850 HOPKINS RD,,WILLIAMSVILLE,NY,142211729,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,28,400.19214286,77.18,54.026785714,49.684285714
1023003084,SCHANZER,HARRIET,,MD,F,I,6439 IRON BRIDGE RD,,RICHMOND,VA,232345205,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,33,94,253,69.276442688,8.32,5.5284980237,5.5284980237
1023003084,SCHANZER,HARRIET,,MD,F,I,6439 IRON BRIDGE RD,,RICHMOND,VA,232345205,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.927692308,3.38,2.2423076923,2.2423076923
1023003084,SCHANZER,HARRIET,,MD,F,I,6439 IRON BRIDGE RD,,RICHMOND,VA,232345205,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,33,40,14.3255,1.42,1.0325,1.0325
1023003084,SCHANZER,HARRIET,,MD,F,I,6439 IRON BRIDGE RD,,RICHMOND,VA,232345205,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,116.64,43.632727273,34.204545455,37.095454545
1023003084,SCHANZER,HARRIET,,MD,F,I,6439 IRON BRIDGE RD,,RICHMOND,VA,232345205,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,28.4,4.2433333333,2.9833333333,3.2041666667
1023003084,SCHANZER,HARRIET,,MD,F,I,6439 IRON BRIDGE RD,,RICHMOND,VA,232345205,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,131.00833333,64.724166667,48.2,36.380833333
1023003100,RODRIGUES,RANDI-ANN,,D.O.,F,I,8000 RED BUG LAKE RD,SUITE 200,OVIEDO,FL,327659226,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,39,130,74.467461538,8.32,5.9202307692,5.9202307692
1023003100,RODRIGUES,RANDI-ANN,,D.O.,F,I,8000 RED BUG LAKE RD,SUITE 200,OVIEDO,FL,327659226,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,33,16.507878788,1.42,1.0775757576,1.0775757576
1023003100,RODRIGUES,RANDI-ANN,,D.O.,F,I,8000 RED BUG LAKE RD,SUITE 200,OVIEDO,FL,327659226,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,57,8.5378947368,2,1.5684210526,1.591754386
1023003100,RODRIGUES,RANDI-ANN,,D.O.,F,I,8000 RED BUG LAKE RD,SUITE 200,OVIEDO,FL,327659226,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,32,48.75,11.32625,8.88625,8.5475
1023003134,DARRELL,THOMAS,C,M.D.,M,I,431 N JUDD PKWY NE,,FUQUAY VARINA,NC,275262374,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,35,109,54.660917431,8.2944954128,6.0424770642,6.0624770642
1023003134,DARRELL,THOMAS,C,M.D.,M,I,431 N JUDD PKWY NE,,FUQUAY VARINA,NC,275262374,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,34,14.684117647,1.42,1.0805882353,1.0805882353
1023003134,DARRELL,THOMAS,C,M.D.,M,I,431 N JUDD PKWY NE,,FUQUAY VARINA,NC,275262374,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,33.638181818,4.0127272727,3.1418181818,3.6336363636
1023003142,ALMONY,GREGORY,T,MD,M,I,5405 S 500 E,SUITE #204,OGDEN,UT,844056957,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,7.1581818182,2.1290909091,1.515,1.4634848485
1023003142,ALMONY,GREGORY,T,MD,M,I,5405 S 500 E,SUITE #204,OGDEN,UT,844056957,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,17.91,14.04,13.54
1023003142,ALMONY,GREGORY,T,MD,M,I,5405 S 500 E,SUITE #204,OGDEN,UT,844056957,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,37,592.82918919,70.48,55.25,54.848918919
1023003258,STERK,TROY,M,D.O.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,72.445,65.434166667,51.300833333,37.188333333
1023003258,STERK,TROY,M,D.O.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,24,41.227083333,22.4775,17.620833333,15.710416667
1023003258,STERK,TROY,M,D.O.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,27,17.627407407,8.3103703704,6.5155555556,4.2651851852
1023003258,STERK,TROY,M,D.O.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,37,179.51621622,101.35243243,77.844864865,63.707567568
1023003258,STERK,TROY,M,D.O.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,68.046666667,44.745,35.0825,30.111666667
1023003258,STERK,TROY,M,D.O.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,34.732272727,23.444545455,16.852727273,12.305454545
1023003274,OU,WINNY,,MD,F,I,21 BRISTOL DR,,SOUTH EASTON,MA,023751100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,57,210,69.808714286,8.32,6.0879047619,6.0879047619
1023003274,OU,WINNY,,MD,F,I,21 BRISTOL DR,,SOUTH EASTON,MA,023751100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,38,13.260789474,1.42,1.055,1.055
1023003274,OU,WINNY,,MD,F,I,21 BRISTOL DR,,SOUTH EASTON,MA,023751100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,71.786,17,13.33,13.526
1023003274,OU,WINNY,,MD,F,I,21 BRISTOL DR,,SOUTH EASTON,MA,023751100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,466.69692308,78,58.798076923,53.365769231
1023003274,OU,WINNY,,MD,F,I,21 BRISTOL DR,,SOUTH EASTON,MA,023751100,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,2699,0.2180844757,0.048147462,0.0325416821,0.0325416821
1023003274,OU,WINNY,,MD,F,I,21 BRISTOL DR,,SOUTH EASTON,MA,023751100,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,147.69727273,38,27.081818182,26.878181818
1023003274,OU,WINNY,,MD,F,I,21 BRISTOL DR,,SOUTH EASTON,MA,023751100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,16,16,33,33,24.253125,24.253125
1023003290,CARTWRIGHT,MONT,J,MD,M,I,921 N MAIN ST,,KISSIMMEE,FL,347444570,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,29,30,80,58.86,44.611666667,49.262666667
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,62,61.552419355,8.32,5.3646774194,5.3646774194
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,28,28,91.408571429,39.36,22.333571429,22.069285714
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,303.90571429,86.88,56.025,55.792857143
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,25,102.256,33.2,22.5512,22.458
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,70,40.756285714,18.54,14.535714286,14.552
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,20,102,37.290980392,15.2,9.6349019608,9.6171568627
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,19,36,36,138.47444444,55.9,36.763055556,35.981666667
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,28,33,33,52.441818182,17.99,12.122424242,12.088787879
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,20,20,27.589,12.04,8.496,8.224
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,27,49,258,6.0694573643,2.04,1.3054651163,1.2997674419
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,15,15,12.801333333,5.95,4.3493333333,4.3406666667
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,26.929375,12.78,8.7675,9.0975
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,74.5075,19.3790625,12.95125,11.3546875
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,4.94375,4.098125,3.21125,3.665625
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,14,85,85,230.68517647,30.674705882,19.281176471,19.903764706
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,94,94,316.70659574,81.570212766,55.132978723,46.91606383
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1499,0.94754503,0.1350100067,0.0913075384,0.0913075384
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,277.46285714,250.915,196.71714286,196.86928571
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.76,27.8575,27.1975
1023003316,GIPSON,WILLIAM,T,M.D.,M,I,1420 W CANAL CT,STE 100,LITTLETON,CO,801205656,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,99,33,22.995555556,22.995555556
1023003332,QUALE,JOHN,M,M.D.,M,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,44,78.008181818,8.32,5.0413636364,5.0413636364
1023003332,QUALE,JOHN,M,M.D.,M,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,18,36.918888889,1.42,0.9944444444,0.9944444444
1023003399,BESSEY,PHYLLIS,C,NP,F,I,535 MAIN ST,,OLEAN,NY,147601513,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,41,81,74.793209877,8.32,5.7159259259,5.7159259259
1023003399,BESSEY,PHYLLIS,C,NP,F,I,535 MAIN ST,,OLEAN,NY,147601513,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,89,89,72.006292135,22.01011236,16.129325843,12.599438202
1023003399,BESSEY,PHYLLIS,C,NP,F,I,535 MAIN ST,,OLEAN,NY,147601513,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,24.12,8.5929411765,6.7341176471,3.7988235294
1023003399,BESSEY,PHYLLIS,C,NP,F,I,535 MAIN ST,,OLEAN,NY,147601513,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,107,107,393.01813084,100.85719626,73.199813084,50.237850467
1023003399,BESSEY,PHYLLIS,C,NP,F,I,535 MAIN ST,,OLEAN,NY,147601513,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3462,0.3441478914,0.046565569,0.0338619295,0.0338619295
1023003399,BESSEY,PHYLLIS,C,NP,F,I,535 MAIN ST,,OLEAN,NY,147601513,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,264,1.6301515152,0.2193939394,0.1487121212,0.1487121212
1023003399,BESSEY,PHYLLIS,C,NP,F,I,535 MAIN ST,,OLEAN,NY,147601513,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,62.7,33,21.233,21.233
1023003431,BIELTZ,JOHN,B,DO,M,I,510 MOUNT PLEASANT RD,,THOMSON,GA,308248139,US,Physician/Orthopedic Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.01,13.273333333,10.4075,8.7225
1023003431,BIELTZ,JOHN,B,DO,M,I,510 MOUNT PLEASANT RD,,THOMSON,GA,308248139,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,29.47,10.650909091,6.3109090909,4.48
1023003431,BIELTZ,JOHN,B,DO,M,I,510 MOUNT PLEASANT RD,,THOMSON,GA,308248139,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,27,28,29,147.28413793,117.06068966,90.610344828,99.8
1023003431,BIELTZ,JOHN,B,DO,M,I,510 MOUNT PLEASANT RD,,THOMSON,GA,308248139,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,20,68.229,53.2,41.71,45.654
1023003431,BIELTZ,JOHN,B,DO,M,I,510 MOUNT PLEASANT RD,,THOMSON,GA,308248139,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,319.73818182,266.98,209.31,216.27727273
1023003456,INCLAN,ALEJANDRO,A,MD,M,I,4724 N DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,38,2410,47.742323651,4.9544315353,3.8803817427,3.8803817427
1023003456,INCLAN,ALEJANDRO,A,MD,M,I,4724 N DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,42,60.721428571,42.52,33.336666667,30.752619048
1023003456,INCLAN,ALEJANDRO,A,MD,M,I,4724 N DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,23.636363636,23.636363636,18.534545455,18.534545455
1023003456,INCLAN,ALEJANDRO,A,MD,M,I,4724 N DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,16,16,12.54,12.54
1023003514,MCCARTHY-LAVISH,MICHELE,A,APRN,F,I,1223 GATEWAY DR,SUITE 2B,MELBOURNE,FL,329012607,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,269.91833333,79.8,57.346666667,50.821666667
1023003530,AKPUNONU,BASIL,E,M.D.,M,I,2100 W CENTRAL AVE FL 2,,TOLEDO,OH,436063800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,39,103,64.053106796,8.32,5.6350485437,5.6350485437
1023003530,AKPUNONU,BASIL,E,M.D.,M,I,2100 W CENTRAL AVE FL 2,,TOLEDO,OH,436063800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,326.572,76.33,59.842,54.73
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,71,233,61.484935622,8.32,6.1861802575,6.1861802575
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,16.333333333,3.38,2.65,2.65
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,35,57,16.221929825,1.42,1.0550877193,1.0550877193
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,97.176875,38.55,28.31375,28.55375
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,3.4915384615,1.47,1.15,1.15
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.24,0.97,0.9608333333
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,320.3325,86.33,64.083333333,64.243333333
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,29,146.43103448,33.48,26.248275862,25.918275862
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,32,158,59.937531646,18.78,14.507974684,14.344367089
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,61,38.673770492,15.12,11.854590164,11.893606557
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,19,43,43,168.32976744,54.47,40.950232558,41.094883721
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,33,33,55.633636364,17.88,13.160909091,13.21
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,34,34,60.504705882,11.54,8.9941176471,9.0644117647
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,25,52,299,8.4971906355,2.01,1.5615384615,1.5777257525
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,17.761538462,5.91,4.64,4.66
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,41.010909091,13.29,9.4727272727,9.4
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,80,17.29,12.836842105,12.817894737
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,22.133333333,4.502,3.3053333333,3.304
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,56,56,272.55428571,31.868571429,21.718928571,21.331964286
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,377.38545455,70.23,50.461363636,50.152272727
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1758,2.2498862344,0.13314562,0.1044141069,0.1044141069
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,79.52,27.53,18.497142857,17.108571429
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,607.6875,150.455,117.96,116.26
1023003589,RUSH,CHRISTOPHER,H,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,25.87,25.87
1023003605,JACKSON,ROBERT,J,M.D.,M,I,23961 CALLE DE LA MAGDALENA,504,LAGUNA HILLS,CA,926533616,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,5400,4396.4765,3446.8425,3446.8425
1023003605,JACKSON,ROBERT,J,M.D.,M,I,23961 CALLE DE LA MAGDALENA,504,LAGUNA HILLS,CA,926533616,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,1133.61,1133.61,888.75,886.5
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,31,60,60,92.346666667,37.278166667,27.759166667,29.002
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,21,41,7.8541463415,1.5,1.117804878,1.0953658537
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,36,78,78,207.78435897,90.992435897,66.293076923,63.038205128
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,28,59,142,71.73915493,35.311830986,26.278802817,24.552394366
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,20,42,187,44.381390374,19.390053476,14.408823529,13.808342246
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,17,32,141,30.955106383,15.924822695,11.268085106,10.718156028
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,38,74,74,131.01108108,56.933513514,42.564594595,40.882567568
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,66,85,85,41.689647059,17.393647059,13.632588235,14.047294118
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,23.630714286,10.4,8.15,8.15
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,44,82,82,45.920121951,12.888780488,9.9841463415,9.0147560976
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,72,147,720,6.864625,2.2384166667,1.7399166667,1.5815833333
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,29,38,38,18.082894737,6.12,4.8,4.6636842105
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,39,49,49,23.150204082,12.991428571,10.087755102,10.235102041
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,122,124,61.472419355,18.128629032,13.290967742,12.654758065
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,,32,32,105.3609375,52,35.67375,33.220625
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3605.1738462,1074.31,828.98307692,828.98307692
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,11,65,66,431.92636364,88.33030303,66.117272727,61.339090909
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1488.4,1012.4638462,793.77384615,793.77384615
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,305.43272727,142,111.33,104.7
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,22,55.07,14.2,11.097272727,10.446818182
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,33,33,53.406363636,6.4075757576,4.8824242424,3.5490909091
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,21,146,147,127.23034014,33.369727891,24.73,23.594897959
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,45,354,366,356.58978142,76.48,56.92,52.707295082
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,115,123,120.98780488,36.5,28.62,29.350813008
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1140,16.534526316,9.6939473684,7.4742017544,7.4742017544
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,33,8025,0.2445121495,0.0459725857,0.0339750779,0.0339750779
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,13,52,7199,1.4460369496,0.1355910543,0.1044172802,0.1044172802
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,55,3360,10.096752976,2.9386785714,2.2817767857,2.2817767857
1023003639,DUONG,HUY,X,DO,M,I,6100 HARRIS PKWY,SUITE 285,FORT WORTH,TX,761324127,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,93,93,71.951612903,33,25.035483871,25.035483871
1023003910,KRESHO,CHARLES,F,PA-C,M,I,810 W H SMITH BLVD,,GREENVILLE,NC,278343763,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,12,23,23,23,121.13173913,58.106086957,45.555217391,38.509565217
1023003910,KRESHO,CHARLES,F,PA-C,M,I,810 W H SMITH BLVD,,GREENVILLE,NC,278343763,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,11,22,22,22,123.56318182,66.359545455,52.024545455,41.872272727
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,54,181,407,73.891007371,8.32,5.897027027,5.897027027
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,10.766666667,3.38,2.65,2.65
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,38,81,101,15.043564356,1.42,1.0287128713,1.0287128713
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,368,34.86,34.86,27.330271739,27.330271739
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,655,8.28,8.28,6.4915572519,6.4915572519
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,600,18.5,18.5,14.264883333,14.264883333
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,12.435,2.01,1.464047619,1.4797619048
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,11200,0.8159142857,0.3796267857,0.2829803571,0.27719375
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,59,62,172.66564516,49.471935484,36.082903226,35.440483871
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,57.281290323,17.29,12.675806452,12.660967742
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,3465.05,1074.31,836.28208333,836.28208333
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,25,4.646,3.0426666667,3.0406666667
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,20,9.4353846154,7.3976923077,7.3053846154
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,49,390.94040816,70.23,52.812653061,52.542040816
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,13791,0.2915858168,0.0460735262,0.0353223117,0.0353223117
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,85,86,100,28.489651163,20.043488372,18.649418605
1023003993,MCKINLEY,MARY,E,MD,F,I,360 HOSPITAL DR,SUITE 110,MACON,GA,312173874,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,78.492424242,33,25.086060606,25.086060606
1023004009,JACKSON,DOROTHY,J,MD,F,I,3801 BLUE PKWY,,KANSAS CITY,MO,641302807,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,72,73.301944444,8.32,5.7976388889,5.7976388889
1023004009,JACKSON,DOROTHY,J,MD,F,I,3801 BLUE PKWY,,KANSAS CITY,MO,641302807,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,31,55.184516129,10.581935484,8.2987096774,8.2935483871
1023004017,RECINOS,RENE,,"M.D., PHD",M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Plastic and Reconstructive Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,116.42857143,116.42857143,84.84,240.83714286
1023004017,RECINOS,RENE,,"M.D., PHD",M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Plastic and Reconstructive Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,37,44,60,54.07,41.293409091,45.004772727
1023004017,RECINOS,RENE,,"M.D., PHD",M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Plastic and Reconstructive Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,22,23,85,85,63.742608696,179.37478261
1023004017,RECINOS,RENE,,"M.D., PHD",M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Plastic and Reconstructive Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,29,37,94.72972973,78.88,58.241351351,63.175945946
1023004017,RECINOS,RENE,,"M.D., PHD",M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Plastic and Reconstructive Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,30,30,23.52,23.52
1023004066,SOMMERS,DEBORAH,J,PA-C,F,I,280 BENEDICT AVE STE A,,NORWALK,OH,448572374,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,29,46,67.319130435,8.32,5.5560869565,5.5560869565
1023004066,SOMMERS,DEBORAH,J,PA-C,F,I,280 BENEDICT AVE STE A,,NORWALK,OH,448572374,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.839090909,1.42,0.9163636364,0.9163636364
1023004066,SOMMERS,DEBORAH,J,PA-C,F,I,280 BENEDICT AVE STE A,,NORWALK,OH,448572374,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,102.61833333,68.5,46.99
1023004066,SOMMERS,DEBORAH,J,PA-C,F,I,280 BENEDICT AVE STE A,,NORWALK,OH,448572374,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3360,0.2168928571,0.0465714286,0.030702381,0.030702381
1023004066,SOMMERS,DEBORAH,J,PA-C,F,I,280 BENEDICT AVE STE A,,NORWALK,OH,448572374,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,550,0.2851090909,0.2194545455,0.1720727273,0.1720727273
1023004066,SOMMERS,DEBORAH,J,PA-C,F,I,280 BENEDICT AVE STE A,,NORWALK,OH,448572374,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,33,33,23.660952381,23.660952381
1023004124,BRAYLOVSKY,ANATOLY,,MD,M,I,850 N MAIN STREET EXT,BUILDING 2 SUITE 1B,WALLINGFORD,CT,064922400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,76,66.191184211,8.32,6.1789473684,6.1789473684
1023004124,BRAYLOVSKY,ANATOLY,,MD,M,I,850 N MAIN STREET EXT,BUILDING 2 SUITE 1B,WALLINGFORD,CT,064922400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,31,16.022903226,1.42,1.0412903226,1.0412903226
1023004132,SHEA,GERARD,F,,M,I,715 GRANDVIEW AVE,,PAWHUSKA,OK,740563201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,29,65,191,44.476282723,8.32,5.0967015707,5.0967015707
1023004132,SHEA,GERARD,F,,M,I,715 GRANDVIEW AVE,,PAWHUSKA,OK,740563201,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,341.08727273,99.672727273,68.908181818,62.477272727
1023004132,SHEA,GERARD,F,,M,I,715 GRANDVIEW AVE,,PAWHUSKA,OK,740563201,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,15,78,13.063461538,2.3061538462,1.6475641026,1.4314102564
1023004132,SHEA,GERARD,F,,M,I,715 GRANDVIEW AVE,,PAWHUSKA,OK,740563201,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,1,23,23,23,91.362173913,75.164347826,46.58826087,46.58826087
1023004132,SHEA,GERARD,F,,M,I,715 GRANDVIEW AVE,,PAWHUSKA,OK,740563201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,336.89,77.18,60.51,54.72
1023004256,ACKER,CHRISTINE,A,ARNP,F,I,7201 W GRANDRIDGE BLVD,SUITE 101,KENNEWICK,WA,993366709,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,66.960357143,8.32,6.0546428571,6.0546428571
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,63,106,106,92.281886792,39.245849057,29.645377358,29.634622642
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,38,67,67,277.92029851,96.291791045,75.189402985,69.321044776
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,31,57,110,127.01936364,32.365363636,24.332454545,25.225363636
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,20,59,68.915932203,17.928135593,14.026101695,14.379491525
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,15,30,137,41.066934307,15.885547445,11.704306569,11.117153285
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,32,54,54,166.17888889,55.277037037,40.992777778,40.280185185
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,67,91,91,52.934505495,18.41032967,14.095054945,13.74010989
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,73,145,528,8.5215909091,2.1884280303,1.6904356061,1.5814393939
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,27,34,34,39.204705882,12.885,10.102058824,10.295882353
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,66.462857143,15.68,11.11952381,12.39
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,11,51,51,344.64941176,91.99254902,70.61254902,71.934901961
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,19,19,19,419.06473684,124.29,96.87,103.69526316
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,52.147333333,14.203666667,10.102333333,9.6793333333
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,30,161,161,151.6568323,34.256645963,24.253229814,22.968447205
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,49,49,350.24816327,78.018367347,56.128571429,55.603469388
1023004272,YOON,YOUNGSOOK,,M.D.,F,I,1000 REGENCY CT,,TOLEDO,OH,436233091,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,63.11125,40.1525,31.48125,31.602083333
1023004306,BITTEL,ROBERT,P,OD FAAO,M,I,5301 GROVE RD,SUITE B530,PITTSBURGH,PA,152361691,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,60.51,60.51,43.525833333,49.013333333
1023004322,KORNEGAY,LAURA,P,MD,F,I,108 HOUSTON ST,SUITE A,LEXINGTON,VA,244502455,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,8.19,1.9338461538,1.3207692308,1.0130769231
1023004389,CAMPBELL,ARTHUR,S,MD,M,I,2345 LAMINGTON RD,SUITE 105,BEDMINSTER,NJ,079212612,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,26,70.776538462,8.32,5.5215384615,5.5215384615
1023004389,CAMPBELL,ARTHUR,S,MD,M,I,2345 LAMINGTON RD,SUITE 105,BEDMINSTER,NJ,079212612,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,365,70,47.4975,47.36
1023004389,CAMPBELL,ARTHUR,S,MD,M,I,2345 LAMINGTON RD,SUITE 105,BEDMINSTER,NJ,079212612,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35,22.866666667,25.023333333
1023004447,DELBENE,ROBERT,T,DPM,M,I,289 ACCESS RD,,WAYNESVILLE,NC,287859006,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,59,59,118,68.29,68.29,52.300169492,54.741779661
1023004447,DELBENE,ROBERT,T,DPM,M,I,289 ACCESS RD,,WAYNESVILLE,NC,287859006,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,54,54,321,27.86,27.86,21.727102804,22.711931464
1023004520,CALLAHAN,THOMAS,D,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Clinical Cardiatric Electrophysiology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32,4.66,2.135,1.9716666667
1023004546,BARNARD,EDGAR,B,M.D.,M,I,730 STONY LANDING RD,SUITE 100,MONCKS CORNER,SC,294612904,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,60,202,47.958960396,8.32,5.8116831683,5.8116831683
1023004546,BARNARD,EDGAR,B,M.D.,M,I,730 STONY LANDING RD,SUITE 100,MONCKS CORNER,SC,294612904,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,11.353333333,3.38,2.4291666667,2.4291666667
1023004546,BARNARD,EDGAR,B,M.D.,M,I,730 STONY LANDING RD,SUITE 100,MONCKS CORNER,SC,294612904,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,33,47,9.0034042553,1.42,1.0680851064,1.0680851064
1023004546,BARNARD,EDGAR,B,M.D.,M,I,730 STONY LANDING RD,SUITE 100,MONCKS CORNER,SC,294612904,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,74,58.02,55.004166667
1023004546,BARNARD,EDGAR,B,M.D.,M,I,730 STONY LANDING RD,SUITE 100,MONCKS CORNER,SC,294612904,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.78,30.4,29.584166667
1023004652,HOWERTON,PRESTON,B,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,81,155,45.627870968,8.32,6.1970967742,6.1970967742
1023004652,HOWERTON,PRESTON,B,DO,M,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,12,62,62,17.769193548,1.42,1.0838709677,1.0838709677
1023004710,ABOU ASSI,SOUHEIL,G,M.D.,M,I,5855 BREMO RD,SUITE 706,RICHMOND,VA,232261926,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.38,4.1014516129,4.0511827957
1023004710,ABOU ASSI,SOUHEIL,G,M.D.,M,I,5855 BREMO RD,SUITE 706,RICHMOND,VA,232261926,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5580,3.644,0.3692043011,0.2894408602,0.2900322581
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,31,81,199,64.222110553,8.2990452261,5.9822613065,5.9986934673
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,32,43,14.64744186,1.42,1.1162790698,1.1162790698
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,52,15.003846154,6.44,4.6615384615,4.6615384615
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,210,9.6142857143,4.03,3.0486190476,3.0486190476
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,242,86.33,57.875833333,58.011666667
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,49.655625,18.718125,11.9425,11.425
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,49.065454545,12.271818182,7.9313636364,7.4690909091
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,38,5.4126315789,2.01,1.3289473684,1.3431578947
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.61,6.31,4.1383333333,3.8841666667
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,94,94,55.652021277,17.29,12.508829787,12.491595745
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,29.444444444,4.79,3.6314814815,3.6281481481
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,131.02857143,34.476,25.692571429,25.209428571
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,161,161,438.34124224,73.673291925,52.658695652,49.924161491
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2141,0.4544044839,0.0462073797,0.0362307333,0.0362307333
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,1980,2.3886313131,0.1347727273,0.0987979798,0.0987979798
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,960,8.0983229167,2.8673125,2.1368541667,2.1368541667
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,154.89,37.44,26.904166667,27.0675
1023004744,PITSENBARGER,KELLY,M,MD,M,I,126 CARPENTER ST,,SHADY SPRING,WV,259188417,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,34,34,33,33,23.587352941,23.587352941
1023005006,PALLIYIL,PRIYA,C,MD,F,I,1240 UPPER HEMBREE RD,STE D,ROSWELL,GA,300760914,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,39,59.367179487,8.32,6.3564102564,6.3564102564
1023005006,PALLIYIL,PRIYA,C,MD,F,I,1240 UPPER HEMBREE RD,STE D,ROSWELL,GA,300760914,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,468.75,75.56,51.835,48.4525
1023005006,PALLIYIL,PRIYA,C,MD,F,I,1240 UPPER HEMBREE RD,STE D,ROSWELL,GA,300760914,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,36.25,26.051666667,27.164166667
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,60,78.9365,8.32,5.8696666667,5.8696666667
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,213.93733333,84.666666667,53.13,54.67
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,37,72.827567568,32.257297297,22.105135135,22.751891892
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,46.517272727,17.55,12.428181818,12.747272727
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,20.720833333,11.130833333,7.3716666667,7.8066666667
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,102,5.9117647059,1.9770588235,1.2796078431,1.3237254902
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,18,50.73,3.8833333333,2.88,3.405
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,59,297.59,76.400677966,55.796101695,51.194915254
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,133.7225,36.96,28.98,29.465833333
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,5745,0.3920835509,0.0453716275,0.0326875544,0.0326858138
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,36.96,26.565,27.106666667
1023005097,PETERS,MICHAEL,E,MD,M,I,3360 LACROSSE LN,SUITE 106,NAPERVILLE,IL,605648136,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,23,35.47826087,33,25.87,25.87
1023005121,VALDEZ,FELIX,G,MD,M,I,2501 N PATTERSON ST,,VALDOSTA,GA,316021735,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,18,18,73.28,19.904444444,13.946666667,12.367777778
1023005121,VALDEZ,FELIX,G,MD,M,I,2501 N PATTERSON ST,,VALDOSTA,GA,316021735,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,57,57,357.09070175,90.007368421,67.215438596,53.002280702
1023005121,VALDEZ,FELIX,G,MD,M,I,2501 N PATTERSON ST,,VALDOSTA,GA,316021735,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,95,43.135,32.723666667,28.758666667
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,3.2971428571,0.51,0.3714285714,0.3714285714
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,80,202,60.661980198,8.32,5.6834158416,5.6834158416
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,27,27,14.92,3.38,2.5518518519,2.5518518519
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,27.044285714,2.12,1.5507142857,1.5507142857
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,25,52,83,15.461204819,1.42,0.9787951807,0.9787951807
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,100.47,51.776470588,37.588235294,34.54
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,19.625,6.3633333333,4.99,3.9329166667
1023005204,MIRANDA,FRANCISCO,,MD,M,I,11880 SW 40TH ST,STE 401,MIAMI,FL,331753584,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,26.606153846,11.577692308,8.5738461538,8.7042307692
1023005238,BERNARD,JOHN,R,M.D.,M,I,12330 METCALF AVE,SUITE 400,OVERLAND PARK,KS,662131324,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,166.45636364,56.26,36.09,35.067272727
1023005238,BERNARD,JOHN,R,M.D.,M,I,12330 METCALF AVE,SUITE 400,OVERLAND PARK,KS,662131324,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,57.535882353,12,8.8564705882,8.5835294118
1023005238,BERNARD,JOHN,R,M.D.,M,I,12330 METCALF AVE,SUITE 400,OVERLAND PARK,KS,662131324,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,102,8.9991176471,2,1.4760784314,1.4998039216
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,96,72.966666667,8.32,6.3859375,6.3859375
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.818181818,3.38,2.65,2.65
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,25,17.7688,1.42,1.1136,1.1136
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,44,666,28.343378378,13.011711712,10.201276276,10.293993994
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,122,558.7704918,326.82,256.22713115,256.22713115
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,180,550,373.44,292.77572222,292.77572222
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,316,85,9.35,7.33,7.33
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,309,85,29.22,22.908543689,22.908543689
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,624,466.82,365.99,365.99
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,47.09,17.09,12.181818182,12.280909091
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,232.35,53.78,34.255,33.9625
1023005303,ZAMBONI,SHANNON,L,MD,F,I,601 RALSTON ST,SUITE 100,RENO,NV,895034436,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,280.01972222,65.7,45.407222222,48.091111111
1023005352,RITZ,GEORGE,,MD,M,I,220 S RIVER ST,,PLAINS,PA,187051137,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,36,41,203.67804878,138.47,105.78853659,99.883658537
1023005543,MCCORKINDALE,ESTHER,Y,PAC,F,I,2500 RACQUET LN,STE 100,YAKIMA,WA,989026114,US,Physician Assistant,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,68,70,9.9017142857,5.54,3.6581428571,3.6581428571
1023005543,MCCORKINDALE,ESTHER,Y,PAC,F,I,2500 RACQUET LN,STE 100,YAKIMA,WA,989026114,US,Physician Assistant,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,79,79,15.016835443,13.794936709,8.7807594937,8.7848101266
1023005543,MCCORKINDALE,ESTHER,Y,PAC,F,I,2500 RACQUET LN,STE 100,YAKIMA,WA,989026114,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,3402,4.6409376837,2.0146678424,1.5608377425,1.580696649
1023005543,MCCORKINDALE,ESTHER,Y,PAC,F,I,2500 RACQUET LN,STE 100,YAKIMA,WA,989026114,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,41,84,89,11.038089888,10.93,6.8062921348,6.8062921348
1023005543,MCCORKINDALE,ESTHER,Y,PAC,F,I,2500 RACQUET LN,STE 100,YAKIMA,WA,989026114,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,28,66,79,8.2630379747,7.2586075949,5.0815189873,5.2334177215
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,28,28,103.52964286,39.387142857,30.881428571,30.537857143
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,26,57,57,391.42,92.07122807,69.790526316,66.990526316
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,26,64,149,146.6114094,34.926912752,25.848053691,24.789865772
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,26,129,66.78124031,19.497751938,13.757209302,13.022093023
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,13,29,160,58.536375,15.2,11.469625,11.4475625
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,24,55,55,232.77945455,57.12,42.720181818,40.882181818
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,48,66,66,75.821060606,18.381060606,13.398484848,13.202121212
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,35,80,80,68.12,13.15275,9.95825,8.942625
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,45,114,620,8.6278709677,2.1489677419,1.6503064516,1.5722903226
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,19,19,21.821578947,5.95,4.1694736842,4.1610526316
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,37,50,50,55.7762,12.9696,9.6298,9.877
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,25,173,179,278.28435754,30.642960894,22.246871508,22.884413408
1023005576,LI,THOMAS,,MD,M,I,4500 E 9TH AVE STE 540,,DENVER,CO,802203924,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,34,629.94205882,81.123529412,58.136176471,50.776764706
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,67,210,48.376428571,8.32,5.5952857143,5.5952857143
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.315789474,3.38,2.0921052632,2.0921052632
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,41,66,12.487424242,1.42,1.0303030303,1.0303030303
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,14,18.95,18.95,14.858571429,16.932857143
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,44,12.85,10.695454545,8.3845454545,8.57
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,42.7,18.913333333,14.829166667,14.0725
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,40.794117647,11.64,9.12,9.12
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,43,4.5725581395,2.2155813953,1.7388372093,1.5934883721
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,43,1231,17.216896832,5.31,4.0820471162,4.0820471162
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,63,18121,0.765068153,0.3660184317,0.2869571216,0.2900137961
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,20,20,185.0845,53.31,41.7965,40.492
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,15,5.0825,3.98875,3.80375
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,35,112.06971429,49.739142857,38.989428571,38.509714286
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,35.92,10.998095238,8.2266666667,8.020952381
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,25,36.67,9.8444,7.4184,7.4596
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,420.19,212.05777778,161.52111111,161.52074074
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,127.16923077,20.704615385,14.73,13.855384615
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,90,27.58,20.310833333,20.310833333
1023005659,ROTH,HAROLD,F,D.O.,M,I,1627 LAKE LANSING RD,SUITE 200,LANSING,MI,489123788,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,35.444705882,8.3370588235,6.5376470588,6.6364705882
1023005691,SCHLOSSBERG,HOWARD,,M.D.,M,I,3 CROSSING BLVD STE 1,,CLIFTON PARK,NY,120654172,US,Physician/Medical Oncology,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,5.46,3.67,2.8773333333,2.8773333333
1023005691,SCHLOSSBERG,HOWARD,,M.D.,M,I,3 CROSSING BLVD STE 1,,CLIFTON PARK,NY,120654172,US,Physician/Medical Oncology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1260,0.195,0.13,0.1019206349,0.1019206349
1023005691,SCHLOSSBERG,HOWARD,,M.D.,M,I,3 CROSSING BLVD STE 1,,CLIFTON PARK,NY,120654172,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,46,3496,40.970386156,4.9203775744,3.8165474828,3.8165474828
1023005691,SCHLOSSBERG,HOWARD,,M.D.,M,I,3 CROSSING BLVD STE 1,,CLIFTON PARK,NY,120654172,US,Physician/Medical Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,79.81,16.66,13.055,14.19
1023005691,SCHLOSSBERG,HOWARD,,M.D.,M,I,3 CROSSING BLVD STE 1,,CLIFTON PARK,NY,120654172,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,29,24,24,18.82,18.82
1023005691,SCHLOSSBERG,HOWARD,,M.D.,M,I,3 CROSSING BLVD STE 1,,CLIFTON PARK,NY,120654172,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,16,16,12.54,12.54
1023005881,KHANNA,RAMESH,R,M.D.,M,I,1425 N MCLEAN BLVD,STE 900,ELGIN,IL,601235724,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,45,45,83,28.46,20.073555556,20.073555556
1023006004,MELENDEZ,EFRAIN,,MD,M,I,800 AVE HIPODROMO,SUITE 102 DOCTORS MEDICAL CENTER,SAN JUAN,PR,009092534,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,18,70,47.719142857,8.32,6.5224285714,6.5224285714
1023006004,MELENDEZ,EFRAIN,,MD,M,I,800 AVE HIPODROMO,SUITE 102 DOCTORS MEDICAL CENTER,SAN JUAN,PR,009092534,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,14.88,3.38,2.65,2.65
1023006004,MELENDEZ,EFRAIN,,MD,M,I,800 AVE HIPODROMO,SUITE 102 DOCTORS MEDICAL CENTER,SAN JUAN,PR,009092534,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,27,15.395925926,1.42,1.1133333333,1.1133333333
1023006053,TAQUI,BIZATH,,,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.08,11.55,12.5
1023006053,TAQUI,BIZATH,,,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,77.18,55.4675,50.16
1023006103,WADHWA,RAJU,H,MD,M,I,855 MANHATTAN BEACH BLVD,SUITE 204,MANHATTAN BEACH,CA,902664965,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,35,3.985,3.1221428571,3.78
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,30,95,67.822315789,8.32,5.2862105263,5.2862105263
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,20,37,17.914054054,1.42,1.0543243243,1.0543243243
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,397,114.89193955,5.93,4.6490176322,4.1629219144
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,8945,1.669000559,0.3194991615,0.2504885411,0.243038569
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,E0140,"Walker, with trunk support, adjustable or fixed height, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,31.244210526,21.637894737,16.967368421,17.288157895
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,218.88888889,53.19,39.502222222,35.229444444
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,108.25,53.285,41.77,37.55
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,39.131428571,6.2978571429,4.935,3.8535714286
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,39.886363636,31.270909091,27.903636364
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,131.57352941,78.587058824,54.225882353,48.657058824
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,74,99.06,64.848108108,49.155810811,54.093783784
1023006111,CHAU,SON,L,M.D.,M,I,1287 N SEMORAN BLVD,200,ORLANDO,FL,328073534,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,71.587407407,19.718888889,14.226296296,13.141481481
1023006269,CLEMAN,MICHAEL,W,MD,M,I,11 HARRISON AVE,,BRANFORD,CT,064053607,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,96.62,69.62,54.59,54.718333333
1023006269,CLEMAN,MICHAEL,W,MD,M,I,11 HARRISON AVE,,BRANFORD,CT,064053607,US,Interventional Cardiology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,39.68,31.11,29.643333333
1023006384,MULCHANDANI,HARSHA,M,MD,F,I,2545 S BRUCE ST STE 200,,LAS VEGAS,NV,891691778,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,59,6450,4.1602015504,0.5691968992,0.4281813953,0.4281736434
1023006384,MULCHANDANI,HARSHA,M,MD,F,I,2545 S BRUCE ST STE 200,,LAS VEGAS,NV,891691778,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,34,4320,1.609412037,0.7405694444,0.5712615741,0.5712615741
1023006384,MULCHANDANI,HARSHA,M,MD,F,I,2545 S BRUCE ST STE 200,,LAS VEGAS,NV,891691778,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,70,8500,2.9865141176,1.2298658824,0.9445517647,0.9445517647
1023006384,MULCHANDANI,HARSHA,M,MD,F,I,2545 S BRUCE ST STE 200,,LAS VEGAS,NV,891691778,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,18.713,7.441,5.43525,5.43525
1023006384,MULCHANDANI,HARSHA,M,MD,F,I,2545 S BRUCE ST STE 200,,LAS VEGAS,NV,891691778,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,76,76,24,24,18.587105263,18.587105263
1023006384,MULCHANDANI,HARSHA,M,MD,F,I,2545 S BRUCE ST STE 200,,LAS VEGAS,NV,891691778,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,107,118,16,16,12.221864407,12.221864407
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,154.76583333,39.925833333,28.331666667,27.481666667
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,9,12,29,57,6.0349122807,1.8342105263,1.3936842105,1.1324561404
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,19,21,21,55.754761905,14.701428571,11.048571429,8.640952381
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,54,121,121,329.55809917,100.3938843,75.775619835,65.731239669
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,47,115,295,131.96308475,38.492610169,29.590711864,25.49359322
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,21,41,221,66.733936652,22.113529412,16.537239819,14.125746606
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,26,49,265,56.618150943,17.248377358,13.478603774,11.845207547
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,55,99,101,194.63881188,63.853663366,48.726435644,41.808118812
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,99,128,128,62.81875,20.244296875,15.61859375,13.8803125
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,14,14,32.19,11.012857143,8.6328571429,8.15
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,102,198,198,65.716262626,15.327727273,11.919191919,9.1866666667
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,115,239,1198,9.7581135225,2.4658931553,1.8753589316,1.550542571
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,85,109,109,22.918715596,6.9604587156,5.3282568807,4.5827522936
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,52,66,66,44.895151515,14.271818182,11.016969697,10.226060606
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,39,248,263,62.308365019,19.518821293,14.991749049,13.457756654
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,12,73,73,312.56068493,95.554109589,73.253013699,66.838082192
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,977.843,197.23,154.629,153.9945
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,24,24,24,423.72583333,162.95291667,127.75708333,108.14625
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,17,112,112,57.525446429,13.014821429,9.8273214286,9.1739285714
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,31,208,208,57.739375,5.4322596154,4.1715384615,3.6377884615
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,43,300,300,168.1175,37.846466667,28.4348,24.883333333
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,67,439,461,394.25093275,87.812754881,67.182581345,55.033752711
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,24,165,168,198.13714286,41.988988095,32.57,29.513214286
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,2106,19.220379867,9.6572981956,7.5713152896,7.5713152896
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,22,43,12605,0.2651281238,0.0461316938,0.0326441888,0.0326441888
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1530,3.1873333333,0.0831176471,0.0651764706,0.0651764706
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,36,47,159,17425,1.5984223816,0.1351259684,0.1020878049,0.1020878049
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,22,74,5130,10.475122807,3.0060175439,2.3287660819,2.3287660819
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,246.09230769,43.201538462,32.606923077,28.380384615
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,49,70,210,210,49.220238095,33,24.663761905,24.663761905
1023006467,GOODMAN,DAVID,J,ARNP,M,I,2611B SE 17TH ST,,OCALA,FL,344715520,US,Nurse Practitioner,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,22,22,66,66,51.74,51.74
1023006491,WIMBERLEY,DAVID,W,,M,I,7401 MAIN ST,,HOUSTON,TX,770304509,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,25,25,25,4995,4378.96,3433.11,3433.11
1023006491,WIMBERLEY,DAVID,W,,M,I,7401 MAIN ST,,HOUSTON,TX,770304509,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,479,401.09,302.51041667,298.66458333
1023006491,WIMBERLEY,DAVID,W,,M,I,7401 MAIN ST,,HOUSTON,TX,770304509,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,92,92,92,1344.7608696,1178.1282609,906.7226087,872.53228261
1023006525,MENTOR,PEGGY,,MD,F,I,63 MAIN ST,,BROCKTON,MA,023014042,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,21,67,104,93.881826923,8.32,5.3819230769,5.3819230769
1023006525,MENTOR,PEGGY,,MD,F,I,63 MAIN ST,,BROCKTON,MA,023014042,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,16,31,32,15.313125,1.42,0.874375,0.874375
1023006525,MENTOR,PEGGY,,MD,F,I,63 MAIN ST,,BROCKTON,MA,023014042,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,3225,0.2096589147,0.0457612403,0.0325550388,0.0325550388
1023006525,MENTOR,PEGGY,,MD,F,I,63 MAIN ST,,BROCKTON,MA,023014042,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,42,33,23.518181818,23.518181818
1023006632,NELSON,ROBERT,C,O.D.,M,I,437 N TYLER RD,,WICHITA,KS,672123630,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,63.351578947,63.351578947,47.036842105,50.066842105
1023006632,NELSON,ROBERT,C,O.D.,M,I,437 N TYLER RD,,WICHITA,KS,672123630,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,41,74.5,62.09,45.21,49.996829268
1023006772,SOLOMON,HAROLD,S,M.D.,M,I,25 BOYLSTON ST,SUITE 308,CHESTNUT HILL,MA,024671715,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,13,56,76.333928571,8.32,5.8239285714,5.8239285714
1023006772,SOLOMON,HAROLD,S,M.D.,M,I,25 BOYLSTON ST,SUITE 308,CHESTNUT HILL,MA,024671715,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,990,1.7836363636,1.7836363636,1.3983636364,2.3206666667
1023006772,SOLOMON,HAROLD,S,M.D.,M,I,25 BOYLSTON ST,SUITE 308,CHESTNUT HILL,MA,024671715,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4346,2.5879245283,0.3626783249,0.2615232398,0.2672641509
1023006772,SOLOMON,HAROLD,S,M.D.,M,I,25 BOYLSTON ST,SUITE 308,CHESTNUT HILL,MA,024671715,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,2000,1074.31,842.26,842.26
1023006798,HAAS,DEBORAH,S,ARNP,F,I,4017 DEVILS GLEN RD,STE 100,BETTENDORF,IA,527227221,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,97.44,33.06,23.563636364,23.563636364
1023006798,HAAS,DEBORAH,S,ARNP,F,I,4017 DEVILS GLEN RD,STE 100,BETTENDORF,IA,527227221,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,7.32,2.100625,1.549375,1.489375
1023006830,ZIRATH,RACHNA,,MD,F,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101640,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,18,52,116,66.23612069,8.32,5.51,5.51
1023006830,ZIRATH,RACHNA,,MD,F,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101640,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,14.119333333,1.42,0.7466666667,0.7466666667
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,28,67,67.554328358,8.32,6.2302985075,6.2302985075
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,45.051176471,17.29,11.955882353,11.941764706
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,24.755862069,4.5086206897,2.9531034483,2.9517241379
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,141.71454545,32.263636364,20.959090909,20.543636364
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,74,74,260.40864865,70.23,52.163243243,51.855540541
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4479166667,7.4479166667
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1710,0.2286432749,0.1334035088,0.0977602339,0.0977602339
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.75,0.219,0.17175,0.17175
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,100,36.257692308,25.656153846,19.765384615
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,200,37.44,28.46,28.619444444
1023006863,SLOAN,CHARLOTTE,L,NP,F,I,128A PROFESSIONAL PARK DR,AGAPE PHYSICIANS CARE,CONWAY,SC,295269260,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,34,34,78.492647059,33,25.109117647,25.109117647
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,33,58.009090909,8.32,5.5345454545,5.5345454545
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,1022,28.615998043,12.847358121,10.072240705,10.293835616
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,303,545.6690099,324.98372937,254.78821782,256.22785479
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,276,67.001666667,9.2835144928,7.2778985507,7.2778985507
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,301,75.932491694,29.22,22.908405316,22.908405316
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,80.9825,17.27,13.54,13.54
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,40.223181818,4.9290909091,3.2236363636,3.0736363636
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,393.75,69.81,44.82,44.82
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3869,0.1592788834,0.0464926338,0.030527268,0.030527268
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36,11.510909091,9.0263636364,7.0090909091
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,203.11727273,159.23909091,123.89727273
1023006913,ALBERS,JANET,R,M.D.,F,I,520 N 4TH ST,,SPRINGFIELD,IL,627025238,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,99,33,24.145333333,24.145333333
1023006921,CONGER,BEACH,,MD,M,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,38,64.800263158,8.32,4.7957894737,4.7957894737
1023006962,LEGNER,MARGARET,,MD,F,I,"LAHEY PRIMARY CARE, DANVERS",5 FEDERAL STREET 1ST FLOOR,DANVERS,MA,01923,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,58,80.873793103,8.32,6.5225862069,6.5225862069
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,34,85,59.616470588,8.32,5.9077647059,5.9077647059
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,190.57846154,54.55,42.77,42.825384615
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,49.468181818,17,12.926060606,13.112121212
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,32.017272727,4.1990909091,3.0181818182,3.4190909091
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,35,35,231.29,78.501428571,56.638,50.956285714
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,28,6417,0.2128673835,0.0461477326,0.0361804582,0.0361804582
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,16,75,21.86,11.3775,9.8225
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,91.2,34.22,24.0075,21.685
1023007028,WORTH,RANDAL,G,DO,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,26,26,71.826923077,33,25.87,25.87
1023007077,WALSH,MATTHEW,,P.A.-C,M,I,2702 8TH AVE N,,BILLINGS,MT,591011107,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,14,51,51,24.248235294,5.0325490196,3.3760784314,3.0937254902
1023007127,DUMONT,DAVID,H,MD,M,I,1 MEDICAL DR,,LEBANON,NH,03756,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,17.25,11.266666667,11.266666667
1023007127,DUMONT,DAVID,H,MD,M,I,1 MEDICAL DR,,LEBANON,NH,03756,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,85.899090909,47.78,24.851818182,25.036363636
1023007127,DUMONT,DAVID,H,MD,M,I,1 MEDICAL DR,,LEBANON,NH,03756,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,274.56,69.62,49.384166667,49.384166667
1023007143,SHAH,NEILESH,,MD,M,I,17850 KEDZIE AVE,3200,HAZEL CREST,IL,604292058,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,64,159,76.062955975,8.32,5.846163522,5.846163522
1023007143,SHAH,NEILESH,,MD,M,I,17850 KEDZIE AVE,3200,HAZEL CREST,IL,604292058,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,33,42,15.405,1.42,0.9833333333,0.9833333333
1023007143,SHAH,NEILESH,,MD,M,I,17850 KEDZIE AVE,3200,HAZEL CREST,IL,604292058,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,88.515263158,17.731578947,13.156842105,12.843157895
1023007143,SHAH,NEILESH,,MD,M,I,17850 KEDZIE AVE,3200,HAZEL CREST,IL,604292058,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,369.5121875,76.39625,54.42625,49.8740625
1023007143,SHAH,NEILESH,,MD,M,I,17850 KEDZIE AVE,3200,HAZEL CREST,IL,604292058,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,90.5,36.96,26.565,27.106666667
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,30,66,45.005151515,8.32,5.9277272727,5.9277272727
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,11.23625,1.42,1.05,1.05
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,20,39,4.58,1.38,1.0292307692,1.0956410256
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.26,0.9075,0.8845833333
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,,13,14,1.6885714286,0.58,0.4185714286,0.395
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,31,100,17.25,12.647741935,12.667096774
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.25,11.266666667,11.286666667
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.88,52.919166667,45.6775
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,41,41,41.636585366,5.5597560976,3.4673170732,2.9004878049
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,78,89,360.76674157,79.88,60.581797753,54.384494382
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,42,155.71428571,35.63,27.93,28.945714286
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.140769231,8.5504615385,8.5504615385
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,45,5128,1.4678276131,0.1335803432,0.0989079563,0.0989079563
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1230,8.7627398374,2.9231707317,2.2917642276,2.2917642276
1023007176,AGGARWAL,KEWAL,K,MD,M,I,1100 W UNIVERSITY DR,,ROCHESTER,MI,483071878,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,62,62,92.080645161,33,25.035483871,25.035483871
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,64,181,70.408618785,8.32,5.1347513812,5.1347513812
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,25,16.1004,1.42,1.028,1.028
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,22,22,103.89,39,30.58,30.498181818
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,300.87076923,87.54,60.199230769,59.590769231
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,33,115.59151515,34.2,24.546060606,23.758484848
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,226.46727273,60,47.04,42.86
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,69.012352941,19,14.023529412,13.331764706
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,21,122,8.7019672131,2.12,1.6632786885,1.5968032787
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.5041666667,2.38,1.44
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,211.57,35.165,26.175416667,24.42375
1023007192,BANTER,AMY,E,MD,F,I,14540 PRAIRIE LAKES BLVD N,SUITE 102,NOBLESVILLE,IN,460604366,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,27,519.51,79.96,62.69,57.383333333
1023007200,SINGH,HARVEEN,,MD,F,I,463 WORCESTER RD,SUITE 104,FRAMINGHAM,MA,017015356,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,26,89,71.264719101,8.32,6.0826966292,6.0826966292
1023007200,SINGH,HARVEEN,,MD,F,I,463 WORCESTER RD,SUITE 104,FRAMINGHAM,MA,017015356,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,13,14.676923077,1.42,0.9461538462,0.9461538462
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,55,139,72.378561151,8.32,5.6495683453,5.6495683453
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,23,44,15.427954545,1.42,1.0388636364,1.0388636364
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,15,31,8.19,1.47,1.0019354839,1.0019354839
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,23,37.305652174,5.0417391304,3.3395652174,3.1852173913
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,30,7474,0.2779100883,0.0473441263,0.0295062885,0.0295062885
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,2670,1.1488951311,0.1346292135,0.0851385768,0.0851385768
1023007218,PHILIP,LENY,,MD,M,I,3118 S LAFOUNTAIN ST,,KOKOMO,IN,469023710,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,51,51,104.82352941,33,20.290196078,20.290196078
1023007267,MATZONI,JEFFREY,A,DO,M,I,6 MARKET PLAZA WAY,SUITE 302,MECHANICSBURG,PA,17055,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,63,172,72.542093023,8.32,5.8398255814,5.8398255814
1023007267,MATZONI,JEFFREY,A,DO,M,I,6 MARKET PLAZA WAY,SUITE 302,MECHANICSBURG,PA,17055,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,32,38,12.225263158,1.42,0.9410526316,0.9410526316
1023007267,MATZONI,JEFFREY,A,DO,M,I,6 MARKET PLAZA WAY,SUITE 302,MECHANICSBURG,PA,17055,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1470,2.6672585034,0.134122449,0.0995986395,0.0995986395
1023007341,JOHNSON,NANCY,G,OD,F,I,2709 MEREDYTH DR,SUITE 110,ALBANY,GA,317070222,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,75.467058824,75.467058824,48.788823529,43.488823529
1023007341,JOHNSON,NANCY,G,OD,F,I,2709 MEREDYTH DR,SUITE 110,ALBANY,GA,317070222,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,27,10,10,7.5496296296,13.756296296
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,19,65.458947368,24.19,18.96,22.133684211
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,168,2.8414285714,2.49,1.9516666667,1.9516666667
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,20,25.091,9.29,7.28,8.5055
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,306.84,42.230909091,33.109545455,36.297272727
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,53.446666667,48.4025,32.479166667,34.511666667
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,52.65,39.49,28.145454545,32.512727273
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17,13.33,13.5225
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,23,50.73,3.9130434783,2.82,3.4139130435
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,78,61.15,55.265
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,24,121,129,134.51488372,16.086434109,11.211085271,12.66
1023007358,KENNY,BRIAN,A,M.D.,M,I,1261 FURNACE BROOK PKWY,SUITE 31,QUINCY,MA,021694721,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,20,95,97,55.745876289,8.4197938144,5.9712371134,6.0745360825
1023007390,POST,KATHLEEN,D,CRNP,F,I,1243 S CEDAR CREST BLVD,STE 2800,ALLENTOWN,PA,181036268,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,18,234,64.942991453,19.692777778,14.619188034,14.619188034
1023007390,POST,KATHLEEN,D,CRNP,F,I,1243 S CEDAR CREST BLVD,STE 2800,ALLENTOWN,PA,181036268,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,540,8.9373333333,2.6377777778,2.0679259259,2.0679259259
1023007390,POST,KATHLEEN,D,CRNP,F,I,1243 S CEDAR CREST BLVD,STE 2800,ALLENTOWN,PA,181036268,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,64,101,240,1191,73.005751469,8.32,6.1909151973,6.1909151973
1023007390,POST,KATHLEEN,D,CRNP,F,I,1243 S CEDAR CREST BLVD,STE 2800,ALLENTOWN,PA,181036268,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,36,44,84,223,15.070044843,1.42,1.0433632287,1.0433632287
1023007390,POST,KATHLEEN,D,CRNP,F,I,1243 S CEDAR CREST BLVD,STE 2800,ALLENTOWN,PA,181036268,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,760.59617021,352.59319149,273.3793617,273.3793617
1023007390,POST,KATHLEEN,D,CRNP,F,I,1243 S CEDAR CREST BLVD,STE 2800,ALLENTOWN,PA,181036268,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,1640,16.66504878,10.700695122,8.3893231707,8.3893231707
1023007390,POST,KATHLEEN,D,CRNP,F,I,1243 S CEDAR CREST BLVD,STE 2800,ALLENTOWN,PA,181036268,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,26,26,270.04538462,250.9,196.70538462,196.86923077
1023007457,CANTWELL,RYAN,V,MD,M,I,320 KENNESTONE HOSPITAL BLVD,SUITE 201,MARIETTA,GA,300601161,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,56,70,199,541,69.127171904,8.32,5.9717190388,5.9717190388
1023007457,CANTWELL,RYAN,V,MD,M,I,320 KENNESTONE HOSPITAL BLVD,SUITE 201,MARIETTA,GA,300601161,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,14.817142857,3.38,2.65,2.65
1023007457,CANTWELL,RYAN,V,MD,M,I,320 KENNESTONE HOSPITAL BLVD,SUITE 201,MARIETTA,GA,300601161,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,31,65,90,14.601888889,1.42,0.9923333333,0.9923333333
1023007457,CANTWELL,RYAN,V,MD,M,I,320 KENNESTONE HOSPITAL BLVD,SUITE 201,MARIETTA,GA,300601161,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,59,7.7638983051,2,1.4354237288,1.4569491525
1023007457,CANTWELL,RYAN,V,MD,M,I,320 KENNESTONE HOSPITAL BLVD,SUITE 201,MARIETTA,GA,300601161,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,17,59,20.117647059,15.772352941,14.817058824
1023007465,IRWIN,JAMES,S,M.D.,M,I,132 5TH AVE W,SUITE 1,JEROME,ID,833381825,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,35,78,63.268846154,8.32,6.1041025641,6.1041025641
1023007465,IRWIN,JAMES,S,M.D.,M,I,132 5TH AVE W,SUITE 1,JEROME,ID,833381825,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,70.416666667,42.521666667,33.34,30.49
1023007465,IRWIN,JAMES,S,M.D.,M,I,132 5TH AVE W,SUITE 1,JEROME,ID,833381825,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,157.69230769,63.995384615,49.21,41.896153846
1023007465,IRWIN,JAMES,S,M.D.,M,I,132 5TH AVE W,SUITE 1,JEROME,ID,833381825,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,14,14,46.3,19.271428571,13.996428571,13.055714286
1023007465,IRWIN,JAMES,S,M.D.,M,I,132 5TH AVE W,SUITE 1,JEROME,ID,833381825,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,46,5.3630434783,2.5260869565,1.9030434783,1.5234782609
1023007465,IRWIN,JAMES,S,M.D.,M,I,132 5TH AVE W,SUITE 1,JEROME,ID,833381825,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,122.23648649,38.595405405,24.936756757,20.427567568
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,24,8.32,8.32,6.52,6.52
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,93,248,314,2.1896815287,1.8201273885,1.4104458599,1.2070063694
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,23,47,100,1.5132,1.3198,1.0166,0.9648
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,94,249,264,1.5685227273,1.421969697,1.1086363636,0.9828409091
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,24,33,33,76.285757576,70.598181818,55.351818182,45.203636364
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,25,25,23.4896,21.516,16.8636,14.5036
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,12.634615385,12.096153846,9.4884615385,8.4507692308
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,23,31,31,16.332903226,15.822903226,12.401612903,10.015806452
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,23,96,3.3638541667,2.671875,2.0945833333,1.7240625
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,8.0526666667,7.286,5.716,4.9106666667
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,19.499090909,17.833636364,13.981818182,10.626969697
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,60,278,358,8.4265083799,6.130698324,4.6103631285,3.6485195531
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,18,92,101,57.101287129,46.909306931,36.520693069,27.587029703
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,114.63,105.42090909,82.651818182,58.419090909
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,13,38,10950,0.05,0.0459726027,0.0350328767,0.0350328767
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,33,68,8139,0.3819572429,0.0740950977,0.056160462,0.0561506328
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,88,244,15121,3.7299847894,2.9270709609,2.239069506,2.239069506
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,42,114,5745,0.2216710183,0.2180557006,0.1682715405,0.1682715405
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,43.878333333,33.910833333,19.075,14.656666667
1023007523,MARTINEZ QUINTANA,ROBERTO,,M.D.,M,I,735 PONCE DE LEON AVE,SUITE 501,HATO REY,PR,009175022,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,107,307,320,33.39375,33,25.62746875,25.62746875
1023007721,CARR,DEANNA,L,M.D.,F,I,1134 KELTON AVE,SUITE A,OCOEE,FL,347613100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,53,70.51,8.32,5.6054716981,5.6054716981
1023007812,SMITH,JAMES,G,MD,M,I,9820 BAYOU BEND DR,,SHREVEPORT,LA,711158599,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,733.215,828.20083333
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,24,77,173,66.414450867,8.32,5.8803468208,5.8803468208
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,28,31,14.428064516,1.42,0.9383870968,0.9383870968
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,150.40125,55,40.425,40.18125
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,12,12,45.541666667,18.15,14.23,14.06
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,37.661538462,12.51,9.81,9.12
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,23,108,7.1826851852,2,1.4813888889,1.5051851852
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,60.676666667,17.1,10.926666667,11.064074074
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.07,14,10.98,10.525454545
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50,5.52,3.9969230769,3.12
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,211.67571429,38.687142857,30.328571429,28.495714286
1023007978,CHALFANT,JOHN,C,M.D.,M,I,106 COMMONWEALTH DR,,LEMONT FURNACE,PA,154561003,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,381.381875,77.5,51.575,46.1784375
1023008083,CUEVA,MARY,C,M.D.,F,I,2067 W VISTA WAY,SUITE 250,VISTA,CA,920836034,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,24,65,72.608615385,8.32,5.4187692308,5.4187692308
1023008083,CUEVA,MARY,C,M.D.,F,I,2067 W VISTA WAY,SUITE 250,VISTA,CA,920836034,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.78,3.335,2.61,3.6525
1023008117,CHANG,BENJAMIN,B,MD,M,I,391 MYRTLE AVE.,SUITE 5,ALBANY,NY,122083412,US,Physician/Vascular Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.5975,2.825,3.66
1023008422,BIVIJI,AYAZ,,M.D.,M,I,1310 W STEWART DR,SUITE 510,ORANGE,CA,928683854,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,95,67.798333333,53.148333333,61.783333333
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,50,155,473,70.08782241,8.32,5.9564059197,5.9564059197
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,21,36,65,14.997230769,1.42,0.9949230769,0.9949230769
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,87.249666667,20.212,15.113,12.843666667
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,274.36,34.958181818,10.33,9.2827272727
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,48,441.06583333,91.313333333,69.901041667,55.04375
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1605,0.3535576324,0.0464735202,0.0295576324,0.0295576324
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2368,1.6692947635,0.1337162162,0.1013851351,0.1013851351
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,689.5,236.5875,185.485,151.41166667
1023008539,ROGGE,MICHAEL,J,MD,M,I,800 E BLACKHAWK AVE,,PRAIRIE DU CHIEN,WI,538211698,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,50.678571429,33,24.022142857,24.022142857
1023008547,HODOUS,BERT,S,MD,M,I,895 DETTLOFF DR,,ARCADIA,WI,54612,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,35,81,102.51308642,8.32,4.749382716,4.749382716
1023008752,PINTA,GARY,B,M.D.,M,I,3239 STATE RD,,CUYAHOGA FALLS,OH,442232549,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,98,66.059183673,8.32,5.5243877551,5.5243877551
1023008752,PINTA,GARY,B,M.D.,M,I,3239 STATE RD,,CUYAHOGA FALLS,OH,442232549,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,23,66,69.609545455,17,11.256515152,12.428636364
1023008752,PINTA,GARY,B,M.D.,M,I,3239 STATE RD,,CUYAHOGA FALLS,OH,442232549,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,156.30882353,51.26,33.448823529,35.905294118
1023008752,PINTA,GARY,B,M.D.,M,I,3239 STATE RD,,CUYAHOGA FALLS,OH,442232549,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,53.973571429,16.68,10.406428571,11.3
1023008752,PINTA,GARY,B,M.D.,M,I,3239 STATE RD,,CUYAHOGA FALLS,OH,442232549,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,48.485714286,11.48,8.3571428571,8.4714285714
1023008752,PINTA,GARY,B,M.D.,M,I,3239 STATE RD,,CUYAHOGA FALLS,OH,442232549,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,32,88,6.6838636364,2,1.3338636364,1.3568181818
1023008752,PINTA,GARY,B,M.D.,M,I,3239 STATE RD,,CUYAHOGA FALLS,OH,442232549,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,20,182.844,32.98,24.248,23.378
1023008976,HUSSAIN,NIZAR,M,MD,M,I,2000 OPITZ BLVD,,WOODBRIDGE,VA,221913306,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,34,109,60.236972477,8.32,6.0444954128,6.0444954128
1023008976,HUSSAIN,NIZAR,M,MD,M,I,2000 OPITZ BLVD,,WOODBRIDGE,VA,221913306,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,16,32,15.316875,1.42,0.9759375,0.9759375
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,52,128,54.324296875,8.3175,6.1634375,6.164609375
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,31,18.151935484,1.42,1.1161290323,1.1161290323
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,16.417272727,4.85,3.4566666667,3.8255151515
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,4737,1.00860038,0.6016761664,0.471712054,0.5174498628
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,94.38,14.775454545,11.583636364,11.583636364
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,72.0384,16.59,10.4692,11.0216
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,25.8525,4.1916666667,2.5841666667,3.0579166667
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,213.96,45.5975,35.75,36.2275
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,51,52,393.71288462,67.807692308,46.973076923,48.321923077
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,3292,0.602791616,0.0461816525,0.0333869988,0.0333869988
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,88.987931034,17.07137931,13.383793103,14.383103448
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,103.26,38.652307692,27.713076923,27.351538462
1023008984,KANNAN,ARUL,,MD,M,I,95 GENESEE ST,,NEW HARTFORD,NY,134132357,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,33,33,22.420666667,22.420666667
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,61,231,427,68.099320843,8.32,5.3468618267,5.3468618267
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,13.270769231,3.38,2.65,2.65
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,23,46,53,16.344528302,1.42,0.8437735849,0.8437735849
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,35,3.0742857143,1.8711428571,1.1031428571,0.9002857143
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,216.10933333,119.46066667,83.37,58.058
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,111.38388889,45.267777778,33.898333333,24.478888889
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,154.875,79.562857143,59.008571429,41.627857143
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,18,18,40.351111111,23.82,16.943888889,12.926111111
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,22,22,43.567272727,21.897727273,16.252272727,8.8072727273
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,29,121,6.1968595041,3.3033057851,2.4440495868,1.5394214876
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,10.749166667,8.8425,6.0825,4.1225
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,375,28.8,7.4332,5.8275466667,4.19312
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4902,1.2810689514,0.3738514892,0.2889636883,0.2567299062
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,82.313571429,59.560714286,39.370714286,30.197142857
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,125.07,66.499166667,52.135833333,38.518333333
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,79,87,41.205057471,21.956551724,15.855287356,12.923448276
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,673.18736842,258.68052632,202.81210526,151.47
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,10.956,9.132,7.158,4.0786666667
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,48,48,114.355625,49.799375,37.735416667,24.818333333
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,86,86,185.98523256,95.463953488,69.26872093,50.035
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2038,1.1255593719,0.1305888126,0.080986261,0.080986261
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,29.303333333,24.923333333,16.471666667,12.966666667
1023009016,LARK,KIM,P,D.O.,F,I,2402 W PIERCE ST,SUITE 4-A,CARLSBAD,NM,882203537,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,57.75,33,20.1145,20.1145
1023009057,CHAMES,MICHAEL,C,M.D.,M,I,1015 LAURENCE AVE,,JACKSON,MI,49202,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,20,85.2,66.61,34.649,36.2845
1023009107,GELERA,MARY ANN,S,NP,F,I,516 WILLOW ST,,ALAMEDA,CA,945016132,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,703.96416667,830.30416667
1023009198,CHO,YONG,D,M.D.,M,I,1070 OLD NATIONAL PIKE,,FREDERICKTOWN,PA,153332114,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,75.4455,8.32,5.869,5.869
1023009198,CHO,YONG,D,M.D.,M,I,1070 OLD NATIONAL PIKE,,FREDERICKTOWN,PA,153332114,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.1,11.175,11.311666667
1023009198,CHO,YONG,D,M.D.,M,I,1070 OLD NATIONAL PIKE,,FREDERICKTOWN,PA,153332114,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,77.5,55.457272727,49.754545455
1023009214,WILLYARD,KENT,E,MD,M,I,12695 MCMANUS BLVD,"BLDG 6, SUITE A",NEWPORT NEWS,VA,236024435,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,45,102,65.583823529,8.32,5.7393137255,5.7393137255
1023009214,WILLYARD,KENT,E,MD,M,I,12695 MCMANUS BLVD,"BLDG 6, SUITE A",NEWPORT NEWS,VA,236024435,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,13.637647059,3.38,2.1823529412,2.1823529412
1023009214,WILLYARD,KENT,E,MD,M,I,12695 MCMANUS BLVD,"BLDG 6, SUITE A",NEWPORT NEWS,VA,236024435,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,32,40,14.8395,1.42,0.978,0.978
1023009263,DEWITT,ROBERT,C,M.D.,M,I,3311 PRESCOTT RD,SUITE 202,ALEXANDRIA,LA,713013900,US,Physician/Cardiac Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,36,81.430277778,19.9175,14.444444444,12.4025
1023009263,DEWITT,ROBERT,C,M.D.,M,I,3311 PRESCOTT RD,SUITE 202,ALEXANDRIA,LA,713013900,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,36,363.64333333,86.885277778,63.226666667,49.991388889
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,13,24,6.1829166667,1.47,1.1508333333,1.1508333333
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,14,14,387.115,90.157142857,69.264285714,66.412857143
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,21,185.44142857,33.48,26.246666667,25.932380952
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,13,15,15,63.206,18.640666667,14.606666667,14.056666667
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,68.042857143,12.364285714,9.6957142857,9.115
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,16,62,8.8712903226,2.01,1.4251612903,1.4390322581
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,16,126,148,79.669054054,18.180743243,13.912162162,13.570675676
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,16,16,118.0875,49.11625,28.83125,28.238125
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,,37,50,48.4076,4.742,3.6514,3.6486
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,186.14625,33.271875,24.5953125,24.106875
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,32,256,277,457.063213,71.883140794,53.62631769,52.029602888
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,33,136.66666667,37.575454545,26.934545455,26.981212121
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,57,7310,0.3611381669,0.0459863201,0.0345307798,0.0345307798
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,25,3360,1.3305,0.1303571429,0.0957232143,0.0957232143
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,630,9.5785555556,3.1292857143,2.4533968254,2.4533968254
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,180.47407407,37.44,25.001851852,25.161851852
1023009271,SOFI,UMAR,,M.D.,M,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,19,76,76,60.355263158,33,24.848815789,24.848815789
1023009297,GOTHAM,DAVID,R,DO,M,I,2204 PLAZA DR,SUITE 210,ROCKLIN,CA,957654413,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,41,41,195,133.89,104.97,87.47
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,56,84,6743,0.1500311434,0.12,0.0940872015,0.0940872015
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,38,83,6935,0.5627916366,0.4384715213,0.3358298486,0.3370281182
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,21,30,620,28.937580645,23.66,18.549387097,18.549387097
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,38,57,1650,10.072654545,8.28,6.4754727273,6.4754727273
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,14,540,7.25,5.95,4.6647777778,4.6647777778
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,25,40,356,10.297191011,8.26,6.0724719101,6.0724719101
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,27,53,774,10.160697674,8.41,6.4320801034,6.4320801034
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,21,39,576,13.532604167,10.93,8.5691145833,8.5691145833
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,18,4800,0.0881333333,0.05,0.0392,0.0392
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,26,812,2.9984236453,2.4,1.88158867,1.88158867
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,45,84,3043,4.569273743,3.6568386461,2.8669963851,2.8773151495
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,86,160,22718,0.1612413065,0.13,0.1005673915,0.1005673915
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,61,106,12249,0.5752755327,0.4499632623,0.3493305576,0.3493574986
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,27,1491,2.4397384306,1.97,1.5408584842,1.5408584842
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,684,1.098245614,0.88,0.6898391813,0.6898391813
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,E0194,Air fluidized bed,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3167.21,2610.3590909,2046.5227273,2324.8490909
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,113.08,49.909090909,39.129090909,36.701818182
1023009321,WATKINS,JAMES,A,M.D.,M,I,1601 ABBEY PL,STE. 105,CHARLOTTE,NC,282093835,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3009.6923077,762.64153846,597.91076923,499.31769231
1023009347,KEARNEY,DAVID,J,MD,M,I,4600 INVESTMENT DR,STE 370,TROY,MI,480986365,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,15.75,13.765384615,10.792307692,10.801538462
1023009347,KEARNEY,DAVID,J,MD,M,I,4600 INVESTMENT DR,STE 370,TROY,MI,480986365,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,30,2660,2.4104360902,2.0217293233,1.5264285714,1.5383646617
1023009347,KEARNEY,DAVID,J,MD,M,I,4600 INVESTMENT DR,STE 370,TROY,MI,480986365,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,18,12.61,10.91,8.555,8.5605555556
1023009347,KEARNEY,DAVID,J,MD,M,I,4600 INVESTMENT DR,STE 370,TROY,MI,480986365,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,18,7.6316666667,6.5983333333,5.1744444444,5.8422222222
1023009347,KEARNEY,DAVID,J,MD,M,I,4600 INVESTMENT DR,STE 370,TROY,MI,480986365,US,Physician/Urology,S,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,13.651818182,9.2,6.5385454545,6.5385454545
1023009347,KEARNEY,DAVID,J,MD,M,I,4600 INVESTMENT DR,STE 370,TROY,MI,480986365,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,2.0175,1.8,1.41,1.41
1023009362,GODFREY,JOHN,A,MD,M,I,914 N DIXIE AVE,STE 304,ELIZABETHTOWN,KY,427012520,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,258.79142857,91.716190476,68.973809524,52.032380952
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,22,46,191,66.403403141,8.32,6.1806282723,6.1806282723
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,14.366875,1.42,0.84,0.84
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,407.21066667,125.30333333,93.214666667,66.113333333
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,36,162.82888889,46.576944444,35.721111111,26.034166667
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,47,73.699787234,24.683617021,16.354042553,12.693191489
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,68,50.758235294,19.645294118,15.402058824,11.893088235
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,19,19,223.65,75.878947368,53.404210526,38.348421053
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,27,27,68.637407407,25.194074074,17.771851852,12.497777778
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,33,33,67.044242424,19.78030303,14.53030303,8.8745454545
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,19,43,236,9.2424576271,2.9028813559,2.1297033898,1.5056355932
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,15,15,24.892,8.7,6.1373333333,4.0306666667
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,42,152.83428571,21.985,15.458809524,12.062619048
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,33.2748,6.7284,4.9844,3.3556
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,52,53,134.71886792,47.009056604,34.089811321,26.165283019
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,63,634.60603175,99.208888889,71.558412698,50.112857143
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,8654,0.2172093829,0.0457996302,0.035907095,0.035907095
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,762,0.800656168,0.2192257218,0.1718503937,0.1718503937
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,44.560909091,34.938181818,30.165454545
1023009388,MOLISON,MATTHEW,S,DO,M,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,23.88,23.88
1023009412,HENSON,KEITH,L,DO,M,I,8401 MARKET STREET,C/O MEDICAL STAFF OFFICE,BOARDMAN,OH,44512,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,16,19,43.513684211,7.3652631579,5.2857894737,3.6705263158
1023009602,TORIO,RULOUR,B,MD,F,I,57 UNION STREET,,WESTFIELD,MA,010852658,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,55,142,86.323732394,8.32,6.1545774648,6.1545774648
1023009602,TORIO,RULOUR,B,MD,F,I,57 UNION STREET,,WESTFIELD,MA,010852658,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,28,15.356785714,1.42,0.8771428571,0.8771428571
1023009602,TORIO,RULOUR,B,MD,F,I,57 UNION STREET,,WESTFIELD,MA,010852658,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30,15.282727273,9.2454545455,11.263636364
1023009602,TORIO,RULOUR,B,MD,F,I,57 UNION STREET,,WESTFIELD,MA,010852658,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,13.32,8.6227272727,5.2118181818,5.04
1023009727,SELLERS,ROBERT,,MD,M,I,805 N RICHMOND ST,,FLEETWOOD,PA,195221058,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,61,177,112.66932203,8.32,5.9252542373,5.9252542373
1023009727,SELLERS,ROBERT,,MD,M,I,805 N RICHMOND ST,,FLEETWOOD,PA,195221058,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,25,14.5848,1.42,0.9808,0.9808
1023009768,ARENA,CHARLES,T,DPM,M,I,1389 WEST MAIN STREET,SUITE 222,WATERBURY,CT,06708,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,68,82.411764706,71.56,52.809264706,52.801323529
1023009768,ARENA,CHARLES,T,DPM,M,I,1389 WEST MAIN STREET,SUITE 222,WATERBURY,CT,06708,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,188,36.893617021,29.19,22.720159574,22.720212766
1023009818,LEDFORD,ROBERT,L,M.D.,M,I,222 22ND AVE N,,NASHVILLE,TN,37203,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,33,67.542424242,8.32,6.1260606061,6.1260606061
1023009818,LEDFORD,ROBERT,L,M.D.,M,I,222 22ND AVE N,,NASHVILLE,TN,37203,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,760.48,86.84,68.08,55.943636364
1023009818,LEDFORD,ROBERT,L,M.D.,M,I,222 22ND AVE N,,NASHVILLE,TN,37203,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39.51,30.98,29.6325
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,32,103,233,32.636266094,8.2458369099,5.6403004292,5.7015879828
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,49,56,9.4283928571,1.42,0.9192857143,0.9192857143
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,481.49272727,114.34090909,77.408181818,58.633636364
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,21,163.19761905,42.444285714,27.513809524,20.547142857
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,52,86.31,21.35,14.4825,12.739807692
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,22,22,232.35,60.513636364,45.566818182,37.133181818
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,38,37.107105263,6.5278947368,4.8952631579,3.2905263158
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,36,270.26277778,43.526666667,29.790555556,20.505277778
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,76,95,474.922,91.382947368,65.975684211,53.923157895
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,250,43.992857143,32.145714286,27.406428571
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,35,11337,0.1692881715,0.0463023728,0.0339648937,0.0339640116
1023009859,WOODS,RANDY,L,MD,M,I,250 S HICKMAN ST,,PUXICO,MO,639609122,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,88,33,24.432777778,24.432777778
1023009875,COOK,MICHAEL,R,D.P.M.,M,I,8955 SW 87TH COURT,STE 108,MIAMI,FL,331762264,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,550,266.98,195.85583333,205.43583333
1023009891,TREJO,ISAAC,J,D.P.M.,M,I,4100 S HOWELL AVE,,MILWAUKEE,WI,532074410,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,38,172.57894737,71.56,56.109736842,56.100263158
1023009891,TREJO,ISAAC,J,D.P.M.,M,I,4100 S HOWELL AVE,,MILWAUKEE,WI,532074410,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,102,72,29.19,22.886666667,22.886666667
1023009909,MORSLI,HAKIM,,MD,M,I,965 S BENEVA RD,,SARASOTA,FL,342322401,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,495.94076923,81.13,54.118461538,46.301538462
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,36,109,368,69.441684783,8.32,5.8847282609,5.8847282609
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,23,37,14.426216216,1.42,0.9954054054,0.9954054054
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,204,3.0926470588,2.7279411765,1.8130882353,1.9558333333
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,187.55416667,56.26,41.649166667,40.503333333
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,58.029230769,17.996153846,14.106923077,14.063846154
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,68.417647059,12.072941176,9.4670588235,9.1370588235
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,70,11.137428571,2.0102857143,1.5765714286,1.5917142857
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,112.77,49.816666667,39.05,37.745833333
1023009933,JUDY,BERNARD,O,MD,M,I,373 W 101ST TER,,KANSAS CITY,MO,64114,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,123,33,23.518181818,23.518181818
1023010006,COOPERSTEIN,GARY,A,D.O.,M,I,102 SCHUBERT DR,,DOWNINGTOWN,PA,193353382,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,37,70.177297297,8.32,6.5216216216,6.5216216216
1023010006,COOPERSTEIN,GARY,A,D.O.,M,I,102 SCHUBERT DR,,DOWNINGTOWN,PA,193353382,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,300,79.116363636,62.023636364,63.364545455
1023010063,HOLOWINSKI,MARK,E,M.D.,M,I,24100 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480803247,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,36,122,40.944918033,8.32,5.4636065574,5.4636065574
1023010063,HOLOWINSKI,MARK,E,M.D.,M,I,24100 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480803247,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.785714286,3.38,2.4607142857,2.4607142857
1023010063,HOLOWINSKI,MARK,E,M.D.,M,I,24100 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480803247,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,24,40,13.879,1.42,0.9755,0.9755
1023010063,HOLOWINSKI,MARK,E,M.D.,M,I,24100 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480803247,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,35,8.0574285714,1.38,1.0228571429,1.0857142857
1023010063,HOLOWINSKI,MARK,E,M.D.,M,I,24100 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480803247,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,33,38.914545455,5.3372727273,3.6915151515,3.0927272727
1023010063,HOLOWINSKI,MARK,E,M.D.,M,I,24100 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480803247,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,40,10274,0.2111981701,0.0464346895,0.0318191551,0.0318191551
1023010063,HOLOWINSKI,MARK,E,M.D.,M,I,24100 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480803247,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,108,33,23.518181818,23.518181818
1023010220,BHANSALI,SANJAY,A,M.D.,M,I,5881 GLENRIDGE DR NE,STE 230,ATLANTA,GA,303285301,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,122.16,38.35,27.336363636,27.69
1023010220,BHANSALI,SANJAY,A,M.D.,M,I,5881 GLENRIDGE DR NE,STE 230,ATLANTA,GA,303285301,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,212.47,56.5,34.807142857,33.778571429
1023010220,BHANSALI,SANJAY,A,M.D.,M,I,5881 GLENRIDGE DR NE,STE 230,ATLANTA,GA,303285301,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,98,8.88,2,1.3163265306,1.337755102
1023010220,BHANSALI,SANJAY,A,M.D.,M,I,5881 GLENRIDGE DR NE,STE 230,ATLANTA,GA,303285301,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,220,33.555454545,26.303636364,26.206818182
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,70,171,506,76.854980237,8.32,5.6460079051,5.6460079051
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.392222222,3.38,2.2083333333,2.2083333333
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,44,84,123,14.441219512,1.42,1.0243902439,1.0243902439
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,375,0.61104,0.24,0.17552,0.1994933333
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,,19,19,310.38684211,118.22315789,89.115789474,68.678947368
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,18,37,126.43621622,45.354054054,34.170540541,26.568378378
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,227.59923077,74.366923077,54.281538462,45.077692308
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,22,22,69.909090909,25.266818182,18.456818182,13.995909091
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,25,25,61.79,19.6352,14.2216,8.9512
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,21,41,191,7.6992146597,2.8220418848,2.0830366492,1.6068062827
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,21.580909091,8.2763636364,6.4872727273,4.65
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,126.3392,22.3396,15.5984,11.7276
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,50.73,6.428,4.494,2.873
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,47,48,338.87375,57.067083333,44.737708333,29.450416667
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,618.44548387,102.49677419,72.647419355,48.974516129
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,660,15.58,9.6555,7.3525151515,7.3525151515
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,8727,0.3178686834,0.0462999885,0.0325209121,0.0325209121
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,600,12.041266667,3.0715,2.40805,2.40805
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,89.506363636,30.424545455,17.302727273,9.1272727273
1023010246,MEYER,MARK,A,M.D.,M,I,1000 N BROADWAY,,PERU,IN,469701070,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,41,41,86.12195122,33,23.977073171,23.977073171
1023010279,CONNOLLY,MATTHEW,J,D.P.M.,M,I,560 S LOOP RD,,EDGEWOOD,KY,410173405,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,100,71.56,53.109666667,53.109666667
1023010279,CONNOLLY,MATTHEW,J,D.P.M.,M,I,560 S LOOP RD,,EDGEWOOD,KY,410173405,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,42,43,358,266.61488372,204.21860465,212.30255814
1023010360,CONROY,LAURI,B,M.D.,F,I,4014 RIVER RD,BUILDING 6,EAST CHINA,MI,480542916,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,48,118,62.346186441,8.32,6.4103389831,6.4103389831
1023010360,CONROY,LAURI,B,M.D.,F,I,4014 RIVER RD,BUILDING 6,EAST CHINA,MI,480542916,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.928571429,3.38,2.65,2.65
1023010360,CONROY,LAURI,B,M.D.,F,I,4014 RIVER RD,BUILDING 6,EAST CHINA,MI,480542916,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,26,14.817307692,1.42,1.1192307692,1.1192307692
1023010360,CONROY,LAURI,B,M.D.,F,I,4014 RIVER RD,BUILDING 6,EAST CHINA,MI,480542916,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,35.817692308,17.25,12.48,12.498461538
1023010360,CONROY,LAURI,B,M.D.,F,I,4014 RIVER RD,BUILDING 6,EAST CHINA,MI,480542916,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,233.5704,79.88,54.8648,48.5448
1023010360,CONROY,LAURI,B,M.D.,F,I,4014 RIVER RD,BUILDING 6,EAST CHINA,MI,480542916,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,3660,1.521147541,0.1327213115,0.0921338798,0.0921338798
1023010360,CONROY,LAURI,B,M.D.,F,I,4014 RIVER RD,BUILDING 6,EAST CHINA,MI,480542916,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,96.913043478,33,24.745217391,24.745217391
1023010402,GRIMALDI,PAMELA,L,D.O.,F,I,151 WORCESTER RD,,BARRE,MA,010059002,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.7883333333,2.1075,2.75
1023010469,GUPTA,PRAMILA,,M.D.,F,I,3735 NAZARETH RD,SUITE 301,EASTON,PA,180458338,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,46,93,80.060430108,8.32,5.9603225806,5.9603225806
1023010469,GUPTA,PRAMILA,,M.D.,F,I,3735 NAZARETH RD,SUITE 301,EASTON,PA,180458338,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,16,16.123125,1.42,0.90625,0.90625
1023010469,GUPTA,PRAMILA,,M.D.,F,I,3735 NAZARETH RD,SUITE 301,EASTON,PA,180458338,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,300,74.48,49.950588235,53.152941176
1023010469,GUPTA,PRAMILA,,M.D.,F,I,3735 NAZARETH RD,SUITE 301,EASTON,PA,180458338,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,41.05,3.6973076923,2.0388461538,2.6938461538
1023010469,GUPTA,PRAMILA,,M.D.,F,I,3735 NAZARETH RD,SUITE 301,EASTON,PA,180458338,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1375,1.9796872727,0.1366254545,0.1031636364,0.1031636364
1023010469,GUPTA,PRAMILA,,M.D.,F,I,3735 NAZARETH RD,SUITE 301,EASTON,PA,180458338,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,51.857142857,33,19.382857143,19.382857143
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,8.77,8.62,6.76,6.8061538462
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,20,28.46,28.46,21.1945,21.1945
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,5.6330769231,5.54,4.34,4.34
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,14.056153846,13.8,10.82,10.82
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,31,60,10.992333333,10.93,8.176,8.176
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,16,2240,0.44,0.44,0.3449776786,0.3449776786
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,41,861,34.83087108,34.83087108,27.254181185,27.277038328
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,21,41,1236,8.3090857605,8.28,6.3970469256,6.3970469256
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,420,18.565714286,18.5,14.504,14.504
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,38,974,3.79,3.79,2.9712936345,2.9712936345
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,132,10.93,10.93,8.5690909091,8.5690909091
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,18,302,2.4,2.4,1.8816225166,1.8816225166
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,25,427,7.36,7.36,5.6673302108,5.6673302108
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,27,73,18.29,18.29,14.338630137,14.338630137
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,601,2.2847254576,2.24,1.7561231281,1.7561231281
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,18,2640,0.45,0.45,0.3528068182,0.3528068182
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,277,6.72,3.08,2.4146570397,2.3762815884
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,38,1077,88.964029712,5.7731476323,4.5260724234,4.1994800371
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,4216,0.73,0.38,0.2979316888,0.2913116698
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,27,9708,0.9659899052,0.3196394726,0.2505984755,0.2442377421
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,7512,5.8443610224,0.697715655,0.5349374334,0.5085969116
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,117.16181818,50.829090909,39.850909091,36.683636364
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,118.93857143,53.505,41.948571429,40.931428571
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,26,26,153.84615385,49.301538462,36.809615385,36.200384615
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.7027272727,3.6881818182,3.6854545455
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,28.34,5.16,4.05,3.9633333333
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1620,0.92,0.1331851852,0.1044320988,0.1044320988
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,114.70588235,19.625882353,12.869411765,11.974705882
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,92,32.757,24.574333333,22.780333333
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,59,59,103.31338983,30.79440678,23.286101695,21.720677966
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,24,8.394,5.9996,5.9168
1023010592,COLVIN,DAVID,J,M.D.,M,I,8383 MILLICENT WAY,,SHREVEPORT,LA,711155207,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,126.17647059,33,25.87,25.87
1023010600,DARPINO,ANITA,R,D.O.,F,I,2496 STIEGEL PIKE,,SCHAEFFERSTOWN,PA,170880455,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,56,62.503214286,8.32,5.8221428571,5.8221428571
1023010600,DARPINO,ANITA,R,D.O.,F,I,2496 STIEGEL PIKE,,SCHAEFFERSTOWN,PA,170880455,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,10.9675,1.42,0.9758333333,0.9758333333
1023010600,DARPINO,ANITA,R,D.O.,F,I,2496 STIEGEL PIKE,,SCHAEFFERSTOWN,PA,170880455,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,13.36,10.48,10.48
1023010600,DARPINO,ANITA,R,D.O.,F,I,2496 STIEGEL PIKE,,SCHAEFFERSTOWN,PA,170880455,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,140,32.97375,25.519375,25.9425
1023010683,ZAVALETA,JESUS,A,MD,M,I,204 NOLANA,,MCALLEN,TX,78504,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,39,125,58.26944,8.32,5.77304,5.77304
1023010683,ZAVALETA,JESUS,A,MD,M,I,204 NOLANA,,MCALLEN,TX,78504,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,23,30,14.366,1.42,0.9666666667,0.9666666667
1023010683,ZAVALETA,JESUS,A,MD,M,I,204 NOLANA,,MCALLEN,TX,78504,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,232.45727273,51.76,36.890909091,39.221818182
1023010683,ZAVALETA,JESUS,A,MD,M,I,204 NOLANA,,MCALLEN,TX,78504,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,74.973571429,10.78,6.6392857143,7.3457142857
1023010717,BENNETT,LAURA,,P.A.,F,I,3330 PTARMIGAN LN,,HELENA,MT,596020521,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,254.03571429,39.380714286,29.029285714,23.860714286
1023010741,MURPHY,JAMES,C,M.D.,M,I,7801 ELVATON CT,SUITE 4,GLEN BURNIE,MD,210616763,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,,11,206,65,25.6,20.070533981,20.070533981
1023010824,COUGHLIN,MICHAEL,J,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,12,12,506.39083333,430.51166667,288.56833333,271.4775
1023010824,COUGHLIN,MICHAEL,J,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,13,13,99.073076923,82.851538462,52.286153846,55.046153846
1023011152,KONIGSBERG,HARVEY,A,MD,M,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2730,3,2.04,1.5467985348,1.5467985348
1023011152,KONIGSBERG,HARVEY,A,MD,M,I,111 S 90TH ST,,OMAHA,NE,681143907,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1600,10.57375,7.224,5.5240875,5.52879375
1023011210,POLAKOWSKI,MAUREEN,S,"CRNP, DNP",F,I,699 HASTINGS ST,,S WILLIAMSPORT,PA,177027606,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,27,78.692592593,8.32,5.3148148148,5.3148148148
1023011210,POLAKOWSKI,MAUREEN,S,"CRNP, DNP",F,I,699 HASTINGS ST,,S WILLIAMSPORT,PA,177027606,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,4.3866666667,3.4433333333,3.6853333333
1023011210,POLAKOWSKI,MAUREEN,S,"CRNP, DNP",F,I,699 HASTINGS ST,,S WILLIAMSPORT,PA,177027606,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,21,519.51,67.72,53.1,54.341904762
1023011210,POLAKOWSKI,MAUREEN,S,"CRNP, DNP",F,I,699 HASTINGS ST,,S WILLIAMSPORT,PA,177027606,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2862,0.5636792453,0.0468169113,0.0270894479,0.0270894479
1023011210,POLAKOWSKI,MAUREEN,S,"CRNP, DNP",F,I,699 HASTINGS ST,,S WILLIAMSPORT,PA,177027606,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,33,33,21.019375,21.019375
1023011269,DECENA,BENIGNO,F,MD,M,I,4729 E CAMP LOWELL DR,,TUCSON,AZ,857121256,US,Clinical Cardiatric Electrophysiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,30.489090909,23.900909091,25.501818182
1023011269,DECENA,BENIGNO,F,MD,M,I,4729 E CAMP LOWELL DR,,TUCSON,AZ,857121256,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3716.6666667,2834.31,2222.1,2222.1
1023011277,GEORGE,JOSEPH,,MD,M,I,575 HUDSON VALLEY AVE,STE 200,NEW WINDSOR,NY,125534746,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,44,102,69.408529412,8.32,5.5306862745,5.5306862745
1023011277,GEORGE,JOSEPH,,MD,M,I,575 HUDSON VALLEY AVE,STE 200,NEW WINDSOR,NY,125534746,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,27,15.499259259,1.42,1.0296296296,1.0296296296
1023011277,GEORGE,JOSEPH,,MD,M,I,575 HUDSON VALLEY AVE,STE 200,NEW WINDSOR,NY,125534746,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17,13.33,13.349090909
1023011277,GEORGE,JOSEPH,,MD,M,I,575 HUDSON VALLEY AVE,STE 200,NEW WINDSOR,NY,125534746,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,56.3675,24.254375,16.95375,12.685
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,30,51,124,75.449274194,8.32,5.5234677419,5.5234677419
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,17,13.792941176,1.42,1.05,1.05
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,135.08833333,48.545,35.589166667,28.018333333
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,14,18,18,246.575,122.86888889,92.142777778,66.401666667
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,27,105.64592593,46.431481481,32.964814815,25.267037037
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,201.55666667,75.242222222,58.99,44.282777778
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,23,23,52.909565217,25.198695652,19.751304348,14.446956522
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,22,22,51.230454545,20.235454545,15.405,10.283181818
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,31,161,8.5348447205,3.0519254658,2.2702484472,1.5875776398
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,26.248333333,8.2858333333,6.0691666667,4.3025
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,42.737142857,21.985,16.702142857,13.046785714
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1001.46,773.49666667,825.8475
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,25,50.73,8.534,6.5444,3.9488
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,26,173.52576923,47.237307692,35.684615385,28.316538462
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,78,80,393.49275,102.2415,77.918125,53.690125
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,8253,0.2870556161,0.0458948261,0.0337004726,0.0337004726
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100.815,44.745,35.0825,29.515833333
1023011343,MCVICKER,MICHAEL,D,FNP-BC,M,I,220 NORTH ELM STREET,,MOUNTAIN VIEW,MO,655480032,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,34,34,62.117647059,33,25.109117647,25.109117647
1023011418,STOLTZ,RUSTON,L,M.D.,M,I,4015 GATEWAY BLVD,,NEWBURGH,IN,476308925,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,46,125,72.90704,8.32,5.28288,5.28288
1023011418,STOLTZ,RUSTON,L,M.D.,M,I,4015 GATEWAY BLVD,,NEWBURGH,IN,476308925,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,29,16.47,1.42,0.9613793103,0.9613793103
1023011418,STOLTZ,RUSTON,L,M.D.,M,I,4015 GATEWAY BLVD,,NEWBURGH,IN,476308925,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,33,20.77,13.8,9.8363636364,9.8363636364
1023011418,STOLTZ,RUSTON,L,M.D.,M,I,4015 GATEWAY BLVD,,NEWBURGH,IN,476308925,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,33,15.21,10.93,7.7909090909,7.7909090909
1023011418,STOLTZ,RUSTON,L,M.D.,M,I,4015 GATEWAY BLVD,,NEWBURGH,IN,476308925,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,46.37,4.7042857143,1.5092857143,1.4485714286
1023011442,GABRIEL,THOMAS,M,M.D.,M,I,6400 DUTCHMANS PKWY,STE 215,LOUISVILLE,KY,402053343,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,15,16,84.375,53.2,39.103125,43.815625
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,26,61,171,59.610760234,8.32,5.6832748538,5.6832748538
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.454545455,3.38,2.65,2.65
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,39,59,16.321694915,1.42,0.9254237288,0.9254237288
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,2680,2.2142537313,2.0244029851,1.5335708955,1.5459440299
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,237.65538462,52.952307692,41.515384615,37.949230769
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,86.514117647,18,14.11,13.54
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,299.69333333,76.322564103,54.643846154,51.523076923
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,154,36.213333333,28.393333333,29.401333333
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3970,0.2368488665,0.0455440806,0.0315239295,0.0315239295
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2845,1.1919648506,0.1303514938,0.0812091388,0.0812091388
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1637.07,169.08818182,132.56454545,119.02727273
1023011467,WAINER,BRADFORD,S,D.O.,M,I,6840 WINDSOR AVE,,BERWYN,IL,604023441,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,35,103.71428571,33,22.684857143,22.684857143
1023011673,MYERS,TODD,R,M.D.,M,I,410 2ND ST,,MARIETTA,OH,457502115,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,68,46.322352941,8.32,6.5230882353,6.5230882353
1023011673,MYERS,TODD,R,M.D.,M,I,410 2ND ST,,MARIETTA,OH,457502115,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1023011673,MYERS,TODD,R,M.D.,M,I,410 2ND ST,,MARIETTA,OH,457502115,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,34,13.801764706,1.42,1.1138235294,1.1138235294
1023011673,MYERS,TODD,R,M.D.,M,I,410 2ND ST,,MARIETTA,OH,457502115,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,37,20.665,16.197727273,13.53
1023011673,MYERS,TODD,R,M.D.,M,I,410 2ND ST,,MARIETTA,OH,457502115,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,270,95.446363636,74.83,54.73
1023011731,SOLMEN,JAMES,D,M.D.,M,I,6470 TIPPECANOE RD,,CANFIELD,OH,444067036,US,Physician/Orthopedic Surgery,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,990,671.76,526.66,559.26909091
1023011731,SOLMEN,JAMES,D,M.D.,M,I,6470 TIPPECANOE RD,,CANFIELD,OH,444067036,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,370,252.3988,197.8772,214.5136
1023011731,SOLMEN,JAMES,D,M.D.,M,I,6470 TIPPECANOE RD,,CANFIELD,OH,444067036,US,Physician/Orthopedic Surgery,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,270,162.87,127.69,126.74090909
1023011764,SMITH,THOMAS,A,M.D.,M,I,186 HOSPITAL RD,STE 300,WINCHESTER,TN,373982473,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,36.2,21.656666667,16.148888889,13.112777778
1023011764,SMITH,THOMAS,A,M.D.,M,I,186 HOSPITAL RD,STE 300,WINCHESTER,TN,373982473,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,226.62857143,97.235,74.005357143,54.128571429
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,14,23,45,5.9922222222,1.8966666667,1.4868888889,1.1964444444
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,37,55,55,306.73,101.92054545,73.863818182,63.855454545
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,29,42,81,117.41654321,39.381481481,30.033703704,26.216049383
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,15,69,48.47826087,20.542318841,15.270869565,14.364202899
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,43,34.860465116,16.173255814,12.572325581,11.781162791
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,22,25,25,144.3752,61.27,46.1536,43.1884
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,54,60,60,54.503833333,20.048333333,15.045833333,13.763666667
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,53,69,69,58.833913043,14.426956522,11.034347826,9.15
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,57,81,345,7.500057971,2.3201449275,1.766173913,1.6008115942
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,17,78,84,71.49452381,21.993214286,15.971547619,13.220119048
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,243.49736842,62.711578947,44.379473684,37.404210526
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,14,14,115.215,50.698571429,32.13,31.951428571
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,243.13611111,58.13,40.991111111,34.190555556
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,23,399.62130435,98.963913043,71.502608696,61.316956522
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,41,41,41,368.54,146.07902439,112.50878049,106.11804878
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,13,35,38,68.559210526,15.262631579,10.747105263,9.5971052632
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,14,57,57,25.268947368,5.8366666667,4.4494736842,3.8412280702
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,55,229,230,186.14530435,38.878,29.079130435,27.084478261
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,39,237,243,370.79979424,97.817983539,70.75962963,52.364567901
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,166.66666667,44.804444444,29.814814815,25.221851852
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,22,6290,0.171073132,0.0445898251,0.0349602544,0.0349602544
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,720,7.9308472222,2.7870833333,2.1850972222,2.1850972222
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,75.181818182,42.593636364,31.403030303,27.826666667
1023011814,DEAN,CYNTHIA,,FNP,F,I,241 MONARCH ROAD,,ST. CHARLES,VA,242820269,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,14,25,25,45.66,33,25.87,25.87
1023011889,SCHOCH,EUGENE,P,MD,M,I,1015 EAST 32ND ST,SUITE 101,AUSTIN,TX,78705,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,20,20,331,29.83,25.6,20.070543807,20.070543807
1023011897,SEIP,CHRISTOPHER,C,MD,M,I,516 WEST LEOTA,,NORTH PLATTE,NE,69101,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.4,5.54,3.9815416667,3.9815416667
1023011897,SEIP,CHRISTOPHER,C,MD,M,I,516 WEST LEOTA,,NORTH PLATTE,NE,69101,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.2,4.03,2.9236666667,2.9236666667
1023011905,BELLAMY,DAVID,A,,M,I,3334 CAPITAL MEDICAL BLVD,STE. 400,TALLAHASSEE,FL,323084470,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,125.94956522,53.03826087,38.34173913,34.480434783
1023011905,BELLAMY,DAVID,A,,M,I,3334 CAPITAL MEDICAL BLVD,STE. 400,TALLAHASSEE,FL,323084470,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,29,152,117.67,85.550344828,95.534827586
1023011913,BRUNSON,ADAM,A,M.D.,M,I,12225 28TH ST N,SUITE B,ST PETERSBURG,FL,337161823,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,53,77.379245283,8.32,5.0441509434,5.0441509434
1023011913,BRUNSON,ADAM,A,M.D.,M,I,12225 28TH ST N,SUITE B,ST PETERSBURG,FL,337161823,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,79.88,52.724166667,46.258333333
1023011970,NADER,RALPH,G,MD,M,I,4302 ALTON RD,STE 220,MIAMI BEACH,FL,331402891,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,218.50241379,90.01,68.136551724,52.842758621
1023011970,NADER,RALPH,G,MD,M,I,4302 ALTON RD,STE 220,MIAMI BEACH,FL,331402891,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,123.68421053,35.11,24.632105263,26.560526316
1023012002,NGUYEN,HUY,L,MD,M,I,7355 N BEACH ST,SUITE 153,FORT WORTH,TX,761371897,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,84,205,63.718780488,8.32,5.915902439,5.915902439
1023012002,NGUYEN,HUY,L,MD,M,I,7355 N BEACH ST,SUITE 153,FORT WORTH,TX,761371897,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,15.476,3.38,2.65,2.65
1023012002,NGUYEN,HUY,L,MD,M,I,7355 N BEACH ST,SUITE 153,FORT WORTH,TX,761371897,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,20,60,82,15.258292683,1.42,1.0482926829,1.0482926829
1023012002,NGUYEN,HUY,L,MD,M,I,7355 N BEACH ST,SUITE 153,FORT WORTH,TX,761371897,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,33.040625,6.815625,4.804375,2.9575
1023012002,NGUYEN,HUY,L,MD,M,I,7355 N BEACH ST,SUITE 153,FORT WORTH,TX,761371897,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,62.785454545,19.636363636,14.111818182,13.098181818
1023012002,NGUYEN,HUY,L,MD,M,I,7355 N BEACH ST,SUITE 153,FORT WORTH,TX,761371897,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,139.749375,31.188125,24.450625,22.984375
1023012093,STEINER,MARK,A,MD,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Interventional Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,1372.4954545,19.71,15.45,15.45
1023012093,STEINER,MARK,A,MD,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Interventional Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,74,578.82945946,37.38,29.305945946,29.305945946
1023012093,STEINER,MARK,A,MD,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Interventional Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,741,185.802861,1.4970040486,1.1736032389,1.1736032389
1023012309,IBACH,ANNE,L,M.D.,F,I,3850 ED DRIVE,STE 100,RALEIGH,NC,276128037,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,12,28,70.604285714,8.32,3.9946428571,3.9946428571
1023012309,IBACH,ANNE,L,M.D.,F,I,3850 ED DRIVE,STE 100,RALEIGH,NC,276128037,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,300,6.0705333333,5.54,4.2130333333,4.2130333333
1023012309,IBACH,ANNE,L,M.D.,F,I,3850 ED DRIVE,STE 100,RALEIGH,NC,276128037,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,300,3.3322666667,3.04,2.2246,2.2246
1023012358,KOMANDUR,REVATI,,MD,F,I,1262 OLIVER ST,STE A,FAYETTEVILLE,NC,283044449,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,67.12,45.002727273,35.284545455,30.166363636
1023012408,PETERSON,TODD,V,MD,M,I,757 NORLAND AVENUE,SUITE 203,CHAMBERSBURG,PA,172014230,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,23,50.592173913,8.32,6.5273913043,6.5273913043
1023012424,STAGIAS,JOHN,G,M.D.,M,I,428 HAMILTON ST,,SOUTHBRIDGE,MA,015501859,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5,3.92,4.1632258065
1023012424,STAGIAS,JOHN,G,M.D.,M,I,428 HAMILTON ST,,SOUTHBRIDGE,MA,015501859,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5541,2.633010287,0.31,0.2411820971,0.2411820971
1023012457,DOMAT,IMAD,,MD,M,I,5200 CENTRE AVE,STE 703,PITTSBURGH,PA,152321327,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,451.53263158,99.714736842,78.177894737,54.73
1023012721,KRANZ,KARL,S,DO,M,I,817 COMMERCIAL ST,,LEAVENWORTH,WA,988261316,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,12,51,78,58.559871795,8.32,6.2729487179,6.2729487179
1023012721,KRANZ,KARL,S,DO,M,I,817 COMMERCIAL ST,,LEAVENWORTH,WA,988261316,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,80.0632,17.09,12.328,12.436
1023012721,KRANZ,KARL,S,DO,M,I,817 COMMERCIAL ST,,LEAVENWORTH,WA,988261316,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,27.13,4.02625,2.784375,3.23
1023012721,KRANZ,KARL,S,DO,M,I,817 COMMERCIAL ST,,LEAVENWORTH,WA,988261316,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,498.79189189,65.7,45.941351351,48.813783784
1023012721,KRANZ,KARL,S,DO,M,I,817 COMMERCIAL ST,,LEAVENWORTH,WA,988261316,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2159,2.2365539602,0.1370264011,0.1023899954,0.1023899954
1023012721,KRANZ,KARL,S,DO,M,I,817 COMMERCIAL ST,,LEAVENWORTH,WA,988261316,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,38.210526316,33,24.508421053,24.508421053
1023012804,GOPAL,PUSHPA,,M.D.,F,I,238 SUTTON ST,,NORTH ANDOVER,MA,018451631,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,129.28,16.536428571,10.008571429,10.802142857
1023012804,GOPAL,PUSHPA,,M.D.,F,I,238 SUTTON ST,,NORTH ANDOVER,MA,018451631,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,25.84,8.2693333333,4.5946666667,4.682
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,38,72.335526316,8.32,6.1768421053,6.1768421053
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,87.272727273,40.539090909,31.781818182,30.569090909
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,227,94.553636364,67.278181818,61.813636364
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,22,75.996363636,35.553636364,26.571363636,24.669545455
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,246.104,58.944,40.264666667,37.208
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,62.545,19.362142857,14.884285714,13.769285714
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,73.526875,14.06125,10.63375,8.733125
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,93,8.8264516129,2.2649462366,1.7760215054,1.5908602151
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,61.5,17,13.33,13.495
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,50,13.188333333,9.19,9.3266666667
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,174.4837931,34.423793103,25.399655172,25.809655172
1023012853,RYKERT-WOLF,MARY,A,MD,F,I,7060 ERIE RD,SUITE 100,DERBY,NY,140479430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,350,77.18,60.51,55.960714286
1023012861,COLE,CHARLES,L,MD,M,I,900 BUFFALO RD,,LEWISBURG,PA,178372800,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,151.99733333,56.980666667,44.673333333,36.356666667
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,30,85,209,61.930526316,8.32,5.8269856459,5.8269856459
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,29,17.414482759,1.42,1.0393103448,1.0393103448
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,0.39,0.13,0.10065,0.10065
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,4.35,2.04,1.59935,1.59935
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,34,86.31,18.991470588,14.889705882,13.680294118
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,34.938461538,9.53,7.47,7.56
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,56,558.23732143,78.535,59.733214286,53.6425
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,44.560909091,34.684545455,29.260909091
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,3457,0.2379809083,0.04741105,0.0309140874,0.0309140874
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,57,68,159.01632353,18.077941176,13.044411765,12.646617647
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,844.11846154,108.52923077,78.591538462,78.583076923
1023012879,MIHALCEA,ANA,M,MD,F,I,1450 NORTHWEST LN SE,SUITE A,LACEY,WA,985036908,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,73.764705882,33,22.826470588,22.826470588
1023012911,SULLIVAN,TIMOTHY,J,M.D.,M,I,4403 HARRISON BLVD.,STE 4640,OGDEN,UT,844033304,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,76,200,37.348947368,28.960394737,28.960394737
1023012911,SULLIVAN,TIMOTHY,J,M.D.,M,I,4403 HARRISON BLVD.,STE 4640,OGDEN,UT,844033304,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,47.435897436,4.3335897436,2.8882051282,2.9892307692
1023012911,SULLIVAN,TIMOTHY,J,M.D.,M,I,4403 HARRISON BLVD.,STE 4640,OGDEN,UT,844033304,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,3710,51.73977628,13.544320755,10.618762803,10.618762803
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,65,144,70.393402778,8.32,5.7413888889,5.7413888889
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.543333333,3.38,2.2083333333,2.2083333333
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,36,44,15.767045455,1.42,1.015,1.015
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,51,51,21.44,4.2482352941,3.071372549,3.2133333333
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,365,72,51.073809524,49.517619048
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,14,2821,0.870606168,0.0469195321,0.033527118,0.033527118
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,36.3,28.46,29.51
1023012952,MAURIELLO,RICHARD,M,DO,M,I,175 CROSS KEYS RD # 300A,,BERLIN,NJ,080099263,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,,19,19,39.631578947,33,24.508421053,24.508421053
1023012960,FLENNIKEN,ROAN,L,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,33,88,246,70.280731707,8.32,6.1242276423,6.1242276423
1023012960,FLENNIKEN,ROAN,L,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,34,51,14.197647059,1.42,0.9633333333,0.9633333333
1023012960,FLENNIKEN,ROAN,L,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,160,49.745454545,39.000909091,38.481818182
1023012960,FLENNIKEN,ROAN,L,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,22,119.52545455,19.026363636,11.686363636,10.711818182
1023012960,FLENNIKEN,ROAN,L,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,105,29.249375,22.928125,21.308125
1023012960,FLENNIKEN,ROAN,L,MD,M,I,1455 E BERT KOUNS LOOP,,SHREVEPORT,LA,711055634,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,34,8.2757692308,6.0092307692,5.9261538462
1023012978,DEDRICK,CURTIS,E,DO,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,339526704,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,10,5.0918181818,3.9931818182,3.9772727273
1023012978,DEDRICK,CURTIS,E,DO,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,339526704,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,51.53,19.122727273,12.345454545,11.290909091
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,21,58,166,54.36126506,8.32,6.4436144578,6.4436144578
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,37,12.547567568,1.42,1.1137837838,1.1137837838
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,113.81923077,24.946923077,19.553846154,14.176923077
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,114,12.429473684,2.8389473684,2.2260526316,1.6575438596
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,200,5.5869230769,4.1038957816,3.0226550868
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3410,3.644,0.4918181818,0.3761524927,0.2806334311
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,22.829285714,17.896428571,14.82
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,919.45,708.89416667,820.18666667
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,27,528.43481481,92.628888889,72.621111111,59.23
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,4096,0.3284082031,0.0465991211,0.0365332031,0.0365332031
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,2.992,0.2190909091,0.1717424242,0.1717424242
1023013018,BJORNSON,BJORN,R,M.D.,M,I,2547 STATE ROAD 35,,LUCK,WI,548534501,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,33,33,25.87,25.87
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,27,64,172,74.322790698,8.32,4.8645348837,4.8645348837
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,15.65,1.42,1.12,1.12
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,322.60285714,107.81,73.762857143,58.177857143
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,17,93.049411765,37.47,27.691764706,24.394705882
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,30,51.16,17.65,12.163333333,11.226333333
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,196.41764706,61.869411765,45.948823529,41.912352941
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,21,30,30,53.319333333,21.29,15.668333333,13.389
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,23,23,55.636521739,14.87,11.215652174,9.1882608696
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,40,96,7.115,2.536875,1.8833333333,1.575625
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,11,14,14,44.664285714,14.229285714,11.155,10.343571429
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,128.125,17.69,12.714166667,12.4025
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,400,95.384444444,64.091111111,51.25
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,43.434615385,4.6653846154,2.8584615385,2.8584615385
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,448.02,69.99,51.760909091,51.6275
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2822,0.1422927002,0.0472714387,0.0305598866,0.0305598866
1023013042,DARROW,JAMES,A,MD,M,I,301 N 4TH AVE,,ELDRIDGE,IA,527481113,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,21.166363636,21.166363636
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,53,119,52.396134454,8.32,6.1393277311,6.1393277311
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,12.330769231,3.38,2.4461538462,2.4461538462
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,20,34,14.433823529,1.42,1.0829411765,1.0829411765
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,97.014117647,18.134117647,13.701617647,13.946323529
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,244.71,52.666666667,38.048333333,39.163333333
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,103.36307692,17.930769231,14.054615385,14.061538462
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,98,9.7057142857,2.0428571429,1.602244898,1.5951020408
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,134.38,45.962,29.634,31.186
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,17,12.219166667,12.433333333
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,128.98,44.305,32.317142857,33.426428571
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,253.3892,76.822,53.8236,48.95
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,68.996428571,13.88,8.6682142857,10.978214286
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,119.34,27.058333333,12.692222222,12.093888889
1023013059,ANDIN,PERLA,J,M.D.,F,I,905 LITTLE BRITAIN RD,,NEW WINDSOR,NY,125535522,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,20.57,7.0557777778,3.8011111111,4.5437777778
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,15,24.384,20.968,16.069333333,21.720666667
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,3.9261538462,3.58,2.81,2.81
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,597,2.5426633166,2.27,1.6902847571,1.6902847571
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,58,4824,3.3303358209,1.73,1.3429291045,1.567300995
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,2280,10.255842105,7.23,5.5086666667,5.5086666667
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,35,61,6.636557377,6.1781967213,4.7245901639,8.2696721311
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,32,6.535625,6.34,4.97,5.735625
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,91,2.478021978,1.4275824176,0.8891208791,1.1816483516
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,400,9.9325,7,5.0133,5.0133
1023013109,KLEIN,ERIC,W,"M.D.,MPH, TM",M,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,410,5.5096097561,4.04,2.9778292683,2.9778292683
1023013216,LEMELIN,RONALD,J,PA-C,M,I,8208 LOUISIANA BLVD NE,SUITE C,ALBUQUERQUE,NM,871131757,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,26,72.970384615,31.171153846,21.342692308,18.956153846
1023013315,CARLSON,HAROLD,D,MD,M,I,95 COLLIER RD NW,SUITE 2065,ATLANTA,GA,303091796,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,326.87,102.61833333,80.455,64.855
1023013315,CARLSON,HAROLD,D,MD,M,I,95 COLLIER RD NW,SUITE 2065,ATLANTA,GA,303091796,US,Interventional Cardiology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,35.0825,31.303333333
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,32,91,282,73.524397163,8.32,6.0594680851,6.0594680851
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,39,64,13.66359375,1.42,1.01140625,1.01140625
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,181.21571429,53.957142857,42.301428571,42.654285714
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,66.38,18.905384615,14.821538462,13.983846154
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,69.965294118,12.418823529,9.7335294118,9.0688235294
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,22,129,7.6874418605,2.073255814,1.6253488372,1.590620155
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,100,5.1,3.9983333333,4.163
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4136,1.6710638298,0.37,0.2900797872,0.2900797872
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,624,61.8,48.45,48.438181818
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.93,51.349090909,40.264545455,38.441818182
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,156.68068966,32.336551724,25.347586207,25.261724138
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,61.9,10.3125,8.09,8.8908333333
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,460,233.5,182.77785714,185.665
1023013349,SALBERG,JEFFREY,P,M.D.,M,I,18370 BURBANK BLVD,STE 601,TARZANA,CA,913562831,US,Physician/Internal Medicine,S,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,17,66,67,33.84,26.531818182,25.409090909
1023013364,ZELLMER,MARK,R,PA-C,M,I,18606 ERVIN ST,,WHITEHALL,WI,547738613,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,113.35384615,44.526923077,32.383846154,27.245384615
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,820,9.7957317073,3.65,2.399,2.595
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,210,14.036,7.06,5.5350952381,5.5350952381
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,41,970,11.22785567,5.74,4.1136701031,4.1136701031
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,365,17.414164384,10.81,8.0826849315,8.0826849315
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,232,5.2804310345,2.91,2.1534913793,2.1534913793
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,470,25.228,9.86,7.7301914894,7.7301914894
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,285,16.207719298,7,5.1750175439,5.1750175439
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,660,8.1552121212,5.36,3.9919242424,3.9919242424
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,470,8.1304893617,4.03,3.1596595745,3.1596595745
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,34,1755,0.7455612536,0.27,0.2043874644,0.2043874644
1023013422,PITTMAN,JOHN,S,M.D.,M,I,13421 OLD MERIDIAN ST,STE 210,CARMEL,IN,460321411,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,951,0.6406940063,0.2415772871,0.1893796004,0.2097896951
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,25,72,153,57.407908497,8.32,5.6696732026,5.6696732026
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,21,30,16.513,1.42,0.9673333333,0.9673333333
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,36,8.19,1.875,1.2583333333,0.9583333333
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,86.31,22.680294118,16.902058824,12.911176471
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,93,93,519.51,99.290107527,74.232795699,52.643010753
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1290,15.018139535,9.6307209302,7.4322635659,7.4322635659
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,36,3150,1.1686349206,0.1334952381,0.0896190476,0.0896190476
1023013430,DELERUYELLE,VICKIE,L,CNP,F,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,66,66,106.5,33,23.126212121,23.126212121
1023013505,BLOCH,WILLIAM,E,M.D.,M,I,350 W WILSON BRIDGE RD,,WORTHINGTON,OH,430852217,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,31,7445,4.4032155809,1.92,1.4860080591,1.5707951645
1023013505,BLOCH,WILLIAM,E,M.D.,M,I,350 W WILSON BRIDGE RD,,WORTHINGTON,OH,430852217,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,1210,12.948512397,5.3954545455,4.2300165289,5.5633636364
1023013505,BLOCH,WILLIAM,E,M.D.,M,I,350 W WILSON BRIDGE RD,,WORTHINGTON,OH,430852217,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,43,31.618837209,10.93,7.3734883721,7.3734883721
1023013505,BLOCH,WILLIAM,E,M.D.,M,I,350 W WILSON BRIDGE RD,,WORTHINGTON,OH,430852217,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,84,3.8792857143,1.7226190476,1.35,1.4104761905
1023013505,BLOCH,WILLIAM,E,M.D.,M,I,350 W WILSON BRIDGE RD,,WORTHINGTON,OH,430852217,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,375,24.236906667,9.58,7.2651466667,7.2651466667
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,53,191,59.905863874,8.32,6.112617801,6.112617801
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,15,3.38,2.65,2.65
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,20,58,15,1.42,1.1120689655,1.1120689655
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,82.396363636,17.09,12.790909091,12.923181818
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,496.46222222,65.7,48.002777778,51.268055556
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,929,1.5204305705,0.13532831,0.103153929,0.103153929
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,71.125,17.93,12.225714286,12.509285714
1023013620,HALBUR,RICHARD,B,PAC,M,I,191 N MAIN ST,,LEBANON,OR,973552870,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,85.8,33,24.145333333,24.145333333
1023013646,SEUFERT,NANCY,M,ARNP,F,I,1919 W SWANN AVE,3RD FLOOR,TAMPA,FL,336062404,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,51,93.606470588,8.32,5.3721568627,5.3721568627
1023013703,SCHROEDER,GERI,L,ARNP,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,46,63.75673913,8.32,6.2384782609,6.2384782609
1023013703,SCHROEDER,GERI,L,ARNP,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,250.86181818,250.86181818,196.67545455,196.86909091
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,29,86,205,51.877902439,8.32,6.1115609756,6.1115609756
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,28,28,15.385714286,3.38,2.5553571429,2.5553571429
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,23.928571429,2.12,1.5507142857,1.5507142857
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,20,40,59,15.292881356,1.42,1.0766101695,1.0766101695
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,31.61,17.25,12.768888889,12.788888889
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,26.419,5.699,4.468,3.7386666667
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,26,215.63538462,79.88,60.211538462,52.919230769
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,,22,3846,0.3207566303,0.0461284451,0.0335517421,0.0335517421
1023013711,HERNANDEZ,MARIDEL,A,DO,F,I,19603 E 8 MILE RD,,SAINT CLAIR SHORES,MI,480801655,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,17,17,62.117647059,33,25.513529412,25.513529412
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,22,22,144.5,39.319090909,30.827272727,30.505
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,21,21,299.34857143,89.745714286,70.361428571,68.10047619
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,42,125.82190476,33.942857143,26.61047619,26.007142857
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,67,78.718358209,19.881940299,15.586865672,14.551940299
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,220.38857143,58.238571429,45.655,42.86
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,23,23,68.712608696,18.464347826,14.474347826,14.064347826
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,74.65,13.188461538,10.340769231,9.1753846154
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,34,198,7.9633333333,2.0606060606,1.6158080808,1.5903535354
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,63.281538462,12.995384615,10.187692308,10.326153846
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,21,147,160,77.7905625,18.7919375,14.2766875,13.9189375
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,28.976666667,17.763333333,12.336666667,12.034444444
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,413.515,79.444,56.751666667,49.536666667
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,38,43,216.65,49.67,37.138372093,35.910465116
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,3117.1704,913.16,710.1812,806.1996
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,285,94.374666667,73.991333333,72.528
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,36.762285714,4.14,3.2428571429,3.6928571429
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,55,55,267.48363636,32.909090909,24.232727273,24.092727273
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,46,359,379,376.08923483,80.585989446,59.454432718,52.323562005
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,68,170.68602941,38.023529412,28.056176471,27.850294118
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,3620,0.3374944751,0.0464116022,0.030281768,0.030281768
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1440,2.1486388889,0.1363541667,0.1069305556,0.1069305556
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,209.51111111,38.337777778,30.056666667,29.52037037
1023013745,RAINS,RONALD,,MD,M,I,1725 E BOULDER ST,STE 204,COLORADO SPRINGS,CO,809095740,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,33,33,48.492424242,33,23.518181818,23.518181818
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,23,46,49.485217391,8.32,4.4165217391,4.4165217391
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,14,12.222857143,1.42,1.0357142857,1.0357142857
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,50,55.835,23.8946,18.7332,14.7298
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,155.02166667,73.385555556,54.456666667,41.441666667
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,19,19,62.400526316,23.169473684,15.887894737,12.436842105
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,27,27,65.078148148,18.841111111,14.107777778,8.9488888889
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,31,168,11.136309524,2.9702380952,2.2973809524,1.6131547619
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,19.674615385,8.22,6.4492307692,4.88
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,536.754,120.326,84.769333333,56.882666667
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,22,88.432727273,17.431818182,12.465454545,9.3781818182
1023013752,KNECHT,JAMES,D,M.D.,M,I,1029 KEYSER AVENUE,STE F,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,80,86,177.71406977,43.188488372,31.05744186,22.927906977
1023013760,BURK,REED,K,D.P.M.,M,I,1105 E ALLEN RD,,TAHLEQUAH,OK,744642119,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,91.76,71.56,56.105,56.105
1023013760,BURK,REED,K,D.P.M.,M,I,1105 E ALLEN RD,,TAHLEQUAH,OK,744642119,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,120,43.333333333,29.19,22.885,22.88625
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,91.70625,71.56,52.599375,52.598125
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,59,56.326779661,43.56,34.151355932,34.149830508
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,41,55,513,34.48,34.48,27.032124756,27.305497076
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,35,28.83,22.42,17.577142857,17.577142857
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,22,186,12.9,10.93,8.5691397849,8.5691397849
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,29,33,560,1.07,1.07,0.8388392857,0.8464642857
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,35,40,45,40,18.29,14.339777778,14.339777778
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,48,52,71,69.14,69.14,53.406056338,62.086619718
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,17,17,186.68,141.24,110.73352941,95.078823529
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,18,241.73222222,241.73222222,189.51777778,293.91333333
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,19,100.28,100.28,78.62,69.702105263
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,15,258.79,258.79,202.89,218.89
1023013794,MARTIN,WILLIAM,W,D.P.M,M,I,550 E 1400 N,STE N,LOGAN,UT,843412450,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,15,154.32,154.32,120.99,126.53
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,31,86,228,63.071315789,8.32,6.0642105263,6.0642105263
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,2.4607142857,2.4607142857
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,30,58,14.00637931,1.42,1.0572413793,1.0572413793
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,335,11.751910448,7,5.2020298507,5.2020298507
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1388,0.4600360231,0.4342363112,0.3309510086,0.3309510086
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,600,0.3379,0.27,0.2116,0.2116
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,750,8.724,6.29,4.9313333333,5.7102666667
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,6.18,5.23,4.1003333333,4.1003333333
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,320,5.155375,3.04,2.23446875,2.23446875
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,120.28727273,70.018181818,42.720909091,31.461818182
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,17,17,38.508823529,22.741764706,15.991176471,12.405882353
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,40.115,18.97,13.191666667,7.6
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,17,66,6.1792424242,3.2563636364,2.4456060606,1.4954545455
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,4.5,3.81,2.987,2.987
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,50.800465116,22.328604651,16.810232558,13.320697674
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,46.925833333,37.63
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2500,1048.7,810.22416667,830.30416667
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,18.989512195,8.9490243902,6.9268292683,3.7073170732
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,67.000909091,49.359090909,38.703636364,27.527272727
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,139,141,225.65361702,101.94241135,76.584680851,53.52141844
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,2459,1.3048678325,0.1326148841,0.0834119561,0.0834119561
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36,11.549166667,9.0516666667,6.9408333333
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,61.96,44.768823529,34.450196078,28.930392157
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,609.5,224.97416667,174.90333333,126.62
1023014008,MOORE,JEFFREY,,M.D.,M,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,33,33,21.89,21.89
1023014016,HILLMANN,SCOTT,J,M.D.,M,I,16601 N 40TH ST STE 204,,PHOENIX,AZ,850323356,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,270,12.333481481,5.54,4.3432962963,4.3432962963
1023014016,HILLMANN,SCOTT,J,M.D.,M,I,16601 N 40TH ST STE 204,,PHOENIX,AZ,850323356,US,Physician/General Surgery,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.82,2.02,1.3844027778,1.3844027778
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,12,37,80,48.43125,8.32,5.87125,5.87125
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,22,13.004090909,1.42,1.0109090909,1.0109090909
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,189.58714286,53.101428571,41.627857143,42.765714286
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,57.780909091,17.9,14.03,14.057272727
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,62.494,11.685333333,9.16,9.1213333333
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,90,11.857333333,2.056,1.6118888889,1.594
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,64,16.59,12,12.5
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,68.181818182,4.3072727273,3.0990909091,3.41
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,188.92285714,33.497142857,26.258571429,26.714285714
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,4050,0.17,0.0464271605,0.0343481481,0.0343481481
1023014032,LISZKA,ANNE-MARIE,,D.O.,F,I,306 W 11TH ST,LOWR LEVEL,ERIE,PA,165011705,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,21,132,33,25.87,25.87
1023014057,SCHECKER,MARK,H,M.D.,M,I,3516 CADUCEUS DR,,MYRTLE BEACH,SC,295882902,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,48,48,31.072708333,4.844375,3.6475,3.4725
1023014057,SCHECKER,MARK,H,M.D.,M,I,3516 CADUCEUS DR,,MYRTLE BEACH,SC,295882902,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,960,131.9075,42.47,33.29646875,33.29646875
1023014057,SCHECKER,MARK,H,M.D.,M,I,3516 CADUCEUS DR,,MYRTLE BEACH,SC,295882902,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,13,3281,0.1334074977,0.0478207863,0.0374916184,0.0374916184
1023014057,SCHECKER,MARK,H,M.D.,M,I,3516 CADUCEUS DR,,MYRTLE BEACH,SC,295882902,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1439,0.5729256428,0.1375886032,0.0964697707,0.0964697707
1023014057,SCHECKER,MARK,H,M.D.,M,I,3516 CADUCEUS DR,,MYRTLE BEACH,SC,295882902,US,Physician/Allergy/ Immunology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,947,0.5686061246,0.2178352693,0.170781415,0.170781415
1023014057,SCHECKER,MARK,H,M.D.,M,I,3516 CADUCEUS DR,,MYRTLE BEACH,SC,295882902,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,28,28,65.517857143,33,25.848571429,25.848571429
1023014057,SCHECKER,MARK,H,M.D.,M,I,3516 CADUCEUS DR,,MYRTLE BEACH,SC,295882902,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,900,358.5,281.06,281.06
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,62,234,60.476581197,8.32,6.4112820513,6.4112820513
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.65,2.65
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,30,56,12.574464286,1.42,1.1146428571,1.1146428571
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,140.44090909,91.07,69.647272727,66.419090909
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,32.837333333,12.08,8.8386666667,8.5353333333
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,101,4.0061386139,2.06,1.615049505,1.5945544554
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,10389,1.6711406295,0.3,0.2269689094,0.2344701126
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,136.36388889,45,33.32,34.385
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,145.096875,48,37.63,40.5925
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,49.768333333,31.459166667,29.915833333
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,25,25,136.0048,49.728,37.608,38.4628
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,133.00615385,30.42,19.177692308,19.198461538
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,22,33.685,17.76,13.925,15.165909091
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,22,57.78,27.31,21.415,22.496818182
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,49.02,20.38,15.97,17.97
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,58,58,24.01,9.9834482759,7.2,8.2181034483
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,28,411.99714286,76.368571429,53.55,49.065
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,70.2,33.44,26.22,29.070833333
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,358.58,140.74,110.34,113.64
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,16,67,67,68.17119403,17.742686567,13.28238806,14.066567164
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,121.81428571,23.700571429,16.071428571,18.672857143
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,21,112,112,20.488035714,8.2055357143,6.1025,6.4798214286
1023014123,ROTH,JERRY,M,MD,M,I,501 STREET RD STE 101,,SOUTHAMPTON,PA,189663796,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,196.144,36.6,24.906,25.757333333
1023014164,DECKER,ROBERT,W,M.D.,M,I,9090 WILSHIRE BLVD,STE 200,BEVERLY HILLS,CA,902111850,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,14,926,42.357904968,4.9018358531,3.8430669546,3.8430669546
1023014180,CROWE,WILLIAM,T,"RN, FNP",M,I,4101 WESLEY ST,SUITE B,GREENVILLE,TX,754015635,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,55.916,17.63,13.129,12.868
1023014180,CROWE,WILLIAM,T,"RN, FNP",M,I,4101 WESLEY ST,SUITE B,GREENVILLE,TX,754015635,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,311.23318182,76.48,57.234545455,52.947272727
1023014263,WEEKS,ROBERT,B,PA-C,M,I,2400 PATTERSON ST,SUITE 300,NASHVILLE,TN,372031562,US,Physician Assistant,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,26,115,115,80.741153846,69.814230769
1023014289,MALCHOFF,CARL,D,MD,M,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,37,306,79.597026144,8.32,6.0309477124,6.0309477124
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,63,217,631.70147465,19.698571429,14.978617512,14.978617512
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,613.69090909,14.858181818,11.650909091,11.650909091
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,54,23120,69.500326557,9.8415051903,7.707432526,7.7074294983
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,840,131.38038095,40.131357143,31.292190476,31.292190476
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1040,542.42609615,37.049615385,29.046903846,29.046903846
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,872,414.41059633,42.5375,33.349438073,33.349438073
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,132,128.77,42.560681818,32.280984848,32.280984848
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,70,322,214.62791925,2.6385093168,2.0495341615,2.0495341615
1023014305,PETERIE,JERRY,D,MD,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142865,US,Physician/Infectious Disease,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,27,808.86333333,358.5,281.06,281.06
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,24,68,155,60.128322581,8.32,6.3539354839,6.3539354839
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,13.221875,3.38,2.65,2.65
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,21.225454545,2.12,1.67,1.67
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,28,40,15.31225,1.42,1.117,1.117
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,3020,0.14,0.12,0.0915827815,0.0915827815
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,898,24.99,23.66,18.549398664,18.549398664
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,285,8.99,8.28,6.4915789474,6.4915789474
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,619,18.99,18.5,14.504006462,14.504006462
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,205,8.99,8.41,6.5936585366,6.5936585366
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,175,10.99,10.93,8.5691428571,8.5691428571
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,519,4.99,3.67,2.6428709056,2.6428709056
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,600,7.99,7.13,5.5899666667,5.5899666667
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,36,4030,0.14,0.13,0.0993722084,0.0993722084
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,32,3704,0.4506479482,0.45,0.3468790497,0.3468790497
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,34,843,1.2959311981,1.28,0.9738552788,0.9738552788
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,601.8375,86.33,67.68,67.813333333
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,20,20,283.802,54.7525,41.101,40.999
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,19,19,108.08736842,17.985263158,13.355263158,13.315263158
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,30,30,92.257333333,11.583666667,9.084,9.1083333333
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,32,132,13.57969697,2.0213636364,1.5621969697,1.5657575758
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,12,12,26.865833333,5.91,4.64,4.6583333333
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,68,68,57.684117647,18.205441176,13.251911765,12.535441176
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,13,14,65.379285714,11.637142857,8.3642857143,8.25
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,22.28,4.7027272727,3.5857575758,3.583030303
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,46,49,239.85612245,34.55877551,25.634693878,25.185918367
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,21,10,2.9942857143,2.1214285714,2.0452380952
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,73,73,371.66082192,75.554109589,56.669863014,52.235479452
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,28,2752,1.3279614826,0.1345675872,0.1005813953,0.1005813953
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1140,12.924368421,3.0798947368,2.2959824561,2.2959824561
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,151.052,29.364,21.5795,20.0405
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,718.12,161.19875,121.014375,95.030625
1023014313,LANNAN,MAUREEN,R,M.D.,F,I,622 CYPRESS ST,,SULPHUR,LA,706635052,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,97.565217391,33,25.525652174,25.525652174
1023014420,BRENGLE,BLAIR,,MD,M,I,8803 N MERIDIAN STREET,SUITE 350,INDIANAPOLIS,IN,46260,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,25,58,81.868965517,8.32,4.9481034483,4.9481034483
1023014420,BRENGLE,BLAIR,,MD,M,I,8803 N MERIDIAN STREET,SUITE 350,INDIANAPOLIS,IN,46260,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,126.10136364,32.05,22.278636364,20.687727273
1023014420,BRENGLE,BLAIR,,MD,M,I,8803 N MERIDIAN STREET,SUITE 350,INDIANAPOLIS,IN,46260,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,533.64,79.96,62.69,54.73
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,46,145,330,67.574272727,8.318030303,5.536969697,5.5385151515
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,8.1233333333,3.38,2.65,2.65
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,46,58,10.477068966,1.42,1.0403448276,1.0403448276
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,36,86.292777778,71.56,49.418888889,49.418333333
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,75,54.6352,43.56,33.317733333,33.316133333
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,462.47090909,91.382727273,71.644545455,67.840909091
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,151.84916667,32.73,25.66,25.918333333
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,65,70.612461538,18.03,12.830307692,13.256923077
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,295.61681818,54.79,39.045454545,38.971818182
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,21,21,86.642857143,18.509047619,13.841428571,13.401428571
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,20,20,93.134,12.3775,9.2425,8.664
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,31,135,10.964,2.03,1.3594074074,1.3594074074
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,17.71,11.716,11.5075
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,69.565384615,12.278461538,9.6292307692,9.6753846154
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,43.206956522,4.7808695652,3.1808695652,3.0217391304
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,28,29,224.41931034,35.792758621,26.542413793,25.676551724
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,519.51,70.508913043,49.109782609,48.781086957
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,36.14,25.754545455,26.102727273
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,6865,0.1595076475,0.0470007283,0.0352367079,0.0352367079
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1350,1.3332444444,0.1342444444,0.0971925926,0.0971925926
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,600,0.2944333333,0.219,0.17175,0.17175
1023014479,SCHULD,MARK,J,MD,M,I,7500 STATE ROAD 46,,RILEY,IN,47871,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,73.764705882,33,24.661176471,24.661176471
1023014545,MCALLISTER,JOSEPH,,MD,M,I,1235 OLD YORK RD,STE 113,ABINGTON,PA,190013840,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,22,64,218,72.47940367,8.32,5.6844495413,5.6844495413
1023014545,MCALLISTER,JOSEPH,,MD,M,I,1235 OLD YORK RD,STE 113,ABINGTON,PA,190013840,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,29,40,13.56375,1.42,1.06075,1.06075
1023014545,MCALLISTER,JOSEPH,,MD,M,I,1235 OLD YORK RD,STE 113,ABINGTON,PA,190013840,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,192.52545455,51.854545455,40.650909091,41.563636364
1023014545,MCALLISTER,JOSEPH,,MD,M,I,1235 OLD YORK RD,STE 113,ABINGTON,PA,190013840,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,131.59,31.306666667,23.6125,23.611666667
1023014545,MCALLISTER,JOSEPH,,MD,M,I,1235 OLD YORK RD,STE 113,ABINGTON,PA,190013840,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,38,358.56184211,82.882631579,55.700789474,46.336842105
1023014545,MCALLISTER,JOSEPH,,MD,M,I,1235 OLD YORK RD,STE 113,ABINGTON,PA,190013840,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,73.678571429,39.564761905,26.693333333,25.355714286
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,53,122,62.779098361,8.32,6.2545901639,6.2545901639
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,26,35,10.862857143,1.42,1.0845714286,1.0845714286
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,2150,3.376744186,2.04,1.5326186047,1.5326186047
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,67.548571429,38.72,26.600714286,26.525714286
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,123.63105263,56.954736842,38.511052632,36.712631579
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,47.755714286,18.439285714,13.473571429,13.067857143
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,92,4.8267391304,2.1713043478,1.6335869565,1.5244565217
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,37.588085106,18.599574468,14.005744681,12.961276596
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,42.227272727,4.3795454545,2.8322727273,2.9381818182
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,100.16882353,35.000980392,23.710392157,21.305882353
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,48,48,235.48208333,77.239583333,59.326458333,53.449583333
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,119.74583333,36.83,26.464166667,27.063333333
1023014560,LONGLEY,DAVID,W,D.O.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,106.42307692,26.02,15.692307692,15.353846154
1023014586,WALSHAW,PAUL,E,M.D.,M,I,2121 N BEVERLY AVE,STE 105,TUCSON,AZ,857122154,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,55,4230,4.4538983452,0.5702056738,0.3980874704,0.3980874704
1023014586,WALSHAW,PAUL,E,M.D.,M,I,2121 N BEVERLY AVE,STE 105,TUCSON,AZ,857122154,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,3750,0.0863386667,0.01348,0.0096906667,0.0096906667
1023014586,WALSHAW,PAUL,E,M.D.,M,I,2121 N BEVERLY AVE,STE 105,TUCSON,AZ,857122154,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,67,8580,3.2226561772,1.358993007,1.0438391608,1.0438391608
1023014586,WALSHAW,PAUL,E,M.D.,M,I,2121 N BEVERLY AVE,STE 105,TUCSON,AZ,857122154,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,360,18.634,7.46725,5.4558055556,5.4558055556
1023014586,WALSHAW,PAUL,E,M.D.,M,I,2121 N BEVERLY AVE,STE 105,TUCSON,AZ,857122154,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,56,56,24,24,18.483928571,18.483928571
1023014586,WALSHAW,PAUL,E,M.D.,M,I,2121 N BEVERLY AVE,STE 105,TUCSON,AZ,857122154,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,89,105,16,16,12.024380952,12.024380952
1023014651,STCYR,RICHARD,,MD,M,I,945 HILDEBRAND LN NE,SUITE 100,BAINBRIDGE ISLAND,WA,981102877,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,84,76.378214286,8.32,5.060952381,5.060952381
1023014651,STCYR,RICHARD,,MD,M,I,945 HILDEBRAND LN NE,SUITE 100,BAINBRIDGE ISLAND,WA,981102877,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.09,12.181818182,12.316363636
1023014651,STCYR,RICHARD,,MD,M,I,945 HILDEBRAND LN NE,SUITE 100,BAINBRIDGE ISLAND,WA,981102877,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,402.34585366,75.22,55.365609756,54.124390244
1023014651,STCYR,RICHARD,,MD,M,I,945 HILDEBRAND LN NE,SUITE 100,BAINBRIDGE ISLAND,WA,981102877,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,37.64,29.51,29.51
1023014735,MIS,RAYMOND,J,,M,I,1400 N US HIGHWAY 441 STE 810,,THE VILLAGES,FL,321598987,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,43,913,104.0294195,13.124633078,10.28966046,10.28966046
1023014735,MIS,RAYMOND,J,,M,I,1400 N US HIGHWAY 441 STE 810,,THE VILLAGES,FL,321598987,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,345,698.5,326.74776812,256.17057971,256.17057971
1023014735,MIS,RAYMOND,J,,M,I,1400 N US HIGHWAY 441 STE 810,,THE VILLAGES,FL,321598987,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,345,32.817391304,9.3479710145,7.3284057971,7.3284057971
1023014735,MIS,RAYMOND,J,,M,I,1400 N US HIGHWAY 441 STE 810,,THE VILLAGES,FL,321598987,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,345,63.8,29.213507246,22.903449275,22.903449275
1023014776,GAGE,DENNIS,,M.D.,M,I,103 E 75TH ST,APT 1FE,NEW YORK,NY,100212805,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,12,156,59.946666667,19.6325,15.391538462,15.391538462
1023014776,GAGE,DENNIS,,M.D.,M,I,103 E 75TH ST,APT 1FE,NEW YORK,NY,100212805,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,435,8.63,2.6289655172,2.0610804598,2.0610804598
1023014776,GAGE,DENNIS,,M.D.,M,I,103 E 75TH ST,APT 1FE,NEW YORK,NY,100212805,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,48,45,131,527,71.054174573,8.32,6.0271916509,6.0271916509
1023014776,GAGE,DENNIS,,M.D.,M,I,103 E 75TH ST,APT 1FE,NEW YORK,NY,100212805,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,28,67,16.547462687,1.42,1.0807462687,1.0807462687
1023014776,GAGE,DENNIS,,M.D.,M,I,103 E 75TH ST,APT 1FE,NEW YORK,NY,100212805,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,11,28,28,404.24571429,251.11,196.87,196.87
1023014784,VARGAS,TROY,A,DPM,M,I,5803 NEAL AVE N,,OAK PARK HEIGHTS,MN,550822177,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,21,328,251.28,197,217.84761905
1023014800,MARTINEZ,IVAN,P,M.D.,M,I,500 S ANAHEIM HILLS RD,STE 200,ANAHEIM HILLS,CA,928074759,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,57,171,611,65.736464812,8.32,6.2119967267,6.2119967267
1023014800,MARTINEZ,IVAN,P,M.D.,M,I,500 S ANAHEIM HILLS RD,STE 200,ANAHEIM HILLS,CA,928074759,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,15.339090909,3.38,2.65,2.65
1023014800,MARTINEZ,IVAN,P,M.D.,M,I,500 S ANAHEIM HILLS RD,STE 200,ANAHEIM HILLS,CA,928074759,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,22.538571429,2.12,1.67,1.67
1023014800,MARTINEZ,IVAN,P,M.D.,M,I,500 S ANAHEIM HILLS RD,STE 200,ANAHEIM HILLS,CA,928074759,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,28,61,129,15.742325581,1.42,1.0974418605,1.0974418605
1023014800,MARTINEZ,IVAN,P,M.D.,M,I,500 S ANAHEIM HILLS RD,STE 200,ANAHEIM HILLS,CA,928074759,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,140,29.981428571,19.135714286,20.653571429
1023014800,MARTINEZ,IVAN,P,M.D.,M,I,500 S ANAHEIM HILLS RD,STE 200,ANAHEIM HILLS,CA,928074759,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1140,16.357061404,10.696526316,8.3860789474,8.3860701754
1023014800,MARTINEZ,IVAN,P,M.D.,M,I,500 S ANAHEIM HILLS RD,STE 200,ANAHEIM HILLS,CA,928074759,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,383.34153846,251.11,195.75153846,195.75153846
1023014925,BASS,RHONDA,M,M. D.,F,I,19200 N KELSEY ST,,MONROE,WA,982721431,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,326.87,77.34,54.8775,49.469166667
1023014925,BASS,RHONDA,M,M. D.,F,I,19200 N KELSEY ST,,MONROE,WA,982721431,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.3,28.2425,27.050833333
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,67,203,346,59.628034682,8.3161560694,5.5082947977,5.511300578
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,11.77,3.38,2.5395833333,2.5395833333
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,17.858461538,2.12,1.5415384615,1.5415384615
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,39,83,98,11.04377551,1.42,0.9583673469,0.9583673469
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,494.61636364,117.47636364,82.169090909,64.335909091
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,43,199.60186047,43.395116279,31.147209302,24.419534884
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,279.76454545,67.658181818,40.134545455,32.194545455
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,25,25,97.9688,23.4416,15.4988,12.1184
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,21,21,69.446666667,18.25,13.071428571,8.5685714286
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,31,182,9.1187362637,2.5906593407,1.7523626374,1.3992857143
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,24.785454545,8.38,4.8472727273,3.3527272727
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,72.710769231,15.500769231,11.281538462,9.9661538462
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,133.78934783,24.265,17.725217391,13.518043478
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,450.82454545,41.278181818,24.468181818,17.000454545
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,103,103,620.63213592,101.70368932,75.464271845,56.908834951
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,248.0952381,44.455714286,30.161428571,25.98047619
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,7538,0.3097678429,0.0464499867,0.0318930751,0.0318917485
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,285.6,44.656956522,30.727391304,26.123043478
1023014966,JUSTICE,STEPHEN,,MD,M,I,1205 FAIRINGTON DR,,SIDNEY,OH,453658144,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,33,33,69,33,21.95030303,21.95030303
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,23,75,903,53.689368771,19.656445183,14.662414175,14.662414175
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,23,75,2230,6.8729103139,2.6351569507,2.0659103139,2.0659103139
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,53,115,555,58.93772973,8.32,6.1944504505,6.1944504505
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,24,24,11.975833333,3.38,2.65,2.65
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,13,14,14,16.81,2.12,1.67,1.67
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,28,56,137,11.625036496,1.42,1.0973722628,1.0973722628
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,28,86.31,16.59,12.071428571,12.573571429
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,53.961818182,52.684545455,39.166363636,57.550909091
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,680.84628571,330.83057143,258.34971429,258.34971429
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,53,58,519.51,67.72,48.415689655,50.025862069
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,38.72,30.36,29.59
1023014974,LAW,ADAM,,M.D.,M,I,404 N CAYUGA ST,,ITHACA,NY,148504219,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,322.505,251.11,196.87,196.87
1023015096,LERNER,ROBERT,K,M.D.,M,I,500 E CENTRAL AVE,,WINTER HAVEN,FL,338803053,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,150,50.194117647,39.354705882,36.612352941
1023015096,LERNER,ROBERT,K,M.D.,M,I,500 E CENTRAL AVE,,WINTER HAVEN,FL,338803053,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,15,139.05,54.741333333,40.138,43.337333333
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,88,52.127272727,8.32,5.9296590909,5.9296590909
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,50,9.2216,2.92,1.9356,1.3986
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,86.31,21.985,14.997,11.8015
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,38,519.51,102.42,74.163421053,51.123421053
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6065833333,7.3322916667,7.3322916667
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,3150,0.17,0.0463809524,0.0256126984,0.0256126984
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1350,1.1161777778,0.1386222222,0.1006222222,0.1006222222
1023015104,BLANCHARD,SUZANNE,A,NP,F,I,1401 SHORT DRIVE,,PRUDENVILLE,MI,486510019,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,36,115.5,33,23.641666667,23.641666667
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,50,50,103.9706,38.35,26.3022,26.7018
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,21,50,50,269.5476,89.44,65.01,62.5586
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,15,36,87,91.692873563,33.882068966,25.204597701,24.534712644
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,23,120,53.010833333,18,14.11175,14.489416667
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,23,37,37,129.88378378,56.5,39.510810811,38.343243243
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,43,61,61,47.733606557,17.898196721,13.129672131,13.138032787
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,22,45,45,64.141555556,12.508,9.4195555556,8.7093333333
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,46,98,534,8.1771348315,2.0707865169,1.4807116105,1.4478277154
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,23,23,16.00826087,5.77,4.3760869565,4.4947826087
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,30,41,41,43.118780488,13.445365854,10.035853659,9.8404878049
1023015195,HOOD,DOZIER,R,M.D.,M,I,6525 PROFESSIONAL PL,SUITE C,RIVERDALE,GA,302742519,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,18,111,117,176.44974359,31.88991453,23.125811966,23.046837607
1023015211,BETTERIDGE,LOREN,B,MD,M,I,3733 S THOMPSON AVE,,TACOMA,WA,984185013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,35,84,62.371428571,8.32,4.9136904762,4.9136904762
1023015211,BETTERIDGE,LOREN,B,MD,M,I,3733 S THOMPSON AVE,,TACOMA,WA,984185013,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,424.87066667,37.828,29.658,26.734666667
1023015211,BETTERIDGE,LOREN,B,MD,M,I,3733 S THOMPSON AVE,,TACOMA,WA,984185013,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,760.48,77.34,60.539411765,55.333529412
1023015211,BETTERIDGE,LOREN,B,MD,M,I,3733 S THOMPSON AVE,,TACOMA,WA,984185013,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39.3,30.81,29.726666667
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,49,170,395,52.674556962,8.3190886076,6.1249620253,6.125721519
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,11.371304348,3.38,2.65,2.65
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,15.656,2.12,1.67,1.67
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,22,55,83,11.486626506,1.42,1.1015662651,1.1015662651
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,23,105.61913043,44.736521739,30.090434783,22.066086957
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,66.025454545,20.639090909,15.263636364,9.25
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,62,8.6003225806,3.1270967742,2.2798387097,1.5598387097
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,150.68166667,60.9,44.44,33.421666667
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,217.21538462,12.035384615,7.1761538462,5.5376923077
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,23,23,249.1073913,68.155652174,47.862173913,34.720434783
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,29,80.924827586,23.309655172,16.729310345,12.545517241
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,77,90,42.541444444,7.4998888889,5.3551111111,3.4853333333
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,52.16,19.647272727,12.602727273,9.8890909091
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,131,146,458.18910959,101.01808219,76.337876712,55.29890411
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,151.96,44.745,35.0825,32.299166667
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,32,7843,0.3755680224,0.0455514472,0.0303264057,0.0303264057
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,3420,0.9872076023,0.1339824561,0.101874269,0.101874269
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,37,76.114864865,29.686486486,22.495675676,16.728378378
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,581.85294118,235.02941176,184.25941176,137.06882353
1023015310,TROUTT,THOMAS,R,M.D.,M,I,927 S COLLEGIATE DR,,PARIS,TX,754606307,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,51,51,105.21176471,33,22.340588235,22.340588235
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,44,114,279,62.906666667,8.32,5.212078853,5.212078853
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.0384615385,2.0384615385
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,31,70,85,14.546235294,1.42,0.8804705882,0.8804705882
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,19,20.032105263,10.93,7.6678947368,7.6678947368
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,132.115,39.9175,28.669166667,27.949166667
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,415.45142857,89.77,50.271428571,48.464285714
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,157.27785714,34.6,22.538214286,21.460714286
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,12,21,116,108.38482759,18.735258621,14.369224138,14.233017241
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,17,26,26,292.57307692,59.841153846,45.088846154,41.387307692
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,21,21,90.561904762,19.56047619,13.687142857,12.601904762
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,25,25,84.5572,12.71,9.1724,8.3904
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,41,206,10.177524272,2.2855339806,1.6603398058,1.4832524272
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,29.548181818,6.7072727273,5.2609090909,4.6572727273
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,70.585,13.55,9.95625,9.69375
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,18.62,14.6,13.628333333
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,78.176470588,13.397058824,9.8894117647,9.8635294118
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,58,58,485.08206897,33.49137931,24.385517241,22.839137931
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,370.95238095,78.57,58.666666667,52.450952381
1023015385,MANAKAS,MICHAEL,,DO,M,I,2421 LAPORTE AVE,,VALPARAISO,IN,463836914,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,93.923076923,33,23.88,23.88
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,43,65,29.835384615,8.32,5.5195384615,5.5195384615
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,27.58,21.62,22.238181818
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,264,2.49,2.49,1.9516666667,1.9516666667
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.54,5.54,4.34,4.34
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,28,12.295,9.29,7.28,8.4764285714
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,17.84,17.84,13.98,13.98
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,6.425,4.0318181818,3.0166060606,2.2233939394
1023015443,TSAI,CHIU,S,MD,M,I,1209 N GLENN ENGLISH ST,,CORDELL,OK,736322009,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4752,0.9059490741,0.8008859428,0.6279040404,0.5174537037
1023015476,THOMPSON,WILLIAM,M,MD,M,I,1960 ELECTRIC RD,,ROANOKE,VA,240181621,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,20,20,130.378,59.036,43.9115,48.3615
1023015476,THOMPSON,WILLIAM,M,MD,M,I,1960 ELECTRIC RD,,ROANOKE,VA,240181621,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,22,44,129.00454545,68.035909091,50.073409091,51.075909091
1023015492,SANCHEZ,ANTONIO,,M.D.,M,I,394 N. PEARSON DRIVE,,PORTERVILLE,CA,93257,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,71,192,74.502760417,8.32,6.1558333333,6.1558333333
1023015492,SANCHEZ,ANTONIO,,M.D.,M,I,394 N. PEARSON DRIVE,,PORTERVILLE,CA,93257,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,48,68,14.779852941,1.42,1.0976470588,1.0976470588
1023015492,SANCHEZ,ANTONIO,,M.D.,M,I,394 N. PEARSON DRIVE,,PORTERVILLE,CA,93257,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,54.858,4.066,3.182,3.79
1023015492,SANCHEZ,ANTONIO,,M.D.,M,I,394 N. PEARSON DRIVE,,PORTERVILLE,CA,93257,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,22,519.51,71.11,53.215909091,52.288636364
1023015492,SANCHEZ,ANTONIO,,M.D.,M,I,394 N. PEARSON DRIVE,,PORTERVILLE,CA,93257,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,3598,0.2733907727,0.0455197332,0.0356781545,0.0356781545
1023015492,SANCHEZ,ANTONIO,,M.D.,M,I,394 N. PEARSON DRIVE,,PORTERVILLE,CA,93257,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,98.55,33,24.5765,24.5765
1023015609,LEE,DANIEL,C,MD,M,I,1 LYONS ST,,DEDHAM,MA,020265599,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,33,91,72.52978022,8.32,5.6617582418,5.6617582418
1023015641,LE,THUY-TIEN,V,DO,F,I,1901 S UNION AVE,STE A244,TACOMA,WA,984051702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,31,95,162,43.408333333,8.32,5.7583333333,5.7583333333
1023015641,LE,THUY-TIEN,V,DO,F,I,1901 S UNION AVE,STE A244,TACOMA,WA,984051702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,53,58,8.3336206897,1.42,1.0224137931,1.0224137931
1023015641,LE,THUY-TIEN,V,DO,F,I,1901 S UNION AVE,STE A244,TACOMA,WA,984051702,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,308,99.675324675,5.22,4.0925324675,4.1631818182
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,72,199,328,65.835060976,8.32,5.8228963415,5.8228963415
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,15.552,3.38,2.65,2.65
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,44,89,98,18.440408163,1.42,0.9587755102,0.9587755102
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.93,46.986363636,30.698181818,32.364545455
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,11,11,11,47.946363636,43.27,32.071818182,49.344545455
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,28,300.27,72.06,50.228571429,48.8525
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,28,8662,0.3361937197,0.0460540291,0.0319198799,0.0319198799
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1620,1.9560925926,0.1362407407,0.1068209877,0.1068209877
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,87.680952381,15.564285714,12.202857143,14.252380952
1023015740,SARKIES,NADIM,W,MD,M,I,2811 H ST,,BAKERSFIELD,CA,933011913,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,33,69,33,25.086060606,25.086060606
1023015807,LOPEZ,WILLIAM,,M.D.,M,I,2500 ROCKY MOUNTAIN AVE,NORTH MEDICAL OFFICE BUILDING,LOVELAND,CO,805389004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,18,279.42166667,90.305555556,58.52,58.313888889
1023015849,HEWITT,STEPHEN,T,DO,M,I,1600 MEDICAL PKWY,,CARSON CITY,NV,897034625,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,63.805,20.025714286,14.634285714,12.993571429
1023015849,HEWITT,STEPHEN,T,DO,M,I,1600 MEDICAL PKWY,,CARSON CITY,NV,897034625,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,13,51.715384615,7.3530769231,5.7630769231,3.7246153846
1023015898,ESAYAG-TENDLER,BEATRIZ,R,MD,F,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,56,330,70.074424242,8.32,6.2465151515,6.2465151515
1023015898,ESAYAG-TENDLER,BEATRIZ,R,MD,F,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,18,38,113,14.179911504,1.42,1.043539823,1.043539823
1023015898,ESAYAG-TENDLER,BEATRIZ,R,MD,F,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,264.33333333,251.0175,184.84166667,184.91416667
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,27,96,52.1559375,8.32,6.4645833333,6.4645833333
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,35,9.8877142857,1.42,1.114,1.114
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,335.99111111,111.77,83.441111111,66.4
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,43,121.18534884,42.766046512,32.389302326,25.828604651
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,72.545714286,23.128571429,18.131428571,14.593571429
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,24,24,72.6125,18.367083333,13.594166667,9.28
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,26,127,9.2607874016,2.9,2.1154330709,1.5270866142
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,41,60.078780488,21.632682927,15.568536585,13.384634146
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2953.8641667,1074.31,836.5275,836.5275
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,34.037878788,6.9781818182,5.3593939394,4.1793939394
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,60,361.41716667,106.94,79.321,56.460833333
1023015955,JACOBS,ROBERT,S,NP,M,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,63.571428571,31.148571429,24.421428571,15.658571429
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,27,86,196,60.876632653,8.32,5.4885714286,5.4885714286
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,20,50,60,11.4985,1.42,0.9873333333,0.9873333333
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,35,13.347142857,10.34,8.1048571429,8.5677142857
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1848,0.44,0.44,0.3449512987,0.3449512987
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1224,0.45,0.45,0.3528267974,0.3528267974
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,30,30,150.10733333,45.974333333,31.211666667,33.120666667
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,67.298461538,16.04,8.2253846154,9.2623076923
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,384.40533333,71.448,41.069333333,40.271333333
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1530,1.4440588235,0.1375490196,0.1078562092,0.1078562092
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,45,45,69.459333333,15.403555556,10.919333333,13.183111111
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,23.004722222,6.8697222222,4.8758333333,6.2566666667
1023016227,BUCH,RAYMOND,S,M.D.,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,48.631578947,33,23.562631579,23.562631579
1023016268,SHAVNEY,TERESA,M,MD,F,I,3400 NW EXPRESSWAY,SUITE 420,OKLAHOMA CITY,OK,731124493,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,24,42.8125,36.28,28.44375,30.55875
1023016292,MILLS,KENNETH,,M.D.,M,I,1 SHRADER ST,SUITE 640,SAN FRANCISCO,CA,941171016,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,32,80.8671875,8.32,4.6878125,4.6878125
1023016300,KRAMER,MALCOLM,F,DPM,M,I,681 RIVER AVE,STE 2G,LAKEWOOD,NJ,087015229,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,50,65.8348,65.2624,51.1658,56.105
1023016300,KRAMER,MALCOLM,F,DPM,M,I,681 RIVER AVE,STE 2G,LAKEWOOD,NJ,087015229,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,114,130,43.56,34.151666667,34.15
1023016417,DE PERIO,JOSE,A,M.D.,M,I,571 TERRACE BLVD,,DEPEW,NY,140433610,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,28,53.371071429,8.32,6.0546428571,6.0546428571
1023016466,HESLIP,JOHN,E,M.D.,M,I,3271 CLEAR VISTA CT NE,SUMMIT PARK CENTER-INTERNAL MED & PEDS,GRAND RAPIDS,MI,495259477,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,34,129,48.970465116,8.32,4.0035658915,4.0035658915
1023016466,HESLIP,JOHN,E,M.D.,M,I,3271 CLEAR VISTA CT NE,SUMMIT PARK CENTER-INTERNAL MED & PEDS,GRAND RAPIDS,MI,495259477,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,23,11.099130435,1.42,0.8695652174,0.8695652174
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,54,54,54,78.402777778,70.644814815,55.386666667,37.568333333
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,61,61,61,70.077213115,52.695409836,41.315409836,40.794098361
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,33,33,92.013333333,55.321212121,42.212727273,38.885454545
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,30,55.753666667,19.388,15.198,14.178
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,73.78,47.4375,35.035,36.3195
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,35,28.78,22.56,22.6
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,16,16,16,55,53.09,41.621875,40.00875
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,18,70,70,19.890571429,11.607,8.626,8.8064285714
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,31,193.29709677,96.097096774,75.342903226,60.182258065
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,21,40,35.426190476,27.774761905,29.34
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,21,180,156.66285714,122.82904762,113.97904762
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,31,183,183,36.669726776,21.081912568,15.616721311,13.553715847
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,83.36,58.767272727,46.072727273,36.926363636
1023016540,TOLEDO,JOSE,R,M.D.,M,I,4302 ALTON RD,SUITE 420,MIAMI BEACH,FL,331402891,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,34,210,210,15.66752381,9.1934761905,6.8481428571,6.3406190476
1023016631,THOMPSON,MICHAEL,R,MD,M,I,200 NEW YORK AVE,SUITE 200,OAK RIDGE,TN,378305212,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,22,2340,51.999735043,4.8087692308,3.7305982906,3.7305982906
1023016631,THOMPSON,MICHAEL,R,MD,M,I,200 NEW YORK AVE,SUITE 200,OAK RIDGE,TN,378305212,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,24,24,18.82,18.82
1023016656,SUTTON,GREGORY,E,MD,M,I,1710 S 70TH ST,,LINCOLN,NE,685061676,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,37,37,37,99.180540541,60.907027027,40.988648649,45.308918919
1023016656,SUTTON,GREGORY,E,MD,M,I,1710 S 70TH ST,,LINCOLN,NE,685061676,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,25,100.44,51.24,25.6508,28.9004
1023016656,SUTTON,GREGORY,E,MD,M,I,1710 S 70TH ST,,LINCOLN,NE,685061676,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,26,27,46,67.825652174,61.597608696,47.232173913,52.41326087
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,28,6.8710714286,4.09,2.4060714286,2.4146428571
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,360,10.826055556,5.74,4.4606111111,4.4606111111
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,270,4.9625925926,4.8692592593,3.5304074074,3.5515555556
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,56,11.502321429,6.425,4.8560714286,4.8678571429
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,270,6.4566666667,5.5266666667,3.8352222222,3.8465555556
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,550,12.342763636,5.36,3.5592181818,3.5592181818
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,590,6.8573389831,4.03,3.1060169492,3.1060169492
1023016672,SOMERVILLE,JUSTIN,C,M.D.,M,I,3407 WILKENS AVE STE 410,,BALTIMORE,MD,212295074,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,975,0.4056410256,0.2679487179,0.1991589744,0.2007589744
1023016680,FRIEDMAN,GARY,S,MD,M,I,315 N CALVERT ST,,BALTIMORE,MD,212023611,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,32,80,239,63.67539749,8.32,5.7579497908,5.7579497908
1023016680,FRIEDMAN,GARY,S,MD,M,I,315 N CALVERT ST,,BALTIMORE,MD,212023611,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,16.494736842,3.38,2.5105263158,2.5105263158
1023016680,FRIEDMAN,GARY,S,MD,M,I,315 N CALVERT ST,,BALTIMORE,MD,212023611,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,23.301818182,2.12,1.67,1.67
1023016680,FRIEDMAN,GARY,S,MD,M,I,315 N CALVERT ST,,BALTIMORE,MD,212023611,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,43,84,15.98797619,1.42,1.0479761905,1.0479761905
1023016680,FRIEDMAN,GARY,S,MD,M,I,315 N CALVERT ST,,BALTIMORE,MD,212023611,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,23,37.305652174,5.4569565217,3.8626086957,3.2469565217
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,28,86,255,64.206352941,8.32,5.5910588235,5.5910588235
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,32,65,12.438153846,1.42,0.9592307692,0.9592307692
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,51.081578947,16.59,11.973684211,12.455263158
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,79.3375,44.17,30.30125,33.395
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,62,62,37.303225806,4.1190322581,2.4496774194,2.7546774194
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,253.1173913,67.72,49.13173913,50.496521739
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,5489,0.3004937147,0.0457606121,0.0358808526,0.0358808526
1023016755,SINGH,VIJAY,,"M,D,",M,I,3970 PERKIOMEN AVE,SUITE 102,READING,PA,196062719,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,33,33,23.953703704,23.953703704
1023016854,GENTZ,AIMEE,L,NP,F,I,2100 W CENTRAL AVE FL 2,,TOLEDO,OH,43606,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,62.352941176,21.032647059,16.492941176,15.423823529
1023016888,BOYER,JOHN,W,M.D.,M,I,1855 SPRINGHILL AVE,,MOBILE,AL,366072301,US,Physician/Cardiac Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,17.29,12.420833333,12.4025
1023016888,BOYER,JOHN,W,M.D.,M,I,1855 SPRINGHILL AVE,,MOBILE,AL,366072301,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,274.77352941,70.23,51.821176471,51.521176471
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,45,122,347,53.106253602,8.32,5.9768011527,5.9768011527
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.9375,3.38,2.65,2.65
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,29,53,93,15.258064516,1.42,1.0309677419,1.0309677419
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,34,83.331176471,71.540588235,54.222647059,54.237647059
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,68,54.045294118,29.19,22.885,22.886323529
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,4.9,3.8416129032,4.1632258065
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,22,22,195.98227273,79.089090909,56.763181818,36.323181818
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,51,76.383529412,22.144705882,16.702745098,13.520784314
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,287.35,116.67,86.960909091,63.028181818
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,66,66,384.38712121,97.262121212,72.023181818,52.059545455
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3000,0.17,0.0476,0.0262633333,0.0262633333
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1740,1.4996954023,0.1281034483,0.0848965517,0.0848965517
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,101.07133333,35.627333333,27.931333333,16.119333333
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,107.51,43.868333333,34.3875,21.6225
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,292.5,56.475454545,38.510909091,19.492727273
1023016904,MILLER,JOHN,F,M. D.,M,I,11082 N RADIO STATION RD,,SENECA,SC,296781142,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,25,96.36,33,20.696,20.696
1023016987,KULICK,SAMUEL,D,DPM,M,I,3636 UNIVERSITY BLVD S,BLDG C,JACKSONVILLE,FL,322164250,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,224,28.058794643,23.66,18.549419643,18.549419643
1023017001,LEIBMAN,MAURICE,N,MD,M,I,12727 KIMBERLEY LN,202,HOUSTON,TX,770244047,US,Physician/Obstetrics & Gynecology,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,15,118,118,61.167033898,48.014491525,36.326525424,36.326440678
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,36,36,77.301944444,40.019722222,30.523333333,29.705277778
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,19,33,33,239.93787879,89.888484848,66.459090909,64.876969697
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,14,33,78,92.998076923,32.04,23.860128205,24.49025641
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,13,24,118,55.18720339,18.29279661,13.361694915,13.443898305
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,20,118,56.326271186,16.409661017,11.920338983,10.954576271
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,19,45,45,205.80022222,55.856666667,39.526,38.339111111
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,31,47,47,60.111702128,18.757234043,13.313191489,12.800212766
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,33,33,73.900909091,13.405454545,9.3981818182,8.0327272727
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,35,80,406,7.835,2.1531527094,1.5637192118,1.4663546798
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,22,22,19.326818182,6.4254545455,4.6218181818,4.2259090909
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,19,26,26,51.206153846,13.336923077,10.061923077,9.9265384615
1023017019,NGUYEN,PAUL,H,M.D.,M,I,2550 HAUSER ROSS DRIVE,SUITE 325,SYCAMORE,IL,601783180,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,13,64,64,151.390625,37.26796875,27.9334375,24.44921875
1023017035,LAGUNZAD,EDWARD,P,DO,M,I,3277 LIBERTY BLVD STE A,,BOONVILLE,IN,476019659,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,47.37,27.855,28.336666667
1023017159,ISRAEL,HOWARD,A,M.D.,M,I,1605 N CEDAR CREST BLVD,SUITE 605,ALLENTOWN,PA,181042351,US,Physician/Allergy/ Immunology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,16,11.495,12.515
1023017159,ISRAEL,HOWARD,A,M.D.,M,I,1605 N CEDAR CREST BLVD,SUITE 605,ALLENTOWN,PA,181042351,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,27,50.73,3.9566666667,2.79,3.3066666667
1023017159,ISRAEL,HOWARD,A,M.D.,M,I,1605 N CEDAR CREST BLVD,SUITE 605,ALLENTOWN,PA,181042351,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,719.67384615,71.11,51.013076923,50.15
1023017159,ISRAEL,HOWARD,A,M.D.,M,I,1605 N CEDAR CREST BLVD,SUITE 605,ALLENTOWN,PA,181042351,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,13,2570,0.195307393,0.0472840467,0.029307393,0.029307393
1023017159,ISRAEL,HOWARD,A,M.D.,M,I,1605 N CEDAR CREST BLVD,SUITE 605,ALLENTOWN,PA,181042351,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,19,19,74.684210526,33,21.122631579,21.122631579
1023017167,WHITE,JAY,W,DO,M,I,101 E MINNESOTA ST,SUITE 210,RAPID CITY,SD,577017756,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,37,20.64,7.37,4.527027027,4.527027027
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,28.46,28.46,22.31,22.31
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.54,5.54,4.34,4.34
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,10.93,9.29,7.28,8.57
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,120,2.91,2.91,2.2814166667,2.2814166667
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,4336,0.44,0.44,0.344949262,0.344949262
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,666,34.808648649,34.808648649,27.29003003,27.316876877
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,55,2844,8.28,8.28,6.4616315049,6.4616315049
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,26,294,10.93,10.93,8.5689115646,8.5689115646
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,126,18.29,18.29,14.339047619,14.339047619
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,487,125,3,2.3519301848,2.3677412731
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,527,275,5.28,4.1393548387,4.1629032258
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,27,15915,1.7356562991,0.3041954131,0.2384875903,0.2426082312
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,7761,6.2592758665,0.6787140832,0.5321105528,0.5174384744
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,26.92,5.06,3.97,3.95
1023017175,ASHER,ANEESHA,A,MD,F,I,14131 MIDWAY RD,SUITE 620,ADDISON,TX,750013623,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,29,29,65.673793103,18.55137931,14.057586207,14.100344828
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,5.7666666667,0.51,0.3733333333,0.3733333333
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,33,81,273,49.399120879,8.32,5.9803663004,5.9803663004
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,20,42,43,15.013023256,3.38,2.526744186,2.526744186
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,16,21,21,24.1,2.12,1.5904761905,1.5904761905
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,25,60,119,16.394957983,1.42,1.0005042017,1.0005042017
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,10.258181818,5.23,4.1003333333,4.1003333333
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,32,32,64,88.15921875,71.56,54.91875,54.918125
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,30,30,180,31.890555556,28.107666667,22.036611111,22.886666667
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,112,6.9432142857,3.81,2.9870535714,2.9870535714
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,69,1796,7.6303452116,6.0448106904,4.7390812918,4.3928173719
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,55,18422,0.463035501,0.3271154055,0.2564596678,0.2477402019
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,6676,1.0306830437,0.8023517076,0.6290413421,0.5378984422
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,23,23,84.616956522,68.357826087,53.594782609,47.697391304
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,123.259375,53.600625,42.02375,37.9425
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45,11.900833333,9.3333333333,7.2633333333
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,129.32181818,66.222727273,51.917272727,40.88
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,10,14,68,68,166.45382353,61.321323529,43.039852941,34.273235294
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,82.337666667,21.197,14.212666667,11.511333333
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,27,27,232.35,63.16037037,46.148518519,39.133333333
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,31,31,232.35,57.818387097,38.677096774,31.560645161
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,27,27,232.35,59.05,44.347777778,36.311111111
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,32.083333333,6.515,4.5,3.0966666667
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,62,62,15,3.6641935484,2.3690322581,1.8590322581
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,26,486.795,93.632307692,69.038076923,52.111153846
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,12,12,12,130.15833333,46.730833333,36.640833333,29.34
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,9,35,177,177,59.257966102,24.835480226,16.750169492,12.161864407
1023017233,SKAHILL,STEVEN,E,M.D.,M,I,239 GREEN ST,,WILLIAMSTON,NC,278922000,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,41,41,24.828780488,10.797804878,7.4795121951,5.5870731707
1023017373,HAAS,RICHARD,A,M.D.,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,12,35,432,49.835810185,19.626759259,14.658912037,14.658912037
1023017373,HAAS,RICHARD,A,M.D.,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,25,775,7.1447354839,2.6338064516,1.9952516129,1.9952516129
1023017373,HAAS,RICHARD,A,M.D.,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,92,174,576,2111,73.114192326,8.32,6.0281193747,6.0281193747
1023017373,HAAS,RICHARD,A,M.D.,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,14.237142857,3.38,2.2714285714,2.2714285714
1023017373,HAAS,RICHARD,A,M.D.,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,49,67,165,280,14.249,1.42,1.0151071429,1.0151071429
1023017373,HAAS,RICHARD,A,M.D.,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,764.0625,358.52625,281.08375,281.08375
1023017373,HAAS,RICHARD,A,M.D.,M,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,257.050625,250.939375,196.73625,196.869375
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,44,126,67.874603175,8.32,6.003968254,6.003968254
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,30,46,14.004565217,1.42,1.0173913043,1.0173913043
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,72.918181818,40.12,29.830909091,28.870909091
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,48.339354839,15.51,10.983225806,10.768387097
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,150.91733333,54.5,39.881333333,39.996
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,52.296363636,18.78,14.72,14.18
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,86,9.6306976744,2.1,1.531744186,1.4845348837
1023017381,YU,BINGFEN,G,MD,F,I,9150 W INDIAN SCHOOL RD,SUITE 118,PHOENIX,AZ,850372384,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,208.66285714,33.62,24.212857143,24.822857143
1023017522,ENZWEILER,MATTHEW,,DPM,M,I,525 ALEXANDRIA PIKE,SUITE 230,SOUTHGATE,KY,41071,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,29,3160,0.3,0.12,0.0940822785,0.0940822785
1023017522,ENZWEILER,MATTHEW,,DPM,M,I,525 ALEXANDRIA PIKE,SUITE 230,SOUTHGATE,KY,41071,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1080,1.0651851852,0.44,0.3218425926,0.3218425926
1023017522,ENZWEILER,MATTHEW,,DPM,M,I,525 ALEXANDRIA PIKE,SUITE 230,SOUTHGATE,KY,41071,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,34,97.492352941,71.56,51.333823529,51.333823529
1023017522,ENZWEILER,MATTHEW,,DPM,M,I,525 ALEXANDRIA PIKE,SUITE 230,SOUTHGATE,KY,41071,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,20,1080,5.8183333333,2.4,1.6444166667,1.6444166667
1023017522,ENZWEILER,MATTHEW,,DPM,M,I,525 ALEXANDRIA PIKE,SUITE 230,SOUTHGATE,KY,41071,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,41,2762,0.33,0.13,0.1008580739,0.1008580739
1023017522,ENZWEILER,MATTHEW,,DPM,M,I,525 ALEXANDRIA PIKE,SUITE 230,SOUTHGATE,KY,41071,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,39,4417,1.13,0.45,0.347835635,0.347835635
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,810,7.666345679,2.5618518519,1.9744197531,1.9744197531
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1260,1.5541269841,1.2492857143,0.9794444444,0.9794444444
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,20,164,20445,5.7722851553,0.5671342627,0.4364441184,0.4364421619
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,42,6600,0.04135,0.0132045455,0.0101075758,0.0101075758
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,53,6840,7.8563581871,1.2774298246,0.9566915205,0.9566915205
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,16,135,21720,5.8629447514,2.8123618785,2.1729815838,2.1729815838
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,23,188,188,24,24,18.422340426,18.422340426
1023017563,LAURIENTI,DENISE,H,M.D.,F,I,730 HIGHLAND OAKS DR,SUITE 201,WINSTON-SALEM,NC,271037108,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,24,225,245,16.032653061,16,12.386612245,12.386612245
1023017589,BIELSKY,STEPHEN,W,M.D.,M,I,1470 TOBIAS GADSON BLVD,SUITE 201,CHARLESTON,SC,294074707,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.652,2.27,1.7797142857,1.7797142857
1023017589,BIELSKY,STEPHEN,W,M.D.,M,I,1470 TOBIAS GADSON BLVD,SUITE 201,CHARLESTON,SC,294074707,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,14.25,7.88,6.1779166667,6.1779166667
1023017589,BIELSKY,STEPHEN,W,M.D.,M,I,1470 TOBIAS GADSON BLVD,SUITE 201,CHARLESTON,SC,294074707,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,21,48,16.400416667,10.246666667,7.8995833333,8.435
1023017761,KUMAR,ARUN,,MD,M,I,21216 NORTHWEST FWY,STE 360,CYPRESS,TX,774291439,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,23,52,196,64.527908163,8.32,6.0564285714,6.0564285714
1023017761,KUMAR,ARUN,,MD,M,I,21216 NORTHWEST FWY,STE 360,CYPRESS,TX,774291439,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,22,50,14.438,1.42,1.0796,1.0796
1023017761,KUMAR,ARUN,,MD,M,I,21216 NORTHWEST FWY,STE 360,CYPRESS,TX,774291439,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,4650,2.6051612903,2.0309677419,1.5614322581,1.5679956989
1023017761,KUMAR,ARUN,,MD,M,I,21216 NORTHWEST FWY,STE 360,CYPRESS,TX,774291439,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,252,30.790869565,21.817826087,22.384347826
1023017761,KUMAR,ARUN,,MD,M,I,21216 NORTHWEST FWY,STE 360,CYPRESS,TX,774291439,US,Physician/Family Practice,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,180,93.215,73.081666667,72.1525
1023017761,KUMAR,ARUN,,MD,M,I,21216 NORTHWEST FWY,STE 360,CYPRESS,TX,774291439,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,378.63904762,76.58,60.03,54.972857143
1023017829,YEH,KAREN,A,M.D.,F,I,820 SAINT SEBASTIAN WAY,,AUGUSTA,GA,309012643,US,Physician/Surgical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,22,37,98,46.11244898,42.336326531,30.367959184,28.271326531
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,130.906,39.35,30.852,30.534
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,276.56823529,89.685882353,70.314705882,68.001764706
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,36,124.38666667,33.977777778,25.898055556,25.239444444
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,49.641538462,18.038461538,14.140769231,14.063846154
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,23,122,7.8829508197,2.0039344262,1.5713934426,1.5894262295
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,10317,1.8188465639,0.345588834,0.2431317243,0.2152302026
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,135.5775,31.875,24.99,24.843125
1023017845,ERNSTER,JOEL,A,M.D.,M,I,3030 N CIRCLE DR,STE 300,COLORADO SPRINGS,CO,809091177,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,79.8,62.56,54.73
1023017886,NITZ,PAUL,A,MD,M,I,3205 WOODMAN DR,,DAYTON,OH,454201143,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,172.58,137.94,100.52818182,94.888181818
1023017886,NITZ,PAUL,A,MD,M,I,3205 WOODMAN DR,,DAYTON,OH,454201143,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,59,59,59,137.0559322,100.38983051,76.511864407,84.3
1023017886,NITZ,PAUL,A,MD,M,I,3205 WOODMAN DR,,DAYTON,OH,454201143,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,60,68,68,1023.5694118,704.5,537.56102941,553.76102941
1023017894,IGNOCHECK,ANTHONY,R,MD,M,I,1202 STATE ST,,ERIE,PA,165011914,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,54,105,74.09847619,8.32,5.343047619,5.343047619
1023017894,IGNOCHECK,ANTHONY,R,MD,M,I,1202 STATE ST,,ERIE,PA,165011914,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,19,24,15.819583333,1.42,0.9291666667,0.9291666667
1023017928,SIEGEL,LEWIS,A,M.D.,M,I,78 MEDICAL CENTER DR,"HEART & VASCULAR CENTER, 2ND FLR",FISHERSVILLE,VA,229392332,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,306.96,96.140666667,71.391333333,51.147333333
1023017993,PRINCIPE,MARK,S,PA-C,M,I,180 WINGO WAY,SUITE 304,MT PLEASANT,SC,294641810,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1170,9.65,7.23,5.5457094017,5.5457094017
1023018041,SULLIVAN,ROBERT,L,O.D.,M,I,2325 ABERDEEN BLVD,SUITE A,GASTONIA,NC,280540614,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,77.795789474,77.795789474,57.268421053,51.23
1023018074,MANICKAM,KANNAN,,MD,M,I,6820 HOSPITAL DR,SUITE 210,BALTIMORE,MD,212374352,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.824166667,11.88,6.9825,8.4591666667
1023018074,MANICKAM,KANNAN,,MD,M,I,6820 HOSPITAL DR,SUITE 210,BALTIMORE,MD,212374352,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,61,9450,3.4128888889,2.0349206349,1.5526571429,1.5566359788
1023018074,MANICKAM,KANNAN,,MD,M,I,6820 HOSPITAL DR,SUITE 210,BALTIMORE,MD,212374352,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1746,13.571237113,7.23,5.6385509737,5.6385509737
1023018074,MANICKAM,KANNAN,,MD,M,I,6820 HOSPITAL DR,SUITE 210,BALTIMORE,MD,212374352,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,38,8.5507894737,7.46,4.4636842105,4.4636842105
1023018140,WYNE,AMJAD,U,M.D.,M,I,2900 LAMB CIR,SUITE 201,CHRISTIANSBURG,VA,240736344,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,519.51,86.424166667,65.267083333,54.14625
1023018181,KNOP,STEPHEN,W,PA-C,M,I,520 COBB ST,,CADILLAC,MI,496012588,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,40,41,162.54317073,50.741219512,38.611707317,37.825121951
1023018181,KNOP,STEPHEN,W,PA-C,M,I,520 COBB ST,,CADILLAC,MI,496012588,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,114.0984,51.8344,36.9416,35.7184
1023018181,KNOP,STEPHEN,W,PA-C,M,I,520 COBB ST,,CADILLAC,MI,496012588,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,32,89.6375,18.0628125,10.8459375,11.1715625
1023018181,KNOP,STEPHEN,W,PA-C,M,I,520 COBB ST,,CADILLAC,MI,496012588,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,19,19,23.268947368,8.4978947368,5.8931578947,6.7052631579
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,47,142,47.740352113,8.32,6.4303521127,6.4303521127
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,13.514545455,3.38,2.65,2.65
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,20.506666667,2.12,1.67,1.67
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,30,54,15.335185185,1.42,1.1137037037,1.1137037037
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,94.746923077,10,7.2369230769,8.5423076923
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,76,13.667105263,2.0463157895,1.4809210526,1.4684210526
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,17,54.064705882,3.3041176471,2.5923529412,3.57
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,39,586.62871795,71,54.232820513,53.77974359
1023018199,ACOSTA,SCOTT,J,MD,M,I,1111 MEDICAL CENTER BLVD.,STE. S850,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2624,0.4617911585,0.0454268293,0.035617378,0.035617378
1023018223,FLITMAN,STEPHEN,S,M.D.,M,I,2601 N 3RD ST,STE 125,PHOENIX,AZ,850041104,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,45,65.957111111,15.51,9.616,9.3906666667
1023018223,FLITMAN,STEPHEN,S,M.D.,M,I,2601 N 3RD ST,STE 125,PHOENIX,AZ,850041104,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,229.64818182,54.5,35.428181818,35.55
1023018223,FLITMAN,STEPHEN,S,M.D.,M,I,2601 N 3RD ST,STE 125,PHOENIX,AZ,850041104,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,12,12,83.560833333,18.78,11.319166667,10.810833333
1023018223,FLITMAN,STEPHEN,S,M.D.,M,I,2601 N 3RD ST,STE 125,PHOENIX,AZ,850041104,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,80.512307692,12,7.9623076923,7.7392307692
1023018223,FLITMAN,STEPHEN,S,M.D.,M,I,2601 N 3RD ST,STE 125,PHOENIX,AZ,850041104,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,25,107,10.658878505,2.1,1.4521495327,1.4031775701
1023018223,FLITMAN,STEPHEN,S,M.D.,M,I,2601 N 3RD ST,STE 125,PHOENIX,AZ,850041104,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,15,16,321.455,30.62,24.011875,24.71
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,33,81,170,59.733470588,8.32,5.8605294118,5.8605294118
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,26,36,15.7075,1.42,1.0544444444,1.0544444444
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,4090,2.3030806846,1.92,1.4365012225,1.5271173594
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,164,2.1975609756,1.8,1.3763414634,1.3763414634
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,47,7.4087234043,2.0608510638,1.6155319149,1.150212766
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,78.985833333,17.544166667,13.755833333,9.6991666667
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,419.85866667,116.53933333,79.208,56.186666667
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,268.80153846,76.870769231,53.013846154,38.236153846
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,71.08375,24.36875,18.1275,13.6675
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,22,22,81.710454545,19.525,14.383181818,8.8036363636
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,27,154,11.152337662,3.0392207792,2.1759090909,1.4246753247
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,26.185,8.075,6.335,4.935
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,23,234.32695652,69.547826087,52.856086957,37.297826087
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,102,117,79.844102564,22.117179487,16.387350427,13.149059829
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,20,20,232.35,53.852,38.098,33.867
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,4430.1,1048.7,820.00510638,839.2306383
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,33,50.73,7.7690909091,6.0884848485,3.6854545455
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,110,63.722727273,49.959090909,36.478181818
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,519.51,70.74,55.46,55.46
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,151,166,463.05295181,103.48096386,78.472891566,56.461927711
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1200,15.58,9.57935,7.3054583333,7.3054583333
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,60,3600,13.94,11.151733333,8.557675,8.557675
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,45,5400,0.2001666667,0.0463148148,0.0321944444,0.0321944444
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,73,7140,0.8228473389,0.1351680672,0.0994747899,0.0994747899
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,11,84,5040,12.298952381,3.0172738095,2.3431924603,2.3431924603
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1245,0.75,0.219253012,0.1718634538,0.1718634538
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,90,47.305833333,32.584166667,20.01
1023018280,DAVIS,RICHARD,K,M.D.,M,I,1400 PERSHING HWY,,SMACKOVER,AR,717622300,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,20,155,155,123.90645161,33,24.701677419,24.701677419
1023018330,THOMAS,M,V,M.D.,M,I,G3252 BEECHER RD,,FLINT,MI,485323614,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,28,458.3825,74.917142857,52.113928571,48.635
1023018330,THOMAS,M,V,M.D.,M,I,G3252 BEECHER RD,,FLINT,MI,485323614,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,19,259.21052632,35.448421053,26.342105263,28.079473684
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,97.5575,48.7385,38.212,30.49
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,26,26,304.425,117.11615385,91.817692308,71.063461538
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,26,70,111.07528571,44.292857143,34.725857143,26.594142857
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,90,60.210666667,26.211555556,19.659444444,13.742777778
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,21,107,52.120186916,19.87,14.964392523,11.647196262
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,16,39,39,188.76205128,75.456923077,59.156923077,44.173333333
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,29,29,59.21137931,25.603448276,19.345517241,14.496206897
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,41,41,66.376341463,21.04097561,15.744878049,9.5219512195
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,23,65,355,8.7395211268,3.1293239437,2.333943662,1.5537183099
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,29,29,473.58275862,132.81724138,99.45,83.087931034
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,81.75,15.549047619,10.536190476,8.9657142857
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,244.68342857,44.874285714,31.847142857,24.803714286
1023018389,CAMPANO,RUWANTHI,S,M.D,F,I,41301 12TH ST W STE A,,PALMDALE,CA,935511465,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,546.34,96.337777778,68.888888889,48.648888889
1023018421,BADHWAR,MANMOHAN,K,M.D.,M,I,17000 KING RD,,BROWNSTOWN TWP,MI,481831115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,44,171,43.422690058,8.32,6.0652046784,6.0652046784
1023018421,BADHWAR,MANMOHAN,K,M.D.,M,I,17000 KING RD,,BROWNSTOWN TWP,MI,481831115,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.838333333,3.38,2.65,2.65
1023018421,BADHWAR,MANMOHAN,K,M.D.,M,I,17000 KING RD,,BROWNSTOWN TWP,MI,481831115,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,27,46,11.109347826,1.42,1.0176086957,1.0176086957
1023018421,BADHWAR,MANMOHAN,K,M.D.,M,I,17000 KING RD,,BROWNSTOWN TWP,MI,481831115,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,18,18,88.822777778,17.131666667,11.080555556,11.428888889
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,31,85,181,50.975469613,8.32,5.8018232044,5.8018232044
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.283636364,3.38,2.65,2.65
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,35,52,12.285769231,1.42,1.0294230769,1.0294230769
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.5,2.04,1.4660555556,1.4660555556
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,229.33333333,125.30333333,90.428666667,63.326666667
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,34,94.588235294,45.842647059,32.241470588,23.707647059
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,132.35,75.998333333,47.7975,32.145
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,47.188666667,25.2,17.676,12.704
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,22,22,47,21.345454545,15.817272727,8.2909090909
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,27,150,6.6056,3.16,2.2651333333,1.4560666667
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,18.624615385,8.4292307692,6.6130769231,4.6561538462
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,49.230769231,21.909230769,16.410512821,13.144871795
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,24,7.1366666667,5.2706666667,3.3786666667
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,136.81395349,48.165813953,37.163488372,25.084186047
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,58,328.10344828,98.85,72.932586207,53.390172414
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2070,1.2387487923,0.132884058,0.0923333333,0.0923333333
1023018439,GRIFFIN,RODNEY,L,MD,M,I,211 E STADIUM,,MAGNOLIA,AR,717532032,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,80.347826087,33,22.569130435,22.569130435
1023018488,HOHN,DARREN,J,DO,M,I,50 MOISEY DRIVE,SUITE 212,HAZLETON,PA,18202,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,144.84,30.5075,23.92,25.073333333
1023018546,KROWIAK,EDWARD,J,MD,M,I,12188A NORTH MERIDIAN ST,SUITE 375,CARMEL,IN,460324578,US,Physician/Otolaryngology,S,A7504,"Filter for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,787,1.0088945362,0.77,0.5346251588,0.5346251588
1023018546,KROWIAK,EDWARD,J,MD,M,I,12188A NORTH MERIDIAN ST,SUITE 375,CARMEL,IN,460324578,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1290,3.3293953488,2.8,2.1952170543,2.1952170543
1023018546,KROWIAK,EDWARD,J,MD,M,I,12188A NORTH MERIDIAN ST,SUITE 375,CARMEL,IN,460324578,US,Physician/Otolaryngology,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,2287,3.8460166157,3.23,2.393834718,2.393834718
1023018546,KROWIAK,EDWARD,J,MD,M,I,12188A NORTH MERIDIAN ST,SUITE 375,CARMEL,IN,460324578,US,Physician/Otolaryngology,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,18,144.58277778,53.44,37.244444444,37.244444444
1023018546,KROWIAK,EDWARD,J,MD,M,I,12188A NORTH MERIDIAN ST,SUITE 375,CARMEL,IN,460324578,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,31,889,68.471327334,3.0338582677,2.3785151856,2.3671541057
1023018546,KROWIAK,EDWARD,J,MD,M,I,12188A NORTH MERIDIAN ST,SUITE 375,CARMEL,IN,460324578,US,Physician/Otolaryngology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,22,12823,2.5654425641,0.4151774156,0.2928207128,0.2602690478
1023018546,KROWIAK,EDWARD,J,MD,M,I,12188A NORTH MERIDIAN ST,SUITE 375,CARMEL,IN,460324578,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,37,25115,2.8640688831,0.3188911009,0.2423882142,0.2355859048
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,32,108,243,53.323374486,8.32,5.8552674897,5.8552674897
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,21,52,79,10.819746835,1.42,1.0432911392,1.0432911392
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,16,31,31,254.89806452,122.63258065,86.61516129,63.958709677
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,25,58,90.933103448,45.914655172,35.657931034,25.837931034
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,25,25,179.3588,74.6852,55.0856,44.6792
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,29,39,39,58.622051282,24.035897436,17.773076923,14.03
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,26,48,48,59.618333333,20.643541667,15.214166667,10.06625
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,25,50,237,7.6403797468,3.1163291139,2.2712658228,1.5765400844
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,18.7375,8.3045833333,6.15625,4.6770833333
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,40.495833333,15.829166667,9.96,8.7408333333
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,744,275,7.37,5.5889247312,4.0211021505
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6528,3.3358777574,0.3912867647,0.2979151348,0.2358547794
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6048,7.0583333333,0.855,0.6703174603,0.521359127
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,200,61.764736842,45.725789474,35.882631579
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,89,22.212307692,15.117692308,11.448461538
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,414.81481481,122.12222222,95.742592593,65.478518519
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,16,17,54.978235294,17.434117647,12.988823529,11.081764706
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,36,37,202.40810811,46.398108108,32.882432432,25.048918919
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,439.28571429,103.372,77.630571429,54.060857143
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,3512,0.3611873576,0.0470017084,0.0342369021,0.0342369021
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2910,1.4286254296,0.1350721649,0.0984982818,0.0984982818
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,491,1.2658044807,0.2200407332,0.1637881874,0.1637881874
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,71,24.151052632,18.176842105,13.787368421
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,35.0825,30.111666667
1023018561,JOHNSON,CARL,D,MD,M,I,612 LOVE AVE,,TIFTON,GA,31794,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,33,33,23.69375,23.69375
1023018595,KERR,JILL,E,D.O.,F,I,4530 E RAY RD,SUITE 190,PHOENIX,AZ,850446094,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45,5.6683333333,4.445,3.6358333333
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,29,62,164,66.650121951,8.32,5.965,5.965
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,34,43,13.79255814,1.42,0.9609302326,0.9609302326
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,21,21,75.466666667,39.981904762,29.853333333,29.047619048
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,22,22,294.29818182,90,70.56,67.963636364
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,11,22,56,106.40232143,32.75,25.217857143,25.447142857
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,70,52.036,19.207714286,15.058857143,14.585714286
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,14,76,45.864605263,15.51,10.294342105,10.066578947
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,18,29,29,155.82206897,54.893103448,35.67137931,35.488965517
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,29,36,36,71.772222222,18.778333333,13.826944444,13.241944444
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,24,24,59.106666667,12.070833333,8.6808333333,8.3720833333
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,29,49,278,8.6003597122,2.1047482014,1.6312589928,1.5739928058
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,16,16,18.900625,6.03375,4.433125,4.3625
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,14,16,16,36.118125,12.83125,8.895,9.184375
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,12,56,56,183.42535714,31.048571429,21.492857143,22.320357143
1023018660,WARFIELD,DAVID,,MD,M,I,5620 W THUNDERBIRD RD,C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.36,77.36,60.65,55.223333333
1023018686,AMIN,SABINA,A,M.D.,F,I,613 WATERCHASE DR,,FORT WORTH,TX,761202872,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,330.52666667,74.856,54.870666667,51.758666667
1023018686,AMIN,SABINA,A,M.D.,F,I,613 WATERCHASE DR,,FORT WORTH,TX,761202872,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,36.5,28.62,29.51
1023018728,KERNS,ROSS,E,M.D.,M,I,7551 DANNAHER WAY,,POWELL,TN,378494029,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,86.31,18.68,13.594285714,12.722142857
1023018728,KERNS,ROSS,E,M.D.,M,I,7551 DANNAHER WAY,,POWELL,TN,378494029,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,519.51,87,63.337857143,52.746428571
1023018728,KERNS,ROSS,E,M.D.,M,I,7551 DANNAHER WAY,,POWELL,TN,378494029,US,Physician/Hematology-Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,65,24.1225,18.9125,14.19
1023018728,KERNS,ROSS,E,M.D.,M,I,7551 DANNAHER WAY,,POWELL,TN,378494029,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,30,53.591333333,42.52,28.640333333,26.762333333
1023018744,BARNES,NATHALIE,M,MD,F,I,5258 LINTON BLVD,SUITE 303,DELRAY BEACH,FL,334846540,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,28,5386,3.7140215373,2.04,1.5993483104,1.5993483104
1023018900,SULLIVAN,DEBORAH,A,NP,F,I,2139 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809091507,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,55,95.272727273,20.059090909,15.458909091,14.321454545
1023018900,SULLIVAN,DEBORAH,A,NP,F,I,2139 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809091507,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,291.33333333,58.611666667,45.9475,42.946666667
1023018900,SULLIVAN,DEBORAH,A,NP,F,I,2139 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809091507,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,8.7846153846,2.1353846154,1.5898717949,1.5053846154
1023018900,SULLIVAN,DEBORAH,A,NP,F,I,2139 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809091507,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,270.944,32,22.997333333,22.858666667
1023018900,SULLIVAN,DEBORAH,A,NP,F,I,2139 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809091507,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,45,560.08533333,79.8,59.305777778,52.171777778
1023018900,SULLIVAN,DEBORAH,A,NP,F,I,2139 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809091507,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38,24.825,24.591666667
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,29.803076923,1.42,1.12,1.12
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,8,7,5.488,5.488
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,6.25,5.54,4.3435,4.3435
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,720,2.4,1.95,1.5288333333,1.5288333333
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,720,2,2,1.568,1.5810555556
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6085,2.8509285127,0.6420377979,0.5033640099,0.5174478225
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,53.398571429,5.2014285714,3.5621428571,3.1807142857
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,30,5.03,3.94,3.95
1023018926,EAPEN,JEENA,V,M.D.,F,I,10540 MARTY ST STE 100,,OVERLAND PARK,KS,662122560,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,15,68.541333333,23.188666667,18.181333333,15.425333333
1023018942,UHLENHAKE,BEVERLY,J,NP,F,I,1830 UNION CITY RD,PO 635,FT RECOVERY,OH,458469315,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,27,86,172,48.568081395,8.32,5.6337790698,5.6337790698
1023018942,UHLENHAKE,BEVERLY,J,NP,F,I,1830 UNION CITY RD,PO 635,FT RECOVERY,OH,458469315,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,21,21,15.097142857,1.42,0.96,0.96
1023018942,UHLENHAKE,BEVERLY,J,NP,F,I,1830 UNION CITY RD,PO 635,FT RECOVERY,OH,458469315,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,137.5,48.984166667,35.529166667,22.08
1023018942,UHLENHAKE,BEVERLY,J,NP,F,I,1830 UNION CITY RD,PO 635,FT RECOVERY,OH,458469315,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,342.37434783,103.76521739,78.755652174,54.111304348
1023018942,UHLENHAKE,BEVERLY,J,NP,F,I,1830 UNION CITY RD,PO 635,FT RECOVERY,OH,458469315,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,67.5,44.745,32.190416667,26.902916667
1023018942,UHLENHAKE,BEVERLY,J,NP,F,I,1830 UNION CITY RD,PO 635,FT RECOVERY,OH,458469315,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2376,2.0820707071,0.1328787879,0.1007407407,0.1007407407
1023018942,UHLENHAKE,BEVERLY,J,NP,F,I,1830 UNION CITY RD,PO 635,FT RECOVERY,OH,458469315,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,16,49.5,33,24.253125,24.253125
1023019015,GARRISON-NORTH,NEFRETITI,M,MD,F,I,211 SAINT FRANCIS DR,,CAPE GIRARDEAU,MO,637035049,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,29,459.71655172,102.31724138,77.148965517,58.816896552
1023019064,NICKELSON,ROBERT,A,M.D.,M,I,2600 KINGS HWY,SUITE 340,SHREVEPORT,LA,71103,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,15,42,47.822142857,36.28,26.412142857,28.101190476
1023019288,PATTERSON,ANTHONY,E,MD,M,I,1211 FORGE RD,,CARLISLE,PA,170133183,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,26,74,194,57.567783505,8.32,5.8730412371,5.8730412371
1023019288,PATTERSON,ANTHONY,E,MD,M,I,1211 FORGE RD,,CARLISLE,PA,170133183,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,23,42,15.55452381,1.42,1.0619047619,1.0619047619
1023019387,DARCO,DANIEL,J,MD,M,I,111 S CENTRE ST,,POTTSVILLE,PA,179013004,US,Physician/Orthopedic Surgery,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1085,849.98,666.38,676.66181818
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,33,81,221,66.350723982,8.32,5.7970135747,5.7970135747
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,20,39,50,14.2454,1.42,0.9376,0.9376
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,64,64,34.15,27.35,20.1,20.91578125
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,66,70,13.481714286,9.29,6.5521428571,7.7818571429
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,190,8.3,7,5.2878947368,5.2878947368
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,3.599,3.04,2.2246,2.2246
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.5695833333,1.99,1.4541666667,1.1125
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,11,12,12,61.730833333,23.848333333,18.694166667,14.7275
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,16,16,63.9625,21.230625,16.014375,9.99625
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,15,74,9.8867567568,3.0910810811,2.4239189189,1.7395945946
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,17,68,84,145.02285714,67.088452381,50.61547619,37.290833333
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,47,57.516808511,22.550851064,17.360851064,13.370212766
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,256.6,138.42666667,108.52533333,69.704
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,33.100588235,7.6294117647,5.3382352941,2.9964705882
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,21,110.71428571,63.227142857,49.57047619,38.575238095
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,12.236875,10.403125,7.880625,4.794375
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,86,95,478.39042105,100.04,76.793578947,55.966631579
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1680,16.546696429,9.6436071429,7.5057142857,7.5057142857
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3399,0.1418887908,0.0461576934,0.0361871139,0.0361871139
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1620,10.67137037,3.103962963,2.4105925926,2.4105925926
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,19,95,122,54.426229508,25.193442623,17.583770492,12.685163934
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,22.04,11.238888889,8.8088888889,7.005
1023019429,CHASTAIN,BRYAN,D,M.D.,M,I,155 HEALTH WAY,SUITE 1,MC MINNVILLE,TN,371102658,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,94.147058824,33,25.109117647,25.109117647
1023019445,PICKETT,JOEL,D,MD,M,I,201 GOVERNORS DRIVE 1ST FLOOR,,HUNTSVILLE,AL,358014317,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,4995,4378.96,3433.11,3433.11
1023019445,PICKETT,JOEL,D,MD,M,I,201 GOVERNORS DRIVE 1ST FLOOR,,HUNTSVILLE,AL,358014317,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,54,54,54,2183.6931481,1328.44,977.48222222,834.88018519
1023019445,PICKETT,JOEL,D,MD,M,I,201 GOVERNORS DRIVE 1ST FLOOR,,HUNTSVILLE,AL,358014317,US,Physician/Neurosurgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,22,108.7,53.2,39.988181818,44.624545455
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,56.6,19.71,15.45,15.45
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,36,112.35,37.38,29.305277778,29.305277778
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,72.978571429,47.160714286,34.925714286,29.322857143
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,32,105.701875,43.1165625,29.246875,23.1128125
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,64,49.7784375,24.06859375,18.86953125,14.55140625
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,79,34.919746835,19.404303797,15.213164557,11.893544304
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,26,26,135.62923077,71.242307692,55.287307692,42.292307692
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,23,23,52.76,22.156956522,16.013043478,13.140434783
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,26,26,57.849615385,18.438461538,14.066153846,9.1753846154
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,36,195,6.6244102564,2.7088717949,2.0025128205,1.4969230769
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,15,11.900833333,9.3333333333,9.3283333333
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,96.640967742,46.990645161,34.204516129,24.367741935
1023019569,SWETT,DAVID,D,MD,M,I,103 MAX STARCKE DAM RD.,SUITE 100,MARBLE FALLS,TX,78754,US,Physician/Cardiovascular Disease (Cardiology),S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,253,24.249130435,4.3109090909,3.3795256917,3.3795256917
1023019635,NORTON,KATHRYN,S,M. D.,F,I,1100 N 19TH ST,SUITE 4G,ABILENE,TX,796012344,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,25,38.92,36.28,28.4432,30.75
1023019668,MCCRARY,MARK,,M.D.,M,I,1000 PINE ST,,TEXARKANA,TX,755015100,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,20,5.3355882353,4.1817647059,3.7967647059
1023019734,O'CONNOR,LAURENCE,T,M.D.,M,I,435 PHALEN BLVD,,SAINT PAUL,MN,551305302,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,3180,4.209009434,2.04,1.5939685535,1.5939685535
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,25,45.276,28.46,22.31,22.31
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,5.54,5.54,4.34,4.34
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,31,17.265483871,9.29,7.28,8.4035483871
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,26,1088,8.5083088235,8.28,6.4915349265,6.4915349265
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,144,11.385416667,10.93,8.5691666667,8.5691666667
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,35,1017,269.66568338,5.3,4.1551622419,4.1612586037
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,13365,3.275922933,0.2984062851,0.2339536102,0.2407003367
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,24,24,1176,63.04,49.42,48.503333333
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,142.9025,48.542083333,36.1275,36.712083333
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,44.516,20.451,16.033,13.532
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,150,4.94,3.87,3.9438461538
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,273.5285,88.314,69.238,54.568
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,17,85,85,67.145411765,17.482,12.037294118,12.419058824
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,96.1975,28.815,20.026875,17.880625
1023019767,AGUIRRE,FELIX,,M.D.,M,I,15102 JONES MALTSBERGER RD STE 101,,SAN ANTONIO,TX,782473367,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,73,73,20.114109589,7.1606849315,5.1069863014,6.0252054795
1023019809,CHRISTENSEN,DAVID,M,MD,M,I,87 GRAND ST,,CROTON ON HUDSON,NY,105202518,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,21,77,63.278311688,8.32,6.1833766234,6.1833766234
1023019825,STEGMAN,MARC,H,M.D.,M,I,2225 UNION AVE,STE. 100,MEMPHIS,TN,381044316,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,82,11280,4.5732650709,0.5627659574,0.4276533688,0.4276515957
1023019825,STEGMAN,MARC,H,M.D.,M,I,2225 UNION AVE,STE. 100,MEMPHIS,TN,381044316,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,4425,0.0796429379,0.0128180791,0.0097853107,0.0097853107
1023019825,STEGMAN,MARC,H,M.D.,M,I,2225 UNION AVE,STE. 100,MEMPHIS,TN,381044316,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,4940,2.1667834008,1.1518380567,0.8201761134,0.8201761134
1023019825,STEGMAN,MARC,H,M.D.,M,I,2225 UNION AVE,STE. 100,MEMPHIS,TN,381044316,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,44,4320,7.1611342593,2.8165069444,2.1634930556,2.1634930556
1023019825,STEGMAN,MARC,H,M.D.,M,I,2225 UNION AVE,STE. 100,MEMPHIS,TN,381044316,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,66,66,24,24,17.964545455,17.964545455
1023019825,STEGMAN,MARC,H,M.D.,M,I,2225 UNION AVE,STE. 100,MEMPHIS,TN,381044316,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,108,121,16,16,12.125867769,12.125867769
1023019916,LEDBETTER,COURTNEY,Y,PA-C,F,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,49,57.936122449,8.32,1.9975510204,1.9975510204
1023019916,LEDBETTER,COURTNEY,Y,PA-C,F,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,16.487647059,1.42,0.3282352941,0.3282352941
1023019916,LEDBETTER,COURTNEY,Y,PA-C,F,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,21.846785714,6.7017857143,3.9996428571,2.3735714286
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,82.770769231,37.81,29.65,30.425384615
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,139.55666667,84,65.86,67.84
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,71.218181818,31.5,24.696363636,25.918636364
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,50,30.4664,19.038,14.537,14.1392
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,54,40.131296296,14.94,11.664814815,11.844444444
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,22,22,125.93318182,59.642727273,45.335,42.608181818
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,22,22,37.96,18.471363636,14.053181818,13.924545455
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,23,23,38.77,13.141304348,9.7565217391,9.0191304348
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,38,188,5.0853191489,2.0863297872,1.6239361702,1.5854787234
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,17,41.67,17.35,11.894117647,11.848235294
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,18,13.261666667,12.873333333,10.091111111,10.331111111
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,38,61.902368421,39.053947368,30.619736842,26.683157895
1023019924,CHAFIZADEH,EDWARD,R,M.D.,M,I,1015 E 32ND ST,SUITE 508,AUSTIN,TX,787052707,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,279.08153846,73,48.425384615,46.502307692
1023020070,UNSWORTH,STACY,T,M.D.,F,I,950 YALE AVE,,WALLINGFORD,CT,064921858,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,51,156,79.335576923,8.32,5.6442307692,5.6442307692
1023020070,UNSWORTH,STACY,T,M.D.,F,I,950 YALE AVE,,WALLINGFORD,CT,064921858,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,28,39,13.172820513,1.42,0.9166666667,0.9166666667
1023020070,UNSWORTH,STACY,T,M.D.,F,I,950 YALE AVE,,WALLINGFORD,CT,064921858,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,45.656666667,5.665,4.1008333333,3.4408333333
1023020500,MUMTAZ,HAMID,,M.D.,M,I,2700 HEALING WAY STE 310,,WESLEY CHAPEL,FL,33543,US,Physician/Thoracic Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,82,528.94,326.82,256.22707317,256.22707317
1023020500,MUMTAZ,HAMID,,M.D.,M,I,2700 HEALING WAY STE 310,,WESLEY CHAPEL,FL,33543,US,Physician/Thoracic Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,82,125.50182927,9.35,7.33,7.33
1023020500,MUMTAZ,HAMID,,M.D.,M,I,2700 HEALING WAY STE 310,,WESLEY CHAPEL,FL,33543,US,Physician/Thoracic Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,82,220.75,29.22,22.908536585,22.908536585
1023020641,RICKNER,KYLE,W,M.D.,M,I,11 PALM AVE,,YUKON,OK,730995645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,34,66.632941176,8.32,4.9864705882,4.9864705882
1023020641,RICKNER,KYLE,W,M.D.,M,I,11 PALM AVE,,YUKON,OK,730995645,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,73.5,18.778333333,10.4625,9.8958333333
1023020856,DOAN,BINH,Q,MD,M,I,1200 RIVERPLACE BLVD,SUITE 620,JACKSONVILLE,FL,322079046,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,70.652340426,16.5,11.838723404,12.451489362
1023020856,DOAN,BINH,Q,MD,M,I,1200 RIVERPLACE BLVD,SUITE 620,JACKSONVILLE,FL,322079046,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,33.50173913,3.8086956522,2.7382608696,3.1139130435
1023020856,DOAN,BINH,Q,MD,M,I,1200 RIVERPLACE BLVD,SUITE 620,JACKSONVILLE,FL,322079046,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,334.09234043,77.18,56.594255319,51.174255319
1023020955,SETTY,SUMAN,,,F,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Physician/Pathology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,654.83,136.36272727,93.865454545,82.946363636
1023020963,DARJI,JAYKRISHNA,,M.D.,M,I,767 PEACHTREE PKWY,SUITE 4,CUMMING,GA,300419348,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,220,75.56,54.232608696,49.970869565
1023020963,DARJI,JAYKRISHNA,,M.D.,M,I,767 PEACHTREE PKWY,SUITE 4,CUMMING,GA,300419348,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,65,18,14.11,13.1
1023020963,DARJI,JAYKRISHNA,,M.D.,M,I,767 PEACHTREE PKWY,SUITE 4,CUMMING,GA,300419348,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,200,36.25,28.42,29.51
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,37,80,68.708,8.308375,6.51325,6.52225
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,18,14.602222222,1.42,1.1172222222,1.1172222222
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,19,47.416315789,28.46,22.31,22.31
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,72,2.7966666667,2.49,1.9522222222,1.9522222222
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,32,18.8059375,10.93,8.57,8.57
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,1860,0.5,0.44,0.3449784946,0.3449784946
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,545,34.818165138,34.818165138,27.297394495,27.330183486
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,20,322,12.121055901,10.921055901,8.5621118012,8.5690993789
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,108,18.273333333,18.273333333,14.326944444,14.34
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,510,5.4529411765,3.67,2.8772156863,2.8772156863
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,22,1058,0.254536862,0.13,0.1019754253,0.1019754253
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,2122,1.1761074458,0.45,0.3527945335,0.3527945335
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,139.17416667,49.8125,38.630833333,36.035833333
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0148,"Walker, heavy duty, without wheels, rigid or folding, any type, each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,57.19,8.46,6.63,6.355
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,18.222307692,11.229230769,8.8061538462,8.4507692308
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0155,"Wheel attachment, rigid pick-up walker, per pair",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,16.52,2.35,1.84,1.615
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,330.586,49.524,34.887333333,36.006
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,221.625,49.74,38.99,37.743333333
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,140.18181818,46.436363636,36.408181818,36.797272727
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,18.081176471,11.107647059,8.7052941176,8.6082352941
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,17.958235294,10.216470588,8.0129411765,8.0047058824
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,313.88,210.825,165.28,165.28
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,20,20,438.07,78.49,58.4535,51.9935
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,989,1.6612841254,0.1290394338,0.1011931244,0.1011931244
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,15,75,75,126.5112,18.6348,12.4968,11.9024
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,87.538461538,39.443076923,30.922307692,29.323076923
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,49.532307692,8.8669230769,6.4523076923,6.2292307692
1023021409,RASQUINHA,CLEMENCIA,,M.D,F,I,1415 LILAC DR N STE 190,,GOLDEN VALLEY,MN,554224544,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,209.85933333,39.132,29.079333333,27.909333333
1023021466,MERIGGIOLI,MATTHEW,,M.D.,M,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,3205.6463158,1074.31,833.57526316,833.57526316
1023021763,TRISTAN,BIANCA,,FNP,F,I,1350 S ORANGE AVE,,FRESNO,CA,937023463,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,39,80,72.82475,8.32,4.8925,4.8925
1023021763,TRISTAN,BIANCA,,FNP,F,I,1350 S ORANGE AVE,,FRESNO,CA,937023463,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,16,21,13.88,1.42,0.6385714286,0.6385714286
1023021763,TRISTAN,BIANCA,,FNP,F,I,1350 S ORANGE AVE,,FRESNO,CA,937023463,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,95,17.466,13.692,14.776
1023022118,AHMED,MAQBOOL,A,M.D.,M,I,421 CHESTNUT ST,,EVANSVILLE,IN,477131227,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,17,1464,41.712889344,5.0095491803,3.8553756831,3.8553756831
1023022118,AHMED,MAQBOOL,A,M.D.,M,I,421 CHESTNUT ST,,EVANSVILLE,IN,477131227,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,15,42,48.584285714,41.17,31.508095238,30.020952381
1023022118,AHMED,MAQBOOL,A,M.D.,M,I,421 CHESTNUT ST,,EVANSVILLE,IN,477131227,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,24,24,18.82,18.82
1023022118,AHMED,MAQBOOL,A,M.D.,M,I,421 CHESTNUT ST,,EVANSVILLE,IN,477131227,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,16,16,12.54,12.54
1023022258,DUNNINGTON,DAVID,A,M.D.,M,I,306 S OLYMPIC AVE,,ARLINGTON,WA,982231533,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,29,66.333448276,8.32,4.9496551724,4.9496551724
1023022258,DUNNINGTON,DAVID,A,M.D.,M,I,306 S OLYMPIC AVE,,ARLINGTON,WA,982231533,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,1.9,1.9,1.4231898148,1.532912037
1023022258,DUNNINGTON,DAVID,A,M.D.,M,I,306 S OLYMPIC AVE,,ARLINGTON,WA,982231533,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,1.68,1.68,1.3175,1.41
1023022258,DUNNINGTON,DAVID,A,M.D.,M,I,306 S OLYMPIC AVE,,ARLINGTON,WA,982231533,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,519.51,77.34,50.45625,45.539583333
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,24,24,96.417083333,37.29,29.23,30.49
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,7.3756,1.5312,1.1052,1.06
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,222.12428571,88.415714286,69.325,67.847857143
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,35,78.93,33.988571429,25.349428571,24.622285714
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,11,15,80,53.0575,19.38975,15.203,14.551625
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,20,20,156.456,56.969,44.6695,42.86
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,23,23,56.885652174,17.315217391,13.571304348,14.06
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,37,189,8.0300529101,2.2071957672,1.6803703704,1.5428571429
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,70,82.504857143,18.455857143,13.267285714,12.399428571
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,78.105263158,52,40.77,37.795263158
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,11,71,71,50.118450704,6.5728169014,4.9270422535,3.5478873239
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,46,47,98.191489362,34.012765957,25.443617021,24.933829787
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,25,124,134,431.82447761,78.763283582,59.394776119,53.037164179
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,63,67,101.35522388,36.514776119,28.63119403,29.447313433
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,19.66745098,9.625,7.5460196078,7.5460196078
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,660,20.359121212,10.936181818,8.496469697,8.496469697
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,31,93,24243,0.300504063,0.0457814627,0.0351532401,0.0351520026
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,2070,2.1978067633,0.1363333333,0.1015942029,0.1015942029
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,43,2520,9.2403650794,2.9359285714,2.1678333333,2.1678333333
1023022340,TOMPKINS,MELISSA,L,M.D.,F,I,4333 N JOSEY LN,SUITE 207,CARROLLTON,TX,750104629,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,32,122,122,54.514754098,33,25.233852459,25.233852459
1023022548,PALEVSKY,HAROLD,I,MD,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,34,70,75.640857143,19.71,15.451714286,15.451714286
1023022548,PALEVSKY,HAROLD,I,MD,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,38,426,150.6,37.38,29.305868545,29.305868545
1023022548,PALEVSKY,HAROLD,I,MD,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,42.058,16.23,12.08,12.8995
1023022548,PALEVSKY,HAROLD,I,MD,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,243.3826087,73.986956522,55.419782609,52.182173913
1023022548,PALEVSKY,HAROLD,I,MD,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,J1325,"Injection, epoprostenol, 0.5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,32,4245,27.717408716,16.118977621,12.637276796,12.637276796
1023022548,PALEVSKY,HAROLD,I,MD,M,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,1270.5882353,253.39,198.66,231.64823529
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,143.29136364,39.200454545,28.625,28.423181818
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,438.42181818,87.552727273,62.488181818,61.690909091
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,24,122,81.076229508,18.491885246,13.665409836,13.695327869
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,58,53.451724138,15.132931034,10.352068966,10.375689655
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,20,44,44,215.65704545,53.758863636,35.407727273,36.033636364
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,25,25,71.6072,18.0228,12.2356,12.1792
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,35,35,65.424857143,12.041142857,8.368,8.132
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,25,51,296,8.8846621622,2.0404054054,1.4283783784,1.422972973
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,25.434545455,5.9918181818,4.6945454545,4.6509090909
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,59.31,12.172222222,8.6205555556,9.3522222222
1023022712,SCIOSCIA,KENNETH,A,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,11,60,60,575.877,32.894,25.198,25.3475
1023022886,MILLS,CHERYL,G,NP,F,I,4650 S HAGADORN RD STE 100,,EAST LANSING,MI,488235386,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,37,158,67.281329114,8.32,6.1096202532,6.1096202532
1023022886,MILLS,CHERYL,G,NP,F,I,4650 S HAGADORN RD STE 100,,EAST LANSING,MI,488235386,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,16,39,11.986666667,1.42,1.0282051282,1.0282051282
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,45,96,63.6321875,8.32,5.9772916667,5.9772916667
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,23,24,12.7675,1.42,0.98,0.98
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.7027272727,3.3809090909,3.3781818182
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,225.68212121,70.23,53.391515152,53.072121212
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,2575,1.9090679612,0.1380932039,0.1082601942,0.1082601942
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,39,39,49.668205128,19.132307692,12.195897436,11.225897436
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,55,37.44,29.35,29.51
1023022894,ALLA,SREENIVASA,R,M.D,M,I,1801 SE HILLMOOR DR,SUITE-C 105,PORT SAINT LUCIE,FL,349527553,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,33,33,25.87,25.87
1023022902,NERI,JOSEPH,M,D.O.,M,I,220 BURDETTE ST,,SAINT IGNACE,MI,497811712,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,15.626666667,12.154166667
1023022902,NERI,JOSEPH,M,D.O.,M,I,220 BURDETTE ST,,SAINT IGNACE,MI,497811712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,102.61833333,70.493333333,48.983333333
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,24,24,91.655,38.63,30.292083333,30.421666667
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,211.35733333,88.053333333,68.020666667,66.429333333
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,94.916086957,31.914782609,25.022608696,25.706086957
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,176.96857143,57.285714286,44.912142857,42.86
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,21,21,49.61047619,17.556666667,13.766666667,13.957142857
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,27,134,7.2114925373,2.0811940299,1.6317910448,1.5894776119
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,338.44,136.99416667,107.39666667,104.115
1023023181,HAYDON,SYBIL,M,"RN, FNP",F,I,6835 AUSTIN CENTER BLVD,,AUSTIN,TX,787313166,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,14,61,77,178.89090909,35.754155844,28.030779221,26.939480519
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,35,86,229,69.573144105,8.32,6.194628821,6.194628821
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,21,28,13.708214286,1.4085714286,1.0664285714,1.0664285714
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,14,67,88.519552239,18.2,14.268208955,14.551791045
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,16,66,78.74530303,14.71,10.34969697,10.713333333
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,17,30,30,270.96533333,56,43.9,42.894666667
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,20,20,93.364,17.95,14.07,14.0605
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,22,22,79.441363636,10.56,7.9036363636,8.7536363636
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,31,152,9.7477631579,2.09,1.50875,1.4676973684
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,63.709166667,12.96,10.16,10.325
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,39.17,17.5,13.72,13.556363636
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,18,18,326.19111111,32.222222222,18.042777778,17.938333333
1023023447,DAVIS,FRANKLIN,C,MD,M,I,1208 W 15TH ST,,EDMOND,OK,730133001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,246.10238095,77.8,61,55.028571429
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,13,160,60.5620625,19.6344375,14.8844375,14.8844375
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,450,8.9152,2.6346666667,1.9275111111,1.9275111111
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,60,240,66.172958333,8.32,6.3050416667,6.3050416667
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,26,12.975,1.42,1.0703846154,1.0703846154
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.69,12.609090909,12.361818182
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,723.62875,338.608125,256.5,256.5
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,311.0775,69.99,53.1553125,53.0415625
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,3240,1.9118518519,0.1362407407,0.1059814815,0.1059814815
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,165.855,38.68,30.32,29.657272727
1023023801,WASSON,LOVELIA,M,PA-C,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,57.75,33,24.946071429,24.946071429
1023023827,YERICH,CAROLINE,M,FNP,F,I,435 N CEDAR ST,,SUMMERVILLE,SC,294836407,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,47,73.225106383,8.32,6.3834042553,6.3834042553
1023024031,KERT,CHARLES,J,M.D.,M,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician/Undefined Physician type[6],S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,86.31,17,13.33,13.5316
1023024031,KERT,CHARLES,J,M.D.,M,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician/Undefined Physician type[6],S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,42,50.73,4.3785714286,3.1616666667,3.4183333333
1023024031,KERT,CHARLES,J,M.D.,M,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,519.51,77.301666667,60.603333333,54.908333333
1023024031,KERT,CHARLES,J,M.D.,M,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician/Undefined Physician type[6],S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1740,1.2912356322,0.1377586207,0.1080172414,0.1080172414
1023024031,KERT,CHARLES,J,M.D.,M,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician/Undefined Physician type[6],S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,108.70588235,33,25.87,25.87
1023024346,GUERRERO-NIEVA,ARLEEN,,M.D.,F,I,330 W WILLOW ST,,LONG BEACH,CA,908062802,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,63,73.115714286,8.32,5.3836507937,5.3836507937
1023024346,GUERRERO-NIEVA,ARLEEN,,M.D.,F,I,330 W WILLOW ST,,LONG BEACH,CA,908062802,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.29,3.6681818182,2.5363636364,3.1609090909
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,41,41,117.6095122,37.99195122,28.345609756,29.014146341
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,23,23,340.52608696,84.52173913,66.268695652,67.58173913
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,15,25,58,118.98482759,31.607758621,24.781034483,25.770517241
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,18,47,234,64.249700855,18.148504274,13.15457265,13.446709402
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,15,38,197,47.723248731,14.949137056,11.100050761,11.262385787
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,31,80,80,197.8455,55.778125,41.72125,40.87625
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,41,57,57,60.828947368,17.251754386,13.36122807,13.821578947
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,30,67,67,62.257313433,11.682537313,8.8050746269,8.7531343284
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,43,99,525,9.0629333333,2.0386285714,1.5111238095,1.5027047619
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,22.875625,5.98,3.884375,3.86125
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,25,35,35,40.780571429,12.073714286,9.0105714286,9.8448571429
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,78.697454545,3,2.352,2.3662424242
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6930,1.35,0.37,0.2693766234,0.2693766234
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,808.33,222.18857143,174.19428571,179.74952381
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,439.13882353,129.08,101.19,104.49352941
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,23,119,119,175.75487395,33.109243697,24.219327731,24.087563025
1023024395,BROWN,MARK,T,M.D.,M,I,11645 ANGUS RD STE B8,,AUSTIN,TX,78759,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,205.82454545,73,54.628636364,52.469545455
1023024460,KOUTCHER,MARTIN,E,MD,M,I,1328 W RITNER ST,,PHILADELPHIA,PA,191483537,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37,29.01,29.51
1023024916,MODI,MEERA,,M.D.,F,I,1100 W. SUNSET BLVD.,,LOS ANGELES,CA,900121217,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,48,61.568333333,8.32,4.6810416667,4.6810416667
1023024916,MODI,MEERA,,M.D.,F,I,1100 W. SUNSET BLVD.,,LOS ANGELES,CA,900121217,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,38.598461538,1.42,0.7738461538,0.7738461538
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,1.7636363636,0.51,0.3272727273,0.3272727273
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,29,98,237,61.905443038,8.32,5.0093248945,5.0093248945
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,24,24,14.9,3.38,2.2083333333,2.2083333333
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,20,47,79,14.581139241,1.42,0.9301265823,0.9301265823
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,2100,2.3092857143,1.73,1.3563285714,1.5993380952
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.28,3.84,3.0105,3.0575
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,88,1.8947727273,1.7981818182,1.4098863636,1.4110227273
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,7.78,6.44,4.8184090909,4.8184090909
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,460,10.678086957,7,5.183,5.183
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,460,4.5756304348,3.898326087,3.0562608696,3.1595
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,51,8.0833333333,1.61,1.2623529412,1.2623529412
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,550,0.2871818182,0.2635090909,0.2065272727,0.2116
1023024932,GONZALEZ,SALVADOR,,MD,M,I,1350 S ORANGE AVE,,FRESNO,CA,93702,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45.3,32.56,34.539166667
1023024973,PENILLA,GREGORIUS,R,M.D.,M,I,14309 MANCHESTER RD,,MANCHESTER,MO,630114050,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,28,63.654642857,8.32,4.6571428571,4.6571428571
1023025079,WILSON,BRONWYN,,,F,I,1209 UNIVERSITY BLVD NE,,ALBUQUERQUE,NM,871021727,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,46,69.565,8.32,4.962826087,4.962826087
1023025079,WILSON,BRONWYN,,,F,I,1209 UNIVERSITY BLVD NE,,ALBUQUERQUE,NM,871021727,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,164.65454545,18.5,13.181818182,12.396363636
1023025079,WILSON,BRONWYN,,,F,I,1209 UNIVERSITY BLVD NE,,ALBUQUERQUE,NM,871021727,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,547.31636364,86.09,61.354545455,50.914545455
1023025152,YEH,SUSAN,,MD,F,I,2400 SW VERMONT ST,,PORTLAND,OR,972191940,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,45,58.664222222,8.32,5.6528888889,5.6528888889
1023025301,NEUMANN,ANNE,R,FNP-C,F,I,1508 TOMBRAS AVE,,EAST RIDGE,TN,37412,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,36,72.159722222,19.186666667,14.210555556,12.916944444
1023025301,NEUMANN,ANNE,R,FNP-C,F,I,1508 TOMBRAS AVE,,EAST RIDGE,TN,37412,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,49,458.3855102,81.740204082,61.766326531,54.885918367
1023025301,NEUMANN,ANNE,R,FNP-C,F,I,1508 TOMBRAS AVE,,EAST RIDGE,TN,37412,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,900,11.937277778,3.0855,2.2836,2.2836
1023025301,NEUMANN,ANNE,R,FNP-C,F,I,1508 TOMBRAS AVE,,EAST RIDGE,TN,37412,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,29,29,87.620689655,33,25.87,25.87
1023025384,ENGLE,MARY,A,P.A.-C,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,67,67,465.36880597,99.86238806,75.317910448,52.584179104
1023025418,ROBERTS,JAMES,W,MD,M,I,160 ALLEN ST,,RUTLAND,VT,057014560,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,525,109.56,79.375789474,52.471052632
1023025517,GULLICKSON,HOLLEY,,,F,I,3366 OAKDALE AVE N,SUITE 605,ROBBINSDALE,MN,554222948,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,495.63,80.725454545,63.291818182,66.777272727
1023025517,GULLICKSON,HOLLEY,,,F,I,3366 OAKDALE AVE N,SUITE 605,ROBBINSDALE,MN,554222948,US,Nurse Practitioner,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,1340.6306667,387.2,303.564,303.564
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,51,152,387,64.848294574,8.32,5.2628165375,5.2628165375
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,20,37,37,13.484864865,1.42,0.9081081081,0.9081081081
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,260,5.58,3.9,3.0575384615,3.0575384615
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,275,4.2184727273,2.91,2.2816727273,2.2816727273
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,650,0.405,0.27,0.2116153846,0.2116153846
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,29,29,97.433103448,50.633103448,38.535172414,29.84862069
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,30,80.782666667,71.56,53.771666667,53.77
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,21,8.19,2.2542857143,1.7671428571,1.1504761905
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,23,59,59,453.42898305,122.82762712,89.986271186,65.590169492
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,23,65,144,182.625625,46.249652778,34.570694444,25.159930556
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,14,38,125,98.95584,26.09464,20.02424,14.12968
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,24,93,71.141290323,19.572903226,13.500645161,10.156236559
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,24,52,52,273.22653846,75.139615385,57.323461538,41.356153846
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,44,67,67,85.675223881,25.03119403,19.139701493,13.757910448
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,32,79,79,96.398987342,20.536455696,15.716455696,9.2130379747
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,40,136,547,12.176745887,3.1264351005,2.3832358318,1.5838939671
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,26,26,31.52,8.7961538462,6.6988461538,4.6157692308
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,36,48,48,50.470625,15.683958333,11.822083333,9.96625
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5850,2.56,0.4781794872,0.3682683761,0.2858717949
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,176.4025,67.274166667,52.745833333,37.188333333
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,78,79,85.850379747,26.213164557,19.227341772,14.920886076
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,4430.1,1038.25,810.18545455,837.17045455
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,632.43,126.5,98.859545455,66.778181818
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,871.20636364,249.83727273,190.01272727,145.60454545
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,50,52,81.75,18.008076923,13.228269231,9.4786538462
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,14,66,67,376.62223881,49.624029851,35.81761194,23.51761194
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,40,309,312,501.67698718,104.50967949,77.573782051,55.283237179
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,232.33529412,44.625882353,34.022647059,29.068235294
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,51,3470,1.1213544669,0.1331412104,0.0936138329,0.0936138329
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1860,12.86,3.0412258065,2.3316021505,2.3316021505
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,3,,13,34,34.994705882,12.3,9.6438235294,9.6438235294
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,66,45,43.56,34.151666667,34.150454545
1023025533,BROWN,PATRICK,J,MD,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,64,64,118.078125,33,24.65734375,24.65734375
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,58,69.531034483,8.32,6.5218965517,6.5218965517
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,121.8,57,44.684705882,39.377058824
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,158.69466667,52.448,35.864,32.773333333
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,46.76,18,14.11,13.54
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,512.78833333,77.18,60.340833333,54.55125
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,45.170769231,23.108461538,18.113846154,15.312307692
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,90.82,41.543333333,30.938333333,24.228333333
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,45,29.049090909,22.768181818,21.856363636
1023025541,MCCRAY,GARY,M,M.D.,M,I,1530 ALIMA TER,,LA GRANGE PARK,IL,605261331,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,26.235172414,10.036551724,7.6331034483,6.8220689655
1023025624,HOFFMANN,LINDA,H,N.P.,F,I,304 SHORTER AVE NW,SUITE 102,ROME,GA,301654290,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,27,113,212,67.853018868,8.32,5.3534433962,5.3534433962
1023025624,HOFFMANN,LINDA,H,N.P.,F,I,304 SHORTER AVE NW,SUITE 102,ROME,GA,301654290,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,15,15.157333333,1.42,1.12,1.12
1023025624,HOFFMANN,LINDA,H,N.P.,F,I,304 SHORTER AVE NW,SUITE 102,ROME,GA,301654290,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,44.95,17.29,11.086363636,11.07
1023025624,HOFFMANN,LINDA,H,N.P.,F,I,304 SHORTER AVE NW,SUITE 102,ROME,GA,301654290,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,29.094444444,4.87,3.3183333333,3.3161111111
1023025624,HOFFMANN,LINDA,H,N.P.,F,I,304 SHORTER AVE NW,SUITE 102,ROME,GA,301654290,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,271.41390244,70.23,42.9,42.627073171
1023025681,KRANTZ,ANNE,J,M.D.,F,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,40,54.9995,8.32,6.19625,6.19625
1023025681,KRANTZ,ANNE,J,M.D.,F,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,21,18.24047619,1.42,1.0085714286,1.0085714286
1023025681,KRANTZ,ANNE,J,M.D.,F,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,113.11272727,18,12.827272727,12.309090909
1023025681,KRANTZ,ANNE,J,M.D.,F,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,490.50133333,77.18,54.651333333,49.248
1023025707,NAGARIA,ABDUL MATEEN,,M.D.,M,I,932 E 34TH ST,SUITE 1,JOPLIN,MO,648043932,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1560,3.8266858974,1.2976153846,1.0172948718,1.0172948718
1023025707,NAGARIA,ABDUL MATEEN,,M.D.,M,I,932 E 34TH ST,SUITE 1,JOPLIN,MO,648043932,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,19,16,16,12.542631579,12.542631579
1023025780,HAMMER,STEPHANIE,M,MD,F,I,1 BROOKINGS DR,,SAINT LOUIS,MO,631304862,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,79,65.926329114,8.32,5.8724050633,5.8724050633
1023025780,HAMMER,STEPHANIE,M,MD,F,I,1 BROOKINGS DR,,SAINT LOUIS,MO,631304862,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,24,53.3825,13.46,10.55,10.485833333
1023025780,HAMMER,STEPHANIE,M,MD,F,I,1 BROOKINGS DR,,SAINT LOUIS,MO,631304862,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,26,174.78,33.923076923,26.599230769,25.327692308
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,30,111,194,64.315,8.32,5.844742268,5.844742268
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,13.921111111,3.38,2.3555555556,2.3555555556
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,44,47,13.713617021,1.42,1.0472340426,1.0472340426
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,41.233333333,4.74,3.716,4.163
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4292,7.9515377446,1.1,0.8624044734,0.9486486486
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,13,86.31,17,11.279230769,11.432307692
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,39,556.58230769,70.097179487,49.314102564,49.173076923
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2070,1.0865555556,0.1357391304,0.0985217391,0.0985217391
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,68.28,32.394285714,24.482857143,14.695714286
1023025798,SHAH,GOPAL,,M.D.,M,I,33 DELAWARE ST,,PORT JERVIS,NY,127711805,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,108.66666667,33,23.953703704,23.953703704
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,53,155,57.371935484,8.32,5.7227741935,5.7227741935
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,25,40,11.14025,1.42,0.9175,0.9175
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,92,86.450652174,19.89,15.423804348,14.461413043
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,28,28,225.10535714,59.3,42.345357143,39.233928571
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,72.754285714,18.75,12.6,12.142857143
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,103.01583333,12.54,9.0108333333,8.4191666667
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,114,10.936666667,2.26,1.6784210526,1.5188596491
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.26,12.3,12.31
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,39.2,37.772727273
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,519.51,73.7025,53.990625,51.309375
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1139,2.1005092186,0.1300614574,0.0709130817,0.0709130817
1023025806,LEE,ALEXANDER,K,DO,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,17,17,67.941176471,33,18.261176471,18.261176471
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,25,45,45,88.601333333,37.324666667,26.690222222,27.783333333
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,32,7.86625,1.441875,0.845625,0.86875
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,21,36,36,200.72138889,89.085833333,67.881388889,66.115555556
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,19,37,75,101.44933333,33.460933333,25.270533333,25.009733333
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,84,44.173571429,16.018571429,12.410952381,11.83547619
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,15,26,26,176.37615385,54.355,39.984615385,40.249615385
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,36,42,42,48.937619048,17.868571429,13.670238095,13.717619048
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,13,24,24,64.833333333,13.044583333,9.8320833333,8.7691666667
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,36,67,334,7.5369461078,1.9664071856,1.4761377246,1.5201197605
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,19,23,23,41.030869565,14.995652174,10.713913043,9.64
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,17.15,12.7775,12.8555
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1966.3636364,1059.66,822.71909091,834.20454545
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,42,42,449.57833333,90.15,63.017619048,60.526904762
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,276.36714286,140.57142857,110.20857143,105.06142857
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,23,17.924347826,14.069565217,10.070869565,9.6773913043
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,61,64,38.72609375,5.27640625,3.66953125,3.27171875
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,21,109,116,149.0487069,35.953103448,26.152672414,24.885603448
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,75,79,430.30443038,77.638987342,56.583417722,51.992911392
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.5044722222,7.5044722222
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1545,0.2015210356,0.0478317152,0.0374822006,0.0374822006
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1528,1.4918651832,0.1291884817,0.0744960733,0.0744960733
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,0.75,0.219,0.1716666667,0.1716666667
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,86.818181818,35.583333333,24.506363636,25.995454545
1023025814,HANSALIA,SACHIN,,M.D.,M,I,1900 RANDOLPH RD,SUITE 580,CHARLOTTE,NC,282071122,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,114.7826087,33,20.256956522,20.256956522
1023025913,WITHROW,LISA,A,MD,F,I,2000 6TH AVE S,STE 201,BIRMINGHAM,AL,352332110,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,38,38.225789474,20.68,13.653684211,12.254473684
1023025913,WITHROW,LISA,A,MD,F,I,2000 6TH AVE S,STE 201,BIRMINGHAM,AL,352332110,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,55,6.0227272727,2.1069090909,1.118,1.0758181818
1023026036,AGRAWAL,ANJULA,,MD,F,I,5215 LOUGHBORO RD NW,SUITE 530,WASHINGTON,DC,200162618,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,70.6559375,8.32,6.11375,6.11375
1023026176,PECK,MICHAEL,L,O.D.,M,I,517 W MAINE AVE,,ENID,OK,737015542,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,31,31,124.33225806,63.996774194,50.174193548,52.695806452
1023026176,PECK,MICHAEL,L,O.D.,M,I,517 W MAINE AVE,,ENID,OK,737015542,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,16,62.5,57.24,42.065625,40.684375
1023026176,PECK,MICHAEL,L,O.D.,M,I,517 W MAINE AVE,,ENID,OK,737015542,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,29,42,62.166666667,56.195238095,41.953809524,41.474285714
1023026176,PECK,MICHAEL,L,O.D.,M,I,517 W MAINE AVE,,ENID,OK,737015542,US,Optometry,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,19,67.5,67.5,52.92,54.637894737
1023026176,PECK,MICHAEL,L,O.D.,M,I,517 W MAINE AVE,,ENID,OK,737015542,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,37,63,66.976190476,66.976190476,49.149365079,50.72984127
1023026184,WAPPI,AREF,,M.D.,M,I,8800 TERRENE CT,SUITE 103,BONITA SPRINGS,FL,341359900,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,41,75,242,61.819049587,8.32,5.9831404959,5.9831404959
1023026184,WAPPI,AREF,,M.D.,M,I,8800 TERRENE CT,SUITE 103,BONITA SPRINGS,FL,341359900,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,25,36,46,10.843913043,1.42,0.9952173913,0.9952173913
1023026184,WAPPI,AREF,,M.D.,M,I,8800 TERRENE CT,SUITE 103,BONITA SPRINGS,FL,341359900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,50.686923077,17,13.33,13.54
1023026184,WAPPI,AREF,,M.D.,M,I,8800 TERRENE CT,SUITE 103,BONITA SPRINGS,FL,341359900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.2433333333,2.1066666667,2.3433333333
1023026184,WAPPI,AREF,,M.D.,M,I,8800 TERRENE CT,SUITE 103,BONITA SPRINGS,FL,341359900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,289.11769231,80,62.72,54.73
1023026184,WAPPI,AREF,,M.D.,M,I,8800 TERRENE CT,SUITE 103,BONITA SPRINGS,FL,341359900,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2860,0.1842797203,0.0463706294,0.0285,0.0285
1023026184,WAPPI,AREF,,M.D.,M,I,8800 TERRENE CT,SUITE 103,BONITA SPRINGS,FL,341359900,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,107.25,33,23.283,23.283
1023026267,THOMAS,JAMES,P,M.D.,M,I,9200 W WISCONSIN AVE,DIVISION OF NEOPLASTIC DISEASES,MILWAUKEE,WI,532263522,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,19,1694,31.661723731,5.2500236128,4.0384120425,4.0384002361
1023026267,THOMAS,JAMES,P,M.D.,M,I,9200 W WISCONSIN AVE,DIVISION OF NEOPLASTIC DISEASES,MILWAUKEE,WI,532263522,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,24,24,18.82,18.82
1023026309,HOTAN,TANIE,,M.D.,F,I,205 MAIN ST.,,AUMSVILLE,OR,973259018,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,10.509984848,3.0705454545,2.401530303,2.401530303
1023026341,OBBINK,JOHN,W,M.D.,M,I,6401 HARRIS PKWY,SUITE 120,FORT WORTH,TX,761326101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,39,84.986153846,8.32,4.8492307692,4.8492307692
1023026432,MACKIN,GLENN,A,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 405,ALLENTOWN,PA,181036224,US,Physician/Neurology,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,49.24,11.17,8.7581818182,9.7627272727
1023026432,MACKIN,GLENN,A,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 405,ALLENTOWN,PA,181036224,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,175,52.299333333,39.454,40.732
1023026432,MACKIN,GLENN,A,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 405,ALLENTOWN,PA,181036224,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,11,75,75,4430.1,1074.31,833.77813333,833.77813333
1023026432,MACKIN,GLENN,A,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 405,ALLENTOWN,PA,181036224,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,27,28,1314.32,409.98607143,316.30785714,329.44214286
1023026432,MACKIN,GLENN,A,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 405,ALLENTOWN,PA,181036224,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,152.89,43.919090909,34.431818182,34.431818182
1023026432,MACKIN,GLENN,A,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 405,ALLENTOWN,PA,181036224,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,192.58,46.1725,36.2025,36.225
1023026515,LAKIN,DONALD,W,OD,M,I,42550 GARFIELD,SUITE 101,CLINTON TWP,MI,480381644,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,113.27777778,71.82,53.138888889,50.104444444
1023026515,LAKIN,DONALD,W,OD,M,I,42550 GARFIELD,SUITE 101,CLINTON TWP,MI,480381644,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,21,70,52.13,40.87,43.303333333
1023026549,ENGLE,GARY,N,PA,M,I,3926 STATE ROUTE 12,,LYONS FALLS,NY,13368,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,42,66.953095238,8.32,5.9,5.9
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,32,3480,0.1497241379,0.12,0.0940890805,0.0940890805
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,28,2560,0.55,0.44,0.32534375,0.32534375
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,675,10.08,8.28,6.4916,6.4916
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,168,10.24,8.41,6.594047619,6.594047619
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,27,1110,4.4883243243,3.67,2.8773333333,2.8773333333
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,29,4050,2.64,2.16,1.6934345679,1.6934345679
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,45,83,12400,0.1600854839,0.13,0.100566129,0.100566129
1023026564,STREETER,DONNETT,R,,M,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,17,2940,0.56,0.45,0.3528129252,0.3528129252
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,30,54,74.890740741,19.687037037,15.433518519,15.433518519
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,32,214,150.6,37.327616822,29.265373832,29.265373832
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,40,87,87,92.6,39.710114943,30.088735632,29.570574713
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,36,7.7391666667,1.7044444444,1.3358333333,1.2283333333
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,58,133,133,302.94781955,91.399699248,69.024360902,65.558421053
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,57,137,360,108.61241667,34.869444444,26.658722222,25.323583333
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,25,49,228,59.189122807,19.082850877,14.010745614,13.828640351
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,23,45,224,48.788526786,15.414955357,10.1353125,10.109732143
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,47,89,89,193.32449438,57.932134831,41.783595506,39.626292135
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,85,116,116,62.574051724,19.055862069,14.450603448,13.58862069
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,54,113,113,65.511415929,12.321858407,9.0522123894,8.599380531
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,99,202,1157,8.5115298185,2.131624892,1.6372860847,1.570207433
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,31,43,43,19.971162791,5.9286046512,4.548372093,4.5541860465
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,55,69,69,38.838550725,13.50115942,10.438405797,10.237681159
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,43,216,218,75.221743119,20.553761468,14.906605505,13.658486239
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,162,162,50.810432099,20.219753086,14.49882716,13.327037037
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,23,127,127,277.55440945,80.087165354,57.420787402,51.167322835
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,232.35,57.98,45.457857143,38.583571429
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,4120.6733333,1038.25,809.64242424,837.05575758
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,422.64777778,84.355555556,66.135555556,66.057777778
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,829.01,216.81935484,169.98516129,166.92193548
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,17,17,449.57647059,153.70764706,120.50764706,104.68176471
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,16,80,80,75.9035,13.022375,9.4025,9.348
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,55,55,38.471454545,4.8769090909,3.1281818182,2.8538181818
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,38,215,217,193.10451613,36.539354839,27.137142857,23.835391705
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,88,492,493,427.37900609,75.320892495,55.793610548,51.615720081
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,88,88,246.62863636,40.113181818,30.756590909,28.995340909
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,32,8410,113.44387634,62.442820452,48.955172414,48.955172414
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,23,130,7890,18.044980989,9.612338403,7.4513726236,7.4513726236
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,43,8109,0.2208496732,0.0471772105,0.0352916513,0.0352916513
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,41,1230,9.3553739837,0.0735853659,0.0554471545,0.0554471545
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,37,3772,1.8850397667,0.1318849417,0.100514316,0.100514316
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,24,129,7470,10.608678715,2.9612289157,2.2844029451,2.2844029451
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,660,3.5475606061,0.2188030303,0.1715454545,0.1715454545
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1800,297.85076923,233.51461538,233.51461538
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,53,53,154.16603774,40.467735849,28.768867925,26.77245283
1023026663,JARRETT,JEFFREY,E,MD,M,I,1500 S 48TH ST,SUITE 800,LINCOLN,NE,685061276,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,36,171,171,75.245614035,33,25.416140351,25.416140351
1023026713,PONGONIS,JOSEPH,V,D.O.,M,I,8019 FRANKFORD AVE,,PHILADELPHIA,PA,191362736,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,29,88.854482759,8.32,4.2724137931,4.2724137931
1023026713,PONGONIS,JOSEPH,V,D.O.,M,I,8019 FRANKFORD AVE,,PHILADELPHIA,PA,191362736,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,18.19,1.42,0.72,0.72
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,33,53.034545455,8.32,6.5227272727,6.5227272727
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,21,40.393333333,28.46,21.247619048,21.247619048
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,29,5.54,5.54,4.34,4.34
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,32,38,14.285526316,10.843157895,8.2773684211,8.3457894737
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,680,7,7,5.1651764706,5.1651764706
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,2040,1.95,1.95,1.4957843137,1.4957843137
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,2320,0.44,0.44,0.3449396552,0.3449396552
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,23,1617,35.233654917,34.86,27.241552257,27.241552257
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,630,8.28,8.28,6.2638095238,6.2638095238
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,1053,18.598575499,18.5,14.231500475,14.231500475
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,280,2.4,2.4,1.8816428571,1.8816428571
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,60,18.6255,18.29,14.339,14.339
1023026804,TRINH,CHANTRI,,MD,F,I,3660 VISTA,,ST LOUIS,MO,63110,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,2304,0.455625,0.45,0.3528125,0.3528125
1023026838,LOGAN,JAMES,N,M.D.,M,I,2699 ATLANTIC AVE,,LONG BEACH,CA,908062710,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,152.54,51.349090909,40.264545455,38.441818182
1023026895,HOLMAN,ROBERT,P,MD,M,I,1635 N GEORGE MASON DR,SUITE 180,ARLINGTON,VA,222053601,US,Physician/Infectious Disease,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,2040,192.80611765,42.367235294,33.215911765,33.215911765
1023027133,BROWN,PAULA,J,PA,F,I,14700 W SAINT TERESA ST STE 300,,WICHITA,KS,672359630,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,55,73.890909091,8.32,4.6236363636,4.6236363636
1023027182,ALDER,LAWRENCE,A,M.D.,M,I,703 HILL COUNTRY DR STE 101,,KERRVILLE,TX,780286160,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,34,104,62.70875,8.32,5.3930769231,5.3930769231
1023027182,ALDER,LAWRENCE,A,M.D.,M,I,703 HILL COUNTRY DR STE 101,,KERRVILLE,TX,780286160,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,19,24,12.090416667,1.42,0.745,0.745
1023027182,ALDER,LAWRENCE,A,M.D.,M,I,703 HILL COUNTRY DR STE 101,,KERRVILLE,TX,780286160,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,43.786956522,3.7969565217,2.3204347826,2.9291304348
1023027182,ALDER,LAWRENCE,A,M.D.,M,I,703 HILL COUNTRY DR STE 101,,KERRVILLE,TX,780286160,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,377.17032258,74.012258065,50.816451613,48.189354839
1023027182,ALDER,LAWRENCE,A,M.D.,M,I,703 HILL COUNTRY DR STE 101,,KERRVILLE,TX,780286160,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2428,1.5937108731,0.1375164745,0.0917792422,0.0917792422
1023027182,ALDER,LAWRENCE,A,M.D.,M,I,703 HILL COUNTRY DR STE 101,,KERRVILLE,TX,780286160,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,64.5,33,22.672727273,22.672727273
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,151.54384615,33.798076923,26.496538462,25.918076923
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,12,56,51.675,16.819464286,10.944285714,9.77
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,23,23,187.79695652,59.976521739,44.279565217,40.380869565
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,61.4595,19.172,15.026,14.06
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,28,28,66.099285714,11.69,8.5385714286,8.4292857143
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,35,137,9.1537226277,2.1102189781,1.5860583942,1.5202919708
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,115.26,19.946818182,13.872272727,11.906363636
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,23,23,216.49347826,50,35.791304348,34.357826087
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,4281.6307692,1025.7938462,791.68153846,826.74846154
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,54,55,55.181818182,13.581272727,10.042545455,9.7170909091
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,33.795263158,4.6863157895,3.4968421053,3.4968421053
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,12,79,80,185.45975,36.60325,26.406375,23.382125
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,16,110,113,469.97929204,80.234513274,57.022920354,49.783628319
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,230.90909091,38.809545455,30.422272727,29.722727273
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,6226,0.3093109541,0.0458480565,0.0315338901,0.0315306778
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,37,37,54.405405405,33,23.772432432,23.772432432
1023027281,TROMBOLD,WALTER,S,MD,M,I,3850 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075292,US,Physician/Pulmonary Disease,S,Q4074,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2160,242.46,137.2415,107.59731944,107.59731944
1023027307,PAREKH,SHEHZAD,M,MD,M,I,2580 HIGHWAY 95 STE 224,,BULLHEAD CITY,AZ,864427332,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,,42,3025,4.7095471074,0.5722512397,0.4221752066,0.4221752066
1023027307,PAREKH,SHEHZAD,M,MD,M,I,2580 HIGHWAY 95 STE 224,,BULLHEAD CITY,AZ,864427332,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,,37,7915,3.9035590651,1.2389387239,0.9373455464,0.9373455464
1023027307,PAREKH,SHEHZAD,M,MD,M,I,2580 HIGHWAY 95 STE 224,,BULLHEAD CITY,AZ,864427332,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,,38,38,24,24,17.829473684,17.829473684
1023027307,PAREKH,SHEHZAD,M,MD,M,I,2580 HIGHWAY 95 STE 224,,BULLHEAD CITY,AZ,864427332,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,,43,50,16,16,12.4558,12.4558
1023027380,MAY,FREDRICK,G,PA-C,M,I,11432 BUSINESS BLVD,,EAGLE RIVER,AK,995777720,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,52,38.818076923,8.32,4.3911538462,4.3911538462
1023027539,LAMHUT,PENNY,,MD,F,I,9 ALUMNI DR,,ORONO,ME,044733479,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,72.54,17.428,13.66,13.539
1023027539,LAMHUT,PENNY,,MD,F,I,9 ALUMNI DR,,ORONO,ME,044733479,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,434.58235294,70.204117647,51.835882353,51.521764706
1023027539,LAMHUT,PENNY,,MD,F,I,9 ALUMNI DR,,ORONO,ME,044733479,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1396,0.8701504298,0.0478008596,0.0374283668,0.0374283668
1023027539,LAMHUT,PENNY,,MD,F,I,9 ALUMNI DR,,ORONO,ME,044733479,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,62,72.012419355,8.32,5.2324193548,5.2324193548
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,130,5.5986153846,3.04,2.0164615385,2.0164615385
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,76.816285714,22.407142857,15.632571429,12.272
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,152.34,61.304,48.061,41.635
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,59,59,444.61610169,105.36474576,77.706949153,54.288644068
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,1792,37.991205357,4.7010323661,3.6856026786,3.6856026786
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,11,700,8.6113285714,3.8701142857,3.0341571429,3.0341571429
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,20,56,47.231607143,38.522857143,25.503571429,26.109464286
1023027596,BJORLING,VINCENT,G,M.D.,M,I,3911 AVENUE B,SUITE 1110,SCOTTSBLUFF,NE,693614617,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,24,24,18.82,18.82
1023027729,CHAN,GRACE,,MD,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,31,76,312,73.632051282,8.32,5.7548397436,5.7548397436
1023027729,CHAN,GRACE,,MD,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,14,28,54,14.631851852,1.42,1.1148148148,1.1148148148
1023027729,CHAN,GRACE,,MD,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,20,22,389.31227273,251.11,196.87,196.87
1023027869,AGBA,DOLLY,O,NURSE PRACTITIONER,F,I,1106 NEAL AVE,,JOLIET,IL,604332548,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,35,70,70.864142857,8.32,4.565,4.565
1023027869,AGBA,DOLLY,O,NURSE PRACTITIONER,F,I,1106 NEAL AVE,,JOLIET,IL,604332548,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,20,12.9795,1.42,0.839,0.839
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,36,59,763,56.805897772,19.563328965,15.337326343,15.337326343
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,30,52,1605,7.5348722741,2.6241744548,2.0195451713,2.0195451713
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,72,221,717,2213,67.760352463,8.32,5.7755038409,5.7755038409
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,31,31,12.950967742,3.38,2.5280645161,2.5280645161
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,19.009411765,2.12,1.5717647059,1.5717647059
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,82,201,354,14.81220339,1.42,0.9468079096,0.9468079096
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,44,44,734.33363636,340.41886364,260.51363636,260.51363636
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,21,69,4680,16.220762821,10.543192308,8.0779209402,8.0779209402
1023028289,LAPORTE,MELISSA,,CRNP,F,I,201 N MAIN ST,,PLAINS,PA,187051509,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,19,92,94,460.14531915,250.93574468,194.27808511,194.41404255
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,51,174,457,73.357177243,8.32,5.7653391685,5.7653391685
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,20,54,78,17.745128205,1.42,1.0730769231,1.0730769231
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,361,155.59833795,18.46,14.47265928,14.47265928
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,361,53.4,7.37,5.7780055402,5.7780055402
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,20,20,40,97.28525,71.0365,51.10475,51.4625
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,19,19,106,44.932358491,28.965849057,22.396226415,22.544245283
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,13,419,41.174224344,5,3.92,4.1630071599
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4230,16.826666667,1.1,0.8284822695,0.9147304965
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,44,44,143.45159091,49.772727273,34.743636364,34.700227273
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,36.5,16.444444444,12.894444444,13.54
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,472.80823529,75.918823529,57.333529412,52.785882353
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,40.66,28.981818182,26.827272727
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,49,49,57.772244898,15.322653061,11.126734694,13.436938776
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,119.06307692,19.3,13.966153846,18.888461538
1023028354,FARIWA,VICTOR,,MD,M,I,2153 E 3RD ST,,BROOKLYN,NY,112234030,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,39,39,19.632051282,7.0143589744,5.0366666667,6.3658974359
1023028412,HERNANDEZ,GIOVANNI,,M.D.,F,I,1178 CYPRESS GLEN CIRCLE,,KISSIMMEE,FL,34741,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,28,108,52.156481481,8.32,6.5227777778,6.5227777778
1023028412,HERNANDEZ,GIOVANNI,,M.D.,F,I,1178 CYPRESS GLEN CIRCLE,,KISSIMMEE,FL,34741,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.981538462,3.38,2.65,2.65
1023028412,HERNANDEZ,GIOVANNI,,M.D.,F,I,1178 CYPRESS GLEN CIRCLE,,KISSIMMEE,FL,34741,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,33,14.063939394,1.42,1.1109090909,1.1109090909
1023028412,HERNANDEZ,GIOVANNI,,M.D.,F,I,1178 CYPRESS GLEN CIRCLE,,KISSIMMEE,FL,34741,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,9.75,7.87,6.1036342593,6.1115185185
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,47,182,74.827912088,8.32,5.4004945055,5.4004945055
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,40,18.08625,1.42,1.00175,1.00175
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,2.65,1.73,1.289912037,1.532912037
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,20,20,119.3365,40.836,28.1675,27.253
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,535.125,107.75785714,80.185,66.536428571
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,29,209.35551724,39.270344828,28.062758621,23.756551724
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,14,77,53.469090909,15.427532468,10.522987013,10.348311688
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,230.10421053,56.733157895,37.465263158,36.092631579
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,14,17,17,77.298823529,20.191176471,15.025294118,13.78
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,13,30,166,12.52873494,2.2303614458,1.5862650602,1.448313253
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,17.675555556,13.856666667,13.54
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,13,15,149.50133333,52.138,39.446666667,34.574
1023028438,STRONG,JEFFREY,S,MD,M,I,747 BROADWAY,,SEATTLE,WA,981224379,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,77,84,519.51,82.076666667,59.867380952,51.596428571
1023028446,JACOBS,ROBERT,,MD,M,I,3907 WARING RD STE 1,,OCEANSIDE,CA,920564454,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,65,49.986923077,18.114461538,13.116,13.433692308
1023028446,JACOBS,ROBERT,,MD,M,I,3907 WARING RD STE 1,,OCEANSIDE,CA,920564454,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,155.34736842,53.992105263,37.086842105,37.597894737
1023028446,JACOBS,ROBERT,,MD,M,I,3907 WARING RD STE 1,,OCEANSIDE,CA,920564454,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,59.039166667,18.375,12.018333333,11.716666667
1023028446,JACOBS,ROBERT,,MD,M,I,3907 WARING RD STE 1,,OCEANSIDE,CA,920564454,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,97,7.5404123711,2,1.4713402062,1.492371134
1023028446,JACOBS,ROBERT,,MD,M,I,3907 WARING RD STE 1,,OCEANSIDE,CA,920564454,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,155.54222222,32.281666667,25.306666667,27.072222222
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,350,222.36708571,5.46,4.1338571429,4.0204571429
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3212,2.5609184309,0.3,0.2284713574,0.2363511831
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,147.91111111,48.65,34.298888889,32.992222222
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,147.97769231,57.07,44.75,40.8
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,13,79,79,175.94936709,51.409620253,39.373924051,37.931012658
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,39.916666667,16.61,12.537777778,13.043333333
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,25,4.1644827586,3.13,3.7520689655
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,45,10.920909091,8.1831818182,8.14
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,225.632,79.8,59.5272,53.2632
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1290,1.2930697674,0.1311860465,0.1005426357,0.1005426357
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,28,163,163,61.56398773,19.579386503,14.740552147,13.695153374
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,94.534545455,32.38,25.382727273,24.910909091
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,126.08333333,55.366666667,43.409166667,38.263333333
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,23.247857143,9.8357142857,7.7128571429,7.5335714286
1023028461,JERKINS,OSCAR,H,M.D.,M,I,9 ORANGE AVE,,ROCKLEDGE,FL,329552945,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,184.92526316,35.31,27.69,29.318421053
1023028917,OPPENHEIM,ALFRED,D,M.D.,M,I,770 TAMALPAIS DR,SUITE 203,CORTE MADERA,CA,949251700,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,55.42,3.5975,2.5358333333,3.3916666667
1023028917,OPPENHEIM,ALFRED,D,M.D.,M,I,770 TAMALPAIS DR,SUITE 203,CORTE MADERA,CA,949251700,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79,61.94,54.73
1023028925,PURVIANCE,HOLLIS,L,CFNP,M,I,2500 N STATE ST,UNIVERSITY ORTHOPEDIC ASSOCIATES PLLC,JACKSON,MS,39216,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,88.475,20.1575,8.0191666667,6.0883333333
1023028933,ANYATONWU,SAMUEL,K,MD,M,I,85 SEYMOUR ST,SUITE 1009,HARTFORD,CT,061065501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,69,214,75.324345794,8.32,5.6385981308,5.6385981308
1023028933,ANYATONWU,SAMUEL,K,MD,M,I,85 SEYMOUR ST,SUITE 1009,HARTFORD,CT,061065501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,27,52,15.183653846,1.42,1.0280769231,1.0280769231
1023028933,ANYATONWU,SAMUEL,K,MD,M,I,85 SEYMOUR ST,SUITE 1009,HARTFORD,CT,061065501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,400,77.18,60.51,54.72
1023028933,ANYATONWU,SAMUEL,K,MD,M,I,85 SEYMOUR ST,SUITE 1009,HARTFORD,CT,061065501,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.99,14.24,11.16,12.923636364
1023028933,ANYATONWU,SAMUEL,K,MD,M,I,85 SEYMOUR ST,SUITE 1009,HARTFORD,CT,061065501,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,40,31.36,29.51
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,44,72.96,19.681818182,15.430681818,15.430681818
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,45,80.927333333,8.32,4.4931111111,4.4931111111
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,23,23,143.41391304,39.296956522,30.814782609,30.547826087
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,12,27,27,431.52888889,87.157777778,68.328888889,67.824444444
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,11,27,63,153.50634921,33.462857143,24.952063492,24.641269841
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,18,100,58.4428,18.5,14.5036,14.5494
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,12,56,41.06,14.93,10.45125,10.643928571
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,18,32,32,175.229375,56.555625,42.98125,42.3378125
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,25,31,31,71.045483871,17.847096774,13.412903226,13.792580645
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,20,33,34,66.577058824,11.902352941,9.0702941176,9.1652941176
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,30,53,289,7.9028027682,2.0069204152,1.5737024221,1.5948788927
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,15.926923077,5.9,4.6215384615,4.6538461538
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,16,20,20,50.046,12.831,10.0585,10.3335
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,15,106,108,74.788055556,18.099166667,13.435925926,13.069166667
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,23,23,267.43173913,51.688695652,36.994782609,38.306086957
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,19,19,124.32894737,50.274736842,24.757894737,23.766315789
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,35.636363636,34.209090909
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,7,11,95,95,2429.1976842,1074.31,838.08778947,838.08778947
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,596.25481481,95.752222222,72.05,65.326666667
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,1488.4,1009.5875,791.51875,791.51875
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,13,64,65,280.63630769,33.629692308,26.006769231,25.800923077
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,34,305,307,383.23218241,78.790488599,60.241172638,54.580423453
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,144,146,101.23287671,36.184452055,28.17869863,29.203835616
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,4400,33.4845,9.8360454545,7.6890590909,7.6890590909
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,960,26.741416667,9.5660625,7.35034375,7.35034375
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,786,16.921628499,11.297531807,8.857302799,8.857302799
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,313,4.6583067093,3.7831309904,2.9659744409,2.9659744409
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,14,4112,0.5280131323,0.0458487354,0.0337183852,0.0337183852
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,23,93,10193,1.6532738154,0.1345138821,0.1038653978,0.1038653978
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,40,2370,11.775919831,3.0587721519,2.2830379747,2.2830379747
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,682,3.0764369501,0.2186070381,0.1713489736,0.1713489736
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,8.55,2.6366666667,2.0672916667,2.0672916667
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,198.4516129,35.393548387,27.748387097,29.446451613
1023029089,BLOOM,MANUEL,G,M.D,M,I,6550 FANNIN ST,SUITE 2403,HOUSTON,TX,770302717,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,34,38,151,151,59.006622517,33,25.35602649,25.35602649
1023029162,ST JOHN,MAIE,A,MD,F,I,200 MEDICAL PLAZA,#550,LOS ANGELES,CA,90095,US,Physician/Otolaryngology,S,E1700,Jaw motion rehabilitation system,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,48.55,30.831764706,21.487058824,21.487058824
1023029543,MEACHAM,DONALD,F,MD,M,I,10100 KANIS RD,,LITTLE ROCK,AR,722056202,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,63.8652,20.1492,15.1984,13.2576
1023029543,MEACHAM,DONALD,F,MD,M,I,10100 KANIS RD,,LITTLE ROCK,AR,722056202,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,60,63,410.79507937,83.211428571,63.134761905,53.395714286
1023029550,SHUFFIELD,JAMES,E,MD,M,I,10100 KANIS RD,,LITTLE ROCK,AR,722056202,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,47,67.58893617,23.053829787,17.754893617,13.498297872
1023029550,SHUFFIELD,JAMES,E,MD,M,I,10100 KANIS RD,,LITTLE ROCK,AR,722056202,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,58,421.39465517,103.52793103,78.076724138,52.597413793
1023029717,NARANG,PARMOD,,MD,M,I,4318 W CRYSTAL LAKE RD,STE J DRS NARANG AND ASSOCIATES LTD,MCHENRY,IL,600504210,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,46,104,256,64.737578125,8.32,5.8922265625,5.8922265625
1023029717,NARANG,PARMOD,,MD,M,I,4318 W CRYSTAL LAKE RD,STE J DRS NARANG AND ASSOCIATES LTD,MCHENRY,IL,600504210,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,13.952307692,3.38,2.4461538462,2.4461538462
1023029717,NARANG,PARMOD,,MD,M,I,4318 W CRYSTAL LAKE RD,STE J DRS NARANG AND ASSOCIATES LTD,MCHENRY,IL,600504210,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,28,51,56,14.193214286,1.42,0.9989285714,0.9989285714
1023029717,NARANG,PARMOD,,MD,M,I,4318 W CRYSTAL LAKE RD,STE J DRS NARANG AND ASSOCIATES LTD,MCHENRY,IL,600504210,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.5,12.576666667,12.426666667
1023029717,NARANG,PARMOD,,MD,M,I,4318 W CRYSTAL LAKE RD,STE J DRS NARANG AND ASSOCIATES LTD,MCHENRY,IL,600504210,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,508.915625,77.771875,57.144375,53.088125
1023029717,NARANG,PARMOD,,MD,M,I,4318 W CRYSTAL LAKE RD,STE J DRS NARANG AND ASSOCIATES LTD,MCHENRY,IL,600504210,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,930,1.538311828,0.1358064516,0.1064408602,0.1064408602
1023029717,NARANG,PARMOD,,MD,M,I,4318 W CRYSTAL LAKE RD,STE J DRS NARANG AND ASSOCIATES LTD,MCHENRY,IL,600504210,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,69,33,25.87,25.87
1023029741,HIX,JASON,J,MD,M,I,2310 CALIFORNIA ROAD,,ELKHART,IN,465141228,US,Physician/Sports Medicine,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,17,85,64.76,46.879411765,42.798235294
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,28,130,47.469461538,8.32,6.3222307692,6.3222307692
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,15.823636364,3.38,2.65,2.65
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,21.594545455,2.12,1.67,1.67
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,25,60,15.634833333,1.42,1.0763333333,1.0763333333
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8875,2.7308333333,3.3158333333
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,12.3,9.9975,7.8325,8.1625
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.48,62.31,55.3525
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,4350,0.1797701149,0.0462965517,0.0324804598,0.0324804598
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1277,1.7931636648,0.1380892717,0.0997259201,0.0997259201
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,293.1,161.205,126.38,116.28583333
1023029790,ADOMFEH,CHARLES,N,"MD, PHD, FACP",M,I,523 WESTERN AVE,SECOND FLOOR,ALBANY,NY,122031617,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,92.4,33,23.283,23.283
1023029824,PARSHALL,MARK,A,MD,M,I,1001 WEST STREET,,CARTHAGE,NY,13619,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,35,8.6035294118,6.7441176471,3.9964705882
1023029931,KING,THU-TRANG CLEO,T,PA,F,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,26,7.6245454545,5.9763636364,3.8236363636
1023029956,MEZ,ELLIS,,M.D.,M,I,1645 LIBERTY RD,SUITE 204,ELDERSBURG,MD,217846521,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,33,85,71.319411765,8.32,5.9849411765,5.9849411765
1023029956,MEZ,ELLIS,,M.D.,M,I,1645 LIBERTY RD,SUITE 204,ELDERSBURG,MD,217846521,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,18,9.4572222222,1.42,1.1155555556,1.1155555556
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,51,130,66.526384615,8.32,5.9194615385,5.9194615385
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,18,21,16.095238095,1.42,1.0114285714,1.0114285714
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,12,22,22,54.772727273,38.706363636,28.97,29.093181818
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,281.33142857,94.49,68.222857143,62.031428571
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,31,116.84645161,35.536129032,25.43,23.488709677
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,82,69.572682927,19.192926829,14.066097561,13.570609756
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,80,34.1625,15.27,11.971875,11.898625
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,19,40,40,158.14975,57.233,44.8675,42.8885
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,28,28,57.217857143,18.889285714,14.804285714,14.06
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,23,23,58.885217391,13.153913043,10.306956522,9.12
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,40,215,8.2762790698,2.150744186,1.6861395349,1.5903255814
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,22,22,21.758181818,6.0654545455,4.555,4.4540909091
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,43.726153846,13.601538462,10.664615385,10.34
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,63,63,25.65,5.0185714286,3.6474603175,3.3715873016
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,48,48,180,35.011875,24.896666667,22.928958333
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,77,83,362.45337349,82.60060241,62.368915663,52.463614458
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1974,1.7467426545,0.1401266464,0.1098632219,0.1098632219
1023029998,KAUFMANN,KRISTOPHER,J,DO,M,I,1125 N BUTTERFIELD RD,,BOLIVAR,MO,656131056,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,173.68421053,38.68,30.32,29.51
1023030012,MONINGI,VENKATA,R,MD,M,I,3200 MACCORKLE AVE SE,HOSPITALIST PROGRAM,CHARLESTON,WV,25304,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,243.69176471,63.653529412,49.904117647,38.684117647
1023030012,MONINGI,VENKATA,R,MD,M,I,3200 MACCORKLE AVE SE,HOSPITALIST PROGRAM,CHARLESTON,WV,25304,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,35,78.582285714,19.535714286,14.460285714,12.759714286
1023030012,MONINGI,VENKATA,R,MD,M,I,3200 MACCORKLE AVE SE,HOSPITALIST PROGRAM,CHARLESTON,WV,25304,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,18.78,4.9271428571,3.8642857143,3.86
1023030012,MONINGI,VENKATA,R,MD,M,I,3200 MACCORKLE AVE SE,HOSPITALIST PROGRAM,CHARLESTON,WV,25304,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,63,67,434.6719403,83.044925373,60.117313433,49.92
1023030012,MONINGI,VENKATA,R,MD,M,I,3200 MACCORKLE AVE SE,HOSPITALIST PROGRAM,CHARLESTON,WV,25304,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,116.30625,40.179375,28.6384375,26.758125
1023030020,GARDINER,PAMELA,,MD,F,I,74 BARIBEAU DR,,BRUNSWICK,ME,040113218,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,33,114,52.152368421,8.2947368421,5.7092105263,5.7289473684
1023030020,GARDINER,PAMELA,,MD,F,I,74 BARIBEAU DR,,BRUNSWICK,ME,040113218,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,17,15.132941176,1.42,0.9858823529,0.9858823529
1023030020,GARDINER,PAMELA,,MD,F,I,74 BARIBEAU DR,,BRUNSWICK,ME,040113218,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,29.95,4.6648780488,3.4034146341,3.3512195122
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,35,77,48.988571429,8.32,5.8987012987,5.8987012987
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A4366,"Ostomy vent, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,2.05,1.46,1.1445454545,1.1445454545
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,11.726363636,8.19,6.42,6.4836363636
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,28,28,74.341428571,49.331428571,35.734642857,29.786785714
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,234.04545455,123.97545455,90.347272727,73.09
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,20,76.21,45.966,34.605,24.623
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,31,51.860967742,25.036451613,17.721935484,12.981290323
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,34,34.908529412,20.767352941,16.282352941,12.705
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,14,18,18,155.50833333,73.376111111,49.670555556,38.562222222
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,28,28,52.054285714,25.257142857,17.571428571,13.640714286
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,49,124,6.9201612903,3.0941935484,2.284516129,1.5720967742
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,14,17,17,22.995294118,15.602941176,12.152352941,10.747647059
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,39,71.070769231,22.818461538,17.505384615,13.990512821
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,61.555714286,14.765714286,10.751428571,8.9942857143
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,169.77035714,41.966785714,30.134285714,22.783928571
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,126,131,444.64366412,99.391145038,74.324732824,53.602137405
1023030079,HIEBERT,PAMELA,,MD,F,I,935 HIGHLAND BLVD STE 3220,,BOZEMAN,MT,597156904,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,126.67111111,44.07,32.727777778,27.875
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,51,110,63.106363636,8.32,5.4307272727,5.4307272727
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,11.353333333,3.38,2.4291666667,2.4291666667
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,26,14.172692308,1.42,0.9869230769,0.9869230769
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,109,94.309449541,18.795137615,13.336238532,13.189174312
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,258.3285,53.9545,38.091,38.626
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,18,18,79.405555556,18.973333333,13.328888889,12.603333333
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,22,22,88.568636364,10.63,7.9513636364,8.7145454545
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,32,188,11.714095745,2.26,1.7717021277,1.5989893617
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,50.13125,12,8.821875,9.70875
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,392,6.1,4.9,3.8414285714,4.1169387755
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,364,4.64,4.34,3.4028571429,3.2581318681
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4914,0.4,0.37,0.2900793651,0.2900793651
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6648,0.3407942238,0.32,0.250866426,0.2443381468
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,55.287058824,17,10.768823529,10.988235294
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,21.243333333,3.7042424242,1.6909090909,2.346969697
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,5.72,5.43,4.25,4.5475
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,41,436.42853659,77.18,54.526097561,49.301219512
1023030251,DILAMARTER,THOMAS,I,M.D.,M,I,3045 SOUTHWESTERN BLVD,SUITE 108,ORCHARD PARK,NY,141271209,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,37.92,28.250909091,22.151818182,24.716363636
1023030269,ANDERSON,CATHLYN,,MD,F,I,15200 S US 59 HIGHWAY SUITE 360,,SUGAR LAND,TX,750754032,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,17,67,71.286865672,8.32,5.5489552239,5.5489552239
1023030269,ANDERSON,CATHLYN,,MD,F,I,15200 S US 59 HIGHWAY SUITE 360,,SUGAR LAND,TX,750754032,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,25,13.4496,1.42,1.0692,1.0692
1023030269,ANDERSON,CATHLYN,,MD,F,I,15200 S US 59 HIGHWAY SUITE 360,,SUGAR LAND,TX,750754032,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,701.33333333,251.11,196.87,196.87
1023030350,BROWN,LEANN,S,ARNP,F,I,401 HIGHLAND PARK DR,,RICHMOND,KY,404753839,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,57.015,21.180625,15.1075,12.126875
1023030350,BROWN,LEANN,S,ARNP,F,I,401 HIGHLAND PARK DR,,RICHMOND,KY,404753839,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,40,354.831,99.3795,74.927,52.0265
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,41,94,354,58.725762712,8.32,6.0454519774,6.0454519774
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,23,23,16.739130435,3.38,2.65,2.65
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,23.615384615,2.12,1.67,1.67
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,58,107,15.760280374,1.42,1.0397196262,1.0397196262
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,9.9490909091,2.16,1.6937878788,1.5875757576
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,41.233333333,5.52,4.0275555556,3.8628888889
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4491,1.9442885772,0.3883500334,0.3044778446,0.2900868403
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,142.74,48.427272727,34.714545455,34.161818182
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,60.25,48.01375,35.43,35.23125
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,19.95,3.528125,2.3375,3.1875
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,18.944615385,11.168461538,8.0684615385,7.5861538462
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,250,71,55.66,54.796428571
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,75,38.05,29.83,29.532857143
1023030426,GRANGER,WESLEY,D,M.D.,M,I,11 PROFESSIONAL PKWY,,RIDGELAND,MS,391574113,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,89.3475,21.8825,17.1575,14.3705
1023030459,LUCAS,SEAN,R,M.D.,M,I,1017 ASHES DR,SUITE 206,WILMINGTON,NC,284058308,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,25,4.5157142857,3.3804761905,3.379047619
1023030459,LUCAS,SEAN,R,M.D.,M,I,1017 ASHES DR,SUITE 206,WILMINGTON,NC,284058308,US,Physician/Allergy/ Immunology,S,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,325.59026923,36.863846154,28.717294872,28.717294872
1023030459,LUCAS,SEAN,R,M.D.,M,I,1017 ASHES DR,SUITE 206,WILMINGTON,NC,284058308,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1748,0.1667048055,0.0460469108,0.0271681922,0.0271681922
1023030459,LUCAS,SEAN,R,M.D.,M,I,1017 ASHES DR,SUITE 206,WILMINGTON,NC,284058308,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,94.875,33,21.019375,21.019375
1023030459,LUCAS,SEAN,R,M.D.,M,I,1017 ASHES DR,SUITE 206,WILMINGTON,NC,284058308,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,375,358.5,281.06,281.06
1023030558,FLYNN,GLENDA,B,NP,F,I,325B KING ST,,NORTHAMPTON,MA,010602370,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,42,87.700238095,8.32,6.1657142857,6.1657142857
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,32,118,239,56.208577406,8.32,6.139874477,6.139874477
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,8.4428571429,1.42,1.04,1.04
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2160,2.0797592593,2.001,1.502337963,1.532912037
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,31,31,65.767741935,49.788064516,38.523225806,31.128064516
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,18,65.081666667,48.758888889,35.305555556,23.874444444
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,28,72,47.109027778,24.925555556,18.456805556,14.664444444
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,136.56666667,75.242222222,54.637222222,40.167222222
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,24,24,37.058333333,24.977083333,17.63,13.044166667
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,21,47,158,6.2373417722,2.7948101266,2.0113291139,1.5060759494
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,15,18,18,44.333333333,15.406666667,11.448333333,10.07
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,38,20.086153846,15.74,12.27
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,50,22.332647059,17.507352941,13.884117647
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,15.626666667,12.154166667
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,59.384545455,46.557272727,38.843636364
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,31.868571429,15.820714286,7.4407142857,5.9885714286
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,139.975,42.5475,24.02375,15.586666667
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,60,60,280,102.61833333,78.462666667,56.280666667
1023030665,QUAMME,STEVEN,J,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,60,32.213333333,25.255555556,15.880555556
1023030764,STARR,SHANNON,P,MD,M,I,200 W ESPLANADE AVE,SUITE #412,KENNER,LA,700652489,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,11,36,56,66.466785714,8.32,6.5228571429,6.5228571429
1023030764,STARR,SHANNON,P,MD,M,I,200 W ESPLANADE AVE,SUITE #412,KENNER,LA,700652489,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,410,96.589,69.75,51.282
1023030772,KEELING,MARVIN,R,M.D.,M,I,1484 STRAITS DR STE 5,,BAY CITY,MI,487068718,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,464.41764706,72.327647059,50.261764706,48.488235294
1023030772,KEELING,MARVIN,R,M.D.,M,I,1484 STRAITS DR STE 5,,BAY CITY,MI,487068718,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,3525,0.17,0.046941844,0.0289531915,0.0289531915
1023030772,KEELING,MARVIN,R,M.D.,M,I,1484 STRAITS DR STE 5,,BAY CITY,MI,487068718,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,585,0.75,0.2189059829,0.1453162393,0.1453162393
1023030772,KEELING,MARVIN,R,M.D.,M,I,1484 STRAITS DR STE 5,,BAY CITY,MI,487068718,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,132,33,21.019375,21.019375
1023031028,SWANEY,ANGALEE,R,N.P.,F,I,120 N ASHWOOD AVE,,VENTURA,CA,930031810,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,22,44.422272727,8.32,4.4477272727,4.4477272727
1023031036,CONNOLLY,THOMAS,J,M.D.,M,I,14040 HOSPITAL RD,,BOYS TOWN,NE,680107521,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,21,22,316.68181818,121.30272727,95.102727273,102.14227273
1023031093,FOSTER-MERROW,SONYA,M,MD,F,I,193 OLD SWEDE RD,,DOUGLASSVILLE,PA,195181522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,36,90,65.019777778,8.32,5.7243333333,5.7243333333
1023031093,FOSTER-MERROW,SONYA,M,MD,F,I,193 OLD SWEDE RD,,DOUGLASSVILLE,PA,195181522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,27,10.28037037,1.42,0.9925925926,0.9925925926
1023031093,FOSTER-MERROW,SONYA,M,MD,F,I,193 OLD SWEDE RD,,DOUGLASSVILLE,PA,195181522,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3420,2.67,0.3570175439,0.2544444444,0.2671666667
1023031135,LAITMAN,BERNARD,I,MD,M,I,20 SQUADRON BLVD,STE 290,NEW CITY,NY,10956,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,34,88,72.418181818,8.32,5.4835227273,5.4835227273
1023031135,LAITMAN,BERNARD,I,MD,M,I,20 SQUADRON BLVD,STE 290,NEW CITY,NY,10956,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,23,16.433913043,1.42,0.9252173913,0.9252173913
1023031168,HENLEY,CHRISTOPHER,N,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,200,104.02,81.551875,87.48
1023031168,HENLEY,CHRISTOPHER,N,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,856,299.23363636,234.59727273,254.03181818
1023031168,HENLEY,CHRISTOPHER,N,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,398.18181818,222.06,157.13090909,154.92090909
1023031168,HENLEY,CHRISTOPHER,N,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,71,71,86,70.639534884,53.220232558,36.025,40.229186047
1023031168,HENLEY,CHRISTOPHER,N,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Hand Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,236,189.48,147.4545,145.5545
1023031168,HENLEY,CHRISTOPHER,N,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Hand Surgery,S,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,455.63636364,368.91,289.23,288.83
1023031176,GOLDBERG,NELSON,H,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212644742,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,15,150,53.86,25.75,20.188,19.311333333
1023031176,GOLDBERG,NELSON,H,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212644742,US,Physician/Plastic and Reconstructive Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,95,30.136842105,7.9452631579,6.2291578947,6.4286315789
1023031176,GOLDBERG,NELSON,H,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212644742,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,3525.6916667,828.51,649.55,507.36916667
1023031184,ROMANO,THOMAS,J,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #510,LOS ANGELES,CA,900332464,US,Physician/Rheumatology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,43,43,83.540930233,34.716046512,24.436046512,19.031162791
1023031200,SCIRTO,KIRK,A,MD,M,I,184 BARTON ST,,BUFFALO,NY,142131573,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,40.5225,32.5,22.866666667,22.751666667
1023031341,GOVE,NICHOLAS,K,M.D.,M,I,6900 A ST,SUITE 100,LINCOLN,NE,685104120,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,137.57142857,137.57142857,107.85785714,171.88
1023031341,GOVE,NICHOLAS,K,M.D.,M,I,6900 A ST,SUITE 100,LINCOLN,NE,685104120,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,39,45,64.111111111,54.07,42.39,45.91
1023031341,GOVE,NICHOLAS,K,M.D.,M,I,6900 A ST,SUITE 100,LINCOLN,NE,685104120,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,54,54,197,197,154.40351852,183.18648148
1023031341,GOVE,NICHOLAS,K,M.D.,M,I,6900 A ST,SUITE 100,LINCOLN,NE,685104120,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,22,23,85,78.88,59.151304348,64.423478261
1023031341,GOVE,NICHOLAS,K,M.D.,M,I,6900 A ST,SUITE 100,LINCOLN,NE,685104120,US,Physician/Hand Surgery,S,L3925,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,50,50,36.545833333,35.704166667
1023031341,GOVE,NICHOLAS,K,M.D.,M,I,6900 A ST,SUITE 100,LINCOLN,NE,685104120,US,Physician/Hand Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,13,193.23076923,173.27615385,135.84846154,146.66
1023031481,QUY,DAVID,,D.O.,M,I,7236 NW EXPRESSWAY ST,,OKLAHOMA CITY,OK,731321543,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,28,61,77.929344262,8.32,4.3826229508,4.3826229508
1023031481,QUY,DAVID,,D.O.,M,I,7236 NW EXPRESSWAY ST,,OKLAHOMA CITY,OK,731321543,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,17,16.035294118,1.42,0.6576470588,0.6576470588
1023031481,QUY,DAVID,,D.O.,M,I,7236 NW EXPRESSWAY ST,,OKLAHOMA CITY,OK,731321543,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1110,0.9975405405,0.1369189189,0.1024324324,0.1024324324
1023031481,QUY,DAVID,,D.O.,M,I,7236 NW EXPRESSWAY ST,,OKLAHOMA CITY,OK,731321543,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,94.875,33,22.63625,22.63625
1023031853,MATHEW,JOSEPH,P,M.D.,M,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,48,158,67.890632911,8.32,6.0715189873,6.0715189873
1023031853,MATHEW,JOSEPH,P,M.D.,M,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,25,31,16.23516129,1.42,1.0822580645,1.0822580645
1023031853,MATHEW,JOSEPH,P,M.D.,M,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,36,49.994444444,10.3875,8.145,8.1841666667
1023031853,MATHEW,JOSEPH,P,M.D.,M,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,444,216.3725,162.42,162.42
1023031853,MATHEW,JOSEPH,P,M.D.,M,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,599.5,135.81588235,106.47647059,106.81588235
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.54,5.54,4.3435,4.3435
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1320,0.44,0.44,0.3449772727,0.3449772727
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,3.04,3.04,2.3835,2.3835
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1224,0.45,0.45,0.3527859477,0.3527859477
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,97.015,18.2825,14.3325,10.108333333
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,100,13.2664,2.746,2.0879,1.5277
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,86.982857143,18.404761905,13.717619048,13.275714286
1023031861,COUCH,MARVIN,W,M.D.,M,I,606 23RD ST,,RAWLINS,WY,823015127,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,33,384.10545455,84.235151515,59.879393939,56.452424242
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,29,91,211,65.23478673,8.32,5.8103317536,5.8103317536
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.97,3.38,2.65,2.65
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,47,66,14.839090909,1.42,1.0478787879,1.0478787879
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,330.05833333,85,61.086666667,62.211666667
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,68,17.762727273,13.93,14.06
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,73,8.801369863,2,1.5683561644,1.5916438356
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,36.88,16,10.764444444,11.735555556
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,251.38888889,71.11,49.555555556,48.705555556
1023031986,ALICEA,A,A,MD,M,I,255 FRONT ST,,HELLERTOWN,PA,180551780,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2445,0.3618732106,0.0462126789,0.0312474438,0.0312474438
1023031994,CLAY,GREGORY,B,"O.D.,F.A.A.O",M,I,1901 UNIVERSITY BLVD.,,DURANT,OK,747012127,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,73,83,83,65.120481928,65.001204819,50.346987952,52.091084337
1023031994,CLAY,GREGORY,B,"O.D.,F.A.A.O",M,I,1901 UNIVERSITY BLVD.,,DURANT,OK,747012127,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,59.178571429,57.24,44.875,43.260714286
1023031994,CLAY,GREGORY,B,"O.D.,F.A.A.O",M,I,1901 UNIVERSITY BLVD.,,DURANT,OK,747012127,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,62.797619048,56.23,44.085,43.61
1023031994,CLAY,GREGORY,B,"O.D.,F.A.A.O",M,I,1901 UNIVERSITY BLVD.,,DURANT,OK,747012127,US,Optometry,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,30,60,59.95,59.95,46.086666667,53.891833333
1023031994,CLAY,GREGORY,B,"O.D.,F.A.A.O",M,I,1901 UNIVERSITY BLVD.,,DURANT,OK,747012127,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,74,82,82,21.853658537,21.270853659,16.680853659,14.092439024
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,30,92,258,55.205620155,8.32,5.4850775194,5.4850775194
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.571428571,3.38,2.65,2.65
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,24.628461538,2.12,1.5415384615,1.5415384615
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,23,42,71,15.718309859,1.42,0.8677464789,0.8677464789
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,3360,3.3058392857,2.04,1.5730892857,1.5730892857
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,70.424375,20.636875,15.328125,13.060625
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,64,390.09046875,102.24421875,77.620625,62.4721875
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,15.58,9.6263125,7.2870416667,7.2870416667
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2550,0.1857843137,0.0467058824,0.0366117647,0.0366117647
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9612,2.3216,2.3216
1023032380,RYCKMAN,GEORGE,B,D.O.,M,I,6227 FRANKFORT HWY,,BENZONIA,MI,496169654,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,128.19230769,33,25.87,25.87
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,126.69833333,39.620833333,25.926666667,25.408333333
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,19,38,6.8626315789,1.4,1.0421052632,1.0931578947
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,70,131,131,303.9410687,84.963664122,63.757709924,64.877328244
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,56,111,211,141.71255924,32.405402844,24.065450237,24.559241706
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,57,113,516,80.098488372,19.541744186,14.268120155,13.574089147
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,32,60,303,49.537953795,15.718811881,11.147062706,10.786171617
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,101,192,192,210.74635417,56.632083333,42.060833333,40.750104167
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,154,191,191,59.512303665,18.723036649,14.222041885,13.652774869
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,18,18,40.916666667,10.551111111,8.2705555556,8.1588888889
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,153,291,291,55.820687285,12.289931271,9.0871134021,8.643161512
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,163,318,1760,6.8410909091,2.0343465909,1.4803295455,1.4783125
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,59,74,74,17.093648649,6.0275675676,4.3458108108,4.3225675676
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,97,112,112,39.433214286,13.528839286,9.9415178571,9.7066071429
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,88,95,78.784,18.5,13.889473684,13.212421053
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,400,108.87047619,79.496666667,66.386190476
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,675,196.71428571,154.22047619,161.24190476
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,49,49,49,498.97959184,135.39469388,101.52387755,100.07489796
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,14,89.335714286,13.347142857,10.467142857,10.478571429
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,14,85,87,54.504022989,3.3496551724,2.5108045977,3.5063218391
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,83,469,475,223.09341053,30.319684211,21.7,22.877242105
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,26,208,212,392.03740566,70.967311321,53.650330189,52.870235849
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,105,105,90.880952381,40.211428571,30.252380952,28.422571429
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,15.58,9.6260909091,7.5468333333,7.5468333333
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,42,6517,0.3880174927,0.0469157588,0.0321850545,0.0321850545
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,330,12.86,3.176,2.4899393939,2.4899393939
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,40.35,28.994166667,27.050833333
1023032422,HINKLE,ROBERT,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,37,37,78.486486486,33,23.772432432,23.772432432
1023032497,LIDDELL,HAL,T,M.D.,M,I,139 FAIRFIELD DR,,HATTIESBURG,MS,394021303,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,6090,3.791773399,1.89,1.4517405583,1.5693366174
1023032497,LIDDELL,HAL,T,M.D.,M,I,139 FAIRFIELD DR,,HATTIESBURG,MS,394021303,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,4290,9.6643356643,7.23,5.6014475524,5.6014475524
1023032638,HSIEH,GEOFFREY,,M.D,M,I,3131 LA CANADA ST,SUITE #241,LAS VEGAS,NV,891692578,US,Physician/Gynecological Oncology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1320,5.93,2.04,1.5500075758,1.5500075758
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,53,125,413,67.362421308,8.3130266344,5.7571670702,5.7626150121
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,5.8633333333,3.38,2.49,2.49
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,33,54,90,14.073333333,1.42,1.0252222222,1.0252222222
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,3600,0.44,0.44,0.3449666667,0.3449666667
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,25,661,72.281543116,5.79,4.5393797277,4.1631164902
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,6468,1.3684230056,0.6659121831,0.5220717378,0.5174335189
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,162.591875,55.81875,43.764375,36.46
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,70,70,88.726285714,51.578142857,35.942428571,33.557142857
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,160.09,138.15181818,108.30727273,102.68818182
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,79,79,86.112658228,17.625949367,13.260379747,13.036075949
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,50.73,3.8227272727,2.8781818182,3.4693939394
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,65,49.035625,38.4421875,36.575
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,14.146428571,5.41,4.24,3.95
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,126,127,344.23503937,78.160944882,59.346377953,53.171102362
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,90.5,36.96,28.98,29.404
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,35,30.5775,22.470625,21.843125
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,42,5277,1.5384290316,0.1335000948,0.0943774872,0.0943774872
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,11.591933333,2.9991333333,2.3157222222,2.3157111111
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,77.550769231,18.266923077,13.253076923,12.494615385
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,90.82,38.795833333,30.411666667,24.865
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,44,32.322,23.131333333,19.072444444
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,70,53.265384615,38.778461538,35.587692308
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,6,,34,34,24.527058824,8.5805882353,6.3473529412,6.0385294118
1023032646,SHAHBAIN,ABDUL-HAMID,M,MD,M,I,12508 S HARLEM AVE,SUITE C,PALOS HEIGHTS,IL,604631597,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,13,49,49,75.428571429,33,24.814081633,24.814081633
1023032927,WALDER,ERICH,W,MD,M,I,4760 E GALBRAITH RD,SUITE 206,CINCINNATI,OH,452366703,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,99,103,68.63184466,17.36,12.817184466,12.757378641
1023032927,WALDER,ERICH,W,MD,M,I,4760 E GALBRAITH RD,SUITE 206,CINCINNATI,OH,452366703,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,127,131,428.0140458,79,58.695267176,52.248931298
1023032927,WALDER,ERICH,W,MD,M,I,4760 E GALBRAITH RD,SUITE 206,CINCINNATI,OH,452366703,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,18,3891,0.4572192238,0.0447854022,0.0351169365,0.0351169365
1023032927,WALDER,ERICH,W,MD,M,I,4760 E GALBRAITH RD,SUITE 206,CINCINNATI,OH,452366703,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2118,2.3630075543,0.0789707271,0.0619121813,0.0619121813
1023032927,WALDER,ERICH,W,MD,M,I,4760 E GALBRAITH RD,SUITE 206,CINCINNATI,OH,452366703,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,570,11.905,2.7347894737,1.8923859649,1.8923859649
1023032927,WALDER,ERICH,W,MD,M,I,4760 E GALBRAITH RD,SUITE 206,CINCINNATI,OH,452366703,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,15,45,45,35.2,33,25.87,25.87
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,42,6.9928571429,1.48,1.16,1.150952381
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,13.058181818,10.239090909,9.53
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,25,50.73,4.2596,3.34,3.6664
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,34.72,27.2225,25.470833333
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,33,507.45,81.13,61.672727273,53.869090909
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,23,166.30434783,36.02,28.231304348,29.399565217
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,30,3180,0.9230188679,0.1347169811,0.1030628931,0.1030628931
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,810,12.86,3.0172222222,2.1984938272,2.1984938272
1023032984,MAGRANN,ARTHUR,T,M.D.,M,I,2414 BEE RIDGE RD,,SARASOTA,FL,342396303,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,38,38,132,33,25.87,25.87
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,36,91,260,57.974807692,8.32,6.0834615385,6.0834615385
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,13.592727273,3.38,2.65,2.65
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,53,72,12.159861111,1.42,1.0544444444,1.0544444444
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,132,2.9372727273,2.49,1.9516666667,1.9516666667
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,12,23.544166667,10.51,8.24,8.55
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,400,11.3273,5.54,4.3435,4.3435
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,1496,0.44,0.44,0.3449933155,0.3449933155
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,360,5.6669444444,3.04,2.2510833333,2.2510833333
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,14,28,82.343571429,69.662857143,54.6175,56.105
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,1332,8.28,8.28,6.491509009,6.491509009
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,66.01,42.56,30.336363636,33.496363636
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,250.64090909,50.902727273,39.906363636,41.103636364
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,22,65.712272727,17,11.512272727,11.719545455
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,42.756923077,5.48,3.96,3.12
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,65,66,421.66287879,81.134242424,56.155,51.944242424
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,5711,0.1367518823,0.0460549816,0.0321642444,0.0321642444
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,26,3209,1.3820006232,0.1289560611,0.0960143347,0.0960143347
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,31.496086957,15.479130435,10.677391304,12.169130435
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,47.71,22.143125,16.340625,20.015625
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,21.53,8.5714285714,6.72,7.0185714286
1023033008,PARIKH,DUSHYANT,,M.D.,M,I,146 HAZARD AVE,SUITE 105,ENFIELD,CT,060824571,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,44,44,96.7875,33,23.5625,23.5625
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,40,102,61.553529412,8.32,5.6260784314,5.6260784314
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.316923077,3.38,2.65,2.65
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,22,30,11.631333333,1.42,1.0053333333,1.0053333333
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,194.09090909,49.446363636,38.620909091,37.22
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,34,56.586470588,20.276764706,15.455294118,13.132058824
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,20.0740625,5.399375,3.99125,3.30875
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,75,78,265.99012821,78.22525641,60.562564103,54.02974359
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,37.44,29.35,29.496666667
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,20.961625,9.6325,7.551875,7.551875
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,40,40,64.5765,18.494,12.05125,11.64775
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,200,37.44,29.35,29.498571429
1023033040,JOSHI,SHAILESH,,MD,M,I,5825 US HIGHWAY 27 N,,SEBRING,FL,338701216,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1023033073,LAGRIMAS,FERNANDO,C,M.D,M,I,710 CARL PERKINS PKWY,,TIPTONVILLE,TN,380791678,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,29,42,35.860238095,8.32,5.5919047619,5.5919047619
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,57,215,487,67.993675565,8.32,6.2550102669,6.2550102669
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.901538462,3.38,2.65,2.65
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,39,86,132,15.7675,1.42,1.1078787879,1.1078787879
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,30,83.264,71.23,52.158,52.376
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,13,113,3124,11.67,5.0976952625,3.9966901408,4.1151184379
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,7960,0.7145728643,0.3518417085,0.2719937186,0.2857060302
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,23212,0.7407496123,0.2925426504,0.2280350681,0.240731949
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5199,1.7215810733,1.319746105,1.034683593,0.9560473168
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,15459,1.2613060353,0.6565845139,0.51475904,0.5147926774
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,49,49,74.75,61.753061224,48.413265306,48.331020408
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,91.215,50.87,39.89,36.46
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,78.980625,17.016875,12.030625,12.21625
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,4102.81,913.16,705.00666667,831.34666667
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,31.16,4.0275,3.0225,3.6939285714
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,14,108,108,7.2625925926,5.3109259259,4.0471296296,3.9042592593
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,50,474.13,76.4912,57.7154,52.8138
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,37,29.01,29.51
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,840,1.912797619,0.1366428571,0.0941190476,0.0941190476
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,46,46,59.402391304,23.688043478,16.90826087,12.926086957
1023033107,SHIRAZI,KEYVAN,,M.D.,M,I,16952 VENTURA BLVD,,ENCINO,CA,913164197,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,44.647058824,33,22.826470588,22.826470588
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,42,18.094285714,13.29,10.42,10.82
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,681,2.9522760646,2.27,1.7797209985,1.7797209985
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,62,12250,3.7107020408,2.04,1.5609485714,1.5609485714
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,2370,7.5518987342,7.1662025316,5.5360379747,5.5860632911
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,2980,10.09738255,7.87,6.1700738255,6.1778456376
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,33,69,122,15.10442623,10.476557377,8.011147541,8.3347540984
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,34,101,9.8300990099,7.46,5.8488118812,5.8488118812
1023033149,PHATAK,SAGAR,M,M. D.,M,I,1579 STRAITS TPKE,SUITE 2A,MIDDLEBURY,CT,067621835,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,204,2.0202941176,1.53,1.1993627451,1.3859803922
1023033388,WERNER,MARK,A,MD,M,I,16201 S MILITARY TRL,,DELRAY BEACH,FL,334846503,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,78.568571429,75.887857143,55.209285714,49.622142857
1023033461,PAYNE,GEORGE,L,M.D.,M,I,622 W MAPLE ST,SUITE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,33,82,76.839268293,8.32,6.3631707317,6.3631707317
1023033461,PAYNE,GEORGE,L,M.D.,M,I,622 W MAPLE ST,SUITE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,74.130769231,11.51,8.3353846154,8.4284615385
1023033461,PAYNE,GEORGE,L,M.D.,M,I,622 W MAPLE ST,SUITE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,77,9.7763636364,2.05,1.4814285714,1.4677922078
1023033461,PAYNE,GEORGE,L,M.D.,M,I,622 W MAPLE ST,SUITE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,46,98.29,17.27,12.656956522,12.656956522
1023033461,PAYNE,GEORGE,L,M.D.,M,I,622 W MAPLE ST,SUITE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,48,27.367272727,27.367272727
1023033461,PAYNE,GEORGE,L,M.D.,M,I,622 W MAPLE ST,SUITE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,65,67,514.86522388,68.78,48.158955224,48.945223881
1023033461,PAYNE,GEORGE,L,M.D.,M,I,622 W MAPLE ST,SUITE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,135.6,36.83,25.020666667,25.595333333
1023033537,BERNSTEIN,STEVE,H,M.D.,M,I,5530 WISCONSIN AVE,SUITE 1660,CHEVY CHASE,MD,208154404,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,150,89.697142857,70.319285714,77.295
1023033537,BERNSTEIN,STEVE,H,M.D.,M,I,5530 WISCONSIN AVE,SUITE 1660,CHEVY CHASE,MD,208154404,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,543,279.25,217.395,217.35833333
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,72,100,100,157.6322,40.0996,28.5352,27.7686
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,47,77,77,401.48974026,89.124675325,64.401428571,62.65012987
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,33,54,109,161.02293578,33.821834862,25.41293578,24.866972477
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,92,159,744,67.318817204,18.5,13.395336022,13.440443548
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,33,48,237,58.671097046,15.665822785,11.05,10.706624473
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,153,244,244,210.36094262,58.105778689,40.592377049,38.339713115
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,185,219,219,73.474063927,16.598447489,11.657260274,12.618538813
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,22,24,24,62.283333333,9.75,7.4025,7.85875
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,121,193,193,49.788756477,11.31761658,7.7432124352,8.0921761658
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,181,295,1679,6.3960750447,2.1487194759,1.5247885646,1.4538475283
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,92,105,105,12.966380952,6.038952381,4.0367619048,4.0057142857
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,66,73,73,64.462191781,12.052328767,8.7326027397,9.5547945205
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,87,91,65.672527473,17.74989011,12.978351648,12.633076923
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,70.489230769,52.76,33.266923077,30.102307692
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,940.53,728.9675,816.3675
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,60,60,782.81033333,91.82,68.788,65.922833333
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,66,66,66,659.72136364,142.96575758,103.6280303,97.239090909
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,29.2416,14.2,5.7644,5.4352
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,67,67,5.36,4.14,2.4674626866,2.6695522388
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,136,785,788,599.67908629,33.774327411,23.50180203,22.707753807
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,22,159,164,475.33719512,81.217012195,58.433963415,51.018780488
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,210,38.86,25.391666667,24.911666667
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,29,6279,0.430563784,0.0476142698,0.0281095716,0.0281095716
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,54,54,281.37481481,38.86,29.341481481,28.47037037
1023033743,HARA,KEVIN,S,M.D.,M,I,98-1079 MOANALUA RD,SUITE 430,AIEA,HI,967014713,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,26,26,33,33,20.895,20.895
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,56,2220,2.6649279279,0.4600540541,0.3328018018,0.3328018018
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,40,273,1772,314264,4.9080962185,0.5645974085,0.4258876931,0.4269298742
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7509,"Methylprednisolone oral, per 4 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,540,1.7920740741,0.3040740741,0.2384259259,0.2384259259
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,54,286,43041,0.0793719941,0.0128967728,0.009784624,0.009784624
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,2430,3.543526749,0.7376790123,0.5783539095,0.5783539095
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,41,255,34612,3.8590049694,1.1923124928,0.8964711661,0.8991696521
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,25,203,1197,199810,4.4522910765,2.7941499424,2.1559510035,2.1578586157
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,58,2070,18.260550725,7.4661980676,5.7557922705,5.7557826087
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,24,9960,9.4993423695,8.4603192771,6.6141044177,6.6141044177
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,6,23,23,23,50,50,37.495652174,37.495652174
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,46,304,1610,1610,24,24,18.355565217,18.355565217
1023033925,ROTH,DAVID,,MD,M,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,40,285,1788,2295,16.54379085,16,12.167642702,12.167642702
1023034014,MUNIZ,HENRY,,MD,M,I,8876 GULF FWY STE 215,,HOUSTON,TX,770176550,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,3060,1.7867745098,0.7418823529,0.5354542484,0.5354542484
1023034014,MUNIZ,HENRY,,MD,M,I,8876 GULF FWY STE 215,,HOUSTON,TX,770176550,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.692352941,18.692352941
1023034022,ONG,DELPHINE,W,M.D.,F,I,3301 C STREET,BUILDING 500,SACRAMENTO,CA,95816,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,35,2420,38.176719008,5.159285124,4.0449090909,4.0449090909
1023034022,ONG,DELPHINE,W,M.D.,F,I,3301 C STREET,BUILDING 500,SACRAMENTO,CA,95816,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,11,32,53.0178125,47.069375,36.904375,31.1390625
1023034022,ONG,DELPHINE,W,M.D.,F,I,3301 C STREET,BUILDING 500,SACRAMENTO,CA,95816,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,24,24,18.82,18.82
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,49,154,75.815714286,8.32,6.0561688312,6.0561688312
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,22,15.145,1.42,1.0127272727,1.0127272727
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,144.47368421,39.861052632,31.252631579,30.49
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,473.23333333,85.173333333,66.776666667,67.643333333
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,29,163.96482759,33.660344828,26.390344828,25.972413793
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,88,67.185909091,19.446363636,14.584545455,13.890227273
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,19,63,83.056190476,15.736666667,10.147460317,9.8171428571
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,12,29,29,252.70344828,55.625862069,41.354482759,40.64137931
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,23,23,87.53826087,19.100869565,14.313043478,13.547826087
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,22,22,82.011363636,13.755909091,9.7895454545,8.46
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,47,217,9.8351612903,2.0751612903,1.5070967742,1.4761751152
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,25.874545455,6.1781818182,4.8427272727,4.6509090909
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.11,13.42,13.505714286
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,36,362.00111111,34.115833333,24.763888889,24.127777778
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,579.7525,75.675,57.799285714,54.227142857
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,570,2.0557894737,0.1312105263,0.0884912281,0.0884912281
1023034030,SOLIMAN,ARSEEN,E,M.D.,M,I,2700 GRANT ST,SUITE 200,CONCORD,CA,945202266,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,21.019375,21.019375
1023034188,NOWELL,ANA,M,MD,F,I,2555 S. MARTIN LUTHER KING DR,,CHICAGO,IL,60616,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.8845454545,3.0436363636,3.6145454545
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,21,21,116.64190476,42.568095238,32.387142857,30.52952381
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,25,49,49,513.84755102,94.274489796,72.755102041,68.493265306
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,22,42,77,168.9787013,36.275714286,26.703246753,24.900909091
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,15,26,89,101.86078652,19.078764045,12.784494382,12.370337079
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,22,52,223,71.706681614,17.723542601,13.54206278,11.634618834
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,41,75,75,273.97986667,62.6648,45.8208,39.953733333
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,54,71,71,92.590704225,19.955492958,14.537746479,13.205492958
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,51,99,99,96.392727273,14.691212121,11.048989899,8.7793939394
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,66,148,644,12.803618012,2.4269875776,1.8144565217,1.5349689441
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,21,27,27,33.058148148,6.2707407407,4.3914814815,4.1477777778
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,37,54,54,54.562407407,13.502962963,9.8494444444,9.6596296296
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,110,114,112.49192982,18.691666667,13.417982456,12.349561404
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,62,64,220.2484375,50.2228125,37.6090625,35.86609375
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,4350.845,1035.61,802.953125,832.345
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,48,53,72.184716981,13.526981132,10.171132075,9.3096226415
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,57,57,76.069824561,4.5903508772,3.2415789474,3.311754386
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,18,67,72,261.0075,34.721666667,24.695694444,22.984444444
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,56,409,412,550.6501699,79.759368932,56.953932039,49.778883495
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,32,212,212,154.36226415,39.211509434,28.576037736,27.640141509
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,41,8929,0.2403639825,0.0463198566,0.0340553253,0.0340530855
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,192.19,17.628333333,12.363333333,12.370833333
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,40.511333333,25.72,23.715333333
1023034196,ALVAREZ,VANESSA,,M.D.,F,I,500 WALTER ST NE,SUITE 501,ALBUQUERQUE,NM,871022534,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,38,38,62.526315789,33,24.911315789,24.911315789
1023034212,WARING,GRAHAM,D,MD,M,I,2121 WILSHIRE BLVD,#307,SANTA MONICA,CA,90403,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,377.79909091,77.18,60.51,54.72
1023034261,GOVINDAN,RAMASWAMY,,MD,M,I,4921 PARKVIEW PL STE 7A,STE 7A,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,19,86.31,18,14.11,13.75
1023034261,GOVINDAN,RAMASWAMY,,MD,M,I,4921 PARKVIEW PL STE 7A,STE 7A,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,20,519.51,79.8,62.56,57.862
1023034287,SCHMIDTBERGER,JAMES,A,MD,M,I,227 MADISON ST,,NEW YORK,NY,100027537,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,58,63.564482759,8.32,4.7229310345,4.7229310345
1023034287,SCHMIDTBERGER,JAMES,A,MD,M,I,227 MADISON ST,,NEW YORK,NY,100027537,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,19,40.674210526,1.42,0.6463157895,0.6463157895
1023034295,JAPI,BHAVANA,R,M.D.,F,I,3440 FULTON ST,,BROOKLYN,NY,112081716,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,23,68.171304348,8.32,4.8239130435,4.8239130435
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,42,52.098333333,8.32,6.5223809524,6.5223809524
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,17,13.35,1.42,1.0494117647,1.0494117647
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,330,18.441818182,18.441818182,14.458424242,14.472666667
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,132,4.1163636364,4.1163636364,3.2271969697,3.3000757576
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,5.2245454545,5.2245454545,4.0960606061,4.1003333333
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,8.2,8.2,6.43,6.43
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,3.6563636364,3.6563636364,2.8670454545,3.3775
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,3.8063636364,3.8063636364,2.9841515152,2.987
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,16,21,16.694285714,5.59,4.38,4.0523809524
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,355,90.01,64.689166667,50.169166667
1023034493,QUINTERO,ROCIO,,M.D.,F,I,1009 NW 5TH AVE,,MIAMI,FL,331363212,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,66,35.11,25.235833333,27.2575
1023034543,ARCHER,JENNIFER,L,ARVP,F,I,6582 165TH ST,,ALBIA,IA,525318793,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,20,59,139,77.48057554,8.32,5.9123741007,5.9123741007
1023034543,ARCHER,JENNIFER,L,ARVP,F,I,6582 165TH ST,,ALBIA,IA,525318793,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,17.066923077,1.42,1.0338461538,1.0338461538
1023034543,ARCHER,JENNIFER,L,ARVP,F,I,6582 165TH ST,,ALBIA,IA,525318793,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,24,5.0463636364,3.2963636364,2.7654545455
1023034543,ARCHER,JENNIFER,L,ARVP,F,I,6582 165TH ST,,ALBIA,IA,525318793,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,23,23,304.15478261,68,53.31,30.717391304
1023034584,SLARVE,RICHARD,,M.D.,M,I,475 BRUCE ST,,YREKA,CA,960973474,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,58,167,59.244790419,8.32,4.7411377246,4.7411377246
1023034584,SLARVE,RICHARD,,M.D.,M,I,475 BRUCE ST,,YREKA,CA,960973474,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,25,35,12.851714286,1.42,0.7657142857,0.7657142857
1023034584,SLARVE,RICHARD,,M.D.,M,I,475 BRUCE ST,,YREKA,CA,960973474,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,472.892,71,48.238666667,47.432666667
1023034584,SLARVE,RICHARD,,M.D.,M,I,475 BRUCE ST,,YREKA,CA,960973474,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,990,1.4448989899,0.134030303,0.1050909091,0.1050909091
1023034584,SLARVE,RICHARD,,M.D.,M,I,475 BRUCE ST,,YREKA,CA,960973474,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,82.5,24.754285714,11.690952381,13.332380952
1023034584,SLARVE,RICHARD,,M.D.,M,I,475 BRUCE ST,,YREKA,CA,960973474,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,77.55,33,24.5765,24.5765
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,27,72,256,41.31578125,8.32,6.36765625,6.36765625
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.995714286,3.38,2.6071428571,2.6071428571
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,12,12,15.578333333,2.12,1.67,1.67
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,23,44,9.7059090909,1.42,1.0893181818,1.0893181818
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,42,6.9928571429,2.1133333333,1.5357142857,1.140952381
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,82.53,19.014285714,14.91,9.0757142857
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,22.2805,13.7365,10.7495
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,33,54.867878788,8.0409090909,6.0821212121,3.7084848485
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,86,86,507.71790698,100.95325581,71.492674419,48.484186047
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,221.42857143,44.455714286,31.726190476,26.704761905
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,52,14602,0.2421846322,0.0457033283,0.033561156,0.033561156
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,2010,1.0313731343,0.1369253731,0.1005771144,0.1005771144
1023034725,WILSON,DOUGLAS,L,MD,M,I,17 S WESTERN AVE,,TONASKET,WA,988559270,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,72,72,114.125,33,24.104305556,24.104305556
1023034873,FORCE-OBROWSKI,SANDRA,K,M.D.,F,I,7777 MILLIKEN AVE STE 350,,RANCHO CUCAMONGA,CA,917306782,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,19,76.6,8.32,5.4936842105,5.4936842105
1023034972,CARMACK,JOHN,T,"MD, MPH",M,I,618 HOSPITAL RD,,TAPPAHANNOCK,VA,225605000,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,34.15,24.19,16.043076923,19.263076923
1023034972,CARMACK,JOHN,T,"MD, MPH",M,I,618 HOSPITAL RD,,TAPPAHANNOCK,VA,225605000,US,Physician/Family Practice,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,15.76,11.29,8.85,10.29
1023034972,CARMACK,JOHN,T,"MD, MPH",M,I,618 HOSPITAL RD,,TAPPAHANNOCK,VA,225605000,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,26,13.12,9.68,7.0061538462,7.93
1023034972,CARMACK,JOHN,T,"MD, MPH",M,I,618 HOSPITAL RD,,TAPPAHANNOCK,VA,225605000,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,8.95,7.46,4.95,4.95
1023035045,DHURANDHAR,ANJALI,,M.D.,F,I,1721 E 19TH AVE,SUITE 500,DENVER,CO,802181251,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,33,76,57.799736842,8.32,5.4909210526,5.4909210526
1023035045,DHURANDHAR,ANJALI,,M.D.,F,I,1721 E 19TH AVE,SUITE 500,DENVER,CO,802181251,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,96.72,17.52,12.595,12.42
1023035045,DHURANDHAR,ANJALI,,M.D.,F,I,1721 E 19TH AVE,SUITE 500,DENVER,CO,802181251,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,137.33333333,32.834,20.086666667,20.59
1023035045,DHURANDHAR,ANJALI,,M.D.,F,I,1721 E 19TH AVE,SUITE 500,DENVER,CO,802181251,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,64,64,547.41921875,78.49,58.40078125,52.13203125
1023035045,DHURANDHAR,ANJALI,,M.D.,F,I,1721 E 19TH AVE,SUITE 500,DENVER,CO,802181251,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.76,30.39,29.583333333
1023035045,DHURANDHAR,ANJALI,,M.D.,F,I,1721 E 19TH AVE,SUITE 500,DENVER,CO,802181251,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,2837,0.3196016919,0.0461367642,0.0361755375,0.0361755375
1023035045,DHURANDHAR,ANJALI,,M.D.,F,I,1721 E 19TH AVE,SUITE 500,DENVER,CO,802181251,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,244.66086957,38.76,29.250869565,28.370869565
1023035094,CAPTAIN,ANTHONY,G,M.D.,M,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,46,56.901956522,8.32,5.1041304348,5.1041304348
1023035094,CAPTAIN,ANTHONY,G,M.D.,M,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,33,196,196,54.295867347,21.123163265,16.436173469,13.631122449
1023035094,CAPTAIN,ANTHONY,G,M.D.,M,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,3071.4069444,1074.31,837.15916667,837.15916667
1023035094,CAPTAIN,ANTHONY,G,M.D.,M,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,13,70,70,31.639428571,7.5277142857,5.8531428571,3.7854285714
1023035094,CAPTAIN,ANTHONY,G,M.D.,M,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,38,219,219,303.91031963,93.080547945,71.409863014,54.567808219
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,59,143,64.881258741,8.32,5.9301398601,5.9301398601
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.953846154,3.38,2.4461538462,2.4461538462
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,28,50,69.603,1.42,0.9792,0.9792
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,450,10.121622222,5,3.92,4.163
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5190,0.5450597303,0.37,0.2900828516,0.2900828516
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,12,13,108.16,59.8,39.667692308,41.163076923
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,28.664615385,11.230769231,7.26,7.6453846154
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,86.033,47.25,30.3925,30.347
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.5,17,13.33,13.54
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,87.058636364,45.412727273,32.630909091,33.482727273
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,29,30,30,5.2,3.808,3.6996666667
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,217.1,77.74,60.95,54.73
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,19.8165,11.057636364,8.6692272727,8.6692272727
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,2167,1.3182095062,0.0480110752,0.0306691278,0.0306691278
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,10.06225,3.0416666667,2.3846944444,2.3846944444
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,50.7875,14.74625,10.7825,13.16875
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,16.4345,6.93,4.941,6.311
1023035466,BHANDARI,REKHA,,MD,F,I,374 STOCKHOLM ST,C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,25,33,33,24.8352,24.8352
1023035508,NEUMANN,THEODORE,R,MD,M,I,611 E DOUGLAS RD,STE 407,MISHAWAKA,IN,465451464,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,40,73.368,8.269,6.4825,6.5225
1023035508,NEUMANN,THEODORE,R,MD,M,I,611 E DOUGLAS RD,STE 407,MISHAWAKA,IN,465451464,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,57,5.2807017544,2.03,1.3352631579,1.3352631579
1023035508,NEUMANN,THEODORE,R,MD,M,I,611 E DOUGLAS RD,STE 407,MISHAWAKA,IN,465451464,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,125,32.453157895,22.898421053,22.14
1023035516,MOULTON,KAREN,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,378.96470588,78.49,61.53,55.13
1023035516,MOULTON,KAREN,,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.76,30.39,29.583333333
1023035623,CASTILLO,EDUARDO,D,MD,M,I,2000 COOPER ST STE 100B,,FORT WORTH,TX,761042528,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,340,8.0228235294,5.7382352941,4.4987058824,4.5000882353
1023035623,CASTILLO,EDUARDO,D,MD,M,I,2000 COOPER ST STE 100B,,FORT WORTH,TX,761042528,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,440,9.4323181818,5.5304545455,4.1097727273,4.1175227273
1023035623,CASTILLO,EDUARDO,D,MD,M,I,2000 COOPER ST STE 100B,,FORT WORTH,TX,761042528,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,480,7.9611666667,4.03,3.0278541667,3.0278541667
1023035623,CASTILLO,EDUARDO,D,MD,M,I,2000 COOPER ST STE 100B,,FORT WORTH,TX,761042528,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,180,3.3719444444,3.0216666667,1.9830555556,1.9949444444
1023035706,CALKINS,ANNE,M,MD,F,I,5496 E TAFT RD,,NORTH SYRACUSE,NY,132123784,US,Physician/Pain Management,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,254.24,47.562727273,37.286363636,38.336363636
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,70,176,53.241079545,8.32,5.46125,5.46125
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,24,44,60,11.821333333,1.42,1.0043333333,1.0043333333
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,150,6.288,5.54,4.3430666667,4.3430666667
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.35,2.02,1.4657638889,1.4657638889
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,3.04,3.04,2.3835,2.3835
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,439.76857143,86.92,68.15,67.892857143
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,31,189.42,33.06,25.917419355,25.917419355
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,72.081333333,18.700666667,13.745333333,13.148666667
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,94.860666667,12.100666667,9.4806666667,9.0613333333
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,17,81,12.551358025,2.0344444444,1.5949382716,1.5883950617
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,22.6,5.36,4.2023333333,4.163
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,145,46.301818182,33.095454545,33.095454545
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,63,81.514761905,17.69,12.055079365,11.774603175
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,296.92307692,85.573076923,60.561538462,59.906923077
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,18.216190476,4.6504761905,3.6466666667,3.6466666667
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,172.275,31.104285714,19.772857143,19.87
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,98,108,518.22425926,69.99,49.79212963,49.688425926
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,4785,0.3834169279,0.0458181818,0.034183908,0.034183908
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,2.9731428571,0.2187857143,0.159297619,0.159297619
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,66.315789474,17.800526316,13.26,13.098947368
1023036001,DOMINGUEZ,JUAN,C,MD,M,I,5210 NORTH BELT HWY,,SAINT JOSEPH,MO,645061211,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,33,33,23.518181818,23.518181818
1023036068,HAJMOMENIAN,HAMID,R,MD,M,I,200 MEDICAL PLAZA,"#365,530,420,120",LOS ANGELES,CA,90095,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,960,3.1183645833,0.555125,0.43521875,0.43521875
1023036068,HAJMOMENIAN,HAMID,R,MD,M,I,200 MEDICAL PLAZA,"#365,530,420,120",LOS ANGELES,CA,90095,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1650,0.16,0.0136363636,0.0096969697,0.0096969697
1023036068,HAJMOMENIAN,HAMID,R,MD,M,I,200 MEDICAL PLAZA,"#365,530,420,120",LOS ANGELES,CA,90095,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,3300,2.8955848485,1.1289090909,0.8163030303,0.8163030303
1023036068,HAJMOMENIAN,HAMID,R,MD,M,I,200 MEDICAL PLAZA,"#365,530,420,120",LOS ANGELES,CA,90095,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,24,24,17.829473684,17.829473684
1023036068,HAJMOMENIAN,HAMID,R,MD,M,I,200 MEDICAL PLAZA,"#365,530,420,120",LOS ANGELES,CA,90095,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,15,16,16,11.704,11.704
1023036076,HSUEH,WILLA,A,MD,F,I,543 TAYLOR AVE,,COLUMBUS,OH,432031278,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,72,50.912083333,8.1588888889,5.7115277778,5.8475
1023036084,DOLLAHITE,HARRY,A,MD,M,I,1401 8TH AVE,,FORT WORTH,TX,761044111,US,Orthopaedic Surgery,T,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,160,47.165,36.975,37.404375
1023036084,DOLLAHITE,HARRY,A,MD,M,I,1401 8TH AVE,,FORT WORTH,TX,761044111,US,Orthopaedic Surgery,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,69.2,19.636363636,15.394545455,14.380909091
1023036134,PARK,KYONG BIN,,M.D.,M,I,525 W CHESTER PIKE,SUITE 102-B,HAVERTOWN,PA,190834539,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,4.7936060606,2.5802727273,1.9616666667,1.9616060606
1023036134,PARK,KYONG BIN,,M.D.,M,I,525 W CHESTER PIKE,SUITE 102-B,HAVERTOWN,PA,190834539,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1170,1.4152905983,0.743,0.5824957265,0.5824957265
1023036134,PARK,KYONG BIN,,M.D.,M,I,525 W CHESTER PIKE,SUITE 102-B,HAVERTOWN,PA,190834539,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1023036134,PARK,KYONG BIN,,M.D.,M,I,525 W CHESTER PIKE,SUITE 102-B,HAVERTOWN,PA,190834539,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1023036142,BOYETT,SUSAN,D,FNP-C,F,I,2402 OSLER CT,,ALBANY,GA,317070205,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,158.40583333,31.6875,22.85625,22.477083333
1023036308,ALBRIGO,JOHN,L,MD,M,I,2445 ARMY NAVY DR,,ARLINGTON,VA,222062905,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,33,33,33,143.51878788,43.35969697,33.993636364,35.932121212
1023036308,ALBRIGO,JOHN,L,MD,M,I,2445 ARMY NAVY DR,,ARLINGTON,VA,222062905,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,61,64,508,24.06496063,23.938582677,18.767834646,20.031259843
1023036308,ALBRIGO,JOHN,L,MD,M,I,2445 ARMY NAVY DR,,ARLINGTON,VA,222062905,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,42,263,89.38,69.764761905,77.174285714
1023036449,LANG,STANLEY,,MD,M,I,190 W PARK AVE,SUITE 7,DU BOIS,PA,158012277,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,30,80,34.649875,8.32,6.033,6.033
1023036449,LANG,STANLEY,,MD,M,I,190 W PARK AVE,SUITE 7,DU BOIS,PA,158012277,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,24,14.8025,1.42,1.0716666667,1.0716666667
1023036449,LANG,STANLEY,,MD,M,I,190 W PARK AVE,SUITE 7,DU BOIS,PA,158012277,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,116.66666667,6.5025,4.4916666667,2.8166666667
1023036449,LANG,STANLEY,,MD,M,I,190 W PARK AVE,SUITE 7,DU BOIS,PA,158012277,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,292.85714286,95.62,74.967142857,56.898571429
1023036449,LANG,STANLEY,,MD,M,I,190 W PARK AVE,SUITE 7,DU BOIS,PA,158012277,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,63.055555556,25.005555556,19.071111111,12.776296296
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,40,2700,2.7726518519,0.3533888889,0.2382333333,0.2382333333
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,32,97,54810,1.4766984127,1.2347077176,0.9326743295,0.9326743295
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,34,60,193,21737,4.9453544647,0.5660891567,0.3871960252,0.3871960252
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,57,170,24750,0.1473684848,0.0129151515,0.0084779798,0.0084779798
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,4360,3.0978623853,0.9298256881,0.6277981651,0.6277981651
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,25,46,156,17580,4.4899982935,2.7192389078,1.9712878271,1.9712878271
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,55,114,317,317,24,24,17.038927445,17.038927445
1023036597,BRENNAN,DANIEL,C,MD,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,43,99,309,380,16,16,11.411947368,11.411947368
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,46,136,377,71.442068966,8.32,5.7179045093,5.7179045093
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,22,47,61,22.576229508,1.42,1.042295082,1.042295082
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,14.705,5.54,3.9442916667,3.9442916667
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.3815,3.04,2.184875,2.184875
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,37,37,134.38,47.027027027,35.622972973,35.572972973
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,128.98,45.0975,33.289166667,34.165833333
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,20.57,6.6315789474,4.7331578947,6.0373684211
1023036613,GRUNSEID,FRED,,M.D.,M,I,1687 RALPH AVE,,BROOKLYN,NY,112363319,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,33,33,25.87,25.87
1023036647,GARNER MILLS,LAVONNE,R,M.D.,F,I,1951 BENCH RD,,POCATELLO,ID,832012073,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,30,73.756666667,8.32,6.0853333333,6.0853333333
1023036647,GARNER MILLS,LAVONNE,R,M.D.,F,I,1951 BENCH RD,,POCATELLO,ID,832012073,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,17.91,11.487272727,11.078181818
1023036647,GARNER MILLS,LAVONNE,R,M.D.,F,I,1951 BENCH RD,,POCATELLO,ID,832012073,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,298,70.48,44.761818182,44.328181818
1023036647,GARNER MILLS,LAVONNE,R,M.D.,F,I,1951 BENCH RD,,POCATELLO,ID,832012073,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,26,62.697307692,18.055384615,9.5723076923,9.9511538462
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,13,41,92,59.781086957,8.32,5.8842391304,5.8842391304
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,85,86.951176471,18.99,13.887058824,13.550470588
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,226.058,55.14,38.907,38.574
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,75.773571429,19.31,14.058571429,13.055714286
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,75.05375,13,10.19,9.12
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,22,132,10.015,2.09,1.6383333333,1.5916666667
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,60.9,47.063636364,36.895454545,36.298181818
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,252,33.253333333,26.066666667,25.966666667
1023036670,GERARD,MARK,A,MD,M,I,201 S BUENA VISTA ST,SUITE # 250,BURBANK,CA,915054569,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,77.18,60.51,54.72
1023036704,D'ENTREMONT,TRACY,S,MD,F,I,3400 CIVIC CENTER BOULEVARD,,PHILADELPHIA,PA,19104,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,38,38,58.83,19.71,15.45,15.45
1023036704,D'ENTREMONT,TRACY,S,MD,F,I,3400 CIVIC CENTER BOULEVARD,,PHILADELPHIA,PA,19104,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,51,51,132.69,37.38,29.3,29.3
1023036704,D'ENTREMONT,TRACY,S,MD,F,I,3400 CIVIC CENTER BOULEVARD,,PHILADELPHIA,PA,19104,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,19,1232,43.853563312,5.1439529221,3.9975081169,3.9975081169
1023036704,D'ENTREMONT,TRACY,S,MD,F,I,3400 CIVIC CENTER BOULEVARD,,PHILADELPHIA,PA,19104,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,51,328,8.4466463415,1.62125,1.2711890244,1.2711890244
1023036704,D'ENTREMONT,TRACY,S,MD,F,I,3400 CIVIC CENTER BOULEVARD,,PHILADELPHIA,PA,19104,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,24,24,18.82,18.82
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,41,80,80,138.2965,40.532375,29.691375,28.604125
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,24,95,199,199,306.3919598,91.674974874,66.942211055,63.608241206
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,23,92,204,510,120.31794118,34.758431373,25.786019608,24.487843137
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,41,76,375,74.928346667,19.32672,14.26296,13.681013333
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,34,70,373,54.660134048,15.679839142,11.378579088,10.980938338
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,79,159,159,213.04566038,57.848742138,42.579874214,40.225408805
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,157,205,205,71.802731707,18.683219512,14.046536585,13.548487805
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,26,28,28,57.6775,10.374285714,8.1321428571,8.1321428571
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,139,276,276,63.731630435,12.9975,9.594673913,8.5989130435
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,167,352,1874,7.9539541089,2.1676627535,1.6262753469,1.5238633938
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,51,67,67,19.195074627,6.3405970149,4.8279104478,4.5126865672
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,102,136,136,47.443455882,13.080294118,9.9580882353,10.023382353
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,32,32,286.784375,86.730625,65.9853125,65.886875
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,28,151,166,880.24716867,225.18692771,172.06951807,159.83873494
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,35,35,35,346.85742857,136.21428571,105.814,103.67828571
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,17,19,70.763157895,12.327894737,9.0594736842,8.8468421053
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,203.43111111,40.096666667,29.646111111,29.646111111
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,53,325,327,265.39003058,31.307400612,22.97440367,23.384617737
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,39,318,318,359.13194969,78.448522013,57.926037736,52.111352201
1023036720,DUNTLEY,STEPHEN,P,MD,M,I,12605 E 16TH AVE,,AURORA,CO,80045,US,"Physician, Sleep Medicine",S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,268.95555556,38.76,30.39,29.51
1023036944,ZHU,JOANNE ZHIWEN,,M.D.,F,I,677 CHURCH ST NE # 111,,MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,77.262,18.788,13.824666667,13.438
1023036944,ZHU,JOANNE ZHIWEN,,M.D.,F,I,677 CHURCH ST NE # 111,,MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,56,475.15232143,78.018928571,59.052321429,54.463392857
1023036944,ZHU,JOANNE ZHIWEN,,M.D.,F,I,677 CHURCH ST NE # 111,,MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,750,0.92,0.133,0.1042533333,0.1042533333
1023036944,ZHU,JOANNE ZHIWEN,,M.D.,F,I,677 CHURCH ST NE # 111,,MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,143,19.25,12.477916667,11.562916667
1023036944,ZHU,JOANNE ZHIWEN,,M.D.,F,I,677 CHURCH ST NE # 111,,MARIETTA,GA,300601101,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1023036985,BECKMANN,SARAH,M,M.D.,F,I,924 1ST ST NE,,FARIBAULT,MN,550215441,US,Physician/Pediatric Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,263.4,215.6475,157.10583333,157.67416667
1023037009,BAIG,MOHAMMAD,Q,M.D.,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,3775.52,913.16,709.57833333,835.91875
1023037058,SHULMAN,ELLIOT,,MD,M,I,2255 KENNEDY BLVD,,JERSEY CITY,NJ,07304,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,3440,0.166744186,0.13,0.1019011628,0.1019011628
1023037058,SHULMAN,ELLIOT,,MD,M,I,2255 KENNEDY BLVD,,JERSEY CITY,NJ,07304,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,18,18,42,15.32,12.01,13.305555556
1023037058,SHULMAN,ELLIOT,,MD,M,I,2255 KENNEDY BLVD,,JERSEY CITY,NJ,07304,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,4520,2.3399115044,1.95,1.5288030973,1.5993517699
1023037058,SHULMAN,ELLIOT,,MD,M,I,2255 KENNEDY BLVD,,JERSEY CITY,NJ,07304,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,21,24,17.25,7.46,5.85,5.85
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,39,99,260,57.763,8.32,5.8828461538,5.8828461538
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.843333333,3.38,2.65,2.65
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,37,60,15.856833333,1.42,1.0966666667,1.0966666667
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,7.7666666667,2.148,1.5996666667,1.119
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,138.155,60.391363636,47.347727273,36.46
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,169.58142857,71.76,53.106428571,37.952142857
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,7,13,51,51,171.16098039,68.449607843,52.735686275,39.388235294
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,18,106,106,63.97245283,21.43009434,15.276132075,12.651132075
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,18,232.35,62.96,49.358333333,40.596666667
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,11,65,65,30.359538462,6.8938461538,4.2675384615,2.6766153846
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,5,,15,15,104.20666667,58.531333333,45.887333333,38.931333333
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,34,10.835882353,6.3676470588,4.9929411765,4.1023529412
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,66.417368421,14.084473684,10.724210526,9.3618421053
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,30,213,216,255.10574074,95.391759259,71.229444444,54.522407407
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,97.5,44,34.4975,29.515833333
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,15.58,9.7062857143,7.6097142857,7.6097142857
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,13.94,11.129571429,8.5548333333,8.5548333333
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,63,10323,0.384405696,0.0458248571,0.0328005425,0.0328005425
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,19,47,4530,1.6737019868,0.135384106,0.101419426,0.101419426
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,36,2160,12.944268519,2.9585,2.2430787037,2.2430787037
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,30,69.164666667,24.747333333,18.447,15.818333333
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,88.998823529,60.175294118,47.177058824,29.651176471
1023037082,BUTROS,REZKALLA,,MD,M,I,148 SKYVIEW DRIVE,,MT. STERLING,KY,403511300,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,23,92,92,81.423913043,33,24.464021739,24.464021739
1023037116,SHAH,DHANVANTI,B,MD,F,I,25 MULE RD UNIT B4,,TOMS RIVER,NJ,087555037,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,28,64,59.148125,8.32,6.316875,6.316875
1023037116,SHAH,DHANVANTI,B,MD,F,I,25 MULE RD UNIT B4,,TOMS RIVER,NJ,087555037,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,24,14.800833333,1.42,1.0725,1.0725
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,70,169,370,68.544243243,8.32,5.4056756757,5.4056756757
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,26,38,50,14.9574,1.42,1.009,1.009
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,144.66538462,34.076153846,24.772307692,23.988461538
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,96.72,16.98,13.31,13.52
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,26,50.73,4.6384615385,3.64,3.8569230769
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,74,74,260.47432432,77.36,57.442432432,52.082432432
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2034,1.868294002,0.1352900688,0.1060717797,0.1060717797
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.86,3.0283636364,2.2394545455,2.2394545455
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,36.68,28.75,29.51
1023037165,OGBURN,CHRISTOPHER,W,MD,M,I,4700 PUDDLEDOCK RD,SUITE 300,PRINCE GEORGE,VA,238751268,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,80.347826087,33,25.87,25.87
1023037330,PLESCIA,RYAN,L,,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,21,444,8.012545045,5.2435585586,4.1108783784,4.1658558559
1023037330,PLESCIA,RYAN,L,,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician Assistant,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,7005,0.796261242,0.3210906495,0.2517373305,0.2475717345
1023037330,PLESCIA,RYAN,L,,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician Assistant,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,13,13,145.38461538,61.824615385,48.47,48.411538462
1023037397,WOLF,RAYMOND,D,"D.O.,R.V.T.,R.P.V.I.",M,I,1 MARTY LN,,WEST ALEXANDRIA,OH,453811165,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,25,61.9764,8.32,6.2632,6.2632
1023037447,LEWIN,MARC,,MD,M,I,10000 PARK CEDAR DR,,CHARLOTTE,NC,282108902,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,25,61.1096,8.32,6,6
1023037538,STROHBEHN,KRIS,,M.D.,M,I,1 MEDICAL CENTER DR,DARTMOUTH-HITCHCOCK MEDICAL CENTER,LEBANON,NH,037561000,US,Physician/Obstetrics & Gynecology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1820,0.39,0.13,0.0851208791,0.0851208791
1023037538,STROHBEHN,KRIS,,M.D.,M,I,1 MEDICAL CENTER DR,DARTMOUTH-HITCHCOCK MEDICAL CENTER,LEBANON,NH,037561000,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,31,3880,4.35,2.04,1.5085360825,1.5085360825
1023037538,STROHBEHN,KRIS,,M.D.,M,I,1 MEDICAL CENTER DR,DARTMOUTH-HITCHCOCK MEDICAL CENTER,LEBANON,NH,037561000,US,Physician/Obstetrics & Gynecology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2000,11.4,7.87,6.1701,6.177125
1023037546,KRISHER,STACY,L,MD,F,I,3300 TILLMAN DR,SUITE #100,BENSALEM,PA,190202071,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,20,64,41.21875,35.3,25.945625,28.8778125
1023037645,MAGELI,JOHN,,MD,M,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,38,88,287,80.816968641,8.32,6.0624390244,6.0624390244
1023037645,MAGELI,JOHN,,MD,M,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,18,30,56,17.487321429,1.42,1.0942857143,1.0942857143
1023037645,MAGELI,JOHN,,MD,M,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,6.165,2,1.3516666667,1.3733333333
1023037645,MAGELI,JOHN,,MD,M,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,521.2,78.49,58.779655172,52.44862069
1023037645,MAGELI,JOHN,,MD,M,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,103.52,40.62,28.102941176,26.184117647
1023037645,MAGELI,JOHN,,MD,M,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,24.475833333,24.475833333
1023037652,ROBINSON,LAWRENCE,J,M.D.,M,I,1523 W AVENUE J,SUITE # 7,LANCASTER,CA,935342819,US,Physician/Pediatric Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,49,100,19.71,15.45244898,15.45244898
1023037652,ROBINSON,LAWRENCE,J,M.D.,M,I,1523 W AVENUE J,SUITE # 7,LANCASTER,CA,935342819,US,Physician/Pediatric Medicine,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3640,80.64,9.8447692308,7.7182994505,7.7182994505
1023037652,ROBINSON,LAWRENCE,J,M.D.,M,I,1523 W AVENUE J,SUITE # 7,LANCASTER,CA,935342819,US,Physician/Pediatric Medicine,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,50,2.64,2.07,2.07
1023037959,LAMB,DAVID,J,M.D.,M,I,325 PRINCETON AVE,,PRINCETON,NJ,085401617,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,468.55363636,389.93318182,305.70772727,309.82409091
1023038023,GAZDECKI,THOMAS,G,DO,M,I,5400 FORT ST STE 200,,TRENTON,MI,481834636,US,Physician/Vascular Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1097,0.4478395624,0.4478395624,0.3353509572,0.3369553327
1023038031,GRIFFIN,THOMAS,E,M.D.,M,I,1379 E HERNDON AVE,,FRESNO,CA,937203309,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,24,51,94.461372549,8.32,5.4978431373,5.4978431373
1023038031,GRIFFIN,THOMAS,E,M.D.,M,I,1379 E HERNDON AVE,,FRESNO,CA,937203309,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,15,519.51,71,51.949333333,51.081333333
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,26,69,153,60.327189542,8.32,6.3933333333,6.3933333333
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,7.8528571429,3.38,2.65,2.65
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,20,28,8.3064285714,1.42,1.0757142857,1.0757142857
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.505,2.175,3.03
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,535.57466667,70.09,50.167666667,50.021333333
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,5219,0.3914408891,0.0465970492,0.028082008,0.028082008
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,20.63,14.768947368,11.579473684,13.78
1023038106,MULLIN,ANNE,R,M.D.,F,I,45 QUAKER AVE,,CORNWALL,NY,125182127,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,88.956521739,33,20.765652174,20.765652174
1023038353,CHAMNONGCHAREONWONG,THAVATCHAI,,DO,M,I,8300 CROSSLAND LOOP,,MONTGOMERY,AL,361178482,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,189,31.341818182,24.572727273,24.13
1023038353,CHAMNONGCHAREONWONG,THAVATCHAI,,DO,M,I,8300 CROSSLAND LOOP,,MONTGOMERY,AL,361178482,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,29,500.62896552,70.23,53.16137931,52.833103448
1023038353,CHAMNONGCHAREONWONG,THAVATCHAI,,DO,M,I,8300 CROSSLAND LOOP,,MONTGOMERY,AL,361178482,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1049,0.9731077216,0.1318684461,0.0955767398,0.0955767398
1023038353,CHAMNONGCHAREONWONG,THAVATCHAI,,DO,M,I,8300 CROSSLAND LOOP,,MONTGOMERY,AL,361178482,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,84.857142857,33,23.406190476,23.406190476
1023038411,DIAZ,IAN,,MD,M,I,200 W ARBOR DR,,SAN DIEGO,CA,921039000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,32,71,59.18084507,8.32,5.0530985915,5.0530985915
1023038411,DIAZ,IAN,,MD,M,I,200 W ARBOR DR,,SAN DIEGO,CA,921039000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,15.496842105,1.42,1.0557894737,1.0557894737
1023038411,DIAZ,IAN,,MD,M,I,200 W ARBOR DR,,SAN DIEGO,CA,921039000,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,198.58,44.663636364,30.9,32.216363636
1023038411,DIAZ,IAN,,MD,M,I,200 W ARBOR DR,,SAN DIEGO,CA,921039000,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,33.011578947,3.2410526316,2.4094736842,3.4342105263
1023038411,DIAZ,IAN,,MD,M,I,200 W ARBOR DR,,SAN DIEGO,CA,921039000,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,76.561818182,20.574545455,14.236363636,11.909090909
1023038684,FRIEND,RICHARD,D,M.D.,M,I,850 PETER BRYCE BLVD,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,30,70.991666667,8.32,4.7813333333,4.7813333333
1023038718,ROSEN,MARC,R,M.D.,M,I,925 CHESTNUT ST,6TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Otolaryngology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1500,9.6458066667,2.88732,2.1680266667,2.1680266667
1023038718,ROSEN,MARC,R,M.D.,M,I,925 CHESTNUT ST,6TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Otolaryngology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,25.87,25.87
1023039179,ADGENT,JAMES,,MD,M,I,2131 S 17TH ST,,WILMINGTON,NC,284017407,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,28.856666667,5.87,4.152,3.0786666667
1023039179,ADGENT,JAMES,,MD,M,I,2131 S 17TH ST,,WILMINGTON,NC,284017407,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,474.53294118,70.23,55.06,54.72
1023039179,ADGENT,JAMES,,MD,M,I,2131 S 17TH ST,,WILMINGTON,NC,284017407,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,37.44,29.35,29.51
1023039179,ADGENT,JAMES,,MD,M,I,2131 S 17TH ST,,WILMINGTON,NC,284017407,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,28.058181818,21.997272727,15.941818182
1023039476,BERTHELOT,LIBEAU,J,M.D.,M,I,82525 HIGHWAY 25,,FOLSOM,LA,704376111,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,53,123,278,56.932697842,8.32,6.1605755396,6.1605755396
1023039476,BERTHELOT,LIBEAU,J,M.D.,M,I,82525 HIGHWAY 25,,FOLSOM,LA,704376111,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,25,52,54,12.96462963,1.4118518519,1.0714814815,1.077962963
1023039476,BERTHELOT,LIBEAU,J,M.D.,M,I,82525 HIGHWAY 25,,FOLSOM,LA,704376111,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,20.783333333,6.6566666667,5.22,3.7533333333
1023039476,BERTHELOT,LIBEAU,J,M.D.,M,I,82525 HIGHWAY 25,,FOLSOM,LA,704376111,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,132.89157895,67.38,46.904210526,31.521578947
1023039476,BERTHELOT,LIBEAU,J,M.D.,M,I,82525 HIGHWAY 25,,FOLSOM,LA,704376111,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,501.52,72.351176471,53.483529412,51.504705882
1023039476,BERTHELOT,LIBEAU,J,M.D.,M,I,82525 HIGHWAY 25,,FOLSOM,LA,704376111,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,25.8425,22.0175,15.460625,11.4625
1023039674,FEDERER,HOWARD,C,M.D.,M,I,2740 W FOSTER AVE,SUITE 213,CHICAGO,IL,606253500,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,880,0.44,0.44,0.345,0.345
1023039674,FEDERER,HOWARD,C,M.D.,M,I,2740 W FOSTER AVE,SUITE 213,CHICAGO,IL,606253500,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,23.66,23.66,18.114575758,18.114575758
1023039823,BORDERS,REBECCA,J,DO,F,I,805 OYSTER PARK DR,,EDISTO ISLAND,SC,294386837,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,50,133,60.215037594,8.32,5.0505263158,5.0505263158
1023039823,BORDERS,REBECCA,J,DO,F,I,805 OYSTER PARK DR,,EDISTO ISLAND,SC,294386837,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,13.425882353,3.38,2.4941176471,2.4941176471
1023039823,BORDERS,REBECCA,J,DO,F,I,805 OYSTER PARK DR,,EDISTO ISLAND,SC,294386837,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,28,15.976785714,1.42,1.0764285714,1.0764285714
1023039823,BORDERS,REBECCA,J,DO,F,I,805 OYSTER PARK DR,,EDISTO ISLAND,SC,294386837,US,Physician/General Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,400,162.5525,5.5898,4.081275,2.970575
1023039823,BORDERS,REBECCA,J,DO,F,I,805 OYSTER PARK DR,,EDISTO ISLAND,SC,294386837,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,265.5675,96.02375,68.5975,48.359375
1023039823,BORDERS,REBECCA,J,DO,F,I,805 OYSTER PARK DR,,EDISTO ISLAND,SC,294386837,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67.12,44.745,32.344166667,27.056666667
1023040094,ROCHA LIMA,CAIO MAX,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,55,55,100,19.71,14.607272727,14.607272727
1023040094,ROCHA LIMA,CAIO MAX,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,55,55,210,37.38,27.701818182,27.701818182
1023040094,ROCHA LIMA,CAIO MAX,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,525,181.4628,142.2652,142.2652
1023040094,ROCHA LIMA,CAIO MAX,S,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,54,442,13.552149321,1.5750678733,1.1618552036,1.1618552036
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,58,201,426,67.697112676,8.32,5.7341314554,5.7341314554
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,9.53,3.38,2.65,2.65
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,57,77,10.565974026,1.42,1.0155844156,1.0155844156
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,70.855384615,10.8,8.47,9.07
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,9.3479487179,1.99,1.56,1.5916666667
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,103.93976744,18,13.823488372,13.479069767
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.53,3.97,2.7636363636,3.3554545455
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,96,96,472.29729167,77.18,57.98875,54.008125
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2318,0.3585245902,0.0471570319,0.0297023296,0.0297023296
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,737,1.9774355495,0.1352238806,0.1059972863,0.1059972863
1023040334,BLACKMAN,JACQUES,D,MD,M,I,13213 W 21ST ST N,,WICHITA,KS,672359625,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,33,33,22.638636364,22.638636364
1023040615,MAGAVI,NIRMALAMMA,S,MD,F,I,57 NORTH ST,SUITE 103,DANBURY,CT,068105660,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,85,63.022,8.32,4.8344705882,4.8344705882
1023040615,MAGAVI,NIRMALAMMA,S,MD,F,I,57 NORTH ST,SUITE 103,DANBURY,CT,068105660,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,33,15.495454545,1.42,0.8433333333,0.8433333333
1023040771,O'SHEA,MICHELLE,,MD,F,I,1 BAY AVE,SUITE 104,MONTCLAIR,NJ,070424837,US,Physician/Surgical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,13,33,53.486060606,35.62,27.926363636,30.496363636
1023041092,HAVA,NILOFAR,K,M.D.,F,I,1 KINGS HWY,,HAUPPAUGE,NY,117884216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,67.5956,8.32,5.2168,5.2168
1023041431,KURAK,KIM,,DO,F,I,420 GROVE ST,,BRANDON,VT,057339062,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.31,22.4775,16.3775,12.4025
1023041431,KURAK,KIM,,DO,F,I,420 GROVE ST,,BRANDON,VT,057339062,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,27.342857143,8.4871428571,5.5647619048,2.8961904762
1023041431,KURAK,KIM,,DO,F,I,420 GROVE ST,,BRANDON,VT,057339062,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,519.51,90.628181818,59.098181818,43.691818182
1023041464,SETHI,PARMINDER,,M.D.,M,I,100 N WIGET LN,STE 290,WALNUT CREEK,CA,945985988,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,3162,0.4822201139,0.13,0.0961669829,0.0961669829
1023041464,SETHI,PARMINDER,,M.D.,M,I,100 N WIGET LN,STE 290,WALNUT CREEK,CA,945985988,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,21,100,12104,6.1880122274,1.73,1.3061863847,1.5397414078
1023041464,SETHI,PARMINDER,,M.D.,M,I,100 N WIGET LN,STE 290,WALNUT CREEK,CA,945985988,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,83,10475,9.5301145585,7.2193078759,5.6311579952,5.6395389021
1023041464,SETHI,PARMINDER,,M.D.,M,I,100 N WIGET LN,STE 290,WALNUT CREEK,CA,945985988,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,96,2.9677083333,1.8,1.2934375,1.2934375
1023041472,BEMBO,SHIRLEY,,M.D.,F,I,601 EWING ST,C-8,PRINCETON,NJ,085402757,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,27,45,224,79.958839286,8.32,5.8819196429,5.8819196429
1023041472,BEMBO,SHIRLEY,,M.D.,F,I,601 EWING ST,C-8,PRINCETON,NJ,085402757,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,21,35,14.509714286,1.42,1.0814285714,1.0814285714
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,31,120,59.884583333,8.32,6.1414166667,6.1414166667
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,17.142857143,3.38,2.65,2.65
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,45,17.708666667,1.42,1.112,1.112
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,80.731818182,17.898181818,14.024545455,14.062727273
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,23,106,11.855660377,2.0416981132,1.6016981132,1.5967924528
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,86.31,17.29,13.55,13.53
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,50.73,4.5663157895,3.3447368421,3.4263157895
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,36,38,222.60026316,33.385,25.337894737,24.812105263
1023041761,ROMERO,JACQUELINE,N,DO,F,I,11181 HEALTH PARK BLVD,SUITE 2260,NAPLES,FL,341105738,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,519.51,70.23,55.06,54.72
1023041944,HALLOCK,DAVID,L,PA-C,M,I,111 S FRONT ST,,HARRISBURG,PA,171012010,US,Physician Assistant,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,100.75,81.8575,64.1775,64.1775
1023041951,MAYNE,BEN,R,M.D.,M,I,555 W WACKERLY ST,SUITE 2600,MIDLAND,MI,48640,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,117.31944444,53.540555556,41.978333333,38.100555556
1023041951,MAYNE,BEN,R,M.D.,M,I,555 W WACKERLY ST,SUITE 2600,MIDLAND,MI,48640,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,22.73,10.222857143,7.22,6.2247619048
1023041951,MAYNE,BEN,R,M.D.,M,I,555 W WACKERLY ST,SUITE 2600,MIDLAND,MI,48640,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,495,495,388.08,468.28133333
1023042025,PALADUGU,BHANU PRASAD,,MD,M,I,2700 NW STEWART PKWY,,ROSEBURG,OR,974701281,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,425,69.81,44.779090909,44.779090909
1023042025,PALADUGU,BHANU PRASAD,,MD,M,I,2700 NW STEWART PKWY,,ROSEBURG,OR,974701281,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,146.66666667,19.140666667,13.794666667,13.098666667
1023042025,PALADUGU,BHANU PRASAD,,MD,M,I,2700 NW STEWART PKWY,,ROSEBURG,OR,974701281,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,215,36.14,25.239090909,26.444545455
1023042215,PERSAUD,KAVITA,S,M.D.,F,I,5919 OLEANDER DR STE 109,,WILMINGTON,NC,284034757,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,30,46.688,8.32,6.0873333333,6.0873333333
1023042215,PERSAUD,KAVITA,S,M.D.,F,I,5919 OLEANDER DR STE 109,,WILMINGTON,NC,284034757,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,5.4690909091,1.42,1.0181818182,1.0181818182
1023042215,PERSAUD,KAVITA,S,M.D.,F,I,5919 OLEANDER DR STE 109,,WILMINGTON,NC,284034757,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,155.93684211,48.992631579,34.000526316,33.375263158
1023042215,PERSAUD,KAVITA,S,M.D.,F,I,5919 OLEANDER DR STE 109,,WILMINGTON,NC,284034757,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,4.6423076923,2.8607692308,2.8584615385
1023042215,PERSAUD,KAVITA,S,M.D.,F,I,5919 OLEANDER DR STE 109,,WILMINGTON,NC,284034757,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,55,23.269473684,17.492631579,13.098421053
1023042355,ZOLLNER,GREGORY,P,M.D.,M,I,240 MIDDLETOWN BLVD,STE 200,LANGHORNE,PA,190471816,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,4950,4.7845555556,0.5498242424,0.4193757576,0.4193737374
1023042355,ZOLLNER,GREGORY,P,M.D.,M,I,240 MIDDLETOWN BLVD,STE 200,LANGHORNE,PA,190471816,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1830,1.4438907104,0.7492295082,0.394420765,0.5223934426
1023042355,ZOLLNER,GREGORY,P,M.D.,M,I,240 MIDDLETOWN BLVD,STE 200,LANGHORNE,PA,190471816,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,1620,4.3552407407,0.9234444444,0.4871790123,0.6900432099
1023042355,ZOLLNER,GREGORY,P,M.D.,M,I,240 MIDDLETOWN BLVD,STE 200,LANGHORNE,PA,190471816,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,24,24,18.192666667,18.192666667
1023042355,ZOLLNER,GREGORY,P,M.D.,M,I,240 MIDDLETOWN BLVD,STE 200,LANGHORNE,PA,190471816,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,27,16,16,11.611111111,11.611111111
1023042389,GREEN,DOUGLAS,H,M.D.,M,I,2651 W MARKET ST,,FAIRLAWN,OH,443334200,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,2670,0.306741573,0.13,0.0984719101,0.0984719101
1023042389,GREEN,DOUGLAS,H,M.D.,M,I,2651 W MARKET ST,,FAIRLAWN,OH,443334200,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,46,7450,4.6475704698,1.9228993289,1.4873718121,1.5727060403
1023042470,CLARK,RICHARD,R,M.D.,M,I,1475 E BELVIDERE RD UNIT 385,,GRAYSLAKE,IL,600302026,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,44,116,307,71.783811075,8.3136482085,5.8387296417,5.8441368078
1023042470,CLARK,RICHARD,R,M.D.,M,I,1475 E BELVIDERE RD UNIT 385,,GRAYSLAKE,IL,600302026,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,23,53,76,15.670921053,1.42,0.9094736842,0.9094736842
1023042470,CLARK,RICHARD,R,M.D.,M,I,1475 E BELVIDERE RD UNIT 385,,GRAYSLAKE,IL,600302026,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,73,9.9216438356,2.03,1.5917808219,1.5917808219
1023042470,CLARK,RICHARD,R,M.D.,M,I,1475 E BELVIDERE RD UNIT 385,,GRAYSLAKE,IL,600302026,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.5772727273,3.5845454545,3.9418181818
1023042470,CLARK,RICHARD,R,M.D.,M,I,1475 E BELVIDERE RD UNIT 385,,GRAYSLAKE,IL,600302026,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,462.90466667,69.81,51.081333333,51.081333333
1023042496,DANOFF,DUDLEY,S,MD,M,I,8635 W 3RD ST,SUITE 1 WEST,LOS ANGELES,CA,900486101,US,Physician/Urology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,1710,0.3173684211,0.13,0.1019473684,0.1019473684
1023042579,BEUKEMA,RICHARD,J,MD,M,I,600 ORONDO AVE 1,,WENATCHEE,WA,988012800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,33,83,221,46.301764706,8.32,4.5447963801,4.5447963801
1023042579,BEUKEMA,RICHARD,J,MD,M,I,600 ORONDO AVE 1,,WENATCHEE,WA,988012800,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.881333333,3.38,1.9433333333,1.9433333333
1023042579,BEUKEMA,RICHARD,J,MD,M,I,600 ORONDO AVE 1,,WENATCHEE,WA,988012800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,21,36,61,13.783934426,1.42,0.7668852459,0.7668852459
1023042579,BEUKEMA,RICHARD,J,MD,M,I,600 ORONDO AVE 1,,WENATCHEE,WA,988012800,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,100,49.974285714,38.307142857,39.394285714
1023042579,BEUKEMA,RICHARD,J,MD,M,I,600 ORONDO AVE 1,,WENATCHEE,WA,988012800,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,65.7,49.983333333,53.204166667
1023042579,BEUKEMA,RICHARD,J,MD,M,I,600 ORONDO AVE 1,,WENATCHEE,WA,988012800,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,55.670833333,17.735,12.8375,13.123333333
1023042603,KAMAKA,JOSEPH,K,M.D.,M,I,99 SOUTH MARKET STREET,,WAILUKU,HI,96793,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,74,80.400540541,8.32,5.8174324324,5.8174324324
1023042603,KAMAKA,JOSEPH,K,M.D.,M,I,99 SOUTH MARKET STREET,,WAILUKU,HI,96793,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,22.4775,17.620833333,17.620833333
1023042603,KAMAKA,JOSEPH,K,M.D.,M,I,99 SOUTH MARKET STREET,,WAILUKU,HI,96793,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,103.06583333,80.805833333,80.805833333
1023042660,CRUMRINE,JOAN,,CNP,F,I,LICKING MEMORIAL FAMILY PRACTICE EAST,399 E. MAIN ST,NEWARK,OH,43055,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,51,90,80.938,8.3077777778,5.3852222222,5.3852222222
1023042660,CRUMRINE,JOAN,,CNP,F,I,LICKING MEMORIAL FAMILY PRACTICE EAST,399 E. MAIN ST,NEWARK,OH,43055,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,21,14.59047619,1.42,0.9038095238,0.9038095238
1023042660,CRUMRINE,JOAN,,CNP,F,I,LICKING MEMORIAL FAMILY PRACTICE EAST,399 E. MAIN ST,NEWARK,OH,43055,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,96,33,25.87,25.87
1023042835,COHEN,ROBERT,A,M.D.,M,I,NEPHROLOGY DIVISION/BIDMC,330 BROOKLINE AVE./DIV. 517,BOSTON,MA,02215,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,1.3201363636,0.4753636364,0.3491666667,0.3491666667
1023042835,COHEN,ROBERT,A,M.D.,M,I,NEPHROLOGY DIVISION/BIDMC,330 BROOKLINE AVE./DIV. 517,BOSTON,MA,02215,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1650,0.0799333333,0.0128181818,0.0100606061,0.0100606061
1023042835,COHEN,ROBERT,A,M.D.,M,I,NEPHROLOGY DIVISION/BIDMC,330 BROOKLINE AVE./DIV. 517,BOSTON,MA,02215,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1980,2.4388333333,0.7427272727,0.5823030303,0.5823030303
1023042835,COHEN,ROBERT,A,M.D.,M,I,NEPHROLOGY DIVISION/BIDMC,330 BROOKLINE AVE./DIV. 517,BOSTON,MA,02215,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,17.565333333,17.565333333
1023042835,COHEN,ROBERT,A,M.D.,M,I,NEPHROLOGY DIVISION/BIDMC,330 BROOKLINE AVE./DIV. 517,BOSTON,MA,02215,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,16,16,12.54,12.54
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,39,93,235,67.019106383,8.32,5.9493617021,5.9493617021
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,46,61,15.050163934,1.42,1.0419672131,1.0419672131
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,350.22666667,84.388333333,63.419166667,65.116666667
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,23,53,162.03849057,30.818867925,23.718301887,25.352075472
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,79.609411765,16.821176471,13.180588235,14.06
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,28,28,77.425357143,11.486428571,8.6839285714,8.8
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,37,131,11.04610687,1.9841221374,1.484351145,1.5208396947
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,61,68.09704918,17.675901639,13.436557377,13.089180328
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,526.38857143,80.463571429,55.680714286,57.977857143
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,16,81.75,11.0025,8.01375,8.565625
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,36,50.73,5.8522222222,3.9925,3.3244444444
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,40,205.346,33.78575,25.25525,23.986
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,70,75,432.3452,81.250133333,62.2208,53.6272
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,3471,0.1959723423,0.0466320945,0.034284068,0.034284068
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,45,45,99.03,20.555555556,15.788888889,14.388888889
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,39.785454545,9.5190909091,7.4609090909,6.95
1023042850,YOUSSEF,SAMEH,I,M.D.,M,I,2600 STATE ROUTE 5,,CORTLAND,OH,444109393,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,16,16,76.3125,33,25.87,25.87
1023043049,HAIGHT,JOHN,,DPM,M,I,375 N CENTRAL AVE,,VALLEY STREAM,NY,11580,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,34,34,67,112.38507463,71.56,53.295223881,53.295074627
1023043049,HAIGHT,JOHN,,DPM,M,I,375 N CENTRAL AVE,,VALLEY STREAM,NY,11580,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,30,30,159,70.654339623,43.56,33.955157233,33.953459119
1023043064,WELDON,DAVID,J,MD,M,I,730 MALABAR RD,SUITE A,MALABAR,FL,329503140,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,31,104,61.250961538,8.32,5.8951923077,5.8951923077
1023043064,WELDON,DAVID,J,MD,M,I,730 MALABAR RD,SUITE A,MALABAR,FL,329503140,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,21,12.978095238,1.42,1.1114285714,1.1114285714
1023043064,WELDON,DAVID,J,MD,M,I,730 MALABAR RD,SUITE A,MALABAR,FL,329503140,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,26.383571429,16.61,13.02,13.54
1023043064,WELDON,DAVID,J,MD,M,I,730 MALABAR RD,SUITE A,MALABAR,FL,329503140,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,132.16,79.8,62.56,54.73
1023043064,WELDON,DAVID,J,MD,M,I,730 MALABAR RD,SUITE A,MALABAR,FL,329503140,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,1743.47,107.85,84.55,84.475714286
1023043106,ESCHENROEDER,HARRY,C,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,22,22,17.133846154,18.38
1023043106,ESCHENROEDER,HARRY,C,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,201.80214286,52.125714286,40.867142857,36.46
1023043106,ESCHENROEDER,HARRY,C,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,19.378181818,13.896363636,13.258181818
1023043106,ESCHENROEDER,HARRY,C,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,467,389.4,305.29,310.54
1023043106,ESCHENROEDER,HARRY,C,MD,M,I,2405 ATHERHOLT RD,,LYNCHBURG,VA,245012184,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,41,41,43,156.02325581,138.47,104.12023256,98.069534884
1023043130,SMITH,RICHARD,L,M.D.,M,I,1260 RUSSELL PKWY,,WARNER ROBINS,GA,310885540,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,32,94,66.503085106,8.2893617021,6.4288297872,6.4527659574
1023043189,HAHN,CLAN,H,M.D.,M,I,500 S VIRGIL AVE,SUITE 502,LOS ANGELES,CA,900201446,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,42,2526,12.32652019,1.6775178147,1.3151821061,1.3151781473
1023043189,HAHN,CLAN,H,M.D.,M,I,500 S VIRGIL AVE,SUITE 502,LOS ANGELES,CA,900201446,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,17,83,6136,41.24107399,5.0431339635,3.8693839635,3.8693839635
1023043189,HAHN,CLAN,H,M.D.,M,I,500 S VIRGIL AVE,SUITE 502,LOS ANGELES,CA,900201446,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,17,55,55,24,24,18.82,18.82
1023043189,HAHN,CLAN,H,M.D.,M,I,500 S VIRGIL AVE,SUITE 502,LOS ANGELES,CA,900201446,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,55,70,16.114285714,16,12.54,12.54
1023043635,RABADI,FARES,,M.D.,M,I,18350 ROSCOE BLVD,SUITE 514,NORTHRIDGE,CA,913254109,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,82,41.010609756,8.32,6.0434146341,6.0434146341
1023043635,RABADI,FARES,,M.D.,M,I,18350 ROSCOE BLVD,SUITE 514,NORTHRIDGE,CA,913254109,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,31,8.4096774194,1.42,1.0470967742,1.0470967742
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,51,165,51.722787879,8.32,5.6373939394,5.6373939394
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,28,51,11.955098039,1.42,1.0707843137,1.0707843137
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,32.76,27.45,20.9925,21.7825
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,6.615,5.54,4.34,4.34
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,13.045,10.93,8.57,8.57
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.4225,7.06,5.535,5.85
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,6.2367272727,5.23,3.8260606061,3.8260606061
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,71,945,10.166740741,4.7113333333,3.5688253968,4.0198730159
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,64,10401,0.6298163638,0.3467435823,0.2694019806,0.2872108451
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,24,73.12375,15.72,11.81625,13.039166667
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,48,50,35.3878,4.1112,2.7142,3.0956
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,147.33428571,48.996428571,38.412857143,38.218571429
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,11.275,4.97,3.9,3.96
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,31,431.48354839,69.632258065,52.822580645,52.964516129
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,13,1080,1.4068796296,0.1422222222,0.1022592593,0.1022592593
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,31.244,15.7375,7.887,9.498
1023043791,MARTYN,MARINA ANNE,R,MD,F,I,600 SENECA STREET,ONEIDA MEDICAL ASSOCIATES PLLC,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,82.5,33,25.87,25.87
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,71,51.352394366,8.32,5.7876056338,5.7876056338
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,124.61538462,74.127692308,54.49,39.563076923
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,44.764285714,21.502857143,16.722142857,8.9835714286
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,90,6.5,3.0306666667,2.258,1.4868888889
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,40,22.666923077,15.928461538,12.26
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,100,58.04375,37.62625,31.2625
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,92,92,246.04434783,99.143478261,72.90423913,51.718478261
1023043825,GRUNDY,SHARON,A,M.D.,F,I,500 WEST PACIFIC AVE,,TELLURIDE,CO,814351229,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,35.0825,30.111666667
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,25,68,42.548676471,8.32,5.4607352941,5.4607352941
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,13,12.423076923,10.93,8.57,8.57
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,250,6.56912,5.54,4.34348,4.34348
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,873,9.3642611684,7.37,5.613722795,5.613722795
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,630,6.2485714286,5.23,4.1003333333,4.1003333333
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.63,3.04,2.3835,2.3835
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,59.589166667,16.836666667,11.416666667,12.2225
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,8.824375,1.956875,1.53375,1.5878125
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,36,343,8.2934693878,4.6159475219,3.6187755102,4.1629154519
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,32,4014,0.36,0.3,0.2352366716,0.2430916791
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,44,84.510681818,16.016590909,11.982727273,12.589545455
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,145.47692308,31.342307692,20.993076923,21.520769231
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,39,466.64923077,69.123076923,52.317948718,52.810512821
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2640,1.4509204545,0.1356818182,0.1063901515,0.1063901515
1023043858,RATNARAJAH,DANIEL,M,MD,M,I,ONEIDA MEDICAL ASSOCIATES PLLC,600 SENECA STREET,ONEIDA,NY,13421,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,70.714285714,33,25.87,25.87
1023043932,SCOTT,NANCY,T,ANP,F,I,1 COMPASS WAY STE 200,,EAST BRIDGEWATER,MA,023331464,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,39,65.50025641,8.32,5.6864102564,5.6864102564
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,72,115,115,102.30408696,41.499217391,30.86573913,29.020434783
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,55,91,91,311.39461538,97.985384615,69.03032967,61.214065934
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,49,107,213,122.19755869,37.105586854,27.318122066,24.454225352
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,24,37,152,52.542434211,20.339078947,15.309342105,14.32125
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,32,54,230,46.630043478,15.565173913,10.593173913,10.333173913
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,55,86,86,183.67883721,60.724767442,42.063837209,38.174186047
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,98,119,120,64.186,19.971916667,14.461833333,12.933333333
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,20,23,23,34.325217391,11.389130435,8.9308695652,8.192173913
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,32,50,50,66.1992,14.7194,11.236,9.1006
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,106,198,928,8.5427047414,2.3982974138,1.7357543103,1.4793965517
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,23,30,30,23.733,6.958,5.4353333333,4.6833333333
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,54,66,66,30.688636364,14.051060606,10.404090909,9.7748484848
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,27,32,564.6790625,117.904375,84.075,68.974375
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,1130.633,229.8155,180.174,180.232
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,16,16,570.870625,150.0925,117.674375,105.01375
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,27,107,122,88.741557377,14.052868852,11.016147541,10.39795082
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,39,179,197,263.17248731,39.699746193,29.672030457,26.270964467
1023044187,PARK,HYUNG,U,M.D.,M,I,1400 E KINCAID ST,,MOUNT VERNON,WA,982744127,US,Physician/Psychiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,41,446.10487805,70.242439024,51.570243902,51.505853659
1023044195,MCJUNKIN,BRITTAIN,,MD,M,I,3110 MACCORKLE AVE SE,,CHARLESTON,WV,253041210,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,67,51.159253731,8.32,6.5223880597,6.5223880597
1023044195,MCJUNKIN,BRITTAIN,,MD,M,I,3110 MACCORKLE AVE SE,,CHARLESTON,WV,253041210,US,Physician/Gastroenterology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,17.29,13.55,13.531
1023044195,MCJUNKIN,BRITTAIN,,MD,M,I,3110 MACCORKLE AVE SE,,CHARLESTON,WV,253041210,US,Physician/Gastroenterology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,31,488.94387097,70.23,51.564193548,51.23516129
1023044229,PYLE,BERT,W,MD,M,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,12866,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,16,50.73,4.03625,3.15875,3.8
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,70,43.766142857,8.186,6.1387142857,6.2285714286
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,35,13.653142857,1.4125714286,1.1068571429,1.1125714286
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,82.230526316,39.004210526,30.575789474,30.49
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,18,92,34.341195652,14.979565217,11.219347826,11.359021739
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,15,32,32,143.3703125,51.86,37.5928125,39.62
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,21,21,46.171904762,17.98,13.628095238,13.599047619
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,51,10.04,7.01625,8.10125
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,34,159,6.6240251572,1.9135849057,1.381572327,1.4634591195
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4784.5,913.16,703.96416667,830.30416667
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,13,92,92,34.06,13.177826087,10.302173913,10.431630435
1023044245,BOTELHO,TINA,M,MD,F,I,9275 MEDICAL PLAZA DR STE D,,NORTH CHARLESTON,SC,294069140,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,14,114,114,129.96859649,32.190438596,25.236929825,25.204561404
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,21,43.619047619,8.32,4.9676190476,4.9676190476
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,16.680909091,1.42,0.7127272727,0.7127272727
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,713,7.37,6.26,4.9079382889,5.626858345
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,51,1406,11.447539118,5.1,3.9984992888,4.1077169275
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4768,0.7747734899,0.3594463087,0.2818036913,0.290079698
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4947,0.8308874065,0.3,0.2351950677,0.2381241156
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,26,11012,1.2116363967,0.6539466037,0.5126907011,0.5126907011
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,15,15,74.75,61.8,48.45,48.389333333
1023044476,VAYUVEGULA,BHARATHI,S,MD,F,I,130 W ROUTE 66,SUITE 212,GLENDORA,CA,917406249,US,Physician/General Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,41,45,7.3742222222,5.32,4.17,4.0346666667
1023044500,JOBE,CHRISTOPHER,M,M.D.,M,I,2809 OLIVE HWY,SUITE 230,OROVILLE,CA,959666131,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,29,29,120,108.03,84.69,80.036896552
1023044500,JOBE,CHRISTOPHER,M,M.D.,M,I,2809 OLIVE HWY,SUITE 230,OROVILLE,CA,959666131,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,195,133.89,104.97,87.47
1023044500,JOBE,CHRISTOPHER,M,M.D.,M,I,2809 OLIVE HWY,SUITE 230,OROVILLE,CA,959666131,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,14,15,75,70.94,45.382666667,37.342666667
1023044674,ELALAOUI,SIDI,A,MD,M,I,1952 N JOHN YOUNG PKWY,,KISSIMMEE,FL,347413221,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,36,46.373055556,8.32,5.9802777778,5.9802777778
1023044765,MUTHYALA,UMADEVI,,MD,F,I,3660 BOULEVARD,SUITE G,COLONIAL HEIGHTS,VA,238341345,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,6.0508333333,0.51,0.4,0.4
1023044765,MUTHYALA,UMADEVI,,MD,F,I,3660 BOULEVARD,SUITE G,COLONIAL HEIGHTS,VA,238341345,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,129,391,1394,57.759289813,8.3169440459,6.3944548063,6.3956456241
1023044765,MUTHYALA,UMADEVI,,MD,F,I,3660 BOULEVARD,SUITE G,COLONIAL HEIGHTS,VA,238341345,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,30,67,67,12.359701493,3.38,2.6104477612,2.6104477612
1023044765,MUTHYALA,UMADEVI,,MD,F,I,3660 BOULEVARD,SUITE G,COLONIAL HEIGHTS,VA,238341345,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,26,35,35,19.132,2.12,1.67,1.67
1023044765,MUTHYALA,UMADEVI,,MD,F,I,3660 BOULEVARD,SUITE G,COLONIAL HEIGHTS,VA,238341345,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,66,141,312,12.723237179,1.42,1.0885576923,1.0885576923
1023044765,MUTHYALA,UMADEVI,,MD,F,I,3660 BOULEVARD,SUITE G,COLONIAL HEIGHTS,VA,238341345,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,880,16.769079545,10.894681818,8.5414090909,8.5414090909
1023044765,MUTHYALA,UMADEVI,,MD,F,I,3660 BOULEVARD,SUITE G,COLONIAL HEIGHTS,VA,238341345,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,343.284375,251.11,196.87,196.87
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,38,90,286,76.80986014,8.32,5.7926923077,5.7926923077
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,25,50,84,17.399642857,1.42,0.9953571429,0.9953571429
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,840,5.5070833333,2.27,1.6314047619,1.6314047619
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,23,25.427391304,10.93,8.1973913043,8.1973913043
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,258.58384615,56.813846154,41.104615385,39.695384615
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,,12,12,75.234166667,18.879166667,14.434166667,13.755833333
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,13,13,48.740769231,12.640769231,9.1446153846,8.4861538462
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,,19,106,8.863490566,2.0843396226,1.5411320755,1.5068867925
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,50,86.05,17.25,13.2496,13.2684
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,52.043846154,5.9992307692,4.2569230769,3.2923076923
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,725.65333333,336.395,263.73166667,263.73166667
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,67,68,385.46617647,77.36,56.866911765,51.643382353
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,855,0.235122807,0.0481754386,0.0377309942,0.0377309942
1023044773,WOLFSON,ERIC,M,D.O.,M,I,6803 W TROPICANA AVE,STE #100,LAS VEGAS,NV,891034926,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,89.571428571,33,24.022142857,24.022142857
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,518.37636364,85.926363636,61.213181818,61.600909091
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,36,191.1325,33.241666667,24.601944444,24.407777778
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,368.11166667,57.336666667,41.396666667,41.425833333
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,109.16888889,18.645,13.054444444,12.958333333
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,30,30,106.577,12.186,8.362,8.3246666667
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,32,165,14.354909091,2.0264242424,1.4175151515,1.4283636364
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,54.523571429,13.365,9.7328571429,9.6014285714
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,70.817142857,17.635714286,12.785714286,12.565714286
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,48,49,273.77918367,34.032653061,23.916122449,23.413673469
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,49,411.45142857,77.78122449,56.983673469,51.695714286
1023044815,VALDEZ,JOSEPH,D,M.D.,M,I,59335 RIVER WEST DR,SUITE C,PLAQUEMINE,LA,707646553,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,37.44,26.904166667,27.0675
1023044930,SPARKS,MICHAEL,B,MD,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,120,57.103076923,44.770769231,36.46
1023045135,MAXWELL,TANYA,K,NP,F,I,1818 DAVIE AVE,,STATESVILLE,NC,286773524,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,18,38,56.956315789,8.32,5.8339473684,5.8339473684
1023045135,MAXWELL,TANYA,K,NP,F,I,1818 DAVIE AVE,,STATESVILLE,NC,286773524,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,61.28952381,5.3095238095,4.1619047619,3.7014285714
1023045143,MARTIN,DAVID,J,M.D.,M,I,888 WHITE PLAINS RD,SUITE 106,TRUMBULL,CT,066114552,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,140,121.7,95.41,80.393333333
1023045143,MARTIN,DAVID,J,M.D.,M,I,888 WHITE PLAINS RD,SUITE 106,TRUMBULL,CT,066114552,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,12,13,82.384615385,70.94,42.784615385,35.646153846
1023045143,MARTIN,DAVID,J,M.D.,M,I,888 WHITE PLAINS RD,SUITE 106,TRUMBULL,CT,066114552,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,174.53846154,150.19,117.75,119.75
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,55,131,65.454503817,8.32,5.526259542,5.526259542
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.922857143,3.38,2.4607142857,2.4607142857
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,33,46,18.118913043,1.42,1.017826087,1.017826087
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.3,9.4272727273,7.3872727273,7.0890909091
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,126.56307692,50.690769231,39.748461538,37.949230769
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,31,49.029032258,17,12.9,13.070967742
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,32,316.90125,76.3925,58.00125,53.8896875
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,31.566666667,23.889333333,16.052666667,12.498666667
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,76.75,34.05125,21.446875,16.633125
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,22.952941176,8.7670588235,5.3441176471,5.09
1023045234,RAZI,DAVID,F,M.D.,M,I,3451 W CENTURY BLVD,,INGLEWOOD,CA,903031227,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,18.814545455,18.814545455
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,38,58.463947368,8.32,6.5221052632,6.5221052632
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,134.38,49.68625,37.564166667,39.734166667
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,44,44,21.44,5.5284090909,4.1111363636,3.365
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,217.1,71.5,56.06,54.73
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1927,0.1818162948,0.0463881681,0.0313233005,0.0313233005
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2100,0.8708285714,0.1296,0.0990333333,0.0990333333
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,64,64,119.34,21.9096875,16.42546875,20.58671875
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,67,67,20.57,6.7267164179,4.9802985075,6.3317910448
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,61.96,35.5,27.83,29.51
1023045358,TERENTIEV,ANDREI,,MD,M,I,103 RIVER RD,,EDGEWATER,NJ,070201016,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,33,33,24.8352,24.8352
1023045440,SPARKS,WARREN,B,MD,M,I,3791 LOHE RD,,KALAHEO,HI,967419614,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,180.92545455,71.625454545,52.225454545,35.790909091
1023045440,SPARKS,WARREN,B,MD,M,I,3791 LOHE RD,,KALAHEO,HI,967419614,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,45.216818182,22.253636364,16.089090909,12.573636364
1023045440,SPARKS,WARREN,B,MD,M,I,3791 LOHE RD,,KALAHEO,HI,967419614,US,Physician/Emergency Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,135.2,56.662307692,27.713076923,20.578461538
1023045440,SPARKS,WARREN,B,MD,M,I,3791 LOHE RD,,KALAHEO,HI,967419614,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,292.05136364,100.90545455,73.946818182,51.635
1023045440,SPARKS,WARREN,B,MD,M,I,3791 LOHE RD,,KALAHEO,HI,967419614,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,64.9,27.003125,19.369375,12.28
1023045523,HADEED,SAMIR,A,M.D.,M,I,374 THEATRE DR,,JOHNSTOWN,PA,159043221,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,61,80.8,4.0129508197,2.7536065574,7.7106557377
1023045523,HADEED,SAMIR,A,M.D.,M,I,374 THEATRE DR,,JOHNSTOWN,PA,159043221,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,320,100.37916667,73.71875,50.169166667
1023045606,SABBUN,RICHARD,,M.D.,M,I,2200 E WASHINGTON ST,,BLOOMINGTON,IL,617014364,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,32.05,5.02,3.94,3.7747619048
1023045622,SCHWECK,DAVID,A,M.D.,M,I,15229 US 31 N,,WESTFIELD,IN,46074,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,80,65.8205,8.32,3.97125,3.97125
1023045622,SCHWECK,DAVID,A,M.D.,M,I,15229 US 31 N,,WESTFIELD,IN,46074,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,82.877692308,17.27,11.456923077,11.456923077
1023045622,SCHWECK,DAVID,A,M.D.,M,I,15229 US 31 N,,WESTFIELD,IN,46074,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,38.85,5.2555555556,2.7133333333,2.4105555556
1023045622,SCHWECK,DAVID,A,M.D.,M,I,15229 US 31 N,,WESTFIELD,IN,46074,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,16,423.405625,71.713125,49.38125,47.88875
1023045663,TURNER,SUZANNE,F,MD,F,I,11660 ALPHARETTA HWY STE 290,,ROSWELL,GA,30076,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,52,70.6875,8.32,5.6442307692,5.6442307692
1023045663,TURNER,SUZANNE,F,MD,F,I,11660 ALPHARETTA HWY STE 290,,ROSWELL,GA,30076,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,220,75.56,55.418064516,51.49
1023045663,TURNER,SUZANNE,F,MD,F,I,11660 ALPHARETTA HWY STE 290,,ROSWELL,GA,30076,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,36.25,28.42,29.419166667
1023045663,TURNER,SUZANNE,F,MD,F,I,11660 ALPHARETTA HWY STE 290,,ROSWELL,GA,30076,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,65,19.714285714,15.455714286,14.345714286
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,87,199,47.069949749,8.2838190955,5.4827135678,5.5111055276
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,26,26,14.356153846,3.38,1.9365384615,1.9365384615
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,18.602857143,2.12,1.3121428571,1.3121428571
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,36,65,13.840307692,1.42,0.9598461538,0.9598461538
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,21,42,78.243809524,71.56,46.742380952,46.741428571
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,114,35.374210526,29.19,22.336666667,22.338245614
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,238,8.28,8.28,6.4915966387,6.4915966387
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,158,10.93,10.93,7.6609493671,7.6609493671
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,295,4.85,4.85,3.8023728814,3.8023728814
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,17,36,8.6694444444,1.9894444444,1.5588888889,1.2277777778
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.91,9.4790909091,7.4290909091,7.3681818182
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,33,33,154.34060606,63.109090909,44.430909091,32.756969697
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,44,91.142727273,22.656590909,17.422045455,13.496136364
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,190.41428571,72.321428571,56.7,38.217142857
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,22,29.4,16.750454545,13.135454545,11.562727273
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,81,89,541.44269663,104.18494382,75.812921348,52.968988764
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2384,0.2643540268,0.0447986577,0.0351216443,0.0351216443
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1260,12.86,3.0439047619,2.3318492063,2.3318492063
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,915,0.7147540984,0.2192568306,0.1718579235,0.1718579235
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,62.8255,31.703,17.682,12.1895
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,118.33,75.775833333,59.408333333,39.246666667
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,599.5,179.3005,133.3935,102.0565
1023045671,SMITH,ROGER,A,M.D.,M,I,126 WATSON RD,,WISNER,LA,713784660,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,62,62,124.01612903,33,25.87,25.87
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,39,143,63.100839161,8.32,5.5412587413,5.5412587413
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.158461538,3.38,2.4461538462,2.4461538462
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,31,13.805483871,1.42,1.0051612903,1.0051612903
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,65.013846154,21.282307692,14.956153846,11.851538462
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,429.83666667,90.016666667,64.130833333,50.45
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,250,37.714615385,25.132307692,25.042307692
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,41,41,42.902439024,21.060487805,12.466341463,10.563414634
1023045788,CHHABRA,BHUPINDER,K,M.D.,F,I,800 BIESTERFIELD RD,SUITE 3007,ELK GROVE VILLAGE,IL,600073397,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,25.635,9.9225,7.7825,7.02375
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,90,331,69.932537764,8.32,5.9598187311,5.9598187311
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,14.444,3.38,2.2966666667,2.2966666667
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,54,107,17.233457944,1.42,0.9574766355,0.9574766355
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,22,22,412.60090909,91.909090909,65.889545455,61.673636364
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,13,26,59,162.52474576,34.80220339,26.830338983,25.510338983
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,21,22,224.57045455,64.862272727,46.758181818,38.971818182
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,26,26,74.958076923,19.977307692,14.974615385,13.379230769
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,29,29,75.944827586,14.47137931,10.060344828,7.8868965517
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,40,203,10.54137931,2.3429064039,1.6699507389,1.4299507389
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,20.196428571,6.6864285714,3.4642857143,3.0292857143
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,37.757272727,13.733636364,8.8936363636,8.4690909091
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,83.540526316,17.493684211,12.995789474,12.837894737
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,26,67.471153846,13.777692308,9.2088461538,8.4873076923
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,32.110384615,4.98,2.5807692308,2.34
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,214.25195652,38.032391304,26.205434783,22.092173913
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,57.6,47.127272727,36.949090909,36.480909091
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,59,469.21745763,79.407457627,60.221355932,52.830508475
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,3988,0.3305992979,0.0463966901,0.0352306921,0.0352306921
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,2337,1.8599486521,0.1354000856,0.0921480531,0.0921480531
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.82,19.183636364,7.9636363636,7.1454545455
1023045838,YOUNG,MICHAEL,D,MD,M,I,1155 W JEFFERSON ST STE 202,,FRANKLIN,IN,461312732,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,42,42,61.285714286,33,23.858571429,23.858571429
1023045861,MARGUGLIO,PAUL,J,,M,I,1312 PRENTICE DRIVE,,HEALDSBURG,CA,954483381,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,26,64,252,76.017619048,8.32,6.3675396825,6.3675396825
1023045861,MARGUGLIO,PAUL,J,,M,I,1312 PRENTICE DRIVE,,HEALDSBURG,CA,954483381,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,214.50181818,53.83,42.2,42.790909091
1023045861,MARGUGLIO,PAUL,J,,M,I,1312 PRENTICE DRIVE,,HEALDSBURG,CA,954483381,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,62,9.4393548387,2.02,1.585,1.5925806452
1023045861,MARGUGLIO,PAUL,J,,M,I,1312 PRENTICE DRIVE,,HEALDSBURG,CA,954483381,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,563.0447619,65.7,49.188095238,51.795238095
1023045861,MARGUGLIO,PAUL,J,,M,I,1312 PRENTICE DRIVE,,HEALDSBURG,CA,954483381,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,61.941176471,17.333529412,12.587058824,12.866470588
1023045887,DEVOESICK,LETITIA,,DO,F,I,500 ISLAND COTTAGE ROAD,,ROCHESTER,NY,14612,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,12.219166667,12.433333333
1023045887,DEVOESICK,LETITIA,,DO,F,I,500 ISLAND COTTAGE ROAD,,ROCHESTER,NY,14612,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,55.4675,50.16
1023045937,WERTHEIMER,MARC,J,MD,M,I,605 WEST STATE ST,,MEDIA,PA,19063,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,59,144,69.633888889,8.32,6.11375,6.11375
1023045937,WERTHEIMER,MARC,J,MD,M,I,605 WEST STATE ST,,MEDIA,PA,19063,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,15,14.152666667,1.42,1.044,1.044
1023045937,WERTHEIMER,MARC,J,MD,M,I,605 WEST STATE ST,,MEDIA,PA,19063,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,29,50.73,3.8703448276,2.8386206897,3.4062068966
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,42,102,314,77.657420382,8.32,4.6874840764,4.6874840764
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,37,47,14.13106383,1.42,0.9259574468,0.9259574468
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,12.748,5.36,3.60425,3.60425
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,82.667692308,48.968461538,29.991538462,23.489230769
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,23,3.937826087,1.9865217391,1.3965217391,1.0608695652
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,109,5.3885321101,2.987706422,2.0383486239,1.4186238532
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,152.41363636,47.901818182,34.029545455,22.313636364
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,494.47947368,100.04,75.287368421,53.981052632
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,466.71692308,44.900769231,32.676923077,27.246153846
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,4.0249027778,1.26075,0.9305,0.9305
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,15.988333333,15.988333333
1023046224,HAMILTON,MARK,C,M.D.,M,I,368 RIVER STREET,,SPRINGFIELD,VT,051562242,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,33,33,23.406190476,23.406190476
1023046349,LUZZI,FRANK,A,M.D.,M,I,16 BIRD ST,,TORRINGTON,CT,067903801,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,5.3651515152,3.06,2.3995454545,1.8774242424
1023046349,LUZZI,FRANK,A,M.D.,M,I,16 BIRD ST,,TORRINGTON,CT,067903801,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,141.13357143,52.783571429,37.690714286,22.818571429
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,49,1258.124898,19.684693878,15.432653061,15.432653061
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,45,77.945111111,15.58,11.453777778,11.077333333
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,13,96.776153846,14.966923077,11.73,8.8323076923
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,25,85,12.867529412,2.1918823529,1.6669411765,1.5134117647
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,57,80.135438596,17,12.394561404,12.589649123
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,31,36,73.935277778,14.041944444,10.174166667,9.6344444444
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,22,48.924090909,4.5363636364,3.5545454545,3.6745454545
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,51,58,235.82034483,35.935689655,26.888275862,24.416724138
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,69,502.80782609,71,53.874057971,53.146231884
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,5200,160.00157692,9.8403846154,7.7148634615,7.7148634615
1023046380,PETERS,JENIFER,R,P.A.,F,I,48 CREEKVIEW CT,,GREENVILLE,SC,296154800,US,Physician Assistant,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,54,419.93018519,2.637037037,2.0675925926,2.0675925926
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,54,146,488,69.090594262,8.32,5.6572131148,5.6572131148
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,15.789473684,3.38,2.5105263158,2.5105263158
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,24.5,2.12,1.67,1.67
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,29,76,159,14.741194969,1.42,1.008427673,1.008427673
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,120.80823529,40.357647059,29.795294118,28.747647059
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,63,69.89984127,19.592063492,15.36,14.474761905
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,11,20,20,193.4505,58.079,45.531,42.964
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,13,17,17,74.994117647,18.774705882,14.717058824,14.065882353
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,12,25,150,8.8836666667,2.0752,1.5645333333,1.5275333333
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,41,41,280.77317073,32.524390244,23.020731707,21.839756098
1023046414,KALENOWSKI,CHARLES,,DO,M,I,1041 W STEARNS RD,,BARTLETT,IL,601034509,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,572.74,77.18,40.336666667,36.48
1023046554,HUANG,MELINDA,C,APN,F,I,504 ELMINGTON AVE,,NASHVILLE,TN,372052508,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,8.8022222222,3.42,1.7366666667,1.3822222222
1023046554,HUANG,MELINDA,C,APN,F,I,504 ELMINGTON AVE,,NASHVILLE,TN,372052508,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,80,80,14.445,6.95,4.564375,3.35
1023046554,HUANG,MELINDA,C,APN,F,I,504 ELMINGTON AVE,,NASHVILLE,TN,372052508,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22.716666667,12.835,10.065,8.82
1023046554,HUANG,MELINDA,C,APN,F,I,504 ELMINGTON AVE,,NASHVILLE,TN,372052508,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,251.36363636,86.84,68.08,54.73
1023046554,HUANG,MELINDA,C,APN,F,I,504 ELMINGTON AVE,,NASHVILLE,TN,372052508,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,102.89272727,43.48,34.08,29.761818182
1023046554,HUANG,MELINDA,C,APN,F,I,504 ELMINGTON AVE,,NASHVILLE,TN,372052508,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,24,106,106,117.19556604,23.420566038,14.454528302,11.249245283
1023046554,HUANG,MELINDA,C,APN,F,I,504 ELMINGTON AVE,,NASHVILLE,TN,372052508,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,25,11.06875,4.829375,3.85375
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,32,84,55.748571429,8.32,4.7357142857,4.7357142857
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,22,8.19,1.48,1.0545454545,1.0454545455
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,29,29,29,132.55862069,50.300689655,39.436206897,37.37862069
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,14,62,64,143.31625,54.8303125,38.74984375,35.92375
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,80.2692,17,12.1888,12.3944
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,47.673103448,4.3024137931,2.9562068966,3.384137931
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,111.36363636,48.808636364,34.515909091,33.106363636
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,79,85,538.592,79.892705882,58.631058824,51.680235294
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,36,132.15222222,35.374444444,27.738888889,29.327777778
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,742,12.467479784,9.5263477089,7.4686118598,7.4686118598
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1738,1.6655926352,0.1326352129,0.1039758343,0.1039758343
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,22,98,106,73.82009434,21.387641509,16.028773585,13.952169811
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,22.923076923,8.4846153846,6.6453846154,6.6338461538
1023046562,MITTAL,RAKESH,,"MD, PHD",M,I,5880 49TH ST N,SUITE N105,ST PETERSBURG,FL,337092150,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,127.38461538,33,25.87,25.87
1023046570,RUSS,THOMAS,E,,M,I,400 E 3RD ST,,DULUTH,MN,558051951,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,1320,7.9938030303,1.4583636364,1.1425454545,1.1425454545
1023046570,RUSS,THOMAS,E,,M,I,400 E 3RD ST,,DULUTH,MN,558051951,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,16,16,12.54,12.54
1023046596,KONDO,KATHLEEN,,F.N.P.,F,I,3044 ROUTE 50,,SARATOGA SPRINGS,NY,128662906,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,214.5,47.54,37.266363636,38.24
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,529.38117647,94.588235294,65.552941176,61.704117647
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,47,197.45191489,36.73212766,28.614680851,26.694893617
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,23,112,74.814732143,18.78,12.48875,12.351428571
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,16,30,30,220.921,59.417666667,41.578333333,37.849666667
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,25,25,73.1364,19.484,14.1484,13.2964
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,29,29,72.669655172,14.245517241,10.45137931,8.8017241379
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,18,38,216,10.962314815,2.2613888889,1.6568055556,1.5051851852
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,27.088181818,5.91,4.2181818182,4.2381818182
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,49.764166667,13.774166667,9.93,9.7075
1023046737,COLE,CHARLES,P,M.D.,M,I,310 N STATE OF FRANKLIN RD,SUITE 303,JOHNSON CITY,TN,376046008,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,444.6,87.879047619,68.898571429,64.623333333
1023046778,MAHESHWARI,DIVYA,,MD,F,I,5301 E HURON RIVER DR,,YPSILANTI,MI,481971051,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,110,44.766363636,30.963636364,30.4
1023046778,MAHESHWARI,DIVYA,,MD,F,I,5301 E HURON RIVER DR,,YPSILANTI,MI,481971051,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,59.987368421,17.33,12.865263158,12.461052632
1023046778,MAHESHWARI,DIVYA,,MD,F,I,5301 E HURON RIVER DR,,YPSILANTI,MI,481971051,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,17,24,7.8088235294,5.7676470588,6.09
1023046794,BARNES,KATIE,,CRNP,F,I,200 CREEKSIDE DR,,DICKSON,TN,370552176,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,60,51.772333333,8.32,6.5218333333,6.5218333333
1023046794,BARNES,KATIE,,CRNP,F,I,200 CREEKSIDE DR,,DICKSON,TN,370552176,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,296.50785714,86.84,57.236428571,45.793571429
1023046836,MALONE,MICHAEL,P,OD,M,I,2144 SW 36TH ST,,TOPEKA,KS,666112554,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,67.5,62.09,48.675,53.105454545
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,45,111,49.730630631,8.32,5.1951351351,5.1951351351
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,33,45,10.847111111,1.42,0.8671111111,0.8671111111
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,46,56.318913043,19.823043478,14.696086957,13.769565217
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,147.35235294,56.735882353,41.973529412,40.35
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,54.985625,19.21875,14.185,13.181875
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,50.077777778,13.943333333,10.430555556,8.6188888889
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,25,150,12.6584,2.2996,1.6695333333,1.4658666667
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,19.169230769,6.58,4.77,4.2992307692
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,3637,0.6888479516,0.0463348914,0.02634314,0.02634314
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,86.538461538,20.530769231,16.096923077,15.196923077
1023047149,SELF,SUSAN,M,MD,F,I,8001 YOUREE DR,SUITE 540,SHREVEPORT,LA,711152302,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,33,33,20.764782609,20.764782609
1023047198,KRISHNAN,SUBBARAYAN,,MD,M,I,1031 E LATHAM AVE,3,HEMET,CA,925434425,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,400,79.22,53.993636364,47.284545455
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,9,43,132,1618,56.573114957,19.637960445,14.695346106,14.695346106
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,41,119,3850,7.628238961,2.6332987013,1.9746675325,1.9746675325
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,43,178,484,2607,67.890418105,8.3177905639,6.017057921,6.017057921
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,15.000625,3.38,2.65,2.65
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,33,74,173,13.958439306,1.42,1.010982659,1.010982659
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,13,55,55,738.70727273,353.45618182,270.542,270.542
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,33,173,19340,16.144182006,10.63122544,8.3288929679,8.3288929679
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,45,195,195,489.82651282,250.97117949,196.76117949,196.86989744
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,43,43,43,326.51139535,263.10534884,204.95930233,205.78604651
1023047214,BRAULT,KATHRYN,S,ARNP,F,I,915 GOETHALS DR,,RICHLAND,WA,993523527,US,Nurse Practitioner,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,14.75,0.608125,0.4767708333,0.4767708333
1023047347,LEE,JIMMY,,D.P.M.,M,I,624 W DUARTE RD STE 105,,ARCADIA,CA,910079256,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,73,73,146,99.610410959,71.56,54.277534247,54.277465753
1023047347,LEE,JIMMY,,D.P.M.,M,I,624 W DUARTE RD STE 105,,ARCADIA,CA,910079256,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,71,71,419,49.900668258,29.19,22.735799523,22.737422434
1023047347,LEE,JIMMY,,D.P.M.,M,I,624 W DUARTE RD STE 105,,ARCADIA,CA,910079256,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,27,33,200,145.52,114.09,95.656060606
1023047347,LEE,JIMMY,,D.P.M.,M,I,624 W DUARTE RD STE 105,,ARCADIA,CA,910079256,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,300,156.3,122.54,126.18833333
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,32,81,243,62.94255144,8.32,5.7171193416,5.7171193416
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,33,51,14.101176471,1.42,0.9619607843,0.9619607843
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,28,148.78571429,71.56,56.021071429,56.020714286
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,97,43.56,34.151666667,34.15
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,64,67.58421875,18.7425,13.54359375,13.44546875
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,25,25,182.6624,54.4776,39.2992,39.4344
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,68.85,17.88,13.231666667,13.276666667
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,28,28,69.6,11.538928571,8.4028571429,8.4682142857
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,31,182,10.311318681,2.0113186813,1.4217582418,1.435989011
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,21.876923077,5.91,4.2830769231,4.3015384615
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,49.941818182,39.151818182,38.491818182
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,71.154545455,17.29,13.55,13.533636364
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,19,54.737368421,4.8405263158,3.7963157895,3.7931578947
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,23,187.22782609,30.42,19.702173913,19.313913043
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,52,492.165,70.23,54.429807692,54.161730769
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1290,17.999534884,9.6393953488,7.1568837209,7.1568837209
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1020,1.5799509804,0.1405,0.0967941176,0.0967941176
1023047420,LIM,DIANA,M,MD,F,I,2400 HOSPITAL DR,SUITE 420,BOSSIER CITY,LA,711112385,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,48,48,61.875,33,23.714166667,23.714166667
1023047446,CHANEY,JAMES,C,A.R.N.P.,M,I,2 SUGARBOWL LANE,,PENSACOLA BEACH,FL,32561,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,51,52,154.23076923,49.888461538,35.659038462,35.049807692
1023047446,CHANEY,JAMES,C,A.R.N.P.,M,I,2 SUGARBOWL LANE,,PENSACOLA BEACH,FL,32561,US,Nurse Practitioner,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,135,48.469090909,28.575909091,28.076363636
1023047446,CHANEY,JAMES,C,A.R.N.P.,M,I,2 SUGARBOWL LANE,,PENSACOLA BEACH,FL,32561,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,15,70,70,68.857142857,19.705714286,13.547428571,12.654857143
1023047446,CHANEY,JAMES,C,A.R.N.P.,M,I,2 SUGARBOWL LANE,,PENSACOLA BEACH,FL,32561,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,200,72.21375,52.34625,47.353125
1023047446,CHANEY,JAMES,C,A.R.N.P.,M,I,2 SUGARBOWL LANE,,PENSACOLA BEACH,FL,32561,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,67,67,25.28358209,8.6652238806,5.9847761194,5.9734328358
1023047487,MARSHALL,GARY,T,MD,M,I,550 1ST AVE,NBV 15 S 14,NEW YORK,NY,100166402,US,Physician/General Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,14,67.582142857,23.765,18.630714286,14.028571429
1023047503,HARRIS,MICHAEL,N,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,41,102,73.249215686,8.32,5.6096078431,5.6096078431
1023047503,HARRIS,MICHAEL,N,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,15.412105263,1.42,0.8842105263,0.8842105263
1023047529,PONDER,MARK,E,M.D.,M,I,1100 PATTON CHAPEL RD,,LINCOLN,AL,35096,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,39,116,46.892844828,8.32,6.0762068966,6.0762068966
1023047529,PONDER,MARK,E,M.D.,M,I,1100 PATTON CHAPEL RD,,LINCOLN,AL,35096,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,37,16.819459459,1.42,1.0837837838,1.0837837838
1023047529,PONDER,MARK,E,M.D.,M,I,1100 PATTON CHAPEL RD,,LINCOLN,AL,35096,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,41.7008,5.9988,4.3768,3.244
1023047529,PONDER,MARK,E,M.D.,M,I,1100 PATTON CHAPEL RD,,LINCOLN,AL,35096,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,360,102.61833333,80.455,58.105
1023047552,WASSEL,EMILE,,MD,M,I,1450 CHAMPLIN AVE STE 1,,UTICA,NY,13502,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,256.00105263,67.72,49.851052632,51.503684211
1023047586,BREDENKAMP,JAMES,K,MD,M,I,26726 CROWN VALLEY PKWY,#200,MISSION VIEJO,CA,926916364,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,68,10.958823529,2,1.4763235294,1.4995588235
1023047669,SUYAT,GEORGE,U,"MD, MPH",M,I,2105 BEVERLY BLVD,SUITE 131,LOS ANGELES,CA,900572216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,29,85,137,48.077737226,8.32,4.9945985401,4.9945985401
1023047669,SUYAT,GEORGE,U,"MD, MPH",M,I,2105 BEVERLY BLVD,SUITE 131,LOS ANGELES,CA,900572216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,22,52,52,14.214038462,1.42,0.8615384615,0.8615384615
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,40,120,346,63.396560694,8.315982659,5.8298265896,5.8329768786
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,47,80,15.75125,1.42,1.07325,1.07325
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,24,135.51,71.56,46.754583333,46.75375
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.19,1.785,1.3985714286,1.1871428571
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,25,25,405.8716,91.3972,65.1328,61.6008
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,12,28,71,156.02605634,35.324788732,25.255492958,23.52084507
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,223.432,56.661333333,41.58,39.995333333
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,25,25,75.1396,18.8728,14.7888,14.054
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,39,39,77.752564103,12.365641026,9.4646153846,8.8797435897
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,46,243,10.387160494,2.122345679,1.6128806584,1.5396296296
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,26.351818182,6.3463636364,4.9809090909,4.6527272727
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,13,18,18,59.419444444,13.977777778,10.957777778,10.348888889
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,36,36,250.02444444,47.899444444,33.323333333,32.724444444
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100,48.31,34.436363636,34.209090909
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,38,41,218.7395122,34.514146341,22.98804878,20.553902439
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,90,93,386.61365591,73.144301075,53.333763441,50.801397849
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,35,235.42857143,39.783428571,29.897142857,28.215142857
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1324,0.6633836858,0.045521148,0.0304305136,0.0304305136
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2878,1.201104934,0.1414315497,0.1108999305,0.1108999305
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,53.605,18.705,13.080833333,12.008333333
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,28.434285714,9.295,6.695,6.5985714286
1023047768,ARNETTE,BRYAN,T,MD,M,I,1754 US HIGHWAY 23 N,,WEBER CITY,VA,242907071,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,39,39,99,33,23.88,23.88
1023047909,PATTISON,SCOTT,T,DPM,M,I,3201 S AUSTIN AVE,SUITE 225,GEORGETOWN,TX,786267545,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,58,72.5,71.56,55.081724138,55.072241379
1023047909,PATTISON,SCOTT,T,DPM,M,I,3201 S AUSTIN AVE,SUITE 225,GEORGETOWN,TX,786267545,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,40,29.19,22.886666667,22.886666667
1023047909,PATTISON,SCOTT,T,DPM,M,I,3201 S AUSTIN AVE,SUITE 225,GEORGETOWN,TX,786267545,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,62,45,43.56,34.15,34.146774194
1023047909,PATTISON,SCOTT,T,DPM,M,I,3201 S AUSTIN AVE,SUITE 225,GEORGETOWN,TX,786267545,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,258.46153846,251.08307692,185.81,207.85307692
1023048022,BOCKENEK,WILLIAM,,MD,M,I,1100 BLYTHE BLVD,,CHARLOTTE,NC,282035814,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,173.0075,63.920833333,50.118333333,40.515833333
1023048022,BOCKENEK,WILLIAM,,MD,M,I,1100 BLYTHE BLVD,,CHARLOTTE,NC,282035814,US,Physician/Physical Medicine and Rehabilitation,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,1960,1074.31,778.81371429,778.81371429
1023048022,BOCKENEK,WILLIAM,,MD,M,I,1100 BLYTHE BLVD,,CHARLOTTE,NC,282035814,US,Physician/Physical Medicine and Rehabilitation,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,590,412.82352941,323.65411765,323.65411765
1023048022,BOCKENEK,WILLIAM,,MD,M,I,1100 BLYTHE BLVD,,CHARLOTTE,NC,282035814,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,82.5,43.48,34.0875,34.0875
1023048022,BOCKENEK,WILLIAM,,MD,M,I,1100 BLYTHE BLVD,,CHARLOTTE,NC,282035814,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,14,25,598.1176,200.3,157.0388,103.0688
1023048022,BOCKENEK,WILLIAM,,MD,M,I,1100 BLYTHE BLVD,,CHARLOTTE,NC,282035814,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,15,18,68,33.227941176,15.26,11.964411765,11.964117647
1023048139,LASH,JENNIFER,R,PA-C,F,I,1 NOLTE DR,,KITTANNING,PA,162017111,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,375,77.5,50.804545455,45.323636364
1023048352,ROHMILLER,MICHAEL,T,M.D.,M,I,500 E BUSINESS WAY,SUITE A,CINCINNATI,OH,452412374,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,4995,4378.96,3433.11,3433.11
1023048360,ZAMBRANA,LINDA,,MD,F,I,10300 SW 216TH ST,,CUTLER BAY,FL,331901003,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,63,43.470952381,8.32,6.0044444444,6.0044444444
1023048469,LAL,ASHUTOSH,,M.D.,M,I,"HEMATOLOGY/ONCOLOGY, CHILDREN'S HOSPITAL",747 52ND ST,OAKLAND,CA,946091809,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,32,58,218.43482759,19.71,15.45137931,15.45137931
1023048469,LAL,ASHUTOSH,,M.D.,M,I,"HEMATOLOGY/ONCOLOGY, CHILDREN'S HOSPITAL",747 52ND ST,OAKLAND,CA,946091809,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,34,289,200,37.38,29.305640138,29.305640138
1023048469,LAL,ASHUTOSH,,M.D.,M,I,"HEMATOLOGY/ONCOLOGY, CHILDREN'S HOSPITAL",747 52ND ST,OAKLAND,CA,946091809,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,634,203.93923077,159.88846154,159.88846154
1023048469,LAL,ASHUTOSH,,M.D.,M,I,"HEMATOLOGY/ONCOLOGY, CHILDREN'S HOSPITAL",747 52ND ST,OAKLAND,CA,946091809,US,Physician/Hematology-Oncology,S,J0895,"Injection, deferoxamine mesylate, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,42,3263,62.580125651,11.080965369,8.6645142507,8.6645081214
1023048477,KINZEL,TERRY,,MD,M,I,500 CAMPUS DRIVE,,HANCOCK,MI,499301569,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,22.4775,16.3775,12.904166667
1023048477,KINZEL,TERRY,,MD,M,I,500 CAMPUS DRIVE,,HANCOCK,MI,499301569,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,388.37647059,102.84,77.112941176,53.892941176
1023048477,KINZEL,TERRY,,MD,M,I,500 CAMPUS DRIVE,,HANCOCK,MI,499301569,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,75,30.342941176,21.529411765,13.248235294
1023048477,KINZEL,TERRY,,MD,M,I,500 CAMPUS DRIVE,,HANCOCK,MI,499301569,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,150,40.905,32.071666667,22.998333333
1023048477,KINZEL,TERRY,,MD,M,I,500 CAMPUS DRIVE,,HANCOCK,MI,499301569,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,30,11.875882353,8.2535294118,6.0394117647
1023048543,KRISHNAN,SHYLASREE,,M.D.,F,I,222 ALEXANDER ST,SUITE 2400,ROCHESTER,NY,146074004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,30,84.434333333,8.32,4.782,4.782
1023048543,KRISHNAN,SHYLASREE,,M.D.,F,I,222 ALEXANDER ST,SUITE 2400,ROCHESTER,NY,146074004,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1861.77,198.92909091,142.91909091,141.25
1023048568,SYDNOR,KATHERINE,,DPM,F,I,692 UNIONVILLE RD,,KENNETT SQUARE,PA,19348,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,90.16,71.489090909,53.491818182,53.547272727
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,33,89,162,55.314876543,8.32,5.9585802469,5.9585802469
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,17,20,9.8505,1.42,0.95,0.95
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,14,57.571428571,26.02,18.877142857,20.850714286
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,21,19.834761905,10.502380952,6.6814285714,6.9138095238
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,26,13.875384615,4.05,3.0511538462,3.0815384615
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,58.4,9.86,7.4199166667,7.4199166667
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,34,4840,0.4451900826,0.4396694215,0.3446880165,0.3446880165
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,480,6.956,3.04,2.2841041667,2.2841041667
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,22,38,1200,8.3544,8.28,6.4686833333,6.4686833333
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,784,5.95,5.95,4.6648214286,4.6648214286
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,18,556,2.4,2.4,1.8816726619,1.8816726619
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,21,29,3611,0.4556549432,0.45,0.3528247023,0.3528247023
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,238.665,77.215,59.799285714,43.952857143
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,86.853636364,20.116363636,14.854545455,8.2909090909
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,70,11.213714286,3.0957142857,2.2755714286,1.4565714286
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,79,79,94.877468354,22.182658228,16.822911392,13.39721519
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.35,7.5041666667,5.8816666667,3.5666666667
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,191.86333333,46.955,31.068333333,20.677222222
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,100,100,332.2198,99.3265,73.7687,53.3066
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,900,20.280855556,9.6070666667,7.5319333333,7.5319333333
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1483,0.1854349292,0.0458057991,0.0359204316,0.0359069454
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1800,1.0705777778,0.1323,0.0976833333,0.0976833333
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,8.994530303,3.1529090909,2.254530303,2.254530303
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,41.212857143,30.796,23.733142857,15.015428571
1023048626,QUINN,BRIAN,,DO,M,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,28,28,33,33,24.946071429,24.946071429
1023048741,PRATHER,TRINA,,M.D.,F,I,2645 MERIDIAN PKWY STE 323,,DURHAM,NC,277134232,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,31,62,77.370806452,8.1806451613,5.574516129,5.7111290323
1023048741,PRATHER,TRINA,,M.D.,F,I,2645 MERIDIAN PKWY STE 323,,DURHAM,NC,277134232,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,13,14.044615385,1.42,1.0323076923,1.0323076923
1023048741,PRATHER,TRINA,,M.D.,F,I,2645 MERIDIAN PKWY STE 323,,DURHAM,NC,277134232,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,32.142727273,16.613636364,13.022727273,9.7563636364
1023048741,PRATHER,TRINA,,M.D.,F,I,2645 MERIDIAN PKWY STE 323,,DURHAM,NC,277134232,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,70,21.140714286,15.507857143,12.960714286
1023048741,PRATHER,TRINA,,M.D.,F,I,2645 MERIDIAN PKWY STE 323,,DURHAM,NC,277134232,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,225,96.02375,71.548125,52.569375
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,53,159,62.078490566,8.32,6.1527672956,6.1527672956
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,22,42,13.299047619,1.42,1.0876190476,1.0876190476
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,101.73357143,41,29.844285714,28.43
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A6451,"Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,12,10,1.97,1.55,1.55
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,12,20,1.43,1.12,1.12
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,370.0775,94.58,64.88125,59.36
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,35,145.90514286,35,24.786285714,23.263714286
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,166.85076923,56,40.523076923,39.563076923
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,59.117857143,19.5,14.197857143,13.055714286
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,75.396153846,12.08,8.7415384615,8.4184615385
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,23,124,9.5293548387,2.3,1.7161290323,1.5216129032
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2812.76,1074.31,842.26,842.26
1023048808,PETTINATO,PAUL,J,M.D.,M,I,545 BEDFORD ST,,BRIDGEWATER,MA,023243117,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,160.69038462,34.365384615,25.054615385,24.230384615
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,31,79,67.499746835,8.32,5.5058227848,5.5058227848
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,37,14.338648649,1.42,1.0843243243,1.0843243243
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,13,26.907692308,10.93,8.57,8.57
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,17,15.489411765,7.86,6.16,6.4747058824
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,440,10.438363636,5.74,4.1740227273,4.1740227273
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,300,20.8264,9.86,7.7300333333,7.7300333333
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,475,0.5579368421,0.27,0.2116,0.2116
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,172.562,54.871333333,37.279333333,37.157333333
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,56.931428571,11.967142857,8.04,7.8378571429
1023048816,HAGGLOV,CALVIN,G,M.D.,M,I,25828 REDLANDS BLVD STE 102,,REDLANDS,CA,923738450,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,96,8.54625,2.000625,1.3728125,1.3965625
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,16,28,50,8.6302,1.36,1.0272,1.1138
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,89.800909091,8.28,6.49,9.07
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,62,69,105.92028986,17.001304348,11.086811594,11.254347826
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,25,232.35,43.22,33.7076,36.8492
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,17,92,92,55.234565217,3.6216304348,2.4067391304,3.2114130435
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,22,160,164,423.74689024,72.699878049,53.419512195,51.500853659
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,155.64162791,38.303023256,29.370930233,29.076976744
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,36,2130,14.014079812,11.199197183,8.6734694836,8.6734694836
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,22,74,19267,0.2218321482,0.0464613069,0.0311989412,0.0311989412
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,56.79,36,28.22,29.465517241
1023048865,DJOKIC,MIROSLAV,,M.D.,M,I,221 BROADWAY,SUITE 204,AMITYVILLE,NY,117012780,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,26,122,122,104.7295082,33,23.641967213,23.641967213
1023048881,MCINTOSH,"G,",A,MD,M,I,3705 MASSILLON RD,,UNIONTOWN,OH,446857770,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,130,61.677272727,40.161818182,35.067272727
1023049053,STUDLEY,JILL,L,,F,I,8000 FRANKFORD RD,,DALLAS,TX,752526834,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,46,110,65.573181818,8.32,6.2840909091,6.2840909091
1023049053,STUDLEY,JILL,L,,F,I,8000 FRANKFORD RD,,DALLAS,TX,752526834,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,27,9.99,1.42,1.0748148148,1.0748148148
1023049053,STUDLEY,JILL,L,,F,I,8000 FRANKFORD RD,,DALLAS,TX,752526834,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55.136666667,17.63,12.668333333,12.426666667
1023049053,STUDLEY,JILL,L,,F,I,8000 FRANKFORD RD,,DALLAS,TX,752526834,US,Physician/Geriatric Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,28.5,10.636363636,8.3354545455,8.8309090909
1023049053,STUDLEY,JILL,L,,F,I,8000 FRANKFORD RD,,DALLAS,TX,752526834,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,318.022,76.48,58.158,53.1805
1023049053,STUDLEY,JILL,L,,F,I,8000 FRANKFORD RD,,DALLAS,TX,752526834,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,35.076923077,9.0569230769,7.0976923077,6.9584615385
1023049053,STUDLEY,JILL,L,,F,I,8000 FRANKFORD RD,,DALLAS,TX,752526834,US,Physician/Geriatric Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,609.5,173.76909091,136.24090909,127.53181818
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,13,157,66.952611465,19.609299363,15.373566879,15.373566879
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,550,8.7597090909,2.6356363636,2.0663090909,2.0663090909
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,46,70,278,79.235755396,8.32,6.2407553957,6.2407553957
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,22,36,66,14.984393939,1.42,1.1146969697,1.1146969697
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,107.28055556,40.893888889,30.318888889,29.518888889
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,14,29,29,278.20896552,89.873448276,67.597931034,65.164137931
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,14,32,72,106.80680556,32.770277778,25.692361111,25.907916667
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,15,40,209,89.902392344,19.083444976,14.305454545,13.936746411
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,15,39,203,53.478669951,16.035862069,11.833743842,11.31862069
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,27,77,77,182.67558442,55.914285714,41.200519481,40.547272727
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,35,53,53,62.868867925,18.911132075,14.556037736,13.84490566
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,29.7825,10.52,8.25,8.15625
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,30,80,80,65.5925,12.354125,9.332625,8.796125
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,38,104,570,7.3838947368,2.1466315789,1.638245614,1.5609122807
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,29,41,41,17.477804878,6.1243902439,4.6841463415,4.5382926829
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,49.126666667,13.18,9.4733333333,9.465
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,412,22.762135922,5.4280582524,4.2555825243,4.2172572816
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5646,3.8386255756,0.6496546227,0.4839089621,0.4888930216
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,44,45.457272727,17.154318182,13.149090909,13.19
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,26.905217391,5.8289130435,4.4458695652,3.7206521739
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,25,146,146,185.72260274,32.927191781,24.469041096,23.450821918
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,65,73,308.99616438,76.417534247,59.079452055,54.789863014
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,235.78947368,39.26,30.78,29.51
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2720,16.299805147,10.70575,8.3933051471,8.3933051471
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,3441,0.1931415286,0.0472507992,0.034626562,0.034626562
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1888,1.7163877119,0.1295338983,0.0943220339,0.0943220339
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,39.26,28.412307692,27.337692308
1023049079,SACHDEVA,ASHISH,,MD,M,I,9401 W THUNDERBIRD RD,SUITE 155,PEORIA,AZ,853814233,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,100.17857143,33,24.022142857,24.022142857
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,2.9895454545,2.8918181818,2.0629545455,2.0782954545
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,34,6.8355882353,6.4238235294,4.7373529412,4.75
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.0545454545,3.9636363636,2.8245454545,2.8295454545
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,109,58.905333333,46.184,38.306
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,28,4.95,1.32,0.9596428571,0.9360714286
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,22,50,30.783636364,24.133636364,23.181818182
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,66.272727273,39.628181818,31.070909091,30.041818182
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,72.005882353,37.223529412,28.662352941,24.236470588
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,64,64,58.125,32.4209375,24.74296875,21.57125
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,99.792592593,45.828888889,32.167037037,24.344444444
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,K0056,"Seat height less than 17"" or equal to or greater than 21"" for a high strength, lightweight, or ultralightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,15,9.5778571429,7.5092857143,7.2214285714
1023049244,CANTINI,EVAN,M,M.D.,M,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.874166667,9.15,6.66,6.6875
1023049335,BLAKE,ROGER,A,M.D.,M,I,907 E SUNFLOWER RD,101,CLEVELAND,MS,387322830,US,Physician/General Surgery,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,6.74,6.74,4.8036363636,4.8036363636
1023049335,BLAKE,ROGER,A,M.D.,M,I,907 E SUNFLOWER RD,101,CLEVELAND,MS,387322830,US,Physician/General Surgery,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,2.02,2.02,1.4396969697,1.4396969697
1023049491,WEBER,CRISTA,N,ARNP,F,I,1500 ASSOCIATES DR,,DUBUQUE,IA,520022201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,31,57.067419355,8.32,5.4690322581,5.4690322581
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,61,135,452,58.429336283,8.3038495575,6.076659292,6.0893141593
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,17,34,34,13.550588235,3.38,2.65,2.65
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,19,22,22,24.984545455,2.12,1.67,1.67
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,38,65,124,17.361774194,1.42,1.0958064516,1.0958064516
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,181.38,49.545909091,37.311818182,30.332727273
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,20,42,8.19,2.0076190476,1.5133333333,1.1285714286
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,456.34,121.13,84.202857143,58.154285714
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,37,178.79135135,45.031891892,31.007567568,21.694864865
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,83,109.50638554,26.152771084,18.292771084,12.482891566
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,23,23,319.38,76.688695652,60.123478261,46.386521739
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,19,19,89.175789474,25.189473684,19.744210526,15.545263158
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,32,160,13.551625,3.150625,2.448375,1.7003125
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,114,124,86.31,22.842903226,16.831935484,12.850483871
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,27,30,81.75,18.887666667,14.036333333,10.570666667
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,39,257.82,57.696666667,43.685128205,28.087692308
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,21,157,184,519.51,104.01097826,77.623478261,55.482608696
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,17,250,45.340588235,35.549411765,30.358235294
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,15.58,9.62436,7.3608533333,7.3608533333
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.5890138889,8.5890138889
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,2790,0.92,0.1334731183,0.0909749104,0.0909749104
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,12.86,3.00532,2.3561933333,2.3561933333
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,30,123.78333333,24.535333333,16.353666667,11.597666667
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,246.4,56.732727273,41.254545455,28.145454545
1023049541,FRANK,CAROL,S,MD,F,I,1750 THOMPSON RD,,COOS BAY,OR,974202100,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,67,67,130.52238806,33,23.939402985,23.939402985
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,18,194,60.115051546,19.649278351,14.346804124,14.346804124
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,503,6.997554672,2.6352286282,1.9425447316,1.9425447316
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,65,110,308,1146,68.43104712,8.32,6.0547207679,6.0547207679
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,36,36,14.921111111,3.38,2.65,2.65
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,20.5125,2.12,1.67,1.67
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,45,69,167,337,15.435667656,1.42,1.0383382789,1.0383382789
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,12,12,12,51.065833333,47.0575,36.890833333,51.980833333
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,698.918,324.0015,251.549,251.549
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,2660,16.248045113,10.74087218,8.4208609023,8.4208609023
1023049558,VILLANOBOS,REY,T,MD,M,I,9 CLYDE RD STE 102,,SOMERSET,NJ,088735036,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,251.11,251.11,192.82916667,192.82916667
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,41,120,258,69.576511628,8.32,6.0675193798,6.0675193798
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,26,31,13.543225806,1.42,1.044516129,1.044516129
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,16,147.73625,32.92,24.196875,24.301875
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,13,29,78,103.87230769,18.56,13.112307692,13.112307692
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,51,89.496862745,15.21,11.218627451,11.193137255
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,24,35,35,272.99571429,53.83,40.684,41.32
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,27,33,33,120.5469697,18.06,13.730909091,13.636969697
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,88.084375,10.7,8.183125,7.958125
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,25,36,36,182.31222222,12.21,9.57,9.1325
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,29,62,149,14.683959732,2.02,1.4575838926,1.4667114094
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,13,14,14,68.153571429,13.07,10.25,10.35
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,100.27777778,5.07,3.975,4.163
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,8543,1.7059580943,0.37,0.2900795973,0.2900795973
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7668,1.4028169014,0.3,0.2243049035,0.232143975
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,174.70692308,17.09,12.549230769,12.677307692
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,246.32,77.87,54.528125,54.985625
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,11,44,44,115.6,13.135454545,8.6586363636,8.8018181818
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,106.13733333,31.291111111,21.444444444,21.585333333
1023049624,BRINCKERHOFF,ARTHUR,J,M.D.,M,I,277 COHASSET RD,,CHICO,CA,95926,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,146,146,1173.7163014,65.7,46.061506849,49.116712329
1023049699,HARRIS,TINA,G,MD,F,I,3521 HAWORTH DRIVE,,RALEIGH,NC,276097216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,32,114,68.774035088,8.32,6.0644736842,6.0644736842
1023049699,HARRIS,TINA,G,MD,F,I,3521 HAWORTH DRIVE,,RALEIGH,NC,276097216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,19,17.248947368,1.42,0.8831578947,0.8831578947
1023049699,HARRIS,TINA,G,MD,F,I,3521 HAWORTH DRIVE,,RALEIGH,NC,276097216,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,197.82555556,34.991111111,24.657777778,20.782222222
1023049699,HARRIS,TINA,G,MD,F,I,3521 HAWORTH DRIVE,,RALEIGH,NC,276097216,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,654.83,148.0875,104.14666667,104.19166667
1023049707,CHAN,PAK,C,MD,M,I,18980 N HWY 88,SUITE B,LOCKFORD,CA,95237,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,46,200,66.60545,8.32,6.0315,6.0315
1023049707,CHAN,PAK,C,MD,M,I,18980 N HWY 88,SUITE B,LOCKFORD,CA,95237,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.728571429,3.38,2.2714285714,2.2714285714
1023049707,CHAN,PAK,C,MD,M,I,18980 N HWY 88,SUITE B,LOCKFORD,CA,95237,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,27,53,14.715660377,1.42,1.009245283,1.009245283
1023049707,CHAN,PAK,C,MD,M,I,18980 N HWY 88,SUITE B,LOCKFORD,CA,95237,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,250,48.5175,35.168333333,24.368333333
1023049707,CHAN,PAK,C,MD,M,I,18980 N HWY 88,SUITE B,LOCKFORD,CA,95237,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,26,507.37115385,76.292307692,53.784230769,48.775384615
1023049814,SUCHDEV,PRAVEEN,K,MD,M,I,280 MAIN ST,STE 330,NASHUA,NH,03060,US,Physician/Pain Management,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,50,50,50,995,972.47,761.0052,773.61
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,25,94,146,63.720136986,8.32,4.6020547945,4.6020547945
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,23,26,37.082307692,1.42,1.0315384615,1.0315384615
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,2200,33.879459091,2.04,1.5341727273,1.5341727273
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,59,6.0340677966,2.9145762712,2.2847457627,1.5925423729
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,70,70,84.375142857,8.1475714286,6.0398571429,3.7325714286
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,378.6056,42.3368,31.126,22.8864
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,502.75785714,102.08,71.494285714,49.804285714
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,15,53,10387,0.5073717146,0.0460075094,0.033860595,0.033860595
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2340,1.4266196581,0.1313717949,0.0828547009,0.0828547009
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,15,59,2465,3.6827383367,0.2186977688,0.1543326572,0.1543326572
1023049863,CANTU,RAMON,O,D.O.,M,I,610 SOUTH AUSTIN ROAD,,EAGLE LAKE,TX,774343202,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,19,79,79,50.544303797,33,24.149620253,24.149620253
1023049954,BROWNING,SHARON,T,MD,F,I,838 W MEETING ST,"BUILDING 5, SUITE H",LANCASTER,SC,297206233,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,60,47.866666667,8.32,6.5223333333,6.5223333333
1023049954,BROWNING,SHARON,T,MD,F,I,838 W MEETING ST,"BUILDING 5, SUITE H",LANCASTER,SC,297206233,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,23,16.304347826,1.42,1.1147826087,1.1147826087
1023050069,NGUYEN,THANH,X,M.D.,M,I,911 FOSTER LN,,WEATHERFORD,TX,760865713,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,19,570,7.1389473684,3.2921052632,2.581,2.4415263158
1023050069,NGUYEN,THANH,X,M.D.,M,I,911 FOSTER LN,,WEATHERFORD,TX,760865713,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,14512,0.9502811466,0.3258448181,0.2554589305,0.2471368523
1023050069,NGUYEN,THANH,X,M.D.,M,I,911 FOSTER LN,,WEATHERFORD,TX,760865713,US,Physician/Radiation Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,160.81846154,22.104615385,17.328461538,13.53
1023050069,NGUYEN,THANH,X,M.D.,M,I,911 FOSTER LN,,WEATHERFORD,TX,760865713,US,Physician/Radiation Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,379.58333333,100.75416667,78.993333333,54.9475
1023050069,NGUYEN,THANH,X,M.D.,M,I,911 FOSTER LN,,WEATHERFORD,TX,760865713,US,Physician/Radiation Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,164.17391304,40.292173913,31.587826087,29.446086957
1023050135,ALRAJAB,SAADAH,,MD,M,I,2501 E CHAPMAN AVE STE 225,,FULLERTON,CA,928313187,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,12,318.045,38.055,29.835,31.16
1023050135,ALRAJAB,SAADAH,,MD,M,I,2501 E CHAPMAN AVE STE 225,,FULLERTON,CA,928313187,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,663.7375,77.945,61.11,55.03125
1023050143,GOTTLIEB,STEVEN,J,D.O.,M,I,1306 HWY 72 W,,GREENWOOD,SC,296491826,US,Physician/Allergy/ Immunology,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.107166667,8.5087777778,8.5087777778
1023050143,GOTTLIEB,STEVEN,J,D.O.,M,I,1306 HWY 72 W,,GREENWOOD,SC,296491826,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.948,2.3112575758,2.3112575758
1023050143,GOTTLIEB,STEVEN,J,D.O.,M,I,1306 HWY 72 W,,GREENWOOD,SC,296491826,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,25.87,25.87
1023050150,RUSCO,SCOTT,J,D.O.,M,I,6360 159TH ST,SUITES D& E,OAK FOREST,IL,604522725,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,56,183,55.354590164,8.32,5.8095081967,5.8095081967
1023050150,RUSCO,SCOTT,J,D.O.,M,I,6360 159TH ST,SUITES D& E,OAK FOREST,IL,604522725,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,31,38,15.730789474,1.42,1,1
1023050150,RUSCO,SCOTT,J,D.O.,M,I,6360 159TH ST,SUITES D& E,OAK FOREST,IL,604522725,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,179.44416667,54.633333333,41.175,37.495
1023050150,RUSCO,SCOTT,J,D.O.,M,I,6360 159TH ST,SUITES D& E,OAK FOREST,IL,604522725,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,47,89.430212766,18,13.809787234,13.276170213
1023050150,RUSCO,SCOTT,J,D.O.,M,I,6360 159TH ST,SUITES D& E,OAK FOREST,IL,604522725,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3200,1074.31,842.26,842.26
1023050150,RUSCO,SCOTT,J,D.O.,M,I,6360 159TH ST,SUITES D& E,OAK FOREST,IL,604522725,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,56,328.5925,77.18,59.429464286,54.259821429
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,42,173,302,60.231754967,8.32,5.8074503311,5.8074503311
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,24,72,84,60.19297619,1.42,1.0111904762,1.0111904762
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1032,0.1241085271,0.12,0.0900775194,0.0900775194
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,2080,0.44,0.44,0.3449855769,0.3449855769
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,20,20,40,80.1475,70.8685,52.75775,53.2995
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,16,16,84,39.911190476,28.803571429,20.670357143,20.974642857
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,453,8.3348344371,8.28,6.491611479,6.491611479
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,720,18.577083333,18.5,14.504,14.504
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,1440,5.9747916667,5.95,4.6648333333,4.6648333333
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,35,4458,0.4611821445,0.45,0.3430798564,0.3430798564
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,11,67,1554,11.911093951,4.9791634492,3.9036550837,4.0910939511
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,33,9983,0.5739607332,0.37,0.2900871482,0.2900871482
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,13655,0.665162944,0.3,0.2352017576,0.2419531307
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,459,1.5076252723,0.7203703704,0.5648366013,0.5566884532
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,27,27,132.38518519,59.8,46.88,47.786666667
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,16,134.38,53.4375,41.736875,41.6875
1023050473,ORNSTEIN,YEFIM,,M.D.,M,I,2072 OCEAN AVE,SUITE 102,BROOKLYN,NY,112307379,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,29.2776,5.2,4.08,3.9812
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,77,176,59.059147727,8.32,6.1761363636,6.1761363636
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,23,34,14.154411765,1.42,0.9847058824,0.9847058824
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,51.271818182,50.546818182,38.097272727,30.185
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,12,28,28,127.81464286,121.13,91.217857143,69.116785714
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,12,29,58,46.017586207,45.477586207,33.098793103,25.413103448
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,77.785,73.73,56.08,42.735625
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,20,27,27,25.895555556,25.113333333,19.432222222,14.715185185
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,24,24,22.034166667,18.3625,13.520833333,10.215833333
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,21,44,249,3.3792771084,3.1154216867,2.3599598394,1.6823694779
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,17,21,21,15.967142857,15.7,11.767619048,10.108571429
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,93.86,22.4775,17.620833333,13.53
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,151.24733333,130.57933333,96.661333333,63.047333333
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,11,44,45,18.485777778,18.008,13.034,9.6442222222
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,22.027333333,8.2353333333,6.2146666667,3.7786666667
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,49,55,72.311272727,50.154,36.100363636,27.195272727
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,65,65,187.336,101.98061538,77.333692308,53.51
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,44.5425,44.5425,33.554583333,28.58375
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,15.58,9.6533888889,7.4354074074,7.4354074074
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.259636364,8.6102121212,8.6102121212
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1428,1.9280882353,0.1355112045,0.1043417367,0.1043417367
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1560,12.86,2.8833846154,2.2605897436,2.2605897436
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,250.96631579,250.96631579,196.75736842,196.86947368
1023050499,HOKETT,JAMIE,L,M.D.,F,I,205 S PARK LN,,ALTUS,OK,735215755,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,45,45,90.2,33,24.720222222,24.720222222
1023050515,EZIEME,JONAH,A,MD,M,I,1060 FIRST COLONIAL RD,,VIRGINIA BEACH,VA,234543002,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,40,17,11.997,12.212
1023050515,EZIEME,JONAH,A,MD,M,I,1060 FIRST COLONIAL RD,,VIRGINIA BEACH,VA,234543002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,220,78.23,57.6796875,51.3
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,32,307,9499,275.23160333,4.903665649,3.74252974,4.0513275082
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,22,210,70412,4.4724041357,0.3703749361,0.2865165029,0.2862958019
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,22182,3.0933851772,0.3099580741,0.2354368407,0.2354697502
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,16210,13.713924738,1.1197236274,0.8748544109,0.9444571252
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,492,7.4309552846,0.6926829268,0.5251219512,0.5386178862
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,18,18,1200,61.166666667,42.555555556,42.858333333
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,16,175,175,150,5.4016571429,4.2058857143,3.9345142857
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,36,35.92,12.148888889,9.2908333333,9.135
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,36.67,11.044117647,8.4320588235,8.3808823529
1023050531,RICH,DEBORAH,J,MD,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,420.19,230.796,180.03,180.03
1023050549,HUNEYCUTT,BENJAMIN,S,MD,M,I,549 E 3RD ST,,LEXINGTON,KY,405081612,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,165.62615385,67.13,51.920769231,37.230769231
1023050549,HUNEYCUTT,BENJAMIN,S,MD,M,I,549 E 3RD ST,,LEXINGTON,KY,405081612,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,59,32.436779661,20.943389831,15.691525424,13.363559322
1023050549,HUNEYCUTT,BENJAMIN,S,MD,M,I,549 E 3RD ST,,LEXINGTON,KY,405081612,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,80,85,211.31023529,93.944235294,71.082,55.404352941
1023050549,HUNEYCUTT,BENJAMIN,S,MD,M,I,549 E 3RD ST,,LEXINGTON,KY,405081612,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.63,44.745,35.0825,29.515833333
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,28,53,199,62.186281407,8.32,6.1030653266,6.1030653266
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,35,15.912857143,1.42,1.0822857143,1.0822857143
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,496.93,82.94,60.018461538,62.892307692
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,32,205.2975,35.84,25.6484375,23.49
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,99.836666667,12.08,9.47,9.12
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,83,13.538313253,2.12,1.663253012,1.5934939759
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,73.557272727,20.366969697,15.113333333,12.896060606
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,46,470.06478261,89.716956522,66.10326087,52.041086957
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,5546,0.3052578435,0.0466678687,0.033593581,0.033593581
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,339.0475,37.932,24.0575,19.5775
1023050614,DANIEL,DEBORA,C,M.D,F,I,PO BOX 1389,15166 RANKIN AVE,DUNLAP,TN,37327,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,119.08695652,33,24.714347826,24.714347826
1023050879,THAYER,LISA,,N.P.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,22,79.016363636,8.32,5.9272727273,5.9272727273
1023050879,THAYER,LISA,,N.P.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,70.09,50.370833333,50.169166667
1023050879,THAYER,LISA,,N.P.,F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.45,41.25,29.645,27.050833333
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,11,18,36,1.525,0.51,0.4,0.4
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,73,190,615,59.057300813,8.32,6.1935609756,6.1935609756
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,22,54,54,13.711111111,3.38,2.6009259259,2.6009259259
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,21,28,28,24.410714286,2.12,1.6103571429,1.6103571429
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,48,97,190,14.765842105,1.42,1.1014736842,1.1014736842
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,6.7586206897,2.0479310345,1.5165517241,1.0944827586
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,303.52941176,111.64705882,83.098823529,63.853529412
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,177.38076923,78.964615385,60.256153846,43.178461538
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,61.415833333,22.026666667,15.97,12.888333333
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,22,22,52.54,19.283181818,15.118181818,9.6377272727
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,33,99,14.672222222,2.9096969697,2.2816161616,1.6078787879
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,13,13,20.610769231,8.62,6.7623076923,4.6569230769
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,155,64.82037037,48.922962963,36.991851852
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,85,85,109.17129412,22.158823529,16.493529412,12.804941176
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,168,60.513636364,47.441818182,38.843636364
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,25,6.428,4.4576,3.9024
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,143.5,45.55,29.78875,25.414375
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,160,57.055454545,40.261818182,30.4
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,493.94545455,217.88545455,170.81636364,170.81636364
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,116,119,358.89378151,97.467226891,72.508991597,53.973781513
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,44.745,35.0825,29.515833333
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,36,10146,0.3326246797,0.0461068401,0.0317041199,0.0317041199
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2064,2.2826792636,0.1285998062,0.0903536822,0.0903536822
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1278,2.9889514867,0.2181377152,0.1609624413,0.1609624413
1023050929,SIMON,CYRIL,M,D.O.,M,I,1600 N MAIN AVE,,LOVINGTON,NM,882602830,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,47,47,33,33,23.668297872,23.668297872
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,50,201,477,58.815849057,8.32,5.6828721174,5.6828721174
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,13.261176471,3.38,2.65,2.65
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,18.420833333,2.12,1.5308333333,1.5308333333
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,27,62,88,12.825,1.42,1.065,1.065
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1290,2.2325581395,2.0372093023,1.5388449612,1.5410310078
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,69.461538462,52.356153846,41.050769231,32.319230769
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,17,23,118,4,1.5228813559,1.0863559322,0.8838983051
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,55,41,26.142,18.040545455,13.204545455
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,47,29,20.818510638,16.321276596,11.894255319
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,21,21,126.30952381,78.266666667,56.87047619,39.997619048
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,20,20,60.925,26.467,19.6865,13.9665
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,42,20.46625,15.414375,8.55
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,31,162,5.5037037037,3.297037037,2.4540740741,1.5754320988
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,14,14,16.392857143,9.5328571429,7.1064285714,4.5864285714
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,114.69,75.957272727,59.545454545,36.46
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,172,79.709090909,58.997272727,40.618181818
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,22,156,156,48.177692308,22.515384615,16.595576923,12.864102564
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,80,62.163846154,48.734615385,38.656923077
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,19,87,90,21.945,7.7877777778,5.609,3.5123333333
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,115,48.834090909,35.934090909,22.315454545
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,58.285714286,37.99,29.426666667,25.276190476
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,37,271,273,337.82483516,102.06249084,75.516813187,52.91021978
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,2280,17.485921053,9.5964210526,7.5173114035,7.5173114035
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,29,7345,0.2670183799,0.0458924438,0.0314349898,0.0314349898
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,34,4618,2.2435643136,0.1341598094,0.0981095712,0.0981095712
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,28,60,26.155357143,18.962142857,12.163571429
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,85,87,55,44.182643678,32.673448276,27.986896552
1023050952,KNACKSTEDT,NATHANIEL,,DO,M,I,252 W 9TH ST,,HOISINGTON,KS,675441725,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,27,76,76,48.75,33,24.168026316,24.168026316
1023050978,DIETRICH,MARK,E,MD,M,I,981080 NEBRASKA MEDICAL CTR,,OMAHA,NE,681981080,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.95,14.3,5.9345454545,8.2818181818
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,20,14.4885,8.32,6.522,6.522
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.725,3.52,2.7595,3.0575
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.8,7,5.0306666667,5.0306666667
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.13,4.03,3.0190416667,3.0190416667
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,44,8.7470454545,1.8081818182,1.3509090909,1.1204545455
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,72.435454545,62.617272727,49.095454545,39.502727273
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,146.822,54.876666667,40.442,37.030666667
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,30,86.31,18.68,13.664,12.665
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,55,57,48.798245614,7.7847368421,6.0419298246,3.6484210526
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,60,61,519.51,86.118032787,62.579180328,50.829508197
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,1380,1.5942971014,0.1366086957,0.0972318841,0.0972318841
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,420,0.75,0.2193571429,0.1720238095,0.1720238095
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,88.74,24.6572,18.4704,14.1444
1023051067,WALKER,MARY,J,APN,F,I,465 ISBILL RD,,MADISONVILLE,TN,373542112,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,110,33,24.911851852,24.911851852
1023051091,GALLAGHER,JOHN,T,M.D.,M,I,9200 NEW HARMONY RD,,EVANSVILLE,IN,477208938,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,26,88,54.821363636,8.32,6.3985227273,6.3985227273
1023051091,GALLAGHER,JOHN,T,M.D.,M,I,9200 NEW HARMONY RD,,EVANSVILLE,IN,477208938,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,306.92307692,93.632307692,73.408461538,60.960769231
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,40,109,36.223761468,8.32,6.0430275229,6.0430275229
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,12.843333333,3.38,2.5027777778,2.5027777778
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,31,47,10.239361702,1.42,1.0204255319,1.0204255319
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,34,68,5.4691176471,2.0647058824,1.3948529412,1.0075
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,1,0.6538461538,0.4046153846,0.3330769231
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,3,1.6523076923,1.1284615385,0.8746153846
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,22,8.3051724138,5.4237931034,3.1944827586
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,436,102.61833333,77.932083333,52.417083333
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,46,5370,1.7589534451,0.1330446927,0.0967113594,0.0967113594
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,61.05,27.692307692,21.711538462,14.106153846
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.683636364,8.3754545455,6.3454545455
1023051208,CRAGER,LUCINDA,J,ARNP,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,50,50,66.66,33,23.283,23.283
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,20,55,711,58.828818565,19.647651195,14.409437412,14.409437412
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,21,52,1570,7.7701974522,2.6338853503,1.9066942675,1.9066942675
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,51,66,179,901,64.321576027,8.32,5.9781132075,5.9781132075
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,24,24,10.8975,3.38,2.5395833333,2.5395833333
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,15.307142857,2.12,1.67,1.67
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,34,83,216,14.047916667,1.42,1.0157407407,1.0157407407
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,794.87875,368.4853125,279.9253125,279.9253125
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,39,5720,13.517867133,10.163375874,7.9680734266,7.9680734266
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,32,162,164,332.37914634,251.02676829,196.8047561,196.86969512
1023051299,DHAWALE,RAVI,S,MD,M,I,4895 OLENTANGY RIVER RD,SUITE 100,COLUMBUS,OH,432141926,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,25,25,25,289.8904,263.9304,206.92,207.1
1023051372,ADULI,FARHAD,X,MD,M,I,20 STARBRUSH CIR,,COVINGTON,LA,704337208,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,58,14.308965517,2.3910344828,1.7668965517,1.4824137931
1023051372,ADULI,FARHAD,X,MD,M,I,20 STARBRUSH CIR,,COVINGTON,LA,704337208,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,59,74.240847458,20.372881356,14.273898305,12.032033898
1023051372,ADULI,FARHAD,X,MD,M,I,20 STARBRUSH CIR,,COVINGTON,LA,704337208,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,73,410.09931507,90.796164384,65.616164384,50.020684932
1023051372,ADULI,FARHAD,X,MD,M,I,20 STARBRUSH CIR,,COVINGTON,LA,704337208,US,Interventional Cardiology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,74.86,44.745,35.0825,29.515833333
1023051406,CHANG,KENNETH,,MD,M,I,30 MEDICAL CENTER BLVD,SUITE 202,CHESTER,PA,190133955,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,58.755454545,16.125454545,12.637272727,13.422727273
1023051406,CHANG,KENNETH,,MD,M,I,30 MEDICAL CENTER BLVD,SUITE 202,CHESTER,PA,190133955,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,406.31909091,72.487272727,56.831818182,54.886363636
1023051471,LANDERS,DIANE,W,P.A.,F,I,811 W INTERSTATE 20 STE 120,,ARLINGTON,TX,760175871,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,6.1090909091,4.2272727273,3.0727272727
1023051521,MOORE,BRIAN,D,M.D.,M,I,144 STATE ST,,PORTLAND,ME,041013776,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,999.08,775.86333333,829.92833333
1023051604,NEDEFF,DAVID,D,M.D.,M,I,1400 JOHNSTON WILLIS DR,SUITE A,RICHMOND,VA,232354765,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,38,38,38,145,120.79342105,94.705789474,88.039736842
1023051729,ALVAREZ,JEANETTE,,MD,F,I,3501 JOHNSON STREET,,HOLLYWOOD,FL,330215424,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,55,20.525217391,11.464347826,9.8713043478
1023052024,LARIMER,ROBERT,,M.D.,M,I,211 4TH STREET,RAPIDES REGIONAL MEDICAL CENTER,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,77.583191489,21.89212766,16.870638298,13.240212766
1023052024,LARIMER,ROBERT,,M.D.,M,I,211 4TH STREET,RAPIDES REGIONAL MEDICAL CENTER,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,31.957777778,6.1503703704,4.5622222222,3.1711111111
1023052024,LARIMER,ROBERT,,M.D.,M,I,211 4TH STREET,RAPIDES REGIONAL MEDICAL CENTER,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,290.92382979,99.848723404,75.740425532,52.398723404
1023052024,LARIMER,ROBERT,,M.D.,M,I,211 4TH STREET,RAPIDES REGIONAL MEDICAL CENTER,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,80.567857143,26.634285714,20.881428571,14.968571429
1023052065,FERRIS,LORI,,M.D.,F,I,3350 BROWN RD,,CALEDONIA,NY,144239534,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,37,96.732162162,8.32,5.1145945946,5.1145945946
1023052065,FERRIS,LORI,,M.D.,F,I,3350 BROWN RD,,CALEDONIA,NY,144239534,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,24,427.75333333,82.519166667,57.19375,47.8825
1023052081,BACIK,TRACY,M,D.P.M,F,I,408 LAKE ST,,ROSCOMMON,MI,486537663,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,60,98.587,71.56,56.105,56.105
1023052081,BACIK,TRACY,M,D.P.M,F,I,408 LAKE ST,,ROSCOMMON,MI,486537663,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,90,95.668666667,29.19,22.885,22.886111111
1023052081,BACIK,TRACY,M,D.P.M,F,I,408 LAKE ST,,ROSCOMMON,MI,486537663,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,84,93.181428571,43.56,34.151666667,34.150238095
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,30,105,56.334666667,8.32,6.5225714286,6.5225714286
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,14.829090909,3.38,2.65,2.65
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,42,15.503809524,1.42,1.1114285714,1.1114285714
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,2.88,2.88,2.2578888889,2.3092525253
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.08,4.08,3.2,3.2875
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,5.07,5.07,3.975,4.0794444444
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,60,8.22,8.22,6.444,6.4306666667
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,96,3.62,3.62,2.83875,3.2897916667
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,3.7,3.7,2.90125,2.9720833333
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,4.3229050279,3,2.3249162011,2.339273743
1023052164,URIBEBOTERO,GONZALO,,MD,M,I,6655 HILLCROFT ST STE 105,,HOUSTON,TX,770814824,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5288,0.5073279123,0.3789220877,0.2717870651,0.2661157337
1023052214,MEDINA,MARISEL,,D.P.M.,F,I,600 S PINE ISLAND RD,# 300,PLANTATION,FL,333243166,US,Podiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,353.6625,79.2,53.191666667,46.445833333
1023052214,MEDINA,MARISEL,,D.P.M.,F,I,600 S PINE ISLAND RD,# 300,PLANTATION,FL,333243166,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,47.47,22.124210526,17.348947368,15.344736842
1023052214,MEDINA,MARISEL,,D.P.M.,F,I,600 S PINE ISLAND RD,# 300,PLANTATION,FL,333243166,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,18.46,9.6373684211,7.5547368421,7.1136842105
1023052214,MEDINA,MARISEL,,D.P.M.,F,I,600 S PINE ISLAND RD,# 300,PLANTATION,FL,333243166,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,438,266.98,204.16333333,212.46666667
1023052289,GALLAGHER,NANCY,P,ANP,F,I,22-18 BROADWAY,SUITE 102,FAIR LAWN,NJ,074103016,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,56,101,59.682178218,8.32,5.6189108911,5.6189108911
1023052289,GALLAGHER,NANCY,P,ANP,F,I,22-18 BROADWAY,SUITE 102,FAIR LAWN,NJ,074103016,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,27,15.960740741,1.42,1.1140740741,1.1140740741
1023052289,GALLAGHER,NANCY,P,ANP,F,I,22-18 BROADWAY,SUITE 102,FAIR LAWN,NJ,074103016,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.68,5.7272727273,4.4936363636,3.6854545455
1023052289,GALLAGHER,NANCY,P,ANP,F,I,22-18 BROADWAY,SUITE 102,FAIR LAWN,NJ,074103016,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2504,0.3776757188,0.0462859425,0.0335303514,0.0335303514
1023052289,GALLAGHER,NANCY,P,ANP,F,I,22-18 BROADWAY,SUITE 102,FAIR LAWN,NJ,074103016,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1023052446,RUDOLPH,JASON,W,MD,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,995,114.45545455,76.695454545,82.947272727
1023052446,RUDOLPH,JASON,W,MD,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,129,85.2,59.558235294,56.238235294
1023052446,RUDOLPH,JASON,W,MD,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,27,50.925925926,49.824074074,36.677407407,36.675925926
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,460,9.495,3.8243478261,2.8652826087,2.9246086957
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,38,17.335263158,4.1,3.0452631579,3.0452631579
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,1000,10.64035,5.74,4.5002,4.5002
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,548,4.7627007299,2.91,2.2398905109,2.2398905109
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,740,20.222324324,9.86,7.6267972973,7.6267972973
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,28,760,11.994552632,6.7473684211,4.5546842105,4.7527631579
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,22,800,6.9475625,4.03,3.0015375,3.0015375
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,1170,0.5915811966,0.27,0.2116581197,0.2116581197
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,660,5.1912727273,3.04,2.3111212121,2.3111212121
1023052537,SHAH,NISHIT,,,M,I,208 COLLYER ST,SUITE 302,PROVIDENCE,RI,029041560,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,17,1530,0.7749673203,0.27,0.2116797386,0.2116797386
1023052578,SAULLE,LEONARDO,N,MD,M,I,2001 MARCUS AVE STE E249,,NEW HYDE PARK,NY,110421000,US,Physician/Cardiovascular Disease (Cardiology),S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,2.7226666667,2.02,1.1489090909,1.1489090909
1023052578,SAULLE,LEONARDO,N,MD,M,I,2001 MARCUS AVE STE E249,,NEW HYDE PARK,NY,110421000,US,Physician/Cardiovascular Disease (Cardiology),S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,7.17,3,2.3435,2.3591666667
1023052578,SAULLE,LEONARDO,N,MD,M,I,2001 MARCUS AVE STE E249,,NEW HYDE PARK,NY,110421000,US,Physician/Cardiovascular Disease (Cardiology),S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7044,0.5277243044,0.3,0.2152654742,0.2232722885
1023052610,LYLE,JAMES,E,M.D.,M,I,2000 PEPPERELL PARKWAY,,OPELIKA,AL,36801,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,124.999375,52.44125,33.975,29.62375
1023052610,LYLE,JAMES,E,M.D.,M,I,2000 PEPPERELL PARKWAY,,OPELIKA,AL,36801,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,65,24.078571429,17.963333333,13.928095238
1023052610,LYLE,JAMES,E,M.D.,M,I,2000 PEPPERELL PARKWAY,,OPELIKA,AL,36801,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,146.81545455,117.67,92.26,100.18045455
1023052610,LYLE,JAMES,E,M.D.,M,I,2000 PEPPERELL PARKWAY,,OPELIKA,AL,36801,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,67.71,53.2,41.71,46.06
1023052644,RODRIGUEZ,JORGE,,MD,M,I,8301 NW 12 ST,,DORAL,FL,331260000,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,1.24,0.51,0.4,0.4
1023052644,RODRIGUEZ,JORGE,,MD,M,I,8301 NW 12 ST,,DORAL,FL,331260000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,55,159,57.059874214,8.32,5.8258490566,5.8258490566
1023052644,RODRIGUEZ,JORGE,,MD,M,I,8301 NW 12 ST,,DORAL,FL,331260000,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,23,23,14.88,3.38,2.65,2.65
1023052644,RODRIGUEZ,JORGE,,MD,M,I,8301 NW 12 ST,,DORAL,FL,331260000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,32,66,17.051969697,1.42,1.0278787879,1.0278787879
1023052677,COURTNEY,BRIAN,T,M.D.,M,I,1531 ESPLANADE,,CHICO,CA,959263310,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,102.61833333,75.474166667,50.169166667
1023052677,COURTNEY,BRIAN,T,M.D.,M,I,1531 ESPLANADE,,CHICO,CA,959263310,US,Physician/Infectious Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,130,37.64,29.51,29.51
1023052776,MATSUURA,JOHN,K,MD,M,I,2351 CONNECTICUT AVE S,SUITE 200,SARTELL,MN,563772477,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1092,0.39,0.13,0.1018956044,0.1018956044
1023052776,MATSUURA,JOHN,K,MD,M,I,2351 CONNECTICUT AVE S,SUITE 200,SARTELL,MN,563772477,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,2205,4.1087755102,2.04,1.5667528345,1.5667528345
1023052776,MATSUURA,JOHN,K,MD,M,I,2351 CONNECTICUT AVE S,SUITE 200,SARTELL,MN,563772477,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,1710,8.3605263158,6.15,4.8215555556,5.6237660819
1023052776,MATSUURA,JOHN,K,MD,M,I,2351 CONNECTICUT AVE S,SUITE 200,SARTELL,MN,563772477,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,33,14.352727273,10.93,8.0506060606,8.0506060606
1023052776,MATSUURA,JOHN,K,MD,M,I,2351 CONNECTICUT AVE S,SUITE 200,SARTELL,MN,563772477,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,132,2.4418181818,1.7963636364,1.280530303,1.2837121212
1023052784,OSTROVSKAYA,ROZALIYA,,MD,F,I,205 OCEAN VIEW AVE,,BROOKLYN,NY,112356824,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,59,342,457,78.504989059,8.32,5.7028884026,5.7028884026
1023052784,OSTROVSKAYA,ROZALIYA,,MD,F,I,205 OCEAN VIEW AVE,,BROOKLYN,NY,112356824,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,40,103,103,31.123009709,1.42,0.9025242718,0.9025242718
1023052859,WEIMER,PHILIP,C,M.D.,M,I,7800 SHERIDAN ST,,PEMBROKE PINES,FL,330242536,US,Physician/Emergency Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,339,10.919380531,10.919380531,8.5607964602,8.5691150442
1023052867,MEHARI,FISEHATSION,G,MD,M,I,9901 MEDICAL CENTER DR,,ROCKVILLE,MD,208503357,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100,4.78,3.3090909091,3.0727272727
1023052958,SHARMA,CHANDRA,P,M.D.,M,I,454 MCDOWELL ST,,WELCH,WV,248012029,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,240,67.274166667,48.473333333,33.273333333
1023052958,SHARMA,CHANDRA,P,M.D.,M,I,454 MCDOWELL ST,,WELCH,WV,248012029,US,Physician/Emergency Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,130,60.14,43.053333333,31.581666667
1023052958,SHARMA,CHANDRA,P,M.D.,M,I,454 MCDOWELL ST,,WELCH,WV,248012029,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,27.1525,19.6875,12.371666667
1023052974,NEVILLE,ROBERT,E,DPM,M,I,1120 MEDICAL PLAZA DR,SUITE 180,THE WOODLANDS,TX,773803242,US,Podiatry,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,47.125454545,36.945454545,36.297272727
1023052974,NEVILLE,ROBERT,E,DPM,M,I,1120 MEDICAL PLAZA DR,SUITE 180,THE WOODLANDS,TX,773803242,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,15.916666667,12.476666667,13.72
1023052974,NEVILLE,ROBERT,E,DPM,M,I,1120 MEDICAL PLAZA DR,SUITE 180,THE WOODLANDS,TX,773803242,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,36,300,251.28,197,218.89
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,29,64,225,58.315511111,8.3171111111,6.2310666667,6.2310666667
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,24,24,14.958333333,3.38,2.4395833333,2.4395833333
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,12,12,22.8,2.12,1.67,1.67
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,39,63,14.75015873,1.42,1.0977777778,1.0977777778
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,57,57,20.99,5.0985964912,3.4385964912,3.0236842105
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,28,683.02535714,70.23,53.093571429,52.777857143
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,3219,0.2376048462,0.0460981671,0.0217707363,0.0217707363
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,2040,1.132,0.1360588235,0.0840588235,0.0840588235
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,61.541818182,19.852727273,12.970909091,12.013636364
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,27.98,9.1057142857,6.695,6.6114285714
1023053006,HERRMAN,SHAUNNA,L,PA-C,F,I,7118 MAIN ST,,WADE,NC,283959749,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,118.8,33,19.801333333,19.801333333
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,39,93,286,57.002202797,8.32,5.5643706294,5.5643706294
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,28,28,16.054285714,3.38,2.4607142857,2.4607142857
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,24.624,2.12,1.67,1.67
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,57,97,15.083092784,1.42,0.9990721649,0.9990721649
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,334.09285714,48.171428571,37.768571429,39.954285714
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,138.96181818,16.97,12.705,12.937727273
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.29,3.4209090909,2.1354545455,2.97
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,483.20257143,71,52.479428571,51.629142857
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,5122,0.5370402187,0.0465833659,0.0298906677,0.0298906677
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,126.07545455,18.412727273,14.432727273,14.312727273
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,123.2516129,25.153225806,19.118709677,20.607096774
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,82.02375,10.25,8.03625,7.05125
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,74.35,36,25.868333333,27.185
1023053105,TANSON,GABRIEL,K,"M.D.,",M,I,4873 WEST LN,,STOCKTON,CA,952104548,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,36.882352941,33,22.188823529,22.188823529
1023053295,BROWN,MICHAEL,O,M.D.,M,I,114 W MEDICAL PARK DR,,LEXINGTON,NC,272926773,US,Physician/Obstetrics & Gynecology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,1001.76,1001.76,785.38,775.55
1023053329,ROZIN,SPENCER,I,MD FACP,M,I,721 WELLNESS WAY,SUITE 220,LAWRENCEVILLE,GA,300463304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,31,105,66.714285714,8.32,6.2737142857,6.2737142857
1023053329,ROZIN,SPENCER,I,MD FACP,M,I,721 WELLNESS WAY,SUITE 220,LAWRENCEVILLE,GA,300463304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,17,14.559411765,1.42,0.9847058824,0.9847058824
1023053329,ROZIN,SPENCER,I,MD FACP,M,I,721 WELLNESS WAY,SUITE 220,LAWRENCEVILLE,GA,300463304,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,67.126666667,17.75,12.525555556,12.183888889
1023053329,ROZIN,SPENCER,I,MD FACP,M,I,721 WELLNESS WAY,SUITE 220,LAWRENCEVILLE,GA,300463304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,39,43,316.6027907,79.624186047,56.891162791,51.265813953
1023053329,ROZIN,SPENCER,I,MD FACP,M,I,721 WELLNESS WAY,SUITE 220,LAWRENCEVILLE,GA,300463304,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,2760,0.8291775362,0.136,0.0928007246,0.0928007246
1023053329,ROZIN,SPENCER,I,MD FACP,M,I,721 WELLNESS WAY,SUITE 220,LAWRENCEVILLE,GA,300463304,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,76.3,29.8225,23.3775,21.6225
1023053329,ROZIN,SPENCER,I,MD FACP,M,I,721 WELLNESS WAY,SUITE 220,LAWRENCEVILLE,GA,300463304,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,35.011904762,33,19.71047619,19.71047619
1023053352,MUSTAIN,CATHERINE,L,P.A.,F,I,421 N. MAIN STREET,,MULBERRY,AR,72947,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,23,27.935652174,8.32,4.5365217391,4.5365217391
1023053352,MUSTAIN,CATHERINE,L,P.A.,F,I,421 N. MAIN STREET,,MULBERRY,AR,72947,US,Physician Assistant,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,7.1033333333,6.44,4.6291666667,4.6291666667
1023053352,MUSTAIN,CATHERINE,L,P.A.,F,I,421 N. MAIN STREET,,MULBERRY,AR,72947,US,Physician Assistant,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.187,5.54,3.9815416667,3.9815416667
1023053352,MUSTAIN,CATHERINE,L,P.A.,F,I,421 N. MAIN STREET,,MULBERRY,AR,72947,US,Physician Assistant,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.508,4.03,3.047,3.047
1023053352,MUSTAIN,CATHERINE,L,P.A.,F,I,421 N. MAIN STREET,,MULBERRY,AR,72947,US,Physician Assistant,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.299,0.24,0.1725166667,0.1944666667
1023053352,MUSTAIN,CATHERINE,L,P.A.,F,I,421 N. MAIN STREET,,MULBERRY,AR,72947,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,102.61833333,68.5,46.99
1023053436,HULST,TIMOTHY,J,D.P.M.,M,I,2144 E. PARIS AVE. SE,STE 100,GRAND RAPIDS,MI,49546,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,40,40,80,71.817125,70.117,54.971875,56.04375
1023053436,HULST,TIMOTHY,J,D.P.M.,M,I,2144 E. PARIS AVE. SE,STE 100,GRAND RAPIDS,MI,49546,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,168,30,29.19,22.885,22.886547619
1023053659,HAEG,BENEDICT,R,M.D.,M,I,425 ELM ST N,CENTRACARE HEALTH SYSTEM-SAUK CENTRE,SAUK CENTRE,MN,563031010,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,22,57,43.251929825,8.3136842105,6.2971929825,6.3024561404
1023053659,HAEG,BENEDICT,R,M.D.,M,I,425 ELM ST N,CENTRACARE HEALTH SYSTEM-SAUK CENTRE,SAUK CENTRE,MN,563031010,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,612.78870968,69.99,46.02,45.907096774
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,52,123,66.77601626,8.32,5.7791869919,5.7791869919
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.865454545,3.38,2.65,2.65
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,30,15.749,1.42,0.969,0.969
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,300,11.212,3.32,2.4294,2.8613333333
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,3400,0.1035294118,0.05,0.0345882353,0.0345882353
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,19,43.695789474,4.5373684211,3.3805263158,3.3789473684
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,505.20617021,70.23,48.790425532,48.494042553
1023053758,PAGAN,ELVIS,R,M.D.,M,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,202.27272727,37.44,26.681818182,26.838181818
1023053881,DIETTE,GREGORY,B,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,530.49745098,81.515490196,61.442941176,53.146078431
1023053881,DIETTE,GREGORY,B,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,41.6,32.61,29.51
1023053881,DIETTE,GREGORY,B,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1440,1.2970416667,0.1360416667,0.099125,0.099125
1023053881,DIETTE,GREGORY,B,M.D.,M,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,25.87,25.87
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,34,94,80.192659574,8.32,5.8276595745,5.8276595745
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,17,14.792941176,1.42,1.0505882353,1.0505882353
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,22,22,74.513181818,41.03,30.07,28.627272727
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,185.12818182,92.26,72.33,67.85
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,69,42.652173913,19.33,15.153478261,14.646521739
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,119.66666667,54.96,38.757333333,38.572666667
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,43.588235294,19.08,14.070588235,13.285294118
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,23,133,5.5670676692,2.22,1.6630827068,1.534887218
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,136.11111111,33.12,25.963333333,25.973333333
1023053964,HIEB,LOUIS,A,DO,M,I,525 LONG POND DR,,HARWICH,MA,026451227,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3345,0.2998086697,0.0450373692,0.0328310912,0.0328251121
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,45,141,354,67.625423729,8.32,5.7355084746,5.7355084746
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,24,36,14.396111111,1.42,0.9316666667,0.9316666667
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,33,66,4.6903030303,1.5,1.1007575758,1.0772727273
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,52.441666667,18.101666667,14.186666667,14.06
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,22,46,7.0843478261,2.0134782609,1.4336956522,1.4536956522
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,166.866,49.434,30.534,30.534
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,13,76,76,17.961578947,4.5922368421,3.3639473684,3.3639473684
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,597.98909091,76.089545455,53.036363636,52.947272727
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,2610,2.121605364,0.1351724138,0.1059846743,0.1059846743
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,450,8.0262222222,3.0764666667,2.2464888889,2.2464888889
1023053972,MUTCHLER,BRYANT,A,DO,M,I,210 W 53RD ST,,DAVENPORT,IA,528062251,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,37,37,33,33,24.808108108,24.808108108
1023053980,ABBASS,HASSAN,,MD,M,I,88 CENTER RD STE 230,,BEDFORD,OH,441462708,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,61,12.165245902,2,1.4142622951,1.4352459016
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,75,104,104,100.32692308,49.659903846,36.979423077,29.667211538
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,39,57,57,379.64894737,120.48859649,88.28754386,63.946315789
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,14,23,39,104.51769231,43.326923077,31.030769231,23.642820513
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,18,23,31,114.64516129,27.129354839,20.753225806,16.082580645
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,19,119.10526316,19.886315789,15.593157895,13.340526316
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,74,99,99,302.82575758,76.358888889,55.690606061,41.765353535
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,101,112,112,63.359821429,25.228928571,19.069732143,14.088214286
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,32,32,59.8734375,18.405,13.2315625,8.3125
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,95,170,507,6.7797830375,2.4513609467,1.7770019724,1.4958185404
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,74,91,91,6.8416483516,5.9714285714,4.3124175824,4.3449450549
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,38,45,45,92.333333333,15.704666667,11.249333333,9.7244444444
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,19,122,122,320.40983607,125.19532787,95.957459016,66.988196721
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,597.84,325.04709677,254.83806452,173.62903226
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,42,42,42,603.66666667,192.02,147.94857143,110.79785714
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,49,274,274,144.10583942,51.53879562,38.209379562,25.929014599
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,366.77027027,110.76756757,84.740810811,55.28972973
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,223.33333333,45.51,33.248148148,27.985185185
1023054061,MITCHELL,KRISTIN,M,,F,I,247 N FIREWEED,STE A PENINSULA INTERNAL MEDICINE PC,SOLDOTNA,AK,996697593,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,104.5,26.185454545,17.473636364,10.718181818
1023054137,LANGAN,ANDREA,J,APNP,F,I,2825 HUNTERS TRL,,PORTAGE,WI,539013429,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,72,71.074027778,8.32,5.5870833333,5.5870833333
1023054137,LANGAN,ANDREA,J,APNP,F,I,2825 HUNTERS TRL,,PORTAGE,WI,539013429,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,20.896923077,16.382307692,13.532307692
1023054137,LANGAN,ANDREA,J,APNP,F,I,2825 HUNTERS TRL,,PORTAGE,WI,539013429,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,519.51,102.61833333,80.455,58.105
1023054137,LANGAN,ANDREA,J,APNP,F,I,2825 HUNTERS TRL,,PORTAGE,WI,539013429,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,69,33,16.462727273,16.462727273
1023054178,RAMIREZ MARTINEZ,KARLA,,MD,F,I,129 W KEMPER RD,SPRINGDALE,SPRINGDALE,OH,452462511,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,35,85,76.015764706,8.32,6.3688235294,6.3688235294
1023054178,RAMIREZ MARTINEZ,KARLA,,MD,F,I,129 W KEMPER RD,SPRINGDALE,SPRINGDALE,OH,452462511,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,19,18.391578947,1.42,0.9389473684,0.9389473684
1023054269,PATEL,PURNIMA,K,MD,F,I,36243 INLAND VALLEY DRIVE,SUITE 160,WILDOMAR,CA,925959548,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,64,145,431,74.075290023,8.32,5.7553596288,5.7553596288
1023054269,PATEL,PURNIMA,K,MD,F,I,36243 INLAND VALLEY DRIVE,SUITE 160,WILDOMAR,CA,925959548,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,27,43,61,16.043770492,1.42,1.0072131148,1.0072131148
1023054269,PATEL,PURNIMA,K,MD,F,I,36243 INLAND VALLEY DRIVE,SUITE 160,WILDOMAR,CA,925959548,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,86.31,18.8059375,13.4453125,12.2771875
1023054269,PATEL,PURNIMA,K,MD,F,I,36243 INLAND VALLEY DRIVE,SUITE 160,WILDOMAR,CA,925959548,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,68,68,501.935,82.667941176,61.194117647,51.727352941
1023054269,PATEL,PURNIMA,K,MD,F,I,36243 INLAND VALLEY DRIVE,SUITE 160,WILDOMAR,CA,925959548,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,840,1.0090357143,0.1358214286,0.0934880952,0.0934880952
1023054350,SCHNECK,GIDEON,,M.D.,M,I,33 RESEARCH WAY,,EAST SETAUKET,NY,117333489,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,100,58.86,42.116363636,46.770909091
1023054475,TSUE,TERANCE,T,MD,M,I,3901 RAINBOW BLVD,MS 3010,KANSAS CITY,KS,661600001,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1110,3.3072162162,2.8,2.1952162162,2.1952162162
1023054541,EVETTS,LYNNE,M,NP,F,I,300 COLORADO AVE,,PUEBLO,CO,810042006,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,17.91,14.04,13.581666667
1023054541,EVETTS,LYNNE,M,NP,F,I,300 COLORADO AVE,,PUEBLO,CO,810042006,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,362.5,70.48,49.039375,48.575625
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,78.96952381,8.32,5.8995238095,5.8995238095
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,17.000769231,1.42,1.12,1.12
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E0197,"Air pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40.72,11.85,9.2925,11.145833333
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,134.38,43.457916667,27.96875,29.6375
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,128.98,46.249230769,36.261538462,36.825384615
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,23,52.993043478,10.896956522,8.1995652174,8.3556521739
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,47,34.435319149,9.7659574468,7.4965957447,7.8470212766
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,24.01,9.7451724138,7.6396551724,8.8310344828
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,31,31,500.20709677,210.46709677,151.60451613,151.60451613
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,16,519.51,68.7175,47.24125,47.431875
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,3646,0.5281130005,0.047638508,0.0358392759,0.0358392759
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,119.34,21.436,15.724,18.94
1023054574,MALMBERG,CORINNE,R,APN-C,F,I,67 ROUTE 37 W,RIVERWOOD II,TOMS RIVER,NJ,087556400,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,25.530625,25.530625
1023054640,ROHRER,DAVID,A,M.D.,M,I,400 13TH AVE S,SUITE 101,GREAT FALLS,MT,594054375,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1040,0.5269230769,0.4338461538,0.3401153846,0.3449615385
1023054640,ROHRER,DAVID,A,M.D.,M,I,400 13TH AVE S,SUITE 101,GREAT FALLS,MT,594054375,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,406,4.1097536946,3.67,2.8773399015,2.8773399015
1023054640,ROHRER,DAVID,A,M.D.,M,I,400 13TH AVE S,SUITE 101,GREAT FALLS,MT,594054375,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,16,1568,0.5249744898,0.45,0.3528252551,0.3528252551
1023054640,ROHRER,DAVID,A,M.D.,M,I,400 13TH AVE S,SUITE 101,GREAT FALLS,MT,594054375,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,13,170,80.947058824,26.455,20.740647059,19.218
1023054640,ROHRER,DAVID,A,M.D.,M,I,400 13TH AVE S,SUITE 101,GREAT FALLS,MT,594054375,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,115,53.9,8.7669565217,6.8735652174,6.4152173913
1023054640,ROHRER,DAVID,A,M.D.,M,I,400 13TH AVE S,SUITE 101,GREAT FALLS,MT,594054375,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,4818,994.46153846,779.65846154,507.36
1023054699,AMEERI,FARAH,A,D.O.,F,I,13768 ROSWELL AVE,SUITE 115,CHINO,CA,917101401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,56,109,77.830733945,8.32,4.8457798165,4.8457798165
1023054699,AMEERI,FARAH,A,D.O.,F,I,13768 ROSWELL AVE,SUITE 115,CHINO,CA,917101401,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,24,28,32.303214286,1.42,0.8,0.8
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,44,143,52.402307692,8.32,5.974965035,5.974965035
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,23,43,14.79744186,1.42,1.0365116279,1.0365116279
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,28,28,73.845,48.2725,36.641428571,29.825714286
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,16,22,22,190.52,121.98363636,77.768636364,52.562272727
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,16,32,65,70.923076923,45.482615385,32.742769231,23.591538462
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,11,28,75,49.404933333,23.444133333,17.332933333,13.744133333
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,15,28,28,137.95285714,73.015714286,52.325357143,40.097142857
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,31,45,45,71.532444444,24.721555556,17.169555556,12.580888889
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,34,34,78.911764706,19.515882353,13.858235294,8.4755882353
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,30,65,208,9.9922115385,2.9575480769,2.1250480769,1.489375
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,31.496111111,8.7633333333,6.3338888889,4.1427777778
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,24,35,35,153.28342857,15.500571429,10.134,8.5894285714
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,150,25.128285714,18.589142857,13.695714286
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,451,114.69333333,82.381111111,58.085
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,765,301.21916667,234.92083333,168.37666667
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,18,83,83,50,16.973975904,11.257108434,8.4513253012
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,16,89,89,130,47.539101124,31.770674157,20.626629213
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,86,86,488.31511628,102.45802326,75.568139535,53.618604651
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,61,163.60655738,44.778196721,32.835737705,28.165901639
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,4663,0.1540145829,0.0464314819,0.031499035,0.031499035
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,2040,1.2835,0.1349411765,0.0897647059,0.0897647059
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,7.0859479167,2.9239375,2.1038125,2.1038125
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,744,0.296922043,0.2190322581,0.1716935484,0.1716935484
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,96.666666667,26.414166667,20.1,13.216666667
1023054715,CRAIG,THOMAS,A,M.D,M,I,1106 SAINT MARYS RD,SUITE 103,JUNCTION CITY,KS,664414158,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,33,33,33,22.734242424,22.734242424
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,104.95611111,38.63,26.915555556,27.106666667
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,33,80,80,251.576,85.512875,60.532375,61.304
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,17,40,85,118.88917647,31.86,24.013882353,24.904117647
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,16,37,180,88.9395,17.415222222,12.450611111,13.328277778
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,14,28,136,58.662205882,15.296617647,11.609411765,11.511544118
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,49,118,118,177.69601695,55.009830508,40.568135593,40.324915254
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,78,105,105,53.909142857,18.259714286,13.50847619,13.280190476
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,76,169,169,72.575029586,11.497869822,8.6447337278,8.7428402367
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,82,183,1023,7.4009579668,1.9401759531,1.4428934506,1.5114467253
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,25,35,35,25.425142857,6.1088571429,4.5091428571,4.3894285714
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,54,72,72,42.351527778,14.420277778,10.836944444,9.9625
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,83.36025,17.2505,11.8305,11.849
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,174.545,47.3775,34.8225,35.286875
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,290,89.78,70.39,69.704
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,23,23,399.07391304,131.94,101.52869565,102.40521739
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,46.438333333,12.674166667,9.075,9.1591666667
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,41,227,232,173.39538793,32.914913793,24.783405172,24.607241379
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,69,70,402.64685714,79.736142857,55.431,49.223857143
1023054772,VILLENEUVE,MARK,R,MD,M,I,14555 LEVAN RD,SUITE 202,LIVONIA,MI,481545083,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,272.4137931,35.63,26.805172414,28.180344828
1023054780,RUBOYIANES,JOHN,M,MD,M,I,3982 N CAMPBELL AVE,,TUCSON,AZ,85719,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,242.40888889,42.37,31.997777778,23.479444444
1023054806,SMITH,JOHN,D,MD,M,I,"11 UPPER RIVERDALE RD, SW",,RIVERDALE,GA,302742615,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,51,69.799411765,8.32,5.7541176471,5.7541176471
1023054806,SMITH,JOHN,D,MD,M,I,"11 UPPER RIVERDALE RD, SW",,RIVERDALE,GA,302742615,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,115,48.984166667,38.400833333,26.470833333
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,35,83,216,49.524722222,8.32,6.0779166667,6.0779166667
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,13,24,24,12.595833333,3.38,2.65,2.65
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,15.58,2.12,1.67,1.67
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,27,52,69,11.557101449,1.42,1.0197101449,1.0197101449
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,51.78,17.25,13.52,13.53875
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,130.28333333,31.912051282,24.904358974,24.678205128
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,50,341.3652,79.88,62.5282,57.3142
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,25,270,35.63,27.93,29.0676
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4418,0.5080986872,0.0459959258,0.0335694885,0.0335694885
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,106.39,27.777272727,18.987272727,18.451363636
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,26.52,7.2327272727,5.0090909091,5.6990909091
1023055019,BINNS-EMERICK,LISA,,"CNP, GCNS-BC",F,I,4201 ST ANTOINE STE 5B,DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH,DETROIT,MI,48201,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,24.253125,24.253125
1023055217,STEINBERG,DANIEL,G,M.D.,M,I,"25 BOYLSTON STREET, SUITE #215",ALLERGY & ASTHMA CENTER OF MA,CHESTNUT HILL,MA,02467,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,750,7.4077333333,2.97328,2.33108,2.33108
1023055217,STEINBERG,DANIEL,G,M.D.,M,I,"25 BOYLSTON STREET, SUITE #215",ALLERGY & ASTHMA CENTER OF MA,CHESTNUT HILL,MA,02467,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,25.87,25.87
1023055290,DOUGLAS,JEFFREY,L,M.D.,M,I,1915 WHITE AVE,SUITE 601,KNOXVILLE,TN,379162300,US,Physician/Infectious Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,69,52.752028986,11.080434783,8.1760869565,13.151014493
1023055290,DOUGLAS,JEFFREY,L,M.D.,M,I,1915 WHITE AVE,SUITE 601,KNOXVILLE,TN,379162300,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,47,341.07851064,94.102765957,69.738723404,52.831914894
1023055290,DOUGLAS,JEFFREY,L,M.D.,M,I,1915 WHITE AVE,SUITE 601,KNOXVILLE,TN,379162300,US,Physician/Infectious Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,26,92.65,25.342307692,19.319615385,13.601153846
1023055498,TENALI,EDWIN,N,P.A.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,23.498947368,17.036842105,13.355263158,13.53
1023055498,TENALI,EDWIN,N,P.A.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,100,5.81,4.5566666667,3.7566666667
1023055498,TENALI,EDWIN,N,P.A.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,104.82315789,79.770526316,62.540526316,56.093684211
1023055506,AHMADIAN,FERESHTEH,,M.D.,F,I,111 BEACH RD,STE 3,FAIRFIELD,CT,068246668,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,27,93,80.451397849,8.32,5.8913978495,5.8913978495
1023055506,AHMADIAN,FERESHTEH,,M.D.,F,I,111 BEACH RD,STE 3,FAIRFIELD,CT,068246668,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1110,1.7624144144,0.1315675676,0.0933243243,0.0933243243
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,37,140,170,68.988882353,8.32,5.4588823529,5.4588823529
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,15.555555556,3.38,2.5027777778,2.5027777778
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,23.525,2.12,1.5308333333,1.5308333333
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,34,35,21.189428571,1.42,0.928,0.928
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,5.2446153846,2.1038461538,1.5515384615,1.2238461538
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,218.76,105.026875,72.925625,59.385625
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,30,101.88066667,38.349666667,29.201666667,25.054
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,43.193125,22.39125,15.351875,12.446875
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,22,22,40.978636364,15.577272727,11.293181818,8.2709090909
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,23,110,6.8229090909,2.7492727273,2.0911818182,1.5327272727
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,55,55,72.198727273,23.005818182,17.763454545,14.050181818
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,20,7.9492105263,6.1352631579,3.9121052632
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,7.07,7.07,5.55,7.57
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,76,76,291.35736842,104.205,79.339868421,56.899078947
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,17.84,17.84,13.98,21.21
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,18.191746032,9.6275238095,7.547968254,7.547968254
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2911,0.3588182755,0.0466403298,0.0334146341,0.0334146341
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,44,4530,1.4507660044,0.1327350993,0.0962494481,0.0962494481
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,1890,9.2757142857,3.0238253968,2.2305343915,2.2305343915
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,50,28.16,20.019285714,13.902857143
1023055605,BROWNFIELD,MONA,L,MD,F,I,17601 B HWY,,BOONVILLE,MO,652332839,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,16,63,63,55,33,24.227460317,24.227460317
1023055647,SCARLETT,WILLIAM,L,D.O.,M,I,3300 TILLMAN DR,SUITE 201,BENSALEM,PA,190202071,US,Physician/Plastic and Reconstructive Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,30,75,40.96,35.3,26.5844,29.2492
1023055746,CRAVENS,DAVID,D,"MD, MSPH, CMD",M,I,ONE HOSPITAL DRIVE,,COLUMBIA,MO,652010001,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,53,59,145.94915254,19.770677966,14.508474576,12.816949153
1023055746,CRAVENS,DAVID,D,"MD, MSPH, CMD",M,I,ONE HOSPITAL DRIVE,,COLUMBIA,MO,652010001,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,62.16,9.5163333333,6.9526666667,5.962
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,39,101,696.73613861,19.691584158,15.439306931,15.439306931
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,12,176,161.49323864,37.312954545,29.253181818,29.253181818
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,160,285,285,94.00045614,47.322140351,35.480140351,29.637894737
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,25,48,79,5.4798734177,1.8250632911,1.3825316456,1.1334177215
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,2.3516666667,1.265,0.9895833333,0.96
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,2.5723529412,1.3929411765,1.0888235294,0.9605882353
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,94,168,168,276.82767857,114.93553571,85.776785714,65.932202381
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,58,131,246,126.05113821,42.407764228,32.409308943,25.578617886
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,26,46,174,76.953275862,23.720747126,17.952701149,14.385402299
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,23,44,151,41.918278146,19.553509934,14.28589404,11.386887417
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,102,194,194,153.01314433,71.630360825,53.947525773,41.950670103
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,172,225,225,50.003244444,23.206088889,17.639333333,14.002488889
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,21,41,41,59.186585366,17.783902439,13.464634146,8.9153658537
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,179,371,1143,8.1140594926,2.8536570429,2.17832021,1.5939107612
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,40,52,52,54.864807692,15.1375,11.664038462,10.142692308
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,41,298,298,61.867449664,24.45704698,17.798993289,13.921275168
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,16,70,75,149.17466667,60.157466667,45.382933333,36.840133333
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,14,120,120,1906.8026667,1074.31,835.592,835.592
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,14,91,91,361.66549451,103.42747253,77.748021978,61.145054945
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,715.16206897,310.95310345,243.79068966,176.53517241
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,1488.4,907.05967742,699.46419355,699.46419355
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,32,32,32,384.243125,189.060625,141.3253125,114.95375
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,22,24,46.229583333,14.465,10.860833333,10.043333333
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,46,309,309,43.743495146,7.7737864078,5.8998058252,3.662038835
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,69,334,336,149.68875,44.528511905,32.259345238,24.292529762
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,92,717,717,416.43005579,93.823835425,70.178340307,53.81446304
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,117,117,129.44444444,42.476923077,32.999487179,29.418290598
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,10600,160.09741509,9.8423962264,7.716440566,7.716440566
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,6200,121.12035484,62.382733871,48.908054839,48.908054839
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1320,15.799416667,9.6651363636,7.4913863636,7.4913863636
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1146,18.45539267,10.666701571,8.3627312391,8.3627312391
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,47,14089,0.3437000497,0.0459862304,0.0352672298,0.0352672298
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2099,1.171896141,0.1274035255,0.0920914721,0.0920914721
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,2286,9.8870384952,2.8390813648,2.1815135608,2.1815135608
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,420,1181.4047619,567.97259524,445.12845238,445.12845238
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,1275.7368421,298.1,231.17473684,231.17473684
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,26,102,419.93,2.64,2.07,2.07
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,119,119,105.13008403,41.959663866,31.56487395,28.500672269
1023055761,PRITCHETT,MICHAEL,A,D.O.,M,I,205 PAGE ROAD,,PINEHURST,NC,283748798,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,27,98,98,68.349489796,32.918367347,25.278061224,25.278061224
1023055910,PEARSALL,MARGARET,M,MD,F,I,8044 N SANTA MONICA BLVD,,FOX POINT,WI,532172968,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,447.79,79.98,62.7,54.72
1023056074,HICKEY,JILL,V,DPM,F,I,49 8TH ST N,,NAPLES,FL,341026020,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,45,90,84.555555556,71.56,53.885222222,53.885111111
1023056074,HICKEY,JILL,V,DPM,F,I,49 8TH ST N,,NAPLES,FL,341026020,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,126,35.047619048,29.19,22.885,22.886428571
1023056074,HICKEY,JILL,V,DPM,F,I,49 8TH ST N,,NAPLES,FL,341026020,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,114,54.552631579,43.56,33.90754386,33.905877193
1023056074,HICKEY,JILL,V,DPM,F,I,49 8TH ST N,,NAPLES,FL,341026020,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,475,266.98,205.411875,214.9925
1023056074,HICKEY,JILL,V,DPM,F,I,49 8TH ST N,,NAPLES,FL,341026020,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,33,300,163.57909091,126.1530303,124.42909091
1023056165,WALTER,MICHAEL,C,M.D.,M,I,5450 CLEARFORK MAIN ST STE 420,,FORT WORTH,TX,761093559,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,3930,0.3800254453,0.13,0.1019160305,0.1019160305
1023056165,WALTER,MICHAEL,C,M.D.,M,I,5450 CLEARFORK MAIN ST STE 420,,FORT WORTH,TX,761093559,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,3.5,2.27,1.7796666667,1.7796666667
1023056165,WALTER,MICHAEL,C,M.D.,M,I,5450 CLEARFORK MAIN ST STE 420,,FORT WORTH,TX,761093559,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,4250,4.6241647059,2.04,1.5993458824,1.5993458824
1023056249,PETERSON-BUCKLEY,SHERI,L,MD,F,I,24920 104TH AVE SE,,KENT,WA,980306443,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,45,122,51.955491803,8.32,5.6137704918,5.6137704918
1023056249,PETERSON-BUCKLEY,SHERI,L,MD,F,I,24920 104TH AVE SE,,KENT,WA,980306443,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,19,28,10.31,1.42,1.0753571429,1.0753571429
1023056256,SCHMIDT,MILAN,C,MD,M,I,513 5TH AVE W,,GRAND MARAIS,MN,556043017,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,309.5,107.894,84.592,69.409
1023056256,SCHMIDT,MILAN,C,MD,M,I,513 5TH AVE W,,GRAND MARAIS,MN,556043017,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,45.002727273,35.284545455,29.516363636
1023056280,HEAVEN,RALPH,F,M.D.,M,I,1100 N 19TH ST,SUITE 1A,ABILENE,TX,796012344,US,Physician/Hematology-Oncology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,95.293333333,48,31.358333333,31.358333333
1023056280,HEAVEN,RALPH,F,M.D.,M,I,1100 N 19TH ST,SUITE 1A,ABILENE,TX,796012344,US,Physician/Hematology-Oncology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,49.358333333,4.4216666667,3.1883333333,3.2941666667
1023056280,HEAVEN,RALPH,F,M.D.,M,I,1100 N 19TH ST,SUITE 1A,ABILENE,TX,796012344,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,33,33,301.32636364,69.684242424,51.361212121,51.393333333
1023056280,HEAVEN,RALPH,F,M.D.,M,I,1100 N 19TH ST,SUITE 1A,ABILENE,TX,796012344,US,Physician/Hematology-Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,125,38.677272727,27.083636364,26.286363636
1023056280,HEAVEN,RALPH,F,M.D.,M,I,1100 N 19TH ST,SUITE 1A,ABILENE,TX,796012344,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,24,65,42.372615385,35.778769231,22.963692308,25.530615385
1023056306,CHO,SANDRA,Y,M.D.,F,I,806 LANDMARK DR,SUITE 114,GLEN BURNIE,MD,210614980,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,38,59.78,59.78,44.687894737,50.042105263
1023056306,CHO,SANDRA,Y,M.D.,F,I,806 LANDMARK DR,SUITE 114,GLEN BURNIE,MD,210614980,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,28,32.314642857,32.314642857,23.563214286,37.355357143
1023056306,CHO,SANDRA,Y,M.D.,F,I,806 LANDMARK DR,SUITE 114,GLEN BURNIE,MD,210614980,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,23,31.823043478,31.823043478,20.505652174,38.332608696
1023056306,CHO,SANDRA,Y,M.D.,F,I,806 LANDMARK DR,SUITE 114,GLEN BURNIE,MD,210614980,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,33,34.53969697,34.53969697,27.082727273,52.456363636
1023056348,MAITIN,ELLEN,C,MD,F,I,7500 CENTRAL AVE,SUITE 108,PHILADELPHIA,PA,191112430,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,952.87588235,641.82,503.19,485.93823529
1023056348,MAITIN,ELLEN,C,MD,F,I,7500 CENTRAL AVE,SUITE 108,PHILADELPHIA,PA,191112430,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,123.01090909,84.6,60.3,57.363636364
1023056348,MAITIN,ELLEN,C,MD,F,I,7500 CENTRAL AVE,SUITE 108,PHILADELPHIA,PA,191112430,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,79.612307692,59.74,46.83,46.415384615
1023056348,MAITIN,ELLEN,C,MD,F,I,7500 CENTRAL AVE,SUITE 108,PHILADELPHIA,PA,191112430,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,400.95466667,279.25,218.93,218.914
1023056728,PERO,LURLYN,V,M.D.,F,I,4400 N 32ND ST,SUITE 140,PHOENIX,AZ,850183953,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,50,144,75.366875,8.32,5.7073611111,5.7073611111
1023056728,PERO,LURLYN,V,M.D.,F,I,4400 N 32ND ST,SUITE 140,PHOENIX,AZ,850183953,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,25,31,15.498709677,1.42,0.9741935484,0.9741935484
1023056728,PERO,LURLYN,V,M.D.,F,I,4400 N 32ND ST,SUITE 140,PHOENIX,AZ,850183953,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,60,40.778333333,15.51,10.944,10.726666667
1023056728,PERO,LURLYN,V,M.D.,F,I,4400 N 32ND ST,SUITE 140,PHOENIX,AZ,850183953,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,11,20,20,161.79,56.142,41.8805,40.712
1023056728,PERO,LURLYN,V,M.D.,F,I,4400 N 32ND ST,SUITE 140,PHOENIX,AZ,850183953,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,15,86,9.5045348837,2.2158139535,1.6225581395,1.4846511628
1023056728,PERO,LURLYN,V,M.D.,F,I,4400 N 32ND ST,SUITE 140,PHOENIX,AZ,850183953,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,181.68,30.42,23.855,24.676666667
1023056850,MILLER,DONALD,,MD,M,I,2241 WANKEL WAY STE A,,OXNARD,CA,93030,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,2.99,2.3441935484,2.3653079179
1023056850,MILLER,DONALD,,MD,M,I,2241 WANKEL WAY STE A,,OXNARD,CA,93030,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6600,3.1197272727,0.3,0.2352,0.2423833333
1023057007,SPENCER,STEVEN,,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,45,103,57.727475728,8.32,5.8294174757,5.8294174757
1023057007,SPENCER,STEVEN,,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,24,30,11.280666667,1.42,1.006,1.006
1023057007,SPENCER,STEVEN,,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,113.08,46.538181818,36.483636364,35.467272727
1023057007,SPENCER,STEVEN,,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,99.228181818,23.099090909,18.111818182,20.564545455
1023057007,SPENCER,STEVEN,,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,28.684285714,7.8804761905,6.1776190476,6.5485714286
1023057049,GERRARD,EDWARD,R,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,570,10.095526316,4.04,3.1673333333,3.1673333333
1023057049,GERRARD,EDWARD,R,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,885,0.6580225989,0.26,0.1969491525,0.2048587571
1023057106,MERRICK,HELEN,A,"APRN, BC",F,I,20251 JOHN J WILLIAMS HWY,,LEWES,DE,199584314,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,20,20,40,3.03,1.45,0.908,0.924
1023057106,MERRICK,HELEN,A,"APRN, BC",F,I,20251 JOHN J WILLIAMS HWY,,LEWES,DE,199584314,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,35,200,200,20.1408,4.24785,2.8928,3.2068
1023057148,GROSS,HOWARD,M,M.D.,M,I,9000 N MAIN ST STE G-36,,ENGLEWOOD,OH,454151183,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,23,1830,51.503404372,5.1123060109,3.9296830601,3.9296830601
1023057148,GROSS,HOWARD,M,M.D.,M,I,9000 N MAIN ST STE G-36,,ENGLEWOOD,OH,454151183,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,30.3125,24,18.82,18.82
1023057221,JEWETT,ROBIN,M,P.A.-C,F,I,400 ROYAL PKWY,,NASHVILLE,TN,372143636,US,Physician Assistant,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30.38,11.548181818,9.0554545455,9.3172727273
1023057221,JEWETT,ROBIN,M,P.A.-C,F,I,400 ROYAL PKWY,,NASHVILLE,TN,372143636,US,Physician Assistant,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,39.215789474,10.868947368,8.5226315789,8.6068421053
1023057221,JEWETT,ROBIN,M,P.A.-C,F,I,400 ROYAL PKWY,,NASHVILLE,TN,372143636,US,Physician Assistant,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,549,229.98909091,180.30727273,180.30727273
1023057221,JEWETT,ROBIN,M,P.A.-C,F,I,400 ROYAL PKWY,,NASHVILLE,TN,372143636,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,57,19.348181818,11.668636364,11.990909091
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,51,127,330,40.42969697,8.32,6.4028787879,6.4028787879
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,16,39,39,13.038974359,3.38,2.5820512821,2.5820512821
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,17,21,21,18.662857143,2.12,1.510952381,1.510952381
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,40,91,132,14.005606061,1.42,1.0898484848,1.0898484848
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,345,2.4,2.4,1.8815942029,1.8815942029
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,174.68153846,78.964615385,58.280769231,43.503076923
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,57.834666667,24.05,16.772666667,12.185333333
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,57.465555556,21.01,15.351111111,8.1066666667
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,21,102,8.4247058824,3.092745098,2.3546078431,1.6038235294
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,6253,1.0544042859,0.3888405565,0.2904461858,0.231995842
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,13,13,484.61538462,82.725384615,64.859230769,48.32
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,43.344,17.367,13.614,10.2155
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,42,42,180.88833333,77.33452381,60.631904762,44.273571429
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,11,55,66,83.311060606,21.643484848,16.51530303,14.073333333
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,20.21030303,5.1818181818,2.6303030303,2.0484848485
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,140.22181818,66.968636364,52.504090909,41.519090909
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25.19,11.215454545,8.7927272727,6.7118181818
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,15,72,82,476.88280488,96.110609756,73.165243902,59.160365854
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.4151818182,7.4151818182
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,3489,0.321539123,0.0475351103,0.0359558613,0.0359558613
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,750,1.4275733333,0.13376,0.1012133333,0.1012133333
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0705454545,2.4073333333,2.4073333333
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,71.353793103,27.684137931,21.704827586,15.469655172
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,142.65466667,58.626,45.958666667,29.88
1023057270,LARAKERS,JOSEPH,A,M.D.,M,I,302 S HILLSIDE DR,,BEEVILLE,TX,781025333,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,32,94.875,33,24.99625,24.99625
1023057296,GOTHELF,DAVID,S,D.O.,M,I,100 N GREEN VALLEY PKWY,SUITE 210,HENDERSON,NV,890746391,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,28,85,74.948823529,8.32,6.2148235294,6.2148235294
1023057296,GOTHELF,DAVID,S,D.O.,M,I,100 N GREEN VALLEY PKWY,SUITE 210,HENDERSON,NV,890746391,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,17,15.279411765,1.42,1.0517647059,1.0517647059
1023057296,GOTHELF,DAVID,S,D.O.,M,I,100 N GREEN VALLEY PKWY,SUITE 210,HENDERSON,NV,890746391,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,59,10.727966102,2.09,1.6383050847,1.5916949153
1023057296,GOTHELF,DAVID,S,D.O.,M,I,100 N GREEN VALLEY PKWY,SUITE 210,HENDERSON,NV,890746391,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1860,0.9413548387,0.1324677419,0.0921290323,0.0921290323
1023057296,GOTHELF,DAVID,S,D.O.,M,I,100 N GREEN VALLEY PKWY,SUITE 210,HENDERSON,NV,890746391,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,110.47826087,33,23.620434783,23.620434783
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,74,220,48.429772727,8.32,5.9294545455,5.9294545455
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,23,32,13.495625,1.42,0.9421875,0.9421875
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.27,11.078181818,11.078181818
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,188.5,50.313636364,36.315454545,22.669090909
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,708.29272727,328.34727273,257.42181818,257.42181818
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,545.15441176,91.449705882,66.538823529,49.867941176
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85.28,44.745,32.344166667,27.056666667
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2908,0.4988789546,0.0460729023,0.024477304,0.024477304
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,28,3628,1.5793687982,0.1331449835,0.1007800441,0.1007800441
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,93.61826087,20.345652174,15.948695652,15.437391304
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,128.8055,28.698,20.9635,19.58925
1023057320,LONGO,JOSEPH,,DO,M,I,1080 W FOND DU LAC ST.,CHN MEDICAL CENTER - RIPON,RIPON,WI,54971,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,34,34,33,33,23.472058824,23.472058824
1023057353,SUTHERLAND,MARK,E,M.D.,M,I,2717 SUMMERHILL RD,,TEXARKANA,TX,755033957,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,17,1440,0.55,0.44,0.3365,0.3365
1023057353,SUTHERLAND,MARK,E,M.D.,M,I,2717 SUMMERHILL RD,,TEXARKANA,TX,755033957,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,435,10.08,8.28,6.4915862069,6.4915862069
1023057353,SUTHERLAND,MARK,E,M.D.,M,I,2717 SUMMERHILL RD,,TEXARKANA,TX,755033957,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,17,2062,0.16,0.13,0.1019107662,0.1019107662
1023057353,SUTHERLAND,MARK,E,M.D.,M,I,2717 SUMMERHILL RD,,TEXARKANA,TX,755033957,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1788,0.56,0.45,0.3528243848,0.3528243848
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,81,171,56.116959064,8.32,5.7659064327,5.7659064327
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,14.336923077,1.42,0.9446153846,0.9446153846
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,2400,1.75,1.73,1.3563333333,1.5962958333
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,6,6,4.6375787037,5.5215509259
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,325,7.2456923077,5.54,4.3433230769,4.3433230769
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,850,0.3174705882,0.246,0.1928117647,0.2116352941
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,13,28,28,62.821428571,49.724642857,36.575714286,28.736785714
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,11,20,20,181.675,126.398,99.095,72.03
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,12,25,38,71.203947368,48.115789474,37.722105263,26.314210526
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,11,18,66,45.932575758,27.497878788,21.314848485,15.007121212
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,14,23,23,116.9326087,75.505217391,53.110869565,38.26
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,23,36,36,41.076666667,26.153333333,20.067222222,14.411111111
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,22,37,154,5.2711688312,3.3703896104,2.5970779221,1.6216233766
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,27.25,15.7275,11.386666667,9.7066666667
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,43,43,46.046511628,18.323023256,13.019069767,9.4197674419
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,29.035769231,8.4307692308,6.4223076923,3.5238461538
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,48,48,140,54.1325,38.668958333,23
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,52,362.57923077,97.110769231,68.532692308,48.584038462
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,74.666666667,45.15,31.018666667,26.058666667
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2058,0.5041350826,0.0459037901,0.0223712342,0.0223712342
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,37,3510,1.0403960114,0.1316495726,0.0876752137,0.0876752137
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,555,2.1572432432,0.2183963964,0.1253513514,0.1253513514
1023057429,BIEGLER,LYLE,W,MD,M,I,105 S STATE ST.,SUITE 113,ABERDEEN,SD,574014500,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,15,49,49,33,33,20.865306122,20.865306122
1023057486,PASTOR-ITURRICHA,SILVIA,E,MD,F,I,5966 BOYMEL DR,UNIT 1,FAIRFIELD,OH,45014,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,39,125,312,62.453974359,8.32,6.0543589744,6.0543589744
1023057486,PASTOR-ITURRICHA,SILVIA,E,MD,F,I,5966 BOYMEL DR,UNIT 1,FAIRFIELD,OH,45014,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,16,37,50,13.2412,1.42,1.0488,1.0488
1023057486,PASTOR-ITURRICHA,SILVIA,E,MD,F,I,5966 BOYMEL DR,UNIT 1,FAIRFIELD,OH,45014,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,51.083870968,17.36,13.170967742,13.105483871
1023057486,PASTOR-ITURRICHA,SILVIA,E,MD,F,I,5966 BOYMEL DR,UNIT 1,FAIRFIELD,OH,45014,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,79,80,152.0175,79.005,57.800375,51.395625
1023057528,GUTIERREZ,BEVERLY,S,M.D.,F,I,1010 NW LOOP 410 STE 100A,,SAN ANTONIO,TX,782132220,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,18,2000,0.44,0.44,0.344965,0.344965
1023057528,GUTIERREZ,BEVERLY,S,M.D.,F,I,1010 NW LOOP 410 STE 100A,,SAN ANTONIO,TX,782132220,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,678,2.4,2.4,1.8816371681,1.8816371681
1023057528,GUTIERREZ,BEVERLY,S,M.D.,F,I,1010 NW LOOP 410 STE 100A,,SAN ANTONIO,TX,782132220,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1785,0.4484033613,0.4484033613,0.3515686275,0.3525770308
1023057528,GUTIERREZ,BEVERLY,S,M.D.,F,I,1010 NW LOOP 410 STE 100A,,SAN ANTONIO,TX,782132220,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,49,18.97,12.3525,7.7191666667
1023057528,GUTIERREZ,BEVERLY,S,M.D.,F,I,1010 NW LOOP 410 STE 100A,,SAN ANTONIO,TX,782132220,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,52.19,19.987727273,14.992272727,12.919545455
1023057528,GUTIERREZ,BEVERLY,S,M.D.,F,I,1010 NW LOOP 410 STE 100A,,SAN ANTONIO,TX,782132220,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,361.83975,98.04,73.8765,59.333
1023057551,ACKER-BERNSTEIN,ALIZA,D,M.D.,F,I,100 BROOKSBY VILLAGE DR,,PEABODY,MA,019601438,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,36,107,56.467009346,8.32,6.2778504673,6.2778504673
1023057551,ACKER-BERNSTEIN,ALIZA,D,M.D.,F,I,100 BROOKSBY VILLAGE DR,,PEABODY,MA,019601438,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,29,12.155172414,1.42,1.1148275862,1.1148275862
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,64,228,428,45.128668224,8.32,5.349228972,5.349228972
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,26,26,15.696923077,3.38,2.4461538462,2.4461538462
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,20,24,24,17.57375,2.12,1.2525,1.2525
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,42,83,116,17.910948276,1.42,0.9619827586,0.9619827586
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,33,63,8.9742857143,1.5117460317,1.0736507937,1.0461904762
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,35,331.98571429,48.848285714,34.904285714,34.570285714
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,21,129,143,94.564475524,17.711398601,13.033706294,12.93979021
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,232.35,54.466363636,37.915909091,33.781363636
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,12,81,81,47.59,4.9634567901,3.4277777778,3.229382716
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,282.31,32.295,23.37,23.376666667
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,34,236,258,569.43383721,72.541627907,54.199341085,53.048178295
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,65,13233,0.1690183632,0.0463855513,0.0332025996,0.0332025996
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,36,3900,0.9997923077,0.1320538462,0.0895615385,0.0895615385
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,81.806086957,29.87826087,19.877826087,19.380434783
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,695.44296296,144.12111111,110.4837037,110.18259259
1023057668,RODRIGUEZ,LINDA,M,D.O.,F,I,702 W BROADWAY ST,,SPIRO,OK,749592430,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,15,99,99,122,33,23.661515152,23.661515152
1023057692,UNGEHEUER,ROBERT,G,PA-C,M,I,1971 WESTERN AVE,,ALBANY,NY,122035066,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,10.491818182,8.2263636364,3.8890909091
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,26,75,243,75.635020576,8.32,5.908600823,5.908600823
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,21,35,16.384,1.42,0.9537142857,0.9537142857
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,11.413235294,2.09,1.6382352941,1.5957352941
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5714,1.2425271264,0.32,0.2311270564,0.2239026951
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,119.31263158,16.94,13.28,13.516842105
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,6.95,5.79,4.5433333333,3.7533333333
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,37,537.25756757,77.18,58.782972973,53.297027027
1023057700,NGUYEN,DUNG,T,DO,M,I,7340 E SPEEDWAY BLVD,SUITE 101,TUCSON,AZ,857101352,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,285.6,39.51,30.98,29.6325
1023057940,ESPAY,ALBERTO,,MD,M,I,222 PIEDMONT AVE,SUITE 3200,CINCINNATI,OH,45219,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,37,144,72.96,19.701388889,15.445694444,15.445694444
1023057940,ESPAY,ALBERTO,,MD,M,I,222 PIEDMONT AVE,SUITE 3200,CINCINNATI,OH,45219,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,38,1232,147.20977273,36.536136364,28.644196429,28.644196429
1023057940,ESPAY,ALBERTO,,MD,M,I,222 PIEDMONT AVE,SUITE 3200,CINCINNATI,OH,45219,US,Physician/Neurology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,834.33,187.14588235,146.72117647,146.72117647
1023057940,ESPAY,ALBERTO,,MD,M,I,222 PIEDMONT AVE,SUITE 3200,CINCINNATI,OH,45219,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,50,1566,328.59505109,213.95,167.6451788,167.6451788
1023057999,SPEARS,MARK,A,M.D.,M,I,7125 MURRELL RD STE F,,VIERA,FL,329407999,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,28,80,55.882875,8.32,6.359,6.359
1023057999,SPEARS,MARK,A,M.D.,M,I,7125 MURRELL RD STE F,,VIERA,FL,329407999,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,28,11.070714286,1.42,1.1142857143,1.1142857143
1023057999,SPEARS,MARK,A,M.D.,M,I,7125 MURRELL RD STE F,,VIERA,FL,329407999,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,16.61,13.02,13.54
1023057999,SPEARS,MARK,A,M.D.,M,I,7125 MURRELL RD STE F,,VIERA,FL,329407999,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,319.5,79.8,62.56,54.73
1023058005,KING,ANGELA,D,APRN,F,I,3334 N GREY MEADOW CT,,WICHITA,KS,672058716,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.947272727,3.97,3.1090909091,3.6854545455
1023058021,GEORGE,CHRISTOPHER,P,DPM,M,I,1660 NW PROFESSIONAL PLZ,SUITE K,COLUMBUS,OH,432203854,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,42,83.407619048,71.56,53.75047619,53.750238095
1023058021,GEORGE,CHRISTOPHER,P,DPM,M,I,1660 NW PROFESSIONAL PLZ,SUITE K,COLUMBUS,OH,432203854,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,59,71.802711864,43.56,34.151694915,34.150338983
1023058021,GEORGE,CHRISTOPHER,P,DPM,M,I,1660 NW PROFESSIONAL PLZ,SUITE K,COLUMBUS,OH,432203854,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,75,43.56,34.151666667,34.15
1023058211,NOFSINGER,CHARLES,,MD,M,I,13330 USF LAUREL DR,,TAMPA,FL,336126601,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,145.24733333,117.67,92.26,99.093333333
1023058211,NOFSINGER,CHARLES,,MD,M,I,13330 USF LAUREL DR,,TAMPA,FL,336126601,US,Physician/Orthopedic Surgery,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1039.24,875.56,686.44,678.48545455
1023058211,NOFSINGER,CHARLES,,MD,M,I,13330 USF LAUREL DR,,TAMPA,FL,336126601,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,150.70526316,127.21,99.73,90.058947368
1023058211,NOFSINGER,CHARLES,,MD,M,I,13330 USF LAUREL DR,,TAMPA,FL,336126601,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,316.9,266.98,207.13823529,216.15529412
1023058237,OKESON,NICHOLAS,Z,DO,M,I,13787 BELCHER RD S,SUITE 100,LARGO,FL,337714065,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,27,57,45.897894737,8.3028070175,5.4780701754,5.4914035088
1023058237,OKESON,NICHOLAS,Z,DO,M,I,13787 BELCHER RD S,SUITE 100,LARGO,FL,337714065,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,6.9266666667,1.42,0.9706666667,0.9706666667
1023058237,OKESON,NICHOLAS,Z,DO,M,I,13787 BELCHER RD S,SUITE 100,LARGO,FL,337714065,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,54,10.456296296,2,1.5687037037,1.5925925926
1023058237,OKESON,NICHOLAS,Z,DO,M,I,13787 BELCHER RD S,SUITE 100,LARGO,FL,337714065,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,65.197241379,17,13.33,13.453103448
1023058237,OKESON,NICHOLAS,Z,DO,M,I,13787 BELCHER RD S,SUITE 100,LARGO,FL,337714065,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,582.37823529,32.282941176,25.306470588,24.752941176
1023058237,OKESON,NICHOLAS,Z,DO,M,I,13787 BELCHER RD S,SUITE 100,LARGO,FL,337714065,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,41,317.41756098,79.037073171,61.151219512,54.215365854
1023058302,AHMED,MANSOOR,,MD,M,I,789 EASTERN BYP,SUITE 17,RICHMOND,KY,404752415,US,Physician/Rheumatology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,600,57.61,2.93975,2.2250666667,2.2250666667
1023058369,BROOKS,WERNER,C,M.D.,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,19,125.76,117.67,87.220526316,97.471052632
1023058369,BROOKS,WERNER,C,M.D.,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,27,79.67,74.55,56.600740741,60.931111111
1023058369,BROOKS,WERNER,C,M.D.,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,202.75,91.27,67.0875,75.161875
1023058369,BROOKS,WERNER,C,M.D.,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,135.97,127.21,99.73,88.545217391
1023058369,BROOKS,WERNER,C,M.D.,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,70.322857143,39.937142857,31.31,46.344285714
1023058369,BROOKS,WERNER,C,M.D.,M,I,800 FLEMING ST,,HENDERSONVILLE,NC,287913528,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,200,154.71,117.37115385,115.88961538
1023058427,ROMER,MARK,D,MD,M,I,3120 GOVERNORS PLACE BLVD,,DAYTON,OH,454091328,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,33,2118,41.794915014,4.9481444759,3.8091406988,3.8091406988
1023058427,ROMER,MARK,D,MD,M,I,3120 GOVERNORS PLACE BLVD,,DAYTON,OH,454091328,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,27.884615385,24,18.82,18.82
1023058476,GRANDHE,JANARDHAN,R,M.D.,M,I,5339 TRUXTUN AVE,,BAKERSFIELD,CA,933090641,US,Physician/Anesthesiology,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,67,67,67,490,430.93,332.53283582,292.28835821
1023058476,GRANDHE,JANARDHAN,R,M.D.,M,I,5339 TRUXTUN AVE,,BAKERSFIELD,CA,933090641,US,Physician/Anesthesiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,117,117,117,1000,972.47,762.42,774.98888889
1023058476,GRANDHE,JANARDHAN,R,M.D.,M,I,5339 TRUXTUN AVE,,BAKERSFIELD,CA,933090641,US,Physician/Anesthesiology,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,25,25,980,658.83,516.52,483.492
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,41,111,297,61.086094276,8.32,5.7319191919,5.7319191919
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,8.2218181818,3.38,2.1272727273,2.1272727273
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,29,43,10.559302326,1.42,0.9330232558,0.9330232558
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,39,86.31,21.963589744,15.687948718,12.75974359
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,210.22142857,61.481428571,39.404285714,30.462380952
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,84,86,515.68988372,105.59860465,80.776046512,54.714651163
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1140,15.58,9.6072105263,7.4312719298,7.4312719298
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,3390,0.994300885,0.1362654867,0.1011887906,0.1011887906
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,1740,12.71895977,3.029,2.3747586207,2.3747586207
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,52.011153846,17.968076923,9.6061538462,10.16
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,11.91,9.9233333333,4.4733333333,3.935
1023058633,WESTON,ROBERT,J,M.D.,M,I,916 KOALA AVE,OMAK CLINIC,OMAK,WA,988419576,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,45,45,123.2,33,24.720222222,24.720222222
1023058732,GHAMRA,ZIAD,W,M.D.,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,40,17.031764706,13.354705882,13.54
1023058732,GHAMRA,ZIAD,W,M.D.,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,57,57,25,4.3440350877,3.4059649123,3.7828070175
1023058732,GHAMRA,ZIAD,W,M.D.,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,53,58,265.88172414,77.772068966,60.969655172,55.182068966
1023058732,GHAMRA,ZIAD,W,M.D.,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,27,228.78518519,36.833333333,28.877777778,29.47037037
1023058732,GHAMRA,ZIAD,W,M.D.,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,35.708333333,33,25.87,25.87
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,99,58.491616162,8.32,5.8043434343,5.8043434343
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,11.988965517,1.42,0.8813793103,0.8813793103
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,403.8,77.777272727,57.402727273,59.793636364
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,55.19,3.813125,2.984375,3.59
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,500.84,77.18,52.259285714,48.143571429
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,272,35.66,25.63,27.2125
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,5247,0.171802935,0.0461158757,0.0340461216,0.0340461216
1023058757,ANDERSON,BRADLEY,T,DO,M,I,28622 E 141ST ST S,,COWETA,OK,744297515,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,110,33,23.714166667,23.714166667
1023058815,NORDSTROM,JASON,R,M.D.,M,I,301 E OVILLA RD,SUITE 100,RED OAK,TX,751543833,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,58,179,64.20122905,8.32,5.04,5.04
1023058815,NORDSTROM,JASON,R,M.D.,M,I,301 E OVILLA RD,SUITE 100,RED OAK,TX,751543833,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,26,14.601153846,1.42,0.9,0.9
1023058815,NORDSTROM,JASON,R,M.D.,M,I,301 E OVILLA RD,SUITE 100,RED OAK,TX,751543833,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,37,430.80351351,84.957297297,63.376216216,53.284324324
1023058815,NORDSTROM,JASON,R,M.D.,M,I,301 E OVILLA RD,SUITE 100,RED OAK,TX,751543833,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,4690,0.1870639659,0.0460362473,0.0341364606,0.0341364606
1023058815,NORDSTROM,JASON,R,M.D.,M,I,301 E OVILLA RD,SUITE 100,RED OAK,TX,751543833,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,23.88,23.88
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,38,103,57.778834951,8.32,5.8883495146,5.8883495146
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,8.8723529412,1.42,1.0482352941,1.0482352941
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.695,5.74,4.5,4.5
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,165,11.99,7,5.488,5.488
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,A4418,"Ostomy pouch, closed; without barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.4491666667,2.04,1.5993333333,1.5993333333
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,16.97,12.200833333,12.416666667
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,36,429.84333333,71.11,54.311388889,53.348055556
1023058963,KHOUZAM,ATEF,,M.D,M,I,361 HOSPITAL RD,322,NEWPORT BEACH,CA,926633522,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1378,1.9545065312,0.1391727141,0.1091436865,0.1091436865
1023059029,LEE,SANG,G,MD,M,I,615 S 32ND ST,,MUSKOGEE,OK,74401,US,Internal Medicine,T,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1062.62,1062.62,825.72,834.88
1023059094,MCCLAVE,CHARLES,,MD,M,I,2900 12TH AVE N,SUITE 160W,BILLINGS,MT,591017506,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,410,102.84,73.331764706,48.026470588
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,40,40,91.936,37.96,26.2675,26.94625
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,43,78,158,7.952278481,1.3467088608,0.9617721519,1.0517088608
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,17,23,23,79.370869565,14.596956522,10.935652174,8.7860869565
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,27,60,60,233.18083333,87.363,60.8225,60.276333333
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,29,81,191,86.338900524,33.317905759,24.869581152,24.690732984
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,28,79,339,65.737876106,18.505309735,12.81699115,12.869292035
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,17,43,194,40.245412371,15.477371134,11.465927835,11.237886598
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,43,107,107,181.60588785,55.734205607,40.601308411,39.831869159
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,69,100,100,52.6766,17.934,13.6708,13.6762
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,53,122,122,60.713852459,12.309508197,9.4068032787,8.9231147541
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,70,187,867,10.216113033,2,1.5014648212,1.5244405998
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,28,28,25.292142857,6.1935714286,4.855,4.6653571429
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,48,67,67,27.300298507,12.976119403,9.8976119403,10.060447761
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,39,246,266,77.749097744,16.977443609,12.501766917,12.680488722
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,112.77,47.29,34.422142857,34.992142857
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,3692.72,1074.31,834.37844444,834.37844444
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,39,40,567.31,88.6875,60.9375,58.13025
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,21,107,112,56.022857143,13.186785714,9.0780357143,9.2141964286
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,34,215,236,45.550677966,5.9727966102,4.4616525424,3.5236864407
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,26,162,173,230.06606936,35.018208092,24.909132948,23.021907514
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,101,773,792,449.51494949,77.914848485,56.920770202,52.293724747
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,30,196,200,202.2205,36,26.72525,27.84255
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,13,18,18,18,82.333333333,57,44.69,44.69
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,17.51647619,9.5252857143,7.4678214286,7.4678214286
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,58,3960,18.406383838,11.151227273,8.6339065657,8.6339040404
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,28,46,185,45876,0.2248709565,0.0458087017,0.0338985526,0.0338983346
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,25,88,12363,1.5017269271,0.1323295317,0.0982010839,0.0982010839
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,67,3810,12.07748294,3.0239055118,2.2823648294,2.2823648294
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,792,1.7764393939,0.2189141414,0.1651767677,0.1651767677
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,148.20909091,36.818181818,27.153333333,27.418484848
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,33,58,316,316,82.5,33,24.454462025,24.454462025
1023059110,GERBER,ROBERT,B,MD,M,I,15805 PURITAS AVE,,CLEVELAND,OH,441352611,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,15,26,26,66,66,51.74,51.74
1023059151,ROTHOFF,MICHELLE,,M.D.,F,I,4951 BUSINESS PARK BLVD,,ANCHORAGE,AK,99503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,66,280,60.904857143,8.32,5.3115,5.3115
1023059151,ROTHOFF,MICHELLE,,M.D.,F,I,4951 BUSINESS PARK BLVD,,ANCHORAGE,AK,99503,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,14.437272727,3.38,1.5659090909,1.5659090909
1023059151,ROTHOFF,MICHELLE,,M.D.,F,I,4951 BUSINESS PARK BLVD,,ANCHORAGE,AK,99503,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,41,79,14.049240506,1.42,0.8184810127,0.8184810127
1023059151,ROTHOFF,MICHELLE,,M.D.,F,I,4951 BUSINESS PARK BLVD,,ANCHORAGE,AK,99503,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,54,6.6666666667,2.4614814815,1.7331481481,1.4153703704
1023059151,ROTHOFF,MICHELLE,,M.D.,F,I,4951 BUSINESS PARK BLVD,,ANCHORAGE,AK,99503,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,44.745,35.0825,29.515833333
1023059169,ISAACSON,STUART,H,MD,M,I,951 NW 13TH ST,BLDG 5-E,BOCA RATON,FL,334862337,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,72.96,19.686153846,15.433846154,15.433846154
1023059169,ISAACSON,STUART,H,MD,M,I,951 NW 13TH ST,BLDG 5-E,BOCA RATON,FL,334862337,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,364,150.6,37.334615385,29.270164835,29.270164835
1023059169,ISAACSON,STUART,H,MD,M,I,951 NW 13TH ST,BLDG 5-E,BOCA RATON,FL,334862337,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,272.79,45,33.995454545,35.196363636
1023059169,ISAACSON,STUART,H,MD,M,I,951 NW 13TH ST,BLDG 5-E,BOCA RATON,FL,334862337,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,364,363.31285714,213.95,167.73678571,167.73678571
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,52,129,427,75.89882904,8.32,5.9379156909,5.9379156909
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,9.28,3.38,2.4291666667,2.4291666667
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,19,33,51,12.30745098,1.42,1.0921568627,1.0921568627
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,24,24,144.52041667,40.435,29.142083333,28.109166667
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,503.80190476,108.36809524,84.58047619,69.456190476
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,45,194.86488889,37.884222222,29.700444444,26.920222222
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,123,102.32634146,17.573170732,12.191382114,12.911544715
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,73,29.606986301,16.890684932,12.882739726,11.64369863
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,36,36,207.61444444,57.685833333,42.857222222,41.905277778
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,34,34,69.916470588,21.112058824,16.549117647,14.562647059
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,14,27,27,74.375555556,16.158518519,12.334444444,9.637037037
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,21,52,304,10.181842105,2.2685526316,1.7169736842,1.580625
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,20,20,21.398,6.836,5.22,4.6895
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,53.85,13.559285714,9.9871428571,9.6771428571
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,84.485714286,18.593809524,14.575238095,14.732380952
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,80.192307692,15.841538462,9.9369230769,9.6553846154
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,231.67166667,41.74,27.445416667,24.01625
1023059177,BRAUWEILER,MARTIN,P,M.D.,M,I,1310 N. MAIN ST STE 101,,SANDWICH,IL,605481616,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,412.00304348,84.729130435,64.774782609,57.307608696
1023059193,KENDRICK,GREGORY,A,M.D.,M,I,437 DENISON ST,,CONWAY,AR,720346127,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,42,60.418571429,20.46047619,16.039047619,13.705714286
1023059193,KENDRICK,GREGORY,A,M.D.,M,I,437 DENISON ST,,CONWAY,AR,720346127,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,50,39.2,37.760833333
1023059193,KENDRICK,GREGORY,A,M.D.,M,I,437 DENISON ST,,CONWAY,AR,720346127,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,38.037692308,3.8315384615,2.78,3.3384615385
1023059193,KENDRICK,GREGORY,A,M.D.,M,I,437 DENISON ST,,CONWAY,AR,720346127,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,42,360.07571429,88.568571429,69.437142857,55.738571429
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,25,57,109,62.624036697,8.32,5.0850458716,5.0850458716
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,22,50,50,17.7674,1.42,0.8288,0.8288
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,22.25,22.25,14.533333333,15.45
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,77.950588235,58.804705882,39.251176471,33.941176471
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,45.741176471,8.4470588235,5.82,6.2811764706
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,760.48,79,57.235833333,50.626666667
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,28,27.164285714,21.875,14.231071429,12.685357143
1023059201,ZHENG,WEIWEN,,M.D.,F,I,950 STOCKTON ST,SUITE 328,SAN FRANCISCO,CA,941081633,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,285.6,39,29.305833333,28.325
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,52,193,53.143005181,8.32,6.1979792746,6.1979792746
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.945714286,3.38,2.65,2.65
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,28,52,10.026730769,1.42,1.0501923077,1.0501923077
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,300,8.8289333333,5.36,4.0801333333,4.0801333333
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,725,0.4113103448,0.24,0.1881241379,0.2116551724
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,64.074074074,19.788888889,14.406296296,12.527777778
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,26,29.4,14.830769231,11.628461538,10.22
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,41,345.09804878,99.108292683,71.28804878,51.77
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2580,1.7115465116,0.1358837209,0.1023333333,0.1023333333
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,599.5,195.81833333,153.51666667,105.59
1023059227,SHEETS,JARED,A,M.D.,M,I,2131 EAST STATE ST,,ATHENS,OH,457011334,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,33,33,24.508421053,24.508421053
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,79,66.206075949,8.32,6.3570886076,6.3570886076
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,70.454545455,52.048181818,37.741818182,28.799090909
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,115.15793103,47.374482759,36.322413793,26.655517241
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,321,100,7.2567912773,5.6893457944,4.1630529595
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7242,1.4028169014,0.4007125104,0.3004087269,0.229284728
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,94.422608696,21.915652174,15.492173913,12.563913043
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,520,396,310.46363636,310.46363636
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,76,76,461.66342105,93.180526316,67.892105263,50.904868421
1023059250,FAIRMAN,DAN,S,MD,M,I,100 HOSPITAL DRIVE,,KETCHUM,ID,83340,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,241.07142857,45.034285714,35.309285714,29.516428571
1023059300,COGAN,LORI,A,"DNP, ACNP-BC, ANP-BC",F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,10032,US,Nurse Practitioner,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,23,2791,36.834460767,2.5661949122,1.9604872805,1.9604836976
1023059300,COGAN,LORI,A,"DNP, ACNP-BC, ANP-BC",F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,10032,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,24,24,18.82,18.82
1023059300,COGAN,LORI,A,"DNP, ACNP-BC, ANP-BC",F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,10032,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,21,16,16,12.54,12.54
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,0.7575,0.45,0.3528333333,0.3848787879
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,22,50,62.5442,8.32,6.131,6.131
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,18,17.223888889,1.42,1.0511111111,1.0511111111
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8,1.8,1.41,1.41
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,165,36.52,18.46,14.472666667,14.472666667
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,4.21,4.12,3.23,3.2872727273
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,10,5.23,4.1003333333,4.1003333333
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,33,15,7.68,6.02,6.3554545455
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,55,7.72,3.9,3.058,3.3214545455
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,8.5340909091,3.81,2.987,2.987
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,86.31,16.59,11.8812,12.422
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.95,1.8083333333,2.1175
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,37,477.52,67.72,49.435135135,50.99972973
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2045,0.3841369193,0.0457114914,0.0347286064,0.0347286064
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,33.4275,8.0666666667,5.6908333333,6.1816666667
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,666.1575,153.72333333,114.62083333,120.47
1023059334,MCCAULEY,MAURA,C,MD,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,74.25,33,23.714166667,23.714166667
1023059557,CAMPBELL,CURTIS,M,MD,M,I,4403 HARRISON BLVD,SUITE 4400,OGDEN,UT,844033271,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,33,4512,0.2546276596,0.13,0.0965048759,0.0965048759
1023059557,CAMPBELL,CURTIS,M,MD,M,I,4403 HARRISON BLVD,SUITE 4400,OGDEN,UT,844033271,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,53,7230,8.11606639,6.15,4.7843416321,5.5825892116
1023059557,CAMPBELL,CURTIS,M,MD,M,I,4403 HARRISON BLVD,SUITE 4400,OGDEN,UT,844033271,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,103,4.2819417476,1.8,1.2461165049,1.2461165049
1023059599,KAY,RANDY,S,,M,I,24748 W WARREN ST,,DEARBORN HEIGHTS,MI,481272109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,47,132,46.626666667,8.32,6.3738636364,6.3738636364
1023059599,KAY,RANDY,S,,M,I,24748 W WARREN ST,,DEARBORN HEIGHTS,MI,481272109,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,13.57,3.38,2.65,2.65
1023059599,KAY,RANDY,S,,M,I,24748 W WARREN ST,,DEARBORN HEIGHTS,MI,481272109,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,26,38,12.758947368,1.42,1.0263157895,1.0263157895
1023059599,KAY,RANDY,S,,M,I,24748 W WARREN ST,,DEARBORN HEIGHTS,MI,481272109,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,309.25217391,79.88,62.62,56.437391304
1023059599,KAY,RANDY,S,,M,I,24748 W WARREN ST,,DEARBORN HEIGHTS,MI,481272109,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,17.5825,12.366666667,12.753333333
1023059631,PANDYA,SONAL,N,M.D.,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,12,110,27.42,24,18.816,19.147636364
1023059680,WEISER,ADAM,C,M.D.,M,I,701 TECH CENTER DRIVE,SUITE 250,COLUMBUS,OH,432301987,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,0.39,0.13,0.1019,0.1019
1023059680,WEISER,ADAM,C,M.D.,M,I,701 TECH CENTER DRIVE,SUITE 250,COLUMBUS,OH,432301987,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,35,5400,13.626611111,6.63,5.1458148148,5.6162259259
1023059680,WEISER,ADAM,C,M.D.,M,I,701 TECH CENTER DRIVE,SUITE 250,COLUMBUS,OH,432301987,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,57,24.324035088,10.93,8.118245614,8.118245614
1023059680,WEISER,ADAM,C,M.D.,M,I,701 TECH CENTER DRIVE,SUITE 250,COLUMBUS,OH,432301987,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,40,12.52025,7.46,5.55725,5.55725
1023059680,WEISER,ADAM,C,M.D.,M,I,701 TECH CENTER DRIVE,SUITE 250,COLUMBUS,OH,432301987,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.3698181818,5.74,4.5,4.5
1023059680,WEISER,ADAM,C,M.D.,M,I,701 TECH CENTER DRIVE,SUITE 250,COLUMBUS,OH,432301987,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.4297272727,7.33,5.2644090909,5.2644090909
1023059722,IBEKU,CHUKWUEMEKA,,M.D.,M,I,940 STUYVESANT AVE,SUITE 2,UNION,NJ,070836906,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,46,71.602826087,8.32,5.9530434783,5.9530434783
1023059722,IBEKU,CHUKWUEMEKA,,M.D.,M,I,940 STUYVESANT AVE,SUITE 2,UNION,NJ,070836906,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,15.415454545,1.42,0.9163636364,0.9163636364
1023059722,IBEKU,CHUKWUEMEKA,,M.D.,M,I,940 STUYVESANT AVE,SUITE 2,UNION,NJ,070836906,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,1422,9.4373980309,3.99,3.0937482419,3.2011954993
1023059722,IBEKU,CHUKWUEMEKA,,M.D.,M,I,940 STUYVESANT AVE,SUITE 2,UNION,NJ,070836906,US,Physician/Family Practice,S,B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,15,47.78,24.89,19.51,20.038
1023059722,IBEKU,CHUKWUEMEKA,,M.D.,M,I,940 STUYVESANT AVE,SUITE 2,UNION,NJ,070836906,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,38,11678,0.675256037,0.3599691728,0.2808186333,0.2880090769
1023059722,IBEKU,CHUKWUEMEKA,,M.D.,M,I,940 STUYVESANT AVE,SUITE 2,UNION,NJ,070836906,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5193,0.57,0.3,0.2199537839,0.2271326786
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,15,190,55.302684211,19.667578947,15.419368421,15.419368421
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,480,7.830625,2.635,2.06575,2.06575
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,95,120,295,1328,66.363795181,8.32,6.1471837349,6.1471837349
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,31,31,12.540645161,3.38,2.65,2.65
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,14,18,18,19.720555556,2.12,1.5772222222,1.5772222222
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,55,69,125,318,14.144433962,1.42,1.0815408805,1.0815408805
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,648.34380952,323.74857143,246.98428571,246.98428571
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1380,16.382384058,10.679826087,8.3729710145,8.3729710145
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,46,271,271,278.28704797,250.97494465,196.70926199,196.81464945
1023059730,MOHAN,VINEETH,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,30,30,30,333.217,262.995,196.622,197.53533333
1023059763,FORMAN,STEVEN,T,M.D.,M,I,5300 KATELLA AVE,,LOS ALAMITOS,CA,907202808,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,205.47,30.607222222,20.955,21.805555556
1023059987,KAUFMANN,LISA,,MD,F,I,336 DEERFIELD RD,,BOONE,NC,286075008,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2110.46,1074.31,830.30416667,830.30416667
1023060068,LEE,BARRY,R,M.D.,M,I,631 COX RD,,GASTONIA,NC,280543438,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,39,14.770769231,12.22,8.8430769231,10.106923077
1023060068,LEE,BARRY,R,M.D.,M,I,631 COX RD,,GASTONIA,NC,280543438,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.46,2.27,1.6179220779,1.6179220779
1023060068,LEE,BARRY,R,M.D.,M,I,631 COX RD,,GASTONIA,NC,280543438,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,50,8834,2.4655490152,1.745791261,1.3217625085,1.5515055468
1023060068,LEE,BARRY,R,M.D.,M,I,631 COX RD,,GASTONIA,NC,280543438,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,35,80,11.948,10.93,7.60425,7.60425
1023060068,LEE,BARRY,R,M.D.,M,I,631 COX RD,,GASTONIA,NC,280543438,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,44,108,7.3875925926,7.1190740741,4.9202777778,5.1873148148
1023060068,LEE,BARRY,R,M.D.,M,I,631 COX RD,,GASTONIA,NC,280543438,US,Physician/Urology,S,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,129,13.951550388,12.73,9.0059689922,9.0059689922
1023060225,GREENFIELD,PHILLIP,J,DPM,M,I,1316 S MAIN ST,,CLARION,IA,505252019,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,33,33,66,91.362424242,71.56,49.304393939,49.304393939
1023060225,GREENFIELD,PHILLIP,J,DPM,M,I,1316 S MAIN ST,,CLARION,IA,505252019,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,126,142.51142857,43.56,33.053015873,33.051349206
1023060225,GREENFIELD,PHILLIP,J,DPM,M,I,1316 S MAIN ST,,CLARION,IA,505252019,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,13,60,57.611,43.56,34.151166667,34.149
1023060225,GREENFIELD,PHILLIP,J,DPM,M,I,1316 S MAIN ST,,CLARION,IA,505252019,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,337.72,251.28,197,215.24166667
1023060423,MATTERN,JOSEPH,J,M.D.,M,I,915 SHERIDAN ST,SUITE B103,PORT TOWNSEND,WA,983682931,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,16,34,80,57.687125,8.32,6.359625,6.359625
1023060423,MATTERN,JOSEPH,J,M.D.,M,I,915 SHERIDAN ST,SUITE B103,PORT TOWNSEND,WA,983682931,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,62,500.42709677,106.14354839,82.255322581,59.97016129
1023060423,MATTERN,JOSEPH,J,M.D.,M,I,915 SHERIDAN ST,SUITE B103,PORT TOWNSEND,WA,983682931,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,200,45.034285714,35.309285714,29.516428571
1023060423,MATTERN,JOSEPH,J,M.D.,M,I,915 SHERIDAN ST,SUITE B103,PORT TOWNSEND,WA,983682931,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1566,1.3439591315,0.135146871,0.1059833972,0.1059833972
1023060423,MATTERN,JOSEPH,J,M.D.,M,I,915 SHERIDAN ST,SUITE B103,PORT TOWNSEND,WA,983682931,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,76.3125,33,25.87,25.87
1023060621,ARMENIA,DAVID,C,M.D.,M,I,2546 BALLTOWN RD,SUITE 203,SCHENECTADY,NY,123091079,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,230,67.72,53.1,54.581818182
1023060621,ARMENIA,DAVID,C,M.D.,M,I,2546 BALLTOWN RD,SUITE 203,SCHENECTADY,NY,123091079,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,38.72,30.36,29.596363636
1023060795,FRABONI,AMERICO,D,MD,M,I,919 NORTHLAND DR,,PRINCETON,MN,553712172,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.99,54.87,54.73
1023060795,FRABONI,AMERICO,D,MD,M,I,919 NORTHLAND DR,,PRINCETON,MN,553712172,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,38.68,30.32,29.51
1023060829,GILLIGAN,MARY ANN,,MD,F,I,9200 W WISCONSIN AVE,CLINICAL CANCER CENTER,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,37,145,59.107103448,8.32,6.4303448276,6.4303448276
1023060829,GILLIGAN,MARY ANN,,MD,F,I,9200 W WISCONSIN AVE,CLINICAL CANCER CENTER,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.316923077,3.38,2.65,2.65
1023060829,GILLIGAN,MARY ANN,,MD,F,I,9200 W WISCONSIN AVE,CLINICAL CANCER CENTER,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,27,59,14.039491525,1.42,1.0566101695,1.0566101695
1023060829,GILLIGAN,MARY ANN,,MD,F,I,9200 W WISCONSIN AVE,CLINICAL CANCER CENTER,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,425,79.98,58.835,51.52
1023060829,GILLIGAN,MARY ANN,,MD,F,I,9200 W WISCONSIN AVE,CLINICAL CANCER CENTER,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,215,37.46,26.9225,27.054166667
1023060878,KAUFMAN,MERRILL,C,D.O.,M,I,9510 101ST AVE,,OZONE PARK,NY,114162518,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,87,53.946551724,8.32,6.5225287356,6.5225287356
1023060878,KAUFMAN,MERRILL,C,D.O.,M,I,9510 101ST AVE,,OZONE PARK,NY,114162518,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.922857143,3.38,2.65,2.65
1023060878,KAUFMAN,MERRILL,C,D.O.,M,I,9510 101ST AVE,,OZONE PARK,NY,114162518,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,32,15.39375,1.42,1.11125,1.11125
1023060894,HILL,LAWRENCE,K,M.D.,M,I,8 MEMORIAL MEDICAL CT,STE. 6,GREENVILLE,SC,296054455,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,1800,0.3036666667,0.13,0.0987666667,0.0987666667
1023060894,HILL,LAWRENCE,K,M.D.,M,I,8 MEMORIAL MEDICAL CT,STE. 6,GREENVILLE,SC,296054455,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,54,10350,3.5655652174,2.04,1.5663507246,1.5663507246
1023060894,HILL,LAWRENCE,K,M.D.,M,I,8 MEMORIAL MEDICAL CT,STE. 6,GREENVILLE,SC,296054455,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,3000,11.9765,7.032,5.41668,5.57192
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,35,80,169,53.477278107,8.32,6.1305325444,6.1305325444
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,30,40,12.46625,1.42,1.088,1.088
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,70.07,50.38,39.5,31.282666667
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,23,51,6.1737254902,2.0117647059,1.527254902,1.1654901961
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,214.66666667,128.955,94.193333333,65.051666667
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,45,86.883333333,47.013333333,35.098666667,25.161111111
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,19,99,44.833333333,26.19969697,19.569191919,14.390808081
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,14,19,19,130.16526316,78.744210526,61.734210526,45.555789474
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,29,29,48.586206897,27.01862069,21.17862069,14.980689655
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,22,22,49.170454545,20.235454545,14.947272727,9.8686363636
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,36,211,7.4097630332,3.241042654,2.4404739336,1.6183412322
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,19.15,9.3333333333,6.8891666667,4.8891666667
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,34.843333333,15.7275,12.325833333,10.34
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,770,15,12.34561039,9.6792597403,10.280636364
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,356,450,326.82,255.99396067,255.99396067
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,356,29.831460674,9.35,7.2888202247,7.2888202247
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,356,40,29.22,22.779859551,22.779859551
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,88,97,92.106391753,22.325773196,16.579072165,13.786391753
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,275,120.76583333,94.679166667,64.918333333
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,50,51,32.767254902,9.1925490196,7.2060784314,4.2329411765
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,27,130,54.13037037,42.435185185,26.194444444
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,23,176,185,442.08697297,102.0147027,75.26427027,55.811513514
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,39,107.69230769,45.274615385,35.393846154,29.413076923
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1140,17.424649123,9.5244736842,7.2723596491,7.2723596491
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,31,8323,0.3656109576,0.0444863631,0.0324486363,0.0324486363
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,50,2970,9.7022154882,2.9361818182,2.301976431,2.301976431
1023060902,BUCK,WILLIAM,D,MD,M,I,737 E CRAWFORD ST,,SALINA,KS,674015103,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,19,66,67,53.014925373,33,25.382537313,25.382537313
1023060910,HAQUE,SAYERA,,M.D.,F,I,518 MCDONALD AVE,,BROOKLYN,NY,112183816,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,63,73.672063492,8.32,4.296031746,4.296031746
1023060910,HAQUE,SAYERA,,M.D.,F,I,518 MCDONALD AVE,,BROOKLYN,NY,112183816,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,20,1302.9905,1.42,0.728,0.728
1023061025,CRUZ,HELEN,L,CRNP,F,I,2635 KIDWELL PL,,ELLICOTT CITY,MD,210434586,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,62.343125,16.629375,12.238125,12.57875
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,381,727,727,153.37595598,39.661430536,29.93394773,29.435460798
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,201,407,407,484.75383292,85.124324324,64.284373464,65.242800983
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,185,386,855,188.90874854,32.63522807,24.232502924,24.555333333
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,150,276,1384,77.771430636,17.817651734,13.147492775,13.729804913
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,121,222,1144,63.665148601,15.584020979,11.757194056,11.47652972
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,294,558,558,234.32632616,54.008853047,39.77374552,40.377939068
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,463,642,642,86.34911215,17.733380062,13.340638629,13.503302181
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,31,36,36,45.144166667,10.121666667,7.7133333333,7.9083333333
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,131,234,234,59.702008547,12.002948718,8.7411538462,8.5324358974
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,468,901,4898,7.9136708861,2.0066476113,1.5073131891,1.5248550429
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,158,204,204,17.725,5.9271078431,4.5073039216,4.5319607843
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,22,352,459,459,69.922984749,13.017494553,9.7978867102,9.9209368192
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,14,86,86,98.205,17.632325581,12.846511628,12.599186047
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3083.6661538,1074.31,842.26,842.26
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,34,211,211,705.51976303,90.179620853,67.479620853,64.145260664
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,1450.6746154,223.40269231,175.14692308,169.55346154
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1567.6127273,1033.3827273,800.88272727,800.88272727
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,101,102,102,660.43794118,136.1745098,104.50411765,102.56460784
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,50.73,4.1531818182,2.9031818182,3.4713636364
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,153,939,945,528.97530159,33.64168254,24.488719577,23.636455026
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,55,430,437,592.56361556,76.762883295,57.186498856,52.472494279
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,22,142,149,164.48845638,36.396241611,27.212483221,27.997583893
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,19,52,12636,0.2595140867,0.046638968,0.0331521051,0.0331521051
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,13,39,6997,1.8228340717,0.1341089038,0.1035958268,0.1035958268
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,2520,12.881678571,3.1575357143,2.4490079365,2.4490079365
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,285.6,36.96,28.472,28.941428571
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,23,61,61,63.836065574,33,25.445901639,25.445901639
1023061116,MCGEE,TIMOTHY,J,DO,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,14,14,66,66,51.74,51.74
1023061165,BOYKO,JEFFREY,M,DO,M,I,6707 POWERS BLVD STE 302,,PARMA,OH,441295470,US,Physician/Vascular Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,17,1800,0.1528166667,0.12,0.0899166667,0.0899166667
1023061165,BOYKO,JEFFREY,M,DO,M,I,6707 POWERS BLVD STE 302,,PARMA,OH,441295470,US,Physician/Vascular Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,2840,0.1612676056,0.13,0.0875633803,0.0875633803
1023061165,BOYKO,JEFFREY,M,DO,M,I,6707 POWERS BLVD STE 302,,PARMA,OH,441295470,US,Physician/Vascular Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,2177,0.5715434084,0.45,0.3528112081,0.3528112081
1023061397,HICKS,JAMES,S,M.D.,M,I,1300 OLD WEISGARBER RD,,KNOXVILLE,TN,379091291,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,29,66.806896552,8.32,3.5975862069,3.5975862069
1023061579,LINDOR-ANTOINE,NIRVA,M,M.D.,F,I,6101 LAKE ELLENOR DR,SUITE 105,ORLANDO,FL,328094616,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,28,56.3525,8.32,5.1396428571,5.1396428571
1023061629,LINDBECK,ERIC,O,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,421,8.449263658,6.26,4.9080047506,5.7780047506
1023061629,LINDBECK,ERIC,O,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,55,6.5272727273,3.81,2.9878181818,2.9878181818
1023061629,LINDBECK,ERIC,O,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,326,7.5,3.08,2.4147239264,2.3677607362
1023061629,LINDBECK,ERIC,O,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5055,0.75,0.31,0.2430365974,0.2430365974
1023061769,MARKS,RICHARD,M,MD,M,I,1601 CENTER ST STE 3N,,MOBILE,AL,366041541,US,Physician/Orthopedic Surgery,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,19,30,224.03333333,193.61,151.421,150.13233333
1023061850,CALDWELL,CHARLES,R,M.D.,M,I,3343 SPRINGHILL DR,SUITE 1035,NORTH LITTLE ROCK,AR,721172929,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,41.162413793,18,14.11,13.559655172
1023061850,CALDWELL,CHARLES,R,M.D.,M,I,3343 SPRINGHILL DR,SUITE 1035,NORTH LITTLE ROCK,AR,721172929,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,245.04172414,71,55.66,54.762068966
1023061868,PATEL,MIHIR,M,MD,M,I,8450 NORTHWEST BLVD.,,INDIANAPOLIS,IN,462781381,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,79.8,79.8,54.982,47.674
1023061868,PATEL,MIHIR,M,MD,M,I,8450 NORTHWEST BLVD.,,INDIANAPOLIS,IN,462781381,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,22,110.77272727,110.77272727,84.248181818,98.780454545
1023061868,PATEL,MIHIR,M,MD,M,I,8450 NORTHWEST BLVD.,,INDIANAPOLIS,IN,462781381,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,41,41,44,91,72.497727273,55.546590909,61.309772727
1023061868,PATEL,MIHIR,M,MD,M,I,8450 NORTHWEST BLVD.,,INDIANAPOLIS,IN,462781381,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,23,23,171,153.95217391,120.69652174,119.78869565
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,69,194,60.458453608,8.32,5.8826804124,5.8826804124
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,26,28,11.905,3.38,2.5553571429,2.5553571429
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,19.19,2.12,1.5507142857,1.5507142857
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,43,57,14.32,1.42,1.0768421053,1.0768421053
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,17,17,103.08764706,38.55,30.22,30.458235294
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,258.51294118,86.33,63.698823529,63.851764706
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,52,96.690961538,33.48,24.79,24.498076923
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,14,82,75.139390244,18.78,12.65195122,12.507926829
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,17,17,198.73,54.47,37.685294118,37.831176471
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,19,19,61.929473684,17.88,13.272631579,13.317894737
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,20,20,62.0375,11.54,8.145,8.2145
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,14,33,196,9.3025510204,2.01,1.5593877551,1.5744387755
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,52.39,4.5718181818,2.9195454545,2.9181818182
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,387.99333333,70.23,55.06,54.881904762
1023061900,MCCAMPBELL,EDWIN,L,M.D.,M,I,4591 SOCASTEE BLVD,,MYRTLE BEACH,SC,295887209,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,64.54,37.44,29.35,29.393636364
1023061991,LADINE,NIELS,W,DPM,M,I,3221 S MEMORIAL DR,SUITE C,NEW CASTLE,IN,473621123,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,420,251.28,190.12157895,210.85894737
1023062031,SALIM,DEBRA,,M.D.,F,I,969 GREENTREE RD,,PITTSBURGH,PA,152203328,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,69.545,8.32,6.5221428571,6.5221428571
1023062031,SALIM,DEBRA,,M.D.,F,I,969 GREENTREE RD,,PITTSBURGH,PA,152203328,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,335,77.5,56.9625,51.68625
1023062650,GIORDANO,ANTHONY,R,DPM,M,I,50505 SCHOENHERR RD,SUITE 230,SHELBY TWP,MI,483153140,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,29,150,72.45,55.226206897,61.309310345
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,34,103,225,51.718266667,8.32,5.1597777778,5.1597777778
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,23,38,7.2344736842,1.42,0.9976315789,0.9976315789
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,35,23.201764706,18.188235294,15.654705882
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,20.35,6.952,4.116,2.197
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,205.81166667,49.1975,38.569166667,30.921666667
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,49,256.54857143,108.54,83.87877551,67.972653061
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,61.658461538,45.274615385,35.497692308,31.166923077
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,10638,0.2991220154,0.0464758413,0.0342752397,0.0342752397
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,1891,1.9909201481,0.2190957166,0.155943945,0.155943945
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,35.006875,23.74625,12.91375,8.1875
1023062700,MASSULLO-SCHUBERT,SANDRA,,M.D,F,I,1230 CLARK ST STE A,,CAMBRIDGE,OH,437259611,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,33,66,33,22.734242424,22.734242424
1023062940,HAMLETT,VIVIAN,G,MD,F,I,440 TAYLOR RD,SUITE 3200,MONTGOMERY,AL,361173588,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,79.183846154,27.260769231,21.372307692,15.110769231
1023062965,ALMARODE,MARSHA,A,NP,F,I,78 MEDICAL CENTER DR,,FISHERSVILLE,VA,229392332,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,22,10,4.9645454545,3.8936363636,3.8890909091
1023063070,LAKATUA,JOHN,D,MD,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024008,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,26,218,18413,3.7996486178,0.5710416554,0.4236968446,0.4236968446
1023063070,LAKATUA,JOHN,D,MD,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024008,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,54,8100,0.1047777778,0.0131481481,0.0095024691,0.0095024691
1023063070,LAKATUA,JOHN,D,MD,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024008,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1860,1.444344086,0.734516129,0.5758763441,0.5758763441
1023063070,LAKATUA,JOHN,D,MD,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024008,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,68,10180,3.6598664047,1.3268045187,1.013913556,1.013913556
1023063070,LAKATUA,JOHN,D,MD,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024008,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,78,11964,4.1204638917,2.7760514878,2.1242510866,2.1242502508
1023063070,LAKATUA,JOHN,D,MD,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024008,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,18,31,173,173,24,24,17.840924855,17.840924855
1023063070,LAKATUA,JOHN,D,MD,M,I,500 WEST BROADWAY,,MISSOULA,MT,598024008,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,28,234,286,16.027972028,16,12.161783217,12.161748252
1023063146,LISKA,ANNE,M,PA-C,F,I,615 E 14TH ST,,WAYNE,NE,687871152,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,40,77.1325,8.32,5.37925,5.37925
1023063146,LISKA,ANNE,M,PA-C,F,I,615 E 14TH ST,,WAYNE,NE,687871152,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,197.30153846,78.964615385,61.906923077,46.8
1023063146,LISKA,ANNE,M,PA-C,F,I,615 E 14TH ST,,WAYNE,NE,687871152,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,43.800909091,24.94,19.55,17.360909091
1023063146,LISKA,ANNE,M,PA-C,F,I,615 E 14TH ST,,WAYNE,NE,687871152,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,156.73875,53.953125,42.29625,26.670625
1023063146,LISKA,ANNE,M,PA-C,F,I,615 E 14TH ST,,WAYNE,NE,687871152,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,329.40086957,111.62956522,87.521304348,68.816956522
1023063237,GARB,JEFFREY,L,M.D.,M,I,1710 N. RANDALL RD.,SUITE 250,ELGIN,IL,60123,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,44,123,74.828130081,8.32,5.3553658537,5.3553658537
1023063237,GARB,JEFFREY,L,M.D.,M,I,1710 N. RANDALL RD.,SUITE 250,ELGIN,IL,60123,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,24,31,16.609677419,1.42,1.0793548387,1.0793548387
1023063245,BAKEY,WILLIAM,,PA,M,I,50 SHOPRITE BLVD,,ELLENVILLE,NY,124285632,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,21,51.107142857,8.32,6.5204761905,6.5204761905
1023063401,KNEIFL,QUINN,M,PA-C,F,I,958 WELLNESS WAY STE 1,,PENDER,NE,680474518,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,28,43,81.387209302,8.32,5.1734883721,5.1734883721
1023063401,KNEIFL,QUINN,M,PA-C,F,I,958 WELLNESS WAY STE 1,,PENDER,NE,680474518,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,304.48333333,69.495,54.481666667,47.128333333
1023063401,KNEIFL,QUINN,M,PA-C,F,I,958 WELLNESS WAY STE 1,,PENDER,NE,680474518,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,103.02882353,15.553529412,12.109411765,9.72
1023063401,KNEIFL,QUINN,M,PA-C,F,I,958 WELLNESS WAY STE 1,,PENDER,NE,680474518,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,96,13.56,2.47125,1.9377083333,1.7475
1023063401,KNEIFL,QUINN,M,PA-C,F,I,958 WELLNESS WAY STE 1,,PENDER,NE,680474518,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,18,346,46.751666667,34.656111111,29.761666667
1023063575,FERRITER,JOSEPH,,,M,I,1665 BONANZA DR,,PARK CITY,UT,840605127,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,163.47066667,42.782,33.002,30.742666667
1023063575,FERRITER,JOSEPH,,,M,I,1665 BONANZA DR,,PARK CITY,UT,840605127,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,80.206363636,19.284545455,15.117272727,14.06
1023063575,FERRITER,JOSEPH,,,M,I,1665 BONANZA DR,,PARK CITY,UT,840605127,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,12.46625,2.393125,1.875625,1.676875
1023063575,FERRITER,JOSEPH,,,M,I,1665 BONANZA DR,,PARK CITY,UT,840605127,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,23,200.61565217,28.080434783,17.67,19.815652174
1023063575,FERRITER,JOSEPH,,,M,I,1665 BONANZA DR,,PARK CITY,UT,840605127,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,519.51,91.593846154,62.653846154,46.406923077
1023063898,TSEGAYE,ADEY,,M.D.,F,I,4422 3RD AVE,ST. BARNABAS HOSPITAL,BRONX,NY,104572545,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,25,25,98.3396,39.2104,30.4852,30.2732
1023063898,TSEGAYE,ADEY,,M.D.,F,I,4422 3RD AVE,ST. BARNABAS HOSPITAL,BRONX,NY,104572545,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,282.53166667,87.839444444,61.224444444,60.485555556
1023063898,TSEGAYE,ADEY,,M.D.,F,I,4422 3RD AVE,ST. BARNABAS HOSPITAL,BRONX,NY,104572545,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,159.16166667,53.7575,42.15,42.736666667
1023063898,TSEGAYE,ADEY,,M.D.,F,I,4422 3RD AVE,ST. BARNABAS HOSPITAL,BRONX,NY,104572545,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,71.599411765,18.062352941,14.162941176,14.078823529
1023063898,TSEGAYE,ADEY,,M.D.,F,I,4422 3RD AVE,ST. BARNABAS HOSPITAL,BRONX,NY,104572545,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,29,147,6.319047619,2.0408163265,1.5991836735,1.5936734694
1023063898,TSEGAYE,ADEY,,M.D.,F,I,4422 3RD AVE,ST. BARNABAS HOSPITAL,BRONX,NY,104572545,US,Physician/Critical Care (Intensivists),S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,650,198.35363636,155.51272727,155.99454545
1023063898,TSEGAYE,ADEY,,M.D.,F,I,4422 3RD AVE,ST. BARNABAS HOSPITAL,BRONX,NY,104572545,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,49,55,235.22690909,33.362181818,24.751090909,24.931636364
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,59,177,489,59.121206544,8.32,5.5482617587,5.5482617587
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,24,24,13.891666667,3.38,2.4291666667,2.4291666667
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,18.5275,2.12,1.565625,1.565625
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,39,79,117,12.776324786,1.42,0.971965812,0.971965812
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,4800,3.01,2.04,1.5694604167,1.5694604167
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,260,23.663076923,9.86,7.6994615385,7.6994615385
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,35,90,3.33,2.0146666667,1.4432222222,1.0215555556
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,33,86,2.0095348837,1.451627907,1.0634883721,0.8951162791
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,,15,17,1.6294117647,0.6411764706,0.4476470588,0.3711764706
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,59.716363636,24.32,19.065454545,15.498181818
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,38.614545455,17.969090909,13.150909091,10.375454545
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,90,10.968666667,2.96,2.0845555556,1.5615555556
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,106.97777778,67.498888889,50.782777778,37.840555556
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,125,64.812727273,43.659090909,36.022727273
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,91,91,47.006043956,22.731868132,16.718351648,12.652417582
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,44,44,85.227272727,57.973181818,42.622954545,35.655227273
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,16,97,97,23.684536082,7.1372164948,4.952371134,3.3301030928
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,133,133,219.49548872,100.44345865,73.670601504,53.264962406
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,17,101,13434,1.7325301474,0.1340040197,0.0985864225,0.0985864225
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,58.916666667,24.095,18.89,13.463333333
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,135.96551724,44.72862069,32.084827586,19.04137931
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,73,44.178,28.066,23.612666667
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,994.81806452,140.39354839,102.45322581,77.373870968
1023063922,MENDIOLA,CARMELO,C,MD,M,I,2202 JORDAN ROAD SW,SUITE 500,FORT PAYNE,AL,359683688,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,20,100,100,33,33,23.6676,23.6676
1023063989,GHAVAM,CYRUS,,MD,M,I,927 FRANKLIN ST,,HUNTSVILLE,AL,35801,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,98,692,692,119.9,77.030982659,51.751112717,51.97617052
1023063989,GHAVAM,CYRUS,,MD,M,I,927 FRANKLIN ST,,HUNTSVILLE,AL,35801,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,5110.9090909,4378.96,3433.11,3433.11
1023063989,GHAVAM,CYRUS,,MD,M,I,927 FRANKLIN ST,,HUNTSVILLE,AL,35801,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,565,389.4,305.29,310.54
1023063989,GHAVAM,CYRUS,,MD,M,I,927 FRANKLIN ST,,HUNTSVILLE,AL,35801,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,15,1599.7826667,1275.698,1000.148,886.5
1023064094,BARTMAN,VERONIQUE,,M.D.,F,I,445 E DUBLIN GRANVILLE RD,,WORTHINGTON,OH,430853192,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,42,94,67.342765957,8.32,5.2030851064,5.2030851064
1023064094,BARTMAN,VERONIQUE,,M.D.,F,I,445 E DUBLIN GRANVILLE RD,,WORTHINGTON,OH,430853192,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,16,18,14.789444444,1.42,0.8688888889,0.8688888889
1023064094,BARTMAN,VERONIQUE,,M.D.,F,I,445 E DUBLIN GRANVILLE RD,,WORTHINGTON,OH,430853192,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,50.73,6.035,3.7625,2.91
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,8,16,44,562,41.139519573,19.602989324,15.113220641,15.113220641
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,15,37,1155,8.3778354978,2.6287099567,2.0608484848,2.0608484848
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,114,267,816,2074,70.451065574,8.32,6.0715043394,6.0715043394
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.255384615,3.38,2.4461538462,2.4461538462
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,62,89,180,283,14.520989399,1.42,1.024664311,1.024664311
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,14,28,80.905,71.56,52.841428571,52.841071429
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,697.07548387,356.06064516,274.06193548,274.31612903
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,23,2100,16.769214286,10.78952381,8.3784714286,8.3784714286
1023064177,WOO,WAYNE,,MD MA CCD FACE CDE,M,I,2610 COURTHOUSE CIR,,FLOWOOD,MS,392329562,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,12,41,43,363.06488372,250.91953488,193.38395349,193.5327907
1023064227,REED,TERESA,A,M.D.,F,I,1400 GEORGE DIETER DR,STE. 170,EL PASO,TX,799367601,US,Physician/Radiation Oncology,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,136.94,52.111818182,40.860909091,38.91
1023064227,REED,TERESA,A,M.D.,F,I,1400 GEORGE DIETER DR,STE. 170,EL PASO,TX,799367601,US,Physician/Radiation Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,76.48,59.96,54.72
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,23,25.754782609,20.474347826,12.558695652,16.657391304
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,52,8790,0.15,0.13,0.1019260523,0.1019260523
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,80,10620,2.2496563089,2.04,1.5737024482,1.5737024482
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,4200,7.7745714286,7.23,5.5705833333,5.5705833333
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,34,17.478529412,10.226764706,5.8061764706,6.3591176471
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,32,8,6.80375,4.9690625,5.38125
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,84,1.95,1.73,1.3570238095,1.4082142857
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,265,10.264150943,5.54,4.3432830189,4.3432830189
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,22.946666667,9.58,7.5105,7.5105
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,750,0.528,0.27,0.2116,0.2116
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,160,3.15,3.04,2.3833125,2.3833125
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,540,0.4643518519,0.2681481481,0.2007592593,0.2022777778
1023064235,FROGGE,JAMES,M,M.D.,M,I,3302 MCINTOSH CIR,SUITE 2,JOPLIN,MO,648043648,US,Physician/Urology,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,42.599090909,17.84,13.98,13.98
1023064250,CHEN,YAN,J,MD,M,I,622 W DUARTE RD,#202,ARCADIA,CA,910077606,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,48.060384615,8.32,6.5207692308,6.5207692308
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,250,6.62,3.8736,2.56844,2.59432
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,11,12.649090909,8.2263636364,6.4481818182,6.49
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,510,9.3819215686,5.74,4.1470588235,4.1470588235
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,31,367,4.9767029973,2.9080381471,2.1310626703,2.1326975477
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,52,6.9553846154,6.4292307692,5.0403846154,5.0488461538
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,12.99,11.11,8.71,8.71
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,26,540,10.953,6.9940740741,5.2824259259,5.2876481481
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,30,600,6.077,4.0286666667,3.1478166667,3.1488666667
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,350,3.6568571429,3.1282857143,2.4526571429,2.454
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,28,1490,0.3846241611,0.27,0.2045234899,0.2045234899
1023064318,RECIO,PATRICK,J,D.O.,M,I,145 W 23RD ST,SUITE 201,ERIE,PA,165022858,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,950,0.4205052632,0.2691578947,0.2109578947,0.2116105263
1023064342,ASLANIAN,GREGORY,,MD,M,I,10075 S JOG RD,STE 300,BOYNTON BEACH,FL,334373535,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,34,127,65.929370079,8.32,6.3173228346,6.3173228346
1023064342,ASLANIAN,GREGORY,,MD,M,I,10075 S JOG RD,STE 300,BOYNTON BEACH,FL,334373535,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,52,17.335384615,1.42,1.0919230769,1.0919230769
1023064342,ASLANIAN,GREGORY,,MD,M,I,10075 S JOG RD,STE 300,BOYNTON BEACH,FL,334373535,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,59,8.2545762712,2.4,1.8815254237,1.616440678
1023064342,ASLANIAN,GREGORY,,MD,M,I,10075 S JOG RD,STE 300,BOYNTON BEACH,FL,334373535,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18,12.934166667,12.411666667
1023064342,ASLANIAN,GREGORY,,MD,M,I,10075 S JOG RD,STE 300,BOYNTON BEACH,FL,334373535,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,178.25894737,41.252631579,32.34,29.22
1023064342,ASLANIAN,GREGORY,,MD,M,I,10075 S JOG RD,STE 300,BOYNTON BEACH,FL,334373535,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,519.51,90.01,67.50173913,53.039130435
1023064417,HADLEY,DEBORAH,,M.D.,F,I,195 WORCESTER ST,SUITE 102,WELLESLEY,MA,024815568,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,21,63,74.463492063,8.32,6.2865079365,6.2865079365
1023064433,KALAHASTHY,ANNADORAI,,MD,M,I,6251 GOOD SAMARITAN WAY,SUITE 210 A,HUBER HEIGHTS,OH,454241051,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,46,144,337,57.532818991,8.32,5.5936498516,5.5936498516
1023064433,KALAHASTHY,ANNADORAI,,MD,M,I,6251 GOOD SAMARITAN WAY,SUITE 210 A,HUBER HEIGHTS,OH,454241051,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,12.431666667,3.38,2.65,2.65
1023064433,KALAHASTHY,ANNADORAI,,MD,M,I,6251 GOOD SAMARITAN WAY,SUITE 210 A,HUBER HEIGHTS,OH,454241051,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,29,58,87,12.239310345,1.42,0.9745977011,0.9745977011
1023064433,KALAHASTHY,ANNADORAI,,MD,M,I,6251 GOOD SAMARITAN WAY,SUITE 210 A,HUBER HEIGHTS,OH,454241051,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,744,2.9183870968,1.92,1.3124731183,1.4084005376
1023064433,KALAHASTHY,ANNADORAI,,MD,M,I,6251 GOOD SAMARITAN WAY,SUITE 210 A,HUBER HEIGHTS,OH,454241051,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,330,9.2845151515,3.0072727273,1.9946363636,1.9946363636
1023064433,KALAHASTHY,ANNADORAI,,MD,M,I,6251 GOOD SAMARITAN WAY,SUITE 210 A,HUBER HEIGHTS,OH,454241051,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,62.117647059,33,24.348235294,24.348235294
1023064466,COLLINS,SARA,C,ARNP,F,I,7050 GALL BLVD,,ZEPHYRHILLS,FL,335411347,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,85,54.778,8.32,6.3696470588,6.3696470588
1023064672,NURBHAI,NURULHUSEIN,,D.O.,M,I,11307 FM 1960 RD W,SUITE 110,HOUSTON,TX,770653687,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,16,16,67.71,53.2,37.82875,42.25125
1023064789,CHAOUI,ALAIN,A,MD,M,I,1 ROOSEVELT AVE,SUITE 201,PEABODY,MA,019602200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,35,102,52.693137255,8.292745098,5.9890196078,6.0103921569
1023064789,CHAOUI,ALAIN,A,MD,M,I,1 ROOSEVELT AVE,SUITE 201,PEABODY,MA,019602200,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,27,42,12.701904762,1.42,1.0361904762,1.0361904762
1023064789,CHAOUI,ALAIN,A,MD,M,I,1 ROOSEVELT AVE,SUITE 201,PEABODY,MA,019602200,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,375.58636364,94.027272727,60.235454545,55.509090909
1023064789,CHAOUI,ALAIN,A,MD,M,I,1 ROOSEVELT AVE,SUITE 201,PEABODY,MA,019602200,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,65,11.861692308,2.2815384615,1.4556923077,1.298
1023064789,CHAOUI,ALAIN,A,MD,M,I,1 ROOSEVELT AVE,SUITE 201,PEABODY,MA,019602200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,633.65368421,78,57.931578947,52.187368421
1023064821,ROSEN,MARC,L,MD,M,I,698 WEST AVE,,NORWALK,CT,068503302,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,72,56.45,55.303333333
1023064821,ROSEN,MARC,L,MD,M,I,698 WEST AVE,,NORWALK,CT,068503302,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,36.3,28.46,29.16
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,117,234,234,86.802692308,39.804786325,29.397264957,28.79017094
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,76,134,134,218.15029851,84.389104478,61.989701493,63.539104478
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,72,131,326,76.31898773,31.932269939,23.836993865,24.662699387
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,42,85,399,56.613784461,18.550225564,13.92914787,13.946065163
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,47,98,499,35.533927856,14.673306613,10.735691383,11.090501002
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,92,182,182,147.38950549,53.45956044,39.222527473,40.182197802
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,146,185,185,46.800864865,18.154972973,13.580756757,13.41172973
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,28,33,33,26.922121212,10.53030303,8.253030303,8.1536363636
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,37,69,69,51.796956522,9.6450724638,7.0091304348,8.4134782609
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,162,322,1620,6.7207901235,1.9159074074,1.4602716049,1.5478271605
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,92,110,110,29.614,13.955727273,10.743363636,10.204272727
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,55,55,54.258363636,18.358545455,13.632909091,12.884727273
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4740.2,913.16,709.66333333,836.00333333
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,38,41,345.74097561,88.036585366,67.47195122,69.114878049
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,723.65058824,214.41176471,114.29705882,120.45117647
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,16,16,16,352.748125,129.785,95.10375,97.59375
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,49,277,283,37.209681979,12.923922261,9.9574204947,10.267137809
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,31,37.143548387,5.4819354839,4.0867741935,4.1403225806
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,75,468,471,142.5129087,31.098535032,23.4014862,24.234225053
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,20,141,148,320.22648649,73.653243243,54.213783784,51.729864865
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,235,39.51,30.98,29.777272727
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,81.693888889,39.51,28.398333333,27.173333333
1023064847,KUDLAK,JOHN,J,D.O.,M,I,200 PATEWOOD DR,SUITE B300,GREENVILLE,SC,296153593,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,15,15,46.2,33,24.145333333,24.145333333
1023064938,MEKOYA,ABIY,D,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,35,39,46.172051282,18.554102564,13.832307692,13.474358974
1023064938,MEKOYA,ABIY,D,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,35,41,263.96682927,80.24195122,60.098292683,56.007317073
1023064953,DALFONSO,FRANCINE,,FNP,F,I,81 MEDICAL CENTER DR,2350,BRUNSWICK,ME,040112764,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,93,7700,0.39,0.13,0.0924974026,0.0924974026
1023064953,DALFONSO,FRANCINE,,FNP,F,I,81 MEDICAL CENTER DR,2350,BRUNSWICK,ME,040112764,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,5470,4.400786106,2.0358318099,1.498250457,1.5015155393
1023064953,DALFONSO,FRANCINE,,FNP,F,I,81 MEDICAL CENTER DR,2350,BRUNSWICK,ME,040112764,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,74,5880,10.28707483,7.23,5.6141802721,5.6141802721
1023065091,ARRIAGA,YULL,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,17.63,13.82,13.554166667
1023065091,ARRIAGA,YULL,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,76.48,59.96,55.156666667
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,30,71,232,63.676508621,8.32,5.6507327586,5.6507327586
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,35,52,11.799615385,1.42,1.0726923077,1.0726923077
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,57,6.2714035088,2.1994736842,1.7242105263,1.6296491228
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,90,55.44125,40.24375,36.7
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,145,38.996875,30.569375,29.100625
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,9.805,6.9033333333,6.1541666667
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,697.32923077,86.84,68.08,55.756923077
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,4778,0.2542674759,0.0458497279,0.0359501884,0.0359501884
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,56.875,23.0775,12.52375,10.313125
1023065232,DIBBLE,TIMOTHY,D,MD,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39.51,30.98,29.643636364
1023065240,MANGONE,PETER,G,M.D.,M,I,60 LIVINGSTON ST,SUITE 100,ASHEVILLE,NC,288014402,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,45,45,109.38133333,20.067555556,15.300222222,13.81
1023065240,MANGONE,PETER,G,M.D.,M,I,60 LIVINGSTON ST,SUITE 100,ASHEVILLE,NC,288014402,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,37.498666667,8.9093333333,6.7086666667,6.2976666667
1023065240,MANGONE,PETER,G,M.D.,M,I,60 LIVINGSTON ST,SUITE 100,ASHEVILLE,NC,288014402,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,29,29,79.67,74.55,58.45,63.1
1023065240,MANGONE,PETER,G,M.D.,M,I,60 LIVINGSTON ST,SUITE 100,ASHEVILLE,NC,288014402,US,Physician/Orthopedic Surgery,S,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,12,614.355,503.02,394.36916667,434.53833333
1023065240,MANGONE,PETER,G,M.D.,M,I,60 LIVINGSTON ST,SUITE 100,ASHEVILLE,NC,288014402,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,15,19,93.448421053,73.847368421,57.898947368,63.682631579
1023065240,MANGONE,PETER,G,M.D.,M,I,60 LIVINGSTON ST,SUITE 100,ASHEVILLE,NC,288014402,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,53,55,56,200,154.71,121.29017857,119.83267857
1023065380,DIVARIS,NICHOLAS,,,M,I,14 TECHNOLOGY DR,,EAST SETAUKET,NY,117333472,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,32.025833333,16.253333333,12.743333333,14.095833333
1023065455,SCHNEEWEIS,JOHN,R,MD,M,I,165 MILL ST,,LEOMINSTER,MA,01453,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,49,140,64.269,8.32,5.8694285714,5.8694285714
1023065455,SCHNEEWEIS,JOHN,R,MD,M,I,165 MILL ST,,LEOMINSTER,MA,01453,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,18.165517241,1.42,0.9993103448,0.9993103448
1023065455,SCHNEEWEIS,JOHN,R,MD,M,I,165 MILL ST,,LEOMINSTER,MA,01453,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,178.24324324,31.671621622,19.835945946,19.462162162
1023065539,GOLDMAN,JACK,,M.D.,M,I,101 2ND ST NE,,AUBURN,WA,980024902,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,35,99,69.163737374,8.32,6.2587878788,6.2587878788
1023065539,GOLDMAN,JACK,,M.D.,M,I,101 2ND ST NE,,AUBURN,WA,980024902,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,12.022083333,2.385,1.5744444444,1.3426388889
1023065711,KWETKOWSKI,ELENA,M,D.O.,F,I,191 MACARTHUR BLVD,,COVENTRY,RI,028167244,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,38,73.137631579,8.32,3.7752631579,3.7752631579
1023065745,KAPADIA,DEEPAK,,MD,M,I,550 HOSPITAL DR,SUITE B,MADISONVILLE,KY,424311652,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,66.745,21.615625,16.945625,16.598125
1023065745,KAPADIA,DEEPAK,,MD,M,I,550 HOSPITAL DR,SUITE B,MADISONVILLE,KY,424311652,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,30,388,97.342666667,76.318,72.61
1023065927,VELIGANDLA,HIMACHALA,R,M.D.,M,I,2101 SW 20TH PL,,OCALA,FL,344717734,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,226.35,93.1975,69.331875,53.840625
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,34,54,55.782592593,8.32,6.5237037037,6.5237037037
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,17,94.707058824,1.42,1.1188235294,1.1188235294
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,11.900833333,9.3333333333,7.2633333333
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,55.995121951,22.082195122,16.946829268,13.787317073
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,72,72,35.833333333,6.7073611111,5.1344444444,3.45375
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,147.15,34.915833333,27.375,23.38
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,99,99,415.65656566,96.046464646,72.611212121,53.013333333
1023065968,STERN,DOUGLAS,D,DO,M,I,214 PEACH ORCHARD RD,,MC CONNELLSBURG,PA,172338559,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,28.77,21.355,14.075833333
1023065984,INDYK,ANDRZEJ,P,M.D.,M,I,4920 N CENTRAL AVE,SUITE 2B,CHICAGO,IL,60630,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,48,98,72.642142857,8.32,5.4557142857,5.4557142857
1023065984,INDYK,ANDRZEJ,P,M.D.,M,I,4920 N CENTRAL AVE,SUITE 2B,CHICAGO,IL,60630,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,16,18,14.836666667,1.42,1.0566666667,1.0566666667
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,36,126,332,45.667801205,8.32,5.7161746988,5.7161746988
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,26,27,14.564444444,3.38,2.4537037037,2.4537037037
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.58,2.12,1.67,1.67
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,25,67,115,17.699652174,1.42,0.9590434783,0.9590434783
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,53,6.0690566038,3.0003773585,2.3526415094,1.8232075472
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,60,60,53.980166667,22.0835,15.369666667,12.028
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,37,37,21.6,6.9394594595,4.5740540541,2.6610810811
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,129.545,79.758333333,62.531666667,62.531666667
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,31.788823529,13.498823529,10.05,8.5270588235
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,130,132,395.17090909,97.594621212,68.764772727,54.495075758
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,1986,0.7991238671,0.0471752266,0.0219838872,0.0219838872
1023066032,FORD,SUZANNE,D,DO,F,I,178 DOUGLAS PKWY,,PIKEVILLE,KY,415016970,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,91.235294118,33,24.348235294,24.348235294
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,39,104,206,55.33815534,8.32,5.6677669903,5.6677669903
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,24,34,48,17.173541667,1.42,0.9525,0.9525
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,33,8.956969697,1.9787878788,1.4742424242,1.0806060606
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,68.391538462,15.672307692,12.285384615,10.01
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,10.366176471,2.5026470588,1.9623529412,1.6332352941
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,44,73.755454545,22.43,16.566363636,13.965681818
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,171.67647059,52.689411765,38.882941176,35.508823529
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,64.15,7.24575,5.04875,3.2755
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,74,78,405.48282051,102.42179487,77.501282051,59.974871795
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,13,29,8295,0.3104834237,0.0462893309,0.0322591923,0.0322591923
1023066057,FERGUSON,TAMMI,L,FNP,F,I,1700 W MARKET ST,SUITE J,BOLIVAR,TN,380081653,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,14,33,33,57,33,24.443333333,24.443030303
1023066172,WALKER,NITA,,M.D.,F,I,9275 MONTGOMERY RD,STE 200,CINCINNATI,OH,452427779,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,26,76.669230769,8.32,5.0153846154,5.0153846154
1023066172,WALKER,NITA,,M.D.,F,I,9275 MONTGOMERY RD,STE 200,CINCINNATI,OH,452427779,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,17.325,1.42,0.7466666667,0.7466666667
1023066172,WALKER,NITA,,M.D.,F,I,9275 MONTGOMERY RD,STE 200,CINCINNATI,OH,452427779,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,185.09272727,45.838181818,28.538181818,28.918181818
1023066222,ROUAN,GREGORY,W,M.D.,M,I,222 PIEDMONT AVE,STE 6000,CINCINNATI,OH,452194231,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,82.413333333,17.36,11.341666667,11.289166667
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,29,83,259,57.016949807,8.32,6.1693436293,6.1693436293
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,43,64,9.6528125,1.42,1.08109375,1.08109375
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,12,20.581666667,10.93,7.8558333333,7.8558333333
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,22,14.996363636,7.46,5.3181818182,5.3181818182
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,810,4.6044444444,3.1,2.4303333333,2.4303333333
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,97.4,34.17,26.788181818,27.995454545
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,122.87066667,26.743333333,20.966666667,23.178
1023066362,DADGAR,ANUSHIRAVAN,,D.O.,M,I,10110 MOLECULAR DR,SUITE 206,ROCKVILLE,MD,208507539,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,34.3,9.8404761905,7.7185714286,7.1819047619
1023066388,BOUSADER-ARMSTRONG,NATHALIE,,M.D.,F,I,1000 YOUNGS RD,SUITE 101,WILLIAMSVILLE,NY,142212644,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,72.874137931,8.32,5.6210344828,5.6210344828
1023066552,GUERRA,MICHAEL,E,M.D.,M,I,244 WESLEY DR,,KERRVILLE,TX,780285809,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,66.577692308,56.97,40.780769231,45.093846154
1023066552,GUERRA,MICHAEL,E,M.D.,M,I,244 WESLEY DR,,KERRVILLE,TX,780285809,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,20,24.625,24.625,15.52,33.091
1023066891,FARR,MORTEZA,M,D.O.,M,I,125 N JACKSON AVE,# 101,SAN JOSE,CA,951161914,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,21,84,84,395,122.2777381,90.23702381,90.2325
1023066891,FARR,MORTEZA,M,D.O.,M,I,125 N JACKSON AVE,# 101,SAN JOSE,CA,951161914,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,2025,1149.3583333,901.09083333,888.50416667
1023067055,LONG,WILLIAM,T,M.D.,M,I,2200 W 3RD ST,STE 400,LOS ANGELES,CA,900571937,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,83.054615385,50.87,39.89,37.515384615
1023067147,BRKIC-VUKOTIC,OGNJENKA,G,M.D.,F,I,11050 CRABAPPLE RD,SUITE 104 B,ROSWELL,GA,300752489,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,29,83,52.870963855,8.32,5.8931325301,5.8931325301
1023067261,TOLENTINO,PAUL,J,MD  PHD,M,I,1723 BROADWAY,SUITE 410,CAPE GIRARDEAU,MO,63701,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,54,54,54,4995,4378.96,3365.7642593,3365.7642593
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,36,36,170.42083333,53.61,36.813888889,34.073055556
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,229.04,75.951666667,51.671333333,47.425333333
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,450,2.5056,0.1407333333,0.1103333333,0.1103333333
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,51,51,90.82,40.695294118,29.960588235,24.641960784
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,112.78,34.527272727,24.058181818,19.354545455
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,168.22,41.968333333,29.438333333,22.648333333
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,74,74,26.52,9.6155405405,6.9654054054,6.3094594595
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,61.96,36.755,27.1895,27.889
1023067311,ATLURI,VYJAYANTHI,,MD,F,I,2400 S FINLEY RD,,LOMBARD,IL,601487029,US,Physician/Geriatric Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,654.83,149.99833333,105.6425,93.6325
1023067329,LAI,FRANK,C,M.D.,M,I,2490 HOSPITAL DR,SUITE 210,MOUNTAIN VIEW,CA,940404122,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,1647,0.3865391621,0.13,0.0963752277,0.0963752277
1023067329,LAI,FRANK,C,M.D.,M,I,2490 HOSPITAL DR,SUITE 210,MOUNTAIN VIEW,CA,940404122,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,3250,5.5300615385,1.73,1.3563107692,1.5993538462
1023067329,LAI,FRANK,C,M.D.,M,I,2490 HOSPITAL DR,SUITE 210,MOUNTAIN VIEW,CA,940404122,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,5007,9.8333433194,7.23,5.636856401,5.636856401
1023067329,LAI,FRANK,C,M.D.,M,I,2490 HOSPITAL DR,SUITE 210,MOUNTAIN VIEW,CA,940404122,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,30,93,21.878494624,10.93,8.3848387097,8.3848387097
1023067329,LAI,FRANK,C,M.D.,M,I,2490 HOSPITAL DR,SUITE 210,MOUNTAIN VIEW,CA,940404122,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,94,21.94893617,7.05,5.4036170213,5.6741489362
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,8.4963636364,7.39,5.79,6.7636363636
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,5.69,5.54,4.34,4.34
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,14.15,13.8,10.82,10.82
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,44,11.2,9.29,7.28,8.5065909091
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,40,1170,8.4094017094,7.5374529915,5.9092905983,4.2313076923
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,10805,0.4452281351,0.3976455345,0.3117547432,0.2485293845
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,11463,0.8972869231,0.8213521766,0.6314245834,0.5049271569
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,33,33,90.337575758,82.92,61.793030303,47.004242424
1023067360,ZEIDMAN,GLENN,,DO,M,I,1126 COUNTRY CLUB RD,,MCCOMB,MS,396485952,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,52,52,16.267307692,12.087692308,9.3053846154,4.3017307692
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,75,219,70.93260274,8.32,6.0234703196,6.0234703196
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,35,51,16.107647059,1.42,1.0070588235,1.0070588235
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,197.61133333,40.916,30.061333333,28.479333333
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,344.58,86.818,64.163,64.307
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,47,134.2987234,33.610212766,23.455744681,23.202978723
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,21,104,106.97692308,20.780384615,15.275480769,13.5575
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,18,99,51.740707071,15.643737374,11.546666667,11.175757576
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,17,43,43,233.18302326,58.053255814,43.531860465,40.864883721
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,25,36,36,68.682777778,18.617222222,13.898333333,13.368611111
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,49,49,62.163061224,12.253061224,9.4236734694,8.9316326531
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,23,60,308,11.050584416,2.1707142857,1.6226623377,1.5119805195
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,24.433636364,5.91,4.64,4.66
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,12,18,18,47.503333333,13.6,10.083333333,9.77
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,17,232.37882353,51.165882353,40.111176471,39.412352941
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,156.72142857,48.31,37.88,37.665714286
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,20,22,81.75,12.955,8.7068181818,8.5977272727
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,4.67,3.6625,3.66
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,72,73,172.73780822,33.89260274,25.483561644,25.042465753
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,57,360.88508772,70.23,53.128070175,52.805964912
1023067378,PEARSON,MICHAEL,Z,M.D.,M,I,301 MED TECH PKWY,STE. 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,230,37.44,28.534722222,28.691388889
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,8,32,107,1432,61.275251397,19.648303073,15.01299581,15.01299581
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,8,31,98,3286,8.3421880706,2.6328788801,1.9713542301,1.9713542301
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,5.7727272727,0.51,0.4,0.4
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,153,662,2160,61.717541667,8.3166666667,5.934087963,5.9366990741
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,18,39,40,14.683,3.38,2.58375,2.58375
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,16,20,20,24.25,2.12,1.67,1.67
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,59,170,330,14.838060606,1.419030303,1.0593333333,1.0600909091
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,12,12,12,42.001666667,41.546666667,30.435,53.25
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,12,91,91,700.28043956,340.86989011,262.88307692,262.88307692
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,21,113,7420,15.042203504,10.436092992,8.0945350404,8.0945350404
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,41,239,243,390.12390947,250.98641975,195.39962963,195.49604938
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,25,25,25,358.4752,264.16,207.1,207.1
1023067428,PRASHANTHKUMAR,TRIKANNAD,S,MD,M,I,1081 FAIRINGTON DR,,SIDNEY,OH,453658130,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,90,14.75,0.6073333333,0.4761111111,0.4761111111
1023067501,MILLS,MICHAEL,L,OD,M,I,3420 BROAD ST,,LORIS,SC,29569,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,49,49,49,88.86755102,76.817959184,60.219183673,53.463673469
1023067501,MILLS,MICHAEL,L,OD,M,I,3420 BROAD ST,,LORIS,SC,29569,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,52.40625,49.57,38.86,42.91
1023067501,MILLS,MICHAEL,L,OD,M,I,3420 BROAD ST,,LORIS,SC,29569,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,46,92,53.315217391,50.064130435,39.252391304,43.18173913
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,130.87857143,90.23,59.658571429,57.305714286
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,21,60.666666667,34,22.496666667,21.90952381
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,11,18,66,33.553030303,18,14.111515152,14.512272727
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,16,20,20,109.8285,56.63,44.39,43.004
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,26,26,31.117692308,18.82,13.341153846,12.770769231
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,24,24,24.061666667,12.08,8.9975,8.68
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,25,40,152,3.6311842105,2,1.5094736842,1.5307894737
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,18,18,8.2477777778,6.22,4.4494444444,4.2483333333
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,38.704473684,17.36,12.177368421,12.116578947
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,112.77,47.29,30.062857143,30.642857143
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,23,25,227.9316,106.638,80.08,75.1068
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,181.83375,137.44,107.74625,103.8875
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,16,18,39.381666667,13.92,10.313333333,9.8977777778
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,23,49.813478261,5.0913043478,2.9904347826,2.6895652174
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,64,64,70.8325,38.18875,28.98234375,26.40265625
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,95,99,260.73131313,78.871313131,56.727878788,50.611414141
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,137.98782609,35.31,24.287826087,25.673043478
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,1770,1.5828474576,0.1381525424,0.096,0.096
1023067543,NATH,AMARESH,R,MD,M,I,200 MEDICAL CENTER DR,SUITE 180B,MIDDLETOWN,OH,450055200,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,19,19,38.210526316,33,24.474736842,24.474736842
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,19,19,19,150,48.925789474,38.358421053,36.503157895
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,252.25,9.8181818182,7.7009090909,7.5072727273
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,140.58,59.403333333,46.574166667,40.799166667
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,158.74,52.81,39.631176471,36.221764706
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,82.376086957,17,12.170869565,12.376086957
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,35,4.3528571429,3.4128571429,3.8071428571
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,30,21.45,11.746,9.2093333333,10.01
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,406.21451613,79.88,54.87483871,47.994516129
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,69.11,37.481333333,29.382,29.34
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,39,259,259,75,20.481081081,13.891621622,12.006911197
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,85,85,91.2,33.563529412,22.936705882,20.699411765
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,150,31.475454545,23.586818182,19.657272727
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,22.3,8.404,5.7593333333,5.7486666667
1023067667,WEGENER,LANCE,W,ARNP-C,M,I,11528 US HIGHWAY 19,,PORT RICHEY,FL,34668,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,750,231.12181818,181.20454545,153.58454545
1023067709,ATWOOD,LESLEY,A,MD,F,I,1210 1ST ST W,,HASTINGS,MN,550331147,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,59,37.743050847,8.32,6.1913559322,6.1913559322
1023067733,MILLER,JAMES,R,MD,M,I,1708 OLD DONATION PKWY,,VIRGINIA BEACH,VA,234543064,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,230.83333333,95.413333333,69.824166667,50.1675
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,39,99,224,54.424508929,8.32,5.3567410714,5.3567410714
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,23,42,60,13.385166667,1.42,1.005,1.005
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,42,6.2228571429,2.0076190476,1.5738095238,1.1521428571
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,24,63.155,22.4775,16.999166667,14.47125
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25,10.298333333,8.0744444444,4.1488888889
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,52,58,519.51,105.86689655,80.903965517,61.184827586
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2821,4.7519035803,0.0469797944,0.0348635236,0.0348635236
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,91.363636364,25.922272727,19.667727273,14.068636364
1023067766,RICHARDSON,BETTY,,CNFP,F,I,421 MARION AVE,,MCCOMB,MS,396482709,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,72.357142857,33,20.326428571,20.326428571
1023068012,VELA,MARIO,,"FNP, DNP",M,I,5055 MCNUTT RD,,SANTA TERESA,NM,880089442,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,47,132,53.860151515,8.32,6.3251515152,6.3251515152
1023068012,VELA,MARIO,,"FNP, DNP",M,I,5055 MCNUTT RD,,SANTA TERESA,NM,880089442,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,12.1825,3.38,2.65,2.65
1023068012,VELA,MARIO,,"FNP, DNP",M,I,5055 MCNUTT RD,,SANTA TERESA,NM,880089442,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,31,55,12.876545455,1.42,1.0734545455,1.0734545455
1023068111,EHLERS,KIM,M,A.R.N.P.,F,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,21,71.372857143,8.32,6.2142857143,6.2142857143
1023068111,EHLERS,KIM,M,A.R.N.P.,F,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,306.2775,69.99,54.87,54.846666667
1023068111,EHLERS,KIM,M,A.R.N.P.,F,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,89.0625,38.68,30.32,29.5775
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,59,165,400,67.700225,8.32,6.067375,6.067375
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,13.619130435,3.38,2.5347826087,2.5347826087
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,33,80,103,14.463980583,1.42,1.0087378641,1.0087378641
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,28,28,104.4725,39.948214286,26.005,25.385357143
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,23,23,305.30478261,85.149130435,63.859565217,64.903478261
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,21,55,129.71181818,33.054545455,25.915272727,25.915090909
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,97,52.386185567,18.048247423,13.713092784,14.114020619
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,29,29,175.65,55.947241379,38.610344828,37.811724138
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,22,22,55.600909091,18.059545455,13.605909091,13.513181818
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,20,20,60.1395,12.08,9.1315,8.799
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,21,45,259,8.4135521236,2,1.4174517375,1.438957529
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,17,17,20.758823529,6,4.4235294118,4.3794117647
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,41.005882353,12.997647059,9.6458823529,9.7717647059
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,84.433571429,18,12.863928571,12.334642857
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,145.02357143,33,23.607142857,22.317142857
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,402.22857143,77.18,56.393928571,50.811428571
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,6118,0.4459333115,0.0473389997,0.0294295521,0.0294295521
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,40,5754,1.8712565172,0.1354031978,0.1028415016,0.1028415016
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,1694,12.399539551,3.0292798111,2.3503364817,2.3503364817
1023068152,PANTANO,MAELEN,M,MD,F,I,172 SCHILLER ST,,ELMHURST,IL,601262885,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,45,45,41.8,33,22.995555556,22.995555556
1023068244,PAGUIRIGAN,ALFREDO,A,M.D.,M,I,1132 HAGER ST,,ST MARYS,OH,458852423,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,15.134166667,11.275
1023068244,PAGUIRIGAN,ALFREDO,A,M.D.,M,I,1132 HAGER ST,,ST MARYS,OH,458852423,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,485.82125,96.02375,68.181875,47.943125
1023068376,BRANDECKER,THOMAS,G,MD,M,I,798 HAUSMAN RD,SUITE 270,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,35,70,69.966571429,8.32,6.1478571429,6.1478571429
1023068376,BRANDECKER,THOMAS,G,MD,M,I,798 HAUSMAN RD,SUITE 270,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,15,15,12.954666667,1.42,0.9706666667,0.9706666667
1023068426,ROBBINS,BRETT,E,"MSN,RN,CS,FNP,INC",M,I,2002 N MAIN ST,SUITE 3,CEDAR CITY,UT,847219811,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,24,92.99125,21.73875,16.420416667,12.96625
1023068426,ROBBINS,BRETT,E,"MSN,RN,CS,FNP,INC",M,I,2002 N MAIN ST,SUITE 3,CEDAR CITY,UT,847219811,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,12.76,11.804444444,8.7027777778,7.4216666667
1023068426,ROBBINS,BRETT,E,"MSN,RN,CS,FNP,INC",M,I,2002 N MAIN ST,SUITE 3,CEDAR CITY,UT,847219811,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,29,460.04172414,97.555862069,71.080689655,49.505862069
1023068426,ROBBINS,BRETT,E,"MSN,RN,CS,FNP,INC",M,I,2002 N MAIN ST,SUITE 3,CEDAR CITY,UT,847219811,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,382.73,231.78363636,173.81181818,150.44090909
1023068582,HALL,DAVID,M,M.D.,M,I,1000 J D ANDERSON DR,SUITE 401,MORGANTOWN,WV,265051238,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1506,0.3294422311,0.13,0.1019256308,0.1019256308
1023068582,HALL,DAVID,M,M.D.,M,I,1000 J D ANDERSON DR,SUITE 401,MORGANTOWN,WV,265051238,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,82,14006,3.6972997287,1.9238554905,1.479505926,1.5658182208
1023068640,ORTIZ,G MICHAEL,,M.D.,M,I,19 WEST AVE,SUITE 103,SARATOGA SPRINGS,NY,128666049,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,13,9.7530769231,8.6753846154,6.2869230769,6.3015384615
1023068640,ORTIZ,G MICHAEL,,M.D.,M,I,19 WEST AVE,SUITE 103,SARATOGA SPRINGS,NY,128666049,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,3920,0.2346938776,0.13,0.0886607143,0.0886607143
1023068640,ORTIZ,G MICHAEL,,M.D.,M,I,19 WEST AVE,SUITE 103,SARATOGA SPRINGS,NY,128666049,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,20.363636364,18.018181818,12.845454545,12.847272727
1023068640,ORTIZ,G MICHAEL,,M.D.,M,I,19 WEST AVE,SUITE 103,SARATOGA SPRINGS,NY,128666049,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,43,7340,4.8646049046,1.73,1.2888133515,1.5276103542
1023068640,ORTIZ,G MICHAEL,,M.D.,M,I,19 WEST AVE,SUITE 103,SARATOGA SPRINGS,NY,128666049,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,58,16.054482759,10.93,8.2736206897,8.2736206897
1023068640,ORTIZ,G MICHAEL,,M.D.,M,I,19 WEST AVE,SUITE 103,SARATOGA SPRINGS,NY,128666049,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,64,10.91625,7.06,5.5346875,5.81859375
1023068855,CONWELL,JASON,E,MD,M,I,154 EXTON SQUARE MALL,,EXTON,PA,193412440,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,36,108,67.131944444,8.32,6.2802777778,6.2802777778
1023068855,CONWELL,JASON,E,MD,M,I,154 EXTON SQUARE MALL,,EXTON,PA,193412440,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,16,12.36,1.42,1.1175,1.1175
1023068962,BECK CORSELLO,MARY ANN,,PA,F,I,525 OKEECHOBEE BLVD,CITY TOWER PLACE 14TH FLOOR,WEST PALM BEACH,FL,334016349,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,36,67.914722222,8.32,5.7983333333,5.7983333333
1023069044,D'AMICO,RONALD,S,DPM,M,I,7593 MORGAN RD,,LIVERPOOL,NY,130903538,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,64,75,71.56,55.59171875,55.59171875
1023069044,D'AMICO,RONALD,S,DPM,M,I,7593 MORGAN RD,,LIVERPOOL,NY,130903538,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,192,30,29.19,22.885,22.886510417
1023069317,MITTAL,NEETI,,MD,F,I,7707 SE 27TH ST,#104,MERCER ISLAND,WA,980402844,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,39,101,62.885544554,8.32,6.5226732673,6.5226732673
1023069317,MITTAL,NEETI,,MD,F,I,7707 SE 27TH ST,#104,MERCER ISLAND,WA,980402844,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,26,15.635,1.42,1.1153846154,1.1153846154
1023069382,KESWANI,VINEETA,C,MD,F,I,1401 S GRAND AVE,EMERGENCY DEPARTMENT,LOS ANGELES,CA,900153010,US,Physician/Emergency Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,44,44,44,1538.4888636,1144.9463636,886.52704545,875.66840909
1023069382,KESWANI,VINEETA,C,MD,F,I,1401 S GRAND AVE,EMERGENCY DEPARTMENT,LOS ANGELES,CA,900153010,US,Physician/Emergency Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,18,24,24,1160.46125,849.98,666.38,677.69
1023069382,KESWANI,VINEETA,C,MD,F,I,1401 S GRAND AVE,EMERGENCY DEPARTMENT,LOS ANGELES,CA,900153010,US,Physician/Emergency Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,19,25,25,145.8308,119.93,94.02,88.84
1023069382,KESWANI,VINEETA,C,MD,F,I,1401 S GRAND AVE,EMERGENCY DEPARTMENT,LOS ANGELES,CA,900153010,US,Physician/Emergency Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,12,16,550.825,457.76125,358.89,364.62625
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,61,223,582,56.575154639,8.32,5.5782989691,5.5782989691
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,15.460833333,3.38,2.5395833333,2.5395833333
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,23.390909091,2.12,1.5181818182,1.5181818182
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,36,107,140,13.552428571,1.42,1.0046428571,1.0046428571
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,280,6.52,5.54,4.0332142857,4.0332142857
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,2832,0.5086440678,0.4366101695,0.342309322,0.342309322
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,28,28,109.22071429,42.962142857,29.636428571,27.383571429
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,600,6.5637333333,3.04,2.3779166667,2.3779166667
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,770,8.28,8.28,6.4072337662,6.4072337662
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,267.12333333,92.142777778,57.130555556,57.040555556
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,37,102.3272973,33.524594595,22.074594595,22.819189189
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,72.283870968,17.67516129,13.797258065,14.491451613
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,24,24,181.23291667,61.688333333,43.024166667,37.625833333
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,18,24,24,55.9575,19.06,13.1475,12.305833333
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,17,17,56.888235294,14.494705882,11.362352941,9.12
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,20,46,235,8.3873617021,2.266212766,1.6904255319,1.5315744681
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,16,16,23.625625,6.39625,4.48875,4.359375
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,175,50.3092,33.704,33.724
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,53,53,42.526792453,17.193773585,11.276603774,11.381509434
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,91,91,33.241758242,4.6392307692,2.9605494505,3.3492307692
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,115.96136364,32.514090909,24.491363636,25.927272727
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,84,84,270.10857143,77.864642857,53.667738095,48.601547619
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,43,10004,0.4131247501,0.0458586565,0.0297381048,0.0297381048
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.75,0.2192727273,0.1563939394,0.1563939394
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,75,21.201538462,16.62,16.118461538
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,41,41,129.6097561,32.525365854,22.64804878,18.546829268
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,150,52.458181818,41.127272727,24.706363636
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,68,68,41.872941176,9.8389705882,7.2245588235,6.1789705882
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1861.77,165.51090909,120.42090909,128.30727273
1023069457,HABER,JOHN,J,D.O.,M,I,52 EAST MARKET STREET,,TRESCKOW,PA,182540240,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,43,43,63.581395349,33,22.260232558,22.260232558
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,33,110,47.910454545,8.32,6.1662727273,6.1662727273
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,16.428571429,3.38,2.4607142857,2.4607142857
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,36,15.800833333,1.42,1.0527777778,1.0527777778
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,1129,9.5767227635,8.28,6.4915589017,6.4915589017
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,3574,0.45,0.45,0.3528091774,0.3528091774
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,350,12.49,5.5,4.312,4.1851428571
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5712,1.43,0.65,0.509602591,0.5169572829
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,26,26,26,86.879615385,48.374230769,37.923846154,36.636923077
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,288.73636364,153.87,120.64,126.83090909
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,15,63,63,200,52.552222222,39.492063492,38.634444444
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,17,78,79,185.84987342,50.925443038,37.660506329,37.002405063
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,200,46.03,36.086923077,38.203846154
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,600,135.42692308,106.17,121.81230769
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,45.41,21.788,15.4556,14.6836
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,23.6825,5.82875,4.0625,3.435
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,16,74,74,242.00513514,79.88,58.405,52.213243243
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,275,35.63,27.93,29.431
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,13,42.926153846,34,26.66,28.721538462
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,540,2.131462963,0.1348888889,0.1057592593,0.1057592593
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,29,139,140,96.108928571,17.845071429,12.355857143,12.707785714
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,31,31,93.810322581,36.557096774,25.11483871,21.415483871
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,15,78,78,24.272564103,7.81,5.6096153846,6.1814102564
1023069770,ALATASSI,MALAZ,,M.D.,M,I,50505 SCHOENHERR RD STE 340,,SHELBY TOWNSHIP,MI,483153140,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,74.187142857,35.63,26.9325,27.905714286
1023069796,LOCKARD,GRETCHEN,D,M.D.,F,I,13911 ST FRANCIS BLVD STE 101,,MIDLOTHIAN,VA,23114,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,57,65.685614035,8.32,6.5224561404,6.5224561404
1023069812,LATIMER,EARL,A,M.D.,M,I,115 E 19TH ST,,ROSWELL,NM,882015110,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,22,22,90.865,90.865,68.438181818,76.342727273
1023069952,SHOCKLEY,MICHELE,,ARNP,F,I,136 JUPITER LAKES BLVD,BUILDING 2000,JUPITER,FL,334587180,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,22,50.73,5.8031818182,4.0277272727,3.5959090909
1023069952,SHOCKLEY,MICHELE,,ARNP,F,I,136 JUPITER LAKES BLVD,BUILDING 2000,JUPITER,FL,334587180,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,43.18,34.188333333,26.8,21.068333333
1023069960,MEDINA,TANYA,M,MD,F,I,618 13TH ST,STE A,SAINT CLOUD,FL,347694503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,21,55,54.511636364,8.32,5.8098181818,5.8098181818
1023069960,MEDINA,TANYA,M,MD,F,I,618 13TH ST,STE A,SAINT CLOUD,FL,347694503,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,14.69,1.42,1.0482352941,1.0482352941
1023070075,LEE,MYUNG-HO,,MD,M,I,16 RYE RIDGE PLZ,,RYE BROOK,NY,105732820,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,88,171,55.530350877,8.32,5.6840350877,5.6840350877
1023070075,LEE,MYUNG-HO,,MD,M,I,16 RYE RIDGE PLZ,,RYE BROOK,NY,105732820,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,27,10.915925926,1.42,1.0740740741,1.0740740741
1023070075,LEE,MYUNG-HO,,MD,M,I,16 RYE RIDGE PLZ,,RYE BROOK,NY,105732820,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,104.455,45.463333333,33.768888889,35.338888889
1023070075,LEE,MYUNG-HO,,MD,M,I,16 RYE RIDGE PLZ,,RYE BROOK,NY,105732820,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1749,0.3822698685,0.0469125214,0.0367810177,0.0367810177
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,63,164,69.211036585,8.32,5.5676829268,5.5676829268
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,38,14.601052632,1.42,1.0265789474,1.0265789474
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,450,9.88,7,5.3660444444,5.3660444444
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,3.04,3.04,2.1844166667,2.1844166667
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,273.3,53.919166667,30.499166667,23.784166667
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,53,53,86.088867925,18.457924528,13.577924528,12.778113208
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,63.836470588,5.6917647059,3.6070588235,2.5847058824
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,135,29.54,17.411666667,17.591111111
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,18,138,139,451.78920863,80.053381295,59.037410072,52.768417266
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,5319,0.2722786238,0.0468903929,0.035036661,0.035036661
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,51,51,96.669411765,19.776470588,13.964705882,12.586470588
1023070091,TEICHGRAEBER,JOSEPH,J,MD,M,I,5975 S LOS ALTOS PKWY,SUITE 100,SPARKS,NV,894367699,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,101.86956522,33,24.745217391,24.745217391
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,37,106,279,60.674910394,8.32,5.914874552,5.914874552
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,12.165,3.38,2.31875,2.31875
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,21,44,72,13.904444444,1.42,0.9908333333,0.9908333333
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,9.73,8.69,6.81,6.81
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,15.44,13.8,10.82,10.82
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,20.61,10.93,8.57,8.57
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,105.67636364,48.290909091,34.794545455,28.799090909
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,83,10.338554217,2.7695180723,2.0437349398,1.553253012
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160,71.361666667,55.948333333,40.125833333
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,18,86.31,20.280555556,14.241666667,12.028888889
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,22,24,56.427083333,15.306666667,11.036666667,9.6045833333
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,50.73,7.6325,5.9816666667,3.9733333333
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,28,174.14357143,42.453928571,31.436785714,24.2375
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,58,519.51,96.067586207,72.441206897,54.121551724
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,960,16.069375,9.6049375,7.3808229167,7.3808229167
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,2000,1.316545,0.132155,0.09544,0.09544
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,267.15666667,250.675,196.52916667,196.86916667
1023070257,DEBOER,KELLY,L,M.D.,F,I,520 W WALNUT ST,OGLESBY MEDICAL CLINIC,OGLESBY,IL,613481400,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,32,32,107.25,33,25.0615625,25.0615625
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,58,255,516,3.6522674419,1.5596899225,1.2087790698,1.1571124031
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,48,222,448,2.0195982143,1.2713839286,0.9905357143,0.9618080357
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,54.577058824,12.341764706,9.3117647059,8.7258823529
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,11,32,32,1.6371875,0.5759375,0.454375,0.43375
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,17,54,56,2.2298214286,1.3225,1.0158928571,0.9669642857
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,30,171,171,75.492339181,18.192982456,12.598245614,12.292923977
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,67.682631579,48.31,31.898947368,31.688421053
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,11,88,88,3253.9068182,916.8225,712.70647727,831.86818182
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,56,336,336,27.77327381,5.1767857143,3.891875,3.5410119048
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,52,352,369,361.04105691,75.616937669,54.838888889,52.202330623
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,25,250,37.8132,28.4688,28.3188
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,69.666666667,57,41.073888889,41.073888889
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,59,315,18570,18.721487345,9.6320290792,7.4510409262,7.4510409262
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,12,58,3480,19.45,11.130448276,8.6617270115,8.6617270115
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,22,94,26428,0.3782798547,0.0461419706,0.0328511427,0.0328511427
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,62,259,28911,1.9556871087,0.1347583965,0.0996198679,0.0996198679
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,65,303,18608,11.175895851,3.0221689596,2.3072452709,2.3072447334
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,1559,2.0522001283,0.2193393201,0.1637395767,0.1637395767
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,89,89,75.488988764,38.42494382,29.753707865,29.236179775
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1140,136.77666667,103.24333333,101.59666667
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,112,591,593,44.853288364,33,25.215615514,25.215615514
1023070323,MCCRORY,WILLIAM,A,M.D.,M,I,725 MADISON ST SE,,HUNTSVILLE,AL,35801,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,16,16,66,66,48.50625,48.50625
1023070356,"HERLIHY,",RICHARD,E,MD,M,I,4140 W MEMORIAL RD,SUITE 611,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,2790,0.39,0.13,0.0915268817,0.0915268817
1023070356,"HERLIHY,",RICHARD,E,MD,M,I,4140 W MEMORIAL RD,SUITE 611,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,47,9430,3.7202439024,2.04,1.5312746554,1.5312746554
1023070356,"HERLIHY,",RICHARD,E,MD,M,I,4140 W MEMORIAL RD,SUITE 611,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1035,8.7943478261,6.17,4.8373043478,5.5117584541
1023070356,"HERLIHY,",RICHARD,E,MD,M,I,4140 W MEMORIAL RD,SUITE 611,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,59,11.858983051,9.29,6.9128813559,8.1071186441
1023070356,"HERLIHY,",RICHARD,E,MD,M,I,4140 W MEMORIAL RD,SUITE 611,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,88,14.316931818,7.4463636364,5.3513636364,5.3634090909
1023070364,COULIS,LOUIE,,M.D.,M,I,1414 N TAYLOR DR,,SHEBOYGAN,WI,530811988,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,237,33.633636364,26.368181818,25.530909091
1023070539,SOLOMON,MICHAEL,C,M.D.,M,I,555 LAKE WHITNEY PLACE,SUITE 103,PORT ST LUCIE,FL,349861623,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,1770,14.341355932,6.5703389831,5.0386384181,5.5563163842
1023070539,SOLOMON,MICHAEL,C,M.D.,M,I,555 LAKE WHITNEY PLACE,SUITE 103,PORT ST LUCIE,FL,349861623,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,62,17.192580645,10.93,8.1541935484,8.1541935484
1023070547,OGU,DONATUS,,M.D.,M,I,107 N SUMMEY ST,,DALLAS,NC,280341824,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,31,76,59.157631579,8.32,5.1480263158,5.1480263158
1023070547,OGU,DONATUS,,M.D.,M,I,107 N SUMMEY ST,,DALLAS,NC,280341824,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,17.989090909,3.38,2.4090909091,2.4090909091
1023070547,OGU,DONATUS,,M.D.,M,I,107 N SUMMEY ST,,DALLAS,NC,280341824,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,18,18.5,1.42,1.0566666667,1.0566666667
1023070547,OGU,DONATUS,,M.D.,M,I,107 N SUMMEY ST,,DALLAS,NC,280341824,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,516.66666667,79,61.94,55.130555556
1023070547,OGU,DONATUS,,M.D.,M,I,107 N SUMMEY ST,,DALLAS,NC,280341824,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,85,35.27,27.66,29.416666667
1023070596,SEARL,RICHARD,M,M.D.,M,I,520 SOUTH SIBLEY AVE,AFFILIATED COMMUNITY MEDICAL CENTERS,LITCHFIELD,MN,55355,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,33,86,45.767906977,8.32,5.7634883721,5.7634883721
1023070596,SEARL,RICHARD,M,M.D.,M,I,520 SOUTH SIBLEY AVE,AFFILIATED COMMUNITY MEDICAL CENTERS,LITCHFIELD,MN,55355,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,113.42,58.909166667,42.088333333,32.51
1023070596,SEARL,RICHARD,M,M.D.,M,I,520 SOUTH SIBLEY AVE,AFFILIATED COMMUNITY MEDICAL CENTERS,LITCHFIELD,MN,55355,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,525.76166667,93.1975,65.59625,49.57625
1023070596,SEARL,RICHARD,M,M.D.,M,I,520 SOUTH SIBLEY AVE,AFFILIATED COMMUNITY MEDICAL CENTERS,LITCHFIELD,MN,55355,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,135.01,44.745,32.344166667,27.6525
1023070596,SEARL,RICHARD,M,M.D.,M,I,520 SOUTH SIBLEY AVE,AFFILIATED COMMUNITY MEDICAL CENTERS,LITCHFIELD,MN,55355,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1577,0.1487444515,0.046214331,0.0362270133,0.0362270133
1023070646,MALONEY,KEVIN,J,MD,M,I,144 E BOSTON POST RD,,MAMARONECK,NY,105433701,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,27,65,59.162923077,8.32,5.8198461538,5.8198461538
1023070646,MALONEY,KEVIN,J,MD,M,I,144 E BOSTON POST RD,,MAMARONECK,NY,105433701,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,22,14.646363636,1.42,0.9636363636,0.9636363636
1023070679,HADLEY,DAVID,L,M.D.,M,I,1920 N BROADWAY AVE,,SHAWNEE,OK,748043722,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,93,96,44.326145833,20.742395833,15.596145833,12.898645833
1023070679,HADLEY,DAVID,L,M.D.,M,I,1920 N BROADWAY AVE,,SHAWNEE,OK,748043722,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,25.06,7.3985714286,5.2795238095,3.1638095238
1023070679,HADLEY,DAVID,L,M.D.,M,I,1920 N BROADWAY AVE,,SHAWNEE,OK,748043722,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,96,101,322.29554455,93.176237624,70.033465347,53.173861386
1023070679,HADLEY,DAVID,L,M.D.,M,I,1920 N BROADWAY AVE,,SHAWNEE,OK,748043722,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,62,62,72.219354839,31.644193548,22.066129032,13.496290323
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,48,119,326,61.797668712,8.318006135,6.2654601227,6.2670245399
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,26,26,14.158461538,3.38,2.5480769231,2.5480769231
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,23.041538462,2.12,1.67,1.67
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,29,55,95,13.176315789,1.42,1.0674736842,1.0674736842
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,18,54.151111111,28.46,18.591666667,18.591666667
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,18,22.932222222,10.93,7.1416666667,7.1416666667
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,25,25,50,92.7136,71.56,53.1428,53.1428
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,102,34.284705882,29.171176471,22.421568627,22.437843137
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,282,8.28,8.28,6.4916312057,6.4916312057
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,116,10.93,10.93,8.5688793103,8.5688793103
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,434,275,7.0728571429,5.5450691244,4.1632258065
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,7106,2.4895271601,0.3776949057,0.2799197861,0.2279918379
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,116.25,58.5375,45.891666667,37.0125
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,34,34,276.18823529,64.547352941,46.233529412,33.865588235
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,66.88,62.827142857,45.595714286,36.067857143
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,57.547241379,21.679310345,14.423103448,12.027586207
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,61,61,2686.0229508,1074.31,834.95754098,834.95754098
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28.5,13.0175,10.209166667,8.7658333333
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,21,149,153,427.11254902,101.95333333,74.561372549,54.616666667
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,250,44.687142857,33.159428571,28.238
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,51,16652,0.3489388662,0.0466082152,0.0324507567,0.0324501561
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1620,1.4807222222,0.1355925926,0.0995864198,0.0995864198
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,66,22.938235294,17.136470588,12.842352941
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,609.5,189.265,148.38166667,116.8325
1023070703,GAAL,JAMES,G,DO,M,I,RR 1 BOX 59,BUILDING # 3,RIPLEY,WV,252719710,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,48,48,33,33,24.012291667,24.012291667
1023070711,RITTELMEYER,JAMES,T,MD,M,I,1100 N 18TH ST STE 100,,MONROE,LA,712015712,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,101.59285714,55.01,43.131428571,26.714285714
1023070745,RAO,T,H,M.D.,M,I,2219 E 7TH ST,,CHARLOTTE,NC,282043339,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,139.53,45.75,31.087333333,28.981333333
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,41,119,243,65.415061728,8.32,5.7588477366,5.7588477366
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,24,57,68,15.996764706,1.42,0.9847058824,0.9847058824
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,442.13647059,90,66.424117647,64.329411765
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,46,163.66543478,34,26.657391304,26.013913043
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,73.923846154,19.736923077,15.471538462,14.748461538
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,92.223333333,13.663333333,10.711111111,9.8183333333
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,103,13.019708738,2.14,1.6766019417,1.6031067961
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,85.2408,66.5452,48.5852,33.8216
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,70.657674419,18.926744186,12.867906977,11.648372093
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,58.592857143,12.820952381,10.049047619,9.999047619
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,27,203.84888889,33.833333333,26.528888889,25.402222222
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22.13,13.335,10.4575,8.815
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,21.3625,12.016875,9.421875,8.0325
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,379.28,216.3725,169.63,169.63
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,458.95209677,83.031935484,58.148870968,48.684677419
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,57,14508,0.2237882548,0.0459270747,0.0340743038,0.0340743038
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,38,3840,1.5506953125,0.13559375,0.095921875,0.095921875
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1206,7.9183996683,2.8058208955,2.0190878939,2.0190878939
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,21,111.72428571,19.104761905,14.98,14.138095238
1023070752,BUTALID,ALBERTO,,MD,M,I,14505 STATE ROUTE 127,,CARLYLE,IL,622316485,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,81,81,51.333333333,33,24.110246914,24.110246914
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,77,236.99649351,8.32,6.2879220779,6.2879220779
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,56,2939,4.4195338551,0.5005920381,0.3792752637,0.3792752637
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,870,7.411183908,2.5529310345,1.8573908046,1.8573793103
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,39,93,730,87255,5.0788624148,0.5693556816,0.4270994212,0.4337319351
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,95,15105,0.2986852036,0.0131916584,0.0100781198,0.0100781198
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,41,6150,1.817598374,0.7402878049,0.514099187,0.514099187
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,26,64,457,56370,5.5062231684,1.3284566259,1.024203477,1.024203477
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,19,141,20700,4.5905966184,2.8344782609,2.1909574879,2.1909574879
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,1940,21.650494845,7.4769845361,4.7347680412,5.8311701031
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,11,4950,9.0076909091,8.5193636364,6.6791818182,6.6791818182
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,12,12,50,50,32.953333333,32.953333333
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,50,99,653,653,24,24,18.290964778,18.290964778
1023070851,SERUR,DAVID,,M.D.,M,I,505 E 70TH ST,2ND FLOOR,NEW YORK,NY,100214872,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,41,104,843,961,16,16,12.282684703,12.282684703
1023070935,COHEN,ALAN,,MD,M,I,302 CANDLEWOOD COMMONS,,HOWELL,NJ,077312170,US,Physician/Obstetrics & Gynecology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,30.001818182,16.609090909,17.206363636
1023071206,OSMAN,SAID,G,MD,M,I,915 TOLL HOUSE AVE STE 207,,FREDERICK,MD,217015901,US,Physician/Orthopedic Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,15,129.84666667,43.062666667,33.758666667,35.154666667
1023071206,OSMAN,SAID,G,MD,M,I,915 TOLL HOUSE AVE STE 207,,FREDERICK,MD,217015901,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,5250,4378.96,3433.11,3433.11
1023071206,OSMAN,SAID,G,MD,M,I,915 TOLL HOUSE AVE STE 207,,FREDERICK,MD,217015901,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,77.225833333,24.6975,19.363333333,20.4125
1023071453,EID,SAMIA,,MD,F,I,9313 S MASON MONTGOMERY RD,STE. 250,MASON,OH,450408008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,38,64.336842105,8.32,4.8081578947,4.8081578947
1023071453,EID,SAMIA,,MD,F,I,9313 S MASON MONTGOMERY RD,STE. 250,MASON,OH,450408008,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3298,0.1910218314,0.0473681019,0.0337841116,0.0337841116
1023071453,EID,SAMIA,,MD,F,I,9313 S MASON MONTGOMERY RD,STE. 250,MASON,OH,450408008,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.2506666667,2.3646388889,2.3646388889
1023071453,EID,SAMIA,,MD,F,I,9313 S MASON MONTGOMERY RD,STE. 250,MASON,OH,450408008,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,25.87,25.87
1023071529,YOO,BENJAMIN,,MD,M,I,2007 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,33409,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,27,27,27,1589.9740741,1310.81,1003.6851852,868.25
1023071529,YOO,BENJAMIN,,MD,M,I,2007 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,33409,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,15,971.47666667,735.65,576.75,480.62133333
1023071529,YOO,BENJAMIN,,MD,M,I,2007 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,33409,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,19,139.88263158,106.36,83.39,88.848421053
1023071529,YOO,BENJAMIN,,MD,M,I,2007 PALM BEACH LAKES BLVD,,WEST PALM BEACH,FL,33409,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,13,13,807.60230769,729.29076923,571.77,568.53
1023071727,KORNOELJE,EDWIN,T,D.O.,M,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495468328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,32,88,55.571590909,8.32,5.9504545455,5.9504545455
1023071727,KORNOELJE,EDWIN,T,D.O.,M,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495468328,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,24,11.3925,1.42,0.97625,0.97625
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,24,65,188,69.776702128,8.32,5.4632978723,5.4632978723
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,16.454166667,1.42,0.9283333333,0.9283333333
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,24,178.9075,36.947083333,24.665416667,23.503333333
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,72,12.408333333,2.33,1.6958333333,1.46125
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.09,11.166666667,11.294166667
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,53.78,38.646666667,38.346666667
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,46.58,32.000833333,33.05
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,47.272727273,11.800909091,9.2563636364,7.7890909091
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,65.7,48.24,51.318823529
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2786,0.3143969849,0.0456317301,0.0357788945,0.0357788945
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,1010.7272727,209.71545455,164.41727273,137.64727273
1023071792,STERNFELD,MARK,D,"MD, PHD",M,I,236 NW KINGWOOD AVE,SUITE B,REDMOND,OR,977561324,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,97.058823529,33,25.87,25.87
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,36,111,282,69.187978723,8.32,5.9214893617,5.9214893617
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,10.745555556,3.38,2.3555555556,2.3555555556
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,28,34,9.7,1.42,1.0511764706,1.0511764706
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,9.4636363636,1.99,1.56,1.583030303
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,18,85.534444444,18,14.11,13.761666667
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,38,13,9.4061538462,9.6784615385
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,253.19411765,29.592941176,22.505294118,23.973529412
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,29,461.05827586,77.18,60.51,56.916206897
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.67,9.6278571429,7.5482380952,7.5482380952
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1560,1.0736538462,0.14275,0.1119487179,0.1119487179
1023071867,ZAFAR,MUEEZA,,M.D.,F,I,5735 W MACARTHUR RD,,WICHITA,KS,672158404,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,31,31,90.483870968,33,25.87,25.87
1023071917,HUNTSMAN,W. THOMAS,,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Plastic and Reconstructive Surgery,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,6,6,0.45,1.1045454545
1023071917,HUNTSMAN,W. THOMAS,,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Plastic and Reconstructive Surgery,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,12,5.25,5.25,0.3166666667,0.485
1023071917,HUNTSMAN,W. THOMAS,,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Plastic and Reconstructive Surgery,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,12,11.73,0.7909090909,1.1063636364
1023071917,HUNTSMAN,W. THOMAS,,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Plastic and Reconstructive Surgery,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,10.9,10.9,0.6318181818,0.635
1023071917,HUNTSMAN,W. THOMAS,,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Plastic and Reconstructive Surgery,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.3,7.06,0.4354166667,0.48875
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,58,116,116,128.90396552,44.367241379,33.129568966,29.525948276
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,8.8763636364,1.6718181818,1.0886363636,0.9413636364
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,37,75,75,351.46333333,98.566133333,71.102533333,63.628133333
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,36,76,171,158.84233918,38.143099415,28.558128655,25.18994152
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,24,41,205,75.615707317,21.08097561,14.480341463,12.772
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,19,45,235,63.302382979,17.593191489,13.281276596,11.384638298
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,47,93,93,215.7783871,62.768494624,45.120430108,39.166344086
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,73,103,103,72.273398058,21.013106796,15.589029126,13.51184466
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,32,53,53,72.211320755,15.882075472,11.52754717,8.2596226415
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,84,152,887,10.270698985,2.5223900789,1.8567756483,1.4963585118
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,47,59,59,20.934915254,7.4818644068,5.6984745763,4.5606779661
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,45,55,55,46.342,14.407636364,10.816727273,10.081272727
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,78,78,100.57,20.075128205,14.216153846,12.27
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,19,19,520.8,59.011578947,45.014210526,44.957368421
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,20,21,226.22142857,58.541428571,43.930952381,35.784761905
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,19,19,168,53.377368421,39.919473684,37.771578947
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,842.26
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4819.94,913.16,703.96416667,830.30416667
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,988.09166667,84.365,65.821666667,61.18
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,55.146,4.0733333333,2.51,2.7373333333
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,12,52,52,200.17038462,33.349038462,22.872884615,21.786153846
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,28,145,149,547.38402685,79.624026846,55.691879195,48.627852349
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,213.60516129,41.373548387,28.414516129,25.70483871
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.4445,7.0889861111,7.0889861111
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1350,12.887103704,3.138,2.1972962963,2.1972962963
1023071966,HUCK,ROBERT,L,MD,M,I,500 LILLY RD NE SUITE 201,,OLYMPIA,WA,985035197,US,Internal Medicine,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,34,34,111.61764706,33,22.093823529,22.093823529
1023072055,POTEMPA,MICHELE,A,MD,F,I,5879 SNYDER DR,,LOCKPORT,NY,140949497,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,51,68.210392157,8.32,6.2656862745,6.2656862745
1023072055,POTEMPA,MICHELE,A,MD,F,I,5879 SNYDER DR,,LOCKPORT,NY,140949497,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,19,15.125263158,1.42,1.1147368421,1.1147368421
1023072055,POTEMPA,MICHELE,A,MD,F,I,5879 SNYDER DR,,LOCKPORT,NY,140949497,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,36,51.380555556,15.49,12.141666667,11.946666667
1023072055,POTEMPA,MICHELE,A,MD,F,I,5879 SNYDER DR,,LOCKPORT,NY,140949497,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,22,79,9.9936708861,2.26,1.727721519,1.5725316456
1023072055,POTEMPA,MICHELE,A,MD,F,I,5879 SNYDER DR,,LOCKPORT,NY,140949497,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16.81,10.394545455,8.1490909091,9.7554545455
1023072055,POTEMPA,MICHELE,A,MD,F,I,5879 SNYDER DR,,LOCKPORT,NY,140949497,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,120,46.299090909,36.294545455,38.431818182
1023072238,LAPORTE,DAWN,,M.D.,F,I,601 N CAROLINE ST,RM 5210,BALTIMORE,MD,212870006,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,20,22,72.685,59.74,44.973181818,44.525
1023072253,ALEMAN,EDGAR,H,MD,M,I,435 ARDEN AVE,410,GLENDALE,CA,912034020,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,32,83,67.674457831,8.32,5.7348192771,5.7348192771
1023072253,ALEMAN,EDGAR,H,MD,M,I,435 ARDEN AVE,410,GLENDALE,CA,912034020,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,21,22.373809524,1.42,1.12,1.12
1023072261,CUMMING,JEFFREY,C,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,28.366666667,11.889333333,8.3426666667,6.4226666667
1023072261,CUMMING,JEFFREY,C,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,21,21,67.71,53.2,35.751428571,40.336190476
1023072261,CUMMING,JEFFREY,C,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,319.75,251.28,197,218.89
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,39,122,55.69942623,8.32,6.2555737705,6.2555737705
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,24,14.29625,1.42,1.0666666667,1.0666666667
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,450,14.376666667,7.37,5.778,5.778
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,1691,4.7821880544,2.6077587226,2.044476641,2.3081312833
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,421,9.8484085511,5.23,4.1003325416,4.1003325416
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,84,108.8847619,19.73,15.467380952,14.534166667
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,26,26,285.44769231,55.632307692,43.611538462,42.809230769
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,20,20,73.3285,18.3645,14.3945,14.0585
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,27,27,66.881851852,11.66,8.8014814815,8.782962963
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,34,173,10.720462428,2.1201156069,1.6061849711,1.5385549133
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,27.179285714,5.93,4.65,4.65
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,14,3.595,2.33,1.8214285714,1.8214285714
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,14,72.891428571,16.59,13,13.53
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,139.29066667,42.943333333,31.646666667,31.646666667
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,18,257.82,32.566666667,25.53,25.914444444
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,55,56,427.71017857,71.964285714,53.4625,51.813035714
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,162.5,41.7325,31.45625,28.287916667
1023072329,LANG,BRIAN,K,DO,M,I,145 W 23RD ST,SUITE 202,ERIE,PA,165022858,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,25.87,25.87
1023072477,HONG,ROBERT,D,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,44.66,14.18,11.11,12.891818182
1023072477,HONG,ROBERT,D,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,4880,0.281147541,0.13,0.101920082,0.101920082
1023072477,HONG,ROBERT,D,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,21,912,2.9469078947,2.27,1.7796820175,1.7796820175
1023072477,HONG,ROBERT,D,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,5850,3.7409230769,1.95,1.528808547,1.5899538462
1023072477,HONG,ROBERT,D,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,25,51,24.522156863,10.203921569,7.3625490196,7.9419607843
1023072477,HONG,ROBERT,D,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,44,103,11.877669903,7.4405825243,5.777184466,5.7924271845
1023072584,RABOVSKY,MICHAEL,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,32,87,60.642643678,8.32,6.4433333333,6.4433333333
1023072584,RABOVSKY,MICHAEL,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,32,14.3478125,1.42,1.08,1.08
1023072584,RABOVSKY,MICHAEL,,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,192.75266667,36.914,28.944,26.684666667
1023072642,HASKELL,LON,A,M.D.,M,I,810 FRANKLIN ST SE,,HUNTSVILLE,AL,358014310,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,30,74,177,62.89039548,8.3169491525,6.0771751412,6.0771751412
1023072642,HASKELL,LON,A,M.D.,M,I,810 FRANKLIN ST SE,,HUNTSVILLE,AL,358014310,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,14,23,29,10.614137931,1.42,0.9620689655,0.9620689655
1023072642,HASKELL,LON,A,M.D.,M,I,810 FRANKLIN ST SE,,HUNTSVILLE,AL,358014310,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,40,3.475,1.47,1.1515,1.1515
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,107,182,182,129.51164835,38.907527473,29.293351648,29.30956044
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,67,120,120,364.85466667,86.961583333,64.286833333,64.026666667
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,51,87,233,137.89287554,32.679184549,24.862360515,25.142446352
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,43,79,416,76.799182692,18.435336538,13.599591346,13.716153846
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,32,55,272,69.559558824,14.970073529,11.132794118,11.29
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,103,190,190,237.52410526,53.243052632,38.396368421,39.500578947
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,147,184,184,76.85951087,17.829184783,13.329076087,13.420923913
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,14,14,44.13,9.9285714286,7.2435714286,7.5628571429
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,65,131,131,67.106259542,11.951679389,8.9477862595,8.7239694656
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,156,298,1707,8.9392735794,2.0204862332,1.5232161687,1.5322554189
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,43,52,52,26.017692308,5.9628846154,4.4009615385,4.3867307692
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,73,89,89,57.788539326,12.256853933,9.1406741573,9.8203370787
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,20,74,74,474.35472973,90.564054054,66.435945946,67.671621622
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,49,49,49,517.90367347,134.41204082,102.60020408,102.06244898
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,77,366,366,529.20868852,32.60784153,23.494234973,23.731229508
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,23,382.19478261,77.74,58.3,52.350434783
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1646,5.557636695,0.06490887,0.0467982989,0.0467800729
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,31,4257,2.1646229739,0.1326544515,0.1039981207,0.1039981207
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,42,2400,10.332429167,2.9387125,2.2015708333,2.2015708333
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,735,3.8719319728,0.2188435374,0.1599455782,0.1599455782
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,22,85,40.66,31.88,29.51
1023072709,ABDELFADIL,AHMED,A,M.D.,M,I,5947 AMBOY RD.,2ND FL.,STATEN ISLAND,NY,103093118,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,45,45,33,33,25.295111111,25.295111111
1023072808,CHURCHILL,DAVID,A,,M,I,3211 N NORTHHILLS BLVD,SUITE 110,FAYETTEVILLE,AR,727034007,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,75.2812,17.29,11.6744,11.6568
1023072808,CHURCHILL,DAVID,A,,M,I,3211 N NORTHHILLS BLVD,SUITE 110,FAYETTEVILLE,AR,727034007,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,22,302.79727273,70.776363636,47.98,47.259090909
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,21,61,704,54.643664773,19.628096591,14.218025568,14.218025568
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,21,56,1605,7.3536199377,2.631152648,1.9162429907,1.9162429907
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,80,100,251,1403,69.929536707,8.32,6.0201282965,6.0201282965
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,27,27,15.333333333,3.38,2.65,2.65
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,23.638461538,2.12,1.67,1.67
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,34,76,211,16.316966825,1.42,1.0657345972,1.0657345972
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,758.39047619,351.57071429,272.21428571,272.21428571
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,13,35,3620,16.430546961,10.763552486,8.4386298343,8.4386298343
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,18,80,82,383.2654878,251.11,195.12036585,195.12036585
1023072840,ROACH,PARIS,,M.D.,M,I,541 CLINICAL DRIVE,CL 365,INDIANAPOLIS,IN,462025111,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,270.0875,237.82,186.45,200.21666667
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,26,31.687307692,8.32,6.0188461538,6.0188461538
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,8.19,1.6911111111,1.3244444444,1.15
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,23,23,543.35478261,90.233478261,67.766521739,64.925652174
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,52,192.30615385,32.886346154,25.612115385,25.738076923
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,351.42142857,52.875714286,41.457857143,42.617857143
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,26,26,110.32653846,18.350769231,14.383846154,14.060384615
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,27,27,95.497407407,12.026666667,9.427037037,9.1022222222
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,35,192,11.632395833,2.0492708333,1.5577083333,1.5442708333
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,71.296,12.236,9.594,10.280666667
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,115,120,118.45883333,16.716416667,12.124,12.543
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,222.18947368,44.108947368,34.581578947,37.472105263
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,21,223,223,3640.9704036,1074.31,838.07892377,838.07892377
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,39,39,164.46435897,4.638974359,3.3087179487,3.3379487179
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,38,598.73842105,35.625,26.63,25.539736842
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,52,383,385,635.54363636,68.927792208,51.414779221,51.970311688
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,58,58,167.93103448,39.636034483,28.054827586,26.67862069
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1320,23.309575758,9.564,7.3894924242,7.3894924242
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,37,12803,0.3533749902,0.0464391158,0.034141998,0.034141998
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,3342,3.3684470377,0.0918402154,0.0657181329,0.0657151406
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,3720,1.2576075269,0.1354516129,0.1003575269,0.1003575269
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,22,135,135,266.63555556,39.274296296,29.220222222,28.084518519
1023073103,GUERRINO,ANTHONY,,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,22,94,94,64.972340426,33,23.393085106,23.393085106
1023073236,HENDERSON KELLEY,LAURA,E,"M.D, MPH",F,I,101 S FAIRVIEW RD,,COLUMBIA,MO,652037637,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,28,69,59.454057971,8.32,4.9620289855,4.9620289855
1023073236,HENDERSON KELLEY,LAURA,E,"M.D, MPH",F,I,101 S FAIRVIEW RD,,COLUMBIA,MO,652037637,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,20,10.435,1.42,0.8385,0.8385
1023073236,HENDERSON KELLEY,LAURA,E,"M.D, MPH",F,I,101 S FAIRVIEW RD,,COLUMBIA,MO,652037637,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,234,78.305555556,6.8298290598,5.3545726496,4.1630769231
1023073236,HENDERSON KELLEY,LAURA,E,"M.D, MPH",F,I,101 S FAIRVIEW RD,,COLUMBIA,MO,652037637,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,308.09117647,85.128235294,63.512941176,51.510588235
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,392,670,670,79.026223881,44.223701493,32.788104478,29.328671642
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,23,258,445,445,227.60849438,106.47530337,79.543617978,66.506179775
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,20,183,356,648,102.73016975,39.984552469,29.329135802,24.426095679
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,21,136,251,913,52.484030668,22.051325301,16.546495071,14.217557503
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,17,120,262,1005,37.038865672,17.139263682,12.712069652,11.365064677
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,24,317,551,551,164.77727768,64.370471869,47.657459165,40.897295826
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,491,620,620,48.348677419,21.085080645,15.762306452,13.705596774
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,84,93,93,21.805376344,11.299462366,8.1746236559,7.5450537634
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,148,247,247,51.262631579,16.364493927,12.011133603,8.8675708502
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,27,512,1019,4454,7.2819555456,2.5938392456,1.9432801976,1.5593331837
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,291,347,347,16.02037464,7.1135446686,5.2173775216,4.4249567723
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,212,249,249,31.104457831,14.375863454,10.593012048,10.095301205
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,11,26,162,162,297.16969136,109.02703704,82.675308642,69.971604938
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,58,58,667.24137931,293.04172414,226.42017241,168.60637931
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,141,141,141,358.47404255,162.08028369,125.20375887,109.24574468
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,31,124,125,42.14504,16.46152,12.4596,10.53552
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,24,241,1346,1363,156.73300807,40.457630227,29.129611152,24.44273661
1023073251,ALSHEIKH,NABIH,,M.D.,M,I,7100 U S HIGHWAY 98 STE 240,,HATTIESBURG,MS,394028557,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,92,92,317.7773913,78.679130435,58.954021739,52.531304348
1023073327,RAO,SATHISHCHANDRA,N,M.D.,M,I,38 HOSPITAL DR,,LOGAN,WV,256013452,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,31,155,48.296258065,8.32,6.3109677419,6.3109677419
1023073327,RAO,SATHISHCHANDRA,N,M.D.,M,I,38 HOSPITAL DR,,LOGAN,WV,256013452,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,15.952380952,3.38,2.5238095238,2.5238095238
1023073327,RAO,SATHISHCHANDRA,N,M.D.,M,I,38 HOSPITAL DR,,LOGAN,WV,256013452,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,25,60,16.335166667,1.42,1.0758333333,1.0758333333
1023073327,RAO,SATHISHCHANDRA,N,M.D.,M,I,38 HOSPITAL DR,,LOGAN,WV,256013452,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,20,3.3,1.824,1.303,1.035
1023073327,RAO,SATHISHCHANDRA,N,M.D.,M,I,38 HOSPITAL DR,,LOGAN,WV,256013452,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,79.758571429,21.140714286,14.442142857,11.597142857
1023073327,RAO,SATHISHCHANDRA,N,M.D.,M,I,38 HOSPITAL DR,,LOGAN,WV,256013452,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1023073327,RAO,SATHISHCHANDRA,N,M.D.,M,I,38 HOSPITAL DR,,LOGAN,WV,256013452,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,85,85,441.52858824,94.365058824,65.892117647,50.129647059
1023073384,HUSTON,JORGE,D,O.D.,M,I,522 FINNEY FLAT RD,STE K,CAMP VERDE,AZ,86322,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,123.35714286,62.319285714,44.331428571,49.787142857
1023073392,GREENE,TUCKER,,,M,I,636 DEL PRADO BLVD S,,CAPE CORAL,FL,339902668,US,Physician/Emergency Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,27,35,2627,873.842,682.58314286,675.18057143
1023073392,GREENE,TUCKER,,,M,I,636 DEL PRADO BLVD S,,CAPE CORAL,FL,339902668,US,Physician/Emergency Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,26,35,320,107.05828571,83.322857143,88.235428571
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,47,124,295,70.490779661,8.2993220339,6.0417966102,6.0580677966
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,18,43,62,13.943870968,1.42,1.0977419355,1.0977419355
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,36.048666667,3.798,2.976,3.604
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,23,185.91391304,29.603913043,21.926086957,23.12173913
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,26,474.97,71.11,49.317307692,48.454230769
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.353916667,8.7022361111,8.7022361111
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.06975,2.4067083333,2.4067083333
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,0.75,0.2194782609,0.172057971,0.172057971
1023073533,MYERS,CAROL,L,DO,F,I,798 HAUSMAN RD,SUITE 100,ALLENTOWN,PA,181049108,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,99,33,25.87,25.87
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,65,193,368,66.647418478,8.32,5.6738043478,5.6738043478
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,40,43,14.135581395,1.42,0.8074418605,0.8074418605
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,402.53571429,116.45714286,81.658571429,61.857142857
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,33,147.25363636,43.680909091,30.676666667,23.964545455
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,267.08181818,73.998181818,58.012727273,45.188181818
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,78.502,23.881333333,17.680666667,13.124
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,25,25,82.6392,19.1488,14.7652,9.3368
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,22,128,10.5675,2.75,2.15625,1.69078125
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,82,84,75.973928571,22.336785714,16.089642857,12.886428571
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,49,50,29.1578,7.0964,5.1992,3.4612
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,129,131,471.63312977,100.40335878,72.425343511,52.338320611
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,191.53846154,43.405384615,31.504615385,27.243076923
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3664722222,7.3664722222
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,46,6501,0.3744147054,0.0461390555,0.0308383326,0.0308383326
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1827,1.9904433498,0.1316967707,0.0829611385,0.0829611385
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1023073699,THOMPSON,WILLIAM,C,D.O.,M,I,1201 MAIN ST.,,MONROE CITY,IN,475570006,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,57,57,66,33,22.444385965,22.444210526
1023073764,DBOUK,WAJDI,A,MD,M,I,605 E GREENVILLE ST,,ANDERSON,SC,296214836,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,50,124,66.647983871,8.32,6.3111290323,6.3111290323
1023073764,DBOUK,WAJDI,A,MD,M,I,605 E GREENVILLE ST,,ANDERSON,SC,296214836,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,27,31,15.557741935,1.4096774194,1.0741935484,1.0822580645
1023073764,DBOUK,WAJDI,A,MD,M,I,605 E GREENVILLE ST,,ANDERSON,SC,296214836,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,28,82.985,17,13.33,13.42
1023073764,DBOUK,WAJDI,A,MD,M,I,605 E GREENVILLE ST,,ANDERSON,SC,296214836,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,30,483.276,71,55.66,55.226
1023073806,DONEPUDI,SIRISHA,,M.D,F,I,1040 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,115,429,1364,58.439435484,8.3192155425,5.9723240469,5.9729398827
1023073806,DONEPUDI,SIRISHA,,M.D,F,I,1040 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,16,33,33,13.436969697,3.38,2.65,2.65
1023073806,DONEPUDI,SIRISHA,,M.D,F,I,1040 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,15,21,21,19.080952381,2.12,1.67,1.67
1023073806,DONEPUDI,SIRISHA,,M.D,F,I,1040 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,59,149,296,12.325810811,1.42,1.0456081081,1.0456081081
1023073806,DONEPUDI,SIRISHA,,M.D,F,I,1040 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,98.784545455,71.56,56.105,56.105
1023073806,DONEPUDI,SIRISHA,,M.D,F,I,1040 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,366.21111111,251.11,196.87,196.87
1023073889,BEWLEY,MARK,A,MD,M,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,60,18.887142857,14.805,14.666428571
1023073889,BEWLEY,MARK,A,MD,M,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,19,8.125,6.37,6.6491666667
1023073889,BEWLEY,MARK,A,MD,M,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,32,35,234.8,138.02114286,107.98971429,102.63685714
1023073889,BEWLEY,MARK,A,MD,M,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,15,15,145.8,91.27,66.789333333,73.679333333
1023073889,BEWLEY,MARK,A,MD,M,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,14,97.571428571,58.805714286,37.040714286,37.388571429
1023073889,BEWLEY,MARK,A,MD,M,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,453.4,279.36,219.01666667,218.89266667
1023073897,ARCHIE,THOMAS,E,M.D.,M,I,1450 AVIATION DR,SUITE 100,HAILEY,ID,833338785,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,75.69,8.32,5.6593333333,5.6593333333
1023073897,ARCHIE,THOMAS,E,M.D.,M,I,1450 AVIATION DR,SUITE 100,HAILEY,ID,833338785,US,Physician/Family Practice,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,600,4.3624,3.1,2.4303333333,2.4303333333
1023073913,BOZIVICH,MICHAEL,J,MD,M,I,17 EXCHANGE ST W,SUITE 500,SAINT PAUL,MN,551021045,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,23,51,161,79.070062112,8.32,6.239378882,6.239378882
1023073913,BOZIVICH,MICHAEL,J,MD,M,I,17 EXCHANGE ST W,SUITE 500,SAINT PAUL,MN,551021045,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,21,39,15.375128205,1.42,1.1148717949,1.1148717949
1023073913,BOZIVICH,MICHAEL,J,MD,M,I,17 EXCHANGE ST W,SUITE 500,SAINT PAUL,MN,551021045,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5670,19.333333333,1.23,0.9390141093,0.9233421517
1023073913,BOZIVICH,MICHAEL,J,MD,M,I,17 EXCHANGE ST W,SUITE 500,SAINT PAUL,MN,551021045,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2938,0.1898774677,0.0458917631,0.0359802587,0.0359802587
1023073913,BOZIVICH,MICHAEL,J,MD,M,I,17 EXCHANGE ST W,SUITE 500,SAINT PAUL,MN,551021045,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,4.3185,3.003,2.354375,2.354375
1023073913,BOZIVICH,MICHAEL,J,MD,M,I,17 EXCHANGE ST W,SUITE 500,SAINT PAUL,MN,551021045,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,25.87,25.87
1023073947,NERNESS,CURTIS,R,MD,M,I,1000 3RD ST,,TILLAMOOK,OR,971413430,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,48,80.285625,24.251875,18.391875,16.077291667
1023073947,NERNESS,CURTIS,R,MD,M,I,1000 3RD ST,,TILLAMOOK,OR,971413430,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,47,48,40.422291667,7.26625,4.4854166667,3.014375
1023073947,NERNESS,CURTIS,R,MD,M,I,1000 3RD ST,,TILLAMOOK,OR,971413430,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,61,487.43508197,92.539016393,70.68852459,58.590655738
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,167.92,51.1055,38.1405,36.483
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,94.187692308,44.93,32.510769231,31.004615385
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,25,57.59,27.84,21.826,22.3768
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,53.76,23.823636364,18.679090909,18.528181818
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,291.12461538,75.250769231,54.593846154,51.729230769
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,95.469230769,37.855384615,29.676923077,29.446153846
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,393.17,155.04,121.54916667,118.04166667
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,90.82,41.2935,32.3705,30.0765
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,31,31,112.78,31.470645161,19.260645161,16.549354839
1023074051,TREFTZ,SHEILA,,APN,F,I,120 SPALDING DR,SUITE 401,NAPERVILLE,IL,605406508,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,20,51,51,26.52,9.5696078431,6.6021568627,6.2145098039
1023074101,SHIELDS,JOHN,G,MD,M,I,747 MEDICAL CENTER DR,,WEST POINT,MS,397739342,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,44,61.009090909,8.32,6.2254545455,6.2254545455
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,78,267,472,45.792923729,8.32,5.4639194915,5.4639194915
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,22,22,15.824545455,3.38,2.4090909091,2.4090909091
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,23.31,2.12,1.67,1.67
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,37,80,101,16.313861386,1.42,1.0176237624,1.0176237624
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,340,8.7605882353,5.74,4.5000882353,4.5000882353
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,23,23,164.9,45.884347826,35.974782609,30.513913043
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,805,0.4832546584,0.24,0.188136646,0.207242236
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,2.0383333333,1.4920833333,1.17125
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,16,31,31,425.40387097,116.66354839,90.129354839,66.511612903
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,15,36,86,165.59197674,43.816162791,34.019069767,25.616860465
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,16,36,163,97.30601227,25.219202454,18.446809816,13.910797546
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,12,28,149,69.234563758,19.583959732,14.670201342,11.513959732
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,27,57,57,268.73964912,73.872982456,51.297192982,38.937192982
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,41,56,56,78.996071429,24.011785714,18.18125,13.891785714
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,36,70,70,87.975,21.013285714,15.609285714,8.8277142857
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,42,100,486,11.626707819,2.9960493827,2.2325720165,1.5383744856
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,26,26,30.92,8.5473076923,6.5084615385,4.6992307692
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,16,24,24,49.6625,15.778333333,11.35125,9.4783333333
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,8.3925,5.515,4.3236666667,3.2456666667
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4275,0.98,0.4683929825,0.3672280702,0.2900795322
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,46,80.269565217,22.884347826,17.290869565,13.203478261
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,17,232.35,58.454705882,43.402352941,35.416470588
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,1011.586,272.38466667,212.11466667,160.12733333
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,592.38571429,178.89142857,128.01214286,92.765714286
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,7.034,4.7853333333,2.9506666667
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,20,118,122,198.20819672,47.205819672,35.246229508,24.965081967
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,82,103,432.27407767,104.7768932,80.954466019,57.615631068
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1560,15.58,9.6469615385,7.4712435897,7.4712435897
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,4199,0.1930697785,0.046437247,0.0324458204,0.0324458204
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,3630,0.9912782369,0.1344710744,0.0979393939,0.0979393939
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,68,4080,12.86,3.0014558824,2.2848676471,2.2848676471
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,765,0.75,0.2186928105,0.1714248366,0.1714248366
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,94.157333333,50.455333333,39.552,29.449333333
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,44.560909091,34.938181818,29.515454545
1023074119,JOHNSON,TIMOTHY,S,MD,M,I,1601 N CHURCH ST,,ATKINS,AR,728233234,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,76,76,129.39473684,33,24.508421053,24.508421053
1023074184,DARSON,MICHEAL,F,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,33.855,24.19,15.904545455,18.452272727
1023074184,DARSON,MICHEAL,F,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1950,0.35,0.13,0.0956564103,0.0956564103
1023074184,DARSON,MICHEAL,F,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,51,5360,5.3748134328,2.04,1.5304794776,1.5304794776
1023074184,DARSON,MICHEAL,F,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,37,4020,9.65,7.1171641791,5.5214278607,5.6098905473
1023074184,DARSON,MICHEAL,F,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,36,11.8,6.64,4.6266666667,5.1427777778
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,33,93,288,75.142048611,8.32,5.7334722222,5.7334722222
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,42,64,17.00453125,1.42,0.94125,0.94125
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,6.1572727273,1.09,0.85,0.96
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,298.78181818,85.047272727,66.677272727,67.840909091
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,182.80933333,56,43.9,42.929333333
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,62.600714286,19.39,15.2,14.06
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,59.601875,13.888125,10.211875,8.66625
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,25,134,12.848059701,2.0868656716,1.6359701493,1.5938059701
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,19.404545455,6.2,4.86,4.65
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,115,50,39.2,37.760833333
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,35,3.6227272727,2.8445454545,3.265
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,226.47891892,36.185405405,25.665405405,24.322702703
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,77.655,10.5725,5.7375,6.45
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,3621,0.2897265949,0.0471471969,0.0369566418,0.0369566418
1023074341,ZHANG,DOUGLAS,D,M.D.,M,I,13851 E 14TH ST,,SAN LEANDRO,CA,945782628,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,110,33,25.87,25.87
1023074366,MOSS,MARTHA,E,M.D.,F,I,1250 HANCOCK ST,INTERNAL MEDICINE,QUINCY,MA,021694339,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,26,119,82.756638655,8.32,5.7555462185,5.7555462185
1023074366,MOSS,MARTHA,E,M.D.,F,I,1250 HANCOCK ST,INTERNAL MEDICINE,QUINCY,MA,021694339,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,80,10.64,7.4616666667,7.8516666667
1023074382,CONNELLY,STEPHANIE,A,MD,F,I,1533 UNION AVE,,MEMPHIS,TN,381043726,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,23,55,191,60.547329843,8.32,5.9418324607,5.9418324607
1023074382,CONNELLY,STEPHANIE,A,MD,F,I,1533 UNION AVE,,MEMPHIS,TN,381043726,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,34,70,17.274857143,1.42,1.0502857143,1.0502857143
1023074382,CONNELLY,STEPHANIE,A,MD,F,I,1533 UNION AVE,,MEMPHIS,TN,381043726,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,494.77142857,86.84,68.08,54.73
1023074382,CONNELLY,STEPHANIE,A,MD,F,I,1533 UNION AVE,,MEMPHIS,TN,381043726,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,183.88,47.974,37.606,23.985333333
1023074382,CONNELLY,STEPHANIE,A,MD,F,I,1533 UNION AVE,,MEMPHIS,TN,381043726,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,36.6,11.822352941,9.2670588235,7.0729411765
1023074408,TURNER,JOHNNY,,PA,M,I,6102 82ND ST UNIT 14,,LUBBOCK,TX,794240802,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,31,72.698709677,8.32,6.1009677419,6.1009677419
1023074408,TURNER,JOHNNY,,PA,M,I,6102 82ND ST UNIT 14,,LUBBOCK,TX,794240802,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,32,3.886875,1.516875,1.0421875,1.01
1023074408,TURNER,JOHNNY,,PA,M,I,6102 82ND ST UNIT 14,,LUBBOCK,TX,794240802,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,11.66,5.2481818182,2.0227272727,2.1163636364
1023074408,TURNER,JOHNNY,,PA,M,I,6102 82ND ST UNIT 14,,LUBBOCK,TX,794240802,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,103.23,31.379473684,24.6,24.607894737
1023074408,TURNER,JOHNNY,,PA,M,I,6102 82ND ST UNIT 14,,LUBBOCK,TX,794240802,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,157.5,68.78,53.92,54.662857143
1023074408,TURNER,JOHNNY,,PA,M,I,6102 82ND ST UNIT 14,,LUBBOCK,TX,794240802,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,86.367647059,33,21.304705882,21.304705882
1023074481,RINE,APRIL,A,PA-C,F,I,200 SCENERY DR,,STATE COLLEGE,PA,168017974,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,31,70,73.153285714,8.32,5.502,5.502
1023074481,RINE,APRIL,A,PA-C,F,I,200 SCENERY DR,,STATE COLLEGE,PA,168017974,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,19,12.067894737,1.42,1.1178947368,1.1178947368
1023074523,SHINK,JILL,L,DPM,F,I,3801 WILDER RD,SUITE 2,BAY CITY,MI,487062301,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,38,38,76,77.945657895,71.56,53.435263158,53.435
1023074523,SHINK,JILL,L,DPM,F,I,3801 WILDER RD,SUITE 2,BAY CITY,MI,487062301,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,22,126,34.74452381,29.19,22.885079365,22.886587302
1023074523,SHINK,JILL,L,DPM,F,I,3801 WILDER RD,SUITE 2,BAY CITY,MI,487062301,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,80,44.577,41.103,32.214,33.6945
1023074598,OSMAN,NORA,Y,MD,F,I,75 FRANCIS ST,BRIGHAM CIRCLE MEDICAL ASSOCIATES,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,52,77.44,8.32,5.2676923077,5.2676923077
1023074721,BIRLING,KAREN,,PAC,F,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,82.686363636,17.27,12.309090909,12.309090909
1023074721,BIRLING,KAREN,,PAC,F,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,457,69.81,49.754545455,49.754545455
1023074838,MCGARRY,JAMES,F,M.D.,M,I,250 POND ST,,BRAINTREE,MA,021845351,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,3.7714285714,2.5514285714,3.1557142857
1023074838,MCGARRY,JAMES,F,M.D.,M,I,250 POND ST,,BRAINTREE,MA,021845351,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,80,16.672307692,12.118461538,12.825384615
1023074911,BADA,ALVARO,R,MD,M,I,18308 MURDOCK CIRCLE,#101,PORT CHARLOTTE,FL,33948,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,100,72.368,24.333,19.0768,19.2
1023074960,RUBERT,CYNTHIA,K,MD,F,I,2585 W HOUGHTON LAKE DR,,PRUDENVILLE,MI,486519624,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,20,11.833333333,9.28,7.34
1023074960,RUBERT,CYNTHIA,K,MD,F,I,2585 W HOUGHTON LAKE DR,,PRUDENVILLE,MI,486519624,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,22,24,422,33.509241706,25.435308057,19.941398104,20.070545024
1023074960,RUBERT,CYNTHIA,K,MD,F,I,2585 W HOUGHTON LAKE DR,,PRUDENVILLE,MI,486519624,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,184,137.94,108.14,102.93384615
1023074960,RUBERT,CYNTHIA,K,MD,F,I,2585 W HOUGHTON LAKE DR,,PRUDENVILLE,MI,486519624,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,27,27,750,668.52,524.12,482.24074074
1023074960,RUBERT,CYNTHIA,K,MD,F,I,2585 W HOUGHTON LAKE DR,,PRUDENVILLE,MI,486519624,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,65,63.796666667,50.015,46.35
1023074986,DEL ROSARIO,GENE FRANCIS,D,MD,M,I,201 HIGHLAND ST,SUITE 2,CLINTON,MA,015101037,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,49,85,75.560117647,8.32,5.5242352941,5.5242352941
1023074986,DEL ROSARIO,GENE FRANCIS,D,MD,M,I,201 HIGHLAND ST,SUITE 2,CLINTON,MA,015101037,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,13.356153846,1.42,0.8615384615,0.8615384615
1023074986,DEL ROSARIO,GENE FRANCIS,D,MD,M,I,201 HIGHLAND ST,SUITE 2,CLINTON,MA,015101037,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,4050,0.17,0.0464444444,0.0336814815,0.0336814815
1023074986,DEL ROSARIO,GENE FRANCIS,D,MD,M,I,201 HIGHLAND ST,SUITE 2,CLINTON,MA,015101037,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2907,1.3858685931,0.135995872,0.0851152391,0.0851152391
1023074986,DEL ROSARIO,GENE FRANCIS,D,MD,M,I,201 HIGHLAND ST,SUITE 2,CLINTON,MA,015101037,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,110,33,21.079259259,21.079259259
1023075058,OBENG,JOSEPH,Y,M.D.,M,I,908 9TH AVE,SUITE A,FORT WORTH,TX,761043904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,51,235,60.75612766,8.32,6.1341702128,6.1341702128
1023075058,OBENG,JOSEPH,Y,M.D.,M,I,908 9TH AVE,SUITE A,FORT WORTH,TX,761043904,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,15.254666667,3.38,2.65,2.65
1023075058,OBENG,JOSEPH,Y,M.D.,M,I,908 9TH AVE,SUITE A,FORT WORTH,TX,761043904,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,22.643333333,2.12,1.67,1.67
1023075058,OBENG,JOSEPH,Y,M.D.,M,I,908 9TH AVE,SUITE A,FORT WORTH,TX,761043904,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,25,58,15.845344828,1.42,1.0546551724,1.0546551724
1023075058,OBENG,JOSEPH,Y,M.D.,M,I,908 9TH AVE,SUITE A,FORT WORTH,TX,761043904,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,137.31181818,18.011818182,11.507272727,11.07
1023075058,OBENG,JOSEPH,Y,M.D.,M,I,908 9TH AVE,SUITE A,FORT WORTH,TX,761043904,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,37,451.75594595,76.460540541,56.708648649,52.045945946
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,24,80,124,44.181451613,8.32,5.7946774194,5.7946774194
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.375,3.38,2.31875,2.31875
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,35,41,13.426341463,1.42,0.9819512195,0.9819512195
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1440,6.95,6.68,5.1374513889,5.5327638889
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,190,5.4589473684,5.2549473684,3.6905789474,3.9211052632
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,290,2.9954137931,2.9342068966,2.087,2.1587931034
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,225,52.8125,38.22,35.418125
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,20,4.104,3.216,3.828
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,416.37583333,81.64,49.314166667,42.171666667
1023075140,FAGAN,ROY,O,MD,M,I,419 W HARRISON ST,,REIDSVILLE,NC,27320,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,82.090909091,35.96,18.956363636,20.040909091
1023075173,SAXON,DAVID,B,MD,M,I,5158 VILLAGE SQUARE DR,,PADUCAH,KY,420019060,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.9045454545,6.1945454545,4.0272727273
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,66,148,48.60472973,8.32,6.3456081081,6.3456081081
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,13.173684211,3.38,2.5105263158,2.5105263158
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,32,44,13.826136364,1.42,1.0663636364,1.0663636364
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,22.97,16.348888889,12.361111111
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,39.457272727,6.5222727273,4.2363636364,2.6118181818
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,37,519.51,95.788648649,70.094054054,51.387027027
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1350,0.9297777778,0.1334222222,0.0965407407,0.0965407407
1023075264,BECKEMEYER,SHAWN,,MD,F,I,COULTERVILLE MEDICAL CLINIC,203 EAST GRANT,COULTERVILLE,IL,62237,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,123.75,33,23.714166667,23.714166667
1023075272,FOTOPOULOS,CONSTANTINE,L,M.D.,M,I,4320 WORNALL RD,SUITE 610,KANSAS CITY,MO,641115941,US,Physician/Physical Medicine and Rehabilitation,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,1889,991.48,777.32,775.87375
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,4.79,0.51,0.4,0.4
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,52,133,388,61.268324742,8.2713659794,5.6142783505,5.6619329897
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,14.920952381,3.38,2.65,2.65
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,23.207142857,2.12,1.67,1.67
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,30,52,80,14.677,1.42,0.9465,0.9465
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,27,57,8.8003508772,1.49,1.0838596491,1.0719298246
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,88.71,11.73,9.1908333333,8.9208333333
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,67,69,86.31,18.026956522,13.723623188,13.131014493
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,198.48157895,46.58,36.51,37.63
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4430.1,913.16,715.92,833.23571429
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,51,52,54.53,4.0565384615,2.9319230769,3.3694230769
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,111,114,508.54421053,71.542631579,52.855526316,52.280087719
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1260,15.58,9.5861190476,7.2901428571,7.2901428571
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,13,74,13818,0.3009009987,0.0458655377,0.0347112462,0.0347112462
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,41,4080,1.0599362745,0.1334338235,0.0957401961,0.0957401961
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1260,12.451095238,3.0066904762,2.1704126984,2.1704126984
1023075348,AFATO,FAAFOUINA,S,M.D.,M,I,1429 COLUSA HWY,,YUBA CITY,CA,959939092,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,23,125,125,105.336,33,24.76888,24.76888
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,12,31,75,73.917733333,8.32,5.9998666667,5.9998666667
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,19,14.595263158,1.42,0.9431578947,0.9431578947
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,24,24,181.38,36.21,19.657916667,21.825
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,498.58666667,82.67,55.308888889,58.418888889
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,276.172,50.26,32.935333333,36.27
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,24,24,84.51875,16.514166667,11.333333333,12.432083333
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,21,21,56.201904762,11.445714286,7.2495238095,7.4142857143
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,44,233,11.446781116,1.9169527897,1.2535193133,1.3415021459
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,31.6025,5.67,4.171875,4.384375
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,50.275625,12,7.645625,8.620625
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,71.361428571,15.75,10.585714286,11.648571429
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,830.30416667,830.30416667
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,28,29,81.75,13,9.4872413793,9.7813793103
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,18,18,24.786111111,5.4444444444,3.5855555556,2.9411111111
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,32,257.82,31.9175,24.1471875,25.38125
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,110,110,464.472,70,50.55,50.415090909
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,98,106,242.02830189,35.421132075,26.73509434,28.503207547
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1500,2.2646266667,0.13348,0.0926066667,0.0926066667
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,35,27.44,29.321818182
1023075363,AGGARWAL,VINOD,K,MD FCCP,M,I,702 NORTH BEERS STREET,STE 2,HOLMDEL,NJ,07733,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,36,36,44,33,23.714166667,23.714166667
1023075538,KELEMEN,MICHAEL,H,M.D.,M,I,5450 KNOLL NORTH DR,SUITE 200B,COLUMBIA,MD,210452300,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,65.808181818,16.371818182,11.483636364,12.2
1023075538,KELEMEN,MICHAEL,H,M.D.,M,I,5450 KNOLL NORTH DR,SUITE 200B,COLUMBIA,MD,210452300,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,401.78545455,76.909090909,48.610909091,44.779090909
1023075579,ARGUEDAS,CARLOS,,,M,I,6226 E SPRING ST,SUITE 380,LONG BEACH,CA,908151423,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,40,80,78.747125,8.32,5.5435,5.5435
1023075579,ARGUEDAS,CARLOS,,,M,I,6226 E SPRING ST,SUITE 380,LONG BEACH,CA,908151423,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,25,16.9232,1.42,0.896,0.896
1023075660,HAMM,JOHN,T,M.D.,M,I,315 E BROADWAY,,LOUISVILLE,KY,402021703,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,71.807058824,16.78,11.602941176,11.95
1023075660,HAMM,JOHN,T,M.D.,M,I,315 E BROADWAY,,LOUISVILLE,KY,402021703,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,446.12470588,71.5,49.464705882,48.447647059
1023075728,YUMANG,NORBERTO,Y,MD,M,I,178 ENCLAVE DR,,NEW CASTLE,PA,161053208,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,28,47,61.25,8.32,5.4125531915,5.4125531915
1023075728,YUMANG,NORBERTO,Y,MD,M,I,178 ENCLAVE DR,,NEW CASTLE,PA,161053208,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.568333333,1.42,1.0266666667,1.0266666667
1023075728,YUMANG,NORBERTO,Y,MD,M,I,178 ENCLAVE DR,,NEW CASTLE,PA,161053208,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,100,20.632380952,14.044285714,11.885714286
1023075728,YUMANG,NORBERTO,Y,MD,M,I,178 ENCLAVE DR,,NEW CASTLE,PA,161053208,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,50.784,7.331,4.8385,2.703
1023075728,YUMANG,NORBERTO,Y,MD,M,I,178 ENCLAVE DR,,NEW CASTLE,PA,161053208,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,55,508.17654545,97.708363636,68.386909091,49.270909091
1023075728,YUMANG,NORBERTO,Y,MD,M,I,178 ENCLAVE DR,,NEW CASTLE,PA,161053208,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1110,0.92,0.1387027027,0.1014054054,0.1014054054
1023075728,YUMANG,NORBERTO,Y,MD,M,I,178 ENCLAVE DR,,NEW CASTLE,PA,161053208,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,111,310,922,71.354501085,8.32,5.7580260304,5.7580260304
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,14.068888889,3.38,2.5027777778,2.5027777778
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,12,14,14,18.811428571,2.12,1.5507142857,1.5507142857
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,53,107,180,15.842388889,1.42,0.978,0.978
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,19,37,37,81.633243243,38.89,27.980540541,27.980540541
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,25,85.7896,71.56,46.5384,46.538
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,14,31,59,5.3754237288,1.47,1.1115254237,1.1115254237
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,20,22,22,49.337272727,12.531818182,8.6554545455,8.0695454545
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,4,22,30,30,2.8163333333,1.26,0.9656666667,0.948
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,17,24,24,238.45833333,86.665,61.246666667,61.246666667
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,16,28,63,81.650793651,32.789365079,24.891904762,25.143968254
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,69,59.842028986,18.03,12.090144928,12.444057971
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,60,43.916666667,15.17,8.2596666667,8.2596666667
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,19,30,30,148.51566667,55.170666667,34.930666667,34.718333333
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,33,41,41,56.480487805,18.092195122,12.626097561,12.577804878
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,27,27,56.552592593,11.758888889,7.9874074074,7.9559259259
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,32,64,335,6.2074925373,2.0500597015,1.4444477612,1.4366268657
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,28,28,17.924285714,6.2235714286,4.1671428571,4.0253571429
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,13,14,14,44.662857143,13.455714286,9.275,9.1328571429
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,60,11.895263158,5.4015789474,5.4763157895
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,165,53.342,41.822,42.2496
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,92,92,92.239347826,17.27,12.509782609,12.509782609
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,75,17.27,13.088666667,13.088666667
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,360,69.81,54.73,54.73
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,28,28,118.90714286,49.005714286,35.623571429,34.890714286
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,33,173,173,51.822369942,4.8512138728,3.1876878613,3.0724855491
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,61,61,127.6557377,33.189344262,23.378196721,22.656229508
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,13,13,13,45.000769231,43.366923077,33.996923077,54.85
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,41,278,284,389.90179577,70.381338028,50.999577465,50.836549296
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,62,146.62903226,36.482903226,27.68516129,28.436774194
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6666666667,7.3793888889,7.3793888889
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,54,11673,0.318588195,0.046535595,0.0336434507,0.0336434507
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,40,111,13895,1.7719827276,0.1349787693,0.0939323498,0.0939323498
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.0329166667,2.3778333333,2.3778333333
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,810,0.75,0.2185555556,0.1713209877,0.1713209877
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,60,19.03,14.116470588,13.611764706
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,155.76923077,36.518461538,26.400769231,26.681153846
1023075777,KORA,VIDYA,,MD,M,I,3723 FRANKLIN ST,,MICHIGAN CITY,IN,463607310,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,43,143,143,59.58041958,33,22.707692308,22.707692308
1023075835,SOBECKS,RONALD,M,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Hematology-Oncology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,1755,3.8167920228,0.5759145299,0.4239487179,0.4239487179
1023075835,SOBECKS,RONALD,M,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,24,24,18.82,18.82
1023075900,AHAUS,JEFFREY,J,O.D.,M,I,694 W EADS PKWY,,LAWRENCEBURG,IN,470251171,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,121.5,66.111,44.3835,45.479
1023075900,AHAUS,JEFFREY,J,O.D.,M,I,694 W EADS PKWY,,LAWRENCEBURG,IN,470251171,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,31,65.258064516,62.989032258,49.383548387,53.48483871
1023075918,SMITH-BLACKWELL,OLIVIA,,MD,F,I,601 DIVISION ST,,NORTH TONAWANDA,NY,141204461,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,33,68,55.440441176,8.32,5.0825,5.0825
1023075918,SMITH-BLACKWELL,OLIVIA,,MD,F,I,601 DIVISION ST,,NORTH TONAWANDA,NY,141204461,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,20,13.77,1.42,0.951,0.951
1023075918,SMITH-BLACKWELL,OLIVIA,,MD,F,I,601 DIVISION ST,,NORTH TONAWANDA,NY,141204461,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,15,359.37533333,77.18,60.51,55.878
1023076155,VOLSKY,NADEZHDA,I,MD,F,I,2061 HOSPITAL DR,,SEDRO WOOLLEY,WA,982844327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,14,519.51,65.7,47.830714286,50.878571429
1023076155,VOLSKY,NADEZHDA,I,MD,F,I,2061 HOSPITAL DR,,SEDRO WOOLLEY,WA,982844327,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,840,2.1379404762,0.1339642857,0.0920833333,0.0920833333
1023076155,VOLSKY,NADEZHDA,I,MD,F,I,2061 HOSPITAL DR,,SEDRO WOOLLEY,WA,982844327,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,82.5,33,24.253125,24.253125
1023076171,SAUNDERS,CHRISTOPHER,S,M.D.,M,I,929 JASONWAY AVE,,COLUMBUS,OH,432142464,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,1.2496666667,0.4631666667,0.3417222222,0.3417222222
1023076171,SAUNDERS,CHRISTOPHER,S,M.D.,M,I,929 JASONWAY AVE,,COLUMBUS,OH,432142464,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1950,0.067625641,0.0126923077,0.0091179487,0.0091179487
1023076171,SAUNDERS,CHRISTOPHER,S,M.D.,M,I,929 JASONWAY AVE,,COLUMBUS,OH,432142464,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,4590,2.6440087146,0.7364705882,0.5773921569,0.5773921569
1023076171,SAUNDERS,CHRISTOPHER,S,M.D.,M,I,929 JASONWAY AVE,,COLUMBUS,OH,432142464,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,38,5640,8.6547553191,1.1771578014,0.9154734043,0.9154734043
1023076171,SAUNDERS,CHRISTOPHER,S,M.D.,M,I,929 JASONWAY AVE,,COLUMBUS,OH,432142464,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,35,35,24,24,18.282285714,18.282285714
1023076171,SAUNDERS,CHRISTOPHER,S,M.D.,M,I,929 JASONWAY AVE,,COLUMBUS,OH,432142464,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,48,58,16,16,12.108793103,12.108793103
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,6.5454545455,0.51,0.4,0.4
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,23,77,228,54.381754386,8.32,5.7132894737,5.7132894737
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,30,30,15.333333333,3.38,2.4846666667,2.4846666667
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,24.769230769,2.12,1.67,1.67
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,37,86,15.597674419,1.42,0.9976744186,0.9976744186
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,13.067857143,5.36,3.8953571429,3.8953571429
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,211.44538462,66.756923077,42.651538462,33.818461538
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,53.183333333,21.7325,15.734166667,13.63
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,22,22,64.447272727,18.210454545,13.359090909,9.335
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,102,8.3951960784,2.7015686275,2.0144117647,1.5709803922
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,39.459090909,20.185818182,14.869272727,12.852363636
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,29.571818182,6.3490909091,3.1345454545,2.0645454545
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,63,264.5868254,81.273650794,58.319047619,53.661111111
1023076213,RISING,JAMES,L,M.D.,M,I,17978 SR 55,,BAKER,WV,26801,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,175,40.755,31.951666667,29.432222222
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,48,268,71.56,56.105,56.105
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,108,108,29.19,22.885,22.886388889
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,28,28,45.113571429,20.786428571,14.668928571,12.630714286
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,15.922413793,9.0334482759,6.3944827586,5.9468965517
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,76,77,81,279.20987654,74.633950617,57.79382716,62.335679012
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,464,123.39363636,89.046363636,87.386363636
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,18,1808.2222222,481.12111111,377.20055556,390.96333333
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,17,2775.2941176,739.76,579.97705882,562.53
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,19,1328,359.97368421,282.21894737,310.41052632
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,27,35,295.54285714,78.81,61.79,68.461714286
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,1151,271.51733333,212.86733333,218.89
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,45,46,46,950,267.11,206.29304348,215.56282609
1023076312,KINMON,KYLE,J,D.P.M.,M,I,1601 CLINT MOORE RD,130,BOCA RATON,FL,334872768,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,66,68,69,611.89855072,163.64971014,127.71782609,125.99231884
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,91,223,46.222511211,8.32,5.9384304933,5.9384304933
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,27,51,10.133333333,1.42,0.9611764706,0.9611764706
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,83.889090909,14.784545455,10.726363636,8.2909090909
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,58,11.051724138,2.3944827586,1.8767241379,1.5922413793
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,86.31,17.41,10.92,10.839333333
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,32.0725,5.9685714286,4.6807142857,3.62
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,59,446.99644068,79.3,56.757457627,50.074067797
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,240,9.6370416667,3.03725,1.8910833333,1.8910833333
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,68.525,36.5,26.83125,27.735625
1023076338,KREMER,GERALD,L,MD,M,I,6 LEXINGTON BLVD,,DELAWARE,OH,430151047,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,24.145333333,24.145333333
1023076494,NELSON,JAMES,G,MD,M,I,220 NASH MEDICAL ARTS MALL,,ROCKY MOUNT,NC,27804,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,165.29785714,56.114285714,43.994285714,38.154285714
1023076494,NELSON,JAMES,G,MD,M,I,220 NASH MEDICAL ARTS MALL,,ROCKY MOUNT,NC,27804,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,139.75,59.261333333,46.460666667,40.79
1023076494,NELSON,JAMES,G,MD,M,I,220 NASH MEDICAL ARTS MALL,,ROCKY MOUNT,NC,27804,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,53.2615,53.2,41.71,45.654
1023076510,WITT,KEVIN,B,M.D.,M,I,6350 CENTRAL AVE,,ST PETERSBURG,FL,337071430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,34,91,71.678351648,8.32,5.3605494505,5.3605494505
1023076510,WITT,KEVIN,B,M.D.,M,I,6350 CENTRAL AVE,,ST PETERSBURG,FL,337071430,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,16,20,18.443,1.42,0.892,0.892
1023076510,WITT,KEVIN,B,M.D.,M,I,6350 CENTRAL AVE,,ST PETERSBURG,FL,337071430,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,55.877714286,17,12.280857143,12.482
1023076510,WITT,KEVIN,B,M.D.,M,I,6350 CENTRAL AVE,,ST PETERSBURG,FL,337071430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,71,339.13295775,79.88,58.210140845,51.97915493
1023076510,WITT,KEVIN,B,M.D.,M,I,6350 CENTRAL AVE,,ST PETERSBURG,FL,337071430,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1787,1.880380526,0.1367991046,0.1072635702,0.1072635702
1023076510,WITT,KEVIN,B,M.D.,M,I,6350 CENTRAL AVE,,ST PETERSBURG,FL,337071430,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,35.31,25.3825,27.089166667
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,104,213,65.03915493,8.32,5.9102347418,5.9102347418
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15,3.38,2.4461538462,2.4461538462
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,18,17.721111111,1.42,0.9322222222,0.9322222222
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,11.1,7.63,5.4816666667,6.3291666667
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,0.39,0.13,0.0934388889,0.0934388889
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,14.99,13.8,9.3072222222,9.3072222222
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,4.35,1.92,1.4340555556,1.5281222222
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,34,11.857058824,10.93,7.8138235294,7.8138235294
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,409.56,86.511538462,56.527692308,56.572307692
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,69.939166667,11.386666667,7.4183333333,7.6166666667
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,83,11.340240964,2.0042168675,1.3440963855,1.3655421687
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,158.48,51.933333333,40.716666667,40.125833333
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,67,71,77.682535211,17.782957746,12.978873239,12.834366197
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,48.31,32.4375,32.208333333
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,4125.3473684,1048.7,822.18,841.20315789
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,30,30,50.222,4.31,1.9153333333,1.9153333333
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,21,120,128,438.95398438,73.170703125,53.458515625,52.432734375
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.7882916667,8.7882916667
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,54,12072,0.1811721339,0.0464322399,0.0344449967,0.0344449967
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,68,6630,1.4435822021,0.1361085973,0.0947616893,0.0947616893
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,124.2852,35.568,27.8852,25.4072
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,95.3275,28.7975,17.1825,16.6655
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,28.44,8.8675,4.999375,4.87375
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,671.85,164.99466667,129.35533333,126.85266667
1023076619,TUCKER,DAVID,J,MD,M,I,1102 JACKSON ST SW,,GRAVETTE,AR,727369121,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,18,127,127,107.83464567,33,24.036692913,24.036692913
1023076643,HENRY,JOHN,N,PAC,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,190.34,69.658125,45.801875,30.8275
1023076643,HENRY,JOHN,N,PAC,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,104.76,60.950833333,47.785,36.225
1023076643,HENRY,JOHN,N,PAC,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,391.22863636,113.23818182,88.782727273,69.457272727
1023076643,HENRY,JOHN,N,PAC,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,59.566666667,45.844285714,35.944285714,31.901428571
1023076643,HENRY,JOHN,N,PAC,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,62.411333333,25.673333333,19.166666667,14.07
1023076643,HENRY,JOHN,N,PAC,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,21.53,10.865333333,8.0653333333,6.4166666667
1023076882,OURS,DAVID,E,M.D.,M,I,1027 N HIGHLAND AVE,,MURFREESBORO,TN,371302450,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,26,50,71.6014,8.32,6.0422,6.0422
1023076882,OURS,DAVID,E,M.D.,M,I,1027 N HIGHLAND AVE,,MURFREESBORO,TN,371302450,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,18,14.11,13.54
1023076882,OURS,DAVID,E,M.D.,M,I,1027 N HIGHLAND AVE,,MURFREESBORO,TN,371302450,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,325,86.84,68.08,54.73
1023076882,OURS,DAVID,E,M.D.,M,I,1027 N HIGHLAND AVE,,MURFREESBORO,TN,371302450,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,60,65,17.148153846,7.4101538462,5.444,3.332
1023076882,OURS,DAVID,E,M.D.,M,I,1027 N HIGHLAND AVE,,MURFREESBORO,TN,371302450,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,4300,0.3694581395,0.0458837209,0.0340860465,0.0340837209
1023076882,OURS,DAVID,E,M.D.,M,I,1027 N HIGHLAND AVE,,MURFREESBORO,TN,371302450,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,959,1.6713138686,0.1351824818,0.0897601668,0.0897601668
1023076882,OURS,DAVID,E,M.D.,M,I,1027 N HIGHLAND AVE,,MURFREESBORO,TN,371302450,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,33,33,24.694090909,24.694090909
1023076924,HASELL,LOUISE,C,MD,F,I,2001 SCIOTO TRL,,PORTSMOUTH,OH,456622845,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,181,61.944166667,37.463333333,33.476666667
1023076924,HASELL,LOUISE,C,MD,F,I,2001 SCIOTO TRL,,PORTSMOUTH,OH,456622845,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,47.727272727,22.446363636,14.41,12.114545455
1023076924,HASELL,LOUISE,C,MD,F,I,2001 SCIOTO TRL,,PORTSMOUTH,OH,456622845,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,73,12.452054795,2.4589041096,1.6946575342,1.4794520548
1023076924,HASELL,LOUISE,C,MD,F,I,2001 SCIOTO TRL,,PORTSMOUTH,OH,456622845,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,78,22.125714286,15.213809524,11.883809524
1023076924,HASELL,LOUISE,C,MD,F,I,2001 SCIOTO TRL,,PORTSMOUTH,OH,456622845,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,337.82516129,98.85,71.894032258,51.409193548
1023076924,HASELL,LOUISE,C,MD,F,I,2001 SCIOTO TRL,,PORTSMOUTH,OH,456622845,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330,45.908333333,34.840833333,28.9575
1023076965,CAUTILLI,GEORGE,P,MD,M,I,115 FLORAL VALE BLVD,SUITE C,YARDLEY,PA,190675522,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,27,27,27,139.91518519,46.507407407,36.461851852,36.416296296
1023076965,CAUTILLI,GEORGE,P,MD,M,I,115 FLORAL VALE BLVD,SUITE C,YARDLEY,PA,190675522,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,28,28,28,220,48.139642857,37.739642857,40.564642857
1023077120,POMERANTZ,DANIEL,H,MD,M,I,16 GUION PL,,NEW ROCHELLE,NY,108015503,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,81.1275,8.32,5.4333333333,5.4333333333
1023077278,FRANIA,STEPHEN,J,DPM,M,I,7482 CENTER ST,SUITE 100,MENTOR,OH,440605844,US,Podiatry,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,169.18461538,26.43,17.532307692,16.889230769
1023077278,FRANIA,STEPHEN,J,DPM,M,I,7482 CENTER ST,SUITE 100,MENTOR,OH,440605844,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,159.805,109.14,84.475,93.985
1023077278,FRANIA,STEPHEN,J,DPM,M,I,7482 CENTER ST,SUITE 100,MENTOR,OH,440605844,US,Podiatry,S,L2280,"Addition to lower extremity, molded inner boot",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,16,606.81625,530.24875,410.06,370.213125
1023077278,FRANIA,STEPHEN,J,DPM,M,I,7482 CENTER ST,SUITE 100,MENTOR,OH,440605844,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,14,16,91.556875,78.81,55.171875,59.465
1023077278,FRANIA,STEPHEN,J,DPM,M,I,7482 CENTER ST,SUITE 100,MENTOR,OH,440605844,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,36,267.47111111,236.89611111,182.89416667,213.62833333
1023077294,NAKAGAWA,EVELYN,J,M.D.,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,146.81307692,12.226923077,8.8784615385,8.7123076923
1023077294,NAKAGAWA,EVELYN,J,M.D.,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,45,45,80.286666667,54.007333333,39.846888889,35.126888889
1023077294,NAKAGAWA,EVELYN,J,M.D.,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Physician/Internal Medicine,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,44,44,56.059090909,7.7668181818,5.82,6.1893181818
1023077294,NAKAGAWA,EVELYN,J,M.D.,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,68,83,27.956987952,19.284337349,14.710722892,13.223855422
1023077294,NAKAGAWA,EVELYN,J,M.D.,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,34,45,28.766176471,21.932058824,20.350882353
1023077294,NAKAGAWA,EVELYN,J,M.D.,F,I,1510 4TH ST,SUITE 1,BERKELEY,CA,947101717,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,16,11.99,9.403125,6.36125,5.695
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,38,113,290,49.559310345,8.32,6.0048275862,6.0048275862
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,35,35,12.935428571,3.38,2.5742857143,2.5742857143
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,22.475294118,2.12,1.5717647059,1.5717647059
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,23,58,83,12.582048193,1.42,1.0881927711,1.0881927711
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,30,106.21,32,25.087333333,25.834333333
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,175.77166667,55.6175,41.975833333,41.319166667
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,57.724285714,10.07,7.5238095238,8.6514285714
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,121,7.7723966942,2.0280165289,1.5901652893,1.5918181818
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,58.175,18,13.28,12.760294118
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,23,23,100.33,50,35.791304348,34.357826087
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,280,82.808333333,59.435,59.435
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,193.128,33.005,25.8745,26.5885
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,273.28666667,70.98025641,49.127179487,48.34025641
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,7813,0.4281236401,0.0467246896,0.033953667,0.033953667
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,129.29,22.09,16.112,18.796
1023077336,JOHNSTON,STEWART,G,,M,I,819 W CARPENTER ST,,BENTON,AR,720153349,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,72.6,33,22.420666667,22.420666667
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,67,137,137,119.4610219,37.945839416,28.327226277,29.021167883
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,36,79,79,347.24886076,83.607848101,63.927974684,66.092405063
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,20,49,140,145.35892857,32.061571429,24.235357143,24.9895
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,21,37,205,78.483853659,18.087804878,14.124878049,14.489512195
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,16,33,177,50.177966102,14.76,11.147570621,11.456610169
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,50,103,103,215.6284466,51.855048544,37.414563107,39.567087379
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,76,112,112,66.098392857,16.892232143,12.645267857,13.420625
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,17,21,21,32.679047619,10.036190476,7.8680952381,8.1419047619
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,24,47,47,62.984468085,12.090425532,8.8734042553,8.554893617
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,75,165,956,9.0303661088,2.0001987448,1.4994665272,1.5219665272
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,43,59,59,24.221355932,5.9091525424,4.4042372881,4.4188135593
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,41,54,54,44.630925926,12.030185185,8.6518518519,9.5748148148
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,529.57,195.15,152.99333333,156.43916667
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,26,26,26,421.01307692,131.16769231,98.889230769,100.42307692
1023077393,LEVY,KIRK,J,MD,M,I,25 ROCKWOOD PL,SUITE 110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,42,232,232,216.62892241,32.319224138,24.319353448,24.99362069
1023077526,GORDON,BARBARA,J,CRNP,F,I,7 COLONIAL DRIVE,,TOWANDA,PA,18848,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,24,91,165,70.711575758,8.2632727273,5.7147878788,5.7591515152
1023077526,GORDON,BARBARA,J,CRNP,F,I,7 COLONIAL DRIVE,,TOWANDA,PA,18848,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,25,31,16.134193548,1.42,1.0458064516,1.0458064516
1023077526,GORDON,BARBARA,J,CRNP,F,I,7 COLONIAL DRIVE,,TOWANDA,PA,18848,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,70.675,12.5025,9.8041666667,9.6091666667
1023077526,GORDON,BARBARA,J,CRNP,F,I,7 COLONIAL DRIVE,,TOWANDA,PA,18848,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,65.52,44.482941176,31.011176471,27.252352941
1023077526,GORDON,BARBARA,J,CRNP,F,I,7 COLONIAL DRIVE,,TOWANDA,PA,18848,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1430,1.983958042,0.1355524476,0.095,0.095
1023077526,GORDON,BARBARA,J,CRNP,F,I,7 COLONIAL DRIVE,,TOWANDA,PA,18848,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,22.252352941,22.252352941
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,56,91,91,59.675274725,37.305164835,29.064175824,30.282527473
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,80,152,152,122.77131579,89.576710526,67.30375,65.064144737
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,77,159,328,47.701097561,34.513658537,25.822408537,24.775640244
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,52,96,479,29.757954071,19.390772443,14.247014614,13.646096033
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,47,75,342,20.454327485,16,12.132865497,11.524766082
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,103,169,169,85.916627219,56.962307692,40.484497041,38.904852071
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,178,228,228,25.329385965,17.269166667,12.294122807,12.807675439
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,38,43,43,13.596046512,10.412093023,7.9704651163,7.9604651163
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,135,244,244,19.986393443,12.590942623,8.9543852459,8.2980737705
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,173,333,1854,3.6150809061,2.2165264293,1.6272599784,1.4956850054
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,62,78,78,10.464487179,6.1196153846,4.6937179487,4.5644871795
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,90,109,109,14.992018349,13.015321101,9.5476146789,9.6840366972
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,15,95,96,125.57083333,93.154166667,68.982708333,64.152708333
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,7827.2222222,1081.75,848.09,848.09
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,47,47,47,250.2593617,141.80021277,102.94638298,96.97212766
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,76,376,385,72.575428571,34.487272727,24.959974026,23.781896104
1023077567,RAROQUE,HENRY,G,M.D.,M,I,1215 KINWEST PKWY,STE 120,IRVING,TX,75063,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,76.48,76.48,59.96,55.196363636
1023077849,DELREGNO,DIANE,M,OD,F,I,703 RUTTER AVE,,KINGSTON,PA,187044801,US,Optometry,S,V2784,"Lens, polycarbonate or equal, any index, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,33,33,25.87,35.729545455
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,72.96,19.681818182,15.430454545,15.430454545
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,36,92,319,72.027366771,8.32,6.2057680251,6.2057680251
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,17,41,85,16.583176471,1.42,1.0876470588,1.0876470588
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,77.837272727,40.12,31.46,30.5
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,63,45,19.18,15.036666667,14.55
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,130.39333333,54.5,39.881333333,40.013333333
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,86,9.0679069767,2.1,1.5318604651,1.4805813953
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,250,81.931666667,64.238333333,64.865
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,99.564705882,30.514117647,21.27,22.116470588
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2640,33.579,9.8401818182,7.6603674242,7.6603674242
1023077872,BHAKTA,RAJESH,,M.D.,M,I,15021 W BELL RD,,SURPRISE,AZ,853743215,US,Physician/Internal Medicine,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,8.55,2.6363636364,2.0670454545,2.0670454545
1023077898,KAPLAN,JONATHAN,D,O.D.,M,I,2 DEXTER ST,,PAWTUCKET,RI,028602926,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,75.315789474,68.52,50.882631579,50.067894737
1023077898,KAPLAN,JONATHAN,D,O.D.,M,I,2 DEXTER ST,,PAWTUCKET,RI,028602926,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,19,75,53.1,35.056842105,36.961052632
1023077922,HANSON,LINDSAY,K,MD,M,I,520 W INDIAN AVE,,BREWSTER,WA,98812,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,48,57.233541667,8.32,3.8041666667,3.8041666667
1023077922,HANSON,LINDSAY,K,MD,M,I,520 W INDIAN AVE,,BREWSTER,WA,98812,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,31,86.31,19.99483871,14.280967742,12.222258065
1023077922,HANSON,LINDSAY,K,MD,M,I,520 W INDIAN AVE,,BREWSTER,WA,98812,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,35,497.77885714,90.928,66.357142857,49.965714286
1023077922,HANSON,LINDSAY,K,MD,M,I,520 W INDIAN AVE,,BREWSTER,WA,98812,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,4350,0.17,0.0469149425,0.031062069,0.031062069
1023077922,HANSON,LINDSAY,K,MD,M,I,520 W INDIAN AVE,,BREWSTER,WA,98812,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,132,33,21.785263158,21.785263158
1023077997,DEVRIES,ASHLEY,B,P.A.-C,F,I,1606 TENNESSEE AVE,,LYNN HAVEN,FL,324443653,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,31,63,76.268253968,8.32,5.4861904762,5.4861904762
1023077997,DEVRIES,ASHLEY,B,P.A.-C,F,I,1606 TENNESSEE AVE,,LYNN HAVEN,FL,324443653,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.7027272727,3.6881818182,3.6854545455
1023077997,DEVRIES,ASHLEY,B,P.A.-C,F,I,1606 TENNESSEE AVE,,LYNN HAVEN,FL,324443653,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,130.05263158,32.021052632,25.105263158,24.608421053
1023078003,LADEN,LAUREL,B,MD,F,I,270 MAIN ST N STE 300,,STILLWATER,MN,55082,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,135.1875,35.013125,27.450625,27.14625
1023078011,ARD,KEVIN,A,P.A.,M,I,410 UNIVERSITY PARKWAY,SUITE 1000,AIKEN,SC,29801,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,356,266.98,205.62333333,213.60722222
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,29,72,222,64.122927928,8.32,6.0521171171,6.0521171171
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,25,25,14.5624,3.38,2.65,2.65
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,21.544615385,2.12,1.67,1.67
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,25,31,12.562258065,1.42,1.0077419355,1.0077419355
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,560,5.12,2.27,1.7797142857,1.7797142857
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,9.6583333333,7.88,6.118125,6.118125
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,30,21.554,10.93,8.5696666667,8.5696666667
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,152,2.1894736842,1.6736842105,1.3123026316,1.41125
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.19,1.48,1.0707692308,1.0615384615
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,6.141,5.34,3.8377777778,3.8180555556
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,4626,0.5737483787,0.38,0.2940575011,0.2868006917
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,144.32555556,17.5,13.211851852,13.058518519
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,50.73,3.59,2.3776923077,2.9676923077
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,443.36326087,79.486956522,59.610217391,52.863913043
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,5631,0.1664908542,0.0460149174,0.0334736281,0.0334736281
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1767,1.1717770232,0.1363723826,0.1038313526,0.1038313526
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1422,12.172763713,3.0826371308,2.3217721519,2.3217721519
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,62.142857143,16.157142857,12.661428571,13.339285714
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.89,37.46,29.37,29.51
1023078037,COOPER,WILLIAM,R,MD,M,I,1185 CORPORATE CENTER DR STE 175,PROHEALTH CARE MEDICAL ASSOCIATES INC.,OCONOMOWOC,WI,530664889,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,44,44,82.5,33,24.694090909,24.694090909
1023078086,COOPER,LARRY,,MD,M,I,1401 RIVER RD,,GREENWOOD,MS,389304030,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.6,37.565454545,26.236363636,21.923636364
1023078086,COOPER,LARRY,,MD,M,I,1401 RIVER RD,,GREENWOOD,MS,389304030,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45.45,33.845454545,23.409090909,28.234545455
1023078136,KOEHLER,SUSAN,,MD,F,I,2080 CHILD ST,,JACKSONVILLE,FL,322145005,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,16.5,12.94,13.54
1023078136,KOEHLER,SUSAN,,MD,F,I,2080 CHILD ST,,JACKSONVILLE,FL,322145005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,77.18,60.51,54.72
1023078169,AYOUBI,GHYEATH,,M.D.,M,I,7364 STONEROCK CIR,SUITE B,ORLANDO,FL,328190000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,52,71.950769231,8.32,6.2721153846,6.2721153846
1023078250,THANGADA,PRAVEEN,K,MD,M,I,634 E COURT ST,STE 102,SEGUIN,TX,781555725,US,Physician/Neurology,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,699.15,154.24090909,120.92909091,95.567272727
1023078532,WRITESEL,KENNETH,A,D.O.,M,I,312 E MARKET ST,,WASHINGTON COURT HOUSE,OH,431601481,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,6.65,4.99,2.9325,3.56
1023078532,WRITESEL,KENNETH,A,D.O.,M,I,312 E MARKET ST,,WASHINGTON COURT HOUSE,OH,431601481,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,349.72363636,91.740909091,66.214545455,49.815909091
1023078532,WRITESEL,KENNETH,A,D.O.,M,I,312 E MARKET ST,,WASHINGTON COURT HOUSE,OH,431601481,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,86.128461538,18.903076923,9.2,8.0615384615
1023078532,WRITESEL,KENNETH,A,D.O.,M,I,312 E MARKET ST,,WASHINGTON COURT HOUSE,OH,431601481,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,139.909,29.9305,18.5085,18.398
1023078607,IANNACCONE,SUSAN,T,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907208,US,Physician/Pediatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.28,4.1393548387,4.1629032258
1023078607,IANNACCONE,SUSAN,T,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907208,US,Physician/Pediatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5115,2.674,0.31,0.2430322581,0.2430322581
1023078607,IANNACCONE,SUSAN,T,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907208,US,Physician/Pediatric Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.06,3.97,3.95
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,52,78,183,535,72.509962617,8.32,5.7745420561,5.7745420561
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.797857143,3.38,2.65,2.65
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,42,87,123,17.197154472,1.42,0.9531707317,0.9531707317
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,80,56.18,32.440666667,25.835333333
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,75,55.926363636,38.835454545,33.650909091
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,15,8.61,5.484375,5.143125
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.11,21.849090909,17.126363636,14.289090909
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,90.82,33.294705882,26.098823529,24.301764706
1023078631,TREVINO,GREGORY,,MD,M,I,608 S WASHINGTON ST STE 201,,NAPERVILLE,IL,60540,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,22.803870968,8.724516129,6.4483870968,6.1632258065
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,51,80,67.78875,8.32,5.953625,5.953625
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,25,25,31.89,1.42,0.9856,0.9856
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,64.633333333,38.5,25.15,25.42
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,78.059230769,33.06,23.926153846,23.926153846
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,57,53.26245614,18.577894737,12.798245614,12.77754386
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,18,31,31,158.9116129,58.069677419,42.722258065,40.113225806
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,28,28,53.174285714,18.6225,14.092857143,13.557857143
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,24,24,53.276666667,12.084166667,8.7445833333,8.8491666667
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,36,109,7.244587156,2.1000917431,1.4746788991,1.4178899083
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,19.013076923,5.8884615385,4.2738461538,4.3023076923
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,26.429285714,13.492142857,8.7814285714,8.5535714286
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,250,49.025454545,38.434545455,38.434545455
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,275,84.134705882,58.634117647,57.931176471
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,40.302631579,13.776315789,9.7602631579,9.7892105263
1023078698,NELSON,KRISTIN,E,M.D.,F,I,1515 DELHI ST,STE 100,DUBUQUE,IA,520016320,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,165.28756757,41.534864865,31.095945946,26.824324324
1023078797,MALHOTRA,DEEPAK,,M.D.,M,I,1400 PIN OAK DRIVE,,CARTERVILLE,IL,62918,US,Internal Medicine,T,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,1245,2.6087068273,0.5570763052,0.4367630522,0.4367630522
1023078797,MALHOTRA,DEEPAK,,M.D.,M,I,1400 PIN OAK DRIVE,,CARTERVILLE,IL,62918,US,Internal Medicine,T,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,24,24,17.95952381,17.95952381
1023078797,MALHOTRA,DEEPAK,,M.D.,M,I,1400 PIN OAK DRIVE,,CARTERVILLE,IL,62918,US,Internal Medicine,T,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,18,16,16,12.54,12.54
1023078912,PATEL,AJAY,,M.D.,M,I,450 2ND ST,,SAINT ALBANS,WV,251772857,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,44,79,63.980126582,8.32,6.1826582278,6.1826582278
1023078912,PATEL,AJAY,,M.D.,M,I,450 2ND ST,,SAINT ALBANS,WV,251772857,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,28,35,13.185714286,1.42,1.0857142857,1.0857142857
1023078912,PATEL,AJAY,,M.D.,M,I,450 2ND ST,,SAINT ALBANS,WV,251772857,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,12.420833333,12.4025
1023078912,PATEL,AJAY,,M.D.,M,I,450 2ND ST,,SAINT ALBANS,WV,251772857,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,200.3,4.79,3.7566666667,3.7533333333
1023078912,PATEL,AJAY,,M.D.,M,I,450 2ND ST,,SAINT ALBANS,WV,251772857,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,519.51,70.23,50.340571429,50.088
1023078912,PATEL,AJAY,,M.D.,M,I,450 2ND ST,,SAINT ALBANS,WV,251772857,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,2640,1.8587462121,0.1304090909,0.0954204545,0.0954204545
1023078912,PATEL,AJAY,,M.D.,M,I,450 2ND ST,,SAINT ALBANS,WV,251772857,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,33,33,24.9065,24.9065
1023078938,HOWARD,JACK,A,MD,M,I,535 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,27,96,176,79.858806818,8.32,6.0521022727,6.0521022727
1023078938,HOWARD,JACK,A,MD,M,I,535 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,29,15.527931034,1.42,0.964137931,0.964137931
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,27,92,261,41.896245211,8.32,5.7689655172,5.7689655172
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,15.789473684,3.38,2.5105263158,2.5105263158
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,35,58,12.17362069,1.42,1.0389655172,1.0389655172
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,11,22,76.831818182,71.418181818,55.994090909,55.994090909
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,44.059677419,17.29,13.55,13.535806452
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,73,73,312.27041096,77.429726027,59.447123288,53.831369863
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,35.96,23.491666667,24.646666667
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,18,55,20.583888889,16.138333333,14.795555556
1023079001,HOFFMAN,BYRON,J,MD,M,I,421 N HOLLY AVE,,SILER CITY,NC,27344,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,67.8352,40.9464,29.6132,27.16
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,40,177,74.528700565,8.32,6.0762711864,6.0762711864
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,446.63,46.126666667,36.163333333,37.188333333
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,521.2,78.49,57.777391304,51.273043478
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,1.332,0.48575,0.3377777778,0.3377777778
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1864,0.3523390558,0.0474892704,0.0372317597,0.0372317597
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,103.52,40.62,31.85,29.52
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,16.57,16.57
1023079217,ANDERSON,LISA,L,MD,F,I,255 SMITH AVE N,SUITE 100,SAINT PAUL,MN,551022572,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1023079225,PATEL,PARAG,,,M,I,43455 SCHOENHERR RD,STE. 2,STERLING HEIGHTS,MI,483131951,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,49,143,55.046783217,8.2798601399,6.0344755245,6.0660839161
1023079225,PATEL,PARAG,,,M,I,43455 SCHOENHERR RD,STE. 2,STERLING HEIGHTS,MI,483131951,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,30,40,12.1595,1.42,1.05975,1.05975
1023079258,ROTKOVITCH,ALONA,,NP,F,I,111 GROSSMAN DR,,BRAINTREE,MA,021844997,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,20,135,86.177407407,8.32,5.7500740741,5.7500740741
1023079373,ELIE,CATHERINE,D,FNP,F,I,135 JACKSON ST,,LOWELL,MA,018522103,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,44,72.810909091,8.32,5.3363636364,5.3363636364
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,68,152,67.298552632,8.32,5.5525,5.5525
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.84,3.38,2.65,2.65
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,28,30,20.793333333,1.42,1.1193333333,1.1193333333
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,58.223333333,18.695833333,13.434166667,12.950833333
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,65.250769231,11.243846154,8.1384615385,8.4523076923
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,103,8.137961165,2.02,1.4003883495,1.4080582524
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,225,43.32,33.97,35.24
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,34,84.964411765,18.49,14.063823529,13.273235294
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,246.48916667,33.3525,21.316666667,19.475
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,68,69,505.12130435,86.84,64.950724638,53.728985507
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,3.97275,0.567,0.4047083333,0.4047083333
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.5083888889,1.26075,0.9304444444,0.9304444444
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1620,0.942462963,0.133462963,0.0962407407,0.0962407407
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.2648333333,2.2648333333
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,17.251666667,17.251666667
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,11.495,11.495
1023079381,BAUMGARTEN,ALAN,S,MD,M,I,206 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,125.8125,33,24.253125,24.253125
1023079449,DEBIN,SUSAN,,M.D.,F,I,1234 W CHAPMAN AVE,,ORANGE,CA,928682862,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,78,77.789102564,8.32,6.2720512821,6.2720512821
1023079449,DEBIN,SUSAN,,M.D.,F,I,1234 W CHAPMAN AVE,,ORANGE,CA,928682862,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,121.25636364,40,28.509090909,27.718181818
1023079449,DEBIN,SUSAN,,M.D.,F,I,1234 W CHAPMAN AVE,,ORANGE,CA,928682862,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,9.9909090909,2,1.5683333333,1.5916666667
1023079449,DEBIN,SUSAN,,M.D.,F,I,1234 W CHAPMAN AVE,,ORANGE,CA,928682862,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,11.67,4.98,3.9043333333,4.163
1023079449,DEBIN,SUSAN,,M.D.,F,I,1234 W CHAPMAN AVE,,ORANGE,CA,928682862,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,2724,0.8693098385,0.3,0.2351982379,0.2430396476
1023079449,DEBIN,SUSAN,,M.D.,F,I,1234 W CHAPMAN AVE,,ORANGE,CA,928682862,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,209.7,27.16,19.88,21.994666667
1023079522,MEDFORD,DAVID,J,MD,M,I,95 MADISON AVE,SUITE 400,MORRISTOWN,NJ,07960,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,98,126,126,60.547142857,60.547142857,46.457063492,51.356428571
1023079522,MEDFORD,DAVID,J,MD,M,I,95 MADISON AVE,SUITE 400,MORRISTOWN,NJ,07960,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,59,69,133,64,50.5,39.59,33.391503759
1023079522,MEDFORD,DAVID,J,MD,M,I,95 MADISON AVE,SUITE 400,MORRISTOWN,NJ,07960,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,30,64,43.109333333,33.797333333,29.595333333
1023079522,MEDFORD,DAVID,J,MD,M,I,95 MADISON AVE,SUITE 400,MORRISTOWN,NJ,07960,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,32,50,79.06,66.09,50.9298,43.6954
1023079522,MEDFORD,DAVID,J,MD,M,I,95 MADISON AVE,SUITE 400,MORRISTOWN,NJ,07960,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,43,75.674418605,66.67,48.811162791,40.517674419
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,115,230,230,114.24521739,38.317826087,28.13273913,28.549130435
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,23,225,504,505,308.85388119,86.609445545,62.512178218,62.470019802
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,158,409,1096,129.67979927,32.511906934,23.960127737,24.375483577
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,102,243,1146,72.019720768,17.919101222,13.215191972,13.698891798
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,84,191,983,48.664903357,15.100925738,11.429603255,11.480915565
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,23,245,535,535,183.96125234,55.44564486,40.958859813,40.357626168
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,435,618,618,57.459789644,17.555177994,13.009902913,13.299433657
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,42,53,53,27.595471698,10.156226415,7.8573584906,8.0267924528
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,348,788,789,62.009784537,11.771292776,8.6591888466,8.5597591888
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,423,985,4742,9.2106221004,2.055261493,1.5324652046,1.5127962885
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,89,122,122,21.472786885,6.1737704918,4.678442623,4.501147541
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,255,351,351,37.986894587,12.448148148,9.2593732194,9.8043874644
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,37,193,195,405.81076923,88.331846154,64.748564103,65.149230769
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,16,104,105,900.8727619,207.65009524,156.78685714,160.72542857
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,82,84,84,391.97214286,129.51142857,100.12261905,103.25166667
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,94,493,501,51.674231537,12.190259481,8.8251696607,8.9086227545
1023079613,DIXON,FREDERICK,E,MD,M,I,326 N LBJ DR STE 104,,SAN MARCOS,TX,786665624,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,15,198,1189,1198,165.67328047,32.742996661,23.678255426,23.532570952
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,49,170,54.914941176,8.32,5.8278235294,5.8278235294
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,27,27,14.942222222,3.38,2.3555555556,2.3555555556
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,28,57,14.364561404,1.42,1.0550877193,1.0550877193
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,8.1873333333,7.37,5.6269166667,5.6269166667
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,330,3.2873333333,2.96,2.3206666667,2.3206666667
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,5.7873333333,5.23,4.1003333333,4.1003333333
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,59.35,53.44,38.408333333,38.408333333
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,168,4.2128571429,3.81,2.9871428571,2.9871428571
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,5644,0.1806130404,0.0463518781,0.0306325301,0.0306325301
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,794,0.8664861461,0.2189924433,0.1571536524,0.1571536524
1023079621,GAGOT-RIVERA,MIRZA,I,MD,F,I,34 S BALDWIN AVE,,ARCADIA,FL,342663387,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,105.6,33,21.558333333,21.558333333
1023079639,TONEY,MICHAEL,E,D.P.M.,M,I,3636 UNIVERSITY BLVD S,BLDG C,JACKSONVILLE,FL,322164250,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,71.9,71.261333333,55.870333333,56.105
1023079639,TONEY,MICHAEL,E,D.P.M.,M,I,3636 UNIVERSITY BLVD S,BLDG C,JACKSONVILLE,FL,322164250,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,90,46.333333333,43.56,34.151666667,34.150222222
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,15,345,5229,13.737762478,5.31,4.1218856378,4.1218856378
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,5628,1.5680366027,0.9761691542,0.7653340441,0.7830881308
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,238,35561,0.5713613228,0.3647872669,0.2859925199,0.2899322291
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,3101,2.5898161883,1.1640180587,0.9125733634,0.9458239278
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,5121,1.0445655145,0.64,0.4876528022,0.50250537
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,13,24,24,139.95,30.9,24.23,24.23
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,166.4,45.797272727,31.681818182,32.085454545
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,72.8,4.6563636364,3.2272727273,3.0727272727
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,99.97,44.766363636,30.963636364,30.4
1023079811,CARUFEL-WERT,DONALD,A,MD,M,I,317 KNUTSON DR,,MADISON,WI,537041133,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,12,73,73,28.68,5.04,3.7335616438,3.7335616438
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,78,51.352564103,8.32,6.5229487179,6.5229487179
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,2.65,2.65
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,34,15.882352941,1.42,1.1123529412,1.1123529412
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,95.444615385,48.121538462,33.680769231,27.747692308
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,231.23833333,125.30333333,98.236666667,71.333333333
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,111.58333333,45.966,36.037,26.921333333
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,95,6.4485263158,3.0178947368,2.3174736842,1.6349473684
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,18,58,23.173888889,18.166111111,13.531111111
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,50.772,8.228,6.2086666667,3.3786666667
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,271.60714286,52.897857143,41.469285714,27.376428571
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,77,82,414.27256098,101.05585366,74.244756098,52.089512195
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,176.0704,44.2428,34.6888,30.0868
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,16.151958333,9.604,7.5295277778,7.5295277778
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,510,1.0188235294,0.1305882353,0.1024117647,0.1024117647
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,11.611944444,3.06975,2.4067083333,2.4067083333
1023079910,MCKEE,DARWIN,L,P.A.-C,M,I,210 W 300 N 75-3,,ROOSEVELT,UT,84066,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,109.15384615,33,25.87,25.87
1023079928,DURBIN,PATRICK,H,MD,M,I,6901 CHIPPEWA ST,,ST LOUIS,MO,63109,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,16,44,70.400454545,8.32,5.7811363636,5.7811363636
1023079928,DURBIN,PATRICK,H,MD,M,I,6901 CHIPPEWA ST,,ST LOUIS,MO,63109,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,60,9.69,2.08,1.63,1.5993333333
1023079928,DURBIN,PATRICK,H,MD,M,I,6901 CHIPPEWA ST,,ST LOUIS,MO,63109,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.67,31.868181818,30.908181818
1023079928,DURBIN,PATRICK,H,MD,M,I,6901 CHIPPEWA ST,,ST LOUIS,MO,63109,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,215.21846154,38.769230769,30.397692308,28.867692308
1023079928,DURBIN,PATRICK,H,MD,M,I,6901 CHIPPEWA ST,,ST LOUIS,MO,63109,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,295.91666667,79.8,56.294444444,48.899444444
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,54,173,48.473815029,8.32,5.9195375723,5.9195375723
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,13.609,3.38,2.2525,2.2525
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,24,49,13.621836735,1.42,1.0665306122,1.0665306122
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,4.5933333333,3.7666666667,2.7909,2.8954333333
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,235,14.808510638,10.673404255,8.0072765957,8.1143829787
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,32,7.0425,1.46,1.145,1.1546875
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,56,10.817142857,2.03,1.5916071429,1.5916071429
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,36,33.598611111,18,14.11,13.5875
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,55,57,212.39631579,71,52.474210526,51.609473684
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,39.65,31.09,29.51
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6349285714,7.3829761905,7.3829761905
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1350,0.1444444444,0.0472888889,0.0370444444,0.0370444444
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,3.0444285714,2.3868571429,2.3868571429
1023079985,STAMP,JEFFREY,D,MD,M,I,2037 W MAIN ST,,CABOT,AR,720237479,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,98.695652174,33,24.745217391,24.745217391
1023080090,IVINS,DOUGLAS,J,MD,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1561.02,1074.31,836.09545455,836.09545455
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,36,122,345,64.097536232,8.32,6.0052173913,6.0052173913
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,25,25,14.9576,3.38,2.544,2.544
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,23.286153846,2.12,1.67,1.67
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,22,64,86,13.688372093,1.42,1.051627907,1.051627907
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1760,0.1189545455,0.1189545455,0.0932727273,0.0941022727
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,263,8.4688973384,8.28,6.4915969582,6.4915969582
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,375,8.41,8.41,6.5934666667,6.5934666667
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1436,0.45,0.45,0.3528133705,0.3528133705
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,84,84,72.206071429,17.41,12.675,12.576785714
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,18,189.32222222,50,39.2,37.804444444
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,34.119189189,6.0727027027,4.7618918919,3.7094594595
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,91,91,418.09956044,80.985054945,60.81010989,53.412417582
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2190,1.157890411,0.1348767123,0.1019086758,0.1019086758
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,23,23,92.10826087,23.185217391,18.18173913,15.187391304
1023080298,SIELSKI,RICHARD,B,"M.D,",M,I,2405 N COLUMBUS ST,SUITE 200,LANCASTER,OH,431308185,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,87.620689655,33,25.87,25.87
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,8.5133333333,7.39,5.3075,6.2633333333
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,5.69,5.54,3.9783333333,3.9783333333
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,14.15,13.8,9.9183333333,9.9183333333
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.2,10.93,7.8558333333,7.8558333333
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,54,42.564444444,16.99962963,12.589074074,12.782407407
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,102.27083333,46.506666667,36.460833333,35.296666667
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,79,79,280.85392405,79.784303797,60.960253165,54.208227848
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,20,95.1985,20.3455,14.7715,12.9035
1023080363,MUNIR,MOHAMMAD,,MD,M,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,35.31,25.3825,26.9375
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,6440,0.44,0.44,0.3449549689,0.3449549689
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,612,34.86,34.86,27.330277778,27.330277778
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,25,1098,8.28,8.28,6.423989071,6.423989071
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,26,1482,18.5,18.5,14.50400135,14.50400135
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,3660,0.45,0.45,0.3528087432,0.3528087432
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,381.875,46.93,36.8,38.069166667
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,60.84,20.078636364,15.737727273,13.803636364
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.935,4.225,3.315,3.6333333333
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,431.07,94.207619048,73.858571429,56.658571429
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,152.74617647,22.883529412,17.373823529,14.981470588
1023080454,DEDMAN,KAREN,L,M.D.,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,79.9,10.873846154,7.8346153846,6.6523076923
1023080520,BHAGAT,KUNAL,P,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.88,15.75,10.104545455,11.349090909
1023080520,BHAGAT,KUNAL,P,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,230,74,45.794615385,43.011538462
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,41,145,62.815517241,8.32,6.2077931034,6.2077931034
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,36,13.932222222,1.42,1.0538888889,1.0538888889
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,448.344,122.382,86.101,62.7405
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,56,170.39178571,45.236607143,34.851607143,26.915892857
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,93.366923077,25.764615385,20.197692308,15.32
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,86.982941176,20.018235294,15.692352941,10.481176471
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,24,131,11.779847328,2.9233587786,2.2924427481,1.7364122137
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,195,48.671818182,35.023636364,22.669090909
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,449.91727273,92.081818182,61.797272727,52.16
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,2046,1.9174828935,0.1375757576,0.1025513196,0.1025513196
1023080546,CACCAMO,ERIC,J,D.O.,M,I,3 EVERGREEN DR,TWIN PINES FAMILY MEDICINE,OAKLAND,ME,049635364,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,56.294117647,33,24.348235294,24.348235294
1023080603,STRIET,REBECCA,M,M.D.,F,I,36500 AURORA DR,DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR,SUMMIT,WI,530664899,US,Physician/Emergency Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,26,3088,0.954507772,0.44,0.3449708549,0.3449708549
1023080603,STRIET,REBECCA,M,M.D.,F,I,36500 AURORA DR,DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR,SUMMIT,WI,530664899,US,Physician/Emergency Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,745,12.537852349,8.28,6.323704698,6.323704698
1023080603,STRIET,REBECCA,M,M.D.,F,I,36500 AURORA DR,DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR,SUMMIT,WI,530664899,US,Physician/Emergency Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,15,204,14.753529412,10.922941176,8.5636764706,8.5692647059
1023080603,STRIET,REBECCA,M,M.D.,F,I,36500 AURORA DR,DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR,SUMMIT,WI,530664899,US,Physician/Emergency Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,960,5.091875,3.67,2.8773333333,2.8773333333
1023080603,STRIET,REBECCA,M,M.D.,F,I,36500 AURORA DR,DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR,SUMMIT,WI,530664899,US,Physician/Emergency Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,20,3590,0.8864345404,0.13,0.101913649,0.101913649
1023080603,STRIET,REBECCA,M,M.D.,F,I,36500 AURORA DR,DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR,SUMMIT,WI,530664899,US,Physician/Emergency Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,3543,1,0.45,0.3527829523,0.3527829523
1023080728,ELLIOTT,FREDERICK,M,MD,M,I,897 DELAWARE AVE STE 205,,BUFFALO,NY,142092087,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,74.205,8.32,6.0996428571,6.0996428571
1023080728,ELLIOTT,FREDERICK,M,MD,M,I,897 DELAWARE AVE STE 205,,BUFFALO,NY,142092087,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,364,6.1,4.9,3.8414285714,4.1381318681
1023080728,ELLIOTT,FREDERICK,M,MD,M,I,897 DELAWARE AVE STE 205,,BUFFALO,NY,142092087,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4095,0.34,0.32,0.2373748474,0.2301367521
1023080728,ELLIOTT,FREDERICK,M,MD,M,I,897 DELAWARE AVE STE 205,,BUFFALO,NY,142092087,US,Physician/General Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,5.72,5.43,3.5416666667,3.2916666667
1023080843,MCHUGH,GREGORY,,MD,M,I,810 LANE AVE S,CREDENTIALING DEPARTMENT,JACKSONVILLE,FL,322054785,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,58,142,69.061619718,8.32,5.8779577465,5.8779577465
1023080843,MCHUGH,GREGORY,,MD,M,I,810 LANE AVE S,CREDENTIALING DEPARTMENT,JACKSONVILLE,FL,322054785,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,31,39,15.896923077,1.42,1.0317948718,1.0317948718
1023080843,MCHUGH,GREGORY,,MD,M,I,810 LANE AVE S,CREDENTIALING DEPARTMENT,JACKSONVILLE,FL,322054785,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,22.636521739,3.9130434783,2.2069565217,2.8543478261
1023080843,MCHUGH,GREGORY,,MD,M,I,810 LANE AVE S,CREDENTIALING DEPARTMENT,JACKSONVILLE,FL,322054785,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,320.39545455,203.75454545,159.74727273,170.68181818
1023080892,VO,PHUC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Orthopedic Surgery,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,33,33,33,131.01939394,41.910909091,32.857575758,34.454242424
1023080892,VO,PHUC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,32,32,32,206.1875,57.73125,43.8521875,40.35125
1023080983,CHANG,PAUL,J,M.D.,M,I,5841 S MARYLAND AVE,"MC2026, P210B",CHICAGO,IL,606371447,US,Physician/Diagnostic Radiology,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,148.56,53.625,42.0425,38.564166667
1023080983,CHANG,PAUL,J,M.D.,M,I,5841 S MARYLAND AVE,"MC2026, P210B",CHICAGO,IL,606371447,US,Physician/Diagnostic Radiology,S,E0373,Nonpowered advanced pressure reducing mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,614.47,276.25,216.58,124.345
1023080991,BURGESS,SCOTT,D,MD,M,I,1111 LEFFINGWELL AVE NE,SUITE 200,GRAND RAPIDS,MI,495256406,US,Physician/Hand Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,90,85.32,58.515714286,58.873571429
1023081338,DE LEON,ZORAYDA,O,MD,F,I,311 PALISADE AVE,,JERSEY CITY,NJ,073071772,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,50,96,153.79041667,8.32,5.2911458333,5.2911458333
1023081338,DE LEON,ZORAYDA,O,MD,F,I,311 PALISADE AVE,,JERSEY CITY,NJ,073071772,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,41,44,59.023181818,1.42,0.9404545455,0.9404545455
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,34,58,59,153.25169492,39.50220339,30.972542373,30.581355932
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,19,47,94,8.3384042553,1.4587234043,1.1176595745,1.124893617
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,75.441666667,11.888333333,8.5441666667,8.3641666667
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,62,128,129,495.08162791,90.905116279,67.352945736,64.438604651
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,45,73,169,181.38591716,35.718816568,26.555621302,25.029230769
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,67,161,823,102.51284326,19.765103281,14.652029162,13.760996355
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,74,128,603,69.009303483,15.179883914,11.37066335,11.353764511
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,176,384,384,294.41963542,56.885729167,42.9628125,41.359791667
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,224,320,320,89.2490625,18.01315625,13.54303125,13.502625
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,22,26,26,48.201923077,9.5426923077,7.1965384615,7.7357692308
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,196,459,459,97.796753813,12.405337691,9.2924618736,8.7154248366
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,224,547,2811,12.89886873,2.1606083244,1.6226360726,1.5303557453
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,66,92,92,30.873478261,6.377826087,4.8902173913,4.5927173913
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,117,166,166,54.188975904,12.218795181,9.1848795181,9.9265662651
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,21,164,169,83.605739645,17.976863905,13.432011834,13.358579882
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,16.99,13.32,13.53
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1770.26,1074.31,842.26,842.26
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,70,73,533.17630137,83.067123288,60.489726027,59.227808219
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,46,46,46,769.97478261,141.57108696,109.6976087,104.24934783
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,39,40,37.305,12.738,8.592,8.1645
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,15,86,86,50.73,4.1758139535,3.0146511628,3.2423255814
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,39.820909091,31.218181818,31.218181818
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,95,545,571,306.31446585,35.679649737,25.854500876,23.636900175
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,49,428,455,451.07549451,81.283604396,61.181736264,53.507252747
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,162,172,199.15697674,35.746918605,26.745930233,28.191976744
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,1140,19.020929825,9.6467894737,7.5630701754,7.5630701754
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,21,117,23536,0.1776402107,0.0460443576,0.0346813392,0.0346813392
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,53,5430,0.7338029466,0.1334033149,0.0950589319,0.0950589319
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,35,2010,11.803079602,2.9857313433,2.2232189055,2.2232189055
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,870,0.75,0.2189655172,0.1716436782,0.1716436782
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,242.8,35.78,28.05,29.51
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600.26,173.86727273,136.31272727,131.73636364
1023081346,LIPSON,ERIC,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,30,182,182,108.61950549,33,24.62521978,24.62521978
1023081353,WAY,CATHERINE,E,M.D.,F,I,1500 WALNUT RIDGE DR,,HARTLAND,WI,530299317,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,38,66,63.099545455,8.32,5.5339393939,5.5339393939
1023081353,WAY,CATHERINE,E,M.D.,F,I,1500 WALNUT RIDGE DR,,HARTLAND,WI,530299317,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,18,20,12.476,1.42,0.951,0.951
1023081387,BUI,LOC,D,M.D.,M,I,8900 BOLSA AVE,SUITE B,WESTMINSTER,CA,926835475,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,39,52.469487179,8.32,5.1828205128,5.1828205128
1023081387,BUI,LOC,D,M.D.,M,I,8900 BOLSA AVE,SUITE B,WESTMINSTER,CA,926835475,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,42.6925,1.42,0.84,0.84
1023081387,BUI,LOC,D,M.D.,M,I,8900 BOLSA AVE,SUITE B,WESTMINSTER,CA,926835475,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,3928,0.4014765784,0.0472937882,0.0301069246,0.0301069246
1023081387,BUI,LOC,D,M.D.,M,I,8900 BOLSA AVE,SUITE B,WESTMINSTER,CA,926835475,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,21.558333333,21.558333333
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,52,140,336,68.851190476,8.32,5.5123214286,5.5123214286
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,15.63,3.38,2.2525,2.2525
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,24,56,78,15.605128205,1.42,1.0302564103,1.0302564103
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,12.6,10.81,8.475,8.475
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,16.7,7,5.488,5.488
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.6509090909,4.04,3.1675,3.1675
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,600,0.675,0.24,0.1882,0.2116
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,22,22,44,90.441363636,71.534545455,52.048863636,52.068636364
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,386.82769231,87.265384615,64.68,64.103846154
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,24,165.47,33.0475,25.134166667,25.114583333
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,59,102.16745763,21.992033898,16.713389831,14.932033898
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,249.03,61.655333333,45.804666667,42.038
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,16,16,69.844375,18.91625,14.830625,14.068125
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,63.775789474,11.703684211,9.17,9.12
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,95,9.5033684211,2.0348421053,1.5197894737,1.5158947368
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,134.62461538,52.924615385,41.495384615,36.493076923
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,17,23,230.34869565,50.249130435,31.761304348,32.19173913
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,34,78.277647059,17.277352941,11.156470588,11.150588235
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,75,78,468.47051282,71.241410256,48.935641026,47.915128205
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,177.22222222,37.527037037,26.222592593,26.288518519
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,7612,0.4825118234,0.0474330005,0.033583815,0.033583815
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,19,96.293157895,20.161052632,15.802105263,14.511578947
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,132.49692308,35.443846154,26.017692308,21.773846154
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,23,7.9142857143,5.7721428571,5.875
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600,122.03363636,88.106363636,88.425454545
1023081395,MENDOZA,CAMILLO,M,MD,M,I,1011 E NATIONAL AVE,,BRAZIL,IN,478342713,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,91.034482759,33,24.318275862,24.318275862
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,37,114,324,60.578271605,8.3066666667,6.2565432099,6.2687345679
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,11.301111111,3.38,2.5027777778,2.5027777778
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.141666667,2.12,1.67,1.67
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,43,81,13.434938272,1.42,1.0809876543,1.0809876543
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,1.47,0.8625,0.8625
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,117.65090909,48.554545455,38.064545455,37.364545455
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,69.386,17.29,12.646666667,12.629333333
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,470.75023256,70.23,50.00372093,49.735116279
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1986,1.0263796576,0.1340080564,0.0940986908,0.0940986908
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,7.3415,2.9977272727,2.1328636364,2.1328636364
1023081411,DELAPLANE,DAVID,R,MD,M,I,3350 EXECUTIVE DR STE 108,,SAN ANGELO,TX,769046878,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,79.2,33,23.283,23.283
1023081437,CULPEPPER,VINCENT,S,MD,M,I,416 A FOURTH AVE E,,CORDELE,GA,31015,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,54,3100,0.5050322581,0.44,0.3071483871,0.3071483871
1023081437,CULPEPPER,VINCENT,S,MD,M,I,416 A FOURTH AVE E,,CORDELE,GA,31015,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,29,640,9.309375,8.28,6.235015625,6.235015625
1023081437,CULPEPPER,VINCENT,S,MD,M,I,416 A FOURTH AVE E,,CORDELE,GA,31015,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,429,4.0483216783,3.67,2.676037296,2.676037296
1023081437,CULPEPPER,VINCENT,S,MD,M,I,416 A FOURTH AVE E,,CORDELE,GA,31015,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,17,796,0.1360301508,0.13,0.0840326633,0.0840326633
1023081437,CULPEPPER,VINCENT,S,MD,M,I,416 A FOURTH AVE E,,CORDELE,GA,31015,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,34,1971,0.4783764587,0.4452562151,0.3228665652,0.3265601218
1023081437,CULPEPPER,VINCENT,S,MD,M,I,416 A FOURTH AVE E,,CORDELE,GA,31015,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,20,137,38,27.533722628,21.586350365,19.236569343
1023081437,CULPEPPER,VINCENT,S,MD,M,I,416 A FOURTH AVE E,,CORDELE,GA,31015,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,19,82,25.768292683,9.0224390244,7.073902439,6.4619512195
1023081445,DUCA,MARK,A,MD,M,I,339 6TH AVE,5TH FLOOR,PITTSBURGH,PA,152222517,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,6.0218181818,4.7227272727,3.6854545455
1023081445,DUCA,MARK,A,MD,M,I,339 6TH AVE,5TH FLOOR,PITTSBURGH,PA,152222517,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,26,92.104615385,34.310769231,25.939230769,24.42
1023081445,DUCA,MARK,A,MD,M,I,339 6TH AVE,5TH FLOOR,PITTSBURGH,PA,152222517,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2801,0.6025990718,0.0465262406,0.0364762585,0.0364762585
1023081445,DUCA,MARK,A,MD,M,I,339 6TH AVE,5TH FLOOR,PITTSBURGH,PA,152222517,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,550,3.9998,0.2190909091,0.1718181818,0.1718181818
1023081445,DUCA,MARK,A,MD,M,I,339 6TH AVE,5TH FLOOR,PITTSBURGH,PA,152222517,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1023081460,WELKER,DONALD,,M.D.,M,I,23870 MICHIGAN AVE,,DEARBORN,MI,481241829,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,42,109,58.35706422,8.32,6.0428440367,6.0428440367
1023081460,WELKER,DONALD,,M.D.,M,I,23870 MICHIGAN AVE,,DEARBORN,MI,481241829,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,23,32,12.38375,1.42,1.011875,1.011875
1023081460,WELKER,DONALD,,M.D.,M,I,23870 MICHIGAN AVE,,DEARBORN,MI,481241829,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,100,29.46375,23.09875,22.52875
1023081528,HATTON,CANDACE,M,FNP,F,I,2282 NW TROOST ST,SUITE 103,ROSEBURG,OR,974716071,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,42,71.10547619,8.32,6.21,6.21
1023081528,HATTON,CANDACE,M,FNP,F,I,2282 NW TROOST ST,SUITE 103,ROSEBURG,OR,974716071,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,126.08923077,49.990769231,34.004615385,29.062307692
1023081528,HATTON,CANDACE,M,FNP,F,I,2282 NW TROOST ST,SUITE 103,ROSEBURG,OR,974716071,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,23,150.18173913,46.063043478,36.113478261,30.502173913
1023081528,HATTON,CANDACE,M,FNP,F,I,2282 NW TROOST ST,SUITE 103,ROSEBURG,OR,974716071,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,86,9.9725581395,3.1069767442,2.4368604651,1.8241860465
1023081528,HATTON,CANDACE,M,FNP,F,I,2282 NW TROOST ST,SUITE 103,ROSEBURG,OR,974716071,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,60.256428571,16.853214286,12.799642857,10.105714286
1023081528,HATTON,CANDACE,M,FNP,F,I,2282 NW TROOST ST,SUITE 103,ROSEBURG,OR,974716071,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,187.31702703,46.192432432,35.281351351,24.22
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1455.2818182,897.41,677.74090909,677.74090909
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,36.5785,3.96,2.961,3.5815
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,102,102,614.83647059,78,59.128627451,53.463921569
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,121.14285714,38,27.662142857,27.41547619
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,26,7568,0.3141292283,0.0463213531,0.0326810254,0.0326810254
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1889,1.5103652726,0.140381154,0.1100794071,0.1100794071
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,228.40677966,38,29.285084746,29.033559322
1023081569,SILVESTRI,RONALD,C,M.D.,M,I,330 BROOKLINE AVE,C/O BI DEACONESS PULMONARY & CRITICAL CARE DIVISION,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,35,35,35.828571429,33,25.87,25.87
1023081585,JACKSON,DONNA,G,ENP MSN,F,I,1314 3RD ST,,CORPUS CHRISTI,TX,78404,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,174.2171875,33.478125,23.6953125,19.351875
1023081585,JACKSON,DONNA,G,ENP MSN,F,I,1314 3RD ST,,CORPUS CHRISTI,TX,78404,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,43.308571429,7.9714285714,4.9985714286,5.365
1023081601,JORGENSEN,KEITH,D,M.D.,M,I,44 BIRCH ST,SUITE 304,DERRY,NH,030382752,US,Physician/Otolaryngology,S,A4481,"Tracheostoma filter, any type, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,0.7333333333,0.41,0.3215,0.3293333333
1023081601,JORGENSEN,KEITH,D,M.D.,M,I,44 BIRCH ST,SUITE 304,DERRY,NH,030382752,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,120.08333333,41.71,27.9,25.874166667
1023081601,JORGENSEN,KEITH,D,M.D.,M,I,44 BIRCH ST,SUITE 304,DERRY,NH,030382752,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,172.81636364,58,41.336363636,38.963636364
1023081601,JORGENSEN,KEITH,D,M.D.,M,I,44 BIRCH ST,SUITE 304,DERRY,NH,030382752,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,75.133636364,19.382727273,15.193636364,14.06
1023081601,JORGENSEN,KEITH,D,M.D.,M,I,44 BIRCH ST,SUITE 304,DERRY,NH,030382752,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,120,9.3645,2.251,1.7641666667,1.5918333333
1023081601,JORGENSEN,KEITH,D,M.D.,M,I,44 BIRCH ST,SUITE 304,DERRY,NH,030382752,US,Physician/Otolaryngology,S,L8507,"Tracheo-esophageal voice prosthesis, patient inserted, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,85,39.75,31.165,31.695
1023081627,TURECKI,JAMES,A,M.D.,M,I,400 INTERNATIONAL DR,,WILLIAMSVILLE,NY,142215771,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,3347,0.39,0.13,0.0973648043,0.0973648043
1023081627,TURECKI,JAMES,A,M.D.,M,I,400 INTERNATIONAL DR,,WILLIAMSVILLE,NY,142215771,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,39,5000,4.32507,1.72157,1.317378,1.557284
1023081627,TURECKI,JAMES,A,M.D.,M,I,400 INTERNATIONAL DR,,WILLIAMSVILLE,NY,142215771,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,28,10.564285714,10.102857143,6.8046428571,7.3725
1023081668,AXTMAN,DAVID,D,MS PA-C,M,I,1400 S GLENDALE AVE,1305 W. 18TH ST.,SIOUX FALLS,SD,571051416,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,280,126.5,90.951818182,59.638181818
1023081676,NANDYALA,MALLIKARJUNA,,M.D.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,57,72.170526316,8.32,5.6075438596,5.6075438596
1023081676,NANDYALA,MALLIKARJUNA,,M.D.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,26,13.164615385,1.42,0.9846153846,0.9846153846
1023081676,NANDYALA,MALLIKARJUNA,,M.D.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,950,0.9157894737,0.27,0.2116315789,0.2116315789
1023081676,NANDYALA,MALLIKARJUNA,,M.D.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,650,1.7692307692,0.27,0.2116307692,0.2116307692
1023081676,NANDYALA,MALLIKARJUNA,,M.D.,M,I,13642 W HILLSBOROUGH AVE,,TAMPA,FL,336359638,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,95.1625,31.76,21.90875,21.4625
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,28,68,345,51.577855072,8.32,5.8043478261,5.8043478261
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.785714286,3.38,2.4607142857,2.4607142857
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,38,98,14.714489796,1.42,1.0219387755,1.0219387755
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,15,50.665333333,28.46,22.31,22.31
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,15,35.472666667,10.93,8.57,8.57
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,3.978,3.97,3.1125,3.1125
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,165.46928571,54.567857143,36.736428571,36.891428571
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,46.250714286,18.613571429,13.479285714,13.065
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,66.08,12.406428571,9.0114285714,8.4592857143
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,94,5.9521276596,1.9770212766,1.5113829787,1.5561702128
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,29,70.856896552,16.62,12.580689655,12.884137931
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,50.73,4.4584615385,3.2653846154,3.7161538462
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,123.41666667,39.943333333,29.36952381,24.066190476
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,38,374.58289474,74.09,56.551578947,54.964736842
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,87.153333333,15.175185185,11.035925926,12.46037037
1023081742,KHAN,FARHAN,,MD,M,I,3433 FENTON RD,,FLINT,MI,48507,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,11,11,42,33,19.911818182,19.911818182
1023081841,CATTEL,PAMELA,,MD,F,I,409 W BROADWAY,,SOUTH BOSTON,MA,021272245,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,59,144,78.344166667,8.32,6.2726388889,6.2726388889
1023081841,CATTEL,PAMELA,,MD,F,I,409 W BROADWAY,,SOUTH BOSTON,MA,021272245,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,31,43,17.098604651,1.42,1.0646511628,1.0646511628
1023081841,CATTEL,PAMELA,,MD,F,I,409 W BROADWAY,,SOUTH BOSTON,MA,021272245,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,13.33,13.5225
1023081841,CATTEL,PAMELA,,MD,F,I,409 W BROADWAY,,SOUTH BOSTON,MA,021272245,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78,61.15,55.265
1023081841,CATTEL,PAMELA,,MD,F,I,409 W BROADWAY,,SOUTH BOSTON,MA,021272245,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1378,2.0620754717,0.1325108853,0.0801233672,0.0801233672
1023081841,CATTEL,PAMELA,,MD,F,I,409 W BROADWAY,,SOUTH BOSTON,MA,021272245,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,360,1.3078888889,0.2190833333,0.1289166667,0.1289166667
1023081841,CATTEL,PAMELA,,MD,F,I,409 W BROADWAY,,SOUTH BOSTON,MA,021272245,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,35,61.285714286,33,20.696,20.696
1023081890,SANTIAGO,YVONNE,,MD,F,I,500 VONDERBURG DR STE 102E,,BRANDON,FL,335115968,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,47,94.217021277,8.32,6.5217021277,6.5217021277
1023081924,HARPER,SABRINA,A,MD,F,I,2699 ATLANTIC AVE,,LONG BEACH,CA,908062710,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,5.1,5.1,3.9009589041,4.0656712329
1023081924,HARPER,SABRINA,A,MD,F,I,2699 ATLANTIC AVE,,LONG BEACH,CA,908062710,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4380,0.37,0.37,0.2654452055,0.2654452055
1023081924,HARPER,SABRINA,A,MD,F,I,2699 ATLANTIC AVE,,LONG BEACH,CA,908062710,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,5.32,5.32,4.17,3.96
1023081965,GOODE,VERA,,MD,F,I,1020 INDEPENDENCE BLVD,SUITE 103,VIRGINIA BEACH,VA,234555500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,29,79,171,64.873216374,8.32,5.7591812865,5.7591812865
1023081965,GOODE,VERA,,MD,F,I,1020 INDEPENDENCE BLVD,SUITE 103,VIRGINIA BEACH,VA,234555500,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,13.941538462,3.38,2.65,2.65
1023081965,GOODE,VERA,,MD,F,I,1020 INDEPENDENCE BLVD,SUITE 103,VIRGINIA BEACH,VA,234555500,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,38,45,12.920444444,1.42,1.0426666667,1.0426666667
1023081965,GOODE,VERA,,MD,F,I,1020 INDEPENDENCE BLVD,SUITE 103,VIRGINIA BEACH,VA,234555500,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,64.302307692,44.466538462,33.57,35.318076923
1023082039,THOMAS,JOSEPH,,MD,M,I,391 STANHOPE ST,,BROOKLYN,NY,112374404,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,36,74.123611111,8.32,4.3480555556,4.3480555556
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,78,78,78,131.99897436,54.493076923,42.717948718,38.577307692
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16.909090909,4.6009090909,3.6072727273,3.3572727273
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,35,10.047692308,7.3138461538,6.3538461538
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,30.37375,15.09875,11.8425,12.24125
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,44,44,44,124.74977273,61.6125,47.300227273,40.482045455
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,31,9.0554545455,5.7818181818,5.6372727273
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,8,25,116,123,179.3401626,64.620243902,49.56398374,39.82796748
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,131.01,67.8525,53.196666667,38.165
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,32,70.111875,18.44875,13.849375,12.966875
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,43.0475,4.5375,3.1883333333,3.2983333333
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,133.70933333,59.036666667,46.286,37.660666667
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,4,,23,27,22.930740741,10.43,7.92,7.0637037037
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,33.889166667,21.780833333,17.074166667,14.774166667
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,53,53,104,17.911730769,12.968846154,10.166538462,10.084423077
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,70,70,138,49.623695652,31.543115942,24.73115942,22.912681159
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,26,42,11.744285714,2.8954761905,2.219047619,2.2738095238
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,51,51,101,97.826435644,57.876534653,45.376039604,40.995940594
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,24.104615385,15.252307692,11.956538462,11.784230769
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,419.37565217,80.384347826,57.555,49.37826087
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,19,19,19,67.653157895,37.127894737,29.111052632,29.259473684
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,20,20,20,289.3645,151.137,118.491,114.654
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,33,228,234,77.211111111,23.532478632,18.125384615,14.298589744
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,85,426,428,101.56908879,37.480934579,28.647172897,22.764369159
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,7,36,195,201,29.819353234,9.8648756219,7.2724875622,6.4499004975
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,17,25,472.4116,358.39,280.9768,236.02
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,17,18,488.94166667,372.41,291.97,246.01333333
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,13,722.64,555.88,435.81,420.22846154
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,28,920.82,708.32,555.32035714,562.25178571
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L5910,"Addition, endoskeletal system, below knee, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,17,611.08235294,466.89,366.04,308.61941176
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L5972,"All lower extremity prostheses, foot, flexible keel",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,539.324375,414.27,324.789375,300.31625
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,14,847.83714286,646.78,507.07071429,531.80714286
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,18,201,26.241641791,20.1,15.758358209,16.317363184
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L8440,"Prosthetic shrinker, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,33,39,55.807179487,42.71,32.62974359,34.29
1023082062,MERRITT,BRADLEY,S,MD,M,I,3131 TROUP HWY,,TYLER,TX,757018350,US,Physician/Physical Medicine and Rehabilitation,S,L8470,"Prosthetic sock, single ply, fitting, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,140,10.131428571,7.73,6.0601428571,5.6565714286
1023082088,CHATRATH,BHUPINDER,S,MD,M,I,857 GARNER AVE.,,HANFORD,CA,93230,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,31,47.813225806,45.639354839,35.781612903,30.752580645
1023082146,BLATTMAN,SCOTT,E,MD,M,I,6101 WOODWAY DR,STE 200,WOODWAY,TX,767126111,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,25,65,172,61.219011628,8.3076162791,5.8295930233,5.839244186
1023082146,BLATTMAN,SCOTT,E,MD,M,I,6101 WOODWAY DR,STE 200,WOODWAY,TX,767126111,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,13.541333333,3.38,2.65,2.65
1023082146,BLATTMAN,SCOTT,E,MD,M,I,6101 WOODWAY DR,STE 200,WOODWAY,TX,767126111,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,24,28,12.6375,1.42,1.0771428571,1.0771428571
1023082146,BLATTMAN,SCOTT,E,MD,M,I,6101 WOODWAY DR,STE 200,WOODWAY,TX,767126111,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,180.68,55.05,40.104285714,39.798571429
1023082146,BLATTMAN,SCOTT,E,MD,M,I,6101 WOODWAY DR,STE 200,WOODWAY,TX,767126111,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,26.235714286,4.4878571429,1.8742857143,1.9892857143
1023082146,BLATTMAN,SCOTT,E,MD,M,I,6101 WOODWAY DR,STE 200,WOODWAY,TX,767126111,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,18,292.95777778,68.78,53.92,54.186666667
1023082310,KATZ,CARISSA,L,MD,F,I,3436 WILLIAM PENN HWY,"BUILDING 2, SUITE 166",PITTSBURGH,PA,152355411,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,38,72.540789474,8.32,6.5223684211,6.5223684211
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,34,109,193,66.021709845,8.32,5.6556994819,5.6556994819
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,41,45,11.396,1.42,0.9937777778,0.9937777778
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,174.23076923,52.99,31.953846154,33.347692308
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,40,17.21,2.06,1.53425,1.5125
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,11.385,8.9275,9.6291666667
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,38.48,16.59,13,13.53
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,3.95,3.1,3.38
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,300.98333333,30.734791667,20.820833333,21.243125
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,55,56,322.14285714,71.511785714,54.056071429,52.724642857
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,75,38.985833333,30.568333333,29.729166667
1023082351,CAVANAUGH,MICHELLE,L,MD,F,I,145 SHAFFER ST,,SOUTH WILLIAMSPORT,PA,177026727,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,29,56,56,102.39232143,41.430178571,31.6125,29.888571429
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,27,141,240,240,271.88225,95.950333333,68.997666667,62.577458333
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,108,249,559,118.32833631,36.850805009,27.864293381,25.01352415
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,22,163,413,1582,60.643230088,20.781883692,15.370916561,13.742724399
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,18,69,128,700,47.266142857,15.880257143,11.634557143,11.149428571
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,35,267,482,483,145.216294,58.333022774,41.833706004,39.286190476
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,44,381,490,490,56.242979592,18.600122449,13.458612245,12.994102041
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,43,47,47,25.129361702,10.782340426,7.4082978723,7.1259574468
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,36,341,616,617,35.512998379,13.510081037,10.104440843,8.7546191248
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,41,334,784,3361,6.5362124368,2.1952276108,1.6514430229,1.5314817019
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,36,277,350,350,16.800628571,6.4252857143,4.8312857143,4.4865142857
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,81,91,91,35.788571429,13.394835165,9.9602197802,9.8041758242
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,47,47,219.56574468,92.164042553,69.010851064,64.342765957
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,29,29,499.89310345,224.86689655,166.40034483,156.03724138
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,83,84,84,302.03571429,143.85642857,105.24321429,98.758809524
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,32.751333333,13.226666667,9.241,8.7893333333
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,19,126,783,790,127.18553165,36.956898734,26.798531646,24.167025316
1023082450,DOEKEL,ROBERT,C,M.D.,M,I,790 MONTCLAIR RD,SUITE 200,BIRMINGHAM,AL,352131966,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,89.86,70.45,57.588181818
1023082484,PALLARES,DAVID,E,M.D.,M,I,9800 SHELBYVILLE RD STE 220,,LOUISVILLE,KY,402235440,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,18,4883,0.3690395249,0.0464734794,0.0364386648,0.0364386648
1023082484,PALLARES,DAVID,E,M.D.,M,I,9800 SHELBYVILLE RD STE 220,,LOUISVILLE,KY,402235440,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2310,1.0998311688,0.1336233766,0.1012337662,0.1012337662
1023082484,PALLARES,DAVID,E,M.D.,M,I,9800 SHELBYVILLE RD STE 220,,LOUISVILLE,KY,402235440,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,39,39,66,33,25.206666667,25.206666667
1023082633,HUBER,KENNETH,C,MD,M,I,11676 PERRY HWY,SUITE 1304,WEXFORD,PA,150907201,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,375,77.5,48.804166667,43.779166667
1023082674,SHULMAN,ILSA,A,MD,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,329.38333333,96.230833333,75.443333333,67.85
1023082674,SHULMAN,ILSA,A,MD,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,13,13,60.196923077,21.941538462,17.196153846,14.06
1023082674,SHULMAN,ILSA,A,MD,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,73.006666667,14.940555556,11.718333333,9.1461111111
1023082674,SHULMAN,ILSA,A,MD,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,21,119,9.1297478992,2.5265546218,1.9818487395,1.6006722689
1023082674,SHULMAN,ILSA,A,MD,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,15.96,4.6233333333,3.6216666667,3.5708333333
1023082674,SHULMAN,ILSA,A,MD,F,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,127.01548387,40.663225806,30.21,25.299354839
1023082740,YANG,TINA,,MD,F,I,375 HUNTINGTON DR,SUITE G,SAN MARINO,CA,911082357,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,42,39.532857143,8.32,4.66,4.66
1023082757,BESSETTE,LAURA,J,MD,F,I,630 PLANTATION ST,,WORCESTER,MA,01605,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,32,76.586875,8.32,5.7065625,5.7065625
1023082807,WELLS,MICHAEL,J,M.D.,M,I,1 MEDICAL CENTER DR,,GALENA,IL,610368118,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,43,71.896976744,8.32,6.2197674419,6.2197674419
1023082856,CHARLET,MICHAEL,P,M.D.,M,I,1022 BELANGER ST,,HOUMA,LA,703604412,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,13.57,12.34,8.7054545455,8.5890909091
1023082856,CHARLET,MICHAEL,P,M.D.,M,I,1022 BELANGER ST,,HOUMA,LA,703604412,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,40.56,32.76,20.180769231,19.816153846
1023083029,HOPKINS,THOMAS,,P.A.,M,I,200 HIGH SERVICE AVE,,NORTH PROVIDENCE,RI,029045113,US,Physician Assistant,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,119.44285714,119.44285714,89.097142857,75.596190476
1023083078,PROVET,JOHN,A,MD,M,I,215 LEXINGTON AVENUE,20TH FLOOR,NEW YORK,NY,10016,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,1090,3.0056880734,2.27,1.6321192661,1.6321192661
1023083078,PROVET,JOHN,A,MD,M,I,215 LEXINGTON AVENUE,20TH FLOOR,NEW YORK,NY,10016,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,54,10870,3.4099558418,1.731048758,1.3097276909,1.5338316467
1023083078,PROVET,JOHN,A,MD,M,I,215 LEXINGTON AVENUE,20TH FLOOR,NEW YORK,NY,10016,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,82,15.661707317,10.93,7.1063414634,7.1063414634
1023083078,PROVET,JOHN,A,MD,M,I,215 LEXINGTON AVENUE,20TH FLOOR,NEW YORK,NY,10016,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,68,2.9973529412,1.8,1.3066176471,1.3066176471
1023083094,LAROCCO,ANTHONY,,M.D.,M,I,850 KEMPSVILLE RD,STE 100F,NORFOLK,VA,235023920,US,Physician/Infectious Disease,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,960,79.1639375,40.056,31.403875,31.403875
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,18,96,33.196875,8.32,6.0646875,6.0646875
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,31,8.4625806452,1.42,1.0787096774,1.0787096774
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,148.18,55,38.047058824,37.832941176
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,46.281333333,18.15,11.384,11.259333333
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,52.332857143,12.51,8.5114285714,7.92
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,22,124,8.0691935484,2,1.4166129032,1.4391129032
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.1,12.2925,12.425833333
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,105.69,85.875,62.31,61.805833333
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,50.2336,5.9616,3.6364,2.8376
1023083284,STASKO,JENNIFER,A,MD,F,I,400 OXFORD DR,SUITE 202,MONROEVILLE,PA,151462351,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,336.44888889,77.5,54.014814815,51.111481481
1023083417,ANDERSON,ROBIN,N,MD,F,I,2017 PLEASURE HOUSE RD,,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,38,104,213,65.232629108,8.32,5.9156338028,5.9156338028
1023083417,ANDERSON,ROBIN,N,MD,F,I,2017 PLEASURE HOUSE RD,,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,9.716875,3.38,2.65,2.65
1023083417,ANDERSON,ROBIN,N,MD,F,I,2017 PLEASURE HOUSE RD,,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,40,48,10.926041667,1.42,1.0233333333,1.0233333333
1023083417,ANDERSON,ROBIN,N,MD,F,I,2017 PLEASURE HOUSE RD,,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,61.36,45.325,35.5325,35.5325
1023083417,ANDERSON,ROBIN,N,MD,F,I,2017 PLEASURE HOUSE RD,,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,54,36.458181818,35.976363636
1023083417,ANDERSON,ROBIN,N,MD,F,I,2017 PLEASURE HOUSE RD,,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,47.1,33.572727273,34.289090909
1023083417,ANDERSON,ROBIN,N,MD,F,I,2017 PLEASURE HOUSE RD,,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,16.88,13.23,13.111818182
1023083599,HERBER,RICHARD,R,M.D.,M,I,900 OLD WINSTON RD,,KERNERSVILLE,NC,272849964,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,26,91,70.558131868,8.32,5.8051648352,5.8051648352
1023083599,HERBER,RICHARD,R,M.D.,M,I,900 OLD WINSTON RD,,KERNERSVILLE,NC,272849964,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,760.48,70.23,50.824615385,50.536923077
1023083599,HERBER,RICHARD,R,M.D.,M,I,900 OLD WINSTON RD,,KERNERSVILLE,NC,272849964,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,37.44,27.092307692,27.243076923
1023083730,SCHWEITZER,CARLA,A,CN P,F,I,8000 E HWY 212,,EAGLE BUTTE,SD,576250860,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,19,42.684210526,8.32,6.1678947368,6.1678947368
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,18,43,91,73.828131868,8.32,6.2953846154,6.2953846154
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,38,8.4852631579,1.5747368421,1.2334210526,1.1513157895
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,54,86.31,17.27,13.289259259,13.289259259
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,50.73,4.6215384615,3.3553846154,3.12
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,63,490.67555556,69.81,49.877301587,49.877301587
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1410,15.58,9.5933404255,7.3730780142,7.3730780142
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,43,8462,0.1717076341,0.0464098322,0.0331292839,0.0331292839
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1590,12.86,3.0275471698,2.2955408805,2.2955408805
1023083748,HANSON,EMILY,D,DO,F,I,19 E SHAWNEE DRIVE,,MURPHYSBORO,IL,629667049,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,59,59,130.3220339,33,23.677627119,23.677627119
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,A4618,Breathing circuits,D1E - Other DME,Durable Medical Equipment,N,2,,13,23,10.857391304,8.257826087,6.4756521739,7.747826087
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,4,12,29,80,4.8355,4.0525,2.940625,3.056875
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,12,27,90,10.476666667,8.2195555556,5.8704444444,5.8593333333
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,12,28,104,4.1484615385,3.6048076923,2.6105769231,3.1492307692
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,16,491,90.178004073,3.0036659878,2.3548268839,2.3677189409
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,7825,3.5489840256,0.377086262,0.2956319489,0.2900766773
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,172.62153846,46.871538462,36.746153846,37.073846154
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,20,124,124,2354.0698387,1074.31,838.54717742,838.54717742
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,3,14,65,65,527.98584615,416.79153846,324.55707692,329.08784615
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,65.193773585,42.776226415,32.202264151,32.58754717
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,15,35,527.66542857,198.07714286,155.29571429,102.42628571
1023083961,HEITZMAN,DARAGH,,M.D.,M,I,6301 GASTON AVE STE 100W,,DALLAS,TX,752146273,US,Physician/Neurology,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,19,80,22.1,15.26,11.96325,11.96325
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,24,61,177,56.806045198,7.6415819209,5.0025988701,5.0025988701
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,33,10.733939394,1.42,0.9454545455,0.9454545455
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,3740,2.8437834225,2.04,1.5226229947,1.5226229947
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,23.626666667,18.521111111,13.864444444
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,484.43896552,100.00362069,72.839827586,50.827068966
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,19.679763889,9.62425,7.5454166667,7.5454166667
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,43,4889,0.9971118838,0.1373409695,0.090656576,0.090656576
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,28,1650,12.86,2.9966181818,2.2136909091,2.2136909091
1023083987,MOORE,JEAN,,CFNP,F,I,17571 N DAM ACCESS RD,,WARSAW,MO,653556396,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,53,53,89.773584906,33,23.655471698,23.655471698
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,62,178,348,69.102471264,8.32,5.8920977011,5.8920977011
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,30,30,12.821333333,3.38,2.65,2.65
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,17.823846154,2.12,1.67,1.67
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,43,47,13.218297872,1.42,1.0706382979,1.0706382979
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,33,135.7630303,32.2,23.713636364,24.275454545
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,71.576666667,11.91,9.0144444444,8.8188888889
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,22,131,9.6754198473,2,1.4964885496,1.5180152672
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,95,95,54.624210526,16.98,12.749578947,12.960526316
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,104,107,337.5646729,77.36,59.037196262,53.559813084
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,3240,1.9600864198,0.1314074074,0.0828271605,0.0828271605
1023084142,OVERMEYER,RICHARD,L,MD,M,I,7041 LEE PARK RD,,MECHANICSVILLE,VA,231113682,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,30,30,52.8,33,21.350333333,21.350333333
1023084233,SEYMOUR,CHERYL,K,MD,F,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,49,59.367346939,8.32,6.256122449,6.256122449
1023084258,RHOADS,DANIEL,D,M.D.,M,I,1315 JESSE JEWELL PKWY NE,SUITE 300,GAINESVILLE,GA,305013822,US,Orthopaedic Surgery,T,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.92,8.4066666667,5.6216666667,4.3416666667
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,73,185,63.909351351,8.32,5.9516756757,5.9516756757
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,30,51,16.204117647,1.42,1.0058823529,1.0058823529
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,174,10.820229885,8.28,6.043908046,6.043908046
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,69.63,21.937647059,16.311568627,12.844313725
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,44.603809524,9.1357142857,6.990952381,4.0571428571
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,49,12.972727273,10.173636364,8.7
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,78,89,489.81269663,103.35483146,78.23011236,55.818539326
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1019.8,203.11727273,159.23909091,128.76454545
1023084290,MILLER,AARON,T,MD,M,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,82.5,33,24.022142857,24.022142857
1023084431,BEAM,ROBERT,K,"MD, PHD",M,I,111 GATEWAY CENTER DR,,KERNERSVILLE,NC,272842999,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,34.947428571,4.6074285714,3.3805714286,3.3788571429
1023084464,MANGUBAT,CHUCK,S,MD,M,I,3115 S PRICE RD,,CHANDLER,AZ,852483544,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,4.54,3.555,3.66
1023084654,COHEN,ALLISON,L,MD,F,I,1 JOSLIN PL,,BOSTON,MA,022155306,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,55,92,231,1111,76.841764176,8.32,6.0566606661,6.0566606661
1023084654,COHEN,ALLISON,L,MD,F,I,1 JOSLIN PL,,BOSTON,MA,022155306,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,23,23,14.51,3.38,2.65,2.65
1023084654,COHEN,ALLISON,L,MD,F,I,1 JOSLIN PL,,BOSTON,MA,022155306,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,22.309166667,2.12,1.5308333333,1.5308333333
1023084654,COHEN,ALLISON,L,MD,F,I,1 JOSLIN PL,,BOSTON,MA,022155306,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,45,88,235,14.883021277,1.42,1.0606808511,1.0606808511
1023084654,COHEN,ALLISON,L,MD,F,I,1 JOSLIN PL,,BOSTON,MA,022155306,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,13,13,13,38.149230769,34.729230769,25.957692308,58.455384615
1023084654,COHEN,ALLISON,L,MD,F,I,1 JOSLIN PL,,BOSTON,MA,022155306,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,253.20818182,250.98590909,196.77272727,196.86954545
1023084712,FARRAR,CHRISTOPHER,,M.D.,M,I,6800 STATE ROUTE 162,,MARYVILLE,IL,620628500,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,32.916190476,18,12.766190476,12.386190476
1023084712,FARRAR,CHRISTOPHER,,M.D.,M,I,6800 STATE ROUTE 162,,MARYVILLE,IL,620628500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,177.51809524,79.99,56.737619048,51.417619048
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,120,4.176,3,2.281,2.6623333333
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,190,428,428,118.61303738,39.214158879,29.488831776,29.287336449
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,360,6.18,5.23,3.7586388889,3.7586388889
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,187,399,399,371.56654135,87.839348371,64.042781955,63.169649123
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,154,345,927,134.02286947,32.888867314,24.678122977,24.787777778
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,141,299,1599,79.86191995,18.633996248,14.046441526,13.984865541
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,77,162,894,59.015033557,15.06352349,11.473635347,11.55712528
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,284,605,605,215.79231405,53.873338843,39.94077686,40.520958678
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,412,538,538,79.060092937,18.05535316,13.665297398,13.585669145
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,55,71,71,37.672816901,10.016901408,7.6302816901,7.8938028169
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,267,554,554,65.327924188,12.180830325,9.270866426,8.8839350181
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,417,924,5370,8.032255121,2.0443072626,1.5484208566,1.5389217877
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,227,319,319,24.313260188,6.0117241379,4.5263322884,4.4722570533
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,199,243,243,53.066378601,12.362962963,9.4505349794,10.041316872
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,48,4.5,3.81,2.7385416667,2.7385416667
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,17,11.108333333,11.326666667
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,33,165,171,479.41842105,88.120701754,67.188830409,65.907777778
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,134,134,134,557.93746269,135.08522388,104.11328358,103.06791045
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,33.463333333,4.245,3.3266666667,4.1633333333
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,181,1078,1109,496.58561767,33.007889991,24.550324617,24.611532913
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,106,116,364.15137931,77.74,55.866724138,50.568189655
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,72.669574468,39.455744681,30.935319149,29.560425532
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,14,43,9920,0.3260917339,0.0459516129,0.0323316532,0.0323306452
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,3105,2.7201481481,0.0744927536,0.0583993559,0.0583993559
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,11.413538462,3.0074615385,2.1739358974,2.1739358974
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,44,152.40704545,40.66,28.981818182,27.150454545
1023084787,KILKENNY,THOMAS,M,DO,M,I,501 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,58,58,48.362068966,33,22.301724138,22.301724138
1023084811,GEBHART,RICHARD,,M.D.,M,I,12000 ELM CREEK BLVD N,,MAPLE GROVE,MN,553697073,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,44,83.017272727,8.32,6.5227272727,6.5227272727
1023084860,COFFMAN,DONNA,,MD,F,I,1600 HOSPITAL PKWY,,BEDFORD,TX,760226913,US,Physician/Emergency Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,114,13.31,10.93,8.5689473684,8.5689473684
1023084878,AGPOON,ROBIN,L,OD,F,I,1851 N WEBB RD,,WICHITA,KS,672063413,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,23,75,63.86,42.423043478,45.253043478
1023084878,AGPOON,ROBIN,L,OD,F,I,1851 N WEBB RD,,WICHITA,KS,672063413,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,34,89.5,62.09,48.68,54.09
1023084886,NAJI,YOUSEF,M,M.D.,M,I,401 N. MAIN STREET,,KENANSVILLE,NC,28349,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,256.95,7.3581818182,5.3272727273,3.1745454545
1023084928,NAHASS,RONALD,G,M.D.,M,I,105 RAIDER BLVD,SUITE 101,HILLSBOROUGH,NJ,088441528,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,58.496785714,8.32,6.5207142857,6.5207142857
1023085032,WALKER,JON,W,MD,M,I,2202 US HIGHWAY 380,SUITE 112,BRIDGEPORT,TX,764262176,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,18,51,122,58.415491803,8.32,4.8280327869,4.8280327869
1023085032,WALKER,JON,W,MD,M,I,2202 US HIGHWAY 380,SUITE 112,BRIDGEPORT,TX,764262176,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,1.9875,1.9875
1023085032,WALKER,JON,W,MD,M,I,2202 US HIGHWAY 380,SUITE 112,BRIDGEPORT,TX,764262176,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,22,26,16.159230769,1.42,0.8161538462,0.8161538462
1023085032,WALKER,JON,W,MD,M,I,2202 US HIGHWAY 380,SUITE 112,BRIDGEPORT,TX,764262176,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,189.83,29.4875,23.1175,21.7375
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,21,308,52.208279221,19.594253247,15.361688312,15.361688312
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,850,7.4994941176,2.6258823529,2.0586470588,2.0586470588
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,20,25,50,4.1488,0.51,0.384,0.384
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,5.9454545455,1,0.7090909091,0.7090909091
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,74,182,493,1951,55.55551512,8.32,6.1855407483,6.1855407483
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,40,88,88,14.565681818,3.38,2.4994318182,2.4994318182
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,36,51,51,20.738039216,2.12,1.637254902,1.637254902
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,104,256,608,13.868486842,1.42,1.0823848684,1.0823848684
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,15,15,15,77.706666667,65.384,49.340666667,56.844
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,43,43,735.42372093,340.92418605,259.31186047,259.31186047
1023085081,SIDDIQ,Y,K,M.D.,M,I,1700 HOSPITAL SOUTH DR,SUITE 200,AUSTELL,GA,301066810,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,30,31,417.02451613,251.11,196.87,196.87
1023085107,HIRKO,MARK,K,MD,M,I,21 READE PL STE 3100,,POUGHKEEPSIE,NY,12601,US,Physician/Vascular Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1760,0.55,0.44,0.3449715909,0.3449715909
1023085107,HIRKO,MARK,K,MD,M,I,21 READE PL STE 3100,,POUGHKEEPSIE,NY,12601,US,Physician/Vascular Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2160,0.16,0.13,0.1019212963,0.1019212963
1023085172,BANAAD-OMIOTEK,MARIA LOURDES,G,M.D.,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,52,76.076730769,8.32,4.7092307692,4.7092307692
1023085172,BANAAD-OMIOTEK,MARIA LOURDES,G,M.D.,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,15,14.601333333,1.42,0.9693333333,0.9693333333
1023085172,BANAAD-OMIOTEK,MARIA LOURDES,G,M.D.,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,6.6586666667,5.79,4.5393333333,4.1972121212
1023085172,BANAAD-OMIOTEK,MARIA LOURDES,G,M.D.,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4752,0.3794907407,0.33,0.2587268519,0.2444802189
1023085172,BANAAD-OMIOTEK,MARIA LOURDES,G,M.D.,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,18,14.11,13.54
1023085172,BANAAD-OMIOTEK,MARIA LOURDES,G,M.D.,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,315,77.18,60.51,54.96125
1023085172,BANAAD-OMIOTEK,MARIA LOURDES,G,M.D.,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,114.16666667,36.96,28.98,29.465833333
1023085214,GLEESON,TAMMY,L,DO,F,I,208 MILL RD FL 2,,FAIRHAVEN,MA,027195208,US,Physician/Thoracic Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.7090909091,2.0509090909,2.6672727273
1023085214,GLEESON,TAMMY,L,DO,F,I,208 MILL RD FL 2,,FAIRHAVEN,MA,027195208,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,355.72117647,72.676470588,49.759411765,48.291176471
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,88,26.278409091,8.32,6.3745454545,6.3745454545
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,30,7.8983333333,1.42,1.114,1.114
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,134.38,51.601538462,39.618461538,41.450769231
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,630,2.7776349206,0.1280952381,0.1004603175,0.1004603175
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,422,11.612819905,2.5297867299,1.9834834123,1.9834834123
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,48,48,69.629375,15.5925,11.676875,13.622916667
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,119.34,29.325,21.188333333,20.616666667
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,46,46,20.57,7.6308695652,5.9826086957,6.897173913
1023085263,HAO,TONG,K,MD,F,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532631,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,33.507692308,33,23.88,23.88
1023085313,WARSHAW,MICHAEL,G,D.P.M.,M,I,2537 E MARKET ST,,WARREN,OH,444836257,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,88,88,176,104.21829545,71.56,55.988068182,55.988068182
1023085313,WARSHAW,MICHAEL,G,D.P.M.,M,I,2537 E MARKET ST,,WARREN,OH,444836257,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,74,74,444,57.134594595,29.19,22.885,22.886531532
1023085313,WARSHAW,MICHAEL,G,D.P.M.,M,I,2537 E MARKET ST,,WARREN,OH,444836257,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,108,139,139,716.48244604,486.53827338,375.24280576,384.45669065
1023085313,WARSHAW,MICHAEL,G,D.P.M.,M,I,2537 E MARKET ST,,WARREN,OH,444836257,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,113,144,144,526.24041667,357.60756944,280.36388889,309.33243056
1023085313,WARSHAW,MICHAEL,G,D.P.M.,M,I,2537 E MARKET ST,,WARREN,OH,444836257,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,113,144,144,116.38513889,79.070694444,61.994375,68.421458333
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,12,20,40,2.0875,0.51,0.4,0.4
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,79,184,464,58.20700431,8.32,5.9021982759,5.9021982759
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,17,44,44,15.096363636,3.38,2.65,2.65
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,18,24,24,21.6375,2.12,1.6004166667,1.6004166667
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,56,113,168,14.155654762,1.42,1.0411309524,1.0411309524
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,96.772727273,71.56,56.105,56.105
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,243.96,50,39.2,37.760833333
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,28,42.872857143,3.8657142857,2.8307142857,3.5107142857
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,11,11,11,33.096363636,30.531818182,22.519090909,54.729090909
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,40,505.035,78.09,53.7595,47.91875
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,102.00461538,19.256153846,11.067692308,11.081538462
1023085479,PARRENO,XAVIER,W,M.D.,M,I,135 N GREENLEAF ST,SUITE 100,GURNEE,IL,600313334,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,116.76923077,33,23.88,23.88
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,43,123,77.054552846,8.32,5.417804878,5.417804878
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,150.64,39.25375,28.85125,28.6025
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,388.52571429,83.631428571,60.918571429,63.044285714
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,210.42,51.26,37.319285714,39.845714286
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,18,18,72.033333333,17.787777778,11.616111111,11.738888889
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,70.281818182,10.07,7.1818181818,8.3281818182
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,31,68,9.6229411765,2.0088235294,1.4841176471,1.5014705882
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,43.14,12.617272727,8.0781818182,8.5090909091
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,369,86.162086721,5.22,3.7598102981,3.8318699187
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,2749,9.040858494,1.1874026919,0.9233939614,0.941113132
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,508.2,268.38384615,210.01760989,210.01760989
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,33.510714286,9.3480769231,7.328489011,7.328489011
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,63.8,29.213846154,22.903681319,22.903681319
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,51.81,17,13.33,13.5225
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,132.39,36.2575,28.4275,32.495833333
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,153.83,31.591666667,24.763333333,24.675833333
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.35,9.7627272727,7.6554545455,8.1954545455
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,317.44,77.18,60.51,55.2025
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,736.78,153.98818182,120.72363636,119.13909091
1023085503,WILKINS,WILLIAM,E,M.D.,M,I,10506 S MEMORIAL DR,,TULSA,OK,741336914,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,63,33,25.87,25.87
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,28,89,226,63.17539823,8.32,5.7425663717,5.7425663717
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,27,48,16.046458333,1.42,1.06875,1.06875
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,10.101,7.88,6.1181208333,6.1181208333
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,37,72,8.5952777778,1.8604166667,1.3038888889,1.02375
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,273.64235294,106.36235294,82.164117647,66.62
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,263.35941176,77.490588235,53.987058824,40.830588235
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,23,23,63.026521739,22.759565217,16.896521739,14.117826087
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,25,25,80.6228,19.2028,14.6904,9.2132
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,30,127,11.22511811,2.9040944882,2.1548031496,1.502519685
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,26.9725,7.5941666667,5.5633333333,4.2666666667
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,199.656,49.0084,35.0076,34.7672
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,63,83.014920635,19.746190476,15.26968254,13.469365079
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,80,60.513636364,47.441818182,37.63
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,4841.9178947,1074.31,842.26,842.26
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,14,87,88,46.030681818,6.0365909091,4.4370454545,3.3868181818
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,159.84555556,46.84037037,35.565925926,25.04037037
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,35.35,9.16,6.725625,7.10875
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,83,93,492.32053763,94.172043011,71.254408602,54.304086022
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,15.58,9.6636,7.4567,7.4567
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,49,10265,0.1874398441,0.0459201169,0.033449586,0.0334486118
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,17,55,4229,0.9292173091,0.1312579806,0.0920075668,0.0920075668
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,720,12.457861111,2.7553333333,2.1601944444,2.1601944444
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,37,1933,0.4930056906,0.2188101397,0.1659544749,0.1659544749
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,736.78,109.28,75.5775,74.4525
1023085636,SORRELS,CHRISTOPHER,W,M.D.,M,I,1030 E CHERRY ST,,CUSHING,OK,740234102,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,26,101,101,80.04950495,33,23.820891089,23.820891089
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,22,102,182,70.993571429,8.32,5.8048351648,5.8048351648
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,17.271818182,1.42,1.0181818182,1.0181818182
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,44.3275,22.693333333,15.316666667,11.716666667
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,49.769230769,16.607692308,12.349230769,8.4607692308
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,84,6.8428571429,2.8257142857,2.1041666667,1.4816666667
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,78.807692308,21.985,16.087307692,12.489230769
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,300,105.72,78.95173913,63.284782609
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,68.8425,6.37875,4.6629166667,3.645
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,34,133.58823529,49.379411765,35.671176471,23.937941176
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,295,98.85,71.521538462,53.812307692
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,45.002727273,35.284545455,29.516363636
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1200,1.95715,1.2248,0.9550333333,0.9550333333
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1911,1.9083987441,0.1369283098,0.0971323914,0.0971323914
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,28.506363636,22.35,15.355454545
1023085644,DIVISOVA,BLANKA,,M.D.,F,I,613 W MAIN ST,,MANCHESTER,IA,520571527,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,33,33,21.558333333,21.558333333
1023085669,ANDERSON-SHARPE,THOMASINA,,MD,F,I,108 MC MEANS AVE. STE C,,BAY MINETTE,AL,36507,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,132.39,48.323333333,37.883333333,37.186666667
1023085669,ANDERSON-SHARPE,THOMASINA,,MD,F,I,108 MC MEANS AVE. STE C,,BAY MINETTE,AL,36507,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,13,67,71,17.734929577,5.0526760563,3.5811267606,3.2416901408
1023085685,GRAJEWSKI,MICHAEL,A,MD,M,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,57,181,510,66.72445098,8.3179019608,5.8816470588,5.8816470588
1023085685,GRAJEWSKI,MICHAEL,A,MD,M,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.842105263,3.38,2.2315789474,2.2315789474
1023085685,GRAJEWSKI,MICHAEL,A,MD,M,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,30,74,106,15.488113208,1.42,0.9679245283,0.9679245283
1023085685,GRAJEWSKI,MICHAEL,A,MD,M,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,41.91,12.5,9.2764285714,6.8814285714
1023085685,GRAJEWSKI,MICHAEL,A,MD,M,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,196.01416667,143.88833333,106.36833333
1023085685,GRAJEWSKI,MICHAEL,A,MD,M,I,1507 DOCTORS CT,,WATERTOWN,WI,530944101,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,689.5,215.75909091,169.15545455,137.64727273
1023085701,DE CAMP,CHRISTOPHER,,M.D.,M,I,121 EVERETT RD,,ALBANY,NY,122051417,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,95,95,72.350625,169.75
1023085701,DE CAMP,CHRISTOPHER,,M.D.,M,I,121 EVERETT RD,,ALBANY,NY,122051417,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,95,70.282962963,54.766666667,47.033703704
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,33,2840,0.7267605634,0.4307042254,0.3131866197,0.3153697183
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,20,674,24.458724036,18.463501484,13.779599407,13.802418398
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,6960,0.0577586207,0.05,0.0391997126,0.0391997126
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,631,3.4488114105,2.7204912837,2.032614897,2.0404437401
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,24,1614,4.1101115242,3.67,2.8773110285,2.8773110285
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,586,9.0744197952,7.1044027304,5.1394539249,5.1595221843
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,33,5300,0.1644339623,0.13,0.0993698113,0.0993698113
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,23,3789,0.6837054632,0.4490261283,0.3520348377,0.3526286619
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,980,1.7983163265,1.43,1.1211122449,1.1211122449
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,6.9583333333,3.04,2.3833333333,2.3689722222
1023085982,BLANCO-CUEVAS,NERI,M,MD,F,I,4441 S EASTERN AVE,,LAS VEGAS,NV,891197826,US,Physician/General Surgery,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5136,2.6985981308,0.36,0.2822196262,0.2894158879
1023085990,NEWMAN,GARY,A,M.D.,M,I,100 E LANCASTER AVE,LANKENAU MEDICAL BUILDING EAST SUITE 252,WYNNEWOOD,PA,190963450,US,Physician/Gastroenterology,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,720,4.59875,1.95,1.4014305556,1.4014305556
1023085990,NEWMAN,GARY,A,M.D.,M,I,100 E LANCASTER AVE,LANKENAU MEDICAL BUILDING EAST SUITE 252,WYNNEWOOD,PA,190963450,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,240,9.49625,4.03,2.9439166667,2.9439166667
1023086147,HUNTER,KAREN,R,M.D.,F,I,2755 S HIGHWAY 14,SUITE 1200A,GREER,SC,296504902,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,41,113,266,55.501353383,8.32,5.8595864662,5.8595864662
1023086147,HUNTER,KAREN,R,M.D.,F,I,2755 S HIGHWAY 14,SUITE 1200A,GREER,SC,296504902,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,11.624,3.38,2.4733333333,2.4733333333
1023086147,HUNTER,KAREN,R,M.D.,F,I,2755 S HIGHWAY 14,SUITE 1200A,GREER,SC,296504902,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,15.8275,2.12,1.46125,1.46125
1023086147,HUNTER,KAREN,R,M.D.,F,I,2755 S HIGHWAY 14,SUITE 1200A,GREER,SC,296504902,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,46,69,9.6820289855,1.42,1.0671014493,1.0671014493
1023086147,HUNTER,KAREN,R,M.D.,F,I,2755 S HIGHWAY 14,SUITE 1200A,GREER,SC,296504902,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,88.075294118,17,11.761764706,11.965294118
1023086147,HUNTER,KAREN,R,M.D.,F,I,2755 S HIGHWAY 14,SUITE 1200A,GREER,SC,296504902,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,512.68,71,53.7525,52.880625
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,686,9.9868367347,3.32,2.2467930029,2.6501457726
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,60,18.452,4.1,3.1065,3.1065
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,19,53,1830,10.748092896,5.7390163934,4.3163497268,4.3171202186
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,290,11.940827586,4.91,3.7166206897,3.7166206897
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,380,20.3265,7,5.4394736842,5.4394736842
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,432,7.3083796296,2.9090740741,2.2805787037,2.2805787037
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,33,227,14.236696035,6.44,4.8703964758,4.8703964758
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,530,16.798641509,9.86,7.7238867925,7.7238867925
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,16,53,1475,14.786230508,6.9913220339,5.3348135593,5.3374711864
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,24,2940,4.119329932,1.9487755102,1.5278503401,1.5288095238
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,40,1150,6.4626521739,4.0287826087,3.1586347826,3.1586347826
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,29,3084,0.6770719844,0.27,0.2116666667,0.2116666667
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,20,37,2288,0.770423951,0.2697814685,0.2014685315,0.2014685315
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,2090,0.1476076555,0.05,0.0392057416,0.0392057416
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,1256,20.627332803,13.095963376,10.267300955,10.291878981
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,33,230,479.325,268.35113043,210.38613043,210.38613043
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,121,575.73181818,326.82,256.22727273,256.22727273
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,337,200.30902077,9.3479228487,7.3283679525,7.3283679525
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,337,652.88578635,29.213353116,22.903353116,22.903353116
1023086238,BINDEROW,SANDER,R,M.D.,M,I,5667 PEACHTREE DUNWOODY RD NE,SUITE 330,ATLANTA,GA,303421725,US,Physician/Colorectal Surgery (Proctology),S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1450.2,466.82,365.99,365.99
1023086295,ROGERS,JOHN,,MD,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,42,83.177857143,21.844285714,16.302142857,13.203809524
1023086295,ROGERS,JOHN,,MD,M,I,520 S 7TH ST,,VINCENNES,IN,475911038,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,30,491.25833333,95.835333333,71.151333333,53.781333333
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,,16,16,382.0775,107.98875,81.700625,64.75625
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,30,139.14933333,40.126666667,30.504333333,24.975
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,18,18,295.24777778,59.711111111,45.981111111,42.088333333
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,14,17,17,81.004117647,21.977058824,14.294117647,11.578823529
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,20,20,90.7795,14.0075,10.5665,8.717
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,14,33,136,11.034411765,2.5953676471,1.8873529412,1.4755882353
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,62.694545455,14.106363636,9.8681818182,9.4
1023086329,HOUCK,JOHN,R,MD,M,I,921 NE 13TH STREET,DEPARTMENT OF SURGERY,OKLAHOMA CITY,OK,731045007,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,,53,53,295.01320755,42.071698113,31.357169811,22.952830189
1023086345,CANALES,RICARDO,,MD  PA,M,I,240 LINDBERG AVE,,MCALLEN,TX,785012920,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,42,28.487619048,8.32,6.21,6.21
1023086345,CANALES,RICARDO,,MD  PA,M,I,240 LINDBERG AVE,,MCALLEN,TX,785012920,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,19,11.044736842,1.42,1.1178947368,1.1178947368
1023086378,CULKIN,DANIEL,J,MD,M,I,825 NE 10TH ST,OUPB5400,OKLAHOMA CITY,OK,731045417,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,2280,6.1576754386,6.1576754386,4.7646754386,5.5529561404
1023086386,CLEVES,G.,S,MD,M,I,2753 ERIE AVE,,CINCINNATI,OH,452082204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,39,75,65.805066667,8.32,6.3481333333,6.3481333333
1023086386,CLEVES,G.,S,MD,M,I,2753 ERIE AVE,,CINCINNATI,OH,452082204,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,18,15.058333333,1.42,0.8711111111,0.8711111111
1023086386,CLEVES,G.,S,MD,M,I,2753 ERIE AVE,,CINCINNATI,OH,452082204,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,7.46,2.0054545455,1.5728787879,1.5921212121
1023086386,CLEVES,G.,S,MD,M,I,2753 ERIE AVE,,CINCINNATI,OH,452082204,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,37.678,17.36,13.61,13.547
1023086386,CLEVES,G.,S,MD,M,I,2753 ERIE AVE,,CINCINNATI,OH,452082204,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,247.92461538,79,59.1,52.999615385
1023086386,CLEVES,G.,S,MD,M,I,2753 ERIE AVE,,CINCINNATI,OH,452082204,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,860,16.574755814,10.645860465,8.3463604651,8.3463604651
1023086402,THEUNE,DORIS,U,MS RN CS,F,I,2920 SUPERIOR AVE,,SHEBOYGAN,WI,530811944,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,345,3.7615652174,0.2186956522,0.1715652174,0.1715652174
1023086402,THEUNE,DORIS,U,MS RN CS,F,I,2920 SUPERIOR AVE,,SHEBOYGAN,WI,530811944,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,22,124.62,32.494545455,21.764545455,21.696363636
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,75,129,58.46248062,8.32,5.4110077519,5.4110077519
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,16,11.8175,1.42,1.1175,1.1175
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,23,8.9647826087,2.0060869565,1.3517391304,0.9504347826
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,161.89363636,86.15,67.542727273,54.758181818
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,20,10.031666667,7.1141666667,6.045
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,48,48,40,22.108125,16.398958333,12.809791667
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,41.4015,6.811,4.7935,3.285
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,64,64,384.8775,100.9696875,76.3309375,57.5125
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,6448,0.2038073821,0.0461616005,0.036191067,0.036191067
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1679,1.5093150685,0.1313639071,0.0965038714,0.0965038714
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,3.0530625,2.2555416667,2.2555416667
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,55,31.077826087,22.903043478,15.003478261
1023086675,SAIN,PAUL,D,MD,M,I,207 ELK AVE S,,FAYETTEVILLE,TN,373343051,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,31,116.03225806,33,25.87,25.87
1023086691,DEGREGORIO,JOSEPH,,MD,M,I,946 BLOOMFIELD AVENUE,,GLEN RIDGE,NJ,07028,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,71.5,51.388333333,50.169166667
1023086691,DEGREGORIO,JOSEPH,,MD,M,I,946 BLOOMFIELD AVENUE,,GLEN RIDGE,NJ,07028,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,35.5,25.510833333,27.225833333
1023086725,GOUL,RHONDA,,M.D.,F,I,5955 S EMERSON AVE,SUITE 100,INDIANAPOLIS,IN,462372525,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,59,59.065084746,8.32,6.5225423729,6.5225423729
1023086725,GOUL,RHONDA,,M.D.,F,I,5955 S EMERSON AVE,SUITE 100,INDIANAPOLIS,IN,462372525,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,27,15.023333333,1.42,1.1140740741,1.1140740741
1023086758,SOUDERS,NINA,,MD,F,I,1200 N BEAVER ST,,FLAGSTAFF,AZ,860013118,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,82.126875,17.27,13.54,13.54
1023086758,SOUDERS,NINA,,MD,F,I,1200 N BEAVER ST,,FLAGSTAFF,AZ,860013118,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,500.18470588,68.78,53.92,54.72
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,58,91,8300,0.1508216867,0.12,0.0872927711,0.0872927711
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,392,28.82,23.66,18.549362245,18.549362245
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,44,85,4119,10.320640932,8.28,6.4340179655,6.4340179655
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,26,958,25.472693111,18.5,14.503997912,14.503997912
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,21,24,522,3.6443103448,3.1486206897,2.4683716475,2.9712068966
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,20,41,801,13.141460674,10.921910112,8.5627340824,8.5690636704
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,68,116,35000,0.0803702857,0.05,0.038136,0.038136
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,28,47,2116,1.2970274102,1.08,0.8466729679,0.8466729679
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,29,38,1545,2.8800970874,2.4,1.8533203883,1.8533203883
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,14,658,4.6879635258,3.67,2.8773404255,2.8773404255
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,17,853,8.68,7.13,5.5899765533,5.5899765533
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,20,675,1.65,1.35,1.0583703704,1.0583703704
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6261,"Wound filler, gel/paste, per fluid ounce, not otherwise specified",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,23,29,105,74.688571429,48.568571429,38.078952381,38.078952381
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,21,33,4500,2.65,2.16,1.6468311111,1.6468311111
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,46,64,9480,0.161471519,0.13,0.1005590717,0.1005590717
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,27,36,5340,0.5732022472,0.45,0.3448913858,0.3448913858
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,26,223,1.5787443946,1.28,1.0032735426,1.0032735426
1023086931,PRATHER,KENNETH,C,MD,M,I,700 W GROVE ST,,EL DORADO,AR,717304416,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,182.06,70.417272727,55.209090909,38.434545455
1023086972,MILLSAPS,KIMBERLY,M,NP,F,I,1309 LEES CHAPEL ROAD,,GREENSBORO,NC,274552601,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,38,78.927368421,8.32,5.6642105263,5.6642105263
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,18,82,149,90.347248322,8.32,5.6018791946,5.6018791946
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,18.667083333,1.42,1.0266666667,1.0266666667
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2200,0.44,0.44,0.3449454545,0.3449454545
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,36,1517,8.6871786421,8.28,6.3970072512,6.3970072512
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,129,10.619612403,9.9079069767,7.7678294574,8.5694573643
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,30,60,7.8748333333,1.977,1.5076666667,1.129
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,180.20055556,63.562777778,49.835555556,40.927777778
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,37,86.31,22.336756757,17.107297297,14.453783784
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,60.89,47.736666667,38.52
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,46.943928571,5.9475,4.4039285714,3.3057142857
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,75,509.28906667,99.668666667,72.672666667,53.712666667
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,360,15.58,9.59575,7.1245,7.1245
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,11085,0.1985313487,0.0462543978,0.0317870997,0.0317870997
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,36,3778,0.9626707253,0.1370725251,0.0995394389,0.0995394389
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,360,12.724166667,3.0329166667,2.3778055556,2.3778055556
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,960,1.269375,0.21884375,0.15553125,0.15553125
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,378.262,39.2595,29.6965,19.6885
1023087012,TUCKER,GLADSTONE,A,MD,M,I,1606 CASTLEBERRY DR,,MARION,IL,629591586,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,75,75,118.8,33,23.8004,23.8004
1023087061,GINSBERG,JEROME,H,MD,M,I,1100 REISTERSTOWN RD,STE 202,PIKESVILLE,MD,212084135,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,50,134,59.852014925,8.32,5.9449253731,5.9449253731
1023087061,GINSBERG,JEROME,H,MD,M,I,1100 REISTERSTOWN RD,STE 202,PIKESVILLE,MD,212084135,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.818181818,3.38,2.65,2.65
1023087061,GINSBERG,JEROME,H,MD,M,I,1100 REISTERSTOWN RD,STE 202,PIKESVILLE,MD,212084135,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,28,41,17.77,1.42,1.0609756098,1.0609756098
1023087061,GINSBERG,JEROME,H,MD,M,I,1100 REISTERSTOWN RD,STE 202,PIKESVILLE,MD,212084135,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,140,17.46,13.69,13.5525
1023087061,GINSBERG,JEROME,H,MD,M,I,1100 REISTERSTOWN RD,STE 202,PIKESVILLE,MD,212084135,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,510,82,64.29,55.526666667
1023087228,TURNHAM,NANCY,C,DNP,F,I,256 HONEYSUCKLE RD STE 20,,DOTHAN,AL,36305,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,42.027272727,14.478181818,11.351818182,9.12
1023087228,TURNHAM,NANCY,C,DNP,F,I,256 HONEYSUCKLE RD STE 20,,DOTHAN,AL,36305,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,61,6.3791803279,2.403442623,1.8849180328,1.593442623
1023087228,TURNHAM,NANCY,C,DNP,F,I,256 HONEYSUCKLE RD STE 20,,DOTHAN,AL,36305,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,15.594482759,4.8782758621,3.1737931034,2.9982758621
1023087244,HORNBERGER,JAMES,C,PA-C,M,I,21 SUSQUEHANNA VALLEY MALL DR STE D,,SELINSGROVE,PA,17870,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,78.225806452,29.050645161,22.09483871,16.249032258
1023087368,KHAN,MUBASHIR,A,MD,M,I,4720 PUDDLEDOCK RD,SUITE 100,PRINCE GEORGE,VA,238751237,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,29,80.068965517,59.74,43.603448276,43.147241379
1023087376,DALY,PETER,,MD,M,I,17 EXCHANGE ST W,SUITE 307,SAINT PAUL,MN,551021223,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,22,23,387,67.015503876,25.411886305,19.695374677,19.695374677
1023087392,YANG,MARCOS,Y,M.D.,M,I,310 TEJON PL,,PALOS VERDES ESTATES,CA,902741204,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,39,85.02,8.32,5.5176923077,5.5176923077
1023087434,BERNAL,KENNETH,R,DO,M,I,2265 N LAKESHORE DR STE 101,,ROCKWALL,TX,750873210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,31,96,263,52.827946768,8.32,5.6313688213,5.6313688213
1023087434,BERNAL,KENNETH,R,DO,M,I,2265 N LAKESHORE DR STE 101,,ROCKWALL,TX,750873210,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,11,30,30,11.496,3.38,2.5616666667,2.5616666667
1023087434,BERNAL,KENNETH,R,DO,M,I,2265 N LAKESHORE DR STE 101,,ROCKWALL,TX,750873210,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,19,19,16.621578947,2.12,1.5821052632,1.5821052632
1023087434,BERNAL,KENNETH,R,DO,M,I,2265 N LAKESHORE DR STE 101,,ROCKWALL,TX,750873210,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,44,67,10.38119403,1.42,1.0146268657,1.0146268657
1023087434,BERNAL,KENNETH,R,DO,M,I,2265 N LAKESHORE DR STE 101,,ROCKWALL,TX,750873210,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,39,57.346923077,17.63,13.111282051,12.947692308
1023087434,BERNAL,KENNETH,R,DO,M,I,2265 N LAKESHORE DR STE 101,,ROCKWALL,TX,750873210,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,81,354.90012346,82.145185185,59.299135802,51.412345679
1023087434,BERNAL,KENNETH,R,DO,M,I,2265 N LAKESHORE DR STE 101,,ROCKWALL,TX,750873210,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,75.78,28.429333333,18.214,17.048
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,46,66.02673913,8.32,5.7067391304,5.7067391304
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,310.70333333,125.30333333,98.236666667,71.333333333
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,31,113.24967742,48.702580645,38.183548387,25.918709677
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,56.161666667,26.9375,19.816666667,13.63
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,67.741538462,22.223846154,17.422307692,9.12
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,22,98,12.994081633,3.4691836735,2.7201020408,1.6759183673
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,170.61636364,48.119545455,33.025909091,25.167272727
1023087459,HUNT,JUDITH,A,M.D.,F,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,36,405.10083333,96.337777778,69.327222222,55.696944444
1023087491,PIANSKY,MICHAEL,B,M.D.,M,I,3825 MEDICAL PARK DR,SUITE 201,AUSTELL,GA,301066831,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,53,129,329,57.779604863,8.32,5.8977203647,5.8977203647
1023087491,PIANSKY,MICHAEL,B,M.D.,M,I,3825 MEDICAL PARK DR,SUITE 201,AUSTELL,GA,301066831,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,12,25,25,13.2496,3.38,2.438,2.438
1023087491,PIANSKY,MICHAEL,B,M.D.,M,I,3825 MEDICAL PARK DR,SUITE 201,AUSTELL,GA,301066831,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,23.272307692,2.12,1.67,1.67
1023087491,PIANSKY,MICHAEL,B,M.D.,M,I,3825 MEDICAL PARK DR,SUITE 201,AUSTELL,GA,301066831,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,30,62,82,11.946341463,1.42,0.9987804878,0.9987804878
1023087517,GRUCHALLA,REBECCA,S,MD PHD,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Allergy/ Immunology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,44.844285714,17.63,13.82,13.550714286
1023087517,GRUCHALLA,REBECCA,S,MD PHD,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,267.12928571,76.48,59.96,55.094285714
1023087517,GRUCHALLA,REBECCA,S,MD PHD,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Allergy/ Immunology,S,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1040,184.74230769,39.293153846,30.667875,30.667875
1023087517,GRUCHALLA,REBECCA,S,MD PHD,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,5100,237.53579412,40.015305882,31.371996078,31.371996078
1023087517,GRUCHALLA,REBECCA,S,MD PHD,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,29,665.44827586,346.70689655,271.81448276,271.81448276
1023087533,FEIGELIS,ROBIN,Y,M.D.,F,I,74 PASCACK RD,SUITE 10,PARK RIDGE,NJ,076561942,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,71.5,56.06,54.73
1023087533,FEIGELIS,ROBIN,Y,M.D.,F,I,74 PASCACK RD,SUITE 10,PARK RIDGE,NJ,076561942,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,35.5,27.83,29.51
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,43,78.104418605,8.32,5.9141860465,5.9141860465
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,20,14.456,1.42,1.008,1.008
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,349.32285714,94.58,70.662142857,64.352142857
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,205.78181818,57.923636364,41.4,39.039090909
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,65.272857143,19.5,14.197857143,13.143571429
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,68.718888889,12.337777778,9.1455555556,8.6327777778
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,74,8.9435135135,2.3,1.755,1.5551351351
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,50.73,3.96,3.102,3.716
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,195,33.150588235,24.067058824,22.92
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,519.51,78,61.15,55.158
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,3521,0.2062283442,0.0464555524,0.0228770236,0.0228770236
1023087566,SMITH,CAROLE,J,MD,F,I,28 RIVERSIDE DR,,PEMBROKE,MA,023591937,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,99,33,17.655238095,17.655238095
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,1090,8.6831926606,5.74,4.3807247706,4.3807247706
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,8.036,4.91,3.5287083333,3.5287083333
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,520,11.45,7,5.4669615385,5.4669615385
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,960,0.89,0.12,0.0901666667,0.0901666667
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,28,3640,0.7648351648,0.44,0.3449505495,0.3449505495
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,700,4.6607428571,3.04,2.3153,2.3153
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,14,17,665,12.222857143,8.28,6.2963007519,6.2963007519
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,174,12,8.41,6.5937931034,6.5937931034
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,15,28,432,14.082731481,10.93,8.3080324074,8.3080324074
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,22,896,3.7516964286,2.4,1.7892410714,1.7892410714
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,1099,4.2375796178,3.67,2.8773157416,2.8773157416
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,26,3800,0.8184210526,0.13,0.1003026316,0.1003026316
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,22,31,345,82.037681159,24.887826087,19.380028986,19.071942029
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,22,31,240,53.9,8.2510416667,6.4685,6.4287916667
1023087665,VERVAECKE,AMANDA,L,A.R.N.P.,F,I,1825 LOGAN AVE,WOUND & OSTOMY CLINIC,WATERLOO,IA,507031916,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,23,34,34,4818,709.39323529,556.16147059,507.66147059
1023087723,LEBERTE,MARK,A,MD,M,I,927 FRANKLIN ST,,HUNTSVILLE,AL,25801,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,17,17,17,181.50882353,54.070588235,38.007058824,33.882352941
1023087723,LEBERTE,MARK,A,MD,M,I,927 FRANKLIN ST,,HUNTSVILLE,AL,25801,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,16,66.166875,53.2,39.103125,43.815
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,31,101,244,54.6825,8.32,5.7733196721,5.7733196721
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,49,64,14.506875,1.42,0.97703125,0.97703125
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,28.253333333,28.253333333,22.15,22.294
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,20,10.84,10.84,8.0785,8.1495
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,179.41090909,46.214545455,36.232727273,30.49
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,262,10.93,10.93,8.5689694656,8.5689694656
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,40,8.19,1.823,1.3665,1.1275
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,15,39,39,467.81333333,118.16948718,87.121794872,64.853589744
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,13,38,93,186.34795699,44.064731183,33.081935484,24.996989247
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,87,92.985517241,24.034597701,17.738390805,13.548045977
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,73,78.223835616,18.537123288,12.089041096,9.6120547945
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,16,32,32,284.9525,71.565,50.57375,37.67625
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,32,42,42,88.869285714,24.54047619,18.906190476,13.942380952
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,28,62,62,95.313709677,19.073548387,14.222258065,8.7983870968
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,30,78,402,12.511890547,2.9192537313,2.211641791,1.551119403
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,19,26,26,31.259230769,8.5580769231,6.5265384615,4.6157692308
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,20,28,28,55.378214286,15.193571429,11.906785714,10.437857143
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,98,106,102.04981132,21.541226415,15.635283019,12.950943396
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,26,26,194.24230769,56.143076923,39.348076923,33.801538462
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,4430.1,1001.46,781.29902439,837.01634146
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,81.75,16.428421053,12.271578947,9.9321052632
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,37.763870968,7.0996774194,5.0958064516,3.124516129
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,11,62,62,259.70483871,48.803225806,35.203387097,24.168548387
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,23,174,180,546.28444444,100.01066667,72.788722222,52.723111111
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,4574,0.1699650197,0.0468517709,0.0343135111,0.0343135111
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,63,5485,1.0481403829,0.1337921604,0.0949608022,0.0949608022
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,1530,9.8980915033,2.9981764706,2.2568235294,2.2568235294
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,117.5,32.022777778,25.106666667,15.28
1023087731,LEBEDOWICZ,BOHDAN,A,MD,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,86,86,112.54360465,33,23.658372093,23.658372093
1023087764,MCGEE,WILLIAM,A,M.D.,M,I,1115 ALASKA ST STE 114,,WEST PLAINS,MO,65775,US,Physician/Cardiac Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1040,0.55,0.44,0.3449903846,0.3449903846
1023087764,MCGEE,WILLIAM,A,M.D.,M,I,1115 ALASKA ST STE 114,,WEST PLAINS,MO,65775,US,Physician/Cardiac Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1250,0.16,0.13,0.101912,0.101912
1023087764,MCGEE,WILLIAM,A,M.D.,M,I,1115 ALASKA ST STE 114,,WEST PLAINS,MO,65775,US,Physician/Cardiac Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,46.325,28.069285714,22.006428571,20.45
1023087764,MCGEE,WILLIAM,A,M.D.,M,I,1115 ALASKA ST STE 114,,WEST PLAINS,MO,65775,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,319.05464286,98.85,77.5,57.622857143
1023087764,MCGEE,WILLIAM,A,M.D.,M,I,1115 ALASKA ST STE 114,,WEST PLAINS,MO,65775,US,Physician/Cardiac Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,250,43.992857143,34.492857143,30.535714286
1023087764,MCGEE,WILLIAM,A,M.D.,M,I,1115 ALASKA ST STE 114,,WEST PLAINS,MO,65775,US,Physician/Cardiac Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,60.77,27.28,19.586875,13.013125
1023087806,HANNA,SHERIF,I,M.D.,M,I,3020 BELMONT AVE,,YOUNGSTOWN,OH,445051846,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,57,57,57,79.631578947,72.73,54.018947368,50.39122807
1023087806,HANNA,SHERIF,I,M.D.,M,I,3020 BELMONT AVE,,YOUNGSTOWN,OH,445051846,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,18,79.055555556,50.62,39.69,43.18
1023087806,HANNA,SHERIF,I,M.D.,M,I,3020 BELMONT AVE,,YOUNGSTOWN,OH,445051846,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,39,76,87.25,52.13,38.718947368,41.160526316
1023087814,BUREN,JOHN,B,DPM,M,I,5200 FAIRVIEW BLVD,,WYOMING,MN,550928013,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,50,238,43.56,34.1522,34.1504
1023087814,BUREN,JOHN,B,DPM,M,I,5200 FAIRVIEW BLVD,,WYOMING,MN,550928013,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,72.175,71.703571429,54.138571429,60.574285714
1023087921,CEPERO,RODOLFO,J,M.D. P.A.,M,I,6201 SW 70TH ST,SUITE 103,SOUTH MIAMI,FL,331434718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,26,72,150,62.891533333,8.32,5.8501333333,5.8501333333
1023087921,CEPERO,RODOLFO,J,M.D. P.A.,M,I,6201 SW 70TH ST,SUITE 103,SOUTH MIAMI,FL,331434718,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.345454545,3.38,2.65,2.65
1023087921,CEPERO,RODOLFO,J,M.D. P.A.,M,I,6201 SW 70TH ST,SUITE 103,SOUTH MIAMI,FL,331434718,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,30,41,13.12,1.42,0.98,0.98
1023088200,MILLER,CHRISTOPHER,D,M.D.,M,I,7550 WEST VILLAGE CIRCLE,SUITE 1,WICHITA,KS,67205,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,38,38,183,133.89,104.97,88.391052632
1023088234,SCIORTINO,PATRICK,J,DDS,M,I,459 BAY RIDGE PKWY,,BROOKLYN,NY,11209,US,Dentist,T,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,60,60,47.04,52.285454545
1023088234,SCIORTINO,PATRICK,J,DDS,M,I,459 BAY RIDGE PKWY,,BROOKLYN,NY,11209,US,Dentist,T,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,21,84.166666667,66.67,52.27,44.385238095
1023088291,KUJAWSKI,ERIC,J,D.O.,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Sports Medicine,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,45,47,100.75,86.311276596,67.669574468,67.644255319
1023088291,KUJAWSKI,ERIC,J,D.O.,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Sports Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,22,725.49,725.49,548.65727273,463.61636364
1023088291,KUJAWSKI,ERIC,J,D.O.,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Sports Medicine,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,14,77,53.2,41.71,46.35
1023088291,KUJAWSKI,ERIC,J,D.O.,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Sports Medicine,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,279.271875,263.520625,196.559375,205.90375
1023088325,BOPPANA,MEERA,S,MD,F,I,104 15 101ST AVE,,OZONE PARK,NY,11416,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,53,51.032264151,8.32,6.1530188679,6.1530188679
1023088341,SPEELMAN,LOIS,R,FNP,F,I,2051 EVERGREEN LN,SUITE D,SHOW LOW,AZ,859017928,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,86.31,21.075769231,14.227307692,11.448461538
1023088440,DUININCK,MITCHELL,W,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,72.735,17,11.108333333,11.303333333
1023088440,DUININCK,MITCHELL,W,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,399.54333333,77.18,53.942222222,49.068888889
1023088440,DUININCK,MITCHELL,W,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,685,0.8329781022,0.2190364964,0.1642043796,0.1642043796
1023088440,DUININCK,MITCHELL,W,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,23.88,23.88
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,69,217,56.401382488,8.32,5.6805069124,5.6805069124
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.2423076923,2.2423076923
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,25,47,16.188510638,1.42,0.97,0.97
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,97.769166667,37.29,26.6925,27.9775
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,289.52909091,89.62,70.27,67.85
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,31,103.65774194,34.52,27.064193548,25.918064516
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,52.613333333,17.25,12.393333333,12.945
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,23,102,9.8862745098,2.22,1.707254902,1.5623529412
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,26.974166667,13,9.3408333333,9.4941666667
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,136.21538462,17.63,13.241153846,13.018076923
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,89.687777778,6.0394444444,4.4772222222,3.2544444444
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,45,451.822,76.48,55.935333333,51.743555556
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1080,17.234148148,9.6951666667,7.5236666667,7.5236666667
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,900,0.17,0.0462666667,0.0362333333,0.0362333333
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,1709,1.1147513166,0.1379227618,0.1081451141,0.1081451141
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,255.32818182,47.376363636,33.016363636,34.444545455
1023088507,SHAH,KAVITA,S,M.D.,F,I,909 SOUTHEAST PKWY STE 105,,AZLE,TX,760203600,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,27,27,87.37962963,33,25.87,25.87
1023088531,JOHNSON,DAVID,C,MD,M,I,6242 E ARBOR AVE,STE 101,MESA,AZ,852061309,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,1923.2293333,548.58666667,430.088,492.134
1023088556,O'MAHONY,MICHELLE,,PA,F,I,12 ELM ST,,ANTRIM,NH,034403916,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,39.468461538,5.8611538462,4.0638461538,3.1338461538
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,13.746666667,5.74,4.5,4.5
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,104,6.8792307692,2.91,2.1057692308,2.1057692308
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,23.603333333,9.86,7.73,7.73
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,4.7472727273,1.95,1.5288333333,1.5288333333
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,51,3737,39.407880653,5.2866095799,4.144715012,4.1447123361
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,31,48.869677419,39.242903226,27.965483871,27.946451613
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,11,43,43,24,24,18.82,18.82
1023088564,FINNIE,JOHN,W,MD,M,I,607 S NEW BALLAS RD,SUITE 3300,SAINT LOUIS,MO,631418222,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,32,65.1940625,8.32,6.3190625,6.3190625
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,20,46,8.19,1.51,0.9791304348,0.9556521739
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,14,100,102,50.73,3.9332352941,2.5197058824,3.0461764706
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,1860,15.58,9.664516129,7.4194677419,7.4194677419
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,5613,0.21612863,0.0467913772,0.0356939248,0.0356939248
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,2997,1.0439673006,0.1336770103,0.0957657658,0.0957657658
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,20.918181818,16.4,15.478181818
1023088655,LANE,LANCE,,PA-C,M,I,3701 MEMORIAL DR,,BELLEVILLE,IL,622265412,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,66,66,129,33,24.302121212,24.302121212
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,56,127,66.698267717,8.32,5.5460629921,5.5460629921
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,27,34,12.378823529,1.42,1.0511764706,1.0511764706
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.75,2.27,1.6314047619,1.6314047619
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,44,11.470454545,10.926363636,7.8672727273,7.8702272727
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,28,8.0335714286,2.2978571429,1.7992857143,1.15
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,95.698333333,50.760833333,39.795833333,39.354166667
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50.73,5.9171428571,3.4266666667,2.2533333333
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,46.586666667,36.523333333,26.748333333
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,32,544.3625,97.436875,68.920625,52.95125
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,840,4.5840238095,1.2704285714,0.9463690476,0.9463690476
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,425,19.523764706,7.4895294118,5.6619058824,5.6619058824
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1440,17.232201389,11.1305,8.6267152778,8.6267152778
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,50,4800,1.084475,0.13410625,0.09719375,0.09719375
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1440,9.7025,3.0223333333,2.2897638889,2.2897569444
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.73,33.391818182,21.594545455,16.330909091
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,24,24,18.82,18.82
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,16,16,11.704,11.704
1023088713,ARONSON,MARK,J,DO,M,I,85 SPRING ST,,LACONIA,NH,032463113,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,61,61,101.16393443,33,24.173606557,24.173606557
1023088770,MYERS,CHRISTOPHER,B,M.D.,M,I,1 COLONY CENTRE WAY,,SIMPSONVILLE,SC,296813286,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,19,81.088421053,74.032105263,58.040526316,54.464736842
1023088770,MYERS,CHRISTOPHER,B,M.D.,M,I,1 COLONY CENTRE WAY,,SIMPSONVILLE,SC,296813286,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,28,73.428571429,66.634285714,52.243571429,53.955
1023088770,MYERS,CHRISTOPHER,B,M.D.,M,I,1 COLONY CENTRE WAY,,SIMPSONVILLE,SC,296813286,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,11.727272727,11.727272727,9.1959090909,13.573636364
1023088770,MYERS,CHRISTOPHER,B,M.D.,M,I,1 COLONY CENTRE WAY,,SIMPSONVILLE,SC,296813286,US,Physician/Ophthalmology,S,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,42.5,42.5,33.32,47.7528125
1023088812,BROOKS,THEODORE,T,MD,M,I,14 TSIENNETO RD STE 200A,,DERRY,NH,03038,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,45,146,78.049041096,8.32,6.2933561644,6.2933561644
1023088812,BROOKS,THEODORE,T,MD,M,I,14 TSIENNETO RD STE 200A,,DERRY,NH,03038,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,23,33,14.04969697,1.42,1.0833333333,1.0833333333
1023088812,BROOKS,THEODORE,T,MD,M,I,14 TSIENNETO RD STE 200A,,DERRY,NH,03038,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2583,0.243786295,0.0455245838,0.035683314,0.035683314
1023088812,BROOKS,THEODORE,T,MD,M,I,14 TSIENNETO RD STE 200A,,DERRY,NH,03038,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,101.53846154,33,25.87,25.87
1023088853,NAQVI,SHAGUFTA,N,MD,F,I,18400 KATY FREEWAY,SUITE #320,HOUSTON,TX,77094,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,17,37,48.516756757,36.28,28.011081081,30.130540541
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,459.03866667,88.22,59.947333333,58.803333333
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,36,160.47166667,33.6,24.2775,23.854444444
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,67.219090909,12.17,9.55,9.13
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,100,9.9816,2.08,1.6301,1.5919
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,73.446111111,17.91,10.648888889,10.26
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,19,19,232.35,54.89,36.235789474,35.2
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,28,30,174.99833333,49.88,36.493333333,35.219333333
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,29,29,210.16034483,49.88,34.424482759,33.157241379
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,11,11,114.90454545,70.74,55.46,55.46
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,99,100,435.7788,73.317,49.8738,47.2338
1023088945,BREYER,DIANA,M,M.D.,F,I,2121 E HARMONY RD,SUITE 300,FORT COLLINS,CO,805283400,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,148.15961538,39.6,28.661538462,27.24
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,74,162,60.144382716,8.32,5.8381481481,5.8381481481
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,24,35,14.884285714,1.42,1.0497142857,1.0497142857
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,19.26,4.1,3.21,3.21
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,4.4675,2.91,2.28125,2.28125
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,295,10.128677966,5.54,4.3433898305,4.3433898305
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1620,0.540308642,0.4330864198,0.3395246914,0.341462963
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,850,0.4267176471,0.27,0.2116,0.2116
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.001,3.04,2.3835,2.3835
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,425,0.4165411765,0.27,0.2116,0.2116
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,480,3.9949166667,1.08,0.6879166667,0.6879166667
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,134.38,45.0825,30.410625,31.730625
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,119.34,22.249130435,14.918695652,18.862173913
1023088952,CHARNEY,PAMELA,,MD,F,I,160 N MIDLAND AVE,"ADULT HOSPITAL MEDICINE, NYACK HOSPITAL",NYACK,NY,109601912,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,20.57,7.0443478261,4.717826087,5.7913043478
1023088978,HASSAN,IMRAN,,M.D.,M,I,315 W CARPENTER ST,2 ND FLOOR,SPRINGFIELD,IL,627024901,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,300,7.5773333333,5.74,4.5,4.5
1023089000,FRANCE,HAYWOOD,G,MD,M,I,853 N CHURCH ST,SUITE 620,SPARTANBURG,SC,293033098,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,61,1714,26.196032672,13.127386231,10.291901984,10.291901984
1023089000,FRANCE,HAYWOOD,G,MD,M,I,853 N CHURCH ST,SUITE 620,SPARTANBURG,SC,293033098,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,325,268.38384615,210.41175824,210.41175824
1023089000,FRANCE,HAYWOOD,G,MD,M,I,853 N CHURCH ST,SUITE 620,SPARTANBURG,SC,293033098,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,61,423,25,9.3483451537,7.3286997636,7.3286997636
1023089000,FRANCE,HAYWOOD,G,MD,M,I,853 N CHURCH ST,SUITE 620,SPARTANBURG,SC,293033098,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,61,423,50,29.214704492,22.904397163,22.904397163
1023089075,BARTHEL,TRACI,G,MD,F,I,4011 TALBOT RD S,SUITE 300,RENTON,WA,980555773,US,Physician/Hand Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,120,91.27,71.56,79.131428571
1023089075,BARTHEL,TRACI,G,MD,F,I,4011 TALBOT RD S,SUITE 300,RENTON,WA,980555773,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,16,16,330.4375,307.68625,241.228125,256.17
1023089075,BARTHEL,TRACI,G,MD,F,I,4011 TALBOT RD S,SUITE 300,RENTON,WA,980555773,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,27,31,35,85.2,70.94,54.030857143,45.546285714
1023089075,BARTHEL,TRACI,G,MD,F,I,4011 TALBOT RD S,SUITE 300,RENTON,WA,980555773,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,11,277.13,231.90909091,181.81272727,185.88727273
1023089075,BARTHEL,TRACI,G,MD,F,I,4011 TALBOT RD S,SUITE 300,RENTON,WA,980555773,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,25,29,159.27586207,84.9,63.098965517,63.757241379
1023089125,GRAHAM,LAURA,L,PA,F,I,235 W WAYNE ST,,MAUMEE,OH,435372124,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,52,91,66.384505495,8.32,4.9093406593,4.9093406593
1023089125,GRAHAM,LAURA,L,PA,F,I,235 W WAYNE ST,,MAUMEE,OH,435372124,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,10.791875,1.42,0.98,0.98
1023089133,DIXON-GREVIOUS,DOLORES,,MD,F,I,2850 W 95TH ST,SUITE 301,EVERGREEN PARK,IL,608052735,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,34,127,62.23023622,8.32,5.5466141732,5.5466141732
1023089133,DIXON-GREVIOUS,DOLORES,,MD,F,I,2850 W 95TH ST,SUITE 301,EVERGREEN PARK,IL,608052735,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,17,33,13.084848485,1.42,0.9439393939,0.9439393939
1023089133,DIXON-GREVIOUS,DOLORES,,MD,F,I,2850 W 95TH ST,SUITE 301,EVERGREEN PARK,IL,608052735,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1639,0.6265100671,0.0457230018,0.0358511287,0.0358511287
1023089133,DIXON-GREVIOUS,DOLORES,,MD,F,I,2850 W 95TH ST,SUITE 301,EVERGREEN PARK,IL,608052735,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,75.428571429,33,22.402142857,22.402142857
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,31,83,181,61.01718232,8.32,6.0896685083,6.0896685083
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,26,34,13.075588235,1.42,1.0185294118,1.0185294118
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,201.17647059,119.28882353,89.089411765,63.854705882
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,24,53,79.056603774,46.025283019,33.381320755,24.608490566
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,58,52.331724138,23.876896552,16.618275862,13.653793103
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,127.72857143,71.785714286,49.466428571,39.703571429
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,26,26,42.067692308,23.905,18.11,13.820384615
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,44,44,44.473863636,20.191818182,14.674545455,9.3372727273
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,29,120,6.372,3.2225,2.47375,1.5633333333
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,14,14,18.07,8.075,6.335,4.8607142857
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,20.9375,15.82375,12.40125,10.85375
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,91,91,49.239450549,22.717032967,17.501318681,13.570769231
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,105.71428571,58.524285714,37.086190476,29.522380952
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,575,296.81818182,219.66636364,152.19727273
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,37.3375,14.9595,10.571,8.9245
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,29.2,8.42025,6.34,4.09525
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,19,19,117.10526316,41.292105263,31.015263158,23.377894737
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,13.509090909,10.593636364,9.0681818182
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,12.972727273,9.9490909091,8.2490909091
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,30,216,216,262.75736111,104.74481481,77.914583333,53.789259259
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,480,15.58,9.700875,7.311875,7.311875
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2639,1.7630693444,0.1311405836,0.1007578628,0.1007578628
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,480,12.86,2.9253125,2.2934166667,2.2934166667
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,86.666666667,45.497142857,35.672142857,30.538809524
1023089166,OCHOA,JESUS,M,MD,M,I,555 MEEKER ST,,DELTA,CO,814161920,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,33,66.196969697,33,25.086060606,25.086060606
1023089208,LAUTER,ROBBIE,S,FNP,F,I,230 MAPLE ST,,HOLYOKE,MA,010405124,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,19,65,158,98.398734177,8.32,5.413164557,5.413164557
1023089208,LAUTER,ROBBIE,S,FNP,F,I,230 MAPLE ST,,HOLYOKE,MA,010405124,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,19,52,62,16.445967742,1.42,0.864516129,0.864516129
1023089299,TREADWELL,JAMES,A,D.O.,M,I,422 HAMILTON BLVD,,SOUTH BOSTON,VA,245925200,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,33,36,75.666666667,58.739444444,46.046111111,46.408888889
1023089315,ESTIME,PIERRE,H,DO,M,I,46 ALBION ST,,BRIDGEPORT,CT,066052602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,62,124,53.524354839,8.32,5.5800806452,5.5800806452
1023089315,ESTIME,PIERRE,H,DO,M,I,46 ALBION ST,,BRIDGEPORT,CT,066052602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,18,27,26.704074074,1.42,1.1140740741,1.1140740741
1023089331,JENKINS,CHRISTOPHER,D,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,53,65.628679245,8.32,5.5369811321,5.5369811321
1023089331,JENKINS,CHRISTOPHER,D,MD,M,I,7501 RIVERSIDE PKWY,,TULSA,OK,74136,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,15,14.140666667,1.42,0.9666666667,0.9666666667
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,86,123,123,95.135121951,38.024878049,28.036747967,28.725284553
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,36,72,8.0848611111,1.5983333333,1.2022222222,1.1045833333
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,40,63,63,230.85333333,90.792222222,63.810952381,61.436190476
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,43,83,179,87.587877095,34.640111732,25.805139665,24.928268156
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,59,112,502,64.49189243,20.100517928,15.11689243,14.130418327
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,45,88,394,43.098857868,16.318147208,12.103857868,11.334137056
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,92,151,152,183.60078947,58.273881579,42.832828947,40.538355263
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,113,136,136,52.263455882,18.381764706,13.550588235,13.35125
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,66,118,118,61.709322034,13.147711864,10.014745763,8.9577118644
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,130,248,1268,10.070370662,2.0966798107,1.562318612,1.5213958991
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,73,98,98,24.787653061,6.2959183673,4.6824489796,4.4633673469
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,51,65,65,29.936,13.279076923,10.248461538,10.237384615
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,15,113,122,75.449836066,18.378360656,13.396885246,12.672131148
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,2327.6115385,1016.1926923,791.18076923,834.54538462
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,30,38,476.59973684,91.46,65.859736842,64.099473684
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,1129.9076471,231.13823529,175.98176471,166.56764706
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,52,252,283,49.487314488,13.831342756,10.157597173,9.8298939929
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,22,144,154,46.002467532,6.5174025974,4.7842857143,3.5292207792
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,67,341,367,214.5879564,36.064087193,25.063651226,22.647765668
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,70,555,583,480.92128645,79.963156089,59.389468268,52.670188679
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,77,91,167.35604396,37.606483516,28.847362637,29.115714286
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,44,2370,18.714333333,9.6182278481,7.3948059072,7.3948059072
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.192153846,8.7237692308,8.7237692308
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,16,86,18453,0.2356771257,0.0460954858,0.035386658,0.035386658
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,68,8426,1.5666947543,0.1357607406,0.0986909566,0.0986909566
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,55,3150,10.106320635,3.0453238095,2.387552381,2.387552381
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,3.0330666667,0.2194,0.1719888889,0.1719888889
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,22,141,143,160.77118881,37.15,26.688671329,27.048461538
1023089349,COKINGTIN,QUINTIN,L,M.D.,M,I,290 NE TUDOR RD,METROPOLITAN PUMONARY AND HOSPITAL MEDICINE,LEES SUMMIT,MO,640865696,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,33,177,177,76.644067797,33,24.846892655,24.846892655
1023089430,MEYER,DALE,J,MD,M,I,8450 SEASONS PKWY,MAIL STOP 32900A,WOODBURY,MN,551254402,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,69,184,81.26125,8.32,5.9551086957,5.9551086957
1023089430,MEYER,DALE,J,MD,M,I,8450 SEASONS PKWY,MAIL STOP 32900A,WOODBURY,MN,551254402,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,17,27,35,18.355142857,1.42,1.084,1.084
1023089430,MEYER,DALE,J,MD,M,I,8450 SEASONS PKWY,MAIL STOP 32900A,WOODBURY,MN,551254402,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,6687,1.522766562,0.3098609242,0.224357709,0.224466876
1023089448,KARSAN,ARUN,K,M.D.,M,I,201 4TH ST,SUITE 2D,ALEXANDRIA,LA,713018421,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,22.790909091,16.51,12.3
1023089448,KARSAN,ARUN,K,M.D.,M,I,201 4TH ST,SUITE 2D,ALEXANDRIA,LA,713018421,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,389.96730769,90.858461538,66.275,54.658846154
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,153,16660,4.0496014406,0.5625840336,0.4176458583,0.4197112845
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,74,12655,0.0848067957,0.0131126037,0.0098427499,0.0098427499
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,2880,1.44375,0.7405,0.5757465278,0.5757465278
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,124,22560,3.3822814716,1.2129507979,0.8844117908,0.9259671986
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,2880,6.7719652778,2.82975,2.2009305556,2.2009305556
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,19.574560606,7.438,5.8314090909,5.8314090909
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,18,162,162,24,24,18.239135802,18.239135802
1023089463,DHILLON,SUNDEEP,S,MD,M,I,4600 INVESTMENT DR,STE 290,TROY,MI,48098,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,17,248,256,16,16,12.0234375,12.0234375
1023089505,CARLSON,DON,H,D.O.,M,I,6274 E GRANT RD,,TUCSON,AZ,857125831,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1023089505,CARLSON,DON,H,D.O.,M,I,6274 E GRANT RD,,TUCSON,AZ,857125831,US,Physician/Family Practice,S,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,281.12,119.22,85.680833333,89.130833333
1023089513,SAUL,ZANE,K,M.D.,M,I,3241 MAIN ST,SUITE B,STRATFORD,CT,066144850,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,34,81.437647059,8.32,6.5229411765,6.5229411765
1023089679,BULL,BRIAN,D,MD,M,I,851 NORTH LOOP 340,,WACO,TX,76705,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,27,55,130,57.349538462,8.32,5.5646923077,5.5646923077
1023089679,BULL,BRIAN,D,MD,M,I,851 NORTH LOOP 340,,WACO,TX,76705,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,34,47,14.762340426,1.42,0.95,0.95
1023089679,BULL,BRIAN,D,MD,M,I,851 NORTH LOOP 340,,WACO,TX,76705,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,21.646363636,4.4427272727,3.4781818182,3.5836363636
1023089679,BULL,BRIAN,D,MD,M,I,851 NORTH LOOP 340,,WACO,TX,76705,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1680,2.383452381,0.1371428571,0.101047619,0.101047619
1023089679,BULL,BRIAN,D,MD,M,I,851 NORTH LOOP 340,,WACO,TX,76705,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,105.34416667,44.96,35.25,35.32
1023089679,BULL,BRIAN,D,MD,M,I,851 NORTH LOOP 340,,WACO,TX,76705,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,23.88,23.88
1023089778,ZUKOFF,DAVID,S,M.D.,M,I,21 N GILBERT ST,,TINTON FALLS,NJ,077014950,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,23,23,67.92,19.71,15.45,15.45
1023089778,ZUKOFF,DAVID,S,M.D.,M,I,21 N GILBERT ST,,TINTON FALLS,NJ,077014950,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,46,46,140.19,37.38,29.3,29.3
1023089778,ZUKOFF,DAVID,S,M.D.,M,I,21 N GILBERT ST,,TINTON FALLS,NJ,077014950,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,46,1760,13.415977273,1.5581534091,1.2216022727,1.2216022727
1023089851,JENSEN,REGINA,M,MD,F,I,4536 TECHNOLOGY DR,STE 3,WILMINGTON,NC,284052153,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,180,49.9,39.119166667,25.325
1023089869,FUNK,JOSEPH,D,DPM,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,100.71428571,74.55,50.392142857,54.484285714
1023089869,FUNK,JOSEPH,D,DPM,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,24,300,266.98,205.69833333,214.87916667
1023089885,KHOND,SONALI,A,M.D.,F,I,21 BRISTOL DR,SUITE 200,SOUTH EASTON,MA,023751100,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,34,109,319,70.077899687,8.32,6.0315987461,6.0315987461
1023089885,KHOND,SONALI,A,M.D.,F,I,21 BRISTOL DR,SUITE 200,SOUTH EASTON,MA,023751100,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,23,53,86,14.641162791,1.42,1.0110465116,1.0110465116
1023089885,KHOND,SONALI,A,M.D.,F,I,21 BRISTOL DR,SUITE 200,SOUTH EASTON,MA,023751100,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,86.31,17.159090909,12.242272727,12.294545455
1023089885,KHOND,SONALI,A,M.D.,F,I,21 BRISTOL DR,SUITE 200,SOUTH EASTON,MA,023751100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,519.51,78.085909091,55.910454545,50.921818182
1023090008,MINKOFF,PETER,,M.D.,M,I,306 W EL NORTE PKWY,,ESCONDIDO,CA,920261960,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,52,7.4619230769,2,1.4926923077,1.5128846154
1023090008,MINKOFF,PETER,,M.D.,M,I,306 W EL NORTE PKWY,,ESCONDIDO,CA,920261960,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,110.5075,31.151875,19.709375,21.219375
1023090230,WYNBERG,JASON,B,M.D.,M,I,16 POCONO RD,114,DENVILLE,NJ,07834,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,17,4320,5.1931944444,2.04,1.5993518519,1.5993518519
1023090289,KOONTZ,WARREN,,M.D.,M,I,1800 GLENSIDE DR STE 110,,RICHMOND,VA,232263769,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,40,109,300,70.2981,8.32,5.8383666667,5.8383666667
1023090289,KOONTZ,WARREN,,M.D.,M,I,1800 GLENSIDE DR STE 110,,RICHMOND,VA,232263769,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,15.5,3.38,2.2525,2.2525
1023090289,KOONTZ,WARREN,,M.D.,M,I,1800 GLENSIDE DR STE 110,,RICHMOND,VA,232263769,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,24.09,2.12,1.5181818182,1.5181818182
1023090289,KOONTZ,WARREN,,M.D.,M,I,1800 GLENSIDE DR STE 110,,RICHMOND,VA,232263769,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,60,85,16.988705882,1.42,0.9711764706,0.9711764706
1023090289,KOONTZ,WARREN,,M.D.,M,I,1800 GLENSIDE DR STE 110,,RICHMOND,VA,232263769,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,30,50.805666667,16.984666667,12.871,13.041666667
1023090289,KOONTZ,WARREN,,M.D.,M,I,1800 GLENSIDE DR STE 110,,RICHMOND,VA,232263769,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,113.33333333,30.875,24.205,24.639166667
1023090289,KOONTZ,WARREN,,M.D.,M,I,1800 GLENSIDE DR STE 110,,RICHMOND,VA,232263769,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,30,289.88566667,77.563,56.825666667,52.621333333
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,26,129,299,71.997157191,8.32,5.51090301,5.51090301
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,35,14.455714286,1.42,1.0508571429,1.0508571429
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,8.2171428571,1.7695238095,1.1614285714,0.9323809524
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,11,11,61.259090909,23.022727273,18.048181818,14.72
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,13.429090909,2.86,2.2425757576,1.5933333333
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,168.90517241,66.176206897,50.558965517,41.146551724
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,82,85,78.487411765,21.286470588,16.16,13.139647059
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,29,29,232.35,62.460344828,46.008965517,35.382068966
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,30,31,38.73,6.2741935484,4.2177419355,3.0261290323
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,123.8,45.942941176,26.060588235,23.267647059
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,50.51,15.074615385,11.818461538,9.7061538462
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,125,134,467.10223881,95.598358209,73.216940299,53.753656716
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,4326,1.4228409616,0.1369163199,0.1067244568,0.1067244568
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.805,44.745,35.0825,29.515833333
1023090297,KHALIL,HASSAN,Y,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,42,42,94.285714286,33,25.254047619,25.254047619
1023090321,KATZ,DAVID,A,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,27,70.966666667,8.32,6.0381481481,6.0381481481
1023090321,KATZ,DAVID,A,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,652.95733333,31.054,22.277333333,21.829333333
1023090321,KATZ,DAVID,A,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.92,0.1339230769,0.091025641,0.091025641
1023090321,KATZ,DAVID,A,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,21.89,21.89
1023090354,KANE,MARY,G,MD,F,I,33 W HIGGINS RD,SUITE 820,SOUTH BARRINGTON,IL,600109115,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,325,98.153846154,5.79,4.4370461538,4.0618461538
1023090354,KANE,MARY,G,MD,F,I,33 W HIGGINS RD,SUITE 820,SOUTH BARRINGTON,IL,600109115,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4601,1.2871984351,0.33,0.2347554879,0.2205259726
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,30,50.982666667,8.32,5.6506666667,5.6506666667
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,245,5.3620408163,3.32,2.3904489796,2.8542857143
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,10.475384615,8.28,5.9907692308,5.9907692308
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,9.6461538462,4.1,2.9630769231,2.9630769231
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,130,10.503076923,7.06,5.1092307692,5.1092307692
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,130,6.2361538462,5.7284615385,4.2882307692,4.2972307692
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,4.2869230769,3.13,2.454,2.454
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,0.6044666667,0.26,0.204,0.2116
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,271.43545455,56,37.046363636,36.168181818
1023090610,RODGERS,MARVIN,D,D.O.,M,I,210 SW 89TH ST,,OKLAHOMA CITY,OK,731398514,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,52,11.546538462,2.09,1.1984615385,1.165
1023090834,BATISH,DHARAM,B,M.D.,M,I,1100 PENNSYLVANIA AVE,,EAST LIVERPOOL,OH,439203539,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,312.04,167.11636364,128.35636364,104.00545455
1023090834,BATISH,DHARAM,B,M.D.,M,I,1100 PENNSYLVANIA AVE,,EAST LIVERPOOL,OH,439203539,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,107.89642857,22.829285714,17.896428571,13.96
1023090834,BATISH,DHARAM,B,M.D.,M,I,1100 PENNSYLVANIA AVE,,EAST LIVERPOOL,OH,439203539,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,37.365,7.635,4.1675,2.2833333333
1023090834,BATISH,DHARAM,B,M.D.,M,I,1100 PENNSYLVANIA AVE,,EAST LIVERPOOL,OH,439203539,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.84,11.095454545,8.7027272727,7.1454545455
1023090834,BATISH,DHARAM,B,M.D.,M,I,1100 PENNSYLVANIA AVE,,EAST LIVERPOOL,OH,439203539,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,63,63,466.38015873,102.23079365,75.407301587,53.07047619
1023090834,BATISH,DHARAM,B,M.D.,M,I,1100 PENNSYLVANIA AVE,,EAST LIVERPOOL,OH,439203539,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,197.05882353,43.934117647,34.347058824,29.415294118
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,84,207,58.090869565,8.32,6.1436231884,6.1436231884
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,22,22,15.353636364,3.38,2.65,2.65
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,25.049090909,2.12,1.67,1.67
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,62,88,16.377045455,1.42,1.0275,1.0275
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,1395,7.37,6.26,4.907921147,5.7395412186
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,3.97,3.97,3.1125,3.1125
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,550,0.4290909091,0.27,0.2116363636,0.2116363636
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,312,25.48,23.66,18.41900641,18.41900641
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,20,300,3.79,3.79,2.9713333333,2.9713333333
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,589,3.81,3.81,2.8298811545,2.8298811545
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,26,786,3.4208651399,3,2.2672519084,2.2829643766
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,16,117,3382,10.006141336,5.0888586635,3.9255795387,4.0815079834
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,40,13526,0.6123177584,0.3674286559,0.2668978264,0.2693072601
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,23,10233,0.6616182938,0.2882145998,0.2259591518,0.2340330304
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4306,1.2916117046,1.2379842081,0.9705805852,0.9486344635
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,69,29235,0.9671455447,0.6573360698,0.5055365145,0.507024457
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,49,49,67.614285714,61.548979592,48.254081633,48.340612245
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,100.28545455,50.87,39.89,37.083636364
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,111.44666667,55.347333333,43.39,41.006
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,228.69818182,55.607272727,40.245454545,38.844545455
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,3087.0369231,913.16,704.88384615,831.22384615
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,14,103,105,5.9722857143,5.3011428571,4.076,3.9746666667
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,11.328888889,11.143333333,8.7366666667,9.0066666667
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,30,30.110666667,20.350666667,15.956,15.29
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0966,"Manual wheelchair accessory, headrest extension, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,9,5.386,4.006,5.0415
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,159.871875,21.88875,17.159375,18.176875
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,10.766666667,10.59,8.3033333333,8.39
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,225.61833333,221.92,173.98,173.98
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,60,33.48,26.24,28.26
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,393.10608696,88.526956522,64.209130435,49.965652174
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,21,21,21,109.75809524,33.532380952,26.292857143,29.04
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,23,121,129,57.837674419,24.282945736,18.498682171,14.504883721
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,40,35.757,35.14025,26.62975,20.67875
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,18,120,54.523333333,42.743333333,39.243333333
1023090867,CHI,PETER,C,M.D.,M,I,5828 TEMPLE CITY BLVD,,TEMPLE CITY,CA,917802112,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,55,57,18.535614035,8.9747368421,7.0352631579,6.7070175439
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,46,39.974565217,8.32,5.9539130435,5.9539130435
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,217.87333333,82,64.29,67.544166667
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,32,86.095625,31.5,24.6965625,25.8025
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,54.721818182,17,13.33,13.993636364
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,21,21,52.870952381,11.37,8.4952380952,8.6976190476
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,104,6.8565384615,2,1.4778846154,1.5002884615
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,39.394444444,17,13.33,13.501111111
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,48.585833333,3.8875,2.7308333333,3.3158333333
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,217.6673913,73,57.23,55.219130435
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2520,0.8721428571,0.1345,0.0859563492,0.0859563492
1023091014,GRUN,TANYA,R,M.D.,F,I,301 MAIN PLZ # 330,,NEW BRAUNFELS,TX,781305136,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,20.326428571,20.326428571
1023091089,PELAEZ,JORGE,M,MD,M,I,8333 N DAVIS HWY,WEST FLORIDA MEDICAL CENTER CLINIC PA,PENSACOLA,FL,32514,US,Physician/Preventive Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,65,100.23753846,18.78,12.458307692,12.311846154
1023091089,PELAEZ,JORGE,M,MD,M,I,8333 N DAVIS HWY,WEST FLORIDA MEDICAL CENTER CLINIC PA,PENSACOLA,FL,32514,US,Physician/Preventive Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,287.11941176,55.061176471,38.147647059,37.84
1023091089,PELAEZ,JORGE,M,MD,M,I,8333 N DAVIS HWY,WEST FLORIDA MEDICAL CENTER CLINIC PA,PENSACOLA,FL,32514,US,Physician/Preventive Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,86.542727273,11.981818182,7.7509090909,7.48
1023091089,PELAEZ,JORGE,M,MD,M,I,8333 N DAVIS HWY,WEST FLORIDA MEDICAL CENTER CLINIC PA,PENSACOLA,FL,32514,US,Physician/Preventive Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,94,12.483191489,2.0357446809,1.325106383,1.3234042553
1023091360,ABELL,KIM,B,MD,M,I,2212 PENFIELD RD,SUITE 100,ROCHESTER,NY,14526,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,41,117,62.121538462,8.32,6.02,6.02
1023091360,ABELL,KIM,B,MD,M,I,2212 PENFIELD RD,SUITE 100,ROCHESTER,NY,14526,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,297.5,77.18,60.51,54.72
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,55,67,16.633134328,5.5373134328,3.95,3.95
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,72,74,22.222702703,13.8,10.274324324,10.274324324
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,97,13153,2.3999657873,2.0395848856,1.5576621303,1.5576621303
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,78,141,17.09929078,10.927446809,8.1418439716,8.1418439716
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,77,133,15.351428571,7.4569924812,5.3630075188,5.3630075188
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,230,10.06,9.2,6.5890434783,6.5890434783
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,37,276,1.8439492754,1.7669927536,1.3851811594,1.3974275362
1023091386,TUVESON,CHRISTOPHER,C,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,180,5.16,4.04,3.094,3.094
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,64,157,433,60.621893764,8.32,6.1939491917,6.1939491917
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,26,26,10.070769231,3.38,2.65,2.65
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,8.5285714286,2.12,1.67,1.67
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,31,66,82,11.255853659,1.42,1.1034146341,1.1034146341
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,188.83333333,86,67.42,67.84
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,44,64.683636364,33.22,26.046363636,25.919090909
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,77.981538462,55.57,43.57,42.969230769
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,19,19,35.694736842,17.4,13.64,14.015789474
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,23,23,21.491304348,11.5,9.02,9.1156521739
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,26,150,3.7184,2,1.5683333333,1.5907333333
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,60,49.702727273,38.968181818,38.255454545
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,42,51.070714286,17.32,13.58,13.544761905
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,49,49,94.897959184,31.964081633,22.976734694,22.766734694
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,15,15,15,38.053333333,35.258,25.298,56.512666667
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,51,333.75784314,76.58,58.870784314,54.271764706
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,3050,0.7941377049,0.0464163934,0.0363901639,0.0363901639
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,400,0.6376,0.218725,0.1713,0.1713
1023091402,TAYLOR,RONALD,J,MD,M,I,21216 NORTHWEST FWY STE 560,,CYPRESS,TX,774294697,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,27,27,47.666666667,33,25.87,25.87
1023091444,SINGER,RONALD,W,MD,M,I,15825 JOHN J DELANEY DR,SUITE 100,CHARLOTTE,NC,282773146,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,19,19,19,97.909473684,50.308947368,39.443157895,36.457368421
1023091444,SINGER,RONALD,W,MD,M,I,15825 JOHN J DELANEY DR,SUITE 100,CHARLOTTE,NC,282773146,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,6,27,27,27,112.23,52.258148148,40.97037037,40.664814815
1023091444,SINGER,RONALD,W,MD,M,I,15825 JOHN J DELANEY DR,SUITE 100,CHARLOTTE,NC,282773146,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,225,55.79125,40.51375,37.434375
1023091444,SINGER,RONALD,W,MD,M,I,15825 JOHN J DELANEY DR,SUITE 100,CHARLOTTE,NC,282773146,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,3,207,215,3631,57.874745249,22.282170201,17.46920683,19.880985954
1023091444,SINGER,RONALD,W,MD,M,I,15825 JOHN J DELANEY DR,SUITE 100,CHARLOTTE,NC,282773146,US,Physician/Orthopedic Surgery,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,143,55.609090909,31.571818182,26.85
1023091444,SINGER,RONALD,W,MD,M,I,15825 JOHN J DELANEY DR,SUITE 100,CHARLOTTE,NC,282773146,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,25,7.9676923077,4.5576923077,5.0892307692
1023091444,SINGER,RONALD,W,MD,M,I,15825 JOHN J DELANEY DR,SUITE 100,CHARLOTTE,NC,282773146,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,20,118.2,117.512,92.128,79.336
1023091493,BOU,CHARLES,,MD,M,I,707 E MAIN ST,,MIDDLETOWN,NY,10940,US,Physician/Anesthesiology,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1023091667,LEE,RONALD,D,M.D.,M,I,1660 FEEHANVILLE DR STE 200,,MOUNT PROSPECT,IL,600566036,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,110,30.38,23.81,27.719285714
1023091667,LEE,RONALD,D,M.D.,M,I,1660 FEEHANVILLE DR STE 200,,MOUNT PROSPECT,IL,600566036,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,4920,3.7794756098,2.04,1.5701849593,1.5701849593
1023091667,LEE,RONALD,D,M.D.,M,I,1660 FEEHANVILLE DR STE 200,,MOUNT PROSPECT,IL,600566036,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,35,3693,13.468927701,6.15,4.7852423504,5.6113187111
1023091683,CHO,NAMI,L,M.D.,F,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,54,64.177222222,8.32,4.9064814815,4.9064814815
1023091683,CHO,NAMI,L,M.D.,F,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,18,31,22.893225806,1.42,0.8967741935,0.8967741935
1023091683,CHO,NAMI,L,M.D.,F,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,77.344545455,17.41,11.302727273,11.202727273
1023091683,CHO,NAMI,L,M.D.,F,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,6.2463636364,4.5,3.69
1023091683,CHO,NAMI,L,M.D.,F,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,144.827,79.3,55.953,49.257
1023091683,CHO,NAMI,L,M.D.,F,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,15,15,33,33,22.420666667,22.420666667
1023091766,GUADIZ,PATRICK,H,MD,M,I,20 HOMER AVE,,ASHLAND,MA,017211752,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,13,33,74.571212121,8.32,5.7312121212,5.7312121212
1023091766,GUADIZ,PATRICK,H,MD,M,I,20 HOMER AVE,,ASHLAND,MA,017211752,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,14,13.618571429,1.42,0.9585714286,0.9585714286
1023091766,GUADIZ,PATRICK,H,MD,M,I,20 HOMER AVE,,ASHLAND,MA,017211752,US,Physician/Internal Medicine,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1343.1818182,435.49545455,341.42909091,341.42909091
1023091808,HALEBIAN,JOHN,D,DPM CWS,M,I,531 N BEACHWOOD DR,,BURBANK,CA,915061801,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,892,0.1789910314,0.12,0.094058296,0.094058296
1023091808,HALEBIAN,JOHN,D,DPM CWS,M,I,531 N BEACHWOOD DR,,BURBANK,CA,915061801,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,204,9.9617647059,8.41,6.5934313725,6.5934313725
1023091808,HALEBIAN,JOHN,D,DPM CWS,M,I,531 N BEACHWOOD DR,,BURBANK,CA,915061801,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1012,2.5531818182,1.97,1.5445059289,1.5445059289
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,27,27,111.14555556,40.864444444,27.421481481,26.004074074
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,316.19,85.9715,64.0215,64.463
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,61,117.0752459,32.690491803,25.629016393,25.916721311
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,20,58,310,67.764129032,19.573612903,13.153967742,12.355129032
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,16,39,225,44.245377778,15.717688889,9.8084,9.5905333333
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,32,87,87,189.79666667,58.672183908,40.58,37.484942529
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,35,52,52,61.585769231,18.578653846,11.835961538,11.355192308
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,28,64,64,65.0934375,12.7115625,9.09390625,8.24375
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,35,87,494,8.4751012146,2.2463967611,1.6478340081,1.4957489879
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,24.743684211,6.2342105263,4.6415789474,4.4126315789
1023091873,SPRINGER,ROBERT,R,MD,M,I,1000 W STATE HIGHWAY 6,STE 150,WACO,TX,767123786,US,Specialist,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,29,39,39,37.091538462,13.075128205,10.030512821,10.093076923
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,13,42,114,69.029824561,8.32,5.5726315789,5.5726315789
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,16,34,34,181.38,49.840294118,35.659117647,27.613235294
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,31,8.19,2.0019354839,1.405483871,1.0470967742
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,13,33,33,512.16,125.30333333,94.105151515,66.477575758
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,14,43,107,189.42,46.230280374,35.923457944,26.580934579
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,18,25,25,94.17,26.2788,20.5984,15.128
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,17,42,198,13.92,3.2221212121,2.4729292929,1.6336868687
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,101,104,86.31,22.212307692,15.691538462,12.155865385
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,13,232.35,60.253076923,47.237692308,38.656923077
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,41,53,81.75,19.449433962,15.248490566,10.992830189
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,50.73,8.0631428571,6.0788571429,3.6142857143
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,11,64,74,257.82,55.927432432,43.49527027,29.536891892
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,18,130,133,519.51,100.72,73.459849624,50.553909774
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,250,46.422857143,36.397857143,30.03
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,29,1710,15.58,9.6180175439,7.3741988304,7.3741988304
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2700,0.17,0.0458888889,0.0318851852,0.0318851852
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1380,0.92,0.133173913,0.0984710145,0.0984710145
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,870,12.280689655,2.965,2.3245747126,2.3245747126
1023091931,WILLIAMS,KENNETH,L,M.D.,M,I,476 WILLIAMS WAY,STE A,MOAB,UT,845322065,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,54,54,130.16666667,33,24.911851852,24.911851852
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,48,120,345,69.679362319,8.32,5.5199130435,5.5199130435
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,10.976470588,3.38,2.5594117647,2.5594117647
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,26,53,76,13.074868421,1.42,1.0123684211,1.0123684211
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,112.20571429,41.287142857,30.045,28.460714286
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,292.39904762,94.29,66.88,61.668571429
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,54,114.36888889,34.02,24.693888889,23.982407407
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,14,38,211,58.487582938,19.004075829,14.737061611,14.415592417
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,15,78,54.248589744,15.16,11.885512821,11.892948718
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,28,58,58,172.24758621,56.724827586,41.389655172,40.052758621
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,32,44,44,59.57,18.907272727,14.544318182,13.85
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,27,62,62,57.064677419,12.686451613,9.6274193548,8.8825806452
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,35,74,415,7.6671325301,2.1005542169,1.5755180723,1.5248674699
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,23,31,31,20.980322581,5.9270967742,4.654516129,4.6583870968
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,14,17,17,46.107647059,13.254117647,9.7835294118,9.74
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,187.33767442,38.285581395,29.268139535,28.71627907
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,290,77.36,55.595833333,51.649166667
1023092020,LIANG,WEN,,M.D.,M,I,2621 W HORIZON RIDGE PKWY,SUITE 150,HENDERSON,NV,890522895,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,166.63846154,40.62,31.85,30.057692308
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,62,144,61.539861111,8.32,5.8421527778,5.8421527778
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,31,45,15.111555556,1.42,0.9671111111,0.9671111111
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,9.1335714286,7.1592857143,4.1285714286
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,121,52.895833333,41.47,36.305
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,39,408.16871795,91.884615385,66.887179487,49.964871795
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,250,44.455714286,31.726190476,27.045238095
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,14.544986111,11.2095,8.6400972222,8.6400972222
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3545,0.3203751763,0.0469957687,0.0342538787,0.0342538787
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9881818182,2.3427575758,2.3427575758
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,222.5,55.053571429,41.573571429,24.129285714
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,64,45.25125,33.425625,27.6725
1023092160,CUNNINGHAM,LYNN,M,MD,F,I,1259 FISHER AVE,,CORTLAND,NY,130451012,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,67.137931034,33,25.87,25.87
1023092178,BRICKNER,KURT,A,DO,M,I,1813 W HARVARD AVE,SUITE 241,ROSEBURG,OR,974712752,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,39,50,8.32,5.8530769231,5.8530769231
1023092178,BRICKNER,KURT,A,DO,M,I,1813 W HARVARD AVE,SUITE 241,ROSEBURG,OR,974712752,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,491.80105263,119.15315789,83.707894737,63.331052632
1023092178,BRICKNER,KURT,A,DO,M,I,1813 W HARVARD AVE,SUITE 241,ROSEBURG,OR,974712752,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,62,185.42709677,44.141612903,31.300322581,24.552580645
1023092178,BRICKNER,KURT,A,DO,M,I,1813 W HARVARD AVE,SUITE 241,ROSEBURG,OR,974712752,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,18,18,92.249444444,23.539444444,16.718888889,13.486666667
1023092178,BRICKNER,KURT,A,DO,M,I,1813 W HARVARD AVE,SUITE 241,ROSEBURG,OR,974712752,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,106.54636364,19.004545455,14.897272727,11.223636364
1023092178,BRICKNER,KURT,A,DO,M,I,1813 W HARVARD AVE,SUITE 241,ROSEBURG,OR,974712752,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,21,117,13.723076923,2.8497435897,2.1130769231,1.6695726496
1023092178,BRICKNER,KURT,A,DO,M,I,1813 W HARVARD AVE,SUITE 241,ROSEBURG,OR,974712752,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,534.94461538,86.675384615,67.953076923,54.73
1023092285,NEWCOMBE,MALINDA,M,MD,F,I,1220 N HIGHWAY A1A,SUITE 147,INDIALANTIC,FL,32903,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,25,77,70.623376623,8.32,5.5566233766,5.5566233766
1023092285,NEWCOMBE,MALINDA,M,MD,F,I,1220 N HIGHWAY A1A,SUITE 147,INDIALANTIC,FL,32903,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,22,12.915,1.42,0.9636363636,0.9636363636
1023092285,NEWCOMBE,MALINDA,M,MD,F,I,1220 N HIGHWAY A1A,SUITE 147,INDIALANTIC,FL,32903,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.61,13.02,13.54
1023092285,NEWCOMBE,MALINDA,M,MD,F,I,1220 N HIGHWAY A1A,SUITE 147,INDIALANTIC,FL,32903,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,17.934166667,17.934166667
1023092343,SMITH,MELANIE,F,M.D.,F,I,924 MAIN ST,,CONWAY,AR,720325424,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,27,27,65.107037037,64.05,44.612222222,47.185555556
1023092343,SMITH,MELANIE,F,M.D.,F,I,924 MAIN ST,,CONWAY,AR,720325424,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,69,55.913768116,55.913768116,36.454782609,35.964202899
1023092517,NEUSCHWANDER,DAVID,C,M.D.,M,I,2550 MOSSIDE BLVD,STE. 405,MONROEVILLE,PA,151463540,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,130,120.62,94.57,88.025384615
1023092525,STAATS,JULIE,A,DO,F,I,2600 PARTIN DR N,STE 120,NICEVILLE,FL,325781543,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,45,44.568222222,8.32,5.7982222222,5.7982222222
1023092525,STAATS,JULIE,A,DO,F,I,2600 PARTIN DR N,STE 120,NICEVILLE,FL,325781543,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,40.956470588,4.5641176471,3.5794117647,3.5776470588
1023092525,STAATS,JULIE,A,DO,F,I,2600 PARTIN DR N,STE 120,NICEVILLE,FL,325781543,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,519.51,70.23,52.8576,52.5584
1023092533,KELLY,MARILYN,R,NP,F,I,202 N 1ST ST,STE A,BOONEVILLE,MS,388292718,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,30,41.233333333,8.32,5.8706666667,5.8706666667
1023092533,KELLY,MARILYN,R,NP,F,I,202 N 1ST ST,STE A,BOONEVILLE,MS,388292718,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,58.105
1023092582,JOHNSON,SCOTT,W,M.D.,M,I,5070 BRADENTON AVE,,DUBLIN,OH,430173520,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,53,76.054528302,8.32,5.7828301887,5.7828301887
1023092582,JOHNSON,SCOTT,W,M.D.,M,I,5070 BRADENTON AVE,,DUBLIN,OH,430173520,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,37,17.41,12.409090909,12.319090909
1023092582,JOHNSON,SCOTT,W,M.D.,M,I,5070 BRADENTON AVE,,DUBLIN,OH,430173520,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,33.8425,23.809166667,22.820833333
1023092582,JOHNSON,SCOTT,W,M.D.,M,I,5070 BRADENTON AVE,,DUBLIN,OH,430173520,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,270,79.3,55.212727273,48.45
1023092640,SWANSON,SCOTT,K,M.D.,F,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,2280,5.9928421053,1.9705263158,1.5342938596,1.5887675439
1023092640,SWANSON,SCOTT,K,M.D.,F,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,2830,10.879681979,7.23,5.6176113074,5.6176113074
1023092640,SWANSON,SCOTT,K,M.D.,F,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,15,51,18.501568627,10.745882353,8.4247058824,8.5692156863
1023092640,SWANSON,SCOTT,K,M.D.,F,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,390,9.5515897436,5.74,4.5001025641,4.5001025641
1023092640,SWANSON,SCOTT,K,M.D.,F,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,40,3.2105,1.8,1.41,1.41
1023092640,SWANSON,SCOTT,K,M.D.,F,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,510,7.4096470588,4.04,3.1289019608,3.1289019608
1023092699,DEVORE,ROBERT,D,MD,M,I,340 MEDICAL PKWY,SUITE 200,GREER,SC,296502441,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,4098,0.39,0.13,0.0974304539,0.0974304539
1023092699,DEVORE,ROBERT,D,MD,M,I,340 MEDICAL PKWY,SUITE 200,GREER,SC,296502441,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,75,10628,4.4327342868,2.04,1.5461648476,1.5461648476
1023092699,DEVORE,ROBERT,D,MD,M,I,340 MEDICAL PKWY,SUITE 200,GREER,SC,296502441,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,3180,9.65,7.23,5.6402264151,5.6402264151
1023092699,DEVORE,ROBERT,D,MD,M,I,340 MEDICAL PKWY,SUITE 200,GREER,SC,296502441,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1160,11.4,7.88,6.177887931,6.177887931
1023092723,TAYLOR,ROBERT,J,MD,M,I,10 GAGNON DR,,STONE RIDGE,NY,124845120,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,24,57,73.229824561,8.32,5.149122807,5.149122807
1023092723,TAYLOR,ROBERT,J,MD,M,I,10 GAGNON DR,,STONE RIDGE,NY,124845120,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,16,14.24125,1.42,1.04875,1.04875
1023092723,TAYLOR,ROBERT,J,MD,M,I,10 GAGNON DR,,STONE RIDGE,NY,124845120,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,760.48,67.72,53.1,54.58826087
1023092723,TAYLOR,ROBERT,J,MD,M,I,10 GAGNON DR,,STONE RIDGE,NY,124845120,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,285.6,38.72,30.36,29.593043478
1023092806,NOTHNAGLE,MELISSA,,MD,F,I,111 BREWSTER ST,DEPARTMENT OF FAMILY MEDICINE,PAWTUCKET,RI,028604400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,57,47.534561404,8.32,5.6068421053,5.6068421053
1023093283,KNOPP,WILLIAM,D,M.D.,M,I,300 LAKE DR E,,CHANHASSEN,MN,553179302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,50,71.518,8.32,5.7384,5.7384
1023093291,SABONGHY,ERIC,,M.D.,M,I,10125 KATY FWY STE 100,,HOUSTON,TX,770241287,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,149.73,130.57,99.149310345,99.284482759
1023093291,SABONGHY,ERIC,,M.D.,M,I,10125 KATY FWY STE 100,,HOUSTON,TX,770241287,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,25,25,127.78,105.178,82.4596,87.2504
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,53,146,146,97.040684932,35.835410959,27.134589041,29.383493151
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,98,259,259,226.10567568,85.334826255,64.161467181,65.116718147
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,91,279,727,103.56215956,31.730288858,24.085061898,25.083081155
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,68,169,894,59.232930649,18.69,13.976174497,13.88704698
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,69,192,989,41.579049545,16.393185035,12.321860465,11.493892821
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,128,332,332,170.52671687,50.12939759,37.370331325,40.786837349
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,205,319,319,56.616081505,17.428025078,13.245047022,13.630250784
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,24,32,32,26.2171875,12.78,10.02,8.266875
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,169,446,446,57.974865471,9.2074439462,7.0021300448,8.7919282511
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,210,608,3309,7.8762768208,1.8963916591,1.4257358719,1.5265608945
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,28,42,42,21.786428571,5.0780952381,3.730952381,4.435
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,151,236,236,33.88720339,15.511525424,11.807245763,10.191440678
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,55,55,318.11818182,86.194363636,64.768545455,63.672181818
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,798.94894737,215.82052632,169.20157895,160.09315789
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,48,48,48,376.22375,142,109.38583333,103.03229167
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,33.895384615,14.2,11.13,10.58
1023093309,BAKI,TALAL,T,MD,M,I,196 CARDIOLOGY DRIVE,,ROCK HILL,SC,29732,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,95,630,630,159.2044127,33.21584127,24.293380952,23.381650794
1023093317,LOWERY,ROBERT,B,MD,M,I,255 E BAY ST,,CHARLESTON,SC,294012632,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,30,30,30,169.6,46.947,35.491,35.833333333
1023093317,LOWERY,ROBERT,B,MD,M,I,255 E BAY ST,,CHARLESTON,SC,294012632,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,499,266.98,209.31,218.01909091
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,100.684375,39,28.063125,27.990625
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,31,92.867741935,34.05,26.696774194,26.143548387
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,83.974166667,18.765833333,13.535,12.8925
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,119,7.141512605,2.06,1.5336134454,1.5151260504
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,76,76,130.50276316,16.08,11.273684211,12.18
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,33,33,187.5,45,35.28,37.273939394
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,21.288163265,4.0151020408,3.1469387755,3.6685714286
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,60,60,154.079,31.306666667,22.256333333,22.3855
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,24,148,148,432.87885135,77.18,56.708716216,51.604324324
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,54,54,125.59166667,37,28.472777778,28.956666667
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1500,19.964033333,11.06616,8.5802466667,8.58024
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,33,11595,0.328952997,0.0467718844,0.0305899094,0.0305899094
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1440,11.008805556,2.9284166667,2.295875,2.295875
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,211.27058824,37,29.01,29.480588235
1023093432,WARD,WILLIAM,L,DO,M,I,1235 OLD YORK RD,SUITE 121,ABINGTON,PA,190013800,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,50,50,33,33,24.8352,24.8352
1023093507,ZUCKERMAN,DAN,S,MD,M,I,100 E IDAHO ST,,BOISE,ID,837126223,US,Physician/Medical Oncology,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,642.88909091,77.18,60.51,55.246363636
1023093507,ZUCKERMAN,DAN,S,MD,M,I,100 E IDAHO ST,,BOISE,ID,837126223,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,1488,21.111915323,4.9755040323,3.9007862903,3.9007862903
1023093507,ZUCKERMAN,DAN,S,MD,M,I,100 E IDAHO ST,,BOISE,ID,837126223,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,24,24,18.82,18.82
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,81,168,60.235892857,8.32,5.0885714286,5.0885714286
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,29,38,15.877368421,1.4115789474,0.9047368421,0.9113157895
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,268.53333333,98.129333333,67.85,58.822666667
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,109.20833333,37.492916667,29.393333333,25.9175
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,20,41,139,70.459136691,18.36,13.241007194,13.389352518
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,16,56,53,15.27,11.971071429,11.892142857
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,37,53,53,185.5309434,55.4,35.218867925,34.77754717
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,43,53,53,70.165471698,18.40490566,11.506415094,11.141886792
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,38,55,55,63.324363636,11.358363636,7.9443636364,8.154
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,39,63,254,9.9266141732,2.0457480315,1.333503937,1.3218503937
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,21,23,23,23.52173913,5.77,3.742173913,3.8660869565
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,48.366666667,13.536666667,9.7483333333,9.4825
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,25.294117647,9.07,6.2735294118,6.0923529412
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,14,89,89,167.19101124,33.249550562,21.499101124,21.602808989
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,377.5608,69.99,53.582,53.4476
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,31,3299,1.5595574416,0.1336495908,0.0905153077,0.0905153077
1023093580,JUNG,MICHAEL,J,MD,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,31,31,71.322580645,33,23.366451613,23.366451613
1023093614,TAM,WAI-KWOK,,MD,M,I,375 SEGUINE AVE,,STATEN ISLAND,NY,103093932,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,23,88.7,8.32,5.6730434783,5.6730434783
1023093655,ROTHROCK,PERRY,C,M.D.,M,I,8309 CORDOVA RD,,CORDOVA,TN,380162046,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,105.01636364,82.335454545,55.188181818
1023093663,WAGNER,PAUL,D,"M.D., F.A.C.P.",M,I,4060 4TH AVE,SUITE 100,SAN DIEGO,CA,921032116,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3.25,3.25,2.5433333333,3.5583333333
1023093853,MCCALLIE,JACK,B,MD,M,I,725 GLENWOOD DR,SUITE E480,CHATTANOOGA,TN,374041163,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,38,88,261,59.514712644,8.32,5.4260153257,5.4260153257
1023093853,MCCALLIE,JACK,B,MD,M,I,725 GLENWOOD DR,SUITE E480,CHATTANOOGA,TN,374041163,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,24,24,14.398333333,3.38,2.2083333333,2.2083333333
1023093853,MCCALLIE,JACK,B,MD,M,I,725 GLENWOOD DR,SUITE E480,CHATTANOOGA,TN,374041163,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,20.52375,2.12,1.356875,1.356875
1023093853,MCCALLIE,JACK,B,MD,M,I,725 GLENWOOD DR,SUITE E480,CHATTANOOGA,TN,374041163,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,26,53,83,14.993614458,1.42,0.9130120482,0.9130120482
1023093994,BRANDEIS,GABRIEL,H,M.D.,M,I,120 WEST 106TH STREET,MEDICAL DEPARTMENT,NEW YORK,NY,10025,US,Physician/Internal Medicine,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,23.92,4.19,3.1795,3.1795
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,33,82,82.373536585,8.32,6.203902439,6.203902439
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,105.10666667,45.358888889,35.562222222,31.811111111
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,254.20857143,105.43,82.656428571,70.837142857
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,25,84.82,40.4664,31.7252,26.5208
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,186.80909091,72.492727273,56.835454545,47.516363636
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,53.305454545,23.276363636,18.248181818,15.512727273
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,25,145,6.0634482759,2.6113103448,2.0475862069,1.6934482759
1023094133,BARCHINI,GEORGE,M,,M,I,205 S MAIN ST,,THOMASTON,CT,067871740,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,185,31.275714286,23.597142857,24.144285714
1023094141,PORTER,THOMAS,P,M.D.,M,I,1950 S COUNTRY CLUB DR,,MESA,AZ,852106008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,30,72,81.213888889,8.32,6.0691666667,6.0691666667
1023094158,WILLIAMS,GINA,L,MD,F,I,248 FLANDERS RD,,NIANTIC,CT,063571264,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,87.3875,8.32,6.52,6.52
1023094158,WILLIAMS,GINA,L,MD,F,I,248 FLANDERS RD,,NIANTIC,CT,063571264,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28.5,11.168333333,8.7516666667,8.5966666667
1023094158,WILLIAMS,GINA,L,MD,F,I,248 FLANDERS RD,,NIANTIC,CT,063571264,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.4,13.131666667,10.291666667,10.749166667
1023094158,WILLIAMS,GINA,L,MD,F,I,248 FLANDERS RD,,NIANTIC,CT,063571264,US,Physician/Family Practice,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,609.5,143.625,112.6,112.6
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,29,103,48.012718447,8.32,5.8603883495,5.8603883495
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.818181818,3.38,2.65,2.65
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,22,43,15.754651163,1.42,1.0627906977,1.0627906977
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,55,50.090909091,26.374545455,19.221272727,14.040727273
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,139.28333333,77.798333333,57.064166667,41.4225
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,46.333333333,22.889166667,17.105,9.3241666667
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,92,11.387391304,3.3686956522,2.6330434783,1.7617391304
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,37,74.625135135,23.023243243,18.048378378,16.771621622
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,89.592307692,62.163846154,48.734615385,38.656923077
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,149.940625,53.26625,40.5075,24.93375
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,74,93,373.57903226,101.63913978,77.310752688,62.313763441
1023094240,SCHRAGE,BETH,M,RNCSFNP,F,I,100 E JACKSON ST,,EDINA,MO,635371335,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,62.363636364,33,21.815454545,21.815454545
1023094265,ADAMS,RUSSELL,,MD,M,I,146 W DALE ST,SUITE 201,WATERLOO,IA,507031901,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,362,13.74,5.36,4.2022651934,4.1664364641
1023094265,ADAMS,RUSSELL,,MD,M,I,146 W DALE ST,SUITE 201,WATERLOO,IA,507031901,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,50,4.605862069,3.2620689655,3.2620689655
1023094265,ADAMS,RUSSELL,,MD,M,I,146 W DALE ST,SUITE 201,WATERLOO,IA,507031901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,41,400,70.447317073,48.766097561,48.523658537
1023094265,ADAMS,RUSSELL,,MD,M,I,146 W DALE ST,SUITE 201,WATERLOO,IA,507031901,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,110,40.836333333,29.992,27.783
1023094265,ADAMS,RUSSELL,,MD,M,I,146 W DALE ST,SUITE 201,WATERLOO,IA,507031901,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,110,38.68,30.32,29.567857143
1023094273,ZAREMBA,MARK,S,MD,M,I,25401 CABOT RD,SUITE 107,LAGUNA HILLS,CA,926535513,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,71.11,55.75,54.73
1023094281,RODRIGUEZ ZAYAS,MANUEL,A,MD,M,I,3084 AVE EMILIO FAGOT,URB SANTA CLARA,PONCE,PR,007164117,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,66.236315789,48.969473684,38.393157895,32.551578947
1023094323,GOTTFRIED,RICHARD,,MD,M,I,1296 NORTH AVE,,NEW ROCHELLE,NY,108042603,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,20,54,116,77.406465517,8.32,4.8362931034,4.8362931034
1023094323,GOTTFRIED,RICHARD,,MD,M,I,1296 NORTH AVE,,NEW ROCHELLE,NY,108042603,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,17,17,14.808235294,1.42,1.0541176471,1.0541176471
1023094323,GOTTFRIED,RICHARD,,MD,M,I,1296 NORTH AVE,,NEW ROCHELLE,NY,108042603,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,47.52,33.872727273,38.525454545
1023094323,GOTTFRIED,RICHARD,,MD,M,I,1296 NORTH AVE,,NEW ROCHELLE,NY,108042603,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,45,28.865454545,31.322727273
1023094323,GOTTFRIED,RICHARD,,MD,M,I,1296 NORTH AVE,,NEW ROCHELLE,NY,108042603,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,97.529411765,41.770588235,30.93,33.625294118
1023094323,GOTTFRIED,RICHARD,,MD,M,I,1296 NORTH AVE,,NEW ROCHELLE,NY,108042603,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,3718,0.2426169984,0.0458902636,0.0334346423,0.0334346423
1023094323,GOTTFRIED,RICHARD,,MD,M,I,1296 NORTH AVE,,NEW ROCHELLE,NY,108042603,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,111.15789474,33,23.146842105,23.146842105
1023094331,FOLEY,CAROL,M,FNP,F,I,1095 MARSHALL WAY,,PLACERVILLE,CA,956678238,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,33,80,71.808625,8.32,5.790375,5.790375
1023094331,FOLEY,CAROL,M,FNP,F,I,1095 MARSHALL WAY,,PLACERVILLE,CA,956678238,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,571.17361702,79.623829787,61.293404255,53.665106383
1023094331,FOLEY,CAROL,M,FNP,F,I,1095 MARSHALL WAY,,PLACERVILLE,CA,956678238,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,29.515833333
1023094331,FOLEY,CAROL,M,FNP,F,I,1095 MARSHALL WAY,,PLACERVILLE,CA,956678238,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2160,1.0211527778,0.1353333333,0.0675231481,0.0675231481
1023094331,FOLEY,CAROL,M,FNP,F,I,1095 MARSHALL WAY,,PLACERVILLE,CA,956678238,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,285.6,37.58,29.46,29.505652174
1023094331,FOLEY,CAROL,M,FNP,F,I,1095 MARSHALL WAY,,PLACERVILLE,CA,956678238,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,100.73684211,33,17.627894737,17.627894737
1023094349,BOTERO,HERMAN,G,D.O.,M,I,1422 OLD WEISGARBER RD,,KNOXVILLE,TN,379091293,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,26,26,26,120.25692308,53.305384615,41.399230769,36.098076923
1023094349,BOTERO,HERMAN,G,D.O.,M,I,1422 OLD WEISGARBER RD,,KNOXVILLE,TN,379091293,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,21.224545455,16.64,13.496363636
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,117,6294,4.2753701938,0.5656800127,0.4264251668,0.4326485542
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,808,0.1421410891,0.0129207921,0.0101113861,0.0101113861
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,2070,1.5614492754,0.7446086957,0.5155217391,0.5155217391
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,3780,2.7525,1.1135396825,0.8336349206,0.8336349206
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,69,9390,5.1971182109,2.8347060703,2.0132055378,2.1565197018
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,510,20.279333333,7.4290196078,5.8243333333,5.8243333333
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,105,105,24,24,18.346761905,18.346761905
1023094364,HARRISON,DREW,S,MD,M,I,1230 S CEDAR CREST BLVD,SUITE 301,ALLENTOWN,PA,181036367,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,15,155,171,16,16,12.393333333,12.393333333
1023094406,FLOWER,ALEXANDER,C,MD,M,I,95 UNIVERSITY AVE,,DES MOINES,IA,503143120,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,45.454545455,5.0463636364,2.9654545455,2.4581818182
1023094406,FLOWER,ALEXANDER,C,MD,M,I,95 UNIVERSITY AVE,,DES MOINES,IA,503143120,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,65,67.692307692,19.859076923,15.570307692,11.131230769
1023094489,MASHKOURI,MORTEZA,,M.D.,M,I,255 N LAKEMONT AVE,SUITE 101,WINTER PARK,FL,327923229,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,58,71.027241379,8.32,6.0731034483,6.0731034483
1023094489,MASHKOURI,MORTEZA,,M.D.,M,I,255 N LAKEMONT AVE,SUITE 101,WINTER PARK,FL,327923229,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,89.006153846,30.282307692,23.743846154,22.298461538
1023094620,SANDERS,STEVEN,P,D.O.,M,I,1201 HERITAGE CIR,,PAWNEE,OK,740583744,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,32,79.285,20.611875,14.86,12.4684375
1023094620,SANDERS,STEVEN,P,D.O.,M,I,1201 HERITAGE CIR,,PAWNEE,OK,740583744,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,48.173529412,7.8105882353,6.1217647059,3.9305882353
1023094620,SANDERS,STEVEN,P,D.O.,M,I,1201 HERITAGE CIR,,PAWNEE,OK,740583744,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,43,536.85581395,96.417674419,71.694418605,52.023023256
1023094653,SEDER,JEFFREY,D,M.D.,M,I,20 MEDICAL CAMPUS DR STE 203,,SUPPLY,NC,284624094,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,35.65,19.71,15.45,15.45
1023094653,SEDER,JEFFREY,D,M.D.,M,I,20 MEDICAL CAMPUS DR STE 203,,SUPPLY,NC,284624094,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,157,75,37.38,29.305732484,29.305732484
1023094653,SEDER,JEFFREY,D,M.D.,M,I,20 MEDICAL CAMPUS DR STE 203,,SUPPLY,NC,284624094,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,17,17,160.13176471,54.115294118,42.422941176,41.497647059
1023094653,SEDER,JEFFREY,D,M.D.,M,I,20 MEDICAL CAMPUS DR STE 203,,SUPPLY,NC,284624094,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,1294,2.1272642968,1.5659659969,1.2277202473,1.2277202473
1023094653,SEDER,JEFFREY,D,M.D.,M,I,20 MEDICAL CAMPUS DR STE 203,,SUPPLY,NC,284624094,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,21,58.80952381,22.417142857,13.929047619,11.054761905
1023094661,HILDEBRAN,TRACY,L,A.N.P.,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,20,82.425,8.32,6.526,6.526
1023094661,HILDEBRAN,TRACY,L,A.N.P.,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,484.8775,79,61.94,56.172
1023094661,HILDEBRAN,TRACY,L,A.N.P.,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,85,35.27,27.66,29.121428571
1023094752,OKULIAR,CATHERINE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,44,55.254545455,8.32,6.5213636364,6.5213636364
1023094752,OKULIAR,CATHERINE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,18,9.7361111111,1.42,1.1166666667,1.1166666667
1023094752,OKULIAR,CATHERINE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,1334.3128571,136.96785714,97.137142857,100.08214286
1023094935,MATZINGER,STEVEN,A,"MD, PH.D",M,I,849 82ND PARKWAY,,MYRTLE BEACH,SC,29572,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,38,14.305526316,6.44,3.6518421053,3.6518421053
1023094935,MATZINGER,STEVEN,A,"MD, PH.D",M,I,849 82ND PARKWAY,,MYRTLE BEACH,SC,29572,US,Physician/General Surgery,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,6.7559090909,4.04,2.8795,2.8795
1023095007,GENTILE,DAVID,R,MD,M,I,776 SHREWSBURY AVE,SUITE 201,TINTON FALLS,NJ,077243006,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,67.71,67.71,46.45375,40.9775
1023095007,GENTILE,DAVID,R,MD,M,I,776 SHREWSBURY AVE,SUITE 201,TINTON FALLS,NJ,077243006,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,98.3,77.25,60.56,67.29
1023095122,KAYNAN,AYAL,,M.D.,M,I,261 JAMES ST,SUITE 3A,MORRISTOWN,NJ,079606392,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,1400,3.7788571429,1.95,1.5288,1.5993428571
1023095122,KAYNAN,AYAL,,M.D.,M,I,261 JAMES ST,SUITE 3A,MORRISTOWN,NJ,079606392,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,7.865,7.8566666667,6.0799055556,6.0982277778
1023095122,KAYNAN,AYAL,,M.D.,M,I,261 JAMES ST,SUITE 3A,MORRISTOWN,NJ,079606392,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,14,38,20.677105263,10.218947368,8.0110526316,8.4242105263
1023095122,KAYNAN,AYAL,,M.D.,M,I,261 JAMES ST,SUITE 3A,MORRISTOWN,NJ,079606392,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,63,12.9,7.4333333333,5.8274603175,5.8482539683
1023095262,CORDTS,SCOTT,M,MD,M,I,415 W COLUMBIA ST,STE 110,EVANSVILLE,IN,477101656,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,507.47,69.81,50.169166667,50.169166667
1023095411,FEINSTEIN,BARRY,K,M.D.,M,I,5924 HARBOUR PARK DR,,MIDLOTHIAN,VA,231122163,US,Physician/Allergy/ Immunology,S,J1568,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1820,114.40942308,36.719076923,28.787752747,28.787752747
1023095494,COHEN,ROBERT,K,D.P.M.,M,I,255 S 17TH ST,SUITE 2404,PHILADELPHIA,PA,191036231,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,40,82.25,71.56,52.345,52.345
1023095494,COHEN,ROBERT,K,D.P.M.,M,I,255 S 17TH ST,SUITE 2404,PHILADELPHIA,PA,191036231,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,60,78.761333333,43.56,33.6305,33.629
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,54,170,555,61.213387387,8.32,5.7008108108,5.7008108108
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,26,30,13.343333333,3.38,2.0316666667,2.0316666667
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,19.538823529,2.12,1.4858823529,1.4858823529
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,53,111,13.258558559,1.42,0.9236936937,0.9236936937
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,144.24,37.245,29.1975,32.825
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,96.310769231,70.174615385,45.985384615,45.762307692
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1140,17.671052632,9.5728421053,7.2665438596,7.2665438596
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,2789,1.1815238437,0.1365865902,0.1031946934,0.1031946934
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,1860,11.63533871,3.1024354839,2.3610698925,2.3610698925
1023095536,IRELAND,STANLEY,M,MD,M,I,4700 BATTLEFIELD PKWY,SUITE 200,RINGGOLD,GA,307365166,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,44,44,78,33,25.87,25.87
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,45,145,57.914137931,8.32,5.7130344828,5.7130344828
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,24,33,33,100.72878788,41.107272727,30.253636364,28.571212121
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,25,25,238.7628,96.8052,62.6624,56.7436
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,15,24,62,62.044193548,37.494193548,26.747903226,24.011774194
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,54,76.161851852,19.30037037,11.084814815,10.675555556
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,15,18,18,187.23,56.47,39.377222222,38.097222222
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,27,31,31,52.427096774,19.75,15.023548387,13.901612903
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,46.072727273,13.524545455,9.7418181818,8.2981818182
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,29,40,198,7.657020202,2.233030303,1.7008080808,1.5879292929
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,40.3825,13.580833333,8.845,8.6166666667
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,80.7325,18.19,12.505,11.845
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,365,87.336363636,68.472727273,67.093636364
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,65,13.356296296,10.088888889,10.09037037
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,65,69,316.94826087,33.246956522,24.500289855,24.41884058
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,61,357.22655738,74.200655738,56.403934426,55.639016393
1023095585,CARLSON,VERA,B,"MD, PHD",F,I,169 N GATEWAY DR STE 170,,PROVIDENCE,UT,843329855,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,75,40.151538462,31.482307692,30.13974359
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,36,84,67.340119048,8.32,6.2102380952,6.2102380952
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,22,9.3068181818,1.42,1.0154545455,1.0154545455
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,14,80.302142857,39.62,31.07,30.581428571
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,,14,80,49.221,15.52225,11.184,10.986375
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,27,27,166.82481481,56.746666667,42.878518519,41.325185185
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,21,21,59.50952381,17.518095238,12.340952381,12.726190476
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,20,20,53.9605,12.859,10.085,9.6425
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,35,191,6.7610994764,2.1105759162,1.5889005236,1.5698429319
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,49.295,12.82,10.05,10.35
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,24,295.9075,33.466666667,24.275,24.0625
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,530.35758621,76.58,57.96,53.016206897
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,58.343076923,16.238461538,9.0923076923,10.466153846
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,35.56,27.88,29.51
1023095593,LENZ,MATTHEW,L,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,19,19,33,33,25.87,25.87
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,30,83,332,48.267078313,8.32,6.1001506024,6.1001506024
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,16,12.41875,3.38,2.484375,2.484375
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,42,87,11.068965517,1.42,1.1012643678,1.1012643678
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,27,27,268.85962963,55.95037037,38.33037037,37.521111111
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,22,22,86.688181818,19.43,14.293636364,13.295909091
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,21,21,88.28952381,13.552380952,9.5257142857,8.1995238095
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,29,170,11.891647059,2.3211764706,1.6783529412,1.4755882353
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,54.4725,13.82625,9.24625,8.811875
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,26,80.914615385,17.150769231,12.918846154,13.006153846
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,56.06,36.625,34.841666667
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45,30.649166667,33.049166667
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,23,233.85130435,30.627391304,19.143043478,18.899130435
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,30,491.08233333,80.588,56.790666667,49.802
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,2429,1.0250679292,0.1370152326,0.101811445,0.101811445
1023095643,KIM,SOON,J,MD,F,I,5808 MAIN ST,,ELKRIDGE,MD,210755105,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,27,128.33333333,33,24.911851852,24.911851852
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,45,170,48.498647059,8.2616470588,6.3155882353,6.3155882353
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.953846154,3.38,2.65,2.65
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,23,55,15.121090909,1.42,1.0734545455,1.0734545455
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,43,7.6053488372,1.51,1.13,1.1025581395
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,11,15,4.546,1.2,0.94,0.96
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,60.3425,11.51,9.03,9.1125
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,77,8.2892207792,2.05,1.4814285714,1.4692207792
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,60.82,17.27,12.186,12.186
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,34.479473684,4.5557894737,3.5668421053,3.6626315789
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,29,29,342.55172414,68.78,42.139310345,42.782758621
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,46,13018,0.2044814872,0.0462997388,0.032876786,0.032876786
1023095676,PORTER,MATTHEW,R,MD,M,I,600 W. STATE HWY 6,,WACO,TX,76712,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,40,40,117.15,33,25.0205,25.0205
1023095775,WESTHOLDER,MARK,,,M,I,1415 SAINT FRANCIS AVE,,SHAKOPEE,MN,553793374,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,67,194,71.692164948,8.32,5.7495360825,5.7495360825
1023095775,WESTHOLDER,MARK,,,M,I,1415 SAINT FRANCIS AVE,,SHAKOPEE,MN,553793374,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,17,33,13.748787879,1.42,1.1148484848,1.1148484848
1023095783,WESTMORELAND,SCOTT,,DPM,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,63,67,124,94.878870968,71.56,55.204032258,55.196129032
1023095783,WESTMORELAND,SCOTT,,DPM,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,69,36.73,29.19,22.881884058,22.882173913
1023095783,WESTMORELAND,SCOTT,,DPM,M,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,53,55,205,57.67102439,43.56,33.997804878,33.997414634
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,130,266,266,119.9506391,39.661879699,28.773345865,28.215300752
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,100,218,219,377.00406393,89.714246575,65.051598174,62.869908676
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,95,218,533,146.73275797,33.844634146,25.110075047,24.585628518
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,45,78,377,70.150928382,18.207824934,13.593103448,13.829018568
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,22,41,216,61.610462963,15.783981481,12.038055556,11.572175926
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,73,125,125,208.37056,57.58688,43.74048,41.63992
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,157,209,209,71.821770335,18.417464115,13.688755981,13.363875598
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,24,24,32.815833333,10.264166667,7.0366666667,7.1225
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,33,49,49,75.617142857,13.364081633,10.075714286,8.9991836735
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,155,312,1735,9.1399308357,2.0885417867,1.5759654179,1.5334755043
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,31,31,27.141612903,6.1096774194,4.7909677419,4.6632258065
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,104,139,139,43.668633094,13.44618705,9.9721582734,9.7836690647
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,35,222,239,75.064560669,19.098786611,14.199288703,13.37251046
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,62,66,218.21545455,51.865454545,37.271212121,34.696818182
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,4430.1,986.58,768.1562963,836.9362963
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,11,66,67,476.7341791,85.060597015,59.974776119,58.798208955
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,440.48153846,229.14384615,179.64384615,175.20615385
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,27,27,27,341.41518519,133.45666667,104.62888889,104.66296296
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,30,167,180,70.225222222,13.723666667,10.034555556,9.6696666667
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,34.354090909,4.0872727273,3.0731818182,3.5631818182
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,85,531,554,220.45705776,31.030162455,22.534296029,23.504873646
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,72,466,495,383.70769697,80.743636364,58.43810101,51.276141414
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,80,85,154.34658824,39.817411765,30.483411765,29.005294118
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,49,2940,16.662857143,9.6079183673,7.3904047619,7.3904013605
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,15.992440476,11.449285714,8.9762738095,8.9762738095
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,7425,0.2988915825,0.0461737374,0.0339609428,0.0339609428
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,19,85,7809,1.554301447,0.1339646562,0.09486618,0.09486618
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,20,113,6287,12.308059488,3.0321313822,2.3548242405,2.3548242405
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,415,0.8749156627,0.2188674699,0.1716144578,0.1716144578
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,60,60,123.91066667,39.776,28.319833333,26.878166667
1023095809,PANDITA,SUNNY,,MD,M,I,5801 S. FASHION BLVD.,SUITE 280,MURRAY,UT,84107,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,28,154,154,96.311688312,33,24.792207792,24.792207792
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,7,17,17,17,176.98058824,79.262352941,62.141764706,42.676470588
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,50,50,193.8,66.1368,47.9084,34.6186
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,46.72125,23.21625,16.73125,12.1775
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,50.023333333,42.761666667
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,41.723409091,8.6568181818,6.4675,3.7138636364
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,352.11893617,99.33106383,69.126595745,46.622978723
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,75,26.0384375,19.0634375,12.9609375
1023095858,GASPAR,MATTHEW,J,MD,M,I,142 W 5TH ST,,COOKEVILLE,TN,385011760,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,22.04,11.445833333,7.8483333333,5.6458333333
1023095874,BARRY,JOHN,S,M.D.,M,I,1111 HIGHWAY 73,,MOOSE LAKE,MN,55767,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,42.941176471,19.521176471,14.425294118,12.671176471
1023095874,BARRY,JOHN,S,M.D.,M,I,1111 HIGHWAY 73,,MOOSE LAKE,MN,55767,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,275.59210526,86.166315789,64.666315789,51.849473684
1023095874,BARRY,JOHN,S,M.D.,M,I,1111 HIGHWAY 73,,MOOSE LAKE,MN,55767,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,358,1.6231843575,0.1252793296,0.082877095,0.082877095
1023096047,GOODMAN,RONALD,S,D.D.S.,M,I,28478 DEQUINDRE RD,,WARREN,MI,480925605,US,Dentist,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,33,66,85.60030303,8.32,6.1248484848,6.1248484848
1023096047,GOODMAN,RONALD,S,D.D.S.,M,I,28478 DEQUINDRE RD,,WARREN,MI,480925605,US,Dentist,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,20,20,15.74,1.42,1.064,1.064
1023096120,RABIDEAU,RAYMOND,H,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,243.095,50.609166667,34.6525,23.3275
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,60,177,63.11920904,8.32,5.1960451977,5.1960451977
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,49,110.04,26.452857143,20.411632653,15.712653061
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,72.0075,25.369166667,19.885,14.801666667
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,59,11.802711864,3.2261016949,2.5,1.7493220339
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,66,76.697272727,22.023636364,15.636060606,12.566363636
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,99.04375,57.2675,33.3525,26.98875
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,21,103,121,424.80644628,101.93041322,74.249173554,58.698099174
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,21,157.14285714,43.53,32.565238095,28.448571429
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,2100,1.7426857143,0.1339714286,0.0912190476,0.0912190476
1023096153,GONZALEZ,HERMILO,,MD,M,I,497 W LOTT ST,,BUFFALO,WY,828341609,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,59.653846154,33,20.895,20.895
1023096203,RAMIREZ,SANTIAGO,C,MD,M,I,507 N WESTERN AVE,,NOGALES,AZ,856212060,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,125,16.94,13.28,13.53
1023096203,RAMIREZ,SANTIAGO,C,MD,M,I,507 N WESTERN AVE,,NOGALES,AZ,856212060,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,400,77.18,60.51,54.72
1023096237,ODITT,BRYAN,K,APA-C,M,I,15 MOHEGAN AVE,,NEW LONDON,CT,063208100,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,269.91833333,98.31,67.859166667,49.724166667
1023096237,ODITT,BRYAN,K,APA-C,M,I,15 MOHEGAN AVE,,NEW LONDON,CT,063208100,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,45.002727273,32.297272727,26.833636364
1023096518,STITT COX,STEPHANIE,M,MD,F,I,5950 UNIVERSITY AVE,STE 220,WEST DES MOINES,IA,50266,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,13,27,51,75.774509804,8.32,5.8811764706,5.8811764706
1023096559,BAUMGARTEN,MARGARET,A,M.D.,F,I,3640 HIGH ST STE 3B,,PORTSMOUTH,VA,237073213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,89,54.929213483,8.32,6.5112359551,6.5112359551
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,30,87,201,57.227313433,8.32,6.1329850746,6.1329850746
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,20,21,15.38,1.42,1.119047619,1.119047619
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,114.08733333,55.4,40.534666667,40.040666667
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,21,21,45.31047619,17.94,12.73952381,12.73952381
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,20,20,36.369,11.08,8.246,8.6695
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,26,88,6.4129545455,1.99,1.4536363636,1.4839772727
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,16.43375,5.77,3.96375,4.0975
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,274.44419355,69.99,46.702258065,46.58483871
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1320,2.0164621212,0.1415681818,0.1110075758,0.1110075758
1023096567,SCHWENDINGER,ANGELA,M,MD,F,I,740 E OAK ST,,MONTICELLO,IA,523101745,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,25.87,25.87
1023096674,OCHOA,GABRIELLE,,MD,F,I,1500 W COMMERCE CT,,TUCSON,AZ,857466015,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,28,68,61.635882353,8.32,5.2758823529,5.2758823529
1023096674,OCHOA,GABRIELLE,,MD,F,I,1500 W COMMERCE CT,,TUCSON,AZ,857466015,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,114.80785714,16.94,13.28,13.46452381
1023096674,OCHOA,GABRIELLE,,MD,F,I,1500 W COMMERCE CT,,TUCSON,AZ,857466015,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,383.16086207,77.18,59.993448276,55.301551724
1023096674,OCHOA,GABRIELLE,,MD,F,I,1500 W COMMERCE CT,,TUCSON,AZ,857466015,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,19.75,17.055454545,13.369090909,14.946363636
1023096716,REYNOLDS,DOUGLAS,E,MD,M,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,50,55.728,8.2348,5.1512,5.2176
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,16,203,48.080394089,19.598522167,15.364926108,15.364926108
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,485,9.0643298969,2.6284536082,2.0606597938,2.0606597938
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,78,194,751,73.658442077,8.32,5.9710252996,5.9710252996
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,36,64,104,14.265961538,1.42,0.8902884615,0.8902884615
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,538.73190476,328.80714286,257.78238095,257.78238095
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,77.18,50.104545455,44.840909091
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,15,53.85,24.376666667,19.11,15.464666667
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,39,39,302.10820513,240.02205128,188.17589744,195.23487179
1023096765,TRUONG,MICHAEL,P,M.D.,M,I,26800 CROWN VALLEY PKWY,SUITE 230,MISSION VIEJO,CA,926916384,US,Physician/Endocrinology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37,26.372727273,26.884545455
1023096807,ZALLA,STEVEN,D,DO,M,I,1265 W HURON,STE 201,WATERFORD TOWNSHIP,MI,48328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,32,82,48.584268293,8.32,6.0454878049,6.0454878049
1023096807,ZALLA,STEVEN,D,DO,M,I,1265 W HURON,STE 201,WATERFORD TOWNSHIP,MI,48328,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,22,36,16.004444444,1.42,0.9916666667,0.9916666667
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,16.69,8.28,5.9491666667,5.9491666667
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,8.456,5.74,4.1538461538,4.1538461538
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,184,4.02,2.91,2.1826630435,2.1826630435
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,9.708,5.54,4.009,4.009
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,6.5184,3.04,2.2822666667,2.2822666667
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6946,2.4986467031,0.3,0.2351986755,0.2407515117
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,24,1464,69.66715847,4.7409357923,3.6620560109,3.6620560109
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,1250,14.799184,0.9664,0.75764,0.75764
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,24,24,18.82,18.82
1023096823,JOLLY,PRADEEP,C,MD,M,I,1100 JOHNSON FERRY RD NE,SUITE 600,SANDY SPRINGS,GA,303421709,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,34.526315789,16,12.54,12.54
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,56,186,70.693225806,8.32,6.3115591398,6.3115591398
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.914666667,3.38,2.65,2.65
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,26,37,16.798108108,1.42,1.1156756757,1.1156756757
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,24,45,8.6371111111,1.462,1.1466666667,1.1546666667
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,15,85.794666667,14.528666667,11.387333333,9.5993333333
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,281.79647059,94.577647059,72.056470588,65.63
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,185.6416,54.884,39.5844,39.4404
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,26,26,57.408846154,18.868461538,13.705384615,12.982307692
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,40,40,67.58025,12.7565,9.532,8.693
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,46,233,11.319656652,2.1165665236,1.6060944206,1.5381545064
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,28.774705882,13.217058824,9.1611764706,9.1282352941
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,26,197,198,87.714393939,17.041616162,12.475606061,12.678333333
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,299.59,51.32,40.24,41.81
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,112.77,44.99,20.574166667,23.18
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,112.77,44.99,35.27,37.63
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,4154.4873684,913.16,715.92,835.61052632
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,15,76,88,52.319659091,5.9709090909,4.5530681818,3.6918181818
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,51,394,395,515.16870886,81.060405063,60.170177215,52.366810127
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,96,96,315.20833333,38.016458333,28.112291667,27.791666667
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1200,16.54,9.66855,7.4668083333,7.4668083333
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,38,6629,0.4388505054,0.0458545784,0.0313365515,0.0313365515
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,27,122,11065,1.248046995,0.1340677813,0.0947474017,0.0947474017
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,1800,11.599438889,2.9542,2.3161166667,2.3161166667
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,775,0.8767612903,0.2188903226,0.1715870968,0.1715870968
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36,9.3172727273,7.3009090909,6.7645454545
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,153.66272727,120.47454545,119.12090909
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,32,158,158,108.18987342,33,23.693924051,23.693924051
1023096831,MORGAN,LAURA,R,MD,F,I,36-921 COOK STREET,SUITE 102,PALM DESERT,CA,922116070,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,66,66,48.044285714,48.044285714
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,22,66,918,45.429694989,19.655969499,14.55872549,14.55872549
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,22,68,2095,6.7084391408,2.6342720764,1.9385107399,1.9385107399
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,13,18,36,4.5338888889,0.51,0.4,0.4
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,121,199,498,2695,70.299695733,8.317729128,6.1468868275,6.1479814471
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,23,45,45,14.319111111,3.38,2.5322222222,2.5322222222
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,23,28,28,20.665714286,2.12,1.67,1.67
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,69,102,225,537,14.416312849,1.4190316574,1.0586778399,1.0590502793
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,12,12,24,89.385,71.56,56.105416667,56.104583333
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,16,16,16,16,33.4975,31.796875,22.473125,55.03125
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,717.1776,369.6804,289.8292,289.8292
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,34,3630,16.038975207,10.811173554,8.4759669421,8.4759669421
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,18,135,135,327.95748148,251.01066667,194.66659259,194.74422222
1023097102,CHARNOGURSKY,GERALD,,MD,M,I,2160 S 1ST AVE,"(9608 ROBERTS ROAD, HICKORY HILLS, IL. 60457)",MAYWOOD,IL,60153,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,345.45692308,264.16,207.1,207.1
1023097128,WALKER,JENNIFER,J,"MD, MPH",F,I,"1 JARRETT WHITE ROAD, TRIPLER AMC",STRIPER ARMY MEDICAL CENTER,HONOLULU,HI,968595000,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1800,1.14,1.14,0.8937722222,1.5993333333
1023097128,WALKER,JENNIFER,J,"MD, MPH",F,I,"1 JARRETT WHITE ROAD, TRIPLER AMC",STRIPER ARMY MEDICAL CENTER,HONOLULU,HI,968595000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,760.48,99.365,70.002857143,47.240714286
1023097128,WALKER,JENNIFER,J,"MD, MPH",F,I,"1 JARRETT WHITE ROAD, TRIPLER AMC",STRIPER ARMY MEDICAL CENTER,HONOLULU,HI,968595000,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,285.6,44.34,32.417857143,27.407142857
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,81,245,66.286530612,8.32,5.8564897959,5.8564897959
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,12.365,3.38,2.65,2.65
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,17.532857143,2.12,1.67,1.67
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,36,51,12.355490196,1.42,1.1156862745,1.1156862745
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,64,10.861875,2,1.5684375,1.5875
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,344,15.530726744,5.91,4.49875,4.0420930233
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3592,1.5741648107,1.23,0.9372884187,0.9217010022
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,34.37,5.43,4.25,3.95
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1050,0.1706666667,0.0462285714,0.0335809524,0.0335809524
1023097136,VASTA,JEFFREY,S,M.D.,M,I,3633 LITTLE ROAD,SUITE 101,TRINITY,FL,346551818,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,84.652173913,33,23.841304348,23.841304348
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,26,109,200,49.16575,8.32,5.72735,5.72735
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,19.825625,1.42,0.7,0.7
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,16.7,7,5.488,5.488
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.6309090909,4.03,3.1595,3.1595
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.9757692308,1.47,1.15,1.15
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,25,25,359.8732,106.5988,79.0852,63.6504
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,51,160.55254902,38.984509804,28.354313725,23.882156863
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,73.557058824,21.138823529,14.827058824,12.406470588
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,27,27,74.128888889,16.631481481,12.292962963,8.4444444444
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,26,150,10.143133333,2.6856,1.901,1.4022
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,13,63,64,242.06,64.600625,46.95890625,39.3665625
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,61,63,76.735396825,19.498095238,14.594285714,13.004285714
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,110.47,57.546,35.550666667,28.788
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,38.6,5.6977777778,4.1866666667,3.3161111111
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,69.243636364,34.840909091,17.082727273,22.286363636
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,173.56318182,48.394545455,35.02,23.247272727
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,44.371538462,12.294615385,8.9661538462,8.4738461538
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,75,77,459.93818182,81.536753247,58.675064935,50.358181818
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.290727273,8.851969697,8.851969697
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3900,0.3534,0.0469230769,0.0339512821,0.0339512821
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,2850,1.8731122807,0.1364105263,0.0850350877,0.0850350877
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,12.476521739,2.9565217391,2.317942029,2.317942029
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,14,68,68,82.153088235,22.941617647,17.143529412,14.894117647
1023097177,UHLIK,ALLEN,S,M.D.,M,I,144 MEDICAL CENTER DR,,COPPERHILL,TN,373175000,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,46,46,73.891304348,33,24.015434783,24.015434783
1023097276,PHILLIPS,PRESTON,,M.D.,M,I,6475 S YALE AVE STE 200,,TULSA,OK,741367816,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,126.62777778,47.296111111,36.483333333,35.592222222
1023097276,PHILLIPS,PRESTON,,M.D.,M,I,6475 S YALE AVE STE 200,,TULSA,OK,741367816,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,73.5,18.104545455,12.578181818,12.305454545
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,270,270,540,70.923888889,70.877666667,55.566055556,55.988055556
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,268,268,1596,43.032593985,43.032593985,33.357775689,33.704868421
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,85,89,93,111.77602151,95.07483871,72.36172043,62.158602151
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,30,470,457.19466667,358.43833333,354.77666667
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,404.78,377.67,296.1,309.39714286
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,13,155.33846154,78.81,61.79,68.131538462
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,139,142,142,387.23,251.39056338,192.63542254,211.99492958
1023097433,ARP,ERIC,A,DPM,M,I,801 S COLLEGE ST,,MOUNTAIN HOME,AR,726533904,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,48,48,58,225.77,163.13517241,123.50724138,122.42413793
1023097532,GERBER,PATRICIA,S,M.D.,F,I,7555 NORTHSIDE DR,,NORTH CHARLESTON,SC,294204211,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,76,249,1237.9139357,19.688835341,15.374176707,15.374176707
1023097532,GERBER,PATRICIA,S,M.D.,F,I,7555 NORTHSIDE DR,,NORTH CHARLESTON,SC,294204211,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,25,68,648.42985294,37.38,29.306323529,29.306323529
1023097532,GERBER,PATRICIA,S,M.D.,F,I,7555 NORTHSIDE DR,,NORTH CHARLESTON,SC,294204211,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,40,15052,159.9658072,9.8404643901,7.7149275844,7.7149275844
1023097532,GERBER,PATRICIA,S,M.D.,F,I,7555 NORTHSIDE DR,,NORTH CHARLESTON,SC,294204211,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,1630,414.47847853,42.087171779,32.996380368,32.996374233
1023097532,GERBER,PATRICIA,S,M.D.,F,I,7555 NORTHSIDE DR,,NORTH CHARLESTON,SC,294204211,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,9575,171.03147467,14.087637598,11.044709138,11.044709138
1023097532,GERBER,PATRICIA,S,M.D.,F,I,7555 NORTHSIDE DR,,NORTH CHARLESTON,SC,294204211,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,51,325,414.76267692,2.6366769231,2.0673846154,2.0673846154
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,58,115,115,125.97504348,40.899478261,29.103130435,27.706956522
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,45,75,76,318.29763158,94.075131579,71.552631579,66.183157895
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,30,62,126,124.34333333,35.598730159,24.991269841,23.320555556
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,29,46,204,70.275,19.91,13.707794118,12.763480392
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,35,66,313,49.07686901,15.561853035,11.127667732,10.878051118
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,102,204,205,209.63487805,56.341902439,39.294926829,38.262097561
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,127,171,171,65.441695906,19.134561404,13.981578947,13.197017544
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,81,152,152,63.479276316,13.04875,9.6919078947,8.7180921053
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,124,259,1398,9.5667668097,2.3060085837,1.7134549356,1.5262732475
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,64,85,85,24.424705882,6.6167058824,4.702,4.2396470588
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,72,99,99,41.467272727,13.538383838,9.9929292929,9.797979798
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,46,48,55.697708333,17.518125,11.198125,11.1875
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,114.38769231,45,29.852307692,32.293076923
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1475.22,913.16,715.92,842.26
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,205.07692308,85.673076923,57.008461538,54.319230769
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,383.26666667,141.9625,111.30083333,105.38333333
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,33,170,177,51.953389831,14.33259887,10.02299435,9.4987570621
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,26,26,47.961153846,5.6315384615,4.1007692308,3.3807692308
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,51,300,311,197.36266881,32.713633441,23.800836013,23.602282958
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,34,247,252,341.72456349,81.144206349,61.261865079,53.866626984
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,101,104,127.49182692,41.334615385,31.556538462,29.185769231
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,4322,0.2230263767,0.0469018973,0.0298611754,0.0298611754
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,3732,1.4741907824,0.1328188639,0.0983226152,0.0983226152
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,690,10.401289855,2.8777391304,2.256173913,2.256173913
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,79,79,132.90949367,40.755696203,31.536455696,29.254177215
1023097680,WEINSTEIN,IRA,M,MD,M,I,2000 MEDICAL PKWY,SUITE 607,ANNAPOLIS,MD,214013742,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,59,59,98.440677966,33,24.116101695,24.116101695
1023097763,SCHEDGICK-DAVIS,LAURIE,,DO,F,I,60 OLD NEW MILFORD RD,SUITE 2A,BROOKFIELD,CT,068042430,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,33,70,70.669571429,8.32,5.8695714286,5.8695714286
1023097805,BRAUSCH,MARGARET,M,CRNP,F,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,32,121,244,73.735696721,8.3140983607,4.3924180328,4.3970491803
1023097805,BRAUSCH,MARGARET,M,CRNP,F,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,17,42,61,15.839672131,1.42,0.5855737705,0.5855737705
1023097805,BRAUSCH,MARGARET,M,CRNP,F,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,81.974347826,23.200434783,15.593043478,11.778695652
1023097805,BRAUSCH,MARGARET,M,CRNP,F,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,20,6.2781481481,3.7896296296,3.0674074074
1023097805,BRAUSCH,MARGARET,M,CRNP,F,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,398.31888889,98.012592593,67.83037037,46.277037037
1023097805,BRAUSCH,MARGARET,M,CRNP,F,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,3325,0.4871639098,0.0468661654,0.025193985,0.025193985
1023097805,BRAUSCH,MARGARET,M,CRNP,F,I,1184 W LOCUST ST,,WILMINGTON,OH,451772009,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,46.2,33,17.246666667,17.246666667
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,25,71.5748,8.32,4.9556,4.9556
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,346.54545455,55.994545455,35.933636364,35.294545455
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,80.081666667,12.0575,8.6675,8.4166666667
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,8.9545454545,2.0363636364,1.4974242424,1.4910606061
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,112.98588235,17.52,13.14,12.951764706
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17.52,13.74,13.556666667
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,53.98,38.472727273,38
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.74,35.445454545,34.209090909
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,95,95,525.60589474,78.49,56.811157895,50.697368421
1023097896,NELSON,AIMEE,S,M.D.,F,I,8585 W 14TH AVE,SUITE B2,LAKEWOOD,CO,802154857,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,285.6,38.76,26.048571429,25.294285714
1023097912,BONNETT,VALERIE,L,M.D.,F,I,713 E 1ST ST,,PELLA,IA,502191632,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,95.84,22.4775,15.626666667,12.154166667
1023097938,MIKUS,KEVIN,P,MD,M,I,4525 CAMERON VALLEY PKWY STE 3100,,CHARLOTTE,NC,282114377,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,28,28,226.45607143,54.092857143,32.160714286,29.211428571
1023097938,MIKUS,KEVIN,P,MD,M,I,4525 CAMERON VALLEY PKWY STE 3100,,CHARLOTTE,NC,282114377,US,Physician/Family Practice,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,36,36,165,62.8225,49.254166667,41.164722222
1023097938,MIKUS,KEVIN,P,MD,M,I,4525 CAMERON VALLEY PKWY STE 3100,,CHARLOTTE,NC,282114377,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,23,473.90913043,79,54.52826087,51.706956522
1023097938,MIKUS,KEVIN,P,MD,M,I,4525 CAMERON VALLEY PKWY STE 3100,,CHARLOTTE,NC,282114377,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,35.27,25.355,26.788333333
1023097938,MIKUS,KEVIN,P,MD,M,I,4525 CAMERON VALLEY PKWY STE 3100,,CHARLOTTE,NC,282114377,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,61,61,83.77,36.430163934,27.365409836,20.754754098
1023097938,MIKUS,KEVIN,P,MD,M,I,4525 CAMERON VALLEY PKWY STE 3100,,CHARLOTTE,NC,282114377,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,43,43,136.9,49.781395349,35.938604651,24.078139535
1023097938,MIKUS,KEVIN,P,MD,M,I,4525 CAMERON VALLEY PKWY STE 3100,,CHARLOTTE,NC,282114377,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,23.18,8.44,6.6147619048,6.3671428571
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,61,226,53.437256637,8.32,5.794159292,5.794159292
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,13.66,3.38,2.4090909091,2.4090909091
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,31,56,10.701607143,1.42,1.0546428571,1.0546428571
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,50,10.9856,2.02,1.5212,1.5296
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.14,4.1336363636,3.24,3.6854545455
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,30,177.16733333,32.495,23.417333333,23.580666667
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,308.35862069,65.7,48.244827586,51.04862069
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3300,0.17,0.0463636364,0.0363484848,0.0363484848
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,37.64,27.050833333,27.050833333
1023097946,HENRY,PHILIP,R,DO,M,I,42 E ROWAN AVE,SUITE A,SPOKANE,WA,99207,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,82.5,33,24.5765,24.5765
1023098001,SINGHI,USHA,M,M.D.,F,I,26850 PROVIDENCE PKWY,SUITE 505,NOVI,MI,483741209,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,74,311,48.149581994,8.32,6.0819614148,6.0819614148
1023098001,SINGHI,USHA,M,M.D.,F,I,26850 PROVIDENCE PKWY,SUITE 505,NOVI,MI,483741209,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,13.909090909,3.38,2.65,2.65
1023098001,SINGHI,USHA,M,M.D.,F,I,26850 PROVIDENCE PKWY,SUITE 505,NOVI,MI,483741209,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,35,54,13.399444444,1.42,1.0740740741,1.0740740741
1023098001,SINGHI,USHA,M,M.D.,F,I,26850 PROVIDENCE PKWY,SUITE 505,NOVI,MI,483741209,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,437.96428571,79.208571429,62.095,55.287857143
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,81,81,81,124.79160494,52.139259259,39.517654321,37.14962963
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,25.23125,10.7175,8.1395833333,7.10375
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,48,48,48,122.84645833,57.160208333,44.811458333,42.60375
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,21.011764706,10.703823529,6.4935294118,6.3614705882
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,50,50,149.3328,52.7228,37.6826,35.4492
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,58.199285714,17.27,12.053571429,12.053571429
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,11.79,7.5260869565,5.8973913043,5.2843478261
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,28.08,13.428888889,10.529444444,10.418888889
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,74,74,304.38202703,73.964864865,53.534864865,50.330945946
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,115.97021277,38.526595745,28.273829787,27.634255319
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,79,79,41.452531646,30.915949367,23.346835443,22.377468354
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,71,398,398,73.485025126,22.271909548,15.952286432,13.125778894
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,44,104.05363636,31.886590909,22.9625,19.366590909
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,32,25.06125,9.691875,6.13875,5.430625
1023098027,ENDSLEY,FERRAL,L,DO,M,I,1934 HICKORY ST,STE 100,ABILENE,TX,796012336,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,768.18724138,174.42310345,129.71241379,112.39275862
1023098043,MARSH,CHRISTOPHER,L,M.D.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Urology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,59,9480,3.7528438819,0.5620443038,0.422592827,0.422592827
1023098043,MARSH,CHRISTOPHER,L,M.D.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Urology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,41,9720,3.4989269547,1.1558024691,0.8890298354,0.8890298354
1023098043,MARSH,CHRISTOPHER,L,M.D.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Urology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1680,4.28325,2.7590714286,2.1631190476,2.1631190476
1023098043,MARSH,CHRISTOPHER,L,M.D.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Urology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,210,15.099904762,7.547952381,5.9174761905,5.9174761905
1023098043,MARSH,CHRISTOPHER,L,M.D.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Urology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,15,50,50,24,24,18.0672,18.0672
1023098043,MARSH,CHRISTOPHER,L,M.D.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Urology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,15,102,110,16,16,12.426272727,12.426272727
1023098324,BEBB,GREGORY,G,MD,M,I,1414 MEDICAL CENTER DR,,WILMINGTON,NC,284017505,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,29,105,45.558285714,42.52,33.336666667,30.900190476
1023098324,BEBB,GREGORY,G,MD,M,I,1414 MEDICAL CENTER DR,,WILMINGTON,NC,284017505,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,15,18,354.59888889,318.83,237.71333333,252.57833333
1023098456,GARRISON,GREGORY,M,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,25,54,53.51962963,8.32,5.7962962963,5.7962962963
1023098464,BERNARD,ROBERT,,M.D.,M,I,5972 ROUTE 25A,,WADING RIVER,NY,117922001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,56,211,72.45492891,8.32,6.1513744076,6.1513744076
1023098464,BERNARD,ROBERT,,M.D.,M,I,5972 ROUTE 25A,,WADING RIVER,NY,117922001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,33,14.952424242,1.42,0.9442424242,0.9442424242
1023098464,BERNARD,ROBERT,,M.D.,M,I,5972 ROUTE 25A,,WADING RIVER,NY,117922001,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,4.825,1.73,1.3563333333,1.5993333333
1023098464,BERNARD,ROBERT,,M.D.,M,I,5972 ROUTE 25A,,WADING RIVER,NY,117922001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,874.72,29.53,21.496428571,21.720714286
1023098480,THOME,STEPHAN,,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,23,1636,23.666668704,4.9502506112,3.881002445,3.881002445
1023098480,THOME,STEPHAN,,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Medical Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,14,1510,8.4253907285,3.9941390728,3.1314304636,3.1314304636
1023098480,THOME,STEPHAN,,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,31,31,24,24,18.82,18.82
1023098480,THOME,STEPHAN,,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,15,16,16,12.54,12.54
1023098498,CATANZARITI,ALAN,R,D.P.M.,M,I,4800 FRIENDSHIP AVE,FIRST FLOOR,PITTSBURGH,PA,152241722,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,134.54545455,84.181818182,59.971818182,57.363636364
1023098498,CATANZARITI,ALAN,R,D.P.M.,M,I,4800 FRIENDSHIP AVE,FIRST FLOOR,PITTSBURGH,PA,152241722,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,359.4,279.25,210.25142857,210.21333333
1023098597,PRESTON,STAFFORD,A,MD,M,I,44000 WEST TWELVE MILE ROAD,SUITE 200,NOVI,MI,48377,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,65,179,52.292793296,8.32,5.8734636872,5.8734636872
1023098597,PRESTON,STAFFORD,A,MD,M,I,44000 WEST TWELVE MILE ROAD,SUITE 200,NOVI,MI,48377,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,16.75,3.38,2.65,2.65
1023098597,PRESTON,STAFFORD,A,MD,M,I,44000 WEST TWELVE MILE ROAD,SUITE 200,NOVI,MI,48377,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,22.484615385,2.12,1.67,1.67
1023098597,PRESTON,STAFFORD,A,MD,M,I,44000 WEST TWELVE MILE ROAD,SUITE 200,NOVI,MI,48377,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,13,40,58,16.620689655,1.42,1.0193103448,1.0193103448
1023098605,GAGLIA,JASON,L,M.D.,M,I,1 JOSLIN PL,ROOM 470,BOSTON,MA,022155306,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,18,82,65.517073171,8.32,5.8065853659,5.8065853659
1023098605,GAGLIA,JASON,L,M.D.,M,I,1 JOSLIN PL,ROOM 470,BOSTON,MA,022155306,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,21,21,250.98,250.98,196.76809524,196.86952381
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,45,36.087555556,28.46,19.193333333,19.193333333
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,30,360,2.49,2.49,1.9516666667,1.9516666667
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,83,103,13.280485437,10.91407767,8.0582524272,8.070776699
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1452,0.4581818182,0.44,0.3449793388,0.3449793388
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,37,37,74,73.181891892,71.56,56.105,56.105
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,35,35,206,29.678592233,29.189320388,22.884466019,22.886067961
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,322,4.5886956522,3,2.3521118012,2.3677950311
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,58,1688,135.31765403,5.49,4.0874052133,3.96117891
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4506,0.4044962273,0.3099312028,0.2250199734,0.2250732357
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,45,22302,3.4972594386,0.63,0.4939216214,0.5162962963
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,27,27,706.01074074,62.78,47.397037037,46.597037037
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,32,32,264.6746875,45.8325,25.9875,26.7975
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,50,52,71.534807692,49.5825,37.37,38.959423077
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,66,70,38.047571429,17.52,13.151142857,12.971142857
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,23,6.72,5.5513043478,4.3517391304,3.922173913
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,10.357419355,4.91,3.85,3.95
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,92,101,221.43227723,79.457524752,60.654851485,53.798217822
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,27,165,170,37.687058824,20.215823529,14.257470588,12.863470588
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,19,37,37,29.01,29.483684211
1023098639,DURHAM-BORING,TAMMY,N,DO,F,I,9894 E 121ST ST,,FISHERS,IN,46037,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,699.15,163.54285714,117.96785714,109.885
1023098662,LASATER,LOREN,S,MD,M,I,1500 S MAIN ST,,FORT WORTH,TX,761044917,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,22,85,71.014588235,8.32,5.8105882353,5.8105882353
1023098670,NOLAN,BRIAN,M,MD,M,I,193 MAIN ST,SUITE 1,NORWAY,ME,042685645,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,47,160,57.2023125,8.32,6.0746875,6.0746875
1023098670,NOLAN,BRIAN,M,MD,M,I,193 MAIN ST,SUITE 1,NORWAY,ME,042685645,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,15,23,14.323478261,1.42,0.8713043478,0.8713043478
1023098670,NOLAN,BRIAN,M,MD,M,I,193 MAIN ST,SUITE 1,NORWAY,ME,042685645,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,657.20714286,99.926666667,65.82047619,45.094761905
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,57,78.149824561,8.32,4.0957894737,4.0957894737
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,159.07928571,49.331428571,27.448571429,21.452142857
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,21,7.7366666667,2.0428571429,1.299047619,0.8761904762
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,395.26909091,119.99181818,80.650909091,59.314545455
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,258.81928571,77.618571429,46.892857143,33.09
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,65.351666667,25.369166667,15.765833333,11.525833333
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,23,109,10.926055046,3.2370642202,2.3743119266,1.6933944954
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,22,37.365,7.9045454545,5.7545454545,3.2763636364
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,172.41684211,43.64,31.041578947,22.913157895
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,31,453.9216129,101.03806452,74.588064516,51.896451613
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,720,9.671,3.1595,2.4102361111,2.4102361111
1023098696,EODICE,DIANE,M,D.O.,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,125.4,33,24.145333333,24.145333333
1023098704,MCNETT,WAYNE,F,MD,M,I,1661 S MAIN ST,,HARRISONBURG,VA,228012728,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,38,98,259,62.338223938,8.32,6.0302702703,6.0302702703
1023098704,MCNETT,WAYNE,F,MD,M,I,1661 S MAIN ST,,HARRISONBURG,VA,228012728,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,17.5,3.38,2.65,2.65
1023098704,MCNETT,WAYNE,F,MD,M,I,1661 S MAIN ST,,HARRISONBURG,VA,228012728,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,31,62,17.472419355,1.42,1.0596774194,1.0596774194
1023098704,MCNETT,WAYNE,F,MD,M,I,1661 S MAIN ST,,HARRISONBURG,VA,228012728,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.55,3.5683333333,3.5666666667
1023098704,MCNETT,WAYNE,F,MD,M,I,1661 S MAIN ST,,HARRISONBURG,VA,228012728,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,128,28.363636364,15.757272727,14.516363636
1023098860,CHRIST,CONSTANCE,B,"MD, PHD",F,I,610 S SHERMAN ST,SUITE 201,SPOKANE,WA,992021342,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,21,16,16,12.54,12.54
1023098894,KRANTZLER,JOSEPH,D,M.D.,M,I,1591 MEDICAL DRIVE,,POTTSTOWN,PA,19464,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,3738.5714286,2631.8585714,2063.3771429,2063.3771429
1023098910,LEWIS,GREGORY,A,M.D.,M,I,1541 RIVERBOAT CENTER DR,,JOLIET,IL,604319341,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,3470,3.8777233429,1.9903170029,1.5512737752,1.5902420749
1023098910,LEWIS,GREGORY,A,M.D.,M,I,1541 RIVERBOAT CENTER DR,,JOLIET,IL,604319341,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,32,11.515625,10.8475,6.9103125,6.978125
1023098910,LEWIS,GREGORY,A,M.D.,M,I,1541 RIVERBOAT CENTER DR,,JOLIET,IL,604319341,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,36,9.4388888889,7.4233333333,5.82,5.8491666667
1023098944,MILLER,TODD,T,PA C,M,I,4745 OGLETOWN STANTON RD,SUITE 225,NEWARK,DE,19713,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,88,88,88,210.72818182,44.811590909,32.807613636,34.064772727
1023098944,MILLER,TODD,T,PA C,M,I,4745 OGLETOWN STANTON RD,SUITE 225,NEWARK,DE,19713,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,47.421818182,37.178181818,38.336363636
1023098944,MILLER,TODD,T,PA C,M,I,4745 OGLETOWN STANTON RD,SUITE 225,NEWARK,DE,19713,US,Physician Assistant,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,32.58,8.3127272727,6.5227272727,6.8736363636
1023099033,WILEY,VIRGINIA,C,M.D.,F,I,19 W FREDERICK ST,,WALKERSVILLE,MD,217938230,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,26,68.679615385,8.32,5.5176923077,5.5176923077
1023099033,WILEY,VIRGINIA,C,M.D.,F,I,19 W FREDERICK ST,,WALKERSVILLE,MD,217938230,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,219.79909091,54.32,38.718181818,38.969090909
1023099033,WILEY,VIRGINIA,C,M.D.,F,I,19 W FREDERICK ST,,WALKERSVILLE,MD,217938230,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,9.035,2.28,1.5778787879,1.4183333333
1023099033,WILEY,VIRGINIA,C,M.D.,F,I,19 W FREDERICK ST,,WALKERSVILLE,MD,217938230,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,179.5272,31.328,19.9588,20.3484
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,37,142,256,73.943046875,8.32,5.7629296875,5.7629296875
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,19,38,57,40.703508772,1.42,1.0173684211,1.0173684211
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,21,21,137.0547619,39.56,28.960952381,28.473809524
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,23,23,282.84043478,95.214782609,71.457826087,64.890869565
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,27,113.15555556,36.45,28.575925926,25.919259259
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,11,47,35.425531915,15.58,11.759574468,11.450851064
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,11,21,21,134.25619048,55.97,39.186666667,38.293809524
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,24,24,54.928333333,19.173333333,13.914583333,12.99625
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,49.357058824,14.973529412,11.081764706,8.5835294118
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,30,163,7.3422699387,2.28,1.6958282209,1.5117177914
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,29,60.759655172,18,13.623448276,13.112413793
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,1561.02,1074.31,831.63259259,831.63259259
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,14.05,11.02,10.48
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,25,7.4913043478,4.5460869565,2.7613043478
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,38,44,178.1,34.720454545,22.693181818,20.835909091
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,58,390.41086207,86.84,62.137068966,52.352586207
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2609,0.3712840169,0.0457071675,0.0252587198,0.0252587198
1023099074,LAMBERT,HEATHER,D,"WHNP, FNP, BC",F,I,507 GORDONSVILLE HWY,SUITE 203,GORDONSVILLE,TN,385634652,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,27,122.17592593,23.328888889,17.661481481,13.729259259
1023099132,TAKIEDDINE,MARWAN,A,M.D.,M,I,2420 PROFESSIONAL CT STE 150,,LAS VEGAS,NV,891280837,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,98,9617,4.4405667048,0.5539180618,0.3477269419,0.3876136009
1023099132,TAKIEDDINE,MARWAN,A,M.D.,M,I,2420 PROFESSIONAL CT STE 150,,LAS VEGAS,NV,891280837,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,4650,0.1154795699,0.0132580645,0.0100451613,0.0100451613
1023099132,TAKIEDDINE,MARWAN,A,M.D.,M,I,2420 PROFESSIONAL CT STE 150,,LAS VEGAS,NV,891280837,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1470,0.7836258503,0.739244898,0.5795918367,0.5795918367
1023099132,TAKIEDDINE,MARWAN,A,M.D.,M,I,2420 PROFESSIONAL CT STE 150,,LAS VEGAS,NV,891280837,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,79,12720,2.6021336478,1.180115566,0.7706407233,0.8700849057
1023099132,TAKIEDDINE,MARWAN,A,M.D.,M,I,2420 PROFESSIONAL CT STE 150,,LAS VEGAS,NV,891280837,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,58,58,24,24,18.171034483,18.171034483
1023099132,TAKIEDDINE,MARWAN,A,M.D.,M,I,2420 PROFESSIONAL CT STE 150,,LAS VEGAS,NV,891280837,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,103,133,16,16,11.974511278,11.974511278
1023099140,KNAPP,WILLIAM,S,D.O.,M,I,2137 CHARBONIER RD STE B,,FLORISSANT,MO,630315500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,35,156,78.429230769,8.32,5.5183974359,5.5183974359
1023099140,KNAPP,WILLIAM,S,D.O.,M,I,2137 CHARBONIER RD STE B,,FLORISSANT,MO,630315500,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,22,8.19,1.68,1.1386363636,0.9931818182
1023099140,KNAPP,WILLIAM,S,D.O.,M,I,2137 CHARBONIER RD STE B,,FLORISSANT,MO,630315500,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,50.73,3.9866666667,3.12,3.7153333333
1023099140,KNAPP,WILLIAM,S,D.O.,M,I,2137 CHARBONIER RD STE B,,FLORISSANT,MO,630315500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,519.51,79.8,58.820625,51.309375
1023099140,KNAPP,WILLIAM,S,D.O.,M,I,2137 CHARBONIER RD STE B,,FLORISSANT,MO,630315500,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,3973,0.175368739,0.0459224767,0.0346136421,0.0346136421
1023099140,KNAPP,WILLIAM,S,D.O.,M,I,2137 CHARBONIER RD STE B,,FLORISSANT,MO,630315500,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,128.04,33,24.8352,24.8352
1023099157,THOMPSON,JAMES,E,MD,M,I,548 BLUE RIDGE AVE,,BEDFORD,VA,24523,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,121.11111111,46.593333333,32.119444444,31.612777778
1023099157,THOMPSON,JAMES,E,MD,M,I,548 BLUE RIDGE AVE,,BEDFORD,VA,24523,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,85,37.44,29.35,29.51
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,251,557,558,156.54390681,40.321827957,29.512777778,28.547544803
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,23,215,483,483,434.26120083,94.043416149,69.673540373,64.586811594
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,143,270,460,130.22597826,36.192347826,26.723195652,24.579630435
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,49,124,524,92.092938931,19.328530534,14.391679389,13.837862595
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,27,57,282,60.334787234,15.366808511,11.543333333,11.407056738
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,85,169,170,245.77764706,58.548823529,44.220117647,41.434882353
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,275,379,379,77.570738786,19.121556728,14.166807388,13.36646438
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,78,96,96,34.908541667,10.708333333,8.0658333333,7.8504166667
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,55,96,96,77.001041667,14.063333333,10.505520833,8.76125
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,27,291,773,3218,11.511808577,2.1572218769,1.60615289,1.5180609074
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,157,228,228,52.923026316,13.645614035,10.034078947,9.7305701754
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,12,64,254,294,446.68870748,93.234931973,70.584319728,67.635034014
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,13,102,504,547,1129.3775868,229.45694698,171.95601463,158.54665448
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,54,55,55,261.68818182,142.67218182,111.85727273,104.73309091
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,59,240,291,87.73766323,13.433161512,10.096735395,10.022817869
1023099207,KRAKOW,BARRY,J,MD,M,I,6739 ACADEMY RD NE,SUITE 380,ALBUQUERQUE,NM,871093351,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,121,149,388.3604698,81.524228188,61.284630872,54.253355705
1023099231,CARDONA-RAMIREZ,ARMANDO,O,MD,M,I,55 DE DIEGO E,STE 401 CPR PROFESSIONAL BUILDING,MAYAGUEZ,PR,00680,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,1.7941176471,1.7394117647,1.3570588235,1.2011764706
1023099231,CARDONA-RAMIREZ,ARMANDO,O,MD,M,I,55 DE DIEGO E,STE 401 CPR PROFESSIONAL BUILDING,MAYAGUEZ,PR,00680,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,1.4576470588,1.4217647059,1.1164705882,0.9947058824
1023099231,CARDONA-RAMIREZ,ARMANDO,O,MD,M,I,55 DE DIEGO E,STE 401 CPR PROFESSIONAL BUILDING,MAYAGUEZ,PR,00680,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.401818182,20.220909091,15.854545455,12.950909091
1023099231,CARDONA-RAMIREZ,ARMANDO,O,MD,M,I,55 DE DIEGO E,STE 401 CPR PROFESSIONAL BUILDING,MAYAGUEZ,PR,00680,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,7.8086486486,6.4354054054,5.047027027,3.6548648649
1023099231,CARDONA-RAMIREZ,ARMANDO,O,MD,M,I,55 DE DIEGO E,STE 401 CPR PROFESSIONAL BUILDING,MAYAGUEZ,PR,00680,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,74.473333333,59.326666667,46.510833333,36.8625
1023099231,CARDONA-RAMIREZ,ARMANDO,O,MD,M,I,55 DE DIEGO E,STE 401 CPR PROFESSIONAL BUILDING,MAYAGUEZ,PR,00680,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,13,27,3240,0.1281481481,0.1244444444,0.0975895062,0.0975895062
1023099231,CARDONA-RAMIREZ,ARMANDO,O,MD,M,I,55 DE DIEGO E,STE 401 CPR PROFESSIONAL BUILDING,MAYAGUEZ,PR,00680,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,15,30,30,33,33,25.87,25.87
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,225,50.944545455,39.939090909,40.566363636
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,54.249230769,17.25,12.560769231,12.579230769
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,3450.4457143,1074.31,832.01214286,832.01214286
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,30.146,3.764,2.954,3.7593333333
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,63,364.66857143,75.56,56.419047619,53.269206349
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,100,36.25,28.42,28.919583333
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,131.53333333,31.098666667,22.886666667,20.402666667
1023099272,HINDI,YOUSEF,,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,25,7.72,5.0090909091,5.5145454545
1023099306,SHALINI,KSHAMATA,,MD,F,I,3003 UNIVERSITY DR,,MARINETTE,WI,541434110,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,78.213125,21.8003125,15.6915625,12.8259375
1023099306,SHALINI,KSHAMATA,,MD,F,I,3003 UNIVERSITY DR,,MARINETTE,WI,541434110,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,464.69375,94.610625,68.5721875,52.1303125
1023099561,AKINS,TIMI,A,M.D.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1650,0.0278727273,0.0124545455,0.0090545455,0.0090545455
1023099561,AKINS,TIMI,A,M.D.,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,24,24,18.82,18.82
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,49,147,64.695782313,8.32,6.2565306122,6.2565306122
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.65,2.65
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,38,13.988947368,1.42,1.085,1.085
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,37,8.19,1.5,1.1432432432,1.1256756757
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,67,55.128955224,18.36,14.394776119,14.551641791
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,21,21,118.7747619,55.4,42.944285714,42.373809524
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,52.485333333,17.94,14.06,14.06
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,23,23,38.673043478,11.08,8.68,9.1008695652
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,29,145,6.0366896552,1.99,1.56,1.5900689655
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,14.290666667,5.77,4.53,4.6513333333
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,25.949090909,13.25,10.39,10.34
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,24,86.31,17.69,13.292083333,13.13625
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,49.67,38.95,37.63
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,352.92066667,79.46,59.111333333,58.312
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,65.54,13.315238095,10.446190476,10.46952381
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,48,50,127.9606,32.066,24.9542,25.0372
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,34,519.51,69.99,54.87,54.779411765
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,7218,0.1872028263,0.046475478,0.0318398448,0.0318398448
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,2788,1.1563773314,0.1362159254,0.1028873745,0.1028873745
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,12.86,3.0262857143,2.2225833333,2.2225833333
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,810,0.75,0.2184444444,0.1585679012,0.1585679012
1023099579,KELLEY,REBECCA,B,M.D.,F,I,201 S MAIN STREET,,AUXVASSE,MO,652312258,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,45,45,127.6,33,24.720222222,24.720222222
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,73.683571429,39.191428571,28.564285714,28.335714286
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,37,105,210,7.4400952381,1.5876666667,1.1763809524,1.0848571429
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,2.02,1.24,0.8953846154,0.8869230769
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,35,45,45,68.004222222,12.935555556,9.7104444444,8.6733333333
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,5,12,13,26,1.7907692308,0.6134615385,0.4815384615,0.4238461538
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,13,15,4.212,1.28,0.934,0.8966666667
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,234,404,404,223.3679703,92.911435644,69.686460396,65.231806931
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,208,362,929,95.803907427,35.979300323,27.820086114,25.708019376
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,205,351,1776,50.128845721,19.741109234,15.235411036,14.496283784
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,65,113,616,47.848068182,16.012597403,12.265730519,11.708733766
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,288,507,507,142.10258383,57.525128205,43.517593688,41.702800789
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,475,603,603,47.48814262,19.017512438,14.33199005,13.65344942
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,25,31,31,23.120322581,10.767419355,8.4387096774,8.15
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,492,867,867,49.12160323,13.023310265,9.8806459054,8.9536101499
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,494,878,5081,8.0142826215,2.1877563472,1.6655953552,1.563428459
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,394,495,495,16.123212121,6.3172929293,4.7325454545,4.4922424242
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,244,312,312,27.097884615,13.670801282,10.460480769,10.119070513
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,67,490,532,74.273383459,18.872556391,13.88481203,12.841503759
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,24,77.8275,19.2025,13.920833333,12.4025
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,24,429.8775,83.0375,60.0525,49.6875
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,78,78,222.58397436,53.498846154,36.233076923,36.13974359
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,16,70,83,178.22831325,52.028192771,38.886626506,35.983373494
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,96,96,232.35,48.444375,34.106354167,33.809583333
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,11,57,57,1878.9521053,913.16,710.65403509,828.12807018
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,30,144,146,269.48363014,89.490958904,66.276986301,65.007260274
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,623.40666667,266.25055556,208.74444444,168.3
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,148,150,150,328.42813333,144.4982,111.53353333,105.54413333
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,24,28,63.455357143,13.027857143,10.214642857,9.3889285714
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,11,28,147,155,34.873677419,5.4418064516,4.0470967742,3.5984516129
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,259,1482,1491,137.03919517,36.170026828,26.734647887,24.904453387
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,175,1232,1286,440.65996112,78.253576983,58.859020218,53.670979782
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,56,355,359,204.07231198,38.859610028,29.564094708,28.802339833
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,60,3600,16.020977778,9.6256666667,7.3625472222,7.3625472222
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1020,13.94,11.307764706,8.7246568627,8.7246568627
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,33,139,27247,0.3238587734,0.0460854406,0.0322398796,0.0322398796
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,31,64,267,30166,1.7053918319,0.1338559968,0.0944294902,0.0944294902
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,87,5220,12.311842912,2.9788390805,2.3354291188,2.3354291188
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,2055,2.5911873479,0.2185693431,0.1613673966,0.1613673966
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,30,196,196,103.96428571,38.860102041,30.173061224,29.531785714
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,31,98,419,419,82.398568019,33,23.56221957,23.56221957
1023099587,PATEL,ROHIT,G,M.D.,M,I,901 KEITH AVE,,ANNISTON,AL,362074762,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,67.272727273,66,47.036363636,47.036363636
1023099603,BHATTACHARYYA,BISWA,,MD,M,I,1232 PERIMETER PKWY,SUITE 101,VIRGINIA BEACH,VA,234545689,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,46,169,56.553727811,8.32,6.2819526627,6.2819526627
1023099603,BHATTACHARYYA,BISWA,,MD,M,I,1232 PERIMETER PKWY,SUITE 101,VIRGINIA BEACH,VA,234545689,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,16.850769231,3.38,2.65,2.65
1023099603,BHATTACHARYYA,BISWA,,MD,M,I,1232 PERIMETER PKWY,SUITE 101,VIRGINIA BEACH,VA,234545689,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,34,73,16.645753425,1.42,1.1130136986,1.1130136986
1023099603,BHATTACHARYYA,BISWA,,MD,M,I,1232 PERIMETER PKWY,SUITE 101,VIRGINIA BEACH,VA,234545689,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6981,1.1696175333,0.3006746884,0.2357255408,0.2430024352
1023099603,BHATTACHARYYA,BISWA,,MD,M,I,1232 PERIMETER PKWY,SUITE 101,VIRGINIA BEACH,VA,234545689,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,23,410.37521739,78.23,61.33,55.869565217
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,44,130,258,32.972945736,8.32,5.5842635659,5.5842635659
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,17,8.3082352941,1.42,0.9858823529,0.9858823529
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,527.49333333,112.82,85.070833333,64.465833333
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,209.376,42.476,30.436,24.8305
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,243.89533333,78.266666667,61.36,46.274666667
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,19,19,77.867368421,25.123684211,19.692631579,14.528421053
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,23,23,66.634782609,19.17173913,14.659565217,9.2543478261
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,26,142,9.4245070423,3.0524647887,2.3933802817,1.6407746479
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,683,7.24,6.5415373353,4.7462079063,3.8466032211
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,9329,0.7089645192,0.4785668346,0.3749008468,0.2958216315
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,146.89130435,21.085652174,15.33173913,12.392173913
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,864.64,83.875,65.76,64.918333333
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,54,54,200,52.052407407,39.486851852,25.451666667
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,632.09764706,95.638529412,72.557058824,53.645
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,19.672166667,9.6350833333,7.5326666667,7.5326666667
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2374,0.348652064,0.047443134,0.0371861837,0.0371861837
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1890,2.2053121693,0.1348571429,0.0912645503,0.0912645503
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,6.545,3.0329166667,2.3778333333,2.3778333333
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,233.87,42.020714286,32.772857143,22.68
1023099678,VONDERFECHT,SCOTT,L,M.D.,M,I,309 S LINCOLN AVE,,YORK,NE,68467,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,49,49,40.326530612,33,23.230204082,23.230204082
1023099702,MOORE,JEFFREY,D,MD,M,I,860 OMNI BLVD,SUITE #203,NEWPORT NEWS,VA,236064237,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,1050,1017.66,793.3745,882.025
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,59,54.162372881,8.32,5.5271186441,5.5271186441
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.999,5.74,4.5,4.5
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,13.998,9.86,7.0778636364,7.0778636364
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,230,6.5587391304,4.04,3.1674347826,3.1674347826
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,288.15454545,58,45.47,43.097272727
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,76.449166667,18,14.11,14.064166667
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,78,10.203076923,2.08,1.5046153846,1.4751282051
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,29,34,44.562352941,13.46,9.3088235294,9.2717647059
1023099785,MCLAUGHLIN,SEAN,T,M.D.,M,I,12277 DE PAUL DR,SUITE 504,BRIDGETON,MO,630442516,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,48,165.04875,33.25,23.961666667,23.162916667
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,50,145,279,56.135017921,8.32,5.1491397849,5.1491397849
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,340,8.1176470588,5.74,4.3676470588,4.3676470588
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,115,12,10.81,7.7380869565,7.7380869565
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,143.64285714,50.904285714,39.911428571,30.49
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,3,2.02,1.5836666667,1.5836666667
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,110,12,10.93,8.5694545455,8.5694545455
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,260.5,120.73875,89.949375,63.605625
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,25,103.76,47.8512,31.7856,20.7352
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,41,61.902439024,27.123414634,20.822682927,14.110243902
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,18,28,28,157.21428571,77.248214286,56.858214286,40.376428571
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,25,30,30,60.406666667,25.081,18.151666667,12.654
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,22,22,56.538181818,20.770454545,14.874545455,8.2813636364
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,21,33,196,6.9591836735,3.2160204082,2.3229081633,1.4468877551
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,11,16,16,38.925,15.60875,10.71125,9.0475
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,283,30,4.1927561837,3.2871024735,2.5401060071
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6100,10.223998361,0.4099737705,0.3214163934,0.2573622951
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,91.166666667,23.21625,17.2025,13.150833333
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,635.93230769,159.90384615,125.36384615,74.121538462
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,121.75,56.065,39.39175,24.10725
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,83,83,485.50361446,104.82578313,79.301927711,53.124819277
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,9.8209090909,9.6198181818,7.5419242424,7.5419242424
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,7189,0.3473348171,0.0465002087,0.0325650299,0.0325650299
1023099835,SLATTERY,MICHAEL,J,MD,M,I,1214 SOUTH GRANT ROAD,MCFARLAND CLINIC PC,CARROLL,IA,514013047,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,42,42,33,33,23.861190476,23.861190476
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,47,122,46.681721311,8.32,6.0948360656,6.0948360656
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,30,14.899666667,1.42,1.0773333333,1.0773333333
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,337.39952381,89.791904762,68.178095238,65.657619048
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,60,124.16566667,33.633833333,26.3685,25.913333333
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,70.353571429,17.894285714,14.024285714,14.054285714
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,25,25,68.0604,11.612,8.7384,8.756
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,30,148,9.7210135135,2.0390540541,1.5989864865,1.5933108108
1023100120,CHAPMAN,CATHY,S,CRNP,F,I,922 NATIONAL HWY,,LAVALE,MD,21502,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,483.97125,68.3475,50.14875,51.205625
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,27,80,166,62.793915663,8.32,5.3822289157,5.3822289157
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,38,45,14.995777778,1.42,0.9937777778,0.9937777778
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,60,57.429333333,17.29,12.195,12.181
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,111.42857143,48.31,37.88,37.665714286
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,842.26,842.26
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50,4.9271428571,3.8642857143,3.86
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,25,218,221,382.37701357,73.747285068,51.144615385,48.133891403
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,48,7743,0.5189629343,0.0461474881,0.0308536743,0.0308536743
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1380,1.9894710145,0.137826087,0.0902753623,0.0902753623
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,612,8.0422222222,0.2189869281,0.1404411765,0.1404411765
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,119.61363636,31.698181818,17.000909091,16.068181818
1023100294,BEMBALKAR,SHRIKANT,L,M.D.,M,I,252 RURAL ACRES DR,,BECKLEY,WV,258013503,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,47,47,33.042553191,33,22.899361702,22.899361702
1023100476,DI LAURO,CYNTHIA,L,MD,F,I,739 GRAHAM RD,,CUYAHOGA FALLS,OH,442211044,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,28,28,83.97,31.514285714,24.702857143,25.9275
1023100476,DI LAURO,CYNTHIA,L,MD,F,I,739 GRAHAM RD,,CUYAHOGA FALLS,OH,442211044,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,11,23,34.19,13.77,9.8565217391,10.832608696
1023100476,DI LAURO,CYNTHIA,L,MD,F,I,739 GRAHAM RD,,CUYAHOGA FALLS,OH,442211044,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,13,13,49.19,11.750769231,9.2123076923,9.12
1023100476,DI LAURO,CYNTHIA,L,MD,F,I,739 GRAHAM RD,,CUYAHOGA FALLS,OH,442211044,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,39,78,5.525,2,1.4894871795,1.5134615385
1023100476,DI LAURO,CYNTHIA,L,MD,F,I,739 GRAHAM RD,,CUYAHOGA FALLS,OH,442211044,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,134.45,35.04,27.478,26.492
1023100476,DI LAURO,CYNTHIA,L,MD,F,I,739 GRAHAM RD,,CUYAHOGA FALLS,OH,442211044,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,519.51,77.621538462,60.854615385,55.170769231
1023100542,TUNICK,MICHAEL,,DO,M,I,415 HOOPER RD,,ENDWELL,NY,137603646,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,56,83.944107143,8.32,6.5230357143,6.5230357143
1023100542,TUNICK,MICHAEL,,DO,M,I,415 HOOPER RD,,ENDWELL,NY,137603646,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,48.95,4.3072727273,3.0054545455,3.3190909091
1023100690,CIUFFO,LORI,A,,F,I,1400 PELHAM PARKWAY SOUTH,,BRONX,NY,10461,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,85,164,69.442317073,8.32,5.7674390244,5.7674390244
1023100690,CIUFFO,LORI,A,,F,I,1400 PELHAM PARKWAY SOUTH,,BRONX,NY,10461,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,28,44,40.317954545,1.42,0.9384090909,0.9384090909
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,34,96,68.4384375,8.32,5.1439583333,5.1439583333
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.9563636364,1.5336363636,1.15
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,40,23.073684211,18.087894737,13.846842105
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,30.146,6.164,4.834,3.828
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,101,101,394.96128713,97.497722772,70.428514851,50.322475248
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,750,13.97016,9.64348,7.5604666667,7.5604666667
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.179615385,8.6575384615,8.6575384615
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1373,0.2413911143,0.046576839,0.0364821559,0.0364821559
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1860,1.6342204301,0.1338870968,0.104983871,0.104983871
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,1740,9.5553275862,2.9697586207,2.2850804598,2.2850804598
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,636.2,265.74727273,195.30272727,161.82181818
1023100773,THOMAS,DAMON,J,M.D.,M,I,102 CORTNEY LN,,CRANE,MO,656339192,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,46,46,89.309782609,33,25.87,25.87
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,18,18,306,29.92751634,25.6,20.070555556,20.070555556
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,65,17.0021875,12.5390625,12.9553125
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,7.3225,5.7425,6.6008333333
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,600,151.595,118.8525,116.31166667
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,L1845,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,22,23,1075,850.02,648.66521739,628.40521739
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,24,25,132,106.8444,83.7696,88.85
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,143.99789474,104.26,77.928947368,83.064736842
1023100922,TEMPLIN,DAVID,B,MD PA,M,I,652 N HOUSTON AVE STE 2,,NEW BRAUNFELS,TX,781304123,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,13,78.615384615,53.2,41.71,45.992307692
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,3.7672727273,0.51,0.4,0.4
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,41,103,199,61.688341709,8.32,6.1937688442,6.1937688442
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,13.681904762,3.38,2.65,2.65
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,17.12,2.12,1.67,1.67
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,42,43,14.909069767,1.42,1.1195348837,1.1195348837
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,277.77090909,65.558181818,47.504545455,38.963636364
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,50,10.797,2.7214,2.0694,1.5288
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,25,25,25,134.9072,46.8628,36.7356,36.46
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,154.51,52.1985,40.9215,40.5175
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,53,53,94.26490566,17.473773585,13.699811321,13.536981132
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,41.89,4.4038461538,2.4384615385,2.5461538462
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,274.02142857,48.935,38.362142857,28.252142857
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,95,95,11.17,5.1101052632,3.6162105263,3.5929473684
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,107,110,482.88790909,69.436545455,51.336545455,51.629363636
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,89,89,17.06,13.321685393,9.1802247191,9.1546067416
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,17.531492424,11.151227273,8.4622878788,8.4622878788
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,41,236,236,69.543601695,19.02940678,13.358813559,12.852033898
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,23,129,129,23.704573643,8.5235658915,6.0482945736,6.1804651163
1023101052,CHAVEZ,VERNON,B,MD,M,I,1210 W 24TH ST,SUITE 2,YUMA,AZ,853646226,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,80.347826087,33,24.745217391,24.745217391
1023101169,STAHL,BRIAN,G,DPM,M,I,2690 KINGSTON RD,SUITE 103,EASTON,PA,180458001,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,68,68,136,135.36764706,71.56,54.335294118,54.328676471
1023101169,STAHL,BRIAN,G,DPM,M,I,2690 KINGSTON RD,SUITE 103,EASTON,PA,180458001,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,160,75.85,43.56,34.15025,34.14725
1023101169,STAHL,BRIAN,G,DPM,M,I,2690 KINGSTON RD,SUITE 103,EASTON,PA,180458001,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,34,35,197,72.688730964,43.56,34.150507614,34.147969543
1023101169,STAHL,BRIAN,G,DPM,M,I,2690 KINGSTON RD,SUITE 103,EASTON,PA,180458001,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,147.375,87.7875,65.71625,60.893125
1023101169,STAHL,BRIAN,G,DPM,M,I,2690 KINGSTON RD,SUITE 103,EASTON,PA,180458001,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,325,276.15666667,215.49083333,217.87916667
1023101243,LEE,JEFFREY,J,MD,M,I,MMG - BRONX EAST,2300 WESTCHESTER AVENUE,BRONX,NY,10462,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,35,83,75.486746988,8.32,5.4337349398,5.4337349398
1023101243,LEE,JEFFREY,J,MD,M,I,MMG - BRONX EAST,2300 WESTCHESTER AVENUE,BRONX,NY,10462,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,19,17.720526316,1.42,1.0557894737,1.0557894737
1023101375,DOWNS,DAVID,,MD,M,I,680 LANGSDORF DR,SUITE 103,FULLERTON,CA,928313702,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,114.34,74.371578947,58.303157895,68.59
1023101375,DOWNS,DAVID,,MD,M,I,680 LANGSDORF DR,SUITE 103,FULLERTON,CA,928313702,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,395,124.04307692,88.8,88.795384615
1023101557,GRUSHKIN,CARL,M,M.D.,M,I,4650 SUNSET BLVD.,MS# 40,LOS ANGELES,CA,900276062,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,1380,3.1601304348,1.2708695652,0.9963115942,0.9963115942
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,46,146,62.164931507,8.32,5.0926027397,5.0926027397
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,86.461818182,50.046363636,39.238181818,30.49
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,68,53.022352941,24.91,19.426029412,14.448235294
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,150.7425,75.43125,59.138125,44.460625
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,84,7.0169047619,3.135,2.415952381,1.6198809524
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175.55,65.029090909,46.325454545,34.214545455
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,388.36142857,106.38666667,80.563809524,52.123809524
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1500,12.4968,9.64596,7.27548,7.27548
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1199,0.2132527106,0.0454545455,0.0356046706,0.0356046706
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,2160,0.8610509259,0.1276111111,0.077337963,0.077337963
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1020,12.289764706,3.087,2.3889901961,2.3889901961
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,77.85,22.177142857,12.240714286,8.4214285714
1023101631,HANSELL,PHYLLIS,L,FNP-C,F,I,600 NW 11TH ST STE E37,,HERMISTON,OR,978388604,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,47,47,94.595744681,33,24.218723404,24.218723404
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,52,134,66.710597015,8.32,6.426119403,6.426119403
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,21,36,19.029722222,1.42,1.115,1.115
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,11,31,3.3893548387,1.8135483871,1.2993548387,1.0412903226
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,334,7.41,4.1718562874,3.2706886228,2.3677245509
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5010,0.68,0.405748503,0.3026546906,0.2275828343
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,63.392820513,22.515384615,16.885384615,12.836153846
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,20,118,118,23.535,7.408559322,5.5828813559,3.6258474576
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,135.7,59.100909091,46.336363636,34.452727273
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,94,94,345.64829787,103.21308511,77.742340426,53.541489362
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,57,57,40.627272727,40.627272727
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,52,5336,2.1637743628,0.1367916042,0.104197901,0.104197901
1023101680,JUSTUS-BAKER,MISTY,,PA,F,I,14508 JAMES B WHITE HWY S,,TABOR CITY,NC,284638358,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,46,46,39.456521739,33,25.307608696,25.307608696
1023101854,RODRIGUEZ,RAOUL,P,MD,M,I,1415 TULANE AVE,,NEW ORLEANS,LA,701122600,US,Physician/Orthopedic Surgery,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,12,9.3078571429,1.4742857143,1.5464285714
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,36,103,248,64.891572581,8.32,5.7851209677,5.7851209677
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,13.848421053,3.38,2.65,2.65
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,22.958181818,2.12,1.67,1.67
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,24,58,83,13.419518072,1.42,0.9945783133,0.9945783133
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,302.16363636,53.63,34.396363636,35.242727273
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,99.245454545,12.08,8.6090909091,8.2909090909
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,70,11.775428571,2.01,1.4417142857,1.4582857143
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,22.790909091,16.51,12.3
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.6325,5.175,2.91
1023102084,KOCH,CHRISTIAN,E,M.D.,M,I,3080 ACKERMAN BLVD STE 110,,KETTERING,OH,454293559,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,459.28344828,87.73862069,63.507931034,51.24
1023102092,ACOSTA,RODRIGO,,M.D.,M,I,32 STRAWBERRY HILL CT,SUITE 41096,STAMFORD,CT,069022594,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,48,71.751875,8.32,5.7070833333,5.7070833333
1023102126,ORTIZ,DANIEL,L,D.O.,M,I,406 TAYLOR ST STE B,,SCOTTSBORO,AL,357682406,US,Physician/Otolaryngology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16,7.2181818182,5.2181818182,3.0727272727
1023102167,PINSKY,HOWARD,,ARNP,M,I,12450 TAMIAMI TRAIL,SUITE E,NORTH PORT,FL,342871932,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,62.73,45,35.28,36.380909091
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,44,98,310,66.404387097,8.32,5.7207419355,5.7207419355
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,23,47,64,14.7621875,1.42,1.0109375,1.0109375
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,465,18.549935484,7,5.488,5.488
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,547.1,87.54,59.155,58.533571429
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,39,193.81384615,34.2,25.158717949,24.354615385
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,92.476428571,19,13.835714286,13.115714286
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,82.632777778,12.52,9.82,9.245
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,24,137,9.8886131387,2.12,1.5968613139,1.5362043796
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,11,9.1666666667,7.1866666667,7.6238888889
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,26,714.13961538,79.96,59.604230769,52.256538462
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,4020,2.385659204,0.1311567164,0.0817835821,0.0817835821
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,247.15588235,37,27.303529412,27.811176471
1023102308,BAIN,DAVID,,MD,M,I,5492 N RONALD REAGAN PKWY STE 250,,BROWNSBURG,IN,461125618,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,33,33,21.022272727,21.022272727
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,39,82,82,84.876219512,38.548658537,28.094146341,28.287439024
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,13,29,4.6103448276,1.34,0.7965517241,0.8820689655
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,18,19,19,43.391052632,12.920526316,10.133157895,9.3342105263
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,34,69,69,225.49188406,87.663913043,64.15057971,63.372898551
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,29,69,150,84.9808,33.48,24.905733333,24.618
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,26,50,255,57.858235294,18.842156863,14.371568627,14.329686275
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,19,36,189,38.546613757,15.930793651,11.828095238,11.252962963
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,47,91,91,162.40395604,57.377582418,43.461978022,41.417032967
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,71,89,89,55.315505618,18.401685393,13.982696629,13.623370787
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,41,77,78,54.620384615,12.545384615,9.5516666667,8.8729487179
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,78,182,889,7.56712036,2.0476490439,1.5236895388,1.5158267717
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,18,24,24,17.569166667,6.5375,5.1245833333,4.65
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,46,62,62,27.347258065,13,9.1751612903,9.3166129032
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,39,203,211,94.319241706,17.263412322,12.523364929,12.54507109
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,24,27,98.218888889,47.29,37.07,37.443333333
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,28,28,2914.6425,1074.31,842.26,842.26
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,14,76,78,336.77333333,89.551282051,62.048974359,59.167435897
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,25,25,25,366.572,139.594,105.31,100.3684
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,27,33,51.145151515,13.188181818,8.6227272727,8.7406060606
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,21,123,123,41.886666667,6.0841463415,4.4720325203,3.8045528455
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,35,183,191,168.34743455,37.975235602,27.785183246,25.306701571
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,116,869,880,450.89919318,78.671409091,58.239647727,52.745636364
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,44,339,341,132.60096774,36.078387097,27.026627566,28.147800587
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,16.791533333,9.6734,7.5839333333,7.5839333333
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,45,2886,18.606694387,11.230024255,8.7816701317,8.7816701317
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,14,34,10065,0.3658648783,0.0469160457,0.034106309,0.034106309
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,15,49,5872,1.7578388965,0.1334468665,0.1009230245,0.1009230245
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,21,96,6942,9.3017919908,3.05224431,2.370096514,2.370096514
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,725,1.2224827586,0.218662069,0.1643724138,0.1643586207
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,84,84,82.662142857,36,27.212142857,28.206428571
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,35,140,140,48.192857143,33,25.315642857,25.315642857
1023102324,KAPLAN,GARY,B,MD,M,I,36001 EUCLID AVE,SUITE C6,WILLOUGHBY,OH,440944643,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,66,66,51.74,51.74
1023102407,MCKENZIE,EDWARD,N,MD,M,I,1100 CENTRAL AVE SE FL 4B,PMG HOSPITALISTS,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,63.69,50.423333333,35.3775,33.465833333
1023102407,MCKENZIE,EDWARD,N,MD,M,I,1100 CENTRAL AVE SE FL 4B,PMG HOSPITALISTS,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,22,18.381538462,14.407692308,13.521538462
1023102407,MCKENZIE,EDWARD,N,MD,M,I,1100 CENTRAL AVE SE FL 4B,PMG HOSPITALISTS,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,62,49.083333333,34.434166667,31.834166667
1023102407,MCKENZIE,EDWARD,N,MD,M,I,1100 CENTRAL AVE SE FL 4B,PMG HOSPITALISTS,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,111.00615385,85.418461538,66.963846154,55.185384615
1023102407,MCKENZIE,EDWARD,N,MD,M,I,1100 CENTRAL AVE SE FL 4B,PMG HOSPITALISTS,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,34,27.625,19.265,19.238125
1023102407,MCKENZIE,EDWARD,N,MD,M,I,1100 CENTRAL AVE SE FL 4B,PMG HOSPITALISTS,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,25,6.9857142857,4.9985714286,6.0971428571
1023102472,SCOTT,LASHONDA,,"M.D,",F,I,6434 W NORTH AVE,,CHICAGO,IL,607074030,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,48,51.726458333,8.32,5.9379166667,5.9379166667
1023102480,CHILDRESS,GEORGE,W,MD,M,I,6171 VIRGINIA PKWY STE 200,,MCKINNEY,TX,750715639,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,53,63.566226415,8.32,5.4150943396,5.4150943396
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,94,138,138,77.607463768,50.052536232,36.745797101,29.510289855
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,154,253,253,222.42083004,121.02517787,86.330118577,63.51201581
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,74,144,196,88.877397959,46.398826531,33.842704082,24.700459184
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,38.95,19.666666667,14.438,11.003333333
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,30,53,53,117.1554717,78.095471698,53.58509434,40.064716981
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,174,200,200,43.43145,24.9629,18.3975,13.655
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,39.220833333,12.6375,8.5116666667,7.2016666667
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,89,151,151,49.155960265,20.015430464,14.114569536,8.5113245033
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,183,447,1187,7.4863268745,3.1341364785,2.2506655434,1.5065290649
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,19,19,18.146315789,8.9505263158,7.0184210526,4.6521052632
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,60,71,71,33.275352113,15.866338028,11.711971831,9.91
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,15,78,80,267.632,124.97275,93.504375,70.647125
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,51,52,449.21692308,281.88480769,209.96596154,160.82403846
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,41,41,41,359.59219512,183.20658537,134.98878049,98.243170732
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,65,232,239,33.0758159,17.642887029,12.429079498,9.5162343096
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,90,416,428,140.22411215,53.468785047,39.161425234,25.743948598
1023102498,CHIMOSKEY,STEFAN,J,MD,M,I,3901 ATRISCO DR NW,PMG ATRISCO,ALBUQUERQUE,NM,871201627,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,49,421,445,342.32476404,102.76229213,75.94388764,53.606089888
1023103264,GUTIERREZ,SYLVIA,,MD,F,I,6707 N 19TH AVE 104,,PHOENIX,AZ,85015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,32,70,58.805,8.32,5.592,5.592
1023103264,GUTIERREZ,SYLVIA,,MD,F,I,6707 N 19TH AVE 104,,PHOENIX,AZ,85015,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,25,14.5184,1.42,0.9368,0.9368
1023103306,FOLEY,PATRICK,,MD,M,I,4880 CENTURY PLAZA RD,SUITE 200,INDIANAPOLIS,IN,462545469,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,39,98,229,55.936419214,8.32,5.525371179,5.525371179
1023103306,FOLEY,PATRICK,,MD,M,I,4880 CENTURY PLAZA RD,SUITE 200,INDIANAPOLIS,IN,462545469,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.928571429,3.38,2.65,2.65
1023103306,FOLEY,PATRICK,,MD,M,I,4880 CENTURY PLAZA RD,SUITE 200,INDIANAPOLIS,IN,462545469,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,39,54,12.376296296,1.42,1.032962963,1.032962963
1023103314,MYERS,DEBRA,,FNPC,F,I,120 CRESCENT AVENUE,,PEORIA,IL,61603,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,86.31,17.27,12.743529412,12.743529412
1023103314,MYERS,DEBRA,,FNPC,F,I,120 CRESCENT AVENUE,,PEORIA,IL,61603,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,72,72,313.6825,69.81,50.560416667,50.560416667
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,68,63.496176471,8.32,4.7958823529,4.7958823529
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,30,27.45,20.085333333,20.783333333
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,12.5,10.93,7.9986666667,7.9986666667
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,600,8,7.37,5.778,5.778
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,600,5.5,5.23,4.1003333333,4.1003333333
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,27,1236,8.28,8.28,6.3970064725,6.3970064725
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,300,4.0266666667,3.81,2.9873333333,2.9873333333
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,31,849,7.6713780919,3,2.3520259128,2.366631331
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,13,141,3818,14,5,3.92,4.1306443164
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,90,32095,0.8087293971,0.3699077738,0.2900140209,0.2900863063
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,21372,0.6621359723,0.3,0.2351974546,0.242323601
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,32,15874,1.4672483306,0.65,0.5096012347,0.5169427995
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,37,2021,1.5,0.4479218209,0.3511281544,0.5119742702
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,134.38,50,39.2,39.146666667
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,13,110,132,30,5.2,4.08,3.9687121212
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1642,5.1874177832,0.5777101096,0.452911084,0.452911084
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,728,4.8391483516,1.693489011,1.327706044,1.327706044
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,42,69.294285714,15.205952381,10.882857143,13.237380952
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,42,20.57,6.9107142857,4.9492857143,6.2445238095
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,24,16,16,12.542083333,12.542083333
1023103363,ANAGNOSTOPOULOS,CONSTANTIN,C,M.D.,M,I,3014 31ST AVE,UNIT LL,ASTORIA,NY,111062405,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,22.998181818,22.998181818
1023103744,HYLAND,VIRGINIA,B,MD,F,I,2800 HIGHWAY 138 SW STE A,,CONYERS,GA,300943929,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,36,62.797777778,8.32,6.3413888889,6.3413888889
1023103744,HYLAND,VIRGINIA,B,MD,F,I,2800 HIGHWAY 138 SW STE A,,CONYERS,GA,300943929,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,116,31.924,25.024,24.928
1023103900,CRUZ,LETICIA,H,PA-C,F,I,3801 VISTA RD STE 100,,PASADENA,TX,775042160,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,29,78.711034483,8.32,4.4979310345,4.4979310345
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,61,163,444,43.245382883,8.32,6.0462387387,6.0462387387
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.769230769,3.38,2.4461538462,2.4461538462
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,29,54,82,10.83,1.42,1.0206097561,1.0206097561
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,115.85846154,48.27,35.523076923,28.173846154
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,38,6.6426315789,1.9026315789,1.3594736842,1.1052631579
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,11,44,46.968181818,20.475909091,15.568863636,12.2875
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,17,17,208.54,71.818823529,51.195294118,43.843529412
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,21,21,63.425714286,22.753809524,16.496666667,14.128571429
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,19,88,8.7886363636,2.9768181818,2.2276136364,1.5771590909
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,45,65.330888889,22.707333333,17.302,13.329777778
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,50,22.253636364,16.089090909,12.847272727
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,300,101.79913043,70.976521739,48.312173913
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,152.49,45.370606061,32.668787879,24.514242424
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,22,140,142,363.98767606,102.90521127,77.92915493,54.476126761
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,132.91666667,43.19,33.8625,29.500833333
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,4207,0.3338816259,0.0464559068,0.0357689565,0.0357689565
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1259,0.972192216,0.1341461477,0.087847498,0.087847498
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,660,10.513893939,3.0379090909,2.3817424242,2.3817424242
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,21,107.08333333,28.808095238,22.585238095,15.360952381
1023104049,STARK,RICHARD,R,M.D.,M,I,148 HIGHWAY 105 EXT,SUITE 104,BOONE,NC,286075681,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,33,99,33,23.888787879,23.888787879
1023104098,ABBAS,SHAHIDA,M,MD,F,I,10 CINDY ST,,OLD BRIDGE,NJ,088573002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,36,96,60.114791667,8.32,5.4919791667,5.4919791667
1023104098,ABBAS,SHAHIDA,M,MD,F,I,10 CINDY ST,,OLD BRIDGE,NJ,088573002,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,16,26,14.736538462,1.42,1.03,1.03
1023104395,VAUGHN,VEETA,M,M.D.,F,I,3851 ROGER BROOKE DR,,FORT SAM HOUSTON,TX,782344501,US,Military Hospital,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,192.28818182,55,28.419090909,28.23
1023104395,VAUGHN,VEETA,M,M.D.,F,I,3851 ROGER BROOKE DR,,FORT SAM HOUSTON,TX,782344501,US,Military Hospital,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,45.757142857,17,12.965714286,13.696428571
1023104395,VAUGHN,VEETA,M,M.D.,F,I,3851 ROGER BROOKE DR,,FORT SAM HOUSTON,TX,782344501,US,Military Hospital,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,62.42875,11.37,6.92875,7.14875
1023104395,VAUGHN,VEETA,M,M.D.,F,I,3851 ROGER BROOKE DR,,FORT SAM HOUSTON,TX,782344501,US,Military Hospital,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,23,122,7.4580327869,2,1.3631967213,1.3873770492
1023104395,VAUGHN,VEETA,M,M.D.,F,I,3851 ROGER BROOKE DR,,FORT SAM HOUSTON,TX,782344501,US,Military Hospital,T,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,99.45,28.33,22.21,21.625
1023104403,EVANS,KAREN,K,M.D.,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Plastic and Reconstructive Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,13,343,23.337930029,18.465014577,14.476559767,14.503994169
1023104403,EVANS,KAREN,K,M.D.,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Plastic and Reconstructive Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,12,2600,0.0968,0.05,0.0364846154,0.0364846154
1023104403,EVANS,KAREN,K,M.D.,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Plastic and Reconstructive Surgery,S,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,819,0.4507936508,0.31,0.2107081807,0.2107081807
1023104403,EVANS,KAREN,K,M.D.,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Plastic and Reconstructive Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,13,670,2.3918358209,1.9682089552,1.2905820896,1.2919850746
1023104981,FARMER,TRACIE,C,M.D.,F,I,755 HIGHLAND OAKS DR STE 201,DBA FORSYTH ENDOCRINE CONSULTANTS,WINSTON SALEM,NC,271037106,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,49,160,632,67.826091772,8.32,6.0043987342,6.0043987342
1023104981,FARMER,TRACIE,C,M.D.,F,I,755 HIGHLAND OAKS DR STE 201,DBA FORSYTH ENDOCRINE CONSULTANTS,WINSTON SALEM,NC,271037106,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,13.921666667,3.38,2.65,2.65
1023104981,FARMER,TRACIE,C,M.D.,F,I,755 HIGHLAND OAKS DR STE 201,DBA FORSYTH ENDOCRINE CONSULTANTS,WINSTON SALEM,NC,271037106,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,19,45,110,15.183,1.42,1.0423636364,1.0423636364
1023105178,MARTINEZ,DAVID,,DO,M,I,3230 BEARD RD,SUITE B,NAPA,CA,945583673,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,23,72.415217391,8.32,5.3865217391,5.3865217391
1023105178,MARTINEZ,DAVID,,DO,M,I,3230 BEARD RD,SUITE B,NAPA,CA,945583673,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,178.742,48.101,34.281,35.351
1023105202,PEREZ LOPEZ,JOSE,,,M,I,EDIFICIO LAS AMERICAS BUILDING,PISO 5,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,44,38.961363636,8.32,5.2606818182,5.2606818182
1023105202,PEREZ LOPEZ,JOSE,,,M,I,EDIFICIO LAS AMERICAS BUILDING,PISO 5,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,20,10.952,1.42,0.783,0.783
1023105202,PEREZ LOPEZ,JOSE,,,M,I,EDIFICIO LAS AMERICAS BUILDING,PISO 5,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,128.103125,76.77,60.189375,45.148125
1023105202,PEREZ LOPEZ,JOSE,,,M,I,EDIFICIO LAS AMERICAS BUILDING,PISO 5,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,37.74,12.855,10.07375,4.495625
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,62,63,51.64952381,24.052063492,18.851904762,21.884603175
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,156,3.2469230769,2.49,1.8015384615,1.8015384615
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,75,76,18.323947368,9.29,7.1842105263,8.3256578947
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,30,7.46,7.46,5.85,5.85
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,163,3.1354601227,2.91,2.2812269939,2.2812269939
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,840,4.1864285714,4.1864285714,3.1893571429,3.1921547619
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,42,6688,0.44,0.44,0.3449566388,0.3449566388
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,725,0.3248275862,0.27,0.2116,0.2116
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,40,105.85,71.56,56.105,56.105
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,108,64.44,43.56,34.151574074,34.149814815
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,25,50,1521,9.0018934911,8.28,6.4612426036,6.4612426036
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,426,8.4004929577,8.4004929577,6.3537323944,6.3611737089
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,132,15.320909091,10.93,8.5691666667,8.5691666667
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,70,18.284285714,18.284285714,14.334142857,14.338571429
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,36,4080,0.45,0.45,0.3528284314,0.3528284314
1023105459,ELMI,SAEID,,M.D.,M,I,170 GOVERNORS AVENUE,"HALLMAK HEALTH MEDICAL ASSOCIATES, INC",MEDFORD,MA,02155,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,20,477,27.334800839,4.9,3.8415513627,4.0464360587
1023105558,ARTINYAN,LUDVIK,,MD,M,I,5300 SANTA MONICA BLVD #200,,LOS ANGELES,CA,90029,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,29,137,224,40.644642857,8.32,4.9193303571,4.9193303571
1023105558,ARTINYAN,LUDVIK,,MD,M,I,5300 SANTA MONICA BLVD #200,,LOS ANGELES,CA,90029,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,27,88,92,9.4792391304,1.42,0.8517391304,0.8517391304
1023105558,ARTINYAN,LUDVIK,,MD,M,I,5300 SANTA MONICA BLVD #200,,LOS ANGELES,CA,90029,US,Physician/General Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,26,75.513076923,71.56,51.789230769,51.789230769
1023105558,ARTINYAN,LUDVIK,,MD,M,I,5300 SANTA MONICA BLVD #200,,LOS ANGELES,CA,90029,US,Physician/General Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,72,31.0575,29.19,22.450833333,22.452361111
1023105558,ARTINYAN,LUDVIK,,MD,M,I,5300 SANTA MONICA BLVD #200,,LOS ANGELES,CA,90029,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,2146,0.3961183597,0.0467474371,0.0167753961,0.0167753961
1023105558,ARTINYAN,LUDVIK,,MD,M,I,5300 SANTA MONICA BLVD #200,,LOS ANGELES,CA,90029,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,11.087142857,11.087142857
1023105616,DUCOMMUN,LISA,M,CNP,F,I,300 SIOUX VALLEY DR,,CHEROKEE,IA,510121205,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,19,53,99,96.961818182,8.32,6.3238383838,6.3238383838
1023105616,DUCOMMUN,LISA,M,CNP,F,I,300 SIOUX VALLEY DR,,CHEROKEE,IA,510121205,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,22,27,26.903333333,1.42,1.1162962963,1.1162962963
1023105616,DUCOMMUN,LISA,M,CNP,F,I,300 SIOUX VALLEY DR,,CHEROKEE,IA,510121205,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,15.626666667,11.6525
1023105616,DUCOMMUN,LISA,M,CNP,F,I,300 SIOUX VALLEY DR,,CHEROKEE,IA,510121205,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,489.77041667,53.037916667,33.770833333,19.210416667
1023105616,DUCOMMUN,LISA,M,CNP,F,I,300 SIOUX VALLEY DR,,CHEROKEE,IA,510121205,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,456.845,104.5025,77.657,50.83225
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,28,82,183,71.873551913,8.32,6.0606557377,6.0606557377
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,29,49,17.804285714,1.42,1.0463265306,1.0463265306
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,165,5.4981818182,5.4981818182,4.2438787879,4.2767878788
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,240,3.01,3.01,2.2616666667,2.285375
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,54,6.7596296296,2.9148148148,2.0881481481,1.6137037037
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,371,16.090026954,3.029245283,2.2555795148,2.248328841
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,5190,0.7319421965,0.6279364162,0.4923044316,0.5174354528
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,117.45428571,49.947857143,39.157857143,36.627142857
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,121.89611111,58.825,46.113888889,42.465
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,12,50,50,139.319,62.0716,47.895,40.8666
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,29,48,47.943541667,13.838541667,10.537291667,13.252708333
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,42.7275,6.636875,4.748125,3.6375
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,99.92,46.177142857,36.202857143,35.854285714
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,31,32,336.844375,100.135625,76.6409375,54.74125
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,30,30,30,74.945,39.708,31.131,30.222666667
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,3396,0.6574146054,0.0459687868,0.033336278,0.033336278
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1230,2.6737886179,0.1421707317,0.0968373984,0.0968373984
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,24,130,130,53.388538462,21.280076923,16.683692308,15.016461538
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,18,92,92,86.863913043,34.170869565,26.118695652,21.9425
1023105723,WOODALL,LEE,T,M.D.,M,I,101 HOUSTON ST,,BARNESVILLE,GA,302041660,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,33,33,23.827647059,23.827647059
1023105780,FREEMAN,TAMMY,L,APRN,F,I,10755 N US HIGHWAY 25E,,GRAY,KY,407346529,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,45,85,60.254117647,8.32,5.3698823529,5.3698823529
1023105780,FREEMAN,TAMMY,L,APRN,F,I,10755 N US HIGHWAY 25E,,GRAY,KY,407346529,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,30,32,12.2709375,1.42,1.01375,1.01375
1023105780,FREEMAN,TAMMY,L,APRN,F,I,10755 N US HIGHWAY 25E,,GRAY,KY,407346529,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.225,2.1436363636,1.6809090909,1.5859090909
1023105780,FREEMAN,TAMMY,L,APRN,F,I,10755 N US HIGHWAY 25E,,GRAY,KY,407346529,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,1.815,1.4881818182,1.1654545455,1.1172727273
1023105780,FREEMAN,TAMMY,L,APRN,F,I,10755 N US HIGHWAY 25E,,GRAY,KY,407346529,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,19.456842105,9.9273684211,7.7831578947,6.0794736842
1023105780,FREEMAN,TAMMY,L,APRN,F,I,10755 N US HIGHWAY 25E,,GRAY,KY,407346529,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,35,401.14742857,104.664,76.936,67.54
1023105780,FREEMAN,TAMMY,L,APRN,F,I,10755 N US HIGHWAY 25E,,GRAY,KY,407346529,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,12,33,33,19.393333333,19.393333333
1023105822,DAVIS,EILEEN,M,D.O.,F,I,201 W MARKET ST,,GEORGETOWN,DE,19947,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,30,64,205,69.208243902,8.32,5.8876585366,5.8876585366
1023105822,DAVIS,EILEEN,M,D.O.,F,I,201 W MARKET ST,,GEORGETOWN,DE,19947,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,17.727272727,3.38,2.4090909091,2.4090909091
1023105822,DAVIS,EILEEN,M,D.O.,F,I,201 W MARKET ST,,GEORGETOWN,DE,19947,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,38,64,16.2546875,1.42,0.9575,0.9575
1023105822,DAVIS,EILEEN,M,D.O.,F,I,201 W MARKET ST,,GEORGETOWN,DE,19947,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1564,0.6031521739,0.045511509,0.0318670077,0.0318670077
1023105822,DAVIS,EILEEN,M,D.O.,F,I,201 W MARKET ST,,GEORGETOWN,DE,19947,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,63.545454545,33,23.518181818,23.518181818
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,27,75,62.1504,8.32,6.1745333333,6.1745333333
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,11.476666667,1.42,1.12,1.12
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,252.37,105.44357143,82.666428571,70.831428571
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,103.38166667,42.609583333,33.405833333,25.918333333
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,223.15636364,67.595454545,52.991818182,45.204545455
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,20,20,52.3685,21.7495,17.05,14.5115
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,17,17,67.243529412,17.348823529,13.040588235,9.9388235294
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,17,80,8.6465,2.6815,2.102875,1.749375
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,49,87.678571429,20.384081633,15.123469388,12.706530612
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,35,35,45.764285714,14.221142857,10.685142857,9.4574285714
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,16,113,114,36.196578947,6.9621052632,5.2063157895,3.3788596491
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,53,58,339.23689655,42.522068966,32.779827586,26.475689655
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,91,91,604.50384615,79.933516484,60.808131868,53.370769231
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,163.07555556,37.62037037,29.493703704,29.688518519
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,78.375,57,40.965833333,40.965833333
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,29,60,11366,0.4101293331,0.0468924864,0.0334075312,0.0334075312
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,81.969230769,36.14,26.150769231,27.353076923
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,599.5,171.822,134.706,135.092
1023106093,WOLF,ERIC,D,PA,M,I,619 E MASON ST,SUITE 4P57,SPRINGFIELD,IL,627011034,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,24,51,51,46.588235294,33,23.33372549,23.33372549
1023106325,MARTINEZ,BETTY,M,MD,F,I,13701 E MISSISSIPPI AVE,SUITE 200,AURORA,CO,800126141,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,49.74,49.74,35.740833333,34.6075
1023106473,RICE,SHEILA,M,M.D.,F,I,36711 AMERICAN WAY STE A,,AVON,OH,440114062,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,41,95,65.882,8.32,6.1033684211,6.1033684211
1023106473,RICE,SHEILA,M,M.D.,F,I,36711 AMERICAN WAY STE A,,AVON,OH,440114062,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,18,11.468333333,1.42,1.0522222222,1.0522222222
1023106473,RICE,SHEILA,M,M.D.,F,I,36711 AMERICAN WAY STE A,,AVON,OH,440114062,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,78,9.7076923077,2,1.5685897436,1.5921794872
1023106473,RICE,SHEILA,M,M.D.,F,I,36711 AMERICAN WAY STE A,,AVON,OH,440114062,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,13,55.07,12.48,8.6984615385,9.3953846154
1023106507,MORREALE,VITTORIO,M,M.D.,M,I,50505 SCHOENHERR RD,STE 200,SHELBY TWP,MI,483153140,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,5623.125,4378.96,3433.11,3433.11
1023106507,MORREALE,VITTORIO,M,M.D.,M,I,50505 SCHOENHERR RD,STE 200,SHELBY TWP,MI,483153140,US,Physician/Neurosurgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,950,433.9264,340.1908,292.91
1023106507,MORREALE,VITTORIO,M,M.D.,M,I,50505 SCHOENHERR RD,STE 200,SHELBY TWP,MI,483153140,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,34,2120.305,1257.37,965.92764706,872.49705882
1023106788,SANDLER,BELLA,,MD,F,I,7064 YELLOWSTONE BLVD,"SUITE1,2",FOREST HILLS,NY,113753563,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,98,172,67.002790698,8.32,5.9183139535,5.9183139535
1023106788,SANDLER,BELLA,,MD,F,I,7064 YELLOWSTONE BLVD,"SUITE1,2",FOREST HILLS,NY,113753563,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,29,38,27.437368421,1.42,0.8834210526,0.8834210526
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,47,124,298,69.561510067,8.32,6.3023825503,6.3023825503
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,24,47,64,14.073125,1.42,1.081875,1.081875
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,43,43,8.54,8.54,5.9120930233,6.0355813953
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,70,3,2.49,1.9517142857,1.9517142857
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,54,54,17.217407407,11.611481481,7.9237037037,9.6981481481
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,52,82,13.629390244,10.800731707,7.837804878,7.9386585366
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,36,15.817222222,7.06,4.9211111111,5.1733333333
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,33,360,7,7,5.488,5.488
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,440,6.2113636364,5.4663636364,4.28575,4.3435
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,41,2490,2.0734939759,1.95,1.4924257028,1.4924257028
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,968,0.1320454545,0.12,0.0898140496,0.0898140496
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,31,64,2595,0.4716685934,0.439583815,0.3146473988,0.3146473988
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,280,3.5428571429,3.04,2.3835,2.3835
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,28,78,2981,8.2318148272,8.1984837303,6.3750855418,6.4390238175
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,24,333,8.2802702703,8.2802702703,5.5542042042,5.6585585586
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,49,216,3610,10.80767313,10.80767313,8.3355789474,8.4316731302
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,450,1.1801333333,1.0793333333,0.8461555556,0.8466666667
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,25,47,1580,2.4538607595,2.3667721519,1.8405949367,1.866721519
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,20,42,1640,3.6100060976,3.5627439024,2.5486402439,2.6333109756
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,34,73,5253,0.4856691414,0.45,0.344707786,0.344707786
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,37,951,13.589148265,4.8906203996,3.8342166141,4.1308727655
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,41,20877,1.393610193,0.6564932701,0.5146917661,0.5171341668
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,93,93,93,115.38494624,44.279892473,34.714623656,36.180752688
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,7,35,35,35,28.928571429,14.415428571,11.304857143,11.989142857
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,6,19,19,19,125.46473684,49.104736842,36.470526316,38.684210526
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,39.673043478,12.330434783,7.1886956522,7.6443478261
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,8,47,198,198,146.92686869,50.762626263,37.875050505,38.508232323
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,741,154.68266667,121.27066667,127.058
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,43,43,35.635348837,17,13.237906977,13.428372093
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,16,76,79,24.397974684,3.643164557,2.53,3.2359493671
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,13,13,13,32.966923077,29.420769231,21.86,55.33
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,16,69,69,120.29826087,45.581884058,34.639565217,36.078550725
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,27,28,29.631428571,5.2278571429,4.0985714286,3.9707142857
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,22,33.685,16.818181818,13.185909091,15.29
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,28,57.78,27.32,21.418571429,22.503571429
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,16,16,16,48.444375,21.440625,16.14875,17.376875
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,43,48.57255814,29.13372093,22.839069767,26.707674419
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,29,99,99,23.646666667,10.250808081,8.0386868687,9.3947474747
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,72,72,318.81402778,77.584305556,59.115555556,53.615
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,7,45,45,45,75.494444444,29.907111111,22.858444444,28.362222222
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,13,13,13,343.58384615,136.01538462,106.63615385,113.97461538
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,26,2910,1.7532061856,0.1374123711,0.0955463918,0.0955463918
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,12,690,14.585565217,3.0031304348,2.3544637681,2.3544637681
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,64,360,360,56.544472222,15.917777778,11.734805556,13.700583333
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,112.39481481,21.744814815,16.446666667,20.878888889
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,163.02,41.339473684,32.406315789,37.792105263
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,8,71,370,372,17.270510753,6.9767741935,5.1607526882,6.4116397849
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,14,166.03428571,41.039285714,32.175714286,30.356428571
1023106838,NOORI,KHALID,A,M.D.,M,I,1231 DEER PARK AVE,,NORTH BABYLON,NY,11703,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,32,33,69,33,21.969090909,21.969090909
1023107067,MARTIN,STEVEN,L,MD,M,I,7440 S 91ST ST,,LINCOLN,NE,685269797,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,440.78461538,84.271538462,63.626153846,52.287692308
1023107125,HERMAN,LYNNE,D,ANP,F,I,3555 BROAD ST,,CHATTANOOGA,TN,374091028,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,660,4.2003636364,0.5617272727,0.4404090909,0.4404090909
1023107125,HERMAN,LYNNE,D,ANP,F,I,3555 BROAD ST,,CHATTANOOGA,TN,374091028,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2580,1.8208255814,1.2276899225,0.936751938,0.936751938
1023107125,HERMAN,LYNNE,D,ANP,F,I,3555 BROAD ST,,CHATTANOOGA,TN,374091028,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,24,24,18.82,18.82
1023107125,HERMAN,LYNNE,D,ANP,F,I,3555 BROAD ST,,CHATTANOOGA,TN,374091028,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,16,16,12.54,12.54
1023107174,LEINER,STEVEN,,NP,M,I,240 SHOTWELL ST,,SAN FRANCISCO,CA,941101323,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,54,81.183888889,8.32,5.3146296296,5.3146296296
1023107174,LEINER,STEVEN,,NP,M,I,240 SHOTWELL ST,,SAN FRANCISCO,CA,941101323,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,15.107857143,1.42,0.7171428571,0.7171428571
1023107794,BHARDWAJ,VIRINDER,K,MD,M,I,386 N VILLA ST STE B,,PORTERVILLE,CA,93257,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,2685,0.3551396648,0.13,0.0928156425,0.0928156425
1023107794,BHARDWAJ,VIRINDER,K,MD,M,I,386 N VILLA ST STE B,,PORTERVILLE,CA,93257,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,29,105,18845,4.7843369594,1.73,1.307484744,1.5495394004
1023107794,BHARDWAJ,VIRINDER,K,MD,M,I,386 N VILLA ST STE B,,PORTERVILLE,CA,93257,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,15,164,4.81,1.8,1.4107926829,1.4107926829
1023107844,MASTROIANNI,ROBERT,P,MD,M,I,81 MAKAWAO AVE STE 25,,MAKAWAO,HI,967688859,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,75.998461538,8.32,6.52,6.52
1023107851,GRAEHL,PHILLIP,M,M.D.,M,I,4780 N JOSEY LN,,CARROLLTON,TX,750104615,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,110.01791667,47,35.927083333,35.579166667
1023107851,GRAEHL,PHILLIP,M,M.D.,M,I,4780 N JOSEY LN,,CARROLLTON,TX,750104615,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.83,9.2390909091,7.2427272727,7.5145454545
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,30,76,253,64.182450593,8.32,5.9754150198,5.9754150198
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,14.896,3.38,2.5175,2.5175
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,38,66,15.635909091,1.42,0.996969697,0.996969697
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,9.8090322581,2.0812903226,1.2616129032,1.2322580645
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,713.78956522,34.188695652,21.006086957,19.644347826
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,510,9.3491960784,3.1227647059,2.4481372549,2.4481372549
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,59.12,19.6875,14.0585,12.458
1023108016,CAMPBELL,MATTHEW,,M.D.,M,I,350 JOHN MUIR PKWY,SUITE 105,BRENTWOOD,CA,94564,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,82.5,33,25.87,25.87
1023108180,ATKINSON,PAMELA,R,MSN FNP-C,F,I,608 ROLLIE MOORE DR,,HARRISBURG,IL,629462351,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,49.711153846,8.32,5.2665384615,5.2665384615
1023108180,ATKINSON,PAMELA,R,MSN FNP-C,F,I,608 ROLLIE MOORE DR,,HARRISBURG,IL,629462351,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,168.55,70.417272727,55.209090909,38.434545455
1023108180,ATKINSON,PAMELA,R,MSN FNP-C,F,I,608 ROLLIE MOORE DR,,HARRISBURG,IL,629462351,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.3,22.790909091,17.866363636,14.077272727
1023108180,ATKINSON,PAMELA,R,MSN FNP-C,F,I,608 ROLLIE MOORE DR,,HARRISBURG,IL,629462351,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,61,256.09836066,105.15114754,81.461311475,59.144262295
1023108180,ATKINSON,PAMELA,R,MSN FNP-C,F,I,608 ROLLIE MOORE DR,,HARRISBURG,IL,629462351,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,61.96,45.340588235,35.549411765,30.358235294
1023108180,ATKINSON,PAMELA,R,MSN FNP-C,F,I,608 ROLLIE MOORE DR,,HARRISBURG,IL,629462351,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,319.5,56.475454545,41.056363636,21.8
1023108180,ATKINSON,PAMELA,R,MSN FNP-C,F,I,608 ROLLIE MOORE DR,,HARRISBURG,IL,629462351,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,61.96,44.34,34.765,29.515
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,41,91,319,55.794482759,8.32,5.8476489028,5.8476489028
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,24,24,12.720833333,3.38,2.65,2.65
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,21.791428571,2.12,1.67,1.67
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,26,50,94,13.121170213,1.42,1.1139361702,1.1139361702
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,28,81.561428571,71.56,56.105,56.105
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,49.45,43.56,34.151666667,34.15
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,298.54083333,87.229166667,68.385833333,67.84
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,29,108.21551724,33.444137931,26.22,25.931034483
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,56.71,12.36,9.044,8.512
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,24,123,9.5010569106,2.0043902439,1.4953658537,1.5156910569
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,39.997692308,6.7146153846,5.2623076923,4.0692307692
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,19,19,195.88947368,35.225789474,23.790526316,22.145263158
1023108289,UNNITHAN,JAYA,S,MD,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,5610,0.4705935829,0.0463083779,0.031885918,0.031885918
1023108313,RHEAUME,VICTORIA,,FNP,F,I,21 EDWARD J LEMPKA DR,,FLORIDA,NY,109211036,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,38,70.777105263,8.32,5.8355263158,5.8355263158
1023108321,RAJAGOPALAN,KUMAR,,MD,M,I,900 CENTENNIAL BLVD STE M,,VOORHEES,NJ,080434637,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,11,147,147,78,37.38,28.611088435,28.611088435
1023108321,RAJAGOPALAN,KUMAR,,MD,M,I,900 CENTENNIAL BLVD STE M,,VOORHEES,NJ,080434637,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,54,54,1200,192.02296296,147.9537037,147.9537037
1023108321,RAJAGOPALAN,KUMAR,,MD,M,I,900 CENTENNIAL BLVD STE M,,VOORHEES,NJ,080434637,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,890,41.02952809,5.0428876404,3.9536516854,3.9536516854
1023108321,RAJAGOPALAN,KUMAR,,MD,M,I,900 CENTENNIAL BLVD STE M,,VOORHEES,NJ,080434637,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,11,159,1550,28.592245161,1.676,1.2893225806,1.289316129
1023108461,MORRISON,ALAN,R,D.O.,M,I,5410 CONNECTICUT AVE NW,SUITE 103,WASHINGTON,DC,200152859,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,48,72.059166667,8.32,4.8908333333,4.8908333333
1023108503,BELAND,SUSAN,,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,172.52,71.218461538,55.838461538,37.939230769
1023108503,BELAND,SUSAN,,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,39.260869565,18.413695652,12.333913043,11.798478261
1023108503,BELAND,SUSAN,,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,53,53,205.94339623,78.554339623,51.025849057,45.283962264
1023108560,MULLEN,TARA,K,O.D.,F,I,4525 HIGHWAY 411,SUITE B,MADISONVILLE,TN,373541536,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,60.866,60.866,46.813,49.8185
1023108560,MULLEN,TARA,K,O.D.,F,I,4525 HIGHWAY 411,SUITE B,MADISONVILLE,TN,373541536,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,28,25.071428571,25.071428571,19.657857143,35.761071429
1023108560,MULLEN,TARA,K,O.D.,F,I,4525 HIGHWAY 411,SUITE B,MADISONVILLE,TN,373541536,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,5,5,3.92,12.155
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,14,121,479,77.552359081,19.691878914,15.067974948,15.067974948
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,98,2211,150.6,37.343441882,29.277295341,29.277295341
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,326.15384615,98.322307692,77.083846154,58.391538462
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,14,93,93,340.44462366,83.754946237,62.273225806,52.910967742
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,77,77,104.28571429,40.468311688,31.728831169,29.752597403
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,J1325,"Injection, epoprostenol, 0.5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,49,18750,26.895706667,15.8778112,12.440549867,12.440549867
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,72,25240,111.6780416,62.129844691,47.08022504,47.080222266
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,364,754.55357143,571.74576923,448.24870879,448.24870879
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,3,14,119,119,1426.6493277,292.20033613,222.91991597,227.35092437
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,347,8.55,2.6385014409,1.8001152738,1.8001152738
1023108602,BULL,TODD,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,99,33,24.451538462,24.451538462
1023108669,CLORE,JOHN,N,M.D.,M,I,125 NATIONWIDE DR,INTERNAL MEDICINE,LYNCHBURG,VA,245024272,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,50,98,487,61.398069815,8.32,6.3617043121,6.3617043121
1023108669,CLORE,JOHN,N,M.D.,M,I,125 NATIONWIDE DR,INTERNAL MEDICINE,LYNCHBURG,VA,245024272,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.070714286,3.38,2.4607142857,2.4607142857
1023108669,CLORE,JOHN,N,M.D.,M,I,125 NATIONWIDE DR,INTERNAL MEDICINE,LYNCHBURG,VA,245024272,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,25,74,15.793513514,1.42,1.1136486486,1.1136486486
1023108669,CLORE,JOHN,N,M.D.,M,I,125 NATIONWIDE DR,INTERNAL MEDICINE,LYNCHBURG,VA,245024272,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,273.91565217,251.11,196.87,196.87
1023108685,ELLIS,EILEEN,,MD,F,I,800 MARSHALL ST # 653,,LITTLE ROCK,AR,722023510,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1500,6.3027333333,2.61768,2.0522666667,2.0522666667
1023108685,ELLIS,EILEEN,,MD,F,I,800 MARSHALL ST # 653,,LITTLE ROCK,AR,722023510,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,1860,4.5906505376,0.5735967742,0.3725698925,0.3725645161
1023108685,ELLIS,EILEEN,,MD,F,I,800 MARSHALL ST # 653,,LITTLE ROCK,AR,722023510,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,41,12280,0.1108990228,0.0127296417,0.0092532573,0.0092532573
1023108685,ELLIS,EILEEN,,MD,F,I,800 MARSHALL ST # 653,,LITTLE ROCK,AR,722023510,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2820,1.6264326241,0.7439574468,0.5832765957,0.5832765957
1023108685,ELLIS,EILEEN,,MD,F,I,800 MARSHALL ST # 653,,LITTLE ROCK,AR,722023510,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,5520,4.2076648551,1.1992572464,0.9123007246,0.9123007246
1023108685,ELLIS,EILEEN,,MD,F,I,800 MARSHALL ST # 653,,LITTLE ROCK,AR,722023510,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,42,43,24,24,17.944651163,17.944651163
1023108685,ELLIS,EILEEN,,MD,F,I,800 MARSHALL ST # 653,,LITTLE ROCK,AR,722023510,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,67,96,16.166666667,16,12.467916667,12.467916667
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,8,17,229,268,388.86414179,19.703059701,15.387462687,15.387462687
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,8,17,299,963,298.42040498,37.361007269,29.280103842,29.280103842
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,90.785333333,17.5,13.72,13.552
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,5,12,55,55,748.48363636,194.95854545,152.84690909,152.84690909
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,21,600.02952381,87.718571429,68.773333333,54.998571429
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,37,508,37.120551181,5.9726377953,4.5154133858,4.5153937008
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,J1265,"Injection, dopamine hcl, 40 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,2243,4.0900356665,0.6104012483,0.4785599643,0.4785599643
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,298,11160,71.873342294,1.5584310036,1.2218234767,1.2218136201
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,16,23,118,14605,4.4545190003,0.5759828826,0.4515686409,0.4515665868
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,36,7272,3.3681834433,1.4051223872,1.1016144114,1.1016144114
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2880,4.0576666667,2.82975,2.2185208333,2.2185208333
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,1290,16.451666667,7.4117054264,5.6995658915,5.6995658915
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,1107.6923077,297.85076923,233.51461538,233.51461538
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,76,76,24.342105263,24,18.82,18.82
1023108701,ZOLTY,RONALD,,MD,M,I,EMILE @ 42ND ST,,OMAHA,NE,681982301,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,22,105,124,16,16,12.541129032,12.541129032
1023108826,WALD-CAGAN,PAULETTE,,RNP,F,I,MMC - DEPARTMENT OF MEDICINE,111 EAST 210TH STREET,BRONX,NY,10467,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,26,49,69.022857143,8.32,5.9883673469,5.9883673469
1023108826,WALD-CAGAN,PAULETTE,,RNP,F,I,MMC - DEPARTMENT OF MEDICINE,111 EAST 210TH STREET,BRONX,NY,10467,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,52.135,45.125,35.381666667,37.188333333
1023108826,WALD-CAGAN,PAULETTE,,RNP,F,I,MMC - DEPARTMENT OF MEDICINE,111 EAST 210TH STREET,BRONX,NY,10467,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,113.89727273,46.622727273,27.37,30.375
1023108826,WALD-CAGAN,PAULETTE,,RNP,F,I,MMC - DEPARTMENT OF MEDICINE,111 EAST 210TH STREET,BRONX,NY,10467,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,68.752727273,14.72,2.6009090909,5.3854545455
1023108925,POPOVA,STELLA,,M.D.,F,I,7258 W SUNSET BLVD,,LOS ANGELES,CA,900463410,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,27,48,99,57.728787879,8.32,5.3348484848,5.3348484848
1023108925,POPOVA,STELLA,,M.D.,F,I,7258 W SUNSET BLVD,,LOS ANGELES,CA,900463410,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,21,33,35,21.186857143,1.42,0.9588571429,0.9588571429
1023108925,POPOVA,STELLA,,M.D.,F,I,7258 W SUNSET BLVD,,LOS ANGELES,CA,900463410,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,19,38,78.878421053,71.403157895,55.982105263,56.105
1023108925,POPOVA,STELLA,,M.D.,F,I,7258 W SUNSET BLVD,,LOS ANGELES,CA,900463410,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,19,114,34.524385965,29.106666667,22.819649123,22.886578947
1023108925,POPOVA,STELLA,,M.D.,F,I,7258 W SUNSET BLVD,,LOS ANGELES,CA,900463410,US,Physician/Internal Medicine,S,E2321,"Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,245.41,181.3,142.14181818,142.14181818
1023109147,WRIGHT,ERIC,R,PAC,M,I,360 E CHARITY RD,,ROSE HILL,NC,284588303,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,45,91,35.561318681,8.303956044,4.5945054945,4.6102197802
1023109147,WRIGHT,ERIC,R,PAC,M,I,360 E CHARITY RD,,ROSE HILL,NC,284588303,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,19,14.151578947,1.42,0.8210526316,0.8210526316
1023109147,WRIGHT,ERIC,R,PAC,M,I,360 E CHARITY RD,,ROSE HILL,NC,284588303,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,104.66666667,17.87,12.0125,11.654166667
1023109147,WRIGHT,ERIC,R,PAC,M,I,360 E CHARITY RD,,ROSE HILL,NC,284588303,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,367.33333333,73.034666667,49.288666667,47.45
1023109188,VERA,CARLOS,F,M.D.,M,I,9981 WASHINGTON ST STE 22,,THORNTON,CO,802292165,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,22,68,185,67.811567568,8.32,5.2272972973,5.2272972973
1023109188,VERA,CARLOS,F,M.D.,M,I,9981 WASHINGTON ST STE 22,,THORNTON,CO,802292165,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,31,47,14.604255319,1.42,0.9008510638,0.9008510638
1023109188,VERA,CARLOS,F,M.D.,M,I,9981 WASHINGTON ST STE 22,,THORNTON,CO,802292165,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,124.06363636,49.952727273,35.598181818,34.209090909
1023109188,VERA,CARLOS,F,M.D.,M,I,9981 WASHINGTON ST STE 22,,THORNTON,CO,802292165,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,34,13.194117647,3.9532352941,3.0123529412,3.5285294118
1023109188,VERA,CARLOS,F,M.D.,M,I,9981 WASHINGTON ST STE 22,,THORNTON,CO,802292165,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,183.63636364,34.544545455,27.083636364,27.383636364
1023109188,VERA,CARLOS,F,M.D.,M,I,9981 WASHINGTON ST STE 22,,THORNTON,CO,802292165,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,349.33073171,78.49,60.384390244,54.08195122
1023109188,VERA,CARLOS,F,M.D.,M,I,9981 WASHINGTON ST STE 22,,THORNTON,CO,802292165,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,202.125,38.76,30.39,29.565
1023109501,DUMMER,MARTHA,K,M.D.,F,I,2213 BROTHERS RD,SUITE 600,SANTA FE,NM,875056993,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48,25.675,25.675
1023109535,SHAHEEN,AMY,W,MD,F,I,101 MANNING DR,CB#7110,CHAPEL HILL,NC,275990001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,26,76.627307692,8.32,6.2707692308,6.2707692308
1023109535,SHAHEEN,AMY,W,MD,F,I,101 MANNING DR,CB#7110,CHAPEL HILL,NC,275990001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,9.1745454545,3.0263636364,2.3725757576,1.7216666667
1023109535,SHAHEEN,AMY,W,MD,F,I,101 MANNING DR,CB#7110,CHAPEL HILL,NC,275990001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,67.335263158,17.501578947,13.717368421,13.591052632
1023109535,SHAHEEN,AMY,W,MD,F,I,101 MANNING DR,CB#7110,CHAPEL HILL,NC,275990001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,18,546.28444444,96.691111111,75.806666667,72.802222222
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,68.638333333,38.924166667,30.513333333,30.4225
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,187.32692308,86.901538462,66.225384615,65.911538462
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,51,31.941176471,16.670980392,11.781960784,10.71627451
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,121.93142857,59.972857143,43.655714286,39.787857143
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,40.286,18.031333333,14.129333333,14.053333333
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,27,115,5.732,2.1230434783,1.5732173913,1.5071304348
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,206,85.581818182,67.093636364,67.093636364
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,144.24,34.675,24.32,29.248333333
1023109758,LAUREANO,ALBERTO,N,MD,M,I,1720 NICHOLASVILLE ROAD,SUITE 500,LEXINGTON,KY,40503,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,104.09948718,35.528717949,27.193333333,24.416410256
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,28,346,55.87216763,19.640115607,13.63234104,13.63234104
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,14,33,910,7.1235384615,2.6320879121,1.9434395604,1.9434395604
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,101,313,939,71.404526092,8.2976783813,5.942513312,5.942513312
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,13.639047619,3.38,2.3976190476,2.3976190476
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,19.512857143,2.12,1.5507142857,1.5507142857
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,43,89,148,15.351013514,1.42,1.0629054054,1.0629054054
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,21.321818182,21.321818182,13.045454545,57.045454545
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,744.75,345.2475,270.6725,270.6725
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,352.77777778,75.915555556,56.383333333,51.787777778
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,19,87,87,251.86505747,250.96206897,196.75425287,196.87
1023110103,MADRILEJO,NELSON,G,MD,M,I,1801 16TH ST,#A,BAKERSFIELD,CA,93301,US,Physician/Internal Medicine,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,264.358,263.96866667,206.95,207.1
1023110152,JABLON,LISA,K,M.D.,F,I,9880 BUSTLETON AVE,SUITE 205,PHILADELPHIA,PA,191152185,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,40,52,195,45.144923077,35.289948718,26.468923077,29.327897436
1023110152,JABLON,LISA,K,M.D.,F,I,9880 BUSTLETON AVE,SUITE 205,PHILADELPHIA,PA,191152185,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,23,23,26,357.37730769,312.90346154,238.87615385,256.14884615
1023110301,BERGREN,JOHN,D,MD,M,I,13350 BIG BASIN WAY,,BOULDER CREEK,CA,950069237,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,14,31,92,63.700978261,8.32,6.0961956522,6.0961956522
1023110301,BERGREN,JOHN,D,MD,M,I,13350 BIG BASIN WAY,,BOULDER CREEK,CA,950069237,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.87,2.27,1.6946753247,1.6946753247
1023110301,BERGREN,JOHN,D,MD,M,I,13350 BIG BASIN WAY,,BOULDER CREEK,CA,950069237,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.315909091,10.93,8.57,8.57
1023110301,BERGREN,JOHN,D,MD,M,I,13350 BIG BASIN WAY,,BOULDER CREEK,CA,950069237,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,17.09,12.283333333,12.406666667
1023110301,BERGREN,JOHN,D,MD,M,I,13350 BIG BASIN WAY,,BOULDER CREEK,CA,950069237,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,680.24,65.7,48.256666667,51.476666667
1023110335,RICHARD,JAMES,R,MD,M,I,155 5TH STREET NE,,BARBERTON,OH,44203,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,36,56,59.809821429,8.32,5.3571428571,5.3571428571
1023110335,RICHARD,JAMES,R,MD,M,I,155 5TH STREET NE,,BARBERTON,OH,44203,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,16.043636364,1.42,1.12,1.12
1023110335,RICHARD,JAMES,R,MD,M,I,155 5TH STREET NE,,BARBERTON,OH,44203,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,900,1.8950777778,0.1308,0.0904555556,0.0904555556
1023110343,SKORETZ,LYNNETTA,E,M.D.,F,I,11201 BENTON STREET,#111H,LOMA LINDA,CA,92357,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,29,127,69.198188976,8.32,5.547007874,5.547007874
1023110343,SKORETZ,LYNNETTA,E,M.D.,F,I,11201 BENTON STREET,#111H,LOMA LINDA,CA,92357,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,20,42,14.83547619,1.42,0.9547619048,0.9547619048
1023110582,HELFREY,RICHARD,B,D.O.,M,I,112 PIPER HILL DR,SUITE 9,SAINT PETERS,MO,633761690,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,18,115,76.46,54.943333333,57.595
1023110582,HELFREY,RICHARD,B,D.O.,M,I,112 PIPER HILL DR,SUITE 9,SAINT PETERS,MO,633761690,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,300,251.28,187.5,204.96615385
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,18,63,155,75.487225806,8.32,5.3566451613,5.3566451613
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,11,30,39,16.657179487,1.42,0.8876923077,0.8876923077
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,80.03,71.56,56.105,56.105
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,75,32.651733333,29.19,22.885066667,22.886
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,11,79,2370,12.49,5.7386075949,4.3443122363,4.0462742616
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,5460,0.72,0.3927985348,0.3079542125,0.2914688645
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,14235,0.6,0.3063097998,0.2391190727,0.2413621356
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,12538,1.3,0.6754442495,0.5287031424,0.5179861222
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,167.92391304,50.593043478,39.666521739,38.749130435
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,98.402424242,35.486363636,27.065454545,22.753333333
1023110731,PACE,JOHN,B,M.D.,M,I,560 BELMONT LN,,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,39,39,25.262307692,9.6553846154,7.3964102564,6.9620512821
1023110749,KOBYLARZ,FRED,A,"MD, MPH",M,I,18 CENTRE DR,,MONROE TOWNSHIP,NJ,088311501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,40,92,65.167173913,8.32,5.8070652174,5.8070652174
1023110749,KOBYLARZ,FRED,A,"MD, MPH",M,I,18 CENTRE DR,,MONROE TOWNSHIP,NJ,088311501,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,22,24,11.178333333,1.42,0.9783333333,0.9783333333
1023110749,KOBYLARZ,FRED,A,"MD, MPH",M,I,18 CENTRE DR,,MONROE TOWNSHIP,NJ,088311501,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,6.03,2.27,1.4830952381,1.4830952381
1023110749,KOBYLARZ,FRED,A,"MD, MPH",M,I,18 CENTRE DR,,MONROE TOWNSHIP,NJ,088311501,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,31.62,10.34,7.3179166667,7.7495833333
1023110749,KOBYLARZ,FRED,A,"MD, MPH",M,I,18 CENTRE DR,,MONROE TOWNSHIP,NJ,088311501,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,320,24.5,4.9,3.84165625,4.132875
1023110749,KOBYLARZ,FRED,A,"MD, MPH",M,I,18 CENTRE DR,,MONROE TOWNSHIP,NJ,088311501,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,69.89,15.21,11.926666667,13.826666667
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,49,118,385,40.00625974,8.32,5.8472207792,5.8472207792
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,20,35,35,14.285714286,3.38,2.3471428571,2.3471428571
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,18,21,21,18.714285714,2.12,1.510952381,1.510952381
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,35,78,125,14.21392,1.42,1.02592,1.02592
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,253.92125,109.69375,73.988125,56.269375
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,43,40.069767442,24.209069767,15.141860465,10.884651163
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,30,30.859333333,18.233666667,13.858333333,11.497
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,134.35526316,68.284210526,41.436842105,31.682631579
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,14,22,22,51.982272727,21.627727273,12.274090909,9.7345454545
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,11,27,27,57.27037037,16.901851852,11.517037037,7.5218518519
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,14,38,142,5.8422535211,2.5735915493,1.7114084507,1.3081690141
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,32.863636364,15.416363636,9.0436363636,7.6190909091
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,29,27.173793103,8.0955172414,6.345862069,4.7010344828
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,135.87290323,37.056129032,25.413548387,23.382903226
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,313.96625,89.18125,65.071666667,53.7775
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1564,0.535140665,0.0470332481,0.028887468,0.028887468
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,960,1.328125,0.1338125,0.0992291667,0.0992291667
1023110780,RAO,SRIDHAR,A,MD,M,I,9030 STATE RD,,MILLINGTON,MI,487468902,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,72.6,33,22.420666667,22.420666667
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,54,151,326,64.510736196,8.32,5.3223312883,5.3223312883
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,18.125,3.38,2.484375,2.484375
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,30,57,79,17.826962025,1.42,0.9462025316,0.9462025316
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,6.936,4.1,3.2143333333,2.3892222222
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,31,31,193.34322581,60.917419355,45.281612903,34.870322581
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,48,86.31,22.4775,16.688333333,12.809791667
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,75.258333333,49.954166667
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,49,51,58.189215686,7.0439215686,5.3078431373,3.4305882353
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,62,515.48709677,103.22612903,76.689677419,55.385806452
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,235.76923077,44.900769231,35.204615385,29.516153846
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,51,2760,16.179648551,9.6281086957,7.4694492754,7.4694492754
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,61,8719,0.1795446726,0.0465397408,0.034257369,0.034257369
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1860,12.86,3.012,2.3614301075,2.3614301075
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,1470,0.9499863946,0.2194489796,0.1685442177,0.1685442177
1023111010,RANDOLPH,MICHAEL,S,MD,M,I,104 HARDIN LN,,SOMERSET,KY,425033800,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,86,86,108.97674419,33,25.108604651,25.108604651
1023111507,BONI,CHRISTOPHER,M,DO,M,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,44,94,67.50212766,8.32,6.1054255319,6.1054255319
1023111507,BONI,CHRISTOPHER,M,DO,M,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,20,24,30,4.75,3.41,3.5866666667
1023111507,BONI,CHRISTOPHER,M,DO,M,I,1 DIAMOND HILL RD,,BERKELEY HEIGHTS,NJ,079222104,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,9.1590909091,5.7027272727,7.1009090909
1023111531,MALCOLM,AYSE,,M.D.,F,I,1455 ST. FRANCIS AVENUE,ST. FRANCIS REGIONAL MEDICAL CENTER,SHAKOPEE,MN,553793380,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,16,1274,38.165816327,4.7837362637,3.7504395604,3.7504395604
1023111531,MALCOLM,AYSE,,M.D.,F,I,1455 ST. FRANCIS AVENUE,ST. FRANCIS REGIONAL MEDICAL CENTER,SHAKOPEE,MN,553793380,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1023111564,SAYEGH,MARTIN,J,MD,M,I,626 MCLEAN AVE,,YONKERS,NY,10705,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,105,42.910952381,8.32,5.7153333333,5.7153333333
1023111564,SAYEGH,MARTIN,J,MD,M,I,626 MCLEAN AVE,,YONKERS,NY,10705,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,831.12,831.12
1023112034,JEGATHESAN,KANTHIMATHI,,MD,F,I,2271 EAST MAIN STREET,,WATERBURY,CT,06705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,45,106,80.848113208,8.32,5.7826415094,5.7826415094
1023112034,JEGATHESAN,KANTHIMATHI,,MD,F,I,2271 EAST MAIN STREET,,WATERBURY,CT,06705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,20,15.783,1.42,1.058,1.058
1023112034,JEGATHESAN,KANTHIMATHI,,MD,F,I,2271 EAST MAIN STREET,,WATERBURY,CT,06705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,321.86869565,75.43,56.770869565,52.552608696
1023112034,JEGATHESAN,KANTHIMATHI,,MD,F,I,2271 EAST MAIN STREET,,WATERBURY,CT,06705,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,94.656666667,40.62,31.85,29.714166667
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,30,78,65.030769231,8.32,5.6907692308,5.6907692308
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,19,16.935263158,1.42,1.1126315789,1.1126315789
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,395,23.690886076,6.4896202532,5.0878987342,4.3203797468
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4492,1.56,0.66,0.4855053428,0.4855053428
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,146.19,63.573529412,49.838235294,43.517058824
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,43.2825,43.2825,33.934166667,38.208333333
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,117.70357143,46.478571429,34.008571429,33.438571429
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,21,26,71.568461538,20.607692308,15.059615385,14.189615385
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,93.158888889,32.115,23.976111111,22.176111111
1023112257,CARVER,SCOTT,Q,,M,I,1020 CLEVELAND RD,,SARALAND,AL,36571,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,25.828235294,8.9052941176,6.9841176471,6.8941176471
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,45,146,38.796027397,8.32,6.0532191781,6.0532191781
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,29,29,10.408275862,3.38,2.4855172414,2.4855172414
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,13.341428571,2.12,1.67,1.67
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,33,61,12.539180328,1.42,1.0583606557,1.0583606557
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,2.7145454545,2.7145454545,1.9045454545,2.47
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,10224,0.9819248826,0.8548591549,0.6702063772,0.5174305556
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,307.7625,60.33375,44.1,35.230625
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,424.07086957,101.79913043,79.812608696,54.73
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1800,0.9678166667,0.1342666667,0.0810333333,0.0810333333
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36,9.5018181818,6.8345454545,5.6
1023112299,PRICE,DAVID,A,PA-C,M,I,315 PROSPECT DR,,TRINITY,TX,758626202,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,97.35,33,20.696,20.696
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,52,176,428,65.271401869,8.32,5.7209813084,5.7209813084
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,16.923076923,3.38,2.65,2.65
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,31,92,107,20.176915888,1.4196261682,1.0018691589,1.0022429907
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,484,21.92446281,12.885847107,10.102541322,10.25142562
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,109,506.42201835,207.75,162.8759633,162.8759633
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,167,26.934131737,9.35,7.33,7.33
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,167,83.910179641,29.22,22.908562874,22.908562874
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,125,58.971176471,39.454705882,30.394117647
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,73,73,49.73739726,22.592191781,16.893150685,14.120821918
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,56,56,24.858035714,7.5925,5.6478571429,3.4057142857
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,74,74,236.89067568,102.86864865,76.224054054,59.672567568
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,4934,0.5991892987,0.046937576,0.0244872315,0.0244872315
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,31,4349,2.4053322603,0.1347873074,0.0981581973,0.0981581973
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,178.95238095,92.506190476,66.405714286,45.423333333
1023112307,ATA,MUHAMMAD,E,,M,I,6110 COUNTY ROAD 88,PISGAH MEDICAL CLINIC,PISGAH,AL,35765,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,36,36,33,33,22.995555556,22.995555556
1023112554,ELARDO,THOMAS,J,DPM,M,I,2577 SAMARITAN DR STE 840,,SAN JOSE,CA,951244109,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,350,293.17,229.85,222.54333333
1023112588,ENGEL,MICHAEL,A,DPM,M,I,7401 104TH AVE,SUITE 110,KENOSHA,WI,531427845,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,16,85.3925,78.595,58.47875,64.7375
1023112588,ENGEL,MICHAEL,A,DPM,M,I,7401 104TH AVE,SUITE 110,KENOSHA,WI,531427845,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,470.13411765,251.28,186.52705882,206.16352941
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,35,65,5.606,1.46,1.1453846154,1.1544615385
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,82.53,16,11.575384615,8.3723076923
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,81,83,86.31,17,12.045180723,12.25746988
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,198.30230769,56.956153846,39.224615385,33.32
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,2486.02,1074.31,842.26,842.26
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,13,54,63,50.73,6.2352380952,4.8842857143,3.9
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,196.89428571,29.14,19.990714286,20.538571429
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,23,143,144,499.27888889,78.364305556,57.552291667,51.657083333
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,31,164.01451613,41.30483871,32.383870968,30.466129032
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,93,5580,16.932928315,9.6461505376,7.4966308244,7.4966308244
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,1650,18.385666667,11.144363636,8.7259636364,8.7259636364
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,16,36,5819,0.2645832617,0.0461814745,0.0347774532,0.0347774532
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,24,2787,1.7674058127,0.1358521708,0.1065303193,0.1065303193
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,28,147,9156,10.873865225,2.9914613368,2.3022083879,2.3022083879
1023112596,RUSSOMANNO,JOHN,,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,25,34,167,167,70.347305389,33,25.71508982,25.71508982
1023112679,OCCHIPINTI,ROBERT,,MD,M,I,3434 PRYTANIA ST STE 460,,NEW ORLEANS,LA,70115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,29,64,165,59.270909091,8.32,5.6936969697,5.6936969697
1023112679,OCCHIPINTI,ROBERT,,MD,M,I,3434 PRYTANIA ST STE 460,,NEW ORLEANS,LA,70115,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,16.785714286,3.38,2.4607142857,2.4607142857
1023112679,OCCHIPINTI,ROBERT,,MD,M,I,3434 PRYTANIA ST STE 460,,NEW ORLEANS,LA,70115,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,39,55,15.996181818,1.42,0.9603636364,0.9603636364
1023112679,OCCHIPINTI,ROBERT,,MD,M,I,3434 PRYTANIA ST STE 460,,NEW ORLEANS,LA,70115,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,21,160,129.37857143,99.898095238,101.56333333
1023112752,RINGEL,NEAL,,MD,M,I,1250 57TH STREET,,BROOKLYN,NY,11219,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,51,136,55.074191176,8.32,6.2347058824,6.2347058824
1023112752,RINGEL,NEAL,,MD,M,I,1250 57TH STREET,,BROOKLYN,NY,11219,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,26,50,18.4612,1.42,1.0712,1.0712
1023112752,RINGEL,NEAL,,MD,M,I,1250 57TH STREET,,BROOKLYN,NY,11219,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2141,0.5007426436,0.0454553947,0.0356422233,0.0356422233
1023112752,RINGEL,NEAL,,MD,M,I,1250 57TH STREET,,BROOKLYN,NY,11219,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,29,56.735517241,14.835862069,10.503448276,12.748275862
1023112752,RINGEL,NEAL,,MD,M,I,1250 57TH STREET,,BROOKLYN,NY,11219,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,13.385882353,6.6705882353,4.1564705882,5.5
1023112752,RINGEL,NEAL,,MD,M,I,1250 57TH STREET,,BROOKLYN,NY,11219,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,25.87,25.87
1023113032,DONAHUE,KATRINA,E,MD,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,38,66.320789474,8.32,6.1784210526,6.1784210526
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,59,175,69.843942857,8.32,6.1495428571,6.1495428571
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,15.617142857,3.38,2.5238095238,2.5238095238
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,22.948181818,2.12,1.5454545455,1.5454545455
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,38,51,15.413137255,1.42,0.9409803922,0.9409803922
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,122.64428571,38.481428571,28.014285714,28.335
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,330.713,85.511,63.7295,64.468
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,45,143.762,33.34,24.421777778,24.223333333
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,13,275.76692308,54.55,39.48,39.557692308
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,18,18,73.637222222,17.354444444,13.602777778,13.976666667
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,18,92.548888889,12.01,8.4755555556,8.2327777778
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,16,37,192,10.747239583,1.995625,1.5159375,1.54171875
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,12,16,16,47.2225,12.275625,9.03125,9.761875
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,18,22,71.504545455,11.350909091,7.9618181818,8.1209090909
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,11,57,64,197.65,32.50625,24.36234375,23.925
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,519.51,79.88,62.62,55.406956522
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,21,250,35.31,27.69,29.423333333
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,720,0.92,0.1345,0.0978611111,0.0978611111
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,70.555555556,22.139444444,17.357222222,14.917777778
1023113321,FISCHER,JAMES,P,M.D.,M,I,34637 US HIGHWAY 19 N,,PALM HARBOR,FL,346842152,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,132,33,24.253125,24.253125
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,30,67,62.099104478,8.32,6.3270149254,6.3270149254
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,18,15.410555556,1.42,0.9311111111,0.9311111111
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,150.75846154,39.56,31.02,30.49
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,226.62846154,53.83,32.461538462,33.148461538
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,91.034285714,18.06,12.137142857,12.051428571
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,53.980909091,12.21,8.7,8.2909090909
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,21,98,10.393877551,2.02,1.4717346939,1.4803061224
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,1062.07,204.81363636,155.81363636,155.88590909
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,81.75,13.136153846,10.296923077,10.466153846
1023113511,HERSH,ALAN,R,M.D.,M,I,2027 VILLAGE LN,SUITE 102,SOLVANG,CA,934632283,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,21,620.59333333,33.292380952,22.180952381,22.383333333
1023113610,CHEN,HAIFAN,,"M.D., D.O.",M,I,3907 PRINCE ST,2D,FLUSHING,NY,113545399,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,21,38,67.618157895,8.32,6.1802631579,6.1802631579
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,36,122,284,53.26278169,8.32,5.7816197183,5.7816197183
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,38,40,18.2,1.42,0.979,0.979
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,14,15,88.442,6.7266666667,4.5473333333,3.1673333333
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,91,91,604.03648352,99.595384615,76.114065934,54.260879121
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,32.344166667,27.056666667
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,7382,0.6173327012,0.0454402601,0.0296383094,0.0296383094
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,2358,1.6831806616,0.1366581849,0.0979092451,0.0979092451
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1032,8.6789825581,3.0354457364,2.2513565891,2.2513565891
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,839,3.4433730632,0.2193087008,0.0925268176,0.0925268176
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,227.78823529,44.387647059,33.619215686,28.537843137
1023113693,CHALASANI,PADMAJA,,M.D.,F,I,1300 GREENVILLE RD,,SAINT MARYS,OH,458852600,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,14,47,47,52.914893617,33,21.466595745,21.466595745
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,460,15.086,13.069869565,10.023086957,10.067826087
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,308,500,268.37363636,210.40438312,210.40438312
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,324,725.92,326.74308642,256.16691358,256.16691358
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,80,632,71.565632911,9.3477848101,7.264193038,7.264193038
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,80,632,118.56658228,29.212911392,22.902943038,22.902943038
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,722.72727273,466.35818182,365.62727273,365.62727273
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,24,65.151666667,22.26,16.827916667,14.220416667
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,55,396.48418182,87.048181818,66.159090909,57.220909091
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,6,,41,3834,56.806911841,4.9500234742,3.8625273865,3.8625195618
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,J8560,"Etoposide; oral, 50 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,249,100.43329317,75.192088353,58.95064257,58.95064257
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,2105,43.660028504,1.297824228,1.0175059382,1.0174964371
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,32,106,44.966037736,38.179622642,29.174245283,29.971037736
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,19,23,396.09217391,324.83478261,245.18913043,256.25347826
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,13,38,38,41.157894737,24,18.82,18.82
1023113727,CAWLEY,KELLI,A,MD,F,I,809 FARSON AVE,UNIT 101/STRECKER CANCER CENTER,BELPRE,OH,457141066,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,51.612903226,16,12.135483871,12.135483871
1023113735,SEALE,JEFFREY,K,MD,M,I,1800 12TH ST,SUITE 4A,MERIDIAN,MS,393014158,US,Physician/Emergency Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,157.175,65.8475,47.355,35.229166667
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,23,64,836,60.061184211,19.65215311,15.407045455,15.407045455
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,23,60,1760,8.5780795455,2.6345454545,2.0404090909,2.0404090909
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,15,19,38,4.0873684211,0.51,0.4,0.4
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,15,5.4266666667,1,0.7813333333,0.7813333333
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,60,256,714,2920,61.231780822,8.310630137,6.2803972603,6.287739726
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,38,85,85,13.237411765,3.38,2.6188235294,2.6188235294
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,35,44,44,19.338409091,2.12,1.67,1.67
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,88,186,393,13.358982188,1.4191857506,1.082264631,1.0829007634
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,21,73.18,70.594285714,55.346666667,56.104761905
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,18,31,31,31,38.404516129,36.686129032,28.002580645,44.108387097
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,636.6025,354.1,275.71791667,275.71791667
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,1700,16.563582353,10.987058824,8.6138647059,8.6138647059
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,26,139,145,523.3442069,251.07234483,195.53875862,195.56813793
1023113768,MAYBEE,NELLY,A,M.D.,F,I,70 MEDICAL CENTER CIR,ST 310,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,19,19,19,417.58947368,246.34,193.13,204.15894737
1023113784,BAGGETT-WOODARD,DEBRA,J,"FNP-BC, PNP-BC",F,I,926 FRANCES DR,,HAYNESVILLE,LA,710386100,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,46,6.3366666667,4.97,4.1266666667
1023113784,BAGGETT-WOODARD,DEBRA,J,"FNP-BC, PNP-BC",F,I,926 FRANCES DR,,HAYNESVILLE,LA,710386100,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,720,1.2277777778,0.1388333333,0.0936666667,0.0936666667
1023113792,GLASSINGER,MICHAEL,C,MD,M,I,639 LOTUS DR N,SUITE B,MANDEVILLE,LA,704712926,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,67,35.905373134,8.32,5.5486567164,5.5486567164
1023113792,GLASSINGER,MICHAEL,C,MD,M,I,639 LOTUS DR N,SUITE B,MANDEVILLE,LA,704712926,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,9.3733333333,3.38,2.2083333333,2.2083333333
1023113792,GLASSINGER,MICHAEL,C,MD,M,I,639 LOTUS DR N,SUITE B,MANDEVILLE,LA,704712926,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,32,13.71,1.42,0.940625,0.940625
1023113792,GLASSINGER,MICHAEL,C,MD,M,I,639 LOTUS DR N,SUITE B,MANDEVILLE,LA,704712926,US,Physician/Emergency Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,368,80.432065217,3,2.3461684783,2.3605706522
1023113792,GLASSINGER,MICHAEL,C,MD,M,I,639 LOTUS DR N,SUITE B,MANDEVILLE,LA,704712926,US,Physician/Emergency Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3091,2.8318472986,0.68,0.4887900356,0.4757457134
1023113792,GLASSINGER,MICHAEL,C,MD,M,I,639 LOTUS DR N,SUITE B,MANDEVILLE,LA,704712926,US,Physician/Emergency Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,96,6.6578125,0.69,0.4961458333,0.5113541667
1023114089,MARTIN,MARY-MARGARET,,FNP,F,I,401 W DECATUR ST,,MADISON,NC,270251913,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,45,104,54.888461538,8.32,6.2699038462,6.2699038462
1023114089,MARTIN,MARY-MARGARET,,FNP,F,I,401 W DECATUR ST,,MADISON,NC,270251913,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,31,38,13.312631579,1.42,1.0868421053,1.0868421053
1023114089,MARTIN,MARY-MARGARET,,FNP,F,I,401 W DECATUR ST,,MADISON,NC,270251913,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,143,19.591666667,12.663888889,11.401111111
1023114089,MARTIN,MARY-MARGARET,,FNP,F,I,401 W DECATUR ST,,MADISON,NC,270251913,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,8.125,6.0208333333,6.3233333333
1023114154,SHIVAPRASAD,HULLUKUNTE,B,MD,M,I,2001 SCIOTO TRAIL,STE 200,PORTSMOUTH,OH,45662,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,78,22.790909091,16.51,12.847272727
1023114154,SHIVAPRASAD,HULLUKUNTE,B,MD,M,I,2001 SCIOTO TRAIL,STE 200,PORTSMOUTH,OH,45662,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,330,95.371538462,67.875769231,50.748076923
1023114238,STAPP,MICKEY,D,D.P.M.,M,I,1416 WAINBROOK DR,,AUGUSTA,GA,309096289,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,2680,0.1593283582,0.13,0.0905,0.0905
1023114238,STAPP,MICKEY,D,D.P.M.,M,I,1416 WAINBROOK DR,,AUGUSTA,GA,309096289,US,Podiatry,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,560,1.07,0.88,0.5421071429,0.5421071429
1023114238,STAPP,MICKEY,D,D.P.M.,M,I,1416 WAINBROOK DR,,AUGUSTA,GA,309096289,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,350,266.98,209.31,216.495
1023114261,AUSTIN,CHAMAIN,D,M.D.,F,I,4546 NC 87 S,,SANFORD,NC,273320212,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,62,65.859677419,8.32,6.3125806452,6.3125806452
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,49,35.394081633,8.32,6.5214285714,6.5214285714
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,23,21.989565217,1.42,1.1182608696,1.1182608696
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,170,15,10.81,7.7382941176,7.7382941176
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,5,,33,34,43.605882353,12.310588235,8.8932352941,9.1191176471
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,10,30,105,110,159.14072727,50.502363636,37.718909091,37.768272727
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,34.954666667,16.75,13.132,13.506
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,19.460869565,4.4191304348,3.4647826087,3.5226086957
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,5,,33,33,121.42939394,46.834242424,35.540909091,34.023636364
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,12,12,23,42.731304348,26.322608696,20.636956522,22.605217391
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,230.67170732,79.482195122,60.782195122,54.571219512
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,275,38.963684211,30.548421053,28.870526316
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,7,17,17,17,67.481176471,36.407058824,28.545294118,29.100588235
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,14,251.77071429,122.75642857,96.239285714,113.97928571
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,12,26,114,118,76.916694915,19.617033898,14.341949153,14.034322034
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,87.548333333,38.673333333,28.7925,24.8675
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,110.95428571,28.716428571,20.556428571,20.435714286
1023114287,WILKERSON,MARK,D,M.D.,M,I,1 HURLEY PLZ,,FLINT,MI,485035902,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,6,18,92,93,23.896344086,7.6674193548,5.7393548387,6.6041935484
1023114352,SAMUEL,ALIYAMMA,,NP,F,I,82-68 164TH ST,,JAMAICA,NY,114321121,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,43,70.532093023,8.32,5.4595348837,5.4595348837
1023114477,VON MAUR,CAROLYN,,,F,I,7901 ANGLING ROAD,SUITE B-201,PORTAGE,MI,49024,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,50,121,55.436280992,8.32,6.0363636364,6.0363636364
1023114477,VON MAUR,CAROLYN,,,F,I,7901 ANGLING ROAD,SUITE B-201,PORTAGE,MI,49024,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.642857143,3.38,2.2714285714,2.2714285714
1023114477,VON MAUR,CAROLYN,,,F,I,7901 ANGLING ROAD,SUITE B-201,PORTAGE,MI,49024,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,29,47,14.108297872,1.42,1.0438297872,1.0438297872
1023114477,VON MAUR,CAROLYN,,,F,I,7901 ANGLING ROAD,SUITE B-201,PORTAGE,MI,49024,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,20.74,4.745,3.7255,3.5495
1023114485,AISTER,KEVIN,J,DO,M,I,25 N. WINFIELD ROAD,,WINFIELD,IL,60190,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,45,5.7591304348,4.1504347826,3.3295652174
1023114501,HECKERLING,PAUL,S,,M,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,40,106,65.922735849,8.32,6.3982075472,6.3982075472
1023114501,HECKERLING,PAUL,S,,M,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,24,26,18.155384615,1.42,1.0330769231,1.0330769231
1023114568,RAWLINGS,JOHN,J,MD,M,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,95,96,96,1430.2596875,1017.66,762.73583333,851.38625
1023114568,RAWLINGS,JOHN,J,MD,M,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,30,30,55,871.35745455,734.48636364,567.09109091,471.87618182
1023114568,RAWLINGS,JOHN,J,MD,M,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,95,97,183,957.06224044,819.89885246,634.65803279,669.54846995
1023114568,RAWLINGS,JOHN,J,MD,M,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,28,28,49,517.83102041,444.02,343.05755102,348.96020408
1023114568,RAWLINGS,JOHN,J,MD,M,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,25,125,127,238,124.15004202,106.75915966,82.493361345,87.638487395
1023114568,RAWLINGS,JOHN,J,MD,M,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,25,25,33,534.15151515,456.35272727,348.85939394,356.46272727
1023114568,RAWLINGS,JOHN,J,MD,M,I,4402 FRANCIS LEWIS BLVD,SUITE A,BAYSIDE,NY,113613041,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,46,48,48,800.00916667,669.44,500.75125,544.43208333
1023114709,DIAZ,JOSEPH,M,PA-C,M,I,2240 E GONZALES RD STE 100,,OXNARD,CA,930368212,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1023114733,JONES,CARRI,A,MD,F,I,1850 SULLIVAN AVE STE 330,,DALY CITY,CA,940152204,US,Physician/Physical Medicine and Rehabilitation,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,475,389.4,305.29,310.54
1023115177,JACOBS,ALLEN,M,DPM,M,I,6400 CLAYTON RD,STE 402,SAINT LOUIS,MO,631171850,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,22,96.388181818,71.56,51.004545455,51.004545455
1023115177,JACOBS,ALLEN,M,DPM,M,I,6400 CLAYTON RD,STE 402,SAINT LOUIS,MO,631171850,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1278,0.4484741784,0.4484741784,0.3516118936,0.3527699531
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,25,81,63.407901235,8.32,6.039382716,6.039382716
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,29,14.414137931,1.42,1.0379310345,1.0379310345
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,36,1068,91.177902622,5.722659176,4.4190917603,4.1177715356
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,9618,1.6587045124,0.2997816594,0.2350291121,0.2430411728
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5670,1.55,0.68,0.5331164021,0.5189347443
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,14,15,782,65.306666667,51.2,48.32
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,105.5625,5.39625,4.23,3.953125
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,68,68,47.47,21.013823529,16.283970588,14.122794118
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,76.3,32.916341463,23.119268293,18.174878049
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,112.66,54.1025,42.4125,38.2625
1023115193,SINGH,OM,P,M.D.,M,I,2828 S SEACREST BLVD STE 101,,BOYNTON BEACH,FL,334357944,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,18.46,8.315,6.515,6.16
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,29.69,28.93,22.68,23.23
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,132,2.49,2.49,1.9516666667,1.9516666667
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,10.93,9.29,7.28,8.3715384615
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,682,7.37,6.29,4.9312903226,5.701085044
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,341,5.23,5.23,4.1003225806,4.1003225806
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,341,3.81,3.81,2.9870967742,2.9870967742
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,700,275,5.2384571429,4.0737571429,4.1299571429
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5940,3.9783333333,0.37,0.2900740741,0.2900740741
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5640,3.5746666667,0.31,0.2217021277,0.2217021277
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,1200,63.04,49.42,48.32
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,25.410882353,19.195294118,15.050588235,13.703529412
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,43,43,76.53,72.691162791,56.987906977,54.96744186
1023115292,VIRLAR-CADENA,JESUS,A,MD,M,I,1302 S GENERAL MCMULLEN DR,SUITE 103,SAN ANTONIO,TX,782374200,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,59.084615385,17.403846154,11.696923077,12.172307692
1023115334,GOEL,DINESH,K,M.D.P.A.,M,I,6050 I-55 NORTH EAST FRONTAGE ROAD,,JACKSON,MS,39211,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.52,4.2926099707,4.1280645161
1023115334,GOEL,DINESH,K,M.D.P.A.,M,I,6050 I-55 NORTH EAST FRONTAGE ROAD,,JACKSON,MS,39211,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.24,3.7675,3.6208333333
1023115334,GOEL,DINESH,K,M.D.P.A.,M,I,6050 I-55 NORTH EAST FRONTAGE ROAD,,JACKSON,MS,39211,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,0.92,0.1361818182,0.0902272727,0.0902272727
1023115334,GOEL,DINESH,K,M.D.P.A.,M,I,6050 I-55 NORTH EAST FRONTAGE ROAD,,JACKSON,MS,39211,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.401818182,23.401818182
1023115375,WOESTE,ROBERTA,,FNP,F,I,695 N COUNTY ROAD 1050 E,,CHARLOTTESVILLE,IN,461179728,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,8.7375,6.8483333333,4.9466666667
1023115383,TORRES,JOSEPH,L,MD,M,I,309 W BASS ST,,KISSIMMEE,FL,34741,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,40,116,65.840603448,8.32,6.4104310345,6.4104310345
1023115383,TORRES,JOSEPH,L,MD,M,I,309 W BASS ST,,KISSIMMEE,FL,34741,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.727272727,3.38,2.4090909091,2.4090909091
1023115383,TORRES,JOSEPH,L,MD,M,I,309 W BASS ST,,KISSIMMEE,FL,34741,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,14.715769231,1.42,1.0711538462,1.0711538462
1023115508,HINDUJA,ANISH,M,M.D.,M,I,5 MARTIN COURT,,EASTON,MD,216014039,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,116,15960,4.8817280702,0.5696810777,0.4255281955,0.4255263158
1023115508,HINDUJA,ANISH,M,M.D.,M,I,5 MARTIN COURT,,EASTON,MD,216014039,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,30,4320,3.8033634259,1.2628472222,0.9707453704,0.9707453704
1023115508,HINDUJA,ANISH,M,M.D.,M,I,5 MARTIN COURT,,EASTON,MD,216014039,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,72,9660,4.3443612836,2.828310559,2.1718623188,2.1718623188
1023115508,HINDUJA,ANISH,M,M.D.,M,I,5 MARTIN COURT,,EASTON,MD,216014039,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,585,16.853094017,7.4917264957,5.6282393162,5.6282393162
1023115508,HINDUJA,ANISH,M,M.D.,M,I,5 MARTIN COURT,,EASTON,MD,216014039,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,18,120,120,24,24,18.663166667,18.663166667
1023115508,HINDUJA,ANISH,M,M.D.,M,I,5 MARTIN COURT,,EASTON,MD,216014039,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,20,133,148,16.432432432,16,12.116351351,12.116351351
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,36,99,240,48.82225,8.32,5.9243333333,5.9243333333
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,25,35,12.376857143,1.42,1.0531428571,1.0531428571
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,65.35,60.066363636,47.091818182,38.434545455
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,50,22.790909091,17.866363636,14.203636364
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,17,71,74,23.563918919,7.3110810811,4.6998648649,2.8477027027
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,48,469.205625,100.73416667,71.593125,51.350625
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,39,10317,0.2577047591,0.0453843171,0.0316719977,0.0316710284
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,600,11.399583333,2.71105,2.0487666667,2.0487666667
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,47,51,58.750980392,27.882156863,21.491960784,17.084117647
1023115730,TAYLOR,DAWN,C,MD,F,I,445 LINCOLN DR,,SPRINGFIELD,KY,400691578,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,17,48,48,49.5,33,24.738333333,24.738333333
1023116035,KENT,MELISSA,M,"MSN, RN, ACNP-BC",F,I,2400 PATTERSON ST,SUITE 100,NASHVILLE,TN,372031562,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,19,19,19,121.31,59.393684211,46.567368421,36.46
1023116035,KENT,MELISSA,M,"MSN, RN, ACNP-BC",F,I,2400 PATTERSON ST,SUITE 100,NASHVILLE,TN,372031562,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,54.54,22.378181818,17.546363636,13.496363636
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,13,28,373,53.630509383,19.631045576,15.130911528,15.130911528
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,13,28,820,7.6237560976,2.6312195122,1.9377073171,1.9377073171
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,16,23,46,5.2395652174,0.51,0.4,0.4
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,73,168,797,41.886173149,8.3188456713,6.2933124216,6.2933124216
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,38,75,75,13.9192,3.38,2.5793333333,2.5793333333
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,35,47,47,19.156595745,2.12,1.67,1.67
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,53,118,268,12.50108209,1.42,1.0849253731,1.0849253731
1023116068,LUCAS,STEPHENIE,M,M.D.,F,I,22631 GREATER MACK AVE,SUITE 100,SAINT CLAIR SHORES,MI,480802055,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,612.62777778,342.29666667,260.38833333,260.38833333
1023116142,MERGY,JAMES,A,MD,M,I,1601 OWEN DR,,FAYETTEVILLE,NC,283043425,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,36.283809524,8.32,6.5233333333,6.5233333333
1023116142,MERGY,JAMES,A,MD,M,I,1601 OWEN DR,,FAYETTEVILLE,NC,283043425,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,20.99,4.5315384615,3.5538461538,3.5523076923
1023116357,PARSONS,JAMES,B,M.D.,M,I,117 E KINGS HWY,,EDEN,NC,272885201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,68.387647059,20.871470588,14.964117647,12.355294118
1023116357,PARSONS,JAMES,B,M.D.,M,I,117 E KINGS HWY,,EDEN,NC,272885201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,141,141,472.32659574,92.601843972,68.755248227,52.146312057
1023116357,PARSONS,JAMES,B,M.D.,M,I,117 E KINGS HWY,,EDEN,NC,272885201,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,242.10526316,45.491052632,35.667368421,29.893684211
1023116357,PARSONS,JAMES,B,M.D.,M,I,117 E KINGS HWY,,EDEN,NC,272885201,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,143,43.553529412,34.141176471,22.565882353
1023116357,PARSONS,JAMES,B,M.D.,M,I,117 E KINGS HWY,,EDEN,NC,272885201,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,43,43,85,37.745116279,28.934883721,28.802093023
1023116514,ORTIZ,LEAH,N,M.D.,F,I,611 E DOUGLAS RD,SUITE 407,MISHAWAKA,IN,465451464,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,65,60.509230769,8.32,5.9209230769,5.9209230769
1023116514,ORTIZ,LEAH,N,M.D.,F,I,611 E DOUGLAS RD,SUITE 407,MISHAWAKA,IN,465451464,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,444.14333333,85.863333333,59.910833333,57.750833333
1023116514,ORTIZ,LEAH,N,M.D.,F,I,611 E DOUGLAS RD,SUITE 407,MISHAWAKA,IN,465451464,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,125,31.620769231,21.071538462,20.373846154
1023116522,RASMUSSON,MARK,A,PA,M,I,1601 GOLF COURSE RD,,GRAND RAPIDS,MN,557448648,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,25.831538462,7.9826923077,6.1176923077,3.8311538462
1023116605,VANCE,MELISSA,L,APRN - BC,F,I,4220 HARDING PIKE,,NASHVILLE,TN,372052005,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,196.01416667,153.67,120.61166667
1023117454,BURKEY,BRIAN,,MD,M,I,A-71 HEAD AND NECK INSTITUTE,9500 EUCLID AVENUE,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,2442,4.025012285,2.8,2.1952170352,2.1952170352
1023117454,BURKEY,BRIAN,,MD,M,I,A-71 HEAD AND NECK INSTITUTE,9500 EUCLID AVENUE,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,992,6.8703528226,3.23,2.532328629,2.532328629
1023117454,BURKEY,BRIAN,,MD,M,I,A-71 HEAD AND NECK INSTITUTE,9500 EUCLID AVENUE,CLEVELAND,OH,441950001,US,Physician/Otolaryngology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6721,0.9127317363,0.3599464365,0.2612408868,0.2688156524
1023117645,KIRBY,AMY,K,P.A.-C.,F,I,1010 NW 8TH AVE,SUITE A,GAINESVILLE,FL,326014946,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.29,12.420833333,12.404166667
1023118015,ALOUSI,AMIN,M,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Hematopoietic Cell Transplantation and Cellular Therapy,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,50,137,137,67.351459854,39.4,29.537153285,29.189708029
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,20,50,50,250.2384,86.2364,66.5368,66.566
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,23,55,155,85.617032258,33.937419355,26.608064516,25.927935484
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,56,126,737,44.082469471,18.08046133,13.530691995,13.881709634
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,70,184,1084,29.535876384,15.377656827,11.110950185,10.974252768
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,121,316,316,124.05579114,53.804525316,39.496550633,40.123291139
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,125,189,189,42.173862434,18.594285714,13.92005291,13.507936508
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,16,16,20.606875,11.1875,8.77,8.189375
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,96,242,242,43.896652893,12.151652893,8.8659504132,8.512768595
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,127,348,2078,5.582425409,2.0109720885,1.4862078922,1.4992781521
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,63,91,91,16.185384615,5.9569230769,4.5215384615,4.4961538462
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,17,20,20,31.5025,13.0135,9.3145,9.4505
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,246.32,88.154893617,67.40212766,68.746382979
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,31,31,31,301.22,130.54870968,99.806451613,102.00677419
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,48,301,301,110.37269103,30.155182724,22.543488372,24.343820598
1023118098,JAMIL,SHAZIA,M,M.D.,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,550.66666667,72.06,49.633333333,47.981333333
1023118122,SARKIS,HEATHER,,PA-C,F,I,315 W DALTON AVE,,COEUR D ALENE,ID,838158600,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,23,62,63.083870968,8.32,6.1011290323,6.1011290323
1023118122,SARKIS,HEATHER,,PA-C,F,I,315 W DALTON AVE,,COEUR D ALENE,ID,838158600,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,23,15.877391304,1.42,1.02,1.02
1023118312,KRAUSMAN,JOHN,,M.D.,M,I,20000 FARMINGTON RD,BLDG. E,LIVONIA,MI,481521408,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,55,40.444,8.32,5.2185454545,5.2185454545
1023118312,KRAUSMAN,JOHN,,M.D.,M,I,20000 FARMINGTON RD,BLDG. E,LIVONIA,MI,481521408,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,25,7.08,1.42,0.8936,0.8936
1023118379,LEVENSON,JEFFREY,H,M.D.,M,I,751 OAK ST STE 200,,JACKSONVILLE,FL,322043361,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,58,58,58,72.695344828,72.536551724,52.256896552,49.031724138
1023118379,LEVENSON,JEFFREY,H,M.D.,M,I,751 OAK ST STE 200,,JACKSONVILLE,FL,322043361,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,26,71.822307692,48.579230769,38.091923077,42.826923077
1023118379,LEVENSON,JEFFREY,H,M.D.,M,I,751 OAK ST STE 200,,JACKSONVILLE,FL,322043361,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,39,39,65,65.781692308,47.851384615,37.204615385,42.300461538
1023118486,YU,HON,,MD,M,I,2701 S BRISTOL ST,,SANTA ANA,CA,92704,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,46,107,57.954392523,8.32,5.0497196262,5.0497196262
1023118486,YU,HON,,MD,M,I,2701 S BRISTOL ST,,SANTA ANA,CA,92704,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,40,47,39.566808511,1.42,0.88,0.88
1023118486,YU,HON,,MD,M,I,2701 S BRISTOL ST,,SANTA ANA,CA,92704,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,54.78,3.2410526316,1.0147368421,2.1278947368
1023118486,YU,HON,,MD,M,I,2701 S BRISTOL ST,,SANTA ANA,CA,92704,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,19.971428571,8.91,3.9942857143,5.4014285714
1023118601,SANTINI,ANTHONY,,PA,M,I,815 N CLARE AVE,,HARRISON,MI,486259194,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,278.55227273,98.85,63.265909091,47.885909091
1023118668,MARTINEZ,JOSE,,M.D.,M,I,1310 HANNA AVE,STE 1,CORCORAN,CA,932122314,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,21,25,39.55,8.32,6.2656,6.2656
1023118668,MARTINEZ,JOSE,,M.D.,M,I,1310 HANNA AVE,STE 1,CORCORAN,CA,932122314,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,46.3475,4.18375,3.031875,3.49125
1023118668,MARTINEZ,JOSE,,M.D.,M,I,1310 HANNA AVE,STE 1,CORCORAN,CA,932122314,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,519.51,65.7,49.270434783,52.245652174
1023118668,MARTINEZ,JOSE,,M.D.,M,I,1310 HANNA AVE,STE 1,CORCORAN,CA,932122314,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1920,1.41834375,0.133390625,0.1045885417,0.1045885417
1023118668,MARTINEZ,JOSE,,M.D.,M,I,1310 HANNA AVE,STE 1,CORCORAN,CA,932122314,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,107.25,33,25.87,25.87
1023118874,ALIDO,EDITH,B,"DNP, APRN, FNP-BC",F,I,2812 N 22ND ST,,TAMPA,FL,336052762,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,61.523846154,56.502307692,44.303076923,41.546153846
1023118999,ROSENBERG,ILENE,L,MD,F,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,40,75.871,8.32,6.19475,6.19475
1023118999,ROSENBERG,ILENE,L,MD,F,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.79,13.16,13.53
1023118999,ROSENBERG,ILENE,L,MD,F,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,75.43,59.13,54.72
1023118999,ROSENBERG,ILENE,L,MD,F,I,40 COMMERCE PARK,,MILFORD,CT,06460,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,858,10.186247086,3.0348018648,2.3792540793,2.3792540793
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1950,0.39,0.13,0.0940923077,0.0940923077
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,2070,4.4415942029,1.73,1.3227922705,1.5481835749
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,56,137,17.60189781,10.93,8.4445255474,8.4445255474
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,21,16.218571429,7.86,6.16,6.4942857143
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,470,8.364893617,5.74,4.500106383,4.500106383
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,41,1260,16.60518254,9.86,7.5057063492,7.5057063492
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,615,13.151073171,7,5.4543902439,5.4543902439
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,580,20.571931034,9.58,7.4782931034,7.4782931034
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,57,1936,7.0098657025,4.04,3.0932799587,3.0932799587
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,43,3170,0.5260820189,0.27,0.211637224,0.211637224
1023119013,GREENE,KIRSTEN,L,M.D.,F,I,1600 DIVISADERO ST FL 3,,SAN FRANCISCO,CA,941153010,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,39,1700,0.4861823529,0.27,0.2116764706,0.2116764706
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,30,8.19,1.48,1.0826666667,1.078
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.904166667
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,32,50.73,5.838125,4.2328125,3.3365625
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,495.02809524,99.926666667,77.451428571,55.766190476
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,24,7664,0.3469676409,0.0465514092,0.0346998956,0.034697286
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,3505,2.6777289586,0.088256776,0.0653694722,0.0653694722
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1080,11.546907407,2.8747222222,2.0791574074,2.0791574074
1023119021,STANKUS,RICHARD,P,PHD MD,M,I,7209 BUCKLEY RD SUITE 2X,NORTH MEDICAL CENTER,LIVERPOOL,NY,13088,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,12,38,38,38.210526316,33,24.417894737,24.417894737
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,84,428,523,78.546481836,8.3140152964,5.9901338432,5.9960038241
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,43,65,161,166,50.161506024,1.42,1.0253614458,1.0253614458
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,24,24,48,91.385208333,70.929583333,53.313541667,53.818125
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,21,21,90,33.358666667,28.812444444,22.589333333,22.886222222
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1060,0.4032641509,0.13,0.0961320755,0.0961320755
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,48.75,38.22,38.171666667
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,24.725925926,3.69,2.8966666667,3.7533333333
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,2136,0.3855290262,0.0473782772,0.0285159176,0.0285159176
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,299,3.6831772575,0.2185618729,0.1415384615,0.1415384615
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,42,32.894285714,15.31,10.878095238,12.99047619
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.291666667,40.3,28.2675,33.650833333
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,18.935,6.69375,4.323125,5.573125
1023119039,MAZUROV,BORIS,,M.D.,M,I,3048 BRIGHTON 1ST ST,,BROOKLYN,NY,112358080,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,33,33,23.518181818,23.518181818
1023119112,AGGARWAL,ALKA,,M.D.,F,I,22990 KING RD,,BROWNSTOWN TWP,MI,481831025,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,23,65,49.407692308,8.32,5.9212307692,5.9212307692
1023119112,AGGARWAL,ALKA,,M.D.,F,I,22990 KING RD,,BROWNSTOWN TWP,MI,481831025,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,18.321428571,5.5507142857,3.1914285714,2.7514285714
1023119112,AGGARWAL,ALKA,,M.D.,F,I,22990 KING RD,,BROWNSTOWN TWP,MI,481831025,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,260.45454545,79.88,62.62,54.72
1023119112,AGGARWAL,ALKA,,M.D.,F,I,22990 KING RD,,BROWNSTOWN TWP,MI,481831025,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55.636363636,35.63,27.93,29.51
1023119211,CALLAHAN,KEVIN,E,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.26,17.26,12.4025,12.4125
1023119211,CALLAHAN,KEVIN,E,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.34,77.34,55.5775,50.169166667
1023119294,RUBINSON,WILLIAM,J,M.D.,M,I,11942 PARAMOUNT BLVD STE B,,DOWNEY,CA,90242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,31,77,68.242467532,8.32,5.5896103896,5.5896103896
1023119294,RUBINSON,WILLIAM,J,M.D.,M,I,11942 PARAMOUNT BLVD STE B,,DOWNEY,CA,90242,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,24,26,13.691923077,1.42,0.99,0.99
1023119716,JAMES,JEFFREE,A,MD,M,I,3232 EAST MARTIN LUTHER KING JR. BLVD,,AUSTIN,TX,787211043,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,55,57.322,8.32,5.4547272727,5.4547272727
1023119716,JAMES,JEFFREE,A,MD,M,I,3232 EAST MARTIN LUTHER KING JR. BLVD,,AUSTIN,TX,787211043,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,50.98,18.5548,12.5064,12.1788
1023119716,JAMES,JEFFREE,A,MD,M,I,3232 EAST MARTIN LUTHER KING JR. BLVD,,AUSTIN,TX,787211043,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,66.625384615,26.63,19.264615385,18.424615385
1023119740,GREENE,TERRENCE,M,M.D.,M,I,419 W 1ST ST,,BLOOMINGTON,IN,474032403,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,280,5.7675714286,2.91,2.2161785714,2.2161785714
1023119740,GREENE,TERRENCE,M,M.D.,M,I,419 W 1ST ST,,BLOOMINGTON,IN,474032403,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,780,16.088666667,7,5.3321410256,5.3321410256
1023119740,GREENE,TERRENCE,M,M.D.,M,I,419 W 1ST ST,,BLOOMINGTON,IN,474032403,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1020,4.1601764706,1.95,1.495754902,1.495754902
1023119740,GREENE,TERRENCE,M,M.D.,M,I,419 W 1ST ST,,BLOOMINGTON,IN,474032403,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,420,9.7045714286,4.03,3.0156666667,3.0156666667
1023119765,REZAC,DEBRA,L,ARNP,F,I,114 WEST 8TH STREET,,ONAGA,KS,665219547,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,315.00512821,31.213076923,22.204615385,22.307179487
1023119781,CHOUDARY,KAVITHA,A,M.D.,F,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,40.081875,17.6425,13.4025,13.123125
1023119781,CHOUDARY,KAVITHA,A,M.D.,F,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,285.594375,77.12125,58.5728125,53.1915625
1023119997,GLIKLICH,JERRY,,M.D.,M,I,161 FORT WASHINGTON AVE,SUITE 535,NEW YORK,NY,100323729,US,Internal Medicine,T,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,300,23.139,4.9,3.8416666667,3.9059333333
1023119997,GLIKLICH,JERRY,,M.D.,M,I,161 FORT WASHINGTON AVE,SUITE 535,NEW YORK,NY,100323729,US,Internal Medicine,T,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5361,1.9434806939,0.3,0.2352042529,0.2367711248
1023120185,NWAMARA-AKA,EMMANUEL,,,M,I,500 JEFFERSON ST,,WHITEVILLE,NC,284723634,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,23,623.74130435,72.457391304,56.806521739,56.510869565
1023120185,NWAMARA-AKA,EMMANUEL,,,M,I,500 JEFFERSON ST,,WHITEVILLE,NC,284723634,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.44,29.35,29.496666667
1023120201,HARDING,NICHOLAS,R,MD,M,I,501 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,64.500833333,57.033333333,37.435,39.178333333
1023120201,HARDING,NICHOLAS,R,MD,M,I,501 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,159.22727273,141.03545455,110.57727273,119.57727273
1023120292,RISHI,DALJEET,,MD,M,I,"333 , PINE RIDGE BLVD",,WAUSAU,WI,544014120,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,60.870625,29.733125,23.30875,20.675
1023120292,RISHI,DALJEET,,MD,M,I,"333 , PINE RIDGE BLVD",,WAUSAU,WI,544014120,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,391.023,98.2175,77.005,62.83
1023120342,TAJ-ELDIN,SAMER,,M.D.,M,I,3024 NEW BERN AVE,,RALEIGH,NC,276101247,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1960,1074.31,842.26,842.26
1023120599,ROSENTHAL,DANIEL,A,MD,M,I,9669 KENTON AVE,SUITE 203,SKOKIE,IL,600761266,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,60,75.641166667,8.32,5.8693333333,5.8693333333
1023120599,ROSENTHAL,DANIEL,A,MD,M,I,9669 KENTON AVE,SUITE 203,SKOKIE,IL,600761266,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,24,16.725416667,1.42,1.1158333333,1.1158333333
1023120599,ROSENTHAL,DANIEL,A,MD,M,I,9669 KENTON AVE,SUITE 203,SKOKIE,IL,600761266,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,32.454,3.985,3.12,3.628
1023120599,ROSENTHAL,DANIEL,A,MD,M,I,9669 KENTON AVE,SUITE 203,SKOKIE,IL,600761266,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1800,1.9021388889,0.1357333333,0.1003722222,0.1003722222
1023120664,URIBE,LEON,C,M.D.,M,I,5405 OKEECHOBEE BLVD STE 100,,WEST PALM BEACH,FL,334174544,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,37,29.449189189,8.32,6.5210810811,6.5210810811
1023120664,URIBE,LEON,C,M.D.,M,I,5405 OKEECHOBEE BLVD STE 100,,WEST PALM BEACH,FL,334174544,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.931666667,3.38,2.65,2.65
1023120664,URIBE,LEON,C,M.D.,M,I,5405 OKEECHOBEE BLVD STE 100,,WEST PALM BEACH,FL,334174544,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,8.3526315789,1.42,1.1157894737,1.1157894737
1023120755,WANER,MATTHEW,R,O.D.,M,I,300 HWY 24,,MOREHEAD CITY,NC,285572551,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,62.3425,62.3425,48.87625,49.96625
1023120755,WANER,MATTHEW,R,O.D.,M,I,300 HWY 24,,MOREHEAD CITY,NC,285572551,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,24,25.708333333,25.604583333,20.075833333,29.388333333
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,28,84,50.467142857,8.32,6.1345238095,6.1345238095
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,27,14.634444444,1.42,1.0725925926,1.0725925926
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,22,8.19,1.51,1.0777272727,1.0504545455
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,61.103846154,12.08,9.47,9.12
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,70,7.7352857143,2.14,1.6767142857,1.5915714286
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,3.8845454545,1.395,2.0927272727
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,27,626.60777778,79.99,60.387407407,52.998518519
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,29,5409,0.391055648,0.0459474949,0.0297245332,0.0297245332
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,0.92,0.13325,0.07175,0.07175
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.15,26.7025,27.090833333
1023120797,TARDINO,LEE,A,MSN ANP,F,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,44,45,99,33,22.476,22.476
1023120987,NAVARRETE,CASSANDRA,S,PA,F,I,104 N BEECH ST,,WOODVILLE,TX,759794718,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,85,46.113764706,8.32,6.3687058824,6.3687058824
1023120987,NAVARRETE,CASSANDRA,S,PA,F,I,104 N BEECH ST,,WOODVILLE,TX,759794718,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,34,15.65,1.42,1.1141176471,1.1141176471
1023120987,NAVARRETE,CASSANDRA,S,PA,F,I,104 N BEECH ST,,WOODVILLE,TX,759794718,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,13,126,126,19.73,6.9808730159,4.8842063492,3.0815873016
1023120987,NAVARRETE,CASSANDRA,S,PA,F,I,104 N BEECH ST,,WOODVILLE,TX,759794718,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,930,1.0160967742,0.1415483871,0.1110107527,0.1110107527
1023120987,NAVARRETE,CASSANDRA,S,PA,F,I,104 N BEECH ST,,WOODVILLE,TX,759794718,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,104.5,33,24.432777778,24.432777778
1023121019,CHUBE,RAMONA,,M.D.,F,I,131 E CHELTEN AVE,HEALTH CARE CENTER #9,PHILADELPHIA,PA,191442153,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,95.076666667,8.32,6.2533333333,6.2533333333
1023121167,GOODE,MARK,L,M.D.,M,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,70.919444444,18,14.11,13.571666667
1023121167,GOODE,MARK,L,M.D.,M,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,236.41,55,43.12,41.81
1023121167,GOODE,MARK,L,M.D.,M,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,236.41,50,39.2,37.63
1023121167,GOODE,MARK,L,M.D.,M,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.0127272727,2.88,3.4272727273
1023121167,GOODE,MARK,L,M.D.,M,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,94,94,331.64521277,76.868723404,59.622021277,54.622978723
1023121167,GOODE,MARK,L,M.D.,M,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,229.83870968,36.96,28.33516129,28.830967742
1023121167,GOODE,MARK,L,M.D.,M,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,117.97473684,36.444210526,28.574736842,29.310526316
1023121217,AOUN,CHARBEL,,MD,M,I,16850 BEAR VALLEY RD,,VICTORVILLE,CA,923955794,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,33,81.602727273,8.32,5.7303030303,5.7303030303
1023121308,PATIL,SONAL,A,MD,F,I,305 N KEENE ST,,COLUMBIA,MO,652016897,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,55,47.606909091,8.32,5.6918181818,5.6918181818
1023121308,PATIL,SONAL,A,MD,F,I,305 N KEENE ST,,COLUMBIA,MO,652016897,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,208.7675,47.436666667,37.188333333,37.188333333
1023121308,PATIL,SONAL,A,MD,F,I,305 N KEENE ST,,COLUMBIA,MO,652016897,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,79.884375,33.4025,24.25,24.35375
1023121308,PATIL,SONAL,A,MD,F,I,305 N KEENE ST,,COLUMBIA,MO,652016897,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,69.99,43.089090909,42.974545455
1023121316,RICHARD,JAMES,J,NP,M,I,69 US ROUTE 1,,SCARBOROUGH,ME,040749374,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,73.884074074,8.32,6.5211111111,6.5211111111
1023121316,RICHARD,JAMES,J,NP,M,I,69 US ROUTE 1,,SCARBOROUGH,ME,040749374,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,59.035714286,17.25,12.232380952,12.25047619
1023121316,RICHARD,JAMES,J,NP,M,I,69 US ROUTE 1,,SCARBOROUGH,ME,040749374,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,484.70935484,69.62,50.460322581,50.590322581
1023121381,DUPRE,CONNIE,,MD,F,I,1267 HIGHWAY 54 W,SUITE 5200,FAYETTEVILLE,GA,302142114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,34,78,55.308589744,8.32,6.4392307692,6.4392307692
1023121381,DUPRE,CONNIE,,MD,F,I,1267 HIGHWAY 54 W,SUITE 5200,FAYETTEVILLE,GA,302142114,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.909090909,3.38,2.65,2.65
1023121381,DUPRE,CONNIE,,MD,F,I,1267 HIGHWAY 54 W,SUITE 5200,FAYETTEVILLE,GA,302142114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,25,31,17.891935484,1.42,1.1180645161,1.1180645161
1023121381,DUPRE,CONNIE,,MD,F,I,1267 HIGHWAY 54 W,SUITE 5200,FAYETTEVILLE,GA,302142114,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,38.621764706,7.2547058824,5.1782352941,3.18
1023121381,DUPRE,CONNIE,,MD,F,I,1267 HIGHWAY 54 W,SUITE 5200,FAYETTEVILLE,GA,302142114,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,100,29.93,23.46,23.37
1023121407,REAMES,AARON,M,PA,M,I,1651 SE TIFFANY AVE,,PORT ST LUCIE,FL,349527564,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125,32.825454545,25.736363636,25.520909091
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,56,127,379,61.632110818,8.32,5.6149340369,5.6149340369
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,13.352857143,3.38,2.65,2.65
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,30,58,78,14.245512821,1.42,0.9726923077,0.9726923077
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,30,84.794666667,71.56,56.105,56.105
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,14,28,46,5.2960869565,2.0060869565,1.545,1.1269565217
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,3.0353333333,1.4866666667,1.0953333333,0.9286666667
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,330.815,118,86.2325,62.191666667
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,100.07866667,45.948,36.022666667,26.419333333
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,51.476923077,24.176923077,18.950769231,14.06
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,64.8,20.86,15.009333333,8.6653333333
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,76,10.303157895,3.1678947368,2.3277631579,1.4865789474
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,127.77,70.842727273,55.520909091,38.714545455
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,150,61.177058824,43.74,34.54
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,17,149,149,63.409328859,22.40147651,16.499463087,13.36033557
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,4726.5692308,939.91076923,718.08692308,815.48461538
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,18,112,112,26.1225,7.6039285714,5.6142857143,3.3566964286
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,151.23291667,48.32375,33.580416667,24.784166667
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,191,194,386.48412371,101.16618557,74.677628866,55.202319588
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,16.80937037,11.127694444,8.702,8.702
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2706,0.2578159645,0.0464634146,0.0320805617,0.0320805617
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,17,73,9646,1.5937393738,0.1344909807,0.0958397263,0.0958397263
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,38,38,80.313684211,24.277368421,18.148421053,13.233421053
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,238.11,93.955,62.4525,42.411666667
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,49.64,10.649166667,7.6016666667,5.8166666667
1023121555,GIPSON,WALTER,E,MD,M,I,1702 HWY 11 N,STE A,PICAYUNE,MS,39466,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,26,98,98,60.336734694,33,23.918163265,23.918163265
1023121993,BUCKLES,RICHARD,B,DO,M,I,19515 BRUNE PKWY,,WARRENTON,MO,633836505,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,45,7897,0.2102684564,0.0460997847,0.0300303913,0.0300303913
1023121993,BUCKLES,RICHARD,B,DO,M,I,19515 BRUNE PKWY,,WARRENTON,MO,633836505,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,36,96.25,33,22.276944444,22.276944444
1023122157,VAN JURA,JODI,L,M.D.,F,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 410,MIAMISBURG,OH,453427615,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,69,53.458695652,8.32,5.7649275362,5.7649275362
1023122157,VAN JURA,JODI,L,M.D.,F,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 410,MIAMISBURG,OH,453427615,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,15,16.892,1.42,0.8933333333,0.8933333333
1023122157,VAN JURA,JODI,L,M.D.,F,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 410,MIAMISBURG,OH,453427615,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,10.928333333,5.6325,3.575,2.8166666667
1023122157,VAN JURA,JODI,L,M.D.,F,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 410,MIAMISBURG,OH,453427615,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,381.875,77.18,57.98875,55.335
1023122157,VAN JURA,JODI,L,M.D.,F,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 410,MIAMISBURG,OH,453427615,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,99.45,28.395454545,19.645454545,18.145454545
1023122157,VAN JURA,JODI,L,M.D.,F,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 410,MIAMISBURG,OH,453427615,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,38,29.79,29.79
1023122249,PATEL,SANDIP,G,M.D.,M,I,26926 N 55TH LN,,PHOENIX,AZ,850837345,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,2085,5.4752374101,0.5691798561,0.4329976019,0.4329976019
1023122249,PATEL,SANDIP,G,M.D.,M,I,26926 N 55TH LN,,PHOENIX,AZ,850837345,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1680,3.3927857143,1.479,1.1098392857,1.1098392857
1023122249,PATEL,SANDIP,G,M.D.,M,I,26926 N 55TH LN,,PHOENIX,AZ,850837345,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,24,24,18.332,18.332
1023122249,PATEL,SANDIP,G,M.D.,M,I,26926 N 55TH LN,,PHOENIX,AZ,850837345,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,37,16,16,11.865135135,11.865135135
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,101,172,172,120.42965116,39.270348837,29.723255814,29.432965116
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,66.685454545,10.145454545,6.4918181818,7.5827272727
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,55,90,90,355.62377778,88.247777778,64.854444444,63.622777778
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,40,70,188,134.02430851,32.956808511,24.649414894,24.751010638
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,25,45,248,67.283709677,18.078709677,13.688790323,14.056290323
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,26,42,228,52.453947368,15.282982456,11.482850877,11.394780702
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,77,130,130,208.04023077,52.998307692,38.148384615,39.452076923
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,110,131,131,68.803358779,17.624656489,13.364351145,13.609847328
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,41.854545455,10,7.84,8.0936363636
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,22,47,47,67.57893617,12.118297872,8.8906382979,8.5570212766
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,119,204,1179,8.9892027142,2.0722985581,1.5425445293,1.5124512299
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,46,56,56,26.730714286,5.9444642857,4.575,4.5703571429
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,40,47,47,37.43787234,12.41,9.3110638298,9.9061702128
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,58.371304348,16.067826087,11.495217391,12.414782609
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,11,80,80,2983.458,1074.31,835.729875,835.729875
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,16,61,61,326.77295082,88.859016393,66.129836066,69.05147541
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,2000,989.45307692,775.73307692,775.73307692
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,35,35,35,490.7,134.75742857,105.43942857,104.52371429
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,13,93,93,36.733010753,4.1933333333,2.8276344086,3.1290322581
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,60,304,304,124.53355263,31.552302632,23.173717105,23.824835526
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,27,161,171,339.5177193,75.179649123,56.692807018,53.254619883
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,53,61,187.2852459,36.678688525,27.806393443,28.520491803
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1322,22.209742814,9.5838577912,7.2966944024,7.2966944024
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,50,3480,16.617856322,11.134482759,8.5901494253,8.5901436782
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,39,10530,0.3177606838,0.0462402659,0.0341206078,0.0341206078
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,75,5460,12.374626374,2.9734065934,2.3311593407,2.3311593407
1023122306,KILIDDAR,HUSSEIN,,MD,M,I,1 MEDICAL CENTER BLVD,PROF. BLDG. 2 SUITE 422,CHESTER,PA,190133902,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,21,96,96,82.5,33,25.331041667,25.331041667
1023122421,VICTORIA,EDGAR,T,MD,M,I,1411 PIEDMONT CUTOFF,,GADSDEN,AL,35903,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,37.643333333,8.32,2.6574074074,2.6574074074
1023122595,WINCHESTER,DAVID,J,MD,M,I,1000 CENTRAL ST,SUITE 800,EVANSTON,IL,602011777,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,17,47,47.593191489,39.782765957,30.364042553,29.960851064
1023122595,WINCHESTER,DAVID,J,MD,M,I,1000 CENTRAL ST,SUITE 800,EVANSTON,IL,602011777,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,13,335.06153846,335.03846154,262.66923077,265.71
1023122652,BARCLAY,CHARLES,D,D.O.,M,I,4367 SNAPFINGER WOODS DR,,DECATUR,GA,30035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,23,73,136,78.317352941,8.32,5.4191911765,5.4191911765
1023122652,BARCLAY,CHARLES,D,D.O.,M,I,4367 SNAPFINGER WOODS DR,,DECATUR,GA,30035,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,22,23,14.393478261,1.42,0.9243478261,0.9243478261
1023122652,BARCLAY,CHARLES,D,D.O.,M,I,4367 SNAPFINGER WOODS DR,,DECATUR,GA,30035,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,208.21428571,34.202857143,22.342857143,22.317142857
1023122678,BAKER,MEGAN,K,MD,F,I,3510 N HIGHWAY 17,SUITE 325,MT PLEASANT,SC,294668227,US,Physician/Surgical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,19,65,42.52,33.336315789,30.752631579
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,27,69.361481481,32.56,25.529259259,25.847037037
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,140.15071429,54.66,42.289285714,42.289285714
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,45.737857143,17.62,13.82,14.07
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,23,23,52.310869565,11.51,9.03,9.1160869565
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,21,118,8.4943220339,2.05,1.6066101695,1.591779661
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,18.830833333,6,4.7,4.65
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,700,198.22913043,155.41478261,157.06478261
1023122686,JOHN,DONALD,,M.D.,M,I,4206 CALLFIELD ROAD,,WICHITA FALLS,TX,763082519,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,113.86030303,32.520909091,21.195757576,21.2
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,36,90,216,49.982083333,8.32,6.4012037037,6.4012037037
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,16.614444444,3.38,2.65,2.65
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,21.681428571,2.12,1.67,1.67
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,22,50,65,16.428769231,1.42,1.1163076923,1.1163076923
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.9827272727,1.4381818182,1.1090909091
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,49,85.466938776,21.016122449,15.007755102,12.726326531
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,108.18310345,6.17,4.2286206897,3.2024137931
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,114,40.292666667,31.589333333,23.38
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,98,110,506.81390909,93.701,65.839,50.615181818
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,38,206.57894737,45.363157895,32.847894737,27.250263158
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6371428571,7.4558690476,7.4558690476
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,5619,0.1985904965,0.0463605624,0.0296600819,0.0296600819
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,60,4710,1.2955414013,0.1329617834,0.1007834395,0.1007834395
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,930,12.65483871,2.9752903226,2.332655914,2.332655914
1023122900,JONES,ANGELA,C,MD,F,I,1407 S MAIN ST,,POPLARVILLE,MS,394703369,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,84,84,114.38095238,33,23.491071429,23.491071429
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,49,158,67.689050633,8.32,5.4486708861,5.4486708861
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.95,3.38,2.65,2.65
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,39,67,16.92,1.42,0.9974626866,0.9974626866
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,37,5496,0.4402911208,0.4397088792,0.3246524745,0.3246524745
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,40,88.022,71.56,56.105,56.105
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,106,35.275849057,29.19,22.885,22.886509434
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,28,957,8.28,8.28,6.4916196447,6.4916196447
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,666,8.41,8.41,6.5933933934,6.5933933934
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,555,1.08,1.08,0.7675315315,0.7675315315
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,30,1044,2.4,2.4,1.8816475096,1.8816475096
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,384,3.67,3.67,2.8773177083,2.8773177083
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,2540,0.4488700787,0.4488700787,0.3519173228,0.3527952756
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,34,806,97.614205955,5.7192307692,4.4350496278,4.1222952854
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,8666,0.9029759982,0.3284768059,0.2575271175,0.2443457189
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,15,4701,7.0920399915,1.2317974899,0.9457668581,0.927574984
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,24,24,203.9025,66.08,50.40125,47.93625
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,28,28,28,215.67464286,57.517142857,45.097142857,38.9
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,200.76461538,53.65,42.06,41.083076923
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,26.12,10.684210526,8.3715789474,8.2952631579
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,150.6112,50.0256,35.8344,34.6524
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,46,46,167.25869565,58.184347826,45.613478261,41.52326087
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,49,49,215.4377551,54.721836735,41.415918367,38.50755102
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,290.08666667,49.5,35.575833333,32.294166667
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,44,57.479545455,17.884090909,13.698409091,13.245
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,76.871578947,5.4131578947,4.0197368421,3.9378947368
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,50.0125,12.34,9.67,9.64
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,17,96,99,378.4759596,77.225858586,56.774242424,51.891919192
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,79.263333333,36.913333333,28.943333333,29.469166667
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,18,18,18,141.30833333,37.165555556,28.702777778,28.903888889
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,986,1.2833772819,0.1222515213,0.0682758621,0.0682758621
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,39,194,194,99.972680412,21.881546392,14.845515464,12.575721649
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,90.82,39.641538462,27.055384615,21.186923077
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,,31,31,102.0783871,30.771290323,20.120645161,18.027741935
1023123015,KATSOYANNIS,KATHERINE,K,M.D.,F,I,1600 DEMPSTER ST,SUITE 120,PARK RIDGE,IL,600681109,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,7,19,80,80,33.8105,9.41375,6.602625,6.0945
1023123288,AHMED,SYED,H,MD,M,I,1410 S LA BRUCHERIE RD,,EL CENTRO,CA,922439676,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,6.864,5.74,4.5,4.5
1023123288,AHMED,SYED,H,MD,M,I,1410 S LA BRUCHERIE RD,,EL CENTRO,CA,922439676,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,295,7.9662372881,5.54,4.0488813559,4.0488813559
1023123288,AHMED,SYED,H,MD,M,I,1410 S LA BRUCHERIE RD,,EL CENTRO,CA,922439676,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.4193333333,1.95,1.5288333333,1.5288333333
1023123288,AHMED,SYED,H,MD,M,I,1410 S LA BRUCHERIE RD,,EL CENTRO,CA,922439676,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,11,708,36.836454802,4.2990536723,3.3704943503,3.3704943503
1023123288,AHMED,SYED,H,MD,M,I,1410 S LA BRUCHERIE RD,,EL CENTRO,CA,922439676,US,Physician/Internal Medicine,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,32,48.2896875,47.07,36.903125,31.3296875
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,210,54.493333333,42.72375,37.807916667
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,35,35,35,172.02857143,59.107142857,46.339142857,41.442571429
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,4,16,72,72,24.130555556,10.667083333,7.6473611111,7.0911111111
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,34,34,191.41911765,50.789117647,37.632941176,34.194411765
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,204.27586207,64.053448276,50.216206897,45.137931034
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,135,63.749285714,49.980357143,42.883571429
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,45.322580645,18.333225806,13.931290323,13.093548387
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,30,9.34,6.6985714286,3.8871428571
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,36,36,69,31.182318841,13.942028986,10.93,10.483623188
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,24,40.3325,22.78,17.857916667,15.29
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,70,70,139,78.61294964,33.829568345,26.520647482,23.035035971
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,19,19,37,181.02702703,70.742972973,55.463513514,50.027567568
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,19,19,19,87.047368421,31.833684211,24.958421053,22.876315789
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,71,76,184.99013158,16.653684211,12.910394737,12.138552632
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,322.60869565,79.400869565,59.856956522,52.343043478
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,57,57,57,99.446315789,42.151929825,33.047719298,30.161403509
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,414.94545455,206.71818182,162.07272727,120.24727273
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,E2615,"Positioning wheelchair back cushion, posterior-lateral, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,1014.8636364,401.20909091,314.54545455,307.68181818
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,74,394,394,73.294416244,24.941827411,18.937106599,14.399086294
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,92.777777778,44.982222222,35.267222222,35.056111111
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,38,100,100,110.2,32.7864,21.6979,19.0697
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,N,2,20,20,20,3240.965,2080.78,1631.33,1631.33
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,212.16666667,84.742,64.59,55.932
1023123353,MAKSI,JOSHUA,A,MD,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,26,8.7755,5.92,5.7475
1023123643,HAMMOND,STEPHEN,D,MD,M,I,668 SKYLINE DR,,JACKSON,TN,383013951,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,89,89,89,84.246179775,70.64741573,54.739662921,52.783258427
1023123643,HAMMOND,STEPHEN,D,MD,M,I,668 SKYLINE DR,,JACKSON,TN,383013951,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,43,43,78,57.787948718,46.711410256,35.455641026,40.825384615
1023123643,HAMMOND,STEPHEN,D,MD,M,I,668 SKYLINE DR,,JACKSON,TN,383013951,US,Physician/Ophthalmology,S,V2430,"Variable asphericity lens, bifocal, full field, glass or plastic, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,51,102,128.43137255,111.10901961,83.666568627,87.440588235
1023123932,AMMAR,KEVIN,N,MD,M,I,4 E JACKSON BLVD,,SAVANNAH,GA,314055810,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,27,27,27,5250,4378.96,3433.11,3433.11
1023123957,GALLEN,JONATHAN,S,M.D.,M,I,8000 E MAPLEWOOD AVE,STE 200,GREENWOOD VILLAGE,CO,801114727,US,Physician/Anesthesiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1013.6363636,996.3,781.09909091,776.37363636
1023124005,MCILWAINE,BENJAMIN,H,MD,M,I,44045 RIVERSIDE PKWY,INOVA LOUDOUN HOSPITAL,LEESBURG,VA,201765101,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,519.51,77.538461538,51.163076923,46.31
1023124013,BUTT,FAUZIA,K,MD,F,I,750 EAST ADAMS ST,SUITE 2W,SYRACUSE,NY,12310,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,16,60,15150,1.5462640264,0.4966554455,0.343869967,0.3642712871
1023124013,BUTT,FAUZIA,K,MD,F,I,750 EAST ADAMS ST,SUITE 2W,SYRACUSE,NY,12310,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,8850,0.0753468927,0.0126949153,0.0095830508,0.0095830508
1023124013,BUTT,FAUZIA,K,MD,F,I,750 EAST ADAMS ST,SUITE 2W,SYRACUSE,NY,12310,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,22,57,10920,1.7869139194,0.8368553114,0.5765283883,0.6155952381
1023124013,BUTT,FAUZIA,K,MD,F,I,750 EAST ADAMS ST,SUITE 2W,SYRACUSE,NY,12310,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,21,53,53,24,24,17.754716981,17.754716981
1023124013,BUTT,FAUZIA,K,MD,F,I,750 EAST ADAMS ST,SUITE 2W,SYRACUSE,NY,12310,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,21,66,81,16.197530864,16,12.075555556,12.075555556
1023124039,DRYE,JOHN,N,M.D.,M,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Emergency Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,22,107.00681818,45.109090909,28.854090909,20.711818182
1023124039,DRYE,JOHN,N,M.D.,M,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,22,59,7.9845762712,3.3023728814,2.4101694915,1.5681355932
1023124039,DRYE,JOHN,N,M.D.,M,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,93.1975,69.331875,51.309375
1023124039,DRYE,JOHN,N,M.D.,M,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,44.560909091,34.938181818,29.515454545
1023124039,DRYE,JOHN,N,M.D.,M,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,900,0.7406111111,0.1384666667,0.0884222222,0.0884222222
1023124039,DRYE,JOHN,N,M.D.,M,I,10 KRUGER RD,,PLAINS,MT,598599506,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,87,33,21.166363636,21.166363636
1023124054,PAK,JAESOO,,M.D.,M,I,11841 SOUTH ST,,CERRITOS,CA,907036825,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,110,313,542,46.023579336,8.32,5.4870848708,5.4870848708
1023124054,PAK,JAESOO,,M.D.,M,I,11841 SOUTH ST,,CERRITOS,CA,907036825,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,100,215,218,12.53793578,1.42,0.9143119266,0.9143119266
1023124054,PAK,JAESOO,,M.D.,M,I,11841 SOUTH ST,,CERRITOS,CA,907036825,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,57,57,114,88.149122807,71.532631579,51.624210526,51.645526316
1023124054,PAK,JAESOO,,M.D.,M,I,11841 SOUTH ST,,CERRITOS,CA,907036825,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,49,49,294,34.268707483,29.19,22.787176871,22.788469388
1023124054,PAK,JAESOO,,M.D.,M,I,11841 SOUTH ST,,CERRITOS,CA,907036825,US,Physician/Internal Medicine,S,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,21,20.523809524,14.790952381,9.7885714286,9.7842857143
1023124054,PAK,JAESOO,,M.D.,M,I,11841 SOUTH ST,,CERRITOS,CA,907036825,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,46.497692308,44.476153846,28.657692308,53.462307692
1023124054,PAK,JAESOO,,M.D.,M,I,11841 SOUTH ST,,CERRITOS,CA,907036825,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,32.307692308,23.626923077,13.23,10.075384615
1023124161,RIDLEY,MICHAEL,J,PA,M,I,306 HIGHWAY 641 N,,CAMDEN,TN,383203012,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,130.33846154,56.431538462,38.551538462,32.216153846
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,66,146,58.579794521,8.32,5.9954794521,5.9954794521
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,23,35,11.58,1.42,1.0188571429,1.0188571429
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,67,87.690298507,18.817462687,14.039552239,13.824179104
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,212.37157895,56.721052632,42.202631579,40.618947368
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,16,16,77.300625,18.6625,13.748125,13.18125
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,69.737777778,12.14,8.9911111111,8.6577777778
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,24,134,8.5260447761,2.1946268657,1.6445522388,1.5242537313
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,44.810909091,13.29,9.4936363636,9.4045454545
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,11.270909091,7.8,7.5090909091
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,580,16.990327586,10.508689655,8.2220517241,8.2220517241
1023124369,MCCLURE,DAVID,B,M.D.,M,I,300 POLARIS PKWY,STE 3400,WESTERVILLE,OH,430827971,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,99.595555556,20.118333333,13.286666667,11.643333333
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,18,48,568,57.061725352,19.653239437,14.748767606,14.748767606
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,18,45,1400,8.0464928571,2.6374285714,2.0109785714,2.0109785714
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,106,203,566,2278,72.888481124,8.32,6.0301009658,6.0301009658
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,20,43,43,12.346744186,3.38,2.4651162791,2.4651162791
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,17,23,23,18.966956522,2.12,1.5973913043,1.5973913043
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,50,111,232,14.089224138,1.42,1.0368534483,1.0368534483
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,14,14,14,43.209285714,40.228571429,26.206428571,51.211428571
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,709.25375,358.52625,275.4809375,275.4809375
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,22,1940,16.28906701,10.721381443,8.4055824742,8.4055824742
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,9,25,107,108,381.47453704,251.08472222,196.63907407,196.6587963
1023124492,EVERITT,BEVERLY,,APRN,F,I,8601 W DODGE RD,SUITE 30,OMAHA,NE,681143457,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,8,22,22,22,391.16318182,246.34,193.13,200.75
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,15,195,59.911794872,19.648,14.667948718,14.667948718
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,509,8.3512180747,2.6313555992,2.0629469548,2.0629469548
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,33,64,215,54.241813953,8.32,5.8573953488,5.8573953488
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,12.327142857,3.38,2.4607142857,2.4607142857
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,29,64,11.24921875,1.42,1.04390625,1.04390625
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,37,17.41,11.83,11.764
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,120,32.841538462,21.35,20.381538462
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,708.29272727,328.34727273,244.37909091,244.37909091
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,330.3775,79.3,56.17525,50.01925
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,160,36.5,26.83125,27.624375
1023124534,KRUPKO,JOHN,B,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,28,28,293.49321429,251.0125,196.79357143,196.86964286
1023124609,KALISH,KEITH,J,DPM,M,I,1285 36TH ST,STE 203,VERO BEACH,FL,329606588,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,216,216,432,89.236111111,71.56,55.83099537,55.830972222
1023124609,KALISH,KEITH,J,DPM,M,I,1285 36TH ST,STE 203,VERO BEACH,FL,329606588,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,180,180,1075,34.804651163,29.19,22.430902326,22.432493023
1023124609,KALISH,KEITH,J,DPM,M,I,1285 36TH ST,STE 203,VERO BEACH,FL,329606588,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,66,72.272727273,43.56,31.278484848,31.276666667
1023124609,KALISH,KEITH,J,DPM,M,I,1285 36TH ST,STE 203,VERO BEACH,FL,329606588,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,173,97,43.56,34.151676301,34.150115607
1023124609,KALISH,KEITH,J,DPM,M,I,1285 36TH ST,STE 203,VERO BEACH,FL,329606588,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,360,154.38714286,119.76857143,118.59071429
1023124781,CHRISTIANSON,MARLIN,L,MD,M,I,475 WEST 940 NORTH,,PROVO,UT,84604,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,83,65.743855422,8.32,5.9104819277,5.9104819277
1023124781,CHRISTIANSON,MARLIN,L,MD,M,I,475 WEST 940 NORTH,,PROVO,UT,84604,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,331,28.356495468,5.57,4.3670090634,4.1814803625
1023124781,CHRISTIANSON,MARLIN,L,MD,M,I,475 WEST 940 NORTH,,PROVO,UT,84604,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5850,0.56,0.2953846154,0.2315897436,0.2436478632
1023124781,CHRISTIANSON,MARLIN,L,MD,M,I,475 WEST 940 NORTH,,PROVO,UT,84604,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,75,41.87,28.101666667,28.101666667
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,30,1.24,0.51,0.4,0.4
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,42,143,389,73.450745501,8.32,5.9816195373,5.9816195373
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,34,34,14.873529412,3.38,2.65,2.65
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,24.709090909,2.12,1.67,1.67
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,33,73,119,15.619495798,1.42,1.0302521008,1.0302521008
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,35.292,3.96,1.833,2.5065
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,431.208,78,61.15,54.73
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,5813,0.2390056769,0.046695338,0.0356063994,0.0356063994
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,107.69529412,17.723529412,13.552352941,14.29
1023124880,DIAZ,MARIA,E,M.D.,F,I,150 PARK ST,,LAWRENCE,MA,018412517,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,34.21875,33,24.253125,24.253125
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,57,174,60.878678161,8.32,6.1467816092,6.1467816092
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,28,41,13.434634146,1.42,1.0875609756,1.0875609756
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,98.00125,40.6225,31.843125,31.105
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,22,22,202.33090909,55.589545455,43.578181818,42.907272727
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,18,18,61.359444444,18.877777778,14.803333333,14.106666667
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,72.952666667,13.04,10.22,9.1933333333
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,33,180,8.916,2.276,1.7846111111,1.6061666667
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.26,8.2118181818,6.4390909091,7.3763636364
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,34,37,64.960540541,14.290810811,10.594324324,10.222162162
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,11,60,69,217.14565217,32.815652174,23.899565217,23.80057971
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,409,82,61.894166667,53.131666667
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,66.605,17.8275,13.97625,13.2
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,20.874074074,8.8188888889,6.9177777778,6.4303703704
1023124922,GIBBONS,JOSEPH,F,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,203.1,41.6,32.61,29.768333333
1023125069,DUCKER,LISA,M,DO,F,I,930 TOWN CENTER DR,SUITE G 10,LANGHORNE,PA,190473503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,41,49.095609756,8.32,6.5212195122,6.5212195122
1023125218,ANSARI,ZAFAR,A,MD,M,I,7 POST OFFICE RD STE E,,WALDORF,MD,206022744,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,28,80,209,64.481148325,8.32,5.7383253589,5.7383253589
1023125218,ANSARI,ZAFAR,A,MD,M,I,7 POST OFFICE RD STE E,,WALDORF,MD,206022744,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,29,40,14.385,1.42,1.0055,1.0055
1023125218,ANSARI,ZAFAR,A,MD,M,I,7 POST OFFICE RD STE E,,WALDORF,MD,206022744,US,Physician/Internal Medicine,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,15,18.692666667,8.28,6.49,6.49
1023125218,ANSARI,ZAFAR,A,MD,M,I,7 POST OFFICE RD STE E,,WALDORF,MD,206022744,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,320,11.706,5.74,4.5000625,4.5000625
1023125218,ANSARI,ZAFAR,A,MD,M,I,7 POST OFFICE RD STE E,,WALDORF,MD,206022744,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,440,5.9436363636,3.04,2.2750681818,2.2750681818
1023125333,PORATH,JANE,,PA-C,F,I,205 E COMMERCE ST,,ELKHORN,WI,53121,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,30,96,65.596145833,8.32,5.8435416667,5.8435416667
1023125333,PORATH,JANE,,PA-C,F,I,205 E COMMERCE ST,,ELKHORN,WI,53121,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,25,14.5996,1.42,1.1152,1.1152
1023125333,PORATH,JANE,,PA-C,F,I,205 E COMMERCE ST,,ELKHORN,WI,53121,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,61.95,7.5041666667,5.4783333333,3.505
1023125333,PORATH,JANE,,PA-C,F,I,205 E COMMERCE ST,,ELKHORN,WI,53121,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,83.485,23.884166667,16.320833333,10.916666667
1023125374,RIZZO,MICHAEL,J,MD,M,I,10400 75TH ST,,KENOSHA,WI,53142,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,59,146,77.039657534,8.3104794521,6.0226712329,6.0301369863
1023125374,RIZZO,MICHAEL,J,MD,M,I,10400 75TH ST,,KENOSHA,WI,53142,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,35,43,14.87255814,1.42,0.9353488372,0.9353488372
1023125374,RIZZO,MICHAEL,J,MD,M,I,10400 75TH ST,,KENOSHA,WI,53142,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,28,12.994285714,7.2042857143,5.6492857143,5.8496428571
1023125374,RIZZO,MICHAEL,J,MD,M,I,10400 75TH ST,,KENOSHA,WI,53142,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,215,17.5,13.123478261,12.959130435
1023125374,RIZZO,MICHAEL,J,MD,M,I,10400 75TH ST,,KENOSHA,WI,53142,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,400,79.48,59.600869565,52.670869565
1023125416,PESOLA,BARBARA,A,APNP,F,I,1100 ORCHARD DR,,SEYMOUR,WI,54165,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40,4.77,1.775,1.69
1023125473,CORY,JENNIFER,A,DO,F,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495468328,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,37,137,59.925036496,8.32,5.8584671533,5.8584671533
1023125473,CORY,JENNIFER,A,DO,F,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495468328,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.909090909,3.38,2.4090909091,2.4090909091
1023125473,CORY,JENNIFER,A,DO,F,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495468328,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,36,16.568611111,1.42,1.0827777778,1.0827777778
1023125473,CORY,JENNIFER,A,DO,F,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495468328,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,52.884615385,17.76,12.858461538,12.513461538
1023125473,CORY,JENNIFER,A,DO,F,I,4300 CASCADE RD SE,,GRAND RAPIDS,MI,495468328,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,252.77777778,79.88,57.981481481,50.959259259
1023125481,KOPELMAN,RICHARD,I,MD,M,I,750 WASHINGTON ST,NEMC BOX 836,BOSTON,MA,021111526,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,15,39,122,73.996803279,8.32,5.8276229508,5.8276229508
1023125481,KOPELMAN,RICHARD,I,MD,M,I,750 WASHINGTON ST,NEMC BOX 836,BOSTON,MA,021111526,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,39,15.315897436,1.42,1.0564102564,1.0564102564
1023125507,REICH,STEPHEN,G,M.D.,M,I,16 S EUTAW ST,FRENKIL BLDG. 3RD FL.,BALTIMORE,MD,212011606,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,57.592352941,21.548823529,15.905882353,19.015294118
1023125515,GEHRING,JODI,A,MD,F,I,1 CHEVOIT CT,,DURHAM,NC,277129450,US,Physician/Neurology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,300,15,3.08,2.4146333333,2.3724666667
1023125515,GEHRING,JODI,A,MD,F,I,1 CHEVOIT CT,,DURHAM,NC,277129450,US,Physician/Neurology,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,300,6.6552,0.71,0.5568,0.5568
1023125523,TELESFORD,LOUIS,A,M.D.,M,I,2337 WHITNEY AVE,,HAMDEN,CT,065183539,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,36,102,61.341470588,8.32,5.4346078431,5.4346078431
1023125523,TELESFORD,LOUIS,A,M.D.,M,I,2337 WHITNEY AVE,,HAMDEN,CT,065183539,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,14.1534375,1.42,1.00875,1.00875
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,28,28,108.87392857,40,31.36,30.49
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,387.923,83.47,58.896,61.2445
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,48,145.115625,32.75,23.001458333,23.240208333
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,73,81.990136986,22.294931507,16.31890411,13.400821918
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,27,118,48.805254237,16.136271186,11.601610169,11.145084746
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,35,36,209.22777778,60.106666667,44.729444444,41.141111111
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,22,34,34,70.685588235,19.211764706,14.233529412,13.469705882
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,23,24,81.84125,14.264166667,11.1825,9.0325
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,55,293,9.3387030717,2.1273720137,1.6240955631,1.5475085324
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,44.32375,12.590625,8.9675,9.49375
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,48,68.477708333,18.305208333,14.037708333,13.248125
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,2850,1074.31,842.26,842.26
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,43,48,39.069375,5.5139583333,4.1245833333,3.5245833333
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,44,189.97090909,30.561363636,23.450227273,24.265681818
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,28,206,220,444.83204545,77.171727273,58.932272727,54.018681818
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,25,166,42.846,33.5944,30.1832
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,18,41,9707,0.4840898321,0.0464211394,0.0358329041,0.0358329041
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,570,0.75,0.2188421053,0.1625964912,0.1625964912
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,73,73,123.07780822,40.518082192,31.339863014,29.420136986
1023125549,MCDONALD,ROBERT,J,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,19,53,53,57.905660377,33,24.893773585,24.893773585
1023125713,EDWARDS,JAMES,M,M.D.,M,I,48 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,172.075,71.589166667,56.128333333,41.31
1023125713,EDWARDS,JAMES,M,M.D.,M,I,48 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,69.99,54.87,54.73
1023125713,EDWARDS,JAMES,M,M.D.,M,I,48 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,18,115.32111111,24.286666667,17.995555556,12.127222222
1023125713,EDWARDS,JAMES,M,M.D.,M,I,48 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,15,22.32,9.5433333333,5.764,4.5173333333
1023125713,EDWARDS,JAMES,M,M.D.,M,I,48 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,14,748.615,555.68071429,435.65,480.62
1023125713,EDWARDS,JAMES,M,M.D.,M,I,48 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,59.48,54.3405,42.602,45.9535
1023125713,EDWARDS,JAMES,M,M.D.,M,I,48 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,168.45,153.14,104.07230769,103.82692308
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,66,102,62.576372549,8.32,5.7554901961,5.7554901961
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,13.551111111,1.42,0.9955555556,0.9955555556
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,510,3.26,2.27,1.5373333333,1.5373333333
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,39,9.8215384615,6.34,4.4602564103,5.2020512821
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,28,48.135714286,28.93,22.065714286,14.6275
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,43,39.261395349,20.815813953,15.709302326,12.11
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,140.44210526,77.311578947,55.649473684,39.696315789
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,48.448333333,26.9375,19.816666667,12.888333333
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,47.952380952,22.521428571,16.696666667,8.8023809524
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,32,104,6.48,3.5003846154,2.5072115385,1.6213461538
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,18.32,9.8321428571,7.3407142857,4.855
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,48.558571429,21,14.331904762,11.597142857
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,33.592857143,6.5642857143,4.4771428571,2.9066666667
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,50,308.1,97.0412,70.1608,49.9222
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,13,26,5167,0.4214147474,0.0461796013,0.0346119605,0.0346119605
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,4230,1.3418321513,0.1349432624,0.1058037825,0.1058037825
1023125796,HUNTER,JEFFREY,M,M.D.,M,I,208 N 12TH ST,,BELLEVUE,IA,520311931,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,13,50,50,62.7,33,25.3526,25.3526
1023126166,SADOWSKY,ALAN,E,M.D.,M,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,14,14,78.267142857,70.140714286,54.99,53.507857143
1023126166,SADOWSKY,ALAN,E,M.D.,M,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,19,83.289473684,69.2,51.394736842,52.113684211
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,19,39,5.6748717949,1.7853846154,1.3997435897,1.1505128205
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,69.567272727,16.701818182,13.097272727,9.0754545455
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,439.02230769,113.37307692,88.883846154,67.844615385
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,16,16,68.825,21.74625,17.048125,14.625625
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,20,75,7.7661333333,2.4917333333,1.9545333333,1.5928
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,39,274,280,53.250535714,19.229857143,14.423214286,13.37675
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,33,33,88.596666667,57.896666667,44.140606061,37.283939394
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,2180,1074.31,840.53125,840.53125
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,2109.5738462,1074.31,831.22384615,831.22384615
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,290.63529412,107.12235294,83.982352941,68.836470588
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,68,68,76.458970588,6.0964705882,4.4129411765,3.3644117647
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,17,48,361,368,338.22793478,82.911793478,62.379565217,54.050353261
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,71.935483871,36.482903226,28.599032258,29.246129032
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,1326,18.647707391,9.597413273,7.4161764706,7.4161764706
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,15,59,20398,0.3998323365,0.0461349152,0.0340548093,0.0340548093
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,13,54,6839,1.5391109811,0.1361821904,0.1035926305,0.1035926305
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,72,3840,10.631833333,2.9821119792,2.243875,2.243875
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,1584,3.2045643939,0.2187373737,0.1647727273,0.1647727273
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,148.29,44.2428,32.06,27.44
1023126448,YADAM,SUBRAMANYAM,,M.D.,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,26,123,123,57.341463415,33,25.23902439,25.23902439
1023126455,PALLADINO,RICHARD,,M.D.,M,I,22 S GREENE ST,SUITE 104,BALTIMORE,MD,212011544,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,24.851875,5.46375,3.430625,2.81625
1023126455,PALLADINO,RICHARD,,M.D.,M,I,22 S GREENE ST,SUITE 104,BALTIMORE,MD,212011544,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,308.9553125,77.58625,58.024375,52.82875
1023126455,PALLADINO,RICHARD,,M.D.,M,I,22 S GREENE ST,SUITE 104,BALTIMORE,MD,212011544,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,70,41.6,32.61,29.986923077
1023126455,PALLADINO,RICHARD,,M.D.,M,I,22 S GREENE ST,SUITE 104,BALTIMORE,MD,212011544,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,29.35,29.496666667
1023126547,RUVALCABA,JUAN,C,MD,M,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,1.6514285714,0.51,0.4,0.4
1023126547,RUVALCABA,JUAN,C,MD,M,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,27,64,200,56.6147,8.32,5.6748,5.6748
1023126547,RUVALCABA,JUAN,C,MD,M,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,31,32,14.90625,3.38,2.5671875,2.5671875
1023126547,RUVALCABA,JUAN,C,MD,M,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,48,89,15.086292135,1.42,0.9756179775,0.9756179775
1023126547,RUVALCABA,JUAN,C,MD,M,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,311.11111111,71,49.475555556,49.062222222
1023126547,RUVALCABA,JUAN,C,MD,M,I,290 N WAYTE LN,,FRESNO,CA,937012124,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,750,2.4136666667,0.12932,0.0577333333,0.0577333333
1023126661,TENENBAUM,STEVEN,A,M.D.,M,I,1000 NEWBURY RD,SUITE 210,THOUSAND OAKS,CA,913206435,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,34,79.603235294,8.32,5.7547058824,5.7547058824
1023126711,SCHMIDT,KATHERINE,E,M.D.,F,I,350 HAWTHORNE AVE RM 2346,,OAKLAND,CA,946093108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,3.69,2.8966666667,3.1966666667
1023126893,MCNEMAR,MARK,E,DO,M,I,444 FOUR STATES DR STE 1,,GALENA,KS,667394325,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,39,22.846153846,20.971538462,16.123076923,15.909487179
1023126893,MCNEMAR,MARK,E,DO,M,I,444 FOUR STATES DR STE 1,,GALENA,KS,667394325,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,50,50,39.2,171.88
1023126893,MCNEMAR,MARK,E,DO,M,I,444 FOUR STATES DR STE 1,,GALENA,KS,667394325,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,50,50,36.466666667,43.735333333
1023127024,MORGAN,JOHN,C,MD,M,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,337,1.43,1.43,1.1210682493,1.1210682493
1023127024,MORGAN,JOHN,C,MD,M,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Physician/Neurology,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,141.21,52.909,34.31,30.3535
1023127024,MORGAN,JOHN,C,MD,M,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,364,213.95,213.95,167.34263736,167.34263736
1023127123,STEWART,VANESSA,S,M.D.,F,I,13425 HOOVER CREEK BLVD STE 100,,CHARLOTTE,NC,28273,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,37,123,55.693333333,8.32,6.0454471545,6.0454471545
1023127123,STEWART,VANESSA,S,M.D.,F,I,13425 HOOVER CREEK BLVD STE 100,,CHARLOTTE,NC,28273,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,15.696923077,3.38,2.4461538462,2.4461538462
1023127123,STEWART,VANESSA,S,M.D.,F,I,13425 HOOVER CREEK BLVD STE 100,,CHARLOTTE,NC,28273,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,21,43,16.330930233,1.42,1.0627906977,1.0627906977
1023127123,STEWART,VANESSA,S,M.D.,F,I,13425 HOOVER CREEK BLVD STE 100,,CHARLOTTE,NC,28273,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,9.9519230769,1.8569230769,1.4334615385,1.5615384615
1023127123,STEWART,VANESSA,S,M.D.,F,I,13425 HOOVER CREEK BLVD STE 100,,CHARLOTTE,NC,28273,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,74,49.093846154,46.31
1023127123,STEWART,VANESSA,S,M.D.,F,I,13425 HOOVER CREEK BLVD STE 100,,CHARLOTTE,NC,28273,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,143,19.89,15.595,13.956666667
1023127255,LUNA,JOSEPH,R,M.D.,M,I,12602 TOEPPERWEIN RD,#100,LIVE OAK,TX,782333269,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1023127537,GURLAND,MARK,A,MD,M,I,216 ENGLE STREET,,ENGLEWOOD,NJ,07631,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,22,22,426.38636364,225.90909091,177.10909091,186.02863636
1023127537,GURLAND,MARK,A,MD,M,I,216 ENGLE STREET,,ENGLEWOOD,NJ,07631,US,Physician/Hand Surgery,S,L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,21,376,191.27285714,149.95619048,151.77714286
1023127685,GILLIS,STEVEN,,PA,M,I,707 S GREENVILLE WEST DR,,GREENVILLE,MI,488383514,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,16,80.113125,8.32,5.301875,5.301875
1023127685,GILLIS,STEVEN,,PA,M,I,707 S GREENVILLE WEST DR,,GREENVILLE,MI,488383514,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.054545455,3.9554545455,2.7436363636,3.2354545455
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,18,23,23,200,118.9526087,90.653913043,68.880434783
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,14,18,24,80,45.049583333,35.31875,27.172916667
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,26,26,71.153846154,24.585,19.27,15.086923077
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,27,36,36,50,17.717777778,13.498333333,9.7177777778
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,25,32,62,5,2.6680645161,2.0367741935,1.6064516129
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,75,21.24625,16.65625,13.780833333
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,11,60,60,35,17.955166667,13.883833333,10.358166667
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,75,75,150,50.811866667,39.146,26.247866667
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,92,92,412.99021739,101.3076087,76.568478261,53.465869565
1023128113,CAHILL,THOMAS,B,MD,M,I,3 ST. ELIZABETH'S BLVD.,STE. 2800,O'FALLON,IL,62269,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3710,2480.02,1926.6466667,1926.6466667
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,26,71,176,71.824431818,8.32,5.7809659091,5.7809659091
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,31,47,14.677446809,1.42,0.9014893617,0.9014893617
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,5.5,2.04,1.5993333333,1.5993333333
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,3.2,1.8,1.41,1.41
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,5.5,5.5,3.528,3.5604545455
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,3.05,3.04,1.8628181818,1.8628181818
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,47,105.49787234,26.506595745,20.78106383,15.502340426
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,298.22,80.081333333,56.176,42.493333333
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,13,13,101.72076923,27.118461538,19.490769231,14.347692308
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,20,20,70.0865,22.328,17.504,11.434
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,21,100,8.8272,3.118,2.3925,1.811
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,28,113.46428571,21.985,16.702142857,13.046785714
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,536.16842105,56.005263158,43.911578947,28.721578947
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,28,609.28142857,98.85,73.1775,50.7675
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,7684,0.2473034878,0.0464927121,0.0218492972,0.0218492972
1023128170,SMITH,WILLIAM,A,MD,M,I,1700 W STOUT ST,,RICE LAKE,WI,548685000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,24,24,37.125,33,22.63625,22.63625
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,27,69,78.112463768,8.32,5.6417391304,5.6417391304
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,18,14.840555556,1.42,1.1155555556,1.1155555556
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,35,1072,105.46816231,5.4870895522,4.3017910448,3.2457369403
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,43,23199,2.1204651063,0.4632941075,0.3575429975,0.2851153067
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,115,1826,21.610317634,12.937831325,10.008296824,10.151757941
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,56,395,500,268.38825316,210.31270886,210.31270886
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,358,650,373.36061453,292.71360335,292.71360335
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,115,801,11.739076155,9.3482521848,7.3286267166,7.3286267166
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,115,801,32.529338327,29.214406991,22.904169788,22.904169788
1023128279,DEVADAS,GRACE,C,MD,F,I,1000 N OAK AVE,,MARSHFIELD,WI,54449,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,145.80645161,7.7974193548,5.97,4.1041935484
1023128444,MATOS,EUGENIO,B,M.D.,M,I,1210 W 18TH ST,STE 100,SIOUX FALLS,SD,571049890,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,73,13.456575342,2.3968493151,1.8305479452,1.5484931507
1023128444,MATOS,EUGENIO,B,M.D.,M,I,1210 W 18TH ST,STE 100,SIOUX FALLS,SD,571049890,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,39.0625,13.86,9.424375,9.17
1023128444,MATOS,EUGENIO,B,M.D.,M,I,1210 W 18TH ST,STE 100,SIOUX FALLS,SD,571049890,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,140,39.906551724,28.612413793,21.766206897
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,33,45.113939394,8.32,5.7309090909,5.7309090909
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,69.96125,51.2525,35.966875,26.67875
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,4,2.0236363636,1.5863636364,1.2136363636
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,22,96,41.020625,27.364583333,20.390833333,13.641770833
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,107.424,76.302666667,52.223333333,35.832666667
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,41.461666667,26.118333333,20.471666667,14.06
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,22,98,6.5683673469,3.4216326531,2.6466326531,1.5610204082
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3354,0.2539326178,0.0456559332,0.0318932618,0.0318932618
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,8.0469848485,3.0705454545,2.3625151515,2.3625151515
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,0.7925396825,0.2187619048,0.1552063492,0.1552063492
1023128535,LONG,MYRA,C,MD,F,I,651 E PRESCOTT,,SALINA,KS,674017408,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,25.87,25.87
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,64,174,407,51.838771499,8.32,5.7778624079,5.7778624079
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,15.755,3.38,1.9875,1.9875
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,46,89,111,13.276486486,1.42,1.0572972973,1.0572972973
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,340,6.8107058824,5.74,4.4008529412,4.4008529412
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,8.3363636364,7,4.9890909091,4.9890909091
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,19,19,54.147894737,47.401052632,37.163157895,31.741578947
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,17,17,34,83.587058824,71.422352941,55.997352941,56.105
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,78,33.164102564,29.140769231,22.846538462,22.886538462
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,6.0581818182,2.0236363636,1.5863636364,1.2136363636
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,346.51666667,120.12333333,94.176666667,74.820833333
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,33,132.64151515,44.476363636,34.869393939,28.653636364
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,13,24,119,56.890420168,23.995042017,18.542857143,14.832184874
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,12,19,95,18.267578947,17.811578947,13.964631579,12.590631579
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,26,45,45,145.54288889,69.12,52.786444444,43.83
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,32,39,39,47.607435897,22.994358974,18.023076923,14.744615385
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,19,29,29,62.554137931,17.599310345,13.446896552,9.7189655172
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,29,54,309,6.4925242718,2.8352427184,2.2115533981,1.7077346278
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,20,23,23,24.133478261,14.346086957,11.246956522,10.459130435
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,17,107.37058824,68.317647059,51.488235294,43.215882353
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,42.382826087,22.72673913,16.647173913,13.005652174
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,835.61375,120.76583333,88.885,61.388333333
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,59.134615385,17.037692308,13.356923077,10.479230769
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,38,38,21.210526316,6.5528947368,4.8189473684,3.4813157895
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,61,61,85.161311475,41.326065574,30.660819672,23.136557377
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,32,224,229,270.53615721,93.429650655,68.209432314,51.537554585
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,240.58823529,44.482941176,34.877058824,31.197647059
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,48,11588,0.1702062478,0.0459734208,0.0327675181,0.0327675181
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,20,2579,1.2140946103,0.1322334238,0.0909926328,0.0909926328
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,850,0.6252941176,0.2188588235,0.1625529412,0.1625529412
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,28.872608696,25.624782609,20.090434783,16.054782609
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,24,111.2875,44.745,33.713333333,28.584166667
1023128840,OPINALDO,PHILMA,B,MD,F,I,225 PHYSICIANS PARKWAY,SUITE 303,POPLAR BLUFF,MO,63901,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,14,59,59,68.237288136,33,23.48440678,23.48440678
1023128865,MORALES,PEDRO,J,MD,M,I,2191 9TH AVE NO,SUITE #220,ST PETE,FL,33713,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,26,112,79.720714286,8.32,6.5232142857,6.5232142857
1023128865,MORALES,PEDRO,J,MD,M,I,2191 9TH AVE NO,SUITE #220,ST PETE,FL,33713,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,274,11.03649635,8.28,6.4916058394,6.4916058394
1023128865,MORALES,PEDRO,J,MD,M,I,2191 9TH AVE NO,SUITE #220,ST PETE,FL,33713,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,144,26.165,10.93,8.5691666667,8.5691666667
1023128865,MORALES,PEDRO,J,MD,M,I,2191 9TH AVE NO,SUITE #220,ST PETE,FL,33713,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,108.75090909,50.28,36.114545455,33.423636364
1023128865,MORALES,PEDRO,J,MD,M,I,2191 9TH AVE NO,SUITE #220,ST PETE,FL,33713,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,22,74.505454545,21.677727273,16.995909091,14.862727273
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,60,157,73.932675159,8.32,6.5223566879,6.5223566879
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,305.66272727,55.156363636,41.364545455,40.975454545
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,13,13,85.826153846,18.573846154,14.566923077,14.049230769
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,103.885,12.649285714,9.2771428571,8.4714285714
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,24,119,12.170588235,2.1468067227,1.6015966387,1.5133613445
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,120.4,17.27,12.035555556,12.035555556
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,18.915,11.367142857,8.9157142857,8.9842857143
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,411.32695652,42.609130435,33.403043478,26.085217391
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,13,91,91,504.13087912,73.078241758,53.053076923,50.418791209
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,140.76190476,36.83,28.87,29.388095238
1023129012,SARTORIUS,FEN,,M.D.,M,I,4001 RODEO RD,,SANTA FE,NM,875074830,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,20,104.28,17.5355,13.7455,13.7535
1023129038,FANNIN,STEPHEN,W,MD FACC,M,I,95 ARCH ST,,AKRON,OH,443041437,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,164.31285714,35.08952381,27.509047619,27.728571429
1023129038,FANNIN,STEPHEN,W,MD FACC,M,I,95 ARCH ST,,AKRON,OH,443041437,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,65,11.460615385,2.1913846154,1.7189230769,1.5878461538
1023129038,FANNIN,STEPHEN,W,MD FACC,M,I,95 ARCH ST,,AKRON,OH,443041437,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,874.47666667,114.02916667,89.4,75.415833333
1023129038,FANNIN,STEPHEN,W,MD FACC,M,I,95 ARCH ST,,AKRON,OH,443041437,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,75.08,16.190625,11.97,9.605
1023129038,FANNIN,STEPHEN,W,MD FACC,M,I,95 ARCH ST,,AKRON,OH,443041437,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,222.57142857,43.351904762,30.725238095,23.005714286
1023129079,BROWN,DELORISE,,M.D.,F,I,1831 FOREST HILLS BLVD,SUITE 105,CLEVELAND,OH,441124348,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,55,168,62.514940476,8.32,5.9398809524,5.9398809524
1023129079,BROWN,DELORISE,,M.D.,F,I,1831 FOREST HILLS BLVD,SUITE 105,CLEVELAND,OH,441124348,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.357142857,3.38,2.65,2.65
1023129079,BROWN,DELORISE,,M.D.,F,I,1831 FOREST HILLS BLVD,SUITE 105,CLEVELAND,OH,441124348,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,20,46,16.388913043,1.42,1.0639130435,1.0639130435
1023129079,BROWN,DELORISE,,M.D.,F,I,1831 FOREST HILLS BLVD,SUITE 105,CLEVELAND,OH,441124348,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,74.821818182,71.56,56.105,56.105
1023129079,BROWN,DELORISE,,M.D.,F,I,1831 FOREST HILLS BLVD,SUITE 105,CLEVELAND,OH,441124348,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,45.73,6.4154545455,4.1027272727,3.2627272727
1023129079,BROWN,DELORISE,,M.D.,F,I,1831 FOREST HILLS BLVD,SUITE 105,CLEVELAND,OH,441124348,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,238.92235294,78,57.552941176,53.776470588
1023129079,BROWN,DELORISE,,M.D.,F,I,1831 FOREST HILLS BLVD,SUITE 105,CLEVELAND,OH,441124348,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,126.5,33,25.87,25.87
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,42,114,323,67.169473684,8.32,5.316501548,5.316501548
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,15.555555556,3.38,1.7666666667,1.7666666667
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,26,63,89,14.411123596,1.42,0.8513483146,0.8513483146
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,42,12.19,6.4366666667,4.565,4.5673809524
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,44,8.19,1.5054545455,1.0243181818,0.9979545455
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,14,18,18,82.53,17.248888889,12.808333333,8.5672222222
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,362,12.39,5.15,4.0033149171,4.1286464088
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5319,1.0387196842,0.5994491446,0.4453337093,0.4933182929
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,121.06875,17.55,12.052916667,11.879166667
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,59,59,50.73,6.3096610169,4.3030508475,3.2476271186
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,25,606.2592,77.18,57.5088,52.8772
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.5921944444,8.5921944444
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,15,81,23708,0.2418542264,0.0462485237,0.0330711152,0.0330711152
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,3480,1.5733563218,0.1331034483,0.1012298851,0.1012298851
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,37,1850,0.8162108108,0.2192864865,0.1526864865,0.1526864865
1023129103,VYAS,PRADIP,M,M.D.,M,I,65 S STANFIELD RD,,TROY,OH,45373,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,25,137,137,113.93430657,33,23.792846715,23.792846715
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,76,66.290526316,8.32,6.5226315789,6.5226315789
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,24,14.954583333,1.42,1.1133333333,1.1133333333
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,147.16,39.51,26.849333333,26.49
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,453.52285714,88.22,61.028571429,59.991428571
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,34,167.67352941,33.6,20.572352941,20.260882353
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,52,84.469423077,18.69,11.775,11.683846154
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,283.23444444,56.21,41.621666667,40.546111111
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,90.17875,18.25,14.31,14.09125
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,89.099285714,12.17,8.8678571429,8.5078571429
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,29,168,10.275892857,2.08,1.5135714286,1.4820833333
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.91,12.87,12.453333333
1023129244,SNYDERS,BRIAN,D,DO,M,I,1130 W PRAIRIE AVE,,COEUR D ALENE,ID,838158780,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,506.29764706,70.48,52.184117647,51.732352941
1023129269,GRILL,STEPHEN,E,MD PHD,M,I,8180 LARK BROWN RD,SUITE 101,ELKRIDGE,MD,21075,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,15,420,31.264,8.5806666667,6.7271904762,6.7271904762
1023129269,GRILL,STEPHEN,E,MD PHD,M,I,8180 LARK BROWN RD,SUITE 101,ELKRIDGE,MD,21075,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,728,231.18417582,213.95,167.73678571,167.73678571
1023129301,HUCK,BRUCE,,M.D.,M,I,230 W MONROE ST,SUITE 1925,CHICAGO,IL,606064703,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,11,21,60,81.1365,8.32,5,5
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,33,5.1884848485,0.51,0.4,0.4
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,139,424,1291,56.216258714,8.32,5.7519984508,5.7519984508
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,29,61,61,12.29442623,3.38,2.4762295082,2.4762295082
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,33,40,40,18.772,2.12,1.54475,1.54475
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,71,158,298,13.991812081,1.42,0.9802348993,0.9802348993
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,36,8.5133333333,7.39,5.4683333333,6.4455555556
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,36,5.69,5.54,4.2194444444,4.2194444444
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,31,31,14.15,13.8,10.121935484,10.121935484
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,40,87,11.963793103,9.29,7.0733333333,8.3071264368
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,10.18,10.18,7.5824722222,7.5824722222
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,1.95,1.95,1.5288333333,1.5288333333
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,350,7.557,6.26,4.6275142857,5.51
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,1124,5.3459964413,5.23,3.9883807829,3.9883807829
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,290,4.07,3.97,3.1123793103,3.1123793103
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,1375,0.29416,0.26,0.2038109091,0.2113381818
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,85,85,170,77.904882353,71.56,53.447529412,53.447529412
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,44,44,264,29.140227273,29.140227273,22.609166667,22.64969697
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,72,50.520833333,43.56,34.151527778,34.149722222
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,23,41,102,5.6904901961,2.0190196078,1.4831372549,1.1020588235
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,12,12,57,7.6957894737,0.6438596491,0.4549122807,0.391754386
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,319.28928571,121.13,78.822142857,53.308571429
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,82,61.219512195,27.047560976,19.305853659,13.321707317
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,13,25,25,164.188,75.3632,49.96,35.444
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,23,23,56.430869565,24.390434783,17.086086957,12.564347826
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,35,35,56.469714286,20.86,14.913428571,8.1434285714
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,38,218,10.728348624,3.1820183486,2.3487155963,1.6108256881
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,22,22,20.477272727,8.3540909091,6.3209090909,4.7063636364
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,38.777142857,15.37,12.045714286,10.535714286
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,1124,4.0590035587,3.81,2.9687989324,2.9687989324
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,30,796,5.1151507538,4.1414572864,3.2468467337,2.445201005
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,16,72,2057,7.703271755,6.8506708799,5.3708847837,4.2309188138
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4025,0.6677142857,0.4365490683,0.2975503106,0.2453639752
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,18,65,32362,0.5856229528,0.3749508683,0.286757308,0.2394240158
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,32,13767,0.9479574344,0.8272129004,0.6425118036,0.5414636449
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,13,38,38,88.261842105,78.725526316,58.506315789,46.756052632
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,27,27,27,157.76592593,59.934814815,45.520740741,36.963703704
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,36.751818182,18.285454545,13.141818182,10.953636364
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,7,24,24,24,120.55708333,70.26875,55.053333333,42.855416667
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.53,11.519090909,8.0990909091,6.7245454545
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,208.258,184.044,129.146,112.38466667
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,50,50,128.204,65.5232,49.2284,39.3306
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,24,113,113,117.04159292,68.187256637,50.600707965,38.33840708
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,40,234,244,66.456762295,22.936762295,16.781639344,13.177745902
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,12,62,64,97.59984375,56.043125,42.31015625,36.68734375
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,4285.7610526,913.16,707.42473684,833.76473684
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.6,40.066363636,31.412727273,26.881818182
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,23,168,168,32.367380952,7.5775595238,5.5342261905,3.2963095238
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45.45,35.5875,27.8975,32.445833333
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,145.13580645,47.460645161,34.709354839,27.349032258
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,14,14,14,66.491428571,56.294285714,38.802142857,51.657857143
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,95.8928,67.508,52.926,43.6692
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,16,65,65,15.152923077,9.1581538462,6.9092307692,4.3521538462
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25.25,12.104545455,9.4918181818,7.4781818182
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,78,2,1.4056410256,0.8952564103,0.8124358974
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,25,7,1.724,0.8144,0.7376
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,22,73.796818182,37.188181818,29.157272727,24.237727273
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,75,9,3.4690666667,2.1678666667,1.7436
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,12,14,14,393.13,70.74,51.498571429,51.498571429
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,63,453,463,431.89412527,100.92237581,73.488682505,51.807688985
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,187.39130435,44.445652174,33.419130435,28.377826087
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,57.92,37.284285714,29.228571429,29.228571429
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,14,97.426428571,44.041428571,34.533571429,30.751428571
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,310.80272727,195.30727273,153.12090909,126.51090909
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1860,17.394532258,9.6310322581,7.2671774194,7.2671774194
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,20,88,20514,0.2990679536,0.046686653,0.032678171,0.032678171
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,2756,1.3380624093,0.1328701016,0.0942888244,0.0942888244
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,39,1860,12.903951613,3.0752580645,2.4110053763,2.4110053763
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,39,2026,2.3485389931,0.2192892399,0.163065153,0.163065153
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,29,128,128,67.52484375,27.82328125,20.741015625,14.88484375
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,64.220740741,37.557037037,25.455925926,19.558518519
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,104.87074074,34.692962963,22.401851852,16.263333333
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,160.62,44.263333333,25.833333333,15.986666667
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,118.33,61.954,42.6485,31.2
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,33,33,17.496969697,10.350606061,7.7066666667,6.2193939394
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,62,62,587.03548387,233.00612903,179.30903226,121.47774194
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,158,51.934810127,43.56,34.151708861,34.150189873
1023129608,ROBERTS,JOSEPH,F,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,27,144,144,94.875,33,23.791458333,23.791458333
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,79,195,529,50.612741021,8.32,6.213610586,6.213610586
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,27,27,13.074074074,3.38,2.65,2.65
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,23.309285714,2.12,1.67,1.67
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,43,91,123,11.748780488,1.42,1.0129268293,1.0129268293
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,128.84615385,53.318461538,41.803076923,36.523076923
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,101.47636364,49.941818182,31.429090909,30.949090909
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,65,65,46.443384615,17.894615385,13.607692308,13.206923077
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,12,54,56,43.49375,5.16625,4.0517857143,3.86875
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,50,11.806470588,9.2552941176,8.7470588235
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,69,288.10188406,73.635362319,56.134057971,53.732028986
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,11,1589,2.0218628068,0.1245689113,0.0702643172,0.0702643172
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,38.697058824,20.338823529,15.946470588,14.638823529
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,33.781818182,21.250909091,20.170909091
1023129814,MCFALL,DANNY,W,MD,M,I,409 NORTH CEDAR STREET,,FLORENCE,AL,35630,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,42,33,23.518181818,23.518181818
1023129897,KAO,COLIN,E,D.O.,M,I,15300 WEST AVE,SUITE 22,ORLAND PARK,IL,604624600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,44,55.690454545,8.32,6.2236363636,6.2236363636
1023129897,KAO,COLIN,E,D.O.,M,I,15300 WEST AVE,SUITE 22,ORLAND PARK,IL,604624600,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.045333333,1.42,1.12,1.12
1023129897,KAO,COLIN,E,D.O.,M,I,15300 WEST AVE,SUITE 22,ORLAND PARK,IL,604624600,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,215,52.598,41.238,40.003333333
1023129913,GOLDSTEIN,RICK,N,M.D.,M,I,1010 SW COAST HWY STE 201,,NEWPORT,OR,973655240,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,29,113,81.261327434,8.32,6.4647787611,6.4647787611
1023129954,RUGEN,REBECCA,,,F,I,1225 GRAHAM RD,STE 2320C,FLORISSANT,MO,630318012,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,59,140,70.021285714,8.32,5.4971428571,5.4971428571
1023129954,RUGEN,REBECCA,,,F,I,1225 GRAHAM RD,STE 2320C,FLORISSANT,MO,630318012,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,29,32,14.7346875,1.42,0.804375,0.804375
1023129954,RUGEN,REBECCA,,,F,I,1225 GRAHAM RD,STE 2320C,FLORISSANT,MO,630318012,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,13.9,4.17,3.2693333333,3.2456666667
1023129954,RUGEN,REBECCA,,,F,I,1225 GRAHAM RD,STE 2320C,FLORISSANT,MO,630318012,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8100,3.36,0.32,0.2401567901,0.2323185185
1023129970,DUPLANTIER,TRACY,A,PA,F,I,1500 21ST ST,,SACRAMENTO,CA,95811,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,17,502.5,68.829411765,45.607058824,46.845294118
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,36,75,66.560133333,8.32,6.0877333333,6.0877333333
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,14.230555556,1.42,1.0533333333,1.0533333333
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,59,69.951016949,17.232881356,12.174576271,11.245254237
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,228.56769231,65.469230769,51.328461538,44.82
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,70,11.802571429,2.5611428571,1.8562857143,1.5728571429
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,95.9825,23.093125,16.238125,12.215
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,220.23241379,43.631724138,32.537931034,24.633793103
1023129996,JENSEN,BLAINE,S,PA-C,M,I,1134 W HWY 60,,SUPERIOR,AZ,852732647,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,459.755,102.61833333,73.23,51.3
1023130101,RAO,MAYA,K,MD,F,I,161 FORT WASHINGTON AVE,ROOM 202,NEW YORK,NY,100323729,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,1440,4.6902847222,0.5708194444,0.3995625,0.3995625
1023130101,RAO,MAYA,K,MD,F,I,161 FORT WASHINGTON AVE,ROOM 202,NEW YORK,NY,100323729,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1680,4.907202381,2.8345714286,2.1854404762,2.1854404762
1023130101,RAO,MAYA,K,MD,F,I,161 FORT WASHINGTON AVE,ROOM 202,NEW YORK,NY,100323729,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1023130101,RAO,MAYA,K,MD,F,I,161 FORT WASHINGTON AVE,ROOM 202,NEW YORK,NY,100323729,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,29,16,16,12.107586207,12.107586207
1023130341,BHINDER,ARVINDER,S,M.D.,M,I,1050 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,728,11.765989011,1.8165934066,1.4241895604,1.4241895604
1023130341,BHINDER,ARVINDER,S,M.D.,M,I,1050 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,1060,52.0105,5.4392641509,3.9936603774,3.9936603774
1023130341,BHINDER,ARVINDER,S,M.D.,M,I,1050 DELAWARE AVE,,MARION,OH,433026416,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,23,16,16,12.542173913,12.542173913
1023130499,PIERSMA,JOHN,M,M.D.,M,I,2727 MADISON RD STE 205,,CINCINNATI,OH,452092276,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,43,145,51.226827586,8.32,6.2114482759,6.2114482759
1023130499,PIERSMA,JOHN,M,M.D.,M,I,2727 MADISON RD STE 205,,CINCINNATI,OH,452092276,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.316923077,3.38,2.65,2.65
1023130499,PIERSMA,JOHN,M,M.D.,M,I,2727 MADISON RD STE 205,,CINCINNATI,OH,452092276,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,29,53,12.111509434,1.42,1.0716981132,1.0716981132
1023130622,OLSLUND,LAUREL,J,N.P.,F,I,2450 ASHBY AVE,,BERKELEY,CA,947052067,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,22,22,134.55590909,40,26.333181818,25.502272727
1023130622,OLSLUND,LAUREL,J,N.P.,F,I,2450 ASHBY AVE,,BERKELEY,CA,947052067,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,89,85.359213483,19.56,13.535168539,12.839550562
1023130622,OLSLUND,LAUREL,J,N.P.,F,I,2450 ASHBY AVE,,BERKELEY,CA,947052067,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,21,21,236.74619048,56,37.628571429,36.737142857
1023130622,OLSLUND,LAUREL,J,N.P.,F,I,2450 ASHBY AVE,,BERKELEY,CA,947052067,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,71.9375,19.2325,13.81,12.888333333
1023130622,OLSLUND,LAUREL,J,N.P.,F,I,2450 ASHBY AVE,,BERKELEY,CA,947052067,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,23,138,10.36,2.0860869565,1.6352898551,1.5916666667
1023130622,OLSLUND,LAUREL,J,N.P.,F,I,2450 ASHBY AVE,,BERKELEY,CA,947052067,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,79,79,284.55696203,79,59.183417722,52.156075949
1023130622,OLSLUND,LAUREL,J,N.P.,F,I,2450 ASHBY AVE,,BERKELEY,CA,947052067,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,88,88,129.77272727,39,29.885,28.839318182
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,26,78,162,31.747592593,8.32,6.1689506173,6.1689506173
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,12,25,26,7.9446153846,1.42,1.0761538462,1.0761538462
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,30,37.369666667,26.142,20.495333333,14.553333333
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,22,56,8.3033928571,3.1707142857,2.4878571429,1.5910714286
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,49,49,50.967142857,22.407142857,16.652244898,13.193061224
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,47,48,311.10125,101.67625,75.285625,53.250625
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,11,31,3060,0.8865882353,0.133627451,0.0976470588,0.0976470588
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1206,9.106708126,2.9668656716,2.3260199005,2.3260199005
1023130689,NUTTER,BRYAN,,ARNP,M,I,800 SHARE DR,,ALVA,OK,737173618,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,15,43,43,33,33,24.175813953,24.175813953
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,47,100,63.929,8.2336,5.5372,5.6106
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,21,15.596666667,1.42,1.1171428571,1.1171428571
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,26,26,83.109230769,38.811153846,29.106538462,29.123076923
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,227.82333333,90.23,70.74,68.323333333
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,28,90.628571429,34,25.705714286,25.072142857
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,56,58.835535714,19,13.370357143,13.032142857
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,25,25,168.7724,56.4984,39.1204,37.7272
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,21,21,52.373809524,18.662857143,13.830952381,13.267619048
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,44,165,8.0156969697,2.0589090909,1.5389090909,1.5157575758
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,55.07,14,10.98,10.48
1023131307,OLEKSAK,WILLIAM,A,M.D.,M,I,313 FORD STREET,SUITE 2A,FORD CITY,PA,16226,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,179.49,35.553913043,25.34,24.016521739
1023131356,TRAN,SON,,M.D.,M,I,7441 O ST,STE 304,LINCOLN,NE,685102468,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,5.5132777778,0.567,0.4445277778,0.4445138889
1023132008,SULER,YELENA,,MD,F,I,1 MAIN ST,,ROOSEVELT ISLAND,NY,100440052,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,159.74,48.348181818,37.905454545,38.439090909
1023132008,SULER,YELENA,,MD,F,I,1 MAIN ST,,ROOSEVELT ISLAND,NY,100440052,US,Physician/Physical Medicine and Rehabilitation,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,225,147.27272727,115.46181818,125.21454545
1023132008,SULER,YELENA,,MD,F,I,1 MAIN ST,,ROOSEVELT ISLAND,NY,100440052,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,165.22823529,45.025882353,35.296470588,36.655882353
1023132008,SULER,YELENA,,MD,F,I,1 MAIN ST,,ROOSEVELT ISLAND,NY,100440052,US,Physician/Physical Medicine and Rehabilitation,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,68.846153846,30.28,23.74,28.26
1023132008,SULER,YELENA,,MD,F,I,1 MAIN ST,,ROOSEVELT ISLAND,NY,100440052,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,34,60.592647059,14.695294118,10.558823529,12.950588235
1023132008,SULER,YELENA,,MD,F,I,1 MAIN ST,,ROOSEVELT ISLAND,NY,100440052,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,38,38,18.353947368,6.7492105263,4.8992105263,6.1221052632
1023132511,DIEP,JIMMY,,M.D.,M,I,4275 BURNHAM AVE STE 100,,LAS VEGAS,NV,891195400,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3720.9090909,2705.4772727,2115.9136364,2115.9136364
1023132990,JEPSON,JILL,D,FNP-C,F,I,44151 15TH ST W,SUITE 101,LANCASTER,CA,935344079,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,348,0.39,0.13,0.0888505747,0.0888505747
1023132990,JEPSON,JILL,D,FNP-C,F,I,44151 15TH ST W,SUITE 101,LANCASTER,CA,935344079,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,1260,5.6376190476,1.73,1.3083571429,1.5412380952
1023133568,SWARTS,CYNTHIA,K,FNP,F,I,510 29 12 ROAD,,GRAND JUNCTION,CO,81504,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,45.2675,35.9725
1023133568,SWARTS,CYNTHIA,K,FNP,F,I,510 29 12 ROAD,,GRAND JUNCTION,CO,81504,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,327.69230769,100.58923077,74.814615385,55.547692308
1023134152,HAWARI,RAMI,,M.D.,M,I,420 LOWELL DR SE,SUITE 204,HUNTSVILLE,AL,358013754,US,Physician/Gastroenterology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,47.167272727,32.627272727,32.027272727
1023135134,MARQUEZ,RAMON,R,MD,M,I,6911 TARA BLVD # A,,JONESBORO,GA,302361503,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,23,85,65.422705882,8.32,6.3694117647,6.3694117647
1023135134,MARQUEZ,RAMON,R,MD,M,I,6911 TARA BLVD # A,,JONESBORO,GA,302361503,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,22,15.685454545,1.42,1.1140909091,1.1140909091
1023135134,MARQUEZ,RAMON,R,MD,M,I,6911 TARA BLVD # A,,JONESBORO,GA,302361503,US,Physician/General Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2475,1.8349090909,0.37,0.2637171717,0.2637171717
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,37,126,327,59.12648318,8.32,5.8066972477,5.8066972477
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,11.275,3.38,2.65,2.65
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,22,52,72,11.134722222,1.42,0.9761111111,0.9761111111
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,20,13.12,7.26,2.0355,2.053
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,19,7.6910526316,1.49,1.1668421053,1.15
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,34,87.590294118,17.116764706,13.420882353,13.516470588
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,11,70,79,54.751518987,4.1089873418,3.0702531646,3.5005063291
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,33,62,520.32790323,67.387096774,52.831935484,54.971774194
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,825,1.3339272727,0.4686545455,0.3674181818,0.3674181818
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,20,59,4289,1.0310701795,0.1326532991,0.0938330613,0.0938330613
1023135266,STONEKING,KIM,W,MD,M,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,18,60,60,108.9,33,23.714166667,23.714166667
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,32,32,169.754375,39.95875,28.8971875,28.1840625
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,422.90526316,84.893684211,64.985789474,66.207368421
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,11,16,34,202.11,33.842941176,26.533823529,25.964117647
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,15,22,113,98.617610619,19.416106195,15.222654867,14.551769912
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,11,23,102,66.018823529,16,11.959215686,11.315196078
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,29,49,49,242.05183673,55.867142857,42.03877551,41.155918367
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,36,48,48,78.980416667,19.200625,14.25875,13.385833333
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,33,33,65.599090909,13.886363636,10.225151515,8.5672727273
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,38,71,377,14.260106101,2.0828381963,1.590265252,1.551061008
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,25,31,31,21.244516129,6.1825806452,4.6896774194,4.5138709677
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,18,18,68.157777778,13.74,10.171666667,9.8133333333
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,56,60,107.1065,17.11,12.754,12.867666667
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,2470.78,913.16,708.94375,830.01958333
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,290.39727273,80.97,57.709090909,55.909090909
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,49.756363636,3.9309090909,2.6890909091,3.0890909091
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,17,89,89,278.77123596,34.46247191,25.741685393,24.327191011
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,23,185,187,587.97967914,78.359893048,58.15197861,52.147165775
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,94,95,365.36842105,39.058736842,29.338105263,28.313684211
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,750,22.859653333,10.65224,8.3513866667,8.3513866667
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,120,18.547,6.0980833333,4.781,4.781
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1055,0.70092891,0.0435829384,0.0342085308,0.0342085308
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,66,3209,1.5925646619,0.1315550016,0.096918043,0.096918043
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,1140,8.7845614035,2.9840789474,2.213622807,2.213622807
1023135761,BERJIS,VALA,,M.D.,M,I,1000 10TH AVE,"5TH FLOOR,DEPT OF NEUROSURGERY",NEW YORK,NY,100191147,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,13,70,70,51.528571429,33,23.818285714,23.818285714
1023136983,ZAUBER,SARAH,E,M.D.,F,I,355 W 16TH ST,STE 3200,INDIANAPOLIS,IN,462022207,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,56,211,72.960047393,19.686492891,15.434123223,15.434123223
1023136983,ZAUBER,SARAH,E,M.D.,F,I,355 W 16TH ST,STE 3200,INDIANAPOLIS,IN,462022207,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,60,1796,143.29100223,35.572538976,27.888724944,27.888724944
1023136983,ZAUBER,SARAH,E,M.D.,F,I,355 W 16TH ST,STE 3200,INDIANAPOLIS,IN,462022207,US,Physician/Neurology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,817.71176471,186.95470588,136.04117647,136.04117647
1023136983,ZAUBER,SARAH,E,M.D.,F,I,355 W 16TH ST,STE 3200,INDIANAPOLIS,IN,462022207,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,81,2436,320.39249589,213.95,167.61698276,167.61698276
1023137247,FRENA,COLETTE,B,NP,F,I,120 N ASHWOOD AVE,,VENTURA,CA,930031810,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,27,76.30037037,8.32,5.7977777778,5.7977777778
1023137486,JAFREY,SUHAIL,M,MD,M,I,2001 4TH AVE,SUITE 200 MID MN FAMILY MEDICINE CENTER,SAN DIEGO,CA,921012303,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,67.799545455,16.996363636,13.326363636,13.469545455
1023137486,JAFREY,SUHAIL,M,MD,M,I,2001 4TH AVE,SUITE 200 MID MN FAMILY MEDICINE CENTER,SAN DIEGO,CA,921012303,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,518.15571429,76.918571429,60.306785714,56.089642857
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,72,103,103,110.51796117,39.008932039,29.419708738,29.333495146
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,41,53,53,265.80584906,90.75,65.600754717,62.635660377
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,23,33,94,110.56425532,33.984574468,26.126170213,25.414787234
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,23,28,161,61.193913043,18.007080745,13.915776398,14.317329193
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,17,94,55.202234043,16.604680851,10.870531915,10.098510638
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,55,82,82,179.61963415,54.922804878,40.857073171,40.894390244
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,82,96,96,56.837291667,18.223333333,13.697291667,13.57
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,26,26,40.124615385,13.68,10.359615385,9.2123076923
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,88,130,723,7.170373444,2.0925311203,1.5869432918,1.5503596127
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,57,66,66,20.116818182,6.0586363636,4.5325757576,4.4439393939
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,19,22,22,38.425,12.5,9.8,10.34
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,270.19230769,91.553461538,68.686153846,69.993076923
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,645,215.02,168.57666667,168.31666667
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,1488.4,932.60294118,722.72176471,722.72176471
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,47,47,47,386.7106383,132.3812766,102.1187234,102.89851064
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,62,299,299,117.36120401,34.028428094,25.029364548,25.171070234
1023137742,PATEL,HIRAL,,DO,F,I,1133 E HIGH ST,,POTTSTOWN,PA,194644953,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,310.41944444,77.18,57.148333333,53.61
1023137940,STEPAN,CALEB,J,M.D.,M,I,2373 G RD,SUITE 200,GRAND JUNCTION,CO,815059641,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,38,4020,0.3891044776,0.13,0.0927985075,0.0927985075
1023137940,STEPAN,CALEB,J,M.D.,M,I,2373 G RD,SUITE 200,GRAND JUNCTION,CO,815059641,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,53,6930,4.4377922078,1.73,1.282002886,1.4911789322
1023137940,STEPAN,CALEB,J,M.D.,M,I,2373 G RD,SUITE 200,GRAND JUNCTION,CO,815059641,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1650,9.65,7.03,5.3974242424,5.5542545455
1023137940,STEPAN,CALEB,J,M.D.,M,I,2373 G RD,SUITE 200,GRAND JUNCTION,CO,815059641,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,44,14.715681818,10.766363636,7.8827272727,8.0172727273
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,34.15,28.46,22.31,22.31
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,13.12,10.93,8.57,8.57
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,252,8.4,7.33,5.7465873016,5.7465873016
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,73.871538462,70.646153846,55.385,56.100384615
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,70,29.791142857,28.812857143,22.589571429,22.886714286
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,52.94,52.94,41.5,41.5
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,465,3.81,3.81,2.9870967742,2.9870967742
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2370,3.487278481,0.5619620253,0.4405864979,0.4405864979
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,18.82,18.82
1023138401,TINDNI,ARSHDEEP,,M.D,M,I,4750 E GALBRAITH RD,SUITE 103,CINCINNATI,OH,452366705,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1023138708,CREGHAN,BRIAN,C,PA-C,M,I,6435 SE HWY 301,,HAWTHORNE,FL,32640,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,16.5,16.5,11.861666667,12.474166667
1023138708,CREGHAN,BRIAN,C,PA-C,M,I,6435 SE HWY 301,,HAWTHORNE,FL,32640,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,77.18,77.18,55.4675,50.16
1023139193,TARATUTA,REBEKKA,,M.D.,F,I,450 MAPLE STREET,,HATHORNE,MA,01937,US,General Practice,T,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,57,1553,26.947295557,4.9,3.7043271088,4.0258403091
1023139193,TARATUTA,REBEKKA,,M.D.,F,I,450 MAPLE STREET,,HATHORNE,MA,01937,US,General Practice,T,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,56,19695,1.5027250571,0.3656039604,0.2650459507,0.2685229754
1023139193,TARATUTA,REBEKKA,,M.D.,F,I,450 MAPLE STREET,,HATHORNE,MA,01937,US,General Practice,T,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,72.58,5.43,3.2583333333,3.0283333333
1023139193,TARATUTA,REBEKKA,,M.D.,F,I,450 MAPLE STREET,,HATHORNE,MA,01937,US,General Practice,T,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,420.19,199.73,147.01533333,147.01533333
1023139821,FRIBERG,JENNIFER,R,N.P.,F,I,2349 LAKE AVE STE 100,,PLYMOUTH,IN,465637836,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,35,78,67.292948718,8.32,5.518974359,5.518974359
1023139987,WOOD,MAUREEN,,M.D.,F,I,605 OLD BOONTON RD,,BOONTON,NJ,070052057,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,65.561666667,6.0872222222,4.3011111111,3.0044444444
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,83,168,168,157.29702381,39.445833333,28.906904762,28.513630952
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,37,83,84,342.76285714,87.085238095,59.777261905,59.406547619
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,38,89,216,143.78263889,33.547453704,25.265694444,25.098611111
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,35,75,352,93.885738636,18.605625,13.067954545,13.034772727
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,34,63,335,62.698,15.244298507,11.23761194,11.182059701
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,63,126,126,241.69507937,55.635238095,40.591904762,39.940793651
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,86,130,130,75.734923077,18.066461538,13.220384615,13.127
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,29,29,64.381034483,12.057586207,9.1279310345,8.8275862069
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,91,200,1085,11.288221198,2.0470046083,1.5071981567,1.4958525346
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,63,89,89,46.039325843,12.936966292,9.8195505618,10.004606742
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,28,81.75,12.845357143,10.0775,10.102142857
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,14,87,96,237.7275,31.7175,23.6696875,24.096041667
1023140035,GUITREAU,DARRIN,P,PA-C,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,364.45942857,75.514857143,51.762285714,47.725142857
1023140084,PALMER,JULIE,L,PAC,F,I,32312 CAMINO CAPISTRANO,,SAN JUAN CAPISTRANO,CA,926754518,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,16,32,119,63.972521008,8.32,5.6453781513,5.6453781513
1023140084,PALMER,JULIE,L,PAC,F,I,32312 CAMINO CAPISTRANO,,SAN JUAN CAPISTRANO,CA,926754518,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,19,36,11.552222222,1.42,0.8966666667,0.8966666667
1023141157,MACRI,GEORGETA,,M.D.,F,I,44201 DEQUINDRE RD,,TROY,MI,480851117,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,42,45,19.033333333,5.4106666667,4.1511111111,3.4844444444
1023141199,MAREK,TANIA,M,NP,F,I,5717 PACIFIC CENTER BLVD STE 200,,SAN DIEGO,CA,921214250,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1410,0.39,0.13,0.0867304965,0.0867304965
1023141199,MAREK,TANIA,M,NP,F,I,5717 PACIFIC CENTER BLVD STE 200,,SAN DIEGO,CA,921214250,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,34,5400,4.6353333333,2.016,1.5398259259,1.5586407407
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,31,74,254,58.59511811,8.32,6.3171653543,6.3171653543
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,11,32,32,15,3.38,2.5671875,2.5671875
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,11,15,15,25,2.12,1.67,1.67
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,19,41,78,15.218076923,1.42,1.1137179487,1.1137179487
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,15,36,36,250.08444444,90,66.64,64.222222222
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,14,41,103,96.876504854,34,25.41368932,24.716990291
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,14,46,221,67.160497738,19.331628959,14.672171946,14.121764706
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,54,39.348518519,16,12.543148148,11.929814815
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,20,51,51,180.40294118,56.19254902,41.178627451,40.14
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,32,50,50,54.9972,17.9976,13.2624,13.2194
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,73,73,63.006438356,11.949589041,8.8543835616,8.6361643836
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,30,88,437,10.500732265,1.9994508009,1.5070251716,1.5301144165
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,27,27,25.608518519,6.13,4.4444444444,4.3166666667
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,19,29,29,29.415517241,12.93,10.13,10.332758621
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,38,75.478421053,17.71,13.524473684,13.238947368
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,112.77,49.78,31.925454545,30.788181818
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,56.134285714,13.5,9.0685714286,8.9885714286
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,54.894285714,6.9417857143,4.7442857143,3.2578571429
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,16,79,84,256.015,34.310595238,23.938095238,22.820357143
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,108,112,475.63901786,78.99625,56.616785714,50.198392857
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,18,157.98666667,37.32,27.577777778,27.849444444
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3362,0.3725907198,0.0466240333,0.0299762046,0.0299762046
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,2.992,0.2190909091,0.1406818182,0.1406818182
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,134.77153846,20.194615385,15.241538462,13.021538462
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,1455.2963636,156.53727273,122.72181818,119.26545455
1023141397,YOAKAM,JESSICA,D,M.D.,F,I,1001 6TH AVE,STE. 320,LEAVENWORTH,KS,660483222,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,66,33,22.995555556,22.995555556
1023141637,SCOTT,ROBERT,T,DO,M,I,804 SERVICE ROAD,ROOM A235,EAST LANSING,MI,488247021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,36,61.941944444,8.32,5.7963888889,5.7963888889
1023141637,SCOTT,ROBERT,T,DO,M,I,804 SERVICE ROAD,ROOM A235,EAST LANSING,MI,488247021,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,43.632352941,11.64,9.12,9.12
1023141637,SCOTT,ROBERT,T,DO,M,I,804 SERVICE ROAD,ROOM A235,EAST LANSING,MI,488247021,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,35,4.4354285714,2.03,1.5937142857,1.5937142857
1023141637,SCOTT,ROBERT,T,DO,M,I,804 SERVICE ROAD,ROOM A235,EAST LANSING,MI,488247021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,225,69.81,54.73,54.73
1023141637,SCOTT,ROBERT,T,DO,M,I,804 SERVICE ROAD,ROOM A235,EAST LANSING,MI,488247021,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.14,25.969166667,27.075
1023142684,CAMPBELL,ROSE,M,CNP,F,I,323 MARION AVE NW,SUITE 200,MASSILLON,OH,446463639,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,18.055833333,14.155833333,13.538333333
1023142684,CAMPBELL,ROSE,M,CNP,F,I,323 MARION AVE NW,SUITE 200,MASSILLON,OH,446463639,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,117,128,410,88.5175,67.050625,53.17234375
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,25,63,145,62.208965517,8.32,5.4408965517,5.4408965517
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,34,42,16.458095238,1.42,0.9580952381,0.9580952381
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,0.1725,0.13,0.1019,0.1019
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,3.95,1.73,1.2965208333,1.4990625
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,83.235897436,21.558717949,15.753333333,12.797948718
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,232.35,57.578,43.0795,35.7485
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,24.192272727,7.4018181818,5.5827272727,4.0909090909
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,54,54,420.09444444,93.938888889,69.331666667,51.442037037
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.745,29.605833333,24.5975
1023143146,SHOOP,LEE,,MD,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,25.87,25.87
1023143427,"RAYMUNDO S BAUTISTA, MD, PROF CORP",,,,,O,118 W FOOTHILL BLVD,,GLENDORA,CA,917413364,US,Internal Medicine,T,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,3300,0.16,0.0132727273,0.0094090909,0.0094090909
1023143740,ROBBINS,MELISSA,A,MD,F,I,294 SUMMAR DRIVE,,JACKSON,TN,383013915,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,26,70,76.582714286,8.32,5.776,5.776
1023143740,ROBBINS,MELISSA,A,MD,F,I,294 SUMMAR DRIVE,,JACKSON,TN,383013915,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,19,20.880526316,1.42,1.0578947368,1.0578947368
1023144698,SYED,UZMA,N,M.D,F,I,16W741 90TH ST,,WILLOWBROOK,IL,605276086,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,17,63,59.020793651,8.32,5.9012698413,5.9012698413
1023144755,ALQUEZA,ARNOLD,B,MD,M,I,150 S HUNTINGTON AVE,"VA BOSTON HEALTHCARE SYSTEM, SURGICAL SERVICE 112",BOSTON,MA,021304817,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,12,72,70.94,55.619166667,47.114166667
1023145018,FORCHE,JANINE,,PA-C,F,I,7581 SECOR RD,,LAMBERTVILLE,MI,481449624,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,64,137,45.930729927,8.3102919708,5.7668613139,5.7668613139
1023145018,FORCHE,JANINE,,PA-C,F,I,7581 SECOR RD,,LAMBERTVILLE,MI,481449624,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,22,29,15.053448276,1.42,1.0013793103,1.0013793103
1023145018,FORCHE,JANINE,,PA-C,F,I,7581 SECOR RD,,LAMBERTVILLE,MI,481449624,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,200,47.87,33.956923077,34.376923077
1023145018,FORCHE,JANINE,,PA-C,F,I,7581 SECOR RD,,LAMBERTVILLE,MI,481449624,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1829,1.85695462,0.1351558229,0.0940513942,0.0940513942
1023145018,FORCHE,JANINE,,PA-C,F,I,7581 SECOR RD,,LAMBERTVILLE,MI,481449624,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,68.86,18.906363636,14.818181818,14.289090909
1023145018,FORCHE,JANINE,,PA-C,F,I,7581 SECOR RD,,LAMBERTVILLE,MI,481449624,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,33,33,22.826470588,22.826470588
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,44,119,225,53.390444444,8.32,6.0874222222,6.0874222222
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,9.53,3.38,2.65,2.65
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,38,48,14.143958333,1.42,1.0929166667,1.0929166667
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,79.313636364,41.398181818,32.454545455,31.570909091
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,13,28,28,271.36821429,109.375,81.396785714,66.481428571
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,13,29,58,110.78362069,41.058965517,31.030862069,25.537758621
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,20,20,174.3125,64.268,50.384,42.86
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,26,36,36,53.255555556,22.048333333,17.281666667,14.555
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,36,36,47.603888889,17.474722222,13.137222222,8.6011111111
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,26,52,254,7.2427952756,2.6615748031,2.0031496063,1.5481102362
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,23,23,19.838695652,7.7295652174,5.8391304348,4.4513043478
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,14,17,17,38.476470588,14.876470588,11.661176471,10.504117647
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,55,109.87109091,18.545454545,14.287818182,13.348
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.67,35.409090909,34.209090909
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,298.50285714,115.915,90.877142857,84.321428571
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,35.325,14.963125,10.24,9.19625
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,,51,54,27.102222222,6.2168518519,4.562037037,3.4264814815
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,14,89,90,130.23366667,42.811555556,31.491333333,26.934555556
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,26,170,170,451.19035294,79.535,60.340058824,53.711176471
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,17.358962963,9.6053333333,7.5305648148,7.5305648148
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,32,6791,0.3409262259,0.0461036666,0.0344087763,0.0344087763
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,21,43,4765,1.731389297,0.1305330535,0.1000755509,0.1000755509
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,32,1770,52.229282486,2.990220339,2.2212316384,2.2212316384
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,146.90454545,23.812727273,17.465454545,14.52
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,202.06,69.355833333,18.910833333,13.820833333
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,96.47326087,39.960869565,29.683913043,27.994347826
1023145125,MOYERS,LORI,A,DO,F,I,3129 BLATTNER DR,,CAPE GIRARDEAU,MO,637036364,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,25,79,79,50.632911392,33,24.887594937,24.887594937
1023145489,THOMPSON,RYAN,W,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,68,74.319852941,8.32,6.5222058824,6.5222058824
1023145489,THOMPSON,RYAN,W,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,30,15.526333333,1.42,1.0773333333,1.0773333333
1023145489,THOMPSON,RYAN,W,MD,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,421.57333333,33.396,26.184,25.092
1023145521,AHMED,SHABINA,R,M.D.,F,I,7315 WISCONSIN AVE,,BETHESDA,MD,208143202,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,48,107,602,67.417790698,8.32,6.0662458472,6.0662458472
1023145521,AHMED,SHABINA,R,M.D.,F,I,7315 WISCONSIN AVE,,BETHESDA,MD,208143202,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,14.198823529,3.38,2.65,2.65
1023145521,AHMED,SHABINA,R,M.D.,F,I,7315 WISCONSIN AVE,,BETHESDA,MD,208143202,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.825454545,2.12,1.67,1.67
1023145521,AHMED,SHABINA,R,M.D.,F,I,7315 WISCONSIN AVE,,BETHESDA,MD,208143202,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,27,59,149,13.081342282,1.42,1.038590604,1.038590604
1023145521,AHMED,SHABINA,R,M.D.,F,I,7315 WISCONSIN AVE,,BETHESDA,MD,208143202,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,58,59,433.6720339,251.11,194.43830508,194.43830508
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,39.17,39.17,30.711818182,30.526363636
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,87.304,87.304,63.87,63.238
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,25,34.4876,34.4876,24.8708,23.9308
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,54.325714286,54.325714286,39.552142857,39.802857143
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,16,23,23,18.700869565,18.700869565,14.663043478,14.121304348
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,11,19,19,12.322105263,12.322105263,8.6384210526,8.2042105263
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,16,28,157,2.2866242038,2.2866242038,1.6550318471,1.4861146497
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,11,14,14,12.711428571,12.711428571,9.9714285714,10.316428571
1023145554,VARMA,RUPA,A,M.D.,F,I,1221 MERCANTILE AVENUE,,LARGO,MD,20774,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,29,34,39.32,32.670294118,24.708823529,24.958235294
1023145679,HINTENACH,MARY,A,FNP,F,I,315 E 13TH ST,,MERCED,CA,953406211,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,31,86,209,46.495598086,8.32,6.053923445,6.053923445
1023145679,HINTENACH,MARY,A,FNP,F,I,315 E 13TH ST,,MERCED,CA,953406211,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,35,49,17.23244898,1.42,1.0481632653,1.0481632653
1023145679,HINTENACH,MARY,A,FNP,F,I,315 E 13TH ST,,MERCED,CA,953406211,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,175,49.19375,38.56625,39.63625
1023145679,HINTENACH,MARY,A,FNP,F,I,315 E 13TH ST,,MERCED,CA,953406211,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1626,0.3073124231,0.0474108241,0.0371648216,0.0371648216
1023145752,IZZO,MARY,T,"PHD, ARNP",F,I,999 W PLYMOUTH AVE,,DELAND,FL,327203134,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,70.972307692,39.193846154,30.727692308,30.547692308
1023145752,IZZO,MARY,T,"PHD, ARNP",F,I,999 W PLYMOUTH AVE,,DELAND,FL,327203134,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,72,9.1680555556,2,1.4380555556,1.4590277778
1023145752,IZZO,MARY,T,"PHD, ARNP",F,I,999 W PLYMOUTH AVE,,DELAND,FL,327203134,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,124.77272727,36.826818182,28.113181818,26.664090909
1023145752,IZZO,MARY,T,"PHD, ARNP",F,I,999 W PLYMOUTH AVE,,DELAND,FL,327203134,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,33,79.071818182,79.478787879,62.309393939,55.786666667
1023146164,SHAW,DEBRA,K,ANP-BC,F,I,"100 N. 15TH ST., SUITE 201",,RICHMOND,IN,47374,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,319.38,72.547647059,51.331764706,39.323529412
1023146164,SHAW,DEBRA,K,ANP-BC,F,I,"100 N. 15TH ST., SUITE 201",,RICHMOND,IN,47374,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,94.17,23.963636364,17.367272727,13.590909091
1023146164,SHAW,DEBRA,K,ANP-BC,F,I,"100 N. 15TH ST., SUITE 201",,RICHMOND,IN,47374,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,104.07,19.62,14.63125,9.15375
1023146164,SHAW,DEBRA,K,ANP-BC,F,I,"100 N. 15TH ST., SUITE 201",,RICHMOND,IN,47374,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,21,106,13.870188679,2.6767924528,1.9988679245,1.5029245283
1023146164,SHAW,DEBRA,K,ANP-BC,F,I,"100 N. 15TH ST., SUITE 201",,RICHMOND,IN,47374,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,15,79.971333333,15.712666667,10.032666667,8.384
1023146164,SHAW,DEBRA,K,ANP-BC,F,I,"100 N. 15TH ST., SUITE 201",,RICHMOND,IN,47374,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,17,257.82,43.836470588,29.981176471,20.169411765
1023146230,TAVAREZ,HIRAM,,MD,M,I,801 S MAIN ST,STE C,MCALLEN,TX,78501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,53,105,52.928285714,8.32,5.6638095238,5.6638095238
1023146230,TAVAREZ,HIRAM,,MD,M,I,801 S MAIN ST,STE C,MCALLEN,TX,78501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,28,10.162142857,1.42,0.9578571429,0.9578571429
1023146438,WASHINGTON,HILARY,H,,M,I,11701 LIVINGSTON RD,SUITE 205,FT WASHINGTON,MD,207445104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,27,80,255,63.375607843,8.32,5.7803137255,5.7803137255
1023146438,WASHINGTON,HILARY,H,,M,I,11701 LIVINGSTON RD,SUITE 205,FT WASHINGTON,MD,207445104,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,15.145333333,3.38,2.4733333333,2.4733333333
1023146438,WASHINGTON,HILARY,H,,M,I,11701 LIVINGSTON RD,SUITE 205,FT WASHINGTON,MD,207445104,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.28,2.12,1.5181818182,1.5181818182
1023146438,WASHINGTON,HILARY,H,,M,I,11701 LIVINGSTON RD,SUITE 205,FT WASHINGTON,MD,207445104,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,36,74,15.112567568,1.42,1.022972973,1.022972973
1023146693,SHAY,LYNN,E,"CPM, CRNP",F,I,1220 VALLEY FORGE RD STE 35,,PHOENIXVILLE,PA,194602676,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,49,74.315510204,8.32,5.1906122449,5.1906122449
1023146693,SHAY,LYNN,E,"CPM, CRNP",F,I,1220 VALLEY FORGE RD STE 35,,PHOENIXVILLE,PA,194602676,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,30.938333333,19.15,19.593333333
1023146743,MEANS,LESIA,G,PA,F,I,2731 MLK JR BLVD,,TUSCALOOSA,AL,354015235,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,70,205,35.233609756,8.32,3.9684390244,3.9684390244
1023146743,MEANS,LESIA,G,PA,F,I,2731 MLK JR BLVD,,TUSCALOOSA,AL,354015235,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,33,33,13.681818182,3.38,1.6060606061,1.6060606061
1023146743,MEANS,LESIA,G,PA,F,I,2731 MLK JR BLVD,,TUSCALOOSA,AL,354015235,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,20.045,2.12,1.356875,1.356875
1023146743,MEANS,LESIA,G,PA,F,I,2731 MLK JR BLVD,,TUSCALOOSA,AL,354015235,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,41,72,12.941388889,1.42,0.7433333333,0.7433333333
1023147642,HOANG,HAO,T,D.P.M,M,I,210 CANAL ST,SUITE 204,NEW YORK,NY,100134155,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,18,34,71.055588235,70.837058824,52.274117647,52.848235294
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,30,67.03,8.32,4.7816666667,4.7816666667
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,15,26,26,309,78.16,60.217307692,65.523846154
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,15,28,75,112,31.32,24.556533333,25.628133333
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,74,99,17.94,14.06472973,14.48527027
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,11,64,55,15.32,12.01140625,11.90421875
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,13,25,25,179,51,39.98,42.6296
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,26,37,37,76,16.68,12.716756757,13.606216216
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,22,49,49,79,10.53,8.0816326531,8.8673469388
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,26,71,275,8.0581818182,2,1.5626181818,1.5824
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,21,28,28,22,5.73,4.3296428571,4.4739285714
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,439,87.75,68.797272727,72.288181818
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,595,129.08,101.19,104.5245
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,18,54.53,3.2083333333,2.1166666667,3.1544444444
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,20,109,109,252,30.756880734,24.116972477,25.636972477
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,443.18352941,76.758235294,53.454117647,48.678823529
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,197.05882353,36.811764706,27.148823529,27.422941176
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3825,0.17,0.0462169935,0.0362326797,0.0362326797
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1470,1.9758367347,0.1343469388,0.0979251701,0.0979251701
1023147675,BUCKINGHAM,ROBERT,,M D,M,I,115 PIRIE RD,STE D,OJAI,CA,93023,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,88.956521739,33,24.745217391,24.745217391
1023147717,GUERRERO,DAVID,A,M.D.,M,I,2210 E COMPTON BLVD,,COMPTON,CA,902213556,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,32,69.873125,8.32,6.1134375,6.1134375
1023147717,GUERRERO,DAVID,A,M.D.,M,I,2210 E COMPTON BLVD,,COMPTON,CA,902213556,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,13,13.853076923,1.42,1.0323076923,1.0323076923
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,18,1085,5.6676036866,2.27,1.5408571429,1.5408571429
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,2280,4.7342105263,2.04,1.5364078947,1.5364078947
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1851,18.728444084,7.88,5.2993895192,5.2993895192
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,47,23.195744681,10.93,8.204893617,8.204893617
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,25,91,14.461318681,7.01,4.892967033,5.2234065934
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,8,12,45,45,25.961555556,10.139111111,6.5526666667,6.5148888889
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,8,,35,35,205.58514286,58.851142857,39.105428571,33.375428571
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,6,,22,22,157.47863636,57.173181818,37.374545455,30.625909091
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,24,40,17.0065,3.18,2.3755,2.1445
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,1270.34,431.20846154,327.03307692,327.03307692
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,6,12,14,36,496.29055556,196.825,154.31333333,103.94305556
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,13,22.340769231,13,10.196153846,9.4507692308
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,18,18,55.343333333,21.253888889,14.207222222,12.367222222
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,8,11,45,45,91.180666667,36.250444444,27.580666667,21.636222222
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,31,16.064516129,8.29,6.0806451613,5.8561290323
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,5,14,16,57,105.81192982,44.187719298,34.643157895,34.643157895
1023147873,KIRKSEY,KENESHIA,M,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,6,17,24,118,32.822542373,15.253898305,10.079152542,10.078983051
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,14,39,489,46.531615542,19.660552147,15.132556237,15.132556237
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,14,41,1305,5.6873563218,2.6344827586,1.9702068966,1.9702068966
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,84,238,619,3061,76.625873897,8.32,5.7866710225,5.7866710225
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,12,23,23,14.234782609,3.38,2.4195652174,2.4195652174
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,14,15,15,20.460666667,2.12,1.4473333333,1.4473333333
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,58,125,251,622,15.729646302,1.42,1.0035048232,1.0035048232
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,644.81333333,361.182,283.166,283.166
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,52,3440,15.473627907,10.502244186,8.2169331395,8.2169127907
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,33,150,150,449.94013333,251.0736,196.84146667,196.86986667
1023148939,GOPAN,THOTTATHIL,V,MD,M,I,761 45TH AVE,STE110,MUNSTER,IN,463212893,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,29,29,29,500.99827586,240.54482759,183.39275862,199.77034483
1023149069,CARROLL,NIAMH,A,M.D.,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,37,73.497837838,8.32,6.5221621622,6.5221621622
1023149101,REISENAUER,KIMBERLY,W,P.A.,F,I,325 BROAD ST,SUITE 100,SUMTER,SC,291504167,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,22,38,69.081842105,8.32,6.1789473684,6.1789473684
1023149101,REISENAUER,KIMBERLY,W,P.A.,F,I,325 BROAD ST,SUITE 100,SUMTER,SC,291504167,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,81.176470588,24.473529412,19.19,13.911764706
1023149440,HUMPHRIES,SIMON,A,MD,M,I,811 ALTOS OAKS DR,SUITE 2,LOS ALTOS,CA,940245426,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,42,77.328333333,8.32,6.5221428571,6.5221428571
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,30,306,306,306,1447.0728105,1317.0150654,1020.5234967,877.52130719
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,207,210,401,887.79738155,861.68740648,670.99234414,673.12374065
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,109,109,183,481.87644809,455.5,354.97601093,353.06098361
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L2210,"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,100,70.01,54.89,54.435
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,219,219,424,111.0245283,105.48971698,82.703349057,88.815448113
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,27,587.86888889,443.5262963,346.84037037,346.96925926
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,62,62,98,559.93469388,470.83122449,368.33071429,365.69785714
1023150422,COLEMAN,ANGELA,H,M.D.,F,I,1035 RED BUD RD NE,,CALHOUN,GA,307016010,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,182,182,182,831.51417582,729.35241758,568.13697802,565.83247253
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,31,52,159,69.530691824,8.32,5.8263522013,5.8263522013
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,20,27,14.362592593,1.42,1.0333333333,1.0333333333
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,100,10.1147,2.05,1.6065,1.5938
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,26,49.985,17.337692308,13.593076923,13.539615385
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,218.11,84.63,66.3525,66.6275
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,41.272307692,4.5107692308,3.5315384615,3.6284615385
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,155.98,29.81,17.5275,17.535
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,75,75,242.98853333,73.895733333,56.437333333,53.1152
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,61.96,39.8164,30.0588,28.236
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1860,1.6940322581,0.1321612903,0.0948333333,0.0948333333
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.289166667,36.83,26.111666667,26.763333333
1023150794,SHEA,ELENA,S,MD,F,I,1298 W FINNIE FLAT RD,,CAMP VERDE,AZ,863225958,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,88,33,22.995555556,22.995555556
1023151313,WORDLAW-WATKINS,SANDRA,,M.D.,F,I,1720 PHOENIX BLVD,,COLLEGE PARK,GA,303495594,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,46,62.13326087,8.1634782609,5.1226086957,5.2452173913
1023151313,WORDLAW-WATKINS,SANDRA,,M.D.,F,I,1720 PHOENIX BLVD,,COLLEGE PARK,GA,303495594,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,6.6536363636,1.09,0.7727272727,0.8754545455
1023151313,WORDLAW-WATKINS,SANDRA,,M.D.,F,I,1720 PHOENIX BLVD,,COLLEGE PARK,GA,303495594,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2175,0.17,0.0462068966,0.0336827586,0.0336827586
1023151313,WORDLAW-WATKINS,SANDRA,,M.D.,F,I,1720 PHOENIX BLVD,,COLLEGE PARK,GA,303495594,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1023151685,PARK,DAN,D,DPM,M,I,3231 S NATIONAL AVE,SUITE 160,SPRINGFIELD,MO,658077304,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,320.87,251.28,190.5016129,211.11451613
1023151735,JURIANSZ,GORDON,J,M.D.,M,I,1611 BRYDEN LN,,SANTA ROSA,CA,954043644,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,57,73,41.127671233,18.090273973,12.016575342,12.309863014
1023151735,JURIANSZ,GORDON,J,M.D.,M,I,1611 BRYDEN LN,,SANTA ROSA,CA,954043644,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,18,18.106666667,9.8583333333,7.7338888889,7.4272222222
1023152378,HWANG,IVAN,P,MD,M,I,3747 SUNSET LN,,ANTIOCH,CA,945096101,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,93.955833333,80.83,58.089166667,48.4
1023153152,JASPER,KATHRYN,S,FNP,F,I,19 MEDICAL LOOP,SUITE 3,WHITLEY CITY,KY,42653,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,33.369411765,21.115882353,13.921176471,11.142352941
1023153152,JASPER,KATHRYN,S,FNP,F,I,19 MEDICAL LOOP,SUITE 3,WHITLEY CITY,KY,42653,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,14,7.9045454545,6.1945454545,3.6854545455
1023153152,JASPER,KATHRYN,S,FNP,F,I,19 MEDICAL LOOP,SUITE 3,WHITLEY CITY,KY,42653,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,179,92.5192,65.7836,50.0012
1023154234,SEARLS,GWYNNE,L,PA,F,I,140 BROOKWOOD RD,SUITE 201,ORINDA,CA,945633042,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,85.375238095,8.32,5.8995238095,5.8995238095
1023154937,STUGENSKY,KAREN,M,RPA-C,F,I,5141 BROADWAY,ALLEN PAVILION,NEW YORK,NY,100341159,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,21,47,11400,4.6722815789,0.5681684211,0.4454438596,0.4454438596
1023154937,STUGENSKY,KAREN,M,RPA-C,F,I,5141 BROADWAY,ALLEN PAVILION,NEW YORK,NY,100341159,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,11,22,4166,0.122018723,0.012794047,0.0100456073,0.0100456073
1023154937,STUGENSKY,KAREN,M,RPA-C,F,I,5141 BROADWAY,ALLEN PAVILION,NEW YORK,NY,100341159,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,6480,4.3575216049,1.0518148148,0.8246080247,0.8246080247
1023154937,STUGENSKY,KAREN,M,RPA-C,F,I,5141 BROADWAY,ALLEN PAVILION,NEW YORK,NY,100341159,US,Physician Assistant,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,5040,5.0709305556,2.9101904762,2.2531210317,2.2531210317
1023154937,STUGENSKY,KAREN,M,RPA-C,F,I,5141 BROADWAY,ALLEN PAVILION,NEW YORK,NY,100341159,US,Physician Assistant,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,1,12,12,12,50,50,39.2,39.2
1023154937,STUGENSKY,KAREN,M,RPA-C,F,I,5141 BROADWAY,ALLEN PAVILION,NEW YORK,NY,100341159,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,21,44,44,24,24,18.82,18.82
1023154937,STUGENSKY,KAREN,M,RPA-C,F,I,5141 BROADWAY,ALLEN PAVILION,NEW YORK,NY,100341159,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,20,53,68,16,16,12.54,12.54
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,98,39.266734694,7.8518367347,5.7566326531,6.0445918367
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,1800,1.4647166667,0.4988833333,0.3511888889,0.3511888889
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,6.6998333333,2.59275,2.0327083333,2.0327083333
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,63,314,42697,2.8811590978,0.5639761576,0.4230449446,0.4236484999
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,53,232,54645,0.0864768963,0.0131166621,0.0095902644,0.0095902644
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,3300,1.9724666667,0.7357,0.5500454545,0.5500454545
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,54,4936,2.606280389,1.1827329822,0.883034846,0.883034846
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,44,243,43908,4.4174241596,2.8154258905,2.1916655279,2.1960920561
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,4,,37,6480,10.357108025,8.4896481481,6.6137824074,6.613779321
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,67,344,344,24,24,18.222122093,18.222122093
1023155397,WEISS,ANDREW,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,75,495,590,16,16,12.127288136,12.127288136
1023156049,DVORKINA,ANZHELA,,M.D.,F,I,81 WILLOUGHBY ST FL 4,,BROOKLYN,NY,112015232,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,63,123,59.845934959,8.32,4.8445528455,4.8445528455
1023156049,DVORKINA,ANZHELA,,M.D.,F,I,81 WILLOUGHBY ST FL 4,,BROOKLYN,NY,112015232,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,36,41,33.248536585,1.42,0.8995121951,0.8995121951
1023156254,FANESTIL,BRADLEY,D,M.D.,M,I,4801 RIVERBEND RD STE 120B,,BOULDER,CO,803012613,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,24,87,77.45816092,8.32,5.0981609195,5.0981609195
1023156254,FANESTIL,BRADLEY,D,M.D.,M,I,4801 RIVERBEND RD STE 120B,,BOULDER,CO,803012613,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,12,66,8.5154545455,2.0484848485,1.46,1.446969697
1023156254,FANESTIL,BRADLEY,D,M.D.,M,I,4801 RIVERBEND RD STE 120B,,BOULDER,CO,803012613,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,51.625714286,17.882142857,13.35,12.907142857
1023156254,FANESTIL,BRADLEY,D,M.D.,M,I,4801 RIVERBEND RD STE 120B,,BOULDER,CO,803012613,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,31.604545455,24.781818182,25.501818182
1023156254,FANESTIL,BRADLEY,D,M.D.,M,I,4801 RIVERBEND RD STE 120B,,BOULDER,CO,803012613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,201,204,297.40073529,71.579411765,52.749117647,51.495343137
1023156254,FANESTIL,BRADLEY,D,M.D.,M,I,4801 RIVERBEND RD STE 120B,,BOULDER,CO,803012613,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,191.66666667,39.6,29.675277778,28.263611111
1023156254,FANESTIL,BRADLEY,D,M.D.,M,I,4801 RIVERBEND RD STE 120B,,BOULDER,CO,803012613,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39.6,31.05,29.65
1023156296,PETERS,ANNE,L,M.D.,F,I,5901 W OLYMPIC BLVD,#208,LOS ANGELES,CA,900364667,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,39,144,72.622013889,8.32,6.4313888889,6.4313888889
1023156296,PETERS,ANNE,L,M.D.,F,I,5901 W OLYMPIC BLVD,#208,LOS ANGELES,CA,900364667,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,20,14.015,1.42,1.115,1.115
1023156296,PETERS,ANNE,L,M.D.,F,I,5901 W OLYMPIC BLVD,#208,LOS ANGELES,CA,900364667,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,243.997,77.18,56.247,52.773
1023156296,PETERS,ANNE,L,M.D.,F,I,5901 W OLYMPIC BLVD,#208,LOS ANGELES,CA,900364667,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,66.375,33,21.019375,21.019375
1023156411,MA,SANDY,,M.D.,F,I,200 15TH AVE E,CMB D-317,SEATTLE,WA,981125260,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,19,31,64.090322581,8.32,4.2448387097,4.2448387097
1023156411,MA,SANDY,,M.D.,F,I,200 15TH AVE E,CMB D-317,SEATTLE,WA,981125260,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,10.948333333,1.42,0.6533333333,0.6533333333
1023156734,CULP,JEFFREY,A,M.D.,M,I,6727 PARKER FARM DRIVE,,WILMINGTON,NC,28405,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,11,44,200,37.272727273,26.675681818,26.675681818
1023156791,KEITH,DEBRA,,PA,F,I,237 S LOCUST,,NOWATA,OK,74048,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,52,78.552692308,8.32,6.02,6.02
1023157195,SHAH,VISHANT,,MD,M,I,2033 MEADOWVIEW LN,3RD FLOOR,KINGSPORT,TN,376607569,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50.34,34.123333333,32.445
1023157195,SHAH,VISHANT,,MD,M,I,2033 MEADOWVIEW LN,3RD FLOOR,KINGSPORT,TN,376607569,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,8.8025,3.5725,1.6883333333
1023157195,SHAH,VISHANT,,MD,M,I,2033 MEADOWVIEW LN,3RD FLOOR,KINGSPORT,TN,376607569,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,302.72727273,91.056363636,69.576969697,53.07030303
1023157195,SHAH,VISHANT,,MD,M,I,2033 MEADOWVIEW LN,3RD FLOOR,KINGSPORT,TN,376607569,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,100,41.607692308,32.622692308,29.512692308
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,45,128,57.006171875,8.32,5.9121875,5.9121875
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,11.923333333,3.38,2.5027777778,2.5027777778
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,29,40,12.9225,1.42,1.0865,1.0865
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,86.921818182,17.88,14.01,14.06
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,87.533076923,11.54,7.6576923077,7.7269230769
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,81,11.009876543,2.01,1.4602469136,1.4762962963
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,80.808823529,17.29,13.55,13.533529412
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,42.48,4.742,3.268,3.266
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,41,359.3297561,33.140487805,24.011463415,23.622439024
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,33,502.27909091,70.23,55.06,54.750909091
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,4136,0.1821179884,0.0463515474,0.0363418762,0.0363418762
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,110.81714286,21.56,14.865,12.370714286
1023157229,HAWKINS,MARK,D,M.D.,M,I,3221 W MAIN ST,,CLAREMONT,NC,286109692,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,32,125.8125,33,25.87,25.87
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,53,79,175,529,69.570415879,8.3003213611,5.9390548204,5.954536862
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,11.21,3.38,2.65,2.65
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,20.095454545,2.12,1.67,1.67
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,43,52,104,152,14.386447368,1.42,1.0345394737,1.0345394737
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,156.11090909,39.924545455,28.45,27.738181818
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,254.638,54.736,42.908,42.800666667
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,83.416153846,17.992307692,14.102307692,14.06
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,107,12.138971963,2.011588785,1.5779439252,1.591682243
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,19,19,106.51157895,52.620526316,38.447894737,36.124210526
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,251.42857143,33.403571429,24.425714286,24.142857143
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,42.723333333,40.8075,31.9925,54.965833333
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,307.3983871,77.18,60.358064516,55.689032258
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3966,0.3146192637,0.0466792738,0.0366011094,0.0366011094
1023157260,PATEL,RAJAN,H,M.D.,M,I,9301 GOLF RD,SUITE 302,DES PLAINES,IL,600161667,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,78,33,25.87,25.87
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,57,166,56.609216867,8.32,6.3265662651,6.3265662651
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,14.88,3.38,2.65,2.65
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,24.538461538,2.12,1.67,1.67
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,45,76,14.063289474,1.42,1.0857894737,1.0857894737
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,114.20214286,55.885714286,40.165714286,37.132142857
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,29,79.94,18,14.11,13.54
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,33.706190476,5.6952380952,4.0204761905,3.3795238095
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,53.4,10.38,8.13,8.26
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,49,378.34591837,90.01,69.503673469,53.986938776
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1470,15.653190476,9.6243061224,7.4582040816,7.4582040816
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,61,4790,1.251394572,0.132394572,0.100388309,0.100388309
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,38,2280,12.010986842,3.0088157895,2.2960087719,2.2960087719
1023157500,NOCHIMSON,ROSS,D,M.D.,M,I,4994 N UNIVERSITY DR,,LAUDERHILL,FL,333515748,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,75,75,113.65,33,25.180133333,25.180133333
1023157773,RAVICHANDRAN,SONAL,S,M.D.,F,I,510 E STATE ROAD 32,SUITE A,WESTFIELD,IN,460748767,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,58,149,59.887651007,8.32,6.0139597315,6.0139597315
1023157773,RAVICHANDRAN,SONAL,S,M.D.,F,I,510 E STATE ROAD 32,SUITE A,WESTFIELD,IN,460748767,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,18.463043478,1.42,1.12,1.12
1023158409,GILL,HARPAUL,S,MD,M,I,21212 NORTHWEST FWY,SUITE 515,CYPRESS,TX,774295884,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,22.336363636,17.505454545,20.555454545
1023158482,GAUTAM,ARCHANA,,MD,F,I,3500 HEALTHPLEX PKWY,SUITE 200,NORMAN,OK,730729738,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,42,96.398571429,18.885714286,14.479285714,13.215
1023158482,GAUTAM,ARCHANA,,MD,F,I,3500 HEALTHPLEX PKWY,SUITE 200,NORMAN,OK,730729738,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,48,63,457.02380952,82.477777778,63.698412698,53.861269841
1023158482,GAUTAM,ARCHANA,,MD,F,I,3500 HEALTHPLEX PKWY,SUITE 200,NORMAN,OK,730729738,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3739.3333333,2598.1166667,2036.9233333,2036.9233333
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,36,329,586,586,103.86889078,39.397047782,29.319522184,28.979795222
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,24,141,243,243,327.75773663,84.991728395,63.114691358,64.200288066
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,23,128,244,612,122.51416667,33.055816993,25.016372549,25.026977124
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,138,241,1291,66.470131681,18.716630519,13.864655306,13.743361735
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,19,111,195,1001,45.388411588,15.591418581,11.769070929,11.481098901
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,28,255,443,443,187.31979684,53.732911964,39.876410835,40.655620767
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,33,314,391,391,65.625089514,18.217468031,13.854143223,13.672122762
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,93,106,106,37.035849057,10.76245283,8.3566981132,8.0947169811
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,49,77,77,63.810909091,12.974155844,9.6674025974,8.707012987
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,35,366,648,3656,9.1754075492,2.0529978118,1.5553610503,1.540369256
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,65,77,77,20.259480519,6.0302597403,4.6268831169,4.5611688312
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,27,228,282,282,42.200035461,13.529929078,10.503829787,10.246702128
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,18,91,488,491,346.78672098,86.638268839,64.773788187,64.487983707
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,13,53,53,711.62830189,221.56830189,166.06754717,162.94245283
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,78,78,78,524.47923077,131.99012821,102.16730769,103.33474359
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,50,50,22.4402,13.0768,10.2528,10.4626
1023158730,ROBINSON,ANSTELLA,D,MD,F,I,401 QUARRY RD,SUITE 3301A,PALO ALTO,CA,943041419,US,Physician/Psychiatry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,79,394,395,334.26759494,32.308379747,23.974835443,24.031012658
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,46,133,387,69.463643411,8.32,5.6459689922,5.6459689922
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,30,41,14.338536585,1.42,0.9536585366,0.9536585366
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,73.446111111,20.956111111,14.771111111,12.045555556
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,44.570625,7.115625,5.578125,3.73
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,257.82,54.64,40.68125,25.65875
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,60,60,317.04866667,98.329166667,72.898,52.899666667
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,100.61928571,45.034285714,32.962142857,28.43
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,390,15.58,9.6431538462,7.4409487179,7.4409487179
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,2610,1.3604712644,0.1325402299,0.1018199234,0.1018199234
1023158961,BECKER,MARGARET,A,M.D.,F,I,115 4TH ST S,,GREAT FALLS,MT,594013618,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,121,33,24.911851852,24.911851852
1023159324,WINTER,CHRISTOPHER,R,O.D.,M,I,N63W23524 SILVER SPRING DR,BOX 144,SUSSEX,WI,530890144,US,Optometry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,55.4225,12.881666667,9.3466666667,8.3625
1023159324,WINTER,CHRISTOPHER,R,O.D.,M,I,N63W23524 SILVER SPRING DR,BOX 144,SUSSEX,WI,530890144,US,Optometry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,84,7.2528571429,2.1421428571,1.5675,1.4797619048
1023159324,WINTER,CHRISTOPHER,R,O.D.,M,I,N63W23524 SILVER SPRING DR,BOX 144,SUSSEX,WI,530890144,US,Optometry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,19,172.69894737,39.295789474,28.088947368,22.221578947
1023159431,KEISLER,MARK,S,M.D.,M,I,340 W BUTLER ST,,LEXINGTON,SC,290722606,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,63,63,63,77.453809524,76.922380952,60.30047619,52.173492063
1023159431,KEISLER,MARK,S,M.D.,M,I,340 W BUTLER ST,,LEXINGTON,SC,290722606,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,34,35,67,52.634328358,49.248507463,38.612985075,42.833134328
1023159431,KEISLER,MARK,S,M.D.,M,I,340 W BUTLER ST,,LEXINGTON,SC,290722606,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,43,44,83,72.76,67.76,53.13,54.09
1023159514,HALL,VIVIAN,M,"MSN, RN, BC, FNP",F,I,630 W 3RD ST,,MILAN,MO,635561076,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,519.51,106.38666667,79.751333333,72.681333333
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,32,39,59.312820513,8.32,6.0846153846,6.0846153846
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,25,35,83.638,19.269142857,14.713428571,13.260285714
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,14,18,42.503888889,7.0516666667,5.2566666667,3.3788888889
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,25,35,509.82371429,87.419714286,66.758857143,55.270857143
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,1620,2.8792037037,0.1402592593,0.1065493827,0.1065493827
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,420,8.6202380952,3.1150714286,2.2995952381,2.2995952381
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,65.115,24.583888889,19.274444444,16.664444444
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,115,33.75,26.46,22.89875
1023159522,HATHIARY,NELOPHER,,M.D.,F,I,8929 PARALLEL PKWY,,KANSAS CITY,KS,661121689,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,50.470588235,33,25.87,25.87
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,17,24,47,6.0638297872,0.51,0.3659574468,0.3659574468
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,90,263,695,40.576805755,8.32,5.1583165468,5.1583165468
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,33,90,90,14.836666667,3.38,2.2377777778,2.2377777778
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,43,61,61,18.926229508,2.12,1.4509836066,1.4509836066
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,69,153,254,12.414173228,1.42,0.9098425197,0.9098425197
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,7.75,6.44,4.8468181818,4.8468181818
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,6.5,5.54,3.9486363636,3.9486363636
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,150.14307692,49.815384615,36.461538462,28.144615385
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.5,3.04,2.1668181818,2.1668181818
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,80,10.36725,3.1725,2.354375,1.573125
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,187.5,65.817222222,51.602777778,39.145555556
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,52,22.130769231,7.2192307692,5.6592307692,4.5015384615
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,13.724615385,6.3430769231,4.6,3.2923076923
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,230.64777778,56.895,44.602777778,25.973333333
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,77.864545455,70.928181818,48.608181818,48.640909091
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,294,16.560909091,12.99,11.356363636
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,74,180.19040541,41.488378378,31.72027027,22.143783784
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,41,9432,0.2547232824,0.0459870653,0.0339026718,0.0339026718
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,670,0.7428656716,0.214761194,0.1645820896,0.1645820896
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,36,36,66.495555556,27.02,19.9825,13.48
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,203.11727273,146.19636364,110.85454545
1023159647,BINION-BROWN,KAREEN,,PA-C,F,I,104 RHODES AVE,,WINDSOR,NC,279839656,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,39,39,86.307692308,33,23.88,23.88
1023160223,DRASNIN,STEPHEN,L,MD,M,I,8720 14TH AVE S,,SEATTLE,WA,981084807,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,34,104,53.319038462,8.32,5.3560576923,5.3560576923
1023160223,DRASNIN,STEPHEN,L,MD,M,I,8720 14TH AVE S,,SEATTLE,WA,981084807,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,14.3845,1.42,1.1125,1.1125
1023160223,DRASNIN,STEPHEN,L,MD,M,I,8720 14TH AVE S,,SEATTLE,WA,981084807,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1500,0.88784,0.13644,0.07556,0.07556
1023160223,DRASNIN,STEPHEN,L,MD,M,I,8720 14TH AVE S,,SEATTLE,WA,981084807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,17.343636364,17.343636364
1023160363,CARSTENSEN,STEPHEN,W,DDS,M,I,636 120TH AVE NE,A204,BELLEVUE,WA,980053028,US,Oral Surgery (Dentist only),S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,3171.1764706,1384.81,1076.3758824,1076.3758824
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,13,37,463,47.287170626,19.657775378,14.496976242,14.496976242
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,12,35,1090,5.6107706422,2.6344954128,1.9595321101,1.9595321101
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,52,229,592,2798,70.77424589,8.3199035025,5.9888098642,5.9888849178
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,14.823529412,3.38,2.4941176471,2.4941176471
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,37,108,203,449,13.68,1.42,1.0024498886,1.0024498886
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,46,90.226086957,71.492173913,54.630434783,54.68173913
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,99,22.227373737,18.137373737,14.21979798,22.887979798
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,16,17,17,17,33.692941176,33.692941176,22.547058824,50.084705882
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,693.3573913,341.78347826,261.71869565,261.71869565
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,37,2720,16.819783088,10.875639706,7.7088345588,7.7088345588
1023160520,REID,TIMOTHY,S,MD,M,I,1010 N WASHINGTON ST,,JANESVILLE,WI,535481561,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,40,40,390.80475,251.11,196.87,196.87
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,85,63.089647059,8.32,5.9850588235,5.9850588235
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,24,14.286666667,1.42,0.9741666667,0.9741666667
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,30,27.45,21.52,22.178333333
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,12.5,10.93,8.57,8.57
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,852,8.28,8.28,6.4915375587,6.4915375587
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,222,8.41,8.41,6.5933333333,6.5933333333
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,102,102,102,137.63745098,44.063823529,34.545588235,36.157254902
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,24.2,4.38,3.43,3.6342857143
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25.63,7.4181818182,5.8118181818,7.0890909091
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,78,78,78,146.89,49.201794872,38.568205128,40.457820513
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,32.072307692,4.9184615385,3.8584615385,4.0630769231
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.28,8.25,5.2936363636,6.0063636364
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,18,90,90,134.38,51.111,38.794111111,37.730444444
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,128.98,48.179722222,37.520277778,38.3975
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,19,19,38,33.685,16.718421053,13.108157895,15.145526316
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,32,57.78,28.113125,22.0415625,22.605
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,49.02,21.43625,16.80125,18.171875
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,32,142,142,24.01,9.31,6.9379577465,8.5793661972
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,217.1,77.74,60.95,55.208461538
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,23,23,23,70.2,31.045217391,24.340434783,29.06826087
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,15,358.58,144.19,113.05,113.97933333
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1680,0.0824285714,0.01275,0.0081845238,0.0081845238
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,21,170,170,71.125588235,15.049823529,11.202941176,13.497411765
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,18,96,96,119.34,23.976458333,18.268958333,21.038333333
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,163.02,41.649090909,29.930909091,35.439090909
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,38,274,274,20.57,7.0073722628,5.2848905109,6.4448540146
1023160892,VEZZA,FRANK,R,M.D.,M,I,4 MINEOLA AVE,,ROSLYN HEIGHTS,NY,115771032,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,61.96,40.66,31.88,29.6048
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,35,993,31.067875126,3,2.3117724068,2.3265659617
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,19,332,5601,15.249880379,5.32,4.1593447599,4.1525406177
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,77,16408,0.869770234,0.3565114578,0.2795032911,0.2883294734
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,14,245,76014,0.7179291973,0.3071167153,0.2383546452,0.2404334728
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,8232,2.6225315841,1.0998663751,0.862303207,0.9374380466
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,16,31,31,138.65419355,29.68,23.27,23.27
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,136.12,59.9475,46.9975,37.5175
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,28.68,5,3.92,3.95
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,44.9,11.235,8.8075,8.815
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,295.33333333,10.9075,8.5575,8.2041666667
1023160983,MILTEER,WARREN,E,M.D.,M,I,1800 BLUEGRASS AVE,,LOUISVILLE,KY,402151130,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,487.41666667,216.3725,169.63,169.63
1023161478,KELLEY,JANET,M,MD,F,I,3838 N 1ST AVE STE C,,EVANSVILLE,IN,47710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,44,105,82.349047619,8.32,4.8441904762,4.8441904762
1023161478,KELLEY,JANET,M,MD,F,I,3838 N 1ST AVE STE C,,EVANSVILLE,IN,47710,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,16,14.945,1.42,0.84,0.84
1023161478,KELLEY,JANET,M,MD,F,I,3838 N 1ST AVE STE C,,EVANSVILLE,IN,47710,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,386.32133333,69.81,54.73,54.73
1023161619,MCDANIEL,ANNE-MARIE,E,M.D.,F,I,1066 S. GREEN VALLEY RD.,,WATSONVILLE,CA,95076,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,46,59.596304348,8.32,6.5215217391,6.5215217391
1023161684,GONZALEZ,ENRIQUE,J,M.D.,M,I,321 S MEDNIK AVE,,LOS ANGELES,CA,90022,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,43,89,71.316853933,8.32,5.7170786517,5.7170786517
1023161684,GONZALEZ,ENRIQUE,J,M.D.,M,I,321 S MEDNIK AVE,,LOS ANGELES,CA,90022,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,28,32,16.6434375,1.42,0.97875,0.97875
1023161775,MAYER,MICHAEL,S,O.D.,M,I,431 N IRWIN ST,,HANFORD,CA,932304425,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,153.07692308,76.728461538,60.154615385,53.724615385
1023161775,MAYER,MICHAEL,S,O.D.,M,I,431 N IRWIN ST,,HANFORD,CA,932304425,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,27,62.222222222,56.6,44.374814815,43.224074074
1023162187,JIAO,LU,,MD,F,I,301 S FAIR OAKS AVE,SUITE 300,PASADENA,CA,911052561,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,26,74.965,8.32,4.2634615385,4.2634615385
1023162492,SMITH,WILBURN,J,MD,M,I,740 S LIMESTONE,,LEXINGTON,KY,405360001,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,75,77.515066667,8.32,5.1313333333,5.1313333333
1023162492,SMITH,WILBURN,J,MD,M,I,740 S LIMESTONE,,LEXINGTON,KY,405360001,US,Physician/Pediatric Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,23,23,250.8726087,250.8726087,193.3773913,193.5626087
1023162732,GRAVES,RICHARD,M,M.D.,M,I,113 MEDICAL CIR,,SULPHUR SPRINGS,TX,754822138,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,130.868,70.895,55.582,40.573
1023162732,GRAVES,RICHARD,M,M.D.,M,I,113 MEDICAL CIR,,SULPHUR SPRINGS,TX,754822138,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,147.89777778,84.558333333,66.298333333,44.123888889
1023162732,GRAVES,RICHARD,M,M.D.,M,I,113 MEDICAL CIR,,SULPHUR SPRINGS,TX,754822138,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,62,53.2,41.71,44.416666667
1023163086,SLATER,AMANDA,I,M.D.,F,I,3020 14TH ST NW,,WASHINGTON,DC,200096865,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,56,61.503571429,8.32,5.43125,5.43125
1023163086,SLATER,AMANDA,I,M.D.,F,I,3020 14TH ST NW,,WASHINGTON,DC,200096865,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,24,17.400416667,1.42,1.0691666667,1.0691666667
1023163128,MILLER,DWIGHT,C,M.D.,M,I,110 IRVING ST NW,SUITE 4B1,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,22,16.497272727,16.497272727,12.930909091,13.496818182
1023163128,MILLER,DWIGHT,C,M.D.,M,I,110 IRVING ST NW,SUITE 4B1,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,22,78.47,78.47,61.52,55.038636364
1023163706,WINKLER,THOMAS,P,M.D.,M,I,5530 WISCONSIN AVE,SUITE #1455,CHEVY CHASE,MD,208154404,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,11,11,56.020909091,18.56,13.214545455,12.845454545
1023163706,WINKLER,THOMAS,P,M.D.,M,I,5530 WISCONSIN AVE,SUITE #1455,CHEVY CHASE,MD,208154404,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,14,80,6.765,2.196,1.45325,1.367625
1023163706,WINKLER,THOMAS,P,M.D.,M,I,5530 WISCONSIN AVE,SUITE #1455,CHEVY CHASE,MD,208154404,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,26,27,65.314814815,13.682592593,10.328148148,10.14037037
1023163706,WINKLER,THOMAS,P,M.D.,M,I,5530 WISCONSIN AVE,SUITE #1455,CHEVY CHASE,MD,208154404,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,51,59,191.20525424,31.164576271,23.160677966,23.526271186
1023164639,MEEUWSEN,MICHAEL,A,MD,M,I,711 N TAYLOR ST,,GUNNISON,CO,812302296,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,43.9325,17.2275,13.505,9.12
1023164639,MEEUWSEN,MICHAEL,A,MD,M,I,711 N TAYLOR ST,,GUNNISON,CO,812302296,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,6.3409090909,2.6463636364,1.9137878788,1.4484848485
1023164639,MEEUWSEN,MICHAEL,A,MD,M,I,711 N TAYLOR ST,,GUNNISON,CO,812302296,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,40,21.934,15.402666667,12.479333333
1023164639,MEEUWSEN,MICHAEL,A,MD,M,I,711 N TAYLOR ST,,GUNNISON,CO,812302296,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,39.1225,30.43
1023164639,MEEUWSEN,MICHAEL,A,MD,M,I,711 N TAYLOR ST,,GUNNISON,CO,812302296,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,13,74,74,220,96.187837838,69.150540541,50.586621622
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,66,184,477,67.163102725,8.32,5.4036268344,5.4036268344
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,26,27,14.317777778,3.38,2.2574074074,2.2574074074
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,22.403888889,2.12,1.3916666667,1.3916666667
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,34,73,119,16.251092437,1.42,0.9938655462,0.9938655462
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,34,31.087941176,28.46,21.653823529,21.653823529
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,5.54,5.54,4.34,4.34
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,51,64,12.3740625,10.928125,8.30078125,8.30078125
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,8,7,5.488,5.488
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,200,11.88,5.54,4.085,4.085
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,4,4,3.136,3.1578214286
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,7.5,7.33,5.7465,5.7465
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,39,6248,0.468553137,0.4384635083,0.3437548015,0.3437548015
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,24,78.44,71.096666667,53.14125,53.504583333
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,588,34.86,34.86,27.330255102,27.330255102
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,36,1384,8.3996531792,8.28,6.3684393064,6.3684393064
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,22,932,18.5,18.5,14.350064378,14.350064378
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,558,3.79,3.79,2.9712724014,2.9712724014
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,18,282,8.41,8.41,6.5933333333,6.5933333333
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,178,11.732247191,10.93,8.5691573034,8.5691573034
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,203,2.4,2.4,1.8815763547,1.8815763547
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,21,90,20.119,18.29,14.339333333,14.339333333
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,19,1648,0.45,0.45,0.352809466,0.352809466
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,14,32,4.180625,1.47,1.044375,1.044375
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,69,15.776811594,2.4853623188,1.9489855072,1.5931884058
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,397,6.200604534,3.08,2.200604534,2.1573551637
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,18,483,59.212608696,5.3160455487,4.167805383,4.163126294
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,10548,0.8558162685,0.3070212363,0.2380081532,0.2403450891
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,19,19,323.83947368,61.116842105,47.922105263,48.815263158
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,8,35,35,35,132.29771429,51.722857143,39.486285714,35.558857143
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,8,19,20,20,30.9725,16.3055,12.166,11.4895
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,12,49,49,154.3877551,56.035102041,42.489795918,39.763673469
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,97,104,63.414711538,17.29,12.247115385,12.23
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,13,63,67,33.413432836,5.2771641791,3.9368656716,3.6523880597
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,120.83333333,45.553333333,30.045,29.601666667
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,28.442258065,5.1067741935,3.8767741935,4.0625806452
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,43.4,11.9125,9.3465,8.963
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,30,11.15,5.8266666667,5.5066666667
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,47,329,341,473.25067449,71.625747801,49.198035191,47.834868035
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,61,171.24590164,38.112295082,27.093606557,26.724262295
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,14,14,14,107.15428571,38.45,30.14,29.454285714
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,2798,0.4240100071,0.0464010007,0.03538599,0.03538599
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,34,4348,1.6355703772,0.1353219871,0.0933854646,0.0933854646
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,28,121,121,67.755041322,19.979173554,12.695950413,11.736363636
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,90.5,27.9885,20.501,18.962
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,39,39,25.538461538,8.9212820513,6.8364102564,6.7464102564
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,143.58941176,37.44,26.760294118,26.923823529
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,,17,89,31.91011236,15.26,11.963932584,11.963820225
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,864.8188,182.6568,143.2036,140.2796
1023165289,RUDYK,MARY,K,M.D.,F,I,1709 S 16TH ST STE A,,WILMINGTON,NC,284016429,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,14,40,40,43.5,33,22.16825,22.16825
1023165321,DOUGLAS,DANNY,M,MD,M,I,800 E CHEVES ST,STE 420,FLORENCE,SC,295062650,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,15,30,4.662,1.47,0.9966666667,0.9966666667
1023165321,DOUGLAS,DANNY,M,MD,M,I,800 E CHEVES ST,STE 420,FLORENCE,SC,295062650,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,40,4.5842857143,3.0585714286,3.0571428571
1023165321,DOUGLAS,DANNY,M,MD,M,I,800 E CHEVES ST,STE 420,FLORENCE,SC,295062650,US,Physician/Allergy/ Immunology,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,13.94,11.148047619,8.7401111111,8.7401111111
1023165321,DOUGLAS,DANNY,M,MD,M,I,800 E CHEVES ST,STE 420,FLORENCE,SC,295062650,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,15,57,10702,0.3258596524,0.0467211736,0.0339637451,0.0339637451
1023165321,DOUGLAS,DANNY,M,MD,M,I,800 E CHEVES ST,STE 420,FLORENCE,SC,295062650,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,990,11.217727273,2.8936060606,2.2686060606,2.2686060606
1023165321,DOUGLAS,DANNY,M,MD,M,I,800 E CHEVES ST,STE 420,FLORENCE,SC,295062650,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,14,60,60,87.45,33,23.714166667,23.714166667
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,840,14.52,4.65,3.6456666667,3.2742380952
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,10971,2.0168170632,0.73,0.559245283,0.5061662565
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,43,43,93.6,59.37744186,42.907674419,35.19255814
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,127.9,66.33,49.488666667,32.881333333
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,30,31,84.369032258,64.781290323,44.981935484,30.3
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,178.38181818,43.125,30.096363636,31.275454545
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,45.3,14.995652174,10.715217391,14.025217391
1023165610,MOORE,JACOB,W,NP,M,I,550 S BERETANIA ST STE 601,,HONOLULU,HI,968132423,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,16.44,8.2211111111,5.7,6.2316666667
1023165685,PARIKH,VIPUL,V,M.D.,M,I,7051 HEATHCOTE VILLAGE WAY,SUITE 155,GAINESVILLE,VA,20155,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,26,57,177,65.964689266,8.32,5.8400564972,5.8400564972
1023165685,PARIKH,VIPUL,V,M.D.,M,I,7051 HEATHCOTE VILLAGE WAY,SUITE 155,GAINESVILLE,VA,20155,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,12.771764706,3.38,2.3382352941,2.3382352941
1023165685,PARIKH,VIPUL,V,M.D.,M,I,7051 HEATHCOTE VILLAGE WAY,SUITE 155,GAINESVILLE,VA,20155,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,31,48,15.444375,1.42,1.0220833333,1.0220833333
1023165685,PARIKH,VIPUL,V,M.D.,M,I,7051 HEATHCOTE VILLAGE WAY,SUITE 155,GAINESVILLE,VA,20155,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,154.92153846,38,29.79,30.49
1023165685,PARIKH,VIPUL,V,M.D.,M,I,7051 HEATHCOTE VILLAGE WAY,SUITE 155,GAINESVILLE,VA,20155,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,194.47,55,43.12,42.903333333
1023165685,PARIKH,VIPUL,V,M.D.,M,I,7051 HEATHCOTE VILLAGE WAY,SUITE 155,GAINESVILLE,VA,20155,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,114,10.305263158,2,1.5683333333,1.5904385965
1023165909,GOFF,LAURA,W,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,15,11.11,8.1122083333,8.1122083333
1023165909,GOFF,LAURA,W,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,12,76,5760,39.184668403,4.931625,3.8165868056,3.8165868056
1023165909,GOFF,LAURA,W,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,37.454545455,23.694545455,18.579090909,14.289090909
1023165909,GOFF,LAURA,W,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,12,50,50,24,24,18.82,18.82
1023165909,GOFF,LAURA,W,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,26,26,16,16,12.54,12.54
1023166139,LITTLE,JARROD,A,MD,M,I,401 E CHESTNUT ST,SUITE 710,LOUISVILLE,KY,402025700,US,Physician/Plastic and Reconstructive Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,336,108.03571429,3,2.3519940476,2.3676785714
1023166139,LITTLE,JARROD,A,MD,M,I,401 E CHESTNUT ST,SUITE 710,LOUISVILLE,KY,402025700,US,Physician/Plastic and Reconstructive Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,448,154.79910714,6.40375,5.0206696429,4.1636607143
1023166139,LITTLE,JARROD,A,MD,M,I,401 E CHESTNUT ST,SUITE 710,LOUISVILLE,KY,402025700,US,Physician/Plastic and Reconstructive Surgery,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,5303,12.597835188,1.0948142561,0.858333019,0.9435168772
1023166139,LITTLE,JARROD,A,MD,M,I,401 E CHESTNUT ST,SUITE 710,LOUISVILLE,KY,402025700,US,Physician/Plastic and Reconstructive Surgery,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,8182,3.0706746517,0.7559814226,0.5751539966,0.4998961134
1023166717,ROMAN,JOSEPH,J,MD,M,I,1602 ROCK PRAIRIE RD,SUITE 4880,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,40,132,61.387575758,8.1890909091,5.6148484848,5.6833333333
1023166840,MARK,DAVID,A,M.D.,M,I,10 WEST 4TH STREET,,HARDIN,MT,590341804,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,14,64,21.140714286,15.507857143,12.563571429
1023166840,MARK,DAVID,A,M.D.,M,I,10 WEST 4TH STREET,,HARDIN,MT,590341804,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,16,410,96.02375,71.548125,56.371875
1023166840,MARK,DAVID,A,M.D.,M,I,10 WEST 4TH STREET,,HARDIN,MT,590341804,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,345,0.2200289855,0.2197101449,0.1723478261,0.1723478261
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,26,63,797,48.628005019,19.654378921,14.37357591,14.37357591
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,25,59,1790,6.4027374302,2.6329608939,2.0294748603,2.0294748603
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,147,336,820,4121,68.802290706,8.318602281,5.9518806115,5.9529725795
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,20,40,40,13.72,3.38,2.58375,2.58375
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,20,27,27,20.795925926,2.12,1.6081481481,1.6081481481
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,92,149,279,674,14.814940653,1.42,1.0409050445,1.0409050445
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,14,85,85,742.69670588,346.18482353,268.03164706,268.03164706
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,27,2540,15.844996063,10.88696063,8.5353937008,8.5353937008
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,34,197,197,325.34857868,251.06964467,195.74888325,195.78045685
1023167004,SO,DANIEL,D,M.D.,M,I,2101 S ARLINGTON HEIGHTS RD,111,ARLINGTON HEIGHTS,IL,600054185,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,25,25,25,423.5492,264.16,207.1,207.1
1023167020,SLAUGHTER,MICHAEL,C,M.D.,M,I,536 BAY RD,SUITE 1,QUEENSBURY,NY,128041425,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,61,61,51.593934426,6.1442622951,4.3891803279,3.0162295082
1023167020,SLAUGHTER,MICHAEL,C,M.D.,M,I,536 BAY RD,SUITE 1,QUEENSBURY,NY,128041425,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,74.25,33,21.1425,21.1425
1023167095,EMIRU,MINGIZIEM,,MD,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,3870,3.4689457364,0.5720542636,0.4326795866,0.4326692506
1023167095,EMIRU,MINGIZIEM,,MD,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,4880,2.939227459,1.2676229508,0.9644077869,0.9644077869
1023167095,EMIRU,MINGIZIEM,,MD,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,2880,5.1421666667,2.9429166667,2.3072430556,2.3072430556
1023167095,EMIRU,MINGIZIEM,,MD,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,31,31,24,24,18.82,18.82
1023167095,EMIRU,MINGIZIEM,,MD,M,I,1133 MEDICAL DR,,TYLER,TX,757012130,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,55,56,16,16,12.54,12.54
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,61,235,558,66.762455197,8.32,5.5886200717,5.5886200717
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,18,13.623333333,3.38,2.65,2.65
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,29,69,97,14.542061856,1.42,1.0358762887,1.0358762887
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,42,75.468809524,71.56,56.105,56.105
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,116,29.836551724,29.19,22.885,22.886724138
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,123.125,17.389285714,12.224285714,12.606428571
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,335.79,50.8725,39.8875,38.265
1023167285,FLOYD,WINSTON,C,MD,M,I,400 NORTH FANT STREET,SUITE G,ANDERSON,SC,296215720,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,19,62.16,7.0494736842,5.5242105263,6.74
1023167525,IZUORA,KENNETH,E,MD,M,I,1701 W CHARLESTON BLVD,SUITE 200,LAS VEGAS,NV,891022325,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,14,157,33.313503185,19.64089172,15.072738854,15.088216561
1023167525,IZUORA,KENNETH,E,MD,M,I,1701 W CHARLESTON BLVD,SUITE 200,LAS VEGAS,NV,891022325,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,280,6.8567857143,2.6342857143,1.9924642857,1.9938571429
1023167525,IZUORA,KENNETH,E,MD,M,I,1701 W CHARLESTON BLVD,SUITE 200,LAS VEGAS,NV,891022325,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,41,151,538,67.215185874,8.32,6.2363197026,6.2363197026
1023167525,IZUORA,KENNETH,E,MD,M,I,1701 W CHARLESTON BLVD,SUITE 200,LAS VEGAS,NV,891022325,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.834545455,3.38,2.65,2.65
1023167525,IZUORA,KENNETH,E,MD,M,I,1701 W CHARLESTON BLVD,SUITE 200,LAS VEGAS,NV,891022325,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,23,56,133,13.04075188,1.42,1.0885714286,1.0885714286
1023167525,IZUORA,KENNETH,E,MD,M,I,1701 W CHARLESTON BLVD,SUITE 200,LAS VEGAS,NV,891022325,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,557.638,318.69,240.28533333,240.28533333
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,2980,0.39,0.13,0.0998724832,0.0998724832
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,3120,5.5420192308,2.04,1.5194775641,1.5194775641
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2260,9.764159292,6.17,4.837300885,5.5837300885
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,42,106,23.860283019,9.2783962264,5.7933018868,6.6589622642
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,445,18.898988764,9.8550561798,7.1759101124,7.1797752809
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,35,810,11.525506173,6.9987654321,4.7491728395,4.7491728395
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,56,1240,7.2445403226,4.0368548387,2.8964032258,2.8983467742
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,800,0.374175,0.265625,0.194975,0.194975
1023167798,LINK,BRIAN,A,M.D.,M,I,4140 W MEMORIAL RD,SUITE 518,OKLAHOMA CITY,OK,731208366,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,825,0.5332727273,0.26,0.2038787879,0.2106909091
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,64,188,448,60.492633929,8.3135714286,5.9564732143,5.9615178571
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,15.666666667,3.38,2.4733333333,2.4733333333
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,23.271818182,2.12,1.67,1.67
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,19,44,50,17.11,1.42,1.0284,1.0284
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,15,7.9766666667,7.9266666667,6.2133333333,10.813333333
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,48,11.708958333,6.34,4.34875,5.145
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,43,62,62,90.852903226,49.077741935,37.605,30.244516129
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,15,29,5.4293103448,2.155862069,1.5148275862,1.0410344828
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,36,54,54,264.67148148,122.86888889,92.267777778,69.362777778
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,26,40,61,96.146557377,46.584098361,35.659836066,28.028688525
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,21,81,69.124691358,25.953950617,18.369876543,12.975185185
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,14,29,102,45.598431373,20.607058824,14.844411765,10.926568627
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,35,57,57,183.06140351,74.923859649,53.335438596,38.803859649
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,68,88,88,58.479545455,24.905795455,18.282272727,13.649545455
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,27,27,59.40962963,21.375185185,15.637777778,8.9637037037
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,61,90,381,7.9027296588,3.1418897638,2.3847244094,1.6285301837
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,19.566428571,8.635,6.4035714286,4.5864285714
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,43,50,50,33.2594,15.6274,12.022,10.188
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,183,70.417272727,55.209090909,38.434545455
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,78.67516129,21.699032258,15.085806452,12.172580645
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,19,81,81,41.83,17.666049383,11.99345679,8.7197530864
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,53,53,28.839622642,7.689245283,5.0726415094,2.8683018868
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,26,149,149,221.99865772,48.914228188,34.993758389,23.09738255
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,133,133,471.88451128,101.4,76.285037594,52.922932331
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,34,10401,0.2177396404,0.0462753581,0.0321305644,0.0321305644
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,16,72,7120,1.9355224719,0.1334044944,0.092886236,0.092886236
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,56,168.11428571,44.34,34.178214286,29.115714286
1023168028,KOPP,BETHEL,,M.D.,F,I,601 ROSARY DR,,CORNING,IA,508411683,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,20,99,99,46.242424242,33,22.788888889,22.788888889
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,47,208,411,44.742214112,8.32,5.822919708,5.822919708
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,28,94,94,14.469680851,1.42,1.0008510638,1.0008510638
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,840,8.4110238095,2.6205,1.9051666667,1.9051666667
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,3930,4.321648855,0.5654020356,0.4086412214,0.4086361323
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,28,4200,0.1938095238,0.0127857143,0.009247619,0.009247619
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,2400,2.0896666667,0.741825,0.5816041667,0.5816041667
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,4500,3.5472688889,1.34612,0.9990355556,0.9990355556
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,4.6521666667,2.8438181818,2.229530303,2.229530303
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,58,58,24,24,17.846551724,17.846551724
1023168127,CORRY,DALILA,B,M.D.,F,I,18433 ROSCOE BLVD,SUITE 212,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,44,68,16,16,12.172352941,12.172352941
1023168481,GRAVES,TERRY,S,M.D.,M,I,2500 N MAYFAIR RD,SUITE 220,WAUWATOSA,WI,532261409,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,4.1392307692,3.2392307692,3.8969230769
1023168820,CHUNG,SHING,C,MD,F,I,2025 MORSE AVE,,SACRAMENTO,CA,958252115,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,185,22.259675676,13.059027027,10.238378378,10.294
1023168820,CHUNG,SHING,C,MD,F,I,2025 MORSE AVE,,SACRAMENTO,CA,958252115,US,Physician/Family Practice,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,130,635.61,268.44,210.45576923,210.45576923
1023168820,CHUNG,SHING,C,MD,F,I,2025 MORSE AVE,,SACRAMENTO,CA,958252115,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,130,40.307692308,9.35,7.33,7.33
1023168820,CHUNG,SHING,C,MD,F,I,2025 MORSE AVE,,SACRAMENTO,CA,958252115,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,130,176.34615385,29.22,22.908538462,22.908538462
1023168879,HOLZER,DIANE,R,PA-C,F,I,6 B STREET,,POINT REYES STATION,CA,94956,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,23,90.08,8.32,1.0004347826,1.0004347826
1023169026,GRAVES,SCOTT,A,M.D.,M,I,2337 W MOUNT MORRIS RD,,MOUNT MORRIS,MI,484588256,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,110,26.896363636,8.32,6.1665454545,6.1665454545
1023169026,GRAVES,SCOTT,A,M.D.,M,I,2337 W MOUNT MORRIS RD,,MOUNT MORRIS,MI,484588256,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.9281818182,3.97,2.7064090909,2.7064090909
1023169026,GRAVES,SCOTT,A,M.D.,M,I,2337 W MOUNT MORRIS RD,,MOUNT MORRIS,MI,484588256,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,13,3.93,2.8009090909,2.9543333333
1023169026,GRAVES,SCOTT,A,M.D.,M,I,2337 W MOUNT MORRIS RD,,MOUNT MORRIS,MI,484588256,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7029,0.7042253521,0.31,0.2357746479,0.2357746479
1023169240,ROSENFIELD,JOSHUA,T,M.D.,M,I,9 LAW ST,,W COXSACKIE,NY,121921300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,33,72,73.808472222,8.32,4.4820833333,4.4820833333
1023169240,ROSENFIELD,JOSHUA,T,M.D.,M,I,9 LAW ST,,W COXSACKIE,NY,121921300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,71.343333333,46.038333333
1023169323,DECHRISTOPHER,MADONNA,L,CNP,F,I,3000 MACK RD,,FAIRFIELD,OH,450145335,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,80,17.36,13.01826087,12.951304348
1023169323,DECHRISTOPHER,MADONNA,L,CNP,F,I,3000 MACK RD,,FAIRFIELD,OH,450145335,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,40,41,30.509756098,5.2356097561,4.007804878,3.5687804878
1023169323,DECHRISTOPHER,MADONNA,L,CNP,F,I,3000 MACK RD,,FAIRFIELD,OH,450145335,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,400,79,59.246956522,52.350434783
1023169349,CRANE,STEPHANIE,L,M.D.,F,I,1700 W VAN BUREN ST,SUITE 500,CHICAGO,IL,606123218,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,21,42,114,70.878859649,8.32,6.2361403509,6.2361403509
1023169349,CRANE,STEPHANIE,L,M.D.,F,I,1700 W VAN BUREN ST,SUITE 500,CHICAGO,IL,606123218,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,32,49,15.62244898,1.42,1.0006122449,1.0006122449
1023169786,NEILL,DAVID,C,OD,M,I,516 DIVISION ST,SUITE 120,CEDAR FALLS,IA,506132382,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,63,63,63,65,63.86,49.077936508,51.252539683
1023169786,NEILL,DAVID,C,OD,M,I,516 DIVISION ST,SUITE 120,CEDAR FALLS,IA,506132382,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,48,57.5,50.69,39.74,42.764166667
1023169786,NEILL,DAVID,C,OD,M,I,516 DIVISION ST,SUITE 120,CEDAR FALLS,IA,506132382,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,42,84,72.5,62.09,45.15797619,49.746785714
1023170040,CUMMINGS,ROBERT,D,M.D.,M,I,1017 FM 105,,EVADALE,TX,776150130,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,49,51.369591837,8.32,5.7248979592,5.7248979592
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,43,8.19,2.1190697674,1.5430232558,1.108372093
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,43.562307692,22.212307692,14.424615385,10.756153846
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1048.7,810.22416667,830.30416667
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,50.73,6.7523529412,4.2952941176,2.6505882353
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,62,413.23225806,100.30870968,71.513064516,48.168387097
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,15.078235294,9.6446470588,7.5386764706,7.5386764706
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,7050,0.17,0.0459801418,0.0293361702,0.0293361702
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,720,0.75,0.2193611111,0.1470416667,0.1470416667
1023170305,BRISCOE,KATINA,,APN,F,I,400 HIGHWAY 64 E,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,49,127.95918367,33,24.286122449,24.286122449
1023170610,ARAKAKI,MELANIE,R,MD,F,I,670 PONAHAWAI ST,STE 216 HILO FAMILY MEDICINE,HILO,HI,967202660,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,42,80.491190476,8.32,5.59,5.59
1023170610,ARAKAKI,MELANIE,R,MD,F,I,670 PONAHAWAI ST,STE 216 HILO FAMILY MEDICINE,HILO,HI,967202660,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,120.92,48.48,22.425833333,18.0375
1023170610,ARAKAKI,MELANIE,R,MD,F,I,670 PONAHAWAI ST,STE 216 HILO FAMILY MEDICINE,HILO,HI,967202660,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,126.28,45.6225,23.661666667,18.811666667
1023170610,ARAKAKI,MELANIE,R,MD,F,I,670 PONAHAWAI ST,STE 216 HILO FAMILY MEDICINE,HILO,HI,967202660,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,21,82,6.156097561,2.496097561,1.3351219512,1.0929268293
1023170610,ARAKAKI,MELANIE,R,MD,F,I,670 PONAHAWAI ST,STE 216 HILO FAMILY MEDICINE,HILO,HI,967202660,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,205.8,41.256666667,17.360666667,13.445333333
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,32,99,69.000808081,8.32,5.7316161616,5.7316161616
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,23,12.87826087,1.42,1.0182608696,1.0182608696
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,47.7575,18,14.11,13.54
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,450.95,80.4,63.03,54.73
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,24,157.655,39.82,31.22,29.590833333
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6507692308,7.5517051282,7.5517051282
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0431538462,2.3858589744,2.3858589744
1023171014,MORRIS,RAY,,MD,M,I,3465 SO 4155 W SUITE #2,,WEST VALLEY CITY,UT,841202082,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1023171055,LEHAN,CATHERINE,M,NP,F,I,6 TSIENNETO RD,SUITE 300,DERRY,NH,03038,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,86,209,795,75.849823899,8.32,5.8773459119,5.8773459119
1023171055,LEHAN,CATHERINE,M,NP,F,I,6 TSIENNETO RD,SUITE 300,DERRY,NH,03038,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,41,78,145,15.180137931,1.42,1.0074482759,1.0074482759
1023171055,LEHAN,CATHERINE,M,NP,F,I,6 TSIENNETO RD,SUITE 300,DERRY,NH,03038,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,19.586666667,19.586666667,15.354166667,46.823333333
1023171162,ALCOCER,VICTOR,H,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,3.16,0.51,0.4,0.4
1023171162,ALCOCER,VICTOR,H,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,46,141,422,61.664526066,8.32,6.0432227488,6.0432227488
1023171162,ALCOCER,VICTOR,H,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,28,28,14.527857143,3.38,2.65,2.65
1023171162,ALCOCER,VICTOR,H,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,24.983333333,2.12,1.67,1.67
1023171162,ALCOCER,VICTOR,H,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,32,78,132,16.928787879,1.42,1.0806060606,1.0806060606
1023171162,ALCOCER,VICTOR,H,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,426.0864,70.85,55.55,54.7628
1023171162,ALCOCER,VICTOR,H,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,125.38461538,36,28.22,29.410769231
1023171360,TRUMP,JEFFREY,S,MD,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,28,92,56.092826087,8.32,5.6714130435,5.6714130435
1023171360,TRUMP,JEFFREY,S,MD,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.470769231,3.38,2.2423076923,2.2423076923
1023171360,TRUMP,JEFFREY,S,MD,M,I,3752 TEAYS VALLEY RD,,HURRICANE,WV,255269705,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,10.7775,1.42,1.046875,1.046875
1023171501,JANDALI,AMER,A,M.D.,M,I,23110 ATLANTIC CIR,SUITE A,MORENO VALLEY,CA,925535920,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,39,112,66.854375,8.32,2.9884821429,2.9884821429
1023171501,JANDALI,AMER,A,M.D.,M,I,23110 ATLANTIC CIR,SUITE A,MORENO VALLEY,CA,925535920,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,24,34,11.564411765,1.42,0.6241176471,0.6241176471
1023171501,JANDALI,AMER,A,M.D.,M,I,23110 ATLANTIC CIR,SUITE A,MORENO VALLEY,CA,925535920,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,8.845,1.46,0.9688461538,0.9788461538
1023171501,JANDALI,AMER,A,M.D.,M,I,23110 ATLANTIC CIR,SUITE A,MORENO VALLEY,CA,925535920,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,54.78,5.6,3.0206666667,2.4773333333
1023171501,JANDALI,AMER,A,M.D.,M,I,23110 ATLANTIC CIR,SUITE A,MORENO VALLEY,CA,925535920,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,79.127272727,59.286818182,52.913181818
1023171501,JANDALI,AMER,A,M.D.,M,I,23110 ATLANTIC CIR,SUITE A,MORENO VALLEY,CA,925535920,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,5175,0.17,0.0458125604,0.0293700483,0.0293700483
1023171501,JANDALI,AMER,A,M.D.,M,I,23110 ATLANTIC CIR,SUITE A,MORENO VALLEY,CA,925535920,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,31,102.09677419,33,23.146129032,23.146129032
1023171543,VINCI,LISA,M,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,124.26636364,87.074545455,60.468181818,57.773636364
1023171659,SIDDIQUI,AAMIR,,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,2160,0.3975092593,0.3967685185,0.2771851852,0.312162037
1023171659,SIDDIQUI,AAMIR,,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Plastic and Reconstructive Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,760,3.8893421053,3.67,2.8773157895,2.8773157895
1023171659,SIDDIQUI,AAMIR,,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,15,2460,0.1125609756,0.1125609756,0.0813455285,0.095203252
1023171725,JOYCE,ELIZABETH,,APRN,F,I,4643 B WAIMEA CANYON DRIVE,,WAIMEA,HI,96796,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,15,33,72.443333333,8.32,6.5218181818,6.5218181818
1023171949,DALTON,PATRICK,F,MD PC,M,I,230 W 17TH ST,7TH FLOOR,NEW YORK,NY,100115325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,90.1475,8.32,6.121875,6.121875
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,58,207,46.79826087,8.32,5.720531401,5.720531401
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,14.204210526,3.38,2.5105263158,2.5105263158
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,34,70,11.051857143,1.42,1.0658571429,1.0658571429
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,15.54,5.54,4.0093846154,4.0093846154
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,16.72,3.04,2.2001538462,2.2001538462
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,220,73,50.871111111,48.648888889
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,200,35,24.391111111,26.518888889
1023172061,BANJO,ABIMBOLA,M,"M.D.,",M,I,220 W GOODWIN ST,,PLEASANTON,TX,780644115,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,24.145333333,24.145333333
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,438.37538462,87.527692308,68.623846154,68.400769231
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,270.785,56.685,41.66,40.286875
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,18,18,77.750555556,17.878888889,13.228888889,13.221111111
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,25,25,87.3588,13.0952,9.852,8.8476
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,28,156,12.046538462,2.1580769231,1.6267307692,1.551474359
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,22,61.05,17,13.33,13.520909091
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,839.405,839.405
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,26.371666667,4.32,3.1283333333,3.3894444444
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,42,433.93571429,80,62.72,55.11047619
1023172087,MEENA,RAGAI,,M.D.,M,I,13340 METRO PKWY STE 400,,FORT MYERS,FL,339664818,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,35.91,28.16,29.51
1023172426,MARBLE,BENJAMIN,K,DPM,M,I,1619 N GREENWOOD ST,# 300,PUEBLO,CO,810032657,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,185,185,370,84.624,71.56,54.151378378,54.151297297
1023172426,MARBLE,BENJAMIN,K,DPM,M,I,1619 N GREENWOOD ST,# 300,PUEBLO,CO,810032657,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,124,124,744,34.515833333,29.19,22.842983871,22.844502688
1023172426,MARBLE,BENJAMIN,K,DPM,M,I,1619 N GREENWOOD ST,# 300,PUEBLO,CO,810032657,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,156,51.55,43.56,34.151602564,34.149935897
1023172426,MARBLE,BENJAMIN,K,DPM,M,I,1619 N GREENWOOD ST,# 300,PUEBLO,CO,810032657,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,29,863.68965517,448.81,345.70517241,380.75137931
1023172426,MARBLE,BENJAMIN,K,DPM,M,I,1619 N GREENWOOD ST,# 300,PUEBLO,CO,810032657,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,29,766.86206897,392.76,307.92517241,309.98586207
1023172426,MARBLE,BENJAMIN,K,DPM,M,I,1619 N GREENWOOD ST,# 300,PUEBLO,CO,810032657,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,30,202.6,105.08,82.385,70.481333333
1023172426,MARBLE,BENJAMIN,K,DPM,M,I,1619 N GREENWOOD ST,# 300,PUEBLO,CO,810032657,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,50,50,37.492142857,115.88464286
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,33,124,272,62.441654412,8.32,5.6688970588,5.6688970588
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,15.083636364,3.38,2.65,2.65
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,25,50,69,14.063043478,1.42,1.0014492754,1.0014492754
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43.22,33.89,37.63
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,6910,0.4479927641,0.0464399421,0.0340882779,0.0340882779
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,K0462,"Temporary replacement for patient owned equipment being repaired, any type",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,402.37,280.45333333,219.87916667,219.87916667
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,16,173,35.663352601,23.41,18.354104046,18.354104046
1023172558,GOMEZ,RAMON,,M.D.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,47.142857143,33,24.638095238,24.638095238
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,66,190,43.785473684,8.3102631579,6.1377894737,6.1454210526
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.198181818,3.38,2.65,2.65
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,22,53,9.1288679245,1.42,1.0722641509,1.0722641509
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,40,38.5965,19.14875,14.29775,13.76625
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,39,210.21692308,88.348205128,66.154871795,55.186410256
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,4048,0.3464006917,0.04680583,0.0250839921,0.0250839921
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,1469,1.844159292,0.1344111641,0.088162015,0.088162015
1023173077,ALBERTSON,BRIAN,K,M.D.,M,I,1263 HOSPITAL DR NW,SUITE 220,CORYDON,IN,471122172,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,73.965517241,33,19.646551724,19.646551724
1023173747,FORMAN,LEANNE,M,MD,F,I,"WESTCHESTER MEDICAL CENTER, GRASSLANDS ROAD",CEDARWOOD HALL OCCUPATIONAL HEALTH,VALHALLA,NY,10595,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,69.195,14.881111111,11.665,13.822777778
1023173747,FORMAN,LEANNE,M,MD,F,I,"WESTCHESTER MEDICAL CENTER, GRASSLANDS ROAD",CEDARWOOD HALL OCCUPATIONAL HEALTH,VALHALLA,NY,10595,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,20.57,6.6326315789,5.2015789474,6.4836842105
1023173895,ODELUGA,KANAYO,K,"MD, MPH",M,I,915 W CHICAGO AVE,,EAST CHICAGO,IN,46312,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,78.57,61.6,55.3025
1023173895,ODELUGA,KANAYO,K,"MD, MPH",M,I,915 W CHICAGO AVE,,EAST CHICAGO,IN,46312,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.9,28.93,29.461666667
1023173929,SOSLAND,RACHEL,H,MD,F,I,5701 W 119TH ST,430,OVERLAND PARK,KS,662093721,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,3707.8947368,2461.3731579,1922.1647368,1922.1647368
1023173952,FRECHETTE,DANIEL,B,MD,M,I,201 E NICOLLET BLVD,,BURNSVILLE,MN,553375714,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,304,78.49,61.53,54.73
1023173952,FRECHETTE,DANIEL,B,MD,M,I,201 E NICOLLET BLVD,,BURNSVILLE,MN,553375714,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,93,40.62,31.85,29.52
1023174596,HERMOGENES,PATRICIA,W,M.D.,F,I,13701 83RD AVE,1B,JAMAICA,NY,114351562,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,39,99,61.060606061,8.32,5.2043434343,5.2043434343
1023174596,HERMOGENES,PATRICIA,W,M.D.,F,I,13701 83RD AVE,1B,JAMAICA,NY,114351562,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,33,11.581212121,1.42,0.9448484848,0.9448484848
1023174620,TRYON,JAMES,R,M.D.,M,I,4123 MONTGOMERY BLVD NE,,ALBUQUERQUE,NM,871091102,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,19.29,11.73,9.19,10.82
1023174620,TRYON,JAMES,R,M.D.,M,I,4123 MONTGOMERY BLVD NE,,ALBUQUERQUE,NM,871091102,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,4.8541666667,2.04,1.5395708333,1.5395708333
1023174620,TRYON,JAMES,R,M.D.,M,I,4123 MONTGOMERY BLVD NE,,ALBUQUERQUE,NM,871091102,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,28.932307692,18.5,13.384615385,12.646153846
1023174745,HENRY,JEAN,G,M.D.,F,I,6 BUSINESS PARK DR,SUITE 304,BRANFORD,CT,064052988,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,52,277,69.65133574,8.32,6.2783032491,6.2783032491
1023174745,HENRY,JEAN,G,M.D.,F,I,6 BUSINESS PARK DR,SUITE 304,BRANFORD,CT,064052988,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,45,15.186888889,1.42,1.0637777778,1.0637777778
1023174745,HENRY,JEAN,G,M.D.,F,I,6 BUSINESS PARK DR,SUITE 304,BRANFORD,CT,064052988,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,740.34307692,343.20461538,269.07076923,269.07076923
1023174943,DAMPER,PATRICIA,D,MD,F,I,2315 E 93RD ST,SUITE 440,CHICAGO,IL,606173936,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,38,98,64.096122449,8.32,5.057755102,5.057755102
1023174943,DAMPER,PATRICIA,D,MD,F,I,2315 E 93RD ST,SUITE 440,CHICAGO,IL,606173936,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,24,31,15.628387097,1.42,0.9722580645,0.9722580645
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,105.85,71.56,56.105,56.105
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,669,8.28,8.28,6.4914947683,6.4914947683
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,711,18.5,18.5,14.503994374,14.503994374
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,11.92,8.7573333333,6.8653333333,7.4973333333
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,248.6,47.569130435,31.309565217,32.267391304
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,129.28,16.177647059,11.954117647,12.838235294
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,20.999375,8.35125,6.169375,6.286875
1023174950,GILANI,AHMED,Z,M.D.,M,I,700 CONGRESS STREET,SUITE 103,QUINCY,MA,02169,US,Physician/Internal Medicine,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,66,64.44,43.56,34.151666667,34.15
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,29,55,145,80.385241379,8.32,4.9928965517,4.9928965517
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,21,32,43,17.181627907,1.42,0.8306976744,0.8306976744
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,500.57727273,119.99181818,83.804545455,58.258181818
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,98.833846154,24.123076923,16.516153846,11.896923077
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,109.31111111,21.696666667,17.01,9.12
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,24,110,15.173090909,3.0918181818,2.2955454545,1.4772727273
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,105.39794118,20.594411765,13.951470588,11.717352941
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,20,232.35,59.441,46.6015,37.63
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,103,118,585.2959322,98.083559322,72.235169492,53.795932203
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,40,250,44.583,34.134,28.9565
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1569,0.2386551944,0.0481325685,0.0257042702,0.0257042702
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1380,1.1071086957,0.1357826087,0.1025144928,0.1025144928
1023175395,ELLIOTT,DAVID,H,M.D.,M,I,105 MILLS AVE STE 300,,LAS VEGAS,NM,877014169,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,91.666666667,33,22.311111111,22.311111111
1023175841,WEISER,FRED,E,OD,M,I,519 N PONTIAC TRL,,WALLED LAKE,MI,483903442,US,Optometry,S,V2784,"Lens, polycarbonate or equal, any index, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,21,27.5,27.5,21.56,35.725238095
1023176203,VISOIU,ADRIAN,,MD,M,I,3471 5TH AVE,KAUFMANN MEDICAL BLDG SUITE 500,PITTSBURGH,PA,152133215,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,56,65.809285714,8.32,6.5235714286,6.5235714286
1023176203,VISOIU,ADRIAN,,MD,M,I,3471 5TH AVE,KAUFMANN MEDICAL BLDG SUITE 500,PITTSBURGH,PA,152133215,US,Physician/Geriatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,138.46153846,36.761538462,28.82,27.587692308
1023176203,VISOIU,ADRIAN,,MD,M,I,3471 5TH AVE,KAUFMANN MEDICAL BLDG SUITE 500,PITTSBURGH,PA,152133215,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,292.5,77.5,57.611666667,52.084583333
1023176203,VISOIU,ADRIAN,,MD,M,I,3471 5TH AVE,KAUFMANN MEDICAL BLDG SUITE 500,PITTSBURGH,PA,152133215,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,36.26,28.43,29.51
1023176617,DELLAMATER,ERIC,T,APNP,M,I,731 CLAY ST,,DARLINGTON,WI,535301225,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,84.397272727,23.636363636,18.528181818,14.871818182
1023176617,DELLAMATER,ERIC,T,APNP,M,I,731 CLAY ST,,DARLINGTON,WI,535301225,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,79.033333333,17.577777778,12.068888889,8.7494444444
1023176617,DELLAMATER,ERIC,T,APNP,M,I,731 CLAY ST,,DARLINGTON,WI,535301225,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,16,1142,47.673082312,5.2224168126,4.0943870403,4.0943870403
1023176617,DELLAMATER,ERIC,T,APNP,M,I,731 CLAY ST,,DARLINGTON,WI,535301225,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,12,16,16,12.540833333,12.540833333
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,138,3006,3017,3017,1467.0217004,1064.2748757,815.76486245,865.17305602
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,18,150,135.79777778,106.46111111,102.50055556
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,29,358,358,394,919.28880711,705.44926396,550.73964467,488.73096447
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,87,783,872,1289,958.07350659,837.73782777,652.89080683,673.14207913
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,71,353,412,624,505.41168269,443.56541667,342.84275641,348.54264423
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,106,1129,1256,1723,126.8150029,108.44948346,84.327109692,88.028543239
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,37,38,72,50.949861111,48.21,35.175,35.676111111
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,26,26,26,109.43423077,94.495,74.088076923,78.595
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,103,623,637,866,529.53532333,452.24630485,349.32502309,359.32811778
1023176682,DECORSO,JOSEPH,A,MD,M,I,20 MONTREAL CT,,TOMS RIVER,NJ,087574121,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,104,679,698,698,856.39479943,696.77630372,541.34989971,563.13325215
1023176971,KOLAR,PETER,M,O.D.,M,I,404 MARKET ST,,NEKOOSA,WI,544571126,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,72.669230769,72.669230769,52.992307692,48.820769231
1023177052,MIDDLETON,ANGELA,D,M.D.,F,I,1800 GLENSIDE DR,SUITE 110,RICHMOND,VA,232263769,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,44,54.958409091,8.32,6.5218181818,6.5218181818
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,41,105,67.177047619,8.32,5.5277142857,5.5277142857
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,21,15.37,1.42,0.8,0.8
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,14,10.992857143,10.34,8.1014285714,8.535
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,7.7030769231,7.4538461538,5.845,5.85
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.5345454545,5.5345454545,4.3392272727,4.3435
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.0263636364,4.0263636364,3.1566363636,3.1595
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.27,0.27,0.2116,0.2116
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,545,52.990825688,3,2.3520550459,2.3651009174
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,4008,0.87,0.36,0.2822055888,0.2881337325
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,134.38,48.278461538,33.985,35.635769231
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,100.75,79.758333333,62.531666667,62.531666667
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,22,319.41045455,70,52.385454545,52.249090909
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,69.89,15.69,12.302666667,13.982666667
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,20.57,6.481875,4.771875,5.89625
1023177409,CAGGIA,JOSEPHINE,,DO,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,70.091764706,35,25.825882353,27.926470588
1023177573,BOGGAVARAPU,JAGADISH,,M.D.,M,I,7700 W VIRGINIA AVE,UNIT B,LAKEWOOD,CO,802263144,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,59.807407407,3.9733333333,3.0059259259,3.5077777778
1023177573,BOGGAVARAPU,JAGADISH,,M.D.,M,I,7700 W VIRGINIA AVE,UNIT B,LAKEWOOD,CO,802263144,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,5067,0.2990763766,0.0458121176,0.0359186896,0.0359186896
1023177573,BOGGAVARAPU,JAGADISH,,M.D.,M,I,7700 W VIRGINIA AVE,UNIT B,LAKEWOOD,CO,802263144,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,26,1560,13.091141026,2.9734615385,2.3312179487,2.3312179487
1023177573,BOGGAVARAPU,JAGADISH,,M.D.,M,I,7700 W VIRGINIA AVE,UNIT B,LAKEWOOD,CO,802263144,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,88.6875,33,25.87,25.87
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,129.245,71.56,56.105,56.105
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,107.40666667,29.19,22.885,22.885833333
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,578,4.86,4.86,3.8103114187,4.1442214533
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4976,0.63,0.6298733923,0.4649879421,0.4886053055
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,20,20,61.07,61.07,47.88,48.285
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,5.03,5.03,3.94,3.9495
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1020,0.92,0.1355882353,0.0956078431,0.0956078431
1023177607,MOSES,DEVADAS,S,"MD, FACP, DR.PH.",M,I,11340 MOUNTAIN VIEW AVE,SUITE B,LOMA LINDA,CA,923543858,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,21.558333333,21.558333333
1023178449,LIJOI,KATHERINE,,PA-C,F,I,16222 N 59TH AVE,SUITE A100,GLENDALE,AZ,853061705,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,29,83.714137931,8.32,6.5217241379,6.5217241379
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,85,2555,7.1808219178,4.97,3.8330019569,4.0817260274
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,60,26903,0.7772341375,0.38,0.2841880088,0.2770423373
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,12273,0.35,0.31,0.2233341481,0.2233341481
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,17,17,65.07,60.12,47.14,48.33
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,77,77,5.95,5.08,3.98,3.95
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,14,14,28,43.505714286,13.996428571,10.971071429,10.01
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,119,119,38.86605042,10.984285714,8.6114285714,8.8882352941
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0956,"Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,37,203.06324324,76.931891892,60.314594595,56.718918919
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0960,"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,172.689375,71.769375,56.266875,54.358125
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,19,19,37,124.78378378,27.22972973,21.348918919,22.561081081
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,41,256.6097561,53.648536585,42.059756098,40.903658537
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,21,21,21,106.85952381,24.10952381,18.837619048,19.365714286
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,89,90,38.362555556,10.484,8.2198888889,8.3062222222
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,123,123,457.87186992,216.50780488,168.5696748,168.5696748
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E2213,"Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,22,38.117272727,26.245454545,20.577272727,21.620454545
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,360,127.01,99.58,103.75272727
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,K0040,"Adjustable angle footplate, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,21,21,42,159.18142857,57.185714286,44.836428571,39.43452381
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,34,99.558235294,45.363529412,35.564705882,35.564705882
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,37.42,8.8725,6.9575,6.6941666667
1023178464,MARKOPOULOS,MICHAEL,N,M.D.,M,I,2683 VIA DE LA VALLE,G626,DEL MAR,CA,920141911,US,Physician/General Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,20,31,178,34.585786517,23.022696629,18.04988764,18.04988764
1023178522,KENNEDY,JOHN,,MD,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,76,73.182631579,8.32,5.5784210526,5.5784210526
1023178993,LITTLETON,RAY,H,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,18.59,18.02,14.13,14.13
1023178993,LITTLETON,RAY,H,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,3140,3.1357643312,2.04,1.5100573248,1.5100573248
1023178993,LITTLETON,RAY,H,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,19,11.27,10.93,8.57,8.57
1023178993,LITTLETON,RAY,H,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,17,6.85,6.61,5.1829411765,5.8105882353
1023179090,SCHOCK,THEODORE,K,D.O.,M,I,63 W GIBSON ST,,HARTWELL,GA,306431845,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,34,70.983529412,8.32,5.5626470588,5.5626470588
1023179090,SCHOCK,THEODORE,K,D.O.,M,I,63 W GIBSON ST,,HARTWELL,GA,306431845,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1023179090,SCHOCK,THEODORE,K,D.O.,M,I,63 W GIBSON ST,,HARTWELL,GA,306431845,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,105.57142857,8.9164285714,6.9885714286,4.3171428571
1023179090,SCHOCK,THEODORE,K,D.O.,M,I,63 W GIBSON ST,,HARTWELL,GA,306431845,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,75.474166667,50.169166667
1023179090,SCHOCK,THEODORE,K,D.O.,M,I,63 W GIBSON ST,,HARTWELL,GA,306431845,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,45.046363636,35.314545455,23.601818182
1023179207,WALKER,RANDALL,D,M.D.,M,I,827 S. MAGNOLIA BLVD,SUITE 6,MAGNOLIA,TX,77355,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,49,63.586122449,8.32,5.9902040816,5.9902040816
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,13,52,72.96,19.686153846,15.433846154,15.433846154
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,35,67,182,69.032967033,8.2654945055,5.152967033,5.1957142857
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,17.250909091,3.38,2.4090909091,2.4090909091
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,25,32,15.68125,1.42,0.63,0.63
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,3100,3.0691935484,2.04,1.5068064516,1.5068064516
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,20,20,112.5225,39.62,30.0925,29.5515
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,37,93.940810811,33.22,22.526216216,22.421891892
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,15,38,206,34.569271845,18.5,13.309902913,13.358300971
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,17,41,41,113.5502439,55.57,41.444634146,40.769268293
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,31,31,41.005483871,17.4,13.2,13.623548387
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,27,27,25.585185185,11.5,8.3518518519,8.4548148148
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,21,44,247,4.7682995951,2,1.4765182186,1.5001214575
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,47.605454545,12.82,10.05,10.322727273
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,60.75,45.56,35.72,35.129090909
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,53.231428571,17.32,10.671428571,10.638571429
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,21,21,100,50,37.333333333,35.838095238
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,261.32137931,34.620689655,24.704482759,24.499655172
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,302.62344828,76.58,57.96,52.833103448
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,232,35.6965,27.987,29.454
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,6760,33.530538462,9.8390769231,7.705510355,7.705510355
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,52,8.55,2.6369230769,2.0675,2.0675
1023180429,DEBROECK,JULIUS,A,MD,M,I,21212 NORTHWEST FWY,#225,CYPRESS,TX,774295884,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,33,33,24.348235294,24.348235294
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,44,142,335,75.104,8.32,6.0018507463,6.0018507463
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,17,12.441176471,3.38,2.65,2.65
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,53,72,14.976111111,1.42,1.0858333333,1.0858333333
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,157.85,32.75,25.676071429,25.892142857
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,74,10.831081081,2,1.4412162162,1.4632432432
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.29,5.23,3.3545454545,2.7654545455
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,35,36,185.585,30.995,24.3,25.263888889
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,373.78,75.43,56.086428571,51.677142857
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1388,0.4423270893,0.0452737752,0.0318227666,0.0318227666
1023180726,GALANTE,LORENZO,S,MD,M,I,2 BROADWAY,,NORTH HAVEN,CT,064732349,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,61,162,374,75.068903743,8.32,5.7082620321,5.7082620321
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,16.003157895,3.38,2.65,2.65
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,23.665833333,2.12,1.67,1.67
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,36,84,107,17.206635514,1.42,1.0022429907,1.0022429907
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,1.45,1.0404166667,1.0558333333
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,294.70666667,89.913333333,58.578333333,56.539166667
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,16,92,9.0711956522,2.1226086957,1.5588043478,1.4889130435
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.35,34.750833333,38.731666667
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,44.17,31.744166667,34.806666667
1023180932,DONLICK,ROBERT,C,D.O,M,I,210 CLAYTON AVENUE,,CLAYTON,DE,199381145,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,16.33,11.455833333,12.505
1023181047,SPEIL,NICOLETA,E,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,15,43,67.831395349,8.32,6.5218604651,6.5218604651
1023181062,GORDON,THOMAS,V,O.D.,M,I,195 ROOSEVELT TRAIL,,SOUTH CASCO,ME,040770200,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,18,70.388888889,68.52,53.72,52.911111111
1023181088,MAZHARUDDIN,FARKHUNDA,,MD,F,I,7311 N KENNETH AVE,,LINCOLNWOOD,IL,607121806,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,55.4675,50.16
1023181088,MAZHARUDDIN,FARKHUNDA,,MD,F,I,7311 N KENNETH AVE,,LINCOLNWOOD,IL,607121806,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2250,0.17,0.0462666667,0.0338222222,0.0338222222
1023181088,MAZHARUDDIN,FARKHUNDA,,MD,F,I,7311 N KENNETH AVE,,LINCOLNWOOD,IL,607121806,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,132,33,24.145333333,24.145333333
1023181450,MAKAR,GEORGE,A,MD,M,I,3400 CIVIC CENTER BLVD FL 4,,PHILADELPHIA,PA,191045127,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,265,11.704,11.028943396,8.6468301887,10.140830189
1023181450,MAKAR,GEORGE,A,MD,M,I,3400 CIVIC CENTER BLVD FL 4,,PHILADELPHIA,PA,191045127,US,Physician/Gastroenterology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,141,462.68,373.44,292.77595745,292.77595745
1023181450,MAKAR,GEORGE,A,MD,M,I,3400 CIVIC CENTER BLVD FL 4,,PHILADELPHIA,PA,191045127,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,147,18,9.35,7.33,7.33
1023181450,MAKAR,GEORGE,A,MD,M,I,3400 CIVIC CENTER BLVD FL 4,,PHILADELPHIA,PA,191045127,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,150,55.78,29.22,22.908533333,22.908533333
1023181468,BARRIOS,TOMAS,J,M.D.,M,I,311 33RD ST,,UNION CITY,NJ,070874701,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,25,82.644,8.32,4.6968,4.6968
1023181658,DUONG,PAUL,T,M.D.,M,I,9433 BOLSA AVE,SUITE # A,WESTMINSTER,CA,926835964,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,30,59,50.404915254,8.32,4.5316949153,4.5316949153
1023181658,DUONG,PAUL,T,M.D.,M,I,9433 BOLSA AVE,SUITE # A,WESTMINSTER,CA,926835964,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,20,25,18.3272,1.42,0.6704,0.6704
1023181864,SIMPSON,MARY,K,NP,F,I,7715 WOLF RIVER BLVD,,GERMANTOWN,TN,38138,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,26,68,166,65.339518072,8.32,5.7365060241,5.7365060241
1023181864,SIMPSON,MARY,K,NP,F,I,7715 WOLF RIVER BLVD,,GERMANTOWN,TN,38138,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,16.32,3.38,2.65,2.65
1023181864,SIMPSON,MARY,K,NP,F,I,7715 WOLF RIVER BLVD,,GERMANTOWN,TN,38138,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,28,43,13.968604651,1.42,1.1158139535,1.1158139535
1023181864,SIMPSON,MARY,K,NP,F,I,7715 WOLF RIVER BLVD,,GERMANTOWN,TN,38138,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5131,2.7012278308,0.3887078542,0.3047554083,0.2916468525
1023182011,RODRIGUEZ,ALEJANDRO,,M.D.,M,I,10710 CHARTER DR,SUITE 130,COLUMBIA,MD,210443128,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,32,4128,0.2685852713,0.13,0.092308624,0.092308624
1023182011,RODRIGUEZ,ALEJANDRO,,M.D.,M,I,10710 CHARTER DR,SUITE 130,COLUMBIA,MD,210443128,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,770,3.7236363636,2.27,1.7246493506,1.7246493506
1023182011,RODRIGUEZ,ALEJANDRO,,M.D.,M,I,10710 CHARTER DR,SUITE 130,COLUMBIA,MD,210443128,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,37,7110,4.3738396624,2.0199156118,1.5475485232,1.5632841069
1023182011,RODRIGUEZ,ALEJANDRO,,M.D.,M,I,10710 CHARTER DR,SUITE 130,COLUMBIA,MD,210443128,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,48,13.89125,10.93,8.5697916667,8.5697916667
1023182037,BORTMAN,JARED,S,MD,M,I,264 W MAPLE RD,SUITE 200,TROY,MI,480845458,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,371,275,5.5,4.2779784367,4.129245283
1023182037,BORTMAN,JARED,S,MD,M,I,264 W MAPLE RD,SUITE 200,TROY,MI,480845458,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5276,3.7063115997,0.39,0.2809457923,0.2665390447
1023182037,BORTMAN,JARED,S,MD,M,I,264 W MAPLE RD,SUITE 200,TROY,MI,480845458,US,Physician/Gastroenterology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,4.95,3.88,3.9436363636
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,65,223,483,62.665507246,8.32,5.1895652174,5.1895652174
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,29,47,49,15.520816327,1.42,0.7995918367,0.7995918367
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,4.1,4.05,2.8909090909,2.92
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,9.58,9.58,6.8728181818,6.8728181818
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,275,0.27,0.27,0.2116,0.2116
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,703,34.86,34.86,27.330312945,27.330312945
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,169,3.79,3.79,2.9715384615,2.9715384615
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,453,5.28,5.28,4.1396688742,4.1396688742
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,36,18.29,18.29,14.34,14.34
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,21,21,148.01333333,78.266666667,51.257142857,39.057619048
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,20,24,24,50.632083333,26.9375,18.76875,13.415
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,28,28,50.47,21.3775,15.300357143,9.6571428571
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,33,6.4296969697,3.386969697,2.4778787879,1.9812121212
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,17.022307692,8.3876923077,5.7861538462,4.2215384615
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,440,7.24,6.3469318182,4.6464318182,3.8599772727
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,8042,0.59,0.3851678687,0.2843272818,0.2263765233
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,46.116486486,22.384324324,16.497837838,13.043513514
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,35.5,18.101818182,13.140454545,11.187727273
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,125,51.289310345,36.352758621,28.086206897
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,98,98,331.37857143,103.00285714,76.186632653,52.999795918
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,44.745,32.344166667,27.6525
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,2970,1.7032592593,0.1357777778,0.0991144781,0.0991144781
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,60,23.648125,12.7375,8.633125
1023182110,OLSON,MARK,A,MD,M,I,1321 W DAKOTA PKWY,,WILLISTON,ND,588013807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,33,33,24.608695652,24.608695652
1023182532,CLARIN,ARNEL,V,M.D.,M,I,HENRY FORD HEALTH SYSTEM,1151 TAYLOR,DETROIT,MI,48202,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,76,51.315526316,8.32,5.8359210526,5.8359210526
1023182532,CLARIN,ARNEL,V,M.D.,M,I,HENRY FORD HEALTH SYSTEM,1151 TAYLOR,DETROIT,MI,48202,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,36,14.636111111,1.42,0.9905555556,0.9905555556
1023182730,BEEREL,ROY,M,M.D.,M,I,1370 WASHINGTON PIKE,SUITE 206,BRIDGEVILLE,PA,150172862,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,258.635,48.706666667,34.369166667,34.813333333
1023182730,BEEREL,ROY,M,M.D.,M,I,1370 WASHINGTON PIKE,SUITE 206,BRIDGEVILLE,PA,150172862,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,6.0218181818,4.7227272727,3.7718181818
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,35,164,165,165,1397.6012727,1270.8758788,975.37624242,865.50915152
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,37,37,67,840.9880597,734.21716418,567.75686567,472.75343284
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,32,152,154,282,987.36960993,843.86705674,654.72276596,670.81989362
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,30,126,131,223,526.69618834,453.24816143,350.94125561,349.61780269
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,34,183,187,342,127.42459064,105.93368421,80.439415205,86.230438596
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,110.1,91.27,71.56,79.51
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,71,72,104,514.49413462,461.12259615,354.01711538,357.88576923
1023182748,OWUSU,JACQUELINE,A,MD,F,I,710 CENTER ST,,COLUMBUS,GA,319011527,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,34,141,146,146,866.03424658,732.93650685,566.9480137,560.85
1023182763,SOOD,OM,P,MD,M,I,12675 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923955878,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,54,125,67.68296,8.32,5.89536,5.89536
1023182763,SOOD,OM,P,MD,M,I,12675 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923955878,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,20,13.7345,1.42,1.06,1.06
1023182763,SOOD,OM,P,MD,M,I,12675 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923955878,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,28,81.140714286,17,12.853928571,13.043214286
1023182763,SOOD,OM,P,MD,M,I,12675 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923955878,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.78,5.25,3.09,2.535
1023182763,SOOD,OM,P,MD,M,I,12675 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923955878,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,31,535.69645161,79.22,58.102903226,51.913225806
1023182763,SOOD,OM,P,MD,M,I,12675 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923955878,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3373,0.1798814112,0.0459590869,0.0327690483,0.0327690483
1023182763,SOOD,OM,P,MD,M,I,12675 HESPERIA RD,SUITE 101,VICTORVILLE,CA,923955878,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,24.022142857,24.022142857
1023182789,SULLIVAN,PATRICIA,L,APRN,F,I,608 WILLARD ST,,FRONTENAC,KS,667632120,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,20,54,48.966481481,8.0866666667,6.2183333333,6.3625925926
1023182789,SULLIVAN,PATRICIA,L,APRN,F,I,608 WILLARD ST,,FRONTENAC,KS,667632120,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,34,132.48529412,46.679705882,36.594411765,25.386176471
1023182888,BRUNO,RAYMOND,E,FNP,M,I,1337 S SAM HOUSTON BLVD,,HOUSTON,MO,654832046,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,58,71.129482759,8.32,6.5218965517,6.5218965517
1023183282,ALVAREZ,CARLOS,,PA,M,I,1801 16TH ST,SUITE A,BAKERSFIELD,CA,933015002,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,31,77,58.056493506,8.32,6.2694805195,6.2694805195
1023183282,ALVAREZ,CARLOS,,PA,M,I,1801 16TH ST,SUITE A,BAKERSFIELD,CA,933015002,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,14,27,16.001481481,1.42,1.0737037037,1.0737037037
1023183282,ALVAREZ,CARLOS,,PA,M,I,1801 16TH ST,SUITE A,BAKERSFIELD,CA,933015002,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,54.53,3.4723076923,2.7176923077,3.5069230769
1023183480,SCHWARTZ,ALAN,C,MD,M,I,2621 S BRISTOL ST,#307,SANTA ANA,CA,927045766,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,20,79.4415,8.32,4.568,4.568
1023183480,SCHWARTZ,ALAN,C,MD,M,I,2621 S BRISTOL ST,#307,SANTA ANA,CA,927045766,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,40.796666667,30.964166667,30.964166667
1023183522,GIL DE RUBIO,EDUARDO,,MD,M,I,202 N DIVISION ST,,AUBURN,WA,980014939,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.25,12.393333333,12.411666667
1023183522,GIL DE RUBIO,EDUARDO,,MD,M,I,202 N DIVISION ST,,AUBURN,WA,980014939,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,75.56,54.303333333,50.545
1023183571,CHUNG JAMES,OLIVE,V,MD,F,I,9275 SW 152ND STREET,SUITE 204,MIAMI,FL,33157,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1080,0.6010277778,0.567,0.4063888889,0.4063888889
1023183571,CHUNG JAMES,OLIVE,V,MD,F,I,9275 SW 152ND STREET,SUITE 204,MIAMI,FL,33157,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1260,1.3636111111,1.2864285714,0.9423015873,0.9423015873
1023183571,CHUNG JAMES,OLIVE,V,MD,F,I,9275 SW 152ND STREET,SUITE 204,MIAMI,FL,33157,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,16,16,12.54,12.54
1023183829,GARDNER,ROBERT,W,,M,I,6300 E. HWY 20,,LUCERNE,CA,95458,US,Family Medicine,T,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,47.464545455,37.210909091,37.210909091
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,269,483,483,71.07505176,41.416853002,31.454285714,29.704306418
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,14,44,101,4.4620792079,1.7975247525,1.3251485149,1.1099009901
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,38,2.4842105263,1.3384210526,0.9934210526,0.9128947368
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,63.692142857,16.025,12.565,9.5735714286
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,4,,21,29,2.4879310345,1.3482758621,0.9879310345,0.9406896552
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,195,369,369,205.25850949,97.723604336,71.182737127,63.091463415
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,184,395,827,77.506336155,36.746082225,27.81261185,25.09286578
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,112,214,942,44.578322718,20.44170913,15.439798301,14.083556263
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,176,344,1594,33.464510665,16.228387704,11.654968632,10.913983689
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,294,514,514,123.8055642,59.996303502,43.717723735,39.955252918
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,427,552,552,42.37826087,19.421793478,14.373224638,13.311195652
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,38,46,46,24.430652174,10.837391304,8.1832608696,7.9823913043
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,189,334,334,46.437634731,13.824461078,9.9164071856,8.3136826347
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,431,882,4189,5.2577966102,2.3151468131,1.726581523,1.5228527095
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,114,142,142,20.40028169,6.8261267606,5.0517605634,4.41
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,175,214,214,27.556121495,13.54588785,10.390934579,10.126261682
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,28,162,162,61.027716049,18.197469136,13.425432099,12.759320988
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,17.27,13.54,13.54
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,240,68.78,53.92,54.72
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,12,74,74,130.41243243,53.307027027,37.773378378,33.988108108
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,44,44,253.92818182,107.60977273,84.367045455,75.674090909
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,136,137,137,334.99306569,147.95927007,113.42635036,104.60481752
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,19,19,79.936315789,14.076315789,9.0905263158,8.0336842105
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,33,33,45.085757576,5.4372727273,3.7621212121,3.0724242424
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,259,1452,1461,92.704271047,36.610691307,26.5362423,23.604017796
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,17,20,20,84.356,70.614,51.494,51.494
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,100,770,772,279.18261658,77.955440415,56.516567358,51.297681347
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,21,156,156,130.79070513,39.486282051,29.238076923,28.248397436
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,37,2220,15.709851351,9.6362432432,7.442509009,7.442509009
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,2166,15.739136657,11.142650046,8.6195752539,8.6195752539
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,18,103,22831,0.2171398537,0.0459826552,0.0331465989,0.0331465989
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,84,11040,1.1437418478,0.1359483696,0.1033831522,0.1033831522
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,59,3660,8.5974562842,2.9908196721,2.3056229508,2.3056229508
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,57,3052,1.9296264744,0.2191349934,0.1613630406,0.1613630406
1023183928,YEH,AMELIA,Y,M.D.,F,I,3210 ANTILLEY RD,,ABILENE,TX,796065013,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,36,239,239,68.625523013,33,24.82707113,24.82707113
1023183969,FRANK,MAUREEN,B,FNP,F,I,3306 RENNER DR,,FORTUNA,CA,955403120,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,22.4775,16.3775,12.904166667
1023183969,FRANK,MAUREEN,B,FNP,F,I,3306 RENNER DR,,FORTUNA,CA,955403120,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,75.474166667,53.544166667
1023184132,COLOMA,MARA,,MD,F,I,6347 PACIFIC BLVD,,HUNTINGTON PARK,CA,902554101,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,37,71,61.793098592,8.32,5.0533802817,5.0533802817
1023184132,COLOMA,MARA,,MD,F,I,6347 PACIFIC BLVD,,HUNTINGTON PARK,CA,902554101,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,28,34,44.132352941,1.42,0.8529411765,0.8529411765
1023184132,COLOMA,MARA,,MD,F,I,6347 PACIFIC BLVD,,HUNTINGTON PARK,CA,902554101,US,Physician/General Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.24,2.24,1.4852727273,1.5092467532
1023184132,COLOMA,MARA,,MD,F,I,6347 PACIFIC BLVD,,HUNTINGTON PARK,CA,902554101,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,10.61,10.61,6.8072727273,7.0763636364
1023184132,COLOMA,MARA,,MD,F,I,6347 PACIFIC BLVD,,HUNTINGTON PARK,CA,902554101,US,Physician/General Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.22,7.35,5.2363636364,5.3281818182
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,35,35,116.90085714,38.353428571,27.107142857,27.526571429
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,25,60,119,8.7720168067,1.4618487395,1.0887394958,1.0970588235
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,21,30,30,86.620666667,14.639333333,10.421,8.2006666667
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,47,94,94,250.16021277,84.801382979,63.685531915,65.003829787
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,22,38,85,113.75058824,36.028235294,27.207529412,24.933294118
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,15,26,119,45.689831933,19.23210084,12.423277311,12.028067227
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,15,27,121,47.070661157,15.534380165,11.67338843,11.400495868
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,51,116,116,186.11327586,55.251810345,38.081724138,37.653706897
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,81,119,119,54.978319328,18.12210084,13.248571429,13.123697479
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,34.198571429,10.961428571,7.97,7.6071428571
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,70,165,165,59.354909091,12.191515152,8.7712727273,8.3696363636
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,92,229,1087,12.165381785,2.0587580497,1.5064213431,1.4848206072
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,29,38,38,23.487368421,6.0163157895,4.4615789474,4.4131578947
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,47,67,67,31.997164179,13.096567164,9.6414925373,9.7292537313
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,96,96,88.657708333,17.4365625,11.768541667,11.815729167
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,25,25,90.5652,45.2308,34.048,36.2428
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,331.16294118,87.654117647,61.223529412,59.656470588
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1230.62,972.195,762.2025,762.2025
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,26,26,26,482.05307692,139.67769231,106.91730769,103.27769231
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,27,146,147,50.679183673,5.8491836735,4.2149659864,3.3645578231
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,304.72,39.422727273,27.051818182,27.051818182
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,38,197,197,211.26893401,31.683705584,23.17035533,24.486142132
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,52,385,394,502.49807107,79.583705584,56.651472081,49.960203046
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,96,96,322.7265625,37.15,28.523125,28.893333333
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.3246212121,7.3246212121
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,30,1680,13.94,11.568321429,8.9842083333,8.9842083333
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,28,132,36332,0.2601857866,0.0464964769,0.0330702962,0.0330702962
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,77,8700,0.9749241379,0.1326172414,0.0983678161,0.0983678161
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0705454545,2.4073333333,2.4073333333
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,63,3095,1.3637189015,0.2192180937,0.1605363489,0.1605363489
1023184322,DHANANI,YURZUL,N,MD,M,I,1275 E LATHAM AVE STE C,,HEMET,CA,925434424,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,42,235,235,125.75744681,33,24.189234043,24.189234043
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,13,29,29,91.706206897,39.340689655,29.674827586,29.424137931
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,22,38,38,187.25026316,87.264736842,61.498947368,61.111578947
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,17,29,57,58.835087719,31.951578947,24.175087719,24.985438596
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,12,23,99,53.508787879,17.41,12.597474747,13.426666667
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,30,65,65,147.04015385,55.046,38.648615385,38.402461538
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,50,69,69,46.136086957,18.449275362,13.156811594,12.823478261
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,36,67,67,51.470149254,11.502089552,8.202238806,8.2970149254
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,49,85,419,5.4054892601,1.9484486874,1.3461097852,1.4104534606
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,36,44,44,26.740454545,14.365454545,11.008181818,10.148636364
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,,29,32,48.4453125,11.54625,8.570625,8.6765625
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,21,111,114,118.25421053,33.028947368,24.109736842,23.901754386
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,390,11.581717949,2.9236153846,2.1011794872,2.1011794872
1023184496,YAREMCHUK,KATHLEEN,L,M.D.,F,I,HENRY FORD HEALTH SYSTEM,19401 HUBBARD DRIVE,DEARBORN,MI,48126,US,Physician/Otolaryngology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,23.714166667,23.714166667
1023184819,GALAN,MARK,V,M.D.,M,I,4100 PARK FOREST DR,SUITE 208,TRAVERSE CITY,MI,496847331,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,56,1780,15.042134831,13.13,10.294,10.294
1023184819,GALAN,MARK,V,M.D.,M,I,4100 PARK FOREST DR,SUITE 208,TRAVERSE CITY,MI,496847331,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,55,355,371,326.82,256.22712676,256.22712676
1023184819,GALAN,MARK,V,M.D.,M,I,4100 PARK FOREST DR,SUITE 208,TRAVERSE CITY,MI,496847331,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,56,356,11,9.35,7.33,7.33
1023184819,GALAN,MARK,V,M.D.,M,I,4100 PARK FOREST DR,SUITE 208,TRAVERSE CITY,MI,496847331,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,56,356,34,29.22,22.908567416,22.908539326
1023185394,GHANEM,TAMER,,M.D.,M,I,"DEPT. OTOLARYNGOLOGY, UNIVERSITY OF VIRGINIA","1 HOSPITAL DR., 2ND FLOOR OMS RM 2747",CHARLOTTESVILLE,VA,22908,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,1500,3.40004,2.7904,2.1437733333,2.1513466667
1023185394,GHANEM,TAMER,,M.D.,M,I,"DEPT. OTOLARYNGOLOGY, UNIVERSITY OF VIRGINIA","1 HOSPITAL DR., 2ND FLOOR OMS RM 2747",CHARLOTTESVILLE,VA,22908,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,15,451,34.247006652,3.1131263858,2.4406651885,2.4464079823
1023185394,GHANEM,TAMER,,M.D.,M,I,"DEPT. OTOLARYNGOLOGY, UNIVERSITY OF VIRGINIA","1 HOSPITAL DR., 2ND FLOOR OMS RM 2747",CHARLOTTESVILLE,VA,22908,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,15204,1.2255643252,0.3574802684,0.2727972902,0.2368955538
1023185394,GHANEM,TAMER,,M.D.,M,I,"DEPT. OTOLARYNGOLOGY, UNIVERSITY OF VIRGINIA","1 HOSPITAL DR., 2ND FLOOR OMS RM 2747",CHARLOTTESVILLE,VA,22908,US,Physician/Otolaryngology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.95,3.88,3.95
1023185618,TENENBAUM,VICTOR,L,DO,M,I,1995 ROCKAWAY PKWY,,BROOKLYN,NY,112365505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,29,59,59.071355932,8.32,4.8637288136,4.8637288136
1023185618,TENENBAUM,VICTOR,L,DO,M,I,1995 ROCKAWAY PKWY,,BROOKLYN,NY,112365505,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,18.81,1.42,0.97875,0.97875
1023185915,CHU,NANCY,C,MD,F,I,2789 SUNRIDGE HEIGHTS PKWY,SUITE 100,HENDERSON,NV,890525052,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,46,134,52.971044776,8.32,6.0350746269,6.0350746269
1023185915,CHU,NANCY,C,MD,F,I,2789 SUNRIDGE HEIGHTS PKWY,SUITE 100,HENDERSON,NV,890525052,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,7.5242857143,3.38,2.65,2.65
1023185915,CHU,NANCY,C,MD,F,I,2789 SUNRIDGE HEIGHTS PKWY,SUITE 100,HENDERSON,NV,890525052,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,28,34,8.3126470588,1.42,1.0523529412,1.0523529412
1023186061,SMITH,BRIAN,K,MD,M,I,8324 OSWEGO RD,STE D,LIVERPOOL,NY,130901086,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,49,125,75.27688,8.32,5.59648,5.59648
1023186061,SMITH,BRIAN,K,MD,M,I,8324 OSWEGO RD,STE D,LIVERPOOL,NY,130901086,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,23,17.344347826,1.42,1.02,1.02
1023186061,SMITH,BRIAN,K,MD,M,I,8324 OSWEGO RD,STE D,LIVERPOOL,NY,130901086,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,3810,3.9822834646,1.73,1.3563097113,1.5993569554
1023186061,SMITH,BRIAN,K,MD,M,I,8324 OSWEGO RD,STE D,LIVERPOOL,NY,130901086,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,15.72,11.209090909,12.447272727
1023186061,SMITH,BRIAN,K,MD,M,I,8324 OSWEGO RD,STE D,LIVERPOOL,NY,130901086,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,519.51,70,48.02,47.9075
1023186210,PARISIS,BETTY,V,M.D.,F,I,275 BROADWAY,,LYNBROOK,NY,115633243,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,25,84,182,61.177307692,8.32,6.0204395604,6.0204395604
1023186210,PARISIS,BETTY,V,M.D.,F,I,275 BROADWAY,,LYNBROOK,NY,115633243,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,11.635652174,3.38,2.5347826087,2.5347826087
1023186210,PARISIS,BETTY,V,M.D.,F,I,275 BROADWAY,,LYNBROOK,NY,115633243,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,33,40,11.77,1.42,1.005,1.005
1023186210,PARISIS,BETTY,V,M.D.,F,I,275 BROADWAY,,LYNBROOK,NY,115633243,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,119.34,20.371666667,14.289166667,19.521666667
1023186210,PARISIS,BETTY,V,M.D.,F,I,275 BROADWAY,,LYNBROOK,NY,115633243,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.57,6.65,4.6658333333,5.9866666667
1023187051,REED,MICHELE,C,D.O.,F,I,241-08 140TH AVENUE,,ROSEDALE,NY,11422,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,28,69.781428571,8.32,6.5207142857,6.5207142857
1023187143,BECKER,ALYSSA,G,MD,F,I,82 EAST ALLENDALE ROAD,SUITE 3A,SADDLE RIVER,NJ,07458,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,329,14,4.9,3.8414893617,4.1219452888
1023187143,BECKER,ALYSSA,G,MD,F,I,82 EAST ALLENDALE ROAD,SUITE 3A,SADDLE RIVER,NJ,07458,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4755,1.4618927445,0.61,0.4782376446,0.5122397476
1023187143,BECKER,ALYSSA,G,MD,F,I,82 EAST ALLENDALE ROAD,SUITE 3A,SADDLE RIVER,NJ,07458,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,4.75,3.72,3.9116666667
1023187309,ALEJANDRO BENITEZ,AUSBERTO,,,M,I,CALLE ASHFORD,#84 SUR,GUAYAMA,PR,00784,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,30,88,51.119090909,8.32,6.3018181818,6.3018181818
1023187309,ALEJANDRO BENITEZ,AUSBERTO,,,M,I,CALLE ASHFORD,#84 SUR,GUAYAMA,PR,00784,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,23,23,14.88,3.38,2.6395652174,2.6395652174
1023187309,ALEJANDRO BENITEZ,AUSBERTO,,,M,I,CALLE ASHFORD,#84 SUR,GUAYAMA,PR,00784,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,25,39,15.18974359,1.42,1.0851282051,1.0851282051
1023187424,RELLER,EDWARD,C,M.D.,M,I,14254 STATE ROAD 574,,DOVER,FL,33527,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,31,31,126.72032258,54.09516129,38.287096774,35.886774194
1023187622,CHEN,I JEN,,MD,M,I,10317 GREENWOOD AVENUE N,,SEATTLE,WA,981339152,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,38.998,25.235333333,16.881333333,11.883333333
1023187648,CARSON,ERIC,W,M.D.,M,I,545 RAY C. HUNT DRIVE,STE 310,CHARLOTTESVILLE,VA,229037851,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,173.15,120.62,94.57,87.48
1023187689,JONES,TOMMIE,K,C.F.N.P.,F,I,310 ELLIS ST,,CARTHAGE,MS,390513809,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,35,28.675714286,7.1848571429,5.246,3.3208571429
1023187689,JONES,TOMMIE,K,C.F.N.P.,F,I,310 ELLIS ST,,CARTHAGE,MS,390513809,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,57,519.51,91.704912281,66.002280702,49.221754386
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,36,67,69.440746269,8.32,5.4952238806,5.4952238806
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,17,19,15.682631579,1.42,1.1189473684,1.1189473684
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,13,27,54,8.19,1.4781481481,1.1151851852,1.1074074074
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,82.53,10.338333333,8.1066666667,8.88
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,68,68,50.73,3.6954411765,2.9008823529,3.7248529412
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,221.87714286,33.79,26.494285714,26.696428571
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,454.6325,77.55,57,51.309375
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,205,41.25,32.34,29.686875
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,67,3726,16.306798175,9.625308642,7.4692190016,7.4692190016
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,39,2520,19.491650794,11.193428571,8.5782896825,8.5782857143
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,20,51,11019,0.2912850531,0.0466131228,0.032541973,0.032541973
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,50,6210,1.2606972625,0.1370531401,0.1013059581,0.1013059581
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,34,157,9392,12.44699638,3.0345229983,2.3122497871,2.3122497871
1023188349,MCCALLION,ROBERT,,ANP,M,I,175 EAST MAIN STREET,,HUNTINGTON,NY,117433399,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,49,207,207,99.188405797,33,25.620048309,25.620048309
1023188398,DOUBAN,SUMMER,,M.D.,F,I,3-3420 KUHIO HWY,SUITE B,LIHUE,HI,967661042,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,637.78666667,114.16833333,86.6475,55.250833333
1023188539,MUKHI,SUDHA,V,MD,F,I,435 MONTAUK HWY,,WEST ISLIP,NY,117954413,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,27,1512,59.305601852,5.0869775132,3.8933201058,3.8933201058
1023188539,MUKHI,SUDHA,V,MD,F,I,435 MONTAUK HWY,,WEST ISLIP,NY,117954413,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,24,24,18.82,18.82
1023188539,MUKHI,SUDHA,V,MD,F,I,435 MONTAUK HWY,,WEST ISLIP,NY,117954413,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,16,16,12.54,12.54
1023188703,LEE,NORRIS,K,"MD, FACS",M,I,12 HIGH ST,STE 102,LEWISTON,ME,042407676,US,Physician/Otolaryngology,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,110,4.4325454545,3,2.3524545455,2.7372727273
1023188703,LEE,NORRIS,K,"MD, FACS",M,I,12 HIGH ST,STE 102,LEWISTON,ME,042407676,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,290,9.0514482759,5.23,3.8175862069,3.8175862069
1023188703,LEE,NORRIS,K,"MD, FACS",M,I,12 HIGH ST,STE 102,LEWISTON,ME,042407676,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,116.5425,40.26,29.66875,29.66875
1023189172,SHIPLEY,FRANK,E,MD,M,I,101 3RD AVE SW,,MINOT,ND,587013880,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6.9298333333,5.54,3.6191666667,3.6191666667
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,60,173,299,63.402341137,8.32,5.8685618729,5.8685618729
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,41,74,86,14.805116279,1.42,1.0106976744,1.0106976744
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,1.75,1.73,1.289912037,1.512662037
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,74.181818182,71.56,56.105,56.105
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,159.30416667,63.01625,46.311666667,32.80125
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,73,54.913972603,22.106438356,16.742739726,13.475753425
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,23.857142857,7.5491428571,5.6065714286,3.808
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,50,15.194210526,11.911052632,9.9884210526
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,131,131,339.46862595,101.09374046,75.376717557,53.511603053
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,6413,4.0878730703,0.0470294714,0.0334445657,0.0334445657
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,19,55,6719,0.6172257776,0.1358862926,0.1033085281,0.1033085281
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,47.265416667,25.9825,19.10625,12.999166667
1023189545,SEKARAN,MEENA,,MD,F,I,270 SMITH CHURCH ROAD,,ROANOKE RAPIDS,NC,27870,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,27,81,81,33,33,24.27308642,24.27308642
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,65,198,52.753989899,8.32,5.9097474747,5.9097474747
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.384615385,3.38,2.4461538462,2.4461538462
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,39,54,15.36462963,1.42,1.0533333333,1.0533333333
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,42,83.57,19.631904762,14.407857143,12.551666667
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,842.26,842.26
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,412.045,58.155,45.596666667,31.728333333
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,54,506.68259259,90.537407407,68.843703704,52.739259259
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1200,13.94,11.10655,8.536125,8.536125
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,4086,0.1958492413,0.0468012726,0.0326333823,0.0326333823
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1020,12.155264706,3.1074705882,2.4362745098,2.4362745098
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,751.41294118,231.60823529,181.57705882,135.49352941
1023189818,BHATT,SHASHANK,,M.D.,M,I,100 HOSPITAL DR,,MONTROSE,PA,18801,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,44,44,114,33,24.106136364,24.106136364
1023190022,SCHULTZ,JOHN,G,M.D.,M,I,100 JOHN ROEMMELT DR,SUITE 301,HORSEHEADS,NY,148458301,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,132,50.879090909,8.32,6.523030303,6.523030303
1023190022,SCHULTZ,JOHN,G,M.D.,M,I,100 JOHN ROEMMELT DR,SUITE 301,HORSEHEADS,NY,148458301,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,22,22,22,103.875,48.517727273,32.843636364,31.575909091
1023190022,SCHULTZ,JOHN,G,M.D.,M,I,100 JOHN ROEMMELT DR,SUITE 301,HORSEHEADS,NY,148458301,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,8.0363636364,5.5636363636,6.3709090909
1023190022,SCHULTZ,JOHN,G,M.D.,M,I,100 JOHN ROEMMELT DR,SUITE 301,HORSEHEADS,NY,148458301,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,123,52.696875,41.3175,40.796875
1023190022,SCHULTZ,JOHN,G,M.D.,M,I,100 JOHN ROEMMELT DR,SUITE 301,HORSEHEADS,NY,148458301,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,27,11.128666667,8.726,8.3173333333
1023190022,SCHULTZ,JOHN,G,M.D.,M,I,100 JOHN ROEMMELT DR,SUITE 301,HORSEHEADS,NY,148458301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,550.94086957,67.72,46.108695652,47.793478261
1023190022,SCHULTZ,JOHN,G,M.D.,M,I,100 JOHN ROEMMELT DR,SUITE 301,HORSEHEADS,NY,148458301,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,20,58.95,17.534,10.916,12.0185
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,42,65,65,82.191846154,40.718153846,31.449384615,29.957230769
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,36,53,93,4.5027956989,1.6187096774,1.2693548387,1.1529032258
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,26,29,29,41.959655172,13.663793103,10.193448276,9.0544827586
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,2.6981818182,1.5436363636,1.2127272727,0.98
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,203,396,396,169.81469697,96.537777778,71.879520202,64.534646465
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,200,432,787,67.464688691,37.049504447,28.01202033,25.092160102
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,153,294,1317,31.719491268,20.55015186,14.89294609,13.458990129
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,89,181,847,25.603293979,16.3164817,12.062184179,11.225891381
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,22,244,430,430,94.321511628,59.970906977,43.412418605,39.556418605
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,410,528,528,32.848219697,18.476818182,13.570492424,13.176893939
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,48,58,58,15.568793103,10.564482759,7.8812068966,7.7518965517
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,380,719,719,30.366870654,13.967802503,10.276495132,8.6130458971
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,27,416,859,4460,4.7256233184,2.3693295964,1.7607197309,1.5173878924
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,224,293,293,9.5384300341,6.49,4.7948122867,4.4063139932
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,168,203,203,18.599655172,13.382364532,10.220344828,10.124926108
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,69,540,551,36.373194192,18.623611615,14.190653358,13.316225045
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,15,78,78,90.024358974,53.542564103,38.681282051,34.614358974
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,31,31,1862.2619355,1070.19,839.02870968,842.26
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,25,140,141,185.05312057,104.92758865,80.164609929,66.267234043
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,594.94,266.8504,203.4764,165.9272
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,1328.91,1009.5875,791.51875,791.51875
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,122,123,123,229.17235772,149.80577236,114.85626016,102.59439024
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,59,378,378,22.90005291,6.6266931217,4.9714021164,3.5743650794
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,186,1188,1210,80.723545455,37.800586777,28.068719008,24.400917355
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,15,17,17,93.151764706,70.443529412,55.227058824,55.227058824
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,20,187,1546,1562,207.90480794,83.00815621,62.485518566,53.605454545
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,42,289,290,174.78258621,39.093793103,30.002931034,29.008586207
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,61.107142857,57,44.69,44.69
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,76,4470,15.74482774,9.6276375839,7.4570872483,7.4570872483
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,45,2640,16.513973485,11.256295455,8.7602159091,8.7602159091
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,31,6849,0.1565279603,0.0461322821,0.032543437,0.032543437
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,81,327,26534,1.0633262983,0.1338716364,0.0978676415,0.0978676415
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,18,106,6666,8.5433648365,2.9598214821,2.2348334833,2.2348334833
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,34,1543,0.9032534025,0.2191315619,0.1718146468,0.1718146468
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,42,49.016666667,40.58047619,31.653571429,29.667619048
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,101,459,459,41.749455338,33,24.720653595,24.720653595
1023190055,BHATTI,AHMED,S,M.D.,M,I,1310 PALUXY RD STE 1400,,GRANBURY,TX,760485655,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,21,21,66,66,49.276190476,49.276190476
1023190063,BROFMAN,JOHN,D,M.D.,M,I,3231 EUCLID AVE,,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,72,96,1817.5,1074.31,839.27104167,839.27104167
1023190063,BROFMAN,JOHN,D,M.D.,M,I,3231 EUCLID AVE,,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,330,77.18,57.325263158,51.84
1023190063,BROFMAN,JOHN,D,M.D.,M,I,3231 EUCLID AVE,,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,59.8275,36.96,27.061666667,27.5475
1023190071,RODRIGUEZ MARTINEZ,JEPHTE,,M.D.,M,I,CALLE DE DIEGO E # 54,,MAYAGUEZ,PR,006804866,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,103.755,71.361666667,55.948333333,40.840833333
1023190188,MOORE,RODNEY,R,MD,M,I,3330 MASONIC DR,,ALEXANDRIA,LA,713013841,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,561.065,102.61833333,75.474166667,50.169166667
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,34,91,248,63.757620968,8.32,5.6716935484,5.6716935484
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,13.35,3.38,2.4090909091,2.4090909091
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,36,50,13.819,1.42,0.9158,0.9158
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,157.72363636,74.967272727,50.203636364,37.395454545
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,55,77.296909091,21.968181818,15.468727273,12.228
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,26,35.885769231,7.6938461538,5.3688461538,3.4923076923
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,83,84,473.92988095,101.29071429,73.161190476,51.133928571
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,198.57142857,45.728571429,35.853571429,30.539285714
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,6501,0.4154806953,0.046600523,0.0334056299,0.0334056299
1023190220,VANDER WAAL,STEVEN,C,M.D.,M,I,3619 HIGHWAY 101 N,,GEARHART,OR,971384321,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,63.461538462,33,23.664615385,23.664615385
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,59,170,61.149294118,8.32,5.4573529412,5.4573529412
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,13.334444444,3.38,2.2083333333,2.2083333333
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,34,53,13.543773585,1.42,1.0509433962,1.0509433962
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,68.53375,12.75,10,9.12
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,100,10.3049,2.09,1.6385,1.5918
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,75,44.766666667,31.707777778,33.825555556
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,47.87,6.4154545455,5.0290909091,3.8890909091
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,231.91529412,32.870294118,23.408823529,22.69
1023190279,DUENAS,DANILO,M,M.D.,M,I,3150 N TENAYA WAY,STE 450,LAS VEGAS,NV,891280493,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,51.63,40.62,28.954545455,27.048181818
1023190386,RIDOLFI,TIMOTHY,J,M.D.,M,I,9200 W WISCONSIN AVE,DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY,MILWAUKEE,WI,532263522,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,12.15,8.28,6.49,6.49
1023190386,RIDOLFI,TIMOTHY,J,M.D.,M,I,9200 W WISCONSIN AVE,DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY,MILWAUKEE,WI,532263522,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,366,11.738360656,5.74,4.500136612,4.500136612
1023190386,RIDOLFI,TIMOTHY,J,M.D.,M,I,9200 W WISCONSIN AVE,DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY,MILWAUKEE,WI,532263522,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,256,5.19203125,2.91,2.28125,2.28125
1023190386,RIDOLFI,TIMOTHY,J,M.D.,M,I,9200 W WISCONSIN AVE,DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY,MILWAUKEE,WI,532263522,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,282,13.788297872,9.86,7.6312056738,7.6312056738
1023190386,RIDOLFI,TIMOTHY,J,M.D.,M,I,9200 W WISCONSIN AVE,DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY,MILWAUKEE,WI,532263522,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,950,0.5,0.27,0.2116842105,0.2116842105
1023190386,RIDOLFI,TIMOTHY,J,M.D.,M,I,9200 W WISCONSIN AVE,DEPT OF SURGERY - DIVISION OF COLORECTAL SURGERY,MILWAUKEE,WI,532263522,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,26,610,5.1457377049,3.04,2.3833114754,2.3833114754
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,66,162,71.144135802,8.32,5.3550617284,5.3550617284
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,28,15.171785714,1.42,1.0342857143,1.0342857143
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,99.935238095,38.35952381,25.781428571,26.19
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,251.24,84.194166667,52.7375,54.649166667
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,121.10125,56.5,44.3,42.95
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,44.931176471,17.503529412,12.912352941,13.259411765
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,25,150,6.187,2.0004,1.3804666667,1.4024666667
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,125.39181818,34.915,26.303636364,26.254545455
1023190451,LLOYD,EDWARD,A,M.D.,M,I,4791 S MAIN ST,,ACWORTH,GA,301015324,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,519.51,75.56,59.24,55.4065
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,58,125,58.76168,8.32,5.63544,5.63544
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,22,24,15.486666667,1.42,0.9325,0.9325
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,19,40,8.00075,1.807,1.41675,1.2395
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,295.82105263,113.25842105,84.828421053,64.416842105
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,36,138.17111111,42.703055556,32.628055556,25.087777778
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,14,36,133,70.140451128,23.253157895,17.86443609,14.342481203
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,15,28,129,52.407131783,17.247596899,12.384263566,10.909302326
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,29,51,51,208.92470588,66.309411765,49.945294118,41.903333333
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,35,47,47,61.51212766,22.843829787,17.274255319,13.65212766
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,36,73,73,68.14109589,17.520273973,13.477945205,9.1910958904
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,37,74,420,9.6692857143,2.5971428571,1.953,1.5555714286
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,26,26,24.195769231,8.7015384615,6.82,4.65
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,21,27,27,34.127407407,14.42,10.507037037,9.5755555556
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,75,75,109.2384,20.472,14.302133333,12.630933333
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,26,30,61.295333333,15.849,12.424666667,10.483333333
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,43.5256,7.658,5.7036,3.5844
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,80,84,185.94,45.1475,33.342738095,25.265238095
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,108,114,426.69947368,91.860789474,65.331140351,54.051929825
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,1710,16.266678363,9.6986140351,7.5365204678,7.5365204678
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,56,6096,1.894437336,0.1361646982,0.1063238189,0.1063238189
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,38,2192,10.576491788,2.9148813869,2.2852919708,2.2852919708
1023190493,BOULWARE,WILLIAM,T,MD,M,I,1131 W KANSAS ST,,LIBERTY,MO,640682281,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,15,89,89,91.95505618,33,25.579325843,25.579325843
1023190543,MACOMBER,DAVID,W,MD,M,I,"516 DELAWARE STREET SE, CLINIC 3A",UNIVERSITY OF MINNESOTA PHYSICIANS,MINNEAPOLIS,MN,55455,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,27,106,80.696603774,8.32,6.5227358491,6.5227358491
1023190741,BUDHECHA,SONIA,,M.D.,F,I,75 PRINGLE WAY,505,RENO,NV,895021464,US,Physician/Pediatric Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,219,4.5608219178,2.9254794521,2.2936073059,2.7162557078
1023190741,BUDHECHA,SONIA,,M.D.,F,I,75 PRINGLE WAY,505,RENO,NV,895021464,US,Physician/Pediatric Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,3600,1074.31,836.19071429,836.19071429
1023190741,BUDHECHA,SONIA,,M.D.,F,I,75 PRINGLE WAY,505,RENO,NV,895021464,US,Physician/Pediatric Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,734,8.2688283379,2.8908446866,2.2664577657,2.2664577657
1023190808,PAI,DAVID,,MD,M,I,777 CAMPUS COMMONS RD,SUITE 120,SACRAMENTO,CA,958258309,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,3375,7.24632,0.5736474074,0.4263614815,0.4263614815
1023190808,PAI,DAVID,,MD,M,I,777 CAMPUS COMMONS RD,SUITE 120,SACRAMENTO,CA,958258309,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,3300,0.1007515152,0.0131818182,0.0093424242,0.0093424242
1023190808,PAI,DAVID,,MD,M,I,777 CAMPUS COMMONS RD,SUITE 120,SACRAMENTO,CA,958258309,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,3000,1.59128,0.74042,0.5805133333,0.5805133333
1023190808,PAI,DAVID,,MD,M,I,777 CAMPUS COMMONS RD,SUITE 120,SACRAMENTO,CA,958258309,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,50,6608,3.0048229419,1.1678571429,0.8903571429,0.8903571429
1023190808,PAI,DAVID,,MD,M,I,777 CAMPUS COMMONS RD,SUITE 120,SACRAMENTO,CA,958258309,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,2940,10.28,2.7909183673,2.117877551,2.117877551
1023190808,PAI,DAVID,,MD,M,I,777 CAMPUS COMMONS RD,SUITE 120,SACRAMENTO,CA,958258309,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,68,68,24,24,18.274117647,18.274117647
1023190808,PAI,DAVID,,MD,M,I,777 CAMPUS COMMONS RD,SUITE 120,SACRAMENTO,CA,958258309,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,76,87,16,16,12.396206897,12.396206897
1023191061,QURESHI,ABDUL,S,MD,M,I,549 CENTER AVE,,ROMNEY,WV,267571352,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,39.597142857,21.314285714,15.287619048,13.388095238
1023191061,QURESHI,ABDUL,S,MD,M,I,549 CENTER AVE,,ROMNEY,WV,267571352,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,293.51428571,88.628571429,67.263928571,57.023928571
1023191277,CRAWFORD,JEFFREY,,M.D.,M,I,DUKE UNIVERSITY MEDICAL CTR,,DURHAM,NC,277100001,US,Physician/Hematology-Oncology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.99,4.7027272727,3.6881818182,3.6854545455
1023191277,CRAWFORD,JEFFREY,,M.D.,M,I,DUKE UNIVERSITY MEDICAL CTR,,DURHAM,NC,277100001,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,29,29,510.38551724,87.689655172,66.850689655,54.235517241
1023191277,CRAWFORD,JEFFREY,,M.D.,M,I,DUKE UNIVERSITY MEDICAL CTR,,DURHAM,NC,277100001,US,Physician/Hematology-Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,85,41.920909091,32.869090909,29.511818182
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,76,166,65.298072289,8.32,5.1324096386,5.1324096386
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,27,47,15.613617021,1.42,0.8772340426,0.8772340426
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,4.67,3.01,2.2145833333,1.4575
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,18.424878049,8.4024390244,6.4792682927,3.7753658537
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,147.49,49.83,36.200833333,22.728333333
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,156.447,101.86466667,73.887,63.429
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3863,0.1753947709,0.0457390629,0.0340667875,0.0340667875
1023191392,SARGENT,MARIA,B,ARNP,F,I,100 BELLEFONTE DR,,GRAYSON,KY,411431820,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,107.25,33,23.714166667,23.714166667
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,8,30,82,1282,50.330928237,19.642535101,15.102277691,15.102277691
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,8,29,84,2733,7.2802707647,2.6306915477,1.9715294548,1.9715294548
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,5.27,0.51,0.4,0.4
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,92,179,417,2679,69.827248973,8.32,6.2363941769,6.2363941769
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,23,50,50,15.1968,3.38,2.65,2.65
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,24,31,31,21.25516129,2.12,1.67,1.67
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,60,98,177,501,16.530818363,1.42,1.0731137725,1.0731137725
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,47.905454545,42.935454545,33.162727273,53.623636364
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,12,77,77,708.83974026,336.62493506,262.0487013,262.0487013
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,45,7950,15.494501887,10.504737107,8.2176704403,8.2176704403
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,38,182,182,395.35862637,251.08,196.84648352,196.86989011
1023191525,REYNOLDS,KATHRYN,E,M.D.,F,I,550 HERITAGE DR,SUITE 150,JUPITER,FL,334583029,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,30,30,30,318.60666667,264.16,207.1,207.1
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,34,69,69.337826087,8.32,5.5775362319,5.5775362319
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,24,15.049166667,1.42,0.9766666667,0.9766666667
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1770,8.91,1.73,1.2752768362,1.4976836158
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,414.51272727,90.700909091,64.722727273,61.672727273
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,27,159.99481481,34.233333333,24.126296296,23.205185185
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,110.04,18.96,10.810909091,10.583030303
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,316.785,53.14,31.245,32.5175
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,87.708571429,18.85,12.977142857,12.257142857
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,90.096315789,11.164210526,8.3094736842,8.6857894737
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,126,11.947936508,2.030952381,1.5608730159,1.561031746
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,86.31,17.55,13.76,13.54
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,45,35.28,37.63
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,11.379090909,8.9172727273,9.0127272727
1023191533,KINEKE,STEPHEN,F,MD,M,I,1783 ROUTE 9,SUITE 202,HALFMOON,NY,120652409,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,519.51,79.48,62.31,54.72
1023191590,MADOFF,ROBERT,D,MD,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,55455,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,280,4.725,3.82,2.995,3.0532857143
1023191590,MADOFF,ROBERT,D,MD,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,55455,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,37,830,7.3562409639,5.74,4.438253012,4.438253012
1023191590,MADOFF,ROBERT,D,MD,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,55455,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,340,11.961764706,9.86,7.2939411765,7.2939411765
1023191590,MADOFF,ROBERT,D,MD,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,55455,US,Physician/Colorectal Surgery (Proctology),S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,350,6.2864,5.36,3.7811428571,3.7811428571
1023191590,MADOFF,ROBERT,D,MD,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,55455,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,1130,0.3362477876,0.27,0.1928849558,0.1928849558
1023191590,MADOFF,ROBERT,D,MD,M,I,909 FULTON ST SE,,MINNEAPOLIS,MN,55455,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,370,3.458972973,3.04,2.3834054054,2.3834054054
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,31,110,36.820181818,8.32,5.7861818182,5.7861818182
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,21,45,7.4206666667,1.42,1.0404444444,1.0404444444
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,19,66.692631579,20.274210526,12.753684211,11.948947368
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,82.255384615,6.0323076923,2.8661538462,1.9923076923
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,47,412.71085106,100.29319149,73.544893617,54.380638298
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,20,137.176,45.312,33.6935,28.041
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,34,2716,0.86865243,0.0460493373,0.0310493373,0.0310493373
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,2700,1.7636888889,0.1352555556,0.0870962963,0.0870962963
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1200,13.306266667,2.9914,2.2257166667,2.2257166667
1023191889,SHEFFIELD,TERESA,L,APRN,F,I,800 N MAIN ST STE B,,TOMPKINSVILLE,KY,421671037,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,55,55,51,33,22.832363636,22.832363636
1023192671,SARANTOS,WILLIAM,J,M.D.,M,I,7353 NORTH AVE,,RIVER FOREST,IL,603051278,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,33,78,285,65.558701754,8.32,5.8587017544,5.8587017544
1023192671,SARANTOS,WILLIAM,J,M.D.,M,I,7353 NORTH AVE,,RIVER FOREST,IL,603051278,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,23,49,98,14.990306122,1.42,1.0005102041,1.0005102041
1023192671,SARANTOS,WILLIAM,J,M.D.,M,I,7353 NORTH AVE,,RIVER FOREST,IL,603051278,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,341,99.706744868,5.79,4.5393548387,4.1632258065
1023192671,SARANTOS,WILLIAM,J,M.D.,M,I,7353 NORTH AVE,,RIVER FOREST,IL,603051278,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,8360,2.0666985646,0.3096315789,0.2405717703,0.2408528708
1023192671,SARANTOS,WILLIAM,J,M.D.,M,I,7353 NORTH AVE,,RIVER FOREST,IL,603051278,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,144.28714286,18,12.094285714,11.646428571
1023192671,SARANTOS,WILLIAM,J,M.D.,M,I,7353 NORTH AVE,,RIVER FOREST,IL,603051278,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,42,548.86095238,77.18,53.043809524,48.357142857
1023192671,SARANTOS,WILLIAM,J,M.D.,M,I,7353 NORTH AVE,,RIVER FOREST,IL,603051278,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,240.872,36.96,28.98,29.439333333
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,50,126,637,4.4182103611,0.0973940345,0.0620408163,0.0620408163
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,14,28,154.28071429,71.56,56.105,56.105
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,41,74,2880,50.295625,34.86,27.280461806,27.280461806
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,45,1800,49.194444444,23.293444444,18.178605556,18.178605556
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,480,13.78625,7.79375,6.1104375,6.1104375
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,420,28.932857143,18.5,13.588809524,13.588809524
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,50,135,11410,12.177852761,0.1284224365,0.0990368098,0.0990368098
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,47,117,4035,0.5912267658,0.3055390335,0.2379157373,0.2379157373
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,17,2618,0.6887318564,0.45,0.3368143621,0.3368143621
1023192721,REYZELMAN,ALEXANDER,,DPM,M,I,2299 POST ST,STE 205,SAN FRANCISCO,CA,941153443,US,Podiatry,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,16,51,1738,1.9483544304,0.88,0.6899539701,0.6899539701
1023192762,SLEVINSKI,RICHARD,,MD,M,I,5151 N 9TH AVE,,PENSACOLA,FL,325048721,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,65,20.432631579,16.02,14.706315789
1023192762,SLEVINSKI,RICHARD,,MD,M,I,5151 N 9TH AVE,,PENSACOLA,FL,325048721,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,25,9.0005555556,7.0588888889,6.9572222222
1023192937,KRAFT,MONICA,,,F,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,112.909375,17.084375,12.56375,12.70875
1023192937,KRAFT,MONICA,,,F,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,28,41.348571429,4.8928571429,3.8328571429,3.7653571429
1023192937,KRAFT,MONICA,,,F,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,437.346875,73.505,53.845,51.3
1023192937,KRAFT,MONICA,,,F,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,47.142857143,33,25.87,25.87
1023192960,ZAGONE,ROBIN,L,M.D.,M,I,2576 RENFREW ST,,EUREKA,CA,955013345,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,124,15223,0.39,0.13,0.0946423175,0.0946423175
1023192960,ZAGONE,ROBIN,L,M.D.,M,I,2576 RENFREW ST,,EUREKA,CA,955013345,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,136,16933,4.0095275498,1.73,1.3077942479,1.5469284828
1023192960,ZAGONE,ROBIN,L,M.D.,M,I,2576 RENFREW ST,,EUREKA,CA,955013345,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,37,6030,9.65,7.23,5.6114577114,5.6114577114
1023192960,ZAGONE,ROBIN,L,M.D.,M,I,2576 RENFREW ST,,EUREKA,CA,955013345,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,184,2.5943478261,1.8,1.4106521739,1.4106521739
1023192994,STALL,TAMRA,,M.D.,F,I,106 PARK DR,,HOT SPRINGS,VA,244452921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,32,67,57.981044776,8.32,4.9640298507,4.9640298507
1023192994,STALL,TAMRA,,M.D.,F,I,106 PARK DR,,HOT SPRINGS,VA,244452921,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,10.748181818,1.42,1.12,1.12
1023192994,STALL,TAMRA,,M.D.,F,I,106 PARK DR,,HOT SPRINGS,VA,244452921,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,160,75.738695652,59.38,41.893913043
1023192994,STALL,TAMRA,,M.D.,F,I,106 PARK DR,,HOT SPRINGS,VA,244452921,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,79.859411765,22.680294118,17.779705882,16.526470588
1023192994,STALL,TAMRA,,M.D.,F,I,106 PARK DR,,HOT SPRINGS,VA,244452921,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,73,7.3042857143,5.12,4.5085714286
1023192994,STALL,TAMRA,,M.D.,F,I,106 PARK DR,,HOT SPRINGS,VA,244452921,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,512.5105,103.372,81.046,71.308
1023192994,STALL,TAMRA,,M.D.,F,I,106 PARK DR,,HOT SPRINGS,VA,244452921,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,67.12,28.629166667,22.445833333,16.759166667
1023193125,NGUYEN,JONATHAN,T,,M,I,555 EAST PACIFIC COAST HWY,STE #102,LONG BEACH,CA,90806,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,57,123,64.954796748,8.32,6.1500813008,6.1500813008
1023193125,NGUYEN,JONATHAN,T,,M,I,555 EAST PACIFIC COAST HWY,STE #102,LONG BEACH,CA,90806,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,47,55,23.077818182,1.42,1.0981818182,1.0981818182
1023193125,NGUYEN,JONATHAN,T,,M,I,555 EAST PACIFIC COAST HWY,STE #102,LONG BEACH,CA,90806,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,2975,913.16,709.94208333,825.75375
1023193323,SINGH,MAHAVIR,,MD,M,I,3074 9 W SOUTH,,NEW WINDSOR,NY,12553,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,56,54.58,8.32,5.0096428571,5.0096428571
1023193323,SINGH,MAHAVIR,,MD,M,I,3074 9 W SOUTH,,NEW WINDSOR,NY,12553,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,584.63702703,70.09,51.392162162,51.202162162
1023193323,SINGH,MAHAVIR,,MD,M,I,3074 9 W SOUTH,,NEW WINDSOR,NY,12553,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1410,2.6434184397,0.1356808511,0.1063829787,0.1063829787
1023193323,SINGH,MAHAVIR,,MD,M,I,3074 9 W SOUTH,,NEW WINDSOR,NY,12553,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,25.87,25.87
1023193430,MARTINEZ,EVANGELINA,E,MD,F,I,2 UPPER RAGSDALE DR STE B200,,MONTEREY,CA,939407844,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,49,131,64.60221374,8.32,6.0235114504,6.0235114504
1023193430,MARTINEZ,EVANGELINA,E,MD,F,I,2 UPPER RAGSDALE DR STE B200,,MONTEREY,CA,939407844,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,29,41,12.595121951,1.42,1.0873170732,1.0873170732
1023193430,MARTINEZ,EVANGELINA,E,MD,F,I,2 UPPER RAGSDALE DR STE B200,,MONTEREY,CA,939407844,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,31.875,5.436875,4.03375,3.16875
1023193489,ESCALERA,ELSA,,MD,F,I,15 W 65TH ST,,NEW YORK,NY,100236601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,36,72.921388889,8.32,6.1619444444,6.1619444444
1023193489,ESCALERA,ELSA,,MD,F,I,15 W 65TH ST,,NEW YORK,NY,100236601,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,13,28.603846154,1.42,1.0307692308,1.0307692308
1023193604,DAWSON,CARA,H,M.D.,F,I,4545 E 9TH AVE,SUITE 400,DENVER,CO,802203901,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,176.16411765,55.9,38.673529412,37.817647059
1023193604,DAWSON,CARA,H,M.D.,F,I,4545 E 9TH AVE,SUITE 400,DENVER,CO,802203901,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,59.053333333,18.077777778,12.602222222,12.497777778
1023193604,DAWSON,CARA,H,M.D.,F,I,4545 E 9TH AVE,SUITE 400,DENVER,CO,802203901,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,27,27,60.827777778,12.034074074,7.8725925926,7.6044444444
1023193604,DAWSON,CARA,H,M.D.,F,I,4545 E 9TH AVE,SUITE 400,DENVER,CO,802203901,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,31,181,8.3901657459,2.0479558011,1.3928176796,1.3808287293
1023193604,DAWSON,CARA,H,M.D.,F,I,4545 E 9TH AVE,SUITE 400,DENVER,CO,802203901,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,181.85590909,29.827727273,20.298181818,21.018636364
1023193604,DAWSON,CARA,H,M.D.,F,I,4545 E 9TH AVE,SUITE 400,DENVER,CO,802203901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,412.53375,78.49,58.96625,52.449583333
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,39,85,253,39.301501976,8.32,6.0592885375,6.0592885375
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,15.366153846,3.38,2.2423076923,2.2423076923
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,20,33,63,14.540793651,1.42,1.0253968254,1.0253968254
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,14.69,5.54,4.343,4.343
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,4.3266666667,1.95,1.5288333333,1.5288333333
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,44,44,173.26727273,65.029318182,48.9475,34.975909091
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,36.053958333,22.4775,15.568125,11.776666667
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,65,65,19.73,7.9758461538,6.0661538462,3.448
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,20,10.77,7.93,5.9783333333
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,45,228.8,104.37688889,75.375333333,49.619333333
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,28,4863,0.4840366029,0.0474316266,0.0292843924,0.0292843924
1023193695,DUKE,EZEKIEL,L,M.D.,M,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,13,35,35,33,33,21.480571429,21.480571429
1023193828,EMERY,KIM,I,PA-C,F,I,1012 SOUTH THIRD STREET,,DAYTON,WA,99328,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,30,92,45.551413043,8.32,6.3341304348,6.3341304348
1023193828,EMERY,KIM,I,PA-C,F,I,1012 SOUTH THIRD STREET,,DAYTON,WA,99328,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,18,15.620555556,1.42,1.1166666667,1.1166666667
1023193828,EMERY,KIM,I,PA-C,F,I,1012 SOUTH THIRD STREET,,DAYTON,WA,99328,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,17.09,13.4,13.52
1023193828,EMERY,KIM,I,PA-C,F,I,1012 SOUTH THIRD STREET,,DAYTON,WA,99328,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,65.7,51.51,54.73
1023193828,EMERY,KIM,I,PA-C,F,I,1012 SOUTH THIRD STREET,,DAYTON,WA,99328,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,2730,1.0412967033,0.1354065934,0.1031831502,0.1031831502
1023193828,EMERY,KIM,I,PA-C,F,I,1012 SOUTH THIRD STREET,,DAYTON,WA,99328,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,116.76923077,33,25.87,25.87
1023193836,MATSEN,FREDERICK,A,,M,I,UNIVERSITY OF WASHINGTON MEDICAL CTR,1959 NE PACIFIC ST,SEATTLE,WA,981956500,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,25,25,120,94.6024,74.1708,78.554
1023193984,SANCHEZ,LYDIA,E,M.D.,F,I,1580 SANTA BARBARA BLVD,,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,41,66.993170732,8.32,4.6143902439,4.6143902439
1023193984,SANCHEZ,LYDIA,E,M.D.,F,I,1580 SANTA BARBARA BLVD,,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,28.537692308,18.484615385,14.496923077,12.27
1023193984,SANCHEZ,LYDIA,E,M.D.,F,I,1580 SANTA BARBARA BLVD,,THE VILLAGES,FL,321596827,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,145.12444444,72.082777778,56.517777778,38.072777778
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,460,19.011521739,6.4317391304,4.8218043478,5.5571956522
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,7.5461538462,3.66,2.87,3.2623076923
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,225,51.093809524,38.226190476,36.846190476
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,2442.2632653,1074.31,833.47612245,833.47612245
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,88.56,40.11,31.445,34.51375
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,479.59418605,75.100232558,56.203953488,52.521627907
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,100,36.25,27.128181818,28.180909091
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,143,20.117647059,15.772352941,14.638823529
1023194040,SYED,NAZIM,A,MD,M,I,2540 WINDY HILL RD SE,,MARIETTA,GA,300678605,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,36.25,28.42,29.311818182
1023194131,HUANG,JING-WEI,,MD,M,I,4901 FOREST PARK AVE FL 6,6TH FL,SAINT LOUIS,MO,631081402,US,Physician/Ophthalmology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1460,3.1331986301,1.2644246575,0.9912739726,0.9912739726
1023194131,HUANG,JING-WEI,,MD,M,I,4901 FOREST PARK AVE FL 6,6TH FL,SAINT LOUIS,MO,631081402,US,Physician/Ophthalmology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1023194131,HUANG,JING-WEI,,MD,M,I,4901 FOREST PARK AVE FL 6,6TH FL,SAINT LOUIS,MO,631081402,US,Physician/Ophthalmology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1023194180,PAREEK,KAPIL,,MD,M,I,1315 JESSE JEWELL PARKWAY,,GAINESVILLE,GA,305013822,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,665,2.237518797,2.237518797,1.7542255639,1.7796691729
1023194180,PAREEK,KAPIL,,MD,M,I,1315 JESSE JEWELL PARKWAY,,GAINESVILLE,GA,305013822,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,18,114,12015,3.2174531835,2.014144819,1.5267182688,1.5452359551
1023194180,PAREEK,KAPIL,,MD,M,I,1315 JESSE JEWELL PARKWAY,,GAINESVILLE,GA,305013822,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,1080,8.5955555556,7.0555555556,5.3987037037,5.5241574074
1023194180,PAREEK,KAPIL,,MD,M,I,1315 JESSE JEWELL PARKWAY,,GAINESVILLE,GA,305013822,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,43,9.1872093023,9.1872093023,7.2013953488,8.508372093
1023194180,PAREEK,KAPIL,,MD,M,I,1315 JESSE JEWELL PARKWAY,,GAINESVILLE,GA,305013822,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,38,7.2110526316,7.2110526316,5.6531578947,5.84
1023194347,KINCHELOE,JOHN,A,M.D.,M,I,515 W HASKELL ST,,WINNEMUCCA,NV,894453782,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,84.020909091,21.716363636,14.311818182,11.07
1023194347,KINCHELOE,JOHN,A,M.D.,M,I,515 W HASKELL ST,,WINNEMUCCA,NV,894453782,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,512.60230769,100.58923077,70.123076923,46.376923077
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,33,67,236,53.293559322,8.32,5.7421610169,5.7421610169
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,15.827058824,3.38,2.4941176471,2.4941176471
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,21.887692308,2.12,1.67,1.67
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,28,56,14.573035714,1.42,1.095,1.095
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,47.034166667,12,8.6258333333,8.4083333333
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,48.977619048,16.36,12.219047619,12.903809524
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,122.26571429,35.292857143,25.651428571,23.786190476
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,18,17.663333333,11.845555556,8.16,7.9288888889
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,54,54,395.55296296,77.540740741,56.983888889,51.572777778
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,3023,0.1659973536,0.0463314588,0.0326662256,0.0326662256
1023194636,BOYD,JEFFREY,S,PA - C,M,I,390 S CENTRAL AVE,P. O. DRAWER 2325,UMATILLA,FL,327849602,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,86.307692308,33,25.87,25.87
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,39,101,308,69.427337662,8.32,6.2252922078,6.2252922078
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,15.4545,3.38,2.5175,2.5175
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,20.258461538,2.12,1.67,1.67
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,28,52,101,14.197821782,1.42,1.0906930693,1.0906930693
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,370.52,87.54,68.63,67.84
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,38,155.53473684,34.2,26.813947368,25.918157895
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,162.52230769,55.001538462,42.058461538,41.836923077
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,17,17,54.256470588,17.516470588,13.730588235,14.018823529
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,54.268,12.009333333,9.4173333333,9.1393333333
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,22,123,8.3773170732,2.0011382114,1.5692682927,1.5917073171
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,16.97,13.31,13.54
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,37,37,223.70675676,33.354594595,23.40027027,22.442162162
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,16.25,5.23,3.3545454545,3.2818181818
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,712.286,77.544,59.261333333,53.380333333
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,35.53,27.85,29.371666667
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,30.909090909,18.193636364,15.603636364
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,8.3663636364,5.2118181818,5.0590909091
1023195112,LEE,KENNETH,B,DO,M,I,7860 SW 103RD STREET RD,BLDG 100 SUITE 101,OCALA,FL,344768623,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,75.428571429,33,24.022142857,24.022142857
1023195237,BLEEKER,DAVID,P,MD,M,I,21 MARKET ST,,PATERSON,NJ,075011723,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,29,67.736551724,8.32,6.0717241379,6.0717241379
1023195237,BLEEKER,DAVID,P,MD,M,I,21 MARKET ST,,PATERSON,NJ,075011723,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,17.3975,1.42,1.1183333333,1.1183333333
1023195260,PECHUMER,CHAD,,PA,M,I,1500 EAST MEDICAL CENTER DR,3RD FLOOR MOTT HOSPITAL RM 3970,ANN ARBOR,MI,481090245,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,145,19.797058824,15.527058824,15.643529412
1023195401,ROTHSCHILD,MARTIN,,MD,M,I,885 PARK AVE OFC 1A,,NEW YORK,NY,100750383,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,24,44,99,65.947777778,8.32,5.5341414141,5.5341414141
1023195401,ROTHSCHILD,MARTIN,,MD,M,I,885 PARK AVE OFC 1A,,NEW YORK,NY,100750383,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,16,34,42,14.422619048,1.42,0.9304761905,0.9304761905
1023195450,BEITHON,JOHN,E,M.D.,M,I,424 W STATE HIGHWAY 5,,WACONIA,MN,553871723,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,23,63,70.672222222,8.32,6.3153968254,6.3153968254
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,58.260588235,39.222941176,30.752941176,30.514117647
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,146.29157895,87.54,68.63,67.881578947
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,44,55.873636364,34.56,27.094545455,26.025681818
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,11,51,15.36,15.354509804,12.038235294,11.892352941
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,54.32,54.339166667,42.605,42.83
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,17,23,23,24.04173913,18.696521739,14.66,14.094782609
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,13,13,12.34,12.34,9.67,9.12
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,28,133,2.9568421053,2.2977443609,1.8015789474,1.6218796992
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.636666667,12.76,10.01,10.285
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,110.62789474,47.727368421,35.002105263,35.922631579
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,56,59,39.34,31.698135593,24.854067797,25.091355932
1023195518,JOHN,JENNY,A,MD,F,I,6104 OLD BRANCH AVENUE,,TEMPLE HILLS,MD,207482518,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,78.47,56.393333333,50.169166667
1023195633,HARNDEN,LINDSAY,S,PA,F,I,1230 MAINE ST,,POLAND,ME,042747325,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,75,68.6776,8.32,6.0002666667,6.0002666667
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,56,175,314,58.452070064,8.32,5.6657324841,5.6657324841
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,25,25,12.6656,3.38,2.12,2.12
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,27,66,76,15.158157895,1.42,0.9715789474,0.9715789474
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,63,8.7704761905,6.2288888889,4.6577777778,4.8231746032
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,160,6.396,5.54,4.343,4.343
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,450,2.304,1.95,1.5286666667,1.5286666667
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,188.928125,123.4775,96.805,75.69125
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,75.583333333,45.704166667,35.83,27.1725
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,18,23,23,140.71173913,76.319130435,48.697826087,35.769565217
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,28,38,38,55.149210526,24.276842105,16.853421053,13.042631579
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,25,25,49.76,20.448,15.976,9.992
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,50,7.4156,3.1976,2.508,1.8642
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,14.28,8.1652941176,6.4058823529,5.1635294118
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,406,14.94,7.2065517241,5.6500985222,4.1630541872
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6275,2.45,1.4868,1.1656589641,0.9486454183
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,25,169.7188,67.7992,49.568,37.4756
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,23,70.523043478,22.113478261,15.646521739,14.700434783
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,4430.1,913.16,708.34766667,830.47633333
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,44.202222222,18.831111111,14.763888889,11.235555556
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,15,69,80,53.640125,7.187625,5.467,3.64125
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,50,54,132.54722222,50.375925926,36.012777778,24.051481481
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,29.04,12.912727273,10.124545455,8.5145454545
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,69,77,433.98662338,102.08,76.024285714,58.477922078
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,24,3051,0.4713831531,0.0468043265,0.0303539823,0.0303539823
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,1760,1.6982840909,0.1392159091,0.1050113636,0.1050113636
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,21,123.0847619,29.303809524,22.973809524,15.81047619
1023195724,STANFIELD,JONATHAN,M,M.D.,M,I,604 BRANTLEY ST,,OPP,AL,364671742,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,49,49,77.448979592,33,24.678979592,24.678979592
1023195807,BROCK,WILLIAM,B,M.D.,M,I,1589 SPARTA ST,SUITE 105,MC MINNVILLE,TN,371101390,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,275,20.366763636,9.86,7.7301454545,7.7301454545
1023195807,BROCK,WILLIAM,B,M.D.,M,I,1589 SPARTA ST,SUITE 105,MC MINNVILLE,TN,371101390,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1080,3.8716203704,1.95,1.4114074074,1.4114074074
1023196466,DAVE,DEVEN,,M.D.,M,I,517 RIVIERA STREET,SUITE C,VENICE,FL,34285,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,27,64,74.4175,8.32,6.5209375,6.5209375
1023196466,DAVE,DEVEN,,M.D.,M,I,517 RIVIERA STREET,SUITE C,VENICE,FL,34285,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,15,15.708666667,1.42,1.1173333333,1.1173333333
1023196466,DAVE,DEVEN,,M.D.,M,I,517 RIVIERA STREET,SUITE C,VENICE,FL,34285,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.1990909091,3.2927272727,3.6527272727
1023196466,DAVE,DEVEN,,M.D.,M,I,517 RIVIERA STREET,SUITE C,VENICE,FL,34285,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,224.5,79.968235294,61.621176471,54.172352941
1023196466,DAVE,DEVEN,,M.D.,M,I,517 RIVIERA STREET,SUITE C,VENICE,FL,34285,US,Physician/Geriatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1514,1.0415257596,0.0469220608,0.0367767503,0.0367767503
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,17,41,458,54.496244541,19.658558952,15.412248908,15.412248908
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,16,34,960,7.1758125,2.634375,2.0653020833,2.0653020833
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,158,211,682,2420,73.224214876,8.32,6.0522066116,6.0522066116
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,13.724210526,3.38,2.65,2.65
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,11,12,12,19.455,2.12,1.67,1.67
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,79,106,261,468,13.488846154,1.42,0.9932478632,0.9932478632
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,17,18,18,18,29.413888889,29.413888889,22.189444444,55.676666667
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,56,56,703.43107143,364.21714286,285.54571429,285.54571429
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,900,17.126011111,10.739266667,8.2765333333,8.2765333333
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,88,495,497,344.51253521,250.70364185,196.32629779,196.57169014
1023196805,BASINA,MARINA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,62,62,62,531.66580645,261.97225806,204.76725806,206.48241935
1023196821,MCMAHAN,ELIZABETH,,FNP,F,I,927 KEMPER STREET,,SCOOBA,MS,39358,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,25,74,35.271216216,8.32,5.6656756757,5.6656756757
1023196821,MCMAHAN,ELIZABETH,,FNP,F,I,927 KEMPER STREET,,SCOOBA,MS,39358,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,28,14.495714286,1.42,1.0328571429,1.0328571429
1023196870,"JHAVERI, DO",SOHAM,P,DO,M,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,24,62,177,71.388983051,8.32,5.6896610169,5.6896610169
1023196870,"JHAVERI, DO",SOHAM,P,DO,M,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,34,51,16.055098039,1.42,0.9619607843,0.9619607843
1023196870,"JHAVERI, DO",SOHAM,P,DO,M,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,711.225,81.9,64.21,58.195833333
1023196870,"JHAVERI, DO",SOHAM,P,DO,M,I,3200 KEARNEY ST,,FREMONT,CA,945382299,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,114,33,23.518181818,23.518181818
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,34,69,65.066521739,8.32,5.5615942029,5.5615942029
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,13.232941176,1.42,1.0505882353,1.0505882353
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,42,49,90.009795918,17.222857143,12.316734694,12.364693878
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,63,70,462.31157143,78.488,56.445142857,50.257428571
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1985,0.3400352645,0.0461612091,0.0306246851,0.0306246851
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1200,1.685575,0.1303,0.0930583333,0.0930583333
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,35.31,25.172727273,27.034545455
1023196904,JUSTIN,MICHAEL,,M.D.,M,I,1577 GOODMAN AVE,A,CINCINNATI,OH,452241004,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,21,21,84.857142857,33,22.688095238,22.688095238
1023196979,BUTKIEWICZ,ELISE,,MD,F,I,33 OVERLOOK RD,103,SUMMIT,NJ,079013570,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,27,49,66.86755102,8.32,5.7236734694,5.7236734694
1023196979,BUTKIEWICZ,ELISE,,MD,F,I,33 OVERLOOK RD,103,SUMMIT,NJ,079013570,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,17,31.968235294,1.42,0.8564705882,0.8564705882
1023196979,BUTKIEWICZ,ELISE,,MD,F,I,33 OVERLOOK RD,103,SUMMIT,NJ,079013570,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,44.925,27.808333333,29.876666667
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,576,4.1760416667,3,2.1560763889,2.5455381944
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,39,66.888717949,8.32,6.521025641,6.521025641
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,665,3.9120300752,2.27,1.7796842105,1.7796842105
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,61,12.716393443,10.93,8.5691803279,8.5691803279
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,1080,3.144,2.52,1.9756666667,2.2919166667
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,360,6.18,5.23,4.0323888889,4.0323888889
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,4.62,3.9,2.805,3.105
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,337,100,3,2.3519881306,2.3676557864
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3529,1.6711929725,0.3519665628,0.2759308586,0.2900765089
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,23.433111111,12.004444444,7.6286666667,8.01
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,375.11727273,165.18727273,129.51090909,127.45
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,19,121,121,131.83479339,48.73553719,35.33768595,35.730165289
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17,17,13.33,13.5225
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,118.83083333,39.723333333,31.141666667,31.141666667
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,86.032571429,47.004285714,26.995714286,28.264
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,33,28.657272727,8.9903030303,6.5751515152,8.09
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,41,358.09073171,77.661219512,55.2,50.248780488
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,35,3438,2.0233246073,0.1301396161,0.0939557882,0.0939557882
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,52,52,57.772307692,15.938269231,11.759038462,13.810576923
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,47,47,21.63893617,7.1317021277,5.2455319149,6.5834042553
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,85,40.912857143,29.019047619,27.150952381
1023197233,GALAN,JANA,,MD,F,I,70 W MAIN ST,,OYSTER BAY,NY,117712211,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,33,33,33,33,23.518181818,23.518181818
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,97,192,192,100.93453125,40.483697917,29.955208333,28.787760417
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,8.053125,1.480625,1.1603125,1.150625
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,65,147,147,315.20326531,91.945986395,65.651836735,61.807210884
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,18,69,158,368,122.5119837,33.975108696,24.852853261,24.137826087
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,20,53,123,613,61.286867863,19.936900489,14.551615008,13.586721044
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,18,55,112,607,47.557133443,15.241285008,10.967166392,10.911153213
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,24,109,235,235,178.88451064,58.815234043,42.477446809,39.582553191
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,163,222,222,58.888513514,18.957792793,14.212252252,13.470990991
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,23,28,28,33.915,10.952142857,8.5867857143,8.22
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,85,183,183,58.422459016,12.631748634,8.943989071,8.2573770492
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,162,370,2084,7.7398464491,2.2500095969,1.6708349328,1.5144481766
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,63,91,91,21.574505495,6.2835164835,4.7213186813,4.4617582418
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,22,104,139,139,41.415755396,13.902589928,10.454244604,9.9564748201
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,58,85.271034483,25.371551724,18.901896552,16.467413793
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,29,36,144.93361111,49.62,36.798055556,35.665277778
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4780.07,913.16,703.96416667,830.30416667
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,,50,51,504.20098039,92.629411765,70.03372549,67.336862745
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,37,37,37,414.09243243,140.39027027,105.69621622,101.60324324
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,45,46,79.52826087,14.119565217,9.3447826087,8.6652173913
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,12,56,59,89.642033898,4.0755932203,2.8293220339,3.3793220339
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,63,358,359,191.0348468,36.745710306,26.276295265,23.795431755
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,37,303,305,464.40265574,75.702098361,57.160655738,53.124262295
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,137,139,142.1676259,38.845611511,30.010863309,29.141079137
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,71,4260,18.621856808,9.6282816901,7.4822042254,7.4822042254
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,44,9573,0.3126115115,0.0457829312,0.0320610049,0.0320610049
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1019,1.6846025515,0.1366633955,0.1071638862,0.1071638862
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,67,3330,11.156894895,2.9593783784,2.2787327327,2.2787327327
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,43,1665,2.2903483483,0.2193513514,0.1658318318,0.1658318318
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,155.17857143,38.944285714,29.431071429,28.479285714
1023197258,CHAWLA,PAWAN,,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,91,91,78.692307692,33,25.017142857,25.017142857
1023197704,OLIVER,BEVERLY,J,,F,I,509 N MADISON ST,,BLOOMFIELD,IA,525371271,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,73,75.518219178,8.32,5.9861643836,5.9861643836
1023197704,OLIVER,BEVERLY,J,,F,I,509 N MADISON ST,,BLOOMFIELD,IA,525371271,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,149.8,48.984166667,32.505,20.78
1023197902,MILLS,LAWRENCE,,MD,M,I,5601 LOCH RAVEN BLVD,SUITE 302 PROFESSIONAL BLDG,BALTIMORE,MD,212392995,US,Physician/Gastroenterology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,7.1429166667,6.44,4.6254166667,4.6254166667
1023197902,MILLS,LAWRENCE,,MD,M,I,5601 LOCH RAVEN BLVD,SUITE 302 PROFESSIONAL BLDG,BALTIMORE,MD,212392995,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,120,3.3473333333,3.04,2.1510833333,2.1510833333
1023197902,MILLS,LAWRENCE,,MD,M,I,5601 LOCH RAVEN BLVD,SUITE 302 PROFESSIONAL BLDG,BALTIMORE,MD,212392995,US,Physician/Gastroenterology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,454,85,66.64,63.364545455
1023197902,MILLS,LAWRENCE,,MD,M,I,5601 LOCH RAVEN BLVD,SUITE 302 PROFESSIONAL BLDG,BALTIMORE,MD,212392995,US,Physician/Gastroenterology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,186.8975,35.22,27.615,27.294166667
1023198124,CORY,ELIZABETH,,NP,F,I,179 NORTHAMPTON ST STE H,,EASTHAMPTON,MA,010271057,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,24,50.73,3.8875,2.4570833333,3.0779166667
1023198132,RAJAKUMAR,SUSILA,,M.D.,F,I,510 BUTLER AVE,,MARTINSBURG,WV,254019990,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,27,105,58.127619048,8.32,6.5225714286,6.5225714286
1023198132,RAJAKUMAR,SUSILA,,M.D.,F,I,510 BUTLER AVE,,MARTINSBURG,WV,254019990,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,34,14.017058824,1.42,1.1141176471,1.1141176471
1023198132,RAJAKUMAR,SUSILA,,M.D.,F,I,510 BUTLER AVE,,MARTINSBURG,WV,254019990,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,447.1325,81.1175,63.5975,55.3275
1023198181,HERMANOWICZ,NEAL,,MD,M,I,1180 N INDIAN CANYON DR STE W200,,PALM SPRINGS,CA,922624876,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,49,164,72.96,19.71,15.452012195,15.452012195
1023198181,HERMANOWICZ,NEAL,,MD,M,I,1180 N INDIAN CANYON DR STE W200,,PALM SPRINGS,CA,922624876,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,11,72,1792,96.99203125,24.46046875,19.176858259,19.176858259
1023198181,HERMANOWICZ,NEAL,,MD,M,I,1180 N INDIAN CANYON DR STE W200,,PALM SPRINGS,CA,922624876,US,Physician/Neurology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,762.19978723,205.57829787,161.17361702,161.17361702
1023198181,HERMANOWICZ,NEAL,,MD,M,I,1180 N INDIAN CANYON DR STE W200,,PALM SPRINGS,CA,922624876,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,11,82,2800,275.18877143,213.95,167.73678571,167.73678571
1023198272,REIKES,ANDREW,,MD,M,I,UCI MEDICAL CENTER,101 THE CITY DRIVE SOUTH,ORANGE,CA,92868,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,42,115,401,80.50234414,8.32,6.1041396509,6.1041396509
1023198272,REIKES,ANDREW,,MD,M,I,UCI MEDICAL CENTER,101 THE CITY DRIVE SOUTH,ORANGE,CA,92868,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,18,39,66,17.137575758,1.42,0.9790909091,0.9790909091
1023198272,REIKES,ANDREW,,MD,M,I,UCI MEDICAL CENTER,101 THE CITY DRIVE SOUTH,ORANGE,CA,92868,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,15,52.54,42.911333333,33.644,36.410666667
1023198801,ADEYEMO,ADENIKE,A,MD,F,I,3108 3RD AVE,,BRONX,NY,10451,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,71.875882353,8.32,6.1423529412,6.1423529412
1023198801,ADEYEMO,ADENIKE,A,MD,F,I,3108 3RD AVE,,BRONX,NY,10451,US,Physician/Internal Medicine,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.54,7.06,5.273,5.273
1023198801,ADEYEMO,ADENIKE,A,MD,F,I,3108 3RD AVE,,BRONX,NY,10451,US,Physician/Internal Medicine,S,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,160,8.48,7.96,6.2406875,6.2406875
1023198801,ADEYEMO,ADENIKE,A,MD,F,I,3108 3RD AVE,,BRONX,NY,10451,US,Physician/Internal Medicine,S,A5072,"Ostomy pouch, urinary; without barrier attached (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.22,3.97,2.853125,2.853125
1023199064,HONAKER,CHRISTIN,E,MD,F,I,201 ABRAHAM FLEXNER WAY,SUITE 904,LOUISVILLE,KY,402023841,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,53,105,66.78447619,8.1828571429,5.0239047619,5.1311428571
1023199064,HONAKER,CHRISTIN,E,MD,F,I,201 ABRAHAM FLEXNER WAY,SUITE 904,LOUISVILLE,KY,402023841,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,22,16.453636364,1.42,0.9627272727,0.9627272727
1023199064,HONAKER,CHRISTIN,E,MD,F,I,201 ABRAHAM FLEXNER WAY,SUITE 904,LOUISVILLE,KY,402023841,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,39.5,31.873181818,20.765909091,20.919090909
1023199189,HAGLUND,NICHOLAS,A,M.D.,M,I,4000 CAMBRIDGE ST STE G600,,KANSAS CITY,KS,661608500,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,69,73,797.15123288,19.71,15.23890411,15.23890411
1023199189,HAGLUND,NICHOLAS,A,M.D.,M,I,4000 CAMBRIDGE ST STE G600,,KANSAS CITY,KS,661608500,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,80,385,547.42553247,37.38,29.077298701,29.077298701
1023199189,HAGLUND,NICHOLAS,A,M.D.,M,I,4000 CAMBRIDGE ST STE G600,,KANSAS CITY,KS,661608500,US,Advanced Heart Failure and Transplant Cardiology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,1026.2095238,210.41285714,164.96428571,164.96428571
1023199189,HAGLUND,NICHOLAS,A,M.D.,M,I,4000 CAMBRIDGE ST STE G600,,KANSAS CITY,KS,661608500,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,67,3808,105.25659401,1.5725682773,1.2223870798,1.2223713235
1023199189,HAGLUND,NICHOLAS,A,M.D.,M,I,4000 CAMBRIDGE ST STE G600,,KANSAS CITY,KS,661608500,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,3360,1.3844761905,0.585625,0.4591279762,0.4591279762
1023199189,HAGLUND,NICHOLAS,A,M.D.,M,I,4000 CAMBRIDGE ST STE G600,,KANSAS CITY,KS,661608500,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,14,16,16,12.54,12.54
1023199221,SUNDQUIST,CHAD,E,PA-C,M,I,1416 E A ST,SUITE 101,CASPER,WY,826012276,US,Physician Assistant,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,31.66,29.25,19.108333333,19.435
1023199221,SUNDQUIST,CHAD,E,PA-C,M,I,1416 E A ST,SUITE 101,CASPER,WY,826012276,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1038,0.39,0.13,0.0930924855,0.0930924855
1023199221,SUNDQUIST,CHAD,E,PA-C,M,I,1416 E A ST,SUITE 101,CASPER,WY,826012276,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,4170,3.8039568345,1.73,1.3120431655,1.5537002398
1023199221,SUNDQUIST,CHAD,E,PA-C,M,I,1416 E A ST,SUITE 101,CASPER,WY,826012276,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,828,10.910869565,6.15,4.8215821256,5.6683333333
1023199221,SUNDQUIST,CHAD,E,PA-C,M,I,1416 E A ST,SUITE 101,CASPER,WY,826012276,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,38,15.91,10.93,7.8931578947,7.8931578947
1023199221,SUNDQUIST,CHAD,E,PA-C,M,I,1416 E A ST,SUITE 101,CASPER,WY,826012276,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,61,10.889508197,7.2681967213,5.3390163934,5.4832786885
1023199452,UEMURA,TADAHIRO,,MD,M,I,320 E NORTH AVE FL 5,,PITTSBURGH,PA,152124756,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,105,21315,7.9973267652,0.5630790523,0.4135543045,0.4135543045
1023199452,UEMURA,TADAHIRO,,MD,M,I,320 E NORTH AVE FL 5,,PITTSBURGH,PA,152124756,US,Physician/General Surgery,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,10650,2.7864460094,0.7380450704,0.5662366197,0.5662366197
1023199452,UEMURA,TADAHIRO,,MD,M,I,320 E NORTH AVE FL 5,,PITTSBURGH,PA,152124756,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,4440,6.2583761261,1.3709054054,1.0692995495,1.0692995495
1023199452,UEMURA,TADAHIRO,,MD,M,I,320 E NORTH AVE FL 5,,PITTSBURGH,PA,152124756,US,Physician/General Surgery,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2310,19.586861472,7.5513766234,5.8581731602,5.8581731602
1023199452,UEMURA,TADAHIRO,,MD,M,I,320 E NORTH AVE FL 5,,PITTSBURGH,PA,152124756,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,23,141,141,24,24,18.185319149,18.185319149
1023199452,UEMURA,TADAHIRO,,MD,M,I,320 E NORTH AVE FL 5,,PITTSBURGH,PA,152124756,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,16,64,70,16,16,12.540142857,12.540142857
1023199718,HOWARD,KRYSTAL,,FNP,F,I,111 N CAUSEWAY BLVD,,METAIRIE,LA,700015450,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,22,45.905909091,8.32,5.6340909091,5.6340909091
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,39,122,62.481229508,8.32,6.5225409836,6.5225409836
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,32,15.2590625,1.42,1.1146875,1.1146875
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,26,14.216153846,10.93,8.5692307692,8.5692307692
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,97.834,38,27.804,28.515333333
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,682,7.37,6.26,4.9079032258,5.7782258065
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,341,5.23,5.21,4.0848387097,4.1006451613
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,37,8.8589189189,1.46,1.0213513514,1.0313513514
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,14,29,29,204.93931034,84,62.445862069,64.357586207
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,12,23,36,84.402777778,35,27.44,25.961111111
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,183.09352941,54.9,40.508235294,40.349411765
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,29,29,54.216896552,18,13.623448276,13.576896552
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,28,28,54.32,12,8.7378571429,8.4789285714
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,56,209,13.181674641,2,1.4936363636,1.5171770335
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,18.335833333,6.03,4.3266666667,4.2625
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,341,3.81,3.81,2.9870967742,2.9870967742
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,549,5.8,4.9893989071,3.9116939891,4.1238979964
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5221,0.73,0.6581900019,0.5160199196,0.5174391879
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,65.07,61.678333333,48.355,48.321666667
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,42,83.480952381,17,12.484761905,12.677142857
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,13,115,115,3057.69,913.07365217,710.40773913,836.8153913
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,355.67625,100.46875,76.382083333,73.730416667
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,57.074736842,13.999473684,10.401578947,9.9542105263
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,80,88,227.70045455,30.857613636,23.111477273,24.450340909
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,5.95,5.1826315789,4.0610526316,3.9542105263
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,107,108,512.66666667,79.202777778,59.941203704,53.381203704
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,206.445,37.15,29.13,29.472
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,3660,0.92,0.1364836066,0.103363388,0.103363388
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,395,37.312307692,26.889230769,27.24
1023199783,SALUJA,JASPREET,,,M,I,399 E HIGHLAND AVE,SUITE 123,SAN BERNARDINO,CA,924043808,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,33,33,132,33,25.086060606,25.086060606
1023199825,CANFIELD,CHARLES,O,M.D.,M,I,10421 S JORDAN GTWY,STE 660,SOUTH JORDAN,UT,840953905,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,780,5.7,3.16,2.2867692308,2.1897564103
1023199825,CANFIELD,CHARLES,O,M.D.,M,I,10421 S JORDAN GTWY,STE 660,SOUTH JORDAN,UT,840953905,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,32,13089,3.9101535641,0.37,0.2838184735,0.2838184735
1023199825,CANFIELD,CHARLES,O,M.D.,M,I,10421 S JORDAN GTWY,STE 660,SOUTH JORDAN,UT,840953905,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.92,10.43,7.6641666667,7.6233333333
1023199825,CANFIELD,CHARLES,O,M.D.,M,I,10421 S JORDAN GTWY,STE 660,SOUTH JORDAN,UT,840953905,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.67,9.57,7.51,7.57
1023199825,CANFIELD,CHARLES,O,M.D.,M,I,10421 S JORDAN GTWY,STE 660,SOUTH JORDAN,UT,840953905,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,420.19,199.73,149.27583333,149.27583333
1023199890,GAHRAHMAT,LEYLA,,M.D.,F,I,7601 STONERIDGE DR,,PLEASANTON,CA,945884501,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,990,0.13,0.13,0.0648383838,0.0648383838
1023200060,WILLIAMS,STEPHANIE,K,FNP-C,F,I,208 MORRIS DRIVE,,MINDEN,LA,71055,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,22,41,110,43.914272727,8.32,6.0478181818,6.0478181818
1023200060,WILLIAMS,STEPHANIE,K,FNP-C,F,I,208 MORRIS DRIVE,,MINDEN,LA,71055,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,26,43,10.565813953,1.42,1.0623255814,1.0623255814
1023200060,WILLIAMS,STEPHANIE,K,FNP-C,F,I,208 MORRIS DRIVE,,MINDEN,LA,71055,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,48.145833333,4.91,3.8508333333,3.8483333333
1023200060,WILLIAMS,STEPHANIE,K,FNP-C,F,I,208 MORRIS DRIVE,,MINDEN,LA,71055,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,47.323636364,34.272727273,33.701818182
1023200409,ARCERITO,MASSIMO,,MD,M,I,3660 PARK SIERRA DR,SUITE 105,RIVERSIDE,CA,925053081,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,5.52,5.52,4.3275,4.343
1023200409,ARCERITO,MASSIMO,,MD,M,I,3660 PARK SIERRA DR,SUITE 105,RIVERSIDE,CA,925053081,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.0163636364,4.0163636364,3.1488181818,3.1595
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,43,92,77.009891304,8.32,5.7426086957,5.7426086957
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,25,13.3016,1.42,0.94,0.94
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,48,66.759166667,15.08,11.083541667,11.152291667
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,197.1285,54.55,40.6315,40.709
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,19,19,63.940526316,17.3,13.151052632,13.572105263
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,70.061176471,12.04,9.44,9.12
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,28,134,7.4634328358,2,1.5685074627,1.5904477612
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,16,33.39,11.5,7.7275,7.8675
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,47,50,105.751,33.9444,25.1758,24.7548
1023200961,BRUNEAU,MATTHEW,L,M.D.,M,I,2102 TRINITY OAKS BLVD STE 216,,TRINITY,FL,346554409,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,428.21066667,79.88,60.962666667,53.589333333
1023202058,TROXELL,COREY,R,D.O.,M,I,231 GRANITE RUN DR,,LANCASTER,PA,176016823,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,19,261,138.47,108.56,103.78368421
1023202124,MITCHELL,GYETRI,,"MSN, FNP",F,I,1304 W BOBO NEWSOM HWY,,HARTSVILLE,SC,295504710,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,40.363636364,33,18.814545455,18.814545455
1023202157,O'CONNELL,BRYAN,D,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,44,149,74.564899329,8.32,5.9095973154,5.9095973154
1023202157,O'CONNELL,BRYAN,D,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,29,13.862413793,1.42,0.924137931,0.924137931
1023202157,O'CONNELL,BRYAN,D,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,108,598.71351852,268.27777778,209.40833333,209.40833333
1023202157,O'CONNELL,BRYAN,D,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,30,184,118.07282609,9.3467391304,7.088423913,7.088423913
1023202157,O'CONNELL,BRYAN,D,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,30,184,224.22766304,29.209565217,22.900271739,22.900271739
1023202280,WONG,DAVID,,MD,M,I,1530 CITRUS MEDICAL CT,STE 101,OCOEE,FL,347614548,US,Physician/Interventional Pain Management,S,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,495,400.57142857,309.9147619,306.41238095
1023202280,WONG,DAVID,,MD,M,I,1530 CITRUS MEDICAL CT,STE 101,OCOEE,FL,347614548,US,Physician/Interventional Pain Management,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,1288,1000.0370588,780.51941176,772.04
1023202728,GASSER,RYAN,M,M.D.,M,I,224 W EXCHANGE ST,#440,AKRON,OH,443021704,US,Physician/Orthopedic Surgery,S,L0626,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,135,75.65,56.702631579,56.301052632
1023202819,SAMBOLIN JESSURUN,IVELISSE,Y,M.D.,F,I,COND VICK CENTER C101,AVE. MUNOZ RIVERA 806,RIO PIEDRAS,PR,009250001,US,Physician/Physical Medicine and Rehabilitation,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,112.275,75.175,58.935909091,39.135
1023202819,SAMBOLIN JESSURUN,IVELISSE,Y,M.D.,F,I,COND VICK CENTER C101,AVE. MUNOZ RIVERA 806,RIO PIEDRAS,PR,009250001,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,25,25,25,130.8504,90.6296,71.052,51.686
1023202819,SAMBOLIN JESSURUN,IVELISSE,Y,M.D.,F,I,COND VICK CENTER C101,AVE. MUNOZ RIVERA 806,RIO PIEDRAS,PR,009250001,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,11,52,54,129.00388889,75.166296296,58.932592593,43.897037037
1023202819,SAMBOLIN JESSURUN,IVELISSE,Y,M.D.,F,I,COND VICK CENTER C101,AVE. MUNOZ RIVERA 806,RIO PIEDRAS,PR,009250001,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,42,89,14.588314607,8.9797752809,6.4673033708,4.5707865169
1023202819,SAMBOLIN JESSURUN,IVELISSE,Y,M.D.,F,I,COND VICK CENTER C101,AVE. MUNOZ RIVERA 806,RIO PIEDRAS,PR,009250001,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,29.49,14.739090909,11.554545455,9.3245454545
1023202819,SAMBOLIN JESSURUN,IVELISSE,Y,M.D.,F,I,COND VICK CENTER C101,AVE. MUNOZ RIVERA 806,RIO PIEDRAS,PR,009250001,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,17,72,80,53.7265,33.100875,24.483625,17.492
1023202819,SAMBOLIN JESSURUN,IVELISSE,Y,M.D.,F,I,COND VICK CENTER C101,AVE. MUNOZ RIVERA 806,RIO PIEDRAS,PR,009250001,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,33,20.667272727,15.138484848,11.863636364,8.9615151515
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,47,127,75.765905512,8.32,5.8029133858,5.8029133858
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,13,13.390769231,1.42,0.9461538462,0.9461538462
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,16,97.86,37.190625,23.003125,19.861875
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,42,7.9128571429,2.4373809524,1.4945238095,1.1714285714
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,49,49,480.20408163,70.23,51.688979592,51.425306122
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,13.94,11.325461538,8.7758846154,8.7758846154
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2613,0.350401837,0.0453463452,0.0355568312,0.0355568312
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,690,12.877666667,2.9253043478,2.2934637681,2.2934637681
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,85,37.44,28.022857143,28.182857143
1023203080,KAUR,TARANDEEP,,M.D.,F,I,111 W STONE DR,SUITE 240,KINGSPORT,TN,376606027,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,30,30,82.5,33,25.87,25.87
1023203247,FENSTERMACHER,SUZAN,S,RPA-C,F,I,88 TIOGA AVE.,SUITE 102,CORNING,NY,14830,US,Physician Assistant,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,19,1324.34,19.71,14.637894737,14.637894737
1023203247,FENSTERMACHER,SUZAN,S,RPA-C,F,I,88 TIOGA AVE.,SUITE 102,CORNING,NY,14830,US,Physician Assistant,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,629.9,37.38,26.858333333,26.858333333
1023203247,FENSTERMACHER,SUZAN,S,RPA-C,F,I,88 TIOGA AVE.,SUITE 102,CORNING,NY,14830,US,Physician Assistant,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,6775,171.17786716,14.106162362,11.05878524,11.05878524
1023204211,SIMON,JIN-HWA,,M.D.,F,I,1 HOAG DR,,NEWPORT BEACH,CA,926634162,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,47.66,3.1584615385,2.2246153846,3.2346153846
1023204518,LAVIAN,ARASH,,MD,M,I,2020 SANTA MONICA BLVD STE 400,,SANTA MONICA,CA,904042139,US,Physician/Physical Medicine and Rehabilitation,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,17,1123.0629412,972.47,758.44823529,770.80588235
1023204534,SHACKELFORD,JASON,M,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,35,85,78.083647059,8.32,5.4482352941,5.4482352941
1023204534,SHACKELFORD,JASON,M,M.D.,M,I,500 OLD YORK RD,SUITE 203,JENKINTOWN,PA,190462852,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,30,15.698333333,1.42,0.9656666667,0.9656666667
1023204641,ROXAS,RODRIGO,,MD,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,45,130,45.611384615,8.3084615385,5.9616923077,5.9616923077
1023204641,ROXAS,RODRIGO,,MD,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,19,26,10.527307692,1.42,1.0730769231,1.0730769231
1023204641,ROXAS,RODRIGO,,MD,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,38,64.887368421,20.621052632,16.165263158,13.532105263
1023204641,ROXAS,RODRIGO,,MD,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,95,49.67,38.95,37.63
1023204641,ROXAS,RODRIGO,,MD,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,26.9325,4.38,3.1441666667,3.0983333333
1023204641,ROXAS,RODRIGO,,MD,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,99.872941176,30.978235294,21.078235294,21.087647059
1023204641,ROXAS,RODRIGO,,MD,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,32,402.31625,94.36875,73.98875,54.73
1023205051,VANDENBOSCH,MICHELLE,H,MD,F,I,5808B HIGHWAY 189 N,,BAKER,FL,325312506,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,61,43.58442623,8.32,6.5229508197,6.5229508197
1023205051,VANDENBOSCH,MICHELLE,H,MD,F,I,5808B HIGHWAY 189 N,,BAKER,FL,325312506,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,32,31.2665625,4.625,3.6271875,3.625
1023205515,LATHAM-SOLOMON,VICKI,B,MD,F,I,115 S 15TH ST,SUITE 501,RICHMOND,VA,232194252,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,48,84,71.068571429,8.32,5.5883333333,5.5883333333
1023205531,SHEPARD,GREGG,C,MD,M,I,4220 HARDING PIKE,S&E BUILDING SUITE 200,NASHVILLE,TN,372052005,US,Physician/Hematology-Oncology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.8,7,5.488,5.488
1023205531,SHEPARD,GREGG,C,MD,M,I,4220 HARDING PIKE,S&E BUILDING SUITE 200,NASHVILLE,TN,372052005,US,Physician/Hematology-Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.18,3.04,2.3835,2.3835
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.18,0.13,0.1019166667,0.1019166667
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,2.15,1.9483333333,1.4278888889,1.4997013889
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,60,19.751833333,9.9261666667,7.5333333333,8.0621666667
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,30,650,10.075538462,5.7252307692,4.3135846154,4.3228461538
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,270,9.8951851852,9.1888888889,6.6561851852,6.6649259259
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,36,8.1919444444,6.4044444444,4.7458333333,4.7683333333
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,260,15.713384615,7,5.2769230769,5.2769230769
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,260,7.7230769231,4.04,2.9238461538,2.9238461538
1023205572,TARIN,TATUM,,MD,M,I,1350 LOCUST STREET,SUITE G100A,PITTSBURGH,PA,15219,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,350,0.6394285714,0.27,0.2116,0.2116
1023205697,VOELZKE,WILL,R,M.D.,M,I,1401 JOHNSTON WILLIS DR,SUITE 100,RICHMOND,VA,232354730,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,20,2042,51.266376102,5.1854652302,4.0366013712,4.0366013712
1023205697,VOELZKE,WILL,R,M.D.,M,I,1401 JOHNSTON WILLIS DR,SUITE 100,RICHMOND,VA,232354730,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,24,24,18.82,18.82
1023205697,VOELZKE,WILL,R,M.D.,M,I,1401 JOHNSTON WILLIS DR,SUITE 100,RICHMOND,VA,232354730,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,23,16,16,12.540869565,12.540869565
1023205739,NELSON,KINLOCH,,M.D.,M,I,9101 STONY POINT DR.,,RICHMOND,VA,23235,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,4000,11.359835,7.23,5.6513725,5.6513725
1023205739,NELSON,KINLOCH,,M.D.,M,I,9101 STONY POINT DR.,,RICHMOND,VA,23235,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,17,74,21.087027027,9.68,7.5889189189,8.41
1023205887,MIRA,TAMADER,H,M.D.,F,I,5505 RITCHIE HWY,E,BROOKLYN,MD,212253444,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,24,71,195,59.668974359,8.32,5.8862051282,5.8862051282
1023205887,MIRA,TAMADER,H,M.D.,F,I,5505 RITCHIE HWY,E,BROOKLYN,MD,212253444,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,12.008235294,3.38,2.3382352941,2.3382352941
1023205887,MIRA,TAMADER,H,M.D.,F,I,5505 RITCHIE HWY,E,BROOKLYN,MD,212253444,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,34,40,13.039,1.42,1.005,1.005
1023205887,MIRA,TAMADER,H,M.D.,F,I,5505 RITCHIE HWY,E,BROOKLYN,MD,212253444,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,132.59448276,17.46,12.745862069,12.606206897
1023205887,MIRA,TAMADER,H,M.D.,F,I,5505 RITCHIE HWY,E,BROOKLYN,MD,212253444,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,511.31172414,82,57.70137931,49.031034483
1023206315,QURASHI,SAIMA,,,F,I,222 ROUTE 59,,SUFFERN,NY,109015204,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,540,9.6964259259,2.8946666667,2.2694259259,2.2694259259
1023206315,QURASHI,SAIMA,,,F,I,222 ROUTE 59,,SUFFERN,NY,109015204,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,16,33,33,25.87,25.87
1023206612,RIM,JOSEPHINE,M,M.D.,F,I,80 HAZLET AVE,SUITE 12,HAZLET,NJ,077301623,US,Physician/Pain Management,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.28,8.6336363636,6.7690909091,7.3681818182
1023206612,RIM,JOSEPHINE,M,M.D.,F,I,80 HAZLET AVE,SUITE 12,HAZLET,NJ,077301623,US,Physician/Pain Management,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,134.38,46.8156,36.7032,38.5244
1023206612,RIM,JOSEPHINE,M,M.D.,F,I,80 HAZLET AVE,SUITE 12,HAZLET,NJ,077301623,US,Physician/Pain Management,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,68.184090909,14.968181818,10.233636364,12.261363636
1023206612,RIM,JOSEPHINE,M,M.D.,F,I,80 HAZLET AVE,SUITE 12,HAZLET,NJ,077301623,US,Physician/Pain Management,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,52,52,119.34,23.208653846,17.260384615,21.066923077
1023206612,RIM,JOSEPHINE,M,M.D.,F,I,80 HAZLET AVE,SUITE 12,HAZLET,NJ,077301623,US,Physician/Pain Management,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,74,74,20.57,6.9424324324,4.9862162162,6.2097297297
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,26,124,62.900967742,8.32,6.1545967742,6.1545967742
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,25,12.8092,1.42,1.1124,1.1124
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,32,49,49,100.67408163,48.976530612,35.392244898,28.476734694
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,29,64,64,390.4928125,113.96515625,84.4353125,63.9903125
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,30,62,154,156.08435065,40.344155844,30.045779221,24.33961039
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,27,128,87.60921875,24.351328125,16.713671875,12.600546875
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,20,30,30,236.59633333,73.46,47.815666667,35.502333333
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,47,60,60,67.287,23.2195,16.836166667,13.037333333
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,16,39,39,90.148974359,14.727692308,11.273846154,8.8282051282
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,49,93,534,9.1358801498,2.6100749064,1.8896254682,1.4803183521
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,27,32,32,52.106875,14.734375,11.196875,10.0746875
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,25.761428571,7.205,5.3871428571,3.3785714286
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,17,84,84,341.13690476,45.993333333,33.597142857,23.227142857
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,647.62043478,103.76521739,78.755652174,55.872173913
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1465,1.7760409556,0.1340614334,0.1051331058,0.1051331058
1023206968,SMITH,IRVING,S,DO,M,I,580 ST JOHNSBURY ROAD,,LITTLETON,NH,03561,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,251,45.15,35.4,33.966666667
1023207123,OLGUN,ESRA,,MD,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,22,2975,913.16,715.92,830.77454545
1023207123,OLGUN,ESRA,,MD,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,22.5,4.3088235294,3.3776470588,3.8411764706
1023207461,MILLER-LOPEZ,MARNI,L,PA,F,I,2800 L ST STE 501,,SACRAMENTO,CA,958165616,US,Physician Assistant,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,4995,4378.96,3433.11,3433.11
1023207784,LANNING LOWTHER,LISA,C,DO,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,35,86,65.081395349,8.32,4.5463953488,4.5463953488
1023207784,LANNING LOWTHER,LISA,C,DO,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,26,15.954615385,1.42,0.73,0.73
1023207784,LANNING LOWTHER,LISA,C,DO,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17.29,11.291666667,11.275
1023207784,LANNING LOWTHER,LISA,C,DO,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,136.06909091,35.03,27.464090909,26.714090909
1023207784,LANNING LOWTHER,LISA,C,DO,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,70.23,45.883333333,45.6
1023207784,LANNING LOWTHER,LISA,C,DO,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2945,0.3145432937,0.0472122241,0.0339151104,0.0339151104
1023207859,TENKMAN,LAWRENCE,,MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,103,103,103,74.296601942,71.802427184,52.739126214,50.389514563
1023207859,TENKMAN,LAWRENCE,,MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,15,28,44.505714286,38.334285714,30.053214286,32.373571429
1023207859,TENKMAN,LAWRENCE,,MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,35,35,63,53.456507937,48.319365079,33.525555556,37.791746032
1023207859,TENKMAN,LAWRENCE,,MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,26,26,44,53.022727273,46.960681818,34.840227273,40.816363636
1023207859,TENKMAN,LAWRENCE,,MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,18,18,34,71.665294118,64.37,50.465294118,52.977058824
1023207859,TENKMAN,LAWRENCE,,MD,M,I,1935 BLUEGRASS AVE,SUITE 200,LOUISVILLE,KY,402151179,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,27,27,52,68.537307692,66.421538462,48.860769231,50.315192308
1023208162,ELIAS,HEATHER,L,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,,25,238,71.09789916,19.612310924,15.130378151,15.130378151
1023208162,ELIAS,HEATHER,L,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,23,525,8.9192571429,2.632,2.0240571429,2.0240571429
1023208162,ELIAS,HEATHER,L,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,26,71,284,70.501267606,8.32,6.1775704225,6.1775704225
1023208162,ELIAS,HEATHER,L,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,27,38,15.023421053,1.42,1.0865789474,1.0865789474
1023208386,LEKHT,VLADIMIR,,M.D.,M,I,1121E 14TH ST,,BROOKLYN,NY,112304813,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,94.436842105,45,27.451052632,27.411578947
1023208386,LEKHT,VLADIMIR,,M.D.,M,I,1121E 14TH ST,,BROOKLYN,NY,112304813,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,24.284705882,13.88,6.4,8.8405882353
1023208386,LEKHT,VLADIMIR,,M.D.,M,I,1121E 14TH ST,,BROOKLYN,NY,112304813,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,14.069583333,6.3054166667,3.4991666667,4.80125
1023209129,GERGEN BARNETT,KATHERINE,A,MD,F,I,850 HARRISON AVE,YACC 4,BOSTON,MA,021184001,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,30,69,79.873478261,8.32,6.2391304348,6.2391304348
1023209129,GERGEN BARNETT,KATHERINE,A,MD,F,I,850 HARRISON AVE,YACC 4,BOSTON,MA,021184001,US,Physician/Obstetrics & Gynecology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,25,18.8032,1.42,1.0712,1.0712
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation",D1E - Other DME,Durable Medical Equipment,Y,3,21,23,23,999,5.9,4.63,4.63
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,68,68,68,1964,427.37764706,330.09676471,307.62676471
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,2788,944.40866667,740.42266667,750.34533333
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,155,155,155,3391,1150.8290968,890.8736129,877.61858065
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,22,26,2515,851.76653846,667.78115385,676.57961538
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L2385,"Addition to lower extremity, straight knee joint, heavy duty, each joint",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,26,30,480,157.36966667,123.38466667,107.14666667
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L2395,"Addition to lower extremity, offset knee joint, heavy duty, each joint",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,26,30,514,169.63866667,132.997,123.68833333
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,27,62,525.29032258,119.03225806,93.321290323,89.643548387
1023209228,HOGAN,PATRICK,W,D.O.,M,I,7200 W BELL RD,STE F101,GLENDALE,AZ,853088529,US,Physician/Interventional Pain Management,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,12,280,70.94,55.62,47.113333333
1023209368,PEERY,JASON,A,PA-C,M,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.4409090909,2.1509090909,2.1509090909
1023209467,HUANG,JOE,,MD,M,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Physician/Geriatric Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,16.51,11.244545455,8.8163636364,9.0618181818
1023209467,HUANG,JOE,,MD,M,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Physician/Geriatric Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,13,24.451538462,10.997692308,8.6230769231,8.69
1023209467,HUANG,JOE,,MD,M,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Physician/Geriatric Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,304.92,223.93727273,175.56181818,175.56181818
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,23,56,175,48.617885714,8.32,6.3732,6.3732
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,12.121052632,3.38,2.65,2.65
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,16.361538462,2.12,1.67,1.67
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,28,48,11.034583333,1.42,1.1141666667,1.1141666667
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,109.46,49.470909091,38.781818182,38.301818182
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,145.557,45.13,22.166,22.641
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,153,154,79.439480519,17.912337662,13.680844156,13.243831169
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,84.276956522,6.2726086957,3.7047826087,2.6930434783
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,37,236,240,301.18954167,77.096958333,58.994958333,53.949458333
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,116.22631579,36.5,28.554210526,29.350526316
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1548,0.4035594315,0.0462919897,0.0362919897,0.0362919897
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,33,2040,0.3282058824,0.1322647059,0.1037058824,0.1037058824
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,54.102857143,19.010714286,12.887857143,12.162857143
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,66,66,99.45,28.82469697,20.011666667,18.857272727
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,25.436666667,8.4438888889,6.2666666667,6.1594444444
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,577.42,192.41538462,150.85230769,142.95615385
1023209525,HIGGINS,KIM,E,DO,F,I,1305 W MAGNOLIA AVE,SUITE B,FORT WORTH,TX,761044351,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,37.304347826,33,25.87,25.87
1023209798,ROSS,MARINA,,MD,F,I,10628 PARK RD,,CHARLOTTE,NC,282108407,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,43.684,18.272571429,14.328857143,13.535142857
1023209798,ROSS,MARINA,,MD,F,I,10628 PARK RD,,CHARLOTTE,NC,282108407,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,255.08914286,83.281142857,65.295714286,54.936
1023210200,RIVERA-RODRIGUEZ,NORIDZA,,,F,I,HOSPITAL UNIVERSITARIO ADULTOS,SECCION HEMATOLOGIA-ONCOLOGIA SOTANO,SAN JUAN,PR,00935,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1023210317,RODONAIA,GRIGORIY,T,M.D.  PA,M,I,2955 HARRISON ST,STE. 200,BEAUMONT,TX,777021154,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,79,47.730379747,8.32,6.3572151899,6.3572151899
1023210317,RODONAIA,GRIGORIY,T,M.D.  PA,M,I,2955 HARRISON ST,STE. 200,BEAUMONT,TX,777021154,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,11.353333333,3.38,2.65,2.65
1023210317,RODONAIA,GRIGORIY,T,M.D.  PA,M,I,2955 HARRISON ST,STE. 200,BEAUMONT,TX,777021154,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,32,11.969375,1.42,1.114375,1.114375
1023210317,RODONAIA,GRIGORIY,T,M.D.  PA,M,I,2955 HARRISON ST,STE. 200,BEAUMONT,TX,777021154,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,51.655,19.73875,14.92,13.2325
1023210317,RODONAIA,GRIGORIY,T,M.D.  PA,M,I,2955 HARRISON ST,STE. 200,BEAUMONT,TX,777021154,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7.36,3.8575,3.0225,3.6108333333
1023210317,RODONAIA,GRIGORIY,T,M.D.  PA,M,I,2955 HARRISON ST,STE. 200,BEAUMONT,TX,777021154,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,37,403.61945946,82.605945946,60.053513514,50.292432432
1023210382,TONDAPU,PRASANTHI,,M.D.,F,I,1141 KELLER PKWY,SUITE C,KELLER,TX,762481627,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,11,143,25.272167832,19.625454545,14.382727273,14.382727273
1023210382,TONDAPU,PRASANTHI,,M.D.,F,I,1141 KELLER PKWY,SUITE C,KELLER,TX,762481627,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,405,10.281481481,2.6296296296,2.0615802469,2.0615802469
1023210382,TONDAPU,PRASANTHI,,M.D.,F,I,1141 KELLER PKWY,SUITE C,KELLER,TX,762481627,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,40,109,423,65.001134752,8.32,5.9364066194,5.9364066194
1023210382,TONDAPU,PRASANTHI,,M.D.,F,I,1141 KELLER PKWY,SUITE C,KELLER,TX,762481627,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,33,61,14.527704918,1.42,1.1150819672,1.1150819672
1023210382,TONDAPU,PRASANTHI,,M.D.,F,I,1141 KELLER PKWY,SUITE C,KELLER,TX,762481627,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,18,79,83,303.71277108,251.04421687,196.71313253,196.76457831
1023210382,TONDAPU,PRASANTHI,,M.D.,F,I,1141 KELLER PKWY,SUITE C,KELLER,TX,762481627,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,311.96923077,264.16,205.79230769,205.79230769
1023211273,SHORR,RACHEL,B,M.D.,F,I,SWEDISH FAMILY MEDICINE RESIDENCY PROGRAM,550 16TH AVE SUITE #100,SEATTLE,WA,98122,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,23,49,83,41.14060241,8.32,4.5228915663,4.5228915663
1023211273,SHORR,RACHEL,B,M.D.,F,I,SWEDISH FAMILY MEDICINE RESIDENCY PROGRAM,550 16TH AVE SUITE #100,SEATTLE,WA,98122,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,18,30,33,19.501212121,1.42,0.7454545455,0.7454545455
1023211273,SHORR,RACHEL,B,M.D.,F,I,SWEDISH FAMILY MEDICINE RESIDENCY PROGRAM,550 16TH AVE SUITE #100,SEATTLE,WA,98122,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.05818182,17.11,10.98,11.096363636
1023211273,SHORR,RACHEL,B,M.D.,F,I,SWEDISH FAMILY MEDICINE RESIDENCY PROGRAM,550 16TH AVE SUITE #100,SEATTLE,WA,98122,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,499.09090909,79,51.571818182,45.673636364
1023211489,WRIGHT,VIRGINIA,F,MD,F,I,2201 S STERLING ST,,MORGANTON,NC,28655,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,82.08,16.236363636,12.727272727,9.9
1023211489,WRIGHT,VIRGINIA,F,MD,F,I,2201 S STERLING ST,,MORGANTON,NC,28655,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,23,23,291.95478261,68.777391304,53.923913043,39.876521739
1023211489,WRIGHT,VIRGINIA,F,MD,F,I,2201 S STERLING ST,,MORGANTON,NC,28655,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1995,1074.31,836.04666667,836.04666667
1023211489,WRIGHT,VIRGINIA,F,MD,F,I,2201 S STERLING ST,,MORGANTON,NC,28655,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,435.04615385,71.616923077,47.300769231,46.264615385
1023211489,WRIGHT,VIRGINIA,F,MD,F,I,2201 S STERLING ST,,MORGANTON,NC,28655,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,33,103.4130303,21.206363636,15.728484848,13.088484848
1023211521,TAYLOR,FLOYE,L,ARNP,F,I,3121 N REYNOLDS RD,,BRYANT,AR,720229191,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,67.12,17.85,13.991538462,15.783076923
1023211547,WILLIS,DANIEL,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,3120,0.3573076923,0.13,0.1019358974,0.1019358974
1023211547,WILLIS,DANIEL,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,4340,4.7267926267,2.04,1.5555806452,1.5555806452
1023211547,WILLIS,DANIEL,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,13,35,68,16.044411765,10.93,8.5697058824,8.5697058824
1023211547,WILLIS,DANIEL,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,62,14.066451613,7.26,5.6916129032,5.8430645161
1023211547,WILLIS,DANIEL,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,420,16.216619048,9.86,7.7300952381,7.7300952381
1023211547,WILLIS,DANIEL,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,275,11.661236364,7,5.3882181818,5.3882181818
1023211547,WILLIS,DANIEL,L,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,710,5.7623661972,4.04,3.1307042254,3.1307042254
1023211729,TROUPE,DANIEL,J,PA,M,I,5921 N MARKET ST,,SPOKANE,WA,992082484,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,13,38,43.563684211,8.32,3.9486842105,3.9486842105
1023211729,TROUPE,DANIEL,J,PA,M,I,5921 N MARKET ST,,SPOKANE,WA,992082484,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,16,12.553125,1.42,0.83625,0.83625
1023211752,GASOW,JANA,R,MD,F,I,1123 PACIFIC AVE,,TACOMA,WA,984024303,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,79.512307692,8.32,5.0161538462,5.0161538462
1023211752,GASOW,JANA,R,MD,F,I,1123 PACIFIC AVE,,TACOMA,WA,984024303,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,2680,2.0176119403,2.0176119403,1.5282761194,1.5458134328
1023211752,GASOW,JANA,R,MD,F,I,1123 PACIFIC AVE,,TACOMA,WA,984024303,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175,65.7,11.806666667,12.809166667
1023211752,GASOW,JANA,R,MD,F,I,1123 PACIFIC AVE,,TACOMA,WA,984024303,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,37.64,6.765,6.765
1023211794,REDFERN,JOHN,C,M.D.,M,I,4110 BRIARGATE PKWY,SUITE 300,COLORADO SPRINGS,CO,809207835,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,99.86,81.14,61.505833333,62.07
1023212024,GAYTON,JOHN,C,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,111.085,87.48625,64.861875,75.365
1023212024,GAYTON,JOHN,C,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,14,193.78571429,174.55142857,136.84785714,171.88
1023212024,GAYTON,JOHN,C,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,147,149,173,49.971098266,45.860924855,33.456011561,44.004624277
1023212024,GAYTON,JOHN,C,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,108,77.25,55.054545455,61.937272727
1023212024,GAYTON,JOHN,C,MD,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician/Orthopedic Surgery,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,394.31818182,362.05,267.90590909,251.01227273
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,42,60,60,84.009333333,40.986833333,30.659166667,29.174833333
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,24,8.19,1.5366666667,1.2045833333,1.15
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,44,67,67,395.32283582,91.755223881,68.254029851,64.263880597
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,38,76,157,143.53159236,35.827452229,25.274649682,23.401528662
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,29,51,190,72.108684211,18.133894737,12.887684211,13.202157895
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,15,74,48.24,15.334054054,11.215945946,11.105540541
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,44,77,77,201.17337662,54.929350649,39.714675325,39.56025974
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,80,101,101,68.659306931,18.956930693,13.801386139,13.13970297
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,20,20,38.3605,10.9195,8.56,8.15
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,39,80,80,75.1255,12.35725,9.184625,8.729375
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,86,152,677,9.4527031019,2.0757311669,1.5492909897,1.5199113737
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,22,22,22.780909091,6.1736363636,4.6195454545,4.4418181818
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,50,61,61,45.667213115,14.240327869,10.53295082,9.7809836066
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,65,65,149.89184615,19.341846154,14.777384615,14.101538462
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,3775.52,919.45,714.49083333,835.90083333
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1488.4,972.195,762.2025,762.2025
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,34,147,153,53.094313725,14.090457516,9.9179738562,9.3728104575
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,52,54,46.146666667,4.6085185185,3.5559259259,3.877037037
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,47,229,236,253.70618644,35.378262712,25.480084746,23.737415254
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,20,163,169,527.0004142,83.21704142,62.611360947,54.306568047
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,41,185.23658537,37.46,26.504634146,26.614390244
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,13,36,5273,1.4666091409,0.1357045325,0.0964820785,0.0964820785
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,237.18857143,42.328285714,31.409428571,28.445714286
1023212289,ELGHANNAM,HESHAM,M,MD,M,I,2424 S 90TH ST STE 300,,WEST ALLIS,WI,532272455,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,37,37,43.702702703,33,23.073243243,23.073243243
1023212404,SCHUTT,COREY,R,D.O.,M,I,1505 9TH AVE,,ALTOONA,PA,166022416,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,23,23,60.806521739,59.74,46.83,46.425217391
1023212404,SCHUTT,COREY,R,D.O.,M,I,1505 9TH AVE,,ALTOONA,PA,166022416,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,90.83,90.83,65.275833333,65.005833333
1023212917,RAGHUNATHAN,KALPANA,,M.D.,F,I,830 S MAIN ST STE 101,,ORRVILLE,OH,446672218,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,13,163,51.94601227,19.635828221,14.994662577,14.994662577
1023212917,RAGHUNATHAN,KALPANA,,M.D.,F,I,830 S MAIN ST STE 101,,ORRVILLE,OH,446672218,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,390,6.8215384615,2.6307692308,2.0624358974,2.0624358974
1023212917,RAGHUNATHAN,KALPANA,,M.D.,F,I,830 S MAIN ST STE 101,,ORRVILLE,OH,446672218,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,34,102,360,64.792111111,8.2934166667,5.4540277778,5.4748333333
1023212917,RAGHUNATHAN,KALPANA,,M.D.,F,I,830 S MAIN ST STE 101,,ORRVILLE,OH,446672218,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,20,36,11.424722222,1.42,1.0211111111,1.0211111111
1023212917,RAGHUNATHAN,KALPANA,,M.D.,F,I,830 S MAIN ST STE 101,,ORRVILLE,OH,446672218,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,12,45,48,444.51583333,251.11,196.73479167,196.73479167
1023212974,VOTANOPOULOS,KONSTANTINOS,I,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,5.72,2.91,2.28125,2.28125
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,59,188,46.53356383,8.32,5.5857446809,5.5857446809
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,9.9670588235,1.42,0.9176470588,0.9176470588
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,437.83619048,124.92857143,90.769047619,63.378571429
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,22,57,177.90210526,47.564561404,33.187368421,23.278245614
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,72,96.49,24.925555556,16.871666667,12.125972222
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,23,23,253.78,75.505217391,55.013478261,40.162608696
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,18,26,26,81.211153846,24.833846154,18.264615385,13.279615385
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,35,35,93.045428571,21.310571429,16.125714286,8.9211428571
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,44,254,11.482204724,3.1533858268,2.3469685039,1.5496850394
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,51.593333333,15.791666667,11.123888889,9.3433333333
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,22,155,169,86.707218935,22.464497041,16.727928994,13.39295858
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,24,123.235,22.4775,17.620833333,13.780833333
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,47,47,226.71808511,59.216382979,43.953829787,36.448510638
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,19,632.43,128.89052632,101.04894737,72.257894737
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,81.75,18.419285714,14.441428571,10.48
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,23,210.07217391,57.145217391,42.327391304,30.999130435
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,41,266,295,525.98677966,100.05013559,72.903152542,51.80040678
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,45,250,44.61,33.516222222,28.998444444
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,2955,0.6699120135,0.0454923858,0.030179357,0.030179357
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,34,3360,0.8441339286,0.1362142857,0.1068214286,0.1068214286
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,265.45882353,40.822941176,24.382941176,22.566470588
1023213238,LLOYD,AARON,R,M.D.,M,I,614 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,52,52,83.625,33,24.243846154,24.243846154
1023213329,EUBANKS,STACIE,S,FNP,F,I,920 2ND AVE S,,MINNEAPOLIS,MN,554023318,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,126.99,29.26,22.938181818,22.98
1023213626,ZILINSKI,JODI,L,M.D.,F,I,2801 W KINNICKINNIC RIVER PKWY,SUITE 777,MILWAUKEE,WI,532153669,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3750,2398.2607692,1880.2353846,1880.2353846
1023213865,SIMEONE,HARLEY,A,M.D.,F,I,272 CENTRE ST,,NEWTON,MA,024581618,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,42,77.980238095,8.32,5.4342857143,5.4342857143
1023214129,FORD,DEETRA,Y,MD,F,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,661608500,US,Physician/Neurology,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,140,52.94,41.498181818,38.434545455
1023214129,FORD,DEETRA,Y,MD,F,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,661608500,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,21.479090909,16.841818182,14.289090909
1023214152,HRUBY,SIOBAHN,M,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,83.177142857,20.558571429,15.444285714,12.88952381
1023214152,HRUBY,SIOBAHN,M,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,27.813333333,4.0766666667,3.195,3.6216666667
1023214152,HRUBY,SIOBAHN,M,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,390.27818182,88.246363636,64.109090909,49.739090909
1023214152,HRUBY,SIOBAHN,M,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1240,2.4958790323,0.5564193548,0.4362419355,0.4362419355
1023214152,HRUBY,SIOBAHN,M,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2480,2.9562056452,1.1501290323,0.8438387097,0.8438387097
1023214152,HRUBY,SIOBAHN,M,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1023214467,FINNEMORE,REBECCA,K,MD,F,I,1179 N MCDOWELL BLVD,,PETALUMA,CA,949546559,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,63,81.918412698,8.32,3.5203174603,3.5203174603
1023214509,DYER,BRADLEY,R,M.D.,M,I,5325 FARAON ST,MS 1020 DIVISION OF GENERAL AND GERIATRIC MEDICINE UNIV,SAINT JOSEPH,MO,645063488,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,65.0775,17.833571429,11.712142857,11.395714286
1023214509,DYER,BRADLEY,R,M.D.,M,I,5325 FARAON ST,MS 1020 DIVISION OF GENERAL AND GERIATRIC MEDICINE UNIV,SAINT JOSEPH,MO,645063488,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,40,319.42625,70.45875,49.65325,49.28575
1023214509,DYER,BRADLEY,R,M.D.,M,I,5325 FARAON ST,MS 1020 DIVISION OF GENERAL AND GERIATRIC MEDICINE UNIV,SAINT JOSEPH,MO,645063488,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,38.68,30.32,29.51
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,33,76,53.561052632,8.32,6.1803947368,6.1803947368
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,23,13.192173913,1.42,1.0660869565,1.0660869565
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,48,50.983333333,17.29,12.703125,12.685208333
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,43.95,35.334375,26.2125,23.3775
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,69,343.85637681,70.23,50.660434783,50.355072464
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0705454545,2.1899545455,2.1899545455
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,29,75.025172414,19.453793103,11.032758621,10.158275862
1023214574,KACHOWSKI,LARISA,,MD,F,I,1726 W42D AVE,,PINE BLUFF,AR,71603,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1023214897,SINGH,ANIL,K,M.D,M,I,1740 OAK TREE RD STE B,,EDISON,NJ,088202847,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,22,73,60.683287671,8.32,5.1819178082,5.1819178082
1023214897,SINGH,ANIL,K,M.D,M,I,1740 OAK TREE RD STE B,,EDISON,NJ,088202847,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,14,28,13.4225,1.42,0.9153571429,0.9153571429
1023215050,KOLSHAK,LAURA,W,MD,F,I,2150S CONGRESS AVE,,PALM SPRINGS,FL,334067604,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,22,106,57.231818182,42.975454545,44.293636364
1023215050,KOLSHAK,LAURA,W,MD,F,I,2150S CONGRESS AVE,,PALM SPRINGS,FL,334067604,US,Physician/Orthopedic Surgery,S,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,22,23,62,30.913043478,23.563043478,23.349565217
1023215670,GRAY,KERIANN,N,M.D.,F,I,200 SCENERY DR.,,STATE COLLEGE,PA,168015602,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,834,38.243357314,4.471235012,3.5054316547,3.5054316547
1023215670,GRAY,KERIANN,N,M.D.,F,I,200 SCENERY DR.,,STATE COLLEGE,PA,168015602,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,42,42,63.393809524,36.732380952,27.03452381,28.507619048
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,23,48,7.358125,1.39,1.09,1.1425
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,31,52,52,143.88634615,89.666923077,67.577307692,65.491730769
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,23,45,94,56.548297872,33.969361702,26.065,25.426595745
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,12,22,92,30.519347826,18.165326087,13.080543478,13.354456522
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,21,103,26.151650485,15.58,11.77368932,11.514854369
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,29,50,50,98.3598,56.5512,39.5386,38.291
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,55,69,69,33.265507246,18.685217391,13.904347826,13.400434783
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,44,44,25.457727273,12.076363636,9.4147727273,9.1075
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,48,86,450,4.3061777778,2,1.4893777778,1.5111333333
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,33,39,39,9.9507692308,6.2176923077,4.6607692308,4.4805128205
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,31,37,37,20.418378378,12.904594595,9.8824324324,10.076216216
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,21,121,121,58.38677686,18.090413223,12.94661157,12.780330579
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,986.41,773.34727273,842.26
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,13,13,263.74615385,94.314615385,58.848461538,55.788461538
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,35.970789474,5.3489473684,4.09,3.6857894737
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,15,84,86,99.736395349,36.224069767,27.117325581,24.787674419
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,34,224,237,347.26544304,78.896708861,56.911139241,51.319662447
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,23,238.6826087,35.30826087,26.485217391,28.168695652
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1560,15.58,9.6457692308,7.5243974359,7.5243974359
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,22,6448,0.3753923697,0.0463275434,0.0328287841,0.0328287841
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,3838,1.1144241793,0.133079729,0.0915659197,0.0915659197
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,2227,10.922195779,2.8770812753,2.2556308936,2.2556308936
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,62.425,35.31,25.959375,27.694375
1023215803,BUTLER,CHRISTOPHER,R,D.O,M,I,6540 WINTON RD,,CINCINNATI,OH,452241327,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,17,72,72,101.75,33,24.792083333,24.792083333
1023215886,THATIKONDA,NARENDER,R,MD,M,I,9900 W M 21 STE 101,,OVID,MI,488669798,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,29,89,53.913483146,8.32,6.0096629213,6.0096629213
1023215886,THATIKONDA,NARENDER,R,MD,M,I,9900 W M 21 STE 101,,OVID,MI,488669798,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,32,16.2421875,1.42,1.0440625,1.0440625
1023215886,THATIKONDA,NARENDER,R,MD,M,I,9900 W M 21 STE 101,,OVID,MI,488669798,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,54,4.9322222222,2.3733333333,1.687037037,1.535
1023215886,THATIKONDA,NARENDER,R,MD,M,I,9900 W M 21 STE 101,,OVID,MI,488669798,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,122.023125,33.153125,21.146875,20.450625
1023215936,JAEGER,IRINA,,M.D.,F,I,12301 SNOW RD,,PARMA,OH,441301002,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,13,2610,4.2517241379,1.92,1.4851417625,1.5564980843
1023215936,JAEGER,IRINA,,M.D.,F,I,12301 SNOW RD,,PARMA,OH,441301002,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,1590,9.7654716981,6.15,4.7654654088,5.2660566038
1023216173,SET AGAYAN,YERVAND,,DO,M,I,800 S CENTRAL AVE,STE 306,GLENDALE,CA,912044370,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,82,478,909,61.587612761,8.31779978,5.5915511551,5.5932783278
1023216173,SET AGAYAN,YERVAND,,DO,M,I,800 S CENTRAL AVE,STE 306,GLENDALE,CA,912044370,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,17.452727273,2.12,1.67,1.67
1023216173,SET AGAYAN,YERVAND,,DO,M,I,800 S CENTRAL AVE,STE 306,GLENDALE,CA,912044370,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,74,335,373,23.023672922,1.42,0.9598927614,0.9598927614
1023216173,SET AGAYAN,YERVAND,,DO,M,I,800 S CENTRAL AVE,STE 306,GLENDALE,CA,912044370,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,59,59,118,76.111864407,71.39559322,55.976101695,56.105
1023216173,SET AGAYAN,YERVAND,,DO,M,I,800 S CENTRAL AVE,STE 306,GLENDALE,CA,912044370,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,56,56,336,30.6125,29.11375,22.825238095,22.886636905
1023216173,SET AGAYAN,YERVAND,,DO,M,I,800 S CENTRAL AVE,STE 306,GLENDALE,CA,912044370,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2412,0.2037313433,0.1331218905,0.1043615257,0.1043615257
1023216173,SET AGAYAN,YERVAND,,DO,M,I,800 S CENTRAL AVE,STE 306,GLENDALE,CA,912044370,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33.117647059,33,25.87,25.87
1023216215,TAYLOR,ABRAHAM,,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,82,60.366585366,8.32,5.9136585366,5.9136585366
1023216215,TAYLOR,ABRAHAM,,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,3.32,1.95,1.5271807692,1.5868769231
1023216348,LORD,JENNIFER,N,M.D.,F,I,16020 PARK VALLEY DR,,ROUND ROCK,TX,786813573,US,Orthopaedic Surgery,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,353.6625,73,52.460833333,50.169166667
1023216405,BAIG,SHAJI,M,MD,F,I,4309 W MEDICAL CENTER DR STE A102,,MCHENRY,IL,60050,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,66.7048,17.5,12.8788,12.7204
1023216405,BAIG,SHAJI,M,MD,F,I,4309 W MEDICAL CENTER DR STE A102,,MCHENRY,IL,60050,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,343.03923077,78.09,56.510769231,51.268846154
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,32,141,276,74.556195652,8.32,5.8051811594,5.8051811594
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,25,27,24.193703704,1.42,0.9948148148,0.9948148148
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,12,19,19,306.31578947,86.92,60.976315789,60.707894737
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,38,109.36842105,33.06,25.235526316,25.235526316
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,20,20,65.985,17.94,12.654,12.654
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,30,30,64.817333333,11.08,7.8633333333,8.296
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,21,126,9.380952381,1.99,1.4857142857,1.5162698413
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,21.73,5.77,3.8828571429,4.0078571429
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,171.53846154,48.396923077,37.941538462,37.941538462
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,76.748571429,17.69,11.888571429,11.597142857
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,310,84.758,62.298666667,61.555333333
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,378.0704,34.046,25.7632,25.8688
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,62,62,497.49741935,69.99,48.675,48.553064516
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,34,7517,0.5303990954,0.0461447386,0.0291712119,0.0291712119
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,48,4530,2.1083399558,0.1341854305,0.1028013245,0.1028013245
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,690,12.449565217,3.0636521739,2.4018985507,2.4018985507
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,177.8,38.68,28.043888889,27.278888889
1023216413,MANGOLD,MARGARET,K,M.D.,F,I,504 N 9TH AVE,,VINTON,IA,523492254,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,17,70,70,54.214285714,33,23.283,23.283
1023216538,SOUTHARD,JENNIFER,A,M.D.,F,I,6533 EMERALD STREET,,BOISE,ID,837048737,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,48,57.623333333,8.32,6.40125,6.40125
1023216538,SOUTHARD,JENNIFER,A,M.D.,F,I,6533 EMERALD STREET,,BOISE,ID,837048737,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,326.87,77.18,55.009090909,49.745454545
1023217031,HINKLE,PATRICIA,,M.D.,F,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,35,38.012571429,8.32,5.7762857143,5.7762857143
1023217031,HINKLE,PATRICIA,,M.D.,F,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,50.73,3.8875,3.0425,3.66
1023217031,HINKLE,PATRICIA,,M.D.,F,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,349.75444444,85.754444444,60.433888889,49.083888889
1023217031,HINKLE,PATRICIA,,M.D.,F,I,101 PROGRESS PKWY,,SULLIVAN,MO,630802359,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,25.87,25.87
1023217437,WORMACK,CASSANDRA,,MD,F,I,2205 JOLLY RD,STE. B,OKEMOS,MI,488643983,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,74.09,47.19,44.6775
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,50,119,83.69697479,8.32,5.7000840336,5.7000840336
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,25,13.7372,1.42,0.984,0.984
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,49,8.8783673469,2.0263265306,1.5897959184,1.5928571429
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4200,0.4996,0.37,0.2900880952,0.2900880952
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,11.970833333,5.04,3.95,3.95
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,11,11,583.94727273,69.062727273,43.255454545,43.914545455
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1559,2.2601603592,0.1339255933,0.1050288647,0.1050288647
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,36,1725,12.163982609,3.0596289855,2.2936985507,2.2936985507
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,86.25,18.41375,9.755625,9.391875
1023217528,BOEHMER,ERIC,D,MD,M,I,1703 N TAYLOR DR,,SHEBOYGAN,WI,530811933,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,33,33,33,33,25.086060606,25.086060606
1023217551,SHRISHRIMAL,KUMARPAL,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,5.6895555556,2.5779166667,2.0210833333,2.0210833333
1023217551,SHRISHRIMAL,KUMARPAL,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,86,9015,4.4897282307,0.5668397116,0.4361752634,0.4361752634
1023217551,SHRISHRIMAL,KUMARPAL,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,45,7020,3.535991453,1.1790299145,0.8966880342,0.8966880342
1023217551,SHRISHRIMAL,KUMARPAL,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,4770,5.4026331237,2.8675031447,2.2474339623,2.2474339623
1023217551,SHRISHRIMAL,KUMARPAL,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,76,76,24,24,18.077105263,18.077105263
1023217551,SHRISHRIMAL,KUMARPAL,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,104,107,16,16,12.422803738,12.422803738
1023217734,KIM,ALICE,J,M.D.,F,I,100 NE GILMAN BLVD,,ISSAQUAH,WA,980272925,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,63,58.194761905,8.32,6.2233333333,6.2233333333
1023217734,KIM,ALICE,J,M.D.,F,I,100 NE GILMAN BLVD,,ISSAQUAH,WA,980272925,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,17.26,13.53,13.54
1023217734,KIM,ALICE,J,M.D.,F,I,100 NE GILMAN BLVD,,ISSAQUAH,WA,980272925,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,77.34,60.63,55.077058824
1023217742,DAVIS,JOSALEEN,M,MD,F,I,1055 WESTGATE DR,STE 100,ST PAUL,MN,551141451,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,54,78.42,8.32,6.5224074074,6.5224074074
1023217890,WEGMAN,BRIAN,,M.D.,M,I,ONE HOSPITAL DRIVE,"DC018.00, MA202F",COLUMBIA,MO,65202,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,132.25,49.567894737,38.865263158,36.584210526
1023218005,ECKERT,ANDREW,R,DO,M,I,ONE TRINITY DR,SUITE 120,DILLSBURG,PA,17019,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,64,156,64.783076923,8.32,4.9264102564,4.9264102564
1023218005,ECKERT,ANDREW,R,DO,M,I,ONE TRINITY DR,SUITE 120,DILLSBURG,PA,17019,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,23,14.530434783,1.42,0.5347826087,0.5347826087
1023218005,ECKERT,ANDREW,R,DO,M,I,ONE TRINITY DR,SUITE 120,DILLSBURG,PA,17019,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,78,9.6166666667,2.06,1.615,1.5978205128
1023218005,ECKERT,ANDREW,R,DO,M,I,ONE TRINITY DR,SUITE 120,DILLSBURG,PA,17019,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,288.75,4.11375,2.84125,3.14125
1023218005,ECKERT,ANDREW,R,DO,M,I,ONE TRINITY DR,SUITE 120,DILLSBURG,PA,17019,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,33.633571429,10.054285714,7.8757142857,8.2535714286
1023218005,ECKERT,ANDREW,R,DO,M,I,ONE TRINITY DR,SUITE 120,DILLSBURG,PA,17019,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,19,608.28842105,67.72,51.195263158,52.825263158
1023218005,ECKERT,ANDREW,R,DO,M,I,ONE TRINITY DR,SUITE 120,DILLSBURG,PA,17019,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,769.40809524,146.40285714,114.77714286,119.79095238
1023218047,PAIK,DAVID,,MD,M,I,100 E 33RD ST,SUITE 100,VANCOUVER,WA,986632776,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,37,116,45.127241379,8.32,6.2409482759,6.2409482759
1023218047,PAIK,DAVID,,MD,M,I,100 E 33RD ST,SUITE 100,VANCOUVER,WA,986632776,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,28,11.094642857,1.42,0.9964285714,0.9964285714
1023218047,PAIK,DAVID,,MD,M,I,100 E 33RD ST,SUITE 100,VANCOUVER,WA,986632776,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,14.53,11.23,8.8081818182,9.2109090909
1023218047,PAIK,DAVID,,MD,M,I,100 E 33RD ST,SUITE 100,VANCOUVER,WA,986632776,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,1411.285,290.06,227.41,215.2825
1023218096,RACELA,RIKKI,R,MD,M,I,25 ROCKWOOD PL,#110,ENGLEWOOD,NJ,076314957,US,Physician/Neurology,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,607.93,117.35272727,78.967272727,82.523636364
1023218278,KALVAITIS,SAULIUS,,MD,M,I,11155 DUNN RD STE 304E,,SAINT LOUIS,MO,631366111,US,Clinical Cardiatric Electrophysiology,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,154.51,56.875,44.59,38.4975
1023218278,KALVAITIS,SAULIUS,,MD,M,I,11155 DUNN RD STE 304E,,SAINT LOUIS,MO,631366111,US,Clinical Cardiatric Electrophysiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,16,138.0975,37.40625,29.329375,27.75625
1023218286,FRANKO,JAN,,"MD, PHD",M,I,411 LAUREL ST,STE 2100,DES MOINES,IA,503143017,US,Physician/Surgical Oncology,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,18,18,360,70.196666667,55.031666667,48.32
1023218351,LEPPARD,WILLIAM,M,MD,M,I,2750 LAUREL ST STE 200,,COLUMBIA,SC,292042047,US,Physician/Plastic and Reconstructive Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,7.998,5.54,4.3433333333,4.3433333333
1023218351,LEPPARD,WILLIAM,M,MD,M,I,2750 LAUREL ST STE 200,,COLUMBIA,SC,292042047,US,Physician/Plastic and Reconstructive Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,450,4.7042666667,3.04,2.3707555556,2.3707555556
1023218419,JIMENEZ,GLORIA,P,MD,F,I,1180 E SHAW AVE STE 125,,FRESNO,CA,937107812,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,3.08,2.2091666667,3.1891666667
1023218757,PADUA,ALAN VALENTE,A,M.D.,M,I,13303 TESSON FERRY RD STE 100,,SAINT LOUIS,MO,631284062,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,37,92,70.464673913,8.32,5.9543478261,5.9543478261
1023218757,PADUA,ALAN VALENTE,A,M.D.,M,I,13303 TESSON FERRY RD STE 100,,SAINT LOUIS,MO,631284062,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,20,26,16.146153846,1.42,0.8757692308,0.8757692308
1023218757,PADUA,ALAN VALENTE,A,M.D.,M,I,13303 TESSON FERRY RD STE 100,,SAINT LOUIS,MO,631284062,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70.868181818,18,14.11,13.643636364
1023218757,PADUA,ALAN VALENTE,A,M.D.,M,I,13303 TESSON FERRY RD STE 100,,SAINT LOUIS,MO,631284062,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,450.50538462,79.252307692,62.130769231,55.934615385
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,11,20,5,1.485,1.163,1.151
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,297,29.593198653,12.864747475,10.085925926,10.293872054
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,85,403.72352941,326.82,256.22705882,256.22705882
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,85,11.552352941,9.35,7.33,7.33
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,85,35.121176471,29.22,22.908470588,22.908470588
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,21,132,145,26.881241379,4.9203448276,3.6953103448,3.5028965517
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,356.51764706,70.23,53.440588235,53.180588235
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,100,37.44,29.35,29.478
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,14,1319,2.0848824867,0.136535254,0.1043517817,0.1043517817
1023218781,REID,RO-LYAN,A,MD,M,I,1 MEDICAL CENTER DR,,SUPPLY,NC,284623350,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,13,13,33,33,23.88,23.88
1023218815,EFFRON,MARC,S,M.D.,M,I,700 S HENDERSON RD,SUITE 308-C,KING OF PRUSSIA,PA,194063530,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,98.026315789,82.606842105,64.764736842,65.476842105
1023218880,KLUK,AUGUSTA,W,MD,F,I,175 S UNION BLVD,SUITE 300,COLORADO SPRINGS,CO,809103113,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,34,34,40,74.1,53.2,40.66725,45.07475
1023219110,ELLINGTON,AMANDA,S,MD,F,I,1636 ELTON RD,SUITE 201,JENNINGS,LA,705463648,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,30,39.899666667,36.149333333,26.207333333,27.902666667
1023219276,BABCOCK,ANDREW,C,M.D.,M,I,590 MANNING DR,CB 7586,CHAPEL HILL,NC,275997586,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,43,122,75.933114754,8.32,5.7394262295,5.7394262295
1023219276,BABCOCK,ANDREW,C,M.D.,M,I,590 MANNING DR,CB 7586,CHAPEL HILL,NC,275997586,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,241.40083333,61.031666667,44.014166667,41.4225
1023219276,BABCOCK,ANDREW,C,M.D.,M,I,590 MANNING DR,CB 7586,CHAPEL HILL,NC,275997586,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,74,9.7917567568,2.19,1.7163513514,1.6331081081
1023219276,BABCOCK,ANDREW,C,M.D.,M,I,590 MANNING DR,CB 7586,CHAPEL HILL,NC,275997586,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,389,275,5.49,4.3041902314,4.1744473008
1023219276,BABCOCK,ANDREW,C,M.D.,M,I,590 MANNING DR,CB 7586,CHAPEL HILL,NC,275997586,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,5547,3.3760393005,0.2995673337,0.2348656932,0.2425779701
1023219292,FEARON-CLARKE,JACQUELINE,E,NURSE PRACTITIONER,F,I,95 MADISON AVE,SUITE 411,MORRISTOWN,NJ,079606092,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,26,35,853.56657143,19.701142857,15.444,15.444
1023219292,FEARON-CLARKE,JACQUELINE,E,NURSE PRACTITIONER,F,I,95 MADISON AVE,SUITE 411,MORRISTOWN,NJ,079606092,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,34,108,394.69,37.369074074,29.296666667,29.296666667
1023219292,FEARON-CLARKE,JACQUELINE,E,NURSE PRACTITIONER,F,I,95 MADISON AVE,SUITE 411,MORRISTOWN,NJ,079606092,US,Nurse Practitioner,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,31,2081,190.51342624,1.5677799135,1.2291494474,1.2291494474
1023219524,MOLINA ORTIZ,ELIZABETH,I,MD,F,I,495 WESTERN AVE,,BRIGHTON,MA,021351007,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,66,62.584393939,8.32,5.3363636364,5.3363636364
1023219524,MOLINA ORTIZ,ELIZABETH,I,MD,F,I,495 WESTERN AVE,,BRIGHTON,MA,021351007,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,24,15.685416667,1.42,0.9266666667,0.9266666667
1023219672,STIEFEL,ERIC,C,M.D.,M,I,3527 N VALDOSTA RD,,VALDOSTA,GA,316026418,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,209.088,58.201333333,41.483333333,34.029333333
1023219672,STIEFEL,ERIC,C,M.D.,M,I,3527 N VALDOSTA RD,,VALDOSTA,GA,316026418,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,425,401.13,314.48,310.54
1023219672,STIEFEL,ERIC,C,M.D.,M,I,3527 N VALDOSTA RD,,VALDOSTA,GA,316026418,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,21,200,118.14,82.786190476,69.341904762
1023219698,SHAH,ATMAN,,M.D.,M,I,3415 MCINTOSH CIR,,JOPLIN,MO,648043651,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,24,60,49.073833333,38.4025,28.573666667,29.22
1023219862,AGYARKO,AFUA,S,MD,F,I,2255 E MOSSY OAKS RD STE 500,,SPRING,TX,773891813,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,53,62,147,590,68.245457627,8.32,5.9817457627,5.9817457627
1023219862,AGYARKO,AFUA,S,MD,F,I,2255 E MOSSY OAKS RD STE 500,,SPRING,TX,773891813,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,15.111111111,3.38,2.3555555556,2.3555555556
1023219862,AGYARKO,AFUA,S,MD,F,I,2255 E MOSSY OAKS RD STE 500,,SPRING,TX,773891813,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,33,68,139,14.506618705,1.42,1.0364748201,1.0364748201
1023219862,AGYARKO,AFUA,S,MD,F,I,2255 E MOSSY OAKS RD STE 500,,SPRING,TX,773891813,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,400,251.11,196.87,196.87
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,22,64,142,52.879929577,8.32,5.8699295775,5.8699295775
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,23,30,12.338333333,1.42,1.042,1.042
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,50.276875,18.853125,12.371875,7.381875
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,75,75,96.9644,22.8124,17.1544,13.838666667
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,16,232.35,61.14875,47.939375,38.464375
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,82,82,24.975609756,8.1043902439,5.6106097561,3.2482926829
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,31.181666667,15.44,15.69
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,129,129,449.4524031,103.93286822,75.575426357,52.707674419
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1299,0.1644880677,0.0469976905,0.0255196305,0.0255196305
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1860,3.6441075269,0.1333064516,0.0869139785,0.0869139785
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,120.43181818,44.560909091,30.457272727,25.491363636
1023220167,MCCLOUGH,DANIEL,J,P.A,M,I,501 E STREET,,WILLIAMS,CA,95932,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,124.75,33,20.480416667,20.480416667
1023220985,AQUILINA,PATRICK,M,M.D.,M,I,9200 W WISCONSIN AVE,,MILWAUKEE,WI,53226,US,Clinical Cardiatric Electrophysiology,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,120,91.27,71.56,75.535
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,79,253,68.964268775,8.3148616601,6.0601185771,6.0641501976
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,49,15.779591837,1.42,1.0010204082,1.0010204082
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,8.3040277778,2,1.5683333333,1.5916666667
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,16,284.6875,50.194375,34.08375,30.98
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,46.76,18,14.11,13.54
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,333.58,86.928235294,68.155294118,65.457058824
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,432.82571429,77.18,60.366428571,54.783571429
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,36.96,28.98,29.465833333
1023221157,SHIVAKUMAR,DEEPTI,,MD,F,I,675 W NORTH AVE,SUITE 416,MELROSE PARK,IL,601601634,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,31.65,17.921666667,14.284166667
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,82,79.914878049,18.441463415,13.454146341,14.155365854
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,21,21,213.90047619,56.611428571,40.222857143,39.956190476
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,11,15,15,57.46,18.655333333,13.738666667,13.818666667
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,,20,20,67.572,13.4105,9.957,9.597
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,16,29,167,8.6621556886,2.1141916168,1.6026946108,1.5758083832
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,47.469166667,17.35,12.4175,12.367708333
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,22,22,232.35,52.8,41.4,41.81
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50,39.2,37.63
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,2493.2,1074.31,834.28944444,834.28944444
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,12.851818182,3.6,1.0254545455,1.6681818182
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,23,24,105.14583333,39.705416667,31.130416667,28.18625
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,18,95,96,307.62666667,73.037291667,53.086145833,50.999583333
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,32,171.71875,35,25.725,27.5040625
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,15.58,9.6192307692,7.541474359,7.541474359
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,23,5103,0.2310033314,0.0462864981,0.0322496571,0.0322496571
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,1200,11.588616667,2.887,2.1461333333,2.1461333333
1023221959,ANDERSON,MATTHEW,A,MD,M,I,3600 W PARMER LN,SUITE 106,AUSTIN,TX,787274107,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,36,36,85.25,33,24.432777778,24.432777778
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,17.708181818,1.42,0.8145454545,0.8145454545
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,33,8.7018181818,1.5090909091,1.1842424242,1.1548484848
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,16.98,12.676190476,12.836190476
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,50.73,3.77,2.8268181818,3.3877272727
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,49,519.51,73,57.23,55.240204082
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1500,15.58,9.67604,7.5275,7.5275
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,51,3060,14.311333333,11.116568627,8.6248071895,8.6248071895
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,3600,0.17,0.0459861111,0.0360333333,0.0360333333
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,60,3600,12.86,3.0318166667,2.3769694444,2.3769694444
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1200,0.75,0.2190416667,0.171725,0.171725
1023222304,DEYOUNG,NNACY,A,APN,F,I,715 S DIXIE HWY,,BEECHER,IL,604013668,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,83,83,130.80722892,33,25.87,25.87
1023222437,CHILDERS,HEATHER,M,D.O.,F,I,5100 W BROAD ST,,COLUMBUS,OH,432281607,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,31.666666667,5.1166666667,2.4108333333,2.2533333333
1023222726,MILOJKOVIC,NATASA,,MD,F,I,4301 W MARKHAM ST,#508,LITTLE ROCK,AR,722057101,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,6020,2.7253820598,0.3220598007,0.2299983389,0.2219401993
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,22,22,80.391363636,37.29,29.23,30.49
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,16,29,29,190.77758621,89.62,64.317586207,62.314482759
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,16,30,61,71.489016393,34.52,26.177540984,25.199836066
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,12,16,16,124.045,57.02,44.71,42.86
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,21,25,25,43.4128,17.25,13.52,14.0168
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,26,26,41.915384615,12.61,9.89,9.1792307692
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,25,49,250,6.06988,2.22,1.74144,1.60756
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,13,15,15,22.945333333,13,10.19,10.34
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,57.204666667,17.63,12.898666667,12.628
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,141,91.188888889,71.347222222,66.569444444
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,24,13.26125,14.2,10.2025,9.715
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,45.73,6.4672727273,4.6472727273,3.3781818182
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,15,97,100,128.7743,33.915,25.1247,24.0493
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,13,80,90,282.37211111,79.569111111,59.414666667,52.510666667
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,38,41,189.78926829,37.816829268,28.952439024,28.666829268
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,3660,0.1615437158,0.0456174863,0.0357622951,0.0357622951
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1200,1.8064666667,0.1433,0.0912666667,0.0912666667
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,480,7.62025,3.0123125,2.3616041667,2.3616041667
1023222791,AWILI,MUSTAFA,,MD,M,I,2900 FIRST AVENUE,ROOM 1025,HUNTINGTON,WV,257021241,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,53.625,33,24.792083333,24.792083333
1023223260,ROSEBROCK,CRAIG,N,M.D.,M,I,201 HOSPITAL RD,APPARTMENT UU1,CANTON,GA,301142408,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,137,139,56.488417266,22.453309353,17.16294964,14.023381295
1023223260,ROSEBROCK,CRAIG,N,M.D.,M,I,201 HOSPITAL RD,APPARTMENT UU1,CANTON,GA,301142408,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,31.908888889,7.5538888889,4.2225,2.5027777778
1023223260,ROSEBROCK,CRAIG,N,M.D.,M,I,201 HOSPITAL RD,APPARTMENT UU1,CANTON,GA,301142408,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,155,157,349.98509554,103.37713376,79.21433121,58.599235669
1023223260,ROSEBROCK,CRAIG,N,M.D.,M,I,201 HOSPITAL RD,APPARTMENT UU1,CANTON,GA,301142408,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,18,199.2,45.42,35.611666667,29.914444444
1023223260,ROSEBROCK,CRAIG,N,M.D.,M,I,201 HOSPITAL RD,APPARTMENT UU1,CANTON,GA,301142408,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,78,33,23.518181818,23.518181818
1023223641,COLACINO,CHRISTINE,M,N.P.,F,I,WEST CARVER MEDICAL ASSOCIATES,200 WEST CARVER ST.,HUNTINGTON,NY,117433303,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,25,79.9932,8.32,5.2184,5.2184
1023223708,OLIVIERO,JASON,A,MD,M,I,100 HITCHCOCK WAY,,MANCHESTER,NH,031044125,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,119.73,119.73,88.92,76.827368421
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,30,117,52.562649573,8.32,6.244017094,6.244017094
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.111578947,3.38,2.5105263158,2.5105263158
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,39,14.463846154,1.42,1.0212820513,1.0212820513
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,50,51.8852,20.0334,14.0858,12.8964
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,17,19,86.397368421,47.652105263,37.364210526,37.669473684
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,52,316.2025,87.022884615,62.261538462,54.704423077
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3456,0.3123755787,0.0460792824,0.0329282407,0.0329282407
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,3840,1.4149010417,0.134625,0.0970442708,0.0970442708
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,110.77727273,21.052727273,15.221818182,13.097272727
1023224151,MADDEN,ROBERT,J,MD,M,I,14 JOHN MADDOX DR NW,,ROME,GA,301651450,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,39,86.307692308,33,23.497692308,23.497692308
1023224284,WATRAS,JILL,B,M.D.,F,I,3300 GALLOWS RD,,FALLS CHURCH,VA,22042,US,Physician/General Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,17.3875,13.63,14.19
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,59,168,410,66.181756098,8.308,5.7518536585,5.7612682927
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,14.884117647,3.38,2.4941176471,2.4941176471
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,48,110,150,15.3934,1.42,0.9822666667,0.9822666667
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1470,5.25,2.04,1.5735102041,1.5735102041
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,43,43,86,83.616976744,71.536976744,52.173023256,52.190581395
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,36,36,216,32.585972222,29.1075,22.531064815,22.597222222
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,40.794166667,12.7425,8.3516666667,7.5658333333
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,122,850,12.43,5.5,4.3114352941,4.1836705882
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,3434,0.72,0.39,0.3057425743,0.2937041351
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,7968,0.6,0.31,0.2430371486,0.2430371486
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,37,4263,0.7919751349,0.65,0.5096270232,0.5174783017
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24.61,4.87,3.1833333333,3.0558333333
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,50.062727273,33.586363636,32.904545455
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,66,66,27.339090909,5.3634848485,3.2754545455,2.7177272727
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.01,11.815,9.26,9.64
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,41,12630,0.4441821061,0.0464204276,0.030087886,0.030087886
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1467,1.8946080436,0.1352624404,0.0986230402,0.0986230402
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,102.43333333,30.19125,19.047916667,18.501666667
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,26.52,8.268,5.9966666667,6.7786666667
1023224664,MISHO,VIAN,,MD,F,I,3345 COOLIDGE HWY,,BERKLEY,MI,480721635,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,42,42,54.214285714,33,22.337619048,22.337619048
1023225448,MALEC,MELANIE,J,M.D.,F,I,510 FIFTH AVENUE,,CHARDON,OH,44024,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,32,53.21125,8.32,6.260625,6.260625
1023225448,MALEC,MELANIE,J,M.D.,F,I,510 FIFTH AVENUE,,CHARDON,OH,44024,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,89.048,17,10.664,10.87
1023225448,MALEC,MELANIE,J,M.D.,F,I,510 FIFTH AVENUE,,CHARDON,OH,44024,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,514.608,78,53.121333333,47.619333333
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,42,134,431,70.865893271,8.313549884,5.3832714617,5.3883062645
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,13.091538462,3.38,2.4461538462,2.4461538462
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,27,58,106,16.244811321,1.42,0.8102830189,0.8102830189
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,580,4.3982758621,2.27,1.5057241379,1.5057241379
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9.95,7.35,4.9733333333,5.0495833333
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,106.3764,17.09,11.792,11.9176
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,417.61216216,65.7,47.326486486,50.438378378
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1020,0.92,0.1337352941,0.0861470588,0.0861470588
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,72.09,17.362727273,13.616363636,13.867272727
1023225521,CHOUDHRY,SARA,,M.D.,F,I,1035 PLACER STREET,,REDDING,CA,960011125,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,100.5,33,22.342272727,22.342272727
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,42,119,67.828487395,8.32,6.4131092437,6.4131092437
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.933333333,3.38,2.6283333333,2.6283333333
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,24,14.683333333,1.42,1.0670833333,1.0670833333
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,403.60375,85.52,67.05,67.85
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,115.9775,32.92,25.81,25.9171875
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,15,15,90.779333333,18.06,14.16,14.06
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,85.29,12.21,9.57,9.12
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,24,127,14.450551181,2.02,1.5849606299,1.5933858268
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,163.55692308,34.086153846,26.723076923,26.932307692
1023225836,LEBENS,MICHAEL,R,M.D.,M,I,265 POSADA LN,SUITE D,TEMPLETON,CA,934654056,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,65.7,49.079166667,51.494166667
1023225901,MAO,HAIHONG,,MD,M,I,9650 E WASHINGTON ST,STE 120,INDIANAPOLIS,IN,462293032,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,29,63,80.233968254,8.32,4.8912698413,4.8912698413
1023225901,MAO,HAIHONG,,MD,M,I,9650 E WASHINGTON ST,STE 120,INDIANAPOLIS,IN,462293032,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,15,17.415333333,1.42,0.596,0.596
1023225901,MAO,HAIHONG,,MD,M,I,9650 E WASHINGTON ST,STE 120,INDIANAPOLIS,IN,462293032,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.52,13.74,13.573333333
1023225901,MAO,HAIHONG,,MD,M,I,9650 E WASHINGTON ST,STE 120,INDIANAPOLIS,IN,462293032,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,519.51,79.96,60.915789474,53.793684211
1023225901,MAO,HAIHONG,,MD,M,I,9650 E WASHINGTON ST,STE 120,INDIANAPOLIS,IN,462293032,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,2040,1.9459215686,0.1343823529,0.100004902,0.100004902
1023225968,GESSNER,JONATHAN,D,MD,M,I,5 GESSNER WAY,,NORTHUMBERLAND,PA,178571535,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,40,89,58.231685393,8.32,5.6440449438,5.6440449438
1023226131,DUFF,VALERIE,L,D.O.,F,I,1004 PROGRESS DR,SUITE 200,LANSING,KS,660436326,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,52,67.037307692,8.32,5.8946153846,5.8946153846
1023226131,DUFF,VALERIE,L,D.O.,F,I,1004 PROGRESS DR,SUITE 200,LANSING,KS,660436326,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,16,13.85125,1.42,1.04625,1.04625
1023226131,DUFF,VALERIE,L,D.O.,F,I,1004 PROGRESS DR,SUITE 200,LANSING,KS,660436326,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,231.235,35.158076923,27.568846154,26.485769231
1023226149,BRUENING,WILLIAM,A,PA,M,I,190 CAMPUS BLVD STE 310,,WINCHESTER,VA,226012872,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,211,138.47,108.56,103.06
1023226149,BRUENING,WILLIAM,A,PA,M,I,190 CAMPUS BLVD STE 310,,WINCHESTER,VA,226012872,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,100,59.74,46.83,46.384545455
1023227030,AHMED,KASHIF,,MD,M,I,2200 HIGHWAY 155 N,,MCDONOUGH,GA,302524806,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,24,84,218,55.623944954,8.3067889908,6.1334862385,6.1464220183
1023227030,AHMED,KASHIF,,MD,M,I,2200 HIGHWAY 155 N,,MCDONOUGH,GA,302524806,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,14.135294118,3.38,2.65,2.65
1023227030,AHMED,KASHIF,,MD,M,I,2200 HIGHWAY 155 N,,MCDONOUGH,GA,302524806,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,19.007272727,2.12,1.67,1.67
1023227030,AHMED,KASHIF,,MD,M,I,2200 HIGHWAY 155 N,,MCDONOUGH,GA,302524806,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,35,67,14.813731343,1.42,1.0807462687,1.0807462687
1023227063,DAVILA,SAMUEL,V,M.D.,M,I,5450 CLEARFORK MAIN ST STE 300,,FORT WORTH,TX,761093559,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,28,70,271,63.576346863,8.32,5.8538745387,5.8538745387
1023227063,DAVILA,SAMUEL,V,M.D.,M,I,5450 CLEARFORK MAIN ST STE 300,,FORT WORTH,TX,761093559,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,10.182666667,3.38,2.65,2.65
1023227063,DAVILA,SAMUEL,V,M.D.,M,I,5450 CLEARFORK MAIN ST STE 300,,FORT WORTH,TX,761093559,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,32,65,10.996615385,1.42,1.0798461538,1.0798461538
1023227063,DAVILA,SAMUEL,V,M.D.,M,I,5450 CLEARFORK MAIN ST STE 300,,FORT WORTH,TX,761093559,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,76.48,59.96,54.72
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,2.2502272727,0.499,0.3676969697,0.3676969697
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,1220,8.3783442623,2.5710819672,2.0139836066,2.0139836066
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,56,22500,1.5099768889,1.254196,0.9832884444,0.9832875556
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,24,41,265,40512,5.0579889909,0.5683888724,0.4399590245,0.4399580371
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,27,135,29460,0.1301062458,0.0131832994,0.0100607604,0.0100607604
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,35,4110,1.9500973236,0.7382189781,0.5209489051,0.5464671533
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,34,199,26748,4.534437715,1.3145491252,1.0079355466,1.0079355466
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,74,10320,5.1063982558,2.8776046512,2.2405193798,2.2405193798
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,11,11,50,50,39.2,39.2
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,29,56,306,306,24,24,18.331830065,18.331830065
1023227444,LEVIN MIZRAHI,LISSA,B,M.D.,F,I,216 N BROAD ST,5TH FLOOR,PHILADELPHIA,PA,191021121,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,33,58,475,516,16.015503876,16,12.36994186,12.36994186
1023227527,BRUNSINK,KIMBERLY,,MD,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,67,58.715671642,8.32,5.3543283582,5.3543283582
1023227527,BRUNSINK,KIMBERLY,,MD,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,2,1.73,1.2114141414,1.4378484848
1023227576,AKBARY,HARES,,MD,M,I,10475 CENTURION PKWY N STE 201,,JACKSONVILLE,FL,32256,US,Physician/Pain Management,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,24,24,33.24,17.219166667,13.495833333,7.89
1023227576,AKBARY,HARES,,MD,M,I,10475 CENTURION PKWY N STE 201,,JACKSONVILLE,FL,32256,US,Physician/Pain Management,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,34,1999.0588235,1001.76,746.39676471,743.79470588
1023227576,AKBARY,HARES,,MD,M,I,10475 CENTURION PKWY N STE 201,,JACKSONVILLE,FL,32256,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,46,46,46,1651.5434783,1257.37,967.51347826,870.08282609
1023227683,NOVAKOVICH,PAUL,M,MD,M,I,1200 S FARMERVILLE ST,,RUSTON,LA,712705941,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,2,,20,25,395,103.694,75.1524,89.1648
1023228483,STANDS,CHRISTOPHER,,MD,M,I,2542 LANGHORNE RD,,LYNCHBURG,VA,245011602,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,2310,4.0474025974,1.83,1.3788095238,1.5365021645
1023228483,STANDS,CHRISTOPHER,,MD,M,I,2542 LANGHORNE RD,,LYNCHBURG,VA,245011602,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,104,3.56,1.8,1.3026923077,1.3026923077
1023228624,CARNEL,CHARLES,,MD,M,I,1801 GADSDEN HWY,,BIRMINGHAM,AL,352353134,US,Physician/Physical Medicine and Rehabilitation,S,L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,15,1059.6033333,961.956,744.60533333,742.91
1023228947,KURICHH,ANUJA,G,MD,F,I,4700 BERWYN HOUSE RD,SUITE 105,COLLEGE PARK,MD,207402474,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,22,53,172,51.127848837,8.32,5.9911046512,5.9911046512
1023228947,KURICHH,ANUJA,G,MD,F,I,4700 BERWYN HOUSE RD,SUITE 105,COLLEGE PARK,MD,207402474,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,7.6413333333,3.38,2.65,2.65
1023228947,KURICHH,ANUJA,G,MD,F,I,4700 BERWYN HOUSE RD,SUITE 105,COLLEGE PARK,MD,207402474,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,43,72,8.5780555556,1.42,1.0355555556,1.0355555556
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,15,21,42,1.2761904762,0.51,0.4,0.4
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,45,144,462,50.973181818,8.2957575758,6.2378787879,6.2570995671
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,21,47,47,15.09787234,3.38,2.65,2.65
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,18,23,23,27.012173913,2.12,1.5973913043,1.5973913043
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,35,92,189,15.655820106,1.42,1.0835978836,1.0835978836
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,41.136315789,18,13.367368421,12.887368421
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,14.9152,5.7776,3.9254,3.1016
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,94.95,40.195384615,28.646153846,23.969230769
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,30,167.185,86.054,63.156,52.731333333
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,3163,0.6845273475,0.0463136263,0.0355959532,0.0355959532
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,778,2.2222750643,0.1376863753,0.0904113111,0.0904113111
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,43.377777778,20.358518519,14.272592593,12.29037037
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,26,21.193076923,8.8838461538,6.6592307692,6.1911538462
1023228988,COBIELLA,JOSE,A,M.D. PA,M,I,950 N KROME AVE STE 203,,HOMESTEAD,FL,330304455,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,26,26,33,33,21.89,21.89
1023228996,HASSAN,HUMAIRA,,M.D.,F,I,16 BRENTWOOD DR,,ITHACA,NY,148501863,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,44,124,70.71766129,8.32,5.4171774194,5.4171774194
1023228996,HASSAN,HUMAIRA,,M.D.,F,I,16 BRENTWOOD DR,,ITHACA,NY,148501863,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,30,43,14.411162791,1.42,1.0618604651,1.0618604651
1023228996,HASSAN,HUMAIRA,,M.D.,F,I,16 BRENTWOOD DR,,ITHACA,NY,148501863,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,35.236842105,4.1005263158,3.0547368421,3.3236842105
1023228996,HASSAN,HUMAIRA,,M.D.,F,I,16 BRENTWOOD DR,,ITHACA,NY,148501863,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,337.63636364,70.349090909,44.108181818,44.217272727
1023229242,HARRIS,ELIZABETH,E,M.D.,F,I,1621 EASTCHESTER RD,,BRONX,NY,104612604,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,57,62.317368421,8.32,6.178245614,6.178245614
1023229242,HARRIS,ELIZABETH,E,M.D.,F,I,1621 EASTCHESTER RD,,BRONX,NY,104612604,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,5.7,3,2.352,2.3676666667
1023229242,HARRIS,ELIZABETH,E,M.D.,F,I,1621 EASTCHESTER RD,,BRONX,NY,104612604,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,1980,4.8,0.36,0.2565656566,0.2645757576
1023229242,HARRIS,ELIZABETH,E,M.D.,F,I,1621 EASTCHESTER RD,,BRONX,NY,104612604,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3498,2.358490566,0.3,0.2282332762,0.2360634648
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,555,5.7640720721,3.1874774775,2.499027027,2.9510810811
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,720,9.4919444444,5.7075,4.2676805556,4.2928472222
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,136,4.0316911765,2.5152941176,1.9723529412,2.2813235294
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,13.282,9.86,7.5418666667,7.5418666667
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,480,10.1605,5.5375,4.3414791667,4.3414791667
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,280,4.6642857143,3.9957142857,2.9070357143,2.9338214286
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,1100,0.6420909091,0.27,0.2116545455,0.2116545455
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,360,4.2142222222,3.0383333333,2.3821666667,2.3821666667
1023229382,SWEET,GARY,T,MD,M,I,2400 PINE RIDGE BLVD,,WAUSAU,WI,544017803,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,840,0.5453690476,0.27,0.2116547619,0.2116547619
1023229408,SEETHARAM,ANIL,B,MD,M,I,1444 N. 12TH STREE,2ND FLOOR,PHOENIX,AZ,85006,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,65,4200,4.5061571429,0.5802666667,0.4316428571,0.436947619
1023229408,SEETHARAM,ANIL,B,MD,M,I,1444 N. 12TH STREE,2ND FLOOR,PHOENIX,AZ,85006,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,3300,3.0954818182,1.2626636364,0.9519969697,0.9519969697
1023229408,SEETHARAM,ANIL,B,MD,M,I,1444 N. 12TH STREE,2ND FLOOR,PHOENIX,AZ,85006,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,540,17.781462963,7.656,6.0022962963,6.0022962963
1023229408,SEETHARAM,ANIL,B,MD,M,I,1444 N. 12TH STREE,2ND FLOOR,PHOENIX,AZ,85006,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,21,83,83,24,24,17.69253012,17.69253012
1023229408,SEETHARAM,ANIL,B,MD,M,I,1444 N. 12TH STREE,2ND FLOOR,PHOENIX,AZ,85006,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,17,20,16,16,12.5405,12.5405
1023229762,NEDRUD,CHAD,M,M.D.,M,I,700 W KENT AVE,,MISSOULA,MT,598016772,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,73.730357143,69.302857143,50.350714286,49.235714286
1023229762,NEDRUD,CHAD,M,M.D.,M,I,700 W KENT AVE,,MISSOULA,MT,598016772,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,21,64,64,45.999047619,50.381428571
1023229762,NEDRUD,CHAD,M,M.D.,M,I,700 W KENT AVE,,MISSOULA,MT,598016772,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,29,64.121724138,63.434137931,46.501034483,50.619310345
1023229770,MCSHARMA,JAYA,R,M.D.,F,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,53,91.361886792,17.933018868,14.054528302,13.531886792
1023229770,MCSHARMA,JAYA,R,M.D.,F,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,42,48.274285714,5.5311904762,4.3369047619,3.7628571429
1023229770,MCSHARMA,JAYA,R,M.D.,F,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,64,551.244375,73.6196875,57.7178125,54.7475
1023229770,MCSHARMA,JAYA,R,M.D.,F,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,900,0.9366444444,0.1356333333,0.1063666667,0.1063666667
1023229770,MCSHARMA,JAYA,R,M.D.,F,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,25.87,25.87
1023230679,MGBAKO,OBINNA,O,DPM,M,I,715 CENTRAL AVENUE,IN CARE OF WESTFIELD PODIATRY,WESTFIELD,NJ,070902540,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,38,76,138.42105263,71.56,53.930921053,53.930921053
1023230679,MGBAKO,OBINNA,O,DPM,M,I,715 CENTRAL AVENUE,IN CARE OF WESTFIELD PODIATRY,WESTFIELD,NJ,070902540,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,38,228,27.51,27.291315789,21.396885965,22.846403509
1023230679,MGBAKO,OBINNA,O,DPM,M,I,715 CENTRAL AVENUE,IN CARE OF WESTFIELD PODIATRY,WESTFIELD,NJ,070902540,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,14,285,94.8,74.321428571,63.902857143
1023230778,PECKUMN,ALLISON,M,D.O.,F,I,10030 N 25TH AVE STE 200,,PHOENIX,AZ,850211660,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,17,219,51.38,19.637808219,15.395799087,15.395799087
1023230778,PECKUMN,ALLISON,M,D.O.,F,I,10030 N 25TH AVE STE 200,,PHOENIX,AZ,850211660,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,450,7.1068,2.6346666667,2.0654888889,2.0654888889
1023230778,PECKUMN,ALLISON,M,D.O.,F,I,10030 N 25TH AVE STE 200,,PHOENIX,AZ,850211660,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,37,106,469,73.603901919,8.32,6.119466951,6.119466951
1023230778,PECKUMN,ALLISON,M,D.O.,F,I,10030 N 25TH AVE STE 200,,PHOENIX,AZ,850211660,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,44,92,16.444565217,1.42,1.0534782609,1.0534782609
1023230778,PECKUMN,ALLISON,M,D.O.,F,I,10030 N 25TH AVE STE 200,,PHOENIX,AZ,850211660,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,15,1200,16.391583333,10.989566667,8.5874083333,8.5874083333
1023230927,RAMIREZ NEYRA,CARLOS,A,"MD, DDS",M,I,11900 E 12 MILE RD STE 308,,WARREN,MI,480933491,US,Physician/Maxillofacial Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,12,325,14.235815385,3,2.352,2.3676615385
1023230927,RAMIREZ NEYRA,CARLOS,A,"MD, DDS",M,I,11900 E 12 MILE RD STE 308,,WARREN,MI,480933491,US,Physician/Maxillofacial Surgery,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,324,100,4.2742592593,3.3509876543,3.2456481481
1023230927,RAMIREZ NEYRA,CARLOS,A,"MD, DDS",M,I,11900 E 12 MILE RD STE 308,,WARREN,MI,480933491,US,Physician/Maxillofacial Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,29,14559,1.0968102205,0.2880609932,0.2258410605,0.2430421045
1023230927,RAMIREZ NEYRA,CARLOS,A,"MD, DDS",M,I,11900 E 12 MILE RD STE 308,,WARREN,MI,480933491,US,Physician/Maxillofacial Surgery,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,62.693333333,37.4125,29.329166667,33.75
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,66,170,64.500529412,8.32,5.8694705882,5.8694705882
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,29,41,13.818780488,1.42,1.0326829268,1.0326829268
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,18,18,69.410555556,44.404444444,34.814444444,31.811111111
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,13,25,25,191.298,102.6236,78.9736,69.7068
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,25,73.484,33.5108,26.272,25.8752
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,149.3475,59.525,40.23125,36.44375
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,29,29,46.620689655,20.965862069,15.950689655,14.195517241
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,53.443571429,11.64,8.1771428571,8.1771428571
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,21,96,7.7480208333,2.1088541667,1.65375,1.6025
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,18.918181818,6.14,4.81,4.6645454545
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,40.751818182,13.812727273,9.8718181818,9.4345454545
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,161.53428571,46.567142857,34.020714286,34.399285714
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,60,17.67,13.855,10.965714286
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,37.564411765,5.4270588235,3.6673529412,3.0823529412
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,202,57.413636364,45.01,30.940909091
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,40,425.46725,73.68375,51.44425,51.44425
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,51.63,36.14,16.962727273,17.453636364
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,4418,0.4258125849,0.0466523314,0.03657311,0.0365708465
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,59,4620,2.2986298701,0.1348571429,0.0903744589,0.0903744589
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,65.892857143,17.743571429,13.907857143,14.137142857
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,68.25,38.266,28.109333333,28.994
1023230968,BILYEU,JOE,A,M.D.,M,I,1 CENTRE DR,,PETERSBURG,IL,626759467,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,17,51,51,34.941176471,33,23.33372549,23.33372549
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,22,58,244,48.959467213,8.32,6.2614754098,6.2614754098
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,30,60,10.731833333,1.42,1.0773333333,1.0773333333
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,28,76.941785714,71.56,56.105,56.105
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,62,45.496774194,43.56,34.151774194,34.15
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,176.84,87.000909091,61.989090909,61.678181818
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,147.99083333,59.199166667,46.415833333,42.9775
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,47.406428571,19.371428571,14.137857143,13.099285714
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,37.863333333,12.483888889,9.2811111111,8.6194444444
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,21,126,3.8080952381,2.030952381,1.5177777778,1.5161904762
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30.23,9.3475,5.07,5.2125
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,124.31904762,59.050952381,45.817619048,40.278095238
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,36.5,17.76,13.93,13.561666667
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,90.83,31.761666667,24.901666667,24.676666667
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,232.71525424,87.356271186,62.596779661,49.542711864
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1499,0.9285123416,0.0462374917,0.0343762508,0.0343762508
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,120.1975,31.659166667,24.82,24.449166667
1023231008,WEAVER,ERIC,R,MD,M,I,230 W OAK ST,,FREMONT,MI,494121575,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,24.253125,24.253125
1023231057,DHINGRA,MEENAKSHI,,MD,F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,31,74,67.545135135,8.32,5.8159459459,5.8159459459
1023231057,DHINGRA,MEENAKSHI,,MD,F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,18,12.976666667,1.42,1.0544444444,1.0544444444
1023231057,DHINGRA,MEENAKSHI,,MD,F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.86,1.51,1.185,1.155
1023231057,DHINGRA,MEENAKSHI,,MD,F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,72.660909091,18.711818182,14.667272727,14.869090909
1023231057,DHINGRA,MEENAKSHI,,MD,F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,80,11.59125,2.2685,1.77925,1.694375
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,54,166,69.028855422,8.32,5.329939759,5.329939759
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,32,54,15.265,1.42,0.9916666667,0.9916666667
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,420,81.446666667,63.853333333,61.5725
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,47.37,37.14,37.589166667
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,4.9290909091,0.4290909091,0.41
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,202.47833333,36.4125,24.5175,20.775833333
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,358.94736842,69.81,48.968947368,48.968947368
1023231099,LIRA,LINDSEY,D,M.D.,F,I,27082 MAIN ST,,EDWARDSBURG,MI,49112,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,990,1.9685252525,0.1323636364,0.1037777778,0.1037777778
1023232287,MEENA,NIKHIL,,MD,M,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,28,56.512142857,18,13.102142857,12.593214286
1023232287,MEENA,NIKHIL,,MD,M,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1800,1048.7,459.32,465.6725
1023232287,MEENA,NIKHIL,,MD,M,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,27,1675.2037037,1048.4407407,816.66259259,836.9462963
1023232287,MEENA,NIKHIL,,MD,M,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,29,314.31206897,71,51.82137931,51.019655172
1023232287,MEENA,NIKHIL,,MD,M,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Pulmonary Disease,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,29.45,23.93,18.7625,21.6225
1023232527,NORTHUP,JOHN,D,M.D.,M,I,12345 MERCY BLVD,,SAVANNAH,GA,314193436,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,31,86,66.131046512,8.32,6.3698837209,6.3698837209
1023232527,NORTHUP,JOHN,D,M.D.,M,I,12345 MERCY BLVD,,SAVANNAH,GA,314193436,US,Physician/Gastroenterology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,70.23,40.665882353,40.386470588
1023232980,FEDIN,AMBER,L,D.O.,F,I,918 3RD AVE,,BEAVER FALLS,PA,150104613,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,19,66.914210526,8.32,6.5231578947,6.5231578947
1023233111,STEFANOSKI,STEVCO,,M.D.,M,I,3555 OLENTANGY RIVER RD,SUITE 1080,COLUMBUS,OH,432143912,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,47.4532,17.41,12.558,12.4656
1023233111,STEFANOSKI,STEVCO,,M.D.,M,I,3555 OLENTANGY RIVER RD,SUITE 1080,COLUMBUS,OH,432143912,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,233.236,79.3,58.982,52.4348
1023233145,SULTANA,NAHID,,M.D.,F,I,1555 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,36,53.028611111,8.32,6.5222222222,6.5222222222
1023233368,JAMES,JOHN,C,MD,M,I,9399 CROWN CREST BLVD,STE 220,PARKER,CO,801388506,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,106.11583333,78.3025,61.383333333,54.73
1023233384,IDDINGS,DOUGLAS,M,DO,M,I,302 KENSINGTON AVE,,FLINT,MI,485032044,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,190,6.5705263158,5.74,4.5000526316,4.5000526316
1023233384,IDDINGS,DOUGLAS,M,DO,M,I,302 KENSINGTON AVE,,FLINT,MI,485032044,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,3.5001538462,3.0369230769,2.3811153846,2.3834615385
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,6.3928571429,0.51,0.3142857143,0.3142857143
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,44,124,384,66.88671875,8.32,5.7142447917,5.7142447917
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,14,37,37,14.974594595,3.38,2.2918918919,2.2918918919
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,15,20,20,23.577,2.12,1.4195,1.4195
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,24,61,108,13.936388889,1.42,0.9588888889,0.9588888889
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,64.547142857,17.29,13.227380952,13.217380952
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,24,24,232.35,52.284583333,39.255416667,40.067916667
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,24,24,232.35,47.4475,35.624583333,36.0725
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1254.5454545,1074.31,842.26,842.26
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,81.75,13.4825,9.6866666667,9.6066666667
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,32.970322581,4.6351612903,3.5261290323,3.524516129
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,54,58,126.44034483,31.897758621,23.809827586,23.496724138
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,90,90,266.79066667,71.837888889,53.953222222,52.644444444
1023233418,NAVARRO,CATHERINE,S,M.D.,F,I,3733 E GULF TO LAKE HWY,,INVERNESS,FL,344533206,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,582.15142857,156.31714286,122.55571429,120.77
1023233566,KASEM,HODA,,MD,F,I,"3200 MACCORKLE AVENUE SE,",HOSPITALIST PROGRAM,CHARLESTON,WV,253011850,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,57.051111111,18.706666667,13.657407407,12.528518519
1023233566,KASEM,HODA,,MD,F,I,"3200 MACCORKLE AVENUE SE,",HOSPITALIST PROGRAM,CHARLESTON,WV,253011850,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,28,46.235714286,4.6185714286,3.5014285714,3.4992857143
1023233566,KASEM,HODA,,MD,F,I,"3200 MACCORKLE AVENUE SE,",HOSPITALIST PROGRAM,CHARLESTON,WV,253011850,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,329.53962963,79.93962963,59.970740741,52.045185185
1023234002,VARUGHESE,MATHEW,,DO,M,I,100 PARK ST,GLENS FALLS HOSPITAL - HOSPITALIST PROGRAM,GLENS FALLS,NY,128014413,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,16.59,13,13.446315789
1023234002,VARUGHESE,MATHEW,,DO,M,I,100 PARK ST,GLENS FALLS HOSPITAL - HOSPITALIST PROGRAM,GLENS FALLS,NY,128014413,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,50.73,4.343,3.409,3.688
1023234002,VARUGHESE,MATHEW,,DO,M,I,100 PARK ST,GLENS FALLS HOSPITAL - HOSPITALIST PROGRAM,GLENS FALLS,NY,128014413,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,463.00666667,71.64,51.053333333,50.250277778
1023234002,VARUGHESE,MATHEW,,DO,M,I,100 PARK ST,GLENS FALLS HOSPITAL - HOSPITALIST PROGRAM,GLENS FALLS,NY,128014413,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,41.75,27.275,25.396666667
1023234036,LEMYRE,MARTIN,S,MD,M,I,800 N JUSTICE ST,,HENDERSONVILLE,NC,287913410,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,40,18.521764706,14.515294118,13.812352941
1023234036,LEMYRE,MARTIN,S,MD,M,I,800 N JUSTICE ST,,HENDERSONVILLE,NC,287913410,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,251.52736842,86.282105263,67.642631579,58.243157895
1023234341,MARTINEZ,JESSE,,PA-C,M,I,4438 W JEFFERSON BLVD,,DALLAS,TX,752114623,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,46,68.583913043,8.32,5.955,5.955
1023234341,MARTINEZ,JESSE,,PA-C,M,I,4438 W JEFFERSON BLVD,,DALLAS,TX,752114623,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,19,12.583684211,1.42,1.1136842105,1.1136842105
1023234655,TOLHURST,STEPHEN,R,M.D.,M,I,4401 LONG PRAIRIE RD STE 500,,FLOWER MOUND,TX,750281881,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,135,52.183571429,40.203571429,37.736428571
1023234655,TOLHURST,STEPHEN,R,M.D.,M,I,4401 LONG PRAIRIE RD STE 500,,FLOWER MOUND,TX,750281881,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,5250,4378.96,3433.11,3433.11
1023234812,EL HENAWI,IGLAL,,MD,F,I,4020 W. FLORIDA AVE,,HEMET,CA,925455279,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,53,87.10754717,8.32,3.8147169811,3.8147169811
1023234812,EL HENAWI,IGLAL,,MD,F,I,4020 W. FLORIDA AVE,,HEMET,CA,925455279,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,14,15.477142857,1.42,0.4785714286,0.4785714286
1023234812,EL HENAWI,IGLAL,,MD,F,I,4020 W. FLORIDA AVE,,HEMET,CA,925455279,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,11.108333333,11.309166667
1023234812,EL HENAWI,IGLAL,,MD,F,I,4020 W. FLORIDA AVE,,HEMET,CA,925455279,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,36,519.51,79.22,54.879722222,48.319722222
1023234812,EL HENAWI,IGLAL,,MD,F,I,4020 W. FLORIDA AVE,,HEMET,CA,925455279,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,525,44.745,35.0825,30.111666667
1023234812,EL HENAWI,IGLAL,,MD,F,I,4020 W. FLORIDA AVE,,HEMET,CA,925455279,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1620,1.5537777778,0.1382222222,0.1016419753,0.1016419753
1023234812,EL HENAWI,IGLAL,,MD,F,I,4020 W. FLORIDA AVE,,HEMET,CA,925455279,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,84.857142857,33,24.638095238,24.638095238
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,112,9237,4.4460788135,0.5662433691,0.4241875068,0.4252668615
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,3750,0.077048,0.013,0.0102,0.0102
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,1958,1.9786772217,1.1576149132,0.9075434116,0.9075434116
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,60,9900,4.0171747475,2.8398606061,2.1901141414,2.1901141414
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,780,18.06824359,7.4700128205,5.6724615385,5.6724615385
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,11,1320,10.219613636,8.4750909091,5.4601363636,6.6686515152
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,13,93,93,24,24,18.415268817,18.415268817
1023235058,LEFLER,WILLIAM,S,MD,M,I,1600 SPECHT POINT RD,SUITE 127,FORT COLLINS,CO,805254311,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,13,145,173,16,16,12.323410405,12.323410405
1023235231,DOZIER,CAREY,C,M.D.,M,I,932 SPRING CREEK RD,EAST RIDGE EYE CENTER,CHATTANOOGA,TN,374123910,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,77.864615385,77.864615385,51.691538462,45.314615385
1023235231,DOZIER,CAREY,C,M.D.,M,I,932 SPRING CREEK RD,EAST RIDGE EYE CENTER,CHATTANOOGA,TN,374123910,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,25,67.5,50.01,36.0732,40.162
1023235892,MITCHELL,CHAD,T,MD,M,I,111 COLCHESTER AVE,"GRADUATE MEDICAL EDUCATION, WP 2-272",BURLINGTON,VT,054011473,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,417.147,69.62,46.4015,46.549
1023235892,MITCHELL,CHAD,T,MD,M,I,111 COLCHESTER AVE,"GRADUATE MEDICAL EDUCATION, WP 2-272",BURLINGTON,VT,054011473,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,68.75,39.68,27.990909091,26.536363636
1023235926,LANG,L,K,M.D.,F,I,4361 S WESTERN AVE,,LOS ANGELES,CA,900621651,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,22,82.528181818,8.32,4.1518181818,4.1518181818
1023235926,LANG,L,K,M.D.,F,I,4361 S WESTERN AVE,,LOS ANGELES,CA,900621651,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,842.26
1023235926,LANG,L,K,M.D.,F,I,4361 S WESTERN AVE,,LOS ANGELES,CA,900621651,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,77.18,60.51,55.2025
1023235926,LANG,L,K,M.D.,F,I,4361 S WESTERN AVE,,LOS ANGELES,CA,900621651,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37,29.01,29.468333333
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,14,182,60.225714286,19.643571429,15.312307692,15.312307692
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,645,8.63,2.6334883721,1.968372093,1.968372093
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,71,90,304,1209,58.818808933,8.306898263,5.9734491315,5.9844251447
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,14,14.575714286,3.38,2.2714285714,2.2714285714
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,21.256666667,2.12,1.67,1.67
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,33,87,196,12.0025,1.4186734694,1.05,1.05
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,59,59,400.06610169,251.11,196.87,196.87
1023236213,ODEGAARD,DAVID,E,MD,M,I,7710 MERCY RD,SUITE 426,OMAHA,NE,681242372,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,320.05,262.31333333,205.6525,207.1
1023236478,GRIFFITH,DUANE,L,M.D.,M,I,2737 S BROADWAY AVE,,TYLER,TX,75701,US,Physician/Anesthesiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,102.61833333,80.455,54.73
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,16,27,93.373703704,8.32,3.6248148148,3.6248148148
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.765,1.9241666667,1.5075,1.15
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,86.31,29.638039216,21.263529412,15.829803922
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,54.24,7.6325,5.83,4.0033333333
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,71,74,519.51,108.01621622,82.032972973,59.326216216
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,3375,0.17,0.0468237037,0.0235525926,0.0235525926
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2430,0.9390740741,0.1340740741,0.0897983539,0.0897983539
1023236536,OLDHAM,STACI,E,NP-C,F,I,801 TENTH STREET,,MAGDALENA,NM,87825,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,38,38,129.39473684,33,20.601842105,20.601842105
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,30.004285714,11.29,6.9535714286,8.4857142857
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,16,23.745625,10.93,6.963125,6.963125
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,30,17.042,7.06,4.428,4.737
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,6.9472727273,2.91,2.28125,2.28125
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,16.475,7,4.8150833333,4.8150833333
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,4.6025,1.95,1.3619583333,1.3619583333
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,47.454545455,37.200909091,38.331818182
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,119.34,22.515789474,15.945263158,19.903157895
1023236569,BLAU,KAREN,,M.D.,F,I,68 HAUPPAUGE RD,,COMMACK,NY,117254403,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,20.57,6.81,4.8247368421,6.1494736842
1023237229,STITZENBERG,KAREN,,M.D.,F,I,101 MANNING DR,,CHAPEL HILL,NC,275144220,US,Physician/Surgical Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,5.7425454545,3.04,2.3835,2.3835
1023238862,TLEMCANI,KAOUTAR,M,M.D.,F,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Internal Medicine,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,57,57,57,1383.8868421,1257.9821053,981.22578947,883.21719298
1023238862,TLEMCANI,KAOUTAR,M,M.D.,F,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Internal Medicine,T,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,78,80,113,1047.1648673,869.66610619,680.55185841,676.59946903
1023238862,TLEMCANI,KAOUTAR,M,M.D.,F,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Internal Medicine,T,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,24,25,37,519.94432432,454.85297297,356.60594595,354.02162162
1023238862,TLEMCANI,KAOUTAR,M,M.D.,F,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Internal Medicine,T,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,81,83,120,133.41616667,114.21841667,89.547,88.913666667
1023238862,TLEMCANI,KAOUTAR,M,M.D.,F,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Internal Medicine,T,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,23,577.17086957,469.54,361.88086957,359.15086957
1023238862,TLEMCANI,KAOUTAR,M,M.D.,F,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Internal Medicine,T,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,35,35,35,830.07514286,704.5,544.13171429,560.33171429
1023239001,RODRIGUEZ,JORGE,A,M.D.,M,I,7 CALLE PACHECO S,,YAUCO,PR,006983507,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,78.87,55.842727273,43.784545455,39.604545455
1023239258,GORHAM,STEPHANIE,A,MD,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,64,202,65.323960396,8.32,5.2635643564,5.2635643564
1023239258,GORHAM,STEPHANIE,A,MD,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,28,46,13.514347826,1.42,0.9445652174,0.9445652174
1023239258,GORHAM,STEPHANIE,A,MD,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,106,17.27,12.411666667,12.411666667
1023239258,GORHAM,STEPHANIE,A,MD,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,56.92,5.0654545455,3.5463636364,3.3809090909
1023239258,GORHAM,STEPHANIE,A,MD,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,445,69.81,50.820714286,50.820714286
1023239407,BOSS,DIANA,K,M.D.,F,I,9205 SW BARNES RD,SUITE MT 2800,PORTLAND,OR,972256603,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,47,61.292553191,8.32,5.6882978723,5.6882978723
1023239407,BOSS,DIANA,K,M.D.,F,I,9205 SW BARNES RD,SUITE MT 2800,PORTLAND,OR,972256603,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,342,58.267894737,3.19,2.5009649123,2.3910526316
1023239407,BOSS,DIANA,K,M.D.,F,I,9205 SW BARNES RD,SUITE MT 2800,PORTLAND,OR,972256603,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6681,1.3561143541,0.32,0.2336985481,0.22718605
1023239407,BOSS,DIANA,K,M.D.,F,I,9205 SW BARNES RD,SUITE MT 2800,PORTLAND,OR,972256603,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,325.17666667,73.9,51.106190476,48.442380952
1023239720,GUINNIP,PAULA,M,M.D.,F,I,4 E CLARK BASS BLVD,SUITE 204,MCALESTER,OK,745014269,US,Physician/Cardiac Surgery,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,1561.02,1053.8209375,821.8278125,836.1053125
1023240041,BROWN,HEIDI,L,"FNP-BC, APRN",F,I,137 2ND AVE SW,,CAMBRIDGE,MN,550081502,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,73.975833333,48.670833333
1023240041,BROWN,HEIDI,L,"FNP-BC, APRN",F,I,137 2ND AVE SW,,CAMBRIDGE,MN,550081502,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,29.605833333,24.5975
1023240082,COCHRAN,AMBER,K,FNP-BC,F,I,527 MEDICAL PARK DR STE 400,,BRIDGEPORT,WV,263309010,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,44,44,44,112.38181818,64.191136364,50.139318182,37.7925
1023240132,PAUDEL,RAJIV,,M.D.,M,I,3327 RESEARCH PLZ,SUITE 310,SAN ANTONIO,TX,782355155,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,181.028,37.203,29.167,26.506
1023240579,MUNJAL,ATUL,K,MD,M,I,4222 MESA ST,,TORRANCE,CA,905056314,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,21,21,21,1528.2990476,1146.08,833.43714286,821.41666667
1023240579,MUNJAL,ATUL,K,MD,M,I,4222 MESA ST,,TORRANCE,CA,905056314,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,23,38,1000.56,849.98,648.13157895,659.43921053
1023240579,MUNJAL,ATUL,K,MD,M,I,4222 MESA ST,,TORRANCE,CA,905056314,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,23,38,132.13421053,119.93,94.002368421,88.822368421
1023240645,SHIELDS,LYNN,M,ACNP/FNP,F,I,4491 BENT BROTHERS BLVD,,COLORADO CITY,CO,810199990,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,43,86.31,20.459302326,15.691627907,13.231395349
1023240645,SHIELDS,LYNN,M,ACNP/FNP,F,I,4491 BENT BROTHERS BLVD,,COLORADO CITY,CO,810199990,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,710.1875,836.5275
1023240645,SHIELDS,LYNN,M,ACNP/FNP,F,I,4491 BENT BROTHERS BLVD,,COLORADO CITY,CO,810199990,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,47,519.51,86.89106383,65.577234043,52.463829787
1023240652,OBEROI,DIPIKA,,MD,F,I,2650 RIDGE AVE,,EVANSTON,IL,602011718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,37,109,63.96559633,8.32,6.3275229358,6.3275229358
1023240652,OBEROI,DIPIKA,,MD,F,I,2650 RIDGE AVE,,EVANSTON,IL,602011718,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,28,14.488571429,1.42,1.0746428571,1.0746428571
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,960,0.1489583333,0.12,0.0862291667,0.0862291667
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,44,67,4920,0.5610569106,0.44,0.3293617886,0.3293617886
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,349,10.08,8.28,6.4916045845,6.4916045845
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,12,69,10.058985507,8.26,6.4752173913,6.4752173913
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,28,39,532,13.228571429,10.93,8.4193421053,8.4193421053
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,57,79,18200,0.0827472527,0.05,0.0380373626,0.0380373626
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,14,465,1.31,1.08,0.8466666667,0.8466666667
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,31,1182,4.7471489002,3.67,2.8143739425,2.8143739425
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,23,26,3130,0.1626837061,0.13,0.1019233227,0.1019233227
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6445,"Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,33,38,4680,0.4471794872,0.36,0.2743696581,0.2743696581
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,26,41,4770,0.5737735849,0.45,0.3436121593,0.3436121593
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,410,1.07,0.88,0.69,0.69
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,19,26,116.77,95.87,75.164615385,75.164615385
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,13,20,180,77.61,25.056111111,18.653111111,18.2
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,13,18,115,49.939130435,8.3695652174,6.216,6.0830434783
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,259.22909091,58.018181818,42.944545455,33.755454545
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,1247.3263636,178.28878788,134.40060606,115.33333333
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,232.35,58.205714286,42.687142857,34.942142857
1023241403,GRANTHAM,KIRK,A,M.D.,M,I,2530 BERT KOUNS LOOP,SUITE 138,SHREVEPORT,LA,711183132,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,13,19,19,4614.6842105,743.90736842,567.28263158,492.54210526
1023241551,TSUCHIYA,BRENDA,A,NP-C,F,I,26 QUEEN ST,FAMILY PRACTICE 3,WORCESTER,MA,016102478,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1230,0.92,0.1381219512,0.1082926829,0.1082926829
1023241551,TSUCHIYA,BRENDA,A,NP-C,F,I,26 QUEEN ST,FAMILY PRACTICE 3,WORCESTER,MA,016102478,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1023242179,SANKS,CLAUDE,L,M.D.,M,I,3 HIDDEN CREEK DR,,GUYTON,GA,313124590,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,29,64.630344828,8.32,6.1713793103,6.1713793103
1023242179,SANKS,CLAUDE,L,M.D.,M,I,3 HIDDEN CREEK DR,,GUYTON,GA,313124590,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,72,21.843472222,3.08,2.4133333333,2.3783333333
1023242179,SANKS,CLAUDE,L,M.D.,M,I,3 HIDDEN CREEK DR,,GUYTON,GA,313124590,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4686,1.0648804951,0.3081476739,0.2266794708,0.2281306018
1023242179,SANKS,CLAUDE,L,M.D.,M,I,3 HIDDEN CREEK DR,,GUYTON,GA,313124590,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,160,48.904347826,28.90173913,28.472608696
1023242179,SANKS,CLAUDE,L,M.D.,M,I,3 HIDDEN CREEK DR,,GUYTON,GA,313124590,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,62.077777778,17.8,13.95,13.531333333
1023242179,SANKS,CLAUDE,L,M.D.,M,I,3 HIDDEN CREEK DR,,GUYTON,GA,313124590,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,395.88086957,73.571086957,57.679782609,54.742826087
1023242179,SANKS,CLAUDE,L,M.D.,M,I,3 HIDDEN CREEK DR,,GUYTON,GA,313124590,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,62.684,21.028,16.486666667,15.238666667
1023242195,RUTLEDGE,JONATHAN,W,M.D.,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,59,8.9537288136,1.7979661017,1.3593220339,1.5166101695
1023242211,MCKNIGHT,ROBERT,L,M.D.,M,I,1220 MISSOURI AVE,,JEFFERSONVILLE,IN,471303725,US,Physician/Emergency Medicine,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,200,100.42,78.73,86.684545455
1023242625,BOWERS,MELISSA,D,MD,F,I,272 ROBERT SMALLS PKWY,SUITE 320,BEAUFORT,SC,299063702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,33,58.178787879,8.32,3.3596969697,3.3596969697
1023242799,RUEL,EWA,,M.D.,F,I,601 EWING ST STE C8,,PRINCETON,NJ,085402756,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,59,114,576,66.318802083,8.309375,5.7352430556,5.7435763889
1023242799,RUEL,EWA,,M.D.,F,I,601 EWING ST STE C8,,PRINCETON,NJ,085402756,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,27,46,116,14.25887931,1.42,1.0078448276,1.0078448276
1023242799,RUEL,EWA,,M.D.,F,I,601 EWING ST STE C8,,PRINCETON,NJ,085402756,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,21,22,494.31818182,251.11,196.87,196.87
1023242815,STODDART,JEREMY,R,MD,M,I,30 N 1900 E,"UNIVERSITY HOSPITAL,",SLC,UT,84132,US,Physician/Psychiatry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,123.70307692,43.324615385,33.963846154,30.561538462
1023242831,SWALLEN,KAREN,C,MD,F,I,1310 BROADWAY,,WISCONSIN DELLS,WI,539651358,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,25,79,170,79.624529412,8.32,5.7553529412,5.7553529412
1023242831,SWALLEN,KAREN,C,MD,F,I,1310 BROADWAY,,WISCONSIN DELLS,WI,539651358,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,20,16.6525,1.42,1.007,1.007
1023242831,SWALLEN,KAREN,C,MD,F,I,1310 BROADWAY,,WISCONSIN DELLS,WI,539651358,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,52,21.985,15.374,11.7395
1023242831,SWALLEN,KAREN,C,MD,F,I,1310 BROADWAY,,WISCONSIN DELLS,WI,539651358,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,247,98.85,71.523,49.257
1023242831,SWALLEN,KAREN,C,MD,F,I,1310 BROADWAY,,WISCONSIN DELLS,WI,539651358,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2837,2.170659147,0.1339125837,0.0963306309,0.0963306309
1023242831,SWALLEN,KAREN,C,MD,F,I,1310 BROADWAY,,WISCONSIN DELLS,WI,539651358,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,23.283,23.283
1023243581,OPPENHEIMER,MARCY,J,M.D.,F,I,1150 VARNUM ST NE,ST. CATHERINE'S HALL/1ST FL/RM 102,WASHINGTON,DC,200172104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,36,84,71.67202381,8.32,6.210952381,6.210952381
1023243581,OPPENHEIMER,MARCY,J,M.D.,F,I,1150 VARNUM ST NE,ST. CATHERINE'S HALL/1ST FL/RM 102,WASHINGTON,DC,200172104,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,19,12.920526316,1.4031578947,1.0431578947,1.0563157895
1023243888,KRISH,PRASANTH,,M.D.,M,I,2585 HERSCHEL ST,,JACKSONVILLE,FL,322044557,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,98,18358,5.1020792025,0.5762120057,0.4502810764,0.4502805316
1023243888,KRISH,PRASANTH,,M.D.,M,I,2585 HERSCHEL ST,,JACKSONVILLE,FL,322044557,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,50,7500,0.1185613333,0.0131,0.00984,0.00984
1023243888,KRISH,PRASANTH,,M.D.,M,I,2585 HERSCHEL ST,,JACKSONVILLE,FL,322044557,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,80,14712,4.2549218325,1.3081280587,0.9976359434,0.9976359434
1023243888,KRISH,PRASANTH,,M.D.,M,I,2585 HERSCHEL ST,,JACKSONVILLE,FL,322044557,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,70,70,24,24,18.013428571,18.013428571
1023243888,KRISH,PRASANTH,,M.D.,M,I,2585 HERSCHEL ST,,JACKSONVILLE,FL,322044557,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,127,184,16,16,12.38798913,12.38798913
1023244167,PARNAS,TAYA,,MD,F,I,77 WARREN STREET,"ST.ELIZABETH MEDICAL CENTER, ADULT MEDICINE",BOSTON,MA,02135,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,32,69,174,65.390632184,8.32,5.922183908,5.922183908
1023244167,PARNAS,TAYA,,MD,F,I,77 WARREN STREET,"ST.ELIZABETH MEDICAL CENTER, ADULT MEDICINE",BOSTON,MA,02135,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,32,47,16.626595745,1.42,1.0195744681,1.0195744681
1023244167,PARNAS,TAYA,,MD,F,I,77 WARREN STREET,"ST.ELIZABETH MEDICAL CENTER, ADULT MEDICINE",BOSTON,MA,02135,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,134.38,48.878,36.01,37.622
1023244167,PARNAS,TAYA,,MD,F,I,77 WARREN STREET,"ST.ELIZABETH MEDICAL CENTER, ADULT MEDICINE",BOSTON,MA,02135,US,Physician/Geriatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1551,0.5520567376,0.046073501,0.036131528,0.036131528
1023244639,AFARI-ARMAH,NANA,Y,MD,M,I,7600 CENTRAL AVE,,PHILADELPHIA,PA,191112442,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,16,20,829.1245,19.71,15.452,15.452
1023244639,AFARI-ARMAH,NANA,Y,MD,M,I,7600 CENTRAL AVE,,PHILADELPHIA,PA,191112442,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,18,100,550.123,37.38,29.3061,29.3061
1023244639,AFARI-ARMAH,NANA,Y,MD,M,I,7600 CENTRAL AVE,,PHILADELPHIA,PA,191112442,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,1352,129.25184911,1.5546967456,1.2188757396,1.2188757396
1023244639,AFARI-ARMAH,NANA,Y,MD,M,I,7600 CENTRAL AVE,,PHILADELPHIA,PA,191112442,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,1408,4.3991974432,0.6059090909,0.4750284091,0.4750284091
1023244639,AFARI-ARMAH,NANA,Y,MD,M,I,7600 CENTRAL AVE,,PHILADELPHIA,PA,191112442,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,24,24,18.82,18.82
1023244639,AFARI-ARMAH,NANA,Y,MD,M,I,7600 CENTRAL AVE,,PHILADELPHIA,PA,191112442,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1023245008,KARWOSKI,JEFFREY,D,M.D.,M,I,2 PRO HEALTH PLZ,,NEW HYDE PARK,NY,110421111,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,58,37.924310345,8.32,6.2987931034,6.2987931034
1023245008,KARWOSKI,JEFFREY,D,M.D.,M,I,2 PRO HEALTH PLZ,,NEW HYDE PARK,NY,110421111,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,21,6.8704761905,1.42,1.0614285714,1.0614285714
1023245123,SMOCK,ANDREW,Z,MD,M,I,945 BETHESDA DRIVE,SUITE 340,ZANESVILLE,OH,437011880,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,2670,0.39,0.13,0.0932659176,0.0932659176
1023245123,SMOCK,ANDREW,Z,MD,M,I,945 BETHESDA DRIVE,SUITE 340,ZANESVILLE,OH,437011880,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,2160,3.500787037,1.745787037,1.1983101852,1.4295972222
1023245123,SMOCK,ANDREW,Z,MD,M,I,945 BETHESDA DRIVE,SUITE 340,ZANESVILLE,OH,437011880,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1710,9.65,6.15,4.8215672515,5.5643450292
1023245123,SMOCK,ANDREW,Z,MD,M,I,945 BETHESDA DRIVE,SUITE 340,ZANESVILLE,OH,437011880,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,16,13.476875,10.93,6.963125,6.963125
1023245313,GEORGE,TANYA,M,MD,F,I,750 E ADAMS ST - DEPARTMENT OF INTERNAL MEDICINE,DEPARTMENT OF INTERNAL MEDICINE,SYRACUSE,NY,132102342,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,76.932272727,22.094090909,16.727727273,15.462272727
1023245313,GEORGE,TANYA,M,MD,F,I,750 E ADAMS ST - DEPARTMENT OF INTERNAL MEDICINE,DEPARTMENT OF INTERNAL MEDICINE,SYRACUSE,NY,132102342,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,280.91392857,77.488571429,58.858214286,52.848571429
1023245446,PATEL,JAGRUTI,,DPM,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,75.188333333,69.586666667,54.559583333,56.102916667
1023245446,PATEL,JAGRUTI,,DPM,F,I,6201 W TOUHY AVE,,CHICAGO,IL,606461100,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,59,49.677966102,43.56,34.150338983,34.148135593
1023245685,BHAT,AMBARISH,J,M.D.,M,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,51.81,17,12.853928571,13.058214286
1023245685,BHAT,AMBARISH,J,M.D.,M,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,317.44,77.18,58.348928571,52.9725
1023245693,FAN,DI,,M.D.,M,I,800 BIESTERFIELD RD STE 201B,,ELK GROVE VILLAGE,IL,600073372,US,Physician/Thoracic Surgery,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,99.51,28.306363636,22.187272727,24.342727273
1023245883,IKEZI,STANLEY,O,M.D.,M,I,1534 PARK AVE,SUITE 310,QUAKERTOWN,PA,189511084,US,Physician/Interventional Pain Management,S,E0855,Cervical traction equipment not requiring additional stand or frame,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,92.79,45.000909091,35.276363636,35.276363636
1023245883,IKEZI,STANLEY,O,M.D.,M,I,1534 PARK AVE,SUITE 310,QUAKERTOWN,PA,189511084,US,Physician/Interventional Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,1246.7723077,1017.66,797.85,845.58461538
1023246212,NAIDZIONAK,ULADZISLAU,,M.D.,M,I,6420 CLAYTON RD,ST MARY'S HEALTH CENTER/DEPT OF INTERNAL MEDICINE,SAINT LOUIS,MO,631171811,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,17,1120,50.637883929,4.8901071429,3.8338392857,3.8338392857
1023246212,NAIDZIONAK,ULADZISLAU,,M.D.,M,I,6420 CLAYTON RD,ST MARY'S HEALTH CENTER/DEPT OF INTERNAL MEDICINE,SAINT LOUIS,MO,631171811,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1023246212,NAIDZIONAK,ULADZISLAU,,M.D.,M,I,6420 CLAYTON RD,ST MARY'S HEALTH CENTER/DEPT OF INTERNAL MEDICINE,SAINT LOUIS,MO,631171811,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1023246311,SIFERS,SUSAN,,M.D.,F,I,4400 BROADWAY,STE. 520,KANSAS CITY,MO,641113498,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,35,130,72.96,19.693307692,15.206384615,15.206384615
1023246311,SIFERS,SUSAN,,M.D.,F,I,4400 BROADWAY,STE. 520,KANSAS CITY,MO,641113498,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,36,1249,143.91183347,35.728470777,28.011016813,28.011016813
1023246311,SIFERS,SUSAN,,M.D.,F,I,4400 BROADWAY,STE. 520,KANSAS CITY,MO,641113498,US,Physician/Neurology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,747.28363636,192.81636364,151.16727273,151.16727273
1023246311,SIFERS,SUSAN,,M.D.,F,I,4400 BROADWAY,STE. 520,KANSAS CITY,MO,641113498,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,37,1302,356.88864823,214.33450077,168.03824117,168.03824117
1023246352,LANCASTER,STEELE,,MD,M,I,1300 MICCOSUKEE ROAD,HOSPITALIST GROUP,TALLAHASSEE,FL,32308,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,39.5,4.7027272727,3.6881818182,3.6854545455
1023246352,LANCASTER,STEELE,,MD,M,I,1300 MICCOSUKEE ROAD,HOSPITALIST GROUP,TALLAHASSEE,FL,32308,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,379.91352941,70.23,51.821176471,51.501176471
1023246352,LANCASTER,STEELE,,MD,M,I,1300 MICCOSUKEE ROAD,HOSPITALIST GROUP,TALLAHASSEE,FL,32308,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,65,37.44,27.253571429,27.416428571
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,48,50.7525,8.32,6.2502083333,6.2502083333
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,59,77.837288136,18.424576271,13.170847458,12.317288136
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.37,17.91,14.04,13.54
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,1034.2308333,70.48,55.25,54.72
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,921.33,722.32,842.25
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,31.802608696,4.3726086957,3.2808695652,3.3839130435
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,93,111,460.36378378,72.420900901,53.518558559,51.548108108
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,230,39.6,31.05,29.612666667
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,863,1.6893395133,0.1330243337,0.1042757822,0.1042757822
1023246550,PAYNE,MATTHEW,S,D.O,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,92.7,17.5808,12.7592,13.104
1023246774,POTHULA,NAGESWAR,R,MD,M,I,G3200 BEECHER RD,SUITE 2,FLINT,MI,485323651,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,33.037272727,18.664545455,14.632727273,13.538181818
1023246774,POTHULA,NAGESWAR,R,MD,M,I,G3200 BEECHER RD,SUITE 2,FLINT,MI,485323651,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,245.15515152,71.972727273,56.423636364,54.599393939
1023246774,POTHULA,NAGESWAR,R,MD,M,I,G3200 BEECHER RD,SUITE 2,FLINT,MI,485323651,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,65.26,37.253333333,27.833333333,28.17375
1023246899,NEUROHR,SHANNON,E,PA-C,F,I,647 N BROAD STREET EXT,SUITE 107,GROVE CITY,PA,161274604,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,58,105,61.462857143,8.32,5.4412380952,5.4412380952
1023246899,NEUROHR,SHANNON,E,PA-C,F,I,647 N BROAD STREET EXT,SUITE 107,GROVE CITY,PA,161274604,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,18,14.579444444,1.42,0.8055555556,0.8055555556
1023246899,NEUROHR,SHANNON,E,PA-C,F,I,647 N BROAD STREET EXT,SUITE 107,GROVE CITY,PA,161274604,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,519.51,74.186666667,52.002727273,48.966060606
1023246923,PAXTEN,MICHAEL,K,M.D.,M,I,100 THREE RIVERS DR NE,STE A,ROME,GA,301614999,US,Physician/Hand Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,227.5,222.08,153.75,151.64964286
1023246923,PAXTEN,MICHAEL,K,M.D.,M,I,100 THREE RIVERS DR NE,STE A,ROME,GA,301614999,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,61,67,71,75,53.2,37.205915493,41.608591549
1023247111,ERGIN,AHMET,B,M.D.,M,I,1700 SE HILLMOOR DR,,PORT ST LUCIE,FL,34952,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,24,52,667,54.687796102,19.655622189,15.12862069,15.12862069
1023247111,ERGIN,AHMET,B,M.D.,M,I,1700 SE HILLMOOR DR,,PORT ST LUCIE,FL,34952,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,25,53,1690,7.9783431953,2.6333727811,2.0645029586,2.0645029586
1023247111,ERGIN,AHMET,B,M.D.,M,I,1700 SE HILLMOOR DR,,PORT ST LUCIE,FL,34952,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,40,94,517,68.649129594,8.32,6.1066344294,6.1066344294
1023247111,ERGIN,AHMET,B,M.D.,M,I,1700 SE HILLMOOR DR,,PORT ST LUCIE,FL,34952,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,32,15.7346875,1.42,1.1125,1.1125
1023247111,ERGIN,AHMET,B,M.D.,M,I,1700 SE HILLMOOR DR,,PORT ST LUCIE,FL,34952,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,14,81,81,633.58987654,350.16555556,270.6382716,270.6382716
1023247111,ERGIN,AHMET,B,M.D.,M,I,1700 SE HILLMOOR DR,,PORT ST LUCIE,FL,34952,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,3380,15.587263314,10.278692308,8.0584911243,8.0584911243
1023247111,ERGIN,AHMET,B,M.D.,M,I,1700 SE HILLMOOR DR,,PORT ST LUCIE,FL,34952,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,40,40,427.96,250.9735,196.763,196.8695
1023247202,LOPEZ,GUSTAVO,A,MD,M,I,9169 W VAN BUREN ST,,TOLLESON,AZ,853532942,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,37,80,77.766125,8.32,5.6255,5.6255
1023247202,LOPEZ,GUSTAVO,A,MD,M,I,9169 W VAN BUREN ST,,TOLLESON,AZ,853532942,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,23,14.816086957,1.42,0.8747826087,0.8747826087
1023247202,LOPEZ,GUSTAVO,A,MD,M,I,9169 W VAN BUREN ST,,TOLLESON,AZ,853532942,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,16.96,16.96,12.191666667,12.436666667
1023247202,LOPEZ,GUSTAVO,A,MD,M,I,9169 W VAN BUREN ST,,TOLLESON,AZ,853532942,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.36,77.36,55.595833333,50.169166667
1023247566,MCCLINTON,ERNEST,,M.D.,M,I,601 W MAPLE AVE,SUITE 102,SPRINGDALE,AR,727645335,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,45.002727273,35.284545455,29.516363636
1023247731,DEGA,SREEVALLI,,MD,F,I,1096 BERMUDA RUN,,STATESBORO,GA,304580858,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,52,26.633653846,7.6319230769,5.5857692308,3.5840384615
1023247822,SHENOUDA,JACK,,M.D.,M,I,1600 N ROSE AVE,,OXNARD,CA,93030,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,110.76133333,18.454,12.758666667,12.958666667
1023247921,HANZLY,MICHAEL,I,DO,M,I,295 ESSJAY RD,,WILLIAMSVILLE,NY,142218216,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,540,0.39,0.13,0.0906666667,0.0906666667
1023247921,HANZLY,MICHAEL,I,DO,M,I,295 ESSJAY RD,,WILLIAMSVILLE,NY,142218216,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,41,2680,5.8442164179,1.73,1.3259664179,1.5404029851
1023247954,JONGCO,ARTEMIO,M,"M.D., PH.D., MPH",M,I,27005 76TH AVE,,NEW HYDE PARK,NY,110401402,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,35,1258.1245714,19.71,15.013142857,15.013142857
1023247954,JONGCO,ARTEMIO,M,"M.D., PH.D., MPH",M,I,27005 76TH AVE,,NEW HYDE PARK,NY,110401402,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,26,2600,160.1286,9.8432692308,7.7096230769,7.7096230769
1023247954,JONGCO,ARTEMIO,M,"M.D., PH.D., MPH",M,I,27005 76TH AVE,,NEW HYDE PARK,NY,110401402,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,27,62,417.99564516,2.64,2.07,2.07
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,33,1395,1.6535555556,0.4600860215,0.3551684588,0.3551684588
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,630,7.9430634921,2.6471428571,2.0753492063,2.0753492063
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,21,98,392,66485,4.2383108972,0.5701415357,0.4298888471,0.4344467173
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,18,67,16050,0.0919283489,0.0128878505,0.0099370717,0.0100087227
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,26,3060,1.7772843137,0.7455980392,0.5845653595,0.5845653595
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,21,67,277,48562,3.0020060953,1.1809330341,0.8906698653,0.9046970883
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,24,96,17400,4.2834189655,2.8577689655,2.2322390805,2.2322390805
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,3,,34,14400,9.9298819444,8.4548875,6.6257645833,6.6257645833
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,37,136,512,512,24,24,18.413925781,18.413925781
1023248598,PRASHAR,ROHINI,,M.D.,F,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,34,123,438,449,16,16,12.388329621,12.388329621
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,41,185,388,54.692551546,8.3087886598,5.5550257732,5.5637628866
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,35,45,14.572444444,1.42,0.9682222222,0.9682222222
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,14,51.351428571,28.46,17.869285714,17.869285714
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1296,9.98,2.04,1.5993364198,1.5993364198
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,19,17.371578947,10.547894737,7.3984210526,7.7063157895
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,28,14.325714286,6.9171428571,4.655,5.0989285714
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,21,21,80.613333333,47.758571429,34.22952381,29.284761905
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,274.18315789,112.23421053,84.210526316,64.064210526
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,12,24,37,109.70108108,45.031891892,34.530540541,25.624864865
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,19,23,23,151.56521739,76.688695652,53.974782609,39.496521739
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,32,37,37,51.185135135,24.712162162,18.012702703,13.271891892
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,59.703076923,20.140769231,15.788461538,9.12
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,26,32,171,7.4844444444,2.8477192982,2.0875438596,1.5257894737
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,19,21,21,46.284761905,15.15,10.8,9.6161904762
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,66.636363636,19.323636364,12.258181818,10.765454545
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,105.66666667,59.855,43.488333333,35.606666667
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,650,263.08461538,195.22846154,144.31769231
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,38.333333333,15.456666667,11.566190476,9.8133333333
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,29.837916667,7.8229166667,5.57875,3.3475
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,12,67,67,150.2238806,50.955223881,36.733880597,24.99761194
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,294.92,90.2104,56.3804,43.2148
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1260,1.9028253968,0.1371428571,0.1010238095,0.1010238095
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.2188333333,0.2188333333,0.1716388889,0.1716388889
1023248614,WENNER,PAUL,G,M.D.,M,I,901 MONTGOMERY STREET,WINNESHIEK MEDICAL CENTER,DECORAH,IA,521012325,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,33,33,33,24.746969697,24.746969697
1023248705,DONCHEV,VLADIMIR,B,M.D.,M,I,804 KENYON RD STE G,,FORT DODGE,IA,505015742,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,18,620,0.5,0.44,0.345,0.345
1023248705,DONCHEV,VLADIMIR,B,M.D.,M,I,804 KENYON RD STE G,,FORT DODGE,IA,505015742,US,Physician/General Surgery,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,84,10.666666667,5.95,4.6642857143,4.6642857143
1023248705,DONCHEV,VLADIMIR,B,M.D.,M,I,804 KENYON RD STE G,,FORT DODGE,IA,505015742,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,22,84,10.156428571,9.5396428571,7.4798809524,8.5701190476
1023248705,DONCHEV,VLADIMIR,B,M.D.,M,I,804 KENYON RD STE G,,FORT DODGE,IA,505015742,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,30,524,0.15,0.13,0.0891984733,0.0891984733
1023248705,DONCHEV,VLADIMIR,B,M.D.,M,I,804 KENYON RD STE G,,FORT DODGE,IA,505015742,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,77,2.4675324675,1.97,1.5442857143,1.5442857143
1023248762,MEHULIC,SUARNA,,MD,F,I,20242 ALMADEN RD,,SAN JOSE,CA,951203507,US,Hospitalist,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,43.488333333,35.606666667
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,5382,0.4987736901,0.13,0.0905667038,0.0905667038
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,29,121,25186,4.5586158977,1.8668752482,1.3609739538,1.4802088462
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,5550,11.142108108,6.15,4.7731369369,5.6061279279
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,3370,14.285133531,7.87,6.1275163205,6.1348724036
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,46,162,22.012469136,10.261851852,7.8649382716,8.3488271605
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,560,9.2372857143,5.74,4.339375,4.339375
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,77,2.0820779221,1.7781818182,1.3527272727,1.3698701299
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,530,25.99045283,9.86,7.7301320755,7.7301320755
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,12.192,10.18,7.7379545455,7.7379545455
1023248911,MAHDY,AYMAN,,,M,I,222 PIEDMONT AVE,,CINCINNATI,OH,452194231,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,710,9.1255070423,4.04,3.1674084507,3.1674084507
1023249125,NIXON,CAROLYN,K,,F,I,1250 SW VETERANS WAY STE 120,,REDMOND,OR,977562588,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,36,96.9125,8.32,5.7966666667,5.7966666667
1023249125,NIXON,CAROLYN,K,,F,I,1250 SW VETERANS WAY STE 120,,REDMOND,OR,977562588,US,Physician Assistant,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,2.91,1.95,1.3896969697,1.3896969697
1023249125,NIXON,CAROLYN,K,,F,I,1250 SW VETERANS WAY STE 120,,REDMOND,OR,977562588,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,24,519.51,84.159166667,60.005,48.904166667
1023249190,COFFEY,JULIE,S,NP,F,I,65 WALNUT ST STE 500,,WELLESLEY,MA,024812112,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,19,66,65.399090909,8.32,5.7159090909,5.7159090909
1023249190,COFFEY,JULIE,S,NP,F,I,65 WALNUT ST STE 500,,WELLESLEY,MA,024812112,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,12.845909091,1.42,1.0127272727,1.0127272727
1023249331,VALVANO,AMANDA,A,DO,F,I,1 COOPER PLZ,,CAMDEN,NJ,08103,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,58.82,4.37,2.7016666667,2.845
1023249406,UDOM,CHIEKE,O,M.D,M,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,279,14.451612903,4.9,3.8415053763,4.0615053763
1023249406,UDOM,CHIEKE,O,M.D,M,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4240,0.6639882075,0.3078066038,0.2413207547,0.2413207547
1023249406,UDOM,CHIEKE,O,M.D,M,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,38,38.657894737,17,12.496315789,12.692631579
1023249406,UDOM,CHIEKE,O,M.D,M,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,58,62,403.04145161,78,54.482419355,49.30516129
1023249406,UDOM,CHIEKE,O,M.D,M,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,96.172631579,16.415789474,11.130526316,11.837894737
1023249406,UDOM,CHIEKE,O,M.D,M,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,25.84,8.0326315789,5.4489473684,5.5242105263
1023249422,ARORA,MILI,,MD,F,I,2279 45TH STREET,,SACRAMENTO,CA,95817,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,360,93.266666667,2.9258333333,2.2938888889,2.3676666667
1023249422,ARORA,MILI,,MD,F,I,2279 45TH STREET,,SACRAMENTO,CA,95817,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4708,1.6680841121,0.36,0.2822196262,0.2900700935
1023249422,ARORA,MILI,,MD,F,I,2279 45TH STREET,,SACRAMENTO,CA,95817,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,1148,39.171977352,4.6312630662,3.6309146341,3.6309146341
1023249422,ARORA,MILI,,MD,F,I,2279 45TH STREET,,SACRAMENTO,CA,95817,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1023249422,ARORA,MILI,,MD,F,I,2279 45TH STREET,,SACRAMENTO,CA,95817,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,12,16,16,12.54,12.54
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,1280,0.222375,0.12,0.0940703125,0.0940703125
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,30,3560,0.8554719101,0.44,0.3340533708,0.3340533708
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,31,1143,39.217235346,18.5,14.401531059,14.401531059
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,18,286,34.252727273,22.42,17.075734266,17.075734266
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,17,240,16.486,10.93,8.1505416667,8.1505416667
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,16,257,20.077392996,11.491284047,8.9113229572,8.9808949416
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,2600,0.0995076923,0.05,0.0392,0.0392
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,390,4.3938461538,2.24,1.6884615385,1.6884615385
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,46,1954,6.3970317298,3.67,2.8331525077,2.8331525077
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,510,12.34,7.13,5.5899803922,5.5899803922
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,186,3.4638709677,2.16,1.6933870968,1.6933870968
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,29,5494,0.2419384783,0.13,0.0985930106,0.0985930106
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,27,5568,0.8280711207,0.45,0.3528017241,0.3528017241
1023249851,SHOULTZ,ASHLEY,M,FNP,F,I,417 N 11TH ST,,RICHMOND,VA,232985002,US,Nurse Practitioner,S,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,24,66.63625,48.69,34.989583333,34.989583333
1023249976,WILLIAMS,LINDSEY,M,PA-C,F,I,2050 HILLPOINT BLVD N,,SUFFOLK,VA,234347181,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,32,65,55.064,8.32,6.0149230769,6.0149230769
1023249976,WILLIAMS,LINDSEY,M,PA-C,F,I,2050 HILLPOINT BLVD N,,SUFFOLK,VA,234347181,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,23,11.756521739,1.42,1.0182608696,1.0182608696
1023249976,WILLIAMS,LINDSEY,M,PA-C,F,I,2050 HILLPOINT BLVD N,,SUFFOLK,VA,234347181,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1386,0.3507792208,0.0459451659,0.036002886,0.036002886
1023249976,WILLIAMS,LINDSEY,M,PA-C,F,I,2050 HILLPOINT BLVD N,,SUFFOLK,VA,234347181,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,107.25,33,25.87,25.87
1023250073,AFTAB,ZAHRA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,46,32.521304348,8.32,5.1043478261,5.1043478261
1023250073,AFTAB,ZAHRA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,344,225.9743314,4.86,3.7438372093,4.0982848837
1023250073,AFTAB,ZAHRA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5027,2.5621066242,0.3,0.2308494132,0.2387228964
1023250073,AFTAB,ZAHRA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,225,51.47,40.36,36.636363636
1023250073,AFTAB,ZAHRA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1500,0.544,0.04656,0.03462,0.03462
1023250073,AFTAB,ZAHRA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,66.363636364,20.214545455,15.853636364,14.34
1023250081,FULLER,LAUREN,E,MD,F,I,16761 SOUTHPARK CTR,,STRONGSVILLE,OH,441369302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,69,64.610869565,8.32,5.8791304348,5.8791304348
1023250081,FULLER,LAUREN,E,MD,F,I,16761 SOUTHPARK CTR,,STRONGSVILLE,OH,441369302,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,18,10.286111111,1.42,0.9277777778,0.9277777778
1023250420,GEORGE,CAROLE,L,"MSN, BC-ACNS, CDE",F,I,6500 N MO PAC EXPY,"BLDG. 3, SUITE 200",AUSTIN,TX,787313282,US,Certified Clinical Nurse Specialist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,44,68,136,617,70.908995138,8.32,6.0609076175,6.0609076175
1023250420,GEORGE,CAROLE,L,"MSN, BC-ACNS, CDE",F,I,6500 N MO PAC EXPY,"BLDG. 3, SUITE 200",AUSTIN,TX,787313282,US,Certified Clinical Nurse Specialist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,35,52,124,15.367096774,1.42,1.0779032258,1.0779032258
1023250420,GEORGE,CAROLE,L,"MSN, BC-ACNS, CDE",F,I,6500 N MO PAC EXPY,"BLDG. 3, SUITE 200",AUSTIN,TX,787313282,US,Certified Clinical Nurse Specialist,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,429.45166667,344.69,270.235,270.235
1023250420,GEORGE,CAROLE,L,"MSN, BC-ACNS, CDE",F,I,6500 N MO PAC EXPY,"BLDG. 3, SUITE 200",AUSTIN,TX,787313282,US,Certified Clinical Nurse Specialist,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1560,15.841955128,10.538153846,8.1699358974,8.1699358974
1023250420,GEORGE,CAROLE,L,"MSN, BC-ACNS, CDE",F,I,6500 N MO PAC EXPY,"BLDG. 3, SUITE 200",AUSTIN,TX,787313282,US,Certified Clinical Nurse Specialist,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,30,30,395.44166667,251.019,196.79866667,196.79866667
1023250750,BELL-HAWKINS,AMELIA,F,"APRN-BC, CRNP-F",F,I,1454 MADISON AVE W,,IMMOKALEE,FL,341422200,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,58,36.676724138,8.1562068966,5.0675862069,5.1877586207
1023250750,BELL-HAWKINS,AMELIA,F,"APRN-BC, CRNP-F",F,I,1454 MADISON AVE W,,IMMOKALEE,FL,341422200,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,18,12.656111111,1.42,0.8055555556,0.8055555556
1023251352,SAUER,STACY,L,APRN,F,I,3914 E STATE ROAD 64,,BRADENTON,FL,342089059,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,81.13,63.6,54.72
1023251352,SAUER,STACY,L,APRN,F,I,3914 E STATE ROAD 64,,BRADENTON,FL,342089059,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,34,88.235294118,21.875,17.15,15.374117647
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,11,24,108,48.681666667,25.175277778,17.597407407,12.891759259
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,21,21,138.47571429,72.786666667,51.812857143,38.014285714
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,22,22,48.002272727,24.499090909,17.077727273,12.459545455
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,28,28,46.257857143,20.701428571,15.845357143,8.7707142857
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,35,176,6.2695454545,3.01875,2.1863068182,1.4582386364
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,19,19,17.787368421,8.2731578947,5.6978947368,3.9221052632
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,12,51,53,133,51.717169811,39.193962264,25.807735849
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,60,65,410,98.272615385,73.941384615,53.078
1023251410,WILLIAMS,BRANDIE,D,MD,F,I,1300 W TERRELL AVE STE 500,,FORT WORTH,TX,761042810,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,44.745,35.0825,29.515833333
1023251527,VIG,MARK,E,MD,M,I,520 DOUGLAS BLVD,,TYLER,TX,757028307,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,26,55,169,63.414378698,8.32,6.290591716,6.290591716
1023251527,VIG,MARK,E,MD,M,I,520 DOUGLAS BLVD,,TYLER,TX,757028307,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,24,41,18.717560976,1.42,1.0882926829,1.0882926829
1023251527,VIG,MARK,E,MD,M,I,520 DOUGLAS BLVD,,TYLER,TX,757028307,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,17,435.88941176,68.78,53.92,53.92
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,66,206,52.302669903,8.32,5.8238349515,5.8238349515
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,25,13.0092,3.2964,2.4784,2.544
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,20.059230769,2.12,1.67,1.67
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,41,70,14.231428571,1.42,1.0657142857,1.0657142857
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,21,10.822380952,10.383333333,7.4461904762,7.9061904762
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,49.405454545,18.409090909,14.433636364,9.1136363636
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,84,14.842857143,2.6528571429,2.0804761905,1.5921428571
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,157.5,53.41,41.87,41.155
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,86.115833333,19.019166667,14.906944444,13.530555556
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,41.81,4.773125,3.51625,3.44875
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,75,431.5096,80.594266667,60.223333333,55.741733333
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1090,2.1846330275,0.1355412844,0.1012568807,0.1012568807
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30.681818182,8.4518181818,4.3554545455,4.2927272727
1023251659,BROUSSARD,BLAINE,M,M.D.,M,I,1337 CENTRE CT,,ALEXANDRIA,LA,71301,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,575.38461538,178.15923077,125.06076923,101.45307692
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,98,55.389285714,8.32,6.2271428571,6.2271428571
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,29,15.824482759,1.42,1.1148275862,1.1148275862
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,100,71.56,56.105,56.105
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1001.46,772.10636364,829.21727273
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,23,42.360434783,6.4439130435,5.0517391304,3.7273913043
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,19,24,250.99541667,35.899166667,28.149166667,26.733333333
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,27,503.44333333,78.53,58.321851852,52.495185185
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,840,1.2059047619,0.1407142857,0.110297619,0.110297619
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,133.10181818,37.15,26.481818182,26.870909091
1023251949,BOLLINGER,HEATHER,R,D.O.,F,I,5501 NW 62ND TER,,KANSAS CITY,MO,641512411,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,76.3125,33,24.253125,24.253125
1023252426,GLASER,CHRISTIAN,C,D.O.,M,I,29955 THREE NOTCH RD STE 100,,CHARLOTTE HALL,MD,206223159,US,Physician/Sports Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,46,149,57.726040268,8.32,5.1353020134,5.1353020134
1023252426,GLASER,CHRISTIAN,C,D.O.,M,I,29955 THREE NOTCH RD STE 100,,CHARLOTTE HALL,MD,206223159,US,Physician/Sports Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.12875,3.38,1.9875,1.9875
1023252426,GLASER,CHRISTIAN,C,D.O.,M,I,29955 THREE NOTCH RD STE 100,,CHARLOTTE HALL,MD,206223159,US,Physician/Sports Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,46,12.376304348,1.42,0.8230434783,0.8230434783
1023252541,RALLS,PAMELA,L,M.D.,F,I,1502 N.JEFFERSON STREET,CCMH MEDICAL PLAZA,CARROLLTON,MO,64633,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,45,39.617333333,8.32,6.5233333333,6.5233333333
1023252541,RALLS,PAMELA,L,M.D.,F,I,1502 N.JEFFERSON STREET,CCMH MEDICAL PLAZA,CARROLLTON,MO,64633,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,137.71428571,21.985,15.525714286,11.920714286
1023252541,RALLS,PAMELA,L,M.D.,F,I,1502 N.JEFFERSON STREET,CCMH MEDICAL PLAZA,CARROLLTON,MO,64633,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,302.58645161,99.579354839,70.359677419,58.77
1023252731,OLOWOYO,OLUWAKEMI,T,M.D,F,I,1540 LAKE ST S,,FOREST LAKE,MN,550252628,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,26,83,83.643975904,8.32,6.2078313253,6.2078313253
1023252731,OLOWOYO,OLUWAKEMI,T,M.D,F,I,1540 LAKE ST S,,FOREST LAKE,MN,550252628,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,19,18.063157895,1.42,1.1136842105,1.1136842105
1023252731,OLOWOYO,OLUWAKEMI,T,M.D,F,I,1540 LAKE ST S,,FOREST LAKE,MN,550252628,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1260,1.4442460317,0.1364285714,0.1069603175,0.1069603175
1023252731,OLOWOYO,OLUWAKEMI,T,M.D,F,I,1540 LAKE ST S,,FOREST LAKE,MN,550252628,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,600,12.519066667,2.9218,2.1665166667,2.1665166667
1023252731,OLOWOYO,OLUWAKEMI,T,M.D,F,I,1540 LAKE ST S,,FOREST LAKE,MN,550252628,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,84.48,33,24.8352,24.8352
1023252814,HERNANDEZ UMANA,JUAN,C,M.D.,M,I,3905 SANDIFUR PARKWAY,,PASCO,WA,99301,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,26,93,55.003225806,8.32,5.6734408602,5.6734408602
1023252814,HERNANDEZ UMANA,JUAN,C,M.D.,M,I,3905 SANDIFUR PARKWAY,,PASCO,WA,99301,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,39.07,4.7063636364,3.69,4.1945454545
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,63,249,538,57.617862454,8.32,5.5893680297,5.5893680297
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,13.085789474,3.38,2.5105263158,2.5105263158
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,20.147272727,2.12,1.5181818182,1.5181818182
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,31,89,110,12.537181818,1.42,0.9819090909,0.9819090909
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,5.1770588235,2.1423529412,1.6794117647,1.1911764706
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.4709090909,1.1522727273,0.9618181818
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,2.1,1.6018181818,1.2545454545,0.9636363636
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,13,28,28,396.61428571,124.26,95.316428571,68.732857143
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,12,28,57,149.56842105,47.564561404,37.29,26.973508772
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,172.02214286,75.674285714,55.961428571,39.798571429
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,22,22,64.998181818,24.37,17.687272727,12.781818182
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,36,36,68.301388889,20.738333333,15.977222222,9.1880555556
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,19,39,192,8.71484375,3.1428125,2.464375,1.6496354167
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,12,15,15,18.548666667,8.7913333333,6.5553333333,4.5393333333
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,38.650769231,15.801538462,11.516923077,9.7553846154
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,195.45454545,80.637272727,63.220909091,46.400909091
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,65,65,80.417692308,23.485230769,17.262615385,13.871384615
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,59.384545455,46.557272727,37.63
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,81.75,19.008333333,14.903333333,9.62
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,32,47.51375,8.2878125,6.38375,4.453125
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,160.158,55.071666667,40.589,24.07
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,86,86,440.94197674,108.31465116,79.864418605,61.265813953
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,4131,0.4398910675,0.0471556524,0.0328225611,0.0328225611
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,4613,1.8635703447,0.1354498157,0.1038391502,0.1038391502
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,109.566,27.238,21.354,14.601333333
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,281.474,74.466666667,55.751333333,38.898666667
1023253119,DOZIER,SELENA,P,M.D.,F,I,1412 E REELFOOT AVE,,UNION CITY,TN,382615813,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,60,60,51.15,33,23.714166667,23.714166667
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.1763636364,3,2.35,2.7318181818
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,27,66.846296296,8.32,4.9751851852,4.9751851852
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,330,5.4272727273,2.52,1.8778787879,2.2228787879
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7.03,5.23,4.1003333333,4.1003333333
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,134.38,47.503478261,32.072173913,33.617391304
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,11.813636364,3.3154545455,1.5163636364,1.9672727273
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,130.864,42.7375,31.4455,34.0815
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2429,0.3330712227,0.0454137505,0.0308892548,0.0308892548
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,119.34,21.895,15.057,19.6465
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,22.328,7.286,5.712,6.844
1023253572,LEVINE-TANCO,KAREN,L,M.D.,F,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1023253945,JOHNSON-SICKEL,SUSAN,M,"RN, CNP",F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,40,116,73.155948276,8.32,5.7346551724,5.7346551724
1023253945,JOHNSON-SICKEL,SUSAN,M,"RN, CNP",F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,19,16.916315789,1.42,0.8842105263,0.8842105263
1023253945,JOHNSON-SICKEL,SUSAN,M,"RN, CNP",F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.468,1.0736666667,1.0763333333
1023253945,JOHNSON-SICKEL,SUSAN,M,"RN, CNP",F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,36,50.73,3.7883333333,2.5747222222,3.1944444444
1023253945,JOHNSON-SICKEL,SUSAN,M,"RN, CNP",F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2362,0.3081541067,0.045465707,0.0333065199,0.0333065199
1023253945,JOHNSON-SICKEL,SUSAN,M,"RN, CNP",F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1644,1.1527372263,0.1374270073,0.1077676399,0.1077676399
1023253945,JOHNSON-SICKEL,SUSAN,M,"RN, CNP",F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,34,34,88.323529412,33,25.109117647,25.109117647
1023254257,GATHRIGHT,STACI,H,FNP,F,I,2708 RIFE MEDICAL LANE,SUITE 130,ROGERS,AR,72758,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,45,63.964888889,8.32,6.2311111111,6.2311111111
1023254257,GATHRIGHT,STACI,H,FNP,F,I,2708 RIFE MEDICAL LANE,SUITE 130,ROGERS,AR,72758,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,123.72,19.852727273,15.565454545,14.289090909
1023255130,WEST,ROBIN,L,ARNP FNP BC,F,I,1938 NW COPPER OAKS CIR,,BLUE SPRINGS,MO,640158300,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,24,431.43041667,78.53,56.79625,50.24125
1023255130,WEST,ROBIN,L,ARNP FNP BC,F,I,1938 NW COPPER OAKS CIR,,BLUE SPRINGS,MO,640158300,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,18,89.773888889,37.15,27.511666667,27.897222222
1023255619,REMESZ,ALLISON,L,D.O.,F,I,14251 WINCHESTER BLVD STE 200,,LOS GATOS,CA,950321811,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,34,92,75.096847826,8.32,6.2394565217,6.2394565217
1023255619,REMESZ,ALLISON,L,D.O.,F,I,14251 WINCHESTER BLVD STE 200,,LOS GATOS,CA,950321811,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,18,15.9,1.42,0.9933333333,0.9933333333
1023256559,WOJNARSKA-ALVAREZ,GABRIELA,,MD,F,I,221 W GRAND AVE,SUITE 105,MONTVALE,NJ,076451729,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,34,60,63.422166667,8.32,4.7835,4.7835
1023256559,WOJNARSKA-ALVAREZ,GABRIELA,,MD,F,I,221 W GRAND AVE,SUITE 105,MONTVALE,NJ,076451729,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,10.948461538,1.42,0.9853846154,0.9853846154
1023256955,ROSSI,BETH,A,PA-C,F,I,8468 HERRING RUN RD,,SEAFORD,DE,199735763,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,368.98909091,31.086363636,20.404090909,20.839545455
1023257086,SULLIVAN,MONICA,K,MD,F,I,2156 CHAMBER CENTER DR,,LAKESIDE PARK,KY,410171669,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,434,275,5.27,3.9211751152,3.9502073733
1023257086,SULLIVAN,MONICA,K,MD,F,I,2156 CHAMBER CENTER DR,,LAKESIDE PARK,KY,410171669,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,5.8,4.5436363636,3.4818181818
1023257086,SULLIVAN,MONICA,K,MD,F,I,2156 CHAMBER CENTER DR,,LAKESIDE PARK,KY,410171669,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.12,4.02,3.97
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,25,64,176,61.053465909,8.32,4.1128977273,4.1128977273
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,15.25375,3.38,1.490625,1.490625
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,32,51,15.587058824,1.42,0.5690196078,0.5690196078
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,323.89,51.5025,30.234375,29.643125
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,60,63,74.087619048,17.29,12.68968254,12.671587302
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,67,67,30.014776119,4.6753731343,3.3302985075,3.3280597015
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,108,115,427.67478261,73.870956522,52.74826087,49.675217391
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,8035,0.4323546982,0.0457137523,0.0310242688,0.0310242688
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,19.715,13.8725,12.735
1023257599,MILLER,JEREMIAH,D,DO,M,I,410 W MAIN STREET,,SOPHIA,WV,25921,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,31,33,33,22.531935484,22.531935484
1023257680,KEITH,JOSHUA,,DO,M,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,33,103,73.90815534,8.32,6.0786407767,6.0786407767
1023257680,KEITH,JOSHUA,,DO,M,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,322241865,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,23,16.897391304,1.42,1.0660869565,1.0660869565
1023258126,KAKIMALLAIAH,NALINI,G,M.D.,F,I,700 QUINCY AVE,HOSPITALIST OFFICE,SCRANTON,PA,185101724,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,39.331428571,16.535714286,12.960714286,13.53
1023258126,KAKIMALLAIAH,NALINI,G,M.D.,F,I,700 QUINCY AVE,HOSPITALIST OFFICE,SCRANTON,PA,185101724,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,26.363636364,4.0468181818,3.0436363636,3.7177272727
1023258126,KAKIMALLAIAH,NALINI,G,M.D.,F,I,700 QUINCY AVE,HOSPITALIST OFFICE,SCRANTON,PA,185101724,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,227.8,70.9604,55.632,54.7288
1023258126,KAKIMALLAIAH,NALINI,G,M.D.,F,I,700 QUINCY AVE,HOSPITALIST OFFICE,SCRANTON,PA,185101724,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,39.36,30.86,29.51
1023258274,LUKOSE,LUDY,,M.D,F,I,407 EAST MAPLE STREET,SUITE 101,CUMMING,GA,30040,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,26,66,61.655606061,8.32,5.4346969697,5.4346969697
1023258274,LUKOSE,LUDY,,M.D,F,I,407 EAST MAPLE STREET,SUITE 101,CUMMING,GA,30040,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,18,14.241666667,1.42,1.0522222222,1.0522222222
1023258381,SODHI,AJAY,P,MD,M,I,1087 DENNISON AVE STE 7,,COLUMBUS,OH,432013201,US,Physician/Internal Medicine,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,20,92,38.065434783,18.450978261,14.465217391,14.472173913
1023258381,SODHI,AJAY,P,MD,M,I,1087 DENNISON AVE STE 7,,COLUMBUS,OH,432013201,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,37,8.9824324324,4.31,3.3772972973,3.3772972973
1023258381,SODHI,AJAY,P,MD,M,I,1087 DENNISON AVE STE 7,,COLUMBUS,OH,432013201,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,1800,1074.31,840.29366667,840.29366667
1023258381,SODHI,AJAY,P,MD,M,I,1087 DENNISON AVE STE 7,,COLUMBUS,OH,432013201,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,167.585,51.833571429,40.642142857,35.829285714
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,26,77.148846154,8.32,4.5138461538,4.5138461538
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,15,14.75,1.42,0.82,0.82
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,22,22,97.195909091,41.621818182,32.630909091,30.871818182
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,20,22,22,247.64727273,93.465909091,73.277727273,68.849545455
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,16,19,38,97.023684211,34.641052632,27.158684211,26.162631579
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,50.303043478,19.640434783,15.405652174,14.417391304
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,24,27,114,8.9615789474,2.3,1.8035964912,1.6516666667
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,386.75,140.575,110.2085,105.5175
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9272727273,3.0763636364,3.6854545455
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,21,45,45,188.43977778,41.655111111,32.660666667,31.278
1023258902,REZENDES,KAREN,L,N.P.,F,I,531 FAUNCE CORNER RD,,DARTMOUTH,MA,027471242,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,102.95304348,15.669130435,8.8034782609,10.473478261
1023259090,TARANTO,KATIE,B,M.D.,F,I,80 GARDENIA DRIVE,SUITE B,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,45,164,63.735182927,8.32,5.2089634146,5.2089634146
1023259090,TARANTO,KATIE,B,M.D.,F,I,80 GARDENIA DRIVE,SUITE B,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,19,31,15.668387097,1.42,1.0432258065,1.0432258065
1023259090,TARANTO,KATIE,B,M.D.,F,I,80 GARDENIA DRIVE,SUITE B,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,189.75,47.39,34.498333333,35.231111111
1023259090,TARANTO,KATIE,B,M.D.,F,I,80 GARDENIA DRIVE,SUITE B,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,92.756363636,17,12.118181818,12.332727273
1023259090,TARANTO,KATIE,B,M.D.,F,I,80 GARDENIA DRIVE,SUITE B,COVINGTON,LA,70433,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,12,9.3145454545,7.2981818182,6.9290909091
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,44,124,50.161612903,8.32,6.5220967742,6.5220967742
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.714285714,3.38,2.65,2.65
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,19.409090909,2.12,1.67,1.67
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,23,42,14.135952381,1.42,1.1147619048,1.1147619048
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,75.819090909,71.56,55.379090909,55.378181818
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,35,10.057692308,7.8830769231,7.7038461538
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,45,45,185.8,56.777555556,42.553333333,33.770888889
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,36,17,12.589444444,12.790555556
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,152.83586207,51.364137931,39.999310345,37.471034483
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,57,57,352.36684211,83.235438596,59.128947368,50.057017544
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2127,1.3851857076,0.1333286319,0.0994123178,0.0994123178
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,79.81,20.454545455,16.036363636,14.289090909
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,29.012,9.743,7.6375,7.0825
1023259744,RAHMAN,SALMAN,,M.D.,M,I,16600 W SPRAGUE RD,SUITE 120,MIDDLEBURG HEIGHTS,OH,441306318,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,72.6,33,24.5765,24.5765
1023259801,LEO,JOSEPH,F,D.O.,M,I,1789 N KEYSER AVE,,SCRANTON,PA,185081250,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,30,84,256,67.653242187,8.32,5.426640625,5.426640625
1023259801,LEO,JOSEPH,F,D.O.,M,I,1789 N KEYSER AVE,,SCRANTON,PA,185081250,US,Hospitalist,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,11.382857143,3.38,2.4607142857,2.4607142857
1023259801,LEO,JOSEPH,F,D.O.,M,I,1789 N KEYSER AVE,,SCRANTON,PA,185081250,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,34,74,13.582702703,1.42,1.0241891892,1.0241891892
1023259801,LEO,JOSEPH,F,D.O.,M,I,1789 N KEYSER AVE,,SCRANTON,PA,185081250,US,Hospitalist,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,101.24347826,30.210434783,22.253478261,23.143478261
1023259801,LEO,JOSEPH,F,D.O.,M,I,1789 N KEYSER AVE,,SCRANTON,PA,185081250,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,361.13733333,71.06,49.153333333,48.238666667
1023259801,LEO,JOSEPH,F,D.O.,M,I,1789 N KEYSER AVE,,SCRANTON,PA,185081250,US,Hospitalist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1380,2.1230942029,0.1366086957,0.1070942029,0.1070942029
1023259801,LEO,JOSEPH,F,D.O.,M,I,1789 N KEYSER AVE,,SCRANTON,PA,185081250,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,24.145333333,24.145333333
1023259827,GLISSON,ELIZABETH,,PA,F,I,220 CHERRY ST SE,,GRAND RAPIDS,MI,495034608,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,57,57,1654.56,1074.31,700.12719298,700.12719298
1023259827,GLISSON,ELIZABETH,,PA,F,I,220 CHERRY ST SE,,GRAND RAPIDS,MI,495034608,US,Physician Assistant,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,476.29230769,373.83230769,282.04615385,294.49
1023259827,GLISSON,ELIZABETH,,PA,F,I,220 CHERRY ST SE,,GRAND RAPIDS,MI,495034608,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,109.3,62.787272727,44.756363636,32.425454545
1023260064,SANDER,SUSAN,D,N.P.,F,I,908 S WILLIAMSON AVE,,ELON,NC,272449280,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,80,54.29,47.6325
1023260064,SANDER,SUSAN,D,N.P.,F,I,908 S WILLIAMSON AVE,,ELON,NC,272449280,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,35.91,25.813333333,27.08
1023260205,FOUNTAIN,MICHAEL,W,D.O.,M,I,1210 WATERMAN WAY,,TAVARES,FL,327785229,US,Physician/Urology,S,A4326,"Male external catheter with integral collection chamber, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1025,12.14,12.14,9.4595609756,9.4595609756
1023260205,FOUNTAIN,MICHAEL,W,D.O.,M,I,1210 WATERMAN WAY,,TAVARES,FL,327785229,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,43,7320,0.3506557377,0.13,0.1002527322,0.1002527322
1023260205,FOUNTAIN,MICHAEL,W,D.O.,M,I,1210 WATERMAN WAY,,TAVARES,FL,327785229,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,87,13670,4.5273079737,2.0160351134,1.5378127286,1.5567490856
1023260205,FOUNTAIN,MICHAEL,W,D.O.,M,I,1210 WATERMAN WAY,,TAVARES,FL,327785229,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,97,15.563195876,10.566082474,8.2836082474,8.5396907216
1023260205,FOUNTAIN,MICHAEL,W,D.O.,M,I,1210 WATERMAN WAY,,TAVARES,FL,327785229,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,136,2.9170588235,1.6705882353,1.2682352941,1.3601470588
1023260205,FOUNTAIN,MICHAEL,W,D.O.,M,I,1210 WATERMAN WAY,,TAVARES,FL,327785229,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,230,6.2910434783,4.0243478261,3.1550869565,3.1658695652
1023260320,CONNICK,JULIE,,FNP-C,F,I,900 CUMMINGS CTR,SUITE 107W,BEVERLY,MA,019156198,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,38,49.724736842,8.32,5.4923684211,5.4923684211
1023260320,CONNICK,JULIE,,FNP-C,F,I,900 CUMMINGS CTR,SUITE 107W,BEVERLY,MA,019156198,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,4498,0.182187639,0.046416185,0.0339306358,0.0339306358
1023260320,CONNICK,JULIE,,FNP-C,F,I,900 CUMMINGS CTR,SUITE 107W,BEVERLY,MA,019156198,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,96,33,24.694090909,24.694090909
1023260767,LYNCH,WILLIAM,R,M.D.,M,I,212 ABBOTSFORD DR,,MIDDLETOWN,DE,197099459,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,3,2.3519354839,2.3677419355
1023260767,LYNCH,WILLIAM,R,M.D.,M,I,212 ABBOTSFORD DR,,MIDDLETOWN,DE,197099459,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6624,6.208423913,0.6288586957,0.4930253623,0.5174275362
1023260833,PAUL,KEITH,W,PA-C,M,I,3515 W MARKET ST,SUITE 110,GREENSBORO,NC,274034438,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,143,21.3825,16.763333333,15.28
1023260833,PAUL,KEITH,W,PA-C,M,I,3515 W MARKET ST,SUITE 110,GREENSBORO,NC,274034438,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,25,9.1008333333,7.1366666667,7.185
1023260874,SIDDIQUI,GHULAM,J,MD,M,I,2115 S FREMONT AVE,SUITE 3300,SPRINGFIELD,MO,658042239,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,208,18.376298077,13.127307692,10.292884615,10.292884615
1023260874,SIDDIQUI,GHULAM,J,MD,M,I,2115 S FREMONT AVE,SUITE 3300,SPRINGFIELD,MO,658042239,US,Physician/Gastroenterology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,368,457.25,207.70701087,162.84201087,162.84201087
1023260874,SIDDIQUI,GHULAM,J,MD,M,I,2115 S FREMONT AVE,SUITE 3300,SPRINGFIELD,MO,658042239,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,154,203.94,9.35,7.33,7.33
1023260874,SIDDIQUI,GHULAM,J,MD,M,I,2115 S FREMONT AVE,SUITE 3300,SPRINGFIELD,MO,658042239,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,368,652.88570652,29.213913043,22.903777174,22.903777174
1023260973,BERGER,KRISTINA,H,M.D.,F,I,755 RINEHART RD,SUITE 100,LAKE MARY,FL,327464874,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,21,65.221904762,8.32,4.0366666667,4.0366666667
1023261112,LEE,ELIZBETH,L,M.D.,F,I,3322 N BROAD ST,,PHILADELPHIA,PA,191405185,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,28,74.287857143,8.32,6.0557142857,6.0557142857
1023261534,HESTER,JAN,,M.D,F,I,1120 E ELIZABETH #G1,,FORT COLLINS,CO,805244044,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.48,55.25,54.72
1023261575,RANA,ABBAS,A,M.D.,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857245066,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,79,12159,5.2740233572,0.5591907229,0.3877070483,0.3877070483
1023261575,RANA,ABBAS,A,M.D.,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857245066,US,Physician/General Surgery,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,3300,1.1578666667,0.7411818182,0.5639575758,0.5639575758
1023261575,RANA,ABBAS,A,M.D.,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857245066,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,2640,3.3473219697,1.5445909091,1.2109318182,1.2109318182
1023261575,RANA,ABBAS,A,M.D.,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857245066,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,14,70,70,24,24,17.206857143,17.206857143
1023261575,RANA,ABBAS,A,M.D.,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857245066,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,41,47,16,16,11.878085106,11.878085106
1023261849,MULVEY FITZGERALD,JENNIFER,M,"NP, CDE",F,I,26 RESEARCH WAY,SUITE 1,EAST SETAUKET,NY,117333526,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,85,188,1056,71.152916667,8.32,6.2730113636,6.2730113636
1023261849,MULVEY FITZGERALD,JENNIFER,M,"NP, CDE",F,I,26 RESEARCH WAY,SUITE 1,EAST SETAUKET,NY,117333526,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,27,52,170,16.674117647,1.4049411765,1.1016470588,1.1104705882
1023262128,WARD,DONNA,,"MSN, CRNP",F,I,104 PHEASANT RUN STE 128,,NEWTOWN,PA,189403428,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,32,71.3865625,8.32,6.495,6.495
1023262466,GELBARD,ALEXANDER,,M.D.,M,I,VANDERBILT VOICE CTR,1215 21RST AVE. SOUTH. SUITE 7302,NASHVILLE,TN,372328783,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,102.45793103,37.054827586,29.04862069,34.270344828
1023262797,LYON-LOFTUS,ANTHONY,E,PA-C,M,I,19917 7TH AVENUE,SUITE 205,POULSBO,WA,98370,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,28,85,50.170588235,8.32,4.8344705882,4.8344705882
1023262797,LYON-LOFTUS,ANTHONY,E,PA-C,M,I,19917 7TH AVENUE,SUITE 205,POULSBO,WA,98370,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,20,11.228,1.42,0.782,0.782
1023262797,LYON-LOFTUS,ANTHONY,E,PA-C,M,I,19917 7TH AVENUE,SUITE 205,POULSBO,WA,98370,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,510,2.1563333333,0.1355882353,0.095627451,0.095627451
1023262797,LYON-LOFTUS,ANTHONY,E,PA-C,M,I,19917 7TH AVENUE,SUITE 205,POULSBO,WA,98370,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,21.166363636,21.166363636
1023263019,RIVERA,RAMON,A,P.A.,M,I,4710 GREENPOINT AVE,2ND FLOOR,SUNNYSIDE,NY,111041710,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,27,64.963703704,8.32,5.7974074074,5.7974074074
1023263233,HOLLOWAY,SHERBY,P,PA,F,I,4311 WESLEY ST,,GREENVILLE,TX,754015639,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,58,40.35,8.32,6.0725862069,6.0725862069
1023263233,HOLLOWAY,SHERBY,P,PA,F,I,4311 WESLEY ST,,GREENVILLE,TX,754015639,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,12.470909091,3.38,2.65,2.65
1023263233,HOLLOWAY,SHERBY,P,PA,F,I,4311 WESLEY ST,,GREENVILLE,TX,754015639,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,24,12.091666667,1.42,1.1108333333,1.1108333333
1023263423,BOTROS,GEEHAN,M,MD,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,35,63.828857143,8.32,5.904,5.904
1023263423,BOTROS,GEEHAN,M,MD,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,17.829047619,1.42,0.9028571429,0.9028571429
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,44,75,71.56,56.105,56.105
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,68,40,29.19,22.885,22.886617647
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,21,315,35,34.86,27.33,27.33
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,20,300,25,23.66,17.592866667,17.592866667
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,21,270,20,10.93,8.5691481481,8.5691481481
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,28,41,1230,0.5,0.05,0.0393333333,0.0393333333
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,28,41,615,4,1.08,0.8466666667,0.8466666667
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,14,27,110,95.87,75.16037037,75.16037037
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,64,67,90,80,74.55,56.689222222,61.318555556
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,17,500,485.16,367.41235294,376.76411765
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,24,400,356.34,279.37,307.82333333
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,20,100,78.81,61.79,67.973
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,400,266.98,209.31,218.411
1023263712,SCHNELL,SHANNON,R,DPM,F,I,117 TRADEPARK DR,,SOMERSET,KY,425033428,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,200,163.79,128.41,126.58517241
1023264272,SINGH,ANTERPREET,,M.D.,M,I,3021 VOYAGER DR,,GREEN BAY,WI,543118303,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,75,50.202307692,39.357692308,39.357692308
1023264371,DEDHIA,RUPEL,,M.D.,F,I,1700 W VAN BUREN ST,5TH FLOOR,CHICAGO,IL,606125500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,32,100,79.2031,8.32,6.261,6.261
1023264371,DEDHIA,RUPEL,,M.D.,F,I,1700 W VAN BUREN ST,5TH FLOOR,CHICAGO,IL,606125500,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,17,19,15.068421053,1.42,1.0010526316,1.0010526316
1023264496,ALEXANDER,SONJA,M,CRNP,F,I,227 SAINT PAUL PL,,BALTIMORE,MD,212022001,US,Nurse Practitioner,S,J8540,"Dexamethasone, oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,896,0.5284598214,0.0806138393,0.0631808036,0.0631808036
1023264496,ALEXANDER,SONJA,M,CRNP,F,I,227 SAINT PAUL PL,,BALTIMORE,MD,212022001,US,Nurse Practitioner,S,J8655,Netupitant 300 mg and palonosetron 0.5 mg,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,709.2,366.07071429,276.75142857,276.75142857
1023264819,BHARDWAJ,ANITA,R,MD,F,I,2540 N IL ROUTE 83,,ROUND LAKE BEACH,IL,600734905,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,35,116,67.183706897,8.32,6.4094827586,6.4094827586
1023264819,BHARDWAJ,ANITA,R,MD,F,I,2540 N IL ROUTE 83,,ROUND LAKE BEACH,IL,600734905,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,26,13.551923077,1.42,1.0330769231,1.0330769231
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,76.807037037,20.54,16.102962963,14.962962963
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,20.593684211,9.0352631579,7.0857894737,7.0278947368
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,74.55,74.55,55.26,59.911052632
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,124.71,122.04956522,87.407826087,87.138695652
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,19,495.36210526,483.24684211,360.76526316,370.30157895
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,19,365.95368421,358.15684211,267.53526316,295.46842105
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,33,79.633939394,78.81,60.101515152,66.574545455
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,266.49666667,264.66416667,170.44583333,181.84416667
1023264868,ANTHONY,STEVEN,R,D.O.,M,I,1641 TAMIAMI TRL,SUITE 1,PORT CHARLOTTE,FL,339481018,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,57,57,57,266.98,266.42912281,208.19052632,217.69842105
1023264900,FISCHER,MONIKA,,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,300,10.4,5.72,4.4843333333,4.4937333333
1023264900,FISCHER,MONIKA,,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Gastroenterology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,15.630333333,7,5.1140833333,5.1140833333
1023264900,FISCHER,MONIKA,,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,46,746,13.502868633,10.153230563,7.8121045576,10.145160858
1023264900,FISCHER,MONIKA,,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Gastroenterology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,42,162,225.91314815,202.60641975,158.84364198,162.87623457
1023264900,FISCHER,MONIKA,,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,46,181,30.504696133,9.3483425414,7.3287292818,7.3287292818
1023264900,FISCHER,MONIKA,,MD,F,I,550 UNIVERSITY BLVD,,INDIANAPOLIS,IN,462025149,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,49,191,39.59078534,29.214973822,22.90486911,22.90486911
1023265816,SMITH,LEO,A,MD,M,I,500 DOYLE PARK DR,SUITE G-04,SANTA ROSA,CA,954054558,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,40,70,71.614857143,8.32,5.219,5.219
1023266038,VERMA,SAGAR,,M.D.,M,I,501 SUNSET LN,,CULPEPER,VA,227013917,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,58.254,17.135333333,11.218,11.404
1023266038,VERMA,SAGAR,,M.D.,M,I,501 SUNSET LN,,CULPEPER,VA,227013917,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,322.74923077,79.526153846,48.123076923,42.702307692
1023266319,FRANCO,MELISSA,N,D.O.,F,I,8750 SW 144TH ST,,PALMETTO BAY,FL,331767296,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,45.42,36.124166667
1023266442,CRANDALL,ELIZABETH,J,MD,F,I,136 W. CHERRY ST,,JESUP,GA,315450130,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,100,77.93,60.556521739,57.313043478
1023266442,CRANDALL,ELIZABETH,J,MD,F,I,136 W. CHERRY ST,,JESUP,GA,315450130,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,43,33.604651163,17.78,13.94,13.959767442
1023266640,BATOO,SAMEER,A,MBBS,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,54703,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,17,50.185294118,41.074705882,32.204117647,30.755294118
1023267028,HEALY,SUSAN,,"MSN, CFNP, LNC, CDE",F,I,355 ABBOTT ST STE 200,,SALINAS,CA,939014483,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,280,6.0960714286,2.6271428571,2.0596428571,2.0596428571
1023267028,HEALY,SUSAN,,"MSN, CFNP, LNC, CDE",F,I,355 ABBOTT ST STE 200,,SALINAS,CA,939014483,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,121,414,1123,67.216251113,8.32,5.9557969724,5.9557969724
1023267028,HEALY,SUSAN,,"MSN, CFNP, LNC, CDE",F,I,355 ABBOTT ST STE 200,,SALINAS,CA,939014483,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.630769231,3.38,2.4461538462,2.4461538462
1023267028,HEALY,SUSAN,,"MSN, CFNP, LNC, CDE",F,I,355 ABBOTT ST STE 200,,SALINAS,CA,939014483,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,58,118,154,20.057922078,1.42,1.0003896104,1.0003896104
1023267028,HEALY,SUSAN,,"MSN, CFNP, LNC, CDE",F,I,355 ABBOTT ST STE 200,,SALINAS,CA,939014483,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,220,16.2495,10.671909091,8.367,8.3668636364
1023267028,HEALY,SUSAN,,"MSN, CFNP, LNC, CDE",F,I,355 ABBOTT ST STE 200,,SALINAS,CA,939014483,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,613.47125,251.11,192.178125,192.178125
1023267051,FAUST,PATRICIA,A,NP,F,I,6200 S MCCLINTOCK DR,104,TEMPE,AZ,852833268,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,200,32.848181818,25.756363636,25.501818182
1023267192,MADIGAN,LAURA,L,P.A.,F,I,2121 E HARMONY RD,SUITE 310,FORT COLLINS,CO,805283400,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,34,49.783235294,8.32,6.1382352941,6.1382352941
1023267192,MADIGAN,LAURA,L,P.A.,F,I,2121 E HARMONY RD,SUITE 310,FORT COLLINS,CO,805283400,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,285.20857143,34.07,26.708571429,26.713571429
1023267366,MATSANGOU,MARIA,,M.D.,F,I,676 N SAINT CLAIR ST,SUITE 850,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,100,3.17,2.4853333333,2.3774722222
1023267366,MATSANGOU,MARIA,,M.D.,F,I,676 N SAINT CLAIR ST,SUITE 850,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6756,1.3561278863,0.33,0.2374851983,0.2240911782
1023267366,MATSANGOU,MARIA,,M.D.,F,I,676 N SAINT CLAIR ST,SUITE 850,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,90.5,17.072727273,12.1,12.3
1023267366,MATSANGOU,MARIA,,M.D.,F,I,676 N SAINT CLAIR ST,SUITE 850,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,230,73.38,52.027272727,49.754545455
1023267465,EZEADICHIE,CHIOMA,A,D.O,F,I,2 8TH ST,,HAMMONTON,NJ,080373347,US,Physician/Physical Medicine and Rehabilitation,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,1024.99,972.47,759.44588235,771.80352941
1023267580,HART,ELIZABETH,A,ACNP-BC,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,55,17.5,12.7205,12.5585
1023267580,HART,ELIZABETH,A,ACNP-BC,F,I,100 KENYON AVE,,WAKEFIELD,RI,028794216,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,275,78.75,54.00173913,47.906521739
1023267697,WILSON,JERRY,D,PA-C,M,I,1010 S MAIN ST,,SHAMROCK,TX,790792820,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2863,0.1414844569,0.0461683549,0.0361962976,0.0361962976
1023268125,ROMERO,JULIO,M,M.D.,M,I,8900 N KENDALL DR,,MIAMI,FL,331762118,US,Physician/Internal Medicine,S,L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,4528.5,3998.66,3124.7021429,3102.2678571
1023268182,RASHEED,MOYRA,N,M.B.B.S,F,I,20103 LAKE CHABOT RD,,CASTRO VALLEY,CA,94546,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.344545455,17.11,13.42,13.54
1023268182,RASHEED,MOYRA,N,M.B.B.S,F,I,20103 LAKE CHABOT RD,,CASTRO VALLEY,CA,94546,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250.51,79,61.94,54.73
1023268547,KONG,BRIAN,,M.D.,M,I,1 HOAG DR,,NEWPORT BEACH,CA,926634162,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,70,16.97,13.31,13.54
1023268547,KONG,BRIAN,,M.D.,M,I,1 HOAG DR,,NEWPORT BEACH,CA,926634162,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,85,71.11,55.75,54.73
1023268620,FAJOLU,OLUKEMI,K,M.D.,F,I,1324 LAKELAND HILLS BLVD,,LAKELAND,FL,338054543,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,16,220.86125,220.86125,173.15375,172.15875
1023268620,FAJOLU,OLUKEMI,K,M.D.,F,I,1324 LAKELAND HILLS BLVD,,LAKELAND,FL,338054543,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,35,63.730857143,52.761142857,41.365714286,44.937714286
1023268646,CHUA,DAVID SOLOMON,D,,M,I,600 4TH STREET,SUITE 103,SIOUX CITY,IA,511011415,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,100,20.008387097,14.791290323,12.642903226
1023268646,CHUA,DAVID SOLOMON,D,,M,I,600 4TH STREET,SUITE 103,SIOUX CITY,IA,511011415,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,47.5,5.1191666667,3.3291666667,3.3291666667
1023268646,CHUA,DAVID SOLOMON,D,,M,I,600 4TH STREET,SUITE 103,SIOUX CITY,IA,511011415,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,370.45,86.336774194,65.828387097,53.032258065
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,42,120,336,67.358869048,8.32,5.9980059524,5.9980059524
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,26,33,13.446666667,1.42,1.0490909091,1.0490909091
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,310,10.394645161,7,5.488,5.488
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,19,38,38,76.435789474,49.005,35.757368421,29.021578947
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,19,29,29,228.65793103,122.97241379,91.214137931,70.381724138
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,19,37,76,87.820526316,45.497894737,32.984736842,24.600131579
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,54,49.496481481,26.952962963,19.943888889,13.473333333
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,137.79647059,72.929411765,55.953529412,41.635882353
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,37,37,47.17972973,25.422702703,19.699189189,14.794594595
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,28,47,240,6.42525,3.06575,2.23675,1.5520416667
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,19,25,25,23.968,15.6284,11.3468,9.8416
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,35,72.057142857,22.576,16.419142857,12.714285714
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,36.935483871,17.597096774,13.422903226,9.8087096774
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,23,25,30.3584,8.2952,6.3568,3.7984
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,55,55,137.63636364,50.744181818,38.635090909,24.162727273
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,124,125,342.56,103.73376,76.60048,51.65984
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,26,2520,0.9523690476,0.1312380952,0.0963968254,0.0963968254
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,812,9.1251724138,2.9335221675,2.2081650246,2.2081650246
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,35.0825,30.111666667
1023268869,NYAMU,SAMUEL,M,MD,M,I,3015 3RD AVE SE,,ABERDEEN,SD,574015418,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,21,21,33,33,23.406190476,23.406190476
1023269073,BONSLAVER,JASON,S,MD,M,I,2350 FREEDOM WAY,SUITE 102,YORK,PA,174028200,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,34,3720,0.2317419355,0.13,0.1002849462,0.1002849462
1023269073,BONSLAVER,JASON,S,MD,M,I,2350 FREEDOM WAY,SUITE 102,YORK,PA,174028200,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,64,12280,4.1223061889,1.95,1.5126889251,1.5787459283
1023269073,BONSLAVER,JASON,S,MD,M,I,2350 FREEDOM WAY,SUITE 102,YORK,PA,174028200,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,60,27.928333333,10.34,8.1063333333,8.5676666667
1023269073,BONSLAVER,JASON,S,MD,M,I,2350 FREEDOM WAY,SUITE 102,YORK,PA,174028200,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,555,25.845621622,9.86,7.4884144144,7.4884144144
1023269073,BONSLAVER,JASON,S,MD,M,I,2350 FREEDOM WAY,SUITE 102,YORK,PA,174028200,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,570,10.394894737,4.04,3.1673157895,3.1673157895
1023269362,D'LUGOS,JOHN,D,FNP-BC,M,I,401 TAKOMA AVE,,GREENEVILLE,TN,377434647,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,40,17.29,11.875357143,11.859642857
1023269362,D'LUGOS,JOHN,D,FNP-BC,M,I,401 TAKOMA AVE,,GREENEVILLE,TN,377434647,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,24.956521739,5.4056521739,4.092173913,3.7208695652
1023269362,D'LUGOS,JOHN,D,FNP-BC,M,I,401 TAKOMA AVE,,GREENEVILLE,TN,377434647,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,220,70.23,50.824615385,50.510769231
1023269438,MASID,ELBA,E,M.D.,F,I,4513 OLD CANOE CREEK RD,,SAINT CLOUD,FL,347691551,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,63,53.659365079,8.32,4.8658730159,4.8658730159
1023269438,MASID,ELBA,E,M.D.,F,I,4513 OLD CANOE CREEK RD,,SAINT CLOUD,FL,347691551,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,26,16.122307692,1.42,0.7711538462,0.7711538462
1023269701,METIREDDY,MANASA,,MD,F,I,6565 N CHARLES ST,SUITE 203,TOWSON,MD,212046800,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,20.846428571,15.276428571,12.566428571
1023269701,METIREDDY,MANASA,,MD,F,I,6565 N CHARLES ST,SUITE 203,TOWSON,MD,212046800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,468.76826087,88.082608696,62.887391304,49.121304348
1023269701,METIREDDY,MANASA,,MD,F,I,6565 N CHARLES ST,SUITE 203,TOWSON,MD,212046800,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,157.24846154,39.14,25.96,24.97
1023269891,BALINOS,FEBBIS,,M.D.,F,I,400 N PEPPER AVE,ARROWHEAD FAMILY MEDICAL GROUP,COLTON,CA,923241801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,36,82.2,8.32,5.7972222222,5.7972222222
1023269891,BALINOS,FEBBIS,,M.D.,F,I,400 N PEPPER AVE,ARROWHEAD FAMILY MEDICAL GROUP,COLTON,CA,923241801,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,5.8,4.86,3.8103333333,4.1309393939
1023269891,BALINOS,FEBBIS,,M.D.,F,I,400 N PEPPER AVE,ARROWHEAD FAMILY MEDICAL GROUP,COLTON,CA,923241801,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,7398,0.73,0.63,0.4760678562,0.4979602595
1023269891,BALINOS,FEBBIS,,M.D.,F,I,400 N PEPPER AVE,ARROWHEAD FAMILY MEDICAL GROUP,COLTON,CA,923241801,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,913.16,913.16,703.96416667,830.30416667
1023269925,FORD,KRIS,A,DPM,M,I,102 PALO ALTO RD,SUITE 133,SAN ANTONIO,TX,782113758,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,540,0.1348888889,0.12,0.094,0.094
1023269925,FORD,KRIS,A,DPM,M,I,102 PALO ALTO RD,SUITE 133,SAN ANTONIO,TX,782113758,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,18,2570,0.1675019455,0.13,0.1019299611,0.1019299611
1023269925,FORD,KRIS,A,DPM,M,I,102 PALO ALTO RD,SUITE 133,SAN ANTONIO,TX,782113758,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,1957,0.5754624425,0.45,0.3527899847,0.3527899847
1023269982,GARCIA CAMPOS,ALYCIA,,M.D.,F,I,9880 BRIMHALL RD,,BAKERSFIELD,CA,933122701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,49,99,73.113737374,8.32,5.073030303,5.073030303
1023269982,GARCIA CAMPOS,ALYCIA,,M.D.,F,I,9880 BRIMHALL RD,,BAKERSFIELD,CA,933122701,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,23,31,14.135483871,1.42,0.9348387097,0.9348387097
1023269982,GARCIA CAMPOS,ALYCIA,,M.D.,F,I,9880 BRIMHALL RD,,BAKERSFIELD,CA,933122701,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,248.13333333,52.58,41.22,42.714166667
1023269982,GARCIA CAMPOS,ALYCIA,,M.D.,F,I,9880 BRIMHALL RD,,BAKERSFIELD,CA,933122701,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,69,9.7034782609,2,1.5231884058,1.5471014493
1023269982,GARCIA CAMPOS,ALYCIA,,M.D.,F,I,9880 BRIMHALL RD,,BAKERSFIELD,CA,933122701,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,81.75,12.87,10.09,10.48
1023269982,GARCIA CAMPOS,ALYCIA,,M.D.,F,I,9880 BRIMHALL RD,,BAKERSFIELD,CA,933122701,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,255.02714286,31.04,24.34,25.047142857
1023269982,GARCIA CAMPOS,ALYCIA,,M.D.,F,I,9880 BRIMHALL RD,,BAKERSFIELD,CA,933122701,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1759.85,144.6375,113.395,115.98083333
1023270014,BUTLER,CASANDRA,L,MD,F,I,1124 W 21ST ST,,ANDOVER,KS,670025500,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,150,56.875,44.59,38.4975
1023270014,BUTLER,CASANDRA,L,MD,F,I,1124 W 21ST ST,,ANDOVER,KS,670025500,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,16.3575,12.825,14.0825
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,29,82,235,61.219361702,8.32,5.8286808511,5.8286808511
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,21,32,15.3646875,1.42,1.04625,1.04625
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,146.98909091,46.631818182,28.323636364,23.924545455
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,29,138.41655172,39.419655172,30.905172414,27.474137931
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,63,78.058095238,18.106666667,11.924920635,12.291428571
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,221.85272727,51.866363636,28.872727273,31.203636364
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,72.948823529,20.113529412,13.274117647,12.102352941
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,72.618666667,12.139333333,8.5346666667,8.168
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,126,10.155,2.460952381,1.7700793651,1.505952381
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,82.68,48.325454545,37.888181818,38.227272727
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,86.31,16.98,12.672058824,12.893823529
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,228.08727273,33.797272727,25.406363636,22.286363636
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,92,92,425.77804348,77.633478261,58.214021739,52.147826087
1023270030,VAUGHAN,GREGORY,G,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,109.43724138,37.58,28.444137931,28.494482759
1023270253,PIDKAMINETSKIY,VASYL,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,32,64.0028125,8.32,5.29875,5.29875
1023270253,PIDKAMINETSKIY,VASYL,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,258,6.0082170543,0.6252325581,0.49,0.49
1023270253,PIDKAMINETSKIY,VASYL,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,69.89,14.846363636,6.1636363636,8.0727272727
1023270253,PIDKAMINETSKIY,VASYL,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,6.5418181818,2.7163636364,3.9663636364
1023270253,PIDKAMINETSKIY,VASYL,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,24,24,18.82,18.82
1023270394,OKAMOTO,LAUREN,I,MD,F,I,347 N KUAKINI ST,HPM 9,HONOLULU,HI,968172336,US,Physician/Geriatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,28,1080,8.3161111111,8.3161111111,6.3609444444,6.3326481481
1023270394,OKAMOTO,LAUREN,I,MD,F,I,347 N KUAKINI ST,HPM 9,HONOLULU,HI,968172336,US,Physician/Geriatric Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,570,2.4189473684,2.4189473684,1.7900526316,1.7826315789
1023270394,OKAMOTO,LAUREN,I,MD,F,I,347 N KUAKINI ST,HPM 9,HONOLULU,HI,968172336,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,45.3,15.569459459,8.5762162162,10.857027027
1023270394,OKAMOTO,LAUREN,I,MD,F,I,347 N KUAKINI ST,HPM 9,HONOLULU,HI,968172336,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,16.44,8.248,3.04,3.498
1023270477,VOLKOV,ANDREY,A,D.O,M,I,22201 MOROSS RD,SUITE 352,DETROIT,MI,482362169,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,5250,4378.96,3433.11,3433.11
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,53,143,63.75013986,8.32,6.0597902098,6.0597902098
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,26,15.322692308,1.42,1.1153846154,1.1153846154
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,12,59,11.61559322,2.5277966102,1.7718644068,1.4040677966
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,81.75,15.645833333,10.338333333,8.7333333333
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,237.05285714,49.057142857,36.33,27.083333333
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,586.38894737,81.862105263,61.392105263,56.220526316
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1260,10.131349206,2.8927857143,2.1223571429,2.1223571429
1023270741,PROY,VINCENT,B,MD,M,I,315 YORK ST,"MEDICAL GROUP OF CORRY, INC",CORRY,PA,164071412,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,25.87,25.87
1023270766,VOLKOVA,IRINA,V,MD,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,22,79.444090909,17.55,12.509090909,12.329090909
1023270766,VOLKOVA,IRINA,V,MD,F,I,300 TWO MILE CREEK RD,,TONAWANDA,NY,141506618,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,538.33619048,79.48,50.441428571,44.658571429
1023270923,PUROHIT,BHAVI,P,M.D.,F,I,720 WESTVIEW DR SW,,ATLANTA,GA,303101458,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,225,50.561428571,39.638571429,40.261428571
1023270923,PUROHIT,BHAVI,P,M.D.,F,I,720 WESTVIEW DR SW,,ATLANTA,GA,303101458,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,410.94545455,75.56,57.444848485,53.208181818
1023270923,PUROHIT,BHAVI,P,M.D.,F,I,720 WESTVIEW DR SW,,ATLANTA,GA,303101458,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,94.8625,36.25,27.531875,28.59625
1023271087,TESSIER,JOSHUA,,,M,I,326 NICHOLS RD,,FITCHBURG,MA,014201914,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,400,69.99,50.649230769,50.52
1023271137,CARLSON,RUSSELL,M,DPM,M,I,520 VALLEY VIEW DR,,MOLINE,IL,612656152,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,44,103.70863636,71.56,49.451136364,49.450909091
1023271137,CARLSON,RUSSELL,M,DPM,M,I,520 VALLEY VIEW DR,,MOLINE,IL,612656152,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,38,63.142105263,43.56,33.193157895,33.190789474
1023271137,CARLSON,RUSSELL,M,DPM,M,I,520 VALLEY VIEW DR,,MOLINE,IL,612656152,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,15,16,113.281875,78.81,56.14375,61.5275
1023271137,CARLSON,RUSSELL,M,DPM,M,I,520 VALLEY VIEW DR,,MOLINE,IL,612656152,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,364,251.28,196.2873913,218.17782609
1023271202,YEARGAIN,JOSEPH,L,DPM,M,I,3801 GASTON AVE STE 330,,DALLAS,TX,752461500,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,248.34818182,248.34818182,194.70454545,218.89
1023271483,SALOTTI,JOANIE,I,NP,F,I,200 WEST ARBOR DRIVE,LIVER TRANSPLANT OFFICE,SAN DIEGO,CA,921038707,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,5160,1.274744186,0.5512674419,0.4116841085,0.4116841085
1023271483,SALOTTI,JOANIE,I,NP,F,I,200 WEST ARBOR DRIVE,LIVER TRANSPLANT OFFICE,SAN DIEGO,CA,921038707,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,1530,0.5483333333,0.5483333333,0.4043398693,0.4043398693
1023271483,SALOTTI,JOANIE,I,NP,F,I,200 WEST ARBOR DRIVE,LIVER TRANSPLANT OFFICE,SAN DIEGO,CA,921038707,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,24,24,18.266470588,18.266470588
1023271483,SALOTTI,JOANIE,I,NP,F,I,200 WEST ARBOR DRIVE,LIVER TRANSPLANT OFFICE,SAN DIEGO,CA,921038707,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,16,16,12.171176471,12.171176471
1023271913,TARABOLOUS,CHAD,J,M.D.,M,I,617 23RD ST,SUITE 19,ASHLAND,KY,411012880,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,1370,39.348605839,5.5858832117,4.274620438,4.2745912409
1023271954,ADEFABI,BUKIE,,M.D.,F,I,2511 OLD CORNWALLIS RD,SUITE 200,DURHAM,NC,277131869,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,56,175,64.836685714,8.32,6.1902285714,6.1902285714
1023271954,ADEFABI,BUKIE,,M.D.,F,I,2511 OLD CORNWALLIS RD,SUITE 200,DURHAM,NC,277131869,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,17.692307692,3.38,2.65,2.65
1023271954,ADEFABI,BUKIE,,M.D.,F,I,2511 OLD CORNWALLIS RD,SUITE 200,DURHAM,NC,277131869,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,15.595714286,1.42,1.1171428571,1.1171428571
1023272895,ABREO,ADRIAN,P,M.D.,M,I,7690 DISCOVERY DR,NEPHROLOGY CLINIC,WEST CHESTER,OH,450696542,US,Physician/Nephrology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,32.11,22.525,22.08
1023272960,JAIN,VISHAL,,M.D.,M,I,LEE ST FL 3,,CHARLOTTESVILLE,VA,229080001,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,182.5,45.028181818,35.304090909,36.772727273
1023272960,JAIN,VISHAL,,M.D.,M,I,LEE ST FL 3,,CHARLOTTESVILLE,VA,229080001,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,805.845,130.385625,102.21875,117.17125
1023272960,JAIN,VISHAL,,M.D.,M,I,LEE ST FL 3,,CHARLOTTESVILLE,VA,229080001,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,80,33.208181818,26.030909091,26.31
1023272960,JAIN,VISHAL,,M.D.,M,I,LEE ST FL 3,,CHARLOTTESVILLE,VA,229080001,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,75,34.675,27.181666667,31.983333333
1023272960,JAIN,VISHAL,,M.D.,M,I,LEE ST FL 3,,CHARLOTTESVILLE,VA,229080001,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,144.8345,52.22,37.3765,31.2205
1023272960,JAIN,VISHAL,,M.D.,M,I,LEE ST FL 3,,CHARLOTTESVILLE,VA,229080001,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,17,83.616470588,29.547058824,22.035294118,14.045294118
1023273190,GOLDSTEIN,DAVID,A,DO,M,I,510 HICKSVILLE ROAD,,MASSAPEQUA,NY,11758,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,30,58.893333333,8.32,6.5223333333,6.5223333333
1023273216,TURZANSKI,EMILY,J,DO,F,I,2006 HEALTH CAMPUS DR,,ROCKINGHAM,VA,228018679,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,22.253636364,17.445454545,13.53
1023273216,TURZANSKI,EMILY,J,DO,F,I,2006 HEALTH CAMPUS DR,,ROCKINGHAM,VA,228018679,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,100.90545455,79.111818182,54.73
1023273273,MANNURU,DEVENDRANATH,R,M.D,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,30,9.6061538462,5.8338461538,5.6692307692
1023273398,MYER,RORY,A,M.D.,M,I,345 CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743111,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,40,40,40,78.4565,74.6365,58.33775,52.663
1023273398,MYER,RORY,A,M.D.,M,I,345 CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743111,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,21,37.596190476,32.88,24.84047619,27.708571429
1023273398,MYER,RORY,A,M.D.,M,I,345 CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743111,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,25,50.9032,45.8884,35.9784,43.56
1023273398,MYER,RORY,A,M.D.,M,I,345 CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743111,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,25,65.672,64.4176,50.5064,52.1168
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,27,7.2666666667,4.21,3.3037037037,3.3037037037
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,17.318181818,8.9136363636,6.9868181818,6.43
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,6.9120833333,3.7683333333,2.955,3.38
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,35,80.966,17,12.949142857,13.076571429
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,2404.0357143,1073.16,834.52809524,835.42809524
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,29,49.781724138,4.435862069,3.4827586207,3.72
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,51.666666667,37.4125,29.329166667,34.508333333
1023273745,LI,XIA,,,F,I,2 BERNARDINE DR,,NEWPORT NEWS,VA,236024404,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,60,62,496.58177419,77.007741935,58.057903226,54.113387097
1023273927,HORNE-BARFIELD,SARAH,E,NP,F,I,1995 WELLNESS BLVD,"STE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,51,71.331568627,8.32,6.281372549,6.281372549
1023273927,HORNE-BARFIELD,SARAH,E,NP,F,I,1995 WELLNESS BLVD,"STE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.76,13.93,13.5725
1023273927,HORNE-BARFIELD,SARAH,E,NP,F,I,1995 WELLNESS BLVD,"STE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,443.35071429,71.32,55.914285714,54.742857143
1023273927,HORNE-BARFIELD,SARAH,E,NP,F,I,1995 WELLNESS BLVD,"STE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,21.038181818,16.494545455,13.496363636
1023273927,HORNE-BARFIELD,SARAH,E,NP,F,I,1995 WELLNESS BLVD,"STE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,96,33,16.453636364,16.453636364
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,75,53.778933333,8.32,6.5228,6.5228
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,29,14.548275862,1.42,1.1137931034,1.1137931034
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,34.456666667,9.29,6.6733333333,7.985
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,31.1,6.34,4.5558333333,5.4495833333
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,42,42,29.091904762,7.6307142857,5.8071428571,3.5485714286
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,271.325,100.263125,78.608125,64.376875
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.192153846,8.694474359,8.694474359
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,6445,0.1848813033,0.045545384,0.0357036462,0.0357036462
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1137,1.6974670185,0.2187335092,0.1715039578,0.1715039578
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,75.677333333,32.936666667,24.862,15.013333333
1023274024,KERR,CHRISTY,L,M.D.,F,I,150 RIVER NORTH BLVD,,STEPHENVILLE,TX,764011803,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,33,72,33,25.87,25.87
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,25,84,60.935595238,8.32,6.5223809524,6.5223809524
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,28,12.108214286,1.42,1.1142857143,1.1142857143
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,21.75,4.67,2.8175,2.815
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,403.4375,70.23,53.339375,53.041875
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1136,1.4205193662,0.1374295775,0.0933450704,0.0933450704
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,37.44,28.494545455,28.64
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,577.42,135.33684211,98.556315789,96.996315789
1023274297,VILLEDA,EDUARDO,J,M.D.,M,I,1701 PELHAM RD S,SUITE B,JACKSONVILLE,AL,362653353,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,21.756666667,21.756666667
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,42,42,115.0502381,40.887857143,32.05,30.607142857
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,25,50,8.19,1.39,1.0464,1.1048
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,23,46,46,340.08478261,94.343695652,72.858695652,67.176956522
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,16,34,96,128.95833333,35.635625,27.938125,25.969166667
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,61,69.897377049,20,14.392622951,13.264262295
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,21,21,193.46571429,56,41.80952381,40.819047619
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,32,38,38,64.537631579,18.867894737,14.527894737,13.835789474
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,26,26,73.452692308,12.986923077,9.5861538462,8.6126923077
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,34,65,348,9.7664655172,2.2863793103,1.7376436782,1.5574137931
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,28.2175,6.65,5.21,4.6966666667
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,37.808235294,13.57,10.64,10.35
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,53.772580645,17.46,13.248387097,13.122580645
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,3262.5363636,913.16,711.33295455,834.80159091
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,52,53,381.78679245,89.245283019,68.383773585,65.163396226
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,1488.4,947.26666667,734.68777778,734.68777778
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,16,16,470.99125,142.165,106.77875,100.531875
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,42,42,38.22952381,5.9757142857,4.4919047619,3.7604761905
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,16,56,56,126.33857143,35.97125,26.877857143,26.659642857
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,85,87,338.11045977,81.517241379,62.262413793,54.069885057
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,105.136,41.6,32.61,30.13
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,75,4860,16.692707819,9.6463209877,7.4928950617,7.4928950617
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1410,15.884156028,11.273489362,8.7605390071,8.7605319149
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,38,6895,0.2543103698,0.0461189268,0.0347208122,0.0347208122
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,1899,1.9273354397,0.1382622433,0.10552396,0.10552396
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,20,98,6360,11.086573899,2.9719103774,2.3299984277,2.3299984277
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,902,1.2709423503,0.2185033259,0.1712971175,0.1712971175
1023274511,HASAN,NAVEED,,M.D.,M,I,111 W HIGH ST,STE 303,ELKTON,MD,219215529,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,29,124,124,94.790322581,33,25.661370968,25.661370968
1023274586,SIRBU,SIMONA,N,MD,F,I,1776 POWDER MILL RD,,SILVER SPRING,MD,209031514,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,40,62.9225,8.32,5.8695,5.8695
1023274826,KANCHERLA,DAYAKAR,,MD,M,I,200 LOTHROP ST,,PITTSBURGH,PA,152132536,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,39.74,17.63,13.82,13.53
1023274826,KANCHERLA,DAYAKAR,,MD,M,I,200 LOTHROP ST,,PITTSBURGH,PA,152132536,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,325.70068966,76.48,55.012758621,50.134137931
1023274826,KANCHERLA,DAYAKAR,,MD,M,I,200 LOTHROP ST,,PITTSBURGH,PA,152132536,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,67.3,18.857142857,14.782857143,13.722857143
1023275112,JOHN,SONIA,,MD,F,I,6501 LANDOVER RD,"REYES, MEADES AND NAYAK P.A.",CHEVERLY,MD,207851414,US,Hospitalist,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1642.5,924.60454545,711.84727273,711.84727273
1023275161,SAXENA,PARUL,,,F,I,1200 FAIRWAY 7,,MACEDON,NY,14502,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,28,77.584642857,8.32,5.505,5.505
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,52,123,69.836666667,8.32,5.7259349593,5.7259349593
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,25,34,15.627647059,1.42,1.0185294118,1.0185294118
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,228.14454545,51.843636364,30.550909091,32.583636364
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,61.071428571,47.141428571,36.962142857,37.747857143
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,106.5,44.605833333,33.908333333,35.1425
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,18.5,17,12.219166667,12.433333333
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,794.54222222,27.983333333,20.788333333,23.126111111
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,34,513.71294118,71,49.803529412,49.010294118
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,38.05,29.83,29.539090909
1023275195,TONG,KA-YAN,,M.D.,F,I,4509 SHORES DR,,METAIRIE,LA,700062331,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,46.414615385,19.711538462,15.453846154,13.770769231
1023275427,WEAVER-JENSEN,RAYLEE,S,PA-C,F,I,611 N 39TH AVE,,YAKIMA,WA,989026348,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,66,161,54.450310559,8.32,5.3691925466,5.3691925466
1023275427,WEAVER-JENSEN,RAYLEE,S,PA-C,F,I,611 N 39TH AVE,,YAKIMA,WA,989026348,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,13.392727273,3.38,2.1681818182,2.1681818182
1023275427,WEAVER-JENSEN,RAYLEE,S,PA-C,F,I,611 N 39TH AVE,,YAKIMA,WA,989026348,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,29,47,14.324042553,1.42,0.9729787234,0.9729787234
1023275427,WEAVER-JENSEN,RAYLEE,S,PA-C,F,I,611 N 39TH AVE,,YAKIMA,WA,989026348,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,58,77.165172414,17.09,12.013793103,12.144482759
1023275427,WEAVER-JENSEN,RAYLEE,S,PA-C,F,I,611 N 39TH AVE,,YAKIMA,WA,989026348,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,80,80,479.48125,65.7,44.68,47.921
1023275427,WEAVER-JENSEN,RAYLEE,S,PA-C,F,I,611 N 39TH AVE,,YAKIMA,WA,989026348,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,25,250,37.64,29.51,29.51
1023275427,WEAVER-JENSEN,RAYLEE,S,PA-C,F,I,611 N 39TH AVE,,YAKIMA,WA,989026348,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,77.2,31.71,18.645,17.22
1023275559,PAWLIK,REBECCA,,M.D.,F,I,2305 GENOA BUSINESS PARK DR,SUITE 200,BRIGHTON,MI,481147004,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,50,41.2548,8.281,4.688,4.7186
1023276029,KIM,DANIEL,L,M.D.,M,I,7120 CLEARVISTA DR.,#3700,INDIANAPOLIS,IN,462561738,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,5250,4378.96,3428.5357143,3428.5357143
1023276326,EASTEK,STEPHANIE,E,CNP,F,I,560 GYPSY LN,,YOUNGSTOWN,OH,445052144,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,37,16.705333333,13.1,13.54
1023276326,EASTEK,STEPHANIE,E,CNP,F,I,560 GYPSY LN,,YOUNGSTOWN,OH,445052144,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,20,6.216,4.8713333333,3.7953333333
1023276326,EASTEK,STEPHANIE,E,CNP,F,I,560 GYPSY LN,,YOUNGSTOWN,OH,445052144,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,270,75.214666667,58.968666667,54.722666667
1023276490,PATEL,SHIVEN,,"MD, MBA, FACP",M,I,1950 CIRCLE OF HOPE,CLINIC 1A,SALT LAKE CITY,UT,84112,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,53,54.972075472,19.750377358,14.387169811,12.557358491
1023276490,PATEL,SHIVEN,,"MD, MBA, FACP",M,I,1950 CIRCLE OF HOPE,CLINIC 1A,SALT LAKE CITY,UT,84112,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,57,240.21614035,86.748070175,63.699824561,51.470175439
1023276730,DAVELMAN,FELIX,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,27,4770,4.3155429769,1.7549056604,1.375851153,1.5794821803
1023276730,DAVELMAN,FELIX,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,49,24.743265306,10.729183673,8.4120408163,8.4120408163
1023276789,FANCHER,TIFFANY,T,M.D.,F,I,3366 OAKDALE AVENUE NORTH,315,ROBBINSDALE,MN,554222948,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,320,12.866,5.74,4.39759375,4.39759375
1023276789,FANCHER,TIFFANY,T,M.D.,F,I,3366 OAKDALE AVENUE NORTH,315,ROBBINSDALE,MN,554222948,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,780,4.69,1.95,1.4618461538,1.4618461538
1023276789,FANCHER,TIFFANY,T,M.D.,F,I,3366 OAKDALE AVENUE NORTH,315,ROBBINSDALE,MN,554222948,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,1200,0.5718333333,0.27,0.2116333333,0.2116333333
1023276789,FANCHER,TIFFANY,T,M.D.,F,I,3366 OAKDALE AVENUE NORTH,315,ROBBINSDALE,MN,554222948,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,700,0.5188571429,0.27,0.2116142857,0.2116142857
1023277290,STOYTCHEV,HRISTO,V,MD,M,I,55 MADISON AVENUE,SUITE 310,MORRISTOWN,NJ,07960,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,57.8,16.04,12.57,13.53
1023277290,STOYTCHEV,HRISTO,V,MD,M,I,55 MADISON AVENUE,SUITE 310,MORRISTOWN,NJ,07960,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,13,5.9791666667,4.6908333333,3.9291666667
1023277365,TRUGLIO,JOSEPH,,M.D.,M,I,1 GUSTAVE L LEVY PL,BOX 3000,NEW YORK,NY,100296500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,74.533461538,8.32,5.5169230769,5.5169230769
1023277365,TRUGLIO,JOSEPH,,M.D.,M,I,1 GUSTAVE L LEVY PL,BOX 3000,NEW YORK,NY,100296500,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,55,5.0449090909,4.1072727273,3.2201818182,3.2774545455
1023277365,TRUGLIO,JOSEPH,,M.D.,M,I,1 GUSTAVE L LEVY PL,BOX 3000,NEW YORK,NY,100296500,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,9.1159090909,7.6145454545,5.9706818182,6.3040909091
1023277365,TRUGLIO,JOSEPH,,M.D.,M,I,1 GUSTAVE L LEVY PL,BOX 3000,NEW YORK,NY,100296500,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,264,4.7702272727,3.8872727273,3.0475757576,3.3104166667
1023277365,TRUGLIO,JOSEPH,,M.D.,M,I,1 GUSTAVE L LEVY PL,BOX 3000,NEW YORK,NY,100296500,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4235,2.7,0.36,0.2822337662,0.2900779221
1023277365,TRUGLIO,JOSEPH,,M.D.,M,I,1 GUSTAVE L LEVY PL,BOX 3000,NEW YORK,NY,100296500,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,444.75,59.5,46.65,48.180833333
1023277530,STUMPF,MICHAEL,W,M.D.,M,I,5825 AIRLINE HWY,,BATON ROUGE,LA,708052408,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,39,75.135641026,8.32,5.5192307692,5.5192307692
1023277530,STUMPF,MICHAEL,W,M.D.,M,I,5825 AIRLINE HWY,,BATON ROUGE,LA,708052408,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,18.5,18.5,13.291666667,12.491666667
1023277530,STUMPF,MICHAEL,W,M.D.,M,I,5825 AIRLINE HWY,,BATON ROUGE,LA,708052408,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,71,71,51.021666667,50.246666667
1023277837,DEJONG,JULIE,A,M.D.,F,I,9300 NOBLE PKWY N,,BROOKLYN PARK,MN,554435500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,23,57,78.315789474,8.32,5.2636842105,5.2636842105
1023277951,PETIT,JAMES,,MD,M,I,6701 N CHARLES ST,,BALTIMORE,MD,212046808,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,79.96875,18.1565625,13.17,13.5278125
1023277951,PETIT,JAMES,,MD,M,I,6701 N CHARLES ST,,BALTIMORE,MD,212046808,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,34.86,9.131,6.5823333333,6.2276666667
1023278082,KENYON SAVARD,GIUSEPPINA,J,D.O.,F,I,7350 PORTER RD,,NIAGARA FALLS,NY,143045705,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,50.387142857,8.32,4.1914285714,4.1914285714
1023278108,GOULD,MARK,A,PA,M,I,1524 EUBANK BLVD NE STE 6,,ALBUQUERQUE,NM,871124160,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,18.5,14.5,14.34
1023278108,GOULD,MARK,A,PA,M,I,1524 EUBANK BLVD NE STE 6,,ALBUQUERQUE,NM,871124160,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,86.09,66.835833333,64.709166667
1023278108,GOULD,MARK,A,PA,M,I,1524 EUBANK BLVD NE STE 6,,ALBUQUERQUE,NM,871124160,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,24.97,16.854482759,11.868275862,12.210689655
1023278272,DOEHNE,KARIN,M,M.D.,F,I,1 GRANNY SMITH COURT,,OLD ORCHARD BEACH,ME,040641471,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,33,65,57.153076923,8.32,6.32,6.32
1023278272,DOEHNE,KARIN,M,M.D.,F,I,1 GRANNY SMITH COURT,,OLD ORCHARD BEACH,ME,040641471,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,13,12.860769231,1.42,0.9461538462,0.9461538462
1023278272,DOEHNE,KARIN,M,M.D.,F,I,1 GRANNY SMITH COURT,,OLD ORCHARD BEACH,ME,040641471,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,17,86.31,17.25,13.52,13.531764706
1023278272,DOEHNE,KARIN,M,M.D.,F,I,1 GRANNY SMITH COURT,,OLD ORCHARD BEACH,ME,040641471,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,864.64,81.764545455,56.563636364,55.909090909
1023278272,DOEHNE,KARIN,M,M.D.,F,I,1 GRANNY SMITH COURT,,OLD ORCHARD BEACH,ME,040641471,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,148.18,44.786666667,27.716666667,27.915
1023278272,DOEHNE,KARIN,M,M.D.,F,I,1 GRANNY SMITH COURT,,OLD ORCHARD BEACH,ME,040641471,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,519.51,69.62,51.99047619,52.09952381
1023278314,ROBERTS,POMAI,,MD,F,I,1136 D AVE,,NATIONAL CITY,CA,919503412,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,33,90,255,59.725058824,8.32,5.857254902,5.857254902
1023278314,ROBERTS,POMAI,,MD,F,I,1136 D AVE,,NATIONAL CITY,CA,919503412,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,14.128571429,3.38,2.3976190476,2.3976190476
1023278314,ROBERTS,POMAI,,MD,F,I,1136 D AVE,,NATIONAL CITY,CA,919503412,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,38,73,14.073561644,1.42,0.9768493151,0.9768493151
1023278314,ROBERTS,POMAI,,MD,F,I,1136 D AVE,,NATIONAL CITY,CA,919503412,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,85.181052632,21.02,9.5968421053,7.98
1023278389,O'REILLY,JENNIFER,,M.D.,F,I,55 CALVARY DR,,NORWICH,NY,138151032,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,78,202,56.711435644,8.32,5.9411386139,5.9411386139
1023278389,O'REILLY,JENNIFER,,M.D.,F,I,55 CALVARY DR,,NORWICH,NY,138151032,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,43,7.683255814,1.42,1.1158139535,1.1158139535
1023278389,O'REILLY,JENNIFER,,M.D.,F,I,55 CALVARY DR,,NORWICH,NY,138151032,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,45,23.201764706,17.310588235,12.734117647
1023278389,O'REILLY,JENNIFER,,M.D.,F,I,55 CALVARY DR,,NORWICH,NY,138151032,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,352.00333333,99.687407407,71.846296296,48.792962963
1023278439,TEJWANI,AJAY,,MD,M,I,330 ARKANSAS ST,SUITE 120,LAWRENCE,KS,660441335,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7339,2.4934745878,0.31,0.2308379888,0.2308379888
1023278587,UROVISH,NATALYA,,MD,F,I,6010 BAY PKWY FL 7,,BROOKLYN,NY,112046079,US,Physician/Emergency Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,32,32,38,741.78,734.54157895,575.88105263,483.15052632
1023278587,UROVISH,NATALYA,,MD,F,I,6010 BAY PKWY FL 7,,BROOKLYN,NY,112046079,US,Physician/Emergency Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,24,849.98,849.98,660.40208333,671.71208333
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,21,21,68.475714286,41.756666667,32.737142857,26.636190476
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,21,45,5.508,2.8246666667,2.2137777778,1.8162222222
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,130,131,49.029312977,18.250916031,13.702061069,12.998625954
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,206.53333333,48,37.63,37.63
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,54.586,4.3568,3.2796,3.3796
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,25,186,186,378.78370968,76.259247312,57.659408602,53.222741935
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,47,152.20212766,37.252978723,28.587659574,28.763191489
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1140,0.9586315789,0.1346842105,0.0960175439,0.0960175439
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,200,44.136153846,34.604615385,30.016153846
1023278603,VO,THIEN,T,M.D.,M,I,1400 S COULTER ST,,AMARILLO,TX,791061786,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,99,33,23.714166667,23.714166667
1023278629,SALEHI,NILOUFAR,,D.O.,F,I,30 CHASE AVE,,WATERVILLE,ME,049014624,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,77,26.978571429,8.2658441558,5.1248051948,5.1672727273
1023278629,SALEHI,NILOUFAR,,D.O.,F,I,30 CHASE AVE,,WATERVILLE,ME,049014624,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,33,6.9439393939,1.42,0.8433333333,0.8433333333
1023278629,SALEHI,NILOUFAR,,D.O.,F,I,30 CHASE AVE,,WATERVILLE,ME,049014624,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,68.266,23.167,17.415,13.7565
1023278629,SALEHI,NILOUFAR,,D.O.,F,I,30 CHASE AVE,,WATERVILLE,ME,049014624,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,40,16.5388,12.5036,9.242
1023278629,SALEHI,NILOUFAR,,D.O.,F,I,30 CHASE AVE,,WATERVILLE,ME,049014624,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,189.26171429,47.706571429,34.942857143,22.709714286
1023278629,SALEHI,NILOUFAR,,D.O.,F,I,30 CHASE AVE,,WATERVILLE,ME,049014624,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,246.48,107.18,77.740526316,53.232105263
1023278629,SALEHI,NILOUFAR,,D.O.,F,I,30 CHASE AVE,,WATERVILLE,ME,049014624,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,204.52761905,44.455714286,31.307142857,26.285714286
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,25,65,90.467384615,8.32,6.3209230769,6.3209230769
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,23.142777778,1.42,1.1161111111,1.1161111111
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,320,14.16,4.74,3.716,4.0791875
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5618,3,0.6,0.4448558206,0.4829530082
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,175,49.64125,38.91875,38.89875
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,33.854705882,3.9229411765,3.0747058824,3.7752941176
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,31.503636364,24.696363636,25.428181818
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,192.58,48.98,35.217111111,34.774222222
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,295.00928571,74,56.638571429,53.583571429
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,5530,0.4679674503,0.0459493671,0.0330415913,0.0330415913
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1257,2.0388941925,0.1336515513,0.104797136,0.104797136
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,18.6575,14.625,15.905
1023278694,MORGAN-GOUVEIA,MELISSA,D,MD,F,I,501 W 14TH ST,WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE,WILMINGTON,DE,198011013,US,Physician/Geriatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,33,33,24.432777778,24.432777778
1023278793,CARNES,JASON,A,M.D.,M,I,9615 KINCEY AVE STE 210,,HUNTERSVILLE,NC,28078,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,24,64,206,68.348883495,8.32,6.0479126214,6.0479126214
1023278793,CARNES,JASON,A,M.D.,M,I,9615 KINCEY AVE STE 210,,HUNTERSVILLE,NC,28078,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,17,13.570588235,1.42,0.8564705882,0.8564705882
1023278793,CARNES,JASON,A,M.D.,M,I,9615 KINCEY AVE STE 210,,HUNTERSVILLE,NC,28078,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,173.98363636,55.860909091,39.800909091,39.058181818
1023278793,CARNES,JASON,A,M.D.,M,I,9615 KINCEY AVE STE 210,,HUNTERSVILLE,NC,28078,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,196.21,79,61.94,55.180625
1023278793,CARNES,JASON,A,M.D.,M,I,9615 KINCEY AVE STE 210,,HUNTERSVILLE,NC,28078,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,61.104285714,35.27,27.66,29.52
1023278892,NATHAN,SUNITA,,M.D.,F,I,1725 W HARRISON ST,SUITE 1010,CHICAGO,IL,606123841,US,Hematopoietic Cell Transplantation and Cellular Therapy,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,2520,3.4047579365,1.253,0.9823412698,0.9823412698
1023278892,NATHAN,SUNITA,,M.D.,F,I,1725 W HARRISON ST,SUITE 1010,CHICAGO,IL,606123841,US,Hematopoietic Cell Transplantation and Cellular Therapy,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,24,24,18.82,18.82
1023278967,ROMA,DOMENICK,J,MD,M,I,4700 WATERS AVE STE 507,,SAVANNAH,GA,31404,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,29.308275862,18.908965517,14.306206897,13.066206897
1023278967,ROMA,DOMENICK,J,MD,M,I,4700 WATERS AVE STE 507,,SAVANNAH,GA,31404,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,24,35,35,131.14285714,32.542857143,25.513714286,23.615142857
1023278967,ROMA,DOMENICK,J,MD,M,I,4700 WATERS AVE STE 507,,SAVANNAH,GA,31404,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,76,77,304.4674026,72.481298701,52.429220779,51.007792208
1023278967,ROMA,DOMENICK,J,MD,M,I,4700 WATERS AVE STE 507,,SAVANNAH,GA,31404,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,32,106.036875,38.150625,26.523125,26.5446875
1023278967,ROMA,DOMENICK,J,MD,M,I,4700 WATERS AVE STE 507,,SAVANNAH,GA,31404,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,63,34.112222222,8.32,5.5896825397,5.5896825397
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,15.826470588,1.42,0.8541176471,0.8541176471
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,7.8112,1.5412,1.2064,1.1504
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,78.770454545,5.3027272727,3.3663636364,2.6118181818
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,454.55391304,69.473478261,49.677391304,49.857391304
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,8025,0.2982018692,0.0459077882,0.0314267913,0.0314267913
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9682,2.2411333333,2.2411333333
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599,136.77666667,95.280833333,93.744166667
1023278983,NGUYEN,THINH,D,M.D.,M,I,815 FORT ST,SUITE B,BARLING,AR,729232164,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,36,126.5,33,24.594722222,24.594722222
1023279098,ARCHIBALD,ZELIA,Y,M.D.,F,I,655 W 8TH ST,,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,55,16.5,12.94,13.34
1023279098,ARCHIBALD,ZELIA,Y,M.D.,F,I,655 W 8TH ST,,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,21.98,4.275,3.34875,4.01
1023279098,ARCHIBALD,ZELIA,Y,M.D.,F,I,655 W 8TH ST,,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,300,77.18,60.51,56.65
1023279510,ASHBY-JONES,LAURA,P,D.O.,F,I,5000 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,34,112,46.048928571,8.32,5.99875,5.99875
1023279510,ASHBY-JONES,LAURA,P,D.O.,F,I,5000 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,16.012857143,3.38,2.2714285714,2.2714285714
1023279510,ASHBY-JONES,LAURA,P,D.O.,F,I,5000 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,22,48,15.22875,1.42,1.0214583333,1.0214583333
1023279510,ASHBY-JONES,LAURA,P,D.O.,F,I,5000 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,30.419285714,21.140714286,15.507857143,12.993571429
1023279510,ASHBY-JONES,LAURA,P,D.O.,F,I,5000 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,177.55875,96.08125,66.75125,49.313125
1023279510,ASHBY-JONES,LAURA,P,D.O.,F,I,5000 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,0.92,0.1332666667,0.0984333333,0.0984333333
1023279510,ASHBY-JONES,LAURA,P,D.O.,F,I,5000 KY ROUTE 321,,PRESTONSBURG,KY,416539113,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,125.8125,33,22.63625,22.63625
1023279544,MOHNING,MICHAEL,P,M.D.,M,I,1400 JACKSON ST,NATIONAL JEWISH HEALTH,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,19,20,81.795,17.388,13.635,13.5405
1023279544,MOHNING,MICHAEL,P,M.D.,M,I,1400 JACKSON ST,NATIONAL JEWISH HEALTH,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,27,30,488.28566667,76.368666667,59.869333333,56.017
1023279544,MOHNING,MICHAEL,P,M.D.,M,I,1400 JACKSON ST,NATIONAL JEWISH HEALTH,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,21,199.12,38.47047619,28.714285714,28.253333333
1023279577,ALENCHERRY,JOSEPH,,DPM,M,I,3003 NEW HYDE PARK RD,SUITE 312,NEW HYDE PARK,NY,110421206,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,58,100,71.56,54.140689655,54.131724138
1023279577,ALENCHERRY,JOSEPH,,DPM,M,I,3003 NEW HYDE PARK RD,SUITE 312,NEW HYDE PARK,NY,110421206,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,137,50,29.19,22.886277372,22.886277372
1023279577,ALENCHERRY,JOSEPH,,DPM,M,I,3003 NEW HYDE PARK RD,SUITE 312,NEW HYDE PARK,NY,110421206,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,33,33,485,444.02,346.60545455,352.32666667
1023279577,ALENCHERRY,JOSEPH,,DPM,M,I,3003 NEW HYDE PARK RD,SUITE 312,NEW HYDE PARK,NY,110421206,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,150,90.51,70.96,69.013846154
1023279577,ALENCHERRY,JOSEPH,,DPM,M,I,3003 NEW HYDE PARK RD,SUITE 312,NEW HYDE PARK,NY,110421206,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,33,66,300,297.58,230.39,234.10060606
1023279577,ALENCHERRY,JOSEPH,,DPM,M,I,3003 NEW HYDE PARK RD,SUITE 312,NEW HYDE PARK,NY,110421206,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,400,260.69,195.413125,209.01625
1023279577,ALENCHERRY,JOSEPH,,DPM,M,I,3003 NEW HYDE PARK RD,SUITE 312,NEW HYDE PARK,NY,110421206,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,175,158.95,124.62,126.36166667
1023280047,SCHERMER,ELAINE,P,ARNP,F,I,1720 NICHOLASVILLE RD,SUITE 506,LEXINGTON,KY,405031404,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.07,17.29,13.55,13.531666667
1023280328,MERTZ,CHRISTOPHER,M,M.D.,M,I,250 PLEASANT ST,SUITE 6073,CONCORD,NH,033017539,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,22,416.09318182,90.628181818,63.170909091,47.306363636
1023280328,MERTZ,CHRISTOPHER,M,M.D.,M,I,250 PLEASANT ST,SUITE 6073,CONCORD,NH,033017539,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,59.234375,44.03625,34.526875,29.514375
1023280526,PONTONE,GREGORY,T,MD,M,I,1999 MARCUS AVE,SUITE 110,NEW HYDE PARK,NY,110421017,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,17,12.219166667,12.415833333
1023280526,PONTONE,GREGORY,T,MD,M,I,1999 MARCUS AVE,SUITE 110,NEW HYDE PARK,NY,110421017,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.74,55.870833333,50.6875
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,43,112,55.152678571,8.32,6.2889285714,6.2889285714
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,31,17.629032258,1.42,1.0783870968,1.0783870968
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,21,42,6.9747619048,1.9842857143,1.5557142857,1.1747619048
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,41.498,16.724,13.109333333,9.8126666667
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,47.292,7.93,5.6356,3.2644
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,155.09722222,44.973888889,30.954444444,22.697777778
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,55,456.034,105.01636364,78.647636364,55.735272727
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,4597,0.4172242767,0.0465259952,0.0279290842,0.0279290842
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1140,0.776,0.1298157895,0.1017894737,0.1017894737
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,2.9784615385,0.2193076923,0.1324871795,0.1324871795
1023281508,SWINNEY,CHRISTY,R,"MSN, FNP-BC",F,I,1990 HOLTON AVE E,,BIG STONE GAP,VA,242193350,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,35,35,72.6,33,21.435142857,21.435142857
1023281532,PEDERSEN,DEBORAH,J,M.D.,F,I,101 INDUSTRIAL PARK RD,SUITE 307,TAUNTON,MA,027807393,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,56.6,19.71,15.45,15.45
1023281532,PEDERSEN,DEBORAH,J,M.D.,F,I,101 INDUSTRIAL PARK RD,SUITE 307,TAUNTON,MA,027807393,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,116.83,37.38,29.3,29.3
1023281532,PEDERSEN,DEBORAH,J,M.D.,F,I,101 INDUSTRIAL PARK RD,SUITE 307,TAUNTON,MA,027807393,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,50.73,3.9,2.9375,3.5245833333
1023281532,PEDERSEN,DEBORAH,J,M.D.,F,I,101 INDUSTRIAL PARK RD,SUITE 307,TAUNTON,MA,027807393,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,9080,42.190572687,10.819555066,8.482530837,8.482530837
1023281581,MANRIQUEZ,NICOLAS,,DPM,M,I,21222 KINGSLAND BLVD,,KATY,TX,774505898,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,319.75,251.28,194.94388889,216.83444444
1023282068,REINECK,SCOTT,M,D.O.,M,I,801 OHIO HEALTH BLVD,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,27,71,49.944366197,8.32,6.4307042254,6.4307042254
1023282068,REINECK,SCOTT,M,D.O.,M,I,801 OHIO HEALTH BLVD,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,12.016363636,3.38,2.4090909091,2.4090909091
1023282068,REINECK,SCOTT,M,D.O.,M,I,801 OHIO HEALTH BLVD,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,22,11.236363636,1.42,1.1127272727,1.1127272727
1023283017,ANTONELLI,JODI,,M.D.,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753909110,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,0.39,0.13,0.085,0.085
1023283017,ANTONELLI,JODI,,M.D.,F,I,5323 HARRY HINES BLVD,,DALLAS,TX,753909110,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,4.35,2.04,1.3327777778,1.3327777778
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,27,82,49.995487805,8.32,5.8059756098,5.8059756098
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,21,36,17.278611111,1.42,0.9905555556,0.9905555556
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,930,34.86,34.86,27.272967742,27.272967742
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,24,1228,8.28,8.28,6.2499511401,6.2499511401
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,204,10.93,10.93,8.568872549,8.568872549
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,44,19.952727273,18.29,14.337954545,14.337954545
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,720,6.864,4.225,3.3123611111,2.3676944444
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5111,0.6706593622,0.4100136959,0.321445901,0.2430483271
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,7361,1.4763252276,0.8311764706,0.6516437984,0.5174364896
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,66.8521875,21.8978125,15.4853125,12.1684375
1023283710,LEMDJA,MIMO,R,M.D.,F,I,353 CASH ROAD SW,,CAMDEN,AR,71701,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,258,106.38666667,75.440666667,47.432666667
1023283835,JOHNSTON,JEREMY,M,MD,M,I,935 STATE ROUTE 28,,MILFORD,OH,451501957,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,60,40.677833333,8.32,6.0883333333,6.0883333333
1023283835,JOHNSTON,JEREMY,M,MD,M,I,935 STATE ROUTE 28,,MILFORD,OH,451501957,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,24,6.63,1.42,1.0225,1.0225
1023284031,RICHMAN,IRENE,,,F,I,560 1ST AVE,11 EAST NURSING STATION,NEW YORK,NY,100166402,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,142.54727273,43.313636364,30.790909091,33.139090909
1023284601,JANSSEN,ANGELISA,J,M.D.,F,I,170 E MAIN ST STE D,STE 193,HENDERSONVILLE,TN,370753952,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,37.7425,8.01125,6.2775,3.8
1023285095,GUERRERO,FRANCIA,E,MD,F,I,6200 SW 73RD ST,BOX 69,SOUTH MIAMI,FL,331434679,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,427.35307692,78.76,61.743076923,56.546153846
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,520,6.3115961538,3.8723076923,2.8919615385,2.9137307692
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,26,13.909230769,2.73,2.14,2.14
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,330,10.671030303,5.74,4.2506363636,4.2506363636
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,479,3.7836534447,2.91,2.2813569937,2.2813569937
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,810,12.987148148,7,5.2431234568,5.2431234568
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,28,860,6.538,4.03,3.0860348837,3.0860348837
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,28,1900,0.5703947368,0.27,0.2116684211,0.2116684211
1023285343,FREITAS,MARILEE,L,M.D.,F,I,29 HOSPITAL PLAZA,SUITE 604,STAMFORD,CT,069023602,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,775,0.4710322581,0.27,0.2048903226,0.2048903226
1023285665,PATEL,RIMA,,MD,F,I,200 N MAIN ST,,CLIO,SC,295253001,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,16,21,9.990625,7.8375,7.62625
1023285665,PATEL,RIMA,,MD,F,I,200 N MAIN ST,,CLIO,SC,295253001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,42.556875,17.04,12.525,12.69875
1023285665,PATEL,RIMA,,MD,F,I,200 N MAIN ST,,CLIO,SC,295253001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,35,250.08885714,74,54.704571429,51.602571429
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,33,93,237,47.207299578,8.32,5.6163291139,5.6163291139
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,36,11.543055556,1.42,1.1152777778,1.1152777778
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,8.5444444444,8.5422222222,5.2133333333,5.3388888889
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,19,10.657894737,10.657894737,5.7884210526,7.9794736842
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,60,51.047272727,40.023636364,30.49
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,44.924545455,25.868181818,17.443636364,12.312727273
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,18,40,5.338,2.939,2.03925,1.39025
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,175,67.13,47.583846154,34.992307692
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,75,22.97,18.006666667,14.198888889
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,30,18.871875,14.79625,10.97375
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,7.5041666667,5.4783333333,3.505
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,120,51.337727273,39.076818182,25.810909091
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,725.65333333,336.395,263.73166667,263.73166667
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,425,108.741875,85.256875,58.526875
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,1260,2.497,0.5521904762,0.4329365079,0.4329365079
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2450,1.1759265306,0.1323142857,0.0874163265,0.0874163265
1023285947,HORNING,MATTHEW,J,M.D.,M,I,415 ELLIS AVE,,ASHLAND,WI,548061631,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,24,24,18.82,18.82
1023286010,PETRY,ANGELA,D,N.P.-C,F,I,333 W CORK ST STE 290,,WINCHESTER,VA,226013870,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,203.11727273,155.85545455,120.51363636
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,32,880,5.2700909091,3.7854545455,2.9677727273,3.0575568182
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,11,18.419090909,7.86,6.16,6.4381818182
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,730,8.4952054795,5.74,4.2202191781,4.2202191781
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,190,15.84,10.81,8.2520526316,8.2520526316
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,58,513,4.5245224172,2.8720272904,2.2159844055,2.2457504873
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,67,13.641044776,6.44,5.047761194,5.047761194
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,615,17.49004878,9.6029268293,7.4362926829,7.6259512195
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,33,630,14.355555556,11.01984127,8.1989365079,8.2519365079
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,444,14.972252252,7,5.4879954955,5.4879954955
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,721,4.3860887656,1.95,1.4864216366,1.4864216366
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,54,1290,5.188372093,4.0191472868,3.0530387597,3.061
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,1205,0.5010373444,0.27,0.2028547718,0.2028547718
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,260,9.8476538462,3.04,2.3833076923,2.3833076923
1023286051,BURNS,LANCE,K,M.D.,M,I,701 N UNIVERSITY AVE,SUITE 203,LITTLE ROCK,AR,722052936,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,33,2381,0.4244771105,0.25549769,0.1835237295,0.1946115078
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,25,51,51,301.21882353,102.78647059,74.168431373,61.572156863
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,23,53,129,113.75333333,38.400775194,27.769379845,23.642093023
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,55.5208,20.7152,15.5994,13.9698
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,13,26,128,51.034296875,15.98078125,11.369609375,10.732421875
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,18,36,36,197.67916667,61.317777778,45.696388889,40.478888889
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,39,51,51,61.980588235,19.960980392,13.379803922,11.890196078
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,36,75,75,64.6028,14.422533333,10.118533333,7.9682666667
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,41,97,470,8.8537021277,2.4087234043,1.7051914894,1.416212766
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,24,24,22.077916667,6.51875,4.3075,3.87625
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,21,31,31,36.238709677,13.63483871,8.9790322581,8.6858064516
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,59.143650794,19.17,14.033650794,12.659047619
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,492.78,163.16833333,122.61083333,99.384166667
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,30,158,158,173.12797468,39.206962025,27.99221519,23.145886076
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,40,312,316,326.49253165,81.991455696,61.484367089,53.562594937
1023286317,SUN,KAI,M,D.O.,M,I,3350 EXECUTIVE DR,SUITE 100,SAN ANGELO,TX,769046878,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,201.87368421,41.294210526,32.373684211,29.513684211
1023286655,CADELIEN,GERMITH,G,ARNP,F,I,2300 N COMMERCE PKWY,,WESTON,FL,333263254,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.07,18,14.11,13.54
1023286655,CADELIEN,GERMITH,G,ARNP,F,I,2300 N COMMERCE PKWY,,WESTON,FL,333263254,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,226.15,90.01,70.57,54.73
1023286788,WENGER,ELIZABETH,A,M.D.,F,I,2840 W DAUPHIN ST,,PHILADELPHIA,PA,191324627,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,56,57.711785714,8.32,5.5901785714,5.5901785714
1023286788,WENGER,ELIZABETH,A,M.D.,F,I,2840 W DAUPHIN ST,,PHILADELPHIA,PA,191324627,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,23,15.842608696,1.42,0.9686956522,0.9686956522
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,65,100,100,106.7583,39.0143,29.8127,29.718
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,61,106,106,294.80103774,89.760471698,67.371698113,65.117075472
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,51,101,214,123.62971963,33.71635514,25.946074766,25.486869159
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,22,44,159,63.597861635,18.046603774,13.878742138,14.27327044
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,14,21,104,59.628173077,15.100288462,10.618653846,10.6725
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,40,63,63,194.97904762,53.494920635,38.598253968,39.491904762
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,94,107,107,58.977943925,17.961028037,13.591775701,13.574579439
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,32,54,54,58.198703704,11.863333333,8.9553703704,8.7951851852
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,98,166,936,7.9447008547,2.0575,1.5820299145,1.5635683761
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,72,87,87,23.842413793,5.9804597701,4.6325287356,4.597816092
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,41,48,48,36.215416667,12.492083333,9.5766666667,10.102083333
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,44,44,36.88,16.219090909,11.617272727,12.431136364
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,12,60,60,310.374,87.993833333,67.99,69.442
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,1478.864,1029.0316,806.2458,806.2458
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,36,36,36,371.82027778,132.73027778,103.07972222,103.67305556
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,39,40,44.04475,4.205,3.1935,3.67225
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,40,255,255,122.76196078,32.922588235,25.164745098,25.406196078
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,71,71,273.58183099,74.115492958,52.248169014,49.438591549
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,203.33333333,37.458666667,27.436,27.587333333
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,1860,16.890833333,11.121774194,8.5652258065,8.5652258065
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,15,39,8308,1.1555115551,0.0461326432,0.034841117,0.034841117
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,23,2106,5.3075118708,0.1394112061,0.1092924976,0.1092924976
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,39,2430,10.47518107,2.9415802469,2.3062222222,2.3062222222
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,615,1.1678211382,0.2188780488,0.1646178862,0.1646178862
1023286929,PATIL,KATHERINE,S,D.O.,F,I,1591 MEDICAL DR,,POTTSTOWN,PA,194643224,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,25,77,77,52.402597403,33,25.309350649,25.309350649
1023287232,EL-HAYEK,KEVIN,M,MD,M,I,CLEVELAND CLINIC,9500 EUCLID AVE. A-80 GENERAL SURGERY,CLEVELAND,OH,441950001,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,19,320,90.8849375,5.20428125,4.080125,4.00603125
1023287232,EL-HAYEK,KEVIN,M,MD,M,I,CLEVELAND CLINIC,9500 EUCLID AVE. A-80 GENERAL SURGERY,CLEVELAND,OH,441950001,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4230,0.8874893617,0.3819479905,0.2994491726,0.2507234043
1023287232,EL-HAYEK,KEVIN,M,MD,M,I,CLEVELAND CLINIC,9500 EUCLID AVE. A-80 GENERAL SURGERY,CLEVELAND,OH,441950001,US,Physician/General Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,11,11,175.02,69.025454545,54.116363636,48.197272727
1023287653,FLORES,MANUEL,R,FNP,M,I,1515 PAPPAS ST,,LAREDO,TX,780411705,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,52,39.554615385,8.32,5.0165384615,5.0165384615
1023287653,FLORES,MANUEL,R,FNP,M,I,1515 PAPPAS ST,,LAREDO,TX,780411705,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,17,14.367058824,1.42,0.7235294118,0.7235294118
1023287745,CAMPBELL,WILLIAM,C,D.O.,M,I,18636 DIXIE HWY,,HOMEWOOD,IL,604303741,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,34,56.125,8.32,5.5623529412,5.5623529412
1023287778,REID,MALCOLM,D,MD,M,I,1000 TENTH AVENUE,SUITE 3B-20,NEW YORK,NY,100191147,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,138.02,43.336956522,32.483913043,34.616521739
1023287778,REID,MALCOLM,D,MD,M,I,1000 TENTH AVENUE,SUITE 3B-20,NEW YORK,NY,100191147,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,146.89,48.179285714,37.77,40.405
1023287778,REID,MALCOLM,D,MD,M,I,1000 TENTH AVENUE,SUITE 3B-20,NEW YORK,NY,100191147,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,24.01,8.7566666667,3.5275,5.185
1023287778,REID,MALCOLM,D,MD,M,I,1000 TENTH AVENUE,SUITE 3B-20,NEW YORK,NY,100191147,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,16,16,70.221875,15.645625,11.5575,13.49625
1023287778,REID,MALCOLM,D,MD,M,I,1000 TENTH AVENUE,SUITE 3B-20,NEW YORK,NY,100191147,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,119.34,21.552631579,16.898421053,21.421578947
1023287778,REID,MALCOLM,D,MD,M,I,1000 TENTH AVENUE,SUITE 3B-20,NEW YORK,NY,100191147,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,995,140.25,109.9575,116.15
1023287794,D'LORM,ROBERTO,B,GNP-BC,M,I,4032 OUTPOST TRCE,,LAGO VISTA,TX,786456456,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,81.93,17.071333333,11.344666667,11.353333333
1023288198,LEZZO,NICHOLAS,J,PA,M,I,2102 CORLIES AVE,,NEPTUNE,NJ,077536141,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3735.8823529,2792.6288235,2189.4217647,2189.4217647
1023288305,STEELE,GERRI,L,D.O.,F,I,1533 COMMERCE AVE,,CARLISLE,PA,170159128,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,56,200,50.0824,8.32,5.61765,5.61765
1023288305,STEELE,GERRI,L,D.O.,F,I,1533 COMMERCE AVE,,CARLISLE,PA,170159128,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.838333333,3.38,2.65,2.65
1023288305,STEELE,GERRI,L,D.O.,F,I,1533 COMMERCE AVE,,CARLISLE,PA,170159128,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,26,40,12.35475,1.42,1.0595,1.0595
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,49,86.19244898,19.76122449,14.952040816,14.753877551
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,14.429230769,3.6515384615,2.6469230769,3.2623076923
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,19.04,10.048333333,7.8833333333,8.5283333333
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,72,72,492.54152778,76.735,58.7975,53.953888889
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,100.43478261,37,29.01,29.466521739
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,44,7590,5.0686337286,0.5650342556,0.4240961792,0.4240961792
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,J7510,"Prednisolone oral, per 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,495,0.68,0.0776969697,0.0609292929,0.0609292929
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,2550,8.3505803922,1.2805647059,1.0039607843,1.0039607843
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1920,3.3985729167,2.7986875,2.1941510417,2.1941510417
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,24,24,18.82,18.82
1023288719,SAYAH,DAVID,M,"MD, PHD",M,I,"200 UCLA MEDICAL PLAZA, STE. 365-B",BOX 951693,LOS ANGELES,CA,900951693,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,26,16,16,12.541153846,12.541153846
1023288990,ORTIZ,ARTURO,A,MD,M,I,1104 E KIKA DE LA GARZA,,MISSION,TX,78572,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,16.077272727,8.32,4.1490909091,4.1490909091
1023288990,ORTIZ,ARTURO,A,MD,M,I,1104 E KIKA DE LA GARZA,,MISSION,TX,78572,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,53.164444444,17.183333333,11.814444444,12.182777778
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,33,90,249,57.277389558,8.2910843373,6.0585943775,6.0733333333
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,33,34,13.320588235,3.38,2.4832352941,2.4832352941
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,23.102666667,2.12,1.67,1.67
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,50,78,13.551666667,1.42,1.0871794872,1.0871794872
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,72,6.6919444444,2.225,1.7441666667,1.5919444444
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,18,53.364444444,17.707777778,12.34,12.034444444
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,47.23,33.892727273,21.254545455
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,18,307.57777778,70.061111111,48.503333333,48.325555556
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2492,0.5510433387,0.0466653291,0.0365770465,0.0365770465
1023289121,BHASKARAN,DHARMENDRA,,MD,M,I,834 W MEETING ST,SUITE F,LANCASTER,SC,297206251,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,40.615384615,33,23.88,23.88
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,12,31,469,44.519616205,19.655799574,15.409957356,15.409957356
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,12,32,990,6.1445454545,2.6351515152,2.0658787879,2.0658787879
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,43,49,137,516,71.436550388,8.32,6.0168992248,6.0168992248
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,18,38,85,15.408235294,1.42,1.0750588235,1.0750588235
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,665.13354839,339.25064516,265.97064516,265.97064516
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,77.18,50.425,46.0825
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,29,2920,16.438458904,10.754592466,8.3333253425,8.3333253425
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,12,54,54,301.46296296,251.11,196.87,196.87
1023289444,LEE,HONG,S,M.D.,M,I,201 E OGDEN AVE,STE 26,HINSDALE,IL,605213633,US,Physician/Internal Medicine,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,323.50181818,264.16,207.1,207.1
1023289493,ADAMS,STEPHANIE,A,D.O.,F,I,1 MEDICAL PARK BLVD,,BRISTOL,TN,376207430,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125,44.694545455,30.918181818,30.4
1023289493,ADAMS,STEPHANIE,A,D.O.,F,I,1 MEDICAL PARK BLVD,,BRISTOL,TN,376207430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,470,70.23,49.859333333,49.542666667
1023289493,ADAMS,STEPHANIE,A,D.O.,F,I,1 MEDICAL PARK BLVD,,BRISTOL,TN,376207430,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,85,37.44,26.415,26.579
1023290269,MENNIG SAN ROMAN,JOHAN,,PA-C,M,I,975 BAPTIST WAY,,HOMESTEAD,FL,330337600,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,82,82,40.130487805,18.075365854,13.65304878,13.085609756
1023290269,MENNIG SAN ROMAN,JOHAN,,PA-C,M,I,975 BAPTIST WAY,,HOMESTEAD,FL,330337600,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,103,103,221.19417476,88.247669903,68.356019417,55.589223301
1023290269,MENNIG SAN ROMAN,JOHAN,,PA-C,M,I,975 BAPTIST WAY,,HOMESTEAD,FL,330337600,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,115.42666667,35.463030303,27.805757576,29.27
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,570,11.24645614,0.5131754386,0.4023157895,0.4023157895
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,6.7998333333,2.59275,2.0327083333,2.0327083333
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,22,135,15465,4.6864642742,0.5730986098,0.4170223084,0.4295383123
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,16,14,64,9190,0.0809031556,0.0131936888,0.0095125136,0.0098171926
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,17,94,13620,3.2198854626,1.4265763583,1.0992650514,1.0992650514
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,462,26.634480519,7.4761471861,5.8612554113,5.8612554113
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,25,27,149,149,24,24,18.465503356,18.465503356
1023290475,KEITH,DOUGLAS,S,M.D.,M,I,5149 N 9TH AVE,,PENSACOLA,FL,325048756,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,21,25,159,195,16,16,12.21974359,12.21974359
1023290533,DAVE,DHIREN,S,M.D.,M,I,72 W END AVE,,SOMERVILLE,NJ,088761824,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,37,3660,0.3132786885,0.13,0.0918770492,0.0918770492
1023290533,DAVE,DHIREN,S,M.D.,M,I,72 W END AVE,,SOMERVILLE,NJ,088761824,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,3120,4.1042307692,1.9673076923,1.3998878205,1.4528012821
1023290533,DAVE,DHIREN,S,M.D.,M,I,72 W END AVE,,SOMERVILLE,NJ,088761824,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,26,60,21.766,9.91,6.4396666667,7.1703333333
1023290533,DAVE,DHIREN,S,M.D.,M,I,72 W END AVE,,SOMERVILLE,NJ,088761824,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,360,18.579166667,9.8202777778,7.4866666667,7.504
1023290533,DAVE,DHIREN,S,M.D.,M,I,72 W END AVE,,SOMERVILLE,NJ,088761824,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,460,8.6468695652,4.0239130435,3.087,3.0987391304
1023291325,LOWE,PAULA,J,FNP,F,I,1165 N US HIGHWAY 421,,DELPHI,IN,469238722,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,87.842272727,8.32,5.9272727273,5.9272727273
1023291820,VALDBERG,DORA,E,D.P.M.,F,I,1410 W 3RD ST,,BROOKLYN,NY,112044101,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,22,22,44,118.37,69.961363636,54.851136364,56.054772727
1023291820,VALDBERG,DORA,E,D.P.M.,F,I,1410 W 3RD ST,,BROOKLYN,NY,112044101,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,21,21,106,39.531698113,28.869811321,22.633773585,22.859811321
1023291820,VALDBERG,DORA,E,D.P.M.,F,I,1410 W 3RD ST,,BROOKLYN,NY,112044101,US,Podiatry,S,L3030,"Foot, insert, removable, formed to patient foot, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,21,22,44,84.654090909,70.922272727,55.604090909,57.040909091
1023292547,DAVIDSON,HEATHER,N,PA-C,F,I,861 W MAIN STREET,,MOLALLA,OR,97038,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,48,69.639583333,8.32,4.8139583333,4.8139583333
1023293396,NEGUSSE,YODIT,,MD,F,I,9000 FRANKLIN SQUARE DR,,BALTIMORE,MD,212373901,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,17.46,17.46,13.69,13.550714286
1023293420,BERNARDINO,VIRGILIO,,P.A.,M,I,5233 RICKER ROAD,SUITE 101,JACKSONVILLE,FL,322101439,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,24,90,62.901666667,8.32,6.3773333333,6.3773333333
1023293420,BERNARDINO,VIRGILIO,,P.A.,M,I,5233 RICKER ROAD,SUITE 101,JACKSONVILLE,FL,322101439,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,167.93,46.665,36.585,37.186666667
1023293420,BERNARDINO,VIRGILIO,,P.A.,M,I,5233 RICKER ROAD,SUITE 101,JACKSONVILLE,FL,322101439,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.98,4.2,3.29,3.94
1023293537,LARNED,JOSHUA,M,M.D.,M,I,4725 N FEDERAL HWY,SUITE 401,FORT LAUDERDALE,FL,333084603,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,61,63,1258.1204762,19.70015873,15.442539683,15.442539683
1023293537,LARNED,JOSHUA,M,M.D.,M,I,4725 N FEDERAL HWY,SUITE 401,FORT LAUDERDALE,FL,333084603,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,69,300,629.90313333,37.364266667,29.293666667,29.293666667
1023293537,LARNED,JOSHUA,M,M.D.,M,I,4725 N FEDERAL HWY,SUITE 401,FORT LAUDERDALE,FL,333084603,US,Advanced Heart Failure and Transplant Cardiology,S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,69,942,66.445690021,5.1715711253,4.0545329087,4.0545329087
1023294311,CHANG,YOON HEE,A,MD,F,I,1615 DELAWARE ST,,LONGVIEW,WA,986322367,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,377.8725,37.37875,28.338125,28.4759375
1023295185,FAULKNER,JOHN,J,MD,M,I,120 CHARLES ROLLINS RD,SUITE 106,HENDERSON,NC,275362882,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,66.010769231,15.338461538,11.25,8.4184615385
1023295185,FAULKNER,JOHN,J,MD,M,I,120 CHARLES ROLLINS RD,SUITE 106,HENDERSON,NC,275362882,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,64,22.370434783,15.456086957,11.570869565
1023295185,FAULKNER,JOHN,J,MD,M,I,120 CHARLES ROLLINS RD,SUITE 106,HENDERSON,NC,275362882,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1023295185,FAULKNER,JOHN,J,MD,M,I,120 CHARLES ROLLINS RD,SUITE 106,HENDERSON,NC,275362882,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,413.04194444,101.36222222,69.508333333,45.608333333
1023295516,RUMSEY,MARIA,P,MD,F,I,289 PLEASANT ST,STE 301,FALL RIVER,MA,027213005,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,3750,2755.5788889,2160.3744444,2160.3744444
1023295631,MEEHAN,ERIC,D,D.P.M.,M,I,70 KENYON AVE,STE 212,WAKEFIELD,RI,028794239,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,60,88,71.56,56.105333333,56.105333333
1023295631,MEEHAN,ERIC,D,D.P.M.,M,I,70 KENYON AVE,STE 212,WAKEFIELD,RI,028794239,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,126,50,29.19,22.885079365,22.886507937
1023295631,MEEHAN,ERIC,D,D.P.M.,M,I,70 KENYON AVE,STE 212,WAKEFIELD,RI,028794239,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,350,330.50266667,259.11266667,220.34933333
1023295938,MCKENNA,MARK,E,MD,M,I,1909 VISTA DRIVE,,LARAMIE,WY,820705530,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,16,16,257,65,25.6,20.070505837,20.070505837
1023295938,MCKENNA,MARK,E,MD,M,I,1909 VISTA DRIVE,,LARAMIE,WY,820705530,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,21,42.047619048,42.047619048,30.987142857,75.981904762
1023295938,MCKENNA,MARK,E,MD,M,I,1909 VISTA DRIVE,,LARAMIE,WY,820705530,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,18,41,41,30.355,44.760555556
1023296050,DUHN,VALERIE,S,MD,F,I,"521 E. MICHIGAN AVE, STE 201",,KALAMAZOO,MI,49007,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,6.928,0.48575,0.3809166667,0.3809166667
1023296050,DUHN,VALERIE,S,MD,F,I,"521 E. MICHIGAN AVE, STE 201",,KALAMAZOO,MI,49007,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1200,1.6612333333,0.73835,0.5788833333,0.5788833333
1023296050,DUHN,VALERIE,S,MD,F,I,"521 E. MICHIGAN AVE, STE 201",,KALAMAZOO,MI,49007,US,Physician/Nephrology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2254,1.9633096717,0.1406654836,0.1102795031,0.1102795031
1023296050,DUHN,VALERIE,S,MD,F,I,"521 E. MICHIGAN AVE, STE 201",,KALAMAZOO,MI,49007,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1023296050,DUHN,VALERIE,S,MD,F,I,"521 E. MICHIGAN AVE, STE 201",,KALAMAZOO,MI,49007,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,25,16,16,12.54,12.54
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,55,157,73.071210191,8.32,5.857133758,5.857133758
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,20,15.5635,1.42,0.8925,0.8925
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2250,3.298,2.04,1.5709644444,1.5709644444
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2200,11.4,7.88,6.1532181818,6.1532181818
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,7176,2.4236120401,0.3597909699,0.2820666109,0.2900752508
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,43.12375,17,12.6725,12.882916667
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.13,10.560909091,8.2836363636,8.3863636364
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,39,39,32.458974359,9.9341025641,7.3956410256,7.4335897436
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,306.17,205.78181818,148.28272727,148.28272727
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,63,74,375.86202703,81.305135135,61.301216216,53.207297297
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,272.87,44.745,32.344166667,27.056666667
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1094,1.809725777,0.1322486289,0.0962888483,0.0962888483
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,125.73,35.66,27.96,29.51
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,736.78,137.91678571,96.637857143,86.9325
1023296746,LEE,FELICIA,R,M.D.,F,I,2950 S ELM PL,SUITE 260,BROKEN ARROW,OK,740127877,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1023296936,KASARYAN,HRACH,I,D.O.,M,I,400 FRANK W BURR BLVD,"#22, SECOND FLOOR",TEANECK,NJ,076666839,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,28,76,242,67.688057851,8.32,6.1180991736,6.1180991736
1023296936,KASARYAN,HRACH,I,D.O.,M,I,400 FRANK W BURR BLVD,"#22, SECOND FLOOR",TEANECK,NJ,076666839,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,12.231428571,3.38,2.65,2.65
1023296936,KASARYAN,HRACH,I,D.O.,M,I,400 FRANK W BURR BLVD,"#22, SECOND FLOOR",TEANECK,NJ,076666839,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,39,52,13.167115385,1.42,1.0730769231,1.0730769231
1023296936,KASARYAN,HRACH,I,D.O.,M,I,400 FRANK W BURR BLVD,"#22, SECOND FLOOR",TEANECK,NJ,076666839,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,134.38,44.743076923,32.513846154,34.506923077
1023296936,KASARYAN,HRACH,I,D.O.,M,I,400 FRANK W BURR BLVD,"#22, SECOND FLOOR",TEANECK,NJ,076666839,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,217.1,71.5,56.06,54.73
1023296936,KASARYAN,HRACH,I,D.O.,M,I,400 FRANK W BURR BLVD,"#22, SECOND FLOOR",TEANECK,NJ,076666839,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,69.89,15.306363636,12.000909091,14.281818182
1023296936,KASARYAN,HRACH,I,D.O.,M,I,400 FRANK W BURR BLVD,"#22, SECOND FLOOR",TEANECK,NJ,076666839,US,Physician/Cardiovascular Disease (Cardiology),S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,22.760555556,6.5766666667,4.8822222222,6.24
1023297199,ZELENKA,ALEX,,MD PA,F,I,11321 COUNTRYWAY BLVD,,TAMPA,FL,336262610,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,30,66,89.840151515,8.32,5.3354545455,5.3354545455
1023297199,ZELENKA,ALEX,,MD PA,F,I,11321 COUNTRYWAY BLVD,,TAMPA,FL,336262610,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,11,11,36.836363636,17.3,13.56,13.969090909
1023297199,ZELENKA,ALEX,,MD PA,F,I,11321 COUNTRYWAY BLVD,,TAMPA,FL,336262610,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,23,92,5.5967391304,2,1.5686956522,1.5906521739
1023297199,ZELENKA,ALEX,,MD PA,F,I,11321 COUNTRYWAY BLVD,,TAMPA,FL,336262610,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,40,40,91.7775,34.1995,26.14875,25.43275
1023297397,TESFAI,MEBRAHTOM,,MD,M,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,47.271176471,19.897647059,15.601764706,13.58
1023297397,TESFAI,MEBRAHTOM,,MD,M,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,270.04176471,84.327058824,66.112352941,54.751176471
1023297546,EWING,NEIL,R,PA-C,M,I,4709 CREEKSTONE DR,,DURHAM,NC,277039822,US,Physician Assistant,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,125,98.43,71.108181818,63.827272727
1023297546,EWING,NEIL,R,PA-C,M,I,4709 CREEKSTONE DR,,DURHAM,NC,277039822,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,340,269.19625,209.953125,216.5975
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,34,78,196,49.547806122,8.32,6.0898469388,6.0898469388
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,11.353333333,3.38,2.3555555556,2.3555555556
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,23,41,56,9.3223214286,1.42,1.0164285714,1.0164285714
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,388,9.0006185567,8.2776804124,6.1713917526,6.1732216495
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,14,27,7.8422222222,1.6862962963,1.3218518519,1.1425925926
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,68,10.376470588,2.1658823529,1.6985294118,1.5902941176
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,55,101.782,17.730363636,13.659636364,13.723636364
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,632.43,93.958333333,73.663333333,70.045833333
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,63.963333333,15.330555556,12.018888889,10.48
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,39.625384615,6.6869230769,5.0761538462,3.6707692308
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,103,107,458.89476636,82.115607477,60.858691589,53.916635514
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.081857143,8.5312261905,8.5312261905
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,7009,0.3130346697,0.0470052789,0.035534313,0.035534313
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,1740,0.92,0.1375517241,0.1047298851,0.1047298851
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,44,2766,10.276576283,3.0459544469,2.3361822126,2.3361822126
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,25,25,105.7936,19.4556,14.0888,12.6392
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,167.1,48.75,33.973333333,31.395555556
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,31.141111111,9.4272222222,6.6366666667,6.1116666667
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,69.7,41.247,29.2835,27.0005
1023297587,GOYAL,YATISH,,M.D.,M,I,970 E WASHINGTON ST,SUITE 204,MEDINA,OH,442563332,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,62,62,98.467741935,33,25.035483871,25.035483871
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,44,99,338,32.271745562,8.32,6.0417159763,6.0417159763
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,17,23,23,13.52173913,3.38,2.5347826087,2.5347826087
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,19,21,21,14.704761905,2.12,1.5904761905,1.5904761905
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,36,75,133,9.9601503759,1.42,1.0484210526,1.0484210526
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,750,0.4441066667,0.27,0.2116,0.2116
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,17,38,6.6894736842,2.0663157895,1.6207894737,1.34
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,65.460769231,17.043846154,12.597692308,9.1123076923
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,176.74,112.58333333,83.668333333,66.735
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,30,61.168333333,41.888,32.840666667,26.921333333
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,30.755,18.515,14.515,9.9464285714
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,91,3.9514285714,2.5832967033,2.0253846154,1.6616483516
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,480,36.68,4.2875,3.3613333333,2.3838333333
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,12322,1.2835189093,0.4024833631,0.3131699399,0.2420946275
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,35.263157895,13.708421053,10.745263158,9.5710526316
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,21,92,92,163.68032609,52.160869565,36.474347826,32.882608696
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,159.34,75.6445,59.3025,52.077
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,555.1062069,216.17862069,165.05413793,122.90827586
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,119,119,45.262016807,21.510420168,16.24697479,13.025966387
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,26,138,138,55.014855072,6.0171014493,4.2437681159,3.2437681159
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,100.52944444,34.611111111,23.952222222,23.231111111
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,128.06666667,67.83,53.176,53.172
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,35.211304348,11.503478261,8.6582608696,8.2356521739
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,36.67,10.403181818,7.8159090909,7.5609090909
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,420.19,208.80772727,162.62227273,162.62181818
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,28,198,202,331.84891089,92.625841584,68.764257426,51.783762376
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,8861,0.2228157093,0.0462092315,0.0349779935,0.0349779935
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,46,5182,1.6465013508,0.1351543805,0.101769587,0.101769587
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,1380,0.9932028986,0.2188115942,0.1641014493,0.1641014493
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,13,13,73.386153846,20.806153846,12.983076923,13.250769231
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,47,47,90.82,40.159574468,30.155744681,24.151276596
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,224.69,69.726153846,54.666153846,55.215384615
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,62,62,26.52,8.4559677419,6.5437096774,6.6858064516
1023297967,GALERA,RIGEL,,M.D.,M,I,1985 GRATIOT BLVD,SUITE 2A,MARYSVILLE,MI,480402215,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,24,84,84,78.392857143,33,24.946071429,24.946071429
1023297983,QUINLAN,CHRISTINE,S,FNP,F,I,255 LAFAYETTE AVE,,SUFFERN,NY,109014812,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,29,98,50.230918367,8.32,5.5396938776,5.5396938776
1023298296,PAEZ,SARAH,E,GNP-BC,F,I,1250 HANCOCK ST FL 5,,QUINCY,MA,021694339,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1372,1.5821355685,0.1342857143,0.1052988338,0.1052988338
1023298296,PAEZ,SARAH,E,GNP-BC,F,I,1250 HANCOCK ST FL 5,,QUINCY,MA,021694339,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,91.764705882,16.636470588,11.959411765,12.642058824
1023298296,PAEZ,SARAH,E,GNP-BC,F,I,1250 HANCOCK ST FL 5,,QUINCY,MA,021694339,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,35,7.945,5.7992857143,5.8728571429
1023298296,PAEZ,SARAH,E,GNP-BC,F,I,1250 HANCOCK ST FL 5,,QUINCY,MA,021694339,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,61.285714286,33,25.87,25.87
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,24,58,157,68.408343949,8.32,5.8161783439,5.8161783439
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,,19,29,13.67,1.42,0.9237931034,0.9237931034
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,117,233,234,133.94978632,39.369145299,28.940512821,28.585384615
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,84,158,159,451.33610063,88.261823899,64.593773585,63.337295597
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,69,148,383,160.23603133,34.339321149,26.387650131,25.433759791
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,106,233,1190,87.33687395,19.756621849,14.590529412,13.732084034
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,75,162,834,65.333657074,15.530251799,11.362733813,11.097242206
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,194,396,397,256.15785894,60.118287154,44.455390428,40.648740554
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,252,342,342,81.882017544,19.092807018,14.459035088,13.624473684
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,34,40,40,37.4425,10.68575,8.17325,7.95075
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,156,300,301,90.521561462,12.591196013,9.4334883721,8.763255814
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,258,547,2951,10.662605896,2.1325957303,1.621863775,1.5483632667
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,43,51,51,24.765882353,6.6178431373,4.8088235294,4.3643137255
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,153,205,205,54.564487805,13.201853659,10.00897561,10.000097561
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,17,113,116,465.78818966,90.591293103,68.124224138,63.43112069
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,37,38,1250.86,227.91973684,172.55342105,151.18605263
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,60,60,60,574.83316667,133.61083333,98.648,98.413666667
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,29,133,159,76.520440252,13.457106918,9.53,9.4405031447
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.32,3.7308333333,3.24
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,111,595,637,320.05464678,36.328006279,26.993971743,24.810941915
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,48,593.36708333,80.824583333,60.307916667,53.674583333
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,226,37,27.076,27.518
1023298445,SINGH,ABHINAV,,MD,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37,29.01,29.464545455
1023299419,FINCH,CHARLES,S,M.D.,M,I,3831 VALPARISO CIR,,DECATUR,GA,300346018,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,27,63.256296296,8.32,5.7977777778,5.7977777778
1023299435,IVEY-BROWN,JACQUELINE,R,M.D.,F,I,2650 RIDGE AVE,,EVANSTON,IL,602011718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,28,79,77.779493671,8.32,6.192278481,6.192278481
1023299435,IVEY-BROWN,JACQUELINE,R,M.D.,F,I,2650 RIDGE AVE,,EVANSTON,IL,602011718,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,20,26,15.495,1.42,1.0315384615,1.0315384615
1023299435,IVEY-BROWN,JACQUELINE,R,M.D.,F,I,2650 RIDGE AVE,,EVANSTON,IL,602011718,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,111.48,18,12.934166667,12.506666667
1023299435,IVEY-BROWN,JACQUELINE,R,M.D.,F,I,2650 RIDGE AVE,,EVANSTON,IL,602011718,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,406.82666667,77.18,51.350833333,47.01
1023299658,KOENIG,FRANK,L,MD,M,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/General Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,19,709,1.8973906911,1.08,0.8466995769,0.8466995769
1023299658,KOENIG,FRANK,L,MD,M,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,11,21,205,38.207804878,25.092195122,19.672341463,19.229853659
1023299658,KOENIG,FRANK,L,MD,M,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,11,20,160,14.7,8.20375,6.4316875,6.4286875
1023299658,KOENIG,FRANK,L,MD,M,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,1871.537,688.931,538.151,476.39
1023299765,DE GRANDVILLE,CATHERINE,M,MD,F,I,2801 W KINNICKINNIC RIVER PKWY,SUITE 250,MILWAUKEE,WI,532153669,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,51,155,78.738451613,8.32,5.9328387097,5.9328387097
1023299765,DE GRANDVILLE,CATHERINE,M,MD,F,I,2801 W KINNICKINNIC RIVER PKWY,SUITE 250,MILWAUKEE,WI,532153669,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,22,39,14.527948718,1.42,1.0866666667,1.0866666667
1023299799,TAN,KELLY,K,M.D.,F,I,3880 SALEM LAKE DR,STE F,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,68.056153846,17.730769231,12.844615385,12.553846154
1023299799,TAN,KELLY,K,M.D.,F,I,3880 SALEM LAKE DR,STE F,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25.95,3.7909090909,2.9672727273,3.4727272727
1023299799,TAN,KELLY,K,M.D.,F,I,3880 SALEM LAKE DR,STE F,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,425.93782609,77.456956522,58.064347826,52.877391304
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,25,41,41,105.99756098,37.215609756,27.352682927,28.452926829
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,41,83,83,236.99686747,90.347349398,67.256746988,64.581325301
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,36,90,196,89.890510204,34.159744898,25.93755102,25.120918367
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,24,55,203,55.491921182,19.433891626,14.604778325,13.99270936
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,21,49,245,41.015265306,16,11.716693878,11.215183673
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,40,82,82,170.75512195,56.597073171,41.536707317,40.239146341
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,72,97,97,51.989072165,18.22,13.17257732,12.949278351
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,23.847272727,10.111818182,7.21,7.4145454545
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,55,128,128,58.626875,12.190390625,9.00828125,8.600625
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,77,174,873,9.4428293242,2.0258877434,1.5474226804,1.5473539519
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,43,62,62,23.860483871,6.2653225806,4.6943548387,4.450483871
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,39,51,51,29.363529412,12.998039216,9.8131372549,9.9317647059
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,35,35,508.84885714,87.976571429,67.138,65.003428571
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,39,41,1020.8070732,241.88682927,189.64243902,161.98439024
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,22,22,22,405.80590909,139.295,102.96272727,99.045909091
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,23,103,126,55.643253968,13.635555556,10.004126984,9.8705555556
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,64,354,384,233.88783854,34.809192708,25.421484375,23.961510417
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,464.04518519,79.10037037,60.237037037,54.48962963
1023299849,NAZIR,USMAN,,,M,I,6040 DELP,MS 1020,KANSAS CITY,KS,661600001,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,133.62181818,37.15,29.13,29.475454545
1023300019,KALOOSTIAN,CAROLYN,L,MD,F,I,1520 SAN PABLO ST,1ST FLOOR,LOS ANGELES,CA,900335310,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,54,123,59.364796748,8.32,6.3619512195,6.3619512195
1023300019,KALOOSTIAN,CAROLYN,L,MD,F,I,1520 SAN PABLO ST,1ST FLOOR,LOS ANGELES,CA,900335310,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,26,29,9.5189655172,1.42,1.0813793103,1.0813793103
1023300019,KALOOSTIAN,CAROLYN,L,MD,F,I,1520 SAN PABLO ST,1ST FLOOR,LOS ANGELES,CA,900335310,US,Physician/Geriatric Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.59,41.87,32.825,32.825
1023300019,KALOOSTIAN,CAROLYN,L,MD,F,I,1520 SAN PABLO ST,1ST FLOOR,LOS ANGELES,CA,900335310,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,112.00769231,39.98,28.929230769,30.584615385
1023300019,KALOOSTIAN,CAROLYN,L,MD,F,I,1520 SAN PABLO ST,1ST FLOOR,LOS ANGELES,CA,900335310,US,Physician/Geriatric Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,47.52,37,29.01,29.51
1023300019,KALOOSTIAN,CAROLYN,L,MD,F,I,1520 SAN PABLO ST,1ST FLOOR,LOS ANGELES,CA,900335310,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,23,50.339565217,22.893478261,16.45173913,12.529565217
1023300126,CUETO,DANIEL,,M.D.,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,339526704,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,61.6,17.2175,13.495,13.5325
1023300126,CUETO,DANIEL,,M.D.,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,339526704,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.2433333333,2.9833333333,3.2225
1023300126,CUETO,DANIEL,,M.D.,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,339526704,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,292.06291667,76.33625,57.234166667,52.77875
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,48,65.510833333,8.32,6.2495833333,6.2495833333
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,17,38.827058824,1.42,1.0517647059,1.0517647059
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,160.66777778,76.642777778,60.090555556,40.48
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,51.442352941,18.982352941,14.004117647,12.767058824
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,24.017777778,7.5781481481,5.9396296296,3.9488888889
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,29,7.46,3.8620689655,3.0296551724,2.3137931034
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,234.50526316,99.130526316,76.146578947,53.302105263
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,8.86,4.7186666667,3.7013333333,2.9986666667
1023300340,FARRIS,RYAN,,MD,M,I,272 LONDON MOUNTAIN VIEW DR,,LONDON,KY,407416601,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,91.192,48.774666667,38.244666667,23.69
1023300423,IBANEZ,KATHERINE,E,P.A.-C.,F,I,177 FORT WASHINGTON AVE,ROOM 8-004,NEW YORK,NY,10032,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,36.5,16.989230769,12.296153846,12.518461538
1023300423,IBANEZ,KATHERINE,E,P.A.-C.,F,I,177 FORT WASHINGTON AVE,ROOM 8-004,NEW YORK,NY,10032,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,217.1,77.55,58.260416667,52.449583333
1023300431,SONNE,RACHEL,E,"M.D., M.P.H.",F,I,1007 N POPE ST,HIDALGO MEDICAL SERVICES,SILVER CITY,NM,880615161,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,410,98.85,62.983571429,41.293571429
1023300449,PATEL,MOHITA,A,M.D.,F,I,9255 DALLAS PKWY STE 110,,FRISCO,TX,750334211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,35,70,72.231,8.32,5.8247142857,5.8247142857
1023300449,PATEL,MOHITA,A,M.D.,F,I,9255 DALLAS PKWY STE 110,,FRISCO,TX,750334211,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,16,17,12.024705882,1.42,0.9870588235,0.9870588235
1023300654,NAGEL,DAVID,,"M.D., PHD",M,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,51.577826087,17,13.33,13.530869565
1023300654,NAGEL,DAVID,,"M.D., PHD",M,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,490.28413793,77.18,58.874137931,53.483793103
1023300654,NAGEL,DAVID,,"M.D., PHD",M,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,780,0.6753846154,0.1362307692,0.0811923077,0.0811923077
1023300654,NAGEL,DAVID,,"M.D., PHD",M,I,601 ELMWOOD AVE,,ROCHESTER,NY,146420001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,60.5,33,20.500555556,20.500555556
1023300670,GENNIS,ELISABETH,R,MD,F,I,14 RESEARCH PL,,N CHELMSFORD,MA,018632412,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,260.58076923,205.73153846,161.28923077,171.21769231
1023300670,GENNIS,ELISABETH,R,MD,F,I,14 RESEARCH PL,,N CHELMSFORD,MA,018632412,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,52,52,59,89.772881356,68.988135593,52.361525424,45.127118644
1023300670,GENNIS,ELISABETH,R,MD,F,I,14 RESEARCH PL,,N CHELMSFORD,MA,018632412,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,20,125,103,79.7475,66.9605
1023300688,KHROMACHOU,TAMIM,,MD,M,I,725 HAMLINE ST,,GRAND FORKS,ND,582032819,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51,22.4775,17.620833333,13.53
1023300688,KHROMACHOU,TAMIM,,MD,M,I,725 HAMLINE ST,,GRAND FORKS,ND,582032819,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,280,94.86,74.371176471,54.73
1023300944,PEARSON,KATHLEEN,T,MD,F,I,1250 E MARSHALL ST,DEPT. OF NEUROLOGY,RICHMOND,VA,232985051,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,60,74,1919.71,1073.16,805.29986486,806.16716216
1023300944,PEARSON,KATHLEEN,T,MD,F,I,1250 E MARSHALL ST,DEPT. OF NEUROLOGY,RICHMOND,VA,232985051,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,567,364.92333333,256.24916667,271.59083333
1023300944,PEARSON,KATHLEEN,T,MD,F,I,1250 E MARSHALL ST,DEPT. OF NEUROLOGY,RICHMOND,VA,232985051,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,35.836363636,21.616363636,25.949090909
1023301363,ROMINES,RYAN,C,NP,M,I,1346 PAPERMILL POINTE WAY,,KNOXVILLE,TN,379091903,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,50.73,7.01,0.4583333333,0.2816666667
1023301371,HESS,JOSEPH,B,MD,M,I,1600 MEDICAL CENTER DR,1500,HUNTINGTON,WV,257013656,US,Hospitalist,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,7.952,1.8015,1.412,1.151
1023301371,HESS,JOSEPH,B,MD,M,I,1600 MEDICAL CENTER DR,1500,HUNTINGTON,WV,257013656,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,80,83,59.841686747,18.008554217,12.66313253,12.100361446
1023301371,HESS,JOSEPH,B,MD,M,I,1600 MEDICAL CENTER DR,1500,HUNTINGTON,WV,257013656,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,64,66,23.395909091,5.1972727273,3.8703030303,3.4807575758
1023301371,HESS,JOSEPH,B,MD,M,I,1600 MEDICAL CENTER DR,1500,HUNTINGTON,WV,257013656,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,109,112,229.82839286,74.273125,53.181607143,49.783303571
1023301371,HESS,JOSEPH,B,MD,M,I,1600 MEDICAL CENTER DR,1500,HUNTINGTON,WV,257013656,US,Hospitalist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2280,0.9417763158,0.13825,0.1084078947,0.1084078947
1023301371,HESS,JOSEPH,B,MD,M,I,1600 MEDICAL CENTER DR,1500,HUNTINGTON,WV,257013656,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,126.78947368,33,25.87,25.87
1023301637,COOK,LAURA,A,M.D.,F,I,1055 WESTGATE DR,SUITE 100,SAINT PAUL,MN,551141065,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,146.35384615,52.484615385,41.148461538,39.023076923
1023301637,COOK,LAURA,A,M.D.,F,I,1055 WESTGATE DR,SUITE 100,SAINT PAUL,MN,551141065,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,453.55266667,46.612,31.976,32.980666667
1023301637,COOK,LAURA,A,M.D.,F,I,1055 WESTGATE DR,SUITE 100,SAINT PAUL,MN,551141065,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,166.96285714,19.333571429,13.259642857,12.878928571
1023301637,COOK,LAURA,A,M.D.,F,I,1055 WESTGATE DR,SUITE 100,SAINT PAUL,MN,551141065,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,103.52,40.62,29.195833333,27.06
1023301801,KIM,EDWARD,M,M.D.,M,I,833 SAINT VINCENTS DR,SUITE 300 POB III,BIRMINGHAM,AL,352051606,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,39,101,74.178712871,8.32,5.1657425743,5.1657425743
1023301801,KIM,EDWARD,M,M.D.,M,I,833 SAINT VINCENTS DR,SUITE 300 POB III,BIRMINGHAM,AL,352051606,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,17,15.161764706,1.42,0.7894117647,0.7894117647
1023301801,KIM,EDWARD,M,M.D.,M,I,833 SAINT VINCENTS DR,SUITE 300 POB III,BIRMINGHAM,AL,352051606,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,55,22.6,15.34,12.802666667
1023302544,MCELROY,SAMUEL,D,MD,M,I,4451 PAULSEN ST,SAVANNAH,SAVANNAH,GA,31405,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,27,93,53.322688172,8.32,6.5225806452,6.5225806452
1023302593,VALTSIS,VLADISLAV,,D.O.,M,I,1000 BLYTHE BLVD,,CHARLOTTE,NC,282035812,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,56,475.44642857,77.473571429,54.431428571,49.025178571
1023302593,VALTSIS,VLADISLAV,,D.O.,M,I,1000 BLYTHE BLVD,,CHARLOTTE,NC,282035812,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,100,38.178571429,27.587142857,27.402857143
1023302593,VALTSIS,VLADISLAV,,D.O.,M,I,1000 BLYTHE BLVD,,CHARLOTTE,NC,282035812,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,85,35.27,22.630909091,24.518181818
1023302908,CALVO,VICTOR,M,M.D.,M,I,6200 SW 73RD ST # 69,,SOUTH MIAMI,FL,331434679,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,80.12,55.796153846,43.746923077,40.440384615
1023302908,CALVO,VICTOR,M,M.D.,M,I,6200 SW 73RD ST # 69,,SOUTH MIAMI,FL,331434679,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,40.309714286,18.910857143,14.018,12.861714286
1023302908,CALVO,VICTOR,M,M.D.,M,I,6200 SW 73RD ST # 69,,SOUTH MIAMI,FL,331434679,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,140.67885714,92.030571429,68.121428571,54.318
1023302908,CALVO,VICTOR,M,M.D.,M,I,6200 SW 73RD ST # 69,,SOUTH MIAMI,FL,331434679,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,40.298,23.239,18.222,16.177333333
1023302908,CALVO,VICTOR,M,M.D.,M,I,6200 SW 73RD ST # 69,,SOUTH MIAMI,FL,331434679,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,15.76,9.6168965517,7.5386206897,7.024137931
1023303203,KERR,RYAN,D,M.D.,M,I,1924 ALCOA HWY,U56,KNOXVILLE,TN,379201511,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,24,86.31,18.68,14.03,13.0125
1023303203,KERR,RYAN,D,M.D.,M,I,1924 ALCOA HWY,U56,KNOXVILLE,TN,379201511,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,28,516.00857143,85.462857143,64.568214286,53.256785714
1023303328,NIEMEYER,CHAD,R,M.D.,M,I,5598 NORTH FWY # A1,,HOUSTON,TX,770764702,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,51,103,55.335825243,8.32,6.2045631068,6.2045631068
1023303328,NIEMEYER,CHAD,R,M.D.,M,I,5598 NORTH FWY # A1,,HOUSTON,TX,770764702,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,175,47.3725,37.1375,38.088333333
1023304037,HEINCKER,ALAN,D,D.O.,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,194.62941176,68.085882353,53.381176471,45.018823529
1023304037,HEINCKER,ALAN,D,D.O.,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,20,67.71,54.07,42.23,45.7935
1023304037,HEINCKER,ALAN,D,D.O.,M,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,319.75,252.58833333,198.02583333,207.945
1023304250,WHITELAW,NARISSA,J,DO,F,I,1086 FRANKLIN ST,,JOHNSTOWN,PA,159054305,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,44,90.061136364,8.32,5.0402272727,5.0402272727
1023304250,WHITELAW,NARISSA,J,DO,F,I,1086 FRANKLIN ST,,JOHNSTOWN,PA,159054305,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,238.61333333,31.053333333,24.343333333,25.81
1023304573,POLLOCK,ALLISON,G,M.D.,F,I,350 HAWTHORNE AVE,,OAKLAND,CA,946093108,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,6.41,2.89,2.26,2.2509090909
1023304573,POLLOCK,ALLISON,G,M.D.,F,I,350 HAWTHORNE AVE,,OAKLAND,CA,946093108,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,42,64.642857143,30.220238095,23.687142857,22.774761905
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1360,0.15,0.12,0.0941029412,0.0941029412
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,1560,0.55,0.44,0.3449935897,0.3449935897
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,18,132,10.06,8.26,6.475530303,6.475530303
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,37,5750,0.16,0.13,0.1019095652,0.1019095652
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,30,3064,0.56,0.45,0.3528100522,0.3528100522
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,,11,150,72.387333333,24.814666667,19.454866667,19.242666667
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,100,38.0975,7.68,6.0211,6.3678
1023304615,FIELDS,JENNIFER,L,NP,F,I,111 E CHESTNUT ST,,ROME,NY,134402886,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,3408.2090909,665.01272727,521.36727273,507.66
1023304821,DAVIS,MARK,,PA-C,M,I,902 LAKEVIEW AVE,,PUEBLO,CO,810043597,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,48,48,17.51,17.51,12.775625,12.597708333
1023304821,DAVIS,MARK,,PA-C,M,I,902 LAKEVIEW AVE,,PUEBLO,CO,810043597,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,58,58,151.75586207,78.835862069,54.379482759,48.123793103
1023304946,RAZA,ALI,,M.D,M,I,1235 WHITEHORSE MERCERVILLE RD,SUITE 306,HAMILTON,NJ,086193810,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,26,70.510769231,17.256538462,13.011923077,13.027307692
1023304946,RAZA,ALI,,M.D,M,I,1235 WHITEHORSE MERCERVILLE RD,SUITE 306,HAMILTON,NJ,086193810,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,29,377.71517241,70.389310345,51.934137931,51.495517241
1023305158,MURPHY,MEGAN,A,FNP,F,I,3912 GEORGIA AVE NW,,WASHINGTON,DC,200115861,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,30,75.198333333,8.32,5.7533333333,5.7533333333
1023305570,JOSHI,PAYAL,,M.D.,F,I,1801 E 2ND ST,,SCOTCH PLAINS,NJ,070761749,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,36,69.926111111,8.32,6.1583333333,6.1583333333
1023305596,GILSON,NICOLE,M,NP,F,I,119 BELMONT ST DEPT OF,,WORCESTER,MA,016052903,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,25,26,1032,0.1637015504,0.1137984496,0.0873255814,0.0873255814
1023305596,GILSON,NICOLE,M,NP,F,I,119 BELMONT ST DEPT OF,,WORCESTER,MA,016052903,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,20,21,1955,0.1790792839,0.1235549872,0.0873810742,0.0873810742
1023305596,GILSON,NICOLE,M,NP,F,I,119 BELMONT ST DEPT OF,,WORCESTER,MA,016052903,US,Nurse Practitioner,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,83,83,61.242352941,59.851764706
1023305596,GILSON,NICOLE,M,NP,F,I,119 BELMONT ST DEPT OF,,WORCESTER,MA,016052903,US,Nurse Practitioner,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,36,36,336,335.04,262.67,220.10611111
1023305786,SETTIPALLI,SRILAKSHMI,,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,38,138,50.753478261,8.32,6.4273188406,6.4273188406
1023305786,SETTIPALLI,SRILAKSHMI,,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,46,13.983695652,1.42,1.1147826087,1.1147826087
1023305786,SETTIPALLI,SRILAKSHMI,,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,16.016666667,5.6333333333,2.5977777778,1.69
1023305786,SETTIPALLI,SRILAKSHMI,,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,457.81735294,86.495294118,56.95,45.071764706
1023305802,AKHTAR,SUMAIR,,M.D.,M,I,211 N 12TH ST,,LEHIGHTON,PA,182351138,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,36.88,16,12.54,13.54
1023305802,AKHTAR,SUMAIR,,M.D.,M,I,211 N 12TH ST,,LEHIGHTON,PA,182351138,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,35,3.9264285714,2.8564285714,3.4035714286
1023305802,AKHTAR,SUMAIR,,M.D.,M,I,211 N 12TH ST,,LEHIGHTON,PA,182351138,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,230,71.11,55.75,54.73
1023305968,KISH,RACHEL,S,D.P.M.,F,I,21 GEISINGER LN,,LEWISTOWN,PA,170443400,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,319.75,279.25,205.70461538,205.67076923
1023306057,BOOTH,COLIN,D,M.D.,M,I,9430 PARK WEST BLVD STE 130,,KNOXVILLE,TN,37923,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1600,1328.44,1041.5,886.5
1023306065,MELNYK,NATALIYA,,M.D,F,I,2102 HARRISBURG PIKE,,LANCASTER,PA,176012644,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,1092,13.960586081,5.5851556777,4.1647435897,4.1647344322
1023306289,NIELSEN,PAUL,J,M.D.,M,I,2810 W 35TH ST,,KEARNEY,NE,688452909,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,19,20,508.5,273.221,214.2035,254.232
1023306289,NIELSEN,PAUL,J,M.D.,M,I,2810 W 35TH ST,,KEARNEY,NE,688452909,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,13,682.76923077,342.11692308,268.22076923,303.56384615
1023306289,NIELSEN,PAUL,J,M.D.,M,I,2810 W 35TH ST,,KEARNEY,NE,688452909,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,45,54,54,109.53703704,54.07,40.863518519,44.328518519
1023306289,NIELSEN,PAUL,J,M.D.,M,I,2810 W 35TH ST,,KEARNEY,NE,688452909,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,19,20,162.5,78.88,61.84,66.2
1023306859,REVAK,THOMAS,J,DO,M,I,3635 VISTA AVE,,SAINT LOUIS,MO,631102539,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,105.625,19.2375,12.9,11.77625
1023306859,REVAK,THOMAS,J,DO,M,I,3635 VISTA AVE,,SAINT LOUIS,MO,631102539,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,45.58,9.41,6.2095833333,5.4754166667
1023306867,SPLAWSKA,AMY,,NP-C,F,I,480 LINCOLN AVE,,SAUGUS,MA,019063776,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,248.6,47.535,33.443333333,34.368333333
1023306867,SPLAWSKA,AMY,,NP-C,F,I,480 LINCOLN AVE,,SAUGUS,MA,019063776,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,54,54,142.22537037,17.033333333,10.748703704,11.491481481
1023306867,SPLAWSKA,AMY,,NP-C,F,I,480 LINCOLN AVE,,SAUGUS,MA,019063776,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,54,54,25.84,8.3355555556,5.0364814815,5.1172222222
1023306917,FELICE,SETH,M,D.P.M.,M,I,5250 AUTO CLUB DR,SUITE 200,DEARBORN,MI,481262619,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,22,22,44,80.065454545,71.56,50.431136364,50.430681818
1023306917,FELICE,SETH,M,D.P.M.,M,I,5250 AUTO CLUB DR,SUITE 200,DEARBORN,MI,481262619,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,88,33.088977273,29.19,22.885,22.886704545
1023306933,WILDE,TROY,S,D.P.M.,M,I,595 N DOBSON RD STE D71,,CHANDLER,AZ,852244234,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,36,2304,0.1533854167,0.12,0.0908333333,0.0908333333
1023306933,WILDE,TROY,S,D.P.M.,M,I,595 N DOBSON RD STE D71,,CHANDLER,AZ,852244234,US,Podiatry,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,969,18.849349845,18.5,14.504004128,14.504004128
1023306933,WILDE,TROY,S,D.P.M.,M,I,595 N DOBSON RD STE D71,,CHANDLER,AZ,852244234,US,Podiatry,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,22,7840,0.0522193878,0.05,0.0392066327,0.0392066327
1023306933,WILDE,TROY,S,D.P.M.,M,I,595 N DOBSON RD STE D71,,CHANDLER,AZ,852244234,US,Podiatry,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,1456,7.1427747253,7.13,5.5899244505,5.5899244505
1023306933,WILDE,TROY,S,D.P.M.,M,I,595 N DOBSON RD STE D71,,CHANDLER,AZ,852244234,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,17,2274,0.1583641161,0.13,0.1001846966,0.1001846966
1023306933,WILDE,TROY,S,D.P.M.,M,I,595 N DOBSON RD STE D71,,CHANDLER,AZ,852244234,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,31,2558,0.4921501173,0.4498358092,0.352673964,0.352673964
1023307121,KIM,EUN JI,,MD,F,I,2001 MARCUS AVE STE S160,,NEW HYDE PARK,NY,110421011,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,365,77.74,60.95,54.73
1023307139,SULLIVAN,JUSTIN,L,D.O.,M,I,810 FAIRGROVE CHURCH RD,,HICKORY,NC,286029617,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.7027272727,3.6881818182,3.6854545455
1023307139,SULLIVAN,JUSTIN,L,D.O.,M,I,810 FAIRGROVE CHURCH RD,,HICKORY,NC,286029617,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,12,362.8125,71.691666667,48.1,47.816666667
1023307162,MALEK,MATTHEW,M,M.D,M,I,1126 HARTFORD AVE,,JOHNSTON,RI,02919,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,49,77.546122449,8.32,6.5210204082,6.5210204082
1023307162,MALEK,MATTHEW,M,M.D,M,I,1126 HARTFORD AVE,,JOHNSTON,RI,02919,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,13,14.286153846,1.42,1.1169230769,1.1169230769
1023307626,RAYAPPA,STEVEN,P,M.D.,M,I,135 N PARK PL STE 101,,STOCKBRIDGE,GA,302817237,US,Physician/Orthopedic Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,56.79,10.828181818,8.49,8.5109090909
1023307626,RAYAPPA,STEVEN,P,M.D.,M,I,135 N PARK PL STE 101,,STOCKBRIDGE,GA,302817237,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1808.06,196.01416667,153.67,120.61166667
1023307626,RAYAPPA,STEVEN,P,M.D.,M,I,135 N PARK PL STE 101,,STOCKBRIDGE,GA,302817237,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,200,125.72166667,93.022777778,84.661666667
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,32,32,32,132.68,45.255,35.48,36.116875
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,23,23,23,158.34,51.423913043,40.312608696,40.598695652
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,27.43,9.2923076923,6.2415384615,6.6792307692
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,36,36,181.41,50.104166667,37.982777778,38.172777778
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,26,26,40.46,16.78,12.644230769,12.896538462
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,23.79,3.9771428571,2.9542857143,3.5571428571
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,15,28,28,240.62,71.5,52.055714286,51.248214286
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,79.683636364,38.48,30.16,29.33
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,21,85,85,114.12,28.004117647,20.828705882,21.110117647
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,167.93,52.296153846,40.998461538,39.166153846
1023307741,GRAVES,RAGAN,N,APRN,F,I,2109 CLUB VISTA PL,,LOUISVILLE,KY,402455224,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,27.23,8.9873684211,6.7168421053,6.7
1023307840,BOOTH,KIMBERLY,,NURSE PRACTIONER,F,I,1421 N STATE ST STE 203,,JACKSON,MS,392021658,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,152.22222222,56.885555556,41.754444444,35.231111111
1023307840,BOOTH,KIMBERLY,,NURSE PRACTIONER,F,I,1421 N STATE ST STE 203,,JACKSON,MS,392021658,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,63,63,47.010793651,19.584126984,14.667777778,12.90984127
1023307840,BOOTH,KIMBERLY,,NURSE PRACTIONER,F,I,1421 N STATE ST STE 203,,JACKSON,MS,392021658,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,67,67,212.10328358,81.970447761,61.709253731,52.306716418
1023308038,TSEWANG,NAMGYAL,,M.D,F,I,510 N GUADALUPE ST,SUITE C1-C2,SANTA FE,NM,875016510,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,71,12.285211268,2.3330985915,1.5801408451,1.3456338028
1023308038,TSEWANG,NAMGYAL,,M.D,F,I,510 N GUADALUPE ST,SUITE C1-C2,SANTA FE,NM,875016510,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,163.47428571,17.27,11.605714286,11.605714286
1023308038,TSEWANG,NAMGYAL,,M.D,F,I,510 N GUADALUPE ST,SUITE C1-C2,SANTA FE,NM,875016510,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,366.36190476,30.219047619,23.196190476,23.253333333
1023308038,TSEWANG,NAMGYAL,,M.D,F,I,510 N GUADALUPE ST,SUITE C1-C2,SANTA FE,NM,875016510,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,540.32258065,68.78,48.701935484,49.522258065
1023308160,CHIRDON,TIMOTHY,B,D.O.,M,I,17527 MADISON AVE,APT 206,LAKEWOOD,OH,441073579,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,62,82.045806452,8.32,5.890483871,5.890483871
1023308194,FREELIN,JAMIE,D,M.D.,F,I,701 GROVE RD,5TH FLOOR SUPPORT TOWER,GREENVILLE,SC,296055611,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,228.23157895,51.628947368,40.478421053,40.762105263
1023308194,FREELIN,JAMIE,D,M.D.,F,I,701 GROVE RD,5TH FLOOR SUPPORT TOWER,GREENVILLE,SC,296055611,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,28,90.221428571,17,12.853928571,13.013214286
1023308194,FREELIN,JAMIE,D,M.D.,F,I,701 GROVE RD,5TH FLOOR SUPPORT TOWER,GREENVILLE,SC,296055611,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,27.228823529,4.4035294118,3.2588235294,3.38
1023308194,FREELIN,JAMIE,D,M.D.,F,I,701 GROVE RD,5TH FLOOR SUPPORT TOWER,GREENVILLE,SC,296055611,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,519.51,71,51.684285714,50.887142857
1023308210,AHMED,YASIR,,M.D.,M,I,700 W OLNEY RD,EVMS DEPT: COMBINED INTERNAL MEDICINE/FAMILY MEDICINE,NORFOLK,VA,235071607,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,55.136666667,19.334166667,14.029166667,12.408333333
1023308210,AHMED,YASIR,,M.D.,M,I,700 W OLNEY RD,EVMS DEPT: COMBINED INTERNAL MEDICINE/FAMILY MEDICINE,NORFOLK,VA,235071607,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,330.00333333,82.571666667,60.241666667,50.2475
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,4452,0.44,0.44,0.3449573226,0.3449573226
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,464,34.86,34.86,27.330280172,27.330280172
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,38,1764,8.28,8.28,6.4915306122,6.4915306122
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,192,22.42,22.42,17.577291667,17.577291667
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,23,274,10.93,10.93,8.5688686131,8.5688686131
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,1906,0.4485834208,0.4485834208,0.3517156348,0.3517156348
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,3,2.3519354839,2.3677419355
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,465,275,6.92,5.3115268817,4.0494623656
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5487,3,0.37,0.2721906324,0.2721906324
1023308863,WALKER,MEGAN,M,M.D.,F,I,12731 RESEARCH BLVD STE 301C,,AUSTIN,TX,787594383,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,5976,11.923333333,0.8191566265,0.6182161981,0.4934370817
1023309127,JOLY,JOANNA,M,M.D.,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,35233,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,14,32,403.3859375,37.38,29.305625,29.305625
1023309200,LICKERMAN,STEPHANIE,,"APRN, ANP-BC",F,I,121 SAINT LUKES CENTER DR,STE 303,CHESTERFIELD,MO,630173509,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,3727.7777778,2794.9444444,1985.32,1985.32
1023309325,BARR,KELSEY,J,MD,F,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,45,114,342,50.704064327,8.32,6.2712280702,6.2712280702
1023309325,BARR,KELSEY,J,MD,F,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,32,58,11.913448276,1.42,1.0381034483,1.0381034483
1023309325,BARR,KELSEY,J,MD,F,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1420,16.240732394,11.028901408,8.6466690141,8.6466690141
1023309325,BARR,KELSEY,J,MD,F,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,32,32,320.5134375,251.11,196.87,196.87
1023309762,LEE,MARIA,N,M.D.,F,I,10837 KATY FWY STE 200,,HOUSTON,TX,770792212,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,29,53,206,73.535679612,8.32,6.3325242718,6.3325242718
1023309762,LEE,MARIA,N,M.D.,F,I,10837 KATY FWY STE 200,,HOUSTON,TX,770792212,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,18,26,52,15.065,1.42,1.0492307692,1.0492307692
1023309762,LEE,MARIA,N,M.D.,F,I,10837 KATY FWY STE 200,,HOUSTON,TX,770792212,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,793.22615385,367.71923077,288.29153846,288.29153846
1023310018,MAHER,JANET,E,,F,I,4444 CORONA DR,SUITE 215,CORPUS CHRISTI,TX,784114324,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.18,4.0609677419,4.1629032258
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,58,202,65.839009901,8.32,5.9813861386,5.9813861386
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,14.215294118,3.38,2.65,2.65
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,26,59,14.608983051,1.42,1.1138983051,1.1138983051
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,180,118.83,91.3625,98.6925
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,51.9,40.69,41.81
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,499.09090909,77.36,60.65,54.73
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,116.45454545,40.62,31.85,29.52
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,24,7902,0.6817628448,0.0464667173,0.0352733485,0.0352733485
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,51.75,36.308,25.7535,21.804
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,46,46,344.0426087,147.45652174,106.615,99.605
1023311040,DUBIN,STEPHEN,P,MD,M,I,6230 MCLEOD DR,,LAS VEGAS,NV,891204442,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,33,33,21.785263158,21.785263158
1023311537,COGNETTI,KRISTEN,,NP,F,I,300 E 66TH ST,,NEW YORK,NY,100656800,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,11,40,48.311,35.62,27.926,30.1165
1023312311,ARNOLD,KIMBERLY,K,FNP,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,37,59,312,77.817660256,8.32,6.1940705128,6.1940705128
1023312311,ARNOLD,KIMBERLY,K,FNP,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,17,24,64,13.8934375,1.42,1.06125,1.06125
1023312311,ARNOLD,KIMBERLY,K,FNP,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,28,28,404.58321429,251.11,196.87,196.87
1023313020,RIZZUTO,BREAWN,,NP-C,F,I,5323 WOODROW ST,SUITE #102,MURRAY,UT,841075841,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,175.22,40.625,28.583333333,23.765
1023313152,ORTEGA,MARIA,C,NURSE PRACTIONER,F,I,13550 SW 88TH ST,SUITE 280,MIAMI,FL,331861654,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,19.4,9.6790909091,8.3363636364
1023313764,GUNDU,VINOD,K,MD,M,I,1008 MINNEQUA AVE,,PUEBLO,CO,810043733,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,4211.9066667,913.16,714.08888889,840.42888889
1023313764,GUNDU,VINOD,K,MD,M,I,1008 MINNEQUA AVE,,PUEBLO,CO,810043733,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,71.527272727,56.071818182,54.721818182
1023313764,GUNDU,VINOD,K,MD,M,I,1008 MINNEQUA AVE,,PUEBLO,CO,810043733,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,40.02,31.379090909,29.51
1023314655,CHAVDA,CHIRAG,,M.D,M,I,3500 W WHEATLAND RD,METHODIST CHARLTON MEDICAL CENTER,DALLAS,TX,75237,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,49.516363636,38.817272727,38.466363636
1023314655,CHAVDA,CHIRAG,,M.D,M,I,3500 W WHEATLAND RD,METHODIST CHARLTON MEDICAL CENTER,DALLAS,TX,75237,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,44.385,22.4775,17.620833333,13.53
1023314655,CHAVDA,CHIRAG,,M.D,M,I,3500 W WHEATLAND RD,METHODIST CHARLTON MEDICAL CENTER,DALLAS,TX,75237,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,836.93583333,836.93583333
1023314655,CHAVDA,CHIRAG,,M.D,M,I,3500 W WHEATLAND RD,METHODIST CHARLTON MEDICAL CENTER,DALLAS,TX,75237,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,28,215.93642857,86.811428571,65.925714286,54.135
1023314655,CHAVDA,CHIRAG,,M.D,M,I,3500 W WHEATLAND RD,METHODIST CHARLTON MEDICAL CENTER,DALLAS,TX,75237,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,66.345,42.72,30.756666667,27.0525
1023314820,WOOLF,MATTHEW,C,PA-C,M,I,6703 W RIO GRANDE AVE,,KENNEWICK,WA,993362623,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,79,79,79,1559.8987342,1066.7894937,829.90632911,875.12417722
1023315462,RICE,KERRI,L,PA,F,I,5184 TEX OAK AVE,,DALLAS,TX,752357822,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,53,5490,0.2168852459,0.13,0.1019180328,0.1019180328
1023315462,RICE,KERRI,L,PA,F,I,5184 TEX OAK AVE,,DALLAS,TX,752357822,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,125,17134,2.5338800047,2.04,1.5652929847,1.5652929847
1023315462,RICE,KERRI,L,PA,F,I,5184 TEX OAK AVE,,DALLAS,TX,752357822,US,Physician Assistant,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,2760,10.884347826,7.87,6.1180688406,6.1259637681
1023315462,RICE,KERRI,L,PA,F,I,5184 TEX OAK AVE,,DALLAS,TX,752357822,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,31,13.976451613,9.29,7.2809677419,8.5674193548
1023315462,RICE,KERRI,L,PA,F,I,5184 TEX OAK AVE,,DALLAS,TX,752357822,US,Physician Assistant,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,56,360,2.1390277778,1.8,1.3795555556,1.3795555556
1023315751,HONIG,LAURA,T,PA-C,F,I,800 WALNUT ST FL 16,,PHILADELPHIA,PA,191075176,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,58,77.506896552,8.32,6.2979310345,6.2979310345
1023315918,ILKHANI,LADAN,,MD,F,I,985 CEDARBRIDGE AVE,,BRICK,NJ,087234167,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,34,75,54.119866667,8.32,5.8261333333,5.8261333333
1023315918,ILKHANI,LADAN,,MD,F,I,985 CEDARBRIDGE AVE,,BRICK,NJ,087234167,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,21,14.943809524,1.42,0.9580952381,0.9580952381
1023317351,WOLKENFELD,NATHANIEL,,M.D.,M,I,5171 S CUB LAKE RD STE C350,,SHOW LOW,AZ,859017820,US,Physician/General Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,624,85.45,66.995454545,55.577272727
1023317880,BRYANT,JING,,MD,F,I,7926 PRESTON HWY STE 106,,LOUISVILLE,KY,402193848,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,49,67.569183673,8.32,5.7234693878,5.7234693878
1023318664,WILLEMS,COREY,,,M,I,36000 DARNALL LOOP,CARL R. DARNALL ARMY MEDICAL CENTER,FORT HOOD,TX,76544,US,Physician Assistant,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,112.39,50.793571429,39.819285714,39.426428571
1023318664,WILLEMS,COREY,,,M,I,36000 DARNALL LOOP,CARL R. DARNALL ARMY MEDICAL CENTER,FORT HOOD,TX,76544,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,38.052,4.5606666667,3.5706666667,3.672
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,33,33,108.63575758,39.986666667,30.399393939,29.618787879
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,409.86692308,85,66.64,67.655384615
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,32,155.0134375,34.05,26.69625,26.039375
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,19,110,82.398363636,19.56,13.662363636,12.964272727
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,82,40.487804878,15.942195122,11.679878049,11.122682927
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,33,33,216.04242424,55.934242424,42.206969697,41.281212121
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,25,25,74.648,19.3368,14.856,13.8948
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,68.253333333,14,10.98,9.275
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,39,234,8.3628205128,2.0882051282,1.594957265,1.5544871795
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,17,22,22,43.681818182,13.74,10.77,10.359545455
1023318730,LOO,AIKO,,"RN, NP-C",F,I,985 ATLANTIC AVE,SUITE 250,ALAMEDA,CA,945016447,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,144.93263158,35.233684211,27.620526316,26.171052632
1023319886,FERRELL,NICOLE,J,N.P.,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,100,8.48,7,5.4879,5.4879
1023319886,FERRELL,NICOLE,J,N.P.,F,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,654.83,154.08545455,120.80272727,119.14181818
1023319936,KNIGHT,KISHA,L,FNP-BC,F,I,404 LILLIE BURNEY ST,,HATTIESBURG,MS,394015505,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,28.544545455,8.32,6.52,6.52
1023319936,KNIGHT,KISHA,L,FNP-BC,F,I,404 LILLIE BURNEY ST,,HATTIESBURG,MS,394015505,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,150.455,117.96,116.26
1023320231,HADDAD,RAED,,M.D.,M,I,9720 DIX,STE B,DEARBORN,MI,481201566,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,31,125,54.32176,8.32,6.0008,6.0008
1023320231,HADDAD,RAED,,M.D.,M,I,9720 DIX,STE B,DEARBORN,MI,481201566,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,19,20,15,3.38,2.5175,2.5175
1023320231,HADDAD,RAED,,M.D.,M,I,9720 DIX,STE B,DEARBORN,MI,481201566,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,24,54,15.52462963,1.42,1.0503703704,1.0503703704
1023320280,SWIFT,CHRISTOPHER,W,D.O.,M,I,1314 19TH AVE,,MERIDIAN,MS,393014116,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,48.65106383,22.550851064,16.408510638,12.536170213
1023320280,SWIFT,CHRISTOPHER,W,D.O.,M,I,1314 19TH AVE,,MERIDIAN,MS,393014116,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,21.225,6.788125,4.79125,3.0275
1023320280,SWIFT,CHRISTOPHER,W,D.O.,M,I,1314 19TH AVE,,MERIDIAN,MS,393014116,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,317.33961538,104.06769231,78.109230769,52.317307692
1023320827,PATEL,ANERY,A,M.D,F,I,EMILE 42ND ST,,OMAHA,NE,681980001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,73,62.501780822,8.32,6.5230136986,6.5230136986
1023321148,PILLAI,OMPRAKASH,B,M.D.,M,I,263 FARMINGTON AVE,,FARMINGTON,CT,060300001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,28,76.665357143,8.32,3.96,3.96
1023321239,RODRIGUEZ,CARLOS,E,M.D.,M,I,4800 ALBERTA AVE,,EL PASO,TX,799052709,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,17,17,10.667857143,10.885714286
1023321239,RODRIGUEZ,CARLOS,E,M.D.,M,I,4800 ALBERTA AVE,,EL PASO,TX,799052709,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,21,77.18,76.956190476,50.215714286,45.36
1023321411,PITTS,WILLIAM,B,M.D.,M,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,45,76.370666667,19.693333333,15.134444444,13.365777778
1023321411,PITTS,WILLIAM,B,M.D.,M,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,2500,913.16,706.38153846,832.72153846
1023321411,PITTS,WILLIAM,B,M.D.,M,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,57,441.15421053,87.567719298,67.605614035,54.51122807
1023321411,PITTS,WILLIAM,B,M.D.,M,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,25.87,25.87
1023321445,AGUILAR,TRACEY,,PA-C,F,I,3710 HIGH POINT RD,,GREENSBORO,NC,274074646,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,225,52.823888889,41.413333333,38.658888889
1023321486,YU,TOMMY,C,MD,M,I,3599 UNIVERSITY BLVD S,,JACKSONVILLE,FL,322164252,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,2442,4.0153685504,2.04,1.5037141687,1.5037141687
1023321585,ENGEL-BROWER,JOHANNA,,MD,F,I,30 E HICKMAN RD,,WAUKEE,IA,502635011,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,35,82.852285714,8.32,5.9305714286,5.9305714286
1023321585,ENGEL-BROWER,JOHANNA,,MD,F,I,30 E HICKMAN RD,,WAUKEE,IA,502635011,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,300,86.684545455,62.109090909,61.24
1023321809,COLLINS,JOSHUA,D,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,84,59.32452381,8.32,4.9630952381,4.9630952381
1023321809,COLLINS,JOSHUA,D,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,33,13.532727273,1.42,0.8781818182,0.8781818182
1023322856,HARTWIG,LAURA,L,FNP-C,F,I,425 W BANNOCK ST,,BOISE,ID,837026035,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,32,141,32.041560284,8.32,6.0938297872,6.0938297872
1023322856,HARTWIG,LAURA,L,FNP-C,F,I,425 W BANNOCK ST,,BOISE,ID,837026035,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,9.8306666667,3.38,2.65,2.65
1023322856,HARTWIG,LAURA,L,FNP-C,F,I,425 W BANNOCK ST,,BOISE,ID,837026035,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,61,7.6142622951,1.42,1.1127868852,1.1127868852
1023322856,HARTWIG,LAURA,L,FNP-C,F,I,425 W BANNOCK ST,,BOISE,ID,837026035,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,171.55,76.846666667,60.249333333,39.928
1023322856,HARTWIG,LAURA,L,FNP-C,F,I,425 W BANNOCK ST,,BOISE,ID,837026035,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,60,22.97,17.509333333,13.125333333
1023322856,HARTWIG,LAURA,L,FNP-C,F,I,425 W BANNOCK ST,,BOISE,ID,837026035,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,736.83681818,109.12727273,84.200681818,54.635681818
1023322856,HARTWIG,LAURA,L,FNP-C,F,I,425 W BANNOCK ST,,BOISE,ID,837026035,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,226.47058824,45.912352941,35.997647059,33.277058824
1023322963,LINNEN,KATHERINE,M,PA-C,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,22,45,5070,4.061209073,0.61765286,0.4663668639,0.4841183432
1023322963,LINNEN,KATHERINE,M,PA-C,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,3450,0.1036289855,0.0133478261,0.0095101449,0.0101594203
1023322963,LINNEN,KATHERINE,M,PA-C,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,33,3630,3.0094931129,1.6141046832,1.2236280992,1.2663057851
1023322963,LINNEN,KATHERINE,M,PA-C,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,33,33,24,24,18.82,18.82
1023322963,LINNEN,KATHERINE,M,PA-C,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,27,72,77,16,16,12.54012987,12.54012987
1023323201,UNDERWOOD,ASHLEY,N,FNP,F,I,199 HOSPITAL DR,,GALAX,VA,243332454,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,37,71.796216216,8.32,6.1691891892,6.1691891892
1023323201,UNDERWOOD,ASHLEY,N,FNP,F,I,199 HOSPITAL DR,,GALAX,VA,243332454,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,34,86.31,22.332647059,15.752058824,12.115294118
1023323201,UNDERWOOD,ASHLEY,N,FNP,F,I,199 HOSPITAL DR,,GALAX,VA,243332454,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,20,50.73,7.56,5.564,3.5735
1023323201,UNDERWOOD,ASHLEY,N,FNP,F,I,199 HOSPITAL DR,,GALAX,VA,243332454,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,40,519.51,103.372,74.61875,51.97025
1023323201,UNDERWOOD,ASHLEY,N,FNP,F,I,199 HOSPITAL DR,,GALAX,VA,243332454,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2395,0.2190438413,0.0447390397,0.0350730689,0.0350730689
1023323201,UNDERWOOD,ASHLEY,N,FNP,F,I,199 HOSPITAL DR,,GALAX,VA,243332454,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,93.5,33,25.87,25.87
1023323342,RUSHING,STEPHANIE,S,FNP-C,F,I,1101 NOR TEC DRIVE,,CONYERS,GA,30013,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,41,104,58.952788462,8.32,6.1119230769,6.1119230769
1023323342,RUSHING,STEPHANIE,S,FNP-C,F,I,1101 NOR TEC DRIVE,,CONYERS,GA,30013,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,20,36,11.598055556,1.42,0.9911111111,0.9911111111
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,67,168,46.028571429,8.32,5.8517261905,5.8517261905
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,17.110769231,3.38,2.65,2.65
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,31,56,16.204464286,1.42,1.0733928571,1.0733928571
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,89,22.4775,15.626666667,11.6525
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,146.15384615,52.337692308,41.03,27.384615385
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,475,100.58923077,65.070769231,42.1
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,71,24.981538462,18.477692308,13.098461538
1023323516,FLOYD,MALCOLM,G,M.D.,M,I,122 HIGHWAY 280,SUITE A,AMERICUS,GA,317198645,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,99,33,19.4025,19.4025
1023324050,SCREWS,BETSY,M,ARNP,F,I,777 37TH ST,SUITE C-107,VERO BEACH,FL,329604873,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,86.31,17.29,12.797222222,12.778333333
1023324050,SCREWS,BETSY,M,ARNP,F,I,777 37TH ST,SUITE C-107,VERO BEACH,FL,329604873,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,19,519.51,70.23,52.162105263,51.84
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,23,55.393478261,8.32,5.9543478261,5.9543478261
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,20,20,232.528,53.464,39.665,37.631
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,4.036,3.162,3.828
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,3384,0.377429078,0.0465336879,0.0300206856,0.0300206856
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,24,24,68.768333333,20.595416667,15.669583333,13.0725
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,89.86,40.9264,30.0952,21.4244
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,32.297142857,10.554285714,7.7935714286,6.0121428571
1023324415,COOPER,KARA,M,NP,F,I,2221 OAK ST,,FOREST GROVE,OR,97116,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,52.8,33,21.583,21.583
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,67,132,132,120.68431818,41.668484848,31.416893939,29.429015152
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,58,106,106,357.05575472,94.687358491,70.947830189,65.156037736
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,48,98,215,140.69944186,34.716186047,26.573302326,25.374837209
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,14,32,147,64.123877551,19.875714286,15.581768707,14.559455782
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,12,20,98,60.714591837,15.998571429,12.543673469,11.901632653
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,25,52,52,199.89788462,57.028076923,44.711153846,42.868846154
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,74,98,98,67.088979592,19.579285714,15.234795918,14.061428571
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,24,24,76.708333333,13.8925,10.502916667,8.7620833333
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,78,158,764,8.8829188482,2.2872513089,1.7704450262,1.5808900524
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,48,58,58,24.373448276,6.4274137931,4.9048275862,4.5272413793
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,37,44,44,48.182727273,13.101818182,10.271818182,10.378863636
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,71,76,77.248289474,18.160657895,13.5225,13.539342105
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,307.26125,90.380833333,68.269166667,67.483333333
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,356.89578947,142.68210526,108.14789474,101.50736842
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,,20,24,63.882916667,14.724166667,11.091666667,10.092083333
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,12,51,52,26.468269231,4.8853846154,3.4982692308,3.4480769231
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,46,261,274,161.48806569,33.319014599,25.206751825,24.085291971
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,31,196,206,386.94402913,71.981262136,55.59407767,55.642184466
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,91.2225,39.68,31.11,29.51
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,71,4444,19.364309181,9.6409968497,7.4714558956,7.4714558956
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,17,57,15098,0.225109286,0.045880249,0.0339521791,0.0339521791
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,27,2464,1.7061525974,0.1369155844,0.104025974,0.104025974
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,17,74,4626,10.171915262,3.0525335063,2.3931971466,2.3931971466
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1005,1.213880597,0.2189850746,0.1614626866,0.1614626866
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,86,91,123.11835165,39.753516484,30.825824176,29.379120879
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,21,94,94,81.574468085,33,24.649255319,24.649255319
1023324555,GUPTA,ANKIT,,,M,I,901 W HARRISON ST,,CHICAGO,IL,606073532,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,15,15,66,66,51.74,51.74
1023324696,FERRA,LESTER,,M.D,M,I,1127 N OAKLEY BLVD,,CHICAGO,IL,606223507,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,64.08,21.6975,17.0075,14.3525
1023324696,FERRA,LESTER,,M.D,M,I,1127 N OAKLEY BLVD,,CHICAGO,IL,606223507,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,95.444117647,36.614705882,28.701764706,23.755294118
1023324696,FERRA,LESTER,,M.D,M,I,1127 N OAKLEY BLVD,,CHICAGO,IL,606223507,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,24.544615385,9.8376923077,7.7161538462,6.9669230769
1023325024,FLUHMAN,BENJAMIN,L,D.P.M.,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,211.16,96.59,72.079230769,60.066153846
1023325024,FLUHMAN,BENJAMIN,L,D.P.M.,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,549.35,251.28,193.0775,214.9675
1023325362,TEICHMAN,PETER,G,MD,M,I,3701 MACCORKLE AVE SE,,CHARLESTON,WV,253041525,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,62.099444444,20.377777778,15.974444444,13.532777778
1023325362,TEICHMAN,PETER,G,MD,M,I,3701 MACCORKLE AVE SE,,CHARLESTON,WV,253041525,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,372.355,90.820555556,71.205,54.725
1023326170,TELFER,MELISSA,K,ARNP,F,I,517 TAMIAMI TRL,,PUNTA GORDA,FL,339505520,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,66.88,19.715,14.614166667,13.346666667
1023326592,LANIEWICZ,NATALIE,L,D.O.,F,I,150 W CENTRAL AVE STE 1,,TITUSVILLE,PA,163541724,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,23,9.50375,7.45,4.27
1023326634,RIBAUDO,HEATHER,M,RPA-C,F,I,290 SUNRISE HWY,,LINDENHURST,NY,117572520,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,17,55,79.374727273,8.32,5.5734545455,5.5734545455
1023327426,LUFADEJU,ADETOYE,,M.D,M,I,4515 PREMIER DRIVE,SUITE 403,HIGH POINT,NC,272628195,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.0266666667,0.013,0.0092833333,0.0092833333
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,84,39.952142857,8.32,6.5229761905,6.5229761905
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,33,11.547575758,1.42,1.1133333333,1.1133333333
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.25,12.393333333,12.413333333
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,96.81,59.855,46.925833333,38.7425
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50.73,5.504375,4.06125,3.37875
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,519.51,79.88,52.806666667,46.035238095
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1320,1.0921060606,0.1324545455,0.1038636364,0.1038636364
1023327483,ROESCH,ROBBIE,W,PA-C,M,I,2405 E. FOURTEEN MILE RD.,,STERLING HEIGHTS,MI,48310,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,89.571428571,33,24.022142857,24.022142857
1023329000,GRANGE,CAMERON,,MD,M,I,3 MOUNTAINVIEW DR,,FORT KENT,ME,047431614,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,165.07,70.417272727,55.209090909,41.011818182
1023329000,GRANGE,CAMERON,,MD,M,I,3 MOUNTAINVIEW DR,,FORT KENT,ME,047431614,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.92,7.9072727273,5.87,3.3781818182
1023329000,GRANGE,CAMERON,,MD,M,I,3 MOUNTAINVIEW DR,,FORT KENT,ME,047431614,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25.43,11.746666667,3.9491666667,1.0383333333
1023329000,GRANGE,CAMERON,,MD,M,I,3 MOUNTAINVIEW DR,,FORT KENT,ME,047431614,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,228.8,102.61833333,75.727777778,58.158055556
1023329000,GRANGE,CAMERON,,MD,M,I,3 MOUNTAINVIEW DR,,FORT KENT,ME,047431614,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,23.518181818,23.518181818
1023329026,PELLOW,DANIELLE,L,MD,F,I,1215 DUFF AVENUE,,AMES,IA,500103014,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,20,38,74.748947368,8.32,5.8342105263,5.8342105263
1023329026,PELLOW,DANIELLE,L,MD,F,I,1215 DUFF AVENUE,,AMES,IA,500103014,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,20,80,25.459,19.96,14.554
1023329026,PELLOW,DANIELLE,L,MD,F,I,1215 DUFF AVENUE,,AMES,IA,500103014,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,166.15384615,34.259230769,26.861538462,26.970769231
1023329026,PELLOW,DANIELLE,L,MD,F,I,1215 DUFF AVENUE,,AMES,IA,500103014,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,69.99,47.968333333,47.851666667
1023329026,PELLOW,DANIELLE,L,MD,F,I,1215 DUFF AVENUE,,AMES,IA,500103014,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38.68,25.266666667,24.659166667
1023329042,CHATURVEDI,MANISHA,,MD,F,I,1881 CHICAGO ST,,DE PERE,WI,541153770,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,26,73.988846154,8.32,4.5169230769,4.5169230769
1023329216,DAGGETT,MATTHEW,C,D.O.,M,I,2000 SE BLUE PKWY,SUITE # 230,LEES SUMMIT,MO,640631041,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,127.78,127.78,100.18,87.47
1023329216,DAGGETT,MATTHEW,C,D.O.,M,I,2000 SE BLUE PKWY,SUITE # 230,LEES SUMMIT,MO,640631041,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,13,14,70.355,54.07,39.948571429,43.907857143
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,49,49,49,56.387755102,44.177755102,33.957142857,34.77
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,52.05,47.32,37.1,39.946153846
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,167.90076923,148.12,116.13,122.16692308
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,13,55,55,61.36,49.443636364,38.761818182,40.897272727
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,30,30,66.64,46.18,30.166666667,29.455333333
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,11.89,8.24,5.6525,5.43375
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,91.275714286,17.262857143,13.535714286,13.536190476
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,70.66,45.480769231,35.656923077,36.786153846
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E0966,"Manual wheelchair accessory, headrest extension, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,7,6.5073333333,5.0993333333,5.24
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,62.174666667,35.710666667,27.994666667,28.265333333
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,505.50428571,75.090952381,58.869047619,54.723809524
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,28.14,25.576785714,17.899642857,20.731428571
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,33,33,33,46.18,38.412727273,30.12,29.411212121
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,16,81,81,38.165185185,19.771851852,15.499012346,15.183580247
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,44,202,202,52.497029703,24.741188119,17.580346535,19.753168317
1023329364,MONTEJO,ANGELA,,M.P.A-C,F,I,109 WIMBLEDON SQ,SUITE G1,CHESAPEAKE,VA,233204945,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,87,87,12.83908046,8.3188505747,6.3194252874,6.5829885057
1023329711,ERSKINE,TAMARA,A,,F,I,8170 33RD AVE S,MS 26602G,BLOOMINGTON,MN,554254516,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,28,28,429.77571429,45.26,29.353928571,30.369285714
1023329711,ERSKINE,TAMARA,A,,F,I,8170 33RD AVE S,MS 26602G,BLOOMINGTON,MN,554254516,US,Nurse Practitioner,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,118.752,34.964,23.993333333,23.7
1023329711,ERSKINE,TAMARA,A,,F,I,8170 33RD AVE S,MS 26602G,BLOOMINGTON,MN,554254516,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,263.8872,18.5328,12.9176,12.572
1023329802,MENEZES,JONATHAN,B,M.D.,M,I,1890 METRO CENTER DR,,RESTON,VA,201905286,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,21,86,77.13,15,11.213023256,11.347209302
1023329802,MENEZES,JONATHAN,B,M.D.,M,I,1890 METRO CENTER DR,,RESTON,VA,201905286,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,319.38,55,43.12,42.86
1023329802,MENEZES,JONATHAN,B,M.D.,M,I,1890 METRO CENTER DR,,RESTON,VA,201905286,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,91.394705882,18,14.11,14.06
1023329802,MENEZES,JONATHAN,B,M.D.,M,I,1890 METRO CENTER DR,,RESTON,VA,201905286,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,104.07,12,9.41,9.12
1023329802,MENEZES,JONATHAN,B,M.D.,M,I,1890 METRO CENTER DR,,RESTON,VA,201905286,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,13,31,131,13.197251908,2,1.5446564885,1.5670992366
1023329802,MENEZES,JONATHAN,B,M.D.,M,I,1890 METRO CENTER DR,,RESTON,VA,201905286,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,25,28,81.75,13.65,9.9357142857,9.7314285714
1023329802,MENEZES,JONATHAN,B,M.D.,M,I,1890 METRO CENTER DR,,RESTON,VA,201905286,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,257.82,32.2324,23.42,23.708
1023330222,HUBBARTH,JUSTIN,B,PA,M,I,1968 PEACHTREE RD NW,,ATLANTA,GA,303091281,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,200,127.72384615,88.646923077,77.876923077
1023332228,SUMMERS,STEPHEN,J,M.D.,M,I,30 N 1900 E,RM 3B420,SALT LAKE CITY,UT,841322115,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,1260,0.39,0.13,0.0922063492,0.0922063492
1023332228,SUMMERS,STEPHEN,J,M.D.,M,I,30 N 1900 E,RM 3B420,SALT LAKE CITY,UT,841322115,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,36,5745,6.9718276762,1.7364751958,1.3468128808,1.5774638816
1023332228,SUMMERS,STEPHEN,J,M.D.,M,I,30 N 1900 E,RM 3B420,SALT LAKE CITY,UT,841322115,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,24,2922,10.654373717,6.3540246407,4.9160198494,5.5506502396
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,207,466,466,133.20740343,39.62167382,27.917575107,27.402639485
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,129,279,279,360.75215054,89.146845878,65.166379928,63.289784946
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,21,132,318,764,143.47229058,33.797486911,25.080353403,24.514267016
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,62,132,680,84.084073529,18.078441176,13.035338235,13.417794118
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,35,85,462,63.755844156,15.43030303,10.854025974,10.672727273
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,96,218,218,234.63362385,56.823944954,41.615825688,40.039266055
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,216,313,313,67.577571885,18.226166134,13.503290735,13.284089457
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,15,15,30.25,10.22,5.8813333333,6.0246666667
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,36,36,54.205833333,12.821944444,9.5233333333,8.6586111111
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,218,468,2719,10.114700257,2.0744538433,1.502614932,1.4708348658
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,22,31,31,26.77483871,6.1232258065,4.1822580645,4.0706451613
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,162,231,231,41.598225108,13.384588745,9.8944155844,9.7549350649
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,13,55,55,569.32563636,93.376181818,66.481636364,59.040727273
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,31,32,1028.22625,204.79625,151.851875,147.499375
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,373.47384615,140.09230769,87.768461538,82.648461538
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,45,252,254,70.671259843,12.68515748,9.1402755906,9.1757086614
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,64,411,412,210.85055825,30.985800971,22.134174757,22.953446602
1023332335,BERG,LOANDRA,,NP,F,I,9450 S 1300 E,STE 110,SANDY,UT,840945555,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,37,271,271,348.13121771,80.005756458,56.783321033,50.357527675
1023334109,BECKMAN,LUKE,C,M.D.,M,I,7701 SHERIDAN BLVD,,WESTMINSTER,CO,800032605,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,62,65.134032258,8.32,5.3788709677,5.3788709677
1023334109,BECKMAN,LUKE,C,M.D.,M,I,7701 SHERIDAN BLVD,,WESTMINSTER,CO,800032605,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,20,14.396,1.42,1.059,1.059
1023334125,FAITH,KRISTEN,D,MD,F,I,601 DR MARTIN LUTHER KING JR AVE NE,HOSPITALIST DEPARTMENT,ALBUQUERQUE,NM,871023619,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,33.693076923,16.891538462,11.153076923,11.12
1023334125,FAITH,KRISTEN,D,MD,F,I,601 DR MARTIN LUTHER KING JR AVE NE,HOSPITALIST DEPARTMENT,ALBUQUERQUE,NM,871023619,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,14.864,6.38,4.6666666667,5.836
1023334448,TERBRACK,ROBERT,E,D.O.,M,I,225 CHURCH ST,,STOUGHTON,WI,535891801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,28,91,186,87.361935484,8.32,6.096344086,6.096344086
1023334448,TERBRACK,ROBERT,E,D.O.,M,I,225 CHURCH ST,,STOUGHTON,WI,535891801,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,18,25,16.3768,1.42,1.0712,1.0712
1023334448,TERBRACK,ROBERT,E,D.O.,M,I,225 CHURCH ST,,STOUGHTON,WI,535891801,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,55.5,17.27,11.8475,11.8475
1023334448,TERBRACK,ROBERT,E,D.O.,M,I,225 CHURCH ST,,STOUGHTON,WI,535891801,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,241.375,69.81,47.88875,47.88875
1023334448,TERBRACK,ROBERT,E,D.O.,M,I,225 CHURCH ST,,STOUGHTON,WI,535891801,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,2285,2.0025645514,0.136463895,0.097619256,0.097619256
1023334448,TERBRACK,ROBERT,E,D.O.,M,I,225 CHURCH ST,,STOUGHTON,WI,535891801,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,33,33,22.7656,22.7656
1023334679,CHUANG,ELISEU,Y,M.D.,M,I,3400 WAKE FOREST RD,,RALEIGH,NC,276097317,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,386.67647059,80.000588235,62.718823529,54.725882353
1023334828,BURUGU,SHIVAKANTH,,M.D.,M,I,1200 N JEFFERSON ST,,ALBANY,GA,317012057,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,70.23,50.471666667,50.16
1023334943,SAKIANI,SANAZ,,,F,I,9101 FRANKLIN SQUARE DR,SUITE 214,BALTIMORE,MD,212373936,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,22,116,56.482586207,8.32,6.5230172414,6.5230172414
1023334943,SAKIANI,SANAZ,,,F,I,9101 FRANKLIN SQUARE DR,SUITE 214,BALTIMORE,MD,212373936,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,42,13.341904762,1.42,1.1133333333,1.1133333333
1023335320,HAMPTON,SEAN,P,D.O.,M,I,502 LOGAN BLVD,,ALTOONA,PA,16602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,39,112,61.075178571,8.32,4.85125,4.85125
1023335320,HAMPTON,SEAN,P,D.O.,M,I,502 LOGAN BLVD,,ALTOONA,PA,16602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,23,21.700869565,1.42,0.8234782609,0.8234782609
1023335320,HAMPTON,SEAN,P,D.O.,M,I,502 LOGAN BLVD,,ALTOONA,PA,16602,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,30,30,30,1223.1746667,1017.66,787.133,875.783
1023335320,HAMPTON,SEAN,P,D.O.,M,I,502 LOGAN BLVD,,ALTOONA,PA,16602,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,35,35,46,866.46826087,839.3426087,658.04152174,677.69
1023335320,HAMPTON,SEAN,P,D.O.,M,I,502 LOGAN BLVD,,ALTOONA,PA,16602,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,38,39,50,122.127,110.54,86.6656,88.8484
1023335577,ROWEKAMP,TROY,A,DO,M,I,1325 S CLIFF AVE,,SIOUX FALLS,SD,571051007,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,329.66666667,70.345833333,55.15,54.73
1023335577,ROWEKAMP,TROY,A,DO,M,I,1325 S CLIFF AVE,,SIOUX FALLS,SD,571051007,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,36.14,28.33,29.51
1023335668,BRAKE,LAURA,,"RN, CNP",F,I,420 N JAMES RD,,COLUMBUS,OH,432191834,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,151.73,51.47,31.087222222,26.821111111
1023335668,BRAKE,LAURA,,"RN, CNP",F,I,420 N JAMES RD,,COLUMBUS,OH,432191834,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,79.81,19.06,13.882142857,12.164285714
1023335726,MIKELL,JOHN,L,MD,M,I,225 CANDLER DR STE 100,,SAVANNAH,GA,314056093,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,20.8,3.08,2.4146666667,2.3676666667
1023335726,MIKELL,JOHN,L,MD,M,I,225 CANDLER DR STE 100,,SAVANNAH,GA,314056093,US,Physician/Radiation Oncology,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6584,4.6978705954,0.66,0.5039671932,0.5039671932
1023335817,NAWAR,ERENE,M,M.D.,F,I,100 E VALENCIA MESA DR STE 105,,FULLERTON,CA,928353816,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,99,75.923232323,8.32,6.2594949495,6.2594949495
1023335965,KIAMAH,WINFRED,,,F,I,900 ILLINOIS AVE,,STEVENS POINT,WI,544813114,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,23.758,18.624,14.332666667
1023335965,KIAMAH,WINFRED,,,F,I,900 ILLINOIS AVE,,STEVENS POINT,WI,544813114,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,534.570625,110.155,86.365,59.7925
1023336039,RUSSELL,MICHAEL,A,D.O.,M,I,8517 FM 1826 BLDG 2,,AUSTIN,TX,787371473,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,102,8.9252941176,2,1.2683333333,1.292745098
1023336096,PATEL,DUPAL,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,220.63428571,77.44,60.714285714,56.165
1023336096,PATEL,DUPAL,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,81.1075,22.30025,17.1175,14.36375
1023336096,PATEL,DUPAL,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,31.58,9.0838095238,7.1228571429,6.8966666667
1023336096,PATEL,DUPAL,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,35.13,27.54,29.345833333
1023336229,SCHUG,MOLLY,,DO,F,I,1256 CULVER AVE,,UTICA,NY,135014253,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,51,45.804901961,8.32,6.2668627451,6.2668627451
1023336229,SCHUG,MOLLY,,DO,F,I,1256 CULVER AVE,,UTICA,NY,135014253,US,Physician/Family Practice,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,456,2.1504166667,2.1504166667,1.6858333333,1.6858333333
1023336229,SCHUG,MOLLY,,DO,F,I,1256 CULVER AVE,,UTICA,NY,135014253,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,776,2.1421262887,0.1346391753,0.1055412371,0.1055412371
1023336229,SCHUG,MOLLY,,DO,F,I,1256 CULVER AVE,,UTICA,NY,135014253,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,20,20,52.8,33,24.5765,24.5765
1023336443,JELLISON,BOBBIE,N,MD,F,I,8424 NAAB RD STE 1L,,INDIANAPOLIS,IN,462601954,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,99.578571429,58.82,46.115,38.583571429
1023336443,JELLISON,BOBBIE,N,MD,F,I,8424 NAAB RD STE 1L,,INDIANAPOLIS,IN,462601954,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,530.945,69.393333333,49.787916667,50.192083333
1023336443,JELLISON,BOBBIE,N,MD,F,I,8424 NAAB RD STE 1L,,INDIANAPOLIS,IN,462601954,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,810,1.3236419753,0.5721851852,0.4485802469,0.4485802469
1023336443,JELLISON,BOBBIE,N,MD,F,I,8424 NAAB RD STE 1L,,INDIANAPOLIS,IN,462601954,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.83,28.87,29.456666667
1023336443,JELLISON,BOBBIE,N,MD,F,I,8424 NAAB RD STE 1L,,INDIANAPOLIS,IN,462601954,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,19,16,16,12.54,12.54
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,36,84,160,59.1836875,8.32,6.06775,6.06775
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,22,29,33,11.13,1.42,1.0181818182,1.0181818182
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,10.3225,6.44,4.6291666667,4.6291666667
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,15,9.86,7.0858333333,7.0858333333
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,129.10636364,40.459090909,30.526363636,29.306818182
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.461,2.02,1.5198194444,1.5198194444
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,23,23,360.09652174,96.68,73.563478261,65.605652174
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,27,109.82,33.537037037,26.28962963,25.915925926
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,55,45.706545455,14.71,11.113090909,11.444727273
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,22,22,145.07545455,59.036363636,44.285454545,40.959090909
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,25,25,59.8596,19.278,15.1112,14.0604
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,24,24,76.219583333,13.984166667,10.9625,9.12
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,21,40,205,8.7404390244,2.2366341463,1.7374146341,1.5763902439
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,109.34058824,51.084117647,40.05,40.068823529
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,23,94.07,17.5,13.123478261,12.951304348
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,232.35,50,39.2,37.63
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,13,242.30769231,94.585384615,67.845384615,58.346923077
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,15,79,80,142.802375,38.461875,28.99725,25.745125
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,12.49,9.89,7.7566666667,7.97
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,102,112,400.38553571,80.459107143,61.42125,53.932410714
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,186.12903226,40.610967742,31.745806452,29.659032258
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,6706,0.1446495676,0.0464628691,0.0314912019,0.0314912019
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,62,7496,0.5537419957,0.1346664888,0.0975800427,0.0975800427
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9555454545,2.1278939394,2.1278939394
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,870,0.433862069,0.2187586207,0.1479655172,0.1479655172
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,49.791578947,19.350526316,15.173684211,14.292105263
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,37.79,30.7025,24.0725,21.810833333
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,371.62,185.81166667,145.675,151.02916667
1023336542,HOUSMAN,ABBY,M,D.O.,F,I,2100 W IOWA AVE,SUITE A,CHICKASHA,OK,730182736,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,85,85,61.547058824,33,23.552941176,23.552941176
1023336724,WALKER,MATTHEW,S,M.D.,M,I,5000 ODONAVAN BLVD,STE 404,WALKER,LA,707856351,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,57,142,55.147394366,8.313943662,6.333028169,6.3377464789
1023336724,WALKER,MATTHEW,S,M.D.,M,I,5000 ODONAVAN BLVD,STE 404,WALKER,LA,707856351,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,30,15.04,1.42,1.114,1.114
1023336724,WALKER,MATTHEW,S,M.D.,M,I,5000 ODONAVAN BLVD,STE 404,WALKER,LA,707856351,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,92.574705882,18.5,14.5,13.652941176
1023336724,WALKER,MATTHEW,S,M.D.,M,I,5000 ODONAVAN BLVD,STE 404,WALKER,LA,707856351,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,426.15777778,71,55.66,54.764444444
1023337185,JOHNSON,BRETT,C,D.O.,M,I,101 BODIN CIR,,TRAVIS AFB,CA,945351809,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,36,90,69.119222222,8.32,6.16,6.16
1023337185,JOHNSON,BRETT,C,D.O.,M,I,101 BODIN CIR,,TRAVIS AFB,CA,945351809,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,7.6325,5.175,2.91
1023337185,JOHNSON,BRETT,C,D.O.,M,I,101 BODIN CIR,,TRAVIS AFB,CA,945351809,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,475.83676471,112.15,87.929411765,59.494705882
1023337185,JOHNSON,BRETT,C,D.O.,M,I,101 BODIN CIR,,TRAVIS AFB,CA,945351809,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,250,44.585555556,34.956666667,30.31
1023337185,JOHNSON,BRETT,C,D.O.,M,I,101 BODIN CIR,,TRAVIS AFB,CA,945351809,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1904,0.1692594538,0.0452468487,0.031875,0.031875
1023337516,PRATHER,ELIZABETH,A,"APRN, NP-C",F,I,1606 ROCK FENCE DR,,RICHMOND,TX,774066515,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,66,54.883333333,8.32,5.2378787879,5.2378787879
1023338183,WHELAN,JACOB,R,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,19,114.04210526,61.354210526,46.077894737,38.605789474
1023338183,WHELAN,JACOB,R,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,42,40.212857143,22.829285714,16.120238095,12.062619048
1023338183,WHELAN,JACOB,R,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,913.16,708.36083333,824.1725
1023338183,WHELAN,JACOB,R,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,19.875,8.94375,7.0115625,4.2496875
1023338183,WHELAN,JACOB,R,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,45,47,233.99042553,102.21744681,72.788297872,48.775531915
1023338183,WHELAN,JACOB,R,MD,M,I,2301 SOUTH LAMAR BLVD.,,OXFORD,MS,38655,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,65,24.855454545,17.594242424,13.224848485
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,39,98,55.69744898,8.32,5.8474489796,5.8474489796
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,26,9.8915384615,1.42,1.0761538462,1.0761538462
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.17,13.17,9.3909090909,9.8927272727
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,10.79,10.79,7.7009090909,7.82
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,330,100.90909091,5.07,3.9748484848,4.1475757576
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6300,3.024,0.65,0.4932253968,0.5004174603
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,10.723333333,7.5258333333,7.8433333333
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,404.67333333,65.7,51.51,53.388333333
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3671,0.3173222555,0.0463443203,0.0363388722,0.0363388722
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,674,2.9226557864,0.2191988131,0.1591988131,0.1591988131
1023338233,TAYLOR,MARK,R,"ANRP, FNP",M,I,22180 OLYMPIC COLLEGE WAY NW,SUITE 102,POULSBO,WA,983706664,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,25.87,25.87
1023338340,MARSH,JILL,W,MD,F,I,1201 11TH AVE S,,BIRMINGHAM,AL,35205,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,54,46.553888889,8.32,5.7974074074,5.7974074074
1023338340,MARSH,JILL,W,MD,F,I,1201 11TH AVE S,,BIRMINGHAM,AL,35205,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,30.22,6.238,4.8873333333,3.828
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,44,74,65.360540541,8.32,5.6410810811,5.6410810811
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,17,14.444117647,1.42,0.9835294118,0.9835294118
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,66.25,49.233125,36.49125,30.070625
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,255.53090909,123.97545455,97.195454545,71.65
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,36,80.4,46.576944444,34.956111111,25.731944444
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,56,59.026428571,27.57,21.042142857,14.988035714
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,154.38083333,80.535,59.209166667,41.4225
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,57.854615385,27.118461538,21.256923077,15.429230769
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,31,141,7.8344680851,3.2919148936,2.5562411348,1.6854609929
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,96.64,22.576,17.698,13.53
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,190.32068182,48.662272727,36.387045455,26.314090909
1023338373,HATCH,JESSICA,M,M.D.,F,I,3907 6TH AVENUE,,KEARNEY,NE,68845,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,86,86,512.79069767,104.10813953,77.591976744,54.522674419
1023338449,DURFEE,RYAN,A,M.D.,M,I,3659 S MIAMI AVE,STE 4008,MIAMI,FL,331334227,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,37.36,21.164545455,12.447272727,10.716363636
1023338449,DURFEE,RYAN,A,M.D.,M,I,3659 S MIAMI AVE,STE 4008,MIAMI,FL,331334227,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,16.001818182,9.2190909091,5.42,5.0390909091
1023339124,KIRK,MICHAEL,J,"D.O., PHARM.D.",M,I,1140 ROUTE 72 W,,MANAHAWKIN,NJ,080502412,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,227.5,49.306363636,38.656363636,40.42
1023339124,KIRK,MICHAEL,J,"D.O., PHARM.D.",M,I,1140 ROUTE 72 W,,MANAHAWKIN,NJ,080502412,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,25,519.592,70,50.4896,50.3516
1023339173,PATIL,SHIVAJIRAO,P,M.D.,M,I,101 HEART DR,ECU FAMILY MEDICINE,GREENVILLE,NC,278348982,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,24,53,176,69.520795455,8.32,5.8925568182,5.8925568182
1023339173,PATIL,SHIVAJIRAO,P,M.D.,M,I,101 HEART DR,ECU FAMILY MEDICINE,GREENVILLE,NC,278348982,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,24,40,15.58925,1.42,1.03,1.03
1023339173,PATIL,SHIVAJIRAO,P,M.D.,M,I,101 HEART DR,ECU FAMILY MEDICINE,GREENVILLE,NC,278348982,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,70.23,55.06,54.72
1023339173,PATIL,SHIVAJIRAO,P,M.D.,M,I,101 HEART DR,ECU FAMILY MEDICINE,GREENVILLE,NC,278348982,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,37.44,29.35,29.51
1023339355,VAUGHAN,AUDREA,O,D.O.,F,I,4700 WATERS AVE,,SAVANNAH,GA,314046220,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,406.50333333,70.23,55.06,54.757777778
1023339355,VAUGHAN,AUDREA,O,D.O.,F,I,4700 WATERS AVE,,SAVANNAH,GA,314046220,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,37.44,29.35,29.483333333
1023339413,MOYNIHAN,CLARE,,MD,F,I,5800 HOLLIS ST,,EMERYVILLE,CA,946082016,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,12,147,51.350340136,19.627755102,15.384829932,15.384829932
1023339413,MOYNIHAN,CLARE,,MD,F,I,5800 HOLLIS ST,,EMERYVILLE,CA,946082016,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,360,7.0533333333,2.63,2.0618333333,2.0618333333
1023339413,MOYNIHAN,CLARE,,MD,F,I,5800 HOLLIS ST,,EMERYVILLE,CA,946082016,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,40,82,363,78.387520661,8.32,6.1807988981,6.1807988981
1023339413,MOYNIHAN,CLARE,,MD,F,I,5800 HOLLIS ST,,EMERYVILLE,CA,946082016,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,26,65,15.268153846,1.42,1.0267692308,1.0267692308
1023339413,MOYNIHAN,CLARE,,MD,F,I,5800 HOLLIS ST,,EMERYVILLE,CA,946082016,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,29,29,298.00862069,251.01586207,196.7962069,196.86965517
1023339629,GALIANO,ANGELINE,V,MD,F,I,8360 SIERRA MEADOWS BLVD,,NAPLES,FL,341137328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,31,83.177741935,8.32,6.5216129032,6.5216129032
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,50,114,46.249298246,8.32,6.2356140351,6.2356140351
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,13.437142857,3.38,2.65,2.65
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,31,41,11.906341463,1.42,1.0609756098,1.0609756098
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,39.99,17.04,11.578666667,11.756666667
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,20,20,94.491,45.92,36.01,37.63
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,34.777727273,5.2481818182,4.1109090909,3.6345454545
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,187.7175,74,53.185,51.402916667
1023339801,HEINCELMAN,SARAH,K,M.D.,F,I,2061 HIGHWAY 52,,MONCKS CORNER,SC,294615017,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,67.12,38.78,27.636363636,26.908181818
1023340197,EAGAN,JAMES,D,RPA,M,I,610 FRENCH RD,,NEW HARTFORD,NY,134131014,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,30,4.1515384615,2.7815384615,3.0753846154
1023340510,JOSHI,HETVI,K,M.D.,F,I,130 W RAVINE RD,,KINGSPORT,TN,376603837,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1200,1073.16,841.36,842.185
1023340510,JOSHI,HETVI,K,M.D.,F,I,130 W RAVINE RD,,KINGSPORT,TN,376603837,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,473.52941176,83.877843137,63.509607843,52.59745098
1023340510,JOSHI,HETVI,K,M.D.,F,I,130 W RAVINE RD,,KINGSPORT,TN,376603837,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,100,37.44,29.35,29.487142857
1023340510,JOSHI,HETVI,K,M.D.,F,I,130 W RAVINE RD,,KINGSPORT,TN,376603837,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,85,42.228,31.033333333,27.553666667
1023340700,ZAYZAFOON,AHED,,M.D.,M,I,601 JOHN ST,BOX 74,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,24.1815,4.8575,3.81325,3.67975
1023340700,ZAYZAFOON,AHED,,M.D.,M,I,601 JOHN ST,BOX 74,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,128.24,43.45,31.789333333,31.210666667
1023340700,ZAYZAFOON,AHED,,M.D.,M,I,601 JOHN ST,BOX 74,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,69.81,54.73,54.73
1023340700,ZAYZAFOON,AHED,,M.D.,M,I,601 JOHN ST,BOX 74,KALAMAZOO,MI,490075341,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,98.75,23.6535,16.729,12.88
1023341013,REALI,ERICA,L,PA-C,F,I,129 MCDOWELL ST,,ASHEVILLE,NC,28801,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,135.97,127.21,95.641333333,84.207333333
1023341047,GERSHUNY,KEVIN,M,,M,I,370 GRAND AVE STE 102,,ENGLEWOOD,NJ,07631,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,310.13,71.5,48.886,47.7555
1023341138,LACOURSE,JENNIFER,B,NP,F,I,60 MESSENGER ST,,PLAINVILLE,MA,027622258,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,36,83,65.049879518,8.32,5.1857831325,5.1857831325
1023341138,LACOURSE,JENNIFER,B,NP,F,I,60 MESSENGER ST,,PLAINVILLE,MA,027622258,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,11.67,1.42,0.8933333333,0.8933333333
1023341138,LACOURSE,JENNIFER,B,NP,F,I,60 MESSENGER ST,,PLAINVILLE,MA,027622258,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,544,1.9584926471,0.1312132353,0.0961580882,0.0961580882
1023341203,CHEUNG,MICHAEL,,M.D.,M,I,1250 S CEDAR CREST BLVD,SUITE 300,ALLENTOWN,PA,181036224,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,36.88,22.4775,17.620833333,13.53
1023341203,CHEUNG,MICHAEL,,M.D.,M,I,1250 S CEDAR CREST BLVD,SUITE 300,ALLENTOWN,PA,181036224,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,230,102.61833333,80.455,54.73
1023341443,SNODGRESS,CASEY,L,D.O.,F,I,2751 E STATE HIGHWAY 114,,SOUTHLAKE,TX,760926670,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,281.91714286,77.18,60.51,54.72
1023341443,SNODGRESS,CASEY,L,D.O.,F,I,2751 E STATE HIGHWAY 114,,SOUTHLAKE,TX,760926670,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125.73,35.66,25.63,27.2125
1023342144,ANDERSON,TAKELA,N,FNP,F,I,4002 SPRING GARDEN ST,STE C,GREENSBORO,NC,274071683,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,48,68.940208333,8.32,6.5220833333,6.5220833333
1023342144,ANDERSON,TAKELA,N,FNP,F,I,4002 SPRING GARDEN ST,STE C,GREENSBORO,NC,274071683,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,32.965882353,3.9047058824,2.7270588235,3.2929411765
1023342144,ANDERSON,TAKELA,N,FNP,F,I,4002 SPRING GARDEN ST,STE C,GREENSBORO,NC,274071683,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,437.37,81.64,58.181818182,50.597272727
1023342284,SHAHED,CYNTHIA,G,NP-C,F,I,4330 W 150TH ST,SUITE 220,CLEVELAND,OH,441351362,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,30,30,175,50.5,35.28,35.248
1023342284,SHAHED,CYNTHIA,G,NP-C,F,I,4330 W 150TH ST,SUITE 220,CLEVELAND,OH,441351362,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,276.716,78,49.273,46.705
1023342284,SHAHED,CYNTHIA,G,NP-C,F,I,4330 W 150TH ST,SUITE 220,CLEVELAND,OH,441351362,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,105.74105263,28.748421053,20.357368421,19.97
1023342573,GOODWIN,JEAN,A,PHYSICIAN ASSISTANT,F,I,11980 SW 144TH COURT,SUITE 107,MIAMI,FL,33186,US,Independent Medical Examiner,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,24,79.652083333,8.32,5.9795833333,5.9795833333
1023343076,SHALATA,LINDSAY,L,PA-C,F,I,16 CHURCH ST,,DALLAS,PA,186121136,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,31,73.860645161,8.32,5.6806451613,5.6806451613
1023343076,SHALATA,LINDSAY,L,PA-C,F,I,16 CHURCH ST,,DALLAS,PA,186121136,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,35,3.9719230769,2.78,3.4273076923
1023343084,BRAMMER,CHRISTOPHER,J,FNP,M,I,2357 W. TAHOE AVE,,CARUTHERS,CA,93609,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,27,58.317407407,8.32,5.5574074074,5.5574074074
1023343084,BRAMMER,CHRISTOPHER,J,FNP,M,I,2357 W. TAHOE AVE,,CARUTHERS,CA,93609,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,9.5618181818,1.42,1.0181818182,1.0181818182
1023344876,SMITH,REBECCA,L,MD,F,I,200 MEMORIAL AVE,,WESTMINSTER,MD,211575726,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,100,5.292,3.0866666667,2.4786666667
1023344934,CARPE,LUCINDA,L,N.P.,F,I,12550 HESPERIA RD,SUITE 100,VICTORVILLE,CA,923955873,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,39,73.677692308,8.32,5.3507692308,5.3507692308
1023344934,CARPE,LUCINDA,L,N.P.,F,I,12550 HESPERIA RD,SUITE 100,VICTORVILLE,CA,923955873,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,16,14.460625,1.42,0.906875,0.906875
1023344934,CARPE,LUCINDA,L,N.P.,F,I,12550 HESPERIA RD,SUITE 100,VICTORVILLE,CA,923955873,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,519.51,105.21555556,77.2325,53.148055556
1023345154,HORKAN,JENNIFER,L,PA,F,I,4031 UPPER CREEK DR,,SUN CITY CENTER,FL,335736819,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,40,22.666923077,15.928461538,12.723076923
1023345154,HORKAN,JENNIFER,L,PA,F,I,4031 UPPER CREEK DR,,SUN CITY CENTER,FL,335736819,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,27.3,6.8825,4.849,3.229
1023345154,HORKAN,JENNIFER,L,PA,F,I,4031 UPPER CREEK DR,,SUN CITY CENTER,FL,335736819,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,457.8112,103.372,76.2644,58.4516
1023345154,HORKAN,JENNIFER,L,PA,F,I,4031 UPPER CREEK DR,,SUN CITY CENTER,FL,335736819,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,266.8,44.745,35.0825,31.303333333
1023345675,BARNETT,MARILYN,,FNP,F,I,251 S CLAYBROOK ST,A212,MEMPHIS,TN,381043539,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,2610,4.6542030651,0.5684942529,0.4456934866,0.4456896552
1023345675,BARNETT,MARILYN,,FNP,F,I,251 S CLAYBROOK ST,A212,MEMPHIS,TN,381043539,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,2100,0.0873619048,0.0125,0.0098142857,0.0098142857
1023345675,BARNETT,MARILYN,,FNP,F,I,251 S CLAYBROOK ST,A212,MEMPHIS,TN,381043539,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,2670,4.6081573034,2.8849325843,2.2617827715,2.2617827715
1023345675,BARNETT,MARILYN,,FNP,F,I,251 S CLAYBROOK ST,A212,MEMPHIS,TN,381043539,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,16,41,41,16,16,12.54,12.54
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,32,93,292,59.660479452,8.32,6.254109589,6.254109589
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,30,30,15.113333333,3.38,2.65,2.65
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,24.538461538,2.12,1.67,1.67
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,24,64,113,23.340530973,1.42,1.0746902655,1.0746902655
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,7.5829411765,1.47,1.0823529412,1.0823529412
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,48.8,17.9288,11.7796,11.372
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,15,92,105,34.320952381,5.4607619048,3.8894285714,3.3768571429
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,56,237.47428571,71.306428571,51.414285714,50.331071429
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,40,9573,0.4018061214,0.0456763815,0.03552178,0.03552178
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,40,3503,1.646460177,0.1343505567,0.1022352269,0.1022352269
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.75,36.14,25.969166667,27.173333333
1023345782,SAMI,SYED,A,M.D.,M,I,1525 W CARO RD,,CARO,MI,487239686,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,19,75,75,79.52,33,25.180133333,25.180133333
1023345956,FULKERT,KARL,A,DPM,M,I,37 E WILSON BRIDGE RD,,WORTHINGTON,OH,430852354,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,36,72,73.769444444,71.285,52.178888889,52.392777778
1023345956,FULKERT,KARL,A,DPM,M,I,37 E WILSON BRIDGE RD,,WORTHINGTON,OH,430852354,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,164,37.793170732,29.092439024,22.617926829,22.69597561
1023345956,FULKERT,KARL,A,DPM,M,I,37 E WILSON BRIDGE RD,,WORTHINGTON,OH,430852354,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,457.14285714,251.28,197,217.32642857
1023345998,NARANJO,ROCIO,P,P.A.,F,I,7471 N FRESNO ST,,FRESNO,CA,937202457,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,540,10.459055556,3.1358888889,2.399537037,2.399537037
1023345998,NARANJO,ROCIO,P,P.A.,F,I,7471 N FRESNO ST,,FRESNO,CA,937202457,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,25.87,25.87
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.47,5.36,4.202,4.202
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,129.15,55.1355,43.2265,40.889
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,33,33,154.54090909,58.736363636,43.51,38.123030303
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21,4.8186666667,3.7786666667,3.7533333333
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,185,67.5225,52.9325,50.8275
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,25,485.9688,86.0168,67.438,56.3452
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,0.92,0.1365454545,0.0905378788,0.0905378788
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,12,56,56,59.464285714,21.86,16.204642857,14.033214286
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,40,40,100,42.22575,33.1055,26.3975
1023346137,TOLAR,MELISSA,R,FNP,F,I,6051 U S HIGHWAY 49,,HATTIESBURG,MS,394017200,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,19.4025,19.4025
1023346459,WANG,YI-CHIUN,,M.D.,F,I,795 EL CAMINO REAL,"2ND FLOOR, LEE BUILDING",PALO ALTO,CA,943012302,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,35.97,17.11,12.58125,12.70375
1023346459,WANG,YI-CHIUN,,M.D.,F,I,795 EL CAMINO REAL,"2ND FLOOR, LEE BUILDING",PALO ALTO,CA,943012302,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,250.51,79,59.359166667,52.449583333
1023346806,BEAMON,SHELBY,M,PA-C,M,I,2600 NE 63RD ST,,OKLAHOMA CITY,OK,731118301,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1461,0.1955646817,0.0468583162,0.0334017796,0.0334017796
1023346806,BEAMON,SHELBY,M,PA-C,M,I,2600 NE 63RD ST,,OKLAHOMA CITY,OK,731118301,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,105,33,23.518181818,23.518181818
1023347135,ZOFAKIS,TINA,,,F,I,5783 N LINCOLN AVE,,CHICAGO,IL,606594722,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,30,67,153,68.113398693,8.32,5.2420915033,5.2420915033
1023347135,ZOFAKIS,TINA,,,F,I,5783 N LINCOLN AVE,,CHICAGO,IL,606594722,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,24,24,9.31625,1.42,1.0733333333,1.0733333333
1023347358,ATAI,FAITH,D,M.D,F,I,8810 HIGHWAY 6 STE 100,,MISSOURI CITY,TX,774597104,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,17,67,43.860149254,8.32,6.5226865672,6.5226865672
1023347358,ATAI,FAITH,D,M.D,F,I,8810 HIGHWAY 6 STE 100,,MISSOURI CITY,TX,774597104,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,26,8.7207692308,1.42,1.1153846154,1.1153846154
1023347358,ATAI,FAITH,D,M.D,F,I,8810 HIGHWAY 6 STE 100,,MISSOURI CITY,TX,774597104,US,Physician/Geriatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,5.0754545455,3,2.352,2.3676666667
1023347358,ATAI,FAITH,D,M.D,F,I,8810 HIGHWAY 6 STE 100,,MISSOURI CITY,TX,774597104,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8100,2.7466666667,0.3,0.2174876543,0.2253246914
1023347358,ATAI,FAITH,D,M.D,F,I,8810 HIGHWAY 6 STE 100,,MISSOURI CITY,TX,774597104,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,163.125,37.023333333,28.077222222,28.282777778
1023347358,ATAI,FAITH,D,M.D,F,I,8810 HIGHWAY 6 STE 100,,MISSOURI CITY,TX,774597104,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,54.738823529,10.148235294,7.9564705882,7.0694117647
1023348166,RODRIGUEZ,MARGARITA,,FNP,F,I,1604 E 8TH ST,SUITE A,WESLACO,TX,785965587,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,399.23111111,32.073888889,20.447222222,20.763333333
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,26,109,64.914220183,8.32,4.548440367,4.548440367
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,86.31,17.09,11.652173913,11.777391304
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,62.6132,3.9412,2.0196,2.4612
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,527.94833333,65.7,46.198809524,49.246904762
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1500,15.68102,9.64992,7.5344133333,7.5344133333
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2175,0.17,0.0468275862,0.0290896552,0.0290896552
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,0.75,0.21888,0.1579133333,0.1579133333
1023348430,JOHNSON,LAURA,L,FNP,F,I,1619 NW HAWTHORNE AVE STE 204,,GRANTS PASS,OR,97526,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,39,39,126.92307692,33,23.216666667,23.216666667
1023348950,LEVINSTEIN,SHELLY,J,CRNP,F,I,1920 QUEENSWOOD DR,SUITE 200,YORK,PA,174034269,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,1650,4.267030303,0.5602363636,0.4110606061,0.4110606061
1023348950,LEVINSTEIN,SHELLY,J,CRNP,F,I,1920 QUEENSWOOD DR,SUITE 200,YORK,PA,174034269,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1560,2.4485,0.7421538462,0.5818782051,0.5818782051
1023348950,LEVINSTEIN,SHELLY,J,CRNP,F,I,1920 QUEENSWOOD DR,SUITE 200,YORK,PA,174034269,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,1920,3.1066979167,1.054125,0.7863333333,0.7863333333
1023348950,LEVINSTEIN,SHELLY,J,CRNP,F,I,1920 QUEENSWOOD DR,SUITE 200,YORK,PA,174034269,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1080,5.9487777778,2.7354444444,2.0280648148,2.0280648148
1023348950,LEVINSTEIN,SHELLY,J,CRNP,F,I,1920 QUEENSWOOD DR,SUITE 200,YORK,PA,174034269,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1023348950,LEVINSTEIN,SHELLY,J,CRNP,F,I,1920 QUEENSWOOD DR,SUITE 200,YORK,PA,174034269,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,42,43,16,16,11.665116279,11.665116279
1023349131,SIRGEDAS,LAURA,,PA-C,F,I,600 N WOLFE ST,HALSTED 600,BALTIMORE,MD,212875601,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,524.17777778,77.744444444,57.77,52.526666667
1023349131,SIRGEDAS,LAURA,,PA-C,F,I,600 N WOLFE ST,HALSTED 600,BALTIMORE,MD,212875601,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,173.78,36.92,28.0453125,28.5971875
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,17,57.466470588,8.32,6.14,6.14
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,545.45,127.95909091,99.975454545,67.502727273
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,31,201.73,48.702580645,38.182580645,25.917741935
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,13,63,82.143174603,20.047301587,13.265396825,9.6282539683
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,340.13,77.441818182,53.953636364,36.489090909
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,14,14,100.29,25.929285714,20.324285714,14.06
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,18,18,110.83,21.836666667,16.557222222,8.6133333333
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,25,118,14.823050847,2.996440678,2.2597457627,1.5123728814
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,19,81.75,19.358421053,13.348421053,9.1831578947
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,50.73,7.0975,5.3042857143,3.3385714286
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,21,257.82,51.158571429,35.184285714,22.174761905
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,519.51,100.263125,76.7403125,55.5509375
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,15.58,9.5715555556,7.2384166667,7.2384166667
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1574,0.2211435832,0.0463468869,0.0363024142,0.0363024142
1023349230,MCGINNIS,BECKY,L,"APN, CNP",F,I,206 N. PEARL ST.,,TEUTOPOLIS,IL,624670220,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,127.28571429,33,25.87,25.87
1023349859,BORKOWSKI,KIMBERLY,,APN-C,F,I,1 BRACE ROAD,SUITE C,CHERRY HILL,NJ,080342624,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,20.57,6.9169230769,4.6238461538,5.7130769231
1023349982,ROCKENFIELD,TERRA,L,PA-C,F,I,5495 S 500 E,STE 320,OGDEN,UT,844056923,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,67.582857143,17.91,13.371428571,12.942857143
1023349982,ROCKENFIELD,TERRA,L,PA-C,F,I,5495 S 500 E,STE 320,OGDEN,UT,844056923,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,241.15764706,70.48,55.25,54.782352941
1023350048,MILLS,SHARA,E,APRN,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Certified Clinical Nurse Specialist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,60,51.784,8.32,5.4346666667,5.4346666667
1023350048,MILLS,SHARA,E,APRN,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Certified Clinical Nurse Specialist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,34,55.960294118,21.811176471,16.221176471,13.796470588
1023350048,MILLS,SHARA,E,APRN,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Certified Clinical Nurse Specialist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,28,25.535714286,6.68,4.0178571429,2.4542857143
1023350048,MILLS,SHARA,E,APRN,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,34,337.60735294,97.52,73.329117647,58.897058824
1023350048,MILLS,SHARA,E,APRN,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Certified Clinical Nurse Specialist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,921,1.7210749186,0.1346036916,0.0966449511,0.0966449511
1023350048,MILLS,SHARA,E,APRN,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Certified Clinical Nurse Specialist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33.534615385,33,23.88,23.88
1023350097,CHILDRESS,LEAH,M,FNP,F,I,1144 PROFESSIONAL DR,,WILLIAMSBURG,VA,23185,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,38,59.072894737,8.32,5.8357894737,5.8357894737
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,85.818333333,71.56,56.105,56.105
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,81,52.27,43.56,34.151604938,34.150123457
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,71.428571429,66.574285714,52.194285714,62.335238095
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,750,598.41,469.16,398.07818182
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,150,141.94,111.28,101.568
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,600,475.12,372.5,322.836
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,100,100,78.4,70.608
1023350428,COOK,JEREMY,L,DPM,M,I,123 MARGARET LN STE A1,,GRASS VALLEY,CA,959455268,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,41,41,262.19512195,261.8604878,202.61853659,215.12414634
1023350535,ATRASZ,RACHELLE,G,M.D.,F,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,50,5.796,3.68,2.872
1023350535,ATRASZ,RACHELLE,G,M.D.,F,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,387.71714286,77.464,56.426857143,51.803714286
1023350535,ATRASZ,RACHELLE,G,M.D.,F,I,1000 DUTCH RIDGE RD,,BEAVER,PA,150099727,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,70,36.486,26.3328,26.998
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,44,142,330,63.913878788,8.32,5.692030303,5.692030303
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,25,15.7072,1.42,1.0268,1.0268
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,12,12,38.52,25.369166667,15.986666667,11.898333333
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,17,46,4.0065217391,2.9295652174,2.2213043478,1.6580434783
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,50,21.757692308,15.216153846,11.796923077
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,33.901428571,18.435714286,14.454285714,11.451428571
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,280,105.6855814,77.300232558,53.40627907
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,175,45.69,35.823333333,29.915
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,3209,1.3376067311,0.1343471486,0.0985478342,0.0985478342
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,60,29.613103448,22.390689655,14.061034483
1023350949,LUMA,TERRY,J,M.D.,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,84.206896552,33,24.085862069,24.085862069
1023351384,DIVECHA,DIPAL,K,PA-C,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,98,54.535,8.32,6.5229591837,6.5229591837
1023351384,DIVECHA,DIPAL,K,PA-C,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,389.56722222,251.11,196.87,196.87
1023351731,GOLDSMITH,ALLISON,M,,F,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842700,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,62,60.463225806,8.32,6.3117741935,6.3117741935
1023351731,GOLDSMITH,ALLISON,M,,F,I,224 CIRCLE DR,,TRAVERSE CITY,MI,496842700,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,25,18.004,1.42,1.1144,1.1144
1023351798,CARMICHAEL,KATHERINE,C,D.O.,F,I,5133 RIDGE RD,STE 1,WADSWORTH,OH,442818077,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,86.31,17,13.33,13.458333333
1023351798,CARMICHAEL,KATHERINE,C,D.O.,F,I,5133 RIDGE RD,STE 1,WADSWORTH,OH,442818077,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,519.51,78,61.15,57.226666667
1023351855,CHOI,EVAN,,M.D.,M,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,15.035,11.785,13.998333333
1023351855,CHOI,EVAN,,M.D.,M,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.57,6.965,5.46,6.5725
1023351921,RAJACIC,PETER,,,M,I,6900 N PECOS RD,,NORTH LAS VEGAS,NV,890864400,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,90.724615385,48.968461538,33.201538462,25.799230769
1023351921,RAJACIC,PETER,,,M,I,6900 N PECOS RD,,NORTH LAS VEGAS,NV,890864400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,21,94,8.7617021277,2.8753191489,1.9910638298,1.4219148936
1023351921,RAJACIC,PETER,,,M,I,6900 N PECOS RD,,NORTH LAS VEGAS,NV,890864400,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,192.5,35.836333333,17.950333333,14.060333333
1023351921,RAJACIC,PETER,,,M,I,6900 N PECOS RD,,NORTH LAS VEGAS,NV,890864400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,102.61833333,70.6525,45.608333333
1023351962,PATEL,NARMISHA,V,M.D,F,I,2 W FERN AVE,,REDLANDS,CA,92373,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17,12.118181818,12.332727273
1023351962,PATEL,NARMISHA,V,M.D,F,I,2 W FERN AVE,,REDLANDS,CA,92373,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79.22,56.463636364,49.754545455
1023352366,LANG,ALYSON,S,PA-C,F,I,24 MAGOTHY BEACH RD STE A,,PASADENA,MD,211224414,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,100,78.8755,8.32,5.6745,5.6745
1023352366,LANG,ALYSON,S,PA-C,F,I,24 MAGOTHY BEACH RD STE A,,PASADENA,MD,211224414,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,25,17.674,1.42,0.892,0.892
1023352366,LANG,ALYSON,S,PA-C,F,I,24 MAGOTHY BEACH RD STE A,,PASADENA,MD,211224414,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,8.3263636364,2.3,1.8033333333,1.6301515152
1023352366,LANG,ALYSON,S,PA-C,F,I,24 MAGOTHY BEACH RD STE A,,PASADENA,MD,211224414,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,229.004,32.202,25.248,24.989333333
1023353174,DVORSCAK,MELISSA,,NP,F,I,1356 S LAKE PARK AVE,,HOBART,IN,463425964,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,103.19384615,34.482307692,25.107692308,23.376923077
1023353208,GADDESS,HEIDI,R,CRNP,F,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,22,64,22.522272727,16.977727273,12.915
1023353208,GADDESS,HEIDI,R,CRNP,F,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,40,19.435454545,15.238181818,9.5745454545
1023353208,GADDESS,HEIDI,R,CRNP,F,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,32.714285714,6.3464285714,3.59,2.1728571429
1023353208,GADDESS,HEIDI,R,CRNP,F,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,118.05454545,61.077272727,47.887272727,27.623636364
1023353208,GADDESS,HEIDI,R,CRNP,F,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,410,101.79913043,77.213913043,52.350434783
1023353208,GADDESS,HEIDI,R,CRNP,F,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,119.13944444,20.646666667,11.348333333,9.4233333333
1023353596,ROCKFELD,JONATHAN,,N.P.,M,I,205 E BROWN ST,HEMATOLOGY/ONCOLOGY,EAST STROUDSBURG,PA,183013006,US,Nurse Practitioner,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,16,879,12.045824801,1.5578498294,1.221331058,1.221331058
1023353596,ROCKFELD,JONATHAN,,N.P.,M,I,205 E BROWN ST,HEMATOLOGY/ONCOLOGY,EAST STROUDSBURG,PA,183013006,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,11,24,2001,37.628365817,4.4542978511,3.4204697651,3.4204697651
1023353596,ROCKFELD,JONATHAN,,N.P.,M,I,205 E BROWN ST,HEMATOLOGY/ONCOLOGY,EAST STROUDSBURG,PA,183013006,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,18.82,18.82
1023353596,ROCKFELD,JONATHAN,,N.P.,M,I,205 E BROWN ST,HEMATOLOGY/ONCOLOGY,EAST STROUDSBURG,PA,183013006,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,24,16,16,12.54,12.54
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,46,113,321,55.746199377,8.3179750779,5.467694704,5.4692834891
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,25,25,13.8072,3.38,2.438,2.438
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,15,15,25.178666667,2.12,1.5586666667,1.5586666667
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,31,56,87,17.369425287,1.42,1.0775862069,1.0775862069
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,53,8.8111320755,2.1341509434,1.6730188679,1.5971698113
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.96,12.906666667,12.411666667
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,32.460689655,3.9744827586,2.7144827586,3.2224137931
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,201.4662069,31.715172414,22.462758621,21.639655172
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,372.33368421,86.84,58.547368421,46.602631579
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,19,2436,0.3844170772,0.0466871921,0.0351477833,0.0351477833
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2250,1.3426711111,0.1363733333,0.1069288889,0.1069288889
1023354024,BRUTON,ANNA,S,ANP-C,F,I,2076 NC HIGHWAY 42 W,SUITE 330,CLAYTON,NC,275205302,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,36,36,93.5,33,24.432777778,24.432777778
1023354693,TINU,ANITHA,,,F,I,3200 MATLOCK RD,,ARLINGTON,TX,760152911,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,70.94,21.5,16.8575,15.643333333
1023354693,TINU,ANITHA,,,F,I,3200 MATLOCK RD,,ARLINGTON,TX,760152911,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,96.668571429,29.811428571,18.290714286,17.107857143
1023354693,TINU,ANITHA,,,F,I,3200 MATLOCK RD,,ARLINGTON,TX,760152911,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25.28,9.5875,7.515,7.3558333333
1023354800,MEGJHANI,MALIK,,M.D,M,I,8301 GRAND AVENUE,,ELMHURST,NY,11373,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,70,76.051571429,8.32,5.4035714286,5.4035714286
1023354800,MEGJHANI,MALIK,,M.D,M,I,8301 GRAND AVENUE,,ELMHURST,NY,11373,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,14,15.635714286,1.42,1.1171428571,1.1171428571
1023355195,LOCKLEAR,MELISSA,,FNP,F,I,101 S BOND ST,,ROWLAND,NC,283839639,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,19,41,49.438292683,8.32,6.522195122,6.522195122
1023355195,LOCKLEAR,MELISSA,,FNP,F,I,101 S BOND ST,,ROWLAND,NC,283839639,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,481.57710526,70.23,52.162105263,51.848947368
1023355195,LOCKLEAR,MELISSA,,FNP,F,I,101 S BOND ST,,ROWLAND,NC,283839639,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.44,26.904166667,27.054166667
1023356425,EDWARDS,EMMA,S,P.A.,F,I,2206 LONGO DR,SUITE 201,BELLEVUE,NE,68005,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,42,72.209761905,8.32,4.6583333333,4.6583333333
1023356425,EDWARDS,EMMA,S,P.A.,F,I,2206 LONGO DR,SUITE 201,BELLEVUE,NE,68005,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,28,50.73,3.815,2.7235714286,3.3467857143
1023356656,MARINKOVICH-DAVIDSON,JOANN,E,FNP-BC,F,I,53880 CARMICHAEL DR,,SOUTH BEND,IN,466351567,US,Nurse Practitioner,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,21,24,276,220.86,160.94916667,159.83791667
1023356656,MARINKOVICH-DAVIDSON,JOANN,E,FNP-BC,F,I,53880 CARMICHAEL DR,,SOUTH BEND,IN,466351567,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,85,64.76,48.626,44.869
1023357274,GARRETT,DONALD,J,FNP,M,I,1201 HIGHWAY 49 S,SUITE 4,RICHLAND,MS,392189425,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,32,60,57.263666667,8.32,5.3266666667,5.3266666667
1023357274,GARRETT,DONALD,J,FNP,M,I,1201 HIGHWAY 49 S,SUITE 4,RICHLAND,MS,392189425,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,19,19,19,1716.7415789,1296.6078947,983.27157895,869.54684211
1023357274,GARRETT,DONALD,J,FNP,M,I,1201 HIGHWAY 49 S,SUITE 4,RICHLAND,MS,392189425,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,15,16,912.309375,846.069375,626.20625,640.58125
1023357274,GARRETT,DONALD,J,FNP,M,I,1201 HIGHWAY 49 S,SUITE 4,RICHLAND,MS,392189425,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,20,25,26,121.68192308,105.76923077,82.922307692,88.846538462
1023357928,DARNELL,SARAH,,"APRN, FNP-BC",F,I,1099 MEDICAL CENTER CIR,,MAYFIELD,KY,420661159,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,18,1440,0.15,0.12,0.0941111111,0.0941111111
1023357928,DARNELL,SARAH,,"APRN, FNP-BC",F,I,1099 MEDICAL CENTER CIR,,MAYFIELD,KY,420661159,US,Nurse Practitioner,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,192,28.82,23.66,18.549375,18.549375
1023357928,DARNELL,SARAH,,"APRN, FNP-BC",F,I,1099 MEDICAL CENTER CIR,,MAYFIELD,KY,420661159,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,19,267,10.24,8.41,6.0943820225,6.0943820225
1023357928,DARNELL,SARAH,,"APRN, FNP-BC",F,I,1099 MEDICAL CENTER CIR,,MAYFIELD,KY,420661159,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,13,156,13.31,10.93,8.5691666667,8.5691666667
1023357928,DARNELL,SARAH,,"APRN, FNP-BC",F,I,1099 MEDICAL CENTER CIR,,MAYFIELD,KY,420661159,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,21,2050,0.16,0.13,0.0969317073,0.0969317073
1023357928,DARNELL,SARAH,,"APRN, FNP-BC",F,I,1099 MEDICAL CENTER CIR,,MAYFIELD,KY,420661159,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,17,90,48.211111111,26.62,20.87,19.200444444
1023357928,DARNELL,SARAH,,"APRN, FNP-BC",F,I,1099 MEDICAL CENTER CIR,,MAYFIELD,KY,420661159,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,18,51,10,9.0882352941,7.1245098039,6.4294117647
1023359080,THUESON,RYAN,L,PA-C,M,I,5121 S COTTONWOOD ST,,MURRAY,UT,841075701,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,1530,6.0075359477,0.5606470588,0.3493071895,0.3493071895
1023359080,THUESON,RYAN,L,PA-C,M,I,5121 S COTTONWOOD ST,,MURRAY,UT,841075701,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1408,3.9494673295,1.2712073864,0.9080681818,0.9080681818
1023359080,THUESON,RYAN,L,PA-C,M,I,5121 S COTTONWOOD ST,,MURRAY,UT,841075701,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,33,33,24,24,16.933333333,16.933333333
1023359106,HOUSE,ANNE,M,NP,F,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,30,30,30,125.32666667,41.792,31.681666667,34.499
1023359106,HOUSE,ANNE,M,NP,F,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,31,31,146.65612903,49.585483871,38.876129032,39.009032258
1023359106,HOUSE,ANNE,M,NP,F,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,25.933333333,6.1075,4.785,3.8466666667
1023359106,HOUSE,ANNE,M,NP,F,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,245.85,77.635,53.67625,47.893125
1023359106,HOUSE,ANNE,M,NP,F,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,45,45,79.81,16.749333333,11.689333333,12.493333333
1023359106,HOUSE,ANNE,M,NP,F,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,134.26,25.2725,18.288333333,19.9875
1023359106,HOUSE,ANNE,M,NP,F,I,1 WYOMING ST,,DAYTON,OH,454092722,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,31.58,7.1342857143,5.5928571429,6.3342857143
1023360419,KISH,KIMBERLY,A,"APN, CNP",F,I,407 S JACKSON ST STE A,,CERRO GORDO,IL,618184360,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,48,57.1825,8.32,5.43375,5.43375
1023360419,KISH,KIMBERLY,A,"APN, CNP",F,I,407 S JACKSON ST STE A,,CERRO GORDO,IL,618184360,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,16,69.721875,32.73,25.66,25.8825
1023360419,KISH,KIMBERLY,A,"APN, CNP",F,I,407 S JACKSON ST STE A,,CERRO GORDO,IL,618184360,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,26,10.956470588,5.5252941176,5.5694117647
1023360419,KISH,KIMBERLY,A,"APN, CNP",F,I,407 S JACKSON ST STE A,,CERRO GORDO,IL,618184360,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,102.94117647,31.737058824,21.326764706,20.644117647
1023360419,KISH,KIMBERLY,A,"APN, CNP",F,I,407 S JACKSON ST STE A,,CERRO GORDO,IL,618184360,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,69.81,52.894545455,52.894545455
1023360419,KISH,KIMBERLY,A,"APN, CNP",F,I,407 S JACKSON ST STE A,,CERRO GORDO,IL,618184360,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,50,36.14,28.33,29.402727273
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,21,48,59.42375,8.32,6.2489583333,6.2489583333
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,20,14.897,1.42,1.005,1.005
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,251.35333333,180.20416667,141.28666667,127.45
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,21,132,136,111.54477941,50.546470588,38.581691176,37.930441176
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,61.924473684,16.5,12.599473684,13.140263158
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,50,57,44.861754386,3.8526315789,2.9189473684,3.5214035088
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,86.591538462,43.2,26.053846154,25.723076923
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,21.584210526,9.0752631579,7.1157894737,6.9963157895
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,26,18.378076923,11.965769231,9.3792307692,9.2211538462
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,21,134,143,333.20867133,76.963846154,58.235874126,53.579020979
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1959,1.0478203165,0.1345482389,0.0888361409,0.0888361409
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,43,49,35.353265306,19.771428571,14.24877551,13.075102041
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,13,14.583076923,8.8076923077,6.9038461538,6.6330769231
1023360435,REZA,REBECCA,K,ARNP,F,I,4348 SOUTHPOINT BLVD,STE 100,JACKSONVILLE,FL,322160986,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,121,33,21.558333333,21.558333333
1023360575,TZAMALOUKAS,ERASICLEIA,,CNS,F,I,5901 HARPER DR NE,,ALBUQUERQUE,NM,871093587,US,Certified Clinical Nurse Specialist,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,2966,0.949888739,0.4391099123,0.3442548887,0.3442548887
1023360575,TZAMALOUKAS,ERASICLEIA,,CNS,F,I,5901 HARPER DR NE,,ALBUQUERQUE,NM,871093587,US,Certified Clinical Nurse Specialist,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,330,0.8222424242,0.27,0.1924242424,0.1924242424
1023360575,TZAMALOUKAS,ERASICLEIA,,CNS,F,I,5901 HARPER DR NE,,ALBUQUERQUE,NM,871093587,US,Certified Clinical Nurse Specialist,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,256,29.219882813,22.42,17.149726562,17.149726562
1023360575,TZAMALOUKAS,ERASICLEIA,,CNS,F,I,5901 HARPER DR NE,,ALBUQUERQUE,NM,871093587,US,Certified Clinical Nurse Specialist,S,A6211,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,280,57.01,33.06,25.528214286,25.528214286
1023360575,TZAMALOUKAS,ERASICLEIA,,CNS,F,I,5901 HARPER DR NE,,ALBUQUERQUE,NM,871093587,US,Certified Clinical Nurse Specialist,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,563,8.4544582593,7.0848845471,5.5546003552,5.59
1023360575,TZAMALOUKAS,ERASICLEIA,,CNS,F,I,5901 HARPER DR NE,,ALBUQUERQUE,NM,871093587,US,Certified Clinical Nurse Specialist,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,297,3.7640740741,1.28,1.0035353535,1.0035353535
1023360658,REED,JARED,S,P.A.,M,I,2500 CANTERBURY DR,SUITE 112,HAYS,KS,676012247,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,63.59,44.272380952,34.706190476,25.020952381
1023360658,REED,JARED,S,P.A.,M,I,2500 CANTERBURY DR,SUITE 112,HAYS,KS,676012247,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,16.998823529,10.644705882,7.5541176471,5.9152941176
1023360658,REED,JARED,S,P.A.,M,I,2500 CANTERBURY DR,SUITE 112,HAYS,KS,676012247,US,Physician Assistant,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,234.45454545,153.14,104.25045455,104.06727273
1023360765,MARCHEWKA,AMY,G,P.A.,F,I,625 N JACKSON AVE,,SPRINGFIELD,MN,560871714,US,Physician Assistant,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,290,9.0522068966,5.36,3.9122413793,3.9122413793
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,49,141,424,49.399316038,8.32,5.2358018868,5.2358018868
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,31,31,15.780645161,3.38,1.9661290323,1.9661290323
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,23.7,2.12,1.4473333333,1.4473333333
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,28,55,112,13.652678571,1.42,0.9639285714,0.9639285714
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,23,70.523043478,17.346521739,11.472608696,11.472608696
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,71,71,35.223098592,5.7571830986,4.1602816901,3.3530985915
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,32,359.4884375,70.0109375,49.5990625,49.5990625
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,6683,0.5382612599,0.0465075565,0.0327128535,0.0327128535
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,65,18.7172,13.5832,13.1176
1023360864,DAILEY,JESSICA,A,CNP,F,I,441 E 8TH ST,,LIMA,OH,458042482,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,101.53846154,33,21.89,21.89
1023360930,MORGAN,DANIEL,H,M.D.,M,I,625 LINCOLN AVE,,SAN JOSE,CA,951263785,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,83,77.322891566,8.32,6.3656626506,6.3656626506
1023360930,MORGAN,DANIEL,H,M.D.,M,I,625 LINCOLN AVE,,SAN JOSE,CA,951263785,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,175.94,17.11,13.416,14.506
1023361953,DAY,BETHANY,N,PA-C,F,I,26 MAIN ST STE 2,,NEWPORT,ME,049534163,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,40,78.05975,8.32,5.543,5.543
1023361953,DAY,BETHANY,N,PA-C,F,I,26 MAIN ST STE 2,,NEWPORT,ME,049534163,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,16,16,144.52375,37.955,20.065,14.92
1023362894,FRANKLIN,BARBARA,J,FNP,F,I,25647 REDWOOD HWY,,CAVE JUNCTION,OR,975239332,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,58,68.713275862,8.32,3.7031034483,3.7031034483
1023362894,FRANKLIN,BARBARA,J,FNP,F,I,25647 REDWOOD HWY,,CAVE JUNCTION,OR,975239332,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50.73,4.2347058824,2.6205882353,3.0770588235
1023362894,FRANKLIN,BARBARA,J,FNP,F,I,25647 REDWOOD HWY,,CAVE JUNCTION,OR,975239332,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,30,519.51,71.174,52.917333333,51.014666667
1023364189,CHEN,JIE,,,F,I,1215 LEE ST,,CHARLOTTESVILLE,VA,229080816,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,4425,2.0295751412,0.5658915254,0.4436632768,0.4436632768
1023364189,CHEN,JIE,,,F,I,1215 LEE ST,,CHARLOTTESVILLE,VA,229080816,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,5340,0.7600374532,0.7265037453,0.5696011236,0.5695917603
1023364189,CHEN,JIE,,,F,I,1215 LEE ST,,CHARLOTTESVILLE,VA,229080816,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,24,24,24,18.82,18.82
1023364189,CHEN,JIE,,,F,I,1215 LEE ST,,CHARLOTTESVILLE,VA,229080816,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,31,16,16,12.54,12.54
1023364593,PATEL,SATYAM,L,MD,M,I,3377 RIVERBEND DR,,SPRINGFIELD,OR,974778803,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,760.48,71.004,51.5476,50.8756
1023364593,PATEL,SATYAM,L,MD,M,I,3377 RIVERBEND DR,,SPRINGFIELD,OR,974778803,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,285.6,39.873333333,28.8025,27.331666667
1023364692,HONG,HANNA,,M.D.,F,I,1201 W LA VETA AVE,,ORANGE,CA,928684203,US,Pediatrics,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,27,28,28,82.04,41.0525,32.181428571,30.804642857
1023364692,HONG,HANNA,,M.D.,F,I,1201 W LA VETA AVE,,ORANGE,CA,928684203,US,Pediatrics,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,16,17,17,377.28,94.414705882,71.782941176,66.957647059
1023364692,HONG,HANNA,,M.D.,F,I,1201 W LA VETA AVE,,ORANGE,CA,928684203,US,Pediatrics,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,235.28,55.966666667,43.874,42.998666667
1023364692,HONG,HANNA,,M.D.,F,I,1201 W LA VETA AVE,,ORANGE,CA,928684203,US,Pediatrics,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,68.32,19.5085,15.297,14.1835
1023364692,HONG,HANNA,,M.D.,F,I,1201 W LA VETA AVE,,ORANGE,CA,928684203,US,Pediatrics,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,19,19,19,400,140.97368421,110.51947368,105.00736842
1023364692,HONG,HANNA,,M.D.,F,I,1201 W LA VETA AVE,,ORANGE,CA,928684203,US,Pediatrics,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,18,44,44,195,41.278181818,32.358863636,30.903863636
1023364965,LATIF,SARAH,,M.D,F,I,35 COLLIER RD NW STE 635,,ATLANTA,GA,30309,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,363.8775,72.362,56.732,56.094
1023364965,LATIF,SARAH,,M.D,F,I,35 COLLIER RD NW STE 635,,ATLANTA,GA,30309,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,37.44,29.35,29.496666667
1023365137,PITA,BERTA,,M.D.,F,I,4300 ALTON RD,,MIAMI BEACH,FL,331402948,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,32,54.481875,8.32,6.3203125,6.3203125
1023365301,LEBECK LEE,CODY,M,MD,M,I,7545 BEECHMONT AVE STE K,,CINCINNATI,OH,45255,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,304.24,47.456,34.880666667,35.260666667
1023365368,KHATIWADA,BINOD,,MD,M,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,68.25,38.013571429,29.802142857,20.451428571
1023365368,KHATIWADA,BINOD,,MD,M,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,481.07448276,88.056551724,65.700689655,51.393793103
1023366432,EGGER,MARIA,,PA-C,F,I,300 MAIN ST,,LEWISTON,ME,042407027,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,130.31,22.760882353,14.551764706,16.970294118
1023366747,DESAI,KAVITA,V,APRN,F,I,321 N HIGHLAND,SUITE 200,SHERMAN,TX,75092,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,114.11764706,36.631764706,28.719411765,25.668235294
1023366747,DESAI,KAVITA,V,APRN,F,I,321 N HIGHLAND,SUITE 200,SHERMAN,TX,75092,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,19,609.16315789,187.12473684,146.70052632,107.29631579
1023367505,REYES,AMANDA,S,"MSN, FNP-BC",F,I,3939 MEDICAL DR,,SAN ANTONIO,TX,782292291,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,74.97,18.365,14.400454545,14.864090909
1023367505,REYES,AMANDA,S,"MSN, FNP-BC",F,I,3939 MEDICAL DR,,SAN ANTONIO,TX,782292291,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,21.07,7.6804545455,6.0240909091,6.9595454545
1023368453,SMITH,ANGELA,B,CNP,F,I,2828 ONEIL LN,,EUREKA,CA,955034870,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,32,63,66.369047619,8.32,6.4198412698,6.4198412698
1023368453,SMITH,ANGELA,B,CNP,F,I,2828 ONEIL LN,,EUREKA,CA,955034870,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,778.0026087,50.113478261,36.594347826,30.307826087
1023368453,SMITH,ANGELA,B,CNP,F,I,2828 ONEIL LN,,EUREKA,CA,955034870,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1997,5.5831597396,0.5716975463,0.4273960941,0.4273960941
1023369394,KIM,RICHARD,,,M,I,447 ATLANTIC AVE,,BROOKLYN,NY,112171702,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,36,78.788055556,8.32,5.0722222222,5.0722222222
1023369527,LANG,GREGORY,R,PA-C,M,I,910 W 5TH AVE,SUITE 1000,SPOKANE,WA,992042966,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,671.70157895,74.343157895,54.392105263,50.932105263
1023369956,GALLY,AMBER,A,PA-C,F,I,16827 E BYGROVE ST,,COVINA,CA,917221108,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,70,46.070142857,8.32,4.0647142857,4.0647142857
1023370327,CHEN,NATALIE,L,MD,F,I,25 MCCABE DR,,RENO,NV,895115991,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,29,55,73.843636364,8.32,6.0463636364,6.0463636364
1023370327,CHEN,NATALIE,L,MD,F,I,25 MCCABE DR,,RENO,NV,895115991,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.718333333,1.42,0.9333333333,0.9333333333
1023370483,BARRETT,PATRICIA,A,FNP-BC,F,I,6120 ALABAMA HWY,,RINGGOLD,GA,307362804,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,28,101,50.988712871,8.32,6.0177227723,6.0177227723
1023370483,BARRETT,PATRICIA,A,FNP-BC,F,I,6120 ALABAMA HWY,,RINGGOLD,GA,307362804,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,15,3.38,2.5175,2.5175
1023370483,BARRETT,PATRICIA,A,FNP-BC,F,I,6120 ALABAMA HWY,,RINGGOLD,GA,307362804,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,20,43,15,1.42,1.036744186,1.036744186
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,42,114,368,38.101684783,8.32,5.724673913,5.724673913
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,25,36,36,12.946111111,3.38,2.2819444444,2.2819444444
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,16,20,20,17.292,2.12,1.503,1.503
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,24,51,76,11.745263158,1.42,0.9828947368,0.9828947368
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,73,11.607945205,2.7534246575,2.0302739726,1.507260274
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,80.728076923,21.985,17.235,15.418076923
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,8.6275,6.7633333333,3.9733333333
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,216.21333333,46.376190476,34.26952381,22.415238095
1023370624,RAY,CHELSEA,E,MD,F,I,1500 SANDPOINT RD,,MUNISING,MI,498621406,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,421.102,102.4676,80.3368,61.714
1023370731,SONENTHAL,PAUL,,M.D.,M,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,23.87,4.2,3.29,3.8933333333
1023370871,TSAI,THOMAS,T,MD,M,I,1701 W CHARLESTON BLVD STE 230,,LAS VEGAS,NV,891022312,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,17.63,13.82,13.53
1023370871,TSAI,THOMAS,T,MD,M,I,1701 W CHARLESTON BLVD STE 230,,LAS VEGAS,NV,891022312,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,76.48,59.96,54.72
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,43,79,251,70.064661355,8.32,6.1064940239,6.1064940239
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,27,42,14.051666667,1.42,1.0357142857,1.0357142857
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,147.39307692,65.216153846,51.129230769,39.745384615
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,59.450833333,18.516666667,13.91,12.999583333
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,27,15.288518519,5.0718518519,3.942962963,3.6322222222
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,279.215,78.371428571,61.016785714,54.507857143
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,1734,1.7314648212,0.1330968858,0.0933794694,0.0933794694
1023370954,HERNANDEZ,SHERRI,L,NP,F,I,8560 BROADWAY,,MERRILLVILLE,IN,464107032,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,24,24,57.75,33,23.714166667,23.714166667
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,23,51,108,78.680833333,8.32,6.1,6.1
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,25,28,17.013928571,1.42,1.1178571429,1.1178571429
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,130.07333333,43.5475,34.14,30.445
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,243.50125,108.8625,84.131875,66.60875
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,103.001875,41.28375,29.806875,24.3403125
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,15,15,52.434666667,21.816666667,15.652666667,13.122666667
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,49.543846154,17.415384615,12.081538462,8.4184615385
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,14,23,123,6.5682113821,2.5933333333,2.033495935,1.5917073171
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,71.874117647,20.951764706,16.423529412,13.886470588
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,15,87.47,20.13,15.782666667,10.48
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,5.1184615385,4.0138461538,3.9830769231
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,12,71,74,163.10297297,48.082702703,36.893378378,26.293648649
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,118,123,275.95252033,89.286747967,69.21203252,55.314308943
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,87.542,41.216666667,32.309333333,23.098666667
1023371044,LOADER,KENT,B,M.D.,M,I,9699 OCEAN HWY,,PAWLEYS ISLAND,SC,29585,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,67,67,200,41.698656716,32.600895522,29.632985075
1023371069,DURU,ARINZE,H,M.D,M,I,1200 NORTHSIDE FORSYTH DR,,CUMMING,GA,300417659,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.8533333333,3.8058333333,3.7533333333
1023371069,DURU,ARINZE,H,M.D,M,I,1200 NORTHSIDE FORSYTH DR,,CUMMING,GA,300417659,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,240.44,100.2095,78.5665,56.7535
1023371069,DURU,ARINZE,H,M.D,M,I,1200 NORTHSIDE FORSYTH DR,,CUMMING,GA,300417659,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,200,44.017894737,34.511578947,29.892105263
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,8.54,8.54,5.435625,5.56125
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,31.97,27.45,21.52,22.31
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,11.6175,11.58,7.3825,9.2075
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,44,11.210454545,10.793636364,7.3165909091,7.4279545455
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,8.28,7,5.488,5.488
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1020,2.316,1.95,1.5288333333,1.5288333333
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,420,0.44,0.44,0.345,0.345
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,159,8.26,8.26,5.198427673,5.3163522013
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,51,828,10.782173913,10.743623188,8.3184057971,8.4644323671
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,420,0.45,0.45,0.3527380952,0.3527380952
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,55,55,55,131.708,43.927272727,33.593636364,35.425090909
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,24.572631579,4.38,3.2494736842,3.4715789474
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,25.63,8,6.27,7.5777777778
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,54,54,54,140.25814815,49.167777778,37.113333333,39.216111111
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,32.229,4.919,3.859,4.058
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,21,159,159,135.73245283,48.398742138,36.915283019,37.097421384
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,36.5,17,12.441333333,12.640666667
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,842.08416667,842.08416667
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,3.5975,2.825,3.5958333333
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,128.98,44.543529412,32.410588235,33.541470588
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,48,3.52,1.65625,1.295,1.5
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,48,5.8,2.72625,2.1425,2.2395833333
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,4.91,2.12625,1.6675,1.7945833333
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,31,177,177,23.912146893,9.286779661,6.9403389831,8.5933333333
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,71,71,217.1,77.667746479,58.38943662,52.765774648
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,16,16,16,68.36875,29.76,23.3325,28.95375
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,7.04,2.97,2.33,2.8586666667
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,358.58,134.94833333,105.80333333,113.26583333
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,35.84,13.555,10.6225,11.301666667
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,33,195,195,67.512717949,15.506666667,11.688871795,13.776153846
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,119.34,20.9,15.825925926,19.936666667
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,35,207,207,20.159130435,6.8760386473,5.1273429952,6.3846376812
1023371424,OGANDO,HEATHER,S,D.O.,F,I,135 PARK BLVD,BOX 308,MASSAPEQUA PARK,NY,117623643,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,55,55,61.96,40.949636364,31.526181818,29.068
1023371739,LEIGH,JOHN,A,M.D.,M,I,200 E CHESTNUT ST STE 303,,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45,12.632727273,9.8963636364,9.7672727273
1023371739,LEIGH,JOHN,A,M.D.,M,I,200 E CHESTNUT ST STE 303,,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,49.941818182,39.151818182,38.491818182
1023371739,LEIGH,JOHN,A,M.D.,M,I,200 E CHESTNUT ST STE 303,,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,45.218333333,18.14,14.216666667,14.501666667
1023371739,LEIGH,JOHN,A,M.D.,M,I,200 E CHESTNUT ST STE 303,,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,311.585,79.826666667,62.588333333,61.590833333
1023371796,PANDYA,SANDEEP,,MD,M,I,331 N MAITLAND AVE STE C1,,MAITLAND,FL,327514754,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,44,129,55.751550388,8.32,5.7136434109,5.7136434109
1023371796,PANDYA,SANDEEP,,MD,M,I,331 N MAITLAND AVE STE C1,,MAITLAND,FL,327514754,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,22,14.819090909,1.42,0.965,0.965
1023371796,PANDYA,SANDEEP,,MD,M,I,331 N MAITLAND AVE STE C1,,MAITLAND,FL,327514754,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,37.415454545,5.6166666667,3.7772727273,3.0381818182
1023371796,PANDYA,SANDEEP,,MD,M,I,331 N MAITLAND AVE STE C1,,MAITLAND,FL,327514754,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1500,0.92,0.13644,0.0984266667,0.0984266667
1023371796,PANDYA,SANDEEP,,MD,M,I,331 N MAITLAND AVE STE C1,,MAITLAND,FL,327514754,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,55.416470588,18.546470588,14.539411765,13.356470588
1023371796,PANDYA,SANDEEP,,MD,M,I,331 N MAITLAND AVE STE C1,,MAITLAND,FL,327514754,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,119.625,33,24.253125,24.253125
1023371929,PARKER,TISH,A,FNP-C,F,I,2900 12TH AVE N,SUITE 310W,BILLINGS,MT,59101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,30,74.134,8.32,6.2653333333,6.2653333333
1023371929,PARKER,TISH,A,FNP-C,F,I,2900 12TH AVE N,SUITE 310W,BILLINGS,MT,59101,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,63.428571429,17.91,12.034285714,11.641428571
1023371929,PARKER,TISH,A,FNP-C,F,I,2900 12TH AVE N,SUITE 310W,BILLINGS,MT,59101,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,4.6990909091,3.68,3.7781818182
1023371929,PARKER,TISH,A,FNP-C,F,I,2900 12TH AVE N,SUITE 310W,BILLINGS,MT,59101,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,433.07692308,70.48,46.75,46.342307692
1023372042,CHAMBERS,JENNIFER,R,D.O.,F,I,5405 PARK ST N,,ST PETERSBURG,FL,337091044,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,27,86,56.066046512,8.2195348837,6.4440697674,6.5225581395
1023372042,CHAMBERS,JENNIFER,R,D.O.,F,I,5405 PARK ST N,,ST PETERSBURG,FL,337091044,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,42,12.366190476,1.42,1.1157142857,1.1157142857
1023372042,CHAMBERS,JENNIFER,R,D.O.,F,I,5405 PARK ST N,,ST PETERSBURG,FL,337091044,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,36.67,12.986666667,10.18,10.48
1023372042,CHAMBERS,JENNIFER,R,D.O.,F,I,5405 PARK ST N,,ST PETERSBURG,FL,337091044,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,24.5,9.78,7.1493333333,7.056
1023372042,CHAMBERS,JENNIFER,R,D.O.,F,I,5405 PARK ST N,,ST PETERSBURG,FL,337091044,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,505.95869565,79.88,52.935217391,46.409130435
1023372042,CHAMBERS,JENNIFER,R,D.O.,F,I,5405 PARK ST N,,ST PETERSBURG,FL,337091044,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,554.36,127.12,92.621333333,78.435333333
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,56,159,50.178176101,8.32,5.8664779874,5.8664779874
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,25,48,12.951666667,1.42,1.0216666667,1.0216666667
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,15,46,5.4769565217,1.8639130435,1.4060869565,1.1013043478
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,67,67,65.257761194,21.940895522,16.175223881,13.209850746
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,1812.76,1073.16,832.393125,833.265
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,46.048666667,8.636,6.2853333333,3.7126666667
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,167.8,43.978666667,32.758,22.34
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125,63.410909091,49.710909091,36.478181818
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,117,121,458.38041322,101.40735537,74.206115702,55.122644628
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,4110,1.7784087591,0.1343649635,0.1046812652,0.1046812652
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,65.806451613,32.895806452,25.790967742,15.166129032
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,25,11.512,9.0292,6.9888
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.745,32.344166667,27.6525
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,50.217391304,33,21.370869565,21.370869565
1023372232,NEWBERRY,BRIAN,S,D.O.,M,I,1490 PARK AVE NW,SUITE 3,NORTON,VA,242731631,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,70.666666667,66,51.74,51.74
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,22.790909091,17.866363636,15.971818182
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,51,95,6.06,2.9627368421,2.0765263158,2.0297894737
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,34,34.316470588,14.932647059,11.705882353,11.097058824
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,174.135,96.02375,75.28375,56.62
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,47,55,122.47454545,20.725636364,15.317636364,13.399454545
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,175.12,52.751388889,35.279444444,30.983888889
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,230.7175,67.613,48.318,45.648
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,29.34,8.3247826087,5.6052173913,5.4452173913
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,721.67,137.46545455,101.87181818,96.462727273
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,3404.3790909,2490.1436364,1939.2236364,1934.6418182
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,23,23,370.93521739,273.43913043,214.37478261,229.88695652
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5629,"Addition to lower extremity, below knee, acrylic socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,16,16,418.0575,307.26,240.89,259.294375
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,23,23,381.14565217,279.31,218.98,238.02086957
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5655,"Addition to lower extremity, socket insert, below knee (kemblo, pelite, aliplast, plastazote or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,18,18,348.16055556,256.45,201.06,219.66833333
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5668,"Addition  to lower extremity, below knee, molded distal cushion",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,20,20,134.029,98.7605,77.433,83.9225
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,24,24,862.63791667,641.22,485.98041667,419.64666667
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,25,47,974.7287234,724.61319149,550.32659574,546.41085106
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5910,"Addition, endoskeletal system, below knee, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,23,23,474.08565217,355.24478261,278.51826087,298.40913043
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,14,14,861.46214286,643.46357143,504.48,451.69071429
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,938.77545455,702.14545455,515.65272727,501.70545455
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L8400,"Prosthetic sheath, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,57,23.892631579,17.71,13.885263158,13.322982456
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,20,148,28.477837838,20.747702703,16.265945946,16.372905405
1023372380,GROVER,PRATEEK,,MD,M,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Physical Medicine and Rehabilitation,S,L8470,"Prosthetic sock, single ply, fitting, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,22,138,9.2113043478,6.5434782609,5.1299275362,5.4718115942
1023372679,RATHORE,AJAY,S,M.D.,M,I,739 THIMBLE SHOALS BLVD,,NEWPORT NEWS,VA,236063562,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,4020,3.8758258706,0.5601641791,0.4391691542,0.4391641791
1023372679,RATHORE,AJAY,S,M.D.,M,I,739 THIMBLE SHOALS BLVD,,NEWPORT NEWS,VA,236063562,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,24,24,18.82,18.82
1023372679,RATHORE,AJAY,S,M.D.,M,I,739 THIMBLE SHOALS BLVD,,NEWPORT NEWS,VA,236063562,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,16,16,12.54,12.54
1023373081,ALBAAJ,FATMAH,H,MD,F,I,433 W HIGH ST,,BRYAN,OH,435061690,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,27.26,22.4775,17.550416667,13.46
1023373081,ALBAAJ,FATMAH,H,MD,F,I,433 W HIGH ST,,BRYAN,OH,435061690,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,141.74,102.61833333,76.72125,51.20625
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,81.387894737,17.787894737,12.482105263,12.152105263
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,35.181818182,5.7172727273,4.4818181818,3.9009090909
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,18,86,86,456.8477907,83.121744186,63.673953488,55.999186047
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,16,16,171.028125,38.24,28.253125,27.250625
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,22,3749,0.2286343025,0.0450200053,0.0304081088,0.0304081088
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,930,10.516817204,2.8815483871,2.2591827957,2.2591827957
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,45,45,209.64444444,38.918444444,30.514444444,30.304666667
1023373214,ZAIED,ALI,,MD,M,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,23,23,33,33,25.87,25.87
1023374055,BUDHANI,SANA,,DO,F,I,4700 ALLIANCE BLVD.,SUITE 400,PLANO,TX,75093,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,37.136111111,20.455555556,14.5,12.026666667
1023374055,BUDHANI,SANA,,DO,F,I,4700 ALLIANCE BLVD.,SUITE 400,PLANO,TX,75093,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,216.22913043,88.450434783,64.13173913,49.967391304
1023374196,BUSICK,HEATHER,J,M.D.,F,I,913 CULVER RD,,ROCHESTER,NY,14609,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,61.227352941,8.32,6.52,6.52
1023374196,BUSICK,HEATHER,J,M.D.,F,I,913 CULVER RD,,ROCHESTER,NY,14609,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,12.571818182,1.42,1.12,1.12
1023374196,BUSICK,HEATHER,J,M.D.,F,I,913 CULVER RD,,ROCHESTER,NY,14609,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,314.64363636,47.016363636,36.860909091,38.434545455
1023374196,BUSICK,HEATHER,J,M.D.,F,I,913 CULVER RD,,ROCHESTER,NY,14609,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,58.145,41.87,30.3,30.3
1023374196,BUSICK,HEATHER,J,M.D.,F,I,913 CULVER RD,,ROCHESTER,NY,14609,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1183.3909091,46.495454545,36.455454545,36.478181818
1023374196,BUSICK,HEATHER,J,M.D.,F,I,913 CULVER RD,,ROCHESTER,NY,14609,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,25,85,40.463882353,28.09,21.769058824,21.768941176
1023374220,HAUSFELD,JEFFREY,T,M.D.,M,I,234 GOODMAN ST,ML 0781,CINCINNATI,OH,452192364,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,78.599183673,17.343469388,13.597142857,13.545510204
1023374220,HAUSFELD,JEFFREY,T,M.D.,M,I,234 GOODMAN ST,ML 0781,CINCINNATI,OH,452192364,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,62,62,391.43548387,78.258709677,59.939193548,53.964032258
1023374238,PANELLA,NICHOLAS,J,M.D.,M,I,9430 PARK WEST BLVD STE 330,,KNOXVILLE,TN,379234203,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,134.28571429,36.02,25.893571429,24.584285714
1023374279,MOORE,PHYLLIS,P,"DNP,FNP-BC",F,I,600 MAIN ST,,FRIENDSHIP,TN,380341999,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,44,42.393409091,8.32,6.2277272727,6.2277272727
1023374279,MOORE,PHYLLIS,P,"DNP,FNP-BC",F,I,600 MAIN ST,,FRIENDSHIP,TN,380341999,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,16,50.07125,8.00375,5.365625,4.628125
1023374527,JOSHIPURA,MOHIT,Y,MD,M,I,6750 N MACARTHUR BLVD STE 350,,IRVING,TX,750392484,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,29,62.884827586,8.32,3.1989655172,3.1989655172
1023374527,JOSHIPURA,MOHIT,Y,MD,M,I,6750 N MACARTHUR BLVD STE 350,,IRVING,TX,750392484,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17.63,17.63,13.82,13.53
1023374527,JOSHIPURA,MOHIT,Y,MD,M,I,6750 N MACARTHUR BLVD STE 350,,IRVING,TX,750392484,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,76.48,76.48,59.96,54.72
1023374550,STERLING,SARA,E,,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113539,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,38.365714286,16.33,11.580952381,12.294285714
1023374550,STERLING,SARA,E,,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113539,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,30.777777778,4.3384444444,3.3995555556,3.7637777778
1023374550,STERLING,SARA,E,,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113539,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,54,223.7037037,71.06,53.062777778,52.15537037
1023374550,STERLING,SARA,E,,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113539,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,155,39.36,30.86,29.564
1023374667,ISENSTEIN,BATEL,H,M.D.,F,I,80 BEEKMAN AVE,,SLEEPY HOLLOW,NY,105912503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,14,22,103.92045455,8.32,5.6331818182,5.6331818182
1023375102,FERGUSON,GUINEVERE,G,CNP,F,I,9293 STATE ROUTE 43,SUITE B,STREETSBORO,OH,442415374,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,78,51.546666667,45.661666667
1023375136,PATEL,PUJAN,H,M.D. BS,M,I,3635 VISTA AVE,7TH FLOOR DESLOGE TOWER,SAINT LOUIS,MO,631102539,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,302,79.8,56.545833333,49.368333333
1023375169,LAFON,DAVID,C,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,56.376470588,19.567352941,14.482941176,12.734117647
1023375169,LAFON,DAVID,C,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,9.4615384615,7.7638461538,6.0869230769,4.0423076923
1023375169,LAFON,DAVID,C,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,279.4373913,90.294782609,66.763913043,55.560869565
1023375169,LAFON,DAVID,C,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,78.333333333,38.995,28.124166667,27.069166667
1023375300,MARES,JON,W,D.O.,M,I,1 MEDICAL CENTER DR,DHMC - DEPARTMENT OF NEPHROLOGY,LEBANON,NH,037561000,US,Physician/Neurology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,57,6120,6.0658872549,0.5499281046,0.3908464052,0.3917254902
1023375300,MARES,JON,W,D.O.,M,I,1 MEDICAL CENTER DR,DHMC - DEPARTMENT OF NEPHROLOGY,LEBANON,NH,037561000,US,Physician/Neurology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,1840,7.4961630435,0.9818913043,0.6276032609,0.6276032609
1023375300,MARES,JON,W,D.O.,M,I,1 MEDICAL CENTER DR,DHMC - DEPARTMENT OF NEPHROLOGY,LEBANON,NH,037561000,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,51,51,24,24,16.049607843,16.049607843
1023375300,MARES,JON,W,D.O.,M,I,1 MEDICAL CENTER DR,DHMC - DEPARTMENT OF NEPHROLOGY,LEBANON,NH,037561000,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,29,16,16,9.565862069,9.565862069
1023375599,YEE,KRISTEN,A,M.D.,F,I,5301 E HURON RIVER DR,,YPSILANTI,MI,481971051,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,17.27,13.54,13.54
1023375599,YEE,KRISTEN,A,M.D.,F,I,5301 E HURON RIVER DR,,YPSILANTI,MI,481971051,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,69.81,54.73,54.73
1023375664,VANBAAK,KARIN,D,M.D.,F,I,350 BROADWAY ST,#130,BOULDER,CO,803053343,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,70.48,55.25,54.764166667
1023375847,AHN,ESTHER,,,F,I,10100 CULVER BLVD STE A,,CULVER CITY,CA,902323174,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,37,75.481081081,8.32,6.5224324324,6.5224324324
1023375953,FULTON,ROBERT,A,MD,M,I,5 BUCKNAM RD,SUITE 2B,FALMOUTH,ME,041051392,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,24,72,68.518194444,8.32,6.1602777778,6.1602777778
1023375953,FULTON,ROBERT,A,MD,M,I,5 BUCKNAM RD,SUITE 2B,FALMOUTH,ME,041051392,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,20,15.922,1.42,0.949,0.949
1023375953,FULTON,ROBERT,A,MD,M,I,5 BUCKNAM RD,SUITE 2B,FALMOUTH,ME,041051392,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,71.394375,17.25,13.0975,13.116875
1023375953,FULTON,ROBERT,A,MD,M,I,5 BUCKNAM RD,SUITE 2B,FALMOUTH,ME,041051392,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,496.73465116,69.62,53.320465116,53.461627907
1023375995,AWWAD,MAHDI,M,M.D.,M,I,8194 WALNUT HILL LN STE 100,,DALLAS,TX,752314316,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,30,58.436,8.32,5.87,5.87
1023376266,SULEIMAN,HASAN,,,M,I,2955 W 95TH ST,,EVERGREEN PARK,IL,608052409,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,42,78.95047619,8.32,4.9692857143,4.9692857143
1023376910,ROMANDINE KRATZ,AMY,M,MD,F,I,835 S MAIN ST,,OCONTO FALLS,WI,541541282,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,39,100,46.1466,8.32,6.3907,6.3907
1023376910,ROMANDINE KRATZ,AMY,M,MD,F,I,835 S MAIN ST,,OCONTO FALLS,WI,541541282,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,19,22,10.028181818,1.42,1.1172727273,1.1172727273
1023376910,ROMANDINE KRATZ,AMY,M,MD,F,I,835 S MAIN ST,,OCONTO FALLS,WI,541541282,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1710,5.0068421053,2.04,1.5993333333,1.5993333333
1023376910,ROMANDINE KRATZ,AMY,M,MD,F,I,835 S MAIN ST,,OCONTO FALLS,WI,541541282,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,65.266,4.82,3.784,3.6173333333
1023376910,ROMANDINE KRATZ,AMY,M,MD,F,I,835 S MAIN ST,,OCONTO FALLS,WI,541541282,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1380,0.868942029,0.1355434783,0.0983623188,0.0983623188
1023376910,ROMANDINE KRATZ,AMY,M,MD,F,I,835 S MAIN ST,,OCONTO FALLS,WI,541541282,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,78.692307692,33,23.88,23.88
1023377397,KASALABA,KEMA,,,F,I,1010 SW COAST HIGHWAY SUITE 201,,NEWPORT,OR,973655240,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,26,72.509230769,8.32,5.2711538462,5.2711538462
1023377397,KASALABA,KEMA,,,F,I,1010 SW COAST HIGHWAY SUITE 201,,NEWPORT,OR,973655240,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,99,46.286363636,23.241818182,23.430909091
1023377579,RIZKALLA,JESSE,,M.D.,M,I,116 LEAH CRES,,THORNHILL,ZZ,L4J 8C3,CA,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,38.421052632,17.29,12.836842105,12.823157895
1023377579,RIZKALLA,JESSE,,M.D.,M,I,116 LEAH CRES,,THORNHILL,ZZ,L4J 8C3,CA,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,2227.2727273,1074.31,829.21727273,829.21727273
1023377579,RIZKALLA,JESSE,,M.D.,M,I,116 LEAH CRES,,THORNHILL,ZZ,L4J 8C3,CA,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,53,53,309.06566038,77.811132075,57.420943396,52.043584906
1023377579,RIZKALLA,JESSE,,M.D.,M,I,116 LEAH CRES,,THORNHILL,ZZ,L4J 8C3,CA,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,65,37.846363636,26.841363636,26.836363636
1023377637,LOWERY,MARY,A,MD,F,I,931 OAK PARK BLVD STE 101,,PISMO BEACH,CA,934493403,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,71,68.07971831,8.32,6.3374647887,6.3374647887
1023377637,LOWERY,MARY,A,MD,F,I,931 OAK PARK BLVD STE 101,,PISMO BEACH,CA,934493403,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,20,15.6535,1.42,1.118,1.118
1023377637,LOWERY,MARY,A,MD,F,I,931 OAK PARK BLVD STE 101,,PISMO BEACH,CA,934493403,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,21.11,4.0525,3.17625,3.59625
1023377637,LOWERY,MARY,A,MD,F,I,931 OAK PARK BLVD STE 101,,PISMO BEACH,CA,934493403,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,454.95652174,65.7,49.270434783,52.385652174
1023377645,BALYSH,ERICA,N,D.O.,F,I,27450 SCHOENHERR RD,STE. 400,WARREN,MI,480886683,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,25,98,43.819387755,8.32,5.4239795918,5.4239795918
1023377645,BALYSH,ERICA,N,D.O.,F,I,27450 SCHOENHERR RD,STE. 400,WARREN,MI,480886683,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,38,13.986578947,1.42,0.9213157895,0.9213157895
1023377645,BALYSH,ERICA,N,D.O.,F,I,27450 SCHOENHERR RD,STE. 400,WARREN,MI,480886683,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1170,0.92,0.1339230769,0.098,0.098
1023377645,BALYSH,ERICA,N,D.O.,F,I,27450 SCHOENHERR RD,STE. 400,WARREN,MI,480886683,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,23.88,23.88
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,26,68,192,69.314270833,8.32,4.8738020833,4.8738020833
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.381818182,3.38,1.2045454545,1.2045454545
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,19,24,16.359583333,1.42,0.465,0.465
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,170,54.149411765,34.342941176,17.876470588
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,407.2430303,106.38666667,77.392121212,50.092727273
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,3074,0.1495868575,0.0469908913,0.0325146389,0.0325146389
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,110,44.900769231,32.383846154,27.245384615
1023377827,CHASE,LISA,K,ARNP,F,I,126 N. 10TH STREET,,FORT DODGE,IA,505013915,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,72.6,33,22.547,22.547
1023377843,WILHELM,LINDSEY,B,D.O.,F,I,159 MARGARET ST,SUITE 100,PLATTSBURGH,NY,129011893,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,75,148,65.97722973,8.32,6.1245945946,6.1245945946
1023377843,WILHELM,LINDSEY,B,D.O.,F,I,159 MARGARET ST,SUITE 100,PLATTSBURGH,NY,129011893,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,12,32,35,14.236,1.42,0.9588571429,0.9588571429
1023377843,WILHELM,LINDSEY,B,D.O.,F,I,159 MARGARET ST,SUITE 100,PLATTSBURGH,NY,129011893,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,26,80.499230769,24.258076923,19.015769231,13.993076923
1023377843,WILHELM,LINDSEY,B,D.O.,F,I,159 MARGARET ST,SUITE 100,PLATTSBURGH,NY,129011893,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,437.865,113.92333333,89.32,57.12
1023377843,WILHELM,LINDSEY,B,D.O.,F,I,159 MARGARET ST,SUITE 100,PLATTSBURGH,NY,129011893,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,15.58,9.646,7.5624487179,7.5624487179
1023377843,WILHELM,LINDSEY,B,D.O.,F,I,159 MARGARET ST,SUITE 100,PLATTSBURGH,NY,129011893,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,110.59090909,33,24.694090909,24.694090909
1023377918,PATEL,PULAK,,,F,I,10650 PARK RD,SUITE 420,CHARLOTTE,NC,282108538,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,39.144736842,5.6210526316,3.0826315789,2.5331578947
1023377942,COLLIER,CYREE,,M.D.,F,I,601 W DUE WEST AVE,,MADISON,TN,371154423,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,58,59.02137931,8.32,5.9610344828,5.9610344828
1023378361,POLLINO,NOELLE,K,D.O.,F,I,525 E MARKET ST,,AKRON,OH,443041619,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,48,48,28.895625,4.8325,3.7579166667,3.5829166667
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,21,49,146,65.049863014,8.32,5.7624657534,5.7624657534
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,22,15.199545455,1.42,1.0645454545,1.0645454545
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,19,93.698421053,20.091052632,15.750526316,15.665263158
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,20,55.294,4.08,3.196,3.828
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22.820833333,10.15,7.96,8.1975
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,52,376.98307692,89.254615385,66.679038462,57.825
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,70,38,27.804,27.561333333
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,3149,0.1979993649,0.0466211496,0.0339123531,0.0339123531
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,104.10357143,19.484285714,15.278571429,14.406428571
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,200,43.396,31.833333333,27.547333333
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,273.21,150.2625,105.84666667,104.19416667
1023378650,MILLER,KRISTIN,,M.D.,F,I,605 SW 27TH ST,,EL RENO,OK,730365928,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,105.57142857,33,25.787142857,25.787142857
1023378676,OMROD,SUZANNE,E,"MSN, RN, ANP-BC",F,I,4051 OGLETOWN RD,SUITE 200,NEWARK,DE,197133159,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,33.14,9.8745454545,7.7454545455,8.5836363636
1023378676,OMROD,SUZANNE,E,"MSN, RN, ANP-BC",F,I,4051 OGLETOWN RD,SUITE 200,NEWARK,DE,197133159,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,100.31578947,18.982105263,14.879473684,16.011578947
1023378676,OMROD,SUZANNE,E,"MSN, RN, ANP-BC",F,I,4051 OGLETOWN RD,SUITE 200,NEWARK,DE,197133159,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.1,9.185,7.2,7.4691666667
1023378783,HEARD,CORAL,D,ANP,F,I,115 WRIGHTS ST,,HOT SPRINGS,AR,719136240,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,29,62,40.61,8.3006451613,5.2432258065,5.2508064516
1023378783,HEARD,CORAL,D,ANP,F,I,115 WRIGHTS ST,,HOT SPRINGS,AR,719136240,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,20,5.8425,1.42,0.95,0.95
1023378783,HEARD,CORAL,D,ANP,F,I,115 WRIGHTS ST,,HOT SPRINGS,AR,719136240,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,26,8.19,2.0184615385,1.4846153846,1.1161538462
1023378783,HEARD,CORAL,D,ANP,F,I,115 WRIGHTS ST,,HOT SPRINGS,AR,719136240,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,64,64,41.8853125,8.68765625,6.8090625,3.97625
1023378783,HEARD,CORAL,D,ANP,F,I,115 WRIGHTS ST,,HOT SPRINGS,AR,719136240,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,447.6276,105.1808,82.4644,54.73
1023378783,HEARD,CORAL,D,ANP,F,I,115 WRIGHTS ST,,HOT SPRINGS,AR,719136240,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,11,43,4560,0.5540109649,0.1365,0.1016513158,0.1016513158
1023378783,HEARD,CORAL,D,ANP,F,I,115 WRIGHTS ST,,HOT SPRINGS,AR,719136240,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,40,40,88.9125,33,24.083,24.083
1023378882,BITTON,BLAKE,,"PA-C, PHD, RDH",M,I,8508 W GAGE BLVD STE A101,,KENNEWICK,WA,993368106,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,42.535882353,4.3088235294,3.3776470588,3.7776470588
1023378924,LEMING,LUKE,R,DO,M,I,1001 E 18TH ST,,GROVE,OK,743442907,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,117.44,20.651666667,15.361666667,14.107777778
1023378924,LEMING,LUKE,R,DO,M,I,1001 E 18TH ST,,GROVE,OK,743442907,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,433.5,92.349,66.9665,57.932
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,23,55,46.491090909,8.1890909091,4.7585454545,4.8610909091
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,17,10.498235294,1.42,0.8552941176,0.8552941176
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,34.745454545,18.150909091,14.228181818,9.12
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.6525,12.160833333,8.5725,6.8058333333
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,51.24,22.4775,17.620833333,13.780833333
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,24.48,7.085,4.8918181818,3.0890909091
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,297.00652174,101.79913043,79.812608696,56.490869565
1023379153,BALMORIA,SANDRA,K,MD,F,I,5219 LANKFORD HIGHWAY,,NEW CHURCH,VA,234151715,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1702,0.2793478261,0.0466745006,0.033907168,0.033907168
1023379203,WERT,MATTHEW,A,MD,M,I,263 7TH AVE,SUITE 2B,BROOKLYN,NY,112157247,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,395,107.844,84.549,90.411
1023379203,WERT,MATTHEW,A,MD,M,I,263 7TH AVE,SUITE 2B,BROOKLYN,NY,112157247,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,847.50647059,842.90647059,660.83588235,669.57
1023379203,WERT,MATTHEW,A,MD,M,I,263 7TH AVE,SUITE 2B,BROOKLYN,NY,112157247,US,Physician/Orthopedic Surgery,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,105.64,105.64,82.82,87.198181818
1023379203,WERT,MATTHEW,A,MD,M,I,263 7TH AVE,SUITE 2B,BROOKLYN,NY,112157247,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,119.72875,118.70125,87.25125,85.2225
1023379765,COHEN,ELYSE,H,M.D.,F,I,201 E HURON ST STE 12-105,,CHICAGO,IL,606112869,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,75,90.944533333,8.32,5.4786666667,5.4786666667
1023379765,COHEN,ELYSE,H,M.D.,F,I,201 E HURON ST STE 12-105,,CHICAGO,IL,606112869,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,101.30117647,11.54,8.5176470588,8.5729411765
1023379765,COHEN,ELYSE,H,M.D.,F,I,201 E HURON ST STE 12-105,,CHICAGO,IL,606112869,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,75,13.6412,2.01,1.5770666667,1.5886666667
1023379765,COHEN,ELYSE,H,M.D.,F,I,201 E HURON ST STE 12-105,,CHICAGO,IL,606112869,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,38,39,77.777692308,12.182307692,8.7333333333,8.6307692308
1023379765,COHEN,ELYSE,H,M.D.,F,I,201 E HURON ST STE 12-105,,CHICAGO,IL,606112869,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,249.12488889,30.42,21.997777778,21.632222222
1023379849,PETERSON,BLAKE,,MD,M,I,2445 ARMY NAVY DR,,ARLINGTON,VA,222062905,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,18,18,18,125.20666667,49.277222222,38.635555556,37.962222222
1023379989,KILLGORE-SMITH,KORTNEY,K,ARNP,F,I,235 MAIN STREET,,WAITSBURG,WA,99361,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,65.7,51.51,54.193333333
1023380615,THATCHER,KATHERINE,M,CNP,F,I,1515 W FIR ST,,PORTALES,NM,881305703,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,27,58,64.475689655,8.32,4.9487931034,4.9487931034
1023380615,THATCHER,KATHERINE,M,CNP,F,I,1515 W FIR ST,,PORTALES,NM,881305703,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,20,14.1535,1.42,0.946,0.946
1023380664,LANE,ALEXANDER,L,D.O.,M,I,2201 45TH ST,,WEST PALM BEACH,FL,334072047,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,21,49.42047619,6.51,4.1338095238,2.68
1023381209,WATTS,JOANNA,,,F,I,10961 LEE JACKSON HWY,,BIG ISLAND,VA,24526,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,25,106,56.645377358,8.32,5.7846226415,5.7846226415
1023381209,WATTS,JOANNA,,,F,I,10961 LEE JACKSON HWY,,BIG ISLAND,VA,24526,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,36,86.31,17.29,12.343611111,12.3275
1023381209,WATTS,JOANNA,,,F,I,10961 LEE JACKSON HWY,,BIG ISLAND,VA,24526,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,519.51,70.23,51.2259375,50.960625
1023382785,BROWN,BOBBI-LYN,,ANP-C,F,I,3333 SILAS CREEK PKWY,,WINSTON SALEM,NC,271033013,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,70.23,50.471666667,50.16
1023383254,VAUGHN,SHELLEY,A,FNP-BC,F,I,1680 S 20TH AVE,,SAFFORD,AZ,855464011,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,22,80.163181818,8.32,5.6331818182,5.6331818182
1023383668,BUSKULIC,FRANCESCA,M,D.O.,F,I,839 S PUTNAM ST,,WILLIAMSTON,MI,48895,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,18,69.574444444,8.32,6.5222222222,6.5222222222
1023383668,BUSKULIC,FRANCESCA,M,D.O.,F,I,839 S PUTNAM ST,,WILLIAMSTON,MI,48895,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,240.905,86.53,62.994285714,62.994285714
1023383668,BUSKULIC,FRANCESCA,M,D.O.,F,I,839 S PUTNAM ST,,WILLIAMSTON,MI,48895,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,37,7.5675675676,2.03,1.3345945946,1.3345945946
1023383668,BUSKULIC,FRANCESCA,M,D.O.,F,I,839 S PUTNAM ST,,WILLIAMSTON,MI,48895,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,15,9.2970588235,7.2858823529,7.2858823529
1023383668,BUSKULIC,FRANCESCA,M,D.O.,F,I,839 S PUTNAM ST,,WILLIAMSTON,MI,48895,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,48,32.513958333,17.565416667,12.126666667,12.13
1023383668,BUSKULIC,FRANCESCA,M,D.O.,F,I,839 S PUTNAM ST,,WILLIAMSTON,MI,48895,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,103.56285714,33.767142857,20.142142857,19.475
1023383668,BUSKULIC,FRANCESCA,M,D.O.,F,I,839 S PUTNAM ST,,WILLIAMSTON,MI,48895,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,52,63,207.43809524,71.088730159,50.468730159,49.590952381
1023384179,PERSAUD,RAJESH,A,M.D.,M,I,1851 OLD MOULTRIE RD STE A,,SAINT AUGUSTINE,FL,320844167,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,25,3.7636363636,2.9481818182,3.5327272727
1023384781,CHOU,JEFFREY,C,MD,M,I,200 E CHESTNUT ST,SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,12.52,8.18,5.92125,6.981875
1023384781,CHOU,JEFFREY,C,MD,M,I,200 E CHESTNUT ST,SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,37,16.78,13.15,13.460909091
1023384781,CHOU,JEFFREY,C,MD,M,I,200 E CHESTNUT ST,SUITE 303,LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,270,71.5,56.06,54.971818182
1023384849,CHALLA,HARITHA,R,M.D,F,I,417 W 3RD AVE,,ALBANY,GA,317011943,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,141.14,48.7,34.682727273,35.179090909
1023384849,CHALLA,HARITHA,R,M.D,F,I,417 W 3RD AVE,,ALBANY,GA,317011943,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1900,1074.31,842.26,842.26
1023384849,CHALLA,HARITHA,R,M.D,F,I,417 W 3RD AVE,,ALBANY,GA,317011943,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,117,45.634117647,33.789411765,33.461176471
1023384849,CHALLA,HARITHA,R,M.D,F,I,417 W 3RD AVE,,ALBANY,GA,317011943,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,281.41454545,75.56,59.24,54.73
1023384849,CHALLA,HARITHA,R,M.D,F,I,417 W 3RD AVE,,ALBANY,GA,317011943,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,64.234666667,19.2,14.111333333,13.233333333
1023384930,MALIK,BRENDAN,R,M.D.,M,I,6901 SIMMONS LOOP,,RIVERVIEW,FL,335789498,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,26,522.67576923,79.88,56.823076923,51.05
1023384930,MALIK,BRENDAN,R,M.D.,M,I,6901 SIMMONS LOOP,,RIVERVIEW,FL,335789498,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,59.08826087,35.31,24.07826087,25.95826087
1023386174,KING,TIFFANY,M,D.O.,F,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79,61.94,54.73
1023386588,WERNER,PAMELA,A,NP-C,F,I,2400 S PEORIA ST,#100,AURORA,CO,800145476,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,21.115,17.578181818,13.780909091,14.588181818
1023386588,WERNER,PAMELA,A,NP-C,F,I,2400 S PEORIA ST,#100,AURORA,CO,800145476,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,173.91,32.292,25.314,27.141333333
1023386588,WERNER,PAMELA,A,NP-C,F,I,2400 S PEORIA ST,#100,AURORA,CO,800145476,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,21.07,9.742,7.6366666667,7.3066666667
1023386901,GEBREANANYA,ZELALEM,,MD,M,I,201 E GROVER ST,,SHELBY,NC,281503917,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,22.445,6.3585,4.621,3.154
1023386901,GEBREANANYA,ZELALEM,,MD,M,I,201 E GROVER ST,,SHELBY,NC,281503917,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,260.97692308,96.305128205,69.603846154,50.994358974
1023386901,GEBREANANYA,ZELALEM,,MD,M,I,201 E GROVER ST,,SHELBY,NC,281503917,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,65.931111111,43.656222222,32.038888889,27.701333333
1023388220,RONAYNE,SHELLY,,NP,F,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,40,96,68.6771875,8.2901041667,5.6159375,5.6394791667
1023388220,RONAYNE,SHELLY,,NP,F,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,22,13.012727273,1.42,1.0663636364,1.0663636364
1023388220,RONAYNE,SHELLY,,NP,F,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2790,0.1674946237,0.0478494624,0.0267240143,0.0267240143
1023388642,RAI,ANUPA,,MD,F,I,1111 SUPERIOR ST,SUITE 101,MELROSE PARK,IL,601604138,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,114.10842105,17.624210526,13.093684211,12.846315789
1023388642,RAI,ANUPA,,MD,F,I,1111 SUPERIOR ST,SUITE 101,MELROSE PARK,IL,601604138,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,329.73422222,75.879555556,58.054,53.600444444
1023388972,PERKINS-SAYLOR,BRITTANY,,PA-C,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562728,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,17,45.564117647,8.32,4.6070588235,4.6070588235
1023388972,PERKINS-SAYLOR,BRITTANY,,PA-C,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562728,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,54.910833333,22.23125,14.319583333,10.962083333
1023388972,PERKINS-SAYLOR,BRITTANY,,PA-C,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562728,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,28.380909091,8.0459090909,5.3159090909,2.8663636364
1023388972,PERKINS-SAYLOR,BRITTANY,,PA-C,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562728,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,254.15688889,98.347555556,70.533555556,49.505555556
1023388972,PERKINS-SAYLOR,BRITTANY,,PA-C,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562728,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,19,2370,2.0105654008,0.1292911392,0.0864092827,0.0864092827
1023388972,PERKINS-SAYLOR,BRITTANY,,PA-C,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562728,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,14,24,24,51.125,33,18.324583333,18.324583333
1023389251,AMIPARA,RAJIVKUMAR,G,MD,M,I,4215 JOE RAMSEY BLVD E,,GREENVILLE,TX,754017852,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,20,20,56.287,17.9955,13.4155,13.1835
1023389251,AMIPARA,RAJIVKUMAR,G,MD,M,I,4215 JOE RAMSEY BLVD E,,GREENVILLE,TX,754017852,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,15,15,357.26933333,79.478666667,58.314,54.471333333
1023389327,PATEL,VIKASH,,M.D.,M,I,1701 E PFLUGERVILLE PKWY,,PFLUGERVILLE,TX,786608990,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,26,45.136538462,8.32,6.5207692308,6.5207692308
1023391166,TARIQ,SOHAIB,,M.D.,M,I,790 W ORANGE AVE STE B,,EL CENTRO,CA,922433274,US,Internal Medicine,T,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,3706.3636364,2222.3545455,1727.3186364,1727.3186364
1023391257,QUINTERO,ERIN,E,ARNP,F,I,1201 5TH AVE N,SUITE 408,SAINT PETERSBURG,FL,337051425,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,35,77.788,8.32,6.1491428571,6.1491428571
1023391257,QUINTERO,ERIN,E,ARNP,F,I,1201 5TH AVE N,SUITE 408,SAINT PETERSBURG,FL,337051425,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,17.728181818,1.42,0.8145454545,0.8145454545
1023391257,QUINTERO,ERIN,E,ARNP,F,I,1201 5TH AVE N,SUITE 408,SAINT PETERSBURG,FL,337051425,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,18,75,21.776666667,17.073333333,14.676111111
1023391588,COYNER,BECKY,,CNP,F,I,1000 E. WASHINGTON STREET,,MEDINA,OH,44256,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2820,5.1634042553,1.92,1.4515460993,1.5456028369
1023391588,COYNER,BECKY,,CNP,F,I,1000 E. WASHINGTON STREET,,MEDINA,OH,44256,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,6808,11.058275558,6.15,4.8144286134,5.5044418331
1023391620,KANUMILLI,MYDHILI,,M.D,F,I,2647 S SAINT ELIZABETH BLVD,,GONZALES,LA,707375021,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,58.458666667,18.5,12.830666667,11.998666667
1023391620,KANUMILLI,MYDHILI,,M.D,F,I,2647 S SAINT ELIZABETH BLVD,,GONZALES,LA,707375021,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,333.06133333,71,51.949333333,51.143333333
1023391950,AHMAD,NOEEN,,D.O.,F,I,140 PARK AVE,,FLORHAM PARK,NJ,079321049,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,21.13,3.7164285714,2.4214285714,3.32
1023392461,COFFEY,MICHELLE,,ACNS-BC,F,I,1108 LAVACA ST,SUITE 110-320,AUSTIN,TX,787012172,US,Certified Clinical Nurse Specialist,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.12,4.0141935484,4.1632258065
1023392461,COFFEY,MICHELLE,,ACNS-BC,F,I,1108 LAVACA ST,SUITE 110-320,AUSTIN,TX,787012172,US,Certified Clinical Nurse Specialist,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5445,3.346,0.3,0.2351919192,0.243030303
1023393311,NOARD,TERA,L,FNP,F,I,4424 US HIGHWAY 34,,KEWANEE,IL,614438319,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,14,64.807142857,4.8414285714,3.5471428571,3.3807142857
1023394244,SANGRAMPURKAR,RUPALI,N,MD,F,I,3200 MACCORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,122,47.817622951,8.32,6.0954098361,6.0954098361
1023394244,SANGRAMPURKAR,RUPALI,N,MD,F,I,3200 MACCORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,40,12.9535,1.42,1.00175,1.00175
1023394244,SANGRAMPURKAR,RUPALI,N,MD,F,I,3200 MACCORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,80.525833333,21.985,17.235,14.031666667
1023394244,SANGRAMPURKAR,RUPALI,N,MD,F,I,3200 MACCORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,35.142857143,6.2766666667,3.7666666667,2.4142857143
1023394244,SANGRAMPURKAR,RUPALI,N,MD,F,I,3200 MACCORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,27,483.46777778,98.012592593,76.843333333,56.23
1023394244,SANGRAMPURKAR,RUPALI,N,MD,F,I,3200 MACCORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,44.745,35.0825,29.515833333
1023394970,WISEMAN,JAMIE,R,MD,F,I,10012 N CREEK RD,,COMFORT,TX,780133700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,35.452,8.32,4.7813333333,4.7813333333
1023394970,WISEMAN,JAMIE,R,MD,F,I,10012 N CREEK RD,,COMFORT,TX,780133700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,408.28571429,99.365,68.455714286,46.105
1023395043,ROMERO,MICHELLE,,PA,F,I,535 E 70TH ST,,NEW YORK,NY,10021,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,138.02,43.547894737,34.140526316,36.46
1023395274,GOSSAR,ALLISON,C,CRNP,F,I,200 E BROWN ST,IMMEDIATE CARE CENTER,EAST STROUDSBURG,PA,183013006,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,40,88.76625,8.32,6.1955,6.1955
1023395696,IRFAN,MOHAMMAD,,M.D.,M,I,440 TAYLOR RD,SUITE 3380,MONTGOMERY,AL,361173588,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,161.18545455,48.356363636,37.911818182,36.297272727
1023395696,IRFAN,MOHAMMAD,,M.D.,M,I,440 TAYLOR RD,SUITE 3380,MONTGOMERY,AL,361173588,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,41.6565625,17.29,11.85625,11.839375
1023395696,IRFAN,MOHAMMAD,,M.D.,M,I,440 TAYLOR RD,SUITE 3380,MONTGOMERY,AL,361173588,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,25.093939394,4.3972727273,2.3218181818,2.3212121212
1023395696,IRFAN,MOHAMMAD,,M.D.,M,I,440 TAYLOR RD,SUITE 3380,MONTGOMERY,AL,361173588,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,283.01529412,70.23,44.629117647,44.369411765
1023396306,AYALA HADZISABIC,EVA,E,D.O,F,I,190 HEIGHTS BLVD,,HOUSTON,TX,770073729,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,18,57.976666667,8.32,6.1594444444,6.1594444444
1023396983,SHANKOWSKI,DAVID,A,M.D.,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,195.77307692,51.091538462,34.783076923,29.993076923
1023396983,SHANKOWSKI,DAVID,A,M.D.,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,117.2,43.928571429,29.66,28.662857143
1023396983,SHANKOWSKI,DAVID,A,M.D.,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,69.032380952,23.37,16.532857143,12.225714286
1023396983,SHANKOWSKI,DAVID,A,M.D.,M,I,3600 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,27.04,11.510909091,9.0263636364,6.7163636364
1023397221,KOHLI,HARPREET,S,M.D.,M,I,801 BROADWAY N,,FARGO,ND,58102,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,404.79541667,93.710833333,73.47,56.75
1023397221,KOHLI,HARPREET,S,M.D.,M,I,801 BROADWAY N,,FARGO,ND,58102,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67.275,39.32,28.260833333,27.169166667
1023397841,SHIPLEY,SARA,A,APRN,F,I,116 SPIT BROOK RD,,NASHUA,NH,030622711,US,Nurse Practitioner,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,344,114.80636364,82.62,88.98
1023397841,SHIPLEY,SARA,A,APRN,F,I,116 SPIT BROOK RD,,NASHUA,NH,030622711,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,35.6025,27.908333333,27.916666667
1023397957,SWALLOWS,JACQUELINE,L,"FNP-BC, NP-C",F,I,319 BROAD ST,,BAXTER,TN,385445117,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,41,62.557804878,8.32,5.7275609756,5.7275609756
1023397957,SWALLOWS,JACQUELINE,L,"FNP-BC, NP-C",F,I,319 BROAD ST,,BAXTER,TN,385445117,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,22,76.519545455,20.910454545,14.358636364,11.958636364
1023397957,SWALLOWS,JACQUELINE,L,"FNP-BC, NP-C",F,I,319 BROAD ST,,BAXTER,TN,385445117,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,59.384545455,42.807272727,34.209090909
1023397957,SWALLOWS,JACQUELINE,L,"FNP-BC, NP-C",F,I,319 BROAD ST,,BAXTER,TN,385445117,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,48.015789474,7.0947368421,4.1594736842,2.8121052632
1023397957,SWALLOWS,JACQUELINE,L,"FNP-BC, NP-C",F,I,319 BROAD ST,,BAXTER,TN,385445117,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,36,433.02472222,100.10611111,76.037777778,54.672777778
1023397957,SWALLOWS,JACQUELINE,L,"FNP-BC, NP-C",F,I,319 BROAD ST,,BAXTER,TN,385445117,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4769,0.2106772908,0.047200671,0.0312329629,0.0312329629
1023397957,SWALLOWS,JACQUELINE,L,"FNP-BC, NP-C",F,I,319 BROAD ST,,BAXTER,TN,385445117,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,110.65384615,33,21.89,21.89
1023398096,SELAN,CAITLIN,E,PA-C,F,I,222 HIGH ST STE 205,,NEWTON,NJ,078609605,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3750,2539.0683333,1990.6291667,1990.6291667
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,25,73,169,53.675680473,8.32,4.1723076923,4.1723076923
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,15,30,34,10.341176471,1.42,0.6911764706,0.6911764706
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,38,13.32,10.45,10.477272727
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,41,43,43.325581395,5.4818604651,4.1146511628,3.5446511628
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,133.77777778,32.44,21.34,21.445
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,4962,0.5486678759,0.0463039097,0.0296614268,0.0296614268
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,990,2.2886363636,0.1313636364,0.091979798,0.091979798
1023399011,CARTER,TASSIE,A,ARNP,F,I,1766 CENTRAL AVE,PLANNED PARENTHOOD OF THE HEARTLAND DUBUQUE CLINIC,DUBUQUE,IA,520013607,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,33,33,33,22.734242424,22.734242424
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,60,51.264,8.2758333333,6.4883333333,6.5228333333
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,189.42,43.186538462,24.696923077,21.55
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,86.373846154,24.223076923,17.628461538,14.714615385
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,92.106363636,17.773636364,13.931818182,9.12
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,97,13.475876289,2.8173195876,1.9578350515,1.6082474227
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,86.31,22.0745,15.0675,11.5015
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,519.51,93.255555556,66.472222222,50.898888889
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.651,7.349,7.349
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2925,0.17,0.0466188034,0.0318188034,0.0318188034
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9881818182,2.3427575758,2.3427575758
1023399367,CASEY,STEPHANIE,R,,F,I,620 RANCH RD,,REEDSPORT,OR,974671720,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,25,132,33,24.0244,24.0244
1023400249,EKRAM,ADNAN,,M.D.,M,I,2555 COURT DR,SUITE 270,GASTONIA,NC,280542134,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,48,48,476.04166667,79,59.527083333,53.368333333
1023400249,EKRAM,ADNAN,,M.D.,M,I,2555 COURT DR,SUITE 270,GASTONIA,NC,280542134,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,100,35.27,25.93125,27.47125
1023400249,EKRAM,ADNAN,,M.D.,M,I,2555 COURT DR,SUITE 270,GASTONIA,NC,280542134,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,85,35.27,27.66,29.345625
1023400413,FAUCETT,JOSHUA,E,FNP,M,I,3470 BLAZER PKWY STE 230,,LEXINGTON,KY,405091887,US,Nurse Practitioner,S,J8597,"Antiemetic drug, oral, not otherwise specified",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,14,16,2280,5.5995789474,0.032,0.0250789474,0.0250789474
1023400413,FAUCETT,JOSHUA,E,FNP,M,I,3470 BLAZER PKWY STE 230,,LEXINGTON,KY,405091887,US,Nurse Practitioner,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,17,20,4392,25.094574226,1.3542213115,1.0617099271,1.0617076503
1023400413,FAUCETT,JOSHUA,E,FNP,M,I,3470 BLAZER PKWY STE 230,,LEXINGTON,KY,405091887,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,16,19,19,24,24,18.82,18.82
1023400413,FAUCETT,JOSHUA,E,FNP,M,I,3470 BLAZER PKWY STE 230,,LEXINGTON,KY,405091887,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,15,17,27,16,16,12.54,12.54
1023403896,RUFFO,LAURA,,NP,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,38,3960,0.39,0.13,0.0788080808,0.0788080808
1023403896,RUFFO,LAURA,,NP,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,57,6820,4.7929618768,1.82,1.2322434018,1.3727404692
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,12,31,316,61.376202532,19.659968354,15.413322785,15.413322785
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,12,30,780,6.5427179487,2.6353846154,2.0661153846,2.0661153846
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,72,176,765,66.697320261,8.32,6.0118562092,6.0118562092
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,30,50,12.5188,1.42,0.959,0.959
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,736.92604651,360.68790698,282.77860465,282.77860465
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,37,2680,17.128541045,10.915380597,8.5576455224,8.5576455224
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,40,141,141,381.32730496,251.0906383,195.49815603,195.51326241
1023404035,NEWHALL,STEVEN,,PA-C,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician Assistant,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,30,30,30,279.66566667,242.37,189.49733333,202.02266667
1023404423,CASTIGLIONE,ANDREW,S,MD,M,I,80 SEYMOUR STREET,HARTFORD HOSPITAL MEDICINE DEPT,HARTFORD,CT,06102,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,52,66.871730769,8.32,5.4409615385,5.4409615385
1023405073,DAVIS,AISHA,N,M.D.,F,I,2401 W UNIVERSITY AVE,,MUNCIE,IN,473033428,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,708.945,824.75666667
1023405651,MOORE,JAMES,,M.D.,M,I,1200 N STATE ST,,LOS ANGELES,CA,900331029,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,57.56,32.8675,25.7625,25.7625
1023406048,TREANOR,DEIRDRE,,FNP-C,F,I,8181 E IRVINGTON RD,,TUCSON,AZ,857095876,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,239.48923077,27.95,16.853846154,18.406923077
1023406980,KOSTNER,ANGELA,J,APN,F,I,PHYSICIANS IMMEDIATE CARE PLAINFIELD NORTH 13641 IL-59,,PLAINFIELD,IL,60544,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,38,70.878421053,8.32,5.835,5.835
1023407269,DIVERS,ASHLEY,,NP,F,I,1344 HAILE ST,,CAMDEN,SC,290203076,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,39,72.600512821,8.32,6.5220512821,6.5220512821
1023407269,DIVERS,ASHLEY,,NP,F,I,1344 HAILE ST,,CAMDEN,SC,290203076,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.04,13.36,13.53
1023407269,DIVERS,ASHLEY,,NP,F,I,1344 HAILE ST,,CAMDEN,SC,290203076,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,74,58.02,54.73
1023407350,PARSHALL,KYLIE,,PAC,F,I,9100 ANDERMATT DR STE 2,,LINCOLN,NE,685266700,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,29,46,42.883478261,8.32,5.2463043478,5.2463043478
1023407350,PARSHALL,KYLIE,,PAC,F,I,9100 ANDERMATT DR STE 2,,LINCOLN,NE,685266700,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,47.23,32.719090909,20.08
1023407640,SUDBURY,ELIZA,R,"MSN, APRN, FNP-C",F,I,1915 HOLTON RD,,MUSKEGON,MI,494451533,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,27.772727273,21.773636364,21.773636364
1023407640,SUDBURY,ELIZA,R,"MSN, APRN, FNP-C",F,I,1915 HOLTON RD,,MUSKEGON,MI,494451533,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15,8.4336363636,6.6136363636,6.71
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,15,15,130.80533333,38.55,29.975333333,30.244666667
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,13,67,39.029850746,15.12,11.647164179,11.683880597
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,11,15,15,125,54.47,39.862666667,40.005333333
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,13,13,45.538461538,17.88,12.932307692,12.979230769
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,21,117,6.3728205128,2.01,1.4955555556,1.5112820513
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,60,67,51.951044776,17.29,13.55,13.530597015
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,25,5.3022222222,3.757037037,3.1296296296
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,14,90,90,121.33333333,33.349333333,23.873666667,23.461555556
1023408291,SMITH,JENNIFER,,,F,I,623 S HOUSTON LAKE RD,SUITE 200,WARNER ROBINS,GA,310889093,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,101,106,265.93509434,70.23,54.151132075,53.849716981
1023408416,BEKBOLATOVA,ALIYA,,NP-C,F,I,760 BROADWAY,"WOODHULL HOSPITAL, DEPARTMENT OF MEDICINE",BROOKLYN,NY,112065317,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,32,64,88.9828125,8.32,5.30046875,5.30046875
1023408416,BEKBOLATOVA,ALIYA,,NP-C,F,I,760 BROADWAY,"WOODHULL HOSPITAL, DEPARTMENT OF MEDICINE",BROOKLYN,NY,112065317,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,21,21,84.371428571,1.42,0.9066666667,0.9066666667
1023408986,BUTTERSTEIN,MANDY,,"FNP-C, CPNP",F,I,4318 MISSION AVE,,OCEANSIDE,CA,920576541,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,86,59.213488372,8.32,5.6127906977,5.6127906977
1023408986,BUTTERSTEIN,MANDY,,"FNP-C, CPNP",F,I,4318 MISSION AVE,,OCEANSIDE,CA,920576541,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.96,3.38,1.9875,1.9875
1023408986,BUTTERSTEIN,MANDY,,"FNP-C, CPNP",F,I,4318 MISSION AVE,,OCEANSIDE,CA,920576541,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,81.967272727,19.97,14.236363636,11.909090909
1023409091,BECKHAM,LINDSEY,M,CRNP,F,I,575 SOUTHLAND DR,,VESTAVIA,AL,352263732,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,115.02,56.7275,44.47375,36.46
1023409091,BECKHAM,LINDSEY,M,CRNP,F,I,575 SOUTHLAND DR,,VESTAVIA,AL,352263732,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,104.47,51.443333333,40.33,37.153333333
1023409091,BECKHAM,LINDSEY,M,CRNP,F,I,575 SOUTHLAND DR,,VESTAVIA,AL,352263732,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,51.53,22.233103448,17.426551724,14.774482759
1023409091,BECKHAM,LINDSEY,M,CRNP,F,I,575 SOUTHLAND DR,,VESTAVIA,AL,352263732,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,121.14,64.828823529,50.826470588,47.804117647
1023409091,BECKHAM,LINDSEY,M,CRNP,F,I,575 SOUTHLAND DR,,VESTAVIA,AL,352263732,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,23.04,10.494705882,8.2282352941,6.9541176471
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,144,7.6634722222,5.74,3.8750694444,3.8750694444
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,326,1.8204294479,1.5477300613,1.1573312883,2.2254907975
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,27,379,11.036886544,7,4.8527440633,4.8527440633
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,8.1767272727,5.54,4.2436818182,4.2436818182
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,1140,2.7074385965,1.95,1.5288333333,1.5288333333
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,340,5.1935294118,4.03,2.7878235294,2.7878235294
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,20,870,0.3942988506,0.27,0.1994482759,0.1994482759
1023409265,NEISEN,MISTY,,,F,I,125 E IDAHO ST,STE 303,BOISE,ID,837126212,US,Physician Assistant,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,24,1130,0.3312920354,0.2414513274,0.1892477876,0.1933893805
1023409513,FONG,AUDREY,,CPNP,F,I,725 WELCH RD,,PALO ALTO,CA,943041601,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,750,7.1432,0.5656666667,0.4305066667,0.4305066667
1023409513,FONG,AUDREY,,CPNP,F,I,725 WELCH RD,,PALO ALTO,CA,943041601,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1023409513,FONG,AUDREY,,CPNP,F,I,725 WELCH RD,,PALO ALTO,CA,943041601,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,16,16,16,11.783125,11.783125
1023409620,DE JARNETT,CYNTHIA,,FNP,F,I,12900 PARK CENTER DR.,#150,CERRITOS,CA,90703,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,34.184782609,3.71,2.9126086957,3.5823913043
1023409620,DE JARNETT,CYNTHIA,,FNP,F,I,12900 PARK CENTER DR.,#150,CERRITOS,CA,90703,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,55.72,15.720909091,12.328181818,13.495454545
1023409620,DE JARNETT,CYNTHIA,,FNP,F,I,12900 PARK CENTER DR.,#150,CERRITOS,CA,90703,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,23.68,9.3892307692,7.3623076923,6.6330769231
1023409711,MCFARLANE,KEISHA,,,F,I,80 SEYMOUR ST,SUITE 502,HARTFORD,CT,061028000,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.9790909091,4.6827272727,3.6854545455
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,18,18,84.453333333,40.03,29.73,30.127222222
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,49.502727273,13.785454545,10.690909091,9.8236363636
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,229.57666667,96.268333333,75.473333333,71.394166667
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,61,52.901639344,19.548688525,15.325737705,15.300163934
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,19,19,178.83631579,57.66,45.203684211,44.426842105
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,20,20,52.194,19.7075,15.4485,14.8925
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,41,167,7.020239521,2.1741317365,1.7047904192,1.6621556886
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,65,65,48.492153846,19.235538462,14.876153846,13.606461538
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,2250,1074.31,842.26,842.26
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,13,70,70,25.659428571,6.4345714286,4.8258571429,3.7934285714
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,58,60,165.5315,36.759,27.687666667,25.767833333
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,128,128,280.21617188,84.32734375,65.15625,55.4259375
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,20,55,16409,0.2374422573,0.0464824182,0.0357322201,0.0357322201
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,51,5879,1.8558003062,0.1343153598,0.0997618643,0.0997618643
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,1320,10.496621212,3.0025,2.2065,2.2065
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,559,2.9282289803,0.2195706619,0.1644364937,0.1644364937
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,69.7,36.347419355,27.582258065,28.194193548
1023409802,LUCAK,ALEXANDRA,L,PA-C,F,I,1480 CENTER RD,STE A,AVON,OH,440111239,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,24,98,98,41.081632653,33,25.257040816,25.257040816
1023409844,HAMMONTREE,DANIELLE,,"R.N., NP-C",F,I,316 W US HIGHWAY 40,,ODESSA,MO,640767445,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,32,48.3178125,6.4225,4.5990625,3.63375
1023410370,HILBERT,SABRINA,M,APRN,F,I,1655 BERNARDIN AVE,SUITE 350,COLUMBIA,SC,292042039,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1500,913.16,703.96416667,830.30416667
1023410701,LEI,MICHAELA,,D.O.,F,I,72 ALEXANDER AVE,,LAMBERTVILLE,NJ,085302200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,24,64.092916667,8.32,6.4070833333,6.4070833333
1023410990,TITMUS,MARY,E,,F,I,9775 SW WILSHIRE ST,SUITE 200,PORTLAND,OR,972255067,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,16,26,80.838846154,8.32,6.0207692308,6.0207692308
1023410990,TITMUS,MARY,E,,F,I,9775 SW WILSHIRE ST,SUITE 200,PORTLAND,OR,972255067,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,47,31.911276596,4.084893617,3.0331914894,3.4621276596
1023410990,TITMUS,MARY,E,,F,I,9775 SW WILSHIRE ST,SUITE 200,PORTLAND,OR,972255067,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,451.706,65.7,51.51,54.408
1023411626,PETERSON,EMILY,E,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,72,207,63.785990338,8.32,5.6402415459,5.6402415459
1023411626,PETERSON,EMILY,E,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,23,37,14.782432432,1.42,0.9945945946,0.9945945946
1023411626,PETERSON,EMILY,E,PA,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,19,232.35,46.148421053,34.23,35.630526316
1023412301,OSTLER,NATHAN,,FNP-C,M,I,19350 E SILVER CREEK LN,,QUEEN CREEK,AZ,851429064,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,58,72.916034483,8.32,4.6024137931,4.6024137931
1023412301,OSTLER,NATHAN,,FNP-C,M,I,19350 E SILVER CREEK LN,,QUEEN CREEK,AZ,851429064,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,5.5,2.04,1.5685208333,1.5685208333
1023412301,OSTLER,NATHAN,,FNP-C,M,I,19350 E SILVER CREEK LN,,QUEEN CREEK,AZ,851429064,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,32.394285714,16.96,11.715714286,11.925714286
1023412301,OSTLER,NATHAN,,FNP-C,M,I,19350 E SILVER CREEK LN,,QUEEN CREEK,AZ,851429064,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,32.825454545,5.37,3.0618181818,2.4581818182
1023412301,OSTLER,NATHAN,,FNP-C,M,I,19350 E SILVER CREEK LN,,QUEEN CREEK,AZ,851429064,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,123.45142857,77.36,51.985714286,47.757142857
1023412400,KACIK,STEPHANIE,,APRN,F,I,20 YORK ST,,NEW HAVEN,CT,065103220,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1470,5.1811020408,0.5619387755,0.4029659864,0.4029591837
1023412475,KAO,DANIEL,,"RN, AGACNP-BC",M,I,550 1ST AVE,,NEW YORK,NY,100166402,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,30,30,30,139.802,43.699333333,34.260666667,36.197
1023412541,HAMLET,APRIL,A,APN,F,I,800 E 55TH ST,,CHICAGO,IL,606154906,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,30,77.876,8.32,5.6513333333,5.6513333333
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,24,75,82.2488,8.32,4.6089333333,4.6089333333
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,15,12.402,1.42,1.116,1.116
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,83.533846154,51.438461538,40.326923077,40.605384615
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,40,17.52,13.366315789,13.177368421
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,149.49913043,31.49,23.375652174,24.073913043
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,125,125,399.3348,78.436,56.50296,50.38384
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,178.81391304,39.033913043,27.854782609,26.943913043
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1249,0.1581104884,0.0465252202,0.0364611689,0.0364611689
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,870,0.7328275862,0.1353793103,0.106137931,0.106137931
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,230.816,38.76,29.1744,28.3648
1023412608,VOGLER,LAURA,C,PA-C,F,I,1451 RIVER PARK DR STE 260,,SACRAMENTO,CA,958154504,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,84.857142857,33,25.87,25.87
1023413200,HONG,PORLENG,,NP,M,I,29 MARKET SQ,,LYNN,MA,019052420,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,59,104,90.75375,8.32,4.5486538462,4.5486538462
1023413200,HONG,PORLENG,,NP,M,I,29 MARKET SQ,,LYNN,MA,019052420,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,47,51,15.856666667,1.42,0.7023529412,0.7023529412
1023413341,HECKMAN,KIMBERLY,J,CRNP,F,I,155 WILSON AVE,,WASHINGTON,PA,153013336,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,185,47.35,34.8,35.236666667
1023413358,BARTLETT,DIANA,,MSN,F,I,1717 13TH ST STE 300,,EVERETT,WA,98201,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,22,35.95,19.71,15.45,15.45
1023413358,BARTLETT,DIANA,,MSN,F,I,1717 13TH ST STE 300,,EVERETT,WA,98201,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,71.35,37.38,29.3,29.3
1023413358,BARTLETT,DIANA,,MSN,F,I,1717 13TH ST STE 300,,EVERETT,WA,98201,US,Nurse Practitioner,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,157,33.167961783,1.6278343949,1.2760509554,1.2760509554
1023415726,DORAME,CASSANDRA,,,F,I,270 E HUNT HWY STE A-2,,SAN TAN VALLEY,AZ,851434962,US,Physician Assistant,S,E0855,Cervical traction equipment not requiring additional stand or frame,D1E - Other DME,Durable Medical Equipment,Y,1,25,65,65,84,46.056615385,30.809230769,31.392923077
1023415726,DORAME,CASSANDRA,,,F,I,270 E HUNT HWY STE A-2,,SAN TAN VALLEY,AZ,851434962,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,1478.5714286,1134.46,885.65642857,882.74357143
1023416781,GILLUM,CODEY,,PA-C,M,I,125 PARKER HILL AVE,,ROXBURY CROSSING,MA,021202847,US,Physician Assistant,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,40,40,40,4995,4378.96,3429.523,3429.523
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,23,930,34.72516129,34.72516129,27.195913978,27.301612903
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,22,51,2124,8.28,8.28,6.4365489642,6.4365489642
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,26,1110,18.5,18.5,14.504,14.504
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,1260,5.95,5.95,4.6648333333,4.6648333333
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,37,528,10.93,10.93,8.5691477273,8.5691477273
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,540,3.67,3.67,2.8773333333,2.8773333333
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,134.38,47.627857143,34.163571429,36.292857143
1023416898,GILES-HONORE,MICHELLE,,APN,F,I,90 WASHINGTON ST,# 305,EAST ORANGE,NJ,070171050,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,21.44,5.8333333333,4.5766666667,3.7533333333
1023417425,ZAIDI,SIDRAH,,MD,F,I,2195 HARRODSBURG RD.,SUITE 125,LEXINGTON,KY,405360001,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,56.036153846,5.1638461538,3.7907692308,3.6576923077
1023417649,LIN,SITHU,,M.D.,M,I,601 PARK ST,,HONESDALE,PA,184311445,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,42,46,70.771304348,18.326304348,13.390434783,12.647608696
1023417649,LIN,SITHU,,M.D.,M,I,601 PARK ST,,HONESDALE,PA,184311445,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,46,48,433.54791667,84.344583333,61.915625,50.7225
1023418126,KNOLL,JOSEPH,A,"MSN, ARNP",M,I,8000 S ORANGE AVE STE 210,,ORLANDO,FL,328096748,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,81.5,62.101818182,52.932727273
1023418126,KNOLL,JOSEPH,A,"MSN, ARNP",M,I,8000 S ORANGE AVE STE 210,,ORLANDO,FL,328096748,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,35.78,25.5,26.992727273
1023418878,WAH,THINN,T,MD,F,I,38600 MEDICAL CENTER DR,,PALMDALE,CA,935514483,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,54.61875,21.615625,16.013125,14.189375
1023418878,WAH,THINN,T,MD,F,I,38600 MEDICAL CENTER DR,,PALMDALE,CA,935514483,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,28,236.1825,98.85,75.365357143,67.239642857
1023419728,MEDINA,DIANA,,P.A.,F,I,11513 N MAIN ST,,JACKSONVILLE,FL,322184002,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,32,66.8278125,8.32,6.520625,6.520625
1023419728,MEDINA,DIANA,,P.A.,F,I,11513 N MAIN ST,,JACKSONVILLE,FL,322184002,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,25,3.7636363636,2.82,3.385
1023419744,REDDY,ERIN,,,F,I,18167 US HIGHWAY 19 N STE 650,,CLEARWATER,FL,337646576,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,248.6,43.931818182,34.442727273,36.298181818
1023419744,REDDY,ERIN,,,F,I,18167 US HIGHWAY 19 N STE 650,,CLEARWATER,FL,337646576,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,164.2325,15.2905,7.86,9.3035
1023419744,REDDY,ERIN,,,F,I,18167 US HIGHWAY 19 N STE 650,,CLEARWATER,FL,337646576,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,25.84,7.7808695652,4.0130434783,4.1691304348
1023420569,RYNEARSON,AMANDA,L,"MS, PA-C",F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,1792,35.721294643,4.5275669643,3.5166238839,3.5166238839
1023420718,SHOGBESAN,OLUWASEUN,,MD,F,I,6TH AVENUE & SPRUCE STREET,,WEST READING,PA,19611,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,25.399090909,16.59,13,13.481818182
1023420718,SHOGBESAN,OLUWASEUN,,MD,F,I,6TH AVENUE & SPRUCE STREET,,WEST READING,PA,19611,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,228.8,67.72,53.1,54.581818182
1023420817,ROTH,ESTHER,M,D.O,F,I,2500 SW 75TH AVE,,MIAMI,FL,331552805,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,12.4895,5.796,3.8965,3.8965
1023420890,FAY,COURTNEY,,D.O.,F,I,1 MEDICAL CENTER BLVD,,CHESTER,PA,190133902,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,27,55.863703704,8.32,6.5225925926,6.5225925926
1023420999,VEGI,YASHASHREE,A,MD,F,I,700 E MARSHALL AVE,,LONGVIEW,TX,756015580,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,71.248461538,17.811538462,13.964615385,13.536923077
1023420999,VEGI,YASHASHREE,A,MD,F,I,700 E MARSHALL AVE,,LONGVIEW,TX,756015580,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,436.45,70.911428571,55.591428571,54.722857143
1023421211,DOWNIE,ARTHUR,C,NP,M,I,2931 MILITARY RD,,NIAGARA FALLS,NY,143041251,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,22,83.358636364,8.32,5.3345454545,5.3345454545
1023421401,SHAH,HALIE,,,F,I,6624 FANNIN ST STE 1240,,HOUSTON,TX,770302324,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,48,77.254583333,8.32,5.9775,5.9775
1023421427,BANCHENO,WOUHABE,M,MD,M,I,2031 SEAGIRT BLVD APT 1A,,FAR ROCKAWAY,NY,11691,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,176.36363636,50.056363636,39.243636364,40.470909091
1023421427,BANCHENO,WOUHABE,M,MD,M,I,2031 SEAGIRT BLVD APT 1A,,FAR ROCKAWAY,NY,11691,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,99.5,17.46,13.69,13.555
1023421427,BANCHENO,WOUHABE,M,MD,M,I,2031 SEAGIRT BLVD APT 1A,,FAR ROCKAWAY,NY,11691,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,100,5.7271428571,4.4914285714,3.7371428571
1023421427,BANCHENO,WOUHABE,M,MD,M,I,2031 SEAGIRT BLVD APT 1A,,FAR ROCKAWAY,NY,11691,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,369,82,64.29,55.686
1023421807,LAGEDROST,SARAH,,M.D.,F,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,19,64,73.83625,8.32,6.5225,6.5225
1023421807,LAGEDROST,SARAH,,M.D.,F,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,15,29,14.85,1.42,1.1151724138,1.1151724138
1023421864,RUSSO,MARY,,DO,F,I,400 W 16TH ST,,PUEBLO,CO,810032745,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,43,79.529767442,8.32,6.521627907,6.521627907
1023421880,SIMONEAU,DANIEL,R,ANP,M,I,387 QUARRY ST STE 100,,FALL RIVER,MA,027231026,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,67,166,86.243674699,8.32,5.7363855422,5.7363855422
1023421880,SIMONEAU,DANIEL,R,ANP,M,I,387 QUARRY ST STE 100,,FALL RIVER,MA,027231026,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,26,26,16.571923077,1.42,0.9907692308,0.9907692308
1023422185,LEUNG,JONATHAN,J,M.D.,M,I,3401 NORTH BROAD ST,,PHILADELPHIA,PA,19140,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,3.3154545455,2.5981818182,3.6854545455
1023422219,PANTHAGANI,MRINALINI,,M.D,F,I,311 W 24TH ST STE 305,,ERIE,PA,16502,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.71,13.89,13.54
1023422219,PANTHAGANI,MRINALINI,,M.D,F,I,311 W 24TH ST STE 305,,ERIE,PA,16502,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78.53,61.56,54.72
1023422300,COPE,PAMELA,J,APRN-C,F,I,10260 N CENTRAL EXPY,SUITE 110,DALLAS,TX,752313437,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,16,102,74.975196078,8.32,6.522745098,6.522745098
1023422607,GENDREAU,KEVIN,R,M.D.,M,I,208 MILL RD,,FAIRHAVEN,MA,027195208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,48,79.286458333,8.32,6.2491666667,6.2491666667
1023423126,HUGHLEY,JACLYN,,FNP-BC,F,I,400 BURDICK EXPY E,,MINOT,ND,587014768,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,34,79.956764706,8.32,6.5223529412,6.5223529412
1023423555,LONG,CALEB,B,D.O.,M,I,100 15TH ST NW,,NORTON,VA,242731616,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,39.5725,16.61,13.02,13.54
1023423555,LONG,CALEB,B,D.O.,M,I,100 15TH ST NW,,NORTON,VA,242731616,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,234.67586207,79.8,62.56,54.73
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,35,62,51.508225806,8.32,4.9453225806,4.9453225806
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,30,8.19,1.974,1.436,1.0733333333
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,84.555,22.97,16.763333333,12.904166667
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,42,42.090238095,7.4183333333,5.5569047619,3.5914285714
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,65,66,502.40439394,104.33121212,79.081363636,54.083181818
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,9275,0.1551752022,0.0465121294,0.0359374663,0.0359374663
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,2040,0.92,0.1362058824,0.1027843137,0.1027843137
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,2.989875,2.3440833333,2.3440833333
1023423613,PENFOLD,ADAM,M,PA-C,M,I,2373 W MAIN ST,STE 102,SALEM,WV,264267515,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,51,51,116.47058824,33,24.855490196,24.855490196
1023424330,ARIF,SALEENA GUL,,M.D.,F,I,1353 DORCHESTER AVE,,DORCHESTER,MA,021222932,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,139.09,32.115454545,25.177272727,25.039090909
1023424561,TIFFANY,ABRAHAM,,M.D.,M,I,13025 8TH ST,,OSSEO,WI,54758,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,31,91.030645161,8.32,6.1009677419,6.1009677419
1023424561,TIFFANY,ABRAHAM,,M.D.,M,I,13025 8TH ST,,OSSEO,WI,54758,US,Physician/Family Practice,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,140,11.396857143,6.9991428571,5.4872857143,5.535
1023424561,TIFFANY,ABRAHAM,,M.D.,M,I,13025 8TH ST,,OSSEO,WI,54758,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,28.75,6.7108333333,5.2613888889,3.8641666667
1023424587,CLAYTOR,WILLIAM,G,ARNP-BC,M,I,1660 PRUDENTIAL DR STE 400,,JACKSONVILLE,FL,322078188,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,51,69.432745098,8.2945098039,5.8729411765,5.8954901961
1023424785,BEST,KATHRYN,B,PA-C,F,I,1266 LIBERTY STREET,,FRANKLIN,PA,16323,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,67,140,68.254714286,8.32,5.49,5.49
1023424785,BEST,KATHRYN,B,PA-C,F,I,1266 LIBERTY STREET,,FRANKLIN,PA,16323,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,52.275,21.133125,15.635625,13.063125
1023424785,BEST,KATHRYN,B,PA-C,F,I,1266 LIBERTY STREET,,FRANKLIN,PA,16323,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,43.488333333,34.494166667
1023424843,MIKOS,KAROLINA,,M.D.,F,I,1500 S FAIRFIELD AVE,,CHICAGO,IL,606081782,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,35.32,17.039583333,13.352916667,13.53
1023424843,MIKOS,KAROLINA,,M.D.,F,I,1500 S FAIRFIELD AVE,,CHICAGO,IL,606081782,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,253.02583333,70.314166667,55.133333333,54.73
1023424991,EDWIN,LINI,,,F,I,110 IRVING ST NW,DEPARTMENT OF INTERNAL MEDICINE,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,15,362.36066667,78.47,57.418666667,52.439333333
1023425386,FADENRECHT,AMANDA,C,FNP-C,F,I,3676 PARKER BLVD,SUITE 260,PUEBLO,CO,810082212,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,20,86.434,8.32,6.525,6.525
1023425386,FADENRECHT,AMANDA,C,FNP-C,F,I,3676 PARKER BLVD,SUITE 260,PUEBLO,CO,810082212,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4950,4.8,0.38,0.2979111111,0.2900888889
1023425386,FADENRECHT,AMANDA,C,FNP-C,F,I,3676 PARKER BLVD,SUITE 260,PUEBLO,CO,810082212,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,421.53846154,86.216923077,67.595384615,66.233076923
1023425386,FADENRECHT,AMANDA,C,FNP-C,F,I,3676 PARKER BLVD,SUITE 260,PUEBLO,CO,810082212,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,523.7648,92.024,72.146,56.5476
1023425469,GRINDLE,HEATHER,,FNP,F,I,800 N HILL ST,,TATUM,TX,75691,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,32,61.9840625,8.32,5.3784375,5.3784375
1023426095,PINTO,JONATHAN,A,M.D.,M,I,110 LONGWOOD AVE,,ROCKLEDGE,FL,329552828,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,225.6,79.8,62.56,55.142105263
1023426095,PINTO,JONATHAN,A,M.D.,M,I,110 LONGWOOD AVE,,ROCKLEDGE,FL,329552828,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,35.31,27.69,29.51
1023426202,REYNOLDS-LORENTZ,AMBER,L,PA-C,F,I,221 E 10TH ST,,OGALLALA,NE,691531425,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,226.10823529,53.364705882,39.808235294,26.368235294
1023426376,SILAS,SHERRI,A,CRNP,F,I,1530 US HIGHWAY 43,,WINFIELD,AL,355945056,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,25,40,21.3516,16.142,12.9908
1023426376,SILAS,SHERRI,A,CRNP,F,I,1530 US HIGHWAY 43,,WINFIELD,AL,355945056,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,55,55,12.856,7.6889090909,5.4576363636,3.4116363636
1023426376,SILAS,SHERRI,A,CRNP,F,I,1530 US HIGHWAY 43,,WINFIELD,AL,355945056,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,25,244,101.5632,77.2368,52.5408
1023426475,FOIT,AMANDA,,NP-C,F,I,1410 N 4TH ST,,CLINTON,IA,527322940,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,250,97.985833333,64.866666667,44.920833333
1023426731,HELMICK,MARTIE,,,F,I,514 NEW CREEK HWY STE 1,,KEYSER,WV,267269526,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,9.93,7.5041666667,5.8816666667,3.5666666667
1023427176,WRIGHT,CASEY,L,OD,F,I,404 N WASHINGTON AVE,,DURANT,OK,747013461,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,65,65,47.655,48.9225
1023427176,WRIGHT,CASEY,L,OD,F,I,404 N WASHINGTON AVE,,DURANT,OK,747013461,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,22,17.045454545,15.74,12.340909091,13.099545455
1023427267,RANKIN,CHRISTOPHER,D,D.O.,M,I,3333 SILAS CREEK PKWY,,WINSTON SALEM,NC,27103,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,88.88,15.306363636,12.000909091,14.281818182
1023427283,CANTERBURY,KELLI,,FNP-BC,F,I,701 MADISON AVE,,MADISON,WV,251301669,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.54,4.3432258065,4.1632258065
1023427283,CANTERBURY,KELLI,,FNP-BC,F,I,701 MADISON AVE,,MADISON,WV,251301669,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,78.6315,18.064,14.1595,13.5335
1023427283,CANTERBURY,KELLI,,FNP-BC,F,I,701 MADISON AVE,,MADISON,WV,251301669,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,1398.846087,1074.31,836.02217391,836.02217391
1023427283,CANTERBURY,KELLI,,FNP-BC,F,I,701 MADISON AVE,,MADISON,WV,251301669,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,16,70,79,50.27721519,4.753164557,3.1929113924,3.2592405063
1023427283,CANTERBURY,KELLI,,FNP-BC,F,I,701 MADISON AVE,,MADISON,WV,251301669,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,509.00571429,73.132857143,51.793571429,49.216785714
1023427911,SANGHERA,AMARPREET,,M.D.,M,I,131 COVENTRY STREET,BURGDORF/FLEET MEDICAL CENTER,HARTFORD,CT,06112,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,30,86.261333333,8.32,4.7813333333,4.7813333333
1023427929,TAUILIILI,SARAH,J,N.P.,F,I,215 S PINE ST,,NEWTON,KS,671143765,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,34,35.994705882,8.32,4.4132352941,4.4132352941
1023427929,TAUILIILI,SARAH,J,N.P.,F,I,215 S PINE ST,,NEWTON,KS,671143765,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,86.7,21.55,14.205238095,11.240952381
1023427929,TAUILIILI,SARAH,J,N.P.,F,I,215 S PINE ST,,NEWTON,KS,671143765,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,50,50,27.244166667,26.066666667
1023427929,TAUILIILI,SARAH,J,N.P.,F,I,215 S PINE ST,,NEWTON,KS,671143765,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,519.51,91.055454545,71.389090909,56.566363636
1023427929,TAUILIILI,SARAH,J,N.P.,F,I,215 S PINE ST,,NEWTON,KS,671143765,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,31,1710,13.94,11.247666667,8.7343099415,8.7343099415
1023427929,TAUILIILI,SARAH,J,N.P.,F,I,215 S PINE ST,,NEWTON,KS,671143765,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,36,1950,12.722871795,2.9653076923,2.3248153846,2.3248153846
1023427929,TAUILIILI,SARAH,J,N.P.,F,I,215 S PINE ST,,NEWTON,KS,671143765,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,119.30769231,33,23.88,23.88
1023427952,REILLY,LAUREN,,CRNP,F,I,6701 AIRPORT BLVD STE D330,CARDIOLOGY ASSOCIATES,MOBILE,AL,366086758,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,39,78.011025641,8.32,6.5223076923,6.5223076923
1023427952,REILLY,LAUREN,,CRNP,F,I,6701 AIRPORT BLVD STE D330,CARDIOLOGY ASSOCIATES,MOBILE,AL,366086758,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,15,20.968,1.42,1.1146666667,1.1146666667
1023427952,REILLY,LAUREN,,CRNP,F,I,6701 AIRPORT BLVD STE D330,CARDIOLOGY ASSOCIATES,MOBILE,AL,366086758,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,349,21.711232092,6.32,4.9549283668,4.2038968481
1023427952,REILLY,LAUREN,,CRNP,F,I,6701 AIRPORT BLVD STE D330,CARDIOLOGY ASSOCIATES,MOBILE,AL,366086758,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,37,38,24.228947368,6.44,4.7913157895,3.5139473684
1023428612,BAILEY,ROBERT,,M.D.,M,I,15 S MAIN ST STE 250,,JAMESTOWN,NY,147016627,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,37,82,75.588414634,8.32,6.3624390244,6.3624390244
1023428612,BAILEY,ROBERT,,M.D.,M,I,15 S MAIN ST STE 250,,JAMESTOWN,NY,147016627,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,23.733846154,18.604615385,15.520769231
1023428612,BAILEY,ROBERT,,M.D.,M,I,15 S MAIN ST STE 250,,JAMESTOWN,NY,147016627,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.199090909,11.320909091,8.8781818182,4.1945454545
1023428612,BAILEY,ROBERT,,M.D.,M,I,15 S MAIN ST STE 250,,JAMESTOWN,NY,147016627,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,33,519.51,107.21060606,82.387878788,56.905454545
1023428851,SINGH,DEEPAK,,M.D.,M,I,3300 LOMITA BLVD,,TORRANCE,CA,905055002,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7,4.155,3.255,3.94
1023429248,VILLARREAL,MARIA,D,FNP,F,I,1515 PAPPAS ST,,LAREDO,TX,780411705,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,46,89.125434783,8.32,5.6719565217,5.6719565217
1023429321,MCKNIGHT,JASON,,M.D.,M,I,2900 E 29TH ST,STE. 100,BRYAN,TX,778022622,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,194.925,31.466666667,18.176666667,18.183333333
1023429412,JAVAID,NADIA,,M.D.,F,I,2006 SHAW AVE STE 101,,CLOVIS,CA,936114192,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,45,77.089777778,8.32,6.526,6.526
1023430410,MCCAY,NATALIE,,CRNP,F,I,2941 POINT MALLARD PKWY SE,SUITE N,DECATUR,AL,356035716,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,42,51.597380952,8.32,6.0547619048,6.0547619048
1023430410,MCCAY,NATALIE,,CRNP,F,I,2941 POINT MALLARD PKWY SE,SUITE N,DECATUR,AL,356035716,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,22,519.51,70.23,55.06,54.89
1023430725,SIMS,JOSEPHINE,E,FNP-C,F,I,205 HIGHLAND PARK PLZ,SUITE 205,COVINGTON,LA,704337130,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,55.315,3.592,1.891,2.518
1023431517,EGBERT,CHRISTY,L,FNP,F,I,122 AIRWAYS PL,,SOUTHAVEN,MS,386715872,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,96.154871795,69.71974359,52.073076923,61.525128205
1023431814,VAGELATOS,AMANDA,,NP-C,F,I,164 BRACKEN PKWY,,HOBART,IN,463426789,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,58,78.295,8.32,6.0684482759,6.0684482759
1023431814,VAGELATOS,AMANDA,,NP-C,F,I,164 BRACKEN PKWY,,HOBART,IN,463426789,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,15,14.264666667,1.42,1.0413333333,1.0413333333
1023431814,VAGELATOS,AMANDA,,NP-C,F,I,164 BRACKEN PKWY,,HOBART,IN,463426789,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,18.62,12.977777778,12.035555556
1023431814,VAGELATOS,AMANDA,,NP-C,F,I,164 BRACKEN PKWY,,HOBART,IN,463426789,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,50.73,5.1594736842,4.0521052632,3.7521052632
1023431814,VAGELATOS,AMANDA,,NP-C,F,I,164 BRACKEN PKWY,,HOBART,IN,463426789,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,519.51,78.57,56.838333333,50.255
1023431814,VAGELATOS,AMANDA,,NP-C,F,I,164 BRACKEN PKWY,,HOBART,IN,463426789,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1579,1.8312982901,0.1319252692,0.0913426219,0.0913426219
1023431814,VAGELATOS,AMANDA,,NP-C,F,I,164 BRACKEN PKWY,,HOBART,IN,463426789,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1023432259,TEMPLETON,CANDACE,J,FNP,F,I,915 N KENTUCKY ST,,KINGSTON,TN,377632638,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,44,56.121136364,8.32,6.3734090909,6.3734090909
1023432259,TEMPLETON,CANDACE,J,FNP,F,I,915 N KENTUCKY ST,,KINGSTON,TN,377632638,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,54,38.490909091,34.209090909
1023432333,CAMBRAY,SHELLEY,M,F.N.P.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,23,54.53826087,8.32,5.9556521739,5.9556521739
1023432333,CAMBRAY,SHELLEY,M,F.N.P.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,300,86.0825,67.49,66.6275
1023432333,CAMBRAY,SHELLEY,M,F.N.P.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,50.73,5.025,3.94,3.94
1023432333,CAMBRAY,SHELLEY,M,F.N.P.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,593.65461538,69.99,52.819230769,52.68
1023432333,CAMBRAY,SHELLEY,M,F.N.P.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1380,0.92,0.1326521739,0.1040217391,0.1040217391
1023432333,CAMBRAY,SHELLEY,M,F.N.P.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,132,33,25.87,25.87
1023433232,MORROW,LORI,,FNP-BC,F,I,2191 SOUTHPORT RD,,SPARTANBURG,SC,29306,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,105,54.487142857,8.32,6.267047619,6.267047619
1023433232,MORROW,LORI,,FNP-BC,F,I,2191 SOUTHPORT RD,,SPARTANBURG,SC,29306,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,44.99,4.5275,3.1733333333,3.2333333333
1023433232,MORROW,LORI,,FNP-BC,F,I,2191 SOUTHPORT RD,,SPARTANBURG,SC,29306,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,403,1.5393548387,0.0439205955,0.0344665012,0.0344665012
1023433232,MORROW,LORI,,FNP-BC,F,I,2191 SOUTHPORT RD,,SPARTANBURG,SC,29306,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,33,33,25.87,25.87
1023433299,HOLDERBY ACRE,BETH,,NP-C,F,I,310 E. WALNUT STREET,,CANTON,OK,73724,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,58,52.792241379,8.32,5.8475862069,5.8475862069
1023433299,HOLDERBY ACRE,BETH,,NP-C,F,I,310 E. WALNUT STREET,,CANTON,OK,73724,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,17,94.07,17.5,13.72,13.54
1023433299,HOLDERBY ACRE,BETH,,NP-C,F,I,310 E. WALNUT STREET,,CANTON,OK,73724,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,17,566.26,77.8,61,54.73
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,33,49.445151515,8.32,4.7424242424,4.7424242424
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,117.38689655,22.290689655,15.931034483,12.130344828
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,22.970434783,7.6956521739,5.4,3.2
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,195,37.484166667,26.516666667,22.055
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,524.68514286,98.204,70.331428571,48.5
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1830,0.8749398907,0.130557377,0.083,0.083
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.2532916667,2.2532916667
1023433901,MOSE,RHONDA,,APRN-CNP,F,I,300 WANDA ST,,MARIETTA,OK,734481200,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,106.76470588,33,21.304705882,21.304705882
1023434248,GRAY,DEBORAH,P,APN,F,I,1036 N SUGARTREE LN,,GALLATIN,TN,370668564,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,15,45.384666667,8.32,6.092,6.092
1023434248,GRAY,DEBORAH,P,APN,F,I,1036 N SUGARTREE LN,,GALLATIN,TN,370668564,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,22.857142857,7.8007142857,4.615,2.7357142857
1023434248,GRAY,DEBORAH,P,APN,F,I,1036 N SUGARTREE LN,,GALLATIN,TN,370668564,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,55,24.023636364,18.837272727,14.665909091
1023435039,ELSHERBINY,HISHAM,E,"M.B., B.CH",M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2250,0.1114666667,0.0124,0.0097333333,0.0097333333
1023435039,ELSHERBINY,HISHAM,E,"M.B., B.CH",M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1860,2.0207473118,1.0617741935,0.8324516129,0.8324516129
1023435039,ELSHERBINY,HISHAM,E,"M.B., B.CH",M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1023435039,ELSHERBINY,HISHAM,E,"M.B., B.CH",M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,24,16,16,12.54,12.54
1023435443,PHILPOTT,ERIN,K,D.O.,F,I,801 W MAPLE ST,,FARMINGTON,NM,874015630,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,175,67.565333333,48.102666667,35.090666667
1023435443,PHILPOTT,ERIN,K,D.O.,F,I,801 W MAPLE ST,,FARMINGTON,NM,874015630,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,50.428571429,19.461428571,15.257142857,13.537142857
1023435443,PHILPOTT,ERIN,K,D.O.,F,I,801 W MAPLE ST,,FARMINGTON,NM,874015630,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,344.62117647,87.372941176,68.5,54.676470588
1023436292,AREY,LYNSEY,,NP,F,I,1711 27TH ST,BRAUNLIN BUILDING SUITE 306,PORTSMOUTH,OH,456622654,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,330,104.06769231,76.316923077,49.843076923
1023436847,BENNETT,AMANDA,L,,F,I,137 S ALEXANDER ST,,NEW ORLEANS,LA,701195904,US,Student in an Organized Health Care Education/Training Program,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1468.61,942.14,738.64,842.26
1023436904,MEDA,EDRIS,,M.D.,M,I,2041 GEORGIA AVE NW,,WASHINGTON,DC,200600001,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,17,86.31,16.59,13,13.374117647
1023436904,MEDA,EDRIS,,M.D.,M,I,2041 GEORGIA AVE NW,,WASHINGTON,DC,200600001,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,4.1683333333,1.55,1.885
1023436904,MEDA,EDRIS,,M.D.,M,I,2041 GEORGIA AVE NW,,WASHINGTON,DC,200600001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,21,519.51,67.72,53.1,54.341904762
1023437456,KOOP,CARRANDA,,M.D.,F,I,202 W HIGHLAND RD STE A,,HOWELL,MI,488431162,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,39,92,53.846195652,8.32,6.0198913043,6.0198913043
1023437886,BENNETT,LISA,R,"FNP, BC",F,I,1095 LIBERTY ST NE,,SALEM,OR,973011137,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,123.77142857,15.375714286,10.222857143,11.27
1023438389,NELSON,RACHELLE,,M.D.,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,51.19,40.13,41.105
1023438389,NELSON,RACHELLE,,M.D.,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,217.1,77.18,60.51,54.72
1023438389,NELSON,RACHELLE,,M.D.,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,69.377142857,17.928571429,14.055714286,14.82952381
1023438389,NELSON,RACHELLE,,M.D.,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,25.136363636,19.707272727,22.378181818
1023438389,NELSON,RACHELLE,,M.D.,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,20.761538462,8.6546153846,6.7830769231,7.1569230769
1023438777,BENYO,DANIEL,E,M.D.,M,I,LVPG GERIATRIC AND INTERNAL MEDICINE - DRUMS,144 S OLD TURNPIKE ROAD,DRUMS,PA,182221720,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,44,84.084545455,8.32,5.9277272727,5.9277272727
1023438777,BENYO,DANIEL,E,M.D.,M,I,LVPG GERIATRIC AND INTERNAL MEDICINE - DRUMS,144 S OLD TURNPIKE ROAD,DRUMS,PA,182221720,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.953846154,1.42,1.12,1.12
1023438777,BENYO,DANIEL,E,M.D.,M,I,LVPG GERIATRIC AND INTERNAL MEDICINE - DRUMS,144 S OLD TURNPIKE ROAD,DRUMS,PA,182221720,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,35,3.98,3.1182352941,3.7405882353
1023438777,BENYO,DANIEL,E,M.D.,M,I,LVPG GERIATRIC AND INTERNAL MEDICINE - DRUMS,144 S OLD TURNPIKE ROAD,DRUMS,PA,182221720,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,137.232,71.06,55.71,54.795333333
1023438777,BENYO,DANIEL,E,M.D.,M,I,LVPG GERIATRIC AND INTERNAL MEDICINE - DRUMS,144 S OLD TURNPIKE ROAD,DRUMS,PA,182221720,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2642,0.3607191522,0.0437736563,0.0334632854,0.0334632854
1023438777,BENYO,DANIEL,E,M.D.,M,I,LVPG GERIATRIC AND INTERNAL MEDICINE - DRUMS,144 S OLD TURNPIKE ROAD,DRUMS,PA,182221720,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,18,18,49.5,33,22.995555556,22.995555556
1023440195,DUNCAN,JESSICA,W,FNP,F,I,3222 CHESTNUT HILL SCHOOL RD,,DANDRIDGE,TN,377257238,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,83,81.828192771,8.32,4.5579518072,4.5579518072
1023440195,DUNCAN,JESSICA,W,FNP,F,I,3222 CHESTNUT HILL SCHOOL RD,,DANDRIDGE,TN,377257238,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,15.618461538,1.42,0.7703846154,0.7703846154
1023441052,JONES,BRYAN,P,M.D.,M,I,450 MARGARET ST,,PLATTSBURGH,NY,129011755,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,59.26,59.26,46.460909091,46.460909091
1023441193,PAOLETTI,DANIEL,,PA-C,M,I,2800 MAIN ST,,BRIDGEPORT,CT,066064201,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3750,2584.2229412,2026.0305882,2026.0305882
1023441359,PATTON,MARY,V,CNP,F,I,725 WELCH RD,,PALO ALTO,CA,94304,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1640,9.5881768293,0.601445122,0.4715243902,0.4715121951
1023441359,PATTON,MARY,V,CNP,F,I,725 WELCH RD,,PALO ALTO,CA,94304,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,1928,7.3891441909,1.71375,1.3435736515,1.3435736515
1023441359,PATTON,MARY,V,CNP,F,I,725 WELCH RD,,PALO ALTO,CA,94304,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,24,24,18.82,18.82
1023441359,PATTON,MARY,V,CNP,F,I,725 WELCH RD,,PALO ALTO,CA,94304,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,23,16,16,12.542173913,12.542173913
1023441391,FARJO,LINDA,T,CRNP,F,I,25 MONUMENT RD STE 190,,YORK,PA,174035059,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,54,45.086666667,8.32,6.1609259259,6.1609259259
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,37,92,201,53.515671642,8.3056716418,6.0883084577,6.0995024876
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,14.781111111,3.38,2.65,2.65
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,21.621818182,2.12,1.67,1.67
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,20,32,40,12.672,1.42,1.117,1.117
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,130.5,4.2993333333,3.3746666667,3.6413333333
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,42,10.014545455,7.8445454545,8.2136363636
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,6220,0.6028762058,0.0459405145,0.0345434084,0.0345434084
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,700.00652174,142.58347826,107.34673913,112.05934783
1023442126,SRIKANTH,POOJA,,M.D,F,I,428 W MARKET ST,,SNOW HILL,MD,218631127,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,25.87,25.87
1023443371,MOHAMED,ASHREF,,MD,M,I,3415 19TH ST,,LUBBOCK,TX,794101201,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,344,12.605116279,5.18,4.0610174419,4.1630232558
1023443371,MOHAMED,ASHREF,,MD,M,I,3415 19TH ST,,LUBBOCK,TX,794101201,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,0.6,0.31,0.2430444444,0.2430444444
1023443371,MOHAMED,ASHREF,,MD,M,I,3415 19TH ST,,LUBBOCK,TX,794101201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,41.154444444,20.088611111,15.748611111,13.703333333
1023443371,MOHAMED,ASHREF,,MD,M,I,3415 19TH ST,,LUBBOCK,TX,794101201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,222.55891304,92.333043478,72.389565217,55.518695652
1023444163,VAUGHT,TIFFANY,L,FNP,F,I,605 E 4TH ST STE 203,,ODESSA,TX,797615100,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,57,48.124561404,18.604561404,13.873157895,12.825087719
1023444163,VAUGHT,TIFFANY,L,FNP,F,I,605 E 4TH ST STE 203,,ODESSA,TX,797615100,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,57,272.54561404,77.621403509,58.559824561,53.815614035
1023444544,HONDA,MANAMI,T,ARNP,F,I,9725 SE 36TH ST,SUITE 214,MERCER ISLAND,WA,980403841,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24.78,12.846666667,10.071666667,9.1891666667
1023444544,HONDA,MANAMI,T,ARNP,F,I,9725 SE 36TH ST,SUITE 214,MERCER ISLAND,WA,980403841,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,105.91769231,46.255384615,36.267692308,37.037692308
1023444551,SPENCER,KRISTAL,L,FNP,F,I,719 W COKE RD STE 6,,WINNSBORO,TX,754943060,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1757,0.454359704,0.0479795105,0.0187990894,0.0187990894
1023444551,SPENCER,KRISTAL,L,FNP,F,I,719 W COKE RD STE 6,,WINNSBORO,TX,754943060,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,70.125,33,21.019375,21.019375
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,34.801666667,22.4775,15.134166667,11.275
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,18.114545455,7.2181818182,2.5963636364,1.2290909091
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,99.261176471,42.193529412,33.077647059,23.837647059
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,250.075,102.61833333,75.720416667,51.892916667
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.61,44.745,35.0825,30.111666667
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,55.074285714,25.924285714,13.196190476,7.4857142857
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,88.339166667,42.479166667,28.505833333,19.908333333
1023444619,GASKINS,JULIE,M,NP,F,I,900 N OWEN WALTERS BLVD,,SALINA,OK,743655003,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,661.15,215.75909091,162.99,131.48181818
1023444965,MOENTER,JULIE,A,P.A.,F,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,31,37.11,8.32,5.2622580645,5.2622580645
1023445277,BRANDON,AMANDA,M,PA-C,F,I,2 TRILLIUM WAY,SUITE 306,CORBIN,KY,407018490,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,19.04,8.0284210526,6.2921052632,4.8042105263
1023445459,LYONS,MICKI,D,NP-C,F,I,713 W. OAK STREET,,SUNDANCE,WY,82729,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,21.985,15.889285714,12.283571429
1023445459,LYONS,MICKI,D,NP-C,F,I,713 W. OAK STREET,,SUNDANCE,WY,82729,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,505.38416667,91.313333333,58.841666667,44.719166667
1023445459,LYONS,MICKI,D,NP-C,F,I,713 W. OAK STREET,,SUNDANCE,WY,82729,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,4050,0.17,0.0458518519,0.033217284,0.033217284
1023445459,LYONS,MICKI,D,NP-C,F,I,713 W. OAK STREET,,SUNDANCE,WY,82729,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1260,12.86,2.8692380952,2.1444047619,2.1444047619
1023445459,LYONS,MICKI,D,NP-C,F,I,713 W. OAK STREET,,SUNDANCE,WY,82729,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,123.39130435,33,25.87,25.87
1023445483,CRONIN,LAURA,A,PA,F,I,1235 8TH ST,,LAS VEGAS,NM,877014219,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,22.253636364,17.445454545,13.53
1023445483,CRONIN,LAURA,A,PA,F,I,1235 8TH ST,,LAS VEGAS,NM,877014219,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,308.96,100.90545455,79.111818182,54.73
1023445830,DRABINA,GARRICK,E,PA-C,M,I,204 W 26TH ST,,ERIE,PA,165081806,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,16.33,11.455833333,12.424166667
1023445921,SUZUKI,ERIKO,,"R.N., M.S., N.P.",F,I,85 SIERRA PARK RD,,MAMMOTH LAKES,CA,935462073,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50.09,39.27,37.63
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,26,64,64.23875,8.32,5.93234375,5.93234375
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,86.31,24.030769231,17.333846154,13.878461538
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,18,81.75,16.407777778,11.165,8.9022222222
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,50.73,8.0873913043,6.3391304348,3.8356521739
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,24,257.82,49.9,35.549166667,22.1675
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,65,491.12384615,104.51907692,79.394923077,59.811076923
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3600,0.17,0.0461666667,0.0300527778,0.0300527778
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1619,1.4680975911,0.1313465102,0.0928844966,0.0928844966
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,995,1.3562713568,0.2192964824,0.1426733668,0.1426733668
1023446432,LACAYO ALLEN,DORCAS,I,MD,F,I,15 S MAIN ST,SUITE 150,JAMESTOWN,NY,147016626,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,41,41,90.951219512,33,22.715121951,22.715121951
1023446481,FROMAL,KRISTEN,M,PA-C,F,I,310 LONG SHOALS RD,SUITE 110,ARDEN,NC,287048794,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,53.936666667,18.49,13.599166667,13.599166667
1023446481,FROMAL,KRISTEN,M,PA-C,F,I,310 LONG SHOALS RD,SUITE 110,ARDEN,NC,287048794,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,37.88,37.650833333
1023446481,FROMAL,KRISTEN,M,PA-C,F,I,310 LONG SHOALS RD,SUITE 110,ARDEN,NC,287048794,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,39.718823529,4.2741176471,2.5764705882,2.8058823529
1023446481,FROMAL,KRISTEN,M,PA-C,F,I,310 LONG SHOALS RD,SUITE 110,ARDEN,NC,287048794,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,375.92583333,86.84,64.1425,64.1425
1023446994,ROZIER,STEPHANIE,M,PA-C,F,I,7495 W 29TH AVE,,WHEAT RIDGE,CO,800338002,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,17.52,17.52,12.3175,12.159166667
1023446994,ROZIER,STEPHANIE,M,PA-C,F,I,7495 W 29TH AVE,,WHEAT RIDGE,CO,800338002,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,35,78.49,78.49,53.198571429,47.952571429
1023446994,ROZIER,STEPHANIE,M,PA-C,F,I,7495 W 29TH AVE,,WHEAT RIDGE,CO,800338002,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2775,0.17,0.0462486486,0.0302738739,0.0302738739
1023446994,ROZIER,STEPHANIE,M,PA-C,F,I,7495 W 29TH AVE,,WHEAT RIDGE,CO,800338002,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2188461538,0.1453333333,0.1453333333
1023446994,ROZIER,STEPHANIE,M,PA-C,F,I,7495 W 29TH AVE,,WHEAT RIDGE,CO,800338002,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,23.716153846,23.716153846
1023447158,SULLIVAN,CARRIE,A,NP,F,I,433 W MAIN ST,,HYANNIS,MA,026013644,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,37,64,85.4559375,8.32,5.91203125,5.91203125
1023447281,PERRIN,NAOISE,,,F,I,469 MIGEON AVE,,TORRINGTON,CT,067904643,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,213.36473684,47.471052632,37.219473684,38.712105263
1023447281,PERRIN,NAOISE,,,F,I,469 MIGEON AVE,,TORRINGTON,CT,067904643,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,31.884545455,5.5127272727,2.9409090909,2.4590909091
1023447281,PERRIN,NAOISE,,,F,I,469 MIGEON AVE,,TORRINGTON,CT,067904643,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,383.68714286,84.481785714,59.776071429,48.860357143
1023447281,PERRIN,NAOISE,,,F,I,469 MIGEON AVE,,TORRINGTON,CT,067904643,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,99.45,45.398333333,35.585833333,22.730833333
1023447281,PERRIN,NAOISE,,,F,I,469 MIGEON AVE,,TORRINGTON,CT,067904643,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,11.0725,8.6841666667,7.01
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,47,63,63,132.07095238,40.247460317,30.334126984,29.435873016
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,3.4635714286,1.7285714286,1.3578571429,1.15
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,2.02,1.24,0.97,0.96
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,39,66,66,315.81484848,92.417424242,65.926818182,62.727424242
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,40,83,156,121.92352564,34.383525641,25.771858974,24.881346154
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,21,34,115,83.377130435,19.87,15.57773913,14.738608696
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,18,27,126,62.702460317,15.58,11.050396825,10.810793651
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,30,43,43,216.25744186,58,44.41255814,42.166744186
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,62,80,80,64.313375,18.3035,13.839,13.673
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,11,11,30.982727273,10,7.1263636364,7.3590909091
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,29,52,53,73.72754717,11.991320755,8.9373584906,8.7230188679
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,81,137,762,9.6319553806,2.0939107612,1.5969553806,1.5544619423
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,29,41,41,24.04804878,6.0368292683,4.6268292683,4.5568292683
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,26,30,30,43.316333333,12.93,10.13,10.291
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,27,29,39.03137931,18.47862069,13.99862069,13.625172414
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,1561.02,1001.46,778.899,834.10566667
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,52,54,473.06685185,88.591851852,66.739259259,65.625185185
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,776.64,221.546,164.12866667,154.27733333
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,11,16,2113.669375,897.41,703.57,703.57
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,42,194,221,54.990723982,12.900950226,9.0381447964,8.9930316742
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,39,43,50.416976744,4.2925581395,3.2951162791,3.76
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,44,230,258,167.54767442,34.377131783,23.853410853,22.85627907
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,28,172,182,368.33153846,80.257802198,59.481648352,52.98532967
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,37,38,142.32763158,39.14,30.68,29.51
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,6175,0.2659578947,0.0467238866,0.0321489879,0.0321489879
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,63,140.63698413,39.14,29.706031746,28.628888889
1023447539,KACHEVAS,ELYSHA,M,,F,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,31,84.096774194,33,22.531935484,22.531935484
1023447695,CHANDY,JERRY,I,N.P.,M,I,1675 KINGSWAY CT STE 1,,TRENTON,MI,481831958,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,16,5.82875,4.57,3.8425
1023447737,POWELL,JONATHAN,L,MD,M,I,HIGHWAY 191,CHINLE HOSPITAL,CHINLE,AZ,865031921,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,65,26.213846154,16.593076923,10.076923077
1023447752,TERESCO,JACLYN,,PA,F,I,104 FOREST AVE,,GLEN COVE,NY,115422015,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,27,60,76.987666667,8.32,6.3045,6.3045
1023447752,TERESCO,JACLYN,,PA,F,I,104 FOREST AVE,,GLEN COVE,NY,115422015,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,17.249166667,1.42,1.12,1.12
1023447786,DANG,CHARLENE,K,PA-C,F,I,2823 FRESNO ST,,FRESNO,CA,937211324,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,502.5,65.7,42.144545455,45.219090909
1023448081,BIXLER,CHELSEA,,NURSE PRACTITIONER,F,I,2402 W WALL ST,,MIDLAND,TX,797016316,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,55,168,59.622142857,8.32,5.5605952381,5.5605952381
1023448081,BIXLER,CHELSEA,,NURSE PRACTITIONER,F,I,2402 W WALL ST,,MIDLAND,TX,797016316,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,22,39,11.148461538,1.42,0.8292307692,0.8292307692
1023448081,BIXLER,CHELSEA,,NURSE PRACTITIONER,F,I,2402 W WALL ST,,MIDLAND,TX,797016316,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,61.145555556,20.741666667,16.260555556,13.533333333
1023448081,BIXLER,CHELSEA,,NURSE PRACTITIONER,F,I,2402 W WALL ST,,MIDLAND,TX,797016316,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,371.35857143,82.732857143,61.136428571,51.001428571
1023448081,BIXLER,CHELSEA,,NURSE PRACTITIONER,F,I,2402 W WALL ST,,MIDLAND,TX,797016316,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,187.5,43.475,31.679166667,27.1225
1023448115,BISE,MALISSA,,APRN-CNP,F,I,26300 S HIGHWAY 125,,AFTON,OK,743316282,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,19,50.285789474,8.32,5.1526315789,5.1526315789
1023448115,BISE,MALISSA,,APRN-CNP,F,I,26300 S HIGHWAY 125,,AFTON,OK,743316282,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1023448164,HEITS,REBECCA,,,F,I,26136 US HIGHWAY 59,,FAIRFAX,MO,644469105,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,17,40,35.75,8.32,6.195,6.195
1023448313,WANGEN,KIM,,,F,I,1000 1ST DR NW,,AUSTIN,MN,559122941,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,36,82.041944444,8.32,4.7102777778,4.7102777778
1023448313,WANGEN,KIM,,,F,I,1000 1ST DR NW,,AUSTIN,MN,559122941,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,14,18.388571429,1.42,1.0357142857,1.0357142857
1023448313,WANGEN,KIM,,,F,I,1000 1ST DR NW,,AUSTIN,MN,559122941,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.66,12.775833333,10.019166667,8.3975
1023448313,WANGEN,KIM,,,F,I,1000 1ST DR NW,,AUSTIN,MN,559122941,US,Nurse Practitioner,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,573.65,205.09916667,148.84,116.13666667
1023448313,WANGEN,KIM,,,F,I,1000 1ST DR NW,,AUSTIN,MN,559122941,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,23.830769231,23.830769231
1023448735,VILLALPANDO,IRENE,,,F,I,2270 S RIDGEVIEW DR STE 303,,YUMA,AZ,853648866,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,31.470588235,4.5988235294,3.1505882353,3.2617647059
1023449550,PORTER,REBECCA,J,APRN,F,I,600 S TIMBERLANE DR,,EL DORADO,AR,717306990,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,102.61833333,80.455,58.525
1023449550,PORTER,REBECCA,J,APRN,F,I,600 S TIMBERLANE DR,,EL DORADO,AR,717306990,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,105,44.745,35.0825,30.111666667
1023449881,SIDHU,JASMIN,,M.D.,F,I,3610 ATLANTIC AVE,,LONG BEACH,CA,908073418,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,48.496363636,31.633636364,30.115454545
1023449881,SIDHU,JASMIN,,M.D.,F,I,3610 ATLANTIC AVE,,LONG BEACH,CA,908073418,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7,3.7583333333,1.86,2.5366666667
1023449881,SIDHU,JASMIN,,M.D.,F,I,3610 ATLANTIC AVE,,LONG BEACH,CA,908073418,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,83.521176471,43.375882353,29.703529412,31.667058824
1023450392,CLEMENTS,MEGHAN,M,N.P.,F,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,244.71,52.652105263,39.217894737,35.068421053
1023450392,CLEMENTS,MEGHAN,M,N.P.,F,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,39.55,17,13.33,13.54
1023450392,CLEMENTS,MEGHAN,M,N.P.,F,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1023450392,CLEMENTS,MEGHAN,M,N.P.,F,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,235.2,78,57.931578947,51.849473684
1023450392,CLEMENTS,MEGHAN,M,N.P.,F,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,94,94,126.49170213,17.431808511,12.537553191,13.098404255
1023450392,CLEMENTS,MEGHAN,M,N.P.,F,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,69,69,25.84,8.2850724638,5.8528985507,5.8702898551
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,42,1082,13.896876155,13.067255083,10.244787431,10.292356747
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,37,256,350,268.44,210.45585938,210.45585938
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,42,292,33,9.348630137,7.3289383562,7.3289383562
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,42,292,58.15,29.215616438,22.905136986,22.905136986
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,48,69.4125,22.600625,16.473958333,13.965416667
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,54,448.97333333,102.71703704,74.85537037,58.435740741
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,63.55,31.792,24.922,17.338666667
1023450798,VIGIL,MEGAN,A,M.D.,F,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,250.86181818,250.86181818,196.67545455,196.86909091
1023451259,SHIFFRIN,ERIC,J,M.D.,M,I,211 S 9TH ST STE 600,,PHILADELPHIA,PA,191076810,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,43,49,108,447,65.324742729,8.300738255,6.0404026846,6.0505145414
1023451259,SHIFFRIN,ERIC,J,M.D.,M,I,211 S 9TH ST STE 600,,PHILADELPHIA,PA,191076810,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,24,43,110,17.567,1.42,1.1031818182,1.1031818182
1023451358,THOMSON,AMY,L,,F,I,19116 33RD AVE W,,LYNNWOOD,WA,980364706,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,12,33,50.095151515,8.32,6.5221212121,6.5221212121
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,106.89066667,49.612,38.898666667,31.499333333
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,364.43,119.9275,94.0225,68.31375
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,27,53,148.01849057,44.961698113,35.249811321,26.640566038
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,260.22545455,74.216363636,48.773636364,40.966363636
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,17,17,67.478823529,25.19,19.744705882,14.149411765
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,87.865,20.748333333,14.469166667,8.3708333333
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,43,132,9.9221212121,2.9604545455,2.1962121212,1.6070454545
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,42.054166667,15.315,12.005,10.418333333
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,297,121.15058824,89.658235294,61.501764706
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,51.492857143,19.993571429,15.675,10.175
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,43,55,196.69727273,51.128181818,40.081090909,27.060545455
1023451887,WATSON,KRISTIN,J,P.A.,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,368.27586207,98.070344828,68.990689655,48.75
1023452331,RAJ,MANISHA,,M.D.,F,I,1224 TROTWOOD AVE,,COLUMBIA,TN,384014802,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,25,7.8771428571,4.9028571429,3.0752380952
1023452489,CLEMMONS,LAUREN,F,DO,F,I,259 US HIGHWAY 19 N,,CAMILLA,GA,317301410,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,71,21.656666667,16.148888889,12.778333333
1023452489,CLEMMONS,LAUREN,F,DO,F,I,259 US HIGHWAY 19 N,,CAMILLA,GA,317301410,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,400,96.337777778,72.209444444,51.689444444
1023452752,BLAKE,WILLIAM,N,M.D.,M,I,743 SPRING ST NE,NGPG INPATIENT MEDICINE,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,75,17.45,13.676842105,13.535789474
1023452752,BLAKE,WILLIAM,N,M.D.,M,I,743 SPRING ST NE,NGPG INPATIENT MEDICINE,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,4.4245454545,3.47,3.8890909091
1023452752,BLAKE,WILLIAM,N,M.D.,M,I,743 SPRING ST NE,NGPG INPATIENT MEDICINE,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,301.08695652,74.646521739,58.522826087,54.73173913
1023452752,BLAKE,WILLIAM,N,M.D.,M,I,743 SPRING ST NE,NGPG INPATIENT MEDICINE,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,171.15384615,39.032307692,30.599615385,29.505
1023452828,LEE,DAVID,Y,M.D.,M,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197181114,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,38,70.700526316,16.08,12.6,13.407631579
1023452828,LEE,DAVID,Y,M.D.,M,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197181114,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,46,443.98565217,77.18,60.51,55.349347826
1023453271,CLAYDON,NATHAN,,MD,M,I,960 EAST 3RD ST,SUITE 104,CHATTANOOGA,TN,37403,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,288.75,7.6325,5.6783333333,3.3783333333
1023453271,CLAYDON,NATHAN,,MD,M,I,960 EAST 3RD ST,SUITE 104,CHATTANOOGA,TN,37403,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,43,43,760.48,91.279069767,65.4,49.872325581
1023453271,CLAYDON,NATHAN,,MD,M,I,960 EAST 3RD ST,SUITE 104,CHATTANOOGA,TN,37403,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,12,41,41,285.6,43.375609756,32.487560976,28.248536585
1023453479,PHAM,MICHAEL,,MD,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Rheumatology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240,77.36,55.595833333,50.169166667
1023453743,GARCIA,RICARDO,,D.O.,M,I,3121 UNIVERSITY DR E STE 100,,BRYAN,TX,778023473,US,Physician/Family Practice,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,105,96.59,75.72,63.1
1023453743,GARCIA,RICARDO,,D.O.,M,I,3121 UNIVERSITY DR E STE 100,,BRYAN,TX,778023473,US,Physician/Family Practice,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,250,250,181.60454545,204.49545455
1023454485,TSUI,BRITNEY,,MD,F,I,UNC REHABILITATION CTR STE 7009,CAMPUS BOX 7200,CHAPEL HILL,NC,275997200,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,208.04,49.398666667,38.724666667,39.118
1023454733,DELLISE,NICOLE,,APN,F,I,4230 HARDING PIKE,SUITE 330,NASHVILLE,TN,372052013,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,307.06,84.000333333,63.471,52.355666667
1023454733,DELLISE,NICOLE,,APN,F,I,4230 HARDING PIKE,SUITE 330,NASHVILLE,TN,372052013,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,100,41.4175,31.18375,28.281666667
1023455029,SCHIELE,HAILEY,R,FNP-C,F,I,1 BURDICK EXPY W,,MINOT,ND,587014406,US,Nurse Practitioner,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,35.25,29.69,17.211818182,17.211818182
1023455029,SCHIELE,HAILEY,R,FNP-C,F,I,1 BURDICK EXPY W,,MINOT,ND,587014406,US,Nurse Practitioner,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,10,5.54,2.98375,2.98375
1023455029,SCHIELE,HAILEY,R,FNP-C,F,I,1 BURDICK EXPY W,,MINOT,ND,587014406,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,13,10.93,6.0494117647,6.0494117647
1023455029,SCHIELE,HAILEY,R,FNP-C,F,I,1 BURDICK EXPY W,,MINOT,ND,587014406,US,Nurse Practitioner,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,147.75,90.099090909,70.638181818,70.638181818
1023455169,HINES,JOHN,P,MD,M,I,2550 FLOWOOD DR STE 303,,FLOWOOD,MS,392329306,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,105,38.978181818,30.557272727,33.054545455
1023455482,CHRISTIE,CARROLL,C,M.D.,M,I,836 W WELLINGTON AVE,,CHICAGO,IL,606575147,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,68,80,86.31,20.97375,14.2615,12.1185
1023455482,CHRISTIE,CARROLL,C,M.D.,M,I,836 W WELLINGTON AVE,,CHICAGO,IL,606575147,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,53.148461538,4.8119230769,2.7946153846,2.47
1023455482,CHRISTIE,CARROLL,C,M.D.,M,I,836 W WELLINGTON AVE,,CHICAGO,IL,606575147,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,71,82,519.51,91.647073171,64.299634146,51.330731707
1023455482,CHRISTIE,CARROLL,C,M.D.,M,I,836 W WELLINGTON AVE,,CHICAGO,IL,606575147,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1140,1.0078684211,0.1339210526,0.088254386,0.088254386
1023455482,CHRISTIE,CARROLL,C,M.D.,M,I,836 W WELLINGTON AVE,,CHICAGO,IL,606575147,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,24,146.25,28.954583333,21.3,14.70875
1023455482,CHRISTIE,CARROLL,C,M.D.,M,I,836 W WELLINGTON AVE,,CHICAGO,IL,606575147,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,99,33,22.420666667,22.420666667
1023455599,SHALTIS,CATHERINE,E,"MSN, ACNP-BC",F,I,2 CAPITAL WAY STE 290,,PENNINGTON,NJ,085342521,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,26,75,249,60.972690763,8.32,6.1295983936,6.1295983936
1023455599,SHALTIS,CATHERINE,E,"MSN, ACNP-BC",F,I,2 CAPITAL WAY STE 290,,PENNINGTON,NJ,085342521,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,15,43,65,16.815846154,1.42,0.9778461538,0.9778461538
1023455599,SHALTIS,CATHERINE,E,"MSN, ACNP-BC",F,I,2 CAPITAL WAY STE 290,,PENNINGTON,NJ,085342521,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,30,30,318.14,251.11,196.87,196.87
1023455979,SAVALIA,RUCHITA,,DO,F,I,10800 KNIGHTS RD,,PHILADELPHIA,PA,191144200,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,38.838,16.08,12.6,13.53
1023455979,SAVALIA,RUCHITA,,DO,F,I,10800 KNIGHTS RD,,PHILADELPHIA,PA,191144200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,240.58095238,77.18,60.51,54.995714286
1023456159,BURNS,TIFFANY,M,MD,F,I,2218 US HIGHWAY 27 N,,TEKONSHA,MI,490929261,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,99.95,39.36,26.023333333,20.256666667
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,51,107,60.39364486,8.32,5.9746728972,5.9746728972
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,23,15.353043478,1.42,1.0686956522,1.0686956522
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,2.53,2.49,1.9516666667,1.9516666667
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1440,2.5,2.27,1.7197083333,1.7197083333
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2240,2.5,2.03,1.5915,1.5993392857
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8,7.3,5.2479166667,5.3754166667
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,265,87.217272727,62.222727273,61.676363636
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,40.804545455,19.8,15.517272727,14.734545455
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,35,6.002,2.4114285714,1.8025714286,1.7302857143
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,150.072,63.1455,49.059,41.9305
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,34,34,31.121176471,5.5473529412,3.0497058824,2.7167647059
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,150,40.958723404,29.779574468,23.556595745
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,16.99,10.374545455,8.1390909091,7.7890909091
1023456290,BENNETT,ROBERT,D,MD,M,I,2412 N OAK ST,,VALDOSTA,GA,316022567,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,335.90368421,70.23,52.277894737,51.937894737
1023456506,NARASIMHAN,SWETA,,MD,F,I,117 JANE LN,,HILLSBORO,TX,76645,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,70,34.271571429,8.32,6.5214285714,6.5214285714
1023456506,NARASIMHAN,SWETA,,MD,F,I,117 JANE LN,,HILLSBORO,TX,76645,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,9.3971428571,1.42,1.1157142857,1.1157142857
1023456506,NARASIMHAN,SWETA,,MD,F,I,117 JANE LN,,HILLSBORO,TX,76645,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,100,60.172307692,47.179230769,28.430769231
1023456878,KISER,MAKAYLA,A,D.O.,F,I,210 BEVINS LN,SUITE C,GEORGETOWN,KY,403246120,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,42.784347826,21.810869565,17.097391304,15.422608696
1023456878,KISER,MAKAYLA,A,D.O.,F,I,210 BEVINS LN,SUITE C,GEORGETOWN,KY,403246120,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,25,4.3754545455,2.9190909091,2.9190909091
1023456878,KISER,MAKAYLA,A,D.O.,F,I,210 BEVINS LN,SUITE C,GEORGETOWN,KY,403246120,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,381.10709677,91.418064516,70.187741935,62.559354839
1023457108,MICHELS,RYAN,C,PA,M,I,201 ALBERT AVE,,SCOTT CITY,KS,67871,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,23,519.51,101.79913043,74.615217391,49.970869565
1023457231,METZ,MICA,,D.O.,F,I,545 VITALITY DR,SUITE A,FORTVILLE,IN,460401373,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,28,13.92,2.12,1.0421428571,1.0042857143
1023457231,METZ,MICA,,D.O.,F,I,545 VITALITY DR,SUITE A,FORTVILLE,IN,460401373,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,47.37,34.045,34.545833333
1023457256,GREENE,MATTHEW,W,M.D.,M,I,10 MISSILE AVE,,MINOT AFB,ND,587055003,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,40,16.829166667,13.195,9.65
1023457256,GREENE,MATTHEW,W,M.D.,M,I,10 MISSILE AVE,,MINOT AFB,ND,587055003,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,131.66666667,52.4725,41.141666667,27.27
1023457355,DORVIL,CASSANDRA,,D.O.,F,I,110 LONG POND RD STE 101,,PLYMOUTH,MA,023602642,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,26,81.232692308,8.32,6.0184615385,6.0184615385
1023457421,POTTER,KIMBERLY,,,F,I,3525 OLENTANGY RIVER RD,"STE,4330",COLUMBUS,OH,432143937,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,17.510909091,9.2,3.9327272727,3.7527272727
1023457421,POTTER,KIMBERLY,,,F,I,3525 OLENTANGY RIVER RD,"STE,4330",COLUMBUS,OH,432143937,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,124.51575758,20.412424242,13.718484848,11.907878788
1023457454,HASLEY,MATTHEW,,D.O.,M,I,3 MOBILE INFIRMARY CIR STE 201A,,MOBILE,AL,366073514,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,56.921538462,50.194615385,38.786153846,36.145384615
1023457454,HASLEY,MATTHEW,,D.O.,M,I,3 MOBILE INFIRMARY CIR STE 201A,,MOBILE,AL,366073514,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,24.019230769,9.8961538462,7.0153846154,6.7369230769
1023457454,HASLEY,MATTHEW,,D.O.,M,I,3 MOBILE INFIRMARY CIR STE 201A,,MOBILE,AL,366073514,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,76.109,54.992,43.1145,40.9395
1023457454,HASLEY,MATTHEW,,D.O.,M,I,3 MOBILE INFIRMARY CIR STE 201A,,MOBILE,AL,366073514,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,35,10.2545,6.3075,5.842
1023457454,HASLEY,MATTHEW,,D.O.,M,I,3 MOBILE INFIRMARY CIR STE 201A,,MOBILE,AL,366073514,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,96.852,20.624,16.17,14.844
1023457454,HASLEY,MATTHEW,,D.O.,M,I,3 MOBILE INFIRMARY CIR STE 201A,,MOBILE,AL,366073514,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,45,45,112.49666667,31.912,22.725555556,19.524222222
1023457801,KOSHY,ROBIN,E,M.D.,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,55,78.668545455,8.32,5.5750909091,5.5750909091
1023457801,KOSHY,ROBIN,E,M.D.,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,24,24.122083333,1.42,0.9758333333,0.9758333333
1023457868,HEYL,SCOTT,,MD,M,I,1020 CENTER AVE,,PITTSBURGH,PA,152291724,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,107.05882353,24.266470588,19.027647059,17.098235294
1023457868,HEYL,SCOTT,,MD,M,I,1020 CENTER AVE,,PITTSBURGH,PA,152291724,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,35.617142857,9.4571428571,7.4128571429,7.015
1023457991,HARRIS,JEFFREY,,D.O.,M,I,10510 JEFFERSON AVE,SUITE A,NEWPORT NEWS,VA,236013102,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,35,110,59.126181818,8.32,6.0334545455,6.0334545455
1023457991,HARRIS,JEFFREY,,D.O.,M,I,10510 JEFFERSON AVE,SUITE A,NEWPORT NEWS,VA,236013102,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,29,16.058275862,1.42,1.1148275862,1.1148275862
1023457991,HARRIS,JEFFREY,,D.O.,M,I,10510 JEFFERSON AVE,SUITE A,NEWPORT NEWS,VA,236013102,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,78.23,61.33,54.72
1023458171,RAMDASS,PRIYA,,M.D,F,I,8400 WASHINGTON AVE,,MOUNT PLEASANT,WI,534063735,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,75,68.872666667,8.32,5.4784,5.4784
1023458171,RAMDASS,PRIYA,,M.D,F,I,8400 WASHINGTON AVE,,MOUNT PLEASANT,WI,534063735,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,30,15.687,1.42,1.0416666667,1.0416666667
1023458205,WOOD,ALICE,S,PA-C,F,I,910 WORTH ST,,MOUNT AIRY,NC,270304458,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,55,141,58.626382979,8.32,5.1607801418,5.1607801418
1023458205,WOOD,ALICE,S,PA-C,F,I,910 WORTH ST,,MOUNT AIRY,NC,270304458,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,32,50,16.6812,1.42,0.8928,0.8928
1023458205,WOOD,ALICE,S,PA-C,F,I,910 WORTH ST,,MOUNT AIRY,NC,270304458,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,42.5825,9.5825,7.512,4.26
1023458205,WOOD,ALICE,S,PA-C,F,I,910 WORTH ST,,MOUNT AIRY,NC,270304458,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,476.72285714,99.926666667,75.400952381,52.026666667
1023458205,WOOD,ALICE,S,PA-C,F,I,910 WORTH ST,,MOUNT AIRY,NC,270304458,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,109.5,33,21.166363636,21.166363636
1023458411,SCOTT IRIARTE,ARIADNE,S,MD,F,I,63 MAIN ST,,BROCKTON,MA,023014042,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,97.1,8.32,3.5618181818,3.5618181818
1023458445,MENGISTU,BIRUK,T,MD,M,I,303 PARKWAY DR NE,,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,40,17.25,13.52,13.54
1023458445,MENGISTU,BIRUK,T,MD,M,I,303 PARKWAY DR NE,,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,2500,1074.31,842.26,842.26
1023458445,MENGISTU,BIRUK,T,MD,M,I,303 PARKWAY DR NE,,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,220,75.56,56.278,51.9935
1023458445,MENGISTU,BIRUK,T,MD,M,I,303 PARKWAY DR NE,,ATLANTA,GA,303121212,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,200,36.25,26.924210526,28.028421053
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,92.073076923,73.511538462,57.632692308,62.615384615
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,126.52,125.85916667,98.680833333,99.149166667
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L2280,"Addition to lower extremity, molded inner boot",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,14,547.91,540.24071429,423.54714286,357.97
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,78.81,78.81,61.79,68.66
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,23,46,203.32434783,190.61521739,149.44434783,149.89956522
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,46,50,28,28,21.95,33.6374
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,23,319.75,253.91043478,199.0626087,215.08347826
1023458478,KELLY,TYLER,J,DPM,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,53,53,53,195.37735849,153.85735849,116.87037736,116.09207547
1023458742,PAREKH,ASHWIN,,M.D.,M,I,5555 W. THUNDERBIRD,BANNER THUNDERBIRD MEDICAL CENTER,GLENDALE,AZ,85306,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,25.264117647,17.235882353,13.514117647,13.535882353
1023458742,PAREKH,ASHWIN,,M.D.,M,I,5555 W. THUNDERBIRD,BANNER THUNDERBIRD MEDICAL CENTER,GLENDALE,AZ,85306,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,117.18117647,76.997647059,59.783529412,54.143529412
1023459062,ALSHEKH MOUSA,AMER,,MD,M,I,1500 SW 10TH AVE,,TOPEKA,KS,666041301,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,85.201538462,21.551538462,16.895384615,15.382307692
1023459062,ALSHEKH MOUSA,AMER,,MD,M,I,1500 SW 10TH AVE,,TOPEKA,KS,666041301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,399.21571429,94.280714286,73.917142857,66.301428571
1023459179,SATASHIA,HARDIK,,M.D.,M,I,625 19TH ST S,,BIRMINGHAM,AL,352331900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,86.31,19.62,14.475,13.23
1023459179,SATASHIA,HARDIK,,M.D.,M,I,625 19TH ST S,,BIRMINGHAM,AL,352331900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,13,39.910769231,4.8292307692,3.5076923077,3.4661538462
1023459179,SATASHIA,HARDIK,,M.D.,M,I,625 19TH ST S,,BIRMINGHAM,AL,352331900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,66,66,454.32272727,82.783787879,61.494848485,53.253333333
1023459179,SATASHIA,HARDIK,,M.D.,M,I,625 19TH ST S,,BIRMINGHAM,AL,352331900,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,75,39.944571429,29.538,27.826857143
1023459419,TULADHAR JHA,SARWADA,,MD,F,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,39,93.46974359,8.32,5.5179487179,5.5179487179
1023459419,TULADHAR JHA,SARWADA,,MD,F,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Obstetrics & Gynecology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,60.7325,1.42,0.98,0.98
1023459534,STOKES,TAFIEA,A,NP,F,I,819 S SALINA ST,,SYRACUSE,NY,132023527,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,59,75.940847458,8.32,6.0196610169,6.0196610169
1023459583,DHILLON,SIMI,K,M.D.,F,I,"YUMA REGIONAL MEDICAL CENTER, 2400S. AVE A",,YUMA,AZ,853647170,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,28,73,85.259178082,8.32,5.8065753425,5.8065753425
1023459633,PAMIDIMUKALA,CHAITHANYA,K,"M.D.,",M,I,315 S MANNING BLVD,SPH HOSPITALIST DEPT,ALBANY,NY,122081707,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,13,387.18538462,79.138461538,62.042307692,55.89
1023459682,MOSHREF,ARIAN,J,,M,I,28050 GRAND RIVER AVE,,FARMINGTON HILLS,MI,483365919,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,183.885,166.5625,130.585,124.345
1023459914,NOLAN,AARON,J,FNP,M,I,502 W HARRIE ST,,NEWBERRY,MI,498681209,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,16.135833333,12.161666667
1023459914,NOLAN,AARON,J,FNP,M,I,502 W HARRIE ST,,NEWBERRY,MI,498681209,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,102.61833333,70.493333333,45.608333333
1023460284,AHMAD,NADIA,,APN,F,I,1725 W HARRISON ST,SUITE 250,CHICAGO,IL,606123841,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,16,42,71.194047619,8.32,6.5211904762,6.5211904762
1023460318,KERR,MISHELL,J,APRN-CNP,F,I,317 E HIMES ST,,NORMAN,OK,730697810,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,76,50.655657895,8.32,5.1567105263,5.1567105263
1023460318,KERR,MISHELL,J,APRN-CNP,F,I,317 E HIMES ST,,NORMAN,OK,730697810,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.4291666667,2.4291666667
1023460318,KERR,MISHELL,J,APRN-CNP,F,I,317 E HIMES ST,,NORMAN,OK,730697810,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,23,14.844782609,1.42,1.0173913043,1.0173913043
1023460318,KERR,MISHELL,J,APRN-CNP,F,I,317 E HIMES ST,,NORMAN,OK,730697810,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,308.5725,82.808333333,64.918333333,64.918333333
1023460326,MAGEE,PRESLEE,,O.D,F,I,6947 CRUMPLER BLVD,,OLIVE BRANCH,MS,386541922,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,78,77.93,56.564814815,48.888888889
1023460326,MAGEE,PRESLEE,,O.D,F,I,6947 CRUMPLER BLVD,,OLIVE BRANCH,MS,386541922,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,34,50.463235294,50.01,36.903529412,41.317352941
1023460367,LEWIS,JENNIFER,E,CNP,F,I,781 LAKESHIRE TRL,,ADRIAN,MI,492211561,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,620,275,7.686,6.0258064516,4.1632258065
1023460433,BOBINMYER,ROBIN,L,AGNP-C,F,I,201 S ARTHUR ST,,HUMANSVILLE,MO,656748400,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25.65,4.9675,3.895,3.895
1023460680,BYRD,KAREN,J,PA-C,F,I,4278 LADSON RD,,LADSON,SC,294565452,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3716.6666667,2716.2133333,2129.5116667,2129.5116667
1023460839,BAKER,TARA,,,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,49,75.243673469,8.32,6.5210204082,6.5210204082
1023460839,BAKER,TARA,,,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Nurse Practitioner,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,900,2.18,2.02,1.5836666667,1.5836666667
1023460839,BAKER,TARA,,,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,64,17.29,12.148275862,12.131724138
1023460839,BAKER,TARA,,,F,I,11116 MEDICAL CAMPUS RD,,HAGERSTOWN,MD,217426710,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,225.17714286,70.23,50.793333333,50.502380952
1023460938,LABELLA,VIRGINIA,P,,F,I,340 EXCHANGE BLVD STE 130,,BETHLEHEM,GA,30620,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,133,38.159473684,29.915789474,23.38
1023461167,ARNETT,LESLIE,A,APRN,F,I,911 BYPASS RD,CLINIC 2,PIKEVILLE,KY,415011689,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,95,22.790909091,17.866363636,13.53
1023461167,ARNETT,LESLIE,A,APRN,F,I,911 BYPASS RD,CLINIC 2,PIKEVILLE,KY,415011689,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,495,105.01636364,82.335454545,54.73
1023461274,IGBINEDION,SAMUEL,,,M,I,1501 KINGS HWY,,SHREVEPORT,LA,711034228,US,Student in an Organized Health Care Education/Training Program,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,92.933333333,17.29,13.55,13.53
1023461274,IGBINEDION,SAMUEL,,,M,I,1501 KINGS HWY,,SHREVEPORT,LA,711034228,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,559.39222222,70.23,55.06,54.72
1023462108,MILLER,KERRY,,,F,I,1351 W CENTRAL PARK AVE,,DAVENPORT,IA,528041853,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,133.7,46.5,36.46,36.46
1023462108,MILLER,KERRY,,,F,I,1351 W CENTRAL PARK AVE,,DAVENPORT,IA,528041853,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,212.13,53.678333333,42.084166667,42.084166667
1023462108,MILLER,KERRY,,,F,I,1351 W CENTRAL PARK AVE,,DAVENPORT,IA,528041853,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,507.78857143,69.925714286,35.273571429,35.183571429
1023462108,MILLER,KERRY,,,F,I,1351 W CENTRAL PARK AVE,,DAVENPORT,IA,528041853,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,92,92,77.25,19.007717391,11.667826087,11.141304348
1023462108,MILLER,KERRY,,,F,I,1351 W CENTRAL PARK AVE,,DAVENPORT,IA,528041853,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,27.73,8.512,5.656,5.4192
1023462173,BONNIN-SERRALLES,SONYA,I,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,58.9,46.633333333,36.555,37.138333333
1023462173,BONNIN-SERRALLES,SONYA,I,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,58.46,46.285,36.288333333,35.376666667
1023462694,MAYEN,VANESSA,M,"R.N., N.P.",F,I,1965 HOOVER AVE,,OAKLAND,CA,946021921,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1092,0.3222344322,0.0454212454,0.0355952381,0.0355952381
1023462702,PRAVEEN,SRIDEVI,,CRNP,F,I,6439 SEDGWICK ST,,ELKRIDGE,MD,210756198,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,36.88,17.46,12.626428571,12.487142857
1023462702,PRAVEEN,SRIDEVI,,CRNP,F,I,6439 SEDGWICK ST,,ELKRIDGE,MD,210756198,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,230,82,55.105714286,46.911428571
1023463379,TU,ELIZABETH,,D.O.,F,I,1400 S COULTER ST STE 5100,,AMARILLO,TX,791061786,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,48,68.496041667,8.32,4.8904166667,4.8904166667
1023463379,TU,ELIZABETH,,D.O.,F,I,1400 S COULTER ST STE 5100,,AMARILLO,TX,791061786,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.55,4.5690909091,3.18,3.2909090909
1023463924,HANCHEK,DEBORAH,,D.O.,F,I,90 S MAIN ST,,MIDDLETOWN,CT,064573649,US,Student in an Organized Health Care Education/Training Program,T,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.92,11.221818182,8.1218181818,7.9663636364
1023463924,HANCHEK,DEBORAH,,D.O.,F,I,90 S MAIN ST,,MIDDLETOWN,CT,064573649,US,Student in an Organized Health Care Education/Training Program,T,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.67,10.299090909,8.0718181818,8.0227272727
1023463924,HANCHEK,DEBORAH,,D.O.,F,I,90 S MAIN ST,,MIDDLETOWN,CT,064573649,US,Student in an Organized Health Care Education/Training Program,T,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,420.19,211.83363636,166.07090909,166.07090909
1023463973,LACHEWITZ,AMY,,M.D.,F,I,833 CHESTNUT ST STE 301,,PHILADELPHIA,PA,191074405,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,49.768333333,34.915,33.273333333
1023464922,HUSER,ELIZABETH,,"FNP-BC, NP-C",F,I,680 N MCCARRAN BLVD,,SPARKS,NV,894314600,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,26,109,52.608440367,8.32,6.5224770642,6.5224770642
1023464922,HUSER,ELIZABETH,,"FNP-BC, NP-C",F,I,680 N MCCARRAN BLVD,,SPARKS,NV,894314600,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,86.31,21.991428571,16.174285714,12.965714286
1023464922,HUSER,ELIZABETH,,"FNP-BC, NP-C",F,I,680 N MCCARRAN BLVD,,SPARKS,NV,894314600,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,50.73,8.5818421053,6.5289473684,3.6915789474
1023464922,HUSER,ELIZABETH,,"FNP-BC, NP-C",F,I,680 N MCCARRAN BLVD,,SPARKS,NV,894314600,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,18,118,118,519.51,103.52644068,77.469152542,53.591440678
1023464922,HUSER,ELIZABETH,,"FNP-BC, NP-C",F,I,680 N MCCARRAN BLVD,,SPARKS,NV,894314600,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,5175,0.17,0.0450724638,0.0293623188,0.0293623188
1023464922,HUSER,ELIZABETH,,"FNP-BC, NP-C",F,I,680 N MCCARRAN BLVD,,SPARKS,NV,894314600,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1620,0.9965123457,0.1353703704,0.1061481481,0.1061481481
1023464922,HUSER,ELIZABETH,,"FNP-BC, NP-C",F,I,680 N MCCARRAN BLVD,,SPARKS,NV,894314600,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,34,34,120.35294118,33,24.170294118,24.170294118
1023465267,BANGASSER,JODI,,ARNP,F,I,312 9TH ST SW,,WAVERLY,IA,506772929,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,18,52.666666667,28.46,21.070555556,21.070555556
1023465267,BANGASSER,JODI,,ARNP,F,I,312 9TH ST SW,,WAVERLY,IA,506772929,US,Nurse Practitioner,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,42,2.5485714286,2.49,1.9516666667,1.9516666667
1023465267,BANGASSER,JODI,,ARNP,F,I,312 9TH ST SW,,WAVERLY,IA,506772929,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,23,21.523478261,10.27,7.7095652174,8.122173913
1023466786,ROMANS,TRACY,,,F,I,301 MED TECH PKWY,SUITE 240,JOHNSON CITY,TN,376042364,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,86.31,17.29,13.55,13.53
1023466786,ROMANS,TRACY,,,F,I,301 MED TECH PKWY,SUITE 240,JOHNSON CITY,TN,376042364,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,27.339090909,4.9645454545,3.8936363636,3.8890909091
1023466786,ROMANS,TRACY,,,F,I,301 MED TECH PKWY,SUITE 240,JOHNSON CITY,TN,376042364,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,429.657,70.23,55.06,54.810666667
1023466786,ROMANS,TRACY,,,F,I,301 MED TECH PKWY,SUITE 240,JOHNSON CITY,TN,376042364,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,237.72727273,37.44,29.35,29.444545455
1023466786,ROMANS,TRACY,,,F,I,301 MED TECH PKWY,SUITE 240,JOHNSON CITY,TN,376042364,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1467,1.2451670075,0.1340763463,0.1051329243,0.1051329243
1023466786,ROMANS,TRACY,,,F,I,301 MED TECH PKWY,SUITE 240,JOHNSON CITY,TN,376042364,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,146.25,20.725,16.249166667,14.916666667
1023466786,ROMANS,TRACY,,,F,I,301 MED TECH PKWY,SUITE 240,JOHNSON CITY,TN,376042364,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,105,33,25.87,25.87
1023467065,CASUTO,STEFENIE,N,,F,I,1955 CITRACADO PKWY STE 302,,ESCONDIDO,CA,920294113,US,Physician Assistant,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,2.26,2.26,1.7718333333,1.7796666667
1023467065,CASUTO,STEFENIE,N,,F,I,1955 CITRACADO PKWY STE 302,,ESCONDIDO,CA,920294113,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,3650,3.5324931507,1.73,1.3563260274,1.491490411
1023467065,CASUTO,STEFENIE,N,,F,I,1955 CITRACADO PKWY STE 302,,ESCONDIDO,CA,920294113,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1440,7.3395833333,7.1883333333,5.5360277778,5.5687013889
1023467115,TORRES-LOCKHART,KRISTINE,,M.D.,F,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1632,1.919754902,0.1315073529,0.0964460784,0.0964460784
1023467115,TORRES-LOCKHART,KRISTINE,,M.D.,F,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,23.714166667,23.714166667
1023467313,HERMAN,CARRIE,C,NP-C,F,I,50 MACEDONIA CHURCH RD STE A,,TAYLORSVILLE,NC,286818414,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,39,90.806410256,8.32,6.1871794872,6.1871794872
1023467313,HERMAN,CARRIE,C,NP-C,F,I,50 MACEDONIA CHURCH RD STE A,,TAYLORSVILLE,NC,286818414,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,424.60133333,70.23,44.502,44.208
1023468188,SITTON,SUSANNAH,F,FNP-C,F,I,800 N JUSTICE ST,,HENDERSONVILLE,NC,287913410,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,77.220909091,63.356363636,49.67,40.621818182
1023468188,SITTON,SUSANNAH,F,FNP-C,F,I,800 N JUSTICE ST,,HENDERSONVILLE,NC,287913410,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,43.901818182,7.9072727273,5.2081818182,2.7636363636
1023468261,JAPA,SOHAN,,,M,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,23,75.385652174,8.32,5.9534782609,5.9534782609
1023469681,BERTUCCI,MICHAEL,,M.D.,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,24.813,4.382,2.9295,2.929
1023469772,SHERRILL,ROBIN,E,FNP-C,F,I,3975 ROBINSON RD,,NEWTON,NC,28658,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,32.859444444,17.29,13.55,13.54
1023469772,SHERRILL,ROBIN,E,FNP-C,F,I,3975 ROBINSON RD,,NEWTON,NC,28658,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,203.52,70.23,55.06,54.859090909
1023469889,HUSAIN,AAFTAB,,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,48,53.190833333,8.32,6.250625,6.250625
1023469889,HUSAIN,AAFTAB,,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,333.42105263,89.104210526,64.498947368,49.381578947
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,23,23,23,71.052173913,50.860869565,39.876521739,37.328695652
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.28,10.25,8.0333333333,7.3316666667
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,66.666666667,50.668333333,39.729444444,40.641111111
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,61.764705882,46.587058824,31.792941176,32.535882353
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,1.45,1.28,0.9545454545,0.9545454545
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,11.3,3.05,2.0076,1.9068
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,27,90,90,2.8575555556,2.3347777778,1.6233333333,1.6111111111
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,17,17,17,56.552941176,38.661176471,30.303529412,30.061176471
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,16,66,67,49.347014925,23.335970149,17.812985075,15.408358209
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,72,72,66.282916667,30.907083333,19.793888889,17.251111111
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.14,35.566363636,24.609090909,21.809090909
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,97.340869565,58.319130435,42.36173913,35.159130435
1023469913,COOK,DANIELLE,V,"APRN, FNP-C",F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,43,43,17.47,10.347906977,7.3046511628,6.2572093023
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,78,513,513,513,1509.3602534,1224.554152,932.13578947,859.28676413
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,77,77,80,878.085375,698.114875,526.085125,459.833125
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,30,132,134,232,903.92081897,829.30715517,648.65038793,676.20021552
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,74,75,126,527.84968254,454.24936508,356.12809524,354.05619048
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,47,206,208,306,134.18120915,108.17411765,83.691503268,87.739509804
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,14,14,107.14142857,90.916428571,71.281428571,78.938571429
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,37,109,109,163,551.26435583,468.38828221,367.20588957,365.22723926
1023470192,GARAY,JOAN,,ARNP,F,I,2336 CLEVELAND AVE,,FORT MYERS,FL,339013540,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,33,109,109,109,853.17,734.73357798,571.06678899,563.60899083
1023471000,BERGER,MARK,,NP,M,I,2327 SW 4TH AVE,,ONTARIO,OR,979141851,US,Certified Clinical Nurse Specialist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,59,83.675084746,8.32,4.8640677966,4.8640677966
1023471000,BERGER,MARK,,NP,M,I,2327 SW 4TH AVE,,ONTARIO,OR,979141851,US,Certified Clinical Nurse Specialist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,7.3545454545,4.9,3.0727272727
1023471000,BERGER,MARK,,NP,M,I,2327 SW 4TH AVE,,ONTARIO,OR,979141851,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,502.97166667,116.43555556,91.29,59.23
1023471000,BERGER,MARK,,NP,M,I,2327 SW 4TH AVE,,ONTARIO,OR,979141851,US,Certified Clinical Nurse Specialist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1167,2.0845672665,0.1302827763,0.1021508141,0.1021508141
1023471000,BERGER,MARK,,NP,M,I,2327 SW 4TH AVE,,ONTARIO,OR,979141851,US,Certified Clinical Nurse Specialist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,61.285714286,33,25.87,25.87
1023471034,SLATER,EMILY,E,NP,F,I,10150 STAPLES MILL RD,SUITE A,GLEN ALLEN,VA,230603452,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,105,21.38,15.828888889,19.063333333
1023471877,RAJKOTIA,MINESH,D,M.D.,M,I,333 E COUNTY LINE RD STE B,,GREENWOOD,IN,461431080,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,75.256,8.32,4.9564,4.9564
1023472040,MARTINEZ-HERNANDEZ,GENIEVE,M,,F,I,60 MDG/SGOMI,101 BODIN CIRCLE,FAIRFIELD,CA,94535,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.833333333,4.67,3.005,3.005
1023472735,HISE,NICHOLLE,M,NP,F,I,1060 S MAIN ST,SUITE 3,TIPTON,IN,460728327,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,34,71.799411765,8.32,4.4123529412,4.4123529412
1023473352,RYAN,LORI,D,ARNP,F,I,1044 11TH AVE,,LONGVIEW,WA,986322506,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,65,57.649692308,8.32,6.4233846154,6.4233846154
1023473352,RYAN,LORI,D,ARNP,F,I,1044 11TH AVE,,LONGVIEW,WA,986322506,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,105.01636364,82.335454545,54.73
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,59,15.95440678,8.1996610169,4.2793220339,4.3737288136
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,31,86.31,22.842903226,17.907096774,13.769032258
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,27,50.73,6.3811111111,4.822962963,3.3377777778
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,34,519.51,102.84,80.628823529,56.514117647
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1260,15.58,9.6242857143,7.3197142857,7.3197142857
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,3825,0.1844261438,0.0468,0.0359372549,0.0359372549
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1500,0.92,0.13436,0.1053533333,0.1053533333
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1260,11.723492063,3.1251904762,2.3363095238,2.3363095238
1023474681,CRAVENS,REBECCA,,ANP,F,I,1511 DONELSON PARKWAY,,DOVER,TN,37058,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,53,53,124.52830189,33,25.87,25.87
1023475365,POORE,JULIE,A,APRN,F,I,14949 N US HIGHWAY 25 E,SUITE 6,CORBIN,KY,407016285,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,17.620833333,14.031666667
1023475365,POORE,JULIE,A,APRN,F,I,14949 N US HIGHWAY 25 E,SUITE 6,CORBIN,KY,407016285,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,305,102.61833333,80.443333333,58.093333333
1023476207,BUTLER,BRITTANY,K,PA-C,F,I,40 WILEY DRIVE,TRI- AREA COMMUNITY HEALTH,FERRUM,VA,24088,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,71.452666667,23.364,17.818,13.881666667
1023476207,BUTLER,BRITTANY,K,PA-C,F,I,40 WILEY DRIVE,TRI- AREA COMMUNITY HEALTH,FERRUM,VA,24088,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,28.847647059,8.4311764706,6.0394117647,4.2117647059
1023476207,BUTLER,BRITTANY,K,PA-C,F,I,40 WILEY DRIVE,TRI- AREA COMMUNITY HEALTH,FERRUM,VA,24088,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,32,401.4090625,110.155,84.9928125,58.42
1023476694,BROWN,KEVIN,L,NP-C,M,I,1131 S CLIFTON AVE,SUITE B,WICHITA,KS,672182955,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,13.68,2.86,2.0363636364,2.0563636364
1023476694,BROWN,KEVIN,L,NP-C,M,I,1131 S CLIFTON AVE,SUITE B,WICHITA,KS,672182955,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,125.1953125,16.671875,12.578125,13.665625
1023476918,GARCIA,ROSA,D,"PA-C, RD",F,I,5140 N 10TH ST,,MCALLEN,TX,785042834,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,13,40,55.235,8.32,5.51775,5.51775
1023476918,GARCIA,ROSA,D,"PA-C, RD",F,I,5140 N 10TH ST,,MCALLEN,TX,785042834,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.6325,5.175,3.2233333333
1023477205,MEYER,CASEY,,APRN,F,I,18 ALEXANDER AVE UNIT 1,,BEDFORD,KY,400061114,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,34,71.374705882,20.669411765,16.201764706,14.404117647
1023477205,MEYER,CASEY,,APRN,F,I,18 ALEXANDER AVE UNIT 1,,BEDFORD,KY,400061114,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,35,436.45,89.035428571,69.807714286,62.014857143
1023477205,MEYER,CASEY,,APRN,F,I,18 ALEXANDER AVE UNIT 1,,BEDFORD,KY,400061114,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,8831,0.2496274488,0.0440289888,0.0307688823,0.0307688823
1023477205,MEYER,CASEY,,APRN,F,I,18 ALEXANDER AVE UNIT 1,,BEDFORD,KY,400061114,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,70.125,33,22.879166667,22.879166667
1023477445,PFLUGRADT,CORI,,PA-C,M,I,13892 TIMBER WAY,,BROADWAY,VA,22815,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,51,60.951568627,8.32,5.757254902,5.757254902
1023477445,PFLUGRADT,CORI,,PA-C,M,I,13892 TIMBER WAY,,BROADWAY,VA,22815,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,17,11.083529412,1.42,1.1182352941,1.1182352941
1023477650,MCKAY,ROBIN,L,APRN,F,I,901 SW GARFIELD AVE,,TOPEKA,KS,666061670,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,75,4.4965217391,2.2034782609,2.2034782609
1023478047,MILLS,JENNIFER,L,APN,F,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,240.95,48.155,37.755,38.135833333
1023478880,LOPEZ DIAZ,TAMARA,,M.D,F,I,13795 SW 36TH AVENUE RD STE 4,,OCALA,FL,34473,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,32,108,82.380185185,8.32,6.0388888889,6.0388888889
1023478880,LOPEZ DIAZ,TAMARA,,M.D,F,I,13795 SW 36TH AVENUE RD STE 4,,OCALA,FL,34473,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,27,13.662222222,1.4081481481,1.1037037037,1.112962963
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,54,81.956851852,8.32,6.2818518519,6.2818518519
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,8.905,2.1892307692,1.7161538462,1.15
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,9.6048387097,3.1793548387,2.3214516129,1.4390322581
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,27,86.31,22.313333333,17.186666667,13.447777778
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,133.22,47.601666667,31.578333333,19.483333333
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,52,547.31423077,99.719615385,75.883076923,56.519230769
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,250,45.474,35.654,31.424
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,4337,0.1698178464,0.0464468527,0.0351394973,0.0351394973
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1410,0.9524113475,0.1255106383,0.0984113475,0.0984113475
1023480126,HATCHIMONJI,RACHEL,,FNP,F,I,2280 HARRISON AVE,,EUREKA,CA,955013200,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,37,115.94594595,33,25.170810811,25.170810811
1023480357,WALKER,ERIC,T,PA-C,M,I,111 VICTORIA RD,,ASHEVILLE,NC,288014811,US,Physician Assistant,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,116.442,91.27,71.56,79.51
1023480357,WALKER,ERIC,T,PA-C,M,I,111 VICTORIA RD,,ASHEVILLE,NC,288014811,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,63,71,71,67.595492958,53.2,39.545915493,44.033380282
1023480357,WALKER,ERIC,T,PA-C,M,I,111 VICTORIA RD,,ASHEVILLE,NC,288014811,US,Physician Assistant,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,21,22,96.636363636,77.616818182,60.847727273,66.678636364
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,155,269,269,126.4463197,42.448066914,31.45267658,29.023791822
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,16,35,69,8.1360869565,1.8405797101,1.4053623188,1.1362318841
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,15,16,16,75.493125,17.54375,13.756875,9.074375
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,91,159,159,346.60194969,104.07169811,79.016477987,66.115786164
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,86,218,451,124.5108204,39.376829268,30.500088692,25.895277162
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,68,156,675,72.091333333,20.110044444,14.998237037,13.952
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,53,99,427,58.77763466,16.203911007,11.825386417,11.177470726
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,127,217,217,211.39451613,60.564009217,45.233917051,41.213087558
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,196,244,244,64.087704918,20.90647541,16.028196721,14.011270492
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,17,17,32.332352941,10.687647059,8.2041176471,7.9452941176
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,40,75,75,82.473333333,16.111733333,12.3732,9.0469333333
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,199,413,1916,9.5097077244,2.3889926931,1.8421816284,1.591085595
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,86,111,111,22.64036036,6.5608108108,5.0541441441,4.602972973
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,95,115,115,43.974173913,13.966956522,10.580434783,10.099652174
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,46,357,363,94.196749311,20.586336088,15.529779614,13.443030303
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,15,138,138,4373.18,986.58,770.66782609,835.46057971
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,473.63807692,110.36346154,86.524230769,67.086153846
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,31,182,193,973.20243523,251.02647668,192.29181347,161.81735751
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,30,30,30,502.701,160.98366667,123.08466667,106.11966667
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,52,276,278,68.93705036,15.023992806,10.813669065,9.5105755396
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,16,103,107,55.731682243,6.3565420561,4.8103738318,3.7687850467
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,15,122,736,757,220.80191546,36.832721268,26.735336856,22.910739762
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,103,891,914,425.42258206,85.9347593,65.095153173,55.48190372
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,106,114,203.33333333,41.492368421,32.015964912,29.035350877
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,80,4680,17.235735043,9.65525,7.5390470085,7.5390470085
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1440,13.94,11.360708333,8.9068402778,8.9068402778
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,64,7267,0.3784849319,0.0450612357,0.0349305078,0.0349305078
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,3306,0.8188142771,0.1352692075,0.1027676951,0.1027676951
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,19,101,6180,11.809886731,3.0202912621,2.3569045307,2.3569045307
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,34,1860,0.75,0.2191344086,0.1717795699,0.1717795699
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,65,65,106.08307692,40.991076923,31.633230769,29.052
1023480449,BANDLE,HEATHER,R,NP-C,F,I,640 E 700 S,SUITE 105,ST GEORGE,UT,847704023,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,30,165,165,111.23636364,33,25.556424242,25.556424242
1023480753,HECK,DANIELLE,H,"AGPCNP-BC, MSN, RN",F,I,4815 STATE HIGHWAY 121,SUITE 8,THE COLONY,TX,750562905,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,66,87.752424242,8.32,6.5224242424,6.5224242424
1023481025,BAVIN,JULIE,,NP-C,F,I,2285 S SEMORAN BLVD,,ORLANDO,FL,328222703,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,167.13578947,53.760526316,42.144210526,37.701578947
1023481025,BAVIN,JULIE,,NP-C,F,I,2285 S SEMORAN BLVD,,ORLANDO,FL,328222703,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,244.31625,79.2,62.09,54.73
1023481025,BAVIN,JULIE,,NP-C,F,I,2285 S SEMORAN BLVD,,ORLANDO,FL,328222703,US,Nurse Practitioner,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,43,86,99.06,64.284418605,48.947906977,54.481395349
1023481025,BAVIN,JULIE,,NP-C,F,I,2285 S SEMORAN BLVD,,ORLANDO,FL,328222703,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,47,47,72.155531915,20.390212766,15.580212766,14.286808511
1023481025,BAVIN,JULIE,,NP-C,F,I,2285 S SEMORAN BLVD,,ORLANDO,FL,328222703,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,23.68952381,9.0485714286,7.0938095238,6.9442857143
1023481108,SCUDERI,KELSEY,,,F,I,725 UNIVERSITY BLVD,,DAYTON,OH,454350001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,20,5.7545,4.077,3.2555
1023481199,WILSON,HERBERT,,,M,I,1307 PROVIDENCE RD,,BRANDON,FL,335114885,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,20,39.73,6.4245,4.8025,4.8865
1023481777,FOOKS,GRIGORIY,,"DNP, NP-C, RN, ONC",M,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,133.69,40.79952381,28.955714286,30.452380952
1023481777,FOOKS,GRIGORIY,,"DNP, NP-C, RN, ONC",M,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,175.37,27.42,18.568181818,21.141363636
1023481777,FOOKS,GRIGORIY,,"DNP, NP-C, RN, ONC",M,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,23.5,6.3531818182,4.3027272727,5.5177272727
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,73,133,133,91.034135338,39.781203008,30.35112782,29.722556391
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,53,100,100,236.6698,89.8276,67.3582,65.1057
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,52,105,254,92.926614173,34.444685039,26.112007874,25.183149606
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,41,77,395,48.183265823,18.613139241,14.091417722,14.027620253
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,31,54,282,34.746666667,15.14751773,11.205460993,11.218900709
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,19,77,141,141,141.64191489,53.134397163,39.905673759,40.981914894
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,111,143,143,45.62951049,18.701748252,14.091678322,13.52013986
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,16,16,18.7825,10.7725,8.440625,8.234375
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,45,84,84,46.865357143,11.606785714,8.7833333333,8.7755952381
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,123,234,1292,6.7648452012,2.070503096,1.5496826625,1.5225851393
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,49,60,60,16.785333333,6.2855,4.6223333333,4.3751666667
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,63,76,76,25.135789474,14.121315789,10.789868421,10.155921053
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,11,19,103,103,267.88330097,83.166796117,62.452912621,63.646407767
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,27,27,27,328.38074074,131.70185185,100.49259259,101.31888889
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,121.42086957,13.049130435,8.8947826087,9.1191304348
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,41,218,224,120.854375,33.914776786,24.565491071,23.516205357
1023482106,HELMERICH,TIFFANY,S,APRN,F,I,9800 SHELBYVILLE RD,STE 220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,212.38148148,72.285555556,50.29,48.698148148
1023482619,CONDON,JAMES,J,CRNP,M,I,81 CLARION RD,,JOHNSONBURG,PA,158451656,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,47,181,55.633812155,8.32,5.8157458564,5.8157458564
1023482619,CONDON,JAMES,J,CRNP,M,I,81 CLARION RD,,JOHNSONBURG,PA,158451656,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,28,227.465,11.236785714,8.8117857143,7.5607142857
1023483484,DOSUNMU,SELIAT,A,CRNP-F,F,I,7501 GREENWAY CENTER DR,,GREENBELT,MD,207703514,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,25,25,25,1199.8192,1017.66,768.8276,853.932
1023483484,DOSUNMU,SELIAT,A,CRNP-F,F,I,7501 GREENWAY CENTER DR,,GREENBELT,MD,207703514,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,26,26,43,896.3127907,778.85790698,610.62465116,677.69
1023483484,DOSUNMU,SELIAT,A,CRNP-F,F,I,7501 GREENWAY CENTER DR,,GREENBELT,MD,207703514,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,40,43,67,124.33044776,109.93791045,86.191641791,88.84641791
1023483484,DOSUNMU,SELIAT,A,CRNP-F,F,I,7501 GREENWAY CENTER DR,,GREENBELT,MD,207703514,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,13,13,13,844.28461538,653.24,512.14,564.18307692
1023484235,HODGE,DANIEL,,NP,M,I,117 W PATERSON ST,,KALAMAZOO,MI,490072557,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,81.724117647,8.32,4.2217647059,4.2217647059
1023484797,COX,RACHEL,L,FNP-BC,F,I,184 W MAIN ST,,NORTON,MA,027661243,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,75.124814815,8.32,6.5233333333,6.5233333333
1023485059,HAMANN,MADELENE,G,N.P.,F,I,1905 E HUEBBE PKWY,1905 E. HUEBBE PARKWAY,BELOIT,WI,535111842,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,59.736842105,17.27,13.54,13.54
1023485059,HAMANN,MADELENE,G,N.P.,F,I,1905 E HUEBBE PKWY,1905 E. HUEBBE PARKWAY,BELOIT,WI,535111842,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,331.05263158,69.81,53.998947368,53.998947368
1023485059,HAMANN,MADELENE,G,N.P.,F,I,1905 E HUEBBE PKWY,1905 E. HUEBBE PARKWAY,BELOIT,WI,535111842,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1023485190,HOUGHTON,KRISTY,R,FNP,F,I,229 HIGHWAY 19 E,,BLUFF CITY,TN,376181865,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,28,110,74.168090909,8.32,4.5657272727,4.5657272727
1023485190,HOUGHTON,KRISTY,R,FNP,F,I,229 HIGHWAY 19 E,,BLUFF CITY,TN,376181865,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,31,15.716129032,1.42,0.575483871,0.575483871
1023485190,HOUGHTON,KRISTY,R,FNP,F,I,229 HIGHWAY 19 E,,BLUFF CITY,TN,376181865,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,519.51,79.417,57.246,49.9595
1023485190,HOUGHTON,KRISTY,R,FNP,F,I,229 HIGHWAY 19 E,,BLUFF CITY,TN,376181865,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,250,37.44,29.35,29.496666667
1023485307,LORD,MARIE,,NP,F,I,60 KENDRICK ST STE 204,,NEEDHAM,MA,024942726,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,248.6,49.04,36.421176471,37.365882353
1023485307,LORD,MARIE,,NP,F,I,60 KENDRICK ST STE 204,,NEEDHAM,MA,024942726,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1320,1.786,0.1334772727,0.0963939394,0.0963939394
1023485307,LORD,MARIE,,NP,F,I,60 KENDRICK ST STE 204,,NEEDHAM,MA,024942726,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,16,33,33,24.253125,24.253125
1023485372,MCKEOWN,SARAH,R,PA-C,F,I,221 RIVER ST,,OLYPHANT,PA,184471475,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,33,63,80.86047619,8.32,6.3149206349,6.3149206349
1023485802,HASTINGS,KYLIE,,,F,I,131 W MARKET ST STE B,,OSAGE CITY,KS,665231099,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,253.85363636,48.210909091,34.114545455,32.873636364
1023485802,HASTINGS,KYLIE,,,F,I,131 W MARKET ST STE B,,OSAGE CITY,KS,665231099,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,85.042857143,10.567142857,8.2871428571,8.2807142857
1023485802,HASTINGS,KYLIE,,,F,I,131 W MARKET ST STE B,,OSAGE CITY,KS,665231099,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,200,30.68,18.9,18.295
1023485976,BOSTICK,AMANDA,J,FNP-C,F,I,1802 W 4TH ST,,WILMINGTON,DE,198053420,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,40,66.7575,8.32,4.56575,4.56575
1023488095,SALAMIDA,CHRISTINE,,,F,I,2200 WHITNEY AVE,SUITE 360,HAMDEN,CT,065183691,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,23.1,9.3825,7.3575,7.7575
1023488095,SALAMIDA,CHRISTINE,,,F,I,2200 WHITNEY AVE,SUITE 360,HAMDEN,CT,065183691,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,36.976,16.352,12.818,14.842
1023488095,SALAMIDA,CHRISTINE,,,F,I,2200 WHITNEY AVE,SUITE 360,HAMDEN,CT,065183691,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.53,8.125,6.37,6.6725
1023488327,MASTROGIACOMO,VERONICA,,N.P.,F,I,1610 WILLIAMSBRIDGE RD,,BRONX,NY,104616289,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,43,54,88.308148148,8.32,5.6798148148,5.6798148148
1023488327,MASTROGIACOMO,VERONICA,,N.P.,F,I,1610 WILLIAMSBRIDGE RD,,BRONX,NY,104616289,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,19,16.175263158,1.42,1.0610526316,1.0610526316
1023488608,KLINE,JOELENE,F,CRNP,F,I,2055 SCOTLAND AVE,,CHAMBERSBURG,PA,172011451,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,220,47.562727273,37.286363636,38.431818182
1023488608,KLINE,JOELENE,F,CRNP,F,I,2055 SCOTLAND AVE,,CHAMBERSBURG,PA,172011451,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,16.59,13,13.53
1023488608,KLINE,JOELENE,F,CRNP,F,I,2055 SCOTLAND AVE,,CHAMBERSBURG,PA,172011451,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,300,67.72,51.284,52.914666667
1023489093,DEVERY,ERIN,,A.P.N.,F,I,201 LYONS AVE,4L,NEWARK,NJ,071122027,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,24,148,16845,5.4164096171,0.5676165034,0.4206886316,0.420686257
1023489093,DEVERY,ERIN,,A.P.N.,F,I,201 LYONS AVE,4L,NEWARK,NJ,071122027,US,Nurse Practitioner,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,48,114450,0.6041612931,0.4570366972,0.3563925732,0.3563925732
1023489093,DEVERY,ERIN,,A.P.N.,F,I,201 LYONS AVE,4L,NEWARK,NJ,071122027,US,Nurse Practitioner,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,3,,11,960,11.136,8.519625,6.67940625,6.6793854167
1023489093,DEVERY,ERIN,,A.P.N.,F,I,201 LYONS AVE,4L,NEWARK,NJ,071122027,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,19,29,147,147,24,24,17.795782313,17.795782313
1023489093,DEVERY,ERIN,,A.P.N.,F,I,201 LYONS AVE,4L,NEWARK,NJ,071122027,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,24,33,129,139,16,16,12.36,12.36
1023489192,ALTOBELLI,JANINE,H,AGNP-C,F,I,6840 E BROWN RD STE 101,,MESA,AZ,852073759,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,32.077894737,5.9352631579,4.6552631579,3.8210526316
1023490950,MOVVA,KOWSIKA,,M.D.,F,I,207 W JACKSON ST STE 102,,CARBONDALE,IL,62901,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,56.097692308,17.27,13.54,13.54
1023490950,MOVVA,KOWSIKA,,M.D.,F,I,207 W JACKSON ST STE 102,,CARBONDALE,IL,62901,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,337.89,69.81,54.73,54.73
1023491073,NEAL,JASMINE,,DPM,F,I,3045 RING RD,,ELIZABETHTOWN,KY,427017933,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,24,48,85.63,71.56,56.105,56.105
1023491073,NEAL,JASMINE,,DPM,F,I,3045 RING RD,,ELIZABETHTOWN,KY,427017933,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,24,144,37.333333333,29.19,22.885,22.886319444
1023491073,NEAL,JASMINE,,DPM,F,I,3045 RING RD,,ELIZABETHTOWN,KY,427017933,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,87.7725,74.55,58.45,62.7125
1023491073,NEAL,JASMINE,,DPM,F,I,3045 RING RD,,ELIZABETHTOWN,KY,427017933,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,23,330.5373913,266.98,200.2673913,209.01478261
1023492022,OSTENDORF,CHRISTINE,E,DNP,F,I,628 GALAHAD RD N,,HUDSON,WI,540161040,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,20,20,99.789,16.8785,11.89,12.576
1023493723,TOMICH,ANTHONY,J,NP,M,I,732 HARRISON AVE,PRESTON 5TH FLOOR,BOSTON,MA,02118,US,Nurse Practitioner,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,36,163.88055556,71.56,52.988055556,52.988055556
1023493723,TOMICH,ANTHONY,J,NP,M,I,732 HARRISON AVE,PRESTON 5TH FLOOR,BOSTON,MA,02118,US,Nurse Practitioner,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,108,195.155,43.56,33.86212963,33.860462963
1023494051,HALL,HAROLYN,,,F,I,777 GLADES RD,,BOCA RATON,FL,334316424,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,44,40.777272727,8.32,6.225,6.225
1023494051,HALL,HAROLYN,,,F,I,777 GLADES RD,,BOCA RATON,FL,334316424,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,58,60,34.614333333,4.7816666667,3.387,3.3975
1023494051,HALL,HAROLYN,,,F,I,777 GLADES RD,,BOCA RATON,FL,334316424,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,387.93238095,70.23,52.438095238,52.179047619
1023494051,HALL,HAROLYN,,,F,I,777 GLADES RD,,BOCA RATON,FL,334316424,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1140,2.3815701754,0.1290526316,0.077245614,0.077245614
1023494051,HALL,HAROLYN,,,F,I,777 GLADES RD,,BOCA RATON,FL,334316424,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,52.05625,20.85125,16.348125,15.44625
1023494051,HALL,HAROLYN,,,F,I,777 GLADES RD,,BOCA RATON,FL,334316424,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,12,33,33,21.558333333,21.558333333
1023494119,EDWARDS,CHRISTINE,,,F,I,4320 BELL SHOALS RD,,VALRICO,FL,335967171,US,Nurse Practitioner,S,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less",D1E - Other DME,Durable Medical Equipment,N,2,64,64,64,1100.4717187,1011.35,746.29015625,746.29015625
1023494119,EDWARDS,CHRISTINE,,,F,I,4320 BELL SHOALS RD,,VALRICO,FL,335967171,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,777.55,735.65,558.28272727,462.15272727
1023494119,EDWARDS,CHRISTINE,,,F,I,4320 BELL SHOALS RD,,VALRICO,FL,335967171,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,112.865,106.36,83.089166667,88.55
1023494119,EDWARDS,CHRISTINE,,,F,I,4320 BELL SHOALS RD,,VALRICO,FL,335967171,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,769.31166667,732.02,541.31833333,535.94
1023495587,MARRAZZO,NICHOLAS,J,,M,I,1514 JEFFERSON HWY,,JEFFERSON,LA,701212429,US,Anesthesiology,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,20,17,12.219166667,12.433333333
1023495587,MARRAZZO,NICHOLAS,J,,M,I,1514 JEFFERSON HWY,,JEFFERSON,LA,701212429,US,Anesthesiology,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,71,51.021666667,50.169166667
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,25,86,35.604302326,8.32,5.8125581395,5.8125581395
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,12.6,3.38,2.2966666667,2.2966666667
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,14.363636364,2.12,1.5181818182,1.5181818182
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,13,19,31,11.456129032,1.42,1.0438709677,1.0438709677
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,31,31,70.638709677,47.536129032,36.15,36.767741935
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,26.429444444,4.1333333333,3.2377777778,3.8366666667
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,23,64.639565217,46.330434783,36.324347826,35.901304348
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,40,572.26475,77.18,59.452,56.84675
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,5372,0.1888011914,0.0458991065,0.0359847357,0.0359847357
1023495801,BURKETT,JESSICA,,ARNP,F,I,2600 LAKE LUCIEN DR STE 112,,MAITLAND,FL,327517233,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,111.375,33,24.792083333,24.792083333
1023496346,KLAGER,ABIGAIL,J,MD,F,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,395,96.589375,71.948125,53.845625
1023496346,KLAGER,ABIGAIL,J,MD,F,I,1201 E 36TH AVE,,ANCHORAGE,AK,995084372,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,300,44.03625,32.8025,28.236875
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,14,152,54.377236842,19.659013158,15.412565789,15.412565789
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,365,7.0712876712,2.6367123288,2.0671506849,2.0671506849
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,62,139,564,56.794326241,8.32,5.8437234043,5.8437234043
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,13.841666667,3.38,2.3555555556,2.3555555556
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,29,53,107,11.766448598,1.42,0.9065420561,0.9065420561
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,84.769230769,41.762307692,32.485384615,30.304615385
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,44,4.2954545455,1.5027272727,1.1775,1.1529545455
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,51,15.073529412,2.4470588235,1.9192156863,1.5949019608
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,78.968536585,17.77804878,13.23195122,12.9
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,21.0175,4.3708333333,3.15,3.2941666667
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,202.25,32.520909091,23.37,23.375454545
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,700.57818182,347.66181818,259.52272727,259.52272727
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,73,78,497.30269231,73.628205128,54.472948718,51.478461538
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,60.333846154,19.026153846,13.605384615,13.141538462
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,532.8125,251.11,194.24416667,194.24416667
1023496908,RINGERING,ANITA,,NP,F,I,2315 8TH ST,,LEWISTON,ID,835017301,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,37.125,33,24.022142857,24.022142857
1023497815,KRISTAL,ROSS,,M.D.,M,I,545 E 142ND ST,,BRONX,NY,10454,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,16.79,13.16,13.53
1023497815,KRISTAL,ROSS,,M.D.,M,I,545 E 142ND ST,,BRONX,NY,10454,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,75.43,59.13,55.0875
1023498904,POSTON,MICHELLE,D,FNP,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,20.388333333,4.91,3.5691666667,3.5666666667
1023498904,POSTON,MICHELLE,D,FNP,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,202.65363636,32.263636364,17.356363636,16.982727273
1023498904,POSTON,MICHELLE,D,FNP,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,61.274736842,19.156842105,15.02,13.85
1023498904,POSTON,MICHELLE,D,FNP,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.97,8.6927272727,6.8172727273,6.7272727273
1023499860,SCHULTZ,KELLY,L,DNP RN AGNP-C,F,I,3944 E HILLERY DR,,PHOENIX,AZ,850325245,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,17,1720,0.678755814,0.44,0.3449534884,0.3449534884
1023499860,SCHULTZ,KELLY,L,DNP RN AGNP-C,F,I,3944 E HILLERY DR,,PHOENIX,AZ,850325245,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,30,408,13.825,8.41,6.476004902,6.476004902
1023499860,SCHULTZ,KELLY,L,DNP RN AGNP-C,F,I,3944 E HILLERY DR,,PHOENIX,AZ,850325245,US,Nurse Practitioner,S,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,96,4.0066666667,2.91,2.28125,2.28125
1023499860,SCHULTZ,KELLY,L,DNP RN AGNP-C,F,I,3944 E HILLERY DR,,PHOENIX,AZ,850325245,US,Nurse Practitioner,S,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,18,260,9.5509230769,4.85,3.8025,3.8025
1023499860,SCHULTZ,KELLY,L,DNP RN AGNP-C,F,I,3944 E HILLERY DR,,PHOENIX,AZ,850325245,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,976,0.7832377049,0.45,0.3065368852,0.3065368852
1023499860,SCHULTZ,KELLY,L,DNP RN AGNP-C,F,I,3944 E HILLERY DR,,PHOENIX,AZ,850325245,US,Nurse Practitioner,S,A6453,"Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,560,1.1461785714,0.7,0.5487857143,0.5487857143
1023499860,SCHULTZ,KELLY,L,DNP RN AGNP-C,F,I,3944 E HILLERY DR,,PHOENIX,AZ,850325245,US,Nurse Practitioner,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,720,1.8418888889,0.88,0.6633055556,0.6633055556
1023504073,CLAUSEN,KAYLA,,FNP-C,F,I,960 S COLUMBIA RD,,GRAND FORKS,ND,582014030,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,12,48.430833333,35.515,27.838333333,29.3
1023504073,CLAUSEN,KAYLA,,FNP-C,F,I,960 S COLUMBIA RD,,GRAND FORKS,ND,582014030,US,Nurse Practitioner,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,150,6.6222666667,1.7912,1.4042666667,1.4042666667
1023504354,FARMER,CASSANDRA,L,NP-C,F,I,7911 MICHIGAN RD,,INDIANAPOLIS,IN,462681915,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.49,29.992727273,23.513636364,25.368181818
1023511987,PHILLIPS,DAVID,,DO,M,I,4300 LONDONDERRY RD,,HARRISBURG,PA,17109,US,Orthopaedic Surgery,T,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,124.8565,44.53,34.91,36.15
1023517182,LEPCHITZ,LAUREN,M,PA,F,I,1800 HOWELL MILL RD NW STE 450,,ATLANTA,GA,303182508,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,11,32,53.9640625,8.2371875,6.4571875,6.521875
1023522992,DA SILVA,BEATA,J,AGNP,F,I,3 CENTURY DR,,PARSIPPANY,NJ,070544610,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,23.5,5.9305555556,4.6527777778,3.9116666667
1023522992,DA SILVA,BEATA,J,AGNP,F,I,3 CENTURY DR,,PARSIPPANY,NJ,070544610,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,78.720588235,36.160588235,28.344117647,28.943529412
1023522992,DA SILVA,BEATA,J,AGNP,F,I,3 CENTURY DR,,PARSIPPANY,NJ,070544610,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,15,29,6375,0.5625521569,0.0470682353,0.0367435294,0.0367435294
1023522992,DA SILVA,BEATA,J,AGNP,F,I,3 CENTURY DR,,PARSIPPANY,NJ,070544610,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,15,31,31,33,33,25.87,25.87
1023524212,CAVE,BRITTNIE,L,FNP-BC,F,I,425 W 5TH ST,,EAST LIVERPOOL,OH,439202405,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,16,1100,0.32,0.12,0.0940909091,0.0940909091
1023524212,CAVE,BRITTNIE,L,FNP-BC,F,I,425 W 5TH ST,,EAST LIVERPOOL,OH,439202405,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,28,4150,0.2713253012,0.13,0.1019108434,0.1019108434
1023524212,CAVE,BRITTNIE,L,FNP-BC,F,I,425 W 5TH ST,,EAST LIVERPOOL,OH,439202405,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,13,1443,0.5975051975,0.45,0.3528205128,0.3528205128
1023524485,KINYANJUI,NANCY,S,NP,F,I,800 W CENTRAL RD,,ARLINGTON HEIGHTS,IL,600052349,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,25.898947368,11.052105263,8.6663157895,7.7221052632
1023527959,GRIGGS,ANNA,C,ARNP,F,I,701 MANATEE AVE W STE 101,,BRADENTON,FL,342058624,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,45,73.292666667,8.32,6.2324444444,6.2324444444
1023527959,GRIGGS,ANNA,C,ARNP,F,I,701 MANATEE AVE W STE 101,,BRADENTON,FL,342058624,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,28.027058824,4.2529411765,3.33,3.9070588235
1023527959,GRIGGS,ANNA,C,ARNP,F,I,701 MANATEE AVE W STE 101,,BRADENTON,FL,342058624,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,13.778181818,10.803636364,9.2172727273
1023527959,GRIGGS,ANNA,C,ARNP,F,I,701 MANATEE AVE W STE 101,,BRADENTON,FL,342058624,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,455.62916667,121.46,95.23,58.105
1023527959,GRIGGS,ANNA,C,ARNP,F,I,701 MANATEE AVE W STE 101,,BRADENTON,FL,342058624,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2130,0.6945633803,0.1383802817,0.1085117371,0.1085117371
1023527959,GRIGGS,ANNA,C,ARNP,F,I,701 MANATEE AVE W STE 101,,BRADENTON,FL,342058624,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,76.052631579,33,25.87,25.87
1023528155,JEGEN,DOMINIKA,A,MD,F,I,604 S MAIN ST,,WATER VALLEY,MS,389653468,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22,11.815454545,9.2627272727,7.8109090909
1023528155,JEGEN,DOMINIKA,A,MD,F,I,604 S MAIN ST,,WATER VALLEY,MS,389653468,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,117,73.471538462,57.597692308,40.648461538
1023528155,JEGEN,DOMINIKA,A,MD,F,I,604 S MAIN ST,,WATER VALLEY,MS,389653468,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,65,31.154814815,24.424814815,15.224074074
1023528361,PERRY,JESSA,,NP,F,I,7603 CULEBRA RD,,SAN ANTONIO,TX,78251,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,17,173.43882353,35.294117647,27.670588235,27.591764706
1023529252,SHAH,PAYAL,,,F,I,801 ILLINI DR,,SILVIS,IL,612821804,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,5.3381818182,4.1881818182,4.0118181818
1023529260,ROBINSON,TRACY,,NP,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,17.620833333,14.031666667
1023529260,ROBINSON,TRACY,,NP,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24,7.9045454545,6.1945454545,3.6854545455
1023529260,ROBINSON,TRACY,,NP,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,328.25909091,105.01636364,80.075,56.151363636
1023529260,ROBINSON,TRACY,,NP,F,I,2198 US 31 S,,MANISTEE,MI,496609618,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,918,0.3157843137,0.0470479303,0.0343899782,0.0343899782
1023529443,MASON,ALISHA,,FNP-C,F,I,1005A CITY AVE N,,RIPLEY,MS,386631414,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,12.5,8.32,6.52,6.52
1023532645,HENNES,JULIE,A,NP,F,I,900 E DIVISION ST,,WAUTOMA,WI,549826944,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,20,82.422,8.32,6.523,6.523
1023532983,GAY,ANDREA,H,APRN,F,I,27 US HIGHWAY 66 E,,TELL CITY,IN,475862044,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,25,4.6528571429,3.649047619,3.6466666667
1023533122,DEMLER,WENDY,,APN,F,I,6830 VILLAGREEN VW,,ROCKFORD,IL,611075639,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,324.4,69.81,54.73,54.73
1023533122,DEMLER,WENDY,,APN,F,I,6830 VILLAGREEN VW,,ROCKFORD,IL,611075639,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,178.32,30.085454545,23.587272727,23.587272727
1023534724,LIPPERT,KATELYN,E,PA-C,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,32224,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,159.35,136.22777778,102.18555556,97.892222222
1023535259,FLEURY,LAUREN,,"DNP, APRN, FNP-BC",F,I,777 NORTH ST,,PITTSFIELD,MA,01201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,41,80.386097561,8.32,6.206097561,6.206097561
1023535259,FLEURY,LAUREN,,"DNP, APRN, FNP-BC",F,I,777 NORTH ST,,PITTSFIELD,MA,01201,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,4.7781818182,3.7436363636,3.6854545455
1023535952,MACE,JENNIFER,,,F,I,120 ADCOCK RD STE D,,HOT SPRINGS,AR,719137958,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,60.8,55.7675,43.723333333,43.133333333
1023535952,MACE,JENNIFER,,,F,I,120 ADCOCK RD STE D,,HOT SPRINGS,AR,719137958,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,36.98,4.55,3.5683333333,3.5666666667
1023536174,DUNBAR,ELIZABETH,H,MP,F,I,2153 VALLEYGATE DR STE 102,,FAYETTEVILLE,NC,283043667,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,15,1000,0.148,0.12,0.09409,0.09409
1023536174,DUNBAR,ELIZABETH,H,MP,F,I,2153 VALLEYGATE DR STE 102,,FAYETTEVILLE,NC,283043667,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,20,397,9.8249874055,8.28,6.4915617128,6.4915617128
1023536174,DUNBAR,ELIZABETH,H,MP,F,I,2153 VALLEYGATE DR STE 102,,FAYETTEVILLE,NC,283043667,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,25,34,3535,0.16,0.13,0.1019264498,0.1019264498
1023536174,DUNBAR,ELIZABETH,H,MP,F,I,2153 VALLEYGATE DR STE 102,,FAYETTEVILLE,NC,283043667,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,25,33,3208,0.5425436409,0.4498129676,0.352665212,0.3528054863
1023537677,PETERSON,JENNIFER,,APRN-C,F,I,1133 COLLEGE AVE STE D200,,MANHATTAN,KS,665022776,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,53.225517241,8.32,5.6210344828,5.6210344828
1023537677,PETERSON,JENNIFER,,APRN-C,F,I,1133 COLLEGE AVE STE D200,,MANHATTAN,KS,665022776,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,930,2.3317096774,0.1386774194,0.1087311828,0.1087311828
1023537701,MARLOW,KATHRYN,,APRN,F,I,3460 E FRANK PHILLIPS BLVD,,BARTLESVILLE,OK,740062406,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,378.11647059,113.48,88.972352941,67.234705882
1023538378,TAYLOR-SMITH,ALYSON,,"APRN, FNP-C",F,I,5000 S CLIFTON AVE STE 200,,WICHITA,KS,672163408,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,29,52.606896552,8.2703448276,5.5824137931,5.6213793103
1023538717,MUZIO,ANNA ELISA,,DO,F,I,4300 LONDONDERRY RD,,HARRISBURG,PA,171095317,US,Orthopaedic Surgery,T,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,122.47928571,44.964285714,35.250714286,36.349285714
1023539004,LUTZ,HEATHER,L,NP,F,I,18051 RIVER RD STE 105,,NOBLESVILLE,IN,460627093,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,88.448461538,38.922307692,30.517692308,30.496923077
1023539004,LUTZ,HEATHER,L,NP,F,I,18051 RIVER RD STE 105,,NOBLESVILLE,IN,460627093,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,24,102.01666667,34.01625,26.670416667,26.255
1023539004,LUTZ,HEATHER,L,NP,F,I,18051 RIVER RD STE 105,,NOBLESVILLE,IN,460627093,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,64.140714286,18.92,14.836428571,14.3
1023539004,LUTZ,HEATHER,L,NP,F,I,18051 RIVER RD STE 105,,NOBLESVILLE,IN,460627093,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,17,92,7.3592391304,2.187826087,1.7163043478,1.6770652174
1023539004,LUTZ,HEATHER,L,NP,F,I,18051 RIVER RD STE 105,,NOBLESVILLE,IN,460627093,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,183.82,40.695714286,31.905714286,30.095714286
1023539095,COVINGTON,BETH,,NP-C,F,I,250 FAME AVE STE 205B,,HANOVER,PA,173311576,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,21,55,44.989272727,8.32,6.0467272727,6.0467272727
1023539095,COVINGTON,BETH,,NP-C,F,I,250 FAME AVE STE 205B,,HANOVER,PA,173311576,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,59.251818182,17.9,14.03,14.057272727
1023539095,COVINGTON,BETH,,NP-C,F,I,250 FAME AVE STE 205B,,HANOVER,PA,173311576,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,22.5,11.66,9.14,9.1218181818
1023539426,VARMAN,RAHUL,M,MD,M,I,3601 4TH ST # MS 8312,,LUBBOCK,TX,794300002,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,62.026470588,44.013529412,34.507058824,35.054117647
1023539657,KIRKEGAARD,JORDAN,E,PA,F,I,550 UNIVERSITY BLVD STE 3170,,INDIANAPOLIS,IN,46202,US,Physician Assistant,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,1350,3.4211185185,2.8,2.1951925926,2.1951925926
1023539657,KIRKEGAARD,JORDAN,E,PA,F,I,550 UNIVERSITY BLVD STE 3170,,INDIANAPOLIS,IN,46202,US,Physician Assistant,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,16,22.5,3.81,2.989375,2.989375
1023539673,CERRATO,MICHAELA,M,PA-C,F,I,5200 EASTERN AVE,MFL WEST TOWER 6TH FLOOR,BALTIMORE,MD,21224,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,30,5.8441176471,4.5835294118,3.8211764706
1023542404,KOPCZYK,ROBERT,M,APRN,M,I,7812 GATEWAY BLVD E,STE 230,EL PASO,TX,799151803,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,67,58.493731343,8.32,5.6467164179,5.6467164179
1023546090,TILLOTSON,ALEX,M,MD,M,I,67 PRESIDENT ST,,CHARLESTON,SC,294255712,US,Psychiatry & Neurology,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,65,19.04,14.92,13.495454545
1023546249,DIVITO,BRITTANY,M,NP,F,I,5141 W LAMAR RD,,GLENDALE,AZ,853013423,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,36,49.177777778,8.32,6.16,6.16
1023547585,FORTEZZO,AUDREY,C,PA-C,F,I,581 LEROY GEORGE DR STE 300,,CLYDE,NC,287218085,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,92.19,74.55,58.45,62.103571429
1023547585,FORTEZZO,AUDREY,C,PA-C,F,I,581 LEROY GEORGE DR STE 300,,CLYDE,NC,287218085,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,127.78,125.424,98.33,87.48
1023547585,FORTEZZO,AUDREY,C,PA-C,F,I,581 LEROY GEORGE DR STE 300,,CLYDE,NC,287218085,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,67.71,53.2,41.71,46.35
1023549011,BYRD,JACQUELINE,,,F,I,202 E NORTH ST,,CALIFORNIA,MO,650181583,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,53,53,41.55,52.81
1023549052,SHARKEY,DIANE,R,NP,F,I,610 N MICHIGAN ST STE 400,,SOUTH BEND,IN,466011081,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,32.543333333,25.513333333,24.735
1023549532,HWANG,ERIN,,,F,I,111 E 210TH ST,,BRONX,NY,104672401,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,760.48,77.74,57.364705882,51.876470588
1023550381,SNAVLEY,CHELSEA,M,PA-C,F,I,444 MICHIGAN ST NE # MC288,,GRAND RAPIDS,MI,495033317,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,32,70,63.715,8.32,5.962,5.962
1023550381,SNAVLEY,CHELSEA,M,PA-C,F,I,444 MICHIGAN ST NE # MC288,,GRAND RAPIDS,MI,495033317,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,13.205,1.42,1.04875,1.04875
1023550381,SNAVLEY,CHELSEA,M,PA-C,F,I,444 MICHIGAN ST NE # MC288,,GRAND RAPIDS,MI,495033317,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,300,96.724545455,69.31,54.803636364
1023550381,SNAVLEY,CHELSEA,M,PA-C,F,I,444 MICHIGAN ST NE # MC288,,GRAND RAPIDS,MI,495033317,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2636,0.3015515933,0.0463960546,0.0342792109,0.0342792109
1023550381,SNAVLEY,CHELSEA,M,PA-C,F,I,444 MICHIGAN ST NE # MC288,,GRAND RAPIDS,MI,495033317,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2193076923,0.1588205128,0.1588205128
1023550381,SNAVLEY,CHELSEA,M,PA-C,F,I,444 MICHIGAN ST NE # MC288,,GRAND RAPIDS,MI,495033317,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,96.153846154,28.652307692,22.463846154,16.512307692
1023550381,SNAVLEY,CHELSEA,M,PA-C,F,I,444 MICHIGAN ST NE # MC288,,GRAND RAPIDS,MI,495033317,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,118.8,33,24.145333333,24.145333333
1023550423,VILLEGAS,LAUREN,M,"MSN, APRN,FNP-BC",F,I,2401 BROOKSTONE CENTRE PKWY BLDG 200,,COLUMBUS,GA,319044501,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,77.130909091,8.32,5.9281818182,5.9281818182
1023550894,MALONE,CANDACE,G,NP,F,I,151 PEACHWOOD CENTRE DR,,SPARTANBURG,SC,293012575,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.2563571429,2.2166428571,1.5942619048,1.6372142857
1023550894,MALONE,CANDACE,G,NP,F,I,151 PEACHWOOD CENTRE DR,,SPARTANBURG,SC,293012575,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.21,10.93,7.8558333333,7.8558333333
1023550894,MALONE,CANDACE,G,NP,F,I,151 PEACHWOOD CENTRE DR,,SPARTANBURG,SC,293012575,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.8325,6.34,4.5558333333,5.3766666667
1023551033,NEUNER,ERIN,C,PA-C,F,I,1000 E. MOUNTAIN BLVD,,WILKES BARRE,PA,187113478,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,19,1714.1894737,1017.66,775.19684211,859.18105263
1023551033,NEUNER,ERIN,C,PA-C,F,I,1000 E. MOUNTAIN BLVD,,WILKES BARRE,PA,187113478,US,Physician Assistant,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,19,25,1505.22,849.98,666.38,674.0708
1023551033,NEUNER,ERIN,C,PA-C,F,I,1000 E. MOUNTAIN BLVD,,WILKES BARRE,PA,187113478,US,Physician Assistant,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,28,34,166.58176471,108.09205882,84.744705882,87.763529412
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,12,12,12,252.6025,112.78666667,88.424166667,71.0575
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,11,14,23,86.51173913,38.376521739,30.083913043,27.266956522
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,,11,11,54.251818182,23.230909091,18.21,14.750909091
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,12,23,72,6.2470833333,2.3016666667,1.8065277778,1.5919444444
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,29,34,57.160882353,22.915,17.961764706,15.658235294
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,31.148,9.864,7.7353333333,4.634
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,21,64,69,381.28782609,99.186086957,77.764782609,68.279855072
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,24,30,170.33133333,39.306,30.814,29.93
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,4546,0.1530070392,0.0429454465,0.0336735592,0.0336735592
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1320,1.2611590909,0.1324545455,0.1038560606,0.1038560606
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,810,10.067901235,2.6816666667,2.1024444444,2.1024444444
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,754,2.0721750663,0.2176923077,0.1706763926,0.1706763926
1023551504,KEETON,MARLANA,L,APRN,F,I,166 PASADENA DR,SUITE 100,LEXINGTON,KY,405032973,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,33,33,93.393939394,33,25.87,25.87
1023551603,DAUGHERTY,AMANDA,,FNP,F,I,791 FORT CHISWELL RD,,FORT CHISWELL,VA,243604139,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,31,53.869677419,8.32,5.8922580645,5.8922580645
1023551603,DAUGHERTY,AMANDA,,FNP,F,I,791 FORT CHISWELL RD,,FORT CHISWELL,VA,243604139,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,44.807692308,22.212307692,16.265384615,12.720769231
1023551603,DAUGHERTY,AMANDA,,FNP,F,I,791 FORT CHISWELL RD,,FORT CHISWELL,VA,243604139,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25,7.3883333333,5.79,3.9622222222
1023551603,DAUGHERTY,AMANDA,,FNP,F,I,791 FORT CHISWELL RD,,FORT CHISWELL,VA,243604139,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,150,35.7765,16.761,13.286
1023551603,DAUGHERTY,AMANDA,,FNP,F,I,791 FORT CHISWELL RD,,FORT CHISWELL,VA,243604139,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,258.33333333,97.342666667,72.333333333,52.431333333
1023551785,WILLIAMS,SHANNON,,,F,I,7416 CALDER AVE,,SEBASTOPOL,CA,954724356,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,22,45,43.288888889,8.32,6.3793333333,6.3793333333
1023551785,WILLIAMS,SHANNON,,,F,I,7416 CALDER AVE,,SEBASTOPOL,CA,954724356,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,20.4,1.42,1.0266666667,1.0266666667
1023552726,HARMS,KYLIE,,FNP,F,I,275 BECK AVE,MS 9100,FAIRFIELD,CA,945336804,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,52,96,84.038125,8.32,5.0282291667,5.0282291667
1023552726,HARMS,KYLIE,,FNP,F,I,275 BECK AVE,MS 9100,FAIRFIELD,CA,945336804,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,27,32,16.324375,1.42,0.80375,0.80375
1023552726,HARMS,KYLIE,,FNP,F,I,275 BECK AVE,MS 9100,FAIRFIELD,CA,945336804,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,512.895,67.916666667,53.248333333,53.477777778
1023552726,HARMS,KYLIE,,FNP,F,I,275 BECK AVE,MS 9100,FAIRFIELD,CA,945336804,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,64.56,51.11,35.86,33.579166667
1023552882,WORKS-FLEMING,FAITH,,FNP,F,I,80 JESSE HILL JR DR SE,,ATLANTA,GA,303033031,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.25,12.393333333,12.413333333
1023552882,WORKS-FLEMING,FAITH,,FNP,F,I,80 JESSE HILL JR DR SE,,ATLANTA,GA,303033031,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,75.56,54.303333333,50.169166667
1023552940,RESETARITS,ASHLEY,,PA-C,F,I,2546 BALLTOWN RD,SUITE 300,SCHENECTADY,NY,123091082,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,105.9,83.028181818,56.107272727
1023553096,BULLOCK,KRISTINA,L,PA-C,F,I,115 KILDAIRE PARK DR STE 205,,CARY,NC,275188127,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.32,12.101818182,8.6,6.6727272727
1023553096,BULLOCK,KRISTINA,L,PA-C,F,I,115 KILDAIRE PARK DR STE 205,,CARY,NC,275188127,US,Physician Assistant,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,1093.625,1001.525,785.195625,776.164375
1023553344,MCFADDEN,JENNIFER,L,"APRN, FNP-C",F,I,239 PLEASANT ST,,CONCORD,NH,033017504,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,6271,2.7811018976,0.3778839101,0.2962589699,0.2430409823
1023553468,DESEVO,CORINNE,,APN,F,I,656 SHREWSBURY AVE,#300,TINTON FALLS,NJ,077014964,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,21,52,42.615384615,34.15,25.085576923,29.179615385
1023553872,GRIFFITH,JACOB,R,,M,I,1645 S MAIN ST,101,CROSSVILLE,TN,385552908,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18.7675,12.27,11.275
1023553872,GRIFFITH,JACOB,R,,M,I,1645 S MAIN ST,101,CROSSVILLE,TN,385552908,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,84.31,56.585,46.338333333
1023554029,WASHBURN,JAMEY,L,ARNP,F,I,1425 MORGAN ST,,KEOKUK,IA,526324000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,30,74,68.951756757,8.32,5.9941891892,5.9941891892
1023554029,WASHBURN,JAMEY,L,ARNP,F,I,1425 MORGAN ST,,KEOKUK,IA,526324000,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,15,13.342666667,1.42,1.0433333333,1.0433333333
1023554029,WASHBURN,JAMEY,L,ARNP,F,I,1425 MORGAN ST,,KEOKUK,IA,526324000,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,46,5.93,3.2208695652,2.5265217391,1.5913043478
1023554029,WASHBURN,JAMEY,L,ARNP,F,I,1425 MORGAN ST,,KEOKUK,IA,526324000,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,44,5.3425,4.1883333333,3.66
1023554722,JOHNSON,NATASHA,L,NP-C,F,I,7930 FLOYD CURL DR,SUITE 100,SAN ANTONIO,TX,782293925,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,12,16,220,39.438181818,25.222954545,19.774772727,19.368409091
1023554722,JOHNSON,NATASHA,L,NP-C,F,I,7930 FLOYD CURL DR,SUITE 100,SAN ANTONIO,TX,782293925,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,11,16,145,18.368965517,8.3055172414,6.5111034483,6.4660689655
1023554722,JOHNSON,NATASHA,L,NP-C,F,I,7930 FLOYD CURL DR,SUITE 100,SAN ANTONIO,TX,782293925,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,12,20,20,2336.768,559.729,438.8275,485.9645
1023556206,RAPIER,ANNJANETTE,,"APRN, FNP-C",F,I,181 E MEDICAL TOWER DR,,MURRAY,UT,841074872,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,41,76,423,76.382411348,8.32,6.2905437352,6.2905437352
1023556206,RAPIER,ANNJANETTE,,"APRN, FNP-C",F,I,181 E MEDICAL TOWER DR,,MURRAY,UT,841074872,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,,20,52,12.999423077,1.42,1.1144230769,1.1144230769
1023556206,RAPIER,ANNJANETTE,,"APRN, FNP-C",F,I,181 E MEDICAL TOWER DR,,MURRAY,UT,841074872,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,24,24,584.07333333,251.11,196.87,196.87
1023556461,DEDEAUX,DARRELL,L,NP-C,M,I,380 KNOLLWOOD ST # 505,,WINSTON SALEM,NC,271031884,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,185.56,71.581071429,56.1225,38.186785714
1023556461,DEDEAUX,DARRELL,L,NP-C,M,I,380 KNOLLWOOD ST # 505,,WINSTON SALEM,NC,271031884,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,272.35,109.56,85.898421053,58.993157895
1023556461,DEDEAUX,DARRELL,L,NP-C,M,I,380 KNOLLWOOD ST # 505,,WINSTON SALEM,NC,271031884,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,100,100,66.0498,26.0605,20.0471,14.2039
1023556461,DEDEAUX,DARRELL,L,NP-C,M,I,380 KNOLLWOOD ST # 505,,WINSTON SALEM,NC,271031884,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,27.98,10.79972973,8.2254054054,6.492972973
1023557634,ANTHONY,ALIA,,,F,I,1108 W STATE ST,SUITE 3,HASTINGS,MI,490589711,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,66,50.532424242,8.32,5.7304545455,5.7304545455
1023557634,ANTHONY,ALIA,,,F,I,1108 W STATE ST,SUITE 3,HASTINGS,MI,490589711,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,21,12.891428571,1.42,0.9019047619,0.9019047619
1023557634,ANTHONY,ALIA,,,F,I,1108 W STATE ST,SUITE 3,HASTINGS,MI,490589711,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,31.001818182,24.305454545,24.087272727
1023557634,ANTHONY,ALIA,,,F,I,1108 W STATE ST,SUITE 3,HASTINGS,MI,490589711,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,37,293.47378378,76.06972973,59.634594595,55.364324324
1023557634,ANTHONY,ALIA,,,F,I,1108 W STATE ST,SUITE 3,HASTINGS,MI,490589711,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.75,36.14,28.33,29.411666667
1023559937,GRIFFITHS,SARAH,,,F,I,183 LEDFORD ST,SUITE B,MURPHY,NC,289066213,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,19,67.361578947,8.32,6.5226315789,6.5226315789
1023559937,GRIFFITHS,SARAH,,,F,I,183 LEDFORD ST,SUITE B,MURPHY,NC,289066213,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,199.11722222,60.078333333,46.81,29.373888889
1023560034,MILIZIO,KATHRYN,,PA-C,F,I,1900 16TH ST,,GREELEY,CO,806315114,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,38,65.888157895,8.32,5.4910526316,5.4910526316
1023560034,MILIZIO,KATHRYN,,PA-C,F,I,1900 16TH ST,,GREELEY,CO,806315114,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,600,216.18625,169.489375,161.6075
1023560034,MILIZIO,KATHRYN,,PA-C,F,I,1900 16TH ST,,GREELEY,CO,806315114,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,266.49151515,75.463636364,57.484242424,53.288181818
1023560034,MILIZIO,KATHRYN,,PA-C,F,I,1900 16TH ST,,GREELEY,CO,806315114,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,193.86363636,39.6,29.638636364,28.238636364
1023561057,ISPHORDING,NOELLE,,NP-C,F,I,4235 SECOR RD,,TOLEDO,OH,436234231,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,46,62.319130435,8.32,5.955,5.955
1023561180,ALDRIDGE,CHELSEA,,,F,I,5777 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician Assistant,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,1685,3.4015014837,2.8,2.1951928783,2.1951928783
1023561180,ALDRIDGE,CHELSEA,,,F,I,5777 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician Assistant,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1015,4.6458128079,3.23,2.5322955665,2.5322955665
1023561800,ALBRECHT,STORMIE,,NP,F,I,701 GROVE RD,5TH FLOOR,GREENVILLE,SC,296054210,US,Nurse Practitioner,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,1.5734782609,0.5526086957,0.4313043478,0.4208695652
1023561800,ALBRECHT,STORMIE,,NP,F,I,701 GROVE RD,5TH FLOOR,GREENVILLE,SC,296054210,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,84,84,36.074761905,17.0425,12.475714286,12.65047619
1023561800,ALBRECHT,STORMIE,,NP,F,I,701 GROVE RD,5TH FLOOR,GREENVILLE,SC,296054210,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,83,86,31.395116279,4.6851162791,3.5575581395,3.5637209302
1023561800,ALBRECHT,STORMIE,,NP,F,I,701 GROVE RD,5TH FLOOR,GREENVILLE,SC,296054210,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,84,84,205.91392857,70.84452381,50.978571429,50.25702381
1023562204,RODGERS,KATIE,,APRN,F,I,1145 S UTICA AVE,STE 460,TULSA,OK,741044000,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,36.25,27.601818182,18.412727273,17.3
1023562592,PRICE,AINSLEY,,,F,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,78,71.010512821,8.32,6.1880769231,6.1880769231
1023562758,ALEXANDER,JENTA,,APNP,F,I,7021 N 98TH ST,,MILWAUKEE,WI,532244505,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,26,72.918076923,8.32,4.5146153846,4.5146153846
1023562782,O'DONNELL,SARA,E,,F,I,5618 ODANA RD,,MADISON,WI,537191208,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,92.4478,8.32,5.74,5.74
1023563152,SOEDER,MEGAN,,CNP,F,I,12380 PLAZA DR,SUITE 101,PARMA,OH,441301043,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,244.24,78,61.15,55.28826087
1023563152,SOEDER,MEGAN,,CNP,F,I,12380 PLAZA DR,SUITE 101,PARMA,OH,441301043,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,79.81,18.75,12.970588235,11.558823529
1023563152,SOEDER,MEGAN,,CNP,F,I,12380 PLAZA DR,SUITE 101,PARMA,OH,441301043,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,31.58,8.63,5.9647058824,5.4352941176
1023563152,SOEDER,MEGAN,,CNP,F,I,12380 PLAZA DR,SUITE 101,PARMA,OH,441301043,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36,28.22,29.4025
1023563335,MENDOZA,MAE GRACE,,APN,F,I,3880 SALEM LAKE DR # F,,LONG GROVE,IL,600475292,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,50.73,3.9566666667,3.1,3.7205555556
1023563368,SMITH,TINA,M,FNP,F,I,105 LIMESTONE RURITAN RD,,LIMESTONE,TN,376812515,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,45,78.024666667,8.32,5.2168888889,5.2168888889
1023563368,SMITH,TINA,M,FNP,F,I,105 LIMESTONE RURITAN RD,,LIMESTONE,TN,376812515,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,15.439230769,1.42,0.6892307692,0.6892307692
1023564812,BROUSSARD,GINA,L,RN,F,I,3503 CAPILANO CT,,MERCED,CA,95340,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,25.87,25.87
1023565132,NISSLEY,BENJAMIN,E,FNP-C,M,I,4038 THOMAS NELSON HWY,,ARRINGTON,VA,229222302,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,66,180,53.331055556,8.32,5.5527777778,5.5527777778
1023565132,NISSLEY,BENJAMIN,E,FNP-C,M,I,4038 THOMAS NELSON HWY,,ARRINGTON,VA,229222302,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,28,53,12.572075472,1.42,1.0511320755,1.0511320755
1023565132,NISSLEY,BENJAMIN,E,FNP-C,M,I,4038 THOMAS NELSON HWY,,ARRINGTON,VA,229222302,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,19,86.31,17.29,12.836842105,12.821052632
1023565132,NISSLEY,BENJAMIN,E,FNP-C,M,I,4038 THOMAS NELSON HWY,,ARRINGTON,VA,229222302,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,81.75,11.766,7.5513333333,7.4333333333
1023565132,NISSLEY,BENJAMIN,E,FNP-C,M,I,4038 THOMAS NELSON HWY,,ARRINGTON,VA,229222302,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,23,50.73,4.497826087,3.2334782609,3.232173913
1023565132,NISSLEY,BENJAMIN,E,FNP-C,M,I,4038 THOMAS NELSON HWY,,ARRINGTON,VA,229222302,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,257.82,30.42,20.86875,20.486875
1023565132,NISSLEY,BENJAMIN,E,FNP-C,M,I,4038 THOMAS NELSON HWY,,ARRINGTON,VA,229222302,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,28,519.51,70.23,53.093571429,52.899285714
1023565199,DUBOIS,DEREK,A,NP,M,I,300 TOWER RD NE,SUITE 200,MARIETTA,GA,300609404,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,67.71,54.519090909,42.744545455,45.928181818
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,92.245,41.4575,29.885833333,28.024166667
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,259.966,97.758,76.373,67.5705
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,17,35,103.94142857,35.982571429,27.295714286,25.032285714
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,20,20,197.68,55.53,41.383,40.731
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,19,24,24,71.602916667,18.574583333,14.5575,14.06
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,24,24,61.510416667,13.381666667,9.9416666667,8.5691666667
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,39,183,8.0192349727,2.2225136612,1.6684153005,1.5249726776
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,41.13862069,17.41,11.485862069,11.427241379
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,696.72666667,78.19,50.937777778,51.121111111
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,26,28,56.705357143,14.580357143,11.059285714,9.7435714286
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,5.88,4.1266666667,3.2741666667
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,19,149,154,149.44714286,35.037662338,25.848571429,23.209025974
1023566064,RUSSOLILLO,ALISON,,,F,I,477 COOPER RD,,WESTERVILLE,OH,430818053,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,34,265.22941176,79.3,55.259411765,50.615588235
1023566817,PACKER,KENDAL,,,M,I,3306 W ROOSEVELT ST,,PHOENIX,AZ,850093404,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,28,86.241785714,8.32,6.5232142857,6.5232142857
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,33,87,63.031494253,8.32,5.2470114943,5.2470114943
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,14.120555556,1.42,0.8688888889,0.8688888889
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,102,16.663333333,12.25,9.7058333333
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,102.61363636,14.761818182,9.4690909091,8.5745454545
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,252.88105263,37.389473684,26.281052632,20.606315789
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,3010,0.6766046512,0.0475880399,0.031730897,0.031730897
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,110.66666667,22.81,15.962,11.353333333
1023567724,WINIKUR,MELINDA,,FNP,F,I,100 COLLEGE DRIVE,,MARTINSVILLE,VA,24112,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,61.285714286,33,20.017619048,20.017619048
1023568912,VELTMAN,SVETLANA,,"MSN, FNP-BC",F,I,41 MALLARD LN,,STATEN ISLAND,NY,103091822,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,44.117272727,33.501818182,35.220909091
1023568912,VELTMAN,SVETLANA,,"MSN, FNP-BC",F,I,41 MALLARD LN,,STATEN ISLAND,NY,103091822,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,102.085,30.735,19.158333333,20.445
1023568912,VELTMAN,SVETLANA,,"MSN, FNP-BC",F,I,41 MALLARD LN,,STATEN ISLAND,NY,103091822,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,17,2609,0.3905902645,0.0472173246,0.0361402836,0.0361402836
1023568912,VELTMAN,SVETLANA,,"MSN, FNP-BC",F,I,41 MALLARD LN,,STATEN ISLAND,NY,103091822,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,17,17,33.388235294,33,22.826470588,22.826470588
1023569241,ANDERSON,MICHAEL,,PA,M,I,1055 N 500 W STE 101,,PROVO,UT,846043305,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,125,20.955,16.427222222,13.588888889
1023569241,ANDERSON,MICHAEL,,PA,M,I,1055 N 500 W STE 101,,PROVO,UT,846043305,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,375,88.01,68.998181818,54.87
1023569407,THERIOT,JENNIFER,M,NP,F,I,5000 HENNESSY BLVD,,BATON ROUGE,LA,708084375,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,201.73090909,47.584545455,34.136363636,33.038181818
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,204,340,340,132.27441176,38.933029412,29.678,29.753
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,131,227,227,219.74343612,86.007004405,66.771982379,67.373612335
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,132,225,483,92.477950311,33.104120083,25.576459627,25.621801242
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,71,124,588,52.561581633,19.031802721,14.294217687,13.971377551
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,61,98,472,35.917245763,15.388983051,11.405317797,11.354597458
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,131,213,213,135.79,57.729859155,42.701220657,40.845962441
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,225,275,275,48.9604,18.921236364,14.261054545,13.6724
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,33,38,38,19.578947368,10.355263158,7.8202631579,7.8944736842
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,55,92,92,54.164021739,13.504456522,10.166847826,9.2286956522
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,245,411,2341,6.9443528407,2.0764801367,1.5933447245,1.5702007689
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,22,22,19.391818182,6.3545454545,4.6186363636,4.2863636364
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,107,123,123,24.948943089,12.688130081,9.5343902439,9.9261788618
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,280,82.215,64.4575,66.460833333
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,59,59,59,342.98915254,137.93372881,106.99881356,104.71677966
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,14,36,51,77.677843137,14.66254902,9.9419607843,8.7245098039
1023569621,KIM,SEONG,,MPA,F,I,7650 E PARHAM RD,SUITE 220,HENRICO,VA,232944373,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,15,119,690,709,154.82122708,33.703441467,24.616643159,24.009633286
1033100011,BARTLEY,ROBERT,E,MD,M,I,303 E TOWN ST,,COLUMBUS,OH,432154601,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,23,24,427,64.847775176,25.6,20.070515222,20.070515222
1033100011,BARTLEY,ROBERT,E,MD,M,I,303 E TOWN ST,,COLUMBUS,OH,432154601,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,395,132.25409091,96.283636364,96.281363636
1033100037,WATTS,JUBAL,R,M.D.,M,I,150 CLINIC AVE,STE 101,CARROLLTON,GA,301174401,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,375,266.98,194.82,204.40090909
1033100086,RADEMACHER,DANA,E,MD,M,I,1212 WELL ST,,ONALASKA,WI,546502668,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,23,100,11821,2.8159495813,1.7791371288,1.3260933931,1.5239692073
1033100086,RADEMACHER,DANA,E,MD,M,I,1212 WELL ST,,ONALASKA,WI,546502668,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,50,6360,8.081509434,6.15,4.7376100629,5.5843474843
1033100086,RADEMACHER,DANA,E,MD,M,I,1212 WELL ST,,ONALASKA,WI,546502668,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,14,12.714285714,10.861428571,6.0678571429,6.1214285714
1033100086,RADEMACHER,DANA,E,MD,M,I,1212 WELL ST,,ONALASKA,WI,546502668,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,24,90,664,1.7217620482,1.5624246988,1.1923192771,1.3700753012
1033100235,DEMOTT,CHAD,J,M.D.,M,I,1906 BELLEVIEW AVENUE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,14,86.31,17.29,13.55,13.542857143
1033100235,DEMOTT,CHAD,J,M.D.,M,I,1906 BELLEVIEW AVENUE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,40,537.82775,74.07225,56.69625,56.52625
1033100235,DEMOTT,CHAD,J,M.D.,M,I,1906 BELLEVIEW AVENUE,,ROANOKE,VA,24016,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,111.16521739,38.656956522,29.028695652,29.120869565
1033100292,HARBUT,MICHAEL,R,"M.D., M.P.H., F.C.C.",M,I,118 N WASHINGTON AVE,,ROYAL OAK,MI,480671751,US,Physician/Preventive Medicine,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1230.62,1006.1881818,788.85363636,788.85363636
1033100292,HARBUT,MICHAEL,R,"M.D., M.P.H., F.C.C.",M,I,118 N WASHINGTON AVE,,ROYAL OAK,MI,480671751,US,Physician/Preventive Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,12,402.2675,79.88,57.401666667,50.16
1033100334,DEMAS,WILLIAM,F,"M.D., F.A.C.R.",M,I,525 E MARKET ST,,AKRON,OH,443041619,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7920,3.1197272727,0.3,0.2170820707,0.2242752525
1033100342,CRABB,GEORGE,T,DO,M,I,1845 VETERANS PARK DR,STE 110,NAPLES,FL,341090493,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,23,70,46.084,8.32,6.3354285714,6.3354285714
1033100342,CRABB,GEORGE,T,DO,M,I,1845 VETERANS PARK DR,STE 110,NAPLES,FL,341090493,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,51.382352941,17.29,13.55,13.53
1033100342,CRABB,GEORGE,T,DO,M,I,1845 VETERANS PARK DR,STE 110,NAPLES,FL,341090493,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,288.82352941,70.23,55.06,54.72
1033100342,CRABB,GEORGE,T,DO,M,I,1845 VETERANS PARK DR,STE 110,NAPLES,FL,341090493,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,36.6236,20.368,15.9692,14.9844
1033100375,PERI,USHA,N,MD,F,I,1600 WATERS RIDGE,STE A,LEWISVILLE,TX,75057,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,16,10.795625,1.42,1.115,1.115
1033100375,PERI,USHA,N,MD,F,I,1600 WATERS RIDGE,STE A,LEWISVILLE,TX,75057,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,2175,5.2716781609,0.5532827586,0.4242528736,0.4242528736
1033100375,PERI,USHA,N,MD,F,I,1600 WATERS RIDGE,STE A,LEWISVILLE,TX,75057,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,4960,5.8088991935,2.8259596774,2.1656673387,2.1656673387
1033100375,PERI,USHA,N,MD,F,I,1600 WATERS RIDGE,STE A,LEWISVILLE,TX,75057,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,24,24,18.147857143,18.147857143
1033100375,PERI,USHA,N,MD,F,I,1600 WATERS RIDGE,STE A,LEWISVILLE,TX,75057,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,47,16,16,12.541489362,12.541489362
1033100433,DICUS,GEORGE,S,MD,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,37.955555556,22.576,17.698,14.795777778
1033100433,DICUS,GEORGE,S,MD,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,2000,1048.7,818.82928571,838.90928571
1033100433,DICUS,GEORGE,S,MD,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,21.625,8.34325,6.54075,5.631
1033100433,DICUS,GEORGE,S,MD,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,53,214.33962264,104.39584906,79.430943396,59.47490566
1033100474,VALENZA,JULIE,A,PA,F,I,1205 TROY SCHENECTADY RD STE 101,,LATHAM,NY,121101074,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,16.59,11.142857143,11.692857143
1033100474,VALENZA,JULIE,A,PA,F,I,1205 TROY SCHENECTADY RD STE 101,,LATHAM,NY,121101074,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,519.51,83.545925926,59.357777778,50.300740741
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,45,110,370,69.399243243,8.32,6.1554324324,6.1554324324
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,26,60,92,13.096521739,1.42,0.9923913043,0.9923913043
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,146.6,40,31.36,30.606
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,54,62.37037037,16,9.9924074074,9.5307407407
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,212.29941176,56,40.591764706,39.795882353
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,16,16,92.39,19.39,15.2,14.27375
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,105,8.5862857143,2.09,1.6380952381,1.5968571429
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,174.19,45.460909091,26.988181818,27.670909091
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,68.94,62.529090909,49.024545455,41.636363636
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,13.5,8.7772727273,6.8781818182,7.3445454545
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.63,8.3166666667,4.6275,4.7975
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,63,64,519.51,79,56.29640625,50.056875
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,161.57263158,18.852631579,12.46,11.72
1033100516,ANNADURAI,BALA,P,M.D.,F,I,2147 MOWRY AVE,SUITE D4,FREMONT,CA,945381724,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,26,154.89,39,29.978846154,28.991153846
1033100540,CAMISA,SUMNER,,,M,I,29829 TELEGRAPH ROAD,#100,SOUTHFIELD,MI,48034,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,25,73,38.150136986,8.32,6.1645205479,6.1645205479
1033100540,CAMISA,SUMNER,,,M,I,29829 TELEGRAPH ROAD,#100,SOUTHFIELD,MI,48034,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,13.363636364,3.38,2.4090909091,2.4090909091
1033100540,CAMISA,SUMNER,,,M,I,29829 TELEGRAPH ROAD,#100,SOUTHFIELD,MI,48034,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,28,12.0025,1.42,1.0342857143,1.0342857143
1033100540,CAMISA,SUMNER,,,M,I,29829 TELEGRAPH ROAD,#100,SOUTHFIELD,MI,48034,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,32,90,71.56,56.105,56.105
1033100540,CAMISA,SUMNER,,,M,I,29829 TELEGRAPH ROAD,#100,SOUTHFIELD,MI,48034,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,90,65,43.56,34.151666667,34.150111111
1033100540,CAMISA,SUMNER,,,M,I,29829 TELEGRAPH ROAD,#100,SOUTHFIELD,MI,48034,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.88,79.88,57.401666667,50.818333333
1033100581,ALLEN,NORMAN,W,MD,M,I,1647 BENNING RD NE,STE 201,WASHINGTON,DC,200024569,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,28,77,55.65961039,8.32,6.352987013,6.352987013
1033100581,ALLEN,NORMAN,W,MD,M,I,1647 BENNING RD NE,STE 201,WASHINGTON,DC,200024569,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,16.153846154,3.38,2.65,2.65
1033100581,ALLEN,NORMAN,W,MD,M,I,1647 BENNING RD NE,STE 201,WASHINGTON,DC,200024569,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,31,17.341290323,1.42,1.0780645161,1.0780645161
1033100581,ALLEN,NORMAN,W,MD,M,I,1647 BENNING RD NE,STE 201,WASHINGTON,DC,200024569,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,92.94,44.45,31.681818182,34.525454545
1033100581,ALLEN,NORMAN,W,MD,M,I,1647 BENNING RD NE,STE 201,WASHINGTON,DC,200024569,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2912,0.3375309066,0.0466346154,0.0365590659,0.0365590659
1033100581,ALLEN,NORMAN,W,MD,M,I,1647 BENNING RD NE,STE 201,WASHINGTON,DC,200024569,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,59.4,33,24.145333333,24.145333333
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,55,108,64.253981481,8.32,5.4364814815,5.4364814815
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,24,16.245416667,1.42,1.1158333333,1.1158333333
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,113,101.84212389,18.118938053,12.706548673,13.06460177
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,57.287058824,15.274705882,11.975735294,11.893382353
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,30,30,227.48533333,56.888,44.340333333,42.664666667
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,77.972777778,18.106666667,14.198888889,14.073333333
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,81.0585,12.0315,9.434,9.1345
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,29,165,10.052969697,2.0129090909,1.5218181818,1.5352121212
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,23.799230769,6.0153846154,4.7115384615,4.6538461538
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,193.02923077,34.185384615,22.645384615,20.701538462
1033100714,PATAROQUE,BENITO,G,M.D.,M,I,6485 SW BORLAND RD,SUITE D,TUALATIN,OR,970629762,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,945,0.4206349206,0.0436507937,0.0342222222,0.0342222222
1033100763,PHARRIS,LARRY,J,M.D.,M,I,1622 WESTGATE CIR,,BRENTWOOD,TN,370278019,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,25,82,78.924756098,8.32,5.8067073171,5.8067073171
1033100797,KAKARALA,MEENAKSHI,H,MD,F,I,790 CHURCH ST NE,SUITE 250,MARIETTA,GA,300607282,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,43,78,57.982564103,8.32,5.4843589744,5.4843589744
1033100797,KAKARALA,MEENAKSHI,H,MD,F,I,790 CHURCH ST NE,SUITE 250,MARIETTA,GA,300607282,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,16,14.261875,1.42,0.97875,0.97875
1033100813,WARREN,ALAN,R,DPM,M,I,24836 HARPER AVE,,ST CLAIR SHORES,MI,480801241,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,124,124,248,100,71.56,55.181451613,55.18141129
1033100813,WARREN,ALAN,R,DPM,M,I,24836 HARPER AVE,,ST CLAIR SHORES,MI,480801241,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,124,124,742,35,29.19,22.885,22.886630728
1033100813,WARREN,ALAN,R,DPM,M,I,24836 HARPER AVE,,ST CLAIR SHORES,MI,480801241,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,37,150,72.45,51.52972973,57.872972973
1033100920,SOLIMAN,MOHAMMAD,H,MD,M,I,1763 W 24TH ST,STE 202,YUMA,AZ,85364,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,3400,0.5043529412,0.13,0.10015,0.10015
1033100920,SOLIMAN,MOHAMMAD,H,MD,M,I,1763 W 24TH ST,STE 202,YUMA,AZ,85364,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,33,144,22735,4.3078139433,1.9967583022,1.5436450407,1.5762612712
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,42,137,277,56.962454874,8.3181949458,5.7799638989,5.7813718412
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.005454545,3.38,2.65,2.65
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,31,39,13.855897436,1.42,0.9446153846,0.9446153846
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,500,13.64872,6.8864,4.93594,5.02718
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,18,18,132.98888889,48.545,38.06,30.670555556
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,450,0.9872,0.26,0.1897333333,0.1975333333
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,19,45,6.7362222222,2.0742222222,1.5695555556,1.1
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,431.83461538,119.68538462,93.831538462,67.845384615
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,32,153.5375,46.8496875,36.730625,25.9184375
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,74,91.525945946,26.219189189,19.907837838,13.904054054
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,279.3,77.1325,60.464375,42.853125
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,16,16,77.13,25.173125,19.73125,14.06
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,33,142,14.904366197,3.1367605634,2.335,1.4833098592
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,88,88,77.302386364,22.455113636,16.328409091,12.357386364
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,529.53421053,114.98105263,86.573684211,61.835263158
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,50.73,7.62,5.8216666667,3.2391666667
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,116.61230769,45.941153846,35.930384615,27.067307692
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,43,342,348,459.63189655,100.99252874,75.475718391,52.594913793
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,26,207,219,221.24082192,44.90826484,33.455616438,28.122283105
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,44,2610,15.58,9.6757586207,7.4758390805,7.4758390805
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.154,8.7447738095,8.7447738095
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,4767,0.4613069016,0.0470673379,0.035154185,0.035154185
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,2706,1.0649815225,0.1396858832,0.1065003695,0.1065003695
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,60,3512,12.804809226,3.0682175399,2.3646611617,2.3646611617
1033100953,MEADE,BERNADETTE,V,DO,F,I,501 S. BURMA AVE.,,GILLETTE,WY,827163246,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,23,106,106,105.8490566,33,25.381886792,25.381886792
1033101001,DORIS,JAMES,F,MD,M,I,4400 N 32ND ST STE 110,,PHOENIX,AZ,850183964,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,47,118,70.370932203,8.32,5.7484745763,5.7484745763
1033101001,DORIS,JAMES,F,MD,M,I,4400 N 32ND ST STE 110,,PHOENIX,AZ,850183964,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,24,19.89,1.42,0.9295833333,0.9295833333
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,34,57.894411765,8.32,6.5205882353,6.5205882353
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.990769231,3.38,2.4723076923,2.4723076923
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.975,1.42,1.12,1.12
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,17,12.441333333,12.654666667
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,33,519.51,79.88,58.824848485,53.797575758
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,250,35.31,27.69,27.69
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1440,1.1224583333,0.1325625,0.09825,0.09825
1033101076,RAVI,KRISHNA,,MD,M,I,7575 STATE ROAD 52,,BAYONET POINT,FL,346676716,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,95.526315789,33,24.508421053,24.508421053
1033101118,DANDREA,AUDREY,,MD,F,I,3100 SAN PABLO AVE # 310,,BERKELEY,CA,94702,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,3600,2.8672222222,1.73,1.3563,1.59935
1033101159,KJELLGREN,OLLE,,M.D.,M,I,2633 NAPOLEON AVE,SUITE 500,NEW ORLEANS,LA,701156357,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,33,45.537575758,18.54,14.132424242,13.317272727
1033101159,KJELLGREN,OLLE,,M.D.,M,I,2633 NAPOLEON AVE,SUITE 500,NEW ORLEANS,LA,701156357,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,33,244.58060606,77.495151515,59.066969697,54.298787879
1033101225,TIEN,TUDOR,R,M.D.,M,I,1201 E MICHIGAN AVE,SUITE 300,JACKSON,MI,492011852,US,Physician/Orthopedic Surgery,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,20,106.9925,71.4965,50.445,50.494
1033101225,TIEN,TUDOR,R,M.D.,M,I,1201 E MICHIGAN AVE,SUITE 300,JACKSON,MI,492011852,US,Physician/Orthopedic Surgery,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,66,131.48727273,43.389090909,30.912272727,31.045151515
1033101225,TIEN,TUDOR,R,M.D.,M,I,1201 E MICHIGAN AVE,SUITE 300,JACKSON,MI,492011852,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,119.74444444,27.629444444,20.552222222,20.330555556
1033101225,TIEN,TUDOR,R,M.D.,M,I,1201 E MICHIGAN AVE,SUITE 300,JACKSON,MI,492011852,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,44,45,75,72.45,56.8,62.680222222
1033101225,TIEN,TUDOR,R,M.D.,M,I,1201 E MICHIGAN AVE,SUITE 300,JACKSON,MI,492011852,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,13,96.01,78.545384615,61.580769231,68.66
1033101225,TIEN,TUDOR,R,M.D.,M,I,1201 E MICHIGAN AVE,SUITE 300,JACKSON,MI,492011852,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,89,89,89,250.42516854,249.76853933,190.23696629,210.77988764
1033101225,TIEN,TUDOR,R,M.D.,M,I,1201 E MICHIGAN AVE,SUITE 300,JACKSON,MI,492011852,US,Physician/Orthopedic Surgery,S,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,23,839.56521739,636.02608696,498.64608696,471.61652174
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,31.86,16.68,11.059230769,11.059230769
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,38,57.72,29.69,23.276842105,23.276842105
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,496,2.5617137097,2.2685887097,1.3135282258,1.3149193548
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,59,12810,14.976362217,7.8708430913,6.1147540984,6.1211467603
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,22,17.515454545,10.93,7.7909090909,7.7909090909
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,51,106,13.48254717,7.458490566,5.1803773585,5.1818867925
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,51,248,2.9906048387,1.53,1.1029032258,1.2977016129
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,4078,0.78,0.4195684159,0.328938205,0.328938205
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,510,45.16,23.66,18.549431373,18.549431373
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,1230,6.98,3.67,2.8772845528,2.8772845528
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,2800,0.26,0.13,0.1019,0.1019
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,759.36,182.08333333,142.75333333,122.86166667
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,214.71,74.51,54.247142857,46.660714286
1033101274,GITTLER,MICHELLE,S,M.D.,F,I,1401 S CALIFORNIA AVE,,CHICAGO,IL,606081858,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,25.602222222,8.82,5.3822222222,4.7911111111
1033101324,EMOND,LISA,M,M.D.,F,I,1488 OAK ST,,EUGENE,OR,974014043,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1052,0.6207224335,0.44,0.3449904943,0.3449904943
1033101324,EMOND,LISA,M,M.D.,F,I,1488 OAK ST,,EUGENE,OR,974014043,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,18,202,13.31,10.93,8.5690594059,8.5690594059
1033101324,EMOND,LISA,M,M.D.,F,I,1488 OAK ST,,EUGENE,OR,974014043,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,205,4.903902439,3.67,2.5294634146,2.5294634146
1033101324,EMOND,LISA,M,M.D.,F,I,1488 OAK ST,,EUGENE,OR,974014043,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1332,0.56,0.45,0.3528153153,0.3528153153
1033101324,EMOND,LISA,M,M.D.,F,I,1488 OAK ST,,EUGENE,OR,974014043,US,Physician/Internal Medicine,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,15,18,116.77,95.87,75.166666667,75.166666667
1033101357,KIMSEY,PHILIP,O,M.D.,M,I,1292 ATHENS ST,,GAINESVILLE,GA,30507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,63,183,43.726120219,8.32,6.3078688525,6.3078688525
1033101357,KIMSEY,PHILIP,O,M.D.,M,I,1292 ATHENS ST,,GAINESVILLE,GA,30507,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.384615385,3.38,2.65,2.65
1033101357,KIMSEY,PHILIP,O,M.D.,M,I,1292 ATHENS ST,,GAINESVILLE,GA,30507,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,37,15.972702703,1.42,1.112972973,1.112972973
1033101357,KIMSEY,PHILIP,O,M.D.,M,I,1292 ATHENS ST,,GAINESVILLE,GA,30507,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,218.97818182,87.217272727,68.375454545,67.84
1033101357,KIMSEY,PHILIP,O,M.D.,M,I,1292 ATHENS ST,,GAINESVILLE,GA,30507,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,7.4981818182,5.8763636364,3.6854545455
1033101357,KIMSEY,PHILIP,O,M.D.,M,I,1292 ATHENS ST,,GAINESVILLE,GA,30507,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,133,32.32125,25.340625,24.868125
1033101423,MALECKI,DENNIS,E,MD,M,I,8700 W 95TH ST,SUITE 6,HICKORY HILLS,IL,604572700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,89,58.96505618,8.32,5.3497752809,5.3497752809
1033101423,MALECKI,DENNIS,E,MD,M,I,8700 W 95TH ST,SUITE 6,HICKORY HILLS,IL,604572700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,13.470625,1.42,1.05,1.05
1033101555,FRY,PATRICK,,MD,M,I,170 MEDICAL PARK RD,STE 140A,MOORESVILLE,NC,281178540,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,34,91,191,56.181204188,8.32,5.7705759162,5.7705759162
1033101555,FRY,PATRICK,,MD,M,I,170 MEDICAL PARK RD,STE 140A,MOORESVILLE,NC,281178540,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,11.353333333,3.38,2.2083333333,2.2083333333
1033101555,FRY,PATRICK,,MD,M,I,170 MEDICAL PARK RD,STE 140A,MOORESVILLE,NC,281178540,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,32,39,12.585641026,1.42,1.0025641026,1.0025641026
1033101696,GARDNER,GERALDINE,,D.O.,F,I,12800 BOTHELL EVERETT HWY,SUITE 270,EVERETT,WA,982086642,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,376.04043478,77.34,50.216086957,45.21173913
1033101696,GARDNER,GERALDINE,,D.O.,F,I,12800 BOTHELL EVERETT HWY,SUITE 270,EVERETT,WA,982086642,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,39.3,28.009090909,26.827272727
1033101704,SZOSTAK,MICHAEL,J,MD,M,I,1840 MEASE DRIVE,SUITE 300,SAFETY HARBOR,FL,34695,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,4130,0.39,0.13,0.0996876513,0.0996876513
1033101704,SZOSTAK,MICHAEL,J,MD,M,I,1840 MEASE DRIVE,SUITE 300,SAFETY HARBOR,FL,34695,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,455,3.35,2.27,1.7797142857,1.7797142857
1033101704,SZOSTAK,MICHAEL,J,MD,M,I,1840 MEASE DRIVE,SUITE 300,SAFETY HARBOR,FL,34695,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,86,8860,4.9914108352,2.0379683973,1.5566693002,1.5582607223
1033101704,SZOSTAK,MICHAEL,J,MD,M,I,1840 MEASE DRIVE,SUITE 300,SAFETY HARBOR,FL,34695,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,44,5000,9.38864,6.15,4.788178,5.55532
1033101704,SZOSTAK,MICHAEL,J,MD,M,I,1840 MEASE DRIVE,SUITE 300,SAFETY HARBOR,FL,34695,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,43,11.951627907,10.182093023,7.983255814,8.5697674419
1033101704,SZOSTAK,MICHAEL,J,MD,M,I,1840 MEASE DRIVE,SUITE 300,SAFETY HARBOR,FL,34695,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,30,10.693666667,7.46,5.8496666667,5.8496666667
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,51,106,71.618962264,8.32,5.7828301887,5.7828301887
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,18,78.878888889,1.42,1.1183333333,1.1183333333
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,76.057142857,48.897142857,33.517142857,27.832857143
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,56,53.7,26.105357143,20.466071429,16.14625
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,195.69714286,67.813333333,46.643809524,39.185238095
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,55.023571429,22.962142857,16.655714286,14.271428571
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,26,137,10.592262774,2.6188321168,1.8164233577,1.4410218978
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,41.07,22.253636364,16.089090909,12.3
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,147.708,54.193333333,38.860333333,28.168
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,394.1325,92.908888889,69.521666667,51.846666667
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,979,1.1265883555,0.0443003064,0.030020429,0.030020429
1033101720,ZERBE,DANIEL,L,MD,M,I,3 HANDLEY ST,,PERRY,NY,145301342,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,22.995555556,22.995555556
1033101829,HUGGINS,TIMOTHY,L,M.D.,M,I,1508 SANTA FE DR,SUITE 102,WEATHERFORD,TX,760865858,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,350,15,12.898914286,10.1128,10.230428571
1033101829,HUGGINS,TIMOTHY,L,M.D.,M,I,1508 SANTA FE DR,SUITE 102,WEATHERFORD,TX,760865858,US,Physician/Gastroenterology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,166,810,373.26879518,292.07066265,292.07066265
1033101829,HUGGINS,TIMOTHY,L,M.D.,M,I,1508 SANTA FE DR,SUITE 102,WEATHERFORD,TX,760865858,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,166,48.54,9.3457831325,7.326686747,7.326686747
1033101829,HUGGINS,TIMOTHY,L,M.D.,M,I,1508 SANTA FE DR,SUITE 102,WEATHERFORD,TX,760865858,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,166,101.16,29.206506024,22.897951807,22.897891566
1033101837,ADLER,JOAN,,DPM,F,I,65 PENNSYLVANIA AVE,SUITE 200,BINGHAMTON,NY,139031651,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,34,109.36470588,71.56,55.564411765,55.558823529
1033101837,ADLER,JOAN,,DPM,F,I,65 PENNSYLVANIA AVE,SUITE 200,BINGHAMTON,NY,139031651,US,Podiatry,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,92.95,39.337272727,28.221818182,18.145454545
1033101878,KUO,TIMOTHY,C,M.D.,M,I,1550 E 23RD ST,,FREMONT,NE,680252414,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,36,5.9833333333,3.01,2.2625,1.5033333333
1033101878,KUO,TIMOTHY,C,M.D.,M,I,1550 E 23RD ST,,FREMONT,NE,680252414,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,140,51.44,40.326363636,27.459090909
1033101902,GNUECHTEL,MICHAEL,M,D.O.,M,I,310 WESLEY DR,,KERRVILLE,TX,780285822,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,107.835,72.475555556,49.999444444,40.781666667
1033101902,GNUECHTEL,MICHAEL,M,D.O.,M,I,310 WESLEY DR,,KERRVILLE,TX,780285822,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,36.198666667,22.939333333,15.902666667,12.65
1033101902,GNUECHTEL,MICHAEL,M,D.O.,M,I,310 WESLEY DR,,KERRVILLE,TX,780285822,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,24,24,29.994166667,19.48,14.01125,9.29875
1033101902,GNUECHTEL,MICHAEL,M,D.O.,M,I,310 WESLEY DR,,KERRVILLE,TX,780285822,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,24,144,10.249166667,2.99125,2.0493055556,1.4834722222
1033101902,GNUECHTEL,MICHAEL,M,D.O.,M,I,310 WESLEY DR,,KERRVILLE,TX,780285822,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,12.6,7.9354545455,4.8263636364,3.6481818182
1033101902,GNUECHTEL,MICHAEL,M,D.O.,M,I,310 WESLEY DR,,KERRVILLE,TX,780285822,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,112.5,63.686666667,49.9325,34.641666667
1033102025,SANDHU,GURSEWAK,S,M.D.,M,I,511 W GROVE ST,SUITE 301,MIDDLEBORO,MA,023461458,US,Physician/Orthopedic Surgery,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,85.1,79.39,62.24,66.084444444
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,23,23,90.035652174,39.056956522,29.293913043,29.164347826
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,7.2954545455,2.66,2.0854444444,2.2992828283
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,6.0909090909,4.12,3.23,3.2951515152
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,10.25,7.68,6.0225,6.3929545455
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,88,4.0204545455,3.9,3.0575,3.3494318182
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,212.978,90.282,66.022,63.324666667
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,29,58.446206897,33.85862069,25.49137931,24.864827586
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,66,67.749545455,18.125454545,13.141060606,13.491363636
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,15,63,41.706507937,15.268095238,11.971269841,11.893492063
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,17,35,35,174.63885714,53.222857143,38.132857143,39.230857143
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,23,29,29,54.814137931,17.873103448,13.523103448,13.575172414
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,28,28,42.795714286,12.1725,8.865,8.4882142857
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,22,49,241,6.0906224066,2.0666390041,1.5665975104,1.5400414938
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,19,26,26,16.736538462,5.9865384615,4.5115384615,4.4730769231
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,12,18,18,25.316666667,12.422777778,8.6494444444,9.2666666667
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,348,15.5,4.8,3.7308908046,4.130545977
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6260,0.6673690096,0.3,0.2140798722,0.2221038339
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,46.438367347,16.108571429,12.366326531,13.270816327
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43,30.900833333,39.168333333
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43,30.900833333,34.9025
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,3189.1304348,1074.31,836.02217391,836.02217391
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,3204.5454545,1074.31,842.26,842.26
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,32,44.83125,4.0578125,3.18,3.60875
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,75,75,148.30573333,32.931066667,23.5836,22.5452
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,19,119,125,358.17032,75.51312,54.14864,50.32528
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,32,36,165,37.573333333,27.848333333,27.908888889
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,37,9030,0.2747929125,0.0466954596,0.0350841639,0.0350841639
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,30,2423,1.6756458935,0.1340528271,0.0994799835,0.0994799835
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,930,10.572892473,3.0948709677,2.1178494624,2.1178494624
1033102041,CARSTENS,DONNA,D,M.D.,F,I,1015 CHESTNUT ST,SUITE 1300,PHILADELPHIA,PA,191074316,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,27,69,69,67.072463768,33,24.279565217,24.279565217
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,19,45,568,51.611214789,19.633591549,14.892605634,14.892605634
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,18,40,1455,8.0813195876,2.6313402062,2.0383573883,2.0383573883
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,6.6666666667,0.51,0.3733333333,0.3733333333
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,82,226,1120,55.074857143,8.32,5.9084642857,5.9084642857
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,21,42,42,14.747142857,3.38,2.2795238095,2.2795238095
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,21,27,27,23.008148148,2.12,1.4844444444,1.4844444444
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,36,65,199,14.097487437,1.42,0.9851758794,0.9851758794
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,617.8773913,360.25826087,279.32282609,279.32282609
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,2120,17.179363208,10.658754717,8.3564764151,8.3564764151
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,65,34.925714286,27.382142857,14.968571429
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,42,42,302.85761905,251.045,196.81904762,196.8697619
1033102132,CHAVARRI,MANUEL,,M.D.,M,I,11745 US HIGHWAY 23 S,,OSSINEKE,MI,497669582,US,Physician/Internal Medicine,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,108,14.75,0.6072222222,0.4493518519,0.4493518519
1033102181,ARMSTRONG,SIMMIE,,M.D.,M,I,1400 W 43RD AVE,,PINE BLUFF,AR,716037010,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,38,6.0963157895,2.01,1.5784210526,1.5889473684
1033102223,TORKE,MARK,D,MD,M,I,3890 TAMPA RD,SUITE 202,PALM HARBOR,FL,346843676,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,124,49.413636364,38.740909091,36.46
1033102223,TORKE,MARK,D,MD,M,I,3890 TAMPA RD,SUITE 202,PALM HARBOR,FL,346843676,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,212,58.594285714,45.94,40.799285714
1033102223,TORKE,MARK,D,MD,M,I,3890 TAMPA RD,SUITE 202,PALM HARBOR,FL,346843676,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,12,12,216,88.835,25.262222222,19.805694444,20.070509259
1033102223,TORKE,MARK,D,MD,M,I,3890 TAMPA RD,SUITE 202,PALM HARBOR,FL,346843676,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,14,75,21.465714286,16.83,14.342857143
1033102363,CASOLARO,MARIO,A,MD,M,I,1750 TYSONS BLVD STE 1160,,TYSONS,VA,22102,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,151.68,38,29.79,30.49
1033102363,CASOLARO,MARIO,A,MD,M,I,1750 TYSONS BLVD STE 1160,,TYSONS,VA,22102,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,87.615833333,17.99,14.101666667,14.06
1033102363,CASOLARO,MARIO,A,MD,M,I,1750 TYSONS BLVD STE 1160,,TYSONS,VA,22102,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,92,12.376086957,2,1.5684782609,1.5918478261
1033102363,CASOLARO,MARIO,A,MD,M,I,1750 TYSONS BLVD STE 1160,,TYSONS,VA,22102,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,130.116,46.62,26.984666667,28.118666667
1033102363,CASOLARO,MARIO,A,MD,M,I,1750 TYSONS BLVD STE 1160,,TYSONS,VA,22102,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,234.71571429,31.586428571,24.762142857,25.020714286
1033102363,CASOLARO,MARIO,A,MD,M,I,1750 TYSONS BLVD STE 1160,,TYSONS,VA,22102,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,116.76923077,33,23.88,23.88
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,45,126,62.746190476,8.32,5.5907936508,5.5907936508
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,37,14.970540541,1.42,1.0243243243,1.0243243243
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,31,4.9261290323,1.8212903226,1.4287096774,1.1516129032
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,24,65.084583333,19.565,14.770833333,13.024166667
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,46,447.88804348,87.908043478,65.124347826,51.377173913
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,4210,0.2655320665,0.0453016627,0.03552019,0.03552019
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2160,1.3915694444,0.1365833333,0.0928425926,0.0928425926
1033102389,PETRI,LISA,A,MD,F,I,207 MEDICAL ST,,PILOT MOUNTAIN,NC,270418656,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,52.296296296,33,21.695925926,21.695925926
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,12,109,238,237.28957983,19.689159664,15.241722689,15.241722689
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,31,8.19,1.5680645161,1.2283870968,1.1503225806
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,55,16320,49.041630515,9.8400318627,7.7121495098,7.7121470588
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1040,150,40.144615385,31.473346154,31.473346154
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,50,3176,196.70674433,42.341854534,33.133337531,33.133337531
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,39,11025,37.619733333,14.008871655,10.971341497,10.971341497
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1590,0.9422327044,0.1337358491,0.1014591195,0.1014591195
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.1127272727,2.4404090909,2.4404090909
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,420,0.75,0.2187142857,0.1593095238,0.1593095238
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,11,79,292,53.632739726,2.6375342466,2.0254794521,2.0254794521
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,42,42,132,33,24.638095238,24.638095238
1033102447,GONZALEZ,GABRIEL,E,MD,M,I,12959 PALMS WEST DRIVE,SUITE 230,LOXAHATCHEE,FL,334704940,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,35,46,750,358.5,281.06,281.06
1033102512,GAFFNEY,BARRY,M,OD,M,I,2002 S ALEXANDER ST,,PLANT CITY,FL,335638410,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,21,72.619047619,66.068571429,49.27,51.160952381
1033102520,HORCHOS,PAUL,W,D.O.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,40,19.6075,11.994166667,10.300833333
1033102520,HORCHOS,PAUL,W,D.O.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,220,80.806153846,50.183076923,42.1
1033102538,BOGDAN,CAROL,A,MD,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,35,4018,4.2068068691,2.9897560976,2.3082827277,2.3082827277
1033102538,BOGDAN,CAROL,A,MD,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,27,43,42.52,33.336666667,30.753333333
1033102538,BOGDAN,CAROL,A,MD,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,18,18,24,24,18.82,18.82
1033102546,ARENSON,NAOMI,E,MD,F,I,2727 PLAZA DR,,WAUSAU,WI,544014129,US,Physician/Neurology,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,101.8625,79.860833333,71.193333333
1033102546,ARENSON,NAOMI,E,MD,F,I,2727 PLAZA DR,,WAUSAU,WI,544014129,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,66,18.293333333,12.826666667,12.371666667
1033102637,BEARD,CHARLES,A,MD,M,I,25 NORRIS ST,,EUREKA SPRINGS,AR,726323508,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,310.90666667,75.658333333,59.318333333,40.926666667
1033102637,BEARD,CHARLES,A,MD,M,I,25 NORRIS ST,,EUREKA SPRINGS,AR,726323508,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,77.183181818,22.253636364,17.445454545,14.077272727
1033102637,BEARD,CHARLES,A,MD,M,I,25 NORRIS ST,,EUREKA SPRINGS,AR,726323508,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,45,45,42.369555556,8.0353333333,6.1911111111,3.7651111111
1033102637,BEARD,CHARLES,A,MD,M,I,25 NORRIS ST,,EUREKA SPRINGS,AR,726323508,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,58,60,506.70516667,101.86466667,76.8755,54.6935
1033102637,BEARD,CHARLES,A,MD,M,I,25 NORRIS ST,,EUREKA SPRINGS,AR,726323508,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1110,0.895972973,0.1276486486,0.1000990991,0.1000990991
1033102637,BEARD,CHARLES,A,MD,M,I,25 NORRIS ST,,EUREKA SPRINGS,AR,726323508,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,128.71333333,24.92,13.773333333,8.732
1033102652,MALDONADO,PEDRO,,M.D.,M,I,500 AVE DOMENECH,SUITE 302,SAN JUAN,PR,009183736,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,29,103,47.609708738,8.32,6.0157281553,6.0157281553
1033102652,MALDONADO,PEDRO,,M.D.,M,I,500 AVE DOMENECH,SUITE 302,SAN JUAN,PR,009183736,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.912727273,3.38,2.65,2.65
1033102652,MALDONADO,PEDRO,,M.D.,M,I,500 AVE DOMENECH,SUITE 302,SAN JUAN,PR,009183736,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,42,12.323809524,1.42,1.0342857143,1.0342857143
1033102652,MALDONADO,PEDRO,,M.D.,M,I,500 AVE DOMENECH,SUITE 302,SAN JUAN,PR,009183736,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,19,33.946842105,17.133684211,13.433157895,10.218421053
1033102686,CRANE,MICHAEL,W,M.D.,M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,111.84375,68.0175,53.326875,40.785625
1033102686,CRANE,MICHAEL,W,M.D.,M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,787.95,551.74,432.56,468.605
1033102686,CRANE,MICHAEL,W,M.D.,M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,60,54.07,42.39,46.35
1033102702,KONZEN,KEVIN,L,MD,M,I,4921 PARKVIEW PL,STE 13A,SAINT LOUIS,MO,631101032,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,35,89,249,70.322329317,8.32,6.1555823293,6.1555823293
1033102702,KONZEN,KEVIN,L,MD,M,I,4921 PARKVIEW PL,STE 13A,SAINT LOUIS,MO,631101032,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,22,32,50,14.0178,1.42,0.914,0.914
1033102702,KONZEN,KEVIN,L,MD,M,I,4921 PARKVIEW PL,STE 13A,SAINT LOUIS,MO,631101032,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,169.18285714,33.75,26.463571429,25.615
1033102868,GRIFFIN,ALVIN,V,M.D.,M,I,1039 E FREEWAY DR SE,,CONYERS,GA,300945965,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,59,167,56.45251497,8.32,5.6170658683,5.6170658683
1033102868,GRIFFIN,ALVIN,V,M.D.,M,I,1039 E FREEWAY DR SE,,CONYERS,GA,300945965,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.684444444,3.38,2.2083333333,2.2083333333
1033102868,GRIFFIN,ALVIN,V,M.D.,M,I,1039 E FREEWAY DR SE,,CONYERS,GA,300945965,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,34,52,18.067307692,1.42,0.9857692308,0.9857692308
1033102900,SOHN,CHARLES,H,MD,M,I,30 E RIVER PARK PL W,SUITE #440,FRESNO,CA,937201545,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,210.97416667,71,50.0475,49.195
1033102959,HOOD,RODNEY,G,MD,M,I,292 EUCLID AVE,STE 210,SAN DIEGO,CA,921143643,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,43,147,63.601292517,8.32,6.2561904762,6.2561904762
1033102959,HOOD,RODNEY,G,MD,M,I,292 EUCLID AVE,STE 210,SAN DIEGO,CA,921143643,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,30,57,15.971929825,1.42,1.0740350877,1.0740350877
1033102959,HOOD,RODNEY,G,MD,M,I,292 EUCLID AVE,STE 210,SAN DIEGO,CA,921143643,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,13,93.023076923,45.26,35.49,37.63
1033102975,ZAKI,WAFIK,I,M.D.,M,I,836 S 5TH AVE,,DENTON,MD,216291398,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,51,120,67.31675,8.32,5.6515833333,5.6515833333
1033102975,ZAKI,WAFIK,I,M.D.,M,I,836 S 5TH AVE,,DENTON,MD,216291398,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,649,0.8124653313,0.268459168,0.1953312789,0.19596302
1033102975,ZAKI,WAFIK,I,M.D.,M,I,836 S 5TH AVE,,DENTON,MD,216291398,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,89.0625,26.1725,14.464375,9.005
1033102991,RAYANI,HAMID,H,,M,I,10401 W THUNDERBIRD BLVD,,SUN CITY,AZ,853513004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,662.89142857,77.36,60.65,55.998571429
1033102991,RAYANI,HAMID,H,,M,I,10401 W THUNDERBIRD BLVD,,SUN CITY,AZ,853513004,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39.26,30.78,29.615833333
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,49,187,54.771925134,8.32,6.2437433155,6.2437433155
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,23,23,14.686086957,3.38,2.4195652174,2.4195652174
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,22.893333333,2.12,1.5308333333,1.5308333333
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,39,83,15.066987952,1.42,1.0593975904,1.0593975904
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,300,8.624,5.54,4.0539,4.0539
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.35,1.95,1.4502083333,1.4502083333
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,140,17.46,12.626428571,12.487142857
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,315.97222222,82,56.156666667,49.517777778
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1137,2.2857080035,0.1306684257,0.0880562885,0.0880562885
1033103056,MUNEER,AFROZE,,M.D.,F,I,901 E FORT AVE,,BALTIMORE,MD,212304762,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,94.375,41.6,29.503125,26.790625
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,75,59.848266667,8.32,6.1746666667,6.1746666667
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,3180,4.509408805,0.5669842767,0.4271226415,0.4271226415
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.1114,0.013,0.0102,0.0102
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,3360,3.2991904762,1.2583095238,0.9864940476,0.9864940476
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,4.6520833333,2.8068181818,2.2005227273,2.2005227273
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,31.33,24.565454545,25.006363636
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,24,24,17.857428571,17.857428571
1033103080,ROSARIO,REY,F,M.D.,M,I,1250 E CLIFF DR,SUITE 3E,EL PASO,TX,799024850,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,38,46,16,16,12.54173913,12.54173913
1033103114,BURKA,STEVE,A,MD,M,I,5530 WISCONSIN AVE,#914,CHEVY CHASE,MD,208154404,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,62,9600,3.7442083333,0.5651,0.4069625,0.4069625
1033103114,BURKA,STEVE,A,MD,M,I,5530 WISCONSIN AVE,#914,CHEVY CHASE,MD,208154404,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,36,6000,2.3919566667,1.1010833333,0.81456,0.81456
1033103114,BURKA,STEVE,A,MD,M,I,5530 WISCONSIN AVE,#914,CHEVY CHASE,MD,208154404,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,52,52,24,24,17.372307692,17.372307692
1033103114,BURKA,STEVE,A,MD,M,I,5530 WISCONSIN AVE,#914,CHEVY CHASE,MD,208154404,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,46,47,16,16,12.006382979,12.006382979
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1100,0.96,0.5,0.392,0.392
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,168,6.08,3.18,2.4925595238,2.7675
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,132,227,227,86.292290749,39.340881057,29.468678414,29.259030837
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,7.7133333333,4.21,3.305,3.305
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,9.96,5.23,4.1003333333,4.1003333333
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,7.3018181818,3.66,2.87,3.38
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,11,27,87,200,4.5368,1.6916,1.3137,1.16905
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,13,44,88,2.0159090909,1.3354545455,1.0447727273,0.9655681818
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,56.286666667,13.205833333,9.6525,8.3875
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,10,,26,36,7.5677777778,1.3138888889,1.0005555556,0.9266666667
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,23,144,262,262,192.82839695,90.362022901,65.671946565,63.203358779
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,130,256,548,82.483722628,32.827956204,24.815547445,24.965620438
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,113,232,1142,43.867845884,18.429824869,13.587075306,13.68765324
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,19,93,177,893,36.672082867,15.636215006,11.698958567,11.387581187
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,22,199,399,400,142.51755,55.46605,41.3604,40.794575
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,321,424,424,42.476320755,19.263679245,14.344693396,13.435872642
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,55,68,68,25.015147059,10.676323529,7.91,7.7332352941
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,221,407,408,42.108529412,12.219754902,9.0926715686,8.6971323529
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,28,336,662,3765,6.5427596282,2.1820079681,1.6422602922,1.542815405
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,264,338,338,15.938786982,5.6923668639,4.3049704142,4.4810946746
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,131,158,158,34.380443038,14.29056962,10.338227848,9.5746835443
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,7.24,3.81,2.987,2.987
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.52,4.3277419355,4.1781818182
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5115,2.86,0.39,0.3057634409,0.2915112414
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,65,69,42.198405797,18.398405797,13.666666667,12.843333333
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,1517.832,913.16,711.13766667,833.26633333
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,35,299,299,1534.6204013,912.76147157,709.69826087,834.23782609
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,25,179,182,211.0917033,90.454505495,69.397967033,65.604010989
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,13,87,87,461.07885057,212.72758621,162.28126437,161.72103448
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,1488.4,947.26666667,718.74666667,718.74666667
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,100,100,100,212.0194,137.4115,106.8567,105.7134
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,14,57,59,39.933389831,18.856610169,14.195084746,10.311525424
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,17,101,101,34.022871287,4.4344554455,3.2312871287,3.2840594059
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,73.3,38.325,30.045,35.065625
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,176,1013,1022,76.08464775,34.262270059,25.325675147,24.158003914
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,26,190,195,273.50112821,85.806564103,63.675846154,51.743230769
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,12,93,93,122.96645161,42.484623656,32.314193548,28.792795699
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,98.454545455,57,44.69,44.69
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,57,3726,16.955254965,11.131677402,8.650257649,8.650257649
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,30,105,28625,0.6896922271,0.0462749345,0.0333868996,0.0333868996
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,25,40,200,21759,1.4557447493,0.1342740935,0.1000294131,0.1000294131
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,76,5070,10.41543787,3.0113195266,2.3142682446,2.3142682446
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,756,754.55357143,570.19277778,446.83509259,446.83509259
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,110,38.05,29.83,29.526
1033103122,CANNON,D,T,M.D.,M,I,971 LAKELAND DR,SUITE 1052,JACKSON,MS,392164643,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,36,75,363,363,63.976859504,33,24.703746556,24.703746556
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,600,7.2886666667,3.3876666667,2.6559833333,3.0576
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,22,15.604090909,6.8363636364,5.0609090909,6.2009090909
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,37,13.140810811,4.0989189189,3.1254054054,3.1259459459
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,26,760,10.448815789,5.7384210526,4.4599605263,4.4611973684
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,29,600,6.3441833333,2.9096,2.2810666667,2.2813833333
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,22,141,10.963971631,6.4380141844,4.94,4.9415602837
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,730,14.398493151,9.2835616438,6.971739726,7.4235890411
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,20,580,15.107793103,7,5.2203275862,5.2203275862
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,265,6.2328301887,5.3377358491,3.6479245283,3.6479245283
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,40,1200,8.277625,4.03,2.8293166667,2.8293166667
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,1400,0.87595,0.27,0.2041,0.2041
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,280,5.2514285714,5.2514285714,3.6048214286,3.6123928571
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,340,3.2445294118,2.6823529412,2.0327647059,2.3131470588
1033103189,PARKER,MARK,A,MD,M,I,1317 4TH AVE S,,BIRMINGHAM,AL,352331408,US,Physician/Emergency Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,29,1663,0.7244678292,0.27,0.2116596512,0.2116596512
1033103296,IVY,LISA,M,ANP,F,I,7 SHACKLEFORD WEST BLVD,,LITTLE ROCK,AR,722113714,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,18,10.078571429,9.6714285714
1033103296,IVY,LISA,M,ANP,F,I,7 SHACKLEFORD WEST BLVD,,LITTLE ROCK,AR,722113714,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,123.9416,39.3776,25.7164,19.6376
1033103296,IVY,LISA,M,ANP,F,I,7 SHACKLEFORD WEST BLVD,,LITTLE ROCK,AR,722113714,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,71,42.164444444,41.389444444
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,100,4.176,3,2.352,2.7263
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,54,48.478888889,8.32,6.2807407407,6.2807407407
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,13,13.210769231,1.42,1.1169230769,1.1169230769
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,41,14.000243902,10.57195122,8.2882926829,8.5692682927
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,120,21.84,18.46,14.473,14.473
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,330,8.724,7.37,5.778,5.778
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,77,5.1451948052,4.12,3.23,3.2954545455
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,33,9.7254545455,7.68,6.02,6.4051515152
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,34,4.6197058824,3.9,3.06,3.3611764706
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,120,4.5,3.81,2.987,2.987
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,27,810,5.1,3,2.352,2.3665061728
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,13,390,6.8884615385,4.86,3.7341282051,4.0596923077
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,9401,1.8908201255,0.3,0.2201893416,0.227488565
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7029,9.0422535211,1.12,0.8576639636,0.9218124911
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,8707,0.7057390605,0.6493120478,0.509058229,0.514759389
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,96.837777778,45.916666667,35.995,37.188333333
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,60.773571429,17,13.33,13.525
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1275.14,1074.31,842.26,842.26
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1062.62,1062.62,833.1,842.26
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,85,42.943333333,33.666666667,33.666666667
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,92.3976,44.3656,34.778,36.236
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,350.86230769,77.55,58.461538462,52.858461538
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,4128,0.4674660853,0.0470906008,0.0362475775,0.0362475775
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1020,1.0597941176,0.1326470588,0.0933235294,0.0933235294
1033103312,ROBBINS,WILLIAM,J,M.D.,M,I,4 MEADOW DR,,STONY BROOK,NY,117902810,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,35,35,61.285714286,33,24.391714286,24.391714286
1033103320,CARDONA,MIGUEL,P,M.D.,M,I,419 PONCE DE LEON AVE.,EDIF. METROPOLIS SUITE 102,SAN JUAN,PR,009173403,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,147.03636364,80.218181818,62.89,44.917272727
1033103320,CARDONA,MIGUEL,P,M.D.,M,I,419 PONCE DE LEON AVE.,EDIF. METROPOLIS SUITE 102,SAN JUAN,PR,009173403,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,70,71,158.95492958,70.553661972,53.245492958,37.478450704
1033103320,CARDONA,MIGUEL,P,M.D.,M,I,419 PONCE DE LEON AVE.,EDIF. METROPOLIS SUITE 102,SAN JUAN,PR,009173403,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,96,97,67.304123711,28.627525773,21.949587629,14.785051546
1033103320,CARDONA,MIGUEL,P,M.D.,M,I,419 PONCE DE LEON AVE.,EDIF. METROPOLIS SUITE 102,SAN JUAN,PR,009173403,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,74,74,27.448108108,12.469864865,9.6810810811,7.0793243243
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,30,4.7293333333,0.51,0.4,0.4
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,69,188,556,60.194082734,8.3161690647,5.7154856115,5.718471223
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,15,42,42,13.556190476,3.38,2.4607142857,2.4607142857
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,16,23,23,21.373913043,2.12,1.5247826087,1.5247826087
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,34,78,134,13.720671642,1.42,1.0467164179,1.0467164179
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,905,1.9534254144,1.5600552486,1.0645635359,1.4408176796
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,512.16,120.19833333,82.249166667,64.191666667
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,37,174.67189189,42.838648649,30.541891892,25.516756757
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,31,95.249032258,27.186129032,21.312580645,14.55
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,79.751818182,24.652727273,17.907272727,13.588181818
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,89.35,19.712105263,14.921578947,9.9036842105
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,29,113,12.767876106,2.9210619469,2.2595575221,1.6845132743
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,23,681,202.71867841,5.5949632893,4.1920998532,3.9218502203
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,20,9793,1.6512937813,0.3620974165,0.2750433983,0.2361656285
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,22,24,183.4125,63.419583333,47.58375,38.706666667
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,168,170,77.593941176,21.303176471,15.684647059,12.923176471
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,64.34,49.728181818,42.137272727
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,47.441818182,38.843636364
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,15,92,92,42.925978261,8.0686956522,6.155,4.0188043478
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,35.706428571,7.5928571429,5.3314285714,3.3857142857
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,28,208,215,435.77139535,94.708651163,70.43427907,53.071860465
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,8.5623333333,2.6081818182,2.0448181818,2.0448181818
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1980,4.6243333333,2.8068181818,2.1280858586,2.1280858586
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,2160,18.633310185,9.6506388889,7.4412361111,7.4412361111
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,8158,0.3342816867,0.0469416524,0.0321230694,0.0321230694
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,15,51,5319,1.8684827975,0.1329667231,0.0986614025,0.0986614025
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,40,1485,11.757414141,2.9532053872,2.2150909091,2.2150909091
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,782,2.987084399,0.2186189258,0.1447058824,0.1447058824
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,200,29.791363636,23.356818182,16.086818182
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,609.5,212.22818182,161.32090909,128.58181818
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,17.565333333,17.565333333
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,18,16,16,12.540555556,12.540555556
1033103411,GORALSKI,ROBERT,A,M.D.,M,I,311 N 4TH ST,,OAKLAND,MD,215501371,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,22,87,87,46.655172414,33,24.383218391,24.383218391
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,48,118,383,66.024699739,8.32,6.1793211488,6.1793211488
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,8.7536,3.38,2.65,2.65
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,28,59,106,13.710377358,1.42,1.0611320755,1.0611320755
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,160,21.107,10.81,8.10225,8.10225
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,409.71714286,97.242857143,76.239285714,68.012857143
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,42,145.94404762,35.541428571,26.596428571,24.610238095
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,290.99066667,52.02,35.351333333,37.490666667
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,84.112352941,18.617058824,12.937647059,12.406470588
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,90.564285714,12.571428571,8.8438095238,8.1
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,27,163,10.836319018,2.1628220859,1.638404908,1.5347239264
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,49.357272727,12.261818182,9.6154545455,10.259090909
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,118.50625,31.093125,21.504375,21.9775
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,760.48,76.133529412,57.555882353,54.992352941
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,4703,0.411392728,0.0463044865,0.0322049755,0.0322049755
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,285.6,41.899411765,30.947058824,28.362352941
1033103445,CHO,DAVID,S,M.D.,M,I,243 NORTH RD STE 203,,POUGHKEEPSIE,NY,12601,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,25,25,48.84,33,22.7656,22.7656
1033103528,HIP-FLORES,JULIO,,M.D.,M,I,281 RIVER RD,,PISCATAWAY,NJ,088543540,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,52,165,66.908727273,8.32,5.454969697,5.454969697
1033103528,HIP-FLORES,JULIO,,M.D.,M,I,281 RIVER RD,,PISCATAWAY,NJ,088543540,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.906666667,3.38,2.5027777778,2.5027777778
1033103528,HIP-FLORES,JULIO,,M.D.,M,I,281 RIVER RD,,PISCATAWAY,NJ,088543540,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,31,51,13.736862745,1.42,0.937254902,0.937254902
1033103528,HIP-FLORES,JULIO,,M.D.,M,I,281 RIVER RD,,PISCATAWAY,NJ,088543540,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,5.5681818182,4.3690909091,3.5836363636
1033103528,HIP-FLORES,JULIO,,M.D.,M,I,281 RIVER RD,,PISCATAWAY,NJ,088543540,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1080,2.0822037037,0.1345,0.0978703704,0.0978703704
1033103528,HIP-FLORES,JULIO,,M.D.,M,I,281 RIVER RD,,PISCATAWAY,NJ,088543540,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,23.714166667,23.714166667
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,44,188,58.312978723,8.32,6.1061702128,6.1061702128
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.788,3.38,2.65,2.65
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,27,53,14.111886792,1.42,0.9864150943,0.9864150943
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,72,42.585416667,15.672222222,10.658888889,10.256805556
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,19,20,147.551,57.125,42.6195,40.733
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,45,17.24,12.384166667,12.9
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,16,53.65125,13.15375,9.70625,8.55
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,20,126,7.3358730159,2.2319047619,1.669047619,1.516031746
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,30.146,3.947,3.089,3.6875
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,88.850344828,32.520344828,25.492413793,24.182068966
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,220,79.8,54.773846154,48.750769231
1033103635,PAGAN,JULIO,M,MD,M,I,5005 PORT ST JOHN PKWY STE 2400,PARRISH MEDICAL GROUP,PORT ST JOHN,FL,329274305,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,87.886363636,33,23.518181818,23.518181818
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,29,68,136,70.940220588,8.32,5.7463970588,5.7463970588
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.454545455,3.38,2.0190909091,2.0190909091
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,26,32,17.0371875,1.42,0.9425,0.9425
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,1710,3.6111111111,2.04,1.5993333333,1.5993333333
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,170,9.6470588235,3.04,2.3831764706,2.3831764706
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,8.4027272727,2.3,1.8033333333,1.5916666667
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,17.46,13.69,13.5525
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,30,28.833333333,5.636,3.554,2.962
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,230,82,64.29,55.261111111
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,35,8876,0.3594592159,0.0470583596,0.0311626859,0.0311626859
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1774,2.0024351747,0.1367587373,0.1072378805,0.1072378805
1033103775,SILVERSTEIN,LOUIS,N,M.D.,M,I,805 S UNION AVE,,HAVRE DE GRACE,MD,210783610,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,33,33,22.888275862,22.888275862
1033103783,QUERCI,JOHN,C,DO,M,I,1 HOSPITAL DR,,TOWANDA,PA,188489710,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,7.2181818182,4.8872727273,2.7654545455
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,46,80,61.067,8.32,5.56075,5.56075
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,111.82285714,50.117857143,34.474285714,26.134285714
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,215.75538462,81.058461538,59.445384615,39.086153846
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,101,14.94950495,2.9134653465,2.177029703,1.4962376238
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.904166667
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,22.68,6.4125,4.27,2.74625
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1920,1.3975,0.13475,0.0943072917,0.0943072917
1033103866,DEICH,BARBARA,,NURSE PRACTITIONER,F,I,2900 16TH ST,,BEDFORD,IN,474213510,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,33,33,22.63625,22.63625
1033103908,RAHIMI,ALI,R,MD,M,I,3150 N TENAYA WAY,SUITE 271,LAS VEGAS,NV,891280443,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,65,56.273692308,8.32,4.8567692308,4.8567692308
1033103908,RAHIMI,ALI,R,MD,M,I,3150 N TENAYA WAY,SUITE 271,LAS VEGAS,NV,891280443,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,30,16.234666667,1.42,0.8533333333,0.8533333333
1033103924,RAHALL,LAWRENCE,F,D.O.,M,I,638 PORTERSVILLE RD,,ELLWOOD CITY,PA,161172719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,30,76,60.630921053,8.32,6.0948684211,6.0948684211
1033103924,RAHALL,LAWRENCE,F,D.O.,M,I,638 PORTERSVILLE RD,,ELLWOOD CITY,PA,161172719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,20,15.291,1.42,1.0035,1.0035
1033103924,RAHALL,LAWRENCE,F,D.O.,M,I,638 PORTERSVILLE RD,,ELLWOOD CITY,PA,161172719,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,87.8155,22.2805,16.7205,12.8535
1033103924,RAHALL,LAWRENCE,F,D.O.,M,I,638 PORTERSVILLE RD,,ELLWOOD CITY,PA,161172719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,454.07305556,96.582777778,74.062222222,53.209722222
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,50,79.394,8.32,6.5222,6.5222
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,247.77307692,57.703846154,41.931538462,39.57
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,76.165833333,19.0725,14.953333333,14.071666667
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,66.358181818,11.64,8.2909090909,8.2909090909
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,20,116,9.006637931,1.8231034483,1.3725,1.4375
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,86.31,17.27,12.924545455,12.924545455
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,267.84166667,31.686666667,22.8275,22.2275
1033103940,CONSTANTINESCU,DANIELA,C,MD,F,I,1501 S MADISON ST,,APPLETON,WI,549151846,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,543.607,70.453,52.4975,51.9935
1033104005,DENNINGHOFF,JAMES,S,M.D.,M,I,1701 E BROADWAY,SUITE 304,COLUMBIA,MO,652018018,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,19,456.69052632,46.384210526,32.553157895,22.236315789
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,25.089230769,10.93,8.57,8.57
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,6.58,5.54,4.1359583333,4.1359583333
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,180,5.9182222222,5.36,4.202,4.202
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.03,4.03,3.1595,3.1595
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,81.696363636,71.56,56.105,56.105
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,33.328484848,29.19,22.885,22.88530303
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,491,11.95,5.68,4.45299389,4.16299389
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,9138,0.6360013132,0.3073933027,0.2410013132,0.2430411469
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,15,15,72.55,62.55,49.04,48.32
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,130.80625,49.51,38.82,36.6075
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,14,21.46,10.071428571,7.8992857143,7.9871428571
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,28,154.51,53.577142857,37.445,34.235
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,19,5.2,4.08,3.95
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,21,5.02,3.18,2.4942857143,2.1476190476
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,468.90181818,79.8,62.56,56.153636364
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,20,46.01,26.8135,20.579,19.3295
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,77,80,68.905,19.716875,13.778625,12.212375
1033104047,MARTIN,JEI,F,MD,F,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,126.32181818,39.14,30.68,29.722727273
1033104245,KUROWSKI,KATHLEEN,,MD,F,I,"4 SHAWS COVE,",SUITE 201,NEW LONDON,CT,06320,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,33,42,35.95,25.728181818,28.061515152
1033104336,MARCHAND,GREGORY,,M.D.,M,I,4534 WESTGATE BLVD,SUITE 113,AUSTIN,TX,787451470,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,28,68,62.477941176,8.32,5.3705882353,5.3705882353
1033104336,MARCHAND,GREGORY,,M.D.,M,I,4534 WESTGATE BLVD,SUITE 113,AUSTIN,TX,787451470,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,16,12.018125,1.42,1.04875,1.04875
1033104336,MARCHAND,GREGORY,,M.D.,M,I,4534 WESTGATE BLVD,SUITE 113,AUSTIN,TX,787451470,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,140,10.8125,10.81,8.2676428571,8.2676428571
1033104336,MARCHAND,GREGORY,,M.D.,M,I,4534 WESTGATE BLVD,SUITE 113,AUSTIN,TX,787451470,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,83,9.4168674699,2,1.3604819277,1.3830120482
1033104344,WHITESIDES,EDWARD,W,M.D.,M,I,1905 GLEN MEADE RD,,WILMINGTON,NC,284036024,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,930,0.2429032258,0.13,0.0954193548,0.0954193548
1033104344,WHITESIDES,EDWARD,W,M.D.,M,I,1905 GLEN MEADE RD,,WILMINGTON,NC,284036024,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,38,37.079473684,30.38,22.956315789,27.16
1033104344,WHITESIDES,EDWARD,W,M.D.,M,I,1905 GLEN MEADE RD,,WILMINGTON,NC,284036024,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,42,11040,3.5381521739,1.73,1.3194701087,1.5450036232
1033104344,WHITESIDES,EDWARD,W,M.D.,M,I,1905 GLEN MEADE RD,,WILMINGTON,NC,284036024,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,4140,10.863913043,6.68,5.1747512077,5.6028478261
1033104344,WHITESIDES,EDWARD,W,M.D.,M,I,1905 GLEN MEADE RD,,WILMINGTON,NC,284036024,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,22,59,14.708813559,10.852033898,8.5083050847,8.5694915254
1033104419,LOY,MARTIN,,MD,M,I,11 RALPH PL,SUITE 213,STATEN ISLAND,NY,103044419,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,39,104,69.59125,8.32,6.12,6.12
1033104419,LOY,MARTIN,,MD,M,I,11 RALPH PL,SUITE 213,STATEN ISLAND,NY,103044419,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,34,17.395294118,1.42,0.9505882353,0.9505882353
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,41,123,316,69.720632911,8.32,5.4476265823,5.4476265823
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,32,40,15.606,1.42,0.7265,0.7265
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,23,34.003043478,28.46,21.34,21.34
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,31,12.869677419,10.93,8.2935483871,8.2935483871
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,25,25,50,75.434,71.418,53.4494,53.5604
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,318,22.2,18.5,14.052830189,14.052830189
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,18,548,1.1864963504,1.08,0.8034854015,0.8034854015
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,658,5.5234042553,3.67,2.8774164134,2.8774164134
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,2072,0.5181081081,0.4378378378,0.333730695,0.3432673745
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,145.54,46.7145,36.6245,36.9925
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,316.02,48.75,31.85,29.358333333
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,51,56,47.189821429,17.3575,12.635714286,12.585
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,39.813076923,5.3369230769,3.6584615385,3.2564102564
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,82,91,287.28230769,78.710879121,55.270769231,50.268131868
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,46,4677,2.0378319436,0.134199273,0.0910605089,0.0910605089
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,79.81,16.519615385,9.755,11.106923077
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,31.58,7.8693333333,5.454,6.372
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,250.8825,250.8825,196.69166667,196.86916667
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,102,45.087058824,43.56,34.151666667,34.15
1033104468,SARGERO,THOMAS,V,MD,M,I,1010 CEREAL AVE,SUITE 305,HAMILTON,OH,450132784,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,39,39,33,33,23.047692308,23.047692308
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,36,109,64.173669725,8.32,6.1800917431,6.1800917431
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,20,36,16.895555556,1.42,1.0827777778,1.0827777778
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,3168,0.44,0.44,0.3449463384,0.3449463384
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,44,1742,8.28,8.28,6.4338863375,6.4338863375
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,438,18.5,18.5,14.503995434,14.503995434
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,2260,0.45,0.45,0.3528097345,0.3528097345
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.73,3.6681818182,2.5363636364,3.1609090909
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,44,44,86.335227273,16.974090909,11.411590909,12.579545455
1033104484,MEHTA,BHARAT,K,MD,M,I,2632 NAZARETH RD,,EASTON,PA,180452715,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,37.695,8.2865,6.2165,6.6845
1033104492,SHERROCK,ELIZABETH,R,M.D.,F,I,4150 SE ADAMS RD,,BARTLESVILLE,OK,741048410,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,25,75,186,58.041666667,8.2580645161,5.7486021505,5.7879569892
1033104492,SHERROCK,ELIZABETH,R,M.D.,F,I,4150 SE ADAMS RD,,BARTLESVILLE,OK,741048410,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,23,23,11.715217391,1.42,1.0713043478,1.0713043478
1033104492,SHERROCK,ELIZABETH,R,M.D.,F,I,4150 SE ADAMS RD,,BARTLESVILLE,OK,741048410,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,47,8.2210638298,3.2174468085,2.4480851064,1.7557446809
1033104492,SHERROCK,ELIZABETH,R,M.D.,F,I,4150 SE ADAMS RD,,BARTLESVILLE,OK,741048410,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,166.15285714,63.023571429,46.947857143,42.137857143
1033104492,SHERROCK,ELIZABETH,R,M.D.,F,I,4150 SE ADAMS RD,,BARTLESVILLE,OK,741048410,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,553.425,104.5025,71.095,44.5225
1033104492,SHERROCK,ELIZABETH,R,M.D.,F,I,4150 SE ADAMS RD,,BARTLESVILLE,OK,741048410,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,272.67923077,46.022307692,36.083846154,29.518461538
1033104658,SCHOPPER,MARK,P,M.D.,M,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,49,126,72.695079365,8.32,6.0555555556,6.0555555556
1033104658,SCHOPPER,MARK,P,M.D.,M,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,15,15.39,1.42,1.0453333333,1.0453333333
1033104658,SCHOPPER,MARK,P,M.D.,M,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,710.62413793,79.96,57.742413793,50.605862069
1033104674,PRAKASH,RENU,B,MD,F,I,60 GRAND ST,,CANTON,MA,020211836,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,46,50,50.73,4.032,3.1584,3.7236
1033104674,PRAKASH,RENU,B,MD,F,I,60 GRAND ST,,CANTON,MA,020211836,US,Hospitalist,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,936,17.518354701,9.5948183761,7.5223183761,7.5223183761
1033104674,PRAKASH,RENU,B,MD,F,I,60 GRAND ST,,CANTON,MA,020211836,US,Hospitalist,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,15,1407,0.2715707178,0.0460767591,0.0361122957,0.0361122957
1033104674,PRAKASH,RENU,B,MD,F,I,60 GRAND ST,,CANTON,MA,020211836,US,Hospitalist,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,14,769,9.8938621586,3.1415994798,2.4630559168,2.4630559168
1033104674,PRAKASH,RENU,B,MD,F,I,60 GRAND ST,,CANTON,MA,020211836,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,90.166666667,33,25.87,25.87
1033104724,MENON,RADHA,,M.D.,F,I,18056 WIKA RD STE C,,APPLE VALLEY,CA,923072194,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,41,102,59.579019608,8.32,6.1374509804,6.1374509804
1033104724,MENON,RADHA,,M.D.,F,I,18056 WIKA RD STE C,,APPLE VALLEY,CA,923072194,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,30,14.684333333,1.42,1.1173333333,1.1173333333
1033104724,MENON,RADHA,,M.D.,F,I,18056 WIKA RD STE C,,APPLE VALLEY,CA,923072194,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,66.696363636,12,8.5545454545,8.2909090909
1033104724,MENON,RADHA,,M.D.,F,I,18056 WIKA RD STE C,,APPLE VALLEY,CA,923072194,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,9.3718181818,2.0272727273,1.3727272727,1.3753030303
1033104724,MENON,RADHA,,M.D.,F,I,18056 WIKA RD STE C,,APPLE VALLEY,CA,923072194,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,86.31,18.986551724,13.507241379,12.363793103
1033104724,MENON,RADHA,,M.D.,F,I,18056 WIKA RD STE C,,APPLE VALLEY,CA,923072194,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,68,68,500.43411765,83.524411765,61.252647059,51.852941176
1033104724,MENON,RADHA,,M.D.,F,I,18056 WIKA RD STE C,,APPLE VALLEY,CA,923072194,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,332.5,37.15,24.9385,25.3285
1033104757,DOYLE,DANIEL,R,OD,M,I,67 PUBLIC SQ,,MONMOUTH,IL,614621755,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,70.993125,70.993125,52.1325,49.733125
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,66,50.242878788,8.32,6.418030303,6.418030303
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,15.407241379,1.42,1.0744827586,1.0744827586
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,106.11285714,17.5,10.686666667,10.54952381
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,559.056,78.09,53.057333333,47.649
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,3600,3.6899666667,0.567,0.4207861111,0.4207861111
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.0401944444,1.26075,0.9883958333,0.9883958333
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1033104807,FREELAND,JOHN,P,MD,M,I,1616 GRAND AVE,SUITE A,WAUKEGAN,IL,600853600,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1033104815,ANDERSON,MARTHA,,PA,F,I,9100 WESCOTT DR,SUITE 103,FLEMINGTON,NJ,088224677,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,46,77.475652174,8.32,5.6704347826,5.6704347826
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,49,138,400,82.42725,8.32,5.506675,5.506675
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,30,56,93,16.71827957,1.42,0.8635483871,0.8635483871
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,12,12,46.8825,12.57,9.86,9.145
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,13,16,16,3.139375,1.26,0.99,0.97375
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,14,70,52.732,15.234428571,11.094428571,11.071571429
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,181.49058824,55.461764706,38.353529412,38.020588235
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,57.000625,18.17875,11.93375,11.83625
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,77.283076923,11.64,7.7023076923,7.7023076923
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,117,8.4112820513,2.0587179487,1.3558119658,1.3446153846
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,63,63,103.95492063,17.27,12.035555556,12.035555556
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,46,46,44.543478261,5.1395652174,3.9560869565,3.7860869565
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,125,33.064782609,24.520869565,23.743478261
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,108,110,419.87345455,69.81,51.085363636,51.085363636
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,75,36.14,28.33,29.304782609
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,19,49,9646,0.239458843,0.0466037736,0.0334594651,0.0334594651
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,34,2330,1.7190600858,0.1318755365,0.0916094421,0.0916094421
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2193076923,0.1588205128,0.1588205128
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,60.147692308,8.5238461538,6.6846153846,6.7907692308
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1861.77,203.005,159.155,165.43166667
1033104849,KELLY,JOHN,S,MD,M,I,710 FRANKLIN ST,SUITE 200,MICHIGAN CITY,IN,463603563,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,23,63,63,62.857142857,33,22.228095238,22.228095238
1033105143,WONG,ALVIN,G,D.O.,M,I,10900 N SCOTTSDALE RD.,SUTIE 603,SCOOTSDALE,AZ,852545216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,57,141,71.772765957,8.32,6.0658865248,6.0658865248
1033105143,WONG,ALVIN,G,D.O.,M,I,10900 N SCOTTSDALE RD.,SUTIE 603,SCOOTSDALE,AZ,852545216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,20,12.7435,1.42,1.063,1.063
1033105259,PALMER,GEORGE,W,MD,M,I,901 N CURTIS RD,STE 100,BOISE,ID,837061394,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,30,6.75875,5.019375,3.86625
1033105275,ALM,RONALD,W,DPM,M,I,803 16TH AVE,,LEWISTON,ID,835013733,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,44,71.56,71.56,56.105,56.105
1033105275,ALM,RONALD,W,DPM,M,I,803 16TH AVE,,LEWISTON,ID,835013733,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,108,43.56,43.56,34.151666667,34.15
1033105382,PARKE,MICHAEL,T,D.O.,M,I,1970 NORTH BROAD STREET,,LANSDALE,PA,194461002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,27,71,67.917042254,8.32,5.414084507,5.414084507
1033105382,PARKE,MICHAEL,T,D.O.,M,I,1970 NORTH BROAD STREET,,LANSDALE,PA,194461002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,17,14.427058824,1.42,0.9835294118,0.9835294118
1033105382,PARKE,MICHAEL,T,D.O.,M,I,1970 NORTH BROAD STREET,,LANSDALE,PA,194461002,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,59.12,17.0625,11.5295,12.3235
1033105382,PARKE,MICHAEL,T,D.O.,M,I,1970 NORTH BROAD STREET,,LANSDALE,PA,194461002,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,22.096666667,7.9588888889,5.8085185185,6.1759259259
1033105440,HULSE,MICHAEL,A,MD,M,I,900 TOWNE LAKE PKWY STE 404,,WOODSTOCK,GA,301891604,US,Physician/Obstetrics & Gynecology,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,17,89,106,75,46.231603774,34.975660377,34.975566038
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,44,124,248,59.936733871,8.32,6.1278629032,6.1278629032
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,23,37,45,8.7846666667,1.42,1.0435555556,1.0435555556
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,13,26,27,512.16,86.33,63.565555556,63.715185185
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,13,32,81,189.42,33.48,25.310123457,25.004567901
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,17,21,21,91.59047619,17.880952381,14.010952381,14.057619048
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,30,31,98.319677419,11.54,9.05,9.115483871
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,36,164,13.49804878,2.01,1.577195122,1.5917073171
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,40,47,81.75,13.57,9.4061702128,9.28
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,245.47363636,4.5718181818,3.5854545455,3.5845454545
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,13,66,80,256.94025,32.7015,24.016,23.577
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,33.125833333,31.938333333,23.009166667,54.36
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,698.96933333,70.23,51.145,50.884333333
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,205.41666667,37.44,29.275833333,29.42875
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2130,1.0513615023,0.1352816901,0.1018262911,0.1018262911
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,648,13.165416667,3.2631481481,2.5583333333,2.5583333333
1033105507,GEBRAIL,AYMAN,,M.D.,M,I,2032 SOUTH 17TH ST,SUITE 101,WILMINGTON,NC,284016678,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,97.35,33,23.283,23.283
1033105564,KATSIGIORGIS,GUS,,DO,M,I,1512 BROADWAY,,HEWLETT,NY,115579998,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,18,160.3,133.58,104.72,102.74666667
1033105564,KATSIGIORGIS,GUS,,DO,M,I,1512 BROADWAY,,HEWLETT,NY,115579998,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,85.13,70.94,51.341538462,44.916923077
1033105598,ZEMEDE,MARKOS,H,MD,M,I,1221 E SPRUCE AVE,,FRESNO,CA,937203374,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,55,134,74.701268657,8.32,6.4240298507,6.4240298507
1033105598,ZEMEDE,MARKOS,H,MD,M,I,1221 E SPRUCE AVE,,FRESNO,CA,937203374,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,14,13.522142857,1.42,0.8771428571,0.8771428571
1033105598,ZEMEDE,MARKOS,H,MD,M,I,1221 E SPRUCE AVE,,FRESNO,CA,937203374,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45.3,32.56,34.715
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,17,20,38,8.9215789474,1.6681578947,1.2407894737,1.1323684211
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,6.44,1.1938461538,0.9346153846,0.9769230769
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,9.5071428571,2.46,1.9285714286,1.5921428571
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,60,75.696833333,16.995,12.215833333,12.419
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,15,15,192.134,43.9,34.42,37.63
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,20,122,126,55.277936508,4.6229365079,3.4828571429,3.6547619048
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,34,246,246,395.80495935,78.292113821,58.734268293,52.660934959
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,119,119,128.42226891,37.764201681,29.233361345,29.101680672
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,4345,0.2917606444,0.0471438435,0.035689298,0.035689298
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,220.16842105,37,29.01,29.51
1033105614,AMERIAN,ROGER,,MD,M,I,7320 WOODLAKE AVE,STE 290,WEST HILLS,CA,913071468,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,23,23,80.347826087,33,25.555652174,25.555652174
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,4.5,0.51,0.3666666667,0.3666666667
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,47,128,410,56.24602439,8.32,5.9650731707,5.9650731707
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,32,32,16.9621875,3.38,2.5671875,2.5671875
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,21.547368421,2.12,1.5821052632,1.5821052632
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,28,71,120,16.290083333,1.42,1.0578333333,1.0578333333
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,33,33,70.927878788,42.235454545,33.109090909,30.837575758
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,24,75.322916667,71.43,56.002916667,56.105
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,17,30,7.0726666667,1.558,1.223,1.146
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,12,20,20,206.316,97.9705,76.807,69.8935
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,,18,41,86.136829268,38.261463415,29.175609756,25.693170732
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,26,26,124.87423077,63.671538462,49.919230769,42.871538462
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,24,29,29,44.226206897,20.509310345,16.076551724,14.376206897
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,43,246,5.4670731707,2.333495935,1.8290650407,1.6160162602
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,37.044166667,14.975,11.74,10.648333333
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,138.22631579,48.305789474,34.085789474,33.375263158
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,76,76,42.268947368,18.085263158,13.997368421,13.36
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,314.65866667,134.836,105.71266667,104.61666667
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,24.105217391,13.850869565,9.8513043478,9.1143478261
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,16,100,102,41.35127451,6.1243137255,4.7614705882,3.8482352941
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,24,164,164,138.1254878,37.867987805,28.664390244,24.431707317
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,145,165,405.82163636,84.650484848,64.077272727,53.665393939
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,250,35.63,26.378333333,27.98
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,20.882416667,9.6325,7.435625,7.435625
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,19,58,13805,0.3262129663,0.046525172,0.0320282506,0.0320282506
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,14,34,3060,1.2474117647,0.1365882353,0.1069673203,0.1069673203
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,27,1620,9.1088271605,2.8396296296,2.1803148148,2.1803148148
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,1886,2.129252386,0.2197348887,0.1559650053,0.1559650053
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,41,41,73.395853659,17.522439024,12.45097561,12.79195122
1033105630,MULLALLY,JOHN,P,MD,M,I,1117 STONE ST,SUITE 2,PORT HURON,MI,48060,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,33,110,110,53.7,33,24.612636364,24.612636364
1033105689,SMITH,TERRY,W,MD,M,I,2205 MCCALLIE AVE STE 310,,CHATTANOOGA,TN,374043334,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,52,54.018269231,8.32,6.5228846154,6.5228846154
1033105689,SMITH,TERRY,W,MD,M,I,2205 MCCALLIE AVE STE 310,,CHATTANOOGA,TN,374043334,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,309.25818182,55.219090909,43.296363636,42.928181818
1033105689,SMITH,TERRY,W,MD,M,I,2205 MCCALLIE AVE STE 310,,CHATTANOOGA,TN,374043334,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,67,13.264925373,2.0810447761,1.4914925373,1.4586567164
1033105697,THOMPSON,TIMOTHY,,DO,M,I,2101 CORONA RD STE 102,,COLUMBIA,MO,652032582,US,Physician/Geriatric Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,28,79.66,71.377142857,52.0975,52.276428571
1033105697,THOMPSON,TIMOTHY,,DO,M,I,2101 CORONA RD STE 102,,COLUMBIA,MO,652032582,US,Physician/Geriatric Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,32.836666667,29.19,22.885,22.886666667
1033105713,ARCHER,JOSEPH,C,ANP C,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,115,53.2,41.71,46.03
1033105713,ARCHER,JOSEPH,C,ANP C,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Nurse Practitioner,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,492.28318182,266.98,200.55181818,210.13272727
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,91,329,724,80.693466851,8.32,5.9997099448,5.9997099448
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,38,38,14.608421053,3.38,2.5105263158,2.5105263158
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,24.08125,2.12,1.67,1.67
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,41,99,162,19.179320988,1.42,1.087345679,1.087345679
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,20,20,40,75.0425,71.115,55.75675,56.10425
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,13,70,31.734571429,29.19,22.885,22.886428571
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,20,7.4915384615,5.8732820513,4.1919487179
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,7072,1.028959276,0.4050565611,0.3175565611,0.2458823529
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,172.37555556,55.295,25.968888889,20.343888889
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1074.31,840.59666667,840.59666667
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,27.142857143,7.7738095238,5.3419047619,2.9495238095
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,13.41,6.9858333333,5.9708333333
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,379.76808511,91.128723404,68.992978723,55.833829787
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,810,16.675888889,9.6515555556,7.389691358,7.389691358
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,3887,0.6148057628,0.0461821456,0.0338512992,0.0338512992
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,32,3297,2.5883227176,0.1331574158,0.09944495,0.09944495
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,35,1980,12.255878788,3.0348030303,2.3793181818,2.3793181818
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,45,45,52.666666667,29.156,22.110888889,14.583777778
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,20,12.32875,9.106875,6.41375
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,65,42.4392,29.8936,27.4144
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,48,49.842916667,42.52,33.336666667,31.721666667
1033105739,JOHN,JOHN,K,MD,M,I,744 AIRPORT RD,,KINSTON,NC,285048800,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,15,55,55,52.8,33,24.929272727,24.929272727
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,26,85,68.263647059,8.32,6.4455294118,6.4455294118
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,22,37,28.585675676,1.42,1.1140540541,1.1140540541
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,A5105,"Urinary suspensory with leg bag, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,42.919166667,42.919166667,27.668333333,30.10625
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,7.7616666667,2.0516666667,1.5025,1.1125
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,85.791818182,18.799090909,12.998181818,7.4709090909
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,52,11.924230769,2.8080769231,1.7911538462,1.1890384615
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,65.996744186,21.058837209,15.466744186,12.866511628
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,27.25,9.0091666667,6.7591666667,3.8783333333
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,90,90,364.17433333,93.593444444,69.384,52.368222222
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,0.1422083333,0.1295833333,0.0788888889,0.0788888889
1033105747,REINHART,JEFFREY,H,MD,M,I,777 JORDAN DR,,MONTICELLO,AR,716555719,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,55.4,33,20.696,20.696
1033105812,MULLAN,ROBERT,B,DPM,M,I,2445 S TELSHORE BLVD,,LAS CRUCES,NM,88011,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,13,1250,0.15,0.13,0.101936,0.101936
1033105994,HARRIES,LARRY,D,MD,M,I,307 ST JOHNS WAY,STE 4,LEWISTON,ID,83501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,84.3325,8.32,6.116875,6.116875
1033105994,HARRIES,LARRY,D,MD,M,I,307 ST JOHNS WAY,STE 4,LEWISTON,ID,83501,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.07,17.216153846,12.467692308,12.504615385
1033105994,HARRIES,LARRY,D,MD,M,I,307 ST JOHNS WAY,STE 4,LEWISTON,ID,83501,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,19,232.35,48.490526316,38.009473684,37.571052632
1033105994,HARRIES,LARRY,D,MD,M,I,307 ST JOHNS WAY,STE 4,LEWISTON,ID,83501,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,491.138,68.09,39.7545,41.246
1033106034,CHANG,CHUN-YANG,M,MD,M,I,1508 DIVISION ST,STE 15,OREGON CITY,OR,970451582,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,316,26.515822785,13.117151899,10.284018987,10.284018987
1033106034,CHANG,CHUN-YANG,M,MD,M,I,1508 DIVISION ST,STE 15,OREGON CITY,OR,970451582,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,76,537.67223684,326.49210526,255.97,255.97
1033106034,CHANG,CHUN-YANG,M,MD,M,I,1508 DIVISION ST,STE 15,OREGON CITY,OR,970451582,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,72,42.529861111,8.7919444444,6.8926388889,7.3225
1033106034,CHANG,CHUN-YANG,M,MD,M,I,1508 DIVISION ST,STE 15,OREGON CITY,OR,970451582,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,76,66.319210526,29.190526316,22.885394737,22.885394737
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,78,224,574,52.138275261,8.3149825784,5.7225609756,5.7264808362
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,20,15.185,3.38,2.5175,2.5175
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,20.029090909,2.12,1.5181818182,1.5181818182
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,41,88,127,13.681181102,1.42,0.9664566929,0.9664566929
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,23,49,49,75.446938776,50.014489796,37.995714286,30.309183673
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,36,91.777777778,71.56,56.105,56.105
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,108,34.666666667,29.19,22.885,22.886574074
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,7.8907142857,1.9228571429,1.4164285714,1.1060714286
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,20,20,227.843,128.955,94.99,64.2035
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,82.3856,46.5944,36.2032,25.592
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,47,39.514893617,23.896808511,17.125531915,13.383617021
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,12,31,97,26.721443299,19.990412371,15.401443299,12.104123711
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,21,43,43,143.33069767,76.437209302,56.63744186,42.251860465
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,31,35,35,45.685714286,25.854571429,19.173428571,13.817428571
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,65.673076923,20.156923077,14.253076923,8.6076923077
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,33,68,290,6.3387931034,2.8981724138,2.0773448276,1.478
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,18,21,21,35.543809524,15.72952381,11.254285714,9.7466666667
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,139.35571429,73.43,57.571428571,46.340714286
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,24,143,148,60.872905405,21.777162162,15.548378378,12.219527027
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,33,33,28.33,17.071818182,11.981818182,9.4157575758
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,35.905882353,8.5170588235,6.0358823529,3.4747058824
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,13,62,62,112.43580645,47.743064516,33.591612903,22.49483871
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24,12.130909091,9.5145454545,7.7890909091
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,30,217,222,263.14738739,100.54513514,74.723918919,52.311171171
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,55,45.665454545,35.804090909,30.817727273
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,9377,0.2084515303,0.0464092993,0.035793964,0.035793964
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1556,0.5735604113,0.1358547558,0.1065359897,0.1065359897
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,4.0397619048,2.6909761905,2.10975,2.10975
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,67,67,65.051940299,27.42,19.80238806,13.269850746
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,23.82,10.997419355,8.1125806452,6.2912903226
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,611.54,311.25818182,244.02454545,219.30727273
1033106372,HANSELMAN,LAUREY,R,D.O.,F,I,168 N CASEVILLE RD,,PIGEON,MI,487559415,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,55,55,83.527272727,33,25.399636364,25.399636364
1033106380,DIAZ,DAVID,A,M.D.,M,I,15930 S GREAT OAKS DR,A-200,ROUND ROCK,TX,786815526,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,45,60.825111111,8.32,5.9406666667,5.9406666667
1033106422,HUNTER,RANDOLPH,G,MD,M,I,1934 SALK AVE,,TAVARES,FL,327780000,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1374,0.2948034934,0.13,0.0952474527,0.0952474527
1033106422,HUNTER,RANDOLPH,G,MD,M,I,1934 SALK AVE,,TAVARES,FL,327780000,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1284,3.7262616822,2.04,1.4947507788,1.4947507788
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,52,236,73.490805085,8.32,6.1238983051,6.1238983051
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,11.188571429,3.38,2.65,2.65
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,67,19.21761194,1.42,1.0313432836,1.0313432836
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,92.840909091,42.918181818,33.652727273,30.584545455
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,319.52666667,93.327333333,73.168666667,70.992666667
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,40,119.619,34.2125,26.82275,27.0105
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,66.804848485,21.251818182,15.293939394,13.271818182
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,17,17,157.83941176,58.694117647,43.504117647,40.325294118
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,19,19,60.711052632,19.886315789,14.258947368,13.304736842
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,20,21,71.623809524,12.685238095,9.499047619,9.2780952381
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,18,36,182,8.7973626374,2.2603296703,1.7724175824,1.6349450549
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,19.630909091,6.43,4.61,4.5736363636
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,18.0525,6.265,4.915,3.94
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,50,51,255.66745098,37.678039216,27.919215686,25.715098039
1033106497,JENSEN,SCOTT,M,M.D.,M,I,21321 E OCOTILLO RD,SUITE 123,QUEEN CREEK,AZ,851425996,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,590.32848485,77.36,51.460606061,46.437575758
1033106539,HULL,JEFFREY,J,MD,M,I,1409 DOCTORS DRIVE,,WEST PLAINS,MO,657754235,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,45,15.750666667,12.349333333,10.480666667
1033106539,HULL,JEFFREY,J,MD,M,I,1409 DOCTORS DRIVE,,WEST PLAINS,MO,657754235,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,145.91583333,37.576666667,26.359166667,28.683333333
1033106539,HULL,JEFFREY,J,MD,M,I,1409 DOCTORS DRIVE,,WEST PLAINS,MO,657754235,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,111.71,47.23,37.025454545,24.087272727
1033106554,CARNEIRO,JOSE,V,M.D.,M,I,800 W 5TH AVE,,SPOKANE,WA,992042803,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,410.58666667,65.7,51.51,54.73
1033106638,BYRNES,ELENA,C,OD,F,I,8912 CENTREVILLE RD,,MANASSAS,VA,201108455,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,18,208.55555556,60.62,47.53,52.81
1033106638,BYRNES,ELENA,C,OD,F,I,8912 CENTREVILLE RD,,MANASSAS,VA,201108455,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,26,77.076923077,64.09,50.245,43.18
1033106638,BYRNES,ELENA,C,OD,F,I,8912 CENTREVILLE RD,,MANASSAS,VA,201108455,US,Optometry,S,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,27,54,72.12962963,59.774074074,46.407222222,48.261481481
1033106653,HENSON,AMY,D,OD,F,I,503 N MAIN ST,,LONDON,KY,407411217,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,33,33,33,78.604848485,76.66030303,52.025454545,45.735757576
1033106653,HENSON,AMY,D,OD,F,I,503 N MAIN ST,,LONDON,KY,407411217,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,61.318181818,47.290909091,33.549090909,39.743636364
1033106653,HENSON,AMY,D,OD,F,I,503 N MAIN ST,,LONDON,KY,407411217,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,24,63.3125,48.947083333,31.432083333,36.57
1033106695,NUGENT,FRANCIS,,M.D.,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,7379,0.885594254,0.31,0.2430437729,0.2430437729
1033106695,NUGENT,FRANCIS,,M.D.,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Hematology-Oncology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,36,5.1,4,3.9541666667
1033106695,NUGENT,FRANCIS,,M.D.,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,26,2510,43.004780876,5.1444103586,4.0332151394,4.0332151394
1033106695,NUGENT,FRANCIS,,M.D.,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,24,24,18.82,18.82
1033106752,SIEGEL,STEVEN,,MD,M,I,2 SHIRCLIFF WAY,STE 800,JACKSONVILLE,FL,322044732,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,330,13.219,3.9166363636,3.0705757576,3.0705757576
1033106752,SIEGEL,STEVEN,,MD,M,I,2 SHIRCLIFF WAY,STE 800,JACKSONVILLE,FL,322044732,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,18.82,18.82
1033106828,FRATIANNI,CARMEL,M,M.D.,F,I,1098 W BALTIMORE PIKE STE 3408,,MEDIA,PA,190635139,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,27,93,72.973333333,8.32,6.5222580645,6.5222580645
1033106869,MCCOY,ANDREA,J,R.N.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,468.46153846,77.370769231,49.623076923,44.650769231
1033106950,ROST,CHARLES,R,M.D.,M,I,2112 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,11,27,350,62.861857143,19.606371429,15.194485714,15.194485714
1033106950,ROST,CHARLES,R,M.D.,M,I,2112 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,11,26,795,8.8250188679,2.6271698113,1.9815220126,1.9815220126
1033106950,ROST,CHARLES,R,M.D.,M,I,2112 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,48,130,632,65.039778481,8.32,6.3680063291,6.3680063291
1033106950,ROST,CHARLES,R,M.D.,M,I,2112 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,25,25,14.4184,3.38,2.544,2.544
1033106950,ROST,CHARLES,R,M.D.,M,I,2112 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,22.967142857,2.12,1.67,1.67
1033106950,ROST,CHARLES,R,M.D.,M,I,2112 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,37,115,13.619478261,1.42,1.1126956522,1.1126956522
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,52,139,49.154028777,8.32,5.69,5.69
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,49,14.879183673,1.42,0.9091836735,0.9091836735
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,33,33,255.00727273,76.466969697,58.786666667,40.263939394
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,63,65,68.565692308,22.485076923,17.167692308,13.918769231
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,22,6.8838235294,4.9676470588,3.18
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,103,109,447.40669725,100.93633028,76.40293578,57.228899083
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1320,1.2579318182,0.1313181818,0.0845151515,0.0845151515
1033107016,HAAG,MATTHEW,J,DO,M,I,115 SUMMERS HOSPITAL RD,,HINTON,WV,259515172,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,76.3125,33,22.63625,22.63625
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,33,77,274,58.941386861,8.32,6.0697080292,6.0697080292
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.515,3.38,2.65,2.65
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,44,102,15.081470588,1.42,1.0254901961,1.0254901961
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,87.796363636,38.644545455,30.294545455,30.440909091
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,318.16307692,91.966153846,72.099230769,67.840769231
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,28,135.86785714,33.716428571,26.4325,25.928928571
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,21,111,48.347387387,15.12,11.213603604,11.253513514
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,14,31,31,165.91064516,54.652258065,40.097419355,40.102258065
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,19,26,26,59.92,18.38,13.325,12.981153846
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,35,35,56.583714286,12.060857143,8.9405714286,8.6025714286
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,20,43,248,7.9829032258,2.0362903226,1.5325403226,1.5281451613
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,51.623846154,13.373846154,9.6838461538,9.5446153846
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,70.835294118,17.278235294,12.744117647,12.738235294
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,16,16,27.05625,5.03,3.5225,3.51875
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,147.05,36.35625,25.9365625,24.615625
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,58,419.12258621,74.222586207,53.346206897,52.746551724
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,3534,0.2791567629,0.0459705716,0.0312167516,0.0312167516
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,65,19.269411765,14.205294118,13.218823529
1033107164,JONES,JEFFERSON,C,MD,M,I,2000 10TH AVE,SUITE 200,COLUMBUS,GA,319013700,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,23,23,101.86956522,33,24.745217391,24.745217391
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,129.46375,38.61,28.37875,28.520625
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,25,55,6.812,1.47,1.0247272727,1.0247272727
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,4.1909090909,1.24,0.7936363636,0.7854545455
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,17,20,20,64.615,11.73,9.19,9.082
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,531.2775,86.92,62.5025,62.30875
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,48,216.04333333,33.523333333,23.752916667,23.516041667
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,23,119,74.238151261,18.945294118,14.853109244,14.551008403
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,25,25,207.8056,54.3516,42.6164,42.86
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,29,29,84.314137931,17.949655172,14.065862069,14.054827586
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,31,31,84.773870968,11.632258065,9.1222580645,9.1177419355
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,18,45,248,12.282580645,2.0453225806,1.6041129032,1.5918145161
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,15,20,20,48.9875,13.219,10.3645,10.352
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,113,115,70.137565217,17.305130435,12.392956522,12.36573913
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,19,19,194.93842105,48.381578947,37.936315789,37.63
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,77.444,13.57,10.64,10.48
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,14,103,103,59.303786408,4.6874757282,3.3589320388,3.3565048544
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,41,41,208.83609756,33.882439024,26.564634146,26.183414634
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,32,208,223,423.05618834,70.256950673,52.61206278,52.319596413
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,55,212.95490909,37.44,29.35,29.478
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,18.339888889,9.6364666667,7.5549666667,7.5549666667
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,45,10149,0.2631677998,0.0469208789,0.0354192531,0.0354192531
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,16,64,7079,1.7640909733,0.1323887555,0.0918660828,0.0918660828
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1320,10.592795455,3.1443636364,2.3906590909,2.3906590909
1033107180,BECKER,GREGORY,L,M.D.,M,I,906 MEDICAL CIR,,MYRTLE BEACH,SC,295724114,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,34,122,122,77.165983607,33,24.329016393,24.329016393
1033107271,PROVOAST,DEBRA,K,NP,F,I,3190 NORTHRIDGE DRIVE,,HALE,MI,487399276,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,33.677037037,22.094444444,16.768148148,13.920740741
1033107271,PROVOAST,DEBRA,K,NP,F,I,3190 NORTHRIDGE DRIVE,,HALE,MI,487399276,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,176.26086957,101.79913043,74.615217391,57.014347826
1033107347,KIRSHBLUM,STEVEN,,M.D.,M,I,1199 PLEASANT VALLEY WAY,,WEST ORANGE,NJ,070521424,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,4470,9.7229530201,7.87,6.1058948546,6.1137158837
1033107354,BELT,WILLIAM,T,MD,M,I,310 LONG SHOALS RD STE 310,,ARDEN,NC,287048794,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,29,111,67.651441441,8.32,5.9936936937,5.9936936937
1033107354,BELT,WILLIAM,T,MD,M,I,310 LONG SHOALS RD STE 310,,ARDEN,NC,287048794,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,17,27,13.988148148,1.42,1.1162962963,1.1162962963
1033107354,BELT,WILLIAM,T,MD,M,I,310 LONG SHOALS RD STE 310,,ARDEN,NC,287048794,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,46.503214286,18.460714286,13.984642857,13.047142857
1033107354,BELT,WILLIAM,T,MD,M,I,310 LONG SHOALS RD STE 310,,ARDEN,NC,287048794,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,41,388.01780488,84.742926829,65.120731707,54.070487805
1033107354,BELT,WILLIAM,T,MD,M,I,310 LONG SHOALS RD STE 310,,ARDEN,NC,287048794,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,3710,0.2928679245,0.0459407008,0.0360269542,0.0360269542
1033107354,BELT,WILLIAM,T,MD,M,I,310 LONG SHOALS RD STE 310,,ARDEN,NC,287048794,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,540,2.7588333333,0.2206666667,0.1729814815,0.1729814815
1033107354,BELT,WILLIAM,T,MD,M,I,310 LONG SHOALS RD STE 310,,ARDEN,NC,287048794,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,77,33,25.87,25.87
1033107420,MIKULA,SUZETTE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,101.31611111,38.304444444,30.031111111,30.496666667
1033107420,MIKULA,SUZETTE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,166.36411765,54.689411765,40.372352941,40.373529412
1033107420,MIKULA,SUZETTE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,16,16,58.265,18.085,12.86,12.7525
1033107420,MIKULA,SUZETTE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,21,121,8.4024793388,2.0723966942,1.5471900826,1.5130578512
1033107420,MIKULA,SUZETTE,,,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,40,40,159.975,34.75375,25.14325,25.5495
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,16,14,119,4567,2.1356667397,0.4683271294,0.3565535362,0.3565535362
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,720,5.3257777778,2.613,2.0485972222,2.0485972222
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,7920,1.5008005051,1.2462727273,0.9589545455,0.9589545455
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,64,102,918,109234,4.6220646502,0.5674244283,0.423338521,0.428099859
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7509,"Methylprednisolone oral, per 4 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,2.7644166667,0.30675,0.2157222222,0.2157222222
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,20,37,272,41055,0.2518933138,0.0128539764,0.0096212398,0.0096212398
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,15,148,22080,2.0540493659,0.7403070652,0.5565615942,0.5565615942
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,39,67,549,74002,4.5127096565,1.216743061,0.9210988892,0.9270494041
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,25,181,24180,3.8833664185,2.8206526055,2.1764309347,2.1975525227
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,92,4605,20.173806732,7.4704299674,5.7457633008,5.7457633008
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,2,,18,9000,10.95478,8.4858133333,6.6466977778,6.6466977778
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,85,136,1068,1068,24.014981273,23.992509363,18.262153558,18.262153558
1033107503,PAVLAKIS,MARTHA,,MD,F,I,110 FRANCIS ST,7TH FLOOR,BOSTON,MA,022155501,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,78,129,1188,1401,16,16,12.199807281,12.199807281
1033107552,YOUNG,MONICA,,M.D.,F,I,3900 SUNFOREST CT,SUITE 227,TOLEDO,OH,436234475,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,42,147,62.967687075,8.32,4.8286394558,4.8286394558
1033107552,YOUNG,MONICA,,M.D.,F,I,3900 SUNFOREST CT,SUITE 227,TOLEDO,OH,436234475,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,56,13.744642857,1.42,0.835,0.835
1033107552,YOUNG,MONICA,,M.D.,F,I,3900 SUNFOREST CT,SUITE 227,TOLEDO,OH,436234475,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,62,8.3667741935,2.1625806452,1.5693548387,1.464516129
1033107560,WERNER,JOSEPH,S,DPM,M,I,7402 YORK RD,#104,TOWSON,MD,212047532,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,33,104.29,84.6,64.318181818,61.18969697
1033107560,WERNER,JOSEPH,S,DPM,M,I,7402 YORK RD,#104,TOWSON,MD,212047532,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,335,279.25,206.33583333,206.305
1033107636,JACOB,ANNE,U,M.B.B.S.,F,I,9759 MANCHESTER ROAD,,ROCK HILL,MO,63119,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,40,62.6725,8.32,5.87,5.87
1033107636,JACOB,ANNE,U,M.B.B.S.,F,I,9759 MANCHESTER ROAD,,ROCK HILL,MO,63119,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3025,0.1909884298,0.0465289256,0.0328198347,0.0328198347
1033107636,JACOB,ANNE,U,M.B.B.S.,F,I,9759 MANCHESTER ROAD,,ROCK HILL,MO,63119,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,71,65.377183099,8.32,5.4202816901,5.4202816901
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1012,0.0990118577,0.0990118577,0.0776482213,0.0812450593
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,35,35,70,106.97742857,71.56,54.502,54.502
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A5503,"For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,58,50.47,35.27,27.65,27.645
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,35,35,152,44.302368421,29.19,22.679276316,22.681578947
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,495,9.7972121212,8.28,6.4916363636,6.4916363636
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,390,2.2209230769,1.08,0.8466666667,0.8466666667
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,510,4.9269411765,3.67,2.8773333333,2.8773333333
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,3183,0.6067891926,0.45,0.3394973296,0.3394973296
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,141.47466667,51.762,27.164666667,25.939333333
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,57.568888889,18,13.278518519,12.72962963
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,439.13511111,77.18,57.820666667,52.416666667
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,84.538333333,28.435833333,18.101666667,16.22
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,23.404,8.7535,5.754,5.3415
1033107685,SHAHZAD,MUHAMMAD,A,MD,M,I,1 SOUTH 376 SUMMIT AVE,,OAKBROOK TERRACE,IL,60181,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,11.495,11.495
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,35,94,273,44.559340659,8.32,5.9488644689,5.9488644689
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,8.7370588235,3.38,2.65,2.65
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,37,70,8.2825714286,1.42,1.0175714286,1.0175714286
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,280.66727273,54.47,41.246363636,41.354545455
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,22,22,93.541363636,11.54,9.05,9.1104545455
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,23,98,12.64,2.01,1.5771428571,1.5904081633
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,81.75,12.774117647,9.39,9.3429411765
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,233.85130435,33.065217391,21.776086957,21.577391304
1033107701,ALBERS,GREGG,R,M.D.,M,I,2811 LINKHORNE DR,SUITE A,LYNCHBURG,VA,245033321,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,35,519.51,70.23,55.06,54.807428571
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,60,151,76.142251656,8.32,6.1137086093,6.1137086093
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,35,16.094285714,1.42,1.0511428571,1.0511428571
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,84.161666667,19.31,15.14,14.15
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,91.537333333,13,9.5106666667,8.512
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,113,9.4378761062,2.09,1.5513274336,1.5121238938
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,84.27125,17,12.219166667,12.424583333
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,40.293125,3.783125,1.6275,2.320625
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,474.4,34.915,22.901428571,22.82
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,27,471.23111111,76.505555556,48.334444444,43.794074074
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30,23.933636364,16.678181818,13.074545455
1033107750,BAKER,ROBERT,L,MD,M,I,250 W BADILLO ST,,COVINA,CA,917231906,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.65,9.0327272727,6.2927272727,6.0009090909
1033107800,PONS,LARA,,MD,F,I,8560 COOK ST,,MOUNT PLEASANT,NC,281247686,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,31.761818182,5.8254545455,4.1845454545,3.3809090909
1033107800,PONS,LARA,,MD,F,I,8560 COOK ST,,MOUNT PLEASANT,NC,281247686,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,290.7168,77.7904,58.5912,53.4016
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,27,103,59.015242718,8.32,5.3822330097,5.3822330097
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,28,13.424285714,1.42,0.8757142857,0.8757142857
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,12,73.6925,48.3225,37.883333333,29.680833333
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,37,11.420540541,3.1221621622,2.1613513514,1.5310810811
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,200,74.939166667,58.753333333,50.733333333
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,40,8.228,6.226,3.3786666667
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,329.72972973,95.794594595,67.177297297,49.537297297
1033107875,WRIGHT,CLARENCE,D,MD,M,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,65,44.745,32.344166667,27.354583333
1033107933,WESTOVER,GERALD,F,M.D.,M,I,4 GLEN COVE DR,SUITE 5,ROCKPORT,ME,048564235,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,29.95,8.0075,5.0366666667,2.5041666667
1033108196,BLACK,DOUGLAS,S,MD,M,I,1002 TEXAS BLVD,SUITE 401,TEXARKANA,TX,755015107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,449.68,97.52,72.941176471,51.807058824
1033108196,BLACK,DOUGLAS,S,MD,M,I,1002 TEXAS BLVD,SUITE 401,TEXARKANA,TX,755015107,US,Physician/Internal Medicine,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,13,38,38,3728.9473684,2554.6073684,1992.4176316,1992.4176316
1033108246,CHABALA,JAMES,V,M.D.,M,I,840 TOWNSITE DR,,VISTA,CA,920845566,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,72,85.264166667,8.32,4.1668055556,4.1668055556
1033108246,CHABALA,JAMES,V,M.D.,M,I,840 TOWNSITE DR,,VISTA,CA,920845566,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.04,3.1727272727,2.1909090909,3.21
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,45,3147,0.1541785828,0.12,0.0899300922,0.0899300922
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,28,2922,0.538340178,0.44,0.3449794661,0.3449794661
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,20,28,802,9.8966583541,8.28,6.4394139651,6.4394139651
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,16,456,22.227434211,18.5,14.504013158,14.504013158
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,20,351,10.38957265,8.41,5.6223361823,5.6223361823
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,696,4.3320689655,3.67,2.8772988506,2.8772988506
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,34,53,5320,0.16,0.13,0.098093985,0.098093985
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,17,2088,0.56,0.45,0.3528256705,0.3528256705
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,867,2.5476816609,1.97,1.5445098039,1.5445098039
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,11,15,230,81.304347826,24.969782609,19.576130435,19.213304348
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,11,14,125,53.9,8.4936,6.65888,6.42256
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,740.90666667,207.178,153.20666667,126.85133333
1033108295,BEAVER,ROBERT,H,MD,M,I,354 COPPERFIELD BLVD NE,,CONCORD,NC,280252402,US,Physician/Orthopedic Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,11,18,18,4818,724.03555556,567.645,501.13444444
1033108303,SALEHMOHAMED,MUSTAFA,,D.O.,M,I,5645 MAIN ST,WA-100,FLUSHING,NY,113555045,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,17,12.219166667,12.433333333
1033108303,SALEHMOHAMED,MUSTAFA,,D.O.,M,I,5645 MAIN ST,WA-100,FLUSHING,NY,113555045,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.74,55.62,49.918333333
1033108329,HAMERSMA,JOHN,W,M.D.,M,I,2093 HEALTH DR SW,STE 200,WYOMING,MI,49519,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,92,74.916521739,8.32,5.8138043478,5.8138043478
1033108568,HEVERN,GERARD,J,MD,M,I,50 PINEWOOD RD,,ALLENSTOWN,NH,032752366,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,44,111,77.569009009,8.32,5.6996396396,5.6996396396
1033108568,HEVERN,GERARD,J,MD,M,I,50 PINEWOOD RD,,ALLENSTOWN,NH,032752366,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,17,16.172352941,1.42,0.8541176471,0.8541176471
1033108568,HEVERN,GERARD,J,MD,M,I,50 PINEWOOD RD,,ALLENSTOWN,NH,032752366,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50,5.5514285714,4.1776190476,3.379047619
1033108568,HEVERN,GERARD,J,MD,M,I,50 PINEWOOD RD,,ALLENSTOWN,NH,032752366,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,448.85894737,90.461052632,70.925789474,54.73
1033108568,HEVERN,GERARD,J,MD,M,I,50 PINEWOOD RD,,ALLENSTOWN,NH,032752366,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,300,4.6796,0.2191666667,0.1432,0.1432
1033108642,MAIOCCO,AMY,O,MD,F,I,2575 SPRUCE ST,,BOULDER,CO,803023806,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,349.7152,71.1208,53.5424,52.8252
1033108667,STACK,MATTHEW,A,PA C,M,I,330 E WARWICK DR,,ALMA,MI,488011014,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,63,170,51.274117647,8.32,6.082,6.082
1033108667,STACK,MATTHEW,A,PA C,M,I,330 E WARWICK DR,,ALMA,MI,488011014,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,32,50,14.5962,1.42,1.049,1.049
1033108667,STACK,MATTHEW,A,PA C,M,I,330 E WARWICK DR,,ALMA,MI,488011014,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,4.7452941176,2.0252941176,1.5873529412,1.2129411765
1033108667,STACK,MATTHEW,A,PA C,M,I,330 E WARWICK DR,,ALMA,MI,488011014,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,341.4362069,99.629655172,74.942068966,55.924137931
1033108667,STACK,MATTHEW,A,PA C,M,I,330 E WARWICK DR,,ALMA,MI,488011014,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1409,0.4201277502,0.0456848829,0.0357984386,0.0357984386
1033108667,STACK,MATTHEW,A,PA C,M,I,330 E WARWICK DR,,ALMA,MI,488011014,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1320,1.3490606061,0.1370227273,0.0991742424,0.0991742424
1033108667,STACK,MATTHEW,A,PA C,M,I,330 E WARWICK DR,,ALMA,MI,488011014,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,104.28,33,24.8352,24.8352
1033108709,LUND,JAMES,A,M.D.,M,I,12910 TOTEM LAKE BLVD NE,SUITE 101,KIRKLAND,WA,980342954,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,65,43.865692308,8.32,5.6190769231,5.6190769231
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,3.8181818182,0.51,0.4,0.4
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,77,255,546,61.091776557,8.32,5.3162271062,5.3162271062
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,13,31,31,16.612903226,3.38,2.3935483871,2.3935483871
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,13,19,19,23.894736842,2.12,1.4942105263,1.4942105263
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,56,116,154,15.250974026,1.42,0.9355844156,0.9355844156
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,97.820909091,15.930909091,11.666363636,9.3409090909
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,12.14525641,2.4176923077,1.8115384615,1.5878205128
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,217.72727273,66.144545455,37.567272727,30.17
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,26,44.172692308,21.985,15.335384615,13.126538462
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,46.408571429,5.9904761905,2.4638095238,1.8238095238
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,132.96083333,58.453333333,41.730833333,32.51
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,82,82,248.28073171,99.401463415,72.114268293,51.746585366
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,13,23,6729,0.5678852727,0.0464140288,0.0194278496,0.0194263635
1033108733,BIRD,WILLIAM,C,MD,M,I,3997 BECKLEY RD,BLUESTONE HEALTH ASSOC,PRINCETON,WV,24740,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,21,21,42.428571429,33,16.014761905,16.014761905
1033108774,KAPLAN,HAROLD,J,MD,M,I,200 AVE DES PARQUES N,,VENICE,FL,342851701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,18,78.646666667,8.32,5.7977777778,5.7977777778
1033108808,WOLDEHIWOT,GIZAW,H,MD,M,I,2434 W BELVEDERE AVE,,BALTIMORE,MD,212155202,US,Physician/Geriatric Medicine,S,E0251,"Hospital bed, fixed height, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,191.66666667,46.728333333,36.6325,37.44
1033108808,WOLDEHIWOT,GIZAW,H,MD,M,I,2434 W BELVEDERE AVE,,BALTIMORE,MD,212155202,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,154.75,18.32625,13.0905,13.465
1033108808,WOLDEHIWOT,GIZAW,H,MD,M,I,2434 W BELVEDERE AVE,,BALTIMORE,MD,212155202,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,37.853461538,9.8980769231,7.0107692308,6.65
1033108972,RIGALES,LUIS,,MD,M,I,435 SAINT MICHAELS DR,SUITE B-104,SANTA FE,NM,875057672,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,80,75.544375,8.32,5.48,5.48
1033108972,RIGALES,LUIS,,MD,M,I,435 SAINT MICHAELS DR,SUITE B-104,SANTA FE,NM,875057672,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,164.54727273,54.66,35.067272727,35.067272727
1033108972,RIGALES,LUIS,,MD,M,I,435 SAINT MICHAELS DR,SUITE B-104,SANTA FE,NM,875057672,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,61.00625,11.51,7.336875,7.42875
1033108972,RIGALES,LUIS,,MD,M,I,435 SAINT MICHAELS DR,SUITE B-104,SANTA FE,NM,875057672,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,84,7.3226190476,2.05,1.3816666667,1.3692857143
1033108972,RIGALES,LUIS,,MD,M,I,435 SAINT MICHAELS DR,SUITE B-104,SANTA FE,NM,875057672,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,116.9676,18.5424,14.5372,13.5368
1033108972,RIGALES,LUIS,,MD,M,I,435 SAINT MICHAELS DR,SUITE B-104,SANTA FE,NM,875057672,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,246.93,32.295,21.4225,21.428333333
1033108972,RIGALES,LUIS,,MD,M,I,435 SAINT MICHAELS DR,SUITE B-104,SANTA FE,NM,875057672,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,464.10030303,74.699393939,58.561818182,54.673939394
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,27,105,69.55447619,8.32,6.1499047619,6.1499047619
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,28,12.459285714,1.42,1.0342857143,1.0342857143
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,439.98333333,94.58,74.15,68.891666667
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,36,171.50444444,35,27.44,26.170555556
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,309.91375,55.6775,38.29375,37.588125
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,20,20,91.2625,19.3175,14.382,13.419
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,33,33,102.64454545,12.043030303,8.5945454545,8.3121212121
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,36,181,12.973646409,2.2582320442,1.6146961326,1.4569060773
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,81.75,13.792307692,10.811538462,10.48
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,436.785,35.447272727,25.559090909,24.626818182
1033109160,MANNING,MARY,E,MD,F,I,15 PARKMAN ST,WAC 634,BOSTON,MA,021143117,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,519.51,78,53.50625,47.88875
1033109194,BOYD,TIMOTHY,A,PAC,M,I,9848 N TRYON ST,,CHARLOTTE,NC,282625512,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,29,143.31034483,117.65137931,92.244827586,102.15586207
1033109236,SLATTERY,JOHN,G,MD,M,I,925 MAIN ST,,EAST GREENWICH,RI,028183116,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,42,65.208333333,8.32,5.589047619,5.589047619
1033109236,SLATTERY,JOHN,G,MD,M,I,925 MAIN ST,,EAST GREENWICH,RI,028183116,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.98,31.34,29.6625
1033109301,EISENBERG,STACI,R,MD,F,I,1153 CENTRE ST,,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.5,17.5,12.576666667,12.426666667
1033109301,EISENBERG,STACI,R,MD,F,I,1153 CENTRE ST,,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,78.75,78.75,56.595,50.753333333
1033109301,EISENBERG,STACI,R,MD,F,I,1153 CENTRE ST,,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,1875,55.968581333,47.024069333,36.717504,36.717504
1033109301,EISENBERG,STACI,R,MD,F,I,1153 CENTRE ST,,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,33,33,25.87,25.87
1033109376,YOUN,JUNG,H,MD,F,I,1000 FRANKLIN AVE,SUITE 300,GARDEN CITY,NY,115302926,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,43,120,53.940833333,8.32,6.3041666667,6.3041666667
1033109376,YOUN,JUNG,H,MD,F,I,1000 FRANKLIN AVE,SUITE 300,GARDEN CITY,NY,115302926,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,9.9109090909,3.38,2.65,2.65
1033109376,YOUN,JUNG,H,MD,F,I,1000 FRANKLIN AVE,SUITE 300,GARDEN CITY,NY,115302926,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,24,34,11.360588235,1.42,1.0673529412,1.0673529412
1033109376,YOUN,JUNG,H,MD,F,I,1000 FRANKLIN AVE,SUITE 300,GARDEN CITY,NY,115302926,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,76.13,14.65,8.16,10.663333333
1033109376,YOUN,JUNG,H,MD,F,I,1000 FRANKLIN AVE,SUITE 300,GARDEN CITY,NY,115302926,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,26.43,6.65,3.705,5.085
1033109426,MALIK,PANKAJ,,M.D.,M,I,10580 ARROWHEAD DRIVE,FAIRFAX HEALTH CENTER,FAIRFAX,VA,22030,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,170.65727273,55,38.891818182,38.631818182
1033109426,MALIK,PANKAJ,,M.D.,M,I,10580 ARROWHEAD DRIVE,FAIRFAX HEALTH CENTER,FAIRFAX,VA,22030,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,72,8.92,2,1.4376388889,1.4615277778
1033109426,MALIK,PANKAJ,,M.D.,M,I,10580 ARROWHEAD DRIVE,FAIRFAX HEALTH CENTER,FAIRFAX,VA,22030,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,228.28714286,32.288571429,23.111428571,23.400714286
1033109426,MALIK,PANKAJ,,M.D.,M,I,10580 ARROWHEAD DRIVE,FAIRFAX HEALTH CENTER,FAIRFAX,VA,22030,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,272.56545455,272.56545455
1033109426,MALIK,PANKAJ,,M.D.,M,I,10580 ARROWHEAD DRIVE,FAIRFAX HEALTH CENTER,FAIRFAX,VA,22030,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,66.75,17.833333333,13.98,14.496666667
1033109467,LEWIS,LOUISE,N,LCSW,F,I,3252 HOLIDAY CT,SUITE 201,LA JOLLA,CA,920370027,US,Licensed Clinical Social Worker,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,30.465454545,22.790909091,17.866363636,13.53
1033109467,LEWIS,LOUISE,N,LCSW,F,I,3252 HOLIDAY CT,SUITE 201,LA JOLLA,CA,920370027,US,Licensed Clinical Social Worker,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.61,82.839090909,64.943636364,54.73
1033109632,OLDHAM,JACOB,B,,M,I,2050 2ND ST SE,,KIRTLAND AFB,NM,871175524,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,58.46,19.087142857,14.962857143,14.968571429
1033109707,JORDAN,DAMON,M,PA-C,M,I,49 SPRING ST,,SCARBOROUGH,ME,04074,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,33.468181818,17.25,12.290909091,12.303636364
1033109707,JORDAN,DAMON,M,PA-C,M,I,49 SPRING ST,,SCARBOROUGH,ME,04074,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,190.28181818,69.62,49.627272727,49.720909091
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,38,86,298,40.387214765,8.305704698,5.8540939597,5.8652348993
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,13,24,24,12.679166667,3.38,2.0979166667,2.0979166667
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,17.581666667,2.12,1.5308333333,1.5308333333
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,26,57,85,12.255411765,1.42,0.9845882353,0.9845882353
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,11.558333333,8.1041666667,8.4641666667
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,200,51.052307692,40.026538462,39.438461538
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,31,83.026451613,17.25,13.083870968,13.103225806
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,42,390.95761905,79.88,61.129047619,53.981428571
1033109749,HUDOCK,STEVEN,M,MD,M,I,8244 METROPOLITAN PKWY,SUITE C,STERLING HEIGHTS,MI,483122778,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,100,33.970588235,26.636470588,25.958823529
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,18,37,119,65.554033613,8.32,5.5912605042,5.5912605042
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,24,8.4620833333,1.42,0.9775,0.9775
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,61,61,86.31,22.604918033,17.476229508,13.605245902
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,4815.51,913.16,711.05238095,825.36
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,92,94,555.39914894,105.73148936,80.734148936,56.660106383
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,19,250,45.491052632,35.667368421,30.998947368
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1350,1.1458592593,0.1353333333,0.0980444444,0.0980444444
1033109772,YOUNG,KRISTINE,L,PA-C,F,I,275 SE CABOT DR,SUITE B101,OAK HARBOR,WA,982773715,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,71.5,33,24.432777778,24.432777778
1033109780,NESS,DAVID,A,MD,M,I,721 SNELLING AVE S,,SAINT PAUL,MN,551162228,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,37,72.232162162,7.8713513514,5.1932432432,5.1932432432
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,47,62.05893617,8.32,4.3025531915,4.3025531915
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,1.27,1.27,0.9523194444,1.5559953704
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,160.16,17.91,12.883333333,12.411666667
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1350.1,433.42166667,339.80333333,339.80333333
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,504.23869565,70.48,51.745217391,51.261304348
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,8775,0.17,0.046377208,0.0318700855,0.0318700855
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.6,31.05,29.638333333
1033109806,SCHULTE,DOROTHY,M,FNP,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,26,26,132,33,22.631153846,22.631153846
1033109848,MAZZUCA,DOUGLAS,E,DO,M,I,48 N BROADWAY,,PENNSVILLE,NJ,080701754,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,51,51,60.048235294,60.048235294,43.91254902,49.67254902
1033109848,MAZZUCA,DOUGLAS,E,DO,M,I,48 N BROADWAY,,PENNSVILLE,NJ,080701754,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,33,62.122727273,61.446363636,41.098484848,36.985151515
1033109848,MAZZUCA,DOUGLAS,E,DO,M,I,48 N BROADWAY,,PENNSVILLE,NJ,080701754,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,43,69.53744186,69.53744186,45.304418605,45.011162791
1033109848,MAZZUCA,DOUGLAS,E,DO,M,I,48 N BROADWAY,,PENNSVILLE,NJ,080701754,US,Physician/Ophthalmology,S,V2319,Trifocal seg width over 28 mm,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,50,46.5056,46.5056,34.6174,40.629
1033109848,MAZZUCA,DOUGLAS,E,DO,M,I,48 N BROADWAY,,PENNSVILLE,NJ,080701754,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,15.0325,15.0325,11.134375,13.395625
1033109855,KRAFT,DENISE,S,MD,F,I,1200 112TH AVE NE,STE C160,BELLEVUE,WA,980043732,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,27,70.652592593,8.32,6.5248148148,6.5248148148
1033109855,KRAFT,DENISE,S,MD,F,I,1200 112TH AVE NE,STE C160,BELLEVUE,WA,980043732,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1110,2.3576306306,0.1348108108,0.0835855856,0.0835855856
1033109855,KRAFT,DENISE,S,MD,F,I,1200 112TH AVE NE,STE C160,BELLEVUE,WA,980043732,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,22.174285714,22.174285714
1033110077,RITCHIE,TERESA,D,FNP,F,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,26,68,62.418088235,8.32,5.5625,5.5625
1033110077,RITCHIE,TERESA,D,FNP,F,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.53,22.4775,16.3775,14.910833333
1033110077,RITCHIE,TERESA,D,FNP,F,I,186 HOSPITAL DR,,GRANTSVILLE,WV,261477100,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,102.61833333,75.474166667,67.044166667
1033110309,TARANOW,WARREN,S,DO,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,92,88.83,69.64,63.463333333
1033110333,AUCOIN,PAULA,,M.D.,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,01201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,28,69,72.38826087,8.32,5.8065217391,5.8065217391
1033110333,AUCOIN,PAULA,,M.D.,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,01201,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,82.09,34.02,22.575384615,21.932307692
1033110333,AUCOIN,PAULA,,M.D.,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,01201,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,49.966666667,19.08,13.704166667,13.036666667
1033110333,AUCOIN,PAULA,,M.D.,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,01201,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,58.134117647,12.07,8.3558823529,8.0958823529
1033110333,AUCOIN,PAULA,,M.D.,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,01201,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,25,62,9.2983870968,2.22,1.6282258065,1.5009677419
1033110333,AUCOIN,PAULA,,M.D.,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,01201,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,130,52.113333333,40.856666667,42.853333333
1033110333,AUCOIN,PAULA,,M.D.,F,I,777 NORTH ST,SUITE 207,PITTSFIELD,MA,01201,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,171.94444444,33.12,23.366666667,23.375
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,126.86636364,40.735454545,28.872727273,27.726363636
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,23,46,8.19,1.6573913043,1.2432608696,1.0993478261
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,20,21,477.31333333,92.527619048,72.54047619,68.029047619
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,22,61,189.42,36.271311475,28.436885246,26.137377049
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,107,108.01429907,19.460654206,13.666074766,13.056728972
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,74,68.528108108,15.952162162,12.134594595,11.526621622
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,29,30,300.54733333,60.216666667,45.641,41.713
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,33,33,87.307575758,19.556666667,14.863333333,13.711212121
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,39,39,104.07,12.807948718,9.7930769231,8.9302564103
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,22,54,286,13.257692308,2.1663636364,1.6646503497,1.5648251748
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,20,20,51.781,13.553,10.0975,9.821
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,76,80,77.71125,17.52,13.22475,13.05475
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,22,22,232.35,60.345909091,45.242272727,40.004090909
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,206.27714286,49.84,36.279285714,34.942142857
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,163.90875,49.84,34.18625,33.01625
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,31,35,77.742857143,14.202857143,10.839142857,10.181428571
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,50.73,6.6896428571,4.9832142857,3.2585714286
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,38,252.15973684,34.860526316,25.158684211,23.437631579
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,39,283,302,501.88539735,81.252781457,59.054735099,51.239370861
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,34,223.52941176,38.436764706,28.43,27.724411765
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,6680,0.2287230539,0.0462005988,0.0329101796,0.0329101796
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37,23.735454545,24.259090909
1033110382,DEPPE,JAMES,T,MD,M,I,1155 W JEFFERSON ST,SUITE 202,FRANKLIN,IN,461312730,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,39,121.84615385,33,23.88,23.88
1033110465,WILSON,CARL,,MD,M,I,435 DOYLE PARK DR,,SANTA ROSA,CA,954054515,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,35,94,86.192978723,8.32,6.1871276596,6.1871276596
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,86.299230769,38,27.498461538,28.157692308
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,331.93875,89.07375,61.805625,60.174375
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,38,37.459210526,15.58,12.213684211,11.908947368
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,141.84714286,55,43.12,42.878571429
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,21,21,58.404761905,18.111428571,12.850952381,12.739047619
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,67.1,12.14,8.9811764706,8.5835294118
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,35,141,9.5506382979,2.0070212766,1.5064539007,1.5233333333
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,60.87,13.906521739,10.906086957,10.523478261
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,45,46,196.91086957,35.103913043,21.910217391,20.804347826
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,41,41,318.08707317,75.436829268,54.990487805,50.872439024
1033110515,WEGRZYNOWICZ,DENISE,D,D.O.,F,I,6521 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051005,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,118.56636364,36.14,25.239090909,26.444545455
1033110671,LAI,YEN,I,MD,F,I,310 N INDIAN HILL BLVD # 240,,CLAREMONT,CA,917114611,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,38,87.801842105,8.32,5.3197368421,5.3197368421
1033110671,LAI,YEN,I,MD,F,I,310 N INDIAN HILL BLVD # 240,,CLAREMONT,CA,917114611,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,15.06125,1.42,0.91,0.91
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,25,91,186,59.417795699,8.32,6.207311828,6.207311828
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,19,34,47,15.186170213,1.42,1.1165957447,1.1165957447
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,28,71.805714286,71.56,56.105,56.105
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,29.19,29.19,22.885,22.885769231
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,15,29,6.2796551724,1.915862069,1.3275862069,0.9913793103
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,42.893636364,19.116363636,14.986363636,10.08
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,61,7.0478688525,3.0726229508,2.4083606557,1.7157377049
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,16.2471875,7.304375,5.0828125,3.109375
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,11,15,24.790666667,9.796,7.3866666667,5.4326666667
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,399.77486486,100.68324324,77.322162162,59.818378378
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,119.41176471,45.340588235,35.549411765,31.62
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2400,0.9047291667,0.1304125,0.0826125,0.0826125
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,36.041666667,25.710416667,18.155833333,12.552083333
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,599.85,149.05533333,104.73666667,81.066666667
1033110713,DULAY,ADOLFO,C,MD,M,I,228 NE HANCOCK AVE,,MADISON,FL,323402560,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,86.035714286,33,21.443928571,21.443928571
1033110747,MILLS,CARL,,M.D.,M,I,250 YAPHANK RD,STE 11B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,63,11067,0.2798400651,0.13,0.0959880726,0.0959880726
1033110747,MILLS,CARL,,M.D.,M,I,250 YAPHANK RD,STE 11B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,16,74,13675,3.0097184644,1.7593967093,1.3444431444,1.5443904936
1033110747,MILLS,CARL,,M.D.,M,I,250 YAPHANK RD,STE 11B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,44,8445,10.627904085,7.23,5.6356151569,5.6356151569
1033110747,MILLS,CARL,,M.D.,M,I,250 YAPHANK RD,STE 11B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,54,20.895555556,10.543333333,7.547962963,7.8001851852
1033110747,MILLS,CARL,,M.D.,M,I,250 YAPHANK RD,STE 11B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,50,7.8272,6.8704,4.8574,5.2968
1033110762,GOODE,JOEL,R,M.D.,M,I,5301 E GRANT RD,"ORTHOPAEDIC BLDG, 1ST FLOOR",TUCSON,AZ,857122805,US,Physician/Hand Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,146.20363636,104.98272727,82.302727273,79.973636364
1033110762,GOODE,JOEL,R,M.D.,M,I,5301 E GRANT RD,"ORTHOPAEDIC BLDG, 1ST FLOOR",TUCSON,AZ,857122805,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,44,200,69.186818182,54.245,46.974090909
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,314.34636364,88.010909091,62.747272727,61.672727273
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,231.30272727,53.82,38.363636364,38.978181818
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,69.437142857,18.072142857,12.367142857,12.279285714
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,62.27,12.128235294,8.3905882353,8.0941176471
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,19,103,7.1166990291,2.04,1.5984466019,1.5921359223
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,37,77,80,44.881428571,33.485844156,35.76025974
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,1323.4208,993.1348,778.6196,778.6196
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,19,33,283.60424242,32.344545455,25.360909091,25.44969697
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,300,70.74,52.565384615,52.565384615
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,31,486.02483871,77.74,57.457096774,53.444193548
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,510,19.554666667,9.6464705882,7.5628235294,7.5628235294
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,17,38,8364,0.4395636059,0.0457352941,0.0324557628,0.0324557628
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,32,3126,1.8765195138,0.1353966731,0.1009245042,0.1009245042
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,780,10.160615385,2.9734615385,2.3312179487,2.3312179487
1033110788,YAN,XIAOJUN,,MD,M,I,3131 KINGS HWY,SUITE D10,BROOKLYN,NY,11234,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,25,79,79,46.784810127,33,24.232658228,24.232658228
1033110861,KYAZZE,FRED,B,MD,M,I,1410 W. ALONDRA BLVD.,SUITE C,COMPTON,CA,902203533,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,21,36,44.511388889,8.32,5.6191666667,5.6191666667
1033110861,KYAZZE,FRED,B,MD,M,I,1410 W. ALONDRA BLVD.,SUITE C,COMPTON,CA,902203533,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,19,14.777894737,1.42,0.8842105263,0.8842105263
1033110978,FOUNTAIN,TAMARA,R,M.D.,F,I,740 WAUKEGAN RD,SUITE 360,DEERFIELD,IL,600154374,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,13,84.307692308,58.86,39.05,43.976153846
1033111026,TRZECIAK,MARC,A,D. O.,M,I,609 E ORANGEBURG AVE,SUITE 201,MODESTO,CA,953505512,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,17,79.117647059,70.94,52.093529412,43.36
1033111257,OVE,PETER,N,MD,M,I,2000 MEDICAL PKWY,SUITE 101,ANNAPOLIS,MD,214013742,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,17,180,138.47,108.56,102.50882353
1033111265,"GRIMSHAW, JR.",ROBERT,S,"M.D., F.A.C.P.",M,I,3535 HILL BLVD STE R,CARE MOUNT MEDICAL PC,YORKTOWN HTS,NY,105981209,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,40,85,62.199764706,8.32,6.2134117647,6.2134117647
1033111265,"GRIMSHAW, JR.",ROBERT,S,"M.D., F.A.C.P.",M,I,3535 HILL BLVD STE R,CARE MOUNT MEDICAL PC,YORKTOWN HTS,NY,105981209,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,18,15.443333333,1.42,1.1177777778,1.1177777778
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,46,120,310,66.119870968,8.32,5.4855483871,5.4855483871
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,17,28,17.623571429,1.42,1.0353571429,1.0353571429
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,137.49333333,38,27.3075,27.846666667
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,15,27,27,216.72333333,91.555555556,68.992222222,65.108518519
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,14,30,75,100.33546667,34.3744,26.4016,25.2948
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,103,60.32038835,17.628640777,13.821067961,14.337961165
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,192.405,53.064,39.5945,40.483
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,26,32,32,56.91375,19.13375,14.8415625,13.905
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,36,36,48.410277778,12.27,9.6216666667,9.0838888889
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,47,261,7.4259386973,2.1713793103,1.7022605364,1.5875478927
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,16.640555556,5.5461111111,4.3522222222,4.625
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,15,18,18,65.399444444,13.903888889,10.899444444,10.34
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,79.386428571,18,13.489285714,12.96
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,21,54.727619048,3.8704761905,2.7142857143,3.0380952381
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,63,69,125.18768116,32.982318841,25.114782609,24.72115942
1033111331,HOLMES,JED,D,MD,M,I,7111 E 21ST STREET N,SUITE A,WICHITA,KS,67206,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,21,430.71904762,77.18,54.747142857,49.784285714
1033111349,RAMANI,POONAM,,MD,F,I,374 RACETRACK RD,,MCDONOUGH,GA,302521022,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,16,47,68.325106383,8.32,5.6889361702,5.6889361702
1033111349,RAMANI,POONAM,,MD,F,I,374 RACETRACK RD,,MCDONOUGH,GA,302521022,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,19,10.935263158,1.42,0.9968421053,0.9968421053
1033111380,DEITEL,KEVIN,M,MD,M,I,2221 WANKEL WAY,,OXNARD,CA,930300192,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,36,400,389.4,305.11194444,310.21611111
1033111448,WITMAN,JOHN,A,,M,I,1751 ERICKSON AVE,,HARRISONBURG,VA,228018555,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,35,132,216,67.974722222,8.32,5.9795833333,5.9795833333
1033111448,WITMAN,JOHN,A,,M,I,1751 ERICKSON AVE,,HARRISONBURG,VA,228018555,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,55,63,14.883809524,1.42,1.0996825397,1.0996825397
1033111448,WITMAN,JOHN,A,,M,I,1751 ERICKSON AVE,,HARRISONBURG,VA,228018555,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,43.001666667,17.29,12.413333333,12.401666667
1033111448,WITMAN,JOHN,A,,M,I,1751 ERICKSON AVE,,HARRISONBURG,VA,228018555,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,49,392.17265306,70.23,52.665306122,52.374081633
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,109.29666667,40,31.36,30.586666667
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,370.106875,92,72.13,68.37625
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,31,141.44548387,34.24,26.841935484,25.976451613
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,68.748,19.02,14.92,14.24
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,27,149,9.3127516779,2,1.5052348993,1.5259060403
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,47,74.525957447,17,12.762765957,12.970425532
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,46.535333333,5.6646666667,4.0086666667,3.379
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,55,55,156.44618182,30.375818182,21.604363636,22.164181818
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,23,147,181,468.35287293,77.138232044,58.037845304,53.536243094
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,14,2121,0.4169259783,0.0476756247,0.0352098067,0.0352098067
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,13,57,6655,2.1094094666,0.1341397446,0.0961803156,0.0961803156
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,42,2130,14.298450704,3.0496478873,2.1589765258,2.1589765258
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,98.497058824,39.981176471,29.500588235,29.500588235
1033111455,ZUWALLACK,RICHARD,,MD,M,I,114 WOODLAND ST,PULMONARY,HARTFORD,CT,061051208,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,18,80,80,57.75,33,23.92975,23.92975
1033111463,PHILIP,JOYCE,M,M.D.,F,I,3035 HAMILTON MASON RD,SUITE 203,HAMILTON,OH,450115544,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,61,124,69.785725806,8.32,6.0468548387,6.0468548387
1033111463,PHILIP,JOYCE,M,M.D.,F,I,3035 HAMILTON MASON RD,SUITE 203,HAMILTON,OH,450115544,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,33,34,12.512058824,1.42,0.9876470588,0.9876470588
1033111497,LADNER,ANDREW,D,MD,M,I,1 COUNTRY RD E,,VILLAGE OF GOLF,FL,334365611,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,23,30,3150,0.1698730159,0.13,0.1019142857,0.1019142857
1033111497,LADNER,ANDREW,D,MD,M,I,1 COUNTRY RD E,,VILLAGE OF GOLF,FL,334365611,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,17,2376,0.5814646465,0.45,0.3528198653,0.3528198653
1033111497,LADNER,ANDREW,D,MD,M,I,1 COUNTRY RD E,,VILLAGE OF GOLF,FL,334365611,US,Physician/Internal Medicine,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,11,586,1.7852559727,1.28,1.0035324232,1.0035324232
1033111497,LADNER,ANDREW,D,MD,M,I,1 COUNTRY RD E,,VILLAGE OF GOLF,FL,334365611,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,481.13619048,176.53428571,138.40142857,120.24571429
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,165,250,250,82.07848,43.14212,32.32556,29.529
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,98,156,158,321.60183544,98.715443038,75.691772152,66.671518987
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,89,199,346,117.3666185,37.451936416,28.371300578,25.111242775
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,50,91,292,75.168082192,20.202945205,14.789657534,13.532431507
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,42,77,267,47.49494382,16.473632959,12.173183521,11.197827715
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,94,136,136,188.33808824,61.499485294,45.84875,41.227205882
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,161,185,185,60.265945946,20.441675676,15.472702703,13.820054054
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,35.277391304,11.572608696,8.3460869565,7.5943478261
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,27,27,52.529259259,16.53,12.602962963,9.2107407407
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,186,357,1298,6.7115177196,2.364375963,1.7629121726,1.5249075501
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,13,13,24.406923077,7.5169230769,5.8915384615,5.2338461538
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,98,112,112,41.672410714,14.006696429,10.282410714,9.7483035714
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,22.4775,17.620833333,13.645833333
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,15,85,90,327.96111111,95.739111111,71.717666667,65.353888889
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,656.01,214.56666667,167.20242424,167.27727273
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,57,57,57,399.8245614,140.03087719,107.07754386,101.93140351
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,21,101,109,261.1766055,18.264770642,14.213577982,10.79
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,96,494,504,135.43041667,40.667142857,30.698531746,25.497698413
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,70,362.66257143,88.368285714,66.314,52.368857143
1033111521,SCOTT,STEPHANIE,R,PA-C,F,I,2042 NE WILLIAMSON CT,,BEND,OR,977013760,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,41.79,32.764545455,29.514545455
1033111547,THOMPSON,SUSANNE,P,DO,F,I,2526 W EDISON ST,,TULSA,OK,74127,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,32,92,204,57.168480392,8.32,5.8735294118,5.8735294118
1033111547,THOMPSON,SUSANNE,P,DO,F,I,2526 W EDISON ST,,TULSA,OK,74127,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,21,15.733809524,1.42,1.0114285714,1.0114285714
1033111547,THOMPSON,SUSANNE,P,DO,F,I,2526 W EDISON ST,,TULSA,OK,74127,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,37.5,8.4966666667,6.66,7.2141666667
1033111547,THOMPSON,SUSANNE,P,DO,F,I,2526 W EDISON ST,,TULSA,OK,74127,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,55.074615385,3.8646153846,2.5923076923,3.2261538462
1033111547,THOMPSON,SUSANNE,P,DO,F,I,2526 W EDISON ST,,TULSA,OK,74127,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,1858,0.5353444564,0.0476480086,0.0281700753,0.0281700753
1033111547,THOMPSON,SUSANNE,P,DO,F,I,2526 W EDISON ST,,TULSA,OK,74127,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,11,11,33,33,21.763636364,21.763636364
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,13,34,108,63.22,8.32,5.4962037037,5.4962037037
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,13.997826087,1.42,1.0165217391,1.0165217391
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,138.25,39.36,27.0025,26.748125
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,447.11384615,86.88,53.260769231,53.073846154
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,35,149.15942857,33.2,24.164285714,24.068285714
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,86.426470588,20.385735294,14.913382353,13.483235294
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,61,73.225901639,15.2,11.796065574,11.77295082
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,22,22,248.42454545,55.9,39.845454545,39.051818182
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,25,25,83.572,17.99,12.802,12.77
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,20,20,79.1615,12.04,8.968,8.664
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,39,206,10.510291262,2.0900970874,1.5910679612,1.5455339806
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,53.156470588,12.78,9.4305882353,9.7364705882
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,23,70.045652174,17.52,12.052608696,11.904782609
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.98,38.793333333,38.316666667
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.74,35.740833333,34.494166667
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,36,37,359.61351351,33.485405405,20.96972973,19.831621622
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,78,87,574.22183908,78.49,58.810344828,53.026321839
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,173.136,38.76,28.8705,28.2105
1033111620,COURTNEY,CHRISTOPHER,M,MD,M,I,601 E HAMPDEN AVE,#160,ENGLEWOOD,CO,801133781,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,285.6,38.76,27.8575,27.124166667
1033111687,EVANS,DAVID,A,DO,M,I,13005 SOUTHERN BLVD,SUITE 213,LOXAHATCHEE,FL,334709206,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,519.51,90.01,60.488571429,46.911428571
1033111687,EVANS,DAVID,A,DO,M,I,13005 SOUTHERN BLVD,SUITE 213,LOXAHATCHEE,FL,334709206,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,35.11,25.027272727,27.052727273
1033111687,EVANS,DAVID,A,DO,M,I,13005 SOUTHERN BLVD,SUITE 213,LOXAHATCHEE,FL,334709206,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,525.23,153.095625,120.0275,108.23
1033111687,EVANS,DAVID,A,DO,M,I,13005 SOUTHERN BLVD,SUITE 213,LOXAHATCHEE,FL,334709206,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,96,33,25.87,25.87
1033111729,KARPEL,BARBARA,I,MD,F,I,130 LA CASA VIA,BLDG 2 STE 209,WALNUT CREEK,CA,945983045,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,135.59363636,19.71,15.4525,15.4525
1033111729,KARPEL,BARBARA,I,MD,F,I,130 LA CASA VIA,BLDG 2 STE 209,WALNUT CREEK,CA,945983045,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,3520,40.549090909,9.8393636364,7.7117670455,7.7117585227
1033111729,KARPEL,BARBARA,I,MD,F,I,130 LA CASA VIA,BLDG 2 STE 209,WALNUT CREEK,CA,945983045,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,3.6609090909,2.64,2.07,2.07
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,139.99,49.758125,34.7275,32.376875
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,105.99,55.97125,41.123125,38.240625
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,21.338,11.082,8.1753333333,8.122
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,185.56,54.4175,42.663214286,37.373571429
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,45,28.669545455,21.796363636,19.143636364
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.92,10.684545455,8.3763636364,8.3854545455
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,14,14,28,56.41,30.46,22.202142857,20.987142857
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,8.24,3,2.35,2.2583333333
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,53.99,24.578,19.27,18.177333333
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,24.65,15.745294118,9.2705882353,8.4176470588
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,36,33.434444444,10.814444444,8.4844444444,8.1294444444
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,420.19,205.78181818,161.32545455,161.32545455
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,304.48466667,81.477666667,63.879,56.096333333
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,16,16,16,88.65,39.159375,30.699375,29.39
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,39,217,217,63.98516129,20.953456221,15.264608295,13.331290323
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,99,33.305681818,26.11,22.363181818
1033111760,WALSH,ZANE,T,M.D.,M,I,2930 VILLAGE DR,,FAYETTEVILLE,NC,283043815,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,79,79,27.98,9.2835443038,7.0303797468,6.5844303797
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,60,85,80.503647059,8.32,4.9897647059,4.9897647059
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,17,14.453529412,1.42,0.7235294118,0.7235294118
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,86.989090909,38.878181818,27.510909091,27.566363636
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,87.510588235,17.958235294,14.079411765,14.551764706
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,187.063,51.1415,40.091,42.827
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,62.345833333,16.795,13.160833333,14.068333333
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,120,9.487,2.001,1.49075,1.51325
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,232.23529412,29.975294118,19.792941176,20.677058824
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,260,70.85,55.55,54.73
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,36,28.22,29.51
1033111836,WILKES,DONNELLY,,,M,I,400 S REINO RD,SUITE 200,NEWBURY PARK,CA,913204284,US,Physician/Family Practice,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,1103.5714286,972.47,762.42,775.55
1033112040,LAMBERSON,KEITH,A,M.D,M,I,3672 MARATHON CIR,SUITE 200,AUSTELL,GA,301066821,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,17,38.08,31.92,23.705882353,21.132941176
1033112040,LAMBERSON,KEITH,A,M.D,M,I,3672 MARATHON CIR,SUITE 200,AUSTELL,GA,301066821,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,39,40,214.5,117.67,76.28975,86.411
1033112040,LAMBERSON,KEITH,A,M.D,M,I,3672 MARATHON CIR,SUITE 200,AUSTELL,GA,301066821,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,155.76923077,91.27,61.495384615,69.092307692
1033112040,LAMBERSON,KEITH,A,M.D,M,I,3672 MARATHON CIR,SUITE 200,AUSTELL,GA,301066821,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,95.666666667,53.2,34.758333333,39.205
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,74,124,125,108.97392,42.09632,32.11504,29.80184
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,20,42,72,7.6051388889,1.7241666667,1.3045833333,1.1220833333
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,15,16,16,77.419375,13.616875,10.671875,9.079375
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,4,,12,14,4.4514285714,1.4442857143,1.1285714286,0.9614285714
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,30,152,284,284,331.16133803,102.98376761,76.416338028,64.709260563
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,24,112,232,435,148.5122069,40.730551724,30.972436782,25.292965517
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,51,101,348,80.088017241,21.561867816,16.498735632,14.344626437
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,54,108,441,64.793854875,16.698639456,12.093673469,11.001768707
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,160,296,296,201.47699324,61.740608108,44.05652027,38.893682432
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,34,277,352,352,64.861477273,20.468835227,15.157017045,13.287642045
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,23,27,27,29.662592593,11.039259259,8.0192592593,7.5462962963
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,33,231,427,427,64.042529274,15.199086651,11.124379391,8.6003044496
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,32,283,554,2019,9.666542843,2.5030411095,1.89850421,1.5565676077
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,53,62,62,19.814354839,6.4483870968,4.7543548387,4.3585483871
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,134,173,173,53.928034682,14.187283237,10.459768786,9.7131213873
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,32,171,176,87.093465909,19.200795455,13.945738636,12.527784091
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,12,61,61,224.85737705,52.953442623,37.554918033,33.968032787
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1960,1074.31,842.0575,842.0575
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,3326.123871,1074.31,836.93419355,836.93419355
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,14,25,155,155,495.33045161,109.54090323,82.707548387,68.754
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,1275.86,232.41666667,182.21833333,151.47
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,68,68,68,467.99735294,159.04029412,124.68926471,105.94161765
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,25,99,106,78.992641509,16.624622642,12.001509434,9.6296226415
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,14,25,113,119,69.583361345,5.5089915966,3.9682352941,3.3062184874
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,20,125,693,699,260.95350501,42.334706724,31.163662375,25.864406295
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,19,101,607,626,518.79073482,82.652044728,62.264696486,54.020447284
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,36,206,221,212.31927602,40.65,30.640226244,28.690633484
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,15.58,9.5663888889,7.5000462963,7.5000462963
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,1680,14.6795,11.2095,8.7122261905,8.7122261905
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,24,88,20196,0.2651668647,0.0460130719,0.0338928501,0.0338928501
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,40,159,16137,1.3463518622,0.1356745368,0.1015975708,0.1015975708
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,19,112,7200,11.574513889,2.9882666667,2.3118708333,2.3118708333
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,23,145,145,141.27255172,40.029517241,30.322068966,28.64
1033112081,FOGARTY,JOHN,P,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,32,60,256,256,88.12890625,33,24.761054687,24.761054687
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,19,19,288.13368421,86.33,56.993684211,57.16
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,29,122.74137931,33.48,24.754137931,24.424482759
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,191.675,54.47,39.150833333,39.291666667
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,58.184117647,17.88,12.088235294,12.139411765
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,25,25,66.1308,11.54,7.964,8.0348
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,33,114,10.047192982,2.01,1.4394736842,1.4540350877
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,145,48.554545455,38.064545455,37.364545455
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,17.29,12.420833333,12.4025
1033112123,MILKOWSKI,DEBORAH,A,M.D.,F,I,702 NEWMAN RD,,NEW BERN,NC,285625238,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,272.35,70.23,52.666086957,52.355652174
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,37,81,224,54.685803571,8.32,6.1431696429,6.1431696429
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,14.31625,3.38,2.484375,2.484375
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,27,52,75,10.184933333,1.42,1.0408,1.0408
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,19,19,122.19526316,72.205263158,56.608947368,39.602631579
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,80.301052632,17.431052632,12.235263158,12.107894737
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,241.146,4.694,3.3806666667,3.3786666667
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,37,463.79189189,72.025675676,48.42,46.747027027
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6507692308,7.5661923077,7.5661923077
1033112164,SMITH,KAREN,L,M.D.,F,I,929 WEST PROSPECT AVE.,,RAEFORD,NC,28376,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,24.145333333,24.145333333
1033112206,BURCH,JOHN,T,M.D.,M,I,165 NATCHEZ TRACE AVE,,BOWLING GREEN,KY,421037940,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,16,16,273,85.5,25.6,20.070512821,20.070512821
1033112206,BURCH,JOHN,T,M.D.,M,I,165 NATCHEZ TRACE AVE,,BOWLING GREEN,KY,421037940,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,18,201.52555556,117.67,85.062222222,94.172777778
1033112206,BURCH,JOHN,T,M.D.,M,I,165 NATCHEZ TRACE AVE,,BOWLING GREEN,KY,421037940,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,165,127.21,99.73,88.160555556
1033112255,SANDERS,CHARLES,E,M.D.,M,I,12662 TELECOM DR,,TEMPLE TERRACE,FL,336370935,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,39,78.059230769,8.32,6.1869230769,6.1869230769
1033112255,SANDERS,CHARLES,E,M.D.,M,I,12662 TELECOM DR,,TEMPLE TERRACE,FL,336370935,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,40,151,15570,4.8367996146,0.574445729,0.3938535645,0.4271001927
1033112255,SANDERS,CHARLES,E,M.D.,M,I,12662 TELECOM DR,,TEMPLE TERRACE,FL,336370935,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,19,59,13935,0.0696620022,0.0132637244,0.0100473628,0.0100473628
1033112255,SANDERS,CHARLES,E,M.D.,M,I,12662 TELECOM DR,,TEMPLE TERRACE,FL,336370935,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,20,87,13920,4.1730675287,1.1916422414,0.8878965517,0.8878965517
1033112255,SANDERS,CHARLES,E,M.D.,M,I,12662 TELECOM DR,,TEMPLE TERRACE,FL,336370935,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,30,3900,4.8804179487,2.8051538462,2.1458282051,2.1479923077
1033112255,SANDERS,CHARLES,E,M.D.,M,I,12662 TELECOM DR,,TEMPLE TERRACE,FL,336370935,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,19,40,131,131,24,24,18.245343511,18.245343511
1033112255,SANDERS,CHARLES,E,M.D.,M,I,12662 TELECOM DR,,TEMPLE TERRACE,FL,336370935,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,18,45,176,233,16,16,12.110171674,12.110171674
1033112263,CARLIN,LANE,R,M.D.,M,I,12670 WHITEHALL DR,,FORT MYERS,FL,339073619,US,Physician/Neurology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,272,84.119485294,4.91,3.4209926471,3.7433088235
1033112347,HAND,RACHEL,,PAC,F,I,1122 NE 13TH ST,ORB 1200,OKLAHOMA CITY,OK,731171039,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,22,53,63.939811321,8.32,6.0290566038,6.0290566038
1033112438,DESMOND,JOHN,J,MD,M,I,304 SHORTER AVE NW,SUITE 201,ROME,GA,301654290,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,78,207,58.883091787,8.32,6.1299516908,6.1299516908
1033112438,DESMOND,JOHN,J,MD,M,I,304 SHORTER AVE NW,SUITE 201,ROME,GA,301654290,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,2.65,2.65
1033112438,DESMOND,JOHN,J,MD,M,I,304 SHORTER AVE NW,SUITE 201,ROME,GA,301654290,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,35,16.719428571,1.42,0.9551428571,0.9551428571
1033112438,DESMOND,JOHN,J,MD,M,I,304 SHORTER AVE NW,SUITE 201,ROME,GA,301654290,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,39,93.056410256,17.29,12.695128205,12.687435897
1033112438,DESMOND,JOHN,J,MD,M,I,304 SHORTER AVE NW,SUITE 201,ROME,GA,301654290,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,57,559.58649123,71.352105263,50.524912281,49.681578947
1033112446,HOLT,GRAHAM,,O.D.,M,I,211 MCAULEY CT,,HOT SPRINGS,AR,719136314,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,66,69,69,64.828550725,64.579275362,46.047536232,48.129710145
1033112446,HOLT,GRAHAM,,O.D.,M,I,211 MCAULEY CT,,HOT SPRINGS,AR,719136314,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,39,41,79,51.594936709,51.594936709,37.626075949,40.113164557
1033112446,HOLT,GRAHAM,,O.D.,M,I,211 MCAULEY CT,,HOT SPRINGS,AR,719136314,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,35,69,70.144927536,70.030434783,52.222463768,51.43115942
1033112446,HOLT,GRAHAM,,O.D.,M,I,211 MCAULEY CT,,HOT SPRINGS,AR,719136314,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,49,51,102,21.950980392,21.031960784,16.427352941,14.146960784
1033112479,ESTEP,ROGER,P,M.D.,M,I,2116 EAST SECTION STREET,,MOUNT VERNON,WA,982749124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,89,59.701011236,8.32,5.3384269663,5.3384269663
1033112479,ESTEP,ROGER,P,M.D.,M,I,2116 EAST SECTION STREET,,MOUNT VERNON,WA,982749124,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,65.7,43.585384615,46.682307692
1033112503,SUMANQUI,NORRIL,,MD,M,I,1212 S MAIN ST,,SALINAS,CA,939012260,US,Physician/Internal Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,601,4.218718802,3.1,2.1916139767,2.1916139767
1033112560,HURD,HOWARD,P,MD,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,35.178333333,17.27,13.54,13.54
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,47,126,54.818650794,8.2971428571,5.6236507937,5.6236507937
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,19,14.950526316,3.38,2.5105263158,2.5105263158
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,30,40,14.16775,1.42,0.97675,0.97675
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,3.21,2.91,2.0911458333,2.0911458333
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,7.98,6.44,4.8454166667,4.8454166667
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.52,7,5.0306666667,5.0306666667
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.77,4.04,3.1675,3.1675
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,960,0.15,0.09,0.064625,0.064625
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.35,0.26,0.2038,0.21095
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,163.36818182,54.47,42.71,42.846363636
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,50.570833333,11.54,9.05,9.1141666667
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,18,184.01555556,53.41,36.74,36.092222222
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,84.450833333,17.435,12.357916667,12.225833333
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,4066.4444444,1074.31,833.84407407,833.84407407
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,42.232857143,4.7214285714,3.22,3.2171428571
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,51,538.84,70.465686275,50.833921569,50.461764706
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,250,37.44,29.35,29.492222222
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,20.375650794,11.289047619,8.6336507937,8.6336507937
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1499,1.2676984656,0.1389259506,0.0883455637,0.0883455637
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,55,55,58.614909091,20.942,14.595272727,12.729454545
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,27.98,8.4116666667,5.555,5.475
1033112602,DWIVEDI,GHANSHYAM,P,MD,M,I,1778 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,72.678571429,33,22.224642857,22.224642857
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,436,22.02087156,12.437362385,9.7509633028,10.293990826
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,193,450,373.44,292.77580311,292.77580311
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,186,10,9.35,7.33,7.33
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,193,30,29.22,22.908601036,22.908601036
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,85,8340,4.2429148681,0.5619148681,0.4405359712,0.4405311751
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2250,0.0998266667,0.0134666667,0.0105644444,0.0105644444
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,47,5630,3.7957211368,1.2867992895,1.0088348135,1.0088312611
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,4440,3.9644211712,2.8508108108,2.2350202703,2.2350202703
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,80,80,24,24,18.82,18.82
1033112818,LEE,SUNGCHUN,,M.D.,M,I,21410 N 19TH AVE,SUITE 131,PHOENIX,AZ,850272738,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,89,98,16,16,12.540306122,12.540306122
1033112875,BOONE,DAVID,W,MD,M,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,60.36,19.364210526,13.665263158,12.503157895
1033112875,BOONE,DAVID,W,MD,M,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,27.4195,8.4365,6.0205,5.8635
1033112875,BOONE,DAVID,W,MD,M,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,36,92.19,74.55,56.975833333,61.121111111
1033112875,BOONE,DAVID,W,MD,M,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,138.87,124.71,91.1225,88.880833333
1033112875,BOONE,DAVID,W,MD,M,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,73,75,75,290,267.1436,205.4016,214.57586667
1033112958,VILLANUEVA,ROBERTO,M,M.D.,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,60,157,58.70433121,8.301656051,5.8846496815,5.8989808917
1033112958,VILLANUEVA,ROBERTO,M,M.D.,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,18,13.601666667,1.42,0.9911111111,0.9911111111
1033112958,VILLANUEVA,ROBERTO,M,M.D.,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,23,22.652173913,6.1169565217,4.0491304348,3.5934782609
1033112958,VILLANUEVA,ROBERTO,M,M.D.,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,37,519.51,90.772162162,69.677567568,57.627297297
1033112958,VILLANUEVA,ROBERTO,M,M.D.,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,17,250,37.965882353,29.762941176,29.51
1033112958,VILLANUEVA,ROBERTO,M,M.D.,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,102.68214286,19.825714286,13.190714286,12.246428571
1033112958,VILLANUEVA,ROBERTO,M,M.D.,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,654.12222222,164.13333333,128.68333333,126.78333333
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,31,71,67.783943662,8.32,6.1547887324,6.1547887324
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,18,14.506666667,1.42,1.0527777778,1.0527777778
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,7.9466666667,5.36,3.6294583333,3.6294583333
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,259.81733333,128.22466667,90.483333333,58.802
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,41,97.112195122,48.418292683,35.815609756,23.906585366
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,74,63.507567568,24.804054054,17.651486486,12.875540541
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,22,22,175.42954545,74.967272727,50.203636364,35.067272727
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,17,17,56.414117647,25.415294118,19.921176471,14.06
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,34,34,61.315,21.212941176,15.242647059,7.845
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,37,199,8.177638191,3.1795979899,2.3812060302,1.4922613065
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,80,80,82.1625,22.649875,16.71075,13.168
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,219.99157895,49.144210526,35.808421053,35.42
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,108,108,399.94814815,103.03703704,76.909351852,55.026018519
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,96.923076923,44.900769231,35.204615385,33.881538462
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,38,5818,1.7293537298,0.1334668271,0.0967463046,0.0967463046
1033113006,FARINHA,PEDRO,L,M.D.,M,I,1041 N CHINA LAKE BLVD,STE A,RIDGECREST,CA,935553168,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,56.76,33,22.7656,22.7656
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,79,215,42.38,8.32,5.8315348837,5.8315348837
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,14.656,3.38,2.5175,2.5175
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,22.173333333,2.12,1.5308333333,1.5308333333
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,42,75,14.557333333,1.42,0.9952,0.9952
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,8.19,1.25,0.98,1.15
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,17,519.51,70.78,49.456470588,48.958235294
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,3975,0.17,0.0452100629,0.0333559748,0.0333559748
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,2040,0.92,0.1346029412,0.0961911765,0.0961911765
1033113360,WRIGHT,ANGELA,O,MD,F,I,2467 GOLDEN CAMP RD,,AUGUSTA,GA,309065515,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,38,38,129.39473684,33,24.683684211,24.683684211
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,32,111,42.143243243,8.32,6.1696396396,6.1696396396
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,13,22,22,12.767272727,3.38,2.65,2.65
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,15,19,19,17.551578947,2.12,1.67,1.67
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,29,52,14.139038462,1.42,1.0496153846,1.0496153846
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,23.815384615,22.05,17.29,18.6
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,53.430909091,53.430909091,41.891818182,43.347272727
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.63,17.63,12.668333333,12.4025
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.1836363636,5.63,5.0154545455
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,165.45454545,33.409090909,26.196363636,25.116363636
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,76.48,76.48,54.963333333,50.16
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,3898,0.5040636224,0.0460749102,0.0314186762,0.0314186762
1033113386,RIVERO,ANGELINA,A,MD,F,I,874 W HIGHWAY 243,STE 115,KAUFMAN,TX,751421800,US,Physician/Obstetrics & Gynecology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,22.63625,22.63625
1033113493,HILMY,M.,S,MD,M,I,2310 N. ED CAREY DRIVE,SUITE 1A,HARLINGEN,TX,78550,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,33.48,11.51,9.03,9.1135714286
1033113493,HILMY,M.,S,MD,M,I,2310 N. ED CAREY DRIVE,SUITE 1A,HARLINGEN,TX,78550,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,46,6.4469565217,2.05,1.6058695652,1.5932608696
1033113493,HILMY,M.,S,MD,M,I,2310 N. ED CAREY DRIVE,SUITE 1A,HARLINGEN,TX,78550,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,58.622727273,32.520909091,23.37,23.375909091
1033113519,POLLARD,LOLA,M,PA-C,F,I,101 PEABODY DR,,WEBSTER,SD,57274,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,25,72,168,58.182083333,8.32,5.6881547619,5.6881547619
1033113519,POLLARD,LOLA,M,PA-C,F,I,101 PEABODY DR,,WEBSTER,SD,57274,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,36,20.657777778,1.42,1.0844444444,1.0844444444
1033113519,POLLARD,LOLA,M,PA-C,F,I,101 PEABODY DR,,WEBSTER,SD,57274,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3139,0.6440490602,0.0468525008,0.0297164702,0.0297164702
1033113519,POLLARD,LOLA,M,PA-C,F,I,101 PEABODY DR,,WEBSTER,SD,57274,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,23.518181818,23.518181818
1033113568,STUNER,MARY,M,CFNP,F,I,"11116 PINE GROVE ROAD, SUITE B",,VESTABURG,MI,48891,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,111,51.221981982,8.32,5.8851351351,5.8851351351
1033113568,STUNER,MARY,M,CFNP,F,I,"11116 PINE GROVE ROAD, SUITE B",,VESTABURG,MI,48891,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,12.476086957,1.42,1.0665217391,1.0665217391
1033113568,STUNER,MARY,M,CFNP,F,I,"11116 PINE GROVE ROAD, SUITE B",,VESTABURG,MI,48891,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,519.51,104.06769231,76.993846154,53.635384615
1033113691,RUBIN,RAYMOND,A,M.D.,M,I,1968 PEACHTREE RD NW,"77 BUILDING, 5TH FLOOR",ATLANTA,GA,303091281,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,20,95,18270,5.0535073892,0.5573021346,0.4056951286,0.4237651888
1033113691,RUBIN,RAYMOND,A,M.D.,M,I,1968 PEACHTREE RD NW,"77 BUILDING, 5TH FLOOR",ATLANTA,GA,303091281,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,16,88,9000,3.28538,1.25636,0.8511355556,0.9704422222
1033113691,RUBIN,RAYMOND,A,M.D.,M,I,1968 PEACHTREE RD NW,"77 BUILDING, 5TH FLOOR",ATLANTA,GA,303091281,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,1020,4.3738529412,2.7790588235,2.0260196078,2.0260196078
1033113691,RUBIN,RAYMOND,A,M.D.,M,I,1968 PEACHTREE RD NW,"77 BUILDING, 5TH FLOOR",ATLANTA,GA,303091281,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,840,18.982714286,7.5481428571,5.9177619048,5.9177619048
1033113691,RUBIN,RAYMOND,A,M.D.,M,I,1968 PEACHTREE RD NW,"77 BUILDING, 5TH FLOOR",ATLANTA,GA,303091281,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,23,91,91,24,24,18.25021978,18.25021978
1033113691,RUBIN,RAYMOND,A,M.D.,M,I,1968 PEACHTREE RD NW,"77 BUILDING, 5TH FLOOR",ATLANTA,GA,303091281,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,24,96,126,16,16,12.343333333,12.343333333
1033113881,BOORTZ-MARX,RICHARD,L,MD,M,I,2100 ERWIN RD,,DURHAM,NC,277053941,US,Physician/Anesthesiology,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,49,12.972727273,10.173636364,8.2472727273
1033113881,BOORTZ-MARX,RICHARD,L,MD,M,I,2100 ERWIN RD,,DURHAM,NC,277053941,US,Physician/Anesthesiology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1019.8,203.11727273,159.23909091,119.03
1033113949,RHOTON,ERIC,L,MD,M,I,7 VANDERBILT PARK DR,,ASHEVILLE,NC,288031700,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,134.865,49.543333333,38.844166667,38.0975
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,30,78,204,62.66377451,8.32,6.0427941176,6.0427941176
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,14.65,3.38,2.65,2.65
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,39,49,13.764693878,1.42,1.0710204082,1.0710204082
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,36,12.703333333,7.46,3.5744444444,3.5744444444
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,24,24,154.11541667,39.256666667,30.778333333,30.518333333
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,34,73,73,482.46205479,91.991232877,65.486712329,61.429589041
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,32,77,187,181.99229947,34.806096257,25.619893048,24.26855615
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,14,34,172,116.95162791,19.781627907,13.68377907,12.821453488
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,29,146,66.787328767,15.238219178,11.946575342,11.894452055
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,24,52,52,290.55423077,57.277307692,42.529423077,40.546923077
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,53,79,79,87.61164557,18.565189873,14.070759494,13.681012658
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,38.179090909,10.11,7.2090909091,7.4345454545
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,45,105,106,97.341509434,12.776886792,9.748490566,8.8717924528
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,55,138,728,12.424010989,2.0857417582,1.5538736264,1.5099450549
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,26,34,34,31.059411765,6.3558823529,4.6997058824,4.3814705882
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,36,53,53,61.876792453,13.220188679,10.072830189,10.040188679
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,168,191,63.929319372,17.901308901,12.856020942,12.437539267
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,12,51,64,222.07265625,51.0996875,38.78046875,36.5778125
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,26,632.43,88.311538462,63.158076923,61.970384615
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,45,49,81.75,13.634489796,10.471428571,10.270408163
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,50.73,4.055625,2.5290625,2.97875
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,13,64,70,280.94942857,32.552571429,24.111142857,23.914857143
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,16,21,21,243.49285714,70.74,44.896190476,44.896190476
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,68,554,580,463.37813793,80.22412069,58.33112069,51.581862069
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,53,198.35849057,38.010377358,29.236226415,28.98490566
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,4536,0.1690454145,0.0461485891,0.0361816578,0.0361816578
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1020,10.277137255,2.9406176471,2.3054509804,2.3054509804
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,285.6,38,28.54875,28.397083333
1033114053,REEVES,ROBERT,H,M.D.,M,I,175 S UNION BLVD,STE 350,COLORADO SPRINGS,CO,809103146,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,41,41,117.51219512,33,24.60804878,24.60804878
1033114178,JUPINA,DAVID,J,M.D.,M,I,4626 WILLOW RD,SUITE 200,PLEASANTON,CA,945888517,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,265,133.89,104.97,89.060909091
1033114244,STRAUSS,KELLI,A,MD,F,I,13620 CRAYTON BOULEVARD,,HAGERSTOWN,MD,21742,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,50,147,80.581428571,8.32,5.1592517007,5.1592517007
1033114244,STRAUSS,KELLI,A,MD,F,I,13620 CRAYTON BOULEVARD,,HAGERSTOWN,MD,21742,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,31,39,13.744871795,1.42,0.8025641026,0.8025641026
1033114269,BENET,ALEXANDRU,E,M.D.,M,I,215 MEDICAL PARK DR,STE 2,ANDALUSIA,AL,364205311,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1800,2.7873333333,2.038,1.4383555556,1.4399222222
1033114269,BENET,ALEXANDRU,E,M.D.,M,I,215 MEDICAL PARK DR,STE 2,ANDALUSIA,AL,364205311,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,6840,12.841052632,7.23,5.6332909357,5.6332909357
1033114384,MENON,PREM,K,M. D.,M,I,5217 FLANDERS DR,,BATON ROUGE,LA,708089169,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,72.96,19.681818182,15.430454545,15.430454545
1033114384,MENON,PREM,K,M. D.,M,I,5217 FLANDERS DR,,BATON ROUGE,LA,708089169,US,Physician/Allergy/ Immunology,S,J1557,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,1850,379.33915676,51.323437838,40.237578378,40.237578378
1033114384,MENON,PREM,K,M. D.,M,I,5217 FLANDERS DR,,BATON ROUGE,LA,708089169,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,75,6590,198.13903642,40.08814264,30.916362671,30.916362671
1033114384,MENON,PREM,K,M. D.,M,I,5217 FLANDERS DR,,BATON ROUGE,LA,708089169,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,3160,197.58718671,41.674303797,32.640990506,32.640990506
1033114384,MENON,PREM,K,M. D.,M,I,5217 FLANDERS DR,,BATON ROUGE,LA,708089169,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,49,8.55,2.6367346939,2.0673469388,2.0673469388
1033114384,MENON,PREM,K,M. D.,M,I,5217 FLANDERS DR,,BATON ROUGE,LA,708089169,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,49,441.11020408,357.38571429,280.18857143,280.18857143
1033114533,KREBS,MICHAEL,,M.D.,M,I,12121 RICHMOND AVENUE,STE 422,HOUSTON,TX,770822439,US,Physician/Physical Medicine and Rehabilitation,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,26,26,125,56.194615385,44.057692308,39.749230769
1033114533,KREBS,MICHAEL,,M.D.,M,I,12121 RICHMOND AVENUE,STE 422,HOUSTON,TX,770822439,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,168.13684211,15.872631579,12.367894737,13.713684211
1033114533,KREBS,MICHAEL,,M.D.,M,I,12121 RICHMOND AVENUE,STE 422,HOUSTON,TX,770822439,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,21,156,156,196.19269231,23.782564103,17.998333333,20.693012821
1033114533,KREBS,MICHAEL,,M.D.,M,I,12121 RICHMOND AVENUE,STE 422,HOUSTON,TX,770822439,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,94,94,39.583191489,7.4129787234,5.8112765957,6.2860638298
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,31,74,208,47.094423077,8.31375,5.9121153846,5.9170192308
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.728461538,3.38,2.65,2.65
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,37,67,10.534925373,1.4152238806,1.0279104478,1.031641791
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,24,45,8.0842222222,2.1626666667,1.5542222222,1.0848888889
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,34,155.03176471,46.177058824,36.202941176,27.246470588
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,76.244545455,24.232727273,17.578181818,13.489090909
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,63,13.716190476,3.1885714286,2.5001587302,1.7223809524
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,134.6,83.974166667,64.623333333,49.323333333
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,77.94375,27.3275,20.180208333,14.967916667
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,25,25,148,58.5716,42.6204,35.6876
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,43.533461538,9.0153846154,6.7461538462,3.8515384615
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,84,84,409.24369048,96.696666667,68.519166667,51.170833333
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,15.58,9.644,7.5484444444,7.5484444444
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,4680,0.1653739316,0.046542735,0.0305811966,0.0305811966
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1470,0.9402653061,0.1335918367,0.0806258503,0.0806258503
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9921333333,2.3458555556,2.3458555556
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,20,213.2,95.441,72.0525,54.48
1033114566,BRUTON,RONALD,F,MD,M,I,250 DRILLERS RD,,MOUNTAIN HOME,AR,726535186,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,53,53,122.66037736,33,21.96509434,21.96509434
1033114673,SCHOOLEY,CHAD,C,MD,M,I,2222 N NEVADA AVE STE 4007,,COLORADO SPRINGS,CO,809076863,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,72,72,220,79.8,55.897638889,48.962361111
1033114673,SCHOOLEY,CHAD,C,MD,M,I,2222 N NEVADA AVE STE 4007,,COLORADO SPRINGS,CO,809076863,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,200,38,29.79,29.545
1033114749,CLINE,CHARLES,W,MD,M,I,1200 BROOKS LANE,170,JEFFERSON HILLS,PA,150253749,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,210,8.1551428571,4.03,3.0777142857,3.0777142857
1033114749,CLINE,CHARLES,W,MD,M,I,1200 BROOKS LANE,170,JEFFERSON HILLS,PA,150253749,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,650,0.6692307692,0.27,0.1953230769,0.1953230769
1033114749,CLINE,CHARLES,W,MD,M,I,1200 BROOKS LANE,170,JEFFERSON HILLS,PA,150253749,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,13.89,4.99,3.912,4.10025
1033114749,CLINE,CHARLES,W,MD,M,I,1200 BROOKS LANE,170,JEFFERSON HILLS,PA,150253749,US,Physician/General Surgery,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6228,1.2273603083,0.37,0.2900770713,0.2900770713
1033114749,CLINE,CHARLES,W,MD,M,I,1200 BROOKS LANE,170,JEFFERSON HILLS,PA,150253749,US,Physician/General Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,5.01,3.93,3.93
1033114822,JACOBS,JAMES,M,DPM,M,I,23230 RED RIVER DR,,KATY,TX,774942046,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,21,21,340,251.28,194.2347619,210.91285714
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,47,159,312,52.449967949,8.32,5.7278525641,5.7278525641
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,22,42,68,14.690735294,1.42,1.0322058824,1.0322058824
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,24,24,103.815,48.355833333,33.694166667,27.174166667
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,387.65214286,117.345,76.584285714,56.296428571
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,182.89375,45.8678125,32.93625,24.389375
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,20,20,56.3725,25.2145,19.061,14.247
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,28,118,8.5690677966,3.0579661017,2.3160169492,1.5831355932
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,34.58,15.537272727,11.152727273,9.6490909091
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,392,2.5233163265,2.3166836735,1.8162755102,2.4142346939
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,7369,0.7068136789,0.4864119962,0.3694558285,0.2961134482
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,22.253636364,14.732727273,11.07
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,40.36,16.453714286,11.576,9.3134285714
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,6.7183333333,4.8627777778,3.1911111111
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,38,38,156.90947368,48.14,35.019210526,22.713947368
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,19.64,14.026470588,10.998235294,9.2170588235
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,105.64941176,13.539411765,10.617647059,8.5941176471
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,366.2,216.3725,157.67416667,157.67416667
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,443.49782609,101.79913043,71.552391304,51.310217391
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2905,0.148919105,0.0459139415,0.0321962134,0.0321962134
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,61.24,45.31,29.157692308,18.701538462
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,142.83076923,45.274615385,34.233846154,30.031923077
1033114871,WIEDEL,GREGORY,L,M.D.,M,I,455 KANSAS AVE SE,,HURON,SD,573502522,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,33,33,23.738275862,23.738275862
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,67,5.3398507463,4.21,3.2032835821,3.2032835821
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,34,16.842058824,7.88,5.8164705882,6.0555882353
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,40,6.048,4.0875,3.04275,3.2085
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,370,89.420486486,3.5703783784,2.7991351351,2.3676756757
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,10812,1.8023695893,0.3272262301,0.256545505,0.2418618202
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,7,16,108,108,3000.5598148,1074.31,817.16675926,817.16675926
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,32,34,674.58823529,417.02441176,277.02441176,279.31147059
1033114889,FELICE,KEVIN,J,D.O.,M,I,2150 CORBIN AVE,,NEW BRITAIN,CT,060532266,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,120.43666667,44.016666667,34.508333333,34.508333333
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,25,60,137,71.497810219,8.32,5.0466423358,5.0466423358
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,21,31,15.358387097,1.42,0.9716129032,0.9716129032
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,26.55,26.55,19.592727273,20.965
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,28,10.387142857,10.348571429,7.8285714286,8.2482142857
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,1664,0.4558653846,0.44,0.3366887019,0.3366887019
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,640,2.4223125,2.4,1.88165625,1.88165625
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,1883,0.4558417419,0.4485979819,0.3310886883,0.3321667552
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,32,81.0084375,21.985,16.3025,13.436875
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,37,427.88297297,100.68324324,76.112702703,56.42
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,J7611,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3300,0.3490909091,0.1530909091,0.1098333333,0.1098333333
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,3595,1.6601696801,0.1330598053,0.0920194715,0.0920194715
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,12.86,3.0004782609,2.1444637681,2.1444637681
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,21,60,32.102857143,22.653333333,18.06
1033114939,FERNANDEZ,MARK,A,M.D.,M,I,920 WEST ST,STE 311,PERU,IL,613542770,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,78.964285714,33,24.022142857,24.022142857
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,36,104,375,72.305386667,8.32,5.5358666667,5.5358666667
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,33,67,14.72880597,1.42,1.0128358209,1.0128358209
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,80.37,18.813636364,14.742727273,14.055454545
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,77.697857143,11.54,9.05,9.115
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,91,12.403736264,2.2023076923,1.7278021978,1.5927472527
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,463.87652174,110.17782609,86.37826087,70.417391304
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,81.75,16.690526316,13.086315789,10.48
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,14,45.034285714,4.6185714286,3.3807142857,3.3785714286
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,160.055,35.127857143,26.689285714,26.361428571
1033114988,WILLIAMS,MARK,A,MD,M,I,301 MED TECH PKWY,STE 240,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,33,500.08515152,72.693030303,55.17969697,54.290606061
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,20,55,58.796181818,8.32,6.3041818182,6.3041818182
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,24,18.813333333,1.42,1.1158333333,1.1158333333
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,38,8.19,1.8515789474,1.4531578947,1.1536842105
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,97.355833333,18.878333333,14.800833333,14.06
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,69.58125,11.4625,8.991875,9.129375
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,94,10.289361702,2.1206382979,1.6295744681,1.5588297872
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,35,36,50.73,6.3002777778,4.9375,3.92
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,49,13730,0.2086110706,0.0463066278,0.0363066278,0.0363066278
1033115076,JALALI,HAMID,R,D.O.,M,I,11946 HIGHWAY 62 N,,ORANGE,TX,776324004,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,43,43,113.09302326,33,25.87,25.87
1033115100,SUMNER,RICHARD,E,M.D.,M,I,6740 CROSSWINDS DR N,STE C,ST PETERSBURG,FL,337105472,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,51,61.910784314,8.32,6.01,6.01
1033115100,SUMNER,RICHARD,E,M.D.,M,I,6740 CROSSWINDS DR N,STE C,ST PETERSBURG,FL,337105472,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,14.446666667,1.42,1.12,1.12
1033115100,SUMNER,RICHARD,E,M.D.,M,I,6740 CROSSWINDS DR N,STE C,ST PETERSBURG,FL,337105472,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,25.119230769,25.119230769
1033115118,SCHMIDT,ANDREW,H,M.D.,M,I,914 S 8TH ST,SUITE 600,MINNEAPOLIS,MN,554041210,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,114.72909091,85.542727273,85.536363636
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,71,222,64.955945946,8.32,6.2283783784,6.2283783784
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,19,36,11.319166667,1.42,1.0527777778,1.0527777778
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,133.91461538,45,32.566153846,33.405384615
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,134.38,49.9,39.11875,38.165625
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,134.38,52.344210526,33.092631579,34.132631579
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,147.28526316,16.358947368,12.821052632,13.480526316
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,34.177222222,4.0905555556,3.0477777778,3.665
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,457.19813953,77.789302326,56.242790698,50.746744186
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,14,14,14,78.107142857,33.897142857,26.577142857,29.108571429
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,16,1830,2.0568852459,0.1387540984,0.0970054645,0.0970054645
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,69.89,19.25,15.09,15.895555556
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,16,82,82,108.395,24.788536585,18.362926829,20.773536585
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,58,58,20.32,8.1765517241,5.9081034483,6.2851724138
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,37,29.01,29.51
1033115134,LITMAN,STEPHEN,E,MD,M,I,1811 BETHLEHEM PIKE,SUITE A-108,FLOURTOWN,PA,190311111,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,17,17,33,33,24.348235294,24.348235294
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,2370,1.4021476793,0.5012531646,0.384814346,0.384814346
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,1980,6.673540404,2.5488181818,1.9032626263,1.9032424242
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,8760,1.4673767123,1.2447945205,0.9611586758,0.9611586758
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,104,315,1660,238082,5.1200396502,0.5691058543,0.4228735058,0.4271006208
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,13800,0.59695,0.4498804348,0.3393246377,0.3393246377
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,50,230,1205,185235,0.0812317327,0.0130252922,0.0096336545,0.0096361919
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,21,116,18510,1.8371701783,0.737732577,0.5537839006,0.5537839006
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,71,221,1131,156114,3.5734255096,1.276416593,0.9571536185,0.9677519633
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,26,77,418,50442,4.224106895,2.8369539273,2.1804206812,2.1887371635
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,63,3894,18.687562917,7.4705110426,5.7508680021,5.7508680021
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,13,9120,11.008461623,8.4782368421,6.6334550439,6.6334550439
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,15,15,50,50,35.084666667,35.084666667
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,120,356,1653,1653,24,24,18.164658197,18.164658197
1033115142,BOSSIE,ANDREA,L,"MS, RN, CNN, FNP-C",F,I,1968 PEACHTREE RD NW,BLDG 77 5TH FLOOR,ATLANTA,GA,303091281,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,105,370,2189,3054,16.146692862,16,12.046263916,12.046263916
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,37,84,43.542857143,8.32,5.8223809524,5.8223809524
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,24,31,13.07483871,1.42,1.0077419355,1.0077419355
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,2.34,1.92,1.4189583333,1.5130416667
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,758,0.1859366755,0.13,0.101939314,0.101939314
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,133,55.305384615,43.363076923,26.970769231
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,43,516.25953488,106.7372093,82.294883721,55.340930233
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2160,1.4138888889,0.1345,0.1054814815,0.1054814815
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,111.99,45.351818182,35.55,21.773636364
1033115159,PICOU,MARGUERITE,B,M.D.,F,I,1029 KEYSER AVENUE,STE G,NATCHITOCHES,LA,714576239,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,93.5,33,25.87,25.87
1033115175,HEISKELL,ERIN,F,MD,F,I,130 COUNTY RD,,IPSWICH,MA,019382585,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,37.6,11.291818182,8.8509090909,9.2118181818
1033115175,HEISKELL,ERIN,F,MD,F,I,130 COUNTY RD,,IPSWICH,MA,019382585,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,174.69,47.867272727,33.356363636,34.29
1033115175,HEISKELL,ERIN,F,MD,F,I,130 COUNTY RD,,IPSWICH,MA,019382585,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,147,49.285714286,37.453809524,35.43952381
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,30,87,267,66.653558052,8.32,5.7165917603,5.7165917603
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.17,3.38,2.5214285714,2.5214285714
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,28,54,14.386851852,1.42,1.0722222222,1.0722222222
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,154.6675,55,35.933333333,35.738333333
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,108,8.2216666667,2,1.3940740741,1.4168518519
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,86.31,17.1,12.963,13.094333333
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,25,42.6444,5.888,4.618,3.6928
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,102.7,33.63,23.738333333,22.3825
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,54,474.01611111,77.5,57.384444444,51.801111111
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6371428571,7.3847142857,7.3847142857
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,6369,0.2385492228,0.046492385,0.0350070655,0.0350070655
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,3.0519285714,2.3927380952,2.3927380952
1033115241,GOSAI,KAMLESH,B,M.D.,M,I,119 WILSON RD,,BENTLEYVILLE,PA,153141027,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,83.769230769,33,25.206666667,25.206666667
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,103,171,171,92.728538012,38.554444444,28.247134503,28.461929825
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,49,85,85,198.92376471,85.004352941,63.132823529,64.203647059
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,38,75,162,83.075246914,32.598395062,23.694753086,24.038333333
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,52,91,445,51.096764045,18.547438202,13.29611236,13.291235955
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,29,54,274,35.359817518,14.831350365,10.95959854,11.162773723
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,98,163,163,130.86717791,57.083006135,41.368527607,39.702208589
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,138,180,180,36.805722222,17.628444444,12.827611111,13.047277778
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,32,36,36,28.896666667,10.316388889,7.9283333333,7.9722222222
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,41,70,70,43.805,11.5,7.9041428571,7.9927142857
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,141,265,1345,5.6502453532,2.028936803,1.4441710037,1.4433011152
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,23,23,15.753043478,5.7760869565,4.337826087,4.4473913043
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,74,92,92,54.004891304,13.3375,9.6639130435,9.5536956522
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,408.33333333,84.187916667,60.826041667,62.147291667
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,719.12,236.989375,181.451875,163.733125
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,48,48,48,322.13875,135.11770833,94.753958333,93.45375
1033115258,MATIN,ABUL,F,"M.D., PH.D.",M,I,993-C JOHNSON FERRY ROAD,STE 301,ATLANTA,GA,30342,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,73,474,474,198.49350211,33.126687764,23.78943038,23.401244726
1033115332,HARRIS,KATHI,L,CRNP,F,I,222 N 5TH ST,,MARTINS FERRY,OH,439351582,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,73,152,55.156052632,8.32,5.9215131579,5.9215131579
1033115332,HARRIS,KATHI,L,CRNP,F,I,222 N 5TH ST,,MARTINS FERRY,OH,439351582,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,37,39,17.138205128,1.42,0.9753846154,0.9753846154
1033115332,HARRIS,KATHI,L,CRNP,F,I,222 N 5TH ST,,MARTINS FERRY,OH,439351582,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,20,4.81625,2.0853125,1.873125
1033115332,HARRIS,KATHI,L,CRNP,F,I,222 N 5TH ST,,MARTINS FERRY,OH,439351582,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,11.114545455,7.7136363636,7.7672727273
1033115332,HARRIS,KATHI,L,CRNP,F,I,222 N 5TH ST,,MARTINS FERRY,OH,439351582,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,270,84.201818182,66.015454545,54.722727273
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,53,148,361,69.159279778,8.318199446,5.8203878116,5.821800554
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,24,50,62,13.828709677,1.42,0.9909677419,0.9909677419
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,462,7.835995671,7,5.488008658,5.488008658
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,6.408,3.04,2.3835,2.3835
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,211.83454545,55.67,39.736363636,39.058181818
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,8.7933333333,2.005,1.5722222222,1.5877777778
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,10470,0.6936962751,0.33,0.2587125119,0.2430353391
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,15,9.5090909091,7.4490909091,7.3681818182
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,22,22,119.22,52.895,37.381818182,34.522272727
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,46.76,17.883333333,14.019,13.54
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,49.272352941,3.9388235294,2.9205882353,3.4047058824
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,67,437.85880597,77.275074627,59.681044776,54.595671642
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,28,2867,1.8368364144,0.1346355075,0.0951621904,0.0951621904
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,38.522727273,27.533636364,22.33
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,37,37,70.946486486,33.360810811,22.168918919,17.801891892
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,26.194482759,9.2255172414,6.76,6.0527586207
1033115423,STRINGER,PATRICIA,M,MD,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,33,33,24.745217391,24.745217391
1033115431,WENTWORTH,JENNIFER,,M.D.,F,I,825 2ND AVE,,BOWLING GREEN,KY,421011786,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,28,28,28,81.105,67.5925,51.06,49.551071429
1033115431,WENTWORTH,JENNIFER,,M.D.,F,I,825 2ND AVE,,BOWLING GREEN,KY,421011786,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,26,58.555,48.919230769,38.355384615,42.346153846
1033115431,WENTWORTH,JENNIFER,,M.D.,F,I,825 2ND AVE,,BOWLING GREEN,KY,421011786,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,20,43.55,39.806,29.561,39.476
1033115431,WENTWORTH,JENNIFER,,M.D.,F,I,825 2ND AVE,,BOWLING GREEN,KY,421011786,US,Physician/Ophthalmology,S,V2784,"Lens, polycarbonate or equal, any index, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,28.781923077,28.293461538,22.181923077,32.098076923
1033115464,SYMES,PHILIP,H,MD,M,I,2500 W 12TH ST,,ERIE,PA,165054508,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,17,1680,42.519095238,5.2732380952,4.0488214286,4.0488214286
1033115464,SYMES,PHILIP,H,MD,M,I,2500 W 12TH ST,,ERIE,PA,165054508,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,18,5540,18.136940433,1.0769169675,0.8184079422,0.8184079422
1033115464,SYMES,PHILIP,H,MD,M,I,2500 W 12TH ST,,ERIE,PA,165054508,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,24,24,18.82,18.82
1033115464,SYMES,PHILIP,H,MD,M,I,2500 W 12TH ST,,ERIE,PA,165054508,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,19,16,16,12.54,12.54
1033115639,MORSE,MIRIAM,G,MD,F,I,1300 BRADEN ST,,JACKSONVILLE,AR,720763719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,30,61.124,8.32,5.8696666667,5.8696666667
1033115639,MORSE,MIRIAM,G,MD,F,I,1300 BRADEN ST,,JACKSONVILLE,AR,720763719,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,15,10.81,8.475,8.475
1033115639,MORSE,MIRIAM,G,MD,F,I,1300 BRADEN ST,,JACKSONVILLE,AR,720763719,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,540,0.5347222222,0.4,0.2903703704,0.2903703704
1033115639,MORSE,MIRIAM,G,MD,F,I,1300 BRADEN ST,,JACKSONVILLE,AR,720763719,US,Physician/Family Practice,S,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,270,6.1481481481,5.5618518519,3.983037037,6.2885925926
1033115639,MORSE,MIRIAM,G,MD,F,I,1300 BRADEN ST,,JACKSONVILLE,AR,720763719,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,146.66666667,30.2775,23.735,25.04
1033115712,COHEN,ROBERT,H,M.D.,M,I,1 COMMERCE ST,INTERNAL MEDICINE,LINCOLN,RI,028651168,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,26,50,72.9722,8.32,5.8688,5.8688
1033115738,ROTHBERG,FREDERICK,J,DPM,M,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,640,0.48746875,0.44,0.345,0.345
1033115738,ROTHBERG,FREDERICK,J,DPM,M,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,32,32,64,87.18953125,71.56,54.47515625,54.47515625
1033115738,ROTHBERG,FREDERICK,J,DPM,M,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,136,34.945220588,29.19,22.885,22.886544118
1033115738,ROTHBERG,FREDERICK,J,DPM,M,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,232,42.575431034,23.66,18.549396552,18.549396552
1033115738,ROTHBERG,FREDERICK,J,DPM,M,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,368,12.152255435,8.28,6.4917119565,6.4917119565
1033115738,ROTHBERG,FREDERICK,J,DPM,M,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Podiatry,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,30,4400,0.075,0.05,0.0356363636,0.0356363636
1033115738,ROTHBERG,FREDERICK,J,DPM,M,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Podiatry,S,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,27,792,2.5321969697,1.35,1.0584090909,1.0584090909
1033115944,KINRA,KIRAN,,MD,F,I,1375 FLUSHING RD,,FLUSHING,MI,48433,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,20,139.69,56.3,44.14,39.343
1033115944,KINRA,KIRAN,,MD,F,I,1375 FLUSHING RD,,FLUSHING,MI,48433,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,77.544285714,15.866428571,11.607857143,13.122142857
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,41,41,131.70536585,42.64,31.515365854,28.933902439
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.76,1.48,1.16,1.15
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,27,56,56,359.73464286,96.04,71.400357143,64.748214286
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,27,57,130,150.14538462,33.62,25.518307692,25.125692308
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,14,32,109,64.598073394,19.21,12.989174312,12.582477064
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,11,25,113,28.889911504,15.59,11.680973451,11.375486726
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,27,51,51,144.25647059,52.82,38.974117647,40.30254902
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,55,68,68,57.471617647,19.67,15.075588235,13.855735294
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,30,59,59,50.600677966,12.34,9.0144067797,8.5483050847
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,51,113,545,8.3013761468,2.54,1.851853211,1.506146789
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,20,20,14.491,5.92,4.4175,4.4255
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,30,40,40,42.85475,13.64,9.88825,9.617
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,21,152,178,47.898146067,17.5,12.802977528,12.664550562
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,53.69,42.09,41.8
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,12,12,193.8375,47.5,27.93,28.345
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,47.5,37.24,37.63
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,833.1175,833.1175
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,210.35,87.356666667,63.008,62.880666667
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,34,38,81.75,13.823421053,10.264210526,9.9276315789
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,50.73,3.695,2.6441176471,3.2255882353
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,21,119,126,207.60793651,33.076666667,25.073650794,25.217539683
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,42,329,347,324.95492795,78.751325648,57.47778098,51.859365994
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,23,146.5026087,39.98,28.614782609,27.819130435
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,15.58,9.6235217391,7.3836884058,7.3836884058
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,35,5259,0.1687887431,0.0466343411,0.0354991443,0.0354991443
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1596,1.3898120301,0.1336027569,0.1047619048,0.1047619048
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,35,2100,12.86,3.0501142857,2.3229952381,2.3229952381
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,92,92,88.111630435,39.98,29.63673913,28.26423913
1033116025,LABOVE,NEIL,,M.D.,M,I,176 TOLLGATE ROAD,SUITE 202,WARWICK,RI,028864480,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,70,70,122.1,33,25.130857143,25.130857143
1033116058,LATIMER,OTIS,S,M.D.,M,I,3801 BLUE PKWY,,KANSAS CITY,MO,641302807,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,38,108,67.23287037,8.32,4.5891666667,4.5891666667
1033116058,LATIMER,OTIS,S,M.D.,M,I,3801 BLUE PKWY,,KANSAS CITY,MO,641302807,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,23,12.433478261,1.42,0.9208695652,0.9208695652
1033116066,CHALLA,PRAGATHI,,MD,F,I,10771 163RD PL,,ORLAND PARK,IL,604678861,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,65,183,71.693606557,8.32,6.0240983607,6.0240983607
1033116066,CHALLA,PRAGATHI,,MD,F,I,10771 163RD PL,,ORLAND PARK,IL,604678861,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,28,12.449642857,1.42,1.0742857143,1.0742857143
1033116066,CHALLA,PRAGATHI,,MD,F,I,10771 163RD PL,,ORLAND PARK,IL,604678861,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,297,10.5,3.17,2.4851851852,2.3677777778
1033116066,CHALLA,PRAGATHI,,MD,F,I,10771 163RD PL,,ORLAND PARK,IL,604678861,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5873,4.22,0.6597377831,0.5172228844,0.5174323174
1033116066,CHALLA,PRAGATHI,,MD,F,I,10771 163RD PL,,ORLAND PARK,IL,604678861,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.41,3.8866666667,3.645
1033116140,DEUELL,BARBARA,,MD,F,I,100 GRIFFIN RD,SUITE A,PORTSMOUTH,NH,038017113,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,31,82,72.96,19.67597561,15.425731707,15.425731707
1033116140,DEUELL,BARBARA,,MD,F,I,100 GRIFFIN RD,SUITE A,PORTSMOUTH,NH,038017113,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.45,4.7781818182,3.7436363636,3.69
1033116140,DEUELL,BARBARA,,MD,F,I,100 GRIFFIN RD,SUITE A,PORTSMOUTH,NH,038017113,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,4800,33.495,9.8371666667,7.7123395833,7.7123395833
1033116140,DEUELL,BARBARA,,MD,F,I,100 GRIFFIN RD,SUITE A,PORTSMOUTH,NH,038017113,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,6000,37.612575,14.015083333,10.98783,10.98783
1033116140,DEUELL,BARBARA,,MD,F,I,100 GRIFFIN RD,SUITE A,PORTSMOUTH,NH,038017113,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,22,89,8.55,2.6346067416,2.0657303371,2.0657303371
1033116165,ALDAHHAK,ROULA,,M.D.,F,I,555 S 18TH ST,,COLUMBUS,OH,432052654,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,1565.3969565,1014.1295652,790.57434783,834.02782609
1033116165,ALDAHHAK,ROULA,,M.D.,F,I,555 S 18TH ST,,COLUMBUS,OH,432052654,US,Physician/Neurology,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,1488.4,1156.6646667,897.264,897.264
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,37,87,304,58.810526316,8.32,6.0966776316,6.0966776316
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,31,56,15.835714286,1.42,1.0353571429,1.0353571429
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,340,8.0996470588,5.74,4.3190588235,4.3190588235
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,240,13.335833333,9.86,7.6509583333,7.6509583333
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,230,11.838173913,7,5.488,5.488
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,900,0.4330222222,0.27,0.1881333333,0.1881333333
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,550,0.4660909091,0.26,0.2038727273,0.2108909091
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,197.08,53.83,35.771818182,36.377272727
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,134.97692308,43.73,26.369230769,27.374615385
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,50,71.1392,18.383,13.8466,12.9898
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,90,95,474.55326316,70.363368421,53.691052632,53.180947368
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1260,1.074468254,0.1311428571,0.0919920635,0.0919920635
1033116215,LONG,TOBY,W,M.D.,M,I,933 RED APPLE RD STE B,,WENATCHEE,WA,988013370,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,107.25,33,22.63625,22.63625
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,465,831,831,89.946401925,41.898616125,30.760252708,28.697833935
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,202,353,353,257.64668555,97.839348442,71.955184136,64.559830028
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,19,187,522,688,97.618561047,37.544244186,27.981133721,24.943880814
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,20,148,370,1015,50.782689655,20.751103448,15.062039409,13.580571429
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,20,222,643,1691,39.093193377,16.336061502,11.787740982,10.988143111
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,26,405,710,710,157.88219718,60.761915493,44.257056338,39.971802817
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,31,570,748,748,54.87209893,20.07947861,14.930668449,13.496270053
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,50,60,60,30.969333333,10.973166667,7.7245,7.3613333333
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,97,142,142,54.907394366,15.447042254,11.439084507,8.9582394366
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,554,1346,3875,6.3406348387,2.32448,1.719316129,1.5239612903
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,69,79,79,19.078227848,7.5810126582,5.4617721519,4.5473417722
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,23,373,466,466,44.44695279,14.027553648,10.445,9.8994849785
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,35,200,200,420.6914,106.89605,77.703,63.03105
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,14,82,82,800.64390244,236.66463415,178.16073171,165.3302439
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,84,84,84,291.80797619,147.96607143,114.97559524,104.6072619
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,11,34,150,150,42.5404,15.6554,11.136666667,9.4196666667
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,20,154,959,959,253.54090719,38.875286757,27.690417101,23.165516163
1033116314,LANG,LINDSAY,W,N.P.,F,I,7307 E COLUMBIA ST,STE 101,EVANSVILLE,IN,477159141,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,70,70,442.66085714,73.547285714,55.315,52.961857143
1033116371,DUNBAR,ELMER,E,M.D.,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,1200,1200,940.8,893.74
1033116405,KRAVITZ,ALAN,B,D.P.M.,M,I,1881 W. 24TH STREET,STE C,YUMA,AZ,853646298,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,150,82.13,54.976666667,53.973333333
1033116405,KRAVITZ,ALAN,B,D.P.M.,M,I,1881 W. 24TH STREET,STE C,YUMA,AZ,853646298,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,575,294.825,231.14666667,218.89
1033116439,GROSS,GARY,E,MD,M,I,825 MEDICAL DR,,TYLER,TX,757012143,US,Internal Medicine,T,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,8,5.74,4.5,4.5
1033116439,GROSS,GARY,E,MD,M,I,825 MEDICAL DR,,TYLER,TX,757012143,US,Internal Medicine,T,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.45,5.54,3.9815416667,3.9815416667
1033116439,GROSS,GARY,E,MD,M,I,825 MEDICAL DR,,TYLER,TX,757012143,US,Internal Medicine,T,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.5,1.95,1.4502083333,1.4502083333
1033116439,GROSS,GARY,E,MD,M,I,825 MEDICAL DR,,TYLER,TX,757012143,US,Internal Medicine,T,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.27,0.27,0.2116,0.2116
1033116553,GORALCZYK,EDWARD,J,MD,M,I,300 SCENERY DR,,ELIZABETH,PA,150372051,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,47,63.269787234,8.32,4.0240425532,4.0240425532
1033116553,GORALCZYK,EDWARD,J,MD,M,I,300 SCENERY DR,,ELIZABETH,PA,150372051,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,10.66,5.54,3.9810833333,3.9810833333
1033116553,GORALCZYK,EDWARD,J,MD,M,I,300 SCENERY DR,,ELIZABETH,PA,150372051,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,5.86,3.04,2.1844166667,2.1844166667
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,36,69,11.962173913,10.925652174,8.5665217391,8.57
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,340,4.6908529412,3.8541176471,3.0215588235,3.0547352941
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,26,10.011923077,7.9246153846,6.2111538462,6.4846153846
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,310,9.1721612903,7.06,5.535,5.535
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,92,1950,7.3577538462,5.74,4.4549333333,4.4549333333
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,68,1155,12.97830303,9.86,7.4431948052,7.4431948052
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,380,9.2403947368,7,5.1104473684,5.1104473684
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,640,5.29959375,4.03,3.1595,3.1595
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,49,780,5.391974359,4.04,3.1673717949,3.1673717949
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,14,580,0.1340689655,0.1168965517,0.0916206897,0.0916206897
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,33,2580,0.5137325581,0.4344186047,0.3406007752,0.3406007752
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,585,0.381965812,0.27,0.2116239316,0.2116239316
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,27,831,3.0250661853,2.4,1.8816606498,1.8816606498
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,451,5.3036585366,4.06,3.1830155211,3.1830155211
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,23,40,3052,0.1755045872,0.13,0.1013302752,0.1013302752
1033116652,SEAMAN,MARY,S,NP,F,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,15,2091,0.5931898613,0.45,0.3527737924,0.3527737924
1033116769,MELAMED,MARC,S,MD,M,I,44 GODWIN AVE STE 201,,MIDLAND PARK,NJ,074321959,US,Physician/Critical Care (Intensivists),S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,10,7.68,5.4727272727,5.8545454545
1033116769,MELAMED,MARC,S,MD,M,I,44 GODWIN AVE STE 201,,MIDLAND PARK,NJ,074321959,US,Physician/Critical Care (Intensivists),S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1600,1074.31,839.44916667,839.44916667
1033116884,OWENS,JAMES,R,M.D.,M,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,51,98,68.380510204,8.32,5.523877551,5.523877551
1033116884,OWENS,JAMES,R,M.D.,M,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,16.926363636,1.42,0.7127272727,0.7127272727
1033116884,OWENS,JAMES,R,M.D.,M,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35,10.59,6.355,7.2091666667
1033116884,OWENS,JAMES,R,M.D.,M,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,18.05,14.15,15.275
1033116934,PATNI,ARIF,,D.O.,M,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,43,132,70.375454545,8.32,6.5216666667,6.5216666667
1033116934,PATNI,ARIF,,D.O.,M,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,26,41,14.724634146,1.42,1.1141463415,1.1141463415
1033116934,PATNI,ARIF,,D.O.,M,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.25,13.52,13.54
1033116934,PATNI,ARIF,,D.O.,M,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,29,519.51,75.56,59.143448276,54.788965517
1033116934,PATNI,ARIF,,D.O.,M,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1018,1.0903438114,0.1352455796,0.1060609037,0.1060609037
1033116934,PATNI,ARIF,,D.O.,M,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,783.5,173.51090909,130.79454545,132.40818182
1033116934,PATNI,ARIF,,D.O.,M,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,105,33,23.518181818,23.518181818
1033117106,FLORA,K.,D,"D.P.M., INC.",M,I,1086 N. CHERRY STREET,,TULARE,CA,932742251,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,50,75,71.56,53.8608,53.8608
1033117106,FLORA,K.,D,"D.P.M., INC.",M,I,1086 N. CHERRY STREET,,TULARE,CA,932742251,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,150,50,29.19,22.7892,22.7908
1033117106,FLORA,K.,D,"D.P.M., INC.",M,I,1086 N. CHERRY STREET,,TULARE,CA,932742251,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,44,44,300,293.17,228.6125,218.39977273
1033117106,FLORA,K.,D,"D.P.M., INC.",M,I,1086 N. CHERRY STREET,,TULARE,CA,932742251,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,26,180,156.3,122.54,125.75461538
1033117171,DUFFY,JOSEPH,,M.D.,M,I,220 HAMBURG TPKE,SUITE 14,WAYNE,NJ,074702110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,29,89,201,69.040447761,8.32,5.97039801,5.97039801
1033117171,DUFFY,JOSEPH,,M.D.,M,I,220 HAMBURG TPKE,SUITE 14,WAYNE,NJ,074702110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,31,41,18.549268293,1.42,0.9531707317,0.9531707317
1033117171,DUFFY,JOSEPH,,M.D.,M,I,220 HAMBURG TPKE,SUITE 14,WAYNE,NJ,074702110,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,402.15692308,73.9,57.94,55.650769231
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,93,67.401505376,8.32,5.4709677419,5.4709677419
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,278.07307692,56.21,44.07,42.86
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,111.99454545,18.25,14.31,14.082727273
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,94,10.766170213,2.08,1.5260638298,1.4927659574
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,25,86.31,17.91,12.8708,12.4308
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,231.60322581,33.337096774,26.134193548,26.140322581
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,30,519.51,70.48,52.939333333,52.515333333
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,1650,1.2291636364,0.571,0.4476666667,0.4476666667
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,3.9175454545,2.8465454545,2.1229772727,2.1229772727
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1033117205,PETERS,ANTHONY,D,DO,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,22,16,16,12.54,12.54
1033117221,BISSELL,ROBIN,L,M.D.,F,I,124 MILLER ST,,GRANTSVILLE,MO,21536,US,General Practice,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,31,96,31.146354167,8.32,5.7067708333,5.7067708333
1033117221,BISSELL,ROBIN,L,M.D.,F,I,124 MILLER ST,,GRANTSVILLE,MO,21536,US,General Practice,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,30,9.4223333333,1.42,1.0393333333,1.0393333333
1033117221,BISSELL,ROBIN,L,M.D.,F,I,124 MILLER ST,,GRANTSVILLE,MO,21536,US,General Practice,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,29.905714286,20.294285714,13.779285714,11.597857143
1033117221,BISSELL,ROBIN,L,M.D.,F,I,124 MILLER ST,,GRANTSVILLE,MO,21536,US,General Practice,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,152.48428571,89.16,60.614285714,46.163571429
1033117221,BISSELL,ROBIN,L,M.D.,F,I,124 MILLER ST,,GRANTSVILLE,MO,21536,US,General Practice,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,187.89655172,21.954137931,13.900344828,10.794137931
1033117221,BISSELL,ROBIN,L,M.D.,F,I,124 MILLER ST,,GRANTSVILLE,MO,21536,US,General Practice,T,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,17,8.1225,4.6875,4.62
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,29,60.866206897,8.32,4.2727586207,4.2727586207
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,78.608333333,39.51,30.98,30.571666667
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,220.59846154,87.804615385,63.686153846,62.746923077
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,33,90.028484848,33.435151515,24.648181818,24.381818182
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,303.51285714,56.21,40.922142857,39.885
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,20,20,93.294,18.2405,13.587,13.3745
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,22,22,86.695454545,12.175454545,8.2495454545,7.9236363636
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,27,136,10.587794118,2.0747058824,1.4841176471,1.4532352941
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,66.711428571,13.19,10.34,10.34
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.91,14.034285714,13.534285714
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,498.78615385,32.458461538,21.550769231,21.556923077
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,31,491.24935484,69.246451613,54.28483871,54.739677419
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1050,0.92,0.1359714286,0.0910285714,0.0910285714
1033117296,BILLINGSLEA,CHRISTOPHER,M,D.O.,M,I,1220 E POLSTON AVE,,POST FALLS,ID,83854,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,21.558333333,21.558333333
1033117346,MONAGHAN,BRUCE,A,M.D.,M,I,414 TATUM ST,,WOODBURY,NJ,080963499,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,16,335.9375,209.91875,155.036875,162.34375
1033117346,MONAGHAN,BRUCE,A,M.D.,M,I,414 TATUM ST,,WOODBURY,NJ,080963499,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,35,51,130.88235294,70.592156863,55.347058824,46.88627451
1033117346,MONAGHAN,BRUCE,A,M.D.,M,I,414 TATUM ST,,WOODBURY,NJ,080963499,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,22,150,77.25,60.56,67.29
1033117346,MONAGHAN,BRUCE,A,M.D.,M,I,414 TATUM ST,,WOODBURY,NJ,080963499,US,Physician/Orthopedic Surgery,S,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,482.14285714,442.03,344.62,290.97714286
1033117346,MONAGHAN,BRUCE,A,M.D.,M,I,414 TATUM ST,,WOODBURY,NJ,080963499,US,Physician/Orthopedic Surgery,S,L3995,"Addition to upper extremity orthosis, sock, fracture or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,18,103.05555556,38.72,30.36,25.862222222
1033117478,BALLARD,ANGELA,M,,F,I,201 S 5TH ST,,BARDSTOWN,KY,400041142,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,45,79,66.994303797,8.32,5.2012658228,5.2012658228
1033117478,BALLARD,ANGELA,M,,F,I,201 S 5TH ST,,BARDSTOWN,KY,400041142,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,10.43375,1.42,0.91,0.91
1033117478,BALLARD,ANGELA,M,,F,I,201 S 5TH ST,,BARDSTOWN,KY,400041142,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,272.56545455,272.56545455
1033117478,BALLARD,ANGELA,M,,F,I,201 S 5TH ST,,BARDSTOWN,KY,400041142,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,277.696,71.5,50.0795,48.883
1033117486,SALLMAN,ALAN,L,M.D.,M,I,500 E CENTRAL AVE,"BOND CLINIC, P.A.",WINTER HAVEN,FL,338803053,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,346.42857143,81.5,63.9,59.97
1033117585,CURD,THOMAS,E,DPM,M,I,1421 S GLENBURNIE RD,,NEW BERN,NC,285622603,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,121,123,242,90.578512397,71.299173554,54.992809917,54.987066116
1033117585,CURD,THOMAS,E,DPM,M,I,1421 S GLENBURNIE RD,,NEW BERN,NC,285622603,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,111,111,659,40.464339909,29.19,22.696191199,22.697481032
1033117585,CURD,THOMAS,E,DPM,M,I,1421 S GLENBURNIE RD,,NEW BERN,NC,285622603,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,150,124.71,94.423333333,92.337619048
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,30,88,40.976590909,8.32,5.9286363636,5.9286363636
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,21,29,9.5068965517,1.42,0.9634482759,0.9634482759
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,46.977272727,25.694545455,18.243636364,14.590909091
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,64.101052632,23.384736842,17.072105263,13.294736842
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35.2625,17.815833333,13.968333333,12.18
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,26.914893617,7.4674468085,5.4934042553,3.2438297872
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,145.725,48.857222222,36.866111111,29.719444444
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,423.60705882,108.16,78.471764706,52.865882353
1033117627,LINDOWER,KAREN,,DO,F,I,451 HIDDEN MEADOWS DR,SUITE 120,HILLSDALE,MI,492429812,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,75.428571429,33,25.87,25.87
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,41,78,56.579358974,8.32,6.3558974359,6.3558974359
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,19,9.2394736842,1.42,1.0578947368,1.0578947368
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,2.25,2.25,1.617,1.6316944444
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.38,5.38,3.8665,3.9841666667
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,290,3.9718965517,3.04,2.3621034483,2.3621034483
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25,5.0911111111,3.5644444444,3.2777777778
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,176.955,30.188333333,18.683333333,18.923333333
1033117684,FORD,JAMES,M,M.D.,M,I,501 BROAD ST,,WRENS,GA,308331185,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,1.1822222222,0.1283333333,0.0931180556,0.0931180556
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,280,4.9471428571,3.6257142857,2.7483214286,2.9633571429
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,19,28,13.962857143,4.05,3.0646428571,3.0978571429
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,15,78,1610,8.114136646,5.7357515528,4.3010496894,4.304378882
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,38,650,3.9609692308,2.91,2.2816,2.2816
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,,32,124,9.7384677419,6.44,4.8187903226,4.8187903226
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,58,1215,12.730205761,9.86,7.6119588477,7.6119588477
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,41,785,8.061044586,6.9950318471,4.9095159236,4.9137324841
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,215,5.9241860465,5.5306976744,3.932,3.939255814
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,2010,2.4640746269,1.95,1.4574179104,1.4574179104
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,37,580,4.6339827586,4.03,3.0345344828,3.0345344828
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,1075,0.4444186047,0.2697674419,0.2114604651,0.2116372093
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,214,5.0439252336,3.97,2.4420093458,2.4420093458
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,49,960,3.4560520833,3.04,2.2344791667,2.2344791667
1033117700,THORSON,ALAN,G,MD,M,I,9850 NICHOLAS ST,SUITE 100,OMAHA,NE,681142186,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,14,700,0.3747714286,0.27,0.2116,0.2116
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,40,100,309,68.19579288,8.32,5.7189320388,5.7189320388
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,15.427368421,3.38,2.3710526316,2.3710526316
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,21.628333333,2.12,1.3983333333,1.3983333333
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,23,48,63,16.247936508,1.42,0.9746031746,0.9746031746
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,74.860714286,20.587142857,16.137142857,11.597857143
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,22,104,9.3615384615,3.0638461538,2.4028846154,1.8332692308
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,65.84,28.88,21.5028,14.6632
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,703.96416667,830.30416667
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,70.367647059,16.502352941,10.921176471,8.63
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,36.334772727,6.9672727273,4.8556818182,3.38
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,47,49,174.33265306,46.836326531,33.015306122,21.80755102
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,470.3824,103.425,74.1944,49.0502
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,44.745,32.344166667,27.056666667
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,8491,0.306922624,0.0467742315,0.0326875515,0.0326875515
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0431538462,2.2155769231,2.2155769231
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2188461538,0.1584871795,0.1584871795
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,584.55,169.04166667,132.5325,111.38166667
1033117726,VORMOHR,J,F,MD,M,I,1758 W 100 S,,PORTLAND,IN,473718204,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,39,39,66,33,23.216666667,23.216666667
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,52,86,75.536744186,8.32,5.3859302326,5.3859302326
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,15,14.564666667,1.42,0.82,0.82
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,58,13.92,2.0020689655,1.5701724138,1.5920689655
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,86.31,17.038571429,13.361428571,13.523333333
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,81.75,12.826428571,8.6121428571,9.0485714286
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,51,51,54.91,3.87,2.5880392157,3.2007843137
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,257.82,32.396,23.091,23.3935
1033117775,PRINCETON,JAMES,H,M.D.,M,I,4025 W CALDWELL AVE,SUITE A,VISALIA,CA,932779224,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,519.51,69.200588235,50.033529412,50.660294118
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,272,5.8342647059,2.91,2.2185661765,2.2185661765
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,250,17.628,7,5.488,5.488
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,360,13.411111111,5.54,4.3321666667,4.3321666667
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,1380,4.7109130435,1.95,1.4037318841,1.4037318841
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,420,6.853047619,3.04,2.27,2.27
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,726,0.7025344353,0.27,0.2116115702,0.2116115702
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,320,21.46746875,12.5555625,9.843625,10.294
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,101,605.94059406,326.82,256.22712871,256.22712871
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,101,30.297029703,9.35,7.33,7.33
1033117783,DOAN,KIET,A,DO.,M,I,708 S. DEL PRADO BLVD,SUITE 1,CAPE CORAL,FL,33990,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,101,100.99009901,29.22,22.908514851,22.908514851
1033117817,BOORGU,RAJESH,,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,33,128,53.91953125,8.32,5.868203125,5.868203125
1033117817,BOORGU,RAJESH,,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,42,16.928095238,1.42,1.0873809524,1.0873809524
1033117817,BOORGU,RAJESH,,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,346.66666667,70.23,50.471666667,50.16
1033117874,BERWALD,CYNTHIA,C,PA,F,I,2720 HOMESTEAD RD,SUITE 100,PARK CITY,UT,840984881,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,80.4,63.03,55.421666667
1033117890,ONEILL,TIMOTHY,,DO,M,I,5701 BOW POINTE DR,SUITE 100,CLARKSTON,MI,483463199,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,28,72,41.9325,8.32,5.6155555556,5.6155555556
1033117890,ONEILL,TIMOTHY,,DO,M,I,5701 BOW POINTE DR,SUITE 100,CLARKSTON,MI,483463199,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.571428571,3.38,2.4607142857,2.4607142857
1033117890,ONEILL,TIMOTHY,,DO,M,I,5701 BOW POINTE DR,SUITE 100,CLARKSTON,MI,483463199,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,20,12.3495,1.42,1.005,1.005
1033117916,WARNER,DAVID,H,DPM,M,I,198 S GREEN ST,,NAZARETH,PA,180642013,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,32,38,100,84.6,65.226578947,62.251842105
1033117932,KIMBALL,SANDRA,L,CNP,F,I,415 BYERS RD,SUITE 300,MIAMISBURG,OH,45342,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,43,129,406,71.722216749,8.32,5.8150738916,5.8150738916
1033117932,KIMBALL,SANDRA,L,CNP,F,I,415 BYERS RD,SUITE 300,MIAMISBURG,OH,45342,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,26,41,16.762195122,1.42,0.7895121951,0.7895121951
1033117932,KIMBALL,SANDRA,L,CNP,F,I,415 BYERS RD,SUITE 300,MIAMISBURG,OH,45342,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,12,34,34,452.94117647,251.11,196.87,196.87
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,285,519,519,112.45190751,38.734200385,28.767129094,28.884123314
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,28,163,303,303,228.7489769,85.998976898,64.172343234,65.009009901
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,26,137,276,617,91.32267423,32.92012966,24.270648298,24.425721232
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,73,122,614,47.878990228,18.171335505,12.688925081,12.976872964
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,69,128,650,39.025569231,15.144615385,10.828153846,10.816907692
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,26,179,312,312,139.96913462,57.277916667,41.931826923,40.176923077
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,38,317,407,407,43.26972973,17.745773956,13.295626536,13.466511057
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,53,67,67,24.201641791,10.154477612,7.4089552239,7.5862686567
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,60,107,107,58.236168224,12.335514019,8.8747663551,8.7270093458
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,37,331,626,3388,7.0435242031,2.0529515939,1.502231405,1.489433294
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,79,95,95,18.951684211,5.9461052632,4.3817894737,4.3687368421
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,24,178,229,229,38.711659389,13.288122271,10.120305677,10.050742358
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,41.812727273,17.25,13.52,13.54
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,220.02619048,53.72,39.08,38.784761905
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,220.02619048,45.81,32.499047619,34.250952381
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,32,235,235,352.48893617,83.658425532,63.044851064,63.046978723
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,15,93,93,655.1544086,195.63763441,148.7583871,155.38182796
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,81,82,82,284.34609756,136.39207317,103.88243902,103.26743902
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,11,44,50,67.2322,14.7918,10.316,9.389
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,23,148,778,784,149.40993622,33.553839286,24.402232143,23.848329082
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,18,135,135,306.75651852,75.244148148,54.775851852,50.894444444
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,178.54545455,36.423090909,28.555272727,29.484363636
1033117940,ZOLTY,PAUL,,M.D.,M,I,400 TOWER RD NE,SUITE 200,MARIETTA,GA,300609411,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,171.25,36.25,28.42,29.419166667
1033117973,WALKER,MICHAEL,A,D.O.,M,I,801 HIGHWAY 37 S,,MOUNT VERNON,TX,754576597,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,38,103,33.904174757,8.32,6.3948543689,6.3948543689
1033117973,WALKER,MICHAEL,A,D.O.,M,I,801 HIGHWAY 37 S,,MOUNT VERNON,TX,754576597,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,11.686666667,3.38,2.4733333333,2.4733333333
1033117973,WALKER,MICHAEL,A,D.O.,M,I,801 HIGHWAY 37 S,,MOUNT VERNON,TX,754576597,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,29,10.434137931,1.42,1.0762068966,1.0762068966
1033117973,WALKER,MICHAEL,A,D.O.,M,I,801 HIGHWAY 37 S,,MOUNT VERNON,TX,754576597,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1560,4.35,2.04,1.5152051282,1.5152051282
1033117973,WALKER,MICHAEL,A,D.O.,M,I,801 HIGHWAY 37 S,,MOUNT VERNON,TX,754576597,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1770,1.2850847458,0.131440678,0.0907457627,0.0907457627
1033117973,WALKER,MICHAEL,A,D.O.,M,I,801 HIGHWAY 37 S,,MOUNT VERNON,TX,754576597,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,119.08695652,33,22.436521739,22.436521739
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,34,107,67.058224299,8.32,6.0343925234,6.0343925234
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,21,13.632857143,1.42,1.0747619048,1.0747619048
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,163.12846154,58.650769231,39.197692308,38.332307692
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,13,13,50.202307692,18,13.931538462,13.889230769
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,55.988,12.959333333,9.568,9.3173333333
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,18,98,8.8004081633,2.0718367347,1.5287755102,1.5506122449
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,17.71,12.285833333,11.965
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,760.48,78.88,51.895416667,45.68125
1033118120,BEQUETTE,JENNIFER,S,M.D.,F,I,20 NE SAINT LUKES BLVD STE 200,,LEES SUMMIT,MO,640866001,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.15,26.7025,27.090833333
1033118161,QUILILAN,CESAR,R,MD,M,I,6150 METROWEST BLVD STE 307,,ORLANDO,FL,328353291,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,59,60.77779661,8.32,5.1954237288,5.1954237288
1033118161,QUILILAN,CESAR,R,MD,M,I,6150 METROWEST BLVD STE 307,,ORLANDO,FL,328353291,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.723333333,3.38,1.6691666667,1.6691666667
1033118161,QUILILAN,CESAR,R,MD,M,I,6150 METROWEST BLVD STE 307,,ORLANDO,FL,328353291,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,27,15.713703704,1.42,0.8244444444,0.8244444444
1033118161,QUILILAN,CESAR,R,MD,M,I,6150 METROWEST BLVD STE 307,,ORLANDO,FL,328353291,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,56.769090909,6.14,4.0090909091,3.0709090909
1033118203,HUNTER,THEODORE,M,M.D.,M,I,3145 HAMILTON MASON RD,2ND FLOOR,HAMILTON,OH,450118557,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,52,154,51.803896104,8.32,5.3022077922,5.3022077922
1033118203,HUNTER,THEODORE,M,M.D.,M,I,3145 HAMILTON MASON RD,2ND FLOOR,HAMILTON,OH,450118557,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,13.069411765,3.38,1.8705882353,1.8705882353
1033118203,HUNTER,THEODORE,M,M.D.,M,I,3145 HAMILTON MASON RD,2ND FLOOR,HAMILTON,OH,450118557,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,31,53,12.16,1.42,0.9043396226,0.9043396226
1033118203,HUNTER,THEODORE,M,M.D.,M,I,3145 HAMILTON MASON RD,2ND FLOOR,HAMILTON,OH,450118557,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,79,79,48.420588235,42.483529412
1033118229,LEE,RICHARD,M,MD,M,I,242 MERRICK RD,SUITE 301,ROCKVILLE CENTRE,NY,115705254,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,51,4068,84.818443953,4.8411823992,3.7845821042,3.7845821042
1033118229,LEE,RICHARD,M,MD,M,I,242 MERRICK RD,SUITE 301,ROCKVILLE CENTRE,NY,115705254,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,24,24,18.82,18.82
1033118229,LEE,RICHARD,M,MD,M,I,242 MERRICK RD,SUITE 301,ROCKVILLE CENTRE,NY,115705254,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,50,16,16,12.54,12.54
1033118260,PAVAN,JAY,,MD,M,I,325 CHARLES H DIMMOCK PKWY STE 100,,COLONIAL HEIGHTS,VA,238342986,US,Physician/Physical Medicine and Rehabilitation,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,40,40,485,389.4,305.29,310.40875
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,28,63,229,79.917816594,8.32,6.0840174672,6.0840174672
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,28,55,15.416545455,1.4141818182,1.0890909091,1.0936363636
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,98.152666667,40.12,31.416666667,30.456666667
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,87.4,32.75,25.6764,25.918
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,52,64.405384615,15.51,9.5876923077,9.3880769231
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,20,20,200.396,54.508,34.184,34.3055
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,16,16,62.8875,18.78,13.8,13.18125
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,75.757692308,11.962307692,7.9330769231,7.7392307692
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,12,29,160,8.611875,2.098125,1.49875,1.4509375
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,47.08,12.84,10.06,10.314545455
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,128.44,30.02,22.285833333,23.075833333
1033118393,GONSALVES-WETHERELL,KAREN,P,MD,F,I,5620 W THUNDERBIRD RD,F1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,377.14285714,77.36,60.65,54.73
1033118518,RUIZ,ANTONIO,J,MD,M,I,1138 NORTH ROAD STREET,,ELIZABETH CITY,NC,279093361,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,38,51.888157895,40.81,27.974473684,26.866842105
1033118534,CAISLEY,IAN,J,MD,M,I,111 E MAIN ST,,WESTFIELD,NY,147871310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,78.98375,8.32,5.9766666667,5.9766666667
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,58,261,483,63.160455487,8.32,5.0646376812,5.0646376812
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,15,15,10.402666667,2.12,1.002,1.002
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,37,90,101,13.566435644,1.42,0.8741584158,0.8741584158
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,0.2733333333,0.13,0.1019,0.1019
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2260,2.0642477876,2.023539823,1.5229823009,1.5358672566
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,18,18,36,97.857777778,71.56,52.891111111,52.891111111
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,990,0.1487777778,0.13,0.1018888889,0.1018888889
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,58.441428571,20.941428571,16.416428571,14.809285714
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,65.953333333,15.615,11.4775,10.359166667
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,19,99,7.8907070707,2.4058585859,1.5862626263,1.4401010101
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4935,3.117993921,0.3090577508,0.242295846,0.2430334347
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,1200,61.8,48.45,48.330833333
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,221.82545455,47.818181818,34.322727273,34.706818182
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,71.480967742,19.301935484,14.214516129,12.660645161
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,15,15,135.37,50.772666667,34.131333333,31.971333333
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,97.366363636,7.8445454545,3.8972727273,2.1836363636
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,291.64222222,36.042222222,25.123333333,23.337777778
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,17,129,134,457.87992537,81.84858209,60.366343284,51.682014925
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,22,78,7045,0.6163960256,0.0461149752,0.0266330731,0.0266330731
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1950,1.3236615385,0.1363230769,0.1012923077,0.1012923077
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,62,62,128.98354839,21.903548387,13.363064516,10.511290323
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,31,197.0283871,36.14,27.416129032,28.186774194
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,122.03363636,82.628181818,82.947272727
1033118625,WONG,GEMO,Y,MD,M,I,13245 KESSLER RD,,CAIRO,IL,629143101,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,23,88,88,47.775,33,20.376818182,20.376818182
1033118781,COSSIO,CARLOS,M,MD,M,I,1077 BAXTER ST,SUITE K,ATHENS,GA,306063767,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,43,53.068837209,8.32,6.5234883721,6.5234883721
1033118799,LURATE,ROBERT,B,M.D.,M,I,5147 N 9TH AVE,SUITE 322,PENSACOLA,FL,325048710,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,19,19,19,137.94736842,47.55,37.28,36.46
1033118799,LURATE,ROBERT,B,M.D.,M,I,5147 N 9TH AVE,SUITE 322,PENSACOLA,FL,325048710,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,143.57882353,53.249411765,41.748235294,40.848235294
1033118799,LURATE,ROBERT,B,M.D.,M,I,5147 N 9TH AVE,SUITE 322,PENSACOLA,FL,325048710,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,176.15,83.956666667,65.823333333,65.823333333
1033118799,LURATE,ROBERT,B,M.D.,M,I,5147 N 9TH AVE,SUITE 322,PENSACOLA,FL,325048710,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,54,54,88.762962963,21.377962963,16.232407407,13.906666667
1033118799,LURATE,ROBERT,B,M.D.,M,I,5147 N 9TH AVE,SUITE 322,PENSACOLA,FL,325048710,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,39.615384615,8.9361538462,7.0076923077,6.9484615385
1033118799,LURATE,ROBERT,B,M.D.,M,I,5147 N 9TH AVE,SUITE 322,PENSACOLA,FL,325048710,US,Physician/Orthopedic Surgery,S,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,784.66666667,401.13,313.01066667,309.07066667
1033118799,LURATE,ROBERT,B,M.D.,M,I,5147 N 9TH AVE,SUITE 322,PENSACOLA,FL,325048710,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1421.5454545,735.65,576.75,489.35909091
1033118849,CARPENTER,KITRIN,L,PAC,M,I,5225 S HIGHWAY 95,SUITE 6,FORT MOHAVE,AZ,864269111,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,848,97.770943396,5.3201886792,4.1710023585,4.1710023585
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,38,108,293,120.53890785,8.32,5.9088737201,5.9088737201
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,27,27,14.668888889,3.38,2.4537037037,2.4537037037
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,22.141538462,2.12,1.5415384615,1.5415384615
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,30,64,120,15.972666667,1.42,1.0495,1.0495
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,13,26,107.63730769,71.462307692,51.712307692,51.788846154
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,72,40.045416667,29.146666667,22.416944444,22.451944444
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,12,12,54.176666667,16.761666667,12.309166667,8.9425
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,44,50.115909091,27.786363636,19.378636364,13.363636364
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,149.973125,75.43125,53.245625,37.5025
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,19,19,47.818947368,24.13,18.916315789,14.462631579
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,24,24,48.316666667,21.05375,15.660833333,9.3
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,29,142,6.8409859155,3.1464788732,2.3174647887,1.5151408451
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,18.68,8.7633333333,6.8753333333,5.042
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,160,59.944545455,36.519090909,30.905454545
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,105,123,61.365853659,22.297317073,16.950325203,13.761382114
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,94.875,58.255454545,43.797727273,37.133181818
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,14,76,78,24.628205128,7.6967948718,5.8014102564,3.7026923077
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,48,48,133,56.018541667,41.58875,24.471875
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,33,284,300,381.63416667,101.17526667,75.160133333,53.519766667
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,3604,0.3850055494,0.0471698113,0.0308879023,0.0308879023
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,3598,1.5238493608,0.1368204558,0.1004474708,0.1004474708
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,10.341522222,2.9387333333,2.3039888889,2.3039888889
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,63.749333333,19.920666667,14.659333333,12.808
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,35.0825,30.111666667
1033118864,PITTMAN,GEORGE,M,MD,M,I,3190 IRVINE RD,,RICHMOND,KY,404759031,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,46,46,73.891304348,33,23.05673913,23.05673913
1033118948,NOBIL,KEITH,C,MD,M,I,250 PARADISE RD,,SWAMPSCOTT,MA,019072948,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,55,138,59.175724638,8.32,6.1437681159,6.1437681159
1033118948,NOBIL,KEITH,C,MD,M,I,250 PARADISE RD,,SWAMPSCOTT,MA,019072948,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,24,6.5066666667,1.42,1.1166666667,1.1166666667
1033118989,CLAIR,JENNIFER,L,MD,F,I,1130 W 4TH ST,SUITE 3200,LAWRENCE,KS,660441328,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,8.6108333333,8.6108333333,5.2225,8.825
1033118989,CLAIR,JENNIFER,L,MD,F,I,1130 W 4TH ST,SUITE 3200,LAWRENCE,KS,660441328,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,25,6.65,6.65,3.9424,4.6132
1033118989,CLAIR,JENNIFER,L,MD,F,I,1130 W 4TH ST,SUITE 3200,LAWRENCE,KS,660441328,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,330,5.2876363636,3.97,2.8292727273,2.8292727273
1033119037,MOORE,ERIN,M,MD,M,I,836 PRUDENTIAL DR,STE 1804,JACKSONVILLE,FL,32207,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1716.46,714.79166667,560.39666667,497.08416667
1033119045,TESSLER,HERMAN,,M.D.,M,I,1443 OCEAN PKWY,,BROOKLYN,NY,112306401,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,364,13.224258242,4.9,3.8414285714,4.1628571429
1033119045,TESSLER,HERMAN,,M.D.,M,I,1443 OCEAN PKWY,,BROOKLYN,NY,112306401,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,4368,0.7560119048,0.36,0.2822046703,0.2900618132
1033119078,LYONS,ARNEDA,F,FNP,F,I,5261 CARROLLTON PIKE STE F,,WOODLAWN,VA,243813034,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,64,48.290625,8.32,6.52375,6.52375
1033119078,LYONS,ARNEDA,F,FNP,F,I,5261 CARROLLTON PIKE STE F,,WOODLAWN,VA,243813034,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,419.67333333,79.77,62.54,54.723333333
1033119078,LYONS,ARNEDA,F,FNP,F,I,5261 CARROLLTON PIKE STE F,,WOODLAWN,VA,243813034,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,30,31,109.34096774,26.032903226,20.410322581,14.928387097
1033119078,LYONS,ARNEDA,F,FNP,F,I,5261 CARROLLTON PIKE STE F,,WOODLAWN,VA,243813034,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,138.42857143,28.310714286,18.083571429,18.533571429
1033119078,LYONS,ARNEDA,F,FNP,F,I,5261 CARROLLTON PIKE STE F,,WOODLAWN,VA,243813034,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,25.397333333,8.7813333333,6.8846666667,6.978
1033119136,ZHANG,MICHAEL,Y,MD,M,I,1860 TOWN CENTER DR,STE 320,RESTON,VA,201905899,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,37,85,215,73.002325581,8.32,6.1706046512,6.1706046512
1033119136,ZHANG,MICHAEL,Y,MD,M,I,1860 TOWN CENTER DR,STE 320,RESTON,VA,201905899,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,25,36,13.364444444,1.42,1.085,1.085
1033119136,ZHANG,MICHAEL,Y,MD,M,I,1860 TOWN CENTER DR,STE 320,RESTON,VA,201905899,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,14,400,67.72,53.1,54.613571429
1033119169,WASMUNDT,DORI,L,PAC,F,I,125 W PARK AVE,,HEREFORD,TX,790454201,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,14,28,72,53.177777778,8.32,5.2545833333,5.2545833333
1033119169,WASMUNDT,DORI,L,PAC,F,I,125 W PARK AVE,,HEREFORD,TX,790454201,US,Physician Assistant,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,24,232.35,58.389583333,38.448333333,34.637916667
1033119169,WASMUNDT,DORI,L,PAC,F,I,125 W PARK AVE,,HEREFORD,TX,790454201,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,510.29428571,98.85,73.230714286,50.820714286
1033119169,WASMUNDT,DORI,L,PAC,F,I,125 W PARK AVE,,HEREFORD,TX,790454201,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,132,33,23.88,23.88
1033119276,MARTINI,JOHN,A,MD,M,I,3805B SPRING ST,STE 250,RACINE,WI,534051641,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,215,17.5,12.781290323,12.619032258
1033119276,MARTINI,JOHN,A,MD,M,I,3805B SPRING ST,STE 250,RACINE,WI,534051641,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,62,62,27.905,3.905483871,3,3.6387096774
1033119276,MARTINI,JOHN,A,MD,M,I,3805B SPRING ST,STE 250,RACINE,WI,534051641,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,400,79.48,57.917297297,50.942972973
1033119292,TOJO,DAVID,P,MD,M,I,1875 DEMPSTER ST,STE 301,PARK RIDGE,IL,600681186,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7669,0.6016690572,0.3082618334,0.241674273,0.2430369018
1033119383,LANDOLFI,JOSEPH,C,DO,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,7,12,40,7572,31.419232699,1.8493581616,1.3863193344,1.3863193344
1033119383,LANDOLFI,JOSEPH,C,DO,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,37,37,25.675675676,24,18.82,18.82
1033119383,LANDOLFI,JOSEPH,C,DO,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,33,23.090909091,16,11.78,11.78
1033119409,KWOK,ALAN,,OD,M,I,1255 BOYLSTON ST,,BOSTON,MA,022153468,US,Optometry,S,V2627,Scleral cover shell,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,58,74,101,966.83168317,866.70564356,675.63445545,1061.6930693
1033119425,JONES,DEANNA,C,,F,I,3940 ARROWHEAD BLVD STE 220,,MEBANE,NC,273027637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,26,39,82.873846154,8.32,5.8548717949,5.8548717949
1033119441,SHOEMAKER,AARON,G,MD,M,I,11530 ALLISONVILLE RD STE 100,,FISHERS,IN,460381862,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,56,86.797321429,8.32,5.4753571429,5.4753571429
1033119441,SHOEMAKER,AARON,G,MD,M,I,11530 ALLISONVILLE RD STE 100,,FISHERS,IN,460381862,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,17.5545,1.42,0.952,0.952
1033119441,SHOEMAKER,AARON,G,MD,M,I,11530 ALLISONVILLE RD STE 100,,FISHERS,IN,460381862,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,520.29647059,79.96,61.35,53.858235294
1033119441,SHOEMAKER,AARON,G,MD,M,I,11530 ALLISONVILLE RD STE 100,,FISHERS,IN,460381862,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,285.6,37,29.01,29.464545455
1033119490,LANGERMAN,RICHARD,J,DO,M,I,8100 S WALKER AVE BLDG A,,OKLAHOMA CITY,OK,731399475,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,32,33,33,1072.2424242,551.74,429.9469697,476.55060606
1033119490,LANGERMAN,RICHARD,J,DO,M,I,8100 S WALKER AVE BLDG A,,OKLAHOMA CITY,OK,731399475,US,Physician/Orthopedic Surgery,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,735,459.53,348.31416667,368.77333333
1033119490,LANGERMAN,RICHARD,J,DO,M,I,8100 S WALKER AVE BLDG A,,OKLAHOMA CITY,OK,731399475,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,605,377.67,296.1,305.64666667
1033119490,LANGERMAN,RICHARD,J,DO,M,I,8100 S WALKER AVE BLDG A,,OKLAHOMA CITY,OK,731399475,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,125,78.81,57.964545455,62.96
1033119490,LANGERMAN,RICHARD,J,DO,M,I,8100 S WALKER AVE BLDG A,,OKLAHOMA CITY,OK,731399475,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,398.86363636,251.28,197,215.905
1033119516,BARNES,NATHANIEL,L,M.D.,M,I,250 BLOSSOM ST,SUITE 220,WEBSTER,TX,775984204,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,10,10,7.1866666667,10.228333333
1033119516,BARNES,NATHANIEL,L,M.D.,M,I,250 BLOSSOM ST,SUITE 220,WEBSTER,TX,775984204,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,41,10.436097561,6.34,4.8487804878,5.7326829268
1033119524,MCNAMARA,ROBERT,,MD,M,I,333 CEDAR ST,FMP 3,NEW HAVEN,CT,065103206,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,96.62,75.43,51.775625,47.88
1033119524,MCNAMARA,ROBERT,,MD,M,I,333 CEDAR ST,FMP 3,NEW HAVEN,CT,065103206,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,52.16,40.62,27.86875,25.83
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,29,70,223,54.833318386,8.32,5.9960986547,5.9960986547
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,24,24,11.353333333,3.38,2.65,2.65
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.832727273,2.12,1.67,1.67
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,35,65,11.327692308,1.42,1.096,1.096
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,16,11.46,9.29,7.28,8.5675
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,43.46,4.91,3.5101111111,3.5101111111
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,69,5.2994202899,2.22,1.59,1.4805797101
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2475,2.3807272727,0.38,0.2708282828,0.2651393939
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,145.56,45.35,33.010714286,32.565
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,82,82,118.71890244,17.647073171,12.822195122,12.573170732
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.63,13.82,13.53
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240,76.48,59.96,54.72
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,299.59,54.19,38.94,38.43
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,112.77,52,39.62,37.003333333
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,20,6.7742857143,5.31,3.9507142857
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,70.076923077,36.346153846,23.432307692,22.550769231
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,117,117,406.81777778,76.477948718,54.540940171,50.245897436
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,36.5,25.626666667,26.535833333
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,48,48,75.28625,19.5,14.993541667,13.938125
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,154.49466667,28.731666667,19.369666667,18.189
1033119540,PHAN,KHUONG,D,D.O.,M,I,920 HIGHWAY 287 N,SUITE 308,MANSFIELD,TX,760632627,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,54,54,40.14962963,8.7222222222,6.6014814815,6.472962963
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,23,36,72,1.5255555556,0.51,0.3777777778,0.3777777778
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,113,351,920,57.258630435,8.32,5.5778152174,5.5778152174
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,29,79,79,14.756708861,3.38,2.5158227848,2.5158227848
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,27,32,32,27.5125,2.12,1.6178125,1.6178125
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,99,238,348,19.086206897,1.42,0.9477873563,0.9477873563
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,11.95,4.9,3.8416666667,4.1362222222
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6156,0.7,0.36,0.269608512,0.2767755036
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,49,49,150.95183673,44.876734694,30.895306122,32.909183673
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,41,67,16.04,11.192439024,12.153414634
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,15,15,15,29.042666667,28.222666667,20.922,55.574666667
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,41,250,71.5,50.590731707,49.422926829
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,15,25,6731,0.4326563661,0.0467330263,0.0288664389,0.0288664389
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,67.259574468,14.627446809,9.5180851064,11.731914894
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,22.538888889,6.23,2.8416666667,4.2194444444
1033119573,CHAUDHRY,MOHAMMAD,A,M.D.,M,I,3807 BERGENLINE AVE,,UNION CITY,NJ,070874860,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,24,24,33,33,23.1075,23.1075
1033119581,HEYER,JOHN,M,M.D.,M,I,10150 N 67TH AVE,SUITE 101,GLENDALE,AZ,853021004,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,35,97,58.135360825,8.32,5.3117525773,5.3117525773
1033119581,HEYER,JOHN,M,M.D.,M,I,10150 N 67TH AVE,SUITE 101,GLENDALE,AZ,853021004,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,25,14.1244,1.42,0.8912,0.8912
1033119581,HEYER,JOHN,M,M.D.,M,I,10150 N 67TH AVE,SUITE 101,GLENDALE,AZ,853021004,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,175.97416667,54.5,35.608333333,35.743333333
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,33,89,236,74.164237288,8.32,5.8034322034,5.8034322034
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,47,73,23.124246575,1.42,1.0378082192,1.0378082192
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,67,88.072089552,17.978955224,11.991940299,12.381641791
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,207.9875,52.846666667,34.5575,35.7825
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,61.753333333,11.620833333,7.6141666667,7.6291666667
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,8.7672727273,6.8718181818,8.5109090909
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,394.98823529,72.766470588,53.813529412,51.523529412
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,5567,0.2633303395,0.0469588647,0.0301778337,0.0301778337
1033119599,IBELLI,VINCENT,M,MD,M,I,97 ROUTE 303,,TAPPAN,NY,109832514,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,31,31,71.322580645,33,25.387096774,25.387096774
1033119755,GEORGE,ROBERT,B,MD,M,I,2 KEEFER DR,,MERCERSBURG,PA,172361732,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,61,194,46.741597938,8.32,5.9901546392,5.9901546392
1033119755,GEORGE,ROBERT,B,MD,M,I,2 KEEFER DR,,MERCERSBURG,PA,172361732,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,25,16.6164,1.3948,1.0048,1.0244
1033119755,GEORGE,ROBERT,B,MD,M,I,2 KEEFER DR,,MERCERSBURG,PA,172361732,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,300,76.548235294,60.018235294,54.73
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,35,78,269,57.992639405,8.32,6.2864312268,6.2864312268
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,16.529473684,3.38,2.6331578947,2.6331578947
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,21.895714286,2.12,1.67,1.67
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,17,32,74,16.340405405,1.42,1.0685135135,1.0685135135
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,40,22.762631579,17.451578947,13.173947368
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,140.12,49.099565217,35.87,23.636086957
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.67,12.775833333,10.019166667,8.3975
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,48,48,220,103.56041667,78.265833333,51.907291667
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,930,1.6899569892,0.1324516129,0.1009354839,0.1009354839
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,35.0825,29.515833333
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,923.87,196.01416667,153.67,120.61166667
1033119854,VEGA,LUIS,R,M. D.,M,I,300 MAPLE ST W,,HAMPTON,SC,299243238,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,22.965333333,22.965333333
1033119896,SHIELDS,PETER,G,MD,M,I,300 W 10TH AVE,,COLUMBUS,OH,432101280,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.79,13.16,13.499166667
1033119896,SHIELDS,PETER,G,MD,M,I,300 W 10TH AVE,,COLUMBUS,OH,432101280,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,315.15,78.714117647,61.711176471,55.129411765
1033119912,CRAWFORD,MARVIN,,MD,M,I,1800 HOWELL MILL RD NW STE 275,,ATLANTA,GA,303183098,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,64.309375,8.32,6.11375,6.11375
1033119912,CRAWFORD,MARVIN,,MD,M,I,1800 HOWELL MILL RD NW STE 275,,ATLANTA,GA,303183098,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,725,130.70454545,90.418181818,85.581818182
1033119912,CRAWFORD,MARVIN,,MD,M,I,1800 HOWELL MILL RD NW STE 275,,ATLANTA,GA,303183098,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,61.05,17.25,13.52,13.54
1033119912,CRAWFORD,MARVIN,,MD,M,I,1800 HOWELL MILL RD NW STE 275,,ATLANTA,GA,303183098,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,292.58294118,75.56,58.306176471,53.928823529
1033119912,CRAWFORD,MARVIN,,MD,M,I,1800 HOWELL MILL RD NW STE 275,,ATLANTA,GA,303183098,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61,36.25,28.42,29.419166667
1033119912,CRAWFORD,MARVIN,,MD,M,I,1800 HOWELL MILL RD NW STE 275,,ATLANTA,GA,303183098,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,194.82,71.481818182,56.038181818,51.772727273
1033119912,CRAWFORD,MARVIN,,MD,M,I,1800 HOWELL MILL RD NW STE 275,,ATLANTA,GA,303183098,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,161.31272727,126.46727273,118.49454545
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,32,108,70.104259259,8.32,6.4008333333,6.4008333333
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,16,13.4975,1.42,1.048125,1.048125
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,1.4011818182,0.4686363636,0.344030303,0.344030303
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,98,12312,4.1508755686,0.568595679,0.441427063,0.4414254386
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,4500,0.1330711111,0.0133,0.0104355556,0.0104355556
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,2400,2.3212,0.7466625,0.5854,0.5854
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,63,9990,3.4086176176,1.3116126126,1.0135015015,1.0135015015
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,14,120,120,24,24,18.506333333,18.506333333
1033119946,CAPPARELLI,ANTHONY,,M.D.,M,I,375 ROLLING OAKS DR,SUITE 100,THOUSAND OAKS,CA,913611023,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,12,97,104,16,16,12.419615385,12.419615385
1033119987,CHMIEL,STANLEY,S,M.D.,M,I,4003 KRESGE WAY,STE 227,LOUISVILLE,KY,40207,US,Physician/Otolaryngology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,630,8.2390952381,3.0107619048,2.3604126984,2.3604126984
1033120100,NELIUS,THOMAS,,M.D.,M,I,3502 9TH ST,SUITE 260,LUBBOCK,TX,794153300,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,3270,0.3129357798,0.13,0.096324159,0.096324159
1033120100,NELIUS,THOMAS,,M.D.,M,I,3502 9TH ST,SUITE 260,LUBBOCK,TX,794153300,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,39,6525,3.1856183908,2.0305747126,1.4975034483,1.5048888889
1033120100,NELIUS,THOMAS,,M.D.,M,I,3502 9TH ST,SUITE 260,LUBBOCK,TX,794153300,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,42,19.266190476,9.29,7.2826190476,8.3847619048
1033120100,NELIUS,THOMAS,,M.D.,M,I,3502 9TH ST,SUITE 260,LUBBOCK,TX,794153300,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,400,17.674,7,5.3508,5.3508
1033120100,NELIUS,THOMAS,,M.D.,M,I,3502 9TH ST,SUITE 260,LUBBOCK,TX,794153300,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,400,10.25075,4.04,3.1087,3.1087
1033120100,NELIUS,THOMAS,,M.D.,M,I,3502 9TH ST,SUITE 260,LUBBOCK,TX,794153300,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,930,0.965483871,0.27,0.2116666667,0.2116666667
1033120134,YAP,ENRIQUE,T,MD,M,I,5082 POPLAR LANE,,METROPOLIS,IL,62960,US,Physician/General Surgery,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,12,12.558333333,10.92,7.8483333333,7.8483333333
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,44,114,341,60.539002933,8.3115542522,6.0949266862,6.1015249267
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.181818182,3.38,2.65,2.65
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,23,45,64,14.2434375,1.42,1.1165625,1.1165625
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,34.15,24.19,18.96,22.030833333
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,24,18.1275,9.68,7.5891666667,8.5283333333
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,42,86.31,22.266428571,17.100238095,14.343571429
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,60.164545455,45.527272727,32.34,33.440909091
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,57,83,519.51,104.02578313,78.962409639,56.401686747
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,7.8875,0.567,0.4061805556,0.4061805556
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,6.9845,1.26075,0.9347638889,0.9347638889
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,2905,1.5160826162,0.1386643718,0.1068399312,0.1068399312
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,58.189473684,19.177368421,13.516842105,12.409473684
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,11.646666667,8.305,6.51,6.6725
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,24,16,16,12.0175,12.0175
1033120142,DAFFEH,JUNE,B,M.D.,F,I,101 HARRIS DRIVE,,KILMARNOCK,VA,22482,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,32,79.40625,33,24.253125,24.253125
1033120308,MCINTYRE,KENNETH,M,M.D.,M,I,1725 W MONROE ST,,WYTHEVILLE,VA,24382,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,232.35,56.431538462,44.243846154,37.63
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,31.97,27.01,21.18,22.207272727
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,360,8.487,8.28,6.4916666667,6.4916666667
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,172.172,46.513,34.702,35.7275
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,32.4312,8.5804,6.6996,7.7944
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,13,72,72,173.87166667,48.435138889,36.537222222,37.368472222
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,350,136.53666667,107.04666667,114.50666667
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,33.064516129,4.1870967742,3.2825806452,3.6516129032
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,38,38,77.109473684,17.875789474,13.363947368,14.522631579
1033120746,KIRCHDOERFFER,SUSAN,,DO,F,I,1098 W BALTIMORE PIKE,SUITE 3101,MEDIA,PA,190635139,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,41,41,37.244878049,9.3253658537,7.3095121951,7.2317073171
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,20,980,0.1330408163,0.12,0.0786938776,0.0786938776
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,34,2460,0.6005243902,0.44,0.3449756098,0.3449756098
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,11,355,31.33915493,23.66,18.155859155,18.155859155
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,19,407,13.342235872,8.41,6.1075675676,6.1075675676
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,20,36,5030,0.2232982107,0.13,0.0994930417,0.0994930417
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,28,58,7360,0.6091222826,0.4497853261,0.3408165761,0.3409836957
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,14,750,2.3186133333,1.9695066667,1.54416,1.5445466667
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,15,21,290,43.607172414,25.248793103,19.795,19.215827586
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,15,20,195,36.703589744,8.1,6.35,6.4249230769
1033120787,ANANIAN,CHARLES,E,DPM,M,I,3616 E 1ST ST,,LOS ANGELES,CA,900632326,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,15,29,29,2892.3931034,543.7937931,426.33448276,486.47586207
1033120852,KSIONSKI,SEBASTIAN,J,MD,M,I,1330 OAK LN,,LYNCHBURG,VA,24503,US,Physician/Sports Medicine,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,1371.4630769,996.34,781.13,776.4
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,57,163,70.373619632,8.32,6.0427607362,6.0427607362
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,14.914583333,1.42,1.0675,1.0675
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,181.38,48.044545455,37.667272727,30.49
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,36,86.31,20.741666667,15.017222222,12.573055556
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,32,33.040625,6.9759375,4.710625,2.96875
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,34,519.51,96.007058824,71.087058824,54.267941176
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,4472,0.3552370304,0.0462857782,0.0334660107,0.0334615385
1033120993,BONTRAGER,LILLY,S,MD,F,I,326 SAWYER RD,,KENDALLVILLE,IN,467552573,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,51.857142857,33,22.174285714,22.174285714
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,41,118,373,57.370187668,8.32,6.2856568365,6.2856568365
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,33,33,15.426060606,3.38,2.65,2.65
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,22.004444444,2.12,1.67,1.67
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,32,75,138,14.130652174,1.42,1.0907971014,1.0907971014
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,20,20,40,79.51525,69.61225,52.95075,53.05
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,20,20,120,35.314,29.164,22.864666667,22.886333333
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,33,66,7.03,2.1,1.4927272727,1.0313636364
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,501.14666667,128.22466667,95.505333333,68.903333333
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,43,192.27209302,47.135116279,33.370465116,23.924651163
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,84.606666667,24.703888889,19.366111111,15.844444444
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,22,22,102.46954545,21.885454545,16.695,10.286818182
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,28,127,16.041968504,3.3584251969,2.6336220472,1.8601574803
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,360,37.523333333,7.37,5.7691111111,4.1855
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6342,2.1724471775,0.4004919584,0.3005376853,0.2333538316
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,13,19,287.04,76.445263158,57.910526316,44.23
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,55,82.554545455,22.113818182,15.841090909,12.465090909
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,4430.1,1074.31,836.64473684,836.64473684
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,26,50.73,7.3976923077,5.3803846154,3.2638461538
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,34,198.83058824,47.402058824,34.126470588,23.245588235
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,23,142,172,509.6519186,100.75476744,76.441627907,55.06877907
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,35,188.28571429,45.103714286,35.363714286,29.816571429
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1272,3.2932075472,0.0804323899,0.0630738994,0.0630503145
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,17,82,9296,1.2839113597,0.1339533133,0.098297117,0.098297117
1033121017,COMBS-WOOLUM,MARTHA,C,MD,F,I,121 VIRGINIA AVE,STE F-200,PINEVILLE,KY,40977,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,87,87,91.034482759,33,23.852758621,23.852758621
1033121041,HILGER,MARK,A,M.D.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,53,128,63.9790625,8.32,5.604140625,5.604140625
1033121041,HILGER,MARK,A,M.D.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,24,17.059166667,1.42,1.1154166667,1.1154166667
1033121041,HILGER,MARK,A,M.D.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,7332,0.6125913803,0.32,0.2508837971,0.2449358974
1033121041,HILGER,MARK,A,M.D.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,103.68266667,18,13.169333333,12.637333333
1033121041,HILGER,MARK,A,M.D.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,390.08685714,77.18,58.38,52.755714286
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,28,69,74.406521739,8.32,6.1434782609,6.1434782609
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,133.20777778,61.89,43.328888889,38.097777778
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,45.507,15,10.584,8.208
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,118,7.8538983051,2.4,1.5944915254,1.3491525424
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,299.59,51,38.451818182,40.114545455
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,112.77,50,39.2,37.772727273
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,15,18,40.855555556,14.649444444,10.163888889,9.315
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,23,152.31304348,37.17826087,26.715652174,22.353913043
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,451.43954545,81.918181818,64.225,54.741363636
1033121116,STREIT,BARRY,,M.D.,M,I,6610 N UNIVERSITY DR,SUITE 120,TAMARAC,FL,333214034,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.518181818,23.518181818
1033121140,MURAWSKI,DANIEL,E,MD,M,I,1040 GULF BREEZE PKWY,,GULF BREEZE,FL,325617809,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,102.85714286,74.55,56.963571429,58.956428571
1033121140,MURAWSKI,DANIEL,E,MD,M,I,1040 GULF BREEZE PKWY,,GULF BREEZE,FL,325617809,US,Physician/Orthopedic Surgery,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,588.01727273,485.16,379.13090909,388.76636364
1033121140,MURAWSKI,DANIEL,E,MD,M,I,1040 GULF BREEZE PKWY,,GULF BREEZE,FL,325617809,US,Physician/Orthopedic Surgery,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,141.12416667,118.59,92.97,98.625833333
1033121140,MURAWSKI,DANIEL,E,MD,M,I,1040 GULF BREEZE PKWY,,GULF BREEZE,FL,325617809,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,435.41909091,356.34,279.37,307.58818182
1033121140,MURAWSKI,DANIEL,E,MD,M,I,1040 GULF BREEZE PKWY,,GULF BREEZE,FL,325617809,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,100.38083333,78.81,61.79,68.0875
1033121140,MURAWSKI,DANIEL,E,MD,M,I,1040 GULF BREEZE PKWY,,GULF BREEZE,FL,325617809,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,49,49,50,525.18,266.666,209.0638,215.3866
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,6,,76,261,154.19954023,19.695747126,15.381992337,15.381992337
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,18,629.90277778,37.38,27.675,27.675
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,212.02705882,14.581176471,11.430588235,11.469411765
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,6320,54.546303797,13.489759494,10.575969937,10.575969937
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,53,15180,58.587185771,9.8420421607,7.6926357049,7.6926304348
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,1645,130.34945897,42.44756231,33.278911854,33.278911854
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3900,171.0913359,14.099615385,11.028787179,11.028787179
1033121249,OFFENBERGER,JACOB,,MD,M,I,10515 BALBOA BLVD,#390,GRANADA HILLS,CA,913446343,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,67,285,30.983473684,2.6383157895,2.0686315789,2.0686315789
1033121272,KHARAZMI,MOHAMMAD,S,MD,M,I,9209 COLIMA RD STE 1000,,WHITTIER,CA,906051813,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,39,37.66974359,38.547948718,23.776923077,20.538205128
1033121322,TAYLOR,TIMOTHY,O,MD,M,I,2330 CORONADO ST,,IDAHO FALLS,ID,834047407,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,4110,0.5082481752,0.13,0.0989489051,0.0989489051
1033121322,TAYLOR,TIMOTHY,O,MD,M,I,2330 CORONADO ST,,IDAHO FALLS,ID,834047407,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,46,9550,5.3539455497,1.73,1.325347644,1.5384115183
1033121322,TAYLOR,TIMOTHY,O,MD,M,I,2330 CORONADO ST,,IDAHO FALLS,ID,834047407,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,3060,11.380686275,7.23,5.6254444444,5.6254444444
1033121553,BELL,SANDRA,L,ARNP,F,I,253 PLEASANT ST,,CONCORD,NH,033017560,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,69,64.724202899,8.32,6.1049275362,6.1049275362
1033121553,BELL,SANDRA,L,ARNP,F,I,253 PLEASANT ST,,CONCORD,NH,033017560,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,37,15.705675676,1.42,1.0240540541,1.0240540541
1033121751,JEAN GILLES,FRITZ E,,M.D.,M,I,129 N WASHINGTON ST,,SUMTER,SC,291504949,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,242.65,74,50.7675,48.094375
1033122288,HENSON,GALA,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,36,106,73.911698113,8.32,6.0923584906,6.0923584906
1033122288,HENSON,GALA,,MD,F,I,251 EASTWAY DR,,CHARLOTTE,NC,282137103,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,28,16.552142857,1.42,0.9960714286,0.9960714286
1033122296,HUOT,JAMES,M,M.D.,M,I,4343 YAQUI PASS RD,,BORREGO SPRINGS,CA,920042369,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,48,71.057083333,8.32,4.7564583333,4.7564583333
1033122296,HUOT,JAMES,M,M.D.,M,I,4343 YAQUI PASS RD,,BORREGO SPRINGS,CA,920042369,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,16.98,10.54,10.770909091
1033122296,HUOT,JAMES,M,M.D.,M,I,4343 YAQUI PASS RD,,BORREGO SPRINGS,CA,920042369,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,72.06,43.000526316,41.603684211
1033122296,HUOT,JAMES,M,M.D.,M,I,4343 YAQUI PASS RD,,BORREGO SPRINGS,CA,920042369,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,960,0.92,0.13334375,0.096,0.096
1033122296,HUOT,JAMES,M,M.D.,M,I,4343 YAQUI PASS RD,,BORREGO SPRINGS,CA,920042369,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,23.88,23.88
1033122304,SAVAGE,SASHA,,MD,M,I,4611 N CAMPUS RIDGE DR,,MIDLAND,MI,486409533,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,30,134,54.392985075,8.32,5.6951492537,5.6951492537
1033122304,SAVAGE,SASHA,,MD,M,I,4611 N CAMPUS RIDGE DR,,MIDLAND,MI,486409533,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,28,19.199642857,1.42,1.1139285714,1.1139285714
1033122445,TANNER,MARK,L,MD,M,I,1935 HOWELL MILL RD NW,,ATLANTA,GA,303182513,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,32,79,68.030886076,8.32,5.7315189873,5.7315189873
1033122445,TANNER,MARK,L,MD,M,I,1935 HOWELL MILL RD NW,,ATLANTA,GA,303182513,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,12.4575,1.42,0.9775,0.9775
1033122445,TANNER,MARK,L,MD,M,I,1935 HOWELL MILL RD NW,,ATLANTA,GA,303182513,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,220,32.649090909,22.749090909,22.67
1033122478,KENNEDY,CAROLINE,I,M.D.,F,I,1150 FREMONT BLVD,,SEASIDE,CA,939555715,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,41,70.176585366,8.32,4.93,4.93
1033122478,KENNEDY,CAROLINE,I,M.D.,F,I,1150 FREMONT BLVD,,SEASIDE,CA,939555715,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,12.57125,1.42,0.84,0.84
1033122551,POWE,EMILE,A,M.D.,M,I,692 N PEARL ST,,ALBANY,NY,122041738,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,34,102,64.908823529,8.32,6.5216666667,6.5216666667
1033122551,POWE,EMILE,A,M.D.,M,I,692 N PEARL ST,,ALBANY,NY,122041738,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,32,14.9471875,1.42,1.1146875,1.1146875
1033122601,LAM,MICHAEL,C,M.D.,M,I,2499 E LAKESHORE DR,,LAKE ELSINORE,CA,925304446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,31,76,68.826578947,8.32,5.6628947368,5.6628947368
1033122601,LAM,MICHAEL,C,M.D.,M,I,2499 E LAKESHORE DR,,LAKE ELSINORE,CA,925304446,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,14,14.595714286,1.42,0.9557142857,0.9557142857
1033122601,LAM,MICHAEL,C,M.D.,M,I,2499 E LAKESHORE DR,,LAKE ELSINORE,CA,925304446,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,10.03,0.5585,0.3995138889,0.3995138889
1033122601,LAM,MICHAEL,C,M.D.,M,I,2499 E LAKESHORE DR,,LAKE ELSINORE,CA,925304446,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,70,22.535,12.555,10.128333333
1033122601,LAM,MICHAEL,C,M.D.,M,I,2499 E LAKESHORE DR,,LAKE ELSINORE,CA,925304446,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,9.015,5.0175,4.6641666667
1033122601,LAM,MICHAEL,C,M.D.,M,I,2499 E LAKESHORE DR,,LAKE ELSINORE,CA,925304446,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,17.109090909,17.109090909
1033122627,GRINICH,NICHOLAS,P,,M,I,235 SE NORTON LN STE A,,MCMINNVILLE,OR,971288479,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,67.772727273,67.772727273,53.136363636,52.81
1033122676,LI,JASON,J,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,55.32,19.71,15.45,15.45
1033122676,LI,JASON,J,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,104.87,37.38,29.3,29.3
1033122676,LI,JASON,J,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,536.87,216.02333333,169.36333333,169.36333333
1033122676,LI,JASON,J,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,14,1400,47.99205,4.9557714286,3.8853285714,3.8853071429
1033122676,LI,JASON,J,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,22,225,24.406222222,1.7141777778,1.3440444444,1.3440444444
1033122676,LI,JASON,J,MD,M,I,3015 N BALLAS RD,,SAINT LOUIS,MO,631312329,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,25.142857143,16,12.54,12.54
1033122734,SMITH,DWIGHT,W,MD,M,I,2801 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,84,77.548809524,8.32,6.1678571429,6.1678571429
1033122734,SMITH,DWIGHT,W,MD,M,I,2801 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,19,79.386315789,24.94,19.55,16.064736842
1033122734,SMITH,DWIGHT,W,MD,M,I,2801 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,38,549.10631579,113.13,88.697894737,63.388947368
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,11,40,59,51.90559322,8.32,5.7494915254,5.7494915254
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,449.37071429,118,92.51,67.845
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,38,174.48,45.221842105,35.454473684,25.917894737
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,216.42352941,80.935294118,58.556470588,42.735882353
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,77.232222222,25.246666667,18.570555556,14.148888889
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,23,23,71.214347826,22.798695652,16.540434783,9.8282608696
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,33,143,12.044195804,3.1096503497,2.3846153846,1.6548251748
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,50.650833333,15.7275,12.325833333,10.568333333
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,18,684.03222222,122.16777778,92.01,64.051111111
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,48,412.68979167,100.02104167,73.438125,55.307291667
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2924,0.2050102599,0.0472811218,0.0351812585,0.0351812585
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1470,0.92,0.1351836735,0.098585034,0.098585034
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,38,2220,12.814162162,2.9413378378,2.1552567568,2.1552567568
1033122890,VANSCHOONEVELD,CRAIG,,MD,M,I,108 DELMAR ST,,STERLING,CO,807514138,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,35,35,132,33,25.87,25.87
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,32,141,71.122269504,8.32,5.8292198582,5.8292198582
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,46,15.826086957,1.42,1.0643478261,1.0643478261
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,175,69.8975,47.1235,31.6655
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,86.31,21.883103448,15.097241379,11.663793103
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,25,8.2072340426,5.6625531915,3.1463829787
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,111,111,430.93720721,101.49801802,71.193243243,48.399369369
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,35.0825,29.795
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,7200,0.4622333333,0.046,0.0345277778,0.0345277778
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1110,1.132027027,0.1296216216,0.0918198198,0.0918198198
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,60,26.423913043,19.255217391,12.150434783
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,43.935,28.970833333,25.191666667
1033123070,REA,NAOMI,L,FNP/CNM,F,I,1850 SPRING RIDGE DR,,SUSANVILLE,CA,961306100,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,56.294117647,33,22.356470588,22.356470588
1033123179,JACKSON,JEFFREY,D,MD,M,I,1160 E 3900 S STE 5000,,SALT LAKE CITY,UT,841241275,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,22,22,860.25136364,638.80590909,500.82590909,552.50772727
1033123195,TOOTHAKER,STEPHEN,R,M.D.,M,I,521 ROBINBROOKE BLVD UNIT 106,,ELIZABETHTOWN,KY,427015946,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,86.31,22.698275862,17.279310345,14.149310345
1033123195,TOOTHAKER,STEPHEN,R,M.D.,M,I,521 ROBINBROOKE BLVD UNIT 106,,ELIZABETHTOWN,KY,427015946,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,519.51,104.30758621,79.71862069,59.999310345
1033123195,TOOTHAKER,STEPHEN,R,M.D.,M,I,521 ROBINBROOKE BLVD UNIT 106,,ELIZABETHTOWN,KY,427015946,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,756,16.411693122,1.8163624339,1.424021164,1.424021164
1033123195,TOOTHAKER,STEPHEN,R,M.D.,M,I,521 ROBINBROOKE BLVD UNIT 106,,ELIZABETHTOWN,KY,427015946,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,13,42,3648,55.268843202,5.3713185307,4.1256387061,4.1256387061
1033123195,TOOTHAKER,STEPHEN,R,M.D.,M,I,521 ROBINBROOKE BLVD UNIT 106,,ELIZABETHTOWN,KY,427015946,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,13,37,37,24,24,18.82,18.82
1033123195,TOOTHAKER,STEPHEN,R,M.D.,M,I,521 ROBINBROOKE BLVD UNIT 106,,ELIZABETHTOWN,KY,427015946,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,23,16,16,12.54,12.54
1033123203,GOLDBERG,ROBERT,A,OD,M,I,100 STEIN PLZ,RM 1-340,LOS ANGELES,CA,900950001,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,103.18181818,60.313636364,43.093636364,47.191818182
1033123237,GUTIERREZ,GREG,P,MD,M,I,777 BANNOCK ST,,DENVER,CO,802044507,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,300.41347826,101.79913043,77.213913043,54.111304348
1033123252,FARIES,PETER,,M.D.,M,I,1190 5TH AVE,GP1 1ST FLOOR,NEW YORK,NY,100296503,US,Physician/Vascular Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.74,48.994166667,44.329166667
1033123393,SEPROSKY,JOSEPH,C,M.D.,M,I,1400 MAIN ST,,PECKVILLE,PA,184522009,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,53,106,70.604433962,8.32,4.4297169811,4.4297169811
1033123393,SEPROSKY,JOSEPH,C,M.D.,M,I,1400 MAIN ST,,PECKVILLE,PA,184522009,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,20,16.9025,1.42,0.838,0.838
1033123393,SEPROSKY,JOSEPH,C,M.D.,M,I,1400 MAIN ST,,PECKVILLE,PA,184522009,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,25,6.8696428571,3.6242857143,2.0732142857
1033123393,SEPROSKY,JOSEPH,C,M.D.,M,I,1400 MAIN ST,,PECKVILLE,PA,184522009,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,350,110.155,80.6835,55.3755
1033123799,BUNNELL,DON,P,MD,M,I,1200 NORTH VIRGINIA,,PORT LAVACA,TX,77979,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,63,88.361587302,25.265555556,18.282380952,13.165555556
1033123799,BUNNELL,DON,P,MD,M,I,1200 NORTH VIRGINIA,,PORT LAVACA,TX,77979,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,86.38,20.280666667,15.898,9.12
1033123799,BUNNELL,DON,P,MD,M,I,1200 NORTH VIRGINIA,,PORT LAVACA,TX,77979,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,76,10.518947368,2.8471052632,2.1852631579,1.5506578947
1033123922,PALMA,ROSE,D,M.D.,F,I,175 N JACKSON AVE,SUITE # 110,SAN JOSE,CA,951161909,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,45,80.379555556,8.32,5.2251111111,5.2251111111
1033123922,PALMA,ROSE,D,M.D.,F,I,175 N JACKSON AVE,SUITE # 110,SAN JOSE,CA,951161909,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,19.7525,1.42,0.9775,0.9775
1033123922,PALMA,ROSE,D,M.D.,F,I,175 N JACKSON AVE,SUITE # 110,SAN JOSE,CA,951161909,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,2250,0.3519911111,0.0470711111,0.0319822222,0.0319822222
1033123922,PALMA,ROSE,D,M.D.,F,I,175 N JACKSON AVE,SUITE # 110,SAN JOSE,CA,951161909,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,33,33,23.146842105,23.146842105
1033124458,LEDERMAN,HARVEY,M,MD,M,I,325B KING STREET,,NORTHAMPTON,MA,010602370,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,94,313,71.900766773,8.32,5.5221086262,5.5221086262
1033124458,LEDERMAN,HARVEY,M,MD,M,I,325B KING STREET,,NORTHAMPTON,MA,010602370,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,30,53,17.926792453,1.42,0.9873584906,0.9873584906
1033124458,LEDERMAN,HARVEY,M,MD,M,I,325B KING STREET,,NORTHAMPTON,MA,010602370,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,312,4.2776923077,2.91,2.28125,2.28125
1033124458,LEDERMAN,HARVEY,M,MD,M,I,325B KING STREET,,NORTHAMPTON,MA,010602370,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,15.926,9.86,7.73,7.73
1033124458,LEDERMAN,HARVEY,M,MD,M,I,325B KING STREET,,NORTHAMPTON,MA,010602370,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.9649545455,3.04,2.3835,2.3835
1033124888,KYRAMARIOS,CONSTANTINE,,,M,I,1726 CLARKSON RD,,CHESTERFIELD,MO,630174976,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,52,67.277307692,66.944615385,47.935,50.447692308
1033124888,KYRAMARIOS,CONSTANTINE,,,M,I,1726 CLARKSON RD,,CHESTERFIELD,MO,630174976,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,114,27.24,27.24,21.016315789,22.063245614
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,22,64,234,62.450470085,8.32,6.1969230769,6.1969230769
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,17,18,15,3.38,2.3555555556,2.3555555556
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,42,14.422857143,1.42,0.9552380952,0.9552380952
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1260,5.25,2.04,1.485484127,1.485484127
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,23,23,115.53086957,50.507391304,39.6,32.557826087
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,76.225454545,69.581818182,54.552272727,56.101363636
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,72,46.03,42.3225,33.181666667,34.150138889
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,64.826086957,29.122173913,22.831304348,14.553913043
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,205.375,78.83375,61.804375,46.06125
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,22,22,71.758181818,25.795454545,20.219545455,15.273636364
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,45,113,8.5412389381,2.9925663717,2.3473451327,1.7018584071
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,48.876923077,16.156923077,12.662307692,10.550769231
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,55,22.13275,16.0065,12.74175
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,94.375,20.249375,15.87625,13.75125
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,39.103478261,9.5208695652,7.4634782609,3.8182608696
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,391.291,57.438,45.02875,35.196
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,53,363.69358491,100.12981132,72.86490566,51.859245283
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,3299,1.7600394059,0.1356714156,0.0964595332,0.0964595332
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,32.344166667,27.056666667
1033124920,JANNERS,SIGURDS,,MD,M,I,920 W WATER ST,SUITE 2,HANCOCK,MI,499301949,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,35,35,41.485714286,33,22.174285714,22.174285714
1033125075,ONG,TIMOTHY,P,MD,M,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,30,67,216,79.315740741,8.32,4.782962963,4.782962963
1033125075,ONG,TIMOTHY,P,MD,M,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,17,31,48,16.438541667,1.42,0.8835416667,0.8835416667
1033125075,ONG,TIMOTHY,P,MD,M,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,71.06,43.8975,42.999166667
1033125075,ONG,TIMOTHY,P,MD,M,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,36.58,28.533333333,29.3725
1033125075,ONG,TIMOTHY,P,MD,M,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,128.33913043,15.393478261,10.913478261,12.743478261
1033125075,ONG,TIMOTHY,P,MD,M,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,92.72,9.2627272727,6.6227272727,5.7854545455
1033125117,SILVERMAN,SHARON,,MD,F,I,975 RYLAND ST,STE 100,RENO,NV,895021667,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,61.608709677,17.09,12.535483871,12.647741935
1033125117,SILVERMAN,SHARON,,MD,F,I,975 RYLAND ST,STE 100,RENO,NV,895021667,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,364.98612903,65.7,48.100645161,50.827419355
1033125281,SUZUKI,FUMI,L,M.D.,F,I,500 SAN PABLO AVE,,ALBANY,CA,947061103,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,83.001538462,8.32,5.2680769231,5.2680769231
1033125315,LISS,KENNETH,A,DO,M,I,6 INDUSTRIAL WAY W,ST B HYPERTENSION & NEPHROLOGY ASSOC,EATONTOWN,NJ,077242268,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,68,9225,4.3823533875,0.570700271,0.4324596206,0.4324542005
1033125315,LISS,KENNETH,A,DO,M,I,6 INDUSTRIAL WAY W,ST B HYPERTENSION & NEPHROLOGY ASSOC,EATONTOWN,NJ,077242268,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,32,4200,1.0276238095,0.7380428571,0.5561928571,0.5561928571
1033125315,LISS,KENNETH,A,DO,M,I,6 INDUSTRIAL WAY W,ST B HYPERTENSION & NEPHROLOGY ASSOC,EATONTOWN,NJ,077242268,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,52,11400,3.2922754386,1.3181263158,0.9951745614,0.9951745614
1033125315,LISS,KENNETH,A,DO,M,I,6 INDUSTRIAL WAY W,ST B HYPERTENSION & NEPHROLOGY ASSOC,EATONTOWN,NJ,077242268,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,78,78,24,24,18.578717949,18.578717949
1033125315,LISS,KENNETH,A,DO,M,I,6 INDUSTRIAL WAY W,ST B HYPERTENSION & NEPHROLOGY ASSOC,EATONTOWN,NJ,077242268,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,86,91,16,16,11.989120879,11.989120879
1033125380,GERDELMAN,BRENNA,K,MD,F,I,5145 N FM 620 BLDG I,,AUSTIN,TX,787321815,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,35,88.851428571,8.32,5.7751428571,5.7751428571
1033125380,GERDELMAN,BRENNA,K,MD,F,I,5145 N FM 620 BLDG I,,AUSTIN,TX,787321815,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,17.08,1.42,0.9333333333,0.9333333333
1033125448,SMITH,KAREN,,FNP,F,I,709 N DEKALB ST,,SHELBY,NC,281503911,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,29,52,29.567307692,8.32,5.3928846154,5.3928846154
1033125927,WCISEL,GREGORY,J,MD,M,I,1168 FIRST COLONIAL RD STE 100,,VIRGINIA BEACH,VA,234542444,US,Physician/Pulmonary Disease,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3,2.3519354839,2.3663049853
1033125927,WCISEL,GREGORY,J,MD,M,I,1168 FIRST COLONIAL RD STE 100,,VIRGINIA BEACH,VA,234542444,US,Physician/Pulmonary Disease,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6072,6.208423913,0.7,0.5466156126,0.5181077075
1033125927,WCISEL,GREGORY,J,MD,M,I,1168 FIRST COLONIAL RD STE 100,,VIRGINIA BEACH,VA,234542444,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,17.15,12.227272727,12.32
1033125927,WCISEL,GREGORY,J,MD,M,I,1168 FIRST COLONIAL RD STE 100,,VIRGINIA BEACH,VA,234542444,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,3775.52,1065.5409524,828.5547619,829.41190476
1033125927,WCISEL,GREGORY,J,MD,M,I,1168 FIRST COLONIAL RD STE 100,,VIRGINIA BEACH,VA,234542444,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,297.05882353,90.676470588,67.449411765,51.510588235
1033125927,WCISEL,GREGORY,J,MD,M,I,1168 FIRST COLONIAL RD STE 100,,VIRGINIA BEACH,VA,234542444,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,205.88235294,40.605294118,30.212352941,27.917058824
1033125992,PEARLMAN,RALPH,D,MD,M,I,22250 PROVIDENCE DR,STE #702,SOUTHFIELD,MI,48075,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,425,15.106023529,7,5.1635764706,5.1635764706
1033125992,PEARLMAN,RALPH,D,MD,M,I,22250 PROVIDENCE DR,STE #702,SOUTHFIELD,MI,48075,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,1020,4.7117254902,1.95,1.473745098,1.473745098
1033125992,PEARLMAN,RALPH,D,MD,M,I,22250 PROVIDENCE DR,STE #702,SOUTHFIELD,MI,48075,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,710,1.315915493,0.27,0.2116338028,0.2116338028
1033125992,PEARLMAN,RALPH,D,MD,M,I,22250 PROVIDENCE DR,STE #702,SOUTHFIELD,MI,48075,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,655,0.8269465649,0.27,0.2117099237,0.2117099237
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,200,72.554,56.884,38.755
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,59,59,47.487966102,21.58440678,16.262542373,13.020847458
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,13,100,100,27.9452,7.6754,5.8462,3.6959
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,43,288.03697674,93.087906977,68.129302326,51.170930233
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1920,0.8173489583,0.1338125,0.1049375,0.1049375
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,780,12.301423077,3.0293461538,2.375025641,2.375025641
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,56.97,33.1025,25.95125,17.279375
1033126156,AROS,HOWIS,Y,MD,F,I,1 E MARKET ST,SUITE #C,MARTINSVILLE,VA,241123708,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,106.03333333,33,25.87,25.87
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,71,244,48.464959016,8.32,6.041147541,6.041147541
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,27,27,13.30962963,3.38,2.4537037037,2.4537037037
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,16.885333333,2.12,1.5586666667,1.5586666667
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,45,79,16.905949367,1.42,1.0425316456,1.0425316456
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,6.9527272727,6.9527272727,5.4509090909,5.6683333333
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,31,31,99.658709677,41.807741935,30.705806452,28.906774194
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,8.19,1.5222222222,1.1286111111,1.0919444444
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,21,45,45,415.524,95.205777778,64.570444444,59.884222222
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,21,46,118,159.84169492,35.835084746,25.50440678,23.674576271
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,11,23,128,91.999140625,18.670234375,12.475234375,12.488984375
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,23,118,44.480847458,15.125084746,11.136864407,11.173305085
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,27,49,49,221.54285714,56.214693878,39.862857143,38.73
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,41,56,56,75.339285714,18.440892857,13.521428571,13.248571429
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,34,61,61,73.67,12.908688525,9.4618032787,8.6455737705
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,43,91,493,10.432008114,2.1725963489,1.5681338742,1.4739148073
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,21,21,26.432380952,6.529047619,4.8942857143,4.430952381
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,26,36,36,53.175555556,13.3575,9.6172222222,9.505
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,46.914375,18.48875,14.49625,14.666875
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,329.0005,81.056,63.548,62.685
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,72.585757576,5.5215151515,4.0960606061,3.416969697
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,21,78,79,123.98164557,38.401898734,29.815189873,27.552278481
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,339.82117647,76.387058824,58.793529412,56.087058824
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,35.877272727,28.129090909,29.51
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,36,4456,1.1261624776,0.134320018,0.1022666068,0.1022666068
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,19,74.1,33.457894737,23.92,18.734210526
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,222.9825,36.26,28.426666667,29.51
1033126164,MUSA,MUSTAFA,I,M.D.,M,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,36,36,110,33,24.432777778,24.432777778
1033126248,MCCARTHY,LORRETTA,K,DO,F,I,3960 E RIGGS RD,SUITE 1,CHANDLER,AZ,852495411,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,27,80.273333333,8.32,6.5218518519,6.5218518519
1033126248,MCCARTHY,LORRETTA,K,DO,F,I,3960 E RIGGS RD,SUITE 1,CHANDLER,AZ,852495411,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,22.6,4.93,3.865,4.163
1033126248,MCCARTHY,LORRETTA,K,DO,F,I,3960 E RIGGS RD,SUITE 1,CHANDLER,AZ,852495411,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6120,16.826666667,1.16,0.9094313725,0.9486470588
1033126503,HOFFMAN,KELLY,J,NP,F,I,920 BELL AVE,,WESTBROOK,MN,561839669,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,41,57.118536585,8.32,5.5670731707,5.5670731707
1033126503,HOFFMAN,KELLY,J,NP,F,I,920 BELL AVE,,WESTBROOK,MN,561839669,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,40.384615385,18.682307692,12.865384615,9.3907692308
1033126503,HOFFMAN,KELLY,J,NP,F,I,920 BELL AVE,,WESTBROOK,MN,561839669,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,140,49.209375,35.18,22.828125
1033126503,HOFFMAN,KELLY,J,NP,F,I,920 BELL AVE,,WESTBROOK,MN,561839669,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,325,102.61833333,71.987083333,48.579583333
1033126503,HOFFMAN,KELLY,J,NP,F,I,920 BELL AVE,,WESTBROOK,MN,561839669,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1440,21.396708333,9.6325,7.4522430556,7.4522430556
1033126503,HOFFMAN,KELLY,J,NP,F,I,920 BELL AVE,,WESTBROOK,MN,561839669,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1440,12.518166667,3.003,2.2547430556,2.2547430556
1033126503,HOFFMAN,KELLY,J,NP,F,I,920 BELL AVE,,WESTBROOK,MN,561839669,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,33,33,25.87,25.87
1033126578,SERGILE,ELIZABETH,T,MD,F,I,3400 OLD MILTON PKWY,STE A130,ALPHARETTA,GA,300053707,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,23,75.676521739,8.32,4.2526086957,4.2526086957
1033126636,BIELER,LUIS,F,MD,M,I,7127 SOMERSET RD,,SAN ANTONIO,TX,782113665,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,82,283,47.645830389,8.32,5.9462190813,5.9462190813
1033126636,BIELER,LUIS,F,MD,M,I,7127 SOMERSET RD,,SAN ANTONIO,TX,782113665,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,24,24,14.2325,3.38,2.65,2.65
1033126636,BIELER,LUIS,F,MD,M,I,7127 SOMERSET RD,,SAN ANTONIO,TX,782113665,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,23.313076923,2.12,1.67,1.67
1033126636,BIELER,LUIS,F,MD,M,I,7127 SOMERSET RD,,SAN ANTONIO,TX,782113665,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,63,120,13.5745,1.42,1.012,1.012
1033126636,BIELER,LUIS,F,MD,M,I,7127 SOMERSET RD,,SAN ANTONIO,TX,782113665,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,99.45,26.15,15.676923077,15.260769231
1033126636,BIELER,LUIS,F,MD,M,I,7127 SOMERSET RD,,SAN ANTONIO,TX,782113665,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,21.07,6.76,4.0769230769,4.9853846154
1033126735,MITCHEL,JEFFREY,M,M.D.,M,I,370 GRAND AVE,,ENGLEWOOD,NJ,076314154,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,33,29.055454545,8.32,6.1281818182,6.1281818182
1033126776,KLEINMAN,RICHARD,D,DPM,M,I,180 PHILLIPS HILL RD,,NEW CITY,NY,109564132,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1400,0.3,0.12,0.0941142857,0.0941142857
1033126776,KLEINMAN,RICHARD,D,DPM,M,I,180 PHILLIPS HILL RD,,NEW CITY,NY,109564132,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,531,0.33,0.13,0.1020150659,0.1020150659
1033126776,KLEINMAN,RICHARD,D,DPM,M,I,180 PHILLIPS HILL RD,,NEW CITY,NY,109564132,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,1955,1.13,0.45,0.3527723785,0.3527723785
1033126834,LANGEVIN,EUGENE,E,D.O.,M,I,1531 W 32ND ST STE 208,,JOPLIN,MO,648041651,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,574.27619048,77.342857143,55.41,49.517619048
1033126933,THOMPSON,IAN,M,MD,M,I,7979 WURZBACH RD,,SAN ANTONIO,TX,782294427,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,3000,0.3804,0.13,0.09683,0.09683
1033126933,THOMPSON,IAN,M,MD,M,I,7979 WURZBACH RD,,SAN ANTONIO,TX,782294427,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,4928,5.4350649351,2.04,1.5170068994,1.5170068994
1033127006,ADELSON,ROBERT,T,MD,M,I,3400 SPRUCE STREET,5 SILVERSTEIN BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Ophthalmology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,72.96,19.684166667,15.43,15.43
1033127006,ADELSON,ROBERT,T,MD,M,I,3400 SPRUCE STREET,5 SILVERSTEIN BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Ophthalmology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,5400,37.612568519,14.015083333,10.98782963,10.98782963
1033127006,ADELSON,ROBERT,T,MD,M,I,3400 SPRUCE STREET,5 SILVERSTEIN BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Ophthalmology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,1260,9.4714920635,3.0428571429,2.1578809524,2.1578809524
1033127006,ADELSON,ROBERT,T,MD,M,I,3400 SPRUCE STREET,5 SILVERSTEIN BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Ophthalmology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,25.87,25.87
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,90,62.721333333,17.5,13.605222222,14.400333333
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,14,28,28,179.33464286,56.155,41.3925,40.245714286
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,24,24,57.07125,17.409583333,13.095416667,13.451666667
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,25,25,67.3352,11.9188,8.9932,8.7664
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,39,173,8.4426589595,2.0565317919,1.5040462428,1.481849711
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,32.198461538,12.58,9.1015384615,9.5169230769
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,19,81.75,12.908947368,10.118947368,10.48
1033127022,BIEDIGER,CHARLES,P,MD,M,I,19026 STONE OAK PKWY,SUITE 110,SAN ANTONIO,TX,782583227,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,41,42,182.82333333,32.857142857,23.333333333,23.195714286
1033127071,STOUGHTON,PATRICIA,M,NP,F,I,4361 ROUTE 42,,TURNERSVILLE,NJ,080121794,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,57,70.53754386,8.32,6.0638596491,6.0638596491
1033127071,STOUGHTON,PATRICIA,M,NP,F,I,4361 ROUTE 42,,TURNERSVILLE,NJ,080121794,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,13.058571429,1.42,1.1171428571,1.1171428571
1033127071,STOUGHTON,PATRICIA,M,NP,F,I,4361 ROUTE 42,,TURNERSVILLE,NJ,080121794,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,44.491666667,34.885,37.188333333
1033127071,STOUGHTON,PATRICIA,M,NP,F,I,4361 ROUTE 42,,TURNERSVILLE,NJ,080121794,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,43.2,33.872727273,38.434545455
1033127071,STOUGHTON,PATRICIA,M,NP,F,I,4361 ROUTE 42,,TURNERSVILLE,NJ,080121794,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,120.36666667,72,56.45,54.921111111
1033127337,RHEE,RICHARD,S,MD,M,I,500 E MAIN ST,STE 212,BRANFORD,CT,06405,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,36,86,64.109302326,8.32,5.6110465116,5.6110465116
1033127337,RHEE,RICHARD,S,MD,M,I,500 E MAIN ST,STE 212,BRANFORD,CT,06405,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,22,28,15.7325,1.42,0.8771428571,0.8771428571
1033127337,RHEE,RICHARD,S,MD,M,I,500 E MAIN ST,STE 212,BRANFORD,CT,06405,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,18,77.918333333,17,13.33,13.54
1033127337,RHEE,RICHARD,S,MD,M,I,500 E MAIN ST,STE 212,BRANFORD,CT,06405,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,18,469.00166667,76,59.58,54.73
1033127394,CAMPBELL,BARBARA,J,M.D.,F,I,223 S PLEASANT AVE,SUITE 301,SOMERSET,PA,155012183,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,14,16,94.625,83.21,60.195,62.2875
1033127436,DUFFEY,JEFFERY,A,MD,M,I,830 AMHERST RD. N.E.,SUITE 201,MASSILLON,OH,44646,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,36,46.231388889,8.32,4.3477777778,4.3477777778
1033127436,DUFFEY,JEFFERY,A,MD,M,I,830 AMHERST RD. N.E.,SUITE 201,MASSILLON,OH,44646,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,68.372727273,17.27,11.078181818,11.078181818
1033127436,DUFFEY,JEFFERY,A,MD,M,I,830 AMHERST RD. N.E.,SUITE 201,MASSILLON,OH,44646,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,20,128.663,32.372,19.8125,19.1455
1033127436,DUFFEY,JEFFERY,A,MD,M,I,830 AMHERST RD. N.E.,SUITE 201,MASSILLON,OH,44646,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,13,377.97076923,69.81,46.000769231,46.000769231
1033127477,BURGESS-PARKER,MARY,E,CRNP,F,I,1401 RAINBOW DR,,GADSDEN,AL,359015319,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,17.29,12.420833333,12.4025
1033127477,BURGESS-PARKER,MARY,E,CRNP,F,I,1401 RAINBOW DR,,GADSDEN,AL,359015319,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,4.7027272727,3.6881818182,3.6854545455
1033127477,BURGESS-PARKER,MARY,E,CRNP,F,I,1401 RAINBOW DR,,GADSDEN,AL,359015319,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,70.23,50.471666667,50.16
1033127519,PUN,KIN-KEE,,M.D.,M,I,950 STOCKTON ST,SUITE 375,SAN FRANCISCO,CA,94108,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,40,95,194,76.302371134,8.32,5.4787113402,5.4787113402
1033127519,PUN,KIN-KEE,,M.D.,M,I,950 STOCKTON ST,SUITE 375,SAN FRANCISCO,CA,94108,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,30,63,65,17.702923077,1.42,0.9815384615,0.9815384615
1033127873,JAFARIAN,ALI,,D.O.,M,I,1143 S. BUCKNER BLVD.,STE 133,DALLAS,TX,752174304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,37,140,68.287071429,8.32,5.9634285714,5.9634285714
1033127873,JAFARIAN,ALI,,D.O.,M,I,1143 S. BUCKNER BLVD.,STE 133,DALLAS,TX,752174304,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.95,3.38,2.65,2.65
1033127873,JAFARIAN,ALI,,D.O.,M,I,1143 S. BUCKNER BLVD.,STE 133,DALLAS,TX,752174304,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,25,15.1836,1.42,0.9784,0.9784
1033128251,GANESAN,JAYANTHI,,M.D.,F,I,16901 LAKESIDE HILLS CT,ATTN: HOSPITAL MEDICINE,OMAHA,NE,681302318,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,15,411.536,76.830666667,60.235333333,54.727333333
1033128376,CHILDERS,DIANA,J,M.D.,F,I,200 W ARBOR DR,,SAN DIEGO,CA,921039000,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,315.78272727,52.626363636,33.049090909,32.103636364
1033128418,HARRISON,DAVID,,DO,M,I,800 E 1ST ST,SUITE 1700,ANKENY,IA,500212077,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,52,142,71.658802817,8.32,5.6492253521,5.6492253521
1033128418,HARRISON,DAVID,,DO,M,I,800 E 1ST ST,SUITE 1700,ANKENY,IA,500212077,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,17,16.028235294,1.42,0.9211764706,0.9211764706
1033128418,HARRISON,DAVID,,DO,M,I,800 E 1ST ST,SUITE 1700,ANKENY,IA,500212077,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,41.83,13.316153846,8.0353846154,8.0696153846
1033128418,HARRISON,DAVID,,DO,M,I,800 E 1ST ST,SUITE 1700,ANKENY,IA,500212077,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,150,31.593846154,14.890769231,15
1033128418,HARRISON,DAVID,,DO,M,I,800 E 1ST ST,SUITE 1700,ANKENY,IA,500212077,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,69.99,54.324166667,54.185
1033128418,HARRISON,DAVID,,DO,M,I,800 E 1ST ST,SUITE 1700,ANKENY,IA,500212077,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,38.68,27.793333333,27.050833333
1033128459,MCDANIEL,KATHLEEN,A,PA-C,F,I,11511 CANTERWOOD BLVD NW,STE 205,GIG HARBOR,WA,983325813,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,107.39,51.686,37.112666667,36.978
1033128525,MCCARTHY,JAMES,M,MD,M,I,489 STATE ST,,BANGOR,ME,044016616,US,Hospitalist,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,26.78,11.640833333,8.3125,6.5708333333
1033128574,CYRIAC,CHACKMUKAL,V,M.D.,M,I,8021 RITCHIE HWY,,PASADENA,MD,211221016,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,52,121,410,60.870585366,8.32,5.952804878,5.952804878
1033128574,CYRIAC,CHACKMUKAL,V,M.D.,M,I,8021 RITCHIE HWY,,PASADENA,MD,211221016,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,13.312,3.38,2.5175,2.5175
1033128574,CYRIAC,CHACKMUKAL,V,M.D.,M,I,8021 RITCHIE HWY,,PASADENA,MD,211221016,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,18.885,2.12,1.5308333333,1.5308333333
1033128574,CYRIAC,CHACKMUKAL,V,M.D.,M,I,8021 RITCHIE HWY,,PASADENA,MD,211221016,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,30,59,100,13.9464,1.42,1.0032,1.0032
1033128574,CYRIAC,CHACKMUKAL,V,M.D.,M,I,8021 RITCHIE HWY,,PASADENA,MD,211221016,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,49.24,10.058333333,7.885,9.4383333333
1033128574,CYRIAC,CHACKMUKAL,V,M.D.,M,I,8021 RITCHIE HWY,,PASADENA,MD,211221016,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,440.55272727,82,58.445454545,49.754545455
1033128632,KATZ,IAN,,M.D.,M,I,2 CELESTE DR,,JOHNSTOWN,PA,159052832,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,209.66571429,56.567142857,39.733571429,31.871428571
1033128665,SHAKHASHIRO,AKRAM,,MD,M,I,915 GESSNER RD,SUITE 785,HOUSTON,TX,770242575,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,61,50.076885246,8.32,6.0944262295,6.0944262295
1033128665,SHAKHASHIRO,AKRAM,,MD,M,I,915 GESSNER RD,SUITE 785,HOUSTON,TX,770242575,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,27,14.914814815,1.42,1.0311111111,1.0311111111
1033128764,SUBBIAH,SATHYA,,M.D.,F,I,1801 WINDSOR RD,,CHAMPAIGN,IL,618226217,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,14,176,41.423977273,19.620170455,14.994147727,14.994147727
1033128764,SUBBIAH,SATHYA,,M.D.,F,I,1801 WINDSOR RD,,CHAMPAIGN,IL,618226217,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,71,176,783,72.100280971,8.3126436782,5.9203959132,5.9261430396
1033128764,SUBBIAH,SATHYA,,M.D.,F,I,1801 WINDSOR RD,,CHAMPAIGN,IL,618226217,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.070666667,3.38,2.65,2.65
1033128764,SUBBIAH,SATHYA,,M.D.,F,I,1801 WINDSOR RD,,CHAMPAIGN,IL,618226217,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,31,68,164,15.506707317,1.42,1.005,1.005
1033128764,SUBBIAH,SATHYA,,M.D.,F,I,1801 WINDSOR RD,,CHAMPAIGN,IL,618226217,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,29,29,301.37862069,251.11,196.87,196.87
1033128798,GHASEMZADEH,ROKSANA,,M.D,F,I,14573 POTOMAC MILLS RD,,WOODBRIDGE,VA,221926808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,23,69.511304348,8.32,6.2395652174,6.2395652174
1033128871,GIBSON,JACQUELINE,S,MD,F,I,740 S LIMESTONE,,LEXINGTON,KY,405360001,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,95.21,28.294166667,16.185,15.105
1033128947,DESMOND,SARA,M,ARNP,F,I,400 E 5TH AVE,,SPOKANE,WA,992021334,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,70,283,46942,1.6132951302,0.5489619104,0.3969021345,0.4038338801
1033128947,DESMOND,SARA,M,ARNP,F,I,400 E 5TH AVE,,SPOKANE,WA,992021334,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,57,244,51690,0.1020889921,0.013002515,0.0098084736,0.0098084736
1033128947,DESMOND,SARA,M,ARNP,F,I,400 E 5TH AVE,,SPOKANE,WA,992021334,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,50,180,29580,0.9315770791,0.7025185936,0.5211186613,0.5214885057
1033128947,DESMOND,SARA,M,ARNP,F,I,400 E 5TH AVE,,SPOKANE,WA,992021334,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,15,61,8460,4.1383676123,2.8240106383,2.1863782506,2.1863782506
1033128947,DESMOND,SARA,M,ARNP,F,I,400 E 5TH AVE,,SPOKANE,WA,992021334,US,Nurse Practitioner,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,1,18,18,18,50,50,37.863888889,37.863888889
1033128947,DESMOND,SARA,M,ARNP,F,I,400 E 5TH AVE,,SPOKANE,WA,992021334,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,67,253,253,24,24,17.704189723,17.704189723
1033128947,DESMOND,SARA,M,ARNP,F,I,400 E 5TH AVE,,SPOKANE,WA,992021334,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,80,397,511,16,16,12.17,12.17
1033128988,COSELLI,MICHAEL,P,M.D.,M,I,6560 FANNIN ST,STE 1608,HOUSTON,TX,770302736,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,17,25,69,52.684782609,36.492608696,27.785362319,29.775507246
1033129135,NASSAR,ALLAN,T,MD,M,I,1111 W 4TH ST,BLDING B,MADERA,CA,936374474,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,33,93,318,69.510943396,8.32,6.0098113208,6.0098113208
1033129135,NASSAR,ALLAN,T,MD,M,I,1111 W 4TH ST,BLDING B,MADERA,CA,936374474,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,14.136,3.38,2.65,2.65
1033129135,NASSAR,ALLAN,T,MD,M,I,1111 W 4TH ST,BLDING B,MADERA,CA,936374474,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,37,67,15.579104478,1.42,1.0647761194,1.0647761194
1033129135,NASSAR,ALLAN,T,MD,M,I,1111 W 4TH ST,BLDING B,MADERA,CA,936374474,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,13,56.230769231,18.89,14.810769231,15.107692308
1033129135,NASSAR,ALLAN,T,MD,M,I,1111 W 4TH ST,BLDING B,MADERA,CA,936374474,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,25.525454545,25.525454545
1033129234,SHARAN,KANU,P,MD,F,I,2 COOPER PLZ,,CAMDEN,NJ,08103,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,22,2464,47.200377435,4.8715016234,3.8192613636,3.8192613636
1033129234,SHARAN,KANU,P,MD,F,I,2 COOPER PLZ,,CAMDEN,NJ,08103,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,24,24,18.82,18.82
1033129390,BURAN,KENNETH,,M.D.,M,I,107 W MAIN ST,,MARQUETTE,MI,498554651,US,Physician/Gastroenterology,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,1200,83.974166667,65.838333333,50.5375
1033129440,ODEN,GREGORY,S,M.D.,M,I,1850 CHADWICK DR,,JACKSON,MS,392043404,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,28.98,5.1,3.6363636364,3.5909090909
1033129440,ODEN,GREGORY,S,M.D.,M,I,1850 CHADWICK DR,,JACKSON,MS,392043404,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,26,78.243846154,24.466923077,18.443846154,14.101923077
1033129457,BELLEDONNE,MARIO,O,M.D.,M,I,121 CONGRESSIONAL LN,SUITE 205,ROCKVILLE,MD,208521542,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,54,75.631481481,8.32,5.5553703704,5.5553703704
1033129457,BELLEDONNE,MARIO,O,M.D.,M,I,121 CONGRESSIONAL LN,SUITE 205,ROCKVILLE,MD,208521542,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,1620,3.5381728395,0.5714444444,0.4309814815,0.4309814815
1033129457,BELLEDONNE,MARIO,O,M.D.,M,I,121 CONGRESSIONAL LN,SUITE 205,ROCKVILLE,MD,208521542,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1680,3.0558690476,1.3793571429,1.0507440476,1.0507440476
1033129457,BELLEDONNE,MARIO,O,M.D.,M,I,121 CONGRESSIONAL LN,SUITE 205,ROCKVILLE,MD,208521542,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,18.82,18.82
1033129457,BELLEDONNE,MARIO,O,M.D.,M,I,121 CONGRESSIONAL LN,SUITE 205,ROCKVILLE,MD,208521542,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,16,16,11.704,11.704
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,45,128,299,66.332040134,8.32,5.8623745819,5.8623745819
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,15,20,17.786,1.42,1.0055,1.0055
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,42,42,117.93238095,39.856190476,28.727380952,28.035952381
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,18,26,26,308.54346154,90.208076923,64.825,62.098461538
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,16,27,70,97.604571429,34.525285714,26.691857143,25.558857143
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,21,96,59.664791667,20.449375,14.862916667,13.385416667
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,16,24,24,167.4725,60.264166667,47.247916667,42.960833333
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,32,39,39,57.149487179,18.816153846,13.652820513,12.997692308
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,53.675384615,13.263846154,9.6723076923,8.4269230769
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,33,57,288,7.73875,2.225,1.6420833333,1.4936805556
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,20,23,23,43.590869565,13.494347826,10.128695652,9.8904347826
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,106.20911111,17.91,13.547777778,13.081111111
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,63.809166667,44.941666667,37.9825
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,187.8,49.88,36.092307692,34.961538462
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,59.384545455,39.057272727,32.001818182
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,65,13.798181818,6.4881818182,6.1977272727
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,62,62,192.83677419,32.478225806,20.949354839,19.407580645
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,142,142,390.10823944,70.601690141,52.101267606,51.543169014
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,26,28,572.08428571,251.0125,194.61428571,194.69035714
1033129523,NASH,ROBERT,M,MD,M,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,75,39.6,30.0796875,28.5878125
1033129671,RAYOS,JULIE,R,MD,F,I,521 COLONY RD,,MADISON HEIGHTS,VA,245722105,US,Physician/Pediatric Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,200,4.26,3.3062096774,3.2198655914
1033129671,RAYOS,JULIE,R,MD,F,I,521 COLONY RD,,MADISON HEIGHTS,VA,245722105,US,Physician/Pediatric Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,3097,3.1719212141,0.3789086212,0.2746302874,0.2682596061
1033129671,RAYOS,JULIE,R,MD,F,I,521 COLONY RD,,MADISON HEIGHTS,VA,245722105,US,Physician/Pediatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.4409090909,3.0727272727,3.0727272727
1033129788,DURNAS,CHESTER,,MD,M,I,6785 WEAVER RD,STE D,ROCKFORD,IL,611148055,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,32.7,28.434166667,22.29,22.29
1033129788,DURNAS,CHESTER,,MD,M,I,6785 WEAVER RD,STE D,ROCKFORD,IL,611148055,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.558333333,10.92,8.5625,8.5625
1033129788,DURNAS,CHESTER,,MD,M,I,6785 WEAVER RD,STE D,ROCKFORD,IL,611148055,US,Physician/Geriatric Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,30,80.181333333,71.56,56.105,56.105
1033129788,DURNAS,CHESTER,,MD,M,I,6785 WEAVER RD,STE D,ROCKFORD,IL,611148055,US,Physician/Geriatric Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,90,33.314222222,29.19,22.885,22.886666667
1033129788,DURNAS,CHESTER,,MD,M,I,6785 WEAVER RD,STE D,ROCKFORD,IL,611148055,US,Physician/Geriatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,364,3.4587912088,3,2.3521428571,2.3666483516
1033129788,DURNAS,CHESTER,,MD,M,I,6785 WEAVER RD,STE D,ROCKFORD,IL,611148055,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5239,0.3653388051,0.31,0.2413494942,0.2413494942
1033129945,TYRELL,JON,S,M.D.,M,I,612 W DUARTE RD,SUITE #602,ARCADIA,CA,910077602,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,880,0.24,0.12,0.0770113636,0.0770113636
1033129945,TYRELL,JON,S,M.D.,M,I,612 W DUARTE RD,SUITE #602,ARCADIA,CA,910077602,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,7.04,3.67,2.5523333333,2.5523333333
1033129945,TYRELL,JON,S,M.D.,M,I,612 W DUARTE RD,SUITE #602,ARCADIA,CA,910077602,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,660,0.9,0.45,0.3207575758,0.3207575758
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,41,96,76.366979167,8.32,6.4546875,6.4546875
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,14.990769231,1.42,1.0307692308,1.0307692308
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,20,20,123.067,39.62,30.2695,29.728
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,66,38.538787879,18.5,13.576515152,13.621060606
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,133.07421053,55.57,43.57,42.897368421
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,51.084285714,17.4,13.64,14.03
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,25,139,6.109352518,2,1.500647482,1.5233093525
1033130042,BIGLER,PETER,C,MD,M,I,6704 STERLING RIDGE DR,SUITE A,THE WOODLANDS,TX,773822799,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,62,62,212.84677419,32.063225806,25.143225806,24.946774194
1033130497,PERKINS,TONYA,,MD,F,I,2400 EASTPOINT PKWY,SUITE 550,LOUISVILLE,KY,402234154,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,48,153,66.885228758,8.32,5.6415686275,5.6415686275
1033130497,PERKINS,TONYA,,MD,F,I,2400 EASTPOINT PKWY,SUITE 550,LOUISVILLE,KY,402234154,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,10.624,3.38,2.65,2.65
1033130497,PERKINS,TONYA,,MD,F,I,2400 EASTPOINT PKWY,SUITE 550,LOUISVILLE,KY,402234154,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,28,11.276785714,1.42,1.1160714286,1.1160714286
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,28.46,28.46,20.716428571,20.716428571
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,288,2.49,2.49,1.7669791667,1.7669791667
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,5.54,5.54,4.34,4.34
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,31,10.93,10.93,8.2935483871,8.2935483871
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,45,7.8893333333,7.2777777778,5.7082222222,5.8184444444
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,136,2.91,2.91,2.1470588235,2.1470588235
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,32,3700,0.44,0.44,0.3367648649,0.3367648649
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.97,3.97,2.8295454545,2.8295454545
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,375,0.27,0.2573333333,0.1882666667,0.19816
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,17.84,15.56,12.2,13.782222222
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,28,784,34.86,34.86,27.330306122,27.330306122
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,499,8.28,8.28,6.4915631263,6.4915631263
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,479,18.5,18.5,14.204509395,14.204509395
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,75,21.460266667,18.29,14.339466667,14.339466667
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,28,1924,0.45,0.45,0.3528014553,0.3528014553
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,990,0.88,0.88,0.689959596,0.689959596
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,228.88928571,65.7,47.830714286,50.648571429
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6571428571,7.5711904762,7.5711904762
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1230,1.1317642276,0.1363170732,0.0980162602,0.0980162602
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,2.9797142857,2.3361190476,2.3361190476
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,77.2,33.471666667,14.284166667,13.4925
1033130646,EMMANS,PAUL,E,D.O.,M,I,508 S 4TH AVE,,YAKIMA,WA,989023547,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,99,33,24.638095238,24.638095238
1033130794,RANA,IRMINDRA,S,MD,M,I,611 S CARLIN SPRINGS RD,SUITE 301,ARLINGTON,VA,222041064,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,40,116,58.374913793,8.32,5.2846551724,5.2846551724
1033130794,RANA,IRMINDRA,S,MD,M,I,611 S CARLIN SPRINGS RD,SUITE 301,ARLINGTON,VA,222041064,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.478666667,3.38,2.4733333333,2.4733333333
1033130794,RANA,IRMINDRA,S,MD,M,I,611 S CARLIN SPRINGS RD,SUITE 301,ARLINGTON,VA,222041064,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,25,42,12.397857143,1.42,1.035,1.035
1033130794,RANA,IRMINDRA,S,MD,M,I,611 S CARLIN SPRINGS RD,SUITE 301,ARLINGTON,VA,222041064,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1830,3.1636010929,1.2506885246,0.9805245902,0.9805245902
1033130794,RANA,IRMINDRA,S,MD,M,I,611 S CARLIN SPRINGS RD,SUITE 301,ARLINGTON,VA,222041064,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,16,16,12.54,12.54
1033130802,GHEBA,MOHAMMED,R,M.D.,M,I,2717 HAMMONDS FERRY RD,,BALTIMORE,MD,212273138,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,442,16.152828054,8.28,6.2828959276,6.2828959276
1033130802,GHEBA,MOHAMMED,R,M.D.,M,I,2717 HAMMONDS FERRY RD,,BALTIMORE,MD,212273138,US,Physician/General Surgery,S,E0194,Air fluidized bed,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4000,2534.5928571,1976.8757143,2297.2778571
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,37,59,59,113.24966102,40.507288136,29.1,27.848813559
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,30,7.877,1.4593333333,1.1433333333,1.1513333333
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,28,49,49,365.24122449,88.191836735,63.556122449,62.518571429
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,26,48,113,135.50212389,32.881415929,23.703185841,23.842035398
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,22,42,210,88.313095238,17.346285714,10.928952381,11.888428571
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,35,72,326,59.760184049,14.985460123,10.398711656,10.624969325
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,56,99,99,243.65111111,55.322727273,37.81030303,37.327979798
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,62,78,78,72.967179487,18.232564103,12.966025641,12.753461538
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,45,77,77,82.389220779,12.09,8.554025974,8.2328571429
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,79,167,766,9.7395300261,2.043381201,1.4620234987,1.4513315927
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,20,20,25.6875,6.31,4.7075,4.419
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,44,51,51,40.217058824,12.997058824,9.2788235294,9.4194117647
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,22,156,160,62.545125,18.9783125,13.7881875,13.6381875
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3825.8723077,1074.31,820.48923077,820.48923077
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,11,11,1252.2209091,227.35363636,160.24090909,157.52363636
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,472.3625,134.58125,105.5125,104.7325
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.571818182,12.83,10.05,10.431818182
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,15,77,77,27.271038961,5.8696103896,3.4057142857,2.5632467532
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,29,148,150,295.8836,34.745266667,24.518333333,22.912133333
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,35,269,278,387.85701439,77.048129496,57.087446043,52.64881295
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,63,65,131.07230769,37.420615385,29.337692308,29.494923077
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,8209,0.3659349494,0.0456949689,0.0309002315,0.0309002315
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,39,6077,1.328767484,0.1342389337,0.1018742801,0.1018742801
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,25,144.5672,37.462,25.9632,26.1624
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,14,52,52,65.365384615,33,22.3875,22.3875
1033130885,SHAH,HEMANT,M,MD,M,I,4000 MIAMISBURG CENTERVILLE RD,SUITE 450,MIAMISBURG,OH,453423908,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,66,66,51.74,51.74
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,44,125,261,77.770536398,8.32,5.6135249042,5.6135249042
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,24,61,78,15.782692308,1.42,0.9173076923,0.9173076923
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,9.8386363636,9.8386363636,7.0614090909,7.0778636364
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,5.1727272727,3.12,2.2236363636,2.1951515152
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,600,64.543833333,5.065,3.7670833333,3.9602333333
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,8843,1.6800407102,0.3753239851,0.2918602284,0.2876930906
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4686,2.2816901408,0.32,0.2359346991,0.232370892
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,22,81.668181818,17.5,13.096363636,12.932727273
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,29,50.73,3.9310344828,2.495862069,3.1324137931
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,51,506.23196078,78.27,55.738823529,50.530980392
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,30,6068,0.4147033619,0.045474621,0.0280388926,0.0280372446
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,3,,11,46,34.340217391,23.187608696,18.177826087,18.177826087
1033131008,BAUTISTA,KARMINA,,MD,F,I,531 FAUNCE CORNER RD,,N DARTMOUTH,MA,027471242,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,14,37,37,49.054054054,33,22.311891892,22.311891892
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,31,69,56.313333333,8.32,5.7646376812,5.7646376812
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,20,12.276,1.42,1.004,1.004
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,3.93,2.27,1.4830952381,1.4830952381
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,12.685,7.46,5.0625,5.0625
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,14.16,4.8,3.4212121212,3.7936363636
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5621,1.25,0.3,0.2297651663,0.2368991283
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,21,21,21,144.4647619,45,35.28,36.235238095
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,24.514666667,4.5,3.53,3.65
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,140.504,48.0295,37.653,40.474
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,137.088,53.626666667,42.04,42.858666667
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,19.73,3.8216666667,2.6816666667,3.2058333333
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,30,33.685,17.76,13.925,15.29
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,60,3.5153333333,1.8023333333,1.3938333333,1.5178333333
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,19,19,37,58.210810811,27.31,21.414864865,22.540810811
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,56,5.7653571429,2.8253571429,2.215,2.2717857143
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,220.22,77.18,58.493,54.44
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,21,21,21,71.095238095,33.44,26.22,29.033809524
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,6.8324324324,3.4218918919,2.6840540541,2.942972973
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,358.58,140.74,110.34,113.486
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,35.466875,14.07,11.03,11.41
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,28,162,162,69.767901235,16.768395062,12.371234568,13.129382716
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,26,152,152,119.34,24.30625,17.476578947,19.907565789
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,68,68,20.643235294,7.9814705882,5.6305882353,5.9397058824
1033131099,ULICHNEY,ANDREW,B,MD,M,I,150 E PENNSYLVANIA AVE STE 200,,DOWNINGTOWN,PA,193352602,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,61.96,37,27.691363636,28.197272727
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,74,107,61.488785047,8.32,5.9137383178,5.9137383178
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,29,29,24.902413793,1.42,1.0427586207,1.0427586207
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,60.111481481,22.094444444,15.662962963,12.24962963
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,22.61375,8.2925,5.365625,2.745
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,46.4,35.5875,25.035833333,30.09
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,59,380.79847458,98.466779661,73.116271186,56.650847458
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,6042,0.4362760675,0.0463406157,0.0363290301,0.0363290301
1033131156,PRESTON,TRENA,,APRN,F,I,271 E MAIN ST,,HAZARD,KY,417011939,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,33,33,25.87,25.87
1033131388,POHLMAN,AMY,R,P. A.,F,I,3670 S BENZING RD,,ORCHARD PARK,NY,141271705,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,27,66.53037037,8.32,4.1062962963,4.1062962963
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,61,151,324,67.288024691,8.2994753086,6.0029938272,6.0029938272
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,33,37,11.557027027,1.42,0.9978378378,0.9978378378
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,17.72875,10.45375,7.4945833333,7.8704166667
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,260,3.3600384615,2.4061923077,1.7636923077,2.8688846154
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,370,9.3770540541,5.74,4.4953243243,4.4953243243
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,210,11.34,7,4.9653333333,4.9653333333
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,24,33,33,67.118181818,50.046363636,37.193333333,29.362727273
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,21,41,6.6407317073,1.9624390244,1.3536585366,1.0617073171
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,178.13666667,120.22,94.251666667,71.3325
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,26,66.793076923,44.548461538,33.191153846,25.92
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,12,27,105,38.088190476,25.916380952,18.945333333,14.070095238
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,20,27,27,109.23703704,73.919259259,57.074814815,45.775555556
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,29,36,36,36.048055556,24.981111111,19.581111111,15.296111111
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,31.37875,19.615625,14.748125,9.273125
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,26,53,216,4.1236111111,2.8882407407,2.1666203704,1.5910185185
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,15,19,19,44,15.757894737,11.756315789,9.94
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,234,63.542727273,49.821818182,39.604545455
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,35,64.524,23.758,18.624,14.773714286
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,50,22.4775,17.620833333,13.53
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,27.025588235,17.69,12.914411765,11.433823529
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,100.22954545,50.108863636,36.738863636,29.815909091
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,84,87,368.09563218,106.38666667,82.544942529,55.842873563
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,2144,0.5890718284,0.0448833955,0.0326445896,0.0326445896
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,30,4677,1.0295552705,0.1340624332,0.0921744708,0.0921744708
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,40,2880,9.9199027778,2.9599583333,2.1997986111,2.1997986111
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,39,39,65.5,26.936923077,18.230512821,12.257948718
1033131628,WILL,RODNEY,D,MD,M,I,1233 34TH ST NW,,BEMIDJI,MN,566015112,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,44,44,60,33,25.282045455,25.282045455
1033131800,FONTENOT,CATHI,E,MD,F,I,3700 SAINT CHARLES AVE,,NEW ORLEANS,LA,701154637,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,48,66.618958333,8.32,6.5220833333,6.5220833333
1033131800,FONTENOT,CATHI,E,MD,F,I,3700 SAINT CHARLES AVE,,NEW ORLEANS,LA,701154637,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,43,11.938604651,2,1.4958139535,1.5197674419
1033131800,FONTENOT,CATHI,E,MD,F,I,3700 SAINT CHARLES AVE,,NEW ORLEANS,LA,701154637,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,277.74090909,28.920909091,22.677272727,25.501818182
1033131867,HENDERSON,CAROL,A,"M.S.N., C.R.N.P.",F,I,1938 SECURITY DR,,YORK,PA,174024727,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,82,60.178902439,8.32,4.5106097561,4.5106097561
1033131867,HENDERSON,CAROL,A,"M.S.N., C.R.N.P.",F,I,1938 SECURITY DR,,YORK,PA,174024727,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,15.350526316,1.42,0.9378947368,0.9378947368
1033131867,HENDERSON,CAROL,A,"M.S.N., C.R.N.P.",F,I,1938 SECURITY DR,,YORK,PA,174024727,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,16.59,13,13.441666667
1033131867,HENDERSON,CAROL,A,"M.S.N., C.R.N.P.",F,I,1938 SECURITY DR,,YORK,PA,174024727,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,262.78714286,67.72,53.1,54.497142857
1033131941,DAWUD,RENDA,K,M.D.,F,I,29829 TELEGRAPH ROAD,SUITE 202,SOUTHFIELD,MI,48034,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,74,42.443243243,8.32,5.8162162162,5.8162162162
1033131941,DAWUD,RENDA,K,M.D.,F,I,29829 TELEGRAPH ROAD,SUITE 202,SOUTHFIELD,MI,48034,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,26.983636364,16.797272727,16.330909091
1033132022,GALLER,MARILYN,,M.D.,F,I,1874 PELHAM PKWY S,,BRONX,NY,104613733,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,46,4050,4.3834691358,0.553962963,0.4224222222,0.4224222222
1033132022,GALLER,MARILYN,,M.D.,F,I,1874 PELHAM PKWY S,,BRONX,NY,104613733,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,5010,10.392003992,1.1412035928,0.8937225549,0.8937225549
1033132022,GALLER,MARILYN,,M.D.,F,I,1874 PELHAM PKWY S,,BRONX,NY,104613733,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,24,24,18.82,18.82
1033132022,GALLER,MARILYN,,M.D.,F,I,1874 PELHAM PKWY S,,BRONX,NY,104613733,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,59,65,16,16,12.347076923,12.347076923
1033132121,RIGSBEE,WILLIAM,E,PA,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician Assistant,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,118.50615385,91.27,71.56,78.286923077
1033132139,LUCCHESI,ALLISON,R,M.D.,F,I,26 NORTH FRONT STREET,,NEW PALTZ,NY,12561,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,34,72.123823529,8.2776470588,4.5717647059,4.605
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,51,52,132.42288462,40.190384615,27.4125,26.455961538
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,21,68,132,8.19,1.7424242424,1.2647727273,1.0837121212
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,23,29,29,78.530344828,12.15,8.5544827586,8.1444827586
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,23,48,48,296.61125,88.670833333,61.71,60.025625
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,27,125.25407407,32.033333333,23.263333333,23.98037037
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,68,54.266176471,15.639117647,11.548823529,11.214264706
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,25,59,59,245.96,53.641186441,35.498135593,36.184067797
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,43,64,64,67.0803125,18.41421875,12.765,12.4096875
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,25.726153846,11.707692308,8.4730769231,7.5938461538
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,55,55,76.270363636,11.323272727,7.9138181818,8.1381818182
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,43,101,468,9.7435042735,2.0206837607,1.369017094,1.3741666667
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,25,34,34,45.883529412,14.721176471,10.845588235,9.8691176471
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,35,238,246,70.130650407,16.71097561,11.920772358,12.343739837
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,17,17,221.46882353,45.892352941,35.982352941,37.427647059
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,367.23483871,77.037741935,56.623225806,59.469032258
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,11,58,63,79.333333333,14.311269841,9.5457142857,8.57
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,84,87,48.848965517,4.0209195402,2.6198850575,3.0182758621
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,24,168,177,177.99542373,33.617683616,24.10700565,22.724463277
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,49,343,363,385.00429752,74.933360882,55.199090909,51.514380165
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,60,258.75,36.602833333,28.702333333,29.387166667
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,42,226,51887,0.2209198836,0.0460864957,0.0324919537,0.0324917609
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,61,5590,1.4076618962,0.1343202147,0.0936332737,0.0936332737
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,1680,12.162208333,2.9706428571,2.2023630952,2.2023630952
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,284.78461538,35.26,27.65,29.366923077
1033132188,RODE,GEETA,D,MD,F,I,1170 CHARTER DR,STE D,FLINT,MI,48532,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,47,280,280,106.70357143,33,23.270892857,23.270892857
1033132279,ROBERTS,STEVEN,A,M.D.,M,I,8001 ROOSEVELT BLVD,SUITE 403,PHILADELPHIA,PA,191523038,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,216.9,16.08,12.6,13.53
1033132279,ROBERTS,STEVEN,A,M.D.,M,I,8001 ROOSEVELT BLVD,SUITE 403,PHILADELPHIA,PA,191523038,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,77.18,60.51,54.72
1033132360,BIGNAL,VICTORIA,S,MD,F,I,1201 OAK ST,,FRANKFORT,IN,460413350,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1260,1.7268174603,0.1337857143,0.1049047619,0.1049047619
1033132360,BIGNAL,VICTORIA,S,MD,F,I,1201 OAK ST,,FRANKFORT,IN,460413350,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,86.307692308,33,25.87,25.87
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,47,93,93,110.96688172,41.639032258,31.940322581,29.900430108
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,15,37,72,8.2216666667,1.5083333333,1.1179166667,1.0923611111
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,21,26,26,79.870384615,8.8230769231,6.9130769231,8.8984615385
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,11,12,15,2.22,0.47,0.37,0.418
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,44,98,98,352.29234694,93.462857143,68.797346939,63.84877551
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,38,94,211,139.90597156,34.588625592,25.664597156,24.542322275
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,15,29,133,62.073308271,19.97481203,13.925413534,12.992556391
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,22,48,242,65.535867769,15.915909091,12.222809917,11.677355372
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,41,78,78,196.74833333,55.473333333,42.029358974,41.429871795
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,82,108,108,66.395277778,19.644074074,14.735,13.491388889
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,40,73,73,79.278767123,12.307945205,9.2479452055,8.7828767123
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,79,158,796,10.902550251,2.3066331658,1.732638191,1.5316959799
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,49,66,66,36.888939394,13.528939394,10.446060606,10.205
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,69,89,77.696741573,17.471910112,13.156629213,13.010786517
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,178.71764706,50,36.894117647,35.508823529
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,11,69,69,3207.9386957,1073.4804348,835.3715942,836.02173913
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1642.5,1035.4746154,811.81461538,811.81461538
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,440.52411765,140.29764706,109.99176471,104.7
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,81.75,14.05,10.33125,9.825
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,21,80,90,50.079111111,4.0015555556,2.9152222222,3.4946666667
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,28,126,126,266.41674603,35.082777778,25.75952381,24.808253968
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,65,446,488,421.9007582,78.032418033,58.658053279,53.044754098
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,101,105,125.30733333,39.120190476,29.417809524,28.509333333
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,31,101,26323,0.2997959959,0.0464772252,0.0348733047,0.0348733047
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,34,172,20882,1.5466593238,0.1345848099,0.0954625994,0.0954625994
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,26,147,9544,10.638011316,3.0243975272,2.329725482,2.329725482
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,86,86,123.52302326,38.678255814,29.269069767,28.555232558
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,64,291,291,67.701030928,33,24.448213058,24.448213058
1033132428,PETIT,RAYMOND,D,M.D.,M,I,159 PLEASANT ST,,ATTLEBORO,MA,027032442,US,Physician/Critical Care (Intensivists),S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,17,17,66,66,48.696470588,48.696470588
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,2945,13.445426146,7.87,6.0826655348,6.0905127334
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,8634,1.25,0.3025017373,0.2266064397,0.2324855224
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,147.31,45.698333333,35.826666667,36.46
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,220,46.935333333,36.799333333,40.791333333
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,33.14,9.1,7.1348648649,8.0594594595
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0194,Air fluidized bed,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4000,2797.7672727,2191.8227273,2217.3227273
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,175,52.892941176,41.468823529,43.52
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,778.86,355.116875,278.411875,290.519375
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,89.317,30.989,22.689,22.9095
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,33.571428571,3.9535714286,3.0992857143,3.46
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,73.1436,39.1652,29.088,29.088
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,166.08,46.991818182,36.842727273,35.463939394
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,235.23809524,69.905714286,52.281428571,52.415714286
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,395,106.59,79.7675,87.513
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,99.836363636,78.271818182,86.153636364
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,77,77,66.302857143,16.189480519,11.745064935,13.095194805
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,170.47416667,23.30375,18.269166667,20.935833333
1033132675,SINGH,SANDEEP,,M.D.,M,I,850 S 5TH ST,,ALLENTOWN,PA,18103,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,,12,46,34.097826087,16.66326087,13.064130435,13.064130435
1033132709,SAMUELS,PAULINE,M,M.D.,F,I,3712 GARRETT RD FL 1,,DREXEL HILL,PA,190263544,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,26,72,210,49.079,8.3098571429,6.3268571429,6.3268571429
1033132709,SAMUELS,PAULINE,M,M.D.,F,I,3712 GARRETT RD FL 1,,DREXEL HILL,PA,190263544,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,11.961111111,3.38,2.65,2.65
1033132709,SAMUELS,PAULINE,M,M.D.,F,I,3712 GARRETT RD FL 1,,DREXEL HILL,PA,190263544,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,34,67,12.532089552,1.42,1.097761194,1.097761194
1033132758,SHAH,AMAN,A,M.D.,M,I,100 HILLCREST MEDICAL BLVD,,WACO,TX,76712,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,63.372352941,17.27,13.54,13.54
1033132758,SHAH,AMAN,A,M.D.,M,I,100 HILLCREST MEDICAL BLVD,,WACO,TX,76712,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,23.22,4.6864285714,3.6692857143,3.7614285714
1033132758,SHAH,AMAN,A,M.D.,M,I,100 HILLCREST MEDICAL BLVD,,WACO,TX,76712,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,386.38684211,68.78,53.92,54.656842105
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,214,5.1,3,2.3521028037,2.7674766355
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,41,98,99,119.91808081,42.388181818,29.978585859,27.685656566
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,892,44.9332287,18.46,14.472668161,14.472668161
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,12.925,5.23,4.1003333333,4.1003333333
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,55,22.911454545,7.88,6.1787272727,6.4114545455
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,53,9.2560377358,3.831509434,3.0039622642,3.3532075472
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,11,25,49,8.5971428571,1.4816326531,1.0669387755,1.0581632653
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,87.939375,8.72125,6.4125,8.54625
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,,15,20,2.365,0.49,0.342,0.381
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,23,66,66,325.23242424,95.800454545,72.214090909,65.516060606
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,27,76,165,136.98236364,33.684969697,24.936545455,24.501090909
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,16,40,194,64.160979381,19.21,14.362216495,13.926185567
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,23,53,284,62.656197183,15.541408451,11.655140845,11.399330986
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,37,87,88,222.19420455,53.138409091,39.706022727,40.834545455
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,62,88,88,67.468863636,19.570568182,15.158977273,13.999431818
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,24,53,53,80.504528302,12.343962264,9.1267924528,8.6524528302
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,57,141,728,10.926675824,2.4997802198,1.8452335165,1.5279258242
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,19,19,30.883684211,5.9410526316,4.6652631579,4.6584210526
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,41,56,56,41.923035714,13.520357143,10.505357143,10.264642857
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,9.425,3.81,2.987,2.987
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,77,79,65.405696203,17.5,13.119620253,12.951012658
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,2648.68,1074.31,836.28208333,836.28208333
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,17,696.71352941,89.627058824,65.751176471,64.231764706
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,36,47,81.75,13.82787234,10.456595745,10.135531915
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,42,50.73,4.185,3.275,3.8178571429
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,28,136,143,223.21286713,31.723706294,23.308461538,23.442447552
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,35,269,278,376.38269784,78.726654676,57.136510791,51.629604317
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,40,240,40.065,30.6105,28.95525
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1620,15.965549383,9.6386666667,7.2066851852,7.2066851852
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,720,14.402916667,11.169625,8.635625,8.635625
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,31,7446,0.3702780016,0.0464974483,0.0346669353,0.0346655923
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,18,76,7199,1.5467148215,0.133394916,0.1004361717,0.1004361717
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,45,2700,12.411092593,2.9448111111,2.3087518519,2.3087518519
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,103,106,106.79462264,39.98,28.383396226,27.382075472
1033132816,CORRAO,WILLIAM,M,M.D.,M,I,1285 S COUNTY TRL,,EAST GREENWICH,RI,028181620,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,35,131,131,79.854961832,33,24.88259542,24.88259542
1033132923,BRASINGTON,CHADWICK,R,,M,I,1016 KIRKPATRICK ROAD,,BURLINGTON,NC,272159714,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,31,31,75,75,53.738709677,48.13516129
1033132923,BRASINGTON,CHADWICK,R,,M,I,1016 KIRKPATRICK ROAD,,BURLINGTON,NC,272159714,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,38,80.947368421,50.01,39.21,43.331052632
1033132923,BRASINGTON,CHADWICK,R,,M,I,1016 KIRKPATRICK ROAD,,BURLINGTON,NC,272159714,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,41,94.573170732,67.76,53.002439024,53.962439024
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,25,2280,0.3,0.12,0.0940964912,0.0940964912
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,46,6072,1.1,0.44,0.3449242424,0.3449242424
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,27,42,1591,57.987196732,23.588617222,18.493456945,18.493456945
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,25,1194,20.43,8.28,6.4915577889,6.4915577889
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,2340,14.7,5.95,4.6647820513,4.6647820513
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,22,47,2487,9.12,3.67,2.8773059912,2.8773059912
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,39,76,4030,0.3292506203,0.1298461538,0.1018411911,0.1018411911
1033132949,POTTS,DAVID,R,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Obstetrics & Gynecology,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,23,2867,1.13,0.45,0.3527729334,0.3527729334
1033132964,REDHAGE,PATRICIA,J,ARNP,F,I,704 HWY 270,,HEAVENER,OK,749379406,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,32,61.499375,8.32,5.7059375,5.7059375
1033132964,REDHAGE,PATRICIA,J,ARNP,F,I,704 HWY 270,,HEAVENER,OK,749379406,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,566.10911765,68.78,49.162352941,49.933823529
1033133400,KURTZ,NORMA,M,M.D.,F,I,670 STONELEIGH AVE,"PUTNAM HOSPITAL CENTER, EMERGENCY DEPARTMENT",CARMEL,NY,105123997,US,Physician/Emergency Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,28,7827,3.2507474128,0.36,0.2796409863,0.2872109365
1033133400,KURTZ,NORMA,M,M.D.,F,I,670 STONELEIGH AVE,"PUTNAM HOSPITAL CENTER, EMERGENCY DEPARTMENT",CARMEL,NY,105123997,US,Physician/Emergency Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,11,43,28.203953488,27.759767442,21.76372093,21.76372093
1033133418,HAYES,AVERY,M,M.D.,M,I,5000 W NATIONAL AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532950001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79.98,52.328181818,45.073636364
1033133418,HAYES,AVERY,M,M.D.,M,I,5000 W NATIONAL AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532950001,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,37.46,26.7,26.843636364
1033133517,NEITZKE,TIMOTHY,C,OD,M,I,340 FOX ST,,PERHAM,MN,56573,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,24,72.166666667,72.166666667,49.5725,46.512083333
1033133517,NEITZKE,TIMOTHY,C,OD,M,I,340 FOX ST,,PERHAM,MN,56573,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,14,25,51.1756,51.1756,33.7224,37.3008
1033133517,NEITZKE,TIMOTHY,C,OD,M,I,340 FOX ST,,PERHAM,MN,56573,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,46,55.59826087,55.241304348,41.404782609,51.494130435
1033133517,NEITZKE,TIMOTHY,C,OD,M,I,340 FOX ST,,PERHAM,MN,56573,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,23,23,0.8791304348,0.7143478261,0.5613043478,0.6169565217
1033133566,RIANO,KIMBERLY,E,ARNP,F,I,12180 PARK AVE S,,TACOMA,WA,984474607,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,1.49,1.0679166667,1.0554166667
1033133780,MOLLOY,GLENN,J,ARNP,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,25,194,194,1900,1074.31,836.91850515,836.91850515
1033133780,MOLLOY,GLENN,J,ARNP,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,350,104.23333333,78.875238095,52.123809524
1033133780,MOLLOY,GLENN,J,ARNP,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,65,44.918571429,33.653809524,28.110952381
1033133988,KELLER,CLAY,A,,M,I,8511 S SAM HOUSTON PKWY E,SUITE 101,HOUSTON,TX,770754874,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,116.41,28.731666667,20.154166667,18.850833333
1033134267,LEE,EDWARD,S,DO,M,I,2902 164TH ST SW,BLDG E1,LYNNWOOD,WA,980873201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,35,96,59.345833333,8.32,5.0961458333,5.0961458333
1033134267,LEE,EDWARD,S,DO,M,I,2902 164TH ST SW,BLDG E1,LYNNWOOD,WA,980873201,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,28,11.855357143,1.42,0.7971428571,0.7971428571
1033134267,LEE,EDWARD,S,DO,M,I,2902 164TH ST SW,BLDG E1,LYNNWOOD,WA,980873201,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,55.7,3.7883333333,1.8733333333,2.5266666667
1033134267,LEE,EDWARD,S,DO,M,I,2902 164TH ST SW,BLDG E1,LYNNWOOD,WA,980873201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,464.5628125,77.34,54.2153125,49.0528125
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,22,84,86.691428571,19.71,15.452619048,15.452619048
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,35,82,7.2702439024,1.3987804878,1.098902439,1.147195122
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,69.385454545,14.075454545,8.9509090909,7.4236363636
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,24.9968,5.5044,4.0072,3.3608
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,16000,50.1588225,9.843575,7.717360625,7.717360625
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,66,4910,241.44831365,42.479450102,33.29410998,33.29410998
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,16.551625,9.5521666667,7.289625,7.289625
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,25,39,137,36912,0.3612922627,0.0464938231,0.0340946034,0.0340946034
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,41,2430,12.607312757,3.0055555556,2.3314691358,2.3314691358
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,17,63,3695,2.7617050068,0.2189553451,0.1632530447,0.1632530447
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,23,176,27.390909091,2.64,2.07,2.07
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,41,146,146,79.006849315,33,24.712328767,24.712328767
1033134317,TAWILA,MOHAMAD,Y,M.D.,M,I,3600 W 13 MILE RD,,ROYAL OAK,MI,480736711,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,44,44,897.88568182,358.5,281.06,281.06
1033134374,METZGER,TODD,L,OD,M,I,1702 UNIVERSITY DR S,,FARGO,ND,581034940,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,76.568,70.103333333,51.302666667,49.426666667
1033134432,HOGAN,MICHAEL,L,M.D.,M,I,3900 ST FRANCIS WAY STE 200,,LAFAYETTE,IN,479054940,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,3722.173913,2557.0395652,2002.5082609,2002.5082609
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,134.39357143,40.736428571,29.735714286,28.338571429
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,254.42181818,91.944545455,71.124545455,66.908181818
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,23,106.29565217,37.410869565,27.066956522,23.675217391
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,122.72727273,56.012727273,43.917272727,42.948181818
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,48.920769231,18.814615385,14.747692308,14.063076923
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,22,126,6.1428571429,2.1333333333,1.5955555556,1.5165873016
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,30.287692308,13.029230769,9.4438461538,9.5507692308
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,27,108.27,18.312592593,14.36037037,13.991481481
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,160.16,33.8175,24.589375,22.464375
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,62.9588,31.6748,23.9044,24.5712
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,19,159,161,591.14391304,79.736149068,59.712236025,53.113913043
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,136.42857143,39.12,29.5875,28.566071429
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,16,2118,0.3519877243,0.0468460812,0.0330642115,0.0330642115
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1290,9.1140465116,3.1017209302,2.431751938,2.431751938
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,58,58,236.15172414,40.056206897,28.786551724,27.105689655
1033134622,WOODROW,JAMES,P,M.D.,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,34,35,33,33,24.391714286,24.391714286
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,73,225,75.926755556,8.32,5.8261333333,5.8261333333
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,26,38,14.120263158,1.42,1.1155263158,1.1155263158
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1170,2.5,2.04,1.5993333333,1.5993333333
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,600,16.8612,9.86,7.57925,7.57925
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,260,5.0237307692,3.04,2.2001153846,2.2001153846
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,675,0.3974666667,0.27,0.203837037,0.203837037
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,760.48,78,55.4112,49.762
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,210,38,29.79,29.547333333
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,930,1.1530860215,0.1384516129,0.1026989247,0.1026989247
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1637.07,131.64909091,103.21454545,107.50818182
1033134812,ABOU-EZZI,PIERRE,,MD,M,I,100 CUMMINGS CENTER,SUITE 126Q,BEVERLY,MA,01915,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,82.5,33,21.9895,21.9895
1033135108,GROAT,ROBERT,L,M.D.,M,I,1317 N ELM ST,SUITE 4,GREENSBORO,NC,274011033,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,41,41,41,74.829268293,74.829268293,52.437560976,47.165853659
1033135108,GROAT,ROBERT,L,M.D.,M,I,1317 N ELM ST,SUITE 4,GREENSBORO,NC,274011033,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,41,49.256097561,48.38,33.930243902,39.211219512
1033135108,GROAT,ROBERT,L,M.D.,M,I,1317 N ELM ST,SUITE 4,GREENSBORO,NC,274011033,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,37,54.72972973,54.723243243,38.450810811,49.865945946
1033135207,GARTEN,ALISON,J,D.P.M.,F,I,5530 WISCONSIN AVE,#945,CHEVY CHASE,MD,208154404,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,33,2920,0.15,0.12,0.0915308219,0.0915308219
1033135207,GARTEN,ALISON,J,D.P.M.,F,I,5530 WISCONSIN AVE,#945,CHEVY CHASE,MD,208154404,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,19,34,137.39647059,71.514117647,52.772647059,52.800294118
1033135207,GARTEN,ALISON,J,D.P.M.,F,I,5530 WISCONSIN AVE,#945,CHEVY CHASE,MD,208154404,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,13,72,55.334166667,29.163333333,22.43125,22.4525
1033135207,GARTEN,ALISON,J,D.P.M.,F,I,5530 WISCONSIN AVE,#945,CHEVY CHASE,MD,208154404,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,12,156,10.24,8.41,6.5937820513,6.5937820513
1033135207,GARTEN,ALISON,J,D.P.M.,F,I,5530 WISCONSIN AVE,#945,CHEVY CHASE,MD,208154404,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,31,3900,0.16,0.13,0.0940692308,0.0940692308
1033135207,GARTEN,ALISON,J,D.P.M.,F,I,5530 WISCONSIN AVE,#945,CHEVY CHASE,MD,208154404,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,28,2500,0.56,0.45,0.334232,0.334232
1033135207,GARTEN,ALISON,J,D.P.M.,F,I,5530 WISCONSIN AVE,#945,CHEVY CHASE,MD,208154404,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,528.16,266.98,200.18153846,209.76230769
1033135470,ARANGORIN,GENE,R,M.D.,M,I,10125 W COLONIAL DR,SUITE 206,OCOEE,FL,347614211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,45,163,67.496932515,8.32,5.522208589,5.522208589
1033135470,ARANGORIN,GENE,R,M.D.,M,I,10125 W COLONIAL DR,SUITE 206,OCOEE,FL,347614211,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.867272727,3.38,1.9272727273,1.9272727273
1033135470,ARANGORIN,GENE,R,M.D.,M,I,10125 W COLONIAL DR,SUITE 206,OCOEE,FL,347614211,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,48,14.429791667,1.42,0.9975,0.9975
1033135470,ARANGORIN,GENE,R,M.D.,M,I,10125 W COLONIAL DR,SUITE 206,OCOEE,FL,347614211,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,220,79.2,51.741666667,45.608333333
1033135470,ARANGORIN,GENE,R,M.D.,M,I,10125 W COLONIAL DR,SUITE 206,OCOEE,FL,347614211,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,23.714166667,23.714166667
1033135736,BEGOVIC,SNEZANA,,MD,F,I,1770 N ORANGE GROVE AVE,SUITE 101,POMONA,CA,917673027,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,119.62,53.16,41.675,38.525
1033135736,BEGOVIC,SNEZANA,,MD,F,I,1770 N ORANGE GROVE AVE,SUITE 101,POMONA,CA,917673027,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.65,8.97,7.03,6.6975
1033135793,BORDIERI,JOSEPH,A,D.O.,M,I,333 FORSGATE DR,SUITE 205,JAMESBURG,NJ,088311567,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,46,88,76.751590909,8.32,6.2238636364,6.2238636364
1033135793,BORDIERI,JOSEPH,A,D.O.,M,I,333 FORSGATE DR,SUITE 205,JAMESBURG,NJ,088311567,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,20,12.6795,1.42,1.008,1.008
1033135819,ZWEIG,RICHARD,M,M.D.,M,I,1501 KINGS HWY,DEPARTMENT OF NEUROLOGY,SHREVEPORT,LA,711034228,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,26,26,319.13846154,49.888461538,36.349230769,35.706153846
1033135819,ZWEIG,RICHARD,M,M.D.,M,I,1501 KINGS HWY,DEPARTMENT OF NEUROLOGY,SHREVEPORT,LA,711034228,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,108.75,29.364,17.623,16.3
1033135868,HENRETTA,JOHN,P,MD,M,I,222 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Vascular Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,450,102.61833333,79.224166667,55.187083333
1033135868,HENRETTA,JOHN,P,MD,M,I,222 ASHELAND AVE,,ASHEVILLE,NC,288014016,US,Physician/Vascular Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,35.0825,30.111666667
1033135918,CRONIN,BRIAN,C,MD,M,I,735 FITZWATERTOWN RD,,WILLOW GROVE,PA,190901332,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,4560,6.2764144737,0.5560789474,0.4359539474,0.4359517544
1033135918,CRONIN,BRIAN,C,MD,M,I,735 FITZWATERTOWN RD,,WILLOW GROVE,PA,190901332,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,3499,4.2052443555,1.3250957416,1.038871106,1.038871106
1033135918,CRONIN,BRIAN,C,MD,M,I,735 FITZWATERTOWN RD,,WILLOW GROVE,PA,190901332,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,36,24,24,18.82,18.82
1033135918,CRONIN,BRIAN,C,MD,M,I,735 FITZWATERTOWN RD,,WILLOW GROVE,PA,190901332,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,26,16,16,12.54,12.54
1033135967,HARNSBERGER,JEFFREY,R,M.D.,M,I,100 HITCHCOCK WAY,,MANCHESTER,NH,031044125,US,Physician/General Surgery,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.98,5.36,3.5499090909,3.5499090909
1033135967,HARNSBERGER,JEFFREY,R,M.D.,M,I,100 HITCHCOCK WAY,,MANCHESTER,NH,031044125,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,550,0.5871818182,0.27,0.1923636364,0.1923636364
1033136007,SAINT-VIL,RENAUD,,M.D,M,I,2500 NW 22ND AVE,,MIAMI,FL,331428429,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,70.203846154,56.423076923,44.238461538,40.653076923
1033136007,SAINT-VIL,RENAUD,,M.D,M,I,2500 NW 22ND AVE,,MIAMI,FL,331428429,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,62.7875,48.125,37.73,39.015
1033136007,SAINT-VIL,RENAUD,,M.D,M,I,2500 NW 22ND AVE,,MIAMI,FL,331428429,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,61.24972973,21.498378378,16.309189189,14.27027027
1033136007,SAINT-VIL,RENAUD,,M.D,M,I,2500 NW 22ND AVE,,MIAMI,FL,331428429,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,43,18.805581395,9.321627907,7.1002325581,6.5839534884
1033136486,BILAN,YURIY,,PA-C,M,I,1708 E 44TH ST,,TACOMA,WA,984044611,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,59,45.034067797,8.32,6.0791525424,6.0791525424
1033136486,BILAN,YURIY,,PA-C,M,I,1708 E 44TH ST,,TACOMA,WA,984044611,US,Physician Assistant,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,913.16,715.92,842.26
1033136510,PRUDENTE,ERNEST,L,MD,M,I,2121 WILSHIRE BLVD,#306,SANTA MONICA,CA,90403,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,32,72,76.739166667,8.32,6.1583333333,6.1583333333
1033136551,JOHNSTON,CAROL,A,MD,F,I,6 OFFICE PARK DR,,JACKSONVILLE,NC,285467325,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,98,98,98,77.887244898,77.820102041,57.46255102,50.259081633
1033136551,JOHNSTON,CAROL,A,MD,F,I,6 OFFICE PARK DR,,JACKSONVILLE,NC,285467325,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,23,39.5,32.88,22.256086957,24.686086957
1033136551,JOHNSTON,CAROL,A,MD,F,I,6 OFFICE PARK DR,,JACKSONVILLE,NC,285467325,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,31,55,60.5,50.01,37.784181818,41.778181818
1033136551,JOHNSTON,CAROL,A,MD,F,I,6 OFFICE PARK DR,,JACKSONVILLE,NC,285467325,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,34,92.5,64.37,45.843235294,50.335588235
1033136551,JOHNSTON,CAROL,A,MD,F,I,6 OFFICE PARK DR,,JACKSONVILLE,NC,285467325,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,55,55,92,91.920217391,67.718043478,51.976195652,52.913804348
1033136551,JOHNSTON,CAROL,A,MD,F,I,6 OFFICE PARK DR,,JACKSONVILLE,NC,285467325,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,42,83,24.710843373,17.577831325,13.445542169,13.491566265
1033136601,ADLER,LOUIS,M,M.D.,M,I,300 BIRNIE AVE,SUITE 201,SPRINGFIELD,MA,011071107,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,31,32,36,81.46,70.94,55.619722222,46.855833333
1033136866,MCAFEE,PAUL,C,M.D.,M,I,7505 OSLER DR,SUITE 104,TOWSON,MD,212047736,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,262.08333333,102.61833333,80.455,58.105
1033136866,MCAFEE,PAUL,C,M.D.,M,I,7505 OSLER DR,SUITE 104,TOWSON,MD,212047736,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,75,19.525714286,12.002857143,10.37047619
1033136866,MCAFEE,PAUL,C,M.D.,M,I,7505 OSLER DR,SUITE 104,TOWSON,MD,212047736,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30,7.97,6.25,6.2090909091
1033136866,MCAFEE,PAUL,C,M.D.,M,I,7505 OSLER DR,SUITE 104,TOWSON,MD,212047736,US,Physician/Orthopedic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,35.0825,30.111666667
1033136916,BOCK-HUGHES,JENNIFER,,M.D.,F,I,100 S ELLSWORTH AVE STE 308,,SAN MATEO,CA,944013931,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,263.87125,55.695625,40.9175,40.375625
1033136916,BOCK-HUGHES,JENNIFER,,M.D.,F,I,100 S ELLSWORTH AVE STE 308,,SAN MATEO,CA,944013931,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,98.422857143,19.207857143,15.057142857,14.222857143
1033136916,BOCK-HUGHES,JENNIFER,,M.D.,F,I,100 S ELLSWORTH AVE STE 308,,SAN MATEO,CA,944013931,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,119,10.238655462,2.0854621849,1.5886554622,1.5498319328
1033136932,ICHINO,JAKE,H,M.D.,M,I,1500 E 2ND ST,SUITE 400,RENO,NV,895021262,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,20,459.2795,79.487,56.342,49.257
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,49,124,51.095806452,8.32,5.8382258065,5.8382258065
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,12.226315789,3.38,2.5105263158,2.5105263158
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,19.58,2.12,1.67,1.67
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,30,45,13.598666667,1.42,1.0911111111,1.0911111111
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,55,73.217272727,19.13,13.634545455,13.229090909
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,185.36923077,55.764615385,40.34,39.54
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,61.109090909,18.42,13.608181818,13.266363636
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,51.43,11.897777778,8.8072222222,8.6138888889
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,92,6.3695652174,2.0008695652,1.4670652174,1.4872826087
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,196.7625,71,55.66,54.73
1033136965,KADAIR,ROY,,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,126.2,17.25,11.717333333,11.353333333
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,27,102,155,72.462,8.32,6.018,6.018
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,14,26,26,15.338461538,1.42,1.0769230769,1.0769230769
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,90,10.5,10.5,8.232,8.4624444444
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,66,49.466153846,36.187692308,29.059230769
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,30,66.722,43.347666667,28.002666667,20.734333333
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,62.103333333,22.4775,15.134166667,12.278333333
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,770.7,269.66181818,211.42,156.06
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,34.66375,17.433333333,13.66875,12.600416667
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,142.52368421,55.31,43.365789474,37.197894737
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,91,94,369.17925532,95.24787234,70.058297872,55.604680851
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,37,175,43.181891892,32.967297297,28.90972973
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,22.039111111,9.6065833333,7.3322916667,7.3322916667
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1500,2.6026533333,0.13272,0.1004466667,0.1004466667
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1290,12.959341085,2.982,2.3379069767,2.3379069767
1033136999,GOVEN,GENEVIEVE,M,MD,F,I,520 CHAUTAUQUA BLVD,,VALLEY CITY,ND,580723145,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,33,33,25.87,25.87
1033137294,STEINERT,DIRK,,MD,M,I,N112W15415 MEQUON RD,,GERMANTOWN,WI,530223410,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,32,107,62.79728972,8.32,6.1565420561,6.1565420561
1033137294,STEINERT,DIRK,,MD,M,I,N112W15415 MEQUON RD,,GERMANTOWN,WI,530223410,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,230.01384615,48.593076923,33.589230769,35.281538462
1033137294,STEINERT,DIRK,,MD,M,I,N112W15415 MEQUON RD,,GERMANTOWN,WI,530223410,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,29,407.89655172,79.98,61.845517241,55.791724138
1033137294,STEINERT,DIRK,,MD,M,I,N112W15415 MEQUON RD,,GERMANTOWN,WI,530223410,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,224.69,57.76,34.20625,39.40125
1033137294,STEINERT,DIRK,,MD,M,I,N112W15415 MEQUON RD,,GERMANTOWN,WI,530223410,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,26.52,7.80625,4.841875,5.105
1033137351,YOUSUFUDDIN,MOHAMMED,,M.D.,M,I,1225 FOSTER AVE,,BROOKLYN,NY,112301607,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,89,154,95.996363636,8.32,4.4970779221,4.4970779221
1033137351,YOUSUFUDDIN,MOHAMMED,,M.D.,M,I,1225 FOSTER AVE,,BROOKLYN,NY,112301607,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,41,43,34.330465116,1.42,0.7288372093,0.7288372093
1033137377,EAST,MARK,A,M.D.,M,I,6275 E VIRGINIA BEACH BLVD STE 200,,NORFOLK,VA,235022851,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3706.3636364,2641.0609091,2057.5490909,2057.5490909
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,39,104,276,70.408876812,8.32,5.3744565217,5.3744565217
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,20,39,53,15.591886792,1.42,1.0533962264,1.0533962264
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,212.91857143,63.922857143,46.832857143,39.576428571
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,96,8.5726041667,2.2925,1.798125,1.5978125
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,26,46.623461538,17.52,13.74,13.547692308
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,14,15,36.504,5.4213333333,3.442,3.0046666667
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,28,327.06714286,79.96,60.451071429,53.343928571
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,3289,0.3384767407,0.0456673761,0.0323350562,0.0323259349
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,34.85,20.686666667,14.922666667,14.056
1033137476,DAWALT,JOSHUA,,D.O.,M,I,7439 WOODLAND DR,STE 105,INDIANAPOLIS,IN,462781765,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,33,33,21.304705882,21.304705882
1033137518,DUBAY,JOHN,W,M.D.,M,I,809 UNIVERSITY BLVD E,DCH CANCER TREATMENT CENTER,TUSCALOOSA,AL,354012029,US,Physician/Hematology-Oncology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2080,50.380394231,13.517,10.579360577,10.579360577
1033137518,DUBAY,JOHN,W,M.D.,M,I,809 UNIVERSITY BLVD E,DCH CANCER TREATMENT CENTER,TUSCALOOSA,AL,354012029,US,Physician/Hematology-Oncology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,28,108.6,2.64,2.07,2.07
1033137518,DUBAY,JOHN,W,M.D.,M,I,809 UNIVERSITY BLVD E,DCH CANCER TREATMENT CENTER,TUSCALOOSA,AL,354012029,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,22,44,52.58,42.52,31.691136364,29.458863636
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,25,64,172,65.952674419,8.32,6.1427325581,6.1427325581
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,18,38,62,16.913709677,1.42,1.0611290323,1.0611290323
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,490,2.2778571429,2.2628571429,1.5312244898,1.5368367347
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,32,32,118.005625,40.878125,26.16875,25.171875
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,18,39,77,8.4519480519,1.51,1.1544155844,1.125974026
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,23,29,29,88.785172414,8.7344827586,6.0896551724,8.3237931034
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,43,84,84,442.84083333,84.137619048,63.334761905,65.130714286
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,42,112,208,166.44995192,33.335673077,25.091346154,24.889471154
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,30,168,60.253511905,18.25,13.602619048,13.83
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,21,68,288,61.209861111,15.74125,11.700138889,11.376944444
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,32,79,79,224.22797468,53.9,39.079493671,39.963164557
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,67,90,90,79.350555556,18.285444444,13.423888889,13.155666667
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,62,128,128,79.05078125,12.996796875,9.711484375,8.743125
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,75,206,885,10.372677966,2.0256271186,1.5169830508,1.5288022599
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,41,55,55,26.797636364,6.0349090909,4.4832727273,4.4496363636
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,43,59,59,50.426101695,12.99,9.8101694915,9.9688135593
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,185.295,49.1755,38.552,39.441
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,127.35,52.97,41.53,35.24
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,41,207,218,87.441146789,16.984770642,12.169908257,12.369220183
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,32,36,212.6875,48.31,36.827777778,36.598611111
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,842.26
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,38,41,601.72756098,87.28804878,67.69,69.186097561
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,23,103,111,81.75,12.868918919,9.8162162162,10.188378378
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,29,157,176,54.364488636,3.5025568182,2.5136931818,3.3728409091
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,22,109,113,229.87256637,32.902389381,24.323539823,25.039115044
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,71,446,451,498.95396896,71.933215078,51.711640798,50.296984479
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,95,96,256.1953125,38.159791667,28.326666667,28.004895833
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,188,415.00632979,42.778670213,33.443191489,33.443031915
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,15,67,20350,0.3946201474,0.0460766585,0.0338334152,0.0338329238
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,29,88,10241,1.2712762426,0.1338170101,0.0982677473,0.0982677473
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,815,3.4128711656,0.2184294479,0.1712638037,0.1712638037
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,146.25,15.616086957,10.48173913,12.234347826
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,285.6,38.08,28.398571429,28.074761905
1033137591,AHMED,MUSHTAQ,,MD,M,I,3551 Q STREET,SUITE 100,BAKERSFIELD,CA,93301,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,40,146,146,98.897260274,33,23.752808219,23.752808219
1033137633,AHMED,KHAJA,R,M.D.,M,I,20911 EARL ST,SUITE 180,TORRANCE,CA,905034352,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,1050,4.992952381,0.5732285714,0.4494190476,0.4494190476
1033137633,AHMED,KHAJA,R,M.D.,M,I,20911 EARL ST,SUITE 180,TORRANCE,CA,905034352,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1033137633,AHMED,KHAJA,R,M.D.,M,I,20911 EARL ST,SUITE 180,TORRANCE,CA,905034352,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,30,16,16,12.54,12.54
1033137641,RYAN,KEVIN,P,MD,M,I,2000 PEPPERELL PKWY,,OPELIKA,AL,368015452,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,30,310,84.387333333,60.497,52.469
1033137641,RYAN,KEVIN,P,MD,M,I,2000 PEPPERELL PKWY,,OPELIKA,AL,368015452,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,150,38.5575,28.04625,27.53
1033137641,RYAN,KEVIN,P,MD,M,I,2000 PEPPERELL PKWY,,OPELIKA,AL,368015452,US,Physician/Cardiovascular Disease (Cardiology),S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,468.89,203.11727273,159.23909091,123.89727273
1033137658,ADAMS,DENNIS,U,MD,M,I,401 MAIN ST N,,MENDENHALL,MS,391143303,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,14,41,70,256.21285714,8.32,5.7765714286,5.7765714286
1033137658,ADAMS,DENNIS,U,MD,M,I,401 MAIN ST N,,MENDENHALL,MS,391143303,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,16,42.689375,4.229375,2.410625,2.95625
1033137658,ADAMS,DENNIS,U,MD,M,I,401 MAIN ST N,,MENDENHALL,MS,391143303,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,13.820833333,13.820833333
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,130,360,68.109083333,8.32,5.9457777778,5.9457777778
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.34,3.38,2.5027777778,2.5027777778
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,20.643636364,2.12,1.5909090909,1.5909090909
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,36,58,15.024655172,1.42,1.0570689655,1.0570689655
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,15,28,8.6578571429,1.8771428571,1.3803571429,1.0678571429
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,82.9635,18.3185,14.365,13.8395
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,46,512.36804348,87.990434783,65.639130435,52.626086957
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,5449,0.1932005873,0.0461589282,0.0321306662,0.0321306662
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,35,3360,1.0632619048,0.1344017857,0.0935833333,0.0935833333
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.59569697,2.9977272727,2.153530303,2.153530303
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,22.274545455,15.523636364,12.966363636
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,78.15,38.4145,29.038,20.3245
1033137666,VICK,JOHN,C,MD,M,I,1106 REYNOLDS ST,SUITE 100,MONROE,NC,281124376,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,51,51,122.29411765,33,22.851372549,22.851372549
1033137740,MANSEN,JOSEPH,,M.D.,M,I,3024 HIGHWAY 121,,BEDFORD,TX,760214037,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,33,67.215454545,8.32,6.1260606061,6.1260606061
1033137948,MATTHEWS,EARL,C,MD,M,I,7505 OSLER DR,SUITE 104,TOWSON,MD,212047736,US,Physician/Orthopedic Surgery,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,76.69,29.178181818,22.882727273,23.655454545
1033137948,MATTHEWS,EARL,C,MD,M,I,7505 OSLER DR,SUITE 104,TOWSON,MD,212047736,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,306.75818182,279.25,218.93,218.89727273
1033137971,MINYON-SARVER,DAWN,,D.O.,F,I,114 GALLERY DR,,MC MURRAY,PA,153172690,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,34,69.923235294,8.32,6.1373529412,6.1373529412
1033137971,MINYON-SARVER,DAWN,,D.O.,F,I,114 GALLERY DR,,MC MURRAY,PA,153172690,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2642,0.3425208176,0.0438985617,0.0344171083,0.0344171083
1033137971,MINYON-SARVER,DAWN,,D.O.,F,I,114 GALLERY DR,,MC MURRAY,PA,153172690,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,101.53846154,33,25.87,25.87
1033138011,SIADATI,ABDOLREZA,,MD,M,I,1900 MISTLETOE BLVD,SUITE 200,FORT WORTH,TX,761044014,US,Physician/Neurosurgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,20,105,76.8195,60.2275,60.2275
1033138011,SIADATI,ABDOLREZA,,MD,M,I,1900 MISTLETOE BLVD,SUITE 200,FORT WORTH,TX,761044014,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,4995,4378.96,3427.244,3427.244
1033138011,SIADATI,ABDOLREZA,,MD,M,I,1900 MISTLETOE BLVD,SUITE 200,FORT WORTH,TX,761044014,US,Physician/Neurosurgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,20,20,500.2145,373.55,292.86,292.887
1033138011,SIADATI,ABDOLREZA,,MD,M,I,1900 MISTLETOE BLVD,SUITE 200,FORT WORTH,TX,761044014,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,1962.2011765,1185.42,929.37,911.72176471
1033138102,SMITH,ERIC,B,M.D.,M,I,3417 GASTON AVE,STE 830,DALLAS,TX,752461800,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,1770,0.1783050847,0.13,0.0967175141,0.0967175141
1033138102,SMITH,ERIC,B,M.D.,M,I,3417 GASTON AVE,STE 830,DALLAS,TX,752461800,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,8.4,7.19,5.5780648148,5.606787037
1033138102,SMITH,ERIC,B,M.D.,M,I,3417 GASTON AVE,STE 830,DALLAS,TX,752461800,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,48,7.245625,6.34,4.66125,5.4425
1033138169,FENICE,JOHN,V,M.D.,M,I,2601 ANNAND DR,SUITE 4,WILMINGTON,DE,198083719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,39,137,64.372919708,8.32,5.5224817518,5.5224817518
1033138169,FENICE,JOHN,V,M.D.,M,I,2601 ANNAND DR,SUITE 4,WILMINGTON,DE,198083719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,45,15.531555556,1.42,1.064,1.064
1033138169,FENICE,JOHN,V,M.D.,M,I,2601 ANNAND DR,SUITE 4,WILMINGTON,DE,198083719,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,237.68071429,52.43,38.050714286,39.812142857
1033138169,FENICE,JOHN,V,M.D.,M,I,2601 ANNAND DR,SUITE 4,WILMINGTON,DE,198083719,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,83.1025,11.886666667,9.32,9.12
1033138169,FENICE,JOHN,V,M.D.,M,I,2601 ANNAND DR,SUITE 4,WILMINGTON,DE,198083719,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,61,10.638360656,2.0196721311,1.5837704918,1.5924590164
1033138169,FENICE,JOHN,V,M.D.,M,I,2601 ANNAND DR,SUITE 4,WILMINGTON,DE,198083719,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,168,43.11,33.8,37.63
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,39,135,73.673259259,8.32,6.0874074074,6.0874074074
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,24,14.972083333,1.42,1.0691666667,1.0691666667
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,21,21,155.40047619,40.523809524,29.25,27.985714286
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,350.9305,84,62.567,64.473
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,43,122.5644186,32.04,24.533953488,25.301395349
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,88,102.18181818,18.333522727,12.81,12.993522727
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,26,26,284.86461538,57.205384615,40.869615385,38.950384615
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,26,26,80.869615385,18.326153846,13.071538462,12.767692308
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,25,25,84.2092,10.56,7.6176,8.4416
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,46,220,10.892454545,2.09,1.525,1.483
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,18,24,24,52.650833333,13.115416667,9.9608333333,10.013333333
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,136.265,17.5,10.786666667,10.636666667
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,403.8,82.808333333,64.918333333,64.918333333
1033138284,OCONNOR,HELEN,D,DO,F,I,9809 S PENNSYLVANIA AVE,OKLAHOMA CITY,OKLAHOMA CITY,OK,731596925,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,29,605.52448276,88.069655172,59.758965517,54.567931034
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,56,209,66.973588517,8.32,5.8775119617,5.8775119617
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,136,7.2298529412,2.91,2.28125,2.28125
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,190,11.353421053,9.86,7.3231578947,7.3231578947
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.1923333333,1.95,1.5288333333,1.5288333333
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,950,0.7509473684,0.27,0.2116421053,0.2116421053
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,190.97692308,76.827692308,54.618461538,39.544615385
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,76,6.1263157895,3.0094736842,2.2197368421,1.4675
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,84.523809524,21,15.042380952,12.528095238
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,35,19.8805,15.0075,11.7105
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,19,131,132,36.550378788,7.8692424242,5.626969697,3.1795454545
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,33,124.54545455,56.614545455,43.338787879,29.280606061
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,417.00444444,93.93,69.873611111,52.365277778
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,16,36,3491,0.4570323689,0.0475594386,0.0357003724,0.0356975079
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1710,1.1815614035,0.1320350877,0.0987309942,0.0987309942
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,387.5,196.01416667,146.20416667,108.68416667
1033138300,DEWITT,PETER,E,M.D.,M,I,1101 N MAIN ST,,MCPHERSON,KS,674602845,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,18,51,51,52.411764706,33,24.855490196,24.855490196
1033138359,WELSH,JAMES,D,M.D.,M,I,1583 HEALTH CARE DR,,ROCK HILL,SC,297323858,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,23,1330,28.682736842,5.1098270677,4.0031503759,4.0031503759
1033138391,BUNCH,HOLLY,B,APN,F,I,17 CENTRE PLAZA DR,,JACKSON,TN,383052862,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,58.051666667,19.401666667,14.370833333,9.3183333333
1033138391,BUNCH,HOLLY,B,APN,F,I,17 CENTRE PLAZA DR,,JACKSON,TN,383052862,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,6.8636363636,3.0327272727,2.378030303,1.715
1033138391,BUNCH,HOLLY,B,APN,F,I,17 CENTRE PLAZA DR,,JACKSON,TN,383052862,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,25,7.9072727273,6.2009090909,3.6854545455
1033138391,BUNCH,HOLLY,B,APN,F,I,17 CENTRE PLAZA DR,,JACKSON,TN,383052862,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,425.33777778,78.768333333,58.696111111,51.681666667
1033138607,NIEVES-RIVERA,JOSE,L,MD,M,I,735 PONCE DE LEON AVE. TORRE MEDICA AUXILIO MUTUO,SUITE 615,SAN JUAN,PR,00917,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.32,8.32,6.52,6.52
1033138607,NIEVES-RIVERA,JOSE,L,MD,M,I,735 PONCE DE LEON AVE. TORRE MEDICA AUXILIO MUTUO,SUITE 615,SAN JUAN,PR,00917,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,1.42,1.42,1.12,1.12
1033138607,NIEVES-RIVERA,JOSE,L,MD,M,I,735 PONCE DE LEON AVE. TORRE MEDICA AUXILIO MUTUO,SUITE 615,SAN JUAN,PR,00917,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,18,93.328333333,62.182222222,48.753333333,37.188333333
1033138730,TENG,LELAND,,MD,M,I,222 112TH AVE NE,STE 101,BELLEVUE,WA,980045856,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.05818182,17.25,12.290909091,12.310909091
1033138755,HUNTER,PHILIP,R,D.O.,M,I,286 STAGE RD,,CHARLTON,NY,12019,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,63,135,64.481703704,8.32,5.4152592593,5.4152592593
1033138755,HUNTER,PHILIP,R,D.O.,M,I,286 STAGE RD,,CHARLTON,NY,12019,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,28,31,14.739032258,1.42,0.8664516129,0.8664516129
1033138755,HUNTER,PHILIP,R,D.O.,M,I,286 STAGE RD,,CHARLTON,NY,12019,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,210,15.873714286,9.86,6.2221904762,6.2221904762
1033138755,HUNTER,PHILIP,R,D.O.,M,I,286 STAGE RD,,CHARLTON,NY,12019,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1275,0.17,0.0465333333,0.0364784314,0.0364784314
1033138755,HUNTER,PHILIP,R,D.O.,M,I,286 STAGE RD,,CHARLTON,NY,12019,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,53,38.653207547,8.32,5.7841509434,5.7841509434
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,17.622352941,1.42,0.92,0.92
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,53,77,78.493636364,21.946623377,15.925324675,12.984285714
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,29,34,37.565,6.9247058824,4.4335294118,2.7941176471
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,151,188,453.56457447,98.002180851,72.827659574,51.746223404
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,19,152.77473684,44.723684211,35.065789474,29.892105263
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,30,3607,2.1925505961,0.1383476573,0.1071472138,0.1071472138
1033138854,RICHARDSON,JENNY,E,ACNP,F,I,6560 FANNIN ST,SUITE 802,HOUSTON,TX,770302761,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,51.857142857,33,25.87,25.87
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,18,52,113,73.56840708,8.32,6.0027433628,6.0027433628
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,20,15.5875,1.42,0.948,0.948
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,23.298333333,18.263888889,13.864444444
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,88.29,15.870588235,12.442941176,10.228823529
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,35,40,42.0555,7.712,5.68225,3.50375
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,278.44,40.848,32.024,26.0125
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,519.51,106.80448276,82.049655172,54.437241379
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,7397,0.1920886846,0.0456198459,0.0309084764,0.0309084764
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1830,1.3580983607,0.1343770492,0.0954808743,0.0954808743
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,22,106.69090909,28.458181818,22.310909091,15.204090909
1033138904,FLOYD-NORRIS,IRIS,M,MD,F,I,2835 EAST HIGHWAY 76,STE 7,MULLINS,SC,29574,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,50,50,111,33,22.6158,22.6158
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,239,406,407,86.961597052,42.290933661,31.832039312,29.385012285
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,16,17,17,43.203529412,12.282352941,9.0829411765,8.5441176471
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,219,380,380,264.67918421,95.317526316,70.557394737,64.173973684
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,175,364,829,104.6105187,35.921435464,26.880518697,24.737370326
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,91,182,801,58.663358302,20.555006242,15.777253433,14.612659176
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,58,104,523,47.950994264,17.255296367,12.792332696,11.191472275
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,19,180,305,306,163.35526144,61.394803922,46.125555556,41.849444444
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,338,426,426,53.312488263,19.594131455,14.791924883,13.698967136
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,41,46,46,26.745869565,11.18326087,8.7665217391,8.2667391304
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,126,228,228,65.869298246,12.937982456,9.8618859649,9.0465350877
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,361,705,3064,8.1000261097,2.3187630548,1.767767624,1.5686259791
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,19,22,22,25.663636364,6.3981818182,5.0218181818,4.7331818182
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,207,251,251,32.311354582,13.938167331,10.605298805,10.080278884
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,26,165,176,63.493068182,18.680681818,14.003068182,13.209034091
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,31,31,119.92741935,48.400967742,35.818709677,35.514193548
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,22,109,110,306.31763636,97.972818182,74.020181818,67.198090909
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,11,55,55,737.48618182,241.97745455,186.11727273,166.46490909
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,34,34,34,357.59794118,139.86029412,103.62558824,98.512058824
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,112,581,597,45.561490787,15.289832496,11.772562814,10.477470687
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,18,94,95,30.328526316,4.9826315789,3.7293684211,3.5428421053
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,168,953,975,148.79573333,39.244564103,29.825425641,25.754174359
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,59,429,449,309.92331849,78.129420935,59.18935412,54.065300668
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,57,67,125.81253731,38.902835821,30.060298507,29.275074627
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,18.339366667,9.6091333333,7.4757666667,7.4757666667
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,15.236470588,11.186647059,8.6969705882,8.6969705882
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,25,60,15872,0.4356539819,0.0453937752,0.0320684224,0.0320665323
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,1650,11.72950303,3.0032242424,2.3545333333,2.3545333333
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,630,0.9898095238,0.2191904762,0.1551746032,0.1551746032
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,72,39.51,28.914666667,27.542666667
1033138912,DE LA CRUZ,LUIS,,MD,M,I,151 HAROLD FLEMING COURT,,SPARTANBURG,SC,293034225,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,28,78,78,67.310897436,33,24.083333333,24.083333333
1033138987,CLARK,SHEREE,,M.D.,F,I,4401 N CAMPUS RIDGE DR,SUITE 2100,MIDLAND,MI,486406112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,286.65,102.61833333,75.474166667,60.294166667
1033139001,MOORE,HUGH,C,M.D.,M,I,1950 SUNNYCREST DR STE 3800,,FULLERTON,CA,928353647,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,224.08294118,51.944705882,33.634117647,35.884117647
1033139001,MOORE,HUGH,C,M.D.,M,I,1950 SUNNYCREST DR STE 3800,,FULLERTON,CA,928353647,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,63.716153846,17.994615385,10.941538462,10.997692308
1033139001,MOORE,HUGH,C,M.D.,M,I,1950 SUNNYCREST DR STE 3800,,FULLERTON,CA,928353647,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,10.22875,2.016875,1.189375,1.2041666667
1033139068,SWIHART,MARY,E,CFNP,F,I,3900 S ZINTEL WAY FL 2,,KENNEWICK,WA,99337,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,30,65.578333333,8.32,4.9996666667,4.9996666667
1033139076,ELLISON,DAVID,,M.D.,M,I,1501 TROUSDALE DR,3RD FLOOR,BURLINGAME,CA,940104506,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,78.195,14,10.065,8.36
1033139076,ELLISON,DAVID,,M.D.,M,I,1501 TROUSDALE DR,3RD FLOOR,BURLINGAME,CA,940104506,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,603.78592593,32.273333333,21.064074074,19.684074074
1033139159,HALVORSON,JASON,S,MD,M,I,1001 HART BLVD,SUITE 100,MONTICELLO,MN,553628670,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,37,90,64.403555556,8.32,5.9195555556,5.9195555556
1033139159,HALVORSON,JASON,S,MD,M,I,1001 HART BLVD,SUITE 100,MONTICELLO,MN,553628670,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,2200,4.35,2.04,1.5341363636,1.5341363636
1033139159,HALVORSON,JASON,S,MD,M,I,1001 HART BLVD,SUITE 100,MONTICELLO,MN,553628670,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,144,3.6986111111,2.91,2.0279861111,2.0279861111
1033139159,HALVORSON,JASON,S,MD,M,I,1001 HART BLVD,SUITE 100,MONTICELLO,MN,553628670,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,44,2.655,1.8,1.41,1.41
1033139167,WOODALL,HUNTER,E,MD,M,I,2000 E GREENVILLE ST,SUITE 3700,ANDERSON,SC,296211580,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,72,46.706944444,8.32,6.1663888889,6.1663888889
1033139191,MCCOURT,MARY,E,NP,F,I,340 EISENHOWER DRIVE,SUITE 1200,SAVANNAH,GA,31406,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,687.46,318.69,239.60214286,239.60214286
1033139324,FOLKERT,HIEDI,,PA-C,F,I,1705 ANNE ST NW # 5,,BEMIDJI,MN,566016151,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,44,87,83.398850575,8.32,6.2750574713,6.2750574713
1033139324,FOLKERT,HIEDI,,PA-C,F,I,1705 ANNE ST NW # 5,,BEMIDJI,MN,566016151,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,83.872631579,22.762631579,15.881052632,12.066578947
1033139324,FOLKERT,HIEDI,,PA-C,F,I,1705 ANNE ST NW # 5,,BEMIDJI,MN,566016151,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,491.00903226,99.579354839,67.983225806,49.211290323
1033139613,WHITNEY,LYNNE,M,APRN,F,I,25 NEWELL RD STE E36,,BRISTOL,CT,060105132,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,26,76.841153846,8.32,6.5203846154,6.5203846154
1033139613,WHITNEY,LYNNE,M,APRN,F,I,25 NEWELL RD STE E36,,BRISTOL,CT,060105132,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,650.94818182,77.18,60.51,54.983181818
1033139688,CHERNE,SCOTT,,MD,M,I,1125 DARLENE LN,SUITE 100,EUGENE,OR,974011601,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,17,17,74.320588235,67.891176471,50.065882353,49.737058824
1033139688,CHERNE,SCOTT,,MD,M,I,1125 DARLENE LN,SUITE 100,EUGENE,OR,974011601,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,19,78.289473684,61.61,48.303684211,43.988947368
1033139688,CHERNE,SCOTT,,MD,M,I,1125 DARLENE LN,SUITE 100,EUGENE,OR,974011601,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,20,81.375,72.99,54.359,52.438
1033139688,CHERNE,SCOTT,,MD,M,I,1125 DARLENE LN,SUITE 100,EUGENE,OR,974011601,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,23,75.624347826,72.367826087,56.736521739,54.090869565
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,235,461,461,113.62835141,49.066334056,36.235943601,28.944099783
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,182,391,391,335.73529412,121.20089514,90.420664962,65.527007673
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,173,438,950,143.03012632,45.206126316,33.673263158,24.877442105
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,92,200,830,68.455373494,26.159337349,19.69573494,14.27646988
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,77,172,761,50.250788436,19.784835742,14.530289093,11.185321945
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,166,318,318,186.92767296,75.056320755,54.194937107,39.765251572
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,333,476,476,60.147752101,24.615714286,18.323802521,13.57737395
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,125,257,257,66.064824903,21.063735409,15.956303502,9.283540856
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,335,831,3958,8.6179055078,2.8925720061,2.1659903992,1.5443178373
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,198,267,267,21.714194757,8.9444569288,6.7885393258,4.6283520599
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,185,257,257,33.629299611,15.570272374,11.811828794,10.048988327
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,12,80,80,320.6215,125.5385,93.614625,65.4945
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,50,51,989.14705882,302.54470588,230.91705882,159.44
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,66,66,66,397.08833333,186.30257576,143.28257576,103.98378788
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,32,141,142,79.888521127,17.693732394,12.159929577,8.9546478873
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,60.92,8.304,6.267,3.811
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,134,791,796,157.26900754,48.526871859,35.694798995,24.585590452
1033139753,MONTEE,GEORGE,,PAC,M,I,140 ACADEMY ST,SUITE3,PRESQUE ISLE,ME,047693102,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,372.16627907,100.42744186,73.47,52.640465116
1033139803,NAHATA,SURESH,K,MD,M,I,2601 OCEAN PKWY,,BROOKLYN,NY,112357745,US,Physician/Vascular Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,43,3340,0.4413173653,0.44,0.3367245509,0.3367245509
1033139803,NAHATA,SURESH,K,MD,M,I,2601 OCEAN PKWY,,BROOKLYN,NY,112357745,US,Physician/Vascular Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,456,2.36,2.36,1.8502412281,1.8750438596
1033139803,NAHATA,SURESH,K,MD,M,I,2601 OCEAN PKWY,,BROOKLYN,NY,112357745,US,Physician/Vascular Surgery,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,19,2100,2.14,2.14,1.6777619048,1.690747619
1033139803,NAHATA,SURESH,K,MD,M,I,2601 OCEAN PKWY,,BROOKLYN,NY,112357745,US,Physician/Vascular Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,30,3268,0.1304589963,0.13,0.1019247246,0.1019247246
1033139803,NAHATA,SURESH,K,MD,M,I,2601 OCEAN PKWY,,BROOKLYN,NY,112357745,US,Physician/Vascular Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,820.59,135,95.059333333,103.552
1033140561,ANDERSON,GREGORY,S,D.O,M,I,HWY 1 HOSPITAL DRIVE,BOX 497,RED LAKE,MN,566710497,US,Physician/Osteopathic Manipulative Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,40,97.21,71.56,55.03575,55.03575
1033140561,ANDERSON,GREGORY,S,D.O,M,I,HWY 1 HOSPITAL DRIVE,BOX 497,RED LAKE,MN,566710497,US,Physician/Osteopathic Manipulative Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,64,69,68.418115942,21.609855072,16.507971014,13.313188406
1033140561,ANDERSON,GREGORY,S,D.O,M,I,HWY 1 HOSPITAL DRIVE,BOX 497,RED LAKE,MN,566710497,US,Physician/Osteopathic Manipulative Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,834.85833333,834.85833333
1033140561,ANDERSON,GREGORY,S,D.O,M,I,HWY 1 HOSPITAL DRIVE,BOX 497,RED LAKE,MN,566710497,US,Physician/Osteopathic Manipulative Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,63,64,369.81625,105.2090625,80.61875,54.2853125
1033140637,FONTANE,ROBERT,L,M.D.,M,I,4144 RICHMOND AVE,,SHREVEPORT,LA,711061442,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,2250,4.35,1.92,1.5025866667,1.5841066667
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,56,112,65.738839286,8.32,5.6978571429,5.6978571429
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,17,26,15.09,1.42,0.8580769231,0.8580769231
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,25,4.5245,2.534,2.534
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20,10.121666667,7.9366666667,7.9783333333
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,321,69.99,54.87,54.73
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1069,1.6860617399,0.1366791394,0.0920299345,0.0920299345
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,110,26.873333333,16.633333333,16.633333333
1033140660,BONNER,WENDELL,R,MD,M,I,4212 GRAND AVE,,DULUTH,MN,55807,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,22.420666667,22.420666667
1033140702,HASSID,EDWIN,J,M.D.,M,I,2300 SUTTER ST,SUITE 203,SAN FRANCISCO,CA,941153037,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,45,84.172222222,8.32,5.3775555556,5.3775555556
1033140702,HASSID,EDWIN,J,M.D.,M,I,2300 SUTTER ST,SUITE 203,SAN FRANCISCO,CA,941153037,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.1,3.9045454545,2.7,3.1345454545
1033140702,HASSID,EDWIN,J,M.D.,M,I,2300 SUTTER ST,SUITE 203,SAN FRANCISCO,CA,941153037,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,4349,0.1742906415,0.0460335709,0.0310071281,0.0310071281
1033140702,HASSID,EDWIN,J,M.D.,M,I,2300 SUTTER ST,SUITE 203,SAN FRANCISCO,CA,941153037,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,125.4,33,22.437333333,22.437333333
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,79,306,46.394052288,8.32,5.8007843137,5.8007843137
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,15,34,34,13.891176471,3.38,2.3382352941,2.3382352941
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,18,18,22.435555556,2.12,1.4844444444,1.4844444444
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,25,52,99,14.121515152,1.42,1.0349494949,1.0349494949
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,130.1975,71.6175,53.2475,42.358333333
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,48.325454545,23.575454545,18.48,14.893636364
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,42.164545455,22.574545455,17.173636364,10.749090909
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,17,98,4.7718367347,2.7485714286,2.1297959184,1.6976530612
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,62.867142857,17.25,12.876190476,12.896190476
1033140728,MCPHILIMY,SCOTT,A,D.O.,M,I,7470 BROCKWAY RD,,BROCKWAY,MI,480973458,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,405.67038462,79.88,57.803076923,50.510769231
1033140801,GORDON,SCOTT,A,MD,M,I,5750 DOWNEY AVE,SUITE 100,LAKEWOOD,CA,907121405,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,60.326153846,8.32,6.0184615385,6.0184615385
1033140801,GORDON,SCOTT,A,MD,M,I,5750 DOWNEY AVE,SUITE 100,LAKEWOOD,CA,907121405,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,33,23.096666667,4.1915151515,2.836969697,3.2636363636
1033140801,GORDON,SCOTT,A,MD,M,I,5750 DOWNEY AVE,SUITE 100,LAKEWOOD,CA,907121405,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,760.48,77.18,56.476,51.072
1033140801,GORDON,SCOTT,A,MD,M,I,5750 DOWNEY AVE,SUITE 100,LAKEWOOD,CA,907121405,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,21,32.619047619,23.719047619,17.155714286,13.137142857
1033140801,GORDON,SCOTT,A,MD,M,I,5750 DOWNEY AVE,SUITE 100,LAKEWOOD,CA,907121405,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,37,27.076,27.584666667
1033140850,WOO,HOWARD,,MD,M,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,2670,0.2904494382,0.13,0.0973333333,0.0973333333
1033140850,WOO,HOWARD,,MD,M,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,48,7070,3.2997736917,1.9168599717,1.4639589816,1.5509009901
1033140850,WOO,HOWARD,,MD,M,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,2640,7.1,6.15,4.8126704545,5.6305568182
1033140850,WOO,HOWARD,,MD,M,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,23,24.687826087,10.93,8.57,8.57
1033140850,WOO,HOWARD,,MD,M,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,280,9.1148571429,4.04,3.1675,3.1675
1033140868,KLAFETA,STEVE,R,MD,M,I,245 CHERRY ST SE,SUITE 207,GRAND RAPIDS,MI,495034607,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,1785.6436364,1263.8309091,990.84545455,886.50909091
1033140934,MAHDAVI,MAHMOOD,,M.D.,M,I,9850 GENESEE AVE,STE 710,LA JOLLA,CA,920371224,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,124.98692308,39.412307692,28.523846154,28.144615385
1033140934,MAHDAVI,MAHMOOD,,M.D.,M,I,9850 GENESEE AVE,STE 710,LA JOLLA,CA,920371224,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,14,68,40.596470588,15.365,12.045441176,11.907352941
1033140934,MAHDAVI,MAHMOOD,,M.D.,M,I,9850 GENESEE AVE,STE 710,LA JOLLA,CA,920371224,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,204.75555556,53.754444444,42.143333333,42.819444444
1033140934,MAHDAVI,MAHMOOD,,M.D.,M,I,9850 GENESEE AVE,STE 710,LA JOLLA,CA,920371224,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,74.54,18.470666667,14.477333333,14.06
1033140934,MAHDAVI,MAHMOOD,,M.D.,M,I,9850 GENESEE AVE,STE 710,LA JOLLA,CA,920371224,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,67.4,12.04,9.44,9.1490909091
1033140934,MAHDAVI,MAHMOOD,,M.D.,M,I,9850 GENESEE AVE,STE 710,LA JOLLA,CA,920371224,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,23,132,8.9331818182,2.0009090909,1.5690909091,1.5907575758
1033140983,DITMARS,JOHN,J,DPM,M,I,1620 W ELM ST,,EL RENO,OK,730364202,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,75,75,150,75.6,71.56,54.274133333,54.274133333
1033140983,DITMARS,JOHN,J,DPM,M,I,1620 W ELM ST,,EL RENO,OK,730364202,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,36,208,40,29.19,22.885,22.88625
1033140983,DITMARS,JOHN,J,DPM,M,I,1620 W ELM ST,,EL RENO,OK,730364202,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,150,59.2,43.4176,34.0356,34.145666667
1033140983,DITMARS,JOHN,J,DPM,M,I,1620 W ELM ST,,EL RENO,OK,730364202,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,68,60,43.56,34.151764706,34.150735294
1033140983,DITMARS,JOHN,J,DPM,M,I,1620 W ELM ST,,EL RENO,OK,730364202,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,21,21,290.23809524,249.34761905,185.20333333,207.5652381
1033141171,JALALI,MANOUCHER,,MD,M,I,2211 CHICHESTER AVE,SUITE 102,BOOTHWYN,PA,19061,US,Physician/General Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,345,1.23,1.08,0.8466666667,0.8466666667
1033141171,JALALI,MANOUCHER,,MD,M,I,2211 CHICHESTER AVE,SUITE 102,BOOTHWYN,PA,19061,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,13,1390,0.158057554,0.13,0.1019064748,0.1019064748
1033141171,JALALI,MANOUCHER,,MD,M,I,2211 CHICHESTER AVE,SUITE 102,BOOTHWYN,PA,19061,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,1861,0.5565233745,0.45,0.352810317,0.352810317
1033141213,BABU,MUTHIYALIAH,,M.D.,M,I,1401 E MAIN ST,,SANTA MARIA,CA,934544801,US,Internal Medicine,T,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,19,16.421052632,16,11.554736842,11.554736842
1033141247,CROW,DANIEL,R,M.D.,M,I,1 MEDICAL PARK DR,,CHESTER,SC,297069769,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,47.888043478,17.76,12.718695652,12.362608696
1033141247,CROW,DANIEL,R,M.D.,M,I,1 MEDICAL PARK DR,,CHESTER,SC,297069769,US,Physician/Emergency Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,1967.1428571,913.16,710.62785714,818.91928571
1033141247,CROW,DANIEL,R,M.D.,M,I,1 MEDICAL PARK DR,,CHESTER,SC,297069769,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,69,69,236.85376812,70.04,50.549275362,50.411014493
1033141247,CROW,DANIEL,R,M.D.,M,I,1 MEDICAL PARK DR,,CHESTER,SC,297069769,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,58.328695652,36.21,27.155652174,28.287826087
1033141304,HAMMERMAN,MARC,Z,M.D.,M,I,4310 SHERIDAN ST,,HOLLYWOOD,FL,330213554,US,Physician/Orthopedic Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,32.333333333,10.956666667,6.0975,6.2425
1033141304,HAMMERMAN,MARC,Z,M.D.,M,I,4310 SHERIDAN ST,,HOLLYWOOD,FL,330213554,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,17.965714286,8.6514285714,5.8328571429,5.4264285714
1033141320,ASKENASE,ALAN,D,MD,M,I,51 NORTH 39TH STREET,4 PHI,PHILADELPHIA,PA,191042640,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,67.72,53.1,54.73
1033141361,SADOWSKI,TODD,J,MD,M,I,333 SE 7TH AVE,SUITE 4500,HILLSBORO,OR,971234157,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,4560,2.7710526316,2.04,1.5678815789,1.5678815789
1033141361,SADOWSKI,TODD,J,MD,M,I,333 SE 7TH AVE,SUITE 4500,HILLSBORO,OR,971234157,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.95,6.58,5.16,5.735
1033141361,SADOWSKI,TODD,J,MD,M,I,333 SE 7TH AVE,SUITE 4500,HILLSBORO,OR,971234157,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,29,1.7965517241,1.7965517241,1.4065517241,1.41
1033141429,DORTONNE,RONALD,J,M.D.,M,I,13499 BISCAYNE BLVD,M6-M7,NORTH MIAMI,FL,331812043,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,66,18,14.11,13.580714286
1033141429,DORTONNE,RONALD,J,M.D.,M,I,13499 BISCAYNE BLVD,M6-M7,NORTH MIAMI,FL,331812043,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,350,90.01,70.57,55.861428571
1033141429,DORTONNE,RONALD,J,M.D.,M,I,13499 BISCAYNE BLVD,M6-M7,NORTH MIAMI,FL,331812043,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,55,18.05875,12.425,12.195833333
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,17,48,577,53.296325823,19.647140381,14.806256499,14.806256499
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,17,45,1325,8.4980679245,2.632754717,2.0171471698,2.0171471698
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,89,226,1035,60.959594203,8.32,6.0213623188,6.0213623188
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,15,35,35,11.949714286,3.38,2.65,2.65
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,18,18,19.195555556,2.12,1.67,1.67
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,36,64,168,12.543690476,1.4180952381,1.0851190476,1.0851190476
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,54,77.922222222,71.56,52.668518519,52.668333333
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,132,47.677272727,43.56,33.914772727,33.913181818
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,55,55,537.58181818,347.66181818,272.56545455,272.56545455
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2100,16.136566667,10.858738095,8.496752381,8.496752381
1033141684,WHITE,FREDERICK,A,M.D.,M,I,2125 PINE ST,,ABILENE,TX,796012435,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,32,32,344.5,250.8540625,196.669375,196.8690625
1033141783,GOWDA,UMESH,G,M.D.,M,I,1101 W UNIVERSITY DR,,ROCHESTER,MI,483071863,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,14,33,52.738181818,8.32,5.8124242424,5.8124242424
1033141783,GOWDA,UMESH,G,M.D.,M,I,1101 W UNIVERSITY DR,,ROCHESTER,MI,483071863,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,13.581666667,1.42,1.1183333333,1.1183333333
1033141783,GOWDA,UMESH,G,M.D.,M,I,1101 W UNIVERSITY DR,,ROCHESTER,MI,483071863,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,70,5.6125,4.295,3.5541666667
1033141957,SWEET,ANN,M,PA,F,I,100 HIGH ST,,BUFFALO,NY,142031126,US,Physician Assistant,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,83.118181818,19.71,14.047727273,14.047727273
1033141957,SWEET,ANN,M,PA,F,I,100 HIGH ST,,BUFFALO,NY,142031126,US,Physician Assistant,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,4800,63.7173,9.8426666667,7.7137291667,7.7137291667
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,450,18.5,6.15,4.8216666667,4.2069111111
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,5928,1.3554740216,0.3156275304,0.2474493927,0.2432287449
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,135,66.5,52.14,48.667272727
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,25,25,25,195.1244,56.9984,42.8728,35.0016
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,24,24,24,201.75875,57.97125,43.530833333,39.737916667
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,9,20,70,71,169.16422535,56.577183099,36.105211268,32.286619718
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,33,58.181818182,18.075454545,12.432424242,11.923939394
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,170.75,54.04,42.159166667,37.814166667
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,55,61,51.098360656,6.8975409836,5.1172131148,3.543442623
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,117.41166667,54.015,38.3125,35.295
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,18,88,88,326.59090909,86.272727273,62.084772727,50.962045455
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,18,18,18,123.52388889,40.452777778,26.487777778,24.554444444
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1470,2.2806258503,0.1367755102,0.0998367347,0.0998367347
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,59,331,333,56.844594595,21.987327327,15.524144144,13.001891892
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,90.82,36.39,26.945,21.675
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,18,82,82,32.33195122,10.844146341,7.6025609756,6.3886585366
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,102.5,39.181428571,29.06,28.01
1033142054,WIMBERLY,LEE,T,MD,M,I,50 MEDICAL PARK DR E,,BIRMINGHAM,AL,352353401,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,74,205,535,68.297495327,8.32,5.1761308411,5.1761308411
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.978181818,3.38,2.4090909091,2.4090909091
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,56,104,139,14.030215827,1.42,0.8830215827,0.8830215827
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.2609090909,2.2609090909,1.704025974,1.7111688312
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.455454545,10.93,7.7909090909,7.7909090909
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.1281818182,7.35,5.2363636364,5.3281818182
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,540,8.3843333333,4.91,3.6190740741,3.6190740741
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,5130,5.5581793372,0.63,0.49391423,0.5147076023
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,21.907857143,21.907857143,14.635714286,48.984285714
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.16,3.7125,3.6208333333
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,740.11066667,361.182,276.01066667,276.01066667
1033142088,ADUBOFOUR,KWABENA,O,M.D.,M,I,2524 E MAIN ST,,STOCKTON,CA,952056523,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,112.464375,25.105625,13.505,15.145
1033142112,GOLDBERG,GRIGORY,R,MD,M,I,301 PROFESSIONAL VIEW DR,,FREEHOLD,NJ,077287904,US,Physician/Orthopedic Surgery,S,L0456,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,1800,942.16,738.66,748.05
1033142591,PREVILON,ADENS,,PA,M,I,1000 MONTAUK HWY,,WEST ISLIP,NY,117954927,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,44,44,66,18,13.166136364,12.660909091
1033142591,PREVILON,ADENS,,PA,M,I,1000 MONTAUK HWY,,WEST ISLIP,NY,117954927,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,1343.0844444,1074.31,842.26,842.26
1033142591,PREVILON,ADENS,,PA,M,I,1000 MONTAUK HWY,,WEST ISLIP,NY,117954927,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,55,55,350,90.01,64.526,50.702181818
1033142641,HUNT,ANDREA,M,DPM,F,I,2705 HOSPITAL DR,STE 212,VICTORIA,TX,779015775,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,1840,0.55,0.44,0.315,0.315
1033142641,HUNT,ANDREA,M,DPM,F,I,2705 HOSPITAL DR,STE 212,VICTORIA,TX,779015775,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,216,10.24,8.41,6.5940740741,6.5940740741
1033142641,HUNT,ANDREA,M,DPM,F,I,2705 HOSPITAL DR,STE 212,VICTORIA,TX,779015775,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,195,4.46,3.67,2.8773333333,2.8773333333
1033142641,HUNT,ANDREA,M,DPM,F,I,2705 HOSPITAL DR,STE 212,VICTORIA,TX,779015775,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,2300,0.16,0.13,0.0984826087,0.0984826087
1033142641,HUNT,ANDREA,M,DPM,F,I,2705 HOSPITAL DR,STE 212,VICTORIA,TX,779015775,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,1248,0.56,0.45,0.3528285256,0.3528285256
1033142724,KRONFOL,NOUHAD,O,M.D.,M,I,1997 MEDICAL PARK DR,,GREENVILLE,MS,387037268,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,686.508,61.176666667,47.965333333,37.58
1033142724,KRONFOL,NOUHAD,O,M.D.,M,I,1997 MEDICAL PARK DR,,GREENVILLE,MS,387037268,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,3300,3.2312060606,1.3078242424,1.0253333333,1.0253333333
1033142724,KRONFOL,NOUHAD,O,M.D.,M,I,1997 MEDICAL PARK DR,,GREENVILLE,MS,387037268,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1033142724,KRONFOL,NOUHAD,O,M.D.,M,I,1997 MEDICAL PARK DR,,GREENVILLE,MS,387037268,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,25,16,16,12.54,12.54
1033142864,BERNARD,JENNIFER,P,M.D.,F,I,12541 FOSTER ST,SUITE 300,OVERLAND PARK,KS,662132630,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,43,127,56.758031496,8.32,5.9175590551,5.9175590551
1033142864,BERNARD,JENNIFER,P,M.D.,F,I,12541 FOSTER ST,SUITE 300,OVERLAND PARK,KS,662132630,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.65,2.65
1033142864,BERNARD,JENNIFER,P,M.D.,F,I,12541 FOSTER ST,SUITE 300,OVERLAND PARK,KS,662132630,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,51,15.442156863,1.42,0.9390196078,0.9390196078
1033142922,MARKOWITZ,MICHAEL,A,M.D.,M,I,320 W PRINCE RD,,TUCSON,AZ,857053526,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3045,2.3530574713,0.0711527094,0.0352085386,0.0352085386
1033142922,MARKOWITZ,MICHAEL,A,M.D.,M,I,320 W PRINCE RD,,TUCSON,AZ,857053526,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,496,0.3108870968,0.2187096774,0.1128629032,0.1128629032
1033142971,CHUNG,CHUNG,U,MD,M,I,2595 VICTORY BLVD,,PORTSMOUTH,VA,237022315,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,46,151,62.745364238,8.32,5.9481456954,5.9481456954
1033142971,CHUNG,CHUNG,U,MD,M,I,2595 VICTORY BLVD,,PORTSMOUTH,VA,237022315,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,20,33,16.642727273,1.42,1.1139393939,1.1139393939
1033142971,CHUNG,CHUNG,U,MD,M,I,2595 VICTORY BLVD,,PORTSMOUTH,VA,237022315,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,4.38,2.27,1.5997402597,1.5997402597
1033142971,CHUNG,CHUNG,U,MD,M,I,2595 VICTORY BLVD,,PORTSMOUTH,VA,237022315,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,21,9.68,6.9,7.8136363636
1033142971,CHUNG,CHUNG,U,MD,M,I,2595 VICTORY BLVD,,PORTSMOUTH,VA,237022315,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,37,519.51,78.23,61.33,55.077297297
1033142971,CHUNG,CHUNG,U,MD,M,I,2595 VICTORY BLVD,,PORTSMOUTH,VA,237022315,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,64,18.378666667,12.45,12.318
1033143003,SHUM,CHI,C,MD,M,I,155 E 47TH ST,SECTION 1 SUITE 1A,NEW YORK,NY,100172009,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,48,62.8175,8.32,6.521875,6.521875
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,147.304,49.938,39.152,36.514666667
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,201.14285714,59.493571429,46.645,41.245
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,140.46,54.41,39.463333333,36.213333333
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,575,79.88,52.9725,46.389166667
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,62.264166667,35.31,25.3825,27.089166667
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,88.65,37.35,29.278333333,29.34
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,13,75,22.111538462,17.335384615,14.947692308
1033143151,ZHAO,DIANE,D,MD,F,I,14509 UNIVERSITY POINT PL,,TAMPA,FL,336135424,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,20,103,114,119.02684211,32.125964912,23.729912281,20.512982456
1033143227,CHAO,FRANK,C,MD,M,I,630 E NORTH AVE,DEPT OF FAMILY PRACTICE,CAROL STREAM,IL,60188,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,57,71.015263158,8.32,6.5222807018,6.5222807018
1033143359,ASLANIAN,MELINEH,,D.P.M.,F,I,125 E GLENOAKS BLVD STE 104,,GLENDALE,CA,912072132,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,40,86.2125,71.56,52.066,52.06575
1033143359,ASLANIAN,MELINEH,,D.P.M.,F,I,125 E GLENOAKS BLVD STE 104,,GLENDALE,CA,912072132,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,122,108.54918033,43.56,33.895409836,33.893688525
1033143359,ASLANIAN,MELINEH,,D.P.M.,F,I,125 E GLENOAKS BLVD STE 104,,GLENDALE,CA,912072132,US,Podiatry,S,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,14,19,120,40.96,28.732105263,29.257894737
1033143391,MEKOSH,SUSAN,L,P.A.,F,I,1301 RIVER ST,SUITE 204,VALATIE,NY,121849694,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,30,68,219.41573529,8.32,5.7554411765,5.7554411765
1033143391,MEKOSH,SUSAN,L,P.A.,F,I,1301 RIVER ST,SUITE 204,VALATIE,NY,121849694,US,Physician Assistant,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,63.910588235,17.071176471,12.617647059,8.9441176471
1033143391,MEKOSH,SUSAN,L,P.A.,F,I,1301 RIVER ST,SUITE 204,VALATIE,NY,121849694,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,4049,0.3698592245,0.0454359101,0.035621141,0.035621141
1033143391,MEKOSH,SUSAN,L,P.A.,F,I,1301 RIVER ST,SUITE 204,VALATIE,NY,121849694,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,67.65,33,25.87,25.87
1033143425,TURNER,JEFFREY,D,M.D.,M,I,2010 HEALTH CAMPUS DR,SENTARA ROCKINGHAM MEMORIAL HOSPITAL,ROCKINGHAM,VA,228018679,US,Physician/Emergency Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,192.58,44.925,35.223333333,35.298333333
1033143524,MILLER,JAMES,A,M.D.,M,I,2240 SUTHERLAND AVE,SUITE 104,KNOXVILLE,TN,379192333,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,40,31.36,29.51
1033144084,COSTELLO,DOMINICA,C,D.O.,F,I,147 S. MAIN STREET,,MIDDLETON,MA,01949,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,31,101,337,69.696587537,8.32,5.9592581602,5.9592581602
1033144084,COSTELLO,DOMINICA,C,D.O.,F,I,147 S. MAIN STREET,,MIDDLETON,MA,01949,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,44,55,15.394909091,1.42,1.0563636364,1.0563636364
1033144167,BALEVA,JASMIN,,M.D.,F,I,4545 POST OAK PLACE DR,SUITE 130,HOUSTON,TX,770273164,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,34.5025,17.701,13.1995,12.8625
1033144167,BALEVA,JASMIN,,M.D.,F,I,4545 POST OAK PLACE DR,SUITE 130,HOUSTON,TX,770273164,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,209.5585,78.824,58.7885,51.9845
1033144167,BALEVA,JASMIN,,M.D.,F,I,4545 POST OAK PLACE DR,SUITE 130,HOUSTON,TX,770273164,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,173.74,24.086666667,18.88,21.950555556
1033144167,BALEVA,JASMIN,,M.D.,F,I,4545 POST OAK PLACE DR,SUITE 130,HOUSTON,TX,770273164,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,46.24,7.3144444444,5.5355555556,6.3825925926
1033144167,BALEVA,JASMIN,,M.D.,F,I,4545 POST OAK PLACE DR,SUITE 130,HOUSTON,TX,770273164,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,23.714166667,23.714166667
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,25,70,193,54.378031088,8.3177202073,6.0485492228,6.0504145078
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,15.823529412,3.38,2.4941176471,2.4941176471
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,37,65,16.391692308,1.42,1.0295384615,1.0295384615
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,18,35,7.5025714286,1.9697142857,1.254,0.9262857143
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,307.03,119.99181818,87.223636364,65.481818182
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,61.902727273,20.039090909,14.789090909,9.3163636364
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,64,9.84875,2.98828125,2.17703125,1.67765625
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,62.14826087,22.370434783,16.239565217,12.876956522
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,13,14,149.67142857,59.047142857,44.447857143,36.925714286
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,80,80,348.654,102.80675,77.166125,54.614125
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,105.62434783,44.656956522,35.013478261,29.826521739
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,4994,0.2985762915,0.0457589107,0.0333139768,0.0333139768
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1560,2.0859230769,0.1310769231,0.0957948718,0.0957948718
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.86,2.9881818182,2.3427575758,2.3427575758
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,25.956363636,20.35,13.892727273
1033144191,NOLAN,TRAMPAS,S,ARNP,M,I,215 TREUHAFT BLVD,SUITE 2,BARBOURVILLE,KY,409067361,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,40,40,84.975,33,23.994,23.994
1033144233,PETRILLO,JOHN,M,D.O.,M,I,624 MCCLELLAN STREET,SUITE 101,SCHENECTADY,NY,123041020,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,35,93,81.13655914,8.32,5.4008602151,5.4008602151
1033144233,PETRILLO,JOHN,M,D.O.,M,I,624 MCCLELLAN STREET,SUITE 101,SCHENECTADY,NY,123041020,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,619.91416667,79.48,62.31,55.3525
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,108.34727273,39.66,31.090909091,30.57
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,21,54,112,8.19,1.8,1.3344642857,1.1095535714
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,78.873846154,13.707692308,9.9761538462,8.3730769231
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,388.05117647,87.256470588,66.730588235,66.201176471
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,30,177.77666667,32.812,23.121333333,23.335333333
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,17,17,70.869411765,18.611764706,14.587058824,14.094705882
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,84.301666667,11.57,9.07,9.12
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,30,144,11.169513889,2.02375,1.5217361111,1.5258333333
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,42.358333333,13.7525,10.7825,10.383333333
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,19,135,150,72.0146,17.76,13.047066667,12.695266667
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,4430.1,1074.31,841.44966667,841.44966667
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,542.8,370.272,280.72666667,292.89266667
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,19,81,81,49.564814815,4.2862962963,3.2861728395,3.6122222222
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,33,221.59636364,32.825454545,25.736363636,25.510909091
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,46,311,348,441.87189655,82.524396552,60.759022989,51.741867816
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,44,51,250,35.66,27.411764706,28.756666667
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,63,3690,16.988628726,9.6640813008,7.5290704607,7.5290704607
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,13,70,4200,14.928909524,11.2247,8.7474928571,8.7474928571
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,33,106,17089,0.3392024109,0.0459213529,0.0319609105,0.0319609105
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,40,4646,1.966863969,0.1341304348,0.1051808007,0.1051808007
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,30,176,10650,12.636441315,2.9940957746,2.297771831,2.297771831
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,56.75,38.963636364,30.55,29.136363636
1033144266,HARRIS,PAUL,D,DO,M,I,310 LAFAYETTE AVE SE,STE 415,GRAND RAPIDS,MI,495034693,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,44,216,216,102.84722222,33,25.064675926,25.064675926
1033144332,MENDEZ,JOSE,I,DO,M,I,23625 WR HOLMAN HWY,,MONTEREY,CA,93940,US,Physician/Osteopathic Manipulative Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,98.014666667,17.09,12.953333333,13.085
1033144332,MENDEZ,JOSE,I,DO,M,I,23625 WR HOLMAN HWY,,MONTEREY,CA,93940,US,Physician/Osteopathic Manipulative Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,504.85294118,66.091176471,50.301764706,53.238823529
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,14,45,125,49.97048,8.32,6.41768,6.41768
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.625,3.38,2.65,2.65
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,36,16.360833333,1.42,1.1133333333,1.1133333333
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,94.613333333,33.22,21.705,21.597916667
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,45.79,18.68,10.225833333,9.78
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,40.703333333,11.57,6.8025,6.865
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,5.6315384615,2,1.2203846154,1.2446153846
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,240,79.88,58.445333333,52.125333333
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,56.615384615,35.66,25.809230769,27.150769231
1033144340,BULK,KELLY,J,PA-C,F,I,11 N MAPLE,,GRANT,MI,49327,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1033144589,ANTOINE,MICHEL,,M.D.,M,I,251 N MAIN ST,,SPRING VALLEY,NY,109774002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,33,101,58.028118812,8.32,4.8432673267,4.8432673267
1033144589,ANTOINE,MICHEL,,M.D.,M,I,251 N MAIN ST,,SPRING VALLEY,NY,109774002,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.62875,3.38,1.821875,1.821875
1033144589,ANTOINE,MICHEL,,M.D.,M,I,251 N MAIN ST,,SPRING VALLEY,NY,109774002,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,45,15.224222222,1.42,0.8668888889,0.8668888889
1033144605,MESERVE,LESLIE,K,M.D.,F,I,355 PLACENTIA AVE,SUITE 102,NEWPORT BEACH,CA,926633311,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,51,51,54.78,3.9335294118,3.0811764706,3.6933333333
1033144605,MESERVE,LESLIE,K,M.D.,F,I,355 PLACENTIA AVE,SUITE 102,NEWPORT BEACH,CA,926633311,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,209.7,27.982727273,11.618181818,14.013636364
1033144605,MESERVE,LESLIE,K,M.D.,F,I,355 PLACENTIA AVE,SUITE 102,NEWPORT BEACH,CA,926633311,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,30,388.78766667,71.11,55.75,54.764
1033144662,BHAGWANDIEN,NARENDRA,S,MD,M,I,100 FAIRFIELD DR,,SENECA,PA,163462130,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,841.90833333,841.90833333
1033144662,BHAGWANDIEN,NARENDRA,S,MD,M,I,100 FAIRFIELD DR,,SENECA,PA,163462130,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,335,74.245217391,55.904782609,55.961304348
1033144662,BHAGWANDIEN,NARENDRA,S,MD,M,I,100 FAIRFIELD DR,,SENECA,PA,163462130,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,70,39.942380952,29.872380952,28.793809524
1033144670,ASKENAZI,MORRIS,M,MD,M,I,777 BANNOCK ST,MC 7782,DENVER,CO,802044507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,19,63,36.150793651,8.2393650794,4.3685714286,4.4198412698
1033144670,ASKENAZI,MORRIS,M,MD,M,I,777 BANNOCK ST,MC 7782,DENVER,CO,802044507,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,13,21,9.2519047619,1.42,0.6361904762,0.6361904762
1033144670,ASKENAZI,MORRIS,M,MD,M,I,777 BANNOCK ST,MC 7782,DENVER,CO,802044507,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4.93,3.8118181818,2.6363636364,3.1445454545
1033144670,ASKENAZI,MORRIS,M,MD,M,I,777 BANNOCK ST,MC 7782,DENVER,CO,802044507,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,44,543.48318182,78.49,54.129545455,48.647954545
1033144670,ASKENAZI,MORRIS,M,MD,M,I,777 BANNOCK ST,MC 7782,DENVER,CO,802044507,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,285.6,38.76,23.254,22.55
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,41,110,205,63.366878049,8.32,5.2809268293,5.2809268293
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,11.77,3.38,2.2083333333,2.2083333333
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,31,62,66,16.720151515,1.42,0.983030303,0.983030303
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,120.92,42.358461538,28.48,25.799230769
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,212.92,57.44,37.621818182,35.538181818
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,10.03,2.25,1.5402380952,1.3675
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,339.67071429,72.575714286,48.647142857,47.275714286
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,77.334545455,26.185454545,13.543636364,7.1454545455
1033144860,MUSSOLINE,JOSEPH,F,,M,I,134 W RIDGE ST,,LANSFORD,PA,182321310,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,38.1,10.683636364,5.1163636364,3.36
1033144894,JOSEPHS,HOWARD,Y,M.D.,M,I,1010 4TH ST,,TWO HARBORS,MN,556161200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,113,54.77,8.32,5.9453982301,5.9453982301
1033144894,JOSEPHS,HOWARD,Y,M.D.,M,I,1010 4TH ST,,TWO HARBORS,MN,556161200,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,30,16.343,1.42,0.966,0.966
1033144894,JOSEPHS,HOWARD,Y,M.D.,M,I,1010 4TH ST,,TWO HARBORS,MN,556161200,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,11.375454545,10.861818182,5.4536363636,5.5204545455
1033144894,JOSEPHS,HOWARD,Y,M.D.,M,I,1010 4TH ST,,TWO HARBORS,MN,556161200,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,26.103636364,20.464545455,13.892727273
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,49,132,66.609393939,8.32,6.3249242424,6.3249242424
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,24,14.139166667,1.42,1.1125,1.1125
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,115,9.5669565217,9.5669565217,6.4894782609,6.5022608696
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1316,0.44,0.44,0.3449924012,0.3449924012
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,302,8.28,8.28,6.4533443709,6.4533443709
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,848,0.45,0.45,0.3528066038,0.3528066038
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,401.87555556,88.207777778,61.474444444,60.383888889
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,24,122.30666667,33.6,24.14625,23.79375
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,80.882857143,18.25,13.287857143,13.091428571
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,82.304545455,12.17,7.8136363636,7.47
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,19,69,9.6255072464,2.08,1.3465217391,1.3215942029
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,3116,2.002182285,0.32,0.250872914,0.2478690629
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,32,190,220,88.809,18.118772727,13.160409091,12.625318182
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,15,81.75,13.36,10.48,10.48
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,54.943636364,4.19,2.9818181818,3.0827272727
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,31,240.8516129,31.733870968,23.37,23.377096774
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,49,361,405,449.71649383,72.431506173,53.784864198,51.855407407
1033145164,EDGREN,DOUGLAS,W,MD,M,I,5727 STRATHMOOR DR,,ROCKFORD,IL,611075180,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,48,244.375,39.6,31.05,29.638333333
1033145172,GAUTHIER,LEON,,PA-C,M,I,220 N PARK AVE,SUITE 2,HERRIN,IL,629483150,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,635.78142857,224.48571429,169.07,113.75285714
1033145271,TAXIN,ROBERT,M,D.O.,M,I,7619 TILGHMAN ST,,FOGELSVILLE,PA,18051,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,24,81.024166667,8.32,6.5204166667,6.5204166667
1033145586,KHOKHAR,MUHAMMED,F,,M,I,835 5TH AVE,,CHAMBERSBURG,PA,172014224,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,52,335.38,326.82,256.22673077,256.22673077
1033145586,KHOKHAR,MUHAMMED,F,,M,I,835 5TH AVE,,CHAMBERSBURG,PA,172014224,US,Physician/Gastroenterology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,133,383.24,373.22631579,291.52954887,291.52954887
1033145586,KHOKHAR,MUHAMMED,F,,M,I,835 5TH AVE,,CHAMBERSBURG,PA,172014224,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,33,192,9.6,9.3463541667,7.3271354167,7.3271354167
1033145586,KHOKHAR,MUHAMMED,F,,M,I,835 5TH AVE,,CHAMBERSBURG,PA,172014224,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,33,192,30,29.208333333,22.899427083,22.899427083
1033145636,WILKENING,MICHELLE,R,MD,F,I,11269 JEFFERSON HWY N,,CHAMPLIN,MN,553163123,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,29,57,65.489122807,8.32,5.0335087719,5.0335087719
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,46,191,366,52.730081967,8.32,5.2915846995,5.2915846995
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,35,104,111,26.689189189,1.42,0.887027027,0.887027027
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,58,58,116,78.999655172,71.437931034,55.477068966,55.572672414
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,51,51,306,31.030457516,29.159411765,22.861078431,22.886405229
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,22.498181818,14.56,10.381818182,10.372727273
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,125.75,31.799375,23.46,23.37
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,460.22347826,77.357391304,60.649130435,55.293478261
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2837,0.5188403243,0.0463130067,0.0324321466,0.0324321466
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,256.09,37.0075,29.016,29.485
1033145701,SHARIM,HOMAYOUN,,M.D.,M,I,9301 WILSHIRE BLVD,SUITE 512,BEVERLY HILLS,CA,902105424,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,23.518181818,23.518181818
1033145792,BOOP,BRADLEY,S,M.D.,M,I,10001 LILE DR,,LITTLE ROCK,AR,722056217,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,130.06857143,23.141428571,16.907142857,19.468571429
1033145800,SHAH,RONAK,C,M.D.,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,42,2655,6.0296082863,0.5642184557,0.4267344633,0.4267344633
1033145800,SHAH,RONAK,C,M.D.,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,2400,3.1145,1.20605,0.9107416667,0.9107416667
1033145800,SHAH,RONAK,C,M.D.,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,37,37,24,24,18.451351351,18.451351351
1033145800,SHAH,RONAK,C,M.D.,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,33,35,16,16,12.182285714,12.182285714
1033145859,SAHAR,CHRISTOPH,A,M.D.,M,I,1611 NW 12TH AVE,,MIAMI,FL,33136,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,61.761818182,4.5036363636,3.0190909091,2.9945454545
1033145875,SUSI,JESSE,G,M.D.,M,I,845 N NEW BALLAS CT FL 2,,SAINT LOUIS,MO,631417134,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,14,14,233,55,22.333733906,17.509742489,20.052575107
1033145958,DANIELSON,STEVEN,,M.D.,M,I,251 COUNTY RD 120,,SAINT CLOUD,MN,563034665,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,62,53.346774194,8.32,4.9825806452,4.9825806452
1033145958,DANIELSON,STEVEN,,M.D.,M,I,251 COUNTY RD 120,,SAINT CLOUD,MN,563034665,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,149.11529412,18.100294118,12.497941176,11.938235294
1033145958,DANIELSON,STEVEN,,M.D.,M,I,251 COUNTY RD 120,,SAINT CLOUD,MN,563034665,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,208.128,30.854,16.965333333,17.849333333
1033145958,DANIELSON,STEVEN,,M.D.,M,I,251 COUNTY RD 120,,SAINT CLOUD,MN,563034665,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,614.62857143,71.95952381,50.218333333,48.660952381
1033146006,AVALOS,SERGIO,A,M.D.,M,I,2444 MORGAN AVE,,CORPUS CHRISTI,TX,784051806,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,53,59.45,8.32,6.0303773585,6.0303773585
1033146006,AVALOS,SERGIO,A,M.D.,M,I,2444 MORGAN AVE,,CORPUS CHRISTI,TX,784051806,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,16.735652174,1.42,1.1147826087,1.1147826087
1033146055,WEINSHEL,DAVID,D,MD,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,51,166,72.841325301,8.32,6.0112650602,6.0112650602
1033146055,WEINSHEL,DAVID,D,MD,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,34,53,13.839056604,1.42,1.0322641509,1.0322641509
1033146154,CARVER,STEVEN,J,D.O.,M,I,800 W STATE ST,STE. 102,DOYLESTOWN,PA,189012250,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,61,223,58.904932735,8.32,5.8207623318,5.8207623318
1033146154,CARVER,STEVEN,J,D.O.,M,I,800 W STATE ST,STE. 102,DOYLESTOWN,PA,189012250,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.930909091,3.38,2.4090909091,2.4090909091
1033146154,CARVER,STEVEN,J,D.O.,M,I,800 W STATE ST,STE. 102,DOYLESTOWN,PA,189012250,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,41,12.925853659,1.42,1.0307317073,1.0307317073
1033146154,CARVER,STEVEN,J,D.O.,M,I,800 W STATE ST,STE. 102,DOYLESTOWN,PA,189012250,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,30.42,16.08,11.454545455,12.406363636
1033146154,CARVER,STEVEN,J,D.O.,M,I,800 W STATE ST,STE. 102,DOYLESTOWN,PA,189012250,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,95,30.96,20.199473684,20.325
1033146154,CARVER,STEVEN,J,D.O.,M,I,800 W STATE ST,STE. 102,DOYLESTOWN,PA,189012250,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,180.92,77.18,57.628571429,52.114285714
1033146154,CARVER,STEVEN,J,D.O.,M,I,800 W STATE ST,STE. 102,DOYLESTOWN,PA,189012250,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,107.25,33,25.87,25.87
1033146188,CHAVERS,BLANCHE,M,M.D.,F,I,UNIVERSITY OF MINNESOTA PHYSICIANS,"516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100",MINNEAPOLIS,MN,55455,US,Physician/Pediatric Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,62,3893,1.6981710763,0.4999614693,0.2808656563,0.3253326483
1033146188,CHAVERS,BLANCHE,M,M.D.,F,I,UNIVERSITY OF MINNESOTA PHYSICIANS,"516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100",MINNEAPOLIS,MN,55455,US,Physician/Pediatric Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1404,1.5033262108,0.7624002849,0.4785185185,0.6001638177
1033146188,CHAVERS,BLANCHE,M,M.D.,F,I,UNIVERSITY OF MINNESOTA PHYSICIANS,"516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100",MINNEAPOLIS,MN,55455,US,Physician/Pediatric Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2400,4.0902166667,2.6435875,1.0420375,1.2058375
1033146188,CHAVERS,BLANCHE,M,M.D.,F,I,UNIVERSITY OF MINNESOTA PHYSICIANS,"516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100",MINNEAPOLIS,MN,55455,US,Physician/Pediatric Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,24,24,18.82,18.82
1033146188,CHAVERS,BLANCHE,M,M.D.,F,I,UNIVERSITY OF MINNESOTA PHYSICIANS,"516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100",MINNEAPOLIS,MN,55455,US,Physician/Pediatric Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,31,16,16,12.541935484,12.541935484
1033146345,WANG,QIONG,,MD,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,12866,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,15,79.596666667,17.422,13.658666667,13.626666667
1033146345,WANG,QIONG,,MD,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,12866,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,20,481.608,78.304,61.389,58.1365
1033146543,NEWMAN,ROXANNE,V,MD,F,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Cardiac Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1033146543,NEWMAN,ROXANNE,V,MD,F,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Cardiac Surgery,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,34.494166667
1033146543,NEWMAN,ROXANNE,V,MD,F,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,280,76.703478261,60.134347826,60.018695652
1033146543,NEWMAN,ROXANNE,V,MD,F,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Cardiac Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,175,38.68,30.32,29.5505
1033146667,BRANDT,HAROLD,D,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,43,120,64.029083333,8.32,5.5181666667,5.5181666667
1033146667,BRANDT,HAROLD,D,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,15,22,10.854090909,1.42,1.0654545455,1.0654545455
1033146667,BRANDT,HAROLD,D,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1050,2.34,1.92,1.4206952381,1.504
1033146667,BRANDT,HAROLD,D,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,2.34,1.8,1.41,1.41
1033146667,BRANDT,HAROLD,D,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,115.25357143,47.334285714,37.105,37.747857143
1033146691,BADDOURA,NAJI,K,M. D.,M,I,14434 BRUCE B DOWNS BLVD,,TAMPA,FL,336132612,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,150,32.708,25.134,19.705133333,19.138866667
1033146691,BADDOURA,NAJI,K,M. D.,M,I,14434 BRUCE B DOWNS BLVD,,TAMPA,FL,336132612,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1998.4181818,751.27636364,589.00454545,540.81090909
1033146733,HICKS,ALLANA,G,FNP-C,F,I,215 N AVENUE J,,ANSON,TX,795012114,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,31,33.702580645,8.32,5.6909677419,5.6909677419
1033146733,HICKS,ALLANA,G,FNP-C,F,I,215 N AVENUE J,,ANSON,TX,795012114,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.27,12.411666667,12.411666667
1033146733,HICKS,ALLANA,G,FNP-C,F,I,215 N AVENUE J,,ANSON,TX,795012114,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,235.26,68.78,50.068571429,50.883571429
1033146782,GLASSBERG,MARILYN,K,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,51.404857143,18,13.599428571,13.049714286
1033146782,GLASSBERG,MARILYN,K,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.6872727273,4.4609090909,3.4818181818
1033146782,GLASSBERG,MARILYN,K,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,49,49,334.48183673,90.01,66.618163265,51.424693878
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1170,4.2751623932,0.4147435897,0.3152478632,0.3152478632
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,650,5.7185538462,2.6837230769,1.7540153846,1.7540153846
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,101,358,59220,4.3002353934,0.5706967241,0.4200979399,0.4200970956
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,60,192,53100,0.0440681733,0.0130651601,0.0096397363,0.0096397363
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,4500,1.43366,0.7399466667,0.5788622222,0.5788622222
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,86,330,55980,4.9445523401,1.244340836,0.9443122544,0.9443122544
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,11,37,5100,5.0584784314,2.7727176471,2.1434843137,2.1434843137
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,19,121,354,354,24.008474576,24,17.946384181,17.946355932
1033146790,KUMAR,VINEETA,,MD,F,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,19,140,477,621,16.035426731,16,12.112028986,12.112028986
1033146840,SINGH,SUNITA,,M.D.,F,I,5650 W MADISON ST,,CHICAGO,IL,606443939,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,38,46.643684211,8.32,6.1789473684,6.1789473684
1033146840,SINGH,SUNITA,,M.D.,F,I,5650 W MADISON ST,,CHICAGO,IL,606443939,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,18,14.323888889,1.42,1.0522222222,1.0522222222
1033146840,SINGH,SUNITA,,M.D.,F,I,5650 W MADISON ST,,CHICAGO,IL,606443939,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,81.52,53.990588235,33.889411765,30.837058824
1033146840,SINGH,SUNITA,,M.D.,F,I,5650 W MADISON ST,,CHICAGO,IL,606443939,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,45,33.248484848,21.301515152,17.136969697
1033146840,SINGH,SUNITA,,M.D.,F,I,5650 W MADISON ST,,CHICAGO,IL,606443939,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,19,30.385263158,10.212631579,7.6452631579,7.0063157895
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,5.1666666667,0.51,0.3666666667,0.3666666667
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,84,239,48.689748954,8.32,6.1658995816,6.1658995816
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,27,27,15.925925926,3.38,2.3555555556,2.3555555556
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,34,63,16.908888889,1.42,1.026031746,1.026031746
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,3168,1.1,0.44,0.3449621212,0.3449621212
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,720,6.74,2.73,2.1403333333,2.1403333333
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,12.044545455,8.3272727273,8.1363636364
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,135,45.590909091,31.536363636,32.109090909
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.96,22.4775,17.620833333,13.53
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,213.89,102.61833333,80.455,54.73
1033146881,SHUPE MATHEW,NANCY,,M.D.,F,I,13260 SERVICE RD,,WALTON,KY,410949565,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1861.77,165.81333333,129.99833333,149.98416667
1033146899,MENGES,JACK,,MD,M,I,2600 SAINT MICHAEL DR,,TEXARKANA,TX,755032372,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,20.018,4.6703333333,3.548,3.64
1033146949,MILES,SHYNDA,F,MD,F,I,8800 STATE LINE RD,,LEAWOOD,KS,662061553,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,146.79916667,52.415833333,41.0975,39.308333333
1033146949,MILES,SHYNDA,F,MD,F,I,8800 STATE LINE RD,,LEAWOOD,KS,662061553,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,50.22,5.944,3.562,2.535
1033146949,MILES,SHYNDA,F,MD,F,I,8800 STATE LINE RD,,LEAWOOD,KS,662061553,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,31,459.47322581,82.586129032,61.718709677,51.861612903
1033146949,MILES,SHYNDA,F,MD,F,I,8800 STATE LINE RD,,LEAWOOD,KS,662061553,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,14,46.01,30.305,23.755,23.273571429
1033146949,MILES,SHYNDA,F,MD,F,I,8800 STATE LINE RD,,LEAWOOD,KS,662061553,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,50,53,83.268679245,21.039433962,15.817358491,13.687169811
1033146964,WERRELL,JENNIFER,M,OD,F,I,8333 N. DAVIS HIGHWAY,WEST FLORDIA MEDICAL CENTER CLINIC PA,PENSACOLA,FL,32514,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,51,51,76.54,76.54,57.960588235,51.466666667
1033146964,WERRELL,JENNIFER,M,OD,F,I,8333 N. DAVIS HIGHWAY,WEST FLORDIA MEDICAL CENTER CLINIC PA,PENSACOLA,FL,32514,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,63,63,120,46.875,44.8755,33.7705,41.272916667
1033146980,BLOEM,CARLA,,PA-C,F,I,221 W STEWART AVE,SUITE 101,MEDFORD,OR,975013609,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,26,171,65.925438596,8.32,6.5228654971,6.5228654971
1033147095,SFERRA,JAMES,J,MD,M,I,1307 FEDERAL ST,2ND FLOOR,PITTSBURGH,PA,152124769,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,12,96.735833333,78.81,61.79,68.086666667
1033147095,SFERRA,JAMES,J,MD,M,I,1307 FEDERAL ST,2ND FLOOR,PITTSBURGH,PA,152124769,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,42,42,362.37,277.91809524,214.4697619,215.475
1033147160,LIU,NING-AI,,M.D.,F,I,8700 BEVERLY BLVD.,,LOS ANGELES,CA,900481865,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,49,156,78.151346154,8.32,6.2714102564,6.2714102564
1033147160,LIU,NING-AI,,M.D.,F,I,8700 BEVERLY BLVD.,,LOS ANGELES,CA,900481865,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,21,14.896666667,1.42,1.0638095238,1.0638095238
1033147202,BROWN,BRUCE,A,M.D.,M,I,200 UCLA MEDICAL PLZ,STE 140,LOS ANGELES,CA,900953075,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,1805.5694737,141.07052632,110.60157895,104.78105263
1033147202,BROWN,BRUCE,A,M.D.,M,I,200 UCLA MEDICAL PLZ,STE 140,LOS ANGELES,CA,900953075,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,24,28,300.94714286,143.56,111.98928571,101.93928571
1033147228,CHAMBERS,JOHN,B,MD,M,I,940 N MARR RD,SUITE C,COLUMBUS,IN,472012610,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,400,398.92,310.595,308.62222222
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,19,60,152,63.513026316,8.32,5.6434210526,5.6434210526
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,124.26428571,50.904285714,39.911428571,31.339285714
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,21,21,448.05047619,123.21666667,96.60047619,67.846190476
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,21,53,153.23396226,46.618113208,36.548490566,25.91754717
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,11,27,138,91.482971014,26.500724638,20.195869565,14.800797101
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,17,91,62.399120879,20.473186813,16.051208791,12.257582418
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,20,49,49,262.88346939,76.229795918,58.457959184,43.209387755
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,37,37,87.925675676,25.729459459,20.167567568,14.541081081
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,22,48,48,93.341666667,20.46625,15.414375,8.7910416667
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,28,61,358,12.003184358,3.2069273743,2.4550837989,1.5853351955
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,37.7675,8.896875,6.654375,4.359375
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,20,23,23,49.39173913,15.685652174,12.293043478,10.34
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,22.4775,17.620833333,14.031666667
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,70,70,120.29342857,8.1878571429,6.3137142857,4.3721428571
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,35,35,222.064,57.675142857,43.738571429,27.651428571
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,744.75,345.2475,270.6725,270.6725
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,62,480.16129032,102.49677419,78.258870968,57.117580645
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,113,44.745,29.605833333,27.818333333
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,16,40,8939,0.2982716187,0.0457914756,0.0313290077,0.0313290077
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,1770,2.5163559322,0.1347966102,0.101039548,0.101039548
1033147285,STEVENS,DANIEL,M,M.D.,M,I,1820 N ST,,ORD,NE,688621623,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,16,49,49,61.285714286,33,23.487959184,23.487959184
1033147376,GRAY,KENNETH,,M.D.,M,I,601 HARVEY ST,,RADFORD,VA,241412339,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,18,146.25,19.21,13.476111111,12.371111111
1033147376,GRAY,KENNETH,,M.D.,M,I,601 HARVEY ST,,RADFORD,VA,241412339,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,67.71,60.464545455,43.856363636,42.924545455
1033147376,GRAY,KENNETH,,M.D.,M,I,601 HARVEY ST,,RADFORD,VA,241412339,US,Physician/Orthopedic Surgery,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,388.94,305.65,239.63,260.65368421
1033147376,GRAY,KENNETH,,M.D.,M,I,601 HARVEY ST,,RADFORD,VA,241412339,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,320.92615385,279.25,203.71846154,203.69384615
1033147400,HENRY,ASHRAF,F,M.D.,M,I,3980 SHERIDAN DR STE 300,,AMHERST,NY,14226,US,Physician/Pain Management,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.36,7.125,3.9675,5.7691666667
1033147426,PIMENTEL,RAMON,R,M.D.,M,I,3744 75TH ST,,JACKSON HEIGHTS,NY,113726444,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,37,62,57.975483871,8.1403225806,4.4887096774,4.629516129
1033147426,PIMENTEL,RAMON,R,M.D.,M,I,3744 75TH ST,,JACKSON HEIGHTS,NY,113726444,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,16,37.30875,1.42,0.83875,0.83875
1033147574,D'ANTONIO,RICHARD,G,M.D.,M,I,12 BRECON PL,STE. 410,COCKEYSVILLE,MD,210302343,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,71,56.197183099,8.32,5.6033802817,5.6033802817
1033147699,IZA,WANDA,B,MD,F,I,239 N STATE RD,,OWOSSO,MI,488679075,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,22,75,60.962,8.32,5.5973333333,5.5973333333
1033147699,IZA,WANDA,B,MD,F,I,239 N STATE RD,,OWOSSO,MI,488679075,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,19,448.53736842,109.56,85.898421053,58.993157895
1033148119,IORIO,DANA,C,ARNP,M,I,325 9TH AVE,,SEATTLE,WA,981042499,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,22,35,48.566285714,8.32,5.5928571429,5.5928571429
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,31,73,214,63.894672897,8.32,5.6024299065,5.6024299065
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,14.768235294,3.38,2.3382352941,2.3382352941
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,20.370909091,2.12,1.67,1.67
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,31,52,15.323653846,1.42,1.0721153846,1.0721153846
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,217.74034483,43.99137931,30.046206897,30.959310345
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,141.46285714,17.5,13.066666667,12.903809524
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,47.37,47.64,34.86,35.126
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,45.012222222,3.6922222222,2.3766666667,3.0138888889
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,116.194,42.3675,28.9945,29.809
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,480.9583871,76.672580645,56.089354839,51.437419355
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2129,1.0594504462,0.1382667919,0.1084217943,0.1084217943
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,90.82,26.434,20.726,27.552
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,26.52,7.4234615385,5.8215384615,6.8661538462
1033148176,MATA,RODRIGO,B,M.D.,M,I,6123 GREEN BAY RD,SUITE 120,KENOSHA,WI,531422927,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,99,33,22.995555556,22.995555556
1033148457,RHOADES,WILLIAM,D,D.O.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,23,59,134,69.149029851,8.2135820896,5.9023880597,5.9023880597
1033148457,RHOADES,WILLIAM,D,D.O.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,19,42,50,16.9848,1.42,1.0272,1.0272
1033148457,RHOADES,WILLIAM,D,D.O.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,12.329411765,3.9670588235,2.88,3.4194117647
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,34,64,38.71796875,8.32,4.99328125,4.99328125
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,23.73,1.42,0.8145454545,0.8145454545
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,102.93636364,23.301818182,16.847272727,12.781818182
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,78.954545455,20.235454545,14.947272727,8.2909090909
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,59,8.3830508475,2.9972881356,2.2903389831,1.5386440678
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,434.0175,51.925,38.553333333,23.376666667
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,426.98612903,99.579354839,72.575806452,50.865483871
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175,44.745,32.344166667,27.056666667
1033148507,GLYNN,KERSTIN,M,MD,F,I,1412 N 2ND ST,,ATCHISON,KS,66002,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,75.428571429,33,20.562857143,20.562857143
1033148648,VANZEE-SEIEROE,TEREASA,L,DO,F,I,405 MONROE ST,,PELLA,IA,502191189,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,26,55.363076923,8.32,3.2611538462,3.2611538462
1033148648,VANZEE-SEIEROE,TEREASA,L,DO,F,I,405 MONROE ST,,PELLA,IA,502191189,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,23,412.13565217,103.76521739,78.734347826,64.655652174
1033148648,VANZEE-SEIEROE,TEREASA,L,DO,F,I,405 MONROE ST,,PELLA,IA,502191189,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,97.7,45.002727273,35.284545455,29.820909091
1033148663,MADDOX,DALE,R,M.D.,M,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/General Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,152.28,49.4,38.73,38.1675
1033148663,MADDOX,DALE,R,M.D.,M,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/General Practice,S,E0310,"Bed side rails, full length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,26.49,10.311818182,8.0836363636,7.7381818182
1033148663,MADDOX,DALE,R,M.D.,M,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,34.383571429,17.538571429,13.745714286,13.53
1033148663,MADDOX,DALE,R,M.D.,M,I,503 MCMILLAN RD,,WEST MONROE,LA,712915327,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,344.9004,82.1588,64.4128,54.7248
1033148697,MINER,THERESE,D,ARNP,F,I,6820 NW 23RD ST,,BETHANY,OK,730085217,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,36,81.829444444,8.32,6.5219444444,6.5219444444
1033148788,BEANE,LORI,M,PA-C,F,I,4510 PREMIER DR,,HIGH POINT,NC,272658349,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,58,69.216896552,8.32,6.4905172414,6.4905172414
1033148846,SUTHERLAND,DEBORAH,P,NP,F,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,43,53,188,52.035851064,39.275744681,30.139361702,30.119521277
1033148846,SUTHERLAND,DEBORAH,P,NP,F,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Nurse Practitioner,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,18,432.31277778,344.77,269.14333333,264.80777778
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,33,145,55.911724138,8.32,5.8926896552,5.8926896552
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,48,15.180416667,1.42,1.1145833333,1.1145833333
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,61,58.928688525,22.711639344,17.559672131,13.70295082
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,57,58,21.783793103,7.684137931,5.710862069,3.5220689655
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,76,329.58078947,102.42,78.990921053,56.152105263
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,7813,0.2030692436,0.0468040445,0.0305452451,0.0305452451
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,3207,1.8412067353,0.140296227,0.1100124727,0.1100124727
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,56.75,42.315333333,32.048,28.385333333
1033148978,STRBICH,CONSTANCE,,DO,F,I,611 E MAIN ST,,HART,MI,494201190,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,45,45,77,33,23.770444444,23.770444444
1033149232,MIRZA,ABBAS,,MD,M,I,1995 HIGHWAY 51 S,,COVINGTON,TN,380193635,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.5,6.7790909091,4.2136363636,2.7654545455
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,49,137,294,62.561972789,8.32,5.7010204082,5.7010204082
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.888333333,3.38,2.65,2.65
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,29,66,70,13.97,1.42,0.9912857143,0.9912857143
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,384.15272727,86.92,61.954545455,61.681818182
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,22,22,174.04181818,55.517272727,39.574545455,38.989545455
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,19,23,23,61.889565217,17.942608696,12.839565217,12.837391304
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,20,20,73.7295,11.126,8.2825,8.6475
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,30,126,9.329047619,1.9914285714,1.4621428571,1.4926984127
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,62.312058824,18.100294118,13.603235294,12.982941176
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,191.4,49.67,35.202727273,34.003636364
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,58,58,63.62862069,4.8277586207,3.6689655172,3.6689655172
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,55,56,251.39660714,33.133571429,22.902857143,22.822678571
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,141,141,461.96531915,73.39787234,53.913049645,51.14751773
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,27,3055,1.3711849427,0.1307234043,0.0971489362,0.0971489362
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,66.153846154,19.513076923,15.3,15.124615385
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,285.6,38.68,29.3725,28.613125
1033149240,SPRAGUE,GITA,G,M.D.,F,I,3715 BECK RD.,BLDG F,ST JOSEPH,MO,64506,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,27,27,36.666666667,33,24.174444444,24.174444444
1033149299,JOBE,DANIEL,B,MD,M,I,1926 COTTON GROVE RD,,LEXINGTON,NC,272925722,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,33,87,167,68.29251497,8.32,5.8022155689,5.8022155689
1033149299,JOBE,DANIEL,B,MD,M,I,1926 COTTON GROVE RD,,LEXINGTON,NC,272925722,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,31,31,14.963548387,1.42,0.975483871,0.975483871
1033149307,BUSHNELL,JEROME,L,MD,M,I,100 NE GILMAN BLVD,,ISSAQUAH,WA,980272925,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,43,134,53.370746269,8.32,6.2158208955,6.2158208955
1033149307,BUSHNELL,JEROME,L,MD,M,I,100 NE GILMAN BLVD,,ISSAQUAH,WA,980272925,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,8.3827272727,1.42,0.9636363636,0.9636363636
1033149331,EVANS,DARRELL,,O.D.,M,I,703 RUTTER AVE,,KINGSTON,PA,187044801,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,60,60,43.68,48.934642857
1033149331,EVANS,DARRELL,,O.D.,M,I,703 RUTTER AVE,,KINGSTON,PA,187044801,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,33,67,66.12,50.485757576,43.494545455
1033149331,EVANS,DARRELL,,O.D.,M,I,703 RUTTER AVE,,KINGSTON,PA,187044801,US,Optometry,S,V2784,"Lens, polycarbonate or equal, any index, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,64,33,33,24.95234375,33.5025
1033149356,CARBAYO,ANTONIO,,MD,M,I,1911 N BROADWAY,,SANTA ANA,CA,927062609,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,39,83,50.049518072,8.32,5.6598795181,5.6598795181
1033149356,CARBAYO,ANTONIO,,MD,M,I,1911 N BROADWAY,,SANTA ANA,CA,927062609,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,26,19.665,1.42,0.8546153846,0.8546153846
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,37,83,371,59.743827493,8.32,5.9917789757,5.9917789757
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,27,27,14.931851852,3.38,2.2903703704,2.2903703704
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,40,112,15.003482143,1.42,1.0448214286,1.0448214286
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,36,36,271.38777778,93.449444444,67.651111111,62.813055556
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,38,109,102.64183486,35.284220183,26.916605505,25.251743119
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,60,41.242,16,12.543333333,11.8935
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,23,23,180.65434783,57.611304348,45.169130435,42.86
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,33,33,55.333636364,18.798181818,14.735454545,14.064545455
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,54,54,60.602777778,12.830925926,9.8746296296,8.9725925926
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,57,315,9.783047619,2.0868571429,1.5728253968,1.5301269841
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,23.523846154,6.4838461538,4.7084615385,4.2923076923
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,17,24,24,29.6725,13.147083333,10.300416667,10.3225
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.71,13.89,13.54
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40.73,6.4672727273,5.07,3.6854545455
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,34,36,191.93,35.315277778,26.569444444,25.278055556
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,71,71,507.20661972,78.53,60.251267606,53.892957746
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,20,250,37.15,29.13,29.491
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,20.587820513,9.5953076923,7.5227179487,7.5227179487
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,3395,0.2324064801,0.0463240059,0.0322474227,0.0322474227
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,655,2.2844274809,0.1330534351,0.1043053435,0.1043053435
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,102.37363636,37.15,29.13,29.51
1033149430,GERSTNER,ELIZABETH,K,MD,F,I,2609 GLENN HENDREN DRIVE,,LIBERTY,MO,640684205,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,29,29,88.448275862,33,24.085862069,24.085862069
1033149448,FULLER,DAVID,G,M.D.,M,I,2209 COFFEE RD.,SUITE I,MODESTO,CA,95355,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,51,68.308823529,8.32,4.0917647059,4.0917647059
1033149448,FULLER,DAVID,G,M.D.,M,I,2209 COFFEE RD.,SUITE I,MODESTO,CA,95355,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1800,0.17,0.0457111111,0.0358388889,0.0358388889
1033149448,FULLER,DAVID,G,M.D.,M,I,2209 COFFEE RD.,SUITE I,MODESTO,CA,95355,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1033149596,ZENO,BRIAN,R,M.D.,M,I,3545 OLENTANGY RIVER RD,SUITE 201,COLUMBUS,OH,432143907,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,244.24,100.58923077,71.816923077,51.186923077
1033149596,ZENO,BRIAN,R,M.D.,M,I,3545 OLENTANGY RIVER RD,SUITE 201,COLUMBUS,OH,432143907,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,45.002727273,29.31,24.800909091
1033150057,ANTONY,VEENA,B,MD,F,I,2000 6TH AVE S,"PULMONARY CLINIC, 4TH FLOOR",BIRMINGHAM,AL,352332110,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1320,1.0920757576,0.1349090909,0.097530303,0.097530303
1033150057,ANTONY,VEENA,B,MD,F,I,2000 6TH AVE S,"PULMONARY CLINIC, 4TH FLOOR",BIRMINGHAM,AL,352332110,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,3.52,0.219,0.1575,0.1575
1033150057,ANTONY,VEENA,B,MD,F,I,2000 6TH AVE S,"PULMONARY CLINIC, 4TH FLOOR",BIRMINGHAM,AL,352332110,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,62.333333333,33,23.953703704,23.953703704
1033150149,GANTNER,LISA,W,M.D.,F,I,7901 VETERANS PKWY,,COLUMBUS,GA,319091723,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,75.56,59.24,54.73
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,63,188,578,54.077214533,8.32,6.1443252595,6.1443252595
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,39,39,11.793846154,3.38,2.5820512821,2.5820512821
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,14.017777778,2.12,1.67,1.67
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,31,75,137,13.722189781,1.42,1.0815328467,1.0815328467
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,14,28,81.87,71.56,52.684285714,52.683928571
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,33,173.65939394,35.701818182,24.569090909,22.525757576
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,77.974,11.727333333,8.708,8.668
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,91,11.183186813,2.1449450549,1.5854945055,1.4986813187
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5331,2.2791221159,0.2470455824,0.193682236,0.2264453198
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,64.526857143,18.134285714,13.274857143,12.769714286
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,20,20,237.3375,55.8485,38.55,32.7555
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,28,54.28,4.4064285714,3.4528571429,3.58
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,53.454545455,16.560909091,12.99,11.15
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,58,420.80965517,77.180344828,57.956551724,53.141551724
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1020,1.4932156863,0.1401764706,0.1098921569,0.1098921569
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,114.23076923,17.478461538,13.698461538,14.074615385
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,1006.1447059,168.92529412,127.53411765,101.95058824
1033150222,SMITH,JAMES,A,MD,M,I,21 S SHIRLEY AVE,,HONEA PATH,SC,296541503,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,38.210526316,33,25.87,25.87
1033150263,HUTCHINS,BOB,,,M,I,3502 W NORTHSIDE DR,,JACKSON,MS,392134454,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,24,66.910833333,8.32,4.3483333333,4.3483333333
1033150404,RUBINOWICZ,RICHARD,,M.D.,M,I,301 QUECREEK CIR,,SMYRNA,TN,371676834,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,23,98.56173913,41.27826087,32.36173913,26.572173913
1033150404,RUBINOWICZ,RICHARD,,M.D.,M,I,301 QUECREEK CIR,,SMYRNA,TN,371676834,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,94,10.157659574,2.5444680851,1.9946808511,1.6209574468
1033150404,RUBINOWICZ,RICHARD,,M.D.,M,I,301 QUECREEK CIR,,SMYRNA,TN,371676834,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,150.3488,32.4744,24.462,23.622
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,47,71,51.024647887,8.32,5.881971831,5.881971831
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,24,13.203333333,1.42,1.1175,1.1175
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2884,0.5021359223,0.44,0.3449583911,0.3449583911
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,15,654,8.4699082569,8.28,6.4915137615,6.4915137615
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,11,144,11.385486111,10.93,8.5497222222,8.5497222222
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,16,2318,0.5691630716,0.45,0.3528084556,0.3528084556
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,200.57692308,52.253076923,40.963461538,41.375769231
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,50.27375,6.6534375,4.5415625,3.20125
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,22,502.00454545,77.5,42.709090909,38.049545455
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,420,3.0262857143,3.0262857143,2.107047619,2.107047619
1033150412,GOLANI,UMESH,A,MD,M,I,200 DELAFIELD RD,SUITE 2005,PITTSBURGH,PA,152153205,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,22,25,96.214,24.8868,18.8776,16.1032
1033150420,MOURNING,DAVID,M,M.D.,M,I,1401 S LAVENTURE RD,,MOUNT VERNON,WA,982746033,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,25,25,25,4995,4382.4608,3435.8548,3433.11
1033150420,MOURNING,DAVID,M,M.D.,M,I,1401 S LAVENTURE RD,,MOUNT VERNON,WA,982746033,US,Physician/Orthopedic Surgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,40,32.827272727,25.741818182,21.923636364
1033150461,RIVERS,JAMES,B,MD,M,I,1819 W CLINCH AVE,SUITE 114,KNOXVILLE,TN,379162434,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,36,153,55.839803922,8.32,6.2666013072,6.2666013072
1033150461,RIVERS,JAMES,B,MD,M,I,1819 W CLINCH AVE,SUITE 114,KNOXVILLE,TN,379162434,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,6.75,6.44,5.05,5.05
1033150461,RIVERS,JAMES,B,MD,M,I,1819 W CLINCH AVE,SUITE 114,KNOXVILLE,TN,379162434,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.04,5.54,4.3435,4.3435
1033150461,RIVERS,JAMES,B,MD,M,I,1819 W CLINCH AVE,SUITE 114,KNOXVILLE,TN,379162434,US,Physician/Internal Medicine,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.9,2.02,1.5836666667,1.5836666667
1033150586,TONG,IRIS,L,MD,F,I,146 WEST RIVER STREET,3RD FLOOR,PROVIDENCE,RI,02904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,32,81.271875,8.32,6.5225,6.5225
1033150586,TONG,IRIS,L,MD,F,I,146 WEST RIVER STREET,3RD FLOOR,PROVIDENCE,RI,02904,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,14,18.678571429,1.42,1.1185714286,1.1185714286
1033150602,JACOBS,PHILIP,M,M.D.,M,I,8300 FLOYD CURL DR,,SAN ANTONIO,TX,782293931,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,152.14,130.57,102.37,102.475
1033150610,PHILLIPS,SAMUEL,P,M.D.,M,I,7710 MERCY RD,SUITE 224,OMAHA,NE,681242372,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,41.914545455,41.413636364,29.527272727,33.608181818
1033150610,PHILLIPS,SAMUEL,P,M.D.,M,I,7710 MERCY RD,SUITE 224,OMAHA,NE,681242372,US,Physician/Orthopedic Surgery,S,E1811,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,477,130.62846154,102.41230769,102.41230769
1033150636,FOLLWEILER,ROBERT,A,D.O.,M,I,8350 RIVERWALK PARK BLVD,SUITE 1,FORT MYERS,FL,339198759,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,14,122.90571429,116.57285714,91.394285714,101.69785714
1033150636,FOLLWEILER,ROBERT,A,D.O.,M,I,8350 RIVERWALK PARK BLVD,SUITE 1,FORT MYERS,FL,339198759,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,706.49105263,705.46157895,553.08842105,554.71052632
1033150636,FOLLWEILER,ROBERT,A,D.O.,M,I,8350 RIVERWALK PARK BLVD,SUITE 1,FORT MYERS,FL,339198759,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,153.03,152.77181818,119.76818182,119.79
1033150685,BONDI,TRACY,L,NP,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,15,173,64.744971098,19.640115607,12.710751445,12.710751445
1033150685,BONDI,TRACY,L,NP,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,385,8.2010649351,2.6368831169,1.689974026,1.689974026
1033150685,BONDI,TRACY,L,NP,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,64,152,390,1586,74.941860025,8.32,6.0087137453,6.0087137453
1033150685,BONDI,TRACY,L,NP,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,12.744705882,3.38,2.65,2.65
1033150685,BONDI,TRACY,L,NP,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,36,54,105,212,15.046367925,1.42,1.0566981132,1.0566981132
1033150685,BONDI,TRACY,L,NP,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,712.23142857,349.04142857,266.8152381,266.8152381
1033150685,BONDI,TRACY,L,NP,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,34,2540,16.196929134,10.764346457,8.4392598425,8.4392598425
1033150768,CLOUTIER,CLARE,,PA-C,F,I,4550 FAUNTLEROY WAY SW,SUITE 100,SEATTLE,WA,981262740,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,203.33333333,77.34,59.506388889,53.770277778
1033150768,CLOUTIER,CLARE,,PA-C,F,I,4550 FAUNTLEROY WAY SW,SUITE 100,SEATTLE,WA,981262740,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,39.3,30.81,29.51
1033150768,CLOUTIER,CLARE,,PA-C,F,I,4550 FAUNTLEROY WAY SW,SUITE 100,SEATTLE,WA,981262740,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,50,39.3,29.52625,28.334583333
1033150933,KEESARA,VINAY,V,M.D.,M,I,9375 SAN FERNANDO RD,,SUN VALLEY,CA,913521418,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,35,81,68.568148148,8.32,2.5766666667,2.5766666667
1033150933,KEESARA,VINAY,V,M.D.,M,I,9375 SAN FERNANDO RD,,SUN VALLEY,CA,913521418,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,29,37,15.311351351,1.42,0.6627027027,0.6627027027
1033150933,KEESARA,VINAY,V,M.D.,M,I,9375 SAN FERNANDO RD,,SUN VALLEY,CA,913521418,US,Physician/Cardiovascular Disease (Cardiology),S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,44.860909091,40.566363636,16.627272727,43.682727273
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,34,89,312,60.050833333,8.3113461538,6.1602564103,6.1670512821
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,13.567826087,3.38,2.65,2.65
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,48,86,13.390930233,1.42,1.0491860465,1.0491860465
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,86.91,37.29,26.572727273,27.746363636
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,11,24,24,175.98666667,89.62,70.27,67.950833333
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,21,48,74.005833333,34.52,27.064375,25.965625
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,22,22,36.476818182,17.25,12.905454545,13.427272727
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,17,17,30.057058824,12.61,9.3082352941,8.6288235294
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,26,141,4.944964539,2.22,1.6673049645,1.5327659574
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.28,3.7944086022,3.8184408602
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,8882,2.4047016438,0.31,0.2413352848,0.2413352848
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,35,59.486,17.63,13.425142857,13.168285714
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,52,40.77,37.891666667
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,25,6.3052380952,4.9433333333,3.5933333333
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,125.66666667,35,27.443333333,26.179333333
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,85,85,257.79035294,76.48,57.211882353,53.143176471
1033151014,THURMOND,JOHN,I,M.D.,M,I,"1021 MATLOCK ROAD, SUITE 101",,MANSFIELD,TX,760633443,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,36.5,28.62,29.435833333
1033151113,FILI,MICHAEL,D,MD,M,I,8600 SW 92ND ST,SUITE 103,MIAMI,FL,331567377,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,89,147,352,1386,68.682027417,8.32,6.1106854257,6.1106854257
1033151113,FILI,MICHAEL,D,MD,M,I,8600 SW 92ND ST,SUITE 103,MIAMI,FL,331567377,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,33,33,14.845454545,3.38,2.65,2.65
1033151113,FILI,MICHAEL,D,MD,M,I,8600 SW 92ND ST,SUITE 103,MIAMI,FL,331567377,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,22.338666667,2.12,1.67,1.67
1033151113,FILI,MICHAEL,D,MD,M,I,8600 SW 92ND ST,SUITE 103,MIAMI,FL,331567377,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,54,104,219,15.427488584,1.42,1.0273059361,1.0273059361
1033151113,FILI,MICHAEL,D,MD,M,I,8600 SW 92ND ST,SUITE 103,MIAMI,FL,331567377,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,736.56571429,341.45357143,267.69785714,267.69785714
1033151113,FILI,MICHAEL,D,MD,M,I,8600 SW 92ND ST,SUITE 103,MIAMI,FL,331567377,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,280.11333333,250.928,196.72733333,196.86933333
1033151360,KOELBEL,STEPHEN,F,M.D.,M,I,541 MAIN ST,,WEYMOUTH,MA,021901868,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,33,35.92,10.793939394,8.4578787879,8.3093939394
1033151360,KOELBEL,STEPHEN,F,M.D.,M,I,541 MAIN ST,,WEYMOUTH,MA,021901868,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,44,86,36.67,10.011511628,7.8463953488,7.7986046512
1033151360,KOELBEL,STEPHEN,F,M.D.,M,I,541 MAIN ST,,WEYMOUTH,MA,021901868,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,33,420.19,205.78181818,161.32545455,161.32545455
1033151360,KOELBEL,STEPHEN,F,M.D.,M,I,541 MAIN ST,,WEYMOUTH,MA,021901868,US,Physician/Physical Medicine and Rehabilitation,S,E1800,"Dynamic adjustable elbow extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,21,31,395,90.735483871,68.563548387,81.221612903
1033151360,KOELBEL,STEPHEN,F,M.D.,M,I,541 MAIN ST,,WEYMOUTH,MA,021901868,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,14,17,395,112.93352941,83.619411765,83.619411765
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,56,127,538,69.930223048,8.3150743494,5.5837732342,5.588605948
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,,20,20,13.136,3.38,2.5175,2.5175
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,18.8325,2.12,1.5308333333,1.5308333333
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,37,76,165,15.53030303,1.42,0.9721818182,0.9721818182
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,201.276875,51.64,32.89,35.37875
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,59.746923077,16.84,12.184615385,13.061538462
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,64.19625,12,8.85,8.560625
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,108,8.8038888889,2,1.5683333333,1.5916666667
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,175,51.617777778,37.857222222,37.839444444
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,15.75,11.320833333,12.535833333
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,3.822,2.7506666667,3.448
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,232.75,75.692,56.443,52.6505
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,16,2411,0.2602239735,0.0462588138,0.0323558689,0.0323558689
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,75,15.453157895,10.057894737,11.566315789
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,250,54.85,43,50.25
1033151642,MAGAT,LAKAN KARLO,G,M.D.,M,I,2300 PENNSYLVANIA AVE,SUITE 1A,WILMINGTON,DE,198061392,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,46.2,33,24.511333333,24.511333333
1033151717,REUSS,RAYMOND,,MD,M,I,2001 ANDERSON FERRY RD,,CINCINNATI,OH,452383325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,26,81,70.185925926,8.32,5.5565432099,5.5565432099
1033151774,BORROWS,JANICE,R,MD,F,I,1800 N FEDERAL HWY,SUITE 104,POMPANO BEACH,FL,330621034,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,170,8.531,5.54,3.9795294118,3.9795294118
1033151774,BORROWS,JANICE,R,MD,F,I,1800 N FEDERAL HWY,SUITE 104,POMPANO BEACH,FL,330621034,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,170,4.378,3.04,2.2430588235,2.2430588235
1033151873,GEORGE,RAVI,,D.O.,M,I,900 JORIE BLVD,SUITE 186,OAK BROOK,IL,605232213,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,85.428571429,18,13.102142857,12.572857143
1033151873,GEORGE,RAVI,,D.O.,M,I,900 JORIE BLVD,SUITE 186,OAK BROOK,IL,605232213,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,368.14882353,90.01,66.418823529,51.510588235
1033152087,CHANG,YUN,T,MD,M,I,4211 VANDYKE ROAD,SUITE 200,LUTZ,FL,335588005,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,217.16,156.46363636,122.66727273,94.13
1033152087,CHANG,YUN,T,MD,M,I,4211 VANDYKE ROAD,SUITE 200,LUTZ,FL,335588005,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,16,41.08125,5.62125,4.4075,4.011875
1033152087,CHANG,YUN,T,MD,M,I,4211 VANDYKE ROAD,SUITE 200,LUTZ,FL,335588005,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,19,433.40052632,70.546315789,55.307894737,54.917368421
1033152087,CHANG,YUN,T,MD,M,I,4211 VANDYKE ROAD,SUITE 200,LUTZ,FL,335588005,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,41.41,29.486666667,23.119166667,23.26
1033152087,CHANG,YUN,T,MD,M,I,4211 VANDYKE ROAD,SUITE 200,LUTZ,FL,335588005,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,59.94875,21.9875,17.23875,15.97125
1033152087,CHANG,YUN,T,MD,M,I,4211 VANDYKE ROAD,SUITE 200,LUTZ,FL,335588005,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,77.2,31.213076923,24.472307692,25.752307692
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,9,87,266,3331,56.826169319,19.645226659,14.984079856,14.984079856
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,86,253,7523,7.4771168417,2.6327156719,2.0277934335,2.0277934335
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,23,28,58,4.3917241379,0.51,0.4,0.4
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,15,23,24,4.575,1,0.7804166667,0.7804166667
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,78,327,880,4856,59.210984349,8.32,6.2140383031,6.2140383031
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,54,112,113,11.888495575,3.38,2.5796460177,2.5796460177
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,13,59,74,74,16.900135135,2.12,1.6474324324,1.6474324324
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,56,154,325,967,12.810651499,1.4189245088,1.0756670114,1.0762874871
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A4602,"Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,56,22.135,4.19,3.285,3.285
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,16,32,93.66625,71.1646875,55.7959375,56.1046875
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,78,29.585512821,28.883974359,22.645384615,22.86474359
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,15,25,25,25,57.598,53.3696,41.8412,53.8268
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,30,211,211,715.71838863,338.82838863,261.9757346,261.9757346
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,32,114,12120,16.350640264,10.777367987,8.4362351485,8.4362334983
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,11,75,470,474,376.69160338,251.04088608,195.23299578,195.28696203
1033152103,SNITZER,JACK,L,DO,M,I,1415 S DIVISION ST,SUITE A,SALISBURY,MD,218047232,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,48,48,48,288.141875,246.28916667,191.87229167,202.82416667
1033152160,ECKHOFF,DEVIN,E,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/General Surgery,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,615,6.8112520325,0.4014146341,0.2706666667,0.2706666667
1033152160,ECKHOFF,DEVIN,E,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,16,41,7026,4.4952077996,0.5661016225,0.4075334472,0.4075334472
1033152160,ECKHOFF,DEVIN,E,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1980,3.7033585859,0.9934242424,0.7758434343,0.7758383838
1033152160,ECKHOFF,DEVIN,E,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,15,42,42,24,24,17.475714286,17.475714286
1033152160,ECKHOFF,DEVIN,E,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,18,40,42,16.80952381,16,11.942857143,11.942857143
1033152335,RETTER,KENNETH,W,MD,M,I,371 S BROADVIEW ST,,CAPE GIRARDEAU,MO,637035761,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,41,104.76585366,20.878780488,15.327804878,12.573902439
1033152335,RETTER,KENNETH,W,MD,M,I,371 S BROADVIEW ST,,CAPE GIRARDEAU,MO,637035761,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,20,145,149,532.79543624,94.446912752,70.972818792,52.982281879
1033152335,RETTER,KENNETH,W,MD,M,I,371 S BROADVIEW ST,,CAPE GIRARDEAU,MO,637035761,US,Interventional Cardiology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,32.344166667,27.056666667
1033152467,HARRIS,JOHN,F,"DPM, FACFAS",M,I,4100 LAKE DR SE,SUITE 300,GRAND RAPIDS,MI,495468292,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,46,80.551304348,71.56,45.994347826,45.993913043
1033152467,HARRIS,JOHN,F,"DPM, FACFAS",M,I,4100 LAKE DR SE,SUITE 300,GRAND RAPIDS,MI,495468292,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,48.643333333,43.56,34.151666667,34.150454545
1033152467,HARRIS,JOHN,F,"DPM, FACFAS",M,I,4100 LAKE DR SE,SUITE 300,GRAND RAPIDS,MI,495468292,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,319.75,252.065,190.5125,210.6925
1033152475,BELL-GRAY,ANIKA,T,MD,F,I,"2220 E. LEAGUE CITY PARKWAY, SUITE 200",,LEAGUE CITY,TX,77573,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,40,99,55.199494949,8.32,6.3745454545,6.3745454545
1033152475,BELL-GRAY,ANIKA,T,MD,F,I,"2220 E. LEAGUE CITY PARKWAY, SUITE 200",,LEAGUE CITY,TX,77573,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,15.529565217,3.38,2.65,2.65
1033152475,BELL-GRAY,ANIKA,T,MD,F,I,"2220 E. LEAGUE CITY PARKWAY, SUITE 200",,LEAGUE CITY,TX,77573,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,21.878333333,2.12,1.67,1.67
1033152475,BELL-GRAY,ANIKA,T,MD,F,I,"2220 E. LEAGUE CITY PARKWAY, SUITE 200",,LEAGUE CITY,TX,77573,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,27,33,15.916363636,1.42,1.0836363636,1.0836363636
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,41,110,381,65.386036745,8.32,6.1115223097,6.1115223097
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,14,28,49,13.433877551,1.42,1.0240816327,1.0240816327
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,197.653125,56.98375,44.67625,42.9175
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,,13,13,53.539230769,20.572307692,16.121538462,14.196923077
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,61.921764706,14.312941176,11.225882353,9.1670588235
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,17,98,8.6706122449,2.4342857143,1.9093877551,1.6206122449
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,46,69.956304348,18.729782609,12.831521739,11.717391304
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,232.35,58.554615385,40.143076923,31.874615385
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,84.871842105,4.7257894737,3.7023684211,3.6505263158
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,55,62,393.15709677,76.220322581,52.931935484,47.979677419
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,29,6979,0.1387204471,0.0468806419,0.0268018341,0.0268018341
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,744,0.8065994624,0.2190322581,0.1289516129,0.1289516129
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,159.12,24.4175,19.1425,21.6225
1033152582,RONCO,PAUL,,M.D.,M,I,302 HUSSON AVE,SUITE ONE,BANGOR,ME,044013374,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,40,40,40.425,33,21.34275,21.34275
1033152756,MCALPINE,STEVEN,B,MD,M,I,14050 NW 14TH ST,SUITE 190,SUNRISE,FL,333232865,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,89,22.4775,17.620833333,14.031666667
1033152756,MCALPINE,STEVEN,B,MD,M,I,14050 NW 14TH ST,SUITE 190,SUNRISE,FL,333232865,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,102.61833333,80.455,58.105
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,44,52.672954545,8.32,6.2245454545,6.2245454545
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,23,13.173043478,7.26,5.1995652174,5.3043478261
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,37,503,26.340815109,12.919502982,9.9449502982,10.108667992
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,87,550,268.44,210.45574713,210.45574713
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,77,550,318.2387013,249.4987013,256.1538961
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,37,164,85,9.3487804878,7.3290243902,7.3290243902
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,37,164,87.073170732,29.216097561,22.595853659,22.595853659
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,2652,1.3018891403,0.1378506787,0.0963499246,0.0963499246
1033152780,HRUBY,JOHN,S,MD,M,I,5580 NORDIC WAY,,FERNDALE,WA,98248,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,111.42857143,33,24.638095238,24.638095238
1033152970,SHERMAN,MICHAEL,S,MD,M,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,26.274285714,3.7928571429,2.9742857143,3.5142857143
1033152970,SHERMAN,MICHAEL,S,MD,M,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,312.85714286,77.174285714,60.505714286,54.724285714
1033153002,LE,MARK,D,M.D.,M,I,602 LAWRENCE STREET,B,TOMBALL,TX,773753331,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,30,119,63.867731092,8.32,6.3032773109,6.3032773109
1033153002,LE,MARK,D,M.D.,M,I,602 LAWRENCE STREET,B,TOMBALL,TX,773753331,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,12.016363636,3.38,2.65,2.65
1033153002,LE,MARK,D,M.D.,M,I,602 LAWRENCE STREET,B,TOMBALL,TX,773753331,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,21,10.433809524,1.42,1.0628571429,1.0628571429
1033153002,LE,MARK,D,M.D.,M,I,602 LAWRENCE STREET,B,TOMBALL,TX,773753331,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,60,6.906,2,1.4376666667,1.4591666667
1033153002,LE,MARK,D,M.D.,M,I,602 LAWRENCE STREET,B,TOMBALL,TX,773753331,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,32.63,20.339166667,20.151666667
1033153036,ROGERS,WILLIAM,A,PA C,M,I,300 ROCKEFELLER DR,,MUSKOGEE,OK,744015075,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,47,46.970212766,8.32,6.5221276596,6.5221276596
1033153036,ROGERS,WILLIAM,A,PA C,M,I,300 ROCKEFELLER DR,,MUSKOGEE,OK,744015075,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,233.62941176,100.18,78.542941176,54.73
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,55,160,70.9314375,8.32,6.3585625,6.3585625
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,31,48,15.021458333,1.42,1.0922916667,1.0922916667
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,3152,0.44,0.44,0.3449524112,0.3449524112
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,480,36.16725,34.86,27.330291667,27.330291667
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,18,630,8.3588571429,8.28,6.4916190476,6.4916190476
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1446,0.4653112033,0.45,0.3528284924,0.3528284924
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,96.7,50.447142857,31.01,29.137142857
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,139.16666667,49.685,38.96,37.568333333
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7,3.8175,2.9908333333,3.6591666667
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,502.5,77.18,60.51,55.960714286
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,1980,3.2755555556,0.9891818182,0.7265151515,0.7265151515
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,30.129032258,21.264516129,13.027096774,11.021612903
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,50,34.61,8.0066666667,6.6133333333
1033153101,YAN,MALVIN,,D.O.,M,I,9844 ATLANTIC AVE,,SOUTH GATE,CA,902805219,US,Physician/Nephrology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,395,37,29.01,29.402857143
1033153192,CLARKE,CARLTON,K,M.D.,M,I,407 W I 30,,GARLAND,TX,750435912,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,28,72,217,58.645391705,8.32,6.1547926267,6.1547926267
1033153192,CLARKE,CARLTON,K,M.D.,M,I,407 W I 30,,GARLAND,TX,750435912,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,16.411428571,3.38,2.65,2.65
1033153192,CLARKE,CARLTON,K,M.D.,M,I,407 W I 30,,GARLAND,TX,750435912,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,30,55,15.130181818,1.42,1.0934545455,1.0934545455
1033153192,CLARKE,CARLTON,K,M.D.,M,I,407 W I 30,,GARLAND,TX,750435912,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,76.48,53.901666667,49.098333333
1033153192,CLARKE,CARLTON,K,M.D.,M,I,407 W I 30,,GARLAND,TX,750435912,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,36.5,26.235,27.144166667
1033153192,CLARKE,CARLTON,K,M.D.,M,I,407 W I 30,,GARLAND,TX,750435912,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,70.94,25.4725,14.366666667,9.5225
1033153192,CLARKE,CARLTON,K,M.D.,M,I,407 W I 30,,GARLAND,TX,750435912,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25.28,10.8475,5.8858333333,4.3541666667
1033153341,WHITTEMORE,KAREN,W,FNP,F,I,74 W HARDING AVE,,CEDAR CITY,UT,847202562,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.584166667,17.27,12.411666667,12.411666667
1033153341,WHITTEMORE,KAREN,W,FNP,F,I,74 W HARDING AVE,,CEDAR CITY,UT,847202562,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,395.802,78.547,59.269,52.4145
1033153531,SIMS,SYBIL,C,NURSE PRACTITIONER,F,I,1400 S ARLINGTON ST UNIT 38,,AKRON,OH,443063771,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,41,51.691219512,8.32,4.1363414634,4.1363414634
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,62,178,68.837977528,8.3090449438,6.0001685393,6.0058988764
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,12.470909091,3.38,2.1681818182,2.1681818182
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,31,58,14.755,1.42,1.0362068966,1.0362068966
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,215.73,50.26,36.125833333,39.36
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,68.825714286,16.5,11.091428571,12.172857143
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,49.241818182,11.33,7.2654545455,7.5163636364
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,92,8.5460869565,1.91,1.3030434783,1.4006521739
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,45.393076923,15.75,11.4,12.613076923
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,207.564,35.938,28.17,29.472
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,417.6375,70,51.674545455,51.538181818
1033153689,ROMANO,ANDREW,L,DO,M,I,703 MILL CREEK RD,SUITE D,MANAHAWKIN,NJ,080503828,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,16.81,13.18,15.13
1033153796,JENKINS,SUZANNE,,DPM,F,I,904 CORSICANA HWY,,HILLSBORO,TX,766452928,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,52,52,104,115,71.56,55.167884615,55.167884615
1033153796,JENKINS,SUZANNE,,DPM,F,I,904 CORSICANA HWY,,HILLSBORO,TX,766452928,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,35,29.19,22.286794872,22.288333333
1033153796,JENKINS,SUZANNE,,DPM,F,I,904 CORSICANA HWY,,HILLSBORO,TX,766452928,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,224,50,43.56,33.753794643,33.752142857
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,69,157,55.765987261,8.32,5.7745859873,5.7745859873
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,39,54,14.742037037,1.42,0.9503703704,0.9503703704
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,61.969090909,35.338636364,27.702272727,32.181818182
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,70.23,53.811666667,53.783333333
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,2100,0.1418428571,0.0130714286,0.0094714286,0.0094714286
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,2520,17.927666667,7.4898571429,5.8207579365,5.8207579365
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,3619,0.4341061067,0.0462006079,0.0318513401,0.0318513401
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,99.37,37.44,24.834615385,24.923846154
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,17,16,16,11.802352941,11.802352941
1033153861,SPILLER,EDMUND,O,M.D.,M,I,1902 S MORRISON BLVD,,HAMMOND,LA,704035742,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,33,33,24.253125,24.253125
1033153994,FORSTNER-BARTHELL,ADRIENNE,W,MD,F,I,18275 N 59TH AVE STE 176,,GLENDALE,AZ,85308,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,490,13.246734694,5.74,4.5001020408,4.5001020408
1033153994,FORSTNER-BARTHELL,ADRIENNE,W,MD,F,I,18275 N 59TH AVE STE 176,,GLENDALE,AZ,85308,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,261,5.3896551724,2.91,1.8617624521,1.8617624521
1033153994,FORSTNER-BARTHELL,ADRIENNE,W,MD,F,I,18275 N 59TH AVE STE 176,,GLENDALE,AZ,85308,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,435,15.948781609,6.9820689655,5.4739310345,5.488
1033153994,FORSTNER-BARTHELL,ADRIENNE,W,MD,F,I,18275 N 59TH AVE STE 176,,GLENDALE,AZ,85308,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,725,0.724,0.27,0.2116689655,0.2116689655
1033153994,FORSTNER-BARTHELL,ADRIENNE,W,MD,F,I,18275 N 59TH AVE STE 176,,GLENDALE,AZ,85308,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,679,0.7637702504,0.2392047128,0.1875110457,0.2108100147
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,34,91,246,66.527439024,8.32,5.6530081301,5.6530081301
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,26,46,75,17.289066667,1.42,0.9365333333,0.9365333333
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,6.44,6.44,4.4075,4.4075
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.36,5.36,3.8518333333,3.8518333333
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.27,0.27,0.1763333333,0.1763333333
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,426.93818182,83.842727273,65.732727273,67.630909091
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,35,159.10171429,32.426285714,24.684285714,25.142857143
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,79,105.75063291,18.18835443,14.259367089,14.529493671
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,246.385625,51.60125,37.973125,40.375625
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,16,16,92.820625,18.00375,14.113125,14.06
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,20,20,77.511,12.034,9.4355,9.152
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,31,178,9.6839325843,2.0017977528,1.5519662921,1.5724157303
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,22.774285714,5.8071428571,4.5571428571,4.6492857143
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,55,55,82.68,45.105090909,32.200181818,32.551818182
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,632.43,82.59,59.012727273,59.490909091
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,40,48.02675,3.6035,2.56875,3.307
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,37.58,29.46,29.51
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2950,0.2554983051,0.0462745763,0.0345694915,0.0345694915
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,58,58,50.448275862,15.978965517,11.820517241,13.135862069
1033154018,NASSIM YAZD,ARASH,,M.D.,M,I,4400 DUCKHORN DR,SUITE 100,SACRAMENTO,CA,95834,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,93.5,33,23.565555556,23.565555556
1033154083,SPENCER,MICHELLE,,MD,F,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,68,156,82.236602564,8.32,6.0713461538,6.0713461538
1033154083,SPENCER,MICHELLE,,MD,F,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,35,38,13.91,1.42,1.0889473684,1.0889473684
1033154083,SPENCER,MICHELLE,,MD,F,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,447.93913043,98.85,74.201086957,51.650217391
1033154083,SPENCER,MICHELLE,,MD,F,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,275.00304348,44.86826087,33.750434783,28.233043478
1033154083,SPENCER,MICHELLE,,MD,F,I,250 PLEASANT ST,,CONCORD,NH,033017539,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,318.6,44.212105263,31.205789474,26.408421053
1033154125,ZEESHAN,ATIF,,MD,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,45.4614,20.044,15.45,15.1792
1033154125,ZEESHAN,ATIF,,MD,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25.521666667,4.1683333333,3.2716666667,3.5433333333
1033154125,ZEESHAN,ATIF,,MD,M,I,9733 HEALTHWAY DR,,BERLIN,MD,218111155,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,271.1964,67.72,52.038,53.5786
1033154281,CLIFFORD,TIMOTHY,S,M.D.,M,I,110 BROADWAY,,BUCKSPORT,ME,04416,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,110,61.012090909,8.32,5.2775454545,5.2775454545
1033154281,CLIFFORD,TIMOTHY,S,M.D.,M,I,110 BROADWAY,,BUCKSPORT,ME,04416,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,24,585.24,102.61833333,71.987083333,48.579583333
1033154281,CLIFFORD,TIMOTHY,S,M.D.,M,I,110 BROADWAY,,BUCKSPORT,ME,04416,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,32.344166667,27.6525
1033154315,WEISBROD,LESLIE,S,M.D.,M,I,1900 EMPIRE BLVD,STE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,27,70,64.544571429,8.32,6.0561428571,6.0561428571
1033154315,WEISBROD,LESLIE,S,M.D.,M,I,1900 EMPIRE BLVD,STE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,22,15.771818182,1.42,1.0140909091,1.0140909091
1033154315,WEISBROD,LESLIE,S,M.D.,M,I,1900 EMPIRE BLVD,STE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,49.825714286,17,13.33,13.52
1033154315,WEISBROD,LESLIE,S,M.D.,M,I,1900 EMPIRE BLVD,STE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1074.31,830.30416667,830.30416667
1033154315,WEISBROD,LESLIE,S,M.D.,M,I,1900 EMPIRE BLVD,STE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,289.56571429,77.18,60.51,55.271428571
1033154323,TADDEO,RONALD,M,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,31,96,62.4371875,8.32,6.1155208333,6.1155208333
1033154323,TADDEO,RONALD,M,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,26,10.927307692,1.42,0.9438461538,0.9438461538
1033154323,TADDEO,RONALD,M,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,37,17.41,12.5125,12.411666667
1033154323,TADDEO,RONALD,M,MD,M,I,625 AFRICA RD STE 200,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,79.3,56.989166667,50.169166667
1033154422,KREITHEN,ANDREA,,MD,F,I,7270 KYLE CT,,LAKEWOOD RANCH,FL,342408435,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.0633333333,2.8516666667,3.2416666667
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,34,90,205,79.156878049,8.32,5.8971707317,5.8971707317
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,32,42,16.796428571,1.42,1.010952381,1.010952381
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,132.655,16.98,11.64625,11.87375
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,37,35.614864865,3.44,1.9497297297,2.7810810811
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,51,584.25686275,71.74,52.931764706,51.569803922
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,6454,0.410326929,0.046681128,0.0341090796,0.0341090796
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1220,2.2612704918,0.2194262295,0.1546557377,0.1546557377
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,32.217391304,16.205652174,11.163043478,12.470434783
1033154448,ROGANOVIC,MIRA,,M.D.,F,I,8220 WYMARK DRIVE,SUITE 200,ELK GROVE,CA,957570000,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,33,33,24.946071429,24.946071429
1033154497,RANGI,BALJIT,S,MD,M,I,660 COOPER RD STE 800,,WESTERVILLE,OH,430819235,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,47,68.724042553,8.32,5.2729787234,5.2729787234
1033154497,RANGI,BALJIT,S,MD,M,I,660 COOPER RD STE 800,,WESTERVILLE,OH,430819235,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,23.151666667,17.41,13.65,13.549166667
1033154497,RANGI,BALJIT,S,MD,M,I,660 COOPER RD STE 800,,WESTERVILLE,OH,430819235,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,299.405,79.3,62.17,55.35
1033154513,CARTER,JANICE,,FNP,F,I,2086 ADDISON AVE E,,TWIN FALLS,ID,833015306,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,22,37,37.382972973,8.32,5.8772972973,5.8772972973
1033154513,CARTER,JANICE,,FNP,F,I,2086 ADDISON AVE E,,TWIN FALLS,ID,833015306,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,18,73.178333333,18.096666667,12.577777778,12.034444444
1033154513,CARTER,JANICE,,FNP,F,I,2086 ADDISON AVE E,,TWIN FALLS,ID,833015306,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,18,462.69777778,71.44,52.423888889,51.422222222
1033154554,DIEDRIECH,LINDA,L,M.D.,F,I,4705 ALT 19 STE B,,PALM HARBOR,FL,346831424,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,52,110,62.368454545,8.32,5.9294545455,5.9294545455
1033154554,DIEDRIECH,LINDA,L,M.D.,F,I,4705 ALT 19 STE B,,PALM HARBOR,FL,346831424,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14,3.38,2.4291666667,2.4291666667
1033154554,DIEDRIECH,LINDA,L,M.D.,F,I,4705 ALT 19 STE B,,PALM HARBOR,FL,346831424,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,27,34,11.641764706,1.42,1.0517647059,1.0517647059
1033154653,DOWD,PAUL,M,O.D.,M,I,7448 RIDGE RD,,PARMA,OH,441296605,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,81.178181818,71.426363636,51.01,48.299090909
1033154653,DOWD,PAUL,M,O.D.,M,I,7448 RIDGE RD,,PARMA,OH,441296605,US,Optometry,S,V2208,"Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,22,68.590909091,57.230909091,44.018181818,48.586363636
1033154927,HUNDAL,RAVINDER,S,M.D.,M,I,401 GREGORY LN,SUITE 104,PLEASANT HILL,CA,945232800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,12,28,84.664285714,8.32,5.5907142857,5.5907142857
1033154927,HUNDAL,RAVINDER,S,M.D.,M,I,401 GREGORY LN,SUITE 104,PLEASANT HILL,CA,945232800,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,61,14.907540984,2.09,1.4768852459,1.4395081967
1033154927,HUNDAL,RAVINDER,S,M.D.,M,I,401 GREGORY LN,SUITE 104,PLEASANT HILL,CA,945232800,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,28.03,21.09375,15.3125,13.64375
1033154927,HUNDAL,RAVINDER,S,M.D.,M,I,401 GREGORY LN,SUITE 104,PLEASANT HILL,CA,945232800,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,50.73,39.587272727,31.035454545,25.539090909
1033154927,HUNDAL,RAVINDER,S,M.D.,M,I,401 GREGORY LN,SUITE 104,PLEASANT HILL,CA,945232800,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,11.99,9.6545454545,7.57,6.79
1033155106,JACKSON,AMY,M,D.O.,F,I,2731 MAGUIRE RD,,OCOEE,FL,347614797,US,Physician/Family Practice,S,E0140,"Walker, with trunk support, adjustable or fixed height, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,31.12875,20.83625,15.37875,15.67
1033155163,LUI,ERIC,,DPM,M,I,85 SEYMOUR ST,SUITE 409,HARTFORD,CT,061065501,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,73.644545455,63.805454545,50.024545455,56.105
1033155163,LUI,ERIC,,DPM,M,I,85 SEYMOUR ST,SUITE 409,HARTFORD,CT,061065501,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,148.56,148.56,116.47,119.04714286
1033155213,CHAN,EDWARD,Y,M.D.,M,I,728 PACIFIC AVE,SUITE 504,SAN FRANCISCO,CA,941334457,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,25,64.944,8.32,5.7392,5.7392
1033155213,CHAN,EDWARD,Y,M.D.,M,I,728 PACIFIC AVE,SUITE 504,SAN FRANCISCO,CA,941334457,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,14,15.045714286,1.42,0.9585714286,0.9585714286
1033155213,CHAN,EDWARD,Y,M.D.,M,I,728 PACIFIC AVE,SUITE 504,SAN FRANCISCO,CA,941334457,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,13,1172,52.013276451,4.7844795222,3.6286177474,3.6286177474
1033155338,YUHAS,JOHN,A,MD,M,I,1531 W 32ND ST STE 102,,JOPLIN,MO,648041651,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,60.7,60.7,47.587,50.665
1033155338,YUHAS,JOHN,A,MD,M,I,1531 W 32ND ST STE 102,,JOPLIN,MO,648041651,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,22,35,54.114285714,50.050571429,38.603714286,42.597428571
1033155437,DAVE,DARSHANKUMAR,A,MD,M,I,3100 MACCORKLE AVE SE,SUITE 802,CHARLESTON,WV,25304,US,Physician/Neurology,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,2,1.28,1,1
1033155437,DAVE,DARSHANKUMAR,A,MD,M,I,3100 MACCORKLE AVE SE,SUITE 802,CHARLESTON,WV,25304,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,70,19.715,10.700833333,9.8233333333
1033155437,DAVE,DARSHANKUMAR,A,MD,M,I,3100 MACCORKLE AVE SE,SUITE 802,CHARLESTON,WV,25304,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,19,20,34,77.321176471,59.565882353,41.255294118,40.933235294
1033155627,SCHEUERMAN,THOMAS,J,DO,M,I,1411 WOLF ST,,PHILA,PA,191453933,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,36,63.620555556,16.08,11.55,12.474166667
1033155627,SCHEUERMAN,THOMAS,J,DO,M,I,1411 WOLF ST,,PHILA,PA,191453933,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,42.275454545,3.73,1.9172727273,2.5090909091
1033155627,SCHEUERMAN,THOMAS,J,DO,M,I,1411 WOLF ST,,PHILA,PA,191453933,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,48,54,410.96111111,77.18,56.184074074,51.788148148
1033155627,SCHEUERMAN,THOMAS,J,DO,M,I,1411 WOLF ST,,PHILA,PA,191453933,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,183.38105263,37,25.956315789,26.233157895
1033155627,SCHEUERMAN,THOMAS,J,DO,M,I,1411 WOLF ST,,PHILA,PA,191453933,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1319,1.1471493556,0.1388551933,0.1006065201,0.1006065201
1033155627,SCHEUERMAN,THOMAS,J,DO,M,I,1411 WOLF ST,,PHILA,PA,191453933,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,66,33,24.022142857,24.022142857
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,69,192,59.431614583,8.32,5.9732291667,5.9732291667
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,33,12.764242424,1.42,1.1163636364,1.1163636364
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,15,24,24,238.08333333,86.722916667,65.16125,65.001666667
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,24,94.02875,33.48,24.0575,23.755
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,13,22,83,66.171686747,19.68686747,15.257108434,14.375421687
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,19,36,36,187.47611111,54.626944444,37.153055556,37.180277778
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,31,40,40,61.734,17.918,12.98925,13.0075
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,26,44,44,54.423863636,11.932727273,8.5347727273,8.2984090909
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,30,56,305,10.448196721,2.0493442623,1.4731147541,1.4586229508
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,26,33,33,18.792727273,6.0412121212,4.256969697,4.1733333333
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,302.38095238,82.185714286,64.43,64.43
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,72,75,137.98333333,33.5296,24.592,24.156933333
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,470.24823529,70.23,53.597352941,53.297647059
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,133.84384615,20.996923077,16.462307692,15.232307692
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1059.8,212.4375,159.15083333,159.15083333
1033155890,COX,ALLEN,L,MD,M,I,2300 HOSPITAL DR,SUITE 200,BOSSIER CITY,LA,711112394,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,107.25,33,23.714166667,23.714166667
1033156005,BRUNE,MARYBETH,,MD,F,I,7810 5 MILE RD,,CINCINNATI,OH,452302356,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,60,63.334,8.32,6.5211666667,6.5211666667
1033156005,BRUNE,MARYBETH,,MD,F,I,7810 5 MILE RD,,CINCINNATI,OH,452302356,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,13.491764706,1.42,1.1141176471,1.1141176471
1033156005,BRUNE,MARYBETH,,MD,F,I,7810 5 MILE RD,,CINCINNATI,OH,452302356,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,192,3.09125,2.91,2.09171875,2.09171875
1033156005,BRUNE,MARYBETH,,MD,F,I,7810 5 MILE RD,,CINCINNATI,OH,452302356,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,48,6.37,6.37,4.5764583333,4.6279166667
1033156005,BRUNE,MARYBETH,,MD,F,I,7810 5 MILE RD,,CINCINNATI,OH,452302356,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,90,12.54,9.86,7.2861111111,7.2861111111
1033156005,BRUNE,MARYBETH,,MD,F,I,7810 5 MILE RD,,CINCINNATI,OH,452302356,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,3,3,2.156,2.1855
1033156021,SCHNEIDER,DAVID,J,M.D.,M,I,660 GOLDEN RIDGE ROAD,STE. 250,GOLDEN,CO,804019541,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,158.50125,100.42,78.73,86.38625
1033156179,HALL,ROXANNE,E,PAC,F,I,1849 SAVAGE RD,,CHARLESTON,SC,294074726,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,194.8875,31.3075,22.656666667,23.450833333
1033156328,MOKSHAGUNDAM,SRI PRAKASH,L,MD,M,I,401 E CHESTNUT ST,STE #310,LOUISVILLE,KY,402025700,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,36,83,451,68.801662971,8.3164079823,6.1149223947,6.1149223947
1033156328,MOKSHAGUNDAM,SRI PRAKASH,L,MD,M,I,401 E CHESTNUT ST,STE #310,LOUISVILLE,KY,402025700,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,28,17.36,1.42,1.1132142857,1.1132142857
1033156328,MOKSHAGUNDAM,SRI PRAKASH,L,MD,M,I,401 E CHESTNUT ST,STE #310,LOUISVILLE,KY,402025700,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1530,14.752568627,10.690470588,8.2875882353,8.2875424837
1033156336,SHEPPARD,TODD,,MD,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,79.116153846,17,10.253846154,10.475384615
1033156336,SHEPPARD,TODD,,MD,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,453.00066667,77.18,51.244666667,46.614
1033156336,SHEPPARD,TODD,,MD,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2115,0.2029787234,0.0452671395,0.0328747045,0.0328747045
1033156336,SHEPPARD,TODD,,MD,M,I,1425 PORTLAND AVE,,ROCHESTER,NY,146213001,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,107.25,33,20.309375,20.309375
1033156500,PATEL,ASHESH,D,MD,M,I,1901 R ST NW,,WASHINGTON,DC,200091014,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,44,42.105909091,8.32,6.2256818182,6.2256818182
1033156500,PATEL,ASHESH,D,MD,M,I,1901 R ST NW,,WASHINGTON,DC,200091014,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.29,4.1009090909,3.2127272727,3.8890909091
1033156500,PATEL,ASHESH,D,MD,M,I,1901 R ST NW,,WASHINGTON,DC,200091014,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1080,13.94,11.584611111,9.0823796296,9.0823796296
1033156500,PATEL,ASHESH,D,MD,M,I,1901 R ST NW,,WASHINGTON,DC,200091014,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,632,12.86,2.882943038,2.2602531646,2.2602531646
1033156500,PATEL,ASHESH,D,MD,M,I,1901 R ST NW,,WASHINGTON,DC,200091014,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,132,33,25.87,25.87
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,50,132,342,65.24125731,8.32,5.5669590643,5.5669590643
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,13.537142857,3.38,2.4607142857,2.4607142857
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,34,79,109,18.049633028,1.42,0.9833027523,0.9833027523
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,21.948571429,5.5,2.3542857143,1.9314285714
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,9.6972727273,5.9136363636,7.4018181818
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,2121,0.5774021688,0.046737388,0.0317680339,0.0317680339
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,62.297272727,15.500909091,11.640909091,13.597727273
1033156591,SINGH,BIKRAMJIT,,M.D,M,I,125 WASHINGTON AVE,,CARTERET,NJ,070082635,US,Physician/Nephrology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,14,14,33,33,22.174285714,22.174285714
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,50,169,430,62.830744186,8.32,6.0180232558,6.0180232558
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,29,29,11.4,3.38,2.65,2.65
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,18.368571429,2.12,1.67,1.67
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,30,76,106,11.787924528,1.42,0.9975471698,0.9975471698
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,249.58,54.47,40.470833333,40.6075
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,68.455833333,17.88,14.01,14.051666667
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,20,20,73.5345,11.54,9.05,9.113
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,21,118,12.734745763,2.01,1.576779661,1.5913559322
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,48.554545455,38.064545455,37.364545455
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,83.225454545,17.29,11.086363636,11.070909091
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,50.73,4.67,2.3105,2.309
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,218.32384615,35.88,28.130769231,27.641538462
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,80,87,479.16172414,70.23,49.997011494,49.723448276
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,1721,0.2234631028,0.0466414875,0.0365717606,0.0365717606
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,86.373333333,22.745,17.8325,16.5
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,37.44,26.904166667,27.054166667
1033156617,CLARK,CAROLYN,,M.D.,F,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,12,99,33,25.87,25.87
1033156724,DEJARNETTE,ALAN,S,MD,M,I,2700 NE 14TH STREET CSWY,SUITE 103,POMPANO BEACH,FL,330623561,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,27,67,139,72.233741007,8.32,6.0991366906,6.0991366906
1033156724,DEJARNETTE,ALAN,S,MD,M,I,2700 NE 14TH STREET CSWY,SUITE 103,POMPANO BEACH,FL,330623561,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,33,36,13.063055556,1.42,1.0872222222,1.0872222222
1033157227,BOUCHER,NAN,M,ANP,F,I,99 CAMPUS AVE,SUITE 201,LEWISTON,ME,042406045,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,31,82,36.778780488,8.32,5.9358536585,5.9358536585
1033157227,BOUCHER,NAN,M,ANP,F,I,99 CAMPUS AVE,SUITE 201,LEWISTON,ME,042406045,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,20,9.6395,1.42,0.895,0.895
1033157284,ZAHNKE,KIM,,M.D.,M,I,2000 BROOKSIDE DR,THIRD FLOOR,KINGSPORT,TN,376604627,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,35.862857143,22.576,17.014285714,13.402285714
1033157284,ZAHNKE,KIM,,M.D.,M,I,2000 BROOKSIDE DR,THIRD FLOOR,KINGSPORT,TN,376604627,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,34.5,7.0781818182,5.5490909091,3.7218181818
1033157284,ZAHNKE,KIM,,M.D.,M,I,2000 BROOKSIDE DR,THIRD FLOOR,KINGSPORT,TN,376604627,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,41,41,226.17560976,100.50439024,75.881707317,55.023658537
1033157284,ZAHNKE,KIM,,M.D.,M,I,2000 BROOKSIDE DR,THIRD FLOOR,KINGSPORT,TN,376604627,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,62.471578947,25.373157895,18.375263158,14.403684211
1033157284,ZAHNKE,KIM,,M.D.,M,I,2000 BROOKSIDE DR,THIRD FLOOR,KINGSPORT,TN,376604627,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,26,10.370833333,7.0058333333,5.1333333333
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,53,94,53.764255319,8.32,4.8567021277,4.8567021277
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,10.531666667,3.38,1.9875,1.9875
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,24,25,9.9256,1.42,0.6272,0.6272
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,250,7.1132,6.9868,4.73228,4.74184
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,72.44,40.177333333,26.536,25.743333333
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,400,3.14205,2.96275,2.20365,2.2642
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,15,15,60.625333333,18.852,12.902,12.786
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,19,58,11.06,2.1375862069,1.6155172414,1.5794827586
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,120.23181818,60.671818182,47.569090909,36.46
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,298.38,67.274166667,48.473333333,33.273333333
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,72.932631579,17.27,12.827368421,12.827368421
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,41.772727273,12.092727273,9.4836363636,9.4972727273
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,59,59,28.572881356,6.3272881356,4.7983050847,3.5327118644
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,24,26,185.77653846,33.366153846,23.657307692,23.08
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,71,71,363.56577465,76.81,56.993380282,52.217042254
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,3840,63.790958333,9.8459166667,7.7192135417,7.7192057292
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,5080,0.2303110236,0.0463681102,0.0301476378,0.0301476378
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3220,2.1364223602,0.0789720497,0.0569223602,0.0569223602
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2280,1.2106447368,0.1331578947,0.0948289474,0.0948289474
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1350,11.390281481,3.0563333333,2.3961925926,2.3961925926
1033157292,ROSSI,ALFRED,N,MD,M,I,107 TREMONT ST,MEDICAL ARTS PHYSICIANS,HOPEDALE,IL,617470267,US,Physician/General Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,46,46,65.282608696,33,23.058043478,23.058043478
1033157342,ARONSON,MARK,D,M.D.,M,I,330 BROOKLINE AVE,BETH ISRAEL DEACONESS MEDICAL CENTER,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,39,113,66.661681416,8.32,6.0601769912,6.0601769912
1033157342,ARONSON,MARK,D,M.D.,M,I,330 BROOKLINE AVE,BETH ISRAEL DEACONESS MEDICAL CENTER,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,22,32,15.5715625,1.42,0.974375,0.974375
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,62,179,49.596145251,8.32,6.0092178771,6.0092178771
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,27,27,15.555555556,3.38,2.3555555556,2.3555555556
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,24.5,2.12,1.2525,1.2525
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,32,69,15.172608696,1.42,1.032173913,1.032173913
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,2972,0.44,0.44,0.3449697174,0.3449697174
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,24,597,34.806532663,34.806532663,27.28840871,27.330351759
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,630,18.5,18.5,14.504,14.504
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,27,66,18.29,18.29,14.338939394,14.338939394
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,2464,0.45,0.45,0.3528165584,0.3528165584
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,566,5.2536042403,3.8942402827,3.0530565371,2.3677385159
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,465,7.8333763441,6.9567956989,5.4542580645,4.1630967742
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,5463,0.5557276222,0.4688687534,0.3676002197,0.2900787113
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5187,0.8976691729,0.8144881434,0.6108945441,0.4897821477
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,16,16,121.75,85.13375,66.7475,49.983125
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,220,63.477058824,36.050588235,23.905882353
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,32,180.874375,65.449375,48.910625,35.229375
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,61.436666667,21.985,13.505,11.6525
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,24.182857143,5.6380952381,3.4971428571,2.6285714286
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,30.75,12.19,9.5525,4.495625
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,406.50333333,98.85,65.451666667,53.646666667
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100.9,44.560909091,34.938181818,29.515454545
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,5318,0.2031459195,0.0463858593,0.0348063182,0.0348063182
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.8975833333,2.2343611111,2.2343611111
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,74,74,69,24.387297297,15.845810811,10.632972973
1033157391,PERRINE,TERRY,R,MD,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,106.17391304,33,25.87,25.87
1033157631,PASTERNAK,EDMOND,,DO,M,I,800 GARFIELD AVE,,PARKERSBURG,WV,261015340,US,Physician/Emergency Medicine,S,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,53.12,45.15,35.4,41.65
1033157631,PASTERNAK,EDMOND,,DO,M,I,800 GARFIELD AVE,,PARKERSBURG,WV,261015340,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,24.057142857,6.3828571429,5.0033333333,5.0019047619
1033157631,PASTERNAK,EDMOND,,DO,M,I,800 GARFIELD AVE,,PARKERSBURG,WV,261015340,US,Physician/Emergency Medicine,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,271.16,259.8,203.68142857,211.73571429
1033157938,FANDINO,ANA,J,MD,F,I,10300 SW 72ND ST STE 430,,MIAMI,FL,331733021,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,36,34.950833333,8.32,6.5222222222,6.5222222222
1033157938,FANDINO,ANA,J,MD,F,I,10300 SW 72ND ST STE 430,,MIAMI,FL,331733021,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,16,10.67625,1.42,1.115,1.115
1033157938,FANDINO,ANA,J,MD,F,I,10300 SW 72ND ST STE 430,,MIAMI,FL,331733021,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,434,125,3.11,2.2642165899,2.1986175115
1033157938,FANDINO,ANA,J,MD,F,I,10300 SW 72ND ST STE 430,,MIAMI,FL,331733021,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6076,3.38,0.3,0.2240339039,0.2318680053
1033157938,FANDINO,ANA,J,MD,F,I,10300 SW 72ND ST STE 430,,MIAMI,FL,331733021,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,75,5.98,4.69,3.7391666667
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,44,8.3454545455,1.5018181818,1.1781818182,1.1536363636
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,14,19,19,83.744736842,8.7278947368,6.48,8.5068421053
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,317.87428571,93.879285714,73.600714286,68.218571429
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,34,129.94705882,34.394117647,26.963529412,25.951470588
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,56,105.56446429,19.590892857,15.359642857,14.672857143
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,84.063636364,12.34,9.67,9.12
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,24,128,11.4684375,2.37875,1.865234375,1.59515625
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,33,48.285151515,22.715757576,16.988181818,14.839090909
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,3532.5941667,1072.1775,832.43083333,834.10083333
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,11,57,58,50.73,3.9081034483,2.915,3.5177586207
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,152.33066667,34.933333333,27.39,25.973333333
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,134,141,477.46397163,78.252765957,58.237234043,52.223546099
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,232.22222222,39,29.447407407,28.417037037
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,630,16.968571429,9.5437619048,7.1915396825,7.1915396825
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,1350,18.5042,11.162355556,8.6470740741,8.6470740741
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,49,11252,0.3049911127,0.0459784927,0.0330261287,0.0330261287
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,56,5111,1.5977832127,0.1364684015,0.1027607122,0.1027607122
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,14,60,3240,11.354848765,3.0092407407,2.2438919753,2.2438919753
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,216.69,39,28.66875,27.665625
1033158035,MCGOVERN,TERENCE,J,MD,M,I,1030 PRESIDENT AVE,SUITE 210,FALL RIVER,MA,027205923,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,32,139,139,68.611510791,33,24.93942446,24.93942446
1033158209,HORCHAK,ALEX,M,M.D.,M,I,1500 DELHI ST,SUITE 4300,DUBUQUE,IA,520016358,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,16.392857143,13.8,10.82,10.82
1033158209,HORCHAK,ALEX,M,M.D.,M,I,1500 DELHI ST,SUITE 4300,DUBUQUE,IA,520016358,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,33.5,33.5,22.758666667,24.577333333
1033158209,HORCHAK,ALEX,M,M.D.,M,I,1500 DELHI ST,SUITE 4300,DUBUQUE,IA,520016358,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,3630,4.1296418733,2.0073278237,1.4686280992,1.4978760331
1033158209,HORCHAK,ALEX,M,M.D.,M,I,1500 DELHI ST,SUITE 4300,DUBUQUE,IA,520016358,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,27,11.501111111,10.35,8.1159259259,8.4944444444
1033158209,HORCHAK,ALEX,M,M.D.,M,I,1500 DELHI ST,SUITE 4300,DUBUQUE,IA,520016358,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,32,8,6.34,4.8146875,5.6425
1033158209,HORCHAK,ALEX,M,M.D.,M,I,1500 DELHI ST,SUITE 4300,DUBUQUE,IA,520016358,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,250,13.65112,9.86,7.73,7.73
1033158209,HORCHAK,ALEX,M,M.D.,M,I,1500 DELHI ST,SUITE 4300,DUBUQUE,IA,520016358,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,290,5.827,4.04,3.0692413793,3.0692413793
1033158282,SUN,JIDONG,,,F,I,1542 KUSER RD STE B3,,HAMILTON,NJ,086193829,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,108.98,28.586666667,22.41,25.503333333
1033158282,SUN,JIDONG,,,F,I,1542 KUSER RD STE B3,,HAMILTON,NJ,086193829,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,20.57,7.0533333333,5.53,6.8433333333
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,40,110,254,45.450669291,8.32,5.6748818898,5.6748818898
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,31,31,12.829032258,3.38,2.564516129,2.564516129
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,20.944,2.12,1.67,1.67
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,26,50,80,11.09025,1.42,0.98875,0.98875
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,20,28.46,28.46,21.1945,21.1945
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,5.54,5.54,4.0847058824,4.0847058824
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,32,15.08125,9.29,7.05375,8.351875
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,7.37,5.7780645161,4.1632258065
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6480,3.346,0.4016666667,0.3087824074,0.236912037
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,13,160,67.051538462,46.516153846,34.15
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,48.286896552,22.140344828,17.357586207,13.737586207
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,24,6.5494444444,3.99,2.4411111111
1033158290,GARZA,OSCAR,,M.D.,M,I,151 MEDICAL DR,,PEARSALL,TX,780616604,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,287.53103448,96.581034483,74.642413793,55.045172414
1033158308,KORMAN,CHARLES,H,DO,M,I,8 HUNTINGDON PIKE,100,ROCKLEDGE,PA,190464338,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,44,85,79.530823529,8.32,5.7551764706,5.7551764706
1033158308,KORMAN,CHARLES,H,DO,M,I,8 HUNTINGDON PIKE,100,ROCKLEDGE,PA,190464338,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,23,15.259565217,1.42,0.9739130435,0.9739130435
1033158340,DAVIS,KENNETH,B,M.D.,M,I,1020 INDEPENDENCE BLVD,SUITE 111,VIRGINIA BEACH,VA,234555500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,48,63.518333333,8.32,5.9777083333,5.9777083333
1033158340,DAVIS,KENNETH,B,M.D.,M,I,1020 INDEPENDENCE BLVD,SUITE 111,VIRGINIA BEACH,VA,234555500,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,18,17.499444444,1.42,0.9922222222,0.9922222222
1033158407,NOELLERT,RAYMOND,C,MD,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Hand Surgery,S,L3762,"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,19,110,95.5,74.87,73.960526316
1033158407,NOELLERT,RAYMOND,C,MD,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Hand Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,214,214,158.62705882,162.50352941
1033158407,NOELLERT,RAYMOND,C,MD,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,73,76,87,77.149425287,53.332873563,38.890114943,43.204482759
1033158407,NOELLERT,RAYMOND,C,MD,M,I,4541 N DAVIS HWY STE A,,PENSACOLA,FL,325032733,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,26,76.18,76.18,53.927692308,61.279230769
1033158597,HOOVER,CHARLES,H,MD,M,I,1420 E FRANKLIN ST,,MONROE,NC,281125160,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,36,135,338,59.718313609,8.32,5.9236982249,5.9236982249
1033158597,HOOVER,CHARLES,H,MD,M,I,1420 E FRANKLIN ST,,MONROE,NC,281125160,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,24,24,14.960833333,3.38,2.4291666667,2.4291666667
1033158597,HOOVER,CHARLES,H,MD,M,I,1420 E FRANKLIN ST,,MONROE,NC,281125160,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,22.14,2.12,1.5181818182,1.5181818182
1033158597,HOOVER,CHARLES,H,MD,M,I,1420 E FRANKLIN ST,,MONROE,NC,281125160,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,21,50,93,15.721505376,1.42,1.0643010753,1.0643010753
1033158597,HOOVER,CHARLES,H,MD,M,I,1420 E FRANKLIN ST,,MONROE,NC,281125160,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,24.6875,11.2325,7.621875,6.713125
1033158597,HOOVER,CHARLES,H,MD,M,I,1420 E FRANKLIN ST,,MONROE,NC,281125160,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,140,55.689090909,43.658181818,38.708181818
1033158795,CASS,LEO,M,M.D.,M,I,223 SWANTON ST,,WINCHESTER,MA,018901968,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,15.008461538,8.3576923077,6.0876923077,6.1607692308
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,31,75,182,60.854725275,8.32,5.2706593407,5.2706593407
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,15.277777778,3.38,2.3555555556,2.3555555556
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,22,24,15.422916667,1.42,0.9316666667,0.9316666667
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,18,98,9.3795918367,2.01,1.5767346939,1.5934693878
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,334,15.556886228,3.4222155689,2.6829640719,2.3761377246
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6475,3.9944895753,0.31,0.2430362934,0.2430362934
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,15.36,5.622,4.036,3.285
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,5.04,1.702,1.3315,1.16
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,58,58.364310345,17.29,12.438965517,12.420344828
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,97,107,394.09457944,77.494672897,56.258411215,50.329158879
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,720,5.3512083333,2.952125,2.3145138889,2.3145138889
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,238.04444444,43.933333333,33.228518519,28.422222222
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,415.2445,125.834,85.302,83.8525
1033158845,SWINDELL,WILLIAM,G,M.D.,M,I,1002 S 52ND STREET,,ROGERS,AR,72758,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,68.282608696,33,24.912173913,24.912173913
1033158878,STEINMANN,THOMAS,A,O.D.,M,I,1690 BARTON RD,SECOND FLOOR,REDLANDS,CA,923734229,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,70,70,50.107826087,48.757826087
1033158878,STEINMANN,THOMAS,A,O.D.,M,I,1690 BARTON RD,SECOND FLOOR,REDLANDS,CA,923734229,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,20,96.9,57.399,45.001,42.106
1033159017,BULGER,JENNIFER,L,M.D.,F,I,135 E 38TH ST,,ERIE,PA,165041559,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,112.416,86.041333333,55.669333333
1033159041,MEDFORD,MARK,F,M.D.,M,I,155 MEMORIAL DR,,PINEHURST,NC,283748710,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,163.45454545,46.374545455,32.860909091,32.027272727
1033159041,MEDFORD,MARK,F,M.D.,M,I,155 MEMORIAL DR,,PINEHURST,NC,283748710,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,50.15,23.093125,17.573125,13.00125
1033159041,MEDFORD,MARK,F,M.D.,M,I,155 MEMORIAL DR,,PINEHURST,NC,283748710,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,429.54545455,106.38666667,81.598787879,53.071515152
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,34,104,357,56.050672269,8.32,5.9558543417,5.9558543417
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.01,3.38,2.65,2.65
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,20.370909091,2.12,1.67,1.67
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,53,93,12.974193548,1.42,1.0677419355,1.0677419355
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,128.85714286,52.114285714,40.858571429,40.265714286
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.53
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,12.2825,4.31,3.38,3.38
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,32,2,1.278125,0.87375,0.8753125
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,28,7,1.92,1.2942857143,1.3142857143
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,26,9,2.9976923077,2.1692307692,2.0846153846
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0974,"Manual wheelchair accessory, anti-rollback device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,20,6.9976923077,4.6438461538,4.6453846154
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,5,2.4176923077,1.6053846154,1.5392307692
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.23,55.06,54.72
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,69.166666667,20.22,15.060555556,13.890555556
1033159140,AZAR,NABIL,,M.D.,M,I,1340 BROAD AVE,SUITE 310,GULFPORT,MS,395012418,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,625,135.33684211,106.10789474,104.47842105
1033159157,SCARAMELLA,JOHN,G,M.D.,M,I,4920 N CENTRAL AVE,SUITE 2B,CHICAGO,IL,606302338,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,64,118,72.772881356,8.32,4.5297457627,4.5297457627
1033159157,SCARAMELLA,JOHN,G,M.D.,M,I,4920 N CENTRAL AVE,SUITE 2B,CHICAGO,IL,606302338,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,26,30,14.489666667,1.42,0.672,0.672
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,41,76,258,69.694108527,8.32,6.193875969,6.193875969
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,26,47,17.564680851,1.42,1.1144680851,1.1144680851
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,13,13,113.18769231,40.12,31.031538462,30.145384615
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,43,107.31232558,19.18,12.989069767,12.547674419
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,58,58.541034483,15.639310345,11.003448276,10.662931034
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,12,20,20,223.446,54.781,40.137,40.048
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,14,17,17,63.482941176,18.844705882,13.904705882,13.232941176
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,81.736470588,12.05,8.8952941176,8.5835294118
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,16,33,172,10.985930233,2.1055813953,1.6318023256,1.5734302326
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,53.967857143,12.84,10.06,10.34
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,299.16176471,32.208235294,23.424117647,24.303529412
1033159207,CHEN-YANG,VICKY,H,MD,F,I,5620 W THUNDERBIRD RD,SUITE C1,GLENDALE,AZ,853064636,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,77.36,60.65,55.223333333
1033159231,BISCOVEANU,MIHAELA,,MD,F,I,9501 ROOSEVELT BLVD,SUITE 400,PHILADELPHIA,PA,191141025,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,51,80,211,924,65.890119048,8.32,6.039469697,6.039469697
1033159231,BISCOVEANU,MIHAELA,,MD,F,I,9501 ROOSEVELT BLVD,SUITE 400,PHILADELPHIA,PA,191141025,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,40,40,12.6445,3.38,2.58375,2.58375
1033159231,BISCOVEANU,MIHAELA,,MD,F,I,9501 ROOSEVELT BLVD,SUITE 400,PHILADELPHIA,PA,191141025,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,20.255,2.12,1.5940909091,1.5940909091
1033159231,BISCOVEANU,MIHAELA,,MD,F,I,9501 ROOSEVELT BLVD,SUITE 400,PHILADELPHIA,PA,191141025,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,49,103,256,13.378164062,1.42,1.0783984375,1.0783984375
1033159231,BISCOVEANU,MIHAELA,,MD,F,I,9501 ROOSEVELT BLVD,SUITE 400,PHILADELPHIA,PA,191141025,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,22,81.29,71.117272727,55.757727273,55.757727273
1033159231,BISCOVEANU,MIHAELA,,MD,F,I,9501 ROOSEVELT BLVD,SUITE 400,PHILADELPHIA,PA,191141025,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,66,64.291818182,29.01,22.743939394,22.74530303
1033159231,BISCOVEANU,MIHAELA,,MD,F,I,9501 ROOSEVELT BLVD,SUITE 400,PHILADELPHIA,PA,191141025,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,711.555,251.11,196.87,196.87
1033159330,GROFF,AMY,L,DO,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,21,89,62.227078652,8.32,6.1714606742,6.1714606742
1033159330,GROFF,AMY,L,DO,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,36,16.413888889,1.42,1.1127777778,1.1127777778
1033159330,GROFF,AMY,L,DO,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,22.790909091,17.866363636,14.077272727
1033159330,GROFF,AMY,L,DO,F,I,1821 S STOUGHTON RD,,MADISON,WI,537162257,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,105.01636364,82.335454545,58.411818182
1033159520,BAREFIELD,TRACY,R,MD,F,I,105 E HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,66,150,63.086466667,8.32,5.783,5.783
1033159520,BAREFIELD,TRACY,R,MD,F,I,105 E HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,24,37,11.957297297,1.42,1.1151351351,1.1151351351
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,33,156,156,156,1495.2817949,1199.2560897,905.41826923,851.70865385
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,39,39,63,884.04428571,566.27650794,425.3047619,461.96936508
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,21,59,59,101,959.54,844.7809901,647.29356436,662.67693069
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,50,52,88,511.37159091,456.01443182,348.29920455,344.80704545
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,30,97,97,162,127.04839506,105.34345679,80.90154321,87.155617284
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,21,52.790952381,49.546666667,38.844761905,38.425714286
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,42,44,62,518.83048387,463.31741935,348.87258065,351.02112903
1033159611,MAYER,DARREN,M,PA-C,M,I,390 N COURTENAY PKWY,,MERRITT ISLAND,FL,329533456,US,Physician Assistant,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,61,62,62,865.67258065,776.4733871,588.37177419,548.14274194
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,34,34,34,90.771764706,52.332941176,41.029117647,38.368823529
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,55.961428571,51.169285714,40.117857143,40.775714286
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,54.047368421,54.047368421,42.375789474,38.940526316
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,24,90,27.963333333,21.924166667,22.604583333
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,39.99,20.786666667,16.3,18.179166667
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,13,88.65,34.383076923,26.956923077,29.196153846
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,13,225,153.50153846,120.35076923,114.65076923
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,57,57,57.127894737,20.633859649,16.179649123,14.914210526
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,84.53,30.959090909,24.269090909,22.405454545
1033159637,MORRIS,STEVEN,E,M.D.,M,I,2900 N MILITARY TRL,SUITE #245,BOCA RATON,FL,334316365,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,86,86,19.390930233,9.0230232558,7.0731395349,6.9768604651
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,39,39,130.84307692,39.020512821,27.498205128,27.403076923
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,31,61,61,342.11442623,90.549508197,58.553934426,56.057377049
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,26,46,136,127.53845588,33.959558824,23.439117647,22.772573529
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,21,38,224,72.446116071,18.174910714,13.0715625,13.376964286
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,72,66.4175,15.2275,10.796527778,10.751111111
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,40,83,83,231.67072289,53.507349398,38.579036145,39.484578313
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,63,92,92,74.746413043,17.919565217,12.867717391,12.890543478
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,47,101,102,68.097647059,12.066470588,8.7676470588,8.467254902
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,65,131,748,9.1818048128,2.0620989305,1.515855615,1.4943048128
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,36,49,49,27.308571429,5.9814285714,4.4883673469,4.4569387755
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,43,56,56,40.548928571,12.491785714,9.4619642857,9.95875
1033159694,GETSY,JOANNE,E,MD,F,I,219 N BROAD ST,9TH FL,PHILADELPHIA,PA,191071519,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,116.36428571,29.66,18.275714286,18.342142857
1033159793,BOEHM,ROBERT,J,M.D.,M,I,550 FORT LOUDOUN MEDICAL CENTER DR,,LENOIR CITY,TN,377725673,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,87,90,84.766333333,21.722333333,16.034555556,12.628
1033159793,BOEHM,ROBERT,J,M.D.,M,I,550 FORT LOUDOUN MEDICAL CENTER DR,,LENOIR CITY,TN,377725673,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,64,68,43.902352941,7.1672058824,5.4220588235,3.5838235294
1033159793,BOEHM,ROBERT,J,M.D.,M,I,550 FORT LOUDOUN MEDICAL CENTER DR,,LENOIR CITY,TN,377725673,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,83,86,504.87593023,97.798372093,73.477093023,51.76627907
1033159819,ATIQUZZAMAN,BASHER,M,M.D.,M,I,2400 N ORANGE BLOSSOM TRAIL,SUITE 302,KISSIMMEE,FL,347442308,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3605,2.3925214979,0.32,0.2471456311,0.2392981969
1033160114,BARNES,JOHN,G,M.D.,M,I,15769 WC MAIN ST,,MIDLOTHIAN,VA,231137327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,62,161,70.539689441,8.32,5.9142236025,5.9142236025
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,41,123,326,63.573343558,8.2581595092,5.4716871166,5.52
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.323636364,3.38,2.4090909091,2.4090909091
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,33,48,14.148333333,1.42,0.9058333333,0.9058333333
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,162.67428571,57.742380952,38.441428571,31.255714286
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,42,68.593095238,21.933571429,15.793571429,12.671428571
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,42.055454545,5.8727272727,4.2727272727,3.3781818182
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,35.171818182,8.7809090909,6.3763636364
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,48,418.99375,96.907083333,71.224166667,52.892083333
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,2647,0.1639931998,0.0467283717,0.0302115603,0.0302115603
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,599.5,214.37727273,168.07,123.89727273
1033160346,SHEA,TIMOTHY,J,MD,M,I,187 MEDICAL PARK DR,,BREVARD,NC,287124189,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,32,32,119.625,33,23.4446875,23.4446875
1033160387,FRIEDMAN,DIANE,E,M.D.,F,I,2019 GALISTEO ST,SUITE N9A,SANTA FE,NM,875052143,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,525.70153846,68.78,49.772307692,50.588461538
1033160411,HICKEN,MICHAEL,P,M.D.,M,I,5295 NE ELAM YOUNG PKWY,SUITE 180,HILLSBORO,OR,971247567,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,53,74.875849057,8.32,4.799245283,4.799245283
1033160411,HICKEN,MICHAEL,P,M.D.,M,I,5295 NE ELAM YOUNG PKWY,SUITE 180,HILLSBORO,OR,971247567,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,170.75130435,44.943043478,29.09173913,30.676956522
1033160411,HICKEN,MICHAEL,P,M.D.,M,I,5295 NE ELAM YOUNG PKWY,SUITE 180,HILLSBORO,OR,971247567,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,217.94647059,35.735294118,25.847647059,22.765882353
1033160437,WHITE,SUZANNE,S,D.P.M.,F,I,3305 GRIFFIN AVE,,PEKIN,IL,615546237,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,46,46,92,92.095217391,71.56,51.059456522,51.059456522
1033160437,WHITE,SUZANNE,S,D.P.M.,F,I,3305 GRIFFIN AVE,,PEKIN,IL,615546237,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,132,39.818181818,29.19,22.885,22.886515152
1033160437,WHITE,SUZANNE,S,D.P.M.,F,I,3305 GRIFFIN AVE,,PEKIN,IL,615546237,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,84,55.985714286,43.56,33.77952381,33.777857143
1033160502,DODDS,JULIE,A,M.D.,F,I,2900 HANNAH BLVD,STE 212,EAST LANSING,MI,488235384,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,85.64,69.5825,54.5475,63.43
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,38,8.19,1.6221052632,1.2107894737,1.0918421053
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,11,13,14,55.108571429,14.736428571,11.551428571,9.0728571429
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,32,195,207,57.608357488,18.81821256,14.433913043,13.376231884
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,1791.0806452,1048.7,815.17451613,833.3116129
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,61,61,30.893934426,4.6873770492,3.5624590164,3.5780327869
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,33,226,235,287.54625532,76.356042553,58.563148936,53.939404255
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,220,39.65,31.09,29.647391304
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,48,10950,0.1470136986,0.0460091324,0.0325333333,0.0325333333
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,69,6456,0.8912608426,0.1319067534,0.0934355638,0.0934355638
1033160544,GREENWOOD,DAVID,S,M.D.,M,I,2215 WILDWOOD AVE,SUITE 204,SHERWOOD,AR,721205089,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,18,112,112,108.51116071,33,22.995357143,22.995357143
1033160692,BEN-ZEEV,DEVORAH,E,M.D.,F,I,1450 TREAT BLVD,SUITE 120A,WALNUT CREEK,CA,945972168,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,47,62.929361702,8.32,5.9670212766,5.9670212766
1033160692,BEN-ZEEV,DEVORAH,E,M.D.,F,I,1450 TREAT BLVD,SUITE 120A,WALNUT CREEK,CA,945972168,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,874.72,36.2,26.81625,21.91125
1033160692,BEN-ZEEV,DEVORAH,E,M.D.,F,I,1450 TREAT BLVD,SUITE 120A,WALNUT CREEK,CA,945972168,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1347,1.1215738679,0.136644395,0.1071492205,0.1071492205
1033160692,BEN-ZEEV,DEVORAH,E,M.D.,F,I,1450 TREAT BLVD,SUITE 120A,WALNUT CREEK,CA,945972168,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,110.78571429,33,25.87,25.87
1033160767,KNEIERT,JEFFERY,F,OD,M,I,740 REENA AVE,SUITE B,FORT ATKINSON,WI,535383145,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,69.699333333,69.699333333,52.042,50.481333333
1033160882,GOTTSCHLICH,LAURA,M,DO,F,I,2400 W VILLARD AVE,WFHC GLENDALE FAMILY CENTER,MILWAUKEE,WI,532094901,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,50,8.32,6.5225,6.5225
1033160882,GOTTSCHLICH,LAURA,M,DO,F,I,2400 W VILLARD AVE,WFHC GLENDALE FAMILY CENTER,MILWAUKEE,WI,532094901,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1033160882,GOTTSCHLICH,LAURA,M,DO,F,I,2400 W VILLARD AVE,WFHC GLENDALE FAMILY CENTER,MILWAUKEE,WI,532094901,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,15,1.42,1.11,1.11
1033160940,RICHMOND,RONALD,,MD,M,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,38,7.6944736842,6.44,4.5176315789,4.5176315789
1033160940,RICHMOND,RONALD,,MD,M,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,60,22,9.86,7.73,7.73
1033160940,RICHMOND,RONALD,,MD,M,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,560,0.3239285714,0.27,0.1927142857,0.1927142857
1033160940,RICHMOND,RONALD,,MD,M,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/General Surgery,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,4.3333333333,2.02,1.5836666667,1.5836666667
1033160940,RICHMOND,RONALD,,MD,M,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,28,104,50.85,39.228846154,28.615288462,28.602403846
1033160940,RICHMOND,RONALD,,MD,M,I,60 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,468.42666667,344.05166667,269.73666667,266.0925
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,66,154,66.209285714,8.32,5.8024025974,5.8024025974
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.93,3.38,2.65,2.65
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,28,39,16.255384615,1.42,1.0579487179,1.0579487179
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,484,0.1320454545,0.12,0.0769834711,0.0769834711
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,295,8,3,2.3520338983,2.3653898305
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,5706,0.6697826849,0.2567823344,0.2013161584,0.2371854189
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,37,37,37,138.02,42.690810811,32.570540541,35.328378378
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,24.79,4.2027272727,3.2909090909,3.5936363636
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,30.35,14.527777778,11.392777778,11.970555556
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,29,29,29,146.89,48.028275862,37.652068966,40.79
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,24.28,8.7325,6.8475,7.7575
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,17,65,65,134.38,47.974307692,35.528769231,36.879384615
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,128.98,44.146428571,32.402857143,34.839285714
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,24,33.685,15.49,12.14,15.285
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,14,14,28,57.78,27.02,21.185,22.605
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,49.02,21,16.46,18.17
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,341.30114286,77.490285714,60.752857143,54.899142857
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,15,70.2,29.68,23.27,28.926
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,358.58,137.46,107.77,113.98
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,24,131,131,69.317022901,15.39648855,11.329465649,13.658854962
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,21.435454545,13.928181818,18.474545455
1033161021,VEZZA,ELENA,L,M.D.,F,I,485 LOGAN AVE,,BRONX,NY,104652545,US,Physician/Cardiovascular Disease (Cardiology),S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,31,147,147,20.57,7.0705442177,5.1428571429,6.3155782313
1033161054,MOSKOP,GREGORY,T,MD,M,I,5111 N GLEN PARK PLACE RD,,PEORIA,IL,616144675,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,30,85,77.352588235,8.32,6.446,6.446
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,113,44.01619469,8.2759292035,5.3896460177,5.424159292
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,1.9875,1.9875
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,12,34,15,1.42,0.8505882353,0.8505882353
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,23,28.868695652,28.31173913,22.195217391,22.31
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,22,11.019090909,10.87,8.525,8.575
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,160,9.849375,9.756875,7.649375,7.73
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,340,4.2735294118,4.0064705882,3.1409705882,3.1595294118
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2848,0.44,0.44,0.3449473315,0.3449473315
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,312,8.28,8.28,6.4915705128,6.4915705128
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1779,0.4492411467,0.4492411467,0.3522147274,0.3522147274
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,440,28.0985,5.6807954545,4.45375,4.1856818182
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,21,11509,1.7733313059,0.3456225563,0.2709653315,0.2433617169
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,55.409130435,18.786521739,11.576956522,10.61826087
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.67,38.95,37.63
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,13.851666667,4.5483333333,3.1916666667,3.1916666667
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,66,66,344.63757576,72.954242424,50.361363636,48.073030303
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,4086,0.5547797357,0.0461062163,0.0294101811,0.0294101811
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,660,2.480969697,0.1323181818,0.0955,0.0955
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,510,10.050607843,2.9654705882,2.1249019608,2.1249019608
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,62,66,134.46333333,23.912272727,18.748636364,14.891818182
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,62.16,9.0592307692,7.101025641,6.9148717949
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,47,169,169,169,1351.3813609,1149.7843787,890.26136095,875.59857988
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,17,1124.6523529,827.83,649.01,721.12
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,23,23,25,850.2352,556.4112,421.2168,465.6152
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,29,143,146,198,952.5280303,865.88343434,675.83616162,674.72292929
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,43,44,58,501.03793103,446.54603448,347.61862069,351.5462069
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,34,159,166,223,123.482287,116.21609865,90.680896861,88.350538117
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L2624,"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,19,403.85421053,354.49,277.92,263.48789474
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,31,51,53,64,566.87234375,467.20015625,364.03796875,363.1909375
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,32,87,88,88,839.00318182,714.62443182,560.20261364,568.37806818
1033161120,BRUGGEMAN,JERRY,J,M.D.,M,I,1112 E NORTH ST,,ELDON,MO,650262602,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,36.96,33,22.7656,22.7656
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,34,72,72,114.52763889,41.055972222,31.010138889,29.543194444
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,56,116,116,257.14327586,86.635948276,61.735862069,62.141293103
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,54,126,291,98.576666667,33.755979381,24.520343643,24.254845361
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,60,138,688,62.114927326,18.938255814,14.096700581,13.864244186
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,37,98,475,48.0744,15.035684211,10.674694737,10.763578947
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,91,211,211,183.4864455,57.756018957,42.501800948,40.343222749
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,132,183,183,59.480491803,18.763825137,14.163060109,13.528251366
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,27,34,34,24.000588235,11.274117647,8.33,7.6982352941
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,100,228,228,59.304342105,10.967894737,8.1704824561,8.7125877193
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,136,328,1805,8.2412188366,2.1310969529,1.5992686981,1.5252299169
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,87,116,116,20.650517241,6.2205172414,4.6789655172,4.4657758621
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,75,108,108,35.2225,14.18212963,10.311666667,9.6461111111
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,304.2683871,85.198387097,59.326451613,59.326451613
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,22,22,22,356.03227273,141.54136364,100.14318182,93.904090909
1033161146,KRULIN,GREGORY,S,MD,M,I,11300 FINANCIAL CENTRE PKWY,SUITE 1200,LITTLE ROCK,AR,722113746,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,33,183,184,134.37201087,34.39375,24.184836957,23.118315217
1033161351,MENESES-TAYLOR,RUTH,,MD,F,I,3801 N HIGHWAY 19A,SUITE 400,MOUNT DORA,FL,327572228,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,1.4011818182,0.4686363636,0.3674848485,0.3674848485
1033161351,MENESES-TAYLOR,RUTH,,MD,F,I,3801 N HIGHWAY 19A,SUITE 400,MOUNT DORA,FL,327572228,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,67,3936,5.1071722561,0.5558663618,0.4214761179,0.4214735772
1033161351,MENESES-TAYLOR,RUTH,,MD,F,I,3801 N HIGHWAY 19A,SUITE 400,MOUNT DORA,FL,327572228,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,47,6334,3.0845784654,1.1986406694,0.9133628039,0.9133628039
1033161351,MENESES-TAYLOR,RUTH,,MD,F,I,3801 N HIGHWAY 19A,SUITE 400,MOUNT DORA,FL,327572228,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,3120,4.5360352564,2.8064807692,2.1542948718,2.1542948718
1033161351,MENESES-TAYLOR,RUTH,,MD,F,I,3801 N HIGHWAY 19A,SUITE 400,MOUNT DORA,FL,327572228,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,12,89,89,24,24,18.061573034,18.061573034
1033161351,MENESES-TAYLOR,RUTH,,MD,F,I,3801 N HIGHWAY 19A,SUITE 400,MOUNT DORA,FL,327572228,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,67,80,16,16,12.2265,12.2265
1033161427,BROWN,MORRIS,E,MD,M,I,1110 W PEACHTREE ST NW STE 1100,,ATLANTA,GA,30309,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,37,115,370,67.205432432,8.32,5.5175945946,5.5175945946
1033161427,BROWN,MORRIS,E,MD,M,I,1110 W PEACHTREE ST NW STE 1100,,ATLANTA,GA,30309,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.642857143,3.38,2.0821428571,2.0821428571
1033161427,BROWN,MORRIS,E,MD,M,I,1110 W PEACHTREE ST NW STE 1100,,ATLANTA,GA,30309,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,32,61,13.95704918,1.42,0.858852459,0.858852459
1033161427,BROWN,MORRIS,E,MD,M,I,1110 W PEACHTREE ST NW STE 1100,,ATLANTA,GA,30309,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,28,28,322.36178571,251.0125,191.66928571,191.74571429
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,49,128,426,66.934906103,8.32,5.6148591549,5.6148591549
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,24,24,13.515,3.38,2.5395833333,2.5395833333
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,18.635,2.12,1.67,1.67
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,28,53,83,14.513012048,1.42,0.9668674699,0.9668674699
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,100,4.15,3.2536666667,3.2456666667
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7281,1.0717840956,0.32,0.2508776267,0.2430339239
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,23.99,4.7342857143,3.21,3.0585714286
1033161435,MUHAMMAD,TRACY,,MD,F,I,3401 N PERRYVILLE RD,,ROCKFORD,IL,611148011,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,477.58421053,69.81,48.968947368,48.968947368
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,990,0.25,0.13,0.1019090909,0.1019090909
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,3.06,2.04,1.5993333333,1.5993333333
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,8.7926086957,1.4865217391,1.0643478261,1.0526086957
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,26,163,168,105.15071429,19.19702381,14.118452381,13.681904762
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,18,14.11,13.591818182
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,77.18,60.51,55.246363636
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,33,33,232.2030303,49.776363636,31.916363636,30.817272727
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1866.6666667,1074.31,842.26,842.26
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,3798.0917241,1074.31,827.41827586,827.41827586
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,50.73,3.8542857143,3.0171428571,3.5314285714
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,61,456,463,530.53717063,77.641857451,57.990453564,52.435421166
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,22,203,206,132.34864078,37.424951456,27.840291262,28.000339806
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,27,9687,0.4100082585,0.0464333643,0.0333684319,0.0333684319
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,21,27,120,15078,1.5754436928,0.1343168855,0.1025964982,0.1025964982
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,2250,10.17076,3.0356,2.37992,2.37992
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,725,1.7803862069,0.2182068966,0.1604689655,0.1604689655
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,210.20638298,37.306808511,28.633617021,28.889574468
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,34,143,143,81.692307692,33,24.225804196,24.225804196
1033161518,DIAMOND,EDWARD,J,M.D.,M,I,800 BIESTERFIELD RD,SUITE 510,ELK GROVE VILLAGE,IL,600073311,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,13,13,69.230769231,66,51.74,51.74
1033161732,BLOMBERG,SCOTT,,O.D.,M,I,121 N GRAND AVE W,,SPRINGFIELD,IL,627022562,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,71.287647059,71.287647059,55.889411765,53.297647059
1033161732,BLOMBERG,SCOTT,,O.D.,M,I,121 N GRAND AVE W,,SPRINGFIELD,IL,627022562,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,29,66.61,66.61,49.214827586,50.89137931
1033161955,CAVANAGH,MICHAEL,K,MD,M,I,12201 PECOS ST,UNIT 500,WESTMINSTER,CO,802343888,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,181.68,31.385,24.61,25.325
1033161955,CAVANAGH,MICHAEL,K,MD,M,I,12201 PECOS ST,UNIT 500,WESTMINSTER,CO,802343888,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,576.72102564,78.49,55.273333333,49.170769231
1033161955,CAVANAGH,MICHAEL,K,MD,M,I,12201 PECOS ST,UNIT 500,WESTMINSTER,CO,802343888,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,285.6,38.76,25.325,24.591666667
1033162052,BHADJA,KANTILAL,N,M. D.,M,I,4223 W EL PRADO BLVD,,TAMPA,FL,336298402,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,40,70.61475,8.32,6.5235,6.5235
1033162052,BHADJA,KANTILAL,N,M. D.,M,I,4223 W EL PRADO BLVD,,TAMPA,FL,336298402,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,88.821428571,54.55,39.715,39.793571429
1033162052,BHADJA,KANTILAL,N,M. D.,M,I,4223 W EL PRADO BLVD,,TAMPA,FL,336298402,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,17.195,12.04,8.6533333333,8.3866666667
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,46,142,361,58.586094183,8.3120221607,6.0828254848,6.0890581717
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,13.402222222,3.38,2.65,2.65
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,19.8375,2.12,1.67,1.67
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,28,56,101,14.027623762,1.42,1.0597029703,1.0597029703
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,95.989090909,43.593636364,31.215454545,27.51
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,5,4.21,3.305,3.305
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,14,32,7.845,1.47,1.150625,1.150625
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,342.28421053,96.331052632,71.958947368,64.264736842
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,44,144.07568182,36.456818182,28.184318182,25.565227273
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,55.55125,19.335,14.276875,13.181875
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,75.46,11.54,9.05,9.1141666667
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,25,128,9.546171875,2.212890625,1.66171875,1.517890625
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,23.94,6.5276923077,4.7669230769,4.3007692308
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,69,69,53.20826087,18.429130435,13.63884058,12.747391304
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,27,27,131.74888889,48.31,29.462222222,29.267777778
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,42.055555556,14.700555556,10.343888889,8.735
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,27.205,4.58,3.380625,3.380625
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,39,39,120.75358974,42.133076923,28.617948718,26.431794872
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,111,111,316.24378378,76.363963964,54.193063063,49.131081081
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,29,7658,0.5240193262,0.0459193001,0.0281496474,0.0281496474
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,46,4775,2.2383183246,0.1351434555,0.0939832461,0.0939832461
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,19.852727273,15.565454545,14.289090909
1033162110,MINOR,RUSSELL,B,M.D.,M,I,800 GI MADDOX PKWY,,CHATSWORTH,GA,307054008,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,65,65,49.753846154,33,21.89,21.89
1033162292,MADISON,ELIZABETH,E,CRNP,F,I,2420 W PIERCE ST,STE 100,CARLSBAD,NM,882203543,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,33.964285714,21.140714286,15.507857143,12.778571429
1033162292,MADISON,ELIZABETH,E,CRNP,F,I,2420 W PIERCE ST,STE 100,CARLSBAD,NM,882203543,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,76,80,338.224125,98.448875,72.828,54.73725
1033162623,FARUQI,NAUSHEEN,,MD,F,I,424 S WILSON AVE,,PRICHARD,AL,366103910,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,32,4.886,3.6066666667,3.6026666667
1033162680,DAUER,ANDREW,J,D.O.,M,I,2000 FOWLER GROVE BLVD FL 3,,WINTER GARDEN,FL,347875050,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,16.36,12.83,13.54
1033162680,DAUER,ANDREW,J,D.O.,M,I,2000 FOWLER GROVE BLVD FL 3,,WINTER GARDEN,FL,347875050,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,220,79.2,62.09,54.73
1033162763,MACKINNEY,THEODORE,G,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,27,108,77.964351852,8.32,6.1003703704,6.1003703704
1033162763,MACKINNEY,THEODORE,G,MD,M,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,19,13.694736842,1.42,1.1168421053,1.1168421053
1033162904,ARBAJE,YAMIL,M,MD,M,I,1200 JOHN Q HAMMONS DR,DEAN HEMATOLOGY & ONCOLOGY CENTER,MADISON,WI,537171959,US,Physician/Hematology-Oncology,S,Q0163,"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,12,9.2291666667,0.27,0.1833333333,0.1833333333
1033163027,GILLINGHAM,TODD,S,MD,M,I,15160 NW LAIDLAW RD,STE 100,PORTLAND,OR,972297707,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,20,66.6705,8.32,4.566,4.566
1033163027,GILLINGHAM,TODD,S,MD,M,I,15160 NW LAIDLAW RD,STE 100,PORTLAND,OR,972297707,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,584.61090909,92.719090909,66.418181818,61.778181818
1033163027,GILLINGHAM,TODD,S,MD,M,I,15160 NW LAIDLAW RD,STE 100,PORTLAND,OR,972297707,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,86.789090909,19.13,13.709090909,12.801818182
1033163027,GILLINGHAM,TODD,S,MD,M,I,15160 NW LAIDLAW RD,STE 100,PORTLAND,OR,972297707,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,73,8.4887671233,2.1306849315,1.4916438356,1.4123287671
1033163027,GILLINGHAM,TODD,S,MD,M,I,15160 NW LAIDLAW RD,STE 100,PORTLAND,OR,972297707,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,874.72,39.327096774,23.643548387,18.875483871
1033163027,GILLINGHAM,TODD,S,MD,M,I,15160 NW LAIDLAW RD,STE 100,PORTLAND,OR,972297707,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,543.607,77.18,57.4845,52.563
1033163100,MUCHMORE,JOHN,S,MD,M,I,3433 NW 56TH ST,SUITE 710,OKLAHOMA CITY,OK,731124455,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,49,234,71.686111111,8.32,5.7421794872,5.7421794872
1033163100,MUCHMORE,JOHN,S,MD,M,I,3433 NW 56TH ST,SUITE 710,OKLAHOMA CITY,OK,731124455,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,27,27,501.56333333,251.11,196.87,196.87
1033163159,FOX,SCOTT,E,PA-C,M,I,1041 MORGANTON BLVD SW STE 100,,LENOIR,NC,286455605,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,45,56.148,8.32,6.5215555556,6.5215555556
1033163183,TAYLOR,GAYNEL,B,MD,M,I,1206 COLUMBIA HWY,,DOTHAN,AL,363011826,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,22,43,128,68.08875,8.32,5.15921875,5.15921875
1033163183,TAYLOR,GAYNEL,B,MD,M,I,1206 COLUMBIA HWY,,DOTHAN,AL,363011826,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,23,31,14.986451613,1.42,1.0083870968,1.0083870968
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,46,112,317,74.493785489,8.32,5.7931861199,5.7931861199
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,25,50,72,16.29625,1.42,1.0377777778,1.0377777778
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,9.16,7.9618181818,6.2427272727,6.47
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,120,4.378,3.04,1.9859166667,1.9859166667
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,499,30.679178357,3.1279158317,2.4523246493,2.3780561122
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,7282,0.7252348256,0.3956165888,0.3101634166,0.2910436693
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,88.637777778,18,13.064814815,12.579259259
1033163241,JOSHI,AMIT,M,MD,M,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,243.15954545,77.18,59.298636364,54.298636364
1033163258,LOCHOW,PETER,,M.D.,M,I,3670 PARKER BLVD STE 101,,PUEBLO,CO,810082285,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,17.91,14.04,13.64
1033163258,LOCHOW,PETER,,M.D.,M,I,3670 PARKER BLVD STE 101,,PUEBLO,CO,810082285,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,70.48,55.25,54.795714286
1033163308,MADANAGOPAL,SUDHAKAR,G,MD,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,26,26,26,183.90384615,55.951153846,40.495384615,36.288076923
1033163308,MADANAGOPAL,SUDHAKAR,G,MD,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,119.93043478,85.379130435,49.887391304,49.917826087
1033163308,MADANAGOPAL,SUDHAKAR,G,MD,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,40,40,66.18275,21.8825,15.72225,12.88
1033163308,MADANAGOPAL,SUDHAKAR,G,MD,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,13,326.12461538,268.8,210.74,232.34923077
1033163308,MADANAGOPAL,SUDHAKAR,G,MD,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,11,344.05727273,279.31,218.98,241.09818182
1033163308,MADANAGOPAL,SUDHAKAR,G,MD,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,73,29.388082192,24.23,18.995205479,16.593561644
1033163308,MADANAGOPAL,SUDHAKAR,G,MD,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,L8470,"Prosthetic sock, single ply, fitting, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,78,7.8287179487,6.45,5.0566666667,5.5751282051
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,38,109,303,62.904917492,8.32,5.5911551155,5.5911551155
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,29,38,13.739473684,1.42,0.9105263158,0.9105263158
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,139.47111111,49.156666667,36.665555556,29.456666667
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,30,205.894,48.060666667,37.678666667,28.927666667
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,240.769375,73.73,52.51875,37.84125
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,74.804615385,26.394615385,20.689230769,14.06
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,29,116,12.173534483,3.1977586207,2.3551724138,1.595
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,55.082727273,15.64,10.208181818,8.46
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,82.422666667,22.576,16.543333333,12.561333333
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,160.07,44.928,35.222666667,24.936
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1545,4.5741488673,0.5654174757,0.4030679612,0.4030679612
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,2250,2.9036088889,0.1385155556,0.1037333333,0.1037333333
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,18.82,18.82
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,24,16,16,11.495,11.495
1033163381,SULLIVAN,CHARLES,D,MD,M,I,840 N 5TH AVE,STE 2100,SEQUIM,WA,983823045,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,33,33,24.991904762,24.991904762
1033163456,SHAFFER,LORETTA,J,APRN,F,I,2601 FOREST DRIVE,AGAPE SENIOR PRIMARY CARE INC,COLUMBIA,SC,292042363,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,77,77,126.99,28.218961039,21.518441558,20.649350649
1033163472,MORRISEY,YVONNE,J,O.D.,F,I,1145 OHIO AVE,,CANON CITY,CO,812122278,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,26,69.197307692,69.197307692,47.89,45.633076923
1033163472,MORRISEY,YVONNE,J,O.D.,F,I,1145 OHIO AVE,,CANON CITY,CO,812122278,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,30,45.8,45.8,32.771333333,38.945666667
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,48,109,267,71.954382022,8.32,5.225093633,5.225093633
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,23,41,54,17.511481481,1.42,1.012962963,1.012962963
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,32,77,77,93.485194805,39.978441558,29.042857143,28.291688312
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,20,40,40,291.59675,84.9625,60.04475,61.2665
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,18,40,94,113.68170213,32.883829787,24.81393617,24.948510638
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,26,68,335,54.65280597,17.998925373,13.712208955,14.110656716
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,30,72,72,168.45430556,55.934166667,42.628888889,41.744583333
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,45,62,62,52.155322581,17.967419355,13.629032258,13.611290323
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,27,27,63.157777778,11.936296296,9.007037037,8.7640740741
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,43,114,632,8.0461234177,2.0010126582,1.5121360759,1.533971519
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,32,43,43,19.603023256,5.9962790698,4.4786046512,4.4348837209
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,24,33,33,40.442727273,13,10.19,10.335454545
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,97.107368421,54.345789474,32.084736842,29.411578947
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,18,14.11,13.591818182
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,26,127,127,144.44062992,34.411889764,22.251732283,21.133149606
1033163563,FEDIRKO,BOHDAN,,MD,M,I,5255 S CICERO AVE,,CHICAGO,IL,606324915,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,349.31818182,77.18,58.168181818,52.641363636
1033163605,SNOWDEN OPALAK,LENORE,M,M.D.,F,I,4 CORPORATE DR,SUITE 394,SHELTON,CT,064846211,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,38,92,61.616521739,8.32,6.0979347826,6.0979347826
1033163605,SNOWDEN OPALAK,LENORE,M,M.D.,F,I,4 CORPORATE DR,SUITE 394,SHELTON,CT,064846211,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,390,70.909333333,3.06,2.399,2.3700769231
1033163605,SNOWDEN OPALAK,LENORE,M,M.D.,F,I,4 CORPORATE DR,SUITE 394,SHELTON,CT,064846211,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6669,1.6674763833,0.36,0.2668990853,0.2741175589
1033163605,SNOWDEN OPALAK,LENORE,M,M.D.,F,I,4 CORPORATE DR,SUITE 394,SHELTON,CT,064846211,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1920,1.1103645833,0.0480208333,0.0341666667,0.0341666667
1033163605,SNOWDEN OPALAK,LENORE,M,M.D.,F,I,4 CORPORATE DR,SUITE 394,SHELTON,CT,064846211,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,20.54,20.54
1033163787,NOVEY,EDWARD,S,M.D.,M,I,1086 1/2 BAXTER ST,,ATHENS,GA,306066316,US,Psychiatry & Neurology,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,70.23,55.06,54.72
1033163787,NOVEY,EDWARD,S,M.D.,M,I,1086 1/2 BAXTER ST,,ATHENS,GA,306066316,US,Psychiatry & Neurology,T,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,37.44,29.35,29.51
1033163894,RAHMAN,ERSALAN,A,M.D.,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,69,69,40.726666667,39.8675
1033163894,RAHMAN,ERSALAN,A,M.D.,M,I,211 N EDDY ST,,SOUTH BEND,IN,466172808,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,23,80.217391304,66.035217391,38.913478261,40.948695652
1033163910,ROTHMAN,JASON,S,MD,M,I,50 STANIFORD ST,SUITE 600,BOSTON,MA,021142517,US,Physician/Ophthalmology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1110,3,1.8640540541,1.4614144144,1.5730630631
1033163910,ROTHMAN,JASON,S,MD,M,I,50 STANIFORD ST,SUITE 600,BOSTON,MA,021142517,US,Physician/Ophthalmology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,2130,12,6.68,5.2371032864,5.6440187793
1033163977,DECLOUET,ALETA,N,M.D.,F,I,659 BROWNSWITCH ROAD,,SLIDELL,LA,704581233,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,560.11466667,71,51.949333333,51.515333333
1033163985,JEAN,MICHAEL,C,MD,M,I,23928 LYONS AVE,SUITE 206,NEWHALL,CA,913212409,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,223,27.871928251,13.002825112,10.194215247,10.286547085
1033163985,JEAN,MICHAEL,C,MD,M,I,23928 LYONS AVE,SUITE 206,NEWHALL,CA,913212409,US,Physician/Gastroenterology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,322,550,207.70086957,162.83720497,162.83720497
1033163985,JEAN,MICHAEL,C,MD,M,I,23928 LYONS AVE,SUITE 206,NEWHALL,CA,913212409,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,57,372,88.836774194,9.3481182796,7.3285215054,7.3285215054
1033163985,JEAN,MICHAEL,C,MD,M,I,23928 LYONS AVE,SUITE 206,NEWHALL,CA,913212409,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,57,372,102.27169355,29.213978495,22.903790323,22.903790323
1033163985,JEAN,MICHAEL,C,MD,M,I,23928 LYONS AVE,SUITE 206,NEWHALL,CA,913212409,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,14,14,731.74285714,466.82,365.99,365.99
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,46,139,331,67.021570997,8.32,5.943897281,5.943897281
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,19,39,57,12.459298246,1.42,0.978245614,0.978245614
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,24,79.254166667,71.56,56.105,56.105
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,178.84615385,48.374615385,37.926923077,37.945384615
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,24,24,95.94,16.33,10.666666667,11.428333333
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,35.4044,3.798,2.8644,3.262
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,75,33.113636364,25.962727273,24.83
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,38,392.25684211,71.06,49.750789474,48.848157895
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,38,3612,1.9144933555,0.1379208195,0.1043770764,0.1043770764
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,200,39.36,30.86,29.51
1033164215,OLENGINSKI,JON,J,DO,M,I,4 E MAIN ST,,NANTICOKE,PA,186341602,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,43,43,58.325581395,33,23.463488372,23.463488372
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,33,111,71.940990991,8.32,5.8172972973,5.8172972973
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,23,14.723478261,1.42,0.9713043478,0.9713043478
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,59,59,59,119.1179661,61.949661017,47.031694915,35.717288136
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.56,5.2563636364,4.12,3.32
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,19.98,10.355,7.5688888889,7.0088888889
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,25.29,17.0625,13.375,12.0425
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,33,33,33,123.24606061,68.135757576,53.417575758,41.856969697
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,4,26,142,142,17.798661972,9.5907042254,6.514084507,6.5730985915
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,141.15,59.6625,43.426666667,38.169166667
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,54.666666667,17.52,12.790666667,12.629333333
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,26.91,7.01,4.3925,2.81625
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,15.623333333,11.3875,8.9216666667,8.4025
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,11.061428571,3.12,1.6332142857,1.5042857143
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,18.96,14.866774194,10.857419355,10.358387097
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,42.64,32.181875,25.23125,22.975625
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,68,68,338.78411765,89.825588235,68.351470588,55.435588235
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,122.44545455,43.631818182,34.205454545,31.077272727
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,57,253,253,55.595494071,22.628814229,15.456403162,12.469328063
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,90.82,39.026956522,30.106956522,24.449565217
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,61,61,79.483114754,34.870983607,23.840163934,18.21557377
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,123.94285714,52.019047619,37.126190476,32.712857143
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,196.67,80.301176471,49.854705882,41.908823529
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,16.476923077,9.13,7.1607692308,6.2653846154
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,15,69,69,23.093913043,9.9576811594,6.6368115942,5.6091304348
1033164371,ADAMS,JAMES,M,M.D.,M,I,2022 BROOKWOOD MEDICAL CTR DR,STE. 510,BIRMINGHAM,AL,352096808,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,95.183076923,40.620961538,31.254807692,29.234230769
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,17,50,77.547,19.6852,15.148,15.148
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,28,28,118.655,39.781428571,27.843214286,27.275
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,24,24,398.99333333,88.337083333,62.265833333,60.994583333
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,28,70,152.327,32.568857143,23.656285714,24.015428571
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,74,65.996216216,18.107432432,11.736486486,12.125945946
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,21,21,231.39809524,58,40.474285714,38.236190476
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,27,27,75.437407407,18.191851852,13.358888889,13.172592593
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,72.021428571,12.063571429,7.4407142857,7.1864285714
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,40,224,8.9358035714,2.0207142857,1.500625,1.5081696429
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,12,12,22.996666667,6.0883333333,4.3691666667,4.2758333333
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,45.656923077,13.004615385,8.6253846154,8.7561538462
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,63,67,69.042537313,24.734029851,18.185820896,15.624626866
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,13,13,141.56153846,47.895384615,31.513846154,31.875384615
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,212.19463415,36.219512195,25.060731707,22.203170732
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,87,91,423.59593407,84.844175824,64.739010989,54.66010989
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,147.14285714,40,31.36,29.598095238
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,4400,113.12650909,62.127727273,48.708131818,48.708131818
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3345,0.3704424514,0.0470433483,0.0341375187,0.0341375187
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,392,754.55357143,570.69688776,447.12637755,447.12637755
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1650.8333333,273.82166667,214.67583333,214.67583333
1033164389,STRAUSS,WAYNE,L,"MD, PHD",M,I,1111 NE 99TH AVE,SUITE 200,PORTLAND,OR,972209428,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,67.32,33,24.46,24.46
1033164686,BRAUN,WILLIAM,P,MD L AC,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,55,138,65.208405797,8.32,5.7663768116,5.7663768116
1033164686,BRAUN,WILLIAM,P,MD L AC,M,I,755 MEMORIAL PKWY,SUITE 300,PHILLIPSBURG,NJ,088652748,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,36,16.877222222,1.42,0.9913888889,0.9913888889
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,30,2056,0.44,0.44,0.3449951362,0.3449951362
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,127,23.66,23.66,18.549448819,18.549448819
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,645,8.28,8.28,6.4916434109,6.4916434109
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,474,20.989620253,17.540253165,12.547299578,12.547299578
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,172,11.883197674,10.93,8.0709302326,8.0709302326
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,374,1.4211764706,1.08,0.846657754,0.846657754
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,13,461,2.6118221258,2.3824295011,1.8280477223,1.8280477223
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,22,28,1812,0.1429139073,0.13,0.101986755,0.101986755
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,22,2603,0.3095927776,0.3089973108,0.2384210526,0.2384671533
1033164736,LONG,CHARLES,D,MD,M,I,1250 GREENWOOD AVE,STE 14,JENKINTOWN,PA,190462902,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1236,0.6322491909,0.4354288026,0.3243851133,0.3243851133
1033164744,JOSEPH,MARK,,MD,M,I,245 CHERRY ST SE,STE 100,GRAND RAPIDS,MI,495034607,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,51,232,47.922241379,8.32,5.6240948276,5.6240948276
1033164744,JOSEPH,MARK,,MD,M,I,245 CHERRY ST SE,STE 100,GRAND RAPIDS,MI,495034607,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,11.951764706,3.38,2.4941176471,2.4941176471
1033164744,JOSEPH,MARK,,MD,M,I,245 CHERRY ST SE,STE 100,GRAND RAPIDS,MI,495034607,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,17.043636364,2.12,1.5181818182,1.5181818182
1033164744,JOSEPH,MARK,,MD,M,I,245 CHERRY ST SE,STE 100,GRAND RAPIDS,MI,495034607,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,30,75,11.7,1.42,1.01,1.01
1033164744,JOSEPH,MARK,,MD,M,I,245 CHERRY ST SE,STE 100,GRAND RAPIDS,MI,495034607,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,286.36363636,79.88,54.660909091,47.479090909
1033164744,JOSEPH,MARK,,MD,M,I,245 CHERRY ST SE,STE 100,GRAND RAPIDS,MI,495034607,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1050,0.17,0.0450095238,0.0352666667,0.0352666667
1033164744,JOSEPH,MARK,,MD,M,I,245 CHERRY ST SE,STE 100,GRAND RAPIDS,MI,495034607,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,132,33,25.87,25.87
1033164785,HEGDE,AROTI,,M.D.,F,I,7342 HOOKING RD,,MC LEAN,VA,221012718,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,36.88,16.33,11.929090909,12.66
1033164785,HEGDE,AROTI,,M.D.,F,I,7342 HOOKING RD,,MC LEAN,VA,221012718,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,230,78.47,61.52,54.73
1033164785,HEGDE,AROTI,,M.D.,F,I,7342 HOOKING RD,,MC LEAN,VA,221012718,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,15,160,27150,3.9116316759,0.5673948435,0.424172744,0.4289675875
1033164785,HEGDE,AROTI,,M.D.,F,I,7342 HOOKING RD,,MC LEAN,VA,221012718,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,115,15690,3.2317233907,1.2787374124,0.9533569152,0.9614372212
1033164785,HEGDE,AROTI,,M.D.,F,I,7342 HOOKING RD,,MC LEAN,VA,221012718,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,133,133,24,24,18.536992481,18.536992481
1033164785,HEGDE,AROTI,,M.D.,F,I,7342 HOOKING RD,,MC LEAN,VA,221012718,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,150,157,16,16,12.380254777,12.380254777
1033164793,SAMBERG,MARK,S,MD,M,I,315 MERCY AVE,STE 400,MERCED,CA,953408363,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1530,0.33,0.13,0.0899346405,0.0899346405
1033164793,SAMBERG,MARK,S,MD,M,I,315 MERCY AVE,STE 400,MERCED,CA,953408363,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,6960,4.2412931034,1.73,1.3214899425,1.5592787356
1033164793,SAMBERG,MARK,S,MD,M,I,315 MERCY AVE,STE 400,MERCED,CA,953408363,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,2610,8.7603448276,7.23,5.6356436782,5.6356436782
1033164959,DASH,MICHAEL,R,M.D.,M,I,123 FRANKLIN CORNER RD,SUITE 216,LAWRENCEVILLE,NJ,086482526,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,51,134,73.174477612,8.32,5.1595522388,5.1595522388
1033164959,DASH,MICHAEL,R,M.D.,M,I,123 FRANKLIN CORNER RD,SUITE 216,LAWRENCEVILLE,NJ,086482526,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,31,14.173548387,1.42,0.6841935484,0.6841935484
1033164959,DASH,MICHAEL,R,M.D.,M,I,123 FRANKLIN CORNER RD,SUITE 216,LAWRENCEVILLE,NJ,086482526,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,294,6.8027210884,3,2.3520068027,2.3660884354
1033164959,DASH,MICHAEL,R,M.D.,M,I,123 FRANKLIN CORNER RD,SUITE 216,LAWRENCEVILLE,NJ,086482526,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7498,0.57,0.3,0.2351960523,0.2423672979
1033164959,DASH,MICHAEL,R,M.D.,M,I,123 FRANKLIN CORNER RD,SUITE 216,LAWRENCEVILLE,NJ,086482526,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,16,185.933125,46.031875,31.8525,32.58625
1033165196,CUTLER,CHARLES,,MD,M,I,1411 POWELL ST,,NORRISTOWN,PA,194013325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,60,161,75.879937888,8.32,6.3595031056,6.3595031056
1033165196,CUTLER,CHARLES,,MD,M,I,1411 POWELL ST,,NORRISTOWN,PA,194013325,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,16,14.489375,1.42,1.045,1.045
1033165246,GORMAN,RICHARD,F,MD,M,I,1010 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,14,1032,74.054001938,4.462751938,3.4987984496,3.4987984496
1033165246,GORMAN,RICHARD,F,MD,M,I,1010 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,58,48.120689655,42.52,32.394137931,31.281034483
1033165246,GORMAN,RICHARD,F,MD,M,I,1010 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,18,24.666666667,16,12.54,12.54
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,33,83,187,45.783368984,8.32,5.7457754011,5.7457754011
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.37,3.38,2.65,2.65
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,41,51,13.685098039,1.42,1.0509803922,1.0509803922
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,221.165,86.33,65.050555556,65.175
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,143.86058824,54.47,42.71,42.842352941
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,19,19,48.881052632,17.88,14.01,14.049473684
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,26,26,49.595384615,11.54,9.05,9.1065384615
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,38,86,7.9572093023,2.01,1.4693023256,1.4790697674
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,33.922307692,4.4761538462,2.2588461538,2.2576923077
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,148.6554902,32.408235294,24.317647059,23.935686275
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,41,351.32365854,70.23,52.374146341,52.108780488
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1612,1.754162531,0.1386166253,0.1086724566,0.1086724566
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,71.06,37.44,28.127083333,28.26875
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,33,46.5,42.52,33.336666667,31.927575758
1033165329,RATLEY,JENNIFER,A,DO,F,I,1040 MEDICAL PARK AVE,,NEW BERN,NC,285625248,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,25,41.64,33,25.87,25.87
1033165345,LAU,ON,H,M.D.,M,I,139 CENTRE STREET,#604,NEW YORK,NY,100134155,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,71,99,60.646868687,8.2666666667,5.9277777778,5.9695959596
1033165345,LAU,ON,H,M.D.,M,I,139 CENTRE STREET,#604,NEW YORK,NY,100134155,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,36,36,37.404722222,1.42,1.0888888889,1.0888888889
1033165345,LAU,ON,H,M.D.,M,I,139 CENTRE STREET,#604,NEW YORK,NY,100134155,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2114,0.4906196783,0.046012299,0.0339167455,0.0339167455
1033165345,LAU,ON,H,M.D.,M,I,139 CENTRE STREET,#604,NEW YORK,NY,100134155,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,496,3.6631451613,0.21875,0.1715725806,0.1715725806
1033165345,LAU,ON,H,M.D.,M,I,139 CENTRE STREET,#604,NEW YORK,NY,100134155,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,25.87,25.87
1033165360,SOROUSH,MEHRDAD,M,M.D.,M,I,919 CONESTOGA RD,"BUILDING 1, SUITE 300",BRYN MAWR,PA,190101352,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,4080,0.2245588235,0.13,0.0839387255,0.0839387255
1033165360,SOROUSH,MEHRDAD,M,M.D.,M,I,919 CONESTOGA RD,"BUILDING 1, SUITE 300",BRYN MAWR,PA,190101352,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,51,8910,5.7408417508,1.95,1.5053815937,1.5705465769
1033165360,SOROUSH,MEHRDAD,M,M.D.,M,I,919 CONESTOGA RD,"BUILDING 1, SUITE 300",BRYN MAWR,PA,190101352,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,3180,13.084811321,7.23,5.497827044,5.497827044
1033165360,SOROUSH,MEHRDAD,M,M.D.,M,I,919 CONESTOGA RD,"BUILDING 1, SUITE 300",BRYN MAWR,PA,190101352,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1996,20.167234469,7.87,6.1700851703,6.1769188377
1033165360,SOROUSH,MEHRDAD,M,M.D.,M,I,919 CONESTOGA RD,"BUILDING 1, SUITE 300",BRYN MAWR,PA,190101352,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,28,22.087857143,10.34,8.1053571429,8.5657142857
1033165360,SOROUSH,MEHRDAD,M,M.D.,M,I,919 CONESTOGA RD,"BUILDING 1, SUITE 300",BRYN MAWR,PA,190101352,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,22,18.13,7.46,5.85,5.85
1033165634,LIU,NADINE,,D.O.,F,I,11901 TOEPPERWEIN RD,SUITE 1402,LIVE OAK,TX,782333161,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,51,77.799607843,8.32,5.7547058824,5.7547058824
1033165634,LIU,NADINE,,D.O.,F,I,11901 TOEPPERWEIN RD,SUITE 1402,LIVE OAK,TX,782333161,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,18.404117647,1.42,0.9194117647,0.9194117647
1033165758,THORDERSON,PARLEY,K,MD,M,I,350 HERITAGE WAY,SUITE 1200,KALISPELL,MT,599013158,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,44,47,50,58.64,53.376,41.2784,44.9746
1033165998,CAVANAUGH,FRANCIS,J,MD,M,I,5140 LIBERTY AVE,,PITTSBURGH,PA,152242215,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,155.40615385,23.121538462,18.125384615,13.53
1033165998,CAVANAUGH,FRANCIS,J,MD,M,I,5140 LIBERTY AVE,,PITTSBURGH,PA,152242215,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,760.48,99.365,74.752083333,51.817916667
1033165998,CAVANAUGH,FRANCIS,J,MD,M,I,5140 LIBERTY AVE,,PITTSBURGH,PA,152242215,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,43.235454545,30.911818182,26.83
1033166038,ELIZONDO,SUSAN,L,M.D.,F,I,359-A WEST HIGHWAY 264,,ST MICHAELS,AZ,865110370,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,65.066944444,20.986111111,12.798888889,10.316111111
1033166038,ELIZONDO,SUSAN,L,M.D.,F,I,359-A WEST HIGHWAY 264,,ST MICHAELS,AZ,865110370,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,37,393.90837838,91.938918919,56.490810811,39.787837838
1033166038,ELIZONDO,SUSAN,L,M.D.,F,I,359-A WEST HIGHWAY 264,,ST MICHAELS,AZ,865110370,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,26,57.82,24.435384615,13.986538462,9.0684615385
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,40,68.64325,8.32,5.54325,5.54325
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,107.95090909,41,26.296363636,25.096363636
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,452.78090909,94.58,67.409090909,62.246363636
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,23,159.13956522,35,26.246956522,24.79173913
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,195.424,56,38.046666667,37.422666667
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,78.987857143,19.5,14.197857143,13.319285714
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,27,125,11.21128,2.3,1.68808,1.52064
1033166293,ERLER,ANITA,A,M.D.,F,I,1 ESSEX CENTER DR,LAHEY NORTHSHORE,PEABODY,MA,019602901,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,199.7659375,33.265625,23.71625,22.5828125
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,79,262,64.206984733,8.32,5.8252671756,5.8252671756
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.31875,2.31875
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,22,57,14.776140351,1.42,0.8792982456,0.8792982456
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,26,26.677307692,26.677307692,20.134230769,21.438846154
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,26,11.826923077,10.93,8.2403846154,8.2403846154
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,5512,0.44,0.44,0.3449492017,0.3449492017
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,438,23.652876712,23.652876712,18.295799087,18.301392694
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,49,1821,8.2736243822,8.2736243822,6.4658813839,6.4708841296
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,37,1917,18.489045383,18.489045383,14.495409494,14.503995827
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,3844,0.45,0.45,0.352801769,0.352801769
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,239.06105263,90,62.92,60.342105263
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,52,95.1375,34,26.219230769,25.48
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,189.30578947,56.463157895,37.417368421,36.364736842
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,21,21,59.271904762,18.086666667,13.435714286,13.39047619
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,31,31,56.237419355,12,9.1064516129,8.8351612903
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,36,198,9.0038383838,2.0078282828,1.4732828283,1.4953030303
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,30.776923077,12.954615385,10.15,10.327692308
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,79.00375,17.71,12.5878125,12.2815625
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,35.93,5.91625,4.638125,3.765625
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,184.5024,34.0424,24.7176,23.4484
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,88,91,475.02274725,78.504835165,58.23956044,52.000989011
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,216.13333333,39.992962963,31.358148148,29.498148148
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,15,6080,0.3274259868,0.0460476974,0.03428125,0.03428125
1033166384,TRIMBLE,CHRISTOPHER,P,MD,M,I,9784 N ASH AVE,,KANSAS CITY,MO,641579742,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,40.666666667,33,24.432777778,24.432777778
1033166459,ECCARIUS,SCOTT,,MD,M,I,631 SAINT ANNE ST,SUITE 103,RAPID CITY,SD,577014678,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,70,70,46.436923077,44.685384615
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,255,573,573,100.43815009,39.678272251,29.72460733,29.189057592
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,24,163,373,373,311.8658445,86.100857909,61.924316354,62.341018767
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,24,156,382,975,121.74110769,33.107015385,24.407835897,24.397630769
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,21,119,264,1404,75.96485755,18.040797721,13.481894587,13.893796296
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,73,176,926,49.962138229,15.544913607,11.502203024,11.244730022
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,22,189,431,431,192.36638051,54.77800464,40.485243619,40.422691415
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,30,329,460,460,65.093173913,18.11773913,13.629347826,13.53723913
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,59,77,77,31.258181818,10.205974026,8,8.1316883117
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,105,230,230,73.809478261,11.720086957,8.5458695652,8.5515652174
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,327,792,4483,8.1782355565,2.0208699532,1.53415793,1.5434218157
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,191,274,274,21.652262774,6.0389416058,4.5668613139,4.5037591241
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,25,166,210,210,43.585047619,13.069047619,9.661952381,9.7521428571
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,13,68,70,367.46571429,89.235285714,64.084714286,62.019142857
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,,47,53,866.83471698,211.43150943,163.05471698,159.56528302
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,5910.6833333,1235.0183333,943.77916667,943.77916667
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,52,52,52,439.95596154,134.13423077,103.37557692,102.52884615
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,29,137,147,65.680748299,13.083537415,10.044761905,10.012857143
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,112,637,641,193.1174727,34.233868955,25.15624025,24.229531981
1033166483,LEVY,BARRY,E,M.D.,M,I,10640 W 165TH STREET,,ORLAND PARK,IL,604675653,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,78.09,78.09,58.870833333,52.380833333
1033166616,MAPLES,LARRY,L,DO,M,I,101 S HARTFORD ST,,BRECKENRIDGE,TX,764244711,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23.23,7.6309090909,5.9836363636,3.5836363636
1033166616,MAPLES,LARRY,L,DO,M,I,101 S HARTFORD ST,,BRECKENRIDGE,TX,764244711,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,110,54.1304,42.4424,27.778
1033166764,DIRKS,MARCO,P,M.D.,M,I,281 COUNTY ST,,ATTLEBORO,MA,027033511,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,38,139,70.94,53.435526316,44.834473684
1033166764,DIRKS,MARCO,P,M.D.,M,I,281 COUNTY ST,,ATTLEBORO,MA,027033511,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,26,31,139,103,80.75,67.724193548
1033166780,RESTREPO,ANGELA,M,M.D.,F,I,41 MALL RD,LAHEY CLINIC,BURLINGTON,MA,018050001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,66,84,184,856,74.754521028,8.32,6.039521028,6.039521028
1033166780,RESTREPO,ANGELA,M,M.D.,F,I,41 MALL RD,LAHEY CLINIC,BURLINGTON,MA,018050001,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,12.812,3.38,2.65,2.65
1033166780,RESTREPO,ANGELA,M,M.D.,F,I,41 MALL RD,LAHEY CLINIC,BURLINGTON,MA,018050001,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,37,76,176,16.247556818,1.42,0.9741477273,0.9741477273
1033166798,DESPLAT,PHILIPPE,,D.O.,M,I,40 WASHINGTON AVE,VALLEY HEALTH MEDICAL GROUP,DUMONT,NJ,076283697,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,41,104,68.405769231,8.32,6.2703846154,6.2703846154
1033166798,DESPLAT,PHILIPPE,,D.O.,M,I,40 WASHINGTON AVE,VALLEY HEALTH MEDICAL GROUP,DUMONT,NJ,076283697,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,21,27,15.125555556,1.42,1.0762962963,1.0762962963
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,21,34,68,1.5602941176,0.51,0.4,0.4
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,56,160,592,50.781824324,8.32,5.9223648649,5.9223648649
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,25,76,77,14.183636364,3.38,2.65,2.65
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,23,36,36,26.578888889,2.12,1.67,1.67
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,43,107,219,15.82086758,1.42,1.0663926941,1.0663926941
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,290,16,5.82,4.193137931,3.8377586207
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,6289,0.85,0.3,0.2352090952,0.2426697408
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,83.178461538,52.661538462,41.289230769,37.941538462
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,23.737142857,18,13.102142857,12.572857143
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,17.944,5.52,2.598,2.028
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,84.69,41.25,27.356363636,28.480909091
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,163.25583333,90.01,65.345416667,50.169166667
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,3072,0.4434895833,0.0477636719,0.0319401042,0.0319401042
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,681,3.1833773862,0.2201615272,0.1419676946,0.1419676946
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,34.793043478,22.213043478,17.418695652,15.179130435
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,127.33,78.47125,61.525,51.923125
1033166806,BENGOA,MILTON,R,M. D,M,I,925 NE 30TH TER,SUITE 210,HOMESTEAD,FL,330337613,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,33,33,21.739333333,21.739333333
1033166921,HRAD,DANIEL,E,M.D.,M,I,1891 BAY SCOTT CIR,STE 109,NAPERVILLE,IL,605401137,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,21,56,127,77.663700787,8.32,6.0085826772,6.0085826772
1033166921,HRAD,DANIEL,E,M.D.,M,I,1891 BAY SCOTT CIR,STE 109,NAPERVILLE,IL,605401137,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,16,35,43,17.005116279,1.42,0.9860465116,0.9860465116
1033166962,TRAINA,JEFFREY,F,MD,M,I,800 S. 3RD STREET,,LEESVILLE,LA,71446,US,Physician/Orthopedic Surgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,373.55,373.55,292.86,292.92
1033166962,TRAINA,JEFFREY,F,MD,M,I,800 S. 3RD STREET,,LEESVILLE,LA,71446,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,51,51,998.48411765,998.48411765,778.69313725,772.19215686
1033166962,TRAINA,JEFFREY,F,MD,M,I,800 S. 3RD STREET,,LEESVILLE,LA,71446,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,24,873.0975,873.0975,684.5025,679.13666667
1033166962,TRAINA,JEFFREY,F,MD,M,I,800 S. 3RD STREET,,LEESVILLE,LA,71446,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,19,25,52.9948,52.9948,41.548,45.7896
1033166962,TRAINA,JEFFREY,F,MD,M,I,800 S. 3RD STREET,,LEESVILLE,LA,71446,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,20,20,250.461,250.461,190.562,213.094
1033166970,LEDESMA,AIMEE,F,MD,F,I,9555 76TH STREET,,PLEASANT PRAIRIE,WI,53158,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,49,103,61.91631068,8.3010679612,5.4922330097,5.5070873786
1033166970,LEDESMA,AIMEE,F,MD,F,I,9555 76TH STREET,,PLEASANT PRAIRIE,WI,53158,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,39,43,15.345581395,1.42,1.0139534884,1.0139534884
1033167002,SMITH,ROBERT,B,MD,M,I,6565 E CARONDELET DR,ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI,TUCSON,AZ,85710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,37,88,73.120340909,8.32,4.8420454545,4.8420454545
1033167002,SMITH,ROBERT,B,MD,M,I,6565 E CARONDELET DR,ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI,TUCSON,AZ,85710,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,16,11.311875,1.42,0.76875,0.76875
1033167002,SMITH,ROBERT,B,MD,M,I,6565 E CARONDELET DR,ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI,TUCSON,AZ,85710,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,180.00363636,53.63,30.925454545,31.770909091
1033167002,SMITH,ROBERT,B,MD,M,I,6565 E CARONDELET DR,ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI,TUCSON,AZ,85710,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,58.452727273,19.205454545,13.752727273,12.781818182
1033167002,SMITH,ROBERT,B,MD,M,I,6565 E CARONDELET DR,ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI,TUCSON,AZ,85710,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,65.31,13.011666667,10.204166667,9.1525
1033167002,SMITH,ROBERT,B,MD,M,I,6565 E CARONDELET DR,ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI,TUCSON,AZ,85710,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,96,10.465,2.194375,1.5154166667,1.3928125
1033167002,SMITH,ROBERT,B,MD,M,I,6565 E CARONDELET DR,ASSOCIATES IN FAMILY PRACTICE ARIZONA COMMUNITY PHYSICI,TUCSON,AZ,85710,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,250,30.489090909,23.900909091,25.501818182
1033167119,BRAMSON,WALTER,D,MD,M,I,580 FOREST SHADE,"LAKE GREGORY PROF. COMPLEX, UNIT 1",CRESTLINE,CA,923253816,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,649.26307692,78.587692308,48.001538462,42.666923077
1033167119,BRAMSON,WALTER,D,MD,M,I,580 FOREST SHADE,"LAKE GREGORY PROF. COMPLEX, UNIT 1",CRESTLINE,CA,923253816,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,132,33,21.166363636,21.166363636
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,28,84,276,42.403007246,8.32,5.756557971,5.756557971
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,29,29,14.862068966,3.38,2.1931034483,2.1931034483
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,16,18,18,20.726111111,2.12,1.5772222222,1.5772222222
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,24,63,102,15.151078431,1.42,1.0170588235,1.0170588235
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,511,41.86888454,2.72,2.0276712329,2.2491585127
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,24,679,251.66206186,5.2932989691,4.1401767305,4.1477761414
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,6213,0.7073877354,0.36,0.2750426525,0.2828842749
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,18,8938,2.8879055717,0.3092716491,0.2126650257,0.2132356232
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,50,7.7414285714,6.0657142857,7.0528571429
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,15,86,86,162.17895349,47.259534884,34.321860465,35.422325581
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,160.77,44.022105263,32.156842105,36.467894737
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,4,,11,11,686.13727273,132.30272727,103.72545455,132.18
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,329.78,112.36454545,77.736363636,86.89
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,38,55.395789474,16.752631579,12.790263158,13.156315789
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1200,1074.31,839.09583333,839.09583333
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,56.15,4.5061764706,3.1823529412,3.2529411765
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,48,48,121.61708333,46.729375,35.210416667,34.199583333
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,4.95,3.88,3.9436363636
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,35.92,11.233684211,8.3705263158,7.9968421053
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,12,12,24,78.278333333,24.9075,19.527916667,22.338333333
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,23,36.67,10.643913043,8.0191304348,7.8908695652
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,420.19,208.80772727,158.03363636,158.03318182
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,42,344.81190476,75.192857143,58.313333333,54.49547619
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1920,1.53009375,0.1290052083,0.1011458333,0.1011458333
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,73.397857143,17.979285714,13.262142857,14.527142857
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,54,54,90.82,33.948703704,26.186481481,24.098888889
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,5,,11,36,57.081666667,29.471666667,23.106388889,23.106388889
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,83,83,27.891084337,7.2322891566,5.475060241,6.38
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,35.26,27.65,29.355
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,7,13,15,63,28.365079365,15.26,11.964285714,11.964285714
1033167226,YAMBAO,JAIME,T,MD,M,I,4444 W BRISTOL RD,SUITE 150,FLINT,MI,485073153,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,16,16,49.3125,33,25.87,25.87
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,35,98,73.214897959,8.32,5.9895918367,5.9895918367
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,17,20,15.462,1.42,1.062,1.062
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,30,74.848,71.56,55.414333333,55.414333333
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,69,45.543188406,43.56,34.151594203,34.149855072
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,30,103.64866667,33.48,25.057666667,24.727666667
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,62,8.985483871,2,1.2648387097,1.289516129
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,86.31,17,13.33,13.54
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,220.301875,33.9275,26.60375,24.3525
1033167283,BRATEANU,ANDREI,,M.D.,M,I,13944 EUCLID AVE,,EAST CLEVELAND,OH,441123804,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,519.51,78,57.552941176,51.510588235
1033167325,ROBICHAUX,MICHAEL,R,MD,M,I,8080 BLUEBONNET BLVD,SUITE 1000,BATON ROUGE,LA,708107827,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,450,296.75,230.96041667,254.48041667
1033167325,ROBICHAUX,MICHAEL,R,MD,M,I,8080 BLUEBONNET BLVD,SUITE 1000,BATON ROUGE,LA,708107827,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,280,222.062,160.818,159.3275
1033167325,ROBICHAUX,MICHAEL,R,MD,M,I,8080 BLUEBONNET BLVD,SUITE 1000,BATON ROUGE,LA,708107827,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,85,86,106,80,53.2,39.372924528,42.895566038
1033167325,ROBICHAUX,MICHAEL,R,MD,M,I,8080 BLUEBONNET BLVD,SUITE 1000,BATON ROUGE,LA,708107827,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,44,100,77.25,56.607954545,62.496590909
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,36,117,47.622820513,8.2700854701,6.0967521368,6.137008547
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.714285714,3.38,2.65,2.65
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,24,38,16.768421053,1.42,1.0555263158,1.0555263158
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,895.06,174.97,131.83333333,119.98583333
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,46.19125,16.97125,12.204166667,12.426666667
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,175.55444444,44.06,34.402777778,37.483333333
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,24.423809524,6.0261904762,4.260952381,3.4504761905
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,288.70448276,71.5,48.567586207,47.467241379
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2398,1.3337572977,0.1341534612,0.0961342786,0.0961342786
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,69.7,36.908571429,26.876428571,27.420714286
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,584.24526316,137.58631579,103.27578947,99.754210526
1033167440,PARRISH,CHARLES,W,MD,M,I,118 PATRIOT DR STE 102,,BARDSTOWN,KY,400049094,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,108.70588235,33,24.348235294,24.348235294
1033167465,WADE,MERLE,L,MD,M,I,713 GOODYEAR AVE,,GADSDEN,AL,359031156,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,840,0.39,0.13,0.0764761905,0.0764761905
1033167465,WADE,MERLE,L,MD,M,I,713 GOODYEAR AVE,,GADSDEN,AL,359031156,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,46,7320,4.308852459,2.04,1.5446502732,1.5446502732
1033167465,WADE,MERLE,L,MD,M,I,713 GOODYEAR AVE,,GADSDEN,AL,359031156,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,42,16.507619048,10.894285714,8.5411904762,8.5692857143
1033167465,WADE,MERLE,L,MD,M,I,713 GOODYEAR AVE,,GADSDEN,AL,359031156,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,460,6.5934782609,4.0365217391,3.164673913,3.164673913
1033167465,WADE,MERLE,L,MD,M,I,713 GOODYEAR AVE,,GADSDEN,AL,359031156,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,750,0.438,0.266,0.2085466667,0.2111466667
1033167663,ZEREGA,JOSEPH,J,M.D.,M,I,3745 11TH CIR,SUITE 101,VERO BEACH,FL,329604837,US,Physician/Gastroenterology,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.61,3.97,3.1125,3.1125
1033167663,ZEREGA,JOSEPH,J,M.D.,M,I,3745 11TH CIR,SUITE 101,VERO BEACH,FL,329604837,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,840,6.8214285714,3.08,2.4146666667,2.3693452381
1033167663,ZEREGA,JOSEPH,J,M.D.,M,I,3745 11TH CIR,SUITE 101,VERO BEACH,FL,329604837,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,11596,1,0.38,0.2979216971,0.2904915488
1033167663,ZEREGA,JOSEPH,J,M.D.,M,I,3745 11TH CIR,SUITE 101,VERO BEACH,FL,329604837,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,11100,1,0.31,0.2301117117,0.2301117117
1033167705,WEPSIC,RICHARD,A,M.D.,M,I,520 MARY ST.,SUITE 230,EVANSVILLE,IN,477101678,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,38.03,22.4775,17.620833333,13.53
1033167705,WEPSIC,RICHARD,A,M.D.,M,I,520 MARY ST.,SUITE 230,EVANSVILLE,IN,477101678,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,226.15,102.61833333,80.455,54.73
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,350,34.928571429,11.709,9.1799142857,9.2500285714
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,81,499.01234568,373.44,292.77654321,292.77654321
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,79,39.113924051,9.35,7.33,7.33
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,79,139.24050633,29.22,22.90835443,22.90835443
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,277.07,79.99,57.484166667,50.169166667
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,30,1848,45.806953463,4.7598755411,3.7317532468,3.7317532468
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,82.61,37.15,26.7025,27.090833333
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,86.153846154,24,18.82,18.82
1033167846,VISCONTI,JOHN,L,DO,M,I,4000 N ILLINOIS LN,STE C,SWANSEA,IL,622261969,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,120.04545455,16,12.54,12.54
1033167978,RICHARDSON,ROBERT,W,MD,M,I,180 FRANKLIN AVE,,NUTLEY,NJ,071102939,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,80,184,68.290163043,8.32,5.954673913,5.954673913
1033167978,RICHARDSON,ROBERT,W,MD,M,I,180 FRANKLIN AVE,,NUTLEY,NJ,071102939,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,25,39,17.663076923,1.42,1.0866666667,1.0866666667
1033167978,RICHARDSON,ROBERT,W,MD,M,I,180 FRANKLIN AVE,,NUTLEY,NJ,071102939,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,220.61181818,71.5,56.06,54.73
1033168083,CHEEVER,LAURA,W,M.D.,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Physician/Infectious Disease,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1637.07,119.53454545,80.672727273,82.946363636
1033168091,MAGIROS,EVA,,M.D.,F,I,1720A MEDICAL PARK DR,SUITE 340,BILOXI,MS,395322129,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,34,86.31,17.29,13.55,13.537058824
1033168091,MAGIROS,EVA,,M.D.,F,I,1720A MEDICAL PARK DR,SUITE 340,BILOXI,MS,395322129,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,62,519.51,70.23,55.06,54.769354839
1033168125,MACHESKY,KELLY,K,MD,F,I,13350 24 MILE RD STE 200,,SHELBY TOWNSHIP,MI,483151826,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,24,50,143,48.908041958,8.32,5.7005594406,5.7005594406
1033168125,MACHESKY,KELLY,K,MD,F,I,13350 24 MILE RD STE 200,,SHELBY TOWNSHIP,MI,483151826,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,32,46,13.799130435,1.42,1.0191304348,1.0191304348
1033168125,MACHESKY,KELLY,K,MD,F,I,13350 24 MILE RD STE 200,,SHELBY TOWNSHIP,MI,483151826,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,56.538461538,11.792307692,8.5823076923,8.9769230769
1033168125,MACHESKY,KELLY,K,MD,F,I,13350 24 MILE RD STE 200,,SHELBY TOWNSHIP,MI,483151826,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,68,68,27.257205882,5.4604411765,3.7839705882,3.3639705882
1033168125,MACHESKY,KELLY,K,MD,F,I,13350 24 MILE RD STE 200,,SHELBY TOWNSHIP,MI,483151826,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,458.25772727,79.88,48.974545455,43.294545455
1033168125,MACHESKY,KELLY,K,MD,F,I,13350 24 MILE RD STE 200,,SHELBY TOWNSHIP,MI,483151826,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,258.92857143,35.63,27.93,29.51
1033168125,MACHESKY,KELLY,K,MD,F,I,13350 24 MILE RD STE 200,,SHELBY TOWNSHIP,MI,483151826,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,13,13,33,33,25.87,25.87
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,97,192,64.6940625,8.32,5.1660416667,5.1660416667
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,21,22,13.922272727,1.42,0.8654545455,0.8654545455
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,32,32,79.470625,40.585625,28.4325,27.103125
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,11,22,22,275.64636364,96.971363636,66.735909091,58.610909091
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,27,53,100.28867925,36.877735849,27.416415094,24.423018868
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,28,133,61.413233083,18.36,13.220300752,13.362406015
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,17,91,42.373626374,15.907692308,11.419340659,10.859120879
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,19,47,47,170.07212766,57.840425532,42.959148936,40.638510638
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,28,41,41,57.488780488,19.14195122,13.619756098,12.677317073
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,19,19,56.51,11.978947368,8.9563157895,8.6673684211
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,26,55,300,7.6009333333,2.1429,1.5863333333,1.4962
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,37.867647059,13.518823529,10.6,10.345882353
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,39.55,17.69,13.87,13.53
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,42.313043478,15.592608696,10.866956522,9.4139130435
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,54,56,162.92142857,38.901071429,26.897857143,22.63125
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,443.69111111,69.99,51.821666667,51.689444444
1033168174,JIROVEC,RICHARD,J,M.D.,M,I,6041 VILLAGE DR,SUITE 130,LINCOLN,NE,685166619,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.448181818,18.448181818,14.465454545,14.289090909
1033168380,SCHUTZBANK,STEVEN,,DPM,M,I,7341 BROOKHAVEN RD,,PHILA,PA,191512206,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,84.68,71.56,56.105,56.105
1033168539,STAWARA,MARK,A,MD,M,I,2035 PROFESSIONAL CTR DR,SUITE C,ORANGE PARK,FL,320734462,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,20,48,52.479583333,8.32,6.520625,6.520625
1033168539,STAWARA,MARK,A,MD,M,I,2035 PROFESSIONAL CTR DR,SUITE C,ORANGE PARK,FL,320734462,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,17,13.678235294,1.42,1.1182352941,1.1182352941
1033168539,STAWARA,MARK,A,MD,M,I,2035 PROFESSIONAL CTR DR,SUITE C,ORANGE PARK,FL,320734462,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,65.4,57.25,44.88,37.036153846
1033168539,STAWARA,MARK,A,MD,M,I,2035 PROFESSIONAL CTR DR,SUITE C,ORANGE PARK,FL,320734462,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,29.5,5.51,4.32,3.9717647059
1033168539,STAWARA,MARK,A,MD,M,I,2035 PROFESSIONAL CTR DR,SUITE C,ORANGE PARK,FL,320734462,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,38,28.277631579,19.241578947,13.576315789,12.441842105
1033168539,STAWARA,MARK,A,MD,M,I,2035 PROFESSIONAL CTR DR,SUITE C,ORANGE PARK,FL,320734462,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,44.382941176,38.006470588,29.795294118,26.987647059
1033168539,STAWARA,MARK,A,MD,M,I,2035 PROFESSIONAL CTR DR,SUITE C,ORANGE PARK,FL,320734462,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,10.74173913,8.9165217391,6.9908695652,6.7839130435
1033168711,REYHANI,SEAN,A,D.P.M.,M,I,1108 GULF FWY S,SUITE 250,LEAGUE CITY,TX,775735100,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,500,154.7,121.28,120.07785714
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,4720,5.0056779661,1.9283898305,1.5118644068,1.5993538136
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,2205,9.4565306122,6.4365306122,4.9811564626,5.4649977324
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,74,189,29.96984127,10.93,7.7532275132,7.7532275132
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,400,8.1911,3.82,2.5508,2.600075
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,31,36,19.999444444,8.2775,6.31,6.3125
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,21,21.476190476,4.1,3.0580952381,3.0580952381
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,46,1120,10.934419643,5.7335714286,4.3731696429,4.3754017857
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,340,18.627588235,10.18,7.5591470588,7.5591470588
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,78,16.722820513,6.44,4.8442307692,4.8442307692
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,30,770,24.676818182,9.86,7.5438051948,7.5438051948
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,220,12.585727273,5.54,4.1149545455,4.1149545455
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,35,1050,23.197961905,9.58,7.4529809524,7.4529809524
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,920,9.1037282609,4.0360869565,3.1641956522,3.1648804348
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,44,2355,0.7998259023,0.27,0.20492569,0.20492569
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,22,1215,0.625127572,0.2451440329,0.1805761317,0.1971934156
1033168802,GONG,MICHAEL,,"MD, PHD",M,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Urology,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,32.2,15.16,11.89,13.79
1033168810,KABONGO,MARTIN,L,"MD, APC",M,I,UCSD MEDICAL CENTER,200 WEST ARBOR DRIVE MC8201,SAN DIEGO,CA,921038201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,78.068695652,8.32,5.9534782609,5.9534782609
1033168810,KABONGO,MARTIN,L,"MD, APC",M,I,UCSD MEDICAL CENTER,200 WEST ARBOR DRIVE MC8201,SAN DIEGO,CA,921038201,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,54.78,3.3581818182,2.6281818182,3.6345454545
1033168919,TAN,MIN JIE,,MD,M,I,455 BEAVER RUIN RD NW,,LILBURN,GA,300473413,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,27,113,56.719557522,8.32,6.4651327434,6.4651327434
1033168919,TAN,MIN JIE,,MD,M,I,455 BEAVER RUIN RD NW,,LILBURN,GA,300473413,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,36,13.408888889,1.42,1.1133333333,1.1133333333
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,47,111,326,67.888190184,8.32,5.6022392638,5.6022392638
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,24,24,15,3.38,2.5395833333,2.5395833333
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,25,2.12,1.5415384615,1.5415384615
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,24,51,87,15.985862069,1.42,1.0125287356,1.0125287356
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,510,59.131686275,4.5264705882,3.5302941176,3.2244509804
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,7488,1.1630769231,0.4766346154,0.3403205128,0.2945192308
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6173,2.8047108375,0.64,0.501768994,0.5147934554
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,64.14,22.407142857,15.434285714,12.027142857
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,90.96,34.675,24.32,29.248333333
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,187.84,54.27,32.915384615,25.815384615
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,53.84,5.04,3.95,3.95
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,415.45142857,104.23333333,73.464285714,49.121428571
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2532,0.3860308057,0.0458096367,0.0315916272,0.0315916272
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1769,0.985347654,0.1358055399,0.1003278689,0.1003278689
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,40,40,91.03075,21.7315,14.60275,12.39525
1033169016,CASH,BARRY,P,MD,M,I,740 REENA AVE,,FORT ATKINSON,WI,535383145,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,93.260869565,33,23.620434783,23.620434783
1033169123,APOSTOLOU,GEORGE,C,M.D.,M,I,324 W SUPERIOR ST,STE. 220,DULUTH,MN,558021701,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,21,54,82.651666667,8.32,5.7375925926,5.7375925926
1033169123,APOSTOLOU,GEORGE,C,M.D.,M,I,324 W SUPERIOR ST,STE. 220,DULUTH,MN,558021701,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,37.058823529,12.677647059,9.3311764706,9.3623529412
1033169123,APOSTOLOU,GEORGE,C,M.D.,M,I,324 W SUPERIOR ST,STE. 220,DULUTH,MN,558021701,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,120,30.732105263,22.871578947,22.928421053
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,4,,80,287,472.82303136,19.694878049,15.01010453,15.01010453
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,74.046086957,14.409565217,10.215652174,10.215652174
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,117,41308,75.435826716,9.8425065363,7.7149503728,7.7149503728
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,J1572,"Injection, immune globulin, (flebogamma/flebogamma dif), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1170,283.25129915,34.920153846,27.377418803,27.377418803
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6109090909,7.5349545455,7.5349545455
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1230,12.803243902,3.054804878,2.3949918699,2.3949918699
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,80,373,173.12037534,2.6382841823,2.0242091153,2.0242091153
1033169271,SOLENSKY,ROLAND,,M.D.,M,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,127.28571429,33,25.87,25.87
1033169370,CANDELA,STEPHEN,J,M.D.,M,I,117 E MAIN ST,,WHITEVILLE,NC,284724131,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,12,147.60166667,117.67,92.258333333,101.65416667
1033169644,DELL,PAUL,C,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,21,75.942857143,53.2,39.723809524,44.419047619
1033169693,HENGEL,JAY,A,DPM,M,I,10442 W CERMAK RD,,WESTCHESTER,IL,601545201,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,40,91.75,71.56,56.10875,56.10125
1033169693,HENGEL,JAY,A,DPM,M,I,10442 W CERMAK RD,,WESTCHESTER,IL,601545201,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,70,64.2,43.56,34.150571429,34.147428571
1033169842,KOOP,MICHAEL,R,M.D.,M,I,7710 BEECHNUT ST,SUITE 100,HOUSTON,TX,770743100,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,12,75.535,58.91,46.185833333,52.541666667
1033169859,RAO,DINESH,S,MD,M,I,1901 SE 18TH AVE,BLDG 300,OCALA,FL,344718215,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,75,9147,2.6619766044,0.13,0.0989428228,0.0989428228
1033169859,RAO,DINESH,S,MD,M,I,1901 SE 18TH AVE,BLDG 300,OCALA,FL,344718215,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,23,144,16209,5.0258356469,2.0315972608,1.5520414584,1.5575840582
1033169859,RAO,DINESH,S,MD,M,I,1901 SE 18TH AVE,BLDG 300,OCALA,FL,344718215,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,65,8766,10.534223135,6.2239219713,4.8206639288,5.5654802647
1033169859,RAO,DINESH,S,MD,M,I,1901 SE 18TH AVE,BLDG 300,OCALA,FL,344718215,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,26,12.765384615,10.803846154,8.4703846154,8.4703846154
1033169883,RECKLER,JON,M,MD,M,I,245 E 54TH ST,2N,NEW YORK,NY,100224707,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,4530,7.23,7.23,5.6366512141,5.6366512141
1033169925,GRAVES,RODNEY,A,D.P.M.,M,I,1100 GOETHALS DRIVE 2ND FLOOR,KADLEC CLINIC FOOT & ANKLE,RICHLAND,WA,993523304,US,Podiatry,S,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,60,50.282666667,39.419333333,41.640666667
1033169925,GRAVES,RODNEY,A,D.P.M.,M,I,1100 GOETHALS DRIVE 2ND FLOOR,KADLEC CLINIC FOOT & ANKLE,RICHLAND,WA,993523304,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,335,335,262.64,218.89
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,46,144,367,50.079700272,8.32,5.8102452316,5.8102452316
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,19,35,55,16.415454545,1.42,0.8732727273,0.8732727273
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,45,79.320666667,25.295777778,19.831111111,14.550666667
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,211.515,75.601111111,59.270555556,44.282222222
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,19,19,52.474736842,25.664210526,20.118947368,14.868421053
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,20,20,61.4865,20.8625,16.3505,9.686
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,31,131,7.5949618321,3.2686259542,2.5630534351,1.6339694656
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,18,417.58,74.257777778,58.220555556,41.165555556
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,26,93.224615385,21.757692308,15.909230769,12.720769231
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4706.98,1074.31,842.26,842.26
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,22,25,45.902,18.4528,14.4676,10.0668
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,54,60,39.822,8.155,5.9476666667,3.3723333333
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,150,58.128571429,43.724285714,25.535357143
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,94,107,378.82186916,99.906542056,74.695046729,59.090654206
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,30.111666667
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,3499,0.3603801086,0.0450900257,0.0254072592,0.0254072592
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,3563,1.9178192534,0.1335223127,0.0985770418,0.0985770418
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,36,12.428666667,9.7446666667,6.978
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,44.560909091,31.950909091,27.482727273
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,689.5,265.74727273,208.34636364,170.68181818
1033169933,BAKER,KRISTY,R,ARNP,F,I,3140 HAYES AVE,,CLINTON,OK,736013601,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,17,48,48,35.875,33,22.777083333,22.777083333
1033169974,BURKHART,STEPHEN,B,M.D.,M,I,117 E MAIN ST,,SALEM,KY,420789998,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,47.42,28.46,22.31,22.31
1033169974,BURKHART,STEPHEN,B,M.D.,M,I,117 E MAIN ST,,SALEM,KY,420789998,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,18.18,9.29,7.28,8.4941176471
1033169974,BURKHART,STEPHEN,B,M.D.,M,I,117 E MAIN ST,,SALEM,KY,420789998,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,2880,0.44,0.44,0.3449583333,0.3449583333
1033169974,BURKHART,STEPHEN,B,M.D.,M,I,117 E MAIN ST,,SALEM,KY,420789998,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,55.778846154,21.757692308,15.562692308,12.374615385
1033169974,BURKHART,STEPHEN,B,M.D.,M,I,117 E MAIN ST,,SALEM,KY,420789998,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,348.2962963,92.988148148,63.094444444,45.714074074
1033169982,AL TAMIMI,MAZIN,,M.D.,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907201,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,120.90909091,46.966363636,34.022727273,33.689090909
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,66,138,66.446594203,8.32,5.3905797101,5.3905797101
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,1.9272727273,1.9272727273
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,35,45,16.32,1.42,0.9422222222,0.9422222222
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,25,29,72.555862069,33.06,21.056551724,21.056551724
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,54.921333333,17.94,13.122666667,13.122666667
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,59,9.32,1.99,1.56,1.5915254237
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,32.74375,13.315833333,10.01125,10.032083333
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,28,148.22857143,32.165,24.388571429,24.455
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,29,519.51,69.99,52.977931034,52.895862069
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,50,5451,1.1526875803,0.1346138323,0.0909374427,0.0909374427
1033170006,CAMPBELL,LORRIE,L,DO,F,I,180 NORTHSTAR DR,,HOLTS SUMMIT,MO,650431123,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,46,46,119.08695652,33,23.058043478,23.058043478
1033170022,DUBECK,JANET,K,MD,F,I,4600 INVESTMENT DR,STE 300,TROY,MI,48098,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,30,92,46.315434783,8.32,5.8841304348,5.8841304348
1033170030,GOVE,RONALD,C,M.D.,M,I,222 NEW RD,CENTRAL PARK EAST,LINWOOD,NJ,082211299,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,22,47,77.114893617,8.32,5.9663829787,5.9663829787
1033170063,MINZNER,JON,R,MD,M,I,2765 CHAPEL PL,SUITE 200,CRESTVIEW HILLS,KY,410173413,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,40,99,56.335757576,8.32,5.9309090909,5.9309090909
1033170097,KARIA,DARSHAK,K,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,4,,53,55,112.72727273,19.704363636,15.165090909,15.165090909
1033170097,KARIA,DARSHAK,K,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,5,,63,217,140.99078341,37.377281106,28.948709677,28.948709677
1033170097,KARIA,DARSHAK,K,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Cardiovascular Disease (Cardiology),S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,480.66666667,190.81866667,149.60266667,164.82933333
1033170097,KARIA,DARSHAK,K,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,45,1635,61.174905199,1.5579388379,1.1900183486,1.1900183486
1033170154,SHEPHERD,WILLARD,N,O.D.,M,I,400 NASH MEDICAL ARTS MALL,,ROCKY MOUNT,NC,278041415,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,77.448064516,77.280322581,51.083548387,45.081290323
1033170154,SHEPHERD,WILLARD,N,O.D.,M,I,400 NASH MEDICAL ARTS MALL,,ROCKY MOUNT,NC,278041415,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,42,50.407142857,49.931428571,36.378571429,40.357857143
1033170154,SHEPHERD,WILLARD,N,O.D.,M,I,400 NASH MEDICAL ARTS MALL,,ROCKY MOUNT,NC,278041415,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,20,67.686,67.686,50.3465,51.1865
1033170154,SHEPHERD,WILLARD,N,O.D.,M,I,400 NASH MEDICAL ARTS MALL,,ROCKY MOUNT,NC,278041415,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,70,17.750285714,17.705428571,13.403857143,13.505571429
1033170303,PATTY,BERNARD,E,MD,M,I,231 WINDERMERE BLVD,,ALEXANDRIA,LA,713033538,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,16,112.46875,64.175,50.315,51.934375
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,95.902727273,38,29.79,30.49
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,268.03692308,94.051538462,68.294615385,62.622307692
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,31,107.59354839,35.766129032,28.040967742,25.917096774
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,49.95,18.971818182,14.874545455,14.06
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,66,9.5518181818,2,1.4259090909,1.4492424242
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,24,24,196.8375,36.7275,27.7525,26.260833333
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,42,467.89928571,77.133809524,57.57952381,52.267380952
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1411,0.2399503898,0.0468036853,0.0318001417,0.0318001417
1033170329,LEGA,MARK,,MD,M,I,100 S JACKSON AVE,3RD FLOOR,PITTSBURGH,PA,152023428,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,21.558333333,21.558333333
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,25,25,123.8212,39.8476,31.0916,31.2956
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,20,31,31,215.59548387,86.408064516,67.741290323,67.85516129
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,35,84.205714286,33.603428571,26.344571429,25.985142857
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,80,44.121,18.78,13.8035,13.64175
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,24,24,128.235,57.209166667,43.077083333,43.21625
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,31,38,38,41.467631579,18.402631579,14.051842105,14.079210526
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,24,24,42.649166667,11.54,9.05,9.1141666667
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,25,45,202,6.9064356436,2.0599009901,1.569009901,1.578019802
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,13,15,15,23.916666667,13.743333333,10.774666667,10.710666667
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,704.54545455,243.83181818,191.16909091,151.47
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,13,61,64,122.6528125,32.87390625,22.521875,21.72296875
1033170410,GAGE,JOSEPH,S,M.D.,M,I,1001 SE MONTEREY COMMONS BLVD,SUITE 300,STUART,FL,349963329,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,343.32764706,70.23,45.343529412,45.063529412
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,41,210,395,55.708911392,8.32,5.5652658228,5.5652658228
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,90,92,17.167934783,1.42,0.8395652174,0.8395652174
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,19,34,128,70.1053125,18.54109375,13.70609375,13.71140625
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,19,94,75.911489362,15.871489362,10.356170213,9.880106383
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,32,44,44,216.90136364,55.507272727,40.553181818,40.0025
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,33,41,41,85.063902439,17.94,13.419756098,13.419756098
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,26,46,46,71.178043478,11.118478261,7.977173913,8.342826087
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,35,74,325,10.873846154,2.0418769231,1.4777230769,1.4675076923
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,21,21,25,6.0061904762,4.4166666667,4.3480952381
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,48.201111111,13.312777778,8.5005555556,8.4155555556
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,17,86.31,17.69,13.368823529,13.129411765
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,50.224615385,4.97,3.8969230769,3.8969230769
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,14,68,68,321.40882353,32.114264706,19.969411765,19.960294118
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,37,450.91675676,69.99,51.904054054,51.798108108
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,1736,2.0806105991,0.1290552995,0.0856048387,0.0856048387
1033170543,OPHEIM,KATHRYN,D,MD,F,I,345 W STEAMBOAT DR,SUITE 300,DAKOTA DUNES,SD,570495333,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,21,33,33,23.406190476,23.406190476
1033170659,CASSIDY,ROBERT,E,M.D.,M,I,315 HOSPITAL DR,SUITE 105,MARTINSVILLE,VA,241121945,US,Physician/Orthopedic Surgery,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,689.5,265.74727273,208.34636364,170.68181818
1033170659,CASSIDY,ROBERT,E,M.D.,M,I,315 HOSPITAL DR,SUITE 105,MARTINSVILLE,VA,241121945,US,Physician/Orthopedic Surgery,S,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,943.87,882.04,676.74333333,631.37333333
1033170659,CASSIDY,ROBERT,E,M.D.,M,I,315 HOSPITAL DR,SUITE 105,MARTINSVILLE,VA,241121945,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,308.70454545,279.25,218.93,218.89363636
1033170709,LIBBY,MELISSA,N,FNP,F,I,100 BRICKHILL AVE,STE 304,SOUTH PORTLAND,ME,041061999,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,66.530909091,15.950909091,12.504545455,13.892727273
1033170741,WIEWEL,CHANDRA,K,M.D.,F,I,1101 HIGHWAY K,,O FALLON,MO,633668431,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,27,75,61.4076,8.32,6.3481333333,6.3481333333
1033170741,WIEWEL,CHANDRA,K,M.D.,F,I,1101 HIGHWAY K,,O FALLON,MO,633668431,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,21,17.59047619,1.42,1.0619047619,1.0619047619
1033170790,YOUSEF,JONATHAN,,D.O.,M,I,5801 ARGERIAN DR STE 103,,WESLEY CHAPEL,FL,335454145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,56,61.698571429,8.32,6.5225,6.5225
1033170790,YOUSEF,JONATHAN,,D.O.,M,I,5801 ARGERIAN DR STE 103,,WESLEY CHAPEL,FL,335454145,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,154.30571429,40.235714286,29.39,28.3
1033170790,YOUSEF,JONATHAN,,D.O.,M,I,5801 ARGERIAN DR STE 103,,WESLEY CHAPEL,FL,335454145,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,310.81666667,84.5,60.729166667,62.22
1033170790,YOUSEF,JONATHAN,,D.O.,M,I,5801 ARGERIAN DR STE 103,,WESLEY CHAPEL,FL,335454145,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,90,8.868,2.1491111111,1.5806666667,1.4846666667
1033170790,YOUSEF,JONATHAN,,D.O.,M,I,5801 ARGERIAN DR STE 103,,WESLEY CHAPEL,FL,335454145,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,128.8,42.1128,33.018,26.2224
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,58,125,125,150.05368,36.26824,26.39152,28.38328
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,38,73,73,394.20178082,82.703972603,62.084931507,64.864794521
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,14,20,51,150.01156863,32,24.830392157,25.651960784
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,22,121,93.41322314,17,12.447107438,13.690661157
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,16,80,49.659875,13.87825,10.880375,11.893125
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,39,83,83,257.69036145,50.284096386,36.775783133,40.134096386
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,74,99,99,73.550909091,16.546767677,12.061818182,13.102727273
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,19,19,48.953157895,11.42,8.9505263158,9.1073684211
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,73,158,900,10.872111111,1.9140666667,1.4366333333,1.5242555556
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,54,72,72,27.250416667,5.6881944444,4.3404166667,4.5313888889
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,34,48,48,50.764166667,12.032708333,9.0435416667,9.9060416667
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,22,86.31,15.75,12.35,13.269545455
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,43,43,33.71,37.63
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,22,31,50.677419355,43,33.71,37.377096774
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,25,25,25,350.6188,130.12,102.014,104.4776
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,47,58,81.75,13,9.135862069,9.4270689655
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,59.397857143,5.625,4.1192857143,3.3785714286
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,54,269,284,199.87151408,30.735,22.167852113,23.351549296
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,48,357,395,468.55326582,70.078379747,52.133822785,51.95521519
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,28,223,247,246.43724696,35,26.475101215,28.503279352
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,17,42,11700,0.2993145299,0.046774359,0.0366717949,0.0366666667
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,12,1975,2.1871544304,0.1339544304,0.0994936709,0.0994936709
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,78,80,90.93325,35.283,25.773,27.615625
1033171020,MELILLO,NICHOLAS,G,M.D.,M,I,106 JAMES ST,,EDISON,NJ,088203945,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,18,43,43,56.023255814,33,25.268372093,25.268372093
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,29,57,57,131.87087719,38.990877193,29.481403509,29.405087719
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,12,24,58,8.19,1.51,1.144137931,1.1151724138
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,77.671818182,10.043636364,7.8736363636,9.07
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,32,71,71,445.09352113,90.710422535,68.100985915,65.082394366
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,33,80,212,169.10650943,33.991556604,25.664575472,24.976603774
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,49,120,588,100.59717687,17.975340136,13.650952381,14.095119048
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,33,74,341,69.046187683,15.14973607,10.977155425,10.990997067
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,83,179,180,270.91916667,53.574722222,39.854555556,40.660944444
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,106,157,157,81.198343949,17.962292994,13.56866242,13.552101911
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,47.214545455,10,7.84,8.15
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,81,195,196,91.655408163,12.068877551,9.0509693878,8.7378061224
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,109,270,1399,11.960536097,2.0573409578,1.5649320944,1.5463688349
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,44,64,64,29.550625,5.99859375,4.43453125,4.3903125
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,70,104,104,50.494134615,12.508557692,9.5240384615,10.046057692
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,33,271,282,92.190106383,16.08,11.805531915,12.664255319
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,48,48,3838.51125,1074.31,830.57583333,830.57583333
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,27,27,27,543.9,132.56185185,101.44407407,102.08296296
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,11,47,55,81.75,12.059454545,8.1307272727,8.2074545455
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,71,81,48.59382716,3.9785185185,2.9081481481,3.5022222222
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,58,320,338,194.93505917,32.47816568,24.148816568,24.30556213
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,69,504,533,472.2345591,76.89065666,56.308142589,51.5184803
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,87,88,184.07113636,36.83,28.297386364,28.86
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,13.94,11.094294118,8.5647941176,8.5647941176
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,20,66,15134,0.3014483943,0.0470609224,0.0337894806,0.0337894806
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,17,60,7170,1.2147266388,0.1360878661,0.1032775453,0.1032775453
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,48,3180,11.004,2.9758490566,2.3330849057,2.3330849057
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,16,87,105,84.081142857,36.945333333,26.309619048,26.84447619
1033171087,LIEB,GEORGE,,MD,M,I,1098 W BALTIMORE PIKE,SUITE 3402,MEDIA,PA,190635139,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,40,150,150,97.926666667,33,24.3872,24.3872
1033171103,CHERIYAN,SARAH,,MD,F,I,206 GASLIGHT BLVD,,LUFKIN,TX,75904,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,46.071923077,9.4238461538,7.1096153846,3.975
1033171103,CHERIYAN,SARAH,,MD,F,I,206 GASLIGHT BLVD,,LUFKIN,TX,75904,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,14,2893,0.3043726236,0.0461804355,0.0346249568,0.0346249568
1033171103,CHERIYAN,SARAH,,MD,F,I,206 GASLIGHT BLVD,,LUFKIN,TX,75904,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,20,20,52.8,33,24.5765,24.5765
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,85,260,47.626192308,8.32,6.3213461538,6.3213461538
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,15.882352941,3.38,2.65,2.65
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,51,15.151764706,1.42,1.1129411765,1.1129411765
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,43,43,59.744651163,24.19,18.96,21.998372093
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,54,61,25.735901639,10.93,8.1485245902,8.1485245902
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,352,5.3390909091,2.91,2.2816761364,2.2816761364
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,12.786363636,5.36,3.82,3.82
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.6309090909,4.03,2.8722727273,2.8722727273
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,26,86.31,22.894230769,17.373461538,15.770384615
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,38.0275,29.335833333
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,19,18.157894737,14.976842105,11.743157895,10.252631579
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,49,519.51,103.00285714,75.389183673,61.756938776
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,3075,0.17,0.0459284553,0.0315089431,0.0315089431
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,2790,0.92,0.1341827957,0.0883261649,0.0883261649
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,19,128.64789474,24.255263158,16.741052632,11.949473684
1033171137,LEWIS,ERIC,C,M.D.,M,I,240 S MAIN ST,SUITE A,WOLFEBORO,NH,038944411,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,46,46,132,33,22.706304348,22.706304348
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,27,106,166,49.699939759,8.32,4.7548795181,4.7548795181
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,25,25,11.5472,1.42,0.6272,0.6272
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,78.320909091,50.046363636,36.861818182,30.274545455
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,12,28,34.09,20.8475,14.1625,11.179642857
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,45.123076923,27.118461538,21.256923077,14.744615385
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,46,6.2143478261,3.2708695652,2.5656521739,1.6508695652
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,15.428181818,10.851818182,9.3354545455
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,140,41.4755,27.3465,18.704
1033171269,BELYEA,MARK,,MD,M,I,530 IOWA AVE SE,,HURON,SD,573502864,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,333.87096774,105.41419355,80.719354839,52.964516129
1033171285,SCIANNA,JOSEPH,M,MD,M,I,2127 MIDLANDS CT,SUITE200,SYCAMORE,IL,601783173,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,98.677894737,41.754736842,31.119473684,29.244210526
1033171285,SCIANNA,JOSEPH,M,MD,M,I,2127 MIDLANDS CT,SUITE200,SYCAMORE,IL,601783173,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,61,37.93704918,16.25,12.740163934,12.032786885
1033171285,SCIANNA,JOSEPH,M,MD,M,I,2127 MIDLANDS CT,SUITE200,SYCAMORE,IL,601783173,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,231.78894737,56.416842105,44.231578947,42.924736842
1033171285,SCIANNA,JOSEPH,M,MD,M,I,2127 MIDLANDS CT,SUITE200,SYCAMORE,IL,601783173,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,65.966153846,18.630769231,14.603846154,14.239230769
1033171285,SCIANNA,JOSEPH,M,MD,M,I,2127 MIDLANDS CT,SUITE200,SYCAMORE,IL,601783173,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,23,133,8.389924812,2.1729323308,1.6330827068,1.5367669173
1033171285,SCIANNA,JOSEPH,M,MD,M,I,2127 MIDLANDS CT,SUITE200,SYCAMORE,IL,601783173,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,19.843636364,6.7654545455,5.3045454545,4.6872727273
1033171285,SCIANNA,JOSEPH,M,MD,M,I,2127 MIDLANDS CT,SUITE200,SYCAMORE,IL,601783173,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,122.88,36.849047619,28.434285714,27.98
1033171400,MASSOUD,ADEL,A,MD,M,I,4421 HIGHWAY 6 S,,COLLEGE STATION,TX,778456171,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,37,103,63.732621359,8.32,6.0394174757,6.0394174757
1033171400,MASSOUD,ADEL,A,MD,M,I,4421 HIGHWAY 6 S,,COLLEGE STATION,TX,778456171,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,21,15.346190476,1.42,1.0628571429,1.0628571429
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,67,208,52.138942308,8.32,6.3035096154,6.3035096154
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,16.037142857,3.38,2.4607142857,2.4607142857
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,31,70,17.581428571,1.42,1.0337142857,1.0337142857
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.19,1.45,1.0539285714,1.0692857143
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,122.8,48.9,38.34,35.961764706
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,3542,0.5476623377,0.047377188,0.0324816488,0.0324816488
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,36.6775,24.2525,19.02,17.429166667
1033171517,TAMAYO,VICTOR,I,MD,M,I,301 NE 167TH ST,,NORTH MIAMI BEACH,FL,331622304,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,99,33,22.487777778,22.487777778
1033171525,VU,CHI,H,MD,F,I,1050 W ARKANSAS LN STE 150,,ARLINGTON,TX,760136308,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,33,137,59.953722628,8.32,6.5224817518,6.5224817518
1033171525,VU,CHI,H,MD,F,I,1050 W ARKANSAS LN STE 150,,ARLINGTON,TX,760136308,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,23,23,14.524347826,3.38,2.5347826087,2.5347826087
1033171525,VU,CHI,H,MD,F,I,1050 W ARKANSAS LN STE 150,,ARLINGTON,TX,760136308,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,25,51,14.419411765,1.42,1.1141176471,1.1141176471
1033171525,VU,CHI,H,MD,F,I,1050 W ARKANSAS LN STE 150,,ARLINGTON,TX,760136308,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,176.51733333,17.63,11.977333333,11.764666667
1033171525,VU,CHI,H,MD,F,I,1050 W ARKANSAS LN STE 150,,ARLINGTON,TX,760136308,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,52,33.975,31.358333333
1033171525,VU,CHI,H,MD,F,I,1050 W ARKANSAS LN STE 150,,ARLINGTON,TX,760136308,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,511.52173913,76.48,54.746086957,50.417391304
1033171525,VU,CHI,H,MD,F,I,1050 W ARKANSAS LN STE 150,,ARLINGTON,TX,760136308,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,118.42857143,36.5,25.894285714,26.763809524
1033171699,FEDELE,STEPHEN,,DO,M,I,105 N 20TH ST,20TH ST CLINIC PC,BATTLE CREEK,MI,49015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,33,72.86030303,8.32,3.9533333333,3.9533333333
1033171699,FEDELE,STEPHEN,,DO,M,I,105 N 20TH ST,20TH ST CLINIC PC,BATTLE CREEK,MI,49015,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,85,18.047142857,12.706666667,12.514761905
1033172077,LEE,MARCIANO,B,MD,M,I,UNIVERSITY OF KENTUCKY 900 S LIMESTONE CTW 326,,LEXINGTON,KY,40536,US,Physician/Cardiovascular Disease (Cardiology),S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.04,11.534545455,6.8181818182,5.0036363636
1033172143,HUANG,HUAJUN,,M.D.,M,I,13338 41ST RD STE C02,,FLUSHING,NY,113555860,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,32,74.2453125,8.32,5.70625,5.70625
1033172192,DYKSTRA,GARY,T,D.O.,M,I,3400 SE FRANK PHILLIPS #502,,BARTLESVILLE,OK,74006,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,29,29,513.99241379,122.83517241,88.864137931,62.392413793
1033172192,DYKSTRA,GARY,T,D.O.,M,I,3400 SE FRANK PHILLIPS #502,,BARTLESVILLE,OK,74006,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,23,23,89.89173913,25.111304348,19.055652174,13.82
1033172192,DYKSTRA,GARY,T,D.O.,M,I,3400 SE FRANK PHILLIPS #502,,BARTLESVILLE,OK,74006,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,27,27,104.74185185,20.758888889,15.897777778,10.477777778
1033172192,DYKSTRA,GARY,T,D.O.,M,I,3400 SE FRANK PHILLIPS #502,,BARTLESVILLE,OK,74006,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,36,121,13.159669421,3.2598347107,2.5015702479,1.7083471074
1033172192,DYKSTRA,GARY,T,D.O.,M,I,3400 SE FRANK PHILLIPS #502,,BARTLESVILLE,OK,74006,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,56.51,15.3975,9.3575,8.0208333333
1033172192,DYKSTRA,GARY,T,D.O.,M,I,3400 SE FRANK PHILLIPS #502,,BARTLESVILLE,OK,74006,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,82.067073171,22.201219512,15.948780488,12.944146341
1033172192,DYKSTRA,GARY,T,D.O.,M,I,3400 SE FRANK PHILLIPS #502,,BARTLESVILLE,OK,74006,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,60,517.354,99.603666667,72.7485,53.857666667
1033172200,MCCALL,TODD,A,MD,M,I,1075 MASON AVE,,DAYTONA BEACH,FL,321174611,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,106.60869565,54.473913043,42.708695652,46.147826087
1033172408,BYRD,JAMES,K,M.D.,M,I,420 LOWELL DR SE,SUITE 300,HUNTSVILLE,AL,358013754,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,44,144,63.185902778,8.318125,5.7959027778,5.7974305556
1033172408,BYRD,JAMES,K,M.D.,M,I,420 LOWELL DR SE,SUITE 300,HUNTSVILLE,AL,358013754,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,26,10.437307692,1.42,1.1142307692,1.1142307692
1033172408,BYRD,JAMES,K,M.D.,M,I,420 LOWELL DR SE,SUITE 300,HUNTSVILLE,AL,358013754,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.67,3.6625,3.66
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,31,120,62.047416667,8.32,6.1965,6.1965
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,38,17.415,1.42,1.0836842105,1.0836842105
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1720,0.44,0.44,0.3449709302,0.3449709302
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,43,1608,8.28,8.28,6.3417910448,6.3417910448
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,387,10.93,10.93,8.4500516796,8.4500516796
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,25,1140,2.4,2.4,1.8816315789,1.8816315789
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,2583,0.4488385598,0.4488385598,0.3518931475,0.352783585
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,31,941,275,5.25,4.1161317747,4.1632306057
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,8085,3.3799393939,0.3,0.2351997526,0.2430364873
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,17,17,947.58117647,63.25,49.59,48.469411765
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,32,22.8225,17.245625,13.5196875,13.53
1033172473,PATEL,DILIPKUMAR,C,M.D.,M,I,404 W. FAIRMONT PARKWAY,,LA PORTE,TX,775716308,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,47,153.77191489,79.390638298,58.693829787,52.53787234
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,48,51.926875,8.32,6.5239583333,6.5239583333
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,15,307.85066667,62.545333333,49.036,39.716666667
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,61,71,85.194929577,22.970704225,17.812253521,14.037323944
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,26,50.73,10.287692308,8.0661538462,5.2396153846
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,92,94,487.06106383,106.11702128,81.788191489,58.179042553
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,35,214.456,44.577142857,34.951142857,30.354285714
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.210181818,8.7888030303,8.7888030303
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,4500,0.17,0.0456,0.0357488889,0.0357488889
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1020,0.75,0.2187941176,0.1715490196,0.1715490196
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,16,111.19875,31.473125,24.675,15.7125
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,153.679,31.3015,24.5395,22.9525
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,51.668,9.2315,7.235,7.0825
1033172499,ALLEN,TIMOTHY,D,DO,M,I,11803 SOUTH FWY STE 203A,,BURLESON,TX,760287030,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,124.66666667,33,25.87,25.87
1033172648,HAYES,EDWARD,E,MD,M,I,2301 BELLEVUE RD STE 1000,,DUBLIN,GA,310212557,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,3640,5.5384615385,2.03,1.5126813187,1.5203241758
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,19,44,564,51.759060284,19.624804965,15.385567376,15.385567376
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,19,45,1342,7.0244932936,2.6328464978,2.064076006,2.064076006
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,93,298,1060,71.538698113,8.3172830189,6.2066037736,6.2087264151
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.8,3.38,2.65,2.65
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,23.390909091,2.12,1.67,1.67
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,23,48,98,14.488877551,1.42,0.9447959184,0.9447959184
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,695.05473684,318.69,242.29894737,242.29894737
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,34,3620,16.152138122,10.750491713,8.3849309392,8.3849309392
1033172689,SINGH,LEENA,,"MD, PHD",F,I,1488 EAST AVE,SUITE 130,CHICO,CA,959261795,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,17,73,73,253.64657534,245.55506849,192.51438356,195.9960274
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,33,69.843636364,8.32,6.3257575758,6.3257575758
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,14.344,1.42,1.0453333333,1.0453333333
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,0.22,0.13,0.102,0.102
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,475,4.7432631579,2.27,1.4393052632,1.4393052632
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.76,1.73,1.3563333333,1.5993333333
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,28,16.973571429,10.93,7.9575,7.9575
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,11.03,7.06,5.0318181818,5.3536363636
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,20.430909091,16.86,10.015454545,10.35
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4.05,3.3154545455,0.9590909091,2.1127272727
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,128.98,45.424090909,35.611363636,38.001363636
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2491,0.3854315536,0.0439462063,0.0269851465,0.0269851465
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,85.62,15.035,11.785,14.1825
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,175.37,29.160952381,21.50047619,24.186190476
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,23.5,6.8288235294,5.0079411765,6.2494117647
1033172705,HENDERSON,MARTHA,J,MD,F,I,365 3RD AVE,4C,NEW YORK,NY,100169074,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,18.814545455,18.814545455
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,28.46,28.46,22.31,22.31
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,29.69,29.69,23.28,23.28
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,42,48,10.93,10.93,8.4564583333,8.4564583333
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,4.1,4.1,3.21,3.21
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7,7,5.488,5.488
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,5.54,5.54,3.7233571429,3.7233571429
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,4.04,4.04,3.1675,3.1675
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,77,7936,0.44,0.44,0.3418006552,0.3418006552
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,280,23.66,23.66,18.549571429,18.549571429
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,51,1410,8.28,8.28,6.4455460993,6.4455460993
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,41,1285,18.5,18.5,14.392357977,14.392357977
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,21,532,3.79,3.79,2.9712969925,2.9712969925
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,34,475,8.41,8.41,6.5934947368,6.5934947368
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,145,22.42,22.42,17.577172414,17.577172414
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,268,10.93,10.93,8.5688432836,8.5688432836
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,29,83,19.612168675,18.29,14.075421687,14.075421687
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,22,70,4750,0.45,0.45,0.3505831579,0.3505831579
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,14,343.82857143,45.78,20.515714286,20.131428571
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,50.593043478,17.29,12.914347826,12.895217391
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,26.989411765,6.5064705882,4.5035294118,2.9152941176
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,126.45913043,70.23,52.666086957,52.340869565
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,17.679090909,11.266363636,10.718181818
1033172762,STORM,JEAN,M,DO,F,I,5535 PEACH ST,,ERIE,PA,165092603,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,22,22,81.735,28.917727273,15.789545455,14.719090909
1033172820,JIPA,MIHAI,,MD,M,I,4030 W HENDERSON RD,,COLUMBUS,OH,432202287,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,56,72.449821429,8.32,5.3573214286,5.3573214286
1033172820,JIPA,MIHAI,,MD,M,I,4030 W HENDERSON RD,,COLUMBUS,OH,432202287,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,16,14.58375,1.42,0.97625,0.97625
1033172879,CAREY,WILLIAM,D,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,1809,2.2252736318,0.5670978441,0.4140740741,0.4140740741
1033172879,CAREY,WILLIAM,D,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,24,24,17.109090909,17.109090909
1033173059,MATHEWS,CHARLES,F,P.A.,M,I,1007 GOODYEAR AVE,,GADSDEN,AL,359031195,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,71.288181818,19.697272727,14.085454545,12.349090909
1033173125,ERICKSON,KURT,W,M.D.,M,I,11560 S KEDZIE AVE STE 100,,MERRIONETTE PARK,IL,608034517,US,Physician/Undefined Physician type[6],S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,3733.3333333,2686.6891667,2106.3645833,2106.3645833
1033173224,STEFFY,DAVID,F,M.D.,M,I,950B N WYOMISSING BLVD,3RD FLOOR,WYOMISSING,PA,196101783,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,27,108,39.773240741,8.32,6.4686111111,6.4686111111
1033173224,STEFFY,DAVID,F,M.D.,M,I,950B N WYOMISSING BLVD,3RD FLOOR,WYOMISSING,PA,196101783,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,15.696923077,3.38,2.65,2.65
1033173224,STEFFY,DAVID,F,M.D.,M,I,950B N WYOMISSING BLVD,3RD FLOOR,WYOMISSING,PA,196101783,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,22,46,10.946956522,1.42,1.1132608696,1.1132608696
1033173430,GOETZ,DEVON,D,MD,M,I,6001 WESTOWN PARKWAY,,WEST DES MOINES,IA,502667702,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,48,48,48,142.68604167,51.134375,40.092708333,37.42125
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,17,38,7.6468421053,1.4,0.9263157895,0.9742105263
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,233.09818182,90.23,67.026363636,64.126363636
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,29,89.35862069,34,26.657586207,25.969655172
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,219.54909091,55.176363636,41.049090909,40.673636364
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,17,17,57.62,18.228823529,14.292352941,14.071176471
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,31,148,10.443378378,2.0227027027,1.5227027027,1.5275675676
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.1,12.452142857,12.585
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,22,55.07,14,10.98,10.570909091
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,37,43,50.339534884,6.0762790698,4.228372093,3.5427906977
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,24,257.82,38.4975,30.18,28.665833333
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,67,414.96791045,77.5,55.578656716,50.088656716
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.651,7.349,7.349
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,22.876361111,11.2095,8.7882916667,8.7882916667
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,5625,0.17,0.0475004444,0.0328088889,0.0328088889
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1800,1.3919666667,0.1344,0.0885666667,0.0885666667
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,31,88.839032258,36.26,25.678709677,26.78483871
1033173489,CHAUDHRY,RAHAT,M,M.D.,M,I,1321 5TH AVE,SUITE 202,MCKEESPORT,PA,151322403,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,60,60,103.95,33,22.851833333,22.851833333
1033173612,TERRONO,ANDREW,L,M.D.,M,I,125 PARKER HILL AVENUE,,BOSTON,MA,02120,US,Physician/Hand Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,98,98,76.83,79.254761905
1033173620,FEESE,LISA,K,RN CDE FNP,F,I,7701 YORK AVE S,SUITE 180,EDINA,MN,554355845,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,37,84.875945946,8.32,6.522972973,6.522972973
1033173620,FEESE,LISA,K,RN CDE FNP,F,I,7701 YORK AVE S,SUITE 180,EDINA,MN,554355845,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,440,17.43225,10.760181818,8.4359318182,8.4359318182
1033173778,LOLLIS,PATRICK,G,MD,M,I,700 BRUSHY CREEK RD,,EASLEY,SC,296422200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,35,76,68.362631579,8.32,5.0669736842,5.0669736842
1033173778,LOLLIS,PATRICK,G,MD,M,I,700 BRUSHY CREEK RD,,EASLEY,SC,296422200,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,19,15.044736842,1.42,0.8821052632,0.8821052632
1033173778,LOLLIS,PATRICK,G,MD,M,I,700 BRUSHY CREEK RD,,EASLEY,SC,296422200,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,63.75,17,13.33,13.54
1033173778,LOLLIS,PATRICK,G,MD,M,I,700 BRUSHY CREEK RD,,EASLEY,SC,296422200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,48,408.06791667,71,51.205416667,50.313958333
1033173893,MCGOWAN,THOMAS,M,M.D.,M,I,3021 FALLING WATERS BLVD,SUITE A,LINDENHURST,IL,600466793,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,48,122,76.900491803,8.32,6.0406557377,6.0406557377
1033173893,MCGOWAN,THOMAS,M,M.D.,M,I,3021 FALLING WATERS BLVD,SUITE A,LINDENHURST,IL,600466793,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,23,16.45,1.42,1.02,1.02
1033173893,MCGOWAN,THOMAS,M,M.D.,M,I,3021 FALLING WATERS BLVD,SUITE A,LINDENHURST,IL,600466793,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,64.067692308,18.072307692,14.168461538,13.553076923
1033173893,MCGOWAN,THOMAS,M,M.D.,M,I,3021 FALLING WATERS BLVD,SUITE A,LINDENHURST,IL,600466793,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,314.76923077,81.426153846,63.682307692,55.075384615
1033173943,NAKAKURA,ERIC,K,MD,M,I,1600 DIVISADERO ST,,SAN FRANCISCO,CA,941153010,US,Physician/Surgical Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,386,21.778445596,12.993937824,10.187279793,10.187279793
1033173943,NAKAKURA,ERIC,K,MD,M,I,1600 DIVISADERO ST,,SAN FRANCISCO,CA,941153010,US,Physician/Surgical Oncology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,87,320,268.44,210.45666667,210.45666667
1033173943,NAKAKURA,ERIC,K,MD,M,I,1600 DIVISADERO ST,,SAN FRANCISCO,CA,941153010,US,Physician/Surgical Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,87,20,9.35,7.33,7.33
1033173943,NAKAKURA,ERIC,K,MD,M,I,1600 DIVISADERO ST,,SAN FRANCISCO,CA,941153010,US,Physician/Surgical Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,87,50,29.22,22.908505747,22.908505747
1033173968,MANUEL-ARGUELLES,DAISY,,DO,F,I,270 PERKINS STREET,,SONOMA,CA,954766955,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,12,40,106,59.826509434,8.32,6.1533018868,6.1533018868
1033173968,MANUEL-ARGUELLES,DAISY,,DO,F,I,270 PERKINS STREET,,SONOMA,CA,954766955,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,14.88,3.38,2.65,2.65
1033173968,MANUEL-ARGUELLES,DAISY,,DO,F,I,270 PERKINS STREET,,SONOMA,CA,954766955,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,24,41,16.115365854,1.42,1.0590243902,1.0590243902
1033173968,MANUEL-ARGUELLES,DAISY,,DO,F,I,270 PERKINS STREET,,SONOMA,CA,954766955,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,28,28,204.605,45.811428571,33.056071429,33.958571429
1033173968,MANUEL-ARGUELLES,DAISY,,DO,F,I,270 PERKINS STREET,,SONOMA,CA,954766955,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,64,17.09,11.652173913,11.788695652
1033173968,MANUEL-ARGUELLES,DAISY,,DO,F,I,270 PERKINS STREET,,SONOMA,CA,954766955,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,26,422.63576923,65.7,43.06,46.033076923
1033174123,BASU,TAPENDU,,MD,M,I,680 POOLE RD,SUITE B,WESTMINSTER,MD,211576003,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,3660,2.7008715847,0.5716557377,0.4317240437,0.4317240437
1033174123,BASU,TAPENDU,,MD,M,I,680 POOLE RD,SUITE B,WESTMINSTER,MD,211576003,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,420,1.865,1.3162857143,1.032047619,1.032047619
1033174123,BASU,TAPENDU,,MD,M,I,680 POOLE RD,SUITE B,WESTMINSTER,MD,211576003,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,24,24,18.0672,18.0672
1033174123,BASU,TAPENDU,,MD,M,I,680 POOLE RD,SUITE B,WESTMINSTER,MD,211576003,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,16,16,12.54,12.54
1033174164,FORDE,VINNETTE,T,MD,F,I,800 ROSE ST,,LEXINGTON,KY,405367001,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,65,51.475384615,8.32,5.5193846154,5.5193846154
1033174164,FORDE,VINNETTE,T,MD,F,I,800 ROSE ST,,LEXINGTON,KY,405367001,US,Hospitalist,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.1681818182,2.1681818182
1033174164,FORDE,VINNETTE,T,MD,F,I,800 ROSE ST,,LEXINGTON,KY,405367001,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,14.824615385,1.42,0.9407692308,0.9407692308
1033174164,FORDE,VINNETTE,T,MD,F,I,800 ROSE ST,,LEXINGTON,KY,405367001,US,Hospitalist,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100,48.31,28.979090909,28.774545455
1033174164,FORDE,VINNETTE,T,MD,F,I,800 ROSE ST,,LEXINGTON,KY,405367001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,489.64363636,87.896363636,64.662727273,52.333181818
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,130,229,229,68.327292576,39.164497817,29.083318777,28.916026201
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,59,103,103,173.57048544,95.254951456,71.19223301,65.12038835
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,52,101,214,65.046261682,35.196168224,26.753271028,25.277990654
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,43,83,372,38.545645161,19.353387097,14.498091398,13.949489247
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,33,68,299,31.83729097,16.135451505,11.881103679,11.213578595
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,96,166,166,115.07439759,56.808373494,42.367710843,40.997289157
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,144,178,178,35.639213483,18.525280899,13.96511236,13.600730337
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,28,34,34,17.707352941,11.898529412,9.0538235294,7.9820588235
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,24,24,36.53875,11.852083333,8.5025,8.3891666667
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,136,254,1138,5.201115993,2.0881546573,1.5391212654,1.5010369069
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,85,105,105,23.632095238,14.950571429,10.839809524,9.6885714286
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,53,54,265.48074074,88.590185185,58.854259259,56.609074074
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,43,43,43,304.41860465,147.49023256,111.03372093,102.62860465
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,16,65,65,41.683076923,14.865846154,10.418,9.3549230769
1033174206,DUNCAN,KELLI,P,PA-C,F,I,1994 WELLNESS BLVD,SUITE 110,MONROE,NC,281107767,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,79,440,448,123.72725446,36.96546875,26.594620536,23.796941964
1033174248,COHEN,DAWN,L,M.D.,F,I,1835 W MISSOURI AVE,,PHOENIX,AZ,850153046,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,29,72,79.93375,8.32,5.7966666667,5.7966666667
1033174248,COHEN,DAWN,L,M.D.,F,I,1835 W MISSOURI AVE,,PHOENIX,AZ,850153046,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,18,22,19.054545455,1.42,0.9654545455,0.9654545455
1033174255,ROLERSON,MARK,H,M.D.,M,I,13 INDUSTRIAL PARK RD,,SACO,ME,040721804,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,40,138,58.16384058,8.32,5.5773188406,5.5773188406
1033174255,ROLERSON,MARK,H,M.D.,M,I,13 INDUSTRIAL PARK RD,,SACO,ME,040721804,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,10.632941176,1.42,0.9188235294,0.9188235294
1033174339,MCMAHON,DAVID,E,M.D.,M,I,9085 SOUTHERN ST,SUITE A,ORIENT,OH,431469360,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,51,59.573333333,8.32,5.6264705882,5.6264705882
1033174339,MCMAHON,DAVID,E,M.D.,M,I,9085 SOUTHERN ST,SUITE A,ORIENT,OH,431469360,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,86.31,19.581785714,13.356428571,11.820714286
1033174339,MCMAHON,DAVID,E,M.D.,M,I,9085 SOUTHERN ST,SUITE A,ORIENT,OH,431469360,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,42,519.51,85.962380952,58.99047619,50.224761905
1033174339,MCMAHON,DAVID,E,M.D.,M,I,9085 SOUTHERN ST,SUITE A,ORIENT,OH,431469360,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,250,36.5,26.575714286,27.418571429
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,29,91,261,68.539693487,8.32,5.9924521073,5.9924521073
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,25,44,13.041136364,1.42,1.0640909091,1.0640909091
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,495.04761905,87.233333333,61.869047619,61.44952381
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,53,185.97622642,32.793962264,23.684528302,23.896226415
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,313.28923077,52.99,41.54,42.555384615
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,20,20,120.6515,17.9,12.816,12.842
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,23,23,72.130869565,11.66,8.7426086957,8.7252173913
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,31,172,9.7556976744,2.0593023256,1.5581976744,1.5391860465
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,79.846666667,12.36,9.044,9.618
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,124.66448276,16.59,13,13.310689655
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,31.203846154,4.2523076923,2.8607692308,3.1723076923
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,767.43304348,31.433913043,22.782173913,23.196521739
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,53,628.62849057,67.72,50.190566038,51.682641509
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,38.72,30.345,29.575
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,5579,0.1977791719,0.046027962,0.0331224234,0.0331224234
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.72,30.36,29.59
1033174362,DIETRICH,AARON,L,DO,M,I,27 GRAND ST,,KINGSTON,NY,124013933,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,25,25,72.6,33,23.8004,23.8004
1033174503,YEN,DAVID,M,M.D.,M,I,3445 HIGH POINT BLVD,SUITE 100,BETHLEHEM,PA,18017,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,546,9.72,5.23,4.0971428571,4.0971428571
1033174503,YEN,DAVID,M,M.D.,M,I,3445 HIGH POINT BLVD,SUITE 100,BETHLEHEM,PA,18017,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,340,3.4238529412,2.8,2.1952941176,2.1952941176
1033174511,PENNANT,AINSLEY,G,MD,M,I,485 THROOP AVENUE,3RD FLOOR,BROOKLYN,NY,11221,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,74,56.608243243,8.32,6.3463513514,6.3463513514
1033174511,PENNANT,AINSLEY,G,MD,M,I,485 THROOP AVENUE,3RD FLOOR,BROOKLYN,NY,11221,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,24,12.544583333,1.42,1.1133333333,1.1133333333
1033174560,FEIGERT,JOHN,M,M.D.,M,I,1635 N GEORGE MASON DR,STE 170,ARLINGTON,VA,222053633,US,Physician/Hematology-Oncology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,46.986363636,36.838181818,38.439090909
1033174560,FEIGERT,JOHN,M,M.D.,M,I,1635 N GEORGE MASON DR,STE 170,ARLINGTON,VA,222053633,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,19,1176,39.649583333,5.2092687075,4.0840986395,4.0840646259
1033174560,FEIGERT,JOHN,M,M.D.,M,I,1635 N GEORGE MASON DR,STE 170,ARLINGTON,VA,222053633,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1033174743,SHORE,ERIN,D,M.D.,F,I,14701 E EXPOSITION AVE,,AURORA,CO,800122623,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,831.73166667
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,25,68,151,73.377284768,8.32,5.2744370861,5.2744370861
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,49,53,14.360566038,1.42,0.9290566038,0.9290566038
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,150.92,40,31.36,30.49
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,30,158.452,34,26.656666667,25.917
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,250.7075,53.76,42.146666667,42.890833333
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,86.599166667,19.090833333,14.9675,14.15
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,23,132,11.301363636,2.0736363636,1.6256060606,1.5937878788
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,116,117,82.867948718,17.541880342,12.653333333,12.459059829
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,4083.5576471,913.16,707.48058824,833.82058824
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,55.29,3.8575,3.0225,3.66
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,254.91,29.619,22.044,21.999
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,139,140,486.45328571,78.915,57.376,50.682642857
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,48.207333333,21.94,11.894666667,8.888
1033174826,AZIZAD,MASOUD,M,MD,M,I,18433 ROSCOE BLVD,#208,NORTHRIDGE,CA,913254108,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,93.923076923,33,21.89,21.89
1033174834,MATALON,ALBERT,,M.D.,M,I,530 1ST AVENUE,SUITE 4A,NEW YORK,NY,10016,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,579.93478261,8.32,6.5213043478,6.5213043478
1033174834,MATALON,ALBERT,,M.D.,M,I,530 1ST AVENUE,SUITE 4A,NEW YORK,NY,10016,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,80,7275,5.9109938144,0.5690405498,0.4034226804,0.4034226804
1033174834,MATALON,ALBERT,,M.D.,M,I,530 1ST AVENUE,SUITE 4A,NEW YORK,NY,10016,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,2514,0.2013166269,0.0133412888,0.0091567224,0.0091567224
1033174834,MATALON,ALBERT,,M.D.,M,I,530 1ST AVENUE,SUITE 4A,NEW YORK,NY,10016,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,1620,2.6652962963,1.1607283951,0.8625493827,0.8625493827
1033174834,MATALON,ALBERT,,M.D.,M,I,530 1ST AVENUE,SUITE 4A,NEW YORK,NY,10016,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,64,64,24,24,17.64375,17.64375
1033174834,MATALON,ALBERT,,M.D.,M,I,530 1ST AVENUE,SUITE 4A,NEW YORK,NY,10016,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,44,56,16,16,11.291071429,11.291071429
1033174842,PEREZ,MAUREEN,K,MD,F,I,2322 LAKEVIEW DR,,BEAVERCREEK,OH,454312772,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,32,70,53.389285714,8.32,5.4958571429,5.4958571429
1033174842,PEREZ,MAUREEN,K,MD,F,I,2322 LAKEVIEW DR,,BEAVERCREEK,OH,454312772,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,15,14.042666667,1.42,0.9693333333,0.9693333333
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,43,48.997906977,8.32,5.3086046512,5.3086046512
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,20,12.34,1.42,0.67,0.67
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,39,39,32.755384615,27.45,18.865128205,19.675641026
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,41,41,6.6158536585,5.54,3.9165853659,3.9165853659
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,44,49,13.057755102,10.93,7.8704081633,7.8704081633
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,360,11.766,9.86,7.7222777778,7.7222777778
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,53,46.56490566,18.78,11.39,11.256415094
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,120.00166667,53.84,38.084166667,38.745833333
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,36.910909091,10.878181818,7.7690909091,8.3809090909
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,66,6.0472727273,2.1918181818,1.6471212121,1.5368181818
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,6802,0.9796442223,0.32,0.2508879741,0.2443928256
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,29,57.266206897,17,11.176551724,11.379310345
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,93.976315789,30.725263158,20.340526316,20.097894737
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,38,248.21263158,77.18,57.325263158,52.144736842
1033174958,PAWLOWSKI,DAVID,A,MD,M,I,1150 YOUNGS RD,SUITE 104,WILLIAMSVILLE,NY,142218053,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,41.25,41.25,32.34,29.745833333
1033174982,JESSEN,MARK,D,M.D.,M,I,1326 ANDREA ST,,BOWLING GREEN,KY,421043334,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,39,230,53.019565217,42.52,32.685130435,30.235173913
1033174982,JESSEN,MARK,D,M.D.,M,I,1326 ANDREA ST,,BOWLING GREEN,KY,421043334,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,21,434,318.83,245.0947619,260.0852381
1033175096,OLIVER,HANCE,H,M.D.,M,I,2 MEDICAL PARK RD STE 203,,COLUMBIA,SC,292036839,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,22,54,56.341666667,8.32,5.9187037037,5.9187037037
1033175096,OLIVER,HANCE,H,M.D.,M,I,2 MEDICAL PARK RD STE 203,,COLUMBIA,SC,292036839,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,19,16.911578947,1.42,1.1136842105,1.1136842105
1033175138,ALLEN,JAMES,D,M.D.,M,I,501 VIRGINIA DR,SUITE C,BATESVILLE,AR,725017331,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,30,30,30,141.997,66.077333333,49.621333333,37.622666667
1033175138,ALLEN,JAMES,D,M.D.,M,I,501 VIRGINIA DR,SUITE C,BATESVILLE,AR,725017331,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,35.08,10.2375,4.9625,4.0133333333
1033175138,ALLEN,JAMES,D,M.D.,M,I,501 VIRGINIA DR,SUITE C,BATESVILLE,AR,725017331,US,Physician/Orthopedic Surgery,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,12.5,8.5,6.6581818182,5.3872727273
1033175138,ALLEN,JAMES,D,M.D.,M,I,501 VIRGINIA DR,SUITE C,BATESVILLE,AR,725017331,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,48.506969697,27.368787879,18.980606061,13.014848485
1033175138,ALLEN,JAMES,D,M.D.,M,I,501 VIRGINIA DR,SUITE C,BATESVILLE,AR,725017331,US,Physician/Orthopedic Surgery,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,124.31,58.143846154,45.583076923,27.758461538
1033175211,GLOR,RITA,,D.O.,F,I,11903 DOWNEY AVE,,DOWNEY,CA,902422529,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,36,106,70.415660377,8.32,4.676509434,4.676509434
1033175211,GLOR,RITA,,D.O.,F,I,11903 DOWNEY AVE,,DOWNEY,CA,902422529,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,21,31,15.69483871,1.42,0.9,0.9
1033175211,GLOR,RITA,,D.O.,F,I,11903 DOWNEY AVE,,DOWNEY,CA,902422529,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,3.34,3,2.3519726027,2.3677260274
1033175211,GLOR,RITA,,D.O.,F,I,11903 DOWNEY AVE,,DOWNEY,CA,902422529,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7796,0.73,0.66,0.4990418163,0.4990418163
1033175211,GLOR,RITA,,D.O.,F,I,11903 DOWNEY AVE,,DOWNEY,CA,902422529,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,3.8575,3.0225,3.66
1033175211,GLOR,RITA,,D.O.,F,I,11903 DOWNEY AVE,,DOWNEY,CA,902422529,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,147.09818182,30.836363636,21.327272727,21.245454545
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,39,88,273,60.38032967,8.32,6.002014652,6.002014652
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.369473684,3.38,2.65,2.65
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,25,55,80,15.22675,1.42,1.087,1.087
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,93.778125,39.74375,29.405625,28.68375
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,38,80.672631579,71.56,54.372631579,54.372631579
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,108,49.249074074,43.56,34.151666667,34.150092593
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,20,100,65.2448,18.9561,12.527,12.8285
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,15,27,27,179.27296296,58.765185185,42.078888889,39.137037037
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,16,22,22,65.473181818,19.489545455,13.928636364,12.788636364
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,53.952941176,12.388823529,9.1423529412,8.5835294118
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,17,39,159,9.0650314465,2.1139622642,1.5945283019,1.5679874214
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,39.386666667,13.2325,10.3725,10.555833333
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,246,5.3104065041,4.88,3.726504065,4.063699187
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,9748,1.4600728355,0.2956606483,0.2150954042,0.2264792778
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,22,76.725454545,17,9.6990909091,9.9109090909
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,241.08571429,94.24,73.885,73.854285714
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,39.761818182,13.905454545,10.900909091,10.403636364
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,25.455,5.849,4.369,3.379
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,199.2183871,33.592903226,24.801935484,22.34
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,11,60,62,396.12516129,85.062580645,58.941129032,52.860322581
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,92.5,43.39875,31.48125,29.3475
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,6086,0.1605685179,0.0462865593,0.031751561,0.031751561
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,2197,1.5969549386,0.1299908967,0.0932271279,0.0932271279
1033175229,FERENCZY,STEPHEN,J,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,32,32,48.46875,33,21.8278125,21.8278125
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,4855,0.3334809475,0.13,0.1019196704,0.1019196704
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.52,17.52,12.595,12.411666667
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.96,79.96,57.465833333,50.169166667
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,89,9480,4.8905147679,0.5655400844,0.4230801688,0.4230801688
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,40,6900,0.5027492754,0.0130043478,0.0097173913,0.0097173913
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,51,7456,4.5721848176,1.2108033798,0.9305941524,0.9305941524
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,2400,3.1503541667,2.2849833333,1.315725,1.6666458333
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,1095,13.947041096,7.0590593607,5.0519360731,5.4616255708
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,93,93,24,24,17.621075269,17.621075269
1033175310,WALSH,MARY,N,MD,F,I,8333 NAAB RD STE 400,,INDIANAPOLIS,IN,462601992,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,114,149,16,16,12.31852349,12.31852349
1033175369,REED-JOHNSON,LEZLIE,T,MD,F,I,2337 HOMER CLAYTON DRIVE,,GUNTERSVILLE,AL,35976,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,56,120,52.981083333,8.32,5.3378333333,5.3378333333
1033175369,REED-JOHNSON,LEZLIE,T,MD,F,I,2337 HOMER CLAYTON DRIVE,,GUNTERSVILLE,AL,35976,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,16,19.510625,1.42,0.84,0.84
1033175369,REED-JOHNSON,LEZLIE,T,MD,F,I,2337 HOMER CLAYTON DRIVE,,GUNTERSVILLE,AL,35976,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,68.027619048,22.125714286,16.634761905,13.172380952
1033175369,REED-JOHNSON,LEZLIE,T,MD,F,I,2337 HOMER CLAYTON DRIVE,,GUNTERSVILLE,AL,35976,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,234.04242424,100.90545455,72.953333333,51.484242424
1033175401,EMOKPAE,COURAGE,O,MD,M,I,576 SHELLCASTLE RD,,ROCKY MOUNT,NC,278047710,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,53.877222222,20.67,15.789444444,13.525277778
1033175401,EMOKPAE,COURAGE,O,MD,M,I,576 SHELLCASTLE RD,,ROCKY MOUNT,NC,278047710,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,21,4.9105,3.566,4.004
1033175401,EMOKPAE,COURAGE,O,MD,M,I,576 SHELLCASTLE RD,,ROCKY MOUNT,NC,278047710,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,348.09346939,91.694693878,69.697959184,57.015510204
1033175401,EMOKPAE,COURAGE,O,MD,M,I,576 SHELLCASTLE RD,,ROCKY MOUNT,NC,278047710,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,85,35.96,28.19,29.51
1033175534,CHAUHAN,ASHOK,,"M.D.,",M,I,611 S CARLIN SPRINGS RD,SUITE 511,ARLINGTON,VA,222041064,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,22,82.435454545,17,12.118181818,12.323181818
1033175534,CHAUHAN,ASHOK,,"M.D.,",M,I,611 S CARLIN SPRINGS RD,SUITE 511,ARLINGTON,VA,222041064,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,3775.52,1073.16,835.38208333,836.24458333
1033175534,CHAUHAN,ASHOK,,"M.D.,",M,I,611 S CARLIN SPRINGS RD,SUITE 511,ARLINGTON,VA,222041064,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,34,414.91705882,79.8,59.124411765,51.755
1033175534,CHAUHAN,ASHOK,,"M.D.,",M,I,611 S CARLIN SPRINGS RD,SUITE 511,ARLINGTON,VA,222041064,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.05,29.83,29.51
1033175534,CHAUHAN,ASHOK,,"M.D.,",M,I,611 S CARLIN SPRINGS RD,SUITE 511,ARLINGTON,VA,222041064,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65.407272727,31.834545455,24.955454545,26.431818182
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,57,68.724736842,8.32,4.8061403509,4.8061403509
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,20,14.604,1.42,0.8915,0.8915
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,99.694285714,39.397142857,28.437142857,28.065
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,446.55466667,86.88,60.352,60.1
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,40,163.852,33.2,23.85575,23.74925
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,150.97272727,55.84,35.837272727,35.155454545
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,75.462,17.950666667,13.129333333,13.122666667
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,90.9225,12.04,8.6533333333,8.3866666667
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,13,25,142,8.6036619718,2.0366197183,1.3945070423,1.3914788732
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3303,3.7121404784,0.3774810778,0.2959370269,0.290087799
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,160.16,17.52,11.241818182,11.078181818
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,254.53846154,53.98,35.809230769,35.369230769
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.74,35.740833333,34.494166667
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,29,161.23448276,31.967931034,24.022068966,24.697241379
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,99,101,419.19158416,77.753960396,55.470594059,50.814950495
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.5853076923,7.5148846154,7.5148846154
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,52.351428571,17.544285714,13.754285714,14.37
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,285.6,38.76,28.790526316,27.956842105
1033175591,MCGOWAN,JAMES,M,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,800146318,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,106.17391304,33,24.745217391,24.745217391
1033175633,HARMON,DAVID,A,MD,M,I,106 SOUTH WATER STREET,,HARDIN,IL,620470106,US,Physician/Family Practice,S,A4391,"Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,15.014,7.96,5.5241538462,5.5241538462
1033175633,HARMON,DAVID,A,MD,M,I,106 SOUTH WATER STREET,,HARDIN,IL,620470106,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,92.287272727,18.837272727,14.765454545,9.12
1033175633,HARMON,DAVID,A,MD,M,I,106 SOUTH WATER STREET,,HARDIN,IL,620470106,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,16,16,228.743125,81.87875,52.484375,44.65125
1033175658,DUONG,KIEN-AN,,MD,M,I,11420 WARNER AVE,,FOUNTAIN VALLEY,CA,927082529,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,53,185,76.446702703,8.32,5.7110810811,5.7110810811
1033175658,DUONG,KIEN-AN,,MD,M,I,11420 WARNER AVE,,FOUNTAIN VALLEY,CA,927082529,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,32,49,13.289591837,1.42,1.0469387755,1.0469387755
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,46,149,461,69.23472885,8.32,6.1565292842,6.1565292842
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,20,49,71,11.551267606,1.42,1.0216901408,1.0216901408
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,145.37866667,51.114,40.076,32.075333333
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,15,30,30,376.02666667,120.92133333,92.508333333,68.373666667
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,17,37,86,158.26162791,46.221744186,36.237674419,27.14244186
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,45,87.354666667,25.370888889,16.213555556,11.594222222
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,22,111,71.884504505,19.951441441,15.321981982,11.573333333
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,27,27,284.74851852,77.977037037,59.351481481,41.79
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,29,34,34,77.610588235,25.920882353,19.837352941,14.027352941
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,24,40,40,78.02275,21.2955,16.2715,8.92475
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,31,63,315,12.49847619,3.1881904762,2.4662222222,1.6408888889
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,46.831764706,16.146470588,12.654117647,10.34
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,42,305,306,81.643856209,22.616830065,16.837091503,12.994869281
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,20,20,232.35,63.788,47.9445,35.7485
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,11,65,68,81.75,17.240147059,13.300588235,10.130441176
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,47.658666667,8.3673333333,6.4524444444,3.7651111111
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,15,98,101,230.64376238,51.103069307,39.294752475,26.903564356
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,65,524,525,490.1095619,102.97988571,76.227961905,51.434114286
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,190,44.455714286,32.597857143,27.587380952
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,510,17.616862745,9.5280588235,7.47,7.47
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,33,1860,1.0123172043,0.136516129,0.101172043,0.101172043
1033175831,POYER,MELINDA,J,D.O.,F,I,1180 COLLEGE DR,SUITE 3-2,ROCK SPRINGS,WY,829015863,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,41,41,98.195121951,33,24.60804878,24.60804878
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,53,161,67.757329193,8.32,6.4410559006,6.4410559006
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,21,13.693809524,1.42,1.1171428571,1.1171428571
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,76.720909091,47.679090909,37.38,32.651818182
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,13,24,24,352.5075,117.05833333,78.390833333,58.649166667
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,34,117.78441176,44.691764706,30.513235294,21.856470588
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,195.734,74.293333333,55.103333333,43.417333333
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,22,22,63.012727273,25.252727273,18.915454545,13.875909091
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,25,25,77.4312,20.9568,16.026,9.2184
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,17,34,150,8.0136,2.8149333333,2.113,1.5632666667
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,25.805714286,8.5957142857,6.3721428571,4.3178571429
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,44.208181818,16.177272727,12.679090909,10.589090909
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,53,53,174.62264151,42.366603774,31.19490566,22.837924528
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,36,11.746666667,9.205,4.6775
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,386.878,98.85,70.624,55.441
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2183,0.1607879066,0.047182776,0.0268621164,0.0268621164
1033175971,RAPH,STEPHEN,M,MD,M,I,20 HARTFORD ST,,HOULTON,ME,047301891,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,82.5,33,23.324166667,23.324166667
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,74,221,77.717466063,8.32,5.9167873303,5.9167873303
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,38,53,13.355849057,1.42,0.9471698113,0.9471698113
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,12.15,9.9390909091,7.7918181818,7.5145454545
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.92,10.940909091,8.5772727273,8.8472727273
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.67,10.397272727,8.1518181818,8.2390909091
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,420.19,217.88545455,157.77363636,157.77363636
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,504.26652174,71.06,50.865652174,50.056086957
1033175997,LO,CONSTANCE,W,MD,F,I,2400 MOORPARK AVE,VHC MOORPARK INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951282631,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,395,36.58,25.757272727,26.615454545
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,41,81,196,58.25994898,8.32,5.9565816327,5.9565816327
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,11.682666667,3.38,2.65,2.65
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.683636364,2.12,1.67,1.67
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,38,55,12.282181818,1.42,1.0734545455,1.0734545455
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,40.400689655,16.78,12.696551724,13.066896552
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,18,50.73,4,2.6633333333,3.1816666667
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,316.783125,71.5,54.308125,53.0196875
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,5428,0.2331226971,0.0463559322,0.0343109801,0.0343109801
1033176060,WILDING,JONATHAN,W,M.D.,M,I,7926 PRESTON HWY,SUITE 208,LOUISVILLE,KY,402193848,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,75.428571429,33,24.302142857,24.302142857
1033176136,GLASOFER,ERIC,,"M.D., PHD",M,I,1000 WHITE HORSE RD,SUITE 904,VOORHEES,NJ,080434406,US,Physician/Allergy/ Immunology,S,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2150,327.50511628,39.262846512,30.715344186,30.715330233
1033176136,GLASOFER,ERIC,,"M.D., PHD",M,I,1000 WHITE HORSE RD,SUITE 904,VOORHEES,NJ,080434406,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,24,4304,0.3458178439,0.0467936803,0.0366891264,0.0366891264
1033176136,GLASOFER,ERIC,,"M.D., PHD",M,I,1000 WHITE HORSE RD,SUITE 904,VOORHEES,NJ,080434406,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,27,27,66,33,24.911851852,24.911851852
1033176169,DIGGS,ERICA,A,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,2.7864705882,2.2005882353,1.7229411765,1.8105882353
1033176169,DIGGS,ERICA,A,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,61.503529412,27.104117647,21.21,21.484705882
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,62,92,18.221413043,8.32,5.8851086957,5.8851086957
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,38,38,38.420789474,1.42,0.9726315789,0.9726315789
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,44,1304,2.4485966258,2.2530444785,1.6327837423,1.6461349693
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,1.7093333333,1.7093333333,1.34,1.5993333333
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,30,52,9.015,8.4011538462,6.3269230769,8.3925
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,50,94,12.907553191,7.46,5.44,5.44
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,1140,4.19,4.19,3.285,3.285
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,450,6.582,3,2.352,2.3614
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,43,51.842325581,11.26372093,8.8327906977,9.0072093023
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,43,38.093023256,10.17627907,7.9713953488,8.3546511628
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,43,620.49116279,221.40395349,173.57534884,173.57534884
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,60.2,27.573043478,21.618695652,22.94
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,3966,0.5538502269,0.0450958144,0.0353580434,0.0353580434
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,20.57,7.7860869565,6.1030434783,6.5626086957
1033176227,LIFSON,DONNA,,MD,F,I,388 POMPTON AVE,,CEDAR GROVE,NJ,070091814,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,33,33,25.87,25.87
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,24,82,141,42.43212766,8.32,5.4027659574,5.4027659574
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,14,27,30,11.822,1.42,0.8193333333,0.8193333333
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,431.99,125.30333333,93.214666667,71.692
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,45,175.80844444,47.362444444,36.920888889,28.381555556
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,158.69,77.615,57.175833333,41.4225
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,72.064117647,24.897058824,18.671764706,14.154117647
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,25,25,78.6192,22.514,17.2496,10.5972
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,28,156,10.018461538,3.3107692308,2.5959615385,1.7581410256
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,86.31,22.707333333,16.806222222,13.163111111
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,17,174.52470588,58.446470588,45.824117647,37.157647059
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,76,76,470.85763158,106.585,81.206184211,55.766973684
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,2580,0.6604263566,0.1307906977,0.070748062,0.070748062
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,200,45.002727273,33.790909091,28.825
1033176235,REED,DAVID,G,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,23,33,33,19.106086957,19.106086957
1033176250,CANADA,ROBERT,B,MD,M,I,1325 EASTMORELAND AVE STE 220,,MEMPHIS,TN,38104,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,58,10410,4.6032334294,0.5607809798,0.4232574448,0.4232574448
1033176250,CANADA,ROBERT,B,MD,M,I,1325 EASTMORELAND AVE STE 220,,MEMPHIS,TN,38104,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,52,7125,0.0965922807,0.0132463158,0.0101515789,0.0101515789
1033176250,CANADA,ROBERT,B,MD,M,I,1325 EASTMORELAND AVE STE 220,,MEMPHIS,TN,38104,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,43,6090,4.6009244663,2.8238768473,2.1558899836,2.1558899836
1033176250,CANADA,ROBERT,B,MD,M,I,1325 EASTMORELAND AVE STE 220,,MEMPHIS,TN,38104,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,24,24,18.82,18.82
1033176250,CANADA,ROBERT,B,MD,M,I,1325 EASTMORELAND AVE STE 220,,MEMPHIS,TN,38104,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,132,132,16,16,12.35,12.35
1033176284,WITTE,AMY,,FNP,F,I,2400 S PEORIA ST,#100,AURORA,CO,800145476,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,29,276.65448276,78.49,56.67862069,51.051034483
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,49,7980,0.2613157895,0.13,0.0980964912,0.0980964912
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,89,14160,3.4436016949,1.7686228814,1.293539548,1.4746751412
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,3300,13.426818182,7.88,6.0909575758,6.0909575758
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,79,24.752658228,9.3315189873,7.1298734177,8.2930379747
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,14.46,6.67,4.9242307692,5.3138461538
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,400,10.20675,3.43,2.689075,2.989425
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,710,11.328056338,5.74,4.5000985915,4.5000985915
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,440,24.879272727,9.86,7.7301590909,7.7301590909
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,500,16.4118,7,5.488,5.488
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,450,14.603577778,7.33,5.5910222222,5.5910222222
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,1060,9.4138490566,4.04,3.1673679245,3.1673679245
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,31,2880,0.4696180556,0.27,0.2061701389,0.2061701389
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,779,0.5625673941,0.2577535302,0.2021181001,0.2101797176
1033176458,MCSWAIN,HAROLD,M,M.D.,M,I,1325 WOLF PARK DR,SUITE 102,GERMANTOWN,TN,381381742,US,Physician/Urology,S,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,240,5,4.85,3.6004583333,3.6004583333
1033176581,RUGO,HOPE,S,MD,F,I,1600 DIVISADERO ST,,SAN FRANCISCO,CA,941153010,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,20,1988,43.344567404,4.9910412475,3.910804829,3.9107997988
1033176581,RUGO,HOPE,S,MD,F,I,1600 DIVISADERO ST,,SAN FRANCISCO,CA,941153010,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1033176615,MICHELL,JEFFREY,R,MD,M,I,15650 CEDAR AVE,,APPLE VALLEY,MN,551247022,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,27,73,160,77.297,8.3120625,5.9751875,5.9814375
1033176615,MICHELL,JEFFREY,R,MD,M,I,15650 CEDAR AVE,,APPLE VALLEY,MN,551247022,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,20,26,18.219615385,1.42,0.9453846154,0.9453846154
1033176615,MICHELL,JEFFREY,R,MD,M,I,15650 CEDAR AVE,,APPLE VALLEY,MN,551247022,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,373.35333333,48.553333333,35.528888889,36.627222222
1033176615,MICHELL,JEFFREY,R,MD,M,I,15650 CEDAR AVE,,APPLE VALLEY,MN,551247022,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,17.95,11.511818182,11.078181818
1033176615,MICHELL,JEFFREY,R,MD,M,I,15650 CEDAR AVE,,APPLE VALLEY,MN,551247022,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,240.19,45.785454545,35.899090909,36.432727273
1033176615,MICHELL,JEFFREY,R,MD,M,I,15650 CEDAR AVE,,APPLE VALLEY,MN,551247022,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,262.61904762,78.49,55.67,49.517619048
1033176615,MICHELL,JEFFREY,R,MD,M,I,15650 CEDAR AVE,,APPLE VALLEY,MN,551247022,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,19.76,12.231818182,11.904545455
1033176805,WASSERMAN,MARK,D,MD,M,I,555 ROUTE 25A,,MILLER PLACE,NY,117642625,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,33,193,61.25373057,8.32,5.7455440415,5.7455440415
1033176805,WASSERMAN,MARK,D,MD,M,I,555 ROUTE 25A,,MILLER PLACE,NY,117642625,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,12.016363636,3.38,2.65,2.65
1033176805,WASSERMAN,MARK,D,MD,M,I,555 ROUTE 25A,,MILLER PLACE,NY,117642625,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,64,11.89984375,1.42,0.92140625,0.92140625
1033176805,WASSERMAN,MARK,D,MD,M,I,555 ROUTE 25A,,MILLER PLACE,NY,117642625,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,149.43105263,77.55,51.2,46.407894737
1033176805,WASSERMAN,MARK,D,MD,M,I,555 ROUTE 25A,,MILLER PLACE,NY,117642625,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,69.375,41.25,32.34,29.981666667
1033176805,WASSERMAN,MARK,D,MD,M,I,555 ROUTE 25A,,MILLER PLACE,NY,117642625,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,33,33,25.87,25.87
1033176896,MCALLISTER,PETER,J,M.D.,M,I,75 KINGS HIGHWAY CUTOFF,5TH FLOOR,FAIRFIELD,CT,068245340,US,Psychiatry & Neurology,T,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.92,10.900909091,8.5418181818,8.3918181818
1033176896,MCALLISTER,PETER,J,M.D.,M,I,75 KINGS HIGHWAY CUTOFF,5TH FLOOR,FAIRFIELD,CT,068245340,US,Psychiatry & Neurology,T,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,36.67,10.004545455,7.8409090909,7.7936363636
1033176896,MCALLISTER,PETER,J,M.D.,M,I,75 KINGS HIGHWAY CUTOFF,5TH FLOOR,FAIRFIELD,CT,068245340,US,Psychiatry & Neurology,T,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,420.19,205.78181818,161.32545455,161.32545455
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,32,80,198,65.199242424,8.32,5.3152020202,5.3152020202
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.4090909091,2.4090909091
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,21,33,15.463030303,1.42,1.1151515152,1.1151515152
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,36,8.0683333333,2.06,1.4741666667,1.0983333333
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,82.226363636,21.237272727,15.728181818,9.3163636364
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,67,73,81.075616438,21.915205479,15.76109589,12.892465753
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,232.35,57.724117647,42.83,35.416470588
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,58.533333333,19.612666667,13.832,9.9893333333
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,25,45.584,8.2304,4.2976,2.2968
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,197.08625,55.925625,42.23125,28.8975
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,106,56.322666667,39.902,34.003333333
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,147,147,454.64496599,100.61666667,74.703197279,53.080816327
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,194.36470588,44.482941176,33.469411765,28.948823529
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,9058,0.1794855376,0.0458335173,0.0322742327,0.0322742327
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,2430,1.5819259259,0.1327160494,0.0905925926,0.0905925926
1033177126,GILBERT,JAMES,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,46,46,112.63043478,33,23.058043478,23.058043478
1033177134,HOLDHUSEN,CHRISTOPHER,J,M.D.,M,I,1035 1ST AVE. WEST,FLATHEAD COMMUNITY HEALTH CENTER,KALISPELL,MT,599015607,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,23,65,263,52.904410646,8.32,5.1369201521,5.1369201521
1033177134,HOLDHUSEN,CHRISTOPHER,J,M.D.,M,I,1035 1ST AVE. WEST,FLATHEAD COMMUNITY HEALTH CENTER,KALISPELL,MT,599015607,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,1.7035714286,1.7035714286
1033177134,HOLDHUSEN,CHRISTOPHER,J,M.D.,M,I,1035 1ST AVE. WEST,FLATHEAD COMMUNITY HEALTH CENTER,KALISPELL,MT,599015607,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,46,14.675652174,1.42,0.7982608696,0.7982608696
1033177134,HOLDHUSEN,CHRISTOPHER,J,M.D.,M,I,1035 1ST AVE. WEST,FLATHEAD COMMUNITY HEALTH CENTER,KALISPELL,MT,599015607,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,57,501.29877193,100.83333333,69.498245614,53.607719298
1033177134,HOLDHUSEN,CHRISTOPHER,J,M.D.,M,I,1035 1ST AVE. WEST,FLATHEAD COMMUNITY HEALTH CENTER,KALISPELL,MT,599015607,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,28,224.28571429,44.34,32.417857143,27.6625
1033177134,HOLDHUSEN,CHRISTOPHER,J,M.D.,M,I,1035 1ST AVE. WEST,FLATHEAD COMMUNITY HEALTH CENTER,KALISPELL,MT,599015607,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1320,1.6093939394,0.1333181818,0.0866893939,0.0866893939
1033177134,HOLDHUSEN,CHRISTOPHER,J,M.D.,M,I,1035 1ST AVE. WEST,FLATHEAD COMMUNITY HEALTH CENTER,KALISPELL,MT,599015607,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,95.526315789,33,20.418947368,20.418947368
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,26,73,175,73.455028571,8.32,6.2991428571,6.2991428571
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,21,27,20.438518519,1.42,1.0333333333,1.0333333333
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,1.48,1.0633333333,1.0541666667
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,97,115.39484536,19.616391753,15.059793814,14.283195876
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,333.19142857,54.18,38.409047619,38.718095238
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,103.49823529,19.264117647,13.331764706,12.524705882
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,26,26,107.00076923,12.410769231,9.2880769231,8.7319230769
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,27,158,14.098101266,2.3194936709,1.75,1.5538607595
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,58.704285714,13.38,9.7464285714,9.6114285714
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,41,86.31,18,12.733414634,12.246829268
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,50.73,3.8025,2.8757142857,3.4367857143
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,532.478,30.8144,22.3004,22.4496
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60.33,10.263636364,5.3672727273,6.4109090909
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,66,488.67712121,79.35,60.115909091,54.109242424
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,6796,0.1965067687,0.0463022366,0.0338596233,0.0338596233
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1260,1.0006269841,0.1358095238,0.1064920635,0.1064920635
1033177233,LEVIN,ANDREW,S,M.D.,M,I,10 HOSPITAL DR,SUITE 307,HOLYOKE,MA,010406603,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,38,38,125.21052632,33,24.508421053,24.508421053
1033177282,CHAUDHARY,HALEEM,N,MD,M,I,6480 HARRISON AVE,SUITE 100,CINCINNATI,OH,452477961,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,40,42,701,33.416547789,25.589614836,20.062410842,20.062410842
1033177340,MALLEMPATI,SRINIVAS,,M.D.,M,I,1801 GADSDEN HWY,,BIRMINGHAM,AL,352353134,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,120,81.491315789,62.327105263,62.351578947
1033177340,MALLEMPATI,SRINIVAS,,M.D.,M,I,1801 GADSDEN HWY,,BIRMINGHAM,AL,352353134,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,46,46,56.901956522,24.64326087,16.861956522,13.276086957
1033177340,MALLEMPATI,SRINIVAS,,M.D.,M,I,1801 GADSDEN HWY,,BIRMINGHAM,AL,352353134,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,42,23.306666667,10.875238095,8.0004761905,6.5573809524
1033177357,WOLFSON,HELEN,A,"MD, LLC.",F,I,1088 W BALTIMORE PIKE,HCC II STE 2202,MEDIA,PA,190635136,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,38,82,66.364634146,8.32,5.3968292683,5.3968292683
1033177357,WOLFSON,HELEN,A,"MD, LLC.",F,I,1088 W BALTIMORE PIKE,HCC II STE 2202,MEDIA,PA,190635136,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,17,14.068235294,1.42,1.1176470588,1.1176470588
1033177357,WOLFSON,HELEN,A,"MD, LLC.",F,I,1088 W BALTIMORE PIKE,HCC II STE 2202,MEDIA,PA,190635136,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,342.3,77.18,54.974166667,49.666666667
1033177357,WOLFSON,HELEN,A,"MD, LLC.",F,I,1088 W BALTIMORE PIKE,HCC II STE 2202,MEDIA,PA,190635136,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,20,85,37,27.5595,28.066
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,19,41,41,114.63560976,42.092926829,31.319512195,28.897073171
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,22,45,45,371.108,96.566,70.943555556,63.211777778
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,22,47,121,152.47743802,36.556446281,26.359752066,23.736198347
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,15,37,152,102.03486842,19.622368421,13.901907895,13.003881579
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,,29,135,58.226666667,15.658444444,11.453037037,11.058222222
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,24,54,54,281.4137037,59.298148148,40.983333333,37.544814815
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,40,56,56,81.049107143,19.356785714,14.050892857,12.967321429
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,21,57,57,87.112807018,13.922280702,9.8078947368,8.0871929825
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,43,112,528,9.9978030303,2.300530303,1.6882386364,1.4885606061
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,30,41,41,47.585609756,13.786341463,10.603658537,10.124390244
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,286.34444444,116.04833333,86,68.188333333
1033177571,GETACHEW,ESKENDER,,M.D.,M,I,1050 KINGSMILL PKWY,,COLUMBUS,OH,432291143,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,13,98,99,256.39979798,35.124747475,25.451111111,23.174343434
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,60,205,55.071512195,8.32,6.4588292683,6.4588292683
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.57,3.38,2.65,2.65
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,50,14.8498,1.42,1.1134,1.1134
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,38,38,187.29210526,63.625789474,46.85,34.009473684
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,21.788,15.091333333,12.127333333
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,45.202,7.332,4.8586666667,2.7786666667
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,29.4,15.543636364,12.19,10.53
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,510.82125,98.85,70.398125,50.474375
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1170,2.2972905983,0.1261282051,0.0849316239,0.0849316239
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,78.597894737,24.277368421,16.757894737,12.218421053
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,165.67909091,129.88636364,95.99
1033177654,JONES,VICKIE,,CFNP,F,I,585 INTERSTATE DR,SUITE B,MANCHESTER,TN,373553190,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,54.214285714,33,22.174285714,22.174285714
1033177829,THEAD,LARRY,B,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,27,67.035185185,8.32,5.0714814815,5.0714814815
1033177829,THEAD,LARRY,B,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,35.9555,4.3595,3.081,3.042
1033177829,THEAD,LARRY,B,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,21,487.22238095,70.23,52.438095238,52.114285714
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,38,89,238,70.655168067,8.2804201681,5.4222268908,5.4532352941
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,27,52,81,27.36654321,1.42,0.8541975309,0.8541975309
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6209,0.3038428088,0.2712997262,0.2126993075,0.2179062651
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,19,19,144.64947368,48.188421053,29.981578947,31.072631579
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,45.88575,16.59,12.675,13.14225
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,56,56,25.272142857,4.2110714286,2.955,3.2392857143
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,50.495454545,38.059090909,25.337272727,57.348181818
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,3,1.86,1.2166666667,1.29
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,252.26837838,67.72,53.1,54.50972973
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,29,7118,0.5944872155,0.0452472605,0.0316858668,0.0316858668
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,930,13.458784946,2.8801290323,2.2580430108,2.2580430108
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,20,40.025,21.498,14.2035,17.396
1033177852,SATYAL,SHARAD,R,M. D.,M,I,910 EASTERN SHORE DR,,SALISBURY,MD,218046410,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,46,46,39.456521739,33,23.772608696,23.772608696
1033177878,TURCHIN,SERGEY,,M.D.,M,I,120 CYPRESS EDGE DR,SUITE 209,PALM COAST,FL,321648453,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,67,169,517,59.715628627,8.32,6.032417795,6.032417795
1033177878,TURCHIN,SERGEY,,M.D.,M,I,120 CYPRESS EDGE DR,SUITE 209,PALM COAST,FL,321648453,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,19,54,54,12.830740741,3.38,2.4537037037,2.4537037037
1033177878,TURCHIN,SERGEY,,M.D.,M,I,120 CYPRESS EDGE DR,SUITE 209,PALM COAST,FL,321648453,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,18,25,25,18.9968,2.12,1.6032,1.6032
1033177878,TURCHIN,SERGEY,,M.D.,M,I,120 CYPRESS EDGE DR,SUITE 209,PALM COAST,FL,321648453,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,43,95,160,12.4158125,1.42,1.045125,1.045125
1033177878,TURCHIN,SERGEY,,M.D.,M,I,120 CYPRESS EDGE DR,SUITE 209,PALM COAST,FL,321648453,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,14,14,14,42.702142857,38.43,30.128571429,58.815
1033177878,TURCHIN,SERGEY,,M.D.,M,I,120 CYPRESS EDGE DR,SUITE 209,PALM COAST,FL,321648453,US,Physician/Internal Medicine,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,100.75,86.512173913,67.826956522,67.826956522
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,56,93,93,96.672258065,46.911290323,34.233010753,28.639677419
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,86,145,146,289.16520548,112.27273973,78.024589041,60.069726027
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,68,111,220,102.85063636,42.716045455,29.550454545,22.583181818
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,24,37,160,58.3775,25.11925,18.432,13.6610625
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,34,53,239,46.555774059,18.250376569,13.508953975,11.240585774
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,75,142,142,213.68753521,70.352112676,48.411338028,36.843591549
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,137,181,181,55.962651934,22.73878453,15.417513812,12.112651934
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,90,155,155,65.637096774,16.728258065,11.580129032,7.7950967742
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,140,238,1276,9.4326018809,2.7825705329,1.9449529781,1.3932523511
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,37,49,49,21.735714286,7.8540816327,5.6485714286,4.2387755102
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,81,100,100,43.9055,15.2981,10.4285,8.9325
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,204.86,63.279090909,49.608181818,39.370909091
1033177910,BAILEY,BETH,A,MD,F,I,186 MEDICAL PARK LOOP,SUITE 503,SYLVA,NC,287795275,US,Family Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,358.63636364,100.90545455,77.300606061,55.526060606
1033177993,PINA,ELSIRA,M,D.O.,F,I,200 EDEN AVE,,CINCINNATI,OH,452194231,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,61.223333333,17.36,12.097777778,12.043333333
1033177993,PINA,ELSIRA,M,D.O.,F,I,200 EDEN AVE,,CINCINNATI,OH,452194231,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,54,320.61111111,79,57.262407407,51.387777778
1033178025,FORMAN,TODD,A,M.D.,M,I,3333 W COAST HWY,SUITE 500,NEWPORT BEACH,CA,926634036,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,42,68.867857143,8.32,4.9702380952,4.9702380952
1033178025,FORMAN,TODD,A,M.D.,M,I,3333 W COAST HWY,SUITE 500,NEWPORT BEACH,CA,926634036,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,104.44571429,40,31.36,30.552142857
1033178025,FORMAN,TODD,A,M.D.,M,I,3333 W COAST HWY,SUITE 500,NEWPORT BEACH,CA,926634036,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,90,8.5946666667,2.012,1.5776666667,1.5901111111
1033178025,FORMAN,TODD,A,M.D.,M,I,3333 W COAST HWY,SUITE 500,NEWPORT BEACH,CA,926634036,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,234.80608696,28.340434783,20.372608696,22.467391304
1033178249,BERNING,THEA,,MD,F,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Emergency Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,60,49.45,38.77,36.46
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,48,121,422,64.872109005,8.32,5.7032701422,5.7032701422
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,13.606666667,3.38,2.65,2.65
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,36,53,12.448867925,1.42,1.0952830189,1.0952830189
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,60,9.748,3.01,2.2385,1.4708333333
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,81.161538462,22.666923077,16.908461538,13.096730769
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,14,14,121.70714286,61.481428571,45.253571429,34.942142857
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,69,500.46478261,103.10985507,76.960724638,52.285362319
1033178322,BIBBY,CHRISTOPER,J,MD,M,I,4410 106TH ST SW,,MUKILTEO,WA,982754700,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,250,45.15,33.209333333,27.549333333
1033178348,KOBYLINSKI,MARIA,S,M.D.,F,I,201 16TH ST,,SELINSGROVE,PA,178709329,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,40,125,64.76648,8.32,6.31456,6.31456
1033178348,KOBYLINSKI,MARIA,S,M.D.,F,I,201 16TH ST,,SELINSGROVE,PA,178709329,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,27,18.03962963,1.42,1.0325925926,1.0325925926
1033178363,FENYO-MORALES,ILONA,S,PA-C,F,I,1255 LILA ST,UFJP LEM TURNER FAMILY PRACTICE CENTER,JACKSONVILLE,FL,322083550,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,58,195,59.531333333,8.32,6.2545641026,6.2545641026
1033178363,FENYO-MORALES,ILONA,S,PA-C,F,I,1255 LILA ST,UFJP LEM TURNER FAMILY PRACTICE CENTER,JACKSONVILLE,FL,322083550,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,12.647368421,3.38,2.65,2.65
1033178363,FENYO-MORALES,ILONA,S,PA-C,F,I,1255 LILA ST,UFJP LEM TURNER FAMILY PRACTICE CENTER,JACKSONVILLE,FL,322083550,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,38,70,13.401714286,1.42,1.0351428571,1.0351428571
1033178363,FENYO-MORALES,ILONA,S,PA-C,F,I,1255 LILA ST,UFJP LEM TURNER FAMILY PRACTICE CENTER,JACKSONVILLE,FL,322083550,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,39.702857143,3.8571428571,3.0214285714,3.62
1033178363,FENYO-MORALES,ILONA,S,PA-C,F,I,1255 LILA ST,UFJP LEM TURNER FAMILY PRACTICE CENTER,JACKSONVILLE,FL,322083550,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,18.833636364,14.764545455,13.496363636
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,52,52,52,132.20269231,44.032115385,32.54,34.277115385
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,52,52,52,131.44153846,47.709230769,36.686153846,39.758076923
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,21.542564103,9.26,5.888974359,6.6715384615
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,26,26,134.38,47.953076923,29.221538462,31.35
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,134.07117647,44.258823529,34.702941176,39.377058824
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,741,125.73529412,93.059411765,122.76588235
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.44,4.4475,3.4841666667,3.6616666667
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,18,18,36,59.108333333,26.806111111,21.016111111,22.370277778
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,18,18,18,48.35,20.506666667,16.07,17.903333333
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.7,10.135,7.94,8.815
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,38,240.45263158,70.423157895,53.818421053,53.388947368
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,38.72,27.83,27.13
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,72.528125,31.9425,25.040625,28.65625
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,358.58,148,116.03,114.34454545
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,18,105,105,67.325714286,16.442095238,12.527428571,14.186761905
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,120.90553191,23.058510638,17.043191489,20.975957447
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,144.905,27.94,18.25,20.415
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,24,145,145,21.394275862,7.2579310345,5.4611724138,6.5083448276
1033178413,WU,DONALD,T,M.D.,M,I,92 BRICK RD,,MARLTON,NJ,080532177,US,Physician/Physical Medicine and Rehabilitation,S,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,20,1194.83,543.904,398.1415,428.9705
1033178447,MONTISANO,DENISE,F,MD,F,I,805 SIR THOMAS CT,2ND FLOOR,HARRISBURG,PA,171094839,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,31,68,61.860441176,8.2352941176,5.9757352941,6.0419117647
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,28,62,172,68.882325581,8.32,4.9473837209,4.9473837209
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,19,20,13.766,1.42,0.783,0.783
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.515,8.515,6.0681818182,6.1940909091
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,44,6.4375,6.01,4.2840909091,4.2840909091
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,97.340909091,26.723636364,20.947272727,14.06
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,49,9.7118367347,3.1130612245,2.4414285714,1.5930612245
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,23,86.31,22.370434783,16.239565217,12.353478261
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,40,450.04325,98.85,71.67075,50.29125
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,2237,1.1475681717,0.1362896737,0.0996468485,0.0996468485
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240,44.745,32.344166667,27.6525
1033178512,BASARICH,JOHN,R,MD,M,I,127 HOSPITAL DR,,WATERTOWN,WI,530983303,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,84.333333333,33,23.914814815,23.914814815
1033178520,THIRY-ZARAGOZA,MONIQUE,,MD,F,I,1030 INTERNATIONAL BLVD,,OAKLAND,CA,94606,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,56,69.961071429,8.32,4.6171428571,4.6171428571
1033178520,THIRY-ZARAGOZA,MONIQUE,,MD,F,I,1030 INTERNATIONAL BLVD,,OAKLAND,CA,94606,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,24,18.3075,1.42,0.6025,0.6025
1033178538,DOMEYER,EVAN,L,DO,M,I,3960 COON RAPIDS BLVD NW,100,COON RAPIDS,MN,554332569,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,523.80666667,78.49,56.4025,50.169166667
1033178637,MCCORMACK,MARIE,M,MD,F,I,10085 DOUBLE R BLVD STE 220,,RENO,NV,895213855,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,27,96,68.161666667,8.32,5.9784375,5.9784375
1033178637,MCCORMACK,MARIE,M,MD,F,I,10085 DOUBLE R BLVD STE 220,,RENO,NV,895213855,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,25,15.7756,1.42,0.9808,0.9808
1033178694,STUGART,RICKY,H,MD,M,I,100 ROBINHOOD MEDICAL PLZ,DBA MAPLEWOOD FAMILY PRACTICE,WINSTON SALEM,NC,271065472,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,64,157,61.900509554,8.32,6.0088535032,6.0088535032
1033178694,STUGART,RICKY,H,MD,M,I,100 ROBINHOOD MEDICAL PLZ,DBA MAPLEWOOD FAMILY PRACTICE,WINSTON SALEM,NC,271065472,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,38,54,18.351111111,1.42,1.0340740741,1.0340740741
1033178694,STUGART,RICKY,H,MD,M,I,100 ROBINHOOD MEDICAL PLZ,DBA MAPLEWOOD FAMILY PRACTICE,WINSTON SALEM,NC,271065472,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,606.48615385,70.23,55.06,54.72
1033178694,STUGART,RICKY,H,MD,M,I,100 ROBINHOOD MEDICAL PLZ,DBA MAPLEWOOD FAMILY PRACTICE,WINSTON SALEM,NC,271065472,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,163.33333333,37.44,29.35,29.51
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,74,248,554,52.285090253,8.32,5.4205415162,5.4205415162
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,36,36,14.392222222,3.38,2.3555555556,2.3555555556
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,22.875625,2.12,1.356875,1.356875
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,45,104,155,15.282064516,1.42,0.9353548387,0.9353548387
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,24,99.033333333,71.56,54.611666667,54.61
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,13,38,4.0621052632,1.44,1.1292105263,1.1868421053
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,222.31363636,48.272727273,28.859090909,29.473636364
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,81,85,70.060117647,17.16,12.123294118,12.198588235
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,38.573333333,6.48625,3.0070833333,1.8308333333
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,169,173,396.82739884,74.372890173,53.140809249,49.886069364
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,2584,0.3936726006,0.0463273994,0.0238583591,0.0238583591
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,3300,1.8870484848,0.1336363636,0.0915545455,0.0915545455
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,19,146.25,16.188421053,9.5136842105,10.683157895
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,599.5,99.67875,78.14875,100.31
1033178777,ASHCRAFT,TROY,K,DO,M,I,19 S MAIN ST,,DRY RIDGE,KY,41035,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,17,38,38,35.605263158,33,21.014473684,21.014473684
1033178801,PRASUN,CHRISTOPHER,A,PA-C,M,I,315 MEDICAL PKWY,SUITE 100,GREER,SC,296502456,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,80,74.55,53.579166667,58.326666667
1033178801,PRASUN,CHRISTOPHER,A,PA-C,M,I,315 MEDICAL PKWY,SUITE 100,GREER,SC,296502456,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,283.94736842,266.98,198.11421053,207.41631579
1033178975,TORRES,ALFREDO,E,MD,M,I,300 WASHINGTON ST,SUITE 208,MONROE,LA,712016714,US,Physician/Psychiatry,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,111.89631579,31.391052632,24.607368421,22.76
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,82,170,69.791176471,8.32,5.1786470588,5.1786470588
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,39,44,24.692727273,1.42,0.8381818182,0.8381818182
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,3300,0.1063636364,0.1063636364,0.0791060606,0.0908606061
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,2.6009090909,2.6009090909,1.8782727273,1.9947878788
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,101.08153846,43.886153846,31.762307692,33.695384615
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,126.17615385,49.18,30.553846154,32.878461538
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,20,95,95,203.37536842,49.421052632,36.248947368,36.201157895
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,36,31.083333333,17,12.959722222,13.124444444
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,2981.0464706,1074.31,833.82058824,833.82058824
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,3.505,2.4641666667,3.2983333333
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,174.08705882,44.077647059,32.630588235,33.388235294
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,12,12,48.523333333,20.43,14.675833333,16.700833333
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,51,243.04705882,77.74,58.559803922,54.291176471
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,12,12,87.1125,29.68,21.330833333,27.013333333
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,25,117,117,60.521367521,15.083846154,10.326239316,12.731794872
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,51,51,95.583137255,21.191176471,15.524705882,20.693921569
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,34,179,179,17.414692737,6.8155307263,4.8075977654,6.1263128492
1033179080,PATEL,NILESH,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,82.5,33,17.246666667,17.246666667
1033179213,HAMILTON,JOHN,K,M.D.,M,I,3417 GASTON AVENUE,SUITE 790,DALLAS,TX,75246,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,117,3154,43.971781864,13.074771718,10.250656309,10.293081801
1033179213,HAMILTON,JOHN,K,M.D.,M,I,3417 GASTON AVENUE,SUITE 790,DALLAS,TX,75246,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,51,345,460.96884058,268.38075362,210.4093913,210.4093913
1033179213,HAMILTON,JOHN,K,M.D.,M,I,3417 GASTON AVENUE,SUITE 790,DALLAS,TX,75246,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,66,490,670.99928571,326.82,256.05765306,256.05765306
1033179213,HAMILTON,JOHN,K,M.D.,M,I,3417 GASTON AVENUE,SUITE 790,DALLAS,TX,75246,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,117,835,41.966095808,9.3491616766,7.3117844311,7.3117844311
1033179213,HAMILTON,JOHN,K,M.D.,M,I,3417 GASTON AVENUE,SUITE 790,DALLAS,TX,75246,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,117,835,79.244922156,29.217317365,22.851568862,22.851556886
1033179213,HAMILTON,JOHN,K,M.D.,M,I,3417 GASTON AVENUE,SUITE 790,DALLAS,TX,75246,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,18,18,786.11111111,466.82,364.50944444,364.50944444
1033179254,MILLER,BRANDON,W,D.O.,M,I,521 E ELDER ST STE 105,,FALLBROOK,CA,920283082,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,43,98,65.818265306,8.32,6.0932653061,6.0932653061
1033179254,MILLER,BRANDON,W,D.O.,M,I,521 E ELDER ST STE 105,,FALLBROOK,CA,920283082,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,29,15.206551724,1.42,1.0765517241,1.0765517241
1033179254,MILLER,BRANDON,W,D.O.,M,I,521 E ELDER ST STE 105,,FALLBROOK,CA,920283082,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.6418181818,7.35,4.1890909091,4.2518181818
1033179254,MILLER,BRANDON,W,D.O.,M,I,521 E ELDER ST STE 105,,FALLBROOK,CA,920283082,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,7.6538461538,1.9915384615,1.5617948718,1.5884615385
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,14,36,70,8.19,1.5822857143,1.208,1.124
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,71.3525,12.13,9.511,8.971
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,417.05333333,85.63,58.179333333,58.912
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,47,156.79978723,32.56,22.278723404,22.669148936
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,69.908181818,17.62,13.82,14.07
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,23,23,78.993043478,11.534782609,9.0491304348,9.12
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,24,139,11.059856115,2.05,1.5373381295,1.5230215827
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,43.221818182,12.7,9.0545454545,9.4436363636
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,125,143,69.08013986,17.546083916,12.998881119,12.791608392
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,4430.1,1074.31,839.44705882,839.44705882
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,24,133,141,39.460921986,5.2221276596,3.9481560284,3.5896453901
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,158.985,31.466666667,18.245,18.2475
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,37,245,268,414.98481343,70.920597015,53.005522388,52.010858209
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,158.17882353,36.83,28.209803922,28.840196078
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,2700,16.392755556,9.6580666667,7.5334222222,7.5334222222
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,52,2670,16.201580524,11.283617978,8.8086292135,8.8086292135
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,45,8472,0.2928364023,0.0472308782,0.0333097262,0.0333097262
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,45,5344,1.3509861527,0.1336620509,0.0981736527,0.0981736527
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,69,3720,11.944266129,3.025983871,2.3723870968,2.3723870968
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,900,56.4972,46.610033333,36.5422,36.5422
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,67,2251,0.9642381164,0.2187561084,0.1607907597,0.1607907597
1033179262,BECKENDORF,RICHARD,,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,36,167,167,99.988023952,33,24.904491018,24.904491018
1033179270,SIDLOW,CHARLES,J,D.P.M.,M,I,958 JOE FRANK HARRIS PKWY SE BLDG A,SUITE 106,CARTERSVILLE,GA,301202175,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,78.172727273,71.001818182,45.813181818,45.903636364
1033179270,SIDLOW,CHARLES,J,D.P.M.,M,I,958 JOE FRANK HARRIS PKWY SE BLDG A,SUITE 106,CARTERSVILLE,GA,301202175,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,15,327.06666667,154.71,118.646,117.106
1033179304,AVERITT,W,M,D.O.,M,I,3801 SCOTT AND WHITE DR,,KILLEEN,TX,765435252,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,52,63.899807692,8.32,6.5225,6.5225
1033179379,HASHEM,HANI,H,MD,M,I,420 W ROWLAND ST,,COVINA,CA,917232943,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,34,79,66.389240506,8.32,5.8606329114,5.8606329114
1033179379,HASHEM,HANI,H,MD,M,I,420 W ROWLAND ST,,COVINA,CA,917232943,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,14,10.964285714,1.42,1.0385714286,1.0385714286
1033179379,HASHEM,HANI,H,MD,M,I,420 W ROWLAND ST,,COVINA,CA,917232943,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,144.08727273,32.649090909,22.749090909,22.661818182
1033179452,BENEVIDES,KATHERINE,Y,NP,F,I,479 SWANSEA MALL DR,,SWANSEA,MA,027774119,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,46,80.834782609,8.32,5.5304347826,5.5304347826
1033179460,SEPAHPANAH,FARSHAD,,MD,M,I,112 N 7TH ST,,CHAMBERSBURG,PA,172011720,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,58.9,16.59,13,13.512333333
1033179460,SEPAHPANAH,FARSHAD,,MD,M,I,112 N 7TH ST,,CHAMBERSBURG,PA,172011720,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,40,4.3072727273,3.3809090909,3.6854545455
1033179460,SEPAHPANAH,FARSHAD,,MD,M,I,112 N 7TH ST,,CHAMBERSBURG,PA,172011720,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,355,67.72,53.1,54.634117647
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,86,3.7912790698,3.5281395349,2.6389534884,2.6408139535
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,45,7.9895555556,7.39,5.79,6.81
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,36,30.3025,28.451388889,21.074444444,21.082777778
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,166,5.1063855422,5.1063855422,3.7646987952,4.4848192771
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,21,104,26940,0.2516258352,0.13,0.1016878248,0.1016878248
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,32,14.38125,13.8,10.82,10.82
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,42,20.921904762,15.299047619,11.428095238,13.285238095
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,67,2381,3.5854724906,2.27,1.7386560269,1.7386560269
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,82,460,99448,3.8811466294,2.0328477194,1.5549594763,1.5591003338
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,14,70,15180,9.4982081686,7.1481818182,5.6008926219,5.6634426877
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,,71,16190,9.3449092032,7.868276714,5.6213928351,5.6294638666
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,24,143,356,18.415449438,9.3714044944,7.1891011236,8.3226404494
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,14,78,188,11.240691489,6.3380851064,4.5989893617,5.3677659574
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,270,6.4305555556,3.61,2.7252592593,2.9380740741
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,64,384,1.9183333333,1.7975,1.3797395833,1.3818489583
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,430,23.52427907,9.86,7.6096976744,7.6096976744
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,520,22.173230769,9.58,7.3373461538,7.3373461538
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,570,10.076017544,4.04,3.0561754386,3.0561754386
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,440,0.5803636364,0.4,0.3135,0.3135
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,1970,0.7070304569,0.27,0.2116649746,0.2116649746
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,898,0.8850222717,0.2683296214,0.1990089087,0.2004231626
1033179486,LEMACK,GARY,E,MD,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907208,US,Physician/Urology,S,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,56,12.7,12.7,9.09,9.1151785714
1033179551,MORSE,FRISCO,R,DO,M,I,1500 SW 10TH AVE,,TOPEKA,KS,66604,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.7,3.6854545455,3.6854545455
1033179551,MORSE,FRISCO,R,DO,M,I,1500 SW 10TH AVE,,TOPEKA,KS,66604,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,425,69.99,48.85125,48.72875
1033179551,MORSE,FRISCO,R,DO,M,I,1500 SW 10TH AVE,,TOPEKA,KS,66604,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,160,38.68,29.1072,28.362
1033179569,KOEHLER,BRUCE,D,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,218.85416667,54.66,39.288333333,39.288333333
1033179569,KOEHLER,BRUCE,D,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,70.298181818,11.51,8.2090909091,8.3027272727
1033179569,KOEHLER,BRUCE,D,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,14,84,9.3042857143,2.05,1.4919047619,1.4779761905
1033179791,MODARELLI,DANIEL,C,DO,M,I,7580 AUBURN ROAD,SUITE 202,CONCORD TWP,OH,440779406,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,39,114,73.776140351,8.32,5.9911403509,5.9911403509
1033179791,MODARELLI,DANIEL,C,DO,M,I,7580 AUBURN ROAD,SUITE 202,CONCORD TWP,OH,440779406,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,19,26,15.265384615,1.42,1.1146153846,1.1146153846
1033179791,MODARELLI,DANIEL,C,DO,M,I,7580 AUBURN ROAD,SUITE 202,CONCORD TWP,OH,440779406,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,59,8.0544067797,2,1.3030508475,1.3247457627
1033179791,MODARELLI,DANIEL,C,DO,M,I,7580 AUBURN ROAD,SUITE 202,CONCORD TWP,OH,440779406,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,11.108333333,11.326666667
1033179791,MODARELLI,DANIEL,C,DO,M,I,7580 AUBURN ROAD,SUITE 202,CONCORD TWP,OH,440779406,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,25,515.5884,78,57.9544,54.1028
1033179791,MODARELLI,DANIEL,C,DO,M,I,7580 AUBURN ROAD,SUITE 202,CONCORD TWP,OH,440779406,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2676,0.172828849,0.0457623318,0.0307436472,0.0307436472
1033179791,MODARELLI,DANIEL,C,DO,M,I,7580 AUBURN ROAD,SUITE 202,CONCORD TWP,OH,440779406,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,21.558333333,21.558333333
1033179916,WILLARD,SUSAN,C,DO,F,I,6532 E 71ST ST STE 150,,TULSA,OK,741332771,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,39,83,61.653373494,8.32,5.7353012048,5.7353012048
1033179916,WILLARD,SUSAN,C,DO,F,I,6532 E 71ST ST STE 150,,TULSA,OK,741332771,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,20,24,13.4775,1.42,1.0233333333,1.0233333333
1033179916,WILLARD,SUSAN,C,DO,F,I,6532 E 71ST ST STE 150,,TULSA,OK,741332771,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,196.2,47.415,32.853333333,32.873333333
1033179924,WURTZ,RANDALL,T,MD,M,I,23800 ORCHARD LAKE RD,STE 100,FARMINGTON HILLS,MI,483362561,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,37,101,51.570594059,8.32,6.1474257426,6.1474257426
1033179924,WURTZ,RANDALL,T,MD,M,I,23800 ORCHARD LAKE RD,STE 100,FARMINGTON HILLS,MI,483362561,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.785714286,3.38,2.4607142857,2.4607142857
1033179924,WURTZ,RANDALL,T,MD,M,I,23800 ORCHARD LAKE RD,STE 100,FARMINGTON HILLS,MI,483362561,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,21,23,12.338695652,1.42,1.0704347826,1.0704347826
1033179940,ELLYIN,FREDRICK,M,"M.D.,FACP,FCP,FACE",M,I,5140 N CALIFORNIA AVE,SUITE 545,CHICAGO,IL,606253645,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,96,293,50.436075085,8.3163481229,6.3472354949,6.3472354949
1033179940,ELLYIN,FREDRICK,M,"M.D.,FACP,FCP,FACE",M,I,5140 N CALIFORNIA AVE,SUITE 545,CHICAGO,IL,606253645,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,18.685217391,3.38,2.65,2.65
1033179940,ELLYIN,FREDRICK,M,"M.D.,FACP,FCP,FACE",M,I,5140 N CALIFORNIA AVE,SUITE 545,CHICAGO,IL,606253645,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,22.76125,2.12,1.67,1.67
1033179940,ELLYIN,FREDRICK,M,"M.D.,FACP,FCP,FACE",M,I,5140 N CALIFORNIA AVE,SUITE 545,CHICAGO,IL,606253645,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,66,117,17.613589744,1.42,1.1047863248,1.1047863248
1033179981,GREGORY,JOSEPH,E,M.D.,M,I,222 JOHNSTOWN CENTER DR,,JOHNSTOWN,CO,805349030,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,17.91,14.04,13.578461538
1033180104,ALBERT,CHARLES,F,M.D.,M,I,210 INDIAN SPRINGS DR,,FLORENCE,AL,356342056,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,71.304347826,17.29,12.37173913,12.353478261
1033180104,ALBERT,CHARLES,F,M.D.,M,I,210 INDIAN SPRINGS DR,,FLORENCE,AL,356342056,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,337.1826087,70.23,50.272173913,49.96173913
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,51,129,49.643100775,8.32,5.7206976744,5.7206976744
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,25,8.5968,1.42,0.9824,0.9824
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,27,35,35,76.455714286,42.628285714,28.588285714,26.291428571
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,19,28,28,269.59678571,103.0425,80.787857143,67.859642857
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,18,34,55,103.16018182,38.450909091,28.731454545,24.505272727
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,12,23,74,81.798918919,19.752837838,15.097837838,14.16
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,26,77,36.383116883,16.364805195,10.342857143,9.5653246753
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,25,36,36,174.29027778,59.211111111,42.665277778,40.016111111
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,41,51,51,56.150392157,20.329607843,15.37,13.845294118
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,25,25,62.5144,11.834,8.5772,8.4168
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,37,65,336,6.599702381,2.3283928571,1.7247916667,1.5148214286
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,17,21,21,39.435238095,14.066666667,11.028095238,10.475238095
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,11,65,68,35.714117647,13.487205882,10.241323529,10.259852941
1033180120,CRIST,RODERIC,C,MD,M,I,3095 LEXINGTON AVE,SUITE 200,CAPE GIRARDEAU,MO,637012602,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,17,108,111,250.26135135,35.671171171,26.679009009,25.593333333
1033180229,BRADFORD,DANIEL,S,M.D.,M,I,808 S 52ND ST,,ROGERS,AR,727588602,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,17.29,12.318181818,12.301818182
1033180229,BRADFORD,DANIEL,S,M.D.,M,I,808 S 52ND ST,,ROGERS,AR,727588602,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,4.9271428571,3.8642857143,3.86
1033180229,BRADFORD,DANIEL,S,M.D.,M,I,808 S 52ND ST,,ROGERS,AR,727588602,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,519.51,70.23,49.554,49.265
1033180229,BRADFORD,DANIEL,S,M.D.,M,I,808 S 52ND ST,,ROGERS,AR,727588602,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,20,1824,44.83310307,5.1317434211,4.0232675439,4.0232675439
1033180229,BRADFORD,DANIEL,S,M.D.,M,I,808 S 52ND ST,,ROGERS,AR,727588602,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,124.31,36.23,28.402857143,26.237142857
1033180229,BRADFORD,DANIEL,S,M.D.,M,I,808 S 52ND ST,,ROGERS,AR,727588602,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,24,24,18.82,18.82
1033180294,KOCHHAR,NEERAJ,,MD,M,I,15195 NATIONAL AVE,205,LOS GATOS,CA,950322631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,52,88.293076923,8.32,5.7694230769,5.7694230769
1033180336,ROBERTS,JERRY,D,O.D.,M,I,507 E CLEVELAND AVE,,MONETT,MO,657081750,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,66.2,63.86,46.575333333,49.178666667
1033180336,ROBERTS,JERRY,D,O.D.,M,I,507 E CLEVELAND AVE,,MONETT,MO,657081750,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,25,56,50.69,36.5608,40.1512
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,24,58,189,63.993756614,8.32,6.3322751323,6.3322751323
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.426666667,3.38,2.65,2.65
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,23,30,14.212666667,1.42,1.004,1.004
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,138.8,41.215,28.285,26.67875
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,55,65.396363636,14.71,10.928909091,11.250363636
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,20,20,242.6465,56.206,43.912,42.762
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,79.148235294,18.063529412,14.158823529,14.06
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,88.423076923,10.736153846,8.4176923077,9.0553846154
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,27,110,10.016181818,2.0992727273,1.5481818182,1.5078181818
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,47.730714286,3.6857142857,2.2157142857,2.82
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,363.12064516,32.951612903,22.218064516,22.08516129
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,15.58,9.6481818182,7.1293636364,7.1293636364
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,1977,1.9663682347,0.1337835104,0.1048912494,0.1048912494
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,34,1350,9.4906814815,3.0024444444,2.2476592593,2.2476592593
1033180484,KING,EDWIN,K,DO,M,I,3212 SW 89TH,SUITE 100,OKLAHOMA CITY,OK,731597907,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,34,34,65.029411765,33,25.87,25.87
1033180500,BAFFOE-BONNIE,EDWARD,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,46,102,69.338333333,8.32,5.5625490196,5.5625490196
1033180500,BAFFOE-BONNIE,EDWARD,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,20,13.609,1.42,1.005,1.005
1033180500,BAFFOE-BONNIE,EDWARD,,MD,M,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,33805,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50.56,33.033333333,31.525833333
1033180682,PHILBEN,VICKI,J,M.D.,F,I,310 HARTNELL AVE,,REDDING,CA,960021800,US,Physician/Surgical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,37,85,58.007882353,47.07,36.16,30.010117647
1033180682,PHILBEN,VICKI,J,M.D.,F,I,310 HARTNELL AVE,,REDDING,CA,960021800,US,Physician/Surgical Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,20,21,451.20190476,369.25,271.0947619,248.44571429
1033180724,DWOSH,JACK,,MD,M,I,15000 MIDLANTIC DRIVE,SUITE 100,MT. LAUREL,NJ,08054,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,1680,0.2614285714,0.13,0.0992142857,0.0992142857
1033180724,DWOSH,JACK,,MD,M,I,15000 MIDLANTIC DRIVE,SUITE 100,MT. LAUREL,NJ,08054,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,18,2596,3.1898228043,1.9118644068,1.498894453,1.5919992296
1033180823,TATE,DENNY,C,MD,M,I,316 1/2 S MAIN ST,,GRAHAM,NC,272533320,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,44,105,69.30047619,8.32,5.5899047619,5.5899047619
1033180823,TATE,DENNY,C,MD,M,I,316 1/2 S MAIN ST,,GRAHAM,NC,272533320,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,14,20,15.242,1.42,1.005,1.005
1033180922,MASTERSON,JOHN,P,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,133.81466667,62.71,49.168,36.46
1033180922,MASTERSON,JOHN,P,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,75,53.2,41.71,46.35
1033180922,MASTERSON,JOHN,P,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,390.90909091,266.98,209.31,218.89
1033180948,NORD,KEITH,D,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,34,119.69441176,26.453823529,19.467941176,12.968529412
1033180948,NORD,KEITH,D,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,31.253333333,10.375925926,7.3837037037,5.7022222222
1033180948,NORD,KEITH,D,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,150,127.68714286,100.10428571,90.104285714
1033180948,NORD,KEITH,D,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,73.674545455,53.2,37.918181818,42.663636364
1033180948,NORD,KEITH,D,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,966.6,716.48533333,528.30133333,535.4
1033180948,NORD,KEITH,D,M.D.,M,I,569 SKYLINE DR,SUITE 100,JACKSON,TN,383013931,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,376.66666667,266.98,209.31,218.89
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,220,47.890909091,37.544545455,40.215454545
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,175,45.79137931,33.139655172,34.083103448
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,36.88,16.33,11.2,11.8625
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,230,78.47,54.045416667,48.7375
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,16,58,58,97.07862069,18.228448276,13.854655172,14.188448276
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,128,23.023076923,18.047692308,21.158461538
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,150,31.6875,22.8825,22.029166667
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,250,45,35.28,38.261818182
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,250,58.885,37.015,42.125
1033181060,KIM,KYONGSOOK,,NP,F,I,700 CONSTITUTION AVE NE,,WASHINGTON,DC,200026058,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,38.1,9.0118181818,7.0663636364,6.7163636364
1033181227,PAPANASTASSIOU,EFTHYMIA,P,M.D.,F,I,7400 W ADDISON ST,,CHICAGO,IL,606343418,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,41,108,279,63.763584229,8.32,5.2362007168,5.2362007168
1033181227,PAPANASTASSIOU,EFTHYMIA,P,M.D.,F,I,7400 W ADDISON ST,,CHICAGO,IL,606343418,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,23,23,13.665217391,3.38,2.5347826087,2.5347826087
1033181227,PAPANASTASSIOU,EFTHYMIA,P,M.D.,F,I,7400 W ADDISON ST,,CHICAGO,IL,606343418,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,33,69,98,13.727040816,1.42,0.7963265306,0.7963265306
1033181318,PHILLIPS,THOMAS,E,MD,M,I,2910 N PATTERSON ST,,VALDOSTA,GA,316021720,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,5.9574193548,2.3690322581,1.8579032258,1.5929032258
1033181318,PHILLIPS,THOMAS,E,MD,M,I,2910 N PATTERSON ST,,VALDOSTA,GA,316021720,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,121.23181818,44.085454545,33.478181818,33.154090909
1033181359,PERALTA,FRANCISCO,G,MD,M,I,804 KENYON RD,,FORT DODGE,IA,505015742,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,1760,112.80136364,40.046818182,31.378056818,31.378056818
1033181359,PERALTA,FRANCISCO,G,MD,M,I,804 KENYON RD,,FORT DODGE,IA,505015742,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,958,131.81622129,43.003841336,33.565240084,33.565240084
1033181359,PERALTA,FRANCISCO,G,MD,M,I,804 KENYON RD,,FORT DODGE,IA,505015742,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1740,1.4347413793,0.1339827586,0.1003563218,0.1003563218
1033181359,PERALTA,FRANCISCO,G,MD,M,I,804 KENYON RD,,FORT DODGE,IA,505015742,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,82.5,33,24.694090909,24.694090909
1033181359,PERALTA,FRANCISCO,G,MD,M,I,804 KENYON RD,,FORT DODGE,IA,505015742,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,34,34,900,358.5,281.06,281.06
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,44,103,59.144563107,8.2221359223,5.7601941748,5.8149514563
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,15.588235294,3.38,2.4941176471,2.4941176471
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,28,13.985357143,1.42,1.1142857143,1.1142857143
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,37,8.19,1.46,1.0832432432,1.092972973
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,86.31,17.71,13.514594595,13.192972973
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,21,48.27952381,6.3052380952,4.5004761905,3.4323809524
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,76,514.39131579,78.612894737,60.005131579,53.91
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,5375,0.2080911628,0.0463516279,0.0301711628,0.0301711628
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1110,1.0223333333,0.1347027027,0.1056306306,0.1056306306
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,610.43909091,152.73272727,119.74181818,119.12
1033181367,WELLS,MICHAEL,G,D.O.,M,I,10010 EAST TRUMAN ROAD,,INDEPENDENCE,MO,640522160,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,38,38,114.78947368,33,23.827631579,23.827631579
1033181508,ORN,LISA,,D.O.,F,I,1953 WATERFALL DR,SUITE A,NAPPANEE,IN,465508961,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,34,101,76.237524752,8.32,5.9873267327,5.9873267327
1033181508,ORN,LISA,,D.O.,F,I,1953 WATERFALL DR,SUITE A,NAPPANEE,IN,465508961,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,50,5.5869230769,3.8307692308,3.3003846154
1033181516,LITZ,THOMAS,R,DO,M,I,2869 LEECHBURG RD,,NEW KENSINGTON,PA,150682540,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,46,68.573478261,8.32,4.5376086957,4.5376086957
1033181516,LITZ,THOMAS,R,DO,M,I,2869 LEECHBURG RD,,NEW KENSINGTON,PA,150682540,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,112,3.4655357143,2.91,2.28125,2.28125
1033181516,LITZ,THOMAS,R,DO,M,I,2869 LEECHBURG RD,,NEW KENSINGTON,PA,150682540,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50,5.52,4.33,3.38
1033181649,BOWEN,KIM,M,NP,F,I,3 GATES CIR,,BUFFALO,NY,142091120,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,53,121,75.791900826,8.32,5.7663636364,5.7663636364
1033181649,BOWEN,KIM,M,NP,F,I,3 GATES CIR,,BUFFALO,NY,142091120,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,95.611538462,45.705384615,31.229230769,33.376923077
1033181649,BOWEN,KIM,M,NP,F,I,3 GATES CIR,,BUFFALO,NY,142091120,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2040,2.7948382353,0.1355882353,0.1063333333,0.1063333333
1033181649,BOWEN,KIM,M,NP,F,I,3 GATES CIR,,BUFFALO,NY,142091120,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,990,11.365252525,3.0022424242,2.2088686869,2.2088686869
1033181649,BOWEN,KIM,M,NP,F,I,3 GATES CIR,,BUFFALO,NY,142091120,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,76.3125,33,25.87,25.87
1033181656,WANG,FENG,,MD,F,I,819 WORCESTER ST STE 1,,SPRINGFIELD,MA,011511056,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,121.21538462,17.078461538,11.479230769,12.216153846
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,63,105.44936508,8.32,6.1066666667,6.1066666667
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,53,53,174.89018868,37.827924528,26.849056604,27.685660377
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,21,41,7.6912195122,1.45,1.1351219512,1.1502439024
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,42,42,478.10666667,83.47,60.765714286,62.988333333
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,14,39,113,181.3300885,32.06,24.830619469,25.55159292
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,114,104.00736842,17.894736842,14.029210526,14.528508772
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,15,85,81.667058824,14.692941176,10.702235294,11.082235294
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,19,44,44,287.37181818,51.514545455,38.542727273,40.938181818
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,36,54,54,86.156666667,16.821111111,12.457037037,13.26537037
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,30,30,82.842666667,12.14,9.52,9.1333333333
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,28,81,477,13.364025157,1.9943396226,1.4661844864,1.4931865828
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,33,33,33.886363636,5.8972727273,4.0742424242,4.1021212121
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,26,39,39,52.716153846,12,9.1687179487,10.057179487
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,60,63,65.493174603,16.04,12.37047619,13.166825397
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,44,47,46.61106383,5.6968085106,4.1776595745,3.4631914894
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,13,52,54,203.47555556,32.947777778,24.445740741,25.261666667
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,9.1590909091,6.3363636364,7.7054545455
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,27,197,200,479.64405,71.41,53.68455,52.5791
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,113,113,184.51327434,35.446902655,27.309823009,28.882743363
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,902,22.153348115,9.6837361419,7.5920399113,7.5920399113
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,87,5910,18.129333333,11.249416244,8.724676819,8.724676819
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,24,7987,0.3984236885,0.0459484162,0.0344009015,0.0344009015
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,4796,3.0428919933,0.0720704754,0.0509153461,0.0509153461
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1680,1.7855952381,0.1337142857,0.0918571429,0.0918571429
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,2340,11.830495726,2.8739615385,2.1918931624,2.1918931624
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,76.621818182,35.5,20.24,22.034545455
1033181680,MEKKAWY,AHMED,A,M.D.,M,I,925 CLIFTON AVE,SUITE 101,CLIFTON,NJ,070132724,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,27,140,140,64.821428571,33,24.761285714,24.761285714
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,18,30,30,728.52333333,85.52,62.269333333,63.055333333
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,13,28,36,133.28666667,32.92,24.376111111,24.478611111
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,12,24,46,130.54,18.56,13.289130435,13.289130435
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,21,36,36,324.34083333,53.83,39.855555556,40.514444444
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,36,40,40,136.268,18.06,13.452,13.3595
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,94.16,10.7,7.71375,7.48875
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,34,57,57,205.44,12.21,9.0663157895,8.64
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,44,91,187,16.837379679,2.02,1.4753475936,1.4847058824
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,16,17,17,64.1,13.07,9.6470588235,9.7423529412
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,246.32,84.36,61.05,61.55
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,3138.2884615,207.96461538,151.79923077,151.87615385
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,27,153,153,118.61771242,13.136732026,9.8261437908,10.008235294
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,25,162,162,150.83296296,32.519320988,24.341111111,24.577222222
1033181706,BAUMGARTNER,BRIAN,J,M.D.,M,I,2615 E CLINTON AVE # 112,,FRESNO,CA,937032223,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,1287.21,65.7,48.798947368,51.892105263
1033181722,FEIND,CARL,R,MD,M,I,303 MARION AVE,,MCCOMB,MS,396482707,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,40,21.985,17.235,13.96
1033181722,FEIND,CARL,R,MD,M,I,303 MARION AVE,,MCCOMB,MS,396482707,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,220,98.85,77.5,57.622857143
1033181896,WIEBE,BERNHARD,P,M.D.,M,I,100 W HORTON ST,,BLUFFTON,IN,467143607,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,50,8.32,6.5233333333,6.5233333333
1033182019,POLKINGHORN,GEORGE,R,MD,M,I,81 MEDICAL CENTER DR,SUITE 1300,BRUNSWICK,ME,040112690,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,21,21,33.92,19.71,13.978571429,13.978571429
1033182019,POLKINGHORN,GEORGE,R,MD,M,I,81 MEDICAL CENTER DR,SUITE 1300,BRUNSWICK,ME,040112690,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,25,25,70,37.38,26.956,26.956
1033182019,POLKINGHORN,GEORGE,R,MD,M,I,81 MEDICAL CENTER DR,SUITE 1300,BRUNSWICK,ME,040112690,US,Physician/Internal Medicine,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,250,208.16866667,163.20466667,163.20466667
1033182019,POLKINGHORN,GEORGE,R,MD,M,I,81 MEDICAL CENTER DR,SUITE 1300,BRUNSWICK,ME,040112690,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,14,868,51.714423963,4.537983871,3.3924769585,3.3924769585
1033182019,POLKINGHORN,GEORGE,R,MD,M,I,81 MEDICAL CENTER DR,SUITE 1300,BRUNSWICK,ME,040112690,US,Physician/Internal Medicine,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,25,270,5.8181111111,1.6607777778,1.2137037037,1.2137037037
1033182019,POLKINGHORN,GEORGE,R,MD,M,I,81 MEDICAL CENTER DR,SUITE 1300,BRUNSWICK,ME,040112690,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,19,16,16,12.544210526,12.544210526
1033182027,NAGDA,KRISHAN,,M.D.,M,I,1950 LEE RD,SUITE 105,WINTER PARK,FL,327891859,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.93,4.6490322581,4.2034139785
1033182027,NAGDA,KRISHAN,,M.D.,M,I,1950 LEE RD,SUITE 105,WINTER PARK,FL,327891859,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4896,3.57,0.38,0.2979289216,0.2908006536
1033182092,SOMERS,PETER,W,PH.D. M.D.,M,I,101 SOUTH PRAIRIE STREET,,BLOOMFIELD,MO,63825,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,75.474166667,53.544166667
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,29,29,75.970689655,38.113793103,28.451034483,29.019310345
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,210.00941176,89.541764706,70.2,67.830588235
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,46,81.751304348,33.886956522,26.567391304,25.917826087
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,21,84,45.3375,18.868809524,13.955238095,13.730357143
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,80,37.940375,15.4535,11.19875,11.0245
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,17,41,41,138.9597561,55.713902439,39.93,39.128780488
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,22,32,32,47.8184375,18.3621875,13.5053125,13.1803125
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,27,27,45.36037037,12.81962963,10.052222222,9.1174074074
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,22,63,307,6.7618241042,2.0118566775,1.5165798046,1.53
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,18,18,18.05,6.4322222222,5.0422222222,4.6494444444
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,13,16,16,28.1825,13.13625,10.296875,10.335
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,21,632.43,83.044285714,65.108571429,64.43
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,17,55.07,14,10.98,10.48
1033182142,RAGO,MARY,K,MD,F,I,301 OHIO RIVER BLVD,SUITE 202,SEWICKLEY,PA,151431300,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,11,53,56,117.33464286,35.811428571,27.184642857,25.2275
1033182217,EVANS,ADRIENNE,C,M.D.,F,I,8420 UNIVERSITY EXECUTIVE PARK DRIVE,SUITE 850,CHARLOTTE,NC,28262,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,29,67,220,62.491772727,8.32,6.1401818182,6.1401818182
1033182217,EVANS,ADRIENNE,C,M.D.,F,I,8420 UNIVERSITY EXECUTIVE PARK DRIVE,SUITE 850,CHARLOTTE,NC,28262,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,13.072352941,3.38,2.4941176471,2.4941176471
1033182217,EVANS,ADRIENNE,C,M.D.,F,I,8420 UNIVERSITY EXECUTIVE PARK DRIVE,SUITE 850,CHARLOTTE,NC,28262,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,45,68,14.804705882,1.42,1.0647058824,1.0647058824
1033182217,EVANS,ADRIENNE,C,M.D.,F,I,8420 UNIVERSITY EXECUTIVE PARK DRIVE,SUITE 850,CHARLOTTE,NC,28262,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,52,11.178461538,2,1.5686538462,1.5896153846
1033182241,MASSIE,NICOLISA,D,M.D.,F,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,17,13.8,10.82,10.82
1033182241,MASSIE,NICOLISA,D,M.D.,F,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,65,8280,4.9144565217,2.04,1.5551582126,1.5551582126
1033182241,MASSIE,NICOLISA,D,M.D.,F,I,3485 INDEPENDENCE DR,,HOMEWOOD,AL,352095603,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,2.655,1.8,1.41,1.41
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,38,7,1.6273684211,1.2763157895,1.1552631579
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,283.91428571,101.82857143,75.977857143,66.976428571
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,36,102.47972222,36.54,28.646666667,26.684166667
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,209.04818182,59.914545455,46.977272727,42.86
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,68.323571429,19.897857143,15.602857143,14.06
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,23,129,7.7162790698,2.4120930233,1.8914728682,1.6410077519
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,25.136428571,6.9357142857,5.4364285714,4.9185714286
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,110,113,68.252831858,16.233628319,12.389823009,13.254778761
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,3041.4714286,1074.31,842.26,842.26
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,14,88,88,41.207727273,3.7670454545,2.5856818182,3.2082954545
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,165.75658537,35.232682927,25.818536585,23.084634146
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,25,189,193,383.13564767,70.918601036,54.811243523,54.208445596
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,52,192.78846154,36,28.22,29.385961538
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,50,3450,17.613646377,9.6626608696,7.482342029,7.482342029
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,13.94,11.09792,8.6064733333,8.6064733333
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,25,76,18354,0.3733431405,0.0465892993,0.0348044023,0.0348027678
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,53,6283,2.8822202769,0.0783558809,0.055985994,0.0559844024
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,64,6930,1.5784025974,0.136,0.0999422799,0.0999422799
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,63,3812,10.957717733,2.9954826863,2.3484706191,2.3484706191
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,1829,3.061738655,0.2190377255,0.1583706944,0.1583706944
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,75,36,28.22,29.4455
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,33,45,202,202,64.069306931,33,24.461237624,24.461237624
1033182324,HERTZ,JONATHAN,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036224,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,14,14,66,66,48.369285714,48.369285714
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,27,62,164,65.737317073,8.32,5.2093902439,5.2093902439
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.542857143,3.38,2.0821428571,2.0821428571
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,32,39,16.955641026,1.42,0.8594871795,0.8594871795
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,369.24272727,87.005454545,62.057272727,61.676363636
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,69,107.3873913,18.771449275,12.267101449,12.245217391
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,269.50090909,57.458181818,41.169090909,41.309090909
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,81.732857143,18.728571429,12.788571429,12.719285714
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,97.309230769,11.187692308,8.0769230769,8.4261538462
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,24,121,13.036115702,2.0895041322,1.5607438017,1.5825619835
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,46.013846154,17.29,11.465384615,11.45
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,27.294375,5.8053125,4.12875,3.2725
1033182464,CHOKSHI,BRINDA,R,MD,F,I,360 N IRBY ST,,FLORENCE,SC,295012808,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,278.20666667,70.23,48.942222222,48.677777778
1033182522,JOHNSON,LINDA,L,MD,F,I,100 N GREEN VALLEY PKWY STE 239,,HENDERSON,NV,89074,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,87.930833333,8.32,6.52,6.52
1033182605,LANES,GERARDO,S,M.D.,M,I,140 SW 84TH AVE,SUITE C,PLANTATION,FL,333242736,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,16,5.82,4.563,4.1963333333
1033182803,CHAN,JOSEPH,C,M.D.,M,I,4300 ALTON RD,GREENE PAVILION,MIAMI BEACH,FL,331402800,US,Physician/Infectious Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,33.185454545,26.018181818,25.544545455
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,620,0.2709677419,0.12,0.094016129,0.094016129
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,540,1.1,0.44,0.334537037,0.334537037
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,72.498461538,70.9,55.588846154,56.105
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,39,41,1350,85.054444444,34.86,26.84442963,26.84442963
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,37,39,1290,5.9069767442,2.4,1.8816666667,1.8816666667
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,38,40,1321,4.93,1.97,1.5443679031,1.5443679031
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,31,34,119.17235294,23.086470588,17.675588235,13.696764706
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,24,60.611666667,8.7554166667,6.8595833333,6.45875
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,62,43.09,43.09,33.781612903,34.14983871
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,50,172.66,109.14,79.351,87.9014
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,37,670.27027027,457.35,354.47378378,350.17918919
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,67,67,67,294.7761194,251.14626866,184.20537313,203.45626866
1033182837,FERDOWSIAN,VAFA,N,DPM,M,I,1120 HOGAN LN STE B,,CONWAY,AR,720348216,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,50,245.5,163.78,119.527,117.7974
1033182845,OJOMO,KARANITA,M,M.D.,F,I,2400 LEE HWY N,,PULASKI,VA,243012326,US,Physician/Radiation Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,38,47.355789474,35.3,25.491578947,28.626315789
1033182936,GRIMSRUD,ROYCE,L,O.D.,M,I,121 E MAPLE ST,,SISSETON,SD,572621412,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,55,55,43.12,51.59875
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,31,72,251,51.894501992,8.32,5.9247410359,5.9247410359
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,22,22,14.048181818,3.38,2.5295454545,2.5295454545
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,19.953333333,2.12,1.5308333333,1.5308333333
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,45,88,13.343295455,1.42,0.995,0.995
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,455,4.8781318681,3.37,2.642,3.020967033
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,460,7.7665217391,5.74,4.1881956522,4.1881956522
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,120,2.6335,2.1161666667,1.6591666667,2.2239166667
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,92,9.3356521739,6.44,5.05,5.05
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,125,9.456,7,5.488,5.488
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,125,10.346,9.7096,6.7508,7.11928
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,215,3.8809302326,3.04,2.2172093023,2.2172093023
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,36,8.19,1.395,1.0355555556,1.0911111111
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,60.225833333,13.95,9.9833333333,8.985
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,54,54,32.721851852,5.7246296296,4.3877777778,3.6914814815
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,6912,0.1957899306,0.0462008102,0.0338324653,0.0338324653
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,0.92,0.1318181818,0.0601818182,0.0601818182
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,902,0.75345898,0.2189911308,0.1660088692,0.1660088692
1033182944,NIMMAGADDA,INDRANI,,MD,F,I,35180 NANKIN BLVD,SUITE 200,WESTLAND,MI,481852092,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,43,43,113.58139535,33,22.861860465,22.861860465
1033182951,DAO,MICHAEL,J,M.D.,M,I,14362 BROOKHURST ST,,GARDEN GROVE,CA,928434608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,29,52,49.130769231,8.32,5.3165384615,5.3165384615
1033182951,DAO,MICHAEL,J,M.D.,M,I,14362 BROOKHURST ST,,GARDEN GROVE,CA,928434608,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,14,35.752142857,1.42,0.8,0.8
1033183017,ISAACS,JEFFREY,D,M.D.,M,I,11209 N TATUM BLVD,SUITE 260,PHOENIX,AZ,850283091,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,16,47,89.678297872,47.07,30.340212766,25.498723404
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,38,107,56.144018692,8.32,6.3401869159,6.3401869159
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,377.04857143,84.768571429,66.462142857,67.700714286
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,42,132.6297619,32.57952381,25.540714286,25.880238095
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,76.402666667,18.008,13.112,13.06
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,89,11.565842697,1.9091011236,1.414494382,1.5119101124
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,548.20647059,77.18,56.950588235,51.841764706
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,21,7014,0.4245238095,0.0461020816,0.0331907613,0.0331907613
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,2994,1.4531028724,0.1362792251,0.1068704075,0.1068704075
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,75,39.65,29.146875,27.764375
1033183074,BROWN,ROBERT,N,MD,M,I,2808 S 80TH AVE,SUITE 160,OMAHA,NE,681243253,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,12,41,41,57.756097561,33,25.23902439,25.23902439
1033183140,GILL,PARAMJEET,,M.D.,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203305,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,44,44,44,142.98136364,42.775909091,33.532727273,36.454772727
1033183165,MERRITT,CARLOS,S,M.D.,M,I,6105 WILSON AVE SE,SUITE 202,GRANDVILLE,MI,49418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,96,70.743958333,8.32,4.5525,4.5525
1033183165,MERRITT,CARLOS,S,M.D.,M,I,6105 WILSON AVE SE,SUITE 202,GRANDVILLE,MI,49418,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,273.33333333,79.88,62.62,54.72
1033183165,MERRITT,CARLOS,S,M.D.,M,I,6105 WILSON AVE SE,SUITE 202,GRANDVILLE,MI,49418,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,66.666666667,35.66,27.96,29.51
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,33,33,106.59515152,40.28030303,31.577575758,30.49
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,23,8.19,1.45,1.1352173913,1.1504347826
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,34,70,70,273.42928571,89.234428571,68.948857143,66.965
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,35,83,162,126.47506173,33.336419753,24.39654321,24.183209877
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,25,61,294,69.920408163,18.78,13.914727891,13.753537415
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,35,71,71,177.50169014,53.644507042,40.867323944,41.648732394
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,64,85,85,58.791058824,19.017294118,14.433411765,13.650705882
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,52,107,107,55.564859813,10.646448598,8.1873831776,8.9311214953
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,64,192,774,7.6408656331,2.2668992248,1.7389147287,1.5635788114
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,30,40,40,16.7245,6,4.7,4.6525
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,31,42,42,46.168333333,12.111666667,9.4973809524,10.295714286
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,42,256,270,69.05462963,17.071555556,12.350333333,12.543481481
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,44,45,203.07933333,44.25,31.296444444,34.171555556
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,268.69275862,82.95862069,62.208275862,62.208275862
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,794.22571429,262.35,189.15571429,134.94142857
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,81.75,12.862,9.194,9.2814285714
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,43,47,31.521914894,4.2480851064,3.2104255319,3.4927659574
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,30,209,213,154.77333333,32.166525822,23.113380282,22.989906103
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,58,373,397,392.43828715,77.144231738,56.031108312,51.403350126
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,30,167.36666667,41.25,28.028,25.952666667
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,33,9120,0.3411173246,0.0466458333,0.0365712719,0.0365712719
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1408,1.4653053977,0.1378267045,0.0983664773,0.0983664773
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,41.25,41.25,32.34,31.553888889
1033183231,KHAN,MOHAMMAD,A,M.D.,M,I,6941 ELAINE DR,SUITE 2,NIAGARA FALLS,NY,143042877,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,16,47,47,73.021276596,33,24.769148936,24.769148936
1033183355,AOUN-BARAKAT,LYDIA,,MD,F,I,140 GRANDVIEW AVE,SUITE #L01,WATERBURY,CT,067082505,US,Physician/Infectious Disease,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.6363636364,2.27,1.6179220779,1.6179220779
1033183371,FOSTER,THOMAS,B,MD,M,I,2373 64TH ST SW,STE 1300,GRAND RAPIDS,MI,49315,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,88,55.626931818,8.32,5.8119318182,5.8119318182
1033183520,BORGESON,DANIEL,D,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,1150.4592308,19.71,15.45,15.45
1033183520,BORGESON,DANIEL,D,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,92,117.415,37.38,29.30576087,29.30576087
1033183520,BORGESON,DANIEL,D,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,782,60.073657289,1.49,1.1681969309,1.1681969309
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,26,70,906,61.215750552,19.634724062,14.92299117,14.92299117
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,26,69,2070,8.9196376812,2.6319227053,1.9933719807,1.9933719807
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,76,220,672,3258,59.688425414,8.3157397176,6.2158993247,6.2182627379
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,19,41,44,12.922727273,3.38,2.5295454545,2.5295454545
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,16,19,19,18.088947368,2.12,1.4942105263,1.4942105263
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,38,81,165,390,12.717435897,1.42,0.9977179487,0.9977179487
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,34,34,68,109.35455882,71.56,55.138235294,55.138235294
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,23,125,167.97336,43.56,34.15176,34.15008
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,14,14,14,14,34.037857143,31.357857143,23.104285714,48.275
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,42,42,732.30285714,356.62928571,272.52952381,272.52952381
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,58,7680,14.970954427,10.081304687,7.8591197917,7.8591197917
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,12,35,145,147,594.33612245,251.01714286,195.43653061,195.50897959
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,11,28,28,28,408.03142857,242.79142857,190.35035714,201.51678571
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,92,14.75,0.607826087,0.445326087,0.445326087
1033183553,PERALTA,MAYLENE,,MD,F,I,287 MAIN ST,STE 301,LEWISTON,ME,042407054,US,Physician/Endocrinology,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,64,116.6521875,43.56,34.1515625,34.15
1033183629,SCHLAM,EVERETT,,MD,M,I,799 BLOOMFIELD AVE,,VERONA,NJ,070441367,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,27,82.524444444,8.32,5.5559259259,5.5559259259
1033183629,SCHLAM,EVERETT,,MD,M,I,799 BLOOMFIELD AVE,,VERONA,NJ,070441367,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,16.04,11.5225,12.503333333
1033183629,SCHLAM,EVERETT,,MD,M,I,799 BLOOMFIELD AVE,,VERONA,NJ,070441367,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,24.01,9.445,6.969375,8.361875
1033183629,SCHLAM,EVERETT,,MD,M,I,799 BLOOMFIELD AVE,,VERONA,NJ,070441367,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,71.5,51.184166667,49.965
1033183629,SCHLAM,EVERETT,,MD,M,I,799 BLOOMFIELD AVE,,VERONA,NJ,070441367,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,22.901578947,6.6678947368,5.2252631579,6.5836842105
1033183629,SCHLAM,EVERETT,,MD,M,I,799 BLOOMFIELD AVE,,VERONA,NJ,070441367,US,Physician/Family Practice,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,500,138.325,108.44833333,104.9625
1033183736,NOYES,ERIC,M,"MSN, CNP",M,I,6100 S LOUISE AVE STE 1120,,SIOUX FALLS,SD,571086021,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,4.5483333333,3.5666666667,3.5666666667
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,49,145,70.793172414,8.32,5.6886206897,5.6886206897
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,22,27,18.042592593,1.42,0.9511111111,0.9511111111
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,625,0.4064,0.2576,0.201952,0.208512
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,15,135.28666667,64.494666667,50.565333333,39.931333333
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,70,55.045454545,36.883636364,33.521818182
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,74.134736842,23.891578947,18.727894737,15.943684211
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,133.77,37.39,29.31,22.95
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,50,50,65.9938,32.5534,22.0138,17.9626
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,35,35,24.844,10.08,7.4445714286,6.6785714286
1033183793,TANG,JUELIN,,M.D.,M,I,9710 SOUTHWEST HWY,,OAK LAWN,IL,604533615,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,711.78,139.41,109.29636364,95.193636364
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,288,486,486,110.87483539,39.249465021,29.798436214,29.547345679
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,210,370,370,275.09145946,87.893945946,65.314594595,64.338621622
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,148,280,683,104.70677892,34.594831625,25.815387994,24.681215227
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,109,181,892,56.544013453,18.449663677,13.585795964,13.668621076
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,73,121,627,32.579872408,15.355263158,11.114800638,10.991706539
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,247,423,423,173.24198582,54.399881797,39.245177305,39.440543735
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,381,454,454,57.030198238,18.689581498,13.70907489,13.180396476
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,38,42,42,30.470238095,10.540238095,7.5338095238,7.4702380952
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,135,237,237,50.634514768,12.171434599,8.6538396624,8.2943037975
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,407,737,4115,9.0685419198,2.2600631835,1.6872102066,1.526454435
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,75,88,88,22.004772727,5.9203409091,4.4303409091,4.44125
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,112,129,129,35.390232558,12.798062016,9.5710077519,9.8658139535
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,91,535,535,403.26863551,86.855457944,66.452392523,67.056841121
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,17,111,111,1106.8847748,210.38810811,162.35747748,162.17513514
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,160,160,160,461.5145,136.8545,105.6825,103.21475
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,64,14.4,10.349166667,9.9441666667
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,192,1016,1016,188.5351378,32.873011811,24.515826772,24.759084646
1033183868,MEHNDIRATTA,YASH,P,M.D.,M,I,15200 SHADY GROVE RD,SUITE 401,ROCKVILLE,MD,208503218,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,335.05454545,78.47,58.240909091,52.47969697
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,58,136,456,68.224846491,8.32,6.04375,6.04375
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,30,55,97,14.998556701,1.42,1.0565979381,1.0565979381
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,46,7.0765217391,2.0026086957,1.5706521739,1.5932608696
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,35,3.8891666667,2.5069444444,3.0513888889
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,23.065714286,23.065714286,18.080714286,55.246428571
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,31,407.4416129,71.893225806,56.364193548,55.771935484
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,16.606107843,10.688823529,8.2597647059,8.2597647059
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,4904,0.3249449429,0.0456362153,0.0302589723,0.0302528548
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1320,11.802712121,2.8952727273,2.161219697,2.161219697
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36,28.22,29.4025
1033183983,SHOENBERGER,DOUGLAS,C,M.D.,M,I,101 S MAIN STREET,SUITE 101,COOPERSBURG,PA,180362028,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,77,33,18.683888889,18.683888889
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,22,22,336.20272727,89.698636364,70.327272727,67.89
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,27,58,143.00844828,33.998965517,26.653793103,26.176724138
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,60,84.284,18.36,13.058666667,13.216
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,22,71,60.975070423,17.853380282,13.66,12.492816901
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,15,28,29,247.66206897,62.333793103,47.368965517,43.148275862
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,23,30,30,61.643,19.141666667,14.533666667,13.591333333
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,44,45,80.828666667,14.300888889,9.6137777778,8.5691111111
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,55,231,11.467056277,2.2962337662,1.6605627706,1.4887012987
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,26,26,23.536153846,6.7638461538,4.635,4.1273076923
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,44.07375,13.535625,10.613125,10.34
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,55.046,14.084666667,9.6526666667,8.4
1033184007,MCDONALD,ROBERT,J,MD,M,I,3527 W TRUMAN BLVD,STE 200,JEFFERSON CITY,MO,651095715,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,14,95,96,121.15041667,35.620729167,25.988541667,24.258125
1033184163,MULKAY,KIM,,ARNP,F,I,100 E CARROLL ST,,SALISBURY,MD,21801,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,148.99,44.53,34.91,36.46
1033184163,MULKAY,KIM,,ARNP,F,I,100 E CARROLL ST,,SALISBURY,MD,21801,US,Nurse Practitioner,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,34.35,14.46,11.34,12.05
1033184163,MULKAY,KIM,,ARNP,F,I,100 E CARROLL ST,,SALISBURY,MD,21801,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,42.89,16.59,13,13.492142857
1033184163,MULKAY,KIM,,ARNP,F,I,100 E CARROLL ST,,SALISBURY,MD,21801,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,251.069375,69.06625,54.15375,54.628125
1033184205,BOLON,DAVID,,M.D,M,I,90 E END AVE,,NEW YORK,NY,10028,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,84,51.85047619,8.32,6.5230952381,6.5230952381
1033184205,BOLON,DAVID,,M.D,M,I,90 E END AVE,,NEW YORK,NY,10028,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,34,18.187941176,1.42,1.1129411765,1.1129411765
1033184239,HURLEY,RANDOLPH,W,MD,M,I,640 JACKSON STREET,MC 11503F,ST PAUL,MN,551012502,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,50,19.71,13.51875,13.51875
1033184239,HURLEY,RANDOLPH,W,MD,M,I,640 JACKSON STREET,MC 11503F,ST PAUL,MN,551012502,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,47,55,37.38,26.18893617,26.18893617
1033184239,HURLEY,RANDOLPH,W,MD,M,I,640 JACKSON STREET,MC 11503F,ST PAUL,MN,551012502,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,1036,51.423349421,5.1532335907,3.9016602317,3.9016409266
1033184239,HURLEY,RANDOLPH,W,MD,M,I,640 JACKSON STREET,MC 11503F,ST PAUL,MN,551012502,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,123,5.5726829268,1.5775609756,1.0625203252,1.0625203252
1033184239,HURLEY,RANDOLPH,W,MD,M,I,640 JACKSON STREET,MC 11503F,ST PAUL,MN,551012502,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,17,16,16,12.540588235,12.540588235
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,68,179,77.434636872,8.32,5.6854189944,5.6854189944
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,34,39,12.062820513,1.42,0.9464102564,0.9464102564
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,34.761904762,4.9485714286,2.4204761905,2.3457142857
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,36.67,10.188125,7.440625,7.48375
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,372.4,69.81,49.257,49.257
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,77,19.155263158,15.013684211,14.502105263
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,923.87,147.66,104.58666667,104.97416667
1033184247,HAMPTON,SIMONE,R,MD,F,I,611 W PARK ST,,URBANA,IL,618012529,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,1017.92,180.859,141.793,148.3835
1033184254,RIZWAN,MUHAMMAD,Z,MD,M,I,600 MOYE BLVD,3E-149 BRODY MEDICAL SCIENCES BUILDING,GREENVILLE,NC,278344300,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,18,336.47611111,73.341111111,54.439444444,54.269444444
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,33,72,144,66.310694444,8.32,6.0235416667,6.0235416667
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,35,41,12.435121951,1.42,1.0624390244,1.0624390244
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,13.65,13.65,9.8083333333,9.9308333333
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9.19,9.19,6.6045833333,7.9933333333
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,6.27,6.27,4.5054166667,5.455
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.92,6.92,5.1699583333,5.2324583333
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,3.3021428571,3.0142857143,2.19475,2.2153214286
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,80.298548387,18.195483871,14.265322581,14.551774194
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,245.69785714,59.511428571,46.661428571,42.86
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,78.311818182,18.653636364,14.628181818,14.045454545
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,83.115,13.013333333,10.207222222,9.1155555556
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,21,107,11.163925234,2.2509345794,1.7641121495,1.6630841121
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,18,81.75,13.26,10.4,10.471111111
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,257.82,46.175,36.201428571,29.877142857
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,53,63,439.79285714,81.22015873,59.757301587,50.875238095
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,19,250,37.876315789,29.691052632,29.207894737
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,57.81,38.555,29.0375,29.0375
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.289428571,8.739452381,8.739452381
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,4719,0.0867387158,0.0455202373,0.030432295,0.030432295
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,600,0.92,0.1408,0.11035,0.11035
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,3.0175,2.3657395833,2.3657395833
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,102.04166667,39.915,31.291666667,22.176666667
1033184312,SMITH,ERIC,R,MD,M,I,3802 MANHATTON,,TYLER,TX,75701,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,41,41,110.26829268,33,24.60804878,24.60804878
1033184379,PONTIER,PAUL,J,MD,M,I,713 VOLVO PKWY,STE 100,CHESAPEAKE,VA,233201614,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,36,57.998888889,8.32,6.5208333333,6.5208333333
1033184379,PONTIER,PAUL,J,MD,M,I,713 VOLVO PKWY,STE 100,CHESAPEAKE,VA,233201614,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,47.1,36.93,37.63
1033184379,PONTIER,PAUL,J,MD,M,I,713 VOLVO PKWY,STE 100,CHESAPEAKE,VA,233201614,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,226.66666667,78.23,59.726111111,53.483333333
1033184429,GUERNELLI,GIANELIA,F,MD,M,I,81 MEDICAL CENTER DR,SUITE 2300,BRUNSWICK,ME,040112764,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,150,49.31,36.307333333,36.306666667
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,69,87,87,108.11689655,49.668045977,37.391264368,30.307816092
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,25,34,34,303.52235294,128.04588235,97.086764706,67.203235294
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,28,41,70,112.01,47.439,36.183,26.266428571
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,29,37,161,84.756335404,26.70378882,20.163664596,15.265714286
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,16,57,85.845614035,19.602105263,13.985438596,10.930175439
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,41,52,52,195.92923077,78.286346154,57.756153846,42.987692308
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,69,71,71,57.586056338,25.751690141,19.27971831,13.813802817
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,36,36,54.571388889,21.491111111,16.852222222,10.463055556
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,96,127,692,8.3745086705,2.4825722543,1.8564450867,1.570765896
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,67,68,68,21.861911765,8.1635294118,6.1089705882,4.5736764706
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,43,44,44,49.076136364,15.876136364,12.175454545,10.278181818
1033184536,OLSON,TATIANA,C,PA-C,F,I,1001 NOBLE ST,,FAIRBANKS,AK,997014922,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,16,61,61,284.63704918,51.124262295,36.057868852,29.069344262
1033184668,PAINTER,THOMAS,D,MD,M,I,3459 5TH AVE,MUH 9 SOUTH,PITTSBURGH,PA,152133236,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,72,60.922361111,8.32,5.7979166667,5.7979166667
1033184668,PAINTER,THOMAS,D,MD,M,I,3459 5TH AVE,MUH 9 SOUTH,PITTSBURGH,PA,152133236,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,14.663529412,1.42,1.0505882353,1.0505882353
1033184668,PAINTER,THOMAS,D,MD,M,I,3459 5TH AVE,MUH 9 SOUTH,PITTSBURGH,PA,152133236,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,434.755,73.865,57.91,54.725
1033184668,PAINTER,THOMAS,D,MD,M,I,3459 5TH AVE,MUH 9 SOUTH,PITTSBURGH,PA,152133236,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,93.336363636,20.29,13.017272727,10.718181818
1033184692,SETH,RAHUL,,DO,M,I,750 E ADAMS ST,REGIONAL ONCOLOY CENTER,SYRACUSE,NY,132102342,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,24.76,19.71,14.6775,14.6775
1033184692,SETH,RAHUL,,DO,M,I,750 E ADAMS ST,REGIONAL ONCOLOY CENTER,SYRACUSE,NY,132102342,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,65.05,37.38,27.835,27.835
1033184692,SETH,RAHUL,,DO,M,I,750 E ADAMS ST,REGIONAL ONCOLOY CENTER,SYRACUSE,NY,132102342,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,429.608,70,54.88,54.75
1033184692,SETH,RAHUL,,DO,M,I,750 E ADAMS ST,REGIONAL ONCOLOY CENTER,SYRACUSE,NY,132102342,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,13,756,42.76494709,5.2380026455,4.1065873016,4.1065873016
1033184692,SETH,RAHUL,,DO,M,I,750 E ADAMS ST,REGIONAL ONCOLOY CENTER,SYRACUSE,NY,132102342,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,20,187,5.0967379679,1.7765775401,1.3327272727,1.3327272727
1033184700,GRETZER,MATTHEW,,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,4352,0.39,0.13,0.0913855699,0.0913855699
1033184700,GRETZER,MATTHEW,,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,3104,6.6397229381,2.04,1.0560856959,1.0560856959
1033184700,GRETZER,MATTHEW,,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,2946,9.65,7.23,5.5791072641,5.5791072641
1033184700,GRETZER,MATTHEW,,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,28,29.81,10.88,7.9207142857,7.9514285714
1033184700,GRETZER,MATTHEW,,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,230,13.105,5.74,4.4298695652,4.4298695652
1033184700,GRETZER,MATTHEW,,MD,M,I,1501 N CAMPBELL AVE,,TUCSON,AZ,857240001,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,9.8808,4.04,3.1673333333,3.1673333333
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,67,147,12880,0.4469565217,0.44,0.3327973602,0.3327973602
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,29,583,24.000034305,23.66,18.303276158,18.303276158
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,59,93,2666,8.2986796699,8.28,6.4740247562,6.4740247562
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,20,40,1176,18.847576531,18.5,14.342287415,14.342287415
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6207,"Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,32,40,232,8.2886206897,8.26,6.3636206897,6.3636206897
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,23,36,657,11.05,10.93,8.4322070015,8.4322070015
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,17,388,1.6284536082,1.08,0.8467010309,0.8467010309
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,16,432,2.4,2.4,1.8816435185,1.8816435185
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6251,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,22,720,2.24,2.24,1.7560694444,1.7560694444
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,34,64,2042,3.8687022527,3.67,2.8425808031,2.8425808031
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,396,7.13,7.13,5.59,5.59
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,33,60,3588,0.1367447046,0.13,0.1019565217,0.1019565217
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,48,99,10682,0.4477260813,0.4477260813,0.351031642,0.3526549335
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,32,2827,1.966526353,1.96629289,1.5416059427,1.544517156
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,150,72.398,24.830666667,19.467333333,19.313533333
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,98,42.382142857,7.68,6.0212244898,6.3040816327
1033184841,GLENN,JOHN,F,MD,M,I,724 S NEW ST,,DOVER,DE,199043540,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3625.1,642.86692308,504.00384615,499.65153846
1033184940,BYBEE,ALAN,N,PA-C,M,I,166 N STATE ST,,MORGAN,UT,840509919,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,139.22,26.575,20.25,19.901666667
1033184940,BYBEE,ALAN,N,PA-C,M,I,166 N STATE ST,,MORGAN,UT,840509919,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,513.58777778,70.48,53.144814815,52.674074074
1033184940,BYBEE,ALAN,N,PA-C,M,I,166 N STATE ST,,MORGAN,UT,840509919,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,39.6,31.05,29.51
1033184957,BRANUM,JOANNA,H,MD,F,I,2520 W. 16TH STREET,,GREELEY,CO,80634,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,200,49.88,39.1,37.63
1033184973,LITTENBERG,GLENN,D,M.D.,M,I,630 S RAYMOND AVE,SUITE 240,PASADENA,CA,911053278,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,757,30.71334214,13.13,10.293976222,10.293976222
1033184973,LITTENBERG,GLENN,D,M.D.,M,I,630 S RAYMOND AVE,SUITE 240,PASADENA,CA,911053278,US,Physician/Gastroenterology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,167,772.02682635,207.75,162.8757485,162.8757485
1033184973,LITTENBERG,GLENN,D,M.D.,M,I,630 S RAYMOND AVE,SUITE 240,PASADENA,CA,911053278,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,180,161.21133333,9.35,7.33,7.33
1033184973,LITTENBERG,GLENN,D,M.D.,M,I,630 S RAYMOND AVE,SUITE 240,PASADENA,CA,911053278,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,183,422.94601093,29.22,22.908469945,22.908469945
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,12,42,105,44.420190476,8.32,6.15,6.15
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,8.4276470588,1.42,1.1164705882,1.1164705882
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,29.645,22.158333333,16.54,13.117222222
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,270.14230769,91.937179487,72.08,64.478461538
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6109090909,7.5349545455,7.5349545455
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2229,0.1483355765,0.0465993719,0.0365320772,0.0365320772
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9555454545,2.1216060606,2.1216060606
1033184981,RIGGLEMAN,KELLY,S,PAC,F,I,112 KUYKENDALL LN,,MOOREFIELD,WV,26836,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,88.8,33,25.87,25.87
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,20,175.832,37.5395,23.901,20.4935
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,11,12,44,105.50727273,19.660909091,11.153409091,10.309318182
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,63.451818182,15.965,11.455454545,10.833181818
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,18,18,18,277.56333333,58.967222222,36.22,33.335555556
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,25,26,26,88.414230769,19.360384615,10.810384615,9.8776923077
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,16,16,85.4575,12.09375,6.624375,6.3275
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,31,41,141,10.493971631,2.255035461,1.3324822695,1.1735460993
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,16,17,17,57.222352941,14.012941176,7.8005882353,7.2988235294
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,11,11,484.58545455,85.940909091,37.227272727,33.545454545
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,50.839047619,10.079047619,3.8004761905,4.010952381
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,15,33,33,408.05636364,30.83,13.183636364,12.844242424
1033185046,KLINK,MARY,E,MD,F,I,202 S PARK STREET,,MADISON,WI,53715,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,457.575,86.214166667,66.139166667,54.964166667
1033185137,LEE,GRACE,A,M.D.,F,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,12,32,369,60.157344173,19.623468835,14.48704607,14.48704607
1033185137,LEE,GRACE,A,M.D.,F,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,13,32,858,7.7514452214,2.6302097902,1.8901748252,1.8901748252
1033185137,LEE,GRACE,A,M.D.,F,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,65,76,186,937,66.904610459,8.1826574173,6.0993810032,6.1975560299
1033185137,LEE,GRACE,A,M.D.,F,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,22,35,95,15.447894737,1.42,1.1015789474,1.1015789474
1033185137,LEE,GRACE,A,M.D.,F,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,688.44296296,346.23111111,263.23222222,263.23222222
1033185137,LEE,GRACE,A,M.D.,F,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,2160,16.363717593,10.7065,8.3938935185,8.3938935185
1033185137,LEE,GRACE,A,M.D.,F,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,14,68,68,621.725,250.70808824,196.02794118,196.34279412
1033185152,HYER,CHRISTOPHER,F,DPM,M,I,350 W WILSON BRIDGE RD STE 200,,WORTHINGTON,OH,430852217,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,23,99.17173913,27.103043478,19.787826087,12.908695652
1033185152,HYER,CHRISTOPHER,F,DPM,M,I,350 W WILSON BRIDGE RD STE 200,,WORTHINGTON,OH,430852217,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,46.065263158,10.810526316,8.1215789474,6.3273684211
1033185152,HYER,CHRISTOPHER,F,DPM,M,I,350 W WILSON BRIDGE RD STE 200,,WORTHINGTON,OH,430852217,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,140.66666667,109.14,85.56,94.436
1033185152,HYER,CHRISTOPHER,F,DPM,M,I,350 W WILSON BRIDGE RD STE 200,,WORTHINGTON,OH,430852217,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,34,350,252.20352941,197.72411765,216.31470588
1033185210,ELLEN,REBECCA,M,PA,F,I,7858 SHRADER RD,,RICHMOND,VA,23294,US,Physician Assistant,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,382.30769231,322.39,252.75,256.17
1033185228,ZORN,KRISTIN,K,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Gynecological Oncology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,8.2425,8.2425,6.0266666667,6.055
1033185228,ZORN,KRISTIN,K,MD,F,I,4301 W MARKHAM ST # 783,,LITTLE ROCK,AR,722057101,US,Physician/Gynecological Oncology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.4,0.4,0.287375,0.287375
1033185236,HOUSE,JEFFREY,G,D.O.,M,I,655 W 8TH ST,UFJP INTERNAL MEDICINE,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,31,90,62.346111111,8.32,5.8708888889,5.8708888889
1033185236,HOUSE,JEFFREY,G,D.O.,M,I,655 W 8TH ST,UFJP INTERNAL MEDICINE,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,17,33,13.392727273,1.42,0.9781818182,0.9781818182
1033185236,HOUSE,JEFFREY,G,D.O.,M,I,655 W 8TH ST,UFJP INTERNAL MEDICINE,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,1.4036363636,0.13,0.1019166667,0.1019166667
1033185236,HOUSE,JEFFREY,G,D.O.,M,I,655 W 8TH ST,UFJP INTERNAL MEDICINE,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2400,3.8265,2.04,1.5395666667,1.5395666667
1033185236,HOUSE,JEFFREY,G,D.O.,M,I,655 W 8TH ST,UFJP INTERNAL MEDICINE,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,16.5,11.861666667,12.474166667
1033185236,HOUSE,JEFFREY,G,D.O.,M,I,655 W 8TH ST,UFJP INTERNAL MEDICINE,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.7090909091,2.5636363636,3.1563636364
1033185236,HOUSE,JEFFREY,G,D.O.,M,I,655 W 8TH ST,UFJP INTERNAL MEDICINE,JACKSONVILLE,FL,322096511,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,77.18,55.4675,50.16
1033185251,SZYMANOWSKI,PATRICIA,J,ANP,F,I,5100 W TAFT RD,SUITE 4-D,LIVERPOOL,NY,13088,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,66,7320,0.39,0.13,0.0957909836,0.0957909836
1033185251,SZYMANOWSKI,PATRICIA,J,ANP,F,I,5100 W TAFT RD,SUITE 4-D,LIVERPOOL,NY,13088,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,47,7170,3.8617364017,1.4676778243,1.1097949791,1.4998410042
1033185251,SZYMANOWSKI,PATRICIA,J,ANP,F,I,5100 W TAFT RD,SUITE 4-D,LIVERPOOL,NY,13088,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,41,3900,9.65,7.23,5.5675871795,5.5675871795
1033185277,BAILEY,STEPHEN,H,MD,M,I,320 E NORTH AVE,,PITTSBURGH,PA,152124756,US,Physician/Thoracic Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,3000,6.4265733333,1.56848,1.20905,1.20905
1033185285,ROURKE,KELLY,A,M.D.,F,I,12348 OLD TESSON RD,SUITE 240,SAINT LOUIS,MO,631282251,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,19,74,79.602972973,8.32,5.6408108108,5.6408108108
1033185285,ROURKE,KELLY,A,M.D.,F,I,12348 OLD TESSON RD,SUITE 240,SAINT LOUIS,MO,631282251,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,12,154.51,51.636666667,38.765833333,35.294166667
1033185301,SHARMA,ANOOP,K,MD,M,I,2730 S VAL VISTA DR,"BLDG.#13, SUITE 177",GILBERT,AZ,852951675,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,126,17975,5.4463393602,1.9799833102,1.4217157163,1.468767733
1033185301,SHARMA,ANOOP,K,MD,M,I,2730 S VAL VISTA DR,"BLDG.#13, SUITE 177",GILBERT,AZ,852951675,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,3920,12.835316327,7.88,6.1413265306,6.1413265306
1033185301,SHARMA,ANOOP,K,MD,M,I,2730 S VAL VISTA DR,"BLDG.#13, SUITE 177",GILBERT,AZ,852951675,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,42,90,19.813222222,10.844666667,8.5022222222,8.5372222222
1033185301,SHARMA,ANOOP,K,MD,M,I,2730 S VAL VISTA DR,"BLDG.#13, SUITE 177",GILBERT,AZ,852951675,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,42,18.503809524,6.64,4.9578571429,5.4997619048
1033185350,MADHUSOODANAN,RAMA,,MD,F,I,7800 66TH ST N STE 101,JSA PINELLAS PARK PRIMARY CARE,PINELLAS PARK,FL,337812101,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17,17,12.219166667,12.433333333
1033185350,MADHUSOODANAN,RAMA,,MD,F,I,7800 66TH ST N STE 101,JSA PINELLAS PARK PRIMARY CARE,PINELLAS PARK,FL,337812101,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.88,79.88,60.689166667,52.79
1033185400,TRAN,PHUC,V,MD,M,I,3627 UNIVERSITY BLVD S,SUITE 615,JACKSONVILLE,FL,322164230,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,32,79.00375,16.5,11.726875,12.1909375
1033185400,TRAN,PHUC,V,MD,M,I,3627 UNIVERSITY BLVD S,SUITE 615,JACKSONVILLE,FL,322164230,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,21.98,4.2285714286,3.3123809524,3.8780952381
1033185400,TRAN,PHUC,V,MD,M,I,3627 UNIVERSITY BLVD S,SUITE 615,JACKSONVILLE,FL,322164230,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,32,475.1021875,77.18,54.8371875,51.0375
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,35,54,67.467592593,8.32,5.6774074074,5.6774074074
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,14,21.305714286,1.42,1.0385714286,1.0385714286
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,741,138.125,108.29,123.11
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,128.98,41.641666667,29.211666667,31.721666667
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2430,4.484691358,0.5596666667,0.3933251029,0.3933251029
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,3600,0.0787,0.0130416667,0.0097722222,0.0097722222
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,20.57,7.1433333333,5.32,6.5105555556
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,24,24,17.774444444,17.774444444
1033185418,FERNANDEZ,HELEN,,MD,F,I,1440 MADISON AVE,,NEW YORK,NY,100296508,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,16,16,11.913,11.913
1033185434,CLARK,MICHAEL,,MD,M,I,2160 S 1ST AVE,101-1740 LOYOLA UNIVERSITY MEDICAL CENTER,MAYWOOD,IL,60153,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,37,127,69.04496063,8.32,6.0085826772,6.0085826772
1033185434,CLARK,MICHAEL,,MD,M,I,2160 S 1ST AVE,101-1740 LOYOLA UNIVERSITY MEDICAL CENTER,MAYWOOD,IL,60153,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,29,15.679310345,1.42,0.994137931,0.994137931
1033185541,RICE,KARLA,L,O.D.,F,I,2300 CHANDLER RD,,MUSKOGEE,OK,744034627,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,78,78,60.72,60.72,43.966410256,48.917179487
1033185541,RICE,KARLA,L,O.D.,F,I,2300 CHANDLER RD,,MUSKOGEE,OK,744034627,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,74,143,113.32167832,70.461188811,52.557062937,51.566223776
1033185574,YELLIN,JOEL,A,MD,M,I,1415 PORTLAND AVE,MOB SUITE 245,ROCHESTER,NY,146213038,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,25,38.0504,37,25.0072,27.0612
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,39,98,310,64.182903226,8.32,6.1346129032,6.1346129032
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,15.409090909,3.38,2.65,2.65
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,22.256428571,2.12,1.67,1.67
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,28,60,117,15.016666667,1.42,1.0851282051,1.0851282051
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.59,3.97,2.853125,2.853125
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,23,23,505.86434783,126.15782609,95.63173913,64.897391304
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,23,58,184.93672414,45.954482759,33.717068966,23.619137931
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,76,80.256315789,25.19,18.483947368,13.402368421
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,69,86.067826087,19.840434783,15.555072464,12.293478261
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,25,25,276.2632,74.9368,58.7496,43.8844
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,31,31,85.695806452,24.978709677,18.573870968,13.440322581
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,41,41,81.543414634,21.076585366,16.522439024,9.402195122
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,23,53,272,10.719117647,2.9296323529,2.2582720588,1.5808088235
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,20,20,24.5275,9.075,7.1125,4.8265
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,21,21,59.764761905,15.81,12.39047619,10.47047619
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,49,72.613469388,22.527755102,17.355714286,13.376734694
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,11,78,88,71.702727273,8.3635227273,6.4267045455,3.6621590909
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,40,321.9105,52.89275,37.45425,22.61425
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,111,116,548.60275862,101.35887931,75.937586207,57.964051724
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,585,1.3426837607,0.4945641026,0.348034188,0.348034188
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,1.5263333333,0.7360833333,0.5388425926,0.5388425926
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1199,1.3356130108,0.1309007506,0.1003669725,0.1003669725
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,15.924615385,15.924615385
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,16,16,12.54,12.54
1033185814,CLAMME,JENNIFER,L,MD,F,I,124 N JEFFERSON ST,,HARTFORD CITY,IN,473482201,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,18,18,60.5,33,24.432777778,24.432777778
1033185863,SCHWETSCHENAU,ERIC,,MD,M,I,11135 MONTGOMERY RD,,CINCINNATI,OH,452492308,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,41.83,13.92,10.92,10.563809524
1033185863,SCHWETSCHENAU,ERIC,,MD,M,I,11135 MONTGOMERY RD,,CINCINNATI,OH,452492308,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,150,39.664761905,31.093809524,28.726666667
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,45,74.86,8.32,5.5082222222,5.5082222222
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,25.352,9.86,7.1322083333,7.1322083333
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,650,0.8230615385,0.27,0.2116923077,0.2116923077
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,349.3125,101.15,67.993333333,51.25
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.6325,5.5783333333,3.285
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,478.54222222,98.122222222,67.189259259,45.735925926
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2280,1.2562807018,0.1329473684,0.0994473684,0.0994473684
1033185988,CALKINS,STEPHANIE,G,MD,F,I,4 SHERIDAN RD,,FAIRFIELD,ME,049373314,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,30,30,105.6,33,24.145333333,24.145333333
1033186044,HUNKELE,ERIC,C,M.D.,M,I,330 E 8TH ST,SUITE 151,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,84,226,55.903362832,8.32,5.5115929204,5.5115929204
1033186044,HUNKELE,ERIC,C,M.D.,M,I,330 E 8TH ST,SUITE 151,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,12.89,3.38,2.65,2.65
1033186044,HUNKELE,ERIC,C,M.D.,M,I,330 E 8TH ST,SUITE 151,MARIETTA,OH,457503383,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,29,46,11.764565217,1.42,1.0904347826,1.0904347826
1033186044,HUNKELE,ERIC,C,M.D.,M,I,330 E 8TH ST,SUITE 151,MARIETTA,OH,457503383,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,3532,0.1927604757,0.0463759909,0.033997735,0.033997735
1033186044,HUNKELE,ERIC,C,M.D.,M,I,330 E 8TH ST,SUITE 151,MARIETTA,OH,457503383,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,77,33,24.911851852,24.911851852
1033186077,PANE,MICHAEL,J,MD,M,I,7600 FRANCE AVE S STE 4100,,EDINA,MN,554355924,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,30,44,81.363863636,8.32,6.2272727273,6.2272727273
1033186077,PANE,MICHAEL,J,MD,M,I,7600 FRANCE AVE S STE 4100,,EDINA,MN,554355924,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,78.49,58.241666667,51.441666667
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,31,31,31,131.64677419,69.543870968,52.409354839,37.161290323
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,126.88,65.249090909,51.158181818,42.851818182
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,32.659090909,11.79,5.0590909091,4.0954545455
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.07,13.523333333,9.7816666667,8.2133333333
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,14,48,48,181.39583333,70.721666667,52.243333333,38.515
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,17,17,31,26.69483871,14.309354839,11.217096774,10.375806452
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,18,18,27,59.106296296,35.515185185,27.843703704,24.332222222
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,17,17,17,75.659411765,44.859411765,35.174117647,30.549411765
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,16,16,16,380.531875,193.103125,151.39375,127.57125
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,38,120.20894737,29.112631579,21.755526316,15.567105263
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,26,136,139,134.26,39.060863309,29.198345324,20.367410072
1033186184,SIMON,EMESE,,M.D.,F,I,1910 ROBINHOOD ST,,SARASOTA,FL,342313620,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,35,11.148666667,8.2933333333,6.8426666667
1033186200,UMER,SARWAT,W,M.D.,F,I,155 CEDAR LN,,TEANECK,NJ,076664301,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,30,82,216,73.724675926,8.32,5.9778703704,5.9778703704
1033186200,UMER,SARWAT,W,M.D.,F,I,155 CEDAR LN,,TEANECK,NJ,076664301,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,36,40,14.9725,1.42,0.922,0.922
1033186200,UMER,SARWAT,W,M.D.,F,I,155 CEDAR LN,,TEANECK,NJ,076664301,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,15,1742,0.4710964409,0.044380023,0.034793341,0.034793341
1033186200,UMER,SARWAT,W,M.D.,F,I,155 CEDAR LN,,TEANECK,NJ,076664301,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,13,13,33,33,25.87,25.87
1033186283,SUMNERS,RORY,C,MD,M,I,401 BUSTER RD,,TOPPENISH,WA,989489792,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,23,7.33,7.26,3.9617391304,4.1156521739
1033186283,SUMNERS,RORY,C,MD,M,I,401 BUSTER RD,,TOPPENISH,WA,989489792,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.73,4.105,2.475,2.94
1033186457,BRYAN,JANICE,K,AON,F,I,10085 DOUBLE R BLVD,STE 120,RENO,NV,895215860,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,37,110,68.767909091,8.32,5.772,5.772
1033186457,BRYAN,JANICE,K,AON,F,I,10085 DOUBLE R BLVD,STE 120,RENO,NV,895215860,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,21,16.301428571,1.42,1.0076190476,1.0076190476
1033186457,BRYAN,JANICE,K,AON,F,I,10085 DOUBLE R BLVD,STE 120,RENO,NV,895215860,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,258.0375,68.635,48.095833333,32.491666667
1033186457,BRYAN,JANICE,K,AON,F,I,10085 DOUBLE R BLVD,STE 120,RENO,NV,895215860,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,85.612105263,17.09,10.850526316,10.968421053
1033186457,BRYAN,JANICE,K,AON,F,I,10085 DOUBLE R BLVD,STE 120,RENO,NV,895215860,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,112,112,462.365625,65.7,46.222232143,49.370892857
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,24,107,61.488411215,8.32,5.6086915888,5.6086915888
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,30,16.126333333,1.42,1.002,1.002
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,21,21,138.89142857,41.610952381,25.667142857,23.706666667
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.865,1.51,1.0157142857,0.99
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,477.546875,87.494375,56.250625,55.585625
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,20,70,66.868285714,14.71,11.068285714,11.421571429
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,21,21,218.60857143,59.377142857,42.265714286,38.78047619
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,23,23,75.893478261,19.393478261,12.077391304,11.003478261
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,102.17428571,10.56,7.0971428571,7.9685714286
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,47,173,11.640462428,2.151849711,1.5142774566,1.4261271676
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,40.382666667,13.895333333,9.676,9.174
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,30,33,88.49,13.459393939,9.91,9.8448484848
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,50,50,279.09,33,23.8802,23.7372
1033186473,LEVY,BRIAN,,M.D.,M,I,124 N BRYANT AVE,C4,EDMOND,OK,730346305,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,18,373.92,77.8,57.611111111,52.037777778
1033186531,KHAN,IRFAN,A,MD,M,I,7501 GREENWAY CENTER DR,SUITE 730,GREENBELT,MD,207703514,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,15,19,38,4.3778947368,0.51,0.4,0.4
1033186531,KHAN,IRFAN,A,MD,M,I,7501 GREENWAY CENTER DR,SUITE 730,GREENBELT,MD,207703514,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,58,99,266,1127,57.414170364,8.32,6.2277905945,6.2277905945
1033186531,KHAN,IRFAN,A,MD,M,I,7501 GREENWAY CENTER DR,SUITE 730,GREENBELT,MD,207703514,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,34,84,84,13.24952381,3.38,2.618452381,2.618452381
1033186531,KHAN,IRFAN,A,MD,M,I,7501 GREENWAY CENTER DR,SUITE 730,GREENBELT,MD,207703514,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,31,36,36,19.145,2.12,1.67,1.67
1033186531,KHAN,IRFAN,A,MD,M,I,7501 GREENWAY CENTER DR,SUITE 730,GREENBELT,MD,207703514,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,64,149,322,13.762236025,1.42,1.0476086957,1.0476086957
1033186531,KHAN,IRFAN,A,MD,M,I,7501 GREENWAY CENTER DR,SUITE 730,GREENBELT,MD,207703514,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,12,12,12,55.011666667,49.504166667,37.885,57.974166667
1033186531,KHAN,IRFAN,A,MD,M,I,7501 GREENWAY CENTER DR,SUITE 730,GREENBELT,MD,207703514,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,284.57538462,250.9,196.70538462,196.86923077
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,57,168,507,74.84061144,8.32,5.6446548323,5.6446548323
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,13.6325,3.38,2.65,2.65
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,39,75,16.382666667,1.42,1.0249333333,1.0249333333
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,125,32.024,11.58,8.2936,8.2936
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,17,71.292352941,17,13.33,13.453529412
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,22.902727273,5.9790909091,3.2081818182,2.6
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,26,362.97384615,77.18,58.182692308,54.174230769
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,744,0.4290322581,0.0462096774,0.0331451613,0.0331451613
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,1084,1.26099631,0.1365682657,0.1045664207,0.1045664207
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,51.63,40,28.947692308,27.809230769
1033186598,ORRIS,RICHARD,,M.D.,M,I,428 HARTFORD TPKE,,VERNON,CT,060664841,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,31,31,61.741935484,33,24.200967742,24.200967742
1033186606,SPENCER,CRAIG,R,MD,M,I,520 S EAGLE RD,STE 3112,MERIDIAN,ID,836426351,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,2503,0.1578186177,0.1299880144,0.1019176988,0.1019256892
1033186606,SPENCER,CRAIG,R,MD,M,I,520 S EAGLE RD,STE 3112,MERIDIAN,ID,836426351,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,40,7313,5.61118556,1.701981403,1.3108478053,1.5498933406
1033186606,SPENCER,CRAIG,R,MD,M,I,520 S EAGLE RD,STE 3112,MERIDIAN,ID,836426351,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,48,6549,9.8654832799,7.23,5.5914841961,5.5914841961
1033186606,SPENCER,CRAIG,R,MD,M,I,520 S EAGLE RD,STE 3112,MERIDIAN,ID,836426351,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,37,294,1.6043197279,1.2026530612,0.925952381,1.3941496599
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,32,32,100,19.71,14.9671875,14.9671875
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,32,43,210,37.38,28.621162791,28.621162791
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,525,204.24133333,154.09933333,154.09933333
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,74,52.745454545,50.053636364
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,1288,52.017569876,4.9563897516,3.8858229814,3.8858229814
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,23,193,14.509896373,1.5916580311,1.204611399,1.204611399
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,17,48,59.875,42.52,31.716666667,29.685833333
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1033186713,KORRAPATI,VIJAYA,,M.D.,F,I,222 E MEDICAL LN STE 400,,WEST COLUMBIA,SC,291694848,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,39,103,58.613592233,8.32,5.8883495146,5.8883495146
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,19,5.9347368421,1.42,1.1157894737,1.1157894737
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,660,0.1320454545,0.12,0.0752727273,0.0752727273
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,12,360,8.763,8.28,6.4916666667,6.4916666667
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,1825,0.4922191781,0.45,0.2879123288,0.2879123288
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,146.89,47.809411765,37.481764706,40.408823529
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,140.53166667,51.2075,40.146666667,41.929166667
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,929,0.9647255113,0.1391603875,0.1091173305,0.1091173305
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,68.32625,15.9425,10.8275,12.84875
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,108.98,27.8725,21.85,24.865
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,38,119.34,22.878947368,14.521578947,18.740789474
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,63,63,20.57,7.2061904762,5.5525396825,6.7415873016
1033186739,MORANDI,MICHELE,,D.O.,F,I,744 GALLOPING HILL RD,SUITE 1,ROSELLE PARK,NJ,072041700,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,25.87,25.87
1033186754,RIZVI,ALI,A,M.D.,M,I,2 MEDICAL PARK RD STE 506,,COLUMBIA,SC,292036876,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,13,28,362,46.149116022,19.620939227,14.431298343,14.431298343
1033186754,RIZVI,ALI,A,M.D.,M,I,2 MEDICAL PARK RD STE 506,,COLUMBIA,SC,292036876,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,12,25,800,5.9236875,2.6295,1.9062375,1.9062375
1033186754,RIZVI,ALI,A,M.D.,M,I,2 MEDICAL PARK RD STE 506,,COLUMBIA,SC,292036876,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,31,104,610,72.019262295,8.32,5.9737213115,5.9737213115
1033186754,RIZVI,ALI,A,M.D.,M,I,2 MEDICAL PARK RD STE 506,,COLUMBIA,SC,292036876,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,24,78,16.015384615,1.42,1.041025641,1.041025641
1033186754,RIZVI,ALI,A,M.D.,M,I,2 MEDICAL PARK RD STE 506,,COLUMBIA,SC,292036876,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,3350,16.228074627,10.64300597,6.9779552239,6.9779552239
1033186754,RIZVI,ALI,A,M.D.,M,I,2 MEDICAL PARK RD STE 506,,COLUMBIA,SC,292036876,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,57,59,324.40050847,250.87864407,192.21779661,192.39864407
1033186770,BRENNER,KARL,,M.D.,M,I,2090 COMMONWEALTH BLVD,,ANN ARBOR,MI,481051580,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,30,103,44.600776699,8.32,5.509223301,5.509223301
1033186770,BRENNER,KARL,,M.D.,M,I,2090 COMMONWEALTH BLVD,,ANN ARBOR,MI,481051580,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,26,11.928461538,1.42,1.0307692308,1.0307692308
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,535.44461538,95.650769231,74.986923077,71.080769231
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,17,28,223.47642857,36.233571429,28.408214286,27.001785714
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,72.493333333,18.54,14.535151515,14.550454545
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,191.83526316,55.9,43.83,43.064210526
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,16,20,20,78.59,18.984,14.879,14.4595
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,27,27,85.25,12.578888889,9.8625925926,9.1674074074
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,19,45,207,8.937826087,2.121352657,1.6622705314,1.6252657005
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,12,18,18,56.734444444,12.78,10.02,10.322222222
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,39,86.673589744,18.076923077,12.330512821,12.171538462
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,160.16,29.570769231,23.184615385,23.184615385
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,1206.24,79.8,62.56,54.73
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,3762.0184615,913.16,710.40192308,831.88269231
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,1546.7261538,241.54,178.33538462,157.61538462
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,20,46.15,4.0075,3.14,3.572
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,50,51,605.95392157,32.379411765,24.349019608,25.029607843
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,32,191,198,636.41742424,78.702121212,59.557171717,54.249242424
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,75,76,171.57894737,38.978421053,29.328289474,28.44
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1822,0.2846267838,0.0454445664,0.0356421515,0.0356256861
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,1950,1.6841589744,0.1365230769,0.1070717949,0.1070717949
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,633,2.6587519747,0.2183886256,0.1550552923,0.1550552923
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,284.04363636,38.76,29.616181818,29.024181818
1033186846,SIPPEL,JEFFREY,M,M.D.,M,I,1635 AURORA CT,#F747,AURORA,CO,800452541,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,11,33,33,45,33,25.87,25.87
1033186861,RAMAMURTHI,KALYANA,S,MD,M,I,44200 WOODWARD AVE,SUIE 209,PONTIAC,MI,483415045,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,3090,4.9277152104,0.5676601942,0.4360420712,0.4360420712
1033186861,RAMAMURTHI,KALYANA,S,MD,M,I,44200 WOODWARD AVE,SUIE 209,PONTIAC,MI,483415045,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,5925,0.066857384,0.0131898734,0.0090936709,0.0090936709
1033186861,RAMAMURTHI,KALYANA,S,MD,M,I,44200 WOODWARD AVE,SUIE 209,PONTIAC,MI,483415045,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,32,6720,3.5306785714,1.2041160714,0.9094151786,0.9094151786
1033186861,RAMAMURTHI,KALYANA,S,MD,M,I,44200 WOODWARD AVE,SUIE 209,PONTIAC,MI,483415045,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,32,32,24,24,17.64375,17.64375
1033186861,RAMAMURTHI,KALYANA,S,MD,M,I,44200 WOODWARD AVE,SUIE 209,PONTIAC,MI,483415045,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,38,45,16,16,11.984,11.984
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,56,103,42.561941748,8.32,5.1924271845,5.1924271845
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,18,21,12.206190476,1.42,0.8504761905,0.8504761905
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,32,88.15375,71.250625,55.86125,56.1034375
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,90,37.602666667,29.056666667,22.780555556,22.886444444
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,48.879230769,19.946923077,14.857692308,10.153846154
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,53,7.7520754717,3.080754717,2.2152830189,1.4896226415
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,25,7.7575,5.9291666667,3.8325
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,170,51.2088,39.1188,27.4832
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,26,245.07692308,92.135384615,72.236153846,68.963846154
1033186911,WALLACE,DEBRA,J,M.D.,F,I,1284 US HIGHWAY 60 W,,MORGANFIELD,KY,424376236,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,15,38.56,33,25.87,25.87
1033186937,POMERANTZ,SCOTT,B,MD,M,I,523 FOREST AVE,,PARAMUS,NJ,076524737,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,50,50,50,63.8058,60.353,45.167,50.1576
1033186937,POMERANTZ,SCOTT,B,MD,M,I,523 FOREST AVE,,PARAMUS,NJ,076524737,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,27,64,50.352962963,36.542222222,30.793703704
1033186937,POMERANTZ,SCOTT,B,MD,M,I,523 FOREST AVE,,PARAMUS,NJ,076524737,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,48,61.633333333,43.736666667,32.857083333,27.924583333
1033186937,POMERANTZ,SCOTT,B,MD,M,I,523 FOREST AVE,,PARAMUS,NJ,076524737,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,19,86.911578947,66.09,46.763684211,39.036315789
1033186937,POMERANTZ,SCOTT,B,MD,M,I,523 FOREST AVE,,PARAMUS,NJ,076524737,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,24,78.041666667,66.67,52.27,44.2825
1033187026,TALBERT,NICOL,C,PA,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,28,60.016785714,8.32,6.0560714286,6.0560714286
1033187026,TALBERT,NICOL,C,PA,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,41.538461538,22.666923077,14.326153846,10.407692308
1033187026,TALBERT,NICOL,C,PA,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,223.33333333,101.36222222,78.204444444,55.714444444
1033187034,MASEAR,VICTORIA,,MD,F,I,48 MEDICAL PARK E DR,SUITE 200,BIRMINGHAM,AL,35235,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,17,17,397,296.63,232.55,250.61235294
1033187109,FLIPPO,GREG,M,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,17,86.991764706,8.32,5.7582352941,5.7582352941
1033187109,FLIPPO,GREG,M,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,21,21,175,63.43,47.816666667,41.38
1033187109,FLIPPO,GREG,M,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,12.059090909,9.46,8.77
1033187109,FLIPPO,GREG,M,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,360,99.691818182,78.16,54.73
1033187109,FLIPPO,GREG,M,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,19,77,77,57.547012987,22.66012987,15.998051948,13.26038961
1033187109,FLIPPO,GREG,M,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,60,43.593684211,34.180526316,29.514736842
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,35,95,191,75.372879581,8.304921466,5.8184816754,5.8303141361
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,25,32,15.19375,1.42,0.801875,0.801875
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,39,39,169.92358974,41.927179487,30.609230769,28.836923077
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,26,26,432.56615385,97.205384615,73.018846154,68.093846154
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,14,35,72,170.53583333,35.359166667,27.721111111,26.251666667
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,18,38,198,108.29434343,19.911212121,14.597979798,13.513383838
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,22,42,42,310.07285714,59.434285714,45.464285714,41.843809524
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,32,43,43,90.232790698,19.588372093,14.776046512,13.673488372
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,29,29,98.073448276,12.959655172,9.184137931,8.1965517241
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,37,85,405,13.454296296,2.2101481481,1.651037037,1.5299012346
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,23,31,31,56.799354839,13.862580645,10.528064516,10.018709677
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,14,74,76,75.632105263,12.948552632,8.2023684211,7.7331578947
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,50.73,4.7313043478,3.4017391304,3.2334782609
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,16,104,106,245.1040566,35.29754717,23.865849057,21.382735849
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,74,493.47040541,69.81,49.552837838,49.552837838
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,36.14,28.33,29.51
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1980,1.1230151515,0.137469697,0.0912626263,0.0912626263
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,104.50916667,26.855833333,21.0525,14.35
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,129.05764706,36.14,26.33,27.457058824
1033187125,GAMBIRAZIO,CARLOS,A,MD,M,I,152 SAGAMORE PKWY W,,WEST LAFAYETTE,IN,479061569,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,86.307692308,33,23.799230769,23.799230769
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,60,72.504833333,8.32,6.087,6.087
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,1370,10.696167883,2.5776861314,1.9292846715,1.9292846715
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,16,90,10170,5.6008682399,0.5624886922,0.4326420846,0.4326371681
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,5100,0.1158431373,0.0130941176,0.0099392157,0.0099392157
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,74,10204,3.7214925519,1.1550754606,0.9000401803,0.9000401803
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,3560,3.6086095506,2.7898426966,2.1469353933,2.1469353933
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,1260,21.402420635,7.4342142857,5.8284365079,5.8284365079
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,22,25,120,120,24,24,18.663166667,18.663166667
1033187133,SU,STEVE,W,MD,M,I,568 E HERNDON AVE STE 201,,FRESNO,CA,937202989,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,25,123,152,16,16,12.375986842,12.375986842
1033187240,BANKS,SARAH,A,D.P.M.,F,I,250 FAME AVE,SUITE 220,HANOVER,PA,173311587,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,85,71.56,53.499074074,53.499074074
1033187240,BANKS,SARAH,A,D.P.M.,F,I,250 FAME AVE,SUITE 220,HANOVER,PA,173311587,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,132,60,43.56,34.151666667,34.150151515
1033187323,DILLEY,SHARON,P,MD,F,I,200 HOSPITAL AVE,,JEFFERSON,NC,286409244,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,44,78.332727273,8.32,5.6320454545,5.6320454545
1033187323,DILLEY,SHARON,P,MD,F,I,200 HOSPITAL AVE,,JEFFERSON,NC,286409244,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,137.93133333,41,32.14,30.49
1033187323,DILLEY,SHARON,P,MD,F,I,200 HOSPITAL AVE,,JEFFERSON,NC,286409244,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,411.1825,94.58,74.15,67.84
1033187323,DILLEY,SHARON,P,MD,F,I,200 HOSPITAL AVE,,JEFFERSON,NC,286409244,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,176.97653846,34.538461538,23.956538462,22.926923077
1033187323,DILLEY,SHARON,P,MD,F,I,200 HOSPITAL AVE,,JEFFERSON,NC,286409244,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,62,13.24483871,2.3,1.7583870968,1.5467741935
1033187323,DILLEY,SHARON,P,MD,F,I,200 HOSPITAL AVE,,JEFFERSON,NC,286409244,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,182.06642857,34.285714286,26.88,26.827142857
1033187356,EDWARDS,TOM,N,MD,M,I,4614 CARNEGIE AVE,,FAIRFIELD,AL,350641430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,50,52.5342,8.32,5.2188,5.2188
1033187448,WILLIAMS,DAVID,R,,M,I,200 ARTHUR DR,,THOMASVILLE,NC,273606275,US,Physician/Pediatric Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,11.48,6.26,4.908,5.7110769231
1033187448,WILLIAMS,DAVID,R,,M,I,200 ARTHUR DR,,THOMASVILLE,NC,273606275,US,Physician/Pediatric Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,10.232307692,5.23,4.1003333333,4.1003333333
1033187448,WILLIAMS,DAVID,R,,M,I,200 ARTHUR DR,,THOMASVILLE,NC,273606275,US,Physician/Pediatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2750,0.6,0.0466363636,0.0332145455,0.0332145455
1033187448,WILLIAMS,DAVID,R,,M,I,200 ARTHUR DR,,THOMASVILLE,NC,273606275,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.679090909,25.678181818
1033187463,TSENG,CHUNG-E,,MD,F,I,246 E 20TH ST,,NEW YORK,NY,100031831,US,Physician/Rheumatology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15.42,9.2845454545,7.2781818182,8.8681818182
1033187505,FATHALLAH-SHAYKH,SAHAR,A,MD,F,I,1600 7TH AVE SO,ACC 516,BIRMINGHAM,AL,352331711,US,Physician/Pediatric Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2160,5.6079722222,0.5492777778,0.3910694444,0.3910694444
1033187513,MEDINA,JESUS,E,MD,M,I,825 NE 10TH ST # 4200,,OKLAHOMA CITY,OK,731045417,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,362,16.519337017,6.26,4.9079834254,5.778038674
1033187513,MEDINA,JESUS,E,MD,M,I,825 NE 10TH ST # 4200,,OKLAHOMA CITY,OK,731045417,US,Physician/Otolaryngology,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,1340,5.9668656716,2.52,1.9756865672,2.2974552239
1033187513,MEDINA,JESUS,E,MD,M,I,825 NE 10TH ST # 4200,,OKLAHOMA CITY,OK,731045417,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,424,11.232075472,5.23,4.1003301887,4.1003301887
1033187513,MEDINA,JESUS,E,MD,M,I,825 NE 10TH ST # 4200,,OKLAHOMA CITY,OK,731045417,US,Physician/Otolaryngology,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,142.15,53.44,41.9,41.9
1033187513,MEDINA,JESUS,E,MD,M,I,825 NE 10TH ST # 4200,,OKLAHOMA CITY,OK,731045417,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,423,9.3806146572,3.81,2.9870212766,2.9870212766
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,128.06882353,40,27.670588235,26.954117647
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,494.08571429,85,61.88,63.101428571
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,35,175.44685714,34.05,24.500571429,23.722857143
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,219.18642857,56,35.612857143,34.72
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,65.932,19.39,14.186666667,13.198666667
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,26,144,10.146875,2.09,1.5163888889,1.4739583333
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,125.13142857,34.155714286,24.395,22.813571429
1033187588,PAREKH,HEMAL,J,M.D.,F,I,411 30TH ST,SUITE 314,OAKLAND,CA,946093312,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,395,39,27.8,26.924545455
1033187646,WATTERSON,ROBERT,B,MD,M,I,1412-22 FAIRMOUNT AVE,,PHILADELPHIA,PA,191302908,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,21,65.145238095,8.32,5.5923809524,5.5923809524
1033187646,WATTERSON,ROBERT,B,MD,M,I,1412-22 FAIRMOUNT AVE,,PHILADELPHIA,PA,191302908,US,Physician/Pediatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,47.535,33.443333333,34.299166667
1033187646,WATTERSON,ROBERT,B,MD,M,I,1412-22 FAIRMOUNT AVE,,PHILADELPHIA,PA,191302908,US,Physician/Pediatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,73.515,16.625,11.104166667,11.915833333
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,78,78,94.006666667,20.548333333,15.544615385,13.224487179
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,,24,33,146.62878788,56.916060606,44.618484848,39.652727273
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,1812.76,1074.31,832.69533333,832.69533333
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1527.89,972.195,757.16166667,757.16166667
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,13,71,71,27.712253521,7.8354929577,5.8211267606,3.643943662
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,29,228,228,390.97149123,95.336096491,72.107192982,53.423815789
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,145,145,98.204137931,41.777172414,32.283517241,29.069793103
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,16,6332,0.3735391661,0.0465334807,0.026839861,0.026839861
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,21,84,10638,1.7359014852,0.1321695807,0.0988362474,0.0988362474
1033187810,PARRISH,RICHARD,E,"MD, FCCP",M,I,1800 MEDICAL CENTER PKWY STE 310,,MURFREESBORO,TN,371292586,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,24,91,91,38.510989011,33,24.683516484,24.683516484
1033187869,KHANUJA,HARPAL,S,M.D.,M,I,2401 W BELVEDERE AVE,RIAO,BALTIMORE,MD,212155216,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,9.555,7.495,7.465
1033187877,CLOUSE,JAMES,C,D.O.,M,I,1602 N. 2ND,,CLINTON,MO,64735,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,51,119,71.275966387,8.32,6.0700840336,6.0700840336
1033187877,CLOUSE,JAMES,C,D.O.,M,I,1602 N. 2ND,,CLINTON,MO,64735,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,20,11.5625,1.42,1.004,1.004
1033187877,CLOUSE,JAMES,C,D.O.,M,I,1602 N. 2ND,,CLINTON,MO,64735,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,66,11.532727273,3.4872727273,2.7343939394,1.7162121212
1033187877,CLOUSE,JAMES,C,D.O.,M,I,1602 N. 2ND,,CLINTON,MO,64735,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,56,94.585892857,22.407142857,16.5,12.613214286
1033187877,CLOUSE,JAMES,C,D.O.,M,I,1602 N. 2ND,,CLINTON,MO,64735,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,82,91,555.21263736,102.08,74.364615385,51.34032967
1033187877,CLOUSE,JAMES,C,D.O.,M,I,1602 N. 2ND,,CLINTON,MO,64735,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,32.344166667,27.6525
1033187984,HOLMES,SILAS,W,M.D.,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,130.465,127.21,99.73,90.5425
1033188008,DAILY,SARA,A,PA-C,F,I,13555 W MCDOWELL RD,SUITE 101,GOODYEAR,AZ,853952624,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,36,100,67.1232,8.32,5.674,5.674
1033188008,DAILY,SARA,A,PA-C,F,I,13555 W MCDOWELL RD,SUITE 101,GOODYEAR,AZ,853952624,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,25,15.5976,1.42,0.8912,0.8912
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,45,130,68.968076923,8.32,5.5188461538,5.5188461538
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,25,37,13.417567568,1.42,1.0832432432,1.0832432432
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,151.06571429,40.362857143,31.645714286,30.537142857
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,24,24,316.44333333,96.159166667,72.448333333,66.87125
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,11,25,53,129.45358491,36.073584906,28.281320755,26.514716981
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,56,42.227857143,15.180714286,8.37875,8.3785714286
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,190.47444444,55.976111111,35.595555556,34.862777778
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,19,25,25,58.6224,18.8148,13.3416,12.9532
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,22,22,56.202727273,13.329545455,9.1463636364,8.4027272727
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,45,223,7.7530044843,2.1411659193,1.5207623318,1.4678475336
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,45.954285714,13.482857143,8.4964285714,8.4578571429
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,74.705,17.51,12.911964286,12.762857143
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,3775.52,913.16,711.57242424,830.25545455
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,36,332.66555556,36.110555556,25.045,22.519444444
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,147,147,496.32380952,81.200136054,59.308911565,51.531564626
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,180,38,28.726071429,28.466071429
1033188016,NEVAREZ,MAX,A,MD,M,I,6340 BARNES RD,,COLORADO SPRINGS,CO,80922,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38,29.79,29.533333333
1033188156,SU,EDWARD,T,MD,M,I,3580 ARCADE ST,,VADNAIS HEIGHTS,MN,551277135,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,17,595,443.33647059,339.13470588,297.23058824
1033188156,SU,EDWARD,T,MD,M,I,3580 ARCADE ST,,VADNAIS HEIGHTS,MN,551277135,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,12,89,65.275,51.174166667,46.7175
1033188206,CAIN,ROSE,M,NP,F,I,230 WORCESTER ST,,WELLESLEY,MA,024815420,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78,51.676666667,45.7925
1033188206,CAIN,ROSE,M,NP,F,I,230 WORCESTER ST,,WELLESLEY,MA,024815420,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,38,27.3075,27.050833333
1033188354,GHAEMMAGHAMI,PAUL,A,MD,M,I,5855 BREMO RD,SUITE 101,RICHMOND,VA,232261930,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,450,12.764266667,5.74,4.5001333333,4.5001333333
1033188354,GHAEMMAGHAMI,PAUL,A,MD,M,I,5855 BREMO RD,SUITE 101,RICHMOND,VA,232261930,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,100,13.493,6.44,4.5429,4.5429
1033188354,GHAEMMAGHAMI,PAUL,A,MD,M,I,5855 BREMO RD,SUITE 101,RICHMOND,VA,232261930,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,26,635,15.522094488,6.9872440945,5.1562677165,5.1582362205
1033188354,GHAEMMAGHAMI,PAUL,A,MD,M,I,5855 BREMO RD,SUITE 101,RICHMOND,VA,232261930,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,28,840,7.6525119048,4.0266666667,3.1569285714,3.1576785714
1033188354,GHAEMMAGHAMI,PAUL,A,MD,M,I,5855 BREMO RD,SUITE 101,RICHMOND,VA,232261930,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,1800,0.5235833333,0.27,0.2116444444,0.2116444444
1033188354,GHAEMMAGHAMI,PAUL,A,MD,M,I,5855 BREMO RD,SUITE 101,RICHMOND,VA,232261930,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,24,1350,0.7766740741,0.23,0.1803555556,0.2098962963
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,4.8130769231,0.51,0.4,0.4
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,65,261,53.577126437,8.32,5.815862069,5.815862069
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,31,31,12.590967742,3.38,2.4790322581,2.4790322581
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,19.902352941,2.12,1.5717647059,1.5717647059
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,38,77,13.198961039,1.42,1.0406493506,1.0406493506
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,36,36,179.33333333,46.034444444,29.171111111,29.602222222
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,18,93.153333333,17.63,13.82,13.610555556
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,30,326.028,76.48,59.96,57.165333333
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,75.8,19.2,14.111333333,13.098666667
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,188.59,47.376363636,33.016363636,34.444545455
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,512.29166667,113.7,84.187777778,79.777222222
1033188677,GRISSOM,DAVID,B,MD,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,12,33,33,25.87,25.87
1033188719,SCHULTZ,STEPHEN,M,M.D.,M,I,8424 NAAB RD,SUITE 2J,INDIANAPOLIS,IN,462605918,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,177.61411765,84.842352941,66.518235294,54.73
1033188719,SCHULTZ,STEPHEN,M,M.D.,M,I,8424 NAAB RD,SUITE 2J,INDIANAPOLIS,IN,462605918,US,Physician/Medical Oncology,S,J8655,Netupitant 300 mg and palonosetron 0.5 mg,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,782.47235294,370.41176471,290.40411765,290.40411765
1033188719,SCHULTZ,STEPHEN,M,M.D.,M,I,8424 NAAB RD,SUITE 2J,INDIANAPOLIS,IN,462605918,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,20,63,66.992063492,41.066666667,32.196190476,30.922380952
1033188719,SCHULTZ,STEPHEN,M,M.D.,M,I,8424 NAAB RD,SUITE 2J,INDIANAPOLIS,IN,462605918,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1033188784,PIERCY,STEPHEN,L,M.D.,M,I,804 KENYON RD,SUITE H,FORT DODGE,IA,505015742,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,35,28.46,22.31,22.31
1033188784,PIERCY,STEPHEN,L,M.D.,M,I,804 KENYON RD,SUITE H,FORT DODGE,IA,505015742,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,64,8.71875,2.49,1.79953125,1.79953125
1033188784,PIERCY,STEPHEN,L,M.D.,M,I,804 KENYON RD,SUITE H,FORT DODGE,IA,505015742,US,Physician/Urology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,16,9.671875,5.54,4.159375,4.159375
1033188784,PIERCY,STEPHEN,L,M.D.,M,I,804 KENYON RD,SUITE H,FORT DODGE,IA,505015742,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,30,17.566666667,13.506666667,10.59,10.82
1033188784,PIERCY,STEPHEN,L,M.D.,M,I,804 KENYON RD,SUITE H,FORT DODGE,IA,505015742,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,2850,3.8347368421,2.04,1.5379298246,1.5379298246
1033188784,PIERCY,STEPHEN,L,M.D.,M,I,804 KENYON RD,SUITE H,FORT DODGE,IA,505015742,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,31,40,12.9575,10.27,7.25,7.71775
1033188784,PIERCY,STEPHEN,L,M.D.,M,I,804 KENYON RD,SUITE H,FORT DODGE,IA,505015742,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,34,9,6.34,4.5314705882,5.35
1033188800,EVANS,WILLIAM,R,MD,M,I,561 N GRAHAM ST,,STEPHENVILLE,TX,764013548,US,Physician/Orthopedic Surgery,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,375,375,288.30181818,769.85136364
1033188800,EVANS,WILLIAM,R,MD,M,I,561 N GRAHAM ST,,STEPHENVILLE,TX,764013548,US,Physician/Orthopedic Surgery,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,32,36,941.66666667,875.61694444,677.55416667,668.76666667
1033188800,EVANS,WILLIAM,R,MD,M,I,561 N GRAHAM ST,,STEPHENVILLE,TX,764013548,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,950,875.48,679.1965,670.9505
1033188800,EVANS,WILLIAM,R,MD,M,I,561 N GRAHAM ST,,STEPHENVILLE,TX,764013548,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,255,104.26,81.74,87.48
1033188800,EVANS,WILLIAM,R,MD,M,I,561 N GRAHAM ST,,STEPHENVILLE,TX,764013548,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,359.09090909,359.09090909,281.52727273,568.53
1033188800,EVANS,WILLIAM,R,MD,M,I,561 N GRAHAM ST,,STEPHENVILLE,TX,764013548,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,295,251.28,197,217.521875
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,36,112,321,53.115700935,8.32,5.7696573209,5.7696573209
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.465454545,3.38,2.65,2.65
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,30,75,108,11.290925926,1.42,1.0024074074,1.0024074074
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,32,138.75,48.164375,37.75875,37.174375
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,75.935714286,17.29,12.582142857,12.563571429
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,21,43.988571429,4.7214285714,3.7028571429,3.7
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,22,24,18.333333333,8.6333333333,6.7666666667,6.6808333333
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,470.608,70.23,52.08075,51.758
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1500,15.58,9.62498,7.3546866667,7.3546866667
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,2310,0.92,0.1345844156,0.0960822511,0.0960822511
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,26.066363636,19.026363636,13.620454545,12.556818182
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,51.136363636,28.780454545,15.317727273,14.237272727
1033188875,BRANNING,STEPHEN,A,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 110,DECATUR,AL,356031538,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,51,51,130.05882353,33,24.855490196,24.855490196
1033188933,MATES,MATTHEW,A,PA-C,M,I,6900 PEARL ROAD,2ND FLOOR,MIDDLEBURG HEIGHTS,OH,441303639,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.3,0.13,0.0934236111,0.0934236111
1033188933,MATES,MATTHEW,A,PA-C,M,I,6900 PEARL ROAD,2ND FLOOR,MIDDLEBURG HEIGHTS,OH,441303639,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,4280,3.005046729,1.92,1.4746074766,1.5686869159
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,38,109,298,74.42295302,8.32,5.3865771812,5.3865771812
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,14.302222222,3.38,2.0611111111,2.0611111111
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,22.958181818,2.12,1.5181818182,1.5181818182
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,41,54,15.377222222,1.42,1.0546296296,1.0546296296
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,68.634705882,17.736470588,13.899411765,13.595882353
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,4430.1,913.16,712.45352941,831.36176471
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,53.4768,7.2676,4.57,2.928
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E0855,Cervical traction equipment not requiring additional stand or frame,D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,55.377647059,45.782352941,35.89,36.521764706
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,7.5,1.8275,0.9125,0.895
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,12,3.12,1.5590909091,1.4381818182
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,355.67848485,88.075454545,55.60030303,45.330606061
1033188966,PRELIPCEAN,VLAD,,MD,M,I,6725 DEERFOOT PKWY,,PINSON,AL,351263093,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,1140,176.38666667,129.11555556,117.53611111
1033189089,ELKADRY,EMAN,,MD,F,I,725 CONCORD AVE,STE 3300,CAMBRIDGE,MA,021381040,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,3140,3.8453503185,2.04,1.553656051,1.553656051
1033189097,SIKORSKI,ROBERT,,D.O.,M,I,35150 NANKIN BLVD,SUITE 103,WESTLAND,MI,481852091,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,59,155,49.024258065,8.32,5.2715483871,5.2715483871
1033189097,SIKORSKI,ROBERT,,D.O.,M,I,35150 NANKIN BLVD,SUITE 103,WESTLAND,MI,481852091,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,12.794285714,3.38,2.3607142857,2.3607142857
1033189097,SIKORSKI,ROBERT,,D.O.,M,I,35150 NANKIN BLVD,SUITE 103,WESTLAND,MI,481852091,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,28,38,15.315263158,1.42,0.9689473684,0.9689473684
1033189097,SIKORSKI,ROBERT,,D.O.,M,I,35150 NANKIN BLVD,SUITE 103,WESTLAND,MI,481852091,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,17,260.90411765,79.88,51.569411765,48.316470588
1033189220,STORTS,RITA,M,CNP,F,I,1510 COLUMBUS AVE STE 230,,WASHINGTON COURT HOUSE,OH,431601987,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,33,80,213,57.243849765,8.249342723,6.313943662,6.3533802817
1033189220,STORTS,RITA,M,CNP,F,I,1510 COLUMBUS AVE STE 230,,WASHINGTON COURT HOUSE,OH,431601987,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,38,55,8.96,1.42,1.1156363636,1.1156363636
1033189220,STORTS,RITA,M,CNP,F,I,1510 COLUMBUS AVE STE 230,,WASHINGTON COURT HOUSE,OH,431601987,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,55.264375,20.573125,15.19625,12.68625
1033189220,STORTS,RITA,M,CNP,F,I,1510 COLUMBUS AVE STE 230,,WASHINGTON COURT HOUSE,OH,431601987,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,45,9.9864285714,6.4678571429,3.7542857143
1033189220,STORTS,RITA,M,CNP,F,I,1510 COLUMBUS AVE STE 230,,WASHINGTON COURT HOUSE,OH,431601987,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,373.91326923,99.896153846,74.412115385,51.1125
1033189246,FINK,MATTHEW,A,M.D.,M,I,3402 W DR MARTIN LUTHER KING JR BLVD,,TAMPA,FL,336076214,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,1028,58.68,5.0648832685,3.9461089494,3.9460992218
1033189246,FINK,MATTHEW,A,M.D.,M,I,3402 W DR MARTIN LUTHER KING JR BLVD,,TAMPA,FL,336076214,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,36,55.261666667,42.295,33.159722222,31.398333333
1033189246,FINK,MATTHEW,A,M.D.,M,I,3402 W DR MARTIN LUTHER KING JR BLVD,,TAMPA,FL,336076214,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,16,16,16,12.540625,12.540625
1033189253,MOREHEAD,BETTY,C,NP-C,F,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,38,108,74.44787037,8.32,6.0388888889,6.0388888889
1033189253,MOREHEAD,BETTY,C,NP-C,F,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,19,18.545789474,1.42,1.1178947368,1.1178947368
1033189253,MOREHEAD,BETTY,C,NP-C,F,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,72.5,50.046363636,28.891818182,24.939090909
1033189253,MOREHEAD,BETTY,C,NP-C,F,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,38,6,3.3357894737,1.9473684211,1.4823684211
1033189253,MOREHEAD,BETTY,C,NP-C,F,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,125.38461538,38.574615385,22.412307692,16.186153846
1033189253,MOREHEAD,BETTY,C,NP-C,F,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,282.93090909,100.90545455,79.111818182,54.73
1033189303,MCGUIGAN,THOMAS,M,DPM,M,I,1076 PARKWAY AVENUE,,TRENTON,NJ,08628,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,26,104.3,71.56,56.105,56.105
1033189337,SONNEBORN,ROBERT,E,MD,M,I,1905 CLINT MOORE RD,SUITE 201,BOCA RATON,FL,334962658,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,23,50.73,5.52,3.3886956522,2.6452173913
1033189352,PRENDERGAST,KELLEY,A,PA,F,I,175 CONNORS STREET,,GARDNER,MA,01440,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,60,97,94.652989691,8.32,4.6867010309,4.6867010309
1033189352,PRENDERGAST,KELLEY,A,PA,F,I,175 CONNORS STREET,,GARDNER,MA,01440,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,16.645333333,1.42,0.9706666667,0.9706666667
1033189352,PRENDERGAST,KELLEY,A,PA,F,I,175 CONNORS STREET,,GARDNER,MA,01440,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1080,2.5,2.04,1.4664907407,1.4664907407
1033189352,PRENDERGAST,KELLEY,A,PA,F,I,175 CONNORS STREET,,GARDNER,MA,01440,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,8.19,1.48,1.16,1.1507142857
1033189352,PRENDERGAST,KELLEY,A,PA,F,I,175 CONNORS STREET,,GARDNER,MA,01440,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2475,0.1911474747,0.0457575758,0.0358666667,0.0358666667
1033189352,PRENDERGAST,KELLEY,A,PA,F,I,175 CONNORS STREET,,GARDNER,MA,01440,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,114,33,25.87,25.87
1033189444,ACCOMANDO,ELAINE,M,PA,F,I,2920 N 4TH ST,,FLAGSTAFF,AZ,860041816,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,133.34111111,17.27,13.038518519,13.038518519
1033189444,ACCOMANDO,ELAINE,M,PA,F,I,2920 N 4TH ST,,FLAGSTAFF,AZ,860041816,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,712.286,68.78,53.771333333,54.358
1033189477,MEHDI,FARAH,,M.D.,F,I,845 MONROE ST,,DEARBORN,MI,481242308,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,32,119,44.759915966,8.32,6.5221848739,6.5221848739
1033189477,MEHDI,FARAH,,M.D.,F,I,845 MONROE ST,,DEARBORN,MI,481242308,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,23,15.793043478,1.42,1.1156521739,1.1156521739
1033189477,MEHDI,FARAH,,M.D.,F,I,845 MONROE ST,,DEARBORN,MI,481242308,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,22.5,5.18,4.06,3.38
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,57.347272727,18.62,13.574393939,13.527727273
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,65,35.906153846,15.58,11.562,11.259230769
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,26,26,145.62115385,56,40.523076923,39.603076923
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,50.855294118,18,12.45,12.408823529
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,19,19,54.671052632,12.36,9.69,9.15
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,33,146,8.2328767123,2,1.5471232877,1.5701369863
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,23.780909091,13,9.2636363636,9.4172727273
1033189527,GAUGLER,MICHAEL,D,M.D.,M,I,7580 AUBURN ROAD,#103,PAINESVILLE,OH,44077,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,198.44,33.208823529,20.446470588,18.667647059
1033189535,MENDEL,TUVI,,MD,M,I,3385 DEXTER CT,SUITE 300,DAVENPORT,IA,528073471,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,370.29565217,251.28,184.22826087,204.34304348
1033189568,THOMPSON,DONNA,R,MD,F,I,1700 NORTH WATERMAN AVE,,SAN BERNARDINO,CA,924045105,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,48,119,62.281512605,8.32,6.0831092437,6.0831092437
1033189568,THOMPSON,DONNA,R,MD,F,I,1700 NORTH WATERMAN AVE,,SAN BERNARDINO,CA,924045105,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,33,16.567272727,1.42,1.0821212121,1.0821212121
1033189568,THOMPSON,DONNA,R,MD,F,I,1700 NORTH WATERMAN AVE,,SAN BERNARDINO,CA,924045105,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,44.6925,5.90625,4.63375,3.84625
1033189568,THOMPSON,DONNA,R,MD,F,I,1700 NORTH WATERMAN AVE,,SAN BERNARDINO,CA,924045105,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,198.78,33.311818182,22.096363636,23.081818182
1033189568,THOMPSON,DONNA,R,MD,F,I,1700 NORTH WATERMAN AVE,,SAN BERNARDINO,CA,924045105,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,0.92,0.1345,0.097875,0.097875
1033189568,THOMPSON,DONNA,R,MD,F,I,1700 NORTH WATERMAN AVE,,SAN BERNARDINO,CA,924045105,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,1185.81,149.945,117.51208333,116.29208333
1033189568,THOMPSON,DONNA,R,MD,F,I,1700 NORTH WATERMAN AVE,,SAN BERNARDINO,CA,924045105,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,132,33,21.816875,21.816875
1033189592,RUBIN,STUART,A,MD,M,I,10151 ENTERPRISE CENTER BLVD,SUITE 107,BOYNTON BEACH,FL,334373759,US,Physician/Physical Medicine and Rehabilitation,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,58,58,58,500,399.91655172,313.52931034,310.35896552
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,29,56,110,67.258545455,8.32,6.2257272727,6.2257272727
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,15,19,15.766842105,1.42,1.1178947368,1.1178947368
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,33,57,57,84.187368421,49.800526316,38.321754386,30.240701754
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,4.1341666667,1.99,1.56,1.2083333333
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,23,44,44,253.80568182,119.99181818,91.489545455,66.384318182
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,21,81,85,93.757647059,44.672235294,33.673882353,25.584588235
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,13,31,81,64.486419753,26.659135802,18.725555556,13.458518519
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,13,47,92,33.14,20.610543478,15.731847826,12.10423913
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,23,41,41,153.89585366,78.709268293,57.107804878,40.552439024
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,44,56,56,51.396071429,25.929285714,19.489642857,13.9425
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,27,27,63.615925926,20.873703704,15.981851852,9.2022222222
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,47,98,588,6.7041836735,3.2548979592,2.4978741497,1.655170068
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,36,50,50,19.3284,9.1378,6.9584,4.7648
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,32,42,42,26.898809524,15.865,11.628571429,9.7319047619
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,78,78,90.69974359,22.591153846,16.94474359,13.471410256
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,35.11,21.657368421,16.98,10.837894737
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,62,62,55.63483871,7.6066129032,5.7283870968,3.4393548387
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,13,60,60,131.39466667,51.6905,39.233,26.246
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,22,165,165,342.32751515,100.34557576,73.880484848,53.561939394
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,34,4121,0.3236204805,0.0450181995,0.0330696433,0.0330696433
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1980,0.8562222222,0.1326060606,0.0901969697,0.0901969697
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,12.284738095,2.8396428571,2.226297619,2.226297619
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,702,1.432962963,0.2189031339,0.1716239316,0.1716239316
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,72.09,27.6625,20.0875,12.735
1033189634,SHIELD,JOHN,F,MD,M,I,690 GUZZI LN,SUITE A,SONORA,CA,953705289,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,46,46,67.891304348,33,23.801304348,23.801304348
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,60,207,393,36.973282443,8.32,5.4877862595,5.4877862595
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,15.225555556,3.38,2.3555555556,2.3555555556
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,17,17,17.796470588,2.12,1.5717647059,1.5717647059
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,31,70,88,14.852840909,1.42,0.9268181818,0.9268181818
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,19,19,70,48.834736842,31.184210526,24.071052632
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,36,39,41.532564103,38.146923077,26.230769231,22.676153846
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,55,64.108727273,22.83,16.182181818,13.126545455
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,21,21,190.15190476,70.032380952,46.064761905,35.915714286
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,23,23,38.99826087,23.686086957,15.872173913,11.936956522
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,45.781875,16.33125,12.171875,8.55
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,49,134,9.0094029851,2.8382089552,2.041119403,1.5038059701
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,13,13,30.964615385,15.434615385,11.23,9.7553846154
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,77.220909091,63.356363636,49.67,40.621818182
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,49.394444444,46.912777778,35.345555556,28.297777778
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,475,100.90545455,79.111818182,58.411818182
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4719,0.19453274,0.0457279085,0.033507099,0.033507099
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,44.560909091,34.938181818,30.165454545
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,15,566,209.46733333,164.218,109.814
1033189717,BENNETT,JOHN,M,MD,M,I,281 E MAIN ST,,FOREST CITY,NC,280433126,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,99.333333333,33,24.638095238,24.638095238
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,174.91,42.775384615,30.939230769,28.144615385
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,20,38,8.0647368421,1.6307894737,1.0942105263,0.9723684211
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,32,67,67,354.90731343,102.44313433,72.640149254,60.916119403
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,28,64,145,145.75689655,38.749034483,29.229655172,24.965862069
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,117,102.92410256,22.809230769,17.060769231,13.816581197
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,,24,121,60.688677686,17.285289256,12.945950413,11.501487603
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,32,66,66,250.33878788,63.412272727,48.858181818,42.779393939
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,62,80,80,70.51575,20.781375,15.992625,13.886875
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,58,117,117,74.997350427,15.825299145,11.831709402,8.9451282051
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,62,145,652,11.799877301,2.4555214724,1.8382208589,1.5351993865
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,19,24,24,25.192083333,7.2825,5.7120833333,4.6545833333
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,36,46,46,48.166086957,14.449565217,10.635217391,9.7795652174
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,89,89,71.286067416,21.057865169,15.607303371,14.110786517
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,21,29,189.61896552,56.563103448,44.346551724,38.098965517
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,11,69,70,426.64157143,93.238714286,69.545285714,61.329285714
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,978.99363636,767.53272727,767.53272727
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,461.08214286,154.21142857,120.90214286,119.55785714
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,11,56,56,77.938571429,15.253035714,11.701428571,9.6825
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,68.575588235,5.8967647059,4.4255882353,3.6914705882
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,32,172,172,201.59406977,39.790581395,29.126395349,25.631104651
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,35,218,219,462.3583105,83.933424658,62.996940639,54.433105023
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,171.90568182,39.432272727,28.085681818,27.376818182
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,2342,19.401148591,11.103450043,8.643881298,8.643881298
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,4040,0.2325272277,0.0461212871,0.0313688119,0.0313688119
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1710,1.8444502924,0.133,0.086748538,0.086748538
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,37,2460,10.138378049,2.9705243902,2.1173292683,2.1173292683
1033189766,JAWORSKI,ANDRZEJ,J,M.D,M,I,1000 MON HEALTH MEDICAL PARK DR,SUITE 1100,MORGANTOWN,WV,265051104,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,19,64,64,57.75,33,24.253125,24.253125
1033189857,SHAHIM,REZA,,MD,M,I,5201 NORTHSHORE DR,SUITE 100,NORTH LITTLE ROCK,AR,721185312,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,2170.9090909,1185.42,922.84863636,883.885
1033189956,MCINNIS,MICHAEL,G,MD,M,I,252 MATLOCK RD,SUITE 130,MANSFIELD,TX,760636413,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,42,29.292142857,8.32,5.125,5.125
1033189956,MCINNIS,MICHAEL,G,MD,M,I,252 MATLOCK RD,SUITE 130,MANSFIELD,TX,760636413,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,42,35.517857143,27.847857143,26.808571429
1033189956,MCINNIS,MICHAEL,G,MD,M,I,252 MATLOCK RD,SUITE 130,MANSFIELD,TX,760636413,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,36,8.530625,6.68375,6.5525
1033189956,MCINNIS,MICHAEL,G,MD,M,I,252 MATLOCK RD,SUITE 130,MANSFIELD,TX,760636413,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,599.5,143.79705882,112.73588235,107.10705882
1033190046,ANGHEL,DANIEL,,MD,M,I,2400 HEMPSTEAD TPKE,,EAST MEADOW,NY,115542030,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,121,66.344876033,8.32,5.4447933884,5.4447933884
1033190046,ANGHEL,DANIEL,,MD,M,I,2400 HEMPSTEAD TPKE,,EAST MEADOW,NY,115542030,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,30,14.230666667,1.42,1.002,1.002
1033190079,SMITH,CARLOS,F,DPM,M,I,1301 E 47TH ST BLDG 2,,CHICAGO,IL,606534507,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,59,118,74,71.56,54.979830508,54.973898305
1033190079,SMITH,CARLOS,F,DPM,M,I,1301 E 47TH ST BLDG 2,,CHICAGO,IL,606534507,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,58,58,348,33,29.19,22.886666667,22.886666667
1033190079,SMITH,CARLOS,F,DPM,M,I,1301 E 47TH ST BLDG 2,,CHICAGO,IL,606534507,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,243.33333333,243.33333333,190.77333333,370.192
1033190079,SMITH,CARLOS,F,DPM,M,I,1301 E 47TH ST BLDG 2,,CHICAGO,IL,606534507,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,200,162.87,127.69,126.84636364
1033190103,WEIZMAN,HOWARD,,MD,M,I,44 GODWIN AVE,SUITE 301,MIDLAND PARK,NJ,074321969,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,78,47.109487179,8.32,5.016025641,5.016025641
1033190103,WEIZMAN,HOWARD,,MD,M,I,44 GODWIN AVE,SUITE 301,MIDLAND PARK,NJ,074321969,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,15,4.2326666667,1.42,1.118,1.118
1033190103,WEIZMAN,HOWARD,,MD,M,I,44 GODWIN AVE,SUITE 301,MIDLAND PARK,NJ,074321969,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,750,3.6224,0.5636266667,0.39584,0.39584
1033190103,WEIZMAN,HOWARD,,MD,M,I,44 GODWIN AVE,SUITE 301,MIDLAND PARK,NJ,074321969,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,31,16,16,11.326451613,11.326451613
1033190186,SCHARYJ,GEORGE,A,M.D.,M,I,2545 LAWRENCEVILLE HWY,SUITE 200,DECATUR,GA,300333240,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,13,43,80,80.613625,8.32,5.95125,5.95125
1033190186,SCHARYJ,GEORGE,A,M.D.,M,I,2545 LAWRENCEVILLE HWY,SUITE 200,DECATUR,GA,300333240,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,18,15.333333333,1.42,1.0577777778,1.0577777778
1033190285,JEROW,CARRIE,J,"MPAS, PA-C",F,I,100 MICHIGAN ST NE,,GRAND RAPIDS,MI,495032560,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,65.789473684,17.450526316,12.237894737,12.114736842
1033190343,MCNAMEE,ROBERT,J,M.D.,M,I,72 WASHINGTON ST,SUITE 1300,TAUNTON,MA,027802491,US,Physician/Hematology-Oncology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,66.8,24.19,18.96,22.052307692
1033190343,MCNAMEE,ROBERT,J,M.D.,M,I,72 WASHINGTON ST,SUITE 1300,TAUNTON,MA,027802491,US,Physician/Hematology-Oncology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,37,21.646756757,9.29,7.28,8.3235135135
1033190343,MCNAMEE,ROBERT,J,M.D.,M,I,72 WASHINGTON ST,SUITE 1300,TAUNTON,MA,027802491,US,Physician/Hematology-Oncology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,245,10.972897959,5.54,4.1051836735,4.1051836735
1033190343,MCNAMEE,ROBERT,J,M.D.,M,I,72 WASHINGTON ST,SUITE 1300,TAUNTON,MA,027802491,US,Physician/Hematology-Oncology,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,677,8.6053323486,8.28,6.4915361891,6.4915361891
1033190343,MCNAMEE,ROBERT,J,M.D.,M,I,72 WASHINGTON ST,SUITE 1300,TAUNTON,MA,027802491,US,Physician/Hematology-Oncology,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,1440,0.6315347222,0.45,0.3226805556,0.3226805556
1033190533,CLARK,RICK,C,PA,M,I,220 BANNOCK ST,SUITE 306,MALAD CITY,ID,832521256,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,50,46.3524,8.32,6.1326,6.1326
1033190533,CLARK,RICK,C,PA,M,I,220 BANNOCK ST,SUITE 306,MALAD CITY,ID,832521256,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,69.789473684,22.762631579,17.058947368,12.817894737
1033190533,CLARK,RICK,C,PA,M,I,220 BANNOCK ST,SUITE 306,MALAD CITY,ID,832521256,US,Physician Assistant,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,63.43,46.947272727,39.024545455
1033190533,CLARK,RICK,C,PA,M,I,220 BANNOCK ST,SUITE 306,MALAD CITY,ID,832521256,US,Physician Assistant,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,59.384545455,46.557272727,37.63
1033190533,CLARK,RICK,C,PA,M,I,220 BANNOCK ST,SUITE 306,MALAD CITY,ID,832521256,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,49.717,8.531,6.506,3.735
1033190533,CLARK,RICK,C,PA,M,I,220 BANNOCK ST,SUITE 306,MALAD CITY,ID,832521256,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,49.9,39.119166667,25.325
1033190533,CLARK,RICK,C,PA,M,I,220 BANNOCK ST,SUITE 306,MALAD CITY,ID,832521256,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,38,329.86842105,100.04,65.068947368,43.095
1033190582,BARNHART,CAROLYN,G,FNPC,F,I,1375 N HAPPY VALLEY RD,,NAMPA,ID,836875280,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,44,90.017727273,8.32,5.9288636364,5.9288636364
1033190582,BARNHART,CAROLYN,G,FNPC,F,I,1375 N HAPPY VALLEY RD,,NAMPA,ID,836875280,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.37,18.59,12.699166667,11.745833333
1033190582,BARNHART,CAROLYN,G,FNPC,F,I,1375 N HAPPY VALLEY RD,,NAMPA,ID,836875280,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.37,18.59,14.57,13.53
1033190582,BARNHART,CAROLYN,G,FNPC,F,I,1375 N HAPPY VALLEY RD,,NAMPA,ID,836875280,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,724.6375,77.18,57.155833333,51.365833333
1033190582,BARNHART,CAROLYN,G,FNPC,F,I,1375 N HAPPY VALLEY RD,,NAMPA,ID,836875280,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,6.0354545455,4.7309090909,3.5836363636
1033190582,BARNHART,CAROLYN,G,FNPC,F,I,1375 N HAPPY VALLEY RD,,NAMPA,ID,836875280,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,326.87,77.18,50.425,45.6
1033190798,VORA,HUJEFA,Y,M.D.,M,I,3150 MATLOCK RD,SUITE 403,ARLINGTON,TX,760152992,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,70,46.387857143,8.32,6.243,6.243
1033190798,VORA,HUJEFA,Y,M.D.,M,I,3150 MATLOCK RD,SUITE 403,ARLINGTON,TX,760152992,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,19,7.6936842105,1.42,1.0557894737,1.0557894737
1033190798,VORA,HUJEFA,Y,M.D.,M,I,3150 MATLOCK RD,SUITE 403,ARLINGTON,TX,760152992,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,205.99529412,44.39,28.658823529,29.108235294
1033190798,VORA,HUJEFA,Y,M.D.,M,I,3150 MATLOCK RD,SUITE 403,ARLINGTON,TX,760152992,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,39.74,17.63,12.371666667,12.106666667
1033190798,VORA,HUJEFA,Y,M.D.,M,I,3150 MATLOCK RD,SUITE 403,ARLINGTON,TX,760152992,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,6.1090909091,4.3672727273,3.1745454545
1033190798,VORA,HUJEFA,Y,M.D.,M,I,3150 MATLOCK RD,SUITE 403,ARLINGTON,TX,760152992,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,78.470588235,36.529411765,28.641176471,27.680588235
1033190798,VORA,HUJEFA,Y,M.D.,M,I,3150 MATLOCK RD,SUITE 403,ARLINGTON,TX,760152992,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,219.85142857,76.48,57.104761905,52.363809524
1033190830,BROWN,ESTHER,E,FNP,F,I,1165 UNION ST NE,,SALEM,OR,973014693,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,28,81.233571429,8.32,6.055,6.055
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,8.5,7,5.0306666667,5.0306666667
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,724,2.5,1.95,1.528839779,1.528839779
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,43,3600,0.55,0.44,0.3226472222,0.3226472222
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.5,0.27,0.1941041667,0.1941041667
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,0.5,0.23,0.1653666667,0.1972333333
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,13,345,2.91,2.4,1.5819710145,1.5819710145
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,48,65,7910,0.169102402,0.13,0.0969974716,0.0969974716
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,27,2916,0.5711934156,0.45,0.3310493827,0.3310493827
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,18,23,113.39869565,94.316086957,73.947391304,73.947391304
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,24,300,88.88,25.407333333,19.919133333,19.199733333
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,22,180,53.9,8.2188888889,6.4435555556,6.4287777778
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,150,57.565,45.13,38.165
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,759.36,206.352,161.778,141.5388
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,4818,744.01454545,580.08909091,465.16681818
1033190905,SMITH,DAVID,H,MD,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 101,ABINGDON,VA,242117664,US,Physician/General Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,70,19.775,15.504166667,14.2875
1033190996,BENAVIDES,DAVID,A,M.D.,M,I,3500 CENTRAL AVE,SUITE A,KEARNEY,NE,688472944,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,4995,4378.96,3433.11,3433.11
1033190996,BENAVIDES,DAVID,A,M.D.,M,I,3500 CENTRAL AVE,SUITE A,KEARNEY,NE,688472944,US,Physician/Orthopedic Surgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,376.23307692,263.87,195.84384615,205.34230769
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,49,152,49.366578947,8.2257894737,5.6625,5.7332236842
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,14.9625,3.38,1.821875,1.821875
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,24,42,14.496904762,1.42,0.8757142857,0.8757142857
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,18,88.152777778,37.835555556,29.663333333,28.425555556
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,24,79,8.5984810127,2.3406329114,1.8344303797,1.6244303797
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.73,4.5375,3.5525,3.6516666667
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,158.28645161,36.493870968,25.898709677,21.165806452
1033191135,COVARRUBIAS,BALDEMAR,,MD,M,I,5718 SPOHN DR,SUITE 100,CORPUS CHRISTI,TX,784144235,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,70.634482759,18.544482759,13.438275862,13.398965517
1033191176,DEBERARDINO,THOMAS,M,MD,M,I,400 CONCORD PLAZA DR,STE 300,SAN ANTONIO,TX,782166905,US,Physician/Orthopedic Surgery,S,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,58,46.34,36.33,40.97625
1033191176,DEBERARDINO,THOMAS,M,MD,M,I,400 CONCORD PLAZA DR,STE 300,SAN ANTONIO,TX,782166905,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,129,104.004,81.539333333,87.097333333
1033191184,TROWBRIDGE,AASHA,A,MD,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,33,73.448484848,8.32,5.7318181818,5.7318181818
1033191184,TROWBRIDGE,AASHA,A,MD,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,4069,0.3507962644,0.0459719833,0.0324354878,0.0324330302
1033191184,TROWBRIDGE,AASHA,A,MD,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,32.590909091,32.590909091,22.342272727,22.342272727
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,47,117,5140,0.4019396887,0.2896439689,0.2206692607,0.3313579767
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,93,34.396451613,23.66,18.549354839,18.549354839
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,31,107,1280,10.74709375,8.28,6.1908046875,6.1908046875
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,19,56,1137,27.238627968,18.491204925,14.429516271,14.436411609
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,41,69,977,10.915107472,9.5742579324,6.6256499488,7.6820163767
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,12,143,22.523006993,11.58,8.1899300699,8.1899300699
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,26,4404,0.0792597639,0.05,0.0392007266,0.0392007266
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,83,19.202891566,13.712048193,10.619759036,10.673253012
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,46,165,2551,1.7050607605,1.4725872207,1.141756174,1.1417365739
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,23,91,5812,0.8511390227,0.45,0.3393909153,0.3393909153
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,46,1698,0.5485159011,0.5485159011,0.4031566549,1.3830212014
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,451.78384615,53.277692308,41.77,37.714615385
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,680.76210526,162.37868421,127.30473684,124.15684211
1033191200,RASMUSSEN,JASON,J,M.D.,M,I,920 E 28TH ST,SUITE 300,MINNEAPOLIS,MN,554071139,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,3867.69,487.18727273,381.95909091,421.30909091
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,65,135,53.008148148,8.32,6.0392592593,6.0392592593
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,23,23,12.055652174,3.38,2.5347826087,2.5347826087
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,29,40,13.2155,1.42,1.003,1.003
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,1056,0.0990814394,0.0990814394,0.0744791667,0.0912215909
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,30,75.036666667,71.098,55.741333333,56.102333333
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,80,31.5945,28.98,22.7205,22.886625
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,33,1156,9.1002854671,8.28,6.3352854671,6.3352854671
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,239,12.003305439,10.93,7.7086610879,7.7086610879
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1476,0.4950338753,0.45,0.3527710027,0.3527710027
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,336,13.223928571,7.37,5.7782142857,4.1630357143
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8172,3.9371806167,1.388722467,1.0887591777,0.9486490455
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,9234,1.38,0.9027290448,0.7077420403,0.5174388131
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,138.25115385,73.445384615,56.103846154,37.940769231
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,180.92,67.72,48.272727273,49.866818182
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,52.568181818,38.72,28.664545455,27.900909091
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,59.688888889,27.911111111,21.481388889,14.318055556
1033191226,TAWIL,LAURENCE,A,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,17.14,10.780833333,7.8916666667,6.1591666667
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,31,62,7.4129032258,1.8548387097,1.2614516129,0.9703225806
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,6,1.5663636364,1.1322727273,0.8772727273
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,381.08,107.7205,81.881,71.5085
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,29,29,274.58896552,67.408275862,49.871724138,41.670344828
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,27,27,88.660740741,23.18037037,17.639259259,14.538148148
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,37,37,90.432432432,17.132972973,12.468648649,9.4578378378
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,45,198,12.674747475,2.3826262626,1.7595959596,1.5610606061
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,29.536875,8.08875,6.339375,5.088125
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,59.692727273,15.026363636,10.752727273,9.6490909091
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,68,71,92.803239437,21.47,15.653943662,12.535492958
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,3775.52,1074.31,842.26,842.26
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,19,116,116,57.214482759,7.2524137931,5.3120689655,3.8570689655
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,507.63416667,47.385833333,34.275833333,24.240833333
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,26,171,174,469.21908046,97.823333333,73.484137931,55.823735632
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,130,44.423793103,34.830689655,31.949655172
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,113,6720,19.047730655,9.616625,7.4524776786,7.4524776786
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,6251,0.1839929611,0.0449784035,0.0348968165,0.0348968165
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,31,123,11903,1.5955523818,0.1334487104,0.0955229774,0.0955229774
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,21,131,9030,10.430481728,3.0301627907,2.344290144,2.344290144
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,196.512,44.826,32.5172,27.4412
1033191242,SHERMAN,RONALD,J,DO,M,I,441 S LIVERNOIS,STE 180,ROCHESTER HILLS,MI,48307,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,39,205,205,57.087804878,33,24.815902439,24.815902439
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,35,94,277,54.486245487,8.32,6.0294945848,6.0294945848
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.9,3.38,2.65,2.65
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,58,94,12.176808511,1.42,1.0313829787,1.0313829787
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,41,10.483414634,2,1.5690243902,1.5917073171
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,85.763,4.27,3.3476666667,3.2549393939
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4125,1.8378181818,0.38,0.288310303,0.2811830303
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,75.38,52.474827586,39.316551724,35.817931034
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,21,50.73,3.4785714286,2.7328571429,3.32
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,220.40615385,34.31,26.898461538,27.978461538
1033191424,SOLIS,JOEL,,M.D.,M,I,5201 N 10TH ST,,MCALLEN,TX,785042708,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,24,44.836666667,18.086666667,14.176666667,14.553333333
1033191705,NEWKIRK,GARY,R,M.D.,M,I,104 W 5TH AVE,SUITE 200W,SPOKANE,WA,992044880,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,35,45.750571429,8.32,2.9694285714,2.9694285714
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,15,111.77933333,46.141333333,36.173333333,27.924666667
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,14,14,82.778571429,24.911428571,19.531428571,14.643571429
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,82.501875,21.624375,16.953125,10.56625
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,27,82,14.755853659,3.3870731707,2.6564634146,1.8743902439
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,58,53.590344828,19.483448276,14.33,12.842413793
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,1561.02,927.65,721.30208333,836.28208333
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,133.865,6.8741666667,5.046875,3.2997916667
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,46,46,180.63804348,52.955217391,40.957608696,27.125652174
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,170,171,635.16912281,85.483040936,64.54754386,53.097660819
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,170,44.745,33.713333333,28.28625
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,17,41,14403,0.5146538916,0.0466999931,0.0293647157,0.0293647157
1033191739,JOHNSON,JOE,E,MD,M,I,5001 HIGHWAY 190 EAST SERVICE RD,SUITE A3,COVINGTON,LA,704334930,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,35,35,33,33,22.435428571,22.435428571
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,17,19,38,3.8778947368,0.51,0.3789473684,0.3789473684
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,41,125,334,50.640928144,8.32,6.0723952096,6.0723952096
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,23,60,60,14.884,3.38,2.6058333333,2.6058333333
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,22,32,32,22.770625,2.12,1.565625,1.565625
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,36,89,129,13.759302326,1.42,1.0293023256,1.0293023256
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,32.398461538,28.46,20.593846154,20.593846154
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2340,11.735384615,7.87,6.1428504274,6.1501282051
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,34,25.598235294,9.29,6.5105882353,7.7123529412
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,27,53,8.1073584906,2.0060377358,1.4781132075,1.0750943396
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,12.5,2.9670967742,2.3256451613,1.5925806452
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,4.1,3.2143548387,2.3677419355
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6360,6.2397735849,0.855,0.6690676101,0.5161886792
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,46,86.31,22.370434783,16.563913043,12.909347826
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,41,41,46.75097561,7.672195122,5.5119512195,3.6090243902
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,217.44555556,42.930555556,32.225555556,22.513333333
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,45.470769231,40.712307692,27.775384615,49.446153846
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,53,53,519.51,104.39584906,78.465660377,53.924528302
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,8160,0.1682291667,0.0464448529,0.0353051471,0.0353051471
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,2340,0.92,0.1363974359,0.1022948718,0.1022948718
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.86,3.0399090909,2.3833181818,2.3833181818
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,140,69.355833333,45.601666667,31.594166667
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,599.5,231.75222222,181.69,126.71
1033191762,RAMIREZ,ROBERTO,,MD,M,I,3349 S HWY 181,4,KENEDY,TX,781195268,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,61,61,123.8852459,33,24.597704918,24.597704918
1033191838,ALEXANDER,THOMAS,,MD,M,I,1202 3RD ST,,CORPUS CHRISTI,TX,784042314,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,49,9.9204081633,2.2197959184,1.7395918367,1.5924489796
1033191838,ALEXANDER,THOMAS,,MD,M,I,1202 3RD ST,,CORPUS CHRISTI,TX,784042314,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,221.88,42.85,33.5925,27.269166667
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,29,115,181,46.957569061,8.32,5.7939226519,5.7939226519
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,22,8.6004545455,3.38,2.1681818182,2.1681818182
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,10.707272727,2.12,1.2145454545,1.2145454545
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,35,43,10.53,1.42,1.0125581395,1.0125581395
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18.68,12.2,11.3675
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,498.61395349,87,62.63744186,51.038604651
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6584166667,7.4832361111,7.4832361111
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,840,1.7951666667,0.1311785714,0.1028571429,0.1028571429
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,15,116.33333333,40.45,31.712,23.154666667
1033191846,SEAY,DAVID,W,M.D.,M,I,100 VERMONT AVE,,OAK RIDGE,TN,378306471,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,91.5,33,25.87,25.87
1033191937,PLACZEK,JEFFREY,,M.D.,M,I,26750 PROVIDENCE PKWY STE 220,,NOVI,MI,483741212,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,16,71.27875,64.76,49.0975,45.505625
1033191978,HOISINGTON,KELLY,E,D.O.,M,I,570 BALDWINVILLE RD,,BALDWINVILLE,MA,014361351,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,39,97,52.367113402,8.32,5.6432989691,5.6432989691
1033191978,HOISINGTON,KELLY,E,D.O.,M,I,570 BALDWINVILLE RD,,BALDWINVILLE,MA,014361351,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,82,14.240731707,2.3,1.6714634146,1.4753658537
1033191978,HOISINGTON,KELLY,E,D.O.,M,I,570 BALDWINVILLE RD,,BALDWINVILLE,MA,014361351,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,14,85,49.68,38.948571429,40.271428571
1033191978,HOISINGTON,KELLY,E,D.O.,M,I,570 BALDWINVILLE RD,,BALDWINVILLE,MA,014361351,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,17,12.496875,12.71
1033191978,HOISINGTON,KELLY,E,D.O.,M,I,570 BALDWINVILLE RD,,BALDWINVILLE,MA,014361351,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,218.21470588,31.176470588,20.567058824,20.44
1033191978,HOISINGTON,KELLY,E,D.O.,M,I,570 BALDWINVILLE RD,,BALDWINVILLE,MA,014361351,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,37,519.51,77.647297297,57.032432432,52.855405405
1033192109,THUNG,STEPHEN,F,MD,M,I,2050 KENNY RD,6TH FLOOR TOWER,COLUMBUS,OH,432213502,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,16,65,88.837076923,8.32,6.5226153846,6.5226153846
1033192141,HAECKLER,BARBARA,A,M.D.,F,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,27,113,328,71.151402439,8.32,5.2007012195,5.2007012195
1033192141,HAECKLER,BARBARA,A,M.D.,F,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,51,78,15.082307692,1.42,0.8585897436,0.8585897436
1033192141,HAECKLER,BARBARA,A,M.D.,F,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,220,47.2325,28.4825,29.685
1033192141,HAECKLER,BARBARA,A,M.D.,F,I,820 5TH AVE,,CHAMBERSBURG,PA,172014219,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,630,1.8478412698,0.135047619,0.0594444444,0.0594444444
1033192166,TUCKER,KELLY,R,MD,M,I,102 E YOUNG ST,,LLANO,TX,786431349,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,29,79,47.620632911,8.32,6.1216455696,6.1216455696
1033192166,TUCKER,KELLY,R,MD,M,I,102 E YOUNG ST,,LLANO,TX,786431349,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,31,360.63387097,92.285806452,66.908064516,51.73
1033192216,DRIVER,MARK,S,MD,M,I,75 CRYSTAL RUN RD,"BUILDING B, SUITE 220",MIDDLETOWN,NY,109417000,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,154.30545455,34.568181818,25.018181818,25.527727273
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,24,65,211,67.772559242,8.32,6.0026066351,6.0026066351
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,13,22,29,13.705172414,1.42,1.0765517241,1.0765517241
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,81.048,24.0535,18.8555,13.831
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.7491666667,1.1625,1.7933333333
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,12.960833333,10.164166667,8.395
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,504.85555556,113.42088889,88.316222222,56.820222222
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,250,46.77,36.67,30.07
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,708,1.8656497175,0.1400988701,0.1098305085,0.1098305085
1033192273,ALAIMO,ROBERT,J,DO,M,I,1620 E 12TH ST,,THE DALLES,OR,970583213,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,102.3,33,24.5765,24.5765
1033192497,STAR,ANDREW,,MD,M,I,2400 MARYLAND RD,SUITE 20,WILLOW GROVE,PA,190901700,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,16,16,16,137.62625,45,35.28,36.3125
1033192521,MASLEN,DAVID,R,MD,M,I,10024 SE 32ND AVE,,MILWAUKIE,OR,972226514,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,50,66.141,8.32,5.7384,5.7384
1033192521,MASLEN,DAVID,R,MD,M,I,10024 SE 32ND AVE,,MILWAUKIE,OR,972226514,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18,12.934166667,12.459166667
1033192521,MASLEN,DAVID,R,MD,M,I,10024 SE 32ND AVE,,MILWAUKIE,OR,972226514,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,50.73,3.7028,2.1948,2.8432
1033192521,MASLEN,DAVID,R,MD,M,I,10024 SE 32ND AVE,,MILWAUKIE,OR,972226514,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,509.88933333,77.18,56.476,52.616
1033192521,MASLEN,DAVID,R,MD,M,I,10024 SE 32ND AVE,,MILWAUKIE,OR,972226514,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2130,1.1528169014,0.1364929577,0.095600939,0.095600939
1033192521,MASLEN,DAVID,R,MD,M,I,10024 SE 32ND AVE,,MILWAUKIE,OR,972226514,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,93.5,33,22.995555556,22.995555556
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,48,178,63.898876404,8.32,6.1661797753,6.1661797753
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.218571429,3.38,2.4607142857,2.4607142857
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,26,45,14.600666667,1.42,1.064,1.064
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,34.02,24.19,17.501538462,20.4
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.958333333,10.93,7.8558333333,7.8558333333
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,704,0.1432670455,0.12,0.0940909091,0.0940909091
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,651,9.634562212,8.28,6.2712442396,6.2712442396
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,168,12.257261905,10.93,8.5692857143,8.5692857143
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1722,0.5382404181,0.45,0.3527642276,0.3527642276
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,14,14,201.07714286,54.594285714,42.806428571,42.870714286
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,12,12,69.235,17.98,14.09,14.078333333
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,71.583076923,11.530769231,9.0430769231,9.1069230769
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,77,8.8337662338,2.0027272727,1.5709090909,1.5872727273
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,38,63.857105263,17.273157895,12.303421053,12.299210526
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,47.275,4.55,3.5683333333,3.5666666667
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,29,177.01310345,33.432068966,26.212413793,25.870689655
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,60,435.46166667,70.461666667,51.571,51.089
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,15,2033,2.1389572061,0.1279045745,0.1002262666,0.1002262666
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,66.351142857,20.139714286,14.023428571,13.324285714
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,19,106.22947368,38.358421053,30.072105263,27.488947368
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,22.324615385,9.1930769231,7.21,7.1615384615
1033192554,VLCKO,VLADIMIR,J,DO,M,I,216 S SEMINOLE AVE,,INVERNESS,FL,344524738,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,42.090909091,33,25.87,25.87
1033192570,RUBIN,MARK,S,M.D.,M,I,9776 BONITA BEACH RD SE,#201A,BONITA SPRINGS,FL,341354773,US,Physician/Hematology-Oncology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.0263636364,4.0263636364,3.1566363636,3.1595
1033192570,RUBIN,MARK,S,M.D.,M,I,9776 BONITA BEACH RD SE,#201A,BONITA SPRINGS,FL,341354773,US,Physician/Hematology-Oncology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7335,1.3873210634,0.3614505794,0.2833728698,0.2885439673
1033192570,RUBIN,MARK,S,M.D.,M,I,9776 BONITA BEACH RD SE,#201A,BONITA SPRINGS,FL,341354773,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,11,61,4431,57.952552471,4.9868946062,3.8318167457,3.8318167457
1033192570,RUBIN,MARK,S,M.D.,M,I,9776 BONITA BEACH RD SE,#201A,BONITA SPRINGS,FL,341354773,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,1405,52.480427046,2.4076868327,1.8876156584,1.887594306
1033192570,RUBIN,MARK,S,M.D.,M,I,9776 BONITA BEACH RD SE,#201A,BONITA SPRINGS,FL,341354773,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,16,43,52.674651163,39.887906977,31.272325581,30.75255814
1033192570,RUBIN,MARK,S,M.D.,M,I,9776 BONITA BEACH RD SE,#201A,BONITA SPRINGS,FL,341354773,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,24,24,18.82,18.82
1033192570,RUBIN,MARK,S,M.D.,M,I,9776 BONITA BEACH RD SE,#201A,BONITA SPRINGS,FL,341354773,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,11,39,49,16,16,12.542040816,12.542040816
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,44,118,311,69.98192926,8.32,6.1861414791,6.1861414791
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.012857143,3.38,2.4607142857,2.4607142857
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,17.435,2.12,1.5308333333,1.5308333333
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,27,41,62,13.335483871,1.42,0.9896774194,0.9896774194
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,70,17.599428571,8.25,6.4682857143,6.4352857143
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,17,28,58,8.19,1.46,1.1055172414,1.1148275862
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,16,16,17,2.22,0.69,0.4764705882,0.3847058824
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,33,973,55.112024666,3.05,2.391315519,2.370668037
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,5900,2.4762711864,0.3914576271,0.3069050847,0.2900813559
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,12,5519,2.5840858851,0.32,0.2508842182,0.2450570756
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,8235,5.1017073467,0.6661760777,0.5222792957,0.5178749241
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,E0196,Gel pressure mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,36.02,30.395,22.509375,19.093125
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,11,75,75,54.24,43.392,31.184533333,34.727733333
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,19,22,123.07,97.894545455,76.747272727,119.81
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,88.055833333,18.62,13.383333333,12.765
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,25,115,117,44.727606838,5.1866666667,3.6765811966,3.405042735
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,57,61,58.032786885,48.86557377,37.756721311,37.285737705
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,65,66,229.80757576,78.57,56.933333333,51.208333333
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,8,18,18,18,126.66666667,57,39.89,39.89
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,26,54,14617,0.3086125744,0.0459670247,0.0343469932,0.0343469932
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,15,42,5785,1.4663526361,0.1343094209,0.0977856525,0.0977856525
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,57,63,130.13571429,16.276984127,11.499365079,13.447777778
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,34.55,25.547,17.3335,19.6665
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,38.21125,7.823125,6.12875,6.98375
1033192604,AGUSTI,JOSE,L,M.D.,M,I,8500 BROADWAY,SUITE A,MERRILLVILLE,IN,464107055,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,23,70,70,60.985714286,33,24.391714286,24.391714286
1033192703,CULP,MARILYN,K,M.D.,F,I,9001 S 101ST EAST AVE,STE. 370,TULSA,OK,741335708,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,67.485,17.82,11.641666667,11.736666667
1033192703,CULP,MARILYN,K,M.D.,F,I,9001 S 101ST EAST AVE,STE. 370,TULSA,OK,741335708,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,73.383636364,10.07,7.1818181818,8.3281818182
1033192703,CULP,MARILYN,K,M.D.,F,I,9001 S 101ST EAST AVE,STE. 370,TULSA,OK,741335708,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,52,9.9888461538,2,1.5690384615,1.5911538462
1033192703,CULP,MARILYN,K,M.D.,F,I,9001 S 101ST EAST AVE,STE. 370,TULSA,OK,741335708,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,25,228.8768,34.7156,27.2136,27.1428
1033192737,KAPLAN,ROLAND,D,DO,M,I,3702 WASHINGTON ST,BROWARD SPINE INSTITUTE LLC STE 101,HOLLYWOOD,FL,330218282,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,19,89.457894737,52.192631579,40.921578947,37.923157895
1033192737,KAPLAN,ROLAND,D,DO,M,I,3702 WASHINGTON ST,BROWARD SPINE INSTITUTE LLC STE 101,HOLLYWOOD,FL,330218282,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,66,18,14.11,13.5875
1033192737,KAPLAN,ROLAND,D,DO,M,I,3702 WASHINGTON ST,BROWARD SPINE INSTITUTE LLC STE 101,HOLLYWOOD,FL,330218282,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,354,90.01,70.57,55.786
1033192737,KAPLAN,ROLAND,D,DO,M,I,3702 WASHINGTON ST,BROWARD SPINE INSTITUTE LLC STE 101,HOLLYWOOD,FL,330218282,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,55.893333333,19.894666667,14.873333333,13.181333333
1033192737,KAPLAN,ROLAND,D,DO,M,I,3702 WASHINGTON ST,BROWARD SPINE INSTITUTE LLC STE 101,HOLLYWOOD,FL,330218282,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,78.523333333,34.787777778,26.32962963,20.698518519
1033192737,KAPLAN,ROLAND,D,DO,M,I,3702 WASHINGTON ST,BROWARD SPINE INSTITUTE LLC STE 101,HOLLYWOOD,FL,330218282,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,46,46,20.102173913,9.0163043478,6.5269565217,6.1167391304
1033192778,CORBETT,WILLIAM,F,M.D.,M,I,26 JULIO DR,,SHREWSBURY,MA,01545,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,75,80.061066667,8.32,6.2273333333,6.2273333333
1033192810,REED FRIEDMAN,AMY,J,M.D.,F,I,3800 EMBASSY PKWY,SUITE 260,AKRON,OH,443338387,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,27,48.631851852,17,12.836296296,13.980740741
1033192810,REED FRIEDMAN,AMY,J,M.D.,F,I,3800 EMBASSY PKWY,SUITE 260,AKRON,OH,443338387,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,5.5,2,1.4776470588,1.5014705882
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,36,115,157,69.270318471,8.32,5.8598089172,5.8598089172
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,24,47,52,12.321538462,1.42,0.99,0.99
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,14,25,8.522,1.98,1.5524,1.1648
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,321.50526316,74.257368421,58.219473684,40.206315789
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,81,81,42.245679012,22.97,17.711234568,14.864074074
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,14,68,69,33.888695652,7.1702898551,5.4705797101,4.2279710145
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,127,127,286.96480315,106.50535433,81.547007874,60.426062992
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,21,2325,1.6580817204,0.1324129032,0.0991397849,0.0991397849
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,20,89.025,22.655,17.762,13.972
1033192893,EKO-ISENALUMHE,IMHONA,A,M.D,M,I,2204 COWAN HWY,SUITE A,WINCHESTER,TN,373982627,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,28,28,71.892857143,33,23.098214286,23.098214286
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,66,87,216,568,65.519471831,8.32,5.3085739437,5.3085739437
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,13.912857143,3.38,2.3976190476,2.3976190476
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,17,17,21.359411765,2.12,1.3752941176,1.3752941176
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,43,91,129,16.270155039,1.42,0.9429457364,0.9429457364
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,460,9.0665869565,4.03,3.1595434783,3.1595434783
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,16.1,6.32,4.955,4.229
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4056,2.7426035503,0.32,0.250887574,0.2437006903
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,32,32,214.31625,46.875,31.9725,31.9278125
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,71,79,75.918860759,19.020886076,12.999620253,12.21278481
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,24,57.650416667,7.675,5.8004166667,3.9720833333
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,85,94,475.14446809,85.709574468,59.917553191,50.41606383
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,4556,0.2021839333,0.0464925373,0.0311391572,0.0311369622
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,37,37,82.891891892,22.891891892,17.350540541,14.321621622
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,33.45,9.94,7.1408333333,5.9183333333
1033192992,FINN,CARY,M,M.D.,M,I,6025 WALNUT GROVE RD,SUITE 301,MEMPHIS,TN,381202131,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,109.5,33,23.805909091,23.805909091
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,47,106,282,67.53251773,8.32,5.6431205674,5.6431205674
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,8.6814285714,3.38,2.65,2.65
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,13.835454545,2.12,1.67,1.67
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,22,44,57,14.624736842,1.42,1.0185964912,1.0185964912
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,410,9.964902439,5.74,4.5000731707,4.5000731707
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,170,12.506,10.81,8.475,8.475
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,110,69.766272727,18.78,13.518727273,13.369090909
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,30,30,192.93533333,54.47,41.286333333,41.432666667
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,21,21,70.71952381,17.88,13.639047619,13.686666667
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,25,25,56.7948,11.54,9.05,9.12
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,32,184,9.3942934783,2.01,1.5767391304,1.5927173913
1033193024,LUTHER,STEPHEN,S,M.D.,M,I,35 BILL FRIES RD,BLDG A,HILTON HEAD,SC,299262730,US,Physician/Internal Medicine,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,11,35,60.104,42.52,29.526571429,27.682
1033193156,DEPAOLIS,MARK,,MD,M,I,6000 EARLE BROWN DR,,BROOKLYN CENTER,MN,554302506,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,29,116,69.973103448,8.32,5.398362069,5.398362069
1033193156,DEPAOLIS,MARK,,MD,M,I,6000 EARLE BROWN DR,,BROOKLYN CENTER,MN,554302506,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,24,16.578333333,1.42,1.1145833333,1.1145833333
1033193180,HINSHAW,IOANA,M,MD,F,I,1800 WILLIAMS ST,SUITE 200,DENVER,CO,802181234,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,93.388235294,17.52,13.74,13.551764706
1033193180,HINSHAW,IOANA,M,MD,F,I,1800 WILLIAMS ST,SUITE 200,DENVER,CO,802181234,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,263.31222222,78.878148148,61.835185185,54.981851852
1033193180,HINSHAW,IOANA,M,MD,F,I,1800 WILLIAMS ST,SUITE 200,DENVER,CO,802181234,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,36,2230,39.323434978,4.7693766816,3.6748565022,3.6748565022
1033193180,HINSHAW,IOANA,M,MD,F,I,1800 WILLIAMS ST,SUITE 200,DENVER,CO,802181234,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,24,24,18.82,18.82
1033193180,HINSHAW,IOANA,M,MD,F,I,1800 WILLIAMS ST,SUITE 200,DENVER,CO,802181234,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,16,16,12.54,12.54
1033193263,FARBER,ROSANN,,DO,F,I,4259 W SWAMP RD STE 108,,DOYLESTOWN,PA,189021033,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,42,110,62.260454545,8.32,5.6320909091,5.6320909091
1033193263,FARBER,ROSANN,,DO,F,I,4259 W SWAMP RD STE 108,,DOYLESTOWN,PA,189021033,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,29,36,15.644444444,1.42,0.9927777778,0.9927777778
1033193271,YEH,GRACE,S,M.D.,F,I,3624 N HILLS DR,B-102,AUSTIN,TX,787312415,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,75,81.677866667,8.32,5.3924,5.3924
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,42,94,78.799468085,8.32,5.230212766,5.230212766
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,19,27.543684211,24.19,17.962105263,21.179473684
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,35,47,11.131276596,10.93,8.3876595745,8.3876595745
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,280,5.6971428571,5.54,4.3435,4.3435
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1568,0.44,0.44,0.3449617347,0.3449617347
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,825,0.3518181818,0.2681818182,0.2102181818,0.2116484848
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,400,0.3275,0.27,0.2116,0.2116
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,24,78.956666667,71.56,56.105,56.105
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,72,32.376666667,29.19,22.885,22.886388889
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,35,1399,8.3205289492,8.2761401001,6.4056683345,6.4086919228
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,35,1542,18.5,18.5,14.504001297,14.504001297
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,1000,6.307,5.95,4.66483,4.66483
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,27,871,3.79,3.79,2.9713318025,2.9713318025
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,182,11.470494505,10.93,8.5689010989,8.5689010989
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1188,0.45,0.45,0.3528030303,0.3528030303
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,16,112.27125,52.03,40.798125,38.031875
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,60,48.75,34.3,34.2525
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,67.714285714,19.6,14.272142857,12.164285714
1033193305,SAPROUNOVA,VERA,,MD,F,I,1426 BLOOMINGDALE AVE,,VALRICO,FL,335946110,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,77.2,33.238333333,20.5,19.125
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,56,146,61.521780822,8.32,5.8965753425,5.8965753425
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.31875,2.31875
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,36,49,24.295102041,1.42,0.9571428571,0.9571428571
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,434.34545455,88.5,63.072727273,61.672727273
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,33,161.54454545,33.1,23.99,23.956666667
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,94,88.782340426,18.78,13.269893617,13.127978723
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,243.62882353,53.63,37.094117647,37.832352941
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,75.893571429,18.92,13.904285714,13.245
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,76.873333333,10.63,8.33,9.0823809524
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,26,152,11.317631579,2.26,1.7717105263,1.6003289474
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,45.505,12,8.7378571429,9.6185714286
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,55,77.488727273,17,12.602909091,12.788
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,3.8304545455,2.7627272727,3.4036363636
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,72,80,480.806125,77.18,57.03525,52.2585
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1080,17.078074074,9.6347777778,7.4000277778,7.4000277778
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,3472,0.4832517281,0.0447292627,0.0317713134,0.0317713134
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1530,9.9425686275,3.0319803922,2.2522352941,2.2522352941
1033193339,JEHRIO,GREGORY,T,MD,M,I,393 DAVISON RD,,LOCKPORT,NY,140944004,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,33,72,33,24.798181818,24.798181818
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,49,153,312,52.452884615,8.3115384615,5.9324038462,5.9378205128
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,46,50,10.8318,1.42,0.9848,0.9848
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,154.39222222,75.242222222,51.133333333,35.716666667
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,54.618666667,24.271333333,16.946666667,12.778666667
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,47.928571429,22.478571429,16.181428571,7.8171428571
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,55,55,43.872727273,20.795090909,15.538909091,13.930545455
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,59,59,18.213389831,6.6308474576,4.9528813559,3.4713559322
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,77,77,353.94324675,96.967012987,73.825974026,58.645194805
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,16.575190476,9.6745,7.5848095238,7.5848095238
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,3390,1.0624365782,0.1324513274,0.1014336283,0.1014336283
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1200,12.035925,2.87235,2.153325,2.153325
1033193347,FLEAK,MICHELE,D,"M.D.,",F,I,515 UNION AVE,SUITE 187,DOVER,OH,446223004,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,33,66,33,25.41030303,25.41030303
1033193354,PITTARD,JAMES,,MD,M,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,86.31,17.418888889,13.14962963,13.03037037
1033193354,PITTARD,JAMES,,MD,M,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,26,39.355384615,6.3061538462,4.7707692308,3.6811538462
1033193354,PITTARD,JAMES,,MD,M,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,436.7504878,70.523170732,51.57195122,51.036097561
1033193354,PITTARD,JAMES,,MD,M,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,75,37.44,27.253571429,27.416428571
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,22,50,183,67.466939891,8.32,6.0992349727,6.0992349727
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,21,24,12.170833333,1.4066666667,1.1083333333,1.11875
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1050,13,7.88,6.0412380952,6.0412380952
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,78.516666667,19.657,15.412333333,13.734666667
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,65,497.89338462,95.703076923,73.108461538,53.649692308
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,250,44.9475,35.24125,29.51625
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,756,15.786851852,9.6240343915,7.355462963,7.355462963
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,2035,0.7136560197,0.0464864865,0.031960688,0.031960688
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,720,1.1732083333,0.1305,0.0947777778,0.0947777778
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1005,12.397402985,2.976,2.1958905473,2.1958905473
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,60.914,19.768,11.229333333,9.1806666667
1033193586,LUCAS,STEVEN,,MD,M,I,123 PROFESSIONAL PARK DR,,LOCUST,NC,280977712,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,45,45,79.2,33,24.720222222,24.720222222
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,23,73,74.66109589,8.32,6.5217808219,6.5217808219
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,257.25818182,56.108181818,35.977272727,35.177272727
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,69.95125,18.214375,13.386875,13.215
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,86.423571429,12.092142857,8.1235714286,7.855
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,21,104,10.4225,2.0434615385,1.4756730769,1.4743269231
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,15.528181818,4.9772727273,3.8990909091,3.86
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,101.166875,17.91,12.57125,12.13375
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,235.42588235,33.318235294,21.135882353,21.142352941
1033193594,WEAVER,S.,C,MD,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,815062863,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,77,77,421.4238961,70.48,49.025844156,48.564675325
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,228,463,463,74.564535637,41.938358531,30.51174946,28.269114471
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,57.909615385,31.91,24.056538462,24.588076923
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,26.089230769,15.11,11.391923077,11.337692308
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,219,455,455,375.07953846,97.66578022,69.868747253,61.954835165
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,227,808,1046,94.677246654,36.962552581,27.131730402,24.247648184
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,76,223,574,45.129773519,19.716184669,14.480487805,13.585156794
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,51,140,354,36.967655367,17.100084746,12.471186441,11.049943503
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,111,201,201,155.58512438,60.837014925,44.442686567,39.941890547
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,285,371,371,48.719487871,19.505283019,14.01851752,12.944447439
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,45.492352941,11.4,7.8870588235,7.1911764706
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,98,206,206,57.174223301,14.268106796,10.350339806,8.6276213592
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,339,1157,3310,6.0452779456,2.366978852,1.7284652568,1.4863564955
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,64,83,83,17.387951807,6.7822891566,4.8927710843,4.2987951807
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,164,190,190,32.033684211,13.66,10.217736842,9.8793157895
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,60.420666667,20.413333333,16.003333333,13.533333333
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,17,109,109,372.41522936,89.492568807,66.937155963,63.513669725
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,13,77,78,766.04615385,219.34461538,164.58064103,154.86948718
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,57,58,58,507.09362069,149.28810345,111.22568966,103.5687931
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,31,169,169,40.869822485,12.474260355,8.3873372781,8.0108284024
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,117,752,752,136.66099734,36.270518617,26.090452128,22.894960106
1033193677,SAULOG,RUBY,D,M.D.,F,I,1731 HAGY BLVD,,AMARILLO,TX,791061710,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,151,151,349.15496689,75.949006623,57.214635762,53.212450331
1033193750,MACEK,JAMES,M,M.D.,M,I,15 PAYSON RD,SUITE 3,FOXBORO,MA,020351309,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,56,112,75.675535714,8.32,5.9466071429,5.9466071429
1033193750,MACEK,JAMES,M,M.D.,M,I,15 PAYSON RD,SUITE 3,FOXBORO,MA,020351309,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,19,14.731052632,1.42,1.0021052632,1.0021052632
1033193750,MACEK,JAMES,M,M.D.,M,I,15 PAYSON RD,SUITE 3,FOXBORO,MA,020351309,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,45.125,33.895833333,35.703333333
1033193750,MACEK,JAMES,M,M.D.,M,I,15 PAYSON RD,SUITE 3,FOXBORO,MA,020351309,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40,8.9816666667,7.04,6.6816666667
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,65,73.512615385,8.32,6.1216923077,6.1216923077
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,1110,10.951810811,2.6144324324,1.8506396396,1.8506036036
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,19,153,14840,5.0885552561,0.5695458221,0.43443531,0.4344339623
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,83,17700,0.0608372881,0.0133412429,0.0096214689,0.0096214689
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,42,5490,2.6850236794,0.7416939891,0.5633096539,0.5633096539
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,96,18120,4.3572328918,1.2055496689,0.9312654525,0.9312654525
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,79,12928,4.0057789295,2.8347648515,2.1928542698,2.1928542698
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,720,17.128194444,7.413125,5.4696527778,5.4696527778
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,29,207,207,24,24,18.517971014,18.517971014
1033194022,FOX,STEPHEN,D,MD,M,I,1914 LELARAY ST,,COLORADO SPRINGS,CO,809092800,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,19,25,238,315,16,16,12.08631746,12.08631746
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,35,124,64.692258065,8.32,4.6284677419,4.6284677419
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,34,10.486176471,1.42,0.7864705882,0.7864705882
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,89.582941176,41,32.14,30.587058824
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,465.67142857,94.58,68.853571429,63.895714286
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,13,62,45.849354839,15.74483871,12.160322581,11.753225806
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,23,23,201.87434783,55.956521739,40.222608696,39.358695652
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,82.144166667,19.456666667,14.466666667,13.42
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,80.005,12.255,8.8183333333,8.5025
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,34,145,7.7290344828,2.2996551724,1.6813103448,1.5077931034
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,26.321818182,6.0145454545,4.7109090909,4.6690909091
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,40.758666667,13.166666667,10.32,10.372
1033194048,D'AMBROSIO,PAUL,D,M.D.,M,I,2284 MAIN ST,,CONCORD,MA,017423829,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,147.9705,32.091,17.93375,17.25575
1033194246,CHUN,JACOB,,MD,M,I,4725 WELLINGTON ST,,GREENVILLE,TX,754014945,US,Physician/Orthopedic Surgery,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1200,1001.69,785.32,778.20727273
1033194246,CHUN,JACOB,,MD,M,I,4725 WELLINGTON ST,,GREENVILLE,TX,754014945,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,1015.7058824,542.43294118,425.26470588,474.96588235
1033194246,CHUN,JACOB,,MD,M,I,4725 WELLINGTON ST,,GREENVILLE,TX,754014945,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,43,52,594.89346154,222.06,168.05961538,165.89173077
1033194246,CHUN,JACOB,,MD,M,I,4725 WELLINGTON ST,,GREENVILLE,TX,754014945,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,15,1022.6666667,795.76,623.88,575.91
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,145.95,60.995454545,47.822727273,39.144545455
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,63,17.27,13.056666667,13.056666667
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,40,4.895,3.2508333333,3.1416666667
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100,47.835454545,37.498181818,36.478181818
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,37,333.10810811,69.81,51.096216216,51.096216216
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,95,18.083913043,12.400869565,11.96
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,29.166666667,8.375,6.5675,6.6725
1033194261,SCHMIDT,TINA,M,PA,F,I,1510 FREMONT ST,,ALGOMA,WI,542011948,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1033194402,KATHRESAL,AMARNATH,A,M.D.,M,I,4419 BEN FRANKLIN BLVD,,DURHAM,NC,277042147,US,Physician/Nephrology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90,38.404545455,27.496363636,18.145454545
1033194493,GOODWIN,DAVID,D,MD,M,I,320 EAST MAIN STREET,CUYUNA REGIONAL MEDICAL CENTER,CROSBY,MN,564411691,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,93.209714286,23.677142857,16.644857143,12.659142857
1033194501,CAREY,ELIZABETH,J,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,20,42,130,12170,4.3734560394,0.5566967954,0.3999605588,0.4066877568
1033194501,CAREY,ELIZABETH,J,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Gastroenterology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,3900,0.0778923077,0.0122128205,0.0091333333,0.0095846154
1033194501,CAREY,ELIZABETH,J,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,18,56,9240,2.3179274892,1.1856374459,0.9072954545,0.9161991342
1033194501,CAREY,ELIZABETH,J,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,47,130,130,24,24,17.997461538,17.997461538
1033194501,CAREY,ELIZABETH,J,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,45,94,100,16,16,12.4151,12.4151
1033194527,BERRY,MICHELLE,D,D.O,F,I,1201 S MAIN ST,STE 110,BOERNE,TX,780062833,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,52,70.145,8.32,6.0213461538,6.0213461538
1033194527,BERRY,MICHELLE,D,D.O,F,I,1201 S MAIN ST,STE 110,BOERNE,TX,780062833,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2460,12.073170732,7.87,5.9029837398,5.9091341463
1033194527,BERRY,MICHELLE,D,D.O,F,I,1201 S MAIN ST,STE 110,BOERNE,TX,780062833,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,45.580909091,29.765454545,30.348181818
1033194527,BERRY,MICHELLE,D,D.O,F,I,1201 S MAIN ST,STE 110,BOERNE,TX,780062833,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,130,43.839090909,27.294545455,27.381818182
1033194527,BERRY,MICHELLE,D,D.O,F,I,1201 S MAIN ST,STE 110,BOERNE,TX,780062833,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,17,431.41882353,73.352941176,54.142352941,51.657647059
1033194527,BERRY,MICHELLE,D,D.O,F,I,1201 S MAIN ST,STE 110,BOERNE,TX,780062833,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,3927,0.187109753,0.0460835243,0.0278125796,0.0278125796
1033194527,BERRY,MICHELLE,D,D.O,F,I,1201 S MAIN ST,STE 110,BOERNE,TX,780062833,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,20.696,20.696
1033194634,LUBIN,CRAIG,H,M.D.,M,I,1111 W 34TH ST,SUITE 200,AUSTIN,TX,787051900,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,1380,28.443202899,13.126449275,10.291253623,10.291253623
1033194634,LUBIN,CRAIG,H,M.D.,M,I,1111 W 34TH ST,SUITE 200,AUSTIN,TX,787051900,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,340,477.25,268.37988235,210.40861765,210.40861765
1033194634,LUBIN,CRAIG,H,M.D.,M,I,1111 W 34TH ST,SUITE 200,AUSTIN,TX,787051900,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,333,203.94,9.3478978979,7.3283483483,7.3283483483
1033194634,LUBIN,CRAIG,H,M.D.,M,I,1111 W 34TH ST,SUITE 200,AUSTIN,TX,787051900,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,340,652.88570588,29.213411765,22.903382353,22.903382353
1033194675,BASUK,PAUL,M,M.D.,M,I,310 E 72ND ST,,NEW YORK,NY,100214726,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,330,11.77,4.23,3.3163333333,3.2456666667
1033194675,BASUK,PAUL,M,M.D.,M,I,310 E 72ND ST,,NEW YORK,NY,100214726,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,7029,0.57,0.3,0.2147844644,0.2226248399
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,490,2.5914285714,2.27,1.6525918367,1.6525918367
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,10.663076923,9.29,6.72,7.8319230769
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.5,7.46,5.3625,5.3625
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,62,62,62,59.536935484,54.088548387,42.403064516,38.637419355
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,53,60,14.158166667,10.217,7.5938333333,7.3891666667
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,9.8175,6.8408333333,5.0858333333,3.7833333333
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,18,7.1333333333,3.4577777778,2.7122222222,2.3011111111
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,21.571666667,14.403333333,11.291666667,11.356666667
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,35.611111111,32.971111111,25.852222222,23.901111111
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,21,21,21,77.709047619,41.07,32.201904762,30.208095238
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,46,231,265,28.854867925,21.948,15.952943396,13.50890566
1033194758,KNAPIK,JOSEPH,R,MD,M,I,310 S 4TH ST,,ENID,OK,737015804,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,16,90,103,13.681262136,9.5960194175,7.0532038835,6.3425242718
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,30,86,254,66.908937008,8.3174409449,5.7130708661,5.7150787402
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.65,2.65
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,33,62,15.260322581,1.42,1.0953225806,1.0953225806
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.4,1.1,1.1454545455
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,175.23142857,55.64,40.541428571,39.870714286
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,78.494666667,11.996666667,9.4073333333,9.154
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,16,92,9.4004347826,2.0169565217,1.4793478261,1.4869565217
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,53.620588235,16.98,12.005882353,12.203529412
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,50.73,4.427826087,3.2939130435,3.5152173913
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,308.09117647,77.36,53.514705882,48.987647059
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,30,8156,0.2523062776,0.0467422756,0.0335335949,0.0335335949
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2820,1.1490460993,0.1333191489,0.0929255319,0.0929255319
1033194774,BRADSHAW,BRIAN,T,M.D.,M,I,2500 POCOSHOCK PL,SUITE 103,RICHMOND,VA,232356345,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,42,42,103.71428571,33,23.756904762,23.756904762
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,56,143,63.562027972,8.32,6.0618881119,6.0618881119
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.904,3.38,2.65,2.65
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,28,49,15.2,1.42,1.0689795918,1.0689795918
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,55.169230769,55.169230769,43.255384615,40.386153846
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,130.71428571,90.01,67.752142857,51.912142857
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,56.818181818,22.929090909,17.980909091,15.735454545
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,84.53,35.332727273,27.697272727,22.267272727
1033194808,JIMENEZ,HECTOR,B,MD,M,I,1400 NW 12TH AVE,SUITE 1,MIAMI,FL,331361003,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,21.249090909,9.6036363636,7.5281818182,7.0481818182
1033194949,DORADO,JAMES,R,M.D.,M,I,625 AFRICA RD STE 360,,WESTERVILLE,OH,43082,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,47,50.192765957,8.32,6.5219148936,6.5219148936
1033195029,OLIVER,BARRY,D,MD,M,I,1416 CALHOUN ST,,COLUMBIA,SC,292012510,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,395,114.22333333,89.546666667,102.94416667
1033195151,MILLS,SARAH,M,PAC,F,I,215 N ALLISON AVE,,BARBOURVILLE,KY,409061336,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,152.97285714,84.234285714,66.04,44.497857143
1033195151,MILLS,SARAH,M,PAC,F,I,215 N ALLISON AVE,,BARBOURVILLE,KY,409061336,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,218.33333333,70.730833333,50.471666667,50.188333333
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,25,52,146,60.773972603,8.32,6.0305479452,6.0305479452
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,15.158947368,3.38,2.5105263158,2.5105263158
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,25.032727273,2.12,1.5181818182,1.5181818182
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,38,55,16.273454545,1.42,1.034,1.034
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,62,38.414032258,19.5,12.632903226,11.97016129
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,127.525625,56.26,38.59625,37.5025
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,42.323333333,16.8,13.17,14.06
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,52.06,12,8.9605882353,8.6711764706
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,24,133,6.8439849624,2,1.5683458647,1.5917293233
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,191.98615385,54.266923077,42.541538462,37.939230769
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,16.36,12.028125,12.749375
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,37,37,80.545135135,34.648378378,22.381891892,20.341351351
1033195177,GRAY,KEITH,A,MD,M,I,100 W GORE STREET,SUITE 303,ORLANDO,FL,32806,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,83,88,478.66772727,78.546818182,58.059204545,52.373068182
1033195391,FREID,RUSSELL,M,MD,M,I,2 PRINCESS RD STE J,LAWRENCEVILLE UROLOGY,LAWRENCEVILLE,NJ,086482320,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1200,7.2,1.95,1.5288166667,1.5993333333
1033195524,LUMPKIN,MONICA,A,M.D.,F,I,483 W. SEED FARM RD.,,SACATON,AZ,85147,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,16.96,16.96,11.451666667,11.676666667
1033195524,LUMPKIN,MONICA,A,M.D.,F,I,483 W. SEED FARM RD.,,SACATON,AZ,85147,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.36,77.36,50.541666667,46.101666667
1033195540,BREMEN,ROXANE,S,D.O.,F,I,622 SW 3RD ST,STE B,LEES SUMMIT,MO,640632280,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,28,81.62,33.537142857,26.292857143,25.917857143
1033195540,BREMEN,ROXANE,S,D.O.,F,I,622 SW 3RD ST,STE B,LEES SUMMIT,MO,640632280,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,68,7.4105882353,2.1729411765,1.7036764706,1.7114705882
1033195540,BREMEN,ROXANE,S,D.O.,F,I,622 SW 3RD ST,STE B,LEES SUMMIT,MO,640632280,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,211.81142857,34.724285714,25.465714286,24.317142857
1033195573,NEUHARTH,KRISTEN,L,MD,F,I,820 PRUDENTIAL DR STE 304,CREDENTIALING DEPARTMENT,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.53,16.5,5.8818181818,6.5636363636
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,298.17,94.29625,73.92875,67.84125
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,39,94.702564103,37.902564103,29.715897436,26.688461538
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,60,50.66,19.45,15.248333333,14.551666667
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,16,86,35.51,14.94,11.514069767,11.678139535
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,146.90809524,55.241428571,43.31,42.897142857
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,19,19,54.667894737,18.508421053,14.504736842,14.499473684
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,60.390666667,13.151,10.303,9.12
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,38,212,7.3973584906,2.2171698113,1.7377830189,1.5944811321
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,32.76,12.437142857,9.7557142857,10.34
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,29,36.74,16.61,11.673103448,12.18862069
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,2420,1074.31,832.69533333,832.69533333
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,38.43,13.58,9.88,9.7282142857
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,60,60,197.421,34.6785,26.215166667,25.059833333
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,135,139,230.15992806,79.892302158,60.285539568,54.258705036
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,83.5,35.31,24.723214286,26.332142857
1033195631,WALLACE,KEVIN,H,MD,M,I,8725 N WICKHAM RD,SUITE 302,MELBOURNE,FL,329402240,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,200,35.31,27.69,29.35173913
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,34,120,217,201.78133641,8.2617511521,5.296359447,5.3534562212
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,32,41,11.728292683,1.42,0.8707317073,0.8707317073
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,3510,2.360042735,2.04,1.5993333333,1.5993333333
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,155,1.9745806452,1.7193548387,1.3475483871,1.4107741935
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,220,3.4888181818,2.98,2.3362272727,2.3833181818
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.4724,0.26,0.2038,0.2026
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,22,90.652272727,71.56,53.28,53.28
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,82,93.76597561,22.104268293,15.727195122,12.95195122
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,14,23,23,242.76913043,64.394782609,44.657391304,39.496521739
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,20,20,96.385,21.83,14.849,12.396
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,85.29,12.454666667,7.2586666667,6.7613333333
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,15,24,121,10.314628099,2.2885123967,1.6395041322,1.497768595
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,86.31,22.09,17.317222222,13.883333333
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,39.590833333,32.010833333
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,16,18,214.18777778,53.205555556,41.717222222,33.733888889
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,27,463.00666667,90.21037037,70.725555556,56.235185185
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2537,0.3966456445,0.045234529,0.0333109972,0.0332991723
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,2154,1.7307985144,0.1384447539,0.0917455896,0.0917455896
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,1350,9.722037037,3.0681111111,2.4054148148,2.4054148148
1033195656,SPANO,DENNIS,C,M.D.,M,I,500 W GRANT ST,,LAKE CITY,MN,550411143,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,26,26,33,33,24.925384615,24.925384615
1033195680,BISKUP,MARY,L,M.D.,F,I,170 S BLOOMINGDALE RD,SUITE 200,BLOOMINGDALE,IL,601081470,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,133.29545455,17.944545455,14.065454545,13.496363636
1033195680,BISKUP,MARY,L,M.D.,F,I,170 S BLOOMINGDALE RD,SUITE 200,BLOOMINGDALE,IL,601081470,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,56.652727273,7.9781818182,6.2563636364,6.3463636364
1033195714,TROSTEL,KRISTI,,,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,28,73,80.765342466,8.32,5.9854794521,5.9854794521
1033195714,TROSTEL,KRISTI,,,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,23,17.209130435,1.42,0.9713043478,0.9713043478
1033195714,TROSTEL,KRISTI,,,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,385.12,78.49,61.53,54.73
1033195748,GENSOLIN,GLENDA,M,MD,F,I,24 N SAINT JOSEPH AVE STE C2,,NILES,MI,491202263,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,22,75.358181818,8.32,6.5218181818,6.5218181818
1033195797,KHANNA,SUNIL,S,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,39,39,39,73.911282051,70.648974359,55.389487179,52.963589744
1033195797,KHANNA,SUNIL,S,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,16,29,59.443448276,49.106206897,38.499655172,41.906551724
1033195797,KHANNA,SUNIL,S,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,17,78.185294118,67.541764706,52.950588235,54.918235294
1033195797,KHANNA,SUNIL,S,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,32,32,53,82.391320755,66.266981132,50.816226415,52.801509434
1033195797,KHANNA,SUNIL,S,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,33,16.03,16.03,12.56969697,13.99
1033195805,CARLIN-JANSSEN,PATRICIA,C,MD,F,I,1601 GOLF COURSE RD,,GRAND RAPIDS,MN,557448648,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,71,79.632253521,8.32,6.3378873239,6.3378873239
1033195805,CARLIN-JANSSEN,PATRICIA,C,MD,F,I,1601 GOLF COURSE RD,,GRAND RAPIDS,MN,557448648,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,294.08333333,98.85,75.009583333,68.259583333
1033195805,CARLIN-JANSSEN,PATRICIA,C,MD,F,I,1601 GOLF COURSE RD,,GRAND RAPIDS,MN,557448648,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,43.53,31.391666667,31.391666667
1033195821,TEMPLADO,CORSINI,C,M.D.,M,I,351 HARTNELL AVE,,REDDING,CA,960021845,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.620833333,13.53
1033195821,TEMPLADO,CORSINI,C,M.D.,M,I,351 HARTNELL AVE,,REDDING,CA,960021845,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,54.73
1033195839,AFZAL,FUAD,,MD,M,I,631 PALM SPRINGS DR,SUITE 104,ALTAMONTE SPRINGS,FL,327017854,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,59,10890,4.5739109275,0.5710991736,0.4282268136,0.428224977
1033195839,AFZAL,FUAD,,MD,M,I,631 PALM SPRINGS DR,SUITE 104,ALTAMONTE SPRINGS,FL,327017854,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,3120,2.0533301282,1.2999230769,0.9731442308,0.9731442308
1033195839,AFZAL,FUAD,,MD,M,I,631 PALM SPRINGS DR,SUITE 104,ALTAMONTE SPRINGS,FL,327017854,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,3540,4.2565903955,2.7712711864,2.1462033898,2.1462033898
1033195839,AFZAL,FUAD,,MD,M,I,631 PALM SPRINGS DR,SUITE 104,ALTAMONTE SPRINGS,FL,327017854,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,61,61,24,24,18.51147541,18.51147541
1033195839,AFZAL,FUAD,,MD,M,I,631 PALM SPRINGS DR,SUITE 104,ALTAMONTE SPRINGS,FL,327017854,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,48,53,16,16,12.540188679,12.540188679
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,53,212,71.592028302,8.32,5.7625471698,5.7625471698
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,21,39,15.136666667,1.42,1.0007692308,1.0007692308
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,55.221818182,38.89,30.49,30.49
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,274.77,54.763333333,40.705,40.641666667
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,87,12.888735632,2.0286206897,1.5911494253,1.5922988506
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,75.897058824,12.518823529,8.5905882353,8.6388235294
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.9290909091,3.8690909091,3.7036363636
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,237.11521739,34.852608696,24.936956522,24.100869565
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,69.81,54.73,54.73
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,160.84,36.14,28.33,29.453809524
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,15.58,9.6325,7.43,7.43
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,8428,0.2165104414,0.0473065971,0.0300201709,0.0300189843
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,12.86,3.003,2.354375,2.354375
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,0.75,0.219,0.1716666667,0.1716666667
1033195847,POGUE,LUCAS,C,M.D.,M,I,1401 EASTLAND DR,,BLOOMINGTON,IL,617013514,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,120.12,33,24.8352,24.8352
1033195920,JOHNSON,ANNETTE,L,NP,F,I,1060 ORCHARD AVE,SUITE N,GRAND JUNCTION,CO,815012997,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,21,35.455714286,4.59,3.1771428571,3.2647619048
1033195953,DURRETT,SANDRA,C,CFNP,F,I,300 OXFORD ROAD,,NEW ALBANY,MS,38652,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,12,180.68833333,63.125833333,49.490833333,41.003333333
1033195953,DURRETT,SANDRA,C,CFNP,F,I,300 OXFORD ROAD,,NEW ALBANY,MS,38652,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,96.3,58.665,42.480714286,36.041428571
1033195979,PEREIRA,RYAN,J,DPM,M,I,1301 PLANTATION ISLAND DR S,STE 203,ST AUGUSTINE,FL,320803108,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,24,1000,1.056,0.44,0.345,0.345
1033195979,PEREIRA,RYAN,J,DPM,M,I,1301 PLANTATION ISLAND DR S,STE 203,ST AUGUSTINE,FL,320803108,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,24,780,87.15,34.86,27.330307692,27.330307692
1033195979,PEREIRA,RYAN,J,DPM,M,I,1301 PLANTATION ISLAND DR S,STE 203,ST AUGUSTINE,FL,320803108,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,23,750,6,2.4,1.8816666667,1.8816666667
1033195979,PEREIRA,RYAN,J,DPM,M,I,1301 PLANTATION ISLAND DR S,STE 203,ST AUGUSTINE,FL,320803108,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,23,750,4.93,1.97,1.54436,1.54436
1033195979,PEREIRA,RYAN,J,DPM,M,I,1301 PLANTATION ISLAND DR S,STE 203,ST AUGUSTINE,FL,320803108,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,65,21.816666667,16.142666667,12.226666667
1033195979,PEREIRA,RYAN,J,DPM,M,I,1301 PLANTATION ISLAND DR S,STE 203,ST AUGUSTINE,FL,320803108,US,Podiatry,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,165,95.43,74.81,70.67
1033195979,PEREIRA,RYAN,J,DPM,M,I,1301 PLANTATION ISLAND DR S,STE 203,ST AUGUSTINE,FL,320803108,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,451.78705882,266.98,209.31,218.89
1033196050,TAUNTON,OSCAR,D,MD,M,I,2425 HIGHWAY 121,,BEDFORD,TX,760215011,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,53,53,53,135,47.136226415,36.956792453,36.46
1033196050,TAUNTON,OSCAR,D,MD,M,I,2425 HIGHWAY 121,,BEDFORD,TX,760215011,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,26.300212766,9.07,6.8276595745,7.0831914894
1033196050,TAUNTON,OSCAR,D,MD,M,I,2425 HIGHWAY 121,,BEDFORD,TX,760215011,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,50,50,50,125,51.302,40.22,40.79
1033196134,BERRY,MARY,,N.P.,F,I,11803 JEFFERSON AVE,STE 235,NEWPORT NEWS,VA,236062565,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,30,95,42.927789474,35.3,27.525578947,30.600526316
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,21,66,844,51.265627962,19.652701422,15.152369668,15.152369668
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,21,64,2196,7.1525,2.633715847,1.9932149362,1.9932149362
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,46,84,278,1390,75.84018705,8.32,5.9093165468,5.9093165468
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,37,77,194,17.089329897,1.42,0.9581958763,0.9581958763
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,697.47034483,337.00551724,260.46448276,260.46448276
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,,49,4700,15.132887234,10.277110638,7.3907468085,7.3907468085
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,24,137,140,349.752,251.0515,194.6405,194.68614286
1033196241,BRAME,LORI,A,M.D.,F,I,395 WESTFIELD RD,SUITE D,NOBLESVILLE,IN,460601425,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,16,16,16,348.3775,237.82,186.45,201.9375
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,25,60,200,61.45345,8.32,5.80525,5.80525
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,16.25,3.38,2.65,2.65
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,27,61,15.791967213,1.42,1.0773770492,1.0773770492
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,26,34.684615385,5.1134615385,3.8438461538,3.25
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,483.902,97.894666667,73.488666667,51.466666667
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1975,1.5509316456,0.1311493671,0.0821670886,0.0821670886
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,78.872727273,45.002727273,32.297272727,26.833636364
1033196399,COSENZA,DAVID,,MD,M,I,1525 W W T HARRIS BLVD,,CHARLOTTE,NC,282628522,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,72.6,33,20.346,20.3455
1033196431,BERAN,MARY,S,MD,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,36,128,80.4746875,8.32,6.268046875,6.268046875
1033196431,BERAN,MARY,S,MD,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,23,18.48826087,1.42,1.1130434783,1.1130434783
1033196431,BERAN,MARY,S,MD,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,329,6.814893617,5.38,4.0179027356,3.9656534954
1033196431,BERAN,MARY,S,MD,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,2403,0.56,0.31,0.232426134,0.232426134
1033196472,SEYLAR,CORY,L,O.D.,M,I,825 FIFTH AVENUE,SUITE 102,CHAMBERSBURG,PA,172014220,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,20,53.777,53.777,42.163,49.3775
1033196472,SEYLAR,CORY,L,O.D.,M,I,825 FIFTH AVENUE,SUITE 102,CHAMBERSBURG,PA,172014220,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,28,24.892857143,24.892857143,19.517142857,41.118928571
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,56,7130,0.3669761571,0.13,0.0843141655,0.0843141655
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,6.03,2.27,1.7797142857,1.7797142857
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,117,17599,5.6078669243,1.8708648219,1.1524024092,1.2595442923
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,3902,11.04898001,7.87,6.0965274218,6.1043900564
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,24,34.75375,10.34,8.105,8.565
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,13,23.713076923,7.46,5.85,5.85
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,20,23,201.77391304,46.917391304,32.693913043,33.296956522
1033196506,SADIQ,SAUD,A,M.D.,M,I,425 W 59TH ST,SUITE 7C,NEW YORK,NY,100191104,US,Physician/Neurology,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,5,,11,47,353.49361702,131.85531915,103.37595745,105.60574468
1033196670,MANGEL,WARREN,B,D.P.M.,M,I,805 COOPER RD STE 4,,VOORHEES,NJ,080433814,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,72.858888889,67.820555556,53.171944444,56.055277778
1033196688,POTTS,STEVEN,,DO,M,I,201 E HURON ST,#11-230,CHICAGO,IL,606113197,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,49,155,69.122258065,8.32,5.5123225806,5.5123225806
1033196688,POTTS,STEVEN,,DO,M,I,201 E HURON ST,#11-230,CHICAGO,IL,606113197,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,23,40,14.772,1.42,1.0865,1.0865
1033196688,POTTS,STEVEN,,DO,M,I,201 E HURON ST,#11-230,CHICAGO,IL,606113197,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,654.83,136.36272727,99.703636364,88.784545455
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,38,59,59,85.753728814,41.036271186,32.16559322,30.631525424
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,15,50,4.0584,1.47,1.0136,1.0136
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,50,90,90,364.91866667,92.450222222,68.452444444,64.376666667
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,32,75,129,136.96620155,34.101937984,25.772945736,25.023255814
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,29,119,73.918655462,20.35512605,14.277226891,12.921848739
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,20,94,55.625425532,15.651808511,11.618404255,11.260851064
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,30,58,58,229.76793103,56.63862069,42.135344828,40.655
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,74,90,90,63.397666667,19.149,14.549555556,13.672666667
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,31,58,58,81.222413793,12.552068966,9.3556896552,8.6674137931
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,68,144,555,8.6483603604,2.2485765766,1.6792432432,1.5257117117
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,43,53,53,28.460566038,6.081509434,4.6732075472,4.5639622642
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,36,44,44,44.737272727,13.172954545,9.8627272727,9.8711363636
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,23,81.060869565,17.25,10.853043478,10.872173913
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,350.53636364,93.787272727,69.761818182,69.078636364
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,27,27,27,396.18518519,138.00925926,108.20555556,104.82407407
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21.296666667,5.1586666667,4.0433333333,3.9773333333
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,31,144,144,189.75708333,34.37375,25.972222222,25.97125
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,20,114,115,503.81478261,72.203652174,51.182086957,49.342086957
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,28,164.86428571,39.68,28.887857143,27.573571429
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,50,3000,20.691613333,9.62498,7.4532133333,7.4532133333
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2999,0.3556118706,0.0472590864,0.0339913304,0.0339913304
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,36,4079,1.7089360137,0.133319441,0.1005344447,0.1005344447
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,47,3534,9.7634889643,3.0330305603,2.3373005093,2.3373005093
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,65,186.47384615,39.121076923,28.001384615,27.133846154
1033196720,STEPHAN,WILLIAM,,M.D.,M,I,168 KINSLEY ST,,NASHUA,NH,030603634,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,77,77,38.142857143,33,24.862077922,24.862077922
1033196738,BHANDARU,LAKSHMANRAO,,M.D,M,I,3030 W SYLVANIA AVE STE 105,,TOLEDO,OH,436134147,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,42,154,462,53.375779221,8.32,5.8260606061,5.8260606061
1033196738,BHANDARU,LAKSHMANRAO,,M.D,M,I,3030 W SYLVANIA AVE STE 105,,TOLEDO,OH,436134147,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,33,34,13.391176471,3.38,2.2602941176,2.2602941176
1033196738,BHANDARU,LAKSHMANRAO,,M.D,M,I,3030 W SYLVANIA AVE STE 105,,TOLEDO,OH,436134147,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,11,17,17,21.036470588,2.12,1.4735294118,1.4735294118
1033196738,BHANDARU,LAKSHMANRAO,,M.D,M,I,3030 W SYLVANIA AVE STE 105,,TOLEDO,OH,436134147,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,24,60,100,12.586,1.42,1.0026,1.0026
1033196795,ANDREINI POULSEN,SONI,L,MD,F,I,160 S OAK ST # 133,,SISTERS,OR,977591589,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,179,75.998333333,52.739166667,38.5075
1033196795,ANDREINI POULSEN,SONI,L,MD,F,I,160 S OAK ST # 133,,SISTERS,OR,977591589,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,79,20.235454545,14.718181818,9.1136363636
1033196795,ANDREINI POULSEN,SONI,L,MD,F,I,160 S OAK ST # 133,,SISTERS,OR,977591589,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,72,8,3.135,2.3104166667,1.5734722222
1033196795,ANDREINI POULSEN,SONI,L,MD,F,I,160 S OAK ST # 133,,SISTERS,OR,977591589,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,252,47.601666667,34.45,34.45
1033196928,RIECHERS,EMILY,A,NP,F,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Nurse Practitioner,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,44,4.4138636364,2.4845454545,1.685,1.6904545455
1033196928,RIECHERS,EMILY,A,NP,F,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,2620,2.6149465649,1.9848549618,1.551889313,1.5951221374
1033196928,RIECHERS,EMILY,A,NP,F,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1680,9.59375,6.15,3.6182083333,4.1888095238
1033196928,RIECHERS,EMILY,A,NP,F,I,1400 BELLINGER ST,,EAU CLAIRE,WI,547035222,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,38,10.774473684,10.500526316,8.2339473684,8.57
1033196969,WORLEY,JOHN,M,D.O.,M,I,6490 EXCELSIOR BLVD,STE E500,ST LOUIS PARK,MN,554264705,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,452.72090909,45.023636364,20.310909091,21.347272727
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,64,167,442,45.667760181,8.32,5.6587330317,5.6587330317
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,14.1248,3.38,2.438,2.438
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,20.070769231,2.12,1.4130769231,1.4130769231
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,38,73,126,11.586269841,1.42,0.9643650794,0.9643650794
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.25,4.91,3.4147272727,3.4147272727
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,7.0384615385,7,5.0658461538,5.0658461538
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,4.5,4.04,3.0378461538,3.0378461538
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,62,62,123,164.09674797,71.56,56.10504065,56.10495935
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,53,53,318,40,29.19,22.885,22.886509434
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,32,64,4.054375,2.03625,1.516875,1.165625
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,26,52,2.02,1.4523076923,1.0565384615,0.8975
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,2.5222222222,1.5922222222,1.1877777778,0.9766666667
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,23,682,76.536041056,4.0242521994,3.0355865103,2.2718475073
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,57,1499,69.277565043,7.5152168112,5.8820747165,4.1830020013
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,9096,1.5359080915,0.4742546174,0.3576813984,0.2785158311
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,7415,2.0675428186,0.4099892111,0.3130613621,0.2364140256
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,40,16528,1.9279858422,0.8022349952,0.6289551065,0.5174764037
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,16,16,88.28,81.695,64.05,51.64625
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,192.32923077,65.59,48.371538462,33.655384615
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,29.5,11.758,9.2186666667,7.5513333333
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,42.619166667,18.99,13.794166667,11.045833333
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,6,,36,36,187.65388889,69.258333333,50.063888889,37.5425
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,50,55,155.044,62.651454545,46.509454545,36.600727273
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,45,77.693333333,20.856666667,16.018666667,14.034666667
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,913.16,715.92,830.77454545
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,16,59,67,31.366865672,7.4080597015,4.6782089552,2.9835820896
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,47.585454545,38.200909091,26.465454545,44.14
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,20.035263158,10.861842105,8.5118421053,4.6392105263
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,75,13.106666667,10.279444444,8.1183333333
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,101,119,451.00689076,99.651596639,75.725546218,55.21907563
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,250,45.626470588,35.773529412,29.517647059
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,51,14801,0.2656151611,0.0459009526,0.0325890143,0.0325890143
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,56,6204,1.9480431979,0.1323565442,0.0964748549,0.0964748549
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,34,57.462058824,23.464411765,18.395882353,14.390882353
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,46,85,44.841521739,34.117608696,27.226086957
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,31,42.741935484,11.05,8.6619354839,7.0948387097
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,28,700,208.61857143,163.55964286,124.645
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,K0829,"Power wheelchair, group 2 extra heavy duty, captains chair, patient weight 601 pounds or more",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1500,419.59,323.03909091,292.77727273
1033196977,PERRY,WILLIAM,D,MD,M,I,110 PARK ST,,WALNUT GROVE,MS,391896526,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,21,94,101,62.792079208,33,23.817425743,23.817425743
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,71,213,587,56.768824532,8.32,5.5540374787,5.5540374787
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,25,25,14.96,3.38,2.332,2.332
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,23.330769231,2.12,1.67,1.67
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,38,96,146,13.693356164,1.4171232877,0.9450684932,0.9450684932
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,83.897272727,71.56,56.105909091,56.104090909
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,64,8.538125,2.420625,1.73171875,1.44296875
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,171.52615385,48.32,34.276923077,34.336923077
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,138.25714286,55.418571429,43.445714286,31.799285714
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,259.26823529,71.863529412,56.339411765,54.798823529
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,3238,1.9279493515,0.134848672,0.0911828289,0.0911828289
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,54.97,35.56,27.88,29.51
1033197017,NARRA,RAVI,,MD,M,I,3105 S STATE ROUTE 51,,ELMORE,OH,434169625,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,31,33,33,21.928064516,21.928064516
1033197132,GINTY,JOSEPH,M,MD,M,I,1800 GRANVILLE PIKE,,LANCASTER,OH,431301043,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,48,123,62.281219512,8.32,5.8779674797,5.8779674797
1033197132,GINTY,JOSEPH,M,MD,M,I,1800 GRANVILLE PIKE,,LANCASTER,OH,431301043,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,16,17.1075,1.42,1.04875,1.04875
1033197132,GINTY,JOSEPH,M,MD,M,I,1800 GRANVILLE PIKE,,LANCASTER,OH,431301043,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1620,3.0395,1.95,1.5288271605,1.5288271605
1033197132,GINTY,JOSEPH,M,MD,M,I,1800 GRANVILLE PIKE,,LANCASTER,OH,431301043,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,42.456111111,20.01,14.928888889,14.867777778
1033197132,GINTY,JOSEPH,M,MD,M,I,1800 GRANVILLE PIKE,,LANCASTER,OH,431301043,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,38,340.81447368,83.295263158,63.667631579,60.881578947
1033197165,MANSHADI,FARID,F,M.D.,M,I,36 W PARK LN,,WATERLOO,IA,507015178,US,Physician/Physical Medicine and Rehabilitation,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,18,30.751666667,28.46,18.591666667,18.591666667
1033197165,MANSHADI,FARID,F,M.D.,M,I,36 W PARK LN,,WATERLOO,IA,507015178,US,Physician/Physical Medicine and Rehabilitation,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,15,44.274,29.69,17.542,17.542
1033197165,MANSHADI,FARID,F,M.D.,M,I,36 W PARK LN,,WATERLOO,IA,507015178,US,Physician/Physical Medicine and Rehabilitation,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,26,5.8630769231,5.54,3.8392307692,3.8392307692
1033197165,MANSHADI,FARID,F,M.D.,M,I,36 W PARK LN,,WATERLOO,IA,507015178,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,33,40,10.7845,10.2645,7.452,7.88275
1033197165,MANSHADI,FARID,F,M.D.,M,I,36 W PARK LN,,WATERLOO,IA,507015178,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,29,74,6.9659459459,6.34,3.4958108108,4.2191891892
1033197165,MANSHADI,FARID,F,M.D.,M,I,36 W PARK LN,,WATERLOO,IA,507015178,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50,4.818125,3.77875,3.73125
1033197165,MANSHADI,FARID,F,M.D.,M,I,36 W PARK LN,,WATERLOO,IA,507015178,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,110,38.68,27.51,26.7675
1033197215,SCHOCK,ETHAN,J,M.D.,M,I,800 FAIR PARK BLVD,,LITTLE ROCK,AR,72204,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,149.40352941,52.765294118,38.754705882,33.607647059
1033197215,SCHOCK,ETHAN,J,M.D.,M,I,800 FAIR PARK BLVD,,LITTLE ROCK,AR,72204,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,24,26,465,85.5,24.01,18.824150538,19.906989247
1033197215,SCHOCK,ETHAN,J,M.D.,M,I,800 FAIR PARK BLVD,,LITTLE ROCK,AR,72204,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,18,18,119.16166667,31.801111111,17.006666667,12.417777778
1033197215,SCHOCK,ETHAN,J,M.D.,M,I,800 FAIR PARK BLVD,,LITTLE ROCK,AR,72204,US,Physician/Orthopedic Surgery,S,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,1655.3846154,850.02,655.38384615,635.12384615
1033197215,SCHOCK,ETHAN,J,M.D.,M,I,800 FAIR PARK BLVD,,LITTLE ROCK,AR,72204,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,205,104.26,81.74,86.906
1033197215,SCHOCK,ETHAN,J,M.D.,M,I,800 FAIR PARK BLVD,,LITTLE ROCK,AR,72204,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,105,53.2,34.126363636,38.555454545
1033197470,YAMASHITA,DOUGLAS,H,MD,M,I,1276 KINOOLE ST,,HILO,HI,967204135,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,120.92,49.963636364,39.166363636,31.553636364
1033197470,YAMASHITA,DOUGLAS,H,MD,M,I,1276 KINOOLE ST,,HILO,HI,967204135,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,14,147.95428571,44.325,30.660714286,22.216428571
1033197470,YAMASHITA,DOUGLAS,H,MD,M,I,1276 KINOOLE ST,,HILO,HI,967204135,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,261.44666667,75.864166667,53.965,39.461666667
1033197470,YAMASHITA,DOUGLAS,H,MD,M,I,1276 KINOOLE ST,,HILO,HI,967204135,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,6.26,2.535,1.7658333333,1.4259375
1033197470,YAMASHITA,DOUGLAS,H,MD,M,I,1276 KINOOLE ST,,HILO,HI,967204135,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,308.71076923,47.413846154,35.183076923,22.778461538
1033197496,KIDWELL,TRACY,A,D.O.,F,I,3700 N KICKAPOO AVE,SUITE 124,SHAWNEE,OK,748041707,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,48,172,69.095406977,8.32,6.0260465116,6.0260465116
1033197496,KIDWELL,TRACY,A,D.O.,F,I,3700 N KICKAPOO AVE,SUITE 124,SHAWNEE,OK,748041707,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,34,52,28.684230769,1.42,1.0092307692,1.0092307692
1033197496,KIDWELL,TRACY,A,D.O.,F,I,3700 N KICKAPOO AVE,SUITE 124,SHAWNEE,OK,748041707,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,293.23272727,109.82636364,80.115454545,65.705454545
1033197496,KIDWELL,TRACY,A,D.O.,F,I,3700 N KICKAPOO AVE,SUITE 124,SHAWNEE,OK,748041707,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,128.2,56.206875,44.06375,29.97375
1033197496,KIDWELL,TRACY,A,D.O.,F,I,3700 N KICKAPOO AVE,SUITE 124,SHAWNEE,OK,748041707,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1488,1.557983871,0.04625,0.0362701613,0.0362701613
1033197496,KIDWELL,TRACY,A,D.O.,F,I,3700 N KICKAPOO AVE,SUITE 124,SHAWNEE,OK,748041707,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,38.823529412,33,25.87,25.87
1033197595,NILSSON,LARRY,,PA-C,M,I,4010 WEST 65TH STREET,TWIN CITIES ORTHOPEDICS,EDINA,MN,554354800,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,25,25,25,335.2,255.0068,199.9224,213.0012
1033197637,CHARMAN,MARK,J,M.D.,M,I,1450 BUSCH PARKWAY,,BUFFALO GROVE,IL,600894541,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,39,105,70.307714286,8.32,5.944952381,5.944952381
1033197751,TOBE,KRISTIN,M,MD,F,I,9342 CEDAR CENTER WAY,CEDAR SPRINGS RETAIL CENTER,LOUISVILLE,KY,40291,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,30,86,72.011046512,8.32,6.1426744186,6.1426744186
1033197751,TOBE,KRISTIN,M,MD,F,I,9342 CEDAR CENTER WAY,CEDAR SPRINGS RETAIL CENTER,LOUISVILLE,KY,40291,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,20,17.169,1.42,1.115,1.115
1033197785,NASH,ROLAND,,MD,M,I,1010 VILLAGE DR,,WATKINSVILLE,GA,306776004,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,22.790909091,16.51,12.3
1033197876,BELL,JANAE,M,MD,F,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,62,83.505806452,8.32,5.6811290323,5.6811290323
1033197876,BELL,JANAE,M,MD,F,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,235,12.792,10.81,8.4751914894,8.4751914894
1033197876,BELL,JANAE,M,MD,F,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,2100,6.1319619048,0.4750571429,0.3539857143,0.3539857143
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,720,5.5752777778,2.5375,1.9893888889,1.9893888889
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,16,148,737,118251,4.6335960795,0.5644662624,0.4141427979,0.4150966165
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2700,0.5967777778,0.4395,0.3068481481,0.3068481481
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,120,618,97265,0.1160904745,0.012804606,0.0093755205,0.0093755205
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,8340,2.139705036,0.7452302158,0.5404484412,0.5404484412
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,121,632,96600,4.0784102484,1.1385068323,0.855460352,0.855784058
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,21,81,9360,5.4188995726,2.7654230769,2.1118739316,2.1118739316
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,360,24.9965,7.4945,5.7832222222,5.7832222222
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,175,739,739,24.043301759,24,18.044424899,18.044424899
1033197934,CRAICI,IASMINA,M,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,55905,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,190,1043,1452,16.038567493,16,11.959483471,11.959483471
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,6.5435714286,0.51,0.4,0.4
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,48,132,452,46.118561947,8.32,5.6872566372,5.6872566372
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,15,32,32,13.661875,3.38,2.484375,2.484375
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,21,21,20.632380952,2.12,1.5904761905,1.5904761905
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,32,75,126,13.566666667,1.42,0.9996825397,0.9996825397
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,19,131.36789474,39.108421053,29.056315789,28.885263158
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,226.30166667,86.53,62.186666667,62.186666667
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,21,231.59857143,55.043809524,39.059047619,38.786666667
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,18,18,65.613888889,18.076111111,14.172777778,14.071666667
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,57.148823529,11.64,8.0470588235,8.0470588235
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,34,162,10.735802469,2.0385185185,1.5004938272,1.4938888889
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,12,14,14,40.582142857,13.497857143,10.582857143,10.353571429
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,68,68,55.415,17.946764706,13.472941176,13.118823529
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,39,39,43.57974359,6.0807692308,4.5279487179,3.7423076923
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,174.14222222,32.543333333,21.717222222,21.213333333
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,17,123,123,362.45073171,75.110406504,54.751382114,51.294796748
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,250,36.14,28.33,29.51
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1499,1.1281987992,0.1350033356,0.1022281521,0.1022281521
1033197942,KHETARPAL,MINOO,,M.D.,F,I,1320 N MICHIGAN AVE,SUITE 4,SAGINAW,MI,486024751,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,133.5,33,25.500769231,25.500769231
1033198015,KROEGER,KARIN,G,MD,F,I,5566 JORDAN RD,,ELBRIDGE,NY,130609617,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,80,55.3235,8.32,6.359375,6.359375
1033198015,KROEGER,KARIN,G,MD,F,I,5566 JORDAN RD,,ELBRIDGE,NY,130609617,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,15.159375,1.42,1.1140625,1.1140625
1033198015,KROEGER,KARIN,G,MD,F,I,5566 JORDAN RD,,ELBRIDGE,NY,130609617,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,4333,0.316187399,0.0465658897,0.0308308331,0.0308308331
1033198015,KROEGER,KARIN,G,MD,F,I,5566 JORDAN RD,,ELBRIDGE,NY,130609617,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,39.1875,33,22.63625,22.63625
1033198072,GOLDIN,NATHAN,P,M.D.,M,I,7185 HARBOUR TOWNE PKWY S STE 200,,SUFFOLK,VA,234353796,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,65,8220,0.3268978102,0.13,0.0989586375,0.0989586375
1033198072,GOLDIN,NATHAN,P,M.D.,M,I,7185 HARBOUR TOWNE PKWY S STE 200,,SUFFOLK,VA,234353796,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.75,2.27,1.6179220779,1.6179220779
1033198072,GOLDIN,NATHAN,P,M.D.,M,I,7185 HARBOUR TOWNE PKWY S STE 200,,SUFFOLK,VA,234353796,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,43,8910,4.2352525253,1.83,1.410664422,1.5689315376
1033198072,GOLDIN,NATHAN,P,M.D.,M,I,7185 HARBOUR TOWNE PKWY S STE 200,,SUFFOLK,VA,234353796,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,21,104,12610,10.231141951,7.1985963521,5.595072958,5.6176399683
1033198072,GOLDIN,NATHAN,P,M.D.,M,I,7185 HARBOUR TOWNE PKWY S STE 200,,SUFFOLK,VA,234353796,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,26,74,16.471216216,9.68,6.7689189189,7.6959459459
1033198072,GOLDIN,NATHAN,P,M.D.,M,I,7185 HARBOUR TOWNE PKWY S STE 200,,SUFFOLK,VA,234353796,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,25,63,14.144761905,7.46,5.3106349206,5.3106349206
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,145,232,233,76.774206009,36.993433476,28.441759657,29.829699571
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,96,159,159,213.35685535,91.019433962,68.017672956,65.031320755
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,90,160,329,83.783039514,35.02,26.48343465,25.240516717
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,65,111,511,44.278356164,18.528590998,13.642563601,13.663463796
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,52,86,387,35.690103359,15.548191214,11.778837209,11.512687339
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,123,194,194,141.89283505,56.179381443,41.914896907,40.83814433
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,190,231,231,43.325844156,18.505108225,13.81961039,13.425367965
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,26,28,28,25.457857143,10.503571429,8.2357142857,8.1325
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,69,112,112,49.185803571,12.454017857,9.263125,8.7447321429
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,207,419,1854,5.9003613808,2.0225782093,1.5035275081,1.5123678533
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,81,107,107,12.215420561,6.3326168224,4.4757009346,4.2257943925
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,78,90,90,27.749333333,13.240777778,9.4746666667,9.4412222222
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,13,45,258,271,335.58162362,93.626309963,70.126937269,65.710369004
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,563.51,244.68,191.82888889,181.12833333
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,96,96,96,293.79322917,139.05645833,104.393125,100.43010417
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,24,131,154,49.23487013,14.026233766,10.572272727,10.109675325
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,19,124,683,715,110.39925874,36.537552448,27.077888112,24.751622378
1033198171,BRIJAWI,BASHAR,,MD,M,I,3301 MERCY HEALTH BLVD STE 300,,CINCINNATI,OH,452111109,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,161.62,79,61.94,54.73
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,33,72,69.9975,8.32,5.7083333333,5.7083333333
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,13,11.596153846,1.42,1.0323076923,1.0323076923
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.6596875,1.481875,1.1590625,1.15125
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18.366666667,14.399166667,13.530833333
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,24,1760,913.16,715.77291667,831.58458333
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,913.16,715.92,842.26
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.59,4.1363636364,3.2436363636,3.9909090909
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,66.961176471,49.259411765,51.539411765
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.052636364,8.6652878788,8.6652878788
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,38,9489,0.4040731373,0.0463568342,0.0363399726,0.0363399726
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0228181818,2.3699242424,2.3699242424
1033198288,LAM,GIANG,N,M.D.,M,I,1541 FLORIDA AVE,SUITE 200,MODESTO,CA,953504423,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,49,103.32653061,33,25.87,25.87
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1245,0.3442168675,0.13,0.1019277108,0.1019277108
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,46,4655,6.2921589689,2.04,1.5685134264,1.5685134264
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,45,4980,9.65,7.23,5.5932208835,5.5932208835
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1860,11.4,7.88,6.1779301075,6.1779301075
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,52,24.842692308,10.891538462,7.5501923077,7.5807692308
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,62,10.925,6.44,5.0491935484,5.0491935484
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,360,7.0750277778,4.04,3.0101388889,3.0101388889
1033198320,SHAPIRO,ROBERT,H,MD,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,740,0.5539189189,0.27,0.2116351351,0.2116351351
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,77,170,83.028588235,8.32,5.1023529412,5.1023529412
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,21,38,11.061578947,1.42,0.8792105263,0.8792105263
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,6.775,2.91,2.28125,2.28125
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,26,26,77.128076923,41.03,29.748076923,28.144615385
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.65,0.27,0.2116,0.2116
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,232.97384615,92.26,72.33,67.85
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,30,93.954,34.02,26.671333333,25.917
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,115.9375,54.96,39.50125,39.285625
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,45.31125,19.08,14.95,14.115625
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,23,134,5.9468656716,2.22,1.741641791,1.593358209
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,37.99,13.01,10.2,10.34
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,131.92666667,31.740833333,22.07,22.078888889
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,74,17.378,11.79,13.264
1033198627,SHAY,WILLIAM,E,MD,M,I,49 HARRY KEMP WAY,,PROVINCETOWN,MA,02657,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,61.285714286,33,18.478571429,18.478571429
1033198650,HAYDEL,MICHAEL,S,M.D.,M,I,1022 BELANGER ST,,HOUMA,LA,703604412,US,Physician/Interventional Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,1300,1185.42,924.42275862,884.51862069
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,37,102,298,45.156275168,8.32,5.7346644295,5.7346644295
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,21,14.3,3.38,2.3976190476,2.3976190476
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,16.335714286,2.12,1.67,1.67
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,29,59,90,14.979444444,1.42,1.0412222222,1.0412222222
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,32,46,12.715434783,10.872608696,7.5941304348,7.6393478261
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,27,9.1377777778,6.41,4.95,5.6514814815
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.531,5.54,3.9815416667,3.9815416667
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.922,1.95,1.5057777778,1.5057777778
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,3464,0.4680600462,0.4386143187,0.3438625866,0.3438625866
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,480,0.8773958333,0.27,0.2116666667,0.2116666667
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,420,0.9,0.27,0.2116428571,0.2116428571
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,423,8.28,8.28,6.3891725768,6.3891725768
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,8.19,2.0957142857,1.6428571429,1.15
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,86.672857143,20.395714286,15.254285714,8.4457142857
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,70,10.748714286,3.0074285714,2.2571428571,1.5511428571
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,74,74,77.105540541,22.384324324,16.53972973,12.935
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,116.175,62.96,45.920833333,36.719166667
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,33,34,39.040588235,8.0270588235,6.0779411765,3.4447058824
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,198,203,461.26837438,102.30275862,76.029704433,53.592660099
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,40,2400,15.829675,9.606075,7.3291625,7.3291625
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,53,13810,0.1635235337,0.046525706,0.0330709631,0.0330709631
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,37,3450,0.7816231884,0.1340521739,0.0948347826,0.0948347826
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,24,1470,6.8232585034,2.9736326531,2.243707483,2.243707483
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,36,1772,0.75,0.219272009,0.1545428894,0.1545428894
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.73,33.391818182,17.667272727,12.701818182
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,599.5,216.71041667,169.70625,125.70083333
1033198759,CHILDRESS,HERBERT,E,DO,M,I,105 E QUINCY ST,,LEWISTOWN,MO,634522560,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,122,122,112.00614754,33,24.597704918,24.597704918
1033198767,MCCARTEN,MICHAEL,D,D.O.,M,I,5 INDUSTRIAL DR UNIT B,ELLIOT FAMILY MEDICINE AT WINDHAM,WINDHAM,NH,030872021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,66,73.375454545,8.32,5.1525757576,5.1525757576
1033198809,PAPPAS,STEPHEN,G,M.D.,M,I,2600 PARKWOOD DR,,BRUNSWICK,GA,315204725,US,Physician/Neurology,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,2000,1328.44,1040.1105556,893.72166667
1033198809,PAPPAS,STEPHEN,G,M.D.,M,I,2600 PARKWOOD DR,,BRUNSWICK,GA,315204725,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,32,150,53.2,39.6340625,43.980625
1033198833,OH,YOUNG,D,MD,M,I,210 WESTCHESTER AVE,,WHITE PLAINS,NY,106042901,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,23.46,23.46,18.39,18.535384615
1033198833,OH,YOUNG,D,MD,M,I,210 WESTCHESTER AVE,,WHITE PLAINS,NY,106042901,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,850,120.58666667,94.546666667,105.59
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,69,240,411,51.857639903,8.32,5.6664476886,5.6664476886
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,58,155,159,16.296289308,1.42,1.0280503145,1.0280503145
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,28,28,56,77.658928571,71.277142857,55.882142857,56.103571429
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,27,27,162,33.195555556,29.19,22.885,22.886481481
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,47.052727273,13,10.19,9.2172727273
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,5.9025,2.09,1.6383333333,1.5955555556
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,35.97,17,11.093125,11.31
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,61.745454545,32.649090909,25.592727273,25.527272727
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,191.54,77.18,48.1252,43.3368
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,7865,0.5269396058,0.046432295,0.0324348379,0.0324348379
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,26,117.42461538,116.77846154,91.555384615,77.859230769
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,22,219.91545455,213.65727273,167.50909091,170.93136364
1033198882,STERN,ARKADY,,M.D.,M,I,425 S FAIRFAX AVE,302,LOS ANGELES,CA,900363541,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,36,33,33,22.995555556,22.995555556
1033198908,ARNOLD,DANIEL,J,D.O.,M,I,4480 UTICA RIDGE RD STE 160,,BETTENDORF,IA,527221637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,45,44.378888889,8.32,6.0877777778,6.0877777778
1033198908,ARNOLD,DANIEL,J,D.O.,M,I,4480 UTICA RIDGE RD STE 160,,BETTENDORF,IA,527221637,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,15.06,9.86,7.3955,7.3955
1033198908,ARNOLD,DANIEL,J,D.O.,M,I,4480 UTICA RIDGE RD STE 160,,BETTENDORF,IA,527221637,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,23,24.312173913,7.0373913043,4.9291304348,3.7934782609
1033198908,ARNOLD,DANIEL,J,D.O.,M,I,4480 UTICA RIDGE RD STE 160,,BETTENDORF,IA,527221637,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,29,325.1462069,69.99,43.777586207,43.690689655
1033198908,ARNOLD,DANIEL,J,D.O.,M,I,4480 UTICA RIDGE RD STE 160,,BETTENDORF,IA,527221637,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,93.069473684,38.68,26.949473684,26.267368421
1033199096,KAASA,ALICE,M,CNP,F,I,1000 1ST DR NW,,AUSTIN,MN,559122941,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,22,78.797272727,8.32,5.93,5.93
1033199104,LANE-RICE,DELLA,J,NP,F,I,661 S TRIMBLE RD,,MANSFIELD,OH,449063437,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,357,89.16,69.901428571,54.73
1033199310,HAFNER,DANIEL,J,M.D.,M,I,2800 3RD ST,,RAPID CITY,SD,577017374,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,74.466363636,70.656363636,48.156363636,45.83
1033199310,HAFNER,DANIEL,J,M.D.,M,I,2800 3RD ST,,RAPID CITY,SD,577017374,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,63.101818182,53.12,37.859090909,39.428636364
1033199369,D'COSTA,MOLLY,M,D.O.,F,I,2710 111TH STREET,,NAPERVILLE,IL,605651189,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,58.268636364,8.32,5.6331818182,5.6331818182
1033199468,MANZO,PIERRE,R,MD,M,I,1351 S COUNTY TRL,SUITE 301,EAST GREENWICH,RI,028185079,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,34,93,69.052903226,8.32,5.8317204301,5.8317204301
1033199468,MANZO,PIERRE,R,MD,M,I,1351 S COUNTY TRL,SUITE 301,EAST GREENWICH,RI,028185079,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,15,15.922,1.42,1.1186666667,1.1186666667
1033199468,MANZO,PIERRE,R,MD,M,I,1351 S COUNTY TRL,SUITE 301,EAST GREENWICH,RI,028185079,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,17.5,17.5,13.72,13.555
1033199468,MANZO,PIERRE,R,MD,M,I,1351 S COUNTY TRL,SUITE 301,EAST GREENWICH,RI,028185079,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,255.59,32.0975,23.229375,23.368125
1033199468,MANZO,PIERRE,R,MD,M,I,1351 S COUNTY TRL,SUITE 301,EAST GREENWICH,RI,028185079,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,78.75,78.75,61.74,55.314166667
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,59,149,67.630872483,8.3099328859,5.0259060403,5.0259060403
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,1.325,1.325
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,30,41,18.711219512,1.42,0.7614634146,0.7614634146
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,38,121.61105263,35.658157895,25.250526316,23.213157895
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,180.09538462,60.735384615,47.617692308,44.83
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,56.281764706,20.268235294,15.882941176,14.112352941
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,69.348,14.374,9.8525,8.3355
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,28,160,8.229125,2.35425,1.563625,1.3735
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,16.852857143,5.8028571429,3.3214285714,3.2928571429
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,62,62,207.57225806,33.050483871,23.413064516,21.799516129
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,786,2.1902290076,0.131692112,0.089351145,0.089351145
1033199591,RIKER,KERRY,,M. D.,M,I,900 BROADWAY,,BANGOR,ME,044011900,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,20.045,20.045
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,36,120,64.058916667,8.32,5.76225,5.76225
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,33,16.302727273,1.42,0.9784848485,0.9784848485
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,43,46.742325581,17,11.039534884,12.249069767
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,161.99230769,51.442307692,37.240769231,39.613076923
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,65.038333333,16.769166667,12.051666667,12.908333333
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,54.414,11.52,8.4313333333,8.5146666667
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,31,93,5.7651612903,2,1.4341935484,1.4567741935
1033199617,NEGI,LAKSHMAN,S,MD,M,I,676 S BROADWAY ST,,AKRON,OH,443111059,US,Physician/Family Practice,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,440,18.743863636,5.8268181818,4.2421136364,4.2421136364
1033199708,HOTCHKISS,JEROME,J,MD,M,I,1380 LITTLE SORRELL DR STE 100,,HARRISONBURG,VA,22801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,66,58.399090909,8.32,6.1272727273,6.1272727273
1033199708,HOTCHKISS,JEROME,J,MD,M,I,1380 LITTLE SORRELL DR STE 100,,HARRISONBURG,VA,22801,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,4.7027272727,0,0
1033199740,BALCER,CONRAD,S,D.O.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,8.4808333333,6.65,4.0333333333
1033199740,BALCER,CONRAD,S,D.O.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Cardiovascular Disease (Cardiology),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1470,0.92,0.133122449,0.1043741497,0.1043741497
1033199740,BALCER,CONRAD,S,D.O.,M,I,1241 W STADIUM BLVD,,JEFFERSON CITY,MO,651096023,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,14,31,393,72.590229008,19.655572519,15.044605598,15.044605598
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,14,28,870,9.1292528736,2.6386206897,2.0686091954,2.0686091954
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,13,17,34,3.8264705882,0.51,0.4,0.4
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,15,4.6533333333,1,0.7813333333,0.7813333333
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,176,401,1776,65.866120495,8.32,6.2567736486,6.2567736486
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,33,67,67,11.92238806,3.38,2.65,2.65
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,33,40,40,17.62075,2.12,1.67,1.67
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,95,193,435,13.578735632,1.42,1.0854712644,1.0854712644
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,15,15,15,45.022666667,40.546,31.787333333,46.269333333
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,722.68909091,342.83318182,265.05954545,265.05954545
1033199815,ZITNAY,CHRISTOPHER,G,MD,M,I,11 VILLAGE DRIVE,,CAPE MAY COURT HOUSE,NJ,08210,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,60,60,305.26633333,250.9735,196.334,196.44066667
1033199831,ALLEN,MARTIN,A,M.D.,M,I,103 CARTER PARK DR,SUITE A,SENECA,SC,296781152,US,Physician/Obstetrics & Gynecology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,75.474166667,53.544166667
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,177.7445,90.23,55.4495,52.965
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,25,56,82.20625,34,25.359642857,24.648392857
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,115.11941176,55,35.510588235,35.296470588
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,25,25,39.2144,18.15,11.514,11.3716
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,30,30,35.208333333,12.51,8.502,7.927
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,20,37,194,7.308556701,2,1.3259278351,1.3494845361
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.290909091,6.2,3.5345454545,3.3818181818
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,24.957272727,13.09,9.3272727273,9.4
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,112.36117647,13.248823529,9.0988235294,8.6870588235
1033199856,GOODMAN,GEORGE,B,M.D.,M,I,701 BROAD ST,,SEWICKLEY,PA,151431652,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,44,44,204.35318182,32.825454545,22.708636364,21.253636364
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,48,81,81,107.6291358,40.343333333,30.012716049,29.021111111
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,42,74,74,387.68472973,85.545675676,63.910135135,64.520945946
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,19,43,92,155.89695652,32.301847826,23.050978261,23.63923913
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,27,92,80.243478261,17.22,11.12923913,12.189021739
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,15,68,47.095882353,15.031764706,11.785147059,11.886029412
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,45,80,80,204.719125,52.712625,38.41575,39.6495
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,74,92,92,69.631847826,17.6275,12.945869565,13.191086957
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,35.27875,10.23,8.02,8.141875
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,34,67,67,69.905074627,10.133432836,7.3710447761,8.4413432836
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,69,131,722,8.385498615,2.0272853186,1.4528808864,1.4551939058
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,20,24,24,20.33375,6.0416666667,4.34375,4.27125
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,45,56,56,43.389464286,13.661428571,9.7882142857,9.4983928571
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,4430.1,1074.31,833.82058824,833.82058824
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,386.33333333,89.07,66.609444444,69.371666667
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,500.88235294,134.96,105.81,105.35294118
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,34,198,202,272.55638614,30.908267327,22.574752475,23.456287129
1033199955,PUSALAVIDYASAGAR,SNIGDHASMRITHI,S,MBBS,F,I,606 24TH AVE S,SUITE 106,MINNEAPOLIS,MN,554541455,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,32,398.5496875,78.1384375,45.501875,43.9021875
1033199963,NAVA,SAMUEL,,DPM,M,I,4333 N JOSEY LN,SUITE 102,CARROLLTON,TX,750104629,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,24,46,123.5,71.56,56.11,56.1
1033199963,NAVA,SAMUEL,,DPM,M,I,4333 N JOSEY LN,SUITE 102,CARROLLTON,TX,750104629,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,96,50.38,29.19,22.885,22.886666667
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,33,58,54.906206897,8.32,5.8482758621,5.8482758621
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,17,13.291176471,1.42,0.9835294118,0.9835294118
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,39,5.8017948718,1.9571794872,1.5346153846,1.1784615385
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,25,201.73,45.966,34.3952,24.3852
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,65,14.822769231,2.9538461538,2.262,1.544
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,632.43,123.16916667,96.563333333,66.6275
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,81.75,16.842857143,12.377857143,10.217857143
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,15,86,87,47.476781609,7.0512643678,4.8547126437,3.1782758621
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,106.54818182,83.536363636,56.618181818
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,6450,0.17,0.0461984496,0.0362139535,0.0362139535
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1800,1.268,0.1337666667,0.10185,0.10185
1033200183,ATTAWAY,PENNY,,DNP,F,I,1404 N 5TH STREET,,VANDALIA,IL,62471,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,41,41,132,33,25.23902439,25.23902439
1033200688,BROWN,ELISABETH,D,M.D.,F,I,12400 BLOOMFIELD AVE,,SANTA FE SPRINGS,CA,906704750,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,46,111,54.632162162,8.32,4.8684684685,4.8684684685
1033200688,BROWN,ELISABETH,D,M.D.,F,I,12400 BLOOMFIELD AVE,,SANTA FE SPRINGS,CA,906704750,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,39,12.155128205,1.42,0.8276923077,0.8276923077
1033200688,BROWN,ELISABETH,D,M.D.,F,I,12400 BLOOMFIELD AVE,,SANTA FE SPRINGS,CA,906704750,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,8.4,7.88,6.1779,6.1779
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,58,120,67.781083333,7.9909166667,5.3094166667,5.5734166667
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,18,14.047777778,1.42,0.9933333333,0.9933333333
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,261.77666667,117.85,82.974166667,59.031666667
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,29,85.71862069,23.712758621,17.445862069,13.506896552
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,18,18,200.79333333,70.705555556,55.435,42.86
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,17,17,56.853529412,22.647647059,17.750588235,14.06
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,58.835882353,19.221764706,15.067647059,9.12
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,25,98,10.559591837,2.93,2.1893877551,1.4946938776
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,17.75,8.2858333333,6.4966666667,4.65
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,29.449090909,15.22,10.903636364,9.4
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,116.57894737,50.487894737,38.075526316,23.800526316
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,276.00222222,101.36222222,73.533055556,49.213333333
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,32.344166667,27.056666667
1033200795,GROSS,ROBERT,O,D.O.,M,I,800 1ST AVE N,SUITE #1,CLEAR LAKE,IA,504281725,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,94,44.178,32.447333333,27.547333333
1033201033,LUSK,KEVIN,R,M.D.,M,I,115 S MAIN ST,,FERDINAND,IN,475329534,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,45,133,322,65.170776398,8.32,5.7531055901,5.7531055901
1033201033,LUSK,KEVIN,R,M.D.,M,I,115 S MAIN ST,,FERDINAND,IN,475329534,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.65,2.65
1033201033,LUSK,KEVIN,R,M.D.,M,I,115 S MAIN ST,,FERDINAND,IN,475329534,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,36,57,14.496140351,1.4087719298,0.9885964912,0.9929824561
1033201033,LUSK,KEVIN,R,M.D.,M,I,115 S MAIN ST,,FERDINAND,IN,475329534,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,24,115.14291667,71.23,52.269166667,52.526666667
1033201033,LUSK,KEVIN,R,M.D.,M,I,115 S MAIN ST,,FERDINAND,IN,475329534,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,530.555,104.5025,81.9325,59.7925
1033201033,LUSK,KEVIN,R,M.D.,M,I,115 S MAIN ST,,FERDINAND,IN,475329534,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,65.882352941,31.844705882,24.966470588,15.585294118
1033201033,LUSK,KEVIN,R,M.D.,M,I,115 S MAIN ST,,FERDINAND,IN,475329534,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,199.81111111,43.642222222,34.217222222,29.912222222
1033201058,DILELLA,CARL,P,D.O.,M,I,1285 36TH ST STE 100,,VERO BEACH,FL,329606587,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,178,127.21,96.405666667,84.564
1033201058,DILELLA,CARL,P,D.O.,M,I,1285 36TH ST STE 100,,VERO BEACH,FL,329606587,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,85,53.2,41.71,45.687142857
1033201074,PRATT,CHRISTINE,M,PA,F,I,13965 N. 75TH AVENUE,,PEORIA,AZ,853816097,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,45,58,47.371034483,5.4913793103,4.3072413793,3.6889655172
1033201074,PRATT,CHRISTINE,M,PA,F,I,13965 N. 75TH AVENUE,,PEORIA,AZ,853816097,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,11,11,33,33,25.87,25.87
1033201181,STOCKDALE,ROBERT,E,M.D.,M,I,2900 12TH AVE N,STE 503E,BILLINGS,MT,59101,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,2130,0.1983098592,0.13,0.101943662,0.101943662
1033201181,STOCKDALE,ROBERT,E,M.D.,M,I,2900 12TH AVE N,STE 503E,BILLINGS,MT,59101,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,6360,3.4257075472,1.73,1.309418239,1.534490566
1033201181,STOCKDALE,ROBERT,E,M.D.,M,I,2900 12TH AVE N,STE 503E,BILLINGS,MT,59101,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,4740,10.897468354,6.15,4.8036603376,5.602149789
1033201181,STOCKDALE,ROBERT,E,M.D.,M,I,2900 12TH AVE N,STE 503E,BILLINGS,MT,59101,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,37,11.726486486,9.2632432432,7.0840540541,8.2672972973
1033201405,TAGLE,FATIMA,C,NP,F,I,3003 N 3RD ST,SUITE 800,PHOENIX,AZ,850123031,US,Nurse Practitioner,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,26.090909091,16.358181818,11.539090909,10.434545455
1033201405,TAGLE,FATIMA,C,NP,F,I,3003 N 3RD ST,SUITE 800,PHOENIX,AZ,850123031,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,167.93,48.6625,34.24,34.260833333
1033201405,TAGLE,FATIMA,C,NP,F,I,3003 N 3RD ST,SUITE 800,PHOENIX,AZ,850123031,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,16.96,13.3,13.54
1033201405,TAGLE,FATIMA,C,NP,F,I,3003 N 3RD ST,SUITE 800,PHOENIX,AZ,850123031,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,202.70833333,77.36,60.65,54.73
1033201405,TAGLE,FATIMA,C,NP,F,I,3003 N 3RD ST,SUITE 800,PHOENIX,AZ,850123031,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,58.46,18.85,13.261666667,12.735
1033201405,TAGLE,FATIMA,C,NP,F,I,3003 N 3RD ST,SUITE 800,PHOENIX,AZ,850123031,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,180,39.26,30.78,29.51
1033201421,MAGHAMI,ELLIE,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,370,8.0108108108,5.21,4.0653783784,4.0798918919
1033201421,MAGHAMI,ELLIE,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,2586,3.3951237432,2.8,2.1397447796,2.1397447796
1033201421,MAGHAMI,ELLIE,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Otolaryngology,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1656,4.5932125604,3.23,2.5323309179,2.5323309179
1033201421,MAGHAMI,ELLIE,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Otolaryngology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,9410,3.6981934113,0.37,0.2748257173,0.2748257173
1033201421,MAGHAMI,ELLIE,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Otolaryngology,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,136.62133333,30.34,23.78,24.12
1033201421,MAGHAMI,ELLIE,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,114.25,38.65,28.40625,28.40625
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,32,104,253,69.946719368,8.32,6.0843478261,6.0843478261
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,34,54,13.944259259,1.42,1.0538888889,1.0538888889
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.095,3.095,2.2271527778,2.2310694444
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,61.636,48.586666667,38.09,39.146666667
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,155.23148148,4.07,2.97,3.4155555556
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,564.48315789,67.167368421,51.089210526,53.567894737
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,15.58,9.6166666667,7.3800555556,7.3800555556
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1560,0.799025641,0.1339230769,0.1050320513,0.1050320513
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,275,2.9036,0.2192727273,0.1562181818,0.1562181818
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,49.225,17.54,6.7335714286,7.0457142857
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,37.64,29.51,29.51
1033201587,NICHOLS,GARY,,M.D.,M,I,2455 SUMMERFIELD RD,,SANTA ROSA,CA,95405,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,40,40,80.025,33,25.22325,25.22325
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,40,370,39239,4.3951007926,0.5659611611,0.4305616861,0.4305576085
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,23,211,31650,0.1343810427,0.0130331754,0.0098088468,0.0098088468
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,2400,1.6165208333,0.74275,0.5800291667,0.5800291667
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,33,274,33060,4.2582546884,1.3061222021,0.9999007864,0.9999007864
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,67,9090,4.5431639164,2.8228085809,2.1903894389,2.1903894389
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,1560,33.571403846,7.4411730769,5.0362179487,5.7563012821
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,48,356,356,24,24,18.219325843,18.219325843
1033201710,WARVARIV,VASYL,,M.D.,M,I,300 PASTEUR DR,A160 MC 5309,STANFORD,CA,943052200,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,48,613,652,16.052147239,16,12.251671779,12.251671779
1033201918,LAGARDE,NINA,S,NP,F,I,531 ASBURY CIR,SUITE N340,ATLANTA,GA,303221006,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25,5.16875,2.434375,2.394375
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,37,62,66.485322581,8.32,5.6817741935,5.6817741935
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,18,13.806111111,1.42,0.8688888889,0.8688888889
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,32.78,27.45,21.52,22.31
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,26,6.6230769231,5.54,4.34,4.34
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,26,13.062307692,10.93,8.57,8.57
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.4304166667,7.06,5.535,5.85
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,828,0.0990700483,0.0990700483,0.0777173913,0.094263285
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,34,1288,9.1079968944,8.28,6.2872282609,6.2872282609
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,33,720,4.1691944444,3.79,2.9713333333,2.9713333333
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,688,1.187994186,1.08,0.738372093,0.738372093
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,450,4.037,3.67,2.8773333333,2.8773333333
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1836,0.4952505447,0.45,0.3527723312,0.3527723312
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,114.51416667,22.4775,16.3775,12.904166667
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,19.73,6.5557142857,4.62,2.8971428571
1033201959,SCHIERER,CALVIN,L,DO,M,I,9734 ROUTE 19,,HOUGHTON,NY,147448771,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,20,496.026,94.328,71.4275,54.2285
1033202015,BELTRAN,FRANCISCO,V,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,760.48,77.34,60.63,55.040526316
1033202015,BELTRAN,FRANCISCO,V,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,285.6,39.3,30.81,29.586470588
1033202239,GONZALEZ,JOSE,M,MD,M,I,4890 ROSWELL RD,SUITE 100,ATLANTA,GA,303422606,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,45,103,66.587669903,8.32,5.3182524272,5.3182524272
1033202239,GONZALEZ,JOSE,M,MD,M,I,4890 ROSWELL RD,SUITE 100,ATLANTA,GA,303422606,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,21,10.751904762,1.42,1.1171428571,1.1171428571
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,67,144,51.591180556,8.32,6.1095833333,6.1095833333
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.833333333,3.38,2.2083333333,2.2083333333
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,36,15.075277778,1.42,0.9911111111,0.9911111111
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,28,28.46,27.01,21.18,22.188928571
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,29.69,29.04,22.77,23.28
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,5.54,5.54,4.34,4.34
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,44,47,10.93,10.34,8.1006382979,8.5393617021
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,36,72,7.46,7.46,5.85,5.85
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,232,2.91,2.91,2.28125,2.28125
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,80,7.135,6.44,5.04975,5.04975
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,7,7,5.488,5.488
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,4.03,4.03,3.1595,3.1595
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,27,3440,0.4365116279,0.4365116279,0.3333982558,0.3339447674
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,1350,0.27,0.27,0.2116,0.2116
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,3.97,3.97,3.1125,3.1125
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,875,0.2745714286,0.27,0.2116,0.2116
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,425,8.28,8.28,6.3213647059,6.3213647059
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,23,39,430,10.93,10.93,8.4494883721,8.4494883721
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,229,2.4,2.4,1.8816593886,1.8816593886
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,1066,0.45,0.45,0.3321575985,0.3321575985
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,4.85,3.8022580645,4.1632258065
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6336,7.0466666667,0.62,0.4860795455,0.5174431818
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,142.585,44.53,34.91,36.127857143
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,35,35,167.93,47.751428571,36.176285714,37.303714286
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,21.14,4.2411111111,3.2140740741,3.5166666667
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,228.8,67.72,44.982727273,46.650909091
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,49.50106383,16.677659574,11.125957447,12.087659574
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,85.852105263,26.097368421,20.46,22.989473684
1033202502,WAGNER,MARK,E,D.O.,M,I,623 NORTH 5TH STREET,,READING,PA,19601,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,25.568536585,8.0273170732,5.8504878049,6.357804878
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,34,30.869117647,27.45,21.52,22.170588235
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,32,12.378125,10.93,8.57,8.57
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,450,2.1264,1.95,1.5286888889,1.5286888889
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,748,0.1331016043,0.12,0.0940909091,0.0940909091
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,600,1.188,1.08,0.8043333333,0.8043333333
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,20,2460,0.4937886179,0.4498780488,0.3526747967,0.3527642276
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,11,101,1900,13.798605263,5,3.92,4.1188105263
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,12443,0.8009258217,0.37,0.2900851885,0.2900851885
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,31,9695,0.6523940175,0.3,0.235209902,0.2425353275
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,41,14300,1.4340937063,0.6496363636,0.5082538462,0.5151566434
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,34,35,131.18285714,59.8,46.88,48.032
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,34,34,34,138.13647059,43.727058824,34.281764706,36.155294118
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,30.35,14.521,11.3875,11.872
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,148.96652174,49.128695652,38.51,40.360434783
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,18,65,65,150.38153846,53.443538462,41.178307692,40.838769231
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,830.30416667,830.30416667
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,129.54368421,46.74,36.638421053,37.469736842
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,55,61,28.815737705,5.2,4.08,3.977704918
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,24,57.78,27.078333333,21.230416667,22.368333333
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,21,12.56,4.6295238095,3.6295238095,3.8104761905
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,12,12,12,49.855,20.43,16.01,18.17
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,24.01,9.7722222222,7.6611111111,9.1627777778
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,34,264.95,77.74,60.806176471,55.317941176
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,20,20,20,70.2,29.696,23.2825,28.7245
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,30,150,150,65.808466667,15.763,11.9204,14.212333333
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,119.34,21.596428571,16.93,21.53
1033202544,BUFF,DANIEL,,MD,M,I,327 BEACH 19TH STREET,,FAR ROCKAWAY,NY,11691,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,27,148,148,21.214864865,7.1371621622,5.4755405405,6.7212837838
1033202551,FLEMING,DUARD,F,M.D.,M,I,2280 HEMBY LN,,GREENVILLE,NC,278343773,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,139.21333333,65.06,42.958333333,29.495
1033202551,FLEMING,DUARD,F,M.D.,M,I,2280 HEMBY LN,,GREENVILLE,NC,278343773,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,17.29,12.318181818,12.301818182
1033202601,HARRIS,NIKKI,,DO,F,I,40 PATTERSON ST NE,,WASHINGTON,DC,200023334,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,41,139,51.49381295,8.32,5.0051079137,5.0051079137
1033202601,HARRIS,NIKKI,,DO,F,I,40 PATTERSON ST NE,,WASHINGTON,DC,200023334,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.865714286,3.38,2.0821428571,2.0821428571
1033202601,HARRIS,NIKKI,,DO,F,I,40 PATTERSON ST NE,,WASHINGTON,DC,200023334,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,31,64,14.2634375,1.42,0.905,0.905
1033202601,HARRIS,NIKKI,,DO,F,I,40 PATTERSON ST NE,,WASHINGTON,DC,200023334,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,675,144.58818182,113.36,119.02727273
1033202650,BROWN,LEZLEY,,M.D.,F,I,6960 DESTINY DR STE 100,,ROCKLIN,CA,95677,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,54,60.218333333,8.32,6.2798148148,6.2798148148
1033202650,BROWN,LEZLEY,,M.D.,F,I,6960 DESTINY DR STE 100,,ROCKLIN,CA,95677,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,18,13.962222222,1.42,1.1144444444,1.1144444444
1033202809,THETFORD,DAVID,,D.O.,M,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,31,64.010645161,8.32,6.5212903226,6.5212903226
1033202809,THETFORD,DAVID,,D.O.,M,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,23,81.997826087,21.085652174,13.904782609,13.018695652
1033202809,THETFORD,DAVID,,D.O.,M,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,36,297.13444444,95.081666667,67.64,56.395277778
1033203203,D'SOUZA,CAROL,A,M.D.,F,I,12301 SNOW RD,,PARMA,OH,441301002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,63,131,70.891603053,8.32,5.3964122137,5.3964122137
1033203203,D'SOUZA,CAROL,A,M.D.,F,I,12301 SNOW RD,,PARMA,OH,441301002,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,23,26,13.632692308,1.42,0.8592307692,0.8592307692
1033203203,D'SOUZA,CAROL,A,M.D.,F,I,12301 SNOW RD,,PARMA,OH,441301002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,599.155,78,55.4171875,49.5990625
1033203203,D'SOUZA,CAROL,A,M.D.,F,I,12301 SNOW RD,,PARMA,OH,441301002,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,119.52307692,36,26.049230769,27.363846154
1033203401,CALL,ELLEN,W,CFNP,F,I,19021 US HIGHWAY 285,,LA JARA,CO,811400639,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,79.431666667,18.346666667,12.705,7.5925
1033203401,CALL,ELLEN,W,CFNP,F,I,19021 US HIGHWAY 285,,LA JARA,CO,811400639,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,46.616470588,21.463529412,15.909411765,13.049411765
1033203401,CALL,ELLEN,W,CFNP,F,I,19021 US HIGHWAY 285,,LA JARA,CO,811400639,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,191.3375,62.349375,48.88,42.52375
1033203401,CALL,ELLEN,W,CFNP,F,I,19021 US HIGHWAY 285,,LA JARA,CO,811400639,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,19,232.35,60.454210526,47.395263158,38.332631579
1033203401,CALL,ELLEN,W,CFNP,F,I,19021 US HIGHWAY 285,,LA JARA,CO,811400639,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1033203401,CALL,ELLEN,W,CFNP,F,I,19021 US HIGHWAY 285,,LA JARA,CO,811400639,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,273.91464286,96.602857143,72.5975,54.662857143
1033203591,SACHS,ROBERT,J,MD,M,I,2825 8TH AVENUE NORTH,,BILLINGS,MT,59101,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,46,153,53.719477124,8.32,6.3516993464,6.3516993464
1033203591,SACHS,ROBERT,J,MD,M,I,2825 8TH AVENUE NORTH,,BILLINGS,MT,59101,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,26,48,11.145208333,1.42,1.1139583333,1.1139583333
1033203591,SACHS,ROBERT,J,MD,M,I,2825 8TH AVENUE NORTH,,BILLINGS,MT,59101,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,31.61,17.25,13.52,13.54
1033203591,SACHS,ROBERT,J,MD,M,I,2825 8TH AVENUE NORTH,,BILLINGS,MT,59101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,190.64,79.88,62.62,54.72
1033204011,TRAN,DUC,N,DO,M,I,9091 EDINGER AVE,SUITE A,WESTMINSTER,CA,926837458,US,Physician/Osteopathic Manipulative Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,50,83,75.41626506,8.32,4.9507228916,4.9507228916
1033204011,TRAN,DUC,N,DO,M,I,9091 EDINGER AVE,SUITE A,WESTMINSTER,CA,926837458,US,Physician/Osteopathic Manipulative Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,31,32,17.7696875,1.42,0.769375,0.769375
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,18,62,119,61.299159664,8.32,5.2061344538,5.2061344538
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,13,13,62.807692308,51.509230769,40.386153846,33.233846154
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,56,5,3.2510714286,2.3594642857,1.7855357143
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,7.9045454545,6.1945454545,4.0272727273
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,140,49.404666667,29.630666667,19.088
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,105.01636364,82.335454545,58.411818182
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,45.002727273,35.284545455,30.166363636
1033204045,KLEINHESSELINK,JEANNE,M,PMHNP,F,I,1101 9TH ST SE,,SIOUX CENTER,IA,512502501,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1338,1.6193198804,0.1342526158,0.056038864,0.056038864
1033204250,WALTON,DAVID,A,M.D.,M,I,BRIGHAM AND WOMEN'S HOSPITAL,111 CYPRESS STREET,BROOKLINE,MA,02445,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,17,11.565833333,11.7625
1033204250,WALTON,DAVID,A,M.D.,M,I,BRIGHAM AND WOMEN'S HOSPITAL,111 CYPRESS STREET,BROOKLINE,MA,02445,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,78,50.958333333,46.143333333
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,31,85,41.554470588,8.32,5.8627058824,5.8627058824
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,13.363529412,3.38,2.1823529412,2.1823529412
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,22,25,10.4184,1.42,0.9832,0.9832
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,26,55,7.5470909091,2.064,1.5718181818,1.134
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,5.0982352941,1.6058823529,1.1317647059,0.8729411765
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.53,22.4775,17.620833333,13.53
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,45.004,8.0353333333,6.056,3.5506666667
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,16.17,5.1018181818,3.2018181818,2.9109090909
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,56,439.14732143,98.85,72.803571429,50.483571429
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2387,0.2828739003,0.0467616255,0.0320234604,0.0320234604
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,42,4440,1.0324324324,0.1333175676,0.0910247748,0.0910247748
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,12.86,2.9646956522,2.0723043478,2.0723043478
1033204383,WHITE,JOLYNN,M,FNP,F,I,239 BOWLING GREEN RD,,LEXINGTON,MS,390955167,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,52,52,125.88461538,33,22.908846154,22.908846154
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,121.80928571,38.925,28.357142857,28.316428571
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,18,35,35,282.338,91.313714286,65.774285714,61.952857143
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,15,28,70,90.474142857,35.829142857,25.490285714,23.353
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,18,94,52.609574468,20.389361702,14.988297872,13.632021277
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,16,88,54.439545455,15.347727273,10.328977273,10.274659091
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,31,48,48,203.66604167,56.670833333,38.712083333,37.328958333
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,36,40,40,60.838,18.54575,13.79375,13.3435
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,31,57,57,66.756491228,13.06122807,9.5645614035,8.4835087719
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,36,66,389,9.0302313625,2.1588431877,1.5673521851,1.4713367609
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,25,25,21.37,6.1948,4.6756,4.4708
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,24,28,28,43.505,13.543928571,10.24,9.9678571429
1033204409,ALSBROOK,EVERETT,H,M.D.,M,I,680 2ND AVE N,SUITE 201,NAPLES,FL,341025753,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.54
1033204474,RIEVES,SARAH,K,M.D.,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,464.13538462,119.68538462,89.448461538,66.68
1033204474,RIEVES,SARAH,K,M.D.,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,37,177.59081081,45.031891892,35.305675676,27.138108108
1033204474,RIEVES,SARAH,K,M.D.,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,95.272727273,20.13,14.914545455,9.3372727273
1033204474,RIEVES,SARAH,K,M.D.,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,12.29,3.12,2.3104166667,1.5734722222
1033204474,RIEVES,SARAH,K,M.D.,F,I,1905 BLAKE AVE STE 101,,GLENWOOD SPRINGS,CO,816014206,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,874.72,32.295,17.5275,17.535
1033204631,KWON,YONG,K,PA,M,I,5677 BUFORD HWY NE STE 210,,DORAVILLE,GA,303401200,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,38,76,56.837236842,8.32,5.1452631579,5.1452631579
1033204631,KWON,YONG,K,PA,M,I,5677 BUFORD HWY NE STE 210,,DORAVILLE,GA,303401200,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,23,24,14.951666667,1.42,1.0725,1.0725
1033204698,WESTAD,FRANK,H,NP-C,M,I,1134 STATE ROUTE 29,GREENWICH FAMILY HEALTH CENTER,GREENWICH,NY,128346107,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,21,64,45.496875,8.32,5.91046875,5.91046875
1033204748,ALMAND,MARSHALL,D,MD,M,I,1301 WELL BROOK CIRCLE,,CONYERS,GA,300123873,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,24,64,135,60.764592593,8.32,6.0106666667,6.0106666667
1033204748,ALMAND,MARSHALL,D,MD,M,I,1301 WELL BROOK CIRCLE,,CONYERS,GA,300123873,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,29,16.290689655,1.42,1.0772413793,1.0772413793
1033204748,ALMAND,MARSHALL,D,MD,M,I,1301 WELL BROOK CIRCLE,,CONYERS,GA,300123873,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,6285,1.0788544153,0.37,0.2457931583,0.2457931583
1033204748,ALMAND,MARSHALL,D,MD,M,I,1301 WELL BROOK CIRCLE,,CONYERS,GA,300123873,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,65.9,24.6355,19.3155,15.062
1033204748,ALMAND,MARSHALL,D,MD,M,I,1301 WELL BROOK CIRCLE,,CONYERS,GA,300123873,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33.166666667,33,21.558333333,21.558333333
1033204805,SALVATORE,DAWN,M,M.D.,F,I,111 S 11TH ST,SUITE 6270,PHILADELPHIA,PA,191074824,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,80,52.81875,24.835,19.470625,19.245625
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,36,5.72,3,1.5669444444,1.9961111111
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,55,203,543,70.181510129,8.32,5.5117495396,5.5117495396
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,10.678823529,3.38,2.4941176471,2.4941176471
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,18.379166667,2.12,1.2525,1.2525
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,31,76,129,17.680465116,1.42,0.9594573643,0.9594573643
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,18,44.862222222,26.001666667,18.750555556,20.8
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,12,10.9,5.49,3.225,3.66
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,19,15.796842105,10.93,6.8863157895,6.8863157895
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,1260,0.2544285714,0.13,0.0857301587,0.0857301587
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,138.02,43.84,31.505833333,33.290833333
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,23,23,124.67826087,52.826086957,39.88173913,39.837826087
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,24.01,9.7525,7.645625,9.26875
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,396.21172414,77.74,60.95,54.944482759
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2366,0.6793913779,0.0458114962,0.0357692308,0.0357692308
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,780,10.021576923,3.0074615385,2.1824615385,2.1824615385
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,69.89,16.054117647,12.583529412,15.016470588
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.57,7,5.49,6.8433333333
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,40.66,31.88,29.51
1033205117,PLOKAMAKIS,MICHAEL,,M.D.,M,I,2597 38TH STREET,,ASTORIA,NY,11103,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,28,28,33,33,25.87,25.87
1033205190,CHANG,NANCY,M,M.D.,F,I,622 W 168TH ST,,NEW YORK,NY,100323720,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,20,116.414,8.32,5.221,5.221
1033205232,CHUNG,HEIWON,,MD,F,I,1240 S CEDAR CREST BLVD,SUITE 205,ALLENTOWN,PA,181036369,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,13,323.89538462,307.03769231,234.01846154,252.75615385
1033205265,ACKERMAN,KENNETH,,M.D.,M,I,277 NORTHERN BLVD,3RD FLOOR,GREAT NECK,NY,110214703,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,43,101,74.744851485,8.32,5.6069306931,5.6069306931
1033205265,ACKERMAN,KENNETH,,M.D.,M,I,277 NORTHERN BLVD,3RD FLOOR,GREAT NECK,NY,110214703,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,23,15.051304348,1.42,0.8252173913,0.8252173913
1033205265,ACKERMAN,KENNETH,,M.D.,M,I,277 NORTHERN BLVD,3RD FLOOR,GREAT NECK,NY,110214703,US,Physician/Internal Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,0.39,0.13,0.0934083333,0.0934083333
1033205265,ACKERMAN,KENNETH,,M.D.,M,I,277 NORTHERN BLVD,3RD FLOOR,GREAT NECK,NY,110214703,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,4.35,1.73,1.3050166667,1.5480625
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,224,468,468,85.563055556,39.51258547,29.326602564,28.884679487
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,118,232,232,251.79827586,86.571637931,62.96512931,62.951724138
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,56,110,313,91.765495208,32.277539936,24.353258786,24.929488818
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,38,86,485,50.231092784,18.428824742,13.732391753,13.834453608
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,52,122,672,37.794077381,15.366979167,11.145535714,11.011696429
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,153,347,347,164.4473487,52.318731988,38.760634006,40.537060519
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,236,304,304,49.264539474,17.304078947,12.631743421,13.11625
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,43,87,87,66.527356322,12.222298851,9.0113793103,8.6035632184
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,252,537,3131,6.5370712233,2.0946790163,1.563430214,1.5175087831
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,70,93,93,22.935053763,5.9175268817,4.3924731183,4.4034408602
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,108,139,139,31.48057554,12.267482014,9.3489208633,10.031438849
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,48.208333333,37.7975,40.125
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43.11,33.8,37.310833333
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,380.945,83.761428571,63.311428571,66.47
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,633.12166667,227.12,178.06111111,184.98722222
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,69,69,69,344.43985507,136.05304348,104.37,102.84217391
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,81.75,12.375652174,8.4456521739,8.3182608696
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,23.233265306,4.3089795918,3.1528571429,3.2993877551
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,120,709,709,122.36126939,31.383455571,23.817503526,24.836078984
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,83,90,348.36722222,71.600444444,52.174888889,51.427
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,199.37384615,36.3,27.365384615,28.385
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,27,5908,0.5073476642,0.0468398781,0.0351743399,0.0351726473
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,24,2550,1.7046784314,0.1328235294,0.0955960784,0.0955960784
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,1140,10.56545614,2.9621578947,2.1965,2.1965
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,30,78.856,36.213333333,26.494666667,27.28
1033205323,AKERS,STEPHEN,M,MD,M,I,900 CENTENNIAL BLVD,SUITE K,VOORHEES,NJ,080434689,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,20,55,55,49.636363636,33,24.458909091,24.458909091
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,320,171.23636364,134.25181818,102.69454545
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,31.954054054,7.3335135135,5.4272972973,3.3891891892
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,276.89263158,85.537631579,60.495526316,48.949736842
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2610,1.1690727969,0.1312375479,0.0882681992,0.0882681992
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.16,11.510909091,9.0263636364,7.0090909091
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,200,43.611,29.2645,25.087
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1761.17,203.11727273,159.23909091,123.89727273
1033205521,TOWNSEND,BRADLEY,M,M.D.,M,I,1413 SOUTH SECOND STREET,,CLINTON,MO,64735,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,32,54.65625,33,21.9771875,21.9771875
1033205547,KLEE,KAREN,C,MD,F,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,36,110,305,68.582622951,8.3078032787,5.9285245902,5.9403278689
1033205547,KLEE,KAREN,C,MD,F,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,17,29,10.224137931,1.42,1.0382758621,1.0382758621
1033205547,KLEE,KAREN,C,MD,F,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,70,52.258571429,17.99,12.477714286,11.985571429
1033205547,KLEE,KAREN,C,MD,F,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,39,39,89.365384615,49.88,32.747435897,31.541282051
1033205547,KLEE,KAREN,C,MD,F,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50,6.5784615385,5.1569230769,3.6384615385
1033205547,KLEE,KAREN,C,MD,F,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,91,91,371.90978022,72.698351648,52.666923077,50.838571429
1033205729,HAGBERG,STEPHEN,,MD,M,I,1125 7TH AVE,,BEAVER FALLS,PA,150104426,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,57,65.969824561,8.32,5.148245614,5.148245614
1033205729,HAGBERG,STEPHEN,,MD,M,I,1125 7TH AVE,,BEAVER FALLS,PA,150104426,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,5.6872727273,3.9363636364,3.0727272727
1033205778,WOIWODE,NORA,,MD,F,I,401 OLD SAN FRANCISCO RD,,SUNNYVALE,CA,940866387,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,53,152,79.536578947,8.32,5.3817105263,5.3817105263
1033205877,FERRI,JEANNIE,A,FNP,F,I,629 NUCKOLLS RD,,BOLIVAR,TN,380081599,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,31,72,51.53125,8.32,4.1672222222,4.1672222222
1033205877,FERRI,JEANNIE,A,FNP,F,I,629 NUCKOLLS RD,,BOLIVAR,TN,380081599,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.1,2.0236363636,1.5863636364,1.15
1033205877,FERRI,JEANNIE,A,FNP,F,I,629 NUCKOLLS RD,,BOLIVAR,TN,380081599,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.4536363636,1.1390909091,0.9622727273
1033205877,FERRI,JEANNIE,A,FNP,F,I,629 NUCKOLLS RD,,BOLIVAR,TN,380081599,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,19.340909091,9.6199090909,7.3246212121,7.3246212121
1033205877,FERRI,JEANNIE,A,FNP,F,I,629 NUCKOLLS RD,,BOLIVAR,TN,380081599,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1033206065,CLARK,CHARLES,H,MD,M,I,800 ST VINCENTS DRIVE,#700,BIRMINGHAM,AL,35205,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,193.75,56.560769231,44.343846154,37.142307692
1033206065,CLARK,CHARLES,H,MD,M,I,800 ST VINCENTS DRIVE,#700,BIRMINGHAM,AL,35205,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,1350,1328.44,991.01555556,860.42388889
1033206099,DIZON,MARIA THERESA,C,MD,F,I,3288 MOANALUA RD,,HONOLULU,HI,968191469,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,153.44,17.59,12.536363636,12.3
1033206099,DIZON,MARIA THERESA,C,MD,F,I,3288 MOANALUA RD,,HONOLULU,HI,968191469,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,81.09,52.011818182,44.779090909
1033206123,GIRARDI,LEONARD,,MD,M,I,525 E 68TH ST # M404,,NEW YORK,NY,100654870,US,Physician/Cardiac Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,138.02,43.089565217,33.780869565,35.966086957
1033206149,PORAYKO,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Gastroenterology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,29,1186,2.2331618887,0.5087942664,0.3988785835,0.3988785835
1033206149,PORAYKO,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,36,287,26772,4.4412277753,0.5709442701,0.4038790527,0.4065392948
1033206149,PORAYKO,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,32,4170,1.4133693046,0.7405683453,0.5652661871,0.5652661871
1033206149,PORAYKO,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,66,7008,3.8506949201,1.2816866438,0.9210459475,0.9822246005
1033206149,PORAYKO,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,37,259,259,24,24,17.38046332,17.38046332
1033206149,PORAYKO,MICHAEL,,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,24,128,141,16,16,11.918368794,11.918368794
1033206404,BYRON,DEBORAH,H,M.D.,F,I,121 N 20TH ST,#6,OPELIKA,AL,368015449,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,26,58,169,68.295857988,8.32,5.7505325444,5.7505325444
1033206404,BYRON,DEBORAH,H,M.D.,F,I,121 N 20TH ST,#6,OPELIKA,AL,368015449,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,23,34,15.295,1.42,1.0164705882,1.0164705882
1033206404,BYRON,DEBORAH,H,M.D.,F,I,121 N 20TH ST,#6,OPELIKA,AL,368015449,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,28,335,70.444642857,51.295357143,50.908928571
1033206404,BYRON,DEBORAH,H,M.D.,F,I,121 N 20TH ST,#6,OPELIKA,AL,368015449,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,150,37.719375,27.485,27.348125
1033206453,RINCON,CAMILO,A,MD,M,I,7824 LAKE UNDERHILL RD,SUITE A,ORLANDO,FL,328228201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,26,84,73.335952381,8.32,5.7455952381,5.7455952381
1033206453,RINCON,CAMILO,A,MD,M,I,7824 LAKE UNDERHILL RD,SUITE A,ORLANDO,FL,328228201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,23,12.61173913,1.42,0.9686956522,0.9686956522
1033206453,RINCON,CAMILO,A,MD,M,I,7824 LAKE UNDERHILL RD,SUITE A,ORLANDO,FL,328228201,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,236.4,90.24,70.75,68.633636364
1033206453,RINCON,CAMILO,A,MD,M,I,7824 LAKE UNDERHILL RD,SUITE A,ORLANDO,FL,328228201,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,23,96.476521739,35,27.44,26.382173913
1033206453,RINCON,CAMILO,A,MD,M,I,7824 LAKE UNDERHILL RD,SUITE A,ORLANDO,FL,328228201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,16.36,12.83,13.54
1033206453,RINCON,CAMILO,A,MD,M,I,7824 LAKE UNDERHILL RD,SUITE A,ORLANDO,FL,328228201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,222.94117647,79.2,62.09,55.162941176
1033206792,FORD,SANDRA,,NP,F,I,299 E RIVER RD,,OSWEGO,NY,131266400,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,34,8.19,1.48,1.16,1.1523529412
1033206792,FORD,SANDRA,,NP,F,I,299 E RIVER RD,,OSWEGO,NY,131266400,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,5.91,1.09,0.855,0.95125
1033206792,FORD,SANDRA,,NP,F,I,299 E RIVER RD,,OSWEGO,NY,131266400,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,8.78,7.4945454545,5.8745454545,7.5045454545
1033206792,FORD,SANDRA,,NP,F,I,299 E RIVER RD,,OSWEGO,NY,131266400,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,20,50.73,3.8875,3.0425,3.66
1033206792,FORD,SANDRA,,NP,F,I,299 E RIVER RD,,OSWEGO,NY,131266400,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,18.92,14.19,10.378666667,12.390666667
1033206792,FORD,SANDRA,,NP,F,I,299 E RIVER RD,,OSWEGO,NY,131266400,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,25.87,25.87
1033206941,LARSON,JEAN,M,MD,F,I,417 STATE ST STE 121,,BANGOR,ME,044016630,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,129,1262,25.499445325,13.126782884,10.227527734,10.227527734
1033206941,LARSON,JEAN,M,MD,F,I,417 STATE ST STE 121,,BANGOR,ME,044016630,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,61,420,450,268.34961905,210.38497619,210.38497619
1033206941,LARSON,JEAN,M,MD,F,I,417 STATE ST STE 121,,BANGOR,ME,044016630,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,69,478,498.9748954,326.76786611,256.18625523,256.18625523
1033206941,LARSON,JEAN,M,MD,F,I,417 STATE ST STE 121,,BANGOR,ME,044016630,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,131,905,93.19160221,9.3477900552,7.3282651934,7.3282651934
1033206941,LARSON,JEAN,M,MD,F,I,417 STATE ST STE 121,,BANGOR,ME,044016630,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,131,905,295.91034254,29.212928177,22.903016575,22.903016575
1033207220,GRAHAM,MARY,O,M.D.,F,I,1020 INDEPENDENCE BLVD,SUITE 103,VIRGINIA BEACH,VA,234555500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,74.5695,8.32,5.217,5.217
1033207238,SHILLINGBURG,WENDI,S,PA-C,F,I,924 SETON DR,,CUMBERLAND,MD,215021851,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,14.2325,4.55,2.535,2.535
1033207337,WAY,JAMILA,E,,F,I,5500 MILAN DR,,ORLANDO,FL,328104405,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,29,36.274137931,8.32,6.5237931034,6.5237931034
1033207626,VILLABONA,CLAUDIA,,MD,F,I,5850 LANDERBROOK DR STE 100,,MAYFIELD HTS,OH,441244071,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,25.87,25.87
1033207733,PROSSER,JOHN,R,M.D.,M,I,6510 E SPRING ST,,LONG BEACH,CA,908151554,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,6.9,4.31,3.38,3.38
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,48,174,469,58.379616205,8.32,5.7261407249,5.7261407249
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.746666667,3.38,2.4873333333,2.4873333333
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,38,64,14.43703125,1.42,1.0815625,1.0815625
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,130.90230769,51.509230769,37.126153846,29.059230769
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,28,197.32928571,47.200357143,36.946428571,25.858928571
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,72,91.875972222,27.041111111,20.5475,14.891388889
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,267.73555556,78.266666667,58.741111111,41.901666667
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,19,19,89.060526316,25.823157895,18.345263158,13.101052632
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,28,145,15.083931034,3.3979310345,2.6237241379,1.6833103448
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,414.09758621,71.626896552,53.506206897,37.57
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,31,86.31,21.699032258,16.048387097,12.657096774
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,25,232.35,60.062,46.0432,37.6532
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,53.812727273,7.4295454545,5.4395454545,3.7336363636
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,232.3926087,49.679565217,38.946086957,24.733043478
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,68,75,519.51,99.151466667,74.1392,51.8744
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,44.560909091,31.950909091,26.832727273
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,15.58,9.6264782609,7.448884058,7.448884058
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4790,0.2213549061,0.0457265136,0.0353716075,0.0353716075
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1170,0.92,0.1342307692,0.1005982906,0.1005982906
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,2.8968571429,2.2711547619,2.2711547619
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,303.87461538,250.9,192.08384615,192.24769231
1033207824,BAUSHER,JOHN,C,"MD, PHD",M,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,41,41,124.75609756,33,25.23902439,25.23902439
1033207915,COHEN,IRA,R,DPM,M,I,9901 PARAMOUNT BLVD,STE 202,DOWNEY,CA,902403853,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,101,101,202,72.772277228,71.56,56.105,56.105
1033207915,COHEN,IRA,R,DPM,M,I,9901 PARAMOUNT BLVD,STE 202,DOWNEY,CA,902403853,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,90,90,540,30,29.19,22.885,22.885703704
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,41,116,279,68.66827957,8.32,5.8443369176,5.8443369176
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,22,27,16.075185185,1.42,0.9933333333,0.9933333333
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,27,51,51,85.944117647,38.510392157,29.004705882,29.266666667
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,26,93.407307692,71.56,56.105384615,56.104615385
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,12,52,76.423076923,43.56,34.151923077,34.15
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,17,33,33,306.73393939,86.933636364,66.205454545,65.912727273
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,17,38,82,110.63939024,33.056341463,25.915121951,25.917926829
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,16,35,182,63.865054945,18.165714286,12.927252747,13.23532967
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,11,24,126,40.730555556,15.279285714,11.706587302,11.62468254
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,30,62,62,185.735,55.497258065,40.853387097,40.287741935
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,42,58,58,65.857586207,17.948793103,13.581551724,13.575172414
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,14,30,30,58.205333333,11.054333333,8.3736666667,8.8366666667
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,38,76,441,7.6175736961,1.9880952381,1.5031972789,1.5336054422
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,15.515454545,5.7945454545,3.7245454545,3.8409090909
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,26,32,32,41.236875,13.248125,9.7390625,9.6953125
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,53.433478261,18.005217391,12.262608696,11.78
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,250.995,69.99,45.725,45.616111111
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,150.48648649,13.315945946,9.3181081081,9.3381081081
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,20,137,137,230.29941606,32.363722628,22.302043796,22.378540146
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,42,437.29785714,69.99,48.316428571,48.213095238
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,550,0.3273272727,0.2190909091,0.1718181818,0.1718181818
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,64,38.68,27.563636364,27.563636364
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,4684.8472727,185.83636364,145.69363636,143.24181818
1033208087,BRANK,ADAM,S,M.D.,M,I,4501 S 70TH ST,SUITE 130,LINCOLN,NE,685164282,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,25.87,25.87
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,33,72,185,67.178756757,8.32,5.8745945946,5.8745945946
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,13.824285714,3.38,2.0821428571,2.0821428571
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,20.214545455,2.12,1.3663636364,1.3663636364
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,34,46,13.083043478,1.42,0.9232608696,0.9232608696
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,440,2.4645454545,2.2620454545,1.7734545455,1.7797045455
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1380,4.4604347826,1.73,1.2604565217,1.5034565217
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,23,12.75173913,10.93,8.57,8.57
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,23,9.367826087,7.35,5.7604347826,5.8495652174
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,305.5575,85.52,66.960833333,67.6275
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,106,7.7623584906,2.02,1.5849056604,1.5924528302
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,78.666666667,4,3.135,3.5666666667
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,89.28,32.226363636,25.265454545,25.501818182
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,569.04230769,65.7,47.547692308,50.582307692
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,1980,3.1886818182,0.5710909091,0.4372878788,0.4372878788
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,4080,2.5449215686,1.2561078431,0.9577647059,0.9577647059
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,61,17.859090909,14.004545455,14.262727273
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,24,24,18.82,18.82
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,30,16,16,12.122666667,12.122666667
1033208145,KNAPP,JAMES,C,M.D.,M,I,911 E TUOLUMNE RD,,TURLOCK,CA,953821543,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,69,33,21.166363636,21.166363636
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,37,115,50.364782609,8.32,5.9546956522,5.9546956522
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,36,13.116111111,1.42,0.9913888889,0.9913888889
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,A4363,"Ostomy clamp, any type, replacement only, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,3.86,2.67,1.71,1.71
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,34,7.4452941176,6.44,4.1558823529,4.1558823529
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,469,199.68017058,5.31,4.1631130064,4.1631130064
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,5234,3.2197726404,0.37,0.2796580053,0.2796580053
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,173.44153846,35.574615385,27.89,27.088461538
1033208178,HSU,JENNY,N,MD,F,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.04,3.95,3.95
1033209408,KRAWCZYK,NICHOLAS,W,MD,M,I,1020 W BROADWAY AVE,,MINNEAPOLIS,MN,554112504,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,43,129,75.153410853,8.32,5.3596899225,5.3596899225
1033209473,CUNNINGHAM,ERIC,S,DO,M,I,3701 LOOP RD,,TUSCALOOSA,AL,354045015,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,17.29,13.55,13.535
1033209473,CUNNINGHAM,ERIC,S,DO,M,I,3701 LOOP RD,,TUSCALOOSA,AL,354045015,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,54,6.0324137931,4.5624137931,3.6110344828
1033209473,CUNNINGHAM,ERIC,S,DO,M,I,3701 LOOP RD,,TUSCALOOSA,AL,354045015,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,360,70.23,51.6584375,51.36125
1033209606,HICKERSON,WILLIAM,L,MD,M,I,890 MADISON AVE,SUITE TG032,MEMPHIS,TN,381033409,US,Physician/Plastic and Reconstructive Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.872,3.52,2.7595,3.0326666667
1033209606,HICKERSON,WILLIAM,L,MD,M,I,890 MADISON AVE,SUITE TG032,MEMPHIS,TN,381033409,US,Physician/Plastic and Reconstructive Surgery,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,5.72,5.36,3.9033541667,3.9033541667
1033209606,HICKERSON,WILLIAM,L,MD,M,I,890 MADISON AVE,SUITE TG032,MEMPHIS,TN,381033409,US,Physician/Plastic and Reconstructive Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1000,0.12774,0.0912,0.07144,0.07144
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,38,76.152105263,8.32,6.1781578947,6.1781578947
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,24,11.257083333,1.42,1.1154166667,1.1154166667
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,1975,1.7727443038,0.426435443,0.3186531646,0.3186531646
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,780,5.314974359,2.6120769231,1.7262948718,1.7262948718
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,24,93,44472,1.4507022396,1.2407397913,0.9285300863,0.9458670624
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,73,150,776,90640,4.3455627758,0.5581122021,0.411440865,0.4145827449
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,39,113,611,97345,0.0583165032,0.013006215,0.0098653244,0.0098858698
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,44,4620,1.6421688312,0.743,0.5660562771,0.5660562771
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,24,159,22394,4.6749254265,1.2475819416,0.9568504957,0.9568504957
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,68,157,811,163088,4.45685777,2.8017796527,2.1005251766,2.1565028083
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,39,1543,22.138139987,7.474154245,5.4736552171,5.6404731043
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,11,20,117,32511,10.107489773,8.4597293224,6.6027953616,6.6027947464
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,100,240,1042,1042,24.034548944,24,18.399856046,18.399856046
1033209713,WISEMAN,ALEXANDER,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,101,244,1348,1608,16.228855721,16,12.319695274,12.319695274
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,28,61,132,70.061590909,8.32,5.8291666667,5.8291666667
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.756363636,3.38,2.65,2.65
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,32,33,14.123333333,1.42,0.9836363636,0.9836363636
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,19,19,160.09473684,40,24.757894737,24.162631579
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,30,8.8766666667,1.58,1.1566666667,1.082
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,282.6247619,51.26,33.546190476,35.897619048
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,84.734,17.12,11.639333333,12.300666667
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,36,204,12.365588235,2,1.476127451,1.4972058824
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,16.97,8.8733333333,9.0693333333
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,3211.82,913.16,715.92,836.99583333
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,55.04,3.8985185185,2.947037037,3.542962963
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,545.56081081,71.11,44.338378378,43.594324324
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,48,2880,15.817253472,9.6389791667,7.4667777778,7.4667777778
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2374,0.2855644482,0.0457961247,0.0312468408,0.0312468408
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1530,0.92,0.1332745098,0.0884313725,0.0884313725
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,50,2970,12.779723906,2.9842828283,2.2959023569,2.2959023569
1033209846,EVANS,THOMAS,R,M.D.,M,I,1070 N CHERRY ST,,TULARE,CA,932742251,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,74,74,130.66216216,33,24.211351351,24.211351351
1033210042,MORRIS,ARDEN,M,MD,F,I,300 PASTEUR DR,RM H3591 MC 5641,STANFORD,CA,943052200,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.2089166667,3.84,2.759625,2.8037083333
1033210042,MORRIS,ARDEN,M,MD,F,I,300 PASTEUR DR,RM H3591 MC 5641,STANFORD,CA,943052200,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,309,4.2333333333,2.91,2.0377346278,2.0377346278
1033210042,MORRIS,ARDEN,M,MD,F,I,300 PASTEUR DR,RM H3591 MC 5641,STANFORD,CA,943052200,US,Physician/Colorectal Surgery (Proctology),S,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.155,1.61,1.265,1.265
1033210042,MORRIS,ARDEN,M,MD,F,I,300 PASTEUR DR,RM H3591 MC 5641,STANFORD,CA,943052200,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,325,0.9840307692,0.27,0.2116,0.2116
1033210430,MCCARTHY,ANDREW,D,MD,M,I,219 S WASHINGTON ST,,EASTON,MD,216012913,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,16,65.390625,18.645625,13.85875,14.644375
1033210430,MCCARTHY,ANDREW,D,MD,M,I,219 S WASHINGTON ST,,EASTON,MD,216012913,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,32.68,8.85,6.9383333333,7.3508333333
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,30,30,30,112.607,50.87,39.89,37.260333333
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,129.41,56.01,43.91,41.930909091
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,30,30,150,51.254,31.715666667,30.304666667
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,80.081666667,21.62,16.95,17.975
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,16,16,16,82.5775,33.4,26.19,28.5525
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,21,86,105,60,24.028571429,18.181904762,14.653904762
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,74.814814815,39.734444444,30.148148148,25.664444444
1033210497,KHOSA,RUPDEV,S,M.D.,M,I,550 W DUARTE RD STE 4,,ARCADIA,CA,910077360,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,54,59,20,9.2155932203,7.0022033898,6.69
1033210646,WIQAS,AZRA,,MD,F,I,8602 MUSKET ST,,QUEENS VILLAGE,NY,114272718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,28,77,153,75.931633987,8.32,5.5086928105,5.5086928105
1033210646,WIQAS,AZRA,,MD,F,I,8602 MUSKET ST,,QUEENS VILLAGE,NY,114272718,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,27,31,32.359677419,1.42,1.0096774194,1.0096774194
1033210646,WIQAS,AZRA,,MD,F,I,8602 MUSKET ST,,QUEENS VILLAGE,NY,114272718,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,138,7.7534782609,5.54,4.3428985507,4.3428985507
1033210646,WIQAS,AZRA,,MD,F,I,8602 MUSKET ST,,QUEENS VILLAGE,NY,114272718,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,300,3.906,3.04,2.3834333333,2.3834333333
1033210653,ARGYROS,THERESE,G,FNP,F,I,4712 E DYNAMITE BLVD,,CAVE CREEK,AZ,853316243,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,44,68.6325,8.32,6.2254545455,6.2254545455
1033210653,ARGYROS,THERESE,G,FNP,F,I,4712 E DYNAMITE BLVD,,CAVE CREEK,AZ,853316243,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4907638889,7.4907638889
1033210653,ARGYROS,THERESE,G,FNP,F,I,4712 E DYNAMITE BLVD,,CAVE CREEK,AZ,853316243,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0705454545,2.4073333333,2.4073333333
1033210653,ARGYROS,THERESE,G,FNP,F,I,4712 E DYNAMITE BLVD,,CAVE CREEK,AZ,853316243,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,25.87,25.87
1033210745,CLARKSON,TODD,F,DO,M,I,13020 PARK BLVD,,SEMINOLE,FL,33776,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,23,87,84.756206897,8.32,6.1474712644,6.1474712644
1033210745,CLARKSON,TODD,F,DO,M,I,13020 PARK BLVD,,SEMINOLE,FL,33776,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,22.135,4.0633333333,1.51,1.85
1033210745,CLARKSON,TODD,F,DO,M,I,13020 PARK BLVD,,SEMINOLE,FL,33776,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,79.88,79.88,55.788571429,48.640952381
1033210893,MOHAMED,SHARAB,,M.D.,M,I,3345 JOG RD,,GREENACRES,FL,334672010,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,24,71,52.457042254,8.32,5.3704225352,5.3704225352
1033210893,MOHAMED,SHARAB,,M.D.,M,I,3345 JOG RD,,GREENACRES,FL,334672010,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,12,14,11.229285714,1.42,1.0371428571,1.0371428571
1033210984,DICKENS,RIO,D,M.D.,F,I,3811 VALLEY CENTRE DR,,SAN DIEGO,CA,921303318,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,32,34.730625,8.32,3.763125,3.763125
1033210984,DICKENS,RIO,D,M.D.,F,I,3811 VALLEY CENTRE DR,,SAN DIEGO,CA,921303318,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,45.81,32.926666667,34.530833333
1033211065,HALL,BURT,W,MD,M,I,65 WALNUT ST,SUITE 590,WELLESLEY,MA,02481,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,54,53.294814815,8.32,5.7983333333,5.7983333333
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,137.26916667,44.345416667,34.76625,36.174166667
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,146.89,48.015,37.646818182,40.373181818
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,24.28,8.8921428571,6.1171428571,6.88
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,134.38,48.659259259,38.147407407,39.578148148
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,128.98,48.565384615,38.076923077,38.586153846
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,27.985714286,10.258571429,8.0371428571,8.2623809524
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,24.01,9.5457575758,5.23,6.5006060606
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,54,54,118.42425926,25.097222222,18.023518519,20.338333333
1033211255,JAIN,MADHU,,MD,F,I,2381 LAWRENCEVILLE ROAD,,LAWRENCEVILLE,NJ,08648,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,21.738666667,7.9706666667,5.032,5.8293333333
1033211313,ALAM,BIRJIS,K,MD,F,I,12781 MIRAMAR PKWY,SUITE 101,MIRAMAR,FL,330272906,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,40,17.89,11.15875,8.75475,8.4215
1033211438,PASCUAL,HONESTO,C,M.D.,M,I,1901 TOWN AND COUNTRY DR,STE. 104,NORCO,CA,928603611,US,Physician/Allergy/ Immunology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,31,52,63.270769231,8.32,6.2723076923,6.2723076923
1033211438,PASCUAL,HONESTO,C,M.D.,M,I,1901 TOWN AND COUNTRY DR,STE. 104,NORCO,CA,928603611,US,Physician/Allergy/ Immunology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,16,13.96125,1.42,0.98,0.98
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,38,107,44.687570093,8.32,6.011682243,6.011682243
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,17.142857143,3.38,2.65,2.65
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,26,40,14.64425,1.42,1.06,1.06
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,57.121538462,23.121538462,17.36025641,12.990512821
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,162.64121951,7.5870731707,5.7531707317,3.6487804878
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,226.58967742,106.87290323,80.194193548,51.458064516
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,2077,1.0449494463,0.0471015888,0.0322628792,0.0322628792
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,30.261904762,26.845238095,18.301428571,11.227619048
1033211479,CASAMA,ROGELIO,A,MD,M,I,537 KENTUCKY AVE STE A,,BOGALUSA,LA,704273913,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,35,55.628571429,33,23.652571429,23.652571429
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.47,1.0454545455,1.0454545455
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,227.03272727,54.96,43.09,42.880909091
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,65.552307692,12.07,8.7415384615,8.4276923077
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,62,9.9506451613,2.22,1.6848387097,1.5569354839
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,86.31,17.25,11.717333333,11.737333333
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,519.51,69.62,48.295666667,48.440666667
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.66925,7.3846111111,7.3846111111
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,480,0.75,0.2187916667,0.1715416667,0.1715416667
1033211495,COONEY,JOSEPH,O,M.D.,M,I,50 MAIN STREET,ROOM 019,STOCKBRIDGE,MA,012620238,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,117.85714286,33,22.174285714,22.174285714
1033211594,COLLEY,FLOYD,D,O.D.,M,I,2105 TOWN ST,,PENSACOLA,FL,325055117,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,100,77.93,56.506923077,49.376153846
1033211792,ANDERSON,PHILIP,R,MD,M,I,518 LANDMARK HILL RTE 1,A7,KITTERY,ME,039042500,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,240,12.88,10.93,8.569125,8.569125
1033212022,OESTREICHER,LEONARD,M,MD,M,I,374 W OLIVE AVENUE,SUITE B,MERCED,CA,95348,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,34,89,202,65.033366337,8.32,5.9080693069,5.9080693069
1033212022,OESTREICHER,LEONARD,M,MD,M,I,374 W OLIVE AVENUE,SUITE B,MERCED,CA,95348,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,21,40,50,15.9856,1.42,0.9836,0.9836
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,11,23,54,42.471296296,8.32,6.2792592593,6.2792592593
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,15,8.3633333333,1.42,1.0426666667,1.0426666667
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,8.96,1.66625,1.226875,1.121875
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,38.298181818,20.074545455,15.736363636,10.171818182
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,62,4.0687096774,2.6867741935,2.1064516129,1.610483871
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,102,102,38.977058824,21.927058824,16.223627451,12.881960784
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1180.4,1001.46,777.54,834.65090909
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,111.71,45.665,33.94625,23.13875
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,116,116,233.49586207,97.680517241,71.843793103,51.778448276
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2010,2.0779452736,0.1318059701,0.095199005,0.095199005
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,870,7.2022298851,2.9954827586,2.3484712644,2.3484712644
1033212279,KNOWLES,BRIAN,K,D.O.,M,I,624 W. LOCKLING ST,,BROOKFIELD,MO,646282336,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,29,33,33,24.085862069,24.085862069
1033212287,GIBSON,TIFFANY,S,"APRN,BC, MN, RNC",F,I,291 BROAD ST,,KERNERSVILLE,NC,272842932,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,88,54.588181818,8.32,5.6465909091,5.6465909091
1033212287,GIBSON,TIFFANY,S,"APRN,BC, MN, RNC",F,I,291 BROAD ST,,KERNERSVILLE,NC,272842932,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,21,13.020952381,1.42,1.1142857143,1.1142857143
1033212287,GIBSON,TIFFANY,S,"APRN,BC, MN, RNC",F,I,291 BROAD ST,,KERNERSVILLE,NC,272842932,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,476.72285714,70.23,47.375714286,47.132857143
1033212915,MAHESHWARI,NEHA,,MD,F,I,1343 N ALMA SCHOOL RD,205,CHANDLER,AZ,852245941,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,30,79,62.19556962,8.32,6.3313924051,6.3313924051
1033212915,MAHESHWARI,NEHA,,MD,F,I,1343 N ALMA SCHOOL RD,205,CHANDLER,AZ,852245941,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,10.573333333,1.42,1.116,1.116
1033212915,MAHESHWARI,NEHA,,MD,F,I,1343 N ALMA SCHOOL RD,205,CHANDLER,AZ,852245941,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,15,620.772,28.82,21.093333333,21.886
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,54,78,78,124.60615385,40.010384615,30.575641026,29.887179487
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,16,32,63,7.35,1.6071428571,1.1457142857,1.0685714286
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,80.783333333,13.512666667,10.140666667,8.6593333333
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,42,81,81,466.25234568,96.76,68.212098765,60.808148148
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,38,94,212,173.66882075,36.858726415,26.638867925,23.700613208
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,17,47,206,93.511941748,21.033980583,15.960436893,14.186116505
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,22,37,143,73.358951049,15.895244755,11.606923077,11.11020979
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,49,82,82,267.11853659,59.925243902,46.008536585,42.298536585
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,85,113,113,78.998230088,19.848938053,15.164867257,13.68699115
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,41.241818182,11.181818182,8.7690909091,8.1218181818
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,36,83,83,97.880843373,14.827228916,11.385903614,8.9037349398
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,79,155,853,12.764079719,2.2412895662,1.7326729191,1.5730363423
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,20,30,30,30.140333333,6.724,5.1106666667,4.5003333333
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,40,58,58,48.821206897,13.882413793,10.88137931,10.318275862
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,11,63,70,66.698,18.898142857,13.599285714,12.557571429
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,22,22,232.69318182,49.143636364,33.363181818,32.518636364
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,,90,90,3981.8352222,1072.6911111,833.78444444,834.419
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,12,55,255,314,68.217834395,13.14910828,9.8965286624,9.8277707006
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,11,20,114,123,44.708861789,4.3530894309,3.0276422764,3.2975609756
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,58,297,357,218.3940056,35.259579832,26.263361345,25.039551821
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,17,32,207,209,439.70808612,83.657416268,61.520526316,52.087033493
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,12,81,82,213.27804878,39.922926829,29.431463415,27.963536585
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,14.9509,9.45565,6.6145833333,6.6145833333
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,13.94,11.2095,8.7701527778,8.7701527778
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,37,9661,0.3302411759,0.047167995,0.0337749715,0.0337749715
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,2040,12.307058824,3.0602058824,2.3540490196,2.3540490196
1033212923,CHANDRA,ALPANA,,M.D.,F,I,2460 NW STEWART PARKWAY,SUITE 103,ROSEBURG,OR,974711516,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,22,73,73,99.452054795,33,24.806849315,24.806849315
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,57,72.108596491,8.32,6.2929824561,6.2929824561
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,317,2.27,2.27,1.7796845426,1.7796845426
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1157,2.0381503889,2.0381503889,1.5978824546,1.5978824546
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,34,11.010294118,10.93,8.57,8.57
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,47,9.72,7.35,5.514893617,5.5980851064
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1610,0.13,0.13,0.1009813665,0.1009813665
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,356,6.7485393258,5.38,3.8506741573,3.8008426966
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,15.7,4.3,3.3713333333,3.3294444444
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4014,0.6879372197,0.3554359741,0.2754932735,0.2869133034
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4883,3.2550890846,0.3184927299,0.2497071472,0.2488265411
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,40,40,349.51725,48.796,35.6875,36.735
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,172.95666667,45.967142857,32.907142857,33.504761905
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,65,11,2.83,2.21,2.2487692308
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,309.64888889,78.49,61.53,55.485555556
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,62.55375,40.62,31.85,29.52
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1208,0.0616804636,0.0462665563,0.0339735099,0.0339735099
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,67,67,194.13089552,19.173880597,14.832985075,14.215522388
1033213228,LOGAN,MATTHEW,J,MD,M,I,270 MAIN ST N,STE 300,STILLWATER,MN,550826788,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,37.32,9.67,7.58,7.2092857143
1033213236,MISKO,GARY,J,MD,M,I,267 CENTRAL AVE,,METUCHEN,NJ,088401269,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,43,214,67.953084112,8.32,5.7057476636,5.7057476636
1033213236,MISKO,GARY,J,MD,M,I,267 CENTRAL AVE,,METUCHEN,NJ,088401269,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,55,17.544545455,1.42,0.9727272727,0.9727272727
1033213301,SHULTZ,SUSAN,T,MS FNP,F,I,2112 DUNDALK AVE,,BALTIMORE,MD,21222,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,40,56.82375,8.32,5.70725,5.70725
1033213301,SHULTZ,SUSAN,T,MS FNP,F,I,2112 DUNDALK AVE,,BALTIMORE,MD,21222,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,45,32.34,34.739166667
1033213301,SHULTZ,SUSAN,T,MS FNP,F,I,2112 DUNDALK AVE,,BALTIMORE,MD,21222,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,120,34.203076923,26.817692308,26.970769231
1033213426,SARAF,KIRAN,,M.D,F,I,180 E HARTSDALE AVE,,HARTSDALE,NY,105303544,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,15.3725,12.05,14.025
1033213426,SARAF,KIRAN,,M.D,F,I,180 E HARTSDALE AVE,,HARTSDALE,NY,105303544,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.57,6.825,5.3525,6.5708333333
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,49,66.10877551,8.32,4.4532653061,4.4532653061
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,27,27,89.97037037,48.076296296,32.694074074,26.413333333
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,286.60333333,125.30333333,90.161666667,67.369166667
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,35,108.08057143,48.210285714,36.814285714,27.514571429
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,78,59.778461538,25.087692308,19.05525641,13.938076923
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,167.45285714,72.782857143,54.816190476,40.819047619
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,23,23,57.090434783,24.945652174,18.875652174,13.835652174
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,31,172,7.791627907,3.0729651163,2.2240116279,1.5209302326
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,38.805,15.619285714,10.631428571,9.0585714286
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,41.524285714,14.769285714,10.757142857,9.7264285714
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,57,57,170.54263158,40.480350877,23.929649123,18.169122807
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1200,16.933375,9.59985,7.2871583333,7.2871583333
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,1.3847222222,0.1348333333,0.1056388889,0.1056388889
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,1740,10.315310345,3.1052931034,2.4144770115,2.4144770115
1033213574,SCHROEDER,TAMMY,M,APRN,F,I,2910 BETTEN DR,,CRETE,NE,683333084,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,64.821428571,33,25.87,25.87
1033213640,PARADISO,GARY,D,DO,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,31,107,59.832149533,8.32,6.1351401869,6.1351401869
1033213640,PARADISO,GARY,D,DO,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,22,13.540909091,1.42,0.9618181818,0.9618181818
1033213640,PARADISO,GARY,D,DO,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,288.75,7.6325,5.9816666667,3.66
1033213640,PARADISO,GARY,D,DO,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,691.12571429,98.884285714,77.527142857,54.728571429
1033213640,PARADISO,GARY,D,DO,M,I,855 MONTGOMERY,,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,280.51428571,43.567142857,34.159285714,29.515
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,40,180,377,45.501564987,8.32,5.8446949602,5.8446949602
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,10.481818182,3.38,2.65,2.65
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,72,100,14.4508,1.42,1.0262,1.0262
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,360,8.3991944444,5.74,4.5,4.5
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,81.991538462,26.394615385,17.093846154,10.815384615
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,51.818461538,20.140769231,13.692307692,7.17
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,14,58,8.0455172414,3.1910344828,2.5024137931,1.5924137931
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,43.446666667,22.4775,17.620833333,14.031666667
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,228.2915,46.105,33.5605,22.598
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,724.364,99.7544,76.3888,54.9328
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1424,0.1747191011,0.0462710674,0.0284901685,0.0284901685
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,33,3425,1.9929956204,0.1357781022,0.0992992701,0.0992992701
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,29.515833333
1033214200,FARRIS,DANA,S,MD,M,I,10238 E HAMPTON AVE STE 506,,MESA,AZ,85209,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,45,59.4,33,22.995555556,22.995555556
1033214259,LITTLE,WILDER,G,MD,M,I,1216 6TH AVE W,,HENDERSONVILLE,NC,28739,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2250,0.2798933333,0.13,0.1019155556,0.1019155556
1033214259,LITTLE,WILDER,G,MD,M,I,1216 6TH AVE W,,HENDERSONVILLE,NC,28739,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,4320,3.7909699074,1.73,1.3563333333,1.594275463
1033214259,LITTLE,WILDER,G,MD,M,I,1216 6TH AVE W,,HENDERSONVILLE,NC,28739,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,2210,16.830271493,6.68,5.2370950226,5.6683257919
1033214382,HOWELL,NORMAN,S,DO,M,I,"6252 COMMECIAL WAY, #118",,WEEKI WACHEE,FL,34613,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17,12.377857143,12.576428571
1033214382,HOWELL,NORMAN,S,DO,M,I,"6252 COMMECIAL WAY, #118",,WEEKI WACHEE,FL,34613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,81.13,59.057142857,51.445714286
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,52,112,415,72.167373494,8.2763373494,6.0930843373,6.1316144578
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,10.524166667,3.38,2.65,2.65
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,29,48,84,14.308333333,1.42,1.0741666667,1.0741666667
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,458.71809524,85.63,61.221428571,61.862380952
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,53,162.47301887,32.56,24.082641509,24.434150943
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,103,100.98291262,21.412038835,15.683786408,13.971941748
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,23,23,261.81217391,60.983478261,44.753043478,40.910869565
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,24,25,84.5428,18.752,13.6,13.3132
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,36,36,94.361944444,13.313888889,10.171111111,9.1641666667
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,19,45,221,12.89280543,2.2183257919,1.6952488688,1.5867420814
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,30.357058824,6.6176470588,4.9088235294,4.6011764706
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,50.827692308,13.572307692,9.8753846154,9.5815384615
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,81.75,12.73,9.1524,9.2308
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,40,45,217.54666667,31.798,22.331333333,22.337555556
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,307.56,68.78,47.088333333,47.906666667
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,450,36.83,26.464166667,27.116666667
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1760,16.811556818,10.740863636,8.4208579545,8.4208522727
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2798,0.2295997141,0.0466118656,0.0316011437,0.0316011437
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.317575758,2.9555454545,1.9541969697,1.9541969697
1033214606,WHELAN,KRISTY,M,DO,F,I,2082 MESQUITE AVE,SUITE 106,LAKE HAVASU CITY,AZ,864036710,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,124.92857143,33,24.946071429,24.946071429
1033214762,TUCHMAN,RICHARD,C,DPM,M,I,2706 ST JUDE ST,THE TRIAD FOOT CENTER PA,GREENSBORO,NC,27405,US,Podiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,81.64,64,55.5025
1033214994,YOUNG,MICHEAL,,M.D.,M,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,410,7.1976585366,5.74,4.373804878,4.373804878
1033214994,YOUNG,MICHEAL,,M.D.,M,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,290,11.026103448,9.86,7.7302068966,7.7302068966
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,71,106,9040,0.5938274336,0.44,0.3419325221,0.3419325221
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,11,435,11.682758621,8.28,6.4915402299,6.4915402299
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,15,198,13.692424242,10.93,8.569040404,8.569040404
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,32,38,9304,0.1429213242,0.05,0.0383576956,0.0383576956
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,49,61,2295,3.0496732026,2.4,1.8815947712,1.8815947712
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,540,3.6047222222,2.73,2.1402962963,2.1402962963
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6224,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,12,600,4.95,4.06,3.18305,3.18305
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,29,40,1680,4.6819642857,3.67,2.877327381,2.877327381
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,46,60,9706,0.2307139913,0.13,0.1019122192,0.1019122192
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,59,83,10906,0.5923895104,0.45,0.3528158812,0.3528158812
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,52,63,783,2.249054917,1.28,1.0034099617,1.0034099617
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,11,145,27.42,22.6,17.718413793,18.842344828
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,110,9.1,8.2,6.4289090909,6.4289090909
1033215009,KRAUS,HELEN,,M.D.,F,I,1157 MIRANDA LN,,KISSIMMEE,FL,347410763,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,1716.46,659.62285714,517.14857143,488.77642857
1033215165,RIGG,BRIAN,A,PHYSICIAN ASSISTENT,M,I,616 SIXTH ST,,BREMERTON,WA,98337,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,42,44.450238095,8.32,6.2119047619,6.2119047619
1033215165,RIGG,BRIAN,A,PHYSICIAN ASSISTENT,M,I,616 SIXTH ST,,BREMERTON,WA,98337,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1178,0.4031239389,0.0459932088,0.0360611205,0.0360526316
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,94,70.358617021,8.32,5.6205319149,5.6205319149
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,22,13.215909091,1.42,1.0140909091,1.0140909091
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,24,60.534583333,27.92625,21.892083333,22.310416667
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,22,15.462272727,10.93,8.57,8.57
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,141.87076923,39.36,30.86,30.518461538
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,11,25,25,322.94,86.88,65.3856,65.1372
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,11,25,59,138.27152542,33.2,24.752542373,24.644576271
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,,20,104,76.581730769,18.554423077,13.054326923,13.05875
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,16,83,56.592048193,15.2,10.337108434,10.319156627
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,16,34,34,225.07117647,55.918235294,40.997647059,40.127647059
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,23,31,31,69.179354839,17.99,14.1,14.062580645
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,19,43,43,66.723488372,12.046046512,9.0060465116,8.7111627907
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,27,56,322,8.5882608696,2.0414906832,1.5271118012,1.5197204969
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,13,15,15,25.139333333,5.956,4.354,4.3413333333
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,21,26,26,44.661538462,12.78,9.6346153846,9.9330769231
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6474,2.2796107507,0.32,0.2508819895,0.2430568428
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,228.58,45.930909091,36.009090909,36.271818182
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,33,33,115.15909091,17.52,11.658181818,11.530909091
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,105.21125,17.52,13.74,13.5525
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,312.96590909,78.49,61.53,55.348181818
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,200,53.98,39.98,39.503333333
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,200,49.74,38.99,37.743333333
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,211.34454545,5.9381818182,4.6545454545,3.6854545455
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,333.2037037,30.043333333,20.194074074,20.903703704
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,19,124,124,544.41459677,79.128629032,57.702741935,51.882258065
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,213.63636364,38.76,27.627272727,26.827272727
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,77.524615385,16.166153846,11.693076923,12.463076923
1033215199,PALMQUIST,DAVID,L,MD,M,I,12250 E ILIFF AVE,#300,AURORA,CO,80014,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,288.1072,39.7788,28.1888,26.6164
1033215256,CHERVIN,BRADFORD,S,MD,M,I,2600 POST ROAD,,SOUTHPORT,CT,06890,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,77.955833333,11.860833333,8.5158333333,8.36
1033215256,CHERVIN,BRADFORD,S,MD,M,I,2600 POST ROAD,,SOUTHPORT,CT,06890,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,9.6154545455,2.0236363636,1.4442424242,1.4498484848
1033215256,CHERVIN,BRADFORD,S,MD,M,I,2600 POST ROAD,,SOUTHPORT,CT,06890,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,219.04909091,34.097272727,26.732727273,27.554545455
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,60,56.054666667,8.32,6.522,6.522
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,16,19.839375,10.47375,8.20875,8.51125
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,6.6945454545,2.91,2.28125,2.28125
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,395,0.6987341772,0.27,0.2116202532,0.2116202532
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,63,75,71.56,56.105079365,56.105079365
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,183,35,29.19,22.885081967,22.885081967
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,405,10.217777778,8.2666666667,6.1268641975,6.137308642
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,34,1410,2.5076595745,1.08,0.8106382979,0.8106382979
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,514,5.3860311284,2.4,1.8816731518,1.8816731518
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,2175,0.4468965517,0.4468965517,0.345908046,0.345908046
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,34,693,129.71542569,5.12,4.0140692641,4.1565223665
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,35,11980,2.0001702838,0.2922370618,0.2284148581,0.2419732888
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.9643333333,2.3240555556,2.3240555556
1033215371,OPAIGBEOGU,UCHECHI,T,M.D.,M,I,6188 OXON HILL ROAD,SUITE 701,OXON HILL,MD,20745,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1033215637,GURGEL,CATHIE,L,NP,F,I,5100 SW MACADAM AVE,SUITE 200,PORTLAND,OR,972396102,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,63.25,3.19,2.501,2.3676666667
1033215637,GURGEL,CATHIE,L,NP,F,I,5100 SW MACADAM AVE,SUITE 200,PORTLAND,OR,972396102,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,1.35,0.38,0.2809722222,0.2731481481
1033215637,GURGEL,CATHIE,L,NP,F,I,5100 SW MACADAM AVE,SUITE 200,PORTLAND,OR,972396102,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,336.85263158,49.116315789,28.306842105,30.075263158
1033215819,BRESCIA,MICHAEL,L,MD,M,I,236 E WESTFIELD AVE,,ROSELLE PARK,NJ,072042084,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,70,54.88,54.73
1033215819,BRESCIA,MICHAEL,L,MD,M,I,236 E WESTFIELD AVE,,ROSELLE PARK,NJ,072042084,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,35,27.44,29.51
1033215892,RANDAZZO,JEAN,P,MD,F,I,95 MADISON AVENUE,SUITE A00 INTERNAL MEDICINE OF MORRISTOWN,MORRISTOWN,NJ,07960,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,33,103,72.657087379,8.32,6.2417475728,6.2417475728
1033215892,RANDAZZO,JEAN,P,MD,F,I,95 MADISON AVENUE,SUITE A00 INTERNAL MEDICINE OF MORRISTOWN,MORRISTOWN,NJ,07960,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,32,18.3515625,1.42,1.044375,1.044375
1033215967,CHAMARTHY,USHA,S,MD,F,I,1215 E MICHIGAN AVE,,LANSING,MI,489121811,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,21,45.237142857,41.17,32.276666667,30.753333333
1033216015,MONTANARO,ANTHONY,J,DO,M,I,1533 4TH AVE W,,BRADENTON,FL,342055949,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,28,41.256071429,8.2175,6.4403571429,6.5210714286
1033216015,MONTANARO,ANTHONY,J,DO,M,I,1533 4TH AVE W,,BRADENTON,FL,342055949,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,40,17,13.33,13.54
1033216015,MONTANARO,ANTHONY,J,DO,M,I,1533 4TH AVE W,,BRADENTON,FL,342055949,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,28.430666667,4.3193333333,3.3866666667,3.7666666667
1033216015,MONTANARO,ANTHONY,J,DO,M,I,1533 4TH AVE W,,BRADENTON,FL,342055949,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,30,369.755,80.417,60.547,56.479666667
1033216122,KASYJANSKI,PETER,,DPM,M,I,424 HANOVER STREET,,MANCHESTER,NH,03104,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,147,147,294,89.875918367,71.56,54.203333333,54.203061224
1033216122,KASYJANSKI,PETER,,DPM,M,I,424 HANOVER STREET,,MANCHESTER,NH,03104,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,129,129,774,42,29.19,22.763979328,22.765503876
1033216122,KASYJANSKI,PETER,,DPM,M,I,424 HANOVER STREET,,MANCHESTER,NH,03104,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,96,60,43.56,34.151458333,34.15
1033216122,KASYJANSKI,PETER,,DPM,M,I,424 HANOVER STREET,,MANCHESTER,NH,03104,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,200,83.45,65.42,63.635384615
1033216122,KASYJANSKI,PETER,,DPM,M,I,424 HANOVER STREET,,MANCHESTER,NH,03104,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,375,335.04,252.11375,212.53
1033216122,KASYJANSKI,PETER,,DPM,M,I,424 HANOVER STREET,,MANCHESTER,NH,03104,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,200,166.07,130.2,126.79214286
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,43,44,173.36727273,38.075454545,27.730909091,28.386136364
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,79,180,180,443.70105556,84.822722222,62.865055556,64.079555556
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,55,152,385,185.74612987,30.744909091,23.360623377,25.090493506
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,25,58,306,109.82251634,17.109575163,12.023366013,13.162777778
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,20,48,272,77.13,13.920808824,10.205735294,11.268492647
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,82,166,166,257.17048193,52.991084337,39.443253012,40.74126506
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,146,201,201,82.311791045,17.073283582,13.014477612,13.60840796
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,29.8,10.216,8.0093333333,8.0673333333
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,137,290,290,88.131655172,11.832517241,9.0826551724,8.9582413793
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,148,345,1307,12.953404744,2.0132364193,1.531117062,1.5483397093
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,30,42,42,32.533095238,6.2133333333,4.759047619,4.5542857143
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,93,124,124,45.567096774,12.4825,9.3741935484,9.8606451613
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,86.31,16.5,12.460740741,13.021851852
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,232.35,44.665263158,31.467368421,34.184736842
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,4289.8328571,1074.31,832.33857143,832.33857143
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,19,81,101,583.4339604,80.056435644,57.168019802,59.852277228
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,564.43615385,133.02153846,104.28692308,108.53076923
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,22,102,119,75.55512605,12.20394958,9.0813445378,9.5172268908
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,40,206,209,194.93808612,35.17784689,25.491770335,23.631674641
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,79,88,463.37943182,76.302954545,55.804886364,51.952727273
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,110.47705882,35.13,25.92,27.687058824
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,3820,0.2667931937,0.0463455497,0.0252303665,0.0252303665
1033216130,CROPP,ALAN,J,M.D.,M,I,925 TRAILWOOD DR,BOX 14130,YOUNGSTOWN,OH,445125008,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,72.6,33,24.512666667,24.512666667
1033216148,HANISSIAN,GREGORY,A,MD,M,I,2101 MERCHANTS ROW,STE. 3,GERMANTOWN,TN,381383862,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,3797,159.57399789,9.8365973137,7.6754727416,7.6754727416
1033216148,HANISSIAN,GREGORY,A,MD,M,I,2101 MERCHANTS ROW,STE. 3,GERMANTOWN,TN,381383862,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,560,140.027,42.393071429,33.092,33.092
1033216148,HANISSIAN,GREGORY,A,MD,M,I,2101 MERCHANTS ROW,STE. 3,GERMANTOWN,TN,381383862,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1800,0.17,0.0469222222,0.0337055556,0.0337055556
1033216148,HANISSIAN,GREGORY,A,MD,M,I,2101 MERCHANTS ROW,STE. 3,GERMANTOWN,TN,381383862,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,116.76923077,33,21.89,21.89
1033216387,OBEKPA,ADAH,,M.D,M,I,2015 GRAND CONCOURSE,,BRONX,NY,10453,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,2.975,2.975,2.332,2.694
1033216387,OBEKPA,ADAH,,M.D,M,I,2015 GRAND CONCOURSE,,BRONX,NY,10453,US,Physician/Internal Medicine,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,3.39,3.39,2.658,2.6805454545
1033216387,OBEKPA,ADAH,,M.D,M,I,2015 GRAND CONCOURSE,,BRONX,NY,10453,US,Physician/Internal Medicine,S,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1440,0.4716666667,0.4716666667,0.3698055556,0.3750277778
1033216387,OBEKPA,ADAH,,M.D,M,I,2015 GRAND CONCOURSE,,BRONX,NY,10453,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,444,6.5559459459,5,3.8474099099,4.057545045
1033216387,OBEKPA,ADAH,,M.D,M,I,2015 GRAND CONCOURSE,,BRONX,NY,10453,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,7830,0.7087356322,0.65,0.5096015326,0.5162324393
1033216387,OBEKPA,ADAH,,M.D,M,I,2015 GRAND CONCOURSE,,BRONX,NY,10453,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,12,14,75.215714286,59.8,43.531428571,44.585714286
1033216387,OBEKPA,ADAH,,M.D,M,I,2015 GRAND CONCOURSE,,BRONX,NY,10453,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,28.968,5.2,3.808,3.7126666667
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,18,53,100,66.7662,8.32,5.5433,5.5433
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,13.188461538,1.42,1.12,1.12
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,12.75,7.3012876712,5.7241917808,4.3976986301
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5205,1.07,0.4742267051,0.3717944284,0.3023227666
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51,17.69,13.87,13.53
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,29,379.10758621,71.067586207,48.875862069,48.243448276
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1380,1.7039710145,0.1322391304,0.0997246377,0.0997246377
1033216817,BRANDT,ROSE,B,MD,F,I,400 S MINNESOTA ST,,CROOKSTON,MN,567161808,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,66,33,24.432777778,24.432777778
1033216858,SZPUNAR,AGNIESZKA,M,MD,F,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,80,271,68.595129151,8.32,5.5354612546,5.5354612546
1033216858,SZPUNAR,AGNIESZKA,M,MD,F,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,31,14.171290323,1.42,0.97,0.97
1033216858,SZPUNAR,AGNIESZKA,M,MD,F,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,139.17416667,39.376666667,30.871666667,30.560833333
1033216858,SZPUNAR,AGNIESZKA,M,MD,F,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,27,141.47777778,33.274074074,26.087407407,25.917407407
1033216858,SZPUNAR,AGNIESZKA,M,MD,F,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,92,11.384782609,2.0467391304,1.6038043478,1.5940217391
1033216858,SZPUNAR,AGNIESZKA,M,MD,F,I,1350 N 500 E,,LOGAN,UT,843412400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,27,143.2262963,78.562962963,56.92037037,54.67037037
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,33,33,33,144.84848485,48.556060606,38.070606061,36.499090909
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,19,19,19,117.89473684,56.492105263,44.29,40.791052632
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,38.644117647,10.255882353,7.1894117647,7.1558823529
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,305.688,57.7445,41.787,37.0395
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,75,75,103.08333333,19.169333333,13.027466667,11.625733333
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,98.032857143,41.347142857,32.414285714,27.874285714
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,57,57,117.25157895,28.668947368,19.665087719,18.208596491
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,99,99,29.789090909,8.8838383838,6.4749494949,6.0522222222
1033217104,VILLEGAS,MARIA,S,MD,F,I,400 N WALL ST,SUITE 405,KANKAKEE,IL,609012940,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,151.32090909,118.63272727,118.97909091
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,35,109,289,44.706989619,8.2821107266,6.114982699,6.1446712803
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,15.063157895,3.38,2.65,2.65
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,22.164615385,2.12,1.67,1.67
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,40,64,11.98015625,1.42,1.06375,1.06375
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,230,7.5572173913,6.9756521739,4.9916086957,5.0107826087
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,42,83.738095238,71.56,53.433333333,53.433333333
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,102,32.510098039,29.19,22.578529412,22.580196078
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,6.9952380952,1.9371428571,1.3976190476,1.040952381
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,164.02473684,73.013684211,47.302105263,37.412631579
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,20,20,70.182,25.0555,17.777,13.6495
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,59.22875,19.62,14.750625,9.99625
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,23,138,8.4936231884,3.0426086957,2.0263043478,1.3751449275
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,21.064285714,8.9342857143,5.6707142857,3.9221428571
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,141.83613636,22.925227273,17.6325,13.664545455
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,192.68823529,61.377058824,43.727647059,34.237647059
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,3002.55,1001.46,775.68375,830.415
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,38.621764706,6.1464705882,4.3217647059,3.5417647059
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,296.27789474,47.01,32.023421053,26.318421053
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,105,105,385.40657143,100.788,75.604285714,56.277428571
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,990,20.552787879,11.120030303,8.5732222222,8.5732222222
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,40,7891,0.2513851223,0.0463667469,0.0306551768,0.0306551768
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,50,4530,1.8860816777,0.1332450331,0.0978675497,0.0978675497
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,1542,1.7752464332,0.219156939,0.1400324254,0.1400324254
1033217906,HULETT,CHRISTOPHER,E,DO,M,I,2791 N WASHINGTON ST,HEDRICK FAMILY CARE,CHILLICOTHE,MO,646012902,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,76,76,55.460526316,33,23.112105263,23.112105263
1033218029,LAPPIN,JACQUELINE,A,M.D.,F,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,59,185,33417,7.1583071491,0.574090433,0.4119517012,0.4218849687
1033218029,LAPPIN,JACQUELINE,A,M.D.,F,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,39,141,21065,0.1976211726,0.0126916686,0.0088801329,0.0090325184
1033218029,LAPPIN,JACQUELINE,A,M.D.,F,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/General Surgery,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,50,145,32028,6.8270257275,2.7254645935,1.986982328,2.0867063195
1033218029,LAPPIN,JACQUELINE,A,M.D.,F,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,59,163,163,24,24,17.54993865,17.54993865
1033218029,LAPPIN,JACQUELINE,A,M.D.,F,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,60,203,372,16,16,12.017876344,12.017876344
1033218060,THADA,BOONYONG,P,MD,M,I,5356 REISTERSTOWN ROAD,,BALTIMORE,MD,212154493,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,34,86,52.692209302,8.32,6.3389534884,6.3389534884
1033218060,THADA,BOONYONG,P,MD,M,I,5356 REISTERSTOWN ROAD,,BALTIMORE,MD,212154493,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,12.86,3.38,2.65,2.65
1033218060,THADA,BOONYONG,P,MD,M,I,5356 REISTERSTOWN ROAD,,BALTIMORE,MD,212154493,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,25,32,12.123125,1.42,1.081875,1.081875
1033218359,SIU,MYRON,,M.D.,M,I,TUFTS-NEMC,"750 WASHINGTON STREET, NEMC #796",BOSTON,MA,02111,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,49,148,80.168918919,8.32,5.9931081081,5.9931081081
1033218359,SIU,MYRON,,M.D.,M,I,TUFTS-NEMC,"750 WASHINGTON STREET, NEMC #796",BOSTON,MA,02111,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,28,46,15.766086957,1.42,1.0645652174,1.0645652174
1033218359,SIU,MYRON,,M.D.,M,I,TUFTS-NEMC,"750 WASHINGTON STREET, NEMC #796",BOSTON,MA,02111,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.5,2.27,1.7797142857,1.7797142857
1033218359,SIU,MYRON,,M.D.,M,I,TUFTS-NEMC,"750 WASHINGTON STREET, NEMC #796",BOSTON,MA,02111,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,8,7.87,6.1701,6.17595
1033218359,SIU,MYRON,,M.D.,M,I,TUFTS-NEMC,"750 WASHINGTON STREET, NEMC #796",BOSTON,MA,02111,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,9.95,9.29,7.28,8.3313636364
1033218359,SIU,MYRON,,M.D.,M,I,TUFTS-NEMC,"750 WASHINGTON STREET, NEMC #796",BOSTON,MA,02111,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,47.867272727,37.525454545,38.434545455
1033218359,SIU,MYRON,,M.D.,M,I,TUFTS-NEMC,"750 WASHINGTON STREET, NEMC #796",BOSTON,MA,02111,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,17.3,13.566363636,14.226363636
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,41,160,82.642875,8.32,5.9516875,5.9516875
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,21,14.28047619,1.42,0.9028571429,0.9028571429
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,282.6,95.788461538,69.818461538,62.623076923
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,148.39315789,56.783684211,37.732105263,36.102105263
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,54.373076923,19.066923077,12.781538462,11.904615385
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,56.824545455,11.735,7.5368181818,7.4622727273
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,22,120,8.0315,2.1125,1.4974166667,1.4326666667
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,64,17.27,12.951304348,12.951304348
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,141.32133333,44.308,32.089333333,22.449
1033218664,RAU,DAVID,,MD,M,I,3201 MIDDLE DR,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,58,59,410,83.155762712,61.313050847,53.078813559
1033218797,BLADEK,SUZANNE,K,"APRN, BC",F,I,355 NW RICHMOND BEACH RD,,SHORELINE,WA,981773101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,33,67,71.160597015,8.32,6.0349253731,6.0349253731
1033218797,BLADEK,SUZANNE,K,"APRN, BC",F,I,355 NW RICHMOND BEACH RD,,SHORELINE,WA,981773101,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3300,0.17,0.0462727273,0.0295787879,0.0295787879
1033218797,BLADEK,SUZANNE,K,"APRN, BC",F,I,355 NW RICHMOND BEACH RD,,SHORELINE,WA,981773101,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,86.82,34.7625,27.25625,26.97625
1033218797,BLADEK,SUZANNE,K,"APRN, BC",F,I,355 NW RICHMOND BEACH RD,,SHORELINE,WA,981773101,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,21.166363636,21.166363636
1033219076,LYN,PETER,O,MD,M,I,601 UNIVERSITY BLVD STE 206,,JUPITER,FL,334582788,US,Hospitalist,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,38,99.06,65.934210526,49.012105263,53.601052632
1033219076,LYN,PETER,O,MD,M,I,601 UNIVERSITY BLVD STE 206,,JUPITER,FL,334582788,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,53.149333333,18.148,10.206,9.6573333333
1033219076,LYN,PETER,O,MD,M,I,601 UNIVERSITY BLVD STE 206,,JUPITER,FL,334582788,US,Hospitalist,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,77.2,36.818181818,28.865454545,25.358181818
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1920,0.44,0.44,0.3449375,0.3449375
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,11,29,1140,36.844736842,34.86,27.330254386,27.330254386
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,30,1052,8.28,8.28,6.0824429658,6.0824429658
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,28,843,18.5,18.5,14.503997628,14.503997628
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,1320,5.95,5.95,4.6307272727,4.6307272727
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,512,5.28,5.28,4.1395898438,4.1395898438
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,1260,0.4761904762,0.45,0.3528253968,0.3528253968
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,1077,5.2947632312,5.088189415,3.9463324048,4.0949953575
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,40,21551,0.3276896664,0.298065055,0.2225093963,0.2314472646
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,18,18,61.8,61.759444444,48.418333333,48.302777778
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,5.32,5.3112121212,4.163030303,3.9657575758
1033219084,LADINES,ROBERT,E,M.D.,M,I,1515 N FAIR OAKS AVE,,PASADENA,CA,911031808,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,64.324545455,24.598181818,19.283636364,15.555454545
1033219142,BAYLOR,LAURA,M,APRN-BC,F,I,540 COUNTY ROAD 519,SUITE 2,BELVIDERE,NJ,078232672,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,71.5,44.848,43.784
1033219142,BAYLOR,LAURA,M,APRN-BC,F,I,540 COUNTY ROAD 519,SUITE 2,BELVIDERE,NJ,078232672,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,35.5,25.510833333,27.225833333
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,27.230769231,27.034615385,21.196923077,22.046923077
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,12.5,10.93,8.57,8.57
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,6.5,5.54,4.3435,4.3435
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,1350,7.5222222222,7.1644444444,5.6168888889,5.7457777778
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,360,2.5,2.02,1.5836666667,1.5836666667
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,355,8.2929577465,3,2.352028169,2.3646197183
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,688,14.203488372,5,3.8174418605,4.0066424419
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2700,0.8,0.37,0.2900888889,0.2900888889
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,9268,1.5062678032,0.65,0.5096072508,0.5157962883
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,1035,1.5,0.71,0.556647343,0.556647343
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.5,17,13.33,13.520909091
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,30,5.2,4.08,3.9879166667
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,217.1,77.74,60.95,55.295454545
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,76.13,15.338947368,12.023157895,14.47
1033219571,SANTIAGO,ARAMIS,E,MD,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,26.43,6.9631578947,5.4610526316,6.8073684211
1033219613,FISHER,RANDY,,NP,M,I,2 DEER PL,,TOMKINS COVE,NY,109861606,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,13,13,120.92,38.5,30.18,30.49
1033219613,FISHER,RANDY,,NP,M,I,2 DEER PL,,TOMKINS COVE,NY,109861606,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,78,8.9230769231,2.03,1.5916666667,1.5916666667
1033219613,FISHER,RANDY,,NP,M,I,2 DEER PL,,TOMKINS COVE,NY,109861606,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,120,31.810487805,24.192682927,24.714878049
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,72,265,619,54.149224556,8.3125201939,5.9505815832,5.9573021002
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,16,40,40,16.175,3.38,2.58375,2.58375
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,16,25,25,24.056,2.12,1.67,1.67
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,40,95,163,14.314478528,1.42,1.0460122699,1.0460122699
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,110,9.72,9.72,6.8845454545,6.992
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,3.99,3.99,2.6066666667,2.6440833333
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,8,21,21,21,112.78047619,67.853333333,51.303333333,36.841904762
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,27,321.79333333,66.460740741,45.331851852,31.542592593
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,78,78,80.1,22.666923077,16.183589744,12.605384615
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,50,53,12.019245283,7.0462264151,5.1579245283,3.6550943396
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,17,17,17,42.188235294,42.134117647,33.031764706,53.942941176
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,13.68,3.595,2.4033333333,1.8833333333
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,25,126,132,457.06068182,105.70151515,79.418106061,56.68219697
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,30,250,44.988,35.273,30.946333333
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,3750,1.6318586667,0.13188,0.1004986667,0.1004986667
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,33,33,94.553939394,25.938181818,17.423636364,11.245757576
1033219654,ANGOTTI,MICHAEL,T,MD,M,I,527 MEDICAL PARK DR,SUITE 307,BRIDGEPORT,WV,263309008,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,24,24,82.5,33,24.5025,24.5025
1033219704,ALLADICE,TOVA,L,MD,F,I,8200 WEDNESBURY LN,SUITE 360,HOUSTON,TX,770742925,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,117.49,82.43,64.626363636,64.626363636
1033219704,ALLADICE,TOVA,L,MD,F,I,8200 WEDNESBURY LN,SUITE 360,HOUSTON,TX,770742925,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,67.62,48.15,37.7484,37.7484
1033219795,LIM,MARIE,B,MD,F,I,235 N BROAD ST,SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES,PHILADELPHIA,PA,191071511,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,69,9870,5.6040445795,0.5701529889,0.4258672746,0.4258611955
1033219795,LIM,MARIE,B,MD,F,I,235 N BROAD ST,SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES,PHILADELPHIA,PA,191071511,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,2100,1.8289571429,0.7417428571,0.5564761905,0.5564761905
1033219795,LIM,MARIE,B,MD,F,I,235 N BROAD ST,SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES,PHILADELPHIA,PA,191071511,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,2970,4.6621784512,1.385030303,0.9554175084,0.9554175084
1033219795,LIM,MARIE,B,MD,F,I,235 N BROAD ST,SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES,PHILADELPHIA,PA,191071511,US,Physician/Nephrology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,38.1,6.88,4.9172727273,5.8490909091
1033219795,LIM,MARIE,B,MD,F,I,235 N BROAD ST,SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES,PHILADELPHIA,PA,191071511,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,70,70,24,24,18.013428571,18.013428571
1033219795,LIM,MARIE,B,MD,F,I,235 N BROAD ST,SUITE 200 CLINICAL NEPHROLOGY ASSOCIATES,PHILADELPHIA,PA,191071511,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,54,60,16,16,11.92,11.92
1033219852,ADES,JOSEPH,R,MD,M,I,150 WHITE PLAINS RD,SUITE 207,TARRYTOWN,NY,10591,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,44,80,58.99225,8.32,5.31925,5.31925
1033219852,ADES,JOSEPH,R,MD,M,I,150 WHITE PLAINS RD,SUITE 207,TARRYTOWN,NY,10591,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,26,26,11.126923077,1.42,0.8615384615,0.8615384615
1033219878,SHUKERT,BENJAMIN,,M.D.,M,I,5200 DTC PKWY,SUITE 400,GREENWOOD VILLAGE,CO,801112719,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,78.49,78.49,61.53,54.73
1033220256,QUAN,HAROLD,E,,M,I,23928 LYONS AVE,SUITE 101,NEWHALL,CA,913212409,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,25,62,67.912096774,8.32,6.1003225806,6.1003225806
1033220256,QUAN,HAROLD,E,,M,I,23928 LYONS AVE,SUITE 101,NEWHALL,CA,913212409,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,21,15.89,1.42,1.0647619048,1.0647619048
1033220256,QUAN,HAROLD,E,,M,I,23928 LYONS AVE,SUITE 101,NEWHALL,CA,913212409,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,27,150,52.3,41.01,39.215185185
1033220256,QUAN,HAROLD,E,,M,I,23928 LYONS AVE,SUITE 101,NEWHALL,CA,913212409,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,409.95916667,98.85,68.820833333,46.470833333
1033220256,QUAN,HAROLD,E,,M,I,23928 LYONS AVE,SUITE 101,NEWHALL,CA,913212409,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,3646,0.520082282,0.0450905101,0.034100384,0.034100384
1033220256,QUAN,HAROLD,E,,M,I,23928 LYONS AVE,SUITE 101,NEWHALL,CA,913212409,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,34.6,33,22.420666667,22.420666667
1033220314,CHEN,CHANG WEN,,MD,M,I,10430 LOVELL CENTER DR,,KNOXVILLE,TN,379223227,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,45,153,394,74.385736041,8.32,5.9594416244,5.9594416244
1033220314,CHEN,CHANG WEN,,MD,M,I,10430 LOVELL CENTER DR,,KNOXVILLE,TN,379223227,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,34,76,108,17.647777778,1.42,1.0852777778,1.0852777778
1033220314,CHEN,CHANG WEN,,MD,M,I,10430 LOVELL CENTER DR,,KNOXVILLE,TN,379223227,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,17,121.10294118,23.428823529,18.369411765,15.615294118
1033220314,CHEN,CHANG WEN,,MD,M,I,10430 LOVELL CENTER DR,,KNOXVILLE,TN,379223227,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,57.75,33,21.558333333,21.558333333
1033220405,GARCIA,LAURA,,FNP/RN,F,I,344 E 6TH ST,,MADERA,CA,936383631,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,44,109,73.373394495,8.32,4.7867889908,4.7867889908
1033220405,GARCIA,LAURA,,FNP/RN,F,I,344 E 6TH ST,,MADERA,CA,936383631,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.410909091,3.38,1.9272727273,1.9272727273
1033220405,GARCIA,LAURA,,FNP/RN,F,I,344 E 6TH ST,,MADERA,CA,936383631,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,18,30,39,15.668461538,1.42,0.7712820513,0.7712820513
1033220454,MCFARLAND,SALLY,A,MD,F,I,4001 FAIR RIDGE DR,SUITE 303,FAIRFAX,VA,220332917,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,136.09882353,38,29.79,30.49
1033220454,MCFARLAND,SALLY,A,MD,F,I,4001 FAIR RIDGE DR,SUITE 303,FAIRFAX,VA,220332917,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,70.388064516,15,10.811612903,10.934516129
1033220454,MCFARLAND,SALLY,A,MD,F,I,4001 FAIR RIDGE DR,SUITE 303,FAIRFAX,VA,220332917,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,22,22,259.06272727,55,41.16,40.911818182
1033220454,MCFARLAND,SALLY,A,MD,F,I,4001 FAIR RIDGE DR,SUITE 303,FAIRFAX,VA,220332917,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,80.90625,18,14.11,14.06
1033220454,MCFARLAND,SALLY,A,MD,F,I,4001 FAIR RIDGE DR,SUITE 303,FAIRFAX,VA,220332917,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,24,110,11.330545455,2,1.483,1.5068181818
1033220454,MCFARLAND,SALLY,A,MD,F,I,4001 FAIR RIDGE DR,SUITE 303,FAIRFAX,VA,220332917,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,79.0875,13.65,10.165,9.956
1033220454,MCFARLAND,SALLY,A,MD,F,I,4001 FAIR RIDGE DR,SUITE 303,FAIRFAX,VA,220332917,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,60,171.149,32.429,24.823166667,25.099666667
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,99,222,59.588693694,8.32,5.6194144144,5.6194144144
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,33,41,12.191463415,1.42,0.9417073171,0.9417073171
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,23,46,81.435652174,71.56,50.693913043,50.693913043
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,32,63,7.5436507937,2.0546031746,1.4328571429,1.0831746032
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,55,55.272727273,27.353636364,21.444909091,14.552
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,24,24,147.89791667,77.1325,56.542916667,39.288333333
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,44.036363636,24.958181818,18.147272727,12.781818182
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,20,20,43.93,21.5275,15.8685,8.208
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,22,132,7.679469697,3.2145454545,2.3593939394,1.4484848485
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,16.645454545,8.4936363636,6.1972727273,4.2336363636
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,57,51.755614035,22.866315789,17.49754386,13.443508772
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,24.025,6.5125,4.56,3.0975
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,99.285,45.11375,32.14,21.91625
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,109.804,58.8725,43.8,33.9965
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,19,162,162,385.20765432,104.43271605,79.117530864,53.937530864
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,8584,0.3292357875,0.0460496272,0.0319151911,0.0319151911
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,42,6390,1.3492957746,0.1348967136,0.0974553991,0.0974553991
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1386,12.86,3.0746392496,2.3188383838,2.3188383838
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,735,0.75,0.2189659864,0.1577278912,0.1577278912
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,160.62,42.788571429,27.845,18.841428571
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,577.42,262.79047619,201.6247619,131.27142857
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,78,53.126923077,43.56,33.750769231,33.749102564
1033220512,STANFORD,JAMES,K,M.D.,M,I,1117 SUNSET DR,SUITE 101,GRENADA,MS,389014080,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,77,77,99.857142857,33,24.162597403,24.162597403
1033220611,ROSS,PHILLIP,L,MD,M,I,350 30TH ST,STE 100,OAKLAND,CA,946093424,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,23,1090,3.615412844,2.2667889908,1.7188899083,1.7215412844
1033220611,ROSS,PHILLIP,L,MD,M,I,350 30TH ST,STE 100,OAKLAND,CA,946093424,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,88,10.896136364,7.35,5.6301136364,5.7185227273
1033220678,HASAN,ASHRAF,S,MD,M,I,400 S KENNEDY DR,,BRADLEY,IL,60915,US,Physician/Physical Medicine and Rehabilitation,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,33,450,398.92,310.16727273,307.94757576
1033220850,NELSON,DAVID,L,M.D.,M,I,1363 S ELISEO DR,,GREENBRAE,CA,949042012,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,15,234,233.5,183.06,185.96266667
1033221072,LEVINSON,HOWARD,,M.D.,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Plastic and Reconstructive Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,36.39,25.280666667,19.82,15.184
1033221072,LEVINSON,HOWARD,,M.D.,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Plastic and Reconstructive Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,15.93,10.858,8.5153333333,7.0566666667
1033221106,ROBERTSON,HOLLY,T,FNP,F,I,122 AIRWAYS PL,,SOUTHAVEN,MS,386715872,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,87.93,64.23,25.808333333,35.6175
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,94,235,630,60.566809524,8.3062857143,5.8461428571,5.8568888889
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,15.872,3.38,2.2525,2.2525
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,23.023636364,2.12,1.5181818182,1.5181818182
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,57,112,161,16.653416149,1.42,0.9710559006,0.9710559006
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,92.7175,39.56,29.08125,28.650625
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,41,81,8.7698765432,1.4964197531,1.1127160494,1.0935802469
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,83.554545455,10.43,7.4272727273,8.2663636364
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,380.55333333,85.52,67.05,67.716666667
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,151.0712,32.92,25.81,25.896
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,16,89,53.943595506,15.21,10.884831461,10.863707865
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,24,25,249.1188,53.83,38.824,39.3828
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,21,21,73.34952381,18.06,13.388095238,13.302380952
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,86.802222222,12.21,8.8683333333,8.4933333333
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,37,212,9.1717924528,2.02,1.4952830189,1.5023113208
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,24.5825,5.96,4.2808333333,4.2733333333
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,169.93363636,46.21,32.936363636,33.15
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,422.34153846,47.092307692,36.917692308,37.941538462
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,97.2040625,17.09,12.98125,13.100625
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,32,36,213.96805556,46.58,34.481666667,35.585555556
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,51,51,3721.8372549,913.16,712.48686275,828.91803922
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,38,41,48.146341463,13.14,10.3,10.471219512
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,55.646363636,4.0763636364,3.06,3.5036363636
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,44,47,180.82085106,34.569787234,27.10212766,27.310212766
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,21.412727273,21.412727273,16.785454545,47.146363636
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,55.842631579,30.74,16.489473684,16.489473684
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,11,11,11,274.44636364,70.46,45.212727273,45.212727273
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,33,258,261,506.78727969,66.848965517,49.600996169,52.223448276
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,177.40740741,37.64,27.121851852,27.121851852
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.23,8.586969697,8.586969697
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,51,9509,0.5209138711,0.0464412662,0.0332137975,0.0332127458
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,17,90,6804,1.163813933,0.1350793651,0.1027763081,0.1027763081
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1620,12.86,3.0344074074,2.379,2.379
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,350,1.2142571429,0.2186285714,0.1568857143,0.1568857143
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,16.866363636,9.7263636364,10.012727273
1033221148,DOMINGUEZ,DANIEL,L,PA,M,I,1611 FEATHER RIVER BLVD,SUITE 10,OROVILLE,CA,95965,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,26,136,136,110.88970588,33,24.918897059,24.918897059
1033221171,SZMIDT,MARIA,J,M.D.,F,I,12395 EL CAMINO REAL,SUITE 100,SAN DIEGO,CA,921303082,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,29,65.6,8.32,6.5231034483,6.5231034483
1033221171,SZMIDT,MARIA,J,M.D.,F,I,12395 EL CAMINO REAL,SUITE 100,SAN DIEGO,CA,921303082,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,15,16.255333333,1.42,1.1173333333,1.1173333333
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,67,194,59.703917526,8.32,6.2870618557,6.2870618557
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,30,40,9.615,1.42,1.08875,1.08875
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,5.0828571429,2.1485714286,1.4614285714,1.0357142857
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,315.76214286,124.26,89.052857143,63.003571429
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,50,37.719,20.03,15.7034,12.004
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,20,20,151.226,76.452,59.938,42.86
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,21,21,54.389047619,25.705238095,19.406666667,13.39047619
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,20,20,58.968,21.651,16.973,9.6985
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,27,144,8.3269444444,3.26,2.4823611111,1.5927777778
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,19.9325,8.9841666667,7.0433333333,4.65
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,60,91.1485,22.773,16.956166667,13.0045
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,38,41,26.622682927,8.1456097561,6.2090243902,3.88
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,164,170,333.02070588,103.94823529,79.282705882,54.121529412
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,157.04130435,45.079565217,33.916086957,28.233478261
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,3686,0.1510580575,0.046185567,0.0349728703,0.0349728703
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,63,200,44.841428571,34.114920635,28.806190476
1033221353,HARRIMAN,CHARLES,S,M.D.,M,I,608 CITY BUSINESS ROUTE 66,,SAINT ROBERT,MO,655840974,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,66.657894737,33,24.508421053,24.508421053
1033221510,PARROW,KYLE,A,MD,M,I,240 N LECANTO HWY,,LECANTO,FL,344619191,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,55,55,55,80.821272727,77.773636364,55.026727273,47.727454545
1033221510,PARROW,KYLE,A,MD,M,I,240 N LECANTO HWY,,LECANTO,FL,344619191,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,27,37.259259259,32.88,24.516296296,27.381481481
1033221510,PARROW,KYLE,A,MD,M,I,240 N LECANTO HWY,,LECANTO,FL,344619191,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,25,49,53.265306122,48.988163265,36.808163265,40.936938776
1033221510,PARROW,KYLE,A,MD,M,I,240 N LECANTO HWY,,LECANTO,FL,344619191,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,41,67.5,67.456585366,50.860487805,52.064634146
1033221510,PARROW,KYLE,A,MD,M,I,240 N LECANTO HWY,,LECANTO,FL,344619191,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,42,42,83,18,17.742168675,13.854698795,13.934337349
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,28.46,24.19,18.96,22.31
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,168,2.49,2.49,1.9516666667,1.9516666667
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,5.54,5.54,4.34,4.34
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,20,18.02,18.02,14.13,14.13
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,46,66,10.93,9.29,7.28,8.5278787879
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,68,7.46,6.67,5.23,5.8088235294
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1880,0.44,0.44,0.3449680851,0.3449680851
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.27,0.27,0.2116,0.2116
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,300,0.27,0.27,0.2116,0.2116
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,317,2.4,2.4,1.8816719243,1.8816719243
1033221817,HALLEN,SARAH,A,M.D.,F,I,66 BRAMHALL ST,,PORTLAND,ME,041023344,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,866,0.45,0.45,0.352817552,0.352817552
1033221916,LETZ,ADRIAN,G,MD,M,I,3405 LAKE RIDGE DR,,DUBUQUE,IA,520037800,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,12,38,496.36157895,19.71,15.452631579,15.452631579
1033221916,LETZ,ADRIAN,G,MD,M,I,3405 LAKE RIDGE DR,,DUBUQUE,IA,520037800,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,880,192.77361364,40.071909091,31.416363636,31.416352273
1033221916,LETZ,ADRIAN,G,MD,M,I,3405 LAKE RIDGE DR,,DUBUQUE,IA,520037800,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,51,228.43392157,2.64,2.07,2.07
1033222088,MEIN,LORENE,,ARNP,F,I,1350 DES MOINES ST,STE 110,DES MOINES,IA,503095507,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,22,77,73.525584416,8.32,6.2680519481,6.2680519481
1033222088,MEIN,LORENE,,ARNP,F,I,1350 DES MOINES ST,STE 110,DES MOINES,IA,503095507,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,29.568181818,5.5727272727,4.0618181818,3.3781818182
1033222302,DAMALOUJI,ISSAM,F,MD,M,I,135 W DARES BEACH RD,,PRINCE FREDERICK,MD,206783119,US,Physician/General Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,56.55,44.766666667,30.454166667,32.599166667
1033222302,DAMALOUJI,ISSAM,F,MD,M,I,135 W DARES BEACH RD,,PRINCE FREDERICK,MD,206783119,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1984,0.3335332661,0.04625,0.0339667339,0.0339667339
1033222401,NICK,JEARLYN,K,ARNP,F,I,1151 S BELMONT AVE,SUITE 101,OKMULGEE,OK,744476307,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,40,67.81775,8.32,4.8905,4.8905
1033222401,NICK,JEARLYN,K,ARNP,F,I,1151 S BELMONT AVE,SUITE 101,OKMULGEE,OK,744476307,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17,17,13.33,13.5225
1033222401,NICK,JEARLYN,K,ARNP,F,I,1151 S BELMONT AVE,SUITE 101,OKMULGEE,OK,744476307,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,104.56777778,77.18,57.148333333,52.001666667
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,43,101,303,69.979966997,8.32,6.2171287129,6.2171287129
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,15.673333333,3.38,2.65,2.65
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,28,49,79,16.715063291,1.42,1.1141772152,1.1141772152
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,24,8.19,1.52,1.0954166667,1.0566666667
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.07,2.2041666667,3.1941666667
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,76.59,54.581818182,49.754545455
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,29,5233,0.3684616855,0.0451289891,0.0325205427,0.0325205427
1033222468,SHIVDASANI,SHYAM,C,M.D.,M,I,140 LOCKWOOD AVE,SUITE 216,NEW ROCHELLE,NY,108014915,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,93.107142857,33,23.098214286,23.098214286
1033222500,ROH,JAMES,W,MD,M,I,1310 W STEWART DR,SUITE 410,ORANGE,CA,928683854,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,43,48.488372093,16.575348837,12.690930233,12.842093023
1033222500,ROH,JAMES,W,MD,M,I,1310 W STEWART DR,SUITE 410,ORANGE,CA,928683854,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,7,3.47,2.5178571429,3.4264285714
1033222500,ROH,JAMES,W,MD,M,I,1310 W STEWART DR,SUITE 410,ORANGE,CA,928683854,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,42,84.047619048,71.11,54.422619048,53.766904762
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,194,480,481,81.200977131,39.423367983,28.746964657,28.392598753
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,25,43,84,8.8628571429,1.51,1.1852380952,1.1573809524
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,12,89.403333333,7.85,6.15,8.8266666667
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,6.3909090909,1.08,0.84,0.9490909091
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,17,30,30,235.57966667,84.686,61.324333333,62.602333333
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,20,36,105,80.457047619,33.231238095,24.176190476,24.055047619
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,155,384,2174,47.348560258,18.011550138,13.035142594,13.426614535
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,51,108,605,32.362727273,15.377289256,11.18277686,11.037586777
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,198,500,501,145.87493014,53.781836327,39.286746507,39.924650699
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,199,297,297,47.824680135,18.49959596,14.121010101,13.734511785
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,34,34,29.13,11.155882353,8.2288235294,7.7447058824
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,24,53,53,47.959433962,12.076603774,8.4703773585,8.1643396226
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,209,539,2990,6.0716923077,2.0009230769,1.4683277592,1.4892006689
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,38,38,16.601052632,5.9,4.2410526316,4.2607894737
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,45,54,54,32.138148148,12.851481481,9.5166666667,9.7835185185
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,68.542941176,16.98,10.961176471,11.191764706
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,23,128,128,305.10335937,85.91921875,65.008125,66.423046875
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,646.49075,196.266,153.874,159.82475
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,1340.4546667,957.238,750.476,750.476
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,78,79,79,345.52936709,130.60037975,92.851012658,94.785063291
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,24,161,175,54.847028571,3.2956571429,2.4827428571,3.4156571429
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,97,592,603,145.67077944,30.465505804,22.709784411,24.368192371
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,57,59,561.57033898,72.06,53.956440678,52.336610169
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,163.425,36.58,28.67,29.475
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,54,3240,15.58,9.6713518519,7.5566388889,7.5566388889
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2349,0.2158322691,0.0456747552,0.033452533,0.033452533
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,16,5479,2.7628837379,0.0828892134,0.0625424348,0.0625424348
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,38,3180,0.92,0.1348679245,0.103163522,0.103163522
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,81,5310,12.351553672,2.9930903955,2.294566855,2.294566855
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,910,0.9833956044,0.2191318681,0.1662087912,0.1662087912
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,129.00583333,26.63,17.391666667,16.633333333
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,285.6,36.58,27.175625,27.910625
1033222708,SAZON,DOTTIE ANN,,MD,F,I,655 EUCLID AVE,SUITE #206,NATIONAL CITY,CA,919502957,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,23,125,125,124.32,33,25.45608,25.45608
1033222831,LIANG,WEINING,W,MD,M,I,133 02 41ST AVE,,FLUSHING,NY,11355,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,40,76,78.228815789,8.32,5.9202631579,5.9202631579
1033222831,LIANG,WEINING,W,MD,M,I,133 02 41ST AVE,,FLUSHING,NY,11355,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,22,23,34.835217391,1.42,1.0704347826,1.0704347826
1033222906,SPIER,JEFFREY,M,M.D.,M,I,7420 REMCON CIR,BLDG A,EL PASO,TX,799123508,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,2130,0.6790140845,0.13,0.0990657277,0.0990657277
1033222906,SPIER,JEFFREY,M,M.D.,M,I,7420 REMCON CIR,BLDG A,EL PASO,TX,799123508,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,5850,3.0912205128,2.0343076923,1.5949008547,1.5993641026
1033222906,SPIER,JEFFREY,M,M.D.,M,I,7420 REMCON CIR,BLDG A,EL PASO,TX,799123508,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,2370,9.7992405063,7.0608860759,5.5108818565,5.6434556962
1033222906,SPIER,JEFFREY,M,M.D.,M,I,7420 REMCON CIR,BLDG A,EL PASO,TX,799123508,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,160,4.1635,1.8,1.4108125,1.4108125
1033223037,CONTRERAS,VICTOR,D,M.D.,M,I,126 N 10TH ST,,SANTA PAULA,CA,930602803,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,70.85,51.161578947,50.428421053
1033223037,CONTRERAS,VICTOR,D,M.D.,M,I,126 N 10TH ST,,SANTA PAULA,CA,930602803,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,21.558333333,21.558333333
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,50,139,79.530935252,8.32,6.334028777,6.334028777
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,43,56,29.511607143,1.42,1.0573214286,1.0573214286
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,280,9.975,5.74,4.327,4.327
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,3280,0.5191341463,0.4331707317,0.3357682927,0.3357682927
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,280,10.588,5.26,3.8293928571,3.8293928571
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,348,23.66,23.66,18.549310345,18.549310345
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,2040,0.45,0.45,0.3528088235,0.3528088235
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,35,37,131.3327027,52.224594595,37.872972973,33.332162162
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,73.993846154,18.2675,12.404807692,11.646923077
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,31.583333333,3.65,2.6283333333,3.1591666667
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,67,398.53104478,81.073731343,54.617014925,46.727462687
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,525,37,29.01,29.468333333
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,2993,0.5918576679,0.0472936853,0.0324757768,0.0324757768
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,57,63,60.171111111,23.165079365,16.522539683,12.540634921
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,31,60.322580645,33.929354839,26.600645161,20.818064516
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.22,8.5309090909,5.9,5.6
1033223045,HO,SHIN,P,MD,M,I,27141 HIDAWAY AVE,STE 106,CANYON COUNTRY,CA,913514135,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,33,33,22.1488,22.1488
1033223227,CRUZ,MARK,P,MD,M,I,3950 AUSTELL RD,,AUSTELL,GA,301061121,US,Physician/Emergency Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.65,11.385,8.9275,8.95
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,9.73,8.69,6.384375,6.384375
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,15.44,13.8,10.14375,10.14375
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,37,19.301891892,10.93,8.1067567568,8.1067567568
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,88,3111,12.87115397,7.37,5.6988942462,5.6988942462
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,92,2791,5.7318559656,5.23,3.9972160516,3.9972160516
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,14,28,28,369.295,93.508571429,66.683214286,63.065714286
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,12,24,59,140.95932203,36.163898305,26.08220339,24.486440678
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,20,20,64.4125,20.569,13.2625,12.032
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,13,29,29,64.230689655,13.075862069,9.4927586207,8.4010344828
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,16,31,163,8.3045398773,2.3136809816,1.6735582822,1.5104907975
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,46.063636364,13.938181818,10.924545455,10.636363636
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,52.94,52.94,41.5,41.5
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,520,3.8095384615,3.8095384615,2.92875,2.9289615385
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,15,92,2600,102.99912692,5.5331730769,4.3380153846,4.1724307692
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,11,70,36407,1.4300120856,0.3179575356,0.2474298899,0.2414041256
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,24,10783,3.5001307614,0.6686645646,0.5242307336,0.5174636001
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,57,65,592.08769231,64.821846154,50.824307692,48.614769231
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,27,189,190,107.53042105,18.314473684,13.567684211,12.848
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,82.983529412,18.222941176,14.288235294,13.727058824
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,78.57,61.6,55.3025
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,44,44,104.39954545,48.564318182,34.678181818,34.269545455
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,13,82,82,2641.8397561,913.16,712.86926829,833.04634146
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,35.250882353,6.1238235294,4.8044117647,3.6829411765
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,308.42615385,42.69,27.964615385,26.568461538
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,11,50,58,31.653103448,5.1367241379,4.029137931,3.9531034483
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,73,577,578,456.82430796,78.107318339,56.805,51.274792388
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,33,263,265,124.01471698,36.871320755,28.034,28.592943396
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,8798,0.2255739941,0.0475994544,0.0362764265,0.0362764265
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,17,76,11619,1.7072329805,0.1367888803,0.1020879594,0.1020879594
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,281.15,36.9,27.724583333,28.238333333
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,18,77,77,52.792207792,33,24.19012987,24.19012987
1033223235,MAZUREK,DOUGLAS,A,M.D.,M,I,1101 GLENDALE BLVD,SUITE 103,VALPARAISO,IN,463833767,US,Physician/Critical Care (Intensivists),S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,20,20,66,66,51.74,51.74
1033223276,MARSHALL,JONAH,,M.D.,M,I,319 S MANNING BLVD STE 106,,ALBANY,NY,122081743,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,990,11.54,7.23,4.9812626263,4.9812626263
1033223276,MARSHALL,JONAH,,M.D.,M,I,319 S MANNING BLVD STE 106,,ALBANY,NY,122081743,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,52,30.802692308,10.236153846,7.7434615385,8.2998076923
1033223276,MARSHALL,JONAH,,M.D.,M,I,319 S MANNING BLVD STE 106,,ALBANY,NY,122081743,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,17.595,6.44,4.6291666667,4.6291666667
1033223276,MARSHALL,JONAH,,M.D.,M,I,319 S MANNING BLVD STE 106,,ALBANY,NY,122081743,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,415,24.822433735,9.86,7.4605060241,7.4605060241
1033223276,MARSHALL,JONAH,,M.D.,M,I,319 S MANNING BLVD STE 106,,ALBANY,NY,122081743,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,610,9.5028032787,4.04,3.1674098361,3.1674098361
1033223318,NICHOLSON,CRAIG,A,M.D.,M,I,600 W MAIN ST STE 330,,TROY,OH,453732928,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,18,83,11850,3.9472,1.8116050633,1.3790084388,1.5592345992
1033223318,NICHOLSON,CRAIG,A,M.D.,M,I,600 W MAIN ST STE 330,,TROY,OH,453732928,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,15,16.903333333,10.93,8.57,8.57
1033223599,ELLENDER,CLAIRE,C,PAC,F,I,3091 KIRBY WHITTEN RD,,BARTLETT,TN,381342822,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,49,45.288571429,8.32,6.1230612245,6.1230612245
1033223631,FULLER,JILL,M,"MSN, CNP",F,I,232 W 25TH ST,,ERIE,PA,165440002,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,85,7.7645454545,6.0854545455,3.9254545455
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,49,127,63.401496063,8.32,6.111023622,6.111023622
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,28,39,13.401282051,1.42,1.0597435897,1.0597435897
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,253.94,35,27.44,26.413333333
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,113.08,46.2375,32.531666667,32.511666667
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,28.408571429,11.461428571,8.9871428571,9.2571428571
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,23.202857143,10.892857143,8.5414285714,8.6271428571
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,314.12857143,228.26,178.95142857,178.95142857
1033223656,CHOWDHURY,MUSTAQUIM,F,MD,M,I,364 SE 8TH AVE STE 301,,HILLSBORO,OR,971234250,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,20,726.778,77.221,60.542,58.1945
1033223698,AKHTER,ERUM,N,,F,I,302 EAST DIVISION ST.,,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,60,86.31,18.350666667,12.699666667,11.995
1033223698,AKHTER,ERUM,N,,F,I,302 EAST DIVISION ST.,,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1074.31,1074.31,842.26,842.26
1033223698,AKHTER,ERUM,N,,F,I,302 EAST DIVISION ST.,,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,57,519.51,82.750877193,58.065614035,48.916315789
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,78,205,53.943853659,8.32,5.5355121951,5.5355121951
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,15.055294118,3.38,2.4941176471,2.4941176471
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,43,67,14.480447761,1.42,0.9829850746,0.9829850746
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,173.51461538,68.387692308,47.700769231,33.425384615
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,78.631666667,24.611666667,19.292777778,13.607222222
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,161.94090909,59.384545455,42.807272727,34.815909091
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,23.66,7.0170588235,4.6464705882,3.0035294118
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,433.866,38.0075,25.9215,20.7875
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,129,58.192727273,36.68,27.36
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,473.36333333,118.94777778,93.26,55.01
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,4.7102777778,0.567,0.4445277778,0.4445138889
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.1292,0.013,0.0102,0.0102
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,4.8389166667,2.82975,2.2185,2.2185
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1050,1.5754285714,0.1355714286,0.0947619048,0.0947619048
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,29,16,16,12.54,12.54
1033223904,JOHNSON,TERRANCE,A,MD,M,I,1128 HIGHLAND PARKWAY,SUITE 200,PICAYUNE,MS,394669197,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,57.75,33,21.558333333,21.558333333
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,21,50,143,50.926083916,8.32,5.2446153846,5.2446153846
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,26,39,10.790512821,1.42,0.9305128205,0.9305128205
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,83.284166667,22.4775,17.620833333,13.53
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,703.96416667,819.77583333
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,47,479.83744681,99.33106383,72.281489362,49.563191489
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,6372,0.1686409291,0.047341494,0.0336440678,0.0336440678
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2058,1.5088483965,0.1349902818,0.0778377065,0.0778377065
1033223995,JOHNSON,MICHAEL,W,CFNP,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,96.461538462,33,22.188974359,22.188974359
1033224738,KAPLAN,PHILIP,,MD,M,I,115 FAIRGROUNDS DRIVE,,MANLIUS,NY,13104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,64,55.09359375,8.29625,5.68828125,5.69765625
1033224738,KAPLAN,PHILIP,,MD,M,I,115 FAIRGROUNDS DRIVE,,MANLIUS,NY,13104,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,15.78,1.42,1.11375,1.11375
1033224738,KAPLAN,PHILIP,,MD,M,I,115 FAIRGROUNDS DRIVE,,MANLIUS,NY,13104,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,74.665833333,9.7,5.9616666667,7.185
1033224738,KAPLAN,PHILIP,,MD,M,I,115 FAIRGROUNDS DRIVE,,MANLIUS,NY,13104,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,46,9.7506521739,1.95,1.2530434783,1.3065217391
1033224738,KAPLAN,PHILIP,,MD,M,I,115 FAIRGROUNDS DRIVE,,MANLIUS,NY,13104,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,203.15388889,31.007777778,20.225555556,21.051111111
1033224738,KAPLAN,PHILIP,,MD,M,I,115 FAIRGROUNDS DRIVE,,MANLIUS,NY,13104,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70,43.668333333,43.555833333
1033224993,SCHRANK,PHILIP,L,MD,M,I,3480 VETERANS MEMORIAL HWY,,BOHEMIA,NY,117161068,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,77,77,77,1457.5948052,669.44,521.92051948,565.03350649
1033225248,KUKU,ADEKUNLE,G,MD,M,I,US HWY 491 NORTH,,SHIPROCK,NM,87420,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,52,53,49.942075472,22.486792453,16.220566038,13.162264151
1033225248,KUKU,ADEKUNLE,G,MD,M,I,US HWY 491 NORTH,,SHIPROCK,NM,87420,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1600,913.16,703.96416667,830.30416667
1033225248,KUKU,ADEKUNLE,G,MD,M,I,US HWY 491 NORTH,,SHIPROCK,NM,87420,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,24,8.358,6.4076,3.6928
1033225248,KUKU,ADEKUNLE,G,MD,M,I,US HWY 491 NORTH,,SHIPROCK,NM,87420,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,54,56,281.49160714,104.5025,77.852678571,56.705892857
1033225263,STALLINGS,JOE,H,M.D.,M,I,311 E MATTHEWS AVE,,JONESBORO,AR,724013125,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,42,60.546666667,8.32,5.279047619,5.279047619
1033225297,PHILIP DURKEE,BINU,M,DO,F,I,2741 N. CLAIREMONT AVE,,EAU CLAIRE,WI,547032595,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25.02,4.9290909091,3.44,3.2781818182
1033225321,BURDICK,RALPH,E,D.O.,M,I,126 CLINTON ST,,DELAWARE CITY,DE,197067706,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,81,162,83.839197531,8.32,4.8704320988,4.8704320988
1033225321,BURDICK,RALPH,E,D.O.,M,I,126 CLINTON ST,,DELAWARE CITY,DE,197067706,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,26,29,15.885172414,1.42,0.8089655172,0.8089655172
1033225321,BURDICK,RALPH,E,D.O.,M,I,126 CLINTON ST,,DELAWARE CITY,DE,197067706,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,10.003636364,2,1.4257575758,1.4454545455
1033225321,BURDICK,RALPH,E,D.O.,M,I,126 CLINTON ST,,DELAWARE CITY,DE,197067706,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,75,16.076923077,12.6,14.106153846
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,48,57,57,125.21824561,39.88245614,31.269824561,30.550526316
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,28,34,34,313.81558824,86.965882353,68.178235294,67.888235294
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,25,32,64,117.72703125,33.209375,26.03703125,25.9365625
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,22,29,126,51.891111111,19.470793651,15.265238095,14.548888889
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,12,15,62,48.877580645,15.193548387,11.911290323,11.898387097
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,41,49,49,179.87306122,57.126938776,44.791428571,43.057959184
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,49,50,50,61.1342,18.1972,14.2626,14.0656
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,26,26,26,69.163461538,12.011923077,9.4180769231,9.1819230769
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,62,85,405,6.8718024691,2.0873580247,1.6355061728,1.5935555556
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,17,18,18,17.84,6.1677777778,4.8311111111,4.6516666667
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,19,21,21,54.291428571,12.788571429,10.026666667,10.279047619
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,32,32,32,454.08625,135.828125,106.486875,104.6453125
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,31,115,117,362.80632479,34.860683761,27.330769231,27.864700855
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,71,76,382.68842105,78.627894737,60.815263158,55.351973684
1033225610,RASMUSSEN,LYNETTE,M,FNP,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1033225784,HABIB,ASMA,,MD,F,I,2734 EL CAMINO REAL,,SANTA CLARA,CA,950513041,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,30,66.327333333,8.32,4.7833333333,4.7833333333
1033225784,HABIB,ASMA,,MD,F,I,2734 EL CAMINO REAL,,SANTA CLARA,CA,950513041,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,95.374545455,16.065454545,12.592727273,9.12
1033225784,HABIB,ASMA,,MD,F,I,2734 EL CAMINO REAL,,SANTA CLARA,CA,950513041,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,76,11.95,2.6236842105,2.0573684211,1.5927631579
1033225784,HABIB,ASMA,,MD,F,I,2734 EL CAMINO REAL,,SANTA CLARA,CA,950513041,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.92,10.865,8.5175,8.7875
1033225784,HABIB,ASMA,,MD,F,I,2734 EL CAMINO REAL,,SANTA CLARA,CA,950513041,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.67,10.325,8.095,8.1825
1033225784,HABIB,ASMA,,MD,F,I,2734 EL CAMINO REAL,,SANTA CLARA,CA,950513041,US,Physician/Internal Medicine,S,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,393.49,202.615,154.19916667,154.19916667
1033225990,BOLLA,SARITHA,,MD,F,I,620 WASHINGTON STREET,,WINCHESTER,MA,01890,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,924,57.449090909,5.3295238095,4.0230735931,4.0230735931
1033226014,LOZANO,ROLANDO,,MD,M,I,55 DILLMONT DR STE 100,,COLUMBUS,OH,432356458,US,Physician/Pediatric Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,13,91,65.487252747,19.71,13.728901099,13.728901099
1033226014,LOZANO,ROLANDO,,MD,M,I,55 DILLMONT DR STE 100,,COLUMBUS,OH,432356458,US,Physician/Pediatric Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,290,6.2263448276,2.64,1.9285862069,1.9285862069
1033226014,LOZANO,ROLANDO,,MD,M,I,55 DILLMONT DR STE 100,,COLUMBUS,OH,432356458,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,32,61,27.423114754,8.32,5.3449180328,5.3449180328
1033226014,LOZANO,ROLANDO,,MD,M,I,55 DILLMONT DR STE 100,,COLUMBUS,OH,432356458,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,9.9820833333,1.42,1.0733333333,1.0733333333
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,29,116,78.1725,19.677931034,15.427413793,15.427413793
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,28,681,150.6,37.314155653,29.254287812,29.254287812
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,22,66.504545455,20.459090909,16.039090909,13.807727273
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,11,76,78,343.01371795,86.95974359,65.314871795,52.855128205
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,J1325,"Injection, epoprostenol, 0.5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,9318,28.106666667,15.801541103,12.388405237,12.388405237
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,5800,113.20266207,62.250586207,48.804451724,48.804451724
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,1241.3793103,293.91896552,226.88965517,229.69827586
1033226097,WILT,JEFFREY,L,M.D.,M,I,1000 OAKLAND DR,,KALAMAZOO,MI,490081282,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,56.166666667,37.237333333,29.195333333,29.314666667
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,680,5.2983235294,3.5061764706,2.6934411765,2.96075
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,28,11.096071429,7.04,5.1982142857,6.065
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,20,34,9.0788235294,2.73,2.14,2.14
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,20,86,1920,6.8752916667,5.7379166667,4.2194166667,4.220390625
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,18,59,940,3.5993085106,2.91,2.2183510638,2.2183510638
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4396,Ostomy belt with peristomal hernia support,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,48,45.56,35.72,35.72
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,65,234,7.4886752137,6.3435897436,4.6016239316,4.618034188
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,22,118,2125,13.543265882,9.8584470588,6.8070729412,6.8070729412
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,58,1403,9.1813257306,7,5.0475267284,5.0475267284
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,420,5.2433333333,4.03,3.1595238095,3.1595238095
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,63,3660,0.3402595628,0.27,0.206920765,0.206920765
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,70,4380,2.5284109589,2.02,1.5312534247,1.5312534247
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,85,1760,3.5391761364,3.04,2.0914545455,2.0914545455
1033226162,MIDIS,GREGORY,P,M.D.,M,I,1819 W CLINCH AVE STE 200,,KNOXVILLE,TN,379162435,US,Physician/Surgical Oncology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,31,1750,0.3671371429,0.26,0.1915371429,0.1988457143
1033226238,ANTONINI,CHARLES,J,M.D.,M,I,1800 SULLIVAN AVE,SUITE 107,DALY CITY,CA,940152228,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,476.66666667,79,52.531666667,45.9225
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,372.38818182,108.30454545,78.061818182,65.479090909
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,270.87833333,70.194166667,55.0325,45.019166667
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,16,16,78.290625,23.585625,17.51375,14.295
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,25,25,80.55,17.5488,13.3532,10.5748
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,27,105,10.422190476,2.5643809524,2.0074285714,1.6539047619
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,68.967741935,16.051612903,12.585483871,10.696129032
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,14,71,71,493.85661972,46.134788732,34.791690141,25.145352113
1033226303,SALEM,YASSER,S,MD,M,I,2700 E ENTERPRISE AVE,SUITE B,APPLETON,WI,549137890,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,519.51,96.961724138,73.95862069,54.239310345
1033226311,RAY,LISA,S,PA,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,29,72,58.719861111,8.32,6.0422222222,6.0422222222
1033226311,RAY,LISA,S,PA,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,23,10.44826087,1.42,1.0660869565,1.0660869565
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,25,60,189,61.231534392,8.32,5.7626455026,5.7626455026
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,29,52,11.743846154,1.3942307692,0.9871153846,1.0071153846
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,220,111.08266667,86.213333333,66.988666667
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,35,78.142857143,40.988571429,29.947428571,23.817142857
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,49,82.667142857,21.210204082,16.402040816,14.324285714
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,20,20,219.809,59.4955,42.1915,38.6575
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,17,17,55.704705882,20.66,15.379411765,13.252941176
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,25,25,59.8736,15.464,11.7076,8.8056
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,15,34,188,9.0162765957,2.5540425532,1.9153191489,1.5090957447
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,19.968181818,7.2827272727,5.71,4.6772727273
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,31.318333333,14.100833333,11.0525,10.2675
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,17,86.31,17,11.761764706,11.965294118
1033226329,BURFORD,FREDERICK,J,D.O.,M,I,13691 METRO PKWY,STE 330,FORT MYERS,FL,339124327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,324.17222222,79.477777778,55.341851852,48.861481481
1033226469,DELANEY,THOMAS,P,MD,M,I,1000 4TH ST SW,SUITE HOSP,MASON CITY,IA,504012800,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,215,98.85,75.724,52.954
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,80.952666667,44.152,34.616,30.49
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,16,58,106,3.5213207547,1.4654716981,1.1190566038,1.1266981132
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,320.77,83.47,63.735,66.144166667
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,31,129.79322581,32.75,25.676129032,25.894516129
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,32,160,87.8070625,20.395,15.216125,14.0453125
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,18,39,39,231.78589744,61.503589744,47.14,42.404871795
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,29,29,72.665172414,19.844137931,15.557586207,14.062068966
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,14,29,29,81.564137931,13.116896552,9.3551724138,8.5879310345
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,22,47,263,9.1888593156,2.2719391635,1.7411406844,1.5789353612
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,53.863076923,12.904615385,9.4884615385,9.6392307692
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,55.968461538,17.207948718,12.091794872,12.304358974
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1642.5,978.99363636,754.49,754.49
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,36.91,5.77625,4.5304166667,3.9495833333
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,33,39,168.46974359,29.455384615,21.855128205,22.591794872
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,28,209,214,348.80757009,77.457149533,56.968037383,52.250233645
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,264,6.7187878788,5.8340530303,4.5739015152,4.5739015152
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,26,81,26196,0.7107879066,0.0463929608,0.0344579325,0.0344579325
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1620,1.195537037,0.1380925926,0.1032283951,0.1032283951
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1082,8.8350554529,2.8704621072,2.1188817006,2.1188817006
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,54,93.315740741,40.715555556,30.136666667,28.785555556
1033226584,HILL,DAVID,G,MD,M,I,170 GRANDVIEW AVENUE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,26,105,106,42.339622642,33,24.893773585,24.893773585
1033226618,MILLER,TRICIA,R,MD,F,I,437 NORTH 120TH AVE,,HOLLAND,MI,49424,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2387,0.5021994135,0.0470632593,0.0298491831,0.0298491831
1033226618,MILLER,TRICIA,R,MD,F,I,437 NORTH 120TH AVE,,HOLLAND,MI,49424,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,21.558333333,21.558333333
1033226832,OKAFOR,IFEOMA,L,M.D.,F,I,1133 EAGLES LANDING PKWY,,STOCKBRIDGE,GA,302815085,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,75,17.25,12.554285714,12.574285714
1033226832,OKAFOR,IFEOMA,L,M.D.,F,I,1133 EAGLES LANDING PKWY,,STOCKBRIDGE,GA,302815085,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,380,75.56,55.290666667,51.081333333
1033226873,PORWOLL,JOANNE,M,NP,F,I,WALTER REED NATIONAL MILITARY,"8901 WISCONSIN AVE, BLDG 19, DECK 5",BETHESDA,MD,208890001,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,11,137,55.78540146,19.680583942,14.835255474,14.835255474
1033226873,PORWOLL,JOANNE,M,NP,F,I,WALTER REED NATIONAL MILITARY,"8901 WISCONSIN AVE, BLDG 19, DECK 5",BETHESDA,MD,208890001,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,340,7.4005882353,2.6364705882,1.8739117647,1.8739117647
1033226873,PORWOLL,JOANNE,M,NP,F,I,WALTER REED NATIONAL MILITARY,"8901 WISCONSIN AVE, BLDG 19, DECK 5",BETHESDA,MD,208890001,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,272.56545455,272.56545455
1033226915,JABER,MOUIN,M,MD,M,I,3504 NE 24TH AVE,,AMARILLO,TX,791076920,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,28,80,57.9085,8.32,5.7065,5.7065
1033226915,JABER,MOUIN,M,MD,M,I,3504 NE 24TH AVE,,AMARILLO,TX,791076920,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.934545455,3.38,2.65,2.65
1033226915,JABER,MOUIN,M,MD,M,I,3504 NE 24TH AVE,,AMARILLO,TX,791076920,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,26,16.113076923,1.42,1.0715384615,1.0715384615
1033226915,JABER,MOUIN,M,MD,M,I,3504 NE 24TH AVE,,AMARILLO,TX,791076920,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,50,4.9656,2.3896,1.8032,1.528
1033226915,JABER,MOUIN,M,MD,M,I,3504 NE 24TH AVE,,AMARILLO,TX,791076920,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,46.987352941,19.107941176,13.346764706,11.943823529
1033226915,JABER,MOUIN,M,MD,M,I,3504 NE 24TH AVE,,AMARILLO,TX,791076920,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,135,43.732727273,32.159090909,21.254545455
1033226915,JABER,MOUIN,M,MD,M,I,3504 NE 24TH AVE,,AMARILLO,TX,791076920,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,425.07391304,77.607391304,56.266086957,50.125434783
1033227244,ANTHONY,ANTOINETTE,,MD,F,I,1000 CHURCH AVE,FLATBUSH CENTER,BROOKLYN,NY,112182710,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,36,74.888611111,8.32,5.7972222222,5.7972222222
1033227244,ANTHONY,ANTOINETTE,,MD,F,I,1000 CHURCH AVE,FLATBUSH CENTER,BROOKLYN,NY,112182710,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,30.9175,1.42,1.0266666667,1.0266666667
1033227392,SILVERSTEIN,H.,R,M.D. FACC,M,I,1000 ASYLUM AVE,#2109,HARTFORD,CT,061051770,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,18,41,88.03,8.32,5.4443902439,5.4443902439
1033227392,SILVERSTEIN,H.,R,M.D. FACC,M,I,1000 ASYLUM AVE,#2109,HARTFORD,CT,061051770,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,16,17.04,1.42,0.97875,0.97875
1033227707,PALIN,WILLIAM,E,M.D.,M,I,700 3RD ST,SUITE 303,NEPTUNE BEACH,FL,322665072,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2552,0.44,0.44,0.3449568966,0.3449568966
1033227707,PALIN,WILLIAM,E,M.D.,M,I,700 3RD ST,SUITE 303,NEPTUNE BEACH,FL,322665072,US,Physician/Plastic and Reconstructive Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,33,1434,8.28,8.28,6.4293863319,6.4293863319
1033227707,PALIN,WILLIAM,E,M.D.,M,I,700 3RD ST,SUITE 303,NEPTUNE BEACH,FL,322665072,US,Physician/Plastic and Reconstructive Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,41,2233,18.5,18.5,14.439731303,14.439731303
1033227707,PALIN,WILLIAM,E,M.D.,M,I,700 3RD ST,SUITE 303,NEPTUNE BEACH,FL,322665072,US,Physician/Plastic and Reconstructive Surgery,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,948,3.79,3.79,2.9713396624,2.9713396624
1033227707,PALIN,WILLIAM,E,M.D.,M,I,700 3RD ST,SUITE 303,NEPTUNE BEACH,FL,322665072,US,Physician/Plastic and Reconstructive Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,32,376,10.93,10.93,8.5688829787,8.5688829787
1033227707,PALIN,WILLIAM,E,M.D.,M,I,700 3RD ST,SUITE 303,NEPTUNE BEACH,FL,322665072,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,4350,0.13,0.13,0.1019264368,0.1019264368
1033227707,PALIN,WILLIAM,E,M.D.,M,I,700 3RD ST,SUITE 303,NEPTUNE BEACH,FL,322665072,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,2360,0.45,0.45,0.352809322,0.352809322
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,53,115,65.062173913,8.32,5.727826087,5.727826087
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,20,15.119,1.42,1.063,1.063
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,15,15,77.92,46.71,25.373333333,20.326666667
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,81.39,47.416153846,34.968461538,25.083076923
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,43,45.340930233,19.041395349,13.682093023,10.646511628
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,196.93266667,71.008,47.436666667,35.195333333
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,55.464117647,24.861764706,19.138823529,13.711764706
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,28,168,7.6314285714,3.01,2.0436309524,1.3088095238
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,71.833529412,23.201764706,17.310588235,13.088235294
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,35.11,17.416595745,12.423404255,9.509787234
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,66,66,138.4430303,48.989242424,35.407121212,26.135757576
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,384.02,96.337777778,69.646111111,50.391388889
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1140,0.7689473684,0.1296315789,0.0968508772,0.0968508772
1033227715,SHETZLINE,SANDRA,J,DO,F,I,2740 HIGHWAY 4,DRAWER V,ARNOLD,CA,95223,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,110,33,25.066666667,25.066666667
1033227723,BOLSTER,ROBERT,J,M.D.,M,I,5833 SPOHN DR STE 101,,CORPUS CHRISTI,TX,784144135,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,115,48.338,37.9,37.9
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,63,150,67.427133333,8.32,5.9331333333,5.9331333333
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,21,35,13.336,1.42,1.082,1.082
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,590.13333333,86.53,59.328333333,59.328333333
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,34,201.84117647,32.73,23.435588235,23.692941176
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,99.041666667,11.64,9.12,9.12
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,13.061818182,2.03,1.5916666667,1.5916666667
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,41,82.767560976,17.27,11.888780488,11.888780488
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,35.292,5.12,4.018,3.8546666667
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,52,530.88826923,71.796538462,52.006730769,50.449038462
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,4637,0.3173840845,0.0468967005,0.0343821436,0.0343821436
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,2.992,0.2190909091,0.1562121212,0.1562121212
1033227848,MAYROSE,RICHARD,S,M.D.,M,I,1739 N 4TH ST,,TERRE HAUTE,IN,478044002,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,62.7,33,24.5765,24.5765
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,5.3333333333,0.51,0.4,0.4
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,81,261,564,73.149840426,8.32,5.6510106383,5.6510106383
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,43,44,15.525454545,3.38,2.65,2.65
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,18,26,26,21.802692308,2.12,1.67,1.67
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,50,115,139,15.625971223,1.42,1.0455395683,1.0455395683
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,60,55.818333333,17.808333333,12.820166667,13.428166667
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,157.45833333,55.21,37.814166667,37.410833333
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,86,7.6970930233,2,1.5684883721,1.5919767442
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.38,4.2177419355,4.167888563
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,130.58384615,31.5,22.931538462,23.374615385
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,13,13,13,38.197692308,36.626923077,28.714615385,58.903076923
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,519.51,77.36,57.708,52.8815
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,6519,0.2002638441,0.0458413867,0.0350974076,0.0350974076
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,839,2.0634803337,0.1384743743,0.1085697259,0.1085697259
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,19.936470588,8.2311764706,6.4529411765,6.5217647059
1033227855,SAHLI,KEVIN,J,M.D.,M,I,7571 COLD HARBOR RD,,MECHANICSVILLE,VA,231111631,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,37,37,70.459459459,33,25.87,25.87
1033227863,CAIN,SUSAN,S,ARNP,F,I,801 W 5TH AVE,SUITE 518,SPOKANE,WA,992042823,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,90.5,28.46,20.281818182,20.281818182
1033227863,CAIN,SUSAN,S,ARNP,F,I,801 W 5TH AVE,SUITE 518,SPOKANE,WA,992042823,US,Nurse Practitioner,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,32,37,40.163513514,13.8,10.527567568,10.527567568
1033227863,CAIN,SUSAN,S,ARNP,F,I,801 W 5TH AVE,SUITE 518,SPOKANE,WA,992042823,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,21,4884,4.3479750205,2.04,1.5993509419,1.5993509419
1033227863,CAIN,SUSAN,S,ARNP,F,I,801 W 5TH AVE,SUITE 518,SPOKANE,WA,992042823,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,3780,8.3419047619,7.23,5.6683227513,5.6683227513
1033227863,CAIN,SUSAN,S,ARNP,F,I,801 W 5TH AVE,SUITE 518,SPOKANE,WA,992042823,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,26,40,14.953,10.93,8.1415,8.1415
1033227863,CAIN,SUSAN,S,ARNP,F,I,801 W 5TH AVE,SUITE 518,SPOKANE,WA,992042823,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,46,11.130217391,7.26,5.3226086957,5.4810869565
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,29,29,66.177241379,37.917931034,29.726896552,30.49
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A4618,Breathing circuits,D1E - Other DME,Durable Medical Equipment,N,2,,17,42,35.888571429,8.51,6.6726190476,7.5126190476
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,35,35,204.62571429,90.776857143,67.246,65.204571429
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,37,65,79.609076923,33.768769231,24.906307692,24.395846154
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,47,52.996595745,18.62,14.597446809,14.551276596
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,20,39,25.422051282,15.58,12.214358974,11.915384615
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,25,25,128.968,56.0252,43.9196,42.9012
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,23,32,32,44.140625,18.4115625,14.4325,14.3396875
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,26,26,47.997692308,12.378846154,9.3319230769,8.8130769231
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,26,79,261,6.7150957854,2.0144061303,1.5440229885,1.5547509579
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,19,26,26,22.642692308,12.993461538,10.184615385,10.334230769
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,123.56714286,17,12.695238095,12.892619048
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,70,70,2173.2585714,1074.31,834.06171429,834.06171429
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,212.66153846,97.307692308,71.561538462,68.142307692
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,352,315.55909091,247.40272727,165.24
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,20.70326087,6.297826087,4.9373913043,3.8397826087
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,87.68375,33.9275,23.1453125,21.186875
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,138,138,335.97391304,77.96173913,58.206304348,53.072391304
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,54.373103448,36,27.246896552,28.147586207
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,5336,0.2857121439,0.0470670915,0.0353485757,0.0353467016
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1979,0.7632895402,0.1336078828,0.104780192,0.104780192
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,12.218253968,2.918,2.1695238095,2.1695238095
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,91.375,36,25.868333333,27.185
1033227962,FINLEY,JAMES,,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,43.607142857,33,24.418571429,24.418571429
1033227988,LICHTENSTEIN,LEONARD,S,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,54,175,51.8372,8.32,6.0759428571,6.0759428571
1033227988,LICHTENSTEIN,LEONARD,S,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,31,14.713225806,1.42,1.0790322581,1.0790322581
1033227988,LICHTENSTEIN,LEONARD,S,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,325,268.38384615,210.01755495,210.01755495
1033227988,LICHTENSTEIN,LEONARD,S,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,25,9.3480769231,7.328489011,7.328489011
1033227988,LICHTENSTEIN,LEONARD,S,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,50,29.213846154,22.903736264,22.903736264
1033227988,LICHTENSTEIN,LEONARD,S,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.96925,1.26075,0.9304444444,0.9304444444
1033227988,LICHTENSTEIN,LEONARD,S,MD,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,16,16,11.575384615,11.575384615
1033228283,MOWER,DOUGLAS,R,M.D.,M,I,226 N 1100 E,SUITE A,AMERICAN FORK,UT,840032054,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,77,164,79.12347561,8.32,6.1082926829,6.1082926829
1033228283,MOWER,DOUGLAS,R,M.D.,M,I,226 N 1100 E,SUITE A,AMERICAN FORK,UT,840032054,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,7.2581818182,1.42,1.0181818182,1.0181818182
1033228283,MOWER,DOUGLAS,R,M.D.,M,I,226 N 1100 E,SUITE A,AMERICAN FORK,UT,840032054,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,646.49846154,29.81,21.572307692,21.581538462
1033228366,GEORGE-LUCERO,DAYANNA,,MD,F,I,PMG ATRISCO,3901 ATRISCO NW,ALBUQUERQUE,NM,87120,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,46,91.098043478,8.32,5.2458695652,5.2458695652
1033228366,GEORGE-LUCERO,DAYANNA,,MD,F,I,PMG ATRISCO,3901 ATRISCO NW,ALBUQUERQUE,NM,87120,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,190.436,86.09,60.741,49.257
1033228366,GEORGE-LUCERO,DAYANNA,,MD,F,I,PMG ATRISCO,3901 ATRISCO NW,ALBUQUERQUE,NM,87120,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,40.83,32.01,29.51
1033228366,GEORGE-LUCERO,DAYANNA,,MD,F,I,PMG ATRISCO,3901 ATRISCO NW,ALBUQUERQUE,NM,87120,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,2.4093333333,0.1338181818,0.0966742424,0.0966742424
1033228366,GEORGE-LUCERO,DAYANNA,,MD,F,I,PMG ATRISCO,3901 ATRISCO NW,ALBUQUERQUE,NM,87120,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,23.518181818,23.518181818
1033228671,FRANZ,GREGORY,B,M.D.,M,I,155 KINGSLEY LN,STE 150,NORFOLK,VA,235054628,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,20,1012,132.56,4.8034090909,3.7659090909,3.7659090909
1033228671,FRANZ,GREGORY,B,M.D.,M,I,155 KINGSLEY LN,STE 150,NORFOLK,VA,235054628,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,48,24,18.82,18.82
1033228671,FRANZ,GREGORY,B,M.D.,M,I,155 KINGSLEY LN,STE 150,NORFOLK,VA,235054628,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,32,16,12.54,12.54
1033228762,BUNGE,PAUL,D,M. D.,M,I,2033 14TH AVE SW,,OLYMPIA,WA,985025797,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.4175,13.828333333
1033228762,BUNGE,PAUL,D,M. D.,M,I,2033 14TH AVE SW,,OLYMPIA,WA,985025797,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,392.58526316,93.305263158,70.283684211,56.167894737
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,32,83,46.703975904,8.32,5.6580722892,5.6580722892
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,10.078666667,1.42,0.896,0.896
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,46,7.7473913043,1.5052173913,1.1791304348,1.1510869565
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,21,152.08,39.92,17.413809524,16.071904762
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,88.828571429,15.172857143,8.0528571429,7.6221428571
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,19,76,11.871578947,2.3921052632,1.3338157895,1.2689473684
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,33,53.051515152,18.689090909,14.238181818,14.043636364
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,47,48,37.854791667,7.1120833333,4.9997916667,3.3620833333
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,58,61,364.69131148,86.816393443,65.475081967,56.780491803
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,6605,0.3311597275,0.0465495836,0.0310522332,0.0310522332
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2490,1.9277831325,0.1324457831,0.0950923695,0.0950923695
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1140,9.4109035088,2.9755263158,2.3328333333,2.3328333333
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1004,2.632689243,0.2195816733,0.1517330677,0.1517330677
1033228861,FELTNER,SARA,L,FNPC,F,I,1461 N GARDNER ST,,SCOTTSBURG,IN,47170,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,58,58,67.137931034,33,23.639827586,23.639827586
1033228986,LAFLAIR,TRACY,L,MD,F,I,1107 LINDEN ST,,OGDENSBURG,NY,136694496,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,42,55.849285714,8.32,5.0354761905,5.0354761905
1033228986,LAFLAIR,TRACY,L,MD,F,I,1107 LINDEN ST,,OGDENSBURG,NY,136694496,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,14.106428571,1.42,1.0357142857,1.0357142857
1033228986,LAFLAIR,TRACY,L,MD,F,I,1107 LINDEN ST,,OGDENSBURG,NY,136694496,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,78,10.489230769,3.1061538462,2.4357692308,1.6729487179
1033228986,LAFLAIR,TRACY,L,MD,F,I,1107 LINDEN ST,,OGDENSBURG,NY,136694496,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,125,56.915789474,39.864736842,21.471052632
1033229075,SMITH,STEVEN,N,NP,M,I,2205 MCCALLIE AVE,,CHATTANOOGA,TN,374043230,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,3600,0.17,0.0462555556,0.0362555556,0.0362555556
1033229075,SMITH,STEVEN,N,NP,M,I,2205 MCCALLIE AVE,,CHATTANOOGA,TN,374043230,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,132,33,25.87,25.87
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,32,590,8.5583050847,3.57,2.5708474576,2.8241694915
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,18,20.543888889,8.28,6.13,6.13
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,39,16.574615385,4.1,2.8012820513,2.8012820513
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,43,1240,11.289935484,5.7390322581,4.2030725806,4.2038306452
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,248,5.0819354839,2.91,2.2812903226,2.2812903226
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,330,19.616212121,9.86,7.3150606061,7.3150606061
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,740,15.750878378,7,5.488,5.488
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,2040,4.4278872549,1.95,1.5287745098,1.5287745098
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,480,10.067458333,5.36,3.9032083333,3.9032083333
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,23,670,7.9388059701,4.0294029851,3.0130597015,3.013641791
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,49,3300,0.614630303,0.27,0.2052393939,0.2052393939
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,365,20.259013699,10.81,8.3109041096,8.3109041096
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,150,4.78,3.58,2.8068,2.8068
1033229083,ALLEN,NECHOL,L,MD,F,I,3950 KRESGE WAY,SUITE 201,LOUISVILLE,KY,402074637,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,38,1935,0.6312299742,0.24,0.1832971576,0.2051059432
1033229299,BECK,TERESA,L,MD,F,I,4500 N SHALLOWFORD RD,,DUNWOODY,GA,303386476,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,40,81.30925,8.32,3.42375,3.42375
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,24,67,185,61.628810811,8.32,5.7466486486,5.7466486486
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,17,26,16.901923077,1.42,1.0711538462,1.0711538462
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,490,13.103306122,7,5.264,5.264
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.23125,2.0825,1.6325,1.19375
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,57.285454545,26.575454545,20.831818182,14.06
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,65,10.428,3.0409230769,2.3847692308,1.6336923077
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,59.470588235,20.894411765,15.338529412,12.548235294
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,63.991538462,57.082307692,44.748461538,38.656923077
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,196.82352941,44.917647059,31.045882353,20.874705882
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,91,91,436.3510989,97.841978022,69.975494505,48.444065934
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,238.88888889,44.79,31.466666667,27.031481481
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,15.58,9.6436818182,7.4519545455,7.4519545455
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2475,0.1745212121,0.0462787879,0.0340363636,0.0340363636
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,12.86,2.9306818182,2.2976742424,2.2976742424
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,146.25,26.466666667,15.9525,9.825
1033229307,BLOOM,JOAN,M,M.D.,F,I,30544 HIGHWAY 200,STE 101,PONDERAY,ID,838525005,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,33,129,33,25.086060606,25.086060606
1033229380,KAMINSKI,JOSEPH,M,M.D.,M,I,2803 FRUITVILLE ROAD,,SARASOTA,FL,34237,US,Physician/Radiation Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17,13.33,13.54
1033229380,KAMINSKI,JOSEPH,M,M.D.,M,I,2803 FRUITVILLE ROAD,,SARASOTA,FL,34237,US,Physician/Radiation Oncology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2500,1074.31,842.26,842.26
1033229380,KAMINSKI,JOSEPH,M,M.D.,M,I,2803 FRUITVILLE ROAD,,SARASOTA,FL,34237,US,Physician/Radiation Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,81.13,59.160833333,50.280833333
1033229422,ABBIS,STACEY,A,M.D.,F,I,21 E HOLLIS ST,,NASHUA,NH,030602928,US,Physician/General Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.3,4.5127272727,2.4945454545,2.4581818182
1033229588,EDWARDS,CHARLES,C,MD,M,I,301 SAINT PAUL ST,"SPINE CENTER, LOWER LEVEL",BALTIMORE,MD,212022102,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,38,38,38,142.87368421,44.591842105,34.958947368,36.46
1033229612,CARLSON,STEPHEN,,MD,M,I,2655 CTY HWY I,,CHIPPEWA FLS,WI,54729,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,267.886875,93.210625,73.07875,73.07875
1033229612,CARLSON,STEPHEN,,MD,M,I,2655 CTY HWY I,,CHIPPEWA FLS,WI,54729,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,82.941538462,42.751538462,33.517692308,33.517692308
1033229661,PEREZ,CARLOS,H,MD,M,I,1102 W WAUGH ST,,DALTON,GA,30720,US,Physician/Psychiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,158.10071429,19.498571429,10.191428571,9.4392857143
1033229703,RIPPLE,GREGORY,H,MD,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Medical Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,12,14,854,12.162892272,1.5444262295,1.2108665105,1.2108665105
1033229703,RIPPLE,GREGORY,H,MD,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,25,72,6291,44.797609283,5.1687076776,3.9966714354,3.9966714354
1033229703,RIPPLE,GREGORY,H,MD,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,23,44,44,24,24,18.424318182,18.424318182
1033229703,RIPPLE,GREGORY,H,MD,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,18,39,50,16,16,12.54,12.54
1033229935,DETTEN,WILLIAM,R,D.O.,M,I,1530 E REPUBLIC RD,,SPRINGFIELD,MO,658046530,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,42,68,51.034558824,8.32,6.525,6.525
1033229935,DETTEN,WILLIAM,R,D.O.,M,I,1530 E REPUBLIC RD,,SPRINGFIELD,MO,658046530,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,10.902352941,1.42,1.1129411765,1.1129411765
1033229950,FOLKENING,MARK,N,MD,M,I,3299 N WELLNESS DR. STE 150,,HOLLAND,MI,49424,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,125,32.5975,20.642083333,20.464583333
1033229950,FOLKENING,MARK,N,MD,M,I,3299 N WELLNESS DR. STE 150,,HOLLAND,MI,49424,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.353916667,8.7162916667,8.7162916667
1033229950,FOLKENING,MARK,N,MD,M,I,3299 N WELLNESS DR. STE 150,,HOLLAND,MI,49424,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,3.13075,2.45453125,2.45453125
1033229950,FOLKENING,MARK,N,MD,M,I,3299 N WELLNESS DR. STE 150,,HOLLAND,MI,49424,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,132,33,25.87,25.87
1033230156,JACOBS,MINDY,,,F,I,5841 S MARYLAND AVE,"ATTN: INNOVATION UNIT, EMILY LOWDER",CHICAGO,IL,606371447,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,18,14.11,13.583846154
1033230156,JACOBS,MINDY,,,F,I,5841 S MARYLAND AVE,"ATTN: INNOVATION UNIT, EMILY LOWDER",CHICAGO,IL,606371447,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,50.73,3.9511111111,3.0933333333,3.5848148148
1033230156,JACOBS,MINDY,,,F,I,5841 S MARYLAND AVE,"ATTN: INNOVATION UNIT, EMILY LOWDER",CHICAGO,IL,606371447,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,379.9692,77.18,55.6692,50.574
1033230156,JACOBS,MINDY,,,F,I,5841 S MARYLAND AVE,"ATTN: INNOVATION UNIT, EMILY LOWDER",CHICAGO,IL,606371447,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1290,0.92,0.1372790698,0.1076356589,0.1076356589
1033230156,JACOBS,MINDY,,,F,I,5841 S MARYLAND AVE,"ATTN: INNOVATION UNIT, EMILY LOWDER",CHICAGO,IL,606371447,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,36.96,26.565,27.0625
1033230560,COURSON POTHOVEN,STEPHANIE,L,DO,F,I,1350 DES MOINES ST STE 100,,DES MOINES,IA,503095507,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,1788,0.1953691275,0.13,0.1019519016,0.1019519016
1033230560,COURSON POTHOVEN,STEPHANIE,L,DO,F,I,1350 DES MOINES ST STE 100,,DES MOINES,IA,503095507,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,111,13928,4.4933084434,2.04,1.5632086445,1.5632086445
1033230560,COURSON POTHOVEN,STEPHANIE,L,DO,F,I,1350 DES MOINES ST STE 100,,DES MOINES,IA,503095507,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,1890,9.65,7.23,5.5954074074,5.5954074074
1033230560,COURSON POTHOVEN,STEPHANIE,L,DO,F,I,1350 DES MOINES ST STE 100,,DES MOINES,IA,503095507,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,300,3.2,1.8,1.3922,1.3922
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,27.95,27.95,16.3875,16.813333333
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,1664,4.1775961538,2.04,1.5993689904,1.5993689904
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,14,57,119,19.495966387,10.821428571,7.847394958,7.9340336134
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.8,7.46,4.3875,4.3875
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,410,8.6102439024,3.9,2.9084634146,2.9084634146
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,290,14.685793103,9.86,7.4537241379,7.4537241379
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,340,8.5093823529,6.9976470588,5.0617058824,5.064
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,510,13.84227451,7.33,5.7466470588,5.7466470588
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,21,390,6.1827435897,4.04,3.0049487179,3.0049487179
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,230,4.0919130435,3.7682608696,2.4416086957,2.4433043478
1033230933,LEE,EUGENE,K,M.D.,M,I,3901 RAINBOW BLVD,MS 3016,KANSAS CITY,KS,661608500,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,12,855,0.5059766082,0.27,0.2116374269,0.2116374269
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,60,117,117,114.30974359,40.076923077,30.418632479,29.454188034
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,27,64,132,8.4868181818,1.6775757576,1.2787878788,1.1289393939
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,89.009285714,13.008571429,10.205714286,9.0785714286
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,25,109,243,243,360.25641975,91.48436214,65.133786008,61.773703704
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,21,100,243,640,151.67596875,34.83646875,26.242625,25.035125
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,58,128,657,76.043439878,18.908980213,14.135098935,13.954094368
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,30,79,413,56.005762712,15.467869249,11.299854722,11.097384988
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,89,189,190,213.42642105,56.034368421,41.364105263,40.597368421
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,172,242,242,68.734132231,19.667190083,14.880495868,13.678760331
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,26,26,33.678076923,10.515384615,8.1342307692,8.0269230769
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,128,279,281,77.577259786,13.114412811,9.6427402135,8.6820640569
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,32,179,420,2315,10.192678186,2.2382073434,1.6644967603,1.5238704104
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,86,118,118,23.172033898,6.2970338983,4.7292372881,4.5323728814
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,102,133,133,62.983082707,14.079473684,10.665714286,10.021353383
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,54,407,420,73.715642857,19.983,14.773738095,13.20652381
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,232.35,50.964285714,34.258571429,32.254285714
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,,39,39,3144.3141026,1034.36,806.03512821,837.35512821
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,31,37,547.64702703,97.243243243,76.235945946,67.425675676
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,26,30,1064.8273333,221.05333333,164.157,155.50133333
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,27,27,27,391.91333333,139.03851852,109.00703704,106.91666667
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,21,75,78,69.042692308,15.008846154,10.521923077,9.5473076923
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,16,102,104,79.260384615,5.4519230769,4.2101923077,3.6255769231
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,72,418,436,188.32713303,35.980963303,26.899151376,24.673279817
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,23,133,1000,1047,406.44707736,84.766762178,62.228490926,52.782588348
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,23,154,167,204.07520958,40.553353293,30.418502994,28.914491018
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,71,4260,16.25658216,9.6033943662,7.3848685446,7.3848685446
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1320,16.615045455,11.143818182,8.5194015152,8.5194015152
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,32,119,21793,0.2327481301,0.0463869132,0.0351626669,0.0351626669
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,13,55,5997,2.3506353177,0.1355561114,0.1026329832,0.1026329832
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,35,190,11430,11.440212598,3.053,2.3517620297,2.3517620297
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,48,2654,2.6651883949,0.2190128109,0.163014318,0.163014318
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,39,135.58410256,41.203846154,29.868717949,28.948717949
1033231006,ELDIKA,NADER,S,M.D.,M,I,2600 N WOODLAWN BLVD,,WICHITA,KS,672202729,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,29,53,268,268,86.451492537,33,25.387350746,25.387350746
1033231121,SONNTAG,ANISSA,L,APRN,F,I,2220 CANTERBURY DR,,HAYS,KS,67601,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,4825.3923077,1035.5569231,800.84230769,831.22384615
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,65,130,130,143.18969231,40.558230769,30.192076923,29.112769231
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,24,269,513,513,296.07502924,92.085204678,68.063762183,64.298966862
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,23,243,496,1187,124.07555181,35.127203033,26.230893008,24.796107835
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,20,175,356,1793,67.853480201,18.067958728,13.178639152,13.528388176
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,106,206,1094,53.321983547,15.158775137,10.723107861,10.752751371
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,298,556,556,188.39008993,55.859640288,40.606438849,39.773147482
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,31,509,669,669,54.865052317,18.36838565,13.629312407,13.33328849
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,53,64,64,27.6871875,10.36484375,7.54265625,7.55046875
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,484,905,905,53.98798895,12.606254144,9.4156132597,8.7462320442
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,544,1184,5822,7.826853315,2.1800583992,1.6359069048,1.5350120234
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,312,393,393,13.241450382,6.3482188295,4.8576081425,4.575216285
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,25,302,393,393,39.922468193,13.120534351,10.065521628,10.113536896
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,23.730714286,17.947857143,14.071428571,13.969285714
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,66,402,420,171.02735714,86.877666667,64.75847619,64.675190476
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,11,56,56,341.36357143,228.56857143,172.97571429,167.33107143
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,151,152,152,168.73730263,132.24230263,102.35559211,103.21828947
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,21,123,127,74.348188976,13.78992126,9.74,9.585984252
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,18,208,1072,1121,84.581953613,35.178135593,25.647805531,24.133291704
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,22,133,140,207.97357143,81.733428571,60.647,52.760857143
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,3600,0.4338361111,0.0457638889,0.0326972222,0.0326972222
1033231188,SAMADDER,GAUTAM,,MD,M,I,99 N BRICE RD,,COLUMBUS,OH,43213,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,89.571428571,33,25.87,25.87
1033231253,MANCINI,LEANNE,M,DO,F,I,2500 NILES ROAD,SUITE 1,ST JOSEPH,MI,49085,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,29,84,50.08,8.32,5.6352380952,5.6352380952
1033231253,MANCINI,LEANNE,M,DO,F,I,2500 NILES ROAD,SUITE 1,ST JOSEPH,MI,49085,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,20,11.539,1.42,0.892,0.892
1033231253,MANCINI,LEANNE,M,DO,F,I,2500 NILES ROAD,SUITE 1,ST JOSEPH,MI,49085,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.27,12.411666667,12.411666667
1033231253,MANCINI,LEANNE,M,DO,F,I,2500 NILES ROAD,SUITE 1,ST JOSEPH,MI,49085,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,300,69.81,46.31,46.31
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,820,1.5,0.7185365854,0.5633170732,0.5566097561
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,17,17,17,138.02,43.84,34.37,36.46
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,31.55,4.9166666667,3.8566666667,4.08
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,15,85,85,134.38,50.345882353,34.504117647,34.087058824
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,128.98,51.165625,36.5,37.439375
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,15,16,30,5.095,3.9975,3.959375
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,4.91,2.04,1.6,1.8019230769
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,217.1,77.74,60.95,55.208461538
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,23,23,23,70.2,29.68,22.25826087,27.857826087
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,39,39,7.0276923077,2.968974359,2.328974359,2.8925641026
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,38,211,211,69.237819905,15.678483412,11.341279621,13.41436019
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,37,37,119.34,20.516486486,14.447837838,19.407567568
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,33,221,221,20.57,6.8888687783,4.8852941176,6.0838914027
1033231535,AGARONOV,VITALIY,,,M,I,2277 80TH ST FL 2,,BROOKLYN,NY,112142002,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,61.96,40.66,31.88,29.692307692
1033231907,ALLEGRETTI,PAUL,D,D.O.,M,I,2112 HARRISBURG PIKE,SUITE 202,LANCASTER,PA,176012644,US,Physician/Gastroenterology,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3126,2.7532629559,0.8547696737,0.670140755,0.7840019194
1033231907,ALLEGRETTI,PAUL,D,D.O.,M,I,2112 HARRISBURG PIKE,SUITE 202,LANCASTER,PA,176012644,US,Physician/Gastroenterology,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,345,4.5,0.7,0.5486956522,0.5566666667
1033232095,TKACHEV,ARKADIY,B,M.D.,M,I,601 S CARR RD,SUITE 100,RENTON,WA,980555866,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,27,73,45.852876712,8.32,6.1030136986,6.1030136986
1033232277,MCDOWELL,JULIE,E,PA C,F,I,901 E CENTER ST,,LEXINGTON,NC,272924403,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,193.78315789,51.402105263,37.777894737,37.117894737
1033232277,MCDOWELL,JULIE,E,PA C,F,I,901 E CENTER ST,,LEXINGTON,NC,272924403,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,86.31,17.29,13.55,13.530833333
1033232277,MCDOWELL,JULIE,E,PA C,F,I,901 E CENTER ST,,LEXINGTON,NC,272924403,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,36,519.51,70.23,55.06,54.729444444
1033232277,MCDOWELL,JULIE,E,PA C,F,I,901 E CENTER ST,,LEXINGTON,NC,272924403,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,61.66,20.4725,15.159375,14.281875
1033232293,SULLIVAN,KAREN,,MD,F,I,5320 PROVIDENCE RD,SUITE 301,VIRGINIA BEACH,VA,234644122,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,35,69,59.066376812,8.32,6.1447826087,6.1447826087
1033232293,SULLIVAN,KAREN,,MD,F,I,5320 PROVIDENCE RD,SUITE 301,VIRGINIA BEACH,VA,234644122,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,18,13.407777778,1.42,0.9922222222,0.9922222222
1033232293,SULLIVAN,KAREN,,MD,F,I,5320 PROVIDENCE RD,SUITE 301,VIRGINIA BEACH,VA,234644122,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,47.535,37.265,38.098333333
1033232293,SULLIVAN,KAREN,,MD,F,I,5320 PROVIDENCE RD,SUITE 301,VIRGINIA BEACH,VA,234644122,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,254.73684211,78.318421053,60.727368421,56.486315789
1033232293,SULLIVAN,KAREN,,MD,F,I,5320 PROVIDENCE RD,SUITE 301,VIRGINIA BEACH,VA,234644122,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.779166667,30.401666667,29.51
1033232293,SULLIVAN,KAREN,,MD,F,I,5320 PROVIDENCE RD,SUITE 301,VIRGINIA BEACH,VA,234644122,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1033232434,LEE,ALBERT,,MD,M,I,833 CHESTNUT ST,SUITE 701,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,56,149,64.60704698,8.32,6.1712751678,6.1712751678
1033232434,LEE,ALBERT,,MD,M,I,833 CHESTNUT ST,SUITE 701,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.3125,3.38,2.65,2.65
1033232434,LEE,ALBERT,,MD,M,I,833 CHESTNUT ST,SUITE 701,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,40,61,16.193934426,1.42,1.0427868852,1.0427868852
1033232434,LEE,ALBERT,,MD,M,I,833 CHESTNUT ST,SUITE 701,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1740,19.21,7.87,6.1700689655,6.1772068966
1033232434,LEE,ALBERT,,MD,M,I,833 CHESTNUT ST,SUITE 701,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,242.87636364,45.209090909,33.357272727,34.225909091
1033232434,LEE,ALBERT,,MD,M,I,833 CHESTNUT ST,SUITE 701,PHILADELPHIA,PA,191074414,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,378.86095238,77.18,53.730952381,50.974285714
1033232541,PRIMOZICH,JOAN,I,FNPC,F,I,1400 S POTOMAC ST STE 190,,AURORA,CO,800124514,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,184.6225,78.49,57.651875,51.276875
1033232541,PRIMOZICH,JOAN,I,FNPC,F,I,1400 S POTOMAC ST STE 190,,AURORA,CO,800124514,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38.76,27.8575,27.050833333
1033232749,BYRD,JENNIFER,,MD,F,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,36,71.096388889,8.32,2.5355555556,2.5355555556
1033232749,BYRD,JENNIFER,,MD,F,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,14.785,1.42,0.4,0.4
1033232848,OGLE,SAMUEL,R,MD,M,I,70 FOX RIDGE CT,STE B,DEBARY,FL,327132752,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,800,0.58275,0.13,0.1019375,0.1019375
1033233259,NWAGWU,CHIJIOKE,C,DO,M,I,28455 HAGGERTY RD,STE 200,NOVI,MI,48377,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,33.369090909,26.159090909,26.159090909
1033233390,STEVENSON,RICHARD,D,M.D.,M,I,1204 W MAIN ST,,CHARLOTTESVILLE,VA,229032824,US,Physician/Pediatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,451,17.057649667,6.5078492239,4.9295121951,3.9903325942
1033233390,STEVENSON,RICHARD,D,M.D.,M,I,1204 W MAIN ST,,CHARLOTTESVILLE,VA,229032824,US,Physician/Pediatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,5743,1.2215061814,0.3504318301,0.2633205642,0.2317238377
1033233507,ULAGER,JAMES,R,M.D.,M,I,22 COMMERCE ST,UNIT 10,HINESBURG,VT,054619303,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,30,100.10333333,20.603666667,15.156333333,14.622666667
1033233507,ULAGER,JAMES,R,M.D.,M,I,22 COMMERCE ST,UNIT 10,HINESBURG,VT,054619303,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,41,520.62439024,96.065365854,67.59,51.441219512
1033233507,ULAGER,JAMES,R,M.D.,M,I,22 COMMERCE ST,UNIT 10,HINESBURG,VT,054619303,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3543,0.3170364098,0.0469009314,0.0303048264,0.0302991815
1033233507,ULAGER,JAMES,R,M.D.,M,I,22 COMMERCE ST,UNIT 10,HINESBURG,VT,054619303,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,22.174285714,22.174285714
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,40,115,255,70.019921569,8.32,5.5621176471,5.5621176471
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,33,48,16.414583333,1.42,0.97625,0.97625
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,95,76.911578947,25.257789474,18.452736842,13.326
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,226.84421053,73.695789474,52.026842105,37.560526316
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,74.092727273,21.998181818,14.807272727,11.760909091
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,104.07,15.4225,11.309166667,8.3425
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,23,132,9.5951515152,2.7706060606,2.0958333333,1.5178787879
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,74.51047619,65.878571429,49.209047619,36.936190476
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,43,80.602790698,22.845581395,16.61,15.231860465
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,19,81.75,15.185789474,11.908421053,9.9457894737
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,28,39.165357143,9.1114285714,6.97,4.6810714286
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,125,47.99,36.8255,23.7505
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,48,494.41395833,104.73458333,74.734375,64.976458333
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,26,2280,1.0685482456,0.1314605263,0.08,0.08
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,51.923076923,20.823076923,14.107692308,11.084615385
1033233879,REASON,EDWARD,L,D.O.,M,I,77 W BARNEY ST,,GOUVERNEUR,NY,136421040,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,24,24,41.25,33,21.127083333,21.127083333
1033234372,SINGH,ADITI,,MD,F,I,1800 W CHARLESTON BLVD,,LAS VEGAS,NV,891022329,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,24,47,68.833617021,8.32,6.5246808511,6.5246808511
1033235627,JONES,KORY,,M.D.,F,I,811 W INTERSTATE 20,STE 212,ARLINGTON,TX,760175870,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,22,43.909090909,36.890909091,25.857272727,27.745
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,61,150,150,89.737866667,39.4046,27.974266667,27.637266667
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,22,51,51,278.33960784,84.254705882,60.893921569,62.480784314
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,22,52,144,107.91208333,33.201736111,25.165138889,25.066805556
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,33,84,436,52.960917431,18.032637615,12.98809633,13.379288991
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,26,52,300,40.261733333,15.376,10.912966667,10.778733333
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,67,156,156,165.90487179,53.863525641,38.633910256,39.222435897
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,83,113,113,53.51079646,18.494247788,14.11079646,13.721946903
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,32.9525,11.1275,7.625625,7.13125
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,42,42,56.812380952,12.057857143,9.0045238095,8.7161904762
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,75,178,1020,7.5094509804,2.0033921569,1.4536078431,1.4726666667
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,30,41,41,18.309268293,5.903902439,4.4070731707,4.4248780488
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,39,49,49,41.292857143,12.817959184,9.4330612245,9.7132653061
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,308.001,89.515,67.1675,68.4945
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,713.96862069,198.8037931,150.91551724,157.96413793
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,433.36352941,130.48,102.29,104.41647059
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,226.30666667,13.048666667,9.5466666667,9.784
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,27,148,148,202.82432432,29.658918919,20.839797297,22.597567568
1033236682,SHARMA,VICTORIA,,MD,F,I,5525 GROSSMONT CENTER DR,SUITE 602,LA MESA,CA,919423009,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,72.06,56.5,55.32
1033236823,WILLSON,SEANN,E,MD,F,I,4466 W BRISTOL RD,,FLINT,MI,485073170,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,8.0609090909,6.2754545455,7.3672727273
1033236823,WILLSON,SEANN,E,MD,F,I,4466 W BRISTOL RD,,FLINT,MI,485073170,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,19,602.63157895,579.22105263,454.10947368,462.3
1033237292,GELOFF,BRENDA,A,PAC,F,I,961 CANAL ST,INDUSTRIAL MEDICAL ASSOCIATES,SYRACUSE,NY,132101287,US,Physician Assistant,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,11,26,397,53.839899244,19.649093199,15.199647355,15.199647355
1033237292,GELOFF,BRENDA,A,PAC,F,I,961 CANAL ST,INDUSTRIAL MEDICAL ASSOCIATES,SYRACUSE,NY,132101287,US,Physician Assistant,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,12,27,865,8.0957803468,2.6326011561,1.9921156069,1.9921156069
1033237292,GELOFF,BRENDA,A,PAC,F,I,961 CANAL ST,INDUSTRIAL MEDICAL ASSOCIATES,SYRACUSE,NY,132101287,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,77,95,240,1228,69.846929967,8.32,5.7828745928,5.7828745928
1033237292,GELOFF,BRENDA,A,PAC,F,I,961 CANAL ST,INDUSTRIAL MEDICAL ASSOCIATES,SYRACUSE,NY,132101287,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,46,51,100,252,14.724563492,1.42,1.0247619048,1.0247619048
1033237292,GELOFF,BRENDA,A,PAC,F,I,961 CANAL ST,INDUSTRIAL MEDICAL ASSOCIATES,SYRACUSE,NY,132101287,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,250.939375,250.939375,196.73625,196.869375
1033237524,GOLDBERG,BRIAN,K,M.D.,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,11,73,74,96.176756757,79.811351351,59.74972973,60.435405405
1033237524,GOLDBERG,BRIAN,K,M.D.,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,2,12,60,60,181.5335,45.926666667,34.502333333,34.502333333
1033237524,GOLDBERG,BRIAN,K,M.D.,M,I,2775 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177307,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,1244.3215385,173.00538462,135.63615385,142.95615385
1033237987,KIM,EDWARD,J,"M.D., PHD",M,I,2279 45TH STREET,,SACRAMENTO,CA,958172229,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,18,1548,39.166143411,4.4866731266,3.5175645995,3.5175645995
1033237987,KIM,EDWARD,J,"M.D., PHD",M,I,2279 45TH STREET,,SACRAMENTO,CA,958172229,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,5456,0.44,0.44,0.3449431818,0.3449431818
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,664,2.73,2.73,2.1403313253,2.1403313253
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,780,3.67,3.67,2.8773333333,2.8773333333
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,2880,0.45,0.45,0.3527881944,0.3527881944
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,2600,1.97,1.97,1.5445,1.5445
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,68.337777778,16.994444444,13.322222222,13.531111111
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2975,913.16,715.92,831.73166667
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,54.668181818,3.2236363636,0.5781818182,1.8327272727
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,44,361.21772727,73.947272727,55.443181818,52.57
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1530,2.2417712418,0.1397843137,0.0948169935,0.0948169935
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,37.316595745,16.858510638,12.328723404,13.503617021
1033238076,FREDERICK,MELISSA,A,M.D.,F,I,423 BROADWAY,SUITE 604,MILLBRAE,CA,940301905,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,11.962857143,10.891428571,8.5392857143,7.5364285714
1033239579,MASHEK,LARA,D,M.D,F,I,1102 W MACARTHUR ST,,SHAWNEE,OK,748041743,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,34.79,22.4775,16.999166667,13.217083333
1033239579,MASHEK,LARA,D,M.D,F,I,1102 W MACARTHUR ST,,SHAWNEE,OK,748041743,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,258.75,102.61833333,77.964583333,54.137083333
1033239959,FARHAT,ROBERT,P,DO,M,I,43475 DALCOMA DR,STE. 150,CLINTON TWP,MI,480383591,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,87.92,50.76,39.795,39.795
1033240395,CALLIS-WOLFE,RACHEL,L,MD,F,I,1846 DUTCH FORK ROAD,,IRMO,SC,29063,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,34,86.964705882,8.32,5.5097058824,5.5097058824
1033240577,MORELLI,PAULETTE,,"RN, MSN, CCNS, CFNP",F,I,4755 OGLETOWN-STANTON RD,DEPARTMENT OF MEDICINE-SUITE 4B00,NEWARK,DE,197180001,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.88,15.75,12.35,13.431818182
1033240577,MORELLI,PAULETTE,,"RN, MSN, CCNS, CFNP",F,I,4755 OGLETOWN-STANTON RD,DEPARTMENT OF MEDICINE-SUITE 4B00,NEWARK,DE,197180001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,32.8125,4.2625,3.340625,3.38
1033240577,MORELLI,PAULETTE,,"RN, MSN, CCNS, CFNP",F,I,4755 OGLETOWN-STANTON RD,DEPARTMENT OF MEDICINE-SUITE 4B00,NEWARK,DE,197180001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,257.5,74.265,54.3,51.558333333
1033240601,MILSTEAD,CYNTHIA,,NP,F,I,4300 W MAIN ST,SUITE 300,DOTHAN,AL,363051054,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,16,67.8025,8.32,5.70875,5.70875
1033240601,MILSTEAD,CYNTHIA,,NP,F,I,4300 W MAIN ST,SUITE 300,DOTHAN,AL,363051054,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,70.23,55.06,54.7625
1033241047,GIORDANO,KATHRYN,M,DO,F,I,1600 ROCKLAND ROAD,,WILMINGTON,DE,198033607,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,75,18.19875,9.810625,9.1525
1033241658,KU,GREGORY,M,MD PHD,M,I,513 PARNASSUS AVE BOX 0534,,SAN FRANCISCO,CA,941430001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,19,57,311,76.18096463,8.32,5.4950482315,5.4950482315
1033241658,KU,GREGORY,M,MD PHD,M,I,513 PARNASSUS AVE BOX 0534,,SAN FRANCISCO,CA,941430001,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,28,28,357.9775,237.67964286,186.33928571,194.28107143
1033242581,MILLENDER,TARRA,W,M.D.,F,I,2170 MIDLAND RD,,SOUTHERN PINES,NC,283872927,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,16,72.2275,72.2275,56.39,52.583125
1033242581,MILLENDER,TARRA,W,M.D.,F,I,2170 MIDLAND RD,,SOUTHERN PINES,NC,283872927,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,21,62.157142857,62.157142857,44.04952381,49.407619048
1033242581,MILLENDER,TARRA,W,M.D.,F,I,2170 MIDLAND RD,,SOUTHERN PINES,NC,283872927,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,16.780625,16.780625,13.155625,13.9728125
1033243480,KARAJALA-SUBRAMANYAM,VIJAY,S,,M,I,1068 W BALTIMORE PIKE,,MEDIA,PA,190635104,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,58.330714286,16.217142857,12.707857143,13.397857143
1033243480,KARAJALA-SUBRAMANYAM,VIJAY,S,,M,I,1068 W BALTIMORE PIKE,,MEDIA,PA,190635104,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,24,24,296.07666667,77.714583333,60.929166667,55.685416667
1033243480,KARAJALA-SUBRAMANYAM,VIJAY,S,,M,I,1068 W BALTIMORE PIKE,,MEDIA,PA,190635104,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,97.5,37,29.01,29.426666667
1033244215,NEWMAN,STEVE,C,P.A.,M,I,166 W 1325 N,SUITE 150,CEDAR CITY,UT,847207792,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,192.14285714,70.312142857,53.548571429,36.957857143
1033244215,NEWMAN,STEVE,C,P.A.,M,I,166 W 1325 N,SUITE 150,CEDAR CITY,UT,847207792,US,Physician Assistant,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,15,16,317,35,21.76,17.06,19.310757098
1033244553,TRINH,TUAN,,D.O.,M,I,710 E PIONEER PKWY,,GRAND PRAIRIE,TX,750514958,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,63,52.943015873,8.32,6.5228571429,6.5228571429
1033245238,RAHMAN,MAQSOODUR,,M.D.,M,I,602 SCHENECTADY AVE,,BROOKLYN,NY,112031821,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,28,40,112.29625,8.32,3.5885,3.5885
1033245238,RAHMAN,MAQSOODUR,,M.D.,M,I,602 SCHENECTADY AVE,,BROOKLYN,NY,112031821,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,28.962307692,1.42,0.7753846154,0.7753846154
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,35,62,62,92.590483871,38.818225806,29.891290323,29.92
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,17,32,32,289.7353125,86.936875,67.2371875,66.8684375
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,15,31,76,89.049342105,32.991710526,25.323815789,25.356710526
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,12,21,109,47.637614679,15.007522936,11.766330275,11.89266055
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,24,38,38,190.67263158,52.839210526,39.533684211,40.878157895
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,36,45,45,63.964444444,17.800888889,13.952888889,14.031777778
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,52.123571429,11.665,8.5092857143,8.4914285714
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,43,84,428,6.2423364486,2.0464719626,1.5604205607,1.5505373832
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,34,42,42,18.707380952,5.8992857143,4.5202380952,4.5416666667
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,18,21,21,34.163333333,12.35952381,9.1938095238,9.7547619048
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,400.89526316,133.15,102.54315789,102.85736842
1033245311,VODDI,SWETHA,D,MD,F,I,1401 WHITEHORSE MERCERVILLE RD,SUITE 219,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,29,157,168,202.9460119,32.543630952,24.708154762,25.254047619
1033245378,SUTTON,DWIGHT,H,M.D.,M,I,1300 ANDREA ST,SUITE 100,BOWLING GREEN,KY,421043382,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,34,84,81.690833333,8.32,6.0557142857,6.0557142857
1033245378,SUTTON,DWIGHT,H,M.D.,M,I,1300 ANDREA ST,SUITE 100,BOWLING GREEN,KY,421043382,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,20,13.8595,1.42,1.117,1.117
1033245378,SUTTON,DWIGHT,H,M.D.,M,I,1300 ANDREA ST,SUITE 100,BOWLING GREEN,KY,421043382,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,16.833333333,4.55,2.535,2.535
1033245378,SUTTON,DWIGHT,H,M.D.,M,I,1300 ANDREA ST,SUITE 100,BOWLING GREEN,KY,421043382,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,416.48521739,70.23,50.000869565,49.779565217
1033245378,SUTTON,DWIGHT,H,M.D.,M,I,1300 ANDREA ST,SUITE 100,BOWLING GREEN,KY,421043382,US,Physician/Internal Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,583.10454545,172.86272727,135.52181818,102.36363636
1033245378,SUTTON,DWIGHT,H,M.D.,M,I,1300 ANDREA ST,SUITE 100,BOWLING GREEN,KY,421043382,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1033245469,RATTS,RYAN,C,M.D.,M,I,1 MEDICAL CENTER DR,DARTMOUTH HITCHCOCK MEDICAL CENTER - HOSPITAL MEDICINE,LEBANON,NH,037561000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,486.28555556,104.71185185,79.882962963,61.702962963
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,9.1557857143,6.8460714286,4.9206785714,5.0413928571
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.4348333333,4.04,3.1675,3.1675
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,650,0.3769076923,0.27,0.1953230769,0.1953230769
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2400,0.12845,0.05,0.0359333333,0.0359333333
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100,19.435454545,15.237272727,10.479090909
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,35,5.9171428571,4.64,3.38
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,200,57.361666667,44.968333333,27.27
1033245683,COMFORT,MARGARET,,PA,F,I,100 PROVENA WAY,SUITE 103,BOURBONNAIS,IL,60914,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,400,106.38666667,83.41,58.587142857
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,29,88,60.621931818,8.32,5.5168181818,5.5168181818
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,669,91.421428571,66.806428571,62.995714286
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,25,278,35.0232,25.3764,23.8456
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,103.67066667,18.67,13.273333333,12.706666667
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,75.8945,12.8005,8.8725,8.0115
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,126,9.2,2.1342857143,1.4312698413,1.3517460317
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,48.726153846,20.954615385,16.428461538,13.547692308
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,180.88,17.52,13.249285714,13.106428571
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,781.1725,32.19,18.710833333,19.113055556
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,108,108,731.22666667,79.411018519,60.601759259,54.216018519
1033246061,LAM,HUONG,M,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,285.6,39.05826087,30.623913043,29.54826087
1033246202,FEINSTEIN,SHARON,E,,F,I,29 S PACA ST,,BALTIMORE,MD,212011771,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,27,54,75.570185185,8.32,5.5540740741,5.5540740741
1033246202,FEINSTEIN,SHARON,E,,F,I,29 S PACA ST,,BALTIMORE,MD,212011771,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,16.271666667,1.42,0.9333333333,0.9333333333
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,32,103,174,119.36844828,8.32,5.6231609195,5.6231609195
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,54.69,1.42,0.8533333333,0.8533333333
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,31,86.31,21.889677419,15.716451613,12.41483871
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,176.99347826,7.6986956522,5.8765217391,3.852173913
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,42,519.51,99.926666667,75.381666667,54.900238095
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,39,4374,3.6978692273,0.1363671696,0.0955852766,0.0955852766
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,375,17.72928,3.2161866667,2.32272,2.32272
1033246673,JAMES,WILBERT,D,M.D.,M,I,461 G ST,,FORKS,WA,983319025,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,36,36,33,33,20.839722222,20.839722222
1033246970,ABRAHAM,NIKSAD,,MD,M,I,16070 DOCTORS BLVD,,HAMMOND,LA,704031478,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,267.05526316,70.23,52.162105263,51.965263158
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,21,50,73.4804,8.32,6.26,6.26
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,12.2375,1.42,1.12,1.12
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,27.45,11.093333333,7.7825,8.4841666667
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,247.24,43.365454545,30,30.467272727
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45.4,11.0075,8.6325,8.7866666667
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,33,49.757575758,10.014545455,7.8445454545,8.2024242424
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,512.4,216.3725,162.25583333,162.25583333
1033247325,MANCILLA,SANDRA,,MD,F,I,30549 SUSSEX HWY,,LAUREL,DE,199563891,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,64,7.744,6.07,6.5053333333
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,30,84,1088,60.670174632,19.621387868,14.930772059,14.930772059
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,30,78,2461,8.1697318163,2.631369362,1.9788216172,1.9788216172
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,16,22,44,5.1918181818,0.51,0.3818181818,0.3818181818
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,61,267,657,3232,64.090365099,8.32,6.1497957921,6.1497957921
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,33,79,79,14.198227848,3.38,2.5829113924,2.5829113924
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,34,46,46,20.744782609,2.12,1.6336956522,1.6336956522
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,43,108,214,544,13.340992647,1.42,1.0719117647,1.0719117647
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,12,12,12,192.77333333,50.249166667,39.393333333,58.78
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,57,57,713.10315789,331.73578947,252.12982456,252.12982456
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,42,3540,16.438920904,10.70039548,8.3891158192,8.3891158192
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,28,152,152,305.63309211,251.02019737,194.12019737,194.19026316
1033250048,DUCHARME,JULIE,L,MD,F,I,2027 PULASKI HWY,"SWAN CREEK VILLAGE CENTER, SUITE 207",HAVRE DE GRACE,MD,210782143,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,309.959,246.93,188.3915,195.8165
1033250428,SKAU,RANDELL,S,M.D.,M,I,2809 OLIVE HWY,SUITE 220,OROVILLE,CA,959666131,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,5.28,3.84,3.011,3.0537272727
1033250428,SKAU,RANDELL,S,M.D.,M,I,2809 OLIVE HWY,SUITE 220,OROVILLE,CA,959666131,US,Physician/General Surgery,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,6.588,4.91,3.849,3.849
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,46,68,68,83.762941176,44.054264706,30.686470588,27.199852941
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,23,149,272,273,453.60725275,104.75677656,76.281428571,64.68967033
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,118,290,622,194.22467846,39.46266881,29.70607717,25.504790997
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,13,29,125,108.49488,23.2012,17.39752,14.61896
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,21,47,211,77.015734597,16.864454976,12.741563981,11.575924171
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,38,73,73,281.42150685,64.451780822,48.376027397,41.769863014
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,175,227,227,81.875154185,21.566167401,16.21185022,13.705374449
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,18,18,39.509444444,11.329444444,8.4222222222,7.8305555556
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,132,258,259,98.143436293,16.071930502,12.172355212,9.3314671815
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,180,394,1674,12.852401434,2.421744325,1.8503823178,1.5908781362
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,60,73,73,28.469863014,7.3682191781,5.638630137,4.5780821918
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,102,137,137,55.580291971,14.652846715,11.096131387,10.071094891
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,18,99,102,545.58460784,100.70294118,75.329411765,64.311470588
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,50,274,285,65.943929825,14.456245614,10.831719298,9.5441052632
1033250576,JOHNSON,NICOLE,A,PA-C,F,I,8305 EXPRESS DRIVE,SUITE C,MARION,IL,62959,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,47,256,264,239.78185606,40.383143939,29.685909091,24.083636364
1033250725,BERBARIE,RAFIC,F,M.D.,M,I,UTMB CARDIOLOGY 301 UNIVERSITY BLVD,SUITE 5.106JSA,GALVESTON,TX,775550553,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.32,13.58,13.543333333
1033250725,BERBARIE,RAFIC,F,M.D.,M,I,UTMB CARDIOLOGY 301 UNIVERSITY BLVD,SUITE 5.106JSA,GALVESTON,TX,775550553,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,76.58,60.03,55.1625
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,100.9325,17.11,13.42,13.54
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,63.74137931,3.4434482759,2.2375862069,2.6710344828
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,69,69,447.96028986,70.926086957,55.606956522,54.272898551
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,176.35135135,37.353513514,29.283243243,29.446216216
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,27,5594,0.3865337862,0.0452860207,0.0334823025,0.0334823025
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,21,1320,8.3590151515,2.9766363636,2.3022575758,2.3022575758
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,744,156.30520161,43.482728495,34.090483871,34.09047043
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.58,28.67,29.51
1033251152,LEVITT,JOSEPH,E,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,14,47,47,37.212765957,33,24.795319149,24.795319149
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,37,137,49.797810219,8.32,6.2877372263,6.2877372263
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,13.954666667,3.38,2.65,2.65
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,43,17.500697674,1.42,1.061627907,1.061627907
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1890,0.22,0.13,0.1019365079,0.1019365079
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,4.91,1.95,1.4418363636,1.5046848485
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,27.568,10.18,7.981,7.981
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,200,7.8975,3.04,2.38345,2.38345
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,14,16,100.75,83.431875,65.411875,65.411875
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,53,312.84245283,67.72,50.392641509,51.946226415
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,124.64,38.72,30.36,29.582222222
1033251442,DRAKE,ANDREW,F,"D.O,",M,I,3806 BAYSHORE RD,SUITE 101,NORTH CAPE MAY,NJ,082043208,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1260,1.9211507937,0.1318809524,0.0947380952,0.0947380952
1033252325,GOLDSTEIN-CHARBONNEAU,CHRISTINA,,D.O.,F,I,2500 CANYON RD STE A1,,BULLHEAD CITY,AZ,864428492,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,45,87,72.510114943,8.32,6.3722988506,6.3722988506
1033252325,GOLDSTEIN-CHARBONNEAU,CHRISTINA,,D.O.,F,I,2500 CANYON RD STE A1,,BULLHEAD CITY,AZ,864428492,US,Physician/Obstetrics & Gynecology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,18,22,14.602272727,1.42,1.1172727273,1.1172727273
1033252853,STROUT,STEPHANIE,,NP,F,I,195 SCHOOL ST,,MANCHESTER,MA,019441700,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1170,0.92,0.1326923077,0.097042735,0.097042735
1033252853,STROUT,STEPHANIE,,NP,F,I,195 SCHOOL ST,,MANCHESTER,MA,019441700,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,132,33,24.348235294,24.348235294
1033252945,GRIESEMER,JULIA,E,MD,F,I,1235 E CHEROKEE ST,,SPRINGFIELD,MO,658042203,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,14,34,986.30882353,724.26,565.91088235,561.76705882
1033252945,GRIESEMER,JULIA,E,MD,F,I,1235 E CHEROKEE ST,,SPRINGFIELD,MO,658042203,US,Physician/Physical Medicine and Rehabilitation,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,96,28.725,20.83,16.330416667,16.375729167
1033253430,BROWN,JENNIFER,R,MD,F,I,2002 MEDICAL PKWY STE 500,,ANNAPOLIS,MD,214013268,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,43,43,673.42790698,19.702790698,15.444418605,15.444418605
1033253430,BROWN,JENNIFER,R,MD,F,I,2002 MEDICAL PKWY STE 500,,ANNAPOLIS,MD,214013268,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,44,105,339.21552381,37.374380952,29.301428571,29.301428571
1033253430,BROWN,JENNIFER,R,MD,F,I,2002 MEDICAL PKWY STE 500,,ANNAPOLIS,MD,214013268,US,Advanced Heart Failure and Transplant Cardiology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1089.7,211.11416667,165.51416667,165.51416667
1033253430,BROWN,JENNIFER,R,MD,F,I,2002 MEDICAL PKWY STE 500,,ANNAPOLIS,MD,214013268,US,Advanced Heart Failure and Transplant Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,519.51,79.478571429,62.311428571,54.73
1033253430,BROWN,JENNIFER,R,MD,F,I,2002 MEDICAL PKWY STE 500,,ANNAPOLIS,MD,214013268,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,45,1822,157.40749726,1.5659659715,1.2277442371,1.2277442371
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,12.384141026,2.5796923077,1.8616794872,1.8616794872
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,4860,4.0740185185,0.5689259259,0.4214979424,0.4214938272
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,10800,0.5347388889,0.4555,0.3438268519,0.3438268519
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,38,7350,0.1475632653,0.0128979592,0.0096734694,0.0096734694
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,6450,2.3597193798,1.2461550388,0.9438496124,0.943848062
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,1591,33.073086109,7.420565682,5.7731552483,5.7731552483
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,70,70,24,24,18.551142857,18.551142857
1033254354,STRINGER,KENNETH,D,MD,M,I,760 GOLF VIEW DR.,SUITE #200,MEDFORD,OR,975048491,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,72,92,15.869565217,15.869565217,11.893478261,11.893478261
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,74,66.216351351,8.32,6.5217567568,6.5217567568
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,189.42,45.704166667,6.8516666667,5.4616666667
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,47,12.81893617,3.4408510638,1.605106383,0.9006382979
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,580,100,6.7979310345,5.3188448276,4.1718793103
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5564,1.6029043853,0.4789360173,0.350817757,0.2677731848
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,54.461764706,21.463529412,14.957058824,11.824117647
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,21.8,8.85125,6.710625,3.58875
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,311.043,92.067,60.5225,43.8275
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1949,0.3528937917,0.0471113391,0.0355207799,0.0355207799
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1110,0.92,0.1351081081,0.0985675676,0.0985675676
1033254586,MURDOCK,SHAYNA,,M.D.,F,I,50100 GOLSH RD,,VALLEY CENTER,CA,920825338,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,33,90,33,25.086060606,25.086060606
1033254842,BLADE,KRISTIE,L,MD,F,I,19116 33RD AVE W,,LYNNWOOD,WA,980364706,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,43,153,64.201503268,8.32,5.1160130719,5.1160130719
1033254842,BLADE,KRISTIE,L,MD,F,I,19116 33RD AVE W,,LYNNWOOD,WA,980364706,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,32,10.158125,1.42,0.974375,0.974375
1033254842,BLADE,KRISTIE,L,MD,F,I,19116 33RD AVE W,,LYNNWOOD,WA,980364706,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,426.7125,157.8075,123.7225,116.60916667
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,50,113,231,61.50034632,8.32,5.3083982684,5.3083982684
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,37,76,92,21.528913043,1.42,0.9356521739,0.9356521739
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,82,82,164,74.579817073,71.56,54.444756098,54.444695122
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,81,81,486,29.136995885,29.004691358,22.675987654,22.822345679
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,12,34,67,8.8574626866,1.5049253731,1.0750746269,1.0514925373
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,21,22,22,89.301818182,7.9672727273,5.4031818182,8.1995454545
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,200,58.476666667,44.115714286,39.518095238
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,79.386315789,16.968421053,12.606315789,12.836842105
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,45.3,22.603636364,24.91
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2975,913.16,715.92,831.73166667
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,17,74,75,52.235333333,3.3569333333,2.2645333333,3.1366666667
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,19,22,22,519.51,70.74,47.897272727,47.897272727
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,19,150,150,487.8812,71.3296,50.237733333,49.160133333
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,550,35.83,25.749166667,27.198333333
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6746923077,7.5849487179,7.5849487179
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,47,12892,0.2298588272,0.0468794601,0.0342716413,0.0342716413
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,16,57,5040,1.288202381,0.1312380952,0.0953134921,0.0953134921
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1050,12.86,2.8646571429,2.0784380952,2.0784380952
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,92,92,95,17.588913043,13.186413043,14.335217391
1033255021,FERNANDO,EARL,D,M.D.,M,I,4747 N 1ST ST,STE134,FRESNO,CA,937260563,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,15,95,95,132.82105263,33,24.508421053,24.508421053
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,4.1563636364,0.51,0.4,0.4
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,43,135,505,60.649346535,8.32,6.0024356436,6.0024356436
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,34,34,15.338235294,3.38,2.65,2.65
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,19,19,20.8,2.12,1.67,1.67
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,28,73,165,15.770121212,1.42,1.0518181818,1.0518181818
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,3.1761363636,1.73,1.2476439394,1.4464621212
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,221.12307692,70.589230769,51.717692308,41.533076923
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,72.909230769,21.011538462,15.693076923,8.4184615385
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,117.63727273,71.194545455,55.816363636,42.740909091
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,16.923333333,8.2296666667,6.4496666667,4.621
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,37,10.934324324,6.8972972973,5.4086486486,4.1881081081
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,70,429.33514286,98.883714286,76.673571429,59.249571429
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,23,250,44.656956522,33.250434783,27.897826087
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,22,2838,3.200764623,0.1327554616,0.1002572234,0.1002572234
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,886.08652174,254.08478261,199.19956522,136.38391304
1033255112,ABUL-KHOUDOUD,HASSAN,R,MD,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,23,23,34.043478261,33,23.746521739,23.746521739
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,68,143,143,102.89202797,40.158041958,30.961958042,30.076783217
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,8.035625,1.46,1.1453125,1.153125
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,56,135,135,367.11955556,92.377037037,69.122444444,65.024814815
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,54,136,317,145.16987382,35.125299685,26.506466877,24.947129338
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,25,58,317,80.811987382,18.984731861,14.369400631,14.074731861
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,17,37,188,52.022978723,15.244946809,11.952659574,11.893297872
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,56,114,114,195.57614035,54.998859649,41.962280702,41.722719298
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,98,137,137,65.591532847,18.970364964,14.816642336,14.050437956
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,43,100,100,76.9265,12.19,9.1779,8.7628
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,104,234,1319,8.7488703563,2.0416376042,1.5653373768,1.5573616376
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,15,22,22,27.982272727,5.995,4.6963636364,4.6504545455
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,64,90,90,55.086777778,12.973666667,10.099777778,10.262111111
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17,13.33,13.495
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,286,89.332380952,69.15,69.405238095
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,28,28,28,396.63035714,135.12857143,104.1375,102.89428571
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,75,37.720588235,29.572941176,27.229411765
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,47.768571429,5.1957142857,3.6604761905,3.3247619048
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,55,43.195882353,33.864705882,33.864705882
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,50,302,303,226.50557756,32.537326733,24.586534653,24.726171617
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,57,58,469.91017241,76.870689655,57.137758621,52.289827586
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1560,16.975115385,9.6160769231,7.5048397436,7.5048397436
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,19.1165,11.290727273,8.851969697,8.851969697
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1572,0.2748282443,0.0465776081,0.0347391858,0.0347391858
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,35,2970,1.2717777778,0.1319494949,0.1006868687,0.1006868687
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,60,3525,12.021287943,2.9899347518,2.323458156,2.323458156
1033255229,TROY,PATRICK,J,MD,M,I,85 SEYMOUR ST,SUITE 923,HARTFORD,CT,061065501,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,56,56,100.17857143,33,25.87,25.87
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,78,162,70.735308642,8.32,6.1720987654,6.1720987654
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,33,38,12.412105263,1.42,1.0010526316,1.0010526316
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,67.321666667,17.29,12.900333333,12.882333333
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,90.282058824,4.8605882353,3.8120588235,3.8085294118
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,577.57090909,70.23,54.058909091,53.756
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36,8.4116666667,5.9025,5.8175
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,689.5,175.56818182,131.62636364,131.62636364
1033255252,SHROPSHIRE-ATKINS,WENDY,Y,PA-C,F,I,1911 S 17TH ST,SUITE 130A,WILMINGTON,NC,284016662,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,16,16,45.375,33,25.87,25.87
1033255369,PEARSALL,EDITH,L,FNP,F,I,1013 PORTERS NECK RD STE 100,,WILMINGTON,NC,28411,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,42,10.628333333,8.3383333333,8.0083333333
1033255369,PEARSALL,EDITH,L,FNP,F,I,1013 PORTERS NECK RD STE 100,,WILMINGTON,NC,28411,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,461.11111111,88.642222222,69.496666667,54.725555556
1033255369,PEARSALL,EDITH,L,FNP,F,I,1013 PORTERS NECK RD STE 100,,WILMINGTON,NC,28411,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1019.8,136.77666667,107.23666667,105.7
1033256086,SHEELY,JESSICA,A,M.D.,F,I,18051 RIVER RD,SUITE 200,NOBLESVILLE,IN,460627091,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,57,181,44.105027624,8.32,5.2397237569,5.2397237569
1033256086,SHEELY,JESSICA,A,M.D.,F,I,18051 RIVER RD,SUITE 200,NOBLESVILLE,IN,460627091,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,9.9242105263,3.38,2.3710526316,2.3710526316
1033256086,SHEELY,JESSICA,A,M.D.,F,I,18051 RIVER RD,SUITE 200,NOBLESVILLE,IN,460627091,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,31,6.1448387097,1.42,1.0419354839,1.0419354839
1033256086,SHEELY,JESSICA,A,M.D.,F,I,18051 RIVER RD,SUITE 200,NOBLESVILLE,IN,460627091,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,206.95636364,60,40.946363636,37.525454545
1033256086,SHEELY,JESSICA,A,M.D.,F,I,18051 RIVER RD,SUITE 200,NOBLESVILLE,IN,460627091,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,90,9.1293333333,2.12,1.6633333333,1.598
1033256086,SHEELY,JESSICA,A,M.D.,F,I,18051 RIVER RD,SUITE 200,NOBLESVILLE,IN,460627091,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,23,85.926086957,32.05,19.320434783,17.874782609
1033256110,KEARFOTT,KITRINA,L,M.D.,F,I,234 MEDICAL CIR STE 1,,MOREHEAD,KY,403511194,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,68.985,8.32,6.52,6.52
1033256326,NAIR,ALKA,,MD,F,I,333 TAMIAMI TRL S,SUITE 102,VENICE,FL,342852402,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,42,78.671904762,8.32,5.59,5.59
1033256920,BLACK,STEVEN,B,MD,M,I,987400 NEBRASKA MEDICAL CTR,,OMAHA,NE,681987400,US,Physician/Plastic and Reconstructive Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,270,6.0483333333,5.74,4.0000740741,4.0000740741
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,64,178,64.290730337,8.2957303371,5.5830337079,5.6020786517
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,33,55,16.905090909,1.42,0.9534545455,0.9534545455
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,8.2728571429,2.0428571429,1.5107142857,1.0678571429
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,319,105.53291536,4.1869905956,3.282539185,2.511630094
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,5980,2.8093294314,0.3915719064,0.3069949833,0.2524816054
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,266.67692308,63.356923077,46.717692308,34.370769231
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,39,39,38.855128205,7.3251282051,5.1205128205,3.1374358974
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.23,13.509090909,10.593636364,8.8763636364
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.65,12.972727273,10.173636364,8.2472727273
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,59,455.65220339,103.83186441,79.380508475,63.513050847
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,42,10107,0.5031572178,0.047016919,0.0326496488,0.0326496488
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2400,1.35085,0.13785,0.0998416667,0.0998416667
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1102,0.9627858439,0.2190653358,0.1717422868,0.1717422868
1033257092,HARDING,JAPHETH,F,FNP,M,I,225 N WILLOW AVE,,COOKEVILLE,TN,385012335,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,61,61,101.16393443,33,23.749508197,23.749508197
1033257514,TRUONG,THOMAS,N,D.O,M,I,2385 E PRATER WAY,SUITE 302,SPARKS,NV,894349629,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,34,658.48794118,73.63,55.967941176,53.025588235
1033257514,TRUONG,THOMAS,N,D.O,M,I,2385 E PRATER WAY,SUITE 302,SPARKS,NV,894349629,US,Interventional Cardiology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,42.793636364,33.552727273,29.511818182
1033258009,STOEBE,DANIELLE,F,RPA-C,F,I,54 WOODVILLE RD,,SHOREHAM,NY,117861331,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,21,98,69.163061224,8.32,5.9903061224,5.9903061224
1033258157,BILBRO,SCOTT,C,MD,M,I,530 NEW WAVERLY PL,SUITE 200,CARY,NC,275117414,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,137.732,40.51,31.76,30.674
1033258157,BILBRO,SCOTT,C,MD,M,I,530 NEW WAVERLY PL,SUITE 200,CARY,NC,275117414,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,359.31636364,93.5,66.636363636,62.169090909
1033258157,BILBRO,SCOTT,C,MD,M,I,530 NEW WAVERLY PL,SUITE 200,CARY,NC,275117414,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,255.16916667,57.945,41.8675,39.563333333
1033258157,BILBRO,SCOTT,C,MD,M,I,530 NEW WAVERLY PL,SUITE 200,CARY,NC,275117414,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,74.8,18.591428571,12.640714286,12.168571429
1033258157,BILBRO,SCOTT,C,MD,M,I,530 NEW WAVERLY PL,SUITE 200,CARY,NC,275117414,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,93,9.9923655914,2.1409677419,1.6780645161,1.5989247312
1033258157,BILBRO,SCOTT,C,MD,M,I,530 NEW WAVERLY PL,SUITE 200,CARY,NC,275117414,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,38,612.28131579,33.816315789,25.636315789,24.358421053
1033259296,KELLER,WILLIAM,B,PA-C,M,I,15131 TAMIAMI TRL,,NORTH PORT,FL,342872711,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17,13.33,13.54
1033259296,KELLER,WILLIAM,B,PA-C,M,I,15131 TAMIAMI TRL,,NORTH PORT,FL,342872711,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25,5.043125,3.95375,3.59
1033259296,KELLER,WILLIAM,B,PA-C,M,I,15131 TAMIAMI TRL,,NORTH PORT,FL,342872711,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,81.13,63.6,54.72
1033259742,RUSSELL,CHRIS,B,M.D.,M,I,204 LOWE AVE SE,"SUITE 6, BLDG 2",HUNTSVILLE,AL,358014262,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,59,53.555932203,8.32,5.4169491525,5.4169491525
1033259742,RUSSELL,CHRIS,B,M.D.,M,I,204 LOWE AVE SE,"SUITE 6, BLDG 2",HUNTSVILLE,AL,358014262,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,35,35,157.77142857,49.096857143,31.601142857,30.131714286
1033259742,RUSSELL,CHRIS,B,M.D.,M,I,204 LOWE AVE SE,"SUITE 6, BLDG 2",HUNTSVILLE,AL,358014262,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,34,345.12117647,70.23,51.821176471,51.521176471
1033259742,RUSSELL,CHRIS,B,M.D.,M,I,204 LOWE AVE SE,"SUITE 6, BLDG 2",HUNTSVILLE,AL,358014262,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,19.852727273,10.702727273,10.252727273
1033259742,RUSSELL,CHRIS,B,M.D.,M,I,204 LOWE AVE SE,"SUITE 6, BLDG 2",HUNTSVILLE,AL,358014262,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,120.33333333,32.726,24.215333333,20.846
1033259742,RUSSELL,CHRIS,B,M.D.,M,I,204 LOWE AVE SE,"SUITE 6, BLDG 2",HUNTSVILLE,AL,358014262,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.166666667,37.44,29.35,29.496666667
1033260476,BICKNELL,KALPANA,P,M.D.,F,I,801 S. MILWAUKEE AVE.,ADVOCATE CONDELL MEDICAL CENTER,LIBERTYVILLE,IL,60048,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,24.12,5.9992307692,4.7046153846,3.74
1033260930,CHABRERIE,ALEXANDRA,V,MD,F,I,330 MOUNT AUBURN STREET,DEPARTMENT OF MEDICINE,CAMBRIDGE,MA,021385502,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,35,89.821428571,8.32,5.7765714286,5.7765714286
1033260930,CHABRERIE,ALEXANDRA,V,MD,F,I,330 MOUNT AUBURN STREET,DEPARTMENT OF MEDICINE,CAMBRIDGE,MA,021385502,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,195,32.258181818,20.086363636,19.129090909
1033260997,CREEDEN,PAUL,T,OD,M,I,516 DIVISION ST,SUITE 120,CEDAR FALLS,IA,506132382,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,65,63.86,46.775714286,48.928571429
1033260997,CREEDEN,PAUL,T,OD,M,I,516 DIVISION ST,SUITE 120,CEDAR FALLS,IA,506132382,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,72.5,62.09,44.623333333,49.695
1033261441,ARSHAD,TAHERA,,,F,I,9040 JACKSON AVENUE,,TACOMA,WA,984317213,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,12,12,167.4375,62.83,49.25,48.5525
1033261441,ARSHAD,TAHERA,,,F,I,9040 JACKSON AVENUE,,TACOMA,WA,984317213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,283.27457143,75.187428571,53.251714286,49.398285714
1033261441,ARSHAD,TAHERA,,,F,I,9040 JACKSON AVENUE,,TACOMA,WA,984317213,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,50,39.3,29.52625,28.334583333
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,400,6.2,3.84,3.0106,3.057625
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,188,4.8655851064,2.91,2.2814361702,2.2814361702
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4396,Ostomy belt with peristomal hernia support,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,97.149166667,45.56,35.72,35.72
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,10,9.86,7.4006428571,7.4006428571
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,520,16.447230769,7,5.488,5.488
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.5,2.09,1.6385,1.6385
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,730,7.8512328767,4.03,3.1162191781,3.1162191781
1033261680,LARYEA,JONATHAN,A,MB CHB,M,I,4301 W MARKHAM ST,SLOT 520,LITTLE ROCK,AR,722057101,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,700,0.6078571429,0.27,0.2116142857,0.2116142857
1033262555,CARTAGENA AYALA,EDGARDO,F,M.D.,M,I,369 AVE DE DIEGO,SUITE 308 TORRE SAN FRANCISCO,SAN JUAN,PR,009230000,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,93.785333333,78.049333333,61.191333333,45.438
1033262555,CARTAGENA AYALA,EDGARDO,F,M.D.,M,I,369 AVE DE DIEGO,SUITE 308 TORRE SAN FRANCISCO,SAN JUAN,PR,009230000,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,26.511428571,19.546428571,15.321428571,10.145714286
1033262555,CARTAGENA AYALA,EDGARDO,F,M.D.,M,I,369 AVE DE DIEGO,SUITE 308 TORRE SAN FRANCISCO,SAN JUAN,PR,009230000,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,20,63,3.690952381,3.1161904762,2.4434920635,1.6622222222
1033262555,CARTAGENA AYALA,EDGARDO,F,M.D.,M,I,369 AVE DE DIEGO,SUITE 308 TORRE SAN FRANCISCO,SAN JUAN,PR,009230000,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,67.276666667,54.830833333,42.984166667,25.325
1033262829,DUNHAM-BRIDGES,KATHLEEN,R,FNP,F,I,110 R T STANLEY SR PLACE,,LYONS,GA,30436,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,19,38,48.770789474,8.32,6.1784210526,6.1784210526
1033262829,DUNHAM-BRIDGES,KATHLEEN,R,FNP,F,I,110 R T STANLEY SR PLACE,,LYONS,GA,30436,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,14.495,1.42,0.9775,0.9775
1033263272,FRISCH,DAVID,M,"M.D., F.A.C.C.",M,I,150 N ROBERTSON BLVD,SUITE # N 350,BEVERLY HILLS,CA,902112142,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,34,63.412647059,8.32,5.7538235294,5.7538235294
1033263553,MADIGAN,HEATHER,,DO,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,128661003,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,63.071538462,18.118461538,14.205384615,13.539230769
1033263553,MADIGAN,HEATHER,,DO,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,128661003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,399.81947368,81.689473684,64.042631579,54.720526316
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,6.4966666667,0.51,0.3666666667,0.3666666667
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,48,117,351,50.285384615,8.32,5.6985185185,5.6985185185
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,25,26,14.423076923,3.38,2.1403846154,2.1403846154
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,22.075,2.12,1.67,1.67
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,33,72,107,13.666448598,1.42,0.9897196262,0.9897196262
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,56,9.6575,1.94,1.3573214286,1.4201785714
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,156.13818182,45.89,19.665454545,19.216363636
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,32.759375,17.25,12.9509375,12.9703125
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,212.1106383,79.88,59.421489362,52.36212766
1033263884,YALAMANCHI,RAMALINGESWARA,R,M.D.,M,I,13300 NORTHLINE RD,,SOUTHGATE,MI,481951065,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,275,35.63,27.93,29.324117647
1033264098,NORTHINGTON,GINA,,MD,F,I,1365 CLIFTON RD NE BLDG A4229,,ATLANTA,GA,303222614,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,4530,3.5748344371,2.032384106,1.593388521,1.5993620309
1033264270,DAVIS,MOLLIE,M,MD,F,I,1106 ANNAPOLIS RD STE 310,,ODENTON,MD,21113,US,Physician/Pediatric Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,58.52173913,14.4,10.799130435,10.165217391
1033264270,DAVIS,MOLLIE,M,MD,F,I,1106 ANNAPOLIS RD STE 310,,ODENTON,MD,21113,US,Physician/Pediatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,6.97,5.6315384615,3.47,2.8607692308
1033264270,DAVIS,MOLLIE,M,MD,F,I,1106 ANNAPOLIS RD STE 310,,ODENTON,MD,21113,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,204.48387097,31.163548387,23.415483871,23.183870968
1033264882,ABOU,PAUL,Y,MD,M,I,5555 GROSSMONT CENTER DR,,LA MESA,CA,919423019,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,20.4,3.335,2.61,3.6525
1033264999,POORSATTAR,GULNAR,,MD,F,I,400 CAMARILLO RANCH RD,SUITE 204,CAMARILLO,CA,930125901,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,340,7.3249705882,2.6329411765,2.0641764706,2.0641764706
1033264999,POORSATTAR,GULNAR,,MD,F,I,400 CAMARILLO RANCH RD,SUITE 204,CAMARILLO,CA,930125901,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,35,75,350,71.6098,8.32,5.1625428571,5.1625428571
1033264999,POORSATTAR,GULNAR,,MD,F,I,400 CAMARILLO RANCH RD,SUITE 204,CAMARILLO,CA,930125901,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,39,76,15.5175,1.42,0.9964473684,0.9964473684
1033264999,POORSATTAR,GULNAR,,MD,F,I,400 CAMARILLO RANCH RD,SUITE 204,CAMARILLO,CA,930125901,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,752.33,338.19,263.40375,263.40375
1033264999,POORSATTAR,GULNAR,,MD,F,I,400 CAMARILLO RANCH RD,SUITE 204,CAMARILLO,CA,930125901,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,249.11842105,249.11842105,195.30842105,196.86947368
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,24,64,312,63.427948718,8.32,6.1463461538,6.1463461538
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,14.151764706,3.38,2.65,2.65
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,33,70,13.618,1.42,1.0505714286,1.0505714286
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,99.5,86,67.42,67.81
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,42,39.28,33.22,26.046666667,25.929047619
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,74,33.703783784,18.5,14.503513514,14.543918919
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,21,21,125.26857143,55.786666667,39.59047619,38.845714286
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,23,23,33.619130435,17.507826087,13.506521739,13.787826087
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,25,25,20.3776,11.5,9.02,9.112
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,37,210,3.8111428571,2.0012380952,1.4945714286,1.5156666667
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,128.09090909,17.32,12.962727273,12.924545455
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,45,45,175.87111111,33.719333333,22.767111111,22.341777778
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,55,556.902,76.58,56.252545455,51.521818182
1033265137,SPAFFORD,ANDREW,,M.D.,M,I,6401 CYPRESSWOOD DR,SUITE 180,SPRING,TX,773798199,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,9478,0.2669212914,0.0463990293,0.0363779278,0.0363779278
1033265244,ESPOSITO,TERESA,,DO,F,I,848 HICKSVILLE RD,,MASSAPEQUA,NY,117581210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,31,72,64.715555556,8.32,5.9773611111,5.9773611111
1033265244,ESPOSITO,TERESA,,DO,F,I,848 HICKSVILLE RD,,MASSAPEQUA,NY,117581210,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,22,13.805,1.42,0.9522727273,0.9522727273
1033265244,ESPOSITO,TERESA,,DO,F,I,848 HICKSVILLE RD,,MASSAPEQUA,NY,117581210,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.7236363636,2.9227272727,3.7172727273
1033265244,ESPOSITO,TERESA,,DO,F,I,848 HICKSVILLE RD,,MASSAPEQUA,NY,117581210,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,77.74,58.5925,52.891666667
1033265624,BENSON,DOUGLAS,D,MD,M,I,10103 RIDGEGATE PKWY,SUITE 208,LONE TREE,CO,801245520,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,330,10.895909091,3.9,2.9649393939,2.9649393939
1033265624,BENSON,DOUGLAS,D,MD,M,I,10103 RIDGEGATE PKWY,SUITE 208,LONE TREE,CO,801245520,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,260,11.928615385,7,4.9681538462,4.9681538462
1033265624,BENSON,DOUGLAS,D,MD,M,I,10103 RIDGEGATE PKWY,SUITE 208,LONE TREE,CO,801245520,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,710,5.6987887324,4.03,2.734943662,2.734943662
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,27,75,184,66.486576087,8.32,5.8745108696,5.8745108696
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,18,34,17.706176471,1.42,1.0485294118,1.0485294118
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,337,2.6021364985,2.27,0.6618397626,0.6618397626
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,340,5.7370588235,5.6835294118,4.0616470588,4.0742941176
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,280,10.801428571,10.801428571,8.2739642857,8.2806785714
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,84.286153846,17.693846154,12.842307692,12.503076923
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,31.123636364,11.548181818,9.0554545455,9.2763636364
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,26,39.797307692,12.103461538,9.4919230769,8.4180769231
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,65.7,42.42,45.782941176
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,1830,1.5268306011,0.1309180328,0.0922240437,0.0922240437
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,58.126756757,18.058918919,10.121891892,9.6110810811
1033265657,OLSWANGER,JUSTIN,,MD,M,I,55 W TIETAN ST,,WALLA WALLA,WA,993624445,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,44,33,23.953703704,23.953703704
1033265723,KESTER,STEVEN,C,MD,M,I,550 SW 3RD STREET,SUITE 305,POMPANO BEACH,FL,33060,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,44,9430,3.5646871686,2.0133722163,1.5480424178,1.5689183457
1033266010,SPECTOR,ADAM,,DPM,M,I,2730 UNIVERSITY BLVD W,SUITE 1000,WHEATON,MD,209021905,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,30,142,71.56,47.067666667,47.067666667
1033266390,KHAWAM,MARJORIE,J,DPM,F,I,3816 WOODRUFF AVE,STE 302,LONG BEACH,CA,908082146,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,1716.46,627.49470588,483.51764706,449.36058824
1033266390,KHAWAM,MARJORIE,J,DPM,F,I,3816 WOODRUFF AVE,STE 302,LONG BEACH,CA,908082146,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.75,9.76,7.65,7.18
1033266473,MELBY,DEREK,A,DO,M,I,10030 GILEAD RD,,HUNTERSVILLE,NC,280787545,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,57,57,19.957894737,5.4675438596,4.0836842105,3.4361403509
1033266473,MELBY,DEREK,A,DO,M,I,10030 GILEAD RD,,HUNTERSVILLE,NC,280787545,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,481.52173913,79,61.94,55.983913043
1033266473,MELBY,DEREK,A,DO,M,I,10030 GILEAD RD,,HUNTERSVILLE,NC,280787545,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,143,50.05,39.2375,25.9775
1033266473,MELBY,DEREK,A,DO,M,I,10030 GILEAD RD,,HUNTERSVILLE,NC,280787545,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,33.75,8.8625,6.9475,6.6725
1033266473,MELBY,DEREK,A,DO,M,I,10030 GILEAD RD,,HUNTERSVILLE,NC,280787545,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,85,35.27,27.66,29.191764706
1033266804,BANSAL,SURINDER,K,M.D.,M,I,658 W MARKET ST,,LIMA,OH,458014653,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,69.81,45.608333333,45.608333333
1033266804,BANSAL,SURINDER,K,M.D.,M,I,658 W MARKET ST,,LIMA,OH,458014653,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,990,1.2909090909,0.2193030303,0.1408686869,0.1408686869
1033266804,BANSAL,SURINDER,K,M.D.,M,I,658 W MARKET ST,,LIMA,OH,458014653,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,80,33,21.558333333,21.558333333
1033266911,TRIROGOFF,MARIA,L,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,1.4413333333,0.48575,0.3808333333,0.3808333333
1033266911,TRIROGOFF,MARIA,L,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,3540,4.5292033898,0.5580847458,0.4359152542,0.4359096045
1033266911,TRIROGOFF,MARIA,L,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1890,3.9744179894,1.281031746,0.9381005291,0.9381005291
1033266911,TRIROGOFF,MARIA,L,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,24,24,18.82,18.82
1033266911,TRIROGOFF,MARIA,L,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,40,16,16,12.22675,12.22675
1033267109,FITZPATRICK,THOMAS,M,MD,M,I,"WRAMC, BUILDING 2, ROOM 2J38","6900 GEORGIA AVENUE, NW",WASHINGTON,DC,203070001,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,16.79,11.963636364,12.309090909
1033267109,FITZPATRICK,THOMAS,M,MD,M,I,"WRAMC, BUILDING 2, ROOM 2J38","6900 GEORGIA AVENUE, NW",WASHINGTON,DC,203070001,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,451.97611111,79.842777778,53.478888889,46.52
1033267182,MAGERS,ERICA,,MD,F,I,123 LANSING ST,SUITE 3A,CHARLOTTE,MI,488131696,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,38,98,57.759591837,8.32,5.6568367347,5.6568367347
1033267182,MAGERS,ERICA,,MD,F,I,123 LANSING ST,SUITE 3A,CHARLOTTE,MI,488131696,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,23,15.895652174,1.42,1.0686956522,1.0686956522
1033267182,MAGERS,ERICA,,MD,F,I,123 LANSING ST,SUITE 3A,CHARLOTTE,MI,488131696,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,15,4.8414285714,3.5471428571,3.3867857143
1033267182,MAGERS,ERICA,,MD,F,I,123 LANSING ST,SUITE 3A,CHARLOTTE,MI,488131696,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,4700,0.360093617,0.0472297872,0.034693617,0.034693617
1033267182,MAGERS,ERICA,,MD,F,I,123 LANSING ST,SUITE 3A,CHARLOTTE,MI,488131696,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,25.87,25.87
1033267711,RASKIN,RICHARD,J,M.D.,M,I,15 ENTERPRISE DR STE 200,,AUGUSTA,ME,04330,US,Physician/Rheumatology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,115.4225,63.761666667,49.990833333,36.46
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,39,161,66.36826087,8.32,6.5231677019,6.5231677019
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,40,15.40775,1.42,1.11275,1.11275
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,15.4525,10.93,8.57,8.57
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,14,89,153.3258427,24.075730337,18.875617978,19.183707865
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,69,68.915942029,8.5207246377,6.6804347826,6.4398550725
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,561.1225,96.23875,66.63125,59.36125
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,33,215.06969697,36.212121212,27.44,24.968484848
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,15,15,87.971333333,19.465333333,14.318,13.122666667
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,19,19,90.374210526,12.08,8.9715789474,8.64
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,23,134,9.786119403,2.2301492537,1.6785074627,1.5220149254
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,147.67071429,45.982857143,33.212857143,33.765714286
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,440,49.204285714,32.517142857,32.526428571
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,25,117,132,74.346893939,17.841136364,13.101287879,12.884393939
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,199.72181818,31.960909091,25.056363636,22.692727273
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,45,56,219.30142857,48.433571429,37.28375,36.786071429
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,3379.6362162,913.16,712.04243243,831.55324324
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,42.153333333,4.3566666667,2.8485714286,3.1252380952
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,746.21714286,33.06122449,25.92,25.770204082
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,37,7.9,1.89,1.48,1.5259459459
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,37,10,2.8840540541,2.2616216216,2.2567567568
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,11,2.314,1.814,1.8174285714
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,47,278,297,499.16478114,79.729090909,60.027474747,53.575555556
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,50,220.6,38,29.79,29.5996
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,3269,0.9401009483,0.1336066075,0.0930804527,0.0930804527
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,17,87,87,101.14942529,18.263218391,14.121149425,14.176781609
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,124.22055556,25.46,18.194444444,19.466944444
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,68,68,26.467941176,9.1727941176,7.1019117647,6.7398529412
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,280.84444444,38.487222222,28.517222222,28.346111111
1033268040,REDDY,SRIDHAR,V,MD,M,I,2920 N CASCADE AVE,2ND FLOOR,COLORADO SPRINGS,CO,809076262,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,30,30,132,33,21.558333333,21.558333333
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,309,88.43,63.556363636,62.337272727
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,36,112,34,24.435277778,23.880277778
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,94,98.361702128,18.99,12.376808511,12.061914894
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,17,101,54.016237624,15.019009901,11.192772277,11.312772277
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,35,35,186.42942857,55.029142857,38.202571429,37.972285714
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,25,25,77.0876,19.2376,13.872,12.9784
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,37.847142857,10.489285714,8.2207142857,8.15
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,36,36,78.716666667,13,9.9338888889,8.8938888889
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,47,279,8.1675268817,2.0880645161,1.5663799283,1.5252329749
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,18,18,21.811111111,6.0377777778,4.7283333333,4.6544444444
1033268941,KIM,JAMES,J,M.D.,M,I,520 S VIRGIL AVE,SUITE 307,LOS ANGELES,CA,900201416,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,767.312,31.924,23.851,23.764
1033269147,CROVETTI,MICHAEL,J,DO,M,I,2779 W. HORIZON RIDGE PKWY.,STE. 200,HENDERSON,NV,890524380,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,41,44,620,85.5,22.00383871,16.955032258,19.405596774
1033269147,CROVETTI,MICHAEL,J,DO,M,I,2779 W. HORIZON RIDGE PKWY.,STE. 200,HENDERSON,NV,890524380,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,792.36615385,659.57538462,513.49230769,488.05461538
1033269667,SHAKERI,ZOHREH,,PA-C,F,I,1211 W LA PALMA AVE,SUITE 207,ANAHEIM,CA,928012815,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,54.5,43.15,30.269166667,33.715833333
1033269816,MAHAJERIN,ALI,,M.D.,M,I,2900 BRADFORD ST NE,,GRAND RAPIDS,MI,495256427,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,27,299.14444444,79.88,53.837407407,46.815185185
1033270079,KROACK,DEBRA,A,M.D.(P.C. INCORPORAT,F,I,5679 E. GRANT ROAD,,TUCSON,AZ,857122211,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,30,63.227333333,8.32,4.783,4.783
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,26,78,78,174.44217949,39.457435897,29.058461538,28.619102564
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,31,86,86,480.9677907,88.431395349,65.065697674,63.738837209
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,31,95,247,179.65882591,34.308016194,25.982105263,25.055910931
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,24,110,100.704,19.855454545,14.763545455,13.775909091
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,76,75.146052632,15.116842105,10.514736842,10.556447368
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,18,41,41,289.88195122,57.659268293,43.702439024,41.349756098
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,44,71,71,90.190140845,18.713521127,13.952957746,13.344366197
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,20,47,47,85.014680851,12.540638298,9.1838297872,8.5334042553
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,46,136,647,13.32633694,2.1019319938,1.547511592,1.4959196291
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,34,57,57,56.363157895,13.528245614,10.423859649,10.165614035
1033270160,RICHARD,SUSAN,M,ANP,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,18,47,52,222.03615385,31.215,17.131346154,16.434038462
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,31,71,59.265211268,8.32,4.3178873239,4.3178873239
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,12.77,1.42,0.6015384615,0.6015384615
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,23.384736842,18.331578947,13.846842105
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,35,19.993571429,15.675714286,10.254285714
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,120,67.245714286,52.717857143,30.432857143
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,569.71208333,99.414166667,77.941666667,56.520208333
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1410,1.7270212766,0.1350425532,0.1020212766,0.1020212766
1033270236,COX,ANN,L,NP,F,I,5901 N LIDGERWOOD ST STE 126,,SPOKANE,WA,992081122,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,85.411764706,33,24.348235294,24.348235294
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,24,66,49.670757576,8.32,6.5212121212,6.5212121212
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.398461538,3.38,2.65,2.65
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,27,14.357407407,1.42,1.0340740741,1.0340740741
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,39,41,140.46,48.19195122,35.914634146,33.595609756
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,21,86.31,17,12.695238095,12.907619048
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,19,8.6378947368,2.3389473684,1.8405263158,1.9078947368
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,27,519.51,79.658888889,53.237407407,46.613703704
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,51,53,83.679245283,19.150943396,14.437169811,12.605660377
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,14,97.196428571,30.55,23.95,20.245
1033270780,ALI,SYED,W,MD,M,I,11451 CORTEZ BLVD,,BROOKSVILLE,FL,346137367,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1033270806,SHEIKH,SHAZIA,F,MD,F,I,23211 RED RIVER DR,,KATY,TX,774942031,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,210.72727273,47.21,37.01,36.56
1033270806,SHEIKH,SHAZIA,F,MD,F,I,23211 RED RIVER DR,,KATY,TX,774942031,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,443.76636364,76.58,49.523636364,44.770909091
1033270806,SHEIKH,SHAZIA,F,MD,F,I,23211 RED RIVER DR,,KATY,TX,774942031,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,69.2,16.449090909,12.894545455,14.289090909
1033270996,SAMI,KHALID,A,MD,M,I,1355 REMINGTON RD,SUITE -H,SCHAUMBURG,IL,601734832,US,Physician/Anesthesiology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,11,16,48,45,8.32,6.5216666667,6.5216666667
1033270996,SAMI,KHALID,A,MD,M,I,1355 REMINGTON RD,SUITE -H,SCHAUMBURG,IL,601734832,US,Physician/Anesthesiology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,11,16,24,17.75,1.42,1.1166666667,1.1166666667
1033270996,SAMI,KHALID,A,MD,M,I,1355 REMINGTON RD,SUITE -H,SCHAUMBURG,IL,601734832,US,Physician/Anesthesiology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,21,42,74.799047619,71.448571429,56.017857143,56.105
1033270996,SAMI,KHALID,A,MD,M,I,1355 REMINGTON RD,SUITE -H,SCHAUMBURG,IL,601734832,US,Physician/Anesthesiology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,108,35.188333333,29.136666667,22.843333333,22.886666667
1033270996,SAMI,KHALID,A,MD,M,I,1355 REMINGTON RD,SUITE -H,SCHAUMBURG,IL,601734832,US,Physician/Anesthesiology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,158.95166667,54.633333333,41.575833333,37.895833333
1033270996,SAMI,KHALID,A,MD,M,I,1355 REMINGTON RD,SUITE -H,SCHAUMBURG,IL,601734832,US,Physician/Anesthesiology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,4.9,3.68,2.6742857143,3.1728571429
1033271697,HAMMOND,JASON,W,M.D.,M,I,3333 N CALVERT ST,SUITE 400,BALTIMORE,MD,212182867,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,40,41,190,138.47,104.77926829,98.845365854
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,26,59,171,61.619649123,8.32,5.8352631579,5.8352631579
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,30,39,16.294615385,1.42,0.9738461538,0.9738461538
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,51,11.337647059,2.2611764706,1.6431372549,1.4666666667
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54,7.29,5.7125,3.8175
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,17,221.01176471,35.685294118,24.414705882,22.152941176
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,266.66666667,89.86,65.923333333,51.076666667
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.56,28.435,27.050833333
1033271994,SMITH,SHAWN,J,M.D.,M,I,7191 CAHABA VALLEY RD,SUITE 300,BIRMINGHAM,AL,352426402,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,1920,8.3913541667,2.618625,1.9997447917,1.9997447917
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,20,166,14247,5.1178198919,0.5646121991,0.3987772864,0.4000435179
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,4470,1.6162572707,0.7420134228,0.516950783,0.516950783
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,57,7720,3.3779183938,1.2088549223,0.9039287565,0.9039287565
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,335,14.514537313,7.4471044776,5.8385373134,5.8385373134
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,4,,23,6120,11.270416667,8.4450098039,6.3599705882,6.6022924837
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,21,27,220,220,24,24,17.693363636,17.693363636
1033272554,TE,HELEN,S,MD,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,18,73,81,16,16,12.076419753,12.076419753
1033272562,SYKES,ADELE,R,MD,F,I,1960 OGDEN ST,SUITE 120,DENVER,CO,802181022,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,160,36.215,28.39,29.141666667
1033272562,SYKES,ADELE,R,MD,F,I,1960 OGDEN ST,SUITE 120,DENVER,CO,802181022,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,50,50,390.8992,78.49,58.661,52.133
1033272653,KIRKSEY,LAURA,E,APN,F,I,150 N. SCHOOL ST.,,BEARDEN,AR,717200198,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,21,47,155,48.285612903,8.32,5.0076774194,5.0076774194
1033272653,KIRKSEY,LAURA,E,APN,F,I,150 N. SCHOOL ST.,,BEARDEN,AR,717200198,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,19,35,66,9.6312121212,1.42,0.8942424242,0.8942424242
1033273032,OSMAN,BUARI,,MD,M,I,6192 OXON HILL RD,SUITE 409,OXON HILL,MD,207453114,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,4020,6.0895049751,0.5626716418,0.4411368159,0.4411318408
1033273032,OSMAN,BUARI,,MD,M,I,6192 OXON HILL RD,SUITE 409,OXON HILL,MD,207453114,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,1830,0.0782568306,0.012704918,0.0098579235,0.0098579235
1033273032,OSMAN,BUARI,,MD,M,I,6192 OXON HILL RD,SUITE 409,OXON HILL,MD,207453114,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1033273032,OSMAN,BUARI,,MD,M,I,6192 OXON HILL RD,SUITE 409,OXON HILL,MD,207453114,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,40,40,16,16,11.913,11.913
1033273040,MACRAE,ERIN,R,MD,F,I,810 JASONWAY AVE STE A,,COLUMBUS,OH,432144359,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,14,49.52,19.71,15.450714286,15.450714286
1033273040,MACRAE,ERIN,R,MD,F,I,810 JASONWAY AVE STE A,,COLUMBUS,OH,432144359,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,22,110.13227273,37.38,29.303636364,29.303636364
1033273040,MACRAE,ERIN,R,MD,F,I,810 JASONWAY AVE STE A,,COLUMBUS,OH,432144359,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,114,5.0700877193,1.7064912281,1.3380701754,1.3380701754
1033273099,SPORTELLI,MARISA,,M.D.,F,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,42,68.04452381,8.32,5.2797619048,5.2797619048
1033273099,SPORTELLI,MARISA,,M.D.,F,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4684,1.8511272417,0.3558497011,0.2641374893,0.2694684031
1033273412,WRIGHT,ELLEN,F,APRN,F,I,950 CIRCLE DR,,SALINAS,CA,93905,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,37,133,202,47.089405941,8.32,5.6346039604,5.6346039604
1033273412,WRIGHT,ELLEN,F,APRN,F,I,950 CIRCLE DR,,SALINAS,CA,93905,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,40,49,31.008979592,1.42,0.8885714286,0.8885714286
1033273461,GARNETT,MICHAEL,,MD,M,I,310 S ROOSEVELT AVE,,GOLDENDALE,WA,986209201,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,40,8.19,1.8725,1.02325,0.7475
1033273628,DIB,JOUD,G,M.D.,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,102.06,26.232,19.286,13.389333333
1033273628,DIB,JOUD,G,M.D.,M,I,419 EAST DONALD STREET,,WATERLOO,IA,507031223,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3750,2667.5852941,2091.3870588,2091.3870588
1033273784,JI,DONG,L,M.D.,F,I,15640 NW LAIDLAW RD,SUITE 102,PORTLAND,OR,972293828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,66,64.534242424,8.32,4.2501515152,4.2501515152
1033273784,JI,DONG,L,M.D.,F,I,15640 NW LAIDLAW RD,SUITE 102,PORTLAND,OR,972293828,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,14.43125,1.42,0.83625,0.83625
1033273784,JI,DONG,L,M.D.,F,I,15640 NW LAIDLAW RD,SUITE 102,PORTLAND,OR,972293828,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,46.925833333,38.7425
1033274279,WOODCOCK,LESLIE,D,M.D.,M,I,5100 W TAFT RD STE 3L,,LIVERPOOL,NY,130883809,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,32,32,32,88.5421875,57.3184375,41.984375,48.651875
1033274279,WOODCOCK,LESLIE,D,M.D.,M,I,5100 W TAFT RD STE 3L,,LIVERPOOL,NY,130883809,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,12,12,21,70.004761905,56.187619048,42.221904762,43.153809524
1033274279,WOODCOCK,LESLIE,D,M.D.,M,I,5100 W TAFT RD STE 3L,,LIVERPOOL,NY,130883809,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,20,20,34,55.470588235,54.296470588,41.032058824,39.693235294
1033274832,JOLLEY,BRIAN,J,MD,M,I,LAHEY CLINIC,41 MALL RD,BURLINGTON,MA,018050001,US,Physician/Sports Medicine,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,135.8,135.8,101.19266667,97.488
1033274873,VIGNESWARAN,WICKII,,MD,M,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,524.02857143,77.18,60.51,54.72
1033274873,VIGNESWARAN,WICKII,,MD,M,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Thoracic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,113.63636364,36.96,28.98,29.51
1033275045,CONLY,JEFFREY,,MD,M,I,170 N POINTE BLVD,,LANCASTER,PA,17601,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,64.87,47.464545455,37.210909091,37.210909091
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,30,6120,0.292254902,0.13,0.0989281046,0.0989281046
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,805,3.3643478261,2.27,1.6249565217,1.6249565217
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,7020,13.575641026,7.23,5.650502849,5.650502849
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,29,112,278,18.585935252,10.329136691,7.9511510791,8.3818345324
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,49,1180,7.3629322034,3.8720338983,2.9838474576,2.9948050847
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,25,8.072,4.092,3.078,3.084
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,46,1380,8.6386376812,5.7391304348,4.4994130435,4.5000942029
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,29,1180,21.513423729,9.86,7.6853813559,7.6853813559
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,420,12.089,11.11,8.3684761905,8.3684761905
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,21,87,1965,11.967073791,6.9906361323,5.3342086514,5.3378015267
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,380,10.790526316,5.7336842105,4.4951052632,4.5000789474
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,7.975,7.33,5.7465,5.7465
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,30,116,3100,7.5134741935,4.0369677419,3.1019258065,3.1043516129
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,32,1630,0.463404908,0.27,0.2116257669,0.2116257669
1033275433,KUTIKOV,ALEXANDER,,MD,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,20,65,3079,0.5561935693,0.2693504385,0.2077005521,0.2077005521
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,28,103,61.638932039,8.32,5.9525242718,5.9525242718
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,31,16.924193548,1.42,1.1119354839,1.1119354839
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,31,57,57,64.723859649,40,29.805789474,29.057719298
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,38,70,70,246.19571429,85,64.619428571,65.742142857
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,31,65,138,101.27224638,33,24.748333333,24.792826087
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,12,25,131,67.296946565,18.004122137,11.809160305,12.199160305
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,22,40,40,149.935,55.90925,36.14625,35.4635
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,52,63,63,51.59984127,17.99952381,12.98984127,12.948253968
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,28,50,50,61.4022,12.0536,8.6914,8.4044
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,56,105,502,6.8364342629,2.0010756972,1.4812948207,1.5022310757
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,20,26,26,18.275384615,6,4.3384615385,4.3019230769
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,22,25,25,41.3888,13,8.9672,9.104
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,89.055172414,18,13.136896552,12.743793103
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,323.00666667,138,100.15416667,96.664166667
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,25,122,123,188.42260163,34.487804878,23.779105691,22.563739837
1033275615,MALLICK,NAVEED,K,MD,M,I,1642 E 56TH ST,SUITE 107,CHICAGO,IL,606371952,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,26,344.76538462,77.18,54.026153846,48.46
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,26,26,112.47307692,38.158846154,24.646538462,25.191538462
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,204.53538462,84.736923077,53.140769231,54.455384615
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,31,101.65806452,32.827096774,24.276774194,24.428709677
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,74,74.760405405,17.942702703,12.552432432,12.968783784
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,27,27,189.67222222,55.817777778,39.462962963,38.685555556
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,24,24,50.305833333,18.27,12.10125,11.874583333
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,40,11.825833333,8.7108333333,8.5958333333
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,38,200,7.9687,2.0042,1.29485,1.3138
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,34.739444444,12.859444444,9.0955555556,9.3244444444
1033275805,PAK,EDWARD,S,DO,M,I,12200 WARWICK BLVD STE 290,,NEWPORT NEWS,VA,23601,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,40,40,125,33.07475,19.4325,19.458
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,43.601935484,18.764677419,14.711774194,11.893548387
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,146.86714286,65.2,48.012142857,39.798571429
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,48.204615385,19.984615385,14.581538462,12.978461538
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,48.792727273,16.969090909,12.510909091,8.3409090909
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,76,6.7407894737,2.6255263158,1.9352631579,1.4703947368
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,49.67,49.67,38.95,37.75
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,227.8,69.99,40.0264,39.9296
1033275896,ELLIS,KEITH,W,MD,M,I,2115 S FREMONT AVE,SUITE 2300,SPRINGFIELD,MO,658042239,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,175.12,63.403636364,49.701818182,53.295454545
1033276209,METTIAS,MAGDY,A,M.D.,M,I,94-300 FARRINGTON HWY # E-06,,WAIPAHU,HI,967972648,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,435.46,209.61818182,160.88636364,103.58363636
1033276456,TIMPTON,WANDA,G,M.D.,F,I,5824 HAYNE BLVD,5980 WINCHESTER PARK DRIVE,NEW ORLEANS,LA,701261344,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,45,48.264666667,8.32,6.5224444444,6.5224444444
1033276464,PASQUALE,JACK,A,M.D.,M,I,7303 198TH ST,,FRESH MEADOWS,NY,113661818,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,37,1045,19.848325359,5,3.8153492823,4.0374258373
1033276464,PASQUALE,JACK,A,M.D.,M,I,7303 198TH ST,,FRESH MEADOWS,NY,113661818,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,7182,2.3859649123,0.37,0.2900779727,0.2900779727
1033276464,PASQUALE,JACK,A,M.D.,M,I,7303 198TH ST,,FRESH MEADOWS,NY,113661818,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,9290,2.2027750269,0.2998708288,0.2247050592,0.2318417653
1033276696,FRANCK,LEELIA,,M.D.,F,I,21507 E CLIFF DR,,SANTA CRUZ,CA,950624844,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,27,47.97962963,8.32,5.3125925926,5.3125925926
1033276704,SMITH,KENDRA,K,M.D.,F,I,700 LILLY RD NE,,OLYMPIA,WA,985065115,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,429.96,100.78333333,57.36,35.934166667
1033276704,SMITH,KENDRA,K,M.D.,F,I,700 LILLY RD NE,,OLYMPIA,WA,985065115,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,117.31416667,44.745,23.345,19.181666667
1033276720,POSSNER,ADAM,B,M.D.,M,I,9420 KEY WEST AVE,104,ROCKVILLE,MD,208503334,US,Physician/General Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,2790,2.7139784946,1.9835483871,1.5550824373,1.5993333333
1033277728,BROWN-SOLTERO,ELISA,M,M.D.,F,I,91550 OVERSEAS HWY,MEDICAL ARTS BUILDING SUITE 115,TAVERNIER,FL,330702506,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,34,5.1188235294,3.2270588235,2.5302941176,1.6664705882
1033277728,BROWN-SOLTERO,ELISA,M,M.D.,F,I,91550 OVERSEAS HWY,MEDICAL ARTS BUILDING SUITE 115,TAVERNIER,FL,330702506,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,149.7974359,47.994615385,35.642307692,24.833333333
1033277827,BALZORA,JEAN,D,M.D.,M,I,234 E 149TH ST,"DEPARTMENT OF MEDICINE,8TH FLOOR",BRONX,NY,104515504,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,36,87.350555556,8.32,5.0772222222,5.0772222222
1033277827,BALZORA,JEAN,D,M.D.,M,I,234 E 149TH ST,"DEPARTMENT OF MEDICINE,8TH FLOOR",BRONX,NY,104515504,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,96.333076923,1.42,0.6892307692,0.6892307692
1033278312,GALLANTER,BARRY,J,DPM,M,I,138 W 56TH ST,,BAYONNE,NJ,070029200,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,74,71.56,71.56,56.105,56.105
1033278312,GALLANTER,BARRY,J,DPM,M,I,138 W 56TH ST,,BAYONNE,NJ,070029200,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,222,90,43.56,34.151666667,34.150135135
1033278429,CINTRON,EVELYN,,MD,F,I,1100 SMITHVILLE HWY STE 105,SUITE 4,MCMINNVILLE,TN,371101663,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,42,91,64.322087912,8.32,6.1645054945,6.1645054945
1033278429,CINTRON,EVELYN,,MD,F,I,1100 SMITHVILLE HWY STE 105,SUITE 4,MCMINNVILLE,TN,371101663,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,45,22.4775,16.999166667,13.217083333
1033278429,CINTRON,EVELYN,,MD,F,I,1100 SMITHVILLE HWY STE 105,SUITE 4,MCMINNVILLE,TN,371101663,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1812.76,1074.31,830.30416667,830.30416667
1033278429,CINTRON,EVELYN,,MD,F,I,1100 SMITHVILLE HWY STE 105,SUITE 4,MCMINNVILLE,TN,371101663,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,45,8.4605555556,4.365,2.3438888889
1033278429,CINTRON,EVELYN,,MD,F,I,1100 SMITHVILLE HWY STE 105,SUITE 4,MCMINNVILLE,TN,371101663,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,417.96512195,99.401463415,75.016829268,53.04804878
1033278429,CINTRON,EVELYN,,MD,F,I,1100 SMITHVILLE HWY STE 105,SUITE 4,MCMINNVILLE,TN,371101663,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1470,2.376462585,0.1366938776,0.0997755102,0.0997755102
1033278429,CINTRON,EVELYN,,MD,F,I,1100 SMITHVILLE HWY STE 105,SUITE 4,MCMINNVILLE,TN,371101663,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,23.714166667,23.714166667
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,140.51,39.781578947,29.538421053,28.944736842
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,11,23,23,378.43434783,84.847826087,64.305652174,65.503043478
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,22,53,154.28433962,32.677358491,24.643207547,24.90509434
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,73,96.469178082,17.931506849,12.898082192,13.400958904
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,63,53.447777778,15.497142857,10.974285714,10.768730159
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,13,28,28,217.04535714,54.327142857,40.601071429,40.841071429
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,23,33,33,72.458787879,17.734545455,13.046969697,13.18969697
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,29,29,62.48,11.844827586,9.2872413793,9.1286206897
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,22,47,265,8.2396226415,2,1.5328679245,1.5546037736
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,18,18,24.04,5.9644444444,4.6733333333,4.6527777778
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,15,19,19,47.693157895,13,10.19,10.324210526
1033278577,GRUJIC,ZORAN,M,MD,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,48,49,424.00836735,33.52755102,25.279387755,24.73
1033278908,GIBBONS,DAVID,S,D.O.,M,I,1037 S STATE ROAD 7,SUITE 211,WELLINGTON,FL,334146138,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,37.949310345,8.32,6.0706896552,6.0706896552
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,35,166,61.504277108,8.32,6.130060241,6.130060241
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,25,67,13.954626866,1.42,1.0292537313,1.0292537313
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,3432,0.44,0.44,0.344965035,0.344965035
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,1369,8.28,8.28,6.4915339664,6.4915339664
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,924,18.5,18.5,14.503993506,14.503993506
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,2520,0.45,0.45,0.3528095238,0.3528095238
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,42.385454545,13.04,9.2909090909,8.2909090909
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,E0251,"Hospital bed, fixed height, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,175,46.752,36.652,37.737333333
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,85.378823529,17.420588235,12.048235294,11.942352941
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,28.278461538,5.7653846154,3.8907692308,3.4292307692
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,162.32615385,32.511538462,20.028461538,19.78
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,493.00705882,81.792352941,56.563529412,49.252941176
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1465,1.7695494881,0.1374334471,0.1077610922,0.1077610922
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,111.38888889,20.059166667,15.725833333,15.689722222
1033279625,MOSTAFA,ASHRAF,S,MD,M,I,7505 OSLER DRIVE,SUITE 208,TOWSON,MD,21204,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,32,38.35625,9.8928125,7.7578125,7.314375
1033279906,BURKS,DAVID,A,M.D.,M,I,2340 LONDONDERRY RD,,ANN ARBOR,MI,481044014,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,19,5640,0.1989893617,0.13,0.0932446809,0.0932446809
1033279906,BURKS,DAVID,A,M.D.,M,I,2340 LONDONDERRY RD,,ANN ARBOR,MI,481044014,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,14,33,22.871212121,13.8,9.8363636364,9.8363636364
1033279906,BURKS,DAVID,A,M.D.,M,I,2340 LONDONDERRY RD,,ANN ARBOR,MI,481044014,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,14,52,13150,3.4005551331,2.024486692,1.5433794677,1.5541718631
1033279906,BURKS,DAVID,A,M.D.,M,I,2340 LONDONDERRY RD,,ANN ARBOR,MI,481044014,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,,24,90,18.979333333,10.93,8.569,8.569
1033279906,BURKS,DAVID,A,M.D.,M,I,2340 LONDONDERRY RD,,ANN ARBOR,MI,481044014,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,16,64,12.21734375,6.61,5.18375,5.78640625
1033279906,BURKS,DAVID,A,M.D.,M,I,2340 LONDONDERRY RD,,ANN ARBOR,MI,481044014,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,108,1.8258333333,1.6055555556,1.2587037037,1.2975925926
1033280003,HOUSE,DAVID,D,MD,M,I,441 N LAKEVIEW AVE,,ANAHEIM,CA,928073028,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,38,73,46.983561644,8.32,5.3615068493,5.3615068493
1033280003,HOUSE,DAVID,D,MD,M,I,441 N LAKEVIEW AVE,,ANAHEIM,CA,928073028,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,17,18.749411765,1.42,0.9847058824,0.9847058824
1033280334,GEHRIS,CLARENCE,W,M.D.,M,I,520 UPPER CHESAPEAKE DR,SUITE 206,BEL AIR,MD,210144339,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,272.80285714,56,41.997142857,40.956428571
1033280334,GEHRIS,CLARENCE,W,M.D.,M,I,520 UPPER CHESAPEAKE DR,SUITE 206,BEL AIR,MD,210144339,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,12.668181818,2.3,1.8033333333,1.5916666667
1033280334,GEHRIS,CLARENCE,W,M.D.,M,I,520 UPPER CHESAPEAKE DR,SUITE 206,BEL AIR,MD,210144339,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,208.31448276,32.618275862,22.853793103,22.642413793
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,48,159,320,61.7121875,8.257,4.80203125,4.85659375
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.99,3.38,1.9875,1.9875
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,34,89,110,13.866727273,1.42,0.9035454545,0.9035454545
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,125,3,2.1710173697,2.1859057072
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3844,7.0451612903,0.6,0.4520317378,0.4975780437
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,36.88,16.33,10.191363636,10.922727273
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,40.754878049,3.7336585366,2.132195122,2.8443902439
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,114.446875,28.16,13.8,15.22
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,230,71.06,46.7964,46.0124
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,7181,0.4253042752,0.0467163348,0.0304316948,0.0304316948
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,150,28.13,18.9,20.898571429
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,38.1,8.9994736842,5.9036842105,5.5110526316
1033280417,MISTAL,DEBORAH,J,DO,F,I,32 WEST FOOTHILLS DRIVE,,DRUMS,PA,18222,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,21,21,37.714285714,33,22.174285714,22.174285714
1033280425,BOWMAN,ANGELA,J,NP,F,I,2401 COLUMBUS BLVD,,KOKOMO,IN,469016455,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,22,50.73,4.6563636364,3.6563636364,3.4981818182
1033280813,GRIFFITH,MATTHEW,H,MD,M,I,21475 RIDGETOP CIR,SUITE 150,STERLING,VA,201666580,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,180,120.62,91.068888889,84.372777778
1033280813,GRIFFITH,MATTHEW,H,MD,M,I,21475 RIDGETOP CIR,SUITE 150,STERLING,VA,201666580,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,90,59.74,42.045833333,41.589166667
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,28,79,1015,51.042679803,19.622955665,14.712374384,14.712374384
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,28,78,2372,6.9728246206,2.6301349073,2.0152487352,2.0152487352
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,64,265,696,3043,71.085290831,8.3189976996,6.2199769964,6.2206112389
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,14,28,28,14.630357143,3.38,2.4607142857,2.4607142857
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,22.84625,2.12,1.67,1.67
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,40,66,134,297,14.261144781,1.42,1.0309427609,1.0309427609
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,45,45,90,80,71.56,55.429777778,55.429777778
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,43,43,247,44.556923077,43.56,34.151700405,34.150161943
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,659.82911111,344.65733333,265.60844444,265.60844444
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,40,5540,16.646380866,10.865407942,8.4810397112,8.4810397112
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,24,129,129,251.3620155,250.98302326,196.77046512,196.86953488
1033280862,BIGGS,WILLIAM,C,M.D.,M,I,1215 S COULTER ST,STE 400,AMARILLO,TX,791061758,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,264.16,264.16,207.1,207.1
1033281019,PETERSON,KELSEY,C,M.D.,M,I,17742 BEACH BLVD,245,HUNTINGTON BEACH,CA,926476818,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,979,849.98,648.515,658.8825
1033281019,PETERSON,KELSEY,C,M.D.,M,I,17742 BEACH BLVD,245,HUNTINGTON BEACH,CA,926476818,US,Physician/Orthopedic Surgery,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,19,19,161,119.93,94.02,89.112631579
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,31,74,161,55.654409938,8.32,6.1977018634,6.1977018634
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,33,44,8.2659090909,1.42,1.0904545455,1.0904545455
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,25,28.46,24.19,18.2016,21.4508
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,25,10.93,10.93,7.91,7.91
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,540,12.623333333,3.97,2.8880740741,2.8880740741
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,375,0.27,0.27,0.2116,0.2116
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,486,8.28,8.28,6.4915843621,6.4915843621
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,612,18.5,18.5,14.504003268,14.504003268
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,571,3.79,3.79,2.9713485114,2.9713485114
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,1457,275,5.7723404255,4.3007137955,3.955435827
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,5568,3.7216666667,0.38,0.2979166667,0.2900682471
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,8420,4.2875,0.3,0.2347209026,0.2425593824
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,7536,11.547361996,0.6675159236,0.5233280255,0.5174296709
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,14,14,1200,65.021428571,50.98,48.585714286
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,11,64,64,138.8125,53.556875,38.396875,35.56125
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,87.551428571,17.134285714,13.432857143,13.597857143
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,50,6,4.7056521739,3.672173913
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,60.40125,10.933125,7.550625,7.41875
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,506.64225,87.457,66.35825,55.12475
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,20,123,123,51.11097561,22.076422764,16.789105691,14.268130081
1033281191,HAFFIZULLA,JASON,M,M.D.,M,I,7875 W COMMERCIAL BLVD,,TAMARAC,FL,333514353,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,42,42,18.112380952,9.3228571429,6.939047619,6.4742857143
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,32,109,52.975137615,8.32,6.2234862385,6.2234862385
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,14.765,3.38,2.65,2.65
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,26,47,18.221702128,1.42,1.0429787234,1.0429787234
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,880,0.1249545455,0.1158977273,0.0908409091,0.093
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,25,1742,0.1410849598,0.13,0.1018771527,0.1018771527
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,671,0.5389567809,0.45,0.3528017884,0.3528017884
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,364.14,169.08818182,132.56454545,119.02727273
1033281506,WU,JOHN,C,M.D.,M,I,2306 EAST 75TH STREET,,CHICAGO,IL,60649,US,Physician/General Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,69,33,25.87,25.87
1033281522,CHIANG,PETER,K,MD,M,I,3333 FAIRMONT AVE,,ASBURY PARK,NJ,07712,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,11,11,88.784545455,52.079090909,40.831818182,50.680909091
1033281910,IZQUIERDO-PORRERA,ANNA,M,M.D PHD,F,I,13925 NEW HAMPSHIRE AVE,,SILVER SPRING,MD,20904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,41,125,63.22736,8.32,6.10448,6.10448
1033281910,IZQUIERDO-PORRERA,ANNA,M,M.D PHD,F,I,13925 NEW HAMPSHIRE AVE,,SILVER SPRING,MD,20904,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,22,35,15.568571429,1.42,1.0194285714,1.0194285714
1033281977,KENKARE,ZADIE,,MD,F,I,8 E MAIN ST,SUITE 203,CLINTON,CT,064132058,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,53,80.181509434,8.32,6.029245283,6.029245283
1033282066,MURPHY,ANN,E,MD,F,I,19500 10TH AVE,SUITE 100,POULSBO,WA,983700000,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,30,2356,67.313514431,5.30475382,4.1589303905,4.1589303905
1033282066,MURPHY,ANN,E,MD,F,I,19500 10TH AVE,SUITE 100,POULSBO,WA,983700000,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,28.769230769,24,18.82,18.82
1033282066,MURPHY,ANN,E,MD,F,I,19500 10TH AVE,SUITE 100,POULSBO,WA,983700000,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,24,22.208333333,16,12.54,12.54
1033282207,SAYEGH,MICHAEL,,MD,M,I,1175 S 13TH ST,,CAMBRIDGE,OH,437253059,US,Physician/Anesthesiology,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,15,37,112,40,10.827142857,8.4892857143,7.8883035714
1033282207,SAYEGH,MICHAEL,,MD,M,I,1175 S 13TH ST,,CAMBRIDGE,OH,437253059,US,Physician/Anesthesiology,S,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation",D1E - Other DME,Durable Medical Equipment,Y,1,31,47,47,100,8.660212766,6.5465957447,6.5465957447
1033282207,SAYEGH,MICHAEL,,MD,M,I,1175 S 13TH ST,,CAMBRIDGE,OH,437253059,US,Physician/Anesthesiology,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,1800,992.36166667,774.51777778,772.04777778
1033282272,COPANOS,JOHN,E,M.D.,M,I,41 HIGHLAND AVE,,WINCHESTER,MA,018901446,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,18,17,17,10.977777778,11.181666667
1033282272,COPANOS,JOHN,E,M.D.,M,I,41 HIGHLAND AVE,,WINCHESTER,MA,018901446,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,18,78,78,47.561111111,42.924444444
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,66,66,132,131.81818182,71.56,52.222954545,52.222954545
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,168,84.107142857,43.56,33.779404762,33.777738095
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,30,41,1230,49.666585366,23.66,18.549333333,18.549333333
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,34,46,1410,2.0212765957,0.05,0.0393333333,0.0393333333
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,31,42,1260,3,1.08,0.8466666667,0.8466666667
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,228,70.657894737,43.56,34.014517544,34.012982456
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,225,109.14,80.527058824,89.477647059
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,350,251.28,192.90586207,214.04137931
1033282280,HYDERI,ZEHRA,,DPM,F,I,2430 ESPLANADE DR,STE A,ALGONQUIN,IL,601025470,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,55,55,55,190,162.87,126.19109091,125.052
1033282538,CALLISTE-SCOTT,SUSAN,,MD,F,I,8900 VAN WYCK EXPY,,JAMAICA,NY,114182897,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,101,185,88.264324324,8.32,5.4643243243,5.4643243243
1033282538,CALLISTE-SCOTT,SUSAN,,MD,F,I,8900 VAN WYCK EXPY,,JAMAICA,NY,114182897,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,20,49,55,67.225272727,1.42,0.9145454545,0.9145454545
1033282538,CALLISTE-SCOTT,SUSAN,,MD,F,I,8900 VAN WYCK EXPY,,JAMAICA,NY,114182897,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,132,4.12,4.12,2.9363636364,3.008030303
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,19,19,19,138.02,42.28,31.395789474,34.584210526
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,24.5835,4.229,3.3095,3.65
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,146.89,47.64,37.35,40.79
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,24.28,8.4738461538,4.2138461538,5.1130769231
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,134.38,48.017692308,32.513076923,34.687692308
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,24.01,10.483846154,8.2192307692,9.7461538462
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,69.89,15.507894737,11.58,13.918947368
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,77,77,119.34,22.196103896,13.769220779,18.152987013
1033282934,KERN,HILARY,B,MD,F,I,30 E 40TH ST,SUITE 1200,NEW YORK,NY,100161201,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,18,87,87,20.57,6.7348275862,4.2685057471,5.6845977011
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,357,6.45,2.27,1.7796638655,1.7796638655
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,23,36.64,10.93,8.57,8.57
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,23,25.95,7.06,5.5352173913,5.85
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,19,36,36,115.22277778,38.5175,30.193888889,30.49
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,870,10.206896552,7.37,5.778,5.778
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,30,30,335.81333333,85.523333333,67.004666667,67.798333333
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,21,57,126.79192982,32.33754386,24.000526316,24.543157895
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,24,119,69.738403361,18.021932773,14.12907563,14.504789916
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,26,47,47,235.19531915,53.252978723,40.865957447,41.883617021
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,33,43,43,78.648604651,17.416511628,13.332093023,13.715116279
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,21,44,44,62.536363636,11.819545455,8.8215909091,8.6990909091
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,40,77,431,8.1111136891,2.0313225058,1.529675174,1.5291415313
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,30,30,25.957,5.9323333333,4.4966666667,4.495
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,15,18,18,45.742222222,12.38,9.7027777778,10.302777778
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,366,5,2.8,2.1953278689,2.1953278689
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,2.48,2.33,1.82,1.82
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,67.926206897,17,11.789310345,12.004827586
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,3500,1074.31,829.78434783,829.78434783
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,830.30416667,830.30416667
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,28,430.065,87.647857143,67.015714286,69.108928571
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,467.95454545,132.30363636,94.284545455,95.280909091
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,22,22,56.634090909,4.07,2.8731818182,3.6954545455
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,21,101,104,249.57115385,31.904903846,22.897115385,23.4125
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,35,219,237,347.63772152,75.466919831,56.924135021,52.920168776
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,96,96,90.21125,39.699791667,30.949375,29.440729167
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,87.181818182,57,44.69,44.69
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,19.323633333,9.6253333333,7.5462555556,7.5462555556
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,3204,0.6193133583,0.0462297129,0.0345380774,0.0345380774
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,24,44,172,15810,2.2417476281,0.1327172676,0.0990645161,0.0990645161
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,23,124,7692,12.269802392,2.9649856994,2.2701599064,2.2701599064
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,65,129.52,39.653846154,30.123538462,28.803846154
1033283106,BATRA,BRIJENDER,S,MD,M,I,7C MEDICAL PARK DR,,POMONA,NY,109703516,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,45,189,189,43.005291005,33,24.638095238,24.638095238
1033283544,PEREZ,HERMINIO,L,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2825 LIVERNOIS,TROY,MI,48083,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,32,84,66.53797619,8.32,5.9001190476,5.9001190476
1033283544,PEREZ,HERMINIO,L,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2825 LIVERNOIS,TROY,MI,48083,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,20,27,14.83037037,1.42,0.9918518519,0.9918518519
1033283551,WINSTON MATTHEWS,KIMBERLY,M,M.D.,F,I,HENRY FORD HEALTH SYSTEM,4401 CONNER,DETROIT,MI,48215,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,25,67,190,55.373736842,8.32,5.6588947368,5.6588947368
1033283551,WINSTON MATTHEWS,KIMBERLY,M,M.D.,F,I,HENRY FORD HEALTH SYSTEM,4401 CONNER,DETROIT,MI,48215,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,45,72,25.434305556,1.42,1.0377777778,1.0377777778
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,68,146,146,141.06410959,38.188287671,29.12369863,29.644589041
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,14,35,89,7.4894382022,1.45,1.0842696629,1.0991011236
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,71.994117647,14.365294118,10.773529412,8.7523529412
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,73,160,160,334.7040625,84.2368125,61.8326875,63.5370625
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,57,135,298,140.12889262,32.520536913,24.61295302,24.991308725
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,25,50,233,88.525622318,17.999828326,13.269527897,13.680944206
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,15,38,191,64.500209424,14.76,11.571989529,11.873350785
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,45,103,103,243.83912621,51.575339806,38.40961165,40.729029126
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,110,151,151,67.055430464,16.928807947,12.805695364,13.541125828
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,36.6075,10.2675,8.05,8.091875
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,45,97,97,59.569484536,12.10556701,8.6489690722,8.3524742268
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,108,259,1273,10.692576591,2.0046818539,1.4822309505,1.5007776905
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,56,77,77,28.586363636,5.907012987,4.3980519481,4.4176623377
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,58,79,79,45.032405063,12,8.8144303797,9.665443038
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,81,81,54.127160494,16.04,12.25962963,13.130987654
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,32,168,180,427.30494444,82.914166667,58.812166667,61.451611111
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,28,28,28,403.30857143,130.90642857,95.977142857,97.928214286
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,28,181,185,44.806864865,5.6364324324,3.9325945946,3.2464324324
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,27,152,165,153.18775758,31.464606061,22.111636364,22.823878788
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,28,176,181,303.88994475,71.408839779,51.55519337,50.58281768
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,190.14705882,35.5,23.835588235,25.317941176
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,25,33,106,19420,0.3447394439,0.0461477858,0.0297188465,0.0297173018
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,29,127,12244,1.4872737667,0.1345646847,0.0994879124,0.0994879124
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,1980,11.369388889,2.8859090909,2.2045,2.2045
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,45,84.975555556,35.377777778,26.497777778,27.929777778
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,34,58,221,221,91.563800905,33,24.123800905,24.123800905
1033283759,VAZIR,AMANULLAH,A,MD,M,I,999 MCBRIDE AVE,SUITE 201B,WOODLAND PARK,NJ,074242570,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,14,16,16,67.75,66,46.655,46.655
1033284286,KNUDSON,GREGORY,S,M.D.,M,I,551 W CENTRAL AVE STE 102,,DELAWARE,OH,43015,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,1872,3.5769230769,1.92,1.4825267094,1.561832265
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,24,301,61.084385382,19.643056478,15.00820598,15.00820598
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,660,7.8291363636,2.6363636364,2.0668333333,2.0668333333
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,90,352,1011,58.832660732,8.3161028684,5.7279426311,5.7309891197
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,14.8825,3.38,2.484375,2.484375
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,37,97,171,15.388888889,1.42,0.9576608187,0.9576608187
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,501.92307692,343.20461538,258.03461538,258.03461538
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1320,16.376090909,10.935333333,8.209780303,8.209780303
1033284559,BOYTE,SABRINA,A,P.A.,F,I,302 MEDICAL PARK CT,,MOREHEAD CITY,NC,285574346,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,419.193125,250.79625,196.62375,196.87
1033284773,SEYFRIED,DONALD,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,14,14,14,95.121428571,48.267857143,37.840714286,36.610714286
1033284773,SEYFRIED,DONALD,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Neurosurgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,139.69,47.42,27.641,27.067
1033284773,SEYFRIED,DONALD,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2799 WEST GRAND BOULEVARD,DETROIT,MI,48202,US,Physician/Neurosurgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,22,22,22,27.552272727,25.67,16.47,17.282727273
1033284906,FILITIS,NICOLETTE,E,MD,F,I,741 JEWETT AVE,,STATEN ISLAND,NY,103142809,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,59,151,66.209536424,8.32,6.521986755,6.521986755
1033284906,FILITIS,NICOLETTE,E,MD,F,I,741 JEWETT AVE,,STATEN ISLAND,NY,103142809,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.876363636,3.38,2.65,2.65
1033284906,FILITIS,NICOLETTE,E,MD,F,I,741 JEWETT AVE,,STATEN ISLAND,NY,103142809,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,26,42,16.193571429,1.42,1.0342857143,1.0342857143
1033284906,FILITIS,NICOLETTE,E,MD,F,I,741 JEWETT AVE,,STATEN ISLAND,NY,103142809,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2200,2.2172727273,1.7090909091,1.2746954545,1.5341363636
1033284971,NGUYEN,LO AN,T,MD,F,I,11445 SUNSET HILLS ROAD,,RESTON,VA,201905276,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,82.451538462,18,13.024615385,12.978461538
1033284971,NGUYEN,LO AN,T,MD,F,I,11445 SUNSET HILLS ROAD,,RESTON,VA,201905276,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,86.806875,12,9.41,9.138125
1033284971,NGUYEN,LO AN,T,MD,F,I,11445 SUNSET HILLS ROAD,,RESTON,VA,201905276,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,104,12.544615385,2.0313461538,1.5928846154,1.5903846154
1033284971,NGUYEN,LO AN,T,MD,F,I,11445 SUNSET HILLS ROAD,,RESTON,VA,201905276,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,29.48,19.258333333,19.53
1033285085,KAPLAN,RICHARD,D,M.D.,M,I,5673 PEACHTREE DUNWOODY ROAD,SUITE 950,ATLANTA,GA,303421731,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,30,87,80.061609195,8.32,5.0977011494,5.0977011494
1033285085,KAPLAN,RICHARD,D,M.D.,M,I,5673 PEACHTREE DUNWOODY ROAD,SUITE 950,ATLANTA,GA,303421731,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,15.850769231,1.42,0.7723076923,0.7723076923
1033285085,KAPLAN,RICHARD,D,M.D.,M,I,5673 PEACHTREE DUNWOODY ROAD,SUITE 950,ATLANTA,GA,303421731,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,19.08,10.946666667,7.6783333333,7.6866666667
1033285085,KAPLAN,RICHARD,D,M.D.,M,I,5673 PEACHTREE DUNWOODY ROAD,SUITE 950,ATLANTA,GA,303421731,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,17.7,10.628333333,7.4608333333,7.14
1033285085,KAPLAN,RICHARD,D,M.D.,M,I,5673 PEACHTREE DUNWOODY ROAD,SUITE 950,ATLANTA,GA,303421731,US,Physician/Internal Medicine,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60.69,28.943333333,19.556666667,19.556666667
1033285085,KAPLAN,RICHARD,D,M.D.,M,I,5673 PEACHTREE DUNWOODY ROAD,SUITE 950,ATLANTA,GA,303421731,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,519.51,75.56,58.306470588,53.797058824
1033285333,MEYERS,KATHARINE,,M.D.,F,I,1450 WASHINGTON BLVD,,STAMFORD,CT,069022451,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15.79,1.42,1.12,1.12
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,36,70.022222222,8.32,5.7969444444,5.7969444444
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,526.41818182,88.22,62.881818182,61.801818182
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,41,193.74097561,33.6,23.580487805,23.22804878
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,292.84,56.189333333,44.054,42.940666667
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,104.11307692,18.23,14.293846154,14.079230769
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,73.653333333,12.159166667,9.5408333333,9.1291666667
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,23,109,11.406422018,2.079266055,1.6293577982,1.5936697248
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,44,100.04113636,18.311363636,13.337954545,12.627272727
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,484.01666667,32.460666667,22.493666667,22.499666667
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,67,73,549.21863014,70.48,53.274246575,52.787808219
1033285614,STIRLING,CORY,J,M.D.,M,I,1300 E A ST STE 104,,CASPER,WY,826012211,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,99,33,25.87,25.87
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,38,85,71.739176471,8.32,5.6347058824,5.6347058824
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,32.75,25.92,18.481818182,20.328181818
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,11.73,9.29,6.6181818182,7.82
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,46,8.0754347826,6.44,4.6106521739,4.6106521739
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.8672727273,7,5.488,5.488
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.1609090909,4.03,3.1595,3.1595
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,71,41.152727273,29.450909091,27.762727273
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,25,140.2896,40.6668,30.5436,26.4016
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,38,40.726315789,16.154736842,12.665789474,11.893947368
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,167.37272727,59.750909091,46.846363636,42.97
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,55.294,20.675333333,15.255333333,13.749333333
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,22,108,7.4574074074,2.4111111111,1.8597222222,1.6381481481
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,133.77586207,38.343103448,28.448965517,24.490344828
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,399.85416667,85.349166667,66.910833333,54.745
1033285861,REMMERS,AUBREY,M,M.D.,F,I,2835 FORT MISSOULA RD,PHYSICIAN CENTER 3,MISSOULA,MT,598047423,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,229.16666667,43.7825,34.328333333,29.515833333
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,24,308,47.788084416,19.644577922,15.401168831,15.401168831
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,23,770,5.7626493506,2.6337662338,2.0648181818,2.0648181818
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,71,219,821,57.959305725,8.32,5.710816078,5.710816078
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,12.370588235,3.38,2.4941176471,2.4941176471
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,30,68,135,12.05162963,1.42,1.0073333333,1.0073333333
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.96,10.27,8.05,8.57
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,530,12.309622642,9.86,7.1886981132,7.1886981132
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4411,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,160,7.46,5.74,4.5,4.5
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,210,4.7961904762,4.04,3.1672857143,3.1672857143
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,186.18181818,119.99181818,73.214545455,54.884545455
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,22,34,34,119.47264706,74.530588235,54.272941176,40.584705882
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,27,33,33,42.466666667,25.012727273,17.686969697,13.013636364
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,33,33,40.037575758,20.643939394,15.070909091,9.3978787879
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,23,38,121,5.7361983471,3.0343801653,2.2921487603,1.569338843
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,18,18,15.666666667,9.2972222222,6.9377777778,5.0827777778
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,89.044444444,22.532222222,17.111111111,13.697777778
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,35,19.543103448,14.923103448,10.665862069
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,24.375,6.31625,4.725,3.16875
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,115,58.710625,44.949375,29.8284375
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,609.4826087,332.54608696,260.71391304,260.71391304
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,411.90116279,100.42744186,77.346976744,56.282790698
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,38,2860,16.222548951,10.729881119,8.339541958,8.339541958
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1065,0.1579342723,0.0441877934,0.0324788732,0.0324788732
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2130,2.4618403756,0.1339295775,0.1011784038,0.1011784038
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1860,9.1763924731,2.8876129032,2.2374623656,2.2374623656
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,325,2.1996,0.2193538462,0.1717846154,0.1717846154
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,251.11,251.11,196.87,196.87
1033285945,CARLSON,DAVID,W,M.D.,M,I,1201 W AGENCY RD,,WEST BURLINGTON,IA,526551645,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,44,44,33,33,25.282045455,25.282045455
1033286422,DEISS,ZACHORY,F,MD,M,I,1522 E A ST,,CASPER,WY,826012217,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,52,82.019615385,17.974615385,13.037692308,12.655192308
1033286422,DEISS,ZACHORY,F,MD,M,I,1522 E A ST,,CASPER,WY,826012217,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,59,500.94898305,70.772881356,52.617457627,52.051355932
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,28,81,61.464197531,8.32,4.8914814815,4.8914814815
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,15.432608696,1.42,0.6791304348,0.6791304348
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,29,123.57137931,34.716896552,27.218965517,25.917241379
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,69.109285714,13.088571429,9.5907142857,8.51
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,82,9.1112195122,2.216097561,1.6175609756,1.4792682927
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1001.46,785.15,837.50083333
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,185.28571429,34.5,25.483333333,24.623333333
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,63,63,560.41285714,83.767619048,62.692380952,53.906666667
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1530,0.9459607843,0.1315882353,0.0960522876,0.0960522876
1033286596,ROSS,KENNETH,E,DO,M,I,4 PONDER EXECUTIVE PLZ,,HOUSE SPRINGS,MO,630513431,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,153.68089286,39.289285714,30.074821429,28.88125
1033286836,SCHAEFER,WALTER,C,MD,M,I,560 RIVERSIDE DR,,SALISBURY,MD,21801,US,Physician/Otolaryngology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,45.833333333,16.33,12.297916667,13.289166667
1033286836,SCHAEFER,WALTER,C,MD,M,I,560 RIVERSIDE DR,,SALISBURY,MD,21801,US,Physician/Otolaryngology,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70,43.952727273,34.462727273,36.39
1033286836,SCHAEFER,WALTER,C,MD,M,I,560 RIVERSIDE DR,,SALISBURY,MD,21801,US,Physician/Otolaryngology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,7.48,5.8627272727,6.3454545455
1033287024,GRACE,KATHRYN,S,DPM,F,I,2501 COMPASS RD,SUITE 120,GLENVIEW,IL,600268000,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,350,251.28,184.36642857,204.69214286
1033287107,MARTINEZ,JOSE,A,PA-C,M,I,1395 SATTLER RD STE 6,,CANYON LAKE,TX,781322296,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,30,88,73.104659091,8.32,5.3102272727,5.3102272727
1033287107,MARTINEZ,JOSE,A,PA-C,M,I,1395 SATTLER RD STE 6,,CANYON LAKE,TX,781322296,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,22,16.388181818,1.42,1.0140909091,1.0140909091
1033287164,MILLER,ARTHUR,H,MD,M,I,505 RARITAN AVE,,HIGHLAND PARK,NJ,089042901,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,39,109,72.406605505,8.32,5.803853211,5.803853211
1033287164,MILLER,ARTHUR,H,MD,M,I,505 RARITAN AVE,,HIGHLAND PARK,NJ,089042901,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,30,23.445,1.42,1.0766666667,1.0766666667
1033287164,MILLER,ARTHUR,H,MD,M,I,505 RARITAN AVE,,HIGHLAND PARK,NJ,089042901,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,19,407.10526316,70,51.991578947,51.857368421
1033287164,MILLER,ARTHUR,H,MD,M,I,505 RARITAN AVE,,HIGHLAND PARK,NJ,089042901,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,4243,0.7393565873,0.0448550554,0.0301178412,0.0301178412
1033287164,MILLER,ARTHUR,H,MD,M,I,505 RARITAN AVE,,HIGHLAND PARK,NJ,089042901,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1159,2.0631147541,0.1274805867,0.0975754961,0.0975754961
1033287164,MILLER,ARTHUR,H,MD,M,I,505 RARITAN AVE,,HIGHLAND PARK,NJ,089042901,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,33,33,21.409655172,21.409655172
1033287537,CURTI,MARIO,,M.D.,M,I,3801 KATELLA AVE,SUITE #207,LOS ALAMITOS,CA,907203338,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,163.27,73.711428571,57.79,55.139285714
1033287560,RABBAIG,SIYADATH,S,M.D.,F,I,HENRY FORD HEALTH SYSTEM,14300 BECK ROAD,PLYMOUTH,MI,48170,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,54,74.255185185,8.32,6.2792592593,6.2792592593
1033287560,RABBAIG,SIYADATH,S,M.D.,F,I,HENRY FORD HEALTH SYSTEM,14300 BECK ROAD,PLYMOUTH,MI,48170,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,19,17.367894737,1.42,1.1189473684,1.1189473684
1033287578,FINN,JEFFREY,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,6777 WEST MAPLE ROAD,WEST BLOOMFIELD,MI,48323,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,40,86,297,59.675723906,8.32,5.7214141414,5.7214141414
1033287578,FINN,JEFFREY,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,6777 WEST MAPLE ROAD,WEST BLOOMFIELD,MI,48323,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,12.928,3.38,2.12,2.12
1033287578,FINN,JEFFREY,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,6777 WEST MAPLE ROAD,WEST BLOOMFIELD,MI,48323,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,25,48,76,12.914736842,1.42,1.0423684211,1.0423684211
1033287578,FINN,JEFFREY,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,6777 WEST MAPLE ROAD,WEST BLOOMFIELD,MI,48323,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,57.770869565,17.25,13.403913043,13.423913043
1033287578,FINN,JEFFREY,M,M.D.,M,I,HENRY FORD HEALTH SYSTEM,6777 WEST MAPLE ROAD,WEST BLOOMFIELD,MI,48323,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,347.92565217,79.88,62.62,54.72
1033287610,NALAGAN,ERIC,,M.D.,M,I,683 BIG BEND RD,,BALLWIN,MO,630217723,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,69,81.278405797,8.32,5.1562318841,5.1562318841
1033287628,WILEN,DANIEL,W,MD,M,I,9202 FORT HAMILTON PARKWAY,,BROOKLYN,NY,11209,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,972.73892857,972.47,762.42,773.20535714
1033287628,WILEN,DANIEL,W,MD,M,I,9202 FORT HAMILTON PARKWAY,,BROOKLYN,NY,11209,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,21,742.19904762,735.65,576.75,489.7752381
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,163.57142857,49.375,38.710714286,38.507857143
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,190.625,52.4775,35.007083333,30.845833333
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,160,53.2,41.71,41.148125
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,61.2,17.29,13.55,13.5308
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,72,72,1500,942.14,729.71361111,830.45583333
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,27.53125,4.9465625,3.6521875,3.62375
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,126.66333333,49.898,34.199333333,33.475333333
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,384.16888889,70.675185185,55.408888889,54.745925926
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,23,138,138,84.636666667,20.733478261,15.439347826,13.45826087
1033288006,LEBLEU,GREGORY,E,MD,M,I,5203 SOUNDSIDE DR,,GULF BREEZE,FL,325639314,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,25,8.798125,6.9,6.80625
1033288329,VOGEL,BRUCE,G,DO,M,I,171 CAMPBELL LANE,,YERINGTON,NV,89447,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,59,62.456610169,8.32,4.5369491525,4.5369491525
1033288329,VOGEL,BRUCE,G,DO,M,I,171 CAMPBELL LANE,,YERINGTON,NV,89447,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,21,15.77047619,1.42,0.9019047619,0.9019047619
1033288329,VOGEL,BRUCE,G,DO,M,I,171 CAMPBELL LANE,,YERINGTON,NV,89447,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,21.328333333,14.233888889,11.275
1033288329,VOGEL,BRUCE,G,DO,M,I,171 CAMPBELL LANE,,YERINGTON,NV,89447,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,519.51,100.18,71.685,50.699117647
1033288329,VOGEL,BRUCE,G,DO,M,I,171 CAMPBELL LANE,,YERINGTON,NV,89447,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,74.25,33,23.714166667,23.714166667
1033288550,SOTO,ADOLFO,,M.D.,M,I,350 7TH ST N,,NAPLES,FL,34102,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,43,43,5.65,4.5904651163,3.3395348837,3.3546511628
1033288584,MORRIS,GEORGE,A,M.D.,M,I,106 2ND AVE NW,CENTRACARE CLINIC,ST JOSEPH,MN,563744106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,46,59.51826087,8.32,5.9547826087,5.9547826087
1033288584,MORRIS,GEORGE,A,M.D.,M,I,106 2ND AVE NW,CENTRACARE CLINIC,ST JOSEPH,MN,563744106,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.95,10.93,8.57,8.57
1033288584,MORRIS,GEORGE,A,M.D.,M,I,106 2ND AVE NW,CENTRACARE CLINIC,ST JOSEPH,MN,563744106,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.95,7.35,5.76,5.85
1033288584,MORRIS,GEORGE,A,M.D.,M,I,106 2ND AVE NW,CENTRACARE CLINIC,ST JOSEPH,MN,563744106,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1033288592,SAXE,SUSAN,E,MD,F,I,1050 NW 15TH STREET,SUITE 205,BOCA RATON,FL,33486,US,Physician/Infectious Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,308,278.03042208,42.41461039,32.78711039,32.78711039
1033288667,MARKS,JENNIFER,R,,F,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,33,89,87.941573034,8.32,4.9829213483,4.9829213483
1033288667,MARKS,JENNIFER,R,,F,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,18,24,13.78,1.42,0.8375,0.8375
1033288998,DAVIS,GREGORY,D,P.A.-C.,M,I,4300 BIRCH AVE,,LAKE ISABELLA,CA,932401628,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,16,46,45.773478261,8.32,5.955,5.955
1033288998,DAVIS,GREGORY,D,P.A.-C.,M,I,4300 BIRCH AVE,,LAKE ISABELLA,CA,932401628,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.53,3.505,2.7433333333,3.7608333333
1033288998,DAVIS,GREGORY,D,P.A.-C.,M,I,4300 BIRCH AVE,,LAKE ISABELLA,CA,932401628,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,532.56,72.06,50.222222222,48.648888889
1033289012,JORDAN,SUSAN,M,PAC,F,I,2511 M AVE,SUITE B,ANACORTES,WA,982213897,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,39,119,59.271260504,8.32,4.855210084,4.855210084
1033289012,JORDAN,SUSAN,M,PAC,F,I,2511 M AVE,SUITE B,ANACORTES,WA,982213897,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,15,12.633333333,1.42,0.82,0.82
1033289012,JORDAN,SUSAN,M,PAC,F,I,2511 M AVE,SUITE B,ANACORTES,WA,982213897,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,17,55.04,4.0123529412,3.1447058824,3.5776470588
1033289012,JORDAN,SUSAN,M,PAC,F,I,2511 M AVE,SUITE B,ANACORTES,WA,982213897,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,519.51,69.315333333,52.554666667,52.860666667
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,24,57,80.731578947,8.32,5.3766666667,5.3766666667
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,20.99,1.42,0.9316666667,0.9316666667
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,2400,9.65,7.23,5.6085208333,5.6085208333
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,117.63636364,38.771818182,30.394545455,30.503636364
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,138.83833333,55.645,43.63,43.141666667
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,47.089090909,17.934545455,14.053636364,14.065454545
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,94,7.2308510638,2.0889361702,1.6377659574,1.6022340426
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,47.942307692,4.6123076923,3.0992307692,3.1453846154
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,161.6,36.5648,28.6704,27.5712
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,12.86,3.2315217391,2.5335507246,2.5335507246
1033289103,WILLIAMITIS,ANTHONY,J,MD,M,I,9200 BONITA BEACH RD,STE 105,BONITA SPRINGS,FL,34135,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,113.4375,33,25.87,25.87
1033289129,KANSAL,J,K,"M.D., P.C.",M,I,8969 BROADWAY,,MERRILLVILLE,IN,464107039,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,23.812352941,5.2170588235,4.0970588235,3.7958823529
1033289285,SANDBACH,EMILY,,M.D.,F,I,3207 N ACADEMY BLVD,SUITE 3500,COLORADO SPRINGS,CO,809175100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,31,125,85.9364,8.32,6.0528,6.0528
1033289285,SANDBACH,EMILY,,M.D.,F,I,3207 N ACADEMY BLVD,SUITE 3500,COLORADO SPRINGS,CO,809175100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,31,52.122580645,17.51,11.515483871,11.417419355
1033289285,SANDBACH,EMILY,,M.D.,F,I,3207 N ACADEMY BLVD,SUITE 3500,COLORADO SPRINGS,CO,809175100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25,4.55,2.2488888889,2.79
1033289285,SANDBACH,EMILY,,M.D.,F,I,3207 N ACADEMY BLVD,SUITE 3500,COLORADO SPRINGS,CO,809175100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,61,279.36327869,79.8,60.159344262,55.281639344
1033289285,SANDBACH,EMILY,,M.D.,F,I,3207 N ACADEMY BLVD,SUITE 3500,COLORADO SPRINGS,CO,809175100,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,200,38,29.79,29.529310345
1033289673,O'KELLY,PETER,P,MD,M,I,805 PAMPLICO HWY,SUITE B-125,FLORENCE,SC,295056019,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,24,11.9375,10.93,8.57,8.57
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,27,84,56.570238095,8.32,6.0558333333,6.0558333333
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.4291666667,2.4291666667
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,33,15.122727273,1.42,1.0190909091,1.0190909091
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,3630,3.0428099174,2.04,1.5598209366,1.5598209366
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,16,32,83.128125,71.56,56.105,56.105
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,16,96,34.945625,29.19,22.885,22.886458333
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,237.17333333,90.795,67.071666667,63.730833333
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,309.83545455,54.271818182,40.249090909,40.554545455
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,17,17,80.660588235,18.586470588,13.740588235,13.236470588
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,71.066875,11.25875,8.82875,9.115625
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,21,92,9.8440217391,2.1384782609,1.5805434783,1.4951086957
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,26,26,233.07692308,68.345769231,51.612307692,38.646923077
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,50.72,19.2025,14.6475,13.1275
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,913.16,715.92,830.77454545
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,120,13.57,10.64,10.48
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,226.48565217,32.183478261,24.195652174,23.744347826
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,492.11054545,73.955818182,55.372909091,52.130727273
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,114.375,37.44,29.35,29.505
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,89.1625,23.42,17.10125,13.357916667
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,44,10.878181818,8.5254545455,6.5309090909
1033290093,LEONARD,JASON,M,M.D.,M,I,325 BROAD ST,STE100,SUMTER,SC,291504167,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37.44,29.35,29.495454545
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,121,269,269,157.42754647,48.445836431,34.927063197,28.931524164
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,1230,4.3804878049,2.96,2.3206585366,2.3206585366
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,345,8.193826087,5.21,3.7560869565,3.7717391304
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,15.3,8.23,6.455,6.4341666667
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,11.857692308,4.31,3.38,3.38
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,40,109,213,7.3605633803,1.9357746479,1.398685446,1.0996713615
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,21,26,26,77.282692308,17.963076923,13.436153846,9.125
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,49,113,113,449.27964602,119.89044248,85.856460177,62.593539823
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,47,116,301,169.32916944,44.819003322,33.786611296,25.152325581
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,46,103,502,89.030079681,25.356015936,18.212350598,13.442868526
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,21,117,287,1460,69.017575342,19.030136986,13.471458904,10.877232877
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,26,175,355,355,267.58073239,72.570084507,53.248056338,41.866056338
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,213,289,289,79.691730104,24.327854671,18.392906574,14.291626298
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,14,14,31,12.271428571,9.6264285714,8.605
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,103,203,203,88.573103448,18.534187192,13.79270936,8.832364532
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,30,216,524,2669,12.417733233,2.9645185463,2.2314162608,1.5931472462
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,172,242,242,29.757355372,8.5404132231,6.3207024793,4.6775619835
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,136,187,187,48.414545455,15.441229947,11.608235294,10.148823529
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,20,136,158,79.198544304,24.647531646,18.509810127,14.060443038
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,58,60,187.80833333,60.683,44.137,35.384166667
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,3947.575,1026.805,805.0178125,841.6325
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,14,65,66,546.83151515,117.29090909,85.266515152,65.409090909
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,1395.5992,945.2724,723.8784,723.8784
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,17,67,67,63.246268657,16.988955224,11.950746269,10.290447761
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,16,95,100,76.9122,7.6131,5.7749,3.7593
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,43,178,188,218.62702128,46.233085106,33.015585106,24.906861702
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,13,15,15,460.20733333,70.656,55.394,55.394
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,43,321,353,463.48280453,103.01719547,77.234787535,53.55286119
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,50,200.8,43.367,34.0028,30.2198
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,33,220,12870,16.110243978,9.6392424242,7.1149401709,7.1149401709
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,18,104,5850,14.022923077,11.29185641,8.7029111111,8.7029111111
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,32,3631,0.4443018452,0.0456954007,0.0358165795,0.0358165795
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4240,3.3047853774,0.0816721698,0.0611981132,0.0611981132
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,46,2125,1.0282823529,0.1367623529,0.1020658824,0.1020658824
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,54,322,18570,12.58924825,2.9862972536,2.2782455574,2.2782455574
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,1365,1.3451794872,0.2192234432,0.1718608059,0.1718608059
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,40,194.103,45.312,34.76225,28.94675
1033290101,MUNSHI,HABIB,G,M.D.,M,I,875 E STATE HIGHWAY 76,,BRANSON,MO,656169647,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,62,357,357,115.74369748,33,25.680784314,25.680784314
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,61,107,107,72.856168224,37.865233645,28.469345794,29.22682243
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,34,57,57,214.75789474,92.380350877,69.004736842,64.548421053
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,34,74,168,84.357261905,35.505892857,27.515178571,25.651428571
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,26,45,223,48.831793722,19.867085202,14.250941704,13.320672646
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,29,58,288,40.601076389,15.905590278,11.941180556,11.421527778
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,52,79,79,151.6764557,57.656962025,44.093291139,41.878481013
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,76,100,100,43.7506,17.5053,13.2185,13.5304
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,22,22,24.220454545,10.517727273,8.2427272727,8.15
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,21,41,41,52.37195122,13.478536585,10.32902439,8.9163414634
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,79,161,824,6.5449029126,2.2737378641,1.7454126214,1.5632402913
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,26,35,35,13.987428571,6.1285714286,4.8065714286,4.6674285714
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,43,55,55,26.347636364,13.123272727,10.286727273,10.331818182
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,11,64,64,267.75375,91.975,68.7015625,64.1175
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,545.84,253.315,198.6,178.278125
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,23,25,25,313.876,142,111.33,105.4956
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,37,209,209,131.1108134,34.595358852,25.432631579,23.715933014
1033290119,CARTER,GREGORY,S,"M.D., PH.D.",M,I,5939 HARRY HINES BLVD.,SLEEP AND BREATHING DISORDERS CENTER,DALLAS,TX,753908842,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,53,55,263.88363636,76.48,57.779636364,54.159272727
1033290242,MOHAMMAD,SAJJAD,,M.D,M,I,40 MONTGOMERY ST,,NEW YORK,NY,100024808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,42,65.288333333,8.32,6.2128571429,6.2128571429
1033290242,MOHAMMAD,SAJJAD,,M.D,M,I,40 MONTGOMERY ST,,NEW YORK,NY,100024808,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,23.4225,1.42,0.9333333333,0.9333333333
1033290242,MOHAMMAD,SAJJAD,,M.D,M,I,40 MONTGOMERY ST,,NEW YORK,NY,100024808,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,150,45.125,29.12,30.974166667
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,19,54,60.044074074,8.32,5.0722222222,5.0722222222
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,22,13.150454545,1.42,0.9654545455,0.9654545455
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,14.147,4.91,3.5287083333,3.5287083333
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,13,26,26,103.98653846,40.275384615,30.276153846,29.309230769
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,14,16,16,213.42,93.009375,72.919375,70.405625
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,61,77.001147541,19.318852459,14.119836066,13.524918033
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,12,62,42.770967742,15.893870968,12.460806452,11.893387097
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,20,41,41,174.98804878,59.257317073,44.253414634,41.396097561
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,30,35,35,50.144571429,20.008,15.363428571,14.26
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,22,32,32,58.9515625,13.5503125,10.6215625,9.8425
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,30,48,238,7.4607563025,2.022605042,1.5854201681,1.5943697479
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,14,18,18,37.83,14.117222222,11.068333333,10.361111111
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,25,27,63.892962963,13.001111111,10.194074074,10.092962963
1033290275,MORELOCK,JULIE,A,MD,F,I,700 EAST WOODLAND DR,,SALINE,MI,481761620,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,50,50,196.382,33.5688,26.318,24.8072
1033290440,BASHALL,ANTHONY,J,M.D.,M,I,5330 E STOP 11 RD,,INDIANAPOLIS,IN,462376345,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,269.53333333,91.599166667,69.20375,55.824583333
1033290481,TINFANG,RODRIGUE,M,M.D,M,I,4909 W DIVISION ST STE 503,,CHICAGO,IL,606513161,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,33,105,56.359904762,8.32,6.15,6.15
1033290481,TINFANG,RODRIGUE,M,M.D,M,I,4909 W DIVISION ST STE 503,,CHICAGO,IL,606513161,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,25,43,21.344883721,1.42,1.0376744186,1.0376744186
1033290481,TINFANG,RODRIGUE,M,M.D,M,I,4909 W DIVISION ST STE 503,,CHICAGO,IL,606513161,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,260,77.18,55.009090909,49.745454545
1033290481,TINFANG,RODRIGUE,M,M.D,M,I,4909 W DIVISION ST STE 503,,CHICAGO,IL,606513161,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,36.96,26.345454545,26.888181818
1033290705,SOTOS,GEORGE,A,M.D.,M,I,9707 MEDICAL CENTER DR,SUITE 300,ROCKVILLE,MD,208503348,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,16,1224,52.090392157,5.5820996732,4.3763562092,4.3763562092
1033290705,SOTOS,GEORGE,A,M.D.,M,I,9707 MEDICAL CENTER DR,SUITE 300,ROCKVILLE,MD,208503348,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,22,16,16,12.541818182,12.541818182
1033290812,MARFATIA,APURVA,,MD,M,I,701 E EL CAMINO REAL,MEDICAL STAFF,MOUNTAIN VIEW,CA,940402833,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,150.2625,16.98,12.200833333,12.334166667
1033290812,MARFATIA,APURVA,,MD,M,I,701 E EL CAMINO REAL,MEDICAL STAFF,MOUNTAIN VIEW,CA,940402833,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,35,3.2083333333,2.2753333333,3.3526666667
1033290812,MARFATIA,APURVA,,MD,M,I,701 E EL CAMINO REAL,MEDICAL STAFF,MOUNTAIN VIEW,CA,940402833,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,82,82,382.57268293,70.537073171,51.275121951,50.858170732
1033290812,MARFATIA,APURVA,,MD,M,I,701 E EL CAMINO REAL,MEDICAL STAFF,MOUNTAIN VIEW,CA,940402833,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,78,78,221.30641026,36.688717949,27.556282051,28.293717949
1033290812,MARFATIA,APURVA,,MD,M,I,701 E EL CAMINO REAL,MEDICAL STAFF,MOUNTAIN VIEW,CA,940402833,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1740,2.1176264368,0.1333793103,0.098316092,0.098316092
1033290812,MARFATIA,APURVA,,MD,M,I,701 E EL CAMINO REAL,MEDICAL STAFF,MOUNTAIN VIEW,CA,940402833,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,20,20,33,33,24.5765,24.5765
1033290978,BALDWIN,FRED,A,P.A.,M,I,711 ONYX ST,,KEMMERER,WY,831013214,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,447.87,118,85.539166667,61.498333333
1033290978,BALDWIN,FRED,A,P.A.,M,I,711 ONYX ST,,KEMMERER,WY,831013214,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,41,177.56780488,44.586585366,34.037804878,26.467804878
1033290978,BALDWIN,FRED,A,P.A.,M,I,711 ONYX ST,,KEMMERER,WY,831013214,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,102,12.230588235,3.1423529412,2.4639215686,1.5931372549
1033290978,BALDWIN,FRED,A,P.A.,M,I,711 ONYX ST,,KEMMERER,WY,831013214,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,75,79,83.485949367,22.920126582,17.401012658,13.983417722
1033290978,BALDWIN,FRED,A,P.A.,M,I,711 ONYX ST,,KEMMERER,WY,831013214,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,168.66285714,51.16,38.261428571,25.470714286
1033290978,BALDWIN,FRED,A,P.A.,M,I,711 ONYX ST,,KEMMERER,WY,831013214,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,121,134,511.33761194,104.92432836,78.147164179,56.090447761
1033290978,BALDWIN,FRED,A,P.A.,M,I,711 ONYX ST,,KEMMERER,WY,831013214,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.656666667,27.686666667
1033291026,BACON,PATRICIA,A,D.O.,F,I,1045 BEECHER CROSSING N,SUITE B,GAHANNA,OH,432304573,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,46,91,56.248351648,8.32,6.0906593407,6.0906593407
1033291026,BACON,PATRICIA,A,D.O.,F,I,1045 BEECHER CROSSING N,SUITE B,GAHANNA,OH,432304573,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,7.7308333333,1.42,0.84,0.84
1033291083,PERSKY,NEAL,W,MD,M,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,13.224,5.5,4.2432564103,4.1171794872
1033291083,PERSKY,NEAL,W,MD,M,I,4260 PLYMOUTH RD,,ANN ARBOR,MI,481092700,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6240,0.636,0.3078141026,0.2226362179,0.2240352564
1033291240,REESE,KELLY,A,MD,F,I,802 NEW HOLLAND AVE STE 200,,LANCASTER,PA,176022288,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,54,76.07037037,8.32,4.5907407407,4.5907407407
1033291570,DENUCCI,THOMAS,D,M.D.,M,I,375 WAMPANOAG TRL,SUITE 202A,RIVERSIDE,RI,029152212,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,320,4.54225,3.04,2.2345,2.2345
1033291786,PROCTOR,CHRISTOPHER,S,,M,I,511 BATH ST,,SANTA BARBARA,CA,93101,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,52,52,222.12,133.89,104.97,87.806538462
1033291844,NAEGLE,MATTHEW,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,38,78,67.539102564,8.32,5.4342307692,5.4342307692
1033291844,NAEGLE,MATTHEW,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Rheumatology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,20,15.751,1.42,0.948,0.948
1033291844,NAEGLE,MATTHEW,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Rheumatology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,3.9225,1.1833333333,1.8541666667
1033291844,NAEGLE,MATTHEW,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Rheumatology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,40.005714286,9.9,7.7585714286,8.8514285714
1033292412,SPIROS,ALICE,R,NURSE PRACTITIONER,F,I,3289 WOODBURN RD,SUITE 200,ANNANDALE,VA,220036800,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,175,53.011538462,41.558461538,43.210769231
1033292545,ANANTHAKRISHNAN,ASHWIN,N,"M.D., M.P.H",M,I,165 CAMBRIDGE ST 9TH FL,,BOSTON,MA,02114,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,570,21.567947368,13.13,10.293912281,10.293912281
1033292545,ANANTHAKRISHNAN,ASHWIN,N,"M.D., M.P.H",M,I,165 CAMBRIDGE ST 9TH FL,,BOSTON,MA,02114,US,Physician/Gastroenterology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,105,550,373.44,292.77590476,292.77590476
1033292545,ANANTHAKRISHNAN,ASHWIN,N,"M.D., M.P.H",M,I,165 CAMBRIDGE ST 9TH FL,,BOSTON,MA,02114,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,151,20,9.35,7.33,7.33
1033292545,ANANTHAKRISHNAN,ASHWIN,N,"M.D., M.P.H",M,I,165 CAMBRIDGE ST 9TH FL,,BOSTON,MA,02114,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,151,60,29.22,22.908476821,22.908476821
1033292586,CAHILL,GERALD,W,MDPC,M,I,23 4TH ST,SUITE 1,MALONE,NY,129531331,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,338.88545455,76.24,43.469090909,39.803636364
1033292628,ENNIS,KEITH,,MD,M,I,1907 W SYCAMORE ST,,KOKOMO,IN,469015148,US,Physician/Emergency Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,34,34,34,197.24264706,48.534705882,38.053823529,36.523235294
1033292628,ENNIS,KEITH,,MD,M,I,1907 W SYCAMORE ST,,KOKOMO,IN,469015148,US,Physician/Emergency Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,37.2525,15.545,12.1875,12.05
1033292628,ENNIS,KEITH,,MD,M,I,1907 W SYCAMORE ST,,KOKOMO,IN,469015148,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,579.7525,70.345833333,45.961666667,45.961666667
1033292628,ENNIS,KEITH,,MD,M,I,1907 W SYCAMORE ST,,KOKOMO,IN,469015148,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,146.25,20.665142857,15.375714286,13.505142857
1033292636,EMMERICH,MARC,,M.D.,M,I,30 NORTHAMPTON STREET,,BOSTON,MA,021184010,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,643,187.71539658,4.9,3.6564230171,3.9507931571
1033292636,EMMERICH,MARC,,M.D.,M,I,30 NORTHAMPTON STREET,,BOSTON,MA,021184010,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3029,16.987467811,1.12,0.8700198085,0.9297589964
1033292636,EMMERICH,MARC,,M.D.,M,I,30 NORTHAMPTON STREET,,BOSTON,MA,021184010,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.43,4.25,3.975
1033292636,EMMERICH,MARC,,M.D.,M,I,30 NORTHAMPTON STREET,,BOSTON,MA,021184010,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,36.383333333,12.148888889,9.5211111111,9.3477777778
1033292636,EMMERICH,MARC,,M.D.,M,I,30 NORTHAMPTON STREET,,BOSTON,MA,021184010,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,36.058333333,11.15,8.7388888889,8.6827777778
1033292636,EMMERICH,MARC,,M.D.,M,I,30 NORTHAMPTON STREET,,BOSTON,MA,021184010,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,441.65833333,229.31666667,179.78,179.78
1033292685,PATEL,ATULKUMAR,D,MD,M,I,2139 CHATHAM,,DALTON,GA,307207121,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,36,36,36,19.71,15.020833333,15.020833333
1033292685,PATEL,ATULKUMAR,D,MD,M,I,2139 CHATHAM,,DALTON,GA,307207121,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,36,36,61,37.38,28.486111111,28.486111111
1033292685,PATEL,ATULKUMAR,D,MD,M,I,2139 CHATHAM,,DALTON,GA,307207121,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,450,207.75526316,162.88052632,162.88052632
1033292685,PATEL,ATULKUMAR,D,MD,M,I,2139 CHATHAM,,DALTON,GA,307207121,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,36,330,10.165242424,1.6156060606,1.2343636364,1.2343636364
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,48,136,55.836397059,8.32,5.5741176471,5.5741176471
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,29,7.4451724138,1.42,1.0379310345,1.0379310345
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,28.187142857,17.32,11.828571429,11.794285714
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,50.73,5.72125,3.5704166667,2.7375
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,151.35857143,76.58,55.742142857,51.190714286
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.5890138889,8.5890138889
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2700,0.17,0.0456148148,0.0285962963,0.0285962963
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,615,0.75,0.2192682927,0.1718861789,0.1718861789
1033292743,PATTANAIK,DEEPAK,,MD,M,I,5030 CRENSHAW RD,SUITE 120,PASADENA,TX,775053140,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,23,132,33,23.850869565,23.850869565
1033292867,PARADISO,MARY JO,,M.D,F,I,113 JAMES ST,,EDISON,NJ,088203946,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,27.01,27.01,21.18,22.243529412
1033292867,PARADISO,MARY JO,,M.D,F,I,113 JAMES ST,,EDISON,NJ,088203946,US,Physician/Internal Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,28.912,28.912,22.67,23.246
1033292867,PARADISO,MARY JO,,M.D,F,I,113 JAMES ST,,EDISON,NJ,088203946,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,59,59,5.5338983051,5.5338983051,4.3349152542,4.34
1033292867,PARADISO,MARY JO,,M.D,F,I,113 JAMES ST,,EDISON,NJ,088203946,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,31,1051,2.2693339676,2.2693339676,1.7791912464,1.7797145576
1033292867,PARADISO,MARY JO,,M.D,F,I,113 JAMES ST,,EDISON,NJ,088203946,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,64,96,10.333125,10.333125,8.0983333333,8.5185416667
1033292867,PARADISO,MARY JO,,M.D,F,I,113 JAMES ST,,EDISON,NJ,088203946,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,57,114,7.4515789474,7.4515789474,5.8431578947,5.85
1033292941,BROT,KARL,S,MD,M,I,1402 NE 26TH ST,,WILTON MANORS,FL,333051322,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,11,41,56.486585366,8.32,6.522195122,6.522195122
1033292941,BROT,KARL,S,MD,M,I,1402 NE 26TH ST,,WILTON MANORS,FL,333051322,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45,45,35.28,36.480909091
1033292941,BROT,KARL,S,MD,M,I,1402 NE 26TH ST,,WILTON MANORS,FL,333051322,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,81.6525,34.188333333,26.8,21.520833333
1033292941,BROT,KARL,S,MD,M,I,1402 NE 26TH ST,,WILTON MANORS,FL,333051322,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,20,9.39,7.36,6.916
1033293188,LIEN,LILLIAN,,M.D.,F,I,2500 NORTH STATE STREET,,JACKSON,MS,392164500,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,24,74,275,55.904327273,8.32,6.0010545455,6.0010545455
1033293188,LIEN,LILLIAN,,M.D.,F,I,2500 NORTH STATE STREET,,JACKSON,MS,392164500,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,23,53,15.091509434,1.42,1.1130188679,1.1130188679
1033293196,KENDALL,STEPHAN,D,M.D.,M,I,3838 S 700 E,STE 100,SALT LAKE CITY,UT,841061466,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,23,2184,45.028557692,5.0654624542,3.9056318681,3.9056318681
1033293196,KENDALL,STEPHAN,D,M.D.,M,I,3838 S 700 E,STE 100,SALT LAKE CITY,UT,841061466,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,24,24,18.82,18.82
1033293196,KENDALL,STEPHAN,D,M.D.,M,I,3838 S 700 E,STE 100,SALT LAKE CITY,UT,841061466,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,12,16,16,12.54,12.54
1033293444,WHITTENBERGER,BROCK,P,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,9413,0.497242112,0.3337915649,0.2511122915,0.2324561776
1033293444,WHITTENBERGER,BROCK,P,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Hematology-Oncology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,49.88,32.479166667,31.376666667
1033293444,WHITTENBERGER,BROCK,P,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,23,1568,34.742563776,5.5844132653,4.2150956633,4.2150956633
1033293444,WHITTENBERGER,BROCK,P,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,14,1380,7.7391014493,4.0194565217,3.0472753623,3.0472753623
1033293444,WHITTENBERGER,BROCK,P,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,24,24,18.82,18.82
1033293444,WHITTENBERGER,BROCK,P,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1033293451,MCDONALD,FRANK,W,M.D.,M,I,751 OAK ST,200,JACKSONVILLE,FL,322043359,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,26,26,26,101.16269231,74.557307692,54.890769231,50.229230769
1033293451,MCDONALD,FRANK,W,M.D.,M,I,751 OAK ST,200,JACKSONVILLE,FL,322043359,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,28,59.678928571,49.57,33.314285714,37.164285714
1033293451,MCDONALD,FRANK,W,M.D.,M,I,751 OAK ST,200,JACKSONVILLE,FL,322043359,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,26,8.9230769231,8.9230769231,6.9961538462,11.893461538
1033293493,SHARMA,RANI,,M.D.,F,I,131 E PARK AVE,SUITE # 103,LIBERTYVILLE,IL,600482800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,46,95,78.188947368,8.32,5.2150526316,5.2150526316
1033293493,SHARMA,RANI,,M.D.,F,I,131 E PARK AVE,SUITE # 103,LIBERTYVILLE,IL,600482800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,22,13.055909091,1.42,0.7109090909,0.7109090909
1033293493,SHARMA,RANI,,M.D.,F,I,131 E PARK AVE,SUITE # 103,LIBERTYVILLE,IL,600482800,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,56.053529412,17.5,11.675882353,11.559411765
1033293493,SHARMA,RANI,,M.D.,F,I,131 E PARK AVE,SUITE # 103,LIBERTYVILLE,IL,600482800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,348.924,78.09,53.057333333,49.163333333
1033293493,SHARMA,RANI,,M.D.,F,I,131 E PARK AVE,SUITE # 103,LIBERTYVILLE,IL,600482800,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,540,1.9349444444,0.1316111111,0.0763148148,0.0763148148
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,49,49,87.580816327,39.086530612,27.907755102,27.733673469
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,23,37,37,162.07945946,85.837837838,65.520540541,65.806216216
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,19,39,91,85.282087912,33.444725275,23.745494505,23.418021978
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,28,144,50.567638889,18.010833333,13.281180556,13.679166667
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,17,87,40.352758621,14.81,11.61183908,11.857931034
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,33,58,58,114.78172414,56.465,39.689827586,38.500689655
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,54,73,73,31.510547945,17.655890411,12.711917808,12.906849315
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,28.704545455,10.16,7.97,8.1172727273
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,36,61,61,48.496885246,11.017704918,8.1740983607,8.6336065574
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,55,98,501,7.5760878244,2.0261477046,1.4691217565,1.4714171657
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,20,22,22,18.284090909,5.7763636364,4.3290909091,4.4377272727
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,30,43,43,45.540465116,13.25,9.3118604651,9.27
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,280.61529412,90.267058824,63.688235294,65.142941176
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,232.2975,132.94,104.22,104.62
1033293535,JOHNSTON,LISA,H,M.D.,F,I,5673 PEACHTREE DUNWOODY RD,STE 300,ATLANTA,GA,303421775,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,24,140,140,164.44371429,32.066428571,23.088,23.019571429
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,20,50,646,55.19619195,19.629380805,14.718188854,14.718188854
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,20,52,1587,7.7051732829,2.6304725898,1.9471140517,1.9471140517
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,69,139,684,69.228289474,8.32,6.3434210526,6.3434210526
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,13.084285714,3.38,2.65,2.65
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,39,65,129,12.190930233,1.42,1.1148062016,1.1148062016
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,7.1476923077,2.09,1.3862820513,1.3503846154
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,60,60,722.52466667,330.972,257.0885,257.0885
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,2640,11.727651515,9.4529924242,7.3567954545,7.3567954545
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,16,59,60,367.76066667,242.27116667,189.9395,194.59883333
1033293576,MELENDEZ,SUNNY,,MD,F,I,2841 LOMITA BLVD,SUITE 205,TORRANCE,CA,905055105,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,357.56307692,187.75384615,147.19846154,207.1
1033293634,HAHN,JAMES,C,M.D.,M,I,1245 WILSHIRE BLVD,SUITE 790,LOS ANGELES,CA,900174810,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,11,21,49.995238095,8.32,5.5885714286,5.5885714286
1033293634,HAHN,JAMES,C,M.D.,M,I,1245 WILSHIRE BLVD,SUITE 790,LOS ANGELES,CA,900174810,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,14.87,10.384545455,8.1463636364,8.9472727273
1033293923,MIDDLETON,JOHN,,,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,17.29,13.55,13.53
1033293923,MIDDLETON,JOHN,,,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,550,70.23,55.06,54.72
1033293923,MIDDLETON,JOHN,,,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,3960,5.3696944444,0.571,0.4166010101,0.4166010101
1033293923,MIDDLETON,JOHN,,,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1140,1.9787807018,0.7326842105,0.49,0.49
1033293923,MIDDLETON,JOHN,,,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,24,24,17.829473684,17.829473684
1033293923,MIDDLETON,JOHN,,,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,20,16,16,12.541,12.541
1033293998,SMITH,ALMAZ,,M.D.,F,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,25,65.1364,8.32,3.9144,3.9144
1033294053,ESSEX,CHARLES,P,M.D.,M,I,512 MAIN ST E,#300,MONMOUTH,OR,973612369,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,57,170,55.393705882,8.32,6.0432941176,6.0432941176
1033294053,ESSEX,CHARLES,P,M.D.,M,I,512 MAIN ST E,#300,MONMOUTH,OR,973612369,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,12,13.393333333,3.38,2.2083333333,2.2083333333
1033294053,ESSEX,CHARLES,P,M.D.,M,I,512 MAIN ST E,#300,MONMOUTH,OR,973612369,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,24,37,14.744324324,1.42,1.0854054054,1.0854054054
1033294145,DORY,ANDREA,C,MD,F,I,3601 SW 160TH AVE,SUITE #250,MIRAMAR,FL,330276308,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,52,43.324615385,8.32,5.7686538462,5.7686538462
1033294145,DORY,ANDREA,C,MD,F,I,3601 SW 160TH AVE,SUITE #250,MIRAMAR,FL,330276308,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,17,24.707647059,1.42,1.1164705882,1.1164705882
1033294145,DORY,ANDREA,C,MD,F,I,3601 SW 160TH AVE,SUITE #250,MIRAMAR,FL,330276308,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,76.13,15.035,9.3683333333,11.8875
1033294145,DORY,ANDREA,C,MD,F,I,3601 SW 160TH AVE,SUITE #250,MIRAMAR,FL,330276308,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,26.43,6.825,4.2541666667,5.6425
1033294152,HENDERSHOT,ANDREW,J,MD,M,I,915 OLENTANGY RIVER RD,5TH FLOOR,COLUMBUS,OH,432123153,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,11,122.85727273,69.252727273,54.295454545,53.064545455
1033294285,CHEN,CHI,D,MD,M,I,1040 MARLBORO WAY,SUITE 7,BENNETTSVILLE,SC,295122494,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,20,1136,0.249471831,0.12,0.0940492958,0.0940492958
1033294285,CHEN,CHI,D,MD,M,I,1040 MARLBORO WAY,SUITE 7,BENNETTSVILLE,SC,295122494,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1123,1.0021371327,0.44,0.3449688335,0.3449688335
1033294285,CHEN,CHI,D,MD,M,I,1040 MARLBORO WAY,SUITE 7,BENNETTSVILLE,SC,295122494,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,21,2340,0.3035897436,0.13,0.1019230769,0.1019230769
1033294285,CHEN,CHI,D,MD,M,I,1040 MARLBORO WAY,SUITE 7,BENNETTSVILLE,SC,295122494,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,14,1680,0.6092857143,0.45,0.3528214286,0.3528214286
1033294400,LUCEY,COURTNEY,R,PA-C,F,I,21 HIGHLAND AVE,,NEWBURYPORT,MA,019503872,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,39,85,83.677058824,8.32,5.6770588235,5.6770588235
1033294400,LUCEY,COURTNEY,R,PA-C,F,I,21 HIGHLAND AVE,,NEWBURYPORT,MA,019503872,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,16.637368421,1.42,1.0021052632,1.0021052632
1033294400,LUCEY,COURTNEY,R,PA-C,F,I,21 HIGHLAND AVE,,NEWBURYPORT,MA,019503872,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,50.73,5.1615384615,3.0530769231,2.4992307692
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,10,79,232,3088,53.405903497,19.329391192,14.810660622,15.055382124
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,10,78,225,6958,8.0207243461,2.632193159,2.0107516528,2.0107516528
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,95,166,369,2388,64.409916248,8.32,6.0670896147,6.0670896147
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,28,53,53,13.473962264,3.38,2.55,2.55
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,23,26,26,20.738076923,2.12,1.5415384615,1.5415384615
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,45,86,293,12.801023891,1.4123208191,1.0616040956,1.0616040956
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,18,18,36,91.058611111,71.373333333,52.841388889,52.988055556
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,51.56,46.477272727,36.437272727,58.637272727
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,6,21,139,139,693.64417266,336.2676259,259.51964029,259.51964029
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,15,54,5640,16.528875887,10.664904255,8.3612907801,8.3612907801
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,24,167,167,304.59101796,251.06095808,194.81592814,194.85419162
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,493.39090909,264.16,207.1,207.1
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,16,47,266,14.75,0.6078947368,0.4658270677,0.4658270677
1033294731,ROOD,ROBERT,S,M.D.,M,I,300 LAFAYETTE AVE SE,STE 2045,GRAND RAPIDS,MI,495034692,US,Physician/Endocrinology,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,11,58,52.308275862,43.299310345,33.946724138,34.149655172
1033295308,KAWAMITSU,TAKASHI,,MD,M,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,29,75,67.6108,8.32,5.6873333333,5.6873333333
1033295308,KAWAMITSU,TAKASHI,,MD,M,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,28,16.062857143,1.42,0.9946428571,0.9946428571
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,134,50.38,39.5,31.480833333
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,75,65.8128,26.5228,20.793466667,15.1468
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,173.595,77.1325,60.47125,44.460625
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,63.911538462,25.453076923,19.948461538,14.662307692
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,24,130,8.7830769231,3.2753846154,2.5682307692,1.7184615385
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,61,67,86.31,22.822985075,17.446119403,13.395671642
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,81.75,21.520714286,16.045714286,10.217142857
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,144.45268293,44.180487805,32.725853659,22.558536585
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,18,136,142,407.72105634,101.67549296,76.246901408,52.903943662
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,220,44.970967742,35.259677419,29.796774194
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,200,43.899090909,33.480606061,28.836666667
1033295399,TYPER,LINDA,L,CNP,F,I,28374 COUNTY ROAD 317,,BUENA VISTA,CO,812119158,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,109.15384615,33,23.88,23.88
1033295480,HOLLINGSHEAD,GLENN,W,M.D.,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,39,99,67.264848485,8.32,5.906969697,5.906969697
1033295480,HOLLINGSHEAD,GLENN,W,M.D.,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,6.454,4.04,3.1675,3.1675
1033295480,HOLLINGSHEAD,GLENN,W,M.D.,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.446,3.04,2.3835,2.3835
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,38,58.528947368,8.32,6.1789473684,6.1789473684
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,678,11.67,4.86,3.8100442478,4.1472713864
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,370,9.84,3.94,3.0889459459,3.2332702703
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,9196,0.9054806438,0.3599217051,0.2821759461,0.2897738147
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,10532,0.8321306494,0.2996297,0.2349116977,0.2423879605
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,152.54,45.886923077,33.408461538,33.723846154
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,16.97,13.31,13.416153846
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,7.06,5,3.92,3.9475
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,70.85,55.55,55.081428571
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2615,0.0545506692,0.0458087954,0.03591587,0.03591587
1033296207,ALINE,PETER,G,M.D.,M,I,1901 OUTLET CENTER DR,#220,OXNARD,CA,930360663,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,66.205714286,17.828571429,13.245142857,13.530285714
1033296330,WATHNE,RICHARD,A,MD PA,M,I,2240 E CENTER ST,,POCATELLO,ID,832012600,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,23,23,349,45,21.76,17.05991404,19.734097421
1033296439,REDA,DOMINICK,F,M.D.,M,I,136 S BROADWAY,,YONKERS,NY,107014008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,34,225.11264706,8.32,5.5632352941,5.5632352941
1033296439,REDA,DOMINICK,F,M.D.,M,I,136 S BROADWAY,,YONKERS,NY,107014008,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,20,16,16,11.913,11.913
1033296520,LAWATSCH,ERIC,J,M.D.,M,I,1265 W AMERICAN DR STE 100,,NEENAH,WI,54956,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2100,0.39,0.13,0.0946619048,0.0946619048
1033296520,LAWATSCH,ERIC,J,M.D.,M,I,1265 W AMERICAN DR STE 100,,NEENAH,WI,54956,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,6217,3.5309554447,2.0388418852,1.5367733634,1.5367733634
1033296520,LAWATSCH,ERIC,J,M.D.,M,I,1265 W AMERICAN DR STE 100,,NEENAH,WI,54956,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1830,10.043442623,6.15,4.7549180328,5.6016448087
1033296520,LAWATSCH,ERIC,J,M.D.,M,I,1265 W AMERICAN DR STE 100,,NEENAH,WI,54956,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,66,16.97969697,10.93,8.3087878788,8.3087878788
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,39,3900,0.3415717949,0.3415717949,0.2677871795,0.3835615385
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,30,73,254,43.650629921,8.302992126,4.6854330709,4.7020866142
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.325333333,3.38,1.7666666667,1.7666666667
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,21,47,84,11.264642857,1.42,0.7170238095,0.7170238095
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,71,71,34.464084507,28.357042254,22.031267606,22.111971831
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,59,61,12.462131148,5.54,4.34,4.34
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,4020,3.6135820896,2.04,1.5636616915,1.5636616915
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,57,66,11.256060606,10.912727273,7.7774242424,7.7909090909
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,52,7.5507692308,7.26,4.8188461538,4.98
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,1.8,1.8,1.41,1.41
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,1662,8.6,7.37,5.7780505415,5.7780505415
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,26,2337,2.96,2.96,2.3206546855,2.3206546855
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,3,,38,312,4.8576923077,4.0929487179,3.1675,3.2441987179
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,892,4.8588116592,4.8588116592,3.8094618834,3.8203587444
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,41,226,15.657389381,9.0269911504,6.9528761062,6.4211504425
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,38,303,4.053630363,4.053630363,3.0766336634,3.2800990099
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor",D1E - Other DME,Durable Medical Equipment,N,2,,16,18,5.13,4.0133333333,3.15,2.6127777778
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A7012,"Water collection device, used with large volume nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,4.2,3.33,2.6075,2.25
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,26,3.7676923077,2.33,1.82,1.82
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,710,3.81,3.81,2.9871267606,2.9871267606
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,1212,100.74257426,6.9600660066,5.4566749175,4.1723432343
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,6346,1.7414828238,0.42408919,0.3238291837,0.2822644185
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,9816,1.2580501222,0.4081458843,0.3112927873,0.2351242869
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,768,6.48875,0.7171875,0.5493489583,0.5463151042
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,177.25,56.910833333,44.62,37.895
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,49,92.735918367,22.527755102,17.355714286,13.499591837
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,29.330555556,7.3816666667,4.7772222222,2.8366666667
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,55,40.991818182,32.136363636,32.136363636
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,118.06,61.026666667,47.845833333,36.076666667
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,35.976086957,13.679565217,10.726956522,9.267826087
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,30.946086957,13.151304348,10.313478261,8.6873913043
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,366.73545455,223.93727273,175.56181818,175.56181818
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E1233,"Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,261.73416667,202.615,158.85,158.85
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,73,465.09945205,102.87643836,75.574794521,51.102191781
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,16.5902,9.5482666667,7.3264222222,7.3264222222
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,5446,0.4861072347,0.045848329,0.0359493206,0.0359493206
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,12.214266667,3.1284,2.4526888889,2.4526888889
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,510,3.9709803922,0.2188431373,0.1717058824,0.1717058824
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,69,24.932352941,13.614117647,8.4752941176
1033296637,BUNCH,RANDEL,S,MD,M,I,475 N 14TH AVE,,OTHELLO,WA,993441226,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,47,51.957446809,33,25.794468085,25.794468085
1033297023,GREENSPAN,AARON,,M.D.,M,I,850 W IRVING PARK RD,,CHICAGO,IL,606133077,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,56,61.081785714,8.32,6.0548214286,6.0548214286
1033297023,GREENSPAN,AARON,,M.D.,M,I,850 W IRVING PARK RD,,CHICAGO,IL,606133077,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,23,11.760869565,1.42,1.1191304348,1.1191304348
1033297023,GREENSPAN,AARON,,M.D.,M,I,850 W IRVING PARK RD,,CHICAGO,IL,606133077,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,992,0.4612903226,0.44,0.3449899194,0.3449899194
1033297023,GREENSPAN,AARON,,M.D.,M,I,850 W IRVING PARK RD,,CHICAGO,IL,606133077,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,636,2.6452830189,2.4,1.8816352201,1.8816352201
1033297023,GREENSPAN,AARON,,M.D.,M,I,850 W IRVING PARK RD,,CHICAGO,IL,606133077,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1860,1.0966935484,0.132983871,0.0984086022,0.0984086022
1033297023,GREENSPAN,AARON,,M.D.,M,I,850 W IRVING PARK RD,,CHICAGO,IL,606133077,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,113.14285714,33,24.638095238,24.638095238
1033297122,KREBS,STEVE,R,MD,M,I,325 MAINE ST,,LAWRENCE,KS,660441360,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,113.00321429,18.869285714,14.298571429,14.066785714
1033297122,KREBS,STEVE,R,MD,M,I,325 MAINE ST,,LAWRENCE,KS,660441360,US,Hospitalist,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.98,38.5,38.023333333
1033297122,KREBS,STEVE,R,MD,M,I,325 MAINE ST,,LAWRENCE,KS,660441360,US,Hospitalist,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.74,35.740833333,34.494166667
1033297122,KREBS,STEVE,R,MD,M,I,325 MAINE ST,,LAWRENCE,KS,660441360,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,552.90966667,78.044333333,59.356333333,58.660333333
1033297155,DEL NEGRO,RALPH,G,D.O.,M,I,1809 CORLIES AVENUE,SUITE 1,NEPTUNE,NJ,077534801,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,12,12,64.761666667,54.114166667,38.009166667,47.415
1033297155,DEL NEGRO,RALPH,G,D.O.,M,I,1809 CORLIES AVENUE,SUITE 1,NEPTUNE,NJ,077534801,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,15,30,13.32,13.32,9.837,13.382333333
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,43,124,59.692822581,8.32,6.0171774194,6.0171774194
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.2966666667,2.2966666667
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,25,39,15.217948718,1.42,1.0305128205,1.0305128205
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,7.4756521739,1.4560869565,0.9908695652,1.0017391304
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,428,83.045794393,3.0336448598,2.3783411215,2.3701635514
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4755,3.1754952681,0.32,0.2220820189,0.2149674027
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,23,23,238.26086957,47.770434783,29.127826087,28.592173913
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,57,68,84.437352941,17.536323529,12.259705882,12.018823529
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,17,18,42.62,4.9122222222,3.6005555556,3.6416666667
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,21,131,147,448.99557823,71.92,52.53292517,51.855510204
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,230.5,37.91,29.72,29.84
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,4400,0.63305,0.0443363636,0.0347659091,0.0347659091
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,1649,1.5972528805,0.1282959369,0.080733778,0.080733778
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,34,102.87205882,37.44,29.35,29.453529412
1033297445,ROBIE,E,M,DO,M,I,4111 1ST AVE,#3,NITRO,WV,251431304,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,34,34,70.852941176,33,24.348235294,24.348235294
1033297601,FREYNE,PATRICK,C,MD,M,I,460 N ELM ST,,ESCONDIDO,CA,920253002,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,22,97,97,40.134536082,22.072783505,16.688350515,14.213402062
1033297601,FREYNE,PATRICK,C,MD,M,I,460 N ELM ST,,ESCONDIDO,CA,920253002,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,21.8,7.44875,5.6115625,3.48375
1033297601,FREYNE,PATRICK,C,MD,M,I,460 N ELM ST,,ESCONDIDO,CA,920253002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,83,83,253.9926506,98.656385542,74.449518072,58.856385542
1033297601,FREYNE,PATRICK,C,MD,M,I,460 N ELM ST,,ESCONDIDO,CA,920253002,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,72.09,28.716666667,21.828571429,14.246666667
1033298047,NIJJAR,VIKRAM,S,MD,M,I,2108 TEXAS AVE,SUITE 2061,ALEXANDRIA,LA,713013944,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,83.469,20.7505,15.8935,13.19175
1033298047,NIJJAR,VIKRAM,S,MD,M,I,2108 TEXAS AVE,SUITE 2061,ALEXANDRIA,LA,713013944,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,426.08816667,90.063666667,67.5715,52.457833333
1033298252,SANDHU,PARMINDERJEET,S,,M,I,137 MOUNTAIN AVE,,HACKETTSTOWN,NJ,078402307,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,33,37,105,71.879333333,8.32,6.024952381,6.024952381
1033298252,SANDHU,PARMINDERJEET,S,,M,I,137 MOUNTAIN AVE,,HACKETTSTOWN,NJ,078402307,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,20,33,15.319393939,1.42,1.0121212121,1.0121212121
1033298641,ARANAS,BONIFACIO,,MD,M,I,1700 WARFIELD RD.,,WARFIELD,KY,41267,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,43,128,56.278125,8.32,6.103046875,6.103046875
1033298641,ARANAS,BONIFACIO,,MD,M,I,1700 WARFIELD RD.,,WARFIELD,KY,41267,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,33,50,14.2866,1.42,0.9596,0.9596
1033298641,ARANAS,BONIFACIO,,MD,M,I,1700 WARFIELD RD.,,WARFIELD,KY,41267,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,32,4.88125,3.01,2.250625,1.746875
1033298641,ARANAS,BONIFACIO,,MD,M,I,1700 WARFIELD RD.,,WARFIELD,KY,41267,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,22.4775,22.4775,17.620833333,13.53
1033298641,ARANAS,BONIFACIO,,MD,M,I,1700 WARFIELD RD.,,WARFIELD,KY,41267,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,102.79722222,102.61833333,78.593055556,55.258055556
1033298906,STREETE SMALLS,SOPHIA,,MD,F,I,11513A MERRICK BLVD,,JAMAICA,NY,114341851,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,54,63.163888889,8.32,4.6712962963,4.6712962963
1033298963,HUYNH,DAT,T,M.D.,M,I,1661 BURDETTE DR,SUITE N,SAN JOSE,CA,951211613,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,29,59,119,68.495378151,8.32,4.5182352941,4.5182352941
1033298963,HUYNH,DAT,T,M.D.,M,I,1661 BURDETTE DR,SUITE N,SAN JOSE,CA,951211613,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,28,59,62,18.136129032,1.42,0.8125806452,0.8125806452
1033298963,HUYNH,DAT,T,M.D.,M,I,1661 BURDETTE DR,SUITE N,SAN JOSE,CA,951211613,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,750,2.18524,0.13036,0.1022,0.1022
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,72,138,138,110.25405797,38.875942029,29.672826087,29.640507246
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,16,42,85,5.506,1.5767058824,1.1527058824,1.0708235294
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,17,34,2.02,1.3564705882,0.9444117647,0.85
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,15,18,18,61.265,11.72,8.7788888889,8.6988888889
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,81,144,144,196.09381944,85.969791667,65.669791667,65.944722222
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,66,130,286,88.86520979,33.226083916,25.428076923,25.313251748
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,17,31,157,61.263312102,19.270063694,13.235541401,12.629044586
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,22,40,189,35.860740741,14.81,11.316402116,11.574497354
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,50,90,90,129.50877778,57.210666667,42.877666667,41.120111111
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,116,159,159,39.680314465,17.74490566,13.515471698,13.640566038
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,16,16,25.16875,10.175,7.6825,7.840625
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,49,95,95,50.319473684,11.928736842,9.0610526316,8.7978947368
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,125,224,1216,7.0387582237,2.0735197368,1.5638322368,1.5315707237
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,40,49,49,17.041428571,6.0236734694,4.7287755102,4.6518367347
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,57,68,68,39.864705882,13.435588235,10.369264706,10.234117647
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,154,162,48.637962963,18.164012346,13.915925926,13.219814815
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,34,34,100,45.81,33.052352941,34.738235294
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,2500,1074.31,838.953125,838.953125
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,288.48484848,87.29030303,62.260909091,59.663030303
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,34,34,34,323.03,139.17382353,109.10823529,104.68588235
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,37,250,251,30.740557769,3.7660159363,2.8497609562,3.4923904382
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,53,304,305,154.248,35.572295082,26.995868852,25.266098361
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,45,344,354,291.15788136,77.795338983,58.982118644,53.507457627
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,61,161.90163934,36.25,28.42,29.313442623
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,48,2730,14.893267399,9.6525714286,7.4591428571,7.4591428571
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,19.711051282,11.256076923,8.8248076923,8.8248076923
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,32,108,23444,0.285211568,0.0467326395,0.0333100154,0.0333100154
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,39,4890,1.4573149284,0.1328834356,0.1008425358,0.1008425358
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,73,4050,10.742540741,2.9690148148,2.2614962963,2.2614962963
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,85,85,169.19764706,36.954235294,27.773176471,28.331294118
1033299144,MELBY,KENNETH,,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,25,44,192,192,69.584635417,33,24.897604167,24.897604167
1033299383,FARMER,JOHN,,MD,M,I,6620 MAIN ST,,HOUSTON,TX,770302348,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,18,18,14.11,13.54
1033299383,FARMER,JOHN,,MD,M,I,6620 MAIN ST,,HOUSTON,TX,770302348,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,71,71,55.66,54.73
1033299573,TOLTZIS,MELANIE,H,M.D.,F,I,847 EASTON RD,SUITE 2500,WARRINGTON,PA,189762906,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,40,50.15675,8.32,6.15825,6.15825
1033299854,SCHELLER,AMY,O,PA-C,F,I,2600 39TH AVE NE,,MINNEAPOLIS,MN,554214379,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,18,85.647222222,8.32,6.1627777778,6.1627777778
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,63,235,464,74.725969828,8.3137931034,5.6759913793,5.6808405172
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,9.7566666667,3.38,2.65,2.65
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,28,68,85,14.225411765,1.42,0.9731764706,0.9731764706
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1600,3.859375,1.73,1.27364375,1.4938625
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,75.129090909,49.028181818,38.436363636,39.502727273
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,166.01190476,4.15,3.1114285714,3.5176190476
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,502.5,65.7,51.51,54.583636364
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,525,37.64,29.51,29.51
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,2840,0.9284823944,0.0458380282,0.0323626761,0.0323626761
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,34,34,38.839117647,17.654705882,11.201176471,11.486764706
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,89.99,28.310952381,19.444285714,18.176666667
1033299912,WOODHOUSE,DAVID,M,MD,M,I,770 MASON ST,,VACAVILLE,CA,956884646,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,68.64,33,22.7656,22.7656
1033299953,DOHERTY,MICHAEL,J,MD,M,I,550 17TH AVE,FIFTH FLOOR,SEATTLE,WA,981225788,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,37.724545455,15.3,11.992727273,13.496363636
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,166,263,263,56.792395437,40.022205323,30.53904943,29.750798479
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,110,184,184,188.02358696,85.402336957,64.634673913,65.429565217
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,110,186,390,79.330435897,33.131230769,25.574717949,25.516846154
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,48,71,351,46.422735043,18.002478632,13.232962963,13.642336182
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,34,50,247,28.315465587,15.74,11.876720648,11.537004049
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,78,118,118,125.65025424,55.989745763,41.26940678,40.431186441
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,152,172,172,40.138604651,18.069418605,13.692790698,13.596569767
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,15,15,17.575333333,10.182666667,7.984,8.1286666667
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,41,41,80.515609756,12.08,9.4507317073,9.1180487805
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,184,310,1675,6.505319403,2.0081671642,1.5571164179,1.5719343284
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,19,19,26.821578947,6,4.7,4.6578947368
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,56,65,65,42.803384615,13,9.7196923077,9.8455384615
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,243.96,50,39.2,37.760833333
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,16,79,79,146.23164557,91.79721519,70.156455696,67.400379747
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,72,72,72,208.54555556,138.68125,104.51944444,100.81513889
1033300090,PRASAD,BHARATI,,M.D.,F,I,2242 W HARRISON ST,,CHICAGO,IL,606123719,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,130,709,711,79.997791842,34.459831224,24.907172996,23.662827004
1033300157,OXNARD,GEOFFREY,R,MD,M,I,450 BROOKLINE AVE,"DANA-FARBER CANCER INSTITUTE, D1234",BOSTON,MA,022155418,US,Physician/Medical Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,164.94461538,38,27.498461538,27.24
1033300223,SCHUSTER,RACHEL,A,MD,F,I,1100 CENTRAL AVE SE,,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,519.51,77.286666667,50.508333333,47.613333333
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,58,187,520,53.1445,8.32,5.8803653846,5.8803653846
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,31,31,13.491612903,3.38,2.564516129,2.564516129
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,13,13,18.884615385,2.12,1.67,1.67
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,29,69,110,13.143454545,1.42,1.014,1.014
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,39.5625,28.46,22.31,22.31
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.8275,10.93,8.57,8.57
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,35,68,8.19,2.1423529412,1.53,1.0361764706
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,70.930909091,18.729090909,13.778181818,9.9818181818
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,493.13866667,112.598,83.252,63.321333333
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,35,180.65914286,42.170857143,31.115714286,25.260857143
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,89.655833333,23.4875,18.41,14.801666667
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,98.463,20.1695,15.812,9.6985
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,102,13.090588235,2.9047058824,2.2774509804,1.672745098
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,86.31,22.751111111,17.835185185,14.198888889
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,59.384545455,42.807272727,35.422727273
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,38,40,4430.1,1001.46,777.976,827.94775
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,81.75,15.954583333,12.507916667,10.05
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,64,66,47.589090909,7.386969697,5.6251515152,3.8721212121
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,257.82,49.264761905,38.622380952,27.340952381
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,128,129,519.51,96.252093023,73.370155039,55.344573643
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1470,14.23929932,10.950673469,8.5208503401,8.5208503401
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,14,45,10262,0.2209540051,0.0464285714,0.033119275,0.033119275
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,61,6006,1.0690542791,0.1329237429,0.0941508492,0.0941508492
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,12.86,2.9394705882,2.3045686275,2.3045686275
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,21,146.25,25.924285714,20.325238095,14.073809524
1033300488,JENNINGS,CASEY,A,D. O.,F,I,2305 GEORGIA ST,,LOUISIANA,MO,633532559,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,31,115,117,118.79487179,33,24.317264957,24.317264957
1033300504,MARTIN,MICHAEL,,M.D.,M,I,3319 N ELSTON AVE,,CHICAGO,IL,60618,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,38,54.21,8.32,6.1784210526,6.1784210526
1033300504,MARTIN,MICHAEL,,M.D.,M,I,3319 N ELSTON AVE,,CHICAGO,IL,60618,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,11,17,20,1.42,1.1152941176,1.1152941176
1033300504,MARTIN,MICHAEL,,M.D.,M,I,3319 N ELSTON AVE,,CHICAGO,IL,60618,US,Internal Medicine,T,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,688,13.254912791,5.79,4.4579796512,4.1144622093
1033300504,MARTIN,MICHAEL,,M.D.,M,I,3319 N ELSTON AVE,,CHICAGO,IL,60618,US,Internal Medicine,T,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,7555,0.7504937128,0.4,0.3020145599,0.2810800794
1033300504,MARTIN,MICHAEL,,M.D.,M,I,3319 N ELSTON AVE,,CHICAGO,IL,60618,US,Internal Medicine,T,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,76.3965,49.17,30.84,28.192
1033300504,MARTIN,MICHAEL,,M.D.,M,I,3319 N ELSTON AVE,,CHICAGO,IL,60618,US,Internal Medicine,T,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,134.18,53.5825,42.01,38.553333333
1033300504,MARTIN,MICHAEL,,M.D.,M,I,3319 N ELSTON AVE,,CHICAGO,IL,60618,US,Internal Medicine,T,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,26.52,9.3545454545,6.9190909091,6.1940909091
1033300603,MOYNIHAN,DANIEL,P,M.D.,M,I,14555 CORTEZ BLVD,,BROOKSVILLE,FL,346136003,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,37,37,37,95.973243243,49.708108108,36.840810811,34.889189189
1033300603,MOYNIHAN,DANIEL,P,M.D.,M,I,14555 CORTEZ BLVD,,BROOKSVILLE,FL,346136003,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,43,43,43,100.68488372,58.956046512,44.219069767,39.398372093
1033300603,MOYNIHAN,DANIEL,P,M.D.,M,I,14555 CORTEZ BLVD,,BROOKSVILLE,FL,346136003,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,127.78,127.21,99.73,87.48
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,24.077857143,10.93,7.9578571429,7.9578571429
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,3.9481818182,3.04,2.3835,2.3835
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,17,17,17,134.30764706,46.054705882,36.107647059,36.515294118
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,30,169.07466667,56.397333333,40.219666667,36.771
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,69.333333333,19.0525,14.379166667,13.224583333
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,36.72,3.9412,2.6928,3.123
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,68,68,438.42044118,71.24,52.149117647,52.089852941
1033300611,CUTILLAR,MARIROSE,,MD,F,I,2527 N CARSON ST,SUITE 190,CARSON CITY,NV,897060147,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,19,92,93,119.63591398,23.46,16.332365591,13.185913978
1033301080,BASTIDAS,JUAN,G,M.D.,M,I,613 23RD ST STE 210,,ASHLAND,KY,411012868,US,Physician/Thoracic Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,124.85333333,43.53,27.558,23.611333333
1033301247,LIU,BETTY,D,M.D.,F,I,2600 REDONDO AVE,SUITE 400,LONG BEACH,CA,908062325,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,4160,25.500240385,9.8447692308,7.7183149038,7.7183076923
1033301486,WASLH CONDON,MARIE,T,MD,F,I,75 RIVERSIDE AVE,SUITE 2,MEDFORD,MA,02155,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,80,60.987,8.279,6.16375,6.19575
1033301858,DEVINENI,SURESH,,M.D.,M,I,1230 E MAIN ST,,MANKATO,MN,560015066,US,Physician/Hematology-Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,43,17.85,13.996666667,13.826666667
1033301858,DEVINENI,SURESH,,M.D.,M,I,1230 E MAIN ST,,MANKATO,MN,560015066,US,Physician/Hematology-Oncology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,12,8.54,6.6933333333,6.5
1033301866,KOSANKE,RONALD,D,PA-C,M,I,204 S. 4TH STREET,,GANADO,TX,779620000,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,31,116,44.400689655,8.32,5.8476724138,5.8476724138
1033301866,KOSANKE,RONALD,D,PA-C,M,I,204 S. 4TH STREET,,GANADO,TX,779620000,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,14.97,3.38,2.5175,2.5175
1033301866,KOSANKE,RONALD,D,PA-C,M,I,204 S. 4TH STREET,,GANADO,TX,779620000,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,15.073684211,1.42,1.0557894737,1.0557894737
1033301866,KOSANKE,RONALD,D,PA-C,M,I,204 S. 4TH STREET,,GANADO,TX,779620000,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,230.355,68.636666667,53.813333333,38.1675
1033301866,KOSANKE,RONALD,D,PA-C,M,I,204 S. 4TH STREET,,GANADO,TX,779620000,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,43.091111111,8.6316666667,6.7661111111,3.9622222222
1033301866,KOSANKE,RONALD,D,PA-C,M,I,204 S. 4TH STREET,,GANADO,TX,779620000,US,Physician Assistant,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40.285,11.266666667,8.8325,6.855
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,34,84,58.647380952,8.32,6.2120238095,6.2120238095
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,19,17.337368421,1.42,1.0568421053,1.0568421053
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,34.15,27.35,19.790769231,20.610769231
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,13.12,9.29,6.72,7.9353846154
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,34,967,9.7283971044,7.1732471562,5.4784074457,4.0405480869
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,12007,1.1216123928,0.8425201966,0.6519963355,0.5109569418
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,64.800147059,20.695882353,15.073088235,12.580147059
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,33.498,4.31,2.7386666667,2.738
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,10.132727273,8.6768181818,6.4177272727,3.9877272727
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,71,76,421.88434211,85.455131579,63.302105263,51.689605263
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,3486,0.3022030981,0.0469592656,0.0352438325,0.0352438325
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1139,1.744143986,0.1298068481,0.1017910448,0.1017910448
1033302013,ADETUNJI,EZEKIEL,O,MD,M,I,139 STONEBRIGDE BOULEVARD,,JACKSON,TN,38305,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,60,33,25.562272727,25.562272727
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,320,5.8063125,3.845,2.28834375,2.32684375
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,24,13.724583333,8.2125,5.62625,5.6758333333
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,19,16.362631579,2.5142105263,1.8589473684,2.0273684211
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,17,25,11.616,4.052,2.7976,2.8296
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,15,50,1230,8.7031056911,5.7390243902,4.0503577236,4.0511219512
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,37,735,14.996979592,10.806734694,8.0967482993,8.0993061224
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,37,524,12.919122137,2.6582251908,1.875019084,2.0724427481
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,34,7.1617647059,6.0938235294,4.7764705882,5.0476470588
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,570,14.346842105,9.86,7.0577017544,7.0577017544
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,12,40,895,24.341832402,7,5.1514189944,5.1514189944
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,1740,74.153781609,1.95,1.4315402299,1.4315402299
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,44,790,4.7144683544,4.0183037975,2.9501012658,2.9586455696
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,27,1575,0.5113333333,0.27,0.1972634921,0.1972634921
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,390,24.786948718,10.81,8.475025641,8.475025641
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,370,6.8632702703,3.04,2.1634324324,2.1634324324
1033302062,FETNER,ERIK,G,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/General Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,15,640,7.6448125,0.267125,0.192828125,0.195078125
1033302344,STILE-KILLIAN,GERALDINE,,FNP,F,I,500 HOSPITAL DR,,WARRENTON,VA,201863027,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,26,199,47.157638191,8.32,6.0641708543,6.0641708543
1033302351,KHAN,MICHAEL,J,D.O.,M,I,801 OSTRUM ST,ST. LUKE'S INTERNAL MEDICINE DEPT.,BETHLEHEM,PA,180151000,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,38.286,17.669,12.547,12.2175
1033302351,KHAN,MICHAEL,J,D.O.,M,I,801 OSTRUM ST,ST. LUKE'S INTERNAL MEDICINE DEPT.,BETHLEHEM,PA,180151000,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,286.942,73.946,52.106,48.8165
1033302765,HILL,ADAM,T,O.D.,M,I,108 SOUTH MAIN STREET,,BOONEVILLE,MS,38829,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,32,67.35625,64.678125,43.0896875,41.93625
1033302765,HILL,ADAM,T,O.D.,M,I,108 SOUTH MAIN STREET,,BOONEVILLE,MS,38829,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,46,48.216956522,47.34826087,32.045652174,35.310869565
1033303409,GHETU,MARIA,,MD,F,I,2830 EASTON AVE,,BETHLEHEM,PA,180174204,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,54,47.376851852,8.32,6.0396296296,6.0396296296
1033303409,GHETU,MARIA,,MD,F,I,2830 EASTON AVE,,BETHLEHEM,PA,180174204,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,75,15.9375,11.025,12.48875
1033303607,FISHER-WIKOFF,TRIWANNA,L,MD,F,I,7201 HAWKINS VIEW DR STE 151,,FORT WORTH,TX,761323934,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,33,76,72.751315789,8.32,6.1246052632,6.1246052632
1033303607,FISHER-WIKOFF,TRIWANNA,L,MD,F,I,7201 HAWKINS VIEW DR STE 151,,FORT WORTH,TX,761323934,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,24,14.852916667,1.42,1.1166666667,1.1166666667
1033303904,FLEURIMOND,CHRISTINE,M,D.O,F,I,1501 DIVISION ST,,BALTIMORE,MD,212173121,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,73,198,66.136767677,8.32,4.9404545455,4.9404545455
1033303904,FLEURIMOND,CHRISTINE,M,D.O,F,I,1501 DIVISION ST,,BALTIMORE,MD,212173121,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,35,49,15.394897959,1.42,0.8889795918,0.8889795918
1033304092,KOESTNER,DANIELLE,K,D.O.,F,I,2700 BAKER ST,,MUSKEGON HEIGHTS,MI,494442157,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,82,50.559390244,8.32,6.0456097561,6.0456097561
1033304092,KOESTNER,DANIELLE,K,D.O.,F,I,2700 BAKER ST,,MUSKEGON HEIGHTS,MI,494442157,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,29,13.241034483,1.42,0.9979310345,0.9979310345
1033304092,KOESTNER,DANIELLE,K,D.O.,F,I,2700 BAKER ST,,MUSKEGON HEIGHTS,MI,494442157,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.81,54.73,54.73
1033304589,PATEL,ARCHIT,V,M.D.,M,I,219 BLOOMING GROVE TPKE,,NEW WINDSOR,NY,125537769,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,19,79.736842105,70.94,49.765263158,41.462105263
1033304647,ERICKSON,JOY,M,PA-C,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,77,71.428571429,8.32,4.9981818182,4.9981818182
1033304647,ERICKSON,JOY,M,PA-C,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,29,519.51,83.119310345,61.149655172,51.68
1033304647,ERICKSON,JOY,M,PA-C,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,44.560909091,34.938181818,29.515454545
1033304746,HARTMAN,LOIS,M,"APRN, BC",F,I,122 ASHFIELD ST,,PIEDMONT,WV,267501300,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,39,148,46.582162162,8.2032432432,5.8374324324,5.9366216216
1033304746,HARTMAN,LOIS,M,"APRN, BC",F,I,122 ASHFIELD ST,,PIEDMONT,WV,267501300,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,15.555555556,3.38,2.65,2.65
1033304746,HARTMAN,LOIS,M,"APRN, BC",F,I,122 ASHFIELD ST,,PIEDMONT,WV,267501300,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,24,49,15.44244898,1.42,1.0681632653,1.0681632653
1033304746,HARTMAN,LOIS,M,"APRN, BC",F,I,122 ASHFIELD ST,,PIEDMONT,WV,267501300,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,466.65352941,70.23,51.821176471,51.541176471
1033304803,ROOSA,CHRISTINA,P,D.O.,F,I,135 N UNION ST,,OLEAN,NY,147602736,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,49,46.854285714,8.32,5.9883673469,5.9883673469
1033304803,ROOSA,CHRISTINA,P,D.O.,F,I,135 N UNION ST,,OLEAN,NY,147602736,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,110.33772727,21.716363636,14.580454545,11.275909091
1033304803,ROOSA,CHRISTINA,P,D.O.,F,I,135 N UNION ST,,OLEAN,NY,147602736,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,472.52269231,100.58923077,69.668461538,49.425384615
1033304803,ROOSA,CHRISTINA,P,D.O.,F,I,135 N UNION ST,,OLEAN,NY,147602736,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2847,0.1903828591,0.0463540569,0.0305128205,0.0305128205
1033304803,ROOSA,CHRISTINA,P,D.O.,F,I,135 N UNION ST,,OLEAN,NY,147602736,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,28.048181818,16.748181818,9.5272727273
1033304803,ROOSA,CHRISTINA,P,D.O.,F,I,135 N UNION ST,,OLEAN,NY,147602736,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.16,10.779090909,6.0072727273,4.48
1033304803,ROOSA,CHRISTINA,P,D.O.,F,I,135 N UNION ST,,OLEAN,NY,147602736,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,116.76923077,33,22.051538462,22.051538462
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,46,2460,6.6338292683,2.5777439024,1.9444715447,1.9444634146
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,20,145,19937,4.7356773838,0.5682269148,0.4246155389,0.4246125295
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,54,5985,0.1289039265,0.0130442774,0.0099381788,0.0099365079
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,81,12660,1.9348862559,0.7353988942,0.5583349131,0.5583349131
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,16,19,111,21930,4.1568413133,1.2087036024,0.8275088919,0.8882197902
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,83,12090,4.5849677419,2.8221827957,2.1993349876,2.1993349876
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,780,29.287435897,7.495974359,5.8767948718,5.8767948718
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,3,,14,1950,10.181974359,8.5281692308,6.6860666667,6.6860666667
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,29,35,181,181,24,24,18.299447514,18.299447514
1033305578,MABASA,ANGELO,C,APN,M,I,196 JEWETT AVE,,JERSEY CITY,NJ,073041804,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,27,39,335,396,16,16,12.35,12.35
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,36,195.27777778,71.56,56.109722222,56.100833333
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,90,45,29.19,22.886666667,22.886666667
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,49,50,52,84.134615385,81.605,61.475384615,60.825384615
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,13,840,701.31,549.83,562.53
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,91,92,336,300,297.58,230.6772619,234.62735119
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,295.83333333,289.5725,227.02916667,225.28333333
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,36,350,293.17,229.85,219.19444444
1033305677,PENG,HAI-EN,,DPM,M,I,2460 N PONDEROSA DR,STE A105,CAMARILLO,CA,930102375,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,29,170.3437931,153.57827586,120.40586207,123.97413793
1033305701,GUEVARA,EUGENIO,M,M.D.,M,I,777 E 25TH ST STE 319,,HIALEAH,FL,330133849,US,Physician/Neurology,S,L0830,"Halo procedure, cervical halo incorporated into milwaukee type orthosis",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,3282.0833333,2845.76,2231.08,2437.655
1033305701,GUEVARA,EUGENIO,M,M.D.,M,I,777 E 25TH ST STE 319,,HIALEAH,FL,330133849,US,Physician/Neurology,S,L1005,"Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,3461.0625,3123.27,2448.65,2421.2975
1033305701,GUEVARA,EUGENIO,M,M.D.,M,I,777 E 25TH ST STE 319,,HIALEAH,FL,330133849,US,Physician/Neurology,S,L2005,"Knee ankle foot orthosis, any material, single or double upright, stance control, automatic lock and swing phase release, any type activation, includes ankle joint, any type, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,4457.4117647,3998.66,3134.95,3102.6182353
1033305727,DARBY,JANINE,M,MD,F,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,30,58.864666667,8.32,5.655,5.655
1033305826,PEREZ,DEO SAMSON,M,PAC,M,I,3124 S 19TH ST,SUITE 320,TACOMA,WA,984052433,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,3590,7.3587743733,2.04,1.096183844,1.096183844
1033306238,REDDY,DEEPIKA,A,M.D,F,I,1901 N MACARTHUR BLVD,,IRVING,TX,750612220,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,486.15384615,76.48,59.96,54.72
1033306238,REDDY,DEEPIKA,A,M.D,F,I,1901 N MACARTHUR BLVD,,IRVING,TX,750612220,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,114.46153846,36.5,28.62,29.51
1033306303,BULLAJIAN,KANDACE,M,"RN, MSN, FNP-BC",F,I,2201 MACARTHUR DR STE 2205,,WACO,TX,767083159,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,43,119,51.846554622,8.32,6.3582352941,6.3582352941
1033306303,BULLAJIAN,KANDACE,M,"RN, MSN, FNP-BC",F,I,2201 MACARTHUR DR STE 2205,,WACO,TX,767083159,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,14.208888889,3.38,2.65,2.65
1033306303,BULLAJIAN,KANDACE,M,"RN, MSN, FNP-BC",F,I,2201 MACARTHUR DR STE 2205,,WACO,TX,767083159,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,28,45,10.966888889,1.42,1.0913333333,1.0913333333
1033306303,BULLAJIAN,KANDACE,M,"RN, MSN, FNP-BC",F,I,2201 MACARTHUR DR STE 2205,,WACO,TX,767083159,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,166.42615385,54.700769231,40.147692308,39.750769231
1033306303,BULLAJIAN,KANDACE,M,"RN, MSN, FNP-BC",F,I,2201 MACARTHUR DR STE 2205,,WACO,TX,767083159,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,300.81,68.78,45.624615385,46.456923077
1033306972,PATHAK,AMIT,,MD,M,I,18101 PRINCE PHILIP DR,,OLNEY,MD,208321514,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,71.371111111,16.611111111,11.577777778,12.103888889
1033306972,PATHAK,AMIT,,MD,M,I,18101 PRINCE PHILIP DR,,OLNEY,MD,208321514,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,4.78,0,0
1033306972,PATHAK,AMIT,,MD,M,I,18101 PRINCE PHILIP DR,,OLNEY,MD,208321514,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,270.26111111,78.47,54.684444444,48.648888889
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,41,108,74.577314815,8.32,4.9523148148,4.9523148148
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,21,31,15.201935484,1.42,0.9722580645,0.9722580645
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,279.71071429,53.83,36.171428571,36.844285714
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,99.456666667,12.21,8.7725,8.36
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,21,122,12.561147541,2.02,1.5070491803,1.5150819672
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,115.99058824,17.084705882,13.395882353,13.5
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.78,3.9045454545,2.7,3.1345454545
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,180.69068966,31.917586207,24.224827586,24.413448276
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,63,63,446.56126984,65.914603175,49.756666667,52.220793651
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,3369,0.2520896408,0.046856634,0.0307242505,0.0307242505
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,2756,1.0871407837,0.1356857765,0.0985123367,0.0985123367
1033307343,ADELMAN,TRAVIS,B,P.A.,M,I,7512 MORRO ROAD,,ATASCADERO,CA,934224404,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,42,42,102.14285714,33,22.790238095,22.790238095
1033307491,LANKFORD,CHRISTY,L,PA-C,F,I,305 TYSON AVE,,PARIS,TN,382424579,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,8.985,2.1423529412,1.6047058824,1.0823529412
1033307574,MUSTAFA,ESMAT,M,M.D.,M,I,16620 N 40TH ST STE B4,,PHOENIX,AZ,850323359,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,3135,2.7621212121,0.5604625199,0.4394066986,0.4394066986
1033307574,MUSTAFA,ESMAT,M,M.D.,M,I,16620 N 40TH ST STE B4,,PHOENIX,AZ,850323359,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,2640,2.0004962121,1.3312765152,1.0437121212,1.0437121212
1033307574,MUSTAFA,ESMAT,M,M.D.,M,I,16620 N 40TH ST STE B4,,PHOENIX,AZ,850323359,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,24,24,18.82,18.82
1033307574,MUSTAFA,ESMAT,M,M.D.,M,I,16620 N 40TH ST STE B4,,PHOENIX,AZ,850323359,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,27,27,16,16,12.54,12.54
1033307863,MARTINEZ,RICARDO,,MD,M,I,303 W. LAKE ST,,ADDISON,IL,60101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,37,89,269,64.316802974,8.32,6.1583271375,6.1583271375
1033307863,MARTINEZ,RICARDO,,MD,M,I,303 W. LAKE ST,,ADDISON,IL,60101,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,15.1328,3.38,2.65,2.65
1033307863,MARTINEZ,RICARDO,,MD,M,I,303 W. LAKE ST,,ADDISON,IL,60101,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,57,86,15.82244186,1.42,1.0620930233,1.0620930233
1033307863,MARTINEZ,RICARDO,,MD,M,I,303 W. LAKE ST,,ADDISON,IL,60101,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2456,0.3870399023,0.0464210098,0.0336034202,0.0336034202
1033307863,MARTINEZ,RICARDO,,MD,M,I,303 W. LAKE ST,,ADDISON,IL,60101,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,33,33,24.508421053,24.508421053
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,28,28,182.34,54.671428571,42.863214286,40.246428571
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,192.15846154,49.536153846,38.832307692,37.007692308
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,28,3.98,1.28,1,1
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,13,13,26,62.163846154,28.382307692,22.250769231,22.604615385
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,57,112,9.5,2.90625,2.0228571429,1.975
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,32,21.9,5.5475,3.260625,3.06375
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,49,49,8.54,2.4469387755,1.6824489796,1.6073469388
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,20.03,10.920588235,8.56,8.4576470588
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,67.1,15.86,11.2828125,10.49375
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,11,68,69,91.014347826,18.924202899,14.235797101,13.461014493
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,34,118.58352941,34.894705882,27.352941176,23.659117647
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,50,50,237.9304,39.477,28.7816,24.3072
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,149.405,54.277916667,42.554166667,40.516666667
1033307921,OSWALD,MATTHEW,C,M.D.,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,20.634193548,9.2132258065,7.224516129,7.1496774194
1033307939,COOK,SAMUEL,W,PAC,M,I,2410 SUSANNAH STREET,,JOHNSON CITY,TN,376011748,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,380,269.60928571,198.68928571,206.20785714
1033307996,HARRIMAN,AMBER,L,P.A.-C,F,I,415 W SOUTH 4TH ST,,RED BUD,IL,622781195,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,33,57.232424242,8.32,5.5339393939,5.5339393939
1033308713,SCHIMKE,CLAIRE,S,M.D.,F,I,14000 E ARAPAHOE RD,SUITE 290,CENTENNIAL,CO,801124043,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3300,0.17,0.0478181818,0.0307878788,0.0307878788
1033308713,SCHIMKE,CLAIRE,S,M.D.,F,I,14000 E ARAPAHOE RD,SUITE 290,CENTENNIAL,CO,801124043,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,21.166363636,21.166363636
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,37,75,75,110.208,40.464133333,29.534933333,28.615333333
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,25,120,242,243,294.89687243,92.258888889,67.067654321,63.265967078
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,100,257,436,130.52463303,35.222385321,25.838417431,24.431995413
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,78,197,657,60.957199391,20.485677321,14.704307458,13.349315068
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,23,47,222,60.691936937,16.125045045,11.390810811,10.73463964
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,27,136,271,271,161.8795572,57.944797048,40.277749077,37.874464945
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,33,246,325,325,59.761476923,19.048676923,13.642769231,12.858738462
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,20,24,24,27.059583333,10.794583333,7.13375,6.94875
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,32,217,403,403,53.554292804,13.021811414,9.4285856079,8.4259305211
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,34,218,533,1969,8.4445505333,2.176769934,1.6044845099,1.5042762824
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,26,187,246,246,19.341626016,6.2329268293,4.587398374,4.3672357724
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,25,130,165,165,40.687393939,13.698848485,10.162060606,9.8805454545
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,52.07,17.29,12.507692308,12.489230769
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.32,38.325833333,38.325833333
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,21,21,77.847142857,48.31,32.673809524,32.46
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,34.723333333,34.494166667
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,226.10761905,88.411904762,66.384761905,66.384761905
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,782.2425,225.555,164.88166667,164.75916667
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,51,51,51,343.15568627,142.50176471,107.60843137,102.27431373
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,23,80,89,73.682247191,13.63,8.6397752809,7.9086516854
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,4.4409090909,3.0727272727,3.0727272727
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,299.93428571,43.49,25.011428571,25.011428571
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,22,120,631,647,177.97941267,35.15324575,24.125811437,22.404064915
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,58,62,303.19516129,70.23,49.551451613,49.261129032
1033308994,ZALDIVAR,GEORGE,,M.D,M,I,3100 MACCORKLE AVENUE SE,SUITE 404,CHARLESTON,WV,253041230,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.44,26.904166667,27.040833333
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,38,8.1060526316,1.7397368421,1.3255263158,1.1252631579
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,47,47,39.332765957,17.715957447,12.724680851,12.395319149
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,40,40,41.919,5.428,3.59925,3.21775
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,17,115,120,276.67991667,81.554,58.328333333,50.3015
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,28,174.24642857,35.66,24.964285714,26.057857143
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,630,16.914587302,9.6952380952,7.3733015873,7.3733015873
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1380,16.692695652,11.37,8.8101521739,8.8101521739
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,73,12021,0.31898095,0.0458314616,0.0347250645,0.0347250645
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,21,2458,1.6417249797,0.1316639544,0.1032424736,0.1032424736
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,1470,9.9956734694,3.0458979592,2.2904081633,2.2904081633
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,76.95,35.66,23.766,25.3745
1033309380,SCOTT,JACOB,P,MD,M,I,4100 LAKE DR SE,SUITE 200,GRAND RAPIDS,MI,495468292,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,17,87,87,80.103448276,33,25.572643678,25.572643678
1033309588,MACRIE,JESSICA,W,DO,F,I,1500 CURVE CREST BOULEVARD,STILLWATER MEDICAL GROUP,STILLWATER,MN,550826040,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,72,66.065416667,8.32,6.3409722222,6.3409722222
1033309588,MACRIE,JESSICA,W,DO,F,I,1500 CURVE CREST BOULEVARD,STILLWATER MEDICAL GROUP,STILLWATER,MN,550826040,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1645,0.2145592705,0.0469118541,0.0301155015,0.0301155015
1033309653,PIOTROWSKI,ROBERT,P,MD,M,I,4211 N CICERO AVE STE 308,,CHICAGO,IL,606411649,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,54,168,78.536964286,8.32,6.4441071429,6.4441071429
1033309653,PIOTROWSKI,ROBERT,P,MD,M,I,4211 N CICERO AVE STE 308,,CHICAGO,IL,606411649,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,27,57,19.716140351,1.42,1.1133333333,1.1133333333
1033309661,SIRINIAN,ERENEE,,D.O.,F,I,2740 W FOSTER AVENUE,SUITE 114,CHICAGO,IL,60625,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,66,60.330151515,8.32,6.3246969697,6.3246969697
1033309661,SIRINIAN,ERENEE,,D.O.,F,I,2740 W FOSTER AVENUE,SUITE 114,CHICAGO,IL,60625,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,20,13.1005,1.42,1.059,1.059
1033309661,SIRINIAN,ERENEE,,D.O.,F,I,2740 W FOSTER AVENUE,SUITE 114,CHICAGO,IL,60625,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,70,53.2675,41.7625,38.175
1033309661,SIRINIAN,ERENEE,,D.O.,F,I,2740 W FOSTER AVENUE,SUITE 114,CHICAGO,IL,60625,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,63.157894737,18,12.624736842,12.144736842
1033309661,SIRINIAN,ERENEE,,D.O.,F,I,2740 W FOSTER AVENUE,SUITE 114,CHICAGO,IL,60625,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,320.52631579,77.18,55.260526316,50.08
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,22,49,116,52.205948276,8.32,5.7371551724,5.7371551724
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,26,41,10.910243902,1.42,1.0068292683,1.0068292683
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.6966666667,2.1133333333,1.6566666667,1.2083333333
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,32,38.0278125,7.4921875,4.2190625,2.8646875
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,561.715,102.61833333,75.474166667,50.169166667
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,3072,0.1630078125,0.0462239583,0.0362434896,0.0362434896
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2609,1.4979379072,0.1376696052,0.107945573,0.107945573
1033309687,VINES,MELISSA,B,"APRN, FNP-C",F,I,11340 TEXAS HWY,,MANY,LA,714495611,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,46,46,97.565217391,33,25.87,25.87
1033309786,SHAH,JIGNA,H,M.D.,F,I,1000 WATERMAN WAY,,TAVARES,FL,327785266,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,28,175,175,59.887428571,16.350857143,12.529314286,13.222171429
1033309786,SHAH,JIGNA,H,M.D.,F,I,1000 WATERMAN WAY,,TAVARES,FL,327785266,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,25,47.43,6.2284,4.8804,4.0268
1033309786,SHAH,JIGNA,H,M.D.,F,I,1000 WATERMAN WAY,,TAVARES,FL,327785266,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,25,160,160,362.9081875,79.2,60.92425,54.02425
1033310024,GALLA-PAGADALA,ARUNA,,M.D.,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,36,86,261,73.90183908,8.32,6.1219157088,6.1219157088
1033310024,GALLA-PAGADALA,ARUNA,,M.D.,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.993076923,3.38,2.65,2.65
1033310024,GALLA-PAGADALA,ARUNA,,M.D.,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,40,65,16.179538462,1.42,1.0447692308,1.0447692308
1033310024,GALLA-PAGADALA,ARUNA,,M.D.,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,750,2.1828133333,2.04,1.41444,1.41444
1033310024,GALLA-PAGADALA,ARUNA,,M.D.,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,1.9320454545,1.53,1.0909090909,1.3059090909
1033310024,GALLA-PAGADALA,ARUNA,,M.D.,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,86.630526316,16.98,13.31,13.53
1033310024,GALLA-PAGADALA,ARUNA,,M.D.,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,224.76666667,73,51.141,49.308
1033310537,WOODRUFF,ANTHONY,J,M.D.,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2040,0.2135294118,0.13,0.1019313725,0.1019313725
1033310537,WOODRUFF,ANTHONY,J,M.D.,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,3.35,2.27,1.6179220779,1.6179220779
1033310537,WOODRUFF,ANTHONY,J,M.D.,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1830,5.5,2.04,1.5731147541,1.5731147541
1033310537,WOODRUFF,ANTHONY,J,M.D.,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,540,9.65,7.23,5.6068148148,5.6068148148
1033310537,WOODRUFF,ANTHONY,J,M.D.,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,47,24.863191489,10.88,8.53,8.5693617021
1033310537,WOODRUFF,ANTHONY,J,M.D.,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,230,27.147391304,9.86,7.226,7.226
1033310537,WOODRUFF,ANTHONY,J,M.D.,M,I,10301 N 92ND ST,SUITE 101,SCOTTSDALE,AZ,852584511,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,410,9.658,4.04,3.155902439,3.155902439
1033310552,WEBB,DANIEL,B,MD,M,I,550 REDMOND RD NW,,ROME,GA,301651416,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,4995,4378.96,3433.11,3433.11
1033310776,KWAN,WILLIAM,A,M.D.,M,I,430 WATERSTONE DR,,HILLSBOROUGH,NC,272789078,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.39,8.4116666667,6.5966666667,6.5091666667
1033310909,UMANSKIY,KONSTANTIN,,MD,M,I,5841 S MARYLAND AVE,MC 5095,CHICAGO,IL,606371447,US,Physician/Colorectal Surgery (Proctology),S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,165,14.368,10.81,7.7048484848,7.7048484848
1033311204,SAHA,DALIA,,M.D.,F,I,1250 E MARSHALL ST,DEPT. OF INTERNAL MEDICINE-HOSP./GEN MED,RICHMOND,VA,232985051,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,70.23,55.06,55.06
1033311386,SZUSZKIEWICZ-GARCIA,MAGDALENE,M,MD,F,I,305 REGENCY PKWY,SUITE 405,MANSFIELD,TX,760633794,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,23,257,42.99385214,19.647276265,15.403229572,15.403229572
1033311386,SZUSZKIEWICZ-GARCIA,MAGDALENE,M,MD,F,I,305 REGENCY PKWY,SUITE 405,MANSFIELD,TX,760633794,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,25,720,9.7985416667,2.6325,2.0638472222,2.0638472222
1033311386,SZUSZKIEWICZ-GARCIA,MAGDALENE,M,MD,F,I,305 REGENCY PKWY,SUITE 405,MANSFIELD,TX,760633794,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,44,60,121,529,62.662268431,8.3010396975,6.3598298677,6.3747069943
1033311386,SZUSZKIEWICZ-GARCIA,MAGDALENE,M,MD,F,I,305 REGENCY PKWY,SUITE 405,MANSFIELD,TX,760633794,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,24,36,81,10.963580247,1.42,1.0855555556,1.0855555556
1033311386,SZUSZKIEWICZ-GARCIA,MAGDALENE,M,MD,F,I,305 REGENCY PKWY,SUITE 405,MANSFIELD,TX,760633794,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,548.91970588,362.43176471,284.14588235,284.14588235
1033311386,SZUSZKIEWICZ-GARCIA,MAGDALENE,M,MD,F,I,305 REGENCY PKWY,SUITE 405,MANSFIELD,TX,760633794,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,10,30,143,143,386.09531469,251.01454545,196.6965035,196.77097902
1033311386,SZUSZKIEWICZ-GARCIA,MAGDALENE,M,MD,F,I,305 REGENCY PKWY,SUITE 405,MANSFIELD,TX,760633794,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,7,24,24,24,539.41666667,264.04041667,205.64916667,205.74333333
1033311642,JENKINS,DAVID,A,D.O.,M,I,200 STONECREST BLVD,,SMYRNA,TN,371676810,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,39.957678571,17.986785714,13.595714286,13.06625
1033311642,JENKINS,DAVID,A,D.O.,M,I,200 STONECREST BLVD,,SMYRNA,TN,371676810,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,7.766,5.702,3.5333333333
1033311642,JENKINS,DAVID,A,D.O.,M,I,200 STONECREST BLVD,,SMYRNA,TN,371676810,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,57,57,225.90315789,85.567719298,63.902982456,52.181052632
1033312046,YI,XIANJIN,,MD,M,I,301 PROSPECT AVE,HOSPITAL INTERNISTS,SYRACUSE,NY,132031807,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,78.553636364,16.115454545,11.513636364,12.442727273
1033312046,YI,XIANJIN,,MD,M,I,301 PROSPECT AVE,HOSPITAL INTERNISTS,SYRACUSE,NY,132031807,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,5.426,4.25,3.828
1033312046,YI,XIANJIN,,MD,M,I,301 PROSPECT AVE,HOSPITAL INTERNISTS,SYRACUSE,NY,132031807,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,415.608,70,50.4896,50.3516
1033312046,YI,XIANJIN,,MD,M,I,301 PROSPECT AVE,HOSPITAL INTERNISTS,SYRACUSE,NY,132031807,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,103.26,38.28,30.01,29.51
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,44,128,398,68.594824121,8.32,6.1073366834,6.1073366834
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,13.691818182,3.38,2.65,2.65
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,29,67,115,15.771304348,1.42,1.0764347826,1.0764347826
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,12.219166667,12.433333333
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,913.16,913.16,715.92,831.73166667
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,54.78,5.7884615385,4.5415384615,3.7246153846
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,27,545.02444444,79.22,59.80962963,52.976296296
1033312202,DAO,HAI,N,M.D.,M,I,1700 N WATERMAN AVE,,SAN BERNARDINO,CA,924045115,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,40.625666667,40.625666667,26.875666667,21.862666667
1033312244,DECRUZ,SUZZUNNE,N,PA-C,F,I,240 INDIAN RIVER ROAD,A5,ORANGE,CT,06477,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,5.665,4.4425,3.7225
1033312426,LEWIS,KEVIN,W,D.O.,M,I,13830 SAWYER RANCH RD,SUITE 102,DRIPPING SPRINGS,TX,786205513,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,66,31.094848485,8.32,6.3248484848,6.3248484848
1033312426,LEWIS,KEVIN,W,D.O.,M,I,13830 SAWYER RANCH RD,SUITE 102,DRIPPING SPRINGS,TX,786205513,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,57.986,11.318,8.2886666667,8.5433333333
1033312426,LEWIS,KEVIN,W,D.O.,M,I,13830 SAWYER RANCH RD,SUITE 102,DRIPPING SPRINGS,TX,786205513,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,110,8.3858181818,2.0081818182,1.4890909091,1.5065454545
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,16,30,136,68.539926471,8.32,5.8538970588,5.8538970588
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,3.6076190476,1.42,1.0619047619,1.0619047619
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,22.666923077,16.621538462,12.952307692
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100,59.384545455,46.557272727,37.63
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,81.75,15.750666667,10.362,8.6393333333
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,26.8512,6.8576,4.502,3.0388
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,216.75333333,48.186222222,33.705333333,20.922888889
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,519.51,96.965833333,71.041666667,51.856666667
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,94.4,37.427857143,29.343571429,16.525714286
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36,11.028333333,8.6466666667,6.7683333333
1033312442,BROEKHUIZEN,JAMIE,C,D.O.,F,I,1234 E DUPONT RD,SUITE 1,FORT WAYNE,IN,468251545,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,599.5,163.16206897,125.68517241,105.92586207
1033312640,EIN-GAL,SHLOMIT,Y,M.D.,F,I,230 S MAIN ST,SUITE 100,ORANGE,CA,928683851,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,17,1120,49.3015625,4.9416160714,3.8742232143,3.8742232143
1033312640,EIN-GAL,SHLOMIT,Y,M.D.,F,I,230 S MAIN ST,SUITE 100,ORANGE,CA,928683851,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,37,6512,0.4406142506,0.44,0.3416554054,0.3416554054
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,48,80.03,71.56,42.209375,42.209166667
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,138,32.651666667,29.19,21.978913043,21.980507246
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,29,1018,2.3587426326,2.3587426326,1.786453831,1.8181041257
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,518,3.67,3.67,2.8773166023,2.8773166023
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,806,2.1417617866,2.1417617866,1.6792307692,1.6935483871
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,24,1873,0.448862787,0.4473251468,0.3507100908,0.3527976508
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1250,1.96844,1.968224,1.543096,1.544488
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,11,314,7.137133758,3,2.3520063694,2.3646178344
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,5485,0.6425524157,0.3050829535,0.239183227,0.2430391978
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,9,48,48,48,130.003125,49.546041667,38.061458333,36.41125
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,24.230769231,9.4561538462,6.3523076923,6.3523076923
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,6,18,18,18,27.516666667,15.37,12.05,12.05
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,175,49.786,37.31,37.745
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,177.83636364,52.451818182,41.120909091,41.167272727
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,7,15,75,75,174.52866667,47.7248,35.847333333,36.037466667
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,30,59.166666667,17.335333333,13.140666667,13.140666667
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,26,26,36.158076923,5.085,3.9884615385,4.115
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,102.11363636,46.281818182,31.608636364,31.103181818
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,5,1.27,0.75,0.76
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,50,11.956538462,9.3053846154,9.3384615385
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,73,42.434,31.368,26.385333333
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,37,37,258.95675676,72.294594595,55.89,54.368378378
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,40,27.801724138,21.044482759,20.914482759
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,25,128,128,127.3828125,20.845859375,15.2996875,12.939140625
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,16,94,94,85.702978723,28.148829787,21.633723404,21.512234043
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,185,71.7875,53.933333333,51.645833333
1033313069,MADIREDDY,SRINIVASA,R,M.D,M,I,4129 OKEMOS RD,STE 6,OKEMOS,MI,488642822,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,15,62,62,23.35483871,8.8938709677,6.8861290323,6.6782258065
1033313556,SPICER,ROBERT,J,MD,M,I,716 N HIGHWAY 67 STE 2,,CEDAR HILL,TX,751042117,US,Physician/Pain Management,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,119.58083333,81.8575,59.2625,59.2625
1033313648,PORTER,NANCY,L,APN,F,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,1980,3.4154646465,1.3321515152,1.0444090909,1.0444090909
1033313648,PORTER,NANCY,L,APN,F,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,720,16.020944444,7.46725,5.8543333333,5.8543333333
1033313648,PORTER,NANCY,L,APN,F,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,27,27,24,24,18.122962963,18.122962963
1033313747,HOLUBAR,STEFAN,D,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441951000,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,228,9.7690350877,3.6410526316,2.8545614035,2.8928070175
1033313747,HOLUBAR,STEFAN,D,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441951000,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,18,18.233333333,4.1,3.2122222222,3.2122222222
1033313747,HOLUBAR,STEFAN,D,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441951000,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,620,13.416612903,5.7351612903,4.3511290323,4.3511290323
1033313747,HOLUBAR,STEFAN,D,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441951000,US,Physician/Colorectal Surgery (Proctology),S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,280,18.62325,7,5.488,5.488
1033313747,HOLUBAR,STEFAN,D,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441951000,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,575,1.1014956522,0.27,0.2116695652,0.2116695652
1033313747,HOLUBAR,STEFAN,D,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441951000,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,260,6.1295384615,3.04,2.0564230769,2.0564230769
1033313747,HOLUBAR,STEFAN,D,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441951000,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,660,0.6688181818,0.2563636364,0.200969697,0.2116515152
1033314042,LEARY,JEFFREY,T,MD,M,I,550 CENTRAL AVE STE 500,,NEW PROVIDENCE,NJ,07974,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,145,44.051764706,34.534117647,35.983529412
1033314042,LEARY,JEFFREY,T,MD,M,I,550 CENTRAL AVE STE 500,,NEW PROVIDENCE,NJ,07974,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,70.94,70.94,55.62,46.34
1033314117,JONES,JULIE,L,MD,F,I,WOMACK ARMY MEDICAL CTR,DEPARTMENT OF INTERNAL MEDICINE,FORT BRAGG,NC,283100001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,516.07142857,102.08,75.763571429,53.713571429
1033314117,JONES,JULIE,L,MD,F,I,WOMACK ARMY MEDICAL CTR,DEPARTMENT OF INTERNAL MEDICINE,FORT BRAGG,NC,283100001,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.745,32.344166667,27.6525
1033314513,KHADER,TALAL,T,M.D,M,I,16001 W 9 MILE RD,4TH FL FISHER CTR,SOUTHFIELD,MI,480754818,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,46,47.999782609,8.32,6.2382608696,6.2382608696
1033314513,KHADER,TALAL,T,M.D,M,I,16001 W 9 MILE RD,4TH FL FISHER CTR,SOUTHFIELD,MI,480754818,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,32.985517241,17.06,12.885517241,13.052068966
1033314513,KHADER,TALAL,T,M.D,M,I,16001 W 9 MILE RD,4TH FL FISHER CTR,SOUTHFIELD,MI,480754818,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,265.58612903,75.981935484,53.714193548,49.428387097
1033314513,KHADER,TALAL,T,M.D,M,I,16001 W 9 MILE RD,4TH FL FISHER CTR,SOUTHFIELD,MI,480754818,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,76,76,76,1410.3793421,1257.37,975.62447368,876.35447368
1033314513,KHADER,TALAL,T,M.D,M,I,16001 W 9 MILE RD,4TH FL FISHER CTR,SOUTHFIELD,MI,480754818,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,69,70,118,990.89669492,867.20932203,677.03491525,674.82957627
1033314513,KHADER,TALAL,T,M.D,M,I,16001 W 9 MILE RD,4TH FL FISHER CTR,SOUTHFIELD,MI,480754818,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,72,77,130,133.00061538,118.26584615,91.267,87.424692308
1033314513,KHADER,TALAL,T,M.D,M,I,16001 W 9 MILE RD,4TH FL FISHER CTR,SOUTHFIELD,MI,480754818,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,35,38,38,844.01263158,704.5,548.55447368,564.75447368
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,152.14933333,36.81,26.967333333,28.649333333
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,18,18,398.87777778,84.303888889,62.501666667,64.297777778
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,119.34296296,32,25.087037037,25.917037037
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,28,145,62.037103448,17.075793103,13.337172414,14.501034483
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,12,21,106,47.659528302,13.888867925,10.05245283,11.012075472
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,23,50,51,201.39470588,50.426666667,37.201176471,40.417647059
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,36,36,68.776388889,16.719722222,12.034166667,12.975555556
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,25,52,53,63.294716981,11.383396226,8.4071698113,8.6060377358
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,30,73,410,9.1347317073,1.9354634146,1.4294878049,1.5027073171
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,22.661764706,5.67,3.9264705882,4.1411764706
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,21,29,29,39.653103448,12.067241379,8.8517241379,9.7137931034
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,127,132,57.347272727,15.75,11.601515152,12.764621212
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1600,1074.31,842.26,842.26
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,3188.5928571,1074.31,834.8025,834.8025
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,568.76272727,78.719090909,56.577272727,62.062727273
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,16,81.75,13.23625,10.37375,10.48
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,42,44,51.1725,5.5652272727,3.9920454545,3.2509090909
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,141.36363636,38.849545455,30.464090909,31.677272727
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,62,63,203.40444444,30.484285714,21.606984127,22.672698413
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,43,291,309,369.5833657,70.053398058,51.528640777,51.349288026
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,76,85,137.38305882,35,25.503058824,27.536705882
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,13.94,11.092952381,8.6363968254,8.6363968254
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1018,1.3772789784,0.1322396857,0.1036640472,0.1036640472
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,1742,12.238191734,3.0077841561,2.3581228473,2.3581228473
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,29,73.082758621,35.120689655,26.587931034,28.438965517
1033314745,KRAMER,VIOLET,E,MD,F,I,30 CORBETT WAY,,EATONTOWN,NJ,077242263,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,33,33,103.12121212,33,25.87,25.87
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,35,77,232,42.843275862,8.32,6.0156465517,6.0156465517
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,20,30,30,12.372666667,3.38,2.4733333333,2.4733333333
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,17,18,18,16.268888889,2.12,1.4844444444,1.4844444444
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,29,58,94,24.833191489,1.42,0.9963829787,0.9963829787
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,40,7.5615,1.38,1.03025,1.09725
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,260,6.9359230769,3,2.3520384615,2.3676538462
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,6840,0.755994152,0.3024210526,0.2370935673,0.2900847953
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,169.25666667,46.5275,33.397916667,32.7
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,68.015454545,17.25,13.52,13.534545455
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,57.918085106,5.5480851064,4.090212766,3.4561702128
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,128.24,48.251489362,35.122765957,33.940425532
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,149.77,92.660909091,72.644545455,72.657272727
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,20.676153846,10.796923077,7.0992307692,7.22
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,79,79,370.20974684,79.88,59.476582278,52.849367089
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,43,9111,0.6083152234,0.0463044671,0.0329766217,0.0329766217
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,90.82,38.235454545,29.975454545,25.313636364
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,38,112.78,28.257631579,20.891578947,20.326578947
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,81,81,26.52,7.6266666667,5.6498765432,6.330617284
1033314869,URDAY-GAMALSKI,VARINIA,,M.D.,F,I,500 KIRTS BLVD STE 200,,TROY,MI,480844140,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,45,45,74.8,33,23.980888889,23.980888889
1033314901,MCANDREW,THOMAS,M,M.D.,M,I,205 N BROAD ST,,PHILADELPHIA,PA,191071554,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,47,96,72.5265625,8.32,6.3851041667,6.3851041667
1033314901,MCANDREW,THOMAS,M,M.D.,M,I,205 N BROAD ST,,PHILADELPHIA,PA,191071554,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,31,34,14.872647059,1.42,1.1188235294,1.1188235294
1033314901,MCANDREW,THOMAS,M,M.D.,M,I,205 N BROAD ST,,PHILADELPHIA,PA,191071554,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,124.968,30.81,21.1845,22.118
1033314901,MCANDREW,THOMAS,M,M.D.,M,I,205 N BROAD ST,,PHILADELPHIA,PA,191071554,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,78,33,25.87,25.87
1033314984,LACKEY,WESLEY,G,M.D.,M,I,6920 GATWICK DR,SUITE 200,INDIANAPOLIS,IN,462419504,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,55,55,55,946.72727273,670.96109091,526.03381818,488.53690909
1033315031,MOTRAN,JOHNY,J,DPM,M,I,8903 SHADY GROVE CT,,GAITHERSBURG,MD,208771308,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,66,143.93939394,71.56,55.600757576,55.600757576
1033315031,MOTRAN,JOHNY,J,DPM,M,I,8903 SHADY GROVE CT,,GAITHERSBURG,MD,208771308,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,31,186,49.35483871,29.19,22.885,22.886666667
1033315031,MOTRAN,JOHNY,J,DPM,M,I,8903 SHADY GROVE CT,,GAITHERSBURG,MD,208771308,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,37,37,44,149.31818182,84.6,65.175454545,62.021818182
1033315031,MOTRAN,JOHNY,J,DPM,M,I,8903 SHADY GROVE CT,,GAITHERSBURG,MD,208771308,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,500,279.25,218.388,218.348
1033315031,MOTRAN,JOHNY,J,DPM,M,I,8903 SHADY GROVE CT,,GAITHERSBURG,MD,208771308,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,23,300,158.95,116.99434783,118.91869565
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,31,108,220,58.649590909,8.32,5.9385909091,5.9385909091
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.833333333,3.38,1.9875,1.9875
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,33,38,15.100789474,1.42,0.9415789474,0.9415789474
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,29,34.033448276,27.35,19.96137931,20.816551724
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,37,45,12.635555556,9.2855555556,6.9531111111,8.226
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,160,3.645,3.04,2.085375,2.085375
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,720,18.5,18.5,14.504,14.504
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,49.255714286,19.339285714,13.868571429,8.6578571429
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,68,8.3792647059,2.9879411765,2.3429411765,1.7130882353
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,32,884,7.5104411765,6.3419457014,4.9722624434,4.1750565611
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,16718,0.8606633569,0.7515749492,0.5839765522,0.5155861945
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,91.3075,80.404166667,63.038333333,48.32
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,79.785,22.050384615,16.788846154,13.039615385
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,34.7775,34.548333333
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,154.12424242,51.883030303,39.228484848,27.999393939
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,10.298571429,7.5623809524,5.7357142857,3.7619047619
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,74,77,441.43779221,96.691038961,70.334545455,50.521168831
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,16,228.125,46.1625,36.19375,29.965625
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2360,1.7811822034,0.1364661017,0.1069957627,0.1069957627
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,109.79166667,22.580833333,15.301666667,11.641666667
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,37.44,26.681818182,26.845454545
1033315064,CHIOCO,ERNESTO,,M.D.,M,I,3568 CHERE CAROL RD,,HUMBOLDT,TN,383433639,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,37.95,33,24.5765,24.5765
1033315361,DARDEN,JOY,J,M.D.,F,I,911 E 9 MILE RD,,FERNDALE,MI,482201934,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,29,124,40.821693548,8.32,5.5498387097,5.5498387097
1033315361,DARDEN,JOY,J,M.D.,F,I,911 E 9 MILE RD,,FERNDALE,MI,482201934,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,19,50,13.0998,1.42,0.9796,0.9796
1033315361,DARDEN,JOY,J,M.D.,F,I,911 E 9 MILE RD,,FERNDALE,MI,482201934,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2599,0.1798114659,0.0460754136,0.0351827626,0.0351827626
1033315361,DARDEN,JOY,J,M.D.,F,I,911 E 9 MILE RD,,FERNDALE,MI,482201934,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,17.705454545,13.421818182,13.797272727
1033315361,DARDEN,JOY,J,M.D.,F,I,911 E 9 MILE RD,,FERNDALE,MI,482201934,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,115.5,33,23.714166667,23.714166667
1033315569,DIB,SUZANNE,Y,,F,I,2950 FAIRWAY DR,SUITE 2,ALTOONA,PA,166024494,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,48,93,64.913655914,8.32,5.4330107527,5.4330107527
1033315569,DIB,SUZANNE,Y,,F,I,2950 FAIRWAY DR,SUITE 2,ALTOONA,PA,166024494,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,24,14.4825,1.42,0.9308333333,0.9308333333
1033315569,DIB,SUZANNE,Y,,F,I,2950 FAIRWAY DR,SUITE 2,ALTOONA,PA,166024494,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,44.444444444,4.5322222222,3.5577777778,3.8777777778
1033315569,DIB,SUZANNE,Y,,F,I,2950 FAIRWAY DR,SUITE 2,ALTOONA,PA,166024494,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,485.36296296,67.72,49.166666667,50.707037037
1033315569,DIB,SUZANNE,Y,,F,I,2950 FAIRWAY DR,SUITE 2,ALTOONA,PA,166024494,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,162.72,38.72,28.842,28.128
1033315635,STOLLMEYER,KATHRYN,,PA-C,F,I,2321 HARRISON AVE,,EUREKA,CA,955013216,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,19,54.648421053,8.4989473684,6.6605263158,3.9315789474
1033315635,STOLLMEYER,KATHRYN,,PA-C,F,I,2321 HARRISON AVE,,EUREKA,CA,955013216,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,115.5,33,25.87,25.87
1033315742,COPPLE,MATTHEW,D,D.O.,M,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,67.04,30.804736842,23.140526316,14.175263158
1033315759,DUDA,MARIA,E,M.D.,F,I,1621 EASTCHESTER ROAD,MONTEFIORE CFCC,BRONX,NY,10461,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,36,62,73.43483871,8.32,6.3114516129,6.3114516129
1033315759,DUDA,MARIA,E,M.D.,F,I,1621 EASTCHESTER ROAD,MONTEFIORE CFCC,BRONX,NY,10461,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,19,28.266842105,1.42,1.06,1.06
1033315759,DUDA,MARIA,E,M.D.,F,I,1621 EASTCHESTER ROAD,MONTEFIORE CFCC,BRONX,NY,10461,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,64.160833333,15.035,10.878333333,13.3225
1033315759,DUDA,MARIA,E,M.D.,F,I,1621 EASTCHESTER ROAD,MONTEFIORE CFCC,BRONX,NY,10461,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,20.176666667,6.965,5.04,6.2683333333
1033315775,KAPLINSKY,DIANA,,D.O.,F,I,640 HAWKINS AVE,,LAKE RONKONKOMA,NY,117792324,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,53,80.811132075,8.32,4.3071698113,4.3071698113
1033315940,PAULA,RAFAEL,,MD,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,33952,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,12.5,9.6636363636,7.5727272727,7.0890909091
1033315940,PAULA,RAFAEL,,MD,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,33952,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,10,4.9929411765,2.0423529412,2.2232352941
1033315940,PAULA,RAFAEL,,MD,M,I,21297 OLEAN BLVD STE A,,PORT CHARLOTTE,FL,33952,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,51.53,22.342777778,17.513888889,15.764444444
1033316104,KITAZONO,HIDETAKA,,M.D.,M,I,100 MEDICAL CENTER DR,,SPRINGFIELD,OH,45504,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,30.86,5.0557142857,3.9678571429,3.7835714286
1033316104,KITAZONO,HIDETAKA,,M.D.,M,I,100 MEDICAL CENTER DR,,SPRINGFIELD,OH,45504,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,250,93.913333333,73.63,54.73
1033316542,OCHALSKI,PAWEL,G,MD,M,I,228 SAINT CHARLES WAY STE 300,,YORK,PA,174024661,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,24,24,24,4995,4378.96,3429.77375,3429.77375
1033316658,SPELMAN,GAYLE,,PA-C,F,I,841 CENTRAL ST,,FRANKLIN,NH,032352026,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,2.0845454545,1.4018181818,1.0036363636
1033316682,LEE,JAMES,J,M.D,M,I,1955 SUNNYCREST DR.,SUITE 108,FULLERTON,CA,928353653,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,8.0483333333,2.0075,1.17625,1.19875
1033316682,LEE,JAMES,J,M.D,M,I,1955 SUNNYCREST DR.,SUITE 108,FULLERTON,CA,928353653,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,209.7,29.4225,18.931666667,21.285833333
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,45,92,55.344347826,8.32,6.3630434783,6.3630434783
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,16.3775,13.405833333
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,34.801904762,4.5157142857,3.0585714286,3.0571428571
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,399.72777778,84.624814815,64.132962963,55.697407407
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,37.44,29.35,29.51
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1994,0.3083550652,0.0463941825,0.0303059178,0.0303059178
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1800,1.4361222222,0.1333333333,0.0863833333,0.0863833333
1033316781,SCHILDT,TRAVIS,,MD,M,I,651 FOXCROFT AVE,SUITE 110,MARTINSBURG,WV,254015306,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,66,33,22.170666667,22.170666667
1033316815,NGO,ANTHONY,,D.O,M,I,2086 GULF TO BAY BLVD,,CLEARWATER,FL,337653714,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,18,46,63.40326087,8.32,4.5367391304,4.5367391304
1033316914,BECKER,HILLARY,A,MD,F,I,1210 W 18TH ST STE G01,,SIOUX FALLS,SD,571044651,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,20,24,56.908333333,52.83625,41.424166667,45.69375
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,9,16,278,283,496.91371025,19.706713781,15.392968198,15.392968198
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,9,17,306,1496,311.22659759,37.373295455,29.159518717,29.159518717
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,7,11,26,26,921.69230769,199.40769231,156.33538462,156.33538462
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,46,1231,29.218383428,5.3262063363,4.1758082859,4.1758082859
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,262,19288,100.65630185,1.5640055993,1.2230749689,1.2230744504
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,36,2940,3.811914966,0.5545748299,0.3925,0.3925
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2640,1.3713560606,0.7411477273,0.5810568182,0.5810568182
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,4080,2.7160416667,1.0169044118,0.731620098,0.731620098
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,46,46,24,24,17.194782609,17.194782609
1033316948,VILARO,JUAN,R,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,43,54,16,16,12.075555556,12.075555556
1033317011,CHURCH,NICHOLAS,,MD,M,I,2801 N DECATUR RD,SUITE 295,DECATUR,GA,300335949,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,71,228,54.550877193,8.32,5.9502192982,5.9502192982
1033317011,CHURCH,NICHOLAS,,MD,M,I,2801 N DECATUR RD,SUITE 295,DECATUR,GA,300335949,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.338333333,3.38,2.4291666667,2.4291666667
1033317011,CHURCH,NICHOLAS,,MD,M,I,2801 N DECATUR RD,SUITE 295,DECATUR,GA,300335949,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,47,81,12.894691358,1.42,1.0177777778,1.0177777778
1033317219,DICKERSON,DAVID,,M.D.,M,I,780 ROUTE 37 W,SUITE 330,TOMS RIVER,NJ,087555059,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,140.62166667,44.44,31.936666667,33.455
1033317219,DICKERSON,DAVID,,M.D.,M,I,780 ROUTE 37 W,SUITE 330,TOMS RIVER,NJ,087555059,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,17,17,121.54588235,70.94,52.348235294,43.614117647
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,15,45,602,60.426328904,19.607524917,15.371976744,15.371976744
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,14,44,1335,8.5764269663,2.6278651685,2.0601722846,2.0601722846
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,28,3.4942857143,0.51,0.4,0.4
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,78,147,336,1937,68.205539494,8.32,5.9513577697,5.9513577697
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,20,37,37,15.814054054,3.38,2.65,2.65
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,18,20,20,21.679,2.12,1.67,1.67
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,44,69,132,343,15.767813411,1.42,1.0379883382,1.0379883382
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,12,24,76.23,71.18,51.131666667,51.131666667
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,697.00833333,323.11625,247.3425,247.3425
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,3200,16.20364375,10.67399375,8.343759375,8.343759375
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,10,76,483,504,466.89613095,250.69123016,195.98694444,196.31513889
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,9,59,59,59,375.30542373,263.78966102,204.66508475,204.95525424
1033317250,SIDDIQUI,MUNIRA,D,MD,F,I,1840 MEASE DR,SUITE 104,SAFETY HARBOR,FL,346956602,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,84,14.75,0.6071428571,0.475952381,0.475952381
1033317276,JOHNSTON,JULIE,A,M.D.,F,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,27,77.17037037,8.32,6.0388888889,6.0388888889
1033317276,JOHNSTON,JULIE,A,M.D.,F,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,13,18.309230769,1.42,1.0323076923,1.0323076923
1033317276,JOHNSTON,JULIE,A,M.D.,F,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,1.75,1.75,1.1433333333,1.5340714286
1033317276,JOHNSTON,JULIE,A,M.D.,F,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,14,9.29,6.5925,7.7970833333
1033317276,JOHNSTON,JULIE,A,M.D.,F,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.5,7.46,4.875,4.875
1033317276,JOHNSTON,JULIE,A,M.D.,F,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.118375,0.104625,0.0663333333,0.077
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,43.58,8.32,5.4593333333,5.4593333333
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,2.1581818182,1.6918181818,1.15
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,154.90461538,76.870769231,60.266153846,43.189230769
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,15,15,51.556,24.71,19.366,14.161333333
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,61.877142857,20.541428571,16.104285714,9.2557142857
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,19,96,8.2777083333,3.135,2.458125,1.6152083333
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,77.048,21.788,15.091333333,12.127333333
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,417.05611111,127.77333333,96.77,64.065
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,116.96969697,49.904848485,38.080606061,24.086060606
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,170,170,225.28547059,99.914,71.104117647,48.474764706
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2550,0.8468470588,0.1357176471,0.0922235294,0.0922235294
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,200,44.07,31.510740741,26.782037037
1033317557,DORMAN,SUSAN,M,"RN, CS-FNP",F,I,291 15TH ST,,BURLINGTON,CO,808071619,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,121.36111111,33,20.121111111,20.121111111
1033317722,SCHROER,KYLENE,M,APRN,F,I,715 N KANSAS AVE,SUITE 204,HASTINGS,NE,689014438,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,33,78.832121212,8.32,4.7466666667,4.7466666667
1033317722,SCHROER,KYLENE,M,APRN,F,I,715 N KANSAS AVE,SUITE 204,HASTINGS,NE,689014438,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,54.73
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,25,44,158,47.032341772,8.32,5.9858227848,5.9858227848
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,18,31,8.2006451613,1.42,1.0070967742,1.0070967742
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,129.04357143,47.893571429,32.9,26.983571429
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,197.54,68.498181818,45.827272727,36.600909091
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,16,16,63.32,23.554375,17.0925,13.090625
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,24,100,8.911,2.7476,2.0838,1.5911
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,36.179333333,17.95,11.256,10.973333333
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,21,127.62857143,41.442380952,31.459047619,26.64
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,437.55947368,107.65368421,84.402631579,58.293157895
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1500,15.907526667,9.6092,7.39522,7.39522
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,15,1589,1.9035305223,0.1287853996,0.0769918188,0.0769918188
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,2580,11.72098062,3.0530465116,2.3506434109,2.3506434109
1033317730,JOHNSTON FLANDERS,MEGAN,S,MD,F,I,1116 MILL ST W,,CANNON FALLS,MN,550091824,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,40,40,104.775,33,25.22325,25.22325
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,74,165,50.608545455,8.32,5.2676363636,5.2676363636
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,23,9.5052173913,1.42,0.7760869565,0.7760869565
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,2.0236363636,1.4709090909,1.0454545455
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,78,14.474615385,2.7815384615,2.1811538462,1.5933333333
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,31,86.31,22.080322581,16.828387097,13.481935484
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,56,519.51,101.32714286,79.442857143,58.346071429
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,2760,0.92,0.1366413043,0.0952862319,0.0952862319
1033317920,LANDRUM,SARAH,F,M.D.,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,98532,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,132,33,21.079259259,21.079259259
1033318373,SORG,LAURA,L,M.D.,F,I,140 COLEMANS CROSSING BOULEVARD,SUITE 210,MARYSVILLE,OH,430400000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,52,74.545384615,8.32,5.5203846154,5.5203846154
1033318373,SORG,LAURA,L,M.D.,F,I,140 COLEMANS CROSSING BOULEVARD,SUITE 210,MARYSVILLE,OH,430400000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,21,489.86571429,92.624761905,69.772380952,54.052380952
1033318449,NAPOLITANO,BLAISE,C,M.D.,M,I,34 COMMERCE AVE,,RIVERHEAD,NY,119013118,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,57,81.370877193,8.32,5.4914035088,5.4914035088
1033318506,LLAVORE,JO-ANNE,,,F,I,2145 MOUNT PLEASANT BLVD SE,,ROANOKE,VA,240143632,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,21,62,51.736774194,8.32,6.3464516129,6.3464516129
1033318506,LLAVORE,JO-ANNE,,,F,I,2145 MOUNT PLEASANT BLVD SE,,ROANOKE,VA,240143632,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,20,13.0365,1.42,1.114,1.114
1033318506,LLAVORE,JO-ANNE,,,F,I,2145 MOUNT PLEASANT BLVD SE,,ROANOKE,VA,240143632,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,34.494166667
1033318555,PATURI,BHANU,T,M.D,M,I,5105 N GLEN PARK PLACE RD,,PEORIA,IL,616144688,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,53,75,206,978,64.388476483,8.3188957055,6.1191206544,6.1191206544
1033318555,PATURI,BHANU,T,M.D,M,I,5105 N GLEN PARK PLACE RD,,PEORIA,IL,616144688,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,30,67,144,13.734861111,1.42,1.0672916667,1.0672916667
1033318555,PATURI,BHANU,T,M.D,M,I,5105 N GLEN PARK PLACE RD,,PEORIA,IL,616144688,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,31,31,521.98548387,251.11,196.87,196.87
1033318670,DE GUZMAN,JOCELYN,M,M.D.,F,I,2100 STANTONSBURG RD,ECU PHYSICIANS EMERGENCY MEDICINE AT PCMH,GREENVILLE,NC,278342818,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,20.968181818,16.439090909,14.465454545
1033318704,CHANGAPPA,SUNNY,,,M,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,20,6.9353846154,5.4369230769,3.9
1033318704,CHANGAPPA,SUNNY,,,M,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,463.71460317,78.671746032,59.164444444,52.558253968
1033318704,CHANGAPPA,SUNNY,,,M,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,100,35.27,26.795625,28.611875
1033318704,CHANGAPPA,SUNNY,,,M,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,85,35.498965517,25.931724138,27.643793103
1033318928,LE-BERT,GEORGE,G,D.O.,M,I,1340 S 18TH ST STE 202,CREDENTIALING DEPARTMENT,FERNANDINA BEACH,FL,320344733,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,30.909090909,21.381818182,21.254545455
1033319058,MARTINEZ,MARIA,D,M.D.,F,I,1350 HICKORY ST,,MELBOURNE,FL,329013224,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,28,28,66.610714286,17.317142857,12.604285714,12.547142857
1033319058,MARTINEZ,MARIA,D,M.D.,F,I,1350 HICKORY ST,,MELBOURNE,FL,329013224,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,1623.6186667,950.95133333,740.56133333,823.458
1033319058,MARTINEZ,MARIA,D,M.D.,F,I,1350 HICKORY ST,,MELBOURNE,FL,329013224,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,19,20,15.882,4.526,2.817,2.8165
1033319058,MARTINEZ,MARIA,D,M.D.,F,I,1350 HICKORY ST,,MELBOURNE,FL,329013224,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,30,30,364.94466667,72.107,51.025,49.522666667
1033319256,KOOS,DANIEL,C,M.D.,M,I,1410 SW TRADITION DR STE 120,,ANKENY,IA,500239188,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,44.496363636,4.76,3.7327272727,3.6854545455
1033319413,SHEHIGIAN,ALINE,A,NP,F,I,3 BARKER AVE,4TH FLOOR,WHITE PLAINS,NY,106011509,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,506.17647059,77.36,57.082352941,51.510588235
1033319421,KHANNA,LEENA,S,M.D,F,I,4000 COLISEUM DR,SUITE 350,HAMPTON,VA,236665984,US,Physician/Internal Medicine,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,16.895384615,16.295384615,11.763076923,12.064615385
1033319793,MISRA,MONIQUE,,MD,F,I,64 BLACK ROCK AVE,,BRIDGEPORT,CT,066051200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,170.16608696,74.022173913,53.064347826,49.963478261
1033319975,VANGOMPLE,RYAN,,M.D.,M,I,301 RIVERVIEW AVE,STE. 710,NORFOLK,VA,235101065,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,32,77,173,64.270289017,8.3046242775,6.1383236994,6.151849711
1033319975,VANGOMPLE,RYAN,,M.D.,M,I,301 RIVERVIEW AVE,STE. 710,NORFOLK,VA,235101065,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,14.266086957,3.38,2.65,2.65
1033319975,VANGOMPLE,RYAN,,M.D.,M,I,301 RIVERVIEW AVE,STE. 710,NORFOLK,VA,235101065,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,22.386923077,2.12,1.67,1.67
1033319975,VANGOMPLE,RYAN,,M.D.,M,I,301 RIVERVIEW AVE,STE. 710,NORFOLK,VA,235101065,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,43,52,15.430384615,1.42,1.0734615385,1.0734615385
1033319975,VANGOMPLE,RYAN,,M.D.,M,I,301 RIVERVIEW AVE,STE. 710,NORFOLK,VA,235101065,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,41.25,16.88,13.23,13.1
1033320049,STECK,ANN,M,M.D.,F,I,6696 US HIGHWAY 20A,,DELTA,OH,43515,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,55,122,47.086639344,8.32,5.2836885246,5.2836885246
1033320049,STECK,ANN,M,M.D.,F,I,6696 US HIGHWAY 20A,,DELTA,OH,43515,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,23,14.719130435,1.42,0.6391304348,0.6391304348
1033320049,STECK,ANN,M,M.D.,F,I,6696 US HIGHWAY 20A,,DELTA,OH,43515,US,Physician/Family Practice,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,155,635.61,266.6516129,208.12896774,209.48677419
1033320049,STECK,ANN,M,M.D.,F,I,6696 US HIGHWAY 20A,,DELTA,OH,43515,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,155,40,9.3480645161,7.328516129,7.328516129
1033320049,STECK,ANN,M,M.D.,F,I,6696 US HIGHWAY 20A,,DELTA,OH,43515,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,155,175,29.213806452,22.905032258,22.904967742
1033320049,STECK,ANN,M,M.D.,F,I,6696 US HIGHWAY 20A,,DELTA,OH,43515,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.25,15.68,12.29,13.426666667
1033320049,STECK,ANN,M,M.D.,F,I,6696 US HIGHWAY 20A,,DELTA,OH,43515,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,440.24235294,70.04,54.91,54.740588235
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,49.221818182,28.46,22.31,22.31
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,19,10.96,6.34,4.97,5.8457894737
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,29,920,10.532,5.74,4.379173913,4.379173913
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,310,10.064870968,4.91,3.6011290323,3.6011290323
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,25,400,6.32955,2.8526,2.1971,2.243675
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,68,13,6.44,4.7520588235,4.7520588235
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,240,23.002,9.86,7.7300833333,7.7300833333
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,170,17.661764706,10.18,7.9812941176,7.9812941176
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,1620,4.0176049383,1.95,1.4910555556,1.4910555556
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,320,0.64,0.4,0.3135,0.3135
1033320064,KLINKER,KELLY,E,MD,F,I,11141 PARKVIEW PLAZA DR,STE 310,FORT WAYNE,IN,468451713,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,1050,0.8780952381,0.27,0.2116666667,0.2116666667
1033320148,VANLINT,LINDA,J,P.A.,F,I,1125 E BROADWAY,,GLENDALE,CA,912051315,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,51,62.471764706,8.32,5.242745098,5.242745098
1033320148,VANLINT,LINDA,J,P.A.,F,I,1125 E BROADWAY,,GLENDALE,CA,912051315,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,26,15.191538462,1.42,0.9876923077,0.9876923077
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,148.75666667,37.29,26.794166667,28.08
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,346.98,92.256315789,65.525263158,60.958421053
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,58,134.79051724,34.909137931,25.436724138,23.936206897
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,94,79.11787234,17.884893617,12.17606383,12.805212766
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,247.60761905,52.260952381,37.95047619,39.755238095
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,23,23,74.830869565,17.708695652,12.51826087,12.679130435
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,28,28,75.639642857,12.387142857,9.14,8.5325
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,42,221,10.606153846,2.1477828054,1.6415837104,1.5488235294
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,26.528181818,5.86,4.6,4.66
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,40.93375,12.37875,9.098125,9.74875
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,81.75,12.094166667,8.6191666667,8.7383333333
1033320783,ABO KAYASS,AHMAD,,M.D.,M,I,1611 N BELT LINE RD,SUITE B,MESQUITE,TX,751491722,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,12,46,49,205.01020408,32.161020408,23.775510204,24.196734694
1033320791,TOMCO,ABRAHAM,R,M.D.,M,I,700 W 800 N,SUITE 220,OREM,UT,840576301,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10.453,5.36,3.82,3.82
1033320791,TOMCO,ABRAHAM,R,M.D.,M,I,700 W 800 N,SUITE 220,OREM,UT,840576301,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,80.655,17.91,14.04,13.54
1033320791,TOMCO,ABRAHAM,R,M.D.,M,I,700 W 800 N,SUITE 220,OREM,UT,840576301,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,31,33,421.83575758,70.688484848,53.739393939,53.078181818
1033321286,HEROLD,CHRISTINA,I,M.D.,F,I,450 BROOKLINE AVENUE,SUITE YC-1250,BOSTON,MA,022155450,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,840,15.172440476,4.4308571429,3.4737619048,3.4737619048
1033321799,KOOM-DADZIE,KWAME,,M.D.,M,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,45.0596875,17.32,13.58,13.5425
1033321799,KOOM-DADZIE,KWAME,,M.D.,M,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,257.41631579,82.485263158,63.937631579,55.342368421
1033322078,ROOT,TIMOTHY,D,M.D.,M,I,345 N CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743114,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,42,47,47,82.94787234,75.929787234,59.52212766,53.282340426
1033322078,ROOT,TIMOTHY,D,M.D.,M,I,345 N CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743114,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,15,28,49.733214286,45.476428571,35.655,41.820714286
1033322078,ROOT,TIMOTHY,D,M.D.,M,I,345 N CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743114,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,23,27,52,73.104230769,67.685769231,53.068076923,53.981730769
1033322078,ROOT,TIMOTHY,D,M.D.,M,I,345 N CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743114,US,Physician/Ophthalmology,S,V2319,Trifocal seg width over 28 mm,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,50,48.02,37.645,40.860384615
1033322078,ROOT,TIMOTHY,D,M.D.,M,I,345 N CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743114,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,18,36,22.027777778,16.011111111,12.553055556,13.225555556
1033322078,ROOT,TIMOTHY,D,M.D.,M,I,345 N CLYDE MORRIS BLVD,SUITE 330,ORMOND BEACH,FL,321743114,US,Physician/Ophthalmology,S,V2784,"Lens, polycarbonate or equal, any index, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,16,32,43.4375,43.4375,34.055,34.38875
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,38,100,318,60.336477987,8.32,6.0081446541,6.0081446541
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,15.070666667,3.38,2.65,2.65
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,45,66,12.644545455,1.42,1.0145454545,1.0145454545
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,32,39.669375,15.17,9.6946875,9.6946875
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,211.964,61.3,45.190666667,41.71
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,56.02125,19.385,12.556875,11.988125
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,57.981666667,13.278888889,8.6277777778,7.3422222222
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,25,104,10.276153846,2.2090384615,1.4673076923,1.3371153846
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,30,12.808,10.044,10.130666667
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,142.07133333,48.402,34.850666667,35.248666667
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,32,17.27,13.54,13.54
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,21.595,4.895,3.325625,3.169375
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,251.12307692,42.734615385,33.502307692,28.333461538
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,320.41529412,72.771764706,53.622058824,51.298529412
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.5284861111,7.5284861111
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2161,0.1882600648,0.0463905599,0.0312540491,0.0312540491
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1529,1.4287181164,0.1362393721,0.1068345324,0.1068345324
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,750,12.674386667,3.00532,2.3561866667,2.3561866667
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,203.11727273,152.50454545,112.29454545
1033322698,VEERA,ARUN,,MD,M,I,835 MIDLAND RD,,SAGINAW,MI,486385782,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,40,89.925,33,24.5765,24.5765
1033323050,BOLING,KATHRYN,A,M.D,F,I,9000 FRANKLIN SQUARE DR,DEPARTMENT OF FAMILY MEDICINE,BALTIMORE,MD,212373901,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,33,75.355151515,8.32,5.7309090909,5.7309090909
1033323456,RICHTER,PAMELA,J,DO,F,I,730 EAST YANDELL DR,,EL PASO,TX,79902,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,620,275,4.86,3.8103225806,4.1455806452
1033323456,RICHTER,PAMELA,J,DO,F,I,730 EAST YANDELL DR,,EL PASO,TX,79902,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4523,3.6395688702,0.3583020119,0.2809086889,0.2900795932
1033323456,RICHTER,PAMELA,J,DO,F,I,730 EAST YANDELL DR,,EL PASO,TX,79902,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5496,17.005414847,1.16,0.8833278748,0.9192540029
1033323456,RICHTER,PAMELA,J,DO,F,I,730 EAST YANDELL DR,,EL PASO,TX,79902,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,167.93,47.561764706,27.833529412,27.852941176
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,269,509,509,118.013222,39.112396857,29.910117878,29.73194499
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,155,295,295,317.574,90.793254237,67.056949153,63.971152542
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,126,241,682,122.68680352,34.013357771,26.181832845,25.474897361
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,69,127,704,63.280383523,18.092116477,13.662982955,14.061164773
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,54,93,514,52.841303502,15.465583658,11.985603113,11.756498054
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,155,287,287,203.93362369,53.712125436,40.758083624,41.435574913
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,273,335,335,66.046238806,17.915671642,13.528865672,13.543402985
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,13,13,39.258461538,9.9907692308,7.8323076923,8.1261538462
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,38,64,64,62.60875,12.58296875,9.56515625,8.89828125
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,295,558,3251,7.5823069825,2.0754844663,1.575389111,1.543291295
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,238,304,304,26.223717105,6.0138157895,4.5951315789,4.5349671053
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,120,130,130,37.001538462,12.491846154,9.5758461538,10.079153846
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,441.16,84.101428571,58.960357143,60.299285714
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,669.62555556,212.39083333,162.52972222,164.32166667
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,79,79,79,471.00544304,131.29126582,99.831012658,100.41772152
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,15,151,859,859,154.51951106,32.423073341,23.718882421,23.881571595
1033323779,EPELBOIM FELDMAN,JOYCE,,MD,F,I,3624 MARKET ST,SUITE 205,PHILADELPHIA,PA,191042614,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,246.92307692,75.586153846,57.114615385,52.725641026
1033324280,HALALAU,ALEXANDRA,,,F,I,3601 W. 13 MILE ROAD,,ROYAL OAK,MI,40873,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,27,90,47.570444444,8.32,5.1007777778,5.1007777778
1033324280,HALALAU,ALEXANDRA,,,F,I,3601 W. 13 MILE ROAD,,ROYAL OAK,MI,40873,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,25,13.2376,1.42,0.8472,0.8472
1033324371,BYRNE,MARY,E,"RN,APN,C",F,I,754 STATE ROUTE 18,SUITE 107,EAST BRUNSWICK,NJ,088164909,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,32,74.166875,8.32,4.9975,4.9975
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,19,1232,0.1855519481,0.12,0.0940665584,0.0940665584
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,1050,0.563647619,0.4354285714,0.3414095238,0.3414095238
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,456,10.085263158,8.28,6.4915350877,6.4915350877
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,34,992,30.331995968,18.5,14.503991935,14.503991935
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,29,5640,0.0851879433,0.05,0.0392180851,0.0392180851
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,16,345,4.8976811594,3.67,2.8773043478,2.8773043478
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,14,1920,0.16,0.13,0.1019114583,0.1019114583
1033324900,WOLFERT,JARED,,D.O.,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Emergency Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,17,39,3816,0.6052751572,0.45,0.352822327,0.352822327
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,395,642,642,85.969626168,49.224875389,35.479252336,28.303302181
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,33,447,820,820,235.14130488,119.87810976,88.078853659,64.796878049
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,29,167,321,592,120.57515203,43.28902027,32.510709459,25.109273649
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,27,136,312,883,71.446375991,25.220928652,18.794915062,14.369456399
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,46,89,408,45.002328431,17.812965686,12.713235294,10.784681373
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,31,428,795,795,151.30884277,75.276490566,54.27309434,39.822163522
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,38,783,1034,1035,51.913130435,24.301681159,17.640888889,13.249014493
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,41,52,52,25.701538462,12.357692308,9.5230769231,8.0905769231
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,33,413,779,779,59.021745828,20.394903723,15.108831836,9.0790629012
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,39,387,851,3060,8.8945915033,2.9871535948,2.2488169935,1.6022320261
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,629,799,799,15.447334168,8.3746307885,6.1767083855,4.4747684606
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,24,287,355,355,38.678,15.744985915,11.517492958,9.8093802817
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,65.59,22.212307692,15.117692308,11.448461538
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,18,112,640,651,292.80732719,120.43420891,89.296190476,64.52109063
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,12,73,73,695.10712329,287.90123288,223.18,167.40931507
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,229,230,230,406.29991304,193.17643478,150.06208696,110.21508696
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,44,209,227,68.858986784,16.667444934,12.197709251,10.126828194
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,24,334,1832,1862,122.98575725,48.579017186,36.018319012,25.300703545
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,48,252.685,99.006666667,71.397291667,49.027291667
1033325022,ROLAND,MALCOLM,M,M.D.,M,I,2908 SOUTH LAMAR BLVD. SUITE 100,,OXFORD,MS,386556902,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,22,33,66.436363636,53.2,41.71,45.787575758
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,670,20,6.26,4.6937164179,5.4859402985
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,10.232307692,5.23,4.1003333333,4.1003333333
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,30,30,30,128.49033333,55.283666667,43.343333333,36.46
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,113.1275,61.005,47.8275,40.8725
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,5,22,155,157,21.429936306,10.802929936,8.2603821656,7.8414649682
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,185.56,71.507272727,56.062727273,43.876363636
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.98,12.1,12.325454545
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,95,40.859166667,32.035833333,25.455833333
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,70,40.796666667,31.983333333,31.983333333
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,15,15,30,57.700666667,31.062,24.350666667,22.717666667
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,14,14,21,135.75142857,61.962857143,48.581428571,40.315238095
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,29,27.30862069,16.67,13.068965517,12.156896552
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,450,70.23,55.06,54.72
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,100,37.44,29.35,29.51
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,98.901818182,77.540909091,91.218181818
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,13,13,13,88.680769231,39.778461538,31.184615385,29.400769231
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,11,54,54,97.03537037,32.23,25.26537037,23.618333333
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,97,97,165.42113402,52.544536082,41.196597938,28.666804124
1033325345,FLORIDA,HANNAH,H,MD,F,I,604 MEDICAL DR,,GREENVILLE,NC,278347503,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,27.459565217,9.2067391304,7.2202173913,6.6789130435
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,23,288,46.630590278,19.654027778,15.338368056,15.338368056
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,625,5.920832,2.63424,2.0652,2.0652
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,78,158,324,1643,71.480158247,8.32,6.1002982349,6.1002982349
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,13.465454545,3.38,2.65,2.65
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,45,71,129,278,15.23442446,1.42,1.0295683453,1.0295683453
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,18,18,36,80.547222222,69.731111111,54.670555556,56.104166667
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,17,17,102,41.315882353,29.171176471,22.870392157,22.886470588
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,13,13,13,34.010769231,32.914615385,24.74,58.709230769
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,631.512,350.559,272.6985,272.6985
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,17,86,89,379.93786517,251.04865169,195.20977528,195.25775281
1033325444,SAVARESE,VINCENT,W,M.D.,M,I,703 E MAIN ST,,MOORESTOWN,NJ,080573082,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,336.42785714,244.83928571,191.95071429,202.80785714
1033325477,IYER,HARISH,V,M.D.,M,I,5839 HARBOUR VIEW BLVD,SUITE 200,SUFFOLK,VA,234353315,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,254,14.5,8.1786614173,6.412007874,4.1631102362
1033325477,IYER,HARISH,V,M.D.,M,I,5839 HARBOUR VIEW BLVD,SUITE 200,SUFFOLK,VA,234353315,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,340,200,4.1,3.0203529412,3.0516470588
1033325477,IYER,HARISH,V,M.D.,M,I,5839 HARBOUR VIEW BLVD,SUITE 200,SUFFOLK,VA,234353315,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,6998,2.4691426122,0.3500485853,0.2744412689,0.2430451558
1033325477,IYER,HARISH,V,M.D.,M,I,5839 HARBOUR VIEW BLVD,SUITE 200,SUFFOLK,VA,234353315,US,Physician/Gastroenterology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,11.746666667,9.205,7.5875
1033325709,SCHURSKY,MELVIN,D,MD,M,I,7554 HOSPITAL DR,STE 303,GLOUCESTER,VA,230614178,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,410,8.253,4.03,3.1595121951,3.1595121951
1033326020,PETERSON,TRAVIS,A,DO,M,I,990 MEDICAL DR STE G4,,BRIGHAM CITY,UT,843023077,US,Physician/Orthopedic Surgery,S,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,80,56.14,41.211333333,42.952666667
1033326020,PETERSON,TRAVIS,A,DO,M,I,990 MEDICAL DR STE G4,,BRIGHAM CITY,UT,843023077,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,37,37,120,91.27,69.613783784,77.388648649
1033326020,PETERSON,TRAVIS,A,DO,M,I,990 MEDICAL DR STE G4,,BRIGHAM CITY,UT,843023077,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,24,25,98.92,69.4248,54.432,46.3408
1033326020,PETERSON,TRAVIS,A,DO,M,I,990 MEDICAL DR STE G4,,BRIGHAM CITY,UT,843023077,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,22,123,84.9,53.599090909,54.353181818
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,33,74,71.802702703,8.32,4.9822972973,4.9822972973
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,20,13.5345,1.42,0.781,0.781
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,16,16,229.680625,75.43125,59.138125,46.06125
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,75.730625,25.05375,19.638125,15.729375
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,13,13,70.147692308,20.140769231,15.788461538,11.79
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,21,121,7.9041322314,3.239338843,2.3937190083,1.7829752066
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,19.76,9.2063636364,7.2172727273,5.3336363636
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,168.32615385,22.666923077,17.769230769,13.993076923
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,577.04272727,55.825909091,42.668636364,28.24
1033326061,SHERESHEVSKY,ALEXEY,,M.D.,M,I,600 N. WESTHAVEN DRIVE,THEDACARE PHYSICIANS OSHKOSH,OSHKOSH,WI,549040000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,720.64538462,104.06769231,77.356923077,53.635384615
1033326152,PACHECO,FELIX,F,MD,M,I,1 W RIDGEWOOD AVE,,PARAMUS,NJ,076522359,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,81,58.981728395,8.32,6.3612345679,6.3612345679
1033326152,PACHECO,FELIX,F,MD,M,I,1 W RIDGEWOOD AVE,,PARAMUS,NJ,076522359,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,36,14.599166667,1.42,1.1127777778,1.1127777778
1033326152,PACHECO,FELIX,F,MD,M,I,1 W RIDGEWOOD AVE,,PARAMUS,NJ,076522359,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,56,14.29,11.203888889,13.332777778
1033326152,PACHECO,FELIX,F,MD,M,I,1 W RIDGEWOOD AVE,,PARAMUS,NJ,076522359,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,25,6.3455555556,4.9711111111,6.2644444444
1033326442,PARYANI,NAYNA,,FNP,F,I,5977 E SPRING ST,,LONG BEACH,CA,908083752,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,78,69.081666667,8.32,5.6870512821,5.6870512821
1033326467,DAVIS,NICHOLAS,D,MD,M,I,2350 MIAMI VALLEY DR,SUITE 530,CENTERVILLE,OH,454594778,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,56,62.619464286,8.32,6.0553571429,6.0553571429
1033326467,DAVIS,NICHOLAS,D,MD,M,I,2350 MIAMI VALLEY DR,SUITE 530,CENTERVILLE,OH,454594778,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,17,13.612352941,1.42,1.1141176471,1.1141176471
1033326772,MONTGOMERY,DANA,M,D.O.,F,I,315 S MAIN ST,,OLD FORGE,PA,185181606,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,26,72,82.156527778,8.32,5.2533333333,5.2533333333
1033326772,MONTGOMERY,DANA,M,D.O.,F,I,315 S MAIN ST,,OLD FORGE,PA,185181606,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,7.7727272727,1.51,1.185,1.155
1033326772,MONTGOMERY,DANA,M,D.O.,F,I,315 S MAIN ST,,OLD FORGE,PA,185181606,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1299,0.2050731332,0.0451886066,0.0332717475,0.0332717475
1033326772,MONTGOMERY,DANA,M,D.O.,F,I,315 S MAIN ST,,OLD FORGE,PA,185181606,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,0.75,0.2187857143,0.1659880952,0.1659880952
1033326772,MONTGOMERY,DANA,M,D.O.,F,I,315 S MAIN ST,,OLD FORGE,PA,185181606,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,114.52941176,33,24.348235294,24.348235294
1033326988,WILSON,PATRICIA,M,ARNP,F,I,175 STATE ST,,BELCHERTOWN,MA,010079033,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.1309090909,3.2327272727,3.8372727273
1033326988,WILSON,PATRICIA,M,ARNP,F,I,175 STATE ST,,BELCHERTOWN,MA,010079033,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,17,146.25,16.386470588,12.848235294,14.895294118
1033327069,MCCARTHY,JOHN,M,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Undefined Physician type[6],S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.883333333,17.27,12.411666667,12.411666667
1033327069,MCCARTHY,JOHN,M,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Undefined Physician type[6],S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,32.05,4.6930769231,3.685,3.5169230769
1033327069,MCCARTHY,JOHN,M,MD,M,I,180 S MAIN ST,,CANTON,IL,615202608,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,324.4,69.81,52.256666667,52.256666667
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,37,48,48,120.84604167,46.473541667,31.545,27.467708333
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,107,160,160,397.764875,102.8919375,75.0246875,63.0693125
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,70,138,242,173.01557851,40.058471074,28.976942149,23.892190083
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,46,71,263,96.061178707,24.151673004,16.557148289,13.953155894
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,29,49,158,65.557658228,18.928734177,11.090316456,9.0460126582
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,118,157,157,212.17210191,66.760700637,46.48566879,39.258471338
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,208,248,248,74.870040323,21.81766129,15.974677419,13.515604839
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,61.124166667,12.1,8.13625,7.2133333333
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,188,284,284,68.966091549,16.026760563,11.642887324,8.8149647887
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,209,375,1298,8.8489753467,2.5356317411,1.8297226502,1.5412172573
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,110,134,134,22.609701493,7.1444776119,5.2019402985,4.3928358209
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,59,76,76,61.482631579,14.713026316,10.116315789,9.2036842105
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,14,71,71,509.92774648,108.79591549,80.061549296,64.700422535
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,31,42,1009.2297619,267.32880952,206.17190476,178.0902381
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,55,55,55,662.98254545,157.59418182,123.55672727,110.89581818
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,46,216,226,48.238230088,16.207522124,12.150530973,10.206283186
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,140,737,763,392.05676278,43.571376147,31.724115334,24.478309305
1033327184,VIFIAN RAY,SHANA,L,M.D.,F,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,493.77808511,82.719148936,62.415957447,52.40106383
1033327838,DUFFY,JUDITH,A,APRN BC,F,I,750 WASHINGTON ST,NEMC BOX 796,BOSTON,MA,021111526,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,22,56,64.256071429,8.32,6.0553571429,6.0553571429
1033327838,DUFFY,JUDITH,A,APRN BC,F,I,750 WASHINGTON ST,NEMC BOX 796,BOSTON,MA,021111526,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,175,31.31,22.796428571,21.71
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,37,90,193,59.258290155,8.32,6.196373057,6.196373057
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,28,31,15.25516129,1.42,1.0825806452,1.0825806452
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,130,6.5395384615,3.04,2.3830769231,2.3830769231
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,26,45,81,8.64,1.9355555556,1.454691358,1.1460493827
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,17,21,21,87.06,19.653333333,14.934285714,9.0752380952
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,84,12.816428571,2.7878571429,2.185952381,1.6427380952
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,76.52,21.068,15.9196,12.9888
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,21,121,121,50.982644628,7.117768595,5.0907438017,3.3343801653
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,192.12526316,46.841052632,34.907368421,25.806315789
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,23,190,190,493.19305263,97.828315789,69.498263158,49.392
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1440,15.58,9.628375,7.4823541667,7.4823541667
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,31,85,12144,0.1805970026,0.0464863307,0.0327190382,0.0327190382
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,16,76,6096,1.7692372047,0.1339091207,0.1045554462,0.1045554462
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,52,3240,12.321743827,2.9348703704,2.2914382716,2.2914382716
1033327846,SIDORCZUK,SILWANA,,MD,F,I,460 MAIN ST,SUITE 201,MADAWASKA,ME,047561014,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,37,160,160,112.59375,33,24.355625,24.355625
1033328067,ALLEN,JASON,W,M.D.,M,I,1325 PENNSYLVANIA AVE,SUITE 400,FORT WORTH,TX,761042128,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,20,550,8.3005818182,5.74,4.3364181818,4.3364181818
1033328067,ALLEN,JASON,W,M.D.,M,I,1325 PENNSYLVANIA AVE,SUITE 400,FORT WORTH,TX,761042128,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,14,405,4.0404444444,2.91,2.281382716,2.281382716
1033328067,ALLEN,JASON,W,M.D.,M,I,1325 PENNSYLVANIA AVE,SUITE 400,FORT WORTH,TX,761042128,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,13,480,14.151916667,7,5.1891041667,5.1891041667
1033328067,ALLEN,JASON,W,M.D.,M,I,1325 PENNSYLVANIA AVE,SUITE 400,FORT WORTH,TX,761042128,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,520,5.3208653846,4.03,3.1595192308,3.1595192308
1033328265,HAQUE,SYEDA,Z,M.D,F,I,7436 WOODWARD AVE,,DETROIT,MI,482023100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,52,35.843269231,8.32,5.8038461538,5.8038461538
1033328265,HAQUE,SYEDA,Z,M.D,F,I,7436 WOODWARD AVE,,DETROIT,MI,482023100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,25,10.958,1.42,1.0264,1.0264
1033328430,FARRELL,KATHLEEN,F,M.D.,F,I,818 WEST DIAMOND AVENUE,STE 130,GAITHERSBURG,MD,20878,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,36,85.694166667,8.32,6.1594444444,6.1594444444
1033328828,"DR. RACHEL WEST, INC.",,,,,O,2211 CORINTH AVE,STE 204,LOS ANGELES,CA,900641650,US,Physician/Family Practice,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,660,108.63866667,39.951272727,31.314757576,31.314757576
1033328828,"DR. RACHEL WEST, INC.",,,,,O,2211 CORINTH AVE,STE 204,LOS ANGELES,CA,900641650,US,Physician/Family Practice,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,900,358.5,281.06,281.06
1033329610,SAENZ ALVARADO,RODRIGO,J,M.D.,M,I,4815 ALAMEDA AVE FL 4,"UMC, 4TH FLOOR, CARDIOLOGY DEPT, JOE GARCIA",EL PASO,TX,799052705,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,28,17,17,12.853928571,13.013214286
1033329610,SAENZ ALVARADO,RODRIGO,J,M.D.,M,I,4815 ALAMEDA AVE FL 4,"UMC, 4TH FLOOR, CARDIOLOGY DEPT, JOE GARCIA",EL PASO,TX,799052705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,77.18,77.18,58.268888889,54.194444444
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,78,254,415,51.541590361,8.32,6.0688433735,6.0688433735
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,62,145,150,14.631266667,1.42,1.0521333333,1.0521333333
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,141.37909091,46.21,35.66,35.868181818
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,52.090909091,15.69,12.3,12.063636364
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,138.23,47.3725,37.1375,37.9825
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,98,98,40.904081633,4.1757142857,3.1417346939,3.5831632653
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,17,17,17,33.168235294,30.504705882,22.105294118,49.247647059
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,111.88,43.6375,34.2125,36.0725
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,481.55090909,67.759090909,53.123636364,54.88
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,37.44,29.35,29.437272727
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,15,62,13984,0.485097254,0.0463558352,0.0329040332,0.0329040332
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,200.57857143,18.32,12.765357143,13.061428571
1033329792,OPREA,LUCIAN,,MD.,M,I,608 G STREET,SUITE 1A,BRAWLEY,CA,92227,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,51,51,44.647058824,33,23.840980392,23.840980392
1033329842,DILLION,APRIL,,DO,F,I,300 W MYRTLE ST,SUITE 100,BOISE,ID,837027690,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,67,74.017014925,8.32,5.4707462687,5.4707462687
1033329842,DILLION,APRIL,,DO,F,I,300 W MYRTLE ST,SUITE 100,BOISE,ID,837027690,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,1.9997,1.73,1.3563,1.5790958333
1033329842,DILLION,APRIL,,DO,F,I,300 W MYRTLE ST,SUITE 100,BOISE,ID,837027690,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.3536909091,0.27,0.2116,0.2116
1033329842,DILLION,APRIL,,DO,F,I,300 W MYRTLE ST,SUITE 100,BOISE,ID,837027690,US,Physician/Family Practice,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,675,433.42166667,327.8475,327.8475
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,31,82,54.960121951,8.32,5.8062195122,5.8062195122
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,33,33,157.26424242,49.620606061,34.890606061,27.154545455
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,405.77266667,119.46066667,83.611333333,58.8
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,43,153.17976744,44.943023256,34.599302326,25.281860465
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,66,108.17939394,27.930606061,21.896666667,16.174242424
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,303.174375,78.31125,58.448125,41.781875
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,20,20,79.2185,25.8785,19.506,14.2475
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,34,188,12.035106383,3.1370212766,2.4032446809,1.6279787234
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,46.430714286,15.642857143,12.259285714,10.752857143
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,70.75,14.7625,7.715,6.9866666667
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,257.82,36.204,21.492,17.145333333
1033340567,ROENFANZ,KELLI,A,DO,F,I,15111 TWELVE OAKS CENTER DR,,MINNETONKA,MN,553055201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,434.09025,99.9805,70.79975,48.786
1033341060,HASSAN,ZAHOORUL,,,M,I,40592 TAMARACK DR,APT#204,CANTON,MI,481882828,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,191.12615385,61.500769231,48.214615385,40.457692308
1033341060,HASSAN,ZAHOORUL,,,M,I,40592 TAMARACK DR,APT#204,CANTON,MI,481882828,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,28.633333333,5.3091666667,3.8475,3.3172222222
1033341060,HASSAN,ZAHOORUL,,,M,I,40592 TAMARACK DR,APT#204,CANTON,MI,481882828,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,234.425,74.642777778,55.196111111,55.196111111
1033341060,HASSAN,ZAHOORUL,,,M,I,40592 TAMARACK DR,APT#204,CANTON,MI,481882828,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,73.93,40.800526316,31.987368421,29.224210526
1033341185,SUGRIM,SURENDRA,,MD,M,I,13106 LIBERTY AVE,,SOUTH RICHMOND HILL,NY,114193124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,32,67.4465625,8.32,4.6865625,4.6865625
1033341185,SUGRIM,SURENDRA,,MD,M,I,13106 LIBERTY AVE,,SOUTH RICHMOND HILL,NY,114193124,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,56.398181818,1.42,0.9163636364,0.9163636364
1033341565,MATCHA,ANUPAMA,,M.D.,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,3.84,3.0109090909,3.5345454545
1033341821,GARCIA-RIOS,KIRK,F,DO,M,I,2305 GENOA BUSINESS PARK DR,SUITE 200,BRIGHTON,MI,481147004,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,4.35,2.04,1.5578846154,1.5578846154
1033341995,LANZA,DEBRA,J,NP,F,I,9200 W WISCONSIN AVE,VASCULAR SURGERY,MILWAUKEE,WI,532263522,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,800,0.958475,0.12,0.0941125,0.0941125
1033341995,LANZA,DEBRA,J,NP,F,I,9200 W WISCONSIN AVE,VASCULAR SURGERY,MILWAUKEE,WI,532263522,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1526,1,0.45,0.3527785059,0.3527785059
1033342274,VENZOR,JOHN,A,DO,M,I,3717 TURMAN LOOP,SUITE 101,WESLEY CHAPEL,FL,335447794,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17,17,13.33,13.5225
1033342274,VENZOR,JOHN,A,DO,M,I,3717 TURMAN LOOP,SUITE 101,WESLEY CHAPEL,FL,335447794,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.88,79.88,62.62,55.378333333
1033342506,WEBB,VALARIE,I,N.P.-C,F,I,1112 PLAZA AVE STE B,,EASTMAN,GA,310239012,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,12,54,57,27.894736842,8.3463157895,5.9764912281,4.1835087719
1033342506,WEBB,VALARIE,I,N.P.-C,F,I,1112 PLAZA AVE STE B,,EASTMAN,GA,310239012,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1245,1.2554216867,0.1374939759,0.1077991968,0.1077991968
1033342506,WEBB,VALARIE,I,N.P.-C,F,I,1112 PLAZA AVE STE B,,EASTMAN,GA,310239012,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,33,33,25.87,25.87
1033342522,BRANDL,ADAM,C,FNP-BC,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,32,68,178,67.94247191,8.32,5.6226966292,5.6226966292
1033342522,BRANDL,ADAM,C,FNP-BC,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,17.608666667,1.42,1.0426666667,1.0426666667
1033342522,BRANDL,ADAM,C,FNP-BC,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,236,48.713333333,38.18952381,26.426190476
1033342522,BRANDL,ADAM,C,FNP-BC,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,3450,1.795315942,0.1312347826,0.0934115942,0.0934115942
1033342522,BRANDL,ADAM,C,FNP-BC,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,21.9895,21.9895
1033343173,SPILLMAN,SARAH,H,DO,F,I,2780 DELAWARE AVE,SUITE 201,KENMORE,NY,142172740,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,44,73.482954545,8.32,4.5688636364,4.5688636364
1033343173,SPILLMAN,SARAH,H,DO,F,I,2780 DELAWARE AVE,SUITE 201,KENMORE,NY,142172740,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,341.81318182,77.18,57.759545455,52.232727273
1033343256,NICHOLSON,KATHARINE,A,M.D.,F,I,165 CAMBRIDGE ST STE 600,"NCRI, MASSACHUSETTS GENERAL HOSPITAL",BOSTON,MA,021142781,US,Physician/Neurology,S,A7020,"Interface for cough stimulating device, includes all components, replacement only",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,29.375,15.7,12.31,12.740833333
1033343256,NICHOLSON,KATHARINE,A,M.D.,F,I,165 CAMBRIDGE ST STE 600,"NCRI, MASSACHUSETTS GENERAL HOSPITAL",BOSTON,MA,021142781,US,Physician/Neurology,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1537.95,1074.31,842.26,842.26
1033343256,NICHOLSON,KATHARINE,A,M.D.,F,I,165 CAMBRIDGE ST STE 600,"NCRI, MASSACHUSETTS GENERAL HOSPITAL",BOSTON,MA,021142781,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,66,66,3329.474697,1064.0513636,811.89818182,819.94090909
1033343256,NICHOLSON,KATHARINE,A,M.D.,F,I,165 CAMBRIDGE ST STE 600,"NCRI, MASSACHUSETTS GENERAL HOSPITAL",BOSTON,MA,021142781,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,4,,62,62,496.31435484,380.6766129,283.49016129,291.05306452
1033343256,NICHOLSON,KATHARINE,A,M.D.,F,I,165 CAMBRIDGE ST STE 600,"NCRI, MASSACHUSETTS GENERAL HOSPITAL",BOSTON,MA,021142781,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,59,59,58.13,41.212711864,31.747118644,31.792881356
1033343439,SHAMS,MARISSA,,MD,F,I,2015 UPPERGATE DR NE,,ATLANTA,GA,303221015,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,72.96,19.684166667,15.432291667,15.432291667
1033343439,SHAMS,MARISSA,,MD,F,I,2015 UPPERGATE DR NE,,ATLANTA,GA,303221015,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,5600,33.561,9.8400857143,7.714625,7.714625
1033343439,SHAMS,MARISSA,,MD,F,I,2015 UPPERGATE DR NE,,ATLANTA,GA,303221015,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,8.7775,2.6366666667,2.0672916667,2.0672916667
1033343728,COLLINS,KIMBERLY,R,M.D.,F,I,520 W MAIN ST,,SMITHVILLE,TN,371661138,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,49,47.051428571,21.641428571,15.868367347,13.50122449
1033343728,COLLINS,KIMBERLY,R,M.D.,F,I,520 W MAIN ST,,SMITHVILLE,TN,371661138,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,37,245.2972973,95.145405405,67.742972973,56.085135135
1033344213,KRAUZE,MICHAL,T,M.D,M,I,5150 CENTRE AVE,,PITTSBURGH,PA,152321309,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,280,12.496928571,1.6355,1.2822857143,1.2822857143
1033344213,KRAUZE,MICHAL,T,M.D,M,I,5150 CENTRE AVE,,PITTSBURGH,PA,152321309,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,1008,38.9525,5.2744146825,3.992797619,3.992797619
1033344213,KRAUZE,MICHAL,T,M.D,M,I,5150 CENTRE AVE,,PITTSBURGH,PA,152321309,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1033344213,KRAUZE,MICHAL,T,M.D,M,I,5150 CENTRE AVE,,PITTSBURGH,PA,152321309,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,26,16,16,12.54,12.54
1033344239,DEEGAN,ERIN,M,MD,F,I,2910 BROWNWOOD BLVD,,THE VILLAGES,FL,321632032,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,47.5,29.4,29.3625
1033344296,ALEXANDER,THOMAS,C,M.D.,M,I,210 E DERENNE AVE,,SAVANNAH,GA,314056736,US,Physician/Orthopedic Surgery,S,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,110,53.909285714,39.29,43.265
1033344296,ALEXANDER,THOMAS,C,M.D.,M,I,210 E DERENNE AVE,,SAVANNAH,GA,314056736,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,125.10916667,124.22,97.386666667,88.933333333
1033344296,ALEXANDER,THOMAS,C,M.D.,M,I,210 E DERENNE AVE,,SAVANNAH,GA,314056736,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,104.36133333,53.2,38.929333333,43.26
1033344296,ALEXANDER,THOMAS,C,M.D.,M,I,210 E DERENNE AVE,,SAVANNAH,GA,314056736,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,16,597.59375,266.98,209.31,217.6925
1033344734,DRAMBAREAN,PAUL,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,194.8,78.618,61.638,39.928
1033344734,DRAMBAREAN,PAUL,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,63,63,44.087301587,19.050952381,14.386349206,13.774444444
1033344734,DRAMBAREAN,PAUL,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,33.167391304,5.7726086957,3.9043478261,2.8408695652
1033344734,DRAMBAREAN,PAUL,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,63,63,292.62698413,81.037460317,60.837142857,57.389206349
1033344734,DRAMBAREAN,PAUL,,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,65.909090909,19.950909091,15.641818182,14.289090909
1033344742,WOOD,JENNIFER,L,PA-C,F,I,MEDICAL CENTER BLVD,WAKE FOREST BAPTIST HEALTH-OFFICE OF NEUROLOGY,WINSTON SALEM,NC,271570001,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,580,126.12545455,85.833636364,82.946363636
1033344767,WILCOX,RYAN,E,M.D.,M,I,1303 N MAIN ST,,CEDAR CITY,UT,847219746,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,447.255,69.63,50.638571429,50.811428571
1033344767,WILCOX,RYAN,E,M.D.,M,I,1303 N MAIN ST,,CEDAR CITY,UT,847219746,US,Physician/Hematology-Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,123.25,26.302,20.619333333,14.844
1033344767,WILCOX,RYAN,E,M.D.,M,I,1303 N MAIN ST,,CEDAR CITY,UT,847219746,US,Physician/Hematology-Oncology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.16,11.370909091,8.9118181818,6.7163636364
1033344791,TIMMER,CARRI,J,D.O.,F,I,11225 PACIFIC AVENUE,PARKLAND CLINIC,TACOMA,WA,98444,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,55,61.088727273,8.32,6.1089090909,6.1089090909
1033344817,PATEL,KETAN,M,MD,M,I,1450 SAN PABLO ST STE 6200,,LOS ANGELES,CA,900335331,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1180,0.5489830508,0.44,0.345,0.345
1033344817,PATEL,KETAN,M,MD,M,I,1450 SAN PABLO ST STE 6200,,LOS ANGELES,CA,900335331,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,1488,0.16,0.13,0.1019086022,0.1019086022
1033344817,PATEL,KETAN,M,MD,M,I,1450 SAN PABLO ST STE 6200,,LOS ANGELES,CA,900335331,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,13,1392,0.5632327586,0.45,0.352816092,0.352816092
1033344866,YOUNG,THOMAS,J,MD,M,I,"401 MULBERRY STREET, SW",SUITE 202,LENOIR,NC,28645,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,350,5.4817142857,5.4817142857,4.2976857143,4.3339428571
1033344866,YOUNG,THOMAS,J,MD,M,I,"401 MULBERRY STREET, SW",SUITE 202,LENOIR,NC,28645,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,132,13.075454545,10.93,7.7901515152,7.7901515152
1033344866,YOUNG,THOMAS,J,MD,M,I,"401 MULBERRY STREET, SW",SUITE 202,LENOIR,NC,28645,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,21,25,3110,0.16,0.13,0.0986527331,0.0986527331
1033344866,YOUNG,THOMAS,J,MD,M,I,"401 MULBERRY STREET, SW",SUITE 202,LENOIR,NC,28645,US,Physician/General Surgery,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,74,1.5262162162,1.28,1.0035135135,1.0035135135
1033344916,SOLOMON,RACHEL,,M.D.,F,I,17 E 102ND ST,,NEW YORK,NY,100295204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,35,74.248285714,8.32,4.6588571429,4.6588571429
1033344916,SOLOMON,RACHEL,,M.D.,F,I,17 E 102ND ST,,NEW YORK,NY,100295204,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,12.96,5.54,4.34,4.34
1033344999,YANES,JESUS,A,MD,M,I,9179 GRISSOM RD,SUITE 101,SAN ANTONIO,TX,782512803,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,39,71.258205128,8.32,6.5233333333,6.5233333333
1033345657,COMPTON,CHRISTOPHER,J,M.D.,M,I,301 E MUHAMMAD ALI BLVD,,LOUISVILLE,KY,402021511,US,Physician/Ophthalmology,S,V2628,Fabrication and fitting of ocular conformer,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,495,305.385,230.71222222,246.10833333
1033345970,SYLVIA,BRETT,A,M.D.,M,I,1 DEACONESS RD,"DEPT OF EMERGENCY MEDICINE, WEST-CC2",BOSTON,MA,022155321,US,Physician/Emergency Medicine,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,121.7,121.7,95.41,81.678181818
1033345970,SYLVIA,BRETT,A,M.D.,M,I,1 DEACONESS RD,"DEPT OF EMERGENCY MEDICINE, WEST-CC2",BOSTON,MA,022155321,US,Physician/Emergency Medicine,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,335.04,325.74166667,255.38,222.53833333
1033346168,CULPEPPER,JAY,M,M.D.,M,I,204 8TH ST,,GREENWOOD,MS,389304012,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,23,23,69.978695652,24.333043478,15.944347826,11.38826087
1033346168,CULPEPPER,JAY,M,M.D.,M,I,204 8TH ST,,GREENWOOD,MS,389304012,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,33.16875,11.24625,7.9775,6.156875
1033346168,CULPEPPER,JAY,M,M.D.,M,I,204 8TH ST,,GREENWOOD,MS,389304012,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,24,87,87,67.27875,98.711666667
1033346168,CULPEPPER,JAY,M,M.D.,M,I,204 8TH ST,,GREENWOOD,MS,389304012,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,20,30,30,19.992,43.677
1033346168,CULPEPPER,JAY,M,M.D.,M,I,204 8TH ST,,GREENWOOD,MS,389304012,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,100,100,62.666923077,105.60769231
1033346291,CASTELLINO,SHARON FRANKLIN,,,F,I,175 MADISON AVE,,MOUNT HOLLY,NJ,080602099,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,21.44,4.6270588235,3.6247058824,3.7705882353
1033346291,CASTELLINO,SHARON FRANKLIN,,,F,I,175 MADISON AVE,,MOUNT HOLLY,NJ,080602099,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,72,47.041666667,45.608333333
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,33,111,51.02,8.32,5.7158558559,5.7158558559
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.911111111,3.38,2.2083333333,2.2083333333
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,43,14.237674419,1.42,0.9318604651,0.9318604651
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,1.92,1.92,1.4992125,1.5932666667
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,22.4775,16.965,12.874166667
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,50.73,3.9280645161,2.86,3.3577419355
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,102.61833333,75.474166667,50.169166667
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,870,1.0505632184,0.1387241379,0.1025172414,0.1025172414
1033346358,THUROW,BRANDON,M,MD,M,I,2869 COLLEGE AVE,,CONWAY,AR,720346087,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,100.5,33,24.694090909,24.694090909
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,70.5,28.46,20.450833333,20.450833333
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,30.57,9.29,6.6733333333,7.8825
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160,45.74,29.883333333,29.358333333
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,61.35,46.01,35.402,34.562
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,37.448125,17.640625,13.83125,13.540625
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,445.16535714,76.543571429,59.113214286,54.021785714
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,25,28.9,22.2576,15.8576,18.966
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,195,65.876666667,46.211666667,47.6425
1033346366,JAMES,CLEVE,O,"M.D., PH.D.",M,I,4102 WOODLAWN AVE,STE 110,PASADENA,TX,775041921,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,35.56,27.88,29.51
1033346382,MESHEW,CATHERINE,L,M.D.,F,I,1701 E PFLUGERVILLE PKWY,,PFLUGERVILLE,TX,786608990,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,25,73,62.842876712,8.32,6.0749315068,6.0749315068
1033346382,MESHEW,CATHERINE,L,M.D.,F,I,1701 E PFLUGERVILLE PKWY,,PFLUGERVILLE,TX,786608990,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,24,14.979166667,1.42,1.115,1.115
1033346382,MESHEW,CATHERINE,L,M.D.,F,I,1701 E PFLUGERVILLE PKWY,,PFLUGERVILLE,TX,786608990,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,42.918387097,17.5,13.72,14.551774194
1033346382,MESHEW,CATHERINE,L,M.D.,F,I,1701 E PFLUGERVILLE PKWY,,PFLUGERVILLE,TX,786608990,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,124.09636364,55,43.12,42.86
1033346408,MUDAKHA,SHIKATA,A,M.D.,F,I,245 NORTH 15TH STREET,,PHILADELPHIA,PA,19102,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,21,49,85.442653061,8.32,4.5244897959,4.5244897959
1033346721,ROTSHTEYN,YURY,,D.P.M.,M,I,446 BAY RIDGE PKWY,,BROOKLYN,NY,112092702,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,27,27,54,74.981481481,70.575925926,55.332777778,56.007592593
1033346721,ROTSHTEYN,YURY,,D.P.M.,M,I,446 BAY RIDGE PKWY,,BROOKLYN,NY,112092702,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,27,27,148,31.131351351,28.929459459,22.680810811,22.843108108
1033347075,GASTON,RICHARD,L,M.D.,M,I,1 MEDICAL VILLAGE DR,,EDGEWOOD,KY,410173403,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,17.16,13.46,13.54
1033347075,GASTON,RICHARD,L,M.D.,M,I,1 MEDICAL VILLAGE DR,,EDGEWOOD,KY,410173403,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,72.45,56.8,54.73
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,20,52,662,61.212175227,19.624773414,15.168761329,15.168761329
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,19,48,1505,8.2450564784,2.6292358804,2.061255814,2.061255814
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,70,135,321,1655,64.109824773,8.3165196375,6.058918429,6.0616374622
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,17,41,41,12.413658537,3.38,2.65,2.65
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,18,26,26,17.143461538,2.12,1.67,1.67
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,49,104,243,13.472139918,1.42,1.0075308642,1.0075308642
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,713.81230769,355.46192308,264.41884615,264.41884615
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,3160,12.907639241,9.9631170886,7.8040949367,7.8040949367
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,39,169,173,373.91468208,251.01589595,195.13751445,195.21104046
1033347117,MUNOZ,MONICA,J,D.O.,F,I,4600 MILITARY TRL,SUITE 203,JUPITER,FL,334584810,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,26,26,26,319.68692308,264.16,207.1,207.1
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,41,118,333,70.396726727,8.32,5.9537237237,5.9537237237
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,14.625384615,1.42,1.0323076923,1.0323076923
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,70,70,104.77214286,21.816142857,16.676428571,13.401428571
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,70,8.5129411765,6.3888235294,3.6658823529
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,21,163,164,443.10518293,102.4345122,76.606219512,53.030670732
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,250,44.656956522,33.584782609,28.232608696
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1350,15.58,9.5710666667,7.226237037,7.226237037
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1110,12.86,3.0723513514,2.4087477477,2.4087477477
1033347158,CORRY,MARK,W,MD,M,I,1303 N MAIN ST.,SUITE C,CEDAR CITY,UT,84721,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,124.08,33,25.1356,25.1356
1033347216,BHUGRA,MUDITA,,MD,F,I,1900 WEALTHY ST SE,SUTE 200,GRAND RAPIDS,MI,495062969,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,58,59.251206897,8.32,5.3984482759,5.3984482759
1033347216,BHUGRA,MUDITA,,MD,F,I,1900 WEALTHY ST SE,SUTE 200,GRAND RAPIDS,MI,495062969,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,999.08,778.60166667,832.66583333
1033347315,MISHRA,KAVITA,,MD,F,I,300 PASTEUR DR,,STANFORD,CA,94305,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1800,2.0497777778,1.73,1.3563333333,1.5790888889
1033347620,RICE,GILBERT,C,DO,M,I,1790 E MARKET ST STE 64B,,HARRISONBURG,VA,228015197,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,48,138,304,55.334473684,8.32,5.8254934211,5.8254934211
1033347620,RICE,GILBERT,C,DO,M,I,1790 E MARKET ST STE 64B,,HARRISONBURG,VA,228015197,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14.293333333,3.38,2.2083333333,2.2083333333
1033347620,RICE,GILBERT,C,DO,M,I,1790 E MARKET ST STE 64B,,HARRISONBURG,VA,228015197,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,25,52,75,13.753733333,1.42,1.0270666667,1.0270666667
1033348057,MUSIELAK,DELENE,P,M.D.,F,I,11550 OLIVE BLVD STE 120,,CREVE COEUR,MO,63141,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,56,54.477678571,8.32,6.5228571429,6.5228571429
1033348073,TOWNSEND,PETRA,E,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,9.312,7.87,6.1103166667,6.1181208333
1033348073,TOWNSEND,PETRA,E,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,21,1544,0.5971502591,0.4306735751,0.3376748705,0.3376748705
1033348073,TOWNSEND,PETRA,E,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,14,532,5.0446240602,3.67,2.8394736842,2.8394736842
1033348073,TOWNSEND,PETRA,E,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,19,23,3184,0.1795288945,0.13,0.1019252513,0.1019252513
1033348073,TOWNSEND,PETRA,E,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,17,22,3041,0.6449227228,0.4497632358,0.35261756,0.3527984216
1033348073,TOWNSEND,PETRA,E,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,967,2.2974870734,1.97,1.4997724922,1.4997724922
1033348073,TOWNSEND,PETRA,E,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,0.68,0.3086222222,0.2419648148,0.2430444444
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,19,800,0.14825,0.1195,0.09365,0.09365
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,73,73,146,100,71.56,56.105,56.105
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,96,60.625,43.56,29.771458333,29.769791667
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,16,312,33.928461538,23.66,18.549358974,18.549358974
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,16,1354,0.2220384047,0.13,0.1019276219,0.1019276219
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,13,150,82.5,25.336,19.8632,19.198933333
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,95,53.9,8.4821052632,6.6501052632,6.4288421053
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,4818,716.70642857,561.90071429,503.21714286
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,71,19.715,15.4575,14.2875
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,55,55,307,70,43.56,34.151628664,34.15
1033348172,SMITH,LAUREN,F,D.P.M.,F,I,1900 10TH AVE,SUITE 120,COLUMBUS,GA,319013600,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,346.66666667,266.414,192.82733333,201.76933333
1033348263,ORENGO-MCFARLANE,MICHELLE,,M.D.,F,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,24,46,151,45.201523179,8.32,6.047218543,6.047218543
1033348263,ORENGO-MCFARLANE,MICHELLE,,M.D.,F,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,22,40,9.6045,1.42,0.97575,0.97575
1033348263,ORENGO-MCFARLANE,MICHELLE,,M.D.,F,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,925,1.4772432432,0.1386810811,0.1087027027,0.1087027027
1033348263,ORENGO-MCFARLANE,MICHELLE,,M.D.,F,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,85.8,33,24.145333333,24.145333333
1033348438,SMITH,TAYLOR,F,M.D.,M,I,1200 N STATE ST STE 330,,JACKSON,MS,39202,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,52,52,52,116.40615385,76.655576923,59.899230769,53.233269231
1033348438,SMITH,TAYLOR,F,M.D.,M,I,1200 N STATE ST STE 330,,JACKSON,MS,39202,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,29,29,52,55.615961538,47.216538462,34.283461538,40.702115385
1033348438,SMITH,TAYLOR,F,M.D.,M,I,1200 N STATE ST STE 330,,JACKSON,MS,39202,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,42,68.827857143,67.724761905,53.098095238,54.047857143
1033348438,SMITH,TAYLOR,F,M.D.,M,I,1200 N STATE ST STE 330,,JACKSON,MS,39202,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,22,44,17.132727273,17.072727273,12.751818182,13.354090909
1033348537,HOLLIDAY,LAUREN,S,MD,F,I,8 RICHLAND MEDICAL PARK DR,SUITE 300,COLUMBIA,SC,292038005,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,8.1781818182,2.4145454545,1.5913636364,1.3066666667
1033348537,HOLLIDAY,LAUREN,S,MD,F,I,8 RICHLAND MEDICAL PARK DR,SUITE 300,COLUMBIA,SC,292038005,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,268.70705882,93.542352941,70.340588235,51.728823529
1033348602,VIISOREANU,DELIA,,M.D.,F,I,33501 1ST WAY S,,FEDERAL WAY,WA,980036208,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,38,109,339,63.812684366,8.32,5.6149557522,5.6149557522
1033348602,VIISOREANU,DELIA,,M.D.,F,I,33501 1ST WAY S,,FEDERAL WAY,WA,980036208,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,12.413846154,3.38,2.4461538462,2.4461538462
1033348602,VIISOREANU,DELIA,,M.D.,F,I,33501 1ST WAY S,,FEDERAL WAY,WA,980036208,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,34,62,14.216774194,1.42,0.8796774194,0.8796774194
1033348602,VIISOREANU,DELIA,,M.D.,F,I,33501 1ST WAY S,,FEDERAL WAY,WA,980036208,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,554.724375,77.34,56.840625,54.628125
1033348610,TOMY,SINDA,K,DO,F,I,315 S MANNING BLVD,HOSPITALIST DEPARTMENT,ALBANY,NY,122081707,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,41.07,17.55,11.794285714,11.605714286
1033348610,TOMY,SINDA,K,DO,F,I,315 S MANNING BLVD,HOSPITALIST DEPARTMENT,ALBANY,NY,122081707,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,273.73942857,79.48,58.749428571,52.026857143
1033348768,ELSOUEIDI,RAYMOND,,M.D.,M,I,200 MEDICAL CENTER DR,,HAZARD,KY,417019466,US,Physician/Hematology-Oncology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22,7.9045454545,6.1945454545,4.0272727273
1033348768,ELSOUEIDI,RAYMOND,,M.D.,M,I,200 MEDICAL CENTER DR,,HAZARD,KY,417019466,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,267.58545455,113.23818182,88.782727273,66.233636364
1033348768,ELSOUEIDI,RAYMOND,,M.D.,M,I,200 MEDICAL CENTER DR,,HAZARD,KY,417019466,US,Physician/Hematology-Oncology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1380,1.9086594203,0.1353043478,0.0961956522,0.0961956522
1033348768,ELSOUEIDI,RAYMOND,,M.D.,M,I,200 MEDICAL CENTER DR,,HAZARD,KY,417019466,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,20,1184,50.139391892,5.1501773649,4.0377618243,4.0377618243
1033348768,ELSOUEIDI,RAYMOND,,M.D.,M,I,200 MEDICAL CENTER DR,,HAZARD,KY,417019466,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,24,24,18.82,18.82
1033349170,LOVELL,BRIGITTE,V,DMD,F,I,1202 MARICOPA HWY,STE A,OJAI,CA,930233169,US,Oral Surgery (Dentist only),S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,1720,1384.81,1085.69,1085.69
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,16,47,589,51.491578947,19.621052632,14.602241087,14.607606112
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,16,41,1505,6.1900598007,2.6300332226,2.0206777409,2.022551495
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,73,231,1290,75.917689922,8.32,5.8670852713,5.8670852713
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.4733333333,2.4733333333
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,23,66,158,16.000063291,1.42,1.0431012658,1.0431012658
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,577.74,343.20461538,269.07076923,269.07076923
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,39,3960,14.637800505,10.473626263,8.1598030303,8.1597929293
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,15,47,47,287.99404255,251.11,196.87,196.87
1033349246,MCKENNEY,RACHEL,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,15,15,15,287.698,242.032,189.74666667,198.41866667
1033349261,NGUYEN,MAI TRANG,L,M.D.,F,I,7100 SIX FORKS RD STE 101,,RALEIGH,NC,276156260,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,86,251,68.797011952,8.32,6.0317928287,6.0317928287
1033349261,NGUYEN,MAI TRANG,L,M.D.,F,I,7100 SIX FORKS RD STE 101,,RALEIGH,NC,276156260,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,15.419130435,3.38,2.65,2.65
1033349261,NGUYEN,MAI TRANG,L,M.D.,F,I,7100 SIX FORKS RD STE 101,,RALEIGH,NC,276156260,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,36,57,18.164385965,1.42,1.0561403509,1.0561403509
1033349261,NGUYEN,MAI TRANG,L,M.D.,F,I,7100 SIX FORKS RD STE 101,,RALEIGH,NC,276156260,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,27.331538462,6.0523076923,4.7423076923,3.6315384615
1033349261,NGUYEN,MAI TRANG,L,M.D.,F,I,7100 SIX FORKS RD STE 101,,RALEIGH,NC,276156260,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,945,0.4747195767,0.0442433862,0.0346984127,0.0346984127
1033349261,NGUYEN,MAI TRANG,L,M.D.,F,I,7100 SIX FORKS RD STE 101,,RALEIGH,NC,276156260,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,13,13,33,33,25.87,25.87
1033349337,PEDERSEN,KATRINA,S,MD,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,506,15.313438735,13.13,10.294031621,10.294031621
1033349337,PEDERSEN,KATRINA,S,MD,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,130,614.42,326.82,256.22692308,256.22692308
1033349337,PEDERSEN,KATRINA,S,MD,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,130,17.13,9.35,7.33,7.33
1033349337,PEDERSEN,KATRINA,S,MD,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,130,53.53,29.22,22.908538462,22.908538462
1033349337,PEDERSEN,KATRINA,S,MD,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,16,34,3005,89.567387687,5.1329051581,3.9889051581,3.9889051581
1033349337,PEDERSEN,KATRINA,S,MD,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,41,24,18.82,18.82
1033349337,PEDERSEN,KATRINA,S,MD,F,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,14,20,20,37,16,11.913,11.913
1033349675,TREDE,EMILY,,NP,F,I,750 POTOMAC ST,UNIT 111,AURORA,CO,800116700,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,107.27272727,29.848181818,18.589090909,19.304545455
1033349790,PASALA,KRISHNA,K,"M.D.,",M,I,"150 DU RHU DRIVE, APT 1602",,BROOKLYN,AL,366085509,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,58.053333333,17.916,14.041333333,13.531333333
1033349790,PASALA,KRISHNA,K,"M.D.,",M,I,"150 DU RHU DRIVE, APT 1602",,BROOKLYN,AL,366085509,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,362.21176471,73.597058824,57.7,54.741176471
1033349980,TAKIEDDINE,NADIA,,M.D.,F,I,2831 E PRESIDENT GEORGE BUSH HWY,,RICHARDSON,TX,750823561,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,16,67,67,52.657462687,17.63,13.613731343,13.345373134
1033349980,TAKIEDDINE,NADIA,,M.D.,F,I,2831 E PRESIDENT GEORGE BUSH HWY,,RICHARDSON,TX,750823561,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,5.06,3.6090909091,3.5909090909
1033349980,TAKIEDDINE,NADIA,,M.D.,F,I,2831 E PRESIDENT GEORGE BUSH HWY,,RICHARDSON,TX,750823561,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,16,67,67,311.51119403,76.48,58.210597015,53.399402985
1033350194,NANNI,MICHELE,,PA,F,I,ELM AND CARLTON STREETS,,BUFFALO,NY,142630001,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,34,62.259705882,8.32,5.3708823529,5.3708823529
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,78.274545455,53.65,42.06,40.79
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,72,72,118.96,54.178055556,41.697916667,38.186666667
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,84.246956522,52.740434783,41.345217391,39.334782609
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,16.278,11.821333333,8.72,8.6746666667
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,41.958333333,36.278333333,26.280833333,26.21
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,62,62,243.91612903,77.18,54.303548387,49.074193548
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35,30.58,23.97,23.31
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,63,63,90.82,39.367777778,25.898253968,20.481746032
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,34,68.922352941,35.683823529,27.242352941,22.058235294
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,17,102,102,24.712941176,9.3112745098,6.3182352941,5.6802941176
1033350640,SOWA,ELIZABETH,,"MSN, ANP-BC",F,I,600 W OGDEN AVE,,HINSDALE,IL,60521,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,66.929777778,36.96,26.404,26.934666667
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,32,97,65.117216495,8.32,4.4378350515,4.4378350515
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,19,10.857894737,1.42,0.8231578947,0.8231578947
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,17,381.36,72.254117647,56.650588235,40.132352941
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,21.615625,13.569375,10.993125
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,58.82,42.6775,34.494166667
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,28,41.95,8.7003571429,6.6903571429,5.6196428571
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,458.79648649,96.204594595,69.155945946,53.109459459
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,4848,0.1670462046,0.0465511551,0.0290284653,0.0290284653
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,942.37904762,279.63142857,207.99666667,147.98142857
1033351234,PETERS,GREGORY,M,M.D.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,37,113.27027027,33,21.430540541,21.430540541
1033351895,JEPPSON,REBECCA,M,FNP-C,F,I,15 MADISON PROFESSIONAL PARK,,REXBURG,ID,834402057,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,14,29,76.262758621,8.32,4.7231034483,4.7231034483
1033351895,JEPPSON,REBECCA,M,FNP-C,F,I,15 MADISON PROFESSIONAL PARK,,REXBURG,ID,834402057,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,122.88,51.44,40.326363636,25.501818182
1033351895,JEPPSON,REBECCA,M,FNP-C,F,I,15 MADISON PROFESSIONAL PARK,,REXBURG,ID,834402057,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,385.37074074,108.06148148,84.723333333,54.916666667
1033351895,JEPPSON,REBECCA,M,FNP-C,F,I,15 MADISON PROFESSIONAL PARK,,REXBURG,ID,834402057,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,195.45454545,45.002727273,35.284545455,29.668636364
1033352109,ADAB,HAMIDREZA,,MD,M,I,4180 WARRENSVILLE CENTER RD.,SUITE 120,WARRENSVILLE HTS,OH,441227024,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,23,1258.12,19.71,15.45,15.45
1033352109,ADAB,HAMIDREZA,,MD,M,I,4180 WARRENSVILLE CENTER RD.,SUITE 120,WARRENSVILLE HTS,OH,441227024,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,28,54,629.90277778,37.38,29.30462963,29.30462963
1033352109,ADAB,HAMIDREZA,,MD,M,I,4180 WARRENSVILLE CENTER RD.,SUITE 120,WARRENSVILLE HTS,OH,441227024,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,28,1303,186.3057406,1.5484343822,1.2138910207,1.2138910207
1033352448,SAKELLARIOS,NICHOLAS,,D.O.,M,I,STONY BROOK UNIVERSITY HOSPITAL,MEDICAL STAFF OFFICE T14,STONY BROOK,NY,117940001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,34,74.435294118,8.32,4.795,4.795
1033352463,HAAS,BRIAN,M,D.O,M,I,19600 E 39TH ST S,,INDEPENDENCE,MO,640572301,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,31,48.068709677,6.3748387097,4.4980645161,3.2696774194
1033352463,HAAS,BRIAN,M,D.O,M,I,19600 E 39TH ST S,,INDEPENDENCE,MO,640572301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,16,328.731875,78.53,57.7125,51.3
1033352794,OSTROWSKI,KEVIN,A,M.D.,M,I,4245 ROOSEVELT WAY NE FL 3,,SEATTLE,WA,981056008,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,3370,2.9547774481,2.0335905045,1.4666023739,1.4717774481
1033353354,ANASTASI,MATTHEW,B,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Sports Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,28,95,71.893473684,8.32,5.2871578947,5.2871578947
1033353354,ANASTASI,MATTHEW,B,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Sports Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.8175,4.5625,3.66
1033353602,WAUGH,KRISTINA,M,FNP-C,F,I,607 E JUBAL EARLY DR,,WINCHESTER,VA,226015178,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,61.631578947,22.140526316,17.356842105,13.53
1033353602,WAUGH,KRISTINA,M,FNP-C,F,I,607 E JUBAL EARLY DR,,WINCHESTER,VA,226015178,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,302.08333333,104.5025,81.9325,61.48
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,38,122,347,63.315216138,8.32,5.2822478386,5.2822478386
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,13.958095238,3.38,2.65,2.65
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,19,38,88,14.296136364,1.42,1.0751136364,1.0751136364
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,74.230769231,17.27,13.019230769,13.019230769
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50,4.52,2.884375,2.74625
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,359.48717949,69.81,51.923333333,51.923333333
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2186,0.3640850869,0.0488609332,0.0226898445,0.0226898445
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,4192,1.7997232824,0.1390625,0.0978482824,0.0978482824
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.14,28.33,29.51
1033353792,ACHUFUSI,TED GEORGE,O,DO,M,I,1536 VINCENNES AVE,,CHICAGO HEIGHTS,IL,604113458,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,23.495555556,23.495555556
1033354311,MURE,JOSEPH,V,M.D.,M,I,2465 SHERIDAN DR,,TONAWANDA,NY,141509407,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,5.01,2.9475,2.9683333333
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,65,142,506,76.545197628,8.32,6.0583992095,6.0583992095
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,38,60,112,15.816160714,1.42,1.0842857143,1.0842857143
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,442.83589744,78.49,56.858974359,50.868717949
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,83.812,40.62,31.85,29.675333333
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,11,2340,0.4600726496,0.0473504274,0.0361452991,0.0361452991
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,950,1.8901157895,0.1359263158,0.1065473684,0.1065473684
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,103.52,40.62,31.85,29.731818182
1033354584,YAZIGI,NATALIA,,M.D.,F,I,9055 SPRINGBROOK DR NW,,COON RAPIDS,MN,554335841,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,12,15,15,33,33,24.145333333,24.145333333
1033354592,ODELL,DAVID,D,"MD, MMSC",M,I,251 E HURON ST,GALTER 3-150,CHICAGO,IL,606112908,US,Physician/Thoracic Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,350,100,5.79,4.5393142857,4.1952857143
1033354717,CHRISTENSEN,BRIAN,,FNP,M,I,750 N MAIN ST,,SPANISH FORK,UT,846601147,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,85,202,893,72.600526316,8.32,5.8175363942,5.8175363942
1033354717,CHRISTENSEN,BRIAN,,FNP,M,I,750 N MAIN ST,,SPANISH FORK,UT,846601147,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,22,67,11.86641791,1.42,1.096119403,1.096119403
1033354717,CHRISTENSEN,BRIAN,,FNP,M,I,750 N MAIN ST,,SPANISH FORK,UT,846601147,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,730.22363636,386.29090909,302.85272727,302.85272727
1033354717,CHRISTENSEN,BRIAN,,FNP,M,I,750 N MAIN ST,,SPANISH FORK,UT,846601147,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,51,51,286.64588235,251.00294118,196.78607843,196.86960784
1033355912,KOMERALLY,SANGEETA,L,M.D,F,I,5140 LIBERTY AVE,,PITTSBURGH,PA,152242215,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,375,77.5,55.623333333,50.598333333
1033355912,KOMERALLY,SANGEETA,L,M.D,F,I,5140 LIBERTY AVE,,PITTSBURGH,PA,152242215,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,99,36.26,23.691666667,24.726666667
1033355987,HYDER,SHAHAB,,MD,M,I,1201 W 38TH ST,,AUSTIN,TX,787051006,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,17.35,17.35,12.75,12.69375
1033355987,HYDER,SHAHAB,,MD,M,I,1201 W 38TH ST,,AUSTIN,TX,787051006,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,191.71428571,73,51.861785714,49.629642857
1033355987,HYDER,SHAHAB,,MD,M,I,1201 W 38TH ST,,AUSTIN,TX,787051006,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,35,25.153333333,27.094166667
1033355987,HYDER,SHAHAB,,MD,M,I,1201 W 38TH ST,,AUSTIN,TX,787051006,US,Hospitalist,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,27,74,74,74,1612.205,1183.152973,910.39418919,869.31108108
1033355987,HYDER,SHAHAB,,MD,M,I,1201 W 38TH ST,,AUSTIN,TX,787051006,US,Hospitalist,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,17,17,878.07823529,557.03882353,429.22529412,473.13117647
1033355987,HYDER,SHAHAB,,MD,M,I,1201 W 38TH ST,,AUSTIN,TX,787051006,US,Hospitalist,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,20,20,22,141.16409091,106.50090909,83.500454545,88.849545455
1033355987,HYDER,SHAHAB,,MD,M,I,1201 W 38TH ST,,AUSTIN,TX,787051006,US,Hospitalist,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,17,17,17,849.38764706,786.98647059,608.56176471,560.09058824
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,39,86,86,90.632906977,39.474883721,29.59127907,29.17
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,14,28,54,8.19,1.48,1.16,1.1505555556
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,21,22,22,82.53,12.95,9.6886363636,8.7068181818
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,21,21,21,2.22,0.6,0.4476190476,0.4047619048
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,39,81,82,323.00914634,86.324756098,60.932682927,61.098536585
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,24,39,98,107.36336735,32.263163265,23.749285714,24.338979592
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,16,30,159,49.793081761,18.46,13.926918239,14.003333333
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,12,66,35.756363636,15.46,11.203333333,11.013181818
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,43,76,76,153.30263158,52.251842105,36.404210526,38.293026316
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,70,96,96,59.894270833,17.2375,12.569270833,13.0925
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,31.413636364,10,7.1272727273,7.4445454545
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,33,61,62,56.654193548,12.329032258,8.6911290323,8.2383870968
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,71,141,795,7.1066037736,2.095672956,1.5459119497,1.5000628931
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,42,56,56,20.783035714,5.9216071429,4.31875,4.3267857143
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,31,41,41,35.68,12.252682927,9.0763414634,9.7326829268
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,58,62,86.31,16.04,11.961774194,12.887419355
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,49,49,2930.9012245,1074.31,839.33204082,839.33204082
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,385.2145,83.4585,63.47575,66.38575
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,367.27882353,136.32,96.748823529,95.082352941
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,81.75,13.515454545,10.590909091,10.471818182
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,28,161,162,50.73,4.617037037,3.477962963,3.622037037
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,32,165,168,184.06190476,31.1475,21.794642857,22.840892857
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,43,282,298,435.98657718,72,54.37295302,52.878087248
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,27,159,174,186.08057471,36.3,27.969310345,28.909137931
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,6,19,19,19,129,57,42.337894737,42.337894737
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,1800,15.965177778,9.6964,7.6019611111,7.6019611111
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,33,87,22581,0.292412205,0.045826137,0.0347548824,0.0347548824
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,7143,2.7246717066,0.0820033599,0.0624135517,0.0624135517
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,33,4306,1.6031072922,0.1329331166,0.1016999536,0.1016999536
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,61,3842,11.366959917,3.0044586153,2.3555179594,2.3555179594
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,85,36.3,25.872727273,26.946363636
1033356027,GROOKETT,THOMAS,,MD,M,I,750 RT 73 S,SUITE 401,MARLTON,NJ,080534145,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,39,134,134,72.044776119,33,25.498731343,25.498731343
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,75,111,111,101.91225225,40.153963964,30.660810811,29.771981982
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,48,84,84,364.5672619,84.485119048,60.214285714,61.640238095
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,25,51,83,133.50542169,31.69626506,23.875301205,24.868795181
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,16,34,85,77.529294118,17.22,11.106352941,11.985411765
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,15,31,120,61.212,15.0685,10.4365,10.521416667
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,59,86,86,263.95732558,51.76,36.142674419,38.205930233
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,97,110,110,71.082636364,17.707818182,13.098272727,13.237
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,21,21,21,44.962380952,10.23,7.2228571429,7.330952381
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,34,54,54,86.866666667,10.07,7.3475925926,8.4861111111
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,103,160,885,7.9401694915,2.0139661017,1.5051864407,1.5159548023
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,22,27,27,20.36,6.04,4.5825925926,4.5077777778
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,41,48,48,67.485208333,13.596666667,9.804375,9.5225
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,468.13,82.885833333,48.1925,50.1875
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,32,835.96,200.7996875,157.4215625,164.0203125
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,50,50,50,513.1,136.9874,105.5618,103.2144
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,80,449,463,255.95550756,30.754794816,21.883088553,23.175205184
1033356357,NEUROCK,DORY,L,NP,F,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,345.07916667,78.49,56.469722222,50.169166667
1033356829,HAMID,HASINA,,MD,F,I,221 E MAIN ST,,MILFORD,MA,017572825,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,29,76,231,68.966753247,8.32,5.5418614719,5.5418614719
1033356829,HAMID,HASINA,,MD,F,I,221 E MAIN ST,,MILFORD,MA,017572825,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,23,10.402173913,1.42,0.872173913,0.872173913
1033356936,FINCHER,ROBERT,W,D.O.,M,I,2404 E RIVER RD STE 100,,TUCSON,AZ,857186521,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,2491.845,543.8575,426.3875,493.9075
1033356969,NG,AMY,,NP,F,I,333 TURK ST,,SAN FRANCISCO,CA,941023703,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,79,61.94,54.73
1033356969,NG,AMY,,NP,F,I,333 TURK ST,,SAN FRANCISCO,CA,941023703,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39,30.58,29.51
1033356969,NG,AMY,,NP,F,I,333 TURK ST,,SAN FRANCISCO,CA,941023703,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,19.9,19.9
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,20,78,78.172564103,19.646410256,15.402820513,15.402820513
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,471,150.6,37.282292994,29.229363057,29.229363057
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,803.12,78.49,52.74,46.911428571
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,294.35294118,53.98,39.830588235,39.341176471
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,200,49.74,35.740833333,34.494166667
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,608.564,78.49,58.4535,52.3335
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.76,30.39,29.583333333
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,J1325,"Injection, epoprostenol, 0.5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,3600,27.086666667,15.6714,12.286377778,12.286377778
1033357173,ZUPANCIC,DEBRA,,FNP,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Nurse Practitioner,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,1200,297.56,233.28666667,233.28666667
1033357363,VOELKEL,SARAH,M,DPM,F,I,3801 BELLEMEADE AVE STE 110A,,EVANSVILLE,IN,47714,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,23,964,0.702593361,0.44,0.345,0.345
1033357363,VOELKEL,SARAH,M,DPM,F,I,3801 BELLEMEADE AVE STE 110A,,EVANSVILLE,IN,47714,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,315,5.4942857143,3.67,2.8773333333,2.8773333333
1033357363,VOELKEL,SARAH,M,DPM,F,I,3801 BELLEMEADE AVE STE 110A,,EVANSVILLE,IN,47714,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,23,4530,0.1985761589,0.13,0.0897770419,0.0897770419
1033357363,VOELKEL,SARAH,M,DPM,F,I,3801 BELLEMEADE AVE STE 110A,,EVANSVILLE,IN,47714,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,23,2340,0.7007051282,0.45,0.3347307692,0.3347307692
1033357553,PULIDO,RENE,U,MD,M,I,2570 ATLANTIC BLVD,,JACKSONVILLE,FL,322073604,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,56,189,58.022592593,8.32,6.2446560847,6.2446560847
1033357553,PULIDO,RENE,U,MD,M,I,2570 ATLANTIC BLVD,,JACKSONVILLE,FL,322073604,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,13.95,3.38,2.65,2.65
1033357553,PULIDO,RENE,U,MD,M,I,2570 ATLANTIC BLVD,,JACKSONVILLE,FL,322073604,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,35,71,12.90915493,1.42,1.0990140845,1.0990140845
1033357553,PULIDO,RENE,U,MD,M,I,2570 ATLANTIC BLVD,,JACKSONVILLE,FL,322073604,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,2.424,2.04,1.5993333333,1.5993333333
1033357553,PULIDO,RENE,U,MD,M,I,2570 ATLANTIC BLVD,,JACKSONVILLE,FL,322073604,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,216.85166667,148.295,116.26,116.15416667
1033358072,SKINNER,MARY,T,ARNP-C,F,I,215 CENTRAL AVE STE 100,SUITE 100,LOUISVILLE,KY,402081450,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,74.7,18.566363636,14.558181818,13.495454545
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,36,69.522222222,8.32,5.7983333333,5.7983333333
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,540,5.2777777778,5,3.92,4.163
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,67,67,67,138.02,43.820895522,34.355074627,35.945970149
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,3,,42,42,24.396666667,4.38,3.1033333333,3.2957142857
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,42,42,42,30.103571429,14.46,11.34,11.897857143
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,3.89,1.45,1.14,1.1983333333
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,31,31,31,146.89,49.18,37.306451613,39.202903226
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,32.167272727,4.9187878788,3.3909090909,3.5915151515
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,24.28,8.9735294118,6.6552941176,7.4394117647
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,362.12,165.25,129.56,127.62583333
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,37,183,183,134.86469945,50.847431694,38.469016393,38.660983607
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,36.5,17,13.33,13.4525
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,35,4.0335714286,3.1628571429,4.0264285714
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,23,23,46,33.685,15.911304348,12.474565217,15.289130435
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,28,28,56,57.467142857,27.02,21.185,22.503571429
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,28,28,28,49.02,20.511428571,16.074285714,18.015714286
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,41,41,24.01,9.9451219512,7.7965853659,9.1717073171
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,452.56466667,77.74,58.292666667,54.768333333
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,31,31,31,70.2,29.68,23.27,28.743548387
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,30,30,30,358.58,134.86866667,105.742,113.125
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,43,238,238,69.462563025,15.577016807,11.574537815,13.869327731
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,36,217,217,20.50516129,6.9701843318,5.123640553,6.3841474654
1033358916,LUCENTE,JOHN,,FNP,M,I,1740 84TH ST,,BROOKLYN,NY,112142825,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,219.82352941,40.66,28.129411765,26.874705882
1033359153,KANSARA,ABHISHEK,H,M.D.,M,I,6550 FANNIN ST,SUITE 1101,HOUSTON,TX,77030,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,36,60,329,69.879544073,8.32,5.4516109422,5.4516109422
1033359153,KANSARA,ABHISHEK,H,M.D.,M,I,6550 FANNIN ST,SUITE 1101,HOUSTON,TX,77030,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,20,29,93,14.21483871,1.42,0.8860215054,0.8860215054
1033359393,VASHAKMADZE,TAMARA,,MD,F,I,4850 E MAIN ST,,COLUMBUS,OH,432133162,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,53.588571429,20.257619048,13.875238095,11.883809524
1033359393,VASHAKMADZE,TAMARA,,MD,F,I,4850 E MAIN ST,,COLUMBUS,OH,432133162,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,291.38095238,89.155238095,61.525714286,48.836666667
1033359757,URPANISHVILI,TINA,,M.D.,F,I,96 E 4TH ST,,NEW YORK,NY,100039001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,43,71.913023256,8.32,4.3990697674,4.3990697674
1033359757,URPANISHVILI,TINA,,M.D.,F,I,96 E 4TH ST,,NEW YORK,NY,100039001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,21,21.091428571,1.42,0.8485714286,0.8485714286
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,12,78,80,2235.4725,1070.51075,835.13025,838.10725
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,80,87,12.713103448,3.4505747126,2.4628735632,3.2889655172
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,38,500.29578947,77.74,60.531842105,54.803157895
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,13,4766,0.2774213177,0.0459693663,0.0360386068,0.0360386068
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,548,13.483193431,2.8584489051,2.2410766423,2.2410766423
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,76.13,15.42,12.086666667,14.546666667
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,26.43,7,5.49,6.8433333333
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,30,118.43333333,40.66,30.817333333,28.763333333
1033359799,DEL VECCHIO,THERESA,M,ANP-C,F,I,222 STATION PLZ N STE 400,WINTHROP PULMONARY,MINEOLA,NY,115013893,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,14,27,27,33,33,25.588148148,25.588148148
1033360110,ADAMSKI,PATRICIA,M,PA-C,F,I,1212 CURRENCY COURT,,ROCHELLE,IL,610682321,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,105.01636364,82.335454545,54.73
1033361100,BILLHYMER,MICHAEL,E,MD,M,I,3126 N CIVIC CENTER PLZ,,SCOTTSDALE,AZ,852516912,US,Physician/Orthopedic Surgery,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,395,112.50166667,88.195,88.256666667
1033361621,HOYTE,FLAVIA,C,MD,F,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,23.714166667,23.714166667
1033361662,LIMANN,BOLANLE,A,MD,F,I,4400 CARLISLE PIKE,,CAMP HILL,PA,17011,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,35,102,68.026176471,8.32,5.1804901961,5.1804901961
1033361662,LIMANN,BOLANLE,A,MD,F,I,4400 CARLISLE PIKE,,CAMP HILL,PA,17011,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,28,17.047142857,1.42,1.0746428571,1.0746428571
1033361662,LIMANN,BOLANLE,A,MD,F,I,4400 CARLISLE PIKE,,CAMP HILL,PA,17011,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,75,17.851538462,13.994615385,15.107692308
1033362033,KAUFMAN,MARGARET,J,CRNP,F,I,202 W. NESHANNOCK,HOPE EXTENDED CARE SERVICES INC,NEW WILMINGTON,PA,161421115,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,44,51.935,8.32,6.0765909091,6.0765909091
1033362033,KAUFMAN,MARGARET,J,CRNP,F,I,202 W. NESHANNOCK,HOPE EXTENDED CARE SERVICES INC,NEW WILMINGTON,PA,161421115,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,88.265714286,25.556428571,20.035,19.175
1033362033,KAUFMAN,MARGARET,J,CRNP,F,I,202 W. NESHANNOCK,HOPE EXTENDED CARE SERVICES INC,NEW WILMINGTON,PA,161421115,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,515.73923077,107.54615385,84.319230769,78.088461538
1033362041,SRIDHAR,PREETHI,C,MD,F,I,2204 GRANT RD,SUITE 103,MOUNTAIN VIEW,CA,940403855,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,61,58.974262295,8.32,6.5224590164,6.5224590164
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,20,45,155,35.152645161,8.2910322581,6.1661290323,6.1896774194
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,12,22,22,13.909090909,3.38,2.5295454545,2.5295454545
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,13,15,15,17.98,2.12,1.67,1.67
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,17,32,53,11.943396226,1.42,1.0505660377,1.0505660377
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,182,0.889010989,0.4,0.2773076923,0.2773076923
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,22,44,8.19,1.68,1.2,1.0531818182
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,5.91,1.18,0.874,0.9105
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,15,82,82,160,50.386341463,39.062926829,38.405121951
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,69.806470588,17.32,13.58,13.561176471
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,40.664324324,3.8694594595,2.5743243243,3.1694594595
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600,497.85454545,390.31909091,388.03090909
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,84,98,502.10938776,76.58,59.036632653,54.214081633
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,6665,0.2337269317,0.0464036009,0.0334823706,0.0334823706
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1730,1.5706936416,0.1344566474,0.102265896,0.102265896
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,510,1.6558431373,0.2198235294,0.1622941176,0.1622941176
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,69.9975,16.9625,12.3125,13.598333333
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,195.96,23.649090909,18.536363636,21.766363636
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,25.28,7.1462962963,5.2066666667,6.0511111111
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,600,138.81521739,102.59130435,93.922173913
1033362652,SINGH,GITA,,MD,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,770742073,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,44,44,114,33,24.694090909,24.694090909
1033362827,ROPES,TANYA,L,NP-C,F,I,15055 22 MILE RD STE 3,,SHELBY TWP,MI,483154401,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,60,39.030333333,8.32,5.8693333333,5.8693333333
1033362827,ROPES,TANYA,L,NP-C,F,I,15055 22 MILE RD STE 3,,SHELBY TWP,MI,483154401,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,11.275,1.42,0.93,0.93
1033362892,JULIUSSON,SUSAN,N,APN,F,I,8940 N. WOOD SAGE RD.,,PEORIA,IL,61615,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,32.05,7.5346666667,5.906,3.6786666667
1033363734,JOHNSTON,FREDDIE,R,NP,M,I,4542 S 14TH ST,,ABILENE,TX,796054737,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.3163636364,2.9818181818,3.0872727273
1033363734,JOHNSTON,FREDDIE,R,NP,M,I,4542 S 14TH ST,,ABILENE,TX,796054737,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,167.07791667,68.78,50.997083333,51.7725
1033363734,JOHNSTON,FREDDIE,R,NP,M,I,4542 S 14TH ST,,ABILENE,TX,796054737,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,180.4875,36.83,25.26125,25.88
1033363734,JOHNSTON,FREDDIE,R,NP,M,I,4542 S 14TH ST,,ABILENE,TX,796054737,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2159,1.3217924965,0.1357480315,0.1013710051,0.1013710051
1033364351,SULTAN,RAYMOND,C,M.D.,M,I,535 PLANDOME RD,,MANHASSET,NY,110301974,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,1980,0.5863636364,0.13,0.0926414141,0.0926414141
1033364351,SULTAN,RAYMOND,C,M.D.,M,I,535 PLANDOME RD,,MANHASSET,NY,110301974,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,29,56.93,11.73,8.5562068966,10.157586207
1033364351,SULTAN,RAYMOND,C,M.D.,M,I,535 PLANDOME RD,,MANHASSET,NY,110301974,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1590,4.1122641509,1.73,1.3096100629,1.5491886792
1033364351,SULTAN,RAYMOND,C,M.D.,M,I,535 PLANDOME RD,,MANHASSET,NY,110301974,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1560,11.4,7.87,6.1700833333,6.1773141026
1033364351,SULTAN,RAYMOND,C,M.D.,M,I,535 PLANDOME RD,,MANHASSET,NY,110301974,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,78,33.432307692,10.93,7.2507692308,7.2507692308
1033364351,SULTAN,RAYMOND,C,M.D.,M,I,535 PLANDOME RD,,MANHASSET,NY,110301974,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,80,23.49575,7.06,5.12,5.43175
1033364674,BROWN,DOUGLAS,C,D.O.,M,I,1506 N.SIOUX DR,,MARION,IL,629595209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,41,100,73.3425,8.32,5.4628,5.4628
1033364674,BROWN,DOUGLAS,C,D.O.,M,I,1506 N.SIOUX DR,,MARION,IL,629595209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,31,16.064516129,1.42,0.9367741935,0.9367741935
1033364674,BROWN,DOUGLAS,C,D.O.,M,I,1506 N.SIOUX DR,,MARION,IL,629595209,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,34,10.180588235,2.3429411765,1.8388235294,1.5935294118
1033364674,BROWN,DOUGLAS,C,D.O.,M,I,1506 N.SIOUX DR,,MARION,IL,629595209,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,240.48,47.37,33.763636364,34.265454545
1033364674,BROWN,DOUGLAS,C,D.O.,M,I,1506 N.SIOUX DR,,MARION,IL,629595209,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1782,0.1782659933,0.0464927048,0.0258922559,0.0258922559
1033364674,BROWN,DOUGLAS,C,D.O.,M,I,1506 N.SIOUX DR,,MARION,IL,629595209,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,102.88235294,33,21.304705882,21.304705882
1033364815,RODRIGUEZ,SERGIO,D,M.D.,M,I,11501 SW 40TH ST,,MIAMI,FL,331653313,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,28,57,43.855087719,8.32,5.9515789474,5.9515789474
1033364815,RODRIGUEZ,SERGIO,D,M.D.,M,I,11501 SW 40TH ST,,MIAMI,FL,331653313,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,28,15.914285714,1.42,0.9542857143,0.9542857143
1033365218,TANIOS,MICHEL,,M.D.,M,I,1350 WALTON WAY,HOSPITALISTS,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,66.332162162,16.886216216,12.890810811,13.185945946
1033365218,TANIOS,MICHEL,,M.D.,M,I,1350 WALTON WAY,HOSPITALISTS,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,335.65977778,75.549333333,56.671111111,52.441333333
1033365218,TANIOS,MICHEL,,M.D.,M,I,1350 WALTON WAY,HOSPITALISTS,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,111.21307692,26.105384615,16.867692308,16.454615385
1033365218,TANIOS,MICHEL,,M.D.,M,I,1350 WALTON WAY,HOSPITALISTS,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,29.47,6.38,4.0909090909,5.2936363636
1033365341,KIM,PHILLIP,J,"MD, MPH",M,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,33,91,234,70.626324786,8.32,4.5176068376,4.5176068376
1033365341,KIM,PHILLIP,J,"MD, MPH",M,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,15.671428571,3.38,0.9464285714,0.9464285714
1033365341,KIM,PHILLIP,J,"MD, MPH",M,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,35,55,15.408,1.42,0.6803636364,0.6803636364
1033365341,KIM,PHILLIP,J,"MD, MPH",M,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,14,48,8.62125,2,1.5685416667,1.5910416667
1033365341,KIM,PHILLIP,J,"MD, MPH",M,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45,12.87,10.09,10.4475
1033365341,KIM,PHILLIP,J,"MD, MPH",M,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,167.642,33.2875,24.47375,26.374
1033365457,GAINOR,JONATHAN,P,MD,M,I,5 CARE LANE,,SARATOGA SPRINGS,NY,12866,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,25,25,25,138.984,49.6568,37.534,35.0788
1033365457,GAINOR,JONATHAN,P,MD,M,I,5 CARE LANE,,SARATOGA SPRINGS,NY,12866,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,154.24,53.015454545,41.565,40.793636364
1033365523,ELTAHAWY,EHAB,A,MD,M,I,3000 ARLINGTON AVE,,TOLEDO,OH,436142595,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,135,31.016153846,24.314615385,25.259230769
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,60,40.320666667,8.32,6.5228333333,6.5228333333
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,2.06,1.405,0.9583333333
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,118.06923077,75.063076923,55.468461538,41.531538462
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,27.181818182,17.419090909,12.738181818,8.2909090909
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,90,9.992,2.9826666667,2.2197777778,1.5693333333
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50.73,8.1314285714,6.3728571429,3.7
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,123.46153846,47.376153846,33.171538462,21.767692308
1033366109,EVANS,EMILY,J,"MS, RN, FNP-BC",F,I,1308 SOUTH HIGHWAY 16,,FREDERICKSBURG,TX,786245058,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,132,33,22.826470588,22.826470588
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,142,56.981666667,44.676111111,38.148333333
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,36.98,10.941052632,8.5726315789,7.6768421053
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,240.95,47.065294118,36.900588235,37.281176471
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,32.05,7.3581818182,5.7672727273,3.5836363636
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,50,50,8.66,3.0682,2.2678,2.125
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,17,17,17,106.51529412,40.920588235,32.081176471,31.485882353
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,21,136,136,106.02,23.145147059,17.11,14.166838235
1033366968,HAASE,CONNIE,S,FNP-BC,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,65,65,36.16,10.245538462,8.0329230769,7.0143076923
1033367123,SADLER,AMY,K,MD,F,I,"1270 E S.R. 205, SUITE 240",,COLUMBIA CITY,IN,46725,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,70,187,49.418716578,8.32,5.8846524064,5.8846524064
1033367123,SADLER,AMY,K,MD,F,I,"1270 E S.R. 205, SUITE 240",,COLUMBIA CITY,IN,46725,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,22,37,14.052432432,1.42,0.9643243243,0.9643243243
1033367123,SADLER,AMY,K,MD,F,I,"1270 E S.R. 205, SUITE 240",,COLUMBIA CITY,IN,46725,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.895,3.8425,3.6625
1033367123,SADLER,AMY,K,MD,F,I,"1270 E S.R. 205, SUITE 240",,COLUMBIA CITY,IN,46725,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,191,44.901578947,33.553157895,24.248947368
1033367123,SADLER,AMY,K,MD,F,I,"1270 E S.R. 205, SUITE 240",,COLUMBIA CITY,IN,46725,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,554.05259259,69.81,52.702962963,52.702962963
1033367123,SADLER,AMY,K,MD,F,I,"1270 E S.R. 205, SUITE 240",,COLUMBIA CITY,IN,46725,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,2093,0.3872479694,0.0459531773,0.0319302437,0.0319302437
1033367123,SADLER,AMY,K,MD,F,I,"1270 E S.R. 205, SUITE 240",,COLUMBIA CITY,IN,46725,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,45.375,33,24.253125,24.253125
1033367206,RIVERA,EDMUNDO,,MD,M,I,4740 A ST,SUITE 100,LINCOLN,NE,685104824,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1851,0.55,0.44,0.3449594814,0.3449594814
1033367206,RIVERA,EDMUNDO,,MD,M,I,4740 A ST,SUITE 100,LINCOLN,NE,685104824,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,153,12.61,10.93,8.5691503268,8.5691503268
1033367206,RIVERA,EDMUNDO,,MD,M,I,4740 A ST,SUITE 100,LINCOLN,NE,685104824,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,15,680,0.24,0.13,0.1018823529,0.1018823529
1033367206,RIVERA,EDMUNDO,,MD,M,I,4740 A ST,SUITE 100,LINCOLN,NE,685104824,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,24,1604,0.5247630923,0.45,0.3264401496,0.3264401496
1033367206,RIVERA,EDMUNDO,,MD,M,I,4740 A ST,SUITE 100,LINCOLN,NE,685104824,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,17,27,300,83.673333333,25.9,20.305433333,19.255666667
1033367206,RIVERA,EDMUNDO,,MD,M,I,4740 A ST,SUITE 100,LINCOLN,NE,685104824,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,17,25,205,53.9,8.6990243902,6.8197560976,6.4631219512
1033367206,RIVERA,EDMUNDO,,MD,M,I,4740 A ST,SUITE 100,LINCOLN,NE,685104824,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,17,29,29,4818,840.40689655,653.93103448,512.84862069
1033367362,KADO,HERMAN,,M.D.,M,I,28625 NORTHWESTERN HWY,SUITE 150,SOUTHFIELD,MI,480341828,US,Physician/Cardiovascular Disease (Cardiology),S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,878.62,878.62,683.5262963,805.0862963
1033367362,KADO,HERMAN,,M.D.,M,I,28625 NORTHWESTERN HWY,SUITE 150,SOUTHFIELD,MI,480341828,US,Physician/Cardiovascular Disease (Cardiology),S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,1,26,26,52,364.4,364.4,285.69,285.69
1033367479,PATEL,PRASHANT,A,MD,M,I,200 FLEETWOOD DR,,EASLEY,SC,29640,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,30,62.595666667,17,12.885666667,13.013333333
1033367479,PATEL,PRASHANT,A,MD,M,I,200 FLEETWOOD DR,,EASLEY,SC,29640,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,31,29.662258065,4.16,2.8393548387,2.9619354839
1033367479,PATEL,PRASHANT,A,MD,M,I,200 FLEETWOOD DR,,EASLEY,SC,29640,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,34,390.31970588,71,52.434117647,51.859705882
1033367529,JACKSON-WILSON,ANDREA,L,FNP-BC,F,I,5825 AIRLINE HWY,,BATON ROUGE,LA,708052408,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,37,66,47.898181818,8.32,5.8654545455,5.8654545455
1033367529,JACKSON-WILSON,ANDREA,L,FNP-BC,F,I,5825 AIRLINE HWY,,BATON ROUGE,LA,708052408,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5520,4.088,0.4,0.2876014493,0.2656485507
1033367586,RUSHING,LORI,,APN,F,I,4220 HARDING PIKE,SUITE 500,NASHVILLE,TN,372052005,US,Certified Clinical Nurse Specialist,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,128,128,128,175.02257813,60.60296875,47.30265625,37.61375
1033367586,RUSHING,LORI,,APN,F,I,4220 HARDING PIKE,SUITE 500,NASHVILLE,TN,372052005,US,Certified Clinical Nurse Specialist,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,14.02,11.459333333,8.3993333333,6.71
1033367586,RUSHING,LORI,,APN,F,I,4220 HARDING PIKE,SUITE 500,NASHVILLE,TN,372052005,US,Certified Clinical Nurse Specialist,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,17,17,17,163.14705882,61.82,48.463529412,40.791176471
1033367586,RUSHING,LORI,,APN,F,I,4220 HARDING PIKE,SUITE 500,NASHVILLE,TN,372052005,US,Certified Clinical Nurse Specialist,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,20,11.117857143,8.7164285714,7.6664285714
1033367586,RUSHING,LORI,,APN,F,I,4220 HARDING PIKE,SUITE 500,NASHVILLE,TN,372052005,US,Certified Clinical Nurse Specialist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,55,55,54.54,21.701636364,15.514727273,12.326727273
1033367586,RUSHING,LORI,,APN,F,I,4220 HARDING PIKE,SUITE 500,NASHVILLE,TN,372052005,US,Certified Clinical Nurse Specialist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,51,51,23.76,9.7339215686,6.9084313725,5.6360784314
1033368022,REINKRAUT,JACOB,M,D.P.M.,M,I,400 RTE 17,,RIDGEWOOD,NJ,074502010,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,38,101.57894737,71.56,55.932368421,55.932368421
1033368022,REINKRAUT,JACOB,M,D.P.M.,M,I,400 RTE 17,,RIDGEWOOD,NJ,074502010,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,96,45,29.19,22.885,22.886666667
1033368022,REINKRAUT,JACOB,M,D.P.M.,M,I,400 RTE 17,,RIDGEWOOD,NJ,074502010,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,28,400,297.58,232.59357143,236.54857143
1033368113,VENEPALLY,RAM MOHAN,R,MD,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,79.118461538,17.371538462,12.264615385,12.237884615
1033368113,VENEPALLY,RAM MOHAN,R,MD,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,6.35,4.6533333333,3.6433333333,3.7341666667
1033368113,VENEPALLY,RAM MOHAN,R,MD,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,52,250.81980769,69.210384615,46.5675,47.1175
1033368113,VENEPALLY,RAM MOHAN,R,MD,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.63,36.83,24.058333333,24.723333333
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,35,101,230,51.418391304,8.32,6.0232173913,6.0232173913
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,15.225555556,3.38,2.65,2.65
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,21,43,54,16.786481481,1.42,1.0548148148,1.0548148148
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,630,0.1671428571,0.13,0.101968254,0.101968254
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,990,2.1863636364,1.9109090909,1.4055454545,1.4943434343
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,25,50,6.5612,1.8144,1.3752,1.104
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,84.997647059,20.911176471,13.76,11.142352941
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,49.323225806,5.2077419355,2.5022580645,2.1609677419
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,99.58,41.812,32.782333333,25.360333333
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,515.1296,101.0824,76.86,54.16
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6483846154,7.5643205128,7.5643205128
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,2070,0.9234782609,0.1327826087,0.0948985507,0.0948985507
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,60.911428571,25.627142857,18.033333333,15.267142857
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,136.3,29.8225,23.3775,21.6225
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,592.70615385,253.18,197.06769231,141.53384615
1033368246,SCOTT,ROBERT,B,M.D.,M,I,407 SOUTH GOULD AVE.,,GOULD,AR,716430000,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,41,41,112.68292683,33,24.60804878,24.60804878
1033368337,EYER,MICHAEL,G,D.O.,M,I,4175 HANOVER PIKE,,MANCHESTER,MD,211021454,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,56,149,63.364765101,8.32,6.0405369128,6.0405369128
1033368337,EYER,MICHAEL,G,D.O.,M,I,4175 HANOVER PIKE,,MANCHESTER,MD,211021454,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,25,34,14.104411765,1.42,1.0497058824,1.0497058824
1033368337,EYER,MICHAEL,G,D.O.,M,I,4175 HANOVER PIKE,,MANCHESTER,MD,211021454,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,75.655,17.025,13.345,13.54125
1033368337,EYER,MICHAEL,G,D.O.,M,I,4175 HANOVER PIKE,,MANCHESTER,MD,211021454,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,100,31.7525,22.34,22.783333333
1033368337,EYER,MICHAEL,G,D.O.,M,I,4175 HANOVER PIKE,,MANCHESTER,MD,211021454,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,482.67333333,77.24,59.085,53.797777778
1033368337,EYER,MICHAEL,G,D.O.,M,I,4175 HANOVER PIKE,,MANCHESTER,MD,211021454,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,2790,1.3939354839,0.1332580645,0.1005842294,0.1005842294
1033368337,EYER,MICHAEL,G,D.O.,M,I,4175 HANOVER PIKE,,MANCHESTER,MD,211021454,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,33,33,25.861666667,25.861666667
1033368543,NIPPER,STEPHANIE,D,NP,F,I,503 E BELL ST,103,MURFREESBORO,TN,371303052,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,72.910952381,8.32,5.2785714286,5.2785714286
1033368543,NIPPER,STEPHANIE,D,NP,F,I,503 E BELL ST,103,MURFREESBORO,TN,371303052,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.84,86.84,62.406666667,51.281666667
1033369665,MODY,NEIL,,MD,M,I,5555 W THUNDERBIRD RD,,GLENDALE,AZ,853064622,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,36.603636364,16.96,12.090909091,12.292727273
1033369665,MODY,NEIL,,MD,M,I,5555 W THUNDERBIRD RD,,GLENDALE,AZ,853064622,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,131.13333333,77.36,55.595833333,51.155833333
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,41,103,250,66.74348,8.32,5.13352,5.13352
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.681666667,3.38,1.9875,1.9875
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,50,63,21.585238095,1.42,0.8152380952,0.8152380952
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,34,34,216.17647059,71.051470588,54.575294118,37.648823529
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,75.529411765,21.054117647,14.727647059,12.275294118
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,40.122666667,8.4306666667,6.1253333333,3.5633333333
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,181.17647059,49.294117647,25.645882353,15.661764706
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,2,1.28,1,1
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,401.875,88.3053125,59.52,48.375625
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,3439,0.3408345449,0.0442744984,0.0285344577,0.0285344577
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,1227.08,158.49875,118.28375,99.80375
1033370051,GALAPON,PHILIP,A,MD,M,I,650 E MCDONALD AVE,,MAN,WV,256351012,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,99,33,23.906666667,23.906666667
1033370077,ARMBRUSTER,ADAM,,MD,M,I,400 4TH AVE NW,,SLEEPY EYE,MN,56085,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,53,134,56.981865672,8.32,5.2097761194,5.2097761194
1033370077,ARMBRUSTER,ADAM,,MD,M,I,400 4TH AVE NW,,SLEEPY EYE,MN,56085,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,44,5.2670454545,2.76,2.0036363636,1.4472727273
1033370077,ARMBRUSTER,ADAM,,MD,M,I,400 4TH AVE NW,,SLEEPY EYE,MN,56085,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,122.10947368,41.665789474,22.691052632,15.585263158
1033370077,ARMBRUSTER,ADAM,,MD,M,I,400 4TH AVE NW,,SLEEPY EYE,MN,56085,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,521.031,94.328,65.284,50.614
1033370077,ARMBRUSTER,ADAM,,MD,M,I,400 4TH AVE NW,,SLEEPY EYE,MN,56085,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,3090,2.202631068,0.1345825243,0.0825631068,0.0825631068
1033370077,ARMBRUSTER,ADAM,,MD,M,I,400 4TH AVE NW,,SLEEPY EYE,MN,56085,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,24,33,33,23.714166667,23.714166667
1033370176,TREVINO,EDGAR,A,M.D.,M,I,101 N MAIN ST,,COUPEVILLE,WA,98239,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.57,17.09,13.4,13.519166667
1033370176,TREVINO,EDGAR,A,M.D.,M,I,101 N MAIN ST,,COUPEVILLE,WA,98239,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,329.07666667,65.7,51.51,54.461666667
1033370192,ASBURY,JUSTIN,E,D.O.,M,I,509 OLDE WATERFORD WAY STE 200,,LELAND,NC,284514126,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,30,73,84.064794521,8.32,6.1646575342,6.1646575342
1033370192,ASBURY,JUSTIN,E,D.O.,M,I,509 OLDE WATERFORD WAY STE 200,,LELAND,NC,284514126,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,19,14.02,1.42,1.0589473684,1.0589473684
1033370192,ASBURY,JUSTIN,E,D.O.,M,I,509 OLDE WATERFORD WAY STE 200,,LELAND,NC,284514126,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,12,802.41,164.21833333,121.7725,92.390833333
1033370192,ASBURY,JUSTIN,E,D.O.,M,I,509 OLDE WATERFORD WAY STE 200,,LELAND,NC,284514126,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,86.31,19.88375,15.585416667,13.530833333
1033370192,ASBURY,JUSTIN,E,D.O.,M,I,509 OLDE WATERFORD WAY STE 200,,LELAND,NC,284514126,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,211.128,32.448,23.055,22.677
1033370192,ASBURY,JUSTIN,E,D.O.,M,I,509 OLDE WATERFORD WAY STE 200,,LELAND,NC,284514126,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,519.51,84.969285714,64.481785714,52.783214286
1033370556,BACHURINA,MARINA,V,,F,I,501 E. HAMPDEN AVE.,,ENGLEWOOD,CO,801132702,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,293,8.28,8.28,6.4915699659,6.4915699659
1033370556,BACHURINA,MARINA,V,,F,I,501 E. HAMPDEN AVE.,,ENGLEWOOD,CO,801132702,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,135,10.93,10.93,8.569037037,8.569037037
1033370556,BACHURINA,MARINA,V,,F,I,501 E. HAMPDEN AVE.,,ENGLEWOOD,CO,801132702,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,145.82,55.65,43.6325,38.2625
1033370622,HARTER,RACHAEL,M,DO,F,I,7907 POWERS BLVD,RIDGEVIEW CHANHASSEN CLINIC,CHANHASSEN,MN,553179502,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,23,80,67.00475,8.32,5.5445,5.5445
1033370655,KOTTE,KAVITA,,M.D.,F,I,4400 PEACHTREE RD NE,,ATLANTA,GA,303192729,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,147.78,75.56,51.835,48.640416667
1033370861,THOMPSON,THOMAS,P,M.D.,M,I,6402 MCCRIMMON PKWY STE 100,,MORRISVILLE,NC,27560,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,757.585,36.09,26.2125,25.485625
1033371273,FALDU,MIHIR,R,M.D.,M,I,1200 RIVERPLACE BLVD,STE 620,JACKSONVILLE,FL,322079046,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,78.889444444,16.5,12.580555556,13.118055556
1033371273,FALDU,MIHIR,R,M.D.,M,I,1200 RIVERPLACE BLVD,STE 620,JACKSONVILLE,FL,322079046,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,46.33,3.792,2.444,3.028
1033371273,FALDU,MIHIR,R,M.D.,M,I,1200 RIVERPLACE BLVD,STE 620,JACKSONVILLE,FL,322079046,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,407.17138889,77.18,58.829166667,53.843333333
1033371455,PAULI,MATTHEW,C,D.O.,M,I,12 ST PAUL DR STE 208,,CHAMBERSBURG,PA,172011035,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1650,3,2.04,1.5853757576,1.5853757576
1033371455,PAULI,MATTHEW,C,D.O.,M,I,12 ST PAUL DR STE 208,,CHAMBERSBURG,PA,172011035,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,55,16.59,13,13.53
1033371455,PAULI,MATTHEW,C,D.O.,M,I,12 ST PAUL DR STE 208,,CHAMBERSBURG,PA,172011035,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.014545455,7.8445454545,8.2136363636
1033371455,PAULI,MATTHEW,C,D.O.,M,I,12 ST PAUL DR STE 208,,CHAMBERSBURG,PA,172011035,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,300,67.72,53.1,54.73
1033371455,PAULI,MATTHEW,C,D.O.,M,I,12 ST PAUL DR STE 208,,CHAMBERSBURG,PA,172011035,US,Physician/Physical Medicine and Rehabilitation,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,573.65,154.47727273,121.11,126.55545455
1033371745,KUCHARSKI,CHRISTOPHER,J,M.D.,M,I,800 N 1ST ST,,WAUSAU,WI,544034754,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,23,23,23,75.360869565,71.694347826,48.935217391,45.909565217
1033371745,KUCHARSKI,CHRISTOPHER,J,M.D.,M,I,800 N 1ST ST,,WAUSAU,WI,544034754,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,34,93.529411765,66.61,49.637941176,51.521176471
1033371752,DUFFY,SEAN,P,D.O.,M,I,45305 CATALINA CT,SUITE 103,STERLING,VA,201662337,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.14,8.535,6.685,7.75
1033371752,DUFFY,SEAN,P,D.O.,M,I,45305 CATALINA CT,SUITE 103,STERLING,VA,201662337,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,79.8,62.56,54.73
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,19,34,109,49.039082569,8.32,6.175412844,6.175412844
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,7.6754166667,1.42,1.1145833333,1.1145833333
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,86.31,21.2125,16.629166667,13.6475
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,23.520666667,8.4306666667,6.6106666667,4.014
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,105.82538462,52.523846154,38.532307692,26.895384615
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,21,519.51,99.618095238,78.102380952,62.924285714
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,4835,0.1839255429,0.0464115822,0.0363805584,0.0363805584
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,12.86,2.9661666667,2.3255,2.3255
1033372032,MILLS,SHERYL,M,"M,B,B,S",F,I,2500 N ESPLANADE ST,SUITE 102,CUERO,TX,779544723,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,110.78571429,33,24.946071429,24.946071429
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,41,82,208,64.439855769,8.32,5.6445673077,5.6445673077
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,24,45,71,14.352253521,1.42,0.9898591549,0.9898591549
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,520,8.835,3.82,2.9949038462,3.0551923077
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,365,10.555232877,5.54,4.2839452055,4.2839452055
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,7.78,4.04,3.167,3.167
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,29.047619048,6.0471428571,4.4080952381,3.3971428571
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,67,368.12358209,71.900895522,50.565373134,49.614776119
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,2180,1.3708165138,0.1336146789,0.0997752294,0.0997752294
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,14,86.785714286,23.076428571,18.087142857,14.345714286
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,599.5,122.59083333,89.385,88.356666667
1033372123,TAYLOR,SARAH,,D.O.,F,I,805 FARSON ST STE 115,,BELPRE,OH,457141000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,16,16,63.9375,33,21.175,21.175
1033372156,JONES,ELIZABETH,K,M.D.,F,I,20321 FARMINGTON ROAD,,LIVONIA,MI,48152,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,58,67.478275862,8.32,6.5224137931,6.5224137931
1033372156,JONES,ELIZABETH,K,M.D.,F,I,20321 FARMINGTON ROAD,,LIVONIA,MI,48152,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,50.73,5.4590322581,4.104516129,3.415483871
1033372156,JONES,ELIZABETH,K,M.D.,F,I,20321 FARMINGTON ROAD,,LIVONIA,MI,48152,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,144.88636364,31.120909091,23.328636364,23.033636364
1033372156,JONES,ELIZABETH,K,M.D.,F,I,20321 FARMINGTON ROAD,,LIVONIA,MI,48152,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,392.68176471,79.88,57.764705882,50.329411765
1033372347,OLSON,MATTHEW,D,M.D.,M,I,1229 C AVE E,,OSKALOOSA,IA,525774246,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,95.84,22.253636364,17.445454545,14.624545455
1033372347,OLSON,MATTHEW,D,M.D.,M,I,1229 C AVE E,,OSKALOOSA,IA,525774246,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,295,100.90545455,79.111818182,62.093636364
1033372396,SCHNEIDER,PATRICIA,A,FNP-BC,F,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,17,37,74.584594595,8.32,5.4635135135,5.4635135135
1033372396,SCHNEIDER,PATRICIA,A,FNP-BC,F,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,15.451875,1.42,0.98,0.98
1033372396,SCHNEIDER,PATRICIA,A,FNP-BC,F,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,727.14090909,100.90545455,79.111818182,54.73
1033372396,SCHNEIDER,PATRICIA,A,FNP-BC,F,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2843,0.2730073866,0.0440872318,0.034576152,0.034576152
1033372396,SCHNEIDER,PATRICIA,A,FNP-BC,F,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,265.84090909,44.560909091,34.938181818,29.515454545
1033373238,GAZZALA,JAWAHAR,R,M.D.,M,I,1468 MONTREAL RD,,TUCKER,GA,30084,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,30,106,44.792924528,8.32,5.9685849057,5.9685849057
1033373238,GAZZALA,JAWAHAR,R,M.D.,M,I,1468 MONTREAL RD,,TUCKER,GA,30084,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,38,15.548421053,1.42,0.9973684211,0.9973684211
1033373238,GAZZALA,JAWAHAR,R,M.D.,M,I,1468 MONTREAL RD,,TUCKER,GA,30084,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,84.806428571,6.6657142857,4.7057142857,4.32
1033373329,MATHIAS,JASON,S,MD,M,I,201 E HURON ST,GALTER 12-205,CHICAGO,IL,606113197,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,34,74,68.224864865,8.32,6.167972973,6.167972973
1033373329,MATHIAS,JASON,S,MD,M,I,201 E HURON ST,GALTER 12-205,CHICAGO,IL,606113197,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,23,15.595217391,1.42,1.0713043478,1.0713043478
1033373329,MATHIAS,JASON,S,MD,M,I,201 E HURON ST,GALTER 12-205,CHICAGO,IL,606113197,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,139.58125,40,31.36,30.49
1033373329,MATHIAS,JASON,S,MD,M,I,201 E HURON ST,GALTER 12-205,CHICAGO,IL,606113197,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,73,9.3015068493,1.9934246575,1.5632876712,1.5898630137
1033373410,FONTENOT,JOHN,,MD,M,I,1860 E EGBERT ST,,BRIGHTON,CO,806012475,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,56,55.569821429,8.32,6.5225,6.5225
1033373410,FONTENOT,JOHN,,MD,M,I,1860 E EGBERT ST,,BRIGHTON,CO,806012475,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,18,28,22.728928571,1.42,1.0764285714,1.0764285714
1033373410,FONTENOT,JOHN,,MD,M,I,1860 E EGBERT ST,,BRIGHTON,CO,806012475,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4.93,4.0075,3.14,3.62
1033373410,FONTENOT,JOHN,,MD,M,I,1860 E EGBERT ST,,BRIGHTON,CO,806012475,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,760.48,76.134117647,52.813529412,48.288823529
1033373527,GUPTA,VARUN,,MD,M,I,D-4207 MEDICAL CTR N,DEPARTMENT OF PLASTIC SURGERY,NASHVILLE,TN,372320001,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1716.46,647.26,507.45,465.35666667
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,105,19.71,15.45,15.45
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,19,140,173.86507143,37.38,29.305857143,29.305857143
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,69.262,31.5832,22.7004,18.1928
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,472.925,89.85,70.443333333,55.210833333
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,47.426,4.168,3.264,3.6573333333
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,98,98,419.3344898,79.575612245,58.73377551,52.32622449
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,490.08289474,38.671842105,29.587894737,28.861315789
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J1570,"Injection, ganciclovir sodium, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,85,388.92811765,64.560352941,50.615058824,50.615058824
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,920,6.5343369565,2.6045,2.041923913,2.041923913
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,23,154,20120,4.6204309145,0.5636346918,0.4217892644,0.4217842942
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,13,49,7448,0.0829632116,0.0130303437,0.0098831901,0.0098831901
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,52,10620,3.2503728814,1.3272090395,1.0248248588,1.0248248588
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,2880,4.6096527778,2.836625,2.1855659722,2.1855659722
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,2,,13,2940,10.92879932,8.4421428571,6.6186496599,6.6186496599
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,31,5381,0.2327801524,0.0462627764,0.0342315555,0.0342315555
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,18,1761,1.828762067,0.1281885292,0.099011925,0.099011925
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,115,37.313571429,25.117142857,25.352142857
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,18,29,132,132,24,24,18.486742424,18.486742424
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,26,167,244,16,16,12.028196721,12.028196721
1033373709,BEMISS,BRADFORD,,MD,M,I,2160 S 1ST AVE,,MAYWOOD,IL,601533328,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,41,41,71.634146341,33,24.60804878,24.60804878
1033373717,ORYSZCZAK,THOMAS,R,D.O.,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,25.95,4.0652631579,3.1831578947,3.7268421053
1033373717,ORYSZCZAK,THOMAS,R,D.O.,M,I,25 N WINFIELD RD,,WINFIELD,IL,601901295,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,410.032,77.18,58.26,52.598888889
1033373808,BURKE,DONNA,M,PA-C,F,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,41,92,263,70.897604563,8.32,5.9016730038,5.9016730038
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,20,40,57,14.285263158,1.42,1.0568421053,1.0568421053
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,94.392,41.188,30.259333333,28.457333333
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,237.86458333,57.724583333,43.297916667,40.914166667
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,76.884666667,18.852,13.841333333,13.132
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,76.891666667,11.64,8.36,8.36
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,23,116,7.9830172414,2.1794827586,1.5993965517,1.4824137931
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,61.000833333,13.780833333,9.9266666667,9.4783333333
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,368,16,5.31,4.1631521739,4.1631521739
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,5813,1.2395596078,0.3587338724,0.2812403234,0.2900722518
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,93.97,36.14,28.33,29.402727273
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3672222222,7.3672222222
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2714,0.4500036846,0.04733972,0.0296720707,0.0296720707
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1033373907,KOUIMELIS,MICHAEL,D,MD,M,I,9951 ROCK CUT XING,,LOVES PARK,IL,611111999,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,73.965517241,33,22.456896552,22.456896552
1033374046,DARNELL,COLLEEN,M,M.D.,F,I,20 MEDICAL VILLAGE DR,,EDGEWOOD,KY,410175401,US,Physician/Hematology-Oncology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,5.9416666667,4.165,3.1916666667
1033374046,DARNELL,COLLEEN,M,M.D.,F,I,20 MEDICAL VILLAGE DR,,EDGEWOOD,KY,410175401,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,175.93090909,76.618181818,60.070909091,54.918181818
1033374046,DARNELL,COLLEEN,M,M.D.,F,I,20 MEDICAL VILLAGE DR,,EDGEWOOD,KY,410175401,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,12,1334,34.589685157,4.842976012,3.7518215892,3.7518215892
1033374400,THUM,PATRICIA,,CRNP,F,I,511 ACADEMY ST,,ULYSSES,PA,169489580,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65.52,44.745,29.605833333,24.5975
1033374525,ERICKSON,MILLIE,,M.D.,F,I,611 W. FRANCIS ST.,SUITE 200,NORTH PLATTE,NE,69101,US,Physician/Urology,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,36.99,29.69,21.34,21.34
1033374525,ERICKSON,MILLIE,,M.D.,F,I,611 W. FRANCIS ST.,SUITE 200,NORTH PLATTE,NE,69101,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,5730,0.3365968586,0.13,0.1003176265,0.1003176265
1033374525,ERICKSON,MILLIE,,M.D.,F,I,611 W. FRANCIS ST.,SUITE 200,NORTH PLATTE,NE,69101,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,30,140,22838,4.4605630966,2.04,1.5777187144,1.5777187144
1033374525,ERICKSON,MILLIE,,M.D.,F,I,611 W. FRANCIS ST.,SUITE 200,NORTH PLATTE,NE,69101,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,3060,9.16,7.23,5.6597679739,5.6597679739
1033374525,ERICKSON,MILLIE,,M.D.,F,I,611 W. FRANCIS ST.,SUITE 200,NORTH PLATTE,NE,69101,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,56,14.621428571,10.67,8.0669642857,8.2730357143
1033374525,ERICKSON,MILLIE,,M.D.,F,I,611 W. FRANCIS ST.,SUITE 200,NORTH PLATTE,NE,69101,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,36,8.3438888889,7.46,5.6875,5.6875
1033374525,ERICKSON,MILLIE,,M.D.,F,I,611 W. FRANCIS ST.,SUITE 200,NORTH PLATTE,NE,69101,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,118,2.3972881356,1.73,1.356779661,1.4050847458
1033374822,PATEL,KAUSHIKKUMAR,K,M.D.,M,I,951 N WASHINGTON AVE,PARRISH MEDICAL GROUP. HOSPITALIST DEPT,TITUSVILLE,FL,327962163,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,47.562727273,37.286363636,38.431818182
1033374822,PATEL,KAUSHIKKUMAR,K,M.D.,M,I,951 N WASHINGTON AVE,PARRISH MEDICAL GROUP. HOSPITALIST DEPT,TITUSVILLE,FL,327962163,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,45,40,16.388444444,12.556888889,13.231333333
1033374822,PATEL,KAUSHIKKUMAR,K,M.D.,M,I,951 N WASHINGTON AVE,PARRISH MEDICAL GROUP. HOSPITALIST DEPT,TITUSVILLE,FL,327962163,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,2615.9563636,1074.31,842.26,842.26
1033374822,PATEL,KAUSHIKKUMAR,K,M.D.,M,I,951 N WASHINGTON AVE,PARRISH MEDICAL GROUP. HOSPITALIST DEPT,TITUSVILLE,FL,327962163,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,70,32.792727273,25.710909091,26.307272727
1033374822,PATEL,KAUSHIKKUMAR,K,M.D.,M,I,951 N WASHINGTON AVE,PARRISH MEDICAL GROUP. HOSPITALIST DEPT,TITUSVILLE,FL,327962163,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,11.4825,9,8.9541666667
1033374822,PATEL,KAUSHIKKUMAR,K,M.D.,M,I,951 N WASHINGTON AVE,PARRISH MEDICAL GROUP. HOSPITALIST DEPT,TITUSVILLE,FL,327962163,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,42,43,293.01116279,78.94744186,61.891860465,55.265348837
1033375084,KUMAR,BIJENDER,,M.D.,M,I,11619 KITTERY DR,,FISHERS,IN,460377858,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,25,80.6308,8.32,6.5228,6.5228
1033375084,KUMAR,BIJENDER,,M.D.,M,I,11619 KITTERY DR,,FISHERS,IN,460377858,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,39.090909091,17.497272727,13.721818182,13.54
1033375084,KUMAR,BIJENDER,,M.D.,M,I,11619 KITTERY DR,,FISHERS,IN,460377858,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,124.3645,41.289,31.115,27.926
1033375084,KUMAR,BIJENDER,,M.D.,M,I,11619 KITTERY DR,,FISHERS,IN,460377858,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,385.99333333,88.486944444,65.973888889,52.814444444
1033375084,KUMAR,BIJENDER,,M.D.,M,I,11619 KITTERY DR,,FISHERS,IN,460377858,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,80.25,39.4425,29.111875,27.7075
1033375084,KUMAR,BIJENDER,,M.D.,M,I,11619 KITTERY DR,,FISHERS,IN,460377858,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,783.5,257.63,201.9825,170.38666667
1033375092,KRISHNAN,BALA ARUL,V,"M.D., M.S.",M,I,707 SW WASHINGTON ST,SUITE 700,PORTLAND,OR,972053536,US,Physician/Anesthesiology,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,47,47,47,1338.557234,1070.0325532,820.02595745,867.62787234
1033375092,KRISHNAN,BALA ARUL,V,"M.D., M.S.",M,I,707 SW WASHINGTON ST,SUITE 700,PORTLAND,OR,972053536,US,Physician/Anesthesiology,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,25,31,39,1010.1233333,809.20333333,623.38282051,666.65897436
1033375092,KRISHNAN,BALA ARUL,V,"M.D., M.S.",M,I,707 SW WASHINGTON ST,SUITE 700,PORTLAND,OR,972053536,US,Physician/Anesthesiology,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,31,37,48,132.88604167,118.41395833,90.875,86.991458333
1033375092,KRISHNAN,BALA ARUL,V,"M.D., M.S.",M,I,707 SW WASHINGTON ST,SUITE 700,PORTLAND,OR,972053536,US,Physician/Anesthesiology,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,11,12,16,568.2725,456.62875,358.00125,365.388125
1033375563,INDACOCHEA,RICARDO,A,MD,M,I,4004 BEYER BLVD,,SAN YSIDRO,CA,921732007,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,48,130,58.553923077,8.32,5.8042307692,5.8042307692
1033375563,INDACOCHEA,RICARDO,A,MD,M,I,4004 BEYER BLVD,,SAN YSIDRO,CA,921732007,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.356923077,3.38,2.4461538462,2.4461538462
1033375563,INDACOCHEA,RICARDO,A,MD,M,I,4004 BEYER BLVD,,SAN YSIDRO,CA,921732007,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,22,44,15.696818182,1.42,0.9622727273,0.9622727273
1033375597,TIMONEY,PETER,J,MBBCH,M,I,110 CONN TER STE 550,,LEXINGTON,KY,405083206,US,Physician/Ophthalmology,S,V2623,"Prosthetic eye, plastic, custom",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,3100,867.87,664.31625,739.91625
1033375597,TIMONEY,PETER,J,MBBCH,M,I,110 CONN TER STE 550,,LEXINGTON,KY,405083206,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,66.25,58.86,36.69375,42.05625
1033375613,NAJARIAN,ROBERT,G,M.D.,M,I,920 N HAMILTON RD,STE 600,GAHANNA,OH,432301757,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,144.74,120.62,94.57,88.124545455
1033375795,CULPEPPER,CHARLES,W,PA,M,I,1518 DOCTORS DR,,BOSSIER CITY,LA,711113322,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,25.361764706,23.055294118,16.665882353,12.559411765
1033375795,CULPEPPER,CHARLES,W,PA,M,I,1518 DOCTORS DR,,BOSSIER CITY,LA,711113322,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,184.24421053,109.56,79.606842105,55.363684211
1033375795,CULPEPPER,CHARLES,W,PA,M,I,1518 DOCTORS DR,,BOSSIER CITY,LA,711113322,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,12.155541667,2.946375,2.2570208333,2.2570208333
1033375795,CULPEPPER,CHARLES,W,PA,M,I,1518 DOCTORS DR,,BOSSIER CITY,LA,711113322,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,63.461538462,33,25.87,25.87
1033375837,PAYETTE,ANNE,C,"RN, FNP",F,I,115 SARATOGA ROAD SUITE 200,,GLENVILLE,NY,12302,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,50.73,7.2893333333,5.4703333333,3.7786666667
1033375837,PAYETTE,ANNE,C,"RN, FNP",F,I,115 SARATOGA ROAD SUITE 200,,GLENVILLE,NY,12302,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,23.714166667,23.714166667
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,20,400,10.85855,5.74,4.38755,4.38755
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,23,256,5.46390625,2.9084375,1.9859765625,1.9872265625
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,59,8.2374576271,6.44,5.0494915254,5.0494915254
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,47,985,12.447005076,6.9894416244,5.4797461929,5.4854619289
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,1560,3.2638461538,1.9469230769,1.5263974359,1.5288076923
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,33,800,7.664,4.03,3.0811375,3.0811375
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,35,2270,0.4873127753,0.27,0.2116475771,0.2116475771
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,360,5.6319722222,3.0366666667,2.3807777778,2.3833888889
1033375894,FORTUNATO,RICHARD,A,D.O.,M,I,320 E NORTH AVE STE 261,,PITTSBURGH,PA,152124756,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,550,0.5021454545,0.23,0.1803636364,0.2116363636
1033376017,RAY,RANJAN,,MD PHD,M,I,1100 VAN NESS AVE FL 3,,SAN FRANCISCO,CA,941096920,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,16,74,9435,5.1594520403,0.5824356121,0.4339438262,0.4339395866
1033376017,RAY,RANJAN,,MD PHD,M,I,1100 VAN NESS AVE FL 3,,SAN FRANCISCO,CA,941096920,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,26,5700,3.2189894737,1.2401789474,0.921945614,0.921945614
1033376017,RAY,RANJAN,,MD PHD,M,I,1100 VAN NESS AVE FL 3,,SAN FRANCISCO,CA,941096920,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,16,48,48,24,24,18.261458333,18.261458333
1033376017,RAY,RANJAN,,MD PHD,M,I,1100 VAN NESS AVE FL 3,,SAN FRANCISCO,CA,941096920,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,16,74,106,16,16,12.254528302,12.254528302
1033376439,POYNTER,DAVID,J,MD,M,I,1027 BATEMAN DR STE C,,SOCIAL CIRCLE,GA,300255039,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,39,95,70.533473684,8.32,5.2870526316,5.2870526316
1033376595,REISING,SCOTT,F,MD,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,41.765,22.4775,16.3775,12.653333333
1033376595,REISING,SCOTT,F,MD,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,177.18,102.61833333,75.474166667,50.169166667
1033376595,REISING,SCOTT,F,MD,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3743.3333333,2598.1166667,2036.9233333,2036.9233333
1033376918,TORRES,LELA,R,MD,F,I,8135 CENTRALIA CT STE 101,,LEESBURG,FL,347883759,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,16,34,63.735588235,8.32,6.1376470588,6.1376470588
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,20,260,47.227538462,19.679,15.115,15.115
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,670,8.1843283582,2.6364179104,1.9742089552,1.9742089552
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,22,29,58,4.954137931,0.51,0.4,0.4
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,127,394,1765,57.53533711,8.3053144476,6.2202209632,6.2317280453
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,33,86,86,13.573488372,3.38,2.588372093,2.588372093
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,31,44,44,21.485,2.12,1.6320454545,1.6320454545
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,62,163,431,12.835939675,1.4187935035,1.0809512761,1.0818793503
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,14,14,14,64.174285714,61.239285714,43.81,54.441428571
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,466.92615385,351.37615385,266.63692308,266.63692308
1033376983,BELL,JASON,C,D.O.,M,I,1904 PINE ST STE 200,,ABILENE,TX,796012450,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,46,46,285.73804348,250.99130435,196.77695652,196.86956522
1033377007,OWNBY,EVAN,D,MD,M,I,2410 ATHERHOLT RD,,LYNCHBURG,VA,245012148,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,70.493333333,48.983333333
1033377049,CHANEY,JOHN,H,MD,M,I,22 BRAMHALL ST,,PORTLAND,ME,041023134,US,Physician/Thoracic Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,322,10,7.468136646,5.8549378882,4.1630434783
1033377049,CHANEY,JOHN,H,MD,M,I,22 BRAMHALL ST,,PORTLAND,ME,041023134,US,Physician/Thoracic Surgery,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6217,7.0678381856,1.3887502011,1.0657037156,0.9255669937
1033377049,CHANEY,JOHN,H,MD,M,I,22 BRAMHALL ST,,PORTLAND,ME,041023134,US,Physician/Thoracic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,38,38,45.308157895,19.880263158,15.583947368,13.688947368
1033377049,CHANEY,JOHN,H,MD,M,I,22 BRAMHALL ST,,PORTLAND,ME,041023134,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,50,50,222.8452,89.268,67.3636,53.123
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,98.298823529,19.836470588,14.315882353,12.517941176
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,57,57,42.620877193,5.9194736842,4.4107017544,3.5240350877
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,14,114,114,497.42596491,77.812192982,56.830789474,50.656315789
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,87,87,249,39.051724138,29.288850575,28.256321839
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,780,16.519461538,9.6192307692,7.541474359,7.541474359
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,18.660142857,11.253357143,8.7083214286,8.7083214286
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,18,48,8725,0.3102040115,0.0470750716,0.0353329513,0.0353329513
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,992,3.3157358871,0.0672883065,0.051391129,0.0513709677
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,16,2009,1.6213389746,0.1328023892,0.0987008462,0.0987008462
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,46,2610,8.9060804598,2.9954022989,2.2018199234,2.2018199234
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,879,2.5252901024,0.2198293515,0.172298066,0.172298066
1033377106,JEFFRIES,JESSICA,L,M.D.,F,I,519 HARRIET ST,,EVANSVILLE,IN,47710,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,27,93,93,40.451612903,33,25.035483871,25.035483871
1033377403,ABERN,MICHAEL,R,M.D.,M,I,820 S WOOD ST # MC955,SUITE 515,CHICAGO,IL,606124325,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,250,9.2894,7,5.26848,5.26848
1033377403,ABERN,MICHAEL,R,M.D.,M,I,820 S WOOD ST # MC955,SUITE 515,CHICAGO,IL,606124325,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,400,6.19025,4.04,2.9594,2.9594
1033377635,COHEN,JULIE,C,MD,F,I,8383 W ALAMEDA AVE,,LAKEWOOD,CO,802263007,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,703.96416667,819.77583333
1033377635,COHEN,JULIE,C,MD,F,I,8383 W ALAMEDA AVE,,LAKEWOOD,CO,802263007,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,1037.68,78.49,57.684375,51.734375
1033377676,GONZALEZ-AYALA,RAFAEL,,M.D.,M,I,1605 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,31,61,68.189016393,8.32,6.5206557377,6.5206557377
1033377676,GONZALEZ-AYALA,RAFAEL,,M.D.,M,I,1605 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,53.195,17.343333333,13.5975,13.539583333
1033377676,GONZALEZ-AYALA,RAFAEL,,M.D.,M,I,1605 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,200.54780488,75.011219512,57.348536585,53.387560976
1033377692,WAGHELA,SARJU,,D.O,F,I,2001 N MACARTHUR BLVD,#630,IRVING,TX,750612256,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,24,2408,41.442400332,4.7638164452,3.7348421927,3.7348421927
1033377692,WAGHELA,SARJU,,D.O,F,I,2001 N MACARTHUR BLVD,#630,IRVING,TX,750612256,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,48,24,18.82,18.82
1033377791,JACOBSEN,STEPHEN,P,MD,M,I,14535A HAZEL DELL PKWY,,CARMEL,IN,460339401,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,127.78,100.42,75.151363636,83.205
1033377841,CHANG,CHUAN-HSIN,,M.D.,F,I,1520 STOCKTON ST,,SAN FRANCISCO,CA,941333354,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,125,78.6144,8.32,3.392,3.392
1033377841,CHANG,CHUAN-HSIN,,M.D.,F,I,1520 STOCKTON ST,,SAN FRANCISCO,CA,941333354,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,49,18.959387755,1.42,0.6583673469,0.6583673469
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,267,71.504,56.064,54.508666667
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,540,1.7457592593,0.5521481481,0.4328148148,0.4328148148
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,8.0577878788,2.5964545455,2.0356060606,2.0356060606
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,23,20,252,37353,4.0819655717,0.5679310899,0.4346515675,0.4346507643
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,3150,0.0968730159,0.0136190476,0.0106793651,0.0106793651
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,1080,1.0743148148,0.7329166667,0.5419074074,0.5419074074
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,36,5700,3.2675315789,1.0841385965,0.8118701754,0.825054386
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,4380,3.7372442922,2.8106803653,2.1490707763,2.1490707763
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,9,,56,23460,10.11565601,8.4679015345,6.5967178176,6.6283248082
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,27,23,208,208,24,24,18.277115385,18.277115385
1033378013,KILARU,SILPA,D,,F,I,3600 MEYRAN AT FORBES,FORBES TOWER SUITE 8044,PITTSBURGH,PA,15213,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,29,23,223,242,19.041322314,16,12.384669421,12.384669421
1033378153,AELLA,SANJEETHA,,MD,F,I,10864 TEXAS HEALTH TRL,,FORT WORTH,TX,762444897,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,82.901818182,17.597272727,13.794545455,13.530909091
1033378153,AELLA,SANJEETHA,,MD,F,I,10864 TEXAS HEALTH TRL,,FORT WORTH,TX,762444897,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,422.31771429,76.26,43.322,40.667714286
1033378344,OJO-CARONS,AKINWUNMI,,M.D.,M,I,7185 HARBOUR TOWNE PKWY S STE 200,,SUFFOLK,VA,234353796,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1530,4.7823529412,1.8123529412,1.4208823529,1.5564509804
1033378351,HEIMBUCH,RICHARD,C,APN-BC,M,I,22 FLORIAN CT,,MANCHESTER,NJ,087596278,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,33,33,134.38,49.580606061,34.333333333,35.704545455
1033378351,HEIMBUCH,RICHARD,C,APN-BC,M,I,22 FLORIAN CT,,MANCHESTER,NJ,087596278,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,900,2.9093333333,0.1389666667,0.1058888889,0.1058888889
1033378351,HEIMBUCH,RICHARD,C,APN-BC,M,I,22 FLORIAN CT,,MANCHESTER,NJ,087596278,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,119.34,32.288823529,25.313529412,24.081176471
1033378351,HEIMBUCH,RICHARD,C,APN-BC,M,I,22 FLORIAN CT,,MANCHESTER,NJ,087596278,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,20.57,9.445625,7.405625,7.42
1033378351,HEIMBUCH,RICHARD,C,APN-BC,M,I,22 FLORIAN CT,,MANCHESTER,NJ,087596278,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,24.348235294,24.348235294
1033378468,COSTA,JILLENE,,DPM,F,I,2907 CHANTICLEER AVENUE,,SANTA CRUZ,CA,95065,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,37,37,99,83.01,64.512432432,62.817297297
1033378468,COSTA,JILLENE,,DPM,F,I,2907 CHANTICLEER AVENUE,,SANTA CRUZ,CA,95065,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,42,42,165,150.19,117.18809524,119.0452381
1033378468,COSTA,JILLENE,,DPM,F,I,2907 CHANTICLEER AVENUE,,SANTA CRUZ,CA,95065,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,189.744,149.34,98.602,107.89
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,6.4166666667,0.51,0.4,0.4
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,27,70,338,49.998550296,8.32,6.2734615385,6.2734615385
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,18,45,45,14.623555556,3.38,2.4733333333,2.4733333333
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,14,19,19,23.817894737,2.12,1.5821052632,1.5821052632
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,25,57,153,14.440653595,1.42,1.0769281046,1.0769281046
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,31,932,63.175622318,4.14,3.1451502146,3.1451502146
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,9376,1.4896800341,0.31,0.2224296075,0.2224296075
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,37,37,167.43567568,46.951081081,30.422162162,32.038108108
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,759.1872,125.524,90.2304,114.552
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,170.78947368,21.051052632,12.481578947,11.421052632
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,59.963636364,24.554545455,19.253636364,18.17
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,52,488.64153846,79.98,59.941153846,55.030384615
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,58,58,90.82,32.517586207,24.685344828,24.531206897
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,113.75947368,30.59,21.428421053,18.882894737
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,224.69,63.01,43.916363636,49.48
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,105,105,26.52,7.9942857143,5.8998095238,6.3725714286
1033378641,SADIG,HASHIM,,M.D.,M,I,2514 S 102ND ST,160,WEST ALLIS,WI,532272142,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,99,33,25.87,25.87
1033378674,CHOWDHURY,NAZIF,A,MD,M,I,40 MITCHELL AVENUE,,BINGHAMTON,NY,13903,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,63,400,74.060952381,56.384126984,53.031746032
1033378674,CHOWDHURY,NAZIF,A,MD,M,I,40 MITCHELL AVENUE,,BINGHAMTON,NY,13903,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,26,56.95,40.721153846,31.928461538,29.518076923
1033378732,SABZALI,SADAF,S,MD,F,I,1650 E STACY RD STE 160,,ALLEN,TX,750028846,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,37,52.061621622,8.32,5.1127027027,5.1127027027
1033378922,PINEDA,ELDRIGE,F,M.D.,M,I,700 2ND ST NE,KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER,WASHINGTON,DC,200028100,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,12.34,12.34,9.67,9.1658333333
1033378922,PINEDA,ELDRIGE,F,M.D.,M,I,700 2ND ST NE,KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER,WASHINGTON,DC,200028100,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,27,184,194,34.519278351,16.715670103,12.630927835,13.046701031
1033378922,PINEDA,ELDRIGE,F,M.D.,M,I,700 2ND ST NE,KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER,WASHINGTON,DC,200028100,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,81.26,44.44,34.84,37.63
1033378922,PINEDA,ELDRIGE,F,M.D.,M,I,700 2ND ST NE,KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER,WASHINGTON,DC,200028100,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,103.49,77.62,60.86,61.5
1033378922,PINEDA,ELDRIGE,F,M.D.,M,I,700 2ND ST NE,KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER,WASHINGTON,DC,200028100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,38,277,297,301.67326599,78.743367003,59.06043771,52.97973064
1033378922,PINEDA,ELDRIGE,F,M.D.,M,I,700 2ND ST NE,KAISER PERMANENTE CAPITOL HILL MEDICAL CENTER,WASHINGTON,DC,200028100,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,77,82,150.53170732,39.181463415,28.865,28.110365854
1033378971,GREEN,PATRICK,D,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,569,13.56,13.13,10.29400703,10.29400703
1033378971,GREEN,PATRICK,D,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,159,1167.7,268.44,210.45578616,210.45578616
1033378971,GREEN,PATRICK,D,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,146,18.431438356,9.35,7.33,7.33
1033378971,GREEN,PATRICK,D,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,159,60,29.22,22.908553459,22.908553459
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,16,49,3.7579591837,1.4767346939,1.1579591837,1.1532653061
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,14,14,46.075714286,13.202857143,10.355714286,9.3828571429
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,428.14461538,97.103846154,70.73,62.623076923
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,34,153.56117647,37.183823529,24.732647059,21.504705882
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,73.358461538,18.964615385,14.863846154,14.060769231
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,77.792666667,14.079333333,11.039333333,9.12
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,22,112,8.5514285714,2.2594642857,1.7708035714,1.591875
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,18,104,110,41.905181818,18.819545455,13.987090909,13.151727273
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,2663.3505556,1074.31,831.22361111,831.22361111
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1501.2416667,922.33833333,707.77083333,707.77083333
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,30,182,190,25.378789474,6.2509473684,4.5488947368,3.5052105263
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,29,121.49724138,35.547586207,25.333103448,24.321724138
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,40,237,253,340.03355731,81.427667984,60.770355731,52.715770751
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,176.66666667,39.844074074,31.238518519,29.435925926
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,16.864666667,11.23,8.8043636364,8.8043636364
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,24,30,68,17079,0.2986831782,0.0465905498,0.0332015926,0.0331980795
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,2250,1.2605955556,0.1300266667,0.0971022222,0.0971022222
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,1440,12.08925,3.007375,2.1255972222,2.1255972222
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,31,1695,2.1144011799,0.2191268437,0.1479056047,0.1479056047
1033378989,MOODY,GINA,N,DO,F,I,745 W STATE ST,510,COLUMBUS,OH,432221515,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,26,33,98,98,61.285714286,33,24.432346939,24.432346939
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,35,171.94542857,8.32,5.4057142857,5.4057142857
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,12,19.370833333,1.42,0.9333333333,0.9333333333
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,34,34,134.38,43.13,28.951764706,30.412941176
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,128.98,40.142105263,24.961052632,27.515789474
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2584,0.6317879257,0.0463815789,0.0363660991,0.0363660991
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,418,3.3901196172,0.2189952153,0.1716746411,0.1716746411
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,68.32625,13.9955,8.704,11.049
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,119.34,20.564736842,16.127894737,20.31
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,60,60,20.57,6.5013333333,4.312,5.4781666667
1033379540,MOBERG,KENNETH,A,NURSE PRACTITIONER,M,I,121B WEST 20TH STREET,VILLAGE DIAGNOSTIC & TREATMENT CENTER,NEW YORK,NY,10011,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,24.145333333,24.145333333
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,81,89,75.671573034,17.721235955,13.012134831,11.747865169
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,17,232.35,48.31,35.651764706,35.431176471
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,20,168.7615,36.5515,28.6565,28.2065
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,28,169,172,487.30465116,78.357267442,59.028081395,52.730581395
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,53,62,210.14241935,37.484516129,27.938064516,27.969032258
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,16.489796296,9.6499444444,7.5655462963,7.5655462963
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3625,0.1927475862,0.0466344828,0.0335117241,0.0335117241
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,42,4949,1.6662295413,0.136407355,0.1025641544,0.1025641544
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,810,9.8158888889,2.9937160494,2.1740740741,2.1740740741
1033379649,LUTCHMEDIAL,SANJIVA,M,MD.,M,I,430 MORTON PLANT ST STE 405,,CLEARWATER,FL,33756,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,73,73,85.890410959,33,24.806849315,24.806849315
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,31,92,77.180217391,8.32,5.8127173913,5.8127173913
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,26,15.174230769,1.42,1.0723076923,1.0723076923
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,200,8.86,3.32,2.603,3.0576
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,132.39,48.554545455,35.889545455,35.229545455
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,17.29,13.55,13.53
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,360,70.23,55.06,54.72
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,55,21.23,14.028333333,12.794166667
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,31.4525,27.9885,18.7025,17.2985
1033379706,GRIFFIS,CHRYSTAL,M,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,784.19285714,144.59285714,110.14714286,108.45428571
1033379896,PRIDA,KAREN,,M.D,F,I,501 NW 103RD AVE,,PEMBROKE PINES,FL,330263924,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,67,48.29761194,8.32,6.5231343284,6.5231343284
1033379896,PRIDA,KAREN,,M.D,F,I,501 NW 103RD AVE,,PEMBROKE PINES,FL,330263924,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,14.88,3.38,2.65,2.65
1033379896,PRIDA,KAREN,,M.D,F,I,501 NW 103RD AVE,,PEMBROKE PINES,FL,330263924,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,33,15.104848485,1.42,1.1136363636,1.1136363636
1033379896,PRIDA,KAREN,,M.D,F,I,501 NW 103RD AVE,,PEMBROKE PINES,FL,330263924,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,61.84,21.0175,16.48,14.19
1033379896,PRIDA,KAREN,,M.D,F,I,501 NW 103RD AVE,,PEMBROKE PINES,FL,330263924,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20,9.155,7.175,6.6725
1033380936,ROBINSON,SAMUEL,P,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,150,43.156296296,33.837407407,36.46
1033380936,ROBINSON,SAMUEL,P,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,35.041666667,8.0554166667,5.4325,6.065
1033380936,ROBINSON,SAMUEL,P,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,13,46,46,395,124.21891304,90.822173913,90.818478261
1033380936,ROBINSON,SAMUEL,P,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,63,63,63,100,85.329365079,64.348888889,66.500634921
1033380936,ROBINSON,SAMUEL,P,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,675,645.72352941,482.29352941,457.67647059
1033380936,ROBINSON,SAMUEL,P,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,674.12133333,641.82,503.19,488.15
1033380936,ROBINSON,SAMUEL,P,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,64,64,64,150,121.13484375,94.973125,87.81234375
1033381108,RIORDAN,JOHN,F,M.D.,M,I,880 N TENNESSEE AVE STE 105,,MARTINSBURG,WV,254019401,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,33,7710,4.3550194553,1.92,1.4768015564,1.5635486381
1033381124,KLEID,JACK,,M.D.,M,I,3660 CLAIREMONT DR,#6,SAN DIEGO,CA,921175909,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,44,72.030227273,8.32,6.5211363636,6.5211363636
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,34,100,57.6127,8.32,5.8118,5.8118
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,20,3.38,2.4291666667,2.4291666667
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,27,45,17.930888889,1.42,0.9653333333,0.9653333333
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,123.41636364,63.108181818,49.477272727,41.641818182
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,18,12.696666667,12.174166667
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,35,15.801666667,7.8266666667,8.2316666667
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,431.6,77.18,47.054545455,42.843636364
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,79.663333333,21.618095238,16.945238095,14.138095238
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,133.77,46.149230769,36.179230769,26.486153846
1033381439,DAHIYA,RAJENDER,S,M.D.,M,I,1700 S GALENA AVE,,DIXON,IL,610219695,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,60.617368421,34.981578947,23.068947368,18.813684211
1033381587,FREEMAN,DAWN,A,"APRN, BC, FNP",F,I,110 KINGSLEY LN,SUITE 312,NORFOLK,VA,235054614,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,37,37,61.36,45.984324324,34.867567568,37.494864865
1033381587,FREEMAN,DAWN,A,"APRN, BC, FNP",F,I,110 KINGSLEY LN,SUITE 312,NORFOLK,VA,235054614,US,Nurse Practitioner,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,61.871818182,33.2,26.03,27.862727273
1033381587,FREEMAN,DAWN,A,"APRN, BC, FNP",F,I,110 KINGSLEY LN,SUITE 312,NORFOLK,VA,235054614,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,66.451612903,19.659677419,15.411290323,15.296129032
1033381587,FREEMAN,DAWN,A,"APRN, BC, FNP",F,I,110 KINGSLEY LN,SUITE 312,NORFOLK,VA,235054614,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,91.428571429,25.714285714,20.16,22.202857143
1033381587,FREEMAN,DAWN,A,"APRN, BC, FNP",F,I,110 KINGSLEY LN,SUITE 312,NORFOLK,VA,235054614,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,22.028571429,8.832,6.2531428571,6.5054285714
1033381793,CORBETT,NICOLA,S,MD,F,I,104 MEDICAL CENTER DRIVE,,SLIDELL,LA,704615575,US,Physician/Orthopedic Surgery,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,2.82,2.3590909091,1.6736363636,1.6481818182
1033381793,CORBETT,NICOLA,S,MD,F,I,104 MEDICAL CENTER DRIVE,,SLIDELL,LA,704615575,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,37,37,55.014594595,23.018378378,17.532702703,13.864324324
1033381793,CORBETT,NICOLA,S,MD,F,I,104 MEDICAL CENTER DRIVE,,SLIDELL,LA,704615575,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,38,38,18.124736842,10.570526316,8.0721052632,6.6531578947
1033381793,CORBETT,NICOLA,S,MD,F,I,104 MEDICAL CENTER DRIVE,,SLIDELL,LA,704615575,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,19,108.92105263,91.95,72.083684211,66.176842105
1033381793,CORBETT,NICOLA,S,MD,F,I,104 MEDICAL CENTER DRIVE,,SLIDELL,LA,704615575,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,290.08,251.28,197,216.8052381
1033382098,GRANDVILLE,GRACE,R,P.A.,F,I,181 BELLE MEAD ROAD,SUITE 5,E. SETAUKET,NY,11733,US,Physician Assistant,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,113.73,97.49,69.481818182,70.943636364
1033382155,HATANPA,DEBORAH,A,MD,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,18,52,81.427307692,8.32,6.2707692308,6.2707692308
1033382155,HATANPA,DEBORAH,A,MD,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,13,14.525384615,1.42,1.0338461538,1.0338461538
1033382155,HATANPA,DEBORAH,A,MD,F,I,109 N 28TH ST E,,SUPERIOR,WI,548806548,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,236.9664,49.222,35.5844,24.3064
1033382197,MORVANT,KRISTIN,W,M.D.,F,I,16777 MEDICAL CENTER,,BATON ROUGE,LA,708163254,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,31,84,72.926309524,8.32,5.4651190476,5.4651190476
1033382197,MORVANT,KRISTIN,W,M.D.,F,I,16777 MEDICAL CENTER,,BATON ROUGE,LA,708163254,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,13.420769231,1.42,1.0307692308,1.0307692308
1033382197,MORVANT,KRISTIN,W,M.D.,F,I,16777 MEDICAL CENTER,,BATON ROUGE,LA,708163254,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,666.19,203.45294118,159.50705882,152.07941176
1033383088,VALERO,ELSA,,MD,F,I,6425 CERMAK RD,,BERWYN,IL,604022338,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,36,73,245,66.728979592,8.32,5.8813469388,5.8813469388
1033383088,VALERO,ELSA,,MD,F,I,6425 CERMAK RD,,BERWYN,IL,604022338,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,13.158823529,3.38,2.4941176471,2.4941176471
1033383088,VALERO,ELSA,,MD,F,I,6425 CERMAK RD,,BERWYN,IL,604022338,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,25,44,83,13.277710843,1.42,1.0338554217,1.0338554217
1033383625,BATCHU,KSHONIJA,,MD,F,I,751 S BASCOM AVE,,SAN JOSE,CA,951282604,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,19,76.791578947,8.32,3.4336842105,3.4336842105
1033383781,ATALLA,MOHAMED,A,M.D.,M,I,1221 MERCANTILE LN,KAISER PERMANENTE DEPARTMENT OF UROLOGY,LARGO,MD,207745374,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,540,14.506555556,5.54,3.971462963,3.971462963
1033383781,ATALLA,MOHAMED,A,M.D.,M,I,1221 MERCANTILE LN,KAISER PERMANENTE DEPARTMENT OF UROLOGY,LARGO,MD,207745374,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,640,8.540375,4.04,2.9490625,2.9490625
1033384086,CHOUHAN,KANWALJIT,K,MD,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503091409,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,87,5100,6.6072411765,0.5688588235,0.4324509804,0.4324490196
1033384086,CHOUHAN,KANWALJIT,K,MD,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503091409,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,1680,3.1415833333,1.3965714286,1.0948809524,1.0948809524
1033384086,CHOUHAN,KANWALJIT,K,MD,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503091409,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,79,13980,5.7306573677,2.8570772532,2.2224363376,2.2224363376
1033384086,CHOUHAN,KANWALJIT,K,MD,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503091409,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,901,17.687957825,7.4992230855,5.8793673696,5.8793562708
1033384086,CHOUHAN,KANWALJIT,K,MD,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503091409,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,16,103,103,24,24,18.454563107,18.454563107
1033384086,CHOUHAN,KANWALJIT,K,MD,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503091409,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,116,123,16.06504065,16,12.438211382,12.438211382
1033385661,CHAPIN,DEBORAH,A,ANP-BC,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,026015232,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,48,98,189,1043,77.23810163,8.32,6.1743624161,6.1743624161
1033385661,CHAPIN,DEBORAH,A,ANP-BC,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,026015232,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,30,50,134,14.753955224,1.42,0.9967164179,0.9967164179
1033385661,CHAPIN,DEBORAH,A,ANP-BC,F,I,40 QUINLAN WAY,SUITE 206,HYANNIS,MA,026015232,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,28,28,250.915,250.915,195.72678571,195.87892857
1033386065,ANWAR,ZESHAN,,M.D.,M,I,1 HOSPITAL DR,,LEWISBURG,PA,178379350,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,40,18.09125,13.36625,12.72625
1033386065,ANWAR,ZESHAN,,M.D.,M,I,1 HOSPITAL DR,,LEWISBURG,PA,178379350,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,220,86.85047619,65.567619048,52.221428571
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,48,88,88,133.47068182,39.95,30.965,30.189090909
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,18,28,28,479.60285714,84.9825,64.289285714,65.525
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,12,29,67,178.98940299,33.89238806,25.461791045,24.853731343
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,45,91,422,90.01021327,19.443033175,14.96943128,14.333151659
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,19,71,60.020140845,16,12.544507042,11.892535211
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,71,129,129,200.38449612,55.794031008,42.975968992,42.161395349
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,78,102,102,70.650980392,19.222647059,15.034019608,14.04745098
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,28,28,47.4725,11.057142857,8.3560714286,7.8785714286
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,35,57,57,65.576140351,13.937192982,10.488421053,8.8738596491
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,79,161,792,13.251464646,2.0849116162,1.5805681818,1.5406439394
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,40,53,53,19.610188679,6.1728301887,4.5633962264,4.3958490566
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,38,47,47,66.879787234,13.640212766,10.692553191,10.359787234
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,86.31,21.588,16.035333333,15.406
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,67,67,3822.0546269,913.16,712.06791045,830.86522388
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,394.00954545,90.171136364,67.808181818,65.831590909
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,26,26,26,682.38461538,133.75,104.49346154,104.34307692
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,58,13.391666667,9.9194444444,9.8977777778
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,19,52.930526316,3.4952631579,2.7457894737,3.4757894737
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,35,229,229,487.81240175,34.495021834,25.837554585,24.283275109
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,33,607.13545455,79,55.204242424,48.868787879
1033386503,NATHAN,MANJARI,,M.D.,F,I,130 LA CASA VIA,"BLDG.#2, SUITE 208",WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39.375,28.291666667,27.1725
1033386834,ZAVALA,ADRIENNE,,M.D.,F,I,171 TAYLOR ST,,HARPERS FERRY,WV,254253641,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,34,90,68.435777778,8.32,5.7245555556,5.7245555556
1033386834,ZAVALA,ADRIENNE,,M.D.,F,I,171 TAYLOR ST,,HARPERS FERRY,WV,254253641,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,31,19.097096774,1.42,1.044516129,1.044516129
1033386834,ZAVALA,ADRIENNE,,M.D.,F,I,171 TAYLOR ST,,HARPERS FERRY,WV,254253641,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,198.33333333,102.61282051,79.647179487,63.299487179
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,66,147,74.034761905,8.32,6.1239455782,6.1239455782
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,14,14.012857143,1.42,1.0385714286,1.0385714286
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,128.77727273,74.967272727,54.719090909,41.291818182
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,47.671428571,23.912857143,16.517142857,12.687142857
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,49.451428571,18.526428571,13.802857143,8.4685714286
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,89,4.9505617978,2.7979775281,2.0746067416,1.4857303371
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,48.402631579,8.5757894737,6.4678947368,3.4378947368
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,250,93.632307692,68.810769231,53.635384615
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,75,43.779230769,31.797692308,27.793846154
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,3150,1.9759365079,0.1372095238,0.1075968254,0.1075968254
1033386966,MOE,JORDAN,R,M.D.,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,33,33,23.714166667,23.714166667
1033386982,MOSLEY,DWIGHT,E,M.D.,M,I,1509 STONECREEK DR S,,PICKERINGTON,OH,43147,US,Physician/Pain Management,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,38.08,10.589090909,7.5940909091,7.1822727273
1033387345,ARON,MONISH,,MD,M,I,1441 EASTLAKE AVE,SUITE 7416,LOS ANGELES,CA,900892211,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,28,96,15.399479167,10.93,8.48,8.48
1033387345,ARON,MONISH,,MD,M,I,1441 EASTLAKE AVE,SUITE 7416,LOS ANGELES,CA,900892211,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,1060,10.174471698,5.74,4.5001320755,4.5001320755
1033387345,ARON,MONISH,,MD,M,I,1441 EASTLAKE AVE,SUITE 7416,LOS ANGELES,CA,900892211,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,520,14.181384615,7.33,5.47075,5.47075
1033387345,ARON,MONISH,,MD,M,I,1441 EASTLAKE AVE,SUITE 7416,LOS ANGELES,CA,900892211,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,26,1080,6.6031203704,4.04,3.1673333333,3.1673333333
1033387345,ARON,MONISH,,MD,M,I,1441 EASTLAKE AVE,SUITE 7416,LOS ANGELES,CA,900892211,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,34,4075,0.4331705521,0.27,0.2116662577,0.2116662577
1033387345,ARON,MONISH,,MD,M,I,1441 EASTLAKE AVE,SUITE 7416,LOS ANGELES,CA,900892211,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,29,2585,0.5729206963,0.27,0.2116905222,0.2116905222
1033387931,MILLER,TODD,C,M.D.,M,I,1501 SUPERIOR AVE STE 301,,NEWPORT BEACH,CA,926633641,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,82.235384615,39.753846154,28.755384615,28.144615385
1033387931,MILLER,TODD,C,M.D.,M,I,1501 SUPERIOR AVE STE 301,,NEWPORT BEACH,CA,926633641,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,162.09666667,51.26,40.19,42.86
1033387931,MILLER,TODD,C,M.D.,M,I,1501 SUPERIOR AVE STE 301,,NEWPORT BEACH,CA,926633641,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,96,6.526875,2,1.4703125,1.4926041667
1033387931,MILLER,TODD,C,M.D.,M,I,1501 SUPERIOR AVE STE 301,,NEWPORT BEACH,CA,926633641,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,163.07451613,29.495483871,22.213870968,24.494516129
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,52,96,488,60.604159836,8.32,6.4156147541,6.4156147541
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,16,25,25,11.6336,3.38,2.65,2.65
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,15,16,16,17.018125,2.12,1.67,1.67
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,42,71,173,12.874277457,1.42,1.1127745665,1.1127745665
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,14,14,14,61.834285714,56.457142857,44.262142857,58.806428571
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,655.44461538,367.71923077,288.29153846,288.29153846
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,16,67,70,896.88171429,251.11,196.87,196.87
1033388376,IONICA,NICOLETA,,MD,F,I,180 E MAIN ST,,BAY SHORE,NY,117068427,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,499.811875,264.16,207.1,207.1
1033389192,MOORE,MARYBETH,A,"PA-C, MPH",F,I,631 QUAKER LN S,,WEST HARTFORD,CT,061101026,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,37,90,433,69.714249423,8.32,6.168960739,6.168960739
1033389192,MOORE,MARYBETH,A,"PA-C, MPH",F,I,631 QUAKER LN S,,WEST HARTFORD,CT,061101026,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,16,39,15.172564103,1.42,1.1133333333,1.1133333333
1033389192,MOORE,MARYBETH,A,"PA-C, MPH",F,I,631 QUAKER LN S,,WEST HARTFORD,CT,061101026,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,34,34,326.09382353,251.11,195.70882353,195.70882353
1033389689,SCHWARTZ,LAUREN,K,MD,F,I,232 E 30TH ST,,NEW YORK,NY,100168202,US,Physician/Gastroenterology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,665,0.9573082707,0.27,0.2116541353,0.2116541353
1033389689,SCHWARTZ,LAUREN,K,MD,F,I,232 E 30TH ST,,NEW YORK,NY,100168202,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,85,1122,39.602424242,11.490053476,9.008368984,10.292326203
1033389689,SCHWARTZ,LAUREN,K,MD,F,I,232 E 30TH ST,,NEW YORK,NY,100168202,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,80,321,493.89672897,323.68797508,253.60155763,255.99616822
1033389689,SCHWARTZ,LAUREN,K,MD,F,I,232 E 30TH ST,,NEW YORK,NY,100168202,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,78,332,139.96891566,9.3478915663,7.328373494,7.328373494
1033389689,SCHWARTZ,LAUREN,K,MD,F,I,232 E 30TH ST,,NEW YORK,NY,100168202,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,86,366,458.55972678,29.213879781,22.90363388,22.90363388
1033389788,ACHE,ROBYN,M,D.O.,F,I,900 CARILLON PKWY,SUITE 401,ST PETERSBURG,FL,337161115,US,Physician/General Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,20,364,29.622005495,23.648571429,18.540384615,18.549340659
1033389788,ACHE,ROBYN,M,D.O.,F,I,900 CARILLON PKWY,SUITE 401,ST PETERSBURG,FL,337161115,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,18,37,593,15.138229342,10.93,8.5691231029,8.5691231029
1033389788,ACHE,ROBYN,M,D.O.,F,I,900 CARILLON PKWY,SUITE 401,ST PETERSBURG,FL,337161115,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,22,25,3312,0.218031401,0.13,0.1019202899,0.1019202899
1033389788,ACHE,ROBYN,M,D.O.,F,I,900 CARILLON PKWY,SUITE 401,ST PETERSBURG,FL,337161115,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,12,13,1163,0.7229320722,0.449638865,0.3525107481,0.352794497
1033389788,ACHE,ROBYN,M,D.O.,F,I,900 CARILLON PKWY,SUITE 401,ST PETERSBURG,FL,337161115,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1716.46,552.87,433.45461538,454.96384615
1033389903,HYLTON,DIANA,J,MD,F,I,750 W OLIVE AVE,SUITE 105,MERCED,CA,95348,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,51.677272727,40.514545455,41.639090909
1033389903,HYLTON,DIANA,J,MD,F,I,750 W OLIVE AVE,SUITE 105,MERCED,CA,95348,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,156.665,48.673333333,38.161666667,37.658333333
1033389903,HYLTON,DIANA,J,MD,F,I,750 W OLIVE AVE,SUITE 105,MERCED,CA,95348,US,Physician/Neurology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,500,145.04692308,111.37846154,111.37153846
1033390190,BERRY,JAMES,K,"O.D., P.A.",M,I,1320 SHELFER ST,,LEESBURG,FL,347483929,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,30,72.401666667,71.928,54.377333333,51.321666667
1033390190,BERRY,JAMES,K,"O.D., P.A.",M,I,1320 SHELFER ST,,LEESBURG,FL,347483929,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,29,49.534482759,47.333103448,37.11137931,43.56
1033390190,BERRY,JAMES,K,"O.D., P.A.",M,I,1320 SHELFER ST,,LEESBURG,FL,347483929,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,42,79.161904762,67.619047619,52.60952381,53.642619048
1033390190,BERRY,JAMES,K,"O.D., P.A.",M,I,1320 SHELFER ST,,LEESBURG,FL,347483929,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,10,10,7.84,13.426363636
1033390562,ESMAILI,ALI,,MD,M,I,147 N BRENT ST,,VENTURA,CA,930032809,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,260,74.953513514,58.767297297,54.73
1033390562,ESMAILI,ALI,,MD,M,I,147 N BRENT ST,,VENTURA,CA,930032809,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,70,36.873243243,28.905135135,29.510810811
1033390661,HAMILTON,LAURA,E,M.D.,F,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,44,137,65.255766423,8.32,6.0725547445,6.0725547445
1033390661,HAMILTON,LAURA,E,M.D.,F,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,36,14.255555556,1.42,1.1141666667,1.1141666667
1033391321,GEERSEN,DANIEL,F,PA,M,I,2100 ERWIN ROAD,,DURHAM,NC,277100001,US,Physician Assistant,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,1555.3846154,985.96230769,772.99692308,810.4
1033391321,GEERSEN,DANIEL,F,PA,M,I,2100 ERWIN ROAD,,DURHAM,NC,277100001,US,Physician Assistant,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,3,13,13,26,665.38461538,347.58153846,272.50384615,285.69
1033392600,GLATHAR,MATTHEW,J,M.D.,M,I,7441 O ST,STE 304,LINCOLN,NE,685102468,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,720,2.2249444444,0.567,0.4445416667,0.4445416667
1033392600,GLATHAR,MATTHEW,J,M.D.,M,I,7441 O ST,STE 304,LINCOLN,NE,685102468,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,24,24,18.82,18.82
1033392774,POWELL,MICHELE,D,D.O.,F,I,7781 N POINT BLVD,,WINSTON SALEM,NC,271063309,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,29,63,60.425555556,8.32,5.59,5.59
1033392774,POWELL,MICHELE,D,D.O.,F,I,7781 N POINT BLVD,,WINSTON SALEM,NC,271063309,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,19,14.914210526,1.42,0.9968421053,0.9968421053
1033392774,POWELL,MICHELE,D,D.O.,F,I,7781 N POINT BLVD,,WINSTON SALEM,NC,271063309,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,33.872413793,4.7072413793,3.6917241379,3.6896551724
1033392774,POWELL,MICHELE,D,D.O.,F,I,7781 N POINT BLVD,,WINSTON SALEM,NC,271063309,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,492.28181818,70.23,50.054545455,49.776363636
1033392824,BEAVER,PAUL,W,O.D.,M,I,105 S MAIN AVE,,SIOUX CENTER,IA,512501535,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,160,63.86,48.44375,50.84125
1033392824,BEAVER,PAUL,W,O.D.,M,I,105 S MAIN AVE,,SIOUX CENTER,IA,512501535,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,42,66,50.69,39.09952381,42.733095238
1033393178,WIREKO-BROBBY,VIVIAN,L,M.D.,F,I,1540 LAKE ST S,,FOREST LAKE,MN,550252628,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,24,82,80.368658537,8.32,6.3641463415,6.3641463415
1033393319,SPARKS,LOWERY,H,O.D.,M,I,15017 EMERALD COAST PKWY,,DESTIN,FL,325413358,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,23,25.847826087,25.847826087,20.266521739,41.783478261
1033393475,TAM,ADELA,S,M.D.,F,I,6900 GONZALES RD SW,,ALBUQUERQUE,NM,871212401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,43,83.725348837,8.32,4.2476744186,4.2476744186
1033393665,HARKNESS,KIMBERLY,M,N.P.,F,I,14 MEDICAL PARK DR,,ASHEVILLE,NC,288032493,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,33.072352941,4.3588235294,3.42,3.7564705882
1033394150,WILSON,JEROMY,G,P.A.-C,M,I,6080 W 92ND AVE,SUITE 1000,WESTMINSTER,CO,800312928,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,288.33307692,78.49,56.796923077,52.612307692
1033394655,THOMAS,JENNIFER,,NP,F,I,16455 STATESVILLE RD,STE 360,HUNTERSVILLE,NC,280787135,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,41,109,68.16146789,8.32,6.0598165138,6.0598165138
1033394655,THOMAS,JENNIFER,,NP,F,I,16455 STATESVILLE RD,STE 360,HUNTERSVILLE,NC,280787135,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,16,24,14.775833333,1.42,1.1158333333,1.1158333333
1033394655,THOMAS,JENNIFER,,NP,F,I,16455 STATESVILLE RD,STE 360,HUNTERSVILLE,NC,280787135,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,744,0.3546774194,0.0458736559,0.0169623656,0.0169623656
1033394747,RILEY,MICHAEL,J,M.D.,M,I,55 WHITCHER ST NE,SUITE 350,MARIETTA,GA,300601155,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,75.56,54.303333333,50.169166667
1033394747,RILEY,MICHAEL,J,M.D.,M,I,55 WHITCHER ST NE,SUITE 350,MARIETTA,GA,300601155,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,36.25,26.051666667,27.164166667
1033394838,GROOM,JED,A,MD,M,I,64-1066 MAMALAHOA HWY UNIT B,,KAMUELA,HI,967437309,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,46,80.66673913,8.32,5.2465217391,5.2465217391
1033394838,GROOM,JED,A,MD,M,I,64-1066 MAMALAHOA HWY UNIT B,,KAMUELA,HI,967437309,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225,88.2625,54.719166667,41.209166667
1033394929,CANCEKO,JEFFREY,B,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,29,62,74.446451613,8.32,5.2583870968,5.2583870968
1033394929,CANCEKO,JEFFREY,B,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,67.12,23.933636364,18.762727273,14.289090909
1033395348,STOLTZMAN,DAVID,H,M.D.,M,I,39000 BOB HOPE DR,WRIGHT BLDG 409,RANCHO MIRAGE,CA,922703221,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,36,78.044166667,8.32,5.8441666667,5.8441666667
1033395546,NELSON,CHARLOTTE,,MD,F,I,500 W BROADWAY ST,,MISSOULA,MT,598024008,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,60,17.91,14.04,13.563809524
1033395546,NELSON,CHARLOTTE,,MD,F,I,500 W BROADWAY ST,,MISSOULA,MT,598024008,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,369.07866667,70.48,55.25,54.826
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,68.264545455,8.32,6.52,6.52
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,166.83842105,48.255263158,34.281052632,27.451578947
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,373.036,116.954,82.0135,62.691
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,26,60,155.18066667,42.090833333,30.936166667,25.684833333
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,69,67.066666667,25.552898551,20.033188406,15.942608696
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,183.71888889,76.492222222,59.968888889,50.243333333
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,28,28,68.340714286,25.095714286,19.115,14.884285714
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,49.349473684,22.021052632,15.673157895,10.092631579
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,34,189,8.4875661376,3.0965079365,2.2532275132,1.6095767196
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,36.45,15.602941176,10.902352941,9.5005882353
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,63,87.292698413,22.876190476,17.411587302,13.53047619
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,19,81.75,15.067368421,9.1247368421,7.3157894737
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,151.43076923,8.4073076923,6.5907692308,4.1019230769
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,33,231.25454545,45.894545455,32.491212121,22.132727273
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,110,110,463.74609091,106.91472727,81.839363636,58.041818182
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,990,19.093191919,9.7922727273,7.6771212121,7.6771212121
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,938,10.794061834,2.8573880597,2.1447441365,2.1447441365
1033395561,HAGEMAN,MARTHA,S,M.D.,F,I,122 PETERSEN PKWY,STE 4,THAYNE,WY,83127,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,67.65,33,25.87,25.87
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,31,60,202,46.833663366,8.32,6.1992574257,6.1992574257
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,12.082666667,3.38,2.65,2.65
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,41,71,9.9647887324,1.42,1.0681690141,1.0681690141
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,34.029285714,28.46,20.716428571,20.716428571
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,12.981428571,10.93,7.9578571429,7.9578571429
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,290.64272727,86.53,67.84,67.84
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,17,17,182.78882353,58.741764706,35.950588235,34.664117647
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,20,20,59.534,17.982,12.688,12.6615
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,67.923333333,11.835555556,8.2427777778,8.1066666667
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,12,25,110,9.5103636364,2.1001818182,1.5594545455,1.5239090909
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,239.28764706,30.987647059,17.123529412,16.497647059
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2055,2.1953430657,0.1360243309,0.1066423358,0.1066423358
1033395629,MOSQUERA,GUSTAVO,,MD,M,I,101 E PLUMMER BLVD,,CHATHAM,IL,626298047,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,33,33,25.87,25.87
1033396635,BRIGHT,JEANA,,D.O.,F,I,12465 TIMBERLAND BLVD,SUITE 401,FORT WORTH,TX,762445214,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,30,75,58.7324,8.32,6.1572,6.1572
1033396635,BRIGHT,JEANA,,D.O.,F,I,12465 TIMBERLAND BLVD,SUITE 401,FORT WORTH,TX,762445214,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,12.2905,1.42,1.008,1.008
1033396635,BRIGHT,JEANA,,D.O.,F,I,12465 TIMBERLAND BLVD,SUITE 401,FORT WORTH,TX,762445214,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6481818182,7.5641666667,7.5641666667
1033396635,BRIGHT,JEANA,,D.O.,F,I,12465 TIMBERLAND BLVD,SUITE 401,FORT WORTH,TX,762445214,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,1109,1.5208295762,0.1350766456,0.0999278629,0.0999278629
1033396635,BRIGHT,JEANA,,D.O.,F,I,12465 TIMBERLAND BLVD,SUITE 401,FORT WORTH,TX,762445214,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9881818182,2.3427575758,2.3427575758
1033396635,BRIGHT,JEANA,,D.O.,F,I,12465 TIMBERLAND BLVD,SUITE 401,FORT WORTH,TX,762445214,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,80.347826087,33,24.745217391,24.745217391
1033396882,CRANK,JILL,A,CRNP,F,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,21,65,62.392,8.32,6.1209230769,6.1209230769
1033396882,CRANK,JILL,A,CRNP,F,I,2700 REMINGTON AVE STE 2000,,BALTIMORE,MD,21211,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,19,13.474210526,1.42,1.0547368421,1.0547368421
1033397187,NGUYEN,Y-UYEN,L,M.D.,F,I,268 CANAL ST,,NEW YORK,NY,100133599,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,65.481153846,8.32,6.0192307692,6.0192307692
1033397450,MESAROS,LISA,A,PA-C,F,I,931 S MARKET BLVD,PMG SW WA CHEHALIS FAMILY MEDICINE,CHEHALIS,WA,985323423,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,60,18.59,12.488571429,11.671428571
1033397450,MESAROS,LISA,A,PA-C,F,I,931 S MARKET BLVD,PMG SW WA CHEHALIS FAMILY MEDICINE,CHEHALIS,WA,985323423,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,51.37,18.59,11.697272727,10.940909091
1033397450,MESAROS,LISA,A,PA-C,F,I,931 S MARKET BLVD,PMG SW WA CHEHALIS FAMILY MEDICINE,CHEHALIS,WA,985323423,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,6.2081818182,4.8663636364,3.6854545455
1033397450,MESAROS,LISA,A,PA-C,F,I,931 S MARKET BLVD,PMG SW WA CHEHALIS FAMILY MEDICINE,CHEHALIS,WA,985323423,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,119.21296296,35.434444444,25.862222222,23.50037037
1033397450,MESAROS,LISA,A,PA-C,F,I,931 S MARKET BLVD,PMG SW WA CHEHALIS FAMILY MEDICINE,CHEHALIS,WA,985323423,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,408.98296296,75.750740741,49.592962963,45.733333333
1033397567,CROW,TOBIN,S,DO,M,I,2617 S ELM PL,,BROKEN ARROW,OK,740127850,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,56,181,62.588674033,8.32,5.8372928177,5.8372928177
1033397567,CROW,TOBIN,S,DO,M,I,2617 S ELM PL,,BROKEN ARROW,OK,740127850,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,28,49,13.520204082,1.42,1.066122449,1.066122449
1033397567,CROW,TOBIN,S,DO,M,I,2617 S ELM PL,,BROKEN ARROW,OK,740127850,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,17,17,11.725714286,11.94
1033397567,CROW,TOBIN,S,DO,M,I,2617 S ELM PL,,BROKEN ARROW,OK,740127850,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,44,369.60477273,77.18,56.315681818,51.052045455
1033397567,CROW,TOBIN,S,DO,M,I,2617 S ELM PL,,BROKEN ARROW,OK,740127850,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6507692308,7.3822564103,7.3822564103
1033397567,CROW,TOBIN,S,DO,M,I,2617 S ELM PL,,BROKEN ARROW,OK,740127850,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1033397567,CROW,TOBIN,S,DO,M,I,2617 S ELM PL,,BROKEN ARROW,OK,740127850,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,25.87,25.87
1033397617,MASOOD,ABDUL-MANNAN,M,MD,M,I,405 W GRAND AVE,,DAYTON,OH,45405,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,37,17.55,11.794285714,11.621428571
1033397617,MASOOD,ABDUL-MANNAN,M,MD,M,I,405 W GRAND AVE,,DAYTON,OH,45405,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,270,77.18,53.974444444,49.068888889
1033398409,MARTIN,DANIELLE,,DO,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,18,125.65888889,20.102777778,15.008333333,15.125
1033398409,MARTIN,DANIELLE,,DO,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,52.480909091,5.6254545455,4.0154545455,3.1745454545
1033398409,MARTIN,DANIELLE,,DO,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,33,438.21212121,83.282727273,59.248484848,57.275757576
1033398771,JAMES,DAVID,T,M.D.,M,I,1600 EAST BROADWAY,,COLUMBIA,MO,652015844,US,Hospitalist,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,283.336875,54.5625,42.78,36.46
1033398771,JAMES,DAVID,T,M.D.,M,I,1600 EAST BROADWAY,,COLUMBIA,MO,652015844,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,22.109230769,17.332307692,13.53
1033398771,JAMES,DAVID,T,M.D.,M,I,1600 EAST BROADWAY,,COLUMBIA,MO,652015844,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,31,42.859032258,5.734516129,3.6232258065,2.724516129
1033398771,JAMES,DAVID,T,M.D.,M,I,1600 EAST BROADWAY,,COLUMBIA,MO,652015844,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,37,506.86405405,80.91,56.409189189,47.854324324
1033398771,JAMES,DAVID,T,M.D.,M,I,1600 EAST BROADWAY,,COLUMBIA,MO,652015844,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,48,58,145.98586207,20.340517241,13.738793103,12.240344828
1033399134,PETERMANN,CYNTHIA,M,NP-C,F,I,2001 E GREENVILLE ST,,ANDERSON,SC,296211529,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,44,60.349090909,8.32,5.77,5.77
1033399134,PETERMANN,CYNTHIA,M,NP-C,F,I,2001 E GREENVILLE ST,,ANDERSON,SC,296211529,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,134.38,44.869230769,33.467307692,35.353461538
1033399134,PETERMANN,CYNTHIA,M,NP-C,F,I,2001 E GREENVILLE ST,,ANDERSON,SC,296211529,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,38,69.231578947,15.587894737,10.357631579,12.320526316
1033399134,PETERMANN,CYNTHIA,M,NP-C,F,I,2001 E GREENVILLE ST,,ANDERSON,SC,296211529,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,119.34,20.569333333,11.799333333,15.88
1033399134,PETERMANN,CYNTHIA,M,NP-C,F,I,2001 E GREENVILLE ST,,ANDERSON,SC,296211529,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,42,42,20.57,6.6861904762,4.4030952381,5.7528571429
1033399233,INGLIS,CHERIE,M,M.D.,F,I,300 E MCKAY ST,,ELIZABETHTOWN,NC,283379037,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,26,78,55.355769231,8.32,6.3558974359,6.3558974359
1033399233,INGLIS,CHERIE,M,M.D.,F,I,300 E MCKAY ST,,ELIZABETHTOWN,NC,283379037,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,28,16.097142857,1.42,1.0342857143,1.0342857143
1033399233,INGLIS,CHERIE,M,M.D.,F,I,300 E MCKAY ST,,ELIZABETHTOWN,NC,283379037,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,50,19.217222222,15.066111111,12.253888889
1033399233,INGLIS,CHERIE,M,M.D.,F,I,300 E MCKAY ST,,ELIZABETHTOWN,NC,283379037,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,212.09090909,50.084545455,38.018181818,26.318181818
1033399233,INGLIS,CHERIE,M,M.D.,F,I,300 E MCKAY ST,,ELIZABETHTOWN,NC,283379037,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,118,60.439090909,47.388181818,36.478181818
1033399233,INGLIS,CHERIE,M,M.D.,F,I,300 E MCKAY ST,,ELIZABETHTOWN,NC,283379037,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,466.61,90.676842105,58.781052632,47.525263158
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,210.78333333,86,67.42,67.84
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,30,78.944333333,33.22,25.485333333,25.358333333
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,90,31.18,16.022666667,12.561777778,11.892
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,129.28941176,59.575294118,46.709411765,42.86
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,45.922666667,18.028666667,13.223333333,13.158
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,19,19,37.087894737,12.215263158,9.1057894737,8.6473684211
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,29,160,4.890875,2.132,1.6129375,1.53325
1033399837,YALTHO,TOBY,C,MD,M,I,16605 SOUTHWEST FWY,SUITE 600,SUGAR LAND,TX,774793501,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,42,42,124.97857143,32.461428571,23.714761905,22.838571429
1033399969,SCHUMACHER,JILL,M,PA-C,F,I,2000 MEDICAL PARKWAY,STE 101,ANNAPOLIS,MD,214013742,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,44,44,44,360,278.41340909,202.76409091,203.385
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,17,110,66.663454545,19.662090909,14.562636364,14.562636364
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,260,5.1662307692,2.6338461538,2.065,2.065
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,57,81,183,717,64.544393305,8.32,5.9590655509,5.9590655509
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,40,77,155,13.68,1.42,1.0350322581,1.0350322581
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,29.534545455,28.313636364,20.770909091,46.255454545
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,716.32,347.66181818,272.56545455,272.56545455
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,12,38,38,650.52605263,251.11,196.87,196.87
1033400171,UKRAINSKI,MELINDA,B,M.D.,F,I,1210 BRACE RD STE 107,,CHERRY HILL,NJ,08034,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,448.11454545,245.03,192.1,205.72727273
1033400353,ZUGHBI,CINDY,,M.D.,F,I,13813 METRO PKWY,,FORT MYERS,FL,339124343,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,27,84,75.169047619,8.32,6.2197619048,6.2197619048
1033400544,HASENPFLUG,TARA,B,D.O.,F,I,9101 S TOLEDO AVE STE B,,TULSA,OK,741372719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,19,72,59.359861111,8.32,5.9793055556,5.9793055556
1033400544,HASENPFLUG,TARA,B,D.O.,F,I,9101 S TOLEDO AVE STE B,,TULSA,OK,741372719,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,121.27857143,32.066428571,22.901428571,22.82
1033400866,ZHUKIVSKA,SVITLANA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,28,72,51.427777778,8.32,5.97875,5.97875
1033400866,ZHUKIVSKA,SVITLANA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,26,12.508461538,1.42,1.0303846154,1.0303846154
1033400866,ZHUKIVSKA,SVITLANA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,169.23076923,50.62,39.687692308,39.738461538
1033400866,ZHUKIVSKA,SVITLANA,,M.D.,F,I,3333 GLENDALE AVE,,TOLEDO,OH,436142426,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,205.41,168.75181818,132.30363636,132.30363636
1033400981,EICHENBERGER,JOSHUA,,MD,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,282035812,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,275.88428571,79,54.560714286,47.350714286
1033400981,EICHENBERGER,JOSHUA,,MD,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,282035812,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,68.15,35.27,27.66,29.52
1033401252,WARD,ROBYN,L,P.A.-C.,F,I,909 9TH AVE STE 400,,FORT WORTH,TX,761043932,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,3738.5714286,2463.1490476,1931.1080952,1931.1080952
1033401302,PATEL,RISHITA,,M.D.,F,I,2825 KEITH BRIDGE RD STE 100,,CUMMING,GA,30041,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,60,61.942,8.32,6.3045,6.3045
1033401302,PATEL,RISHITA,,M.D.,F,I,2825 KEITH BRIDGE RD STE 100,,CUMMING,GA,30041,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,20,14.8715,1.42,1.115,1.115
1033401625,CALIXTE,NAHOMY,,MD,F,I,1600 LAKELAND HILLS BLVD,,LAKELAND,FL,338053019,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,35,10190,4.877252208,2.0100588813,1.5758812561,1.5993542689
1033401856,ABAABA,VERA,U,M.D.,F,I,820 PRUDENTIAL DR STE 304,CREDENTIALING DEPARTMENT,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,78.177826087,16.5,12.919130435,13.519130435
1033401856,ABAABA,VERA,U,M.D.,F,I,820 PRUDENTIAL DR STE 304,CREDENTIALING DEPARTMENT,JACKSONVILLE,FL,322078205,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,474.0364,77.18,58.0896,52.5312
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,27,95,197,69.862994924,8.32,5.4589847716,5.4589847716
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,200,123.4775,96.805,67.84625
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,80,45.8678125,35.9603125,25.9184375
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,13,13,45.153846154,25.670769231,20.121538462,14.06
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,44.411764706,20.814705882,16.317058824,9.12
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,21,126,6.4761904762,3.1171428571,2.444047619,1.5933333333
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,297.60769231,128.11307692,95.221538462,66.208461538
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,19.065142857,6.7548571429,5.1908571429,3.4754285714
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,131.42857143,66.019047619,51.756190476,30.931428571
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,46,220,106.71434783,81.537391304,56.23173913
1033402375,FILIPIAK,TRISHIA,A,MD,F,I,120 S STORY ST,,BOONE,IA,500364739,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,220,45.42,33.786111111,28.275
1033402383,NALAGAN,JUSTIN,A,M.D.,M,I,4401 S WESTERN AVE,,OKLAHOMA CITY,OK,731093413,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,20,565.918,93.081,72.9805,71.0995
1033402631,RAJAN,JESSEN,A,M.D.,F,I,8330 HIGHWAY 6 STE 110,,MISSOURI CITY,TX,774594777,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,38,110,76.309909091,8.32,4.6244545455,4.6244545455
1033402631,RAJAN,JESSEN,A,M.D.,F,I,8330 HIGHWAY 6 STE 110,,MISSOURI CITY,TX,774594777,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,22,27,13.039259259,1.42,0.7444444444,0.7444444444
1033402672,ORAKZAI,MUHAMMAD,R,M.D.,M,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,59.2812,17.27,12.4568,12.4568
1033402672,ORAKZAI,MUHAMMAD,R,M.D.,M,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,21.496363636,4.9290909091,3.5463636364,3.3963636364
1033402672,ORAKZAI,MUHAMMAD,R,M.D.,M,I,1800 E LAKE SHORE DR,,DECATUR,IL,625213810,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,293.19041667,69.81,52.39125,52.39125
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,26,34,2110,0.1608341232,0.12,0.0922606635,0.0922606635
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,13,175,28.235942857,23.66,18.549428571,18.549428571
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,16,16,532,10.882744361,8.28,6.4915225564,6.4915225564
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,11,186,22.984677419,18.5,14.504032258,14.504032258
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,29,41,531,14.060338983,10.895687382,8.302165725,8.3290772128
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,14,16,3380,0.0992692308,0.05,0.0368786982,0.0368786982
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,11,169,3.0652662722,2.4,1.8815384615,1.8815384615
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,21,1750,0.1636,0.13,0.0984571429,0.0984571429
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,24,29,2824,2.2946246459,1.97,1.5445042493,1.5445042493
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,100,17.540555556,13.75,10.191111111
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,15,15,252.988,56.142,44.018666667,36.013333333
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,1085.012,204.78133333,160.55133333,117.33066667
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.25,17,13.33,13.54
1033402862,GRAY,WILLIAM,,M.D.,M,I,130 DIVISION ST,,DERBY,CT,06418,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,77.18,60.51,54.72
1033402888,ZBOROVSKAYA,YANINA,,NURSE PRACTITIONER,F,I,3701 ALGONQUIN RD,STE 900,ROLLING MEADOWS,IL,600083127,US,Nurse Practitioner,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,35,1278,14.700649452,1.6490062598,1.2928325509,1.2928325509
1033402888,ZBOROVSKAYA,YANINA,,NURSE PRACTITIONER,F,I,3701 ALGONQUIN RD,STE 900,ROLLING MEADOWS,IL,600083127,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,12,61,4171,47.730851115,5.0648597459,3.9236657876,3.9236657876
1033402888,ZBOROVSKAYA,YANINA,,NURSE PRACTITIONER,F,I,3701 ALGONQUIN RD,STE 900,ROLLING MEADOWS,IL,600083127,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,24,24,18.82,18.82
1033402888,ZBOROVSKAYA,YANINA,,NURSE PRACTITIONER,F,I,3701 ALGONQUIN RD,STE 900,ROLLING MEADOWS,IL,600083127,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,63,70,16,16,12.54,12.54
1033403944,SHAPPLEY,COURTNEY,L,D.O.,F,I,1415 TULANE AVE,,NEW ORLEANS,LA,701122600,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,3465,4.7129177489,0.5593304473,0.4385108225,0.4385108225
1033403944,SHAPPLEY,COURTNEY,L,D.O.,F,I,1415 TULANE AVE,,NEW ORLEANS,LA,701122600,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,28,4920,4.6835752033,1.3431463415,1.0530060976,1.0530060976
1033403944,SHAPPLEY,COURTNEY,L,D.O.,F,I,1415 TULANE AVE,,NEW ORLEANS,LA,701122600,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,24,24,18.82,18.82
1033403944,SHAPPLEY,COURTNEY,L,D.O.,F,I,1415 TULANE AVE,,NEW ORLEANS,LA,701122600,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,54,64,16,16,12.54,12.54
1033404082,COCKERILL,CARA,C,MD,F,I,18518 HARDY OAK BLVD STE 300,,SAN ANTONIO,TX,782584762,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,169.22142857,48.085,37.698571429,29.506428571
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,52,45.952307692,8.32,6.2015384615,6.2015384615
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,439.51,120.76583333,94.679166667,72.566666667
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,51.57,15.689375,12.30125,9.835
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,23,9.1335714286,7.1592857143,4.4878571429
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,187.97,46.831818182,36.72,25.993636364
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,448.12470588,100.18,75.027058824,56.275294118
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.583333333,44.745,35.0825,30.7075
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1356,2.1164380531,0.1329719764,0.090280236,0.090280236
1033404108,KREMER,ASHLEY,,MD,F,I,800 S MAIN AVE,,RUGBY,ND,583682118,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,33,33,19.646,19.646
1033404280,LEAL,ALEXIS,D,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,37,3564,39.117996633,4.9717760943,3.8978843996,3.8978843996
1033404280,LEAL,ALEXIS,D,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,24,24,24,18.82,18.82
1033404280,LEAL,ALEXIS,D,MD,F,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,16,16,12.54,12.54
1033404405,LOPES,CHRIS,,,M,I,4350 LOCKHILL SELMA RD STE 200,,SAN ANTONIO,TX,78249,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,169.02705882,30,22.136470588,22.004705882
1033404439,AGUNWAMBA,AKOCHI,O,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,501.9884,85.3652,64.4608,52.8128
1033404603,ROTH,REBECCA,F,NP,F,I,7163 CHARNEL LN,,CLIMAX,NC,272339171,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,17,40,69.239,8.32,6.04525,6.04525
1033404603,ROTH,REBECCA,F,NP,F,I,7163 CHARNEL LN,,CLIMAX,NC,272339171,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,512.66230769,81.64,64,54.73
1033404603,ROTH,REBECCA,F,NP,F,I,7163 CHARNEL LN,,CLIMAX,NC,272339171,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,2250,2.5165422222,0.1338133333,0.1000755556,0.1000755556
1033404603,ROTH,REBECCA,F,NP,F,I,7163 CHARNEL LN,,CLIMAX,NC,272339171,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,22,22,75.587272727,24.874545455,18.839090909,14.683181818
1033404603,ROTH,REBECCA,F,NP,F,I,7163 CHARNEL LN,,CLIMAX,NC,272339171,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,25.851428571,8.3928571429,6.58,6.8921428571
1033404603,ROTH,REBECCA,F,NP,F,I,7163 CHARNEL LN,,CLIMAX,NC,272339171,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,33,33,23.406190476,23.406190476
1033404629,HINH,PETER,P,MD,M,I,10970 SHADOW CREEK PKWY STE 100,,PEARLAND,TX,77584,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,41,5550,3.2676756757,2.04,1.5591945946,1.5591945946
1033404645,KIM,BRIAN,Y,M.D.,M,I,1 MEDICAL PLAZA DRIVE,,IRVINE,CA,926973414,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,40.4,4.98,3.9043333333,4.0336666667
1033404645,KIM,BRIAN,Y,M.D.,M,I,1 MEDICAL PLAZA DRIVE,,IRVINE,CA,926973414,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4986,4.8,0.37,0.2900882471,0.2900882471
1033404843,MOLLA,OLANA,B,M.D.,M,I,2501 PARKERS LN,,ALEXANDRIA,VA,223063209,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,42.045789474,4.4163157895,2.8631578947,2.8463157895
1033404967,GOERGEN,JASON,M,D.O.,M,I,6675 HOLMES RD,SUITE 450,KANSAS CITY,MO,641311150,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,37,93,64.078387097,8.32,4.845483871,4.845483871
1033404967,GOERGEN,JASON,M,D.O.,M,I,6675 HOLMES RD,SUITE 450,KANSAS CITY,MO,641311150,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.5918181818,2.5918181818
1033404967,GOERGEN,JASON,M,D.O.,M,I,6675 HOLMES RD,SUITE 450,KANSAS CITY,MO,641311150,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.83,1.42,0.96,0.96
1033404967,GOERGEN,JASON,M,D.O.,M,I,6675 HOLMES RD,SUITE 450,KANSAS CITY,MO,641311150,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,41,11.344390244,2.0429268293,1.4875609756,1.477804878
1033404967,GOERGEN,JASON,M,D.O.,M,I,6675 HOLMES RD,SUITE 450,KANSAS CITY,MO,641311150,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,257.82,42.147391304,30.181304348,24.469130435
1033405360,HENDERSON,DEANNA,,M.D.,F,I,6135 BARFIELD RD,SUITE 200,ATLANTA,GA,303284307,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,25,66,200,59.90385,8.32,6.06555,6.06555
1033405360,HENDERSON,DEANNA,,M.D.,F,I,6135 BARFIELD RD,SUITE 200,ATLANTA,GA,303284307,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,41,9.6882926829,1.42,1.0868292683,1.0868292683
1033405360,HENDERSON,DEANNA,,M.D.,F,I,6135 BARFIELD RD,SUITE 200,ATLANTA,GA,303284307,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,18,20,475.444,251.11,196.87,196.87
1033405501,FARR,NORMAN,M,"MD, MPH",M,I,301 UNIVERSITY BLVD,4.174 JOHN SEALY ANNEX,GALVESTON,TX,775551422,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,40,17.32,12.61,12.607142857
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,29,79,161,48.988447205,8.3159627329,6.029378882,6.0325465839
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,28,33,15.863939394,1.42,0.9824242424,0.9824242424
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,2.175,1.5991666667,1.0541666667
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,13,13,50.203076923,19.939230769,11.041538462,10.293076923
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,120.09645161,7.195483871,5.4051612903,3.3425806452
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,52,459.03230769,101.45884615,71.613461538,54.485769231
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,35,2460,16.605353659,9.6657317073,7.5779268293,7.5779268293
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,5444,0.2296418075,0.0461388685,0.0321069067,0.0321069067
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,2939,1.2342395373,0.1346512419,0.0947022797,0.0947022797
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,35,2340,12.907,2.9187948718,2.1998290598,2.1998290598
1033405626,TANG,WEN-CHOU,,M.D.,M,I,302 N HOSPITAL DR,,GIRARD,KS,667432000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,76,76,120.27631579,33,24.508421053,24.508421053
1033405774,KHAN,NAREESHA,,MD,F,I,855 S HIGHLAND AVE,,CLEARWATER,FL,337564446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,75.237142857,8.32,5.5885714286,5.5885714286
1033405824,YOUSAF,AHMAD,J,M.D.,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,73.540526316,18.866052632,13.625526316,12.449210526
1033405824,YOUSAF,AHMAD,J,M.D.,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,2787.2845455,1048.7,815.65863636,835.73863636
1033405824,YOUSAF,AHMAD,J,M.D.,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,36.98,6.5491666667,4.8316666667,3.1783333333
1033405824,YOUSAF,AHMAD,J,M.D.,M,I,1 MEDICAL PARK DR,,BENTON,AR,720153353,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,267.764,77.515428571,52.659714286,46.897142857
1033406053,BONDS,BRANDON,W,MD,M,I,2570 NW EDENBOWER BLVD STE 100,,ROSEBURG,OR,974716214,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,28.5,10.44,8.1918181818,8.8790909091
1033406053,BONDS,BRANDON,W,MD,M,I,2570 NW EDENBOWER BLVD STE 100,,ROSEBURG,OR,974716214,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36,9.2190909091,7.2254545455,6.7190909091
1033406053,BONDS,BRANDON,W,MD,M,I,2570 NW EDENBOWER BLVD STE 100,,ROSEBURG,OR,974716214,US,Physician/Family Practice,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,609.5,173.43090909,135.96727273,126.93090909
1033406533,CURRY,ROBIN,G,M.D.,F,I,9880 ANGIES WAY,SUITE 250,LOUISVILLE,KY,402412851,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,805.77846154,719.41307692,564.02,495.41153846
1033406566,TRIVEDI,KOVID,,M.B.B.S.,M,I,3333 GREEN BAY RD,,NORTH CHICAGO,IL,600643037,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,3.9263636364,1.4918181818,1.1668181818,1.1504545455
1033406566,TRIVEDI,KOVID,,M.B.B.S.,M,I,3333 GREEN BAY RD,,NORTH CHICAGO,IL,600643037,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,31,87.446129032,17.167419355,12.382580645,12.418064516
1033406566,TRIVEDI,KOVID,,M.B.B.S.,M,I,3333 GREEN BAY RD,,NORTH CHICAGO,IL,600643037,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,32,39.069375,4.313125,3.380625,3.8571875
1033406566,TRIVEDI,KOVID,,M.B.B.S.,M,I,3333 GREEN BAY RD,,NORTH CHICAGO,IL,600643037,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,53,69,456.02333333,66.487826087,47.705507246,49.41826087
1033406566,TRIVEDI,KOVID,,M.B.B.S.,M,I,3333 GREEN BAY RD,,NORTH CHICAGO,IL,600643037,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,127.93103448,38.128275862,28.875172414,28.875172414
1033406566,TRIVEDI,KOVID,,M.B.B.S.,M,I,3333 GREEN BAY RD,,NORTH CHICAGO,IL,600643037,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2069,1.2855389077,0.133078782,0.099081682,0.099081682
1033406566,TRIVEDI,KOVID,,M.B.B.S.,M,I,3333 GREEN BAY RD,,NORTH CHICAGO,IL,600643037,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,105,33,24.694090909,24.694090909
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,24,47,90.121914894,8.32,4.5780851064,4.5780851064
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,148.83470588,50.164117647,39.330588235,31.888823529
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,425.4425,125.30333333,98.236666667,75.444166667
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,13,161.47846154,47.416153846,37.173076923,25.919230769
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,189.55416667,78.266666667,61.36,44.994166667
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,76.405625,25.76125,20.1925,14.06
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,34,136,11.059264706,3.3188235294,2.6026470588,1.7203676471
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,76.2334,22.1032,16.1234,12.7708
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,632.43,135.93333333,106.57166667,71.755
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,81.75,19.435454545,15.237727273,10.479545455
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,187.17125,54.74675,42.925,30.5085
1033406657,HOFFMAN,HOLLY,L,MD,F,I,2619 COLONIAL DR,SUITE A,HELENA,MT,596014948,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,85,86,472.16674419,99.566744186,75.372790698,54.570697674
1033406715,KNOPF,ROSELYNE,,M.D.,F,I,800 GARFIELD AVE,,PARKERSBURG,WV,261015340,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,20,248.7135,61.252,48.021,38.5835
1033406715,KNOPF,ROSELYNE,,M.D.,F,I,800 GARFIELD AVE,,PARKERSBURG,WV,261015340,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,64,68,67.493970588,20.501764706,15.426029412,13.703676471
1033406715,KNOPF,ROSELYNE,,M.D.,F,I,800 GARFIELD AVE,,PARKERSBURG,WV,261015340,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,64,68,413.12941176,90.078823529,68.934264706,57.891617647
1033406855,HOLCOMB,MATTHEW,,NP-C,M,I,6010 AMARILLO BLVD WEST,,AMARILLO,TX,79106,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,60,5415,0.39,0.13,0.0934422899,0.0934422899
1033406855,HOLCOMB,MATTHEW,,NP-C,M,I,6010 AMARILLO BLVD WEST,,AMARILLO,TX,79106,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,2195,4.4408883827,2.04,1.5010569476,1.5010569476
1033406855,HOLCOMB,MATTHEW,,NP-C,M,I,6010 AMARILLO BLVD WEST,,AMARILLO,TX,79106,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,51,4880,9.65,7.19,5.5898995902,5.6193094262
1033406855,HOLCOMB,MATTHEW,,NP-C,M,I,6010 AMARILLO BLVD WEST,,AMARILLO,TX,79106,US,Nurse Practitioner,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,14.25,7.87,6.1700833333,6.1779166667
1033406921,SHAH,TARAL,,DPM,F,I,100 KINGS WAY E,SUITE D6,SEWELL,NJ,080802237,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,15.958181818,12.511818182,14.281818182
1033406921,SHAH,TARAL,,DPM,F,I,100 KINGS WAY E,SUITE D6,SEWELL,NJ,080802237,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,17,17,477.27882353,260.69,199.54823529,211.49764706
1033407028,ANGELL,JESSICA,N,NP-C,F,I,850 COLUMBIA RD STE 200,,WESTLAKE,OH,441457215,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,30,11.28,2,1.4926666667,1.517
1033407614,LETT,ADAM,C,MD,M,I,7211 WELLINGTON DR,SUITE 201,KNOXVILLE,TN,379195968,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,42,71.567619048,8.32,6.2116666667,6.2116666667
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,2.8109090909,0.51,0.4,0.4
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,39,98,423,48.821489362,8.32,6.2606146572,6.2606146572
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,39,39,15.531282051,3.38,2.65,2.65
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,24.852222222,2.12,1.67,1.67
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,29,60,142,14.865985915,1.42,1.0823943662,1.0823943662
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,25,6.644,3.04,2.2424,1.522
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,155,59.990588235,42.512352941,32.500588235
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,45,24.095714286,18.888571429,14.39
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,42.979375,7.6309375,5.829375,3.484375
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,142,50.869230769,39.878461538,29.545384615
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125,57.055454545,40.261818182,31.834545455
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,56,209.53785714,104.5025,80.865178571,60.621607143
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,35.0825,29.515833333
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2250,1.1223733333,0.13608,0.1066844444,0.1066844444
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1380,10.006376812,3.0463478261,2.3883623188,2.3883623188
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,45,45,55,27.756,21.489777778,14.781111111
1033407689,STEPHANOFF,NICHOLAS,A,M.D.,M,I,426 MICHIGAN ST NE,,GRAND RAPIDS,MI,495035609,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,84.333333333,33,24.911851852,24.911851852
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,38.955,11.898333333,8.5575,8.3241666667
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,208.06307692,86.33,67.68,67.827692308
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,18,68,7.0858823529,2.01,1.5776470588,1.5920588235
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,47.647058824,17.011176471,13.334705882,13.324117647
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,1488.4,990.24655172,776.35517241,776.35517241
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,16,80,80,26.5365,5.463,4.227375,3.870125
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,130.01019608,35.191764706,27.591176471,27.124901961
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,85,85,310.85329412,74.661058824,58.534352941,54.741176471
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,67.12,37.44,29.35,29.51
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,4850,0.3921670103,0.0439319588,0.0344391753,0.0344391753
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1410,1.8345602837,0.1429787234,0.1069219858,0.1069219858
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,870,8.4554827586,2.8131724138,2.2055287356,2.2055287356
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,73.1088,40.5888,31.8208,29.4744
1033408208,RAWLS,ASHLEY,R,PA,F,I,4275 WESTERN BLVD,,JACKSONVILLE,NC,285461100,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,33,33,42,33,25.87,25.87
1033408232,KELLY,PATRICK,M,MD,M,I,127 TELFAIR ST,,AUGUSTA,GA,309012590,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,30,77.936,8.32,5.652,5.652
1033408505,FLOYD,ALICIA,,M.D.,F,I,301 BECKER AVE SW,,WILLMAR,MN,562013395,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,212.065,69.99,53.158333333,53.018333333
1033408505,FLOYD,ALICIA,,M.D.,F,I,301 BECKER AVE SW,,WILLMAR,MN,562013395,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,126.455,38.68,30.32,29.51
1033408885,MARASIGAN,RICHELLE,G,D.O.,F,I,77 W MARCH LN STE A,,STOCKTON,CA,952075724,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,49,126,80.360714286,8.32,6.0038888889,6.0038888889
1033408885,MARASIGAN,RICHELLE,G,D.O.,F,I,77 W MARCH LN STE A,,STOCKTON,CA,952075724,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,24,14.177083333,1.42,0.975,0.975
1033408885,MARASIGAN,RICHELLE,G,D.O.,F,I,77 W MARCH LN STE A,,STOCKTON,CA,952075724,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,53,53,55.103773585,3.508490566,2.2143396226,3.07
1033408885,MARASIGAN,RICHELLE,G,D.O.,F,I,77 W MARCH LN STE A,,STOCKTON,CA,952075724,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2851,0.2685057874,0.0457804279,0.0327920028,0.0327920028
1033408885,MARASIGAN,RICHELLE,G,D.O.,F,I,77 W MARCH LN STE A,,STOCKTON,CA,952075724,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,71.5,33,24.432777778,24.432777778
1033409271,GIULIANO,LARISSA,F,M.D.,F,I,7912 E 31ST CT,SUITE 200,TULSA,OK,741451315,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,59,78.52220339,8.32,4.6937288136,4.6937288136
1033409297,NORIEA,ASHLEY,,M.D.,F,I,1401 WESTERN AVE,,CHICAGO HEIGHTS,IL,604113147,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,25,96,80.372083333,8.32,6.4544791667,6.4544791667
1033409297,NORIEA,ASHLEY,,M.D.,F,I,1401 WESTERN AVE,,CHICAGO HEIGHTS,IL,604113147,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,26,15.662692308,1.42,1.0723076923,1.0723076923
1033409297,NORIEA,ASHLEY,,M.D.,F,I,1401 WESTERN AVE,,CHICAGO HEIGHTS,IL,604113147,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,167.92,51.511428571,38.55,35.239047619
1033409644,PATHAK,SWATI,,M.D.,F,I,165 SAINT DOMINICS DR STE 201,,MANTECA,CA,953377802,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,30,57.947333333,8.32,4.7836666667,4.7836666667
1033409644,PATHAK,SWATI,,M.D.,F,I,165 SAINT DOMINICS DR STE 201,,MANTECA,CA,953377802,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,19.763571429,1.42,0.7957142857,0.7957142857
1033409842,FRASER,JAMES,,MD,M,I,449 N WENDOVER RD STE A,,CHARLOTTE,NC,282111064,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,23,23,23,1167.2669565,735.18695652,532.79869565,474.28478261
1033409867,MARTONE,STEPHAN,L,MD,M,I,43 NEW SCOTLAND AVE,,ALBANY,NY,122083412,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,34,418,29.070167464,13.106555024,9.6862440191,9.6862440191
1033409867,MARTONE,STEPHAN,L,MD,M,I,43 NEW SCOTLAND AVE,,ALBANY,NY,122083412,US,Physician/General Surgery,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,133,438.34789474,207.63105263,162.7824812,162.7824812
1033409867,MARTONE,STEPHAN,L,MD,M,I,43 NEW SCOTLAND AVE,,ALBANY,NY,122083412,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,22,109,505.73394495,326.16678899,254.39798165,254.39798165
1033409867,MARTONE,STEPHAN,L,MD,M,I,43 NEW SCOTLAND AVE,,ALBANY,NY,122083412,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,45,271,188.5597048,9.3367158672,7.3195940959,7.3195940959
1033409867,MARTONE,STEPHAN,L,MD,M,I,43 NEW SCOTLAND AVE,,ALBANY,NY,122083412,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,48,276,604.78282609,29.17826087,22.875724638,22.875615942
1033410238,BARADI,MARNEL,C,PA-C,M,I,337 E KINGS ST,,AVENAL,CA,932041630,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,33,60,52.165,8.32,6.0883333333,6.0883333333
1033410238,BARADI,MARNEL,C,PA-C,M,I,337 E KINGS ST,,AVENAL,CA,932041630,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.245714286,3.38,2.65,2.65
1033410238,BARADI,MARNEL,C,PA-C,M,I,337 E KINGS ST,,AVENAL,CA,932041630,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,23,15.885217391,1.42,1.067826087,1.067826087
1033410238,BARADI,MARNEL,C,PA-C,M,I,337 E KINGS ST,,AVENAL,CA,932041630,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1860,0.92,0.1305645161,0.0877150538,0.0877150538
1033410238,BARADI,MARNEL,C,PA-C,M,I,337 E KINGS ST,,AVENAL,CA,932041630,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9650909091,2.1238030303,2.1238030303
1033410238,BARADI,MARNEL,C,PA-C,M,I,337 E KINGS ST,,AVENAL,CA,932041630,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,132,33,24.253125,24.253125
1033411640,REGES,NANCY,M,ANP-C,F,I,2025 BIGHORN RD,,FORT COLLINS,CO,805253480,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,320.77105263,70.48,55.25,54.747894737
1033412218,AFRICA,BRIAN,,M.D.,M,I,425 W 59TH ST,SUITE A,NEW YORK,NY,100198022,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,38,76,68.578157895,8.32,5.2336842105,5.2336842105
1033412218,AFRICA,BRIAN,,M.D.,M,I,425 W 59TH ST,SUITE A,NEW YORK,NY,100198022,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,19,19.529473684,1.42,0.7652631579,0.7652631579
1033413240,HODGES,RYAN,D,PA,M,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,39,104,56.941057692,8.32,2.8492307692,2.8492307692
1033413240,HODGES,RYAN,D,PA,M,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,31,14.798064516,1.42,0.4683870968,0.4683870968
1033413240,HODGES,RYAN,D,PA,M,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,64.39375,17.91,10.53,10.18625
1033413240,HODGES,RYAN,D,PA,M,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,475.5427907,70.613023256,50.044883721,49.471395349
1033413240,HODGES,RYAN,D,PA,M,I,388 MARTIN ST,,TWIN FALLS,ID,833014544,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,38.945454545,28.852727273,27.827272727
1033413307,ILINENI,VISHNU,K,M.D,M,I,101 SIVLEY RD SW,,HUNTSVILLE,AL,358014421,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,103.13653846,19.951923077,15.065769231,13.010384615
1033413307,ILINENI,VISHNU,K,M.D,M,I,101 SIVLEY RD SW,,HUNTSVILLE,AL,358014421,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,365.29038462,86.103076923,65.206538462,52.634230769
1033413422,ALI,AMY,G,M.D.,F,I,452 OLD HOOK RD,2ND FLOOR,EMERSON,NJ,076301381,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,30,82.071333333,8.32,6.3043333333,6.3043333333
1033413547,DUNCAN,CHARLES,O,DO,M,I,405 W GRAND AVE,C/O MEDICAL EDUCATION,DAYTON,OH,454054720,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,51.282,19.6905,13.9445,12.254
1033413547,DUNCAN,CHARLES,O,DO,M,I,405 W GRAND AVE,C/O MEDICAL EDUCATION,DAYTON,OH,454054720,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,45.668235294,6.9094117647,5.4158823529,3.7752941176
1033413547,DUNCAN,CHARLES,O,DO,M,I,405 W GRAND AVE,C/O MEDICAL EDUCATION,DAYTON,OH,454054720,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,33,287.54606061,86.47969697,64.303939394,53.171515152
1033413877,LALANDE,SHERRIE,A,A.R.N.P.,F,I,21 HOSPITAL DR FL 4,,ASHEVILLE,NC,288014550,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,24,24,18.82,18.82
1033414834,LEE,HAK,J,MD,M,I,1035 RED BUD RD NE,SUITE 201,CALHOUN,GA,307016010,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,4770,3.2211320755,2.03,1.5614381551,1.5686834382
1033414834,LEE,HAK,J,MD,M,I,1035 RED BUD RD NE,SUITE 201,CALHOUN,GA,307016010,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,45,11546,11.190245973,7.0935042439,5.0780460766,5.1680677291
1033414867,JESKE,STEVEN,P,FNP-BC,M,I,276 HIGHLAND AVE STE A2,,WATERBURY,CT,06708,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,30,36,51.246111111,8.2744444444,5.0411111111,5.0766666667
1033414867,JESKE,STEVEN,P,FNP-BC,M,I,276 HIGHLAND AVE STE A2,,WATERBURY,CT,06708,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,31,31,223.58,45.581935484,32.487096774,33.870322581
1033414867,JESKE,STEVEN,P,FNP-BC,M,I,276 HIGHLAND AVE STE A2,,WATERBURY,CT,06708,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,172.42909091,46.495454545,36.455454545,36.470909091
1033414867,JESKE,STEVEN,P,FNP-BC,M,I,276 HIGHLAND AVE STE A2,,WATERBURY,CT,06708,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,400,95.157142857,74.601428571,72.396428571
1033414867,JESKE,STEVEN,P,FNP-BC,M,I,276 HIGHLAND AVE STE A2,,WATERBURY,CT,06708,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,74.195384615,43.458461538,34.074615385,32.999230769
1033415682,SINGH,MRIGANKA,,M.D.,F,I,407 EAST AVE,SUITE 110,PAWTUCKET,RI,028605290,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,78,56.054166667,50.169166667
1033415682,SINGH,MRIGANKA,,M.D.,F,I,407 EAST AVE,SUITE 110,PAWTUCKET,RI,028605290,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36,25.868333333,27.185
1033415757,BROWN,LAURA,J,CNP,F,I,301 W WACKERLY ST,,MIDLAND,MI,486402761,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,150,82.277241379,62.61862069,54.239310345
1033416219,BARNETT,SOPHIA,,DPM,F,I,26850 PROVIDENCE PKWY,SUITE 502,NOVI,MI,483741213,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,41,41,82,88.544512195,71.56,56.105,56.105
1033416219,BARNETT,SOPHIA,,DPM,F,I,26850 PROVIDENCE PKWY,SUITE 502,NOVI,MI,483741213,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,33,33,198,35.141464646,29.19,22.885,22.886464646
1033416391,TSAI,CYNTHIA,S,D.O.,F,I,GEISINGER MEDICAL CTR,100 NORTH ACADEMY AVE,DANVILLE,PA,178220001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,604.08,93.36125,72.001875,56.06375
1033416557,VELOSO,AUDREY MARIE,V,M.D.,F,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,76.330588235,19.117647059,13.391764706,11.939411765
1033416557,VELOSO,AUDREY MARIE,V,M.D.,F,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,19.73,6.2215789474,4.6410526316,4.6410526316
1033416557,VELOSO,AUDREY MARIE,V,M.D.,F,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,61,36.29,28.448333333,31.704166667
1033416557,VELOSO,AUDREY MARIE,V,M.D.,F,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,315.13862069,77.185862069,56.75,50.971724138
1033416557,VELOSO,AUDREY MARIE,V,M.D.,F,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,37.44,29.35,29.35
1033416557,VELOSO,AUDREY MARIE,V,M.D.,F,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,19.21,15.061666667,13.924166667
1033416789,AL NABABTEH,AKRAM,H,M.D.,M,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,591,8.28,8.28,6.4915059222,6.4915059222
1033417522,CENTILLI,LISA,,D.O.,F,I,11916 HIGHWAY 707 STE D,,MURRELLS INLET,SC,29576,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,17,18.384705882,1.42,1.0482352941,1.0482352941
1033418249,KEDIA,ROHIT,R,D.O.,M,I,11333 SEPULVEDA BLVD,,MISSION HILLS,CA,913451116,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,92,77.319782609,8.32,5.1354347826,5.1354347826
1033418439,OLIVE,TIMOTHY,R,ARNP,M,I,2011 N BROADWAY ST,,POTEAU,OK,749532642,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,64,64.80296875,8.32,5.095625,5.095625
1033418439,OLIVE,TIMOTHY,R,ARNP,M,I,2011 N BROADWAY ST,,POTEAU,OK,749532642,US,Nurse Practitioner,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,303.98,164.21833333,117.3775,88.906666667
1033418439,OLIVE,TIMOTHY,R,ARNP,M,I,2011 N BROADWAY ST,,POTEAU,OK,749532642,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,20,55.236,4.8155,3.7705,3.879
1033418439,OLIVE,TIMOTHY,R,ARNP,M,I,2011 N BROADWAY ST,,POTEAU,OK,749532642,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.67,12.972727273,10.173636364,8.4736363636
1033418439,OLIVE,TIMOTHY,R,ARNP,M,I,2011 N BROADWAY ST,,POTEAU,OK,749532642,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,198.12,40.913636364,32.077272727,20.564545455
1033418439,OLIVE,TIMOTHY,R,ARNP,M,I,2011 N BROADWAY ST,,POTEAU,OK,749532642,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1017.92,265.74727273,208.34636364,174.86454545
1033418454,GRONBACH,LYNN,A,DO,F,I,379 DIXMYTH AVE,,CINCINNATI,OH,452202475,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,29,80,51.48075,8.32,6.441125,6.441125
1033418512,SABUCEDO,ALBERTO,J,"M.D.,PH.D.",M,I,6140 SW 70TH ST FL 2,,SOUTH MIAMI,FL,331433419,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,70.23,55.06,54.72
1033418843,JESUDOSS,RANDHIR,,M.D,M,I,200 HAWKINS DR,JCP 4547,IOWA CITY,IA,522421009,US,Physician/Medical Oncology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,66,6555,2.7578169336,0.5711975591,0.4067658276,0.4067643021
1033418843,JESUDOSS,RANDHIR,,M.D,M,I,200 HAWKINS DR,JCP 4547,IOWA CITY,IA,522421009,US,Physician/Medical Oncology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,50,6420,2.6736386293,1.1319735202,0.8551433022,0.8551433022
1033418843,JESUDOSS,RANDHIR,,M.D,M,I,200 HAWKINS DR,JCP 4547,IOWA CITY,IA,522421009,US,Physician/Medical Oncology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,4,,12,5010,9.785253493,8.4219520958,3.4187664671,5.673249501
1033418843,JESUDOSS,RANDHIR,,M.D,M,I,200 HAWKINS DR,JCP 4547,IOWA CITY,IA,522421009,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,19,65,65,25.015384615,24,17.372307692,17.372307692
1033418843,JESUDOSS,RANDHIR,,M.D,M,I,200 HAWKINS DR,JCP 4547,IOWA CITY,IA,522421009,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,24,75,88,16.090909091,16,12.1125,12.1125
1033419056,HOPPENOT,REGIS,G,"M.D., M.P.H.",M,I,2325 STANTONSBURG RD,ECU PHYSICIANS NEUROSURGICAL & SPINE CENTER,GREENVILLE,NC,278347534,US,Physician/Neurosurgery,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,25,10.796190476,8.4628571429,7.8157142857
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,54,158,453,70.054525386,8.3171302428,6.0349889625,6.0372406181
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,27,66,95,11.171789474,1.4155789474,1.0408421053,1.0444210526
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,40,11.13,2.975,2.156,1.5375
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,19.842105263,12.504736842,9.8068421053,7.3642105263
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,64.512,22.8715,16.733,12.7045
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,29,8.1153571429,6.19,3.5392857143
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,99,99,350.93131313,103.18929293,73.632121212,53.270606061
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,181,41.107241379,29.833448276,27.903448276
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,18,3574,0.3964913262,0.0446950196,0.0350447678,0.0350447678
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,88,44.2428,30.8768,26.7208
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,586.252,211.71933333,159.82266667,121.07866667
1033419429,JAMIS,ROEL CONRAD,,,M,I,2512 HURST DR,,MATTOON,IL,619389200,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,18,18,38.5,33,25.87,25.87
1033419551,SHAH,CHINTALBEN,D,M.D.,F,I,11212 STATE HIGHWAY 151,,SAN ANTONIO,TX,782514498,US,Hospitalist,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2256,0.45,0.45,0.3527925532,0.3527925532
1033419551,SHAH,CHINTALBEN,D,M.D.,F,I,11212 STATE HIGHWAY 151,,SAN ANTONIO,TX,782514498,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,46.76,18,14.11,13.54
1033419551,SHAH,CHINTALBEN,D,M.D.,F,I,11212 STATE HIGHWAY 151,,SAN ANTONIO,TX,782514498,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,385,77.18,60.51,54.72
1033419882,KURAKULA,DEEPTHI,C,M.D.,F,I,800 S TILLOTSON AVE,,MUNCIE,IN,473044529,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1500,1.4305933333,0.73952,0.5798066667,0.5798066667
1033419882,KURAKULA,DEEPTHI,C,M.D.,F,I,800 S TILLOTSON AVE,,MUNCIE,IN,473044529,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,24,24,18.82,18.82
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,62,246,52.737479675,8.32,5.9740650407,5.9740650407
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,17,39,12.652564103,1.42,1.0843589744,1.0843589744
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,105.1064,21.8668,17.1424,13.7708
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,54.717931034,8.3027586207,6.5079310345,3.6889655172
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,100,62.333333333,48.87,36.225
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,73,77,541.41636364,97.130649351,74.134415584,53.368701299
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,44.560909091,34.938181818,29.515454545
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,897,0.3536789298,0.0468896321,0.0367447046,0.0367447046
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1200,1.2095166667,0.1313,0.0893166667,0.0893166667
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,20,92.3275,20.804,14.7575,12.686
1033420104,YAMASHIRO,NAORI,,M.D.,F,I,1010 S SCHEUBER RD STE 3&4,PMG SW WA CENTRALIA INT MED,CENTRALIA,WA,985318892,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,102.88235294,33,22.826470588,22.826470588
1033420419,PATEL,NATHAN,T,MD,M,I,6838 ELM VALLEY DR,,KALAMAZOO,MI,49009,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,102.61833333,80.455,54.73
1033420492,CHADHA,NUGMA,,MD,F,I,3710 BALTIMORE AVE,APT 2,KANSAS CITY,MO,641112117,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,70.525625,25.85296875,19.8425,17.3434375
1033420492,CHADHA,NUGMA,,MD,F,I,3710 BALTIMORE AVE,APT 2,KANSAS CITY,MO,641112117,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,78.167307692,6.5146153846,4.1088461538,3.2015384615
1033420492,CHADHA,NUGMA,,MD,F,I,3710 BALTIMORE AVE,APT 2,KANSAS CITY,MO,641112117,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,260.09615385,87.148846154,65.780769231,55.308653846
1033420534,DAMITZ,BRIAN,T,D.P.M.,M,I,601 GATEWAY BLVD N,,CHESTERTON,IN,463049658,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,390.71,251.28,197,217.43066667
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,25,48,95,68.878631579,8.3138947368,6.0390526316,6.0444210526
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,23,14.164782609,1.42,1.0695652174,1.0695652174
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,190,9.735,6.74,5.284,5.284
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,56.382941176,46.348823529,30.382352941,26
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,246.60470588,118.66705882,84.758823529,70.297058824
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,150.28461538,74.776923077,52.78,41.283076923
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,19,54,7.497037037,2.89,2.0631481481,1.6444444444
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,14.436153846,7.6138461538,5.5230769231,5.0284615385
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,27.81,15.520909091,11.240909091,10.249090909
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,108,112,69.53,22.154553571,16.272142857,13.034553571
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,154.90833333,112.23238095,82.604285714,61.770952381
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,38.4,7.6323333333,5.8213333333,4.0773333333
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,25,97.1784,46.3868,33.288,24.9852
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,118,119,439.29159664,102.84,75.680252101,54.587058824
1033420690,MOORE,TAYLOR,J,DO,M,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,16,16,84,33,25.056875,25.056875
1033420922,ARORA,SURAJ,,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,109.69263158,25.870789474,19.57,16.803947368
1033420922,ARORA,SURAJ,,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,20,120,120,58.010833333,6.1800833333,4.447,3.3445
1033420922,ARORA,SURAJ,,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,85,85,680.23082353,94.220235294,72.044823529,56.299058824
1033420922,ARORA,SURAJ,,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,330.225,38.133125,29.89375,29.511875
1033420922,ARORA,SURAJ,,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,14,1137,1.943649956,0.1363588391,0.1021987687,0.1021987687
1033420922,ARORA,SURAJ,,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,44.560909091,34.938181818,31.12
1033420922,ARORA,SURAJ,,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,18,18,33,33,22.995555556,22.995555556
1033421110,O'BRIEN,MEGAN,M,FNP,F,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,16,62,66.589516129,8.32,4.945,4.945
1033421110,O'BRIEN,MEGAN,M,FNP,F,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,20,13.169,1.42,0.8385,0.8385
1033421243,CLARK,RICHARD,A,RPA-C,M,I,1444 WESTERN AVE,SUITE A,ALBANY,NY,122033458,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,15,41,102,81.699705882,8.32,5.0720588235,5.0720588235
1033421243,CLARK,RICHARD,A,RPA-C,M,I,1444 WESTERN AVE,SUITE A,ALBANY,NY,122033458,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,22,16.253636364,1.42,0.8627272727,0.8627272727
1033421243,CLARK,RICHARD,A,RPA-C,M,I,1444 WESTERN AVE,SUITE A,ALBANY,NY,122033458,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,29,50.73,3.9593103448,3.0986206897,3.6882758621
1033421243,CLARK,RICHARD,A,RPA-C,M,I,1444 WESTERN AVE,SUITE A,ALBANY,NY,122033458,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,3746,0.2874879872,0.0468820075,0.0345435131,0.0345408436
1033421243,CLARK,RICHARD,A,RPA-C,M,I,1444 WESTERN AVE,SUITE A,ALBANY,NY,122033458,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,49.5,33,25.24875,25.24875
1033421706,RAJ,NAVIN,,M.D.,M,I,19145 ALLEN RD,#107,BROWNSTOWN TWP,MI,481836812,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,36.684857143,17.469714286,12.399428571,12.246857143
1033421706,RAJ,NAVIN,,M.D.,M,I,19145 ALLEN RD,#107,BROWNSTOWN TWP,MI,481836812,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,28.230769231,5.6615384615,4.1661538462,3.5353846154
1033421706,RAJ,NAVIN,,M.D.,M,I,19145 ALLEN RD,#107,BROWNSTOWN TWP,MI,481836812,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,37,217.30513514,79.781621622,56.006756757,49.038378378
1033421706,RAJ,NAVIN,,M.D.,M,I,19145 ALLEN RD,#107,BROWNSTOWN TWP,MI,481836812,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,34,65.178823529,17.662058824,12.345882353,12.591764706
1033421953,SAEED,ASIM,M,MD,M,I,4332 N. ELSTON AVE.,,CHICAGO,IL,60641,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,32.454545455,22.454545455,21.254545455
1033422134,POUDYAL,SAURAV,,MD,M,I,1111 S SAINT LOUIS AVE,,TULSA,OK,741205440,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,27.05,3.6981818182,2.2990909091,2.9145454545
1033422183,DEGAZON,YVETTE,J,M.D.,F,I,1001 STUDEWOOD ST,SUITE 200B,HOUSTON,TX,770087190,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,45,52.814666667,8.32,6.232,6.232
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,491.72285714,81.783809524,61.136666667,54.052380952
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,280.21090909,47.968181818,37.610909091,38.53
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,156.28363636,39.833636364,31.224545455,30.160909091
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,84,400,401,401,1514.5729177,1150.3868329,877.82109726,863.71518703
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,33,33,33,1045.63,827.83,649.01,710.19424242
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,37,175,178,224,868.94928571,551.74,425.34040179,470.82616071
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,51,139,151,240,982.56566667,860.10170833,671.06,674.59729167
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,78,78,127,526.14858268,452.47582677,350.43811024,349.86220472
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,70,310,325,460,139.19156522,118.64267391,91.430043478,87.776934783
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,52,159,162,247,545.71461538,466.77218623,363.75157895,363.30919028
1033422357,IZQUIERDO MERA,ROMEL,,M.D.,M,I,300 1ST CAPITOL DR,,SAINT CHARLES,MO,633012844,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,59,190,193,193,898.69860104,715.61927461,556.98507772,563.74911917
1033422431,BEMENT,ELIZABETH,M,D.O.,F,I,1900 PINE ST,,ABILENE,TX,796012432,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,95.454545455,20.756363636,16.271818182,13.535454545
1033422431,BEMENT,ELIZABETH,M,D.O.,F,I,1900 PINE ST,,ABILENE,TX,796012432,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,42,4.746,3.716,3.828
1033422431,BEMENT,ELIZABETH,M,D.O.,F,I,1900 PINE ST,,ABILENE,TX,796012432,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,326.82,75.5515,56.534,51.996
1033422431,BEMENT,ELIZABETH,M,D.O.,F,I,1900 PINE ST,,ABILENE,TX,796012432,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,125,37.206296296,26.62962963,27.056296296
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,81.554516129,19.047096774,12.701935484,11.549354839
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,48.5,12.661428571,9.929047619,9.4814285714
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,165.26190476,5.8557142857,4.4242857143,3.3804761905
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,188.5,33.535263158,25.496315789,24.708947368
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,411.863,84.2496,59.121,48.8536
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,900,21.518433333,11.3774,8.7644444444,8.7644444444
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1076,1.8746189591,0.1353345725,0.106133829,0.106133829
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,960,9.0170416667,3.1983125,2.5075,2.5075
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,120.22263158,40.056315789,31.402631579,29.451578947
1033422860,PATEL,SANJEEVKUMAR,A,M.D,M,I,2500 E CAPITOL DR STE 1700,,APPLETON,WI,549118735,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,36,36,33,33,25.151388889,25.151388889
1033423249,GAMBLE,DAVID,B,N.P.,M,I,470 EAST 3900 SOUTH,SUITE 200,SALT LAKE CITY,UT,84107,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,36,227,70.910220264,8.32,5.4100440529,5.4100440529
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,27,59,186,64.978225806,8.32,6.0663978495,6.0663978495
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,21,39,15.614871795,1.42,1.0851282051,1.0851282051
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.8141818182,4.03,3.1595,3.1595
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,83.455454545,49.23,35.530909091,27.718181818
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,34,8.19,2.1235294118,1.5902941176,1.3185294118
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,182.96090909,73.94,49.398181818,37.395454545
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,13,13,57.63,24.224615385,14.455384615,9.8746153846
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,20,109,8.3322018349,2.9411926606,2.0788990826,1.4457798165
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,366,275.68306011,7.3527322404,5.7644808743,4.1949726776
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,66,72,69.973333333,21.00375,15.303611111,12.71625
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,36.613333333,28.2225
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,25.164230769,7.3226923077,5.3815384615,3.4334615385
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,172.98060606,43.587272727,29.317575758,21.816060606
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.01,13.291666667,9.6633333333,8.2675
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,20,146,149,381.1842953,98.922550336,74.046845638,55.905100671
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,166.92307692,44.900769231,33.940769231,28.656153846
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1170,15.963632479,9.6243846154,7.4725384615,7.4725384615
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2539,0.2220677432,0.0463450177,0.0329696731,0.0329657345
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1560,1.5112692308,0.1348269231,0.0987179487,0.0987179487
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1170,12.378589744,2.861,2.243025641,2.243025641
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,20,16,16,12.5425,12.5425
1033423447,SAKS,BENJAMIN,J,D.O.,M,I,220 STEUBEN ST,,MONTOUR FALLS,NY,148659740,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,39,39,86.307692308,33,22.652051282,22.652051282
1033423496,FAGAN,ASHLEY,J,DO,F,I,1280 S MAIN ST STE 100,,GRAPEVINE,TX,760517509,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,24,72,60.629027778,8.32,6.1593055556,6.1593055556
1033423496,FAGAN,ASHLEY,J,DO,F,I,1280 S MAIN ST STE 100,,GRAPEVINE,TX,760517509,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,14.846470588,1.42,0.9823529412,0.9823529412
1033423496,FAGAN,ASHLEY,J,DO,F,I,1280 S MAIN ST STE 100,,GRAPEVINE,TX,760517509,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,125.36545455,57.02,44.71,43.028181818
1033423496,FAGAN,ASHLEY,J,DO,F,I,1280 S MAIN ST STE 100,,GRAPEVINE,TX,760517509,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,84,6.6714285714,2.22,1.741547619,1.6251190476
1033423496,FAGAN,ASHLEY,J,DO,F,I,1280 S MAIN ST STE 100,,GRAPEVINE,TX,760517509,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,52,28.813333333,26.72
1033423496,FAGAN,ASHLEY,J,DO,F,I,1280 S MAIN ST STE 100,,GRAPEVINE,TX,760517509,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,220,76.48,55.906333333,51.147
1033424148,BLACK,AMY,L,CNP,F,I,30381 CHIEFTAIN DR,,LOGAN,OH,431389092,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,31,49,59.563877551,8.32,5.8567346939,5.8567346939
1033424148,BLACK,AMY,L,CNP,F,I,30381 CHIEFTAIN DR,,LOGAN,OH,431389092,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,381.36,47.331818182,37.110909091,36.298181818
1033424148,BLACK,AMY,L,CNP,F,I,30381 CHIEFTAIN DR,,LOGAN,OH,431389092,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,50.73,6.3671428571,4.9914285714,4.025
1033424148,BLACK,AMY,L,CNP,F,I,30381 CHIEFTAIN DR,,LOGAN,OH,431389092,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,105.6,33,25.87,25.87
1033424569,PHELAN,ELISHA,,FNP,F,I,605 CROUCH ST,,OCEANSIDE,CA,920544415,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,54.4204,8.32,3.3924,3.3924
1033425038,ORIE,NANCY,A,PA - C,F,I,601 CHILDRENS LN,"CHILDREN'S SPECIALTY GROUP, PLLC",NORFOLK,VA,235071910,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,15,15,57.18,18.378666667,7.0973333333,7.0346666667
1033425038,ORIE,NANCY,A,PA - C,F,I,601 CHILDRENS LN,"CHILDREN'S SPECIALTY GROUP, PLLC",NORFOLK,VA,235071910,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,23.181818182,14.432727273,16.945454545
1033425038,ORIE,NANCY,A,PA - C,F,I,601 CHILDRENS LN,"CHILDREN'S SPECIALTY GROUP, PLLC",NORFOLK,VA,235071910,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,19.5,7.8125,3.3483333333,3.6570833333
1033425038,ORIE,NANCY,A,PA - C,F,I,601 CHILDRENS LN,"CHILDREN'S SPECIALTY GROUP, PLLC",NORFOLK,VA,235071910,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,335.1,278.93884615,205.65038462,205.62230769
1033425145,JOHNSON,TIMOTHY,W,PA,M,I,1111 RONALD REAGAN PKWY,,AVON,IN,461237085,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,18,40,97,70.435670103,8.32,5.7154639175,5.7154639175
1033425145,JOHNSON,TIMOTHY,W,PA,M,I,1111 RONALD REAGAN PKWY,,AVON,IN,461237085,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,40.050833333,31.358333333
1033425145,JOHNSON,TIMOTHY,W,PA,M,I,1111 RONALD REAGAN PKWY,,AVON,IN,461237085,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,37.387142857,7.0519047619,5.3547619048,3.7995238095
1033425145,JOHNSON,TIMOTHY,W,PA,M,I,1111 RONALD REAGAN PKWY,,AVON,IN,461237085,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,189.69166667,51.016666667,39.994444444,28.365555556
1033425145,JOHNSON,TIMOTHY,W,PA,M,I,1111 RONALD REAGAN PKWY,,AVON,IN,461237085,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,400.0725,102.08,75.763571429,52.267142857
1033425145,JOHNSON,TIMOTHY,W,PA,M,I,1111 RONALD REAGAN PKWY,,AVON,IN,461237085,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,93.97,45.474,35.654,29.517333333
1033425145,JOHNSON,TIMOTHY,W,PA,M,I,1111 RONALD REAGAN PKWY,,AVON,IN,461237085,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,87.45,33,24.5765,24.5765
1033425392,SCHROEDER,BRIAN,A,NP,M,I,248 MCHENRY ST,,BURLINGTON,WI,531051828,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,28.538461538,28.538461538,22.373846154,43.447692308
1033425459,CHEON,ISABEL,K,M. D.,F,I,15004 INNOVATION DR,,SAN DIEGO,CA,921283491,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,29,82,68.243536585,8.32,5.6474390244,5.6474390244
1033425459,CHEON,ISABEL,K,M. D.,F,I,15004 INNOVATION DR,,SAN DIEGO,CA,921283491,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,18,15.204444444,1.42,0.9955555556,0.9955555556
1033425459,CHEON,ISABEL,K,M. D.,F,I,15004 INNOVATION DR,,SAN DIEGO,CA,921283491,US,Physician/Internal Medicine,S,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,42,48.69,48.69,36.888809524,36.888809524
1033425459,CHEON,ISABEL,K,M. D.,F,I,15004 INNOVATION DR,,SAN DIEGO,CA,921283491,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,129.00722222,26.63,17.325,16.616666667
1033426556,LEISER,NICHOLAS,J,PA-C,M,I,8835 GERMANTOWN AVE,,PHILADELPHIA,PA,191182718,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,43,73.413953488,8.32,6.3713953488,6.3713953488
1033426556,LEISER,NICHOLAS,J,PA-C,M,I,8835 GERMANTOWN AVE,,PHILADELPHIA,PA,191182718,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,15.321875,1.42,1.11875,1.11875
1033426556,LEISER,NICHOLAS,J,PA-C,M,I,8835 GERMANTOWN AVE,,PHILADELPHIA,PA,191182718,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,32.101666667,4.1958333333,3.29,3.785
1033426846,STREICHER,ANDREW,J,MD,M,I,17000 MEDICAL CENTER DR,,BATON ROUGE,LA,708163246,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,18.5,18.419333333,12.566666667,11.798666667
1033426846,STREICHER,ANDREW,J,MD,M,I,17000 MEDICAL CENTER DR,,BATON ROUGE,LA,708163246,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,71,70.948666667,48.238666667,47.494666667
1033427489,ASPER,CARLA,K,NP,F,I,3620 JOSEPH SIEWICK DR,SUITE 307,FAIRFAX,VA,220331756,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79.8,23.406363636,19.847272727
1033427588,EDWARDS,ANDREA,M,PA-C,F,I,1051 LOFTIS BLVD,SUITE 100,NEWPORT NEWS,VA,236063069,US,Physician Assistant,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,47,43.08,35.3,27.675744681,30.358085106
1033427695,GILES,JAMIE,M,FNP,F,I,1809 DUTCH VALLEY RD,,CLINTON,TN,377165117,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,74.268461538,39.937307692,28.247307692,19.5
1033427935,COBURN,BRITTANY,J,NP-C,F,I,2165 9TH ST W,,COLUMBIA FALLS,MT,599124416,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,17,33,50.478484848,8.32,6.5203030303,6.5203030303
1033427935,COBURN,BRITTANY,J,NP-C,F,I,2165 9TH ST W,,COLUMBIA FALLS,MT,599124416,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,15,391.34333333,106.38666667,83.41,54.73
1033428271,RAMTHUN,GINA,E,APNP,F,I,1901 WESTWOOD CENTER BLVD,,WAUSAU,WI,54401,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,91,77.716373626,8.32,5.8062637363,5.8062637363
1033428271,RAMTHUN,GINA,E,APNP,F,I,1901 WESTWOOD CENTER BLVD,,WAUSAU,WI,54401,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,17.954615385,1.42,0.8561538462,0.8561538462
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,121.11,30.738333333,15.22,13.545833333
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,584.55,173.77157895,128.68631579,110.45631579
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,24,354.745,273.65,214.54041667,230.06416667
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5629,"Addition to lower extremity, below knee, acrylic socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,16,398.3075,307.26,240.890625,262.640625
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,17,362.13058824,279.31,218.98,239.01647059
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,12,999.07666667,771.44,604.80916667,655.20916667
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5647,"Addition to lower extremity, below knee suction socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,15,1329.0366667,1025.44,803.94066667,696.748
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,24,46,785.24021739,603.55,473.18478261,469.4323913
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,31,60,161.534,123.96,94.349666667,94.129
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5910,"Addition, endoskeletal system, below knee, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,16,453.928125,350.17,274.53875,299.320625
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,17,833.95823529,643.22,504.28941176,436.90764706
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L5986,"All lower extremity prostheses, multi-axial rotation unit ('mcp' or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,897.87,690.67,541.49,535.12454545
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L7520,"Repair prosthetic device, labor component, per 15 minutes",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,14,44,30.909090909,30.039545455,23.550909091,23.550909091
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,20,111,27.047567568,20.83,16.33018018,16.372432432
1033428735,SHORT,ANNA,L,ARNP,F,I,10701 NALL AVE,SUITE 200,OVERLAND PARK,KS,662111363,US,Nurse Practitioner,S,L8470,"Prosthetic sock, single ply, fitting, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,22,143,8.3724475524,6.45,4.6323076923,5.135034965
1033429212,HERNANDEZ,SANDRA,,NP,F,I,6200 I-40 W,,AMARILLO,TX,791062512,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,3744.2857143,2631.8585714,2063.3771429,2063.3771429
1033429246,KARAMICHOS,SOOHEE,,"BSN,RN,NP-C",F,I,3366 NW EXPRESSWAY,"BUILDING D, SUITE 660",OKLAHOMA CITY,OK,731124462,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,56,56,1561.02,1074.31,831.99464286,831.99464286
1033429246,KARAMICHOS,SOOHEE,,"BSN,RN,NP-C",F,I,3366 NW EXPRESSWAY,"BUILDING D, SUITE 660",OKLAHOMA CITY,OK,731124462,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,264.59333333,77.8,51.525833333,45.779166667
1033429246,KARAMICHOS,SOOHEE,,"BSN,RN,NP-C",F,I,3366 NW EXPRESSWAY,"BUILDING D, SUITE 660",OKLAHOMA CITY,OK,731124462,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,207.71428571,40.062,29.705714286,27.825428571
1033429246,KARAMICHOS,SOOHEE,,"BSN,RN,NP-C",F,I,3366 NW EXPRESSWAY,"BUILDING D, SUITE 660",OKLAHOMA CITY,OK,731124462,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,3.383,3.076,2.2526666667,2.2526666667
1033429246,KARAMICHOS,SOOHEE,,"BSN,RN,NP-C",F,I,3366 NW EXPRESSWAY,"BUILDING D, SUITE 660",OKLAHOMA CITY,OK,731124462,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,36.25,33,24.022142857,24.022142857
1033429261,STAMBAUGH,JUDITH,A,FNP-BC,F,I,520 E BALTIMORE ST,SUITE 8,TANEYTOWN,MD,217872407,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,75,192,59.46640625,8.32,5.53609375,5.53609375
1033429261,STAMBAUGH,JUDITH,A,FNP-BC,F,I,520 E BALTIMORE ST,SUITE 8,TANEYTOWN,MD,217872407,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,37,13.973513514,1.42,0.8740540541,0.8740540541
1033429261,STAMBAUGH,JUDITH,A,FNP-BC,F,I,520 E BALTIMORE ST,SUITE 8,TANEYTOWN,MD,217872407,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,140,17.46,13.69,13.54
1033429261,STAMBAUGH,JUDITH,A,FNP-BC,F,I,520 E BALTIMORE ST,SUITE 8,TANEYTOWN,MD,217872407,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,35,14.4,10.483571429,9.7892857143
1033429261,STAMBAUGH,JUDITH,A,FNP-BC,F,I,520 E BALTIMORE ST,SUITE 8,TANEYTOWN,MD,217872407,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,111.71,36.657142857,26.487857143,26.176428571
1033429261,STAMBAUGH,JUDITH,A,FNP-BC,F,I,520 E BALTIMORE ST,SUITE 8,TANEYTOWN,MD,217872407,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,443.26625,81.1175,60.6940625,53.823125
1033430293,MCGRAW,DOUGLAS,L,D.O.,M,I,1 GENESYS PKWY,,GRAND BLANC,MI,484398065,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,63,63,63,72.48047619,72.255555556,56.647936508,52.877619048
1033430293,MCGRAW,DOUGLAS,L,D.O.,M,I,1 GENESYS PKWY,,GRAND BLANC,MI,484398065,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,28,40,36.17,28.356071429,28.611428571
1033430293,MCGRAW,DOUGLAS,L,D.O.,M,I,1 GENESYS PKWY,,GRAND BLANC,MI,484398065,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,18,70.638888889,56.6,44.373333333,43.309444444
1033430293,MCGRAW,DOUGLAS,L,D.O.,M,I,1 GENESYS PKWY,,GRAND BLANC,MI,484398065,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,54,72.638888889,61.57,48.27,43.905
1033430293,MCGRAW,DOUGLAS,L,D.O.,M,I,1 GENESYS PKWY,,GRAND BLANC,MI,484398065,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,19,77.5,75.53,59.213684211,54.093684211
1033430426,RUSK,LINDSEY,A,PA-C,F,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271579875,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,20.333333333,4.694,3.6813333333,3.6786666667
1033430525,SWEATT,ERIN,N,M.D.,F,I,251 E HURON ST,GALTER 3-150,CHICAGO,IL,606112908,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.72,16.74,13.128333333,13.825
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,22,79,158,63.984367089,8.32,6.0013924051,6.0013924051
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,25,31,13.60516129,1.42,1.0448387097,1.0448387097
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,3.51,2.0780952381,1.629047619,1.25
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,301.81818182,123.97545455,89.407272727,60.739090909
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,74,16.012702703,3.3140540541,2.5987837838,1.7763513514
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,28,28,252.51428571,62.821785714,44.383928571,33.030357143
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,31,80.601612903,22.990967742,17.392580645,14.076129032
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,232.35,52.462727273,34.055454545,33.215454545
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,55,57,74.034210526,7.2124561404,5.2505263158,3.5514035088
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,135.61538462,48.596923077,38.097692308,34.406923077
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,27,165,174,449.97229885,100.68637931,73.92408046,54.90408046
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,28.248333333
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,13,64,6126,1.637107411,0.1353395364,0.1007802808,0.1007802808
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,1590,12.138610063,2.7698867925,2.007408805,2.007408805
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,64.545454545,38.383636364,30.092727273,17.296363636
1033430566,HAUSER,RACHAEL,D,MD,F,I,420 COUNTRY CLUB RD,,PRATT,KS,671243125,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,17,69,69,33,33,23.914782609,23.914782609
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,73,181,49.964861878,8.32,5.7291160221,5.7291160221
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,8.2676923077,3.38,2.65,2.65
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,25,38,10.792894737,1.42,0.9968421053,0.9968421053
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,20,11.534545455,9.0454545455,7.0890909091
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,200,87.495,68.597142857,46.522142857
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,75,22.370434783,17.536956522,13.79173913
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,60,8.014375,5.1846875,2.815
1033430624,ALVARADO,JOAN,V,MD,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,400,101.79913043,79.812608696,56.490869565
1033430780,SORENSEN,CHRISTIAN,J,MD,M,I,1702 UNIVERSITY DR S,,FARGO,ND,581034940,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,25,85,209,83.534162679,8.32,6.0841626794,6.0841626794
1033430780,SORENSEN,CHRISTIAN,J,MD,M,I,1702 UNIVERSITY DR S,,FARGO,ND,581034940,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,17,20.928823529,1.42,1.1188235294,1.1188235294
1033430780,SORENSEN,CHRISTIAN,J,MD,M,I,1702 UNIVERSITY DR S,,FARGO,ND,581034940,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,5.8145454545,3.97,3.0177727273,3.0177727273
1033430798,KAWSAR,HAMEEM,I,"MD., PH.D.",M,I,5701 DELMAR BLVD,BJK PEOPLE'S HEALTH CENTERS,SAINT LOUIS,MO,631122617,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,21,85,68.469882353,8.32,6.2652941176,6.2652941176
1033430798,KAWSAR,HAMEEM,I,"MD., PH.D.",M,I,5701 DELMAR BLVD,BJK PEOPLE'S HEALTH CENTERS,SAINT LOUIS,MO,631122617,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,25,16.894,1.42,1.0824,1.0824
1033430962,HRUSKA,JEROME,K,D.O.,M,I,2000 WELLNESS WAY,,LAS VEGAS,NV,891064113,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2125,1074.31,842.26,842.26
1033430962,HRUSKA,JEROME,K,D.O.,M,I,2000 WELLNESS WAY,,LAS VEGAS,NV,891064113,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,2884.0909091,1074.31,842.26,842.26
1033431135,HILL,ROSA,B,APRN,F,I,2885 ALEXANDRIA WAY,,HIGHLAND HEIGHTS,KY,41076,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,8.19,1.39,0.9223076923,0.9853846154
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,23,189.42,44.736521739,30.091304348,22.064782609
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,14,14,104.07,20.587142857,15.419285714,9.295
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,17,68,13.92,3.0320588235,2.1691176471,1.4458823529
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,86.31,22.113478261,16.03826087,12.876956522
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,27,30,81.75,17.690333333,13.87,10.602
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,44,47,257.82,53.709148936,41.321702128,25.551276596
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,27,184,186,517.60919355,103.46924731,78.647150538,53.275376344
1033431465,PRICE,HEIDE,S,APRN,F,I,215 MEDICAL PARK DR STE 1,,ANDALUSIA,AL,36420,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,45.002727273,35.284545455,30.166363636
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,38,125,204,60.977696078,8.32,5.8213235294,5.8213235294
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,20,43,61,26.533770492,1.42,1.0259016393,1.0259016393
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,52,326.97923077,6.0792307692,4.7671153846,5.05
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,8.3558181818,7,5.488,5.488
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.3833454545,0.1836363636,0.1439818182,0.2023454545
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,52.953333333,24.585,18.464166667,13.995833333
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,31,8.4161290323,2.8632258065,2.0741935484,1.4374193548
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,56,91.673035714,22.618214286,17.037321429,13.208571429
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,3939.165,1074.31,842.26,842.26
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,57.511923077,6.4284615385,4.7596153846,3.7365384615
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,136.36363636,35.171818182,15.828181818,12.752727273
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,160,160,463.639,104.785125,77.8954375,52.6526875
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,810,21.083308642,9.6018148148,7.5278024691,7.5278024691
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,36,8880,0.3817905405,0.0460810811,0.0342691441,0.0342691441
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2160,2.0149953704,0.138,0.1081990741,0.1081990741
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,11.153333333,3.003,2.354375,2.354375
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,690,2.2725507246,0.219173913,0.1493768116,0.1493768116
1033431580,OAKLEY,DIANA,L,APN,F,I,934 N ROUTE 49 STE A,,CASEY,IL,624201454,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,18,74,74,54.405405405,33,24.42527027,24.42527027
1033431812,LEIGH,SHANNON,E,ANP,F,I,2222 N NEVADA AVE,STE 4007,COLORADO SPRINGS,CO,809076819,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,340.83333333,79.8,62.56,55.3825
1033431812,LEIGH,SHANNON,E,ANP,F,I,2222 N NEVADA AVE,STE 4007,COLORADO SPRINGS,CO,809076819,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,89.25,38,29.79,29.533333333
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,82.04,41.098,32.217333333,30.49
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,16,22,22,377.28,94.393636364,74.004090909,68.127272727
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,33,139.54,34.937878788,27.391212121,25.917575758
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,239.905,55.26625,42.403125,42.131875
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,29,29,66.69862069,19.296206897,15.130689655,14.145862069
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,81.826666667,11.74,9.2046666667,9.1686666667
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,28,123,9.0507317073,2.2421138211,1.7581300813,1.6127642276
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,375,93.185294118,63.222352941,60.434117647
1033431846,VAOU,ELENI,O,M.D.,F,I,725 ALBANY STREET,"SHAPIRO 7, SUITE B",BOSTON,MA,02118,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,55,55,193.90909091,35.369636364,26.391636364,25.287636364
1033432109,AGARWAL,GAURAV,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,39,5263,5.6249496485,0.5678947368,0.4269067072,0.4269067072
1033432109,AGARWAL,GAURAV,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,3000,0.0666833333,0.01325,0.0103933333,0.0103933333
1033432109,AGARWAL,GAURAV,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,31,5332,4.923704051,1.3628769692,1.0684939985,1.0684883721
1033432109,AGARWAL,GAURAV,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,14,56,56,24,24,18.62,18.62
1033432109,AGARWAL,GAURAV,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,45,56,16,16,12.541785714,12.541785714
1033432521,APPLING,ROBERT,W,D.P.M.,M,I,5779 GETWELL RD,BLDG A SUITE 5,SOUTHAVEN,MS,386726347,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,52,87.251153846,70.841923077,54.322884615,54.478846154
1033432521,APPLING,ROBERT,W,D.P.M.,M,I,5779 GETWELL RD,BLDG A SUITE 5,SOUTHAVEN,MS,386726347,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,138,51.193913043,43.076304348,32.93326087,33.03115942
1033432521,APPLING,ROBERT,W,D.P.M.,M,I,5779 GETWELL RD,BLDG A SUITE 5,SOUTHAVEN,MS,386726347,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,35,500,266.98,209.31,218.61628571
1033432604,LEE,GORDON,Y,PA-C,M,I,500 SAN PABLO AVE,,ALBANY,CA,947061103,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,28,61,77.049016393,8.32,5.8801639344,5.8801639344
1033432604,LEE,GORDON,Y,PA-C,M,I,500 SAN PABLO AVE,,ALBANY,CA,947061103,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,11,14,16.04,1.42,0.9557142857,0.9557142857
1033432828,STEVES,DAVID,,D.O.,M,I,830 5TH AVE,SUITE 102,CHAMBERSBURG,PA,172014224,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,64,151,40.776423841,8.32,6.0044370861,6.0044370861
1033432828,STEVES,DAVID,,D.O.,M,I,830 5TH AVE,SUITE 102,CHAMBERSBURG,PA,172014224,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,26,41,9.7007317073,1.42,0.952195122,0.952195122
1033432828,STEVES,DAVID,,D.O.,M,I,830 5TH AVE,SUITE 102,CHAMBERSBURG,PA,172014224,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,59.384545455,42.807272727,34.209090909
1033432893,WILSON,KIMBERLEY,A,NP,F,I,300 NIAGARA ST,,BUFFALO,NY,142012135,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,52,127,71.781811024,8.32,5.734488189,5.734488189
1033432893,WILSON,KIMBERLEY,A,NP,F,I,300 NIAGARA ST,,BUFFALO,NY,142012135,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,29,37,14.454594595,1.42,0.9362162162,0.9362162162
1033432919,HILLMAN,CAROLYN,,NP,F,I,1302 44TH AVE,,GULFPORT,MS,39501,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,1561.02,913.16,712.01470588,823.49176471
1033434378,PATEL,VARSHA,N,M.D.,F,I,450 NORTHSIDE CHEROKEE BLVD,,CANTON,GA,301158015,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,26,81,61.322222222,8.32,5.9586419753,5.9586419753
1033434378,PATEL,VARSHA,N,M.D.,F,I,450 NORTHSIDE CHEROKEE BLVD,,CANTON,GA,301158015,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,28,10.916071429,1.42,1.0764285714,1.0764285714
1033434436,SUREJA,DHAVAL,,M.D.,M,I,1901 HAMILTON ST,SUITE 300,ALLENTOWN,PA,181046459,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1185,4.5264556962,0.5989113924,0.4170970464,0.4170970464
1033434436,SUREJA,DHAVAL,,M.D.,M,I,1901 HAMILTON ST,SUITE 300,ALLENTOWN,PA,181046459,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1033434436,SUREJA,DHAVAL,,M.D.,M,I,1901 HAMILTON ST,SUITE 300,ALLENTOWN,PA,181046459,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,22,16,16,10.260454545,10.260454545
1033434535,HART,GAVIN,P,MD,M,I,10131 FOREST HILL BLVD STE 206,,WELLINGTON,FL,334146109,US,Physician/Orthopedic Surgery,S,E0140,"Walker, with trunk support, adjustable or fixed height, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,29.52,19.273333333,15.113333333,16.4075
1033434535,HART,GAVIN,P,MD,M,I,10131 FOREST HILL BLVD STE 206,,WELLINGTON,FL,334146109,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,97.2825,53.625,42.0425,37.1975
1033434535,HART,GAVIN,P,MD,M,I,10131 FOREST HILL BLVD STE 206,,WELLINGTON,FL,334146109,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,48.788823529,21.302941176,16.704117647,14.630588235
1033434873,BALVICH,JAMES,C,M.D.,M,I,2525 DESALES AVENUE,,CHATTANOOGA,TN,37404,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,79.771176471,17.3,13.561764706,13.893529412
1033434873,BALVICH,JAMES,C,M.D.,M,I,2525 DESALES AVENUE,,CHATTANOOGA,TN,37404,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,33,33,80,49.270909091,28.714848485,28.215757576
1033434873,BALVICH,JAMES,C,M.D.,M,I,2525 DESALES AVENUE,,CHATTANOOGA,TN,37404,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,496.72470588,81.657647059,64.024117647,57.112352941
1033434923,DUNCAN,PARKER,A,M.D.,M,I,751 LOMBARDI CT,,SANTA ROSA,CA,954076798,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,30,67,77.992985075,8.32,4.282238806,4.282238806
1033434923,DUNCAN,PARKER,A,M.D.,M,I,751 LOMBARDI CT,,SANTA ROSA,CA,954076798,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,20,14.7715,1.42,0.783,0.783
1033434964,FAISON,CHRISTOPHER,,M.D.,M,I,212 NE SKYLINE DR,,WHITE SALMON,WA,986721948,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,24,79,77.021772152,8.32,6.1920253165,6.1920253165
1033434964,FAISON,CHRISTOPHER,,M.D.,M,I,212 NE SKYLINE DR,,WHITE SALMON,WA,986721948,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,50,6.9332,2.644,2.0026,1.5288
1033434964,FAISON,CHRISTOPHER,,M.D.,M,I,212 NE SKYLINE DR,,WHITE SALMON,WA,986721948,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,118.75666667,50.379333333,37.024,35.166666667
1033434964,FAISON,CHRISTOPHER,,M.D.,M,I,212 NE SKYLINE DR,,WHITE SALMON,WA,986721948,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,112.98125,88.58125,75.925
1033434964,FAISON,CHRISTOPHER,,M.D.,M,I,212 NE SKYLINE DR,,WHITE SALMON,WA,986721948,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,7425,0.17,0.0458397306,0.0337050505,0.0337050505
1033434964,FAISON,CHRISTOPHER,,M.D.,M,I,212 NE SKYLINE DR,,WHITE SALMON,WA,986721948,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,78.052631579,27.973157895,21.931578947,14.405789474
1033434964,FAISON,CHRISTOPHER,,M.D.,M,I,212 NE SKYLINE DR,,WHITE SALMON,WA,986721948,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,30,128.7,33,25.007666667,25.007666667
1033435045,EVANS,SCOTT,D,,M,I,2940 E BANNER GATEWAY DR,STE. 200,GILBERT,AZ,852342168,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,304.375,215.58,165.109375,167.8
1033435045,EVANS,SCOTT,D,,M,I,2940 E BANNER GATEWAY DR,STE. 200,GILBERT,AZ,852342168,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,71,74,85,105,70.867294118,54.908352941,46.611176471
1033435045,EVANS,SCOTT,D,,M,I,2940 E BANNER GATEWAY DR,STE. 200,GILBERT,AZ,852342168,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,39,115,77.653076923,60.713589744,66.092307692
1033435490,SOARES,HELOISA,P,M.D.,F,I,MSC07 4025 1 UNIVERSITY OF NM,,ALBUQUERQUE,NM,871319416,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,37,3421,41.618178895,5.1611458638,4.046354867,4.046354867
1033435490,SOARES,HELOISA,P,M.D.,F,I,MSC07 4025 1 UNIVERSITY OF NM,,ALBUQUERQUE,NM,871319416,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,13,1530,27.044797386,2.0766666667,1.628124183,1.628124183
1033435490,SOARES,HELOISA,P,M.D.,F,I,MSC07 4025 1 UNIVERSITY OF NM,,ALBUQUERQUE,NM,871319416,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,24,24,18.82,18.82
1033435490,SOARES,HELOISA,P,M.D.,F,I,MSC07 4025 1 UNIVERSITY OF NM,,ALBUQUERQUE,NM,871319416,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,26,16,16,12.54,12.54
1033435789,BINDER,MICHAEL,C,M.D.,M,I,234 GOODMAN ST,ML 0781,CINCINNATI,OH,452192364,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,32,69.354375,8.32,5.7059375,5.7059375
1033435847,MCLAUGHLIN,KARIE,L,CNP,F,I,3820 OLENTANGY RIVER RD,,COLUMBUS,OH,432145403,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,24.12,5.9645454545,4.3687878788,3.4087878788
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,39,88,265,51.502830189,8.32,6.0788679245,6.0788679245
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,11.746363636,3.38,2.4090909091,2.4090909091
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.287272727,2.12,1.5181818182,1.5181818182
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,40,58,11.955,1.42,1.0775862069,1.0775862069
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,15,15,147.40133333,50.862,39.878666667,32.868
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,74,7.1352702703,3.97,2.9602702703,2.9602702703
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,330.70625,120.73875,89.949375,66.220625
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,14,122.74428571,44.070714286,34.55,25.919285714
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,61.87,19.874285714,15.582142857,11.893571429
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,209.27214286,78.93,61.879285714,44.689285714
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,26,26,66.216538462,24.914230769,18.931538462,14.701538462
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,55.785454545,20.066363636,14.810909091,9.32
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,29,73,8.5790410959,3.0882191781,2.2769863014,1.5726027397
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,36,36,266.67638889,69.617777778,46.498055556,37.596666667
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,49.994418605,22.191162791,16.487209302,14.430232558
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3187.86,1074.31,830.30416667,830.30416667
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,77.881818182,19.435454545,15.238181818,11.429090909
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,29.42,7.7385714286,5.2871428571,4.1757142857
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,51,51,173.2054902,52.880784314,39.358235294,29.143529412
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,371.50434783,95.962173913,73.611956522,58.623913043
1033435912,DAVIS,KIMBERLY,N,MD,F,I,3400 E FRANK PHILLIPS BLVD STE 300,,BARTLESVILLE,OK,740062439,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,86.181481481,30.587407407,23.981481481,20.445555556
1033435987,NGUYEN,SHEILA,P,MD,F,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pediatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,36.88,16.59,10.207222222,10.760555556
1033435987,NGUYEN,SHEILA,P,MD,F,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,241.6,67.72,44.824,46.5044
1033436191,BARCO,ROY,,M.D.,M,I,102 PHYSICIANS DR STE A,,MUSCLE SHOALS,AL,356612149,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,23,23,159.13043478,53.74173913,42.13,41.594347826
1033436191,BARCO,ROY,,M.D.,M,I,102 PHYSICIANS DR STE A,,MUSCLE SHOALS,AL,356612149,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,45.804545455,17.29,13.55,13.542727273
1033436191,BARCO,ROY,,M.D.,M,I,102 PHYSICIANS DR STE A,,MUSCLE SHOALS,AL,356612149,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,119.00384615,54.04,35.851538462,31.840769231
1033436191,BARCO,ROY,,M.D.,M,I,102 PHYSICIANS DR STE A,,MUSCLE SHOALS,AL,356612149,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,324.7435,88.1605,69.1195,56.9015
1033437017,AN,SANG,W,M.D.,M,I,7602 BELAIR RD,,BALTIMORE,MD,212364088,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,35,89,254,66.066259843,8.32,6.1253937008,6.1253937008
1033437017,AN,SANG,W,M.D.,M,I,7602 BELAIR RD,,BALTIMORE,MD,212364088,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,24,48,63,15.236666667,1.42,1.0644444444,1.0644444444
1033437017,AN,SANG,W,M.D.,M,I,7602 BELAIR RD,,BALTIMORE,MD,212364088,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,16,248.58125,34.59125,27.121875,26.88375
1033437017,AN,SANG,W,M.D.,M,I,7602 BELAIR RD,,BALTIMORE,MD,212364088,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,22,256.18181818,82,64.29,55.599090909
1033437017,AN,SANG,W,M.D.,M,I,7602 BELAIR RD,,BALTIMORE,MD,212364088,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,273.57894737,41.6,31.945263158,28.845263158
1033437165,JOBBINS,KATHRYN,A,D.O.,F,I,140 HIGH ST,,SPRINGFIELD,MA,011051442,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,30,81,224,68.300714286,8.32,5.9113839286,5.9113839286
1033437165,JOBBINS,KATHRYN,A,D.O.,F,I,140 HIGH ST,,SPRINGFIELD,MA,011051442,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,41,63,16.057142857,1.42,1.0088888889,1.0088888889
1033437314,KUHN,LYDIA,J,M.D.,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,18.45,14.46,13.54
1033437314,KUHN,LYDIA,J,M.D.,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,352,86.84,68.08,54.73
1033437322,CLEGG,AMY,D,NP-C,F,I,1200 N ELM ST,,GREENSBORO,NC,274011004,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,84,75,37.38,28.138928571,28.138928571
1033437330,CLARK,JONATHAN,,M.D.,M,I,1 MEDICAL PARK BLVD,STE 300E,BRISTOL,TN,376207497,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,175.39555556,122.45055556,96.003333333,87.48
1033437496,HO,WESLEY,H,MD,M,I,1 FAMILY PRACTICE DR,KINGSTON FAMILY PRACTICE CENTER,KINGSTON,NY,124016449,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,80,69.788875,8.32,4.402125,4.402125
1033437496,HO,WESLEY,H,MD,M,I,1 FAMILY PRACTICE DR,KINGSTON FAMILY PRACTICE CENTER,KINGSTON,NY,124016449,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,831.18416667,831.18416667
1033437496,HO,WESLEY,H,MD,M,I,1 FAMILY PRACTICE DR,KINGSTON FAMILY PRACTICE CENTER,KINGSTON,NY,124016449,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,599.83333333,67.72,49.56,51.218
1033437587,SYKES,TARA,L,FNP,F,I,250 BEAUVOIR RD,SUITE 4B,BILOXI,MS,395314026,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,665,189.31666667,133.30083333,109.65416667
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,55,156,77.481794872,8.3191666667,6.0197435897,6.0203846154
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,27,16.56,1.42,1.0751851852,1.0751851852
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,628,0.1625318471,0.13,0.1019267516,0.1019267516
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,48.31,34.723333333,34.494166667
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,520.56625,78.49,55.74875,49.37375
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,178.13125,40.62,29.859375,27.675
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,510,1.5992941176,0.1303529412,0.0968431373,0.0968431373
1033437942,THOMSEN,GRETE,F,PA-C,F,I,1050 LARPENTEUR AVE W,,SAINT PAUL,MN,551136556,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,24.145333333,24.145333333
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,37,56,58.045892857,8.32,4.7953571429,4.7953571429
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,334,6.5,2.96,2.3206287425,2.3206287425
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,7.5,4.21,3.305,3.305
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,23,9.0318181818,7.08,6.43
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,21,10.5,3.66,2.87,3.38
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,87,99.776896552,27.404252874,21.484137931,14.756436782
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,275.8,78.417619048,58.251428571,40.910952381
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,15,15,89.608,23.912,16.772,12.189333333
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,20,20,82.539,19.7935,15.0095,8.664
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,22,126,12.843650794,3.1765873016,2.4062698413,1.5173809524
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,47.347272727,15.85,11.397272727,9.4
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,387,56.74005168,7.5210594315,5.2748062016,3.5929715762
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,6231,1.0859974322,0.4026865672,0.3082683357,0.235602632
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,190,85.45,66.995454545,48.32
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,300.02272727,84.54,62.784545455,38.430909091
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,82.102,21.6304,15.1668,11.9064
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,21,87.47,19.635714286,14.843333333,9.8304761905
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,115,37.505454545,29.401818182,33.054545455
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,24,275.86,57.472916667,43.979583333,29.075416667
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,142.21230769,58.336153846,42.897692308,33.438461538
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,43,351.01232558,101.47906977,76.989302326,52.274883721
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,6147,0.3680234261,0.046458435,0.0337367822,0.0337367822
1033438189,GREEN,LIZINA,B,MD,F,I,701 S MORGAN AVE,,ANDREWS,SC,295102959,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,85.105263158,33,24.508421053,24.508421053
1033438346,HOUSMAN,ELIZABETH,J,M.D.,F,I,330 BROOKLINE AVE,DEACONESS 311,BOSTON,MA,022155400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,80,90.479875,8.32,6.196,6.196
1033438791,MEHMOOD,MOHAMMAD,I,D.O.,M,I,1500 FOREST GLEN RD,KAISER PERMANENTE HOLY CROSS HOSPITAL,SILVER SPRING,MD,209101483,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,78.47,78.47,57.125714286,50.820714286
1033438825,HUGHEY,JAMES,T,D.O.,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,119.9,85.598,64.1455,64.174
1033438825,HUGHEY,JAMES,T,D.O.,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,144.91230769,117.67,92.26,102.51
1033438825,HUGHEY,JAMES,T,D.O.,M,I,927 FRANKLIN ST SE,,HUNTSVILLE,AL,358014306,US,Physician/Orthopedic Surgery,S,L3675,"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,190,155.86,122.2,120.99230769
1033438973,JAITOVICH,ADOLFO,A,MD,M,I,1900 W HARRISON ST,,CHICAGO,IL,606123736,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,39.833076923,17.476153846,12.643076923,12.497692308
1033438973,JAITOVICH,ADOLFO,A,MD,M,I,1900 W HARRISON ST,,CHICAGO,IL,606123736,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1890.56,301.21916667,236.16083333,169.61666667
1033438973,JAITOVICH,ADOLFO,A,MD,M,I,1900 W HARRISON ST,,CHICAGO,IL,606123736,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,544.2108,79.0096,56.9568,50.3428
1033439328,ALONSO,KAREN,B,M.D.,F,I,5555 W. THUNDERBIRD,BANNER THUNDERBIRD MEDICAL CENTER,GLENDALE,AZ,85306,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,7.16,6.0519047619,3.8652380952,3.0823809524
1033439609,WEDDLE,BRANDI,,ARNP,F,I,177 WASHINGTON DR,,SOMERSET,KY,425012938,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,410,121.46,95.23,69.457272727
1033439765,LEE,HARRISON,,D.O.,M,I,824 E CARSON ST STE 104,,CARSON,CA,907452262,US,Physician/Family Practice,S,E1801,"Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,461,114.134,89.483,93.918
1033439815,GUPTA,ANAND,K,M.D.,M,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,70,79.732285714,17.504571429,13.139571429,12.989428571
1033439815,GUPTA,ANAND,K,M.D.,M,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,31.120666667,3.8426666667,2.624,3.12
1033439815,GUPTA,ANAND,K,M.D.,M,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Hospitalist,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,71.34,33.845454545,26.530909091,30.804545455
1033439815,GUPTA,ANAND,K,M.D.,M,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,84,84,397.57904762,75.488095238,55.239880952,51.383095238
1033439815,GUPTA,ANAND,K,M.D.,M,I,1225 W LAKE ST,,MELROSE PARK,IL,601604039,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,36.96,26.565,27.106666667
1033439930,YELLMAN,CHELSIE,S,ACNP-BC,F,I,900 23RD ST NW,,WASHINGTON,DC,20037,US,Nurse Practitioner,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,11,19,14400,1.5222388889,1.26,0.9878375,0.9878375
1033439930,YELLMAN,CHELSIE,S,ACNP-BC,F,I,900 23RD ST NW,,WASHINGTON,DC,20037,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2040,4.6843137255,2.917,2.286122549,2.286122549
1033439930,YELLMAN,CHELSIE,S,ACNP-BC,F,I,900 23RD ST NW,,WASHINGTON,DC,20037,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,11,14,14,24,24,18.355,18.355
1033439930,YELLMAN,CHELSIE,S,ACNP-BC,F,I,900 23RD ST NW,,WASHINGTON,DC,20037,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,20,26,26,16,16,12.54,12.54
1033439963,SEDDON,JOHN,T,M.D.,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,114.89307692,88.076923077,69.049230769,69.582307692
1033439963,SEDDON,JOHN,T,M.D.,M,I,175 S UNION BLVD STE 310,,COLORADO SPRINGS,CO,809103126,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,399.734,318.00533333,246.02466667,215.59933333
1033440375,NICKELL,LENA,A,ARNP,F,I,624 CHAMBERLIN AVE,,FRANKFORT,KY,406014220,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.531666667
1033440375,NICKELL,LENA,A,ARNP,F,I,624 CHAMBERLIN AVE,,FRANKFORT,KY,406014220,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.7027272727,3.6881818182,3.6854545455
1033440375,NICKELL,LENA,A,ARNP,F,I,624 CHAMBERLIN AVE,,FRANKFORT,KY,406014220,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,70.23,55.06,54.765333333
1033440375,NICKELL,LENA,A,ARNP,F,I,624 CHAMBERLIN AVE,,FRANKFORT,KY,406014220,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2450,0.17,0.0457795918,0.035877551,0.035877551
1033440375,NICKELL,LENA,A,ARNP,F,I,624 CHAMBERLIN AVE,,FRANKFORT,KY,406014220,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,132,33,25.87,25.87
1033441233,HENDERSON,LINDSAY,E,NP,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Certified Clinical Nurse Specialist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1033441431,BARNAK,EMILY,L,PA-C,F,I,2525 13TH ST,,BOULDER,CO,803044104,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,35,28.762,8.32,6.5208571429,6.5208571429
1033441589,BUSSEWITZ,BRADLY,W,D.P.M.,M,I,2751 NORTHGATE DR,,IOWA CITY,IA,522459509,US,Podiatry,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,35.296,9.976,7.821,7.588
1033441589,BUSSEWITZ,BRADLY,W,D.P.M.,M,I,2751 NORTHGATE DR,,IOWA CITY,IA,522459509,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,480,251.28,197,216.03478261
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,28,36.5025,8.49,6.185,12.096071429
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,30.1455,3.657,2.866,3.862
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,142,145,249.4297931,77.235034483,58.851862069,53.835517241
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,86.633333333,39.1975,30.7325,29.94
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,660,22.264969697,9.6399545455,7.5577121212,7.5577121212
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,2051,0.3497269625,0.0458556802,0.0359531936,0.0359531936
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,932,12.572371245,2.8339914163,2.124195279,2.124195279
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,51,69.64,39.842941176,30.643137255,29.079803922
1033441993,TURNER,BELINDA,C,CRNP,F,I,3400 SPRUCE ST,4 SILVERSTEIN,PHILADELPHIA,PA,191044206,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,13,33,33,36.363636364,33,25.87,25.87
1033442108,SARMADI,MOJGAN,,M.D.,F,I,504 W CAMP ST,,LEBANON,IN,460521647,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,79.96,52.241666667,45.608333333
1033442207,SEKHRI,ARUNABH,,M.D,M,I,385 MORRIS AVE STE 100,,SPRINGFIELD,NJ,070811100,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,14,1478,35.096745602,5.4148849797,4.1304803789,4.1304803789
1033442207,SEKHRI,ARUNABH,,M.D,M,I,385 MORRIS AVE STE 100,,SPRINGFIELD,NJ,070811100,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,14,14,24,24,17.475714286,17.475714286
1033442207,SEKHRI,ARUNABH,,M.D,M,I,385 MORRIS AVE STE 100,,SPRINGFIELD,NJ,070811100,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,16,16,12.54,12.54
1033442231,RUSSO,CHRISTOPHER,R,MD,M,I,710 KENMOOR AVE SE,SUITE 200,GRAND RAPIDS,MI,495462379,US,Physician/Anesthesiology,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,1575,1257.37,952.10032258,854.83580645
1033442686,BROOKS,ANNETTE,R,APRN,F,I,454 OLD STREET RD,SUITE 107,PETERBOROUGH,NH,034581200,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,44,49.559772727,8.32,5.8863636364,5.8863636364
1033445093,DEWEY,PHILLIP,A,PA,M,I,405 W JACKSON ST,,CARBONDALE,IL,629011462,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,76.391818182,22.759090909,17.840909091,13.805909091
1033445093,DEWEY,PHILLIP,A,PA,M,I,405 W JACKSON ST,,CARBONDALE,IL,629011462,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,46.49,4.77,3.745,3.5683333333
1033445093,DEWEY,PHILLIP,A,PA,M,I,405 W JACKSON ST,,CARBONDALE,IL,629011462,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,414.91142857,109.79642857,86.084285714,56.175357143
1033446216,LOSKUTOFF,ERIN,A,"RN, APRN",F,I,720 VILLAGE ROAD,,EAST CORINTH,VT,05040,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,56,63.87,8.32,5.4230357143,5.4230357143
1033446216,LOSKUTOFF,ERIN,A,"RN, APRN",F,I,720 VILLAGE ROAD,,EAST CORINTH,VT,05040,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,23.89,7.7608333333,5.6783333333,3.3783333333
1033446216,LOSKUTOFF,ERIN,A,"RN, APRN",F,I,720 VILLAGE ROAD,,EAST CORINTH,VT,05040,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,54.73
1033446216,LOSKUTOFF,ERIN,A,"RN, APRN",F,I,720 VILLAGE ROAD,,EAST CORINTH,VT,05040,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1260,0.9672777778,0.1378333333,0.0608095238,0.0608095238
1033446315,LEWIS,AMY,C,CRNP,F,I,1501 DIVISION ST,,BALTIMORE,MD,212173121,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,54,62.964814815,8.32,4.8296296296,4.8296296296
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,29,34,182,33.433571429,8.32,6.1288461538,6.1288461538
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,21,25,43,10.429767442,3.38,2.4651162791,2.4651162791
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,21,22,22,18.313181818,2.12,1.5940909091,1.5940909091
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,28,33,82,10.906341463,1.42,1.0593902439,1.0593902439
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,89.695454545,51.89,36.463636364,35.294545455
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,182.5,48.64,32.2965,32.331
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,395.335,136.46111111,106.98777778,101.11111111
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,30,6.4484210526,4.0778947368,3.4763157895
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,15,15,15,70.856,65.832,47.753333333,54.873333333
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,245.07,46.538461538,36.486153846,37.643846154
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,76.48,50.589090909,46.064090909
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,36.5,23.85,24.685
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,2662,0.2230353118,0.0457700977,0.0358865515,0.0358865515
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,117.55090909,18.818181818,12.828181818,11.908181818
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,64,64,134.83921875,27.92859375,16.02765625,15.208125
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,344.68,44.394666667,29.51,30.774
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,59,59,45.349152542,8.2562711864,5.2240677966,5.1179661017
1033446687,YOUSSEF,MOHAMED,H,MD,M,I,611 N MACARTHUR BLVD STE 110,,IRVING,TX,750617467,US,Physician/Physical Medicine and Rehabilitation,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,17,17,79.588235294,33,25.87,25.87
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,21,21,85.5,51.32952381,38.64,31.845238095
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,14,18,18,283.33333333,127.47777778,77.372777778,59.958333333
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,32,104.375,48.2175,37.8021875,28.7178125
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,168.875,70.86875,51.620625,42.36125
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,25,25,60,25.042,16.8624,13.388
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,34,193,7.5129533679,2.418134715,1.715388601,1.5051295337
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,20,20,21.8,8.0265,5.6725,4.4495
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,50.769230769,15.867692308,12.436923077,10.548461538
1033447909,HACKENBRUCH,GREGORY,S,PA-C,M,I,2741 DEBARR ROAD,SUITE 307,ANCHORAGE,AK,99508,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,227.73076923,53.694615385,40.108461538,28.650769231
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,40,160,77.781625,19.65575,15.02375,15.02375
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,20,573,153.64308901,37.301745201,29.244624782,29.244624782
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,133.552,17.377333333,13.624,13.54
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,48,516.56916667,76.1675,59.421875,54.4275
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,23,241.95652174,36.779130435,27.54,28.226956522
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,J1325,"Injection, epoprostenol, 0.5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,4860,28.106666667,15.733037037,12.334691358,12.334691358
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,J3285,"Injection, treprostinil, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,8700,112.41151839,61.687482759,48.36297931,48.36297931
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,392,1059.3367347,566.80584184,444.21285714,444.21285714
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,1384.6153846,297.60153846,227.57512821,227.57512821
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,303,8.7707590759,2.6333993399,2.064290429,2.064290429
1033447982,PERRY,AMI,J,APRN-CNP,F,I,3300 NW EXPRESSWAY,,OKLAHOMA CITY,OK,731124418,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,50.6,33,25.87,25.87
1033448253,RAI,HARDEEP,S,M.D.,M,I,9500 EUCLID AVE,"RESPIRATORY INSTITUTE, A-90",CLEVELAND,OH,441950001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,16,522.603125,72.39,45.499375,44.869375
1033448253,RAI,HARDEEP,S,M.D.,M,I,9500 EUCLID AVE,"RESPIRATORY INSTITUTE, A-90",CLEVELAND,OH,441950001,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,780,19.073205128,11.194884615,8.7768461538,8.7768461538
1033448253,RAI,HARDEEP,S,M.D.,M,I,9500 EUCLID AVE,"RESPIRATORY INSTITUTE, A-90",CLEVELAND,OH,441950001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,55,33,22.995555556,22.995555556
1033449186,SCURTI,CONNIE,H,DO,F,I,255 BAPTIST BLVD STE 301,,COLUMBUS,MS,397052006,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,36,88,52.120909091,8.32,5.7809090909,5.7809090909
1033449186,SCURTI,CONNIE,H,DO,F,I,255 BAPTIST BLVD STE 301,,COLUMBUS,MS,397052006,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,22,29,13.257586207,1.42,0.9634482759,0.9634482759
1033449186,SCURTI,CONNIE,H,DO,F,I,255 BAPTIST BLVD STE 301,,COLUMBUS,MS,397052006,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,19.9956,7.9016,6.192,4.13
1033449186,SCURTI,CONNIE,H,DO,F,I,255 BAPTIST BLVD STE 301,,COLUMBUS,MS,397052006,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,4660,0.4350600858,0.0471201717,0.0369506438,0.036944206
1033449186,SCURTI,CONNIE,H,DO,F,I,255 BAPTIST BLVD STE 301,,COLUMBUS,MS,397052006,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,24.022142857,24.022142857
1033449384,BUTT,SALEHA,A,M.D,F,I,397 LOUISIANA ST,,BUFFALO,NY,142042275,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,62,146,64.122945205,8.3135616438,6.293630137,6.298630137
1033449384,BUTT,SALEHA,A,M.D,F,I,397 LOUISIANA ST,,BUFFALO,NY,142042275,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,28,38,17.241842105,1.42,1.1173684211,1.1173684211
1033450150,HESTER,JENNIFER,A,"RN, CNP",F,I,3800 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,62,15,5.4119354839,4.2425806452,4
1033450150,HESTER,JENNIFER,A,"RN, CNP",F,I,3800 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Nurse Practitioner,S,E0974,"Manual wheelchair accessory, anti-rollback device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,31.99,7.549375,5.919375,5.54375
1033450150,HESTER,JENNIFER,A,"RN, CNP",F,I,3800 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,85.872727273,41.45,32.5,29.34
1033450150,HESTER,JENNIFER,A,"RN, CNP",F,I,3800 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,70,70,130.97314286,19.175857143,13.881571429,13.309285714
1033450150,HESTER,JENNIFER,A,"RN, CNP",F,I,3800 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,318.1275,36.436666667,28.563333333,28.06
1033450820,TOBUREN,KATHRYN,R,NP-C,F,I,465 N BELAIR RD,SUITE 1-B,EVANS,GA,308093188,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,21,45,66.654444444,8.32,5.0726666667,5.0726666667
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,25,68,70.477058824,8.32,6.0422058824,6.0422058824
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,75,13.0272,2.912,2.1,1.5905333333
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,18.360909091,14.393636364,14.624545455
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,76.304347826,14.366086957,9.3104347826,7.7660869565
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,50.060588235,6.9694117647,4.5170588235,2.6976470588
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,215.899,47.33,35.129666667,23.379333333
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,519.51,75.177037037,51.911851852,50.885185185
1033451182,HOGUE,ANGELA,P,MD,F,I,348 MAIN STREET,GREENVILLE COMMUNITY HEALTH CENTER,GREENVILLE,PA,161252608,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,250,38.25,24.238125,23.878125
1033451190,EDWARDS,KATHRYN,F,FNP,F,I,3569 RIDGE RD,,CLEVELAND,OH,441025443,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,61.08952381,8.32,5.2785714286,5.2785714286
1033451299,YUEN,KEVIN,K,M.D.,M,I,20103 LAKE CHABOT RD,,CASTRO VALLEY,CA,945465305,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.11,13.42,13.529090909
1033451299,YUEN,KEVIN,K,M.D.,M,I,20103 LAKE CHABOT RD,,CASTRO VALLEY,CA,945465305,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,209.7,31.88,20.825,19.475
1033451299,YUEN,KEVIN,K,M.D.,M,I,20103 LAKE CHABOT RD,,CASTRO VALLEY,CA,945465305,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79,61.94,55.385454545
1033451828,MCNAMARA,KARA,,M.D.,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441952664,US,Physician/Pediatric Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,55,72.96,19.681818182,15.43,15.43
1033451828,MCNAMARA,KARA,,M.D.,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441952664,US,Physician/Pediatric Medicine,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,5280,33.516,9.8377272727,7.7127746212,7.7127746212
1033451828,MCNAMARA,KARA,,M.D.,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441952664,US,Physician/Pediatric Medicine,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,5500,37.43172,13.955454545,10.941081818,10.941081818
1033451828,MCNAMARA,KARA,,M.D.,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441952664,US,Physician/Pediatric Medicine,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,88,8.55,2.6363636364,2.0671590909,2.0671590909
1033452073,YOO,IN KYU,,M.D.,M,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,26,52,125,53.36608,8.32,6.41808,6.41808
1033452073,YOO,IN KYU,,M.D.,M,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,17,11.652352941,1.42,0.9870588235,0.9870588235
1033452073,YOO,IN KYU,,M.D.,M,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,35,86.31,22.576,17.698,14.046
1033452073,YOO,IN KYU,,M.D.,M,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,62,566.14935484,103.95548387,80.539516129,55.806935484
1033452073,YOO,IN KYU,,M.D.,M,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,33.385833333,28.415
1033452552,HADDIX,JULIE,A,"APN, CFNP-BC",F,I,29 HOSPITAL PLZ STE E,,WESTON,WV,26452,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,30,48,69.430833333,8.32,4.8833333333,4.8833333333
1033452552,HADDIX,JULIE,A,"APN, CFNP-BC",F,I,29 HOSPITAL PLZ STE E,,WESTON,WV,26452,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,13.752142857,1.42,0.72,0.72
1033452552,HADDIX,JULIE,A,"APN, CFNP-BC",F,I,29 HOSPITAL PLZ STE E,,WESTON,WV,26452,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,22,519.51,100.90545455,73.678181818,49.754545455
1033452578,SEUS,SABRINA,M,D.O.,F,I,1700 SOUTH 23RD STREET,LAWNWOOD REGIONAL MEDICAL CENTER,FORT PIERCE,FL,34950,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,23,42.391304348,17.29,13.55,13.53173913
1033452578,SEUS,SABRINA,M,D.O.,F,I,1700 SOUTH 23RD STREET,LAWNWOOD REGIONAL MEDICAL CENTER,FORT PIERCE,FL,34950,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,23,282.17391304,70.23,55.06,54.734782609
1033452651,HOSSAIN,AFRIN,C,M.D.,F,I,1500 FOREST GLEN RD,,SILVER SPRING,MD,209101460,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,52.097857143,16.895,10.054285714,10.362857143
1033452651,HOSSAIN,AFRIN,C,M.D.,F,I,1500 FOREST GLEN RD,,SILVER SPRING,MD,209101460,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,57.56,33.532727273,26.287272727,26.307272727
1033452651,HOSSAIN,AFRIN,C,M.D.,F,I,1500 FOREST GLEN RD,,SILVER SPRING,MD,209101460,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,45,45,47.634222222,5.2273333333,4.0184444444,3.6315555556
1033452651,HOSSAIN,AFRIN,C,M.D.,F,I,1500 FOREST GLEN RD,,SILVER SPRING,MD,209101460,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,202.42928571,79.135,44.314285714,39.092857143
1033452966,RICHMAN,MICHAEL,,M.D.,M,I,2210 W 95TH ST,,CHICAGO,IL,606431002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,42,89.292619048,8.32,6.5214285714,6.5214285714
1033452966,RICHMAN,MICHAEL,,M.D.,M,I,2210 W 95TH ST,,CHICAGO,IL,606431002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,567.57818182,77.18,60.51,54.72
1033453519,GONDI,HARSHA,C,MD,M,I,1501 S CALIFORNIA AVE,,CHICAGO,IL,606081732,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,43,43,71.445116279,19.983023256,14.685581395,13.14744186
1033453519,GONDI,HARSHA,C,MD,M,I,1501 S CALIFORNIA AVE,,CHICAGO,IL,606081732,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,24,24,398.05166667,85.172083333,62.187916667,56.969583333
1033453907,MCILWAIN,LAURA,L,PA,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,32,3063,51.568028077,4.5648677767,3.5788475351,3.5788475351
1033453907,MCILWAIN,LAURA,L,PA,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,24,24,18.82,18.82
1033453907,MCILWAIN,LAURA,L,PA,F,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1033454400,ROWE,ALYSSA,,"MSN, ARNP, NP-C",F,I,6001 21ST AVE W,,BRADENTON,FL,342097847,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,42.73,33.83,23.035,21.502916667
1033454426,LAVARIAS,SARI,B,PA-C,F,I,360 E MONTVUE DR,,MERIDIAN,ID,836426318,US,Physician Assistant,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,495,389.4,305.29,310.54
1033454616,MORGAN,RYAN,T,D.O.,M,I,4401 S WESTERN AVE,,OKLAHOMA CITY,OK,731093413,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,2620.1286957,1074.31,836.02217391,836.02217391
1033455381,JIAO,JUNFANG,,,M,I,179 W CHESTNUT HILL RD,,NEWARK,DE,197132210,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,7,,65,233,389.2506867,19.622017167,15.383304721,15.387467811
1033455381,JIAO,JUNFANG,,,M,I,179 W CHESTNUT HILL RD,,NEWARK,DE,197132210,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,72,32100,75.383838006,9.8417470405,7.7099137072,7.7099115265
1033455381,JIAO,JUNFANG,,,M,I,179 W CHESTNUT HILL RD,,NEWARK,DE,197132210,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,67,375,205.06928,2.5627733333,2.00928,2.0694133333
1033456322,PATEL,MEHULABEN,,,F,I,780 BROAD ST STE 4,,MONTOURSVILLE,PA,177542419,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,92,75.241956522,8.32,5.9979347826,5.9979347826
1033456322,PATEL,MEHULABEN,,,F,I,780 BROAD ST STE 4,,MONTOURSVILLE,PA,177542419,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,25,14.4868,1.42,1.0692,1.0692
1033456322,PATEL,MEHULABEN,,,F,I,780 BROAD ST STE 4,,MONTOURSVILLE,PA,177542419,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,27,86.31,16.59,12.262222222,12.797407407
1033456322,PATEL,MEHULABEN,,,F,I,780 BROAD ST STE 4,,MONTOURSVILLE,PA,177542419,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,31,475.76548387,69.453548387,52.746129032,53.030645161
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,56,59.183571429,8.32,5.2130357143,5.2130357143
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,15,11.696,1.42,0.8933333333,0.8933333333
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,15.49,12.5875,8.8558333333,8.7075
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,47.750769231,4.6176923077,3.2792307692,3.3907692308
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,147.27272727,39.982727273,29.781818182,24.085454545
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,12.25,9.19,7.2,7.56
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,37.6575,28.1875,20.1225,19.645
1033456744,DALLAS,HEATHER,M,FNP,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021197,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,685.95,110.70066667,75.746666667,73.961333333
1033458013,ADAMS,DANIEL,K,PA-C,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician Assistant,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,11,12,125,41.7168,23.7872,18.64952,19.07656
1033458013,ADAMS,DANIEL,K,PA-C,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician Assistant,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,11,13,100,21.91,8.312,6.5168,6.4421
1033458013,ADAMS,DANIEL,K,PA-C,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,241.99416667,49.239583333,37.099166667,34.819166667
1033458013,ADAMS,DANIEL,K,PA-C,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician Assistant,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,12,13,13,2363.5384615,714.65769231,560.29,526.01461538
1033458013,ADAMS,DANIEL,K,PA-C,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,142.56,15.68,9.3982352941,10.252941176
1033458013,ADAMS,DANIEL,K,PA-C,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,68.194117647,8.27,5.1429411765,4.8711764706
1033458203,HEIDENREICH,MARIA,J,N.P.,F,I,450 W RIVER ST,,ORANGE,MA,013641435,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,18,85,144,69.114097222,8.32,4.6203472222,4.6203472222
1033458203,HEIDENREICH,MARIA,J,N.P.,F,I,450 W RIVER ST,,ORANGE,MA,013641435,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,20,14.128,1.42,0.949,0.949
1033458203,HEIDENREICH,MARIA,J,N.P.,F,I,450 W RIVER ST,,ORANGE,MA,013641435,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3154,0.2457958148,0.0460082435,0.0360684845,0.0360684845
1033458203,HEIDENREICH,MARIA,J,N.P.,F,I,450 W RIVER ST,,ORANGE,MA,013641435,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1470,1.3072176871,0.1372244898,0.0910068027,0.0910068027
1033458203,HEIDENREICH,MARIA,J,N.P.,F,I,450 W RIVER ST,,ORANGE,MA,013641435,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,56.1,33,24.145333333,24.145333333
1033458518,DALEY,JOSEPH,F,D.P.M.,M,I,421 MARKET ST,,KINGSTON,PA,187045418,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,620,0.1387096774,0.12,0.0940322581,0.0940322581
1033458518,DALEY,JOSEPH,F,D.P.M.,M,I,421 MARKET ST,,KINGSTON,PA,187045418,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,1326,0.5011312217,0.4486425339,0.319826546,0.3208446456
1033458831,NIHISER,MELISSA,A,NP-C,F,I,38135 MARKET SQ,,ZEPHYRHILLS,FL,335427505,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,42,155,72.625935484,8.32,6.3893548387,6.3893548387
1033458831,NIHISER,MELISSA,A,NP-C,F,I,38135 MARKET SQ,,ZEPHYRHILLS,FL,335427505,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,34,16.412941176,1.42,1.0797058824,1.0797058824
1033458831,NIHISER,MELISSA,A,NP-C,F,I,38135 MARKET SQ,,ZEPHYRHILLS,FL,335427505,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,13,50.73,4.6376923077,3.6353846154,3.9953846154
1033458971,HORACE,MANYSE,,ARNP,F,I,6615 ADRIATIC WAY,,GREENACRES,FL,334131090,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,250,53.345454545,41.825454545,38.434545455
1033458971,HORACE,MANYSE,,ARNP,F,I,6615 ADRIATIC WAY,,GREENACRES,FL,334131090,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,45,35.28,36.480909091
1033459193,GIVENS,TRACIE,,NP-C,F,I,3704 NORTH BLVD STE D,,ALEXANDRIA,LA,713013658,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,63,33.282063492,8.32,5.6520634921,5.6520634921
1033459482,PIRKLE,JEANETTE,S,"APRN, NP-C",F,I,865 AUSTIN DR,,DEMOREST,GA,305354513,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,23,64,191,53.568795812,8.32,6.1803664921,6.1803664921
1033459482,PIRKLE,JEANETTE,S,"APRN, NP-C",F,I,865 AUSTIN DR,,DEMOREST,GA,305354513,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,30,54,14.584259259,1.42,1.0740740741,1.0740740741
1033459482,PIRKLE,JEANETTE,S,"APRN, NP-C",F,I,865 AUSTIN DR,,DEMOREST,GA,305354513,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,174.60666667,40.845,30.255,23.918333333
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,211.89818182,72.550909091,56.879090909,47.516363636
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,65.673636364,23.787272727,18.647272727,14.76
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,66.912307692,19.332307692,15.153076923,10.863846154
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,22,70,11.739285714,3.1394285714,2.4618571429,1.7865714286
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16.28,12.13,9.5136363636,7.2981818182
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,34.79,21.656666667,14.491111111,11.275
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,55.7225,18.7885,14.151,10.2955
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,42,42,166.43071429,52.249761905,40.345952381,28.961904762
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,215.23172414,98.070344828,68.228275862,48.682758621
1033459763,ROUND,KENDRA,D,CNP,F,I,1001 S 41ST ST E,,MUSKOGEE,OK,744036253,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.6075,44.745,29.605833333,24.5975
1033460019,PATTERSON,LATISHA,D,PA-C,F,I,381 RUIN CREEK RD,,HENDERSON,NC,275362932,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,47,141,49.635035461,8.32,6.2358156028,6.2358156028
1033460019,PATTERSON,LATISHA,D,PA-C,F,I,381 RUIN CREEK RD,,HENDERSON,NC,275362932,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,14.785714286,3.38,2.2876190476,2.2876190476
1033460019,PATTERSON,LATISHA,D,PA-C,F,I,381 RUIN CREEK RD,,HENDERSON,NC,275362932,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,28,48,14.459166667,1.42,1.0225,1.0225
1033460019,PATTERSON,LATISHA,D,PA-C,F,I,381 RUIN CREEK RD,,HENDERSON,NC,275362932,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,102.61833333,75.474166667,50.169166667
1033460019,PATTERSON,LATISHA,D,PA-C,F,I,381 RUIN CREEK RD,,HENDERSON,NC,275362932,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,22.420666667,22.420666667
1033460076,DIGIACOMO,JOHN,J,"MSN, FNP-BC, APRN",M,I,1073 N BENSON RD,STUDENT HEALTH CENTER,FAIRFIELD,CT,068245171,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,46,65.255652174,8.32,6.5206521739,6.5206521739
1033460076,DIGIACOMO,JOHN,J,"MSN, FNP-BC, APRN",M,I,1073 N BENSON RD,STUDENT HEALTH CENTER,FAIRFIELD,CT,068245171,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1080,1.2958703704,0.1356388889,0.1063518519,0.1063518519
1033460076,DIGIACOMO,JOHN,J,"MSN, FNP-BC, APRN",M,I,1073 N BENSON RD,STUDENT HEALTH CENTER,FAIRFIELD,CT,068245171,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9458461538,2.3095641026,2.3095641026
1033460076,DIGIACOMO,JOHN,J,"MSN, FNP-BC, APRN",M,I,1073 N BENSON RD,STUDENT HEALTH CENTER,FAIRFIELD,CT,068245171,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,256.31,141.92636364,111.27454545,119.03
1033460076,DIGIACOMO,JOHN,J,"MSN, FNP-BC, APRN",M,I,1073 N BENSON RD,STUDENT HEALTH CENTER,FAIRFIELD,CT,068245171,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,86.625,33,25.87,25.87
1033461371,NARAYANAN,DEEVYA,L,D.O.,F,I,25 CENTRAL PARK RD,,PLAINVIEW,NY,118032001,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,31.97,27.45,21.52,22.178333333
1033461371,NARAYANAN,DEEVYA,L,D.O.,F,I,25 CENTRAL PARK RD,,PLAINVIEW,NY,118032001,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.24,10.93,8.57,8.57
1033461371,NARAYANAN,DEEVYA,L,D.O.,F,I,25 CENTRAL PARK RD,,PLAINVIEW,NY,118032001,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,35,2122,18.23,7.37,5.7780490104,5.7780490104
1033461371,NARAYANAN,DEEVYA,L,D.O.,F,I,25 CENTRAL PARK RD,,PLAINVIEW,NY,118032001,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,37,444,9.43,3.81,2.9875,2.9875
1033461520,SEAVY,LAURA,M,P.A.,F,I,1871 EVELYN BYRD AVE,,HARRISONBURG,VA,228013487,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,3714.4444444,2716.2133333,2112.6,2112.6
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,18,740,0.15,0.12,0.0940135135,0.0940135135
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,26,492,10.097276423,8.28,6.1502642276,6.1502642276
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,17,220,10.323727273,8.41,6.2922272727,6.2922272727
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,27,293,13.496825939,10.93,7.5980887372,7.5980887372
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,175,2.91,2.4,1.5246285714,1.5246285714
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,374,4.46,3.67,2.8773529412,2.8773529412
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,21,33,3850,0.1618181818,0.13,0.0973376623,0.0973376623
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,22,30,3192,0.56,0.45,0.3475156642,0.3475156642
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,56,17.817333333,13.966666667,10.136
1033461579,MARSHALL,NANCY,A,FNP,F,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,22,22,189.09090909,72.523636364,51.965,34.695909091
1033461603,KEMPF,CHRISTOPHER,F,ARNP,M,I,525 TECHNOLOGY PARK,STE 109,LAKE MARY,FL,327467107,US,Nurse Practitioner,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,35,35,108.25,57.692857143,45.227142857,40.513714286
1033461603,KEMPF,CHRISTOPHER,F,ARNP,M,I,525 TECHNOLOGY PARK,STE 109,LAKE MARY,FL,327467107,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,485.64,79.2,51.054615385,45.393076923
1033461603,KEMPF,CHRISTOPHER,F,ARNP,M,I,525 TECHNOLOGY PARK,STE 109,LAKE MARY,FL,327467107,US,Nurse Practitioner,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,54,108,99.06,67.636944444,52.789814815,58.44462963
1033461603,KEMPF,CHRISTOPHER,F,ARNP,M,I,525 TECHNOLOGY PARK,STE 109,LAKE MARY,FL,327467107,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,38,38,63.364210526,20.103684211,15.76,14.568421053
1033461603,KEMPF,CHRISTOPHER,F,ARNP,M,I,525 TECHNOLOGY PARK,STE 109,LAKE MARY,FL,327467107,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,118.33,48.283333333,35.699333333,35.674666667
1033461777,KEEN,CAROL,,FNP,F,I,6719 GOV GC PERRY HWY,,RICHLANDS,VA,24641,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,102.61833333,80.455,54.73
1033461934,RIVERA ROMAN,GERARDO,,MD,M,I,CARR 111 BO POZAS,KM 15.3,SAN SEBASTIAN,PR,006857005,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,40,19.569583333,15.342916667,13.786666667
1033461934,RIVERA ROMAN,GERARDO,,MD,M,I,CARR 111 BO POZAS,KM 15.3,SAN SEBASTIAN,PR,006857005,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,220,90.016,70.5724,56.3444
1033462643,CUCA,AMANDA,,,F,I,1725 W HARRISON ST,SUITE 010,CHICAGO,IL,606123841,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,28,67,72.649253731,8.32,6.3276119403,6.3276119403
1033462643,CUCA,AMANDA,,,F,I,1725 W HARRISON ST,SUITE 010,CHICAGO,IL,606123841,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,15,17,15.19,1.42,1.0529411765,1.0529411765
1033462684,ALEXIADIS,VARVARA,,MD,F,I,242 MERRICK RD,STE 403,ROCKVILLE CENTRE,NY,115705254,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,53,76,197,875,61.640034286,8.32,6.2531542857,6.2531542857
1033462684,ALEXIADIS,VARVARA,,MD,F,I,242 MERRICK RD,STE 403,ROCKVILLE CENTRE,NY,115705254,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,15,35,35,11.014285714,3.38,2.4985714286,2.4985714286
1033462684,ALEXIADIS,VARVARA,,MD,F,I,242 MERRICK RD,STE 403,ROCKVILLE CENTRE,NY,115705254,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,17.60625,2.12,1.565625,1.565625
1033462684,ALEXIADIS,VARVARA,,MD,F,I,242 MERRICK RD,STE 403,ROCKVILLE CENTRE,NY,115705254,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,55,118,245,13.01044898,1.42,1.073755102,1.073755102
1033462684,ALEXIADIS,VARVARA,,MD,F,I,242 MERRICK RD,STE 403,ROCKVILLE CENTRE,NY,115705254,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,28,29,379.67793103,251.07172414,196.84,196.87
1033462999,LEE,JENNIFER,L,NP,F,I,2020 CAPITOL ST NE,,SALEM,OR,973010644,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,734.12076923,65.7,51.51,53.986923077
1033463286,MAINA,RUTH,W,NP,F,I,354 BIRNIE AVE,,SPRINGFIELD,MA,011071108,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,180,47.867272727,34.398181818,35.326363636
1033463286,MAINA,RUTH,W,NP,F,I,354 BIRNIE AVE,,SPRINGFIELD,MA,011071108,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,105.12931034,16.697931034,12.265517241,13.038965517
1033463286,MAINA,RUTH,W,NP,F,I,354 BIRNIE AVE,,SPRINGFIELD,MA,011071108,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,48.58,8.0886363636,5.8018181818,5.9
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,46,88,48.563863636,8.32,6.0048863636,6.0048863636
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,71,7.9408450704,2.9994366197,2.201971831,1.4585915493
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,24,149.975,55.32625,40.143333333,24.709166667
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.96,15.543636364,12.19,10.53
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,14.16,12.129090909,9.5104545455,7.7918181818
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,31,234.20903226,105.41419355,79.991290323,54.849354839
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,200,65.794545455,51.585454545,36.390909091
1033464003,KANTHETY,USHA,K,M.B.B.S,F,I,1721 COLFAX ST,,SCHUYLER,NE,686611400,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,65.833333333,45.42,33.786111111,28.275
1033464243,RAMASAMY,BALAJI,,M.D,M,I,3186 S MARYLAND PKWY,,LAS VEGAS,NV,891092317,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,14,18,88.64,11.802777778,8.5944444444,8.4577777778
1033464243,RAMASAMY,BALAJI,,M.D,M,I,3186 S MARYLAND PKWY,,LAS VEGAS,NV,891092317,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,411.86,45.054545455,31.163636364,32.171818182
1033464243,RAMASAMY,BALAJI,,M.D,M,I,3186 S MARYLAND PKWY,,LAS VEGAS,NV,891092317,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,51,85.56254902,19.391960784,14.649607843,13.123921569
1033464243,RAMASAMY,BALAJI,,M.D,M,I,3186 S MARYLAND PKWY,,LAS VEGAS,NV,891092317,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2975,913.16,703.96416667,830.30416667
1033464243,RAMASAMY,BALAJI,,M.D,M,I,3186 S MARYLAND PKWY,,LAS VEGAS,NV,891092317,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,58.64,8.0054545455,5.5454545455,5.79
1033464243,RAMASAMY,BALAJI,,M.D,M,I,3186 S MARYLAND PKWY,,LAS VEGAS,NV,891092317,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,51,513.84294118,89.388235294,67.692352941,53.52254902
1033464508,BROWN,MOLLY,B,FNP,F,I,960 AVENT DR,,GRENADA,MS,389015230,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,65,47.764153846,8.32,6.5226153846,6.5226153846
1033464508,BROWN,MOLLY,B,FNP,F,I,960 AVENT DR,,GRENADA,MS,389015230,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,22,10.894545455,1.42,1.0636363636,1.0636363636
1033464508,BROWN,MOLLY,B,FNP,F,I,960 AVENT DR,,GRENADA,MS,389015230,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,25.9168,4.9436,3.8772,3.8728
1033464656,JOHNSON,PAUL,M,M.D.,M,I,2175 ROSALINE AVE,,REDDING,CA,960012509,US,Physician/Emergency Medicine,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,35,8.96,7.025,7.8113636364
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,99,278,57.620071942,8.32,5.9825539568,5.9825539568
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,25,25,13.7452,3.38,2.226,2.226
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,20.663076923,2.12,1.4130769231,1.4130769231
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,25,51,97,14.005360825,1.42,0.9993814433,0.9993814433
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,106.83363636,71.56,56.105909091,56.104090909
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,106.66,83.62,83.62
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1611,1.2551396648,0.1329795158,0.0642333954,0.0642333954
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,48.333333333,16.88,13.23,13.1
1033464979,CANTONE FERRILL,ALESSANDRA,,MD,F,I,5801 ALLENTOWN RD STE 400,,CAMP SPRINGS,MD,20746,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,82.5,33,16.854375,16.854375
1033464987,JOHNSON,JOYCE,,M.D.,F,I,102 S HENNEPIN AVE,,DIXON,IL,61021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,35,74,72.889324324,8.2810810811,5.9243243243,5.9547297297
1033464987,JOHNSON,JOYCE,,M.D.,F,I,102 S HENNEPIN AVE,,DIXON,IL,61021,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,66,21.985,16.169285714,12.563571429
1033464987,JOHNSON,JOYCE,,M.D.,F,I,102 S HENNEPIN AVE,,DIXON,IL,61021,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,38,7.514,5.2604,3.0632
1033464987,JOHNSON,JOYCE,,M.D.,F,I,102 S HENNEPIN AVE,,DIXON,IL,61021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,363,102.84,77.112941176,58.657647059
1033465166,MORALES,PATRICIA,M,FNP-BC,F,I,5584 KING STUART DR,,SALISBURY,MD,218012358,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,16,81,87.944567901,8.32,6.5232098765,6.5232098765
1033465505,OSIFESO,MANJI,B,MD,F,I,790 WEST 66TH STREET,HCMC RICHFIELD CLINIC,RICHFIELD,MN,55423,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,477,38.865681342,5.38,3.8706079665,3.8157442348
1033465505,OSIFESO,MANJI,B,MD,F,I,790 WEST 66TH STREET,HCMC RICHFIELD CLINIC,RICHFIELD,MN,55423,US,Physician/Internal Medicine,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,44,264,7.4764015152,5.6890151515,4.3625378788,4.3625378788
1033465505,OSIFESO,MANJI,B,MD,F,I,790 WEST 66TH STREET,HCMC RICHFIELD CLINIC,RICHFIELD,MN,55423,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,72.6,33,25.87,25.87
1033465802,ZARZA,CHRISTINA,M,M.D.,F,I,8510 BRYANT ST STE 210,,WESTMINSTER,CO,800313845,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,51,87.210980392,8.32,5.882745098,5.882745098
1033465802,ZARZA,CHRISTINA,M,M.D.,F,I,8510 BRYANT ST STE 210,,WESTMINSTER,CO,800313845,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,11,54,7.7822222222,2.0577777778,1.412962963,1.397962963
1033465802,ZARZA,CHRISTINA,M,M.D.,F,I,8510 BRYANT ST STE 210,,WESTMINSTER,CO,800313845,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,33.669090909,4.0354545455,0,0.6445454545
1033465802,ZARZA,CHRISTINA,M,M.D.,F,I,8510 BRYANT ST STE 210,,WESTMINSTER,CO,800313845,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,479.71272727,78.49,55.936363636,50.990909091
1033465893,OLANREWAJU,IFEDOLAPO,S,M.D.,M,I,3330 MASONIC DR,,ALEXANDRIA,LA,713013841,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,117.62304348,20.223478261,14.812173913,12.553043478
1033465893,OLANREWAJU,IFEDOLAPO,S,M.D.,M,I,3330 MASONIC DR,,ALEXANDRIA,LA,713013841,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,419.49391304,87.912173913,62.3,48.585217391
1033465893,OLANREWAJU,IFEDOLAPO,S,M.D.,M,I,3330 MASONIC DR,,ALEXANDRIA,LA,713013841,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,85.7,25.406,19.2055,14.398
1033465893,OLANREWAJU,IFEDOLAPO,S,M.D.,M,I,3330 MASONIC DR,,ALEXANDRIA,LA,713013841,US,Hospitalist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,87.692307692,38.469230769,25.726923077,18.548461538
1033465893,OLANREWAJU,IFEDOLAPO,S,M.D.,M,I,3330 MASONIC DR,,ALEXANDRIA,LA,713013841,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,33.357142857,10.656785714,7.715,6.3507142857
1033466545,KIRKHOPE,KORI,L,APRN-CNP,F,I,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,920,0.8926413043,0.12,0.0940869565,0.0940869565
1033466545,KIRKHOPE,KORI,L,APRN-CNP,F,I,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,16,1360,0.9269117647,0.4376470588,0.343125,0.3449705882
1033466545,KIRKHOPE,KORI,L,APRN-CNP,F,I,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,465,13,8.28,6.4915268817,6.4915268817
1033466545,KIRKHOPE,KORI,L,APRN-CNP,F,I,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,16,2075,0.882939759,0.1295180723,0.1015518072,0.1019277108
1033466545,KIRKHOPE,KORI,L,APRN-CNP,F,I,1330 COSHOCTON AVE,,MOUNT VERNON,OH,430501440,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1661,1,0.45,0.352769416,0.352769416
1033467436,DENNIS,REBEKAH,,FNP,F,I,1284 S ABILENE ST,,AURORA,CO,800124629,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,3775.52,913.16,709.96583333,825.7775
1033467436,DENNIS,REBEKAH,,FNP,F,I,1284 S ABILENE ST,,AURORA,CO,800124629,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,760.48,78.49,61.53,54.73
1033467436,DENNIS,REBEKAH,,FNP,F,I,1284 S ABILENE ST,,AURORA,CO,800124629,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,285.6,38.76,30.39,29.51
1033467527,BOYD,PAMELA,A,"MS, APRN, FNP-C",F,I,2594 LOGANVILLE HWY STE 101,,GRAYSON,GA,300177848,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,63.624074074,8.32,5.5544444444,5.5544444444
1033467527,BOYD,PAMELA,A,"MS, APRN, FNP-C",F,I,2594 LOGANVILLE HWY STE 101,,GRAYSON,GA,300177848,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,19.636363636,15.394545455,14.380909091
1033468434,APRILL,GERMAINE,R,PA-C,F,I,1106 CHUCK DAWLEY BLVD,SUITE 200,MT. PLEASANT,SC,29464,US,Physician Assistant,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,5034.42875,4378.96,3425.6675,3425.6675
1033468939,DYER,CARLA,D,"DNP, APRN",F,I,374 N KY 7,,SANDY HOOK,KY,41171,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,51,54.688235294,8.32,5.1152941176,5.1152941176
1033468939,DYER,CARLA,D,"DNP, APRN",F,I,374 N KY 7,,SANDY HOOK,KY,41171,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,11.250909091,8.8227272727,6.88
1033469242,HAEGER,ELIZABETH,,NP-C,F,I,11400 W LAKE PARK DR,,MILWAUKEE,WI,532243035,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,154.13538462,49.697692308,31.169230769,32.717692308
1033469242,HAEGER,ELIZABETH,,NP-C,F,I,11400 W LAKE PARK DR,,MILWAUKEE,WI,532243035,US,Nurse Practitioner,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,141.74,44.7,29.507368421,29.705263158
1033469242,HAEGER,ELIZABETH,,NP-C,F,I,11400 W LAKE PARK DR,,MILWAUKEE,WI,532243035,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,126.58,45.729285714,33.461428571,33.442142857
1033469242,HAEGER,ELIZABETH,,NP-C,F,I,11400 W LAKE PARK DR,,MILWAUKEE,WI,532243035,US,Nurse Practitioner,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,21,63.916666667,37.8,25.325238095,24.281904762
1033469242,HAEGER,ELIZABETH,,NP-C,F,I,11400 W LAKE PARK DR,,MILWAUKEE,WI,532243035,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,3299,0.3306335253,0.0471991513,0.0171870264,0.0171870264
1033469242,HAEGER,ELIZABETH,,NP-C,F,I,11400 W LAKE PARK DR,,MILWAUKEE,WI,532243035,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,32,67,16.233125,9.60375,10.5971875
1033469242,HAEGER,ELIZABETH,,NP-C,F,I,11400 W LAKE PARK DR,,MILWAUKEE,WI,532243035,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,25,28.608,7.5916,5.0328,5.4704
1033469531,MICKE,THERESA,M,PA-C,F,I,3333 NC HIGHWAY 242 N,,BENSON,NC,275047844,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,62,193,67.788031088,8.32,5.9814507772,5.9814507772
1033469531,MICKE,THERESA,M,PA-C,F,I,3333 NC HIGHWAY 242 N,,BENSON,NC,275047844,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,37,15.610810811,1.42,1.0848648649,1.0848648649
1033469531,MICKE,THERESA,M,PA-C,F,I,3333 NC HIGHWAY 242 N,,BENSON,NC,275047844,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,117.29333333,20.971666667,15.611666667,12.781666667
1033469531,MICKE,THERESA,M,PA-C,F,I,3333 NC HIGHWAY 242 N,,BENSON,NC,275047844,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,24.47047619,5.8652380952,4.5952380952,3.4823809524
1033469531,MICKE,THERESA,M,PA-C,F,I,3333 NC HIGHWAY 242 N,,BENSON,NC,275047844,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,145.5437931,35.96137931,21.678275862,17.612413793
1033469531,MICKE,THERESA,M,PA-C,F,I,3333 NC HIGHWAY 242 N,,BENSON,NC,275047844,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,467.602,93.151333333,69.913,52.226
1033469531,MICKE,THERESA,M,PA-C,F,I,3333 NC HIGHWAY 242 N,,BENSON,NC,275047844,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,33,33,20.121111111,20.121111111
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,47,4552,0.4452196837,0.4393673111,0.338413884,0.338413884
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,23.66,23.66,18.549333333,18.549333333
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,324,18.5,18.5,14.504012346,14.504012346
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,180,8.41,8.41,6.5939444444,6.5939444444
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,510,1.08,1.08,0.7968627451,0.7968627451
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,21,792,2.4,2.4,1.8673863636,1.8673863636
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,28,2544,0.13,0.13,0.0995558176,0.0995558176
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,32,4332,0.448531856,0.448531856,0.3516620499,0.3526708218
1033469994,WAGENER,CHRISTINA,J,APN,F,I,1541 W DEVON AVE,,CHICAGO,IL,606601313,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160.84666667,52.25,36.653333333,33.273333333
1033470018,BOMER,JAMES,J,MD,M,I,5700 MONROE ST UNIT 206,,SYLVANIA,OH,435602735,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,54,145,57.22262069,8.32,5.6673103448,5.6673103448
1033470018,BOMER,JAMES,J,MD,M,I,5700 MONROE ST UNIT 206,,SYLVANIA,OH,435602735,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,24,34,12.495588235,1.42,1.1167647059,1.1167647059
1033470018,BOMER,JAMES,J,MD,M,I,5700 MONROE ST UNIT 206,,SYLVANIA,OH,435602735,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.8009090909,3.77,3.5072727273
1033470604,CASTER,JOSEPH,,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Radiation Oncology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,244,23.25,5.1777868852,4.0593852459,3.2456967213
1033470604,CASTER,JOSEPH,,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Radiation Oncology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,4302,1.1304532775,0.4308228731,0.3377615063,0.2900767085
1033470844,RANKIN,TREVAN,M,MD,F,I,1178 KINOOLE ST,,HILO,HI,967207206,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,3525,0.17,0.0461702128,0.0361957447,0.0361957447
1033470844,RANKIN,TREVAN,M,MD,F,I,1178 KINOOLE ST,,HILO,HI,967207206,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1033470919,KODAVALURU,SHEENA REDDY,,M.D.,F,I,3249 OAK PARK AVE,MACNEAL HOSPITAL,BERWYN,IL,604023429,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330,65.7,51.51,54.461666667
1033471008,DAYTON,ELIZABETH,,D.O,F,I,983075 NEBRASKA MEDICAL CTR,,OMAHA,NE,681983075,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,40,43.344,8.32,6.1945,6.1945
1033471008,DAYTON,ELIZABETH,,D.O,F,I,983075 NEBRASKA MEDICAL CTR,,OMAHA,NE,681983075,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,274,8.28,8.28,6.4916788321,6.4916788321
1033471206,HUBBARD,KRISTEN,,MD,F,I,1351 S COUNTY TRL,SUITE 115,EAST GREENWICH,RI,028185105,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,28,60.033928571,8.32,6.0575,6.0575
1033471768,DE BOER,GABRIELA,R,M.D.,F,I,2424 CENTURY PL SE,,HICKORY,NC,286024031,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,37,37,37,81.741891892,77.581621622,57.597297297,50.843783784
1033471768,DE BOER,GABRIELA,R,M.D.,F,I,2424 CENTURY PL SE,,HICKORY,NC,286024031,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,31,50,50,37.935483871,41.768064516
1033471768,DE BOER,GABRIELA,R,M.D.,F,I,2424 CENTURY PL SE,,HICKORY,NC,286024031,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,34,67.968235294,67.594117647,52.649411765,53.600588235
1033471834,NIKOLAENKO,DMITRI,,"DO, MS",M,I,919 E 32ND ST,,AUSTIN,TX,78705,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,1830,5.5543551913,0.5640163934,0.4195737705,0.419568306
1033471834,NIKOLAENKO,DMITRI,,"DO, MS",M,I,919 E 32ND ST,,AUSTIN,TX,78705,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1650,0.1,0.013,0.0082121212,0.0082121212
1033471834,NIKOLAENKO,DMITRI,,"DO, MS",M,I,919 E 32ND ST,,AUSTIN,TX,78705,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,24,24,17.64375,17.64375
1033471834,NIKOLAENKO,DMITRI,,"DO, MS",M,I,919 E 32ND ST,,AUSTIN,TX,78705,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,33,16,16,11.40030303,11.40030303
1033471842,GARNETT,KATHERINE,,M.D.,F,I,2698 PATTERSON RD,,GRAND JUNCTION,CO,815068818,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,128.70789474,20.188947368,14.974736842,13.344736842
1033471842,GARNETT,KATHERINE,,M.D.,F,I,2698 PATTERSON RD,,GRAND JUNCTION,CO,815068818,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,35,548.76914286,98.813142857,74.183714286,53.913714286
1033471990,THOMAS,JOHN,M,D.P.M.,M,I,560 RIVERSIDE DR,SUITE A-101,SALISBURY,MD,218014700,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,2600,0.16,0.13,0.1019153846,0.1019153846
1033471990,THOMAS,JOHN,M,D.P.M.,M,I,560 RIVERSIDE DR,SUITE A-101,SALISBURY,MD,218014700,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,1824,0.5573684211,0.45,0.3528179825,0.3528179825
1033471990,THOMAS,JOHN,M,D.P.M.,M,I,560 RIVERSIDE DR,SUITE A-101,SALISBURY,MD,218014700,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,15,375,279.25,218.93,218.89266667
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,12.941666667,1.42,0.9333333333,0.9333333333
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,61,489,489,489,1616.4293661,1254.7067485,948.77728016,855.24871166
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,31,253,255,292,914.87164384,668.63106164,517.98582192,474.40770548
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,38,39,57,1017.9085965,828.14122807,644.23157895,673.54368421
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,42,42,66,549.52257576,454.92136364,356.65969697,354.50575758
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,40,290,294,350,139.3724,116.49611429,90.921057143,88.555742857
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,30,30,48,59.417291667,49.37,38.70625,38.502083333
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,107.21071429,91.27,71.56,79.51
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,20,521.083,441.029,345.7645,343.74
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,43,185,185,268,581.18313433,468.92626866,364.42384328,362.25899254
1033472386,AHMAD,MOHAMMED,F,MD,M,I,11716 DETROIT AVE,,LAKEWOOD,OH,441073002,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,42,176,178,178,906.06573034,704.02426966,546.50073034,562.19376404
1033472741,MARTINEZ,MIGUEL,A,MD,M,I,1300 E COOLEY DR,,COLTON,CA,923243905,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,36,54.795277778,7.9688888889,5.2536111111,5.5977777778
1033472741,MARTINEZ,MIGUEL,A,MD,M,I,1300 E COOLEY DR,,COLTON,CA,923243905,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,27,8.9333333333,2,1.4859259259,1.5096296296
1033472741,MARTINEZ,MIGUEL,A,MD,M,I,1300 E COOLEY DR,,COLTON,CA,923243905,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,256.58526316,31.155263158,21.695789474,22.950526316
1033472741,MARTINEZ,MIGUEL,A,MD,M,I,1300 E COOLEY DR,,COLTON,CA,923243905,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.22,50.84,44.69
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,36,133,249,72.510321285,8.32,5.5741365462,5.5741365462
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,11.782352941,3.38,2.4941176471,2.4941176471
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,22,42,47,13.877234043,1.42,0.9519148936,0.9519148936
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,127.5,4.2883333333,3.365,3.5511111111
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,31,405.84451613,67.72,47.961290323,49.631935484
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,128,24.106923077,18.898461538,22.000769231
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,95,38.72,27.83,27.06
1033472857,GUZMAN,JOSE,G,MD,M,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,33,33,17.246666667,17.246666667
1033473053,MEDLEY,MATTHEW,W,DO,M,I,7686 GEORGETOWN CENTER DR,,JENISON,MI,494288101,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,300,79.88,57.401666667,50.16
1033473053,MEDLEY,MATTHEW,W,DO,M,I,7686 GEORGETOWN CENTER DR,,JENISON,MI,494288101,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,35.66,25.63,27.2125
1033473491,GAIK,SHANE,,ARNP,M,I,1344 22ND ST S,,ST PETERSBURG,FL,337122744,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,23,47.550434783,8.32,4.8208695652,4.8208695652
1033473632,DERRA,BRITTANY,,D.O.,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,31.61,17.25,12.211612903,12.230322581
1033473632,DERRA,BRITTANY,,D.O.,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,190.64,79.88,56.652333333,49.805666667
1033473731,REED,LAUREN,D,DPM,F,I,17215 RED OAK DR STE 102,,HOUSTON,TX,77090,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,38,119.46368421,71.56,53.155263158,53.148947368
1033473731,REED,LAUREN,D,DPM,F,I,17215 RED OAK DR STE 102,,HOUSTON,TX,77090,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,63,84.66,43.56,34.15,34.146666667
1033474184,ATWELL-SMALL,LATAURA,,M.D.,F,I,620 10TH STREET N.,,ST PETERSBURG,FL,337051407,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,60,46.363636364,32.072727273,32.027272727
1033474283,WILSON,AMANDA,I,FNP,F,I,78 MEDICAL CENTER DR,,FISHERSVILLE,VA,229392332,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,19,40,17.29,13.55,13.531052632
1033474283,WILSON,AMANDA,I,FNP,F,I,78 MEDICAL CENTER DR,,FISHERSVILLE,VA,229392332,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,10,5.126,4.02,3.828
1033474283,WILSON,AMANDA,I,FNP,F,I,78 MEDICAL CENTER DR,,FISHERSVILLE,VA,229392332,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,34,150,70.23,55.06,54.79
1033474283,WILSON,AMANDA,I,FNP,F,I,78 MEDICAL CENTER DR,,FISHERSVILLE,VA,229392332,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,50,31.056923077,22.132307692,20.470769231
1033474283,WILSON,AMANDA,I,FNP,F,I,78 MEDICAL CENTER DR,,FISHERSVILLE,VA,229392332,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,12,12,33,33,25.87,25.87
1033474838,ROMERO,CLAUDIO,,M.D.,M,I,500 E CENTRAL AVE,,WINTER HAVEN,FL,338803053,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,18,40,24.19,18.96,22.123888889
1033475389,VU,MINH,D,PA,M,I,4817-21 N BROAD STREET,,PHILADELPHIA,PA,19141,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,24,71.834166667,8.32,5.1654166667,5.1654166667
1033475405,ALSAIDY,ALIA,,DO,F,I,4300 LONDONDERRY RD,,HARRISBURG,PA,171095317,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,471.05833333,67.72,53.1,54.73
1033475603,SWEARENGEN,ERIC,R,M.D.,M,I,8342 US HIGHWAY 301 N,,PARRISH,FL,342198653,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,36,37.490555556,8.32,6.1594444444,6.1594444444
1033475603,SWEARENGEN,ERIC,R,M.D.,M,I,8342 US HIGHWAY 301 N,,PARRISH,FL,342198653,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,11.491176471,1.42,1.0482352941,1.0482352941
1033475603,SWEARENGEN,ERIC,R,M.D.,M,I,8342 US HIGHWAY 301 N,,PARRISH,FL,342198653,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,19.791666667,13.883333333,12.371666667
1033475678,HARVEY,JACK,A,D.P.M,M,I,1234 E NORTH ST,STE 106,MANTECA,CA,953364961,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,29,39,2060,0.157223301,0.12,0.0940582524,0.0940582524
1033475678,HARVEY,JACK,A,D.P.M,M,I,1234 E NORTH ST,STE 106,MANTECA,CA,953364961,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,28,37,3760,0.1627925532,0.13,0.1019202128,0.1019202128
1033475678,HARVEY,JACK,A,D.P.M,M,I,1234 E NORTH ST,STE 106,MANTECA,CA,953364961,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,28,40,4864,0.5979666941,0.45,0.3528248355,0.3528248355
1033475801,CHANG,CHELSEA,,M.D.,F,I,5423 S MCCOLL RD,,EDINBURG,TX,78539,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,48,136,62.596838235,8.32,5.9463235294,5.9463235294
1033475801,CHANG,CHELSEA,,M.D.,F,I,5423 S MCCOLL RD,,EDINBURG,TX,78539,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,26,38,12.666315789,1.42,1.0557894737,1.0557894737
1033475801,CHANG,CHELSEA,,M.D.,F,I,5423 S MCCOLL RD,,EDINBURG,TX,78539,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,42,9.4681818182,7.4181818182,7.7890909091
1033475801,CHANG,CHELSEA,,M.D.,F,I,5423 S MCCOLL RD,,EDINBURG,TX,78539,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,338.58545455,69.163636364,54.220909091,54.720909091
1033475801,CHANG,CHELSEA,,M.D.,F,I,5423 S MCCOLL RD,,EDINBURG,TX,78539,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1019.8,122.83,83.252727273,82.149090909
1033476155,YUEN,ANTHONY,J,D.O.,M,I,1114 N MAIN ST,,SUMMERVILLE,SC,294837326,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,17,50,65.243,8.294,5.2218,5.2422
1033476155,YUEN,ANTHONY,J,D.O.,M,I,1114 N MAIN ST,,SUMMERVILLE,SC,294837326,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,19,12.757368421,1.42,1.0547368421,1.0547368421
1033476155,YUEN,ANTHONY,J,D.O.,M,I,1114 N MAIN ST,,SUMMERVILLE,SC,294837326,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.96,17.04,13.36,13.483636364
1033476155,YUEN,ANTHONY,J,D.O.,M,I,1114 N MAIN ST,,SUMMERVILLE,SC,294837326,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,328.69882353,74,58.02,55.504117647
1033476189,PATEL,KASHYAP,B,M.D.,M,I,"5333 MCAULEY DRIVE, SUITE 4001",ACADEMIC INTERNAL MEDICINE,YPSILANTI,MI,481978633,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,57,60.380350877,27.24754386,20.575789474,15.880877193
1033476189,PATEL,KASHYAP,B,M.D.,M,I,"5333 MCAULEY DRIVE, SUITE 4001",ACADEMIC INTERNAL MEDICINE,YPSILANTI,MI,481978633,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,55,55,15.021090909,7.9310909091,6.128,3.6516363636
1033476189,PATEL,KASHYAP,B,M.D.,M,I,"5333 MCAULEY DRIVE, SUITE 4001",ACADEMIC INTERNAL MEDICINE,YPSILANTI,MI,481978633,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,324.76344828,99.629655172,74.058965517,53.224137931
1033476213,MILLER,STACEY,H,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,46,137,239,67.584811715,8.32,5.8129707113,5.8129707113
1033476213,MILLER,STACEY,H,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,40,44,16.605681818,1.42,0.9663636364,0.9663636364
1033476213,MILLER,STACEY,H,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,3579,0.99,0.66,0.4773540095,0.4773540095
1033476213,MILLER,STACEY,H,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,14.1325,8.136,6.3775,3.716
1033476213,MILLER,STACEY,H,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,463.23529412,92.031764706,72.154705882,57.107647059
1033476304,DETOMMASO,JONATHAN,,DPM,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,35,106.4,71.094285714,55.504857143,62.867714286
1033476304,DETOMMASO,JONATHAN,,DPM,M,I,7601 W JEFFERSON BLVD,,FORT WAYNE,IN,468044133,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,43,43,43,369.78488372,251.28,195.11604651,214.46069767
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,45,93,78.893870968,8.32,5.2111827957,5.2111827957
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,21,14.767619048,1.42,0.9585714286,0.9585714286
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,86.31,21.757692308,15.335384615,12.200384615
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,35.0412,6.56,4.3192,3.0336
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,57,57,377.23789474,102.42,75.056491228,51.350175439
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,44.745,32.344166667,27.056666667
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,4257,0.2720765798,0.0465961945,0.0343716232,0.0343716232
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,25,1888,1.5445180085,0.1338506356,0.0977489407,0.0977489407
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,77.45,45.491052632,33.937894737,28.340526316
1033476452,HARRIS,MIRIAM,I,M.D.,F,I,1245 S MAIN ST,,WILLITS,CA,95490,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,35,35,81.085714286,33,24.391714286,24.391714286
1033476551,RITCHIE,TED,,M.D.,M,I,1904 PINE ST STE 3A,,ABILENE,TX,796012450,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,31,2640,0.3490909091,0.13,0.0984583333,0.0984583333
1033476551,RITCHIE,TED,,M.D.,M,I,1904 PINE ST STE 3A,,ABILENE,TX,796012450,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,42,4660,4.7169527897,2.04,1.5795858369,1.5795858369
1033476551,RITCHIE,TED,,M.D.,M,I,1904 PINE ST STE 3A,,ABILENE,TX,796012450,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1770,9.0245762712,7.19,5.5975367232,5.6288926554
1033476627,ABESKHERON,JOLLY,,M.D.,F,I,1 PEARL ST,SUITE 1000,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,31,78,80.512820513,8.32,6.4388461538,6.4388461538
1033476627,ABESKHERON,JOLLY,,M.D.,F,I,1 PEARL ST,SUITE 1000,BROCKTON,MA,023012864,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,29,15.174827586,1.42,1.0772413793,1.0772413793
1033476643,RAFII,DANIEL,,MD,M,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,26,102,76.511862745,8.32,5.7551960784,5.7551960784
1033476643,RAFII,DANIEL,,MD,M,I,506 6TH ST,,BROOKLYN,NY,112153609,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,13,28.37,1.42,0.9461538462,0.9461538462
1033476718,HUANG,JAMES,,MD,M,I,3020 14TH ST NW,,WASHINGTON,DC,200096865,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,48,61.977708333,8.32,3.5322916667,3.5322916667
1033476718,HUANG,JAMES,,MD,M,I,3020 14TH ST NW,,WASHINGTON,DC,200096865,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,21,17.59952381,1.42,0.5304761905,0.5304761905
1033476759,PETERSON,LEAH,M,M.D.,F,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,30,55,39.886181818,8.32,4.2683636364,4.2683636364
1033476759,PETERSON,LEAH,M,M.D.,F,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,12.781428571,1.42,0.7171428571,0.7171428571
1033476759,PETERSON,LEAH,M,M.D.,F,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,86.31,21.053125,14.639375,11.840625
1033476759,PETERSON,LEAH,M,M.D.,F,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,12,41.5,7.6608333333,6.005,4.45
1033476759,PETERSON,LEAH,M,M.D.,F,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,133.248125,60.395,47.34625,27.643125
1033476759,PETERSON,LEAH,M,M.D.,F,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,519.51,95.025882353,67.817647059,48.340588235
1033476809,THAKRAL,RISHI,,MD,M,I,825 NE 10TH ST,OUPB 1C,OKLAHOMA CITY,OK,731045417,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,810.84615385,551.74,413.10076923,455.30153846
1033476965,DESILVEY,SARAH,,FNP,F,I,4178 HIGHBRIDGE RD,,FAIRFAX,VT,054545446,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,82,67.674390244,8.32,6.2384146341,6.2384146341
1033476965,DESILVEY,SARAH,,FNP,F,I,4178 HIGHBRIDGE RD,,FAIRFAX,VT,054545446,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,130.07,4.964,3.89,3.8313333333
1033476965,DESILVEY,SARAH,,FNP,F,I,4178 HIGHBRIDGE RD,,FAIRFAX,VT,054545446,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,842.96863636,69.62,43.502272727,43.651363636
1033477088,TOLBERT,ROBIN,N,DO,F,I,10650 US ROUTE 60,,ASHLAND,KY,411029611,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,19,74,63.237702703,8.32,5.9052702703,5.9052702703
1033477088,TOLBERT,ROBIN,N,DO,F,I,10650 US ROUTE 60,,ASHLAND,KY,411029611,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,24,14.568333333,1.42,1.0679166667,1.0679166667
1033477088,TOLBERT,ROBIN,N,DO,F,I,10650 US ROUTE 60,,ASHLAND,KY,411029611,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,50.5,22.522272727,17.655909091,13.53
1033477088,TOLBERT,ROBIN,N,DO,F,I,10650 US ROUTE 60,,ASHLAND,KY,411029611,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,377.21346154,107.54615385,84.319230769,56.287692308
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,68,250,63.37708,8.32,5.50488,5.50488
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,13.541333333,3.38,2.65,2.65
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,30,69,14.141304348,1.42,1.0494202899,1.0494202899
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,24,140.355,34.2425,26.844583333,25.91625
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,92.98,11.073636364,7.8209090909,8.2909090909
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,97,10.417319588,2.0197938144,1.4644329897,1.4780412371
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4686,2.2816901408,0.31,0.2209560393,0.2209560393
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,25,333.9848,33.62,24.3884,23.1372
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1379,0.9401667875,0.1347425671,0.0917984046,0.0917984046
1033477666,CASTRILLI,DAVID,,MD,M,I,1720 GUNBARREL ROAD,SUITE 206,CHATTANOOGA,TN,37421,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,21.558333333,21.558333333
1033477781,KUMAR,DILEEP,,MD,M,I,150 55TH ST,LUTHERAN MEDICAL CENTER,BROOKLYN,NY,112202508,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17.32,12.448333333,12.415
1033477781,KUMAR,DILEEP,,MD,M,I,150 55TH ST,LUTHERAN MEDICAL CENTER,BROOKLYN,NY,112202508,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,41,871.94853659,77.567317073,56.412195122,51.754146341
1033477997,CLEMENTS,ADAM,G,DO,M,I,425 WIND RIDGE DR,,WAUSAU,WI,544014149,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,3460.894359,919.45,713.4925641,828.67641026
1033477997,CLEMENTS,ADAM,G,DO,M,I,425 WIND RIDGE DR,,WAUSAU,WI,544014149,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,460.02705882,84.694705882,58.607058824,49.615882353
1033478227,OSENI,ABDULLAHI,O,M.D.,M,I,200 HAWKINS DR DEPT OF,,IOWA CITY,IA,522421009,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,836.02166667,836.02166667
1033478227,OSENI,ABDULLAHI,O,M.D.,M,I,200 HAWKINS DR DEPT OF,,IOWA CITY,IA,522421009,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.4409090909,3.4827272727,3.4818181818
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,1500,1.2571533333,0.4461866667,0.3498466667,0.3498466667
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,1860,5.1459516129,2.5842043011,2.026016129,2.026016129
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,32,94,474,78460,3.301853301,0.5689023706,0.4267162886,0.433838389
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,44,194,46800,0.0799666667,0.0126350427,0.0098378205,0.0098378205
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,3420,2.1253216374,0.745377193,0.5843888889,0.5843888889
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,34,159,30810,1.5337715028,0.8506101915,0.6348967868,0.6504819864
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,33,190,35460,4.93707163,2.8334010152,2.1873657642,2.2066232375
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1020,16.407441176,7.3871764706,5.6771078431,5.6771078431
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,2,,12,3060,10.714673203,8.3939411765,6.5008921569,6.5008921569
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,38,98,404,404,24,24,18.448811881,18.448787129
1033478409,STACK,MEGAN,N,FNP,F,I,1130 NW 22ND AVE,SUITE 640,PORTLAND,OR,972102900,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,42,117,660,671,16.023845007,16,12.442071535,12.442071535
1033478680,ROSENFELD,LONNY,,DPM,M,I,427 BROADWAY,STE 2,MONTICELLO,NY,127011743,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,18,1350,0.5323703704,0.44,0.3449925926,0.3449925926
1033478680,ROSENFELD,LONNY,,DPM,M,I,427 BROADWAY,STE 2,MONTICELLO,NY,127011743,US,Podiatry,S,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,279,1.6,1.35,1.0584229391,1.0584229391
1033479720,SCHAEFER,MARIE,A,M.D.,F,I,26900 CEDAR RD,BD10,BEACHWOOD,OH,441221191,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,52,60.202692308,8.32,6.5232692308,6.5232692308
1033479878,EDWARDS,CHRISTOPHER,O,M.D.,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,1882.3684615,933.22307692,720.61307692,831.22384615
1033479878,EDWARDS,CHRISTOPHER,O,M.D.,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,611.92,363.11857143,284.68428571,298.14285714
1033479878,EDWARDS,CHRISTOPHER,O,M.D.,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,58.36,35.04,25.751333333,30.678666667
1033480231,ALEEM,SALMAN,S,M.D.,M,I,2612 SOUTHWEST PKWY,#129,WICHITA FALLS,TX,763084600,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,104,104,54.550769231,18.518269231,13.997307692,13.818269231
1033480231,ALEEM,SALMAN,S,M.D.,M,I,2612 SOUTHWEST PKWY,#129,WICHITA FALLS,TX,763084600,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,86,89,334.78370787,71.895280899,54.404044944,53.066179775
1033480520,POWELL,JODY,M,"RN, FNP-BC",M,I,6010 BALCONES DR,SUITE 102,AUSTIN,TX,787314270,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,428,275,5.12,4.014182243,4.1632242991
1033480520,POWELL,JODY,M,"RN, FNP-BC",M,I,6010 BALCONES DR,SUITE 102,AUSTIN,TX,787314270,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5892,7.7182348948,0.68,0.5331296673,0.5174541752
1033480520,POWELL,JODY,M,"RN, FNP-BC",M,I,6010 BALCONES DR,SUITE 102,AUSTIN,TX,787314270,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,160,48.912173913,38.344782609,38.78
1033480520,POWELL,JODY,M,"RN, FNP-BC",M,I,6010 BALCONES DR,SUITE 102,AUSTIN,TX,787314270,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,42.828181818,17.35,13.6,13.545454545
1033480520,POWELL,JODY,M,"RN, FNP-BC",M,I,6010 BALCONES DR,SUITE 102,AUSTIN,TX,787314270,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,186.50944444,73,57.23,54.868888889
1033480520,POWELL,JODY,M,"RN, FNP-BC",M,I,6010 BALCONES DR,SUITE 102,AUSTIN,TX,787314270,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,19,94,94,70.876382979,19.634680851,13.710638298,12.847659574
1033480520,POWELL,JODY,M,"RN, FNP-BC",M,I,6010 BALCONES DR,SUITE 102,AUSTIN,TX,787314270,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,25.943,8.293,6.501,6.7625
1033481627,CHASE,KARI,L,DPM,F,I,2500 RIDGE AVE,SUITE #110,EVANSTON,IL,602012455,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,66.5575,19.256666667,12.421666667,12.001666667
1033482138,NIETO,RAFAEL,,MD,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,282035812,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,312.26941176,80.231764706,54.507647059,46.759411765
1033482336,PORTER,KATIE,M,"PA-C, ATC",F,I,612 N 13TH ST,SUITE H,ARTESIA,NM,882101112,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,25,130.0588,130.0588,91.6856,92.2444
1033482427,MURPHY,JULIE,A,CRNP,F,I,1300 S MONTGOMERY AVE,,SHEFFIELD,AL,356606334,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,22.5,4.713,3.5265,3.491
1033483060,MILLICAN,ASHLEY,B,NP,F,I,1501 SHORTER AVE SW,,ROME,GA,301653964,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,62,82.090967742,8.32,5.0487096774,5.0487096774
1033483060,MILLICAN,ASHLEY,B,NP,F,I,1501 SHORTER AVE SW,,ROME,GA,301653964,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,20,82.174,17.29,13.55,13.532
1033483060,MILLICAN,ASHLEY,B,NP,F,I,1501 SHORTER AVE SW,,ROME,GA,301653964,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,28,461.75785714,70.23,52.396428571,52.129642857
1033483748,PETYAK,CHRISTY,E,CPNP-PC,F,I,111 MICHIGAN AVE NW,,WASHINGTON,DC,200102916,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,38,7230,4.6750511757,0.5601092669,0.4391272476,0.4391272476
1033483748,PETYAK,CHRISTY,E,CPNP-PC,F,I,111 MICHIGAN AVE NW,,WASHINGTON,DC,200102916,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,1080,3.2713703704,0.9676111111,0.7396203704,0.7396203704
1033483748,PETYAK,CHRISTY,E,CPNP-PC,F,I,111 MICHIGAN AVE NW,,WASHINGTON,DC,200102916,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,41,41,24,24,18.82,18.82
1033483748,PETYAK,CHRISTY,E,CPNP-PC,F,I,111 MICHIGAN AVE NW,,WASHINGTON,DC,200102916,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,22,16,16,12.541363636,12.541363636
1033484191,REYES,WILIBALDO,,PA-C,M,I,554 5TH ST,,GUSTINE,CA,953221516,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,27,86,205,49.145463415,8.32,4.8037073171,4.8037073171
1033484191,REYES,WILIBALDO,,PA-C,M,I,554 5TH ST,,GUSTINE,CA,953221516,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,25,29,26.847241379,1.42,0.9255172414,0.9255172414
1033484266,RAHMAN,FARHANA,,MD,F,I,13067 N TELECOM PKWY,,TEMPLE TERRACE,FL,336370926,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,29,52.572413793,8.32,5.3993103448,5.3993103448
1033484498,THAYER,SARAH,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,80,63.359,8.32,5.788625,5.788625
1033484498,THAYER,SARAH,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,228.8,92.838285714,66.372,48.746285714
1033484498,THAYER,SARAH,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,2551,0.6558330067,0.0456879655,0.0358212466,0.0358212466
1033484498,THAYER,SARAH,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,55,33,25.87,25.87
1033484506,FAIRHURST,MARGARET,S,D.O.,F,I,1698 E MCANDREWS RD STE 400,,MEDFORD,OR,975045590,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1052.85,825.43,842.26
1033484571,ULHOA-CINTRA,ALICE,,MD,F,I,3555 10TH CT STE 200B,,VERO BEACH,FL,329605013,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,26,2450,38.77015102,5.1469959184,4.0352408163,4.0352285714
1033484571,ULHOA-CINTRA,ALICE,,MD,F,I,3555 10TH CT STE 200B,,VERO BEACH,FL,329605013,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,24,24,18.82,18.82
1033485032,MATHEW,DON,,,M,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,15,9.8597435897,7.7243589744,7.6443589744
1033485032,MATHEW,DON,,,M,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,49,49,45,33.587755102,25.14755102,20.33
1033485032,MATHEW,DON,,,M,I,4440 W 95TH ST,,OAK LAWN,IL,604532600,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,15,9.3388235294,6.7835294118,6.0388235294
1033485040,SALMON,JAY,M,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,87.133333333,21.363333333,15.836111111,14.035
1033485040,SALMON,JAY,M,M.D.,M,I,2845 GREENBRIER RD,,GREEN BAY,WI,543116519,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,475.9,89.172413793,63.393448276,56.938275862
1033485107,GADD,MOLLY,M,"DNP, RN, APRN-BC",F,I,390 WARDS CORNER RD,,LOVELAND,OH,451406969,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,146.69333333,47.527777778,35.682777778,36.238333333
1033485107,GADD,MOLLY,M,"DNP, RN, APRN-BC",F,I,390 WARDS CORNER RD,,LOVELAND,OH,451406969,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,79.81,16.233333333,9.0375,10.221666667
1033485834,SHERPA,NAWANG,,D.O,F,I,601 DR MARTIN LUTHER KING JR AVE NE,ROOM 1016,ALBUQUERQUE,NM,871023619,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,53.703703704,18.836666667,12.616666667,11.567407407
1033485834,SHERPA,NAWANG,,D.O,F,I,601 DR MARTIN LUTHER KING JR AVE NE,ROOM 1016,ALBUQUERQUE,NM,871023619,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,7.37,5.6972727273,4.4618181818,3.4827272727
1033485834,SHERPA,NAWANG,,D.O,F,I,601 DR MARTIN LUTHER KING JR AVE NE,ROOM 1016,ALBUQUERQUE,NM,871023619,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,253.23851852,83.751851852,61.23037037,51.247407407
1033485867,ROTHBAUM,RANDI,,,F,I,111 EAST 210TH ST,GERIATRICS DIVISION,BRONX,NY,10467,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,80,15.86,9.7742857143,10.470714286
1033485891,STOYANOVICH,NICOLAS,,,M,I,1400 E BOULDER ST,,COLORADO SPRINGS,CO,80909,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,75,17.27,13.54,13.54
1033485891,STOYANOVICH,NICOLAS,,,M,I,1400 E BOULDER ST,,COLORADO SPRINGS,CO,80909,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,34.85,5.27,4.135,3.9566666667
1033485891,STOYANOVICH,NICOLAS,,,M,I,1400 E BOULDER ST,,COLORADO SPRINGS,CO,80909,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,226.93548387,69.81,54.73,54.73
1033485917,WEIR,MARIA,T,,F,I,222 S WOODS MILL RD,SUITE 410N,CHESTERFIELD,MO,630173625,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,1,,14,182,61.062857143,19.687857143,15.434945055,15.434945055
1033485917,WEIR,MARIA,T,,F,I,222 S WOODS MILL RD,SUITE 410N,CHESTERFIELD,MO,630173625,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,420,8.63,2.6371428571,2.0674285714,2.0674285714
1033485917,WEIR,MARIA,T,,F,I,222 S WOODS MILL RD,SUITE 410N,CHESTERFIELD,MO,630173625,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,29,47,274,77.099124088,8.32,6.2020437956,6.2020437956
1033485917,WEIR,MARIA,T,,F,I,222 S WOODS MILL RD,SUITE 410N,CHESTERFIELD,MO,630173625,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,12,31,16.396129032,1.42,1.1129032258,1.1129032258
1033485917,WEIR,MARIA,T,,F,I,222 S WOODS MILL RD,SUITE 410N,CHESTERFIELD,MO,630173625,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,738.38444444,342.29666667,261.96166667,261.96166667
1033485917,WEIR,MARIA,T,,F,I,222 S WOODS MILL RD,SUITE 410N,CHESTERFIELD,MO,630173625,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2220,16.347675676,11.005216216,8.6280855856,8.6280855856
1033485917,WEIR,MARIA,T,,F,I,222 S WOODS MILL RD,SUITE 410N,CHESTERFIELD,MO,630173625,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,273.61227273,250.98590909,196.77272727,196.86954545
1033485933,ANSTETT,TYLER,J,D.O.,M,I,12605 E 16TH AVE,UNIVERSITY OF COLORADO HOSPITAL,AURORA,CO,80045,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,760.48,78.49,57.935217391,51.430434783
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,37,111,274,49.339306569,8.32,5.2469708029,5.2469708029
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,35,57,12.859122807,1.42,1.0089473684,1.0089473684
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,22,67.413636364,23.328181818,18.287272727,14.624545455
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,35,17.372941176,13.621176471,9.8941176471
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,25,7.4710526316,5.4094736842,3.1421052632
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,125,54.740869565,42.913478261,35.513478261
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,366.32019231,103.19807692,77.606923077,56.294230769
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2424,0.3204620462,0.0455280528,0.0338160066,0.0338160066
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,2010,1.2879452736,0.1348955224,0.0894825871,0.0894825871
1033486758,SHAUKAT,BUSHRA,,MD,F,I,4500 MEMORIAL DR,,BELLEVILLE,IL,62226,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,36,36,85.25,33,22.995555556,22.995555556
1033488077,MASCAL GANGADHARAIAH,SRINIVAS MURTHY,,M.D.,M,I,515 W COURT ST,,PASCO,WA,993013737,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,57,148,382,52.48104712,8.32,5.2093979058,5.2093979058
1033488077,MASCAL GANGADHARAIAH,SRINIVAS MURTHY,,M.D.,M,I,515 W COURT ST,,PASCO,WA,993013737,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,23,23,14.588695652,3.38,1.9586956522,1.9586956522
1033488077,MASCAL GANGADHARAIAH,SRINIVAS MURTHY,,M.D.,M,I,515 W COURT ST,,PASCO,WA,993013737,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,40,66,14.934545455,1.42,0.9124242424,0.9124242424
1033488077,MASCAL GANGADHARAIAH,SRINIVAS MURTHY,,M.D.,M,I,515 W COURT ST,,PASCO,WA,993013737,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,68.728846154,68.728846154,46.283076923,48.521923077
1033488077,MASCAL GANGADHARAIAH,SRINIVAS MURTHY,,M.D.,M,I,515 W COURT ST,,PASCO,WA,993013737,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,66,27.855,27.855,21.286363636,22.33469697
1033488077,MASCAL GANGADHARAIAH,SRINIVAS MURTHY,,M.D.,M,I,515 W COURT ST,,PASCO,WA,993013737,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,6,2.02,1.585,1.5941666667
1033488077,MASCAL GANGADHARAIAH,SRINIVAS MURTHY,,M.D.,M,I,515 W COURT ST,,PASCO,WA,993013737,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,23.533333333,3.97,2.6871428571,3.109047619
1033488481,MICHEL,RAQUEL,A,M.D.,F,I,5200 HOFFNER AVE,,ORLANDO,FL,328122432,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,5.8,2.8063636364,2.1509090909
1033488614,SHAFER,DANIELLE,L,PA-C,F,I,196 RENVILLE CT,,HENDERSON,NV,890745878,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,79,71.963670886,8.32,5.8439240506,5.8439240506
1033488614,SHAFER,DANIELLE,L,PA-C,F,I,196 RENVILLE CT,,HENDERSON,NV,890745878,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,17.69,10.126666667,9.8685714286
1033488614,SHAFER,DANIELLE,L,PA-C,F,I,196 RENVILLE CT,,HENDERSON,NV,890745878,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,54.720909091,42.899090909,27.623636364
1033488614,SHAFER,DANIELLE,L,PA-C,F,I,196 RENVILLE CT,,HENDERSON,NV,890745878,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,519.51,69.99,48.01125,47.88875
1033488614,SHAFER,DANIELLE,L,PA-C,F,I,196 RENVILLE CT,,HENDERSON,NV,890745878,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,4334,0.18847485,0.0459298569,0.0360059991,0.0360059991
1033488614,SHAFER,DANIELLE,L,PA-C,F,I,196 RENVILLE CT,,HENDERSON,NV,890745878,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,26,112.96153846,33,25.87,25.87
1033488762,KLUPSHAS,MEGAN,,,F,I,16310 S LINCOLN HWY,,PLAINFIELD,IL,605869006,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,350,32.1,22.515833333,22.08
1033489448,MATHIASON,ANDREA,W,FNP-C,F,I,19875 N 51ST AVE,,GLENDALE,AZ,853085114,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,200,34.945,27.4025,26.72
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,38,103,48.315436893,8.32,6.0786407767,6.0786407767
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,20,31,14.639354839,1.42,1.0429032258,1.0429032258
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,307.99909091,89.209090909,63.784545455,61.684090909
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,55,121.92872727,33.821272727,25.093818182,24.502363636
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,98,49.814285714,20.265612245,14.085,12.778979592
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,17,63,43.589365079,15.57015873,10.556190476,10.23984127
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,18,32,32,158.7021875,58.7553125,41.04875,37.8334375
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,25,34,34,56.079705882,18.574705882,12.907058824,12.408235294
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,24,48,48,56.606041667,12.472916667,9.215,8.55125
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,25,55,280,9.2934642857,2.1242857143,1.57625,1.5021785714
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,14,14,20.986428571,6.2192857143,4.8821428571,4.6564285714
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,12,16,16,36.761875,13.358125,9.821875,9.69375
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,60,62.123166667,19.7765,14.326333333,13.2515
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,48.31,37.580909091,37.354545455
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,836.5275,836.5275
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1561.02,1074.31,842.26,842.26
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,291.56727273,78.45,55.909090909,55.909090909
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,25.039230769,6.5857692308,4.6438461538,3.3061538462
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,83,92,358.13217391,86.244782609,60.650434783,51.574891304
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,113.67416667,39.35125,24.684166667,23.45875
1033489737,WEBB,LOUISE,E,APRN,F,I,201 PARK ST,,BOWLING GREEN,KY,421011759,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,101.53846154,33,25.87,25.87
1033489794,SELLECK,MARK,A,"M.D., PH.D.",M,I,4650 W SUNSET BLVD,#68,LOS ANGELES,CA,900276062,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,54,18.102962963,7.8733333333,6.1722222222,6.217037037
1033489794,SELLECK,MARK,A,"M.D., PH.D.",M,I,4650 W SUNSET BLVD,#68,LOS ANGELES,CA,900276062,US,Physician/Pulmonary Disease,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7654,7.6573295009,1.32,1.0348837209,1.0069898093
1033489794,SELLECK,MARK,A,"M.D., PH.D.",M,I,4650 W SUNSET BLVD,#68,LOS ANGELES,CA,900276062,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,2446.2666667,868.6,669.02916667,753.25583333
1033489802,KAMINSKI,DONNA,M,DO,F,I,435 SOUTH ST STE 220A,,MORRISTOWN,NJ,079606477,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,104,53.640961538,8.32,6.2720192308,6.2720192308
1033489802,KAMINSKI,DONNA,M,DO,F,I,435 SOUTH ST STE 220A,,MORRISTOWN,NJ,079606477,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,43,15.075813953,1.42,1.113255814,1.113255814
1033490784,SCHORRAN,ERIN,M,FNP,F,I,4940 HAMRICK RD,SN-ADM,CENTRAL POINT,OR,975023072,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,38,47.978947368,8.32,6.3518421053,6.3518421053
1033490834,LARYEA,FIRDAWS,N,PA-C,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,200,34.0475,26.6925,25.3175
1033490891,LENHART,KATIE,R,PA,F,I,100 S MAIN ST,,LENOX,IA,508511240,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,27,55.701851852,8.32,6.5225925926,6.5225925926
1033490891,LENHART,KATIE,R,PA,F,I,100 S MAIN ST,,LENOX,IA,508511240,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,183,67.274166667,52.745833333,37.188333333
1033490891,LENHART,KATIE,R,PA,F,I,100 S MAIN ST,,LENOX,IA,508511240,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,400,98.85,69.108,46.842
1033490891,LENHART,KATIE,R,PA,F,I,100 S MAIN ST,,LENOX,IA,508511240,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,44.745,32.344166667,27.6525
1033493226,DREW,COLIN,T,PA-C,M,I,7350 CHURCH ST,,YUCCA VALLEY,CA,922843246,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,21.517333333,15.874,13.030666667
1033493226,DREW,COLIN,T,PA-C,M,I,7350 CHURCH ST,,YUCCA VALLEY,CA,922843246,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,54.78,5.7931034483,3.5034482759,2.8986206897
1033493226,DREW,COLIN,T,PA-C,M,I,7350 CHURCH ST,,YUCCA VALLEY,CA,922843246,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,502.91138889,86.936666667,60.488333333,48.733055556
1033493226,DREW,COLIN,T,PA-C,M,I,7350 CHURCH ST,,YUCCA VALLEY,CA,922843246,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,2730,1.4769010989,0.1376263736,0.1049230769,0.1049230769
1033493226,DREW,COLIN,T,PA-C,M,I,7350 CHURCH ST,,YUCCA VALLEY,CA,922843246,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,121,33,22.995555556,22.995555556
1033493747,PATEL,KELLY,M,FNP,F,I,3705 MISSION BLVD,,SAN DIEGO,CA,921097104,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,37,61.592972973,8.32,5.227027027,5.227027027
1033493747,PATEL,KELLY,M,FNP,F,I,3705 MISSION BLVD,,SAN DIEGO,CA,921097104,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,18,15.827222222,1.42,0.8655555556,0.8655555556
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,54,54,139.89111111,50.475555556,36.561111111,34.890925926
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,64.14,17.121818182,13.421818182,13.512727273
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,128.24,53.02,41.303125,39.44125
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.3875,14.43,11.32,11.098333333
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,309.98709677,74.840967742,57.068709677,53.202258065
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,109.24,21.838571429,17.122857143,16.352380952
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,47,47,90.82,30.252340426,18.817021277,19.433829787
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,54,54,77.871481481,31.027222222,20.593518519,17.618518519
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,16,82,82,28.248780488,8.6153658537,5.2247560976,5.0486585366
1033493929,ARIRI,ALEX,,NP,M,I,2662 ELMWOOD RD,,ROCKFORD,IL,611031573,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,61.96,36.26,28.43,29.51
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,30,43,43,76.73627907,40.33372093,30.912790698,30.05744186
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,31,7.915483871,1.47,1.1516129032,1.1516129032
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,428.73578947,90.573157895,62.640526316,59.614210526
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,35,174.80742857,33.73,24.283428571,23.735714286
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,11,21,66,91.91969697,18.03,13.476515152,13.808030303
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,61,55.396557377,15.17,11.503442623,11.503442623
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,25,37,37,235.96324324,58.597027027,42.452972973,40.089189189
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,32,41,41,77.567073171,19.207073171,14.371463415,13.616829268
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,31,59,204,9.3875490196,2.1301470588,1.639754902,1.5610784314
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,21,25,25,38.8716,13.8212,10.836,10.48
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,84,86,84.953837209,19.31244186,14.47872093,13.25627907
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,835.57909091,835.57909091
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,16,64,64,47.38671875,13.4025,10.509375,10.13015625
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,83,83,42.75,4.9620481928,3.7642168675,3.5610843373
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,17,88,88,168.27522727,38.878181818,30.204545455,27.001704545
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,27,205,217,498.59087558,75.341751152,55.862165899,52.20078341
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,77,78,250,37.389871795,28.832051282,28.854358974
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,15.58,9.644,7.4014777778,7.4014777778
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,1740,14.884293103,11.138241379,8.7324310345,8.7324310345
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,20,68,10003,0.2752274318,0.0465770269,0.0346646006,0.0346646006
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2418,1.6058064516,0.1361827957,0.104516129,0.104516129
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1020,12.86,2.9791176471,2.3356372549,2.3356372549
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1260,0.75,0.2192142857,0.1718571429,0.1718571429
1033494455,JOSEPH,MANEESHA,T,FNP,F,I,1302 FRANKLIN AVE,SUITE 3400,NORMAL,IL,617613551,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,21,76,76,106.97368421,33,24.848815789,24.848815789
1033494794,WILSON,MANDY,C,N.P.,F,I,1373 E SR 62,,MADISON,IN,47250,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,19,67.298421053,8.32,5.8368421053,5.8368421053
1033494794,WILSON,MANDY,C,N.P.,F,I,1373 E SR 62,,MADISON,IN,47250,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,23.251428571,18.227142857,14.39
1033494794,WILSON,MANDY,C,N.P.,F,I,1373 E SR 62,,MADISON,IN,47250,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,519.51,110.155,86.365,60.805
1033494794,WILSON,MANDY,C,N.P.,F,I,1373 E SR 62,,MADISON,IN,47250,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,975,0.9969641026,0.1436615385,0.1103179487,0.1103179487
1033494794,WILSON,MANDY,C,N.P.,F,I,1373 E SR 62,,MADISON,IN,47250,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,78.692307692,33,23.88,23.88
1033494810,SHERMAN,NATHANIEL,T,PA-C,M,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,78,61.8,8.32,5.6211538462,5.6211538462
1033494893,ROBINSON,TAMMIE,L,FNP,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1320,5.2244545455,0.553,0.391719697,0.391719697
1033494893,ROBINSON,TAMMIE,L,FNP,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,10.748571429,10.748571429
1033494901,POLZIN,JULIE,M,"RN, NP-C",F,I,107 E OAK AVE,SUITE 201,FLAGSTAFF,AZ,860011818,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,25,68.964,17.27,11.9152,11.9152
1033494901,POLZIN,JULIE,M,"RN, NP-C",F,I,107 E OAK AVE,SUITE 201,FLAGSTAFF,AZ,860011818,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,25,396.604,68.78,48.0544,48.8712
1033495890,BLACK,KEITH,R,D.O.,M,I,8600 E MARKET ST,SUITE 8,WARREN,OH,444842375,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,4430.1,1074.31,786.10933333,786.10933333
1033495890,BLACK,KEITH,R,D.O.,M,I,8600 E MARKET ST,SUITE 8,WARREN,OH,444842375,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,50.311666667,45.1375
1033495890,BLACK,KEITH,R,D.O.,M,I,8600 E MARKET ST,SUITE 8,WARREN,OH,444842375,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,146.25,20.3125,14.7,13.098333333
1033496161,ORGAIN,JESLYN,H,APRN-FAMILY,F,I,102 S 2ND ST,,EUNICE,LA,705354608,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,41,30.842195122,8.32,4.932195122,4.932195122
1033496443,HAMID,SYED ALI,,M.B.B.S,M,I,4755 OGLETOWN STANTON ROAD,CHRISTIANA CARE HOSPITAL,NEWARK,DE,19718,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,161.25,19.71,15.45,15.45
1033496443,HAMID,SYED ALI,,M.B.B.S,M,I,4755 OGLETOWN STANTON ROAD,CHRISTIANA CARE HOSPITAL,NEWARK,DE,19718,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,17,44,246.59090909,37.38,29.306136364,29.306136364
1033496443,HAMID,SYED ALI,,M.B.B.S,M,I,4755 OGLETOWN STANTON ROAD,CHRISTIANA CARE HOSPITAL,NEWARK,DE,19718,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,462,76.227727273,1.5197402597,1.1913852814,1.1913852814
1033496625,DELK,CANDICE,M,D.O.,F,I,35 COLLIER RD NW,SUITE 635,ATLANTA,GA,303091613,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,84,86,72.11372093,17.559651163,13.448488372,13.221744186
1033496625,DELK,CANDICE,M,D.O.,F,I,35 COLLIER RD NW,SUITE 635,ATLANTA,GA,303091613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,90,92,403.4648913,77.071521739,59.063586957,54.348913043
1033497094,ROHAN,VINAYAK,S,M.D,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,83,118,48240,4.4784216418,0.5748594527,0.4342696932,0.4460315091
1033497094,ROHAN,VINAYAK,S,M.D,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,81,138,32925,0.0449227031,0.0130068337,0.0097779803,0.0097983295
1033497094,ROHAN,VINAYAK,S,M.D,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,75,116,24812,4.6098629695,1.2264754957,0.9260454619,0.9379836369
1033497094,ROHAN,VINAYAK,S,M.D,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,1,43,43,43,50,50,39.2,39.2
1033497094,ROHAN,VINAYAK,S,M.D,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,78,129,129,24,24,18.244496124,18.244496124
1033497094,ROHAN,VINAYAK,S,M.D,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,95,201,252,16,16,12.340952381,12.340952381
1033497318,SHAH,SHIKHA,,M.D.,F,I,106 ENTERPRISE CT,SUITE A,COLUMBUS,GA,319049227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,36,54.068333333,8.32,6.3408333333,6.3408333333
1033497367,LONGSTROTH,DAVID,E,M.D.,M,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,55.54,3.4865,2.739,3.471
1033497557,HAGLER,JORDAN,D,O.D.,M,I,1005 S RANGE AVE,STE 100,COLBY,KS,677013537,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,61.944444444,61.85,45.708888889,49.876666667
1033497771,FAGBOHUN,JOSEPH,D,"DNP,APRN,FNP-BC,NP-C",M,I,112 N 7TH ST,,CHAMBERSBURG,PA,172011720,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62,26.185454545,18.783636364,11.909090909
1033497896,COX,LINDSAY,K,ARNP,F,I,1518 MULBERRY AVE,,MUSCATINE,IA,527613433,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,24,64,97,68.235670103,8.32,4.6190721649,4.6190721649
1033497896,COX,LINDSAY,K,ARNP,F,I,1518 MULBERRY AVE,,MUSCATINE,IA,527613433,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,19,21,15.662380952,1.42,0.7457142857,0.7457142857
1033498118,ULLAH,SYED,Z,MD,M,I,2536 LAWRENCEVILLE HWY,,DECATUR,GA,300333227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,41,91,61.611758242,8.32,5.8775824176,5.8775824176
1033498118,ULLAH,SYED,Z,MD,M,I,2536 LAWRENCEVILLE HWY,,DECATUR,GA,300333227,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,19,8.3878947368,1.42,1.1126315789,1.1126315789
1033498118,ULLAH,SYED,Z,MD,M,I,2536 LAWRENCEVILLE HWY,,DECATUR,GA,300333227,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,75.56,47.283333333,43.525
1033498167,SARSWAT,NITASHA,,MD,F,I,180 HARVESTER DR,SUITE 110,BURR RIDGE,IL,605277594,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,3300,5.0515848485,0.5572181818,0.3730606061,0.3730606061
1033498167,SARSWAT,NITASHA,,MD,F,I,180 HARVESTER DR,SUITE 110,BURR RIDGE,IL,605277594,US,Physician/Cardiovascular Disease (Cardiology),S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1980,3.0588333333,0.7363636364,0.5773131313,0.5773131313
1033498167,SARSWAT,NITASHA,,MD,F,I,180 HARVESTER DR,SUITE 110,BURR RIDGE,IL,605277594,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,24,24,18.82,18.82
1033498167,SARSWAT,NITASHA,,MD,F,I,180 HARVESTER DR,SUITE 110,BURR RIDGE,IL,605277594,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,16,16,11.345714286,11.345714286
1033498175,PRZYSZLAK,KATARZYNA,A,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,169.28,54.1825,42.476666667,39.143333333
1033498175,PRZYSZLAK,KATARZYNA,A,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,86.31,20.263888889,14.377222222,12.361666667
1033498175,PRZYSZLAK,KATARZYNA,A,MD,F,I,58 16TH ST,,WHEELING,WV,260033660,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,519.51,88.0975,63.252,50.9665
1033498266,ASGHAR,RABIA,,M.D.,F,I,350 W CARPENTER ST,,SPRINGFIELD,IL,627024902,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,28,59,278,78.103165468,8.32,6.0534892086,6.0534892086
1033498266,ASGHAR,RABIA,,M.D.,F,I,350 W CARPENTER ST,,SPRINGFIELD,IL,627024902,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,32,61,15.259180328,1.42,1.0959016393,1.0959016393
1033498266,ASGHAR,RABIA,,M.D.,F,I,350 W CARPENTER ST,,SPRINGFIELD,IL,627024902,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,795.95909091,251.11,196.87,196.87
1033498456,THOTTAN,ANNA,P,MD,F,I,24035 THREE NOTCH RD,,HOLLYWOOD,MD,206364871,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,53,104,539,71.589499072,8.32,6.1050834879,6.1050834879
1033498456,THOTTAN,ANNA,P,MD,F,I,24035 THREE NOTCH RD,,HOLLYWOOD,MD,206364871,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.11,3.38,2.65,2.65
1033498456,THOTTAN,ANNA,P,MD,F,I,24035 THREE NOTCH RD,,HOLLYWOOD,MD,206364871,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,28,44,115,15.649043478,1.42,1.0447826087,1.0447826087
1033498472,MEHROTRA,ANURAG,,M.D.,M,I,6025 WALNUT GROVE RD STE 508,,MEMPHIS,TN,38120,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,27.288461538,18.655384615,14.63,14.122307692
1033498472,MEHROTRA,ANURAG,,M.D.,M,I,6025 WALNUT GROVE RD STE 508,,MEMPHIS,TN,38120,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,19,60,4.4358333333,2.104,1.6485,1.5948333333
1033498472,MEHROTRA,ANURAG,,M.D.,M,I,6025 WALNUT GROVE RD STE 508,,MEMPHIS,TN,38120,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,9.7138461538,6.28,4.9238461538,4.6723076923
1033498472,MEHROTRA,ANURAG,,M.D.,M,I,6025 WALNUT GROVE RD STE 508,,MEMPHIS,TN,38120,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,12,31,31,90.288387097,41.133548387,32.254193548,31.181935484
1033498472,MEHROTRA,ANURAG,,M.D.,M,I,6025 WALNUT GROVE RD STE 508,,MEMPHIS,TN,38120,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,15,257.332,98.112,76.921333333,72.203333333
1033498480,REED,TAMARA,,FNP,F,I,2158 INTELLIPLEX DR,SUITE 200,SHELBYVILLE,IN,461768548,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,72,58.115277778,8.32,6.5222222222,6.5222222222
1033498480,REED,TAMARA,,FNP,F,I,2158 INTELLIPLEX DR,SUITE 200,SHELBYVILLE,IN,461768548,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,56,56,31.029642857,6.0526785714,4.7444642857,3.80375
1033499108,HUBBARD,MAYRA,,PA.,F,I,1377 S GRAND AVE,,GLENDORA,CA,917405047,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,53,85.267358491,8.32,5.5073584906,5.5073584906
1033499371,IQBAL,AHSAN,,M.D.,M,I,320 EAST NORTH AVENUE,,PITTSBURGH,PA,15212,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,30.42,16.08,12.6,13.53
1033499371,IQBAL,AHSAN,,M.D.,M,I,320 EAST NORTH AVENUE,,PITTSBURGH,PA,15212,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,180.92,77.18,60.51,54.72
1033499876,SGAMBELLONE,LISA,K,CNP,F,I,629 N SANDUSKY AVE,,BUCYRUS,OH,448201821,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,167.93,64.048235294,47.200588235,36.613529412
1033499876,SGAMBELLONE,LISA,K,CNP,F,I,629 N SANDUSKY AVE,,BUCYRUS,OH,448201821,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,59,62,47.339193548,18.277903226,14.32983871,13.732258065
1033499876,SGAMBELLONE,LISA,K,CNP,F,I,629 N SANDUSKY AVE,,BUCYRUS,OH,448201821,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,3639.468,1074.31,836.40733333,836.40733333
1033499876,SGAMBELLONE,LISA,K,CNP,F,I,629 N SANDUSKY AVE,,BUCYRUS,OH,448201821,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,43.434782609,6.0408695652,4.7404347826,3.7717391304
1033499876,SGAMBELLONE,LISA,K,CNP,F,I,629 N SANDUSKY AVE,,BUCYRUS,OH,448201821,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,148,151,272.11622517,81.691125828,61.609933775,53.165430464
1033499876,SGAMBELLONE,LISA,K,CNP,F,I,629 N SANDUSKY AVE,,BUCYRUS,OH,448201821,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,75,75,66.077066667,41.3232,30.765866667,28.023066667
1033499942,DIEP,DEEDEE,T,D.O.,F,I,3000 HOSPITAL BLVD,2ND FLOOR,ROSWELL,GA,300764915,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,428.49230769,75.56,54.683076923,51.560769231
1033500483,KIM,DEBORAH,,,F,I,4618 FOUNTAIN AVE,,LOS ANGELES,CA,900291977,US,Clinic/Center,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,40,74,77.677297297,8.32,3.54,3.54
1033500483,KIM,DEBORAH,,,F,I,4618 FOUNTAIN AVE,,LOS ANGELES,CA,900291977,US,Clinic/Center,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,27,30,11.647666667,1.42,0.6336666667,0.6336666667
1033500517,COOPER,ABBEY,,CRNP,F,I,342 COX BLVD,,SHEFFIELD,AL,356604020,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,20,7.2881818182,5.7127272727,3.5327272727
1033500517,COOPER,ABBEY,,CRNP,F,I,342 COX BLVD,,SHEFFIELD,AL,356604020,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.23,50.471666667,50.16
1033500673,JOHNSON,GAYLA,D,FNP,F,I,7301 ROGERS AVE,,FORT SMITH,AR,729034100,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3743.3333333,2539.0683333,1986.3183333,1986.3183333
1033501036,NELSON,KELLI,,ARNP,F,I,200 SE HOSPITAL AVE,,STUART,FL,349942346,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,443.43619048,78.505714286,61.549047619,54.727142857
1033501481,HEWETT,HALL,,FNP-BC,M,I,2429 TRAUTNER DR,,SAGINAW,MI,486049596,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,49,129,55.278682171,8.32,5.8135658915,5.8135658915
1033501481,HEWETT,HALL,,FNP-BC,M,I,2429 TRAUTNER DR,,SAGINAW,MI,486049596,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,38,48,15.554375,1.42,0.9079166667,0.9079166667
1033501481,HEWETT,HALL,,FNP-BC,M,I,2429 TRAUTNER DR,,SAGINAW,MI,486049596,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,64,7.031875,2.9475,2.31125,1.62578125
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,32,32,79.41,44.0471875,34.529375,31.7259375
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,338.90526316,97.73,76.619473684,70.556315789
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,18,20,20,196.112,63.511,49.792,45.5745
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,32,32,32,59.85,20.4859375,16.055625,14.5984375
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,31,77,7.4945454545,2.6123376623,2.0479220779,1.8018181818
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,302.95,107.40416667,84.20625,74.275
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,26,26,26,408,154.71576923,121.30115385,107.53230769
1033501564,NEWELL,KRISTEN,E,"RN, BSN",F,I,87 MCGREGOR ST,,MANCHESTER,NH,031023765,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,21,73,73,206.3330137,43.610410959,34.188356164,29.562191781
1033501903,LAYER-KELLY,DIANNE,,NP,F,I,600 COMMUNITY DR,,MANHASSET,NY,110303802,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,138.02,44.4025,34.810625,36.46
1033501903,LAYER-KELLY,DIANNE,,NP,F,I,600 COMMUNITY DR,,MANHASSET,NY,110303802,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,134.38,51.785714286,40.597142857,41.944285714
1033503230,ALTENBURGER,ALLISON,M,"APRN, NP-C",F,I,131 BRIDGE ST,,NAUGATUCK,CT,067702929,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,41,78.190243902,8.32,6.2036585366,6.2036585366
1033503230,ALTENBURGER,ALLISON,M,"APRN, NP-C",F,I,131 BRIDGE ST,,NAUGATUCK,CT,067702929,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,27.028125,10.95,8.58,8.94
1033503305,GLOVER,JERWONNA,,FNP,F,I,3008 N DOBSON RD STE 2,,CHANDLER,AZ,852241295,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,16,70,78.429571429,8.32,4.939,4.939
1033503560,PATEL,SWATI,B,PA-C,F,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023674,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,15.258333333,11.023333333,12.9225
1033504899,CHAMBERS,AMANDA,L,ARNP,F,I,1555 E OAKLAND PARK BLVD,,OAKLAND PARK,FL,33334,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,71,71,71,1515.0921127,1313.9673239,981.10887324,837.45957746
1033504899,CHAMBERS,AMANDA,L,ARNP,F,I,1555 E OAKLAND PARK BLVD,,OAKLAND PARK,FL,33334,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,37,37,41,812.36439024,733.50365854,559.92365854,465.47682927
1033504899,CHAMBERS,AMANDA,L,ARNP,F,I,1555 E OAKLAND PARK BLVD,,OAKLAND PARK,FL,33334,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,37,37,41,152.90707317,106.27902439,79.272195122,84.864390244
1033504899,CHAMBERS,AMANDA,L,ARNP,F,I,1555 E OAKLAND PARK BLVD,,OAKLAND PARK,FL,33334,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,20,21,31,532.6916129,468.67032258,358.18,356.13129032
1033504899,CHAMBERS,AMANDA,L,ARNP,F,I,1555 E OAKLAND PARK BLVD,,OAKLAND PARK,FL,33334,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,20,20,20,889.673,730.826,569.9065,565.463
1033505516,KOEBELE,CHRIS,R,MD,M,I,2500 HOSPITAL DR,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,19,86.31,17.29,13.55,13.537368421
1033505516,KOEBELE,CHRIS,R,MD,M,I,2500 HOSPITAL DR,,MARTINSBURG,WV,25401,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,19,519.51,70.23,55.06,54.845263158
1033505524,KINNEY,AMANDA,,DO,F,I,1575 E MAIN ST,,DUNCAN,SC,293349218,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,3.08,2.2133064516,2.1740591398
1033505524,KINNEY,AMANDA,,DO,F,I,1575 E MAIN ST,,DUNCAN,SC,293349218,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7516,2.860258116,0.31,0.2339156466,0.2339156466
1033507702,YUENYONGSAGUL,KNOGWAN,,FNP-C,F,I,2927 N 7TH AVE,,PHOENIX,AZ,850134102,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,34,91,68.172967033,8.32,6.3274725275,6.3274725275
1033507702,YUENYONGSAGUL,KNOGWAN,,FNP-C,F,I,2927 N 7TH AVE,,PHOENIX,AZ,850134102,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,27,15.68,1.42,1.0311111111,1.0311111111
1033507702,YUENYONGSAGUL,KNOGWAN,,FNP-C,F,I,2927 N 7TH AVE,,PHOENIX,AZ,850134102,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,84.675454545,66.388181818,67.093636364
1033507702,YUENYONGSAGUL,KNOGWAN,,FNP-C,F,I,2927 N 7TH AVE,,PHOENIX,AZ,850134102,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,200,31.105714286,22.958095238,23.81047619
1033507876,AYROSO,ONOFRE,G,"DNP, AG-ACNP-BC",M,I,2575 E BIDWELL ST STE 210,,FOLSOM,CA,956306446,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,62.256,8.32,5.8705,5.8705
1033507975,WALKER,FRANCES,,"BSN, MSN",F,I,840 W IRVING PARK RD STE 301,,CHICAGO,IL,606133011,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,70,54.633333333,39.977777778,36.543333333
1033507975,WALKER,FRANCES,,"BSN, MSN",F,I,840 W IRVING PARK RD STE 301,,CHICAGO,IL,606133011,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,77.18,50.969166667,46.144166667
1033507975,WALKER,FRANCES,,"BSN, MSN",F,I,840 W IRVING PARK RD STE 301,,CHICAGO,IL,606133011,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,69.647272727,37.404545455,29.320909091,23.587272727
1033507975,WALKER,FRANCES,,"BSN, MSN",F,I,840 W IRVING PARK RD STE 301,,CHICAGO,IL,606133011,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,17.969473684,9.7484210526,6.9178947368,6.1589473684
1033507975,WALKER,FRANCES,,"BSN, MSN",F,I,840 W IRVING PARK RD STE 301,,CHICAGO,IL,606133011,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,36.96,26.565,27.0625
1033509286,KLINT,PAM,J,N.P,F,I,9625 RED ARROW HWY,,BRIDGMAN,MI,491069559,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,47,141,57.962553191,8.314893617,5.7784397163,5.7824113475
1033509286,KLINT,PAM,J,N.P,F,I,9625 RED ARROW HWY,,BRIDGMAN,MI,491069559,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,18,31,14.611612903,1.42,1.0787096774,1.0787096774
1033509286,KLINT,PAM,J,N.P,F,I,9625 RED ARROW HWY,,BRIDGMAN,MI,491069559,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,181.24,44.45,31.530952381,31.92047619
1033509286,KLINT,PAM,J,N.P,F,I,9625 RED ARROW HWY,,BRIDGMAN,MI,491069559,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,43.333333333,17.27,13.54,13.54
1033509286,KLINT,PAM,J,N.P,F,I,9625 RED ARROW HWY,,BRIDGMAN,MI,491069559,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,279.7527027,69.81,54.538378378,54.538378378
1033511159,SOUTHERN-DEVOE,ASHLEY,,NP,F,I,3302 MCINTOSH CIR STE 2,,JOPLIN,MO,648043648,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,27.58,27.58,17.4875,18.1975
1033511159,SOUTHERN-DEVOE,ASHLEY,,NP,F,I,3302 MCINTOSH CIR STE 2,,JOPLIN,MO,648043648,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,4950,0.2350909091,0.13,0.0988383838,0.0988383838
1033511159,SOUTHERN-DEVOE,ASHLEY,,NP,F,I,3302 MCINTOSH CIR STE 2,,JOPLIN,MO,648043648,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,440,2.9609090909,2.27,1.6228181818,1.6228181818
1033511159,SOUTHERN-DEVOE,ASHLEY,,NP,F,I,3302 MCINTOSH CIR STE 2,,JOPLIN,MO,648043648,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,45,6270,2.863923445,2.04,1.5331148325,1.5331148325
1033511159,SOUTHERN-DEVOE,ASHLEY,,NP,F,I,3302 MCINTOSH CIR STE 2,,JOPLIN,MO,648043648,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1860,7.7,7.0932258065,5.4839623656,5.5911989247
1033511159,SOUTHERN-DEVOE,ASHLEY,,NP,F,I,3302 MCINTOSH CIR STE 2,,JOPLIN,MO,648043648,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,32,11.1175,10.93,8.57,8.57
1033511159,SOUTHERN-DEVOE,ASHLEY,,NP,F,I,3302 MCINTOSH CIR STE 2,,JOPLIN,MO,648043648,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,60,7.8133333333,6.48,4.9131666667,5.6608333333
1033511191,NSHIMIYIMANA,REGINE,,,F,I,333 NORTH AVE,APT 28A,SECANE,PA,190183534,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,23.099090909,15.981818182,18.506363636
1033511191,NSHIMIYIMANA,REGINE,,,F,I,333 NORTH AVE,APT 28A,SECANE,PA,190183534,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,7.6345454545,5.2818181818,5.6527272727
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,272,504,505,129.83063366,41.842970297,31.41380198,29.320356436
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,7.7727272727,1.4,1.1,1.1436363636
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,168,313,313,247.96894569,99.688977636,74.585239617,65.224472843
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,158,311,680,93.752,38.145808824,28.944367647,25.192029412
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,106,189,906,52.800695364,20.867306843,16.186368653,14.560231788
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,64,114,554,40.079530686,16.084350181,11.756480144,11.067527076
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,177,325,326,166.6104908,60.535460123,45.66095092,41.480674847
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,301,377,377,52.592811671,19.509151194,14.992625995,13.838938992
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,44,54,54,26.214074074,12.23537037,9.6005555556,8.2537037037
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,63,117,117,58.335641026,11.908034188,8.7141025641,8.4831623932
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,320,603,3487,7.5507800401,2.1838629194,1.6554545455,1.5453254947
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,54,64,64,21.76546875,6.495625,4.93921875,4.5665625
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,140,173,173,34.380982659,15.543699422,11.834739884,10.123468208
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,126,128,56.472421875,18.926875,13.9275,12.77640625
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,57.244666667,42.130666667,35.121333333
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,2239.5042424,1074.31,743.36090909,743.36090909
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,36,178,188,355.37106383,100.81484043,78.161861702,68.480851064
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,19,120,120,719.65316667,234.82358333,182.797,164.12958333
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,1433.7193939,1033.3827273,810.17454545,810.17454545
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,116,117,117,359.78452991,154.03222222,118.75307692,103.41153846
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,14,55,62,58.139354839,15.932580645,12.48983871,10.595967742
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,65,65,26.788615385,4.6776923077,3.3712307692,3.346
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,164,1001,1006,149.34315109,37.968250497,28.887574553,25.315397614
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,29,199,207,342.19922705,88.850241546,66.412801932,53.095652174
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,25,245.2,40.25,31.56,29.592
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,780,13.570423077,9.8243076923,7.7022307692,7.7022307692
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,41,2430,13.941259259,11.236555556,8.7504567901,8.7504567901
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,31,4142,0.2800627716,0.0468928054,0.0346764848,0.0346740705
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,1620,0.8555185185,0.1363518519,0.1069012346,0.1069012346
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,57,3330,11.026429429,3.0008288288,2.3526726727,2.3526726727
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,158.92857143,42.705714286,33.484285714,29.512857143
1033511274,FOX,HEATHER,,"FNP, DNP",F,I,705 6TH AVE W,STE A,HENDERSONVILLE,NC,287394164,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,26,94,94,100.81914894,33,25.044361702,25.044361702
1033511449,MCMELLON,STEPHANIE,,APRN,F,I,201 E OAK AVE,,JONESBORO,AR,724014163,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,165,20.718571429,16.242857143,13.53
1033511449,MCMELLON,STEPHANIE,,APRN,F,I,201 E OAK AVE,,JONESBORO,AR,724014163,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,223.40510204,91.502244898,69.299183673,53.320408163
1033511746,BARNES,MELISSA,,FNP-C,F,I,4501 S CLEAR CREEK RD,,KILLEEN,TX,765494218,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,81.93,18.219090909,14.281818182,14.288181818
1033512116,ALVORD,JONATHAN,D,PA-C,M,I,440 N. NAVAJO DR,,PAGE,AZ,860401625,US,Physician Assistant,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,11.4,7.88,6.1115185185,6.1115185185
1033512868,GUAJARDO,MARIETTA,B,FNP-BC,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,24,58,80.781724138,8.32,6.2977586207,6.2977586207
1033512868,GUAJARDO,MARIETTA,B,FNP-BC,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.09,13.4,13.519166667
1033512868,GUAJARDO,MARIETTA,B,FNP-BC,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,708.50416667,824.31583333
1033512868,GUAJARDO,MARIETTA,B,FNP-BC,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,51.388181818,3.9045454545,2.79,3.1709090909
1033512868,GUAJARDO,MARIETTA,B,FNP-BC,F,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,65.7,47.2175,50.505
1033513502,BALLOU,LAUREN,K,ARNP,F,I,240 W FRONT ST,STE A,PORT ANGELES,WA,983622609,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,39,112,81.494464286,8.32,4.8913392857,4.8913392857
1033513502,BALLOU,LAUREN,K,ARNP,F,I,240 W FRONT ST,STE A,PORT ANGELES,WA,983622609,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,13,33.980769231,1.42,0.7723076923,0.7723076923
1033513502,BALLOU,LAUREN,K,ARNP,F,I,240 W FRONT ST,STE A,PORT ANGELES,WA,983622609,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,76.311315789,21.829473684,16.327894737,12.854473684
1033513502,BALLOU,LAUREN,K,ARNP,F,I,240 W FRONT ST,STE A,PORT ANGELES,WA,983622609,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,56,488.95642857,95.821428571,67.972678571,49.691607143
1033513502,BALLOU,LAUREN,K,ARNP,F,I,240 W FRONT ST,STE A,PORT ANGELES,WA,983622609,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,19.9,19.9
1033513890,COCHRUM,JASON,,,M,I,7909 FREDERICKSBURG RD STE 125,,SAN ANTONIO,TX,782293448,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,3660,0.2358196721,0.13,0.0994617486,0.0994617486
1033513890,COCHRUM,JASON,,,M,I,7909 FREDERICKSBURG RD STE 125,,SAN ANTONIO,TX,782293448,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,21,77,6990,3.6640772532,2.04,1.547193133,1.547193133
1033513890,COCHRUM,JASON,,,M,I,7909 FREDERICKSBURG RD STE 125,,SAN ANTONIO,TX,782293448,US,Nurse Practitioner,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,92,3.7465217391,1.8,1.4101086957,1.4101086957
1033513908,HARGUESS,PENNY,,N.P.,F,I,57725 29 PALMS HWY,SUITE 401,YUCCA VALLEY,CA,922843044,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,54.78,5.8131818182,3.0618181818,2.1509090909
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,49,162,439,78.220523918,8.32,5.6648063781,5.6648063781
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,52,59,19.478983051,1.42,0.9481355932,0.9481355932
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,323.95636364,119.99181818,94.071818182,67.845454545
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,30,140.73933333,43.871333333,33.441,25.055333333
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,72,8.8222222222,2.9738888889,2.2831944444,1.5858333333
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,162.6,6.9313333333,5.1906666667,3.5546666667
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,350.51615385,93.632307692,66.708461538,51.920769231
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,27,6744,0.3331168446,0.0453380783,0.0316518387,0.0316518387
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,2430,1.7959176955,0.1324938272,0.0904197531,0.0904197531
1033514146,SHANNON,SARAH,,APRN,F,I,1107 BELLEFONTE RD,,FLATWOODS,KY,411392503,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,16,40,40,33,33,21.34275,21.34275
1033514187,FISCHER,JODI,,ARNP,F,I,1450 NORTHWEST LN SE STE A,,LACEY,WA,985036908,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,39,111,257,51.772801556,8.32,4.8356420233,4.8356420233
1033514187,FISCHER,JODI,,ARNP,F,I,1450 NORTHWEST LN SE STE A,,LACEY,WA,985036908,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.421818182,3.38,2.1681818182,2.1681818182
1033514187,FISCHER,JODI,,ARNP,F,I,1450 NORTHWEST LN SE STE A,,LACEY,WA,985036908,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,43,60,14.691333333,1.42,0.688,0.688
1033514187,FISCHER,JODI,,ARNP,F,I,1450 NORTHWEST LN SE STE A,,LACEY,WA,985036908,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,31.291818182,29.600909091,9.2409090909,48.015454545
1033514286,HODGDON,LAUREN,E,FNP,F,I,1698 E MCANDREWS RD STE 200,,MEDFORD,OR,97504,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,175,52.318,41.014,42.110666667
1033514286,HODGDON,LAUREN,E,FNP,F,I,1698 E MCANDREWS RD STE 200,,MEDFORD,OR,97504,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,75,19.100869565,14.270869565,14.583478261
1033514286,HODGDON,LAUREN,E,FNP,F,I,1698 E MCANDREWS RD STE 200,,MEDFORD,OR,97504,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,38.1,8.228,5.5015,6.016
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,28,28,88.01,41,29.844285714,28.43
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,297.13263158,94.376315789,68.919473684,63.101052632
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,33,111.52545455,34.776363636,27.264545455,25.918787879
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,44,49.225,20,14.068181818,12.939545455
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,154.43529412,56,41.148235294,40.23
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,23,23,53.871304348,19.487391304,15.28,14.06
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,17,33,126,9.7,2.2977777778,1.6872222222,1.5011904762
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,13,16,16,25.035,13.0225,9.57125,9.705625
1033514401,FRIAS,JENNIFER,,CNP,F,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,188.6,31.31,15.93,15.1288
1033514591,EVANS,LEANN,N,FNP-C,F,I,404 MAIN ST,,NEW AUGUSTA,MS,394620000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,40,47.09075,8.32,5.2175,5.2175
1033515168,DELEAWE,OLAKANMI,J,MD,M,I,100 MERCY WAY,,JOPLIN,MO,648044524,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,46,108.11652174,20.187826087,15.525434783,13.36673913
1033515168,DELEAWE,OLAKANMI,J,MD,M,I,100 MERCY WAY,,JOPLIN,MO,648044524,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,4430.1,1001.46,785.15,837.06818182
1033515168,DELEAWE,OLAKANMI,J,MD,M,I,100 MERCY WAY,,JOPLIN,MO,648044524,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,38.5,4.7305882353,3.7094117647,3.7094117647
1033515168,DELEAWE,OLAKANMI,J,MD,M,I,100 MERCY WAY,,JOPLIN,MO,648044524,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,89,92,389.38130435,87.149347826,66.482717391,53.388586957
1033515168,DELEAWE,OLAKANMI,J,MD,M,I,100 MERCY WAY,,JOPLIN,MO,648044524,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,160,41.6715,31.59725,28.56425
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,31,93,69.665483871,8.32,6.5219354839,6.5219354839
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,17,24,12.74875,1.42,1.115,1.115
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,24.94,18.046153846,12.952307692
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,82.266666667,8.3844444444,6.5719444444,4.2727777778
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,121.46,87.904615385,53.635384615
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4586,0.3732206716,0.0448713476,0.0339773223,0.0339773223
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2639,1.2997082228,0.1362068966,0.1068169761,0.1068169761
1033515614,LAZOTT,TAMMY,R,APRN,F,I,173 MIDDLE ST,,LANCASTER,NH,035843508,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,79.588235294,33,25.109117647,25.109117647
1033515846,ARAGON,FELICIA,E,PA-C,F,I,127 SANDOVAL RD SW,,LOS LUNAS,NM,87031,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,58,62.748965517,8.32,3.8236206897,3.8236206897
1033515846,ARAGON,FELICIA,E,PA-C,F,I,127 SANDOVAL RD SW,,LOS LUNAS,NM,87031,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,605.37,86.09,65.095625,53.133125
1033515846,ARAGON,FELICIA,E,PA-C,F,I,127 SANDOVAL RD SW,,LOS LUNAS,NM,87031,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,117.75,40.83,29.3425,27.050833333
1033515846,ARAGON,FELICIA,E,PA-C,F,I,127 SANDOVAL RD SW,,LOS LUNAS,NM,87031,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,40.83,32.01,29.718333333
1033516315,MURPHY,BRITTNEY,S,APN,F,I,437 ALEXIAN WAY,,SIGNAL MOUNTAIN,TN,37377,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,200,48.747894737,36.309473684,35.231052632
1033516315,MURPHY,BRITTNEY,S,APN,F,I,437 ALEXIAN WAY,,SIGNAL MOUNTAIN,TN,37377,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,60.84,17.96,14.08,13.568421053
1033516315,MURPHY,BRITTNEY,S,APN,F,I,437 ALEXIAN WAY,,SIGNAL MOUNTAIN,TN,37377,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,438.81714286,86.17,64.342857143,52.734761905
1033516315,MURPHY,BRITTNEY,S,APN,F,I,437 ALEXIAN WAY,,SIGNAL MOUNTAIN,TN,37377,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,103.715,34.928636364,25.065454545,18.145454545
1033516315,MURPHY,BRITTNEY,S,APN,F,I,437 ALEXIAN WAY,,SIGNAL MOUNTAIN,TN,37377,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,347.41114286,42.996857143,33.707142857,27.984
1033516315,MURPHY,BRITTNEY,S,APN,F,I,437 ALEXIAN WAY,,SIGNAL MOUNTAIN,TN,37377,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,35.68375,10.7825,7.8925,6.159375
1033516372,NICHOLSON,JACOB,,N.P.,M,I,890 OAK ST SE,,SALEM,OR,973013905,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,500,8.09928,5.6392,4.14596,4.225
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,39,69.448205128,8.32,3.3935897436,3.3935897436
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,63.505555556,22.313333333,14.831111111,11.435555556
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,25,8.4655555556,6.4559259259,3.7259259259
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,463.75,109.12727273,85.559090909,56.570909091
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1530,1.3927124183,0.1390196078,0.1089934641,0.1089934641
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,11.266666667,8.8341666667,6.9383333333
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,600,196.01416667,141.71416667,108.65583333
1033516935,EYER,KELLY,S,FNP-BC,F,I,117 E MARKET ST,,OLNEY,IL,624502241,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,67.941176471,33,25.87,25.87
1033517669,KUSCAVAGE,KATHRYN,,PA-C,F,I,106 PARK PLACE BLVD STE C,,DAVENPORT,FL,33837,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,33,94,62.156595745,8.32,6.3268085106,6.3268085106
1033517669,KUSCAVAGE,KATHRYN,,PA-C,F,I,106 PARK PLACE BLVD STE C,,DAVENPORT,FL,33837,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,16,10.925625,1.42,1.04625,1.04625
1033518782,APANASYUK,ANASTASIYA,,PA-C,F,I,1305 YORK AVENUE,12TH FLOOR,NEW YORK,NY,100215663,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,11,31,1912,88.4758159,4.3453242678,3.3074476987,3.3074476987
1033518782,APANASYUK,ANASTASIYA,,PA-C,F,I,1305 YORK AVENUE,12TH FLOOR,NEW YORK,NY,100215663,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,24,24,18.82,18.82
1033518782,APANASYUK,ANASTASIYA,,PA-C,F,I,1305 YORK AVENUE,12TH FLOOR,NEW YORK,NY,100215663,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,16.571428571,16,12.54,12.54
1033518881,SCHOCH,ALISON,,,F,I,282 BENEDICT AVE STE B,,NORWALK,OH,448572712,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,3240,6.9321728395,0.5724074074,0.3661481481,0.3661450617
1033518881,SCHOCH,ALISON,,,F,I,282 BENEDICT AVE STE B,,NORWALK,OH,448572712,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,2820,4.4368368794,1.1639148936,0.9070248227,0.9070248227
1033518881,SCHOCH,ALISON,,,F,I,282 BENEDICT AVE STE B,,NORWALK,OH,448572712,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,24,24,17.712941176,17.712941176
1033518881,SCHOCH,ALISON,,,F,I,282 BENEDICT AVE STE B,,NORWALK,OH,448572712,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,33,16,16,11.78,11.78
1033519178,ARMITAGE,SHERRY,L,CNP,F,I,25651 DETROIT RD,SUITE 304,WESTLAKE,OH,441452415,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,244.24,78,58.370454545,54.868636364
1033519178,ARMITAGE,SHERRY,L,CNP,F,I,25651 DETROIT RD,SUITE 304,WESTLAKE,OH,441452415,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,69.7,36,26.937272727,27.714090909
1033519392,KIDDER,JOELLE,M,PA-C,F,I,1150 N INDIAN CANYON DR,,PALM SPRINGS,CA,92262,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,12.26,9.4781818182,7.4281818182,7.0890909091
1033519442,HYNES,MELANIE,S,N.P.,F,I,700 S STANFIELD RD STE A,,TROY,OH,45373,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,52,66.63,8.32,6.2482692308,6.2482692308
1033519442,HYNES,MELANIE,S,N.P.,F,I,700 S STANFIELD RD STE A,,TROY,OH,45373,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,4575,0.17,0.0453136612,0.0325071038,0.0325071038
1033519442,HYNES,MELANIE,S,N.P.,F,I,700 S STANFIELD RD STE A,,TROY,OH,45373,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,24.145333333,24.145333333
1033519525,GROSHEL,CARLA,,PA-C,F,I,225 CLEARFIELD AVE,,VA BEACH,VA,234621815,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,1479,6.9007099391,1.83,1.4346855984,1.5993441515
1033519525,GROSHEL,CARLA,,PA-C,F,I,225 CLEARFIELD AVE,,VA BEACH,VA,234621815,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1491,9.8278672032,7.0086720322,5.3985781355,5.4679879276
1033519558,HOLDREN,KARA,,,F,I,10003 WEBSTER RD,,CAMDEN ON GAULEY,WV,262087713,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,33,85,69.322941176,8.32,5.4469411765,5.4469411765
1033519558,HOLDREN,KARA,,,F,I,10003 WEBSTER RD,,CAMDEN ON GAULEY,WV,262087713,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,17.281176471,1.42,0.7882352941,0.7882352941
1033519558,HOLDREN,KARA,,,F,I,10003 WEBSTER RD,,CAMDEN ON GAULEY,WV,262087713,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,8.5159259259,6.9503703704,5.0759259259,3.5792592593
1033519558,HOLDREN,KARA,,,F,I,10003 WEBSTER RD,,CAMDEN ON GAULEY,WV,262087713,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,424.73619048,100.9352381,79.135714286,56.656666667
1033519558,HOLDREN,KARA,,,F,I,10003 WEBSTER RD,,CAMDEN ON GAULEY,WV,262087713,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,250,44.745,35.0825,29.515833333
1033520002,ROMERO LOPEZ,ADAN DE JESUS,,MD,M,I,9001 SOUTH H ST,CLINICA SIERRA VISTA,BAKERSFIELD,CA,93307,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,44,74.704318182,8.32,6.2240909091,6.2240909091
1033520002,ROMERO LOPEZ,ADAN DE JESUS,,MD,M,I,9001 SOUTH H ST,CLINICA SIERRA VISTA,BAKERSFIELD,CA,93307,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,19,15.178947368,1.42,1,1
1033520325,MEILLIER,ANDREW,,M.D.,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,60,18.065,13.335,12.763888889
1033520325,MEILLIER,ANDREW,,M.D.,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,431.09352941,72.08,52.995294118,51.510588235
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,64,198,384,49.78671875,8.32,5.0991666667,5.0991666667
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,13.896363636,3.38,2.65,2.65
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,54,94,115,11.855043478,1.42,0.9130434783,0.9130434783
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,3.874,1.452,1.8826666667
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,14,25,25,25,26.0192,24.4956,15.6836,52.0096
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,115,59.055833333,41.295833333,43.105833333
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,65,17.774,9.9025714286,10.197714286
1033520820,STORM,RASHILDA,A,"MSN, AGPCNP-BC",F,I,857 W CHILDS AVE,GERIATRICS,MERCED,CA,953416862,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,24.022142857,24.022142857
1033521000,SANSKY,MICHELLE,L,DO,F,I,42 SUMMER ST STE 301,,PITTSFIELD,MA,012014652,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,130,43.931818182,21.4,23.204545455
1033521000,SANSKY,MICHELLE,L,DO,F,I,42 SUMMER ST STE 301,,PITTSFIELD,MA,012014652,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,196.93333333,102.61833333,75.474166667,63.669166667
1033521778,LAMANCUSO,KATE,,MD,F,I,3 TIMBER LN,,SOUTH BURLINGTON,VT,054037205,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,62.599166667,16.2925,12.7725,14.080833333
1033521901,SCHWECKE,ANNA,J,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1020,2.1492058824,0.1340588235,0.1051176471,0.1051176471
1033522131,BAILEY,RACHEAL,N,NP,F,I,2707 KALISTE SALOOM RD,,LAFAYETTE,LA,705087139,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,32,32,49.3340625,48.095625,36.209375,34.8903125
1033522131,BAILEY,RACHEAL,N,NP,F,I,2707 KALISTE SALOOM RD,,LAFAYETTE,LA,705087139,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,155.66105263,154.29526316,120.96631579,116.79368421
1033522131,BAILEY,RACHEAL,N,NP,F,I,2707 KALISTE SALOOM RD,,LAFAYETTE,LA,705087139,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4.59,4.4409090909,3.0727272727,3.0727272727
1033522131,BAILEY,RACHEAL,N,NP,F,I,2707 KALISTE SALOOM RD,,LAFAYETTE,LA,705087139,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,45.552631579,45.366315789,35.567894737,34.026315789
1033522131,BAILEY,RACHEAL,N,NP,F,I,2707 KALISTE SALOOM RD,,LAFAYETTE,LA,705087139,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,31.37,30.697857143,24.068571429,23.26
1033522131,BAILEY,RACHEAL,N,NP,F,I,2707 KALISTE SALOOM RD,,LAFAYETTE,LA,705087139,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,94,94,20.027340426,19.553829787,14.47106383,13.313510638
1033522131,BAILEY,RACHEAL,N,NP,F,I,2707 KALISTE SALOOM RD,,LAFAYETTE,LA,705087139,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,8.15,7.97,5.2083333333,5.1333333333
1033522404,PIRAYESH,FARNAZ,,D.O,F,I,5075 S BRADLEY RD STE 131,,SANTA MARIA,CA,934555077,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,58,138,85.229347826,8.32,6.2387681159,6.2387681159
1033522404,PIRAYESH,FARNAZ,,D.O,F,I,5075 S BRADLEY RD STE 131,,SANTA MARIA,CA,934555077,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,12.034166667,1.42,1.025,1.025
1033522404,PIRAYESH,FARNAZ,,D.O,F,I,5075 S BRADLEY RD STE 131,,SANTA MARIA,CA,934555077,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,86.31,17.09,13.4,13.53
1033522404,PIRAYESH,FARNAZ,,D.O,F,I,5075 S BRADLEY RD STE 131,,SANTA MARIA,CA,934555077,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,519.51,65.7,51.51,54.408
1033522404,PIRAYESH,FARNAZ,,D.O,F,I,5075 S BRADLEY RD STE 131,,SANTA MARIA,CA,934555077,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1800,0.94575,0.1388333333,0.1088722222,0.1088722222
1033522404,PIRAYESH,FARNAZ,,D.O,F,I,5075 S BRADLEY RD STE 131,,SANTA MARIA,CA,934555077,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,126.17647059,33,25.87,25.87
1033522685,SOUDAGAR,AZHARUDDIN,M,M.D.,M,I,2400 UNSER BLVD SE,,RIO RANCHO,NM,87124,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,42.447368421,20.645263158,15.42,12.822105263
1033522685,SOUDAGAR,AZHARUDDIN,M,M.D.,M,I,2400 UNSER BLVD SE,,RIO RANCHO,NM,87124,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,256.56894737,94.667368421,70.666315789,51.849473684
1033522784,BULTSMA,BRANDON,,D.P.M.,M,I,43191 DALCOMA DR STE 105,,CLINTON TOWNSHIP,MI,480386308,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,85.181818182,71.56,54.257272727,54.257272727
1033522784,BULTSMA,BRANDON,,D.P.M.,M,I,43191 DALCOMA DR STE 105,,CLINTON TOWNSHIP,MI,480386308,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,37.424242424,29.19,22.885,22.885454545
1033523030,NETKOWICZ,KRISTY,,DO,F,I,640 ALDEN ST,,MEADVILLE,PA,163352348,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,23.955,18.778333333,18.6625
1033523030,NETKOWICZ,KRISTY,,DO,F,I,640 ALDEN ST,,MEADVILLE,PA,163352348,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,82.363846154,10.535384615,8.2623076923,4.0692307692
1033523089,BRYANT,JENNA,,APRN,F,I,110 N CLIFTON ST,,FORDYCE,AR,717423025,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,70.971875,21.7675,16.13125,13.060625
1033523089,BRYANT,JENNA,,APRN,F,I,110 N CLIFTON ST,,FORDYCE,AR,717423025,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,444.221875,98.09875,73.175625,53.839375
1033523089,BRYANT,JENNA,,APRN,F,I,110 N CLIFTON ST,,FORDYCE,AR,717423025,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,75,26.09,19.800454545,13.693636364
1033523287,PIONK,ELIZABETH,,DO,F,I,1900 COLUMBUS AVE,,BAY CITY,MI,487086831,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,34.513684211,20.744210526,16.262631579,13.849473684
1033523287,PIONK,ELIZABETH,,DO,F,I,1900 COLUMBUS AVE,,BAY CITY,MI,487086831,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,48,21,6.5225,5.0427083333,3.7633333333
1033523287,PIONK,ELIZABETH,,DO,F,I,1900 COLUMBUS AVE,,BAY CITY,MI,487086831,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,206.50315789,91.207894737,71.507894737,56.861578947
1033523527,LANGHOFF,LEIA,,D.O.,F,I,2525 NE 139TH ST STE 130,,VANCOUVER,WA,986862719,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.27,10.155,10.155
1033523527,LANGHOFF,LEIA,,D.O.,F,I,2525 NE 139TH ST STE 130,,VANCOUVER,WA,986862719,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,47.37,28.569166667,29.080833333
1033523584,FITZSIMMONS,CARRIE,,NP,F,I,342 N WATER ST STE 600,,MILWAUKEE,WI,53202,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,140.59,48.778571429,35.055714286,35.033571429
1033523584,FITZSIMMONS,CARRIE,,NP,F,I,342 N WATER ST STE 600,,MILWAUKEE,WI,53202,US,Nurse Practitioner,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,327.63,99.574761905,78.065238095,78.963809524
1033523584,FITZSIMMONS,CARRIE,,NP,F,I,342 N WATER ST STE 600,,MILWAUKEE,WI,53202,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,150,15.43,12.09,13.1
1033523584,FITZSIMMONS,CARRIE,,NP,F,I,342 N WATER ST STE 600,,MILWAUKEE,WI,53202,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,150,31.836363636,24.963636364,24.706363636
1033523584,FITZSIMMONS,CARRIE,,NP,F,I,342 N WATER ST STE 600,,MILWAUKEE,WI,53202,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,57,49.516666667,38.823333333,37.405
1033523584,FITZSIMMONS,CARRIE,,NP,F,I,342 N WATER ST STE 600,,MILWAUKEE,WI,53202,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,28.534736842,8.0673684211,6.32,6.7578947368
1033524590,HAJJARI,JAIME,R,MD,F,I,1260 E STATE ROAD 205,,COLUMBIA CITY,IN,46725,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,17.91,14.04,13.581666667
1033524590,HAJJARI,JAIME,R,MD,F,I,1260 E STATE ROAD 205,,COLUMBIA CITY,IN,46725,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,70.48,55.25,54.764166667
1033524681,IRWIN,DANIEL,,,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,152,31.67,17.072,17.176
1033524681,IRWIN,DANIEL,,,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,400,71.281,55.8815,54.7765
1033524681,IRWIN,DANIEL,,,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,23.9415,9.6666666667,7.5786527778,7.5786527778
1033524681,IRWIN,DANIEL,,,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,1.8655416667,0.13575,0.1064583333,0.1064583333
1033524681,IRWIN,DANIEL,,,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,110,39.02,30.587368421,29.552631579
1033524681,IRWIN,DANIEL,,,M,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1033524863,KORRAPATI,CHAITANYA,,M.D.,M,I,100 E CARROLL ST,,SALISBURY,MD,218015422,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,31,266.84645161,72.697096774,56.996774194,42.659677419
1033524863,KORRAPATI,CHAITANYA,,M.D.,M,I,100 E CARROLL ST,,SALISBURY,MD,218015422,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,89.930833333,24.4475,19.164166667,15.035
1033524863,KORRAPATI,CHAITANYA,,M.D.,M,I,100 E CARROLL ST,,SALISBURY,MD,218015422,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,510.08307692,117.98153846,92.502307692,67.191538462
1033524897,BANTU,SRAVANI,,M.D,F,I,2800 HART ST,APT # 11,CHARLESTON,WV,253041150,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,836.5625,836.5625
1033524970,DARGAN,SUZANNE,C,FNP,F,I,105 W STONE DR STE 1F,,KINGSPORT,TN,37660,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,34.525769231,4.6976923077,3.1207692308,3.1184615385
1033525456,AL WAHSH,EZZADDIN,,M.D.,M,I,311 W I ST,,LOS BANOS,CA,93635,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,41,81,223,55.149013453,8.32,6.404573991,6.404573991
1033525456,AL WAHSH,EZZADDIN,,M.D.,M,I,311 W I ST,,LOS BANOS,CA,93635,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,23,46,65,12.140769231,1.42,1.1156923077,1.1156923077
1033525456,AL WAHSH,EZZADDIN,,M.D.,M,I,311 W I ST,,LOS BANOS,CA,93635,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,49.028181818,38.436363636,39.387272727
1033525456,AL WAHSH,EZZADDIN,,M.D.,M,I,311 W I ST,,LOS BANOS,CA,93635,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,14,14,14,30.68,28.932857143,21.672857143,58.699285714
1033525589,JOYCE,KIMBRA,,DO,F,I,165 S EDWIN C MOSES BLVD,,DAYTON,OH,454028472,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,83.412857143,8.32,3.7285714286,3.7285714286
1033525589,JOYCE,KIMBRA,,DO,F,I,165 S EDWIN C MOSES BLVD,,DAYTON,OH,454028472,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,79.81,16.4225,12.88,14.089166667
1033525837,PUNUKOLLU,SREE RAMYA,,,F,I,2629 N 7TH ST,,SHEBOYGAN,WI,530834932,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,608.18555556,69.81,54.73,54.73
1033525852,RUBIO-REYES,CARLOS,A,M.D.,M,I,900 RAIN FOREST PKWY STE B,,COLUMBIA,MO,652023796,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,24,389.81166667,86.04375,67.458333333,56.435
1033525852,RUBIO-REYES,CARLOS,A,M.D.,M,I,900 RAIN FOREST PKWY STE B,,COLUMBIA,MO,652023796,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2850,0.1981824561,0.0466842105,0.0346561404,0.0346561404
1033525852,RUBIO-REYES,CARLOS,A,M.D.,M,I,900 RAIN FOREST PKWY STE B,,COLUMBIA,MO,652023796,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,114,33,23.518181818,23.518181818
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,33,129,36.378682171,8.32,6.4213953488,6.4213953488
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,42,9.459047619,1.42,1.0873809524,1.0873809524
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,432,200.46296296,5.5,4.3119444444,4.1631944444
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,9.5790909091,7.5072727273,7.5072727273
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,31,32,180.193125,50.633125,39.696875,39.316875
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,701.215,134.221875,98.625,114.34
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,16,207.625,125.05125,98.04375,99.661875
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,97.414827586,17.25,13.053793103,13.073103448
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,31,41,36.769756098,5.6019512195,4.3912195122,3.9773170732
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,28,29,113.98931034,49.255862069,38.612758621,37.284827586
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,47,48,423.66791667,76.10375,58.356666667,53.912916667
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,3480,2.0103965517,0.1342413793,0.0904425287,0.0904425287
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,80.854545455,37.286818182,29.230454545,25.735454545
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,26.648888889,8.1566666667,6.3992592593,7.0711111111
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,548.02,113.31272727,84.27,79.208181818
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,706.67111111,191.67222222,149.76444444,150.74333333
1033526363,WILLIAMS,ROSLYN,,NP,F,I,315 E EISENHOWER PKWY,SUITE 7,ANN ARBOR,MI,481083350,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,33,33,23.8004,23.8004
1033526405,ACEVEDO,VERONICA,,PA-C,F,I,1301 FAYETTEVILLE ST,,DURHAM,NC,277072325,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,25,4.67,3.6625,3.66
1033526413,LOAIZA,DIEGO,,APN,M,I,865 TEANECK RD,,TEANECK,NJ,076664513,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,22,56,110,74.649454545,8.32,5.885,5.885
1033526413,LOAIZA,DIEGO,,APN,M,I,865 TEANECK RD,,TEANECK,NJ,076664513,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,16,38,39,87.313076923,1.42,0.9758974359,0.9758974359
1033526413,LOAIZA,DIEGO,,APN,M,I,865 TEANECK RD,,TEANECK,NJ,076664513,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,18.814545455,18.814545455
1033526793,MORCHESKY,DARREN,,,M,I,330 N BREVARD AVE,,ARCADIA,FL,342664502,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,70.319655172,69.336206897,50.84862069,44.814482759
1033526793,MORCHESKY,DARREN,,,M,I,330 N BREVARD AVE,,ARCADIA,FL,342664502,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,15,65.276,65.199333333,51.121333333,53.902
1033526793,MORCHESKY,DARREN,,,M,I,330 N BREVARD AVE,,ARCADIA,FL,342664502,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,19.942142857,17.588571429,13.79,13.898571429
1033527254,ETHRIDGE,SHANNON,S,NP-C,F,I,555 BLUEBIRD BLVD,,FORT VALLEY,GA,310305083,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,80.2285,8.32,6.524,6.524
1033527254,ETHRIDGE,SHANNON,S,NP-C,F,I,555 BLUEBIRD BLVD,,FORT VALLEY,GA,310305083,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,505.600625,91.319375,68.154375,51.306875
1033527353,KUNDOOR,VISHWA,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,45.885,35.973333333,37.196666667
1033527353,KUNDOOR,VISHWA,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,40.824411765,5.6905882353,3.5782352941,3.0982352941
1033527353,KUNDOOR,VISHWA,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,3722.173913,2557.0395652,1998.4808696,1998.4808696
1033528377,ELLEFSON,JENNIFER,,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,18,38,591,7.5431641286,5.74,4.2715736041,4.2715736041
1033528377,ELLEFSON,JENNIFER,,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,92,2.9744565217,2.5842391304,2.0258695652,2.0258695652
1033528377,ELLEFSON,JENNIFER,,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,22,355,11.036704225,9.86,7.6211267606,7.6211267606
1033528377,ELLEFSON,JENNIFER,,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,190,8.7489473684,7,5.488,5.488
1033528377,ELLEFSON,JENNIFER,,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,620,0.7049193548,0.2658870968,0.1981774194,0.2014032258
1033528377,ELLEFSON,JENNIFER,,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,28,480,3.5211458333,3.04,2.2841041667,2.2841041667
1033528377,ELLEFSON,JENNIFER,,,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,178,5.3193820225,5.2357865169,4.1046067416,4.1046067416
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,51,115,74.114347826,8.32,4.6567826087,4.6567826087
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,18,23,16.55826087,1.42,0.8234782609,0.8234782609
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,123,1.5,1.08,0.8053658537,0.8053658537
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,129,129,90.150852713,22.250465116,16.743023256,13.103875969
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,257.82,45.779333333,35.888666667,24.417333333
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,121,121,531.45892562,101.59818182,77.170495868,53.792066116
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1170,0.92,0.1381025641,0.1059487179,0.1059487179
1033528666,MALSOM,SARA,E,PA-C,F,I,925 W BIRCH,,GLENROCK,WY,82637,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,132,33,24.432777778,24.432777778
1033528773,KUENZLE,KELLY,R,ARNP,F,I,33100 CLEVELAND CLINIC BLVD,,AVON,OH,440111390,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.07,17,13.33,13.54
1033528773,KUENZLE,KELLY,R,ARNP,F,I,33100 CLEVELAND CLINIC BLVD,,AVON,OH,440111390,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,25.685294118,6.2264705882,4.8817647059,3.8917647059
1033528773,KUENZLE,KELLY,R,ARNP,F,I,33100 CLEVELAND CLINIC BLVD,,AVON,OH,440111390,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,244.24,78,61.15,54.73
1033529110,GILMORE,MARIAM,,D.O.,F,I,26520 CACTUS AVE,,MORENO VALLEY,CA,925553927,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,17,11.926842105,12.142105263
1033529110,GILMORE,MARIAM,,D.O.,F,I,26520 CACTUS AVE,,MORENO VALLEY,CA,925553927,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,79.22,57.226842105,50.235263158
1033529433,GURUNG,DHIRAJ,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,51.139090909,10.725454545,8.4027272727,9.1063636364
1033529433,GURUNG,DHIRAJ,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,81,88,66.166022727,17.46,13.054090909,12.916022727
1033529433,GURUNG,DHIRAJ,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,15,84,102,30.297352941,5.7758823529,4.3555882353,3.6638235294
1033529433,GURUNG,DHIRAJ,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,86,92,394.83706522,81.689565217,59.350108696,50.968695652
1033529433,GURUNG,DHIRAJ,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,74.166666667,41.6,29.8925,27.050833333
1033529458,GUNN,LACEY,,"M.D., PH.D.",F,I,2400 EASTPOINT PKWY STE 550,,LOUISVILLE,KY,402234154,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,50,98,63.363469388,8.32,6.0566326531,6.0566326531
1033529458,GUNN,LACEY,,"M.D., PH.D.",F,I,2400 EASTPOINT PKWY STE 550,,LOUISVILLE,KY,402234154,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,21,10.107142857,1.42,1.0628571429,1.0628571429
1033529458,GUNN,LACEY,,"M.D., PH.D.",F,I,2400 EASTPOINT PKWY STE 550,,LOUISVILLE,KY,402234154,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,141.76,32.321818182,25.340909091,25.477272727
1033529557,AL SAMMARRAI,FIRAS,,M.B.CH.B.,M,I,"3001 HOSPITAL DRIVE, 5TH FLOOR","PRINCE GEORGE'S HOSPITAL CENTER, DEPARTMENT OF MEDICINE",CHEVERLY,MD,207851189,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,81.75,13.65,10.7,10.524
1033529557,AL SAMMARRAI,FIRAS,,M.B.CH.B.,M,I,"3001 HOSPITAL DRIVE, 5TH FLOOR","PRINCE GEORGE'S HOSPITAL CENTER, DEPARTMENT OF MEDICINE",CHEVERLY,MD,207851189,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,257.82,33.412,26.194,26.434
1033529649,KADURA,SUHA,,M.D.,F,I,150 55TH ST,,BROOKLYN,NY,112202508,US,Student in an Organized Health Care Education/Training Program,T,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,18.735680556,9.6091666667,7.3343194444,7.3343194444
1033529649,KADURA,SUHA,,M.D.,F,I,150 55TH ST,,BROOKLYN,NY,112202508,US,Student in an Organized Health Care Education/Training Program,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,39.9,33,25.87,25.87
1033530167,VALEK,KATHERINE,B,PA-C,F,I,6565 FRANCE AVE S,SUITE 375,EDINA,MN,554352137,US,Physician Assistant,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,300,7.698,3.8033333333,2.6941333333,2.7699
1033530167,VALEK,KATHERINE,B,PA-C,F,I,6565 FRANCE AVE S,SUITE 375,EDINA,MN,554352137,US,Physician Assistant,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,620,9.1986774194,5.74,4.4393709677,4.4393709677
1033530167,VALEK,KATHERINE,B,PA-C,F,I,6565 FRANCE AVE S,SUITE 375,EDINA,MN,554352137,US,Physician Assistant,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,530,14.769415094,9.86,7.7300754717,7.7300754717
1033530167,VALEK,KATHERINE,B,PA-C,F,I,6565 FRANCE AVE S,SUITE 375,EDINA,MN,554352137,US,Physician Assistant,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,425,9.3016705882,7,5.0296,5.0296
1033530167,VALEK,KATHERINE,B,PA-C,F,I,6565 FRANCE AVE S,SUITE 375,EDINA,MN,554352137,US,Physician Assistant,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,560,4.3662857143,3.04,2.2300535714,2.2300535714
1033530167,VALEK,KATHERINE,B,PA-C,F,I,6565 FRANCE AVE S,SUITE 375,EDINA,MN,554352137,US,Physician Assistant,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,675,0.3149777778,0.27,0.1837333333,0.1837333333
1033530167,VALEK,KATHERINE,B,PA-C,F,I,6565 FRANCE AVE S,SUITE 375,EDINA,MN,554352137,US,Physician Assistant,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,2600,0.0609615385,0.05,0.0301538462,0.0301538462
1033530191,HUNT,DARREN,J,"RN, MSN, ACNP-BC",M,I,1250 E MARSHALL ST,,RICHMOND,VA,232985051,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,44.745,35.0825,30.111666667
1033530605,DODDS,BRANDON,T,PA-C,M,I,710 MARION ST,,SEARCY,AR,721434832,US,Physician Assistant,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,234,222.14,174.16266667,172.18466667
1033530605,DODDS,BRANDON,T,PA-C,M,I,710 MARION ST,,SEARCY,AR,721434832,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,19,19,65,53.2,41.71,45.128947368
1033530605,DODDS,BRANDON,T,PA-C,M,I,710 MARION ST,,SEARCY,AR,721434832,US,Physician Assistant,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,22,22,165,154.7,121.28,119.95863636
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,25,39,39,78.223589744,37.331794872,28.995641026,30.198461538
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,34,34,221.08411765,82.961764706,65.042941176,67.757058824
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,45,87.230444444,32.010666667,25.096222222,25.862222222
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,64,45.63046875,17.28125,13.54859375,14.39578125
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,17,27,27,148.26037037,51.077777778,38.408148148,41.157037037
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,35,35,44.386857143,16.713714286,12.726285714,13.632571429
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,47.201111111,11.555,8.5288888889,8.6133333333
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,30,55,318,5.8766981132,1.9535849057,1.5322641509,1.5903144654
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,17,17,15.788823529,5.8758823529,4.6147058824,4.66
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,30.002727273,12,9.41,10.34
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,339.856,130.94,92.436,94.511333333
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,24,121,121,153.12727273,32.026446281,23.045041322,23.819917355
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,213.55,70.75,53.134166667,52.449583333
1033530753,RODRIGUEZ,MAYRA,J,,F,I,7 MARTINDALE RD # 1,,CLIFTON,NJ,070131614,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,35,27.44,29.51
1033530894,SIKES,KATIE,A,NP,F,I,3955 PATIENT CARE DR,SUITE B,LANSING,MI,489114299,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,49,104,654,61.379617737,8.32,6.068853211,6.068853211
1033530894,SIKES,KATIE,A,NP,F,I,3955 PATIENT CARE DR,SUITE B,LANSING,MI,489114299,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.732307692,3.38,2.4461538462,2.4461538462
1033530894,SIKES,KATIE,A,NP,F,I,3955 PATIENT CARE DR,SUITE B,LANSING,MI,489114299,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,26,50,131,13.073740458,1.42,0.9775572519,0.9775572519
1033530894,SIKES,KATIE,A,NP,F,I,3955 PATIENT CARE DR,SUITE B,LANSING,MI,489114299,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,680.66,349.04142857,273.64714286,273.64714286
1033530894,SIKES,KATIE,A,NP,F,I,3955 PATIENT CARE DR,SUITE B,LANSING,MI,489114299,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,371.0532,251.11,196.87,196.87
1033531066,WILLSON,KARLA,J,NP,F,I,1500 E MEDICAL CENTER DR,8TH FLOOR CS MOTT CHILDRENS HOSPITAL,ANN ARBOR,MI,481094259,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,2570,2.607459144,0.5591322957,0.3521400778,0.3521400778
1033531066,WILLSON,KARLA,J,NP,F,I,1500 E MEDICAL CENTER DR,8TH FLOOR CS MOTT CHILDRENS HOSPITAL,ANN ARBOR,MI,481094259,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,28.454545455,24,16.018181818,16.018181818
1033531066,WILLSON,KARLA,J,NP,F,I,1500 E MEDICAL CENTER DR,8TH FLOOR CS MOTT CHILDRENS HOSPITAL,ANN ARBOR,MI,481094259,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,28,19.392857143,16,12.092142857,12.092142857
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,59,181,54.74718232,8.32,6.1264088398,6.1264088398
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,15.184545455,3.38,2.5295454545,2.5295454545
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,22.473333333,2.12,1.3916666667,1.3916666667
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,33,68,16.018970588,1.42,1.0319117647,1.0319117647
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.32,34.841666667,34.841666667
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,33.9775,33.769166667
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,43.810869565,4.497826087,3.2334782609,3.232173913
1033531421,MULL,LISA,L,FNP,F,I,2209 S STERLING ST STE 300,,MORGANTON,NC,286554092,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,70.23,55.06,55.06
1033531546,PATEL,RUSHIN,N,MD,M,I,150 E ROBINSON ST UNIT 3206,,ORLANDO,FL,32801,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,17,12.219166667,12.433333333
1033531546,PATEL,RUSHIN,N,MD,M,I,150 E ROBINSON ST UNIT 3206,,ORLANDO,FL,32801,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,76.59,60.04,54.73
1033531629,JONES,DEBRA,,FNP-C,F,I,12380 PLAZA DR,SUITE 101,PARMA,OH,441301043,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,78,56.054166667,50.704166667
1033531629,JONES,DEBRA,,FNP-C,F,I,12380 PLAZA DR,SUITE 101,PARMA,OH,441301043,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36,25.868333333,27.0775
1033531694,RAMSEY,EMILY,I,FNP,F,I,6800 PALM AVE,STE C,SEBASTOPOL,CA,954724269,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,66.301666667,4.8593333333,3.6766666667,3.5003333333
1033531736,FORD,WANISSA,,FNP-BC,F,I,3752 W 16TH ST,,CHICAGO,IL,606232028,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,46,61.845,8.3058695652,6.5102173913,6.5213043478
1033531736,FORD,WANISSA,,FNP-BC,F,I,3752 W 16TH ST,,CHICAGO,IL,606232028,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,22,14.380909091,1.42,1.1118181818,1.1118181818
1033531942,SETTLEMIRES,SHEILA,G,CFNP-BC,F,I,2427 PROPER ST,,CORINTH,MS,388345394,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,44,70,43.852285714,8.32,5.8194285714,5.8194285714
1033531942,SETTLEMIRES,SHEILA,G,CFNP-BC,F,I,2427 PROPER ST,,CORINTH,MS,388345394,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,930,0.92,0.1310322581,0.0704731183,0.0704731183
1033531942,SETTLEMIRES,SHEILA,G,CFNP-BC,F,I,2427 PROPER ST,,CORINTH,MS,388345394,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,112.2,33,17.309333333,17.309333333
1033532098,ODER,JODI,,APRN-CNP,F,I,800 W LAUREL ST,,INDEPENDENCE,KS,673013211,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,17,39,77,67.540649351,8.3012987013,6.3375324675,6.3522077922
1033532098,ODER,JODI,,APRN-CNP,F,I,800 W LAUREL ST,,INDEPENDENCE,KS,673013211,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,49.7,23.121538462,15.83,11.911538462
1033532098,ODER,JODI,,APRN-CNP,F,I,800 W LAUREL ST,,INDEPENDENCE,KS,673013211,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,164.4955,51.1155,38.78,31.8145
1033532098,ODER,JODI,,APRN-CNP,F,I,800 W LAUREL ST,,INDEPENDENCE,KS,673013211,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,408.57,121.46,95.23,65.98
1033532098,ODER,JODI,,APRN-CNP,F,I,800 W LAUREL ST,,INDEPENDENCE,KS,673013211,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,68.457272727,33.646363636,26.379090909,17.57
1033532098,ODER,JODI,,APRN-CNP,F,I,800 W LAUREL ST,,INDEPENDENCE,KS,673013211,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,203.11727273,159.23909091,119.03
1033532189,RAY,AMIT,H,M.D,M,I,1 EAST NEW YORK AVE,,SOMERS POINT,NJ,08244,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,338.064,69.612,52.458,52.6208
1033532189,RAY,AMIT,H,M.D,M,I,1 EAST NEW YORK AVE,,SOMERS POINT,NJ,08244,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,61.96,38.72,30.36,29.52
1033533278,HEBERT,MARIE,,M.D.,F,I,340 NW MEDICAL LOOP,,ROSEBURG,OR,974711645,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,46,81.588478261,8.32,5.9556521739,5.9556521739
1033533278,HEBERT,MARIE,,M.D.,F,I,340 NW MEDICAL LOOP,,ROSEBURG,OR,974711645,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,92,9.3265217391,2.8060869565,2.1617391304,1.5651086957
1033533278,HEBERT,MARIE,,M.D.,F,I,340 NW MEDICAL LOOP,,ROSEBURG,OR,974711645,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,250.77545455,117.34909091,92.006363636,54.73
1033533278,HEBERT,MARIE,,M.D.,F,I,340 NW MEDICAL LOOP,,ROSEBURG,OR,974711645,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1110,1.1545315315,0.1384054054,0.1085045045,0.1085045045
1033533278,HEBERT,MARIE,,M.D.,F,I,340 NW MEDICAL LOOP,,ROSEBURG,OR,974711645,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,76.3125,33,25.87,25.87
1033534003,CALDRONE,LEWIS,T,FNP,M,I,15051 SHELL POINT BLVD,,FORT MYERS,FL,339081639,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,10,4.2636363636,3.3490909091,3.5636363636
1033534151,COLLINS,DIANA,L,,F,I,148 SAULS ST,,LAKE CITY,SC,295602677,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,32,76,62.919078947,8.32,6.4481578947,6.4481578947
1033534151,COLLINS,DIANA,L,,F,I,148 SAULS ST,,LAKE CITY,SC,295602677,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,15,21,16.137619048,1.42,0.9561904762,0.9561904762
1033534151,COLLINS,DIANA,L,,F,I,148 SAULS ST,,LAKE CITY,SC,295602677,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,18.845714286,4.31,2.9207142857,2.9207142857
1033534151,COLLINS,DIANA,L,,F,I,148 SAULS ST,,LAKE CITY,SC,295602677,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2811,0.3050409107,0.0466346496,0.0326325151,0.0326325151
1033534151,COLLINS,DIANA,L,,F,I,148 SAULS ST,,LAKE CITY,SC,295602677,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,88.6875,33,22.63625,22.63625
1033534334,PATRICK,MARISSA,J,APRN,F,I,14 N MAIN ST,STE 4002,BARRE,VT,056414197,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,25,64,63.2565625,8.32,5.70625,5.70625
1033534342,BERRY,ROSALIND,R,APRN,F,I,275 DRY HILL ROAD,,BECKLEY,WV,25801,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,43,53.372093023,35.3,24.339534884,27.271860465
1033535406,SMITH,SAMANTHA,,FNP,F,I,150 N RENO ST,,LOS ANGELES,CA,900264656,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,23,52,73.441346154,8.32,3.6109615385,3.6109615385
1033535406,SMITH,SAMANTHA,,FNP,F,I,150 N RENO ST,,LOS ANGELES,CA,900264656,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,18,13.423888889,1.42,0.7444444444,0.7444444444
1033535968,KURIA,KEVIN,M,CNP,M,I,2100 MADISON AVE,,GRANITE CITY,IL,620404701,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,49.527692308,18,14.11,13.54
1033535968,KURIA,KEVIN,M,CNP,M,I,2100 MADISON AVE,,GRANITE CITY,IL,620404701,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,282.84538462,79.99,62.71,54.73
1033537378,MIAN,ISTIAQ,H,M.D.,M,I,700 S PARK ST,,MADISON,WI,537151830,US,Hospitalist,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,279.73,48.155,37.755,38.135833333
1033537378,MIAN,ISTIAQ,H,M.D.,M,I,700 S PARK ST,,MADISON,WI,537151830,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,27.3,7.6325,5.9816666667,3.66
1033537493,DE JONG,TYLER,,M.D.,M,I,300 REDONDO AVE,,LONG BEACH,CA,908142651,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,46.14,37.754545455,29.602727273,25.046363636
1033537493,DE JONG,TYLER,,M.D.,M,I,300 REDONDO AVE,,LONG BEACH,CA,908142651,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,50.64,27.144545455,17.186363636,18.968181818
1033537568,CLARK,VALERIE,,FNP,F,I,2741 DEBARR RD,BUILDING C SUITE 307,ANCHORAGE,AK,995082961,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,190,70.417272727,50.548181818,36.350909091
1033537568,CLARK,VALERIE,,FNP,F,I,2741 DEBARR RD,BUILDING C SUITE 307,ANCHORAGE,AK,995082961,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,49.5,6.245,4.3555,2.9295
1033537568,CLARK,VALERIE,,FNP,F,I,2741 DEBARR RD,BUILDING C SUITE 307,ANCHORAGE,AK,995082961,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,10.981818182,7.7718181818,6.34
1033537568,CLARK,VALERIE,,FNP,F,I,2741 DEBARR RD,BUILDING C SUITE 307,ANCHORAGE,AK,995082961,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,395,101.38363636,79.487272727,54.73
1033537568,CLARK,VALERIE,,FNP,F,I,2741 DEBARR RD,BUILDING C SUITE 307,ANCHORAGE,AK,995082961,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,44.560909091,34.938181818,29.515454545
1033537865,SIDDIQUI,FARHAN,,M.D.,M,I,15813 PAUL VEGA MD DR STE 201,,HAMMOND,LA,704031431,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,45,195,195,195,1377.5190769,1185.2398974,905.79123077,863.29184615
1033537865,SIDDIQUI,FARHAN,,M.D.,M,I,15813 PAUL VEGA MD DR STE 201,,HAMMOND,LA,704031431,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,31,31,51,917.13,551.74,431.34470588,467.15627451
1033537865,SIDDIQUI,FARHAN,,M.D.,M,I,15813 PAUL VEGA MD DR STE 201,,HAMMOND,LA,704031431,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,36,140,144,227,1006.4644493,874.42070485,683.23480176,675.38475771
1033537865,SIDDIQUI,FARHAN,,M.D.,M,I,15813 PAUL VEGA MD DR STE 201,,HAMMOND,LA,704031431,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,35,79,80,133,538.39368421,456.61548872,355.09338346,351.12947368
1033537865,SIDDIQUI,FARHAN,,M.D.,M,I,15813 PAUL VEGA MD DR STE 201,,HAMMOND,LA,704031431,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,43,170,175,277,132.48566787,106.31191336,81.701155235,86.969205776
1033537865,SIDDIQUI,FARHAN,,M.D.,M,I,15813 PAUL VEGA MD DR STE 201,,HAMMOND,LA,704031431,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,43,122,126,145,542.84558621,471.4057931,367.4617931,363.1842069
1033537865,SIDDIQUI,FARHAN,,M.D.,M,I,15813 PAUL VEGA MD DR STE 201,,HAMMOND,LA,704031431,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,47,238,240,240,861.68733333,784.62383333,609.09975,562.941875
1033538244,STUMP,CHRISTINA,M,ARNP,F,I,596 US HIGHWAY 27 N,,AVON PARK,FL,338252958,US,Internal Medicine,T,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3410,3.644,0.38,0.278026393,0.2701583578
1033538244,STUMP,CHRISTINA,M,ARNP,F,I,596 US HIGHWAY 27 N,,AVON PARK,FL,338252958,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,17,50.73,7.0082352941,5.4947058824,3.9964705882
1033538244,STUMP,CHRISTINA,M,ARNP,F,I,596 US HIGHWAY 27 N,,AVON PARK,FL,338252958,US,Internal Medicine,T,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,0.92,0.1443809524,0.1131904762,0.1131904762
1033538244,STUMP,CHRISTINA,M,ARNP,F,I,596 US HIGHWAY 27 N,,AVON PARK,FL,338252958,US,Internal Medicine,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,25.87,25.87
1033538624,AKHAVAN,SHAWN,,M.D.,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,37.269230769,4.6423076923,2.9469230769,2.9461538462
1033539689,KIRBY,CHRISTOPHER,L,,M,I,938 OLD YORK RD,,ABINGTON,PA,19001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,34,75.790294118,8.32,6.1364705882,6.1364705882
1033539689,KIRBY,CHRISTOPHER,L,,M,I,938 OLD YORK RD,,ABINGTON,PA,19001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,25.197142857,1.42,1.12,1.12
1033539838,DAVIES,NEESHA,,ARNP,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,985322412,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,508.48666667,116.53933333,76.298666667,54.276666667
1033539838,DAVIES,NEESHA,,ARNP,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,985322412,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,54,190.94962963,45.267777778,32.33,23.593518519
1033539838,DAVIES,NEESHA,,ARNP,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,985322412,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,107.39692308,21.182307692,16.605384615,10.01
1033539838,DAVIES,NEESHA,,ARNP,F,I,2690 NE KRESKY AVE,,CHEHALIS,WA,985322412,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,14.379375,2.91625,2.2864583333,1.5933333333
1033539994,BROWN,KRYSTA,,DO,F,I,301 S 7TH AVE STE 340,,WEST READING,PA,196111447,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,43,57.35627907,8.32,6.2174418605,6.2174418605
1033539994,BROWN,KRYSTA,,DO,F,I,301 S 7TH AVE STE 340,,WEST READING,PA,196111447,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,16,18.1275,1.42,1.0475,1.0475
1033539994,BROWN,KRYSTA,,DO,F,I,301 S 7TH AVE STE 340,,WEST READING,PA,196111447,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,112.55307692,33.819230769,26.510769231,26.970769231
1033540059,ISLAM,SALMA,S,M.D,F,I,4422 3RD AVE,,BRONX,NY,104572545,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.505,2.7533333333,3.5025
1033540059,ISLAM,SALMA,S,M.D,F,I,4422 3RD AVE,,BRONX,NY,104572545,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,760.48,81.248888889,63.70037037,55.541481481
1033540059,ISLAM,SALMA,S,M.D,F,I,4422 3RD AVE,,BRONX,NY,104572545,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,285.6,39.408888889,30.897777778,29.541481481
1033540471,BRINK,LUCY,,RN CNP,F,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,85,249,619,75.786995153,8.32,5.9831179321,5.9831179321
1033540471,BRINK,LUCY,,RN CNP,F,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,26,45,51,12.931176471,1.42,0.9209803922,0.9209803922
1033540489,SIMMONS,TRINA,,CRNP,F,I,46 L V STABLER DR,,GREENVILLE,AL,360373865,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,17.874705882,11.792352941,9.2488235294,5.4770588235
1033540638,WHITTAKER,ALISSA,,FNP,F,I,2855 MILLER DR,SUITE 117,PLYMOUTH,IN,465638091,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,59,192,57.510989583,8.32,5.33953125,5.33953125
1033540638,WHITTAKER,ALISSA,,FNP,F,I,2855 MILLER DR,SUITE 117,PLYMOUTH,IN,465638091,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,29,56,11.758035714,1.42,0.8953571429,0.8953571429
1033540638,WHITTAKER,ALISSA,,FNP,F,I,2855 MILLER DR,SUITE 117,PLYMOUTH,IN,465638091,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,125,51.936923077,40.716153846,27.983076923
1033540638,WHITTAKER,ALISSA,,FNP,F,I,2855 MILLER DR,SUITE 117,PLYMOUTH,IN,465638091,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1109,1.2767899008,0.1370964833,0.0706943192,0.0706943192
1033540638,WHITTAKER,ALISSA,,FNP,F,I,2855 MILLER DR,SUITE 117,PLYMOUTH,IN,465638091,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,79.894736842,33,17.612631579,17.612631579
1033540919,HALVERSON,NICHOL,S,ARNP,F,I,625 9TH AVE STE 210,,LONGVIEW,WA,986322465,US,Nurse Practitioner,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,335,335,246.49375,202.74375
1033542022,DESAI,KUSH,M,MD,M,I,2011 YORK RD,,OAK BROOK,IL,60523,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,15,10.253333333,7.5513333333,7.4793333333
1033542022,DESAI,KUSH,M,MD,M,I,2011 YORK RD,,OAK BROOK,IL,60523,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,22,49.375454545,29.72,23.3,22.794545455
1033542022,DESAI,KUSH,M,MD,M,I,2011 YORK RD,,OAK BROOK,IL,60523,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,308.38090909,158.64,124.37,116.80636364
1033542022,DESAI,KUSH,M,MD,M,I,2011 YORK RD,,OAK BROOK,IL,60523,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,90.82,43.8692,34.3904,27.5264
1033542022,DESAI,KUSH,M,MD,M,I,2011 YORK RD,,OAK BROOK,IL,60523,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,45,34.2875,22.7425,18.758214286
1033542022,DESAI,KUSH,M,MD,M,I,2011 YORK RD,,OAK BROOK,IL,60523,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,47,47,25.854042553,10.099148936,7.7727659574,7.059787234
1033542170,WALLACE,LAURIE,A,APRN,F,I,2156 CHAMBER CENTER DR,,LAKESIDE PARK,KY,410171669,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,50,5.63,3.3075,2.535
1033542360,JOSEPH,JANCY,R,CRNP,F,I,2738 TOLBUT ST,,PHILADELPHIA,PA,191522112,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,175,46.62125,34.39875,35.29625
1033542360,JOSEPH,JANCY,R,CRNP,F,I,2738 TOLBUT ST,,PHILADELPHIA,PA,191522112,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,128,23.914,18.75,21.078
1033542360,JOSEPH,JANCY,R,CRNP,F,I,2738 TOLBUT ST,,PHILADELPHIA,PA,191522112,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,38.1,7.9469565217,5.9769565217,6.3143478261
1033542477,SHERPA,DOLKAR,,M.D,F,I,827 LINDEN AVE,"UNIVERSITY OF MARYLAND MEDICAL CENTER, MIDTOWN CAMPUS",BALTIMORE,MD,21201,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,456.87181818,66.758181818,52.339090909,54.437272727
1033543129,NICKLES,MAGALY,,APN,F,I,4309 W MEDICAL CENTER DR,STE A102,MCHENRY,IL,600508419,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,28,114,125,75.2288,17.5,13.72,13.55728
1033543129,NICKLES,MAGALY,,APN,F,I,4309 W MEDICAL CENTER DR,STE A102,MCHENRY,IL,600508419,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,3316.856,1074.31,839.3906,839.3906
1033543129,NICKLES,MAGALY,,APN,F,I,4309 W MEDICAL CENTER DR,STE A102,MCHENRY,IL,600508419,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,46.015714286,3.9,3.0557142857,3.6831428571
1033543129,NICKLES,MAGALY,,APN,F,I,4309 W MEDICAL CENTER DR,STE A102,MCHENRY,IL,600508419,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,31,136,148,411.33222973,78.09,61.22,55.256216216
1033543129,NICKLES,MAGALY,,APN,F,I,4309 W MEDICAL CENTER DR,STE A102,MCHENRY,IL,600508419,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,700,36.82,28.87,29.47
1033543137,MOHR,MARTHA,W,PA-C,F,I,31 HALL DR,,AMHERST,MA,010022751,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,21,21,21,276.82285714,42.11,33.02,35.804761905
1033543137,MOHR,MARTHA,W,PA-C,F,I,31 HALL DR,,AMHERST,MA,010022751,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,146.36357143,43.52,34.12,40.322857143
1033543137,MOHR,MARTHA,W,PA-C,F,I,31 HALL DR,,AMHERST,MA,010022751,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,32,106.2890625,16.36,12.8275,14.12125
1033543137,MOHR,MARTHA,W,PA-C,F,I,31 HALL DR,,AMHERST,MA,010022751,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,17,30.557647059,9.4052941176,7.3723529412,7.1323529412
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,38,46.044473684,8.32,5.1478947368,5.1478947368
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,11,17,34,8.19,2.0988235294,1.5705882353,1.1647058824
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,24.006842105,18.033684211,12.817894737
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,11,78,78,55.067435897,7.6092307692,5.5142307692,3.23
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,519.51,103.16909091,77.694318182,51.880681818
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,250,42.348333333,33.204166667,29.514166667
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,5325,0.17,0.045915493,0.0359962441,0.0359962441
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,44,3576,0.92,0.1337024609,0.10026566,0.1002628635
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,12,59,3360,12.86,2.9307857143,2.2426041667,2.2426041667
1033543855,BARKS,PHYLLIS,L,PA,F,I,1006 N H ST FL 4,,ABERDEEN,WA,985202521,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,16,77,77,132,33,25.87,25.87
1033543939,WILSON,ALISON,A,DO,F,I,450 E ROMIE LN,,SALINAS,CA,939014029,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,28.8,5.07,3.975,4.1459090909
1033543939,WILSON,ALISON,A,DO,F,I,450 E ROMIE LN,,SALINAS,CA,939014029,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,55.35,4.0807692308,2.7415384615,3.1953846154
1033544242,MOY,SHIRLEY,,APN,F,I,7447 W TALCOTT AVE STE 216,,CHICAGO,IL,606313713,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,27,68.337037037,8.32,6.2814814815,6.2814814815
1033544341,WILKE,DANAE,M,P.A.,F,I,1941 JOHNSON AVE,101,SAN LUIS OBISPO,CA,934014140,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,32.226363636,25.265454545,25.501818182
1033544796,SCHLAGER,REBECCA,L,PA,F,I,1500 E SHERMAN BLVD,,MUSKEGON,MI,494441849,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,4430.1,1074.31,835.88895833,835.88895833
1033544796,SCHLAGER,REBECCA,L,PA,F,I,1500 E SHERMAN BLVD,,MUSKEGON,MI,494441849,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.75,36.14,28.33,29.411666667
1033545629,POWERS,RENEE,M,NP,F,I,2 BISBEE ST,,LISBON,ME,042506835,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,82,64.686585366,8.32,6.3292682927,6.3292682927
1033545629,POWERS,RENEE,M,NP,F,I,2 BISBEE ST,,LISBON,ME,042506835,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,22,16.291363636,1.42,1.065,1.065
1033545629,POWERS,RENEE,M,NP,F,I,2 BISBEE ST,,LISBON,ME,042506835,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.25,13.52,13.532727273
1033545629,POWERS,RENEE,M,NP,F,I,2 BISBEE ST,,LISBON,ME,042506835,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,69.62,54.59,54.665384615
1033546122,KRAKLAU,DAVID,M,M.D.,M,I,815 SAINT JOSEPH DR,,SAINT JOSEPH,MI,490852529,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,19,52,7980,3.8400075188,2.0395488722,1.5087518797,1.5091052632
1033546122,KRAKLAU,DAVID,M,M.D.,M,I,815 SAINT JOSEPH DR,,SAINT JOSEPH,MI,490852529,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,1920,4.87890625,4.4625,3.00578125,4.7933177083
1033546122,KRAKLAU,DAVID,M,M.D.,M,I,815 SAINT JOSEPH DR,,SAINT JOSEPH,MI,490852529,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,28,24.8475,10.571428571,7.9817857143,8.2625
1033546122,KRAKLAU,DAVID,M,M.D.,M,I,815 SAINT JOSEPH DR,,SAINT JOSEPH,MI,490852529,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,37,325,1.9716923077,1.6803692308,1.2992615385,1.3617846154
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,62,53.207419355,8.32,6.1016129032,6.1016129032
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,169.63157895,54.896842105,43.040526316,43.094210526
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,15.68,11.265833333,12.429166667
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,398.4253125,85.955,64.455625,51.8809375
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,4014,0.3964424514,0.0460637768,0.032673144,0.032673144
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,2190,1.2944840183,0.1327671233,0.0986849315,0.0986849315
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,80,20.103333333,13.154,11.736666667
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,60.815,39.815,31.216666667,29.512222222
1033546130,HAUPRICHT,TIMOTHY,W,CNP,M,I,1715 INDIAN WOOD CIR STE 266&265,,MAUMEE,OH,435374055,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,31,31,58.548387097,33,24.200967742,24.200967742
1033546296,HAMMONS,AMANDA,K,PA-C,F,I,45 MOONBOW PLZ,,CORBIN,KY,407018949,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,45.577142857,23.251428571,18.227142857,14.82
1033546296,HAMMONS,AMANDA,K,PA-C,F,I,45 MOONBOW PLZ,,CORBIN,KY,407018949,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,18,121,121,210.40702479,96.420826446,69.165041322,49.743471074
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8.75,8.69,6.81,6.81
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,33,3.5,3.43,2.69,2.69
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,40,3945,0.3553231939,0.13,0.0995969582,0.0995969582
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,15,14.101333333,13.213333333,10.358,10.82
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,32,3885,5.3786486486,2.04,1.5958867439,1.5958867439
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,31,3225,9.3956744186,7.23,5.6266883721,5.6266883721
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,60,12.428,9.274,7.2686666667,8.4393333333
1033546643,SALISBURY,LISA,A,PA,F,I,100 WASON AVE,SUITE 120,SPRINGFIELD,MA,011071381,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,29,10.762758621,7.46,5.85,5.85
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,42,103,232,21.1725,8.32,6.1101724138,6.1101724138
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,23,31,31,9.974516129,2.12,1.454516129,1.454516129
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,40,103,119,8.0979831933,1.42,0.9776470588,0.9776470588
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,25,405,0.8219753086,0.8219753086,0.6446419753,0.6444691358
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,72.796666667,45.95,27.015,27.48
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,21.9075,15.09,9.611875,9.780625
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,71.100666667,46.561333333,29.513333333,29.794666667
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,105.072,17.52,12.1995,12.0245
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,84.269473684,17.52,12.293684211,12.114736842
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240,78.49,61.486666667,54.685833333
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,831.73166667
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,300.895,33.866666667,26.5525,27.249166667
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,61.925833333,60.499166667,42.703333333,54.225
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,76,76,485.96065789,78.49,54.336710526,48.520657895
1033547252,BARAVIK,MARK,,NP-C,M,I,13710 E RICE PL,,AURORA,CO,800151074,US,Nurse Practitioner,S,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,89,196,62.271428571,62.271428571,47.723877551,54.724438776
1033548771,KUNDARIA,PARTHIVKUMAR,,M.D.,M,I,2720 SUNSET BLVD,,WEST COLUMBIA,SC,29169,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,317.3775,74,58.02,54.73
1033548771,KUNDARIA,PARTHIVKUMAR,,M.D.,M,I,2720 SUNSET BLVD,,WEST COLUMBIA,SC,29169,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,38.78,30.4,29.51
1033548839,KHAN,MUNIR AHMED,,M.D,M,I,225 S CENTER AVE,,SOMERSET,PA,155012033,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,66,22.680294118,16.463235294,12.513235294
1033548839,KHAN,MUNIR AHMED,,M.D,M,I,225 S CENTER AVE,,SOMERSET,PA,155012033,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,6.8215384615,5.0676923077,3.2061538462
1033548839,KHAN,MUNIR AHMED,,M.D,M,I,225 S CENTER AVE,,SOMERSET,PA,155012033,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,180,102.84,75.355,51.092058824
1033549043,FRAKES,CHASITY,,,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562725,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,17.620833333,14.031666667
1033549043,FRAKES,CHASITY,,,F,I,140 NEWCOMB AVE,,MOUNT VERNON,KY,404562725,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,102.61833333,80.455,58.105
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,56,6082,0.4456099967,0.44,0.2926603091,0.2926603091
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,25,851,23.66,23.66,17.964112808,17.964112808
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,25,1100,8.28,8.28,6.1770636364,6.1770636364
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,28,541,11.419648799,10.93,8.0309981516,8.0309981516
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,570,1.08,1.08,0.7575614035,0.7575614035
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,444,2.4,2.4,1.8716441441,1.8716441441
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,26,51,2997,3.6691991992,3.6691991992,2.8478745412,2.8485018352
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,32,37,3444,0.13,0.13,0.0948432056,0.0948432056
1033549233,JOHNSON,JOANN,L,ANP,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,24,41,5692,0.4487649332,0.4487649332,0.3477231202,0.3485734364
1033549282,MCGRATH,LACEY,,ARNP,F,I,308 NORTH MAPLE AVE,,NEW HAMPTON,IA,50659,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,37,33.71,8.32,5.2886486486,5.2886486486
1033549282,MCGRATH,LACEY,,ARNP,F,I,308 NORTH MAPLE AVE,,NEW HAMPTON,IA,50659,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,443.3825,96.02375,68.531875,50.824375
1033549282,MCGRATH,LACEY,,ARNP,F,I,308 NORTH MAPLE AVE,,NEW HAMPTON,IA,50659,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,2.4415,0.2186363636,0.1713787879,0.1713787879
1033549282,MCGRATH,LACEY,,ARNP,F,I,308 NORTH MAPLE AVE,,NEW HAMPTON,IA,50659,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,25.87,25.87
1033549837,SIDORSKI-NUTT,LORI,A,FNP,F,I,68 HARRIS BUSHVILLE RD,,HARRIS,NY,12742,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,38,88.125789474,8.32,6.0065789474,6.0065789474
1033550157,SOUTHER,SCOTT,M,MD,M,I,111 GROSSMAN DR,,BRAINTREE,MA,021844997,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,72,90.773472222,8.32,5.9797222222,5.9797222222
1033550157,SOUTHER,SCOTT,M,MD,M,I,111 GROSSMAN DR,,BRAINTREE,MA,021844997,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,12,29,14.837931034,1.42,0.9979310345,0.9979310345
1033550157,SOUTHER,SCOTT,M,MD,M,I,111 GROSSMAN DR,,BRAINTREE,MA,021844997,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,78,33,25.87,25.87
1033550421,MULLICK,SAHIL,,M.D.,M,I,7500 MERCY RD,CU DEPARTMENT OF FAMILY MEDICINE,OMAHA,NE,681242319,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,60.925555556,17.5,11.433333333,11.283333333
1033550421,MULLICK,SAHIL,,M.D.,M,I,7500 MERCY RD,CU DEPARTMENT OF FAMILY MEDICINE,OMAHA,NE,681242319,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,356.71388889,77.18,50.702222222,45.6
1033550538,COPSEY,TONIA,M,ANP-C,F,I,1111 HAYES AVE,,SANDUSKY,OH,448703323,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,13,204,14.823529412,10.93,8.5691666667,8.5691666667
1033550538,COPSEY,TONIA,M,ANP-C,F,I,1111 HAYES AVE,,SANDUSKY,OH,448703323,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,672,0.35,0.13,0.1019940476,0.1019940476
1033550686,BAROUSSE,MEGAN,,FNP,F,I,376 MAIN ST,,CANKTON,LA,705845920,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,23,61.052173913,8.32,5.6730434783,5.6730434783
1033550686,BAROUSSE,MEGAN,,FNP,F,I,376 MAIN ST,,CANKTON,LA,705845920,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,18.9,8.0075,4.7625,2.2516666667
1033550918,SIMMONS,DEIRDRE,K,NP-C,F,I,3400 MEDICAL PARK DR STE C,,MONROE,LA,712032300,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,12,156,41.031666667,19.6325,14.989807692,14.989807692
1033550918,SIMMONS,DEIRDRE,K,NP-C,F,I,3400 MEDICAL PARK DR STE C,,MONROE,LA,712032300,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,416,9.5833653846,2.6299038462,2.0618028846,2.0618028846
1033550918,SIMMONS,DEIRDRE,K,NP-C,F,I,3400 MEDICAL PARK DR STE C,,MONROE,LA,712032300,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,78,230,706,64.404362606,8.2751274788,6.186388102,6.2215864023
1033550918,SIMMONS,DEIRDRE,K,NP-C,F,I,3400 MEDICAL PARK DR STE C,,MONROE,LA,712032300,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,31,61,97,10.975979381,1.42,1.0680412371,1.0680412371
1033550918,SIMMONS,DEIRDRE,K,NP-C,F,I,3400 MEDICAL PARK DR STE C,,MONROE,LA,712032300,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,623.97533333,336.395,263.73166667,263.73166667
1033550918,SIMMONS,DEIRDRE,K,NP-C,F,I,3400 MEDICAL PARK DR STE C,,MONROE,LA,712032300,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,15,57,57,316.34684211,250.96631579,196.75736842,196.86947368
1033550918,SIMMONS,DEIRDRE,K,NP-C,F,I,3400 MEDICAL PARK DR STE C,,MONROE,LA,712032300,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,311.49454545,264.16,207.1,207.1
1033550926,GILLMAN,STEPHANIE,C,PA-C,F,I,4200 WHITEHALL DR,SUITE 130,ANN ARBOR,MI,481059694,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,265,82.963636364,65.041818182,66.922727273
1033550926,GILLMAN,STEPHANIE,C,PA-C,F,I,4200 WHITEHALL DR,SUITE 130,ANN ARBOR,MI,481059694,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,185,67.72,53.1,54.594166667
1033551130,WILSON,MOLLIE,E,NURSE PRACTITIONER,F,I,5820 W GIRARD AVE,,PHILADELPHIA,PA,191314850,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,25,23.7,9.9144,7.766,8.1352
1033551155,DAMSCHRODER,LINDSAY,,NP-C,F,I,1111 HAYES AVE,,SANDUSKY,OH,448703323,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,341.58,70.04,54.91,54.745
1033551155,DAMSCHRODER,LINDSAY,,NP-C,F,I,1111 HAYES AVE,,SANDUSKY,OH,448703323,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,52.25,35.56,27.88,29.1025
1033551304,KUKREJA,RICHA,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Hospitalist,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,97.727272727,53.411818182,41.876363636,39.084545455
1033551304,KUKREJA,RICHA,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,420.43,73.134666667,57.339333333,54.515333333
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,73,49.676438356,8.32,5.5861643836,5.5861643836
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.265,3.38,2.65,2.65
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,27,10.023333333,1.42,0.9914814815,0.9914814815
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,60,6.659,3.01,1.8285,1.115
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,74.411333333,21.985,15.94,12.528666667
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,22,24,6.2736363636,4.0931818182,3.1640909091
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,140.80125,56.8475,41.576875,25.636875
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,59,421.42915254,100.76610169,70.18220339,53.457627119
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3824,0.1790925732,0.0465690377,0.0321809623,0.0321809623
1033551429,JANSEN,DANIELLE,E,FNP,F,I,200 SOUTHLAND DR,,SIKESTON,MO,638014403,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,94.285714286,33,23.406190476,23.406190476
1033551437,BOSTIAN,ELISSA,,O.D.,F,I,1127 S GUTENSOHN RD,SUITE 101,SPRINGDALE,AR,727625228,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,72.364,63.710666667,46.584,49.483333333
1033551486,KILGORE,CARLY,E,NP,F,I,8101 W 34TH ST,MS 26602G,MINNEAPOLIS,MN,554263810,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,131.14526316,18.063157895,12.513684211,12.197894737
1033551569,LARSON,TRACY,L,NP,F,I,314 OHMER ST,,BOTTINEAU,ND,583181059,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,19,51,69,41.912173913,8.32,5.2953623188,5.2953623188
1033551569,LARSON,TRACY,L,NP,F,I,314 OHMER ST,,BOTTINEAU,ND,583181059,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,8.2861111111,1.42,0.9955555556,0.9955555556
1033551569,LARSON,TRACY,L,NP,F,I,314 OHMER ST,,BOTTINEAU,ND,583181059,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1033551742,MORRIS,MARIA,T,,F,I,18 E LAUREL RD,,STRATFORD,NJ,080841327,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,50,52.5196,8.32,5.7396,5.7396
1033551890,SMYTH,DONNA,M,FNP-BC,F,I,4220 CAROLINA EXCHANGE DR,,MYRTLE BEACH,SC,295794220,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,40,101,59.043762376,8.32,3.685049505,3.685049505
1033551890,SMYTH,DONNA,M,FNP-BC,F,I,4220 CAROLINA EXCHANGE DR,,MYRTLE BEACH,SC,295794220,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,15.587777778,1.42,0.2488888889,0.2488888889
1033551890,SMYTH,DONNA,M,FNP-BC,F,I,4220 CAROLINA EXCHANGE DR,,MYRTLE BEACH,SC,295794220,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,410,70.23,55.06,54.72
1033551890,SMYTH,DONNA,M,FNP-BC,F,I,4220 CAROLINA EXCHANGE DR,,MYRTLE BEACH,SC,295794220,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,78.692307692,33,25.87,25.87
1033552252,REYNOSO-GARZA,RASHELL,,M.D.,F,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,47,55.241489362,8.32,4.8555319149,4.8555319149
1033552252,REYNOSO-GARZA,RASHELL,,M.D.,F,I,650 S ZEDIKER AVE,,PARLIER,CA,936482666,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,9.415625,1.42,0.84,0.84
1033552815,FREITAS,ERIC,P,MD,M,I,2600 SIXTH ST SW,,CANTON,OH,447101702,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,290.158,54.966,40.9375,40.717
1033552815,FREITAS,ERIC,P,MD,M,I,2600 SIXTH ST SW,,CANTON,OH,447101702,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,86.914285714,18.054285714,13.145,13.059285714
1033552815,FREITAS,ERIC,P,MD,M,I,2600 SIXTH ST SW,,CANTON,OH,447101702,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,28,118,12.731186441,2.0152542373,1.5672881356,1.5777118644
1033552815,FREITAS,ERIC,P,MD,M,I,2600 SIXTH ST SW,,CANTON,OH,447101702,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,197.52375,32.551875,25.519375,25.804375
1033553540,EMESUE,EVANGELINE,I,M.D,F,I,6 MARKET PLAZA WAY,,MECHANICSBURG,PA,170555659,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,47,77.56106383,8.32,5.9668085106,5.9668085106
1033553540,EMESUE,EVANGELINE,I,M.D,F,I,6 MARKET PLAZA WAY,,MECHANICSBURG,PA,170555659,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,31.7525,24.8925,25.291666667
1033554324,BRAZIER,SETH,J,,M,I,116 N AKERS ST,,VISALIA,CA,932915121,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1090,0.14,0.12,0.0940550459,0.0940550459
1033554324,BRAZIER,SETH,J,,M,I,116 N AKERS ST,,VISALIA,CA,932915121,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,511,4.32,3.67,2.8773189824,2.8773189824
1033554324,BRAZIER,SETH,J,,M,I,116 N AKERS ST,,VISALIA,CA,932915121,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,1472,0.5758695652,0.45,0.352826087,0.352826087
1033554324,BRAZIER,SETH,J,,M,I,116 N AKERS ST,,VISALIA,CA,932915121,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,105,50.482857143,24.56,19.255333333,19.2
1033554324,BRAZIER,SETH,J,,M,I,116 N AKERS ST,,VISALIA,CA,932915121,US,Podiatry,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,70,28.871428571,8.1,6.35,6.4284285714
1033554324,BRAZIER,SETH,J,,M,I,116 N AKERS ST,,VISALIA,CA,932915121,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,2310.165,529.17,414.87,507.67
1033554555,WOJECK,BRIAN,S,M.D.,M,I,8 DEVINE ST,,NORTH HAVEN,CT,064732172,US,Hospitalist,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,154.21705882,39.994705882,27.666470588,26.954117647
1033554555,WOJECK,BRIAN,S,M.D.,M,I,8 DEVINE ST,,NORTH HAVEN,CT,064732172,US,Hospitalist,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,105,11.046095238,2,1.3891428571,1.412
1033554555,WOJECK,BRIAN,S,M.D.,M,I,8 DEVINE ST,,NORTH HAVEN,CT,064732172,US,Hospitalist,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,203.24533333,28.626,19.439333333,20.404
1033554605,OPPENHEIM,IAN,M,MD,M,I,3400 SPRUCE ST,DEPARTMENT OF HEMATOLOGY-ONCOLOGY,PHILADELPHIA,PA,191044238,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,61.153846154,17.551538462,10.519230769,10.415384615
1033554605,OPPENHEIM,IAN,M,MD,M,I,3400 SPRUCE ST,DEPARTMENT OF HEMATOLOGY-ONCOLOGY,PHILADELPHIA,PA,191044238,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,343.21428571,78.755714286,45.331428571,39.372142857
1033554951,KOCH,RACHEL,M,D.O.,F,I,11885 E 12 MILE RD STE 300A,,WARREN,MI,480933467,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,70.317333333,17.91,14.04,13.54
1033554951,KOCH,RACHEL,M,D.O.,F,I,11885 E 12 MILE RD STE 300A,,WARREN,MI,480933467,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,20,370.103,70.48,55.25,54.7465
1033555040,TUZZOLO,MACKENZIE,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,470,8.4,3,2.3520212766,2.3657234043
1033555040,TUZZOLO,MACKENZIE,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,2988,0.6979919679,0.3022188755,0.2369410977,0.2430421687
1033555040,TUZZOLO,MACKENZIE,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,82.166666667,51.761666667,40.581666667,38.610833333
1033555040,TUZZOLO,MACKENZIE,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,165,50.761111111,39.797777778,38.472777778
1033555040,TUZZOLO,MACKENZIE,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,18,18,18,44.934444444,38.55,30.22,29.437777778
1033555040,TUZZOLO,MACKENZIE,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,19,87,87,40.654252874,23.757471264,18.625977011,15.767356322
1033555040,TUZZOLO,MACKENZIE,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,16.76,8.6717391304,6.7991304348,6.8947826087
1033555180,ABBOT,SARAH,C,DO,F,I,859 OLD COUNTY RD,,WAITSFIELD,VT,056736221,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,23,56,67.12625,8.32,5.7067857143,5.7067857143
1033555180,ABBOT,SARAH,C,DO,F,I,859 OLD COUNTY RD,,WAITSFIELD,VT,056736221,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,15.334705882,1.42,0.9811764706,0.9811764706
1033555180,ABBOT,SARAH,C,DO,F,I,859 OLD COUNTY RD,,WAITSFIELD,VT,056736221,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,55,488.59690909,103.372,77.103454545,59.070727273
1033555354,THOMAS,KATHERINE,C,MD,F,I,4550 CALIFORNIA AVE,SUITE 500,BAKERSFIELD,CA,933097012,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.97,16.98,13.31,13.53
1033555354,THOMAS,KATHERINE,C,MD,F,I,4550 CALIFORNIA AVE,SUITE 500,BAKERSFIELD,CA,933097012,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,228.8,72.06,56.5,54.73
1033555867,KLEMMETSEN,SHIELA,,M.D.,F,I,ESSENTIA HEALTH ST. JOSEPH'S-BAXTER CLINIC,13060 ISLE DRIVE,BAXTER,MN,56425,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.73,7.6325,5.5783333333,3.5983333333
1033555933,KLOTZ,SUSAN,M,FNP-C,F,I,1235 E CHEROKEE ST,FLOOR 2D,SPRINGFIELD,MO,658042203,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,123.72,18.448181818,12.858181818,12.701818182
1033555941,BROWN,PETER,C,DNP,M,I,750 N SYRINGA ST STE 104,,POST FALLS,ID,838545275,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,50,110,62.735818182,8.32,5.7191818182,5.7191818182
1033555941,BROWN,PETER,C,DNP,M,I,750 N SYRINGA ST STE 104,,POST FALLS,ID,838545275,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,22,15.141818182,1.42,0.9631818182,0.9631818182
1033555941,BROWN,PETER,C,DNP,M,I,750 N SYRINGA ST STE 104,,POST FALLS,ID,838545275,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,473.43153846,70.48,51,50.510769231
1033555966,LITTLE,TARA,J,FNP,F,I,1205 PROVIDENT DR STE A,,WARSAW,IN,465803265,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,390,13,8.28,6.4916410256,6.4916410256
1033555966,LITTLE,TARA,J,FNP,F,I,1205 PROVIDENT DR STE A,,WARSAW,IN,465803265,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,450,21.1,18.5,14.504,14.504
1033555966,LITTLE,TARA,J,FNP,F,I,1205 PROVIDENT DR STE A,,WARSAW,IN,465803265,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,13,180,13.897333333,10.93,8.5691666667,8.5691666667
1033555966,LITTLE,TARA,J,FNP,F,I,1205 PROVIDENT DR STE A,,WARSAW,IN,465803265,US,Nurse Practitioner,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,360,3.2591666667,2.73,2.1403333333,2.1403333333
1033555966,LITTLE,TARA,J,FNP,F,I,1205 PROVIDENT DR STE A,,WARSAW,IN,465803265,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,152,74.6425,58.520416667,39.634583333
1033555966,LITTLE,TARA,J,FNP,F,I,1205 PROVIDENT DR STE A,,WARSAW,IN,465803265,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,752.76444444,310.60518519,242.26888889,124.8737037
1033556113,BOGGS,BROOKE,N,"RN, APRN",F,I,1917 W FAIDLEY AVE,,GRAND ISLAND,NE,688034642,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,28,69,51.361884058,8.32,5.6717391304,5.6717391304
1033556113,BOGGS,BROOKE,N,"RN, APRN",F,I,1917 W FAIDLEY AVE,,GRAND ISLAND,NE,688034642,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,21,15.876666667,1.42,0.9,0.9
1033556113,BOGGS,BROOKE,N,"RN, APRN",F,I,1917 W FAIDLEY AVE,,GRAND ISLAND,NE,688034642,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,18,86.31,17.69,13.099444444,12.797222222
1033556113,BOGGS,BROOKE,N,"RN, APRN",F,I,1917 W FAIDLEY AVE,,GRAND ISLAND,NE,688034642,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,50.73,4.5483333333,3.5666666667,3.5666666667
1033556113,BOGGS,BROOKE,N,"RN, APRN",F,I,1917 W FAIDLEY AVE,,GRAND ISLAND,NE,688034642,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,18,519.51,69.99,54.128888889,53.997222222
1033556253,MUSYT,JONATHAN,,M.D.,M,I,1635 W MAIN ST STE 700,,EPHRATA,PA,175221147,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,129,68.753875969,8.32,6.5233333333,6.5233333333
1033556253,MUSYT,JONATHAN,,M.D.,M,I,1635 W MAIN ST STE 700,,EPHRATA,PA,175221147,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1033556352,MORRIS,SHONDA,D,NP-C,F,I,325D GERI ST,,LAWRENCEBURG,TN,384642392,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,24,78,58.376025641,8.32,6.5223076923,6.5223076923
1033556352,MORRIS,SHONDA,D,NP-C,F,I,325D GERI ST,,LAWRENCEBURG,TN,384642392,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,22,30,13.222333333,1.42,1.0793333333,1.0793333333
1033556352,MORRIS,SHONDA,D,NP-C,F,I,325D GERI ST,,LAWRENCEBURG,TN,384642392,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,140,70.085454545,52.554545455,38.494545455
1033556360,ASSAD,DANIA,S,M.D.,F,I,22255 GREENFIELD RD STE 400,,SOUTHFIELD,MI,48075,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,86,52.094534884,8.32,6.3706976744,6.3706976744
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,120.44736842,36.21,26.895789474,28.692105263
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,341.94823529,82.51,64.69,67.85
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,76,73.162368421,17,13.328289474,14.551578947
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,63,40.346666667,13.81,10.826984127,11.893492063
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,34,34,198.71205882,50.26,37.091764706,40.490882353
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,75.767083333,16.5,12.94,14.06
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,27,27,50.541851852,11.33,8.88,9.1111111111
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,20,47,269,7.5086988848,1.91,1.4649442379,1.5560966543
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.008181818,5.67,4.45,4.66
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,39.821764706,12,8.3029411765,9.2064705882
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,573.65461538,77.71,60.93,66.233076923
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,81.75,13,8.158,8.4565
1033556717,GOMEZ,SANDRA,L,NP,F,I,633 RTE 37 W,,TOMS RIVER,NJ,087558007,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,11,68,69,252.37318841,30.152318841,22.247101449,23.444347826
1033556873,BRELSFORD,DANIEL,L,MD,M,I,3901 NE 4TH ST,STE 105,RENTON,WA,980564100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,46,43.150217391,8.32,6.5208695652,6.5208695652
1033556972,MASYGA,NICHOLAS,P,D.O.,M,I,517 SUNSET DR,,HAMBURG,NY,140754231,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,55,67.827090909,8.32,5.3370909091,5.3370909091
1033556972,MASYGA,NICHOLAS,P,D.O.,M,I,517 SUNSET DR,,HAMBURG,NY,140754231,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,132,33,24.022142857,24.022142857
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,27,89,234,57.720982906,8.32,5.8016666667,5.8016666667
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,24,24,14.544166667,3.38,2.65,2.65
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,18,39,63,14.802222222,1.42,1.0623809524,1.0623809524
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,109.77272727,44.395,33.837727273,27.002272727
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,68.614285714,26.601428571,19.738571429,14.327142857
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,66,6.6121212121,2.91,2.2551515152,1.6951515152
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,67.631578947,21.829473684,16.327894737,13.768421053
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,35,18.4175,13.998125,11.355
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,60,7.98,5.51,3.4192307692
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,25,25,170,50.634,35.1164,29.6616
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,307.76,100.90545455,74.824242424,55.656969697
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,6570,0.2300791476,0.046109589,0.0348888889,0.0348888889
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2128,1.6178759398,0.1353853383,0.0791447368,0.0791447368
1033556998,PERRINO,ERICA,D,M.D.,F,I,116 W BUCHANAN AVE,,CHARLESTON,IL,619202522,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,45,63.8,33,22.688222222,22.688222222
1033557103,LEMKE,KATIE,A,"FNP-C, RN",F,I,1350 N RIM DR,,FLAGSTAFF,AZ,860013111,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,83.6,17.204,13.036666667,13.086666667
1033557103,LEMKE,KATIE,A,"FNP-C, RN",F,I,1350 N RIM DR,,FLAGSTAFF,AZ,860013111,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,39,39,70,48,35.434358974,35.434358974
1033557103,LEMKE,KATIE,A,"FNP-C, RN",F,I,1350 N RIM DR,,FLAGSTAFF,AZ,860013111,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,77,77,342.37506494,69.434545455,52.773376623,53.055064935
1033557178,MORRISON,ERIC,J,M.D.,M,I,601 ELMWOOD AVE,,ROCHESTER,NY,146422818,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,21.331785714,10.331428571,7.8532142857,7.3353571429
1033557178,MORRISON,ERIC,J,M.D.,M,I,601 ELMWOOD AVE,,ROCHESTER,NY,146422818,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,77.836363636,17.207272727,13.488181818,13.892727273
1033557236,GANDERT,AMANDA,I,PA-C,F,I,1069 DELAWARE AVE,SUITE 205,MARION,OH,433021400,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,51,64.762352941,8.32,4.6039215686,4.6039215686
1033557236,GANDERT,AMANDA,I,PA-C,F,I,1069 DELAWARE AVE,SUITE 205,MARION,OH,433021400,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,53.373636364,6.8181818182,4.3545454545,3.0036363636
1033557236,GANDERT,AMANDA,I,PA-C,F,I,1069 DELAWARE AVE,SUITE 205,MARION,OH,433021400,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.651,7.349,7.349
1033557236,GANDERT,AMANDA,I,PA-C,F,I,1069 DELAWARE AVE,SUITE 205,MARION,OH,433021400,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,118.8,33,24.145333333,24.145333333
1033557384,PATTERSON,KRISTEN,L,D.P.M,F,I,42550 GARFIELD RD STE 103,,CLINTON TOWNSHIP,MI,48038,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,40,92,71.56,56.068,56.068
1033557384,PATTERSON,KRISTEN,L,D.P.M,F,I,42550 GARFIELD RD STE 103,,CLINTON TOWNSHIP,MI,48038,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,108,32.666666667,29.19,22.885,22.886296296
1033557657,BROWN,CLAYTON,J,MD,M,I,901 ADAMS STREET,,AFTON,WY,83110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,18,27,68.83037037,8.32,6.5233333333,6.5233333333
1033557657,BROWN,CLAYTON,J,MD,M,I,901 ADAMS STREET,,AFTON,WY,83110,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,29,96.757931034,24.532413793,19.230689655,14.360344828
1033557657,BROWN,CLAYTON,J,MD,M,I,901 ADAMS STREET,,AFTON,WY,83110,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,58,61,432.96885246,115.5295082,89.138688525,60.675081967
1033557657,BROWN,CLAYTON,J,MD,M,I,901 ADAMS STREET,,AFTON,WY,83110,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,46.328181818,33.336363636,28.136363636
1033557806,PATKA,JAVED,F,D.O.,M,I,703 N FLAMINGO RD,,PEMBROKE PINES,FL,330281006,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,55,10.990588235,6.2188235294,6.3617647059
1033557939,PAJEWSKI,RUSSELL,M,MD,M,I,1500 E MEDICAL CENTER DR,3RD FLOOR TAUBMAN CENTER RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,50,122,58.050491803,8.32,5.8806557377,5.8806557377
1033557939,PAJEWSKI,RUSSELL,M,MD,M,I,1500 E MEDICAL CENTER DR,3RD FLOOR TAUBMAN CENTER RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,23,42,13.686428571,1.42,0.9554761905,0.9554761905
1033557939,PAJEWSKI,RUSSELL,M,MD,M,I,1500 E MEDICAL CENTER DR,3RD FLOOR TAUBMAN CENTER RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,20,14.0045,10.93,8.57,8.57
1033557939,PAJEWSKI,RUSSELL,M,MD,M,I,1500 E MEDICAL CENTER DR,3RD FLOOR TAUBMAN CENTER RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,28,28,233.00571429,41.056428571,32.19,29.0925
1033557939,PAJEWSKI,RUSSELL,M,MD,M,I,1500 E MEDICAL CENTER DR,3RD FLOOR TAUBMAN CENTER RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,32.288333333,22.6475,22.6475
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,44,110,72.953545455,8.32,5.7508181818,5.7508181818
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,21,31,16.086129032,1.42,1.0425806452,1.0425806452
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,56.92,12.328181818,9.6672727273,9.7554545455
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,227,48.491818182,38.019090909,38.434545455
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,23.99,4.62,3.1156666667,2.967
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,481.57714286,69.81,54.73,54.73
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,685,1.7435766423,0.1278832117,0.0684817518,0.0684817518
1033558283,RIZZO,ANTHONY,F,D.O.,M,I,7447 W TALCOTT AVE,STE. 182,CHICAGO,IL,606313745,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,79,25.561333333,18.828666667,13.098666667
1033558812,HULBERT,ANNA,E,M.D.,F,I,ONE HOSPITAL DRIVE,,COLUMBIA,MO,652120001,US,Physician/Hospice and Palliative Care,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.69,13.87,13.53
1033558812,HULBERT,ANNA,E,M.D.,F,I,ONE HOSPITAL DRIVE,,COLUMBIA,MO,652120001,US,Physician/Hospice and Palliative Care,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,874.72,32.165,25.22,25.325
1033558812,HULBERT,ANNA,E,M.D.,F,I,ONE HOSPITAL DRIVE,,COLUMBIA,MO,652120001,US,Physician/Hospice and Palliative Care,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,69.99,54.87,54.73
1033559117,KALAPURAYIL,PRIYANKA,S,M.D.,F,I,360 W WASHINGTON AVE UNIT 1107,,MADISON,WI,537032765,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,47.793684211,13.3,10.43,10.464210526
1033559117,KALAPURAYIL,PRIYANKA,S,M.D.,F,I,360 W WASHINGTON AVE UNIT 1107,,MADISON,WI,537032765,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,190.57913043,34.852608696,27.323913043,26.650434783
1033559117,KALAPURAYIL,PRIYANKA,S,M.D.,F,I,360 W WASHINGTON AVE UNIT 1107,,MADISON,WI,537032765,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,374.56521739,69.81,52.350434783,52.350434783
1033559117,KALAPURAYIL,PRIYANKA,S,M.D.,F,I,360 W WASHINGTON AVE UNIT 1107,,MADISON,WI,537032765,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,883,0.4210419026,0.0467497169,0.0311325028,0.0311325028
1033559174,WHITE,JEFFREY,O,FNP,M,I,5745 HIGHWAY 17,,WINNSBORO,LA,712955688,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,18,273.69333333,35.593888889,25.682777778,21.725555556
1033559174,WHITE,JEFFREY,O,FNP,M,I,5745 HIGHWAY 17,,WINNSBORO,LA,712955688,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,558.1,111.77,87.631428571,54.73
1033559174,WHITE,JEFFREY,O,FNP,M,I,5745 HIGHWAY 17,,WINNSBORO,LA,712955688,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,870,0.9503448276,0.1381034483,0.0894712644,0.0894712644
1033559174,WHITE,JEFFREY,O,FNP,M,I,5745 HIGHWAY 17,,WINNSBORO,LA,712955688,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,1095.7144444,171.15722222,134.18444444,112.70333333
1033559174,WHITE,JEFFREY,O,FNP,M,I,5745 HIGHWAY 17,,WINNSBORO,LA,712955688,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,92.4,33,22.420666667,22.420666667
1033559448,BANAYAT,RIKKA,A,M.D.,F,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,37,158,56.975949367,8.32,6.1923417722,6.1923417722
1033559448,BANAYAT,RIKKA,A,M.D.,F,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.38,3.38,2.65,2.65
1033559448,BANAYAT,RIKKA,A,M.D.,F,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,41,12.202682927,1.42,1.0868292683,1.0868292683
1033559448,BANAYAT,RIKKA,A,M.D.,F,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,17.88,4.31,2.535,2.535
1033559448,BANAYAT,RIKKA,A,M.D.,F,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,32,464.6784375,70.23,49.898125,49.69625
1033559448,BANAYAT,RIKKA,A,M.D.,F,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,4712,0.172429966,0.0464410017,0.0340619694,0.0340619694
1033559448,BANAYAT,RIKKA,A,M.D.,F,I,252 S 4TH ST FL 3,,LEBANON,PA,170426111,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,126.17647059,33,24.348235294,24.348235294
1033559554,MAZURSKY,KONSTANTIN,,D.O,M,I,1800 E FLORENCE BLVD,ATTN: HOSPITALIST TEAM,CASA GRANDE,AZ,851225303,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,22,105.655,16.96,13.3,13.507272727
1033559554,MAZURSKY,KONSTANTIN,,D.O,M,I,1800 E FLORENCE BLVD,ATTN: HOSPITALIST TEAM,CASA GRANDE,AZ,851225303,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,22,459.755,77.36,60.65,55.537272727
1033559612,ROGGOW,BRIELLE,L,D.P.M.,F,I,712 THE RIALTO,,VENICE,FL,342853524,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,44,85,71.56,56.105,56.105
1033559612,ROGGOW,BRIELLE,L,D.P.M.,F,I,712 THE RIALTO,,VENICE,FL,342853524,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,129,50,43.56,34.151627907,34.150077519
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,34,70,278,51.153201439,8.32,6.3350359712,6.3350359712
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,18,34,36,13.445,3.38,2.65,2.65
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,23.24875,2.12,1.67,1.67
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,26,48,102,13.545588235,1.42,1.0915686275,1.0915686275
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,8.5059375,1.500625,1.02875,1.0065625
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,12,13,5.3969230769,1.4538461538,1.1430769231,0.9607692308
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,8167,2.4960205706,0.3050410187,0.2391526876,0.2391526876
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,150.81846154,47,31.180769231,30.940769231
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,158.65,8.9212,6.9936,7.13
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,23.286111111,14.52,10.359444444,11.029444444
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,178.18818182,51.178181818,32.823636364,33.457272727
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,12,74,74,179.77621622,50.985675676,38.854864865,36.615810811
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,182.5,50.884,34.13,34.169
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,20,45.822,17.54,13.75,13.5615
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,829.21727273,829.21727273
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,57,57,34.785789474,6.4829824561,4.7019298246,3.4401754386
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,22,43.6,27.093636364,21.239090909,22.479090909
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,26,78.345,48.61,38.11,39.863846154
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,13,90,102,406.70715686,75.272156863,57.259901961,53.429901961
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,E1800,"Dynamic adjustable elbow extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,395,97.831818182,76.702727273,87.463636364
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,15.82052381,9.5964285714,7.4571111111,7.4571111111
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,8582,0.2552015847,0.0471510137,0.0337543696,0.0337543696
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,36,36,76.939444444,18.645,13.440833333,12.575555556
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,83,83,168.03036145,30.511204819,23.920240964,22.457951807
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,173.74,44.745454545,30.030909091,31.264545455
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,14,107,107,51.912523364,8.8388785047,6.6714953271,6.5404672897
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,,11,44,21.221590909,15.26,11.964545455,11.964545455
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,474.65,160.79454545,113.01909091,95.350909091
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,49,49,581.46693878,165.90918367,125.3244898,120.03836735
1033559778,JONES,RYAN,E,M.D.,M,I,1301 W 7TH ST,STE 121,FORT WORTH,TX,761022651,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,40,92.4,33,23.92975,23.92975
1033560255,KAUR,MANINDERPAL,,M.D.,F,I,150 BERGEN ST # UHH-245,,NEWARK,NJ,07103,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,25,81.9564,8.32,6.5212,6.5212
1033560545,HICKS,ASHLEY,,MD,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.25,13.52,13.536363636
1033560545,HICKS,ASHLEY,,MD,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,69.62,54.59,54.7
1033561493,LEE,HILARY,,,F,I,211 MAIN ST,,WATERVILLE,ME,049016117,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,31,446,12.88,10.93,8.569103139,8.569103139
1033561766,LONGINOTTI,KATHERINE,,,F,I,203 N WASHINGTON ST,STE 300,SPOKANE,WA,992010233,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,17.09,11.166666667,11.294166667
1033561766,LONGINOTTI,KATHERINE,,,F,I,203 N WASHINGTON ST,STE 300,SPOKANE,WA,992010233,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,107.72727273,3.9045454545,3.06,3.4818181818
1033561766,LONGINOTTI,KATHERINE,,,F,I,203 N WASHINGTON ST,STE 300,SPOKANE,WA,992010233,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,684.38421053,65.7,37.817368421,40.869473684
1033562558,LOGAN,JESSICA,,,F,I,2500 W REYNOLDS ST,,PONTIAC,IL,617649774,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,23,48,59.517291667,8.32,5.434375,5.434375
1033562822,KLEINMANN,MICHELLE,,NP,F,I,7792 MISTY SHORE DR,,WEST CHESTER,OH,450699645,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,244.64727273,49.214090909,33.771818182,32.723636364
1033562822,KLEINMANN,MICHELLE,,NP,F,I,7792 MISTY SHORE DR,,WEST CHESTER,OH,450699645,US,Nurse Practitioner,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,72.83,32.945,25.830833333,25.395833333
1033562822,KLEINMANN,MICHELLE,,NP,F,I,7792 MISTY SHORE DR,,WEST CHESTER,OH,450699645,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,650.94818182,78.336363636,61.415454545,55.401818182
1033562863,ROBERTS,ALEXANDRA,,M.D.,F,I,194 E MAIN ST,,FORT KENT,ME,04743,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,45,89.036,8.32,6.2317777778,6.2317777778
1033564109,BALDIVIA,PAMELA SUE,,FNP,F,I,757 WESTWOOD PLZ,SUITE B790A,LOS ANGELES,CA,900957404,US,Nurse Practitioner,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,90,2197,36.996568047,12.954788348,10.091292672,10.091292672
1033564109,BALDIVIA,PAMELA SUE,,FNP,F,I,757 WESTWOOD PLZ,SUITE B790A,LOS ANGELES,CA,900957404,US,Nurse Practitioner,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,36,186,565.86177419,204.39919355,160.24887097,162.00021505
1033564109,BALDIVIA,PAMELA SUE,,FNP,F,I,757 WESTWOOD PLZ,SUITE B790A,LOS ANGELES,CA,900957404,US,Nurse Practitioner,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,29,169,611.63775148,268.35360947,210.38816568,210.38816568
1033564109,BALDIVIA,PAMELA SUE,,FNP,F,I,757 WESTWOOD PLZ,SUITE B790A,LOS ANGELES,CA,900957404,US,Nurse Practitioner,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,169,793.95899408,326.82,256.22715976,256.22715976
1033564109,BALDIVIA,PAMELA SUE,,FNP,F,I,757 WESTWOOD PLZ,SUITE B790A,LOS ANGELES,CA,900957404,US,Nurse Practitioner,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,89,518,190.19561776,9.349034749,7.3292471042,7.3292471042
1033564109,BALDIVIA,PAMELA SUE,,FNP,F,I,757 WESTWOOD PLZ,SUITE B790A,LOS ANGELES,CA,900957404,US,Nurse Practitioner,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,91,528,489.2561553,29.216969697,22.905984848,22.905984848
1033564422,KAUR,GAGANDEEP,,M.D.,F,I,3432 169TH ST,,HAMMOND,IN,463232542,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.468333333,12.904166667
1033564422,KAUR,GAGANDEEP,,M.D.,F,I,3432 169TH ST,,HAMMOND,IN,463232542,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,58.105
1033564950,LEE,AMY,,P.A.,F,I,1580 BEAM AVE,,MAPLEWOOD,MN,551091127,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,53,71.014716981,8.32,6.0286792453,6.0286792453
1033565171,JENNINGS,ERIN,M,NP,F,I,100 WOODS RD,,VALHALLA,NY,105951530,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,10740,5.0636880819,0.6012569832,0.4585307263,0.4585307263
1033565171,JENNINGS,ERIN,M,NP,F,I,100 WOODS RD,,VALHALLA,NY,105951530,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,24,24,18.6036,18.6036
1033565171,JENNINGS,ERIN,M,NP,F,I,100 WOODS RD,,VALHALLA,NY,105951530,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,26,16,16,12.541923077,12.541923077
1033565890,SATTAR,IFAT,,D.O.,F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Student in an Organized Health Care Education/Training Program,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.05,4.77,3.745,3.5825
1033565908,JOHNSON,EMILY,J,MD,F,I,3207 N ACADEMY BLVD STE 3300,,COLORADO SPRINGS,CO,809175100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,39,74.376923077,8.32,6.0215384615,6.0215384615
1033566153,JAYME,MARY ROSE,,NURSE PRACTITIONER,F,I,200 E 5TH ST,,CHASE CITY,VA,239241456,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,33,84,52.782619048,8.32,5.9622619048,5.9622619048
1033566153,JAYME,MARY ROSE,,NURSE PRACTITIONER,F,I,200 E 5TH ST,,CHASE CITY,VA,239241456,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,32,14.4621875,1.42,1.0446875,1.0446875
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,34,89,205,56.304292683,8.32,5.6746829268,5.6746829268
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,18,19,13.68,1.42,0.9431578947,0.9431578947
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,550,116.67,83.245454545,55.909090909
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,48,16.5388,11.4908,8.73
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,25,4.8685714286,2.9523809524,2.5752380952
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,150,52.807272727,36.699545455,23.088636364
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,458.4864,99.7544,78.2092,55.3348
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,35.0825,29.515833333
1033566203,HOYT,JENNIFER,,FNP,F,I,1813 WILLOW ST STE 3A,,VINCENNES,IN,47591,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,165.67909091,116.84363636,82.947272727
1033566435,CHAVEZ,MARCO,A,,M,I,200 W ESPLANADE AVE,SUITE 412,KENNER,LA,700652489,US,Student in an Organized Health Care Education/Training Program,T,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,12,9.5,7.45,7.755
1033566591,WOODRUFF,JOELLE,,,F,I,1014 SIXTH ST STE 101,,TRAVERSE CITY,MI,496842398,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,17,84,208,55.156153846,8.32,4.1608653846,4.1608653846
1033566591,WOODRUFF,JOELLE,,,F,I,1014 SIXTH ST STE 101,,TRAVERSE CITY,MI,496842398,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,27,30,12.214333333,1.42,0.8946666667,0.8946666667
1033566591,WOODRUFF,JOELLE,,,F,I,1014 SIXTH ST STE 101,,TRAVERSE CITY,MI,496842398,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,85.44,24.94,19.55,14.456153846
1033566591,WOODRUFF,JOELLE,,,F,I,1014 SIXTH ST STE 101,,TRAVERSE CITY,MI,496842398,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125,48.697272727,38.175454545,25.501818182
1033566591,WOODRUFF,JOELLE,,,F,I,1014 SIXTH ST STE 101,,TRAVERSE CITY,MI,496842398,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,502.59277778,121.46,92.436666667,56.437222222
1033567375,DAVIS,GAYLA,M,"MSN, ARNP, FNP-BC",F,I,129 8TH AVE SE,,OELWEIN,IA,506622352,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,27.6625,21.688333333,14.19
1033567839,DAY,TIMOTHY,Z,PA-C,M,I,897 POPLAR RD,,CAMP HILL,PA,17011,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,67.72,53.1,54.73
1033567839,DAY,TIMOTHY,Z,PA-C,M,I,897 POPLAR RD,,CAMP HILL,PA,17011,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38.72,30.36,29.52
1033568183,MATHER,DANIELLE,L,PA-C,F,I,3330 PEACH ST,,ERIE,PA,165082769,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,4.2775,3.0133333333,3.3241666667
1033568308,LING,HANNA,,ARNP,F,I,1803 MICCOSUKEE COMMONS DR,SUITE 202,TALLAHASSEE,FL,323087403,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,130.11,49.89862069,36.151724138,34.080689655
1033568308,LING,HANNA,,ARNP,F,I,1803 MICCOSUKEE COMMONS DR,SUITE 202,TALLAHASSEE,FL,323087403,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,72.3,43.38,34.01,33.491818182
1033568308,LING,HANNA,,ARNP,F,I,1803 MICCOSUKEE COMMONS DR,SUITE 202,TALLAHASSEE,FL,323087403,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,33.717142857,19.585142857,15.355714286,14.13
1033568431,LEWIS,PATRICIA,,N.P.,F,I,1124 OAKLEIGH RD,,OCEAN SPRINGS,MS,395645716,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,54,82,7220,0.5450581717,0.44,0.3449861496,0.3449861496
1033568431,LEWIS,PATRICIA,,N.P.,F,I,1124 OAKLEIGH RD,,OCEAN SPRINGS,MS,395645716,US,Nurse Practitioner,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,36,46,10600,0.08,0.05,0.0392,0.0392
1033568431,LEWIS,PATRICIA,,N.P.,F,I,1124 OAKLEIGH RD,,OCEAN SPRINGS,MS,395645716,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,36,49,5520,0.1599565217,0.13,0.101923913,0.101923913
1033568431,LEWIS,PATRICIA,,N.P.,F,I,1124 OAKLEIGH RD,,OCEAN SPRINGS,MS,395645716,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,23,37,4444,0.5619261926,0.45,0.3528307831,0.3528307831
1033568431,LEWIS,PATRICIA,,N.P.,F,I,1124 OAKLEIGH RD,,OCEAN SPRINGS,MS,395645716,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,13,24,183,65.857923497,24.538469945,18.453934426,18.416010929
1033568431,LEWIS,PATRICIA,,N.P.,F,I,1124 OAKLEIGH RD,,OCEAN SPRINGS,MS,395645716,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,13,24,161,45.220496894,8.2232919255,6.4470186335,6.428757764
1033568431,LEWIS,PATRICIA,,N.P.,F,I,1124 OAKLEIGH RD,,OCEAN SPRINGS,MS,395645716,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,14,28,28,4194.75,658.48928571,516.25892857,487.31214286
1033569033,HOFFMAN,TAYLOR,,,M,I,303 E 13TH ST,,HUNTINGBURG,IN,475429269,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,80.143333333,72.598333333,56.916666667,53.505
1033569033,HOFFMAN,TAYLOR,,,M,I,303 E 13TH ST,,HUNTINGBURG,IN,475429269,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,23,53.5,52.13,40.87,43.325652174
1033569041,ANTHONY,LAURA,B,M.D.,F,I,710 ROUTE 28,,HARWICH PORT,MA,026461931,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,81.601538462,8.32,6.5207692308,6.5207692308
1033569587,GALL,AMBER,,NP,F,I,8501 MEADOW CRK,,ROCKFORD,MI,493417524,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,50,21.298125,15.558125,12.4175
1033569587,GALL,AMBER,,NP,F,I,8501 MEADOW CRK,,ROCKFORD,MI,493417524,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,300,91.743478261,66.48,49.966956522
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,134,46.375454545,36.36,31.570909091
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,200,94.577647059,74.151764706,70.302941176
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,47.933333333,20.133333333,15.781666667,14.06
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,20,101,6.6336633663,2.5540594059,2.0025742574,1.6717821782
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,41.781153846,17.545769231,12.711923077,12.729615385
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,2500,1074.31,842.26,842.26
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,280,89.515,62.761875,64.284375
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,25,4.7055813953,3.3904651163,3.4276744186
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,192.04965517,48.862413793,38.306206897,29.407241379
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,236.63944444,78.11,57.066666667,54.06
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,19.8055,9.604,7.5295277778,7.5295277778
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,31,7468,0.2289542046,0.0471237279,0.0323647563,0.0323634172
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,600,11.511833333,2.9704,2.3288,2.3288
1033570320,JEFFERSON,JAMI,,F.N.P.-C,F,I,30 SATELLITE DR,,WINDER,GA,306806211,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,18,40,40,33,33,24.15375,24.15375
1033571393,OLALERE,ANGELA,,CRNP,F,I,5710 SHELBY KATHERINE CT,,GREENSBORO,NC,274559363,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,42.857142857,4.2868571429,3.2762857143,3.5654285714
1033571393,OLALERE,ANGELA,,CRNP,F,I,5710 SHELBY KATHERINE CT,,GREENSBORO,NC,274559363,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,410.13333333,67.72,53.1,54.621333333
1033571427,BIGELOW,ELAINE,,,F,I,601 N CAROLINE ST FL 6,,BALTIMORE,MD,212870006,US,Student in an Organized Health Care Education/Training Program,T,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,8271,1.2556389796,0.2997461008,0.2260754443,0.2335255713
1033571930,ZIMMER,TRACI,L,AGNP-C,F,I,10561 FOXTAIL DR,,BREESE,IL,622304321,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,15,67.892,16.79,13.16,13.283333333
1033571930,ZIMMER,TRACI,L,AGNP-C,F,I,10561 FOXTAIL DR,,BREESE,IL,622304321,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,5.36,4.9945454545,3.9163636364,4.0927272727
1033571930,ZIMMER,TRACI,L,AGNP-C,F,I,10561 FOXTAIL DR,,BREESE,IL,622304321,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,25,26,396.87153846,79.2,62.09,58.976153846
1033572094,MERCHANT,KIMLOAN,,NP,F,I,8601 VETERANS HWY,,MILLERSVILLE,MD,211081547,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,44,81.919090909,8.32,5.6325,5.6325
1033572094,MERCHANT,KIMLOAN,,NP,F,I,8601 VETERANS HWY,,MILLERSVILLE,MD,211081547,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,75,10.1892,7,5.488,5.488
1033572094,MERCHANT,KIMLOAN,,NP,F,I,8601 VETERANS HWY,,MILLERSVILLE,MD,211081547,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,262.49090909,216.51090909,164.54,165.61818182
1033572664,PRISTERA,NICOLE,M,M.D.,F,I,2301 ERWIN RD,,DURHAM,NC,277054699,US,Student in an Organized Health Care Education/Training Program,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,372,1.4770967742,0.0457258065,0.0358602151,0.0358602151
1033572938,REYNOLDS,MELISSA,L,,F,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Nurse Practitioner,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,200,5.884,4.91,3.3925,3.3925
1033573506,LONG,MICHELLE,,,F,I,11728 S 226 HWY,,SPRUCE PINE,NC,287778954,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,35,75,70.1168,8.32,5.6518666667,5.6518666667
1033573506,LONG,MICHELLE,,,F,I,11728 S 226 HWY,,SPRUCE PINE,NC,287778954,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,335.54470588,108.16,83.298823529,55.610588235
1033573530,BELL,LINDSEY,H,NP,F,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,60,136,62.495073529,8.32,5.9955147059,5.9955147059
1033573530,BELL,LINDSEY,H,NP,F,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,9.2305882353,1.42,1.12,1.12
1033573530,BELL,LINDSEY,H,NP,F,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60.804545455,22.790909091,17.866363636,13.53
1033573530,BELL,LINDSEY,H,NP,F,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,21,27.095238095,8.7223809524,6.8380952381,4.8042857143
1033573530,BELL,LINDSEY,H,NP,F,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,364.43181818,105.01636364,82.335454545,54.73
1033573530,BELL,LINDSEY,H,NP,F,I,403A LISTER ST,,WAYCROSS,GA,315015225,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1557,0.6524277457,0.0440333976,0.0330507386,0.0330507386
1033574165,ROSER,JESSIKA,,PA-C,F,I,7608 CAUSEWAY BLVD,,TAMPA,FL,33619,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,256.88142857,79.494285714,54.897857143,47.864285714
1033574793,MAJIDIAN,SALLY,J,M.D.,F,I,81709 DR CARREON BLVD STE C3,,INDIO,CA,922015577,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3,2.3519354839,2.3663049853
1033574793,MAJIDIAN,SALLY,J,M.D.,F,I,81709 DR CARREON BLVD STE C3,,INDIO,CA,922015577,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5115,19.664,1.33,1.0146608016,0.9291476051
1033574991,OLSON,KATHRYN,E,FNP,F,I,521 4TH ST,,HAVRE,MT,595013649,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,14,40,62.704,8.32,1.9665,1.9665
1033574991,OLSON,KATHRYN,E,FNP,F,I,521 4TH ST,,HAVRE,MT,595013649,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,519.51,72.4,45.405333333,43.778666667
1033575402,RANES,JESSICA,S,APRN,F,I,1300 MERRITT DR STE 100,,HENDERSON,KY,424202788,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,58.527,8.32,5.6506666667,5.6506666667
1033575436,MORRIS,ANNA,C,PA-C,F,I,1505 FRANKLIN RD SW,,ROANOKE,VA,240165206,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,10.81325,3.0329166667,2.3778333333,2.3778333333
1033575436,MORRIS,ANNA,C,PA-C,F,I,1505 FRANKLIN RD SW,,ROANOKE,VA,240165206,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,78.692307692,33,25.87,25.87
1033576038,TROSKO,MEGAN,M,NP,F,I,10605 N HAYDEN RD STE G110,,SCOTTSDALE,AZ,852605505,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,1651.25,1158.0641667,903.69666667,882.27916667
1033576046,KERN,BROOKE,,AGNP-C,F,I,4000 CENTRAL AVE NE,,COLUMBIA HEIGHTS,MN,554212968,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,41,81.536829268,8.32,5.0912195122,5.0912195122
1033576228,WILSON,MARY,,PA,F,I,175 CROSS KEYS RD,BUILDING 300A,BERLIN,NJ,080099263,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,33,59.317575758,8.32,5.3421212121,5.3421212121
1033576228,WILSON,MARY,,PA,F,I,175 CROSS KEYS RD,BUILDING 300A,BERLIN,NJ,080099263,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,52,52,21.44,4.4546153846,3.4921153846,3.6961538462
1033576228,WILSON,MARY,,PA,F,I,175 CROSS KEYS RD,BUILDING 300A,BERLIN,NJ,080099263,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2335,0.2317815846,0.0459357602,0.0303768737,0.0303768737
1033576228,WILSON,MARY,,PA,F,I,175 CROSS KEYS RD,BUILDING 300A,BERLIN,NJ,080099263,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,101.53846154,33,21.89,21.89
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,35.19,28.46,20.281818182,20.281818182
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,20,13.546,10.93,7.713,7.713
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,7.7566666667,6.34,4.5558333333,5.3766666667
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,381.36,69.596315789,50.517368421,38.185263158
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,272.79,63.722727273,49.959090909,38.18
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,63,475.17444444,101.36222222,75.768888889,52.634603175
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,350,44.34,34.765,29.515
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,146.25,23.920526316,8.9273684211,5.5642105263
1033576483,BROWN,HANNAH,S,PA,F,I,87 RUMFORD ST,#2,CONCORD,NH,033014442,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,43,154.89,45.074651163,34.576744186,29.329069767
1033576525,ROBERTS,MARILYN,,,F,I,525 N EASTOWN RD,SUITE A,LIMA,OH,458072268,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,35,55.761714286,8.32,4.4725714286,4.4725714286
1033576525,ROBERTS,MARILYN,,,F,I,525 N EASTOWN RD,SUITE A,LIMA,OH,458072268,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,23,14.689130435,1.42,0.8243478261,0.8243478261
1033576616,RYDBERG,TESSA,,,F,I,715 W MILWAUKEE AVE,,STORM LAKE,IA,505881564,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,64,21.463529412,14.541176471,11.408823529
1033576616,RYDBERG,TESSA,,,F,I,715 W MILWAUKEE AVE,,STORM LAKE,IA,505881564,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,410,94.86,63.823529412,45.071764706
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,17.31,9.3,5.4675,5.16
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,69.285714286,48.057142857,37.674285714,38.527857143
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,33,33,72.666666667,47.98030303,34.596060606,36.881515152
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,31,78.156774194,17.25,12.369032258,12.387096774
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,106.28571429,44.196428571,33.030714286,34.21
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,14,14,25,15.2,12.4,9.72,9.964
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,31,405.7116129,77.36,55.278387097,50.313225806
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,46.272727273,38.52,30.2,29.574545455
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,167.18181818,156.62,122.79,116.38272727
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,59.813333333,17.043333333,12.021111111,13.246666667
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,53,53,50.056603774,40.013962264,31.369433962,26.876226415
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,62,62,178,29.086774194,17.47016129,18.716774194
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,125,50.521875,34.950625,33.11375
1033576814,GARCIA,EDELIZ,C,APRN,F,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171501,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,12,9.6581818182,7.5709090909,7.0872727273
1033576863,RYZHAKOVA,YANA,,NURSE PRACTITIONER,F,I,2355 E 12TH ST APT 2G,,BROOKLYN,NY,112294224,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,48,86.961666667,8.32,5.1625,5.1625
1033576863,RYZHAKOVA,YANA,,NURSE PRACTITIONER,F,I,2355 E 12TH ST APT 2G,,BROOKLYN,NY,112294224,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,14,15.111428571,1.42,0.7985714286,0.7985714286
1033577234,FUNDERBURK,HEATHER,N,APRN,F,I,320 LUZERNE ST,,MOUNT IDA,AR,719579437,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,400.24357143,180.32,138.65714286,112.73928571
1033577564,CARRICO,DEENA,D,APRN,F,I,225 MEDICAL CENTER DR,SUITE 101,PADUCAH,KY,420037914,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,144.25,61.105,47.9075,39.9145
1033577564,CARRICO,DEENA,D,APRN,F,I,225 MEDICAL CENTER DR,SUITE 101,PADUCAH,KY,420037914,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,44,44,165,70.185227273,55.027272727,43.075454545
1033577564,CARRICO,DEENA,D,APRN,F,I,225 MEDICAL CENTER DR,SUITE 101,PADUCAH,KY,420037914,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,35.882352941,14.023529412,10.994117647,9.0747058824
1033577564,CARRICO,DEENA,D,APRN,F,I,225 MEDICAL CENTER DR,SUITE 101,PADUCAH,KY,420037914,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,81,81,76.296296296,28.234197531,21.009876543,15.868765432
1033577564,CARRICO,DEENA,D,APRN,F,I,225 MEDICAL CENTER DR,SUITE 101,PADUCAH,KY,420037914,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,31.25,12.578125,9.8625,7.255625
1033577838,FIELDER,RAJAH,,FNP,F,I,111 SAINT CHARLES ST,,CARENCRO,LA,705204004,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,34,79,57.140506329,8.32,4.7049367089,4.7049367089
1033577838,FIELDER,RAJAH,,FNP,F,I,111 SAINT CHARLES ST,,CARENCRO,LA,705204004,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,26,16.155769231,1.42,0.8592307692,0.8592307692
1033577838,FIELDER,RAJAH,,FNP,F,I,111 SAINT CHARLES ST,,CARENCRO,LA,705204004,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,147.39125,51.5025,40.375,39.83875
1033577838,FIELDER,RAJAH,,FNP,F,I,111 SAINT CHARLES ST,,CARENCRO,LA,705204004,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,20.573076923,5.0907692308,3.9923076923,3.6671794872
1033577838,FIELDER,RAJAH,,FNP,F,I,111 SAINT CHARLES ST,,CARENCRO,LA,705204004,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.374545455,8.1390909091,7.7890909091
1033577838,FIELDER,RAJAH,,FNP,F,I,111 SAINT CHARLES ST,,CARENCRO,LA,705204004,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,64.82875,20.4725,16.05125,15.393125
1033577838,FIELDER,RAJAH,,FNP,F,I,111 SAINT CHARLES ST,,CARENCRO,LA,705204004,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,675,124.34181818,84.445454545,82.947272727
1033577879,WOOD,JACLYN,,NP,F,I,55 WHITCHER ST NE,SUITE 250,MARIETTA,GA,300601155,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1590,8.0567924528,2.0277358491,1.5897484277,1.5993459119
1033578620,KHAN,RABIA,,,F,I,2060 W 24TH ST,,YUMA,AZ,853646123,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,34,89,64.39258427,8.32,5.348988764,5.348988764
1033578620,KHAN,RABIA,,,F,I,2060 W 24TH ST,,YUMA,AZ,853646123,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,27,15.635185185,1.42,0.9066666667,0.9066666667
1033579396,WILSON,JENNIFER,,"APRN, FNP-BC",F,I,10001 S EASTERN AVE STE 407,,HENDERSON,NV,890523908,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,35,6.2264705882,4.8817647059,3.7752941176
1033579776,BERNIER,KELLI,A,NP-C,F,I,324 ELM ST STE 202B,,MONROE,CT,064682284,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,47.347777778,5.7572222222,4.0533333333,3.1911111111
1033579891,KARUNANITHI,SANGEETHA,P,,F,I,2100 N LINE ST,APT H203,LANSDALE,PA,194461043,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,139.796,54.448,42.684,43.736
1033579891,KARUNANITHI,SANGEETHA,P,,F,I,2100 N LINE ST,APT H203,LANSDALE,PA,194461043,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,129.4625,27.08875,21.23625,23.9675
1033579891,KARUNANITHI,SANGEETHA,P,,F,I,2100 N LINE ST,APT H203,LANSDALE,PA,194461043,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,27.311764706,8.9429411765,7.0082352941,7.46
1033580253,ROBERTS,ELIZABETH,B,FNP-BC,F,I,135 MEMORIAL DR,,LURAY,VA,228351016,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,41,45.222682927,8.32,6.3646341463,6.3646341463
1033580253,ROBERTS,ELIZABETH,B,FNP-BC,F,I,135 MEMORIAL DR,,LURAY,VA,228351016,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,70.417272727,55.209090909,40.621818182
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,1054,275,5.83,4.5707779886,4.174743833
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,15552,2.8580684156,0.3431018519,0.2689930556,0.2440419239
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5676,10.86393587,0.6191261452,0.4853946441,0.514982382
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,576,20.615,0.67,0.4961631944,0.5248263889
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,9.2333333333,5.9,4.2825,3.5375
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,5,3.92,3.9472727273
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,2640,1.4781022727,0.1380454545,0.1082462121,0.1082462121
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,21,1680,9.654172619,3.1257142857,2.412452381,2.412452381
1033580691,VIERS,JEANNE,,APRN,F,I,7926 PRESTON HWY STE 200,,LOUISVILLE,KY,402193848,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,33,33,25.87,25.87
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,34,3720,0.5488172043,0.44,0.3449892473,0.3449892473
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,12,207,10.08,8.28,6.4915458937,6.4915458937
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,342,22.53,18.5,14.451140351,14.451140351
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,29,451,10.24,8.41,6.5935698448,6.5935698448
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,32,60,912,13.31,10.93,8.4404276316,8.4404276316
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,29,605,2.91,2.4,1.8069752066,1.8069752066
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,25,326,9.013803681,7.36,5.4263496933,5.4263496933
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,18,424,4.3668396226,3.67,2.8773113208,2.8773113208
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,27,3300,0.16,0.13,0.1019030303,0.1019030303
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,836,0.56,0.45,0.3527870813,0.3527870813
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,29,1000,1.0726,0.88,0.66494,0.66494
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6456,"Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,29,1760,1.7452272727,1.43,1.0553295455,1.0553295455
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,17,28,116.77,95.87,75.164285714,75.164285714
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,971.5562963,171.96222222,134.81814815,133.78888889
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,1208.4210526,1001.0278947,784.80842105,810.4
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,3,21,21,40,515,353.468,277.118,285.69
1033580832,JONES,PENNY,W,"RN, NP-C",F,I,3912 KETTERING DR,,DURHAM,NC,277138029,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,50,19.868,11.0722,8.681,8.3824
1033580865,NAGEL,MICHELLE,,,F,I,9760 S KEDZIE AVE STE 3,,EVERGREEN PARK,IL,608053184,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,22,70,66.841857143,8.2895714286,6.0327142857,6.0564285714
1033580865,NAGEL,MICHELLE,,,F,I,9760 S KEDZIE AVE STE 3,,EVERGREEN PARK,IL,608053184,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,20,31,16.859677419,1.42,1.1141935484,1.1141935484
1033580964,CRAWFORD,KURTIS,S,,M,I,4444 E 41ST ST,,TULSA,OK,74135,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,31,57,48.564210526,8.32,5.448245614,5.448245614
1033581707,PAUL,ANGELA,D,PHYSICIAN ASSISTANT,F,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1440,2.2322152778,0.1345,0.0941041667,0.0941041667
1033581707,PAUL,ANGELA,D,PHYSICIAN ASSISTANT,F,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,146.89,47.721818182,21.896363636,25.585454545
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,36,36,134.38,44.624166667,28.181944444,30.1525
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,741,98.526,70.786666667,116.90933333
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,44,44,21.44,5.8863636364,4.3997727273,3.6531818182
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,128.98,41.25,28.12173913,29.256956522
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,178.99230769,70.730769231,50.338717949,49.659487179
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,82,82,69.432317073,14.752439024,10.552439024,12.651585366
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,93,93,119.34,21.608924731,14.341182796,18.462903226
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,23,166,166,20.57,6.6128915663,4.5338554217,5.8457228916
1033582226,MCNANY,MAUREEN,A,NP,F,I,276 E MAIN ST,,DENVILLE,NJ,07834,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,61.96,35.203703704,24.535555556,26.424074074
1033583257,JONES,ELIZABETH,A,AG-ACNP,F,I,100 IRVING ST NW,,WASHINGTON,DC,200103017,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,290.625,70.23,55.06,54.74125
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,73.8575,15.9675,12.515,13.5325
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,71.5,56.06,54.73
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,30,2340,1.2367820513,0.4729188034,0.3542478632,0.3542478632
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,31,32,143,15555,4.7209360334,0.5708428158,0.4410697525,0.4410678239
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,29,10950,0.0569598174,0.0135369863,0.0103105023,0.0103105023
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,19,69,11160,3.5784982079,1.3904408602,1.0826120072,1.0826120072
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,34,34,130,130,24,24,18.530461538,18.530461538
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,40,40,157,188,16,16,12.07356383,12.07356383
1033583299,BURKE,MELISSA,M,,F,I,3400 SPRUCE ST,,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,13,13,33,33,25.87,25.87
1033583448,DILL,MISTY,N,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,37,92,74.159565217,8.32,5.9548913043,5.9548913043
1033583448,DILL,MISTY,N,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,40,40,155.033,49.78125,37.508,38.11875
1033583448,DILL,MISTY,N,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,45,50.697555556,6.5644444444,5.0831111111,4.0886666667
1033583448,DILL,MISTY,N,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,20,3880,0.3165541237,0.0454304124,0.035621134,0.035621134
1033583448,DILL,MISTY,N,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,1410,1.6316879433,0.1333191489,0.1045460993,0.1045460993
1033583448,DILL,MISTY,N,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,678.31166667,214.44944444,164.70444444,183.01888889
1033583448,DILL,MISTY,N,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,31,31,93,33,25.87,25.87
1033583562,MCCONNELL,ELLEN,,PA-C,F,I,676 N SAINT CLAIR ST STE 650,,CHICAGO,IL,606112929,US,Physician Assistant,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,530,12.559679245,5.7377358491,4.4291698113,4.4291698113
1033583562,MCCONNELL,ELLEN,,PA-C,F,I,676 N SAINT CLAIR ST STE 650,,CHICAGO,IL,606112929,US,Physician Assistant,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,320,17.29275,7,5.488,5.488
1033583562,MCCONNELL,ELLEN,,PA-C,F,I,676 N SAINT CLAIR ST STE 650,,CHICAGO,IL,606112929,US,Physician Assistant,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,520,9.6490769231,4.03,3.1595,3.1595
1033583562,MCCONNELL,ELLEN,,PA-C,F,I,676 N SAINT CLAIR ST STE 650,,CHICAGO,IL,606112929,US,Physician Assistant,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,540,0.732037037,0.26,0.2038518519,0.2112222222
1033584461,CAMPBELL,KIMBERLY,,ARNP,F,I,3500 N MOUNT JULIET RD STE 201,,MT JULIET,TN,37122,US,Nurse Practitioner,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,995,995,773.50470588,768.97470588
1033584461,CAMPBELL,KIMBERLY,,ARNP,F,I,3500 N MOUNT JULIET RD STE 201,,MT JULIET,TN,37122,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,17,17,1290,875.56,686.44,678.71941176
1033584750,STILES,DENISE,W,FNP-BC,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,32,32,228.4375,46.256875,28.4159375,27.8903125
1033584750,STILES,DENISE,W,FNP-BC,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,91.798421053,17.29,13.55,13.535263158
1033584750,STILES,DENISE,W,FNP-BC,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,506.438,70.23,55.06,54.833333333
1033584750,STILES,DENISE,W,FNP-BC,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,116.94285714,19.092,11.907714286,10.48
1033585401,SIEMENS,LINDSEY,N,PA-C,F,I,2111 LANDMARK CIR,,MINOT,ND,587031967,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,20,52.2975,8.32,5.8705,5.8705
1033585401,SIEMENS,LINDSEY,N,PA-C,F,I,2111 LANDMARK CIR,,MINOT,ND,587031967,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,70.98,46.042727273,28.642727273,23.626363636
1033585401,SIEMENS,LINDSEY,N,PA-C,F,I,2111 LANDMARK CIR,,MINOT,ND,587031967,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,46,9.0173913043,2.912173913,2.1297826087,1.6306521739
1033585401,SIEMENS,LINDSEY,N,PA-C,F,I,2111 LANDMARK CIR,,MINOT,ND,587031967,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,102.61833333,75.474166667,53.544166667
1033585401,SIEMENS,LINDSEY,N,PA-C,F,I,2111 LANDMARK CIR,,MINOT,ND,587031967,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,44.745,32.344166667,27.6525
1033585468,ROSEBERRY,DONALD,,PA-C,M,I,2001 N JEFFERSON AVE,,MOUNT PLEASANT,TX,754552338,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,295.29,61.026666667,43.7475,31.581666667
1033585518,GRCICH,MELISSA,,FNP-C,F,I,2 S PEARL ST,,KNOX,IN,465341416,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,913.16,714.96909091,841.30909091
1033585518,GRCICH,MELISSA,,FNP-C,F,I,2 S PEARL ST,,KNOX,IN,465341416,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,466.34,96.337777778,68.888888889,48.648888889
1033585567,WEHMEYER,SUSAN,,ARNP,F,I,747 BROADWAY,,SEATTLE,WA,98122,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,77.34,60.63,54.73
1033585567,WEHMEYER,SUSAN,,ARNP,F,I,747 BROADWAY,,SEATTLE,WA,98122,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,9.125,7.15,7.18
1033585567,WEHMEYER,SUSAN,,ARNP,F,I,747 BROADWAY,,SEATTLE,WA,98122,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39.3,30.81,29.51
1033586292,KRAUS,ANGELA,,APNP,F,I,2350 N LAKE DR,SUITE 302,MILWAUKEE,WI,532114528,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,407.10897436,75.952307692,53.927435897,49.761794872
1033586292,KRAUS,ANGELA,,APNP,F,I,2350 N LAKE DR,SUITE 302,MILWAUKEE,WI,532114528,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,70,37.546086957,27.677826087,27.744782609
1033587829,MASSEY,MORGAN,,,F,I,845 S ROUTE 51,,FORSYTH,IL,625359809,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,25,85.652,8.32,6.522,6.522
1033588363,REERSLEV,MOUSHUMI-DEVYANI,C,PA-C,F,I,1 HAYDEN BRIDGE WAY,,SPRINGFIELD,OR,974771347,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.05818182,17.09,12.181818182,12.316363636
1033588363,REERSLEV,MOUSHUMI-DEVYANI,C,PA-C,F,I,1 HAYDEN BRIDGE WAY,,SPRINGFIELD,OR,974771347,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,507.5,102.61833333,73.975833333,48.670833333
1033588363,REERSLEV,MOUSHUMI-DEVYANI,C,PA-C,F,I,1 HAYDEN BRIDGE WAY,,SPRINGFIELD,OR,974771347,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,117.75,44.745,29.605833333,24.5975
1033588488,RICHEY,ROBERT,,PA,M,I,1501 LEHIGH ST,SUITE 103,ALLENTOWN,PA,181033880,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,51,57.905686275,8.32,6.0111764706,6.0111764706
1033588488,RICHEY,ROBERT,,PA,M,I,1501 LEHIGH ST,SUITE 103,ALLENTOWN,PA,181033880,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,17.863809524,1.42,1.060952381,1.060952381
1033588488,RICHEY,ROBERT,,PA,M,I,1501 LEHIGH ST,SUITE 103,ALLENTOWN,PA,181033880,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,35.873888889,3.9566666667,2.635,3.3116666667
1033588488,RICHEY,ROBERT,,PA,M,I,1501 LEHIGH ST,SUITE 103,ALLENTOWN,PA,181033880,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1000,0.43914,0.04701,0.03685,0.03685
1033588488,RICHEY,ROBERT,,PA,M,I,1501 LEHIGH ST,SUITE 103,ALLENTOWN,PA,181033880,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,33,33,25.87,25.87
1033588504,BEVAN,TAYLOR,,F.N.P.,F,I,4504 BOAT CLUB RD STE 800,,FORT WORTH,TX,761357002,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,373.33333333,76.48,51.837777778,48.053888889
1033588504,BEVAN,TAYLOR,,F.N.P.,F,I,4504 BOAT CLUB RD STE 800,,FORT WORTH,TX,761357002,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36.5,23.85,24.555833333
1033588736,RICHTER,KRISTEN,,,F,I,1044 N MOZART ST,SUITE 100,CHICAGO,IL,606222789,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,34,74.345588235,8.32,6.5214705882,6.5214705882
1033589023,BATESON,NATALIE,C,PA,F,I,152 HIGHWAY 143,,ROAN MOUNTAIN,TN,376873002,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,519.51,82.754285714,60.055714286,50.891428571
1033589098,NUHMAN,NAZRA,,NP,F,I,526 MOYE BLVD,,GREENVILLE,NC,278342848,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,75.807857143,17.836428571,13.978571429,13.531428571
1033589098,NUHMAN,NAZRA,,NP,F,I,526 MOYE BLVD,,GREENVILLE,NC,278342848,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,463.6037931,87.895517241,68.911724138,54.735172414
1033589098,NUHMAN,NAZRA,,NP,F,I,526 MOYE BLVD,,GREENVILLE,NC,278342848,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,100,43.038,33.742,30.469333333
1033589973,HAMBY,MARIAH,L,FNP,F,I,1000 S 12TH ST,,MURRAY,KY,420719303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,50,65.4418,8.32,6.5218,6.5218
1033590112,ANBINDER,VALERIYA,,D.P.M.,F,I,CONEY ISLAND HOSPITAL,2601 OCEAN PARKWAY,BROOKLYN,NY,11598,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,16,32,70.881875,69.953125,54.845625,56.1021875
1033590112,ANBINDER,VALERIYA,,D.P.M.,F,I,CONEY ISLAND HOSPITAL,2601 OCEAN PARKWAY,BROOKLYN,NY,11598,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,16,88,29.345681818,28.744772727,22.536477273,22.886136364
1033590112,ANBINDER,VALERIYA,,D.P.M.,F,I,CONEY ISLAND HOSPITAL,2601 OCEAN PARKWAY,BROOKLYN,NY,11598,US,Podiatry,S,L3030,"Foot, insert, removable, formed to patient foot, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,30,72.142,71.644,56.17,56.297333333
1033590120,WILLETTS,ELIZABETH,,,F,I,640 CENTRE ST,,JAMAICA PLAIN,MA,021302555,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,52,90.975,8.32,5.1419230769,5.1419230769
1033590120,WILLETTS,ELIZABETH,,,F,I,640 CENTRE ST,,JAMAICA PLAIN,MA,021302555,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,27,27,14.756666667,1.42,1.0785185185,1.0785185185
1033590120,WILLETTS,ELIZABETH,,,F,I,640 CENTRE ST,,JAMAICA PLAIN,MA,021302555,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,50.73,3.9789473684,3.1168421053,3.7336842105
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,39,103,203,46.674630542,8.32,6.151182266,6.151182266
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,12.629230769,3.38,2.65,2.65
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,27,71,74,12.906081081,1.42,1.0589189189,1.0589189189
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.78,6.44,4.2041666667,4.2041666667
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.984,7,5.026625,5.026625
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.5121666667,0.4,0.287375,0.287375
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.29,12.6675,12.649166667
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,64,64,33.59375,4.715,3.57453125,3.5725
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,70.23,50.471666667,50.188333333
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,107.5,37.44,25.68125,25.83625
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,21,5488,0.2564522595,0.0463101312,0.0317948251,0.0317948251
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2245,2.0570690423,0.1343385301,0.1053318486,0.1053318486
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,944,1.8153177966,0.2185699153,0.1327754237,0.1327754237
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,55.935555556,20.668888889,16.205185185,15.121851852
1033590401,LANCASTER,LAUREN,,,F,I,2609 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349428,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,29,29,33,33,22.538275862,22.538275862
1033590591,MILLER,SUSAN,,MD,F,I,118 NORTHPORT AVE,,BELFAST,ME,049156009,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,155.18,69.62,50.040833333,50.15
1033590740,VOIGTMANN,MEGAN,L,FNP-BC,F,I,4460 S LINDBERGH BLVD,,SAINT LOUIS,MO,631271647,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,30,116,70.207241379,8.32,5.8010344828,5.8010344828
1033591235,YUONG,CHANTEL,,,F,I,23745 225TH WAY SE,STE 201B,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,42,86,58.473953488,8.32,6.0672093023,6.0672093023
1033591235,YUONG,CHANTEL,,,F,I,23745 225TH WAY SE,STE 201B,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,21,12.676666667,1.42,1.0114285714,1.0114285714
1033591235,YUONG,CHANTEL,,,F,I,23745 225TH WAY SE,STE 201B,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,96.943333333,47.5025,34.3775,33.544166667
1033591235,YUONG,CHANTEL,,,F,I,23745 225TH WAY SE,STE 201B,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,39.08,13.351666667,10.47,10.763333333
1033591235,YUONG,CHANTEL,,,F,I,23745 225TH WAY SE,STE 201B,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,31,124.86451613,16.523548387,11.988387097,13.123225806
1033591235,YUONG,CHANTEL,,,F,I,23745 225TH WAY SE,STE 201B,MAPLE VALLEY,WA,980385294,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,76.3125,33,21.019375,21.019375
1033591375,CARRON,PHILLIP,,M.D.,M,I,3556 BROADWAY,,NEW YORK,NY,10031,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,309.404,70.7688,46.56,45.9652
1033591581,BHATIA,NAUHAR,,M.D.,M,I,40 MEDICAL PARK,,WHEELING,WV,260036392,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,874.72,49.205833333,38.576666667,27.041666667
1033591714,CARLOS,AILEEN,,FNP,F,I,300 COLORADO AVE,,PUEBLO,CO,810042006,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,41,69.834878049,8.3068292683,5.0912195122,5.1041463415
1033591714,CARLOS,AILEEN,,FNP,F,I,300 COLORADO AVE,,PUEBLO,CO,810042006,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24,4.54,2.1866666667,2.2916666667
1033591714,CARLOS,AILEEN,,FNP,F,I,300 COLORADO AVE,,PUEBLO,CO,810042006,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,407.808,70.48,28.571,28.2885
1033591714,CARLOS,AILEEN,,FNP,F,I,300 COLORADO AVE,,PUEBLO,CO,810042006,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,17.635,12.759166667,13.104166667
1033591805,HANSEN,BROOKE,,PA-C,F,I,418 WASHINGTON ST,,LAKEVIEW,MI,488507102,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,16,478.351875,79.88,62.62,57.6825
1033591805,HANSEN,BROOKE,,PA-C,F,I,418 WASHINGTON ST,,LAKEVIEW,MI,488507102,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,250,35.66,27.96,28.794615385
1033592548,AKINGBOLA,GOLDAMEIR,,DO,F,I,1021 E BRYAN AVE,,SAPULPA,OK,740664512,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,198.12,42.479166667,33.304166667,21.068333333
1033592852,MOMIN,ARSEZAHRA,,M.D.,F,I,1350 WALTON WAY,,AUGUSTA,GA,30901,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,43.825,22.068125,17.3,13.906875
1033592852,MOMIN,ARSEZAHRA,,M.D.,F,I,1350 WALTON WAY,,AUGUSTA,GA,30901,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,7.6325,5.9816666667,3.66
1033592852,MOMIN,ARSEZAHRA,,M.D.,F,I,1350 WALTON WAY,,AUGUSTA,GA,30901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,229.10375,101.195,79.339375,57.260625
1033593207,ROBERSON,QUANISHA,,"APRN, CNS",F,I,226 SE DE BELL AVENUE,"BUILDING A, SUITE 101",BARTLESVILLE,OK,74006,US,Certified Clinical Nurse Specialist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,49.7,23.093125,17.170625,16.041875
1033593207,ROBERSON,QUANISHA,,"APRN, CNS",F,I,226 SE DE BELL AVENUE,"BUILDING A, SUITE 101",BARTLESVILLE,OK,74006,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,353.1,107.32875,80.413125,72.819375
1033593223,OGLE,CARLEEN,M,FNP,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,12,40,40,185.673,69.0015,53.1375,41.3505
1033593223,OGLE,CARLEEN,M,FNP,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,86.6505,22.576,17.698,13.53
1033593223,OGLE,CARLEEN,M,FNP,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,280,121.25636364,95.063636364,67.536363636
1033593223,OGLE,CARLEEN,M,FNP,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,46,52,39.464807692,7.7830769231,5.8109615385,3.8092307692
1033593223,OGLE,CARLEEN,M,FNP,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,58,496.95293103,96.210344828,75.43137931,60.546551724
1033593223,OGLE,CARLEEN,M,FNP,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,,32,32,142.608125,38.254375,25.3165625,17.6721875
1033593223,OGLE,CARLEEN,M,FNP,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,23.27625,9.895625,5.41,4.363125
1033593405,CHRISTENSEN,KELSEY,,"DNP, ARNP",F,I,5950 UNIVERSITY AVE STE 231,,WEST DES MOINES,IA,502668233,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,22,22,22,108.07045455,63.577272727,49.845454545,38.557272727
1033593405,CHRISTENSEN,KELSEY,,"DNP, ARNP",F,I,5950 UNIVERSITY AVE STE 231,,WEST DES MOINES,IA,502668233,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,30,7.5,3.504,2.5803333333,2.1
1033593405,CHRISTENSEN,KELSEY,,"DNP, ARNP",F,I,5950 UNIVERSITY AVE STE 231,,WEST DES MOINES,IA,502668233,US,Nurse Practitioner,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,3.86875,2.63,1.938125,1.70625
1033593405,CHRISTENSEN,KELSEY,,"DNP, ARNP",F,I,5950 UNIVERSITY AVE STE 231,,WEST DES MOINES,IA,502668233,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,74.185185185,29.28,22.244814815,14.341111111
1033594122,SIBANDA,HLENGIWE,L,FNP,F,I,80 B VETERANS BLVD,,ACOMA,NM,870340536,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.79,22.4775,16.3775,12.4025
1033594122,SIBANDA,HLENGIWE,L,FNP,F,I,80 B VETERANS BLVD,,ACOMA,NM,870340536,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,272.82833333,98.85,70.955555556,50.898888889
1033594817,SCHROEDER,SCOTT,,APRN-BC,M,I,2300 S 16TH ST,,LINCOLN,NE,685023704,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,73.595,17.85,12.523333333,12.385
1033595244,HOPPING,KELSEY,,PA-C,F,I,2885 N MAYFAIR RD,,MILWAUKEE,WI,532224404,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,179.28571429,31.626428571,19.179285714,18.961428571
1033595335,WZOREK,HANNAH,M,FNP,F,I,238 NORTHAMPTON ST,EASTHAMPTON HEALTH CENTER,EASTHAMPTON,MA,010271046,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,49,64.650204082,8.32,6.1230612245,6.1230612245
1033595335,WZOREK,HANNAH,M,FNP,F,I,238 NORTHAMPTON ST,EASTHAMPTON HEALTH CENTER,EASTHAMPTON,MA,010271046,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.8063636364,2.9790909091,3.5318181818
1033595335,WZOREK,HANNAH,M,FNP,F,I,238 NORTHAMPTON ST,EASTHAMPTON HEALTH CENTER,EASTHAMPTON,MA,010271046,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,146.25,15.517692308,11.298461538,13.086923077
1033595749,KULINSKI,JENNIFER,,FNP-BC,F,I,24800 URSULINE ST,,SAINT CLAIR SHORES,MI,480803195,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,32,58,242,60.902438017,8.32,5.792768595,5.792768595
1033595749,KULINSKI,JENNIFER,,FNP-BC,F,I,24800 URSULINE ST,,SAINT CLAIR SHORES,MI,480803195,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,13,29,16.476551724,1.42,0.96,0.96
1033595749,KULINSKI,JENNIFER,,FNP-BC,F,I,24800 URSULINE ST,,SAINT CLAIR SHORES,MI,480803195,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,200,50.856666667,39.873333333,39.115
1033595749,KULINSKI,JENNIFER,,FNP-BC,F,I,24800 URSULINE ST,,SAINT CLAIR SHORES,MI,480803195,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,598.5,347.66181818,266.04409091,266.04409091
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,18,102,20958,4.3582059357,0.5684220823,0.4277216337,0.4277216337
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,48,6420,0.1672102804,0.0125140187,0.0094548287,0.0094548287
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,18,2775,1.7535711712,0.7370666667,0.5776900901,0.5776900901
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,59,9000,3.4015055556,1.2225866667,0.9388988889,0.9388988889
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,840,4.6675952381,2.8373214286,2.2244880952,2.2244880952
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,1349,17.903239437,7.4801556709,5.7580726464,5.7580726464
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,21,31,154,154,24,24,18.313961039,18.313961039
1033596218,ALLEN,AMANDA,,NP,F,I,6025 WALNUT GROVE RD,SUITE 111,MEMPHIS,TN,381202131,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,20,125,130,16,16,12.347076923,12.347076923
1033596382,JOHNSON,KAREN,,FNP-BC,F,I,19642 LONGVIEW RD,,WAYNESVILLE,MO,655833542,US,Nurse Practitioner,S,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less",D1E - Other DME,Durable Medical Equipment,N,3,27,27,27,1200,1011.35,792.9,792.9
1033596382,JOHNSON,KAREN,,FNP-BC,F,I,19642 LONGVIEW RD,,WAYNESVILLE,MO,655833542,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,36,209,209,209,1540.6158852,1150.1776555,886.44478469,871.20191388
1033596382,JOHNSON,KAREN,,FNP-BC,F,I,19642 LONGVIEW RD,,WAYNESVILLE,MO,655833542,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,89,89,96,906.220625,552.95645833,433.51375,480.620625
1033596382,JOHNSON,KAREN,,FNP-BC,F,I,19642 LONGVIEW RD,,WAYNESVILLE,MO,655833542,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,34,34,45,957.10422222,866.35355556,679.21777778,677.69
1033596382,JOHNSON,KAREN,,FNP-BC,F,I,19642 LONGVIEW RD,,WAYNESVILLE,MO,655833542,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,31,126,126,145,133.71882759,118.28331034,92.729241379,88.841448276
1033596382,JOHNSON,KAREN,,FNP-BC,F,I,19642 LONGVIEW RD,,WAYNESVILLE,MO,655833542,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,96,97,132,574.28106061,467.05416667,365.08090909,364.30098485
1033596382,JOHNSON,KAREN,,FNP-BC,F,I,19642 LONGVIEW RD,,WAYNESVILLE,MO,655833542,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,26,74,74,74,896.86364865,709.65216216,555.71797297,567.87891892
1033597422,AMOS,JESSICA,,D.O.,F,I,3200 MACCORKLE AVE SE,"ROBERT C. BYRD CLINICAL TRAINING CENTER, 4TH FLOOR",CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,28,46.6325,8.32,6.1567857143,6.1567857143
1033597554,BUI,DUAT,,D.O,M,I,14000 FIVAY RD,,HUDSON,FL,346677103,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,158.74,55.498,43.516,40.142666667
1033597802,LONGSTRETH,TRACEY,E,APN,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,4950,0.0509090909,0.0461818182,0.0328585859,0.0328585859
1033597802,LONGSTRETH,TRACEY,E,APN,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,990,0.2408181818,0.2190909091,0.1562727273,0.1562727273
1033597802,LONGSTRETH,TRACEY,E,APN,F,I,319 W PARKER ST,,HAMBURG,AR,716463121,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,36.25,33,23.518181818,23.518181818
1033598156,WEITZ,ERIK,,D.O.,M,I,44250 DEQUINDRE RD,,STERLING HEIGHTS,MI,483141002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,23,58.603913043,8.32,5.9534782609,5.9534782609
1033598222,POLLITT,ANGELA,M,FNP-C,F,I,6620 CLOUGH PIKE,,CINCINNATI,OH,452444053,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,28,67,69.996865672,8.32,5.5495522388,5.5495522388
1033599162,MAIER,SHEILA,,D.O.,F,I,1501 N CAMPBELL AVE RM 6336,,TUCSON,AZ,857245040,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,15,101.14266667,8.32,6.5246666667,6.5246666667
1033599170,MORRISON,JANICE,P,,F,I,2839 S SEACREST BLVD,,BOYNTON BEACH,FL,334357934,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,23,2080,0.44,0.44,0.2521057692,0.2521057692
1033599170,MORRISON,JANICE,P,,F,I,2839 S SEACREST BLVD,,BOYNTON BEACH,FL,334357934,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,2204,0.449115245,0.449115245,0.2666969147,0.2673684211
1033599246,BRITO AGUILA,YORDY,,ARNP,M,I,9959 PINES BLVD,,PEMBROKE PINES,FL,330246177,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,58,54.454137931,8.32,6.5215517241,6.5215517241
1033599246,BRITO AGUILA,YORDY,,ARNP,M,I,9959 PINES BLVD,,PEMBROKE PINES,FL,330246177,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,16.116923077,1.42,1.1130769231,1.1130769231
1033599576,GAVETTE,SHARON,,FNP,F,I,42084 STATE HIGHWAY 28,,MARGARETVILLE,NY,124552820,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,20,43,98,69.978877551,8.32,6.2556122449,6.2556122449
1033599576,GAVETTE,SHARON,,FNP,F,I,42084 STATE HIGHWAY 28,,MARGARETVILLE,NY,124552820,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,20,16.3,1.42,1.06,1.06
1033599576,GAVETTE,SHARON,,FNP,F,I,42084 STATE HIGHWAY 28,,MARGARETVILLE,NY,124552820,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,257.82,47.631666667,35.1875,22.728333333
1033599576,GAVETTE,SHARON,,FNP,F,I,42084 STATE HIGHWAY 28,,MARGARETVILLE,NY,124552820,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,24,519.51,89.934166667,66.155416667,50.792916667
1033599576,GAVETTE,SHARON,,FNP,F,I,42084 STATE HIGHWAY 28,,MARGARETVILLE,NY,124552820,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,7.20825,0.567,0.4061944444,0.4061944444
1033599576,GAVETTE,SHARON,,FNP,F,I,42084 STATE HIGHWAY 28,,MARGARETVILLE,NY,124552820,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,17.725,17.725
1033599576,GAVETTE,SHARON,,FNP,F,I,42084 STATE HIGHWAY 28,,MARGARETVILLE,NY,124552820,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,59.4,33,25.048,25.048
1033599824,TRAN,ANDY,T,DO,M,I,ONE HOSPITAL DR,,COLUMBIA,MO,652120001,US,Hospitalist,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.05,9.0327272727,6.2927272727,6.1309090909
1033599824,TRAN,ANDY,T,DO,M,I,ONE HOSPITAL DR,,COLUMBIA,MO,652120001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,75.474166667,50.169166667
1033603717,DUMONTIER,SAMUEL,P,MD,M,I,1415 WOODLAND AVE STE 140,,DES MOINES,IA,503093203,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,11,1482.8936364,1150.3,901.84,889.28909091
1033603717,DUMONTIER,SAMUEL,P,MD,M,I,1415 WOODLAND AVE STE 140,,DES MOINES,IA,503093203,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,16,16,900.39125,715.33,560.81,566.5925
1033610282,BEEMAN,ALECIA,M,NP,F,I,1250 E MARSHALL ST,,RICHMOND,VA,232985051,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,145.5,51.465,40.35,37.198125
1033610282,BEEMAN,ALECIA,M,NP,F,I,1250 E MARSHALL ST,,RICHMOND,VA,232985051,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,14,70,20.185714286,15.825,15.934285714
1033624192,ALLENDER,JENNIFER,,PA-C,F,I,3535 KETTERING BLVD,,MORAINE,OH,454392014,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,213.09818182,53.181818182,41.694545455,41.643636364
1033627112,PAWLICZAK,OLGA,A,NP,F,I,21 W END AVE APT 2111,,NEW YORK,NY,100237979,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,45,169,25967,4.6399572534,0.5802260561,0.4264162206,0.4375056803
1033627112,PAWLICZAK,OLGA,A,NP,F,I,21 W END AVE APT 2111,,NEW YORK,NY,100237979,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,2357,0.1270852779,0.0137844718,0.0107976241,0.0107976241
1033627112,PAWLICZAK,OLGA,A,NP,F,I,21 W END AVE APT 2111,,NEW YORK,NY,100237979,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,2880,4.7347361111,1.5565208333,1.2202881944,1.2202881944
1033627112,PAWLICZAK,OLGA,A,NP,F,I,21 W END AVE APT 2111,,NEW YORK,NY,100237979,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,17,44,7696,4.6521933472,2.9929196985,2.3298063929,2.3298063929
1033627112,PAWLICZAK,OLGA,A,NP,F,I,21 W END AVE APT 2111,,NEW YORK,NY,100237979,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,41,93,93,24,24,18.620860215,18.620860215
1033627112,PAWLICZAK,OLGA,A,NP,F,I,21 W END AVE APT 2111,,NEW YORK,NY,100237979,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,48,159,165,16,16,12.531212121,12.531212121
1033628201,KELLER,LYNN,P,NP,M,I,311 W FAIRCHILD ST,,DANVILLE,IL,618323876,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,46,68.976086957,8.32,6.5226086957,6.5226086957
1033628284,WILLIAMS,ALKIVA,N,,F,I,501 20TH ST STE 503,,KNOXVILLE,TN,37916,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,968,0.52,0.44,0.345,0.345
1033628284,WILLIAMS,ALKIVA,N,,F,I,501 20TH ST STE 503,,KNOXVILLE,TN,37916,US,Nurse Practitioner,S,A6403,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,267,0.56,0.48,0.3762546816,0.3762546816
1033628284,WILLIAMS,ALKIVA,N,,F,I,501 20TH ST STE 503,,KNOXVILLE,TN,37916,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,15,15,111.65066667,50.776666667,39.807333333,28.876666667
1033631361,STAUDT,EMILY,J,PA-C,F,I,750 UNIVERSITY ROW,,MADISON,WI,537051311,US,Physician Assistant,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,340,9.3247058824,5.74,4.5000588235,4.5000588235
1033631460,BYRNE,SHANNON,L,"APN, NP-C, CWOCN",F,I,20 PROSPECT AVE STE 410,,HACKENSACK,NJ,076011941,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,295,12.438677966,10.93,8.5691864407,8.5691864407
1033631460,BYRNE,SHANNON,L,"APN, NP-C, CWOCN",F,I,20 PROSPECT AVE STE 410,,HACKENSACK,NJ,076011941,US,Nurse Practitioner,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,15,630,1.2880952381,1.08,0.8466666667,0.8466666667
1033631460,BYRNE,SHANNON,L,"APN, NP-C, CWOCN",F,I,20 PROSPECT AVE STE 410,,HACKENSACK,NJ,076011941,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,38,43,1410,2.6238297872,2.4,1.7662269504,1.7662269504
1033631460,BYRNE,SHANNON,L,"APN, NP-C, CWOCN",F,I,20 PROSPECT AVE STE 410,,HACKENSACK,NJ,076011941,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,17,24,1050,4.2597142857,3.67,2.8556,2.8556
1033631460,BYRNE,SHANNON,L,"APN, NP-C, CWOCN",F,I,20 PROSPECT AVE STE 410,,HACKENSACK,NJ,076011941,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,13,3030,0.1864356436,0.13,0.1019174917,0.1019174917
1033631460,BYRNE,SHANNON,L,"APN, NP-C, CWOCN",F,I,20 PROSPECT AVE STE 410,,HACKENSACK,NJ,076011941,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,11,1451,0.498015162,0.4494831151,0.3523914542,0.3527980703
1033631460,BYRNE,SHANNON,L,"APN, NP-C, CWOCN",F,I,20 PROSPECT AVE STE 410,,HACKENSACK,NJ,076011941,US,Nurse Practitioner,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,11,13,95.87,95.87,75.166923077,75.166923077
1033632062,COHEN,DANIELLE,M,"CNP, APRN",F,I,12800 ROLLING RIDGE RD,,BECKER,MN,553088838,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,19,72.001578947,8.32,6.5247368421,6.5247368421
1033633524,ZAWODNI,KIM,A,NP,F,I,1500 E MEDICAL CENTER DR,B1 FLOOR CANCER CENTER RECP B,ANN ARBOR,MI,481095911,US,Nurse Practitioner,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,636,7.45,3.7703930818,2.9560062893,2.9560062893
1033633656,SWARTZENTRUBER,LORRAINE,D,FNP,F,I,236 SIMPSON AVE,,ELKHART,IN,465164666,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,61,164,90.260609756,8.32,4.4542682927,4.4542682927
1033633656,SWARTZENTRUBER,LORRAINE,D,FNP,F,I,236 SIMPSON AVE,,ELKHART,IN,465164666,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,41,19.002439024,1.42,0.6263414634,0.6263414634
1033633656,SWARTZENTRUBER,LORRAINE,D,FNP,F,I,236 SIMPSON AVE,,ELKHART,IN,465164666,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,50,4.7568421053,3.1742105263,3.0336842105
1033633656,SWARTZENTRUBER,LORRAINE,D,FNP,F,I,236 SIMPSON AVE,,ELKHART,IN,465164666,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,5221,0.3430951925,0.0456196131,0.0308044436,0.0308044436
1033633656,SWARTZENTRUBER,LORRAINE,D,FNP,F,I,236 SIMPSON AVE,,ELKHART,IN,465164666,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,18.906363636,14.818181818,14.289090909
1033633656,SWARTZENTRUBER,LORRAINE,D,FNP,F,I,236 SIMPSON AVE,,ELKHART,IN,465164666,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,33,33,23.518181818,23.518181818
1033634514,HULLETT,LINDSEY,K,APRN,F,I,3560 DELAWARE ST,,BEAUMONT,TX,777063067,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,19.95,16.427647059,11.04,12.595294118
1033634514,HULLETT,LINDSEY,K,APRN,F,I,3560 DELAWARE ST,,BEAUMONT,TX,777063067,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,32,25.454545455,17.679090909,18.922727273
1033634514,HULLETT,LINDSEY,K,APRN,F,I,3560 DELAWARE ST,,BEAUMONT,TX,777063067,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,8.68,6.9045454545,4.7990909091,5.9445454545
1033637483,CARDEN,HEATHER,,NP,F,I,1301 PENNSYLVANIA AVE,,FORT WORTH,TX,761042122,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,40.815,20.3985,15.9905,13.53
1033637483,CARDEN,HEATHER,,NP,F,I,1301 PENNSYLVANIA AVE,,FORT WORTH,TX,761042122,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,243.24,92.187,72.276,54.725
1033638317,RHINEHART,ALLYSON,,PA-C,F,I,30 DUKE MEDICINE CIR # 1A,,DURHAM,NC,277103000,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,25,99,73.020505051,8.32,6.5227272727,6.5227272727
1033638317,RHINEHART,ALLYSON,,PA-C,F,I,30 DUKE MEDICINE CIR # 1A,,DURHAM,NC,277103000,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,354.75277778,251.11,196.87,196.87
1033639661,BENNETT,LAUREL,,FNP-C,F,I,317 LAKE BLVD STE A,,REDDING,CA,960032504,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,19.73,4.1186956522,3.2282608696,3.672173913
1033639679,MAHAFFEY,DAWN,M,FNP,F,I,4900 BROADWAY,,GARY,IN,464084605,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,34,64.759117647,8.32,4.0279411765,4.0279411765
1033639679,MAHAFFEY,DAWN,M,FNP,F,I,4900 BROADWAY,,GARY,IN,464084605,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,14,13.067857143,1.42,0.64,0.64
1033642921,LEWIS-HICKS,CRYSTAL,,FNP-C,F,I,502 ELM ST NE,,ALBUQUERQUE,NM,87102,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,29,58.065517241,8.32,5.6237931034,5.6237931034
1033642921,LEWIS-HICKS,CRYSTAL,,FNP-C,F,I,502 ELM ST NE,,ALBUQUERQUE,NM,87102,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,72.455833333,47.150833333
1033644216,TUCKER,AMANDA,R,FNP-C,F,I,2012 S PARK AVE,,ALEXANDRIA,IN,460018194,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,27,85.03,8.32,5.7962962963,5.7962962963
1033644216,TUCKER,AMANDA,R,FNP-C,F,I,2012 S PARK AVE,,ALEXANDRIA,IN,460018194,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,31.278,17.52,13.74,13.54
1033644216,TUCKER,AMANDA,R,FNP-C,F,I,2012 S PARK AVE,,ALEXANDRIA,IN,460018194,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.46,3.8408333333,3.2866666667
1033644216,TUCKER,AMANDA,R,FNP-C,F,I,2012 S PARK AVE,,ALEXANDRIA,IN,460018194,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,182.03692308,36.157692308,28.349230769,26.372307692
1033644216,TUCKER,AMANDA,R,FNP-C,F,I,2012 S PARK AVE,,ALEXANDRIA,IN,460018194,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,167.87,79.96,59.246666667,51.287333333
1033644398,WESTERKAM,DANA,L,M.D.,F,I,701 GROVE RD,5TH FLOOR SUPPORT TOWER,GREENVILLE,SC,296054210,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17,17,13.33,13.54
1033644398,WESTERKAM,DANA,L,M.D.,F,I,701 GROVE RD,5TH FLOOR SUPPORT TOWER,GREENVILLE,SC,296054210,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,71,71,55.66,54.73
1033644554,GILMAN,LEE,E,"MSN-AGNP, NP-C, RN",M,I,3236 ABELL AVE,,BALTIMORE,MD,212183434,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,126.08,32.0975,25.165,25.915
1033644554,GILMAN,LEE,E,"MSN-AGNP, NP-C, RN",M,I,3236 ABELL AVE,,BALTIMORE,MD,212183434,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.36,8.9925,7.0525,6.7016666667
1033645049,HORTON,DONNA,R,STUDENT,F,I,2508 WHEATON WAY,,BREMERTON,WA,983103303,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,49,60.198571429,8.32,6.5234693878,6.5234693878
1033645700,ALMOND,ELISABETH,M,APN,F,I,560 CRYSTOLA ST,,CALHAN,CO,808088742,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,43,67.048139535,17.51,13.410697674,13.28255814
1033645700,ALMOND,ELISABETH,M,APN,F,I,560 CRYSTOLA ST,,CALHAN,CO,808088742,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,47.221363636,4.2954545455,3.1854545455,3.6590909091
1033645700,ALMOND,ELISABETH,M,APN,F,I,560 CRYSTOLA ST,,CALHAN,CO,808088742,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,71,385.59619718,87.076901408,66.701126761,55.719859155
1033646187,STRICKLAN,MIRIAM,,FNP-C,F,I,1415 W SCENIC RIVERS BLVD,,SALEM,MO,655602840,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,98.733030303,9.3796969697,7.353030303,4.1554545455
1033646187,STRICKLAN,MIRIAM,,FNP-C,F,I,1415 W SCENIC RIVERS BLVD,,SALEM,MO,655602840,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,396.18235294,110.45235294,85.604117647,54.927058824
1033646187,STRICKLAN,MIRIAM,,FNP-C,F,I,1415 W SCENIC RIVERS BLVD,,SALEM,MO,655602840,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,232.85714286,46.422857143,36.397857143,29.519285714
1033646187,STRICKLAN,MIRIAM,,FNP-C,F,I,1415 W SCENIC RIVERS BLVD,,SALEM,MO,655602840,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36,11.203636364,8.7845454545,7.0090909091
1033646187,STRICKLAN,MIRIAM,,FNP-C,F,I,1415 W SCENIC RIVERS BLVD,,SALEM,MO,655602840,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,197.83,142.05090909,110.85454545
1033646773,AVILA-CANTORE,MARY ANN,,"APN, FNP-C",F,I,332 S MICHIGAN AVE,1100,CHICAGO,IL,606044434,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,167.92,49.17,27.535714286,25.171428571
1033646773,AVILA-CANTORE,MARY ANN,,"APN, FNP-C",F,I,332 S MICHIGAN AVE,1100,CHICAGO,IL,606044434,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,90.82,32.856666667,24.671111111,22.1
1033646773,AVILA-CANTORE,MARY ANN,,"APN, FNP-C",F,I,332 S MICHIGAN AVE,1100,CHICAGO,IL,606044434,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,26.52,8.4366666667,6.3637037037,5.9318518519
1033647599,PARKER,VALORIE,A,MD,F,I,5230 E STOP 11 RD STE 250,,INDIANAPOLIS,IN,462376399,US,Student in an Organized Health Care Education/Training Program,T,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1138,913.16,715.92,842.26
1033648308,SCHIFF,ROSINA,F,DO,F,I,1415 WOODLAND AVE,SUITE 140,DES MOINES,IA,50309,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,400,69.99,54.87,54.742727273
1033648894,SLATE,FELICIA,,OD,F,I,5959 LAWNDALE ST,,LUDINGTON,MI,494312921,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,75,72.73,57.02,53.449230769
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,840,0.54,0.44,0.345,0.345
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,22,44,770,41.665779221,34.86,27.330038961,27.330038961
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,131,28.113129771,23.66,18.549465649,18.549465649
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,17,234,9.83,8.28,6.4919230769,6.4919230769
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,211,21.96,18.5,14.504218009,14.504218009
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,28,57,972,1.2951954733,1.08,0.8469650206,0.8469650206
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,183,3.4714754098,2.91,2.281420765,2.281420765
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,27,96,21.72125,18.29,14.3396875,14.3396875
1033650213,OLTMAN,SAYWARD,,N.P.,F,I,1594 ROANOKE DR,,WARRENSBURG,MO,640938914,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,372,0.54,0.45,0.3527150538,0.3527150538
1033650627,MAURER,SARA,,CNP,F,I,500 S MAPLE ST,,WACONIA,MN,553871752,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,33,111,61.188648649,8.32,5.9347747748,5.9347747748
1033650627,MAURER,SARA,,CNP,F,I,500 S MAPLE ST,,WACONIA,MN,553871752,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,278.47956522,250.99130435,196.77695652,196.86956522
1033650940,SIBY,LISA,K,,F,I,1355 REMINGTON RD,SUITE H,SCHAUMBURG,IL,601734832,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3550,0.2007605634,0.0450422535,0.035315493,0.035315493
1033650940,SIBY,LISA,K,,F,I,1355 REMINGTON RD,SUITE H,SCHAUMBURG,IL,601734832,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,126.54545455,33,25.87,25.87
1033651500,GREEN,MARCIA,H,NP,F,I,2101 DUTCH FORK RD,,CHAPIN,SC,290367576,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,32.1395,4.505,3.53,3.66
1033651526,KETNER,KISHIMJAN,B,NP,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,275,5.54,4.3128784119,4.1467245658
1033651526,KETNER,KISHIMJAN,B,NP,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7020,2.52,0.3094700855,0.2239259259,0.2243418803
1033651526,KETNER,KISHIMJAN,B,NP,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,296.86047619,46.76952381,35.003809524,35.247142857
1033651526,KETNER,KISHIMJAN,B,NP,F,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,51,51,128.75098039,17.078627451,12.88627451,13.271764706
1033652045,VIGNA,TRISHA,,APRN,F,I,614 BROADMOOR DR,,MOUNTAIN HOME,AR,726532903,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,51,55.717647059,8.32,5.7545098039,5.7545098039
1033652045,VIGNA,TRISHA,,APRN,F,I,614 BROADMOOR DR,,MOUNTAIN HOME,AR,726532903,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,85.313684211,22.140526316,16.571578947,13.207894737
1033652045,VIGNA,TRISHA,,APRN,F,I,614 BROADMOOR DR,,MOUNTAIN HOME,AR,726532903,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,43.378571429,7.5623809524,5.929047619,3.8257142857
1033652045,VIGNA,TRISHA,,APRN,F,I,614 BROADMOOR DR,,MOUNTAIN HOME,AR,726532903,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,177.57857143,38.162857143,23.785,17.772142857
1033652045,VIGNA,TRISHA,,APRN,F,I,614 BROADMOOR DR,,MOUNTAIN HOME,AR,726532903,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,44,504.54340909,99.877727273,74.230681818,53.988863636
1033652045,VIGNA,TRISHA,,APRN,F,I,614 BROADMOOR DR,,MOUNTAIN HOME,AR,726532903,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,25.87,25.87
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,29,57.374482759,8.32,6.3,6.3
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3300,0.34,0.2991818182,0.2217272727,0.2296757576
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,5496,2.2403784571,0.62,0.4433151383,0.4734443231
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,16,16,190.821875,49.9225,39.1375,39.543125
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.98,13.31,13.53
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,77.36,60.65,54.73
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,69.285714286,20.8,16.305714286,16.214285714
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,22.674545455,17.774545455,21.160909091
1033652169,KING,ELIZABETH,M,FNP,F,I,601 OLD WAGNER RD,,PETERSBURG,VA,238059313,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,30.884210526,8.3757894737,6.5652631579,6.6726315789
1033652243,PATEL,SONAL,M,NP-C,F,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,33,200,71.0628,8.32,6.3271,6.3271
1033652243,PATEL,SONAL,M,NP-C,F,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,251.11,251.11,196.87,196.87
1033653282,WINSTON,JESSICA,R,P.A.-C,F,I,506 LITTLE CREEK CUT OFF RD,,SHERIDAN,AR,721507798,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,27,30.890740741,8.32,5.797037037,5.797037037
1033653282,WINSTON,JESSICA,R,P.A.-C,F,I,506 LITTLE CREEK CUT OFF RD,,SHERIDAN,AR,721507798,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,16,519.51,70.8075,55.51,54.7275
1033653282,WINSTON,JESSICA,R,P.A.-C,F,I,506 LITTLE CREEK CUT OFF RD,,SHERIDAN,AR,721507798,US,Physician Assistant,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,545.37416667,206.485,161.8875,166.5525
1033653431,JACKSON,KELLY,,"RN, FNP-C",F,I,606 W COLUMBIA ST,,SAN AUGUSTINE,TX,759721709,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,35,14.765263158,8.5978947368,7.1905263158
1033653431,JACKSON,KELLY,,"RN, FNP-C",F,I,606 W COLUMBIA ST,,SAN AUGUSTINE,TX,759721709,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,27,28,125,42.737857143,28.895714286,21.916428571
1033653654,ZAFAR,SHOAIB,,M.D,M,I,1600 11TH ST,,WICHITA FALLS,TX,763014300,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,407,50,13.13,10.294004914,10.294004914
1033653654,ZAFAR,SHOAIB,,M.D,M,I,1600 11TH ST,,WICHITA FALLS,TX,763014300,US,Physician/Internal Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,114,500,326.82,256.22701754,256.22701754
1033653654,ZAFAR,SHOAIB,,M.D,M,I,1600 11TH ST,,WICHITA FALLS,TX,763014300,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,114,40,9.35,7.33,7.33
1033653654,ZAFAR,SHOAIB,,M.D,M,I,1600 11TH ST,,WICHITA FALLS,TX,763014300,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,114,110,29.22,21.65,21.65
1033653654,ZAFAR,SHOAIB,,M.D,M,I,1600 11TH ST,,WICHITA FALLS,TX,763014300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,276.66666667,68.78,53.92,54.613333333
1033653654,ZAFAR,SHOAIB,,M.D,M,I,1600 11TH ST,,WICHITA FALLS,TX,763014300,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,65.26,36.83,28.87,29.424666667
1033654702,WEINGARTZ,JANE,S,FNP-BC,F,I,1457 SUNCREST DR,,LAPEER,MI,484461151,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,131.81454545,32.848181818,25.756363636,25.627272727
1033655741,VARNER,GINA,L,FNP,F,I,15 CLEVELAND AVE STE 14,,MARTINSVILLE,VA,241122937,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,7.5041666667,4.165,2.285
1033657044,FREEMAN,CINDY,L,,F,I,3880 WILLOWOOD AVE STE B,,SPRINGDALE,AR,727622914,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,410,76.48,53.275454545,48.512727273
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,21,47,497,61.719235412,19.66945674,15.132012072,15.132012072
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,19,42,1105,7.3585882353,2.6367420814,2.0671764706,2.0671764706
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,149,533,1651,56.382574197,8.3091338583,6.1204360993,6.1289521502
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,13,26,26,13.846923077,3.38,2.65,2.65
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,16.9675,2.12,1.67,1.67
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,42,99,194,13.107938144,1.4183505155,1.113556701,1.1148453608
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,657.26761905,364.21714286,278.71380952,278.71380952
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1960,13.673770408,9.756744898,7.6279132653,7.6279132653
1033657168,DALE,ALLISON,N,NP,F,I,2315 MAPLE AVE,,ZANESVILLE,OH,437012028,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,259.28727273,251.11,196.87,196.87
1033657820,SCOTT,LACI,K,NP-C,F,I,145 MEMORIAL DR,,BROKEN BOW,NE,688221378,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,96.64,22.253636364,16.089090909,12.3
1033657820,SCOTT,LACI,K,NP-C,F,I,145 MEMORIAL DR,,BROKEN BOW,NE,688221378,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,539.23882353,108.16,82.904705882,57.598823529
1033657895,BICKETT,JUSTEN,L,APRN,M,I,1325 TRIPLETT ST # A,,OWENSBORO,KY,42303,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25.38,4.67,3.6625,3.66
1033657895,BICKETT,JUSTEN,L,APRN,M,I,1325 TRIPLETT ST # A,,OWENSBORO,KY,42303,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,62.19,20.018,14.744,13.6715
1033658539,CARPENTER,BRANDY,M,RN,F,I,1130 NW 22ND AVE STE LL10,,PORTLAND,OR,972102974,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8575,3.0225,3.66
1033658539,CARPENTER,BRANDY,M,RN,F,I,1130 NW 22ND AVE STE LL10,,PORTLAND,OR,972102974,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3960,0.2189924242,0.047260101,0.034260101,0.034260101
1033658539,CARPENTER,BRANDY,M,RN,F,I,1130 NW 22ND AVE STE LL10,,PORTLAND,OR,972102974,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,115.5,33,23.714166667,23.714166667
1033658588,JOHNSTON LOWE,LORI,M,,F,I,201 GOVERNORS DR SW STE 400,,HUNTSVILLE,AL,358015183,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,14,17,119.9,76.649411765,58.917647059,61.546470588
1033660113,CRAIN,BRIDGET,B,NP,F,I,801 PRINCETON AVENUE S.W.,"PROFESSIONAL OFFICE BUILDING I, SUITE 332",BIRMINGHAM,AL,35211,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,15,15,64.658666667,18.12,13.252,13.17
1033660113,CRAIN,BRIDGET,B,NP,F,I,801 PRINCETON AVENUE S.W.,"PROFESSIONAL OFFICE BUILDING I, SUITE 332",BIRMINGHAM,AL,35211,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,17,17,55.704117647,12.969411765,9.5635294118,8.8617647059
1033660113,CRAIN,BRIDGET,B,NP,F,I,801 PRINCETON AVENUE S.W.,"PROFESSIONAL OFFICE BUILDING I, SUITE 332",BIRMINGHAM,AL,35211,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,17,80,7.55125,2.102125,1.62825,1.589125
1033660113,CRAIN,BRIDGET,B,NP,F,I,801 PRINCETON AVENUE S.W.,"PROFESSIONAL OFFICE BUILDING I, SUITE 332",BIRMINGHAM,AL,35211,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,498.37466667,38.96,30.544666667,29.06
1033661244,PRUSINSKI,PHILLIP,,FNP,M,I,4350 N 19TH AVE,#6,PHOENIX,AZ,850154602,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,45,75.602666667,8.32,6.5211111111,6.5211111111
1033661244,PRUSINSKI,PHILLIP,,FNP,M,I,4350 N 19TH AVE,#6,PHOENIX,AZ,850154602,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,15,12.930666667,1.42,1.1173333333,1.1173333333
1033661368,GELLER,SCOTT,,PA-C,M,I,1095 RYDAL RD,,RYDAL,PA,190461711,US,Physician Assistant,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,457,7.7665207877,3,2.3519912473,2.3676586433
1033661368,GELLER,SCOTT,,PA-C,M,I,1095 RYDAL RD,,RYDAL,PA,190461711,US,Physician Assistant,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4708,2.6985981308,0.36,0.2822196262,0.2900700935
1033662044,HOOK,JENNIFER,J,FNP-C,F,I,1525 MONTEREY CT,,BETTENDORF,IA,527223755,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,44,126,62.178015873,8.32,5.6485714286,5.6485714286
1033662044,HOOK,JENNIFER,J,FNP-C,F,I,1525 MONTEREY CT,,BETTENDORF,IA,527223755,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,43,14.966744186,1.42,1.0360465116,1.0360465116
1033662044,HOOK,JENNIFER,J,FNP-C,F,I,1525 MONTEREY CT,,BETTENDORF,IA,527223755,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,14,90.747857143,32.73,25.66,25.914285714
1033662044,HOOK,JENNIFER,J,FNP-C,F,I,1525 MONTEREY CT,,BETTENDORF,IA,527223755,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,46,6.4415217391,2.03,1.5243478261,1.5243478261
1033662044,HOOK,JENNIFER,J,FNP-C,F,I,1525 MONTEREY CT,,BETTENDORF,IA,527223755,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,38,4.895,3.8425,3.6625
1033662044,HOOK,JENNIFER,J,FNP-C,F,I,1525 MONTEREY CT,,BETTENDORF,IA,527223755,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,195.7,33.465897436,23.344358974,22.618974359
1033662762,WEIKER,CHRISTY,,CNP,F,I,3125 TRANSVERSE DR,,TOLEDO,OH,436148008,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,173,48.387647059,29.661176471,29.729411765
1033662762,WEIKER,CHRISTY,,CNP,F,I,3125 TRANSVERSE DR,,TOLEDO,OH,436148008,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,58.972727273,19.637272727,13.834545455,12.040909091
1033662770,CORLE,MICHELLE,L,CRNP,F,I,1511 SCALP AVE,,JOHNSTOWN,PA,15904,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.2775,3.3575,3.66
1033664958,DEVORE,JANEILLE,,P.A.,F,I,363 FREMONT ST,SUITE 101,BATTLE CREEK,MI,490173389,US,Physician Assistant,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,2418.3333333,1033.67,787.64466667,787.64466667
1033664958,DEVORE,JANEILLE,,P.A.,F,I,363 FREMONT ST,SUITE 101,BATTLE CREEK,MI,490173389,US,Physician Assistant,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,3,15,15,30,535,364.4,285.69,285.69
1033665682,WILLIAMS,YESENIA,,FNP,F,I,8201 EWING HALSELL,,SAN ANTONIO,TX,78229,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,56,8325,4.14043003,0.5598678679,0.3240696697,0.3712612613
1033665682,WILLIAMS,YESENIA,,FNP,F,I,8201 EWING HALSELL,,SAN ANTONIO,TX,78229,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,2820,3.5782801418,1.3660425532,1.011787234,1.011787234
1033665682,WILLIAMS,YESENIA,,FNP,F,I,8201 EWING HALSELL,,SAN ANTONIO,TX,78229,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,17,59,59,24,24,16.892542373,16.892542373
1033665682,WILLIAMS,YESENIA,,FNP,F,I,8201 EWING HALSELL,,SAN ANTONIO,TX,78229,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,23,23,16,16,12.54,12.54
1033665963,CHRISTENSEN,DANIEL,W,CNP,M,I,1305 W 18TH ST,,SIOUX FALLS,SD,571050401,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,84,84,84,1376.8834524,1111.4775,867.98678571,881.52440476
1033665963,CHRISTENSEN,DANIEL,W,CNP,M,I,1305 W 18TH ST,,SIOUX FALLS,SD,571050401,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,32,111,117,190,961.92210526,843.29936842,660.38731579,674.40768421
1033665963,CHRISTENSEN,DANIEL,W,CNP,M,I,1305 W 18TH ST,,SIOUX FALLS,SD,571050401,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,78,79,134,537.29037313,453.33089552,354.98470149,353.82514925
1033665963,CHRISTENSEN,DANIEL,W,CNP,M,I,1305 W 18TH ST,,SIOUX FALLS,SD,571050401,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,33,119,131,217,135.50926267,117.90995392,92.150829493,89.350691244
1033665963,CHRISTENSEN,DANIEL,W,CNP,M,I,1305 W 18TH ST,,SIOUX FALLS,SD,571050401,US,Nurse Practitioner,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,23,24,41,65.203658537,49.257804878,38.616585366,38.446097561
1033665963,CHRISTENSEN,DANIEL,W,CNP,M,I,1305 W 18TH ST,,SIOUX FALLS,SD,571050401,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,59,59,89,542.56078652,463.87494382,363.67539326,365.72764045
1033665963,CHRISTENSEN,DANIEL,W,CNP,M,I,1305 W 18TH ST,,SIOUX FALLS,SD,571050401,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,26,100,102,102,874.82588235,703.83598039,551.80088235,565.66872549
1033666045,WONG,WINNIE,M,ARNP,F,I,824 S FEDERAL HWY,,HOLLYWOOD,FL,33020,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,40,60.767,8.32,6.0715,6.0715
1033666524,FLETCHER,RITA,N,APRN,F,I,399 DIEDERICH BLVD,,ASHLAND,KY,411017007,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.129090909,9.2727272727,6.2790909091,4.2236363636
1033666789,WOJCIAK,THERESA,M,NP,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,49,96,349,71.940830946,8.32,6.4202005731,6.4202005731
1033666789,WOJCIAK,THERESA,M,NP,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,22,36,54,14.649074074,1.42,1.0944444444,1.0944444444
1033666789,WOJCIAK,THERESA,M,NP,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,792.43176471,368.68058824,289.04529412,289.04529412
1033666789,WOJCIAK,THERESA,M,NP,F,I,2285 SEQUOIA DR,,AURORA,IL,605066209,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,532.932,251.11,196.87,196.87
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,48,99,263,56.787642586,8.32,5.6804942966,5.6804942966
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,28,47,67,13.995970149,1.42,0.9991044776,0.9991044776
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,75.162727273,47.29,35.203636364,29.993636364
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,221.07461538,111.47307692,87.393076923,74.856923077
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,43.419333333,22.634666667,17.742,14.758
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,45.293076923,22.130769231,17.349230769,10.9
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,25,55,6.0367272727,2.9632727273,2.3245454545,1.7843636364
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,34.472727273,14.068181818,9.03,8.8627272727
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,16.595,8.0075,6.275,3.904
1033666862,GEITMAN,KATELYN,,PA-C,F,I,4851 E PICKARD ST STE 1760,,MT PLEASANT,MI,488582038,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,121.64793103,43.381724138,31.70862069,26.849655172
1033666938,COURNOYER,JESSICA,M,"MSN, FNP-C",F,I,20209 SENTARA WAY,SUITE 200,CARROLLTON,VA,233143573,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,44,65.942727273,8.32,5.3356818182,5.3356818182
1033666938,COURNOYER,JESSICA,M,"MSN, FNP-C",F,I,20209 SENTARA WAY,SUITE 200,CARROLLTON,VA,233143573,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,14,12.703571429,1.42,0.8757142857,0.8757142857
1033666938,COURNOYER,JESSICA,M,"MSN, FNP-C",F,I,20209 SENTARA WAY,SUITE 200,CARROLLTON,VA,233143573,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,41.5075,19.17,13.715833333,13.351666667
1033667266,ASFAW,WOSSEN,A,,M,I,3575 KOGER BLVD STE 116,,DULUTH,GA,300967559,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2500,1074.31,842.26,842.26
1033668264,BULL,ALISON,P,P.A.,F,I,106 PARKVIEW DR,,LAURENS,SC,293602652,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,49,40.637755102,8.32,6.5234693878,6.5234693878
1043200066,SELA,ZVI,,MD,M,I,500 S RANCHO DR,SUITE 12,LAS VEGAS,NV,891064844,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,960,3.6674375,0.572,0.4196770833,0.4196770833
1043200066,SELA,ZVI,,MD,M,I,500 S RANCHO DR,SUITE 12,LAS VEGAS,NV,891064844,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,3450,0.1116782609,0.0129130435,0.0096550725,0.0096550725
1043200066,SELA,ZVI,,MD,M,I,500 S RANCHO DR,SUITE 12,LAS VEGAS,NV,891064844,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,2.6165,0.7443333333,0.5835972222,0.5835972222
1043200066,SELA,ZVI,,MD,M,I,500 S RANCHO DR,SUITE 12,LAS VEGAS,NV,891064844,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,2896,10.726843923,1.2054834254,0.9330593923,0.9330559392
1043200066,SELA,ZVI,,MD,M,I,500 S RANCHO DR,SUITE 12,LAS VEGAS,NV,891064844,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,4.6745833333,2.82975,2.1609652778,2.1609652778
1043200066,SELA,ZVI,,MD,M,I,500 S RANCHO DR,SUITE 12,LAS VEGAS,NV,891064844,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,24,24,18.00173913,18.00173913
1043200066,SELA,ZVI,,MD,M,I,500 S RANCHO DR,SUITE 12,LAS VEGAS,NV,891064844,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,40,49,16,16,12.284081633,12.284081633
1043200181,SINCLAIR,MICHAEL,J,MD,M,I,13005 STATE ROAD 80,STE 111,LOXAHATCHEE,FL,334709206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,32,72.0684375,8.32,6.521875,6.521875
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,37,102,1258.1246078,19.682647059,15.431666667,15.431666667
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,34.656956522,6.2026086957,4.4213043478,3.3947826087
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,5000,51.860848,13.5218,10.587074,10.587074
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,36,12080,159.68033361,9.8382913907,7.7132210265,7.7132210265
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,4804,0.2145233139,0.0464820983,0.0341402998,0.0341402998
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,37,118,419.93,2.6362711864,2.0670338983,2.0670338983
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,105.94736842,33,24.538947368,24.538947368
1043200207,MCPHERSON,HOLLY,M,M. D.,F,I,1372 WESTGATE CENTER DR,,WINSTON SALEM,NC,271032932,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,535.64923077,358.5,281.06,281.06
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,73,174,48.615344828,8.32,5.9121264368,5.9121264368
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,21,12.792857143,1.4123809524,1.0576190476,1.0638095238
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,7.79,6.26,4.908,5.6989090909
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,6.06,5.23,3.9343333333,3.9343333333
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,131.53846154,70.83,55.532307692,40.651538462
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,86.31,18.601428571,14.583571429,13.537857143
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,20.051923077,5.4626923077,2.9130769231,2.34
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,35,602.12828571,97.873714286,76.734571429,65.288285714
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,2520,1.697734127,0.1336190476,0.0874563492,0.0874563492
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,139.3448,29.8324,16.6176,16.524
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,30.7075
1043200249,KALCHIK,RONALD,J,DO,M,I,200 N MAYSVILLE AVE,,ZANESVILLE,OH,437016172,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,38.52,33,20.1456,20.1456
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,62,127,43.436850394,8.32,5.5096062992,5.5096062992
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,23.544736842,1.42,1.0021052632,1.0021052632
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,16,18,36,5.9947222222,1.7094444444,1.1988888889,1.0222222222
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,107,107,107,131.33906542,66.824579439,52.251962617,36.588037383
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0154,"Platform attachment, walker, each",D1E - Other DME,Durable Medical Equipment,N,2,11,11,22,89,55.605454545,43.596363636,36.495
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,23,23,23,29.836521739,18.055652174,14.155652174,12.049565217
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,69,69,69,123.12768116,71.155072464,55.786086957,40.794637681
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,40,227,227,119.31735683,64.015286344,48.674977974,38.315110132
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,22,154,154,58.252272727,22.061753247,16.523571429,13.06525974
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,80,59.855,46.925833333,38.7425
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,20,115,115,21.729913043,7.1073043478,5.4031304348,3.7311304348
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,163.85181818,42.913181818,32.466818182,22.317272727
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0705,"Transfer device, any type, each",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,62.75,52.505,38.042142857,32.277142857
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,54,54,101,15.099207921,14.281683168,10.982079208,9.8121782178
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,62,62,113,60.305309735,35.502123894,27.392389381,22.204424779
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,31,205,207,385.58811594,100.26995169,73.12115942,51.907536232
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,67,67,41,33.451641791,24.343880597,21.225373134
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,64,64,64,94.12265625,44.89859375,34.70640625,28.92203125
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2472,0.2163389968,0.0486367314,0.0358940129,0.0358940129
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,76,474,474,64.163101266,26.600822785,19.957067511,13.564409283
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,45,217,217,99.144516129,42.81921659,32.382258065,21.896820276
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,150,74.719285714,57.0125,38.079642857
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,32,157,157,25.796178344,10.982229299,8.0384076433,6.2138853503
1043200280,FLETCHER,WALTER,F,M.D.,M,I,117 KENNEDY DR,,MARTIN,TN,382373309,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,22,22,87,33,23.195,23.195
1043200306,MESKO,JOHN,W,MD,M,I,2815 S PENNSYLVANIA AVE,SUITE 204,LANSING,MI,489103496,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,9,21,21,21,33.743333333,20.152380952,15.050952381,17.342857143
1043200306,MESKO,JOHN,W,MD,M,I,2815 S PENNSYLVANIA AVE,SUITE 204,LANSING,MI,489103496,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,16,51,51,51,104.45078431,48.092156863,36.928823529,35.745294118
1043200306,MESKO,JOHN,W,MD,M,I,2815 S PENNSYLVANIA AVE,SUITE 204,LANSING,MI,489103496,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,16,18,85.64,70.177222222,55.013888889,64.225555556
1043200470,CASTILLO,LAZARO,L,MD,M,I,4017 DEL PRADO BLVD S,,CAPE CORAL,FL,339047160,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,17,32,69.4425,19.690625,15.439375,15.439375
1043200470,CASTILLO,LAZARO,L,MD,M,I,4017 DEL PRADO BLVD S,,CAPE CORAL,FL,339047160,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2640,51.922587121,13.527,10.605151515,10.605151515
1043200470,CASTILLO,LAZARO,L,MD,M,I,4017 DEL PRADO BLVD S,,CAPE CORAL,FL,339047160,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,3640,33.530538462,9.8389230769,7.6905934066,7.6905934066
1043200470,CASTILLO,LAZARO,L,MD,M,I,4017 DEL PRADO BLVD S,,CAPE CORAL,FL,339047160,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,58,13.451724138,2.6372413793,2.0677586207,2.0677586207
1043200603,RUSSELL,GERALD,T,MD,M,I,11130 KINGSTON PIKE,SUITE 7&8,FARRAGUT,TN,379342865,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,76,62.324736842,8.32,6.4363157895,6.4363157895
1043200603,RUSSELL,GERALD,T,MD,M,I,11130 KINGSTON PIKE,SUITE 7&8,FARRAGUT,TN,379342865,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,17.320454545,1.42,1.1154545455,1.1154545455
1043200603,RUSSELL,GERALD,T,MD,M,I,11130 KINGSTON PIKE,SUITE 7&8,FARRAGUT,TN,379342865,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,11.0618,7.88,6.1779,6.1779
1043200603,RUSSELL,GERALD,T,MD,M,I,11130 KINGSTON PIKE,SUITE 7&8,FARRAGUT,TN,379342865,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,45,11.793111111,2.2162222222,1.2846666667,1.2004444444
1043200603,RUSSELL,GERALD,T,MD,M,I,11130 KINGSTON PIKE,SUITE 7&8,FARRAGUT,TN,379342865,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,190.18285714,33.358571429,25.382857143,24.272142857
1043200611,BOBO,ROBERT,T,M.D.,M,I,6005 PARK AVE,SUITE 430B,MEMPHIS,TN,381195202,US,Physician/Orthopedic Surgery,S,L0625,"Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder stra",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,75,53.78,42.16,41.61
1043200611,BOBO,ROBERT,T,M.D.,M,I,6005 PARK AVE,SUITE 430B,MEMPHIS,TN,381195202,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,34,39,167.65,117.67,87.776153846,97.822051282
1043200611,BOBO,ROBERT,T,M.D.,M,I,6005 PARK AVE,SUITE 430B,MEMPHIS,TN,381195202,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,14,65,53.2,38.765714286,43.407857143
1043200629,GONGWER,CURTIS,L,MD,M,I,4440 NORTH PORTAGE AVENUE,,SOUTH BEND,IN,466288579,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,79,153,77.870261438,8.32,5.5369934641,5.5369934641
1043200629,GONGWER,CURTIS,L,MD,M,I,4440 NORTH PORTAGE AVENUE,,SOUTH BEND,IN,466288579,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,30,35,13.112,1.42,1.0537142857,1.0537142857
1043200629,GONGWER,CURTIS,L,MD,M,I,4440 NORTH PORTAGE AVENUE,,SOUTH BEND,IN,466288579,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,58,7.88,2.03,1.4272413793,1.4272413793
1043200629,GONGWER,CURTIS,L,MD,M,I,4440 NORTH PORTAGE AVENUE,,SOUTH BEND,IN,466288579,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,3853,0.6109810537,0.3046093953,0.2106125097,0.2148403841
1043200629,GONGWER,CURTIS,L,MD,M,I,4440 NORTH PORTAGE AVENUE,,SOUTH BEND,IN,466288579,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,34,35,200.66285714,33.473428571,26.242571429,25.449428571
1043200629,GONGWER,CURTIS,L,MD,M,I,4440 NORTH PORTAGE AVENUE,,SOUTH BEND,IN,466288579,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,360,69.81,38.804166667,38.804166667
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,29,90,210,76.619619048,8.32,6.0563333333,6.0563333333
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.91,10.93,8.57,8.57
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,300,4.6453333333,4.0373333333,2.9542,2.9563
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.2933333333,0.2691666667,0.1933166667,0.1939666667
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.2954545455,0.27,0.1923636364,0.1923636364
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,238.213125,122.904375,91.648125,63.606875
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,41,87.96,46.885609756,33.963658537,23.38902439
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,19,19,52.277368421,24.730526316,18.564210526,13.32
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,19,19,52.798421053,20.688947368,14.628421053,8.2889473684
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,25,138,5.5479710145,2.8179710145,2.1326086957,1.539057971
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,16.3775,12.904166667
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,129.95,49.235,38.599166667,30.295833333
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,254.7453125,97.706875,69.1321875,49.1540625
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2716,0.5103387334,0.0466200295,0.0315611193,0.0315611193
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,2190,1.6951004566,0.1334794521,0.1009086758,0.1009086758
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,840,12.920488095,2.9939285714,2.1687380952,2.1687380952
1043200678,HENRICKSON,GERALD,W,MD,M,I,49725 COUNTY 83,,STAPLES,MN,564795280,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,36,57.75,33,23.714166667,23.714166667
1043200785,WRIGHT,SCOTT,A,MD,M,I,1783 TROUP HWY,,TYLER,TX,757015869,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,24,24,140.94708333,60.165416667,47.169583333,39.146666667
1043200785,WRIGHT,SCOTT,A,MD,M,I,1783 TROUP HWY,,TYLER,TX,757015869,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,20,86.31,19.0765,13.4625,12.177
1043200785,WRIGHT,SCOTT,A,MD,M,I,1783 TROUP HWY,,TYLER,TX,757015869,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,31,519.51,78.061935484,57.533870968,51.219677419
1043200884,HOOD,FRED,K,M.D.,M,I,65 OLD JACKSON RD,,MCDONOUGH,GA,302523095,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,66,158,57.26056962,8.32,6.1586075949,6.1586075949
1043200884,HOOD,FRED,K,M.D.,M,I,65 OLD JACKSON RD,,MCDONOUGH,GA,302523095,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,14,11.874285714,3.38,2.65,2.65
1043200884,HOOD,FRED,K,M.D.,M,I,65 OLD JACKSON RD,,MCDONOUGH,GA,302523095,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,23,39,60,13.404,1.42,1.0411666667,1.0411666667
1043200884,HOOD,FRED,K,M.D.,M,I,65 OLD JACKSON RD,,MCDONOUGH,GA,302523095,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,125,17.31408,7,4.3904,4.3904
1043200884,HOOD,FRED,K,M.D.,M,I,65 OLD JACKSON RD,,MCDONOUGH,GA,302523095,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,225,44.24,34.68,35.23
1043200884,HOOD,FRED,K,M.D.,M,I,65 OLD JACKSON RD,,MCDONOUGH,GA,302523095,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,51.621052632,8.8215789474,6.48,6.0026315789
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,34,71,226,58.388185841,8.32,6.0590265487,6.0590265487
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,13.826,3.38,2.65,2.65
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,24.11,2.12,1.67,1.67
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,50,79,15.243164557,1.42,1.0437974684,1.0437974684
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,225.8,90.24,69.037894737,66.127894737
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,40,92.386,35,27.44,26.0325
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,46.053636364,16.898181818,13.246363636,14.06
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,48.59375,11.97125,9.3875,9.138125
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,120,7.742,2.0005,1.56875,1.5905833333
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,54.971818182,38.305454545,34.161818182
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,40,16.807272727,11.425454545,11.959090909
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,119.90916667,33.75,19.501666667,17.19125
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,369.755,80.674090909,57.601818182,51.914545455
1043200934,VICTORIA,ALEJANDRO,A,MD,M,I,235 HATTERAS AVENUE,SUITE 100,CLERMONT,FL,347112756,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,100,31.466428571,24.671428571,22.484285714
1043201056,LEWIS,DIANA,L,N.P.,F,I,"NM STATE HIGHWAY 120,",MILE MARKER 12.5,OCATE,NM,87734,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,31,448.8583871,104.69225806,82.081290323,59.929032258
1043201098,DOBLE,JENNIFER,E,M.D.,F,I,5333 MCAULEY DR,SUITE R2009,YPSILANTI,MI,481971014,US,Physician/Physical Medicine and Rehabilitation,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,316,27.518987342,5.5,4.3119936709,4.1912974684
1043201098,DOBLE,JENNIFER,E,M.D.,F,I,5333 MCAULEY DR,SUITE R2009,YPSILANTI,MI,481971014,US,Physician/Physical Medicine and Rehabilitation,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6480,10.133333333,1.02,0.7775447531,0.7644737654
1043201098,DOBLE,JENNIFER,E,M.D.,F,I,5333 MCAULEY DR,SUITE R2009,YPSILANTI,MI,481971014,US,Physician/Physical Medicine and Rehabilitation,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,444.75,62.55,49.04,48.44
1043201106,CALDER,PETER,D,M.D.,M,I,1802 PAPERMILL RD,,WYOMISSING,PA,196101100,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,13,71.535384615,60.092307692,47.113076923,52.81
1043201106,CALDER,PETER,D,M.D.,M,I,1802 PAPERMILL RD,,WYOMISSING,PA,196101100,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,18,60.555555556,60.555555556,47.475555556,43.56
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,25,25,141.6128,39.5352,30.0836,29.5428
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,37,7.6397297297,1.6662162162,1.2378378378,1.0991891892
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,15,29,29,346.69275862,90.34137931,70.825517241,68.241724138
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,13,28,56,137.10732143,34,26.656785714,26.023571429
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,87,87.812643678,19.87183908,13.980689655,13.094482759
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,11,44,68.196363636,15.58,10.825909091,10.584772727
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,18,35,35,215.35371429,57.92,42.740857143,40.339714286
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,30,40,40,61.127,18,13.75725,13.71225
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,23,42,42,62.294761905,12.382619048,9.4171428571,8.8576190476
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,35,67,354,9.5791525424,2.103559322,1.6483615819,1.5979943503
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,23,23,22.627826087,6.04,4.5243478261,4.4547826087
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,16,21,21,46.014285714,12.963333333,10.158571429,10.31
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,66,66,82.77030303,18.333333333,13.302424242,12.74969697
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,2736.851,1036.06375,804.56125,833.1165
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,17,463.18176471,88.038823529,64.262941176,62.853529412
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,30,42,73.217857143,13.46,10.298809524,10.237142857
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,15,50.73,3.9786666667,1.8033333333,2.3986666667
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,40,46,186.55630435,34.467391304,25.773043478,24.479130435
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,31,222,229,424.72973799,80.460786026,58.838515284,51.174803493
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,60,61,115.21114754,37.665245902,27.547704918,27.56704918
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,1860,18.412327957,9.617,7.4667849462,7.4667849462
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,13,47,13142,0.7470963324,0.0459686501,0.0316610866,0.0316610866
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,38,3355,1.2810014903,0.1327928465,0.0960149031,0.0960149031
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1200,8.8902833333,2.97815,2.2229583333,2.2229583333
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,76,80,135.462875,38.275125,28.5105,28.061125
1043201205,ZWEIG,WILLIAM,D,M.D.,M,I,11133 DUNN RD,SUITE 2335,SAINT LOUIS,MO,631366119,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,25,104,104,51.086538462,33,23.390865385,23.390865385
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,48,50.37375,8.32,6.250625,6.250625
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,31,12.33,9.6675,7.75
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,68.636666667,53.813333333,38.1675
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,55.136666667,17.27,12.411666667,12.411666667
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,54,55,46.73,7.5118181818,5.8270909091,3.8421818182
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,367.878,93.364,69.603333333,51.144
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2148,0.17,0.0458333333,0.0359357542,0.0359357542
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,885,0.92,0.1361016949,0.106700565,0.106700565
1043201304,HENDERSON,CHERYL,L,FNP,F,I,20208 STATE HIGHWAY 155 S,,FLINT,TX,757625600,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,125.8125,33,25.87,25.87
1043201312,HENRY,DAVID,,MD,M,I,7813 YOUREE DR,,SHREVEPORT,LA,711055505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,34,92,63.655,8.32,5.8134782609,5.8134782609
1043201312,HENRY,DAVID,,MD,M,I,7813 YOUREE DR,,SHREVEPORT,LA,711055505,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,19,19.134736842,1.42,1.0568421053,1.0568421053
1043201320,PERKINS,LEANN,,ARNP,F,I,3 BUTTERNUT DR,STE B,GREENVILLE,SC,296054655,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,36,51,104,47.605480769,42.5,30.217980769,27.973653846
1043201320,PERKINS,LEANN,,ARNP,F,I,3 BUTTERNUT DR,STE B,GREENVILLE,SC,296054655,US,Nurse Practitioner,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,20,26,356.08423077,318.66076923,246.29038462,260.95192308
1043201338,KOVACH,CASSONDRA,,MD,F,I,1040 DIVISION ST,,MAUSTON,WI,539481931,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,49,120,71.009666667,8.32,5.4340833333,5.4340833333
1043201338,KOVACH,CASSONDRA,,MD,F,I,1040 DIVISION ST,,MAUSTON,WI,539481931,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,25,13.4448,1.42,0.9848,0.9848
1043201338,KOVACH,CASSONDRA,,MD,F,I,1040 DIVISION ST,,MAUSTON,WI,539481931,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,371,2.38,2.27,1.4870619946,1.4870619946
1043201338,KOVACH,CASSONDRA,,MD,F,I,1040 DIVISION ST,,MAUSTON,WI,539481931,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,102.61833333,80.455,54.73
1043201338,KOVACH,CASSONDRA,,MD,F,I,1040 DIVISION ST,,MAUSTON,WI,539481931,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,29.515833333
1043201346,FAJARDO,ROMULO,A,MD,M,I,340 ANDERSON HOLLOW RD,,NORTON,VA,242731100,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,54,49.431296296,8.2896296296,6.2792592593,6.3090740741
1043201346,FAJARDO,ROMULO,A,MD,M,I,340 ANDERSON HOLLOW RD,,NORTON,VA,242731100,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,13.1575,1.42,1.12,1.12
1043201346,FAJARDO,ROMULO,A,MD,M,I,340 ANDERSON HOLLOW RD,,NORTON,VA,242731100,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,220,98.85,75.707857143,52.938571429
1043201403,FRANCK,BARBARA,H,MD,F,I,723 PARK RIDGE LN,,NORTH FOND DU LAC,WI,549371385,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,56,67.670535714,8.32,5.47375,5.47375
1043201403,FRANCK,BARBARA,H,MD,F,I,723 PARK RIDGE LN,,NORTH FOND DU LAC,WI,549371385,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,17,20.674705882,1.42,1.0517647059,1.0517647059
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,47,125,79.02344,8.32,5.63552,5.63552
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,25,28,13.461785714,1.42,0.8785714286,0.8785714286
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,91,9.312967033,2.1,1.538021978,1.487032967
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,13,80,81,154.08962963,49.341358025,38.249753086,38.268518519
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125,17.115,13.42,13.52
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,38,20.787368421,6.5239473684,5.0052631579,3.755
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,129.66608696,55.232173913,43.301304348,38.63826087
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,7.04,2.9478571429,2.3085714286,2.2507142857
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,326.66666667,75.453333333,56.120740741,52.132592593
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,39.26,30.78,29.51
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,76.820909091,38.809090909,30.42,29.165454545
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,16,120,122,82.427786885,19.133442623,14.515245902,13.962131148
1043201486,WOODS,ALEXIS,A,MD,F,I,4530 E MUIRWOOD DR,105,PHOENIX,AZ,850487639,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,23.145882353,9.4211764706,6.5911764706,6.0352941176
1043201569,JANCUSKA,JAMES,J,M.D.,M,I,401 DR MICHAEL DEBAKEY DR,,LAKE CHARLES,LA,706015864,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,44.34,35.74,28.02,28.02
1043201569,JANCUSKA,JAMES,J,M.D.,M,I,401 DR MICHAEL DEBAKEY DR,,LAKE CHARLES,LA,706015864,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,11250,4.6453066667,1.92,1.4842702222,1.5666391111
1043201569,JANCUSKA,JAMES,J,M.D.,M,I,401 DR MICHAEL DEBAKEY DR,,LAKE CHARLES,LA,706015864,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,41,14.148292683,10.93,8.57,8.57
1043201569,JANCUSKA,JAMES,J,M.D.,M,I,401 DR MICHAEL DEBAKEY DR,,LAKE CHARLES,LA,706015864,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,44,9.6884090909,7.46,5.85,5.85
1043201569,JANCUSKA,JAMES,J,M.D.,M,I,401 DR MICHAEL DEBAKEY DR,,LAKE CHARLES,LA,706015864,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,96,2.4975,1.8,1.23375,1.23375
1043201585,LUKE,CELESTE,C,M.D.,F,I,108 MEDIC AVE,,MARKSVILLE,LA,713513099,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,45,45,69.888888889,65.095555556,50.553333333,52.287555556
1043201585,LUKE,CELESTE,C,M.D.,F,I,108 MEDIC AVE,,MARKSVILLE,LA,713513099,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,47,92,60,56.094782609,43.015869565,42.615
1043201585,LUKE,CELESTE,C,M.D.,F,I,108 MEDIC AVE,,MARKSVILLE,LA,713513099,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,46,92,25,21.331086957,16.363043478,13.74673913
1043201635,YAZDANI,HOSSEIN,,MD,M,I,105 S KANSAS STREET,,ANAHUAC,TX,775141703,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,163.33333333,47.01,29.218333333,29.149166667
1043201684,BAETEN,JARED,M,MD,M,I,325 9TH AVE,CAMPUS BOX 359927,SEATTLE,WA,981042420,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,31,87.786451613,8.32,5.2622580645,5.2622580645
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,480,0.3012916667,0.1175,0.0920625,0.0940208333
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,22,1360,0.9111764706,0.44,0.3348455882,0.3348455882
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,23,33,585,37.158547009,23.66,18.491264957,18.491264957
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,19,26,301,17.49538206,10.93,7.9665448505,7.9665448505
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,20,23,661,6.2496822995,3.67,2.8773373676,2.8773373676
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,14,21,1695,0.4189675516,0.13,0.1006489676,0.1006489676
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,15,20,1822,0.8677826564,0.45,0.3527826564,0.3527826564
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,100,13.0551,1.28,1.0031,1.0031
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,14,18,111.06611111,95.87,75.165555556,75.165555556
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,12,42,550,42.318181818,25.663272727,20.119981818,19.200018182
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,12,46,280,22.500107143,8.3853214286,6.5743214286,6.4286428571
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,38,38,160.38105263,60.479736842,46.532631579,36.520789474
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,763.22044444,235.97844444,176.856,116.94888889
1043201700,PINNAMANENI,V,C,MD,M,I,204 NE 15TH ST,,WASHINGTON,IN,475012104,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,12,29,29,2017.3793103,856.52724138,671.51827586,494.53793103
1043201718,TOBIAN,TAMARA,L,C.N.S.,F,I,2213 CHERRY ST UNIT 2B,,TOLEDO,OH,436082603,US,Certified Clinical Nurse Specialist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,41.363636364,15.68,12.29,13.53
1043201718,TOBIAN,TAMARA,L,C.N.S.,F,I,2213 CHERRY ST UNIT 2B,,TOLEDO,OH,436082603,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,70.04,54.91,54.73
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,4.6923076923,0.51,0.3692307692,0.3692307692
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,33,90,423,53.218747045,8.32,5.5763120567,5.5763120567
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,15,35,35,15.403428571,3.38,2.4228571429,2.4228571429
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,22.102222222,2.12,1.4844444444,1.4844444444
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,18,44,116,15.531896552,1.42,0.9575,0.9575
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,12.15,7.04,5.52,6.49
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,8.13,5.54,4.0711363636,4.0711363636
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,260,4.7846153846,2.8553846154,2.0553846154,2.0553846154
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,42.927241379,19.351724138,13.77,12.137586207
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,104,105,522.106,82.513333333,59.265238095,50.203714286
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,3300,1.628630303,0.1368,0.1006575758,0.1006575758
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,35.63,25.6025,27.215
1043201767,HINDY,DAVID,T,M.D.,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,75.428571429,33,25.298928571,25.298928571
1043201932,PROULX,CHARLES,A,PA-C,M,I,7431 NW LOOP 410 STE 109,,SAN ANTONIO,TX,782453597,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,36,74.608888889,8.32,5.6197222222,5.6197222222
1043201932,PROULX,CHARLES,A,PA-C,M,I,7431 NW LOOP 410 STE 109,,SAN ANTONIO,TX,782453597,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,16.913333333,1.42,0.9333333333,0.9333333333
1043201940,ABDIN,JAMAL,Z,M.D.,M,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,45,115,51.677304348,8.32,5.7273913043,5.7273913043
1043201940,ABDIN,JAMAL,Z,M.D.,M,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1043201940,ABDIN,JAMAL,Z,M.D.,M,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,31,16.894516129,1.42,0.9361290323,0.9361290323
1043201940,ABDIN,JAMAL,Z,M.D.,M,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,57.454545455,17.29,12.934090909,12.915
1043201940,ABDIN,JAMAL,Z,M.D.,M,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,122.27,45.79,25.5075,25.08
1043201940,ABDIN,JAMAL,Z,M.D.,M,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,451.21857143,70.23,49.816190476,49.508571429
1043201940,ABDIN,JAMAL,Z,M.D.,M,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,76.3125,33,24.253125,24.253125
1043201965,VIDWANS,NEIL,M,M.D.,M,I,2800 S SHIRLINGTON RD,STE 410,ARLINGTON,VA,222063601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,73,232,57.041939655,8.32,5.0632327586,5.0632327586
1043201965,VIDWANS,NEIL,M,M.D.,M,I,2800 S SHIRLINGTON RD,STE 410,ARLINGTON,VA,222063601,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,25,43,11.250232558,1.42,0.9074418605,0.9074418605
1043201965,VIDWANS,NEIL,M,M.D.,M,I,2800 S SHIRLINGTON RD,STE 410,ARLINGTON,VA,222063601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,79.8,62.56,54.73
1043201965,VIDWANS,NEIL,M,M.D.,M,I,2800 S SHIRLINGTON RD,STE 410,ARLINGTON,VA,222063601,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.05,29.83,29.51
1043201965,VIDWANS,NEIL,M,M.D.,M,I,2800 S SHIRLINGTON RD,STE 410,ARLINGTON,VA,222063601,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,4.5459479167,2.9239375,2.2714791667,2.2714791667
1043201965,VIDWANS,NEIL,M,M.D.,M,I,2800 S SHIRLINGTON RD,STE 410,ARLINGTON,VA,222063601,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,33,33,24.253125,24.253125
1043202005,MOSER,LINDA,M,ANP,F,I,53 PUBLIC SQ,SUITE 201,WATERTOWN,NY,136012674,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,36,50.998888889,8.32,5.9777777778,5.9777777778
1043202005,MOSER,LINDA,M,ANP,F,I,53 PUBLIC SQ,SUITE 201,WATERTOWN,NY,136012674,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,21.788,16.086,12.628
1043202005,MOSER,LINDA,M,ANP,F,I,53 PUBLIC SQ,SUITE 201,WATERTOWN,NY,136012674,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,300,123.16916667,96.563333333,70.451666667
1043202005,MOSER,LINDA,M,ANP,F,I,53 PUBLIC SQ,SUITE 201,WATERTOWN,NY,136012674,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,87.545,58.58,45.095
1043202013,WOELLNER,JOHN,V,MD,M,I,4131 N 24TH ST,B-102,PHOENIX,AZ,850166262,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,18,42,183,55.835409836,8.32,6.0519672131,6.0519672131
1043202013,WOELLNER,JOHN,V,MD,M,I,4131 N 24TH ST,B-102,PHOENIX,AZ,850166262,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,,22,66,14.668787879,1.42,1.0965151515,1.0965151515
1043202013,WOELLNER,JOHN,V,MD,M,I,4131 N 24TH ST,B-102,PHOENIX,AZ,850166262,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,45,5.52,4.3293333333,3.6593333333
1043202021,CRANNEY,DEAN,R,MD,M,I,1720 2ND ST,,CHENEY,WA,990041910,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,29,97,67.186082474,8.2980412371,5.4305154639,5.447628866
1043202021,CRANNEY,DEAN,R,MD,M,I,1720 2ND ST,,CHENEY,WA,990041910,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,23,9.9217391304,1.42,0.9695652174,0.9695652174
1043202021,CRANNEY,DEAN,R,MD,M,I,1720 2ND ST,,CHENEY,WA,990041910,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,133,31.181666667,21.873333333,22.109166667
1043202021,CRANNEY,DEAN,R,MD,M,I,1720 2ND ST,,CHENEY,WA,990041910,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,21,500.67238095,65.7,43.207619048,46.083809524
1043202070,QUIMBY,ROBERT,R,M.D.,M,I,190 DELAWARE AVE,,DELMAR,NY,120541311,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,32,23.7046875,8.32,6.11375,6.11375
1043202070,QUIMBY,ROBERT,R,M.D.,M,I,190 DELAWARE AVE,,DELMAR,NY,120541311,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.07,17.55,11.466666667,11.283333333
1043202070,QUIMBY,ROBERT,R,M.D.,M,I,190 DELAWARE AVE,,DELMAR,NY,120541311,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,29,50.73,3.7951724138,2.5186206897,3.1231034483
1043202070,QUIMBY,ROBERT,R,M.D.,M,I,190 DELAWARE AVE,,DELMAR,NY,120541311,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,79.48,52.6475,45.690833333
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,26,62,160,67.4453125,8.32,5.9919375,5.9919375
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,23,15.146956522,1.42,1.02,1.02
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,57.411818182,20.912727273,15.48,8.2909090909
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,86,7.0520930233,3.1553488372,2.4061627907,1.5970930233
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,83,85,71.427529412,22.715058824,16.895058824,12.841647059
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,40,20.6075,16.157,10.322
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,28.112307692,7.5207692308,5.5215384615,3.3784615385
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,131.01129032,52.748064516,40.523225806,25.491612903
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,90,91,401.90802198,104.06769231,77.843076923,53.594615385
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,3985,0.451651192,0.0458971142,0.0279774153,0.0279774153
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,91.808181818,26.588181818,19.535454545,14.793636364
1043202138,WHALEN,RICHARD,B,MD,M,I,339 W SPRING ST,SUITE 102,TITUSVILLE,PA,163541655,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,38.210526316,33,22.788947368,22.788947368
1043202161,FORERO,LEONOR,,MD,F,I,2925 WILLIAM PENN HWY,SUITE 201,EASTON,PA,180455283,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,50,77.9928,8.32,5.3878,5.3878
1043202195,SUMINSKI,JERRY,E,M. D.,M,I,3537 W FRONT ST,STE I,TRAVERSE CITY,MI,496847943,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,110.155,86.365,57.57625
1043202203,TRACY,MARK,E,M.D.,M,I,601 E ROLLINS ST,,ORLANDO,FL,328031248,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,132.675,50.45625,39.556875,37.271875
1043202203,TRACY,MARK,E,M.D.,M,I,601 E ROLLINS ST,,ORLANDO,FL,328031248,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,132.76285714,57.48,45.06,41.222857143
1043202203,TRACY,MARK,E,M.D.,M,I,601 E ROLLINS ST,,ORLANDO,FL,328031248,US,Physician/Physical Medicine and Rehabilitation,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,28,99.06,73.504642857,57.63,63.824642857
1043202203,TRACY,MARK,E,M.D.,M,I,601 E ROLLINS ST,,ORLANDO,FL,328031248,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,12,60,61,69.729508197,20.034590164,14.770819672,13.724262295
1043202203,TRACY,MARK,E,M.D.,M,I,601 E ROLLINS ST,,ORLANDO,FL,328031248,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,87.464615385,32.444615385,25.437692308,23.19
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,28,66,201,71.820099502,8.32,5.4186069652,5.4186069652
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,35,58,13.997586207,1.42,0.9222413793,0.9222413793
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,144.91857143,58.827142857,42.982142857,39.872857143
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,51.005714286,13.427857143,9.8342857143,8.5092857143
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,79,6.0835443038,2.1427848101,1.6802531646,1.5917721519
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,29,454.45586207,78,54.824137931,50.839310345
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,30,9207,0.3797719127,0.0465124362,0.0346714456,0.0346703595
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,43.875,8.98875,6.62,6.03125
1043202252,OHLIGER,JAMES,E,DO,M,I,5323 MEADOW LANE CT,,SHEFFIELD VILLAGE,OH,440351469,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,23,23,41.608695652,33,23.620434783,23.620434783
1043202385,FIELDS,JACQUELINE,C,M.D.,F,I,315 CANYON AVE,SUITE 1,FORT COLLINS,CO,805212677,US,Specialist,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,121.81818182,32.520909091,25.494545455,25.501818182
1043202385,FIELDS,JACQUELINE,C,M.D.,F,I,315 CANYON AVE,SUITE 1,FORT COLLINS,CO,805212677,US,Specialist,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,315.99673469,70.48,52.32244898,51.824897959
1043202385,FIELDS,JACQUELINE,C,M.D.,F,I,315 CANYON AVE,SUITE 1,FORT COLLINS,CO,805212677,US,Specialist,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,39.6,31.05,29.51
1043202393,JOHNSON,MARK,R,MD,M,I,1899 E SIESTA DR,,SANDY,UT,840936241,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,219.40272727,80.4,57.3,49.754545455
1043202419,AMENDOLA,ANNUNZIATO,,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,11,31,31,122.36,89.593548387,70.235483871,76.829032258
1043202419,AMENDOLA,ANNUNZIATO,,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,340,267.92384615,210.05,218.15307692
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,81,320,72.96,19.68675,15.04803125,15.04803125
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,37,77,77,126.29415584,38.34,28.287402597,28.706363636
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,41,111,227,8.3964317181,1.5091189427,1.1220264317,1.0975770925
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,22,28,28,85.5275,8.98,6.3107142857,8.2107142857
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7012,"Water collection device, used with large volume nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,23,5.5,2.12,1.6604347826,2.0895652174
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,22,22,33,2.2451515152,0.47,0.37,0.4203030303
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,20,36,5.4847222222,1.1052777778,0.8416666667,0.9405555556
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,136,302,302,368.63370861,90.140960265,65.359834437,62.781456954
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,137,343,830,142.13263855,34.093518072,25.434963855,24.673060241
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,64,167,834,84.658057554,19.870647482,14.407038369,13.536642686
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,52,122,636,55.924937107,15.568113208,11.179386792,10.917672956
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,116,269,270,227.89307407,57.788666667,43.024518519,40.873074074
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,233,341,341,75.159296188,18.063870968,13.608445748,13.513284457
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,30,30,47.502,10.46,7.6533333333,7.61
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,202,482,483,75.681387164,12.145362319,9.1289233954,8.7702277433
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,233,570,3224,9.8331358561,2.1416129032,1.6111445409,1.5342897022
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,90,132,132,25.393106061,6.0432575758,4.5606818182,4.4834848485
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,179,255,255,48.085058824,12.994588235,9.8840784314,10.03
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,56,408,415,68.514506024,18.179638554,13.086192771,12.522891566
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,18,14.11,13.54
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79.99,62.71,54.73
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,232.88,49.67,33.385714286,32.442857143
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,90,90,2435.6751111,1074.31,836.79911111,836.79911111
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,35,36,444.76527778,87.42,60.579722222,59.359444444
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,1016.622,223.85366667,165.938,154.06533333
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,496.005,134.64,90.595625,89.844375
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,34,152,165,56.907272727,12.579878788,9.1086666667,9.0468484848
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,43,263,275,50.100327273,3.8452,2.7998545455,3.4266909091
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,79,493,510,237.18288235,33.482568627,23.933784314,22.721862745
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,202.04090909,70.74,55.46,55.46
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,106,836,864,432.00631944,80.676712963,59.171979167,52.054155093
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,159,179,196.54670391,37.213687151,28.691620112,28.978882682
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,9,19,19,19,123,57,37.633684211,37.633684211
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,81,31520,33.542782995,9.8394911168,7.7051922589,7.7051913071
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,92,5856,17.020657445,9.6462414617,6.7568835383,6.7568835383
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,1006,10.571550696,3.5253677932,2.7482206759,2.7482206759
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,53,244,61070,0.203377927,0.0461887997,0.0327907319,0.0327897495
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,39,7930,2.7930996217,0.0659482976,0.0443076923,0.0443076923
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,24,131,15859,1.3733709566,0.1351693045,0.093376001,0.093376001
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,23,176,10440,11.224195402,3.0055689655,2.2831934866,2.2831925287
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,33,169,8474,1.2276233184,0.2188458815,0.1583644088,0.1583644088
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,308,133.34853896,41.601071429,32.149318182,32.149318182
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,80,321,8.55,2.6370093458,2.0159813084,2.0159813084
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,92,94,156.24819149,37.15,27.580531915,27.945638298
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,30,80,452,452,93.318584071,33,24.05380531,24.05380531
1043202500,HAACKE,LINDA,T,MD,F,I,6812 STATE ROUTE 162,STE: 202,MARYVILLE,IL,620628553,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,18,18,102.66666667,66,45.991111111,45.991111111
1043202542,RADER,DALE,K,MD,M,I,340 SIGNAL HILL DR,SUITE A,STATESVILLE,NC,286254483,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,44,9.1727272727,7.1918181818,6.9372727273
1043202583,HALL,DAVID,E,M.D.,M,I,6950 CENTRAL AVE,,ST PETERSBURG,FL,337071210,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,38,38,38,79.578947368,77.617894737,57.630526316,50.273684211
1043202583,HALL,DAVID,E,M.D.,M,I,6950 CENTRAL AVE,,ST PETERSBURG,FL,337071210,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,54.230769231,49.624615385,32.875384615,37.694615385
1043202583,HALL,DAVID,E,M.D.,M,I,6950 CENTRAL AVE,,ST PETERSBURG,FL,337071210,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,29,72.327586207,67.76,48.452413793,49.363793103
1043202583,HALL,DAVID,E,M.D.,M,I,6950 CENTRAL AVE,,ST PETERSBURG,FL,337071210,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,34,20,17.78,13.003529412,13.054117647
1043202591,PRICE,MICHELLE,Y,MD,F,I,11055 LITTLE PATUXENT PKWY,SUITE 104,COLUMBIA,MD,210442896,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,32,62.9971875,8.32,6.1125,6.1125
1043202591,PRICE,MICHELLE,Y,MD,F,I,11055 LITTLE PATUXENT PKWY,SUITE 104,COLUMBIA,MD,210442896,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.883636364,1.42,1.0181818182,1.0181818182
1043202591,PRICE,MICHELLE,Y,MD,F,I,11055 LITTLE PATUXENT PKWY,SUITE 104,COLUMBIA,MD,210442896,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,140,16.79,13.16,13.53
1043202591,PRICE,MICHELLE,Y,MD,F,I,11055 LITTLE PATUXENT PKWY,SUITE 104,COLUMBIA,MD,210442896,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,510,78.47,61.52,54.73
1043202765,MOGIELNICKI,TERESA,M,M.D.,F,I,5442 SYCUAN RD,,EL CAJON,CA,920191816,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,32,84.2684375,8.32,5.7065625,5.7065625
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,97.586111111,37.29,27.606111111,28.813333333
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,303,4.6,2.96,2.320660066,2.320660066
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,25,25,252.1488,89.62,67.894,65.5708
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,,26,70,85.056142857,34.52,27.063714286,25.968142857
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,18,94,48.708085106,19.37,13.866382979,13.31
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,11,63,34.588253968,16,12.543492063,11.955396825
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,29,29,146.12206897,57.045517241,43.188275862,41.509655172
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,19,29,29,53.317931034,17.340689655,13.591034483,14.004137931
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,15,36,36,50.967222222,12.586111111,9.3902777778,8.7036111111
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,22,56,317,6.9349526814,2.2170347003,1.7392429022,1.60170347
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,13,16,16,33.07125,13,10.19,10.34
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,61,39.039180328,18.440819672,13.372131148,12.49295082
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,1655.5721739,1074.31,842.11391304,842.11391304
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,34.505294118,14.144705882,11.087058824,10.48
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,31.2825,6.2255,3.951,2.9355
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,11,59,59,142.71610169,37.129661017,27.299152542,24.455423729
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,21,144,144,321.17458333,78.3475,57.456180556,51.414166667
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,58,58,134.23275862,36.5,28.126551724,28.943793103
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,1380,18.407246377,9.6507608696,7.4622028986,7.4622028986
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,3934,0.3573157092,0.0468200305,0.0283070666,0.0283070666
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,2154,1.7040111421,0.1354317549,0.10363974,0.10363974
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,2430,11.346596708,3.0802345679,2.3913004115,2.3913004115
1043202849,BLACKMON,MICHAEL,B,M.D.,M,I,6124 W PARKER RD,SUITE 530,PLANO,TX,750938122,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,40,40,87.45,33,25.87,25.87
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,50,160,56.2791875,8.32,6.0075625,6.0075625
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,13.806666667,3.38,2.5395833333,2.5395833333
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,20.298571429,2.12,1.67,1.67
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,26,50,15.787,1.42,1.024,1.024
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,33.67,28.46,22.31,22.31
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,12.92,10.93,8.57,8.57
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,88.619230769,11.54,9.05,9.12
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,321.14526316,52.205263158,33.375789474,32.756842105
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,122,122,53.417131148,17.354016393,12.94057377,12.877295082
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,59.855,43.488333333,34.494166667
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,32.6071875,4.67,3.1340625,3.1325
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,5,,20,20,136.8665,50.61,39.5945,38.929
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,19,133,133,322.8843609,70.293684211,52.278270677,51.929774436
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6109090909,7.4129393939,7.4129393939
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2850,0.17,0.0450035088,0.035277193,0.035277193
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,630,12.86,3.0328571429,2.3777936508,2.3777936508
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,48,50,119.5684,19.8968,13.9406,12.7862
1043202856,TERRELL,MERVIN,D,M.D.,M,I,1220 W 42ND AVE,,PINE BLUFF,AR,716037109,US,Physician/Geriatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,132,33,25.87,25.87
1043202930,CLARK,FRANCIS,J,MD,M,I,331 N YORK RD,,HATBORO,PA,190402033,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,86,86,86,64.150581395,59.85,42.544767442,48.056627907
1043202930,CLARK,FRANCIS,J,MD,M,I,331 N YORK RD,,HATBORO,PA,190402033,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,48,46.02,43.383333333,31.147916667,26.731041667
1043202930,CLARK,FRANCIS,J,MD,M,I,331 N YORK RD,,HATBORO,PA,190402033,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,73,73,146,64.271917808,64.271917808,47.087054795,40.559657534
1043202930,CLARK,FRANCIS,J,MD,M,I,331 N YORK RD,,HATBORO,PA,190402033,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,98,98,192,15.690885417,15.660885417,12.016041667,13.44765625
1043202948,BULUSU,USHA,K,M.D.,F,I,4705 TOWNE CTR,SUITE 101,SAGINAW,MI,486042818,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,13,68.76,63.795384615,50.015384615,49.850769231
1043202948,BULUSU,USHA,K,M.D.,F,I,4705 TOWNE CTR,SUITE 101,SAGINAW,MI,486042818,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,19,61.973684211,48.616315789,38.115263158,40.231052632
1043203177,HITCHON,PATRICK,W,MD,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Neurosurgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,308,266.15928571,198.68428571,206.07
1043203250,KLIEFOTH,JAMES,A,MD,M,I,1 PROFESSIONAL DR,STE 150,ALTON,IL,620025068,US,Physician/General Surgery,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,5.4696666667,5.26,3.9768787879,3.9768787879
1043203342,MOORE,DAVID,K,M.D.,M,I,2825 KEITH BRIDGE RD,SUITE 100,CUMMING,GA,300413936,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,53.995357143,8.32,5.5910714286,5.5910714286
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,35,52.608285714,8.32,6.3362857143,6.3362857143
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,340,750,750,144.84625333,38.120853333,27.4688,28.043853333
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,233,20.19806867,17.356008584,13.60695279,14.472703863
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,15,17.548,8.2,6.43,6.43
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,136,317,319,399.93642633,89.794137931,66.106802508,63.930721003
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,127,301,799,156.68374218,34.022277847,25.594806008,24.91339174
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,167,357,1846,87.374312026,18.126998917,13.272502709,13.569788732
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,97,216,1171,60.819897523,15.102835184,10.989274125,11.048052946
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,23,269,579,579,247.48354059,55.157063903,40.372417962,40.017772021
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,363,519,519,75.616859345,18.060038536,13.49867052,13.41238921
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,79,106,106,36.016415094,10.057924528,7.7435849057,7.9962264151
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,63,112,112,82.472410714,12.36625,9.0596428571,8.5358928571
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,26,373,841,4639,11.437932744,2.0174218582,1.5132744126,1.5225134727
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,48,65,65,25.293846154,5.4232307692,4.0178461538,4.3841538462
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,246,339,339,45.622654867,12.985103245,9.868820059,10.018171091
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,56,79.47125,18.10125,13.716607143,13.060178571
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,26,26,168.00692308,46.62,36.55,37.546923077
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,15,100,113,494.38637168,83.702389381,64.103362832,64.132743363
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,30,30,30,464.52066667,136.5,104.56633333,102.32366667
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,67,386,407,78.579017199,13.67029484,9.9925552826,9.7772481572
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,15,54.014666667,6.974,5.012,3.1533333333
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,121,679,719,228.17905424,32.038428373,23.415340751,23.6272879
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,85,94,461.10319149,82.633085106,63.63287234,53.830638298
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,17,259.34705882,38.05,29.83,29.51
1043203359,STEIN,LAWRENCE,,MD,M,I,1400 S JOYCE ST,SUITE 126,ARLINGTON,VA,222021872,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,39.3,30.81,29.51
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,16,40,489,52.535194274,19.64406953,15.366625767,15.366625767
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,15,38,1094,7.0823400366,2.631809872,2.0632632541,2.0632632541
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,71,120,390,1845,68.261420054,8.32,6.1186666667,6.1186666667
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,15,32,32,11.7990625,3.38,2.5671875,2.5671875
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,17.305,2.12,1.67,1.67
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,50,113,311,13.657299035,1.42,1.0203858521,1.0203858521
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,690.09684211,335.46315789,255.45,255.45
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,2080,16.12125,10.6305,8.2696153846,8.2696153846
1043203375,DOLL,ROBERT,B,M.D.,M,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,59,59,282.57135593,251.01745763,194.36576271,194.4379661
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,37,92,250,55.00332,8.2396,6.30292,6.3452
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,15.594444444,3.38,2.65,2.65
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,20,46,66,15.011515152,1.42,1.1148484848,1.1148484848
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,15,34,5.0552941176,1.8705882353,1.3929411765,1.1229411765
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,12,14,3.5464285714,1.4957142857,1.1721428571,0.9935714286
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,24,184.875,72.952083333,51.9525,36.924583333
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,55,55.097454545,22.361090909,17.258363636,14.159636364
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1900,1074.31,831.22384615,831.22384615
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,14,84,86,24.118604651,7.1273255814,5.4179069767,3.6208139535
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,106.87,42.08375,32.99125,23.38
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,120.59230769,60.075384615,43.312307692,33.438461538
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,27.087647059,13.539411765,10.617647059,8.9358823529
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,15,117,122,309.94106557,101.8152459,76.689672131,55.617868852
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,28,170.71428571,45.207857143,34.271785714,28.973571429
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,6483,0.3531127564,0.0479561931,0.0333317908,0.0333317908
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,3210,1.4419595016,0.132635514,0.1006074766,0.1006074766
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,111.99,43.724230769,32.063846154,20.988461538
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,636.2,257.63,190.02583333,154.59666667
1043203425,HARPER,DENNIS,C,M.D.,M,I,1400 N. PETERSON AVENUE,SUITE C,DOUGLAS,GA,31533,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,44,44,80.25,33,24.106136364,24.106136364
1043203441,ALDINGER,KYLE,A,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,47,112,343,58.270670554,8.32,6.0313994169,6.0313994169
1043203441,ALDINGER,KYLE,A,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,29,29,15.969655172,3.38,2.65,2.65
1043203441,ALDINGER,KYLE,A,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,19,19,20.664210526,2.12,1.67,1.67
1043203441,ALDINGER,KYLE,A,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,50,83,14.445542169,1.42,1.0877108434,1.0877108434
1043203441,ALDINGER,KYLE,A,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,225.25857143,87.662857143,68.727142857,54.862857143
1043203441,ALDINGER,KYLE,A,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,60.753125,40.52375,30.046875,27.8175
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,51,52,135.02115385,39.330576923,29.465576923,29.343269231
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,60,175,175,319.71748571,87.326914286,61.066971429,60.586285714
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,61,185,539,118.94569573,33.708460111,24.294230056,23.779257885
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,33,85,491,71.190264766,17.902790224,12.837413442,13.330448065
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,16,41,218,49.703073394,15.342110092,11.079082569,11.07646789
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,49,131,131,196.44145038,58.137709924,41.027175573,38.741984733
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,105,163,163,65.502883436,18.693435583,13.455337423,12.951717791
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,25.5,10.850714286,7.3078571429,7.0135714286
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,90,259,259,64.842393822,11.132316602,8.1173359073,8.4758301158
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,105,280,1646,8.9181895504,2.0218469016,1.5057351154,1.5149027947
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,25.8175,6.0691666667,4.7591666667,4.6541666667
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,84,127,127,36.259448819,13.249055118,9.6631496063,9.6460629921
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,38.43,12.91,10.12,10.48
1043203490,MCNABB,KEVIN,L,P.A.,M,I,985990 NEBRASKA MEDICAL CTR,,OMAHA,NE,681985990,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,471.28857143,79.8,62.56,55.289285714
1043203540,STEINMETZ,TIMOTHY,F,M.D.,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,28,75,195,67.339333333,8.32,5.6327692308,5.6327692308
1043203540,STEINMETZ,TIMOTHY,F,M.D.,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,16.646,1.42,0.8186666667,0.8186666667
1043203540,STEINMETZ,TIMOTHY,F,M.D.,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,161.9,41.424166667,29.863333333,28.021666667
1043203540,STEINMETZ,TIMOTHY,F,M.D.,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,20,106,10.36490566,2.0916981132,1.4627358491,1.4125471698
1043203540,STEINMETZ,TIMOTHY,F,M.D.,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,27,135.43851852,38.061851852,27.407407407,27.121481481
1043203540,STEINMETZ,TIMOTHY,F,M.D.,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,413.87875,77.18,56.728125,51.4809375
1043203540,STEINMETZ,TIMOTHY,F,M.D.,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,23.714166667,23.714166667
1043203565,EILER,CHRISTOPHER,J,O.D.,M,I,5407 MAIN ST,SUITE 400,SPRING HILL,TN,371744412,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,59.266666667,59.266666667,46.465333333,52.81
1043203565,EILER,CHRISTOPHER,J,O.D.,M,I,5407 MAIN ST,SUITE 400,SPRING HILL,TN,371744412,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,30,93.5,62.09,48.68,54.09
1043203581,JONES,SANDRA,J,FNP-BC,F,I,380 9TH ST,,FLORENCE,OR,974399470,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50.73,4.105,2.97,3.42125
1043203581,JONES,SANDRA,J,FNP-BC,F,I,380 9TH ST,,FLORENCE,OR,974399470,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,389.20266667,84.187333333,62.57,62.818666667
1043203599,ROJAS-MOLINA,DANIELA,M,M.D.,F,I,772 MADDOX DR,SUITE 122,EAST ELLIJAY,GA,305408196,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,51,39.420392157,8.32,5.7549019608,5.7549019608
1043203599,ROJAS-MOLINA,DANIELA,M,M.D.,F,I,772 MADDOX DR,SUITE 122,EAST ELLIJAY,GA,305408196,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,20,16.4575,1.42,1.117,1.117
1043203599,ROJAS-MOLINA,DANIELA,M,M.D.,F,I,772 MADDOX DR,SUITE 122,EAST ELLIJAY,GA,305408196,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,38.4035,21.6895,16.03225,14.59675
1043203599,ROJAS-MOLINA,DANIELA,M,M.D.,F,I,772 MADDOX DR,SUITE 122,EAST ELLIJAY,GA,305408196,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,57,213.87789474,100.04,71.878421053,52.577368421
1043203599,ROJAS-MOLINA,DANIELA,M,M.D.,F,I,772 MADDOX DR,SUITE 122,EAST ELLIJAY,GA,305408196,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,70,45.340588235,31.683529412,26.465882353
1043203599,ROJAS-MOLINA,DANIELA,M,M.D.,F,I,772 MADDOX DR,SUITE 122,EAST ELLIJAY,GA,305408196,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3955,0.2608445006,0.0469405815,0.0303312263,0.0303312263
1043203599,ROJAS-MOLINA,DANIELA,M,M.D.,F,I,772 MADDOX DR,SUITE 122,EAST ELLIJAY,GA,305408196,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,24.022142857,24.022142857
1043203615,PATEL,SMITA,S,MD,F,I,1000 OCHSNER BLVD,,COVINGTON,LA,70433,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,5.9333333333,3.855,2.7608333333,3.7525
1043203656,TEICHMAN,ADAM,J,DPM,M,I,2895 HAMILTON BLVD,SUITE 101,ALLENTOWN,PA,181046172,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,62,2470,1.1,0.44,0.3282388664,0.3282388664
1043203656,TEICHMAN,ADAM,J,DPM,M,I,2895 HAMILTON BLVD,SUITE 101,ALLENTOWN,PA,181046172,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,46,92,215,71.56,56.11,56.100434783
1043203656,TEICHMAN,ADAM,J,DPM,M,I,2895 HAMILTON BLVD,SUITE 101,ALLENTOWN,PA,181046172,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,45,256,120,43.56,34.15,34.146875
1043203656,TEICHMAN,ADAM,J,DPM,M,I,2895 HAMILTON BLVD,SUITE 101,ALLENTOWN,PA,181046172,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,36,60,2160,100,34.86,26.571111111,26.571111111
1043203656,TEICHMAN,ADAM,J,DPM,M,I,2895 HAMILTON BLVD,SUITE 101,ALLENTOWN,PA,181046172,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,35,57,2040,7,2.4,1.8370490196,1.8370490196
1043203656,TEICHMAN,ADAM,J,DPM,M,I,2895 HAMILTON BLVD,SUITE 101,ALLENTOWN,PA,181046172,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,35,57,2040,7,1.97,1.4989607843,1.4989607843
1043203656,TEICHMAN,ADAM,J,DPM,M,I,2895 HAMILTON BLVD,SUITE 101,ALLENTOWN,PA,181046172,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,450,158.95,124.62,126.39333333
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,89,127,127,88.801181102,38.250314961,28.073858268,28.48511811
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,105,197,197,284.27654822,105.47771574,76.993654822,63.059492386
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,21,107,245,498,107.24196787,39.752751004,29.807851406,24.78313253
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,19,101,200,763,68.897876802,21.652844037,15.707706422,13.518584535
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,18,61,118,439,44.122186788,17.168792711,12.736605923,11.326469248
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,26,164,288,288,188.30138889,63.097465278,46.850625,40.994201389
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,252,331,331,57.70102719,20.702114804,15.744682779,13.661540785
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,19,21,21,31.37952381,11.51,9.0285714286,8.15
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,165,347,347,67.944121037,16.627665706,12.523602305,8.9050720461
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,30,242,487,2596,9.3711363636,2.4673189522,1.860242681,1.5419067797
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,117,158,158,23.600949367,6.9494303797,5.1631012658,4.4315189873
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,22,136,173,173,33.080751445,13.943468208,10.683410405,10.13849711
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,45,86.668222222,21.740666667,14.746,11.692888889
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,11,33,220,224,407.27776786,111.53316964,84.546830357,66.311607143
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,12,76,79,1062.0898734,286.93341772,220.51822785,163.92012658
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,31,32,32,577.6375,185.18375,145.1878125,109.308125
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,17,109,497,516,46.095329457,14.391937984,10.043527132,9.2522868217
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,23,144,739,765,192.46020915,38.749202614,27.326352941,22.948287582
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,23,162,162,387.7704321,95.144444444,68.70882716,49.361358025
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,6302,0.2504300222,0.0462424627,0.0345017455,0.0345017455
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1380,2.0792246377,0.1354782609,0.086442029,0.086442029
1043203698,EVELOFF,SCOTT,E,MD,M,I,3470 NE RALPH POWELL RD,SUITE B,LEES SUMMIT,MO,640642336,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,53.382352941,33,22.065588235,22.065588235
1043203706,HAN,PATRICK,,MD,M,I,2000 S WHEELING AVE,SUITE 200,TULSA,OK,741045649,US,Physician/Neurosurgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,57.06,46.689090909,36.609090909,38.434545455
1043203748,MAKOS,MIGNON,M,MD,F,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,128.6875,47.6275,34.528333333,28.94
1043203748,MAKOS,MIGNON,M,MD,F,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,267,121.13,94.964285714,73.822857143
1043203748,MAKOS,MIGNON,M,MD,F,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,32,123.3125,44.8859375,35.1903125,27.7984375
1043203748,MAKOS,MIGNON,M,MD,F,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,56.255,22.963571429,15.881428571,13.322857143
1043203748,MAKOS,MIGNON,M,MD,F,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,21,104,8.2384615385,3.1203846154,2.3446153846,1.7355769231
1043203748,MAKOS,MIGNON,M,MD,F,I,1050 W 10TH ST,,ROLLA,MO,65401,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,40,44,340.81022727,48.135454545,34.716136364,23.226363636
1043203771,BROWN,DANIEL,M,M.D.,M,I,402 BLACK HILLS LN SW,SUITE A,OLYMPIA,WA,985028145,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,15,252,8.6579365079,2.49,1.9520634921,1.9520634921
1043203771,BROWN,DANIEL,M,M.D.,M,I,402 BLACK HILLS LN SW,SUITE A,OLYMPIA,WA,985028145,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,29,45,22.062,12.521555556,9.8173333333,10.82
1043203771,BROWN,DANIEL,M,M.D.,M,I,402 BLACK HILLS LN SW,SUITE A,OLYMPIA,WA,985028145,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,45,6321,5.3826056004,2.04,1.5448489163,1.5448489163
1043203771,BROWN,DANIEL,M,M.D.,M,I,402 BLACK HILLS LN SW,SUITE A,OLYMPIA,WA,985028145,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,2208,10.112228261,7.23,5.6683333333,5.6683333333
1043203771,BROWN,DANIEL,M,M.D.,M,I,402 BLACK HILLS LN SW,SUITE A,OLYMPIA,WA,985028145,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,38,82,17.205487805,10.848780488,8.5056097561,8.5065853659
1043203771,BROWN,DANIEL,M,M.D.,M,I,402 BLACK HILLS LN SW,SUITE A,OLYMPIA,WA,985028145,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,16,37,117,12.490683761,7.2388034188,5.6760683761,5.8248717949
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,31,102,260,55.585115385,8.32,5.8659615385,5.8659615385
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,12.7025,3.38,2.65,2.65
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.992727273,2.12,1.67,1.67
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,51,80,21.25675,1.42,1.03125,1.03125
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,135,70.417272727,55.209090909,40.621818182
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,93.805294118,8.5364705882,6.6917647059,4.1941176471
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2609,0.5088769644,0.0459026447,0.030402453,0.030402453
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1360,2.1929338235,0.1319264706,0.0994191176,0.0994191176
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,75,24.284117647,15.368235294,11.217647059
1043203797,MEBANE,ANGELA,B,MD,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FAMILY MEDICINE FIRETOWER OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,53.482758621,33,24.257241379,24.257241379
1043203854,HAFNER,DAVID,H,M.D.,M,I,61 WHITCHER STREET NE,SUITE 2100,MARIETTA,GA,30060,US,Physician/Vascular Surgery,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,12,176,10.653863636,8.41,5.9559659091,5.9559659091
1043203854,HAFNER,DAVID,H,M.D.,M,I,61 WHITCHER STREET NE,SUITE 2100,MARIETTA,GA,30060,US,Physician/Vascular Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,20,32,475,14.772147368,10.93,8.1658105263,8.1658105263
1043203854,HAFNER,DAVID,H,M.D.,M,I,61 WHITCHER STREET NE,SUITE 2100,MARIETTA,GA,30060,US,Physician/Vascular Surgery,S,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,25,59.31,48.69,38.17,38.17
1043203854,HAFNER,DAVID,H,M.D.,M,I,61 WHITCHER STREET NE,SUITE 2100,MARIETTA,GA,30060,US,Physician/Vascular Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,28,29,49,116.77,95.87,71.903061224,71.903061224
1043203854,HAFNER,DAVID,H,M.D.,M,I,61 WHITCHER STREET NE,SUITE 2100,MARIETTA,GA,30060,US,Physician/Vascular Surgery,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,161.31272727,126.46727273,119.00909091
1043203862,KAMIN,MATTHEW,L,DO,M,I,3800 W 203RD ST,SUITE 201,OLYMPIA FIELDS,IL,604611184,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3742.7272727,2641.0609091,2067.2781818,2067.2781818
1043203888,VASUDEVAN,ANJU,,M. D.,F,I,433 SW 10TH ST,,OCALA,FL,344710209,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,1228,39.694641694,5.5596824104,4.1251465798,4.1251465798
1043203888,VASUDEVAN,ANJU,,M. D.,F,I,433 SW 10TH ST,,OCALA,FL,344710209,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,24,24,18.82,18.82
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,60,60,120,108.46666667,71.56,52.77025,52.77025
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,170,44.276705882,29.19,22.701117647,22.702764706
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,126.08,53.890833333,42.251666667,27.554166667
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,123,65.34,43.56,34.151626016,34.15
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,60,68,125.97235294,74.845588235,53.561617647,57.929411765
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,187.07,124.71,96.806666667,94.115833333
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,36,36,435.69444444,266.98,205.32472222,214.10638889
1043203920,MASSA,ERIC,G,DPM,M,I,39 KENT RD,SUITE 9,TIFTON,GA,317941649,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,251,163.79,122.66608696,120.94043478
1043204035,ODUKWU,LYDEN,C,M.D.,M,I,3305 ANDREWS HWY,,MIDLAND,TX,797035130,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,36,102,59.939313725,8.32,5.9332352941,5.9332352941
1043204035,ODUKWU,LYDEN,C,M.D.,M,I,3305 ANDREWS HWY,,MIDLAND,TX,797035130,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.965714286,3.38,2.2714285714,2.2714285714
1043204035,ODUKWU,LYDEN,C,M.D.,M,I,3305 ANDREWS HWY,,MIDLAND,TX,797035130,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,20,16.554,1.42,1.058,1.058
1043204035,ODUKWU,LYDEN,C,M.D.,M,I,3305 ANDREWS HWY,,MIDLAND,TX,797035130,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2500,1074.31,842.26,842.26
1043204084,SHAPIRO,DEBORAH,A,MD,F,I,2 CROSFIELD AVE,STE 318,WEST NYACK,NY,109942226,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,76.59,50.975833333,46.108333333
1043204084,SHAPIRO,DEBORAH,A,MD,F,I,2 CROSFIELD AVE,STE 318,WEST NYACK,NY,109942226,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,551.26857143,31.98,21.8,22.302857143
1043204084,SHAPIRO,DEBORAH,A,MD,F,I,2 CROSFIELD AVE,STE 318,WEST NYACK,NY,109942226,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,43,394.78604651,76.59,59.008604651,55.056976744
1043204084,SHAPIRO,DEBORAH,A,MD,F,I,2 CROSFIELD AVE,STE 318,WEST NYACK,NY,109942226,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,61.96,40,31.36,29.652307692
1043204084,SHAPIRO,DEBORAH,A,MD,F,I,2 CROSFIELD AVE,STE 318,WEST NYACK,NY,109942226,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,174.15555556,40,31.206666667,29.356111111
1043204084,SHAPIRO,DEBORAH,A,MD,F,I,2 CROSFIELD AVE,STE 318,WEST NYACK,NY,109942226,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,55,33,25.87,25.87
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,66.621428571,39.03,26.228571429,26.134285714
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,14,29,29,332.55241379,89.181724138,62.834137931,60.831034483
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,12,34,65,143.57953846,32.76,24.029692308,24.266
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,35,49.528,18.19,13.852571429,14.146
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,121.32823529,55.010588235,39.779411765,39.456470588
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,23,30,30,60.471333333,18.519333333,12.843333333,12.387333333
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,13,26,26,64.204230769,12.726153846,9.2730769231,8.4184615385
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,22,59,221,7.5498190045,2.1070588235,1.6155656109,1.5566063348
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,15,15,21.222,6.25,4.5906666667,4.34
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,32,33,488.44848485,79.890909091,58.709090909,60.641818182
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,,43,43,51.360232558,14.399534884,9.2934883721,8.6888372093
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,44.955,3.95,3.1,3.38
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,15,104,104,150.48288462,33.618461538,22.711826923,21.388942308
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,54,257.5,77.465555556,58.649074074,54.120185185
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,44.745,35.0825,30.111666667
1043204134,ZEIDAN,BOUTROS,,M.D.,M,I,315 LOCUST ST,SUITE 5B,JOHNSTOWN,PA,159011651,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,71.714285714,40.785714286,31.979142857,29.722857143
1043204258,HUNSIKER,CELESTA,M,M.D.,F,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,48,76,48.569078947,8.32,5.1481578947,5.1481578947
1043204258,HUNSIKER,CELESTA,M,M.D.,F,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,14.874375,3.38,1.65625,1.65625
1043204258,HUNSIKER,CELESTA,M,M.D.,F,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,25,26,12.072307692,1.42,0.7323076923,0.7323076923
1043204258,HUNSIKER,CELESTA,M,M.D.,F,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,413.6295,67.72,43.269,44.8595
1043204258,HUNSIKER,CELESTA,M,M.D.,F,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2638,0.1896322972,0.0462661107,0.0362699014,0.0362699014
1043204258,HUNSIKER,CELESTA,M,M.D.,F,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,1.1466363636,0.1338181818,0.0883787879,0.0883787879
1043204266,YOUNGS,ELIZABETH,J,NP,F,I,575 INGLES DR,,INMAN,SC,293498314,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,36,33.803611111,8.32,6.5219444444,6.5219444444
1043204381,RANSBOTTOM,THOMAS,C,MD,M,I,6670 PERIMETER DR,SUITE 200,DUBLIN,OH,430168056,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,272,25.3425,13.125882353,10.171066176,10.171066176
1043204381,RANSBOTTOM,THOMAS,C,MD,M,I,6670 PERIMETER DR,SUITE 200,DUBLIN,OH,430168056,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,238,635.61,268.35411765,210.38844538,210.38844538
1043204381,RANSBOTTOM,THOMAS,C,MD,M,I,6670 PERIMETER DR,SUITE 200,DUBLIN,OH,430168056,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,238,40,9.3470588235,7.3276890756,7.3276890756
1043204381,RANSBOTTOM,THOMAS,C,MD,M,I,6670 PERIMETER DR,SUITE 200,DUBLIN,OH,430168056,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,238,175,29.210588235,22.901176471,22.901176471
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,34,75,81.6148,8.32,4.8689333333,4.8689333333
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,86.195,42.045,32.9625,36.46
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,18,86.31,17.5,13.72,13.57
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,16,63,73,50.73,3.9616438356,2.7942465753,3.284109589
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,24,519.51,78.21375,58.767083333,54.617083333
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,1716.46,578.875,453.835,445.97785714
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1320,12.799287879,2.9929545455,2.2377878788,2.2377878788
1043204407,SINGLA,RAJU,,M.D.,F,I,289 PLEASANT ST,,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,23,23,54.52173913,33,23.620434783,23.620434783
1043204423,MODI,SEEMA,C,MD,F,I,4323 N JOSEY LANE,"PLAZA 1, SUITE 204",CARROLLTON,TX,750104619,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,56,160,58.924875,8.32,6.02925,6.02925
1043204423,MODI,SEEMA,C,MD,F,I,4323 N JOSEY LANE,"PLAZA 1, SUITE 204",CARROLLTON,TX,750104619,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,22,11.290454545,1.42,1.0636363636,1.0636363636
1043204423,MODI,SEEMA,C,MD,F,I,4323 N JOSEY LANE,"PLAZA 1, SUITE 204",CARROLLTON,TX,750104619,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,25.265454545,12.512727273,9.8136363636,9.33
1043204423,MODI,SEEMA,C,MD,F,I,4323 N JOSEY LANE,"PLAZA 1, SUITE 204",CARROLLTON,TX,750104619,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,79,5.0789873418,2.2146835443,1.7372151899,1.6360759494
1043204423,MODI,SEEMA,C,MD,F,I,4323 N JOSEY LANE,"PLAZA 1, SUITE 204",CARROLLTON,TX,750104619,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,147.92,35,26.071111111,25.166111111
1043204423,MODI,SEEMA,C,MD,F,I,4323 N JOSEY LANE,"PLAZA 1, SUITE 204",CARROLLTON,TX,750104619,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,48.92,19,11.518333333,10.76
1043204423,MODI,SEEMA,C,MD,F,I,4323 N JOSEY LANE,"PLAZA 1, SUITE 204",CARROLLTON,TX,750104619,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,18.994166667,8.475,4.7175,4.6308333333
1043204548,SUBLETT,JAMES,L,M.D.,M,I,9800 SHELBYVILLE RD,SUITE #220,LOUISVILLE,KY,402232992,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,19.099833333,9.6199090909,7.3246212121,7.3246212121
1043204548,SUBLETT,JAMES,L,M.D.,M,I,9800 SHELBYVILLE RD,SUITE #220,LOUISVILLE,KY,402232992,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,12.86,3.003,2.1551111111,2.1551111111
1043204548,SUBLETT,JAMES,L,M.D.,M,I,9800 SHELBYVILLE RD,SUITE #220,LOUISVILLE,KY,402232992,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,82.5,33,25.87,25.87
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,1.8685714286,0.51,0.3714285714,0.3714285714
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,92,309,780,63.508987179,8.32,5.928525641,5.928525641
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,22,54,54,15.185925926,3.38,2.5027777778,2.5027777778
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,20,25,25,23.7072,2.12,1.6032,1.6032
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,62,161,250,16.05308,1.42,1.00796,1.00796
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1626,0.12,0.12,0.0940897909,0.0940897909
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1424,0.44,0.44,0.3449789326,0.3449789326
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,99.818181818,71.56,51.005454545,51.003636364
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,33,1050,8.28,8.28,6.2677714286,6.2677714286
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,23,2880,0.45,0.45,0.3528298611,0.3528298611
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,44.526111111,10.43,8.17,9.07
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,31,905,9.8783425414,2.9916574586,2.3037458564,2.324519337
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5775,0.896,0.37,0.2900761905,0.2900761905
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,7707,0.4655897236,0.3,0.2028519528,0.2103503309
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,103.57142857,46.524285714,34.536428571,34.487142857
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,30,15.78,12.370833333,12.084166667
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,12,64,64,175,47.60015625,34.63796875,35.66203125
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,17,104,104,37.762403846,4.2503846154,3.1889423077,3.6416346154
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,39.393636364,36.517272727,25.887272727,54.415454545
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,498.36857143,65.7,33.020357143,36.501071429
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,5159,0.4547916263,0.0461000194,0.0288718744,0.0288718744
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,22,1708,1.6523770492,0.1275819672,0.0968384075,0.0968384075
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,96,96,65,19.225625,13.483020833,12.521979167
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,25.54,9.0208695652,6.5160869565,6.2752173913
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,28,421.42857143,148.155,115.18714286,115.17964286
1043204605,DELAPENA,NICOLAS,R,M.D.,M,I,3389 G ST,SUITE A,MERCED,CA,953400964,US,Physician/Infectious Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,15,51,51,52.411764706,33,21.811960784,21.811960784
1043204704,PUGH,KEVIN,J,MD,M,I,1005 E CHEVES ST,,FLORENCE,SC,295062707,US,Physician/Orthopedic Surgery,S,L8417,"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,18,86.81,73.14,57.34,57.013888889
1043204753,REDDY,VINAY,K,M.D.,M,I,4967 CROOKS RD,SUITE 130,TROY,MI,480985801,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,16,5.872,4.604,3.8893333333
1043204779,MARKELL,MARIANA,S,M.D.,F,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,660,4.7937727273,2.6081818182,2.0448181818,2.0448181818
1043204779,MARKELL,MARIANA,S,M.D.,F,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,43,3420,5.6647602339,0.5596315789,0.3873187135,0.3873157895
1043204779,MARKELL,MARIANA,S,M.D.,F,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1650,0.0805393939,0.013,0.0092,0.0092
1043204779,MARKELL,MARIANA,S,M.D.,F,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,1140,1.4892017544,0.739,0.5794035088,0.5794035088
1043204779,MARKELL,MARIANA,S,M.D.,F,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,67,67,24,24,17.977313433,17.977313433
1043204779,MARKELL,MARIANA,S,M.D.,F,I,450 CLARKSON AVE,SUITE A,BROOKLYN,NY,112032056,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,16,16,12.075555556,12.075555556
1043204951,CRUZ,STEPHEN,T,MD,M,I,101 MAIN ST,,NEENAH,WI,549562570,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,34,20.88,7.46,5.8470588235,5.8470588235
1043204951,CRUZ,STEPHEN,T,MD,M,I,101 MAIN ST,,NEENAH,WI,549562570,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.31,3.8973655914,3.8973655914
1043204951,CRUZ,STEPHEN,T,MD,M,I,101 MAIN ST,,NEENAH,WI,549562570,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4920,3.7123902439,0.37,0.2900731707,0.2900731707
1043204951,CRUZ,STEPHEN,T,MD,M,I,101 MAIN ST,,NEENAH,WI,549562570,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,170,33.4,23.499166667,22.7875
1043204985,KRELL,TODD,P,MD,M,I,541 E BROAD ST,,WESTFIELD,NJ,070902107,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,26,26,20.38,46.35
1043204985,KRELL,TODD,P,MD,M,I,541 E BROAD ST,,WESTFIELD,NJ,070902107,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,51,51,39.980909091,67.29
1043204985,KRELL,TODD,P,MD,M,I,541 E BROAD ST,,WESTFIELD,NJ,070902107,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,102.76923077,102.76923077,61.755384615,103.13923077
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,46,90,75.973777778,8.2997777778,5.3471111111,5.3471111111
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,29,18.743103448,1.42,0.9248275862,0.9248275862
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,258.18181818,115.30181818,83.546363636,61.677272727
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,48.384615385,21.136153846,15.437692308,13.09
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,102,7.2058823529,2.7976470588,1.9838235294,1.4397058824
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,36.333333333,18,13.639666667,13.107666667
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,25.918928571,7.8010714286,5.6342857143,4.0442857143
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,129.09090909,35.573636364,24.839545455,23.635
1043205008,KOWAL,THOMAS,A,M.D.,M,I,228 W MAIN ST STE B,,LEBANON,TN,370872681,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,200.97714286,86.84,66.134857143,53.547714286
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,3,11,69,69,32.402608696,10.135507246,7.4862318841,7.4691304348
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,228.52777778,52.812222222,41.405555556,38.094444444
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,160.04631579,48.869473684,38.309473684,36.374210526
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,17,17,27,24.262592593,12.748148148,8.4874074074,8.5277777778
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,46,3.98,1.2826086957,1.0032608696,0.9989130435
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,37.16,11.912941176,9.3411764706,9.1352941176
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,20,20,40,70.014,29.4325,21.935,21.50925
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,75,150,9.5,2.8926666667,2.2119333333,2.1994
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,19,19,38,167.30526316,53.93,40.164473684,37.904210526
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,72,21.9,5.5455555556,4.2258333333,3.9172222222
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,6,21,21,21,67.08952381,24.264285714,19.025714286,18.281904762
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,81,81,8.54,2.4255555556,1.854691358,1.780617284
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,4,15,96,101,28.205049505,13.856534653,10.567623762,10.863663366
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,27,40.437777778,10.298888889,8.0755555556,8.1148148148
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,424.22,223.22529412,175.00352941,175.00352941
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E2209,"Accessory, arm trough, with or without hand support, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,21.48,8.1,6.35,6.2085714286
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,6,25,25,25,135.81,37.2876,29.23,29.3328
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,5,22,22,22,459.77818182,154.57590909,112.83318182,106.35181818
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,41,41,67.1,15.86,12.44,11.552195122
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,32,32,78.9228125,19.2440625,13.6953125,13.0959375
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,90.82,40.788181818,31.974545455,25.328181818
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,135.26518519,32.691111111,23.632962963,21.202592593
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,3,23,140,140,210.67428571,43.200714286,33.194857143,26.911285714
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,161.837,47.281,37.069,37.087
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,40,20.38,7.798,6.1185,6.25225
1043205057,REGER,CHRISTOPHER,,MD,M,I,355 E ERIE ST,,CHICAGO,IL,606113167,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,47,47,33.454468085,8.9180851064,6.7378723404,6.5376595745
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,14,26,26,125.03884615,39.585384615,29.889230769,29.330769231
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,,14,14,362.01214286,89.758571429,57.121428571,54.332857143
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,,16,75,61.0024,18.223466667,12.776133333,13.125733333
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,11,23,23,226.0426087,54.497826087,40.949130435,41.081304348
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,19,22,22,69.691363636,18.517272727,13.368636364,12.918181818
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,70.088666667,11.157333333,6.6446666667,6.9453333333
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,22,44,211,10.14436019,2.0604739336,1.4914218009,1.4699526066
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,12,13,13,54.999230769,13.096153846,8.8353846154,8.8876923077
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,46.51,17.352380952,12.981428571,12.951428571
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,17,17,55.705882353,14.486470588,9.6623529412,8.5747058824
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,16,73,73,186.98561644,35.347260274,22.822465753,21.36
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,47,49,367.98081633,77.096734694,54.461020408,49.394693878
1043205107,FU,YIPING,,M.D.,M,I,2361 PAYSPHERE CIR,,CHICAGO,IL,60674,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,250,36.470769231,28.596923077,29.469230769
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,55,8115,0.2836414048,0.13,0.0883475046,0.0883475046
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,420,3.2728571429,2.27,1.652547619,1.652547619
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,26,184,28785,5.398900469,2.0387806149,1.5488334202,1.5497898211
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,79,11135,10.216771441,7.2268477773,5.604532555,5.6070040413
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,43,112,18.179464286,10.93,7.9005357143,7.9005357143
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,450,8.3077777778,3.32,2.3748666667,2.8043555556
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,132,4.6718181818,1.7454545455,1.3678030303,1.410530303
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,460,9.3939130435,7.33,5.746673913,5.746673913
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,540,24.979703704,9.58,7.3020740741,7.3020740741
1043205164,BYARD,MARK,A,MD,M,I,4300 W MAIN ST,SUITE 102,DOTHAN,AL,363051054,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,1210,0.9426033058,0.27,0.2005454545,0.2005454545
1043205305,ULSETH,ROBERT,,MD,M,I,305 S LINE AVE,,INVERNESS,FL,344524605,US,Physician/Pain Management,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,1648.63,153.01909091,119.96818182,121.13
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,87,87,33.837931034,19.71,14.844827586,14.844827586
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,87,103,63.084466019,37.38,26.708834951,26.708834951
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,0.92,0.1351818182,0.1060151515,0.1060151515
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,31,2600,78.24,4.7915115385,3.7565346154,3.7565269231
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,88,852,4.3461267606,1.6417488263,1.2045774648,1.2045774648
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,28.80952381,24,18.82,18.82
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,34.166666667,16,12.54,12.54
1043205313,SCHER,RICHARD,M,D.O.,M,I,180 WHITE RD,SUITE 101,LITTLE SILVER,NJ,077391166,US,Physician/Hematology-Oncology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,93.5,33,20.243888889,20.243888889
1043205362,ARAB,HENGAMEH,,P.A.,F,I,8078 HIGHWAY 100,,NASHVILLE,TN,372214212,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,35,84,76.289166667,8.32,4.1347619048,4.1347619048
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,65,168,73.900654762,8.32,6.0945238095,6.0945238095
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,34,47,17.162553191,1.42,1.0693617021,1.0693617021
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,13.965,3.9718181818,3.1137575758,3.2456666667
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,28,28,161.94357143,48.332142857,35.433571429,36.495
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.08,11.55,12.5
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,262.08333333,77.18,55.4675,50.16
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,4450,0.245105618,0.0453033708,0.0290067416,0.0290022472
1043205370,TESTA,MARK,A,DO,M,I,2601 S 12TH ST,,PHILADELPHIA,PA,191484303,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,25,25,33,33,22.7656,22.7656
1043205545,LIVECCHI,MARK,A,MD,M,I,2655 RIDGEWAY AVE,SUITE 420,ROCHESTER,NY,146264285,US,Physician/Physical Medicine and Rehabilitation,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1650,4.9522545455,0.5508545455,0.4318727273,0.4318727273
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,342,677,677,91.894076809,39.108744461,29.791418021,29.633042836
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,50,99,207,8.0321256039,1.4522222222,1.0490821256,1.0613043478
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,27,34,34,72.330588235,13.924117647,10.226176471,8.7114705882
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,13,16,21,2.22,0.559047619,0.3761904762,0.3642857143
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7027,"Combination oral/nasal mask, used with continuous positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,297.36375,120.7,94.63,93.615
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7028,"Oral cushion for combination oral/nasal mask, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,97,104.57505155,34.015979381,26.31814433,25.406494845
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7029,"Nasal pillows for combination oral/nasal mask, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,17,97,43.11556701,15.070515464,11.815051546,11.806597938
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,223,526,526,216.52806084,90.422737643,67.301634981,64.714296578
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,211,502,1198,80.982178631,35.008005008,26.10933222,24.829190317
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,290,666,3380,53.313109467,19.571263314,14.601721893,13.908180473
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,17,154,339,1777,44.195430501,15.670939786,11.601024198,11.260624648
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,22,432,960,961,144.7351821,56.500634755,42.065764828,40.793725286
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,617,861,861,49.58253194,16.973728223,12.894866434,13.566445993
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,75,90,90,26.209111111,9.9982222222,7.6667777778,7.9548888889
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,348,847,850,52.524141176,12.1384,9.1611411765,8.7931294118
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,649,1567,8619,8.3423715048,2.0138438334,1.536637661,1.5473999304
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,397,542,542,20.377066421,6.247601476,4.8054243542,4.592896679
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,339,434,434,27.080299539,12.546981567,9.6198156682,10.078548387
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,43,259,267,49.81670412,16.445580524,12.506516854,12.932734082
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,32,34,139.54088235,53.247941176,41.745882353,37.722352941
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,52,253,254,308.19791339,90.495748031,65.827559055,63.097086614
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,34,205,207,836.5936715,221.41806763,169.87811594,159.56913043
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,144,145,145,354.11503448,143.87896552,110.46358621,104.22744828
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,16,88,94,58.310638298,14.575957447,10.995319149,10.068723404
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,48,329,335,44.335462687,6.1155223881,4.5175223881,3.5997313433
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,249,1361,1385,143.19598556,36.653451264,27.067537906,24.652252708
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,202,1486,1520,256.69561842,79.251960526,58.865526316,53.834690789
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,48,339,345,153.81573913,35.126550725,26.07942029,27.539246377
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,8,26,26,26,135.92307692,57,44.69,44.69
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,69,4020,15.928445274,9.6345223881,7.4009228856,7.4009228856
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,54,3060,15.371,11.261254902,8.7819803922,8.7819803922
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,36,123,26926,0.2448102206,0.0458259675,0.0332195647,0.0332195647
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,39,159,15196,1.277471045,0.1345176362,0.1017267702,0.1017267702
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,25,152,8790,11.799951081,3.0026894198,2.3273560865,2.3273549488
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,J7631,"Cromolyn sodium, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 10 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2760,10.176557971,7.1929130435,5.6392463768,5.6392463768
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,1571,3.3714513049,0.218905156,0.151795035,0.151795035
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,75,75,161.5264,35.487866667,27.0612,28.033466667
1043205552,CIRELLI,ROSEMARY,A,MD,F,I,1876 NIGHTINGALE LN,,TAVARES,FL,327784359,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,79,381,381,97.285433071,33,24.749816273,24.749816273
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,42,96,72.396145833,8.32,6.3851041667,6.3851041667
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,16,15.63375,1.42,1.11875,1.11875
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,73.882,18.147,14.227333333,14.505
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,276.3675,51.5575,40.4225,42.605
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,63.153333333,17.776666667,13.933333333,14.06
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,70.11125,11.7025,9.17375,9.1125
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,86,12.837906977,2.0223255814,1.5860465116,1.5906976744
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,325.69,36.094411765,27.662647059,27.43
1043205594,MANJAL,SUKHBIR,,MD,M,I,1570 E HERNDON AVE,,FRESNO,CA,937203303,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,437.346875,67.35625,52.806875,54.73
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,50,97,48.718969072,8.32,5.7932989691,5.7932989691
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,71.703529412,47.989411765,33.654705882,28.301764706
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,69.77,46.537272727,33.879090909,24.930909091
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,40,23.644166667,18.534166667,14.7
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,22,44,5.4622727273,2.8659090909,1.9570454545,1.385
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,7.37,5.7780645161,4.1632258065
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,232.35,55.433157895,37.054210526,31.771052632
1043205651,SHRECK,GARRICK,L,DO,M,I,610 S WALNUT ST,,STILLWATER,OK,740744222,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,256.6,122.1675,93.505,67.7425
1043205685,CHELI,DAVID,,MD,M,I,2640 HIGHWAY 70,BLDG #10,MANASQUAN,NJ,087362609,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,30,62,75.522096774,8.32,5.8062903226,5.8062903226
1043205685,CHELI,DAVID,,MD,M,I,2640 HIGHWAY 70,BLDG #10,MANASQUAN,NJ,087362609,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,20,20,16.634,1.42,0.952,0.952
1043205719,LAZENBY,JOHN,P,MD,M,I,3320 OLD JEFFERSON RD,STE 200A,ATHENS,GA,306071400,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,13,72,59.204722222,15.31,10.279722222,10.17
1043205719,LAZENBY,JOHN,P,MD,M,I,3320 OLD JEFFERSON RD,STE 200A,ATHENS,GA,306071400,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,,19,19,256.26,58.066315789,43.278947368,40.614210526
1043205719,LAZENBY,JOHN,P,MD,M,I,3320 OLD JEFFERSON RD,STE 200A,ATHENS,GA,306071400,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,77.432666667,18.842666667,14.767333333,14.06
1043205719,LAZENBY,JOHN,P,MD,M,I,3320 OLD JEFFERSON RD,STE 200A,ATHENS,GA,306071400,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,20,20,85.2895,12.9765,9.269,8.218
1043205719,LAZENBY,JOHN,P,MD,M,I,3320 OLD JEFFERSON RD,STE 200A,ATHENS,GA,306071400,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,24,135,12.126222222,2.1613333333,1.6951851852,1.5931851852
1043205719,LAZENBY,JOHN,P,MD,M,I,3320 OLD JEFFERSON RD,STE 200A,ATHENS,GA,306071400,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,130,34.32,26.907692308,26.543076923
1043205743,KOHUT,WALTER,D,M.D.,M,I,1511 WESTOVER TER,SUITE 201,GREENSBORO,NC,274087128,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,22,68,188,63.553297872,8.32,5.7528191489,5.7528191489
1043205743,KOHUT,WALTER,D,M.D.,M,I,1511 WESTOVER TER,SUITE 201,GREENSBORO,NC,274087128,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,,26,35,11.176285714,1.42,0.9245714286,0.9245714286
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,38,118,330,67.901939394,8.32,5.8034242424,5.8034242424
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,33,56,11.791964286,1.42,0.9553571429,0.9553571429
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,A4397,"Irrigation supply; sleeve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,6.425,5.39,3.8752083333,3.8752083333
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,1320,2.4332272727,1.95,1.4017045455,1.4017045455
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,5.5916666667,1.8666666667,1.3575,1.0541666667
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,215.35272727,74.967272727,54.489090909,41.291818182
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,67.082307692,19.046153846,13.380769231,8.6069230769
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,40,65.39175,21.93175,16.308,12.98925
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,22.568181818,7.9072727273,6.0354545455,3.7027272727
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,86,87,383.47551724,100.23816092,75.458390805,54.626206897
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,196.28863636,45.002727273,33.790909091,29.475
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2880,1.4277361111,0.7405,0.5314861111,0.5314861111
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,2430,3.2636213992,1.261962963,0.9378683128,0.9378683128
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,53,5788,1.1300017277,0.1330425017,0.0948911541,0.0948911541
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,246.4,62.116363636,45.48,26.302727273
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,150.26176471,43.339411765,27.984117647,24.107647059
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,24,24,17.034090909,17.034090909
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,20,16,16,12.5405,12.5405
1043205750,WUELLNER,DAVID,H,MD,M,I,1712 S LAFAYETTE AVE,,SEDALIA,MO,653017542,US,Physician/Nephrology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,53,53,77.830188679,33,23.283773585,23.283773585
1043205784,SHOWAH,HENRY,F,M.D.,M,I,4002 VISTA WAY,,OCEANSIDE,CA,920564506,US,Physician/Emergency Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1028,0.1365272374,0.12,0.0940564202,0.0940564202
1043205784,SHOWAH,HENRY,F,M.D.,M,I,4002 VISTA WAY,,OCEANSIDE,CA,920564506,US,Physician/Emergency Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,20,1293,0.5857308585,0.44,0.344996133,0.344996133
1043205784,SHOWAH,HENRY,F,M.D.,M,I,4002 VISTA WAY,,OCEANSIDE,CA,920564506,US,Physician/Emergency Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,29,2611,0.1681424741,0.13,0.1011106856,0.1011106856
1043205867,LEVINE,FREDERIC,J,M.D.,M,I,6803 MAYFIELD RD,SUITE 418,MAYFIELD HTS,OH,441242271,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,25,4188,0.3506733524,0.13,0.0960792741,0.0960792741
1043205867,LEVINE,FREDERIC,J,M.D.,M,I,6803 MAYFIELD RD,SUITE 418,MAYFIELD HTS,OH,441242271,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,58,8773,3.7484212926,1.9208206999,1.4977670124,1.5812082526
1043205867,LEVINE,FREDERIC,J,M.D.,M,I,6803 MAYFIELD RD,SUITE 418,MAYFIELD HTS,OH,441242271,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,1950,10.094461538,6.15,4.6957128205,5.5033538462
1043205867,LEVINE,FREDERIC,J,M.D.,M,I,6803 MAYFIELD RD,SUITE 418,MAYFIELD HTS,OH,441242271,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,1.78,1.78,1.3975,1.4054545455
1043205909,SLAVOV,CARMEN,S,MD,F,I,14901 RINALDI ST,STE 200,MISSION HILLS,CA,913451204,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,124.10916667,49.685,38.183333333,36.559166667
1043205909,SLAVOV,CARMEN,S,MD,F,I,14901 RINALDI ST,STE 200,MISSION HILLS,CA,913451204,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,870,3.3446896552,0.5693793103,0.3987816092,0.3987816092
1043205909,SLAVOV,CARMEN,S,MD,F,I,14901 RINALDI ST,STE 200,MISSION HILLS,CA,913451204,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,1530,0.2188823529,0.0136078431,0.0095882353,0.0095882353
1043205909,SLAVOV,CARMEN,S,MD,F,I,14901 RINALDI ST,STE 200,MISSION HILLS,CA,913451204,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,2910,2.5598213058,1.2610103093,0.9375360825,0.9375360825
1043205909,SLAVOV,CARMEN,S,MD,F,I,14901 RINALDI ST,STE 200,MISSION HILLS,CA,913451204,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,24,24,17.774444444,17.774444444
1043205909,SLAVOV,CARMEN,S,MD,F,I,14901 RINALDI ST,STE 200,MISSION HILLS,CA,913451204,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,36,16,16,12.193888889,12.193888889
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,25,84,151,66.174834437,8.32,6.1776821192,6.1776821192
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,29,40,13.57275,1.42,1.0325,1.0325
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,36,151,306,8.1583006536,2.0420261438,1.509869281,1.1116993464
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,36,51,51,82.618823529,17.009411765,13.141176471,9.0439215686
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,104.07,20.039090909,15.704545455,9.12
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,71,13.92,3.0205633803,2.2187323944,1.4585915493
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,26,26,291.93846154,66.841923077,48.369615385,33.782307692
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,20,159,166,86.31,22.341024096,16.60686747,12.860180723
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,170.48571429,59.707142857,46.81,42.478571429
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,4430.1,1074.31,831.18,831.18
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,16,118,122,49.469836066,7.5263114754,5.6409836066,3.422295082
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,519.51,70.74,30.250909091,30.250909091
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,54,439,456,517.9897807,101.00190789,75.30002193,53.49004386
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,44.745,35.0825,30.111666667
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,74,4260,15.58,9.6212957746,7.4232253521,7.4232253521
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,61,3540,13.98669209,11.248686441,8.6237542373,8.6237542373
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,16,134,16590,0.1730241109,0.0464352019,0.0350536468,0.0350536468
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,27,188,18600,0.9525569892,0.1345693548,0.1000989247,0.1000989247
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,103.26315789,22.368421053,14.663157895,10.677368421
1043205958,JOHNSON,DONALD,J,PA,M,I,732 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411139,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,44,366,366,130.64754098,33,24.861147541,24.861147541
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,23,85,158,71.595632911,8.32,5.0367721519,5.0367721519
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.988181818,1.42,0.9163636364,0.9163636364
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,29,54.174137931,28.46,17.216896552,17.216896552
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,53.9,34.658947368,24.352631579,25.233684211
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,27.63,12.651578947,8.8215789474,9.2321052632
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,30.57,10.27,6.2,6.71
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,61.928571429,38.615714286,29.298571429,29.542142857
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,191.34769231,61.04,44.512307692,39.606923077
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,50.222666667,18.882,13.861333333,13.166666667
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,19,77,7.4748051948,2.2954545455,1.7996103896,1.5885714286
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,32.541818182,13.628181818,10.684545455,10.323636364
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,349,9,4.14,3.245730659,3.245730659
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7472,0.7041996788,0.3095436296,0.2426873662,0.2430473769
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,46.451612903,13.311290323,10.105806452,10.142258065
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,140,31.609230769,23.988717949,24.175897436
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,306.66666667,70.406666667,47.554,47.451333333
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1950,1.5415282051,0.1313538462,0.096,0.096
1043206089,HOLCOMB,SHEILA,R,M.D.,F,I,714 LINCOLN ST NE,,LE MARS,IA,510313314,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,23.933333333,23.933333333
1043206105,PATRICK,DARREN,M,OD,M,I,115 S 5TH ST,,BARDSTOWN,KY,400041108,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,64.583333333,63.405,49.708333333,52.864166667
1043206105,PATRICK,DARREN,M,OD,M,I,115 S 5TH ST,,BARDSTOWN,KY,400041108,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,20,17.78,13.94,13.976666667
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,96,165,165,71.387151515,37.438060606,28.460424242,29.544909091
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,77,130,130,179.47523077,89.943846154,68.002153846,65.584615385
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,71,140,340,79.770029412,34.641264706,26.4635,25.327088235
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,32,64,342,39.897631579,19.42,13.734883041,13.139064327
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,20,36,170,27.050117647,16,11.289117647,10.727352941
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,56,93,93,115.03677419,57.02,40.867741935,39.191397849
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,121,152,152,34.770723684,17.319934211,13.148486842,13.606381579
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,16.489230769,10.4,6.8961538462,6.8961538462
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,29,70,70,30.078142857,12.578571429,9.4415714286,8.7621428571
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,121,228,1297,4.8818272938,2.2239321511,1.6882420971,1.5485736315
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,29,29,12.076206897,6.12,4.8,4.6648275862
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,42,48,48,22.299583333,13.02875,10.2125,10.324375
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,25,25,42.2604,17.63,13.2672,13.0352
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,53,53,254.04754717,87.847924528,68.47,63.420188679
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,545.84,232.63785714,172.81214286,154.05321429
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,45,45,45,307.86355556,142,106.138,100.09777778
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,6.718,5.266,3.9126666667
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,60,342,342,111.98842105,35.092105263,26.499122807,25.286169591
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,23,129,130,276.11484615,76.48,59.365846154,54.448384615
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,58,88.103448276,36.5,28.126551724,28.989827586
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1506,16.80185923,9.6412815405,7.5008499336,7.5008499336
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1575,0.230952381,0.0463428571,0.0363047619,0.0363047619
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,1967,1.6517742755,0.1360549059,0.1066700559,0.1066700559
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,1815,10.193184573,3.0050743802,2.356,2.356
1043206188,SIMINSKI,JAMES,T,M.D.,M,I,1604 HOSPITAL PKWY,STE 403,BEDFORD,TX,760226932,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,39,39,69.384615385,33,25.87,25.87
1043206204,ZACHRICH,RICHARD,L,MD,M,I,821 E CHAPEL ST,SUITE 203,SANTA MARIA,CA,934544617,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,39,126,60.216111111,8.32,6.2041269841,6.2041269841
1043206204,ZACHRICH,RICHARD,L,MD,M,I,821 E CHAPEL ST,SUITE 203,SANTA MARIA,CA,934544617,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,20,14.023,1.42,1.116,1.116
1043206204,ZACHRICH,RICHARD,L,MD,M,I,821 E CHAPEL ST,SUITE 203,SANTA MARIA,CA,934544617,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,17.09,7.7578947368,7.9089473684
1043206204,ZACHRICH,RICHARD,L,MD,M,I,821 E CHAPEL ST,SUITE 203,SANTA MARIA,CA,934544617,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,20,54.91,4.168,3.267,3.716
1043206204,ZACHRICH,RICHARD,L,MD,M,I,821 E CHAPEL ST,SUITE 203,SANTA MARIA,CA,934544617,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,42,507.26904762,65.7,46.962380952,49.933809524
1043206204,ZACHRICH,RICHARD,L,MD,M,I,821 E CHAPEL ST,SUITE 203,SANTA MARIA,CA,934544617,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,330,12.079333333,3.0705454545,2.1816363636,2.1816363636
1043206204,ZACHRICH,RICHARD,L,MD,M,I,821 E CHAPEL ST,SUITE 203,SANTA MARIA,CA,934544617,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,105,33,23.518181818,23.518181818
1043206295,KOLLMAN,ROBIN,D,M.D.,M,I,340 OXFORD ST STE 220,,DOVER,OH,44622,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,29,72.215862069,8.32,6.5217241379,6.5217241379
1043206295,KOLLMAN,ROBIN,D,M.D.,M,I,340 OXFORD ST STE 220,,DOVER,OH,44622,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,192.58,44.694545455,24.734545455,24.32
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,31,71,58.088309859,8.32,6.338028169,6.338028169
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,19,15.55,1.42,1.1168421053,1.1168421053
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,106.17166667,41.325,32.396666667,30.49
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,24,76.46,71.56,56.105,56.105
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,66,32.321060606,29.19,22.885,22.886515152
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,34,60.375294118,22.198235294,16.574705882,13.729411765
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,184.09894737,55.594736842,39.307368421,38.636842105
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,58.41,18.726923077,12.508461538,11.896923077
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,70,7.7791428571,1.9,1.4352857143,1.5378571429
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,34.06,13.09,10.26,10.46952381
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,24.016666667,5.15,3.6088888889,3.2155555556
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,40,186.1075,30.826,23.6015,24.35575
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,120,46.160714286,33.84,34.993571429
1043206410,HURLEY,DONALD,P,D.O.,M,I,2270 ASHLEY CROSSING DR STE 150,,CHARLESTON,SC,294145702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,74,74,313.71972973,74,56.451891892,54.14
1043206436,THURMAN,SCOTT,A,MD,M,I,5801 OAKBEND TRL STE 180,,FORT WORTH,TX,76132,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.39,0.13,0.0934236111,0.0934236111
1043206436,THURMAN,SCOTT,A,MD,M,I,5801 OAKBEND TRL STE 180,,FORT WORTH,TX,76132,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,2520,3.7414285714,2.04,1.547265873,1.547265873
1043206451,SANDLER,MANFRED,A,MD,M,I,755 WALTHER RD,,LAWRENCEVILLE,GA,300468725,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,34,169.02117647,84.639705882,64.600882353,54.077941176
1043206451,SANDLER,MANFRED,A,MD,M,I,755 WALTHER RD,,LAWRENCEVILLE,GA,300468725,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,179.16666667,41.913333333,31.036111111,27.692777778
1043206477,LIPSITT,MICHAEL,A,MD,M,I,766 WALTHER RD,SUITE 100,LAWRENCEVILLE,GA,300468764,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,165,19.71,15.45,15.45
1043206477,LIPSITT,MICHAEL,A,MD,M,I,766 WALTHER RD,SUITE 100,LAWRENCEVILLE,GA,300468764,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,250,37.38,29.305,29.305
1043206477,LIPSITT,MICHAEL,A,MD,M,I,766 WALTHER RD,SUITE 100,LAWRENCEVILLE,GA,300468764,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,40,20.735,14.673888889,12.029444444
1043206477,LIPSITT,MICHAEL,A,MD,M,I,766 WALTHER RD,SUITE 100,LAWRENCEVILLE,GA,300468764,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45.81,35.92,37.4875
1043206477,LIPSITT,MICHAEL,A,MD,M,I,766 WALTHER RD,SUITE 100,LAWRENCEVILLE,GA,300468764,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,206.66666667,93.598888889,65.933333333,48.061111111
1043206477,LIPSITT,MICHAEL,A,MD,M,I,766 WALTHER RD,SUITE 100,LAWRENCEVILLE,GA,300468764,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,544,69.965533088,1.5108823529,1.1845220588,1.1845220588
1043206733,MCMULLEN,DEIRDRE,,M.D.,F,I,3281 ROCKY CREEK DR,SUITE 500,MISSOURI CITY,TX,774594750,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,33,103,66.647281553,8.32,5.8541747573,5.8541747573
1043206733,MCMULLEN,DEIRDRE,,M.D.,F,I,3281 ROCKY CREEK DR,SUITE 500,MISSOURI CITY,TX,774594750,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,17,12.678235294,1.42,1.0529411765,1.0529411765
1043206758,MALMSTROM,KENNETH,C,MD,M,I,1101 MEDICAL CENTER BLVD,,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.39,45.332727273,35.544545455,36.231818182
1043206758,MALMSTROM,KENNETH,C,MD,M,I,1101 MEDICAL CENTER BLVD,,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.443333333,17,12.219166667,12.433333333
1043206758,MALMSTROM,KENNETH,C,MD,M,I,1101 MEDICAL CENTER BLVD,,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,29.3,3.2183333333,2.3933333333,3.4116666667
1043206758,MALMSTROM,KENNETH,C,MD,M,I,1101 MEDICAL CENTER BLVD,,MARRERO,LA,700723147,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,552.41571429,71,51.684285714,50.820714286
1043206774,BABINEAU,HUGH,P,MD,M,I,1100 E LAKE ST,STE 230,TYLER,TX,757013343,US,Physician/General Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,38,1375.9231579,1184.0621053,927.79657895,897.27947368
1043206782,GORE,SHAWNYA,A,MD,F,I,1867 REMOUNT RD,SUITE D,GASTONIA,NC,280547401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,31,78,218,55.681100917,8.32,6.2051834862,6.2051834862
1043206782,GORE,SHAWNYA,A,MD,F,I,1867 REMOUNT RD,SUITE D,GASTONIA,NC,280547401,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,45,45,14.332444444,3.38,2.4733333333,2.4733333333
1043206782,GORE,SHAWNYA,A,MD,F,I,1867 REMOUNT RD,SUITE D,GASTONIA,NC,280547401,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,21,21,23.600952381,2.12,1.5904761905,1.5904761905
1043206782,GORE,SHAWNYA,A,MD,F,I,1867 REMOUNT RD,SUITE D,GASTONIA,NC,280547401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,41,66,15.127424242,1.42,1.08,1.08
1043206782,GORE,SHAWNYA,A,MD,F,I,1867 REMOUNT RD,SUITE D,GASTONIA,NC,280547401,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,56,7.9426785714,2.225,1.7448214286,1.5875
1043206782,GORE,SHAWNYA,A,MD,F,I,1867 REMOUNT RD,SUITE D,GASTONIA,NC,280547401,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,125,49.909090909,39.129090909,36.480909091
1043206808,LUO,XIAODONG,,MD,F,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,27,104.20666667,17,13.33,13.524444444
1043206808,LUO,XIAODONG,,MD,F,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,94.642857143,10.922857143,8.5671428571,9.3885714286
1043206808,LUO,XIAODONG,,MD,F,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,27,516.34,79.8,62.56,55.31
1043206808,LUO,XIAODONG,,MD,F,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,64.16,18.197692308,14.266923077,14.751538462
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,34,96,72.533958333,8.32,5.896875,5.896875
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,19,14.437368421,1.42,1.1147368421,1.1147368421
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,130,46.301176471,36.297058824,37.303529412
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,371.21857143,65.7,51.51,53.963333333
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,37.64,29.51,29.51
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,5000,3.807804,0.555376,0.435426,0.43542
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.0799333333,0.0129166667,0.0101333333,0.0101333333
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,44,4020,5.3099278607,2.7449850746,2.1520572139,2.1520572139
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,29,24,24,18.82,18.82
1043206972,EVANOFF,GEORGE,V,M.D.,M,I,2771 HEMLOCK ST,SUITE 201,BREMERTON,WA,983102689,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,50,72,16,16,12.542083333,12.542083333
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,24,54,145,51.342344828,8.3179310345,6.4299310345,6.4313793103
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,24,35,7.1697142857,1.42,1.1165714286,1.1165714286
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,400,13.4215,7,5.2136,5.2136
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,460,6.9472173913,4.03,3.0862173913,3.0862173913
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,850,0.5114705882,0.27,0.2116117647,0.2116117647
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,23,23,68.79826087,49.224782609,36.799130435,29.87
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,850,0.5,0.27,0.2116352941,0.2116352941
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,1149,8.28,8.28,6.4052480418,6.4052480418
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,17,83.23,47.629411765,37.339411765,27.688235294
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,38,41.727631579,28.048421053,21.988947368,14.786315789
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,142.74875,75.5475,59.22875,46.060625
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,21,21,41.522380952,24.182380952,17.94952381,14.124285714
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,38,107,8.9576635514,3.1673831776,2.4497196262,1.6564485981
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,45,22.212307692,17.413076923,13.993076923
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,121.84761905,54.195238095,41.263095238,27.267380952
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,250,98.85,77.5,56.755
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,3268,0.3568512852,0.0443910649,0.0348102815,0.0348102815
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,176.9936,27.536,21.5888,14.3208
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,100,59.128571429,46.352857143,23.76
1043206980,DUCHICELA,JORGE,A,M.D.,M,I,402 YOUENS DR,,WEIMAR,TX,789623680,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,33,33,24.875,24.875
1043207228,ANSARI,IRFAN,,M.D.,M,I,100 DIAGNOSTIC DR,,FRANKFORT,KY,406016524,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,49,49,49,78.775102041,76.301836735,52.717959184,47.46755102
1043207228,ANSARI,IRFAN,,M.D.,M,I,100 DIAGNOSTIC DR,,FRANKFORT,KY,406016524,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,27,48,73.3125,49.57,36.440208333,40.279375
1043207228,ANSARI,IRFAN,,M.D.,M,I,100 DIAGNOSTIC DR,,FRANKFORT,KY,406016524,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,54,65.907407407,49.065185185,31.208148148,35.856296296
1043207236,FOSTER,WENDY,R,OD,F,I,2020 N WOODLAWN ST,STE 390,WICHITA,KS,672081852,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,72.625,62.99375,48.75,51.998125
1043207251,MANJUNATH,RAJINI,,MD,F,I,1710 N RANDALL RD,STE 300,ELGIN,IL,601239400,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,1616,45.813818069,5.1360767327,3.937914604,3.937914604
1043207251,MANJUNATH,RAJINI,,MD,F,I,1710 N RANDALL RD,STE 300,ELGIN,IL,601239400,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,22,66,44.821515152,41.037121212,29.261666667,28.023939394
1043207251,MANJUNATH,RAJINI,,MD,F,I,1710 N RANDALL RD,STE 300,ELGIN,IL,601239400,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,24,24,18.82,18.82
1043207327,EARLY,SCOTT,C,MD,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,53,161,79.176024845,8.32,5.9554658385,5.9554658385
1043207327,EARLY,SCOTT,C,MD,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,13,15.382307692,1.42,0.9446153846,0.9446153846
1043207327,EARLY,SCOTT,C,MD,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,208.28545455,49.635909091,38.912272727,39.889545455
1043207327,EARLY,SCOTT,C,MD,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,39.55,17,13.33,13.54
1043207327,EARLY,SCOTT,C,MD,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120.63,34.154545455,26.778181818,26.778181818
1043207327,EARLY,SCOTT,C,MD,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,77.4,50,36.064,34.184
1043207327,EARLY,SCOTT,C,MD,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,275.60615385,78,56.446153846,50.52
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,25,64,183,81.556120219,8.32,6.3663934426,6.3663934426
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,20,37,13.688918919,1.42,1.0818918919,1.0818918919
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,105.28571429,41,29.844285714,28.547857143
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,59,81.178305085,20.237288136,14.954067797,13.640169492
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,184.557,56.8835,42.398,40.717
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,54.227142857,19.225,13.982142857,13.143571429
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,65.314,12.648,9.2846666667,8.512
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,30,154,10.437857143,2.2701298701,1.6498701299,1.481038961
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,26.489166667,12.868333333,8.3883333333,8.6483333333
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,405.45526316,87.784210526,64.314210526,59.342631579
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50.73,4.0235294118,3.1517647059,3.7423529412
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,271.51310345,33.827586207,23.135862069,22.194482759
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,346.50333333,78,56.054166667,50.169166667
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2160,1.4825601852,0.1400555556,0.1072824074,0.1072824074
1043207350,DALY,PHILIP,F,M.D.,M,I,300 BROADWAY,2ND FL,REVERE,MA,021515009,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,97.35,33,24.5765,24.5765
1043207426,WRIGHT,CHRISTOPHER,D,M.D.,M,I,1803 S RIDGEVIEW RD,,OLATHE,KS,660622376,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,29,91,60.049450549,8.32,6.3786813187,6.3786813187
1043207426,WRIGHT,CHRISTOPHER,D,M.D.,M,I,1803 S RIDGEVIEW RD,,OLATHE,KS,660622376,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,29,17.55,1.42,1.0765517241,1.0765517241
1043207574,ROBERTS,GREGORY,J,MD,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,23,23,23,116.67913043,73.61826087,56.729130435,36.805652174
1043207574,ROBERTS,GREGORY,J,MD,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,117.49769231,78.606153846,59.310769231,38.656153846
1043207574,ROBERTS,GREGORY,J,MD,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,75,26.887368421,21.079473684,14.476842105
1043207574,ROBERTS,GREGORY,J,MD,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,155.63636364,74.55,53.136363636,56.518181818
1043207574,ROBERTS,GREGORY,J,MD,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,264,127.21,94.168461538,85.687692308
1043207574,ROBERTS,GREGORY,J,MD,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385013138,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,27,35,112.48571429,53.2,40.518285714,44.793714286
1043207681,WILLEY,DAVID,A,MD,M,I,1200 CHASKA CREEK WAY,SUITE 200,CHASKA,MN,553182152,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,55,172,66.492848837,8.32,5.8027906977,5.8027906977
1043207681,WILLEY,DAVID,A,MD,M,I,1200 CHASKA CREEK WAY,SUITE 200,CHASKA,MN,553182152,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,16,30,15.029666667,1.42,0.8173333333,0.8173333333
1043207681,WILLEY,DAVID,A,MD,M,I,1200 CHASKA CREEK WAY,SUITE 200,CHASKA,MN,553182152,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,4003,0.2174718961,0.0463977017,0.0322308269,0.0322308269
1043207681,WILLEY,DAVID,A,MD,M,I,1200 CHASKA CREEK WAY,SUITE 200,CHASKA,MN,553182152,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,94.285714286,33,25.429047619,25.429047619
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,468,9.87,3,2.171025641,2.5626068376
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,30,86,245,67.344693878,8.32,6.1563673469,6.1563673469
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,29,29,18.989655172,3.38,2.5586206897,2.5586206897
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,33.142857143,2.12,1.67,1.67
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,38,66,18.996363636,1.42,1.0815151515,1.0815151515
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,240,4.6905,3.0375,2.3815416667,2.3835
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,24,731,136.76689466,5.38,4.2178522572,4.1629411765
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,23,10935,1.2443502515,0.3092629172,0.2424709648,0.2430489255
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,43.461666667,5.705,4.1216666667,3.4733333333
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,36,519.51,79,59.590277778,53.181666667
1043207764,PETRUSKA,MYRON,J,D.O.,M,I,209 PARK ST,SUITE 100,BELMONT,NC,280125205,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,33,33,24.253125,24.253125
1043207871,KIM,JIN-HEE,,MD,F,I,10000 SE MAIN ST,STE 342,PORTLAND,OR,972162448,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,39,2478,0.3796610169,0.1297820823,0.0888539144,0.0890677966
1043207871,KIM,JIN-HEE,,MD,F,I,10000 SE MAIN ST,STE 342,PORTLAND,OR,972162448,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,53,7763,5.1155880459,2.0280200953,1.5174571686,1.5174571686
1043207871,KIM,JIN-HEE,,MD,F,I,10000 SE MAIN ST,STE 342,PORTLAND,OR,972162448,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,1104,11.906141304,7.23,5.663451087,5.663451087
1043207939,MEYER,BRADLEY,R,D.O.,M,I,1205 COPPER CREEK DR,,PLEASANT HILL,IA,503277002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,26,63,160,71.955,8.32,5.6655,5.6655
1043207939,MEYER,BRADLEY,R,D.O.,M,I,1205 COPPER CREEK DR,,PLEASANT HILL,IA,503277002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,30,13.377,1.42,1.006,1.006
1043207939,MEYER,BRADLEY,R,D.O.,M,I,1205 COPPER CREEK DR,,PLEASANT HILL,IA,503277002,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,46.875,4.3815,2.929,2.929
1043207939,MEYER,BRADLEY,R,D.O.,M,I,1205 COPPER CREEK DR,,PLEASANT HILL,IA,503277002,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,417.9265,77.7105,60.924,54.744
1043207939,MEYER,BRADLEY,R,D.O.,M,I,1205 COPPER CREEK DR,,PLEASANT HILL,IA,503277002,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1050,1.570352381,0.1336571429,0.0970095238,0.0970095238
1043207939,MEYER,BRADLEY,R,D.O.,M,I,1205 COPPER CREEK DR,,PLEASANT HILL,IA,503277002,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,33,33,20.121111111,20.121111111
1043207988,LONGOBARDO,VINCENT,B,DPM,M,I,19 MIRACLE LN,SUITE 200,CROSSVILLE,TN,385557654,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,153,153,306,70.519673203,70.306601307,50.601764706,51.382124183
1043207988,LONGOBARDO,VINCENT,B,DPM,M,I,19 MIRACLE LN,SUITE 200,CROSSVILLE,TN,385557654,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,119,119,711,28.791012658,28.678776371,21.87137834,22.186680731
1043207988,LONGOBARDO,VINCENT,B,DPM,M,I,19 MIRACLE LN,SUITE 200,CROSSVILLE,TN,385557654,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,204,42.79,42.79,32.967696078,33.428970588
1043207988,LONGOBARDO,VINCENT,B,DPM,M,I,19 MIRACLE LN,SUITE 200,CROSSVILLE,TN,385557654,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,75,23.648125,14.9375,11.23375
1043207988,LONGOBARDO,VINCENT,B,DPM,M,I,19 MIRACLE LN,SUITE 200,CROSSVILLE,TN,385557654,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,19,299,266.98,207.85736842,217.43789474
1043207988,LONGOBARDO,VINCENT,B,DPM,M,I,19 MIRACLE LN,SUITE 200,CROSSVILLE,TN,385557654,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,199,163.79,128.41,126.66538462
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,133.64842105,39,28.970526316,28.89
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,319.94133333,89.358,65.745333333,63.826
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,34,125.19823529,34.05,26.072352941,25.361176471
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,76.31,17.785714286,13.018571429,13.16
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,110,9.1007272727,2.0436363636,1.5142727273,1.5077272727
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,42,42,51.41547619,16.110714286,11.425,12.293809524
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,141.875,32.7475,24.225,24.359375
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,63,63,291.33714286,74.386666667,51.503492063,48.22984127
1043208044,CICCOLELLA,DAVID,,MD,M,I,3401 N BROAD ST,7TH FLR PARKINSON PAVILION,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,92.1,37.891851852,26.17962963,26.087777778
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,36,182,305,47.716885246,8.1827540984,5.7989836066,5.9130163934
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,11,34,34,17.663823529,1.42,0.8564705882,0.8564705882
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,31,8.19,2.0974193548,1.6441935484,1.1503225806
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,13,14,192.33357143,68.492857143,53.697857143,43.165714286
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,57.743846154,23.522307692,18.436923077,14.176923077
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,16,17,72.837058824,18.008823529,13.523529412,8.5835294118
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,18,99,10.004848485,2.963030303,2.215959596,1.4962626263
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,20,85.1945,23.4625,17.6465,17.5075
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,9.1335714286,5.7978571429,3.4857142857
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,139.455,68.2725,53.525,31.16
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,55,74,515.23283784,101.04094595,75.987297297,59.024594595
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,64.6,57,32.772666667,32.772666667
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,11,75,4410,18.495469388,9.6018843537,7.3711428571,7.3711428571
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,19.530060606,11.072454545,8.4634545455,8.4634545455
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,4044,0.4180885262,0.0467260138,0.0359421365,0.0359421365
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,28,97,5460,1.6810091575,0.1321978022,0.0883260073,0.0883260073
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,61,3572,10.427085666,2.9937597984,2.3077351624,2.3077351624
1043208051,CRAWFORD,MARY,J,D.O.,F,I,102 E MARION ST,,PARIS,MO,652751041,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,24,139,139,70.748201439,33,24.571942446,24.571942446
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,54,50.858518519,8.32,6.5222222222,6.5222222222
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,71.56,71.56,42.043666667,42.043666667
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,179,18.130666667,14.215333333,13.53
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,3775.52,913.16,706.08266667,824
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,146.60444444,4.1633333333,3.2633333333,3.6814814815
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,874.72,35.45,27.792,28.048
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,683.3696,69.6168,54.5804,54.73
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,94.841428571,19.350714286,13.113571429,12.142142857
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,43.56,43.56,33.349871795,33.348461538
1043208135,ARTZIS,SAMUEL,A,MD,M,I,840 S MEYERS ST,,KETTLE FALLS,WA,99141,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,40.615384615,33,23.88,23.88
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,3.9242857143,0.51,0.3714285714,0.3714285714
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,52,136,329,49.352097264,8.3190273556,5.7169300912,5.7178723404
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,19,45,45,13.579111111,3.38,2.4144444444,2.4144444444
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,20,24,24,19.6725,2.12,1.6004166667,1.6004166667
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,33,73,98,12.389693878,1.42,1.0715306122,1.0715306122
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,28.46,22.31,22.31
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,5.54,5.54,4.34,4.34
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,18,10.93,9.29,7.2811111111,8.4972222222
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,125.6825,36.58,28.67,30.338333333
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,23,23,195.16956522,82,58.097826087,61.416521739
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,45,84.124222222,31.5,22.500666667,23.696222222
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,17,17,41.034705882,17,12.491176471,13.189411765
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,21,21,45.171904762,11.402857143,7.6714285714,7.8604761905
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,29,158,6.9693670886,2.0075949367,1.4351898734,1.4524683544
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,185,51.047692308,33.266153846,33.867692308
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,38.6375,17.029166667,12.501944444,12.680555556
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,280,83.186818182,62.457727273,63.135909091
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,66.538461538,33.846153846,26.535384615,26.372307692
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,113.33333333,46.095,36.1375,36.225
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,210.9525,73,52.094,49.969
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3060,2.5747875817,0.0775686275,0.0608104575,0.0608104575
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1106,1.3623508137,0.1341500904,0.0953254973,0.0953254973
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,16.16,12.67,13.1
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,600,109.35,77.565238095,76.425238095
1043208184,ZINCONE,DEAN,,M.D.,M,I,1355 E COURT ST,,SEGUIN,TX,781555130,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,66,33,24.145333333,24.145333333
1043208242,MOSTONE,EDWARD,J,DPM,M,I,425 SALEM STREET,,MEDFORD,MA,02155,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,28,80.04,69.53,54.5125,55.8775
1043208242,MOSTONE,EDWARD,J,DPM,M,I,425 SALEM STREET,,MEDFORD,MA,02155,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,84,55.072142857,43.56,34.151666667,34.150238095
1043208242,MOSTONE,EDWARD,J,DPM,M,I,425 SALEM STREET,,MEDFORD,MA,02155,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,37,37,160,160,121.70324324,122.67405405
1043208333,PANTALEON,MARIA,C,MD,F,I,1840 N HIGHLAND AVE,,CLEARWATER,FL,337552138,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,28,102,73.143137255,8.32,6.2666666667,6.2666666667
1043208333,PANTALEON,MARIA,C,MD,F,I,1840 N HIGHLAND AVE,,CLEARWATER,FL,337552138,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,31,16.883548387,1.42,1.115483871,1.115483871
1043208333,PANTALEON,MARIA,C,MD,F,I,1840 N HIGHLAND AVE,,CLEARWATER,FL,337552138,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,211.42,54.55,34.993636364,35.079090909
1043208333,PANTALEON,MARIA,C,MD,F,I,1840 N HIGHLAND AVE,,CLEARWATER,FL,337552138,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,52,9.5638461538,2,1.5686538462,1.5896153846
1043208333,PANTALEON,MARIA,C,MD,F,I,1840 N HIGHLAND AVE,,CLEARWATER,FL,337552138,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,24,148.16083333,32.606666667,21.577083333,21.104166667
1043208333,PANTALEON,MARIA,C,MD,F,I,1840 N HIGHLAND AVE,,CLEARWATER,FL,337552138,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,306.40888889,79.88,55.662222222,49.517777778
1043208358,RHEM,MARCUS,,M.D.,M,I,1515 LAKE LANSING RD,SUITE H,LANSING,MI,489123753,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,11,82.585454545,69.072727273,54.149090909,53.398181818
1043208366,JAFFRANI,NASEEM,A,M.D.,M,I,501 MEDICAL CENTER DR,SUITE 250,ALEXANDRIA,LA,713018124,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,92.995,22.4775,17.620833333,14.031666667
1043208366,JAFFRANI,NASEEM,A,M.D.,M,I,501 MEDICAL CENTER DR,SUITE 250,ALEXANDRIA,LA,713018124,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,61,61,552.84098361,92.356557377,66.60704918,50.019180328
1043208515,SHELDON,MIKAN,E,PAC,F,I,400 FOX GLEN DR,,BARRINGTON,IL,600101824,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,33,66.084848485,8.32,6.5227272727,6.5227272727
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,49,128,56.13078125,8.32,5.859921875,5.859921875
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,13.95,3.38,2.484375,2.484375
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,27,42,14.799285714,1.42,1.0354761905,1.0354761905
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,58,8.4344827586,2.0379310345,1.5372413793,1.5372413793
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,45.185185185,17.27,12.537037037,12.537037037
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,122.07291667,4.975,3.5608333333,3.4333333333
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,146.61458333,30.83,19.134583333,18.50125
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,293.8974359,69.81,47.123076923,47.123076923
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,10793,0.3554655795,0.0465162605,0.0344195312,0.0344195312
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,57.21,27.1525,19.6875,12.371666667
1043208580,SZILAGYI,CARMEN,C,M.D.,F,I,1027 W GENESEE ST,,FRANKENMUTH,MI,487341302,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,88.038461538,33,23.88,23.88
1043208788,JEAN,EDNA,M,,F,I,1857 N REYNOLDS RD,,TOLEDO,OH,436153537,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,50,125.6272,71.56,51.8974,51.8974
1043208788,JEAN,EDNA,M,,F,I,1857 N REYNOLDS RD,,TOLEDO,OH,436153537,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,150,50.61,29.19,21.8756,21.877066667
1043208879,FRISBIE,STEPHANIE,E,M.D.,F,I,620 BROADWAY ST,,VAN BUREN,AR,729565830,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,27,110,46.496,8.3073636364,5.1486363636,5.1486363636
1043208879,FRISBIE,STEPHANIE,E,M.D.,F,I,620 BROADWAY ST,,VAN BUREN,AR,729565830,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,33,12.927272727,1.42,0.9106060606,0.9106060606
1043208879,FRISBIE,STEPHANIE,E,M.D.,F,I,620 BROADWAY ST,,VAN BUREN,AR,729565830,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,32,398.3225,69.68625,52.911875,52.995625
1043208879,FRISBIE,STEPHANIE,E,M.D.,F,I,620 BROADWAY ST,,VAN BUREN,AR,729565830,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,7200,0.1697194444,0.0464791667,0.0320388889,0.0320388889
1043208879,FRISBIE,STEPHANIE,E,M.D.,F,I,620 BROADWAY ST,,VAN BUREN,AR,729565830,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,0.75,0.2191333333,0.1603777778,0.1603777778
1043208879,FRISBIE,STEPHANIE,E,M.D.,F,I,620 BROADWAY ST,,VAN BUREN,AR,729565830,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,37.44,26.904166667,27.0675
1043208879,FRISBIE,STEPHANIE,E,M.D.,F,I,620 BROADWAY ST,,VAN BUREN,AR,729565830,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,38,38,121.68421053,33,23.827631579,23.827631579
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,55,172,61.874825581,8.32,6.1423837209,6.1423837209
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,13.010909091,3.38,2.65,2.65
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,27,55,13.811636364,1.42,1.0338181818,1.0338181818
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,135.8505,74.912,53.9465,36.432
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,16.724,16.724,13.112,10.496
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,30.924761905,6.2242857143,4.879047619,3.4866666667
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,43.827391304,43.827391304,34.36173913,27.139565217
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,174.74555556,99.54968254,74.404126984,53.260952381
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1216,0.7718996711,0.0439473684,0.0344572368,0.0344572368
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,21.562631579,21.23,16.013157895,12.696842105
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,108.75,98.8075,71.303333333,48.854166667
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,11.68,11.103333333,8.7,6.67
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,529.14705882,243.58235294,187.37823529,128.75647059
1043208911,GREENBERG,BRUCE,K,MD,M,I,350 FAIRVIEW HEIGHTS RD,,SUMMERSVILLE,WV,266511085,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,23.714166667,23.714166667
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,49,88,183,609,60.843037767,8.3103940887,6.0705090312,6.078045977
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,16,33,33,14.943030303,3.38,2.4090909091,2.4090909091
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,16,22,22,21.391818182,2.12,1.5181818182,1.5181818182
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,48,82,154,13.537922078,1.42,0.9977272727,0.9977272727
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,1904,2.1274789916,2.0374789916,1.5249789916,1.5269537815
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,30,23.493333333,9.29,7.282,8.5676666667
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,1.6333333333,1.6333333333,1.1625,1.2925
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,22,772,39.708471503,34.845233161,27.293108808,27.304689119
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,36,1732,8.7780138568,8.2784411085,6.4903233256,6.4915473441
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,356,21.566011236,18.5,14.503988764,14.503988764
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,21,810,1.21,1.08,0.8466666667,0.8466666667
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,1455,0.5442474227,0.4498969072,0.3527079038,0.3527835052
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,158.57181818,57.02,44.71,42.86
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,65,7.9612307692,2.22,1.7415384615,1.6046153846
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.28,4.1393548387,4.1629032258
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,4907,2.8589932749,0.38,0.2979274506,0.2900815162
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,171.375,47,36.85,36.46
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,35.680714286,14.52,11.39,12.05
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,116.82363636,54.965454545,42.483636364,42.017272727
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,13,78,78,165.21884615,49.161666667,36.309487179,36.725384615
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,31,31,59.86,45.880967742,34.107096774,34.126451613
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,84,88,48.445454545,17.625909091,13.502727273,13.225909091
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,114,52,40.733333333,37.593333333
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,1838.2927273,1074.31,840.16181818,840.16181818
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,24,5.8807692308,4.3053846154,3.3080769231
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,25,31,94.270967742,43.220322581,33.883870968,33.883870968
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,131.87545455,45.688636364,35.82,36.887727273
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,28,61.237142857,27.649285714,20.158571429,21.013571429
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,22,122,126,257.74531746,75.991111111,57.720952381,53.198809524
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,122.34186047,36.5,28.62,29.447906977
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,28,28,28,88.145714286,35.332857143,27.060357143,28.563928571
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,14,14,14,314.26857143,144.73071429,113.47142857,113.78357143
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,750,15.58,9.62436,7.3542,7.3542
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,17,3087,1.4614480078,0.1404081633,0.1065500486,0.1065500486
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,720,12.37025,3.0179583333,2.3660972222,2.3660972222
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,39,209,209,69.61784689,20.025741627,14.925933014,13.88076555
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,14,68,71,127.15788732,31.409577465,23.117323944,21.905070423
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,222.47454545,66.643636364,52.247272727,55.566363636
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,49,49,32.87122449,9.1371428571,6.4502040816,6.2479591837
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,607.93,160.79454545,126.06272727,108.39363636
1043209075,ZAFAR,ZAHID,,M.D.,M,I,997 RAINTREE CIR STE 180,,ALLEN,TX,750135067,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,26,26,87.669230769,33,24.875,24.875
1043209125,BAIG,MOHAMMED,I,MD,M,I,4100 S HOSPITAL DR,STE 300,PLANTATION,FL,333172813,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,37,47.458378378,8.32,3.35,3.35
1043209125,BAIG,MOHAMMED,I,MD,M,I,4100 S HOSPITAL DR,STE 300,PLANTATION,FL,333172813,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,147,46.31,36.31,35.23
1043209125,BAIG,MOHAMMED,I,MD,M,I,4100 S HOSPITAL DR,STE 300,PLANTATION,FL,333172813,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,63,38.65,30.3,30.3
1043209125,BAIG,MOHAMMED,I,MD,M,I,4100 S HOSPITAL DR,STE 300,PLANTATION,FL,333172813,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,77.55,55.733333333,50.169166667
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,47,134,69.309402985,8.32,5.4508208955,5.4508208955
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,18,14.097222222,1.42,0.9922222222,0.9922222222
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,8.19,1.6366666667,1.1879166667,1.05625
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,91,60.834615385,19.45,12.745384615,12.094615385
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,177.71529412,56.26,36.985882353,35.882352941
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,51.907333333,17.96,13.138,13.094666667
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,22,22,59.075454545,11.977272727,8.5368181818,8.2863636364
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,25,134,10.170895522,2,1.4513432836,1.4742537313
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,58,86.31,18.67362069,13.686206897,12.610344828
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,22,22,112.77,50,36.805909091,35.307727273
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,55.07,13.110952381,8.869047619,9.1004761905
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,257.82,32.754761905,24.509047619,23.423809524
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,65,519.51,83.012307692,59.507692308,49.890307692
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1080,17.140694444,9.6478888889,7.4310925926,7.4310925926
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,776,1.2587113402,0.1329252577,0.0901675258,0.0901675258
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,810,12.86,2.9875555556,2.3422592593,2.3422592593
1043209166,PRICE,RICHARD,C,M.D.,M,I,2820 E ROCK HAVEN ROAD,SUITE 210,HARRISONVILLE,MO,64701,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,104.28,33,24.8352,24.8352
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,80,159,159,131.42540881,39.56672956,29.440943396,29.027924528
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,13,26,7.9946153846,1.5946153846,1.2530769231,1.1773076923
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,15,15,15,52.386,12.390666667,9.7106666667,9.2513333333
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,22,207,416,416,255.69040865,85.874447115,63.517596154,64.326538462
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,196,411,910,102.24768132,35.659989011,26.818406593,24.989736264
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,127,259,1282,63.060210608,19.396076443,14.428946958,13.894095164
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,18,83,174,849,46.565418139,15.270023557,10.774405183,10.783368669
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,226,443,443,175.12688488,55.818623025,40.538171558,39.98724605
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,30,385,513,513,55.763021442,18.641403509,14.080701754,13.607524366
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,45,56,56,23.048571429,10.221071429,7.4289285714,7.6371428571
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,344,687,687,50.933653566,11.986477438,8.778588064,8.6313391557
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,30,401,798,4535,7.2556582139,2.0958632856,1.5416846748,1.5085203969
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,135,181,181,16.323922652,5.810718232,4.3557458564,4.4651381215
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,22,192,246,246,35.897560976,13.284593496,10.001666667,9.9375203252
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,7.9,2.33,1.82,1.82
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,31,212,213,43.562957746,17.436666667,12.95342723,12.858403756
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,49,50,164.818,50.2876,37.1082,35.4682
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,51.36,51.36,32.0475,29.8475
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,50,50,367.2608,84.061,64.3148,64.8378
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,958.51166667,207.87888889,162.97861111,168.1375
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,75,75,75,375.97706667,135.95053333,104.1732,101.98773333
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,32,34,69.677647059,13.795294118,10.616764706,10.285294118
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,15,86,86,25,7.5454651163,5.6008139535,3.955
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,154,984,987,159.2245694,34.186869301,25.31473151,23.974690983
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,7,13,14,14,131.59071429,70.65,51.427857143,51.427857143
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,17,55,448,448,303.84270089,86.554933036,64.371919643,53.176897321
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,58,58,182.36982759,39.188275862,29.658103448,28.697413793
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1620,15.58,9.6018148148,7.2621358025,7.2621358025
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,19.8484,10.787873333,8.4577266667,8.4577266667
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,16,44,11351,0.2318685578,0.0466337768,0.0342498458,0.0342498458
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,14,57,6288,1.6989408397,0.131653944,0.0997566794,0.0997566794
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,89,5490,9.8036557377,2.9912222222,2.2236794171,2.2236794171
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,203.63428571,41.304857143,31.447714286,29.046857143
1043209265,SMITH,DANIEL,R,MD,M,I,1032 MCCALLIE AVENUE,STE 300,CHATTANOOGA,TN,37403,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,31,156,156,75.197115385,33,25.3725,25.3725
1043209331,BLAKE,DOREEN,,M.D.,F,I,1450 MERCANTILE LN,SUITE 111,LARGO,MD,207745376,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,25,78,59.897948718,8.32,6.0203846154,6.0203846154
1043209331,BLAKE,DOREEN,,M.D.,F,I,1450 MERCANTILE LN,SUITE 111,LARGO,MD,207745376,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,175,51.8,40.61,41.488181818
1043209331,BLAKE,DOREEN,,M.D.,F,I,1450 MERCANTILE LN,SUITE 111,LARGO,MD,207745376,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,58.846153846,19.247692308,14.072307692,14.104615385
1043209398,SHAH,SAMIR,A,M.D.,M,I,44 W RIVER ST,,PROVIDENCE,RI,029042609,US,Physician/Gastroenterology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,12.720545455,9.4118181818,7.3786363636,7.73
1043209398,SHAH,SAMIR,A,M.D.,M,I,44 W RIVER ST,,PROVIDENCE,RI,029042609,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,4.9098181818,4.03,3.1595,3.1595
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,24,52,145,63.045448276,8.32,6.1173793103,6.1173793103
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,15.538823529,3.38,2.65,2.65
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,34,45,15.531555556,1.42,1.0426666667,1.0426666667
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,17,13.33,13.54
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,35.06826087,4.0169565217,2.887826087,3.2556521739
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,220,81.13,63.6,55.403076923
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1411,4.7446066619,0.0762012757,0.0597236003,0.0597236003
1043209463,FORD,ANIT,D,M.D.,F,I,3920 BEE RIDGE RD STE H,,SARASOTA,FL,34233,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,70.714285714,33,23.406190476,23.406190476
1043209513,TIPPETS,DUANE,D,MD,M,I,731 LEIGHTON AVE,SUITE 300,ANNISTON,AL,362075761,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,14,15,267,50,21.76,16.214906367,19.076367041
1043209513,TIPPETS,DUANE,D,MD,M,I,731 LEIGHTON AVE,SUITE 300,ANNISTON,AL,362075761,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,26,55.615384615,19.365384615,15.183461538,14.163461538
1043209513,TIPPETS,DUANE,D,MD,M,I,731 LEIGHTON AVE,SUITE 300,ANNISTON,AL,362075761,US,Physician/Orthopedic Surgery,S,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,116.85,116.85,91.4225,78.818333333
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,43,87,65.954252874,8.32,4.8725287356,4.8725287356
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,26,14.389615385,1.42,0.7323076923,0.7323076923
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,11,22,77.746363636,71.239090909,55.852727273,56.103181818
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,145.77727273,55.628181818,43.619090909,41.643636364
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,78.552727273,17,13.33,13.482727273
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,590.2132,77.18,56.7278,51.7488
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,67.12,23.933636364,17.980909091,13.693636364
1043209554,MIRZAIAN,ALEN,,M.D.,M,I,1818 VERDUGO BLVD STE 108,,GLENDALE,CA,912081432,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,352.6516129,37,28.074193548,28.578387097
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,70,153,154,154.56,39.664155844,29.934090909,29.371038961
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,21,41,8.19,1.627804878,1.22,1.0946341463
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,93,229,232,430.58685345,93.429827586,70.647284483,65.813448276
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,83,220,606,162.70747525,35.478729373,26.930115512,25.31009901
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,37,79,435,100.24151724,19.278022989,14.377816092,13.910528736
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,27,72,366,70.443797814,16.503797814,12.031010929,11.020191257
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,74,160,161,282.67695652,59.203043478,44.828509317,41.925279503
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,151,225,225,84.143288889,19.221377778,14.567733333,13.734755556
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,36.817647059,10.102352941,7.9211764706,8.1317647059
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,91,207,210,93.065904762,13.398380952,10.248238095,9.01
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,150,367,1925,12.193828571,2.1466805195,1.6525454545,1.5650493506
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,37,50,50,30.3092,6.1664,4.8314,4.6318
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,91,123,123,49.637154472,13.33300813,10.15398374,10.082926829
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,36,205,216,83.043564815,17.90375,13.213425926,12.983333333
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,14,19,220.12105263,46.62,36.55,37.516315789
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,18,93,105,557.78419048,89.904190476,66.926571429,66.080571429
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,1459.4422222,947.26666667,734.68777778,734.68777778
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,18,18,462.39555556,137.24111111,107.6,104.7
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,47,234,272,81.244742647,13.836801471,10.213308824,9.95625
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,41,41,47.376341463,4.8319512195,3.5456097561,3.4146341463
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,64,389,419,211.65952267,33.956634845,25.475727924,24.424105012
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,57,372,397,459.33312343,82.067103275,61.878488665,53.679949622
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,100,105,189.71428571,37.893428571,29.148666667,28.978190476
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1080,20.161537037,11.1935,8.77575,8.77575
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,19,64,13138,0.2476016136,0.046412696,0.0324646065,0.0324630842
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,3750,1.3595626667,0.133936,0.0940986667,0.0940986667
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,75,38.098333333,28.041111111,27.846111111
1043209596,KALLAY,NICHOLAS,,M.D.,M,I,521 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,23,104,104,78.692307692,33,24.3775,24.3775
1043209661,BONSTEEL,ALAN,,MD,M,I,591 MCCRAY ST,SUITE 101,HOLLISTER,CA,950232224,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,17,41,68.587804878,8.32,6.203902439,6.203902439
1043209661,BONSTEEL,ALAN,,MD,M,I,591 MCCRAY ST,SUITE 101,HOLLISTER,CA,950232224,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,519.51,65.7,34.34,37.83
1043209703,JOHNS,JOEL,T,MD,M,I,2035 AL HIGHWAY 157,,CULLMAN,AL,350580687,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,73,227,62.666740088,8.32,6.1482378855,6.1482378855
1043209703,JOHNS,JOEL,T,MD,M,I,2035 AL HIGHWAY 157,,CULLMAN,AL,350580687,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,30,44,15.430454545,1.42,1.0661363636,1.0661363636
1043209703,JOHNS,JOEL,T,MD,M,I,2035 AL HIGHWAY 157,,CULLMAN,AL,350580687,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,8.1073684211,2.0484210526,1.3384210526,0.9078947368
1043209703,JOHNS,JOEL,T,MD,M,I,2035 AL HIGHWAY 157,,CULLMAN,AL,350580687,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,39,41,45.446097561,6.0073170732,3.2617073171,2.2863414634
1043209703,JOHNS,JOEL,T,MD,M,I,2035 AL HIGHWAY 157,,CULLMAN,AL,350580687,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,491.291,104.87933333,80.925,57.477
1043209703,JOHNS,JOEL,T,MD,M,I,2035 AL HIGHWAY 157,,CULLMAN,AL,350580687,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,585,0.75,0.2185128205,0.1318632479,0.1318632479
1043209703,JOHNS,JOEL,T,MD,M,I,2035 AL HIGHWAY 157,,CULLMAN,AL,350580687,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,124.05,33,20.696,20.696
1043209729,NUEVA ESPANA,ERNESTO,A,MD,M,I,5401 PALISADE AVE,,RIVERDALE,NY,104711214,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,134.38,46.004,33.81,35.254666667
1043209836,JIBBEN,ROBERT,J,DO,M,I,1523 BUSINESS HWY 60 W,STE A1,DEXTER,MO,63841,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,41,57.115121951,8.32,6.0387804878,6.0387804878
1043209836,JIBBEN,ROBERT,J,DO,M,I,1523 BUSINESS HWY 60 W,STE A1,DEXTER,MO,63841,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,57.363076923,24.223076923,17.787692308,12.978461538
1043209836,JIBBEN,ROBERT,J,DO,M,I,1523 BUSINESS HWY 60 W,STE A1,DEXTER,MO,63841,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,88,6.5959090909,3.0781818182,2.2121590909,1.4122727273
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,31,70,177,38.655141243,8.32,5.6344632768,5.6344632768
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,14.313846154,3.38,2.4461538462,2.4461538462
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,20.983636364,2.12,1.67,1.67
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,24,45,71,8.6591549296,1.42,1.0057746479,1.0057746479
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,35,155.59257143,47.312571429,35.232,24.212857143
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,254.35846154,68.850769231,53.980769231,42.848461538
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,78.312666667,23.736,17.566,13.119333333
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,91.382,20.772666667,16.284,9.12
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,119,10.822857143,2.8650420168,2.2464705882,1.5924369748
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,275.48571429,66.471428571,49.369285714,35.230714286
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,131.2088,67.8176,51.634,35.6992
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,53,51.886037736,23.044339623,18.06490566,14.211509434
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,61,61,21.754262295,7.287704918,5.4744262295,3.4836065574
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,179.93869565,45.163913043,32.788695652,23.553913043
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,113,114,301.61105263,104.8,79.85877193,57.927192982
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,83.909444444,22.881111111,16.338333333,13.097777778
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,99.78,43.811333333,32.906,19.959333333
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,24.940833333,9.68875,6.7516666667,5.6454166667
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,600,196.01416667,147.9075,110.38666667
1043209984,HOYT,JONATHAN,L,MD,M,I,145 HIGHWAY 71 N,DE QUEEN,DE QUEEN,AR,718323706,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,25.87,25.87
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,32,85,313,59.554888179,8.32,5.9261022364,5.9261022364
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,24,24,14.179166667,3.38,2.5395833333,2.5395833333
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,19.33,2.12,1.67,1.67
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,24,49,100,15.7718,1.42,1.0701,1.0701
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,9.35,6.74,4.8436666667,4.8436666667
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.15,3.04,2.184875,2.184875
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,325,14.16,7.4915384615,5.4542769231,3.7787384615
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3300,2.67,0.4918181818,0.383369697,0.2878575758
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,22.4775,17.620833333,14.031666667
1043210032,SIPALA,ELIZABETH,P,CRNP,F,I,6602 CHURCH HILL RD,SUITE 200,CHESTERTOWN,MD,216202310,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,237.03703704,99.604444444,73.747407407,52.175925926
1043210057,HOTEP,DEBORAH,R,ARNP,F,I,3141 N 3RD AVE,SUITE 100; AZ060-N120,PHOENIX,AZ,850134351,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,15,185,11.302324324,10.93,8.1928108108,8.1928108108
1043210057,HOTEP,DEBORAH,R,ARNP,F,I,3141 N 3RD AVE,SUITE 100; AZ060-N120,PHOENIX,AZ,850134351,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,17,626,3.8758466454,3.67,2.7918370607,2.7918370607
1043210164,NICELY,ERIC,R,M.D.,M,I,7557 DANNAHER LN,SUITE 230,POWELL,TN,378493558,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8,2.49,1.7875,1.7875
1043210164,NICELY,ERIC,R,M.D.,M,I,7557 DANNAHER LN,SUITE 230,POWELL,TN,378493558,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,37,6630,4.4331674208,1.73,0.9304419306,1.0934600302
1043210164,NICELY,ERIC,R,M.D.,M,I,7557 DANNAHER LN,SUITE 230,POWELL,TN,378493558,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,40,9.7895,9.29,6.9165,8.21775
1043210164,NICELY,ERIC,R,M.D.,M,I,7557 DANNAHER LN,SUITE 230,POWELL,TN,378493558,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,26,6.8215384615,6.34,4.5876923077,5.4803846154
1043210206,HUGHES,SCOTT,E,DPM,M,I,1042 N MONROE ST,,MONROE,MI,48162,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,77.186666667,71.56,56.105,56.105
1043210206,HUGHES,SCOTT,E,DPM,M,I,1042 N MONROE ST,,MONROE,MI,48162,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,66,47.658181818,43.56,34.151666667,34.150151515
1043210206,HUGHES,SCOTT,E,DPM,M,I,1042 N MONROE ST,,MONROE,MI,48162,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,55.55,17.908,11.77,11.377
1043210206,HUGHES,SCOTT,E,DPM,M,I,1042 N MONROE ST,,MONROE,MI,48162,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,350,251.28,197,218.89
1043210206,HUGHES,SCOTT,E,DPM,M,I,1042 N MONROE ST,,MONROE,MI,48162,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,303.52,153.88,120.17714286,119.28714286
1043210230,MORGAN,MARCIA,M,MD,F,I,2426 EASTCHESTER RD,STE 204,BRONX,NY,10469,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,58,162,76.445432099,8.32,5.9182716049,5.9182716049
1043210230,MORGAN,MARCIA,M,MD,F,I,2426 EASTCHESTER RD,STE 204,BRONX,NY,10469,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,30,43,17.517674419,1.42,1.0362790698,1.0362790698
1043210230,MORGAN,MARCIA,M,MD,F,I,2426 EASTCHESTER RD,STE 204,BRONX,NY,10469,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,190,47.049090909,36.883636364,38.176363636
1043210230,MORGAN,MARCIA,M,MD,F,I,2426 EASTCHESTER RD,STE 204,BRONX,NY,10469,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,37.71,22.048181818,17.29,21.4
1043210230,MORGAN,MARCIA,M,MD,F,I,2426 EASTCHESTER RD,STE 204,BRONX,NY,10469,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,11.53,7.0136363636,5.4981818182,6.6109090909
1043210271,DAWSON,MARK,,M.D.,M,I,717 CURTIS DR,,RAYNE,LA,705788311,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,50,95,46.371473684,8.32,5.5604210526,5.5604210526
1043210271,DAWSON,MARK,,M.D.,M,I,717 CURTIS DR,,RAYNE,LA,705788311,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,27,30,10.749333333,1.42,0.932,0.932
1043210271,DAWSON,MARK,,M.D.,M,I,717 CURTIS DR,,RAYNE,LA,705788311,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,41.483478261,17.29,12.960869565,12.943478261
1043210271,DAWSON,MARK,,M.D.,M,I,717 CURTIS DR,,RAYNE,LA,705788311,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,217.81565217,70.23,53.014347826,52.703913043
1043210271,DAWSON,MARK,,M.D.,M,I,717 CURTIS DR,,RAYNE,LA,705788311,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,1559,3.4329057088,0.1369146889,0.0968441309,0.0968441309
1043210271,DAWSON,MARK,,M.D.,M,I,717 CURTIS DR,,RAYNE,LA,705788311,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,21.89,21.89
1043210297,DELANEY,VERONICA,B,MD,F,I,5 E 98TH ST FL 12,,NEW YORK,NY,100296501,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,840,4.9455238095,0.4160357143,0.2753690476,0.2753690476
1043210297,DELANEY,VERONICA,B,MD,F,I,5 E 98TH ST FL 12,,NEW YORK,NY,100296501,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,25,63,327,45119,4.9661634788,0.5655258317,0.4327210266,0.4327188103
1043210297,DELANEY,VERONICA,B,MD,F,I,5 E 98TH ST FL 12,,NEW YORK,NY,100296501,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,97,18000,0.0838733333,0.0129333333,0.0094122222,0.0094122222
1043210297,DELANEY,VERONICA,B,MD,F,I,5 E 98TH ST FL 12,,NEW YORK,NY,100296501,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,48,228,27060,4.1245613452,1.2594235033,0.9695569106,0.9695569106
1043210297,DELANEY,VERONICA,B,MD,F,I,5 E 98TH ST FL 12,,NEW YORK,NY,100296501,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,28,69,276,276,24,24,18.459456522,18.459456522
1043210297,DELANEY,VERONICA,B,MD,F,I,5 E 98TH ST FL 12,,NEW YORK,NY,100296501,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,24,68,341,436,16,16,12.230504587,12.230504587
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,32,160.6734375,31.41,20.8953125,22.2190625
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,22,127,89.93496063,17.47,12.733070866,13.588031496
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,26,26,212.71076923,53.45,39.641153846,40.617307692
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,67.278,17.042666667,12.598666667,13.300666667
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,37,37,77.517297297,10.835945946,8.3602702703,8.9864864865
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,38,222,10.592522523,2,1.5683333333,1.5916666667
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,28.615833333,5.86,4.6,4.66
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,42.591538462,12.29,9.63,10.34
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,69.325789474,18.033684211,13.435789474,12.786315789
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,11,11,184.47363636,48.587272727,38.096363636,37.63
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,1798.6,1074.31,836.02217391,836.02217391
1043210396,ARAFAT,NUMAN,A,MD,M,I,500 E RIDGE RD,SUITE 202,MCALLEN,TX,785031508,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,378.2812,78.816,59.44,53.192
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,42,116,322,65.662173913,8.32,5.9450310559,5.9450310559
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,14.656,3.38,2.65,2.65
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,22.628333333,2.12,1.67,1.67
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,23,56,90,14.982222222,1.42,1.0911111111,1.0911111111
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,34.15,28.46,22.31,22.31
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,48,7.375,5.87,4.6,4.703125
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4346,"Indwelling catheter; foley type, three way for continuous irrigation, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,27.06,22.04,17.28,17.28
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,47,70,11.922571429,10.888857143,8.5374285714,8.5672857143
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,6.26,6.26,4.91,5.7716666667
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,7.1133333333,5.74,4.5,4.5
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,32,7.774375,6.435625,5.045,5.048125
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,550,0.2918181818,0.27,0.2116,0.2116
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,4.775,3.97,2.8526666667,2.8526666667
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,3.93,3.04,2.3835,2.3835
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,,25,25,396.6048,118.1116,80.8448,58.6644
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,,25,63,151.37809524,43.52968254,31.203015873,23.473333333
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,41,58.521707317,19.950243902,15.641707317,11.893170732
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,19,19,237.32789474,74.446315789,58.142105263,42.635263158
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,17,25,25,71.8552,24.6204,18.7348,13.854
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,35,35,75.853142857,19.770285714,14.922,8.928
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,20,49,260,10.9135,2.8184615385,2.1146923077,1.5313461538
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,19.328333333,9.11,6.7125,4.5333333333
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,54.13,15.7275,11.386666667,9.4783333333
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,169.05,76.183478261,55.370434783,37.303913043
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,77,79,65.012025316,23.734556962,17.673291139,14.705063291
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,58.82,46.115,37.63
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,3860.6915152,913.16,671.52969697,779.31787879
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,81.75,17.228333333,12.221111111,8.7622222222
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,30.225555556,6.9419444444,5.3427777778,3.7127777778
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,220.87942857,51.228,37.407714286,27.767428571
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,33,221,223,417.55215247,100.95381166,73.949506726,56.414170404
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,6756,0.1936826525,0.0465068088,0.0352338662,0.0352338662
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,1560,12.61425,3.0641923077,2.3156858974,2.3156858974
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,71.979545455,28.096818182,17.443181818,11.111818182
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,114.74526316,44.979473684,31.807368421,28.844210526
1043210453,SYME,ALISON,A,MD,F,I,409 E GREENVILLE AVE,,WINCHESTER,IN,473949436,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,39,39,68.538461538,33,25.206666667,25.206666667
1043210479,COLEMAN,KAREN,J,CRNP,F,I,155 WILSON AVE,,WASHINGTON,PA,153013336,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,54,80.383888889,8.32,5.3146296296,5.3146296296
1043210537,MCELROY,LAURA,A,APRN,F,I,9800 SHELBYVILLE RD,SUITE #220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,24,369.755,71.5,56.06,54.840833333
1043210537,MCELROY,LAURA,A,APRN,F,I,9800 SHELBYVILLE RD,SUITE #220,LOUISVILLE,KY,402232992,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,36.82,28.87,29.411666667
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,59,213,413,74.388135593,8.32,5.4433414044,5.4433414044
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,32,76,91,18.336153846,1.42,0.9583516484,0.9583516484
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,86.591818182,71.56,55.631818182,55.631818182
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,53.76,16.59,12.016,12.5304
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,77.45,44.17,34.63,37.38
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,24.058823529,4.4123529412,3.4635294118,3.7588235294
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,152,32.374,25.38,24.9095
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,130,45.209090909,26.133636364,25.348181818
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,89,89,343.25842697,67.72,50.834831461,52.217865169
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,8869,0.2772184012,0.0465475251,0.034421017,0.0344198895
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,392,8.7054591837,3.2371428571,2.1952806122,2.1952806122
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,35,7.48,5.8627272727,6.29
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38.72,30.36,29.52
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,599.5,102.48,80.34,84.47
1043210628,PRIBULA,PAVEL,,M.D.,M,I,751 E 16TH ST,SUITE 300,BERWICK,PA,186032321,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,33,33,24.946071429,24.946071429
1043210669,SUPONYA,ANNA,,M.D.,F,I,9920 4TH AVE,SUITE 206,BROOKLYN,NY,112098333,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,48,68.90625,8.32,6.250625,6.250625
1043210669,SUPONYA,ANNA,,M.D.,F,I,9920 4TH AVE,SUITE 206,BROOKLYN,NY,112098333,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,15,28.117333333,1.42,1.0426666667,1.0426666667
1043210669,SUPONYA,ANNA,,M.D.,F,I,9920 4TH AVE,SUITE 206,BROOKLYN,NY,112098333,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,1320,11.1625,3.0130454545,2.2535606061,2.2535606061
1043210669,SUPONYA,ANNA,,M.D.,F,I,9920 4TH AVE,SUITE 206,BROOKLYN,NY,112098333,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,32,33,33,25.87,25.87
1043210818,BOUTELL,MATTHEW,J,MD,M,I,2680 LEONARD ST. NE,,GRAND RAPIDS,MI,49525,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,27,42.448148148,8.32,6.0418518519,6.0418518519
1043210818,BOUTELL,MATTHEW,J,MD,M,I,2680 LEONARD ST. NE,,GRAND RAPIDS,MI,49525,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17.76,13.93,13.54
1043210818,BOUTELL,MATTHEW,J,MD,M,I,2680 LEONARD ST. NE,,GRAND RAPIDS,MI,49525,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,79.88,62.62,54.72
1043210818,BOUTELL,MATTHEW,J,MD,M,I,2680 LEONARD ST. NE,,GRAND RAPIDS,MI,49525,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40,25.34,19.866363636,21.148181818
1043210818,BOUTELL,MATTHEW,J,MD,M,I,2680 LEONARD ST. NE,,GRAND RAPIDS,MI,49525,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,130,48.9125,38.35,38.271666667
1043210826,VIJAYVARGIYA,PRERNA,,MD,F,I,220 N SYKES CREEK PKWY STE 301,,MERRITT ISLAND,FL,329533490,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,33,85,76.525529412,8.32,6.2152941176,6.2152941176
1043210826,VIJAYVARGIYA,PRERNA,,MD,F,I,220 N SYKES CREEK PKWY STE 301,,MERRITT ISLAND,FL,329533490,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,18,15.189444444,1.42,1.1166666667,1.1166666667
1043210826,VIJAYVARGIYA,PRERNA,,MD,F,I,220 N SYKES CREEK PKWY STE 301,,MERRITT ISLAND,FL,329533490,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,28.305,16.61,12.255833333,12.672916667
1043210826,VIJAYVARGIYA,PRERNA,,MD,F,I,220 N SYKES CREEK PKWY STE 301,,MERRITT ISLAND,FL,329533490,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,18.58,3.8875,3.0425,3.66
1043210826,VIJAYVARGIYA,PRERNA,,MD,F,I,220 N SYKES CREEK PKWY STE 301,,MERRITT ISLAND,FL,329533490,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,149.9,75.015,53.596666667,51.795416667
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,43,131,69.395343511,8.32,5.1777099237,5.1777099237
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,19,15.907894737,1.42,0.7042105263,0.7042105263
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,2.2916666667,2.2666666667,1.6300555556,1.633
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,10.933076923,10.917692308,7.8188461538,7.83
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,264.98416667,57.773333333,45.2925,42.9
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,82,12.454634146,2.2317073171,1.7492682927,1.5903658537
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,55.916,17.5,10.976,10.841
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,64,527.50078125,78.79625,56.77859375,50.96265625
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,190.76166667,38.91,27.12,26.231111111
1043210909,HOWE,ROBERT,J,DO,M,I,118 PORTSMOUTH AVE BLDG D,,STRATHAM,NH,038852487,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,285.6,38.364,30.078,29.61
1043210917,TERRIS,ALEXANDER,,D.P.M.,M,I,2700 SILVERSIDE RD,STE 3B,WILMINGTON,DE,198103719,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,275,273.68222222,204.64833333,208.97166667
1043210974,CARTER-WICKER,KITTY,B,MD,F,I,1513 CLEVELAND AVE BLDG 500,,EAST POINT,GA,303446903,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,41,43.361219512,8.32,6.4324390244,6.4324390244
1043211089,MCNAMEE,WILLIAM,B,M.D.,M,I,1503 LANSDOWNE AVE,SUITE 3010,DARBY,PA,190231330,US,Physician/Infectious Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.95,2.7527272727,3.3572727273
1043211089,MCNAMEE,WILLIAM,B,M.D.,M,I,1503 LANSDOWNE AVE,SUITE 3010,DARBY,PA,190231330,US,Physician/Infectious Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1230,0.92,0.1328780488,0.0886504065,0.0886504065
1043211089,MCNAMEE,WILLIAM,B,M.D.,M,I,1503 LANSDOWNE AVE,SUITE 3010,DARBY,PA,190231330,US,Physician/Infectious Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,21.89,21.89
1043211204,SMITH,PAULA,R,M.D.,F,I,408 N STATE OF FRANKLIN RD,SUITE 24,JOHNSON CITY,TN,376046089,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,17.29,13.55,13.53
1043211295,JONES,ROBERT,C,MD,M,I,3200 RIVERSIDE DR STE B300,,MACON,GA,312102561,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35,17.29,12.420833333,12.4025
1043211295,JONES,ROBERT,C,MD,M,I,3200 RIVERSIDE DR STE B300,,MACON,GA,312102561,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,150,70.23,50.471666667,50.16
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,37,77,78.282987013,8.32,5.505974026,5.505974026
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,8.19,1.9223076923,1.4088461538,1.1153846154
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,357.42545455,91.818181818,53.007272727,49.555454545
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,124.39428571,35.598928571,24.822857143,22.838571429
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,90,9.4666666667,2.1173333333,1.4275555556,1.361
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,85.603125,16.98,13.31,13.53
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,33,13.0175,10.209166667,8.7658333333
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,31,15.673548387,11.588064516,9.0893548387,7.965483871
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,300,210.825,165.28,165.28
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,520.83565217,76.905217391,55.067826087,49.970869565
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,3720,1.7055887097,0.1329354839,0.0925107527,0.0925107527
1043211493,SALARIA,VIKRANT,,M.D.,M,I,800 MERCY DR,SUITE 120,COUNCIL BLUFFS,IA,515033128,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,34,34,62.823529412,33,23.087647059,23.087647059
1043211626,BLANK,STEPHANIE,,MD,F,I,160 E 34TH ST,4TH FL.,NEW YORK,NY,100164750,US,Physician/Gynecological Oncology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,9.2845454545,7.2781818182,9.0127272727
1043211691,RIVERO,EVARISTO,E,DPM,M,I,230 E INTERLAKE BLVD,,LAKE PLACID,FL,338529603,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,54,81.018518519,71.56,55.563888889,55.563703704
1043211691,RIVERO,EVARISTO,E,DPM,M,I,230 E INTERLAKE BLVD,,LAKE PLACID,FL,338529603,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,126,30,29.19,22.885,22.886349206
1043211766,REIM,REBECCA,M,MD,F,I,226 N PINE ST,,REEDSBURG,WI,539591655,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,7.5041666667,5.4783333333,3.1916666667
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,34,93,246,70.200609756,8.32,6.1269512195,6.1269512195
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,9.2454545455,3.38,2.65,2.65
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,41,59,14.74220339,1.42,1.0394915254,1.0394915254
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,11.394,1.91,1.1988333333,1.298
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,560,14,4.9,3.8395178571,4.1368214286
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,26,9008,0.6944094139,0.3,0.2298168295,0.2364797957
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,22,22,130,59.142727273,46.368636364,48.323181818
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,46.711818182,36.621818182,38.439090909
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,57.868235294,5.7132352941,4.4826470588,3.7055882353
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,30,4.9790322581,3.9067741935,3.9532258065
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,9.1590909091,5.0690909091,6.4963636364
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,48,509.853125,70,53.736666667,53.596041667
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,59.12,15.719090909,12.325454545,14.289090909
1043211840,CERVANTES,CRISNOEL,,M.D.,M,I,65 LACEY RD,SUITE A,WHITING,NJ,087592985,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,78,33,24.694090909,24.694090909
1043211915,DAVIS,JEANNETTE,D,ARNP,F,I,525 LILLY RD NE,,OLYMPIA,WA,985065101,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,40.146666667,3.97,2.8285714286,3.2657142857
1043211956,KORTE,KATHRYN,,FNP,F,I,444 STOCKBRIDGE ROAD,,GREAT BARRINGTON,MA,01230,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,38,74,79.433513514,8.32,5.4414864865,5.4414864865
1043211956,KORTE,KATHRYN,,FNP,F,I,444 STOCKBRIDGE ROAD,,GREAT BARRINGTON,MA,01230,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.5,2.27,1.4561298701,1.4561298701
1043211956,KORTE,KATHRYN,,FNP,F,I,444 STOCKBRIDGE ROAD,,GREAT BARRINGTON,MA,01230,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,19,149.87736842,40.572631579,31.812631579,25.918947368
1043211956,KORTE,KATHRYN,,FNP,F,I,444 STOCKBRIDGE ROAD,,GREAT BARRINGTON,MA,01230,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,58,9.5262068966,2.464137931,1.8118965517,1.484137931
1043211956,KORTE,KATHRYN,,FNP,F,I,444 STOCKBRIDGE ROAD,,GREAT BARRINGTON,MA,01230,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,228.8,69.62,41.544666667,41.694666667
1043211980,LORTON,JAY,D,MD,M,I,6475 S YALE AVE STE 301,,TULSA,OK,74136,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,32,32,200,104.26,81.74,86.40375
1043211998,ROBERSON,JENNIFER,,MD,F,I,324 N QUEEN STREET,,KINSTON,NC,285014932,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,37,65,188,84.530851064,8.32,5.6042553191,5.6042553191
1043211998,ROBERSON,JENNIFER,,MD,F,I,324 N QUEEN STREET,,KINSTON,NC,285014932,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,19,19,15.526315789,3.38,2.65,2.65
1043211998,ROBERSON,JENNIFER,,MD,F,I,324 N QUEEN STREET,,KINSTON,NC,285014932,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,24.423636364,2.12,1.3663636364,1.3663636364
1043211998,ROBERSON,JENNIFER,,MD,F,I,324 N QUEEN STREET,,KINSTON,NC,285014932,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,17,27,52,16.343269231,1.42,1.0276923077,1.0276923077
1043211998,ROBERSON,JENNIFER,,MD,F,I,324 N QUEEN STREET,,KINSTON,NC,285014932,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,41.274615385,7.5176923077,5.6130769231,3.6676923077
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,19,71,156,54.211858974,8.111474359,5.4395512821,5.6167948718
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,26,29,14.644137931,1.42,1.0027586207,1.0027586207
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,3.65,3.43,2.2009090909,2.2009090909
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,90.220909091,50.046363636,39.238181818,30.49
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,370,4.213972973,3.97,2.7678108108,2.7678108108
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,305,0.3,0.27,0.1769180328,0.1769180328
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,611.0825,126.21625,93.70375,68.295625
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,24,246.46291667,47.013333333,36.857916667,27.798333333
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,75,67.0948,27.411333333,21.490133333,14.551866667
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,78,29.809230769,19.273333333,15.110384615,11.879230769
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,20,29,29,181.70896552,77.796896552,58.883103448,40.774827586
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,29,34,34,87.893235294,25.895882353,19.84,13.895882353
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,32,32,62.838125,21.228125,16.3271875,9.1934375
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,25,40,234,9.667008547,3.1892307692,2.4552136752,1.6212393162
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,23,23,18.203478261,9.0669565217,6.8847826087,4.45
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,50.311428571,16.03,11.757857143,9.6014285714
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,161.01333333,21.875555556,16.044074074,12.527777778
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,43.691818182,35.422727273
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,404.12866667,141.47066667,110.912,75.15
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,167.97794118,7.2564705882,5.4747058824,3.9270588235
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,69,69,252.5142029,48.235507246,35.20115942,24.895507246
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,66,66,595.1830303,96.415757576,68.934242424,48.531363636
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,5168,0.254127322,0.0474845201,0.0321768576,0.0321768576
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,51,5458,2.1411597655,0.1343917186,0.10338952,0.10338952
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,930,7.5847204301,3.0453225806,2.1532150538,2.1532150538
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,131.86666667,42.683333333,29.488095238,25.855238095
1043212228,BOMAR,SALLY,A,M.D.,F,I,2016 S MAIN ST,,MARYVILLE,MO,644682655,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,77,77,33,33,23.861298701,23.861298701
1043212269,MOSTOVYCH,MARK,A,MD,M,I,1824 KING ST,STE 200,JACKSONVILLE,FL,322044735,US,Physician/Cardiac Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,140.11555556,53.787777778,42.169444444,39.457777778
1043212269,MOSTOVYCH,MARK,A,MD,M,I,1824 KING ST,STE 200,JACKSONVILLE,FL,322044735,US,Physician/Cardiac Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,70.523684211,20.075263158,15.055263158,13.175263158
1043212269,MOSTOVYCH,MARK,A,MD,M,I,1824 KING ST,STE 200,JACKSONVILLE,FL,322044735,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,405.95923077,79.715384615,57.843076923,56.743076923
1043212293,KNOX,DOUGLAS,B,M.D.,M,I,1010 CARONDELET DR,STE 140,KANSAS CITY,MO,641144821,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,71,74.564225352,8.32,5.8785915493,5.8785915493
1043212293,KNOX,DOUGLAS,B,M.D.,M,I,1010 CARONDELET DR,STE 140,KANSAS CITY,MO,641144821,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,19,23.553684211,1.42,1.0584210526,1.0584210526
1043212293,KNOX,DOUGLAS,B,M.D.,M,I,1010 CARONDELET DR,STE 140,KANSAS CITY,MO,641144821,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,64.462,11.908,8.7346666667,8.538
1043212293,KNOX,DOUGLAS,B,M.D.,M,I,1010 CARONDELET DR,STE 140,KANSAS CITY,MO,641144821,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,87,9.5577011494,2.0020689655,1.4613793103,1.481954023
1043212293,KNOX,DOUGLAS,B,M.D.,M,I,1010 CARONDELET DR,STE 140,KANSAS CITY,MO,641144821,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,86.31,17.71,13.158947368,12.845789474
1043212293,KNOX,DOUGLAS,B,M.D.,M,I,1010 CARONDELET DR,STE 140,KANSAS CITY,MO,641144821,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,179.40545455,34.386363636,26.964545455,26.599090909
1043212293,KNOX,DOUGLAS,B,M.D.,M,I,1010 CARONDELET DR,STE 140,KANSAS CITY,MO,641144821,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,519.51,78.787894737,58.493684211,52.2
1043212483,OSTROWSKI,EMILY,A,M.D.,F,I,5617 SKYTOP DR,,LITHIA,FL,335474165,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,55.36625,8.32,6.4441666667,6.4441666667
1043212525,VOYTKO,DIANE,,MD,F,I,50 BUCK CREEK ROAD,SUITE 200,AVON,CO,81620,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,220,114.50307692,89.774615385,54.73
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,43,124,286,61.808426573,8.32,5.8877972028,5.8877972028
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,13.515,3.38,2.65,2.65
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,16.513333333,2.12,1.67,1.67
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,28,67,83,14.598192771,1.4161445783,1.1146987952,1.1146987952
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,21,42,8.19,1.47,1.0404761905,1.0404761905
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,170.816,51.884,33.496,33.1
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,135,48.555625,33.919375,33.356875
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,79.365333333,17.29,9.0333333333,9.0213333333
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,62,62,39.259677419,4.6583870968,2.5991935484,2.5975806452
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,64.604,32.448,18.266,17.92
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,66,80,499.052875,71.3955,51.769,50.555375
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,20,250,37.776,29.614,29.51
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,2834,0.2514467184,0.0482145378,0.0348729711,0.0348729711
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,2580,0.9642790698,0.1359186047,0.0938992248,0.0938992248
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1110,10.864117117,2.9361891892,2.301963964,2.301963964
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,50,50,73.4024,20.0654,12.2038,10.85
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,612.25,134.041,105.092,103.478
1043212616,BANISTER,PAMELA,K,M.D.,F,I,2529 S 1ST ST,,AUSTIN,TX,787045466,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,55,55,115.8,33,23.518181818,23.518181818
1043212632,SAAVEDRA,RAMON,A,M.D.,M,I,2930 HILLRISE DR,STE 1,LAS CRUCES,NM,880114776,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,48.403103448,8.32,6.0720689655,6.0720689655
1043212764,HOLLAND,DANIEL,L,MD,M,I,612 MOCKSVILLE AVE,,SALISBURY,NC,281442732,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,225,56.248333333,44.099166667,40.125833333
1043212764,HOLLAND,DANIEL,L,MD,M,I,612 MOCKSVILLE AVE,,SALISBURY,NC,281442732,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,3093.545,1074.31,838.8555,838.8555
1043212764,HOLLAND,DANIEL,L,MD,M,I,612 MOCKSVILLE AVE,,SALISBURY,NC,281442732,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,20,5.9561538462,4.5073076923,3.6411538462
1043212764,HOLLAND,DANIEL,L,MD,M,I,612 MOCKSVILLE AVE,,SALISBURY,NC,281442732,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,68,68,435.11029412,79,57.910588235,51.442941176
1043212764,HOLLAND,DANIEL,L,MD,M,I,612 MOCKSVILLE AVE,,SALISBURY,NC,281442732,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,61,80.081967213,35.27,26.087868852,27.909508197
1043212780,JUN,GREG,J,MD,M,I,650 DAKOTA ST STE A,,CRYSTAL LAKE,IL,60012,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,43,144,60.343194444,8.32,5.913125,5.913125
1043212780,JUN,GREG,J,MD,M,I,650 DAKOTA ST STE A,,CRYSTAL LAKE,IL,60012,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,28,12.460357143,1.42,1.0742857143,1.0742857143
1043212780,JUN,GREG,J,MD,M,I,650 DAKOTA ST STE A,,CRYSTAL LAKE,IL,60012,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78.09,56.118333333,50.71
1043212970,HILDEBRANT,LAURA,,D.O.,F,I,727 STATE RD,SUITE 1,PRINCETON,NJ,085401444,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,29,90,77.652222222,8.32,5.9421111111,5.9421111111
1043212970,HILDEBRANT,LAURA,,D.O.,F,I,727 STATE RD,SUITE 1,PRINCETON,NJ,085401444,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,23,16.595217391,1.42,0.9704347826,0.9704347826
1043213051,GOROVOY,MARK,S,M.D.,M,I,12381 S CLEVELAND AVE,STE 300,FORT MYERS,FL,339073852,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,42,42,42,72.713809524,72.659761905,51.326190476,46.699047619
1043213051,GOROVOY,MARK,S,M.D.,M,I,12381 S CLEVELAND AVE,STE 300,FORT MYERS,FL,339073852,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,22,37.5,33.09,25.944090909,28.514090909
1043213051,GOROVOY,MARK,S,M.D.,M,I,12381 S CLEVELAND AVE,STE 300,FORT MYERS,FL,339073852,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,20,20,35,47.442857143,44.142285714,29.949714286,35.012
1043213051,GOROVOY,MARK,S,M.D.,M,I,12381 S CLEVELAND AVE,STE 300,FORT MYERS,FL,339073852,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,24,65.36,65.23,51.140833333,54.01
1043213069,BRUCE,DAVID,S,M.,M,I,1514 JEFFERSON HIGHWAY,,NEW ORLEANS,LA,70121,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,12,19,6630,6.399811463,0.5866199095,0.4599095023,0.4599095023
1043213069,BRUCE,DAVID,S,M.,M,I,1514 JEFFERSON HIGHWAY,,NEW ORLEANS,LA,70121,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,6150,0.0323804878,0.0128699187,0.010095935,0.010095935
1043213069,BRUCE,DAVID,S,M.,M,I,1514 JEFFERSON HIGHWAY,,NEW ORLEANS,LA,70121,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,3420,5.5031842105,1.5039473684,1.1790935673,1.1790935673
1043213069,BRUCE,DAVID,S,M.,M,I,1514 JEFFERSON HIGHWAY,,NEW ORLEANS,LA,70121,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24.75,24,18.82,18.82
1043213069,BRUCE,DAVID,S,M.,M,I,1514 JEFFERSON HIGHWAY,,NEW ORLEANS,LA,70121,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,14,31,37,16,16,12.54,12.54
1043213150,OBI,PATRICIA,R,MD,F,I,168 W UNIVERSITY PKWY,STE A&B,JACKSON,TN,383051624,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,75.779230769,18.696153846,14.657692308,10.01
1043213150,OBI,PATRICIA,R,MD,F,I,168 W UNIVERSITY PKWY,STE A&B,JACKSON,TN,383051624,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,72,10.376944444,2.8016666667,2.1969444444,1.7059722222
1043213150,OBI,PATRICIA,R,MD,F,I,168 W UNIVERSITY PKWY,STE A&B,JACKSON,TN,383051624,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,65.087142857,22.44,17.59047619,13.530952381
1043213150,OBI,PATRICIA,R,MD,F,I,168 W UNIVERSITY PKWY,STE A&B,JACKSON,TN,383051624,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,429.28965517,97.034137931,71.537931034,50.387241379
1043213150,OBI,PATRICIA,R,MD,F,I,168 W UNIVERSITY PKWY,STE A&B,JACKSON,TN,383051624,US,Physician/Cardiovascular Disease (Cardiology),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1320,0.92,0.1301136364,0.0875454545,0.0875454545
1043213150,OBI,PATRICIA,R,MD,F,I,168 W UNIVERSITY PKWY,STE A&B,JACKSON,TN,383051624,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,126.5,33,20.121111111,20.121111111
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,27,79,1000,54.96058,19.63746,15.16975,15.16975
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,27,84,2606,7.1347966232,2.6319416731,2.0083307751,2.0083307751
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,93,154,420,1847,64.269891716,8.3192203573,5.9615917704,5.9622035734
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,9,20,38,38,13.097368421,3.38,2.4407894737,2.4407894737
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,18,21,21,20.641428571,2.12,1.67,1.67
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,40,52,88,201,13.886716418,1.42,0.9689552239,0.9689552239
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,12,24,99.281666667,71.56,56.106666667,56.103333333
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,42.007272727,35.536363636,25.102727273,54.397272727
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,12,68,68,663.75352941,344.80455882,266.52147059,266.86911765
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,14,66,7880,15.783667513,10.619343909,8.3073680203,8.3073629442
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,9,34,134,138,479.80514493,251.07043478,194.75971014,194.79057971
1043213176,HARRIS,MATTHEY,T,M.D.,F,I,1240 JESSE JEWELL PKWY SE,STE 500,GAINESVILLE,GA,305013861,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,8,29,29,29,405.82517241,249.03724138,195.25275862,204.22758621
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,152,365,365,86.889232877,42.828739726,32.30709589,29.496082192
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,126,281,281,296.61160142,100.73120996,76.218825623,66.655765125
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,98,382,482,97.737966805,37.696099585,27.034439834,23.892987552
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,53,185,379,59.77348285,21.322744063,15.743773087,13.76182058
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,58,240,575,36.19853913,17.046469565,12.339843478,11.016991304
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,101,224,224,161.311875,63.137857143,45.169241071,39.020714286
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,197,281,281,56.787793594,20.396797153,15.166298932,13.542099644
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,17,17,31.842352941,10.860588235,8.0488235294,7.8205882353
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,64,119,119,69.830672269,15.441932773,11.64394958,9.151092437
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,220,1120,2906,7.113503097,2.4813523744,1.8418547832,1.5241259463
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,23,32,32,20.744375,6.821875,5.0409375,4.5478125
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,132,190,190,31.180684211,13.979,10.510736842,9.9827368421
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,14,93,93,319.88322581,85.362580645,59.880322581,57.31344086
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,20,132,135,962.90925926,230.14614815,174.81474074,158.20281481
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,40,41,41,628.9104878,150.89853659,118.30804878,111.25414634
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,48,214,223,43.516636771,14.486412556,9.8758295964,9.0835426009
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,91,529,535,279.88360748,38.947102804,28.455121495,24.451588785
1043213192,BATEN,MICHAEL,,M.D.,M,I,531 HARKLE RD,STE C,SANTA FE,NM,875054753,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,81,82,407.91463415,78.865853659,55.987317073,49.151097561
1043213291,HENDLEY,LEON,,M.D.,M,I,1300 36TH STREET,SUITE C,VERO BEACH,FL,32960,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,21,56,77.9025,8.32,5.2407142857,5.2407142857
1043213291,HENDLEY,LEON,,M.D.,M,I,1300 36TH STREET,SUITE C,VERO BEACH,FL,32960,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,21,13.772857143,1.42,0.9023809524,0.9023809524
1043213291,HENDLEY,LEON,,M.D.,M,I,1300 36TH STREET,SUITE C,VERO BEACH,FL,32960,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,17.29,13.55,13.536666667
1043213291,HENDLEY,LEON,,M.D.,M,I,1300 36TH STREET,SUITE C,VERO BEACH,FL,32960,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,760.48,70.23,55.06,54.8
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,30,83,199,58.700150754,8.32,6.0633165829,6.0633165829
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.829090909,3.38,2.65,2.65
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,33,45,16.224222222,1.42,1.0173333333,1.0173333333
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,349.716,68.4495,51.923,40.811
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,74,75,86.31,22.1988,17.004533333,13.5096
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,63.43,45.594545455,38.003636364
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,23.115,10.07375,7.898125,4.559375
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,112,113,499.81451327,102.31026549,78.097787611,54.629292035
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,38,11419,0.159274017,0.046475173,0.0337717839,0.0337717839
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,2400,1.4836583333,0.1343,0.0916708333,0.0916708333
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,0.34155,0.2193,0.1548166667,0.1548166667
1043213325,ALLMON,BECKY,L,DO,F,I,1615 25TH ST,,BEDFORD,IN,474214909,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,55,55,49.2,33,23.518181818,23.518181818
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,3.6,1,0.7808333333,0.7808333333
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,92,194,508,66.165846457,8.32,5.8538385827,5.8538385827
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,31,31,13.814193548,3.38,2.65,2.65
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,16,20,20,19.185,2.12,1.67,1.67
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,51,100,137,13.421459854,1.42,1.034379562,1.034379562
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,440,4.3709090909,3.04,2.3832954545,2.3832954545
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,13,20,63,6.8657142857,1.45,1.1,1.1161904762
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,14,31,141,52.277659574,19.5,13.690496454,12.985177305
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,11,27,146,35.462876712,15.626849315,11.32760274,11.02390411
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,23,56,56,142.67910714,56.2425,42.037321429,40.867857143
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,37,37,46.794594595,16.818648649,12.472702703,13.360540541
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,22,46,46,48.057826087,12,9.0008695652,8.7360869565
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,26,60,307,7.6707166124,2,1.5271986971,1.5492508143
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,22.194285714,6.2278571429,4.53,4.3178571429
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,28.1035,12.4585,8.7855,9.348
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,510,14.144,13.124509804,10.087843137,10.087843137
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,356,596.27,268.32516854,210.25188202,210.25188202
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,356,20.085308989,9.3330617978,7.316741573,7.3254213483
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,356,62.77991573,29.166938202,22.866910112,22.893735955
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,34,36,258.86277778,52.487222222,41.147777778,38.167777778
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,43.928571429,16.36,12.83,13.083571429
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,30.11,14.41,11.3,10.574615385
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,41,41,29.268780488,6.6334146341,5.1987804878,4.1070731707
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,43,45,155.52177778,39,30.576,27.170666667
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,67,73,363.59123288,79.2,61.818767123,56.475205479
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,57.666666667,35.11,27.53,29.246
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,6759,0.2020979435,0.0457833999,0.0334324604,0.0334324604
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,3389,1.0872440248,0.1364296253,0.1069725583,0.1069725583
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,14,139.96571429,31.466428571,24.671428571,22.335
1043213366,NAGEL,SHIRLEY,A,M.D.,F,I,3619 LAKE CENTER DR,,MOUNT DORA,FL,327572364,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,55,55,117.6,33,25.399636364,25.399636364
1043213390,MARTIN,TONI,M,N.P.,F,I,106 W PIKE AVE,,PETERSBURG,IN,475678750,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,25,11.214615385,8.7946153846,4.1553846154
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,124,268,268,104.23589552,40.107910448,30.690261194,29.772350746
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,266,585,587,276.49686542,90.624258944,66.536064736,63.765212947
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,18,265,620,1672,103.52063995,35.273516746,26.806662679,25.220406699
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,157,369,2022,56.275637982,19.033684471,14.280603363,13.933021761
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,133,322,1766,46.6499547,15.89186863,11.503584371,11.027661382
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,286,658,658,175.70051672,56.006762918,41.09825228,40.165531915
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,504,712,712,55.280660112,19.049620787,14.314733146,13.533441011
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,59,73,73,21.798082192,11.89369863,8.9371232877,7.8857534247
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,421,928,928,60.219601293,12.685086207,9.5456465517,8.8248599138
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,26,535,1237,7177,7.9141605127,2.1694022572,1.6471143932,1.550221541
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,454,637,637,19.847158556,6.8117896389,5.1794976452,4.5758869702
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,348,480,480,30.60525,14.692875,11.063895833,10.0188125
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,11,89,486,494,349.31301619,93.456801619,70.015748988,65.158684211
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,52,55,809.71145455,229.10818182,176.66418182,160.75545455
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,101,102,102,385.81441176,137.10352941,101.35441176,99.158431373
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,41,157,173,74.879075145,13.423988439,9.4324277457,8.9446820809
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,156,978,1002,151.82680639,36.047185629,25.270578842,22.709510978
1043213408,SEIPEL,JOSEPH,F,M.D.,M,I,3605 NORTHGATE CT,STE 209,NEW ALBANY,IN,471506421,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,49,288.08122449,78.52244898,56.056326531,50.485510204
1043213424,PERRAUT,THOMAS,C,MD,M,I,192 HOSPITAL DR,,COLUMBUS,NC,287226418,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,25,74.6016,74.6016,44.2444,40.6596
1043213424,PERRAUT,THOMAS,C,MD,M,I,192 HOSPITAL DR,,COLUMBUS,NC,287226418,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,28,76,48.740357143,28.002857143,33.638214286
1043213424,PERRAUT,THOMAS,C,MD,M,I,192 HOSPITAL DR,,COLUMBUS,NC,287226418,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,39,94.115384615,67.76,46.091025641,46.978205128
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,28,96,259,58.363667954,8.3144401544,5.5708494208,5.5752123552
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,13.176666667,3.38,2.4291666667,2.4291666667
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,33,56,13.089464286,1.42,0.8957142857,0.8957142857
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,36,13.351666667,10.34,7.4291666667,7.8241666667
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,230,8.0908695652,7,5.2100869565,5.2100869565
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,197.37111111,124.13555556,87.687777778,63.235555556
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,19,52,84.266730769,45.905576923,33.1125,24.065576923
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,186.80272727,72.654545455,46.448181818,37.395454545
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,19,19,48.238947368,24.381052632,15.532631579,11.864210526
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,26,26,51.01,20.930384615,15.635384615,10.093846154
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,30,168,6.9153571429,2.8221428571,1.9181547619,1.4661309524
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,39.966363636,16.27,10.537272727,8.9581818182
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,200,62.393793103,40.458275862,29.241034483
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,56,77.423571429,22.407142857,16.539642857,13.223571429
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,40,17.431818182,12.614545455,9.5272727273
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,70.006875,9.130625,7.156875,3.8
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,112.45,53.552592593,40.072592593,33.24
1043213465,SPENCER,DEAN,W,M.D.,M,I,1012 WATER ST,,MEADVILLE,PA,163353468,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,91,93,371.87225806,102.49677419,75.860860215,56.380215054
1043213507,STABLES,JANICE,L,"MSN, ANP",F,I,1867 AIRPORT WAY,STE 110B,FAIRBANKS,AK,997014054,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,48,63.9225,8.32,5.4366666667,5.4366666667
1043213507,STABLES,JANICE,L,"MSN, ANP",F,I,1867 AIRPORT WAY,STE 110B,FAIRBANKS,AK,997014054,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,15,6.9906666667,1.42,0.8933333333,0.8933333333
1043213564,RUEHLE,STEPHEN,S,M.D.,M,I,624 QUAKER LN,STE 201C,HIGH POINT,NC,272623800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,37,71,74.81,8.32,6.5225352113,6.5225352113
1043213564,RUEHLE,STEPHEN,S,M.D.,M,I,624 QUAKER LN,STE 201C,HIGH POINT,NC,272623800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,22.19,1.42,1.12,1.12
1043213564,RUEHLE,STEPHEN,S,M.D.,M,I,624 QUAKER LN,STE 201C,HIGH POINT,NC,272623800,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55,10.4,8.1575,8.19
1043213564,RUEHLE,STEPHEN,S,M.D.,M,I,624 QUAKER LN,STE 201C,HIGH POINT,NC,272623800,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,580,152.6125,107.68666667,104.40333333
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,40,139,325,61.401292308,8.32,5.8717230769,5.8717230769
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.927692308,3.38,2.65,2.65
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,21.867272727,2.12,1.67,1.67
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,46,72,13.589444444,1.42,1.0531944444,1.0531944444
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,223.54818182,75.929090909,58.382727273,44.044545455
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,63.656923077,25.138461538,19.707692308,14.648461538
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,64.5,19.938333333,15.625833333,9.12
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,95,9.4164210526,3.1896842105,2.5011578947,1.6790526316
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,100,22.829285714,16.830714286,14.713571429
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,31.38,7.0355555556,5.5155555556,3.9083333333
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,271.15384615,66.543076923,47.560769231,27.426923077
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,398.43125,102.61833333,75.474166667,60.294166667
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1020,1.7741176471,0.1345294118,0.0947843137,0.0947843137
1043213622,KOLB,CHARLES,A,MD,M,I,901 W GREENWOOD ST,SUITE 9,ABBEVILLE,SC,296205678,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,50.470588235,33,22.826470588,22.826470588
1043213747,ADAMSKI,EDWIN,J,MD,M,I,7157 W HOWARD ST,,NILES,IL,607143757,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,40,118,260,69.637615385,8.32,5.2926538462,5.2926538462
1043213747,ADAMSKI,EDWIN,J,MD,M,I,7157 W HOWARD ST,,NILES,IL,607143757,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,25,58,65,15.192769231,1.42,0.8776923077,0.8776923077
1043213747,ADAMSKI,EDWIN,J,MD,M,I,7157 W HOWARD ST,,NILES,IL,607143757,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,100,4.34,3.4026666667,3.25875
1043213747,ADAMSKI,EDWIN,J,MD,M,I,7157 W HOWARD ST,,NILES,IL,607143757,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6756,1.3561278863,0.33,0.2374851983,0.2240911782
1043213747,ADAMSKI,EDWIN,J,MD,M,I,7157 W HOWARD ST,,NILES,IL,607143757,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.93,53.64,42.054545455,38.441818182
1043213820,MABRY,ROBERT,T,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Pediatric Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,315,6.8280952381,2.6380952381,2.0681904762,2.0681904762
1043213820,MABRY,ROBERT,T,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,40,100,348,63.920689655,8.32,5.9038793103,5.9038793103
1043213820,MABRY,ROBERT,T,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,32,65,11.830461538,1.42,0.9773846154,0.9773846154
1043213820,MABRY,ROBERT,T,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Pediatric Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,40,7.88,3.475,2.726,1.7275
1043213820,MABRY,ROBERT,T,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Pediatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1860,2.4350698925,0.1353225806,0.1061182796,0.1061182796
1043213820,MABRY,ROBERT,T,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1043213929,SARRAM,ALI,M,MD,M,I,11960 LIONESS WAY,SUITE 210,PARKER,CO,801345640,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,2970,0.39,0.13,0.0524242424,0.0524242424
1043213929,SARRAM,ALI,M,MD,M,I,11960 LIONESS WAY,SUITE 210,PARKER,CO,801345640,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,2910,4.7613402062,1.73,0.8648281787,1.0265292096
1043213929,SARRAM,ALI,M,MD,M,I,11960 LIONESS WAY,SUITE 210,PARKER,CO,801345640,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1620,9.65,6.9648148148,5.4083703704,5.6163024691
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,38,114,268,51.499664179,8.32,5.9443656716,5.9443656716
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.265,3.38,2.65,2.65
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,21,44,53,14.867169811,1.42,1.0332075472,1.0332075472
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,18,209.02333333,60.707777778,43.325555556,32.62
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,73,77,64.583766234,22.33038961,16.536753247,13.018311688
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,27.360555556,8.3605555556,6.3527777778,3.6277777778
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,106,107,351.89728972,99.738037383,72.371121495,51.743831776
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,196.81818182,44.560909091,34.160909091,30.688181818
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1620,1.2592407407,0.139037037,0.1090246914,0.1090246914
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,59.12,28.777619048,22.562380952,14.345714286
1043214067,MCCLUNG,WILLIAM,L,MD,M,I,204 E WASHINGTON ST,,LEXINGTON,VA,244502718,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,90.75,33,25.87,25.87
1043214315,STRELOW,SCOTT,A,M.D.,M,I,3320 FRANKLIN RD SW,,ROANOKE,VA,240141310,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,34,34,34,81.279117647,56.940588235,40.572647059,46.665882353
1043214315,STRELOW,SCOTT,A,M.D.,M,I,3320 FRANKLIN RD SW,,ROANOKE,VA,240141310,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,25,25,45,46.744444444,44.933777778,34.077555556,37.934
1043214315,STRELOW,SCOTT,A,M.D.,M,I,3320 FRANKLIN RD SW,,ROANOKE,VA,240141310,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,22,81.319090909,70.16,50.009090909,49.172727273
1043214323,WARR,OTIS,S,M.D.,M,I,555 W 6TH ST,,MOUNTAIN HOME,AR,726533409,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,52.8,21.788,16.086,15.808
1043214323,WARR,OTIS,S,M.D.,M,I,555 W 6TH ST,,MOUNTAIN HOME,AR,726533409,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,46.925833333,37.63
1043214323,WARR,OTIS,S,M.D.,M,I,555 W 6TH ST,,MOUNTAIN HOME,AR,726533409,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,104,104,304.74346154,101.10615385,73.291153846,58.581057692
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,59,127,391,45.597084399,8.32,5.7217902813,5.7217902813
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,38,38,14.083684211,3.38,2.3013157895,2.3013157895
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,16,24,24,20.572083333,2.12,1.6004166667,1.6004166667
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,44,89,144,10.642083333,1.42,0.9908333333,0.9908333333
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,18,8.19,1.51,1.0544444444,1.0277777778
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,218.3225,85.63,62.934375,63.655
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,31,88.481935484,32.56,23.98516129,24.378709677
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,108,58.568240741,18.3,13.683518519,13.859722222
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,28,28,149.65928571,54.744285714,41.179285714,41.113214286
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,28,28,48.357857143,17.606785714,13.315714286,13.578214286
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,36,36,55.698611111,11.540555556,8.5522222222,8.6155555556
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,40,224,7.7292857143,2.0545535714,1.5528571429,1.5357589286
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,20,20,18.509,6.006,4.47,4.418
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,29.095384615,12.723076923,9.9776923077,10.34
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,39,77.729230769,17.27,12.248717949,12.248717949
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,376.69230769,83.127692308,56.515769231,56.783846154
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,29.745652174,6.2539130435,4.7569565217,3.5730434783
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,110.444,33.786,26.486,26.49
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,146,146,347.62767123,68.78,50.649041096,51.274246575
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.7540416667,8.7540416667
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,4204,0.2066936251,0.0478901047,0.0325214082,0.0325214082
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,750,12.847453333,2.97328,2.33108,2.33108
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,128.349,27.754,20.74,20.292
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,65.26,36.83,28.87,29.51
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,474.96666667,140.518,104.39466667,104.106
1043214406,DE ASIS,MYRNA,C,M.D.,F,I,1819 TENTH ST,,WICHITA FALLS,TX,763015012,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,36,36,90.75,33,23.714166667,23.714166667
1043214562,GUNNELL,PAMELA,C,FNP,F,I,67 N WASHINGTON AVE,,COOKEVILLE,TN,385013371,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,195,68.612380952,53.794761905,37.468095238
1043214562,GUNNELL,PAMELA,C,FNP,F,I,67 N WASHINGTON AVE,,COOKEVILLE,TN,385013371,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,60.888461538,20.393846154,14.840769231,12.489230769
1043214562,GUNNELL,PAMELA,C,FNP,F,I,67 N WASHINGTON AVE,,COOKEVILLE,TN,385013371,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,34.494166667
1043214562,GUNNELL,PAMELA,C,FNP,F,I,67 N WASHINGTON AVE,,COOKEVILLE,TN,385013371,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,42.428181818,6.0622727273,4.4227272727,3.0727272727
1043214562,GUNNELL,PAMELA,C,FNP,F,I,67 N WASHINGTON AVE,,COOKEVILLE,TN,385013371,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,3750,0.17,0.0465813333,0.0313573333,0.0313573333
1043214562,GUNNELL,PAMELA,C,FNP,F,I,67 N WASHINGTON AVE,,COOKEVILLE,TN,385013371,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,980,1.7630408163,0.1327755102,0.0688469388,0.0688469388
1043214562,GUNNELL,PAMELA,C,FNP,F,I,67 N WASHINGTON AVE,,COOKEVILLE,TN,385013371,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,97.730769231,33,17.91,17.91
1043214588,GLEASON,MICHELE,L,M.D.,F,I,611 N DIERS AVE,STE 2,GRAND ISLAND,NE,688034960,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,21,49.595238095,45.701428571,35.82952381,41.237619048
1043214653,CABE,LORENZO,C,M.D.,M,I,900 E COMMERCE ST,,HERNANDO,MS,386322433,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.19,1.4,1.1,1.15
1043214653,CABE,LORENZO,C,M.D.,M,I,900 E COMMERCE ST,,HERNANDO,MS,386322433,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1950,0.92,0.1381384615,0.1027230769,0.1027230769
1043214653,CABE,LORENZO,C,M.D.,M,I,900 E COMMERCE ST,,HERNANDO,MS,386322433,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,132,33,25.092631579,25.092631579
1043214711,THESING,GREGORY,J,M.D.,M,I,15 ANTRIM RD,HDFH,HILLSBORO,NH,032445204,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,50,162,52.690864198,8.32,5.9582098765,5.9582098765
1043214711,THESING,GREGORY,J,M.D.,M,I,15 ANTRIM RD,HDFH,HILLSBORO,NH,032445204,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.005454545,3.38,2.65,2.65
1043214711,THESING,GREGORY,J,M.D.,M,I,15 ANTRIM RD,HDFH,HILLSBORO,NH,032445204,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,60,12.4305,1.42,1.0781666667,1.0781666667
1043214711,THESING,GREGORY,J,M.D.,M,I,15 ANTRIM RD,HDFH,HILLSBORO,NH,032445204,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,27,86.31,17.25,12.518518519,12.537777778
1043214711,THESING,GREGORY,J,M.D.,M,I,15 ANTRIM RD,HDFH,HILLSBORO,NH,032445204,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,519.51,69.62,45.811142857,45.958285714
1043214711,THESING,GREGORY,J,M.D.,M,I,15 ANTRIM RD,HDFH,HILLSBORO,NH,032445204,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2174,0.2164167433,0.0464121435,0.0363845446,0.0363845446
1043214711,THESING,GREGORY,J,M.D.,M,I,15 ANTRIM RD,HDFH,HILLSBORO,NH,032445204,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,115.5,33,25.87,25.87
1043214737,LEWIS,JOYCE,R,M.D.,F,I,3700 MARKET ST,STE C,CLARKSTON,GA,300212652,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,63,57.718253968,8.32,6.316031746,6.316031746
1043214737,LEWIS,JOYCE,R,M.D.,F,I,3700 MARKET ST,STE C,CLARKSTON,GA,300212652,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,24,14.092916667,1.42,1.1133333333,1.1133333333
1043214737,LEWIS,JOYCE,R,M.D.,F,I,3700 MARKET ST,STE C,CLARKSTON,GA,300212652,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,146.55,10.514166667,8.2429166667,8.2525
1043214737,LEWIS,JOYCE,R,M.D.,F,I,3700 MARKET ST,STE C,CLARKSTON,GA,300212652,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,36,217.95222222,10.163055556,7.9730555556,7.63
1043214737,LEWIS,JOYCE,R,M.D.,F,I,3700 MARKET ST,STE C,CLARKSTON,GA,300212652,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,465.68333333,202.50375,153.35208333,153.35208333
1043214778,BIRNER,NANCY,P,MD,F,I,12700 SOUTHFORK RD,STE 215,SAINT LOUIS,MO,631283201,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,31,87,55.39862069,8.32,5.5424137931,5.5424137931
1043214778,BIRNER,NANCY,P,MD,F,I,12700 SOUTHFORK RD,STE 215,SAINT LOUIS,MO,631283201,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,29,12.934482759,1.42,1.0379310345,1.0379310345
1043214778,BIRNER,NANCY,P,MD,F,I,12700 SOUTHFORK RD,STE 215,SAINT LOUIS,MO,631283201,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,114,33,25.87,25.87
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,29,107,205,46.292878049,8.32,5.8747804878,5.8747804878
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,8.955,3.38,1.9875,1.9875
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,44,57,9.3629824561,1.42,0.9594736842,0.9594736842
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,972,0.2790534979,0.13,0.0927674897,0.0927674897
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1092,0.6750274725,0.45,0.3528021978,0.3528021978
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,173,53.024545455,41.572727273,41.632727273
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,32,5.1582142857,4.0489285714,3.76
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,28,6316,0.3228720709,0.0466719443,0.0349176694,0.0349176694
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,37.739090909,19.637272727,15.401818182,13.496363636
1043214828,WALSH,RICHARD,P,MD,M,I,960 W WOOSTER ST,STE 115,BOWLING GREEN,OH,434022646,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,54.214285714,33,23.098214286,23.098214286
1043214877,CARROLL,ANDREW,J,MD,M,I,333 N DOBSON RD,SUITE 15,CHANDLER,AZ,85224,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,37,117,74.522136752,8.32,6.5217094017,6.5217094017
1043214877,CARROLL,ANDREW,J,MD,M,I,333 N DOBSON RD,SUITE 15,CHANDLER,AZ,85224,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,21,14.467142857,1.42,1.1133333333,1.1133333333
1043214877,CARROLL,ANDREW,J,MD,M,I,333 N DOBSON RD,SUITE 15,CHANDLER,AZ,85224,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,148.91666667,54.5,42.73,42.849166667
1043214877,CARROLL,ANDREW,J,MD,M,I,333 N DOBSON RD,SUITE 15,CHANDLER,AZ,85224,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,78,7.1212820513,2.1,1.6466666667,1.5958974359
1043214877,CARROLL,ANDREW,J,MD,M,I,333 N DOBSON RD,SUITE 15,CHANDLER,AZ,85224,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,52.247142857,5.4,2.9078571429,2.5642857143
1043214877,CARROLL,ANDREW,J,MD,M,I,333 N DOBSON RD,SUITE 15,CHANDLER,AZ,85224,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,161.15722222,31.22,23.635833333,24.269722222
1043214919,STANTON,STEVEN,J,,M,I,7095B HIGHWAY 6 N,,HOUSTON,TX,770952505,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.5,15.916666667,12.476666667,13.826666667
1043214919,STANTON,STEVEN,J,,M,I,7095B HIGHWAY 6 N,,HOUSTON,TX,770952505,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,17,18,180.45,96.59,75.720555556,65.905
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,75,47.7248,8.32,6.0005333333,6.0005333333
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,23,11.510869565,1.42,1.1139130435,1.1139130435
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,95.888571429,38.47,30.16,30.475714286
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,58,5.7310344828,2,1.5687931034,1.5893103448
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,25,3.9847368421,2.7015789474,3.0678947368
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,291,79.88,60.532666667,53.686
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1140,1.0512105263,0.1355526316,0.0967105263,0.0967105263
1043214950,ZIMMER,MICHAEL,A,MD,M,I,509 JACKSON ST N,,ST PETERSBURG,FL,337051477,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,101.0625,33,21.413125,21.413125
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,59,142,361,45.67468144,8.32,5.6327146814,5.6327146814
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.533333333,3.38,2.2966666667,2.2966666667
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,40,88,114,16.147982456,1.42,0.9501754386,0.9501754386
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,540,7.9787777778,5.54,4.0991111111,4.0991111111
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,5.346,5.23,4.1003333333,4.1003333333
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,540,5.0964444444,3.04,2.2951851852,2.2951851852
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,1050,0.286,0.24,0.1882,0.2093714286
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,28,85.874285714,71.015714286,55.676428571,56.102857143
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,27,3.897037037,1.47,0.8948148148,0.8948148148
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,412.86181818,86.33,61.527272727,61.676363636
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,204.16933333,54.47,42.71,42.85
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,70.182,17.88,13.076,13.123333333
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,61.485625,11.54,8.536875,8.603125
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,27,133,15.368345865,2.01,1.5769924812,1.5915789474
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,37,844,9.3837085308,5.54,4.2764099526,4.1674407583
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,5455,0.7010522456,0.38,0.2875948671,0.2849770852
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,6978,0.5165247922,0.3008483806,0.2358670106,0.2358670106
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,154.03916667,57.225,40.8725,40.120833333
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,50,53,49.438679245,17.29,13.038679245,13.02245283
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,37.44,11.766,8.516,8.388
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,83,83,56.476144578,4.7263855422,3.3943373494,3.3920481928
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,52,52,178.92384615,31.005,21.098076923,20.681538462
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,13.726,5.16,3.645,3.555
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,82,88,399.20977273,70.23,53.624090909,53.338409091
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,34,8351,0.2273739672,0.0467249431,0.0311555502,0.0311555502
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1190,0.5468907563,0.2185798319,0.1555798319,0.1555798319
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,73.818214286,18.849285714,12.740357143,11.695714286
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,120.99333333,30.586666667,20.38,19.03
1043214976,FAULK,RANDALL,J,M.D.,M,I,802 N MONCEAUX AVE,,KAPLAN,LA,705482013,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,39,81.230769231,33,23.167435897,23.167435897
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,115,362,70.355276243,8.32,6.0548895028,6.0548895028
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,41,64,15.14453125,1.42,1.02984375,1.02984375
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,85,10.4,10.4,8.154,8.4752941176
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,23,134.69217391,37.93,28.817391304,25.741304348
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,64.69,18.01,14.1175,9.12
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,29,73,8.1769863014,2.5671232877,2.0136986301,1.6193150685
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,69.336363636,63.048181818,49.431818182,43.445454545
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,32,56.3803125,21.61625,16.9465625,13.5321875
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,48.028846154,15.479615385,11.691538462,10.548846154
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,20,7.9542424242,6.0148484848,3.8533333333
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,20,115,51.3775,38.554,28.3735
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,48,51,409.9327451,95.583921569,72.69,52.582745098
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,98.076923077,44.900769231,32.676923077,27.796153846
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,2.11,0.457,0.3367222222,0.3367222222
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.0452,0.0126666667,0.0099388889,0.0099388889
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,6950,0.5306964029,0.0466215827,0.0288100719,0.0288100719
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,3390,2.1131887906,0.1346283186,0.0926696165,0.0926696165
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,16,16,11.644285714,11.644285714
1043214992,LUNNE,DENIS,R,M.D.,M,I,107 ROYAL BIRKDALE DR,SUITE A,COLUMBIANA,OH,44408,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,53,53,33,33,22.849056604,22.849056604
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,60.9375,19.71,15.45,15.45
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,60.9375,37.38,29.3,29.3
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,97.193333333,48.545,35.248333333,27.949166667
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,334.09,119.28882353,93.520588235,67.845294118
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,39,130.20794872,46.552820513,36.498205128,25.918974359
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,93,90.214731183,26.469569892,19.440967742,13.395591398
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,23,23,242.56130435,77.872173913,59.001304348,40.996521739
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,20,20,64.7395,25.1385,18.926,13.357
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,22,22,81.313181818,22.576363636,17.698181818,9.12
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,16,41,209,10.236028708,3.236076555,2.4526315789,1.5167942584
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,20.98,8.3163636364,6.0572727273,4.2318181818
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,40.212,15.766,12.356,10.522666667
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,81.75,15.437272727,11.050909091,9.5281818182
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,12,81,81,216.14246914,42.723333333,30.491604938,21.710246914
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,18.138125,6.041875,4.43125,4.43125
1043215023,HILL,ROGER,,M.D.,M,I,201 E OAK AVE.,,JONESBORO,AR,72401,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3742.7272727,2834.31,2216.4472727,2216.4472727
1043215130,WATERBOR,ROBERT,B,M.D.,M,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,29,80,71.078625,8.32,6.114625,6.114625
1043215130,WATERBOR,ROBERT,B,M.D.,M,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,36,80.803888889,19.24,14.46,13.933611111
1043215130,WATERBOR,ROBERT,B,M.D.,M,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,222.43363636,54.9,35.214545455,35.067272727
1043215130,WATERBOR,ROBERT,B,M.D.,M,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,70.830714286,12.038571429,8.7678571429,8.4685714286
1043215130,WATERBOR,ROBERT,B,M.D.,M,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,90,11.978,2.3751111111,1.7233333333,1.5441111111
1043215130,WATERBOR,ROBERT,B,M.D.,M,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,11,11,385.41,79.2,54.523636364,48.500909091
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,177,419,419,122.31508353,39.975608592,30.883818616,30.120381862
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,301,688,688,476.8397093,86.176569767,65.060726744,65.388139535
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,300,701,2043,128.7942046,33.486465981,25.695614293,25.39268233
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,517,1284,7399,63.538236248,18.580852818,13.911908366,13.902023246
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,274,619,3584,48.241897321,14.889601004,11.273392857,11.487873884
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,19,741,1865,1865,348.09238606,52.15280429,38.826745308,40.731705094
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,931,1411,1411,61.24817151,18.469355067,14.043451453,13.646293409
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,88,103,103,40.639223301,10.248349515,7.9568932039,8.0633980583
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,829,2038,2038,62.084926398,11.718979392,8.9354416094,8.8874386654
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,969,2507,14699,9.86754269,1.9046962378,1.4600959249,1.5546397714
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,576,822,822,19.452871046,6.015,4.6106326034,4.548649635
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,17,655,930,930,55.378182796,12.892655914,9.9405698925,10.162043011
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.86833333,821.15166667
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,68,348,373,605.9108311,84.735120643,64.526568365,65.164798928
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,39,215,232,1865.8362931,197.30280172,152.01232759,159.11965517
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,3980,1384.81,1070.4373333,1070.4373333
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,247,247,247,810.08441296,131.40668016,102.30080972,103.74194332
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,20,22,70.335454545,12.5,9.3545454545,9.9490909091
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,409,2326,2491,230.93882778,31.973657166,24.154969892,24.504295464
1043215270,KASS,RONALD,A,MD,M,I,1801 E MARCH LN,SUITE C300,STOCKTON,CA,952106629,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,37,345.69135135,71.04,55.186756757,54.325675676
1043215338,WATERS,GARY,G,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,34.029285714,28.46,19.122857143,19.122857143
1043215338,WATERS,GARY,G,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,12.981428571,10.93,7.3457142857,7.3457142857
1043215387,PEPE,ANTHONY,,MD,M,I,425 W 59TH ST,STE 8B,NEW YORK,NY,100191104,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,24,24,165,19.71,15.45,15.45
1043215387,PEPE,ANTHONY,,MD,M,I,425 W 59TH ST,STE 8B,NEW YORK,NY,100191104,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,24,83,250,37.38,29.307108434,29.307108434
1043215387,PEPE,ANTHONY,,MD,M,I,425 W 59TH ST,STE 8B,NEW YORK,NY,100191104,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,2473,64.115786494,1.5476061464,1.1552931662,1.1552931662
1043215403,LONG,KATHLEEN,A,MD,F,I,144 BILL CARRUTH PKWY STE 3100,,HIRAM,GA,301413819,US,Physician/Hematology-Oncology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,160,10.2275,3.32,2.1149375,2.5909375
1043215403,LONG,KATHLEEN,A,MD,F,I,144 BILL CARRUTH PKWY STE 3100,,HIRAM,GA,301413819,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,19,1596,40.797894737,5.3614473684,4.1443295739,4.1443295739
1043215403,LONG,KATHLEEN,A,MD,F,I,144 BILL CARRUTH PKWY STE 3100,,HIRAM,GA,301413819,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,19,24,16,11.88,11.88
1043215452,MCCUNE,STEVEN,L,"MD, PHD",M,I,340 KENNESTONE HOSPITAL BLVD STE 100,,MARIETTA,GA,300601158,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,26.6,17.25,10.864666667,10.881333333
1043215452,MCCUNE,STEVEN,L,"MD, PHD",M,I,340 KENNESTONE HOSPITAL BLVD STE 100,,MARIETTA,GA,300601158,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,142.448,75.56,48.132666667,44.594666667
1043215486,MCCORMICK,KEVIN,,MD,M,I,4444 KALAMAZOO AVE SE,,KENTWOOD,MI,495084600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,91,51.213516484,8.32,6.221978022,6.221978022
1043215486,MCCORMICK,KEVIN,,MD,M,I,4444 KALAMAZOO AVE SE,,KENTWOOD,MI,495084600,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,29,10.598965517,1.42,1.075862069,1.075862069
1043215486,MCCORMICK,KEVIN,,MD,M,I,4444 KALAMAZOO AVE SE,,KENTWOOD,MI,495084600,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,193.4952381,79.88,59.638095238,52.114285714
1043215577,SALARI,RAHIM,,M.D.,M,I,2625 S FLORIDA AVE,,LAKELAND,FL,338033860,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,80.766,12.16,8.904,8.54
1043215577,SALARI,RAHIM,,M.D.,M,I,2625 S FLORIDA AVE,,LAKELAND,FL,338033860,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,84,11.27,2.14,1.5569047619,1.4779761905
1043215577,SALARI,RAHIM,,M.D.,M,I,2625 S FLORIDA AVE,,LAKELAND,FL,338033860,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,55.436666667,16.99,13.32,13.53
1043215577,SALARI,RAHIM,,M.D.,M,I,2625 S FLORIDA AVE,,LAKELAND,FL,338033860,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,243.03923077,81.5,58.984615385,50.52
1043215676,RAFIQUE,NOMAN,,M.D.,M,I,7337 CARITAS CIR NW,,MASSILLON,OH,446469118,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,32,1343,5,1.5502457185,1.2153909159,1.2153909159
1043215676,RAFIQUE,NOMAN,,M.D.,M,I,7337 CARITAS CIR NW,,MASSILLON,OH,446469118,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,40,2505,17,4.6965668663,3.6821157685,3.6821157685
1043215676,RAFIQUE,NOMAN,,M.D.,M,I,7337 CARITAS CIR NW,,MASSILLON,OH,446469118,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,100,24,18.82,18.82
1043215676,RAFIQUE,NOMAN,,M.D.,M,I,7337 CARITAS CIR NW,,MASSILLON,OH,446469118,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,30,16,12.54,12.54
1043215759,PETERMANN,SCOTT,H,MD,M,I,4380 KINGS WAY,,VALDOSTA,GA,316026921,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,131,131,131,88.355496183,75.530305344,56.345725191,50.746793893
1043215759,PETERMANN,SCOTT,H,MD,M,I,4380 KINGS WAY,,VALDOSTA,GA,316026921,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,17,37,37,27.303529412,30.405882353
1043215759,PETERMANN,SCOTT,H,MD,M,I,4380 KINGS WAY,,VALDOSTA,GA,316026921,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,24,40,37,32.88,23.83725,26.7605
1043215759,PETERMANN,SCOTT,H,MD,M,I,4380 KINGS WAY,,VALDOSTA,GA,316026921,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,44,46.590909091,45.311590909,34.641363636,41.415227273
1043215759,PETERMANN,SCOTT,H,MD,M,I,4380 KINGS WAY,,VALDOSTA,GA,316026921,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,108,108,190,45.052631579,45.026368421,33.509263158,41.207789474
1043215809,RUSSELL,BYRON,D,MD,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,559,2.7828443649,2.27,1.6854561717,1.6854561717
1043215809,RUSSELL,BYRON,D,MD,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,13,40,5725,5.2973973799,2.04,1.5653310044,1.5653310044
1043215809,RUSSELL,BYRON,D,MD,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,53,6610,8.6742965204,7.2293948563,5.6027382753,5.6032072617
1043215809,RUSSELL,BYRON,D,MD,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,3140,12.449681529,7.88,6.147955414,6.147955414
1043215809,RUSSELL,BYRON,D,MD,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,28,12.943571429,10.93,8.57,8.57
1043215809,RUSSELL,BYRON,D,MD,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,52,15.608461538,7.26,5.5188461538,5.6390384615
1043215809,RUSSELL,BYRON,D,MD,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,0.46,0.26,0.204,0.2116
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,64,188,395,81.029088608,8.2981265823,5.0131898734,5.031721519
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,11.235714286,3.38,2.65,2.65
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,33,68,82,24.592317073,1.42,0.8446341463,0.8446341463
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,33,33,9.78,7.63,5.98,6.7596969697
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,230,1584,4.3239709596,3.379469697,2.5982070707,2.6367361111
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,29,17.484137931,13.8,10.82,10.82
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,35,64,11.906875,9.29,7.28,8.48515625
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,280,5.3185,4.91,3.3204285714,3.3204285714
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,420,13.456571429,5.54,4.3433809524,4.3433809524
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,69.105833333,48.545,37.8125,34.205833333
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,420,9.6857142857,3.04,2.3833809524,2.3833809524
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,43,43,86,83.470232558,71.56,46.00744186,46.006860465
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,37,37,222,34.388468468,29.19,22.112882883,22.114324324
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,12,24,3.63875,1.92,1.3995833333,1.2254166667
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,1.815,1.4363636364,1.0295454545,0.9418181818
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,21,21,246.77904762,119.04333333,86.581428571,69.424285714
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,36,108.5475,43.958611111,31.906944444,24.176944444
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,131.53461538,76.870769231,56.64,43.503076923
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,21,25,25,45.5464,24.214,18.3584,14.7216
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,22,22,46.815909091,18.823636364,13.379090909,8.3890909091
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,51,167,9.3788023952,2.9846706587,2.1285628743,1.5156886228
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,19,19,15.824210526,8.3173684211,6.5252631579,5.1105263158
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,192,1347,14.315575353,7.5142761693,5.7508314774,4.1274907201
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,278,14.182014388,5.8446043165,4.5822302158,3.4281294964
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,1632,0.8189644608,0.2411764706,0.1772977941,0.2795894608
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,55,11391,0.7194100606,0.297712229,0.2296567466,0.2382925116
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,79,10858,2.3064947504,1.3534343341,1.0610793885,0.9725778228
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,87,9426,1.495,0.7701559516,0.5980617441,0.5314491831
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,21,21,145.82,82.317619048,64.53952381,50.043333333
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,30.79,17.518571429,13.732142857,13.655714286
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,48,48,145.07291667,70.240833333,52.619583333,38.244583333
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,107,107,50.073271028,22.123084112,15.696168224,12.294485981
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,25,25,95.252,57.578,32.0128,25.5144
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,287.13090909,111.10136364,82.825454545,71.715
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,31.115609756,16.495853659,10.542195122,8.3065853659
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,14,81,81,20.602716049,7.4898765432,4.1516049383,2.900617284
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,45,45,118.22888889,46.471333333,28.354888889,20.028222222
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,109.54333333,59.9475,43.923333333,33.438333333
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,23.028717949,11.814871795,9.0358974359,4.3312820513
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.36,11.266666667,8.2525,6.3275
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,28.5,12.201578947,9.5710526316,8.14
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,36,301,301,236.01853821,99.976744186,70.738637874,48.894451827
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,51.63,45.094137931,33.09,27.48137931
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,2948,0.7552578019,0.0464857531,0.0364484396,0.0364484396
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,20,50,5100,2.0333686275,0.1315764706,0.0871235294,0.0871235294
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,58.89,28.852727273,17.837272727,12.552424242
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,36,10.181052632,7.98,6.16
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,609.5,151.78526316,118.99631579,90.08
1043215874,WHITLEY,DANIEL,W,M.D.,M,I,1419 CUMBERLAND FALLS HWY,,CORBIN,KY,407012722,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,22,57,57,50.368421053,33,22.90754386,22.90754386
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,14,23,66,25.712727273,8.32,5.1390909091,5.1390909091
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,22,6.0936363636,1.42,0.8118181818,0.8118181818
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,5.7173529412,2.0488235294,1.6061764706,1.1502941176
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,55.151666667,18.491666667,12.33,7.1133333333
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,8.3683333333,2.885,1.8190277778,1.195
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,142.74,71.381111111,51.51,34.931481481
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,36.963870968,22.842903226,16.172580645,12.512903226
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,20.94875,8.2525,6.015625,3.3075
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.29,10.918181818,8.5636363636,6.9027272727
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,76,79,264.4443038,104.2878481,78.904810127,63.14443038
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,93.6,45.0204,35.2984,32.1884
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,0.9521875,0.1310833333,0.0952222222,0.0952222222
1043215882,HENSLEY,JOSEPH,,,M,I,507 W MAIN ST,,HOHENWALD,TN,384621319,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,101.0625,33,24.253125,24.253125
1043215916,LINDAHL,DOUGLAS,F,D.O.,M,I,901 MOUNTAIN VIEW DR,,SHELTON,WA,985844401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,22.829285714,16.830714286,12.563571429
1043215916,LINDAHL,DOUGLAS,F,D.O.,M,I,901 MOUNTAIN VIEW DR,,SHELTON,WA,985844401,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4819.94,913.16,713.01090909,827.86545455
1043215916,LINDAHL,DOUGLAS,F,D.O.,M,I,901 MOUNTAIN VIEW DR,,SHELTON,WA,985844401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,55.19,7.6330769231,5.7046153846,3.3784615385
1043215916,LINDAHL,DOUGLAS,F,D.O.,M,I,901 MOUNTAIN VIEW DR,,SHELTON,WA,985844401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,535.57466667,106.38666667,79.425333333,51.081333333
1043215932,SEPULVEDA,AUGUSTO,C,M.D.,M,I,8050 E HIGHWAY 191,SUITE 200,ODESSA,TX,797658613,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,31,133,49.548120301,8.32,6.3263909774,6.3263909774
1043215932,SEPULVEDA,AUGUSTO,C,M.D.,M,I,8050 E HIGHWAY 191,SUITE 200,ODESSA,TX,797658613,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,12.564,3.38,2.4733333333,2.4733333333
1043215932,SEPULVEDA,AUGUSTO,C,M.D.,M,I,8050 E HIGHWAY 191,SUITE 200,ODESSA,TX,797658613,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,37,12.606486486,1.42,1.0535135135,1.0535135135
1043215932,SEPULVEDA,AUGUSTO,C,M.D.,M,I,8050 E HIGHWAY 191,SUITE 200,ODESSA,TX,797658613,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,46.523333333,17.27,11.734666667,11.734666667
1043215932,SEPULVEDA,AUGUSTO,C,M.D.,M,I,8050 E HIGHWAY 191,SUITE 200,ODESSA,TX,797658613,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,137.81428571,48,37.63,37.63
1043215932,SEPULVEDA,AUGUSTO,C,M.D.,M,I,8050 E HIGHWAY 191,SUITE 200,ODESSA,TX,797658613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,36,319.86111111,69.401666667,42.771111111,43.259444444
1043216104,MARKOWICZ,ALLEN,L,MD,M,I,1000 REGENCY CT STE 208,,TOLEDO,OH,436233074,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,36,52.962777778,8.32,5.7961111111,5.7961111111
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,41,73.421463415,8.32,5.5690243902,5.5690243902
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,21,12.51952381,1.42,0.9047619048,0.9047619048
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,26,92.797692308,71.56,56.105,56.105
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,62,37.473387097,29.19,22.885,22.886290323
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,372,200,5.3591666667,4.2015322581,3.3032795699
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,7050,2.5139106383,0.3849134752,0.2823191489,0.228164539
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,64.642941176,22.158823529,17.120588235,13.634117647
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,7.8916666667,5.0775,3.1283333333
1043216161,SNYDER,MICHELLE,L,DO,F,I,328 N 2ND ST STE 102,,VINCENNES,IN,475911353,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,369.94235294,102.84,77.112941176,56.275294118
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,42,74,76,145.17736842,40.233289474,30.686842105,29.853552632
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,59,88,90,461.04266667,93.773111111,72.666111111,67.894111111
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,27,46,80,140.759,34.512,26.73875,25.73425
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,29,54,223,96.298475336,19.06309417,14.610269058,14.266367713
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,29,44,170,72.816411765,15.874294118,12.157176471,11.602058824
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,54,88,88,278.96204545,58.82,45.596136364,42.795568182
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,94,116,116,89.881551724,19.254310345,15.099568966,14.174655172
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,66.034285714,10.634285714,7.75,7.5764285714
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,72,123,124,101.21548387,13.627580645,10.432903226,9.0822580645
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,109,225,900,12.330466667,2.1471555556,1.6603333333,1.5780888889
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,30,30,32.348,6.5073333333,5.106,4.679
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,65,83,83,56.853493976,13.57939759,10.390843373,10.150722892
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,29,723.27275862,95.791034483,75.102413793,68.05137931
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,1636.6615385,226.35769231,177.46615385,167.22
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,630.62846154,140.89538462,102.46615385,96.843076923
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,23,62,84,77.948809524,13.744047619,10.396071429,10.103928571
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,51,141,223,277.63058296,34.339103139,25.599147982,24.612331839
1043216179,TRAN,CAROL,,PA,F,I,3619 PAESANOS PKWY,STE 212,SAN ANTONIO,TX,782311253,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,60,76,471.94842105,88.829342105,68.750657895,58.630657895
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,36,79,218,63.198440367,8.32,6.3722018349,6.3722018349
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,18,19,12.770526316,3.38,2.65,2.65
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,19,37,52,14.126346154,1.42,1.0515384615,1.0515384615
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,5.91,1.18,0.8363636364,0.8772727273
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,33.95,17.32,13.58,13.54
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,31.032727273,21.472727273,21.254545455
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,207.43,76.58,59.876666667,54.566666667
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,959,2.0215537018,0.1319499479,0.0977685089,0.0977685089
1043216203,POSEY,JOHN,A,"MD, PHD",M,I,4543 POST OAK PLACE DRIVE,STE 105,HOUSTON,TX,77027,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,124.38461538,33,23.88,23.88
1043216260,GOODWIN,JOSEPH,H,DPM,M,I,2115 CHAPLINE ST,STE 104,WHEELING,WV,260033859,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1640,0.3182926829,0.13,0.0885365854,0.0885365854
1043216260,GOODWIN,JOSEPH,H,DPM,M,I,2115 CHAPLINE ST,STE 104,WHEELING,WV,260033859,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1983,1.3462178517,0.45,0.3528038326,0.3528038326
1043216260,GOODWIN,JOSEPH,H,DPM,M,I,2115 CHAPLINE ST,STE 104,WHEELING,WV,260033859,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,59.12,26.185454545,18.783636364,11.909090909
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,80,218,56.422431193,8.32,5.9305504587,5.9305504587
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.5113333333,2.5113333333
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,32,57,14.811929825,1.42,1.0364912281,1.0364912281
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,100.65769231,34,23.551153846,23.005769231
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,60.262727273,19.45,12.02,11.386515152
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,167.115,56.26,33.0825,32.145
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,52.315833333,18,12,11.960833333
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,58.671428571,12,8.1757142857,7.9271428571
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,104,10.192692308,2,1.4015384615,1.4223076923
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,50.229444444,13.5,6.4477777778,6.3855555556
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,222.06076923,33.945384615,20.862307692,19.722307692
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,473.74294118,78.53,57.938823529,51.501176471
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1200,9.476125,1.2502,0.945275,0.945275
1043216344,SUAREZ,ALBERTO,,M.D.,M,I,2800 E ROCK HAVEN RD,,HARRISONVILLE,MO,647014411,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,156.25266667,37.15,28.749333333,29.129333333
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,45,130,320,62.614125,8.32,6.0134375,6.0134375
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,15.333333333,3.38,2.65,2.65
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,27,51,15.647647059,1.42,1.0925490196,1.0925490196
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,31,31,31.86,28.46,22.31,22.31
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,34.3,25.92,18.626666667,21.397083333
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,11.8,7.15,5.3058333333,5.5304166667
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,67,68,86.31,22.598235294,15.521617647,12.13
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,21,220.96142857,58.981428571,44.276190476,35.838095238
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,20.194,8.836,6.9293333333,4.0786666667
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,27,203,206,408.90786408,101.04514563,73.766165049,52.197572816
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,126.48863636,43.752045455,32.153863636,27.609545455
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1109,1.5858791704,0.1343192065,0.1053110911,0.1053110911
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,390,0.75,0.2193076923,0.1588205128,0.1588205128
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,149.92448276,44.59137931,32.695862069,28.466551724
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,1279.7366667,262.28133333,196.802,144.71133333
1043216484,EVERSON,DOUGLAS,D,MD,M,I,2200 13TH AVE,,BELLE FOURCHE,SD,57717,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,108.9,33,25.007666667,25.007666667
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,68,156,385,53.006597403,8.3183116883,5.6392987013,5.6392987013
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,13,23,23,14.994782609,3.38,2.5347826087,2.5347826087
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,24.837857143,2.12,1.67,1.67
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,51,89,124,13.370322581,1.42,0.9902419355,0.9902419355
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.0466666667,7.0466666667,5.0685416667,5.0802916667
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,74,10.652972973,6.4362162162,5.0458108108,5.0485135135
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,300,6.84,6.84,5.0916666667,5.2068
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.125,3.125,2.3082916667,2.3122083333
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.97,3.97,2.853125,2.9046666667
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,600,0.44035,0.27,0.2116,0.2116
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,239.73571429,86.53,58.942142857,58.942142857
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,25,28,87.012142857,32.7475,25.673928571,25.903571429
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,52.361176471,17.97,11.910588235,11.893529412
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,21,21,53.763809524,11.626666667,7.9152380952,7.9266666667
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,38,104,7.845,2.0219230769,1.4330769231,1.4384615385
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,41.210909091,13.319090909,7.9472727273,7.8536363636
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,171,49.39,38.723333333,39.104444444
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,17.941176471,4.9611764706,3.6164705882,3.5017647059
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,390.61391304,69.81,51.727391304,51.727391304
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,40,26.966363636,21.147272727,21.147272727
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,4420,0.4781108597,0.0463914027,0.0244886878,0.0244886878
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,51,5981,1.3721066711,0.1355224879,0.1027620799,0.1027620799
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,55,18.906363636,14.118181818,13.589090909
1043216658,MARCH,TEDD,L,D.O.,M,I,1397 N MONROE ST,,MONROE,MI,481625360,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,51,51,40.764705882,33,24.348235294,24.348235294
1043216724,BALTURSHOT,GREGORY,W,M.D.,M,I,3525 OLENTANGY RIVER RD,SUITE 5310,COLUMBUS,OH,432143937,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,131.99,54.334615385,42.595384615,36.660769231
1043216732,WILLIAMS MD,ANN,K,M.D.,F,I,6850 HOHMAN AVE,,HAMMOND,IN,463241410,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,86,86,86,70.05755814,70.031162791,48.296744186,46.516046512
1043216732,WILLIAMS MD,ANN,K,M.D.,F,I,6850 HOHMAN AVE,,HAMMOND,IN,463241410,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,18,50,37.83,29.65,28.752222222
1043216732,WILLIAMS MD,ANN,K,M.D.,F,I,6850 HOHMAN AVE,,HAMMOND,IN,463241410,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,14,54.525714286,50.414285714,33.857142857,37.634285714
1043216732,WILLIAMS MD,ANN,K,M.D.,F,I,6850 HOHMAN AVE,,HAMMOND,IN,463241410,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,56,55,52.13,38.27375,40.79875
1043216732,WILLIAMS MD,ANN,K,M.D.,F,I,6850 HOHMAN AVE,,HAMMOND,IN,463241410,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,16,70,69.2,51.59125,52.3
1043216732,WILLIAMS MD,ANN,K,M.D.,F,I,6850 HOHMAN AVE,,HAMMOND,IN,463241410,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,68,70,66.61,47.544117647,49.440735294
1043216732,WILLIAMS MD,ANN,K,M.D.,F,I,6850 HOHMAN AVE,,HAMMOND,IN,463241410,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,72,72,144,15,15,11.704166667,13.872222222
1043216864,TRIMBLE,DONALD,T,D.O.,M,I,4500 W NEWBERRY RD,,GAINESVILLE,FL,326072245,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,4995,4378.96,3433.11,3433.11
1043216864,TRIMBLE,DONALD,T,D.O.,M,I,4500 W NEWBERRY RD,,GAINESVILLE,FL,326072245,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,35,1572,1328.44,1033.3011429,878.30171429
1043216872,WRIGHT,REGINA,M,MD,F,I,4515 S MCCLINTOCK DR,STE 100,TEMPE,AZ,852827381,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,37,54.673783784,8.32,5.6405405405,5.6405405405
1043216872,WRIGHT,REGINA,M,MD,F,I,4515 S MCCLINTOCK DR,STE 100,TEMPE,AZ,852827381,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,77.36,60.65,60.65
1043216872,WRIGHT,REGINA,M,MD,F,I,4515 S MCCLINTOCK DR,STE 100,TEMPE,AZ,852827381,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,39.26,30.78,30.78
1043216906,KLEIN,ELEANOR,C,FNP,F,I,2805 CINCINNATUS RD,,CINCINNATUS,NY,130409669,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,59,194,61.368814433,8.32,4.8751546392,4.8751546392
1043216906,KLEIN,ELEANOR,C,FNP,F,I,2805 CINCINNATUS RD,,CINCINNATUS,NY,130409669,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,21,33,12.556666667,1.42,1.0466666667,1.0466666667
1043216906,KLEIN,ELEANOR,C,FNP,F,I,2805 CINCINNATUS RD,,CINCINNATUS,NY,130409669,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,15,86.31,25.606,20.074666667,16.298
1043216906,KLEIN,ELEANOR,C,FNP,F,I,2805 CINCINNATUS RD,,CINCINNATUS,NY,130409669,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,478.6412,95.4496,73.0748,54.59
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,26,79,193,60.332487047,8.32,5.2050259067,5.2050259067
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.67,3.38,2.5027777778,2.5027777778
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,35,59,13.303050847,1.42,1.0198305085,1.0198305085
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,710,2.3169859155,2.27,1.7046760563,1.7046760563
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,8.169,7.87,6.1700833333,6.1766111111
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,30,12.206,10.93,8.5696666667,8.5696666667
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,134.38,68.773,53.921,36.9925
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,34.184285714,22.125714286,14.503333333,10.952857143
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,56,56,17.6925,7.71125,5.8496428571,3.645
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,113.08,60.116,47.132,35.111
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,232.09268293,96.220487805,71.01,50.545121951
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2300,3.0152347826,0.0728782609,0.0477956522,0.0477956522
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1230,1.5393414634,0.143804878,0.1127398374,0.1127398374
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,59.3375,27.2425,20.155,13.098333333
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,17.14,10.779090909,8.4536363636,6.7163636364
1043216948,AHMED,IMRAN,,MD,M,I,1522 STATE ROUTE 17B,,WHITE LAKE,NY,127865428,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,21,33,33,23.406190476,23.406190476
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,72,296,67.572736486,8.32,6.1491891892,6.1491891892
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,15.294117647,3.38,2.4941176471,2.4941176471
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,46,94,16.398404255,1.42,1.0662765957,1.0662765957
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,39,39,33.933333333,28.46,20.593846154,20.593846154
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,41,51,13.520392157,10.93,8.0654901961,8.0654901961
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,8.8308333333,6.34,4.5558333333,5.3766666667
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,8.3,7,5.488,5.488
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6.57,5.54,3.7091666667,3.7091666667
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,4.8,4.04,3.167,3.167
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,3.6433333333,3.04,2.1844166667,2.1844166667
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,58,85.672068966,71.56,56.105,56.105
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,162,35.03,29.19,22.885,22.886666667
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,37,76,7.9178947368,1.5021052632,1.1771052632,1.1551315789
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,12,14,14,63.701428571,12.772857143,9.1878571429,8.4828571429
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,11.95,5.32,4.171,4.163
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,69.36,59.36,46.54,48.32
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,19,19,19,159.43736842,44.204210526,32.85,34.372631579
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,113,121,45.574876033,17.76231405,12.972561983,12.614545455
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,54.9,39.127272727,38.009090909
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,23,24,117.72291667,49.89,34.474166667,33.1175
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.89,35.554545455,34.209090909
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,16,106,106,31.412358491,5.5805660377,3.9871698113,3.3309433962
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19,5,3.92,3.95
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,25,139,150,300.65233333,77.2636,57.894466667,53.130133333
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,44,2640,15.970439394,9.6038409091,7.4220227273,7.4220227273
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,2013,0.342911078,0.0459860904,0.0343219076,0.0343219076
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,17,47,4527,1.095385465,0.1343848023,0.0933377513,0.0933377513
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,18,64,3780,12.588955026,3.0299047619,2.3177619048,2.3177619048
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,120.83125,26.0075,20.395,22.4575
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,26.040666667,8.238,6.46,6.8533333333
1043216971,MASROOR,MUHAMMAD,I,M.D.,M,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,26,94,94,108.86170213,33,24.769148936,24.769148936
1043217060,ACREE,MARTIN,V,M.D.,M,I,1325 EASTMORELAND AVE,SUITE 150,MEMPHIS,TN,381043519,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,32,96,184,74.260271739,8.32,6.0623913043,6.0623913043
1043217060,ACREE,MARTIN,V,M.D.,M,I,1325 EASTMORELAND AVE,SUITE 150,MEMPHIS,TN,381043519,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,36,45,17.250888889,1.42,1.0182222222,1.0182222222
1043217060,ACREE,MARTIN,V,M.D.,M,I,1325 EASTMORELAND AVE,SUITE 150,MEMPHIS,TN,381043519,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,183.88,39.60875,29.22,20.538125
1043217060,ACREE,MARTIN,V,M.D.,M,I,1325 EASTMORELAND AVE,SUITE 150,MEMPHIS,TN,381043519,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,36.6,11.043333333,8.3320833333,7.1308333333
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,720,0.153,0.12,0.0801944444,0.0801944444
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,680,0.587,0.4329411765,0.3191617647,0.3247058824
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,269,39.953643123,18.5,13.048141264,13.048141264
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,15,4200,0.0878857143,0.05,0.0377833333,0.0377833333
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1708,0.6338114754,0.45,0.3066744731,0.3066744731
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,20,176,30.693181818,24.5,19.208125,19.201988636
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,97,10.150515464,8.1865979381,6.4180412371,6.4143298969
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,158.27157895,55.578947368,38.127368421,35.052631579
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,763.99789474,193.68421053,142.19263158,121.73263158
1043217078,ROMBERG,MICHAEL,S,MD,M,I,71 W 156TH ST,SUITE 311,HARVEY,IL,604264260,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,3015.4453333,669.896,525.19866667,511.09733333
1043217110,RAO,VEERA,A,MD,F,I,690 E TERRA COTTA AVE STE A,,CRYSTAL LAKE,IL,60014,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,70.6536,17.5,13.72,13.5544
1043217110,RAO,VEERA,A,MD,F,I,690 E TERRA COTTA AVE STE A,,CRYSTAL LAKE,IL,60014,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,438.8936,78.09,61.22,55.5088
1043217110,RAO,VEERA,A,MD,F,I,690 E TERRA COTTA AVE STE A,,CRYSTAL LAKE,IL,60014,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,76.624444444,18.543333333,13.287777778,13.307222222
1043217110,RAO,VEERA,A,MD,F,I,690 E TERRA COTTA AVE STE A,,CRYSTAL LAKE,IL,60014,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,25.34,8.2584615385,5.5553846154,5.7130769231
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,362,6.58,3.53,2.7675138122,2.7675138122
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,29,104,165,19.689134615,15.436346154,15.436346154
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,29,47,48,133.59916667,41.334791667,31.430625,29.82125
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,144,24.48,18.46,13.803888889,13.803888889
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,38,16.961578947,7.9747368421,5.9347368421,6.1084210526
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,44,7.5109090909,3.9,3.06,3.3509090909
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,30,60,5.396,1.7503333333,1.2931666667,1.1226666667
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,74.797272727,10.408181818,8.1609090909,9.0772727273
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,13,19,4.2947368421,1.08,0.7547368421,0.8763157895
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,143,291,291,208.77378007,92.60652921,69.845945017,65.22347079
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,111,273,536,83.864365672,33.880932836,25.53369403,24.951716418
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,53,127,619,54.360306947,19.200016155,13.411987076,13.062423263
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,47,102,503,35.75332008,15.526361829,11.435864811,11.131650099
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,118,241,242,134.12152893,58.60677686,42.730743802,39.746322314
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,240,328,328,42.732317073,19.085579268,14.305487805,13.500091463
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,12,12,21.400833333,10.008333333,7.8416666667,8.1158333333
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,227,455,455,40.686681319,12.742395604,9.5611208791,8.7045714286
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,234,506,2620,6.1779465649,2.2020152672,1.6417671756,1.5177900763
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,191,259,259,15.296061776,6.4794594595,4.9626254826,4.55996139
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,116,153,153,23.979607843,12.895620915,9.7935294118,10.016470588
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4356,0.85,0.36,0.2822474747,0.2893870523
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,33,205,212,50.349103774,16.99009434,12.811556604,12.982075472
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,46.34,30.275,35.5175
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,41,41,113.26829268,48.322195122,37.882195122,36.863902439
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43.55,28.239166667,31.583333333
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,2812.5,1074.31,836.28208333,836.28208333
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,2886.02,1074.31,832.69533333,832.69533333
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,27,125,134,227.02179104,86.101119403,63.530223881,63.906641791
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,1351.7533333,1009.5875,785.54083333,785.54083333
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,72,72,72,323.79083333,142.24236111,107.84625,101.95652778
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,20,118,127,38.94480315,4.645984252,3.4522047244,3.3674015748
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,126,697,710,95.692492958,34.541915493,24.757070423,23.002676056
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,83,640,650,278.53547692,76.391630769,56.535938462,51.884307692
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,18,115,119,213.27731092,39.563865546,29.977142857,28.567226891
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,29,14340,81.364016736,9.8406066946,7.705027894,7.705027894
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,16.438151515,9.6109090909,7.3472272727,7.3472272727
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1080,20.263416667,11.147333333,8.6067037037,8.6067037037
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,31,42,103,24367,0.4207407559,0.0460943079,0.0326277342,0.0326277342
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,12,1583,4.7172015161,0.0758559697,0.0594567277,0.0594504106
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,29,3549,1.552209073,0.1350577628,0.0966835728,0.0966835728
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,39,2340,10.83574359,2.9755897436,2.2102606838,2.2102606838
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,29,136,105.3,2.6379411765,2.0683823529,2.0683823529
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,94,94,162.40340426,40.013404255,31.044148936,29.441489362
1043217136,CALI,GREGORY,E,D.O.,M,I,1000 MEADE ST,STE 200,DUNMORE,PA,185123186,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,39,59,161,161,50.257763975,33,23.781118012,23.781118012
1043217235,ZWICK,THOMAS,G,D.P.M.,M,I,1321 NW 14TH ST,SUITE 103,MIAMI,FL,331251653,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,22,22,44,107.6675,71.56,52.663181818,52.663181818
1043217235,ZWICK,THOMAS,G,D.P.M.,M,I,1321 NW 14TH ST,SUITE 103,MIAMI,FL,331251653,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,14,81,31.279876543,29.19,22.885061728,22.886419753
1043217235,ZWICK,THOMAS,G,D.P.M.,M,I,1321 NW 14TH ST,SUITE 103,MIAMI,FL,331251653,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,13,604,0.2929139073,0.13,0.085115894,0.085115894
1043217235,ZWICK,THOMAS,G,D.P.M.,M,I,1321 NW 14TH ST,SUITE 103,MIAMI,FL,331251653,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,546.875,266.98,209.31,218.29125
1043217250,ALLEN,GREGORY,G,D.O.,M,I,1681 CRANSTON ST,SUITE D,CRANSTON,RI,029205000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,58,66.531551724,8.32,5.1729310345,5.1729310345
1043217250,ALLEN,GREGORY,G,D.O.,M,I,1681 CRANSTON ST,SUITE D,CRANSTON,RI,029205000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9145454545,3.0636363636,3.6854545455
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,58,182,47.546208791,8.32,5.3757142857,5.3757142857
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,32,12.511875,1.42,0.9390625,0.9390625
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,32,63,8.19,1.9488888889,1.4874603175,1.1177777778
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,118,120,90.785333333,21.9095,16.43,13.077833333
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,52,52,232.35,58.82,43.086923077,35.0675
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,986.58,761.51416667,830.29416667
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,40,51.21175,6.627,5.10375,3.6695
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,11,12,12,519.51,70.74,36.973333333,36.973333333
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,33,229,235,522.28978723,100.3506383,74.598808511,54.355574468
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,44.560909091,31.950909091,26.832727273
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,37,2220,15.58,9.627,7.4734864865,7.4734864865
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,3600,0.17,0.0460694444,0.0330333333,0.0330333333
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,2490,0.8554216867,0.134373494,0.0930281124,0.0930281124
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,13,71,4230,12.86,2.9886028369,2.2572269504,2.2572269504
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,192.8,44.826,31.86,27.09
1043217268,SMITH,ROGER,H,M.D.,M,I,1059 N 100 W,,BEAVER,UT,847131690,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,13,87,87,129.72413793,33,25.350689655,25.350689655
1043217334,SAVAGE,BRIAN,J,M.D.,M,I,2222 CHERRY ST,STE 1700,TOLEDO,OH,436082681,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,6.8763636364,0.5,0.3684848485,0.3684848485
1043217334,SAVAGE,BRIAN,J,M.D.,M,I,2222 CHERRY ST,STE 1700,TOLEDO,OH,436082681,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1440,3.2491875,1.33975,1.0213680556,1.0213680556
1043217334,SAVAGE,BRIAN,J,M.D.,M,I,2222 CHERRY ST,STE 1700,TOLEDO,OH,436082681,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,39,39,24,24,17.854871795,17.854871795
1043217334,SAVAGE,BRIAN,J,M.D.,M,I,2222 CHERRY ST,STE 1700,TOLEDO,OH,436082681,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,18,16,16,12.54,12.54
1043217425,HANCOCK,NICOLE,D,DPM,F,I,1330 CITIZENS BLVD,SUITE 301,LEESBURG,FL,347483959,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,100.69333333,71.56,56.105,56.105
1043217425,HANCOCK,NICOLE,D,DPM,F,I,1330 CITIZENS BLVD,SUITE 301,LEESBURG,FL,347483959,US,Podiatry,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,22,22,22,20,18.29,13.688181818,13.688181818
1043217425,HANCOCK,NICOLE,D,DPM,F,I,1330 CITIZENS BLVD,SUITE 301,LEESBURG,FL,347483959,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,275,266.98,202.75421053,212.33421053
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,23,51,131,44.441526718,8.32,5.3767938931,5.3767938931
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,22,5.2263636364,1.42,1.0145454545,1.0145454545
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,33,79.794545455,25.334242424,12.50030303,9.1081818182
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,277.72714286,75.674285714,55.595,39.444285714
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,81.3775,26.153333333,19.201666667,12.888333333
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,21,21,98.349047619,20.587142857,15.659047619,8.6857142857
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,23,98,12.858367347,3.1630612245,2.2097959184,1.417244898
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,75.071428571,18.271428571,13.772857143,9.98
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,222.48153846,52.121282051,37.547948718,22.746153846
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30.38,13.335,10.4575,8.9908333333
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,44,12.775833333,10.019166667,8.3975
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,503.25,216.3725,162.11666667,162.11666667
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,71,71,421.48267606,97.894647887,69.688591549,50.446338028
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,250,44.860714286,32.826071429,27.918928571
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,95.096153846,28.045384615,20.882307692,14.210769231
1043217599,MEULENBERG,DANIEL,J,M.D.,M,I,606 N 3RD AVE STE 101,,SANDPOINT,ID,838641594,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,116.76923077,33,17.91,17.91
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,51,153,445,57.43,8.32,6.0106741573,6.0106741573
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,30,30,15.833333333,3.38,2.65,2.65
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,21.544705882,2.12,1.67,1.67
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,27,62,111,13.898198198,1.42,1.0241441441,1.0241441441
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,2940,13,7.88,6.1291054422,6.1291054422
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,20,53,5.8413207547,2.0235849057,1.4920754717,1.0903773585
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,3.8905882353,1.6282352941,1.2758823529,0.9864705882
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,197.81076923,72.683076923,56.984615385,42.86
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,62.543333333,23.370666667,18.319333333,14.06
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,73.586923077,19.233846154,14.457692308,10.190769231
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,61,14.37852459,3.0259016393,2.1693442623,1.4327868852
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4524,3.3376392573,0.4100265252,0.3214633068,0.2430437666
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,43.96,16.613636364,13.022727273,9.7563636364
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,143.92090909,68.002727273,46.324545455,34.942727273
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,62.186818182,20.913409091,15.038863636,12.470681818
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,232.35,60.89,44.986666667,36.901333333
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,65,65,14.907846154,7.244,5.4367692308,3.9629230769
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,17,141,141,393.46957447,94.625035461,68.974964539,50.842269504
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,43,134.21767442,43.491162791,31.216744186,26.943255814
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,31,6248,0.2422583227,0.0456274008,0.0314276569,0.0314276569
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,72,8598,1.7086869039,0.1323551989,0.0993382182,0.0993382182
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,720,11.739805556,2.9730833333,2.330875,2.330875
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,50.8925,32.059166667,14.335833333,9.98
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,285.6,43.911176471,30.562941176,26.042352941
1043217656,BEASLEY,CHARLES,R,M.D.,M,I,395 W 27TH ST,,LUMBERTON,NC,283583018,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,20,94,94,94.085106383,33,24.175531915,24.175531915
1043217722,CUSICK,THERESE,E,MD,F,I,818 N EMPORIA ST,SUITE 200,WICHITA,KS,672143729,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,36,43,142,48.545352113,39.03028169,28.241549296,28.39471831
1043217722,CUSICK,THERESE,E,MD,F,I,818 N EMPORIA ST,SUITE 200,WICHITA,KS,672143729,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,28,365.17857143,344.77,269.55607143,264.95928571
1043217763,HERNANDEZ,TERESA,,M.D.,F,I,1182 OCEAN SHORE BLVD,,ORMOND BEACH,FL,321763799,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,53,71.085471698,8.32,5.5371698113,5.5371698113
1043217763,HERNANDEZ,TERESA,,M.D.,F,I,1182 OCEAN SHORE BLVD,,ORMOND BEACH,FL,321763799,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,17.9875,1.42,1.025,1.025
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,34,117,60.801025641,8.32,6.298974359,6.298974359
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.946666667,3.38,2.65,2.65
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,43,15.057906977,1.42,1.0360465116,1.0360465116
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,22,172,192,82.609427083,21.018072917,15.62234375,12.882447917
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,46.235833333,39.2775
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,31,31,137.41129032,56.427741935,40.247741935,33.988387097
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,45.375,37.191666667
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,89,700,713,507.8873352,97.147601683,72.527629734,53.496143058
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,107,109,195.31192661,44.338073394,34.159724771,29.624770642
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,4280,0.2203130841,0.0467920561,0.0284813084,0.0284813084
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.92,0.1345,0.1054166667,0.1054166667
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1500,12.722,2.9893,2.2604466667,2.2604466667
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,285.6,44.34,34.765,30.265
1043217797,WAGNER,MICHAEL,D,MD,M,I,835 SPRUCE ST STE B,,ESPANOLA,NM,875323455,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,41,41,112.68292683,33,23.977073171,23.977073171
1043217813,SMESKO,MARK,S,DPM,M,I,136 N MARKET ST,,EAST PALESTINE,OH,444132019,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,42,102,71.56,49.579285714,49.579285714
1043217813,SMESKO,MARK,S,DPM,M,I,136 N MARKET ST,,EAST PALESTINE,OH,444132019,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,105,52,29.19,22.587333333,22.588761905
1043217813,SMESKO,MARK,S,DPM,M,I,136 N MARKET ST,,EAST PALESTINE,OH,444132019,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,15,102,74.21,52.333333333,57.573333333
1043217839,LEATHERMAN,SUE,A,M.D.,F,I,2365 INNIS RD,,COLUMBUS,OH,43224,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,66,91,70.197802198,8.32,5.1654945055,5.1654945055
1043217839,LEATHERMAN,SUE,A,M.D.,F,I,2365 INNIS RD,,COLUMBUS,OH,43224,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,28,30,13.775,1.42,0.7833333333,0.7833333333
1043217839,LEATHERMAN,SUE,A,M.D.,F,I,2365 INNIS RD,,COLUMBUS,OH,43224,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,45.947391304,5.8126086957,3.23,2.4982608696
1043217854,JAMES,GEORGE,W,MD,M,I,5653 FIRST BLVD,SUITE 530,HERMITAGE,TN,37076,US,Physician/Gastroenterology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,9.4,5.54,4.127875,4.127875
1043217896,PODOLSKY,EUGENE,D,DPM,M,I,720 YOUNGSTOWN WARREN RD,,NILES,OH,444463551,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,38,102,71.56,55.923157895,55.923157895
1043217896,PODOLSKY,EUGENE,D,DPM,M,I,720 YOUNGSTOWN WARREN RD,,NILES,OH,444463551,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,52,29.19,22.885,22.886527778
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,25,91,48.744065934,8.32,5.7764835165,5.7764835165
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,12.404705882,3.38,2.65,2.65
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,29,10.077586207,1.42,1.0372413793,1.0372413793
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,8.54,8.54,5.9857894737,6.1089473684
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,19,11.695789474,11.624736842,8.1594736842,9.9147368421
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,38,10.73,10.73,7.6736842105,7.8307894737
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,234,23.56,23.56,18.471111111,18.54957265
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,87,1272,10.83754717,10.83754717,8.2711477987,8.3435691824
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,600,5.205,5.205,4.0807,4.1396333333
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,500,12.3067,5,3.72362,3.952
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,7866,0.5922044241,0.3,0.2351919654,0.2425222476
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,26,26,26,128.00576923,43.956538462,34.461538462,36.138461538
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,44,44,112.85545455,50.863636364,38.005681818,38.168409091
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,128.98,49.581304348,36.976086957,38.299565217
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,50,33.685,16.2196,12.7168,14.725
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,26,3.4746153846,1.6461538462,1.2869230769,1.53
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,25,25,49,57.251836735,27.134285714,21.274081633,22.301836735
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,26,5.7253846154,2.7215384615,2.1384615385,2.2530769231
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,25,49.02,20.8224,16.3192,17.7108
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,4.91,2.1107692308,1.6553846154,1.8130769231
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,24.01,9.7596,7.6512,9.2412
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,217.1,77.676666667,57.997619048,52.42
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,25,25,25,69.028,29.7312,23.31,27.8964
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,7.0215384615,2.9776923077,2.3346153846,2.9361538462
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,25,358.58,135.0488,105.882,112.1064
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,35.380769231,13.533846154,10.606923077,11.400769231
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,41,216,216,65.179212963,15.404490741,11.07875,13.329768519
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,46,46,119.18347826,19.543478261,14.992391304,19.657173913
1043217987,LEVITT,MARC,S,M.D.,M,I,135 PARK BLVD,,MASSAPEQUA PARK,NY,117623643,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,41,261,261,20.080498084,6.7784291188,4.9206130268,6.232605364
1043218043,SEEK,MELVIN,M,M.D.,M,I,2980 SE 3RD CT,,OCALA,FL,344710421,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,16.97,16.97,13.31,13.520833333
1043218043,SEEK,MELVIN,M,M.D.,M,I,2980 SE 3RD CT,,OCALA,FL,344710421,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,77.18,77.18,60.51,55.165384615
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,52,133,281,58.650925267,8.3097508897,5.7487544484,5.756797153
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.2575,3.38,2.65,2.65
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,18.905454545,2.12,1.67,1.67
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,31,59,78,12.442564103,1.42,1.0714102564,1.0714102564
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1800,2.5271111111,2.04,1.5196277778,1.5196277778
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,25,25,80.5492,44.172,31.1172,27.11
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,25,42,42,282.48404762,111.19738095,77.882380952,60.892857143
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,21,45,71,112.11647887,43.397464789,31.67943662,24.363661972
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,33,62.34,25.46969697,19.095757576,15.035454545
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,19,19,160.50526316,65.670526316,46.715263158,39.726315789
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,34,46,46,58.847608696,22.40173913,16.886956522,13.836304348
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,19,32,32,52.39875,18.1909375,13.0265625,8.9784375
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,31,55,259,6.9664864865,2.7993822394,2.1144401544,1.6025096525
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,32.573333333,14.405333333,10.541333333,9.6506666667
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,60.078571429,17.69,12.879285714,12.587857143
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,137.13272727,58.82,44.24,35.919545455
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,12,53,55,33.148363636,14.797636364,10.783636364,9.914
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,62.509705882,6.7111764706,5.1620588235,3.5441176471
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,15,88,90,202.224,41.508444444,29.837555556,24.179444444
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,50,375.0288,85.6516,63.4326,52.029
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2929,0.3061488563,0.0458074428,0.0359166951,0.0359166951
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,2490,1.0098313253,0.1338313253,0.1027590361,0.1027590361
1043218084,EARNHART,JOHN,V,M.D.,M,I,150 S MOUNT AUBURN RD,SUITE 418,CAPE GIRARDEAU,MO,637034911,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,39,39,91.384615385,33,25.206666667,25.206666667
1043218118,MAHOOTCHI,AHAD,,MD,M,I,6739 GALL BLVD,,ZEPHYRHILLS,FL,335422522,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,13,13,86.253076923,73.546923077,53.01,48.573846154
1043218118,MAHOOTCHI,AHAD,,MD,M,I,6739 GALL BLVD,,ZEPHYRHILLS,FL,335422522,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,15,23,50.83173913,48.655217391,36.46173913,39.903043478
1043218142,FOSTER,E,L,D.O.,M,I,151 S HIGH ST,,CORTLAND,OH,444101450,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,35,78.740857143,8.32,6.148,6.148
1043218142,FOSTER,E,L,D.O.,M,I,151 S HIGH ST,,CORTLAND,OH,444101450,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,189.79333333,51.26,36.9675,39.191666667
1043218142,FOSTER,E,L,D.O.,M,I,151 S HIGH ST,,CORTLAND,OH,444101450,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,55.152857143,11.48,8.3571428571,8.4628571429
1043218142,FOSTER,E,L,D.O.,M,I,151 S HIGH ST,,CORTLAND,OH,444101450,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,7.23,1.98,1.3577083333,1.39375
1043218142,FOSTER,E,L,D.O.,M,I,151 S HIGH ST,,CORTLAND,OH,444101450,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,425.14692308,77.18,50.468461538,45.57
1043218233,SANCETTA,ANTHONY,,DO,M,I,27 SE 11TH AVE.,,OCALA,FL,34471,US,Physician/Osteopathic Manipulative Medicine,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,86,86,86,955.81395349,928.39813953,720.93895349,768.26860465
1043218233,SANCETTA,ANTHONY,,DO,M,I,27 SE 11TH AVE.,,OCALA,FL,34471,US,Physician/Osteopathic Manipulative Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,229,230,288,750,733.68725694,555.48951389,464.57034722
1043218233,SANCETTA,ANTHONY,,DO,M,I,27 SE 11TH AVE.,,OCALA,FL,34471,US,Physician/Osteopathic Manipulative Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,14,107.92857143,105.09714286,82.396428571,88.375714286
1043218266,SALAMON,MICHAEL,,M.D.,M,I,13151 MAGISTERIAL DR,SUITE 200,LOUISVILLE,KY,402234103,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,74.7,20.751818182,16.270909091,15.170909091
1043218266,SALAMON,MICHAEL,,M.D.,M,I,13151 MAGISTERIAL DR,SUITE 200,LOUISVILLE,KY,402234103,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,27.23,9.0754545455,7.1109090909,7.0927272727
1043218266,SALAMON,MICHAEL,,M.D.,M,I,13151 MAGISTERIAL DR,SUITE 200,LOUISVILLE,KY,402234103,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,20,101,74.13,58.12,62.32
1043218266,SALAMON,MICHAEL,,M.D.,M,I,13151 MAGISTERIAL DR,SUITE 200,LOUISVILLE,KY,402234103,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,28,28,28,375,265.29785714,187.12714286,197.41571429
1043218316,THOMAS,GARY,W,MD,M,I,45 HOSPITAL CENTER CMNS,,HILTON HEAD ISLAND,SC,299262837,US,Physician/Hematology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,11,49,3310,45.485673716,5.2831691843,4.1415679758,4.1415679758
1043218316,THOMAS,GARY,W,MD,M,I,45 HOSPITAL CENTER CMNS,,HILTON HEAD ISLAND,SC,299262837,US,Physician/Hematology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,33,33,24,24,18.82,18.82
1043218316,THOMAS,GARY,W,MD,M,I,45 HOSPITAL CENTER CMNS,,HILTON HEAD ISLAND,SC,299262837,US,Physician/Hematology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,25,16,16,12.54,12.54
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,320,12,5.54,4.3435,4.3435
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,320,7.5,3.04,2.3630625,2.3630625
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,175,65.2985,51.1975,37.608
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.9045454545,6.1945454545,4.0272727273
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,3120,1.2836923077,1.2836923077,1.0064038462,1.0064038462
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,55,26.537619048,18.103809524,12.824761905
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,10.850909091,7.6881818182,5.7854545455
1043218324,POGLIANO,CHRISTOPHER,J,MD,M,I,N10565 GRANDVIEW LN,,IRONWOOD,MI,499389622,US,Physician/Geriatric Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1043218357,HOFF,BRYAN,D,MD,M,I,1302 S ROGERS ST,,BLOOMINGTON,IN,474034752,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,5154,0.386798603,0.13,0.0883876601,0.0883876601
1043218357,HOFF,BRYAN,D,MD,M,I,1302 S ROGERS ST,,BLOOMINGTON,IN,474034752,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,51,13894,3.2952209587,1.73,1.3254116885,1.5461674104
1043218357,HOFF,BRYAN,D,MD,M,I,1302 S ROGERS ST,,BLOOMINGTON,IN,474034752,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,20,95,16020,8.600829588,6.15,4.5576641698,5.3015836454
1043218357,HOFF,BRYAN,D,MD,M,I,1302 S ROGERS ST,,BLOOMINGTON,IN,474034752,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,4110,11.639124088,7.88,6.1246082725,6.1246082725
1043218381,KAMMERLOCHER,PAUL,A,MD,M,I,9600 BROADWAY EXT,,OKLAHOMA CITY,OK,731147408,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,64.693333333,22.535,16.466666667,13.098333333
1043218381,KAMMERLOCHER,PAUL,A,MD,M,I,9600 BROADWAY EXT,,OKLAHOMA CITY,OK,731147408,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,56,56,56,330.54910714,251.635,196.06732143,214.94285714
1043218498,WILHELM,ROBERT,P,PA-C,M,I,2701 BLAIR MILL RD,SUITE 20,WILLOW GROVE,PA,190901041,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,39,66.777948718,8.32,5.0174358974,5.0174358974
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,340,4.5470588235,3.84,3.0105,3.0575
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,88,3.0640909091,2.9072727273,2.2790909091,2.28125
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,102,253,253,90.103359684,40.376205534,29.214426877,28.211304348
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,1260,3.6325396825,2.96,2.3206666667,2.3206666667
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,390,6.3592307692,5.21,4.0846666667,4.1003333333
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,22,13.079090909,8.3727272727,6.5627272727,6.43
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,34,5.2302941176,4.31,3.3779411765,3.3779411765
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,42,75,156,8.6287179487,1.6778846154,1.2833333333,1.1301282051
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,34,43,45,5.5624444444,1.1182222222,0.8555555556,0.9308888889
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,34,82,82,267.07890244,88.623292683,65.352439024,63.736463415
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,32,81,220,106.85868182,34.246909091,26.117272727,25.189227273
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,46,126,707,51.679844413,19.383564356,14.132107496,13.519660537
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,46,125,685,42.107664234,15.17010219,11.438160584,11.479124088
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,98,269,269,166.01892193,55.604386617,40.509851301,39.922825279
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,124,178,178,53.847977528,19.365786517,14.921966292,13.865505618
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,23,23,30.240434783,10.650869565,7.992173913,7.7956521739
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,34,93,93,66.038709677,12.894193548,9.7782795699,8.8834408602
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,129,350,1982,8.6624873865,2.1207568113,1.6076437941,1.5450655903
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,37,52,52,19.668076923,6.2153846154,4.7775,4.5651923077
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,50,72,72,38.678472222,12.931388889,9.9966666667,10.189861111
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,27,402,11.694626866,4.8779104478,3.8240547264,4.0839054726
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,5346,0.9104601571,0.36,0.2822727273,0.288224841
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,63.242307692,50.363076923,39.483846154,38.845384615
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,24,179,182,61.388406593,17.30489011,13.263736264,13.257197802
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,20,183.645,43.9,24.094,27.226
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1993.54,913.16,709.94208333,825.75375
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,2401.7961111,913.16,707.94944444,834.28944444
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,11,72,72,313.86930556,93.549583333,68.692083333,63.08875
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,781.25,257.415625,192.846875,162.30875
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,42,42,42,405.84619048,136.04595238,104.94666667,102.88952381
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,65,367,377,53.006843501,4.1762864721,3.0061007958,3.4134748011
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,56,264,266,153.89819549,34.411203008,25.938270677,25.651165414
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7.06,5.03,3.94,3.9483333333
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,41,304,315,351.29742857,77.827650794,58.559396825,53.787650794
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,128.44,37,29.01,29.487777778
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,7,20,20,20,141.15,55.65,43.6315,43.6315
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,5429,0.2563731811,0.0473346841,0.0340523117,0.0340523117
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,26,4669,3.9013793103,0.0636838723,0.039588777,0.039588777
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,24,46,166,20972,1.1870179287,0.1368691589,0.0999952317,0.0999952317
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,15,850,1.3359411765,0.1981882353,0.1554588235,0.1554588235
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,56,56,180.66714286,37,28.491964286,28.949642857
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,31,49,171,171,86.01754386,33,24.320701754,24.320701754
1043218563,NAHED,MOHAMMAD,R,MD FCCP,M,I,11550 INDIAN HILLS RD,301,MISSION HILLS,CA,91345,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,13,13,106.61538462,66,47.76,47.76
1043218621,GEIMER,SHARON,K,MD,F,I,44344 DEQUINDRE RD,SUITE 480,STERLING HEIGHTS,MI,483141003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,36,123,57.148699187,8.32,5.7474796748,5.7474796748
1043218621,GEIMER,SHARON,K,MD,F,I,44344 DEQUINDRE RD,SUITE 480,STERLING HEIGHTS,MI,483141003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,21,9.1828571429,1.42,1.1161904762,1.1161904762
1043218621,GEIMER,SHARON,K,MD,F,I,44344 DEQUINDRE RD,SUITE 480,STERLING HEIGHTS,MI,483141003,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,169.845,45.89,29.983333333,29.4
1043218621,GEIMER,SHARON,K,MD,F,I,44344 DEQUINDRE RD,SUITE 480,STERLING HEIGHTS,MI,483141003,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,18.166666667,5.4683333333,4.1738888889,3.5105555556
1043218621,GEIMER,SHARON,K,MD,F,I,44344 DEQUINDRE RD,SUITE 480,STERLING HEIGHTS,MI,483141003,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,4358,0.534323084,0.0467966957,0.0345846719,0.0345846719
1043218621,GEIMER,SHARON,K,MD,F,I,44344 DEQUINDRE RD,SUITE 480,STERLING HEIGHTS,MI,483141003,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,33,33,24.5765,24.5765
1043218795,LEE,ANNIE,,M.D.,F,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,760.48,70.102173913,54.959565217,54.758695652
1043218795,LEE,ANNIE,,M.D.,F,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,285.6,40.801764706,31.988235294,29.491176471
1043218829,BOBB,DAVID,W,M.D,M,I,825 E ROBINSON ST,,NORMAN,OK,730716610,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,39,1072.4358974,795.76,622.97205128,574.71846154
1043218829,BOBB,DAVID,W,M.D,M,I,825 E ROBINSON ST,,NORMAN,OK,730716610,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,338.92857143,251.28,192.11642857,212.44285714
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,13,50,72.96,19.6852,15.4332,15.4332
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,6.0508333333,0.51,0.4,0.4
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,78,256,61.763164062,8.32,6.4205078125,6.4205078125
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,14.041333333,3.38,2.65,2.65
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,22.004705882,2.12,1.67,1.67
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,20,41,67,14.162686567,1.42,1.0991044776,1.0991044776
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,87.434166667,39.4725,28.203333333,27.843333333
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,32,8.19,1.6375,1.28625,1.16375
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,227.21083333,86,63.25,63.608333333
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,38,87.078947368,33.22,24.529736842,24.42
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,49.091818182,20.932727273,16.358333333,15.310757576
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,18,99,36.887575758,14.95,10.871616162,11.027575758
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,13,33,33,141.84484848,57.536666667,41.904848485,40.516060606
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,17,25,25,47.6908,17.7972,12.4608,12.828
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,30,30,46.401,12.043,9.2696666667,9.288
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,18,41,232,5.9422844828,2.0602586207,1.5472413793,1.5546551724
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,35,45.128,17.32,12.416,12.380571429
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,36.256315789,3.9857894737,2.0321052632,2.6510526316
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,39,39,100.92307692,31.922051282,22.021025641,21.828717949
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,47,332.64680851,76.58,55.00106383,50.28893617
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,35.56,27.113333333,28.6075
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,1560,146.80153846,39.381038462,30.78275641,30.78275641
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,6000,33.56892,9.84,7.7145583333,7.7145583333
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,2640,389.26914394,42.721375,33.439215909,33.439212121
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,14,64,13856,0.2376068129,0.0458588337,0.0319161374,0.0319161374
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,2847,1.0817878469,0.1314787496,0.0918932209,0.0918932209
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,1059,1.1555429651,0.2187724268,0.1494050992,0.1494050992
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,50,8.55,2.6368,2.0674,2.0674
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,81,81,115.37037037,33,22.794444444,22.794444444
1043218845,SALVATO,PATRICIA,D,M.D.,F,I,6301 RICHMOND AVE STE 101,,HOUSTON,TX,770575905,US,Physician/Internal Medicine,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,27,863.7037037,358.5,281.06,281.06
1043218886,FRAICHE,JOHN,F,M.D.,M,I,2647 S RIVERVIEW BLVD,,GONZALES,LA,707375021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,46,158,53.163734177,8.32,6.1092405063,6.1092405063
1043218886,FRAICHE,JOHN,F,M.D.,M,I,2647 S RIVERVIEW BLVD,,GONZALES,LA,707375021,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,14.776470588,3.38,2.65,2.65
1043218886,FRAICHE,JOHN,F,M.D.,M,I,2647 S RIVERVIEW BLVD,,GONZALES,LA,707375021,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,20.985454545,2.12,1.67,1.67
1043218886,FRAICHE,JOHN,F,M.D.,M,I,2647 S RIVERVIEW BLVD,,GONZALES,LA,707375021,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,30,55,14.374363636,1.42,1.0729090909,1.0729090909
1043218886,FRAICHE,JOHN,F,M.D.,M,I,2647 S RIVERVIEW BLVD,,GONZALES,LA,707375021,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,172.90636364,56,35.918181818,35.067272727
1043218886,FRAICHE,JOHN,F,M.D.,M,I,2647 S RIVERVIEW BLVD,,GONZALES,LA,707375021,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,58.887333333,12,8.7826666667,8.512
1043218886,FRAICHE,JOHN,F,M.D.,M,I,2647 S RIVERVIEW BLVD,,GONZALES,LA,707375021,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,84,8.11,2,1.3744047619,1.3982142857
1043218902,HARRIS,ROY,W,D.O.,M,I,510 HILL ST,,BUCYRUS,OH,448201554,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,19,24,62,61.953870968,8.32,5.0493548387,5.0493548387
1043218902,HARRIS,ROY,W,D.O.,M,I,510 HILL ST,,BUCYRUS,OH,448201554,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,20,15.814,1.42,0.9465,0.9465
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,39,109,354,53.426525424,8.32,6.1353672316,6.1353672316
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,37,58,14.520689655,1.42,1.0377586207,1.0377586207
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,66.5775,17.29,12.703125,12.685625
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,45,4.7027272727,2.7663636364,2.7636363636
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,382.23230769,70.23,52.942307692,52.628461538
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,2220,6.7728243243,0.5594864865,0.4137702703,0.4137702703
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,2160,4.5459722222,1.3343333333,1.0074675926,1.0074675926
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,24,24,18.82,18.82
1043218928,BOORGU,NARASIMHA,R,M.D.,M,I,422 E DR HICKS BLVD,,FLORENCE,AL,356305763,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,45,16,16,12.117333333,12.117333333
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,27,50,58.281,8.32,5.7394,5.7394
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,13,15.649230769,1.42,1.0323076923,1.0323076923
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.325,6.44,4.56875,4.56875
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,7.704,5.26,3.7490909091,3.7490909091
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,162,44.920909091,27.965454545,29.102727273
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,39,82.83,22.212307692,16.348205128,13.18974359
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,50.73,7.4594117647,5.8458823529,3.9305882353
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,54,454.06333333,99.687407407,74.945555556,54.798888889
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,45.444545455,35.630909091,29.517272727
1043218951,PISANIELLO,MARTHA,L,M.D.,F,I,3926 STATE ROUTE 12,SOUTH LEWIS HEALTH CENTER,LYONS FALLS,NY,133681919,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,105,33,25.87,25.87
1043219033,CRAIG,SUSAN,K,M.D.,F,I,3070 COLLEGE ST,SUITE 120,BEAUMONT,TX,777014691,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,168,46.62,36.55,37.531818182
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,50,78,78,88.917435897,39.847307692,27.668589744,27.290769231
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,53,78,78,256.14102564,86.767051282,63.209358974,63.937820513
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,45,74,167,110.33886228,32.863473054,24.650778443,25.099760479
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,14,22,125,57.8716,18.6952,13.40896,13.62904
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,29,41,41,164.48292683,55.090487805,35.120243902,35.674634146
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,63,70,70,51.035714286,17.619285714,13.134142857,13.524428571
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,27,37,37,49.489459459,12.00972973,8.7659459459,8.7521621622
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,60,92,511,8.7889236791,2.0639334638,1.4863796477,1.4796477495
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,19,19,19.513684211,6.1805263158,4.1036842105,4.0684210526
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,37,40,40,47.704,12.98425,9.6065,9.8045
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,307.59473684,78.947368421,42.932631579,44.141578947
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,449.58588235,132.37411765,103.78235294,104.04588235
1043219249,LUMPKIN,L DENISE,S,FNP,F,I,810 HOSPITAL DR,STE 235,BEAUMONT,TX,777014654,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,30,120,120,205.04316667,35.783,27.099916667,25.919166667
1043219306,MCCABE,THOMAS,J,D.P.M.,M,I,3106 TREMAINSVILLE RD,,TOLEDO,OH,436131804,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,36,97.280833333,71.403888889,55.982777778,56.104722222
1043219306,MCCABE,THOMAS,J,D.P.M.,M,I,3106 TREMAINSVILLE RD,,TOLEDO,OH,436131804,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,69,72.035507246,43.56,34.151884058,34.149855072
1043219314,BRAUER,MARVIN,D,M.D.,M,I,2 W FERN AVE,,REDLANDS,CA,92373,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,65,68,70.557794118,19.177794118,13.538235294,12.302647059
1043219314,BRAUER,MARVIN,D,M.D.,M,I,2 W FERN AVE,,REDLANDS,CA,92373,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,84,87,319.0354023,89.26,63.965632184,50.834597701
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,33,95,66.581894737,8.32,5.9953684211,5.9953684211
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,18,21.569444444,1.42,1.1166666667,1.1166666667
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,163.73636364,40,26.228181818,25.437272727
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,65,10.384153846,2,1.5201538462,1.5415384615
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,100,3.17,2.4853333333,2.3783636364
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7843,1.0476858345,0.33,0.2587237027,0.244456203
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,62.083333333,18,12.934166667,12.459166667
1043219322,MEYER,MICHAEL,J,D.O.,M,I,7900 N MILWAUKEE AVE,SUITE 2-23,NILES,IL,607143159,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,316.15384615,77.18,57.492307692,52.147692308
1043219355,UEKI,BARTON,H,M.D.,M,I,12486 WASHINGTON BLVD,,WHITTIER,CA,906021005,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,27,2131.8,913.16,710.6062963,836.9462963
1043219389,KHAMASH,HASAN,,MD,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,85054,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,40,103,249,36725,4.1091466304,0.5755929204,0.4418690265,0.4423115044
1043219389,KHAMASH,HASAN,,MD,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,85054,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,41,104,24900,0.0845807229,0.0128614458,0.0099582329,0.0099582329
1043219389,KHAMASH,HASAN,,MD,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,85054,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,33,97,252,50584,2.465550174,1.1855673731,0.8972147319,0.9198827693
1043219389,KHAMASH,HASAN,,MD,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,85054,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,3840,4.2720885417,2.84103125,2.1945963542,2.1945963542
1043219389,KHAMASH,HASAN,,MD,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,85054,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,5,32,32,32,50,50,37.975,37.975
1043219389,KHAMASH,HASAN,,MD,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,85054,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,41,100,238,238,24,24,18.443907563,18.443907563
1043219389,KHAMASH,HASAN,,MD,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,85054,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,41,120,331,387,16.020671835,16,12.378268734,12.378268734
1043219439,RUTLEDGE,CYNTHIA,,DO,F,I,2301 S GREGG ST,,BIG SPRING,TX,797205531,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,39,71,66.79,8.32,6.0629577465,6.0629577465
1043219439,RUTLEDGE,CYNTHIA,,DO,F,I,2301 S GREGG ST,,BIG SPRING,TX,797205531,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,10.815333333,1.42,1.12,1.12
1043219439,RUTLEDGE,CYNTHIA,,DO,F,I,2301 S GREGG ST,,BIG SPRING,TX,797205531,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,52,17.27,12.411666667,12.411666667
1043219439,RUTLEDGE,CYNTHIA,,DO,F,I,2301 S GREGG ST,,BIG SPRING,TX,797205531,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,220,68.78,53.92,54.613333333
1043219439,RUTLEDGE,CYNTHIA,,DO,F,I,2301 S GREGG ST,,BIG SPRING,TX,797205531,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3388,0.2126357733,0.0460182999,0.0360714286,0.0360714286
1043219439,RUTLEDGE,CYNTHIA,,DO,F,I,2301 S GREGG ST,,BIG SPRING,TX,797205531,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,103.71428571,33,25.87,25.87
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,38,53.411315789,8.32,6.1768421053,6.1768421053
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.901818182,1.42,1.12,1.12
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,118.72923077,54.96,43.09,42.895384615
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,49.036666667,18.896666667,14.806666667,14.208333333
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,41.477333333,12.07,9.47,9.1753333333
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,66,6.8151515152,2.1618181818,1.6953030303,1.6115151515
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,38.535,17.25,13.52,13.533
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,156.64470588,33.314705882,26.115882353,26.125882353
1043219470,KISIEL,STEPHEN,L,DO,M,I,42 SUMMER ST,SUITE 301,PITTSFIELD,MA,012014624,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,77.065,69.62,54.3885,54.48
1043219538,SHETH,DHARTI,,M.D.,F,I,21000 E 12 MILE RD,SUITE 112,ST CLAIR SHORES,MI,480811116,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,34,48.494117647,41.17,32.276764706,30.753529412
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1512,0.3780952381,0.13,0.1019246032,0.1019246032
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,735,2.28,2.27,1.6173333333,1.6173333333
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,4410,3.3936734694,2.04,1.5668185941,1.5668185941
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,44,11.787272727,10.588181818,7.9254545455,8.1852272727
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,41,9.1887804878,7.4326829268,5.5448780488,5.567804878
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,340,10.194117647,9.86,7.3080588235,7.3080588235
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,500,4.3585,4.04,3.1674,3.1674
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,493,22.084766734,13.07673428,10.252251521,10.294016227
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,100,555,326.82,256.2273,256.2273
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,100,22.59,9.35,7.33,7.33
1043219546,SIREF,LARRY,E,M.D.,M,I,7710 MERCY RD,SUITE 406,OMAHA,NE,681242372,US,Physician/Urology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,100,70.68,29.22,22.9086,22.9086
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,52,164,393,58.99394402,8.32,5.5379643766,5.5379643766
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.65,2.65
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,30,67,84,13.354166667,1.42,0.9576190476,0.9576190476
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,20.3,20.3,14.858666667,14.858666667
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1825,2.04,2.04,1.5207342466,1.5207342466
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.93,10.93,7.8558333333,7.8558333333
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.46,7.46,5.3625,5.3625
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,201,5.9806467662,4.91,3.4664676617,3.4664676617
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,37,37,129.43837838,49.771891892,38.076486486,29.631081081
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,24,45,45,266.52866667,122.382,87.066,59.55
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,21,43,96,103.62364583,45.540520833,35.1075,25.378645833
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,14,27,138,46.498985507,27.259565217,20.79057971,14.024202899
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,77,57.462597403,20.228181818,13.811168831,10.398441558
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,27,47,47,174.75382979,75.643617021,56.389361702,40.671914894
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,41,55,55,57.036363636,25.697090909,18.725818182,12.943636364
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,44,44,65.251590909,20.815454545,16.087045455,9.1745454545
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,45,95,510,8.0025882353,2.92,2.1861764706,1.5103921569
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,18.383333333,8.31,6.0875,4.2625
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,28,34,34,29.266470588,15.874705882,12.441176471,10.420588235
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,11,90,2723,6.3505618803,4.1922695556,3.0634080059,2.1650679398
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,46,1322,11.995953101,7.3962934947,5.4037972769,3.9002723147
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,13,103,43269,0.7172848922,0.4906961104,0.3720166863,0.2783077954
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,10477,0.57,0.4114364799,0.3107168082,0.2311940441
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7572,0.72,0.6951822504,0.5368291072,0.5092498679
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,280,0.97,0.8305714286,0.65125,0.5569642857
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,54,48.366481481,22.422777778,17.134814815,13.361481481
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,280,116.081,83.092,57.401
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,81.75,17.7828,13.5248,10.0624
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,58,58,31.545172414,8.2262068966,5.9474137931,3.3527586207
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,14,86,86,176.52488372,55.496744186,42.19,25.797906977
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,31.245,11.343636364,8.8890909091,4.3468181818
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,68,68,35.912647059,14.068676471,10.856911765,10.022205882
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,123.75,30.9175,24.238333333,22.223333333
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,75,108,36.67,13.304537037,9.8147222222,8.9713888889
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,67,67,420.19,218.6080597,165.47283582,165.47283582
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,124,124,269.35645161,98.644274194,74.305241935,53.573306452
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,57,57,42.061176471,42.061176471
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,19,81,13980,0.483788269,0.0466294707,0.036276824,0.036276824
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,40,3415,2.0689370425,0.1340937042,0.1035461201,0.1035461201
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,41,1830,9.8553060109,2.9835737705,2.3391420765,2.3391420765
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,200,45.002727273,33.790909091,28.825
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,1,13,26,136,35.5,15.26,11.964191176,11.963970588
1043219579,CURRIE,ROBERT,,M.D.,M,I,834 N SEMINARY ST,201,GALESBURG,IL,614012852,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,22,90,90,36.408333333,33,25.089111111,25.089111111
1043219629,MENDEL,PETER,A,MD,M,I,3401 COMMISSION CT,SUITE 201,WOODBRIDGE,VA,221921771,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,18,18,203.36944444,55,41.431666667,41.225
1043219629,MENDEL,PETER,A,MD,M,I,3401 COMMISSION CT,SUITE 201,WOODBRIDGE,VA,221921771,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,63.981666667,18,13.2925,13.258333333
1043219629,MENDEL,PETER,A,MD,M,I,3401 COMMISSION CT,SUITE 201,WOODBRIDGE,VA,221921771,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,67.166470588,12,9.41,9.1711764706
1043219629,MENDEL,PETER,A,MD,M,I,3401 COMMISSION CT,SUITE 201,WOODBRIDGE,VA,221921771,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,93,9.1068817204,2,1.5261290323,1.5456989247
1043219629,MENDEL,PETER,A,MD,M,I,3401 COMMISSION CT,SUITE 201,WOODBRIDGE,VA,221921771,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,91.211764706,46.182352941,32.595882353,33.01
1043219629,MENDEL,PETER,A,MD,M,I,3401 COMMISSION CT,SUITE 201,WOODBRIDGE,VA,221921771,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,15,17,76.529411765,13.65,10.070588235,9.8894117647
1043219629,MENDEL,PETER,A,MD,M,I,3401 COMMISSION CT,SUITE 201,WOODBRIDGE,VA,221921771,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,30,32,256.1175,31.323125,23.8334375,24.08125
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,42,116,277,56.290758123,8.32,5.2132490975,5.2132490975
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,39,86,107,21.975233645,1.42,0.8669158879,0.8669158879
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,32,960,9,6.26,4.908,5.6964375
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,22,86.588181818,71.56,56.106818182,56.103181818
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,16,478,27.501046025,23.66,18.549330544,18.549330544
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,192,12.83359375,10.93,7.68859375,7.68859375
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,32,204,5.5,3.81,2.9865686275,2.9865686275
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,508,3.9212598425,3,2.351988189,2.3676968504
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,14,88,3282,7.4056063376,5.1,3.9742687386,4.1208957952
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,34,16674,0.5098464676,0.3297691016,0.258543241,0.2900797649
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,26,11631,0.325266959,0.2999742069,0.2110781532,0.2190877826
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,44,27111,0.8674526945,0.652672347,0.5116963594,0.51744126
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,13,13,63.560769231,61.8,48.45,48.33
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,49.95,17,12.008823529,12.222352941
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,28,41.6,3.6875,1.8932142857,2.5257142857
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,5,12,72,92,9.1709782609,5.2984782609,4.1080434783,3.9482608696
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,33,431.55909091,77.18,53.556666667,48.468787879
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,35,6029,1.6772864488,0.1338248466,0.0842892685,0.0842892685
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,38.710769231,25.313846154,13.229230769,10.81
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,19.872307692,9.96,6.3092307692,6.0553846154
1043219678,WENG,JOSH,,M.D.,M,I,624 W DUARTE RD,#106,ARCADIA,CA,910077603,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,26,30,48.4,33,24.145333333,24.145333333
1043219686,WISHNEV,STEPHANIE,A,MD,F,I,6020 S. JONES BLVD,,LAS VEGAS,NV,891182310,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,210,15.010666667,7,4.8678095238,4.8678095238
1043219686,WISHNEV,STEPHANIE,A,MD,F,I,6020 S. JONES BLVD,,LAS VEGAS,NV,891182310,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,175,13.668,5.54,4.2192,4.2192
1043219686,WISHNEV,STEPHANIE,A,MD,F,I,6020 S. JONES BLVD,,LAS VEGAS,NV,891182310,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,430,8.4040697674,4.03,3.0812325581,3.0812325581
1043219686,WISHNEV,STEPHANIE,A,MD,F,I,6020 S. JONES BLVD,,LAS VEGAS,NV,891182310,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,750,0.6866666667,0.24,0.18816,0.20932
1043219694,KENNEDY,ROBERT,M,M.D.,M,I,777 HOSPITAL WAY,G15,POCATELLO,ID,832015175,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,17,91.529411765,33.6,26.34,25.92
1043219694,KENNEDY,ROBERT,M,M.D.,M,I,777 HOSPITAL WAY,G15,POCATELLO,ID,832015175,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,20,52,5.1538461538,2.08,1.63,1.5938461538
1043219710,CHANDA,SANDHYA,,MD,F,I,19450 DEERFIELD AVE,SUITE 400,LEESBURG,VA,201766820,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,48,64.953125,8.32,5.5716666667,5.5716666667
1043219710,CHANDA,SANDHYA,,MD,F,I,19450 DEERFIELD AVE,SUITE 400,LEESBURG,VA,201766820,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,22,22,22,143.31045455,41.438636364,32.487272727,34.970454545
1043219710,CHANDA,SANDHYA,,MD,F,I,19450 DEERFIELD AVE,SUITE 400,LEESBURG,VA,201766820,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,175,46.261111111,36.27,37.846666667
1043219710,CHANDA,SANDHYA,,MD,F,I,19450 DEERFIELD AVE,SUITE 400,LEESBURG,VA,201766820,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,519.51,79.8,58.862,51.603333333
1043219710,CHANDA,SANDHYA,,MD,F,I,19450 DEERFIELD AVE,SUITE 400,LEESBURG,VA,201766820,US,Physician/Internal Medicine,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,14.729969697,7.483,5.8666363636,5.8666363636
1043219710,CHANDA,SANDHYA,,MD,F,I,19450 DEERFIELD AVE,SUITE 400,LEESBURG,VA,201766820,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1043219736,BERG,SUSAN,,MD,F,I,311 W. FAIRCHILD,,DANVILLE,IL,618323876,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.27,12.411666667,12.411666667
1043219736,BERG,SUSAN,,MD,F,I,311 W. FAIRCHILD,,DANVILLE,IL,618323876,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,519.51,69.81,52.449583333,52.449583333
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,42,63.802857143,8.32,6.5204761905,6.5204761905
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,67,89.586119403,18.254776119,11.334477612,11.577761194
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,254.268,53.7535,37.932,38.6625
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,80.432307692,18.045384615,14.148461538,14.074615385
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,24,24,73.070416667,12.1175,8.8675,8.5158333333
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,27,157,10.087070064,2.0427388535,1.4781528662,1.4702547771
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,20.342857143,17,12.568285714,12.733142857
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,30.452727273,3.4713636364,2.7272727273,3.4977272727
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,94,99,261.68646465,77.695858586,59.358080808,54.42040404
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,50,138.5136,40.5784,31.8158,29.669
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,22,8979,0.497897316,0.0456041875,0.0307183428,0.0307183428
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,3450,2.6932521739,0.0778115942,0.061,0.061
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,3979,2.0551972858,0.1349585323,0.1030711234,0.1030711234
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,41,2940,11.31435034,3.0944897959,2.2480612245,2.2480612245
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,21,54,54,44,33,24.432777778,24.432777778
1043219769,RUSSO,ROSEANN,M,M.D.,F,I,1165 NORTHERN BLVD,SUITE 300,MANHASSET,NY,110303039,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,69.294117647,66,48.702352941,48.702352941
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,49,78,71.116153846,8.32,5.8535897436,5.8535897436
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,25,28,14.329285714,1.42,0.9578571429,0.9578571429
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,45,9.6822222222,2.052,1.3217777778,1.3106666667
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,50.208571429,3.95,2.6571428571,2.9471428571
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,511.12318182,67.72,50.686363636,52.187272727
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1595,0.2575047022,0.046137931,0.0361567398,0.0361567398
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.86,3.0303636364,2.3758333333,2.3758333333
1043219850,MIRONE,PAUL,J,MD,M,I,1600 PENINSULA DR STE 9,,ERIE,PA,165054261,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,118.8,33,25.87,25.87
1043219876,WANG,ROBERT,L,,M,I,356 ROUTE 46 E,,MOUNTAIN LAKES,NJ,070461717,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,300,29.338095238,17.862380952,18.39
1043219876,WANG,ROBERT,L,,M,I,356 ROUTE 46 E,,MOUNTAIN LAKES,NJ,070461717,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,410.27117647,71.5,52.762352941,51.588823529
1043220049,SULLIVAN,MARY,F,FAMILY NURSE PRACTIT,F,I,116 BELMONT ST,SUITE 11,WORCESTER,MA,016052964,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,33,68.975757576,8.32,6.1263636364,6.1263636364
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,49,96,75.604166667,8.32,6.1148958333,6.1148958333
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,17,15.038235294,1.42,1.1176470588,1.1176470588
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,220.80142857,77.237857143,60.552857143,44.689285714
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,58.028461538,23.674615385,17.359230769,13.665384615
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,57.039090909,17.354545455,12.69,8.2909090909
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,8.1979411765,2.7532352941,2.1591176471,1.6845588235
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,168.826,64.72,46.294,33.344
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,62.829047619,19.661904762,14.049047619,12.532857143
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,40.01,12.2525,6.205,5.165
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,68,68,335.06779412,100.99705882,77.160294118,58.734852941
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,102.22222222,45.42,35.611666667,29.914444444
1043220080,BODE,ROBERT,B,MD,M,I,1471 CHESTER BLVD STE A,,RICHMOND,IN,473741919,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,602,44.745,35.0825,30.111666667
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,31,95,253,63.081383399,8.3148616601,5.5595256917,5.5640711462
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,40,67,16.807910448,1.42,0.9653731343,0.9653731343
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,7.772,5.54,4.3435,4.3435
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,40.941666667,14.233333333,11.16,10.084166667
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,46,6.8613043478,2.1839130435,1.7139130435,1.6513043478
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,480,15.028,5.54,4.3433333333,4.29825
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,35.418461538,17.29,12.507692308,12.489230769
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,52.144117647,4.6488235294,2.9829411765,2.9811764706
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,150.153,30.927,19.9215,19.5215
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,131.9,48.8025,35.425,34.9025
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.87,5.16,4.05,4.545
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,264.09866667,70.23,51.130666667,50.825
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2468,0.3166612642,0.0453687196,0.0322082658,0.0322082658
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,15,1735,2.0891642651,0.1303573487,0.0771123919,0.0771123919
1043220239,SPILLER,KENNETH,M,MD,M,I,4809 AMBASSADOR CAFFERY PKWY,SUITE 430,LAFAYETTE,LA,705088800,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,33,33,23.518181818,23.518181818
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,6.9058333333,2.04,1.5983333333,1.5922222222
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,36.5,17,10.664,10.8735
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,6.466,5.072,4.0786666667
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,347.30074074,32.864814815,23.758888889,23.962592593
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,339.3605,77.74,55.109,50.812
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,1215,9.4476296296,2.9683209877,2.2779917695,2.2779917695
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,40.66,31.88,29.51
1043220254,SIERROS,VASILIOS,,M.D.,M,I,300 CADMAN PLZ W,,BROOKLYN,NY,112012701,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,33,33,25.87,25.87
1043220502,THISTLE,RICHARD,E,M.D,M,I,1250 E ALMOND AVE,,MADERA,CA,936375606,US,Physician/Emergency Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,145.31,33.471666667,23.105833333,21.310833333
1043220502,THISTLE,RICHARD,E,M.D,M,I,1250 E ALMOND AVE,,MADERA,CA,936375606,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,21.483636364,21.483636364
1043220510,BEIM,GLORIA,M,MD,F,I,112 W SPENCER AVE,SUITE A,GUNNISON,CO,812302545,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,310,310,243.04285714,414.75714286
1043220510,BEIM,GLORIA,M,MD,F,I,112 W SPENCER AVE,SUITE A,GUNNISON,CO,812302545,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,149,103.77642857,81.361428571,87.361428571
1043220510,BEIM,GLORIA,M,MD,F,I,112 W SPENCER AVE,SUITE A,GUNNISON,CO,812302545,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,105,105,80.815,118.245
1043220528,BOYD,BONNIE,A,M.D.,F,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,30,109,54.347431193,8.32,6.1633027523,6.1633027523
1043220528,BOYD,BONNIE,A,M.D.,F,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,25,7.6124,1.42,0.9808,0.9808
1043220528,BOYD,BONNIE,A,M.D.,F,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,96,8.25,6.44,5.05,5.05
1043220528,BOYD,BONNIE,A,M.D.,F,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,12,7,5.488,5.488
1043220528,BOYD,BONNIE,A,M.D.,F,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,480,0.85,0.4,0.3135,0.3135
1043220528,BOYD,BONNIE,A,M.D.,F,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,3.612,3.04,2.3835,2.3835
1043220528,BOYD,BONNIE,A,M.D.,F,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1334,0.0855172414,0.0855172414,0.0670314843,0.0670314843
1043220569,BARFIELD,WILLIAM,E,MD,M,I,1348 WALTON WAY,SUITE 4100,AUGUSTA,GA,309015107,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,2.3611111111,2.04,1.4544141414,1.4544141414
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,48,117,357,63.587647059,8.32,6.0291316527,6.0291316527
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,15.206956522,3.38,2.0739130435,2.0739130435
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,25.265,2.12,1.3916666667,1.3916666667
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,23,40,69,16.204057971,1.42,0.9689855072,0.9689855072
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,25,8.19,2.0616,1.6184,1.2564
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,413.25230769,119.68538462,82.242307692,57.408461538
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,80.483846154,23.907692308,18.740769231,14.06
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,20,20,87.549,19.25,14.083,8.7575
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,23,133,12.300451128,3.0503759398,2.2316541353,1.5093233083
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,231,30.252900433,13.13,10.293852814,10.293852814
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,77,497.25,326.82,256.22701299,256.22701299
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,77,203.94,9.35,7.33,7.33
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,77,652.88571429,29.22,22.908571429,22.908571429
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,66,71.77469697,22.432727273,16.545,13.668181818
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,190.10454545,57.126363636,37.288181818,30.788181818
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,4171.9623077,1074.31,836.74192308,836.74192308
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,50.73,8.5576923077,6.7076923077,4.3423076923
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,257.82,39.911428571,31.288571429,23.38
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,26,226,231,472.11848485,102.31692641,76.848614719,54.404718615
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,250,45.555,35.7175,29.5175
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,16.993791667,9.604,7.4866944444,7.4866944444
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2357,0.2233177768,0.0454306322,0.0356130675,0.0356130675
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,49,5242,1.4813010301,0.1311198016,0.0924189241,0.0924189241
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.745,32.344166667,28.248333333
1043220775,DAVIS,CLAYTON,H,M.D.,M,I,55 HOLLY SPRINGS PARK DR,,FRANKLIN,NC,287340719,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,63,63,89.571428571,33,25.459365079,25.459365079
1043220833,REESE,LAURA,C,D.O.,F,I,700 SAINT CHRISTOPHER DR,MOB 3 SUITE 200,ASHLAND,KY,411017062,US,Physician/Orthopedic Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.151666667,7.6325,5.9816666667,5.9816666667
1043220833,REESE,LAURA,C,D.O.,F,I,700 SAINT CHRISTOPHER DR,MOB 3 SUITE 200,ASHLAND,KY,411017062,US,Physician/Orthopedic Surgery,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,167.91666667,97.985833333,70.660833333,50.504166667
1043220957,ARMSTRONG,WILLIAM,M,M.D.,M,I,3434 SWISS AVE,SUITE 420,DALLAS,TX,752046251,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,22,86,55.240348837,8.32,5.5363953488,5.5363953488
1043220957,ARMSTRONG,WILLIAM,M,M.D.,M,I,3434 SWISS AVE,SUITE 420,DALLAS,TX,752046251,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,12.08,1.42,0.9046875,0.9046875
1043221054,GROSS,ROBERT,D,MD,M,I,911 23RD ST,,CANYON,TX,790154600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,31,67,57.278656716,8.32,6.3268656716,6.3268656716
1043221054,GROSS,ROBERT,D,MD,M,I,911 23RD ST,,CANYON,TX,790154600,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,18,11.813888889,1.42,1.1177777778,1.1177777778
1043221054,GROSS,ROBERT,D,MD,M,I,911 23RD ST,,CANYON,TX,790154600,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,45.011935484,17.801290323,13.217096774,12.843548387
1043221054,GROSS,ROBERT,D,MD,M,I,911 23RD ST,,CANYON,TX,790154600,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,33.819565217,4.7339130435,3.7065217391,3.8139130435
1043221054,GROSS,ROBERT,D,MD,M,I,911 23RD ST,,CANYON,TX,790154600,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,360.4,72.3792,48.6132,46.7156
1043221161,HINDI,KIMBERLY,A,CRNP,F,I,1801 PINE ST,STE 302,MONTGOMERY,AL,361060165,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,519.51,70.23,45.084117647,44.804117647
1043221179,DAFCIK,ADRIAN,,MD,M,I,134 ROUND HILL ROAD,,FAIRFIELD,CT,06824,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,33,82,71.400731707,8.32,5.5351219512,5.5351219512
1043221179,DAFCIK,ADRIAN,,MD,M,I,134 ROUND HILL ROAD,,FAIRFIELD,CT,06824,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,18.484666667,1.42,1.044,1.044
1043221179,DAFCIK,ADRIAN,,MD,M,I,134 ROUND HILL ROAD,,FAIRFIELD,CT,06824,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,19.187333333,5.462,3.75,3.1533333333
1043221179,DAFCIK,ADRIAN,,MD,M,I,134 ROUND HILL ROAD,,FAIRFIELD,CT,06824,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,356.73647059,76.143529412,47.905882353,46.105882353
1043221278,JANJUA,AAMER,,M.D.,M,I,6345 ELLINGTON LN,,BEAUMONT,TX,777064045,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,19.95,16.2075,12.7075,14.19
1043221328,SINGH,PAUL,G,MD,M,I,809 SOUTH LONG DRIVE,SUITE G,ROCKINGHAM,NC,283794375,US,Physician/Interventional Radiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,38,38,1200,1001.76,783.46815789,773.63815789
1043221351,NELSON,GREGORY,,,M,I,1100 W CENTRAL RD,SUITE 205,ARLINGTON HEIGHTS,IL,600052402,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,60,60,60,83.671166667,70.887333333,50.350833333,48.381333333
1043221351,NELSON,GREGORY,,,M,I,1100 W CENTRAL RD,SUITE 205,ARLINGTON HEIGHTS,IL,600052402,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,50,37.83,25.414285714,24.644761905
1043221351,NELSON,GREGORY,,,M,I,1100 W CENTRAL RD,SUITE 205,ARLINGTON HEIGHTS,IL,600052402,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,61,70,52.13,37.147704918,39.47704918
1043221385,SULE,OGHOMWEN,K,MD,M,I,9601 TOWNLINE RD,,MINOCQUA,WI,545489099,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,86.31,21.394,16.026,12.8535
1043221385,SULE,OGHOMWEN,K,MD,M,I,9601 TOWNLINE RD,,MINOCQUA,WI,545489099,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,51,508.39117647,101.95333333,77.589607843,53.377843137
1043221443,MOON,CHRISTOPHER,A,DPM,M,I,1256 S JACKSON ST,,FRANKFORT,IN,460413311,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,480,0.4,0.4,0.3135416667,0.342375
1043221443,MOON,CHRISTOPHER,A,DPM,M,I,1256 S JACKSON ST,,FRANKFORT,IN,460413311,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,210,24.711428571,23.377142857,18.327714286,18.534904762
1043221450,BERNSTEIN,MICHAEL,,,M,I,2601 OCEAN PKWY,,BROOKLYN,NY,112357745,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,16,29.0475,8.32,5.70875,5.70875
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,79,252,653,57.385421133,8.32,5.9315160796,5.9315160796
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,31,31,16.451612903,3.38,2.564516129,2.564516129
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,23.025,2.12,1.67,1.67
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,40,85,163,15.425705521,1.42,1.0457668712,1.0457668712
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,18,930,3.4516774194,2.27,1.7126989247,1.7126989247
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,9.1809166667,7.1,5.5663333333,5.6683333333
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,40,15.6745,9.29,6.916,8.217
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,32,11.36,7.3,5.3671875,5.4940625
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,9.5314,7,5.4080333333,5.4080333333
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,480,2.48125,1.95,1.5287083333,1.5287083333
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,0.3537333333,0.27,0.1940277778,0.1940277778
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,402,8.28,8.28,6.1346766169,6.1346766169
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,16,44,3.8502272727,2.1040909091,1.6509090909,1.1509090909
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,40,2.30075,1.4735,1.1545,0.9625
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,31,51,51,227.93764706,123.58490196,95.665490196,67.442745098
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,14,26,69,103.47608696,47.924057971,37.416086957,25.761014493
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,24,35,35,128.954,77.846,57.342571429,41.612
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,53,62,62,41.098548387,24.530322581,18.729516129,13.970322581
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,42,62,62,47.30983871,21.649677419,16.810483871,9.3322580645
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,25,43,182,9.0367032967,3.2276923077,2.5206593407,1.5833516484
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,12,12,19.2925,8.5866666667,6.7366666667,4.6566666667
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,120.059375,64.98,48.465,35.790625
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,28.714545455,18.786363636,13.536363636,10.954545455
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,7,17,17,17,130.50529412,84.225882353,66.037647059,46.08
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,30.771818182,21.394545455,16.772727273,13.736363636
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,13,49,54,114.3612963,80.957407407,63.469814815,48.951851852
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,23,160,164,49.668292683,22.093109756,16.991829268,13.447865854
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,2104.7913043,1074.31,833.975,833.975
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,35.424166667,19.210277778,14.096944444,10.356111111
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,29,117,131,23.669083969,6.6620610687,4.5296183206,3.4621374046
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,26,144,145,133.1162069,52.17337931,36.765241379,24.652
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,42,253,261,293.688659,99.802911877,74.830613027,54.117394636
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,65,65,65,44.302615385,31.655076923,26.846923077
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,15,72.793333333,54.516666667,39.972,35.472666667
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,4000,0.78071,0.0462925,0.0317875,0.0317875
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,2400,1.7990375,0.1368625,0.1016375,0.1016375
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,19,77,90,53.508,28.920777778,22.514555556,16.688222222
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,6,,13,54,25.105,14.913518519,11.692407407,11.692407407
1043221492,CARTER,HARRISON,C,MD,M,I,1126 W 12TH ST,,ALMA,GA,315101814,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,41,41,37.829268293,33,22.715121951,22.715121951
1043221658,WOHLRAB,KURT,P,"MD, MPH",M,I,5 FIRST VILLAGE DR,,PINEHURST,NC,28374,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,119.32,66.466923077,52.110769231,38.284615385
1043221658,WOHLRAB,KURT,P,"MD, MPH",M,I,5 FIRST VILLAGE DR,,PINEHURST,NC,28374,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,78,199,201,120.24751244,87.309552239,67.757910448,76.01721393
1043221658,WOHLRAB,KURT,P,"MD, MPH",M,I,5 FIRST VILLAGE DR,,PINEHURST,NC,28374,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,26,118.14,118.14,92.62,78.427692308
1043221658,WOHLRAB,KURT,P,"MD, MPH",M,I,5 FIRST VILLAGE DR,,PINEHURST,NC,28374,US,Physician/Orthopedic Surgery,S,L1845,"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,965,914,716.48631579,646.05684211
1043221658,WOHLRAB,KURT,P,"MD, MPH",M,I,5 FIRST VILLAGE DR,,PINEHURST,NC,28374,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,19,97.472631579,74.152631579,55.061052632,59.841578947
1043221658,WOHLRAB,KURT,P,"MD, MPH",M,I,5 FIRST VILLAGE DR,,PINEHURST,NC,28374,US,Physician/Orthopedic Surgery,S,L2795,"Addition to lower extremity orthosis, knee control, full kneecap",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,25,77.11,77.11,60.46,66.9112
1043221658,WOHLRAB,KURT,P,"MD, MPH",M,I,5 FIRST VILLAGE DR,,PINEHURST,NC,28374,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,60,53.2,38.234166667,42.584166667
1043221674,CHOWDARY,SUNEETHA,,MD,F,I,2801 OCEAN PARKWAY,,BROOKLYN,NY,11235,US,Physician/Hospice and Palliative Care,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,450,8.28,8.28,6.4916,6.4916
1043221674,CHOWDARY,SUNEETHA,,MD,F,I,2801 OCEAN PARKWAY,,BROOKLYN,NY,11235,US,Physician/Hospice and Palliative Care,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,453,5,5,3.92,4.1631567329
1043221674,CHOWDARY,SUNEETHA,,MD,F,I,2801 OCEAN PARKWAY,,BROOKLYN,NY,11235,US,Physician/Hospice and Palliative Care,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6360,0.72,0.6457075472,0.5062342767,0.5174433962
1043221674,CHOWDARY,SUNEETHA,,MD,F,I,2801 OCEAN PARKWAY,,BROOKLYN,NY,11235,US,Physician/Hospice and Palliative Care,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,17,17,87.250588235,59.8,46.88,48.32
1043221674,CHOWDARY,SUNEETHA,,MD,F,I,2801 OCEAN PARKWAY,,BROOKLYN,NY,11235,US,Physician/Hospice and Palliative Care,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,69.89,15.248888889,11.146666667,13.62037037
1043221674,CHOWDARY,SUNEETHA,,MD,F,I,2801 OCEAN PARKWAY,,BROOKLYN,NY,11235,US,Physician/Hospice and Palliative Care,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,20.57,6.8653846154,4.7507692308,6.1173076923
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,2.4742857143,0.51,0.3714285714,0.3714285714
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,85,308,545,73.06093578,8.32,5.5191926606,5.5191926606
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,32,32,14.91,3.38,2.4015625,2.4015625
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,27.446153846,2.12,1.5415384615,1.5415384615
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,54,114,148,14.716824324,1.42,0.9960135135,0.9960135135
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1481.97,195.29833333,141.16083333,147.92916667
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,36,48.305833333,3.505,2.4394444444,3.2191666667
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,257.82,29.57,17.838461538,18.04
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,38,576.96105263,71.74,51.8,50.488684211
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,3481,0.1763774777,0.0457138753,0.0332145935,0.0332145935
1043221781,BARBA,RIGOBERTO,,MD,M,I,608 COTTONWOOD ST,,WOODLAND,CA,956953615,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,70.125,33,23.714166667,23.714166667
1043221898,DOOMUN,ROBERT,S,D.O.,M,I,19871 YORBA LINDA BLVD,#104,YORBA LINDA,CA,928862811,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.78,3.3581818182,2.6281818182,3.6781818182
1043221898,DOOMUN,ROBERT,S,D.O.,M,I,19871 YORBA LINDA BLVD,#104,YORBA LINDA,CA,928862811,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,45.692307692,30.640769231,24.026923077,26.372307692
1043222029,LOVENTHAL,JOHN,P,MD,M,I,45 MOONBOW PLZ,,CORBIN,KY,407018949,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,210.95,98.85,71.523,53.307
1043222383,CROFT,BRENT,L,O.D.,M,I,301 E TABERNACLE ST,STE. 101,ST GEORGE,UT,847707108,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,154.91666667,68.089166667,45.439166667,45.104166667
1043222508,MONTEYNE,PETER,J,M.D.,M,I,2304 S. BURNSIDE AVE,STE 2,GONZALES,LA,70737,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,625.80533333,71,55.66,54.73
1043222532,LEWIS,KEVIN,L,MD,M,I,1265 S UTICA AVE,THIRD FLOOR,TULSA,OK,741044243,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,111.79565217,32,22.906521739,23.646521739
1043222532,LEWIS,KEVIN,L,MD,M,I,1265 S UTICA AVE,THIRD FLOOR,TULSA,OK,741044243,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,61,10.952459016,1.9980327869,1.4616393443,1.4867213115
1043222623,DUNNETT,CHERYL,L,MD,F,I,8501 WILSHIRE BLVD,,BEVERLY HILLS,CA,90211,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,51,71.516078431,8.32,6.5225490196,6.5225490196
1043222623,DUNNETT,CHERYL,L,MD,F,I,8501 WILSHIRE BLVD,,BEVERLY HILLS,CA,90211,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,15.142941176,1.42,1.1152941176,1.1152941176
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,8.19,1.42,1.0090909091,1.05
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,,18,18,301.855,91.272222222,71.559444444,67.731111111
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,,19,45,109.43022222,33.454666667,23.983333333,23.643555556
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,15,19,19,51.259473684,18.852631579,14.055263158,13.343684211
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,16,16,58.00625,14.08125,11.0375,9.08875
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,14,27,119,8.2016806723,2.2026890756,1.7009243697,1.5645378151
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,132,136,56.480514706,17.354705882,12.796764706,12.742279412
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,66,66,1358.6463636,1074.31,835.87272727,835.87272727
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,47,47,30.208723404,3.3908510638,2.4982978723,3.2812765957
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,102.96,33.944,26.610666667,24.940666667
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,26,169,173,369.94531792,80.695375723,58.517225434,50.636242775
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,250,42.246470588,26.174705882,22.746470588
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,16.326641026,9.6483846154,7.5643205128,7.5643205128
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,17,67,17740,0.2898551297,0.0465766629,0.0346956032,0.0346944758
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,17,69,7289,1.7366181918,0.1351255316,0.0977610097,0.0977610097
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1060,1.4533396226,0.2191320755,0.1717924528,0.1717924528
1043222649,DUPRE,JOHN,R,MD,M,I,604A S 8TH ST,,GRIFFIN,GA,302244214,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,30,143,143,50.776223776,33,24.745524476,24.745524476
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,81,278,60.653956835,8.32,6.1234892086,6.1234892086
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,12.023478261,3.38,2.65,2.65
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,19,51,97,12.575463918,1.42,1.0797938144,1.0797938144
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,26,8.0215384615,1.47,1.1507692308,1.1507692308
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,126.03428571,17.29,13.55,13.53
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,17,17,190.14529412,48.31,35.651764706,35.416470588
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,29,50.73,4.6079310345,2.9896551724,2.9872413793
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,132.46,44.694545455,25.764545455,25.401818182
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,570.62484848,70.23,55.06,54.72
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,248,37.44,28.6425,28.8025
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,54,3210,16.300423676,9.6278785047,7.4319626168,7.4319626168
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2900,0.1885344828,0.045737931,0.0358482759,0.0358482759
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1440,1.3384861111,0.1395833333,0.1094513889,0.1094513889
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,55,3240,11.980398148,3.0539444444,2.3943209877,2.3943209877
1043222730,PATEL,RAMESH,V,M.D.,M,I,1220 WALTER REED RD,,FAYETTEVILLE,NC,28304,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,78,78,114.23076923,33,25.761794872,25.761794872
1043222755,DIGIOVANNA,MICHAEL,J,D.O.,M,I,1061 N BROADWAY,,NORTH MASSAPEQUA,NY,117581802,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,32,140,66.916714286,8.32,6.4295,6.4295
1043222755,DIGIOVANNA,MICHAEL,J,D.O.,M,I,1061 N BROADWAY,,NORTH MASSAPEQUA,NY,117581802,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,35,14.934857143,1.42,1.0817142857,1.0817142857
1043222896,CHUNN,MICHAEL,A,MD,M,I,6860 TYLERSVILLE RD,SUITE 12,MASON,OH,450401236,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,39,74.032564103,8.32,4.8520512821,4.8520512821
1043222896,CHUNN,MICHAEL,A,MD,M,I,6860 TYLERSVILLE RD,SUITE 12,MASON,OH,450401236,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,134.26,24.036363636,15.265454545,17.028181818
1043223175,VOGLER,JON,L,PA-C,M,I,7 WATER ST,WELLSBORO LAUREL HEALTH CENTER,WELLSBORO,PA,169011126,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,50,37.1278,8.32,5.871,5.871
1043223365,KIMBALL,DIANE,R,ARNP,F,I,118 W 4TH,,LEBO,KS,66856,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,54,54.393333333,8.32,5.7966666667,5.7966666667
1043223365,KIMBALL,DIANE,R,ARNP,F,I,118 W 4TH,,LEBO,KS,66856,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,64.34,50.439090909,42.848181818
1043223365,KIMBALL,DIANE,R,ARNP,F,I,118 W 4TH,,LEBO,KS,66856,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,52.5,4.5905,2.378,2.365
1043223365,KIMBALL,DIANE,R,ARNP,F,I,118 W 4TH,,LEBO,KS,66856,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3760,0.3013909574,0.0464308511,0.0334734043,0.0334734043
1043223365,KIMBALL,DIANE,R,ARNP,F,I,118 W 4TH,,LEBO,KS,66856,US,Nurse Practitioner,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.8984230769,0.0799230769,0.0626410256,0.0626410256
1043223365,KIMBALL,DIANE,R,ARNP,F,I,118 W 4TH,,LEBO,KS,66856,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1500,1.70938,0.13716,0.10028,0.10028
1043223365,KIMBALL,DIANE,R,ARNP,F,I,118 W 4TH,,LEBO,KS,66856,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,42.9,33,25.007666667,25.007666667
1043223381,KESSLER,CORBY,S,MD,M,I,935 TRANCAS ST,STE 1B,NAPA,CA,945582932,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,196.87454545,51.677272727,40.514545455,41.206363636
1043223381,KESSLER,CORBY,S,MD,M,I,935 TRANCAS ST,STE 1B,NAPA,CA,945582932,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,49,49,63.963061224,20.427346939,16.017755102,14.338163265
1043223381,KESSLER,CORBY,S,MD,M,I,935 TRANCAS ST,STE 1B,NAPA,CA,945582932,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,85,32.150416667,20.245833333,18.6625
1043223381,KESSLER,CORBY,S,MD,M,I,935 TRANCAS ST,STE 1B,NAPA,CA,945582932,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,79,79,104,26.653417722,16.144050633,16.891392405
1043223381,KESSLER,CORBY,S,MD,M,I,935 TRANCAS ST,STE 1B,NAPA,CA,945582932,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,137,52.455,41.1325,38.265
1043223381,KESSLER,CORBY,S,MD,M,I,935 TRANCAS ST,STE 1B,NAPA,CA,945582932,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,23,8.19,6.0633333333,5.8177777778
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,135,329,784,58.006339286,8.32,6.2044005102,6.2044005102
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,14.88,3.38,2.65,2.65
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,120,250,316,15.05443038,1.42,1.0574050633,1.0574050633
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,1080,0.8755555556,0.44,0.345,0.345
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,56,56,112,130.22625,71.56,55.867142857,55.867142857
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,55,55,327,76.345565749,43.56,34.151651376,34.15030581
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,32,1830,43.005245902,34.86,27.330224044,27.330224044
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,368,8.28,8.28,6.4916847826,6.4916847826
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,480,10,8.41,6.5934166667,6.5934166667
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,1383,5,2.4,1.881626898,1.881626898
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,1350,5,1.97,1.5444888889,1.5444888889
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,127.35,56.180909091,44.046363636,37.372727273
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,70,70,1993.54,913.16,713.45828571,839.79828571
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,2,,11,21,201.22571429,71.192857143,55.814285714,55.814285714
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,E2387,"Power wheelchair accessory, foam filled caster tire, any size, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,,11,28,134.06,47.574285714,37.2975,37.2975
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1740,2.2111666667,0.1337241379,0.0985804598,0.0985804598
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,146.25,14.364736842,10.104210526,12.226315789
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,1,,17,61,63.611803279,47.842295082,37.509016393,37.509016393
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,K0462,"Temporary replacement for patient owned equipment being repaired, any type",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,402.37,304.035625,238.36625,238.36625
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,23,250,35.27352,23.3956,18.26144,18.26144
1043223431,PATEL,VIJAYKUMAR,B,M.D.,M,I,1230 JEFFERSON ST,,DELANO,CA,932152204,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,24.927,24.927
1043223605,ISLINGER,RICHARD,B,M.D.,M,I,24 MACARTHUR BLVD,,SOMERS POINT,NJ,08244,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,226.47058824,226.47058824,177.55294118,480.62
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,62,171,50.646140351,8.32,5.8358479532,5.8358479532
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.470909091,3.38,2.65,2.65
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,25,39,12.875384615,1.42,1.0876923077,1.0876923077
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,900,0.548,0.4346666667,0.3408111111,0.3408111111
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,525,0.78,0.26,0.203847619,0.2112761905
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,485.27444444,125.30333333,93.005555556,63.031111111
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,34,101.12352941,26.87,20.123235294,13.695882353
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,82.655714286,24.365714286,19.1,14.06
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,22,22,92.798181818,20.066363636,15.268636364,8.7054545455
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,36,130,12.880307692,3.3561538462,2.4959230769,1.47
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,52.206363636,15.64,12.257272727,10.34
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,32,32,4.37,3.828125,3.005,2.394375
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,35,1015,12.49,7.1909852217,5.6376650246,4.1963743842
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4152,0.7410115607,0.485,0.3802456647,0.2926999037
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,12051,0.6109982574,0.3852460377,0.3012571571,0.2443780599
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,31.8,15.832,11.2228,8.6908
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,182.60666667,59.905333333,34.838666667,27.093333333
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,66,88.995909091,21.972424242,16.547121212,13.341666667
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,232.35,60.2,44.904444444,35.539444444
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,36,37,90.109459459,17.161081081,13.454864865,10.210810811
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,53.817222222,7.8866666667,5.7116666667,3.8744444444
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,54,55,256.46309091,47.638909091,35.318545455,22.945272727
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,17.6,10.86,8.076,3.789
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,112,126,552.28936508,102.30507937,77.837460317,54.674603175
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,17.776086957,9.64,7.4364492754,7.4364492754
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,3510,1.0144358974,0.1362649573,0.095962963,0.095962963
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,118.91363636,29.465454545,22.445909091,15.334090909
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,104.67,37.043,24.722,18.608
1043223621,OSBORN,THOMAS,H,D.O.,M,I,100 MCDOUGAL DR,,HOLDENVILLE,OK,748482822,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,45,45,92.4,33,25.008888889,25.008666667
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,27,67,167,27.701317365,8.32,6.0133532934,6.0133532934
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,20,39,54,15.062962963,1.42,1.0137037037,1.0137037037
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,25,4.154,2.1232,1.5628,1.124
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,190,67.13,49.673846154,37.082307692
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,124.20272727,54.868181818,39.269090909,34.209090909
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,6.885,4.7927777778,3.0033333333
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,313.14285714,103.372,79.338285714,54.323428571
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2640,1.4831818182,0.1345,0.1013409091,0.1013409091
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,54.850769231,25.067692308,15.219230769,10.408461538
1043223639,HARVEY,MARTIN,D,MD,M,I,704 FIFTH STREET,,COLLINS,MS,39428,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,39.962962963,33,24.935185185,24.935185185
1043223704,TORRES,ARELI,,PAC,F,I,450 WEST CLARA STREET,CLINICAS DEL CAMINO REAL INC,OXNARD,CA,93033,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,48,42.673958333,8.32,6.52375,6.52375
1043223704,TORRES,ARELI,,PAC,F,I,450 WEST CLARA STREET,CLINICAS DEL CAMINO REAL INC,OXNARD,CA,93033,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,34,12.254117647,1.42,0.9194117647,0.9194117647
1043223753,MUZQUIZ,MOSES,,M.D.,M,I,1302 RIVER ST,,PALATKA,FL,321775042,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,72,67.399583333,8.32,4.5294444444,4.5294444444
1043223753,MUZQUIZ,MOSES,,M.D.,M,I,1302 RIVER ST,,PALATKA,FL,321775042,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2518,0.4004884829,0.0442573471,0.0346942017,0.0346942017
1043223753,MUZQUIZ,MOSES,,M.D.,M,I,1302 RIVER ST,,PALATKA,FL,321775042,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,24.022142857,24.022142857
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,118.368,53.056,36.215333333,31.495333333
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,13,79,79,61.534177215,21.447468354,16.625063291,14.367341772
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,29,29,76.727931034,36.110689655,28.21,22.155517241
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,16,89,89,21.983595506,9.432247191,7.244494382,6.7459550562
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,56,56,57,528.70631579,508.49421053,394.62684211,430.06561404
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,57,57,59,123.07152542,118.75,93.095762712,98.665932203
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,32,379.4515625,359.535625,281.875625,307.1909375
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,59,59,62,82.754516129,79.384677419,62.240322581,68.180967742
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,98.221538462,95.221538462,74.076153846,70.416923077
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,155.80066667,154.35733333,120.52466667,119.31266667
1043223969,MILLS,ROBERT,H,,M,I,4725 N FEDERAL HWY,ORTHOPAEDIC CENTER,FT LAUDERDALE,FL,333084603,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,175.22857143,154.3575,119.49571429,118.24714286
1043223977,JOHNSON,ERNEST,F,MD,M,I,433 COPPERFIELD BLVD NE,,CONCORD,NC,280252405,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,4909,5.7718415156,0.5629924628,0.4301283357,0.4301283357
1043223977,JOHNSON,ERNEST,F,MD,M,I,433 COPPERFIELD BLVD NE,,CONCORD,NC,280252405,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,2700,0.0266666667,0.0127222222,0.0093777778,0.0093777778
1043223977,JOHNSON,ERNEST,F,MD,M,I,433 COPPERFIELD BLVD NE,,CONCORD,NC,280252405,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,1856,4.4381573276,2.8059267241,2.1998329741,2.1998329741
1043223977,JOHNSON,ERNEST,F,MD,M,I,433 COPPERFIELD BLVD NE,,CONCORD,NC,280252405,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,24,24,18.82,18.82
1043223977,JOHNSON,ERNEST,F,MD,M,I,433 COPPERFIELD BLVD NE,,CONCORD,NC,280252405,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,47,49,16,16,11.772653061,11.772653061
1043224207,MARTINEZ,JOHN,D,MD,M,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,66160,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,39,153,72.216470588,19.685686275,15.133660131,15.133660131
1043224207,MARTINEZ,JOHN,D,MD,M,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,66160,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,51,22120,46.003334539,9.8420596745,7.7118657324,7.7118643761
1043224207,MARTINEZ,JOHN,D,MD,M,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,66160,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,46,231,168.99597403,2.6372294372,2.0677922078,2.0677922078
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,55,122,53.809836066,8.32,6.0931967213,6.0931967213
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,18,12.038333333,1.42,1.1166666667,1.1166666667
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,1200,0.15,0.12,0.0941,0.0941
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,15,2250,0.1608888889,0.13,0.1001288889,0.1001288889
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,13,2100,0.6411428571,0.45,0.3449,0.3449
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,14,160,80.3,25.3553125,19.8784375,19.2
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,125,53.9,8.468,6.6388,6.43008
1043224223,WRIGHT,JOHN,L,D.O.,M,I,805 MEDICAL DR,,LONGVIEW,TX,756055130,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,4818,815.492,639.344,506.39133333
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,50,138,76.205144928,8.32,6.3326811594,6.3326811594
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,34,40,15.26475,1.42,1.117,1.117
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,90,90,90,96.379555556,53.288666667,41.778666667,37.163888889
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,80,63.026666667,49.416,46.793333333
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,19,86.31,18,12.624736842,12.264736842
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,53.16,27.6725,21.6975,24.1
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,24.546785714,11.121428571,8.7128571429,8.8514285714
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,33,493.66363636,90.01,64.273939394,52.154545455
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,31,31,31,63.087096774,35.059677419,27.487741935,29.159677419
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,32,32,32,285.3421875,156.1371875,122.4171875,114.798125
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,32,151,151,48.736092715,22.158807947,17.022781457,14.868807947
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,96,96,76.3,34.128958333,25.862916667,19.931458333
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,112.66,54.1025,42.4125,38.2625
1043224249,SCHWARTZ,PAUL,M,M.D.,M,I,6290 LINTON BLVD,SUITE 102,DELRAY BEACH,FL,334846409,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,24,133,133,18.633684211,9.4991729323,7.3229323308,6.8276691729
1043224348,RAUTA,OLIMPIA,,MD,F,I,222 N 7TH ST,,BISMARCK,ND,585014436,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,45,58.270222222,8.32,6.3777777778,6.3777777778
1043224348,RAUTA,OLIMPIA,,MD,F,I,222 N 7TH ST,,BISMARCK,ND,585014436,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,4.8636363636,2.3118181818,1.386969697,1.1659090909
1043224348,RAUTA,OLIMPIA,,MD,F,I,222 N 7TH ST,,BISMARCK,ND,585014436,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1230,0.92,0.1324146341,0.099398374,0.099398374
1043224348,RAUTA,OLIMPIA,,MD,F,I,222 N 7TH ST,,BISMARCK,ND,585014436,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,12.86,2.9539230769,2.1389615385,2.1389615385
1043224348,RAUTA,OLIMPIA,,MD,F,I,222 N 7TH ST,,BISMARCK,ND,585014436,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,132,33,25.87,25.87
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,29,69,195,70.64174359,8.32,5.6524615385,5.6524615385
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,20,13.8135,1.42,1.006,1.006
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,148.5,84,65.86,67.84
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,25,73.44,32.4,23.368,23.8964
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,37.189285714,17.95,13.188571429,13.179285714
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,33.9,10.8,8.47,9.0838888889
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,76,4.3015789474,1.99,1.4778947368,1.505
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,102.55457143,18,13.303714286,13.026857143
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,54.637142857,3.8128571429,2.5333333333,3.1071428571
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,74,74,81.987027027,29.962972973,22.304189189,23.693108108
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,48,480.70270833,77.18,55.51875,50.935625
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,990,1.3332222222,0.1371818182,0.1075555556,0.1075555556
1043224603,BLISS,KIRK,R,D.O.,M,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,42,33,25.87,25.87
1043224686,GREENFIELD,BRUCE,A,M.D.,M,I,1400 S GRAND AVE,SUITE 800,LOS ANGELES,CA,900153048,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,1.3226111111,0.48575,0.38075,0.38075
1043224686,GREENFIELD,BRUCE,A,M.D.,M,I,1400 S GRAND AVE,SUITE 800,LOS ANGELES,CA,900153048,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,44,8550,3.9225730994,0.5620245614,0.3911871345,0.391180117
1043224686,GREENFIELD,BRUCE,A,M.D.,M,I,1400 S GRAND AVE,SUITE 800,LOS ANGELES,CA,900153048,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,3600,4.126625,1.2492,0.9354777778,0.9354777778
1043224686,GREENFIELD,BRUCE,A,M.D.,M,I,1400 S GRAND AVE,SUITE 800,LOS ANGELES,CA,900153048,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,41,41,24,24,17.442926829,17.442926829
1043224686,GREENFIELD,BRUCE,A,M.D.,M,I,1400 S GRAND AVE,SUITE 800,LOS ANGELES,CA,900153048,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,49,64,16.25,16,11.5603125,11.5603125
1043224793,PELKEY,LESLIE,R,M.D.,F,I,100 CHERRY ST SE,,GRAND RAPIDS,MI,495034224,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,27,68,74.493088235,8.32,5.0827941176,5.0827941176
1043224868,ROMANO,MICHAEL,C,M.D.,M,I,200 SE HOSPITAL AVE,,STUART,FL,349942346,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,38,4.31,2.7835294118,2.7835294118
1043225105,GODHANIA,VIKAS,A,DPM,M,I,6811 AUSTIN CENTER BLVD # 300,,AUSTIN,TX,787313166,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,89.661538462,71.56,56.105,56.105
1043225105,GODHANIA,VIKAS,A,DPM,M,I,6811 AUSTIN CENTER BLVD # 300,,AUSTIN,TX,787313166,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,55.17,43.56,33.891666667,33.89
1043225105,GODHANIA,VIKAS,A,DPM,M,I,6811 AUSTIN CENTER BLVD # 300,,AUSTIN,TX,787313166,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,390,10.08,8.28,6.0781025641,6.0781025641
1043225105,GODHANIA,VIKAS,A,DPM,M,I,6811 AUSTIN CENTER BLVD # 300,,AUSTIN,TX,787313166,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1850,0.16,0.13,0.0973459459,0.0973459459
1043225501,STAPLES,AMY,,MD,F,I,2211 LOMAS BLVD NE,3-ACC,ALBUQUERQUE,NM,871062745,US,Physician/Pediatric Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2675,5.1337719626,0.5847775701,0.4584635514,0.4584635514
1043225501,STAPLES,AMY,,MD,F,I,2211 LOMAS BLVD NE,3-ACC,ALBUQUERQUE,NM,871062745,US,Physician/Pediatric Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,24,24,18.82,18.82
1043225501,STAPLES,AMY,,MD,F,I,2211 LOMAS BLVD NE,3-ACC,ALBUQUERQUE,NM,871062745,US,Physician/Pediatric Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,26,16,16,12.541923077,12.541923077
1043225527,FISER,HAL,G,MD,M,I,1190 N STATE ST,SUITE 502,JACKSON,MS,392022413,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,220,12.244,7,5.488,5.488
1043225527,FISER,HAL,G,MD,M,I,1190 N STATE ST,SUITE 502,JACKSON,MS,392022413,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,160,5.7135,4.03,3.15975,3.15975
1043225527,FISER,HAL,G,MD,M,I,1190 N STATE ST,SUITE 502,JACKSON,MS,392022413,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,240,8.3925,8.28,6.1158333333,6.1158333333
1043225550,YADAV,VIJAYSHREE,,MD,F,I,3181 SW SAM JACKSON PARK RD # UHS-42,,PORTLAND,OR,972393011,US,Physician/Neurology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,75.44830303,4.29,3.0575757576,2.9506060606
1043225550,YADAV,VIJAYSHREE,,MD,F,I,3181 SW SAM JACKSON PARK RD # UHS-42,,PORTLAND,OR,972393011,US,Physician/Neurology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3960,1.35,0.38,0.2871666667,0.2793333333
1043225576,JURNEY,NINA,P,FNP,F,I,502 JACKSON ST,SUITE 4,ABERDEEN,MS,397303300,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,24,56,209,42.39569378,8.32,5.5863157895,5.5863157895
1043225576,JURNEY,NINA,P,FNP,F,I,502 JACKSON ST,SUITE 4,ABERDEEN,MS,397303300,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,26,62,8.3783870968,1.42,0.8606451613,0.8606451613
1043225576,JURNEY,NINA,P,FNP,F,I,502 JACKSON ST,SUITE 4,ABERDEEN,MS,397303300,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,20,44.2975,7.635,5.2595,2.984
1043225576,JURNEY,NINA,P,FNP,F,I,502 JACKSON ST,SUITE 4,ABERDEEN,MS,397303300,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3408,0.2889348592,0.0474559859,0.032338615,0.032338615
1043225576,JURNEY,NINA,P,FNP,F,I,502 JACKSON ST,SUITE 4,ABERDEEN,MS,397303300,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,125.8125,33,22.63625,22.63625
1043225923,JIMENEZ,MARTIN,Z,M.D.,M,I,25 MULE RD,BUILDING A,TOMS RIVER,NJ,087555035,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,27,67,53.579552239,8.32,6.1319402985,6.1319402985
1043225923,JIMENEZ,MARTIN,Z,M.D.,M,I,25 MULE RD,BUILDING A,TOMS RIVER,NJ,087555035,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,18,11.220555556,1.42,1.1133333333,1.1133333333
1043225923,JIMENEZ,MARTIN,Z,M.D.,M,I,25 MULE RD,BUILDING A,TOMS RIVER,NJ,087555035,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,6,4.7071428571,3.9307142857
1043225923,JIMENEZ,MARTIN,Z,M.D.,M,I,25 MULE RD,BUILDING A,TOMS RIVER,NJ,087555035,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70,50.306666667,50.169166667
1043226046,PETERSON,STEPHANIE,M,MD,F,I,7441 O ST STE 400,,LINCOLN,NE,685102466,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,27,74,52.018378378,8.32,4.4954054054,4.4954054054
1043226046,PETERSON,STEPHANIE,M,MD,F,I,7441 O ST STE 400,,LINCOLN,NE,685102466,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,200,31.34,19.101666667,19.211666667
1043226178,REYNOLDS,KENT,D,O.D.,M,I,2700 14TH AVE SE,,ALBANY,OR,973226956,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,64.089444444,64.089444444,50.24,50.254444444
1043226178,REYNOLDS,KENT,D,O.D.,M,I,2700 14TH AVE SE,,ALBANY,OR,973226956,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,38,84.5,72.52,56.855,54.381052632
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,28,66,135,81.445777778,8.32,5.1452592593,5.1452592593
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,12,16.874166667,1.42,1.1183333333,1.1183333333
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,450,2.076,2.04,1.4927111111,1.4927111111
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,22,22,89.552727273,48.545,35.644545455,28.221818182
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,25,49,8.1336734694,1.9673469388,1.3348979592,0.9624489796
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,26,26,330.41769231,123.05615385,82.452692308,54.976538462
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,28,41,142.64341463,45.736097561,33.655609756,24.084878049
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,29,81,90.011728395,26.30654321,18.053333333,12.216419753
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,25,98,74.098979592,19.485,14.031326531,10.725204082
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,18,40,40,268.7215,77.1325,58.11425,41.35725
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,27,35,35,76.314571429,24.988285714,18.689428571,13.504285714
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,39,39,92.076923077,22.223846154,17.164102564,9.4794871795
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,26,86,313,11.790127796,3.2136741214,2.4071884984,1.5295846645
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,20,20,31.611,9.2635,7.0055,4.4175
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,19,28,28,49.415714286,15.7,12.304285714,10.34
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,101,101,79.154752475,24.373465347,17.187128713,12.712376238
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,140.7,58.406,40.395333333,38.706
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,70.961538462,16.460769231,11.568846154,9.5323076923
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,65,65,45.878153846,7.6113846154,5.37,3.1184615385
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,63,64,217.58890625,52.93921875,39.42078125,28.7590625
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,28,3.45,2.305,1.2535714286,1.0378571429
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,43,10.95,6.2637209302,3.7411627907,2.9765116279
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,29,241,241,463.7520332,100.82016598,74.646348548,52.808091286
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,224.975,45.555,35.7175,30.094583333
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,38,2280,17.254447368,9.6333947368,7.4896491228,7.4896491228
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.325461538,8.6952564103,8.6952564103
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,2025,0.17,0.0473432099,0.037091358,0.037091358
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,75,7729,1.3172260318,0.135678613,0.0979091732,0.0979091732
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,42,2520,11.28127381,3.0143095238,2.3632420635,2.3632420635
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,99.45,41.901333333,29.006666667,18.202666667
1043226517,LACEY,KENT,,M.D.,M,I,3911 AVENUE B,SUITE 1100,SCOTTSBLUFF,NE,693614617,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,16,100,100,104.28,33,24.2773,24.2773
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,7.0769230769,0.51,0.3384615385,0.3384615385
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,143,467,839,93.007485101,8.32,5.8331108462,5.8331108462
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,31,31,14.712903226,3.38,2.4790322581,2.4790322581
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,23.42,2.12,1.5415384615,1.5415384615
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,78,138,168,21.300238095,1.42,0.9911904762,0.9911904762
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,60,1.84,1.73,1.356,1.5796666667
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,32,695,15.993741007,7,5.3158561151,5.3158561151
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4412,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,400,6.62,3.04,2.3239,2.3239
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2,1.95,1.4297361111,1.4297361111
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,17,34,80.754705882,70.571764706,53.528529412,54.298823529
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,72,30.8375,28.7575,22.545972222,22.88625
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,24,67,4.3764179104,1.7968656716,1.3711940299,1.1173134328
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,,15,32,0.935625,0.6346875,0.4684375,0.3946875
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,26,38,3.2057894737,1.48,1.1313157895,0.9378947368
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,254.31818182,119.99181818,94.071818182,75.452727273
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,193.27882353,76.131764706,56.914117647,41.845294118
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,58.154285714,23.643571429,18.533571429,15.134285714
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,21,21,56.672380952,20.20047619,15.355238095,9.2228571429
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,55,15.454545455,3.332,2.5481818182,1.6830909091
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,31,819,7.0858608059,3.1278021978,2.4403907204,2.3666910867
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,35,894,16.047483221,6.9495861298,5.4030089485,4.4486465324
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,48,22281,0.7677626677,0.3418935416,0.2551923163,0.2336106997
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,7884,1.7301978691,0.768238204,0.6022995941,0.5387962963
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,117.260625,62.050625,39.45625,30.635
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,23.162142857,18.09,12.222142857,10.497142857
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,40,40,149.1265,70.13575,53.10375,40.317
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,11,45,48,32.474791667,6.8083333333,5.116875,3.55875
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,33,175.49636364,51.975757576,40.748484848,34.4
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,29.99,10.86,8.3291666667,4.6629166667
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,47,14.94,7.9382978723,6.2253191489,4.0159574468
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,20.03,15.037826087,11.792608696,8.977826087
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,59,60,380.99416667,97.042166667,71.2505,56.8125
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.6525
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,18,75,15252,0.7714594807,0.0461749279,0.0316640441,0.0316640441
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1080,2.3273888889,0.1399722222,0.1097407407,0.1097407407
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,65,65,51,23.004923077,15.029230769,11.630769231
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,68.421052632,44.849736842,32.569736842,29.166578947
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,577.42,275.28275862,215.81965517,138.75206897
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,51,48.424117647,42.52,33.071568627,30.944117647
1043226574,IQBAL,MOHAMMAD,,MD,M,I,701 DOCTORS DR,SUITE N,KINSTON,NC,285011589,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,25,79,79,54.303797468,33,23.574177215,23.574050633
1043226756,PATEL,VINOD,D,M.D.,M,I,11480 BROOKSHIRE AVE,SUITE #204,DOWNEY,CA,902415026,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,36,109,86.432293578,8.32,5.0858715596,5.0858715596
1043226756,PATEL,VINOD,D,M.D.,M,I,11480 BROOKSHIRE AVE,SUITE #204,DOWNEY,CA,902415026,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,26,14.596923077,1.42,0.9030769231,0.9030769231
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,58,153,63.647254902,8.32,5.9804575163,5.9804575163
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,11.353333333,3.38,2.4291666667,2.4291666667
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,40,10.0185,1.42,1.0015,1.0015
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,15,30,8.965,1.5,1.0993333333,1.0793333333
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,4857.2871429,1074.31,842.26,842.26
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,29,55.075862069,3.59,2.4224137931,2.7744827586
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,79,83,563.11566265,77.18,55.380361446,50.358072289
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,270.995,35.66,27.96,29.4325
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6593571429,7.4021309524,7.4021309524
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,6240,0.3600288462,0.0459535256,0.0329455128,0.0329455128
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,44,3810,1.3510341207,0.1292519685,0.0905931759,0.0905931759
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1500,11.342,2.99184,2.2554333333,2.2554333333
1043226764,GRAHAM,JAMES,I,D.O.,M,I,212 N MAIN ST,,FAIRFAX,OK,746373023,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,59,59,85.016949153,33,23.239152542,23.239152542
1043226822,HANNA,NADIA,F,M.D.,F,I,3333 CLARK RD,SUITE 190,SARASOTA,FL,342318432,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,34,94,73.625744681,8.32,6.2440425532,6.2440425532
1043226822,HANNA,NADIA,F,M.D.,F,I,3333 CLARK RD,SUITE 190,SARASOTA,FL,342318432,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,13,15.986153846,1.42,0.9476923077,0.9476923077
1043227077,SINEATH,MARVIN,H,MD,M,I,1107 E 66TH ST,,SAVANNAH,GA,31404,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,43,76.897906977,8.32,4.7020930233,4.7020930233
1043227077,SINEATH,MARVIN,H,MD,M,I,1107 E 66TH ST,,SAVANNAH,GA,31404,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,23,18.754782609,1.42,0.8717391304,0.8717391304
1043227093,WILLIAMS,BYRCH,,,M,I,FAMILY PRACTICE CTR,2400 TUCKER NE,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,28,69.385714286,8.32,6.5207142857,6.5207142857
1043227093,WILLIAMS,BYRCH,,,M,I,FAMILY PRACTICE CTR,2400 TUCKER NE,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,122.3,18.5,14.5,13.54
1043227093,WILLIAMS,BYRCH,,,M,I,FAMILY PRACTICE CTR,2400 TUCKER NE,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,646.65129032,86.09,65.618387097,53.376129032
1043227275,VASIL,MATTHEW,,MD,M,I,1604 BURTNER RD STE 2300,,NATRONA HEIGHTS,PA,150652845,US,Physician/Hospice and Palliative Care,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,175,34.756363636,24.221818182,22.669090909
1043227309,HUTCHESON,REBECCA,K,"APRN, BC",F,I,729 E RAILROAD AVE,,FORT MORGAN,CO,807013340,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,58,52.009655172,8.32,5.1739655172,5.1739655172
1043227309,HUTCHESON,REBECCA,K,"APRN, BC",F,I,729 E RAILROAD AVE,,FORT MORGAN,CO,807013340,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,64,22.72375,17.192083333,12.96625
1043227309,HUTCHESON,REBECCA,K,"APRN, BC",F,I,729 E RAILROAD AVE,,FORT MORGAN,CO,807013340,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,31,376.12903226,101.03806452,75.359677419,51.199032258
1043227390,JACHIMIAK,JOHN,S,DPM,M,I,2575 PEARL ST,SUITE 240,BOULDER,CO,803023851,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,323,51.919628483,23.66,18.549473684,18.549473684
1043227390,JACHIMIAK,JOHN,S,DPM,M,I,2575 PEARL ST,SUITE 240,BOULDER,CO,803023851,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,132,13.31,10.93,8.5690909091,8.5690909091
1043227390,JACHIMIAK,JOHN,S,DPM,M,I,2575 PEARL ST,SUITE 240,BOULDER,CO,803023851,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,24,258.33333333,254.84833333,199.80083333,206.67583333
1043227499,MEYER,LAURA,W,DO,F,I,4465 DARROW RD,,STOW,OH,442241854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,44,77,56.68987013,8.32,5.9450649351,5.9450649351
1043227499,MEYER,LAURA,W,DO,F,I,4465 DARROW RD,,STOW,OH,442241854,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1043227499,MEYER,LAURA,W,DO,F,I,4465 DARROW RD,,STOW,OH,442241854,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,19,14.306842105,1.42,1.06,1.06
1043227499,MEYER,LAURA,W,DO,F,I,4465 DARROW RD,,STOW,OH,442241854,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,20,116.219,30.04,22.3735,24.7715
1043227499,MEYER,LAURA,W,DO,F,I,4465 DARROW RD,,STOW,OH,442241854,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,61,9.1009836066,2,1.3632786885,1.3880327869
1043227499,MEYER,LAURA,W,DO,F,I,4465 DARROW RD,,STOW,OH,442241854,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,35.13,25.245,27.091666667
1043227507,SEABROOK,JANET,,M.D.,F,I,1021 W 5TH AVE,,GARY,IN,464021703,US,Physician/Emergency Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.9018181818,3.65,2.8615,3.0396818182
1043227507,SEABROOK,JANET,,M.D.,F,I,1021 W 5TH AVE,,GARY,IN,464021703,US,Physician/Emergency Medicine,S,A4364,"Adhesive, liquid or equal, any type, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,33,14.795454545,2.81,2.2033333333,2.5578787879
1043227507,SEABROOK,JANET,,M.D.,F,I,1021 W 5TH AVE,,GARY,IN,464021703,US,Physician/Emergency Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,2.6454545455,2.6454545455,2.0739772727,2.25875
1043227507,SEABROOK,JANET,,M.D.,F,I,1021 W 5TH AVE,,GARY,IN,464021703,US,Physician/Emergency Medicine,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,6.1263636364,4.19,3.285,3.285
1043227630,KRALJIC,STEVEN,G,M.D.,M,I,900 E BROADWAY AVE,,BISMARCK,ND,585014520,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,163.8,56.574545455,42.471818182,34.574545455
1043227630,KRALJIC,STEVEN,G,M.D.,M,I,900 E BROADWAY AVE,,BISMARCK,ND,585014520,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,13.65,5.2905882353,4.1511764706,3.65
1043227804,CHU,WILLIAM,,PA-C,M,I,3712 WHITTIER BLVD,,LOS ANGELES,CA,900231733,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,23,52,99,42.956161616,8.32,5.5714141414,5.5714141414
1043227804,CHU,WILLIAM,,PA-C,M,I,3712 WHITTIER BLVD,,LOS ANGELES,CA,900231733,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,20,28,28,15.748214286,1.42,1,1
1043227804,CHU,WILLIAM,,PA-C,M,I,3712 WHITTIER BLVD,,LOS ANGELES,CA,900231733,US,Physician Assistant,S,A4331,"Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,5.16,3.58,2.5666666667,2.5666666667
1043227804,CHU,WILLIAM,,PA-C,M,I,3712 WHITTIER BLVD,,LOS ANGELES,CA,900231733,US,Physician Assistant,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,3.2736190476,2.27,1.6314047619,1.6314047619
1043227804,CHU,WILLIAM,,PA-C,M,I,3712 WHITTIER BLVD,,LOS ANGELES,CA,900231733,US,Physician Assistant,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,5780,10.444809689,7.88,6.139550173,6.139550173
1043227804,CHU,WILLIAM,,PA-C,M,I,3712 WHITTIER BLVD,,LOS ANGELES,CA,900231733,US,Physician Assistant,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,56.105,38.96,30.55,30.55
1043228018,COOPER,CHRISTOPHER,R,M.D.,M,I,9701 HARMON RD STE 141,,FORT WORTH,TX,761777521,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,41,79.212195122,8.32,6.2046341463,6.2046341463
1043228059,COSTLOW,JAMES,S,MD,M,I,3824 NORTHERN PIKE,STE 200,MONROEVILLE,PA,151462141,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,30,100,55.4108,8.32,5.8753,5.8753
1043228059,COSTLOW,JAMES,S,MD,M,I,3824 NORTHERN PIKE,STE 200,MONROEVILLE,PA,151462141,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,35,12.088857143,1.42,0.9868571429,0.9868571429
1043228059,COSTLOW,JAMES,S,MD,M,I,3824 NORTHERN PIKE,STE 200,MONROEVILLE,PA,151462141,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,415.8847619,77.5,57.866666667,52.123809524
1043228059,COSTLOW,JAMES,S,MD,M,I,3824 NORTHERN PIKE,STE 200,MONROEVILLE,PA,151462141,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,106.956,36.26,27.0085,28.102
1043228091,GUZMAN,JORGE,R,MD,M,I,3501 HEALTH CENTER BLVD,#2160,BONITA SPRINGS,FL,34135,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,50,67.4554,8.32,6,6
1043228091,GUZMAN,JORGE,R,MD,M,I,3501 HEALTH CENTER BLVD,#2160,BONITA SPRINGS,FL,34135,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.5,17,12.219166667,12.433333333
1043228091,GUZMAN,JORGE,R,MD,M,I,3501 HEALTH CENTER BLVD,#2160,BONITA SPRINGS,FL,34135,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,80,61.450833333,53.460833333
1043228224,AGATEP,ELMO,M,M.D.,M,I,1198 PACIFIC COAST HWY STE I,,SEAL BEACH,CA,907406248,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,18,198.91,31.715,24.865,25.854444444
1043228224,AGATEP,ELMO,M,M.D.,M,I,1198 PACIFIC COAST HWY STE I,,SEAL BEACH,CA,907406248,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2463,0.0501421031,0.0460738936,0.0361185546,0.0361144945
1043228497,ANDERSON,NANCY,P,CRNP,F,I,3871 E HIGHWAY 98,SUITE 203,PORT ST JOE,FL,324565301,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,39,49.802307692,8.32,6.1905128205,6.1905128205
1043228497,ANDERSON,NANCY,P,CRNP,F,I,3871 E HIGHWAY 98,SUITE 203,PORT ST JOE,FL,324565301,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,91.205454545,14.122727273,10.250909091,9.2590909091
1043228497,ANDERSON,NANCY,P,CRNP,F,I,3871 E HIGHWAY 98,SUITE 203,PORT ST JOE,FL,324565301,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,78,13.162307692,2.2592307692,1.7115384615,1.6287179487
1043228497,ANDERSON,NANCY,P,CRNP,F,I,3871 E HIGHWAY 98,SUITE 203,PORT ST JOE,FL,324565301,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,23,35.969565217,4.7482608696,3.527826087,3.5252173913
1043228497,ANDERSON,NANCY,P,CRNP,F,I,3871 E HIGHWAY 98,SUITE 203,PORT ST JOE,FL,324565301,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,230.73428571,35.454285714,25.402857143,22.172380952
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,524,3.55,3.53,2.767519084,2.767519084
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,74,238,73.445252101,8.32,5.5668907563,5.5668907563
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,37,49,14.443265306,1.42,0.9802040816,0.9802040816
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,74.363636364,38.89,30.49,30.49
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,14.25,7.37,5.759,5.759
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,1.1641666667,1.1158333333,0.8748611111,0.8748611111
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,6,4.31,3.38,3.38
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,188.84909091,32.73,23.251818182,23.486818182
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,51,10.842156863,2.03,1.5307843137,1.5307843137
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1800,919.45,720.85,842.26
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,50.447368421,13.3,9.1626315789,9.2084210526
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,172.57575758,33.633636364,24.03969697,23.295151515
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,438.67586207,69.81,47.895517241,47.895517241
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,813,0.5459655597,0.0459901599,0.0360393604,0.0360393604
1043228612,ANDRES-PALINES,JESUSA,S,MD,F,I,1881 CHICAGO ST,,DEPERE,WI,54115,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,36.14,28.33,28.437272727
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,36,90,199,65.846532663,8.32,5.7348241206,5.7348241206
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,29,54,63,14.19984127,1.42,0.9758730159,0.9758730159
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,3.54,1.73,1.2965208333,1.5395708333
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,196.06,65.7,47.2175,50.236666667
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.79,37.64,29.51,29.51
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1551,1.6715473888,0.1370728562,0.0969890393,0.0969890393
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,61,18.008,14.121,14.392
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,16,16,12.54,12.54
1043228661,RODRIGUEZ,JOSE,M,M.D.,M,I,1700 KEYSTONE PACIFIC PKWY UNIT B,,PATTERSON,CA,953638874,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,23.283,23.283
1043228745,POCHA,CHRISTINE,,MD,F,I,1315 S CLIFF AVE,PLAZA 3,SIOUX FALLS,SD,571051058,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,18.82,18.82
1043228836,LEWIS,DEQUINCY,A,M.D.,M,I,713 S FAYETTEVILLE ST,SUITE B,ASHEBORO,NC,272036405,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,952,39.769411765,5.0354831933,3.7971113445,3.7971113445
1043228836,LEWIS,DEQUINCY,A,M.D.,M,I,713 S FAYETTEVILLE ST,SUITE B,ASHEBORO,NC,272036405,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,24,24,18.82,18.82
1043229065,COLLINS,GREGORY,C,MD,M,I,1301 ATLANTIC AVE,,ATLANTIC CITY,NJ,084017247,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,36,84,62.555357143,8.32,5.956547619,5.956547619
1043229065,COLLINS,GREGORY,C,MD,M,I,1301 ATLANTIC AVE,,ATLANTIC CITY,NJ,084017247,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,22,28,14.808928571,1.42,0.8757142857,0.8757142857
1043229065,COLLINS,GREGORY,C,MD,M,I,1301 ATLANTIC AVE,,ATLANTIC CITY,NJ,084017247,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,20,34.9175,4.212,3.306,3.604
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,53,159,380,64.819605263,8.32,5.6519473684,5.6519473684
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.186666667,3.38,2.2083333333,2.2083333333
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,26,60,83,16.633012048,1.42,1.0227710843,1.0227710843
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,84,92,57.61,18.46423913,12.687608696,12.259673913
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,12,12,171.56666667,52.505,41.163333333,39.985833333
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,24,54.920833333,4.09375,3.0479166667,3.6266666667
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,123,130,380.77730769,79.129692308,55.182769231,49.947384615
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,151.81818182,39.63,28.724545455,27.235454545
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,37,3420,1.2794385965,0.1359912281,0.1066140351,0.1066140351
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1622,11.951732429,2.8962577065,2.2282244143,2.2282244143
1043229149,WILLIAMS,MICHAEL,,MD,M,I,720 MEDICAL CENTER DR,,NEWTON,KS,671148778,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,35,61.285714286,33,25.130857143,25.130857143
1043229248,BUCKLEY,PAT,A,"ND, PA-C",F,I,727 WEST BURNSIDE,,PORTLAND,OR,972093514,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.37,18,11.758333333,11.283333333
1043229248,BUCKLEY,PAT,A,"ND, PA-C",F,I,727 WEST BURNSIDE,,PORTLAND,OR,972093514,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,406.125,77.18,50.905833333,45.6
1043229289,WOODS,TIMOTHY,A,MD,M,I,333 E CITY AVE,SUITE IL -40,BALA CYNWYD,PA,190041501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,29,98,69.22622449,8.32,5.9896938776,5.9896938776
1043229289,WOODS,TIMOTHY,A,MD,M,I,333 E CITY AVE,SUITE IL -40,BALA CYNWYD,PA,190041501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,25,15.074,1.42,1.0272,1.0272
1043229289,WOODS,TIMOTHY,A,MD,M,I,333 E CITY AVE,SUITE IL -40,BALA CYNWYD,PA,190041501,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,720,15.58,9.6514583333,7.56675,7.56675
1043229289,WOODS,TIMOTHY,A,MD,M,I,333 E CITY AVE,SUITE IL -40,BALA CYNWYD,PA,190041501,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,900,0.17,0.0455111111,0.0356555556,0.0356555556
1043229289,WOODS,TIMOTHY,A,MD,M,I,333 E CITY AVE,SUITE IL -40,BALA CYNWYD,PA,190041501,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,12.6138,2.8783333333,2.2566333333,2.2566333333
1043229289,WOODS,TIMOTHY,A,MD,M,I,333 E CITY AVE,SUITE IL -40,BALA CYNWYD,PA,190041501,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,25.87,25.87
1043229446,FULTON,AMY,,MD,F,I,5615 NW 86TH ST,,JOHNSTON,IA,501311738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,41,68.516585366,8.32,5.0009756098,5.0009756098
1043229446,FULTON,AMY,,MD,F,I,5615 NW 86TH ST,,JOHNSTON,IA,501311738,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,400,69.99,51.212,51.081333333
1043229446,FULTON,AMY,,MD,F,I,5615 NW 86TH ST,,JOHNSTON,IA,501311738,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,67.65,18.32,5.525,5.4583333333
1043229495,GOLPER,THOMAS,A,MD,M,I,1301 22ND AVE. SOUTH,,NASHVILLE,TN,372325100,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,93.333333333,53.3875,41.8525,38.450833333
1043229685,PETERSEN,ROBERT,L,MD,M,I,1055 N CURTIS RD,,BOISE,ID,837061309,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,57.344615385,18.59,12.328461538,11.448461538
1043229685,PETERSEN,ROBERT,L,MD,M,I,1055 N CURTIS RD,,BOISE,ID,837061309,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,30,6.4138095238,5.0276190476,3.8580952381
1043229685,PETERSEN,ROBERT,L,MD,M,I,1055 N CURTIS RD,,BOISE,ID,837061309,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,330.295,77.18,55.74625,50.198333333
1043229743,COULURIS,MARISA,,DO,F,I,12901 BRUCE B DOWNS BLVD,,TAMPA,FL,33612,US,Physician/Pediatric Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,880,0.27,0.09,0.0705,0.0705
1043229743,COULURIS,MARISA,,DO,F,I,12901 BRUCE B DOWNS BLVD,,TAMPA,FL,33612,US,Physician/Pediatric Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,2200,0.15,0.05,0.0392,0.0392
1043229743,COULURIS,MARISA,,DO,F,I,12901 BRUCE B DOWNS BLVD,,TAMPA,FL,33612,US,Physician/Pediatric Medicine,S,A6257,"Transparent film, sterile, 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,660,4.83,1.73,1.3562727273,1.3562727273
1043229743,COULURIS,MARISA,,DO,F,I,12901 BRUCE B DOWNS BLVD,,TAMPA,FL,33612,US,Physician/Pediatric Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,10.26,3.66,2.87,3.3336363636
1043229743,COULURIS,MARISA,,DO,F,I,12901 BRUCE B DOWNS BLVD,,TAMPA,FL,33612,US,Physician/Pediatric Medicine,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,149.55,53.44,41.9,41.9
1043229743,COULURIS,MARISA,,DO,F,I,12901 BRUCE B DOWNS BLVD,,TAMPA,FL,33612,US,Physician/Pediatric Medicine,S,L8501,Tracheostomy speaking valve,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,396.63,141.71,111.1,102.52916667
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.3333333333,1.95,1.5288333333,1.5993333333
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,33,14.303030303,10.34,5.1560606061,5.663030303
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10,7.06,5.2115833333,5.2115833333
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,10,4.04,2.9030833333,2.9030833333
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,54,54,73.052407407,41.681851852,29.904814815,27.947592593
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,25,48,48,215.52708333,97.76625,71.858333333,64.882291667
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,15,29,53,82.220754717,38.122264151,29.404528302,26.846226415
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,25,47,177,45.492429379,20.050338983,14.189378531,13.574689266
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,16,64,45.59765625,16.545625,12.135,11.045625
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,39,65,65,131.32092308,57.855846154,41.280923077,39.557846154
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,49,70,70,53.355857143,19.372,14.228571429,13.229428571
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,27,48,48,45.69625,14.019583333,10.209375,8.8141666667
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,59,114,484,5.847107438,2.3215702479,1.6994628099,1.5138636364
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,28,36,36,18.385833333,6.2305555556,4.5830555556,4.3475
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,17,18,18,29.994444444,12.825,9.5155555556,9.8105555556
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,432.94117647,84.932941176,57.92,57.098823529
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,27,27,52.962962963,14.425185185,8.0662962963,7.2333333333
1043229750,GRAZIOLI,ERICA,,DO,F,I,120 EAST 2ND STREET,,ERIE,PA,16507,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,21,125,127,159.1711811,34.376456693,22.189606299,20.600314961
1043229784,LEBSON,ROBERT,E,MD,M,I,2440 WHITNEY AVE,,HAMDEN,CT,06518,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,42,87.135,8.32,6.3664285714,6.3664285714
1043229974,BAKANAS,ERIN,L,MD,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,35,54,54.080185185,8.32,5.4361111111,5.4361111111
1043229974,BAKANAS,ERIN,L,MD,F,I,1 BARNES JEWISH HOSPITAL PLZ,,SAINT LOUIS,MO,631101003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,12.547692308,1.42,0.7753846154,0.7753846154
1043229982,HENDERSON,BENNIE,S,NP,F,I,157 B S GREENWOOD AVE EXT,,WARE SHOALS,SC,29692,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,143,65.029090909,46.325454545,32.027272727
1043229990,LEWIS,ERIC,V,M.D.,M,I,4381 S EASON BLVD,SUITE 303,TUPELO,MS,388016583,US,Physician/Orthopedic Surgery,S,L3806,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,31,31,80.516129032,80.516129032,63.125806452,106.41935484
1043229990,LEWIS,ERIC,V,M.D.,M,I,4381 S EASON BLVD,SUITE 303,TUPELO,MS,388016583,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,20,20,136.6,128.578,100.8025,172.4375
1043229990,LEWIS,ERIC,V,M.D.,M,I,4381 S EASON BLVD,SUITE 303,TUPELO,MS,388016583,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,76,81,86,69.325581395,53.172093023,41.688139535,45.756511628
1043229990,LEWIS,ERIC,V,M.D.,M,I,4381 S EASON BLVD,SUITE 303,TUPELO,MS,388016583,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,28,32,137,77.25,60.56,66.6590625
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,20,58,65.819827586,8.32,6.115,6.115
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,16,13.8075,1.42,1.04625,1.04625
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,83.306,57.294,42.482666667,40.598
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,13,13,20.470769231,16.615384615,12.035384615,13.000769231
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,14,14,23.884285714,11.147142857,8.7357142857,9.12
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,28,126,3.2628571429,2.1214285714,1.595952381,1.5314285714
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,11,12,12,5.99,5.99,4.69,4.6533333333
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.54,4.3432258065,4.1632258065
1043230113,MCLAUGHLIN,TIMOTHY,E,M.D.,M,I,375 FOUR LEAF LN STE 103,,CHARLOTTESVILLE,VA,229036905,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,11,72,76,50.469868421,33.233815789,24.783157895,24.070263158
1043230154,CARNEY,CAROL,A,CNP,F,I,142 N MECHANIC ST,,JACKSON,MI,492011301,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,40,82.24225,8.32,5.05425,5.05425
1043230154,CARNEY,CAROL,A,CNP,F,I,142 N MECHANIC ST,,JACKSON,MI,492011301,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,112.495,32.699090909,23.071818182,22.344090909
1043230188,BERLIN,PAULA,,,F,I,205 W GRAND RIVER AVE STE 200,,BRIGHTON,MI,481161647,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,27,70.172222222,17.258888889,12.526666667,12.537777778
1043230188,BERLIN,PAULA,,,F,I,205 W GRAND RIVER AVE STE 200,,BRIGHTON,MI,481161647,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,28,415.80892857,75.3575,54.885357143,50.815714286
1043230279,GALIAS,KATHERINE,A,CERTIFIED NURSE PRAC,F,I,1095 PINGREE RD,SUITE 108,CRYSTAL LAKE,IL,600141725,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,135.88636364,82.43,64.626363636,64.626363636
1043230394,BOWEN,ROBERT,M,M.D.,M,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,25,50.73,3.8168,2.5052,3.0348
1043230394,BOWEN,ROBERT,M,M.D.,M,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,44,408.74909091,83.015,60.752954545,50.6725
1043230394,BOWEN,ROBERT,M,M.D.,M,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,70,40.804285714,31.994285714,29.518571429
1043230394,BOWEN,ROBERT,M,M.D.,M,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,16.987933333,9.6415333333,7.3995555556,7.3995555556
1043230394,BOWEN,ROBERT,M,M.D.,M,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1530,10.57730719,3.1118039216,2.3241895425,2.3241895425
1043230394,BOWEN,ROBERT,M,M.D.,M,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,154.72,41.86,29.603,26.566666667
1043230394,BOWEN,ROBERT,M,M.D.,M,I,920 E 28TH ST,SUITE 700,MINNEAPOLIS,MN,554071139,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,63.724137931,33,24.085862069,24.085862069
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,25,70,212,56.268254717,8.32,6.3073113208,6.3073113208
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,11.138823529,3.38,2.65,2.65
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,15,30,58,12.160172414,1.42,1.0948275862,1.0948275862
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,179.32,79.916363636,58.367272727,38.963636364
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,80.333333333,23.05,18.07,9.12
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,59,11.025762712,3.4442372881,2.5189830508,1.4303389831
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,86.31,20.9275,15.162916667,12.404583333
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,518.54130435,127.98695652,98.764782609,69.607826087
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,22,228.00363636,53.730909091,38.604545455,24.135454545
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,48,485.58708333,96.3375,71.9175,55.54625
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,164.61538462,44.900769231,32.676923077,27.246153846
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,1530,1.2192418301,0.138,0.1010718954,0.1010718954
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,990,11.038949495,3.0859393939,2.204989899,2.204989899
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,1108.3673684,204.08421053,159.99736842,113.96578947
1043230535,GARNEY,WILLIAM,M,ARNP-C,M,I,1376 BRICKYARD RD,SUITE 5,CHIPLEY,FL,324286303,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,27,27,66,33,23.953703704,23.953703704
1043230584,BILLARS,THOMAS,,OD,M,I,200 W 37TH ST,,SIOUX FALLS,SD,571055704,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,75,71.03,50.618181818,48
1043230584,BILLARS,THOMAS,,OD,M,I,200 W 37TH ST,,SIOUX FALLS,SD,571055704,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,26,74.5,66.53,46.777307692,48.580769231
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,39,129,50.395736434,8.32,5.8682945736,5.8682945736
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.583333333,3.38,2.65,2.65
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,21,45,13.234222222,1.42,1.0137777778,1.0137777778
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,12,155,27.42,25.39,19.905935484,19.268322581
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,80.53,46.2448,34.1832,35.1604
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,13,76,76,62.368947368,47.526052632,36.156578947,38.509342105
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,178.75,116.878,91.63,107.0092
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,55.9332,4.556,3.4496,3.6832
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,44,44,60.5,48.4375,37.975,39.143181818
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,519.51,78.23,61.33,55.736923077
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,1409,1.4500496806,0.1325408091,0.1039318666,0.1039318666
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,38,80,18.625263158,14.220526316,14.027631579
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,819.32,145.35153846,113.95461538,122.95769231
1043230840,GRUBER,BRIAN,L,MD,M,I,7447 CENTRAL BUSINESS PARK DR STE 104,,NORFOLK,VA,235132831,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,28,28,78.964285714,33,24.946071429,24.946071429
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,80,266,58.592706767,8.32,6.0219172932,6.0219172932
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,14.383478261,3.38,2.4195652174,2.4195652174
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,22.616923077,2.12,1.67,1.67
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,31,76,14.595657895,1.42,1.0543421053,1.0543421053
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,9.65,7.23,5.5681969697,5.5681969697
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,3.2,1.8,1.2829545455,1.2829545455
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,41,5976,3.6950351406,0.5743574297,0.4318222892,0.4318222892
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,41,7920,3.0877323232,1.2764090909,0.9916199495,0.9916199495
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,65,65,24,24,18.82,18.82
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,35,35,16,16,12.181714286,12.181714286
1043230980,WAHAB,ABDUL,,M.D.,M,I,6400 ARLINGTON BLVD,SUITE 940,FALLS CHURCH,VA,220422336,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,21.659333333,21.659333333
1043231046,KUNAM,SRINIVASA,R,MD,M,I,3700 KOLBE RD,,LORAIN,OH,44053,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,35.805,17.63,13.82,13.548125
1043231046,KUNAM,SRINIVASA,R,MD,M,I,3700 KOLBE RD,,LORAIN,OH,44053,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,209.887,76.784,56.7005,51.613
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,266.92363636,88.250909091,69.072727273,67.726363636
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,26,112.15884615,33.666153846,26.394230769,25.917692308
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,17,17,83.417058824,17.744117647,13.08,13.232941176
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,61.210625,11.730625,8.6525,8.584375
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,17,92,9.154673913,2.0819565217,1.5307608696,1.4909782609
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,51.9,40.69,41.716666667
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,44.44,34.84,37.3975
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,1,53,53,53,6500,1081.75,842.67603774,842.67603774
1043231228,OGUNGBAMIGBE,THEOPHILUS,T,MD,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,194.61538462,36.5,28.62,29.51
1043231384,ZIEMAN,BLAINE,G,OD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,70.642941176,70.642941176,53.811764706,51.821176471
1043231384,ZIEMAN,BLAINE,G,OD,M,I,2400 32ND AVE S,,FARGO,ND,581035800,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,37,53.554054054,52.478108108,38.933513514,40.916756757
1043231434,ALEXANDER,JAMES,C,M.D.,M,I,6060 PIEDMONT ROW DR S FL 7,,CHARLOTTE,NC,28287,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,42,125,58.98504,8.32,6.05288,6.05288
1043231434,ALEXANDER,JAMES,C,M.D.,M,I,6060 PIEDMONT ROW DR S FL 7,,CHARLOTTE,NC,28287,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.2423076923,2.2423076923
1043231434,ALEXANDER,JAMES,C,M.D.,M,I,6060 PIEDMONT ROW DR S FL 7,,CHARLOTTE,NC,28287,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,37,14.690810811,1.42,1.0248648649,1.0248648649
1043231434,ALEXANDER,JAMES,C,M.D.,M,I,6060 PIEDMONT ROW DR S FL 7,,CHARLOTTE,NC,28287,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,68.15,35.27,27.620833333,29.480833333
1043231467,VENNAMANENI,MANJUSRI,,MD,F,I,5350 SPRING HILL DR,,SPRING HILL,FL,346064562,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,52,171,67.084795322,8.32,5.893625731,5.893625731
1043231467,VENNAMANENI,MANJUSRI,,MD,F,I,5350 SPRING HILL DR,,SPRING HILL,FL,346064562,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.583333333,3.38,2.65,2.65
1043231467,VENNAMANENI,MANJUSRI,,MD,F,I,5350 SPRING HILL DR,,SPRING HILL,FL,346064562,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,15.519,1.42,1.113,1.113
1043231467,VENNAMANENI,MANJUSRI,,MD,F,I,5350 SPRING HILL DR,,SPRING HILL,FL,346064562,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,55,12.961090909,2,1.3870909091,1.4107272727
1043231467,VENNAMANENI,MANJUSRI,,MD,F,I,5350 SPRING HILL DR,,SPRING HILL,FL,346064562,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,32,50.73,4.09,3.081875,3.456875
1043231467,VENNAMANENI,MANJUSRI,,MD,F,I,5350 SPRING HILL DR,,SPRING HILL,FL,346064562,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,404.82391304,79.819347826,61.211304348,53.702391304
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,74,53.694594595,8.32,5.1122972973,5.1122972973
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,20,16.248,1.42,0.9475,0.9475
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,87.590540541,22.703783784,16.185135135,12.23
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,37.125,9.00625,7.0591666667,3.8
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,133,44.994444444,27.852222222,17.462777778
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,71,506.04408451,97.416619718,67.491690141,46.992394366
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,3941,0.3741309312,0.0461862471,0.0320071048,0.0320071048
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1500,0.9695866667,0.13192,0.0925266667,0.0925266667
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1470,12.86,3.0359795918,2.2900544218,2.2900544218
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,181.27833333,142.11666667,105.59
1043231723,MORGAN,KIMBERLEY,A,PA-C,F,I,2700 E 30TH AVE,,HUTCHINSON,KS,675021242,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,49,111.79591837,33,24.286122449,24.286122449
1043231764,FLYNN,MARY ELLEN,H,PA,F,I,777 BANNOCK ST,MC 7782,DENVER,CO,802044507,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,260,78.49,61.53,56.584545455
1043231764,FLYNN,MARY ELLEN,H,PA,F,I,777 BANNOCK ST,MC 7782,DENVER,CO,802044507,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,38.76,30.39,29.75
1043231848,HOFFMANN,JOHN,L,MD,M,I,300 WEST AVE,,BROCKPORT,NY,144201118,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,51,164,63.151646341,8.32,4.5531707317,4.5531707317
1043231848,HOFFMANN,JOHN,L,MD,M,I,300 WEST AVE,,BROCKPORT,NY,144201118,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,29,16.257931034,1.42,0.8068965517,0.8068965517
1043231848,HOFFMANN,JOHN,L,MD,M,I,300 WEST AVE,,BROCKPORT,NY,144201118,US,Physician/Emergency Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,440,0.07475,0.07475,0.0585,0.0907727273
1043231848,HOFFMANN,JOHN,L,MD,M,I,300 WEST AVE,,BROCKPORT,NY,144201118,US,Physician/Emergency Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1080,0.175,0.13,0.0933981481,0.0933981481
1043231848,HOFFMANN,JOHN,L,MD,M,I,300 WEST AVE,,BROCKPORT,NY,144201118,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,25.705714286,17,13.33,13.495
1043231848,HOFFMANN,JOHN,L,MD,M,I,300 WEST AVE,,BROCKPORT,NY,144201118,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,175.93333333,77.18,55.4675,51.125
1043231988,KYI,MAUNG,M,M.D.,M,I,16000 JOHNSTON MEMORIAL DR,SUITE 112,ABINGDON,VA,242117659,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,70,19.715,15.4575,14.19
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,43,95,95,114.08157895,40.158842105,31.154526316,30.214842105
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,38.482727273,12.602727273,9.8745454545,9.07
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,51,111,111,228.33162162,99.134954955,73.859279279,64.555585586
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,50,112,262,90.219198473,38.355419847,28.547442748,24.649160305
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,26,115,47.693217391,21,16.46373913,14.635043478
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,19,87,35.648965517,16.404022989,12.716666667,11.836436782
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,22,46,46,134.16347826,62.404782609,47.868913043,42.666521739
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,66,90,90,49.402222222,18.435111111,14.359555556,13.974444444
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,55,55,50.159272727,15,11.467090909,8.9230909091
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,63,149,856,7.3953037383,2.3926869159,1.8423130841,1.5777219626
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,27,36,36,28.571666667,12.551944444,9.8419444444,10.308333333
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,110,111,43.748648649,18,13.601531532,13.062342342
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,2878.3391667,975.34333333,758.69041667,836.28208333
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,280,95,72.971666667,63.410555556
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1527.89,978.99363636,767.53272727,767.53272727
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,334.432,151.3,116.3195,102.3985
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,42.047058824,15.2,11.92,11.242352941
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,18,51,109,17.054220183,5.9588990826,4.5940366972,3.8263302752
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,35,222,222,127.39554054,38.891576577,30.105045045,25.805225225
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,18,136,137,283.64153285,90.01,67.883576642,53.191313869
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,7,12,12,12,57,57,44.69,44.69
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,11,42,2556,19.940399061,9.6530046948,7.5679499218,7.5679499218
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,51,3216,19.133973881,11.171952736,8.6696206468,8.6696206468
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,29,39,63,9171,0.4650049068,0.0461389161,0.0354105332,0.0354105332
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,2033,1.8265469749,0.1357009346,0.1036940482,0.1036940482
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,14,67,4236,9.952625118,2.9817374882,2.303829084,2.303829084
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,35.11,25.235833333,26.5975
1043232028,ECHARTE,LUIS,J,MD,M,I,21110 BISCAYNE BLVD,SUITE 303,AVENTURA,FL,331801227,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,29,42,145,145,47.427586207,33,25.334758621,25.334758621
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,34,1.24,0.51,0.4,0.4
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,94,213,530,55.917188679,8.32,6.0670566038,6.0670566038
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,36,36,14.823333333,3.38,2.65,2.65
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,28.18,2.12,1.67,1.67
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,78,142,198,18.984393939,1.42,1.0548484848,1.0548484848
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,26,99.543076923,71.56,56.105,56.105
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,26.417647059,26.417647059,19.493529412,56.650588235
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,6153,0.4538810336,0.0474646514,0.0323695758,0.0323695758
1043232085,DEMIAN,ROMANY,F,M.D.,M,I,971 W 7TH ST # B,SUITE # B,OXNARD,CA,930306757,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,23,33,33,23.250434783,23.250434783
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,54,148,380,59.266789474,8.3196578947,5.4291842105,5.4294473684
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,25,26,14.006923077,3.38,2.4461538462,2.4461538462
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,23.525,2.12,1.67,1.67
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,28,53,84,18.213571429,1.42,1.0211904762,1.0211904762
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4,3.57,2.799,3.0575
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5,4.1,3.21,3.21
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7,5.54,4.1248181818,4.1248181818
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4,3.07,2.1881818182,2.1881818182
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,16,32,90.385,71.56,56.105,56.105
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,16,96,36.63375,29.19,22.59125,22.5928125
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,76.14,59.855,42.616666667,34.735833333
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,31.388888889,9.2216666667,7.2305555556,4.4988888889
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,277.92695652,97.866956522,71.53173913,58.775217391
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,63.923478261,24.330434783,18.448695652,13.099130435
1043232101,STANKO,SHELLEY,B,M.D,F,I,175 CITY HILL DR,,LONDON,KY,407413037,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,90.288571429,45.917142857,36.002857143,24.337857143
1043232127,PUROHIT,AMITABH,,M.D.,M,I,5141 BROADWAY,,NEW YORK,NY,100341159,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,43,430.57302326,92.52372093,69.14744186,52.122790698
1043232127,PUROHIT,AMITABH,,M.D.,M,I,5141 BROADWAY,,NEW YORK,NY,100341159,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,100,42.1275,31.740416667,28.344583333
1043232127,PUROHIT,AMITABH,,M.D.,M,I,5141 BROADWAY,,NEW YORK,NY,100341159,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,44.560909091,28.963636364,24.15
1043232226,SCHLAM,DAVID,J,D.P.M.,M,I,89 E MAIN ST,,WAPPINGERS FALLS,NY,125902505,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,85,85,170,79.2,71.56,55.536294118,55.536176471
1043232226,SCHLAM,DAVID,J,D.P.M.,M,I,89 E MAIN ST,,WAPPINGERS FALLS,NY,125902505,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,84,84,504,48,29.19,22.586269841,22.587837302
1043232226,SCHLAM,DAVID,J,D.P.M.,M,I,89 E MAIN ST,,WAPPINGERS FALLS,NY,125902505,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,125,94.8,71.811428571,60.591428571
1043232226,SCHLAM,DAVID,J,D.P.M.,M,I,89 E MAIN ST,,WAPPINGERS FALLS,NY,125902505,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,23,185,158.95,124.62,126.52
1043232333,HARLESS,DEAN,M,M.D.,M,I,3362 S 3RD ST,,MEMPHIS,TN,381092944,US,Physician/Anesthesiology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,64,72.0740625,8.32,4.62859375,4.62859375
1043232333,HARLESS,DEAN,M,M.D.,M,I,3362 S 3RD ST,,MEMPHIS,TN,381092944,US,Physician/Anesthesiology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,17.643846154,1.42,0.6892307692,0.6892307692
1043232341,BOHACH,CHRISTOPHER,J,DPM,M,I,240 W WALTON ST,SUITE B,WILLARD,OH,448909155,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,40,80,121.925,71.56,56.105,56.105
1043232341,BOHACH,CHRISTOPHER,J,DPM,M,I,240 W WALTON ST,SUITE B,WILLARD,OH,448909155,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,80,50,29.19,22.11675,22.118375
1043232341,BOHACH,CHRISTOPHER,J,DPM,M,I,240 W WALTON ST,SUITE B,WILLARD,OH,448909155,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,156,195.19230769,43.56,33.705897436,33.704294872
1043232341,BOHACH,CHRISTOPHER,J,DPM,M,I,240 W WALTON ST,SUITE B,WILLARD,OH,448909155,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,130,72.45,53.644444444,59.682222222
1043232341,BOHACH,CHRISTOPHER,J,DPM,M,I,240 W WALTON ST,SUITE B,WILLARD,OH,448909155,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,199.41176471,109.14,85.56,94.510588235
1043232432,CONCEPCION,PABLO,,MD,M,I,4624 N DAVIS HWY,,PENSACOLA,FL,325032337,US,Physician/Pain Management,S,E0720,"Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation",D1E - Other DME,Durable Medical Equipment,Y,1,28,29,29,800,7.14,5.4068965517,5.4068965517
1043232432,CONCEPCION,PABLO,,MD,M,I,4624 N DAVIS HWY,,PENSACOLA,FL,325032337,US,Physician/Pain Management,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,1705.2631579,995.57052632,780.52736842,777.10210526
1043232523,BERMAN,BRIAN,W,MD,M,I,3601 W 13 MILE RD,MOB 709,ROYAL OAK,MI,480736712,US,Physician/Pediatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.5,4.3119354839,4.1902639296
1043232523,BERMAN,BRIAN,W,MD,M,I,3601 W 13 MILE RD,MOB 709,ROYAL OAK,MI,480736712,US,Physician/Pediatric Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2046,7.2266666667,0.65,0.5096236559,0.5160459433
1043232523,BERMAN,BRIAN,W,MD,M,I,3601 W 13 MILE RD,MOB 709,ROYAL OAK,MI,480736712,US,Physician/Pediatric Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.95,3.88,3.9441666667
1043232523,BERMAN,BRIAN,W,MD,M,I,3601 W 13 MILE RD,MOB 709,ROYAL OAK,MI,480736712,US,Physician/Pediatric Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,11.730641026,2.9101538462,2.0976410256,2.0976410256
1043232523,BERMAN,BRIAN,W,MD,M,I,3601 W 13 MILE RD,MOB 709,ROYAL OAK,MI,480736712,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,25.87,25.87
1043232531,MARKS,BARRY,L,DO,M,I,6302 MORTON ST,,PHILADELPHIA,PA,19144,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,68,115,63.656695652,8.32,5.3314782609,5.3314782609
1043232531,MARKS,BARRY,L,DO,M,I,6302 MORTON ST,,PHILADELPHIA,PA,19144,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,13.437142857,3.38,2.65,2.65
1043232531,MARKS,BARRY,L,DO,M,I,6302 MORTON ST,,PHILADELPHIA,PA,19144,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,27,33,15.314848485,1.42,1.0145454545,1.0145454545
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,6,14,129,297,70.899259259,19.695387205,15.441952862,15.441952862
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,31,52,191.34615385,37.357307692,28.710384615,28.710384615
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,177.86515152,15.124545455,11.85969697,11.85969697
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,446.66666667,188.532,147.808,147.808
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,40,12280,46.111039088,13.496387622,10.577041531,10.577041531
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,67,20310,54.181447563,9.8389576563,7.6996134909,7.6996129985
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,1760,135.53853409,40.239909091,28.109698864,28.109698864
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,43,3166,149.11835755,42.443246999,33.254485155,33.254485155
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,32,11000,52.421802727,14.106248182,11.046252727,11.046252727
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,12,98,367,33.660790191,2.6136239782,2.049346049,2.049346049
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,18,18,33,33,25.87,25.87
1043232564,LIN,JOANN,H,MD,F,I,2251 W ELDORADO PKWY,SUITE 150,MCKINNEY,TX,750704358,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,27,600,358.5,281.06,281.06
1043232580,MINTZ,PHILIP,G,MD,M,I,8970 WINCHESTER ROAD,,MEMPHIS,TN,38125,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,49,106,73.075754717,8.238490566,5.9052830189,5.9689622642
1043232580,MINTZ,PHILIP,G,MD,M,I,8970 WINCHESTER ROAD,,MEMPHIS,TN,38125,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,26,15.363461538,1.42,0.9869230769,0.9869230769
1043232580,MINTZ,PHILIP,G,MD,M,I,8970 WINCHESTER ROAD,,MEMPHIS,TN,38125,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.92,0.1350769231,0.0989294872,0.0989294872
1043232580,MINTZ,PHILIP,G,MD,M,I,8970 WINCHESTER ROAD,,MEMPHIS,TN,38125,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,108.70588235,33,23.657058824,23.657058824
1043232598,WINNEG,KAREN,,M.D.,F,I,708 N SHADY RETREAT RD STE 5,,DOYLESTOWN,PA,189012503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,54,69.790555556,8.32,5.7974074074,5.7974074074
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,24,24,102.05333333,37.844166667,29.665833333,30.439166667
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,12,29,58,6.184137931,1.4644827586,1.0681034483,1.0736206897
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,66.16,11.532,7.4566666667,7.51
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,5,,16,28,2.4689285714,0.5746428571,0.4360714286,0.4114285714
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,15,28,28,282.37285714,80.458928571,63.077857143,67.286785714
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,11,25,56,107.71928571,33.637857143,25.353928571,24.975
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,89,65.639438202,18.740449438,14.443595506,14.302808989
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,61,41.39,14.836721311,10.503442623,10.775081967
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,18,37,37,168.36918919,53.425675676,39.261081081,40.186216216
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,31,44,44,49.590681818,18.051363636,13.827954545,13.749090909
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,41,41,51.421463415,11.422195122,8.7380487805,8.8973170732
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,29,53,280,6.6331071429,1.8981428571,1.4569285714,1.5556071429
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,21,21,60.084761905,13.593333333,10.140952381,9.8476190476
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,100,100,74.2882,16.8364,11.988,12.3132
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,55,57,212.00438596,44.378947368,32.421754386,33.993684211
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,55,55,28.764,4.2918181818,3.1287272727,3.4258181818
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,97,97,167.19402062,33.39443299,25.674123711,25.241752577
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,32,233,236,408.64504237,77.968008475,58.819618644,53.005508475
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,40,87.063,36.404,28.538,29.378
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,58,14105,0.2470953563,0.0461616448,0.0318844381,0.0318844381
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,53,5843,1.2222471333,0.1344583262,0.0998271436,0.0998271436
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,81,81,113.56666667,37.055802469,28.005308642,28.452222222
1043232606,BEAUFORD,WAYNE,,M.D.,M,I,507 N LINDSAY ST,,HIGH POINT,NC,272624303,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,23,103,103,73.233009709,33,23.728446602,23.728446602
1043232614,TEIGEN,COREY,L,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Interventional Radiology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,15,7.0526666667,5.54,4.34,4.34
1043232614,TEIGEN,COREY,L,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Interventional Radiology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,30,8.0233333333,7.46,5.641,5.641
1043232614,TEIGEN,COREY,L,MD,M,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Interventional Radiology,S,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,151,20.9,12.721655629,9.4447682119,9.4514569536
1043232663,MATTA,LALITA,A,M.D.,F,I,65 FREMONT ST,,MARLBOROUGH,MA,017521271,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,72.958235294,8.32,5.7558823529,5.7558823529
1043232663,MATTA,LALITA,A,M.D.,F,I,65 FREMONT ST,,MARLBOROUGH,MA,017521271,US,Physician/Internal Medicine,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,16.69,7.45,5.84,6.49
1043232663,MATTA,LALITA,A,M.D.,F,I,65 FREMONT ST,,MARLBOROUGH,MA,017521271,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,17.459,9.86,7.73,7.73
1043232663,MATTA,LALITA,A,M.D.,F,I,65 FREMONT ST,,MARLBOROUGH,MA,017521271,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,175,30.909090909,21.381818182,21.267272727
1043232788,YOON,YOUNG,D,MD,M,I,2100 WESTCOTT DR,,FLEMINGTON,NJ,08822,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,21.44,5.5927272727,4.3881818182,3.6863636364
1043233083,SETHNA,CHRISTINE,B,M.D.,F,I,34TH & CIVIC CENTER BLVD,CHILDREN'S HOSPITAL OF PHILADELPHIA,PHILADELPHIA,PA,19104,US,Physician/Pediatric Medicine,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,542,19.628653137,7.4157933579,5.8139298893,5.8139298893
1043233083,SETHNA,CHRISTINE,B,M.D.,F,I,34TH & CIVIC CENTER BLVD,CHILDREN'S HOSPITAL OF PHILADELPHIA,PHILADELPHIA,PA,19104,US,Physician/Pediatric Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,24,24,18.82,18.82
1043233083,SETHNA,CHRISTINE,B,M.D.,F,I,34TH & CIVIC CENTER BLVD,CHILDREN'S HOSPITAL OF PHILADELPHIA,PHILADELPHIA,PA,19104,US,Physician/Pediatric Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,14,16,16,11.644285714,11.644285714
1043233141,CORBIN,JOHN,C,O.D.,M,I,501 W BROADWAY ST,,MONTICELLO,IN,479602006,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,71.94,71.94,56.4,52.998947368
1043233141,CORBIN,JOHN,C,O.D.,M,I,501 W BROADWAY ST,,MONTICELLO,IN,479602006,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,21,59.5,59.5,46.65,53.735714286
1043233281,CHEN,SHAW,S,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,66,144,93.315277778,8.32,5.633125,5.633125
1043233281,CHEN,SHAW,S,M.D.,M,I,1701 E CESAR E CHAVEZ AVE,SUITE #100,LOS ANGELES,CA,900332464,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,37,40,35.4,1.42,1.0065,1.0065
1043233372,PRATHER,JOHN,W,M.D.,M,I,611 ALCORN DR,SUITE 230,CORINTH,MS,388349321,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,65.288421053,21.829473684,16.327894737,13.134736842
1043233372,PRATHER,JOHN,W,M.D.,M,I,611 ALCORN DR,SUITE 230,CORINTH,MS,388349321,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,20,338.504,98.85,74.5115,56.0435
1043233372,PRATHER,JOHN,W,M.D.,M,I,611 ALCORN DR,SUITE 230,CORINTH,MS,388349321,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,26.673636364,20.911818182,15.15
1043233513,RICHARD,MERWIN,F,M.D,M,I,550 NEWARK AVE,STE 307,JERSEY CITY,NJ,073061326,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,50,131,323,57.86374613,8.32,5.7950154799,5.7950154799
1043233513,RICHARD,MERWIN,F,M.D,M,I,550 NEWARK AVE,STE 307,JERSEY CITY,NJ,073061326,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,27,27,14.084444444,3.38,2.462962963,2.462962963
1043233513,RICHARD,MERWIN,F,M.D,M,I,550 NEWARK AVE,STE 307,JERSEY CITY,NJ,073061326,US,Physician/Cardiovascular Disease (Cardiology),S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,24.692727273,2.12,1.5181818182,1.5181818182
1043233513,RICHARD,MERWIN,F,M.D,M,I,550 NEWARK AVE,STE 307,JERSEY CITY,NJ,073061326,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,44,88,119,17.770840336,1.42,1.0129411765,1.0129411765
1043233513,RICHARD,MERWIN,F,M.D,M,I,550 NEWARK AVE,STE 307,JERSEY CITY,NJ,073061326,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67,16.04,11.5225,12.503333333
1043233513,RICHARD,MERWIN,F,M.D,M,I,550 NEWARK AVE,STE 307,JERSEY CITY,NJ,073061326,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,35,320.85714286,71.5,52.856571429,51.678571429
1043233513,RICHARD,MERWIN,F,M.D,M,I,550 NEWARK AVE,STE 307,JERSEY CITY,NJ,073061326,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35.5,25.510833333,27.085833333
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,23,65,152,40.259210526,8.32,5.9578947368,5.9578947368
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,18,34,40,16.63175,1.42,1.03375,1.03375
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,188.06909091,75.124545455,58.899090909,39.501818182
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,23.384736842,17.546315789,13.134736842
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,913.16,715.92,819.28909091
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,35.76,9.4152380952,7.3804761905,4.2252380952
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,67,67,519.51,103.23701493,75.069552239,51.728656716
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3150,0.168984127,0.0470952381,0.0369238095,0.0369238095
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,2040,0.7508823529,0.1310147059,0.0920196078,0.0920196078
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,103.06,28.00826087,21.957826087,14.595652174
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,682.65384615,316.17538462,247.88076923,166.57
1043233539,DANIEL,RICHARD,,CRNP,M,I,1030 MAIN S ST,,WEDOWEE,AL,362787440,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,13,30,30,67.366666667,33,24.145333333,24.145333333
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,65,152,461,64.612386117,8.32,6.0128199566,6.0128199566
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,14.048695652,3.38,2.65,2.65
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,21.544615385,2.12,1.67,1.67
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,32,54,81,12.305555556,1.42,1.0182716049,1.0182716049
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7668,2.1408450704,0.31,0.2336150235,0.2336150235
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,109.46,49.1275,38.5125,38.0325
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,11,11,11,42.869090909,41.573636364,32.591818182,54.219090909
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,37,280.46783784,76.48,51.994324324,48.033513514
1043233604,DEMOPULOS,JOHN,A,M.D.,M,I,7777 FOREST LN STE B216,,DALLAS,TX,75230,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,190.36,36.5,27.189,28.046
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,34,90,193,58.105958549,8.32,5.1808290155,5.1808290155
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,20,25,14.0296,1.42,1.05,1.05
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,23,5.0908695652,1.45,0.7404347826,0.7560869565
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,50.0375,17.9,14.03,14.06
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,46.437272727,11.66,9.14,9.12
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,23,76,10.689473684,2.06,1.6151315789,1.5940789474
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,57.609166667,16.59,11.916666667,12.458333333
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,144.49826087,34.832173913,27.303913043,27.736956522
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,317.5608,67.72,50.976,52.4924
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2935,0.1675264055,0.0362010221,0.0252333901,0.0252333901
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,65,16.4375,12.8875,13.855
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,30.461538462,7.8184615385,6.1284615385,6.5946153846
1043233695,FITZPATRICK,MICHAEL,S,D.O.,M,I,50 EASTERN AVE,,GREENCASTLE,PA,172251100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,33,33,22.342272727,22.342272727
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,29,91,221,54.732217195,8.32,5.8111764706,5.8111764706
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,29,15.38,1.42,1.0772413793,1.0772413793
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,440,13.963727273,7,5.4795909091,5.4795909091
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,73,63.495616438,19.399178082,13.211643836,13.16630137
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,205.00368421,59.989473684,42.315263158,39.696315789
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,65.083571429,18.957857143,13.692142857,13.531428571
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,67.965714286,11.863333333,8.5304761905,8.8704761905
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,108,9.2772222222,2.0872222222,1.555462963,1.5817592593
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,167.93,45.726666667,31.4075,32.784166667
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,196.75538462,49.402307692,38.729230769,28.228461538
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,110,45.493333333,28.158333333,27.866666667
1043233729,MULLEN,JULIA,A,M.D.,F,I,8019 CASS ST,,OMAHA,NE,68114,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,547.22818182,77.18,57.255454545,51.991818182
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,340,3.9676470588,3.9676470588,3.0846764706,3.0865294118
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,425,0.27,0.27,0.2116,0.2116
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,1066,8.28,8.28,6.4915290807,6.4915290807
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,40,1202,5.259733777,5.1,3.9509317804,4.1088019967
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3507,0.37,0.37,0.2654491018,0.2654491018
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,12690,0.793142632,0.6593758865,0.5042631994,0.5047549251
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,19,19,63.484210526,61.8,48.45,48.326842105
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,139.94692308,49.483846154,34.654615385,33.027692308
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,35.974,3.7385,2.79,3.4155
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,5.600952381,5.32,4.17,3.96
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,10.096363636,6.1118181818,7.0081818182
1043233976,ISSA,JOHN,G,MD,M,I,5150 E PACIFIC COAST HWY,SUITE 500,LONG BEACH,CA,908043312,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,37.68,23.022962963,15.503703704,12.007777778
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,58,100,100,115.9197,38.9955,29.3573,29.2763
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,57,105,105,313.8487619,90.94447619,67.938285714,64.790761905
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,42,83,233,118.1188412,34.042660944,26.211373391,25.497639485
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,26,26,215.48923077,53.63,37.189230769,37.96
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,63,78,78,69.028461538,17.997179487,13.384102564,13.343461538
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,26,26,50.744230769,12.063846154,9.1807692308,8.9215384615
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,74,134,776,7.5242783505,2.0596134021,1.5658376289,1.5465206186
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,46,58,58,26.833448276,5.9984482759,4.5368965517,4.4915517241
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,19,23,23,30.374782609,12.493913043,9.3691304348,9.92
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,300,90.8645,67.22,68.6365
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,21,21,21,480.77142857,132.41,103.81,104.7
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,38,184,189,156.30989418,32.466772487,23.58026455,23.676613757
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,52,250.12807692,76.998076923,59.203846154,54.447307692
1043234008,JAFFE,FREDRIC,,DO,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,101.2915,37.043,28.3185,28.77575
1043234040,LEWIS,CANDICE,N,M.D.,F,I,1845 W. ORANGE GROVE,BUILDING 2,TUCSON,AZ,85704,US,Physician/Gynecological Oncology,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,7.6545,3.1,2.4303333333,2.4303333333
1043234099,PINCUS,JONATHAN,M,MD,M,I,725 ALBANY ST,"SHAPIRO 9, SUITE B",BOSTON,MA,021182526,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,35,66,85.046969697,8.32,5.4345454545,5.4345454545
1043234099,PINCUS,JONATHAN,M,MD,M,I,725 ALBANY ST,"SHAPIRO 9, SUITE B",BOSTON,MA,021182526,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,21,15.32,1.42,0.959047619,0.959047619
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,49,124,65.974193548,8.32,5.9969354839,5.9969354839
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,18.236,1.42,0.8904,0.8904
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,280.99153846,54.736153846,42.913846154,42.859230769
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,93.905625,12.73625,9.98625,10.56
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,94,12.784468085,2.1753191489,1.6724468085,1.6915957447
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,17,50.73,5.4023529412,3.9070588235,3.2658823529
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,594.31090909,36.001818182,17.383636364,17.338181818
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,45,486.096,83.303333333,61.266888889,53.859777778
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,158.6375,42.0325,31.671666667,28.585833333
1043234156,CONRAD,RACHEL,A,CS FNP,F,I,147 WILLOW TREE WAY,,HURRICANE,WV,255261085,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,47.716363636,23.969090909,18.789090909,21.983636364
1043234271,SUN,MINA,,MD,F,I,463 SARATOGA RD,,SCOTIA,NY,123025200,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,43,115,50.949304348,8.32,5.558,5.558
1043234271,SUN,MINA,,MD,F,I,463 SARATOGA RD,,SCOTIA,NY,123025200,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,9.7545454545,3.38,2.4090909091,2.4090909091
1043234271,SUN,MINA,,MD,F,I,463 SARATOGA RD,,SCOTIA,NY,123025200,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,40,12.2525,1.42,1.05925,1.05925
1043234271,SUN,MINA,,MD,F,I,463 SARATOGA RD,,SCOTIA,NY,123025200,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,50,13.92,2.01,1.514,1.5284
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,80,40.2595,19.251125,14.3065,11.150375
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,12,26,26,147.95807692,71.996538462,49.354615385,36.329230769
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,15,15,53.210666667,22.889333333,17.940666667,14.082
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,27,27,47.861111111,18.816296296,13.55962963,8.1259259259
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,29,162,7.8108641975,2.7286419753,1.8782098765,1.3567283951
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,45.791538462,22.666923077,17.769230769,14.224615385
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.12,7.9045454545,6.1945454545,3.6854545455
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,145.91,46.3368,34.2628,28.1944
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,214.86,102.61833333,78.154166667,61.815416667
1043234412,MCIVOR,MICHAEL,E,M.D.,M,I,1107 KEY PLZ,BOX 334,KEY WEST,FL,330404077,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,75,44.07,30.902222222,28.221666667
1043234438,MOLDAVSKY,SOPHIA,,M.D.,F,I,130 S BRYN MAWR AVE,,BRYN MAWR,PA,190103121,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,900,4.1652111111,0.5749444444,0.4507222222,0.4507222222
1043234438,MOLDAVSKY,SOPHIA,,M.D.,F,I,130 S BRYN MAWR AVE,,BRYN MAWR,PA,190103121,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1440,3.5080416667,1.26075,0.9883958333,0.9883958333
1043234438,MOLDAVSKY,SOPHIA,,M.D.,F,I,130 S BRYN MAWR AVE,,BRYN MAWR,PA,190103121,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,24,24,18.82,18.82
1043234438,MOLDAVSKY,SOPHIA,,M.D.,F,I,130 S BRYN MAWR AVE,,BRYN MAWR,PA,190103121,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,26,16,16,12.54,12.54
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,483.27545455,99.972727273,58.946363636,49.358181818
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,56,13.930714286,2.43,1.6033928571,1.31
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,86.31,19.415,15.216666667,13.531111111
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,33,34,2157.8373529,913.16,706.73882353,829.36323529
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,476.10454545,81.873181818,64.189545455,54.737727273
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,3150,0.17,0.045047619,0.0353142857,0.0353142857
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9571333333,2.3184222222,2.3184222222
1043234834,ERUCHALU,IFEANYICHUKWU,M,M.D.,M,I,401 E CHEVES ST,SUITE 202,FLORENCE,SC,295062615,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,25.87,25.87
1043235021,HOLLAND,ROBERT,C,MD,M,I,241 NORTH RD,,POUGHKEEPSIE,NY,12601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,53,109,65.899082569,8.2605504587,5.9359633028,5.9669724771
1043235021,HOLLAND,ROBERT,C,MD,M,I,241 NORTH RD,,POUGHKEEPSIE,NY,12601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,34,13.161764706,1.42,1.0505882353,1.0505882353
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,83,253,690,51.492347826,8.3116521739,5.7435072464,5.7500289855
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,15.613333333,3.38,2.5027777778,2.5027777778
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,21.175625,2.12,1.67,1.67
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,38,90,138,10.594130435,1.4185507246,0.9937681159,0.9948550725
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,20,1450,0.6344965517,0.420137931,0.3294,0.3337241379
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,102,10.007058824,8.41,6.5939215686,6.5939215686
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,14,974,0.1641273101,0.13,0.1019404517,0.1019404517
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,13,998,0.6003406814,0.45,0.3528256513,0.3528256513
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,26,56,3.2989285714,2.0164285714,1.5353571429,1.1839285714
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,46,2.0160869565,1.4573913043,1.0960869565,0.9523913043
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,14,78.714285714,50.005714286,39.202142857,26.993571429
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,25,166.76,59.9428,40.8532,32.12
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,35,40.057142857,23.248857143,18.225142857,15.565714286
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,24.675675676,7.3462162162,5.3667567568,3.3018918919
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,131.94714286,47.551904762,35.64047619,23.378095238
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,102,104,244.11855769,105.80692308,79.011923077,55.847307692
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,62,44.745,32.4475,27.6525
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,6187,0.4265912397,0.0460045256,0.0310182641,0.0310182641
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,38,3690,1.6181219512,0.1347479675,0.096796748,0.096796748
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,70,70,132.60914286,41.500571429,29.610571429,19.457571429
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,492.05153846,275.54923077,216.02846154,147.07461538
1043235047,MCCOMB,WILLIAM,D,MD,M,I,1107 EARL FRYE BLVD,STE 6,AMORY,MS,388215519,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,61,61,34.62295082,33,22.78557377,22.78557377
1043235070,SAWMILLER,CAROL,J,M.D.,F,I,3533 SOUTHERN BLVD,SUITE 2250,KETTERING,OH,454291264,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,33,47.787878788,41.063636364,32.195454545,30.895757576
1043235138,VALVO,JOHN,R,MD,M,I,2615 CULVER RD,SUITE 100,ROCHESTER,NY,146091746,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,37,6212,0.3541983258,0.13,0.0971555055,0.0971555055
1043235138,VALVO,JOHN,R,MD,M,I,2615 CULVER RD,SUITE 100,ROCHESTER,NY,146091746,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,48,8450,4.5222887574,1.73,1.3080532544,1.5390142012
1043235138,VALVO,JOHN,R,MD,M,I,2615 CULVER RD,SUITE 100,ROCHESTER,NY,146091746,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,20,84,16.642857143,10.426428571,8.174047619,8.4602380952
1043235153,ALLEN,NIKKI,,MD,F,I,4580 S NICHOLSON AVE,,CUDAHY,WI,531101360,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,53,66.581698113,8.32,4.8830188679,4.8830188679
1043235153,ALLEN,NIKKI,,MD,F,I,4580 S NICHOLSON AVE,,CUDAHY,WI,531101360,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,50.73,3.7635714286,2.7457142857,3.2692857143
1043235211,THROWER,BEN,W,MD,M,I,2020 PEACHTREE RD NW,,ATLANTA,GA,303091426,US,Physician/Neurology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,2550,0.2349411765,0.13,0.1019137255,0.1019137255
1043235211,THROWER,BEN,W,MD,M,I,2020 PEACHTREE RD NW,,ATLANTA,GA,303091426,US,Physician/Neurology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,36,8330,2.726182473,2.0295678271,1.5739495798,1.5817022809
1043235211,THROWER,BEN,W,MD,M,I,2020 PEACHTREE RD NW,,ATLANTA,GA,303091426,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,140,49.603636364,34.682727273,35.311818182
1043235211,THROWER,BEN,W,MD,M,I,2020 PEACHTREE RD NW,,ATLANTA,GA,303091426,US,Physician/Neurology,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,3,11,18,61,34.491803279,15.25147541,11.831639344,11.831311475
1043235310,STOLTZ,ROBERT,B,M.D.,M,I,1447 YORK RD,SUITE 605,LUTHERVILLE,MD,210936017,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,76.365333333,17.46,13.69,13.55
1043235310,STOLTZ,ROBERT,B,M.D.,M,I,1447 YORK RD,SUITE 605,LUTHERVILLE,MD,210936017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,354.45103448,82,64.29,55.718965517
1043235310,STOLTZ,ROBERT,B,M.D.,M,I,1447 YORK RD,SUITE 605,LUTHERVILLE,MD,210936017,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,41.6,32.61,29.51
1043235393,LIVINGSTON,BARBARA,E,"RN, NP, AOCNP",F,I,347 MAIN ST,,HUNTINGTON,NY,117436914,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,11,40,3501,41.275009997,4.82246501,3.6988317624,3.6988317624
1043235393,LIVINGSTON,BARBARA,E,"RN, NP, AOCNP",F,I,347 MAIN ST,,HUNTINGTON,NY,117436914,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,12,38,38,24,24,18.82,18.82
1043235781,FISHER,THEODORE,,M.D.,M,I,2923 N CALIFORNIA AVE,SUITE 300,CHICAGO,IL,606187702,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,4995,4378.96,3332.5053846,3332.5053846
1043235864,HOOKER,GLEN,D,MD,M,I,1420 8TH AVE,SUITE 103,FORT WORTH,TX,76104,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,160,9.824375,3.6075,2.6511875,2.870125
1043235864,HOOKER,GLEN,D,MD,M,I,1420 8TH AVE,SUITE 103,FORT WORTH,TX,76104,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,13,17.980769231,7.66,6.01,6.5
1043235864,HOOKER,GLEN,D,MD,M,I,1420 8TH AVE,SUITE 103,FORT WORTH,TX,76104,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,460,10.658869565,5.7213043478,4.2897826087,4.2975869565
1043235864,HOOKER,GLEN,D,MD,M,I,1420 8TH AVE,SUITE 103,FORT WORTH,TX,76104,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,304,7.5694736842,2.9037828947,2.2767763158,2.2791447368
1043235872,AJUDIA,DHIREN,N,MD,M,I,148 PARK AVE N,,RENTON,WA,980551719,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,42,61.225,8.32,4.3769047619,4.3769047619
1043235963,BURLESON,VICKI,M,PA,F,I,860 MONTCLAIR RD,SUITE 955,BIRMINGHAM,AL,352131923,US,Physician Assistant,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,1301.5846667,1033.67,781.706,781.706
1043235963,BURLESON,VICKI,M,PA,F,I,860 MONTCLAIR RD,SUITE 955,BIRMINGHAM,AL,352131923,US,Physician Assistant,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,2,15,15,30,508.248,364.4,285.69,285.69
1043235989,KEKLIK,AKSEL,,PA,M,I,150 BURNETTS WAY,STE. 100,SUFFOLK,VA,234348168,US,Physician Assistant,S,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,157.13,94.609090909,74.17,76.437272727
1043236136,HARRIS,NANCY,L,MD,F,I,507 W MAIN ST,,WHITEWATER,WI,531901852,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,47,97,78.232164948,8.32,5.3126804124,5.3126804124
1043236136,HARRIS,NANCY,L,MD,F,I,507 W MAIN ST,,WHITEWATER,WI,531901852,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,32,40,13.0565,1.42,0.866,0.866
1043236136,HARRIS,NANCY,L,MD,F,I,507 W MAIN ST,,WHITEWATER,WI,531901852,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,242.55,61.93,48.551818182,37.366363636
1043236136,HARRIS,NANCY,L,MD,F,I,507 W MAIN ST,,WHITEWATER,WI,531901852,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,895.630625,96.37375,75.55875,54.73
1043236136,HARRIS,NANCY,L,MD,F,I,507 W MAIN ST,,WHITEWATER,WI,531901852,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,9.0360416667,3.030625,2.2140104167,2.2140104167
1043236136,HARRIS,NANCY,L,MD,F,I,507 W MAIN ST,,WHITEWATER,WI,531901852,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,33,33,25.87,25.87
1043236177,ANDERSON,MARK,J,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,41,5315,0.1998777046,0.13,0.0988617121,0.0988617121
1043236177,ANDERSON,MARK,J,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,450,2.75,2.27,1.7797111111,1.7797111111
1043236177,ANDERSON,MARK,J,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,119,21270,3.9493511989,1.73,1.2992722144,1.5322435355
1043236177,ANDERSON,MARK,J,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,2160,13,7.88,6.045087963,6.045087963
1043236177,ANDERSON,MARK,J,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,36,13.557222222,10.93,8.5697222222,8.5697222222
1043236177,ANDERSON,MARK,J,MD,M,I,1202 N CENTER ST,,HICKORY,NC,286013760,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,48,10.3,7.46,5.8489583333,5.8489583333
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,27,27,27,146.0362963,47.106296296,36.931111111,37.556666667
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,4,,48,48,30.450833333,9.4941666667,7.1495833333,7.4864583333
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,49.24,10.857272727,8.5109090909,9.7590909091
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,14,72,72,173.93888889,50.634166667,36.894583333,37.495277778
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,2887.76,1073.16,833.43041667,834.25541667
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,135.02181818,46.160454545,34.515,33.940909091
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,28,83.185714286,30.239285714,23.706071429,23.221428571
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,24,14.45,2.77,1.6279166667,1.71
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,27,411.09407407,91.213333333,64.53,48.688888889
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,18,18,18,149.26555556,37.389444444,29.317222222,29.808333333
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,40,257,257,82.637743191,18.15766537,12.741789883,12.603190661
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,115.35,40.3375,28.681,23.229
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,250,66.852307692,52.407692308,57.609230769
1043236284,KOTTAGE,JAYARATHNE,,MD,M,I,300 PARK HILL DR,,FREDERICKSBURG,VA,224013387,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,26,149,149,40.800671141,8.9393288591,6.4265100671,6.265704698
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,58,63.378793103,8.32,6.3727586207,6.3727586207
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,35,35,98.215714286,39.349142857,25.554857143,25.266285714
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,274.2625,84,49.395,51.5
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,41,116.50829268,33.2,22.628292683,22.521707317
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,103,66.716504854,20.206796117,15.748349515,14.411262136
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,80,38.929,15.38,11.303625,11.149
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,35,35,169.71685714,56.769142857,41.983714286,40.246857143
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,25,25,56.1236,19.3232,14.5656,13.4996
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,62.692307692,15.413846154,12.084615385,9.1446153846
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,44,248,8.3063709677,2.1319354839,1.557983871,1.4773387097
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,39.742,12.82,9.38,9.684
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,198.965625,38.771875,28.369375,24.6196875
1043236292,KORDAS,KARIN,C,M.D.,F,I,215 S HICKORY ST STE 118,,ESCONDIDO,CA,920254304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,499.7,72.06,50.371666667,48.798333333
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,99,181,187,114.65657754,39.74197861,30.604705882,30.124438503
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,42,8.19,1.48,1.1047619048,1.095952381
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,64,118,119,324.63647059,91.229579832,70.208823529,67.120756303
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,57,116,264,124.00996212,35.323598485,27.277840909,25.60594697
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,43,84,390,74.196461538,19.822307692,14.741487179,14.160641026
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,44,90,413,56.604552058,15.25566586,11.091694915,11.027336562
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,92,172,176,200.81505682,56.027102273,42.625681818,41.841988636
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,145,199,200,66.30045,18.0804,13.67995,13.61175
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,25,25,46.9488,9.5604,7.4972,8.066
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,66,124,124,85.497177419,13.241854839,9.6773387097,8.6412903226
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,144,296,1423,9.1233099086,2.1481799016,1.6176387913,1.5426141954
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,36,45,45,21.920222222,6.2693333333,4.6975555556,4.4546666667
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,80,101,101,47.814455446,12.155346535,9.347029703,10.076039604
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,109,117,81.164444444,17,12.646410256,12.846410256
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,12,50,57,388.63859649,84.179473684,59.305263158,58.276666667
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,34,603.87470588,223.78323529,174.43382353,167.80676471
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,16,16,643.065625,149.814375,110.579375,104.314375
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,64,309,343,47.998833819,13.468717201,9.7139650146,9.0036151603
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,32.774444444,4.4025925926,3.3037037037,3.5137037037
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,75,409,447,170.49474273,36.681319911,27.35064877,25.415302013
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,26,187,207,431.54589372,81.117922705,61.353140097,53.89826087
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,25,163.6,36.02,28.24,29.4688
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.542,7.542
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.0535,8.6659880952,8.6659880952
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,13,58,12172,0.2789681236,0.0463514624,0.0342951035,0.0342951035
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,5851,3.1236523671,0.0733105452,0.0547222697,0.0547188515
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,26,2338,1.3755902481,0.1338793841,0.104974337,0.104974337
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,38,2280,12.86,2.9638947368,2.3237149123,2.3237149123
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,36.02,28.24,29.413333333
1043236557,BURKE,MICHAEL,W,M.D.,M,I,5857 21ST AVE W STE A,,BRADENTON,FL,342095641,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,19,110,110,108.6,33,24.694090909,24.694090909
1043236581,D'MELLO,ANITA,,M.D.,F,I,4 E CLARK BASS BLVD,STE 204,MCALESTER,OK,745014269,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,31,69,186,71.219086022,8.32,5.6797849462,5.6797849462
1043236581,D'MELLO,ANITA,,M.D.,F,I,4 E CLARK BASS BLVD,STE 204,MCALESTER,OK,745014269,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,8.5866666667,3.38,2.4291666667,2.4291666667
1043236581,D'MELLO,ANITA,,M.D.,F,I,4 E CLARK BASS BLVD,STE 204,MCALESTER,OK,745014269,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,19,40,49,14.549591837,1.42,0.9808163265,0.9808163265
1043236581,D'MELLO,ANITA,,M.D.,F,I,4 E CLARK BASS BLVD,STE 204,MCALESTER,OK,745014269,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,61,73.271803279,17.70852459,12.534098361,13.222622951
1043236581,D'MELLO,ANITA,,M.D.,F,I,4 E CLARK BASS BLVD,STE 204,MCALESTER,OK,745014269,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,179.09846154,54.82,39.661538462,39.561538462
1043236581,D'MELLO,ANITA,,M.D.,F,I,4 E CLARK BASS BLVD,STE 204,MCALESTER,OK,745014269,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,73,7.4657534247,2.0032876712,1.3163013699,1.3376712329
1043236581,D'MELLO,ANITA,,M.D.,F,I,4 E CLARK BASS BLVD,STE 204,MCALESTER,OK,745014269,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,88.333333333,32.916666667,24.5,24.373333333
1043236672,DROSE-BIGATEL,LEVELLE,,MD,F,I,1601 MCDANIEL DR,SUITE 50,WEST CHESTER,PA,193807030,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,56,74.709107143,8.32,5.5903571429,5.5903571429
1043236706,CISCO,RUDOLF,W,DPM,M,I,1224 SHERWOOD PARK DR NE,,GAINESVILLE,GA,305013445,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,85,85,170,150,71.56,55.516470588,55.516352941
1043236706,CISCO,RUDOLF,W,DPM,M,I,1224 SHERWOOD PARK DR NE,,GAINESVILLE,GA,305013445,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,79,79,471,34,29.19,21.966645435,21.968152866
1043236706,CISCO,RUDOLF,W,DPM,M,I,1224 SHERWOOD PARK DR NE,,GAINESVILLE,GA,305013445,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,40,41,41,350,266.98,194.41512195,203.58585366
1043236706,CISCO,RUDOLF,W,DPM,M,I,1224 SHERWOOD PARK DR NE,,GAINESVILLE,GA,305013445,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,29,405,163.79,127.01172414,125.12172414
1043236722,BAKER,MICHAEL,L,D.O.,M,I,29 S FOURTH ST,,ROLLING FORK,MS,391595146,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,13,13,50,41.996,8.32,6.5224,6.5224
1043236722,BAKER,MICHAEL,L,D.O.,M,I,29 S FOURTH ST,,ROLLING FORK,MS,391595146,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,15.338333333,3.38,2.65,2.65
1043236722,BAKER,MICHAEL,L,D.O.,M,I,29 S FOURTH ST,,ROLLING FORK,MS,391595146,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,13,13,26,13.723076923,1.42,1.1138461538,1.1138461538
1043236748,SHERMER,SUSANNA,E,M.D.,F,I,1100 N UNIVERSITY AVE,SUITE 1,LITTLE ROCK,AR,722076343,US,Physician/Psychiatry,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,34,70,57.104571429,8.2968571429,6.1401428571,6.1514285714
1043236748,SHERMER,SUSANNA,E,M.D.,F,I,1100 N UNIVERSITY AVE,SUITE 1,LITTLE ROCK,AR,722076343,US,Physician/Psychiatry,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,19,10.555789474,1.42,1,1
1043236748,SHERMER,SUSANNA,E,M.D.,F,I,1100 N UNIVERSITY AVE,SUITE 1,LITTLE ROCK,AR,722076343,US,Physician/Psychiatry,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,43.446666667,18,14.11,13.5875
1043236748,SHERMER,SUSANNA,E,M.D.,F,I,1100 N UNIVERSITY AVE,SUITE 1,LITTLE ROCK,AR,722076343,US,Physician/Psychiatry,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,432.66805556,70.663333333,49.865555556,49.291944444
1043236755,GOMERINGER,DAVID,J,DO,M,I,13691 METRO PKWY STE 240,,FORT MYERS,FL,339124321,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,90,67.608111111,8.32,6.5227777778,6.5227777778
1043236755,GOMERINGER,DAVID,J,DO,M,I,13691 METRO PKWY STE 240,,FORT MYERS,FL,339124321,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,260.84227273,80,60.795909091,53.169545455
1043236862,AZAR,REZA,,MD,M,I,8720 N KENDALL DRIVE,SUITE 214,MIAMI,FL,33176,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,35,102,49.22245098,8.32,6.1376470588,6.1376470588
1043236862,AZAR,REZA,,MD,M,I,8720 N KENDALL DRIVE,SUITE 214,MIAMI,FL,33176,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,22,15.380909091,1.42,1.0154545455,1.0154545455
1043237134,RAVELLA,EILEEN,M,PA-C,F,I,413 LILLY RD NE,PROVIDENCE ST PETER INTERVENTIONAL RADIOLOGY,OLYMPIA,WA,985065133,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,22,55.19,4.1336363636,3.24,3.6481818182
1043237472,SOUTH,STEPHEN,A,MD,M,I,2703 HENRY ST,,GREENSBORO,NC,274053669,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,38,116,473,61.305983087,8.32,5.8850317125,5.8850317125
1043237472,SOUTH,STEPHEN,A,MD,M,I,2703 HENRY ST,,GREENSBORO,NC,274053669,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,10.936363636,3.38,2.65,2.65
1043237472,SOUTH,STEPHEN,A,MD,M,I,2703 HENRY ST,,GREENSBORO,NC,274053669,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,44,14.153409091,1.42,0.9861363636,0.9861363636
1043237472,SOUTH,STEPHEN,A,MD,M,I,2703 HENRY ST,,GREENSBORO,NC,274053669,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1000,16.84067,10.67758,8.31513,8.31513
1043237472,SOUTH,STEPHEN,A,MD,M,I,2703 HENRY ST,,GREENSBORO,NC,274053669,US,Physician/Endocrinology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,25,7.8571428571,3.8266666667,4.1471428571
1043237472,SOUTH,STEPHEN,A,MD,M,I,2703 HENRY ST,,GREENSBORO,NC,274053669,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,29,29,324.84758621,251.01586207,196.7962069,196.86965517
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,49,136,253,64.918537549,8.32,5.4659288538,5.4659288538
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,33,60,74,19.187432432,1.42,1.0113513514,1.0113513514
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,32,32,29.69,29.69,23.28,23.28
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,5.54,5.54,4.34,4.34
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,36,36,10.93,10.93,8.3319444444,8.3319444444
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,41,4216,0.5091650854,0.4365844402,0.3387001898,0.3387001898
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,400,5.344,3.04,2.0259,2.0259
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,361,34.828421053,34.828421053,27.305429363,27.330193906
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,572,8.2752797203,8.2752797203,6.295541958,6.2992482517
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,40,545,8.4083486239,8.4083486239,6.472293578,6.4739082569
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,26,1808,0.45,0.45,0.3528097345,0.3528097345
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1350,1.9685185185,1.9685185185,1.5433333333,1.5444962963
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,44,9.6206818182,2.6445454545,2.0736363636,1.64
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3240,3.3506666667,0.31,0.2227839506,0.2227839506
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,22.0125,11.900833333,8.5166666667,6.7625
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,61,61,140.36229508,68.807213115,51.978032787,39.147213115
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,77,77,51.593896104,22.018701299,16.098181818,12.944805195
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,53,53,18.922830189,7.8583018868,6.0613207547,3.5833962264
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,175.47,65.680384615,51.491538462,39.501538462
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,48,48,31.684375,13.51625,9.0989583333,7.6779166667
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,180,187,299.92385027,99.965080214,75.527486631,55.184064171
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,2340,2.2381709402,0.1346410256,0.0974188034,0.0974188034
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,24,101,101,64.083267327,25.887128713,17.395148515,11.86039604
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,84.84,60.491428571,47.430952381,29.125714286
1043237613,ANDERSON,CONSTANCE,L,D.O.,F,I,200 MAPLEWOOD AVE,,RONCEVERTE,WV,249701334,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,23,23,33,33,23.620434783,23.620434783
1043237639,SCHABELL,MARGUERITE,S,MD,F,I,1955 DIXIE HIGHWAY,SUITE D,FT. WRIGHT,KY,41011,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,29,85,162,65.813518519,8.32,5.9897530864,5.9897530864
1043237639,SCHABELL,MARGUERITE,S,MD,F,I,1955 DIXIE HIGHWAY,SUITE D,FT. WRIGHT,KY,41011,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,28,34,13.187058824,1.42,1.0520588235,1.0520588235
1043237639,SCHABELL,MARGUERITE,S,MD,F,I,1955 DIXIE HIGHWAY,SUITE D,FT. WRIGHT,KY,41011,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,186.97,46.931818182,32.588181818,33.177272727
1043237639,SCHABELL,MARGUERITE,S,MD,F,I,1955 DIXIE HIGHWAY,SUITE D,FT. WRIGHT,KY,41011,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,65.687333333,17.16,11.665333333,11.741333333
1043237639,SCHABELL,MARGUERITE,S,MD,F,I,1955 DIXIE HIGHWAY,SUITE D,FT. WRIGHT,KY,41011,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1753.94,1074.31,842.26,842.26
1043237639,SCHABELL,MARGUERITE,S,MD,F,I,1955 DIXIE HIGHWAY,SUITE D,FT. WRIGHT,KY,41011,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,308.31272727,84.69,58.807272727,58.073636364
1043237639,SCHABELL,MARGUERITE,S,MD,F,I,1955 DIXIE HIGHWAY,SUITE D,FT. WRIGHT,KY,41011,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,385.90933333,72.45,47.420666667,45.833666667
1043237712,WAKIL,ADIL,,MD,M,I,2340 CLAY ST,4TH FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,20,30,207,22484,5.5812039673,0.565133873,0.4199844334,0.4199830991
1043237712,WAKIL,ADIL,,MD,M,I,2340 CLAY ST,4TH FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Gastroenterology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,28,4425,0.1061514124,0.0131389831,0.010160452,0.0101559322
1043237712,WAKIL,ADIL,,MD,M,I,2340 CLAY ST,4TH FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,20,151,16654,3.5056502942,1.3324708779,1.0217251111,1.0217245106
1043237712,WAKIL,ADIL,,MD,M,I,2340 CLAY ST,4TH FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,2520,3.7456428571,2.8518571429,2.1900277778,2.1900277778
1043237712,WAKIL,ADIL,,MD,M,I,2340 CLAY ST,4TH FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,23,34,202,202,24,24,17.880693069,17.880693069
1043237712,WAKIL,ADIL,,MD,M,I,2340 CLAY ST,4TH FLOOR,SAN FRANCISCO,CA,941151932,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,27,176,213,16,16,12.247183099,12.247183099
1043237837,SATAPATHY,GOVINDA,C,MD,M,I,9305 W THOMAS RD,#285,PHOENIX,AZ,850373328,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,51,125,82.18424,8.32,6.20808,6.20808
1043237837,SATAPATHY,GOVINDA,C,MD,M,I,9305 W THOMAS RD,#285,PHOENIX,AZ,850373328,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,29,33,15.547878788,1.42,1.0503030303,1.0503030303
1043238363,CLARK,STEPHEN,E,DO,M,I,577 S RIVER RD,,ST GEORGE,UT,847902097,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,18,45,127,71.330708661,8.32,5.1494488189,5.1494488189
1043238363,CLARK,STEPHEN,E,DO,M,I,577 S RIVER RD,,ST GEORGE,UT,847902097,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,21,12.617142857,1.42,0.9028571429,0.9028571429
1043238363,CLARK,STEPHEN,E,DO,M,I,577 S RIVER RD,,ST GEORGE,UT,847902097,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,17.91,11.934,11.509
1043238363,CLARK,STEPHEN,E,DO,M,I,577 S RIVER RD,,ST GEORGE,UT,847902097,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,141.17647059,31.493529412,23.317058824,23.365882353
1043238363,CLARK,STEPHEN,E,DO,M,I,577 S RIVER RD,,ST GEORGE,UT,847902097,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,456.72545455,70.48,52.528863636,52.022954545
1043238363,CLARK,STEPHEN,E,DO,M,I,577 S RIVER RD,,ST GEORGE,UT,847902097,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,62.526315789,17.421052632,12.087894737,12.460526316
1043238413,LAI,CHIA CHI,G,M.D.,M,I,500 N GARFIELD AVE,100,MONTEREY PARK,CA,917541242,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,360,28.405416667,5.1,3.9983333333,4.0669444444
1043238413,LAI,CHIA CHI,G,M.D.,M,I,500 N GARFIELD AVE,100,MONTEREY PARK,CA,917541242,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,6944,1.6324366359,0.3696802995,0.289828629,0.2900446429
1043238413,LAI,CHIA CHI,G,M.D.,M,I,500 N GARFIELD AVE,100,MONTEREY PARK,CA,917541242,US,Physician/Gastroenterology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,174.54545455,5.32,4.17,4.0554545455
1043238470,STRICKLAND,AVERY,W,M.D.,M,I,2500 STARLING ST,SUITE #404,BRUNSWICK,GA,315204219,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,62,115,62.036347826,8.3074782609,6.1711304348,6.1809565217
1043238470,STRICKLAND,AVERY,W,M.D.,M,I,2500 STARLING ST,SUITE #404,BRUNSWICK,GA,315204219,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.575714286,3.38,2.65,2.65
1043238470,STRICKLAND,AVERY,W,M.D.,M,I,2500 STARLING ST,SUITE #404,BRUNSWICK,GA,315204219,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,14,17.205,1.42,1.04,1.04
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,401.895625,95.279375,70.500625,63.52375
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,32,139.773125,37.1884375,26.7709375,23.5209375
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,20,113,94.47079646,21.236725664,15.22619469,13.515221239
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,29,29,267.73931034,62.927586207,47.654482759,42.205862069
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,28,28,69.550714286,19.438928571,14.685357143,13.777142857
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,39,39,87.853846154,15.169487179,11.635384615,8.8815384615
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,24,51,290,11.781206897,2.3148275862,1.7520689655,1.5347241379
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,20,24,24,45.597916667,13.68875,10.2625,9.8775
1043238546,TYER,RICHARD,D,M.D.,M,I,312 E 5TH ST,,TYLER,TX,757014225,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,15,294.068,34.346,20.773333333,20.778666667
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,80,80,80,72.670625,52.251875,40.96125,37.49425
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,32.445,9.1325,7.165,7.61875
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,19.855,16.036666667,12.576666667,12.375833333
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,52,52,52,77.114038462,61.148461538,47.939615385,40.765384615
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,1073.6947368,1073.6947368,834.22684211,834.70894737
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,116.2384,85.5048,67.0368,54.5652
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,54.594615385,41.066153846,32.198461538,29.104615385
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,34,193,194,68.37,38.812061856,29.777783505,26.262268041
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,63,66,97.739393939,34.420151515,25.386666667,20.739545455
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,71.39,58.901176471,46.181176471,39.800588235
1043238553,MAHMOUD,AHMED,,MD,M,I,7235 BOAT CLUB RD,,FT WORTH,TX,76179,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,67.12,39.753529412,31.164117647,29.324705882
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,23,68,149,57.886644295,8.32,6.1720134228,6.1720134228
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,21,27,20.377407407,1.42,1.0762962963,1.0762962963
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,2.028,1.73,1.3308909091,1.5738969697
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,15.626666667,11.6525
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,44,48,25,7.6927083333,5.9285416667,3.91125
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,454.21451613,102.49677419,71.007419355,46.028064516
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1043238587,FREDERICK,SUSAN,F,FNP,F,I,152 CROSSOVER RD,,BEULAVILLE,NC,285188800,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,85,39.795833333,25.0675,15.295
1043238744,OROZCO,CHARLES,R,MD,M,I,4250 E CAMELBACK,SUITE K-250,PHOENIX,AZ,850188301,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,210.07529412,31.078823529,20.831764706,21.697647059
1043238884,GAROFALO,CHRISTOPHER,,"M.D,",M,I,562 WASHINGTON ST,,SOUTH ATTLEBORO,MA,027036942,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,42,78.353571429,8.32,5.2802380952,5.2802380952
1043239072,ELLISON,RICHARD,R,MD,F,I,1 PARK WEST BLVD,STE 150,AKRON,OH,44320,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,14,14,80.078571429,72.023571429,52.437142857,49.336428571
1043239072,ELLISON,RICHARD,R,MD,F,I,1 PARK WEST BLVD,STE 150,AKRON,OH,44320,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,17,79.473529412,66.387647059,52.048823529,54.092941176
1043239163,SHAH,LORI,,MD,F,I,622 W 168TH ST,COLUMBIA DEPARTMENT OF MEDICINE,NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,53.103333333,16.799166667,13.169583333,13.523333333
1043239163,SHAH,LORI,,MD,F,I,622 W 168TH ST,COLUMBIA DEPARTMENT OF MEDICINE,NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,344.43052632,73.401052632,57.55,54.73
1043239163,SHAH,LORI,,MD,F,I,622 W 168TH ST,COLUMBIA DEPARTMENT OF MEDICINE,NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,2520,4.5920634921,1.145952381,0.8984166667,0.8984166667
1043239163,SHAH,LORI,,MD,F,I,622 W 168TH ST,COLUMBIA DEPARTMENT OF MEDICINE,NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,16.605882353,16.605882353
1043239163,SHAH,LORI,,MD,F,I,622 W 168TH ST,COLUMBIA DEPARTMENT OF MEDICINE,NEW YORK,NY,100323720,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,27,16,16,12.075555556,12.075555556
1043239429,JACKSON,MICHAEL,R,M.D.,M,I,5350 ORCHARD ST W,SUITE 202,UNIVERSITY PLACE,WA,984674817,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,37,57.276216216,8.32,6.1694594595,6.1694594595
1043239478,OLSON,JEFFREY,J,M.D.,M,I,1365 CLIFTON RD NE,SUITE B2200,ATLANTA,GA,303221013,US,Physician/Neurosurgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.08,30.146666667,18.616666667,16.591666667
1043239528,FANG,CHIXIN,,M.D.,F,I,730 58TH ST # 1A,,BROOKLYN,NY,112203917,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,17,53.861176471,8.32,6.5276470588,6.5276470588
1043239544,SHAW,ALLEN,D,MD,M,I,60 CAPITAL DR,,CHILLICOTHE,OH,456011186,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,323.33333333,100.35733333,69.118,45.838
1043239569,ZHAO,WANGPING,,M.D.,F,I,2400 MOORPARK AVE,SUITE #319,SAN JOSE,CA,951282631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,32,66,82.663636364,8.32,3.9336363636,3.9336363636
1043239569,ZHAO,WANGPING,,M.D.,F,I,2400 MOORPARK AVE,SUITE #319,SAN JOSE,CA,951282631,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,17,17,14.85,1.42,0.8564705882,0.8564705882
1043239684,PETRY,ROBERT,W,MD,M,I,815 SCHNIER ST,,COLUMBUS,IN,472012619,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,46,1258.125,19.683043478,14.087826087,14.087826087
1043239684,PETRY,ROBERT,W,MD,M,I,815 SCHNIER ST,,COLUMBUS,IN,472012619,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,385.365,77.335,57.589444444,51.689444444
1043239684,PETRY,ROBERT,W,MD,M,I,815 SCHNIER ST,,COLUMBUS,IN,472012619,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,7280,159.87459203,9.8397307692,7.713635989,7.713635989
1043239684,PETRY,ROBERT,W,MD,M,I,815 SCHNIER ST,,COLUMBUS,IN,472012619,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,27,3994,0.3518452679,0.0470806209,0.0334702053,0.0334702053
1043239684,PETRY,ROBERT,W,MD,M,I,815 SCHNIER ST,,COLUMBUS,IN,472012619,US,Physician/Allergy/ Immunology,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2040,2.3312941176,0.0845882353,0.0663235294,0.0663235294
1043239684,PETRY,ROBERT,W,MD,M,I,815 SCHNIER ST,,COLUMBUS,IN,472012619,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,106,419.93113208,2.6362264151,2.0669811321,2.0669811321
1043239684,PETRY,ROBERT,W,MD,M,I,815 SCHNIER ST,,COLUMBUS,IN,472012619,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,41,41,33,33,23.977073171,23.977073171
1043239775,LONG,MICHAEL,A,P.A.-C.,M,I,450 4TH ST.,,DASSEL,MN,55325,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,45,135,57.732888889,8.32,6.3288148148,6.3288148148
1043239775,LONG,MICHAEL,A,P.A.-C.,M,I,450 4TH ST.,,DASSEL,MN,55325,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,41,16.454878049,1.42,1.1141463415,1.1141463415
1043239775,LONG,MICHAEL,A,P.A.-C.,M,I,450 4TH ST.,,DASSEL,MN,55325,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,70.245,21.656666667,16.148888889,13.112777778
1043239775,LONG,MICHAEL,A,P.A.-C.,M,I,450 4TH ST.,,DASSEL,MN,55325,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,430.25611111,96.337777778,69.061666667,50.898888889
1043239775,LONG,MICHAEL,A,P.A.-C.,M,I,450 4TH ST.,,DASSEL,MN,55325,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,22.4815,9.651,7.5663787879,7.5663787879
1043239775,LONG,MICHAEL,A,P.A.-C.,M,I,450 4TH ST.,,DASSEL,MN,55325,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,8.6400454545,2.9977272727,2.3502424242,2.3502424242
1043239775,LONG,MICHAEL,A,P.A.-C.,M,I,450 4TH ST.,,DASSEL,MN,55325,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,29,29,33,33,24.977931034,24.977931034
1043239817,SMITH,JOHNNY,D,D.O.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,58.82,46.115,38.7425
1043239817,SMITH,JOHNNY,D,D.O.,M,I,11 N LOCUST ST,,BUCKHANNON,WV,262012231,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,519.51,100.263125,71.8053125,50.77375
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,48,88,63.514886364,8.32,5.3838636364,5.3838636364
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,20,15.397,1.42,1.117,1.117
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,170.99952381,53.75,38.671904762,39.262380952
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,55.636428571,18.5,14.5,14.122857143
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,64.853333333,12.04,9.44,9.12
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,93,8.1548387097,2,1.4672043011,1.4894623656
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,179,16.98,9.68,9.8963636364
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,64.001176471,3.4961764706,2.5623529412,3.4735294118
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,208.04571429,28.861428571,19.638571429,20.421904762
1043239841,LE,LARA,,MD,F,I,225 E 2ND AVE,,ESCONDIDO,CA,920254249,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,78.636363636,36.58,28.67,29.280909091
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,49,131,373,51.775871314,8.3122788204,6.2888739946,6.2949061662
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,13.377894737,3.38,2.65,2.65
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,30,66,108,12.764814815,1.42,1.0733333333,1.0733333333
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,25,1348,18.5,18.5,14.504005935,14.504005935
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,15,50,106,8.85,1.9630188679,1.4910377358,1.1198113208
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,82.020769231,16.607692308,13.022307692,9.0746153846
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,290.098125,70.969375,52.695,40.1625
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,93.4735,19.4235,15.227,9.113
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,112,13.089553571,3.0903571429,2.4232142857,1.5923214286
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,419,84.580429594,3.1702147971,2.4853221957,2.3901670644
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,330,6.9465454545,6.4098787879,5.0253030303,4.4717575758
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,7917,2.504729064,0.340977643,0.2492017178,0.2492017178
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,6422,0.8000046714,0.7454484584,0.5397508564,0.4780270944
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,23,23,294.6226087,72.53826087,55.292608696,38.294782609
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,67,71,85.035633803,23.025492958,17.41971831,13.212676056
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,31,31,176.44548387,59.282258065,40.251935484,31.763225806
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,3338.06,1074.31,842.26,842.26
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,63,63,31.126190476,7.4426984127,5.1607936508,3.1225396825
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,11.654545455,8.7445454545,6.8518181818,6.3309090909
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,136,140,479.33628571,102.726,77.6505,53.864785714
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,250,46.5,36.458333333,29.519444444
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,15.58,9.6275238095,7.4400634921,7.4400634921
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,660,13.94,11.244818182,8.7129848485,8.7129848485
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,4220,0.2098909953,0.0476895735,0.0327938389,0.0327938389
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,18,87,8818,1.0792390565,0.1338171921,0.0981469721,0.0981469721
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,71.018518519,30.547407407,23.338888889,14.9
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,30,31,706.77096774,217.99709677,165.99645161,116.60677419
1043239965,ASLAM,TANVEER,,M.D.,M,I,1950 COOK ST,SUITE D,DYERSBURG,TN,380241899,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,26,122,122,122.26229508,33,24.381229508,24.381229508
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,67,67,67,137.75567164,44.717910448,35.057462687,36.385223881
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,36,36,36,156.19361111,48.131944444,37.74,40.715555556
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,50,50,169.344,48.8308,37.5968,38.687
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,45,45,30.980888889,4.2411111111,3.1222222222,3.4124444444
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,26,72,27.59,21.63,22.525384615
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,42,255.65595238,67.72,50.372619048,51.789761905
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,3994.9090909,650.44,509.94,508.69636364
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,17,17,17,107.10294118,34.83,27.3,29.210588235
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,17,91,92,75.490543478,17.359782609,13.21423913,14.187173913
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,109.86,30.6948,24.0656,26.326
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,49,49,127.46734694,24.055510204,17.418571429,19.923469388
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,205.05263158,42.66,31.689473684,33.485789474
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,28,150,150,32.926,7.9123333333,5.8221333333,6.3084666667
1043239973,GODFREY,DEAN,M,D.O.,M,I,675 GOOD DR,,LANCASTER,PA,176012426,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,200,38.72,29.192307692,28.449230769
1043240047,BENNETT,JOHN,,M.D.,M,I,459 HWY 119 S,,SPRINGFIELD,GA,313293021,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,44,50.238636364,18.986590909,13.805454545,12.488409091
1043240047,BENNETT,JOHN,,M.D.,M,I,459 HWY 119 S,,SPRINGFIELD,GA,313293021,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,25.043043478,5.5626086957,3.9930434783,3.2808695652
1043240047,BENNETT,JOHN,,M.D.,M,I,459 HWY 119 S,,SPRINGFIELD,GA,313293021,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,45,308.96977778,79.195111111,55.716444444,48.666222222
1043240120,WOO,YI-PING,J,MD,M,I,300 PASTEUR DR,,PALO ALTO,CA,943052200,US,Physician/Cardiac Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,37,37,37,59.612702703,46.996216216,36.845405405,36.451081081
1043240484,DUNNE,ROBERT,P,"PA-C, DC",M,I,GARRISON AID STATION,BLDG 661,FORT GREELY,AK,997311067,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.1418181818,2.8727272727,3.1063636364
1043240526,CHRISTY,PAMELA,J,D.O.,F,I,202 S 2ND ST,,FARMINGTON,IA,526269105,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,38,79,66.70443038,8.32,6.5129113924,6.5129113924
1043240526,CHRISTY,PAMELA,J,D.O.,F,I,202 S 2ND ST,,FARMINGTON,IA,526269105,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,38.687058824,8.7782352941,6.88,4.2176470588
1043240534,MAZZEO,ROBERT,F,MD,M,I,640 HAWKINS AVE,,LAKE RONKONKOMA,NY,117792324,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,54,182,56.796043956,8.32,6.128021978,6.128021978
1043240534,MAZZEO,ROBERT,F,MD,M,I,640 HAWKINS AVE,,LAKE RONKONKOMA,NY,117792324,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,22,48,8.9889583333,1.42,1.0208333333,1.0208333333
1043240807,BUSKILL,DENISE,L,APRN,F,I,9702 STONESTREET RD STE 220,,LOUISVILLE,KY,402726814,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,44.36,8.32,5.8705,5.8705
1043240823,AMIN,ANILA,,M.D,F,I,222 NEW RD,"CENTRAL PARK EAST, #101",LINWOOD,NJ,082211299,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,41,109,62.276605505,8.32,5.7336697248,5.7336697248
1043240823,AMIN,ANILA,,M.D,F,I,222 NEW RD,"CENTRAL PARK EAST, #101",LINWOOD,NJ,082211299,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,23,31,13.191935484,1.42,1.0070967742,1.0070967742
1043240823,AMIN,ANILA,,M.D,F,I,222 NEW RD,"CENTRAL PARK EAST, #101",LINWOOD,NJ,082211299,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,30.938333333,21.640833333,22.073333333
1043240823,AMIN,ANILA,,M.D,F,I,222 NEW RD,"CENTRAL PARK EAST, #101",LINWOOD,NJ,082211299,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,128.10166667,88.4725,93.29
1043241078,SIU,VIRGILIO,,PAC,M,I,2354 E BONANZA RD,,LAS VEGAS,NV,891013451,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,30,83,61.302289157,8.32,6.1304819277,6.1304819277
1043241078,SIU,VIRGILIO,,PAC,M,I,2354 E BONANZA RD,,LAS VEGAS,NV,891013451,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,20,35,16.857428571,1.42,1.0508571429,1.0508571429
1043241078,SIU,VIRGILIO,,PAC,M,I,2354 E BONANZA RD,,LAS VEGAS,NV,891013451,US,Physician Assistant,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,699.15,173.61,135.55055556,125.58722222
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,29,68,256,61.9546875,8.32,6.1659765625,6.1659765625
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,10.318181818,3.38,2.65,2.65
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,198.275,62.042857143,44.868571429,34.202857143
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,31,70.184516129,21.441935484,15.603870968,13.792580645
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,108.43,60.062,41.588,32.612666667
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,30,5.1658823529,3.6235294118,2.9823529412
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,49,447.38102041,96.600408163,71.560204082,57.607755102
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,28,85.131785714,25.289285714,18.797857143,13.254285714
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,97,34.19,20.26,15.725454545
1043241144,PASHEK,NICOLE,M,ARNP,F,I,1825 E. 19TH ST,,THE DALLES,OR,97058,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,22.174285714,22.174285714
1043241243,STEFFANIDES,GILBERT,D,MD,M,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,44,70.019090909,8.32,5.1886363636,5.1886363636
1043241243,STEFFANIDES,GILBERT,D,MD,M,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,21,15.339047619,1.42,0.9038095238,0.9038095238
1043241243,STEFFANIDES,GILBERT,D,MD,M,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,526.24785714,79.47,44.754285714,38.261428571
1043241268,REDDY,BAL,,M.D.,M,I,4755 ALDINE MAIL RD,,HOUSTON,TX,770395934,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,45,55.398666667,8.32,5.3631111111,5.3631111111
1043241268,REDDY,BAL,,M.D.,M,I,4755 ALDINE MAIL RD,,HOUSTON,TX,770395934,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2010,2.6605970149,2.04,1.5993333333,1.5993333333
1043241268,REDDY,BAL,,M.D.,M,I,4755 ALDINE MAIL RD,,HOUSTON,TX,770395934,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,132,7.946969697,4.12,3.23,3.3
1043241268,REDDY,BAL,,M.D.,M,I,4755 ALDINE MAIL RD,,HOUSTON,TX,770395934,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,36,5.5811111111,3.62,2.8388888889,3.3786111111
1043241433,THAKER,GAURANG,,MD,M,I,11125 ROCKVILLE PIKE,SUITE 208,ROCKVILLE,MD,208523142,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,50,154,65.347597403,8.32,5.8017532468,5.8017532468
1043241433,THAKER,GAURANG,,MD,M,I,11125 ROCKVILLE PIKE,SUITE 208,ROCKVILLE,MD,208523142,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,20,32,49,15.024897959,1.42,1.0689795918,1.0689795918
1043241458,CIURLIK,ELIZABETH,W,MD,F,I,3055 HUBERTUS ROAD,,HUBERTUS,WI,53033,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,35,107,81.962523364,8.32,4.9001869159,4.9001869159
1043241458,CIURLIK,ELIZABETH,W,MD,F,I,3055 HUBERTUS ROAD,,HUBERTUS,WI,53033,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,30,31,68.056451613,14,10.271612903,9.82
1043241458,CIURLIK,ELIZABETH,W,MD,F,I,3055 HUBERTUS ROAD,,HUBERTUS,WI,53033,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,37,225.71351351,32.212432432,23.960540541,23.393513514
1043241458,CIURLIK,ELIZABETH,W,MD,F,I,3055 HUBERTUS ROAD,,HUBERTUS,WI,53033,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,519.51,79.98,59.6015,53.181
1043241573,DE BEAUBIEN,BRIAN,C,M.D.,M,I,900 COOPER AVE,SUITE 3100,SAGINAW,MI,486025182,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,135.09470588,58.015294118,45.486470588,38.197058824
1043241672,LEE,DANIEL,E,PA-C,M,I,4575 STEPHENS CIR NW,,CANTON,OH,447183629,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,26,52.954615385,8.32,6.2734615385,6.2734615385
1043241672,LEE,DANIEL,E,PA-C,M,I,4575 STEPHENS CIR NW,,CANTON,OH,447183629,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,17.27,13.54,13.54
1043241672,LEE,DANIEL,E,PA-C,M,I,4575 STEPHENS CIR NW,,CANTON,OH,447183629,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,112.76794118,38.857058824,26.028235294,21.501176471
1043241672,LEE,DANIEL,E,PA-C,M,I,4575 STEPHENS CIR NW,,CANTON,OH,447183629,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,215.66666667,69.81,54.73,54.73
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,36,116,71.305862069,8.32,5.9606034483,5.9606034483
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,13.718928571,1.42,1.0735714286,1.0735714286
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,169.36363636,73.998181818,48.928181818,36.880909091
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,48.123076923,25.376923077,17.495384615,13.267692308
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,52.225,21.775833333,15.3925,9.5283333333
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,56,5.6357142857,3.0246428571,2.11875,1.5142857143
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,3775.52,919.45,708.89416667,820.18666667
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,470.43733333,103.09166667,73.408333333,47.648
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3088,0.1702007772,0.0469786269,0.0274935233,0.0274935233
1043241680,LUEDKE,MATTHEW,J,,M,I,11134 N HWY 77,,HAYWARD,WI,54843,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,21.89,21.89
1043241730,MACLEAN,LYNN,T,M.D.,F,I,211 S BOUNDARY AVE,,PROCTOR,MN,558102306,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,27,98,218,63.239770642,8.32,5.7442201835,5.7442201835
1043241730,MACLEAN,LYNN,T,M.D.,F,I,211 S BOUNDARY AVE,,PROCTOR,MN,558102306,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,24,16.735,1.42,0.9758333333,0.9758333333
1043241730,MACLEAN,LYNN,T,M.D.,F,I,211 S BOUNDARY AVE,,PROCTOR,MN,558102306,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1680,0.2588869048,0.13,0.1019345238,0.1019345238
1043241730,MACLEAN,LYNN,T,M.D.,F,I,211 S BOUNDARY AVE,,PROCTOR,MN,558102306,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,4230,2.4760520095,2.034893617,1.5567966903,1.5607966903
1043241730,MACLEAN,LYNN,T,M.D.,F,I,211 S BOUNDARY AVE,,PROCTOR,MN,558102306,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,150,44.94,33.157647059,33.157647059
1043241730,MACLEAN,LYNN,T,M.D.,F,I,211 S BOUNDARY AVE,,PROCTOR,MN,558102306,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,296.5625,69.93375,52.71875,52.64
1043241730,MACLEAN,LYNN,T,M.D.,F,I,211 S BOUNDARY AVE,,PROCTOR,MN,558102306,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,59.912941176,38.68,24.835294118,24.167647059
1043241763,NICHOLS,JAMES,C,P.A.-C.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60.32,24.614545455,17.550909091,11.909090909
1043241763,NICHOLS,JAMES,C,P.A.-C.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,27.649090909,10.683636364,7.56,5.6
1043241763,NICHOLS,JAMES,C,P.A.-C.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,13,114.94769231,112.96,88.561538462,171.88153846
1043241763,NICHOLS,JAMES,C,P.A.-C.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician Assistant,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,313.33333333,266.98,209.31,218.09166667
1043241938,HALPERT,JEFFREY,A,DPM,M,I,5625 RIDGE RD,,PARMA,OH,441292633,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,13,484,0.5866942149,0.44,0.345,0.345
1043241938,HALPERT,JEFFREY,A,DPM,M,I,5625 RIDGE RD,,PARMA,OH,441292633,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,37,37,74,80.324324324,71.56,54.172162162,54.172162162
1043241938,HALPERT,JEFFREY,A,DPM,M,I,5625 RIDGE RD,,PARMA,OH,441292633,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,114,40,29.19,21.998421053,22.000087719
1043241938,HALPERT,JEFFREY,A,DPM,M,I,5625 RIDGE RD,,PARMA,OH,441292633,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,93,45.967741935,43.56,34.151612903,34.150107527
1043241938,HALPERT,JEFFREY,A,DPM,M,I,5625 RIDGE RD,,PARMA,OH,441292633,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,25,2360,0.1769067797,0.13,0.1006313559,0.1006313559
1043241961,HOSKINS,DAVID,S,MD,M,I,1664 US HIGHWAY 395 N,SUITE #201,MINDEN,NV,89423,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,156,10.24,8.41,6.5937179487,6.5937179487
1043241961,HOSKINS,DAVID,S,MD,M,I,1664 US HIGHWAY 395 N,SUITE #201,MINDEN,NV,89423,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,18,338,13.757692308,10.93,8.569112426,8.569112426
1043241961,HOSKINS,DAVID,S,MD,M,I,1664 US HIGHWAY 395 N,SUITE #201,MINDEN,NV,89423,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1828,0.56,0.45,0.3527954048,0.3527954048
1043241961,HOSKINS,DAVID,S,MD,M,I,1664 US HIGHWAY 395 N,SUITE #201,MINDEN,NV,89423,US,Physician/Family Practice,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,13,17,116.77,95.87,75.165294118,75.165294118
1043241987,FORTE,VINCENT,R,M.D.,M,I,210 LAYTON AVE STE 20,,MONROE,LA,712018548,US,Physician/Interventional Pain Management,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,33,1038.7272727,998.27909091,753.77575758,746.82939394
1043241987,FORTE,VINCENT,R,M.D.,M,I,210 LAYTON AVE STE 20,,MONROE,LA,712018548,US,Physician/Interventional Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,1260,1185.42,875.61833333,834.50222222
1043242001,ANGLETON,PAUL,,MD,M,I,1502 W MEYER RD,,WENTZVILLE,MO,633853653,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,18,57,61.673157895,8.32,5.8354385965,5.8354385965
1043242183,EPPLE,JULIE,M,"RN., BC., FNP",F,I,1500 CALVARY CHURCH RD,,FESTUS,MO,630284125,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,23,91,73.358351648,8.32,5.5186813187,5.5186813187
1043242183,EPPLE,JULIE,M,"RN., BC., FNP",F,I,1500 CALVARY CHURCH RD,,FESTUS,MO,630284125,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,26,13.447307692,1.42,0.9,0.9
1043242183,EPPLE,JULIE,M,"RN., BC., FNP",F,I,1500 CALVARY CHURCH RD,,FESTUS,MO,630284125,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.19,1.68,1.32,1.15
1043242183,EPPLE,JULIE,M,"RN., BC., FNP",F,I,1500 CALVARY CHURCH RD,,FESTUS,MO,630284125,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,19,7.5,2.08,1.63,1.5931578947
1043242183,EPPLE,JULIE,M,"RN., BC., FNP",F,I,1500 CALVARY CHURCH RD,,FESTUS,MO,630284125,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,443.74421053,101.72631579,79.754736842,59.405263158
1043242183,EPPLE,JULIE,M,"RN., BC., FNP",F,I,1500 CALVARY CHURCH RD,,FESTUS,MO,630284125,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,34,2927,1.4628629997,0.1359446532,0.1000819952,0.1000819952
1043242183,EPPLE,JULIE,M,"RN., BC., FNP",F,I,1500 CALVARY CHURCH RD,,FESTUS,MO,630284125,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,32,101.0625,33,24.253125,24.253125
1043242209,ARRUDA,NOLAN,,M.D.,M,I,2180 MAIN ST,,WAILUKU,HI,967931625,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,90,60.680909091,47.575454545,36.986363636
1043242522,HEFNER,ABBY,C,ARNP,F,I,1031 NEW MOODY LN,STE 300,LA GRANGE,KY,400319151,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,33,86,68.94244186,8.32,6.0675581395,6.0675581395
1043242522,HEFNER,ABBY,C,ARNP,F,I,1031 NEW MOODY LN,STE 300,LA GRANGE,KY,400319151,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,29,29,544.72,82.653793103,52.657931034,43.08
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,54,144,43.081458333,8.32,5.9761111111,5.9761111111
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,28,49,10.625102041,1.42,1.0910204082,1.0910204082
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,12.5,10.93,6.87,6.87
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,28,8.6,6.61,4.4442857143,5.0860714286
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,188.15692308,54.138461538,35.804615385,36.262307692
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,8.7436363636,1.94,1.3818181818,1.455
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,20.525,14.537777778,12.036666667
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,519.51,92.597619048,61.744285714,44.650952381
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2444,0.2902086743,0.046685761,0.0224795417,0.0224795417
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1050,10.884847619,3.0573714286,2.2655714286,2.2655714286
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,465,0.75,0.2192258065,0.1718709677,0.1718709677
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,68.763529412,14.81,6.6223529412,8.26
1043242605,HARRISON,CHRISTOPHER,N,DO,M,I,17200 SILVER PKWY,,FENTON,MI,484304437,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,82.5,33,23.098214286,23.098214286
1043242654,ASIF,MUHAMMAD,,M.D.,M,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,17,12.118181818,12.332727273
1043242654,ASIF,MUHAMMAD,,M.D.,M,I,1001 SAM PERRY BLVD,,FREDERICKSBURG,VA,224014453,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,519.51,79.8,56.872727273,49.754545455
1043242670,AHMED,JAMIL,,MD,M,I,3916 W CALDWELL AVE,,VISALIA,CA,932779249,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.9251428571,2.27,1.7713571429,1.7713571429
1043242670,AHMED,JAMIL,,MD,M,I,3916 W CALDWELL AVE,,VISALIA,CA,932779249,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,14.055,10.93,7.8558333333,7.8558333333
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,31,92,62.843586957,8.32,6.5216304348,6.5216304348
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,24,17.054166667,1.42,1.0225,1.0225
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.47,1.15,1.15
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,150,52.063529412,38,37.301176471
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,42.692307692,17.29,13.55,13.53
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,50.73,4.8182352941,3.5135294118,3.5105882353
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,306.39357143,70.23,55.06,54.72
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,6627,0.1821170967,0.045872944,0.0309687641,0.0309687641
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,59.559090909,19.026363636,12.54,11.565
1043242787,ROBERTS,JAMES,A,M.D.,M,I,1301 N LAWNWOOD CIRCLE,,FORT PIERCE,FL,34950,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,35,113.31428571,33,24.391714286,24.391714286
1043242985,BARNEY,JOSEPH,B,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,70,75,88.908533333,24.543333333,19.0492,15.290666667
1043242985,BARNEY,JOSEPH,B,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.98,11.741666667,11.321666667
1043242985,BARNEY,JOSEPH,B,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,14,232.35,59.024285714,43.248571429,35.895714286
1043242985,BARNEY,JOSEPH,B,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,21,143,147,438.93789116,88.537210884,66.440816327,53.884693878
1043242985,BARNEY,JOSEPH,B,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,250,43.235454545,30.911818182,26.83
1043242985,BARNEY,JOSEPH,B,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,2569,0.3188049825,0.04537174,0.0355858311,0.0355858311
1043242985,BARNEY,JOSEPH,B,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,119.63291667,38.588333333,28.962083333,28.207083333
1043243132,PENZELL,DENNIS,H,D.O.,M,I,3200 S UNIVERSITY DR,,DAVIE,FL,333282018,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,16.218333333,10.956666667,8.5833333333,8.7091666667
1043243256,SHEBETKA,KARRY,A,DPM,F,I,4330 MEDICAL DRIVE,SUITE 120,SAN ANTONIO,TX,78229,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,2233.3833333,572.35333333,448.725,455.72
1043243488,YURTTAS,OGUZ,,MD,M,I,1300 W TERRELL AVE FL 2,,FORT WORTH,TX,761042820,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,30,17.63,17.63,13.359333333,13.079
1043243488,YURTTAS,OGUZ,,MD,M,I,1300 W TERRELL AVE FL 2,,FORT WORTH,TX,761042820,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,22,57.599545455,6.1986363636,3.5918181818,2.6109090909
1043243488,YURTTAS,OGUZ,,MD,M,I,1300 W TERRELL AVE FL 2,,FORT WORTH,TX,761042820,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,26,76.48,76.48,58.748076923,53.508461538
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,31,31,31,92.778709677,72.305483871,56.683225806,42.433225806
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,14.36,9.5118181818,7.4554545455,8.0772727273
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,144.33222222,61.400740741,48.14037037,42.003703704
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,24.14,10.6408,8.3432,7.918
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,30,30,60,41.542,29.596,23.201833333,22.976166667
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,31,31,62,82.683870968,54.351935484,42.612580645,40.892903226
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,31,31,31,54.402580645,38.098709677,29.87,29.739032258
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,18,18,18,253.91222222,158.65388889,124.385,116.27055556
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,49,279,279,43.977706093,20.87390681,15.262508961,13.342939068
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,59.751351351,29.817837838,21.136216216,19.422162162
1043243595,GUNUGANTI,MANJUSHA,,,F,I,111 DALLAS ST,,SAN ANTONIO,TX,782051201,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,72,72,16.108194444,8.2122222222,6.0511111111,6.27125
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,89,147,147,121.53102041,40.090884354,29.659319728,28.80414966
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,44,80,80,397.608,85.122,61.589125,62.646375
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,27,58,141,173.79347518,33.476028369,24.567021277,24.247588652
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,11,18,68,95.998382353,17.22,13.157205882,14.056911765
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,62,90,90,227.95677778,52.321333333,38.323222222,40.052777778
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,96,112,112,74.152946429,17.997857143,13.249196429,13.209553571
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,36.083333333,10.586666667,8.3008333333,8.15
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,11,16,17,84.511764706,11.782941176,6.9970588235,6.9970588235
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,95,162,859,9.341653085,2.0367403958,1.5155762515,1.5108265425
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,22,28,28,26.785357143,6.2110714286,4.5592857143,4.3717857143
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,40,50,50,49.5064,13.8344,9.569,9.1556
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,11,49,49,430.06734694,84.065306122,62.35755102,66.302040816
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,801.998,201.947,156.7655,164.496
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,46,46,46,478.69565217,134.96,103.35804348,102.52565217
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,19,22,81.75,13.612727273,10.670909091,10.489090909
1043243827,CHIANG,ALFRED,P,D.O.,M,I,2700 CAMPUS DR,SUITE 100,PLYMOUTH,MN,554412601,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,74,427,430,281.15134884,30.331209302,21.910930233,23.450488372
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,31,84,241,55.072033195,8.32,6.294439834,6.294439834
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,25,25,14.8448,3.38,2.65,2.65
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,49,76,14.676578947,1.42,1.1148684211,1.1148684211
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,35.97,17.27,11.605714286,11.605714286
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,18.685555556,4.8533333333,3.4155555556,3.2618518519
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,227.41818182,81.74030303,57.297878788,48.096060606
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,85,27.1525,19.6875,12.371666667
1043243959,WANG,XUE,,M.D.,M,I,126 COLLEGE ST,,BATTLE CREEK,MI,490373461,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.75,44.745,35.0825,29.515833333
1043244114,KOTLOFF,ROBERT,M,MD,M,I,3400 SPRUCE STREET,838 WEST GATES,PHILADELPHIA,PA,19104,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,26,80.620384615,25.934615385,19.835,19.231538462
1043244114,KOTLOFF,ROBERT,M,MD,M,I,3400 SPRUCE STREET,838 WEST GATES,PHILADELPHIA,PA,19104,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,48,492.4025,76.378541667,58.619791667,55.150416667
1043244114,KOTLOFF,ROBERT,M,MD,M,I,3400 SPRUCE STREET,838 WEST GATES,PHILADELPHIA,PA,19104,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,20,295.25,36.028,28.242,28.9295
1043244130,GREENBERG,STUART,N,M.D.,M,I,434 SUNRISE HWY,,WEST ISLIP,NY,117952112,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,0.44,0.44,0.344969697,0.344969697
1043244130,GREENBERG,STUART,N,M.D.,M,I,434 SUNRISE HWY,,WEST ISLIP,NY,117952112,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,174,8.28,8.28,4.911954023,4.911954023
1043244130,GREENBERG,STUART,N,M.D.,M,I,434 SUNRISE HWY,,WEST ISLIP,NY,117952112,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,980,0.45,0.45,0.3528265306,0.3528265306
1043244130,GREENBERG,STUART,N,M.D.,M,I,434 SUNRISE HWY,,WEST ISLIP,NY,117952112,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,103,103,46.170097087,17.305145631,13.100970874,13.076504854
1043244130,GREENBERG,STUART,N,M.D.,M,I,434 SUNRISE HWY,,WEST ISLIP,NY,117952112,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,107,107,254.19439252,76.338971963,57.537570093,52.870654206
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,63,106,58.670943396,8.32,4.8606603774,4.8606603774
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,25,18.1956,1.42,0.6272,0.6272
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,94.048333333,40,28.746666667,27.949166667
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,74,58.827972973,18.99,13.957432432,13.620810811
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,152.57526316,55.14,34.966842105,34.635789474
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,50.19,19.31,14.335714286,13.255714286
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,55.808333333,13,9.3408333333,8.36
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,24,144,9.3416666667,2.09,1.5700694444,1.5253472222
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,161.814,31.924,21.114,21.06
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,250.51,77.18,57.325263158,52.754210526
1043244296,REZNIK,GARY,,MD,M,I,6333 WILSHIRE BLVD,#200,LOS ANGELES,CA,90048,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,59.12,22.604545455,14.072727273,10.718181818
1043244452,SHEPPARD,WILLIAM,S,PA-C,M,I,897 W MAIN ST,,DOVER FOXCROFT,ME,044261029,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,72,70.94,50.563636364,42.127272727
1043244460,DOXEY,CLEM,M,MD,M,I,7930 N SHADELAND AVE,,INDIANAPOLIS,IN,462502691,US,Physician/Orthopedic Surgery,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,122.64666667,45.926666667,27.4775,27.4775
1043244510,BARLOW,CHRISTINA,L,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,36,139,51.715179856,8.2785611511,6.3347482014,6.375323741
1043244510,BARLOW,CHRISTINA,L,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,27,57,13.077368421,1.42,1.0949122807,1.0949122807
1043244510,BARLOW,CHRISTINA,L,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,24.187058824,18,13.695,13.259117647
1043244510,BARLOW,CHRISTINA,L,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,55,55,145.17127273,74.228727273,55.601090909,52.366
1043244510,BARLOW,CHRISTINA,L,M.D.,F,I,1200 N STATE ST,SUITE 500,JACKSON,MS,392022000,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,71,40.323,29.9705,28.036
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,5.1,0.51,0.3733333333,0.3733333333
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,53,138,440,49.301886364,8.32,6.0586590909,6.0586590909
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,26,74,74,12.881351351,3.38,2.4351351351,2.4351351351
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,24,36,36,18.213333333,2.12,1.4844444444,1.4844444444
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,38,88,165,13.278606061,1.42,1.0324242424,1.0324242424
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,41,8.0148780488,2.0224390244,1.4629268293,1.0380487805
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,50,12.0264,3.082,2.4162,1.5918
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,373.47478261,66.911304348,48.06,33.199565217
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,52,83.061346154,22.439615385,16.443461538,12.952307692
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,65.553333333,7.9633333333,6.0548148148,3.5903703704
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,13,13,13,46.058461538,37.11,19.139230769,41.667692308
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,65,503.148,101.98061538,76.226615385,53.726615385
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,42,4350,1.0385241379,0.1343724138,0.0923885057,0.0923885057
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,117,31.920909091,23.061818182,18.145454545
1043244874,GRIFFIN,STEVEN,F,DO,M,I,712 N WOOD ST,,GILMER,TX,756441751,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,54,54,100.89351852,33,22.003518519,22.003518519
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,51,134,484,61.057727273,8.2887396694,5.919214876,5.943946281
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,8.7275,3.38,2.65,2.65
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,38,87,159,12.806792453,1.42,1.0586163522,1.0586163522
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,40,24.47975,9.782,7.667,8.43825
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,28,28,84.33,41.030714286,29.779285714,28.224285714
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,19,660,4.8654090909,3.04,2.1667272727,2.1667272727
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,15,25,25,330.4892,93.8696,64.1288,58.8104
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,23,124.73130435,34.616521739,27.14,25.984782609
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,25,25,209.9228,55.9552,33.362,32.5736
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,27,34,34,64.713529412,19.407647059,12.936764706,11.951764706
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,74.38125,12.07875,7.1025,6.863125
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,25,40,147,9.2831292517,2.2771428571,1.5807482993,1.4172789116
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,27.02,5.9976923077,3.6138461538,3.5807692308
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,37.816363636,13.002727273,8.34,8.4945454545
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,36,76.520277778,17,12.219166667,12.4275
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,375,87.910588235,61.894705882,59.341176471
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,50,50,191.8,36.1484,24.1442,23.1306
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,43.112727273,39.45,30.928181818,55.733636364
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,45,504.47644444,77.068888889,56.466444444,51.224
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,4701,0.2679727718,0.0460604127,0.0343458839,0.0343458839
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2638,2.1054473086,0.1371986353,0.0910083397,0.0910083397
1043245145,BERTOS,MICHAEL,G,M.D.,M,I,20 RESEARCH PL,SUITE 310,N CHELMSFORD,MA,018632454,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,99,33,22.995555556,22.995555556
1043245640,GALIER,PETER,C,MD,M,I,200 MEDICAL PLAZA,"#214,365,530,420,120",LOS ANGELES,CA,900953075,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,25,86.7132,8.32,5.4772,5.4772
1043245640,GALIER,PETER,C,MD,M,I,200 MEDICAL PLAZA,"#214,365,530,420,120",LOS ANGELES,CA,900953075,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,7.0841666667,2.09,1.5018055556,1.4590277778
1043245954,SINATRA,MELANIE,A,M.D.F.A.C.S.,F,I,350 FRANKLIN AVE,,WYCKOFF,NJ,074811909,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,55.849166667,55.849166667,39.896666667,49.043333333
1043245970,LEE,KENNETH,K,MD,M,I,885 ROOSEVELT RD,,GLEN ELLYN,IL,601376141,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,30,105,80.912095238,8.32,5.3180952381,5.3180952381
1043245970,LEE,KENNETH,K,MD,M,I,885 ROOSEVELT RD,,GLEN ELLYN,IL,601376141,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,24,15.3225,1.42,1.07,1.07
1043245970,LEE,KENNETH,K,MD,M,I,885 ROOSEVELT RD,,GLEN ELLYN,IL,601376141,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,145.03384615,32.307692308,19.633076923,18.583076923
1043245988,NOWLAKHA,PREM,K,"M.D.,",M,I,3511 TOWN CENTER BLVD S,,SUGAR LAND,TX,774791285,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,31,106,63.708207547,8.32,4.9544339623,4.9544339623
1043245988,NOWLAKHA,PREM,K,"M.D.,",M,I,3511 TOWN CENTER BLVD S,,SUGAR LAND,TX,774791285,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,24,12.347083333,1.42,0.7433333333,0.7433333333
1043246226,SAIF,MARYAM,,M.D.,F,I,7000 NORTH MOPAC,SUITE # 420,AUSTIN,TX,78731,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,39.661923077,19.393461538,14.678846154,13.016538462
1043246226,SAIF,MARYAM,,M.D.,F,I,7000 NORTH MOPAC,SUITE # 420,AUSTIN,TX,78731,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,128.38,42.55,33.36,33.432727273
1043246226,SAIF,MARYAM,,M.D.,F,I,7000 NORTH MOPAC,SUITE # 420,AUSTIN,TX,78731,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,235.63846154,86.046923077,65.259615385,52.625
1043246291,BUIE,JOSEPH,,,M,I,8831 LONG POINT RD STE 300,,HOUSTON,TX,770553023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,40,34.81625,8.32,2.60825,2.60825
1043246358,KLEMEK,NEIL,J,MD,M,I,103 ALYCIA DR,STE 2,RICHMOND,KY,404752368,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,60,56.289166667,8.32,6.3468333333,6.3468333333
1043246358,KLEMEK,NEIL,J,MD,M,I,103 ALYCIA DR,STE 2,RICHMOND,KY,404752368,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,19.3475,9.6325,7.3526111111,7.3526111111
1043246358,KLEMEK,NEIL,J,MD,M,I,103 ALYCIA DR,STE 2,RICHMOND,KY,404752368,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,25.87,25.87
1043246499,RANDHAWA,MANJIT,,D.O.,M,I,1980 EAST MULBERRY ST,,ANGLETON,TX,77515,US,Physician/Anesthesiology,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,93.586,81.0032,55.7888,57.0968
1043246572,NOORI,ARSHIA,M,MD,M,I,8631 W 3RD ST,SUITE 610E,LOS ANGELES,CA,900485901,US,Clinical Cardiatric Electrophysiology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,84.166666667,43.9,28.683333333,31.493333333
1043246689,NAGAPPAN,POOMBAVAI,O,MD,F,I,12442 SW SCHOLLS FERRY RD,SUITE 106,TIGARD,OR,972233396,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,80,74.0445,8.32,6.278,6.278
1043246689,NAGAPPAN,POOMBAVAI,O,MD,F,I,12442 SW SCHOLLS FERRY RD,SUITE 106,TIGARD,OR,972233396,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,24,559.67166667,77.18,60.51,56.40875
1043246820,CHANG,BENJAMIN,,MD,M,I,3400 CIVIC CENTER BLVD,1-330S PERELMAN CENTER,PHILADELPHIA,PA,191044306,US,Physician/Plastic and Reconstructive Surgery,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,295,38.181538462,27.585384615,28.188461538
1043246879,CARDER,JOHN,R,M.D.,M,I,2018 W CLINCH AVE,,KNOXVILLE,TN,379162301,US,Physician/Pediatric Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,20,1640,0.5697256098,0.44,0.3449939024,0.3449939024
1043246879,CARDER,JOHN,R,M.D.,M,I,2018 W CLINCH AVE,,KNOXVILLE,TN,379162301,US,Physician/Pediatric Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,174,26.982068966,22.42,17.229367816,17.229367816
1043246879,CARDER,JOHN,R,M.D.,M,I,2018 W CLINCH AVE,,KNOXVILLE,TN,379162301,US,Physician/Pediatric Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,12,1598,0.1649186483,0.13,0.1019211514,0.1019211514
1043246879,CARDER,JOHN,R,M.D.,M,I,2018 W CLINCH AVE,,KNOXVILLE,TN,379162301,US,Physician/Pediatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,24,2395,0.5946221294,0.4499373695,0.3527682672,0.3528141962
1043246937,CHIU,DAWN,W,DPM,F,I,3428 17TH ST,,SARASOTA,FL,342358906,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,90,71.56,56.105,56.105
1043246937,CHIU,DAWN,W,DPM,F,I,3428 17TH ST,,SARASOTA,FL,342358906,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,69,50.086956522,43.56,34.151594203,34.149855072
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,34,111,263,68.138631179,8.32,5.9637262357,5.9637262357
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,12.655714286,3.38,2.4607142857,2.4607142857
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,61,78,13.431282051,1.42,1.0887179487,1.0887179487
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,2.0016666667,2.0016666667,1.5028657407,1.532912037
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,22,44,8.19,1.48,1.0545454545,1.0454545455
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,86,11.929069767,2.3711627907,1.4839534884,1.2588372093
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,86.31,17.533333333,13.136222222,12.964666667
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,22,221.88363636,32.272727273,23.805,23.660909091
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.17,3.7216666667,3.63
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,89,90,546.28444444,78.03,57.557111111,51.547
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,15.58,9.63284,7.46106,7.46106
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,36,2160,13.111944444,11.228055556,8.7433842593,8.7433842593
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,4917,0.2567337808,0.0461256864,0.034295302,0.034295302
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,1740,11.763448276,2.8276551724,2.2168965517,2.2168965517
1043246978,DUNN,WILLIAM,F,D.O.,M,I,100 SOUTH ST,SUITE G08,SOUTHBRIDGE,MA,015504051,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,73,73,102.16438356,33,25.515616438,25.515616438
1043247117,JOHNSON,STEVEN,G,M.D.,M,I,1111 GLYNCO PKWY,,BRUNSWICK,GA,315257921,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,30.527272727,21.118181818,21.268181818
1043247141,SCHULTE,MICHAEL,P,M.D.,M,I,119 FAIRFIELD AVE,SUITE R102,BELLEVUE,KY,410731184,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,80,103,59.162621359,8.3147572816,5.6349514563,5.6390291262
1043247141,SCHULTE,MICHAEL,P,M.D.,M,I,119 FAIRFIELD AVE,SUITE R102,BELLEVUE,KY,410731184,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,16,11.511875,1.42,0.91,0.91
1043247141,SCHULTE,MICHAEL,P,M.D.,M,I,119 FAIRFIELD AVE,SUITE R102,BELLEVUE,KY,410731184,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,72.727272727,17.16,9.7890909091,9.8772727273
1043247141,SCHULTE,MICHAEL,P,M.D.,M,I,119 FAIRFIELD AVE,SUITE R102,BELLEVUE,KY,410731184,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,398.90909091,72.45,39.527272727,38.021818182
1043247190,JOHNSON,KAY,F,MD,F,I,1026 S MAIN ST,,BLUFFTON,IN,467143614,US,Physician/Obstetrics & Gynecology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,2200,20.338277273,1.2482090909,0.97855,0.97855
1043247208,BRYAN,WILLIAM,,M.D.,M,I,6550 FANNIN ST,SUITE 2600,HOUSTON,TX,770302717,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,51,51,51,138.59921569,47.819803922,37.174901961,36.168235294
1043247208,BRYAN,WILLIAM,,M.D.,M,I,6550 FANNIN ST,SUITE 2600,HOUSTON,TX,770302717,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,125,51.723333333,40.553333333,40.797222222
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,18,35,36,405.76166667,121.57972222,93.182777778,68.395833333
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,20,49,100,172.304,44.386,33.2298,24.9097
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,36,124,89.598629032,26.034516129,19.353064516,14.40516129
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,21,51,51,210.45686275,75.064313725,56.044705882,41.728039216
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,33,49,49,72.50877551,24.268163265,17.937346939,13.689591837
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,29,67,67,71.556119403,20.348358209,15.041343284,8.8155223881
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,28,81,381,11.171548556,2.9933333333,2.2559055118,1.5812073491
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,16,23,23,51.171304348,15.433913043,11.515217391,9.7995652174
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,149.96,59.234,43.689333333,35.121333333
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,50,18.45875,14.4725,10.065
1043247349,NGO,THUY,T,M.D.,M,I,315 N WASHINGTON AVE,SUITE 201,COOKEVILLE,TN,385012660,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,131.66848485,51.44,40.326363636,26.254242424
1043247406,WESSEL,ALVIN,,,M,I,1200 HIGHLAND PARK DR,,RAPID CITY,SD,577015335,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,38,7.2652631579,1.99,1.3136842105,1.3457894737
1043247430,SCOTT,THOMAS,A,MD,M,I,975 9TH AVE SW STE 210,,BESSEMER,AL,350227839,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6431538462,7.4453717949,7.4453717949
1043247430,SCOTT,THOMAS,A,MD,M,I,975 9TH AVE SW STE 210,,BESSEMER,AL,350227839,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9458461538,2.3095641026,2.3095641026
1043247430,SCOTT,THOMAS,A,MD,M,I,975 9TH AVE SW STE 210,,BESSEMER,AL,350227839,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1043247505,RIVET,PIERRE,G,MD,M,I,4033 3RD AVE,SUITE 104,SAN DIEGO,CA,921032117,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,78,71.995769231,18,12.42474359,12.837692308
1043247505,RIVET,PIERRE,G,MD,M,I,4033 3RD AVE,SUITE 104,SAN DIEGO,CA,921032117,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,194.20818182,56.782727273,40.687272727,40.168181818
1043247505,RIVET,PIERRE,G,MD,M,I,4033 3RD AVE,SUITE 104,SAN DIEGO,CA,921032117,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,57.798181818,12.04,8.5818181818,8.2909090909
1043247505,RIVET,PIERRE,G,MD,M,I,4033 3RD AVE,SUITE 104,SAN DIEGO,CA,921032117,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,126,7.4557142857,2.0571428571,1.4637301587,1.4642063492
1043247588,HAMULA,JASON,F,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,29,90,277,61.243935018,8.32,5.768267148,5.768267148
1043247588,HAMULA,JASON,F,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,33,51,14.279411765,1.42,0.8754901961,0.8754901961
1043247588,HAMULA,JASON,F,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,86.158095238,18,13.438095238,12.94952381
1043247588,HAMULA,JASON,F,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,466.42083333,80.4,58.939166667,51.884166667
1043247588,HAMULA,JASON,F,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4334027778,7.4334027778
1043247588,HAMULA,JASON,F,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1043247588,HAMULA,JASON,F,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1043247703,CORLEY,STANLEY,D,M.D.,M,I,5201 W MEMORIAL RD,,OKLAHOMA CITY,OK,73142,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,23,52,136,61.507647059,8.32,5.3447794118,5.3447794118
1043247703,CORLEY,STANLEY,D,M.D.,M,I,5201 W MEMORIAL RD,,OKLAHOMA CITY,OK,73142,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,15,30,46,10.943478261,1.42,0.872173913,0.872173913
1043247703,CORLEY,STANLEY,D,M.D.,M,I,5201 W MEMORIAL RD,,OKLAHOMA CITY,OK,73142,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,54,9.387962963,2.09,1.4559259259,1.4198148148
1043247711,SCHULTE,DEBRA,,M.D.,F,I,119 FAIRFIELD AVE,SUITE R102,BELLEVUE,KY,410731184,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,31,82.638387097,8.32,5.2635483871,5.2635483871
1043247711,SCHULTE,DEBRA,,M.D.,F,I,119 FAIRFIELD AVE,SUITE R102,BELLEVUE,KY,410731184,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1800,1.3338277778,0.135,0.0937333333,0.0937333333
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,41,99,281,61.991209964,8.32,5.8144128114,5.8144128114
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,13.635454545,3.38,2.65,2.65
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.825454545,2.12,1.67,1.67
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,20,41,60,14.543666667,1.42,1.0598333333,1.0598333333
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,31,9.1477419355,8.62,5.4493548387,5.5070967742
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,31,31.932903226,27.021290323,20.066451613,20.081935484
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,32,14.7875,13.7953125,9.46375,9.4675
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,36,11.779166667,10.793333333,7.4222222222,7.5297222222
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,46,6.9630434783,6.3913043478,4.7891304348,4.8034782609
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,21,40,8.18075,1.67775,1.31375,1.1855
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,25,25,230.7008,110.4948,78.0928,59.9096
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,36,87.176111111,45.239166667,32.844722222,23.447222222
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,27,27,151.55925926,70.334444444,53.561481481,44.125185185
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,30,30,53.095666667,22.252333333,16.520666667,13.683
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,40,40,48.6495,17.4035,12.43675,8.5635
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,42,239,10.723933054,2.8154393305,2.0289121339,1.4574476987
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,22,27,27,18.381481481,7.6933333333,5.3137037037,4.0781481481
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,527,22.209108159,3.08,2.414686907,2.3677798861
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,477,12.209077568,5.9331865828,4.6516142558,4.5034381551
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,14297,1.7021081346,0.3194502343,0.2504539414,0.2528152759
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,19,19,19,136.84210526,51.054210526,39.655789474,36.131578947
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,45.333333333,16.231666667,12.723333333,12.041666667
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,128.17066667,55.402,43.436,40.790666667
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,13,54,54,246.66037037,50.866666667,37.758518519,37.062037037
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,80,80,99.7435,18.97675,13.806375,12.516
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,35,43.509714286,5.6322857143,4.1591428571,3.4111428571
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,141.61909091,38.463636364,28.2675,25.295454545
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,176.20705882,51.263529412,36.188235294,32.783529412
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,13,55.231538462,55.12,43.22,40.503846154
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,118,127,502.0923622,81.687007874,59.813858268,50.71496063
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,132.02421053,37.931052632,27.958947368,27.736315789
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,21,21,21,68.571428571,38.558095238,30.225238095,29.53047619
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,221.81818182,159.43,124.99818182,115.92272727
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4322,0.4174317446,0.0457866728,0.0307820453,0.0307820453
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1860,1.0315645161,0.1382580645,0.1025483871,0.1025483871
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,22,104,104,90.704326923,21.598076923,14.959519231,13.544615385
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,67,67,92,36.177313433,26.505820896,23.466567164
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,51,51,107.82568627,30.227843137,19.794901961,18.449607843
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,124,56.872,44.588,40.568
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,76,76,30.523947368,9.0934210526,6.3911842105,6.3197368421
1043247745,HERNANDEZ,ROBERT,C,MD,M,I,8001 YOUREE DR,SUITE 450,SHREVEPORT,LA,711152302,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,41,41,83.707317073,33,23.977073171,23.977073171
1043247877,PETERSEN,KIMBERLY,,,F,I,5 W LAKE ST,,MINNEAPOLIS,MN,554083117,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,47,62.401276596,8.32,6.3844680851,6.3844680851
1043247893,MATOS,RAFAEL,,M.D.,M,I,59B CALLE MEDITACION,,MAYAGUEZ,PR,006804818,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,38.714545455,22.790909091,17.866363636,13.53
1043247893,MATOS,RAFAEL,,M.D.,M,I,59B CALLE MEDITACION,,MAYAGUEZ,PR,006804818,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,145.61,105.42090909,82.651818182,54.73
1043247935,BLUMBERG,EMILY,A,MD,F,I,3400 SPRUCE STREET,"3 SILVERSTEIN, SUITE D",PHILADELPHIA,PA,191044206,US,Physician/Infectious Disease,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,2466,10.526569343,7.87,6.1119059205,6.1194241687
1043247976,YOUNG,MARK,D,DPM,M,I,405 S MISSION,STE 2,MT PLEASANT,MI,48858,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,21,42,78.008571429,71.56,54.580952381,54.579761905
1043247976,YOUNG,MARK,D,DPM,M,I,405 S MISSION,STE 2,MT PLEASANT,MI,48858,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,72,44.8425,43.39,34.017777778,34.149722222
1043248156,DARDEN,ADEOLA,B,M.D.,F,I,3500 W WHEATLAND RD,,DALLAS,TX,752373460,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,70.07,8.32,6.5261111111,6.5261111111
1043248206,THOMPSON,ROBERT,A,MD,M,I,301 SAINT PAUL PL,POB 802,BALTIMORE,MD,212022102,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,26,3690,7.5173170732,2.04,1.5474634146,1.5474634146
1043248206,THOMPSON,ROBERT,A,MD,M,I,301 SAINT PAUL PL,POB 802,BALTIMORE,MD,212022102,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,31,11.766451613,10.93,7.4641935484,7.4641935484
1043248206,THOMPSON,ROBERT,A,MD,M,I,301 SAINT PAUL PL,POB 802,BALTIMORE,MD,212022102,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.0345454545,7.46,5.3181818182,5.3181818182
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,1140,5.4033333333,0.4582631579,0.3456315789,0.3456315789
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,6.2886805556,2.59275,2.0327083333,2.0327083333
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,56,3650,4.6993342466,0.5612410959,0.4173068493,0.4173041096
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,48,8530,0.2475545135,0.0128206331,0.0100433763,0.0100433763
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,2700,0.9801962963,0.7429555556,0.5711777778,0.5711777778
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,2310,3.0298874459,1.3231298701,1.0017575758,1.0017575758
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1268,6.8645031546,2.8137539432,2.2059621451,2.2059621451
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,83,83,24,24,18.82,18.82
1043248453,GRETES,JOHN,C,MD,M,I,739 THIMBLE SHOALS BLVD,STE 801,NEWPORT NEWS,VA,236063585,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,89,116,16.068965517,16,12.324482759,12.324482759
1043248495,FRIEDMAN,DAVID,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Plastic and Reconstructive Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,369.52555556,300.695,235.73833333,254.85777778
1043248495,FRIEDMAN,DAVID,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Plastic and Reconstructive Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,47,52,52,67.71,54.595192308,38.793653846,42.2725
1043248495,FRIEDMAN,DAVID,,M.D.,M,I,2950 CLEVELAND CLINIC BLVD,,WESTON,FL,333313609,US,Physician/Plastic and Reconstructive Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,275,240.54,188.58,186.31176471
1043248636,MCELROY,BRADLEY,B,M.D.,M,I,2601 KENTUCKY AVE,SUITE 301,PADUCAH,KY,420033817,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,398.05071429,118,87.129285714,65.987857143
1043248636,MCELROY,BRADLEY,B,M.D.,M,I,2601 KENTUCKY AVE,SUITE 301,PADUCAH,KY,420033817,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,17,116.60294118,43.932941176,34.443529412,25.919411765
1043248636,MCELROY,BRADLEY,B,M.D.,M,I,2601 KENTUCKY AVE,SUITE 301,PADUCAH,KY,420033817,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,64.2,18.391666667,13.575,9.3
1043248636,MCELROY,BRADLEY,B,M.D.,M,I,2601 KENTUCKY AVE,SUITE 301,PADUCAH,KY,420033817,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,26,8.42,2.8061538462,2.2019230769,1.6953846154
1043248636,MCELROY,BRADLEY,B,M.D.,M,I,2601 KENTUCKY AVE,SUITE 301,PADUCAH,KY,420033817,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,177.7,52.072142857,38.675714286,25.465
1043248636,MCELROY,BRADLEY,B,M.D.,M,I,2601 KENTUCKY AVE,SUITE 301,PADUCAH,KY,420033817,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,74,376.81405405,100.07216216,74.096621622,53.44527027
1043248677,MARVEL,JAMES,E,MD,M,I,108 PARKER ST,STE 400,QUITMAN,TX,757832102,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,38.196363636,27.855454545,21.84,17.488181818
1043248719,STRONG,JOHN,M,M.D.,M,I,1420 OCOTILLO DR,SUITE B,EL CENTRO,CA,922434213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,42,62.459047619,8.32,4.8135714286,4.8135714286
1043248719,STRONG,JOHN,M,M.D.,M,I,1420 OCOTILLO DR,SUITE B,EL CENTRO,CA,922434213,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,252.75461538,4.2746153846,3.3507692308,3.8107692308
1043248719,STRONG,JOHN,M,M.D.,M,I,1420 OCOTILLO DR,SUITE B,EL CENTRO,CA,922434213,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2548,0.380588697,0.0460675039,0.036110675,0.036110675
1043248719,STRONG,JOHN,M,M.D.,M,I,1420 OCOTILLO DR,SUITE B,EL CENTRO,CA,922434213,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,61.12,18.645,14.619166667,14.855833333
1043248719,STRONG,JOHN,M,M.D.,M,I,1420 OCOTILLO DR,SUITE B,EL CENTRO,CA,922434213,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,34.5,33,25.87,25.87
1043248727,EHRESMANN,GLENN,,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Rheumatology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,37,83.108108108,19.71,15.45,15.45
1043248727,EHRESMANN,GLENN,,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,50,87.5948,8.32,6.2396,6.2396
1043248727,EHRESMANN,GLENN,,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Rheumatology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,6.12,3,2.352,2.3676666667
1043248727,EHRESMANN,GLENN,,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Rheumatology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,2550,61.072941176,9.8421764706,7.6600117647,7.6600117647
1043248727,EHRESMANN,GLENN,,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Physician/Rheumatology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,34,50,2.64,2.07,2.07
1043248792,LALIBERTE,CLIFFORD,,DPM,M,I,5653 SASHABAW RD,,CLARKSTON,MI,483463149,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,30,96.671,71.56,56.105,56.105
1043248792,LALIBERTE,CLIFFORD,,DPM,M,I,5653 SASHABAW RD,,CLARKSTON,MI,483463149,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,53,43.56,34.151666667,34.150151515
1043248834,GARGIULO,GREGORY,F,D.O.,M,I,7032 W GREENBRIAR DR,9TH FLOOR,GLENDALE,AZ,853088414,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,760.48,77.398,60.68,54.73
1043248834,GARGIULO,GREGORY,F,D.O.,M,I,7032 W GREENBRIAR DR,9TH FLOOR,GLENDALE,AZ,853088414,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,285.6,39.686428571,31.114285714,29.51
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,3060,0.1988235294,0.13,0.1019248366,0.1019248366
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,29.51,29.51,21.211666667,25.990833333
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,64,64,15.02,15.02,11.04375,13.3571875
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,71,13560,3.237259587,2.0200471976,1.4155176991,1.431019174
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,40,6310,11.497226624,6.15,4.8009049128,5.647637084
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,31,61,16.54852459,10.820327869,8.347704918,8.4326229508
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,77,132,7.35,7.2774242424,5.4418181818,5.5803787879
1043248867,LEAK,BENJAMIN,J,M.D.,M,I,1401 EASTLAND DR,SUITE B,BLOOMINGTON,IL,617013514,US,Physician/Urology,S,A4387,"Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,2.9709090909,2.5190909091,1.7968787879,1.8038484848
1043248974,BERRY,ELIZABETH,,M.D.,F,I,10001 LILE DR,,LITTLE ROCK,AR,722056217,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,23,50.853913043,8.32,5.6730434783,5.6730434783
1043248974,BERRY,ELIZABETH,,M.D.,F,I,10001 LILE DR,,LITTLE ROCK,AR,722056217,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,235.2,71,51.021666667,50.169166667
1043248974,BERRY,ELIZABETH,,M.D.,F,I,10001 LILE DR,,LITTLE ROCK,AR,722056217,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,15.259090909,11.961818182,13.496363636
1043248982,BECK,WILLIAM,C,M.D.,M,I,3108 W HAMMER LN,SUITE B,STOCKTON,CA,952092752,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,48,81.131875,8.32,5.0272916667,5.0272916667
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,55,75.909090909,8.32,4.5065454545,4.5065454545
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,439.64909091,127.00818182,99.573636364,75.454545455
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,97.321818182,22.575454545,17.699090909,11.223636364
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,61,12.424590164,3.1491803279,2.4693442623,1.6821311475
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,81,104,88.320288462,20.967307692,16.294807692,13.889519231
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,154.25571429,6.2471428571,4.6371428571,3.3785714286
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,174,202,487.15391089,97.09990099,73.963663366,55.166287129
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,236.66666667,45.42,35.611666667,29.517222222
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,11.08,3.003,2.1773055556,2.1773055556
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,540,3.52,0.2190555556,0.1574814815,0.1574814815
1043249220,REISNER,LORNA,R,NP,F,I,218 W WHITE MOUNTAIN BLVD,SUITE D,LAKESIDE,AZ,859297013,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,39.6,33,24.145333333,24.145333333
1043249311,KRULL,BARBARA,,M.D.,F,I,3020 PACES MILL RD.,,ATLANTA,GA,30339,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,12,81.640833333,8.32,4.8958333333,4.8958333333
1043249311,KRULL,BARBARA,,M.D.,F,I,3020 PACES MILL RD.,,ATLANTA,GA,30339,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,325,75.56,59.24,54.73
1043249378,RYAN,GREGORY,J,M.D.,M,I,1900 EMPIRE BLVD,SUITE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,48,170,60.526411765,8.3161764706,6.366,6.366
1043249378,RYAN,GREGORY,J,M.D.,M,I,1900 EMPIRE BLVD,SUITE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.109166667,3.38,2.65,2.65
1043249378,RYAN,GREGORY,J,M.D.,M,I,1900 EMPIRE BLVD,SUITE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,44,14.914318182,1.42,1.0877272727,1.0877272727
1043249378,RYAN,GREGORY,J,M.D.,M,I,1900 EMPIRE BLVD,SUITE 100,WEBSTER,NY,145801934,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,1,,13,46,41.03,28.09,21.879782609,21.879782609
1043249402,DOMINGUEZ-GIRONA,LAURIBEL,,M.D.,F,I,178 CALLE COLIBRI,URB. LOS MONTES,DORADO,PR,006469410,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,70,44.769857143,8.32,6.5231428571,6.5231428571
1043249477,FARMER,JAMES,C,MD,M,I,523 E 72ND ST,3RD FLOOR,NEW YORK,NY,100214099,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,294.71,99.32,77.87,84.47
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,41,104,374,80.117513369,8.32,5.8598930481,5.8598930481
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,26,41,18.424390244,1.42,1.1143902439,1.1143902439
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,475,83.552252632,5.38,4.2178736842,4.1629263158
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4935,1.6356474164,0.37,0.2610111449,0.2610111449
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,21,11,2.6980952381,1.8966666667,1.9357142857
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,528.0816,78.49,61.53,55.274
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,129,30.665454545,20.031818182,18.015454545
1043249576,RICHIE,ANTHONY,J,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,550761207,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,104.38388889,40.62,30.080555556,27.88
1043249634,KUMAR,MUKESH,,MD,M,I,601 OAK COMMONS BLVD,,KISSIMMEE,FL,347414213,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3744.6666667,2787.0713333,2185.0646667,2185.0646667
1043249873,KARALUNAS,KAREN,A,NP,F,I,211 SAINT FRANCIS DR,,CAPE GIRARDEAU,MO,637035049,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100.015,27.6625,21.688333333,14.19
1043249873,KARALUNAS,KAREN,A,NP,F,I,211 SAINT FRANCIS DR,,CAPE GIRARDEAU,MO,637035049,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,42.915833333,11.266666667,8.8341666667,6.67
1043249949,QUAYE,EMMANUEL,O,M.D.,M,I,619 S. DARGAN STREET,,FLORENCE,SC,29506,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,34,127,52.272047244,8.2973228346,6.5047244094,6.5224409449
1043249949,QUAYE,EMMANUEL,O,M.D.,M,I,619 S. DARGAN STREET,,FLORENCE,SC,29506,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,15.294117647,3.38,2.65,2.65
1043249949,QUAYE,EMMANUEL,O,M.D.,M,I,619 S. DARGAN STREET,,FLORENCE,SC,29506,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,26,48,15.71125,1.42,1.1152083333,1.1152083333
1043249949,QUAYE,EMMANUEL,O,M.D.,M,I,619 S. DARGAN STREET,,FLORENCE,SC,29506,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,144.54545455,59.455454545,41.603181818,33.485
1043249949,QUAYE,EMMANUEL,O,M.D.,M,I,619 S. DARGAN STREET,,FLORENCE,SC,29506,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,8.630877193,3.1086842105,2.3252105263,2.3252105263
1043249949,QUAYE,EMMANUEL,O,M.D.,M,I,619 S. DARGAN STREET,,FLORENCE,SC,29506,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,58.964705882,21.408235294,16.784705882,15.408235294
1043249949,QUAYE,EMMANUEL,O,M.D.,M,I,619 S. DARGAN STREET,,FLORENCE,SC,29506,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,64.263157895,33,23.146842105,23.146842105
1043250038,RAY,DANA,R,M.D.,M,I,200 PATEWOOD DR,SUITE B460,GREENVILLE,SC,296153593,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,81,186,68.315107527,8.32,6.0308602151,6.0308602151
1043250038,RAY,DANA,R,M.D.,M,I,200 PATEWOOD DR,SUITE B460,GREENVILLE,SC,296153593,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,16.25,3.38,2.65,2.65
1043250038,RAY,DANA,R,M.D.,M,I,200 PATEWOOD DR,SUITE B460,GREENVILLE,SC,296153593,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,27,33,15.194848485,1.42,1.1163636364,1.1163636364
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,40,85,47.455529412,8.2416470588,5.1417647059,5.2185882353
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,17,6.9835294118,1.42,0.92,0.92
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.6978571429,3.2121428571,2.3935714286,1.5735714286
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,203.18,11.380833333,8.925,7.1441666667
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,37.585806452,21.301612903,16.699354839,13.920645161
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,15.517857143,7.535,4.8564285714,2.5978571429
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,76,76,258.75368421,96.603684211,72.846315789,57.046184211
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1470,2.2271020408,0.137,0.0778843537,0.0778843537
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,270.23,191.15363636,136.81636364,110.85181818
1043250103,CRISWELL,DAN,F,MD,M,I,2601 W ELK AVE,,DUNCAN,OK,735331572,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,17.5325,17.5325
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,44,54.694772727,8.32,5.4763636364,5.4763636364
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,245.50083333,54.940833333,43.079166667,42.8475
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,82.120833333,18.046666667,12.973333333,12.893333333
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,23,23,79.736521739,11.596956522,8.3073913043,8.3326086957
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,85,11.214823529,2.0276470588,1.4424705882,1.4444705882
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,42,75.935714286,17.29,12.904761905,12.886666667
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,50.73,6.5833333333,4.3566666667,2.949047619
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,39,40,342.104,32.955,24.645,24.18375
1043250111,DICKERSON,JANICE,F,M.D.,F,I,7420 MARKET ST,,WILMINGTON,NC,284119453,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,40,528.8995,70.23,53.6835,53.3775
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,34,102,55.75872549,8.32,5.1156862745,5.1156862745
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,35,11.728857143,1.42,0.8285714286,0.8285714286
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,170,8.9111764706,5.74,4.2668235294,4.2668235294
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,169.08769231,61.330769231,44.68,39.560769231
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,60.124166667,20.571666667,15.773333333,13.709166667
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,76.271666667,16.706666667,12.3425,8.37
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,9.8521428571,2.2135714286,1.5116666667,1.3688095238
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,44.375454545,34.792727273,36.306363636
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,50,17.76,12.663636364,12.309090909
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.04,2.9216666667,3.4208333333
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,180.34166667,32.876666667,19.748333333,19.48
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,262.5,79.932083333,57.4425,50.16
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6431538462,7.4876923077,7.4876923077
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1740,0.92,0.1374310345,0.1030517241,0.1030517241
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,1620,12.86,2.9672962963,2.249037037,2.249037037
1043250129,CONLON,TIMOTHY,,DO,M,I,3235 N WELLNESS DR,BUILDING A SUITE 120B,HOLLAND,MI,494247264,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,28,28,128.46428571,33,25.87,25.87
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,199,359,359,99.847270195,39.012005571,29.690083565,29.60183844
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,15,36,8.19,1.51,1.1191666667,1.0908333333
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,72.2825,10.08,6.595,7.8166666667
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,172,331,331,259.12942598,91.117613293,67.535407855,64.248217523
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,149,303,773,99.56538163,34.048344114,25.755006468,25.026364812
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,80,174,934,52.58879015,18.014068522,13.639325482,14.044443255
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,68,141,707,40.181145686,15.158585573,11.296930693,11.305289958
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,182,367,367,152.25634877,53.615476839,40.360408719,41.143024523
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,322,436,436,50.276513761,18.00456422,13.592178899,13.542087156
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,18,18,17.957777778,10,7.84,8.1155555556
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,163,356,356,40.414606742,12.079297753,8.8104494382,8.4979775281
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,345,712,4058,6.0741128635,2.0605372104,1.5545441104,1.5344011828
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,263,343,343,17.749183673,5.9988046647,4.5023323615,4.4590087464
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,176,228,228,29.546535088,12.491842105,9.4585964912,9.9876315789
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,26,169,174,40.720689655,16.08,11.790402299,12.716781609
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,39,39,69.342820513,44.897435897,31.418205128,33.798717949
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,2850,1074.31,836.02217391,836.02217391
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,41,244,244,268.91196721,85.494795082,64.749754098,65.97795082
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,90,90,90,359.15177778,132.46655556,99.746888889,100.44577778
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,14,81.75,13.24,10.38,10.458571429
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,19,130,131,39.338091603,3.8964885496,2.7683969466,3.3012977099
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,130,744,747,129.23054886,32.460562249,23.502797858,23.624457831
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,65,466,489,312.83286299,77.177791411,57.898425358,52.742331288
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,27,178,196,159.96693878,37.020408163,28.285867347,28.740102041
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,1862,16.708404941,9.6742857143,7.5242212675,7.5242212675
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,81,5010,18.365497006,11.190850299,8.6622015968,8.6622015968
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,19,56,13544,0.3568030124,0.0461643532,0.0353115771,0.0353115771
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,3024,1.3365046296,0.1332242063,0.0954332011,0.0954332011
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,19,109,7176,11.463975753,3.0260130992,2.352419175,2.352419175
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,75,36.941666667,28.964166667,29.1725
1043250202,SHUSTERMAN,RICHARD,D,M.D.,M,I,1000 FLORAL VALE BLVD,SUITE 125,YARDLEY,PA,190675569,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,26,41,191,191,68.45026178,33,25.192774869,25.192774869
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,112,266,55.743909774,8.32,6.0355263158,6.0355263158
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,25,25,12.732,3.38,2.65,2.65
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,19.45,2.12,1.67,1.67
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,26,53,78,14.387307692,1.42,1.0293589744,1.0293589744
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,43,8.19,1.51,1.1818604651,1.1502325581
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,409.34333333,87.143333333,68.3175,67.826666667
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,36,149.00333333,33.48,26.246111111,25.943611111
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,75.034545455,11.659090909,9.1427272727,9.1072727273
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,50,13.2084,2.01,1.5772,1.5908
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,86.907777778,17.29,11.264722222,11.249722222
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,48,50,48.7332,5.03,3.7642,3.6114
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,39,510.37974359,70.23,48.746923077,48.515641026
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2175,0.17,0.045862069,0.0308735632,0.0308735632
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,2640,1.0388787879,0.1333522727,0.0983863636,0.0983863636
1043250327,JOHNSTON,MICHAEL,W,M.D.,M,I,7 WINDSWEEP CT,,PHENIX CITY,AL,368702336,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,45,45,129.8,33,23.570444444,23.570444444
1043250343,BROWN,ALEXANDER,D,MD,M,I,330 WALLER AVE,SUITE 100,LEXINGTON,KY,405042931,US,Physician/Rheumatology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,57.815384615,18.269230769,12.106923077,11.084615385
1043250459,MEIER,PETER,J,M.D.,M,I,920 WEST ST,STE 211,PERU,IL,613542763,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,118.35166667,61.613333333,48.306666667,36.46
1043250517,SCHERWINSKI,SHARON,M,N.P.,F,I,50 SHERRY AVE,,PARK FALLS,WI,545521467,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,22,52,137,69.853284672,8.32,5.3780291971,5.3780291971
1043250517,SCHERWINSKI,SHARON,M,N.P.,F,I,50 SHERRY AVE,,PARK FALLS,WI,545521467,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,23,25,18.638,1.42,0.9392,0.9392
1043250533,DICKSON,CHARLES,T,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,3880,0.3219587629,0.13,0.0966546392,0.0966546392
1043250533,DICKSON,CHARLES,T,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,38,8780,3.5121867882,2.04,1.5720546697,1.5720546697
1043250533,DICKSON,CHARLES,T,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,57,6800,10.228941176,7.1795294118,5.5615411765,5.6005470588
1043250533,DICKSON,CHARLES,T,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,34,5920,13.165472973,7.87,6.121625,6.1294341216
1043250533,DICKSON,CHARLES,T,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,25,18.2888,9.29,7.28,8.4632
1043250533,DICKSON,CHARLES,T,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,560,7.933625,5.74,4.5001428571,4.5001428571
1043250533,DICKSON,CHARLES,T,M.D.,M,I,700 OLYMPIC PLAZA CIR,STE 700,TYLER,TX,757011951,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,48,1.7866666667,1.7866666667,1.4016666667,1.41
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,32,47,76.32106383,8.32,5.5527659574,5.5527659574
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,20.399166667,1.42,0.9333333333,0.9333333333
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,25,189.42,44.7092,32.3272,23.1928
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,274.52307692,74.776923077,51.619230769,36.266153846
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,90.0725,25.246666667,19.7675,14.693333333
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,23,23,98.933478261,19.872608696,15.14173913,9.2239130435
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,108,13.095555556,3.0238888889,2.2725925926,1.5173148148
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,93,93,64.657956989,20.919462366,14.87655914,12.625376344
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,21,24,129.32916667,58.1675,43.88375,37.174583333
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,50.019166667,39.214166667,29.394166667
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,20,137,139,356.32820144,97.750359712,71.447913669,52.122733813
1043250640,PETERSON,JON,L,MD,M,I,0310C COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,32.344166667,27.056666667
1043250665,KEENAN,PETER,C,M.D.,M,I,W3275 WOLF RIVER ROAD,,KESHENA,WI,54135,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,306.15384615,104.06769231,73.083076923,60.621538462
1043250665,KEENAN,PETER,C,M.D.,M,I,W3275 WOLF RIVER ROAD,,KESHENA,WI,54135,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,32.344166667,29.960833333
1043250756,ROBINSON,STANLEY,E,MD,M,I,19636 N 27TH AVE,STE. 308,PHOENIX,AZ,850274013,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,5.8,4.93,3.865,4.1133333333
1043250756,ROBINSON,STANLEY,E,MD,M,I,19636 N 27TH AVE,STE. 308,PHOENIX,AZ,850274013,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,0.35,0.31,0.2430444444,0.2430444444
1043250756,ROBINSON,STANLEY,E,MD,M,I,19636 N 27TH AVE,STE. 308,PHOENIX,AZ,850274013,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,5.95,5.11,4.01,4.5954545455
1043250863,SHRIVASTAVA,RAKESH,,MD,M,I,105 S BRYANT AVE STE 101,,EDMOND,OK,730346330,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,44.985714286,20.915,15.330714286,12.552142857
1043250863,SHRIVASTAVA,RAKESH,,MD,M,I,105 S BRYANT AVE STE 101,,EDMOND,OK,730346330,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,273.55285714,102.47571429,76.073571429,52.510714286
1043250947,SPIEGEL,JOHN,,M.D.,M,I,389 MULBERRY ST,SUITE 200,MACON,GA,312017914,US,Physician/Neurology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,47,29.893617021,12.31893617,8.48,7.8072340426
1043250947,SPIEGEL,JOHN,,M.D.,M,I,389 MULBERRY ST,SUITE 200,MACON,GA,312017914,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,39,60.384615385,20.388461538,15.619487179,13.353076923
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,26,50,50,93.1048,41.688,29.845,27.78
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,15,30,30,447.472,97.856,71.946666667,64.714
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,16,33,80,180.457125,37.591125,28.299,25.309875
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,27,139,102.90719424,22.060071942,16.218057554,13.519568345
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,69,52.497681159,15.91057971,12.283188406,11.702753623
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,38,38,266.73552632,62.860263158,48.921052632,42.503421053
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,28,39,39,80.413846154,20.832564103,16.331538462,14.292820513
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,99.975,17.145714286,13.437857143,9.12
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,28,57,310,12.681580645,2.3291290323,1.7955806452,1.561516129
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,23,32,32,47.8259375,14.0340625,11.0015625,10.3459375
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,74.2648,17.562,12.6848,12.5024
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,240.64571429,47.495238095,26.868571429,27.366190476
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,831.65583333,831.65583333
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,526.95352941,90.147058824,70.678823529,67.532352941
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,104,106,365.52226415,78.684811321,56.441509434,49.481132075
1043250954,CHU,CHAE,,M.D.,M,I,1302 FRANKLIN AVE,#2200,NORMAL,IL,617613551,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,250,39.005,27.745,26.669
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,76,205,62.176146341,8.3183902439,5.8570731707,5.8583414634
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,23,14.456086957,1.42,1.0660869565,1.0660869565
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,7.9545454545,1.47,0.9409090909,0.9409090909
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,262.00333333,86.33,67.68,67.829333333
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,45,102.10133333,33.48,26.247111111,25.939111111
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,154.50846154,54.47,39.424615385,39.577692308
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,15,15,50.843333333,17.88,12.142,12.193333333
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,21,21,53.522380952,11.54,8.1880952381,8.2576190476
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,25,150,8.7328,2.01,1.5136,1.5297333333
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,49.746923077,13.29,9.6184615385,9.5507692308
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,46.146666667,4.67,3.3808333333,3.3783333333
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,178.82352941,30.42,19.641176471,19.502941176
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,41,392.7902439,75.22804878,54.997560976,52.781463415
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,3900,0.17,0.0469461538,0.0346692308,0.0346692308
1043250996,MCMENEMY,JOHN,W,M.D.,M,I,205 HOSPITAL DR STE 2,,DOVER,OH,446222058,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,122.57142857,33,24.638095238,24.638095238
1043251044,VO,THINH,Q,MD,M,I,1213 HERMANN DR,570,HOUSTON,TX,770047018,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,33.95,17.32,13.58,13.54
1043251044,VO,THINH,Q,MD,M,I,1213 HERMANN DR,570,HOUSTON,TX,770047018,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,50,39.2,37.760833333
1043251044,VO,THINH,Q,MD,M,I,1213 HERMANN DR,570,HOUSTON,TX,770047018,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,30.513571429,3.6914285714,2.4892857143,2.9078571429
1043251044,VO,THINH,Q,MD,M,I,1213 HERMANN DR,570,HOUSTON,TX,770047018,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,60,32.988571429,23.619285714,23.400714286
1043251044,VO,THINH,Q,MD,M,I,1213 HERMANN DR,570,HOUSTON,TX,770047018,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,446.24714286,76.58,60.03,54.909642857
1043251044,VO,THINH,Q,MD,M,I,1213 HERMANN DR,570,HOUSTON,TX,770047018,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,38,4589,1.0405774679,0.1371714971,0.1045826978,0.1045826978
1043251044,VO,THINH,Q,MD,M,I,1213 HERMANN DR,570,HOUSTON,TX,770047018,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,47,47,97.090425532,33,24.218723404,24.218723404
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,39,77,77,100.2312987,38.975454545,25.8,25.74961039
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,63,142,142,261.57894366,90.826971831,67.69028169,64.555211268
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,53,132,306,119.55830065,33.972124183,25.430424837,24.752254902
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,43,102,567,62.476878307,17.991181658,13.104726631,13.534285714
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,25,61,336,47.040386905,15.140833333,11.32547619,11.347083333
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,81,192,192,183.07880208,53.58890625,39.44015625,40.25890625
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,133,186,186,52.185107527,17.962795699,13.711236559,13.695537634
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,26.524545455,10.01,7.8481818182,8.15
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,103,248,248,52.175403226,12.066209677,9.1252822581,8.8072580645
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,131,318,1707,7.853884007,2.0571880492,1.5335969537,1.5155360281
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,88,121,121,19.675206612,5.9778512397,4.5301652893,4.5011570248
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,75,100,100,46.8688,12.4898,9.694,10.2274
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,43,43,43,344.59883721,132.4655814,100.17581395,100.89883721
1043251051,SMITH,JOSEPH,L,M.D.,M,I,111 ARRANDALE BLVD,,EXTON,PA,193412503,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,79,423,424,136.25665094,32.495259434,23.111485849,23.257099057
1043251275,MOSENTINE,KATHLEEN,,MD,F,I,100 MICHIGAN ST NE,SUITE A721,GRAND RAPIDS,MI,495032560,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,300,92.526666667,72.54,54.726666667
1043251309,TRAN,HUY,M,MD,M,I,101 W RANDOL MILL RD,STE 120,ARLINGTON,TX,760114637,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,26,64.576923077,64.576923077,50.628461538,52.336153846
1043251309,TRAN,HUY,M,MD,M,I,101 W RANDOL MILL RD,STE 120,ARLINGTON,TX,760114637,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,28,67.785714286,51.697142857,40.531071429,40.155714286
1043251309,TRAN,HUY,M,MD,M,I,101 W RANDOL MILL RD,STE 120,ARLINGTON,TX,760114637,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,24,88.125,71.05,55.704166667,54.09
1043251309,TRAN,HUY,M,MD,M,I,101 W RANDOL MILL RD,STE 120,ARLINGTON,TX,760114637,US,Physician/Ophthalmology,S,V2784,"Lens, polycarbonate or equal, any index, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,60,25.333333333,25.333333333,19.861333333,34.65
1043251382,GRAY,SUSAN,K,R.N.A.N.P.-C,F,I,22 BEVERLY COURT,,METUCHEN,NJ,088403266,US,Nurse Practitioner,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,5.54,5.54,4.34,4.34
1043251382,GRAY,SUSAN,K,R.N.A.N.P.-C,F,I,22 BEVERLY COURT,,METUCHEN,NJ,088403266,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,23,10.34,10.34,8.1039130435,8.5056521739
1043251382,GRAY,SUSAN,K,R.N.A.N.P.-C,F,I,22 BEVERLY COURT,,METUCHEN,NJ,088403266,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,28,7.46,7.46,5.85,5.85
1043251556,VAN HOUDT,GERARD,,M.D.,M,I,520 N 4TH AVE,,PASCO,WA,993015257,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,39.07,4.2347058824,3.3194117647,3.7752941176
1043251663,KING,AMY,M,NP,F,I,630 E RIVER ST,,ELYRIA,OH,440355902,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3750,2739.8326667,2148.0293333,2148.0293333
1043251671,MARINELLI,WILLIAM,A,MD,M,I,701 PARK AVE,S-1,MINNEAPOLIS,MN,554151623,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,50.73,3.59,2.3885,2.9495
1043251671,MARINELLI,WILLIAM,A,MD,M,I,701 PARK AVE,S-1,MINNEAPOLIS,MN,554151623,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,54,711.39351852,78.49,58.913518519,52.743148148
1043251671,MARINELLI,WILLIAM,A,MD,M,I,701 PARK AVE,S-1,MINNEAPOLIS,MN,554151623,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,36,222.22222222,40.62,29.195833333,27.189444444
1043251671,MARINELLI,WILLIAM,A,MD,M,I,701 PARK AVE,S-1,MINNEAPOLIS,MN,554151623,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2400,0.17,0.044625,0.0329333333,0.0329333333
1043251671,MARINELLI,WILLIAM,A,MD,M,I,701 PARK AVE,S-1,MINNEAPOLIS,MN,554151623,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,40.62,31.85,29.699230769
1043251671,MARINELLI,WILLIAM,A,MD,M,I,701 PARK AVE,S-1,MINNEAPOLIS,MN,554151623,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,123.75,33,25.87,25.87
1043251846,COOVERT,LAUREN,A,PA-C,F,I,1000 MEDICAL CENTER DRIVE,,MONTICELLO,IL,61856,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1525,0.3736393443,0.0473704918,0.0356327869,0.0356327869
1043251887,ZIRKLE,MICHAEL,S,O.D.,M,I,610 W 38TH ST,,MARION,IN,469534864,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,71.94,71.94,56.4,54.605
1043252075,GRAY,DALE,R,M.D.,M,I,2829 GLENWOOD AVE,,ROCKFORD,IL,611013542,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,20,46,165,67.728242424,8.32,5.5742424242,5.5742424242
1043252075,GRAY,DALE,R,M.D.,M,I,2829 GLENWOOD AVE,,ROCKFORD,IL,611013542,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,41,14.513170732,1.42,1.0848780488,1.0848780488
1043252075,GRAY,DALE,R,M.D.,M,I,2829 GLENWOOD AVE,,ROCKFORD,IL,611013542,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,186.11928571,60.201428571,41.058571429,36.737142857
1043252075,GRAY,DALE,R,M.D.,M,I,2829 GLENWOOD AVE,,ROCKFORD,IL,611013542,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,90,8.4813333333,2.238,1.5425555556,1.3798888889
1043252075,GRAY,DALE,R,M.D.,M,I,2829 GLENWOOD AVE,,ROCKFORD,IL,611013542,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,69.81,41.687272727,41.687272727
1043252257,MCGOWEN,BERNARD,A,MD,M,I,1217 FLORIDA DR,SUITE 121,ARLINGTON,TX,760152380,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,69,29.505797101,16,10.992028986,10.389130435
1043252257,MCGOWEN,BERNARD,A,MD,M,I,1217 FLORIDA DR,SUITE 121,ARLINGTON,TX,760152380,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,116.655,57.02,41.516428571,39.798571429
1043252257,MCGOWEN,BERNARD,A,MD,M,I,1217 FLORIDA DR,SUITE 121,ARLINGTON,TX,760152380,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,34.296666667,17.25,12.393333333,12.945
1043252257,MCGOWEN,BERNARD,A,MD,M,I,1217 FLORIDA DR,SUITE 121,ARLINGTON,TX,760152380,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,120,5.581,2.22,1.5675,1.4414166667
1043252331,VENNAM,RAMAKRISHNA,,M.D.,M,I,540 HUGHES RD,SUITE 2,MADISON,AL,357588999,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,35,121,59.856528926,8.32,5.6070247934,5.6070247934
1043252331,VENNAM,RAMAKRISHNA,,M.D.,M,I,540 HUGHES RD,SUITE 2,MADISON,AL,357588999,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,34,14.144705882,1.42,0.9164705882,0.9164705882
1043252406,CAIOLA,ENRICO,,M.D.,M,I,913 CULVER RD,,ROCHESTER,NY,146097141,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,47,98,80.858469388,8.32,5.5906122449,5.5906122449
1043252406,CAIOLA,ENRICO,,M.D.,M,I,913 CULVER RD,,ROCHESTER,NY,146097141,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,14,14.173571429,1.42,1.0385714286,1.0385714286
1043252406,CAIOLA,ENRICO,,M.D.,M,I,913 CULVER RD,,ROCHESTER,NY,146097141,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,409.34133333,77.18,50.687666667,46.231666667
1043252406,CAIOLA,ENRICO,,M.D.,M,I,913 CULVER RD,,ROCHESTER,NY,146097141,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2234,0.3551835273,0.0451208594,0.0199149508,0.0199149508
1043252406,CAIOLA,ENRICO,,M.D.,M,I,913 CULVER RD,,ROCHESTER,NY,146097141,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,360,2.1853333333,0.1218333333,0.0424722222,0.0424722222
1043252406,CAIOLA,ENRICO,,M.D.,M,I,913 CULVER RD,,ROCHESTER,NY,146097141,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,33,33,17.962,17.962
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,131.52,39.52,30.476315789,30.024210526
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,66,35,16.340606061,12.811363636,11.893787879
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,11,28,28,145.82642857,58.099285714,40.615,37.997857143
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,21,21,46.098571429,17.977619048,12.793809524,12.726666667
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,49.865294118,13.257647059,9.8658823529,8.5917647059
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,35,209,6.8140669856,2.1113875598,1.5374162679,1.4724880383
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,15,15,18.04,6,4.7,4.6533333333
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,26.766153846,13.228461538,9.5969230769,9.5561538462
1043252448,SHIMPI BHALLA,AMITA,,MD,F,I,5413 CRENSHAW RD,SUITE 400,PASADENA,TX,775053143,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,76.58,60.03,55.1625
1043252505,DAUGHERTY,EDWARD,P,DO,M,I,151 NARROWS PKWY,SUITE 110,BIRMINGHAM,AL,352428637,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,32.029565217,5.8847826087,4.3839130435,3.5586956522
1043252604,MCHYMAN,CAROLYNE,,D.O.,F,I,2750 MERRICK RD,,BELLMORE,NY,117105720,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,44,48.647272727,8.32,5.9295454545,5.9295454545
1043252844,DOUGHERTY,JOHN,D,M.D.,M,I,555 E. VUELTA CAMINATA DEL RIO,,ORO VALLEY,AZ,85737,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,44,83.631363636,8.32,5.7988636364,5.7988636364
1043252844,DOUGHERTY,JOHN,D,M.D.,M,I,555 E. VUELTA CAMINATA DEL RIO,,ORO VALLEY,AZ,85737,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,66,11.490909091,2.2518181818,1.4427272727,1.2777272727
1043252844,DOUGHERTY,JOHN,D,M.D.,M,I,555 E. VUELTA CAMINATA DEL RIO,,ORO VALLEY,AZ,85737,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,406.63944444,77.18,57.167222222,52.645
1043252844,DOUGHERTY,JOHN,D,M.D.,M,I,555 E. VUELTA CAMINATA DEL RIO,,ORO VALLEY,AZ,85737,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,450,39.51,30.98,29.51
1043252869,BORSARI,HEATHER,C,APRN,F,I,1804 E PAVILION PL,,MONTROSE,CO,81401,US,Nurse Practitioner,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.1490909091,3.97,2.8295454545,2.8295454545
1043252885,PATEL,VIDYA,,MD,F,I,2510 30TH AVE,,ASTORIA,NY,111022448,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,23,450.97391304,77.74,60.95,55.000434783
1043252885,PATEL,VIDYA,,MD,F,I,2510 30TH AVE,,ASTORIA,NY,111022448,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,23,128.60869565,40.66,31.33826087,29.071304348
1043252901,WILDER,JAMES,F,MD,M,I,3415 S LOOP 256,,PALESTINE,TX,758016981,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,5555,1.1682178218,0.3671323132,0.2768928893,0.236790279
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,46,142,64.923239437,8.32,5.5573943662,5.5573943662
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,42,12.685952381,1.42,1.0602380952,1.0602380952
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,49,6.467755102,2.04,1.4026530612,1.3967346939
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,95.221818182,17.52,13.121818182,12.933939394
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,781.2,53.98,34.625454545,34.2
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,109,109,499.03944954,81.166972477,56.454862385,50.792293578
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.76,25.325,24.738333333
1043252968,KNIGHT,RUTH,F,P.A.,F,I,11005 RALSTON RD,SUITE 100G,ARVADA,CO,800044551,US,Physician Assistant,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,937.09,255.37181818,200.21272727,203.24363636
1043253099,AHMED,NAJMA,A,MD,F,I,18005 HILLSIDE AVE,,JAMAICA,NY,114324727,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,72,53.696666667,8.32,5.5045833333,5.5045833333
1043253099,AHMED,NAJMA,A,MD,F,I,18005 HILLSIDE AVE,,JAMAICA,NY,114324727,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,27,15.359259259,1.42,0.9474074074,0.9474074074
1043253123,DURAN,HARRY,L,MD,M,I,4170 S DECATUR BLVD # D9-11,,LAS VEGAS,NV,891035861,US,Physician/Preventive Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,164.58125,60.3725,39.596875,31.40875
1043253123,DURAN,HARRY,L,MD,M,I,4170 S DECATUR BLVD # D9-11,,LAS VEGAS,NV,891035861,US,Physician/Preventive Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,54.73
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,59,22.822033898,8.32,6.5222033898,6.5222033898
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,40,40,47.194,28.46,20.888,20.888
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,156,2.8684615385,2.49,1.8015384615,1.8015384615
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,41,42,17.614761905,10.67,7.9711904762,8.1578571429
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,15.269230769,7,5.1798461538,5.1798461538
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,250,9.176,5.54,4.16976,4.16976
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,956,0.2036087866,0.12,0.0940899582,0.0940899582
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,24.943333333,10.81,8.475,8.475
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,270,5.0262962963,3.04,2.1585925926,2.1585925926
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,40,40,80,87.6695,71.56,55.319125,55.319125
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,85,35.838,29.19,22.885058824,22.886588235
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,122,60.048196721,43.56,34.151721311,34.149918033
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,310,26.407612903,23.66,18.549354839,18.549354839
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,21,601,10.194009983,8.28,6.4916472546,6.4916472546
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,245,22.059183673,18.5,14.504,14.504
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,A6240,"Hydrocolloid dressing, wound filler, paste, sterile, per ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,22,27.615,13.78,10.805,10.805
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,393,5.2378625954,3.1596946565,2.3024936387,2.211221374
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,47,1302,9.5991935484,6.0305299539,4.5198079877,4.0315975422
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,43,15792,0.7967211246,0.3873480243,0.2981047366,0.2845054458
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,25,13234,0.6289368294,0.3698095814,0.2897204171,0.2478230316
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,16,16,121,78.009375,61.159375,49.983125
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,22,22,22,138.53772727,55.459090909,43.481818182,37.697272727
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,4000,1034.36,810.94,839.65
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,27.47826087,8.4913043478,6.6539130435,4.3295652174
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,398.70967742,86.949032258,62.176451613,52.173225806
1043253222,SATTAR,ARIF,A,M.D.,M,I,3900 PINE LAKE RD,SUITE 5,LINCOLN,NE,685164197,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,420,6.4988809524,0.1202142857,0.0616904762,0.0616904762
1043253321,CARLSON,RACHEL,,"P.A.,C",F,I,6480 PENTZ RD,SUITE B,PARADISE,CA,959693672,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,751.66142857,65.7,51.51,54.73
1043253453,RHODES,MISHA,K,M.D.,F,I,14 RICHLAND MEDICAL PARK DR,STE 320,COLUMBIA,SC,292036877,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,40.46,16.78,12.138461538,12.496923077
1043253453,RHODES,MISHA,K,M.D.,F,I,14 RICHLAND MEDICAL PARK DR,STE 320,COLUMBIA,SC,292036877,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,317.1224,86.4368,61.4176,48.6332
1043253511,PARRIS,ROBERT,C,MD,M,I,1500 DODSON AVE,STE 60,FORT SMITH,AR,729015182,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,86.31,17.29,12.646666667,12.629333333
1043253511,PARRIS,ROBERT,C,MD,M,I,1500 DODSON AVE,STE 60,FORT SMITH,AR,729015182,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,519.51,70.23,52.666086957,52.355652174
1043253511,PARRIS,ROBERT,C,MD,M,I,1500 DODSON AVE,STE 60,FORT SMITH,AR,729015182,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,3687.7777778,2466.8981481,1923.42,1923.42
1043253586,LITTLETON,KAMALA,H,MD,M,I,301 SAINT PAUL PL,POB 804,BALTIMORE,MD,212022102,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,48,48,48,141.16791667,45.028541667,35.301666667,36.460208333
1043253586,LITTLETON,KAMALA,H,MD,M,I,301 SAINT PAUL PL,POB 804,BALTIMORE,MD,212022102,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,395,124.04307692,97.256923077,97.252307692
1043253776,VAWTER,JEANANN,,NP,F,I,924 COX ROAD,,GASTONIA,NC,28054,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,2700,2.828,2.04,1.5462,1.5462
1043253867,JOHNSON,WALLACE,R,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011590,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,11.915,1.42,1.025,1.025
1043253909,BOWEN,SCOTT,,M.D.,M,I,450 GREENFIELD AVE,EMERGENCY DEPT.,HANFORD,CA,932303513,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,72.09,19.1,14.975,15.253333333
1043254113,WANG,SYLVIA,,MD,F,I,414 ULUNIU ST,,KAILUA,HI,967342517,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,98.4,42.75,26.458333333,30.425
1043254253,BENNETT,KENNETH,R,MD,M,I,2500 NORTH STATE STREET,DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY,JACKSON,MS,392164500,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.53,22.253636364,16.089090909,12.847272727
1043254253,BENNETT,KENNETH,R,MD,M,I,2500 NORTH STATE STREET,DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY,JACKSON,MS,392164500,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,93.269090909,92.850909091,66.456363636,52.53
1043254337,KIROUAC,JEFFREY,J,M.D.,M,I,16001 W 9 MILE RD,,SOUTHFIELD,MI,480754818,US,Physician/Anesthesiology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,11.049090909,8.66,8.9727272727
1043254469,MITCHNICK,ERIC,I,MD,M,I,5400 NESCONSET HWY,,PORT JEFFERSON STATION,NY,117762028,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,3636,0.4057425743,0.13,0.1013118812,0.1013118812
1043254469,MITCHNICK,ERIC,I,MD,M,I,5400 NESCONSET HWY,,PORT JEFFERSON STATION,NY,117762028,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,58,10140,4.529408284,1.709704142,1.3329122288,1.5827416174
1043254626,OLSON,MARK,W,M.D.,M,I,1504 SAND POINT ROAD,,MUNISING,MI,49862,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,56,43.195,8.32,5.8232142857,5.8232142857
1043254626,OLSON,MARK,W,M.D.,M,I,1504 SAND POINT ROAD,,MUNISING,MI,49862,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,330,77.846,61.032,41.494
1043254626,OLSON,MARK,W,M.D.,M,I,1504 SAND POINT ROAD,,MUNISING,MI,49862,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,552.826,100.35733333,74.697333333,67.281333333
1043254709,OLESNICKY,BOHDAN,T,MD,M,I,47020 WASHINGTON ST,,LA QUINTA,CA,92253,US,Physician/Emergency Medicine,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,955.2,955.2,743.49818182,767.74454545
1043254725,JAFFE,MARC,E,D.O.,M,I,103 S MAIN ST,,HATFIELD,PA,194402544,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,28,94,51.168723404,8.32,5.2729787234,5.2729787234
1043254725,JAFFE,MARC,E,D.O.,M,I,103 S MAIN ST,,HATFIELD,PA,194402544,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,31,12.431290323,1.42,0.9703225806,0.9703225806
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,5.65375,2.91,2.0911458333,2.0911458333
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,25.352,9.86,7.0858333333,7.0858333333
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,4.8033333333,1.95,1.4622777778,1.4622777778
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,39,97.68,46.207692308,34.479487179,24.17
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,52,51.899423077,25.699615385,20.147692308,14.545192308
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,16,96,39.77,20.16625,15.367291667,11.794791667
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,169.81764706,72.661764706,51.421764706,37.859411765
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,23,23,50.113913043,24.576521739,17.910869565,12.819130435
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,32,32,56.2603125,20.8471875,15.39875,8.261875
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,17,39,230,6.3957391304,2.9132173913,2.1457391304,1.4679565217
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,24,86.31,22.4775,16.714583333,12.682083333
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,16.4375,5.083125,3.15375,2.59125
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,12,63,63,113.13238095,45.596349206,31.94984127,21.931904762
1043254758,WYSHAK,PATRICIA,L,MD,F,I,32 RESORT WAY,ELLSWORTH INTERNAL MEDICINE,ELLSWORTH,ME,046051717,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,24,519.51,102.61833333,77.964583333,52.449583333
1043254907,ROTH,RONALD,C,MD,M,I,2169 SOUTH AVE,,SOUTH LAKE TAHOE,CA,951507059,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,77.36,77.36,55.984615385,50.52
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,25,55,139,63.861510791,8.32,5.7699280576,5.7699280576
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.061875,3.38,2.484375,2.484375
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,35,44,14.642954545,1.42,1.0140909091,1.0140909091
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.0036363636,6.8672727273,4.9462727273,5.0503636364
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.01,3.01,2.1633333333,2.1873333333
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,87,7.4450574713,1.9275862069,1.4034482759,1.483908046
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,175.38461538,30.83,13.133076923,14.168461538
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,26,607.40192308,73.876153846,43.619615385,40.963076923
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.02,30.6,29.61
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,960,0.92,0.132875,0.1041666667,0.1041666667
1043254915,SUYKERBUYK,ROBERT,A,MD,M,I,4039 GATEWAY BLVD,,GROVETOWN,GA,30813,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,132,33,25.87,25.87
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,33,100,255,63.534431373,8.32,6.0605098039,6.0605098039
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,26,26,13.737692308,3.38,2.5480769231,2.5480769231
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,23.128333333,2.12,1.67,1.67
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,25,58,77,14.885974026,1.42,1.0433766234,1.0433766234
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,40,8.19,1.51,1.12575,1.09875
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,72.813636364,10.355454545,6.6918181818,7.5909090909
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,20,81.367,16.08,11.34,12.294
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,48,49,46.877755102,4.1385714286,3.2428571429,3.8195918367
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,70,83,492.84638554,77.18,58.322891566,53.579277108
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,58,12109,0.2035998018,0.0458493682,0.0348013874,0.0348005616
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2550,0.9311333333,0.1374823529,0.0850392157,0.0850392157
1043255003,RENZI,JOSEPH,J,D.O.,M,I,1324 W RITNER ST,,PHILADELPHIA,PA,191483535,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,76,76,111.15789474,33,24.168026316,24.168026316
1043255086,SAWYER,JEFFREY,E,OD,M,I,29 DIRIGO DRIVE,,BREWER,ME,044121600,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,69,68.52,48.406956522,47.576086957
1043255086,SAWYER,JEFFREY,E,OD,M,I,29 DIRIGO DRIVE,,BREWER,ME,044121600,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,22,43,70,70,50.705581395,49.915581395
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,43,105,260,57.592153846,8.2867692308,5.5672692308,5.5943846154
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.376666667,3.38,2.65,2.65
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,24,53,67,17.039850746,1.42,0.9495522388,0.9495522388
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,216.59272727,54.47,39.066363636,39.215454545
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,11.401935484,2.01,1.5258064516,1.5425806452
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,81.164444444,17.29,10.71,10.693333333
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,63,63,385.19047619,76.399206349,49.710793651,45.307142857
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,37.44,29.35,29.495454545
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,124.6875,21.23,16.645,15.28
1043255128,MEHAL,WAQAR,M,MD,M,I,12 E APPLEBY,SUITE 101,FAYETTEVILLE,AR,72703,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,56.79,41.0925,29.624166667,27.36
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,46,103,103,71.290582524,38.272427184,28.034951456,28.472038835
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,29,69,69,208.19405797,89.057971014,63.29115942,61.397246377
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,28,69,133,82.144511278,33.762255639,24.091654135,23.563909774
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,19,54,199,54.866130653,18.45718593,14.403417085,14.490552764
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,12,28,121,36.178842975,15.565041322,10.796280992,10.518181818
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,39,83,83,145.28024096,55.726746988,41.615301205,40.84
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,64,93,93,47.731075269,18.05655914,13.671935484,13.57311828
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,22.195384615,10.380769231,7.5061538462,7.5230769231
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,19,46,46,57.340869565,12.288913043,9.2280434783,8.7889130435
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,65,175,748,6.9388903743,2.0235828877,1.4826336898,1.4867112299
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,24,30,30,16.986333333,6.194,4.6933333333,4.5113333333
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,50,69,69,24.434057971,13.053478261,9.8460869565,9.9431884058
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,39.223846154,17,9.1246153846,9.3176923077
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,203,47.29,37.07,37.536666667
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1577.78,1074.31,835.17166667,835.17166667
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,53,53,363.69245283,85.094339623,59.540188679,56.780754717
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1642.5,997.12333333,781.74666667,781.74666667
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,313.0675,131.30583333,102.26833333,104.02083333
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,33.562258065,6.23,4.2496774194,3.2864516129
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,28,158,161,118.27875776,34.775776398,24.994596273,23.168757764
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,59,321.08050847,78,58.040677966,52.926440678
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,J7611,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2600,0.3007192308,0.1541538462,0.1122192308,0.1122192308
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,36,23.089090909,24.437272727
1043255151,AUCKLEY,DENNIS,H,MD,M,I,2500 METROHEALTH DR,MHMC-MEDICINE/PULMONARY,CLEVELAND,OH,441091900,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,54.75,33,23.283,23.283
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,27,72.687777778,8.32,5.5551851852,5.5551851852
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,41,41,116.7302439,39.047317073,29.867073171,29.754390244
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,22,29,29,299.71034483,87.292758621,66.077241379,65.599310345
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,20,29,61,116.98557377,32.715737705,24.807868852,25.050819672
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,21,114,74.044561404,18.19,14.061315789,14.327280702
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,11,33,140,63.338428571,15.041714286,10.6135,10.714928571
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,23,49,49,221.12571429,52.99,39.695918367,40.974897959
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,42,52,52,66.274615385,17.893076923,13.485,13.517884615
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,24,40,40,73.89125,11.6135,8.418,8.4375
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,42,84,429,9.2331934732,2.0591608392,1.5394172494,1.5202797203
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,26,33,33,26.524848485,5.9315151515,4.3693939394,4.3684848485
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,15,20,20,42.1885,12.347,9.68,10.3075
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,90,98,68.611020408,16.59,11.974489796,12.481428571
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,415.77125,133.499375,104.659375,104.709375
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,45,45,31.328888889,4.212,2.7548888889,3.0488888889
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,20,105,107,161.91056075,33.298971963,24.639439252,25.051869159
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,22,161,172,428.23174419,67.72,50.200813953,51.67005814
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,37,225.67567568,38.72,29.539459459,28.744864865
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1050,17.849514286,9.6636857143,7.4396666667,7.4396666667
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,4612,0.2755529055,0.0456179532,0.0333803122,0.0333803122
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,2784,2.1543606322,0.1357183908,0.1003484195,0.1003484195
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1020,9.4753529412,2.9804117647,2.3366666667,2.3366666667
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,156.52173913,38.72,29.04,28.273043478
1043255177,GBADOUWEY,CHARLES,U,MD,M,I,600 ELIZABETH ST,,CORPUS CHRISTI,TX,784042235,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,35,35,41.764285714,33,25.130857143,25.130857143
1043255219,MAYNOR,BOBBY,R,MD,M,I,15 REGIONAL DR,,PINEHURST,NC,283748850,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,31,81,215,56.524976744,8.32,6.0134418605,6.0134418605
1043255219,MAYNOR,BOBBY,R,MD,M,I,15 REGIONAL DR,,PINEHURST,NC,283748850,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,37,52,21.606346154,1.42,1.0088461538,1.0088461538
1043255219,MAYNOR,BOBBY,R,MD,M,I,15 REGIONAL DR,,PINEHURST,NC,283748850,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,15.134166667,11.275
1043255219,MAYNOR,BOBBY,R,MD,M,I,15 REGIONAL DR,,PINEHURST,NC,283748850,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,513.15142857,98.85,69.383571429,46.973571429
1043255219,MAYNOR,BOBBY,R,MD,M,I,15 REGIONAL DR,,PINEHURST,NC,283748850,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,103.8,21.85,17.13,13.1
1043255250,KOCHAR,JASJIT,S,MD,M,I,23 SOUTH HOWELL AVENUE,STONY BROOK EXTENDED CARE,CENTEREACH,NY,11720,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,84,88.495238095,8.32,5.9016666667,5.9016666667
1043255250,KOCHAR,JASJIT,S,MD,M,I,23 SOUTH HOWELL AVENUE,STONY BROOK EXTENDED CARE,CENTEREACH,NY,11720,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,29,21.168275862,1.42,1.1117241379,1.1117241379
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,80,197,607,76.392059308,8.32,6.2715156507,6.2715156507
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.137692308,3.38,2.65,2.65
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,41,91,109,18.306330275,1.42,1.0611926606,1.0611926606
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,11.74875,10.81,7.83475,7.83475
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,38,8.4418421053,6.44,5.0492105263,5.0492105263
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,250,11.8196,9.86,7.58952,7.58952
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,250,4.8,4.04,2.91408,2.91408
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,39.083333333,18.913333333,14.829166667,14.814166667
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,56,5.2428571429,2.03,1.30875,1.30875
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17.27,13.54,13.54
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,340,82.475454545,59.172727273,57.876363636
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,39,11.529333333,9.042,9.082
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,54,54,25,4.8533333333,3.81,3.6437037037
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,347.67307692,69.81,50.52,50.52
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,2818,1.39476934,0.1390170334,0.1012597587,0.1012597587
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,56.296296296,18.614444444,13.414814815,12.937037037
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,125,33.1375,25.9775,25.9775
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,55,36.14,26.663529412,27.791176471
1043255342,BRUNETTE,GEORGIA,D,,F,I,3500 TOWER AVE,,SUPERIOR,WI,548805335,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,25,25,33,33,23.8004,23.8004
1043255441,TEERINK,DUANE,E,D.O.,M,I,311 S 72ND AVE,,YAKIMA,WA,98908,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,30,66,231,61.307748918,8.32,5.7880952381,5.7880952381
1043255441,TEERINK,DUANE,E,D.O.,M,I,311 S 72ND AVE,,YAKIMA,WA,98908,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,32,50,12.4964,1.42,1.0488,1.0488
1043255441,TEERINK,DUANE,E,D.O.,M,I,311 S 72ND AVE,,YAKIMA,WA,98908,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,33.27,17.09,13.4,13.45
1043255441,TEERINK,DUANE,E,D.O.,M,I,311 S 72ND AVE,,YAKIMA,WA,98908,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,232.98842105,66.809473684,44.428947368,46.875263158
1043255615,ENNIS,GREGORY,A,MD,M,I,5425 W. SPRING CREEK PKWY,SUITE 200,PLANO,TX,75024,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,40,82,52.660121951,8.32,6.0437804878,6.0437804878
1043255615,ENNIS,GREGORY,A,MD,M,I,5425 W. SPRING CREEK PKWY,SUITE 200,PLANO,TX,75024,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,25,10.9824,1.42,1.1176,1.1176
1043255623,COALE,EDWARD,H,M.D.,M,I,200 NE MOTHER JOSEPH PL,SUITE 110,VANCOUVER,WA,986643299,US,Physician/Orthopedic Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,476.77727273,368.02,281.39272727,298.54363636
1043255623,COALE,EDWARD,H,M.D.,M,I,200 NE MOTHER JOSEPH PL,SUITE 110,VANCOUVER,WA,986643299,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,23,24,97.324583333,70.94,55.62,47.886666667
1043255623,COALE,EDWARD,H,M.D.,M,I,200 NE MOTHER JOSEPH PL,SUITE 110,VANCOUVER,WA,986643299,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,32,32,33,291.61575758,233.5,182.28,185.20121212
1043255623,COALE,EDWARD,H,M.D.,M,I,200 NE MOTHER JOSEPH PL,SUITE 110,VANCOUVER,WA,986643299,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,209.2225,167.8375,131.585,146.6525
1043255631,POPESCU,OXANA,,MD,F,I,579 WARBURTON AVE STE 2,,HASTINGS ON HUDSON,NY,107061515,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,35,59.426,8.32,6.5222857143,6.5222857143
1043255631,POPESCU,OXANA,,MD,F,I,579 WARBURTON AVE STE 2,,HASTINGS ON HUDSON,NY,107061515,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,57.24,14.19,9.0513333333,11.094666667
1043255631,POPESCU,OXANA,,MD,F,I,579 WARBURTON AVE STE 2,,HASTINGS ON HUDSON,NY,107061515,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,17.14,6.3,4.42,5.6715789474
1043255722,OKUDA,DARIN,T,M.D.,M,I,5323 HARRY HINES BLVD,,DALLAS,TX,753907201,US,Physician/Neurology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,4.7,2.04,1.4664907407,1.4664907407
1043255797,PHILIP,STEPHANUS,R,MD,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,842.26
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,52,129,67.34248062,8.32,6.0662015504,6.0662015504
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,15,27,41,16.32,1.42,1.0343902439,1.0343902439
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,8.3266666667,2,1.5683333333,1.5897222222
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,4.98,4.98,3.9042465753,4.1409589041
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4380,0.64,0.64,0.4689931507,0.4833424658
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,153.8225,52.779166667,41.38,42.085
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,78.433684211,16.97,13.31,13.527894737
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,238.09190476,83.04,62.302857143,63.94952381
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,5.1,5.1,4,3.9541666667
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,405.14608696,71.11,55.75,54.774347826
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,2700,1.01,0.1317111111,0.0931666667,0.0931666667
1043255938,SHENDE,ARCHANA,C,M D,F,I,1211 W LA PALMA AVE,SUITE 309,ANAHEIM,CA,928012815,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,100.73684211,33,23.146842105,23.146842105
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,32,70,48.829285714,8.32,6.1481428571,6.1481428571
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,7.7066666667,3.38,2.4291666667,2.4291666667
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,20,24,10.66,1.42,0.97,0.97
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,26,124,100.7475,20.761935484,15.701693548,15.346370968
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,14,32,32,266.831875,61.393125,44.0284375,40.4425
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,25,25,85.642,19.2776,13.9856,12.9352
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,30,30,84.973666667,12.952,9.2523333333,9.0163333333
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,44,207,10.320386473,2.3455555556,1.7287922705,1.5638647343
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,61.603571429,13.247142857,9.6428571429,9.7971428571
1043256019,KELLEY,GREGORY,P,DO,M,I,13190 NE 23RD ST,,CHOCTAW,OK,730208621,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,64,64,290.9715625,42.786875,32.29265625,25.456875
1043256084,MYERS,PATRICIA,J,NP,F,I,801 OAK RIDGE TPKE,,OAK RIDGE,TN,378306916,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,62.6274,8.32,6.389,6.389
1043256084,MYERS,PATRICIA,J,NP,F,I,801 OAK RIDGE TPKE,,OAK RIDGE,TN,378306916,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18.68,14.64,13.6225
1043256084,MYERS,PATRICIA,J,NP,F,I,801 OAK RIDGE TPKE,,OAK RIDGE,TN,378306916,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,519.51,87,65.4816,53.08
1043256282,YADAV,YOGINDER,K,M.D.,M,I,122 12TH ST,,PRINCETON,WV,247402312,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,81,81,41.234567901,22.167407407,17.377901235,13.752962963
1043256282,YADAV,YOGINDER,K,M.D.,M,I,122 12TH ST,,PRINCETON,WV,247402312,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,2360.8918519,1074.2248148,842.19333333,842.26
1043256282,YADAV,YOGINDER,K,M.D.,M,I,122 12TH ST,,PRINCETON,WV,247402312,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,35.75173913,7.4054347826,5.7269565217,3.6593478261
1043256282,YADAV,YOGINDER,K,M.D.,M,I,122 12TH ST,,PRINCETON,WV,247402312,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,125,125,258.92864,102.28672,79.596,55.79136
1043256324,TATARA,MARK,J,MD,M,I,6840 MAIN ST STE 200,,DOWNERS GROVE,IL,60516,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,35,58,166,71.854939759,8.32,6.2862048193,6.2862048193
1043256324,TATARA,MARK,J,MD,M,I,6840 MAIN ST STE 200,,DOWNERS GROVE,IL,60516,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,27,40,15.37475,1.42,1.114,1.114
1043256324,TATARA,MARK,J,MD,M,I,6840 MAIN ST STE 200,,DOWNERS GROVE,IL,60516,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,70,53.2675,37.479166667,34.26
1043256324,TATARA,MARK,J,MD,M,I,6840 MAIN ST STE 200,,DOWNERS GROVE,IL,60516,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,559.67166667,69.81,50.169166667,50.169166667
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,139.83692308,46.473076923,36.433076923,36.55
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,36,36,163.4725,45.403055556,35.596111111,37.464722222
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,26,45.750769231,29.277692308,22.954230769,23.295769231
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,25.22,12.95875,7.71875,8.209375
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,15,15,15,70.272666667,38.192666667,29.946,29.877333333
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,51.319333333,22.957333333,17.997333333,17.202666667
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,68,68,128.97279412,29.571470588,19.525147059,17.606764706
1043256399,KAZMI,SYED,Q,MD,M,I,1400 HESTERS CROSSING RD,,ROUND ROCK,TX,786818025,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,194.37,30.146666667,23.633333333,25.053333333
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,38,88,217,57.255483871,8.32,5.9803225806,5.9803225806
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,24,24,11.69625,3.38,2.4291666667,2.4291666667
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,12,12,18.836666667,2.12,1.5308333333,1.5308333333
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,26,61,83,12.881325301,1.42,1.0496385542,1.0496385542
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15.23,10.468181818,8.2109090909,8.37
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,14.16,9.4581818182,7.4081818182,7.7554545455
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,263.4,205.51818182,158.94545455,159.15272727
1043256415,SAWHNEY,GURMEET,S,M.D.,M,I,325 HOSPITAL DR,202,GLEN BURNIE,MD,210615860,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,21.72,17.453571429,12.770714286,13.127142857
1043256423,YAMRAJ,BHAWAN,,MD,M,I,279 KINGS DAUGHTERS DR,SUITE 201,FRANKFORT,KY,406016561,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,11,31,57.539354839,8.32,3.9974193548,3.9974193548
1043256423,YAMRAJ,BHAWAN,,MD,M,I,279 KINGS DAUGHTERS DR,SUITE 201,FRANKFORT,KY,406016561,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,25,5.0716666667,3.9741666667,4.0666666667
1043256613,COESTER,HANS,C,MD,M,I,1107 S LEMAY AVE,SUITE 240,FORT COLLINS,CO,805243960,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,4995,4378.96,3433.11,3433.11
1043256613,COESTER,HANS,C,MD,M,I,1107 S LEMAY AVE,SUITE 240,FORT COLLINS,CO,805243960,US,Physician/Neurosurgery,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,69.69,44.828181818,35.143636364,35.143636364
1043256787,GALLAGHER,KIMBERLY,M,MD,F,I,35141 ATLANTIC AVE UNIT 1,,MILLVILLE,DE,199676954,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,23,48,56.219791667,8.32,6.5202083333,6.5202083333
1043256787,GALLAGHER,KIMBERLY,M,MD,F,I,35141 ATLANTIC AVE UNIT 1,,MILLVILLE,DE,199676954,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,20,15.569,1.42,1.061,1.061
1043256878,WU,JOSEPH,H,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,330,5.19,2.6363636364,2.0668181818,2.0668181818
1043256878,WU,JOSEPH,H,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,27,72,244,66.49,8.32,6.0948360656,6.0948360656
1043256878,WU,JOSEPH,H,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,26,43,14.566046512,1.42,1.0627906977,1.0627906977
1043256878,WU,JOSEPH,H,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,114.07384615,53.996153846,41.932307692,37.541538462
1043256878,WU,JOSEPH,H,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,284.4,89.86,65.753333333,54.225333333
1043256878,WU,JOSEPH,H,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,820,16.24847561,10.774365854,8.3972682927,8.3972682927
1043256878,WU,JOSEPH,H,M.D.,M,I,832 PRINCETON AVE SW,,BIRMINGHAM,AL,352111320,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,41.892727273,21.149090909,15.156363636,12.7
1043256910,DOMONT,LAWRENCE,A,M.D.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,11,132,53.710606061,19.630151515,15.389848485,15.389848485
1043256910,DOMONT,LAWRENCE,A,M.D.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,350,5.6588571429,2.6297142857,2.0616285714,2.0616285714
1043256910,DOMONT,LAWRENCE,A,M.D.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,86,136,352,1797,76.354557596,8.3059710629,6.0798831386,6.0880523094
1043256910,DOMONT,LAWRENCE,A,M.D.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,29,29,13.944827586,3.38,2.4672413793,2.4672413793
1043256910,DOMONT,LAWRENCE,A,M.D.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,23.538666667,2.12,1.67,1.67
1043256910,DOMONT,LAWRENCE,A,M.D.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,47,68,168,428,17.050630841,1.42,1.0404672897,1.0404672897
1043256910,DOMONT,LAWRENCE,A,M.D.,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,31,31,462.70967742,247.65483871,194.07935484,194.07935484
1043256928,SYED-KHAN,FAUZIA,F,MD,F,I,3435 29TH ST,,ASTORIA,NY,111063503,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,46,122,338,65.613461538,8.32,5.6155621302,5.6155621302
1043256928,SYED-KHAN,FAUZIA,F,MD,F,I,3435 29TH ST,,ASTORIA,NY,111063503,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,11.718823529,3.38,2.65,2.65
1043256928,SYED-KHAN,FAUZIA,F,MD,F,I,3435 29TH ST,,ASTORIA,NY,111063503,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,39,77,124,14.046209677,1.42,0.9511290323,0.9511290323
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,34,111,48.964954955,8.32,6.3572072072,6.3572072072
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,21,13.347619048,3.38,2.65,2.65
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,18.329090909,2.12,1.67,1.67
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,39,15.474358974,1.42,1.1135897436,1.1135897436
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,365,8.56,8.28,6.4914246575,6.4914246575
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,13,32,60,7.672,1.93,1.4715,1.1341666667
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,79.830666667,16.188666667,12.027333333,8.4693333333
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,63,74.206666667,20.827142857,15.634285714,12.89031746
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,251.67857143,60.594285714,45.792142857,35.917142857
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,4790.04,942.14,738.64,842.26
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,64,64,38.4821875,8.081875,5.7484375,3.78953125
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,20,131,146,456.0960274,98.568219178,75.008219178,53.533082192
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,250,45.2148,35.4508,29.9368
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,8733,0.1614038704,0.0457574717,0.0312355433,0.0312355433
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,78,8220,0.9333625304,0.1339416058,0.090663017,0.090663017
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,99.45,37.074545455,29.067272727,22.346363636
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65.26,44.560909091,34.938181818,29.515454545
1043257074,SANNER,DAVID,P,M.D.,M,I,815 E ROYALL BLVD,,MALAKOFF,TX,751489255,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,17,115,115,119.08695652,33,22.222,22.222
1043257090,SQUIRES,SHAYNE,R,M.D.,M,I,9200 W WISCONSIN AVE,DIVISION OF CARDIOLOGY,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45.846666667,22.4775,17.620833333,14.031666667
1043257090,SQUIRES,SHAYNE,R,M.D.,M,I,9200 W WISCONSIN AVE,DIVISION OF CARDIOLOGY,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,263.86,102.61833333,80.455,58.105
1043257173,HUH,WARNER,K,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Obstetrics & Gynecology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,60,37.38,29.3,29.3
1043257249,NAPOLITANO,MICHAEL,A,M.D.,M,I,321 N FURNACE ST,SUITE 100,BIRDSBORO,PA,195082057,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,32,116,249,53.333333333,8.32,5.6842168675,5.6842168675
1043257249,NAPOLITANO,MICHAEL,A,M.D.,M,I,321 N FURNACE ST,SUITE 100,BIRDSBORO,PA,195082057,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,42,51,17.865686275,1.42,1.0517647059,1.0517647059
1043257249,NAPOLITANO,MICHAEL,A,M.D.,M,I,321 N FURNACE ST,SUITE 100,BIRDSBORO,PA,195082057,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.72,8.6016666667,6.035,6.8608333333
1043257249,NAPOLITANO,MICHAEL,A,M.D.,M,I,321 N FURNACE ST,SUITE 100,BIRDSBORO,PA,195082057,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1405,2.4411459075,0.1356654804,0.0970035587,0.0970035587
1043257249,NAPOLITANO,MICHAEL,A,M.D.,M,I,321 N FURNACE ST,SUITE 100,BIRDSBORO,PA,195082057,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,144.40636364,113.21181818,117.71636364
1043257249,NAPOLITANO,MICHAEL,A,M.D.,M,I,321 N FURNACE ST,SUITE 100,BIRDSBORO,PA,195082057,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,4.8636363636,0.51,0.4,0.4
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,56,140,393,57.192111959,8.32,6.1333587786,6.1333587786
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,15,35,35,13.583428571,3.38,2.5742857143,2.5742857143
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,18.866315789,2.12,1.67,1.67
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,39,85,132,13.098636364,1.42,1.0983333333,1.0983333333
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,230,8.553,5.54,4.343,4.343
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,8.2130769231,2.2815384615,1.6501282051,1.5019230769
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,36.88,17.46,13.69,13.579473684
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,451.72210526,33.526315789,26.284736842,26.288421053
1043257256,NUSAIREE,MIRZA,M,M.D.,M,I,1401 MADISON PARK DR,SUITE #100,GLEN BURNIE,MD,21061,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,230,82,64.29,54.73
1043257330,PIKE,DAVID,,MD,M,I,7380 N LINCOLN AVE,,LINCOLNWOOD,IL,607121705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,44,99,80.087171717,8.32,5.4667676768,5.4667676768
1043257330,PIKE,DAVID,,MD,M,I,7380 N LINCOLN AVE,,LINCOLNWOOD,IL,607121705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,17,20.694705882,1.42,0.9870588235,0.9870588235
1043257330,PIKE,DAVID,,MD,M,I,7380 N LINCOLN AVE,,LINCOLNWOOD,IL,607121705,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,72.585714286,18,12.094285714,11.605714286
1043257330,PIKE,DAVID,,MD,M,I,7380 N LINCOLN AVE,,LINCOLNWOOD,IL,607121705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,479.2685,77.18,54.7475,49.248
1043257413,VASIREDDY,RAVIKUMAR,,MD,M,I,301 N. 32ND ST.,,MUSKOGEE,OK,744015037,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,29,52.509655172,36.28,27.763448276,29.99
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,80,169,26.389053254,8.32,5.3268639053,5.3268639053
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,257.01454545,119.15818182,79.722727273,59.315454545
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,12,16,16,141.875,75.43125,52.91375,40.70375
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,15,17,17,46,25.415294118,19.921176471,15.107058824
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,20,20,50.8035,18.943,13.842,9.365
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,23,134,6.832238806,2.9988059701,2.1926119403,1.5719402985
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,125,22.182,15.794,12.429333333
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25,6.31625,4.4975,2.9575
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,157.77891892,46.797297297,29.47,18.112432432
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,53,53,300,100.98301887,73.43245283,51.088679245
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1860,0.3491774194,0.1325806452,0.0824623656,0.0824623656
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,64,27.1525,19.6875,12.371666667
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,125,45.002727273,32.297272727,32.297272727
1043257496,ZUERCHER,GERALYN,R,M.D.,F,I,110 JEFFERSON ST,,WEST UNION,IA,521751022,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,24,33,33,21.558333333,21.558333333
1043257520,PELLERANO,MIGUEL,,MD,M,I,PMG AT 8300 CONSTITUTION - PULMONARY/CRITICAL CARE,8300 CONSTITUTION AVE NE,ALBUQUERQUE,NM,87110,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,66.381935484,24.835483871,18.532258065,16.441290323
1043257520,PELLERANO,MIGUEL,,MD,M,I,PMG AT 8300 CONSTITUTION - PULMONARY/CRITICAL CARE,8300 CONSTITUTION AVE NE,ALBUQUERQUE,NM,87110,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,27,40.104814815,5.8311111111,4.4333333333,3.2966666667
1043257520,PELLERANO,MIGUEL,,MD,M,I,PMG AT 8300 CONSTITUTION - PULMONARY/CRITICAL CARE,8300 CONSTITUTION AVE NE,ALBUQUERQUE,NM,87110,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,664.2408,84.359,63.1026,52.599
1043257520,PELLERANO,MIGUEL,,MD,M,I,PMG AT 8300 CONSTITUTION - PULMONARY/CRITICAL CARE,8300 CONSTITUTION AVE NE,ALBUQUERQUE,NM,87110,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,930,1.7847741935,0.1331935484,0.0839139785,0.0839139785
1043257520,PELLERANO,MIGUEL,,MD,M,I,PMG AT 8300 CONSTITUTION - PULMONARY/CRITICAL CARE,8300 CONSTITUTION AVE NE,ALBUQUERQUE,NM,87110,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,91.034482759,33,24.161034483,24.161034483
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,63,151,431,61.235266821,8.32,5.7888167053,5.7888167053
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,25,25,12.0176,3.38,2.332,2.332
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,16.46,2.12,1.67,1.67
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,38,70,115,11.765913043,1.42,0.9891304348,0.9891304348
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,8.531,5.54,3.75475,3.75475
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,250,5.85404,4.03,2.90696,2.90696
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,113.97333333,38.55,25.268,25.527333333
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,324.1,86.33,67.68,67.815384615
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,27,128.85333333,33.48,26.248148148,25.967037037
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,182.00705882,54.47,37.778235294,37.918823529
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,20,20,54.6965,17.88,13.3095,13.3575
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,68.453076923,11.54,9.05,9.1146153846
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,25,131,8.7383969466,2.01,1.4804580153,1.4955725191
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,68.135833333,45.78,26.9175,26.4225
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,23,80.409130435,17.29,13.55,13.530869565
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,104.2515625,4.576875,3.4509375,3.4525
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,27,158.85555556,33.8,26.36,25.978518519
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,21.894,11.646,8.352,7.8933333333
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,89,92,394.44826087,70.23,52.303586957,51.993152174
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2280,1.198127193,0.1333157895,0.0949736842,0.0949736842
1043257611,BAUER,DANIEL,V,M.D.,M,I,4461 STARKEY ROAD,SUITE 201,ROANOKE,VA,24018,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,34.444444444,33,22.995555556,22.995555556
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,59,162,415,64.271228916,8.3090843373,5.884,5.8925301205
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,11.9368,3.38,2.544,2.544
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,17.858461538,2.12,1.5415384615,1.5415384615
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,27,56,83,27.204698795,1.42,1.0357831325,1.0357831325
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,6.67625,2.91,2.28125,2.28125
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,95.20125,51.5025,37.384375,36.738125
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,82.335652174,17.29,12.960869565,12.94173913
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,29.830294118,4.7758823529,3.4141176471,3.4111764706
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,874.72,32.955,20.5375,20.170833333
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,28.682307692,12.909230769,9.1907692308,8.76
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,485.03882353,70.391568627,50.868235294,50.441764706
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1749,0.1659062321,0.0465294454,0.0301543739,0.0301543739
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1812,4.3195640177,0.0757615894,0.0556788079,0.0556622517
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,34,3990,1.4530125313,0.1340451128,0.0887042607,0.0887042607
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,53.542083333,29.440416667,19.143333333,17.770416667
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,154.89,37.44,26.415,26.571
1043257629,JAGANNATH,THOPSIE,V,MD,M,I,5314 MAC CORKLE AVE SE,,CHARLESTON,WV,25304,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,56,56,70.553571429,33,21.878571429,21.878571429
1043257728,MARTIN,GREGORY,M,M.D.,M,I,7593 BOYNTON BEACH BLVD,STE 280,BOYNTON BEACH,FL,334376154,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,104,104,104,107.80461538,53.051346154,40.777980769,36.022403846
1043257728,MARTIN,GREGORY,M,M.D.,M,I,7593 BOYNTON BEACH BLVD,STE 280,BOYNTON BEACH,FL,334376154,US,Physician/Orthopedic Surgery,S,E1811,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,137.29,112.2775,76.7865,85.1055
1043257728,MARTIN,GREGORY,M,M.D.,M,I,7593 BOYNTON BEACH BLVD,STE 280,BOYNTON BEACH,FL,334376154,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,2554.2709677,873.90967742,685.14580645,677.24258065
1043257728,MARTIN,GREGORY,M,M.D.,M,I,7593 BOYNTON BEACH BLVD,STE 280,BOYNTON BEACH,FL,334376154,US,Physician/Orthopedic Surgery,S,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,43,1515.464186,910.80651163,704.90069767,636.97534884
1043257728,MARTIN,GREGORY,M,M.D.,M,I,7593 BOYNTON BEACH BLVD,STE 280,BOYNTON BEACH,FL,334376154,US,Physician/Orthopedic Surgery,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,31,407.4116129,106.36,83.39,88.321612903
1043257751,BAPTIST,ALAN,P,MD,M,I,24 FRANK LLOYD WRIGHT DR,SUITE H-2100,ANN ARBOR,MI,481059484,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,1258.125,19.71,14.266153846,14.266153846
1043257751,BAPTIST,ALAN,P,MD,M,I,24 FRANK LLOYD WRIGHT DR,SUITE H-2100,ANN ARBOR,MI,481059484,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,6500,160.00158462,9.8425384615,7.6992338462,7.6992338462
1043257751,BAPTIST,ALAN,P,MD,M,I,24 FRANK LLOYD WRIGHT DR,SUITE H-2100,ANN ARBOR,MI,481059484,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,66,419.93151515,2.64,2.07,2.07
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,39,78,8.985,1.9325641026,1.4234615385,1.08
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,47.806136364,7.5470454545,5.5652272727,3.3872727273
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,519.51,107.32875,80.413125,61.434375
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,15.58,9.622173913,7.3358550725,7.3358550725
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,61,3600,13.94,11.380525,8.8211916667,8.8211916667
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,900,0.17,0.0472666667,0.0370111111,0.0370111111
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,62,3114,1.2648619139,0.1360051381,0.1045953757,0.1045953757
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,77,4530,12.829986755,3.0704768212,2.4072803532,2.4072803532
1043257843,MOTTERN,JOE,D,FNP,M,I,1410 TUSCULUM BLVD,SUITE 2300,GREENEVILLE,TN,377454286,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,81,81,125.88888889,33,25.87,25.87
1043258270,RODRIGUEZ,FRANCISCO,A,MD,M,I,3840 BROADWAY,,FORT MYERS,FL,339018108,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,990,58.68,5.3354747475,4.1830606061,4.1830606061
1043258270,RODRIGUEZ,FRANCISCO,A,MD,M,I,3840 BROADWAY,,FORT MYERS,FL,339018108,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1043258270,RODRIGUEZ,FRANCISCO,A,MD,M,I,3840 BROADWAY,,FORT MYERS,FL,339018108,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,19,16,16,12.541052632,12.541052632
1043258387,SMOLIK,ANTON,J,M.D.,M,I,715 BROWN ST,,ALMA,NE,689202132,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,90.65625,24.960625,18.16875,15.7084375
1043258387,SMOLIK,ANTON,J,M.D.,M,I,715 BROWN ST,,ALMA,NE,689202132,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,64,64,517.1875,105.2090625,78.84328125,58.36265625
1043258403,VICHARE,KAWITA,,MD,F,I,532 S AIKEN AVE,SUITE #201,PITTSBURGH,PA,152321521,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7,7,5.488,5.7296666667
1043258403,VICHARE,KAWITA,,MD,F,I,532 S AIKEN AVE,SUITE #201,PITTSBURGH,PA,152321521,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,5.5,5.23,4.1003333333,4.1003333333
1043258403,VICHARE,KAWITA,,MD,F,I,532 S AIKEN AVE,SUITE #201,PITTSBURGH,PA,152321521,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,4.35,3.81,2.987,2.987
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,57,57,57,137.46105263,42.28,33.14,35.819298246
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,24.239333333,4.2286666667,1.324,1.6846666667
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,28.655,14.33,11.235,11.813333333
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,52,296,296,194.15297297,46.114966216,33.262635135,35.209358108
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,21.44,5.25,3.296,2.704
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,129.6532,46.475,33.8492,35.016
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,22,33.38,16.197272727,12.698181818,15.055909091
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,22,23,43,61.133488372,27.056744186,21.211627907,22.348837209
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,14,62,62,33.31483871,9.1764516129,6.4825806452,7.8479032258
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,42,43,43,69.880232558,31.720930233,24.867209302,28.512093023
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,22,22,22,351.14454545,139.45727273,109.33363636,113.33636364
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,49,239,239,68.009288703,15.982845188,11.897824268,14.019414226
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,108.98,28.07,22.003888889,25.928888889
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,35,176,176,115.88261364,22.135227273,14.684204545,18.893068182
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,163.02,45.900714286,33.173571429,35.079285714
1043258486,BUCALO,VICTOR,J,M.D.,M,I,500 GRAND AVE,FIRST FLOOR,ENGLEWOOD,NJ,076314967,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,80,418,418,21.618779904,6.9177511962,4.8990909091,6.2187559809
1043258551,CHAI,GRACE,Q,M.D.,F,I,777 W PEACHTREE ST,,NORCROSS,GA,300711868,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,38,106,62.065471698,8.32,5.3033962264,5.3033962264
1043258551,CHAI,GRACE,Q,M.D.,F,I,777 W PEACHTREE ST,,NORCROSS,GA,300711868,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,30,13.022,1.42,0.886,0.886
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,22,52,139,47.329568345,8.3096402878,5.9049640288,5.9049640288
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,27,37,9.6478378378,1.42,1.0256756757,1.0256756757
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,606,35.882178218,6.66,5.2215346535,5.7229207921
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,1270,5.8329133858,2.96,2.3206456693,2.3206456693
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.075,1.9766666667,1.5495833333,1.1504166667
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,17,27,27,555.26074074,114.66333333,82.688518519,62.566296296
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,12,23,54,192.13296296,42.713888889,30.620740741,24.165
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,28,28,95.168214286,25.391785714,19.346785714,13.875714286
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,35,35,87.988,20.103142857,14.305428571,8.4082857143
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,38,186,11.993010753,2.9497849462,1.9893010753,1.3652688172
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,30.272727273,7.9890909091,5.4981818182,4.5690909091
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,11,13,13,65.846153846,15.446153846,12.105384615,10.34
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,334,12.4,3.81,2.9870359281,2.9870359281
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,24.5,7.37,5.778,4.163
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4272,7.5421348315,0.855,0.6430500936,0.4901708801
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,81,86,127.90069767,22.191162791,16.876046512,13.338023256
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1001.46,785.15,837.50083333
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,3954.0418182,1001.46,780.80212121,836.18181818
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,864.64,123.87818182,97.119090909,65.229090909
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,19,77.537368421,16.874210526,10.790526316,8.4552631579
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,38,452.63052632,48.180789474,31.425263158,23.197631579
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,21,137,149,601.98966443,99.74704698,75.829865772,56.533624161
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,23,239.56521739,41.526521739,32.56,29.658695652
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,3868,1.3374922441,0.1327249224,0.0916209928,0.0916209928
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,29,119.90172414,29.328275862,21.834827586,13.503103448
1043258650,BAGLEY,BRENDAN,,M.D.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,37,37,49.054054054,33,22.863243243,22.863243243
1043258726,CHARLOT,CASCYA,,MD,F,I,10 PLAZA ST E,1E,BROOKLYN,NY,112384954,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,189.921,39.959230769,31.144089744,31.144089744
1043258916,RUBIN,JANIS,W,MD,F,I,612 FAYETTE ST,2ND FLOOR,CONSHOHOCKEN,PA,194281797,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,31,68,55.288529412,8.32,6.0388235294,6.0388235294
1043258916,RUBIN,JANIS,W,MD,F,I,612 FAYETTE ST,2ND FLOOR,CONSHOHOCKEN,PA,194281797,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,28,9.7735714286,1.42,1.0757142857,1.0757142857
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,79,44.513417722,8.32,6.4915189873,6.4915189873
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,27,6.4407407407,1.42,1.1155555556,1.1155555556
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1728,0.1384722222,0.13,0.1019444444,0.1019444444
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,2,2,1.568,1.5993333333
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.5,5.74,4.5,4.5
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.295,5.54,4.3435,4.3435
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.995,6.74,5.284,5.284
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.495,4.03,3.1595,3.1595
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.683,4.04,3.1675,3.1675
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,470,0.184212766,0.184212766,0.1442765957,0.3132765957
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,19.95,17.84,13.98,13.98
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2160,0.05,0.05,0.0392222222,0.0392222222
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,248.6,47.818181818,37.487272727,38.434545455
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,78,55.590909091,49.754545455
1043259039,GUERRA,JOSE,A,M.D.,M,I,11 SHORE RD,,WINCHESTER,MA,018902855,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,38,27.081818182,26.827272727
1043259070,FERRERA BAUMANN,ANNA,E,M.D.,F,I,1835 ODDIE BLVD,,SPARKS,NV,894313559,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,480,43.73,34.28,35.23
1043259070,FERRERA BAUMANN,ANNA,E,M.D.,F,I,1835 ODDIE BLVD,,SPARKS,NV,894313559,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,54.73125,17.3325,12.7525,12.695625
1043259070,FERRERA BAUMANN,ANNA,E,M.D.,F,I,1835 ODDIE BLVD,,SPARKS,NV,894313559,US,Physician/Internal Medicine,S,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,713.52,402.2,302.27727273,323.00727273
1043259070,FERRERA BAUMANN,ANNA,E,M.D.,F,I,1835 ODDIE BLVD,,SPARKS,NV,894313559,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,330.05,66.754,47.193,48.9835
1043259070,FERRERA BAUMANN,ANNA,E,M.D.,F,I,1835 ODDIE BLVD,,SPARKS,NV,894313559,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,51,51,150.4454902,20.301176471,14.661568627,13.079411765
1043259138,ALVES,JEAN,J,M.D.,M,I,230 BOWDOIN ST,,DORCHESTER,MA,021221817,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,38,84,84.955714286,8.32,5.4336904762,5.4336904762
1043259138,ALVES,JEAN,J,M.D.,M,I,230 BOWDOIN ST,,DORCHESTER,MA,021221817,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,23,24,17.87625,1.42,0.9333333333,0.9333333333
1043259138,ALVES,JEAN,J,M.D.,M,I,230 BOWDOIN ST,,DORCHESTER,MA,021221817,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9272727273,3.0763636364,3.6854545455
1043259138,ALVES,JEAN,J,M.D.,M,I,230 BOWDOIN ST,,DORCHESTER,MA,021221817,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2149,0.1793113076,0.0466123779,0.0352536063,0.0352536063
1043259138,ALVES,JEAN,J,M.D.,M,I,230 BOWDOIN ST,,DORCHESTER,MA,021221817,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,270,0.75,0.2187037037,0.1621111111,0.1621111111
1043259138,ALVES,JEAN,J,M.D.,M,I,230 BOWDOIN ST,,DORCHESTER,MA,021221817,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,124.38461538,33,23.88,23.88
1043259328,MAZUREK,MITCHELL,J,MD,M,I,1101 GLENDALE BLVD,,VALPARAISO,IN,463833767,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,15,12.046153846,9.4446153846,8.3369230769
1043259328,MAZUREK,MITCHELL,J,MD,M,I,1101 GLENDALE BLVD,,VALPARAISO,IN,463833767,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,87.567,18.62,13.14,12.186
1043259328,MAZUREK,MITCHELL,J,MD,M,I,1101 GLENDALE BLVD,,VALPARAISO,IN,463833767,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,49.375789474,4.9963157895,3.7315789474,3.44
1043259328,MAZUREK,MITCHELL,J,MD,M,I,1101 GLENDALE BLVD,,VALPARAISO,IN,463833767,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,449.08864865,78.57,57.678648649,51.365675676
1043259328,MAZUREK,MITCHELL,J,MD,M,I,1101 GLENDALE BLVD,,VALPARAISO,IN,463833767,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,37,37,98.42027027,16.454594595,8.342972973,9.4743243243
1043259328,MAZUREK,MITCHELL,J,MD,M,I,1101 GLENDALE BLVD,,VALPARAISO,IN,463833767,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,35.666666667,23.464666667,10.021333333,11.816666667
1043259328,MAZUREK,MITCHELL,J,MD,M,I,1101 GLENDALE BLVD,,VALPARAISO,IN,463833767,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,36.9288,7.772,3.0856,3.6032
1043259476,GHADDAR,HABIB,M,M.D.,M,I,1330 E 6TH ST,SUITE 204,WESLACO,TX,785964204,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,1064,41.398411654,4.9500469925,3.8808270677,3.8808270677
1043259476,GHADDAR,HABIB,M,M.D.,M,I,1330 E 6TH ST,SUITE 204,WESLACO,TX,785964204,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,52,164,36.242317073,36.242317073,28.241646341,30.412987805
1043259476,GHADDAR,HABIB,M,M.D.,M,I,1330 E 6TH ST,SUITE 204,WESLACO,TX,785964204,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,19,322.51,322.51,252.85,264.35526316
1043259476,GHADDAR,HABIB,M,M.D.,M,I,1330 E 6TH ST,SUITE 204,WESLACO,TX,785964204,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,48,24,18.82,18.82
1043259492,MENAKER,STUART,,MD,M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940400000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,34,69.575588235,8.32,5.9464705882,5.9464705882
1043259518,MEZICK,RONALD,B,PA-C,M,I,246 S MAIN ST,,HUGHESVILLE,PA,177371614,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,60,155,72.824709677,8.32,5.271483871,5.271483871
1043259518,MEZICK,RONALD,B,PA-C,M,I,246 S MAIN ST,,HUGHESVILLE,PA,177371614,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,15,86.31,16.59,13,13.53
1043259518,MEZICK,RONALD,B,PA-C,M,I,246 S MAIN ST,,HUGHESVILLE,PA,177371614,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,23,23,218.36086957,44.17,29.964347826,32.801304348
1043259518,MEZICK,RONALD,B,PA-C,M,I,246 S MAIN ST,,HUGHESVILLE,PA,177371614,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,129.25588235,4.4123529412,3.4635294118,3.7588235294
1043259518,MEZICK,RONALD,B,PA-C,M,I,246 S MAIN ST,,HUGHESVILLE,PA,177371614,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,63,454.9347619,67.72,53.1,54.445396825
1043259518,MEZICK,RONALD,B,PA-C,M,I,246 S MAIN ST,,HUGHESVILLE,PA,177371614,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,75,38.72,30.36,29.905
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,34,34,118.29705882,39.681176471,29.270588235,28.721764706
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,339.18105263,89.59,59.149473684,57.128421053
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,46,130.0826087,32,21.912391304,22.742391304
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,114,80.953596491,18.075,13.44877193,13.830263158
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,30,30,224.00966667,52.375666667,38.345666667,40.062333333
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,27,27,73.186296296,17.938888889,13.008888889,13.007777778
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,85.088571429,11.188571429,8.7685714286,9.12
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,49,280,9.526,2.0294285714,1.5581428571,1.55975
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,26.783846154,6,4.7,4.6538461538
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,38.2525,12.101666667,9.49,10.34
1043259666,KOLKER,MITCHELL,,M.D.,M,I,200 WESTAGE BUSINESS CTR,SUITE 224,FISHKILL,NY,125242264,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,44,132.52909091,31.703863636,24.662272727,25.111590909
1043259682,WILKERSON,DANIEL,,MD,M,I,17717 MASONIC,,FRASER,MI,480263158,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,15,5.0463636364,1.3236363636,1.2290909091
1043259773,HAUGLAND,DAVID,B,M.D.,M,I,424 W HIGHWAY 5,,WACONIA,MN,553871723,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,81,88.759506173,8.32,5.7987654321,5.7987654321
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,52,131,65.074580153,8.32,5.9094656489,5.9094656489
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,23,28,13.108571429,1.42,0.9582142857,0.9582142857
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,175.58,55.57,43.57,42.924545455
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,11,11,78.059090909,17.4,13.64,13.983636364
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,16,16,61.48375,11.5,8.45625,8.54625
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,22,100,6.4642,2,1.4587,1.4805
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,94.005882353,17.32,13.58,13.54
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,31,31,204.49741935,33.03483871,22.19,21.95483871
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,33,460.43,76.58,58.210909091,53.222727273
1043259807,ROACH,ROBERT,G,D.O.,M,I,14700 FM 2100 RD,SUITE A,CROSBY,TX,775329161,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,16,250,35.56,24.73,26.28375
1043260078,JASKO,DANIEL,J,M.D.,M,I,11966 BOYETTE RD,,RIVERVIEW,FL,335695601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,32,154,57.148766234,8.32,5.972012987,5.972012987
1043260078,JASKO,DANIEL,J,M.D.,M,I,11966 BOYETTE RD,,RIVERVIEW,FL,335695601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,15.957407407,1.42,1.1137037037,1.1137037037
1043260078,JASKO,DANIEL,J,M.D.,M,I,11966 BOYETTE RD,,RIVERVIEW,FL,335695601,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.8272727273,1.6290909091,2.0481818182
1043260078,JASKO,DANIEL,J,M.D.,M,I,11966 BOYETTE RD,,RIVERVIEW,FL,335695601,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4174,0.1750095831,0.0468782942,0.0241662674,0.0241662674
1043260078,JASKO,DANIEL,J,M.D.,M,I,11966 BOYETTE RD,,RIVERVIEW,FL,335695601,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,115.5,33,19.4025,19.4025
1043260136,SALWAN,RAJNEESH,,MD,M,I,1501 S CALIFORNIA AVE,,CHICAGO,IL,606081732,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,228.8,77.18,57.628571429,52.665714286
1043260136,SALWAN,RAJNEESH,,MD,M,I,1501 S CALIFORNIA AVE,,CHICAGO,IL,606081732,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,61.96,36.96,27.6,28.086190476
1043260219,ARMENAKAS,NOEL,A,MD,M,I,245 E 54TH ST,2N,NEW YORK,NY,100224707,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1350,0.15,0.13,0.1019185185,0.1019185185
1043260219,ARMENAKAS,NOEL,A,MD,M,I,245 E 54TH ST,2N,NEW YORK,NY,100224707,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,1667,2.1361427714,1.73,1.270269946,1.4946130774
1043260391,LARACUENTE,RONALD,,M.D.,M,I,9325 GLADES RD,SUITE 204,BOCA RATON,FL,334343907,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,46,88,71.74875,8.32,5.7793181818,5.7793181818
1043260391,LARACUENTE,RONALD,,M.D.,M,I,9325 GLADES RD,SUITE 204,BOCA RATON,FL,334343907,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,21,21,13.321428571,1.42,1.0666666667,1.0666666667
1043260458,YOUNG,MATT,,M.D.,M,I,7325 MEDICAL CENTER DR,STE 304,WEST HILLS,CA,913074115,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,194,13.256804124,10.93,8.5691752577,8.5691752577
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,70,189,66.265238095,8.32,6.1093121693,6.1093121693
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,26,46,11.872173913,1.42,0.8726086957,0.8726086957
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,131.55066667,57.559333333,40.432666667,38.213333333
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,45.53,19.036428571,13.917142857,13.058571429
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,20,20,43.358,12.3025,8.3155,7.785
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,18,104,7.2785576923,2.0263461538,1.3768269231,1.3805769231
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,164.47368421,47.305263158,35.231052632,35.231052632
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,59.636363636,17.69,13.87,13.53
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,24,4.635,3.43,3.43
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,53,385.15433962,74.453962264,58.370377358,54.840943396
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,42.0875,32.9975,29.513333333
1043260524,POWELL,JAKE,R,MD,M,I,1001 E SUPERIOR ST,SUITE L401,DULUTH,MN,558022207,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2423,1.6258027239,0.1348823772,0.087812629,0.087812629
1043260565,TEDESCO,RICHARD,F,MD,M,I,4 ELLIOT WAY,STE 102,MANCHESTER,NH,031033551,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,37,96,241,68.536639004,8.32,6.1040248963,6.1040248963
1043260565,TEDESCO,RICHARD,F,MD,M,I,4 ELLIOT WAY,STE 102,MANCHESTER,NH,031033551,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,21,51,70,15.142857143,1.42,1.0202857143,1.0202857143
1043260565,TEDESCO,RICHARD,F,MD,M,I,4 ELLIOT WAY,STE 102,MANCHESTER,NH,031033551,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,248.6,45.885,35.973333333,37.1
1043260573,CUNNINGHAM,REBECCA,J,MD,F,I,75 FRANCIS ST,PHYLLIS JEN CENTER FOR PRIMARY CARE,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,44,54.5225,8.32,5.3361363636,5.3361363636
1043260573,CUNNINGHAM,REBECCA,J,MD,F,I,75 FRANCIS ST,PHYLLIS JEN CENTER FOR PRIMARY CARE,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,26,16.080769231,1.42,0.9434615385,0.9434615385
1043260607,LIPSTATE,JAMES,M,M.D.,M,I,401 AUDUBON BLVD,SUITE 102,LAFAYETTE,LA,705032676,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,26,74.876538462,8.32,6.5230769231,6.5230769231
1043260664,ZIELINSKI,ROBERT,M,MD,M,I,295 ESSJAY RD,,WILLIAMSVILLE,NY,142218216,US,Physician/Hematology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,6,,28,2268,47.264426808,5.1098589065,3.9673633157,3.9673633157
1043260664,ZIELINSKI,ROBERT,M,MD,M,I,295 ESSJAY RD,,WILLIAMSVILLE,NY,142218216,US,Physician/Hematology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,34,38.291764706,35.912941176,28.156176471,30.385
1043260664,ZIELINSKI,ROBERT,M,MD,M,I,295 ESSJAY RD,,WILLIAMSVILLE,NY,142218216,US,Physician/Hematology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,66.555555556,16,12.54,12.54
1043260698,CHRISTIAN,MATTHEW,W,M.D.,M,I,4439 STATE ROUTE 159 STE 260,,CHILLICOTHE,OH,456017502,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,4410,10.27,6.2797959184,4.9233582766,5.5531201814
1043260698,CHRISTIAN,MATTHEW,W,M.D.,M,I,4439 STATE ROUTE 159 STE 260,,CHILLICOTHE,OH,456017502,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,28,7.5357142857,6.44,5.0464285714,5.0464285714
1043260698,CHRISTIAN,MATTHEW,W,M.D.,M,I,4439 STATE ROUTE 159 STE 260,,CHILLICOTHE,OH,456017502,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,10.658636364,9.6481818182,7.564,7.73
1043260698,CHRISTIAN,MATTHEW,W,M.D.,M,I,4439 STATE ROUTE 159 STE 260,,CHILLICOTHE,OH,456017502,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,130,5.1365384615,4.04,3.167,3.167
1043260797,FREESE,BRETT,A,OD,M,I,324 MAIN ST S,,SAUK CENTRE,MN,563781349,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,70.061176471,70.061176471,54.927058824,53.232352941
1043260797,FREESE,BRETT,A,OD,M,I,324 MAIN ST S,,SAUK CENTRE,MN,563781349,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,29,81.103448276,66.61,52.224482759,53.836551724
1043260821,QURESHI,AHSAN,A,MD,M,I,521 E MICHIGAN AVE,SUITE 201,KALAMAZOO,MI,490073889,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,1065,5.2602816901,0.5857089202,0.4202535211,0.4202535211
1043260821,QURESHI,AHSAN,A,MD,M,I,521 E MICHIGAN AVE,SUITE 201,KALAMAZOO,MI,490073889,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,3240,3.397462963,1.3693518519,1.0709907407,1.0709907407
1043260821,QURESHI,AHSAN,A,MD,M,I,521 E MICHIGAN AVE,SUITE 201,KALAMAZOO,MI,490073889,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,24,24,18.82,18.82
1043260821,QURESHI,AHSAN,A,MD,M,I,521 E MICHIGAN AVE,SUITE 201,KALAMAZOO,MI,490073889,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,33,16,16,11.022424242,11.022424242
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,53,208,50.868365385,8.32,5.6988942308,5.6988942308
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,27,40,14.4585,1.42,1.032,1.032
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,6.55,3,2.352,2.3676666667
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5112,0.57,0.3,0.2352112676,0.2430516432
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,30,159.212,51.857666667,37.197666667,39.117666667
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,129.4,43.543529412,34.139411765,34.751764706
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,436.96347826,70,50.107826087,49.990434783
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,45.756666667,15.781428571,12.374285714,14.26
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,22.581818182,16.23,20.382727273
1043260870,DEMARTIN,ROBERT,,M.D.,M,I,1330 LAUREL AVE,SUITE 201,SEA GIRT,NJ,087502300,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,14.803333333,6.9528571429,5.2142857143,6.4661904762
1043260946,THOMAS,NICOLE,B,M.D.,F,I,"VA MEDICAL CENTER, 7305 N. MILITARY TRAIL",,WEST PALM BEACH,FL,33410,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,19.608,7.35,5.7633333333,3.7533333333
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,34,93,269,50.566468401,8.32,5.4966171004,5.4966171004
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,11.908888889,3.38,2.65,2.65
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,21,60,78,14.512692308,1.42,0.8738461538,0.8738461538
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,872,0.45,0.4381651376,0.3435550459,0.3435550459
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,181.75466667,51.114,40.076,32.868
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,551.14666667,125.30333333,98.236666667,78.306666667
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,26,26,284.05115385,76.870769231,53.013846154,39.221153846
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,26,26,89.236153846,26.394615385,19.490769231,14.005384615
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,26,26,82.378846154,20.661538462,13.851923077,8.2561538462
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,41,214,12.23271028,2.9436448598,2.1377570093,1.5843925234
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,52.67125,16.256875,12.740625,10.6825
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,329,10.807963526,5.3897264438,4.2254711246,3.243556231
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6148,0.9995120364,0.4862687053,0.3578919974,0.2820770982
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,5842,1.588803492,0.414488189,0.3249606299,0.270744608
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,77,78,90.345128205,22.666923077,15.540769231,11.966538462
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,18.732727273,12.580909091,9.1927272727
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,37.946086957,7.6986956522,5.2973913043,3.2056521739
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,201.89617021,46.214042553,32.564468085,23.614255319
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,135,136,524.02558824,100.92794118,74.866176471,54.335588235
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,250,44.636341463,33.394390244,28.250487805
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,1560,1.4613461538,0.1368653846,0.0968141026,0.0968141026
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1043260995,KROLL,CATHERINE,A,D.O.,F,I,135 E. M-35,,GWINN,MI,49841,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,102.88235294,33,24.348235294,24.348235294
1043261092,SCHWAB,ROBERT,J,MD,M,I,14080 HOSPITAL RD,,BOYS TOWN,NE,680107513,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,341.68363636,84,65.86,67.66
1043261092,SCHWAB,ROBERT,J,MD,M,I,14080 HOSPITAL RD,,BOYS TOWN,NE,680107513,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,62,12.126451613,1.87,1.4666129032,1.5688709677
1043261092,SCHWAB,ROBERT,J,MD,M,I,14080 HOSPITAL RD,,BOYS TOWN,NE,680107513,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,233.24,32.135454545,25.193636364,26.291818182
1043261126,VENAZIO,MICHAEL,A,MD,M,I,1627 US HIGHWAY 1,STE 201,SEBASTIAN,FL,329583462,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,32,89,228,70.209824561,8.32,6.0926315789,6.0926315789
1043261126,VENAZIO,MICHAEL,A,MD,M,I,1627 US HIGHWAY 1,STE 201,SEBASTIAN,FL,329583462,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,39,52,14.222884615,1.42,1.095,1.095
1043261126,VENAZIO,MICHAEL,A,MD,M,I,1627 US HIGHWAY 1,STE 201,SEBASTIAN,FL,329583462,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,101.98727273,19.374545455,15.189242424,14.551666667
1043261126,VENAZIO,MICHAEL,A,MD,M,I,1627 US HIGHWAY 1,STE 201,SEBASTIAN,FL,329583462,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,246.21304348,55.029565217,43.143478261,42.866956522
1043261126,VENAZIO,MICHAEL,A,MD,M,I,1627 US HIGHWAY 1,STE 201,SEBASTIAN,FL,329583462,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,70.83,17.544615385,13.748461538,14.013846154
1043261126,VENAZIO,MICHAEL,A,MD,M,I,1627 US HIGHWAY 1,STE 201,SEBASTIAN,FL,329583462,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,15,15,98.426,12.238666667,9.5873333333,9.1506666667
1043261126,VENAZIO,MICHAEL,A,MD,M,I,1627 US HIGHWAY 1,STE 201,SEBASTIAN,FL,329583462,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,23,106,12.449811321,2.1203773585,1.6625471698,1.596509434
1043261282,GAGNON,MARK,J,DPM,M,I,7355 ARCHER AVE,UNIT D,SUMMIT,IL,605011225,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,44,44,88,80,71.56,56.079545455,56.079431818
1043261282,GAGNON,MARK,J,DPM,M,I,7355 ARCHER AVE,UNIT D,SUMMIT,IL,605011225,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,195,40,29.19,22.885025641,22.886512821
1043261324,FIGGE,DAVID,P,ARNP,M,I,315 E BROADWAY,,LOUISVILLE,KY,402021703,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,37,2016,113.07478175,4.9546031746,3.8132738095,3.8132738095
1043261324,FIGGE,DAVID,P,ARNP,M,I,315 E BROADWAY,,LOUISVILLE,KY,402021703,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,28,28,24,24,18.82,18.82
1043261324,FIGGE,DAVID,P,ARNP,M,I,315 E BROADWAY,,LOUISVILLE,KY,402021703,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,16,16,12.54,12.54
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,190,302,302,94.060099338,41.417152318,30.317847682,28.603013245
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,99,147,147,208.77517007,96.188231293,70.674421769,63.724557823
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,88,141,277,91.956353791,36.480613718,26.96166065,24.624115523
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,90,147,635,48.732929134,20.549133858,15.522724409,14.239732283
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,97,156,667,42.784527736,15.98934033,12.0017991,11.512638681
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,210,313,313,137.75872204,59.890958466,44.586741214,41.049233227
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,284,362,362,51.582486188,19.87961326,14.736243094,13.356022099
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,24.1085,10.956,7.728,7.4475
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,123,184,184,54.92625,14.169836957,10.571847826,8.8886956522
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,289,472,2558,6.1734870993,2.2494018765,1.6797576231,1.5341047694
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,159,190,190,14.655736842,6.7815789474,5.0308947368,4.4614736842
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,56,59,59,48.221525424,14.172711864,10.136271186,9.496779661
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,787.71416667,88.922222222,63.896111111,62.065833333
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,1702.5108571,267.442,202.424,171.44942857
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,85,421,421,49.120783848,14.548432304,10.806793349,9.9441567696
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,86,459,459,384.21272331,38.653028322,28.408474946,24.45708061
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,24,173,173,380.8116763,78.691098266,55.776069364,48.901849711
1043261399,FOSTER,ALLEN,C,MD,M,I,430 E DIVISION ST,,FOND DU LAC,WI,549354560,US,"Physician, Sleep Medicine",S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,85.28,42.447692308,29.576153846,26.067692308
1043261530,DAVID,ALAN,K,MD,M,I,1155 N MAYFAIR RD,PLANK ROAD CLINIC,MILWAUKEE,WI,532263462,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,32,65.2421875,8.32,5.911875,5.911875
1043261548,GOTTENGER,EMANUEL,E,M.D.,M,I,5350 W. ATLANTICE AVENUE,SUITE 102,DELRAY BEACH,FL,334846596,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,40,5772,0.39,0.13,0.095038115,0.095038115
1043261548,GOTTENGER,EMANUEL,E,M.D.,M,I,5350 W. ATLANTICE AVENUE,SUITE 102,DELRAY BEACH,FL,334846596,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,76,9732,5.166676942,1.9780887793,1.5016584464,1.5379161529
1043261597,GEORGE,RICHARD,E,MD,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,18,18,18,168.17111111,57.798333333,43.107222222,34.439444444
1043261662,ZIELINSKI,KATHLEEN,M,M.D.,F,I,1611 S GREEN RD,SUITE 306C,CLEVELAND,OH,441214128,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,12,80.4725,71.010833333,55.6725,52.8075
1043261662,ZIELINSKI,KATHLEEN,M,M.D.,F,I,1611 S GREEN RD,SUITE 306C,CLEVELAND,OH,441214128,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,16.837272727,16.038181818,12.575,13.855
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,72,99,19.053333333,14.937777778,14.607222222
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,19,113,54.200884956,15.043451327,9.9150442478,10.017876106
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,32,32,178.1884375,55.004375,38.8796875,38.6665625
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,18,18,74.388333333,19.047222222,12.947222222,12.200555556
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,15,15,30,10.395333333,8.1473333333,8.1553333333
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,11,34,34,79,12.781176471,9.3011764706,8.5079411765
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,27,162,7.9996296296,2.0796296296,1.5301234568,1.4969135802
1043261704,SMITH,MILTON,,M.D.,M,I,630 S. RAYMOND AVE.,SUITE 204,PASADENA,CA,911053283,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,22,6.0338461538,4.7253846154,4.6561538462
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,79,68.529493671,8.32,6.1921518987,6.1921518987
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,19,17.071578947,1.42,1.0557894737,1.0557894737
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,27.01,27.01,20.171428571,21.261428571
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,10.34,10.34,7.7142857143,8.1671428571
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,460,10.198478261,9.86,7.3056304348,7.3056304348
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,45,900,5.54,5.54,4.3435,4.3435
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,62,3720,1.9775322581,1.9496774194,1.4671075269,1.4673602151
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,400,4.03,4.03,3.1595,3.1595
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,600,0.12,0.12,0.0877333333,0.0877333333
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,15,15,76.68,39.03,28.56,28.464666667
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,159,10.93,10.93,8.5693081761,8.5693081761
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,420,3.67,3.67,2.6836904762,2.6836904762
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1848,0.4483603896,0.4483603896,0.3515205628,0.3527705628
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,135.04,52.99,31.155,32.308333333
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,16,66,5.2684848485,2.06,1.3218181818,1.3045454545
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,74,1817,11.95,4.9,3.7105118327,4.0103742433
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,57,15604,0.6019757754,0.2985965137,0.227583312,0.2359388618
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,5378,1.4375046486,0.62,0.4601227222,0.4871736705
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,86.31,15.75,12.35,13.54
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,44,55.142727273,5.4193181818,3.4722727273,2.9065909091
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,22,4.9794736842,3.3939473684,3.4442105263
1043261746,REBBA,BHAVANA,,M.D.,F,I,225 MAY ST,SUITE F,EDISON,NJ,088373266,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,482.21448276,70,54.88,54.73
1043261803,PERKO,ROBERT,,MD,M,I,12273 W MCMILLAN RD,,BOISE,ID,837130555,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,45,96,74.703333333,8.32,5.2317708333,5.2317708333
1043261803,PERKO,ROBERT,,MD,M,I,12273 W MCMILLAN RD,,BOISE,ID,837130555,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,12.576,1.42,0.896,0.896
1043261803,PERKO,ROBERT,,MD,M,I,12273 W MCMILLAN RD,,BOISE,ID,837130555,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,234.93925926,84.326296296,61.631481481,51.526296296
1043261886,KRASOVICH,SUSANNE,M,MD,F,I,210 NW BARSTOW ST,WAUKESHA FAMILY PRACTICE CENTER,WAUKESHA,WI,531883771,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,17,75,17.5,13.72,13.54
1043261886,KRASOVICH,SUSANNE,M,MD,F,I,210 NW BARSTOW ST,WAUKESHA FAMILY PRACTICE CENTER,WAUKESHA,WI,531883771,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,18,394,79.98,62.7,55.163333333
1043261886,KRASOVICH,SUSANNE,M,MD,F,I,210 NW BARSTOW ST,WAUKESHA FAMILY PRACTICE CENTER,WAUKESHA,WI,531883771,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,32.148181818,22.407272727,22.263636364
1043261886,KRASOVICH,SUSANNE,M,MD,F,I,210 NW BARSTOW ST,WAUKESHA FAMILY PRACTICE CENTER,WAUKESHA,WI,531883771,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,26.52,7.9627272727,5.5454545455,6.0372727273
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,33,88,171,55.450233918,8.32,5.7352046784,5.7352046784
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.424210526,3.38,2.4773684211,2.4773684211
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,34,44,14.785227273,1.42,1.0913636364,1.0913636364
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,28,76.498571429,71.489285714,52.041785714,52.097142857
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,78,35.522307692,29.19,22.484230769,22.485897436
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,19,56.263157895,22.140526316,17.356842105,15.967368421
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,50.73,7.205,5.3871428571,3.3785714286
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,71,81,462.31641975,97.90308642,73.684567901,56.471111111
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,38.5575,27.489166667,27.0375
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,4598,0.4505393649,0.0478381905,0.0315180513,0.0315180513
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,4764,1.2466918556,0.1322732997,0.078543241,0.078543241
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,100,44.268461538,34.71,23.752307692
1043261902,SKAGGS,GREGORY,G,MD,M,I,910 WALLACE AVE,,LEITCHFIELD,KY,427542414,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,32,32,101.0625,33,22.4375,22.4375
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,24,52,171,68.135146199,8.32,5.7294152047,5.7294152047
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,32,46,9.4436956522,1.42,1.0165217391,1.0165217391
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,90.5,17.635714286,13.824285714,13.536428571
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,153,31.71,24.86,24.181666667
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,91.571428571,35.42,27.771428571,31.742857143
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,265.36533333,75.786666667,59.416666667,54.916333333
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,3732,0.2786897106,0.0466854234,0.0346141479,0.0346141479
1043262207,NAGUBADI,SANDHYA,,M.D.,F,I,6700 167TH ST,SUITE 4,TINLEY PARK,IL,604772859,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1043262298,HASLER,PHILIP,J,OD,M,I,1104 21ST ST,STE F,REEDSBURG,WI,539591022,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,72.73,72.73,54.428181818,50.591818182
1043262298,HASLER,PHILIP,J,OD,M,I,1104 21ST ST,STE F,REEDSBURG,WI,539591022,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,67.5,52.13,36.783,39.539
1043262298,HASLER,PHILIP,J,OD,M,I,1104 21ST ST,STE F,REEDSBURG,WI,539591022,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,28,80,66.61,52.224642857,54.027857143
1043262348,MEYER,MARK,S,MD,M,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,87.88,19.21,15.061666667,13.924166667
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,56,136,136,133.38632353,38.937941176,29.415735294,29.372720588
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,26,63,63,239.8631746,86.482380952,64.753809524,64.79015873
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,27,65,154,92.588701299,33.537142857,25.097727273,24.774285714
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,38,84,446,53.665493274,19.041457399,14.391008969,14.018206278
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,31,57,302,44.30589404,15.436125828,11.116225166,10.908112583
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,66,154,154,158.27545455,55.722792208,41.174415584,40.333506494
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,79,114,114,53.881578947,18.225701754,13.366929825,13.235438596
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,30.655,10.873333333,8.5216666667,8.3358333333
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,37,76,76,62.641052632,12.219868421,8.9518421053,8.5257894737
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,87,203,1190,7.4847142857,2.0636386555,1.5446722689,1.5196470588
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,41,51,51,18.658039216,5.9880392157,4.4915686275,4.4498039216
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,42,53,53,36.018679245,13.112830189,9.891509434,9.9577358491
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,24,147,152,138.81927632,34.275328947,26.100460526,24.456315789
1043262389,GREENE,DAVID,,M.D.,M,I,1000 GOODLETTE RD N,SUITE 200,NAPLES,FL,341025474,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,410,65.7,49.168636364,52.279090909
1043262439,ISENBERG,JASON,S,M.D.,M,I,1313 FISH HATCHERY RD,,MADISON,WI,537151911,US,Physician/Otolaryngology,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,163.35,40.066363636,31.412727273,26.309090909
1043262447,EBY,SAMUEL,R,MD,M,I,11104 PARKVIEW CIRCLE DR,"ENTRANCE 11, SUITE 330",FORT WAYNE,IN,46845,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,2610,5.3797241379,0.5799195402,0.4440727969,0.4440727969
1043262447,EBY,SAMUEL,R,MD,M,I,11104 PARKVIEW CIRCLE DR,"ENTRANCE 11, SUITE 330",FORT WAYNE,IN,46845,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1950,0.1866666667,0.0134615385,0.0097128205,0.0097128205
1043262447,EBY,SAMUEL,R,MD,M,I,11104 PARKVIEW CIRCLE DR,"ENTRANCE 11, SUITE 330",FORT WAYNE,IN,46845,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,4590,1.6689433551,0.7399607843,0.5348474946,0.5348474946
1043262447,EBY,SAMUEL,R,MD,M,I,11104 PARKVIEW CIRCLE DR,"ENTRANCE 11, SUITE 330",FORT WAYNE,IN,46845,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,2700,3.241062963,1.2172222222,0.9187740741,0.9187740741
1043262447,EBY,SAMUEL,R,MD,M,I,11104 PARKVIEW CIRCLE DR,"ENTRANCE 11, SUITE 330",FORT WAYNE,IN,46845,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,3720,4.8933682796,2.8313548387,2.1812069892,2.1812069892
1043262447,EBY,SAMUEL,R,MD,M,I,11104 PARKVIEW CIRCLE DR,"ENTRANCE 11, SUITE 330",FORT WAYNE,IN,46845,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,48,48,24,24,18.406041667,18.406041667
1043262447,EBY,SAMUEL,R,MD,M,I,11104 PARKVIEW CIRCLE DR,"ENTRANCE 11, SUITE 330",FORT WAYNE,IN,46845,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,56,58,16,16,11.675344828,11.675344828
1043262470,FISHER,PAMELA,A,MD,F,I,25945 GATEWAY DR,,ZIMMERMAN,MN,553985300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,27,54,51.519259259,8.32,6.4035185185,6.4035185185
1043262470,FISHER,PAMELA,A,MD,F,I,25945 GATEWAY DR,,ZIMMERMAN,MN,553985300,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,9.6608333333,1.42,1.12,1.12
1043262470,FISHER,PAMELA,A,MD,F,I,25945 GATEWAY DR,,ZIMMERMAN,MN,553985300,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,25.770909091,9.4190909091,7.0572727273,3.7854545455
1043262470,FISHER,PAMELA,A,MD,F,I,25945 GATEWAY DR,,ZIMMERMAN,MN,553985300,US,Physician/Family Practice,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600,423.05272727,318.63181818,318.63181818
1043262470,FISHER,PAMELA,A,MD,F,I,25945 GATEWAY DR,,ZIMMERMAN,MN,553985300,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,3210,1.6800124611,0.135,0.0874454829,0.0874454829
1043262470,FISHER,PAMELA,A,MD,F,I,25945 GATEWAY DR,,ZIMMERMAN,MN,553985300,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,31,33,33,22.066129032,22.066129032
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,64,54.559375,8.32,6.11484375,6.11484375
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,270,5.8855555556,4.91,3.5643333333,3.5643333333
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,135,6.57,5.54,3.6996296296,3.6996296296
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.12,0.12,0.094,0.094
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,364,8.8053846154,6.2553846154,4.5267307692,5.3465934066
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,150,3.6473333333,3.04,2.0653333333,2.0653333333
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,73.914545455,71.347272727,54.670454545,54.835909091
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,66,30.069393939,29.102727273,22.816969697,22.886666667
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,300,34.994,34.86,27.3303,27.3303
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,349,24.608710602,23.66,18.549398281,18.549398281
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,51,1930,8.3823523316,8.28,6.4915958549,6.4915958549
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,547,19.257586837,18.5,14.467897623,14.467897623
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,324,1.1,1.08,0.8469753086,0.8469753086
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6220,"Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,24,378,2.75,2.75,2.1557936508,2.2814285714
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,23,298,2.3882550336,2.3318791946,1.8280201342,1.8814765101
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,18,332,4.0701807229,3.67,2.8772289157,2.8772289157
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,30,2584,0.4646749226,0.4490712074,0.3520975232,0.3527902477
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,365,4.3789863014,3.793890411,2.9576712329,2.966109589
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,47,1321,5.5558743376,3.24,2.503663891,2.337342922
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,22,141,3798,20.440189573,6.32,4.8539915745,4.1270405477
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,11,20,20,37.162,26.74,20.96,20.39
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4712,0.5038709677,0.39,0.2835016978,0.2701061121
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,16,105,56923,0.5230226798,0.32,0.2409368796,0.2337415456
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,61,32204,1.7308331263,0.6515358341,0.4992115886,0.5013967209
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,16,89,89,165.4888764,67.5,51.730786517,47.647640449
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,43,43,240,61.48,48.204883721,41.711162791
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,34,183,184,266.60423913,49.640597826,34.199184783,32.697065217
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,256.98076923,49.243461538,36.797307692,36.586153846
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,72.588181818,24.520909091,19.223030303,16.892424242
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,20.616078431,7.1382352941,5.49,4.0515686275
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,12,60,60,208.255,48.023666667,33.456166667,31.995333333
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,22,151,151,12.692582781,5.42,4.1374172185,4.1459602649
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.72,14.0625,9.8891666667,8.0316666667
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,325.37222222,86.545555556,67.849166667,54.73
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,116.25,47.55,34.95,27.50625
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,780,9.5238461538,3.0918205128,2.424,2.424
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,66,368,371,86.993369272,22.585849057,16.495013477,13.274447439
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,179.46086957,40.880652174,30.73,20.742173913
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,49,307,308,34.421915584,10.61737013,7.7875324675,6.2165909091
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,L1831,"Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,28,317.94928571,287.18,225.15,222.69142857
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,L3760,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,21,422.96190476,422.84952381,327.03571429,340.32190476
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,33,41,224.63463415,221.97414634,174.02731707,172.20682927
1043262538,ABUTINEH,MOHAMMED,I,M.D.,M,I,6263 POPLAR AVE,SUITE 1052,MEMPHIS,TN,381194701,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,33,33,25.87,25.87
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,33,108,82.471759259,8.32,6.4213888889,6.4213888889
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,18.07,1.42,1.0307692308,1.0307692308
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,17.34,10.93,7.7909090909,7.7909090909
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.5765,3.32,2.603,3.0575
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,272,6.8055882353,2.91,2.2812867647,2.2812867647
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,18.01,9.86,7.1755,7.1755
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.114,4.04,3.1675,3.1675
1043262546,O'SULLIVAN,MONICA,M,MD,F,I,9200 W WISCONSIN AVE,DEPARTMENT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.4124,0.27,0.2116,0.2116
1043262561,CARTLEDGE,ROBERT,B,M.D.,M,I,301 MEMORIAL DR STE F,,SENECA,SC,296729445,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,47,47,70.661276596,21.030425532,15.117021277,13.119574468
1043262561,CARTLEDGE,ROBERT,B,M.D.,M,I,301 MEMORIAL DR STE F,,SENECA,SC,296729445,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4695.9,913.16,705.16416667,831.505
1043262561,CARTLEDGE,ROBERT,B,M.D.,M,I,301 MEMORIAL DR STE F,,SENECA,SC,296729445,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,55,55,23.5,8.3665454545,6.3381818182,3.5721818182
1043262561,CARTLEDGE,ROBERT,B,M.D.,M,I,301 MEMORIAL DR STE F,,SENECA,SC,296729445,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,42,42,365.61142857,95.573809524,71.030238095,57.624047619
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,49,101,101,159.31861386,43.367821782,32.19,28.914158416
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,43,91,91,493.51472527,108.48010989,78.519230769,63.106043956
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,43,111,253,183.50166008,41.158418972,31.188695652,25.518853755
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,25,47,236,103.84415254,21.41779661,15.805889831,13.739788136
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,21,54,296,75.380135135,16.563310811,12.297668919,11.367601351
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,46,96,96,283.53197917,62.25625,46.001770833,40.46125
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,84,122,122,87.858196721,21.225245902,16.025245902,13.635983607
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,37.49,11.017333333,8.64,8.1613333333
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,37,78,78,94.361410256,16.876794872,13.07474359,9.2752564103
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,89,212,1029,12.399125364,2.4296793003,1.8563168124,1.5643051506
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,24,36,36,27.615277778,7.195,5.2705555556,4.3036111111
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,73,99,99,58.667171717,14.384646465,10.797777778,10.001717172
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,72,86.31,21.710277778,15.772638889,14.865694444
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,18,24,186.48333333,59.2,46.412083333,38.125
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,30,32,585.87625,127.0603125,95.4928125,64.85875
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,17,93,106,78.455188679,13.697358491,10.106981132,9.4873584906
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,50.73,4.82,3.784,3.654
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,25,120,130,231.63423077,37.167307692,25.079,21.384769231
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,115,125,530.48328,79.20568,57.26472,52.7316
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,227.5,37.0415625,25.7921875,26.3503125
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,37,11848,0.2975953747,0.046179102,0.0326510804,0.0326510804
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1860,1.3461021505,0.1273225806,0.0998387097,0.0998387097
1043262769,MARTINEZ,MANUEL,A,MD,M,I,11104 PARKVIEW CIRCLE DR,SUITE 410,FORT WAYNE,IN,468451672,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,38,38,36.631578947,33,23.146842105,23.146842105
1043262777,STRAUGHN,JOHN,M,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Obstetrics & Gynecology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,300,8.571,3.32,2.6029333333,2.9667666667
1043262785,RIES,LAUREL,,M.D.,F,I,980 RICE ST,,SAINT PAUL,MN,551174949,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,16,9.989375,8.565,6.711875,6.790625
1043262785,RIES,LAUREL,,M.D.,F,I,980 RICE ST,,SAINT PAUL,MN,551174949,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,15,15.244666667,13.506,9.868,10.066
1043262785,RIES,LAUREL,,M.D.,F,I,980 RICE ST,,SAINT PAUL,MN,551174949,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,30,11.558333333,10.300666667,7.5053333333,7.8753333333
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,82,151,71.162715232,8.32,6.2001324503,6.2001324503
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,20,17.52,1.42,1.008,1.008
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,178.675,45.22,35.46,37.63
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,31.856086957,4.34,3.4008695652,3.5260869565
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,71,48.1225,47.27
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,2.0374166667,0.1366666667,0.1071736111,0.1071736111
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,138.10714286,18.162142857,11.508571429,11.847857143
1043262868,WALLER,JEROME,H,M.D.,M,I,309 E 1ST AVE,,EASLEY,SC,296403040,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,62,134,58.141940299,8.32,5.9324626866,5.9324626866
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.709090909,3.38,2.4090909091,2.4090909091
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,40,52,16.112115385,1.42,1.01,1.01
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,26,86.31,22.439615385,16.443461538,12.489230769
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,44.724705882,5.5647058824,2.9382352941,2.5488235294
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,30,556.119,110.90866667,84.963666667,55.605666667
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3044,0.1844940867,0.0464027595,0.0345597898,0.0345597898
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9881818182,2.331969697,2.331969697
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,93.88,67.555454545,52.964545455,40.323636364
1043262942,MURRAY,FRANCES,B,MD,F,I,120 MEDICAL PARK DR,SUITE 300,BRIDGEPORT,WV,263309012,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,127.05,33,24.5765,24.5765
1043263171,NOXON,BRUCE,E,D.P.M.,M,I,2050 PFINGSTEN RD,SUITE #190,GLENVIEW,IL,600261324,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,150,72.45,56.8,60.58
1043263171,NOXON,BRUCE,E,D.P.M.,M,I,2050 PFINGSTEN RD,SUITE #190,GLENVIEW,IL,600261324,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,490,251.28,197,209.2584
1043263338,KOLLIAS,STEPHEN,L,MD,M,I,8450 NORTHWEST BLVD,,INDIANAPOLIS,IN,462781381,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,127.78,100.42,64.9025,72.935
1043263346,SESHABHATTAR,PRAVEEN,,M.D.,M,I,1850 BLUEGRASS AVE,HIPS DEPT,LOUISVILLE,KY,402151161,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,74,74,47.203378378,17.312297297,12.679189189,12.932567568
1043263346,SESHABHATTAR,PRAVEEN,,M.D.,M,I,1850 BLUEGRASS AVE,HIPS DEPT,LOUISVILLE,KY,402151161,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,73,73,281.13150685,73.747945205,53.982465753,52.791506849
1043263379,MCNAMARA,GREGORY,,D.P.M.,M,I,33 BARTLETT ST,,LOWELL,MA,018521334,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,336.93333333,332.77133333,258.25266667,227.92633333
1043263478,THOMPSON,STEPHEN,C,M.D.,M,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,22,55.187727273,18.539090909,12.124090909,11.425909091
1043263478,THOMPSON,STEPHEN,C,M.D.,M,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,20,4.2545454545,3.3381818182,3.6709090909
1043263478,THOMPSON,STEPHEN,C,M.D.,M,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,62,422.25774194,87.056451613,59.971129032,48.989516129
1043263478,THOMPSON,STEPHEN,C,M.D.,M,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,100,40.25,30.427142857,28.523571429
1043263478,THOMPSON,STEPHEN,C,M.D.,M,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,85,40.25,28.690909091,26.827272727
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,4.4072727273,0.51,0.4,0.4
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,32,80,280,54.29025,8.32,6.4288571429,6.4288571429
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,38,39,14.131282051,3.38,2.65,2.65
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,22.015294118,2.12,1.67,1.67
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,22,52,94,15.009787234,1.42,1.1030851064,1.1030851064
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,23,37,37,88.401621622,48.724594595,37.364324324,30.089459459
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,26,52,7.04,1.7861538462,1.4005769231,1.1780769231
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,22,31,31,259.62967742,115.64967742,90.668387097,70.720322581
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,15,25,69,93.516666667,43.397681159,34.023913043,27.880434783
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,140.64352941,73.858823529,49.970588235,35.461176471
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,26,30,30,43.915333333,23.533333333,17.929,13.869666667
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,30,43,191,8.7635602094,3.0221989529,2.312513089,1.6232460733
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,28.559285714,15.380714286,12.055,10.535714286
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,22,106,106,34.06,15.936320755,11.839056604,9.7549056604
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,41,52,53.130961538,7.2542307692,5.43,4.3953846154
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,28,146,146,126.38,50.578356164,38.058835616,24.243013699
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35,12.775833333,10.019166667,8.3975
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,29,513.5937931,105.86689655,77.859310345,69.486551724
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1821,0.2551400329,0.0481054366,0.0326743548,0.0326743548
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,2910,1.1129140893,0.1366185567,0.1029553265,0.1029553265
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,750,194.86,152.77142857,152.77142857
1043263494,ALAM,TAUQUEER,S,M.D.,M,I,109 CARTER PARK DR,SUITE 3A,SENECA,SC,296781152,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,45,45,95.133333333,33,24.720222222,24.720222222
1043263536,HAYNES,WALTER,G,M.D.,M,I,513 BROOKWOOD BLVD,STE. 75,BIRMINGHAM,AL,352096862,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,119.29928571,60.038571429,45.46,35.165
1043263536,HAYNES,WALTER,G,M.D.,M,I,513 BROOKWOOD BLVD,STE. 75,BIRMINGHAM,AL,352096862,US,Physician/Neurosurgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.98,9.955,7.8,7.455
1043263544,NEUBIG,ELIZABETH,,MD,F,I,200 JEFFERSON AVE SE,,GRAND RAPIDS,MI,495034502,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,175,47.363846154,23.288461538,21.707692308
1043263544,NEUBIG,ELIZABETH,,MD,F,I,200 JEFFERSON AVE SE,,GRAND RAPIDS,MI,495034502,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,36,38,175,47.468947368,37.216578947,38.535
1043263544,NEUBIG,ELIZABETH,,MD,F,I,200 JEFFERSON AVE SE,,GRAND RAPIDS,MI,495034502,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,139,17.286,12.692,12.818
1043263916,DOMBROWSKI,MARK,,M.D.,M,I,452 OLD HOOK RD,2ND FLOOR,EMERSON,NJ,076301381,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,49,74.203061224,8.32,6.5210204082,6.5210204082
1043263916,DOMBROWSKI,MARK,,M.D.,M,I,452 OLD HOOK RD,2ND FLOOR,EMERSON,NJ,076301381,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,180,10.93,10.93,8.5691666667,8.5691666667
1043264047,GUPTA,SALIL,,M. D.,M,I,95 UNIVERSITY PL,8TH FLOOR,NEW YORK,NY,100034515,US,Physician/Orthopedic Surgery,S,L3766,"Elbow wrist hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,1750,1170.59,909.16153846,924.74153846
1043264047,GUPTA,SALIL,,M. D.,M,I,95 UNIVERSITY PL,8TH FLOOR,NEW YORK,NY,100034515,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,118,124,144,530.68611111,346.83006944,269.821875,255.45895833
1043264047,GUPTA,SALIL,,M. D.,M,I,95 UNIVERSITY PL,8TH FLOOR,NEW YORK,NY,100034515,US,Physician/Orthopedic Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,81,83,105,550,362.6,284.1352381,301.85838095
1043264047,GUPTA,SALIL,,M. D.,M,I,95 UNIVERSITY PL,8TH FLOOR,NEW YORK,NY,100034515,US,Physician/Orthopedic Surgery,S,L3919,"Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,18,350,233.5,183.06,185.47888889
1043264047,GUPTA,SALIL,,M. D.,M,I,95 UNIVERSITY PL,8TH FLOOR,NEW YORK,NY,100034515,US,Physician/Orthopedic Surgery,S,L3921,"Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,55,56,66,400,276.92,217.11,220.33515152
1043264047,GUPTA,SALIL,,M. D.,M,I,95 UNIVERSITY PL,8TH FLOOR,NEW YORK,NY,100034515,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,21,21,292.38095238,183.93,144.2,146.3
1043264047,GUPTA,SALIL,,M. D.,M,I,95 UNIVERSITY PL,8TH FLOOR,NEW YORK,NY,100034515,US,Physician/Orthopedic Surgery,S,L3935,"Finger orthosis, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,300,190.45,149.31,151.62818182
1043264146,IVERSON,BETH,A,CNP,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,4320,3.8368009259,0.563099537,0.4009282407,0.4009282407
1043264146,IVERSON,BETH,A,CNP,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.4688222222,0.013,0.0102,0.0102
1043264146,IVERSON,BETH,A,CNP,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,2760,3.3922101449,1.1618333333,0.8806304348,0.8806304348
1043264146,IVERSON,BETH,A,CNP,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,38,24,24,17.581315789,17.581315789
1043264146,IVERSON,BETH,A,CNP,F,I,640 FLORMANN ST,,RAPID CITY,SD,57701,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,43,16,16,11.956744186,11.956744186
1043264336,CRITTENDEN,JEFFREY,J,MD,M,I,480 HONEYSUCKLE RD,,DOTHAN,AL,363051156,US,Physician/Gastroenterology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,60,37.38,23.972727273,23.972727273
1043264484,REINE,ALDEN,,MD,M,I,441 MCALISTER RD,STE 1200,LINCOLNTON,NC,280924126,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,51,5584,3.1448638968,1.73,1.3563180516,1.5980354585
1043264484,REINE,ALDEN,,MD,M,I,441 MCALISTER RD,STE 1200,LINCOLNTON,NC,280924126,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,2610,11.378735632,6.68,5.1868007663,5.5982222222
1043264484,REINE,ALDEN,,MD,M,I,441 MCALISTER RD,STE 1200,LINCOLNTON,NC,280924126,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,1840,13,7.88,6.0999456522,6.0999456522
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,38,40,55.062,45.943,36.0205,32.27625
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.965,2.1509090909,1.6845454545,1.2127272727
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,21,57,57,187.27736842,112.74859649,87.071052632,74.728421053
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,18,44,86,56.948372093,44.205348837,34.392209302,28.97744186
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,13,35,88,51.487727273,23.214090909,18.141931818,14.698522727
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,16,42,44,139.09818182,68.529090909,53.729090909,44.024090909
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,37,55,55,38.69,22.853454545,17.584909091,14.596363636
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,57,57,48.53122807,18.139649123,13.837017544,9.9643859649
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,34,86,476,5.3856722689,2.9124369748,2.2461344538,1.7576260504
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,24,34,34,21.396764706,15.302941176,11.937058824,10.679411765
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,135.06129032,111.52322581,82.329354839,59.140645161
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,44,44,16.917954545,15.101590909,10.787272727,8.8236363636
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,36.5735,8.533,6.6885,4.3995
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,77,78,101.55217949,43.897564103,32.189615385,23.62974359
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,55,202.22545455,86.675636364,66.04,52.89
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,4350,0.17,0.0460689655,0.0335770115,0.0335770115
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1469,0.9368890402,0.1346494214,0.098162015,0.098162015
1043264575,SCHOLL,LONNIE,,PA-C,M,I,4920 SW LEE BLVD,,LAWTON,OK,735058339,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,128.46428571,33,24.022142857,24.022142857
1043264609,MOHIS,SHEREEN,,M.D.,F,I,331 E. PUETZ RD.,STE 104,OAK CREEK,WI,531543253,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,42,71.420714286,8.32,4.8052380952,4.8052380952
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,44,77.675909091,8.32,5.9288636364,5.9288636364
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,326,30,5.18,4.0610122699,4.0784969325
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,154.51,51.442,40.328,39.93
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,88.857272727,17.27,13.54,13.54
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,22,4.5955555556,3.1355555556,3.2994444444
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,346.81,68.78,53.92,54.501818182
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,76,38.306363636,26.5,26.767272727
1043264633,ELNADRY,JEANNE,N,M.D.,F,I,2244 S AVENUE A,SUITE A,YUMA,AZ,853648341,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,65.589189189,18.709189189,14.186216216,14.23027027
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,18,33.240555556,28.46,22.31,22.31
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,12.951538462,9.29,7.28,8.4707692308
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2056,0.44,0.44,0.3449805447,0.3449805447
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,450,8.28,8.28,6.4916222222,6.4916222222
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,1812,0.4528090508,0.4497516556,0.3526269316,0.3527483444
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,348,7.7123563218,5.4255747126,4.2537931034,4.1631609195
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,10239,0.4239320246,0.31,0.2430452193,0.2430452193
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,15,15,79.452666667,61.216,47.996,48.32
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,132.68,47.280625,37.068125,36.38625
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,181.41,49.701785714,33.9275,33.991785714
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,17,92,92,40.46,16.902282609,13.084021739,13.358152174
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,24.078095238,4.874047619,3.7514285714,3.4988095238
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,136.12,47.454545455,37.200909091,36.540909091
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,12.162142857,5.0685714286,3.9757142857,3.95
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,25.45,9.0371428571,6.1971428571,6.3435714286
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,23,111,111,240.62,71.756216216,55.722072072,54.392702703
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,79,79,74.7,21.174683544,16.066202532,15.258227848
1043264641,KAPOOR,SANDEEP,,M.D.,M,I,2109 CLUB VISTA PL,BUSINESS OFFICE,LOUISVILLE,KY,402455224,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,27.23,8.8775862069,6.5296551724,6.5134482759
1043264690,BANISADRE,MUSSA,,MD,M,I,1325 MELROSE AVE,SUITE A,MODESTO,CA,953505508,US,Physician/Hematology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,50,4288,38.419610541,4.9869776119,3.8965461754,3.8965461754
1043264690,BANISADRE,MUSSA,,MD,M,I,1325 MELROSE AVE,SUITE A,MODESTO,CA,953505508,US,Physician/Hematology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,41,41,24.731707317,24,18.82,18.82
1043264690,BANISADRE,MUSSA,,MD,M,I,1325 MELROSE AVE,SUITE A,MODESTO,CA,953505508,US,Physician/Hematology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16.285714286,16,12.54,12.54
1043264732,GOURD,JOHNSON,C,M.D.,M,I,9912 E 21ST ST,,TULSA,OK,741291620,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,9.6954166667,3.385,2.65625,1.59
1043264732,GOURD,JOHNSON,C,M.D.,M,I,9912 E 21ST ST,,TULSA,OK,741291620,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.81,22.4775,17.620833333,14.031666667
1043264732,GOURD,JOHNSON,C,M.D.,M,I,9912 E 21ST ST,,TULSA,OK,741291620,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,288.1712,101.6008,79.6572,56.3496
1043264732,GOURD,JOHNSON,C,M.D.,M,I,9912 E 21ST ST,,TULSA,OK,741291620,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,95.714285714,40.9,32.067857143,29.515714286
1043264740,DIVERTIE,CARMEN,N,MD,F,I,701 PARK AVE (P7),,MINNEAPOLIS,MN,554151829,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,34,81.732941176,8.32,5.7535294118,5.7535294118
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,28,70,68.983142857,8.32,6.521,6.521
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,60,7.75,3.38,2.65,2.69
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,371,13.25,5.27,4.1319137466,4.1632075472
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4643,0.910919664,0.6374003877,0.4927956063,0.5105039845
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,175,46.3732,30.2984,30.5924
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,51.24,17.04,13.36,13.515833333
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,30.222592593,4.0974074074,2.8859259259,3.3955555556
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,303.85533333,74,56.086,53.234666667
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1680,1.5582857143,0.1346428571,0.105577381,0.105577381
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.75,0.219,0.17175,0.17175
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,134.16608696,27.067173913,20.786086957,20.826956522
1043264765,CRIGLER,WILLIAM,H,MD,M,I,4711 SUNSET BLVD,,LEXINGTON,SC,290729151,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,32,32,113.4375,33,25.87,25.87
1043264781,DEVEREAUX,ROBERT,A,MD,M,I,11100 WARNER AVE,STE 100,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,37,94,75.713829787,8.32,5.4122340426,5.4122340426
1043264781,DEVEREAUX,ROBERT,A,MD,M,I,11100 WARNER AVE,STE 100,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,18,13.222777778,1.42,0.6222222222,0.6222222222
1043264781,DEVEREAUX,ROBERT,A,MD,M,I,11100 WARNER AVE,STE 100,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,97.868461538,52.155384615,37.8,39.819230769
1043264781,DEVEREAUX,ROBERT,A,MD,M,I,11100 WARNER AVE,STE 100,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,23.885,12.25,9.3741666667,8.89
1043264781,DEVEREAUX,ROBERT,A,MD,M,I,11100 WARNER AVE,STE 100,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,78,4.1976923077,2.0207692308,1.4638461538,1.4715384615
1043264781,DEVEREAUX,ROBERT,A,MD,M,I,11100 WARNER AVE,STE 100,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,59.47,32.7555,25.68,26.805
1043264799,CLARK,LISA,H,MD,F,I,8220 WALNUT HILL LN,110,DALLAS,TX,752314427,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,99.45,28.869090909,16.298181818,15.168181818
1043264823,THOMAS,CYNTHIA,,MD,F,I,2001 S CALIFORNIA AVE,,CHICAGO,IL,606082486,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,39,106,62.965,8.32,4.5531132075,4.5531132075
1043264823,THOMAS,CYNTHIA,,MD,F,I,2001 S CALIFORNIA AVE,,CHICAGO,IL,606082486,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,22,31,16.097419355,1.42,0.6490322581,0.6490322581
1043264823,THOMAS,CYNTHIA,,MD,F,I,2001 S CALIFORNIA AVE,,CHICAGO,IL,606082486,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,90.5,18,14.11,13.54
1043264823,THOMAS,CYNTHIA,,MD,F,I,2001 S CALIFORNIA AVE,,CHICAGO,IL,606082486,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,236.2,77.18,60.51,54.9516
1043265093,PANKRATZ,MICHAEL,J,M.D.,M,I,3135 MIDDLE ROAD,,COLUMBUS,IN,472034472,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,24,24,24,77.232083333,69.903333333,50.944583333,49.817083333
1043265093,PANKRATZ,MICHAEL,J,M.D.,M,I,3135 MIDDLE ROAD,,COLUMBUS,IN,472034472,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,39,59.364615385,53.654871795,42.067948718,53.804102564
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,116,213,65.363474178,8.32,6.4919248826,6.4919248826
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,20,13.4595,1.42,1.006,1.006
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,65,4875,5.1675015385,0.559214359,0.4171753846,0.4171753846
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,53,8850,0.099160452,0.0127288136,0.0096146893,0.0096146893
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,72,9690,6.0665964912,1.2134788442,0.9107378741,0.927370485
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,5100,5.0624686275,2.8306235294,2.1439882353,2.1439882353
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1260,1.9642539683,0.1367857143,0.1072460317,0.1072460317
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,77,77,24,24,18.093506494,18.093506494
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,114,148,16,16,12.201148649,12.201148649
1043265176,FEY,SHARON,K,PA C,F,I,700 4TH STREET,STE 410,SIOUX CITY,IA,51101,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,33,33,25.87,25.87
1043265226,LAROY,JAMES,B,M.D,M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,51,80.778823529,8.32,5.498627451,5.498627451
1043265309,MAY,KATHLEEN,J,F.N.P.,F,I,201 TAHOMA BLVD,SUITE 102,YELM,WA,985977735,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,23,41.896521739,8.32,6.24,6.24
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,31,2242,0.9829527208,0.1194380018,0.0936752899,0.0936752899
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,420,12.662857143,8.28,6.4916666667,6.4916666667
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,20,572,4,2.4,1.8816608392,1.8816608392
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,28,3261,2.9274885005,2.1162465501,1.6591199019,1.6934222631
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,30,2860,0.9817482517,0.13,0.1019055944,0.1019055944
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,111.88,43.3125,30.471666667,32.6275
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,86,35.66,27.956363636,22.46
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,26,27,150,145.52,113.63703704,95.331111111
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,296.8,286.24,224.41,187.01
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,20,138.818,105.08,82.38,73.4555
1043265549,BAUTISTA,RAYMOND,M,,M,I,701 E 28TH ST,SUITE 111,LONG BEACH,CA,908062759,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,301.39130435,293.17,229.85,218.89
1043265606,LIMBERT,ANDREW,B,D.O.,M,I,44038 WOODWARD AVE,SUITE 100,BLOOMFIELD HILLS,MI,483025035,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,16,87.49625,17.920625,14.045,14.411875
1043265648,STEINBERG,JENNIFER,L,RPAC,F,I,369 E MAIN STREET,STE 3,EAST ISLIP,NY,11730,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,69,72.943623188,8.32,6.1442028986,6.1442028986
1043265648,STEINBERG,JENNIFER,L,RPAC,F,I,369 E MAIN STREET,STE 3,EAST ISLIP,NY,11730,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1366,0.338477306,0.0447071742,0.0350292826,0.0350292826
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,27,43,43,145.48581395,41.988837209,31.168139535,29.31744186
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,18,34,34,349.27735294,101.35029412,77.348823529,66.982352941
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,20,38,88,138.80022727,37.391136364,27.532613636,24.678522727
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,15,23,111,73.976756757,20.581351351,15.200900901,13.703063063
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,12,18,80,50.961625,15.9845,12.48725,11.86225
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,27,38,38,184.95263158,58.381315789,44.620263158,42.463421053
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,41,52,52,69.212115385,19.740769231,15.203269231,13.950576923
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,21,35,35,79.812857143,13.609714286,9.8597142857,8.3494285714
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,45,72,397,8.6098236776,2.2816120907,1.675163728,1.5080856423
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,21.18,6.3641666667,4.9858333333,4.6575
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,17,24,24,46.201666667,13.005,9.3608333333,9.495
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,59,59,71.420847458,18.719830508,13.931186441,13.172711864
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,91.990769231,17.88,12.936923077,12.552307692
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,794.67619048,73.912857143,50.233809524,47.714761905
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,274.56923077,53.98,39.064615385,38.664615385
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,203.1,49.74,37.217727273,35.981363636
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,842.26
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,280,109.798,86.0815,69.9475
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,16,16,430.08125,146.12625,114.561875,104.7
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,25,29,77.313793103,15.154137931,11.885517241,10.714482759
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,23,120,131,389.82290076,38.459083969,29.496335878,25.924961832
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,18,47,303,317,347.71741325,80.847570978,61.198454259,53.166056782
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,62,110.28709677,40.168548387,31.00483871,29.184032258
1043265663,CLARK,TIMOTHY,M,MD,M,I,4820 RIVERBEND RD STE 100,,BOULDER,CO,803012618,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,84,84,209.61428571,40.970714286,31.341190476,29.120952381
1043265721,MARTIN,JOHN,P,DO,M,I,220 GREENE PLZ,,WAYNESBURG,PA,153708144,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,61,119,67.25605042,8.32,5.7546218487,5.7546218487
1043265721,MARTIN,JOHN,P,DO,M,I,220 GREENE PLZ,,WAYNESBURG,PA,153708144,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,20,12.1205,1.42,1.061,1.061
1043265721,MARTIN,JOHN,P,DO,M,I,220 GREENE PLZ,,WAYNESBURG,PA,153708144,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,33,86.31,22.253636364,16.993333333,13.12
1043265721,MARTIN,JOHN,P,DO,M,I,220 GREENE PLZ,,WAYNESBURG,PA,153708144,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50,7.2181818182,5.2181818182,3.0727272727
1043265721,MARTIN,JOHN,P,DO,M,I,220 GREENE PLZ,,WAYNESBURG,PA,153708144,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,45,519.51,94.328,69.969333333,51.081333333
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2100,0.39,0.13,0.0946428571,0.0946428571
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,4090,4.6525672372,1.73,1.2898948655,1.5091540342
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,15,50,146,18.912739726,10.611643836,8.0261643836,8.2368493151
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,310,10.425677419,5.7322580645,3.7681935484,3.7681935484
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,34,980,20.189285714,9.8040816327,7.5152244898,7.5590714286
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,45,1250,8.685624,4.03872,3.166344,3.166344
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,33,1885,0.8044986737,0.27,0.2088381963,0.2088381963
1043265747,LAM,PO,N,MD,M,I,1226 E WATER ST,,SYRACUSE,NY,132101155,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,32,1465,0.7743686007,0.27,0.2116382253,0.2116382253
1043265762,ALLON,MICHAEL,,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,465.67272727,89.86,70.45,56.159090909
1043265762,ALLON,MICHAEL,,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Nephrology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,238.90909091,39.56,31.02,29.647272727
1043265978,MEHRA,MANDEEP,R,M.D.,M,I,75 FRANCIS ST,A-324,BOSTON,MA,021156110,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,31,629.90387097,37.38,29.305483871,29.305483871
1043265978,MEHRA,MANDEEP,R,M.D.,M,I,75 FRANCIS ST,A-324,BOSTON,MA,021156110,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,864,186.51311343,1.5641898148,1.2263194444,1.2263194444
1043266059,SHUMAN,KENNETH,,MD,M,I,36 MADBURY RD,,DURHAM,NH,038242021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,29,58,71.505862069,8.32,5.734137931,5.734137931
1043266059,SHUMAN,KENNETH,,MD,M,I,36 MADBURY RD,,DURHAM,NH,038242021,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,160,2.9385,2.9055,2.2780625,2.281625
1043266059,SHUMAN,KENNETH,,MD,M,I,36 MADBURY RD,,DURHAM,NH,038242021,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,188,38.730212766,4.91,3.8493085106,4.1630851064
1043266059,SHUMAN,KENNETH,,MD,M,I,36 MADBURY RD,,DURHAM,NH,038242021,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4965,11.175939577,1.1259033233,0.8537985901,0.9197260826
1043266174,MUSHTAQ,MIAN,,M.D.,M,I,301 GORDON GUTMANN BLVD,STE 301,JEFFERSONVILLE,IN,471303764,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,1516,113.01622691,5.0664116095,3.9720514512,3.9720514512
1043266174,MUSHTAQ,MIAN,,M.D.,M,I,301 GORDON GUTMANN BLVD,STE 301,JEFFERSONVILLE,IN,471303764,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1043266240,CHANG,DAVID,F,M.D.,M,I,36320 INLAND VALLEY DR,SUITE 308,WILDOMAR,CA,925957512,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,43,5160,4.2194806202,0.5640465116,0.4154593023,0.4154534884
1043266240,CHANG,DAVID,F,M.D.,M,I,36320 INLAND VALLEY DR,SUITE 308,WILDOMAR,CA,925957512,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,5010,0.0716526946,0.0129520958,0.0098323353,0.0098323353
1043266240,CHANG,DAVID,F,M.D.,M,I,36320 INLAND VALLEY DR,SUITE 308,WILDOMAR,CA,925957512,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,6000,3.9203616667,1.27148,0.9824566667,0.9824566667
1043266240,CHANG,DAVID,F,M.D.,M,I,36320 INLAND VALLEY DR,SUITE 308,WILDOMAR,CA,925957512,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.4589444444,2.82975,2.1993194444,2.1993194444
1043266240,CHANG,DAVID,F,M.D.,M,I,36320 INLAND VALLEY DR,SUITE 308,WILDOMAR,CA,925957512,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,24,24,17.712941176,17.712941176
1043266240,CHANG,DAVID,F,M.D.,M,I,36320 INLAND VALLEY DR,SUITE 308,WILDOMAR,CA,925957512,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,81,81,16,16,12.385185185,12.385185185
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,126,59.293809524,8.32,5.4361904762,5.4361904762
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,14,12.809285714,1.42,0.88,0.88
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,88.279090909,38,21.665454545,22.411818182
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,384,8.28,8.28,6.491640625,6.491640625
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,66,8.5618181818,2,1.3783333333,1.4025757576
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.1,13.41,13.54
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,42.2865,5.484,2.353,2.098
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,8,2.95,1.7325,1.6875
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,407.61444444,77.5,55.591388889,50.063888889
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,K0056,"Seat height less than 17"" or equal to or greater than 21"" for a high strength, lightweight, or ultralightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,10.56,9.5,5.7658333333,5.5241666667
1043266257,GERA,JEROME,W,MD,M,I,ROUTE 981,,NORVELT,PA,156740387,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,87.058823529,36.26,26.757647059,27.79
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,42,44,498.43659091,19.71,15.450454545,15.450454545
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,46,94,332.84074468,37.38,29.305106383,29.305106383
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,50,410,44.311658537,5.0453902439,3.9553414634,3.9553414634
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,16,18,118,14710,4.1464867437,0.568842964,0.4281135282,0.4281135282
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1770,0.2563446328,0.0130677966,0.0095028249,0.0095028249
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,2220,1.3631531532,0.7365,0.5774189189,0.5774189189
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,19,138,22496,3.1239882646,1.1819487909,0.9068447724,0.9068447724
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,2910,6.8227697595,2.8298969072,2.2186323024,2.2186323024
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,55,3090,18.804391586,7.4294951456,5.7318478964,5.7318478964
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,23,30,158,158,24.455696203,24,18.312594937,18.312594937
1043266489,HASAN,AYESHA,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,21,27,183,200,16.32,16,12.54025,12.54025
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,49,106,106,117.35160377,41.74490566,31.926509434,30.071509434
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,14,37,78,8.4571794872,1.6088461538,1.2298717949,1.1746153846
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,18,21,21,55.827619048,13.614761905,10.232380952,8.6457142857
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,123,259,259,413.3776834,98.186679537,75.180694981,67.041119691
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,100,247,619,169.27843296,38.163263328,29.380420032,25.928836834
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,86,221,970,95.345402062,21.030886598,15.821,14.221536082
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,47,120,389,61.251491003,16.828457584,12.199460154,11.038611825
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,150,320,320,240.11078125,59.97653125,43.7453125,40.22675
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,250,361,361,74.550581717,19.538864266,14.847229917,13.757036011
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,23,23,34.709130435,10.973913043,7.8582608696,7.4413043478
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,209,437,438,83.08760274,14.404315068,10.961666667,9.0302283105
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,244,629,2785,11.720545781,2.3571059246,1.8143626571,1.5894290844
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,77,106,106,25.850849057,6.2273584906,4.7743396226,4.5445283019
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,146,202,202,49.215148515,14.118613861,10.803712871,10.183514851
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,93,663,669,57.193976084,18.834603886,13.73264574,13.179402093
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,9,24,150,157,131.02643312,51.311146497,39.555796178,37.305605096
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,3173.7768,1074.31,830.7824,830.7824
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,27,129,135,458.48377778,93.748740741,70.892666667,63.453555556
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,1157.0336842,217.00263158,166.65368421,155.96263158
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,22,22,508.69181818,160.48863636,125.82454545,109.11954545
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,73,328,361,80.606648199,12.914930748,9.7670360111,9.4133795014
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,21,81,85,33.879764706,5.8604705882,4.3803529412,3.7832941176
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,90,471,503,236.1006163,36.277017893,26.583717694,23.801212724
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,7,19,21,21,174.74380952,70.644285714,47.461904762,47.461904762
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,20,221,1649,1667,303.07417516,76.183647271,56.127822436,52.17344931
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,74,75,256.55933333,37.308,28.855466667,29.108533333
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,59,15689,0.2835610938,0.0459710625,0.0321722226,0.0321722226
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,3929,2.7279384067,0.0935352507,0.0617714431,0.0617688979
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,27,86,13129,1.4933483129,0.1349226902,0.0958488841,0.0958488841
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.44,29.35,29.51
1043266752,IBRAHIMBACHA,AHMAD,M,"M,D.",M,I,110 DUNHILL PL NW,,CLEVELAND,TN,373113883,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,23,37,143,143,83.118881119,33,22.36958042,22.36958042
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,111,298,68.351275168,8.32,5.6841946309,5.6841946309
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,12.812,3.38,2.2966666667,2.2966666667
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,30,74,113,14.568849558,1.42,0.9505309735,0.9505309735
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,353,79.169291785,3.94,2.8177053824,2.9641926346
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8007,1.401318846,0.2999625328,0.2292119396,0.2364368677
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,32,186.8490625,18.5734375,13.70375,12.6971875
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,32,426.1428125,84.42375,62.5609375,51.5709375
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1950,0.17,0.0462307692,0.0362512821,0.0362512821
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,12.889035714,2.9872142857,2.342,2.342
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,570,0.75,0.2189473684,0.1716491228,0.1716491228
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,63.204705882,16.425882353,12.221176471,14.520588235
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,24.586470588,7.2782352941,5.4164705882,6.8476470588
1043266992,ZEIHEN,MICHAEL,H,MD,M,I,6308 8TH AVE,SUITE 2000,KENOSHA,WI,531435031,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,118.8,33,25.87,25.87
1043267016,KHAN,MOHAMMAD,A,M.D.,M,I,730 24TH ST NW,SUITE 17,WASHINGTON,DC,200372543,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,69,12445,3.8089176376,0.5664556047,0.4402788268,0.4402788268
1043267016,KHAN,MOHAMMAD,A,M.D.,M,I,730 24TH ST NW,SUITE 17,WASHINGTON,DC,200372543,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,3990,3.1397593985,1.3704360902,1.0744035088,1.0744035088
1043267016,KHAN,MOHAMMAD,A,M.D.,M,I,730 24TH ST NW,SUITE 17,WASHINGTON,DC,200372543,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.25,17.485,13.7075,14.19
1043267016,KHAN,MOHAMMAD,A,M.D.,M,I,730 24TH ST NW,SUITE 17,WASHINGTON,DC,200372543,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,63,63,24,24,18.521269841,18.521269841
1043267016,KHAN,MOHAMMAD,A,M.D.,M,I,730 24TH ST NW,SUITE 17,WASHINGTON,DC,200372543,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,62,71,16,16,12.540422535,12.540422535
1043267172,RANUM,WILLIAM,H,MD,M,I,1300 S CENTURY AVE,,WAUNAKEE,WI,53597,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,33,146,91.175205479,8.32,6.0423287671,6.0423287671
1043267172,RANUM,WILLIAM,H,MD,M,I,1300 S CENTURY AVE,,WAUNAKEE,WI,53597,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,68.77,17.27,11.734666667,11.734666667
1043267172,RANUM,WILLIAM,H,MD,M,I,1300 S CENTURY AVE,,WAUNAKEE,WI,53597,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,27.3,5.02,3.94,3.864
1043267172,RANUM,WILLIAM,H,MD,M,I,1300 S CENTURY AVE,,WAUNAKEE,WI,53597,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,349.83666667,69.81,47.201666667,47.201666667
1043267172,RANUM,WILLIAM,H,MD,M,I,1300 S CENTURY AVE,,WAUNAKEE,WI,53597,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1367,0.4656693489,0.0462472568,0.0362545721,0.0362545721
1043267172,RANUM,WILLIAM,H,MD,M,I,1300 S CENTURY AVE,,WAUNAKEE,WI,53597,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70,26.230909091,16.330909091,16.330909091
1043267172,RANUM,WILLIAM,H,MD,M,I,1300 S CENTURY AVE,,WAUNAKEE,WI,53597,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,25.87,25.87
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,11.502,7.33,5.2016666667,5.2016666667
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,510,0.7792352941,0.27,0.1991960784,0.1991960784
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,515,0.8686019417,0.27,0.1767184466,0.1767184466
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,47.421818182,37.178181818,38.336363636
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,230,82,64.29,55.261111111
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,41.6,32.61,29.791818182
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,25,1848,44.942045455,4.9312175325,3.8379491342,3.8379491342
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,17.770909091,13.931818182,14.259090909
1043267354,SINGH,HARVINDER,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,24,24,18.82,18.82
1043267404,REVELS,STEPHANIE,M,M.D.,F,I,8249 W 95TH ST,SUITE 108,OVERLAND PARK,KS,662123217,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,36,70.330277778,8.32,5.4352777778,5.4352777778
1043267404,REVELS,STEPHANIE,M,M.D.,F,I,8249 W 95TH ST,SUITE 108,OVERLAND PARK,KS,662123217,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,171.64272727,134.56818182,120.57181818
1043267446,GOLDEN,JEFFREY,A,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,94.901538462,16.99,12.294615385,12.494615385
1043267446,GOLDEN,JEFFREY,A,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,470.78444444,76.934074074,58.50037037,53.215925926
1043267446,GOLDEN,JEFFREY,A,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,160,39.25,30.775,29.631666667
1043267446,GOLDEN,JEFFREY,A,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,44,2434,5.3998069022,0.56336894,0.4388455218,0.4388455218
1043267446,GOLDEN,JEFFREY,A,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,24,24,17.923809524,17.923809524
1043267446,GOLDEN,JEFFREY,A,MD,M,I,400 PARNASSUS AVE,,SAN FRANCISCO,CA,941432202,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,43,55,16,16,12.541818182,12.541818182
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,11,20,39,41.664615385,8.32,6.5217948718,6.5217948718
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,16,18,12.457777778,1.42,1.1188888889,1.1188888889
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,31.97,27.45,21.52,22.188461538
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,15,12.065333333,10.93,8.57,8.57
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,34,7936,0.44,0.44,0.3449596774,0.3449596774
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,360,168,18.46,14.472666667,14.472666667
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,115,7108,9.6384018008,7.37,5.7575337648,5.7575337648
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,94,2914,5.23,5.23,3.8385998627,3.8385998627
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,510,34.748235294,34.748235294,27.242647059,27.330294118
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,30,1398,8.28,8.28,6.286316166,6.286316166
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,31,1465,18.5,18.5,14.504,14.504
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,480,2.4,2.4,1.8816666667,1.8816666667
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,2.73,2.73,2.1403333333,2.1403333333
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,630,5.28,5.26,4.123952381,4.1336507937
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,3360,0.45,0.45,0.3528154762,0.3528154762
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,40,40,69.793,52.94,40.6825,40.6825
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,368,4.7866304348,3.81,2.8980978261,2.8980978261
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,345,7.952173913,3,2.352115942,2.3675362319
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,21,142,3043,13.925402563,5,3.92,4.0936805784
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,14,72,28262,0.6303407402,0.2987580497,0.2342258156,0.2411853372
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3858,2.3029808191,1.0965785381,0.8597096941,0.9357594609
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,72,24566,1.5466966539,0.648491818,0.5084218025,0.5137389074
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,13,62,3804,1.5611198738,0.6213144059,0.4871293375,0.5566377497
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,16,82,84,141.24107143,59.8,46.88,47.754285714
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,37,37,37,136.96540541,43.917837838,32.573243243,34.404324324
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,30.35,14.46,11.34,11.955333333
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,28,28,28,146.89,49.095714286,33.023214286,35.067857143
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,34.7,11.281818182,8.8409090909,9.2118181818
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,26,147,147,134.38,50.663537415,38.408231293,38.477006803
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,133.63,55.061818182,43.164545455,43.622727273
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,741,167.72727273,131.49818182,140.98
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,40,68.768,17,11.4575,11.658
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,3775.52,1074.31,834.70894737,834.70894737
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,289.50666667,81.89,59.041666667,59.76
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,37.559411765,3.32,2.1494117647,2.9547058824
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,128.98,48.031538462,36.396538462,37.203461538
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,17,90,92,30,5.2,4.08,3.9923913043
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,3,24,24,48,33.685,16.039166667,12.575416667,15.289583333
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,3.4708333333,1.6,1.25,1.53
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,25,25,50,57.78,27.048,21.2068,22.605
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,5.7191666667,2.7,2.12,2.25
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,25,25,25,49.02,20.5752,16.1244,18.1704
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,4.91,2.04,1.6,1.81
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,40,23.7,9.64,7.56,8.1705
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,24.01,9.6794117647,7.5882352941,9.2094117647
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,726.78,302.83,237.41,282.67
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,50,54,398.8612963,77.74,54.271851852,50.376666667
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,42,42,42,70.2,29.860238095,23.411190476,28.46452381
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,7.02,2.9683333333,2.3283333333,2.9391666667
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,38,38,38,358.58,135.23447368,106.02894737,112.62973684
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.3425,13.4475,10.539166667,11.400833333
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,19,51,13407,0.5730551205,0.0469016186,0.0360878645,0.0360878645
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,62,324,324,69.388055556,15.66787037,11.973611111,14.140987654
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,45,268,268,20.57,7.0026865672,5.3333955224,6.5761940299
1043267610,GIBILARO,EUGENE,,M.D.,M,I,421 78TH ST STE B,,BROOKLYN,NY,112093447,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,19,50,60,36.3,33,25.438833333,25.438833333
1043267628,KAUR-SIDHU,GURINDERJIT,,MD,F,I,7813 SPIVEY STATION BLVD,SUITE 210,LAKE SPIVEY,GA,302362900,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,231.25,75.56,53.305454545,49.206363636
1043267628,KAUR-SIDHU,GURINDERJIT,,MD,F,I,7813 SPIVEY STATION BLVD,SUITE 210,LAKE SPIVEY,GA,302362900,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,38,61.802368421,42.320263158,33.179736842,30.753157895
1043267743,NANDA,ANIL,,MD,M,I,2601 E ROOSEVELT ST,,PHOENIX,AZ,850084973,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,58.46,17.4,11.541538462,11.084615385
1043267818,UWAIFO,GABRIEL,I,MD,M,I,2750 GAUSE BLVD E,,SLIDELL,LA,704614149,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,84,50.186428571,8.32,6.3679761905,6.3679761905
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,45,85,85,119.57458824,39.957411765,30.588705882,29.793058824
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,29,56,8.19,1.4510714286,1.0966071429,1.1107142857
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,14,18,18,76.592222222,14.573888889,10.771111111,8.7127777778
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,18,39,39,214.68307692,100.01,75.262051282,65.243076923
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,19,41,98,83.349591837,38.72,29.099591837,24.842653061
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,14,28,133,53.885864662,21,15.786616541,13.975413534
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,27,60,301,39.767541528,15.986744186,12.529734219,11.88923588
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,46,94,94,166.74074468,61.28212766,47.01106383,42.043191489
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,53,78,78,51.235641026,18.288333333,13.972435897,13.701282051
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,51,51,59.884705882,14.831764706,11.397647059,8.9411764706
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,63,128,671,8.6477347243,2.3863487332,1.8092548435,1.5428464978
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,23,32,32,26.578125,12.46,9.4646875,10.00375
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,25,128,141,63.036099291,17.985815603,13.585319149,13.082978723
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,354.8925,51,36.648333333,38.515
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,52,52,4096.0442308,1074.31,838.09903846,838.09903846
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,341.03076923,96.923076923,75.987692308,67.161538462
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,871.37538462,233.42307692,183.00307692,164.54153846
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,23,23,23,412.42695652,149.44521739,117.16695652,105.95826087
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,55.07,15.2,11.150967742,9.8038709677
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,17,51,78,37.738974359,6.1052564103,4.4553846154,3.5266666667
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,38,270,281,174.13309609,37.516441281,28.428790036,24.296405694
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,61,464,481,397.6585447,89.358419958,66.867733888,52.786153846
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,29,214,227,240.41894273,35.238942731,26.440748899,28.244096916
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,13.94,11.230611111,8.8048425926,8.8048425926
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,23,103,9875,1.0627007595,0.1331220253,0.0985782278,0.0985782278
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,33,1980,12.872318182,2.7697272727,2.171479798,2.171479798
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,200,35.11,26.612333333,28.609
1043267909,SEEDIAL,DENZIL,S,MD,M,I,5401 S CONGRESS AVE,STE 204,ATLANTIS,FL,334626635,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,25,125,125,126.768,33,24.59928,24.59928
1043267917,NIMMAGADDA,VENKAT,R,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2400,5.4793666667,0.5667,0.3982875,0.3982875
1043267917,NIMMAGADDA,VENKAT,R,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,2550,0.1146431373,0.0128823529,0.0101058824,0.0101058824
1043267917,NIMMAGADDA,VENKAT,R,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,2280,1.4566052632,0.7444473684,0.5553815789,0.5553815789
1043267917,NIMMAGADDA,VENKAT,R,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,3780,3.527468254,1.2356349206,0.9376269841,0.9376269841
1043267917,NIMMAGADDA,VENKAT,R,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,32,24,24,17.7878125,17.7878125
1043267917,NIMMAGADDA,VENKAT,R,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,41,16,16,12.54,12.54
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,780,2.9312307692,0.5094615385,0.3845512821,0.3845512821
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,1320,6.5274469697,2.6288636364,2.061030303,2.061030303
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,18,64,7260,4.2106336088,0.564661157,0.3784435262,0.4086652893
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,8220,0.0880024331,0.0133248175,0.0102493917,0.0102493917
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1560,4.3546923077,1.0537307692,0.7726153846,0.7726153846
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,17,78,13440,4.4551815476,2.8082946429,2.18828125,2.18828125
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,76,2571,18.751894205,7.5146479969,5.7794437962,5.7794437962
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,36,157,157,24.165605096,24,18.220636943,18.220636943
1043267941,ONACA,NICHOLAS,,M.D.,M,I,1400 8TH AVE,TRANSPLANT,FORT WORTH,TX,761044110,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,37,148,151,16,16,12.377019868,12.377019868
1043267958,BELLO,DAVID,,M.D.,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Clinical Cardiatric Electrophysiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,16.36,11.760833333,12.426666667
1043267958,BELLO,DAVID,,M.D.,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Clinical Cardiatric Electrophysiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,79.2,56.915833333,50.7825
1043268014,HOANG,TRI-DUNG,G,M.D.,M,I,6540 STOCKTON BLVD STE 3A,,SACRAMENTO,CA,958231635,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,67,119,256,62.822851562,8.32,5.043671875,5.043671875
1043268014,HOANG,TRI-DUNG,G,M.D.,M,I,6540 STOCKTON BLVD STE 3A,,SACRAMENTO,CA,958231635,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,64,109,116,13.486465517,1.42,0.8396551724,0.8396551724
1043268014,HOANG,TRI-DUNG,G,M.D.,M,I,6540 STOCKTON BLVD STE 3A,,SACRAMENTO,CA,958231635,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,659.01894737,71.74,53.28,51.928947368
1043268014,HOANG,TRI-DUNG,G,M.D.,M,I,6540 STOCKTON BLVD STE 3A,,SACRAMENTO,CA,958231635,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2640,4.235719697,2.8218181818,2.1579583333,2.1579583333
1043268014,HOANG,TRI-DUNG,G,M.D.,M,I,6540 STOCKTON BLVD STE 3A,,SACRAMENTO,CA,958231635,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2160,1.2311111111,0.1345,0.0978657407,0.0978657407
1043268014,HOANG,TRI-DUNG,G,M.D.,M,I,6540 STOCKTON BLVD STE 3A,,SACRAMENTO,CA,958231635,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37.58,26.781818182,26.828181818
1043268014,HOANG,TRI-DUNG,G,M.D.,M,I,6540 STOCKTON BLVD STE 3A,,SACRAMENTO,CA,958231635,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,33,33,23.283,23.283
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,33,64.693333333,8.32,5.7354545455,5.7354545455
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,26,26,68.596923077,49.391923077,34.831538462,27.429230769
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,11,19,19,189.65,126.07210526,94.516315789,65.724736842
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,29,59,75.169322034,45.593220339,35.059830508,25.789322034
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,22,22,42.45,25.440454545,19.940909091,14.464545455
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,14,27,156,5.4523076923,3.1061538462,2.231025641,1.461474359
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,25.705,15.865,11.628571429,9.7971428571
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,46.071428571,18.428809524,13.621666667,9.4895238095
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,140,53.795625,40.378541667,24.636458333
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,300,101.36222222,76.421111111,63.487777778
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1866,0.9484673098,0.1327867095,0.0924330118,0.0924330118
1043268063,RODEGHIERO JOHNSTON,DEBRA,J,MD,F,I,400 22ND AVE.,,BROOKINGS,SD,570062497,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,21.019375,21.019375
1043268196,BIER,EMILY,C,M.D.,F,I,1700 SW 257TH AVE,,TROUTDALE,OR,970601900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,33,81,71.497283951,8.32,5.4755555556,5.4755555556
1043268196,BIER,EMILY,C,M.D.,F,I,1700 SW 257TH AVE,,TROUTDALE,OR,970601900,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,86.31,18,13.326111111,12.819444444
1043268196,BIER,EMILY,C,M.D.,F,I,1700 SW 257TH AVE,,TROUTDALE,OR,970601900,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,519.51,77.18,59.651111111,54.183333333
1043268196,BIER,EMILY,C,M.D.,F,I,1700 SW 257TH AVE,,TROUTDALE,OR,970601900,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1830,0.92,0.1327868852,0.104136612,0.104136612
1043268196,BIER,EMILY,C,M.D.,F,I,1700 SW 257TH AVE,,TROUTDALE,OR,970601900,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1140,12.86,2.9089473684,2.2806315789,2.2806315789
1043268196,BIER,EMILY,C,M.D.,F,I,1700 SW 257TH AVE,,TROUTDALE,OR,970601900,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,132,33,25.87,25.87
1043268212,ADAMS-HAYES,SUSAN,M,FNP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,28,2500,1257.37,985.78,886.51
1043268212,ADAMS-HAYES,SUSAN,M,FNP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,21,21,2000,870.85,682.75,677.93095238
1043268212,ADAMS-HAYES,SUSAN,M,FNP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,29,125,118.47,92.88,89.123793103
1043268220,JOHNSON,JOHN,C,M.D.,M,I,110 MED TECH PKWY,SUITE 1,JOHNSON CITY,TN,376044004,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,25,25,25,63.0776,62.7948,43.122,45.7092
1043268220,JOHNSON,JOHN,C,M.D.,M,I,110 MED TECH PKWY,SUITE 1,JOHNSON CITY,TN,376044004,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,12,19,48.842105263,42.006842105,29.736315789,37.626315789
1043268220,JOHNSON,JOHN,C,M.D.,M,I,110 MED TECH PKWY,SUITE 1,JOHNSON CITY,TN,376044004,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,28,66.55,66.55,47.335,49.279642857
1043268329,SEO,ROBERT,M,MD,M,I,1259 RICKERT DR,STE 200,NAPERVILLE,IL,605408904,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1260,0.3547142857,0.13,0.0922063492,0.0922063492
1043268329,SEO,ROBERT,M,MD,M,I,1259 RICKERT DR,STE 200,NAPERVILLE,IL,605408904,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,3290,5.5310516717,2.0394528875,1.587006079,1.587006079
1043268378,LOPES,JOAO,A,M.D.,M,I,155 MORRIS AVE,SECOND FLOOR,SPRINGFIELD,NJ,070811225,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,14,290,10.627931034,5.7344827586,4.3708965517,4.3752068966
1043268378,LOPES,JOAO,A,M.D.,M,I,155 MORRIS AVE,SECOND FLOOR,SPRINGFIELD,NJ,070811225,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,11,810,0.5074814815,0.27,0.1855061728,0.1855061728
1043268378,LOPES,JOAO,A,M.D.,M,I,155 MORRIS AVE,SECOND FLOOR,SPRINGFIELD,NJ,070811225,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,12,577,0.5542980936,0.2691334489,0.2110051993,0.2110051993
1043268501,GUTMAN,ROBERT,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Obstetrics & Gynecology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2580,0.3537209302,0.13,0.0876976744,0.0876976744
1043268501,GUTMAN,ROBERT,,M.D.,M,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2730,4.1096703297,2.04,1.5317875458,1.5317875458
1043268535,SYMMES,MARY,E,NP,F,I,2781 C T SWITZER SR DR,STE 402,BILOXI,MS,395314536,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,115,19.21,15.061666667,13.826666667
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,451,9.8699778271,3.812195122,2.7854101996,2.8542350333
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,20,21.0615,4.1,3.2135,3.2135
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,26,980,14.320204082,5.74,4.5001530612,4.5001530612
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,215,5.3775348837,2.91,2.2813023256,2.2813023256
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,390,25.713384615,9.86,7.3622820513,7.3622820513
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,28,1665,0.7064564565,0.27,0.2016696697,0.2016696697
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,370,6.5838918919,3.04,2.2545135135,2.2545135135
1043268634,MCKENNA,KEVIN,J,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,17033,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,33,1725,0.7356405797,0.2647826087,0.2075768116,0.2116463768
1043268691,KUMAR,PRATHIBHA,,M.D.,F,I,2543 DIXWELL AVE,,HAMDEN,CT,065141860,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,36,66.188055556,8.32,5.4347222222,5.4347222222
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,53,48.867924528,8.32,5.5994339623,5.5994339623
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,52,80.23,71.521923077,56.075,56.104807692
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,40,7.5015,1.916,1.1845,0.8625
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,25,12.160833333,9.5375,7.455
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,166,69.897,54.801,39.958
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,29.76744186,8.0493023256,6.0839534884,3.4572093023
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,129,62.287894737,46.026842105,36.050526316
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,26.673636364,20.911818182,15.15
1043268709,BULLOCK,JOHNNY,,MD,M,I,62 HIGHWAY 587,,FOXWORTH,MS,394835026,US,Physician/Internal Medicine,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,120,51.7,43.56,34.151666667,34.150166667
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,36,111,317,68.766687697,8.32,5.9044794953,5.9044794953
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,27,50,78,15.96525641,1.42,0.9869230769,0.9869230769
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.845,1.51,1.08625,1.05875
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,284.2,85.363076923,61.861538462,62.66
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,31,117.79870968,33.596774194,26.339677419,25.951290323
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,78,8.6084615385,2.0276923077,1.4723076923,1.4721794872
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,1.4038333333,0.48575,0.3809166667,0.3809166667
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,3739,0.2813800481,0.0467879112,0.0359427654,0.0359427654
1043268949,RAHIMI,MARYAM,,MD,F,I,101 THE CITY DR S,,ORANGE,CA,928683201,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,82.5,33,24.946071429,24.946071429
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,80,125,125,100.03072,39.15376,30.6936,30.50744
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,36,95,217,4.7357603687,1.47,1.1083870968,1.1083870968
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,54,2.5644444444,1.24,0.9709259259,0.9622222222
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,14,20,34,3.0147058824,1.28,0.9135294118,0.8817647059
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,95,169,169,327.43710059,87.324497041,66.679526627,66.280946746
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,51,115,251,154.85087649,33.960159363,25.836573705,25.152788845
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,24,52,263,87.490190114,18.78,13.741140684,13.587148289
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,17,88,55.552159091,15.12,9.6302272727,9.6671590909
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,19,86,135,135,185.16437037,54.849703704,41.42562963,41.439333333
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,23,176,220,220,60.878818182,18.045,13.827772727,13.774363636
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,103,182,182,70.956263736,11.638296703,8.8286813187,8.8173076923
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,171,293,1509,9.5849304175,2.0481709742,1.5842412194,1.5734194831
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,132,165,165,20.035030303,5.6128484848,4.3999393939,4.6553939394
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,42,54,54,44.437777778,13.314444444,10.246111111,10.159074074
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,48,323,363,71.710964187,17.447107438,12.674903581,12.534352617
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,13,88,89,166.72955056,48.31,36.17752809,36.006179775
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,715.92,842.26
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,33,121,163,349.18638037,88.601595092,68.985214724,68.548343558
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,57,57,57,311.1245614,135.94929825,106.58421053,105.4677193
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,18,58,74,60.718108108,14.309189189,10.77527027,10.003648649
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,26,94,163,33.607607362,4.6633742331,3.5121472393,3.5101840491
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,93,294,488,150.28696721,33.655286885,25.607520492,25.299651639
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,96,597,787,392.67722999,70.70094028,52.984752224,52.349491741
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,26,117,224,60.682857143,37.44,29.218973214,29.322723214
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,15.58,9.6452857143,7.4115793651,7.4115793651
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,17,42,13600,0.5043316176,0.0466419118,0.0353463235,0.0353463235
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,23,97,11808,1.8622535569,0.1359103997,0.1017183266,0.1017183266
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,38,2220,12.07027027,2.9717972973,2.1696036036,2.1696036036
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,65.945945946,37.44,29.35,29.51
1043269061,NAJJAR,MAMOUN,I,MD,M,I,1222 SOMERVILLE ROAD SE,,DECATUR,AL,35601,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,38,151,151,84.470198675,33,25.184701987,25.184701987
1043269129,GRAVATTE,LEROY,T,M.D.,M,I,16240 BENNETT RD,,CULPEPER,VA,227014630,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,34,146,78.021986301,8.32,6.1654109589,6.1654109589
1043269129,GRAVATTE,LEROY,T,M.D.,M,I,16240 BENNETT RD,,CULPEPER,VA,227014630,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,50.73,5.3911764706,4.2270588235,3.9070588235
1043269129,GRAVATTE,LEROY,T,M.D.,M,I,16240 BENNETT RD,,CULPEPER,VA,227014630,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,279.96230769,100.86307692,79.078461538,54.73
1043269129,GRAVATTE,LEROY,T,M.D.,M,I,16240 BENNETT RD,,CULPEPER,VA,227014630,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,29.515833333
1043269129,GRAVATTE,LEROY,T,M.D.,M,I,16240 BENNETT RD,,CULPEPER,VA,227014630,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2154,0.270088208,0.0438672238,0.0343871866,0.0343825441
1043269129,GRAVATTE,LEROY,T,M.D.,M,I,16240 BENNETT RD,,CULPEPER,VA,227014630,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,99,33,25.87,25.87
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,43,86,66.976627907,8.32,4.7012790698,4.7012790698
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,29,32,19.023125,1.42,0.90875,0.90875
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,26.895,18.46,14.4725,14.4725
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,888,7.8346621622,6.2114864865,4.8140202703,5.663536036
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,1020,4.34,2.96,2.3206666667,2.3206666667
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,5.985,4.1,2.9227272727,3.0020454545
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,7.575,5.21,3.7752727273,3.7895151515
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,34,6.0526470588,4.31,3.1794117647,3.1794117647
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,411,4.3984428224,3.81,2.9434306569,2.9434306569
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,480,3.085,3,2.205,2.2179791667
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,17,101,2990,7.7272675585,5.1,3.9793578595,4.1244648829
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,62,22657,0.544057907,0.3698366951,0.2861415898,0.2862572273
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4598,0.9405828621,0.299739017,0.2349913006,0.2413701609
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,42,19546,0.9525355571,0.6599662335,0.4990043999,0.4990310038
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,45,45,65.578444444,61.8,47.373333333,47.263555556
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,1306.1909091,913.16,715.92,830.77454545
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,4,14,81,82,5.9867073171,5.32,4.1191463415,3.932195122
1043269145,PHAN,NGO,C,M.D.,M,I,2835 W VALLEY BLVD.,,ALHAMBRA,CA,91803,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,22.858571429,10.425714286,8.1785714286,8.9792857143
1043269194,ENAYATI,ALI,J,"M.D., M.P.H.",M,I,2080 CENTURY PARK E,SUITE 1806,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,33,124,70.507741935,8.32,6.4176612903,6.4176612903
1043269194,ENAYATI,ALI,J,"M.D., M.P.H.",M,I,2080 CENTURY PARK E,SUITE 1806,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,36,17.990555556,1.42,1.0827777778,1.0827777778
1043269194,ENAYATI,ALI,J,"M.D., M.P.H.",M,I,2080 CENTURY PARK E,SUITE 1806,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,94.14,50.9925,39.985,38.175
1043269194,ENAYATI,ALI,J,"M.D., M.P.H.",M,I,2080 CENTURY PARK E,SUITE 1806,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,51.175384615,17,11.602307692,11.800769231
1043269194,ENAYATI,ALI,J,"M.D., M.P.H.",M,I,2080 CENTURY PARK E,SUITE 1806,LOS ANGELES,CA,900672001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,213.52130435,77.18,55.24826087,50.465217391
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,64,17.69,13.87,13.53
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,410,69.99,54.87,54.73
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1050,1.4023809524,0.5061619048,0.3931809524,0.3931809524
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,76,5560,5.0788830935,0.5608363309,0.4379838129,0.4379838129
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,3450,0.0966753623,0.0131304348,0.0098231884,0.0098231884
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,5040,2.0357777778,0.7403214286,0.5593888889,0.5593888889
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,75,10482,3.2802079756,1.2165932074,0.9144829231,0.9144800611
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,125,27.096363636,18.745454545,18.145454545
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,13,106,106,24,24,18.292264151,18.292264151
1043269228,POPHAM,SANDY,,MD,F,I,1001 E SUPERIOR ST STE L201,,DULUTH,MN,558022207,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,103,116,16,16,12.432068966,12.432068966
1043269236,LAMBERT,BRANDI,J,FNP-C,F,I,2209 N 2ND ST,,BOONEVILLE,MS,388297734,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,29,79,43.413164557,8.32,6.3575949367,6.3575949367
1043269236,LAMBERT,BRANDI,J,FNP-C,F,I,2209 N 2ND ST,,BOONEVILLE,MS,388297734,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,12.553571429,1.42,1.075,1.075
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,11,16,32,2.055,0.51,0.4,0.4
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,47,136,350,63.960028571,8.32,6.1241142857,6.1241142857
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,38,38,15.193684211,3.38,2.65,2.65
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,26.881176471,2.12,1.67,1.67
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,33,75,113,15.533185841,1.42,1.0840707965,1.0840707965
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,76,5.7869736842,2.0205263158,1.4605263158,1.4685526316
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,160,53.028695652,41.570434783,40.899565217
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,3.77,2.704,3.29
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,109.23076923,33.981538462,21.196153846,21.020769231
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,392.79423077,76.58,55.412307692,52.144615385
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,35.56,27.88,28.423333333
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,4946,0.0996097857,0.04551759,0.0356833805,0.0356833805
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,98.72,17.783076923,13.941538462,15.087692308
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,138.12571429,25.490952381,19.981904762,22.83952381
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,44.083809524,8.0033333333,6.2714285714,7.0533333333
1043269285,MUNOZ,CARLOS,E,M.D.,M,I,1601 MAIN ST,SUITE 108,RICHMOND,TX,774693247,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,35.6,33,25.87,25.87
1043269335,GARG,PANKAJ,,M.D.,M,I,80 WEST AVE,SUITE 109,BROCKPORT,NY,144201322,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,65,175,45.7976,8.32,5.9626857143,5.9626857143
1043269335,GARG,PANKAJ,,M.D.,M,I,80 WEST AVE,SUITE 109,BROCKPORT,NY,144201322,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,11.078333333,3.38,2.4291666667,2.4291666667
1043269335,GARG,PANKAJ,,M.D.,M,I,80 WEST AVE,SUITE 109,BROCKPORT,NY,144201322,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,16.261818182,2.12,1.5863636364,1.5863636364
1043269335,GARG,PANKAJ,,M.D.,M,I,80 WEST AVE,SUITE 109,BROCKPORT,NY,144201322,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,27,47,9.8134042553,1.42,1.0182978723,1.0182978723
1043269335,GARG,PANKAJ,,M.D.,M,I,80 WEST AVE,SUITE 109,BROCKPORT,NY,144201322,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,780,12.604076923,2.9458461538,2.1826538462,2.1826538462
1043269335,GARG,PANKAJ,,M.D.,M,I,80 WEST AVE,SUITE 109,BROCKPORT,NY,144201322,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,105.6,33,24.145333333,24.145333333
1043269368,WOODARD,CHRISTOPHER,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,54,12528,0.2117512771,0.13,0.100583493,0.100583493
1043269368,WOODARD,CHRISTOPHER,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,14.925,11.88,7.7583333333,9.2041666667
1043269368,WOODARD,CHRISTOPHER,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,13,57,9840,4.2675,1.95,1.4278577236,1.4906981707
1043269368,WOODARD,CHRISTOPHER,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,35,9810,8.3196024465,7.23,5.6683251784,5.6683251784
1043269368,WOODARD,CHRISTOPHER,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1620,10.933333333,7.87,6.1700987654,6.1774691358
1043269368,WOODARD,CHRISTOPHER,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,13,18,9.9366666667,7.46,5.1994444444,5.1994444444
1043269368,WOODARD,CHRISTOPHER,A,M.D.,M,I,2106 HARRISBURG PIKE,SUITE 200,LANCASTER,PA,176012644,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,95,2.0016842105,1.4711578947,1.1142105263,1.3353684211
1043269392,ABOULAFIA,DAVID,M,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Hematology-Oncology,S,Q0162,"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,25,392,0.075,0.0368877551,0.0271428571,0.0271428571
1043269392,ABOULAFIA,DAVID,M,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Hematology-Oncology,S,Q0164,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,29,58,0.585,0.0334482759,0.0256896552,0.0256896552
1043269681,PRABHAKAR,JOSIE,D,PA-C,F,I,3001 EDWARDS MILL RD,SUITE 200,RALEIGH,NC,276125243,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,92.19,74.55,58.45,62.635
1043269715,RIPA,DANIEL,R,MD,M,I,NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C.,575 S. 70TH SUITE 200,LINCOLN,NE,685102471,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,173.47166667,46.5,36.46,36.46
1043269806,ENRIGHT,WILLIAM,J,M.D.,M,I,2223 LIME KILN RD,,GREEN BAY,WI,543116213,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.5,9.0463636364,6.2545454545,6.2545454545
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,31,107,49.811775701,8.32,6.2794392523,6.2794392523
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,21,21,14.88,3.38,2.5238095238,2.5238095238
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,22,50,15.716,1.42,1.0672,1.0672
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,38,10.322105263,7.46,5.8492105263,5.8492105263
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,210,16,5.82,4.510047619,4.1101904762
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,2775,1.55,0.68,0.5331279279,0.5174522523
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,86.342222222,55.238888889,41.18,38.187777778
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,65,43.75,31.36,32.551818182
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,38.993846154,20.893076923,14.042307692,12.577692308
1043269863,ABREU,JUAN,C,MD,M,I,200 W 49TH ST,,HIALEAH,FL,330123714,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,16.574285714,9.86,6.4671428571,6.1107142857
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,51,186,74.022849462,8.32,5.5411827957,5.5411827957
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,19,27,14.473333333,1.42,0.9918518519,0.9918518519
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,29,29,114.76413793,51.012758621,37.371724138,29.617241379
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,24,24,397.80458333,123.04541667,96.466666667,75.749583333
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,49,131.43122449,43.930816327,33.57877551,25.983061224
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,14,21,80,59.31275,27.332,21.428125,15.705125
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,24,24,155.5725,76.905,60.292916667,46.06125
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,31,40,40,66.77825,25.89,19.71975,14.59875
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,53.074736842,18.986315789,14.884736842,9.12
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,27,47,260,10.196,3.1243846154,2.3697307692,1.6797307692
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,12,14,14,44.088571429,15.667142857,12.279285714,10.927142857
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,78,80,79.221,22.8575,16.986,13.356
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,250.88142857,121.22785714,95.042857143,74.097142857
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,81.75,12.74,6.285,6.1158333333
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,46.305862069,7.7910344828,5.6896551724,3.8596551724
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,222.75829787,48.097021277,35.904468085,26.715319149
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,24,165,166,421.24590361,103.48096386,78.633554217,55.737771084
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,136.31578947,45.491052632,35.667368421,29.517368421
1043269897,GILBERT,ANDREW,P,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1295,1.7444710425,0.1317992278,0.095003861,0.095003861
1043269970,FUSIA,TOD,J,M.D.,M,I,2822 W VIRGINIA AVE,,TAMPA,FL,336076330,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,3360,0.4141071429,0.13,0.0982916667,0.0982916667
1043269970,FUSIA,TOD,J,M.D.,M,I,2822 W VIRGINIA AVE,,TAMPA,FL,336076330,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,86,10320,3.8919767442,2.04,1.5753275194,1.5753275194
1043269970,FUSIA,TOD,J,M.D.,M,I,2822 W VIRGINIA AVE,,TAMPA,FL,336076330,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,36,208,2.0154326923,1.6,1.2305288462,1.3721634615
1043270036,TORP,LISA,K,MD,F,I,4300 LONDONDERRY RD,SUITE 202,HARRISBURG,PA,17109,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,63,178,43.196629213,35.3,27.18,29.750168539
1043270036,TORP,LISA,K,MD,F,I,4300 LONDONDERRY RD,SUITE 202,HARRISBURG,PA,17109,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,28,324.57142857,313.0675,242.17178571,257.36678571
1043270044,SNODGRASS,GREGORY,,M.D.,M,I,4313 NW 8TH AVE,,GAINESVILLE,FL,326054777,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,35,35,35,69.638,69.638,51.769714286,49.783714286
1043270044,SNODGRASS,GREGORY,,M.D.,M,I,4313 NW 8TH AVE,,GAINESVILLE,FL,326054777,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,31,31,59,51.466271186,47.829491525,36.171355932,41.677966102
1043270044,SNODGRASS,GREGORY,,M.D.,M,I,4313 NW 8TH AVE,,GAINESVILLE,FL,326054777,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,16.953076923,16.953076923,13.291538462,13.988846154
1043270176,AMMONS,KENNETH,G,DPM,M,I,1690 UNIVERSITY AVE W,SUITE 570,SAINT PAUL,MN,551043723,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,56,226,71.56,55.24125,55.241071429
1043270176,AMMONS,KENNETH,G,DPM,M,I,1690 UNIVERSITY AVE W,SUITE 570,SAINT PAUL,MN,551043723,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,32,138,238,43.56,34.152101449,34.150362319
1043270226,JAFARI-RASKE,GITA,,MD,F,I,3115 S PRICE RD,,CHANDLER,AZ,852483544,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,101.2,48.333333333,37.89,38.298333333
1043270226,JAFARI-RASKE,GITA,,MD,F,I,3115 S PRICE RD,,CHANDLER,AZ,852483544,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,33.142142857,16.96,13.3,13.514285714
1043270226,JAFARI-RASKE,GITA,,MD,F,I,3115 S PRICE RD,,CHANDLER,AZ,852483544,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,173.39285714,77.36,60.65,55.364285714
1043270226,JAFARI-RASKE,GITA,,MD,F,I,3115 S PRICE RD,,CHANDLER,AZ,852483544,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,35,58.075714286,21.155428571,16.195714286,13.779142857
1043270226,JAFARI-RASKE,GITA,,MD,F,I,3115 S PRICE RD,,CHANDLER,AZ,852483544,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,252.7,74.295454545,52.256363636,46.729090909
1043270234,HAYS,JAMES,H,MD,M,I,4512 KIRKWOOD HWY,STE 302,WILMINGTON,DE,198085123,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,58,89,179,844,76.671409953,8.32,6.1272867299,6.1272867299
1043270234,HAYS,JAMES,H,MD,M,I,4512 KIRKWOOD HWY,STE 302,WILMINGTON,DE,198085123,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,14,14,28.727142857,2.12,1.5507142857,1.5507142857
1043270234,HAYS,JAMES,H,MD,M,I,4512 KIRKWOOD HWY,STE 302,WILMINGTON,DE,198085123,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,23,30,64,17.1665625,1.42,1.06125,1.06125
1043270234,HAYS,JAMES,H,MD,M,I,4512 KIRKWOOD HWY,STE 302,WILMINGTON,DE,198085123,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,24,108,109,283.06348624,251.03486239,196.81110092,196.86972477
1043270234,HAYS,JAMES,H,MD,M,I,4512 KIRKWOOD HWY,STE 302,WILMINGTON,DE,198085123,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,19,19,19,270.01052632,242.61842105,190.21105263,203.57157895
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,69,234,68.696239316,8.32,5.8376495726,5.8376495726
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,27,42,15.622142857,1.42,1.0623809524,1.0623809524
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,67.082727273,11.33,8.0727272727,8.3181818182
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,66,9.3306060606,1.91,1.4756060606,1.5709090909
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,47.98,5.6875,4.2565,3.491
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,234.71571429,32.424285714,25.421428571,26.606428571
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1049,0.9607912297,0.1337273594,0.1048522402,0.1048522402
1043270382,MILLS,ORLANDO,F,MD,M,I,515 IRON BRIDGE RD,,FREEHOLD,NJ,077285300,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,107.25,33,25.87,25.87
1043270408,LEVY,CHARLES,L,MD,M,I,400 MATTHEW ST,SUITE 401,MARIETTA,OH,457501644,US,Physician/Neurosurgery,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,33.24,17.788181818,13.941818182,8.3040909091
1043270408,LEVY,CHARLES,L,MD,M,I,400 MATTHEW ST,SUITE 401,MARIETTA,OH,457501644,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,5195.3571429,4378.96,3433.11,3433.11
1043270408,LEVY,CHARLES,L,MD,M,I,400 MATTHEW ST,SUITE 401,MARIETTA,OH,457501644,US,Physician/Neurosurgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,321.01,255.85625,200.590625,215.483125
1043270408,LEVY,CHARLES,L,MD,M,I,400 MATTHEW ST,SUITE 401,MARIETTA,OH,457501644,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1294.96,1148.4109091,900.35727273,886.50545455
1043270440,REINERS,BRADLEY,,PAC,M,I,2501 KEENAN DRIVE,,INTERNATIONAL FALLS,MN,56649,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,18,37.12,8.32,6.5244444444,6.5244444444
1043270440,REINERS,BRADLEY,,PAC,M,I,2501 KEENAN DRIVE,,INTERNATIONAL FALLS,MN,56649,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,96.93,60.525,42.930833333,33.3225
1043270473,ROHRSCHEIB,ANNILEE,,MD,F,I,COLLEGE AND UNIVERSITY 2540,,NORMAL,IL,617902540,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,45,80.146,8.32,5.6513333333,5.6513333333
1043270473,ROHRSCHEIB,ANNILEE,,MD,F,I,COLLEGE AND UNIVERSITY 2540,,NORMAL,IL,617902540,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,333.04789474,69.81,54.73,54.73
1043270473,ROHRSCHEIB,ANNILEE,,MD,F,I,COLLEGE AND UNIVERSITY 2540,,NORMAL,IL,617902540,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,93.97,36.14,28.33,29.51
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,30,85,280,59.970071429,8.32,5.9000714286,5.9000714286
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.926666667,3.38,2.65,2.65
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,33,56,14.285714286,1.42,1.0155357143,1.0155357143
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,16,88,7.045,2.2222727273,1.7422727273,1.5918181818
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,319,12.49,7.5235423197,5.8984639498,4.1630721003
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5083,0.66,0.3963997639,0.2894924257,0.2217489671
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,72.164117647,17.27,11.947058824,11.947058824
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,194.17066667,33.326,22.383333333,21.386
1043270499,HOWELL,TERRY,D,,M,I,401 N ANN ARBOR ST,D,SALINE,MI,481761196,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,44,435.05181818,69.81,49.077954545,49.077954545
1043270507,MEYER,SCOTT,M,PA,M,I,2720 8TH ST SW,,ALTOONA,IA,500091028,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,57,123,67.476504065,8.32,5.3547154472,5.3547154472
1043270507,MEYER,SCOTT,M,PA,M,I,2720 8TH ST SW,,ALTOONA,IA,500091028,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,18,14.41,1.42,0.87,0.87
1043270507,MEYER,SCOTT,M,PA,M,I,2720 8TH ST SW,,ALTOONA,IA,500091028,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1871,0.1823516836,0.0458364511,0.0285569214,0.0285569214
1043270507,MEYER,SCOTT,M,PA,M,I,2720 8TH ST SW,,ALTOONA,IA,500091028,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,4492,2.1003984862,0.1366807658,0.0908348175,0.0908348175
1043270507,MEYER,SCOTT,M,PA,M,I,2720 8TH ST SW,,ALTOONA,IA,500091028,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,42,42,33,33,22.835952381,22.835952381
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,39,112,59.089910714,8.32,6.4049107143,6.4049107143
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,33,12.951515152,1.42,1.1127272727,1.1127272727
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,71.279166667,12.865,10.09,9.105
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,54,9.7840740741,2.2722222222,1.777037037,1.5905555556
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,175,48.632142857,38.123571429,37.747857143
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,35.417142857,4.5871428571,3.5914285714,3.6952380952
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,306.2775,74.47,53.8875,53.62
1043270648,HIGGINS,MARK,S,M.D.,M,I,1600 UNIVERSITY DR E,,COLLEGE STATION,TX,778402642,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,18,84.735,25.208333333,19.762222222,14.553333333
1043270861,JONES,JACOB,B,M.D.,M,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,54,186,379,67.77171504,8.2592084433,5.5671240106,5.614828496
1043270861,JONES,JACOB,B,M.D.,M,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,26,55,64,10.5575,1.42,0.94296875,0.94296875
1043270861,JONES,JACOB,B,M.D.,M,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,68.625,18.419285714,14.441428571,11.451428571
1043270861,JONES,JACOB,B,M.D.,M,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,49.9,39.119166667,27.394166667
1043270861,JONES,JACOB,B,M.D.,M,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,343.04545455,92.683636364,60.382272727,43.135
1043270861,JONES,JACOB,B,M.D.,M,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1560,1.6217564103,0.1364423077,0.0912435897,0.0912435897
1043270861,JONES,JACOB,B,M.D.,M,I,1178 PROFESSIONAL DR,,VAN WERT,OH,458912461,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,33,33,21.7308,21.7308
1043271018,POURBABAK,SAM,,MD,M,I,23331 EL TORO RD,102,LAKE FOREST,CA,926304891,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,69,156,678,62.856902655,8.2801769912,6.2977433628,6.2977433628
1043271018,POURBABAK,SAM,,MD,M,I,23331 EL TORO RD,102,LAKE FOREST,CA,926304891,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.11625,3.38,2.65,2.65
1043271018,POURBABAK,SAM,,MD,M,I,23331 EL TORO RD,102,LAKE FOREST,CA,926304891,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,20.367272727,2.12,1.67,1.67
1043271018,POURBABAK,SAM,,MD,M,I,23331 EL TORO RD,102,LAKE FOREST,CA,926304891,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,42,81,149,13.371342282,1.417852349,1.0294630872,1.0311409396
1043271018,POURBABAK,SAM,,MD,M,I,23331 EL TORO RD,102,LAKE FOREST,CA,926304891,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,35,35,708.79657143,251.11,194.66685714,194.66685714
1043271125,BAUMGARTNER,CYNTHIA,L,MD,F,I,1400 JEFFERSON RD,,NORTHFIELD,MN,550573081,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,22,50,72.5198,8.2726,6.094,6.1312
1043271125,BAUMGARTNER,CYNTHIA,L,MD,F,I,1400 JEFFERSON RD,,NORTHFIELD,MN,550573081,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,14,16.645714286,1.42,1.0385714286,1.0385714286
1043271158,BINZ,DONALD,E,M.D.,M,I,1475 KISKER RD,SUITE 200,SAINT CHARLES,MO,633048781,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,34,83,212,72.956745283,8.32,6.0376415094,6.0376415094
1043271158,BINZ,DONALD,E,M.D.,M,I,1475 KISKER RD,SUITE 200,SAINT CHARLES,MO,633048781,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,44,59,14.720169492,1.42,1.0013559322,1.0013559322
1043271174,WEST,DAVID,R,M.D.,M,I,6601 S MINNESOTA AVE,SUITE 200,SIOUX FALLS,SD,57108,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,12,12,12,93.216666667,69.036666667,54.125,53.3775
1043271240,"BAYS,",KENT,D,P.A.,M,I,500 E ROBINSON ST,SUITE 1300,NORMAN,OK,730716697,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,61,4505,0.39,0.13,0.0910832408,0.0910832408
1043271240,"BAYS,",KENT,D,P.A.,M,I,500 E ROBINSON ST,SUITE 1300,NORMAN,OK,730716697,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,3510,4.35,2.04,1.5245527066,1.5245527066
1043271240,"BAYS,",KENT,D,P.A.,M,I,500 E ROBINSON ST,SUITE 1300,NORMAN,OK,730716697,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,39,2055,9.65,6.17,4.2025547445,4.9243892944
1043271299,WORF,RICHARD,C,MD,M,I,105 VEST MILL CIR,,WINSTON-SALEM,NC,271032943,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,41,108,71.54037037,8.3139814815,6.1359259259,6.1406481481
1043271299,WORF,RICHARD,C,MD,M,I,105 VEST MILL CIR,,WINSTON-SALEM,NC,271032943,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,23,15.707391304,1.42,1.0669565217,1.0669565217
1043271299,WORF,RICHARD,C,MD,M,I,105 VEST MILL CIR,,WINSTON-SALEM,NC,271032943,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,85,12.223333333,9.575,9.4491666667
1043271315,ALONSO SANTOS,ANGEL,A,MD,M,I,358 CALLE FONT MARTELO,SUITE 103,HUMACAO,PR,007913222,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,48.02,8.32,6.5225,6.5225
1043271315,ALONSO SANTOS,ANGEL,A,MD,M,I,358 CALLE FONT MARTELO,SUITE 103,HUMACAO,PR,007913222,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,14.88,3.38,2.65,2.65
1043271315,ALONSO SANTOS,ANGEL,A,MD,M,I,358 CALLE FONT MARTELO,SUITE 103,HUMACAO,PR,007913222,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,15.7,1.42,1.11,1.11
1043271315,ALONSO SANTOS,ANGEL,A,MD,M,I,358 CALLE FONT MARTELO,SUITE 103,HUMACAO,PR,007913222,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,163.5,65.838571429,51.62,39.466428571
1043271422,POHL,SUSAN,D,M.D.,F,I,555 FOOTHILL DR # 310,,SALT LAKE CITY,UT,841121106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,34,69.757058824,8.32,6.5223529412,6.5223529412
1043271422,POHL,SUSAN,D,M.D.,F,I,555 FOOTHILL DR # 310,,SALT LAKE CITY,UT,841121106,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,80.4,63.03,54.73
1043271422,POHL,SUSAN,D,M.D.,F,I,555 FOOTHILL DR # 310,,SALT LAKE CITY,UT,841121106,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39.82,31.22,29.52
1043271448,DALY,SABRA,,PA,F,I,2915 TELEGRAPH AVE,SUITE 101,BERKELEY,CA,947052060,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,53,66.807924528,8.32,5.2947169811,5.2947169811
1043271448,DALY,SABRA,,PA,F,I,2915 TELEGRAPH AVE,SUITE 101,BERKELEY,CA,947052060,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,20,13.9995,1.42,0.893,0.893
1043271497,MORRIS,JAMES,S,M.D.,M,I,7777 HENNESSY BLVD,SUITE 2004,BATON ROUGE,LA,708084300,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,34,6030,2.8904477612,1.92,1.4603117745,1.5520381426
1043271497,MORRIS,JAMES,S,M.D.,M,I,7777 HENNESSY BLVD,SUITE 2004,BATON ROUGE,LA,708084300,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,42,31.917619048,10.847142857,8.0969047619,8.1616666667
1043271497,MORRIS,JAMES,S,M.D.,M,I,7777 HENNESSY BLVD,SUITE 2004,BATON ROUGE,LA,708084300,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,480,15.80625,7.33,5.6483958333,5.6483958333
1043271497,MORRIS,JAMES,S,M.D.,M,I,7777 HENNESSY BLVD,SUITE 2004,BATON ROUGE,LA,708084300,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,1625,0.5430646154,0.27,0.2051261538,0.2051261538
1043271497,MORRIS,JAMES,S,M.D.,M,I,7777 HENNESSY BLVD,SUITE 2004,BATON ROUGE,LA,708084300,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,12,560,0.7511428571,0.2408928571,0.1804285714,0.201
1043271497,MORRIS,JAMES,S,M.D.,M,I,7777 HENNESSY BLVD,SUITE 2004,BATON ROUGE,LA,708084300,US,Physician/Urology,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,18.26,15.16,10.899166667,12.86
1043271612,DICORTE,CHARLES,J,M.D.,M,I,1000 OCHSNER BLVD,,COVINGTON,LA,704338107,US,Physician/Thoracic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,35.53,17.29,12.582142857,12.563571429
1043271612,DICORTE,CHARLES,J,M.D.,M,I,1000 OCHSNER BLVD,,COVINGTON,LA,704338107,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,208,70.23,51.389333333,51.072
1043271620,GEFT,IVOR,,M.D.,M,I,8631 W 3RD ST,#445E,LOS ANGELES,CA,900485901,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,42.076538462,8.32,6.52,6.52
1043271620,GEFT,IVOR,,M.D.,M,I,8631 W 3RD ST,#445E,LOS ANGELES,CA,900485901,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.887692308,1.42,1.12,1.12
1043271711,DEL ROSARIO,JOHN,E,M.D.,M,I,10010 KENNERLY RD,4TH FLOOR - ACUTE REHAB,SAINT LOUIS,MO,631282106,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,133.046875,49.51,38.82,37.1975
1043271711,DEL ROSARIO,JOHN,E,M.D.,M,I,10010 KENNERLY RD,4TH FLOOR - ACUTE REHAB,SAINT LOUIS,MO,631282106,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,13,21.46,9.4615384615,6.8784615385,6.9784615385
1043271711,DEL ROSARIO,JOHN,E,M.D.,M,I,10010 KENNERLY RD,4TH FLOOR - ACUTE REHAB,SAINT LOUIS,MO,631282106,US,Physician/Physical Medicine and Rehabilitation,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,16,16,154.51,61.536875,47.364375,39.570625
1043271711,DEL ROSARIO,JOHN,E,M.D.,M,I,10010 KENNERLY RD,4TH FLOOR - ACUTE REHAB,SAINT LOUIS,MO,631282106,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,46.01,27.038571429,19.433571429,18.278571429
1043271711,DEL ROSARIO,JOHN,E,M.D.,M,I,10010 KENNERLY RD,4TH FLOOR - ACUTE REHAB,SAINT LOUIS,MO,631282106,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,27,69.656666667,19.444444444,14.155555556,12.614074074
1043271711,DEL ROSARIO,JOHN,E,M.D.,M,I,10010 KENNERLY RD,4TH FLOOR - ACUTE REHAB,SAINT LOUIS,MO,631282106,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,19,181.24842105,40.877894737,32.048947368,24.421052632
1043271711,DEL ROSARIO,JOHN,E,M.D.,M,I,10010 KENNERLY RD,4TH FLOOR - ACUTE REHAB,SAINT LOUIS,MO,631282106,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,24,20.98,9.9966666667,7.5466666667,6.4658333333
1043271968,VERZELLA,JEFFREY,N,MD,M,I,740 HIGH ST,SUITE 4001,WILLIAMSPORT,PA,177013100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,67.72,41.1425,42.706666667
1043271968,VERZELLA,JEFFREY,N,MD,M,I,740 HIGH ST,SUITE 4001,WILLIAMSPORT,PA,177013100,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,20.368015152,9.651,7.4491515152,7.4491515152
1043271968,VERZELLA,JEFFREY,N,MD,M,I,740 HIGH ST,SUITE 4001,WILLIAMSPORT,PA,177013100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,52.8,33,25.87,25.87
1043271984,SILVERMAN,MATHEW,J,DO,M,I,480 MARKET ST,,SADDLE BROOK,NJ,07663,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,24,73,170,66.277176471,8.32,6.1375882353,6.1375882353
1043271984,SILVERMAN,MATHEW,J,DO,M,I,480 MARKET ST,,SADDLE BROOK,NJ,07663,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,14,45,58,14.963275862,1.42,1.0596551724,1.0596551724
1043271984,SILVERMAN,MATHEW,J,DO,M,I,480 MARKET ST,,SADDLE BROOK,NJ,07663,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,70,235,69.29787234,8.32,5.5398723404,5.5398723404
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,13.897333333,3.38,1.9433333333,1.9433333333
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,31,36,16.140833333,1.42,0.9311111111,0.9311111111
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,25,25,109.8172,46.3964,33.3436,29.9404
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,202.045,102.925,74.315714286,70.739285714
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,53,57.977358491,38.269245283,27.733584906,25.861509434
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,105,80.854285714,24.114571429,18.216761905,14.360857143
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,20,20,254.216,71.073,55.723,43.9345
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,28,28,55.301071429,22.471785714,17.614642857,15.165357143
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,52.392222222,16.558888889,12.422777778,9.7827777778
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,39,197,6.6278680203,2.5430456853,1.9237563452,1.6287309645
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,69.920888889,22.065555556,17.297777778,14.363555556
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,49.591666667,42.329166667
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,24,26,61.846153846,15.325769231,11.124615385,9.7996153846
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,36,31.977222222,8.5066666667,6.6669444444,3.9622222222
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,45,47,187.5406383,46.803191489,35.409148936,27.154468085
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,67,69,450.57347826,102.28188406,80.116811594,60.015072464
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,15.58,9.5698333333,7.4564351852,7.4564351852
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,38.58,24.706666667,18.169166667,13.098333333
1043272099,JAWORSKI,GERALD,A,M.D.,M,I,2282 NW TROOST ST,STE. 101,ROSEBURG,OR,974716071,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,124.08,33,25.0756,25.0756
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,22,44,45,110.284,40.028444444,29.581333333,28.767777778
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,29,57,57,219.26245614,99.29,75.833859649,66.949649123
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,27,61,139,84.289928058,38.418417266,28.869208633,25.311079137
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,12,26,139,61.571438849,20.872230216,15.415683453,13.878920863
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,12,27,149,49.904765101,15.754832215,11.845100671,11.438456376
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,27,59,60,195.51583333,60.907833333,45.331,41.143333333
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,50,68,68,53.455294118,18.314705882,14.149705882,13.887205882
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,31,62,63,55.133015873,14.945079365,11.716984127,9.4133333333
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,52,116,568,10.218010563,2.3713204225,1.7993133803,1.562834507
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,15,15,24.789333333,6.8546666667,5.0673333333,4.342
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,29,35,35,27.574571429,12.552857143,9.5451428571,9.9957142857
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,21,104,127,83.180393701,17.477165354,13.478346457,13.317322835
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,112.77,50,32.666666667,31.358333333
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,24,27,522.78185185,100,76.338888889,69.964444444
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,18,18,411.79611111,151.36111111,118.66888889,107.91555556
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,19,59.282631579,15.2,10.665263158,9.3768421053
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,54,66,50.73,5.4066666667,4.1843939394,3.7472727273
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,21,85,97,245.64896907,39.819175258,29.60443299,25.967835052
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,37,231,274,456.415,85.156386861,65.091131387,53.966605839
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,55,62,250,35.717903226,27.749516129,29.155806452
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,1920,18.873109375,9.6325,7.4580989583,7.45809375
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,3834,0.3091731873,0.0455294731,0.0356964006,0.0356964006
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,2218,1.1727592426,0.1365960325,0.1046348061,0.1046348061
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,1742,13.046555683,3.0331859931,2.3780424799,2.3780424799
1043272115,DEOLAZABAL,JOSE,A,D.O.,M,I,3400 BURNS RD,SUITE 201,PALM BEACH GARDENS,FL,334104325,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,52,52,90.115384615,33,24.875,24.875
1043272305,MOORE,DENNIS,F,MD,M,I,818 N EMPORIA ST,SUITE 403,WICHITA,KS,672143729,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,76,5138,39.382199299,4.9613390424,3.7780108992,3.7780108992
1043272305,MOORE,DENNIS,F,MD,M,I,818 N EMPORIA ST,SUITE 403,WICHITA,KS,672143729,US,Physician/Hematology-Oncology,S,J8600,"Melphalan; oral, 2 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,27,420,13.132904762,11.78497619,8.8977619048,8.8977619048
1043272305,MOORE,DENNIS,F,MD,M,I,818 N EMPORIA ST,SUITE 403,WICHITA,KS,672143729,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,37,5267,27.903563699,1.8676039491,1.4642035314,1.4641997342
1043272305,MOORE,DENNIS,F,MD,M,I,818 N EMPORIA ST,SUITE 403,WICHITA,KS,672143729,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,15,95,95,24,24,18.82,18.82
1043272305,MOORE,DENNIS,F,MD,M,I,818 N EMPORIA ST,SUITE 403,WICHITA,KS,672143729,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,12,45,48,16,16,12.540625,12.540625
1043272339,MOORE,REGINALD,G,MD,M,I,121 49TH AVENUE PL NW,,HICKORY,NC,286019349,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1290,1.72,1.72,1.2372635659,1.4924883721
1043272503,ROGERS,JUDITH,E,CRNP,F,I,746 JEFFERSON AVE,,SCRANTON,PA,185101624,US,Nurse Practitioner,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,361,9.72,5.23,4.10033241,4.10033241
1043272503,ROGERS,JUDITH,E,CRNP,F,I,746 JEFFERSON AVE,,SCRANTON,PA,185101624,US,Nurse Practitioner,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,2000,1074.31,842.26,842.26
1043272503,ROGERS,JUDITH,E,CRNP,F,I,746 JEFFERSON AVE,,SCRANTON,PA,185101624,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,3.9527272727,2.5918181818,2.8981818182
1043272537,HOVERSON,DAVID,B,MD,M,I,1691 GALISTEO ST,SUITE C,SANTA FE,NM,875054780,US,Physician/Gastroenterology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,10.4,5.54,4.3435,4.3435
1043272537,HOVERSON,DAVID,B,MD,M,I,1691 GALISTEO ST,SUITE C,SANTA FE,NM,875054780,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,5.55,3.04,2.3835,2.3835
1043272719,MADDELA,ELIZABETH,,MD,F,I,476 KLONDIKE AVE,,STATEN ISLAND,NY,103146216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,34,86,65.693488372,8.32,6.066744186,6.066744186
1043272719,MADDELA,ELIZABETH,,MD,F,I,476 KLONDIKE AVE,,STATEN ISLAND,NY,103146216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,17,23,15.73826087,1.42,1.0669565217,1.0669565217
1043272768,WEIGEL,PETER,J,M.D.,M,I,324 SOUTH AVE E,,WESTFIELD,NJ,070901459,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,38,105,533.37761905,8.32,6.2731428571,6.2731428571
1043272768,WEIGEL,PETER,J,M.D.,M,I,324 SOUTH AVE E,,WESTFIELD,NJ,070901459,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,19,14.095789474,1.42,1.06,1.06
1043272768,WEIGEL,PETER,J,M.D.,M,I,324 SOUTH AVE E,,WESTFIELD,NJ,070901459,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,4.8708333333,3.5705107527,3.8548924731
1043272768,WEIGEL,PETER,J,M.D.,M,I,324 SOUTH AVE E,,WESTFIELD,NJ,070901459,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4545,3.3485874587,0.3,0.2352013201,0.2417909791
1043272776,ISBER,NIDAL,,MD,M,I,355 BARD AVE,,STATEN ISLAND,NY,10310,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3683.3333333,2302.875,1801.7558333,1801.7566667
1043272834,LINDGREN,CHERRYLENE,A,D.O.,F,I,4105 I-27,,LUBBOCK,TX,79404,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,56,54.079642857,8.32,6.5225,6.5225
1043272834,LINDGREN,CHERRYLENE,A,D.O.,F,I,4105 I-27,,LUBBOCK,TX,79404,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,26,14.874615385,1.42,1.1130769231,1.1130769231
1043272834,LINDGREN,CHERRYLENE,A,D.O.,F,I,4105 I-27,,LUBBOCK,TX,79404,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,35.224736842,17.27,10.24,10.24
1043272834,LINDGREN,CHERRYLENE,A,D.O.,F,I,4105 I-27,,LUBBOCK,TX,79404,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25,4.450625,1.435,1.55
1043272834,LINDGREN,CHERRYLENE,A,D.O.,F,I,4105 I-27,,LUBBOCK,TX,79404,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,288.85093023,68.78,45.142325581,45.976511628
1043272925,LEVY,BRIAN,S,M.D.,M,I,400 S 43RD ST,,RENTON,WA,980555714,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,62.996666667,40.796666667,31.983333333,31.983333333
1043272925,LEVY,BRIAN,S,M.D.,M,I,400 S 43RD ST,,RENTON,WA,980555714,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,326.87,77.34,60.63,54.73
1043273014,WINZER,WILLIE,M,M.D.,M,I,35 COLLIER RD NW STE 635,,ATLANTA,GA,303091611,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,52.04,17.25,12.094074074,12.113333333
1043273014,WINZER,WILLIE,M,M.D.,M,I,35 COLLIER RD NW STE 635,,ATLANTA,GA,303091611,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,45.81,35.92,37.63
1043273014,WINZER,WILLIE,M,M.D.,M,I,35 COLLIER RD NW STE 635,,ATLANTA,GA,303091611,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,328.07,75.56,52.657777778,48.815925926
1043273063,SHAH,VIJAYA,J,MD,F,I,862 SECOND STREET PIKE,,RICHBORO,PA,189541005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,31,91,60.913956044,8.32,6.0210989011,6.0210989011
1043273063,SHAH,VIJAYA,J,MD,F,I,862 SECOND STREET PIKE,,RICHBORO,PA,189541005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,25,153.5368,1.42,1.0256,1.0256
1043273071,RAMOS,JOEREL,M,MD,M,I,3322 BAINBRIDGE AVE,,BRONX,NY,104672849,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,1488.4,916.70935484,704.81612903,704.81612903
1043273071,RAMOS,JOEREL,M,MD,M,I,3322 BAINBRIDGE AVE,,BRONX,NY,104672849,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,14,53,70,50.73,3.524,2.6262857143,3.7141428571
1043273071,RAMOS,JOEREL,M,MD,M,I,3322 BAINBRIDGE AVE,,BRONX,NY,104672849,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,21,365,77.36,54.873809524,49.517619048
1043273071,RAMOS,JOEREL,M,MD,M,I,3322 BAINBRIDGE AVE,,BRONX,NY,104672849,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,4724,0.3430186283,0.0470850974,0.0369136325,0.0369136325
1043273071,RAMOS,JOEREL,M,MD,M,I,3322 BAINBRIDGE AVE,,BRONX,NY,104672849,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,27,27,47.666666667,33,25.87,25.87
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,31,83,267,70.162696629,8.32,6.1726217228,6.1726217228
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,28,28,14.763571429,3.38,2.4607142857,2.4607142857
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,11,15,15,24.8,2.12,1.4473333333,1.4473333333
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,25,53,90,15.258,1.42,1.0386666667,1.0386666667
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2184,13,7.87,6.1043635531,6.1116117216
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,33,1.51,1.51,1.1833333333,1.41
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.642,3.04,2.147625,2.147625
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,24,34.3275,17,12.774583333,12.951666667
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,25.78173913,4.3436956522,3.3191304348,3.5460869565
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,36,299.695,79.88,55.020277778,48.875833333
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,28,3203,1.3319918826,0.1344239775,0.1011364346,0.1011364346
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,21,66.723333333,22.398571429,17.56,15.072380952
1043273097,NANDA,RASHMI,P,MD,F,I,6088 PARK BLVD,,PINELLAS PARK,FL,33781,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,31,31,80.903225806,33,24.200967742,24.200967742
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,31,64,200,72.9343,8.32,6.1962,6.1962
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,29,74,14.542837838,1.42,1.0987837838,1.0987837838
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,10.68,8.69,6.81,6.81
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,16.95,13.8,10.82,10.82
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,24,13.60875,10.93,7.8558333333,7.8558333333
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,23,9.0256521739,7.35,5.6156521739,5.7056521739
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,192,3.6225,2.91,2.281875,2.281875
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.915,6.44,5.045,5.045
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.4,1.95,1.5288333333,1.5288333333
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,1659,3.4969861362,2.96,2.3206329114,2.3206329114
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,392,6.08,5.23,3.7866071429,3.7866071429
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1600,1074.31,842.26,842.26
1043273204,GRAY,TERESA,K,M.D.,F,I,6341 UNIVERSITY AVE NE,,FRIDLEY,MN,554324946,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,528.96272727,78.49,56.156363636,50.372727273
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,100,212,212,137.98179245,38.859575472,28.204528302,28.224481132
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,46,94,94,363.93117021,84.478510638,62.291595745,63.810744681
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,43,91,253,138.45687747,32.026324111,24.653754941,25.425494071
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,36,68,390,76.733025641,18.190461538,13.632846154,13.899820513
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,37,86,503,62.853300199,15.059045726,11.004870775,11.084473161
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,80,180,180,242.45666667,52.172222222,38.223777778,40.124333333
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,120,161,161,74.91689441,17.531614907,13.210124224,13.492236025
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,32,64,64,73.04953125,11.8515625,8.781875,8.6521875
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,130,284,1629,9.4252486188,2.0047513812,1.5015285451,1.5210006139
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,81,106,106,28.600754717,5.7888679245,4.280754717,4.3919811321
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,75,97,97,43.553917526,12.163814433,9.1878350515,9.9754639175
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,54,60.053148148,16.017777778,11.391111111,12.306296296
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,66,68,436.88294118,78.063823529,58.1225,61.159411765
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,35,37,81.75,12.08972973,8.64,8.7983783784
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,23,41.52173913,5.3260869565,4.0004347826,3.2817391304
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,28,144,144,149.91305556,29.361944444,20.041597222,21.085277778
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,68,68,382.53470588,71.327941176,52.099705882,51.053970588
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,105.43478261,35.847826087,26.891304348,28.31826087
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,13,30,6379,0.5822934629,0.0475246904,0.0296253331,0.0296253331
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1496,1.4660695187,0.1219251337,0.0682486631,0.0682486631
1043273253,NAR,KISHORKUMAR,G,M.D.,M,I,96 BALTIMORE ST,A,PHILLIPSBURG,NJ,088651836,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,19,43,43,44.511627907,33,21.658604651,21.658604651
1043273386,WARD,RAYMOND,P,MD-PHD,M,I,185 S 400 E,STE 100,BOUNTIFUL,UT,840104801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,44,154,70.123896104,8.3027922078,6.1431818182,6.1431818182
1043273386,WARD,RAYMOND,P,MD-PHD,M,I,185 S 400 E,STE 100,BOUNTIFUL,UT,840104801,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,43,79.665348837,17.91,11.906511628,11.469069767
1043273386,WARD,RAYMOND,P,MD-PHD,M,I,185 S 400 E,STE 100,BOUNTIFUL,UT,840104801,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,109,111,446.47072072,70.48,51.898198198,51.40990991
1043273386,WARD,RAYMOND,P,MD-PHD,M,I,185 S 400 E,STE 100,BOUNTIFUL,UT,840104801,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,136.95652174,39.6,30.763478261,29.290434783
1043273469,DEVORE,JAMES,C,MD,M,I,500 DOYLE PARK DR,SUITE G04,SANTA ROSA,CA,954054558,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,48,75.422708333,8.32,5.16375,5.16375
1043273469,DEVORE,JAMES,C,MD,M,I,500 DOYLE PARK DR,SUITE G04,SANTA ROSA,CA,954054558,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.105,3.2175,3.66
1043273485,JANAS,JANICE,D,MD,F,I,1300 CRANE STREET,,MENCO PARK,CA,940254429,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,78,70.687692308,15.728717949,9.965,9.6117948718
1043273485,JANAS,JANICE,D,MD,F,I,1300 CRANE STREET,,MENCO PARK,CA,940254429,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,247.37173913,54.517826087,37.177391304,37.462608696
1043273485,JANAS,JANICE,D,MD,F,I,1300 CRANE STREET,,MENCO PARK,CA,940254429,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,83.846923077,18.605384615,13.415384615,13.066153846
1043273485,JANAS,JANICE,D,MD,F,I,1300 CRANE STREET,,MENCO PARK,CA,940254429,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,73.617894737,13.277894737,8.4821052632,7.5005263158
1043273485,JANAS,JANICE,D,MD,F,I,1300 CRANE STREET,,MENCO PARK,CA,940254429,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,24,144,9.5245833333,2.06375,1.4160416667,1.3959027778
1043273493,COOK,ROBIN,,NP,F,I,1995 WELLNESS BLVD,"STUITE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,76,253,66.869288538,8.32,6.1097628458,6.1097628458
1043273493,COOK,ROBIN,,NP,F,I,1995 WELLNESS BLVD,"STUITE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.4245454545,2.4245454545
1043273493,COOK,ROBIN,,NP,F,I,1995 WELLNESS BLVD,"STUITE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,28,45,15.823111111,1.42,1.0911111111,1.0911111111
1043273493,COOK,ROBIN,,NP,F,I,1995 WELLNESS BLVD,"STUITE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79,79,51.616666667,45.608333333
1043273493,COOK,ROBIN,,NP,F,I,1995 WELLNESS BLVD,"STUITE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2818,0.429602555,0.0463591199,0.0353442158,0.0353442158
1043273493,COOK,ROBIN,,NP,F,I,1995 WELLNESS BLVD,"STUITE 110, BLDG B",MONROE,NC,281107769,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,95.7,33,25.007666667,25.007666667
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,30,97,73.280721649,8.32,5.4315463918,5.4315463918
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,15,15.934,1.42,0.892,0.892
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,51,126.50745098,21.347647059,15.565490196,12.732156863
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,28,182,183,562.32240437,97.189180328,70.977322404,52.141311475
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,46,204.68369565,43.802173913,34.342826087,30.555869565
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.642,7.3419545455,7.3419545455
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,45.002727273,32.297272727,26.833636364
1043273543,LINNEBUR,ANN,C,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,97.058823529,33,25.87,25.87
1043273550,KNOX,MARY,G,M.D.,F,I,6324 FAIRVIEW RD,SUITE 201,CHARLOTTE,NC,282103271,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,26,77.821923077,8.32,5.5173076923,5.5173076923
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,55,69.180727273,8.32,6.2852727273,6.2852727273
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,17,15.885882353,1.42,1.0494117647,1.0494117647
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,641,24.977347894,12.961326053,10.161762871,10.289890796
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,125,550,326.70608,256.13648,256.13648
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,125,20.48,9.3468,7.32752,7.32752
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,125,50,29.20976,22.90048,22.90048
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,12,46,46,46.422608696,19.69173913,14.524782609,12.652173913
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,232.35,58.161428571,45.597857143,38.583571429
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,51.131666667,4.4216666667,3.0975,3.205
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,12,46,46,333.77782609,83.82,61.744565217,50.747391304
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,101.3,28.384545455,19.953636364,19.552727273
1043273790,TARAFDAR,KAISER,R,MD,M,I,4102 24TH ST,STE 409,LUBBOCK,TX,794101806,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,124.38461538,33,25.87,25.87
1043273832,LEADBEATER,JEANNINE,M,MD,F,I,3241 WESTERN BRANCH BLVD,,CHESAPEAKE,VA,233215260,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,44,161,57.185093168,8.32,5.8336645963,5.8336645963
1043273832,LEADBEATER,JEANNINE,M,MD,F,I,3241 WESTERN BRANCH BLVD,,CHESAPEAKE,VA,233215260,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,18,25,13.45,1.42,1.0712,1.0712
1043273832,LEADBEATER,JEANNINE,M,MD,F,I,3241 WESTERN BRANCH BLVD,,CHESAPEAKE,VA,233215260,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,31.950555556,4.4472222222,3.2583333333,3.3994444444
1043273832,LEADBEATER,JEANNINE,M,MD,F,I,3241 WESTERN BRANCH BLVD,,CHESAPEAKE,VA,233215260,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,489.56263158,128.25210526,100.55157895,99.856842105
1043273857,CACCIOLA,THOMAS,A,MD,M,I,403 FARVIEW AVE,,PARAMUS,NJ,07652,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,28,56,63.56375,8.32,6.0460714286,6.0460714286
1043274152,KAPADIA,KETAN,A,M.D.,M,I,5747 38TH AVE N,,ST PETERSBURG,FL,337101925,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,66,11610,4.6896640827,2.0396124031,1.5565417743,1.5568432386
1043274152,KAPADIA,KETAN,A,M.D.,M,I,5747 38TH AVE N,,ST PETERSBURG,FL,337101925,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,4100,10.565512195,6.15,4.7890560976,5.6357731707
1043274152,KAPADIA,KETAN,A,M.D.,M,I,5747 38TH AVE N,,ST PETERSBURG,FL,337101925,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,33,17.093030303,10.93,8.5693939394,8.5693939394
1043274152,KAPADIA,KETAN,A,M.D.,M,I,5747 38TH AVE N,,ST PETERSBURG,FL,337101925,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,1.75,1.6,1.1409090909,1.3007954545
1043274210,ADAMS,DOROTHY,L,NP,F,I,612 E 10TH ST,,HOLDEN,MO,640409421,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,43,19.761395349,8.32,6.5237209302,6.5237209302
1043274210,ADAMS,DOROTHY,L,NP,F,I,612 E 10TH ST,,HOLDEN,MO,640409421,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,58.105
1043274228,WU,KEVIN,,D.O.,M,I,219 HIGHLAND AVE,,WESTVILLE,NJ,080931014,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,84,196,62.821785714,8.32,6.0475,6.0475
1043274228,WU,KEVIN,,D.O.,M,I,219 HIGHLAND AVE,,WESTVILLE,NJ,080931014,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,40,54,14.686481481,1.42,1.0744444444,1.0744444444
1043274228,WU,KEVIN,,D.O.,M,I,219 HIGHLAND AVE,,WESTVILLE,NJ,080931014,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,4.14,2.592,2.736
1043274228,WU,KEVIN,,D.O.,M,I,219 HIGHLAND AVE,,WESTVILLE,NJ,080931014,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,16,519.51,72,56.45,55.0525
1043274228,WU,KEVIN,,D.O.,M,I,219 HIGHLAND AVE,,WESTVILLE,NJ,080931014,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,3408,0.1984360329,0.0464055164,0.0298884977,0.0298884977
1043274228,WU,KEVIN,,D.O.,M,I,219 HIGHLAND AVE,,WESTVILLE,NJ,080931014,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,113.4375,33,21.019375,21.019375
1043274251,TRENT,DAVID,F,M.D.,M,I,6605 W BROAD ST,SUITE A,RICHMOND,VA,232301714,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,18,519.51,77.36,57.216111111,51.625
1043274251,TRENT,DAVID,F,M.D.,M,I,6605 W BROAD ST,SUITE A,RICHMOND,VA,232301714,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,966,52.512639752,5.4468115942,4.1217598344,4.1217598344
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,64,64,85.4046875,39.904375,30.16046875,29.42484375
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,31,65,65,226.732,100.01,74.522769231,65.099538462
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,33,78,180,88.606833333,38.646,29.390944444,25.405888889
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,39,102,492,53.788130081,20.88,15.974369919,14.20703252
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,42,106,563,35.968188277,16.000870337,11.967566607,11.362273535
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,82,200,200,154.0411,61.59025,46.38155,41.35375
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,107,149,149,50.178187919,18.336711409,13.993087248,13.705436242
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,20,20,22.6685,9.973,7.628,7.959
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,88,201,201,52.938159204,14.89840796,11.26800995,8.9194029851
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,112,275,1451,7.4624190214,2.3804824259,1.8078015162,1.5507718815
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,16,23,23,20.525652174,6.8660869565,5.3847826087,4.6869565217
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,73,102,102,29.17372549,12.470098039,9.6658823529,10.188921569
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,900.285,228.79166667,179.37166667,176.295
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,36,140,147,43.071088435,15.16585034,11.496530612,10.476190476
1043274293,WIRTSCHAFTER,ARI,I,MD,M,I,1601 CLINT MOORE RD,SUITE 105,BOCA RATON,FL,334872768,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,52,279,287,173.85250871,38.607212544,28.289407666,24.477317073
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,1080,3.02,2.66,2.0854444444,2.3206666667
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,20,38,8.19,1.5818421053,0.9994736842,0.9126315789
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,394.84631579,90.135263158,63.457368421,60.707894737
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,45,156.64,33.193111111,23.787111111,23.682222222
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,74,99.215675676,18.250540541,12.806351351,13.011081081
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,16,22,22,249.59909091,53.314090909,41.794545455,42.74
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,22,25,25,70.5,18.3508,13.8224,13.498
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,26,26,78.419615385,12.284615385,9.3319230769,8.8223076923
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,45,198,10.301717172,2.1034343434,1.6328282828,1.5773232323
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,23.44375,5.968125,4.68,4.65
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,13,14,14,48.99,12.978571429,10.174285714,10.293571429
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,4.248,3.81,2.7154545455,2.7154545455
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,72,90.328611111,18.770555556,14.135138889,13.600416667
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,1687.66,1074.31,839.81181818,839.81181818
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,3939.165,1074.31,833.293125,833.293125
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,275,101.04666667,78.977222222,79.986666667
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,1372.3989474,913.15421053,708.36263158,708.36263158
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,63.05,13.359333333,9.082,9.0826666667
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,62,62,38.571129032,5.7698387097,4.0775806452,3.1916129032
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,317.47137255,31.800392157,24.50745098,24.846470588
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,187,195,451.23917949,78.26974359,57.877846154,51.579487179
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,114.54545455,38.72,30.36,29.672727273
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,45,2670,16.272775281,9.6143595506,7.4101423221,7.4101423221
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,78,16025,0.2492567863,0.0465204368,0.0334377535,0.0334377535
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,49,5460,1.1963296703,0.1359285714,0.1045750916,0.1045750916
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,45,2700,11.970281481,2.9963111111,2.3491296296,2.3491296296
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,75,42.242903226,30.010967742,26.541612903
1043274343,MCCAULEY,WILLIAM,C,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,20,155,155,101.34193548,33,24.641032258,24.641032258
1043274368,IDICULLA,STANLEY,,DPM,M,I,112 ELDEN ST,SUITE D,HERNDON,VA,201704874,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,40,52,180,84.371730769,59.769038462,57.292884615
1043274368,IDICULLA,STANLEY,,DPM,M,I,112 ELDEN ST,SUITE D,HERNDON,VA,201704874,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,365,278.744375,218.53375,218.89
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,25,37,37,89.932162162,42.283513514,30.001081081,27.523513514
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,26,51,51,290.22137255,103.7145098,70.071960784,59.190980392
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,18,39,73,99.928493151,38.991369863,27.539315068,22.973561644
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,13,15,64,65.29296875,22.83640625,14.54125,12.21515625
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,14,68,58.699117647,18.670735294,14.377794118,12.120441176
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,26,44,44,180.23727273,65.225454545,45.998863636,38.582045455
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,43,55,55,56.414363636,21.348363636,14.768363636,12.600727273
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,37,37,70.714594595,18.172432432,13.701351351,8.9491891892
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,48,81,380,9.4763947368,2.5552631579,1.8252368421,1.4693947368
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,20,20,25.9885,8.262,5.9625,4.191
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,28,34,34,33.642647059,14.125588235,10.771764706,10.041470588
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,366.47125,106.5925,75.0875,57.7175
1043274509,ENNACHERIL,TRUSTIN,R,MD,M,I,98 ROUTE 236 STE 2,,KITTERY,ME,039045527,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,15,67,67,177.39910448,41.702985075,29.088358209,21.421641791
1043274699,HEDICAN,SEAN,P,MD,M,I,600 HIGHLAND AVENUE,,MADISON,WI,53792,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,2824,2.5805736544,2.0385835694,1.5982648725,1.5993732295
1043274699,HEDICAN,SEAN,P,MD,M,I,600 HIGHLAND AVENUE,,MADISON,WI,53792,US,Physician/Urology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,457,69.81,54.73,54.73
1043274699,HEDICAN,SEAN,P,MD,M,I,600 HIGHLAND AVENUE,,MADISON,WI,53792,US,Physician/Urology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,135,36.14,28.33,29.295454545
1043274772,SHAH,CHIRAG,A,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,150,48.939,36.0435,36.4355
1043274772,SHAH,CHIRAG,A,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,33.613793103,17.366551724,13.615172414,13.547241379
1043274772,SHAH,CHIRAG,A,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,20,5.7252173913,4.1556521739,3.6704347826
1043274772,SHAH,CHIRAG,A,MD,M,I,6730 ROOSEVELT AVE STE 303,,MIDDLETOWN,OH,450050017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,229.07142857,78.956666667,60.431190476,53.941666667
1043274798,TROOP,JOEL,K,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,33,33,33,135.21,70.278787879,51.964848485,37.578787879
1043274798,TROOP,JOEL,K,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,145,73.255,57.126428571,42.624285714
1043274798,TROOP,JOEL,K,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,56.923076923,25.107692308,19.684615385,14.106153846
1043274798,TROOP,JOEL,K,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,125,125,92.629230769,155.14307692
1043274798,TROOP,JOEL,K,M.D.,M,I,2002 12TH AVE NW,SUITE B,ARDMORE,OK,734011206,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,67.71,53.2,37.885384615,42.230769231
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,130.949375,38.63,26.495,26.670625
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.386,1.017,1.0793333333
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,13,14,14,77.282857143,14.344285714,11.248571429,9.0714285714
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,15,32,32,244.5834375,87.2003125,62.0790625,61.524375
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,28,108.11392857,34.044642857,26.113214286,25.273214286
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,13,29,29,216.15482759,55.224827586,41.808965517,41.402758621
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,26,38,38,55.438684211,18.569736842,13.048684211,12.608421053
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,33,33,60.907272727,11.951212121,8.826969697,8.5666666667
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,26,57,328,7.8506707317,1.9672560976,1.4024390244,1.4485365854
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,12,18,18,39.923333333,14.536666667,11.398888889,10.393333333
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,70,41.627571429,17.25,12.747428571,12.766
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,14,64,64,1335.2429687,1074.31,779.5240625,779.5240625
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,21,21,260.33952381,88.02,69.01,68.394761905
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,56.375,10.998333333,6.8983333333,7.0122222222
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,12,63,69,41.592173913,5.4808695652,4.0414492754,3.375942029
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,56,56,152.42303571,32.284107143,23.182142857,22.439821429
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,130,140,273.26178571,81.829,62.118857143,53.686285714
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,228.125,35.63,27.0571875,28.451875
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,39,2460,14.607882114,11.157756098,8.6310731707,8.6310731707
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,44,9207,0.2366069295,0.0467079396,0.0332768546,0.0332768546
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,3210,0.7665794393,0.1383738318,0.1068099688,0.1068099688
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,11,51,3060,12.86,3.0560196078,2.3530980392,2.3530980392
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,130.989,41.099,26.389,23.907
1043274814,PENSLER,MARK,I,M.D.,M,I,2333 BIDDLE ST,,WYANDOTTE,MI,481924668,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,28,116,116,119.19827586,33,24.531896552,24.531896552
1043274830,SANKARI,MOHAMAD,R,MD,M,I,400 6TH AVE,,MONTGOMERY,WV,251362117,US,Physician/Gastroenterology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,9.3842857143,3.82,2.995,3.0530357143
1043274830,SANKARI,MOHAMAD,R,MD,M,I,400 6TH AVE,,MONTGOMERY,WV,251362117,US,Physician/Gastroenterology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,16.792307692,7,5.488,5.488
1043274830,SANKARI,MOHAMAD,R,MD,M,I,400 6TH AVE,,MONTGOMERY,WV,251362117,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,9.6846153846,4.03,3.1595,3.1595
1043274962,MEJIA,ALFONSO,,MD,M,I,9650 GROSS POINT RD STE 2900,,SKOKIE,IL,600761214,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,275,220.86,173.16,172.00545455
1043274962,MEJIA,ALFONSO,,MD,M,I,9650 GROSS POINT RD STE 2900,,SKOKIE,IL,600761214,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,21,24,82.875,64.76,48.655833333,44.971666667
1043275019,HARDING,JOHN,R,MD,M,I,11051 HALL RD,SUITE 200,UTICA,MI,483175735,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,780,4.1692307692,2.04,1.4763076923,1.4763076923
1043275019,HARDING,JOHN,R,MD,M,I,11051 HALL RD,SUITE 200,UTICA,MI,483175735,US,Physician/Urology,S,A4405,"Ostomy skin barrier, non-pectin based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,28,15.48,3.84,3.01,3.01
1043275019,HARDING,JOHN,R,MD,M,I,11051 HALL RD,SUITE 200,UTICA,MI,483175735,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,19.086,7,5.488,5.488
1043275092,SPEKTOR,GARY,,M.D.,M,I,2882 W 15TH ST UPPR LEVEL,,BROOKLYN,NY,112242770,US,Physician/Cardiovascular Disease (Cardiology),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2850,1074.31,842.26,842.26
1043275118,ZALESKI,HENRY,I,M.D.,M,I,6550 FANNIN ST,STE 2423,HOUSTON,TX,770302717,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,21.2075,15.3825,12.404166667
1043275118,ZALESKI,HENRY,I,M.D.,M,I,6550 FANNIN ST,STE 2423,HOUSTON,TX,770302717,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,95.138333333,69.6075,50.1675
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,60,182,413,49.598353511,8.2572397094,5.7919128329,5.8431961259
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,31,31,14.683870968,3.38,2.3935483871,2.3935483871
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,20.341176471,2.12,1.5717647059,1.5717647059
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,38,87,112,12.920625,1.42,0.9872321429,0.9872321429
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,310,8.3164516129,4.03,3.159516129,3.159516129
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,21.977407407,7.5777777778,5.132962963,3.017037037
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,46,46,69.407391304,29.176086957,22.247391304,14.419130435
1043275282,MCALHANEY,DANETTE,F,MD,F,I,450 NORTH ST,,BAMBERG,SC,290031318,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,251.11,251.11,196.87,196.87
1043275357,HILDRETH,BARBARA,P,M.D.,F,I,2097 HENRY TECKLENBURG DR,SUITE 220,CHARLESTON,SC,294145740,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,42,131,72.414198473,8.32,6.0604580153,6.0604580153
1043275357,HILDRETH,BARBARA,P,M.D.,F,I,2097 HENRY TECKLENBURG DR,SUITE 220,CHARLESTON,SC,294145740,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,16,25,14.3488,1.42,1.0704,1.0704
1043275357,HILDRETH,BARBARA,P,M.D.,F,I,2097 HENRY TECKLENBURG DR,SUITE 220,CHARLESTON,SC,294145740,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,325,74,58.02,54.73
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,58,58,104.78396552,39.909655172,28.409137931,27.723103448
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,28,66,66,321.59878788,89.386060606,64.05030303,62.01030303
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,27,64,145,116.2877931,35.373931034,26.083517241,24.342
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,39,79,396,50.000580808,19.017727273,13.656186869,13.328939394
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,48,109,109,191.09027523,54.271192661,37.091100917,37.386880734
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,69,98,98,58.511530612,18.84377551,14.196836735,13.543469388
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,47,114,114,65.948245614,12.316140351,8.9460526316,8.4919298246
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,75,183,989,8.9125379171,2.3065520728,1.6774418605,1.4879979778
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,17.56,5.9207142857,4.65,4.6585714286
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,57,77,77,32.586233766,12.832077922,9.0809090909,9.3402597403
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,456.82866667,77.62,48.688,49.362
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,18,102,105,60.871904762,13.695333333,9.3015238095,9.0787619048
1043275449,GONCHIGAR,MRUTHYUNJAYA,,M.D.,M,I,196 THOMAS JOHNSON DR,SUITE 215,FREDERICK,MD,217024397,US,Physician/Anesthesiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,29,210,217,183.17612903,30.131474654,20.820460829,21.078940092
1043275506,STRAUGHN,CLIFTON,W,MD,M,I,105 BUFORD AVE,,ANDERSON,SC,296213313,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,24,76,69.349605263,8.32,5.1490789474,5.1490789474
1043275506,STRAUGHN,CLIFTON,W,MD,M,I,105 BUFORD AVE,,ANDERSON,SC,296213313,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,17,12.219166667,12.433333333
1043275506,STRAUGHN,CLIFTON,W,MD,M,I,105 BUFORD AVE,,ANDERSON,SC,296213313,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,393.75,71,51.021666667,50.169166667
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,40,112,64.864464286,8.32,5.8816071429,5.8816071429
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,24,40,15.6025,1.42,0.97675,0.97675
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,32,8.19,1.5,1.175,1.1515625
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,23,74.30826087,17.3,12.380869565,12.372173913
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,25,33.5212,6.018,4.1664,3.4092
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,59,64,397.57921875,78.57,58.81953125,53.989375
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,570,15.58,9.6363684211,7.3974561404,7.3974561404
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,5648,0.1781090652,0.0458498584,0.0326168555,0.0326168555
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,390,0.92,0.1319230769,0.1033846154,0.1033846154
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1080,0.75,0.219,0.1575,0.1575
1043275530,MCCARTNEY,TRACI,A,APN,F,I,2051 CLEVIDENCE BLVD,SUITE 1,CLARKSVILLE,IN,471292278,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,124.92857143,33,25.87,25.87
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,54,155,73.269870968,8.32,6.353483871,6.353483871
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,28,27.14,1.42,1.0757142857,1.0757142857
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,85,35.586666667,27.437333333,25.416666667
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,11,15,15,55,19.734,14.432666667,13.131333333
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,53.758823529,13.517647059,10.000588235,8.5835294118
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,40,6.83,2.1975,1.63675,1.51375
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,60,18.872307692,14.101282051,13.329487179
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,42,325,79.183809524,58.170714286,50.820714286
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3212,0.476513076,0.0466531756,0.0342372354,0.0342372354
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,926,1.970950324,0.134524838,0.1054427646,0.1054427646
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,63.695652174,19.457826087,14.462608696,13.506956522
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,190,46.415454545,32.109090909,32.109090909
1043275571,KEITH,RACHEL,R,DO,F,I,833 S IOWA ST,STE 102,DODGEVILLE,WI,535331900,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,25.87,25.87
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,49,82,82,132.01768293,39.601097561,29.911829268,29.432682927
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,35,62,62,288.32467742,89.702419355,68.045645161,66.005645161
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,24,42,90,102.18355556,35.107666667,27.234777778,25.817333333
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,33,70,318,74.920534591,19.704968553,14.464811321,13.656855346
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,20,34,154,45.683506494,15.370519481,11.891493506,11.74461039
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,61,126,127,213.98354331,56.64480315,42.431653543,41.038031496
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,89,117,117,62.83991453,17.232991453,13.284871795,13.781965812
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,42,90,90,68.658777778,12.019111111,9.0387777778,8.7751111111
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,75,159,799,9.752077597,2.0741927409,1.5528911139,1.5236045056
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,31,43,43,22.029767442,6.226744186,4.7646511628,4.5655813953
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,39,50,50,42.2172,12.3458,9.4814,10.0838
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,48,48,44.593333333,16.661875,12.252708333,12.717083333
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,218.32307692,50.516923077,39.190769231,37.214615385
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1537.95,1074.31,830.30416667,830.30416667
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,3287.1075,1149.204375,900.976875,796.335
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,27,27,27,552.15962963,142.81814815,111.96740741,106.20777778
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,43,44,30.9375,14.399090909,10.529090909,9.7840909091
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,24,25,35.2028,6.196,4.5024,3.6436
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.07,40.553333333,31.793333333,31.985
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,46,251,258,184.69686047,37.663914729,28.195581395,25.426937984
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,31,219,233,440.23291845,80.083476395,61.011330472,54.102918455
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,66,75,217.61466667,35.261866667,26.913733333,28.5724
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,660,11.717848485,3.176,2.2726363636,2.2726363636
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,53.873478261,35.401304348,27.756086957,29.274347826
1043275647,GRIGGS,ADAM,L,D.O.,M,I,1121 N CENTRAL AVE,SUITE B,KISSIMMEE,FL,347414405,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,19,19,64.263157895,33,25.87,25.87
1043275696,STRONG,JENNIFER,A,MD,F,I,3603 SCHNEIDER AVE SE,,MENOMONIE,WI,547515674,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,35,115,88.359043478,8.32,5.6799130435,5.6799130435
1043275803,DERVAY,JOANN,W,MD,F,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Pain Management,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,2,,20,115,42.330434783,10.34,8.1066086957,7.8885217391
1043275803,DERVAY,JOANN,W,MD,F,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Pain Management,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,30,24.375,19.11,21.2745
1043275803,DERVAY,JOANN,W,MD,F,I,6160 KEMPSVILLE CIR,SUITE 200B,NORFOLK,VA,235023933,US,Physician/Pain Management,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,14.5,8.125,5.635,5.92875
1043275852,GRADY,VICTORIA,E,MD,F,I,8051 PROSPERITY WAY STE 100,,RUTHER GLEN,VA,22546,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,63,156,61.506410256,8.32,5.9153205128,5.9153205128
1043275852,GRADY,VICTORIA,E,MD,F,I,8051 PROSPERITY WAY STE 100,,RUTHER GLEN,VA,22546,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,23,33,13.020606061,1.42,1.1151515152,1.1151515152
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,2.975,2.975,2.1391666667,2.585
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,36,3.3966666667,3.3966666667,2.4433333333,2.4716666667
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,18,13.8,9.9183333333,9.9183333333
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,25,11.9572,9.29,6.6976,8.0084
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9,7.46,5.3625,5.3625
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,836,0.1320454545,0.12,0.0940909091,0.0940909091
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,2704,0.44,0.44,0.3449482249,0.3449482249
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,25,25,50,134.6064,71.56,56.105,56.105
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,22,62,2230,8.4686188341,8.28,6.4916098655,6.4916098655
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,214,11.665654206,10.93,8.5691588785,8.5691588785
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,69,18.29,18.29,14.339710145,14.339710145
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1200,0.18,0.13,0.0934083333,0.0934083333
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,29,3637,0.4772779764,0.45,0.3528017597,0.3528017597
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,13,76.423076923,51.46,40.343076923,41.473846154
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,127.28,44.218,34.586666667,36.550666667
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17,9.6945454545,9.9181818182
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,50.73,3.9176923077,2.5615384615,3.1992307692
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,87.5,45.75,29.988,28.424
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,77.896153846,47.406923077,43.033846154
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,15,70,75,134.14666667,16.1016,9.8604,10.893333333
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,71,76,59.292631579,8.0013157895,5.2532894737,5.4140789474
1043275902,DAIN,PETER,J,M.D.,M,I,281 E HARTFORD AVE,,UXBRIDGE,MA,015691278,US,Physician/Internal Medicine,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,132,68.28,43.56,34.151666667,34.150378788
1043275944,MORRIS,DARREN,T,MD,M,I,2208 DUCK SLOUGH BLVD,SUITE A,TRINITY,FL,346555072,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,70,65.261285714,8.32,5.5904285714,5.5904285714
1043275944,MORRIS,DARREN,T,MD,M,I,2208 DUCK SLOUGH BLVD,SUITE A,TRINITY,FL,346555072,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,25,18.7456,1.42,0.8912,0.8912
1043276140,LO,GARLAN,G,M.D.,M,I,1850 S AZUSA AVE,STE 107,HACIENDA HEIGHTS,CA,917456813,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,87.75,80.83,55.548333333,44.98
1043276207,TELLO,ABEL,E,M.D.,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,7590,4.8104848485,0.5630948617,0.4341963109,0.4341963109
1043276207,TELLO,ABEL,E,M.D.,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,5820,3.546257732,1.2815721649,0.9681563574,0.9681563574
1043276207,TELLO,ABEL,E,M.D.,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,36,36,24,24,17.795277778,17.795277778
1043276207,TELLO,ABEL,E,M.D.,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,47,47,16,16,12.54,12.54
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,32,95,219,77.540136986,8.32,6.1047488584,6.1047488584
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,15.534545455,3.38,2.65,2.65
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,24,53,62,16.711774194,1.42,1.0816129032,1.0816129032
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,76.818181818,71.418181818,55.993636364,56.105
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,63.77,12.613636364,9.8927272727,9.1463636364
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,9.5642424242,2.0736363636,1.6256060606,1.5916666667
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,18.612972973,5.9721621622,3.1089189189,2.4043243243
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,185.14103448,33.480689655,25.142413793,24.693793103
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,388.57142857,77.36,56.317857143,52.089285714
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,382.26363636,40.62,28.954545455,26.836363636
1043276249,ARAGON,ROMUALDO,A,MD,M,I,2870 S MARYLAND PKWY,SUITE 120,LAS VEGAS,NV,891095031,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,60,16.197027027,10.96,11.994054054
1043276272,DIAZ-STANCHI,MARIA,A,M.D.,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,41,127,68.213307087,8.32,5.5460629921,5.5460629921
1043276272,DIAZ-STANCHI,MARIA,A,M.D.,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,25,15.9024,1.42,1.0256,1.0256
1043276272,DIAZ-STANCHI,MARIA,A,M.D.,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,57.433636364,12,7.5863636364,7.3418181818
1043276272,DIAZ-STANCHI,MARIA,A,M.D.,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,8.0823076923,2.0230769231,1.2543589744,1.2593589744
1043276272,DIAZ-STANCHI,MARIA,A,M.D.,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,24.494285714,3.8242857143,2.5821428571,2.9578571429
1043276272,DIAZ-STANCHI,MARIA,A,M.D.,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,188.50714286,30.941428571,24.124285714,24.785
1043276272,DIAZ-STANCHI,MARIA,A,M.D.,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,467.81727273,72.412727273,56.776363636,54.73
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,39,83,83,87.796385542,41.001807229,30.979518072,29.60686747
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,40,79,79,383.4035443,96.251518987,73.325696203,66.345063291
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,27,55,113,145.06017699,36.205132743,28.018849558,25.64699115
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,22,46,223,83.652331839,20.077219731,14.967085202,13.996726457
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,12,25,126,56.031111111,15.742142857,11.328095238,10.926746032
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,38,85,85,234.93152941,56.296235294,39.647294118,38.568470588
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,73,99,99,68.994747475,19.63969697,14.571313131,13.391818182
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,38,72,72,81.62125,12.851527778,9.4173611111,8.5013888889
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,64,136,592,9.4201013514,2.313277027,1.7591047297,1.5707939189
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,45,57,57,30.69122807,6.1656140351,4.5824561404,4.4087719298
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,46,58,58,45.641551724,13.127758621,10.056034483,10.09637931
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,375,96.940454545,74.539545455,65.944090909
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,400,141,110.54,104.7
1043276306,PAVLOVA,MILENA,,MD,F,I,75 FRANCIS STREET,BRIGHAM AND WOMENS HOSPITAL DEPT OF NEUROLOGY,BOSTON,MA,02115,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,19,118,118,195,33.519745763,24.737372881,23.554152542
1043276348,FIELDS,CORY,A,OD,M,I,225 CHURCH ST,DEAN MEDICAL CENTER,STOUGHTON,WI,535891801,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,22,22,72.694090909,72.694090909,50.852272727,46.853181818
1043276348,FIELDS,CORY,A,OD,M,I,225 CHURCH ST,DEAN MEDICAL CENTER,STOUGHTON,WI,535891801,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,30,80,66.61,45.260666667,47.130333333
1043276371,SCHWARTZ,BRADLEY,E,O.D.,M,I,805 MONTGOMERY ST,,DECORAH,IA,521012318,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,27,27,216.78407407,64.82,50.822222222,52.585925926
1043276371,SCHWARTZ,BRADLEY,E,O.D.,M,I,805 MONTGOMERY ST,,DECORAH,IA,521012318,US,Optometry,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,25,42,266.52380952,63.380952381,49.688333333,54.698095238
1043276371,SCHWARTZ,BRADLEY,E,O.D.,M,I,805 MONTGOMERY ST,,DECORAH,IA,521012318,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,22,37,19.297297297,16.076216216,12.606486486,13.99
1043276447,OWENS,GEORGE,F,M.D.,M,I,311 NORTH ST,SUITE 201,WHITE PLAINS,NY,106052217,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,2400,0.13,0.13,0.1019208333,0.1019208333
1043276496,LIN,JOANNA,,MD,F,I,751 S BASCOM AVE,INTERNAL MEDICINE DEPARTMENT,SAN JOSE,CA,951282604,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250.51,79,56.778333333,50.169166667
1043276504,BOGDAN,JULIE,D,PA,F,I,1407 S MAIN ST,,POPLARVILLE,MS,39470,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,23,48,51.980625,8.32,6.2504166667,6.2504166667
1043276504,BOGDAN,JULIE,D,PA,F,I,1407 S MAIN ST,,POPLARVILLE,MS,39470,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,10.16875,1.42,1.045,1.045
1043276504,BOGDAN,JULIE,D,PA,F,I,1407 S MAIN ST,,POPLARVILLE,MS,39470,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,23.66,7.0803333333,4.4593333333,2.516
1043276504,BOGDAN,JULIE,D,PA,F,I,1407 S MAIN ST,,POPLARVILLE,MS,39470,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1767,1.3682003396,0.1413242784,0.0953650255,0.0953650255
1043276504,BOGDAN,JULIE,D,PA,F,I,1407 S MAIN ST,,POPLARVILLE,MS,39470,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,39.470588235,33,21.438823529,21.438823529
1043276546,MCCULLOCH,BRANDY,D,CRNP,F,I,2000 PEPPERELL PKWY,,OPELIKA,AL,368015452,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,17,67.148235294,8.32,4.4994117647,4.4994117647
1043276686,BESWICK,CARLA,R,FNP,F,I,4130 N FREEWAY RD,,PUEBLO,CO,810082064,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,33,65,59.189076923,8.32,5.6176923077,5.6176923077
1043276686,BESWICK,CARLA,R,FNP,F,I,4130 N FREEWAY RD,,PUEBLO,CO,810082064,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,36,54.150277778,21.819166667,16.690555556,13.938888889
1043276686,BESWICK,CARLA,R,FNP,F,I,4130 N FREEWAY RD,,PUEBLO,CO,810082064,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,72,77,391.14857143,99.056363636,70.556753247,52.026623377
1043276686,BESWICK,CARLA,R,FNP,F,I,4130 N FREEWAY RD,,PUEBLO,CO,810082064,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2649,0.0848773122,0.0471158928,0.0332465081,0.0332465081
1043276686,BESWICK,CARLA,R,FNP,F,I,4130 N FREEWAY RD,,PUEBLO,CO,810082064,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2970,1.054010101,0.1353838384,0.0859427609,0.0859427609
1043276686,BESWICK,CARLA,R,FNP,F,I,4130 N FREEWAY RD,,PUEBLO,CO,810082064,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,92.87037037,33,22.995555556,22.995555556
1043276827,KOLIVER,MARIA,G,MD,F,I,635 MARKET ST,,NEWARK,NJ,071053618,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,54,69.888888889,8.32,6.5222222222,6.5222222222
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,31,104,258,60.673953488,8.32,5.6720155039,5.6720155039
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,31,31,11.809354839,3.38,2.65,2.65
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,64,108,14.03,1.42,1.0421296296,1.0421296296
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,31.545454545,27.009090909,21.179090909,22.207272727
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,2.1481818182,1.9481818182,1.5273757576,1.5993333333
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1950,14,7.23,5.6683333333,5.6683333333
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,2.1625,1.57,1.23,1.41
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,65,47.773846154,7.7415384615,6.0692307692,6.3663076923
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,316,6.52,3,2.3520886076,2.3662974684
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,310,15.82,4.85,3.802483871,4.1628709677
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4536,2.0133333333,0.36,0.2822442681,0.2900881834
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6735,1.3537045286,0.3,0.2351937639,0.2422999258
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,36,36,36,137.34083333,53.554444444,41.016388889,36.266111111
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,119.91,63.433636364,49.733636364,40.796363636
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,28.337142857,10.91952381,7.649047619,7.1819047619
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,12,37,37,212.56864865,54.522432432,40.503513514,39.014324324
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,31,31,207.06,49.958709677,34.433870968,33.177096774
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,37.818181818,13.36,10.48,10.48
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,29,40.211724138,4.3113793103,3.1737931034,3.4813793103
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,143.14545455,34.639090909,27.152727273,27.623636364
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,38.5,10.291176471,6.9988235294,5.64
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,25,12.11875,9.1716666667,8.4775
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,34,34,67,74.269850746,31.000149254,24.303134328,22.485970149
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,20,20,20,62,24.764,19.418,18.117
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,22.5,11.300833333,8.5579166667,7.87875
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,300.13333333,216.3725,164.28416667,164.28416667
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,52,55,503.55454545,71.540363636,50.845454545,49.422909091
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,42,26.33,20.64,22.848461538
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,30,30,30,87.638666667,40.056666667,31.402333333,29.131333333
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,22,22,22,357.86363636,175.75363636,137.79363636,114.25545455
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,780,1.5191282051,0.1356538462,0.1028717949,0.1028717949
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,18,60,60,89.105833333,26.353833333,20.038166667,14.924166667
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,99.7192,36.6216,25.8164,22.0604
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,83,83,105.64915663,35.325903614,26.179759036,21.546506024
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,194.89,69.055,54.14,58.625
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,30,126,126,23.606269841,9.8717460317,7.4895238095,6.8238095238
1043276934,GRISIER,DOUGLAS,B,D.O.,M,I,537 W 18TH ST,,ERIE,PA,165021722,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,68.357142857,33,22.174285714,22.174285714
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,66,222,69.592477477,8.32,6.2290540541,6.2290540541
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.336923077,3.38,2.65,2.65
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,50,16.8958,1.42,1.092,1.092
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,28,348.36142857,82.281071429,60.407857143,52.407142857
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,1486,3.83,0.576345895,0.4479878869,0.4479878869
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.0448333333,0.013,0.0092833333,0.0092833333
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,2.4581944444,0.7405,0.5315138889,0.5315138889
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,2520,6.2108412698,1.2435357143,0.9004325397,0.9004325397
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1138,1.2992794376,0.1283479789,0.0910369069,0.0910369069
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,24,24,18.212903226,18.212903226
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,40,16,16,11.602,11.602
1043276991,VELAMAKANNI,KRISHNAMURTY,,MD,M,I,22655 BAYSHORE RD,SUITE 110,PORT CHARLOTTE,FL,339802018,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,115.5,33,21.558333333,21.558333333
1043277064,BAUMBERGER,DAVID,W,M.D.,M,I,304 W HAY ST,STE 312,DECATUR,IL,625266328,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,25,69,80.684637681,8.32,6.1434782609,6.1434782609
1043277064,BAUMBERGER,DAVID,W,M.D.,M,I,304 W HAY ST,STE 312,DECATUR,IL,625266328,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,20,139.173,37.512,29.409,28.741
1043277122,MURPHY,BRIAN,W,MD,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Hospice and Palliative Care,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1160,0.12,0.12,0.0940775862,0.0940775862
1043277122,MURPHY,BRIAN,W,MD,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Hospice and Palliative Care,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,954,8.28,8.28,6.3577253669,6.3577253669
1043277122,MURPHY,BRIAN,W,MD,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Hospice and Palliative Care,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,390,18.5,18.5,14.136128205,14.136128205
1043277122,MURPHY,BRIAN,W,MD,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Hospice and Palliative Care,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,792,5.28,5.26,4.1238762626,4.1395580808
1043277122,MURPHY,BRIAN,W,MD,M,I,707 E MAIN ST,,MIDDLETOWN,NY,109402650,US,Physician/Hospice and Palliative Care,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1608,0.45,0.45,0.3527922886,0.3527922886
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,54,139,350,73.467657143,8.32,5.9634571429,5.9634571429
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,34,46,16.091521739,1.42,0.9226086957,0.9226086957
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,11,191,10.702879581,10.702879581,7.64,7.8181151832
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,10.296470588,2.8423529412,1.9854411765,1.5579411765
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,80.026666667,22.97,18.006666667,13.941666667
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,51,51,526.15313725,102.71392157,78.186078431,55.064901961
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,129.70588235,43.571764706,32.229411765,28.129411765
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,20.925621212,9.6109090909,7.5349545455,7.5349545455
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,5603,0.2233517758,0.0452239871,0.0334035338,0.0334035338
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1110,1.5103243243,0.1423243243,0.1115945946,0.1115945946
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,870,8.5752298851,2.906137931,2.2784252874,2.2784252874
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,190,99.950833333,78.364166667,57.483333333
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,231.7,45.25125,33.425625,28.119375
1043277254,NAGLER,RICHARD,D,MD,M,I,2321 STOUT RD,,MENOMONIE,WI,547517003,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,38,38,35.605263158,33,25.189210526,25.189210526
1043277304,GUHA,PRABAL,K,M.D.,M,I,101 WILLIAM H. JOHNSON STREET,SUITE 600,FLORENCE,SC,295062716,US,Clinical Cardiatric Electrophysiology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,170.32923077,57.867692308,38.802307692,36.295384615
1043277304,GUHA,PRABAL,K,M.D.,M,I,101 WILLIAM H. JOHNSON STREET,SUITE 600,FLORENCE,SC,295062716,US,Clinical Cardiatric Electrophysiology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,51.371666667,20.015,15.685833333,14.06
1043277304,GUHA,PRABAL,K,M.D.,M,I,101 WILLIAM H. JOHNSON STREET,SUITE 600,FLORENCE,SC,295062716,US,Clinical Cardiatric Electrophysiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,56.198235294,14.428235294,10.778823529,8.6635294118
1043277304,GUHA,PRABAL,K,M.D.,M,I,101 WILLIAM H. JOHNSON STREET,SUITE 600,FLORENCE,SC,295062716,US,Clinical Cardiatric Electrophysiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,75,8.1341333333,2.3278666667,1.6996,1.4748
1043277304,GUHA,PRABAL,K,M.D.,M,I,101 WILLIAM H. JOHNSON STREET,SUITE 600,FLORENCE,SC,295062716,US,Clinical Cardiatric Electrophysiology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,346.80153846,99.885769231,72.788461538,59.924615385
1043277304,GUHA,PRABAL,K,M.D.,M,I,101 WILLIAM H. JOHNSON STREET,SUITE 600,FLORENCE,SC,295062716,US,Clinical Cardiatric Electrophysiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,263.08222222,34.363333333,25.616666667,25.248888889
1043277304,GUHA,PRABAL,K,M.D.,M,I,101 WILLIAM H. JOHNSON STREET,SUITE 600,FLORENCE,SC,295062716,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,36,89,89,3727.5280899,2667.1169663,2032.7173034,2032.7173034
1043277353,LEVY,BRUCE,D,MD,M,I,75 FRANCIS ST PBB CLINICS 3,BRIGHAM & WOMEN'S HOSPITAL PULMONARY DIVISION,BOSTON,MA,02115,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.93,3.9272727273,3.0763636364,3.6854545455
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,18,92,56.839130435,8.32,6.0970652174,6.0970652174
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,13,89.621538462,38.67,25.655384615,25.827692308
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,36,132.55055556,32.56,23.406944444,23.797222222
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,17,96,83.640625,18.340104167,11.066979167,11.231875
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,18,19,224.62,54.833157895,35.528947368,35.393684211
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,19,19,63.624736842,17.692631579,13.149473684,13.305789474
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,97.676666667,11.654166667,9.0816666667,9.0525
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,26,152,8.7327631579,2.0519736842,1.5448026316,1.5301973684
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,19.468181818,5.0909090909,3.9890909091,3.9254545455
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,69.861935484,17.27,11.792903226,11.792903226
1043277478,SINGER,NEIL,,MD,M,I,3700 W HIGHWAY 89A,,SEDONA,AZ,863364937,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,242.5444,68.78,48.8236,49.6404
1043277486,BUCHANAN,DOUGLAS,J,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,58,50.856206897,8.32,6.2965517241,6.2965517241
1043277486,BUCHANAN,DOUGLAS,J,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,14,7.1207142857,1.42,1.1185714286,1.1185714286
1043277486,BUCHANAN,DOUGLAS,J,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,66.357142857,23.251428571,18.227142857,13.53
1043277486,BUCHANAN,DOUGLAS,J,M.D.,M,I,1017 W 7TH ST,,WRAY,CO,807581420,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,329.965,103.695,75.106428571,50.343571429
1043277593,LEADABRAND,CATHERINE,A,MD,F,I,300 22ND AVE,,BROOKINGS,SD,57006,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,108.4875,64.364166667,47.156666667,33.421666667
1043277593,LEADABRAND,CATHERINE,A,MD,F,I,300 22ND AVE,,BROOKINGS,SD,57006,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,30.714285714,6.2364285714,4.37,2.8971428571
1043277593,LEADABRAND,CATHERINE,A,MD,F,I,300 22ND AVE,,BROOKINGS,SD,57006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,368.24052632,104.8,79.02,56.112631579
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,21,273,56.828278388,19.621428571,15.382857143,15.382857143
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,654,8.1709785933,2.6304587156,2.0622477064,2.0622477064
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,69,84,338,980,67.944091837,8.32,5.9723571429,5.9723571429
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,10.833636364,3.38,2.4090909091,2.4090909091
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,43,47,123,191,13.062513089,1.42,0.9985340314,0.9985340314
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,789.30888889,365.90333333,278.89722222,278.89722222
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,2840,16.295306338,10.752887324,8.4302464789,8.4302464789
1043277601,FENG,WEI,,MD,F,I,209 FAIR OAKS AVE,,SOUTH PASADENA,CA,910301814,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,12,56,56,316.6475,250.61571429,193.92035714,193.99660714
1043277635,DAVIS,KEITH,E,M.D.,M,I,113 S APPLE ST,,SHOSHONE,ID,833525287,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,454,7.24,6.7513436123,5.0131497797,4.1128634361
1043277635,DAVIS,KEITH,E,M.D.,M,I,113 S APPLE ST,,SHOSHONE,ID,833525287,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4344,0.71,0.4659760589,0.3615607735,0.2797398711
1043277635,DAVIS,KEITH,E,M.D.,M,I,113 S APPLE ST,,SHOSHONE,ID,833525287,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,441.6725,87.657222222,62.972777778,49.411944444
1043277643,SIMPSON,DANIEL,S,MD,M,I,1 BROOKLINE PL STE 225,,BROOKLINE,MA,02445,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,29,61,73.729180328,8.32,5.9257377049,5.9257377049
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,62,181,443,61.259255079,8.32,5.1784875847,5.1784875847
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,35,35,12.198285714,3.38,2.4985714286,2.4985714286
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,20.49375,2.12,1.67,1.67
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,38,87,128,12.973359375,1.42,0.95859375,0.95859375
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,28.46,27.01,21.18,22.207272727
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,22,10.93,10.34,8.1004545455,8.5054545455
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,26,1216,0.44,0.44,0.3336513158,0.3336513158
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,134.35555556,40.220555556,28.114444444,27.102222222
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,22,235,8.28,8.28,5.8792340426,5.8792340426
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,23,235,2.4,2.4,1.729106383,1.729106383
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,30,154,7.36,7.36,4.6885714286,4.6885714286
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,27,868,0.45,0.45,0.3365898618,0.3365898618
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,230.93375,54.73375,37.81125,37.786875
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,17,17,66.987647059,20.323529412,15.119411765,13.246470588
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,28,164,8.718902439,2.38,1.8089634146,1.5732317073
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,28.050625,7.08125,5.269375,4.371875
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,545,275,4.62,3.4162201835,3.9341100917
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,6318,4.0129962013,0.3564957265,0.2662108262,0.2756774296
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,7.3094444444,0.6,0.4646259259,0.5116685185
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,17,17,1200,58,45.47,48.152352941
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,123.414375,49.306875,36.52,37.834375
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.5475,12.968333333,13.534166667
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,31.545454545,4.455,3.0222727273,3.1386363636
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,122.69863636,42.837272727,32.407045455,25.058409091
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.84,3.79,3.9366666667
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,230,85.92,67.364347826,54.73
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,36,5277,0.6112658708,0.0466249763,0.0283191207,0.0283191207
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,110.625,16.525,12.955,14.106666667
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,149.42615385,30.383846154,22.106153846,24.141538462
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,37.093913043,8.6795652174,6.8060869565,7.2656521739
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,1090.9805263,150.68368421,118.13526316,123.13315789
1043277668,REHRIG,ROSALEE,K,DO,F,I,1976 WEST PENN PIKE,,NEW RINGGOLD,PA,17960,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,33,33,22.182857143,22.182857143
1043277676,HOBBS,SUZANN,H,N.P.,F,I,200 PATEWOOD DR STE B350,,GREENVILLE,SC,296156337,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,48.642727273,38.137272727,38.41
1043277676,HOBBS,SUZANN,H,N.P.,F,I,200 PATEWOOD DR STE B350,,GREENVILLE,SC,296156337,US,Nurse Practitioner,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1500,913.16,702.87727273,829.21727273
1043277676,HOBBS,SUZANN,H,N.P.,F,I,200 PATEWOOD DR STE B350,,GREENVILLE,SC,296156337,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,16,101,101,1587.0326733,940.28425743,708.58910891,801.49415842
1043277676,HOBBS,SUZANN,H,N.P.,F,I,200 PATEWOOD DR STE B350,,GREENVILLE,SC,296156337,US,Nurse Practitioner,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,52,52,548.94173077,385.40230769,287.26307692,298.01384615
1043277676,HOBBS,SUZANN,H,N.P.,F,I,200 PATEWOOD DR STE B350,,GREENVILLE,SC,296156337,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,79.93,40.994375,32.138125,34.71875
1043277692,MASSIMILLO,ANTHONY,J,M.D.,M,I,901 STEWART AVE,SUITE 235,GARDEN CITY,NY,115304893,US,Physician/Gastroenterology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,128.98,45.0975,35.35,36.2275
1043277809,LOVE,ROBIN,L,FNP,F,I,780 MAIN ST STE 1,,GREAT BARRINGTON,MA,012302149,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,36,65,69.478461538,8.32,5.5164615385,5.5164615385
1043277809,LOVE,ROBIN,L,FNP,F,I,780 MAIN ST STE 1,,GREAT BARRINGTON,MA,012302149,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,72.71,15.495454545,12.147272727,13.496363636
1043277809,LOVE,ROBIN,L,FNP,F,I,780 MAIN ST STE 1,,GREAT BARRINGTON,MA,012302149,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1689.78,116.50090909,78.298181818,82.947272727
1043277833,CARTER,MELVIN,R,MD,M,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,43,111,70.544324324,8.32,6.2286486486,6.2286486486
1043277833,CARTER,MELVIN,R,MD,M,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,62,86.31,17.793387097,12.972419355,12.603870968
1043277833,CARTER,MELVIN,R,MD,M,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,3888.3786207,986.58,763.57551724,829.9837931
1043277833,CARTER,MELVIN,R,MD,M,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,155.13,31.617272727,23.801818182,23.809090909
1043277833,CARTER,MELVIN,R,MD,M,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,23,161,166,540.99927711,71.137349398,52.149036145,51.205240964
1043277833,CARTER,MELVIN,R,MD,M,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,250,39.694285714,31.122857143,29.745714286
1043277833,CARTER,MELVIN,R,MD,M,I,11 S MAIN ST,,HURRICANE,UT,847371949,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,154.58823529,39.6,29.223529412,27.864705882
1043277841,JANTRA,PIROJNA,,MD,M,I,2825 GLENWOOD AVE,,ROCKFORD,IL,611013542,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,431,69.81,54.73,54.73
1043277882,MEHTA,TEJAL,V,MD,F,I,11030 GOLF LINKS DR STE 100,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,53,61.200188679,8.32,6.2760377358,6.2760377358
1043277999,BARCLAY,BRUCE,E,MD,M,I,1900 N AMIDON AVE,STE 100,WICHITA,KS,672032125,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,53,105,67.408857143,8.32,5.868952381,5.868952381
1043277999,BARCLAY,BRUCE,E,MD,M,I,1900 N AMIDON AVE,STE 100,WICHITA,KS,672032125,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,30,8.8,1.46,0.9926666667,1.002
1043277999,BARCLAY,BRUCE,E,MD,M,I,1900 N AMIDON AVE,STE 100,WICHITA,KS,672032125,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2925,0.17,0.0465435897,0.0308136752,0.0308136752
1043277999,BARCLAY,BRUCE,E,MD,M,I,1900 N AMIDON AVE,STE 100,WICHITA,KS,672032125,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,22,132,33,22.342272727,22.342272727
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,43,168,72.96,19.695238095,14.705178571,14.705178571
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,7.775,1.47,1.0541666667,1.0541666667
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,50,50,25.6168,5.615,3.8394,3.1096
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,13120,33.578807927,9.8419481707,7.7104931402,7.7104931402
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,520,131.51061538,41.997846154,32.790519231,32.790519231
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,3510,0.1795641026,0.0460997151,0.0355925926,0.0355925926
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,11,1554,1.9362419562,0.1373359073,0.1041698842,0.1041698842
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,42,238,8.55,2.6379831933,1.9988235294,1.9988235294
1043278013,GIBSON,BETHANY,T,M.D.,F,I,101 W MCKINLEY AVE,"ENTA ALLERGY, HEAD & NECK INSTITUTE",DECATUR,IL,62526,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,24,24,78.375,33,24.792083333,24.792083333
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,28,90,319,68.668526646,8.32,5.8762068966,5.8762068966
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,43,15.337674419,1.42,1.1125581395,1.1125581395
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,117.86,39,28.604166667,28.521666667
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,16,32,15.9,1.693125,1.326875,1.1490625
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,344.3675,87.54,64.340625,63.649375
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,43,132.62744186,34.2,26.81372093,25.98
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,114,8.9042105263,2.12,1.6633333333,1.5970175439
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,62.05,17.84826087,11.061304348,10.810434783
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,422.22,84.63,61.246153846,56.769230769
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,41,41,425.76634146,32.831463415,21.247804878,19.824878049
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,55,55,587.136,79.486545455,54.780363636,48.769636364
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,220.39210526,39.062105263,29.1,27.938421053
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,3471,0.220008643,0.0462921348,0.0338980121,0.0338980121
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,11.597,3.1059333333,2.2848777778,2.2848777778
1043278039,CHHEDA,MANISH,N,,M,I,550 N. UNIVERSITY BLVD.,UH2007,INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,28,78.964285714,33,25.87,25.87
1043278047,HERNANDEZ,LISA,R,MD,F,I,6 PRESLEY ST,ARBOR MEDICAL,STATEN ISLAND,NY,103083239,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,33,104,53.553269231,8.32,6.5214423077,6.5214423077
1043278047,HERNANDEZ,LISA,R,MD,F,I,6 PRESLEY ST,ARBOR MEDICAL,STATEN ISLAND,NY,103083239,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,24,44,15.802272727,1.42,1.0372727273,1.0372727273
1043278054,AZAM,SEEMA,,M.D.,F,I,133 LITTLETON RD,SUITE 202,WESTFORD,MA,018863198,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,20,65.4435,8.32,3.915,3.915
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,32,71,200,66.63785,8.32,5.6452,5.6452
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,15.11375,3.38,2.65,2.65
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,20,41,71,18.119014085,1.42,1.0387323944,1.0387323944
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,60.44,18,12.1875,11.7125
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,26.765,5.41,4.24,3.9741666667
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,23,23,483.73695652,86.806086957,62.796086957,50.215652174
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1858,1.2884660926,0.1385522067,0.1042303552,0.1042303552
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,59.682352941,21.207058824,16.622941176,13.869411765
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,25.41375,9.1875,7.2075,6.41625
1043278120,GUO,YILI,,M.D.,F,I,6538 CERMAK RD,,BERWYN,IL,604022899,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,125.4,33,25.617333333,25.617333333
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,22,79,60.642025316,8.32,5.6670886076,5.6670886076
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,28,142,45,25.665070423,19.254295775,14.124084507
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,13,30,30,125,74.507,58.413666667,43.713666667
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,19,19,45,24.540526316,19.233157895,14.472105263
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,31,31,45,20.643548387,16.18483871,9.4916129032
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,34,204,6.5,3.1864705882,2.4463235294,1.6261764706
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,22,15.64,12.257272727,10.34
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,135,135,40,22.313333333,16.430814815,12.739703704
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,42,42,100,61.185714286,45.897142857,37.002619048
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,26.75,7.0325,5.15,3.398
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,110.81081081,46.088648649,35.434054054,24.522972973
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,35,287,287,223.97212544,102.7102439,77.232543554,53.841602787
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2040,0.9899313725,0.1338529412,0.1049705882,0.1049705882
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,27.1525,19.6875,19.6875
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,60,43.206,30.651333333,26.510666667
1043278245,GARREN,LAURETTA,F,MD,F,I,130 E VIRGINIA AVE,,GUNNISON,CO,812302246,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33.65,33,25.87,25.87
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,60,222,60.030720721,8.32,6.111036036,6.111036036
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,23,51,10.154313725,1.42,1.1129411765,1.1129411765
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,20,20,181.38,49.0955,35.118,28.0355
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,423,34.833049645,34.833049645,27.309148936,27.330283688
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,625,8.273376,8.273376,6.404208,6.409648
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,23,299,10.93,10.93,8.5691304348,8.5691304348
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,246,2.3980487805,2.3980487805,1.8197154472,1.8214227642
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,23,23,467.43652174,120.85782609,88.220434783,63.459130435
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,24,66,181.00545455,45.347121212,35.229090909,26.278484848
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,308.04,79.562857143,59.008571429,43.457142857
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,19,19,89.487894737,26.318421053,20.629473684,14.996842105
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,87.125384615,22.223846154,17.422307692,10.01
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,28,159,12.836226415,2.9449056604,2.2423899371,1.6118238994
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,48.316666667,15.7275,12.325833333,10.34
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,49,49,86.31,21.683469388,16.085306122,12.947346939
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,4405.8562963,913.16,715.92,828.22222222
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,49,42.69,7.8557142857,6.0846938776,3.8383673469
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,81,91,487.14626374,98.601538462,73.415604396,52.897582418
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,3162,0.4199588868,0.0461227071,0.0303320683,0.0303320683
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,14,2370,1.8285021097,0.1332278481,0.090649789,0.090649789
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,23,146.25,22.903478261,15.340434783,11.282608696
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,56.75,45.728571429,35.853571429,32.071428571
1043278294,KAMINENI,VIJAY,G,M.D.,M,I,2500 N DETROIT ST,,LAGRANGE,IN,467611158,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,28,28,50.678571429,33,24.022142857,24.022142857
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,28,45,145,64.568275862,8.32,6.2522068966,6.2522068966
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.927692308,3.38,2.65,2.65
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,22,34,15.321764706,1.42,1.1147058824,1.1147058824
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,46,13.618043478,6.44,5.0480434783,5.0480434783
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,174.58461538,52.798461538,38.003076923,39.357692308
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,62.411666667,17.841666667,12.814166667,12.896666667
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,19,67,7.5170149254,2.0080597015,1.5128358209,1.5298507463
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,30,63.194,17.133333333,13.434,13.526
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,161.05470588,34.035294118,24.84,24.771176471
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,36,304.09222222,77.18,60.51,55.363333333
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,5802,0.2627973113,0.0467269907,0.0309462254,0.0309462254
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,735,0.7105442177,0.2195238095,0.1721496599,0.1721496599
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.25,31.72,24.87,23.285
1043278484,BEASLEY,BRENT,W,MD,M,I,4444 E 41ST ST,,TULSA,OK,741352527,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,16,16,94.875,33,25.87,25.87
1043278583,RUBIN,WILLIAM,,DPM,M,I,31046 UTICA RD,,FRASER,MI,480262534,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,72,72,144,85,71.56,55.275347222,55.275277778
1043278583,RUBIN,WILLIAM,,DPM,M,I,31046 UTICA RD,,FRASER,MI,480262534,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,69,69,414,35,29.19,22.176014493,22.17736715
1043278583,RUBIN,WILLIAM,,DPM,M,I,31046 UTICA RD,,FRASER,MI,480262534,US,Podiatry,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,38,20,18.29,13.962631579,13.962631579
1043278674,CHATTERJEE,ARABINDA,,M.D.,M,I,415 RIVERSIDE DRIVE,THOMPSON MED CENTER,N. GROSVENORDALE,CT,06255,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,25,63.564,8.32,5.9996,5.9996
1043278724,MARSHALL,CHRISTOPHER,P,M.D.,M,I,4175 S ALAMO AVE,,DAVIS MONTHAN AFB,AZ,857074402,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,57.96,12.972727273,10.173636364,8.4736363636
1043278724,MARSHALL,CHRISTOPHER,P,M.D.,M,I,4175 S ALAMO AVE,,DAVIS MONTHAN AFB,AZ,857074402,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,67,67,247.29253731,73.025223881,55.401044776,27.866119403
1043278724,MARSHALL,CHRISTOPHER,P,M.D.,M,I,4175 S ALAMO AVE,,DAVIS MONTHAN AFB,AZ,857074402,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,46,46,97.882608696,12.043478261,9.1491304348,6.7513043478
1043278815,KNETEN,CRAIG,C,MD,M,I,1650 W MAGNOLIA AVE,SUITE 202,FORT WORTH,TX,761044009,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,43,142,55.02471831,8.32,6.3194366197,6.3194366197
1043278815,KNETEN,CRAIG,C,MD,M,I,1650 W MAGNOLIA AVE,SUITE 202,FORT WORTH,TX,761044009,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.316923077,3.38,2.65,2.65
1043278815,KNETEN,CRAIG,C,MD,M,I,1650 W MAGNOLIA AVE,SUITE 202,FORT WORTH,TX,761044009,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,36,12.559444444,1.42,1.0811111111,1.0811111111
1043278815,KNETEN,CRAIG,C,MD,M,I,1650 W MAGNOLIA AVE,SUITE 202,FORT WORTH,TX,761044009,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,129.20454545,88.252727273,82.947272727
1043278849,TERWILLIGER,MEGAN,M,MD,F,I,2400 S CLINTON AVE,"BUILDING H, SUITE 210",ROCHESTER,NY,146182668,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,44,102,69.663431373,8.32,5.4876470588,5.4876470588
1043278849,TERWILLIGER,MEGAN,M,MD,F,I,2400 S CLINTON AVE,"BUILDING H, SUITE 210",ROCHESTER,NY,146182668,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,16,14.696875,1.42,0.97625,0.97625
1043278849,TERWILLIGER,MEGAN,M,MD,F,I,2400 S CLINTON AVE,"BUILDING H, SUITE 210",ROCHESTER,NY,146182668,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,75.585789474,17,11.926842105,12.131052632
1043278849,TERWILLIGER,MEGAN,M,MD,F,I,2400 S CLINTON AVE,"BUILDING H, SUITE 210",ROCHESTER,NY,146182668,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,480.88263158,77.18,54.361578947,49.264736842
1043278872,BASSETT,CARRIE,A,D.O.,F,I,11201 SHAKER BLVD,SUITE 102A,CLEVELAND,OH,441043869,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,178.7975,16.5,12.94,13.54
1043278872,BASSETT,CARRIE,A,D.O.,F,I,11201 SHAKER BLVD,SUITE 102A,CLEVELAND,OH,441043869,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,569,77.18,60.51,54.72
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,36,122,53.335327869,8.32,6.0413114754,6.0413114754
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,25,48,13.190833333,1.42,1.1152083333,1.1152083333
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,40,40,359.486,120.191,83.7415,63.52525
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,14,42,123,135.31243902,45.608373984,34.218536585,25.847154472
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,80.35,25.19,16.715555556,11.7625
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,233.215,75.43125,52.653125,36.91
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,29,29,71.443793103,24.282758621,17.959310345,13.895172414
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,60,60,78.589333333,20.6375,15.4985,9.2656666667
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,60,339,10.277758112,3.1051327434,2.3092920354,1.5844247788
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,21,21,27.14952381,8.5866666667,6.4923809524,4.7095238095
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,43.284444444,15.791666667,12.376111111,10.644444444
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,86.31,24.517857143,19.219285714,14.39
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,39,42,214.17857143,49.682857143,37.518095238,25.101428571
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,54,451.065,108.06148148,82.730925926,55.080925926
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,15.58,9.62832,7.4213,7.4213
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,975,0.17,0.0465538462,0.0364615385,0.0364615385
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1500,12.86,3.05592,2.3958666667,2.3958666667
1043278914,FINCK,JOHN,H,M.D.,M,I,209 MORROW ST N,,MENA,AR,719532514,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,25,132,33,25.87,25.87
1043278922,SNEED,BENJAMIN,L,CRNP,M,I,1519 ANDREWS AVE,,OZARK,AL,363603719,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,17.33,9.130625,7.156875,4.035
1043278930,WINIKUR,LAWRENCE,J,M.D.,M,I,10384 MARTINSVILLE HWY,,DANVILLE,VA,245416885,US,Physician/Interventional Pain Management,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,43.568421053,24.997368421,19.598421053,13.329473684
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,36,94,223,61.782107623,8.32,6.0542152466,6.0542152466
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,26,26,13.512307692,3.38,2.5480769231,2.5480769231
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,22.378333333,2.12,1.5308333333,1.5308333333
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,42,67,16.160298507,1.42,1.0485074627,1.0485074627
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,122.55818182,38.791818182,27.641818182,27.718181818
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,36,9.6405555556,2.1088888889,1.6547222222,1.5930555556
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,22.6,5.31,4.163,4.163
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,47.718333333,17.27,11.283333333,11.283333333
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,4.8661538462,3.6576923077,3.4776923077
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,197.64933333,30.83,17.724666667,17.138
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,274.21571429,69.81,45.335,45.335
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1557,1.419967887,0.1293962749,0.0944572897,0.0944572897
1043279029,HUNT,JAMES,L,M.D.,M,I,1820 SHAFFER ST,,KALAMAZOO,MI,490481656,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,21.558333333,21.558333333
1043279037,NEPOMUCENO,ARLENE,L,,F,I,420 W ROWLAND ST,,COVINA,CA,917232943,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,34,78.735588235,8.32,3.4517647059,3.4517647059
1043279037,NEPOMUCENO,ARLENE,L,,F,I,420 W ROWLAND ST,,COVINA,CA,917232943,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,70.23,50.471666667,50.16
1043279052,BARBOUR,APRIL,,MD,F,I,2150 PENNSYLVANIA AVE NW,DEPARTMENT OF MEDICINE,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,50,139,63.160935252,8.32,5.4403597122,5.4403597122
1043279052,BARBOUR,APRIL,,MD,F,I,2150 PENNSYLVANIA AVE NW,DEPARTMENT OF MEDICINE,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.72,3.38,2.2714285714,2.2714285714
1043279052,BARBOUR,APRIL,,MD,F,I,2150 PENNSYLVANIA AVE NW,DEPARTMENT OF MEDICINE,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,29,36,15.321666667,1.42,1.0238888889,1.0238888889
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,52,181,45.148287293,8.32,5.9453038674,5.9453038674
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,22.718181818,2.12,1.5181818182,1.5181818182
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,30,57,15.363684211,1.42,0.9957894737,0.9957894737
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,370,7.0415135135,4.03,3.1595135135,3.1595135135
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.45,0.908,0.923
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E0140,"Walker, with trunk support, adjustable or fixed height, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,56,56,30.940714286,21.712142857,16.751071429,17.05125
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,28,28,178.62,52.449285714,39.706785714,35.953928571
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,42,42,108.25,54.086428571,34.907857143,31.044761905
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E0372,"Powered air overlay for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,438.58818182,210.22727273,164.81818182,128.69272727
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.36,10.691666667,11.431666667
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,40.725217391,5.63,3.8347826087,2.9391304348
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,488.5262069,79.2,53.745517241,47.181034483
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,42,84,99.06,65.498571429,49.088809524,54.623809524
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,2520,1.865,1.2532142857,0.9328650794,0.9328650794
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,43,5338,0.3042637692,0.0466260772,0.032315474,0.032315474
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,39,40,75.73375,19.30225,14.015,13.1265
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,29,29,90.123103448,30.381724138,23.821724138,21.901034483
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,24,24,17.512857143,17.512857143
1043279151,HARDOWAR,LATCHMAN,S,M.D.,M,I,2120 MICHIGAN AVENUE,,KISSIMMEE,FL,347442927,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,45,45,110,33,23.570444444,23.570444444
1043279235,FARJO,LAITH,A,M.D.,M,I,2305 GENOA BUSINESS PARK DR,SUITE 170,BRIGHTON,MI,481147367,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,71,71,71,126.17464789,100.76619718,77.432816901,85.572112676
1043279235,FARJO,LAITH,A,M.D.,M,I,2305 GENOA BUSINESS PARK DR,SUITE 170,BRIGHTON,MI,481147367,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,574.33333333,567.5,444.92333333,568.53
1043279474,LIKA,LARRY,G,DO,M,I,15299 BAGLEY RD STE 100,,CLEVELAND,OH,441304823,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,16,179.5,99.91,76.298125,75.84
1043279482,MCKEE,NICOLE,W,M.D.,F,I,291 LIBERTY ST,,HOUMA,LA,703604423,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5250,3.7828190476,0.3796380952,0.2703047619,0.2640685714
1043279524,VANGORE,SURYA,K,M.D.,F,I,431 W ROOSEVELT BLVD,,PHILADELPHIA,PA,191204148,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,36,107,73.636542056,8.32,5.7796261682,5.7796261682
1043279524,VANGORE,SURYA,K,M.D.,F,I,431 W ROOSEVELT BLVD,,PHILADELPHIA,PA,191204148,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,26,16.516538462,1.42,1.0307692308,1.0307692308
1043279581,CHAUHAN,SUDHEER,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,48,105,73.579333333,8.32,5.9,5.9
1043279581,CHAUHAN,SUDHEER,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,18,18,16.875555556,1.42,0.9955555556,0.9955555556
1043279581,CHAUHAN,SUDHEER,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,37,29.527027027,17,13.33,13.522972973
1043279581,CHAUHAN,SUDHEER,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1043279581,CHAUHAN,SUDHEER,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,39,141.11333333,77.74,58.170512821,52.588717949
1043279581,CHAUHAN,SUDHEER,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,57.24,15.591111111,11.011851852,13.452222222
1043279581,CHAUHAN,SUDHEER,,MD,M,I,13420 JAMAICA AVE,1ST FLOOR,JAMAICA,NY,114182619,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,32,17.809375,6.95625,4.68375,6.025
1043279615,VULANICH,ELIZABETH,A,DPM,F,I,5471 GEORGETOWN RD,SUITE C,INDIANAPOLIS,IN,462545793,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,125,72.45,56.8,62.70625
1043279631,AGUILAR,ROBERT,G,D.P.M.,M,I,637 MEDICAL PKWY,,BRENHAM,TX,778335412,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,99,99,198,75.393434343,71.54959596,54.401616162,54.402575758
1043279631,AGUILAR,ROBERT,G,D.P.M.,M,I,637 MEDICAL PKWY,,BRENHAM,TX,778335412,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,101,101,602,48.5,43.56,33.826710963,33.824451827
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1520,0.1463157895,0.1178947368,0.0789144737,0.0789144737
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,2700,0.1592592593,0.1298148148,0.0905925926,0.0905925926
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,2209,0.5562290629,0.448669081,0.3466772295,0.3466772295
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,31,357,73.778711485,26.500112045,20.775994398,19.199943978
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,23,162,50.179012346,9.0027777778,7.0578395062,6.4286419753
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,4419.12,963.3976,755.304,477.2092
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,109,41.497272727,29.912727273,18.145454545
1043279797,COTTINGHAM,KEVIN,M,M.D.,M,I,1890 AL HIGHWAY 157,POB II STE 420-B,CULLMAN,AL,350583601,US,Physician/General Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,26.25,10.683636364,7.56,5.6
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,24,82,186,64.358924731,8.32,6.1027419355,6.1027419355
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,15.004583333,3.38,2.5395833333,2.5395833333
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,22.412727273,2.12,1.67,1.67
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,40,60,15.830833333,1.42,1.098,1.098
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,79,7.4001265823,2,1.4492405063,1.4730379747
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,26,68.325384615,17.021538462,13.136153846,13.223076923
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,32,430.663125,74,56.206875,55.0759375
1043279854,WORD,BRADLEY,W,MD,M,I,4540 TRENHOLM RD,,COLUMBIA,SC,292064462,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,119.36,27.72,21.730909091,21.773636364
1043279862,BERGER,GREGORY,E,M.D.,M,I,28411 NORTHWESTERN HWY,SUITE 1050,SOUTHFIELD,MI,480345544,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,17,46,165,39.750848485,8.32,5.8898181818,5.8898181818
1043279862,BERGER,GREGORY,E,M.D.,M,I,28411 NORTHWESTERN HWY,SUITE 1050,SOUTHFIELD,MI,480345544,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.25,3.38,2.4291666667,2.4291666667
1043279862,BERGER,GREGORY,E,M.D.,M,I,28411 NORTHWESTERN HWY,SUITE 1050,SOUTHFIELD,MI,480345544,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,31,48,12.052916667,1.42,1.0679166667,1.0679166667
1043279987,TREECE,ROBERT,N,M.D.,M,I,1220 SUNSHINE AVE,,CODY,WY,82414,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,442.20882353,97.52,76.457058824,54.73
1043279987,TREECE,ROBERT,N,M.D.,M,I,1220 SUNSHINE AVE,,CODY,WY,82414,US,Physician/Pediatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1680,0.9672857143,0.1347857143,0.1057083333,0.1057083333
1043279987,TREECE,ROBERT,N,M.D.,M,I,1220 SUNSHINE AVE,,CODY,WY,82414,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,117.85714286,33,25.87,25.87
1043280241,RICH,KELLY,G,MD,F,I,14011 BEACH BLVD STE 230,,JACKSONVILLE,FL,322501695,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,40,77.64125,8.32,5.86925,5.86925
1043280241,RICH,KELLY,G,MD,F,I,14011 BEACH BLVD STE 230,,JACKSONVILLE,FL,322501695,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,372.27272727,35.368181818,25.211818182,25.113636364
1043280266,WASHBURN,JOHN,L,MD,M,I,15950 ELDORADO PARKWAY,SUITE 400,FRISCO,TX,750355816,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,51,135,71.41637037,8.32,5.2927407407,5.2927407407
1043280266,WASHBURN,JOHN,L,MD,M,I,15950 ELDORADO PARKWAY,SUITE 400,FRISCO,TX,750355816,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,35,13.510857143,1.42,0.8262857143,0.8262857143
1043280266,WASHBURN,JOHN,L,MD,M,I,15950 ELDORADO PARKWAY,SUITE 400,FRISCO,TX,750355816,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1116,0.3970609319,0.0456810036,0.035797491,0.035797491
1043280266,WASHBURN,JOHN,L,MD,M,I,15950 ELDORADO PARKWAY,SUITE 400,FRISCO,TX,750355816,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,42,33,25.87,25.87
1043280340,CONNELLY,RICHARD,F,"RNC, FNP",M,I,4261 BIG CREEK RD,,HARTFORD,TN,377532220,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,38,99,77.991111111,8.32,4.5704040404,4.5704040404
1043280340,CONNELLY,RICHARD,F,"RNC, FNP",M,I,4261 BIG CREEK RD,,HARTFORD,TN,377532220,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,23,14.395652174,1.42,0.7252173913,0.7252173913
1043280340,CONNELLY,RICHARD,F,"RNC, FNP",M,I,4261 BIG CREEK RD,,HARTFORD,TN,377532220,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,7.115625,2.119375,1.423125,1.11
1043280340,CONNELLY,RICHARD,F,"RNC, FNP",M,I,4261 BIG CREEK RD,,HARTFORD,TN,377532220,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,33,44.492424242,6.9027272727,3.9857575758,2.5709090909
1043280340,CONNELLY,RICHARD,F,"RNC, FNP",M,I,4261 BIG CREEK RD,,HARTFORD,TN,377532220,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,5950,0.3646134454,0.0456890756,0.023805042,0.023805042
1043280340,CONNELLY,RICHARD,F,"RNC, FNP",M,I,4261 BIG CREEK RD,,HARTFORD,TN,377532220,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,132,33,18.6264,18.6264
1043280357,WAYHS,AMELIA,C,MD,F,I,326 COOPER ST,,CEDAR HILL,TX,751042628,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,50,167,62.735568862,8.32,5.9752694611,5.9752694611
1043280357,WAYHS,AMELIA,C,MD,F,I,326 COOPER ST,,CEDAR HILL,TX,751042628,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.578666667,3.38,2.65,2.65
1043280357,WAYHS,AMELIA,C,MD,F,I,326 COOPER ST,,CEDAR HILL,TX,751042628,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,39,14.881538462,1.42,1.0569230769,1.0569230769
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,11,13,4.0738461538,1.1584615385,0.9038461538,0.9607692308
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,410.788,85.6,63.824,64.555333333
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,18,42,160.20047619,33.045714286,24.66952381,24.684761905
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,104.22714286,57.839285714,45.348571429,42.910714286
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,20,20,50.292,17.8515,13.312,13.3415
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,23,23,40.800434783,12.073913043,8.6856521739,8.3360869565
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,15,31,169,6.1930769231,2.0578698225,1.5580473373,1.536035503
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,42.36,13.110769231,8.7315384615,8.8115384615
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,55.32,17.32,13.077037037,13.038518519
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,357.28,88.977692308,67.483076923,67.821538462
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,42,42,30.91547619,3.8223809524,2.6885714286,3.0314285714
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,53,56,530.73053571,80.587142857,59.956964286,55.500357143
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,40,2400,16.917741667,9.641975,7.4928083333,7.4928083333
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,786,17.235394402,11.493256997,8.8282061069,8.8282061069
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,30,27,74,17704,0.2814256665,0.0460551288,0.0350723,0.0350723
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,4567,4.1501817386,0.068653383,0.0538186994,0.0538186994
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,1336,10.410845808,2.9549625749,2.2358158683,2.2358158683
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,565,1.7300353982,0.2179292035,0.1556814159,0.1556814159
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,285.6,35.56,26.667826087,28.244782609
1043280365,STADNYK,ALEXANDER,N,M.D.,M,I,6624 FANNIN ST,1450,HOUSTON,TX,770302312,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,32,29,119,119,54.985294118,33,25.217815126,25.217815126
1043280407,ROSHAN,BIJAN,,MD,M,I,850 E HARVARD AVE,SUITE # 565,DENVER,CO,802105073,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,39,6495,3.7670284834,0.5652840647,0.4431855273,0.4431855273
1043280407,ROSHAN,BIJAN,,MD,M,I,850 E HARVARD AVE,SUITE # 565,DENVER,CO,802105073,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,2400,0.1304291667,0.0130125,0.0102166667,0.0102083333
1043280407,ROSHAN,BIJAN,,MD,M,I,850 E HARVARD AVE,SUITE # 565,DENVER,CO,802105073,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,1740,3.4587931034,1.2796896552,1.0032643678,1.0032643678
1043280407,ROSHAN,BIJAN,,MD,M,I,850 E HARVARD AVE,SUITE # 565,DENVER,CO,802105073,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,31,31,24,24,18.82,18.82
1043280407,ROSHAN,BIJAN,,MD,M,I,850 E HARVARD AVE,SUITE # 565,DENVER,CO,802105073,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,48,65,16,16,12.541230769,12.541230769
1043280449,CHURCH,LARA,D,M.D.,F,I,141 HILDEN RD STE 201,CREDENTIALING DEPARTMENT,PONTE VEDRA,FL,320818400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,51,87.275882353,8.32,6.3943137255,6.3943137255
1043280449,CHURCH,LARA,D,M.D.,F,I,141 HILDEN RD STE 201,CREDENTIALING DEPARTMENT,PONTE VEDRA,FL,320818400,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,134,39.21,30.74,30.5525
1043280449,CHURCH,LARA,D,M.D.,F,I,141 HILDEN RD STE 201,CREDENTIALING DEPARTMENT,PONTE VEDRA,FL,320818400,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,136.875,52.58,38.616875,39.864375
1043280449,CHURCH,LARA,D,M.D.,F,I,141 HILDEN RD STE 201,CREDENTIALING DEPARTMENT,PONTE VEDRA,FL,320818400,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,53.123076923,17.24,11.431538462,11.876153846
1043280449,CHURCH,LARA,D,M.D.,F,I,141 HILDEN RD STE 201,CREDENTIALING DEPARTMENT,PONTE VEDRA,FL,320818400,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,125,6.7592,1.85,1.3804,1.48976
1043280449,CHURCH,LARA,D,M.D.,F,I,141 HILDEN RD STE 201,CREDENTIALING DEPARTMENT,PONTE VEDRA,FL,320818400,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,3.7090909091,1.7945454545,2.4227272727
1043280449,CHURCH,LARA,D,M.D.,F,I,141 HILDEN RD STE 201,CREDENTIALING DEPARTMENT,PONTE VEDRA,FL,320818400,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,220,77.18,55.855384615,50.956153846
1043280506,COPPINGER,JEFFREY,M,MD,M,I,2600 W CENTRE AVE,,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,32,80,81.118875,8.32,6.195,6.195
1043280506,COPPINGER,JEFFREY,M,MD,M,I,2600 W CENTRE AVE,,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,22,13.704545455,1.42,1.0681818182,1.0681818182
1043280506,COPPINGER,JEFFREY,M,MD,M,I,2600 W CENTRE AVE,,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,245.64516129,69.81,52.964516129,52.964516129
1043280506,COPPINGER,JEFFREY,M,MD,M,I,2600 W CENTRE AVE,,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,36.14,28.33,29.51
1043280506,COPPINGER,JEFFREY,M,MD,M,I,2600 W CENTRE AVE,,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,56.75,36.14,26.441333333,27.640666667
1043280522,SIWIK,JAROSLAW,P,MD,M,I,2600 W CENTRE AVE,BRONSON INTERNAL MEDICINE ASSOCIATES,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,46,120,62.334083333,8.32,5.4894166667,5.4894166667
1043280522,SIWIK,JAROSLAW,P,MD,M,I,2600 W CENTRE AVE,BRONSON INTERNAL MEDICINE ASSOCIATES,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,23,32,14.6,1.42,1.046875,1.046875
1043280522,SIWIK,JAROSLAW,P,MD,M,I,2600 W CENTRE AVE,BRONSON INTERNAL MEDICINE ASSOCIATES,PORTAGE,MI,490244828,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,259.09090909,70.394545455,49.983636364,49.754545455
1043280589,FRANKLIN,MALCOLM,B,M.D.,M,I,24020 W RIVERWALK CT,STE 102,PLAINFIELD,IL,605447103,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,20,44,108,68.249351852,8.32,6.2205555556,6.2205555556
1043280589,FRANKLIN,MALCOLM,B,M.D.,M,I,24020 W RIVERWALK CT,STE 102,PLAINFIELD,IL,605447103,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,20,23,13.48826087,1.42,1.07,1.07
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,158,332,332,170.44198795,43.64126506,31.480903614,28.072771084
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,41,115,234,8.0386324786,1.600982906,1.1796153846,1.0770940171
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,32,42,42,77.965952381,16.064761905,12.461428571,8.9888095238
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,18,19,56,2.4364285714,0.6166071429,0.4846428571,0.4382142857
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,93,194,194,489.39,102.64618557,75.069484536,63.927474227
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,80,190,498,181.04580321,38.118795181,28.572168675,24.93186747
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,74,180,736,104.62123641,21.244089674,15.500991848,13.754701087
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,73,151,663,71.808506787,17.75254902,12.736983409,10.806440422
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,140,261,261,298.06816092,65.157739464,46.601149425,39.53789272
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,207,289,289,89.334429066,21.651799308,16.087854671,13.516055363
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,18,18,42.676666667,11.373888889,8.4583333333,7.8222222222
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,59,123,123,95.652439024,15.909430894,11.338536585,8.7938211382
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,220,554,2589,13.221954423,2.4370606412,1.8264696794,1.5456894554
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,44,62,62,33.389677419,7.7270967742,5.5903225806,4.3533870968
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,108,147,147,51.85755102,14.296598639,10.763877551,9.9902721088
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,141,145,86.31,20.800827586,15.495103448,13.236413793
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,30,88.545666667,23.688333333,18.571666667,14.461666667
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,52.76,37.9225,38.371666667
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,21,33,221.21606061,54.366060606,42.623030303,38.067272727
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,47.37,34.045,34.545833333
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,13,87,87,4093.2834483,913.16,714.30517241,831.93206897
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,18,65,67,576.03373134,121.91671642,93.652686567,73.435223881
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,1512.4205,218.8895,148.53925,140.78675
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,1440.06625,1065.67625,835.493125,835.493125
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,24,25,25,637.4884,167.7912,125.9136,107.788
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,90,405,414,79.032681159,14.963502415,10.89531401,9.3563043478
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,27,134,147,52.919319728,5.8404081633,4.4343537415,3.5925170068
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,121,682,693,272.48264069,43.689422799,32.214213564,24.621414141
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,66,431,470,512.33817021,86.644170213,65.023170213,55.05387234
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,105,106,250,40.515188679,31.496037736,29.877075472
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,8,18,18,18,114,57,44.69,44.69
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,29,67,420,24558,16.806463881,9.64205147,7.4511303852,7.4511303852
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,1830,16.343005464,11.169983607,8.3766393443,8.3766393443
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,28,58,203,28127,0.2605272514,0.0463369716,0.0340974864,0.0340974864
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,20,53,5366,1.4034047708,0.1324375699,0.0952012672,0.0952012672
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,29,69,385,16293,11.749842264,2.9455238446,2.304730866,2.304730866
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,26,61,376,11403,1.3267166535,0.2190213102,0.170161361,0.170161361
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,250.5045,37.7345,28.571,28.8
1043280670,ABOU JAOUDE,SALIM,S,MD,M,I,3920 ST FRANCIS WAY STE 220,,LAFAYETTE,IN,479054922,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,38,99,524,524,97.047709924,33,25.524408397,25.524408397
1043280761,KAYES,JULIE,D,MD,F,I,29325 HEALTH CAMPUS DR STE 3,,WESTLAKE,OH,441458201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,60.51,55.2025
1043280910,HANSON,GREGORY,W,M.D.,M,I,6100 HARRIS PKWY,SUITE 240,FORT WORTH,TX,761324101,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,40,92,41.036521739,8.32,6.1218478261,6.1218478261
1043280910,HANSON,GREGORY,W,M.D.,M,I,6100 HARRIS PKWY,SUITE 240,FORT WORTH,TX,761324101,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,7.065,3.38,2.65,2.65
1043280910,HANSON,GREGORY,W,M.D.,M,I,6100 HARRIS PKWY,SUITE 240,FORT WORTH,TX,761324101,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,27,8.2318518519,1.42,1.0348148148,1.0348148148
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,43,160,49.059125,8.2368125,6.148875,6.2139375
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,15.194545455,3.38,2.65,2.65
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,25.545,2.12,1.67,1.67
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,31,71,15.228732394,1.42,1.0823943662,1.0823943662
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,480,0.1125,0.1125,0.0881875,0.0940833333
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,307,28.823583062,23.66,18.373355049,18.373355049
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,588,8.9559183673,8.28,6.4915306122,6.4915306122
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,1375,0.5159636364,0.45,0.3527781818,0.3527781818
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,11,21,39,5.8258974359,1.8146153846,1.4241025641,1.1546153846
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,57,57,60.343508772,21.284736842,16.685964912,15.540350877
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,44,44,31.0525,6.0225,4.7179545455,3.8075
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,88,95,379.85673684,88.070105263,66.612105263,63.198736842
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,18,282.11333333,42.106666667,31.186111111,27.661111111
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,21,4830,0.3902360248,0.0465424431,0.0352898551,0.0352898551
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,20,82.346,38.092,25.7305,17.5715
1043281025,AHMAD,SALMAN,,MD,M,I,3620 INTERSTATE 27,,LUBBOCK,TX,794042348,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,29,29,80.068965517,33,25.87,25.87
1043281033,CAMPOS,CLAUDIA,,MD,F,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,28,75,215,70.709674419,8.32,6.1459069767,6.1459069767
1043281033,CAMPOS,CLAUDIA,,MD,F,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,35,58,18.329482759,1.42,1.0779310345,1.0779310345
1043281058,NEWELL,BARBARA,D,"APRN, BC, FNP",F,I,1949 HOSPITAL DR,,MARTINSVILLE,IN,461511861,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,33,71.718181818,19.097878788,14.106666667,12.722424242
1043281058,NEWELL,BARBARA,D,"APRN, BC, FNP",F,I,1949 HOSPITAL DR,,MARTINSVILLE,IN,461511861,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,42.073333333,5.28,3.8876190476,3.3538095238
1043281058,NEWELL,BARBARA,D,"APRN, BC, FNP",F,I,1949 HOSPITAL DR,,MARTINSVILLE,IN,461511861,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,257.82,34.72,18.8475,17.535
1043281058,NEWELL,BARBARA,D,"APRN, BC, FNP",F,I,1949 HOSPITAL DR,,MARTINSVILLE,IN,461511861,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,11,55,57,423.71578947,80.005789474,57.031578947,50.292631579
1043281090,AWADALLA,MAGED,I,M.D.,M,I,725 BOARDMAN CANFIELD RD,UNIT O,YOUNGSTOWN,OH,445124380,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,48,44.228333333,8.266875,5.7270833333,5.76875
1043281090,AWADALLA,MAGED,I,M.D.,M,I,725 BOARDMAN CANFIELD RD,UNIT O,YOUNGSTOWN,OH,445124380,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,14,8.1514285714,1.42,1.0385714286,1.0385714286
1043281124,SORIANO,AIDA,,M.D,F,I,245 UNION AVE,SUITE 2C,BRIDGEWATER,NJ,088073064,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,14.701333333,5.6,4.1193333333,3.428
1043281124,SORIANO,AIDA,,M.D,F,I,245 UNION AVE,SUITE 2C,BRIDGEWATER,NJ,088073064,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,217.1,70,54.88,54.73
1043281124,SORIANO,AIDA,,M.D,F,I,245 UNION AVE,SUITE 2C,BRIDGEWATER,NJ,088073064,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,8.7553030303,2.8731818182,2.0352121212,2.0352121212
1043281124,SORIANO,AIDA,,M.D,F,I,245 UNION AVE,SUITE 2C,BRIDGEWATER,NJ,088073064,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,33,33,25.87,25.87
1043281256,MANN,CHRISTOPHER,D,MD,M,I,1717A S UTICA AVE,,TULSA,OK,741045344,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,20,73.786,21.2545,15.4645,12.4045
1043281256,MANN,CHRISTOPHER,D,MD,M,I,1717A S UTICA AVE,,TULSA,OK,741045344,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,82,85,294.73117647,79.977647059,57.939882353,50.166
1043281256,MANN,CHRISTOPHER,D,MD,M,I,1717A S UTICA AVE,,TULSA,OK,741045344,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,100,29.8225,23.3775,22.9725
1043281256,MANN,CHRISTOPHER,D,MD,M,I,1717A S UTICA AVE,,TULSA,OK,741045344,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,201.67843137,37.702941176,26.610196078,26.629411765
1043281272,ULINFUN,THEOPHILUS,O,D.O.,M,I,752 SOUTHFIELD RD,,LINCOLN PARK,MI,481462610,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,79,66.954936709,8.32,6.192278481,6.192278481
1043281272,ULINFUN,THEOPHILUS,O,D.O.,M,I,752 SOUTHFIELD RD,,LINCOLN PARK,MI,481462610,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,34,24.032058824,1.42,1.0835294118,1.0835294118
1043281272,ULINFUN,THEOPHILUS,O,D.O.,M,I,752 SOUTHFIELD RD,,LINCOLN PARK,MI,481462610,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,46.7965,17.25,12.168,12.188
1043281272,ULINFUN,THEOPHILUS,O,D.O.,M,I,752 SOUTHFIELD RD,,LINCOLN PARK,MI,481462610,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,272.06263158,79.88,60.194210526,52.917894737
1043281272,ULINFUN,THEOPHILUS,O,D.O.,M,I,752 SOUTHFIELD RD,,LINCOLN PARK,MI,481462610,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,35.63,27.93,29.246666667
1043281272,ULINFUN,THEOPHILUS,O,D.O.,M,I,752 SOUTHFIELD RD,,LINCOLN PARK,MI,481462610,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4783,0.2672778591,0.0465084675,0.0364603805,0.0364603805
1043281272,ULINFUN,THEOPHILUS,O,D.O.,M,I,752 SOUTHFIELD RD,,LINCOLN PARK,MI,481462610,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,102.88235294,33,25.87,25.87
1043281280,KOUROUPOS,EMANUEL,L,MD,M,I,2747 CRESCENT ST,SUITE 206,ASTORIA,NY,11102,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,47,62.154680851,8.32,5.5514893617,5.5514893617
1043281348,QURESHI,MOHAMMED,A,MD,M,I,326 WASHINGTON ST,,NORWICH,CT,063602740,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.47,1.0454545455,1.0454545455
1043281348,QURESHI,MOHAMMED,A,MD,M,I,326 WASHINGTON ST,,NORWICH,CT,063602740,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,25,86.31,17.2344,13.5076,13.5384
1043281348,QURESHI,MOHAMMED,A,MD,M,I,326 WASHINGTON ST,,NORWICH,CT,063602740,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,30,519.51,71.659,56.188,54.73
1043281470,GINTHER,JEFFREY,R,"MD, FACS",M,I,493 WESTFIELD RD STE A,,NOBLESVILLE,IN,460601327,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,17,149.73,137.94,108.14117647,102.5
1043281520,CARUNO,JOHN,W,D.O.,M,I,2461 NAZARETH RD,,EASTON,PA,180452743,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,18,73.787777778,8.32,6.5238888889,6.5238888889
1043281546,WHITE,TERRY,L,RN FNP,F,I,4900 BROAD RD,SUITE 4K,SYRACUSE,NY,132152265,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,86.31,19.09875,13.84,12.42
1043281546,WHITE,TERRY,L,RN FNP,F,I,4900 BROAD RD,SUITE 4K,SYRACUSE,NY,132152265,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70,45.733333333,45.608333333
1043281595,CHAMOUN,ANTONIO,J,M.D.,M,I,3025 C G ZINN RD,,THORNDALE,PA,193721131,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,165,19.71,15.45,15.45
1043281595,CHAMOUN,ANTONIO,J,M.D.,M,I,3025 C G ZINN RD,,THORNDALE,PA,193721131,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,32,250,37.38,29.3053125,29.3053125
1043281595,CHAMOUN,ANTONIO,J,M.D.,M,I,3025 C G ZINN RD,,THORNDALE,PA,193721131,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,613,71.662512235,1.5499836868,1.215187602,1.215187602
1043281686,OSINBOWALE,ABRAHAM,O,MD,M,I,318 E UNIVERSITY AVE,PRIMARY CARE OF CINCINNATI INC,CINCINNATI,OH,452192431,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,41,50.213170732,8.32,5.4982926829,5.4982926829
1043281686,OSINBOWALE,ABRAHAM,O,MD,M,I,318 E UNIVERSITY AVE,PRIMARY CARE OF CINCINNATI INC,CINCINNATI,OH,452192431,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,14.529333333,1.42,1.044,1.044
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,44,116,305,64.558655738,8.32,5.3609836066,5.3609836066
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,26,61,90,13.503888889,1.42,0.9791111111,0.9791111111
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,461.02545455,90.99,64.845454545,61.672727273
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,45,176.18733333,34,24.879555556,24.238888889
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,229.28615385,64.933846154,47.408461538,39.563076923
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,86.814705882,19.328235294,13.491176471,12.405882353
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,88.112631579,13.559473684,9.6415789474,8.16
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,26,139,11.631582734,2.305323741,1.7130935252,1.5005035971
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,42,86.31,19.279285714,14.402619048,12.92
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,144.06,60.062,41.8985,33.4705
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,28,44.9225,5.9164285714,3.9021428571,2.985
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,25,280.9128,34.312,20.114,18.9568
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,41.449166667,39.679166667,22.225833333,52.660833333
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,76,483.75223684,85.782894737,65.605526316,56.675394737
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,900,17.552866667,9.6166666667,7.4495666667,7.4495666667
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3375,0.2979703704,0.0455140741,0.0258518519,0.0258518519
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1920,1.1384583333,0.131890625,0.0806770833,0.0806770833
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,359.90181818,31.818181818,24.945454545,21.169090909
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,98.130909091,9.5454545455,7.4872727273,6.5327272727
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,110.745,41.949,31.3515,28.3955
1043281694,TINDALL,JEFFREY,P,DO,M,I,200 HEALTH WAY DR,,POTOSI,MO,636641434,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,53,53,68.490566038,33,22.603207547,22.603207547
1043281710,SCOTT,JOSEPH,,M.D.,M,I,1272 GARRISON DRIVE,,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,43,147,64.849387755,8.32,5.7676870748,5.7676870748
1043281710,SCOTT,JOSEPH,,M.D.,M,I,1272 GARRISON DRIVE,,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,23,19.316956522,1.42,0.9704347826,0.9704347826
1043281710,SCOTT,JOSEPH,,M.D.,M,I,1272 GARRISON DRIVE,,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,65.71,53.760909091,42.145454545,38.434545455
1043281710,SCOTT,JOSEPH,,M.D.,M,I,1272 GARRISON DRIVE,,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,31.34,19.8895,14.886,12.9285
1043281710,SCOTT,JOSEPH,,M.D.,M,I,1272 GARRISON DRIVE,,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,155,45.633125,34.2175,23.37375
1043281710,SCOTT,JOSEPH,,M.D.,M,I,1272 GARRISON DRIVE,,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,232.104,93.905,70.217,52.2455
1043281843,SHAMSIE,FAISAL,,MD,M,I,1299 PORTLAND AVE,STE 17,ROCHESTER,NY,14621,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,29.04,10.838,8.5,8.68
1043281843,SHAMSIE,FAISAL,,MD,M,I,1299 PORTLAND AVE,STE 17,ROCHESTER,NY,14621,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,29.63,9.792,7.67,8.064
1043281843,SHAMSIE,FAISAL,,MD,M,I,1299 PORTLAND AVE,STE 17,ROCHESTER,NY,14621,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,393.93,213.044,159.8465,159.8465
1043281843,SHAMSIE,FAISAL,,MD,M,I,1299 PORTLAND AVE,STE 17,ROCHESTER,NY,14621,US,Physician/Internal Medicine,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,75.26,27.424,21.502,22.932
1043281843,SHAMSIE,FAISAL,,MD,M,I,1299 PORTLAND AVE,STE 17,ROCHESTER,NY,14621,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25.71,7.48,5.8627272727,6.3454545455
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,31,88,186,80.856397849,8.32,5.0836021505,5.0836021505
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,32,32,18.94125,1.42,0.84,0.84
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,28,3.2478571429,1.9371428571,1.4278571429,1.0685714286
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,28,2.0135714286,1.4314285714,1.0460714286,0.8935714286
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,12,14,2.0978571429,1.5228571429,1.1164285714,0.895
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,110.22153846,67.68,50.843846154,40.642307692
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,50.72,24.32,19.065454545,14.06
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,31.62,17.721666667,12.772777778,8.1066666667
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,5.615,2.91625,2.1757291667,1.49375
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,64.709090909,64.709090909,50.729090909,39.502727273
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,40.691521739,22.113478261,15.842391304,12.349130435
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,85,59.855,43.488333333,35.606666667
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,19,19,20.421052632,7.4447368421,5.0684210526,3.0221052632
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,63,63,154.25396825,91.914920635,66.082539683,50.034603175
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1680,2.2689285714,0.1345,0.0887857143,0.0887857143
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,32,44.953125,26.0825,18.1965625,11.8703125
1043281975,DEERMAN,RICKY,G,MD,M,I,83 GEORGE WALLCE DR W,,RAINSVILLE,AL,35986,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,33,33,24.638095238,24.638095238
1043281991,DOYLE,TIMOTHY,G,MD,M,I,2407 REICHART RD,,BLOOMSBURG,PA,178158969,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,32,82,68.417804878,8.32,5.6836585366,5.6836585366
1043281991,DOYLE,TIMOTHY,G,MD,M,I,2407 REICHART RD,,BLOOMSBURG,PA,178158969,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,22,22,13.5,1.42,1.0181818182,1.0181818182
1043281991,DOYLE,TIMOTHY,G,MD,M,I,2407 REICHART RD,,BLOOMSBURG,PA,178158969,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,880,2.1536818182,0.0467954545,0.0366818182,0.0366818182
1043281991,DOYLE,TIMOTHY,G,MD,M,I,2407 REICHART RD,,BLOOMSBURG,PA,178158969,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.776363636,23.776363636
1043282114,DAVENPORT,ROXANNE,,M.D.,F,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,240164955,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,43,70,172,45.713372093,35.3,24.884418605,27.85127907
1043282114,DAVENPORT,ROXANNE,,M.D.,F,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,240164955,US,Physician/General Surgery,S,L8020,"Breast prosthesis, mastectomy form",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,24,27,244.25925926,236.98037037,182.52740741,167.22703704
1043282114,DAVENPORT,ROXANNE,,M.D.,F,I,3 RIVERSIDE CIRCLE,,ROANOKE,VA,240164955,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,27,27,33,349.36363636,313.07,240.99818182,260.02878788
1043282155,BINDER,MITCHELL,J,MD,M,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,23,1092,11.915796703,1.6881501832,1.323489011,1.323489011
1043282155,BINDER,MITCHELL,J,MD,M,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,37,1624,50.173392857,5.0548337438,3.8240147783,3.8240147783
1043282155,BINDER,MITCHELL,J,MD,M,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,26,5510,26.945459165,1.2802740472,1.0037404719,1.0037332123
1043282155,BINDER,MITCHELL,J,MD,M,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,37,37,24,24,18.82,18.82
1043282155,BINDER,MITCHELL,J,MD,M,I,8300 CONSTITUTION AVE NE,,ALBUQUERQUE,NM,871107613,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,38,53,16.603773585,16,12.541886792,12.541886792
1043282163,SINGHAL,SUNIT,,M.D.,M,I,5075 PEACHTREE PKWY,SUITE 106,NORCROSS,GA,300926508,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,30,60,72.1865,8.32,6.4136666667,6.4136666667
1043282213,THOMPSON,DONALD,F,M.D.,M,I,128 ASHEWOOD DR,,BRISTOL,TN,37620,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,39,39,39,1453.1684615,1293.9592308,1007.2825641,879.31589744
1043282213,THOMPSON,DONALD,F,M.D.,M,I,128 ASHEWOOD DR,,BRISTOL,TN,37620,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,50,51,92,905.7175,834.53663043,652.71836957,676.13054348
1043282213,THOMPSON,DONALD,F,M.D.,M,I,128 ASHEWOOD DR,,BRISTOL,TN,37620,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,29,528.39413793,457.39,358.59,354.02
1043282213,THOMPSON,DONALD,F,M.D.,M,I,128 ASHEWOOD DR,,BRISTOL,TN,37620,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,53,53,93,126.57849462,105.34526882,81.051182796,87.30344086
1043282213,THOMPSON,DONALD,F,M.D.,M,I,128 ASHEWOOD DR,,BRISTOL,TN,37620,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,23,23,33,548.97727273,471.93424242,369.99484848,365.3869697
1043282213,THOMPSON,DONALD,F,M.D.,M,I,128 ASHEWOOD DR,,BRISTOL,TN,37620,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,34,34,34,826.96088235,732.72411765,574.46205882,568.53
1043282320,ZARKH,OLGA,,MD,F,I,1401 W DUNDEE RD,SUITE 202,BUFFALO GROVE,IL,600894055,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,38,132,284,50.548380282,8.32,5.9503873239,5.9503873239
1043282320,ZARKH,OLGA,,MD,F,I,1401 W DUNDEE RD,SUITE 202,BUFFALO GROVE,IL,600894055,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,28,71,79,12.201898734,1.42,1.0473417722,1.0473417722
1043282320,ZARKH,OLGA,,MD,F,I,1401 W DUNDEE RD,SUITE 202,BUFFALO GROVE,IL,600894055,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,35,35,70,71.343714286,70.145714286,54.994857143,55.895
1043282320,ZARKH,OLGA,,MD,F,I,1401 W DUNDEE RD,SUITE 202,BUFFALO GROVE,IL,600894055,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,35,35,208,29.855288462,29.012019231,22.745625,22.886442308
1043282320,ZARKH,OLGA,,MD,F,I,1401 W DUNDEE RD,SUITE 202,BUFFALO GROVE,IL,600894055,US,Physician/Internal Medicine,S,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,20,16.075625,12.6075,12.6075
1043282320,ZARKH,OLGA,,MD,F,I,1401 W DUNDEE RD,SUITE 202,BUFFALO GROVE,IL,600894055,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,48.227619048,27.964285714,15.750952381,14.826190476
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,44,98,360,62.03425,8.32,6.3470277778,6.3470277778
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,10.002727273,3.38,2.65,2.65
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,12.213846154,2.12,1.67,1.67
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,26,50,93,12.003870968,1.42,1.0896774194,1.0896774194
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,22,22,113.50636364,49.190454545,35.499545455,29.34
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,15,43,43,294.66627907,121.56674419,87.148604651,65.249302326
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,15,41,116,109.02215517,44.530431034,33.294568966,25.338017241
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,114,69.000350877,25.519473684,19.163596491,15.664736842
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,26,26,200.41461538,73.481538462,52.113076923,43.54
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,36,36,64.691111111,24.257777778,16.855,13.392222222
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,34,34,63.181764706,20.655882353,15.471176471,10.458235294
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,54,306,8.7559803922,3.0247058824,2.2326143791,1.6455555556
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,14,21,21,37.266190476,15.48,12.131904762,10.731428571
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,6139,1.8794950318,0.4031959603,0.3108698485,0.2395797361
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,642.17,365.095,286.23416667,137.09833333
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,224.55,148.15916667,104.94,87.614166667
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,122,127,66.622834646,22.240944882,16.83503937,13.232362205
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,29,31,177.38548387,61.023548387,46.510645161,38.569354839
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,37.526190476,5.2785714286,3.7933333333,3.0580952381
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,21,161,166,394.38,99.394819277,75.755903614,54.753373494
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,44.560909091,34.938181818,30.165454545
1043282395,ALQASSEM,NASSER,J,MD,M,I,1101 9TH ST,STE A,ALAMOGORDO,NM,88310,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,148.33,61.088181818,47.899090909,25.432727273
1043282437,ANTONCIC,RUDOLPH,A,MD,M,I,1318 5TH AVE,,PITTSBURGH,PA,152196214,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,38,87,61.053563218,8.32,5.1733333333,5.1733333333
1043282437,ANTONCIC,RUDOLPH,A,MD,M,I,1318 5TH AVE,,PITTSBURGH,PA,152196214,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,28,14.063928571,1.42,0.955,0.955
1043282437,ANTONCIC,RUDOLPH,A,MD,M,I,1318 5TH AVE,,PITTSBURGH,PA,152196214,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,270,10.943888889,5.54,3.8608148148,3.8608148148
1043282437,ANTONCIC,RUDOLPH,A,MD,M,I,1318 5TH AVE,,PITTSBURGH,PA,152196214,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,406.38045455,77.5,58.773863636,53.155227273
1043282437,ANTONCIC,RUDOLPH,A,MD,M,I,1318 5TH AVE,,PITTSBURGH,PA,152196214,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,110.22058824,21.482941176,16.845294118,14.034705882
1043282437,ANTONCIC,RUDOLPH,A,MD,M,I,1318 5TH AVE,,PITTSBURGH,PA,152196214,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,70,37.09,29.08,29.496
1043282502,BRADSHAW,BEVERLY,A,APRN BC,F,I,2521 BEECHWOOD DR,,ELIZABETHTON,TN,376435062,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,80.723846154,18.68,12.626538462,11.645
1043282502,BRADSHAW,BEVERLY,A,APRN BC,F,I,2521 BEECHWOOD DR,,ELIZABETHTON,TN,376435062,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,56,503.83071429,87,61.386428571,49.11
1043282502,BRADSHAW,BEVERLY,A,APRN BC,F,I,2521 BEECHWOOD DR,,ELIZABETHTON,TN,376435062,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,250,40,29.4,27.665625
1043282528,DEAN,DAVID,J,D.O.,M,I,550 REDSTONE AVE W,SUITE 370,CRESTVIEW,FL,325366428,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,100.75,88.155,69.115,69.115
1043282528,DEAN,DAVID,J,D.O.,M,I,550 REDSTONE AVE W,SUITE 370,CRESTVIEW,FL,325366428,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,55.534666667,19.816,15.536666667,14.340666667
1043282528,DEAN,DAVID,J,D.O.,M,I,550 REDSTONE AVE W,SUITE 370,CRESTVIEW,FL,325366428,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,30.838666667,8.6766666667,6.8046666667,6.7126666667
1043282528,DEAN,DAVID,J,D.O.,M,I,550 REDSTONE AVE W,SUITE 370,CRESTVIEW,FL,325366428,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,14,70.571428571,53.2,41.095,45.735
1043282528,DEAN,DAVID,J,D.O.,M,I,550 REDSTONE AVE W,SUITE 370,CRESTVIEW,FL,325366428,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,381,266.98,209.31,218.15307692
1043282551,SAULINO,PATRICK,F,MD,M,I,3322 ROUTE 22,SUITE 505,BRANCHBURG,NJ,088763476,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,15.75,12.35,13.54
1043282551,SAULINO,PATRICK,F,MD,M,I,3322 ROUTE 22,SUITE 505,BRANCHBURG,NJ,088763476,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,70,54.88,54.73
1043282569,GLAMOUR,TEJINDER,S,MD,M,I,6225 66TH ST N,,PINELLAS PARK,FL,337815025,US,Physician/Gastroenterology,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,720,7.32,2.02,1.4516944444,1.4516944444
1043282569,GLAMOUR,TEJINDER,S,MD,M,I,6225 66TH ST N,,PINELLAS PARK,FL,337815025,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5863,2.2795497186,0.32,0.2391284325,0.235570527
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,74,112,112,103.80848214,40.724107143,28.5225,27.130267857
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,26,45,74,74,302.94459459,97.45527027,64.965675676,58.568378378
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,23,30,62,119,129.05957983,35.257142857,25.981932773,24.240252101
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,21,30,141,58.605106383,20.775815603,15.747021277,13.959503546
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,35,62,310,54.335387097,16.103741935,11.574709677,10.856
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,29,77,120,120,192.04891667,60.5045,41.106416667,36.935416667
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,41,107,128,128,57.861015625,20.156953125,14.079375,12.452109375
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,34.075833333,11.465,8.2975,7.7441666667
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,33,50,50,56.548,14.7498,10.2324,8.087
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,41,100,177,866,7.7589491917,2.2398960739,1.5875750577,1.4347690531
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,25,31,31,20.135483871,6.7370967742,4.5958064516,4.0809677419
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,52,61,61,43.624918033,13.825081967,10.057704918,9.5670491803
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1590,1020.1,787.80416667,826.7625
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,21,496.26619048,80.201428571,57.151428571,56.877142857
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,18,18,18,437.76611111,149.40833333,111.33833333,102.58055556
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,,54,55,43.911818182,14.566909091,10.503272727,9.5561818182
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,23,45,288,289,171.80820069,38.689480969,27.614013841,23.353633218
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,483.76,73.7075,55.587857143,52.902857143
1043282585,MORGENTHALER,TIMOTHY,I,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,38.68,30.32,29.657272727
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,27,74,208,28.379855769,8.32,6.1274519231,6.1274519231
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,29,36,9.2380555556,1.42,1.0244444444,1.0244444444
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,32,4.425,2.151875,1.686875,1.285625
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,12,25,25,211.3336,124.1348,92.8924,63.718
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,13,55,66,74.477575758,46.299242424,35.045606061,24.709090909
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,12,29,88,35.258636364,20.537840909,16.102727273,12.331477273
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,25,25,134.066,77.5408,60.7912,44.9088
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,24,24,45.335,25.76125,20.1925,14.801666667
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,37,37,44.074054054,21.998648649,17.245675676,9.4327027027
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,23,85,229,7.0169432314,3.2097816594,2.5025327511,1.6307423581
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,14,16,16,17.13125,9.6825,7.59,4.885
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,16,17,17,24.794117647,15.738823529,12.334705882,10.501176471
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,245.81,64.492222222,47.716111111,35.231111111
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,65,65,76.456,22.848769231,17.911692308,15.026153846
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,162.49628571,58.206857143,45.631428571,37.157142857
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,119,119,327.44537815,106.26,83.037310924,59.177478992
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,64.707317073,45.347560976,35.554878049,30.38902439
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2970,1.907996633,0.1375050505,0.1005420875,0.1005420875
1043282593,PHILLIPS-WARD,CORINNE,,M.D.,F,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,33,33,24.825,24.825
1043282619,HERMANS,LINDA,S,MD,F,I,24 GARDINER ST,,RICHMOND,ME,04357,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,36,115,58.52773913,8.32,5.3879130435,5.3879130435
1043282619,HERMANS,LINDA,S,MD,F,I,24 GARDINER ST,,RICHMOND,ME,04357,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,24,15.165833333,1.42,0.9125,0.9125
1043282619,HERMANS,LINDA,S,MD,F,I,24 GARDINER ST,,RICHMOND,ME,04357,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,17,85.685882353,20.035294118,15.705294118,13.534117647
1043282619,HERMANS,LINDA,S,MD,F,I,24 GARDINER ST,,RICHMOND,ME,04357,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,34,598.92941176,74.032352941,50.310882353,47.289117647
1043282619,HERMANS,LINDA,S,MD,F,I,24 GARDINER ST,,RICHMOND,ME,04357,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1020,1.8018529412,0.1392941176,0.080754902,0.080754902
1043282627,MALEK,BACHAR,,M.D.,M,I,4972 LINCOLN AVE,SUIT 101,EVANSVILLE,IN,477157909,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,27,49,81.760408163,8.32,5.8563265306,5.8563265306
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,32,86,157,76.194203822,8.32,5.5261146497,5.5261146497
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,14,27,30,19.656333333,1.42,0.9693333333,0.9693333333
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,47,11.591276596,3.2493617021,2.5480851064,1.7655319149
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,91.685897436,22.666923077,17.004102564,12.990512821
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,420.7256,104.2764,78.169,53.0662
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,45.002727273,34.734545455,29.616363636
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,2460,2.0038495935,0.1355853659,0.1011869919,0.1011869919
1043282759,MACE,KEVIN,W,DO,M,I,1208 N LINCOLN ST,,KNOXVILLE,IA,501383421,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,39.827586207,33,24.977931034,24.977931034
1043282858,FULTON,ROBB,L,D.O.,M,I,207 GREEN ST,,WARNER ROBINS,GA,310932727,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,49.745454545,39.000909091,38.481818182
1043282858,FULTON,ROBB,L,D.O.,M,I,207 GREEN ST,,WARNER ROBINS,GA,310932727,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,25,7.1146153846,5.0569230769,3.5246153846
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,56,138,71.354347826,8.32,5.8594927536,5.8594927536
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,28,35,14.383142857,1.42,0.9257142857,0.9257142857
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,19,318.22736842,51.402105263,40.296315789,39.636315789
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,17.29,10.1625,10.1475
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,70.23,43.07875,42.8025
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2250,0.17,0.046,0.0336133333,0.0336133333
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,146.48235294,27.53,12.694117647,11.741176471
1043282965,BRADY,DON,I,MD,M,I,3707 BRAMBLETON AVE,#2,ROANOKE,VA,240183658,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,119.625,33,24.253125,24.253125
1043283005,GAUTAM,INDIRA,,MD,F,I,327 IBERIA ST,SUITE #3A,YOUNGSVILLE,LA,705925738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,42,113,60.526106195,8.32,5.4254867257,5.4254867257
1043283005,GAUTAM,INDIRA,,MD,F,I,327 IBERIA ST,SUITE #3A,YOUNGSVILLE,LA,705925738,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,20,32,15.29375,1.42,1.044375,1.044375
1043283005,GAUTAM,INDIRA,,MD,F,I,327 IBERIA ST,SUITE #3A,YOUNGSVILLE,LA,705925738,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,10.4,10.37,6.6633333333,6.67125
1043283005,GAUTAM,INDIRA,,MD,F,I,327 IBERIA ST,SUITE #3A,YOUNGSVILLE,LA,705925738,US,Physician/Family Practice,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,38.75,38.576,17.798,16.614
1043283005,GAUTAM,INDIRA,,MD,F,I,327 IBERIA ST,SUITE #3A,YOUNGSVILLE,LA,705925738,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,44,24.304545455,18.613181818,11.026363636,10.122272727
1043283005,GAUTAM,INDIRA,,MD,F,I,327 IBERIA ST,SUITE #3A,YOUNGSVILLE,LA,705925738,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,8.15,7.97,4.5454545455,4.48
1043283039,DOZIER,SAMUEL,G,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,57,57,50.078596491,21.115263158,16.55122807,14.400350877
1043283039,DOZIER,SAMUEL,G,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,69,69,311.39101449,90.492173913,70.208115942,58.764637681
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,24,1183,0.6858326289,0.12,0.0908622147,0.0908622147
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,50,90,3980,1.0061055276,0.44,0.3449874372,0.3449874372
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,26,101.75653846,71.56,56.105,56.105
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,52,98,8385,48.644830054,34.86,27.280900417,27.280900417
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,173,13.31,10.93,8.5691907514,8.5691907514
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,42,86,7815,5.9940690979,2.4,1.8815930902,1.8815930902
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,19,22,2040,0.2866911765,0.13,0.1004411765,0.1004411765
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,41,84,6069,0.6125424287,0.31,0.243002142,0.243002142
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1366,0.6714494876,0.45,0.3528111274,0.3528111274
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,16,660,5,1.97,1.5444242424,1.5444242424
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,32,168,168,124.20428571,89.204583333,69.937916667,69.937916667
1043283047,RIZZO,DOMINIC,A,DPM,M,I,4260 GLENDALE MILFORD RD,SUITE 103,BLUE ASH,OH,452423704,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,275,251.28,183.95727273,205.84636364
1043283096,SIMONSEN,RONALD,W,MD,M,I,341 BIRD AVE,,WARREN,PA,16365,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,100.90545455,73.678181818,49.754545455
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,45,127,58.008740157,8.32,5.5981102362,5.5981102362
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.769230769,3.38,2.4461538462,2.4461538462
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,26,48,16.005,1.42,1.021875,1.021875
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,79.194090909,17.685454545,12.452272727,12.125
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,50.73,5.4833333333,4.3,3.5666666667
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,53,500.78075472,79.890566038,57.090566038,49.87245283
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,4602,0.4305388961,0.0455084746,0.0336810083,0.0336810083
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1920,1.7263125,0.1321875,0.097984375,0.097984375
1043283120,ROATSEY,THOMAS,E,DO,M,I,306 SOUTH SHADY AVE,,DAMASCUS,VA,242360456,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,45.578125,33,24.253125,24.253125
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,44,54.954772727,8.32,6.0788636364,6.0788636364
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,22,15.349090909,1.42,1.0640909091,1.0640909091
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,36,5.3155555556,2.0766666667,1.5575,1.0861111111
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,72.837804878,23.066097561,17.71804878,13.493658537
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,31,42.799677419,7.0561290323,4.9432258065,3.3664516129
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,75,75,461.3936,104.57786667,77.934933333,55.058133333
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,2850,0.6445192982,0.1329368421,0.0956105263,0.0956105263
1043283252,HIMES,ERIN,M,PAC,F,I,17521 W KY 9,,TOLLESBORO,KY,411899711,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,92.4,33,24.145333333,24.145333333
1043283278,HARDEN,LIZZIE,M,M.D.,F,I,201 SIVLEY RD SW,SUITE 550,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,39,123,52.975934959,8.32,5.8332520325,5.8332520325
1043283278,HARDEN,LIZZIE,M,M.D.,F,I,201 SIVLEY RD SW,SUITE 550,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,13.810666667,3.38,1.9433333333,1.9433333333
1043283278,HARDEN,LIZZIE,M,M.D.,F,I,201 SIVLEY RD SW,SUITE 550,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,44,13.013181818,1.42,0.9618181818,0.9618181818
1043283278,HARDEN,LIZZIE,M,M.D.,F,I,201 SIVLEY RD SW,SUITE 550,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,3966,0.5272037317,0.045892587,0.0303252648,0.0303252648
1043283278,HARDEN,LIZZIE,M,M.D.,F,I,201 SIVLEY RD SW,SUITE 550,HUNTSVILLE,AL,358015134,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,33,33,19.486153846,19.486153846
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,17,45,98,68.975816327,8.32,5.2570408163,5.2570408163
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,26,17.434615385,1.42,1.0738461538,1.0738461538
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,26,8.19,2.1184615385,1.6607692308,1.2026923077
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,512.16,118,87.771428571,63.105714286
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,40,189.42,46.35875,36.34575,25.918
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,15,15,104.07,19.879333333,15.579333333,9.12
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,63,13.92,3.1647619048,2.4815873016,1.5933333333
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,36,86.31,22.805833333,17.049166667,13.614444444
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,26,28,81.75,18.183214286,13.842857143,9.75
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,48.910416667,6.9483333333,5.1441666667,3.4991666667
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,31,33,257.82,55.786363636,42.697272727,26.564848485
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,80,84,476.25833333,104.77166667,76.939404762,52.718690476
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,235.26785714,45.381428571,34.407857143,28.463214286
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1140,15.939561404,9.688,7.4695263158,7.4695263158
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,47,8955,0.2939810162,0.0464243439,0.0252897822,0.0252897822
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2130,1.2105070423,0.1286056338,0.1008309859,0.1008309859
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,12.86,2.9991333333,2.3513444444,2.3513444444
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,36,115.51666667,43.56,32.5275,32.525
1043283393,POCZATEK,WILLIAM,R,NP,M,I,520 ELIZAVILLE AVE,,FLEMINGSBURG,KY,410411141,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,67,67,90.626865672,33,21.720895522,21.720895522
1043283484,SCHREINER,DAVID,A,,M,I,611 S CARLIN SPRINGS RD,SUTIE 405,ARLINGTON,VA,22204,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,24,79,53.824177215,8.32,6.1912658228,6.1912658228
1043283484,SCHREINER,DAVID,A,,M,I,611 S CARLIN SPRINGS RD,SUTIE 405,ARLINGTON,VA,22204,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,16,12.54125,1.42,0.978125,0.978125
1043283484,SCHREINER,DAVID,A,,M,I,611 S CARLIN SPRINGS RD,SUTIE 405,ARLINGTON,VA,22204,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,74.944666667,17,13.33,13.54
1043283484,SCHREINER,DAVID,A,,M,I,611 S CARLIN SPRINGS RD,SUTIE 405,ARLINGTON,VA,22204,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,460.57133333,79.8,62.56,54.73
1043283484,SCHREINER,DAVID,A,,M,I,611 S CARLIN SPRINGS RD,SUTIE 405,ARLINGTON,VA,22204,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,3.7504166667,3.06975,2.2074444444,2.2074444444
1043283484,SCHREINER,DAVID,A,,M,I,611 S CARLIN SPRINGS RD,SUTIE 405,ARLINGTON,VA,22204,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,25.87,25.87
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,59,154,391,64.060230179,8.32,5.7525063939,5.7525063939
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,13.464375,3.38,2.65,2.65
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,36,78,104,13.941730769,1.42,1.0414423077,1.0414423077
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,33.785555556,5.4233333333,3.6448148148,3.0314814815
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,136.07142857,33.782857143,22.542857143,22.262857143
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,350.14769231,82,60.124615385,51.791025641
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,5243,0.3976006103,0.0472000763,0.0351440015,0.0351440015
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,1980,1.2456868687,0.1350606061,0.0765858586,0.0765858586
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,110.47142857,16.29,10.945714286,11.285714286
1043283674,SUTER,MICHAEL,D,MD,M,I,8109 HARFORD RD,STE E,PARKVILLE,MD,212349205,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,33,33,69,33,21.426363636,21.426060606
1043283815,KNAPP,RENEE,M,D.O.,F,I,13900 W NATIONAL AVENUE,"PROHEALTH CARE MEDICAL ASSOCIATES, INC.",NEW BERLIN,WI,53151,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,73,62.164520548,8.32,5.2717808219,5.2717808219
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,59,139,59.914244604,8.32,5.7722302158,5.7722302158
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,9.625,3.38,2.65,2.65
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,26,36,9.9761111111,1.42,1.0227777778,1.0227777778
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.27,13.54,13.54
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,29.288333333,4.6533333333,2.7933333333,2.8255555556
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,112.27272727,35.231818182,27.619090909,27.62
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,62,482.98403226,68.78,49.002741935,49.729354839
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,250,36.83,26.076428571,26.635714286
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,5827,0.1844105028,0.0453749785,0.0314690235,0.0314690235
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,690,1.008884058,0.139,0.0931594203,0.0931594203
1043283823,BROCKWAY,JASON,K,MD,M,I,1718 S HENDERSON BLVD,,KILGORE,TX,756623566,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,31,31,106.4516129,33,22.531935484,22.531935484
1043283856,SMITH,STANTON,M,D.P.M.,M,I,279 E 5900 S,SUITE 102,MURRAY,UT,841075421,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,62,120,71.56,56.105,56.105
1043283856,SMITH,STANTON,M,D.P.M.,M,I,279 E 5900 S,SUITE 102,MURRAY,UT,841075421,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,186,40,40,31.36,33.88
1043283898,MAYER,MARCUS,C,MD,M,I,1800 W WOOL BRIGHT RD,SUITE 201,BOYNTON BEACH,FL,33426,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,145.35727273,61.89,48.52,44.918181818
1043283898,MAYER,MARCUS,C,MD,M,I,1800 W WOOL BRIGHT RD,SUITE 201,BOYNTON BEACH,FL,33426,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,7.3675,2.4,1.8816666667,1.6883333333
1043283898,MAYER,MARCUS,C,MD,M,I,1800 W WOOL BRIGHT RD,SUITE 201,BOYNTON BEACH,FL,33426,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,157.14888889,39.586666667,29.481666667,25.681666667
1043283948,DAVIS,CLINTON,B,M.D.,M,I,4600 4TH STREET NORTH,,ST PETERSBURG,FL,337033802,US,Physician/Orthopedic Surgery,S,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,42,42,1329.1145238,400.97119048,295.59047619,291.96166667
1043284268,SMULKA,ROMAN,P,MD,M,I,15245 BLUEBIRD ST NW,MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER,ANDOVER,MN,553043554,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,40,127,434,78.545506912,8.32,6.1469585253,6.1469585253
1043284268,SMULKA,ROMAN,P,MD,M,I,15245 BLUEBIRD ST NW,MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER,ANDOVER,MN,553043554,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,23,31,18.990645161,1.42,1.0435483871,1.0435483871
1043284268,SMULKA,ROMAN,P,MD,M,I,15245 BLUEBIRD ST NW,MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER,ANDOVER,MN,553043554,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,175,40.62,31.85,29.52
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,51,119,66.795378151,8.32,5.3399159664,5.3399159664
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,21,14.535714286,1.42,1.0095238095,1.0095238095
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,70.1,32.73,23.521666667,23.7775
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,37.396153846,17.97,13.401538462,13.385384615
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,41.1,11.64,8.8653333333,8.8653333333
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,60,4.6216666667,2.03,1.5066666667,1.5066666667
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,364,30,4.11,3.2221428571,3.2420879121
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,2028,0.6681558185,0.37,0.2901134122,0.2901134122
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,2655,3.793905838,1.18,0.9251374765,0.9449077213
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,40,17.27,11.55875,11.55875
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,28.294444444,12.562222222,9.8516666667,9.8933333333
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,125.3030303,35.502727273,27.833636364,26.975757576
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,54,267.83444444,69.81,51.689444444,51.689444444
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36.14,28.33,29.51
1043284367,CAMPBELL,MATTHEW,J,M.D.,M,I,405 MOMANY DR,,SAINT JOSEPH,MI,490852178,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,56.75,36.14,28.33,29.444444444
1043284383,JONES,LINDA,J,NP,F,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,45,84,78.389166667,8.32,5.7445238095,5.7445238095
1043284383,JONES,LINDA,J,NP,F,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,14.070588235,1.42,1.0541176471,1.0541176471
1043284383,JONES,LINDA,J,NP,F,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,66.535263158,23.384736842,17.072105263,12.977894737
1043284383,JONES,LINDA,J,NP,F,I,3032 E HIGHWAY 76,,MULLINS,SC,295747396,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,384.03,109.56,79.606842105,53.232105263
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,38,85,66.770117647,8.32,6.5208235294,6.5208235294
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,15.243076923,1.42,1.1184615385,1.1184615385
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4395,1.8118998862,0.6619795222,0.5189943117,0.5174425484
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,19,66.952631579,59.08,46.318421053,38.725263158
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,26,96.263846154,50.948461538,39.941538462,39.011538462
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,25,104.9048,47.7452,37.4332,37.1096
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,24,63.155,16.36,12.83,13.185
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,68.132941176,47.480588235,37.223529412,36.825294118
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,14,18,21.226666667,8.9355555556,7.0044444444,6.9088888889
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,41,429.17756098,78.93195122,60.365609756,57.493414634
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,16,37.916875,22.146875,17.363125,15.026875
1043284680,NAGLE,DOUGLAS,P,P.A.,M,I,6804 CECELIA DR,,NEW PORT RICHEY,FL,346534935,US,Physician Assistant,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,67.137272727,56.263636364,44.110909091,40.821818182
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,17,23,45.086956522,8.32,4.5373913043,4.5373913043
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,23,23,232.35,63.627826087,43.953043478,36.350869565
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,23,23,232.35,59.63,43.872608696,34.910434783
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,140,49.701818182,36.614545455,27.890909091
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,21,434.00571429,110.69333333,78.138095238,63.919047619
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,31,317.74193548,45.515806452,34.626774194,30.749354839
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3025,0.3625619835,0.0474413223,0.034446281,0.034446281
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1200,2.2405,0.13025,0.0665333333,0.0665333333
1043284714,UPELL,MARGARET,L,MD,F,I,315 MAIN STREET,,EAGLE BUTTE,SD,576250000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,54.52173913,33,20.246086957,20.246086957
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,11,30,400,52.486425,19.630175,15.389875,15.389875
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,28,895,7.5024916201,2.6312849162,2.0628826816,2.0628826816
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,62,119,353,1354,77.759497784,8.3195199409,5.8985893648,5.8989660266
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,18,34,34,11.455294118,3.38,2.5720588235,2.5720588235
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,19,22,22,17.578636364,2.12,1.5940909091,1.5940909091
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,53,117,239,35.889330544,1.42,1.039623431,1.039623431
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,45.85,41.150909091,32.261818182,50.954545455
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,716.105,331.96875,250.309375,250.309375
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,31,4140,16.819770531,10.625202899,8.2341376812,8.2341376812
1043284722,BLACKSTONE,SHERRI,E,MD,F,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,63,63,314.96269841,251.04904762,196.82222222,196.86984127
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,22,79,178,56.783539326,8.32,5.5557303371,5.5557303371
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,14,33,48,12.641666667,1.42,0.9533333333,0.9533333333
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,130,14.096923077,7,5.488,5.488
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,190,7.4623684211,4.03,3.1596315789,3.1596315789
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,950,0.5153578947,0.27,0.2116315789,0.2116315789
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,17,31,8.19,2.0258064516,1.5880645161,1.1732258065
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,52,13.92,2.9211538462,2.2228846154,1.5305769231
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,206.74769231,69.069230769,51.193846154,38.602307692
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,66,66,86.31,22.880454545,17.032272727,12.983636364
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,13,232.35,61.208461538,47.986153846,37.63
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,4430.1,1001.46,779.79333333,832.14416667
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,32,50.73,8.1490625,6.1628125,3.7584375
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,118,124,515.17887097,101.40274194,77.291129032,54.968225806
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,39,2250,15.58,9.63092,7.4286666667,7.4286666667
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,3525,0.4472765957,0.0456198582,0.0357617021,0.0357617021
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1140,1.1760614035,0.1348947368,0.1057807018,0.1057807018
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,12,46,2670,12.86,2.9835393258,2.3391161049,2.3391161049
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,630,0.75,0.2187619048,0.1715238095,0.1715238095
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,207.112,44.34,33.669666667,28.531333333
1043284730,BALLARD,ELIZABETH,J,MD,F,I,18452 BUSINESS 13,,BRANSON WEST,MO,657379609,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,15,61,61,112.52459016,33,25.87,25.87
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,11,143,63.2,19.625454545,15.386013986,15.386013986
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,65,199,638,66.940736677,8.32,5.8634169279,5.8634169279
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,10.556190476,3.38,2.5238095238,2.5238095238
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,31,74,130,16.348,1.42,1.0202307692,1.0202307692
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,72,7.9583333333,2.06,1.615,1.5951388889
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,272.56545455,272.56545455
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,279.15789474,213.62368421,159.92315789,160.01842105
1043284763,BROSIUS,WADE,A,DO,M,I,307 S LEWIS RD,,ROYERSFORD,PA,194681828,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,364.38461538,251.11,196.87,196.87
1043284813,PECCI,CHRISTINE,C,M.D.,F,I,995 POTRERO AVE,WARD 83,SAN FRANCISCO,CA,94110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,51,93.4,8.32,4.7123529412,4.7123529412
1043284813,PECCI,CHRISTINE,C,M.D.,F,I,995 POTRERO AVE,WARD 83,SAN FRANCISCO,CA,94110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,16,21.115,1.42,0.83625,0.83625
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,28,68,214,58.991401869,8.32,5.77,5.77
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,26,47,12.110425532,1.42,0.9729787234,0.9729787234
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,267.3025,85.63,61.535833333,62.023333333
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,31,75.435483871,32.56,25.527096774,25.778709677
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,82,7.7386585366,2.1809756098,1.7092682927,1.6270731707
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,40,61.31275,17.27,12.863,12.863
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,146.42444444,30.16,20.773333333,20.782222222
1043284938,LIVELY,JAMES,A,MD,M,I,3802 MANHATTON DR,,TYLER,TX,757019451,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,55,367.858,68.78,49.018181818,49.779090909
1043285042,ROSENBLATT,LEWIS,,D.O.,M,I,4621 S SHRANK DR,SUITE B,INDEPENDENCE,MO,640555453,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,55,48.253272727,8.32,5.8105454545,5.8105454545
1043285042,ROSENBLATT,LEWIS,,D.O.,M,I,4621 S SHRANK DR,SUITE B,INDEPENDENCE,MO,640555453,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,19,13.736842105,1.42,0.9947368421,0.9947368421
1043285042,ROSENBLATT,LEWIS,,D.O.,M,I,4621 S SHRANK DR,SUITE B,INDEPENDENCE,MO,640555453,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,167.12454545,50,33.609090909,32.181818182
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,71,250,52.5652,8.32,5.77528,5.77528
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,32,33,14.392121212,3.38,2.4090909091,2.4090909091
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,21.847777778,2.12,1.4844444444,1.4844444444
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,45,89,14.868651685,1.42,1.0269662921,1.0269662921
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,33,43.564545455,7.6975757576,5.9254545455,3.7581818182
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,43.5,12.466428571,9.1821428571,7.7378571429
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,996.69714286,184.85214286,138.31785714,109.415
1043285208,KARNES-AMZIBEL,PATRICIA,J,DO,F,I,316 RAILROAD AVE,,GOLDSBORO,MD,21636,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,11.759090909,11.759090909
1043285372,WOODS,DAVID,W,MD,M,I,816 INDEPENDENCE BLVD,STE 100,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,62,144,61.127152778,8.32,6.1152083333,6.1152083333
1043285372,WOODS,DAVID,W,MD,M,I,816 INDEPENDENCE BLVD,STE 100,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,32,46,13.043695652,1.42,1.0669565217,1.0669565217
1043285372,WOODS,DAVID,W,MD,M,I,816 INDEPENDENCE BLVD,STE 100,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,58,9.9848275862,2,1.5684482759,1.5918965517
1043285372,WOODS,DAVID,W,MD,M,I,816 INDEPENDENCE BLVD,STE 100,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,48.959130435,4.0782608696,3.0226086957,3.2491304348
1043285372,WOODS,DAVID,W,MD,M,I,816 INDEPENDENCE BLVD,STE 100,VIRGINIA BEACH,VA,23455,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28,9.9,6.9416666667,7.9283333333
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,22,80,149,54.275167785,8.32,5.9969798658,5.9969798658
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.205454545,3.38,2.1681818182,2.1681818182
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,15,9.0046666667,1.42,1.044,1.044
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,26,51,8.19,1.9682352941,1.3188235294,0.9745098039
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,487.14588235,121.32705882,95.119411765,70.325294118
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,37,176.74216216,45.598918919,35.74972973,27.137837838
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,83.948,26.024,19.531333333,15.074
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,98.903888889,21.778333333,17.072777778,9.7383333333
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,29,125,12.62736,3.08704,2.39248,1.64536
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,32.679090909,9.5172727273,7.4609090909,4.9809090909
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,52.581818182,16.06,12.586363636,10.838181818
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,39,86.31,22.666923077,17.004102564,14.023589744
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,30,35,71.564571429,18.117142857,13.212,9.6131428571
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,43,43,50.73,7.6658139535,5.4174418605,3.1520930233
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,44,226.56772727,52.372045455,39.431590909,25.679090909
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,53,511.22660377,104.39584906,77.757924528,56.463584906
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6300714286,7.3791785714,7.3791785714
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,31,2100,0.92,0.1318428571,0.0929857143,0.0929857143
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1050,12.868752381,2.8212571429,2.2118857143,2.2118857143
1043285398,GUALBERTO,CRISANTO,,M.D.,M,I,106 W STATE STREET,,VANDALIA,MO,63382,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,46,46,132,33,24.182826087,24.182826087
1043285406,NOLL,PAMELA,J,DO,F,I,3033 EXCELSIOR BLVD.,#275,MINNEAPOLIS,MN,55416,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,22,55,73.247636364,8.32,5.9030909091,5.9030909091
1043285406,NOLL,PAMELA,J,DO,F,I,3033 EXCELSIOR BLVD.,#275,MINNEAPOLIS,MN,55416,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,27,21.33962963,1.42,0.9925925926,0.9925925926
1043285406,NOLL,PAMELA,J,DO,F,I,3033 EXCELSIOR BLVD.,#275,MINNEAPOLIS,MN,55416,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,47.670909091,37.374545455,38.346363636
1043285455,MITCHELL,CATHERINE,M,DO,F,I,5211 HIGHWAY 110,ESSENTIA HEALTH NORTHERN PINES CLINIC,AURORA,MN,557051522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,55,123,64.725447154,8.32,6.1995121951,6.1995121951
1043285455,MITCHELL,CATHERINE,M,DO,F,I,5211 HIGHWAY 110,ESSENTIA HEALTH NORTHERN PINES CLINIC,AURORA,MN,557051522,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,26,23.444230769,1.42,1.1173076923,1.1173076923
1043285455,MITCHELL,CATHERINE,M,DO,F,I,5211 HIGHWAY 110,ESSENTIA HEALTH NORTHERN PINES CLINIC,AURORA,MN,557051522,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,24.217391304,4.8695652174,3.8182608696,3.8182608696
1043285455,MITCHELL,CATHERINE,M,DO,F,I,5211 HIGHWAY 110,ESSENTIA HEALTH NORTHERN PINES CLINIC,AURORA,MN,557051522,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,2517,1.5308462455,0.1320500596,0.0905760826,0.0905760826
1043285455,MITCHELL,CATHERINE,M,DO,F,I,5211 HIGHWAY 110,ESSENTIA HEALTH NORTHERN PINES CLINIC,AURORA,MN,557051522,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,33,33,21.180952381,21.180952381
1043285604,RICHERT,CHARLES,L,M.D.,M,I,365 E MAIN ST,,GREENWOOD,IN,461431361,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,70,122,72.474262295,8.32,5.9263934426,5.9263934426
1043285604,RICHERT,CHARLES,L,M.D.,M,I,365 E MAIN ST,,GREENWOOD,IN,461431361,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,31,32,17.1415625,1.42,1.049375,1.049375
1043285604,RICHERT,CHARLES,L,M.D.,M,I,365 E MAIN ST,,GREENWOOD,IN,461431361,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3510,4.8,0.38,0.2637749288,0.2571339031
1043285703,PETRUSO,KIMBERLY,A,DO,F,I,23 N WALNUT ST,,BOYERTOWN,PA,195121467,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,48,71.53125,8.32,6.2502083333,6.2502083333
1043285703,PETRUSO,KIMBERLY,A,DO,F,I,23 N WALNUT ST,,BOYERTOWN,PA,195121467,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,14,13.697142857,1.42,1.0357142857,1.0357142857
1043285745,MURPHY,MARGARET,A,M.D.,F,I,621 S NEW BALLAS RD,SUITE 6017B,SAINT LOUIS,MO,631418232,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,15,113.75,20.416666667,16.006666667,14.262666667
1043285836,CHESSHIR,WALTER,L,MD,M,I,922 22ND AVE S,,BROOKINGS,SD,570062830,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,43,54.67,8.32,5.9137209302,5.9137209302
1043285992,TRAN,LOUIS,,MD,M,I,2899 SENTER RD,SUITE 140,SAN JOSE,CA,951114601,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,38,64,42.47375,8.32,4.89171875,4.89171875
1043285992,TRAN,LOUIS,,MD,M,I,2899 SENTER RD,SUITE 140,SAN JOSE,CA,951114601,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,31,31,28.96483871,1.42,0.9032258065,0.9032258065
1043286024,RYCHETSKY,LENKA,,M.D.,F,I,7440 N LA CHOLLA BLVD,,TUCSON,AZ,857412306,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,74,61.254594595,8.32,6.1698648649,6.1698648649
1043286024,RYCHETSKY,LENKA,,M.D.,F,I,7440 N LA CHOLLA BLVD,,TUCSON,AZ,857412306,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,61.4725,40,30.01,29.2125
1043286024,RYCHETSKY,LENKA,,M.D.,F,I,7440 N LA CHOLLA BLVD,,TUCSON,AZ,857412306,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,7.4438461538,2.09,1.5123076923,1.4728205128
1043286024,RYCHETSKY,LENKA,,M.D.,F,I,7440 N LA CHOLLA BLVD,,TUCSON,AZ,857412306,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,243,29.812,15.093333333,16.666666667
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,29,73,214,74.172056075,8.32,5.6237850467,5.6237850467
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,23,40,20.395,1.42,0.9765,0.9765
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,84.352727273,38.89,27.718181818,27.718181818
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,48,52.426666667,15.17,10.406458333,10.406458333
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,16,22,22,184.25227273,54.79,37.093181818,37.015454545
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,18,20,20,77.9685,17.97,12.681,12.663
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,40.670769231,11.64,7.7169230769,7.7169230769
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,25,106,4.1986792453,1.6224528302,1.1068867925,1.3558490566
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,73.3035,12.636,9.388,9.436
1043286057,KHALID,AHSAN,,MD,M,I,1001 NYGAARD ST,,STOUGHTON,WI,535895495,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,372.97071429,32.665714286,24.243571429,23.433571429
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,30,30,89.466,38,25.818,26.470666667
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,38,7.9184210526,1.4,1.1,1.1421052632
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,54.5,13.178181818,10.328181818,8.9972727273
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,281.67789474,89.778421053,58.265789474,56.636315789
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,23,49,111.3522449,33.772244898,25.84,25.370204082
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,171.81944444,55,40.971111111,40.725
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,18,18,53.616666667,18.136111111,13.428333333,13.288333333
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,39,192,9.7245833333,2.00625,1.4916145833,1.5081770833
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,14,19,19,34.212631579,13.013157895,9.66,9.7884210526
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,9,11,154,1799,28.169310728,12.463424125,9.3929849917,9.8048971651
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,8,,144,901,398.30255272,324.56064373,254.30852386,255.16167592
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,20,125,444.68512,371.67936,239.02184,239.26696
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,9,11,166,843,60.544068802,9.3475088968,7.2600355872,7.2600355872
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,9,,161,1008,141.40246032,29.213333333,22.903244048,22.903234127
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,5,,12,13,1004.6307692,466.82,365.99,365.99
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,55.1655,17.1,13.41,13.5335
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,4224.4084615,1074.31,827.41307692,827.41307692
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,11,16,48.8025,14,10.98,10.48
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,13,74,76,49.786842105,6.3239473684,4.7885526316,3.7176315789
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,28,226,233,441.78806867,76.97193133,57.364978541,52.53055794
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,88,88,194.70590909,36.242272727,26.802159091,27.759772727
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,50,15286,0.2516740809,0.0463672642,0.0346670156,0.0346670156
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,48,3896,1.8662371663,0.1363116016,0.102674538,0.102674538
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,16,98,5370,10.288739292,2.9820893855,2.2438119181,2.2438119181
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,146.09411765,36.256470588,28.427058824,29.351176471
1043286123,WILSON,DAVID,O,MD,M,I,5115 CENTRE AVE,"HILLMAN CANCE CENTER, 2ND FLOOR",PITTSBURGH,PA,152321301,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,106,106,61.952830189,33,24.893773585,24.893773585
1043286172,O'KEEFFE,CATHERINE,,GNP,F,I,714 MAIN ST,"SUITE 706A, BICKFORD HEALTH ASSOCIATES, PC",YARMOUTH PORT,MA,026752000,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4706.98,1074.31,830.30416667,830.30416667
1043286214,LANGLAND,JOHN,C,M.D.,M,I,2751 NORTHGATE DR,,IOWA CITY,IA,522459509,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,256,133.89,99.97,82.610555556
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,40,90,286,47.792972028,8.32,6.0887762238,6.0887762238
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,40,40,13.214,3.38,2.58375,2.58375
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,20.950769231,2.12,1.5415384615,1.5415384615
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,57,111,15.50009009,1.42,1.0743243243,1.0743243243
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,19,8.8394736842,8.62,6.76,6.8168421053
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,5.65,5.54,4.34,4.34
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,19,14.213684211,13.8,10.82,10.82
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,15,11.1,10.93,8.57,8.57
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,23,8.3252173913,7.46,5.85,5.85
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,2.99,2.91,2.28125,2.28125
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1056,0.12,0.12,0.0940909091,0.0940909091
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.29,5.26,4.124,4.124
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,363,34.86,34.86,27.330330579,27.330330579
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,27,950,8.28,8.28,6.3832842105,6.3832842105
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,21,39,870,3.79,3.79,2.9712183908,2.9712183908
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,138,10.93,10.93,8.5689855072,8.5689855072
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,22,74,18.29,18.29,14.339054054,14.339054054
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,150,3.67,3.67,2.8775333333,2.8775333333
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,1068,0.45,0.45,0.3527340824,0.3527340824
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,26,62,122,8.213442623,1.8094262295,1.3363114754,1.0810655738
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,86.378125,16.216875,12.09,8.975
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,15,15,76.178666667,21.205333333,15.582,13.122666667
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,18,18,80.727777778,16.028888889,12.007222222,8.6094444444
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,25,108,10.623888889,2.547037037,1.8991666667,1.5046296296
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,665,12.98393985,5.6938345865,4.4638947368,4.1961804511
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,8178,0.6951809733,0.404079237,0.3168011739,0.2916165322
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,11,11,120.10454545,69.74,54.68,48.658181818
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,38.7075,10.529,7.885,6.8835
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,19,19,295.30421053,60.051052632,47.078947368,40.207894737
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,27,225,233,87.148583691,18.925922747,14.394849785,13.367982833
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,29,29,158.03206897,54.405172414,41.233448276,36.80137931
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,14,119,119,4333.7059664,942.14,733.80882353,834.81689076
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,319.70588235,112.14235294,79.478823529,59.093529412
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,84.646818182,20.737727273,16.258636364,10.479545455
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,24,130,133,32.063458647,6.6514285714,4.9792481203,3.415112782
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,28,28,268.62892857,51.793214286,40.608928571,26.992142857
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,233.92083333,53.605,38.953333333,33.533333333
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0730,"Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation",D1E - Other DME,Durable Medical Equipment,Y,1,48,48,48,50.833333333,15.248333333,11.506458333,11.506458333
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,26.120909091,5.6609090909,4.4422727273,3.9681818182
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,545.95272727,70.74,46.447272727,46.447272727
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,60,422,442,533.74773756,82.347782805,60.304570136,52.619072398
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,259.13043478,41.04,32.175217391,29.809565217
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1260,15.58,9.6390952381,7.362047619,7.362047619
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.215181818,8.5753484848,8.5753484848
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,15,67,11048,0.1835363867,0.046000181,0.0340586531,0.0340586531
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,34,158,16390,0.9824399024,0.1336168395,0.0996180598,0.0996180598
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,12.86,3.087,2.4202352941,2.4202352941
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,360,1.3025,0.2184166667,0.1286388889,0.1286388889
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,90.823125,19.37,13.403125,12.353125
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,122.69375,42.795,32.199375,21.239375
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,370,370,270.4825,272.13916667
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,50,1200,1185.7116,926.7292,887.9264
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,850,551.74,432.56,472.3337931
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,19,75,53.2,41.71,45.617368421
1043286230,RAINWATER,DIRK,T,MD,M,I,103 WATTS ST,,JONESBORO,LA,712512053,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,46,227,227,125.45814978,33,24.370748899,24.370748899
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,280.57235294,85.110588235,62.852941176,63.859411765
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,34,102.16794118,32.063823529,23.360294118,24.080882353
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,63,53.81015873,16.94,12.227936508,13.499206349
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,54,52.881111111,15.498888889,10.782962963,10.53
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,26,27,191.67962963,53.767407407,40.652592593,41.205185185
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,27,27,54.26037037,16.968888889,13.306666667,14.06
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,37,37,59.398378378,10.881621622,8.0972972973,8.6327027027
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,52,229,8.2427510917,1.882489083,1.3647598253,1.4780349345
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,34.220666667,13.252,10.386666667,10.322666667
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,31,39,539.90025641,79.802051282,57.942051282,59.933846154
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.25,2.5475,3.5741666667
1043286313,PORUBSKY,EDWARD,A,MD,M,I,340 N BELAIR RD,,EVANS,GA,308093000,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,89,98,179.90183673,31.227040816,22.49244898,23.173061224
1043286388,BENINATO,MICHAEL,A,"MPAS, PA-C",M,I,1150 ROBERT BLVD,SUITE 240,SLIDELL,LA,70458,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,55.72,27.1525,19.6875,12.371666667
1043286479,GUNN,ANNILEA,,MD,F,I,15260 AMBERLY DR,,TAMPA,FL,336472136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,27,67,186,57.955967742,8.32,6.4519892473,6.4519892473
1043286479,GUNN,ANNILEA,,MD,F,I,15260 AMBERLY DR,,TAMPA,FL,336472136,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,9.5753846154,3.38,2.65,2.65
1043286479,GUNN,ANNILEA,,MD,F,I,15260 AMBERLY DR,,TAMPA,FL,336472136,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,38,62,11.826612903,1.42,1.0790322581,1.0790322581
1043286586,FLORES,JOSE,L,MD,M,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,45,242,57.300743802,8.32,6.0921900826,6.0921900826
1043286586,FLORES,JOSE,L,MD,M,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.674285714,3.38,2.65,2.65
1043286586,FLORES,JOSE,L,MD,M,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,26,81,13.76308642,1.42,1.0167901235,1.0167901235
1043286586,FLORES,JOSE,L,MD,M,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,471.599375,68.78,47.18,48.00625
1043286586,FLORES,JOSE,L,MD,M,I,855 ANTHONY DR,,ANTHONY,NM,88021,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,53.778181818,18.219090909,14.281818182,14.289090909
1043286594,BROCK,JOSEPH,L,MD,M,I,246 GRANGER RD,SUITE 2,BARRE,VT,056415344,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,29,84,267,69.271385768,8.32,5.5698876404,5.5698876404
1043286594,BROCK,JOSEPH,L,MD,M,I,246 GRANGER RD,SUITE 2,BARRE,VT,056415344,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,40,58,15.433793103,1.42,0.9236206897,0.9236206897
1043286594,BROCK,JOSEPH,L,MD,M,I,246 GRANGER RD,SUITE 2,BARRE,VT,056415344,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.6,6.2654545455,3.92,2.4581818182
1043286594,BROCK,JOSEPH,L,MD,M,I,246 GRANGER RD,SUITE 2,BARRE,VT,056415344,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,589.11789474,91.71,63.563421053,47.055526316
1043286594,BROCK,JOSEPH,L,MD,M,I,246 GRANGER RD,SUITE 2,BARRE,VT,056415344,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,309.31875,45.325625,30.4028125,24.90125
1043286602,AHMAD,SHAKEEL,,MD,M,I,529 CENTRAL AVE,,DUNKIRK,NY,140482514,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,84.342857143,23.251428571,17.516666667,12.885714286
1043286602,AHMAD,SHAKEEL,,MD,M,I,529 CENTRAL AVE,,DUNKIRK,NY,140482514,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,508.39384615,104.06769231,76.993846154,50.52
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,94,211,67.907014218,8.32,5.851943128,5.851943128
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.914545455,3.38,2.4090909091,2.4090909091
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,35,48,22.218333333,1.42,0.9529166667,0.9529166667
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,15,31.268,27.01,19.768,20.917333333
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,20,11.716,10.34,7.695,8.1705
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,52,6.9538461538,6.44,5.0484615385,5.0484615385
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,250,12.2688,7,5.488,5.488
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,230,5.9301304348,5.54,4.3433913043,4.3433913043
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,510,2.02,2.02,1.5836666667,1.5836666667
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,210,4.0625714286,3.04,2.3834285714,2.3834285714
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,375,0.5353333333,0.27,0.2116,0.2116
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,30,107.97266667,71.56,56.105,56.105
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,90,38.598666667,29.19,22.885,22.886222222
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,26,1200,8.28,8.28,6.4100833333,6.4100833333
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,39,18.29,18.29,14.34,14.34
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,1.51,1.08625,1.05875
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,193.47727273,86.25,67.62,67.8
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,29,72.019310345,31.86,24.977586207,25.755517241
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,19,19,53.774210526,10.73,7.5247368421,8.1789473684
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,18,104,7.4952884615,2.06,1.4907692308,1.4720192308
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,33.14,7.88,5.6090909091,6.6109090909
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,60.696290323,17.51983871,11.744516129,11.416129032
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,32,38,127.86315789,43.55,30.832894737,33.565
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,57,61,40.980655738,3.8406557377,2.8068852459,3.403442623
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,70,70,371.23771429,76.47,51.420285714,46.538285714
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,94,8.029893617,5.4369148936,4.1257446809,4.1257446809
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2519,1.1855934895,0.1351925367,0.0967923779,0.0967923779
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,900,9.1587444444,2.8713333333,2.2511444444,2.2511444444
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,128,24.262857143,18.15952381,19.980952381
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,34.357142857,9.0585714286,6.6235714286,6.1907142857
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,198.968,39.36,29.5776,28.3356
1043286685,CHIUMENTO,NICHOLAS,P,D.O.,M,I,4004 BIRNEY AVE,,MOOSIC,PA,185071312,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,32,32,67.1328125,33,23.4446875,23.4446875
1043286727,CHOUDHRI,TANVIR,F,M.D.,M,I,5 E 98TH ST,7TH FLOOR,NEW YORK,NY,100296501,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,5110.9090909,4423.6636364,3173.8245455,3130.1781818
1043286776,BRYANT,CHARLES,E,MD,M,I,3433 NW 56TH ST,SUITE 950,OKLAHOMA CITY,OK,731124455,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,141.60666667,49.886111111,39.113333333,36.638888889
1043286776,BRYANT,CHARLES,E,MD,M,I,3433 NW 56TH ST,SUITE 950,OKLAHOMA CITY,OK,731124455,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,470.41666667,458.47833333,359.44666667,469.96833333
1043286909,KULKARNI,AMI,S,DO,F,I,7916 W JEFFERSON BLVD,,FORT WAYNE,IN,468044140,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,42,89,299,71.086722408,8.3128762542,5.7330769231,5.7330769231
1043286909,KULKARNI,AMI,S,DO,F,I,7916 W JEFFERSON BLVD,,FORT WAYNE,IN,468044140,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.09,3.38,2.4607142857,2.4607142857
1043286909,KULKARNI,AMI,S,DO,F,I,7916 W JEFFERSON BLVD,,FORT WAYNE,IN,468044140,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,42,82,16.979146341,1.42,0.95,0.95
1043286909,KULKARNI,AMI,S,DO,F,I,7916 W JEFFERSON BLVD,,FORT WAYNE,IN,468044140,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,74.1075,18.913333333,14.829166667,14.069166667
1043286909,KULKARNI,AMI,S,DO,F,I,7916 W JEFFERSON BLVD,,FORT WAYNE,IN,468044140,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,91,11.279010989,2.1176923077,1.6606593407,1.591978022
1043286909,KULKARNI,AMI,S,DO,F,I,7916 W JEFFERSON BLVD,,FORT WAYNE,IN,468044140,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,19,130.52631579,33.647368421,21.626315789,21.036315789
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,14,182,58.227307692,19.599285714,14.486428571,14.486428571
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,440,7.4869772727,2.6263636364,1.9178863636,1.9178863636
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,23,67,223,58.754529148,8.32,6.3464573991,6.3464573991
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,20,17.03,1.42,1.0605,1.0605
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,69.854594595,22.224594595,17.422702703,13.53
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,26.552727273,7.5613636364,5.7063636364,3.55
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,235.70421053,38.082105263,27.134736842,20.918947368
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,72,72,339.02375,102.61833333,79.790833333,59.198333333
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1020,16.694254902,9.6080588235,7.3080490196,7.3080490196
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1530,0.8119542484,0.1348823529,0.1004117647,0.1004117647
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,323.08555556,251.11,192.90277778,192.90277778
1043286933,ROA,TARA,,PA,F,I,2214 CANTERBURY DR,SUITE 202,HAYS,KS,676012375,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,32,32,73.21875,33,24.253125,24.253125
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,110,216,216,99.440925926,39.606805556,30.276157407,29.757962963
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,20,39,4.5869230769,1.6769230769,1.1817948718,1.0535897436
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.24,0.8891666667,0.8808333333
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,31,32,32,48.7015625,10.956875,8.0553125,8.5275
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,15,17,29,2.0079310345,0.5051724138,0.3937931034,0.4213793103
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,15,16,18,3.2577777778,1.18,0.9211111111,0.9566666667
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,95,206,206,220.18640777,85.946067961,64.853300971,65.30038835
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,93,209,531,76.776647834,33.171525424,25.356836158,25.271186441
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,75,150,835,45.372251497,18.477005988,13.812766467,13.877053892
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,57,113,624,32.07724359,14.988333333,11.419310897,11.55463141
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,128,267,267,135.94865169,55.68258427,41.647078652,40.896629213
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,198,262,262,48.779503817,17.396259542,13.438015267,13.852557252
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,32,32,24.5446875,10.058125,7.8884375,8.141875
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,111,235,235,49.614255319,11.551702128,8.7155319149,8.7739148936
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,212,454,2615,5.6981759082,2.00408413,1.5355640535,1.5549789675
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,68,85,85,16.966235294,5.9987058824,4.6436470588,4.5958823529
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,71,83,83,33.935783133,12.800240964,9.9134939759,10.218554217
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,29,200,200,54.65795,18.5782,13.7213,13.3928
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,89.473684211,50,35.073684211,33.999473684
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,14,82,82,2801.7439024,1074.31,839.82109756,839.82109756
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,28,141,141,327.35028369,86.499078014,65.095815603,65.476028369
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,42,48,1386.3620833,947.26666667,726.45979167,726.45979167
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,49,49,49,383.94367347,131.15,102.82,104.35469388
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,13.110909091,9.3472727273,9.5490909091
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,26,125,125,25.33408,3.94536,2.97936,3.54312
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,74,491,491,122.3299389,32.527617108,24.10700611,23.905702648
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,17,68,515,515,292.2378835,76.555495146,56.873708738,52.264485437
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,27,203,203,201.84729064,35.549408867,26.931527094,28.486896552
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,70.192307692,57,44.69,44.69
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,26,149,9000,15.353396667,9.6186666667,7.4497311111,7.4497311111
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,39,133,36386,0.1738803386,0.0458426318,0.0345630187,0.0345630187
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,55,5004,1.4628497202,0.1380835332,0.1017346123,0.1017346123
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,31,173,10512,8.3916076865,2.9925513699,2.2881630518,2.2881630518
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,2060,0.5359902913,0.218961165,0.1691699029,0.1691699029
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,186.944,35.8876,27.0216,28.4072
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,32,57,302,302,57.745033113,33,25.012913907,25.012913907
1043287022,MAKSOUD,ALFRED,S,MD,M,I,501 ORCHARD ST,SUITE 200,WEBSTER,TX,77598,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,15,15,66,66,51.74,51.74
1043287121,LANG,STEVEN,G,MD,M,I,1650 COCHRANE CIR,FAMILY MEDICINE CLINIC,FORT CARSON,CO,809134603,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,86.675714286,32.857142857,16.187857143,16.085
1043287139,SAUNDERS,SYLVIA,J,RN MSN FNP,F,I,743 HORIZON CT,SUITE 100,GRAND JUNCTION,CO,815068701,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,50,66.9238,8.32,5.1714,5.1714
1043287139,SAUNDERS,SYLVIA,J,RN MSN FNP,F,I,743 HORIZON CT,SUITE 100,GRAND JUNCTION,CO,815068701,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,161.42206897,31.866551724,21.758275862,21.763448276
1043287139,SAUNDERS,SYLVIA,J,RN MSN FNP,F,I,743 HORIZON CT,SUITE 100,GRAND JUNCTION,CO,815068701,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,621.25818182,70.48,55.25,54.768181818
1043287139,SAUNDERS,SYLVIA,J,RN MSN FNP,F,I,743 HORIZON CT,SUITE 100,GRAND JUNCTION,CO,815068701,US,Nurse Practitioner,S,E1399,"Durable medical equipment, miscellaneous",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,86.31,17.29,13.55,13.55
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,46,131,52.175343511,8.32,6.1754198473,6.1754198473
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,14.822857143,3.38,2.65,2.65
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,23,41,16.036097561,1.42,1.0056097561,1.0056097561
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,713,275,5.3113043478,4.0639831697,4.0630434783
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,8146,3.2773410263,0.37,0.2636226369,0.2636226369
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,35.35,9.597826087,7.5265217391,8.0586956522
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,466.436,77.18,50.944666667,45.927333333
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,73.5,24.332777778,12.835555556,7.7094444444
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,1314.3966667,118.38722222,92.420555556,91.120555556
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1052.13,209.46,164.21545455,170.26454545
1043287147,MULKEY,LOUIS,E,DO,M,I,1111 S ST LOUIS AVE,,TULSA,OK,74120,US,Physician/Family Practice,S,L8501,Tracheostomy speaking valve,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,346.56,116.79,91.56,100.04333333
1043287170,SETUDEHNIA,MONALIZA,,MD,F,I,2055 E SOUTHERN AVE,SUITE D,TEMPE,AZ,852827507,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,51,157,63.026305732,8.32,5.567133758,5.567133758
1043287170,SETUDEHNIA,MONALIZA,,MD,F,I,2055 E SOUTHERN AVE,SUITE D,TEMPE,AZ,852827507,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,25,36,8.7858333333,1.42,0.8672222222,0.8672222222
1043287170,SETUDEHNIA,MONALIZA,,MD,F,I,2055 E SOUTHERN AVE,SUITE D,TEMPE,AZ,852827507,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,78,9.2630769231,2.7507692308,2.1569230769,1.7008974359
1043287253,"LOCK, II",ROBERT,L,D.O.,M,I,2000 HIGHWAY 95,SUITE 200,BULLHEAD CITY,AZ,864426050,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,90.051052632,47.577894737,35.372631579,34.462631579
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,53,200,49.20215,8.32,6.3433,6.3433
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,33,33,15.454545455,3.38,2.4090909091,2.4090909091
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,24.823529412,2.12,1.5717647059,1.5717647059
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,36,69,16.028550725,1.42,1.0976811594,1.0976811594
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,64.294285714,17.272857143,13.057857143,13.055
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,25.235,4.4578571429,2.68,2.6557142857
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,370.80948718,69.885384615,53.385897436,53.324871795
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2861,0.2333869276,0.0445543516,0.0349388326,0.034931842
1043287329,BRITTON,RICHARD,H,D.O.,M,I,40 FOX CHASE,,CARTERSVILLE,GA,301202491,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,14,14,40.071428571,33,24.022142857,24.022142857
1043287378,MAZJ,SAM,,MD,M,I,265 COHASSET RD,SUITE 170,CHICO,CA,959262273,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,20,1644,38.926155718,4.6264416058,3.5398600973,3.5398600973
1043287378,MAZJ,SAM,,MD,M,I,265 COHASSET RD,SUITE 170,CHICO,CA,959262273,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,4791,20.275934043,1.4031413066,1.0826194949,1.0826194949
1043287378,MAZJ,SAM,,MD,M,I,265 COHASSET RD,SUITE 170,CHICO,CA,959262273,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,26,26,24,24,18.82,18.82
1043287378,MAZJ,SAM,,MD,M,I,265 COHASSET RD,SUITE 170,CHICO,CA,959262273,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,34,17.882352941,16,12.54,12.54
1043287436,HASSAN,MUSHIR,,MD,M,I,17000 W NORTH AVE,SUITE 200 E,BROOKFIELD,WI,530054423,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,50,75.9742,8.32,5.0264,5.0264
1043287501,RENNECKER,LYNETTE,M,MD,F,I,1909 WILLIAMSBURG WAY NW,,LOUISVILLE,OH,44641,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,167.92,48.166363636,30.951818182,28.83
1043287501,RENNECKER,LYNETTE,M,MD,F,I,1909 WILLIAMSBURG WAY NW,,LOUISVILLE,OH,44641,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,22.01,4.3117647059,3.2129411765,3.2805882353
1043287501,RENNECKER,LYNETTE,M,MD,F,I,1909 WILLIAMSBURG WAY NW,,LOUISVILLE,OH,44641,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,221.1344,73.6424,51.0412,48.4936
1043287501,RENNECKER,LYNETTE,M,MD,F,I,1909 WILLIAMSBURG WAY NW,,LOUISVILLE,OH,44641,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,26.52,8.5536,4.3236,3.9496
1043287501,RENNECKER,LYNETTE,M,MD,F,I,1909 WILLIAMSBURG WAY NW,,LOUISVILLE,OH,44641,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,61.96,36.5664,26.3496,27.1556
1043287618,WILSON,CHRISTOPHER,J,MD,M,I,1201 ALHAMBRA BLVD,SUITE 410,SACRAMENTO,CA,958165243,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,35,35,120,108.03,84.69,79.5
1043287618,WILSON,CHRISTOPHER,J,MD,M,I,1201 ALHAMBRA BLVD,SUITE 410,SACRAMENTO,CA,958165243,US,Physician/Orthopedic Surgery,S,L3917,"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,18,18,100,91.251111111,71.538888889,72.596666667
1043287618,WILSON,CHRISTOPHER,J,MD,M,I,1201 ALHAMBRA BLVD,SUITE 410,SACRAMENTO,CA,958165243,US,Physician/Orthopedic Surgery,S,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,23,60,30.14,23.63,24.005652174
1043287733,HANSEN,ERIC,E,M.D.,M,I,2419 SW PEPPERWOOD RD,,TOPEKA,KS,666144231,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,132.42117647,69.072352941,54.150588235,38.361176471
1043287733,HANSEN,ERIC,E,M.D.,M,I,2419 SW PEPPERWOOD RD,,TOPEKA,KS,666144231,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,11,64,65,109.55969231,27.374153846,19.942153846,12.988615385
1043287816,GERMANWALA,SAMIR,V,DO,M,I,709 HOLLYBROOK DR,SUITE 2301,LONGVIEW,TX,756052411,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3730,2775.2616667,2163.85,2163.85
1043287980,ELLEN,MICHAEL,R,M.D.,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,49,7134,0.3974095879,0.13,0.0942192318,0.0942192318
1043287980,ELLEN,MICHAEL,R,M.D.,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,20,102,15114,4.3659090909,2.04,1.5625373826,1.5625373826
1043287980,ELLEN,MICHAEL,R,M.D.,M,I,907 GEORGIANA ST,,PORT ANGELES,WA,983623911,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,13,7.88,6.1521083333,6.1521083333
1043288004,FOCHT,STEPHEN,J,M.D.,M,I,3100 CHANNING WAY,,IDAHO FALLS,ID,834047533,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,3490.4884211,920.51210526,718.65052632,838.34105263
1043288004,FOCHT,STEPHEN,J,M.D.,M,I,3100 CHANNING WAY,,IDAHO FALLS,ID,834047533,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,760.48,77.34,60.63,55.572857143
1043288004,FOCHT,STEPHEN,J,M.D.,M,I,3100 CHANNING WAY,,IDAHO FALLS,ID,834047533,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,237.09411765,39.3,30.81,29.624705882
1043288053,JOSEPH,JOHN,R,M.D.,M,I,135 E MAPLE RD,,TROY,MI,480832715,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,50,52.777,8.32,6.1828,6.1828
1043288053,JOSEPH,JOHN,R,M.D.,M,I,135 E MAPLE RD,,TROY,MI,480832715,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,13.014117647,1.42,0.9835294118,0.9835294118
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,77.18,60.51,54.72
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,40,31.36,29.664166667
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,360,3.1622777778,0.457,0.3368611111,0.3368611111
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,1500,5.5071466667,2.59568,2.0169933333,2.0169933333
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,14,126,14400,4.6756520833,0.5658465278,0.4350097222,0.4350097222
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,96,13575,0.1617289134,0.0129966851,0.0095867403,0.0095867403
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,4590,1.5023442266,0.7398627451,0.5800566449,0.5800566449
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,13,119,17400,4.4165442529,1.1934517241,0.9084413793,0.9084413793
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,3120,6.0479615385,2.8759230769,2.2414198718,2.2414198718
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,38.652444444,7.46725,5.8543333333,5.8543333333
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,20,163,163,24,24,18.31797546,18.31797546
1043288129,STEED,LESLIE,M,MD,F,I,"1130 NW 22ND AVE,",STE 640,PORTLAND,OR,972102993,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,18,250,282,16,16,12.22893617,12.22893617
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,51,121,398,54.559422111,8.32,6.238919598,6.238919598
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,19,32,32,15.81375,3.38,2.65,2.65
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,18,21,21,21.853809524,2.12,1.67,1.67
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,34,68,127,17.815905512,1.42,1.071023622,1.071023622
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,62,6.2706451613,3.3516129032,2.5716129032,1.5841935484
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,56,100.98982143,21.022321429,15.093392857,13.07125
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,82.063809524,7.3623809524,5.7733333333,3.7723809524
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,155.13,49.441818182,30.610909091,18.643636364
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,69,415.39014493,97.375072464,71.232173913,54.014782609
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,3265,0.1932006126,0.0458958652,0.0359908116,0.0359908116
1043288194,JAVVAJI,NAGA,M,MD,M,I,333 S 38TH ST,SUITE A,MUSKOGEE,OK,74401,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,38.823529412,33,22.826470588,22.826470588
1043288210,DALTON,DOUGLAS,,PA,M,I,2600 WILSON ST,,MILES CITY,MT,593015094,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,492.1325,104.5025,68.509375,44.468125
1043288210,DALTON,DOUGLAS,,PA,M,I,2600 WILSON ST,,MILES CITY,MT,593015094,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,2400,1.3262958333,0.13505,0.1009208333,0.1009208333
1043288210,DALTON,DOUGLAS,,PA,M,I,2600 WILSON ST,,MILES CITY,MT,593015094,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,33,33,25.87,25.87
1043288285,BONE,WILLIAM,D,M.D.,M,I,2579 HUNTCLIFF LN,,PANAMA CITY,FL,324054902,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,17,66,104.02909091,19.71,15.452575758,15.452575758
1043288285,BONE,WILLIAM,D,M.D.,M,I,2579 HUNTCLIFF LN,,PANAMA CITY,FL,324054902,US,Physician/Internal Medicine,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,14040,53.697604701,9.8456866097,7.71447151,7.7144693732
1043288285,BONE,WILLIAM,D,M.D.,M,I,2579 HUNTCLIFF LN,,PANAMA CITY,FL,324054902,US,Physician/Internal Medicine,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,30,151,53.204900662,2.64,2.07,2.07
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,73,112,112,89.337053571,41.352321429,30.26625,28.442767857
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,18,78,131,131,232.8321374,102.89290076,71.795954198,61.486641221
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,18,71,133,289,100.0149481,38.410242215,27.368408304,23.822179931
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,71,141,543,50.150883978,22.3146593,16.936279926,14.213406998
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,18,75,143,654,41.810061162,17.240107034,12.525428135,11.002813456
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,24,160,282,282,153.01521277,64.655673759,47.230886525,40.000460993
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,216,266,266,49.62018797,21.214022556,15.652556391,13.442443609
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,19,23,23,19.65826087,11.259130435,8.4739130435,7.7956521739
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,161,295,295,50.475762712,16.575389831,12.399525424,8.8868474576
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,28,225,445,2111,6.7417858835,2.5338228328,1.8971577451,1.5354760777
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,117,153,153,16.51875817,7.0518954248,5.2051633987,4.4486928105
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,70,84,84,36.161904762,14.18547619,10.460952381,9.7472619048
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,,52,52,321.37596154,104.79903846,76.209038462,61.741923077
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,370.77058824,210.62235294,161.35470588,160.16882353
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,45,45,45,346.04222222,177.15977778,138.89533333,104.81466667
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,11,48,244,244,43.977745902,13.013729508,9.0906147541,8.7366803279
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,23,118,698,698,136.99181948,41.601661891,30.507363897,24.975802292
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,34,34,362.36705882,74.127352941,51.360882353,48.303823529
1043288350,SUHL,JEREMIAH,,MD,M,I,3204 PEPPERHILL RD,,LEXINGTON,KY,405023527,US,Physician/Otolaryngology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,37.44,29.35,29.51
1043288418,WEDDINGTON,LLOYD,D,M.D.,M,I,9280 HIGHWAY 5,SUITE H,DOUGLASVILLE,GA,301341501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,66,162,61.343518519,8.32,6.0784567901,6.0784567901
1043288418,WEDDINGTON,LLOYD,D,M.D.,M,I,9280 HIGHWAY 5,SUITE H,DOUGLASVILLE,GA,301341501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,28,38,12.407105263,1.42,1.0857894737,1.0857894737
1043288418,WEDDINGTON,LLOYD,D,M.D.,M,I,9280 HIGHWAY 5,SUITE H,DOUGLASVILLE,GA,301341501,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,143,30.146666667,23.033333333,20.4675
1043288418,WEDDINGTON,LLOYD,D,M.D.,M,I,9280 HIGHWAY 5,SUITE H,DOUGLASVILLE,GA,301341501,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,7.6833333333,6.0166666667,6.5016666667
1043288418,WEDDINGTON,LLOYD,D,M.D.,M,I,9280 HIGHWAY 5,SUITE H,DOUGLASVILLE,GA,301341501,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,36.171666667,23.6225,24.818333333
1043288459,PARKER,ROBERTA,J,DPM,F,I,730 WEST LANIER AVENUE,,FAYETTEVILLE,GA,30214,US,Podiatry,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,31.090909091,24.371818182,24.872727273
1043288459,PARKER,ROBERTA,J,DPM,F,I,730 WEST LANIER AVENUE,,FAYETTEVILLE,GA,30214,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,19.96,7.94,6.2181818182,6.5936363636
1043288483,CUNNINGHAM,WILLIAM,F,M.D.,M,I,3850 S NATIONAL AVE,SUITE 600,SPRINGFIELD,MO,658075287,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,13,700,7.8218142857,1.6758571429,1.3138571429,1.3138571429
1043288483,CUNNINGHAM,WILLIAM,F,M.D.,M,I,3850 S NATIONAL AVE,SUITE 600,SPRINGFIELD,MO,658075287,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,19,924,25.229989177,5.0477380952,3.9574458874,3.9574458874
1043288483,CUNNINGHAM,WILLIAM,F,M.D.,M,I,3850 S NATIONAL AVE,SUITE 600,SPRINGFIELD,MO,658075287,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,17,3470,13.720867435,1.1324553314,0.8465129683,0.8465100865
1043288483,CUNNINGHAM,WILLIAM,F,M.D.,M,I,3850 S NATIONAL AVE,SUITE 600,SPRINGFIELD,MO,658075287,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,44,47.5,39.11,30.660227273,30.695454545
1043288483,CUNNINGHAM,WILLIAM,F,M.D.,M,I,3850 S NATIONAL AVE,SUITE 600,SPRINGFIELD,MO,658075287,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,24,24,18.82,18.82
1043288483,CUNNINGHAM,WILLIAM,F,M.D.,M,I,3850 S NATIONAL AVE,SUITE 600,SPRINGFIELD,MO,658075287,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,43,16,16,12.54,12.54
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,13,169,58.293846154,19.614615385,15.377514793,15.377514793
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,380,8.63,2.6305263158,2.0622631579,2.0622631579
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,35,88,362,58.963867403,8.32,6.1525966851,6.1525966851
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,29,65,14.06,1.42,1.0458461538,1.0458461538
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,270,6.3865185185,5.54,3.8856296296,3.8856296296
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,250,4.51196,4.04,2.91384,2.91384
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,21,21,467.07428571,113.41095238,79.807619048,65.28952381
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,48,175.98375,42.088333333,28.615208333,25.344583333
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,16,287.059375,75.10875,55.060625,40.90375
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,25,25,85.4768,23.056,15.006,12.2664
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,28,28,86.827142857,20.475714286,14.635714286,9.0578571429
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,34,176,11.497727273,2.8268181818,2.0568181818,1.5844318182
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,67.95,22.751111111,16.005925926,12.24962963
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,28,29.918571429,6.4675,4.3403571429,3.2992857143
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,13,485.48769231,66.516923077,52.146153846,30.758461538
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,708.29272727,328.34727273,257.42181818,257.42181818
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,58,451.83775862,105.86689655,77.633448276,55.993103448
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,2780,16.038176259,10.592546763,4.2133093525,4.2133093525
1043288525,DUNSTAN,EDWARD,J,DO,M,I,200 SOMERSET ST,SUITE 3,MILLINOCKET,ME,044621258,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,15,33,33,25.87,25.87
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,72.96,19.686153846,15.433846154,15.433846154
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.08,11.01,8.6266666667,8.5866666667
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,35.35,10.155454545,7.6340909091,7.6990909091
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,552.545,96.41375,75.59125,55.121875
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,71.98,37.746363636,27.054545455,27.054545455
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1040,108.43615385,39.943769231,31.315884615,31.315884615
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,104,8.7825,2.6369230769,2.0675961538,2.0675961538
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,791.73,152.42666667,119.50166667,112.6
1043288673,CARSON,CRAIG,W,M.D.,M,I,1701 RENAISSANCE BLVD,SUITE 110,EDMOND,OK,730133084,US,Physician/Rheumatology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,537.31333333,112.65866667,82.67,78.838666667
1043288756,PHIPPS,JERALD,J,DO,M,I,504 N CLEVELAND ST,,MOUNT AYR,IA,508542201,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,125,17.27,13.54,13.54
1043288756,PHIPPS,JERALD,J,DO,M,I,504 N CLEVELAND ST,,MOUNT AYR,IA,508542201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,68.78,53.92,54.653333333
1043288764,WANG,JOHANNA,,MD,F,I,4420 76TH ST NE,,MARYSVILLE,WA,982703726,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.26,13.53,13.54
1043288764,WANG,JOHANNA,,MD,F,I,4420 76TH ST NE,,MARYSVILLE,WA,982703726,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,18,519.51,77.34,57.261666667,51.689444444
1043288764,WANG,JOHANNA,,MD,F,I,4420 76TH ST NE,,MARYSVILLE,WA,982703726,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3474,0.1819631549,0.0465025907,0.024070236,0.024070236
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,31,69,34.317536232,8.32,5.954057971,5.954057971
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,23,12.091304348,1.42,1.067826087,1.067826087
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,61,9.8144262295,3.4403278689,2.523442623,1.8808196721
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,51,54.528627451,22.158823529,14.854117647,11.349215686
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,59.384545455,39.057272727,30.788181818
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,15,17,52.788235294,19.07,14.27,10.263529412
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,41.689285714,6.7914285714,4.8042857143,3.3771428571
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,27,160.51777778,53.122222222,38.773703704,23.308518519
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,272.79,62.333333333,43.945,31.683333333
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.48,12.816363636,10.051818182,8.5772727273
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,31.86,12.330909091,9.6718181818,8.0154545455
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,494.36666667,210.825,160.05333333,160.05333333
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,19,142,147,257.82530612,98.471564626,69.996394558,49.067619048
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,15.58,9.6130625,7.3028854167,7.3028854167
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,3825,0.17,0.0461647059,0.028951634,0.028951634
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,2286,0.8326596675,0.1345844269,0.0959886264,0.0959886264
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,12.86,3.059625,2.3987708333,2.3987708333
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,35.0825,29.515833333
1043288806,KING,LISA,,FNP,F,I,304 W WASHINGTON AVE,,RICHLAND,MO,655567101,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,44,44,100.5,33,23.259318182,23.259318182
1043288822,SPARKS,RHONDA,A,MD,F,I,885 W CONNEXION WAY,,COLUMBIA CITY,IN,467251044,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,25,6.1262162162,3.2040540541,2.4051351351
1043288897,GORDON,MICHAEL,H,MD,M,I,407 N STATE ST,,CLARKS SUMMIT,PA,184111061,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,62,128,68.55125,8.32,5.60609375,5.60609375
1043288897,GORDON,MICHAEL,H,MD,M,I,407 N STATE ST,,CLARKS SUMMIT,PA,184111061,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,33,40,17.89525,1.42,1.062,1.062
1043288897,GORDON,MICHAEL,H,MD,M,I,407 N STATE ST,,CLARKS SUMMIT,PA,184111061,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,20,20,274.955,71.06,54.1335,53.1535
1043288897,GORDON,MICHAEL,H,MD,M,I,407 N STATE ST,,CLARKS SUMMIT,PA,184111061,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,720,1.9381388889,0.1313333333,0.1030138889,0.1030138889
1043288897,GORDON,MICHAEL,H,MD,M,I,407 N STATE ST,,CLARKS SUMMIT,PA,184111061,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,840,11.804690476,2.8396428571,2.2263214286,2.2263214286
1043288897,GORDON,MICHAEL,H,MD,M,I,407 N STATE ST,,CLARKS SUMMIT,PA,184111061,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,91.235294118,33,25.87,25.87
1043288962,ALEXANDER,WELLESLEY,E,MD,M,I,101 E WOOD ST,DEPARTMENT OF INPATIENT MEDICINE,SPARTANBURG,SC,293033040,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,97.262,17.29,13.55,13.531333333
1043288962,ALEXANDER,WELLESLEY,E,MD,M,I,101 E WOOD ST,DEPARTMENT OF INPATIENT MEDICINE,SPARTANBURG,SC,293033040,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,391.902,70.23,55.06,54.742666667
1043289101,ROZAS,DAVID,R,M.D.,M,I,5300 W. MARKHAM,,LITTLE ROCK,AR,722053528,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,52,52,52,63.453076923,63.378076923,47.984615385,51.053653846
1043289101,ROZAS,DAVID,R,M.D.,M,I,5300 W. MARKHAM,,LITTLE ROCK,AR,722053528,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,43,44,84,50.5,50.262380952,39.21047619,41.909642857
1043289101,ROZAS,DAVID,R,M.D.,M,I,5300 W. MARKHAM,,LITTLE ROCK,AR,722053528,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,28,28,53,69.528301887,69.28490566,51.538301887,50.837735849
1043289119,PRATER,THOMAS,G,M.D.,M,I,1265 E PRIMROSE ST,,SPRINGFIELD,MO,658044278,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,63.828636364,63.828636364,45.518181818,47.853181818
1043289119,PRATER,THOMAS,G,M.D.,M,I,1265 E PRIMROSE ST,,SPRINGFIELD,MO,658044278,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,20,59.475,49.3805,37.753,42.14
1043289119,PRATER,THOMAS,G,M.D.,M,I,1265 E PRIMROSE ST,,SPRINGFIELD,MO,658044278,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,17.5,16.06,12.59,13.803333333
1043289341,MANCH,RICHARD,A,M.D.,M,I,6677 THUNDERBIRD ROAD,"BUILDING G, #116",GLENDALE,AZ,85306,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,3090,2.6637928803,0.509394822,0.3763042071,0.3770485437
1043289341,MANCH,RICHARD,A,M.D.,M,I,6677 THUNDERBIRD ROAD,"BUILDING G, #116",GLENDALE,AZ,85306,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,24,24,17.183478261,17.183478261
1043289341,MANCH,RICHARD,A,M.D.,M,I,6677 THUNDERBIRD ROAD,"BUILDING G, #116",GLENDALE,AZ,85306,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,19,21,16,16,11.346666667,11.346666667
1043289382,MCFEE,RICHARD,K,O.D.,M,I,1714 WASHINGTON BLVD,,BELPRE,OH,457142096,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,186.61538462,69.118461538,49.803076923,48.740769231
1043289440,CORONEL,EMERSON,L,M.D.,M,I,5801 ALLENTOWN RD,SUITE 510,CAMP SPRINGS,MD,207464563,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,30,63,155,56.152193548,8.32,5.511483871,5.511483871
1043289440,CORONEL,EMERSON,L,M.D.,M,I,5801 ALLENTOWN RD,SUITE 510,CAMP SPRINGS,MD,207464563,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,19,35,38,11.360789474,1.42,0.9710526316,0.9710526316
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,35,82,59.44097561,8.32,4.8517073171,4.8517073171
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,27,39,16.041025641,1.42,0.8297435897,0.8297435897
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,472,43.544809322,34.86,27.026292373,27.026292373
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,27,828,10.345929952,8.28,6.1039492754,6.1039492754
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,25,312,13.6625,10.93,8.5691666667,8.5691666667
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,345,7.3195652174,5.82,4.5629855072,4.5629855072
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3960,0.475,0.3776969697,0.2961111111,0.2961111111
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,21,21,21,78.75,70.788095238,55.499047619,37.41
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,63.374,52.788,41.388,40.791333333
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,13,68,68,77.251176471,50.181470588,30.488088235,28.606617647
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,70,46.31,36.31,35.23
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,168.51,132.11,114.78
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,25,18,12.883043478,12.412173913
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,10.546315789,5.8768421053,4.2531578947,3.3189473684
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,81.4256,43.45,28.326,29.5248
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,16,16,21,42.314285714,28.78,22.562380952,22.590952381
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,22,22,27,78.518518519,53.035555556,41.581111111,40.346296296
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,18.874814815,10.892592593,7.2277777778,7.3577777778
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,105.2173913,90.01,63.386521739,50.301304348
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,24,24,24,48.72,35.25625,27.641666667,29.1075
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,24,24,24,230.03541667,156.80666667,122.94208333,115.07083333
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,28,191,191,38.927591623,21.350942408,15.882356021,13.710366492
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,50,35.15625,22.60125,19.604375
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,55.893333333,36.586111111,25.388888889,20.763333333
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,85.28,53.507857143,33.119285714,29.835714286
1043289465,VALLEJO,CARLOS,F,M.D. P.A.,M,I,777 E 25TH ST,SUITE 201,MIAMI,FL,330133825,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,37,214,214,15.772429907,9.271588785,6.7581308411,6.2710280374
1043289713,ERICKSON,JOHN,E,MD,M,I,84 MARGINAL WAY,SUITE 700,PORTLAND,ME,04101,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,40,126,62.567619048,8.32,5.7592857143,5.7592857143
1043289713,ERICKSON,JOHN,E,MD,M,I,84 MARGINAL WAY,SUITE 700,PORTLAND,ME,04101,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,21,13.07047619,1.42,1.0066666667,1.0066666667
1043289713,ERICKSON,JOHN,E,MD,M,I,84 MARGINAL WAY,SUITE 700,PORTLAND,ME,04101,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,275,4.91,3.5532506203,3.8489826303
1043289713,ERICKSON,JOHN,E,MD,M,I,84 MARGINAL WAY,SUITE 700,PORTLAND,ME,04101,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4589,3.7129745042,0.37,0.2848245805,0.2848245805
1043289713,ERICKSON,JOHN,E,MD,M,I,84 MARGINAL WAY,SUITE 700,PORTLAND,ME,04101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,590.38352941,69.62,44.944117647,45.093529412
1043289721,GRAHAM,HURLIS,V,M.D.,M,I,1515 N HARVARD AVE,STE E,TULSA,OK,741154957,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,51.81,17,12.522121212,12.696969697
1043289721,GRAHAM,HURLIS,V,M.D.,M,I,1515 N HARVARD AVE,STE E,TULSA,OK,741154957,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,371.41826087,82.873913043,60.280652174,50.91
1043289796,BOKHARI,FREEHA,F,M.D.,F,I,16233 SYLVESTER RD SW,SUITE G40,BURIEN,WA,981663045,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,30,82,56.825121951,8.32,5.7267073171,5.7267073171
1043289796,BOKHARI,FREEHA,F,M.D.,F,I,16233 SYLVESTER RD SW,SUITE G40,BURIEN,WA,981663045,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,157.72,17.26,13.53,13.54
1043289796,BOKHARI,FREEHA,F,M.D.,F,I,16233 SYLVESTER RD SW,SUITE G40,BURIEN,WA,981663045,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,507.5,77.34,56.398333333,50.4975
1043289887,KATZMAN,BARRY,A,DPM,M,I,24825 UNION TPKE,,BELLEROSE,NY,114261836,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,44,71.382727273,71.382727273,55.968409091,56.100681818
1043289887,KATZMAN,BARRY,A,DPM,M,I,24825 UNION TPKE,,BELLEROSE,NY,114261836,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,23,132,29.160909091,29.160909091,22.863409091,22.886666667
1043290141,POTACZEK,BARBARA,E,MD,F,I,155 E BRUSH HILL RD,,ELMHURST,IL,60126,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,51,51,46.548431373,17.86,12.453333333,12.047647059
1043290141,POTACZEK,BARBARA,E,MD,F,I,155 E BRUSH HILL RD,,ELMHURST,IL,60126,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,32.34625,4.06125,2.64,3.205625
1043290141,POTACZEK,BARBARA,E,MD,F,I,155 E BRUSH HILL RD,,ELMHURST,IL,60126,US,Hospitalist,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,122.55,47.651818182,37.354545455,35.629090909
1043290141,POTACZEK,BARBARA,E,MD,F,I,155 E BRUSH HILL RD,,ELMHURST,IL,60126,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,12,63,63,385,76.715555556,53.157301587,48.376666667
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,62,136,58.384411765,8.1611764706,5.8255882353,5.9582352941
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,18,27,16.98037037,1.42,0.9511111111,0.9511111111
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,26,9.73,8.69,6.81,6.81
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,15.44,13.8,10.82,10.82
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,38.28,30.38,19.480909091,23.88
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,38,76,17.600526316,10.93,8.1189473684,8.1189473684
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.46,7.46,5.32,5.32
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1380,0.5297826087,0.4313043478,0.3181666667,0.3181666667
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,552,1.08,1.08,0.8466666667,0.8466666667
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,22,870,2.4,2.4,1.8167816092,1.8167816092
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1055,0.4468909953,0.4468909953,0.3405876777,0.3425971564
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,15,87.498666667,17.27,10.37,10.37
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,38,403.56,69.81,47.472631579,47.472631579
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,93.97,36.14,27.1968,28.294
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,106.70181818,27.776363636,21.774545455,15.141818182
1043290158,MOLINARI,ANTHONY,,MD,M,I,1954 GATEWAY CENTER DR,,BELVIDERE,IL,610089303,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1043290182,FLAM,RONALD,B,M.D.,M,I,6601 S.W. 80 ST,SUITE 101,MIAMI,FL,33143,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,53,118,67.099152542,8.32,6.0802542373,6.0802542373
1043290182,FLAM,RONALD,B,M.D.,M,I,6601 S.W. 80 ST,SUITE 101,MIAMI,FL,33143,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,34,15.327941176,1.42,1.1141176471,1.1141176471
1043290182,FLAM,RONALD,B,M.D.,M,I,6601 S.W. 80 ST,SUITE 101,MIAMI,FL,33143,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,226.15,90.01,70.57,56.05
1043290182,FLAM,RONALD,B,M.D.,M,I,6601 S.W. 80 ST,SUITE 101,MIAMI,FL,33143,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,66.3925,38.684166667,30.325,24.744166667
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,48,87.93,8.32,6.2495833333,6.2495833333
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,51,51,134.38,46.587647059,35.611764706,37.056666667
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,36.5,17.13,13.427692308,13.54
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.13,3.1318181818,2.4527272727,3.4818181818
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,102.82416667,39.45,27.308888889,29.889166667
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24.84,5.2,4.08,3.95
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,217.1,73.877,54.8905,51.9935
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,69.89,14.87,11.655714286,14.026428571
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,119.34,22.847391304,17.916086957,22.562173913
1043290208,RAMSAROOP,SHARDA,,MD,F,I,528 E 79TH ST,APARTMENT 1 H,NEW YORK,NY,100751573,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,51,51,20.57,7.0315686275,5.3835294118,6.6360784314
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,15,28,71,6.7773239437,1.38,1.0833802817,1.1490140845
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,50.55,13.274166667,9.5891666667,8.3191666667
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,25,152,157,79.502675159,17.25,12.370636943,12.389490446
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,15,232.35,47.39,32.196666667,32.660666667
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,18,123,124,36.045887097,5.9029032258,4.5184677419,3.6851612903
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,62,488,505,355.65835644,79.88,57.817623762,51.126712871
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,27,208,218,267.54587156,35.63,27.033165138,28.393761468
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,29,110,33766,0.3478519813,0.0461695196,0.0337357105,0.0337357105
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2040,1.1700784314,0.1396176471,0.1094852941,0.1094852941
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,600,12.830633333,2.86295,2.2445833333,2.2445833333
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,69,69,112.4042029,35.63,25.619130435,27.204492754
1043290232,MARCHESE,ROBERT,L,MD,M,I,25810 KELLY RD,SUITE 3,ROSEVILLE,MI,480664467,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,30,123,123,70.12195122,33,24.172520325,24.172520325
1043290331,ERLANDSON,STEPHEN,E,MD,M,I,600 CHATHAM MEDICAL PARK,,ELKIN,NC,286212482,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,40,66.64575,8.32,6.524,6.524
1043290331,ERLANDSON,STEPHEN,E,MD,M,I,600 CHATHAM MEDICAL PARK,,ELKIN,NC,286212482,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,86.31,20.4895,14.569,12.177
1043290331,ERLANDSON,STEPHEN,E,MD,M,I,600 CHATHAM MEDICAL PARK,,ELKIN,NC,286212482,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,257.82,47.446666667,32.89,23.2225
1043290331,ERLANDSON,STEPHEN,E,MD,M,I,600 CHATHAM MEDICAL PARK,,ELKIN,NC,286212482,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,47,550.27212766,96.255957447,70.379574468,56.10212766
1043290331,ERLANDSON,STEPHEN,E,MD,M,I,600 CHATHAM MEDICAL PARK,,ELKIN,NC,286212482,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2574,0.1672183372,0.0460994561,0.0361344211,0.0361344211
1043290331,ERLANDSON,STEPHEN,E,MD,M,I,600 CHATHAM MEDICAL PARK,,ELKIN,NC,286212482,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,540,0.644462963,0.2190740741,0.1717222222,0.1717222222
1043290331,ERLANDSON,STEPHEN,E,MD,M,I,600 CHATHAM MEDICAL PARK,,ELKIN,NC,286212482,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,37,37,113.27027027,33,22.634054054,22.634054054
1043290398,MCLELLAN,BRUCE,A,M.D.,M,I,2500 NE NEFF RD,,BEND,OR,977016015,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,373.15470588,110.82,86.886470588,57.112352941
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,101,147,147,110.9747619,40.262244898,29.666870748,28.840680272
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,47,77,77,351.67090909,90.938571429,67.258701299,64.351948052
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,48,90,176,128.71732955,34,23.7925,23.154431818
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,59,100,382,79.269319372,19.857617801,14.481387435,13.59026178
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,70,111,380,54.185052632,15.907789474,11.061394737,10.632236842
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,19,132,201,201,171.65328358,58.417412935,42.478557214,40.080248756
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,163,210,210,63.625571429,18.062428571,13.658142857,13.567047619
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,21,21,49.575238095,10,7.84,8.1057142857
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,71,112,112,68.919732143,12.007857143,8.7432142857,8.5033035714
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,154,243,1418,8.6004724965,2.1047249647,1.5503596615,1.5050705219
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,67,86,86,23.584418605,6.04,4.51,4.4393023256
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,87,107,107,47.206448598,12.983271028,9.5342056075,9.6951401869
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,362.2173913,83.665217391,62.859565217,61.501304348
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,629.42857143,134.64,105.56,104.94571429
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,72,407,427,49.851592506,12.737142857,8.9921779859,8.9405620609
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,299.27625,39.78,28.078125,28.078125
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,101,637,664,221.15737952,34.045481928,24.248689759,23.115331325
1043290588,HEGDE,KORGI,V,M.D.,M,I,2531 S BIG BEND BLVD,SUITE 3,SAINT LOUIS,MO,631432112,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,277.07,79.99,62.71,55.395
1043290703,WONG,SO-FONG,,"FNP, CNS, CDE",F,I,5050 CRENSHAW RD,STE 100,PASADENA,TX,775053138,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,24,57.50625,8.32,6.5208333333,6.5208333333
1043290778,AGGARWAL,ATUL,A,MD,M,I,9330 STOCKDALE HWY,SUITE 200,BAKERSFIELD,CA,933113614,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,16.98,13.31,13.53
1043290778,AGGARWAL,ATUL,A,MD,M,I,9330 STOCKDALE HWY,SUITE 200,BAKERSFIELD,CA,933113614,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,14,81.75,12.87,10.09,10.396428571
1043290778,AGGARWAL,ATUL,A,MD,M,I,9330 STOCKDALE HWY,SUITE 200,BAKERSFIELD,CA,933113614,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,14,257.82,33.11,25.96,26.572857143
1043290778,AGGARWAL,ATUL,A,MD,M,I,9330 STOCKDALE HWY,SUITE 200,BAKERSFIELD,CA,933113614,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,15,110,111,519.51,72.06,50.651621622,49.095855856
1043290836,DAILY,JASON,G,M.D.,M,I,6801 ROGERS AVE,,FORT SMITH,AR,729034067,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,17,212,53.256981132,19.633962264,15.392735849,15.392735849
1043290836,DAILY,JASON,G,M.D.,M,I,6801 ROGERS AVE,,FORT SMITH,AR,729034067,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,510,6.7899411765,2.6329411765,1.9423921569,1.9423921569
1043290836,DAILY,JASON,G,M.D.,M,I,6801 ROGERS AVE,,FORT SMITH,AR,729034067,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,38,113,388,52.719871134,8.32,6.2959278351,6.2959278351
1043290836,DAILY,JASON,G,M.D.,M,I,6801 ROGERS AVE,,FORT SMITH,AR,729034067,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,26,67,11.822835821,1.42,1.0470149254,1.0470149254
1043290836,DAILY,JASON,G,M.D.,M,I,6801 ROGERS AVE,,FORT SMITH,AR,729034067,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,673.04368421,343.84973684,265.05842105,265.05842105
1043290836,DAILY,JASON,G,M.D.,M,I,6801 ROGERS AVE,,FORT SMITH,AR,729034067,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,30,125,126,522.71055556,251.11,196.74039683,196.74039683
1043290836,DAILY,JASON,G,M.D.,M,I,6801 ROGERS AVE,,FORT SMITH,AR,729034067,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,8,27,27,27,359.76814815,262.44296296,205.75592593,206.7462963
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,400,4.82475,2.27,1.779675,1.779675
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,13.258461538,10.93,8.57,8.57
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,9.2153846154,7.35,5.76,5.8361538462
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,545.49333333,441.95033333,341.70833333,342.17533333
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,E1002,"Wheelchair accessory, power seating system, tilt only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,500,287.75818182,225.59909091,225.59272727
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,21.66,12.972727273,10.173636364,8.7
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,E2310,"Power wheelchair accessory, electronic connection between wheelchair controller and one power seating system motor, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,150,84.26,66.053636364,66.053636364
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,3,,13,20,88.776,51.053,40.0255,40.025
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,19,26,57,17.49122807,15.036491228,11.582280702,11.582280702
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,K0835,"Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,582.24,192.20272727,150.68818182,150.68818182
1043290869,CHRISTOPHERSON,MARK,W,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,18,1027.38,759.86888889,595.73611111,564.81111111
1043290992,SUNDARAM,UMASANKARI,,MD,F,I,7831 CHICAGO COURT,,OMAHA,NE,681143654,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,12,148,52.758783784,19.655540541,14.440472973,14.440472973
1043290992,SUNDARAM,UMASANKARI,,MD,F,I,7831 CHICAGO COURT,,OMAHA,NE,681143654,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,48,62,258,863,70.336882966,8.32,5.8012050985,5.8012050985
1043290992,SUNDARAM,UMASANKARI,,MD,F,I,7831 CHICAGO COURT,,OMAHA,NE,681143654,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,25,38,17.018947368,1.42,1.0573684211,1.0573684211
1043290992,SUNDARAM,UMASANKARI,,MD,F,I,7831 CHICAGO COURT,,OMAHA,NE,681143654,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,740.34307692,343.20461538,267.06384615,267.06384615
1043290992,SUNDARAM,UMASANKARI,,MD,F,I,7831 CHICAGO COURT,,OMAHA,NE,681143654,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1020,16.035303922,10.955294118,8.5889607843,8.5889607843
1043290992,SUNDARAM,UMASANKARI,,MD,F,I,7831 CHICAGO COURT,,OMAHA,NE,681143654,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,12,56,56,404.35678571,250.96375,196.75535714,196.86946429
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,47,92,38.022934783,8.32,5.5307608696,5.5307608696
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,72,10.8125,3.385,2.5065277778,1.5734722222
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,200,42.342666667,28.026666667,21.137333333
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,452.32366667,100.35733333,74.697333333,53.781333333
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,387.5,44.745,33.325833333,27.76
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,3780,0.345473545,0.0463941799,0.0276005291,0.0275978836
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,30,2940,2.1507823129,0.1349183673,0.0965204082,0.0965204082
1043291131,JOHNSON,MARGARET,M,PA-C,F,I,120 PARK AVE,,HEBRON,NE,683702019,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,45,45,33.786666667,33,22.995555556,22.995555556
1043291321,VONTIVILLU,GAYATHRI,S,MD,F,I,1901 N MACARTHUR BLVD,,IRVING,TX,750612220,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,25.172790698,17.63,12.498604651,12.245581395
1043291321,VONTIVILLU,GAYATHRI,S,MD,F,I,1901 N MACARTHUR BLVD,,IRVING,TX,750612220,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,109.05302326,76.48,54.848372093,50.299534884
1043291495,MILLER,CRAIG,A,DO,M,I,1400 HAND AVE,SUITE K,ORMOND BEACH,FL,321748194,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,52,183,59.163715847,8.32,6.1692349727,6.1692349727
1043291495,MILLER,CRAIG,A,DO,M,I,1400 HAND AVE,SUITE K,ORMOND BEACH,FL,321748194,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,32,12.395625,1.42,1.08,1.08
1043291495,MILLER,CRAIG,A,DO,M,I,1400 HAND AVE,SUITE K,ORMOND BEACH,FL,321748194,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,6.57,5.54,4.03325,4.03325
1043291495,MILLER,CRAIG,A,DO,M,I,1400 HAND AVE,SUITE K,ORMOND BEACH,FL,321748194,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,390,2.39,2.02,1.5024358974,1.5024358974
1043291495,MILLER,CRAIG,A,DO,M,I,1400 HAND AVE,SUITE K,ORMOND BEACH,FL,321748194,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.2,54.679166667,47.9325
1043291495,MILLER,CRAIG,A,DO,M,I,1400 HAND AVE,SUITE K,ORMOND BEACH,FL,321748194,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,34,35,49.359428571,21.519714286,15.124571429,13.324857143
1043291727,EMMICK,GUS,G,MD,M,I,11 KIMBALL DR,ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE,HOOKSETT,NH,031062603,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,24,59,182,74.774725275,8.32,5.8768681319,5.8768681319
1043291727,EMMICK,GUS,G,MD,M,I,11 KIMBALL DR,ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE,HOOKSETT,NH,031062603,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,28,44,17.068636364,1.42,1.0888636364,1.0888636364
1043291727,EMMICK,GUS,G,MD,M,I,11 KIMBALL DR,ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE,HOOKSETT,NH,031062603,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,37.5,11.609166667,8.2875,8.695
1043291727,EMMICK,GUS,G,MD,M,I,11 KIMBALL DR,ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE,HOOKSETT,NH,031062603,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,113.19642857,45.685,35.817142857,37.619285714
1043291727,EMMICK,GUS,G,MD,M,I,11 KIMBALL DR,ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE,HOOKSETT,NH,031062603,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,17.25,2.5663636364,2.5709090909
1043291727,EMMICK,GUS,G,MD,M,I,11 KIMBALL DR,ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE,HOOKSETT,NH,031062603,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,34.591538462,5.1776923077,3.2507692308,2.9446153846
1043291727,EMMICK,GUS,G,MD,M,I,11 KIMBALL DR,ELLIOT PEDIATRICS AND PRIMARY CARE AT RIVERSIDE,HOOKSETT,NH,031062603,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,400,69.62,9.1990909091,9.2436363636
1043291917,HUBBELL,SUSAN,L,MD,F,I,939 W MARKET ST,STE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,6,,11,59,32.500338983,15.26,11.617966102,11.617966102
1043291917,HUBBELL,SUSAN,L,MD,F,I,939 W MARKET ST,STE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,6,,48,48,1249.5097917,196.57104167,145.055,107.97
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,71,116,125,120.92904,38.48296,30.17008,30.47248
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,23,54,103,8.19,1.4803883495,1.137961165,1.1287378641
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,82.007692308,11.890769231,9.3253846154,9.0784615385
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,31,58,62,301.98806452,84.5,64.112903226,65.536290323
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,27,54,106,124.18792453,33.66,26.048018868,25.626792453
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,31,56,230,74.2,19.581913043,15.351173913,14.628391304
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,40,77,322,61.709968944,15.08,11.767173913,11.83189441
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,84,138,145,197.58117241,54.570896552,42.786344828,42.854413793
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,107,130,130,66.349615385,17.306,13.356076923,13.803384615
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,20,20,53.361,9.71,7.61,8.123
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,36,68,68,70.121617647,12.04,9.3011764706,9
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,110,213,907,8.5132524807,2.0011466373,1.5662844542,1.5876405733
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,60,73,73,16.998219178,6.1173972603,4.7979452055,4.6694520548
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,65,80,80,53.1335,12.093875,9.48075,10.2965
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,100,115,54.518608696,16.947826087,13.173391304,13.391913043
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,31,31,190.99258065,52.23,39.619354839,40.37516129
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,50,35.933333333,34.625
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,31,31,190.99258065,50,37.935483871,36.618709677
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,15,1813.4613333,1074.31,838.33466667,838.33466667
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,46,63,335.68206349,80.072063492,61.822539683,63.126507937
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,26,573.78769231,200.97846154,157.56653846,157.28115385
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,1407.29,972.195,757.93708333,757.9375
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,12,12,584.78666667,131.42,103.04,104.56166667
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,30,124,169,36.645147929,11.903195266,8.7213017751,8.8781065089
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,17,108,114,47.527807018,4.203245614,3.2696491228,3.6328070175
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,41,220,232,158.18543103,32.925948276,23.731810345,23.306853448
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,44,302,325,354.39692308,80.491138462,59.751661538,52.5688
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,23,128,137,135.35722628,35.31,25.26459854,26.94189781
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,146.98214286,57,44.69,44.69
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,19,84,4800,15.50955,9.706975,7.5553958333,7.5553958333
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,33,1710,15.180403509,11.304368421,8.8626842105,8.8626842105
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,16,56,13682,0.2324806315,0.0464705452,0.0351549481,0.0351549481
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,2064,1.6818992248,0.1409350775,0.110499031,0.110499031
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,24,106,5910,11.448478849,2.9521979695,2.3145465313,2.3145465313
1043291982,ORLANDO,DANIEL,A,M.D.,M,I,430 MORTON PLANT ST,SUITE 405,CLEARWATER,FL,337563398,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,39,166,168,105.19642857,33,25.573869048,25.573869048
1043292022,WOLF,MATTHEW,D,MD,M,I,610 E SOUTHPORT RD,SUITE 205,INDIANAPOLIS,IN,462278590,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,36,88,65.779886364,8.32,4.9920454545,4.9920454545
1043292055,TURNER,SHARON,W,CRNP,F,I,408 CLARK ST NE,,CULLMAN,AL,350551953,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,235.79857143,100.465,69.849285714,48.811428571
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,37,148,423,72.115933806,8.32,6.1237825059,6.1237825059
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,26,42,15.438333333,1.42,1.0361904762,1.0361904762
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,62,109.20145161,19.437096774,13.181290323,12.779032258
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,294.64,54.672727273,38.984545455,38.945454545
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,94.608181818,12.156363636,8.7109090909,8.4727272727
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,79.35,62.21,55.353333333
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,40.62,31.85,29.52
1043292089,BIGDA,MARK,A,DO,M,I,6 PARC PL,SUITE A,SOUTHAMPTON,MA,010739277,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.518181818,23.518181818
1043292212,RIDER,ROBIN,L,C-FNP,F,I,134 GENERAL DR,,LURAY,VA,228355257,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,16,51,180,59.242055556,8.32,6.0876666667,6.0876666667
1043292212,RIDER,ROBIN,L,C-FNP,F,I,134 GENERAL DR,,LURAY,VA,228355257,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,26,52,17.748461538,1.42,1.0934615385,1.0934615385
1043292212,RIDER,ROBIN,L,C-FNP,F,I,134 GENERAL DR,,LURAY,VA,228355257,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,51.24,22.4775,15.626666667,11.6525
1043292212,RIDER,ROBIN,L,C-FNP,F,I,134 GENERAL DR,,LURAY,VA,228355257,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,297.00652174,101.79913043,73.239130435,48.594782609
1043292238,CARLSON,DAVID,J,MD,M,I,101 BODIN CIR,"60 MDG, HLVC",FAIRFIELD,CA,945351809,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,64.482857143,4.33,3.1114285714,3.5871428571
1043292238,CARLSON,DAVID,J,MD,M,I,101 BODIN CIR,"60 MDG, HLVC",FAIRFIELD,CA,945351809,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,36,531.25416667,65.7,44.355833333,46.793888889
1043292238,CARLSON,DAVID,J,MD,M,I,101 BODIN CIR,"60 MDG, HLVC",FAIRFIELD,CA,945351809,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,37.64,26.138333333,26.138333333
1043292246,WESTERVELT,PETER,,MD,M,I,4921 PARKVIEW PL FL 7,7TH FL,SAINT LOUIS,MO,631101032,US,Physician/Medical Oncology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1297,4.1623438705,0.5489822668,0.430385505,0.430385505
1043292261,VERNER,JAMES,J,MD,M,I,26025 LAHSER RD,2ND FLOOR,SOUTHFIELD,MI,480332601,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,27.645,21.671666667,21.1175
1043292279,MOINFAR,AMIR,R,MD,M,I,1413 MADISON PARK DR FL 2,,GLEN BURNIE,MD,210615613,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,14,317.85714286,294.67571429,222.62642857,454.875
1043292279,MOINFAR,AMIR,R,MD,M,I,1413 MADISON PARK DR FL 2,,GLEN BURNIE,MD,210615613,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,15,150,84.6,64.193333333,61.179333333
1043292360,DEMARTINO,PETER,J,M.D.,M,I,321 MAIN ST,,ACTON,MA,017203718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,27,66,78.81,8.32,5.2375757576,5.2375757576
1043292477,KRAYNAK,RAYMOND,J,D.O.,M,I,28 E 5TH ST,,MOUNT CARMEL,PA,178512106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,24,65,58.58,8.32,6.5236923077,6.5236923077
1043292477,KRAYNAK,RAYMOND,J,D.O.,M,I,28 E 5TH ST,,MOUNT CARMEL,PA,178512106,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,14,25,10.8132,1.42,1.114,1.114
1043292477,KRAYNAK,RAYMOND,J,D.O.,M,I,28 E 5TH ST,,MOUNT CARMEL,PA,178512106,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,28,47.982857143,21.773928571,15.149285714,11.973928571
1043292477,KRAYNAK,RAYMOND,J,D.O.,M,I,28 E 5TH ST,,MOUNT CARMEL,PA,178512106,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,276.4,96.794545455,66.192272727,45.721590909
1043292493,FAUBION,SHELLY,D,DO,F,I,303 SE 4TH ST,,MOORE,OK,731606709,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,26,103,50.128834951,8.32,6.0157281553,6.0157281553
1043292493,FAUBION,SHELLY,D,DO,F,I,303 SE 4TH ST,,MOORE,OK,731606709,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,19,12.223684211,1.42,1.1157894737,1.1157894737
1043292493,FAUBION,SHELLY,D,DO,F,I,303 SE 4TH ST,,MOORE,OK,731606709,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,57,82.692105263,18.2,11.765614035,12.061929825
1043292493,FAUBION,SHELLY,D,DO,F,I,303 SE 4TH ST,,MOORE,OK,731606709,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,190.21666667,56,40.241666667,39.288333333
1043292493,FAUBION,SHELLY,D,DO,F,I,303 SE 4TH ST,,MOORE,OK,731606709,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,54.384285714,10.56,7.9857142857,8.8257142857
1043292493,FAUBION,SHELLY,D,DO,F,I,303 SE 4TH ST,,MOORE,OK,731606709,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,24,100,8.6885,2.09,1.4739,1.4322
1043292501,HUNTER,WILLIAM,C,MD,M,I,1 CLINIC DR,CLAYPOOL HILL,RICHLANDS,VA,246411100,US,Physician/Gastroenterology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.66,3.32,2.603,3.0575
1043292501,HUNTER,WILLIAM,C,MD,M,I,1 CLINIC DR,CLAYPOOL HILL,RICHLANDS,VA,246411100,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,11.28,5.74,4.5,4.5
1043292501,HUNTER,WILLIAM,C,MD,M,I,1 CLINIC DR,CLAYPOOL HILL,RICHLANDS,VA,246411100,US,Physician/Gastroenterology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,192,3.125,2.91,2.09171875,2.09171875
1043292501,HUNTER,WILLIAM,C,MD,M,I,1 CLINIC DR,CLAYPOOL HILL,RICHLANDS,VA,246411100,US,Physician/Gastroenterology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,13.74,7,5.2811666667,5.2811666667
1043292501,HUNTER,WILLIAM,C,MD,M,I,1 CLINIC DR,CLAYPOOL HILL,RICHLANDS,VA,246411100,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.92,4.03,3.1595,3.1595
1043292576,BRADFORD,SARAH,E,MD,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,58,54.855172414,8.32,6.410862069,6.410862069
1043292576,BRADFORD,SARAH,E,MD,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,4.63,2.04,1.5626909091,1.5626909091
1043292576,BRADFORD,SARAH,E,MD,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,80.7325,17.29,11.291666667,11.28
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,24,92,72.96,19.696521739,15.070652174,15.070652174
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,24,644,150.6,37.354347826,29.285621118,29.285621118
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,70,101,101,244.02742574,89.735742574,66.407128713,63.891584158
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,40,79,133,110.21022556,33.841578947,24.686240602,24.151203008
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,66,123,376,74.556888298,19.078351064,13.889867021,13.503058511
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,38,73,233,45.117596567,15.506266094,10.726480687,10.555150215
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,133,217,217,177.23700461,57.004792627,41.494930876,39.888202765
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,190,240,240,48.426875,18.619958333,13.583375,13.124125
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,54,60,60,33.976333333,10.506333333,7.8706666667,7.7873333333
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,189,311,311,51.952604502,12.57073955,9.2210932476,8.5574919614
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,191,376,1279,7.1334480063,2.1032916341,1.5109225958,1.4595777952
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,100,129,129,16.17255814,6.1337209302,4.608372093,4.4740310078
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,86,103,103,31.016699029,13.392621359,9.8312621359,9.7104854369
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,89.767692308,17.29,11.465384615,11.45
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,28,1570.0657143,942.14,733.51571429,837.13607143
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,12,56,56,348.89607143,93.126428571,66.878392857,61.961964286
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,610.03,231.30736842,178.38368421,164.44947368
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,38,38,38,435.91657895,144.97815789,107.81578947,99.189473684
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,28,114,114,39.946491228,13.422368421,10.05745614,9.6328947368
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,82,448,453,151.51275938,36.050772627,26.726534216,25.348874172
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,432.38588235,70.23,50.622058824,50.322352941
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,644,363.31285714,213.95,167.73678571,167.73678571
1043292600,HARGRAVE,KEVIN,R,M.D.,M,I,136 HOSPITAL DR. STE 100,,LAFAYETTE,LA,70503,US,Physician/Neurology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,101.4424,36.1056,27.1512,26.244
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,32,78,233,59.172660944,8.32,6.2421459227,6.2421459227
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,21,14.291428571,3.38,2.65,2.65
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,21.910769231,2.12,1.67,1.67
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,40,66,12.037424242,1.42,1.0975757576,1.0975757576
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,19.4405,7.06,5.47375,5.47375
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,26,85.616923077,71.56,56.105,56.105
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,66,34.173484848,29.19,22.885,22.886515152
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,24.38,10.515714286,8.2428571429,8.1828571429
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,173.26142857,48.686666667,33.040952381,32.464761905
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,37,37,40.073243243,4.3489189189,2.5648648649,2.5643243243
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,485.55222222,70.23,55.06,54.757777778
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,5167,0.4025953164,0.0466653764,0.0343681053,0.0343681053
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,67.3,21.134705882,10.95,9.5023529412
1043292618,HAWKEY,THOMAS,E,D.O.,M,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,27,27,51.333333333,33,24.911851852,24.911851852
1043292626,MEJIA,JUAN,C,MD,M,I,375 DIXMYTH AVE,,CINCINNATI,OH,452202475,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,80,17.36,13.170967742,13.121290323
1043292626,MEJIA,JUAN,C,MD,M,I,375 DIXMYTH AVE,,CINCINNATI,OH,452202475,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,400,79,59.941935484,54.82516129
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,37,121,253,64.340513834,8.32,5.7735573123,5.7735573123
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,20,45,62,16.405645161,1.42,0.9903225806,0.9903225806
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,137.12,74.698823529,58.105294118,39.637647059
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,45.396470588,23.201764706,18.188235294,13.884117647
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,22.207906977,8.2927906977,6.5011627907,4.2797674419
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,58,324.78155172,105.10482759,79.535,59.715
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2976,0.5232560484,0.0453561828,0.032547043,0.032547043
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1200,2.247625,0.127825,0.0820416667,0.0820416667
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,63.336153846,24.32,17.589230769,12.092307692
1043292709,BAGBY,GLENDA,D,"ARNP-BC, MSN, CEN",F,I,310 INDUSTRIAL PARK RD,,GREENSBURG,KY,427431429,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,33,33,22.168125,22.168125
1043292733,MATTISON,SUSAN,B,D.P.M.,F,I,3695 W BOYNTON BEACH BLVD,SUITE 4,BOYNTON BEACH,FL,334364516,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,25,218.4,162.836,126.8488,125.6992
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,31,87,55.400804598,8.32,6.0722988506,6.0722988506
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,30,9.472,1.42,1.0773333333,1.0773333333
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,170.07333333,38.55,27.701666667,27.954166667
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,64,90.081875,18.78,14.7234375,14.5665625
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,84,75.293571429,15.12,11.008214286,11.04452381
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,26,26,289.59384615,54.47,41.253461538,41.391923077
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,91.05,17.88,14.01,14.052857143
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,97.050526316,11.54,9.05,9.1163157895
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,27,146,12.591780822,2.01,1.5768493151,1.5917808219
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,25,86.31,17.29,11.924,11.9064
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,44,519.51,70.23,46.299545455,46.013636364
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1200,0.92,0.1319,0.103425,0.103425
1043292741,GRAHAM,LOUIS,B,MD,M,I,20304 TIMBERLAKE RD,,LYNCHBURG,VA,245027222,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1043292816,STRONG,MORTIMER,J,D.O.,M,I,201 OLD YORK RD,SUITE 205,JENKINTOWN,PA,190463200,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,19,47,59.014893617,8.32,4.439787234,4.439787234
1043292816,STRONG,MORTIMER,J,D.O.,M,I,201 OLD YORK RD,SUITE 205,JENKINTOWN,PA,190463200,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,30,27.01,21.18,22.207272727
1043292816,STRONG,MORTIMER,J,D.O.,M,I,201 OLD YORK RD,SUITE 205,JENKINTOWN,PA,190463200,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,17,15.390588235,10.34,5.2411764706,5.7217647059
1043292816,STRONG,MORTIMER,J,D.O.,M,I,201 OLD YORK RD,SUITE 205,JENKINTOWN,PA,190463200,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,9,7.46,5.85,5.85
1043292816,STRONG,MORTIMER,J,D.O.,M,I,201 OLD YORK RD,SUITE 205,JENKINTOWN,PA,190463200,US,Physician/Internal Medicine,S,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,11,10.18,7.981,7.981
1043292816,STRONG,MORTIMER,J,D.O.,M,I,201 OLD YORK RD,SUITE 205,JENKINTOWN,PA,190463200,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.25,5.54,4.3435,4.3435
1043292816,STRONG,MORTIMER,J,D.O.,M,I,201 OLD YORK RD,SUITE 205,JENKINTOWN,PA,190463200,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.1,1.95,1.5288333333,1.5288333333
1043292865,SAHAGUN,GERONIMO,,MD,M,I,2841 DEBARR ROAD,SUITE 50,ANCHORAGE,AK,995082932,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,780,6.2926794872,0.5928461538,0.4293846154,0.4293846154
1043292865,SAHAGUN,GERONIMO,,MD,M,I,2841 DEBARR ROAD,SUITE 50,ANCHORAGE,AK,995082932,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,24,24,15.29125,15.29125
1043292923,GORSKY,MICHAEL,W,M.D.,M,I,75 SYLVANIA DR,,DAYTON,OH,454403237,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3,2.3519354839,2.3663049853
1043292964,WIATER,J MICHAEL,,MD,M,I,17877 W 14 MILE RD,,BEVERLY HILLS,MI,480253127,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,38,38,162.54342105,100.42,74.586315789,82.53
1043292964,WIATER,J MICHAEL,,MD,M,I,17877 W 14 MILE RD,,BEVERLY HILLS,MI,480253127,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,112,114,114,1127.3245614,704.74140351,548.33894737,563.92350877
1043293145,DONOHUE,JAMES,P,PA,M,I,2112 HWY 1431,,KINGSLAND,TX,786396010,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,223.81916667,96.965833333,73.532083333,54.137083333
1043293145,DONOHUE,JAMES,P,PA,M,I,2112 HWY 1431,,KINGSLAND,TX,786396010,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3825,0.5107058824,0.0462980392,0.0276235294,0.0276235294
1043293145,DONOHUE,JAMES,P,PA,M,I,2112 HWY 1431,,KINGSLAND,TX,786396010,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,67.12,28.1725,19.308333333,12.896666667
1043293145,DONOHUE,JAMES,P,PA,M,I,2112 HWY 1431,,KINGSLAND,TX,786396010,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,60,33,23.135454545,23.135454545
1043293210,VIRALAM,PRABHAVATHI,K,MD,F,I,3365 BURNS RD,STE 217,PALM BEACH GARDENS,FL,334104326,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,46,51.618043478,8.32,6.2382608696,6.2382608696
1043293335,KLEMAWESCH,PATRICK,J,MD,M,I,6294 - 1ST AVE N,ALLERGY ASSOCIATES,ST. PETERSBURG,FL,33710,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,37.007333333,4.4473333333,3.4866666667,3.8546666667
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,6,,50,1434,37.775174338,3.3230613668,2.605237099,2.3739121339
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,44,1247,41.250761828,5.3733841219,4.2126303128,4.1818604651
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,40,1141,98.784399649,4.039456617,3.1669412796,3.2436809816
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,7191,1.8199624531,0.3678904186,0.2884272007,0.2924224725
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,7,14,110,64648,2.1248875449,0.3329807573,0.2604864806,0.2427932805
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,8193,4.2896521421,0.62,0.4860832418,0.5174392774
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,8,13,221,6147,28.161950545,10.442222222,8.1867414999,9.7005840247
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,97,799,352.72828536,207.70474343,162.84052566,162.84052566
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,65,598,442.99787625,263.86377926,206.86817726,206.91742475
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,60,409,403.1998044,322.35711491,252.72819071,253.71454768
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,7,12,213,1483,15.770822657,9.322825354,7.274120027,7.274120027
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4222,"Parenteral nutrition supply kit; home mix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,11.776109589,11.494328767,9.0115616438,9.047369863
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,8,13,226,1855,42.296830189,29.055552561,22.729908356,22.807800539
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,18,18,504.5,58.17,45.61,48.33
1043293434,DIBAISE,JOHN,K,M.D.,M,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,15,15,793.33333333,466.82,365.99,365.99
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,40,81,81,109.63888889,39.62,29.183580247,28.698024691
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,40,76,76,252.0525,86.132763158,60.789078947,61.075263158
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,36,77,166,79.423915663,33.563915663,24.597289157,24.214819277
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,24,45,210,41.020238095,18.55452381,12.795857143,12.800142857
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,18,37,185,28.412810811,15.520918919,11.346108108,11.063513514
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,41,81,81,124.58469136,56.859012346,41.800123457,40.140987654
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,73,98,98,44.079387755,17.723469388,13.134183673,13.280510204
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,32.8875,10.06,6.90375,7.15625
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,34,69,69,42.430724638,12.184057971,9.1942028986,8.7571014493
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,72,151,811,8.2007768187,2.0429099877,1.518865598,1.5071639951
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,23.731428571,6,4.7,4.6571428571
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,48,57,57,41.672105263,12.942631579,9.4407017544,9.6221052632
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,175,175,44.8396,17.6248,12.931142857,12.895942857
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,52.44,34.258333333,34.919166667
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,73.666666667,50,29.635333333,28.693333333
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50,34.095833333,32.7875
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,29,29,458.35103448,90.367241379,66.94862069,63.225172414
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,447.36842105,206.76263158,162.10578947,166.57157895
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,13,67,67,54.713880597,13.29,9.9625373134,10.01358209
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,42.96245283,3.9373584906,2.6062264151,2.9426415094
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,25,143,143,204.04153846,32.64951049,23.105524476,22.663216783
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,27,206,207,236.01164251,78.097681159,57.001497585,52.373429952
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,20,49,8021,0.2885363421,0.0465116569,0.0277783319,0.0277783319
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,11,38,2342,10.437728437,3.0453586678,2.3274978651,2.3274978651
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.92,35.56,27.88,29.374166667
1043293616,GIDVANI,BHAKTI,D,M.D.,F,I,16001 PARK TEN PL,STE 300,HOUSTON,TX,770847885,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,23,67,67,58.119402985,33,23.553283582,23.553283582
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,110,181,181,96.913038674,45.542209945,33.170331492,28.910441989
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.45,11.45,8.98,9.0618181818
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,124,198,198,278.76348485,105.53383838,79.102323232,65.676111111
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,85,170,304,97.971875,38.797796053,27.871052632,24.407171053
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,40,88,247,59.556396761,22.827813765,16.736315789,13.521012146
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,31,66,238,42.204117647,18.705252101,13.259327731,10.959747899
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,106,162,162,178.67962963,66.920740741,45.332037037,37.246728395
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,217,270,270,56.329851852,21.886777778,15.256444444,12.645481481
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,19,19,19.95,11.778421053,8.2952631579,7.2810526316
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,126,197,197,49.513908629,15.676852792,10.953705584,8.3540101523
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,216,437,1510,6.7757417219,2.5237152318,1.8199403974,1.4899403974
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,37,43,43,19.888372093,7.5918604651,5.3139534884,4.2081395349
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,104,119,119,62.672184874,14.50907563,9.6840336134,8.817394958
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,89,89,68.340898876,21.633932584,15.390674157,12.352921348
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,41,41,145.10243902,51.973414634,33.843170732,31.47097561
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,13,73,73,376.74671233,95.564246575,71.994109589,64.406164384
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,832.44319149,284.70574468,223.20978723,179.10382979
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,44,44,44,410.73181818,158.19886364,119.25068182,111.37590909
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,56.7,18.660666667,14.63,9.8033333333
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,42,42,22.285714286,7.7035714286,6.0404761905,4.6171428571
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,73,410,410,162.61,40.478560976,29.114853659,23.779780488
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,52,322,322,418.81962733,85.455807453,64.161024845,55.986024845
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,108,109,123.44293578,41.440275229,29.339816514,27.061192661
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,36.91672619,9.5834285714,7.3426071429,7.3426071429
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,14,48,14676,0.2608762606,0.0466346416,0.0298098937,0.0298098937
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,43,4341,1.69,0.1360930661,0.0991868233,0.0991868233
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,510,8.9554509804,2.9914705882,2.3452941176,2.3452941176
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,91.990606061,43.444545455,34.061818182,31.830606061
1043293657,THEOBALD,DARLA,R,NP,F,I,1015 MARSH ST,,MANKATO,MN,560015294,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,24,83,83,33,33,22.75313253,22.75313253
1043293665,FISH,CLAUDIA,B,M.D.,F,I,1571 WASHINGTON ST,SUITE 201,WATERTOWN,NY,136019304,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,23,289,58.167024221,19.640276817,12.962906574,12.962906574
1043293665,FISH,CLAUDIA,B,M.D.,F,I,1571 WASHINGTON ST,SUITE 201,WATERTOWN,NY,136019304,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,25,760,7.2836447368,2.6321052632,1.5859868421,1.5859868421
1043293665,FISH,CLAUDIA,B,M.D.,F,I,1571 WASHINGTON ST,SUITE 201,WATERTOWN,NY,136019304,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,64,155,684,66.018406433,8.32,6.1327339181,6.1327339181
1043293665,FISH,CLAUDIA,B,M.D.,F,I,1571 WASHINGTON ST,SUITE 201,WATERTOWN,NY,136019304,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.218571429,3.38,2.65,2.65
1043293665,FISH,CLAUDIA,B,M.D.,F,I,1571 WASHINGTON ST,SUITE 201,WATERTOWN,NY,136019304,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,24,48,118,12.614661017,1.42,1.0944915254,1.0944915254
1043293665,FISH,CLAUDIA,B,M.D.,F,I,1571 WASHINGTON ST,SUITE 201,WATERTOWN,NY,136019304,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,705.08769231,326.86153846,234.18461538,234.18461538
1043293665,FISH,CLAUDIA,B,M.D.,F,I,1571 WASHINGTON ST,SUITE 201,WATERTOWN,NY,136019304,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,523.41045455,250.98590909,190.25136364,190.34818182
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,22,72,52.318333333,8.32,5.7966666667,5.7966666667
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,29,17.947931034,1.42,1.0772413793,1.0772413793
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.06,28.06,22,22.31
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,30.4,10.93,8.57,8.57
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,330,31.127272727,6.4609090909,5.0653333333,4.163
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,5540,3.4861768953,0.35,0.2525054152,0.2672815884
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,71,468.42183099,87.096056338,62.583943662,50.895915493
1043293699,MCMAKEN,DAVID,A,MD,M,I,355 E CAMPUS VIEW BLVD,SUITE 180,COLUMBUS,OH,432355616,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,239.4,49.4,33.566,30.838
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,29,64,237,64.148945148,8.32,6.1205907173,6.1205907173
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.926666667,3.38,2.4291666667,2.4291666667
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,29,67,12.728358209,1.42,1.0137313433,1.0137313433
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,67.475454545,12.23,8.7090909091,8.3327272727
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,76,8.8242105263,2.15,1.5519736842,1.4735526316
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,27.078181818,16.857272727,12.246363636,12.543030303
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,162.88454545,37.566363636,29.447272727,28.044545455
1043293830,MAYOR-DAVIES,JUDY,,MD,F,I,2501 W NEW HAVEN AVE,,MELBOURNE,FL,329043747,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,247.84266667,77.248,56.556,51.426888889
1043293913,SWINNEY,STEPHEN,C,MD,M,I,8433 HARCOURT RD STE 200,,INDIANAPOLIS,IN,462602195,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,26,95,64.904947368,8.32,6.5230526316,6.5230526316
1043293913,SWINNEY,STEPHEN,C,MD,M,I,8433 HARCOURT RD STE 200,,INDIANAPOLIS,IN,462602195,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,31,17.770645161,1.42,1.1138709677,1.1138709677
1043294366,RASQUINHA,VIJAY,J,M.D.,M,I,450 CLARKSON AVE,RM ALL1-452,BROOKLYN,NY,112032056,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,35,35,35,152.98,44.182571429,34.638571429,36.354
1043294366,RASQUINHA,VIJAY,J,M.D.,M,I,450 CLARKSON AVE,RM ALL1-452,BROOKLYN,NY,112032056,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,33,33,33,162.81,49.252727273,38.607878788,40.652727273
1043294432,DE DELVA,PIERRE,E,MD,M,I,2500 N STATE ST,UNIVERSITY OF MISSISSIPPI MEDICAL CENTER,JACKSON,MS,392164500,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,59.9044,22.2984,15.7856,11.9144
1043294432,DE DELVA,PIERRE,E,MD,M,I,2500 N STATE ST,UNIVERSITY OF MISSISSIPPI MEDICAL CENTER,JACKSON,MS,392164500,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,267.83931034,94.111724138,67.743448276,49.196551724
1043294440,BAILEY,KEVIN,B,MD,M,I,7675 MADISON ST NE,,FRIDLEY,MN,554322753,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,39,75,234,75.268076923,8.32,5.5466666667,5.5466666667
1043294440,BAILEY,KEVIN,B,MD,M,I,7675 MADISON ST NE,,FRIDLEY,MN,554322753,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,26,43,15.715581395,1.42,0.8044186047,0.8044186047
1043294440,BAILEY,KEVIN,B,MD,M,I,7675 MADISON ST NE,,FRIDLEY,MN,554322753,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,521.2,78.49,56.4025,50.735833333
1043294440,BAILEY,KEVIN,B,MD,M,I,7675 MADISON ST NE,,FRIDLEY,MN,554322753,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1889,0.2721122287,0.0463525675,0.0327104288,0.0327104288
1043294440,BAILEY,KEVIN,B,MD,M,I,7675 MADISON ST NE,,FRIDLEY,MN,554322753,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,103.52,40.62,29.195833333,27.254166667
1043294481,TAYLOR,MARTIN,T,D.O.,M,I,5040 FOREST DR,SUITE 300,NEW ALBANY,OH,430548167,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,84,72.96,19.695238095,15.440833333,15.440833333
1043294481,TAYLOR,MARTIN,T,D.O.,M,I,5040 FOREST DR,SUITE 300,NEW ALBANY,OH,430548167,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,588,150.6,37.351904762,29.283707483,29.283707483
1043294481,TAYLOR,MARTIN,T,D.O.,M,I,5040 FOREST DR,SUITE 300,NEW ALBANY,OH,430548167,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,588,363.31285714,213.95,167.73678571,167.73678571
1043294549,RAMP,JERREMY,M,MD,M,I,8220 NAAB RD,SUITE 300,INDIANAPOLIS,IN,462605926,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,22,1790,2.1022905028,0.44,0.3449664804,0.3449664804
1043294549,RAMP,JERREMY,M,MD,M,I,8220 NAAB RD,SUITE 300,INDIANAPOLIS,IN,462605926,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,23,655,9.12,3.67,2.8773282443,2.8773282443
1043294549,RAMP,JERREMY,M,MD,M,I,8220 NAAB RD,SUITE 300,INDIANAPOLIS,IN,462605926,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,28,874,0.33,0.13,0.1020366133,0.1020366133
1043294549,RAMP,JERREMY,M,MD,M,I,8220 NAAB RD,SUITE 300,INDIANAPOLIS,IN,462605926,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,21,2518,1.13,0.45,0.3527918983,0.3527918983
1043294549,RAMP,JERREMY,M,MD,M,I,8220 NAAB RD,SUITE 300,INDIANAPOLIS,IN,462605926,US,Physician/General Surgery,S,A6452,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,390,16.39,6.65,5.2135641026,5.2135641026
1043294549,RAMP,JERREMY,M,MD,M,I,8220 NAAB RD,SUITE 300,INDIANAPOLIS,IN,462605926,US,Physician/General Surgery,S,E0373,Nonpowered advanced pressure reducing mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,601.03384615,305.24307692,228.27615385,114.78
1043294606,UNDERHILL,MICHAEL,S,D.O.,M,I,18275 N 59TH AVENUE,BLDG K STE 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,21,52,161,72.926024845,8.32,5.6721118012,5.6721118012
1043294606,UNDERHILL,MICHAEL,S,D.O.,M,I,18275 N 59TH AVENUE,BLDG K STE 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,28,16.104642857,1.42,1.0764285714,1.0764285714
1043294606,UNDERHILL,MICHAEL,S,D.O.,M,I,18275 N 59TH AVENUE,BLDG K STE 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,16.96,16.96,11.451666667,11.636666667
1043294606,UNDERHILL,MICHAEL,S,D.O.,M,I,18275 N 59TH AVENUE,BLDG K STE 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,131.87636364,31.438181818,22.599090909,23.393636364
1043294606,UNDERHILL,MICHAEL,S,D.O.,M,I,18275 N 59TH AVENUE,BLDG K STE 162,GLENDALE,AZ,853081254,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,148.68,77.36,53.089166667,48.62875
1043294622,PARKS,JAMES,F,MD,M,I,1010 DAWSONVILLE HWY,,GAINESVILLE,GA,305012621,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,76,78,82.453589744,21.522948718,16.507179487,13.856153846
1043294622,PARKS,JAMES,F,MD,M,I,1010 DAWSONVILLE HWY,,GAINESVILLE,GA,305012621,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,91.154285714,28.979047619,21.689047619,19.642857143
1043294622,PARKS,JAMES,F,MD,M,I,1010 DAWSONVILLE HWY,,GAINESVILLE,GA,305012621,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,24,53.854166667,42.89375,33.632083333,28.59625
1043294622,PARKS,JAMES,F,MD,M,I,1010 DAWSONVILLE HWY,,GAINESVILLE,GA,305012621,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,35,20.284,9.2425714286,7.2451428571,7.2302857143
1043294630,STEINMETZ,GREGORY,,MD,M,I,857 POST RD,ASSOCIATES IN PRIMARY CARE,WARWICK,RI,028883360,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,31,77,71.350519481,8.32,6.0980519481,6.0980519481
1043294705,SWISLOCKI,ARTHUR,L,M.D.,M,I,150 MUIR RD,VANCHCS MEDICAL SERVICE (612/111),MARTINEZ,CA,945534668,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,35,106.27485714,8.32,4.6591428571,4.6591428571
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,27,88,229,65.021572052,8.32,5.856768559,5.856768559
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,30,51,17.345490196,1.42,1.0923529412,1.0923529412
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.73,1.95,1.4505416667,1.4505416667
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,58,55.164137931,19.706034483,15.449137931,14.569137931
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,174.5775,55.595,43.5875,42.8475
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,59.725,14.26,11.18,9.2916666667
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,104,8.6517307692,2.2280769231,1.7464423077,1.6023076923
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,34.650666667,7.766,5.702,3.3786666667
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,259.94269231,33.917307692,23.717307692,22.473076923
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,486.745,86.84,64.676,51.9935
1043294747,NORDQUIST,FRED,A,M.D.,M,I,6294 HIGHWAY 41A,,PLEASANT VIEW,TN,371468175,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,159.38275862,40.533103448,29.06,27.023448276
1043294762,HOLLAND,MATTHEW,,M.D.,M,I,2750 BROADWAY ST,,BOULDER,CO,803043573,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,139.41090909,17.91,12.763636364,12.309090909
1043294762,HOLLAND,MATTHEW,,M.D.,M,I,2750 BROADWAY ST,,BOULDER,CO,803043573,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,100,100,526.5485,71.1208,48.5496,48.1362
1043294853,ZORTHIAN,BAROOYR,F,MD,F,I,1411 E 31ST ST,,OAKLAND,CA,94602,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,18.68,10.93,7.2254545455,7.2254545455
1043295074,WORTHINGTON,DAVID,B,"MD, FACP",M,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,78,255,66.849098039,8.32,6.1384313725,6.1384313725
1043295074,WORTHINGTON,DAVID,B,"MD, FACP",M,I,1025 VERDAE BLVD,SUITE A,GREENVILLE,SC,296074032,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,28,33,13.850606061,1.42,1.0496969697,1.0496969697
1043295348,GAMSEY,ALAN,J,M.D.,M,I,112 GAINSBOROUGH SQ,SUITE 200,CHESAPEAKE,VA,233201706,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,341,275,5.09,3.6278592375,3.7886510264
1043295348,GAMSEY,ALAN,J,M.D.,M,I,112 GAINSBOROUGH SQ,SUITE 200,CHESAPEAKE,VA,233201706,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,3883,3.7129745042,0.37,0.2849935617,0.2849935617
1043295363,FARBER,NEIL,J,MD,M,I,9350 CAMPUS POINT DR,,LA JOLLA,CA,920371300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,14,22,75.866818182,8.32,5.3363636364,5.3363636364
1043295363,FARBER,NEIL,J,MD,M,I,9350 CAMPUS POINT DR,,LA JOLLA,CA,920371300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,519.51,73.594285714,49.23,47.037857143
1043295405,WATTS,KAREN,A,FNP,F,I,3970 W 24TH ST STE 214,,YUMA,AZ,853649263,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,47,140,61.466571429,8.32,6.2897142857,6.2897142857
1043295405,WATTS,KAREN,A,FNP,F,I,3970 W 24TH ST STE 214,,YUMA,AZ,853649263,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,32,10.429375,1.42,1.04375,1.04375
1043295561,SMITH,ANTHONY,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Plastic and Reconstructive Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,24,24,392.1,375.49833333,294.39375,256.17
1043295561,SMITH,ANTHONY,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Plastic and Reconstructive Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,213.23,213.23,167.17,171.51769231
1043295561,SMITH,ANTHONY,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Plastic and Reconstructive Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,23,31,58.107741935,57.707096774,45.243225806,46.346774194
1043295561,SMITH,ANTHONY,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Plastic and Reconstructive Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,26,29,233.51724138,233.5,177.29344828,180.30551724
1043295561,SMITH,ANTHONY,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Plastic and Reconstructive Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,24,32,77.25,77.25,58.668125,65.450625
1043295561,SMITH,ANTHONY,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Plastic and Reconstructive Surgery,S,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,40,59,30.14,30.14,22.659830508,23.06
1043295561,SMITH,ANTHONY,A,M.D.,M,I,5779 E MAYO BLVD,,PHOENIX,AZ,850544502,US,Physician/Plastic and Reconstructive Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,26,183.93,183.93,142.14346154,144.59461538
1043295579,CRUZ-ENCARNACION,MERLE,C,M.D.,F,I,201 SAINT PAULS AVE,SUITE 1D,JERSEY CITY,NJ,073063724,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,49,128,70.682109375,8.32,4.89125,4.89125
1043295579,CRUZ-ENCARNACION,MERLE,C,M.D.,F,I,201 SAINT PAULS AVE,SUITE 1D,JERSEY CITY,NJ,073063724,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,29,41,17.734390244,1.42,0.79,0.79
1043295645,ZUERCHER,GREGORY,J,M.D.,M,I,172 KINSLEY ST,,NASHUA,NH,030603648,US,Physician/Osteopathic Manipulative Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,75.514090909,17.25,12.905454545,12.919090909
1043295645,ZUERCHER,GREGORY,J,M.D.,M,I,172 KINSLEY ST,,NASHUA,NH,030603648,US,Physician/Osteopathic Manipulative Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,524.83363636,69.62,52.935757576,53.034848485
1043295645,ZUERCHER,GREGORY,J,M.D.,M,I,172 KINSLEY ST,,NASHUA,NH,030603648,US,Physician/Osteopathic Manipulative Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,81.192413793,18.052068966,14.152413793,15.564827586
1043295645,ZUERCHER,GREGORY,J,M.D.,M,I,172 KINSLEY ST,,NASHUA,NH,030603648,US,Physician/Osteopathic Manipulative Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,22.952222222,8.6240740741,6.7674074074,6.9085185185
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,36,101,43.673663366,8.32,6.2633663366,6.2633663366
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,10.258947368,3.38,2.65,2.65
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,13.909230769,2.12,1.67,1.67
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,27,40,12.38825,1.42,1.0585,1.0585
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,12,12,51.8225,11.5,9.02,9.1116666667
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,13,74,7.3181081081,2,1.5683783784,1.5898648649
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,322.29,34.422857143,26.992857143,26.714285714
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,3785,0.4067450462,0.0461822985,0.0362060766,0.0362034346
1043295652,MANNING,EVERALD,O,M.D.,M,I,4825 ALMEDA RD,,HOUSTON,TX,770045655,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,1772.12,131.09833333,100.12833333,102.815
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,67,154,74.277597403,8.3092857143,5.2350649351,5.2435064935
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,21,35,32.632285714,1.42,1.052,1.052
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,59.083913043,18.270434783,13.696086957,13.172608696
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,25.2,4.52,3.3133333333,3.1546666667
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,276.50083333,74.114166667,54.684375,52.153125
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2022,0.3800296736,0.046933729,0.023189911,0.023189911
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.8975833333,2.0724583333,2.0724583333
1043295892,FALVO LANG,JESSICA,L,M.D.,F,I,6724 WALES AVE NW,SUITE A,MASSILLON,OH,446469006,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,97.35,33,23.283,23.283
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,138.02,44.446428571,34.845,36.46
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,146.89,48.385333333,37.933333333,40.799333333
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,32.234736842,4.78,3.74,4.0621052632
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,134.38,50.483846154,39.58,41.426923077
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,21.44,5.7166666667,4.4853333333,3.7856666667
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,217.1,70,54.88,54.73
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,18,18,18,70.2,31.137222222,24.41,28.736666667
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,25,134,134,69.329850746,15.856119403,12.039328358,13.932164179
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,119.34,24.507045455,18.845454545,21.558636364
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,31,158,158,20.57,7.1237974684,5.407278481,6.6043670886
1043295918,BUYO,ROGELIO,O,"RN, APN, C",M,I,3000 ESSEX RD,,TINTON FALLS,NJ,077532400,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,61.96,35,27.44,29.51
1043295926,KOSHY,SANJANA,,MD,F,I,10 UNION SQ E,BIMC DEPT OF INFECTIOUS DISEASE,NEW YORK,NY,100033314,US,Physician/Infectious Disease,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,539.20142857,169.17357143,132.63142857,136.88
1043296056,MARKER,STEPHEN,,,M,I,2001 BLAISDELL AVE,,MINNEAPOLIS,MN,554042414,US,Physician/Pediatric Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1194,0.2059296482,0.13,0.101959799,0.101959799
1043296056,MARKER,STEPHEN,,,M,I,2001 BLAISDELL AVE,,MINNEAPOLIS,MN,554042414,US,Physician/Pediatric Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,75,10351,2.6333059608,2.04,1.5435851609,1.5435851609
1043296056,MARKER,STEPHEN,,,M,I,2001 BLAISDELL AVE,,MINNEAPOLIS,MN,554042414,US,Physician/Pediatric Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,43,18.697674419,8.23,6.0023255814,5.9813953488
1043296056,MARKER,STEPHEN,,,M,I,2001 BLAISDELL AVE,,MINNEAPOLIS,MN,554042414,US,Physician/Pediatric Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1074.31,830.30416667,830.30416667
1043296056,MARKER,STEPHEN,,,M,I,2001 BLAISDELL AVE,,MINNEAPOLIS,MN,554042414,US,Physician/Pediatric Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,57.057307692,41.445769231,32.492307692,32.584615385
1043296502,LIAO,LIANXI,F,M.D.,M,I,1900 MISTLETOE BLVD,SUITE 100,FORT WORTH,TX,761044014,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,3739.3333333,2645.3553333,1945.0593333,1945.0593333
1043296577,STEIN,JEFFREY,E,MD,M,I,1559 SULLIVAN AVE,HARTFORD MEDICAL GROUP,SOUTH WINDSOR,CT,060742712,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,62,240,81.407791667,8.32,6.2400833333,6.2400833333
1043296577,STEIN,JEFFREY,E,MD,M,I,1559 SULLIVAN AVE,HARTFORD MEDICAL GROUP,SOUTH WINDSOR,CT,060742712,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,30,59,15.300677966,1.42,1.0413559322,1.0413559322
1043296577,STEIN,JEFFREY,E,MD,M,I,1559 SULLIVAN AVE,HARTFORD MEDICAL GROUP,SOUTH WINDSOR,CT,060742712,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,45,50,49.4862,5.9218,4.2404,3.3302
1043296577,STEIN,JEFFREY,E,MD,M,I,1559 SULLIVAN AVE,HARTFORD MEDICAL GROUP,SOUTH WINDSOR,CT,060742712,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,212.87571429,31.586428571,23.057857143,23.377142857
1043296577,STEIN,JEFFREY,E,MD,M,I,1559 SULLIVAN AVE,HARTFORD MEDICAL GROUP,SOUTH WINDSOR,CT,060742712,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2025,0.17,0.043817284,0.0343506173,0.0343506173
1043296577,STEIN,JEFFREY,E,MD,M,I,1559 SULLIVAN AVE,HARTFORD MEDICAL GROUP,SOUTH WINDSOR,CT,060742712,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,25.87,25.87
1043296676,BAAY,PETER,P,MD,M,I,2400 BATH ST STE 102,,SANTA BARBARA,CA,931054351,US,Physician/Cardiac Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,51.459230769,17.177692308,12.427692308,12.498461538
1043296676,BAAY,PETER,P,MD,M,I,2400 BATH ST STE 102,,SANTA BARBARA,CA,931054351,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,390.78652174,68.920434783,51.689565217,52.286521739
1043296718,COFFMAN,JOSEPH,,D.O.,M,I,10506 S MEMORIAL DR,,TULSA,OK,74133,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,36,67.246666667,8.32,6.5216666667,6.5216666667
1043296718,COFFMAN,JOSEPH,,D.O.,M,I,10506 S MEMORIAL DR,,TULSA,OK,74133,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,126.26583333,51.26,32.148333333,34.705
1043296718,COFFMAN,JOSEPH,,D.O.,M,I,10506 S MEMORIAL DR,,TULSA,OK,74133,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,51.81,17,13.33,13.525
1043296718,COFFMAN,JOSEPH,,D.O.,M,I,10506 S MEMORIAL DR,,TULSA,OK,74133,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,317.44,77.18,60.51,55.133571429
1043296833,KEYS,BRENDAN,J,NP,M,I,4295 HEMPSTEAD TPKE,,BETHPAGE,NY,117145713,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,21,46,147,70.175238095,8.32,6.1226530612,6.1226530612
1043296833,KEYS,BRENDAN,J,NP,M,I,4295 HEMPSTEAD TPKE,,BETHPAGE,NY,117145713,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,12,24,34,14.716470588,1.42,1.0508823529,1.0508823529
1043296841,PATTERSON,DAVID,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,2060,2.3412815534,1.9813106796,1.5132912621,1.5451407767
1043296841,PATTERSON,DAVID,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1230,8.2691463415,6.1304878049,4.6802113821,5.4802926829
1043296841,PATTERSON,DAVID,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,30,50,11.124,10.4356,7.5302,7.907
1043296841,PATTERSON,DAVID,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,220,7.8270454545,5.74,4.4177272727,4.4177272727
1043296841,PATTERSON,DAVID,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,20,168,2.0038690476,1.725952381,1.2883928571,1.3421428571
1043296841,PATTERSON,DAVID,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,330,11.203030303,9.8566666667,7.2374545455,7.2374545455
1043296841,PATTERSON,DAVID,E,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,460,5.2188478261,3.9934130435,2.4893043478,2.525173913
1043296924,DICKERSON,KEITH,,M.D.,M,I,1160 PATTERSON RD,,GRAND JUNCTION,CO,815068275,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,36,86,61.122209302,8.32,5.5352325581,5.5352325581
1043296924,DICKERSON,KEITH,,M.D.,M,I,1160 PATTERSON RD,,GRAND JUNCTION,CO,815068275,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,25,27,16.467777778,1.42,0.9948148148,0.9948148148
1043296924,DICKERSON,KEITH,,M.D.,M,I,1160 PATTERSON RD,,GRAND JUNCTION,CO,815068275,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,80,10.704,2.08,1.50775,1.472375
1043296924,DICKERSON,KEITH,,M.D.,M,I,1160 PATTERSON RD,,GRAND JUNCTION,CO,815068275,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,74.296923077,18.991538462,13.807692308,13.423076923
1043296924,DICKERSON,KEITH,,M.D.,M,I,1160 PATTERSON RD,,GRAND JUNCTION,CO,815068275,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,35,455.94971429,83.589142857,63.952,54.376857143
1043296999,PATEL,JASHBHAI,K,M.D.,M,I,1223 GATEWAY DR,SUITE 2B,MELBOURNE,FL,32901,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,37,43.873243243,42.445405405,33.277297297,30.932162162
1043297021,BUSCH,TREVOR,L,MD,M,I,1415 SAINT FRANCIS AVE,,SHAKOPEE,MN,553793374,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,45,154,76.823896104,8.32,5.9220779221,5.9220779221
1043297021,BUSCH,TREVOR,L,MD,M,I,1415 SAINT FRANCIS AVE,,SHAKOPEE,MN,553793374,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,25,14.9304,1.42,0.9832,0.9832
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,62.5,17,12.774583333,12.977916667
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,50.73,3.84,2.256,2.8866666667
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,79,79,527.26481013,78,58.969240506,53.036835443
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4003,0.2752185861,0.0462952785,0.0362902823,0.0362902823
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,31,2728,1.7872910557,0.1370784457,0.1035300587,0.1035300587
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,11.124648148,2.9953333333,2.2155185185,2.2155185185
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,285.6,38,28.435909091,28.168636364
1043297070,GORDAN,PATRICK,L,MD,M,I,81 HIGHLAND AVE,,SALEM,MA,019702714,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,12,40,40,65.175,33,25.54375,25.54375
1043297187,HIERSCHE,DANIEL,L,M.D.,M,I,700 E MANITOBA AVE,SUITE 106,ELLENSBURG,WA,989263885,US,Physician/Orthopedic Surgery,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,163.16,31.794545455,24.931818182,24.706363636
1043297187,HIERSCHE,DANIEL,L,M.D.,M,I,700 E MANITOBA AVE,SUITE 106,ELLENSBURG,WA,989263885,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25.09,7.6654545455,6.0072727273,6.3463636364
1043297245,PALS,CYNTHIA,M,M.D.,F,I,1000 LINCOLN CIR SE,SUITE 100,ORANGE CITY,IA,510411862,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,24,73,107,51.078224299,8.32,5.2360747664,5.2360747664
1043297245,PALS,CYNTHIA,M,M.D.,F,I,1000 LINCOLN CIR SE,SUITE 100,ORANGE CITY,IA,510411862,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,37.727272727,19.435454545,15.238181818,10.48
1043297245,PALS,CYNTHIA,M,M.D.,F,I,1000 LINCOLN CIR SE,SUITE 100,ORANGE CITY,IA,510411862,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,601.824,54.105714286,41.010285714,24.735714286
1043297310,CHANDLER,JAMES,T,M.D.,M,I,3 RIVERSIDE CIR,,ROANOKE,VA,240164955,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,32,67.8596875,67.348125,46.8490625,87.1309375
1043297310,CHANDLER,JAMES,T,M.D.,M,I,3 RIVERSIDE CIR,,ROANOKE,VA,240164955,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,22,90.27,78.81,61.79,68.347272727
1043297310,CHANDLER,JAMES,T,M.D.,M,I,3 RIVERSIDE CIR,,ROANOKE,VA,240164955,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,55,56,56,80,80,59.700535714,109.49071429
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,47,95,272,71.66375,8.2882352941,6.0582352941,6.0831617647
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,27,44,15.660227273,1.42,1.1140909091,1.1140909091
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,93.466923077,38.55,27.895384615,28.128461538
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,321.80727273,86.33,61.527272727,61.661818182
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,30,151.92266667,33.48,25.523,25.259
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,60,84.180666667,18.78,13.251333333,13.110333333
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,178.771875,54.565625,42.459375,42.525625
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,12,19,19,73.137894737,17.886315789,14.015263158,14.052105263
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,56.15,11.576,9.078,9.1106666667
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,31,157,10.361464968,2.01,1.5769426752,1.5914649682
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,54.045714286,13.29,10.42,10.351428571
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,290,30.253172414,13.13,10.294,10.294
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,72,497.25,326.82,256.22694444,256.22694444
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,72,203.94,9.35,7.33,7.33
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,72,652.88569444,29.22,22.908472222,22.908472222
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,20,51.668,17.29,12.466,12.447
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,25,36.632,4.2524,3.198,3.3792
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,55,55,149.026,31.157454545,21.098,20.681636364
1043297419,HARRAH,JASON,D,M.D.,M,I,907 STARTEK DR,,MYRTLE BEACH,SC,295794471,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,369.70466667,70.23,50.165777778,49.871111111
1043297435,HARDEE,MARTHA,L,M.D.,F,I,8335 WALNUT HILL LANE,SUITE 100,DALLAS,TX,752314256,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,22,64,78.1234375,8.32,5.50296875,5.50296875
1043297518,KHATRI,BHAKTI,,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,50,73.9768,8.32,6.5218,6.5218
1043297518,KHATRI,BHAKTI,,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,117.58153846,55.57,42.340769231,41.684615385
1043297518,KHATRI,BHAKTI,,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,89,4.3515730337,2,1.4625842697,1.483258427
1043297518,KHATRI,BHAKTI,,MD,F,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,60,31.891764706,20.840588235,20.627058824
1043297583,BALKISSOON,GEETA,L,MB BS,F,I,14000 FAIRVIEW DR,,BURNSVILLE,MN,553375713,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,74,75.102567568,8.32,5.9063513514,5.9063513514
1043297583,BALKISSOON,GEETA,L,MB BS,F,I,14000 FAIRVIEW DR,,BURNSVILLE,MN,553375713,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,32,20.5221875,1.42,1.079375,1.079375
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,34,98,217,64.484976959,8.32,5.7315668203,5.7315668203
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.284545455,3.38,2.4090909091,2.4090909091
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,29,39,16.639487179,1.42,1.0017948718,1.0017948718
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,56,9.0664285714,1.9614285714,1.3698214286,1.4221428571
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,225,52.133333333,36.569166667,33.564166667
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,488.61666667,75.681481481,57.042222222,52.702962963
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,168.18181818,35.697272727,26.734545455,28.279090909
1043297591,SENSENBRENNER,JOHN,W,MD,M,I,8821 BLAKENEY PROFESSIONAL DR,,CHARLOTTE,NC,282776594,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.518181818,23.518181818
1043297625,FULLENKAMP,DAVID,A,O.D.,M,I,1111 N MERIDIAN ST,,PORTLAND,IN,473711024,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,69.41,69.41,45.827368421,44.471578947
1043297625,FULLENKAMP,DAVID,A,O.D.,M,I,1111 N MERIDIAN ST,,PORTLAND,IN,473711024,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,19,64.763157895,64.763157895,36.406315789,39.686315789
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,49,162,76.244691358,8.32,5.7201851852,5.7201851852
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,105.19714286,49.331428571,36.815714286,29.477857143
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,419.88333333,124.77866667,79.620666667,51.14
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,43,122.06046512,43.962325581,34.206511628,25.657674419
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,15,15,63.666,24.162666667,14.784666667,10.310666667
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,16,92,10.636521739,3.2265217391,2.4913043478,1.6469565217
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,105.24340426,21.98212766,16.405957447,13.206808511
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,805,254.54142857,193.85714286,145.76
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,65,16.6025,12.695,9.5327777778
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,210,54.0434375,42.3671875,27.1384375
1043297815,TAYLER,GREGORY,P,"M.D., P.C.",M,I,1469 S HIGHWAY 40 # C,,HEBER CITY,UT,840323522,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,136,136,414.55455882,99.576176471,73.249485294,53.630588235
1043297823,HUGHES,JENNIFER,K,M.D.,F,I,801 MASSACHUSETTS AVE,CROSSTOWN 2,BOSTON,MA,021182605,US,Physician/Hospice and Palliative Care,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,112.55,43.5895,34.1795,36.203
1043297823,HUGHES,JENNIFER,K,M.D.,F,I,801 MASSACHUSETTS AVE,CROSSTOWN 2,BOSTON,MA,021182605,US,Physician/Hospice and Palliative Care,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,56,56,175,48.803035714,34.878928571,33.428571429
1043297823,HUGHES,JENNIFER,K,M.D.,F,I,801 MASSACHUSETTS AVE,CROSSTOWN 2,BOSTON,MA,021182605,US,Physician/Hospice and Palliative Care,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1537.95,1074.31,830.30416667,830.30416667
1043297823,HUGHES,JENNIFER,K,M.D.,F,I,801 MASSACHUSETTS AVE,CROSSTOWN 2,BOSTON,MA,021182605,US,Physician/Hospice and Palliative Care,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,80,16.652,12.02325,12.7085
1043297823,HUGHES,JENNIFER,K,M.D.,F,I,801 MASSACHUSETTS AVE,CROSSTOWN 2,BOSTON,MA,021182605,US,Physician/Hospice and Palliative Care,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,107.5,24.52,19.231875,20.30625
1043297823,HUGHES,JENNIFER,K,M.D.,F,I,801 MASSACHUSETTS AVE,CROSSTOWN 2,BOSTON,MA,021182605,US,Physician/Hospice and Palliative Care,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,35,7.945,5.7271428571,5.7971428571
1043297831,ANSWINI,GEOFFREY,,,M,I,2123 AUBURN AVE,SU. 139,CINCINNATI,OH,452192906,US,Physician/Cardiac Surgery,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,265.67,189.16181818,135.25909091,135.25909091
1043297955,STASEVICH,ANDREW,J,DO,M,I,804 SERVICE RD ROOM A109,,EAST LANSING,MI,488241313,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,47,42.660638298,8.2587234043,6.334893617,6.3827659574
1043297955,STASEVICH,ANDREW,J,DO,M,I,804 SERVICE RD ROOM A109,,EAST LANSING,MI,488241313,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,24,10.896666667,1.42,1.115,1.115
1043297955,STASEVICH,ANDREW,J,DO,M,I,804 SERVICE RD ROOM A109,,EAST LANSING,MI,488241313,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,266.19076923,70.584615385,50.52,50.52
1043297955,STASEVICH,ANDREW,J,DO,M,I,804 SERVICE RD ROOM A109,,EAST LANSING,MI,488241313,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,4222,0.3018237802,0.0461487447,0.0361819043,0.0361819043
1043297955,STASEVICH,ANDREW,J,DO,M,I,804 SERVICE RD ROOM A109,,EAST LANSING,MI,488241313,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,42.6,33,25.87,25.87
1043297963,VOLK,JAMES,E,O.D.,M,I,510 N 4TH ST,,STEUBENVILLE,OH,439521934,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,61.136363636,61.136363636,47.930909091,52.547727273
1043297963,VOLK,JAMES,E,O.D.,M,I,510 N 4TH ST,,STEUBENVILLE,OH,439521934,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,43,53.720930233,52.164418605,40.896976744,43.434651163
1043297971,KASH,JOSEPH,,MD,M,I,120 SPALDING DR,SUITE 111,NAPERVILLE,IL,605406766,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,19,1858,55.833326157,4.9291011841,3.8284660926,3.8284660926
1043297971,KASH,JOSEPH,,MD,M,I,120 SPALDING DR,SUITE 111,NAPERVILLE,IL,605406766,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,24,24,18.82,18.82
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,23,8.2526086957,1.5252173913,0.9947826087,0.95
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,44,9.5313636364,2.0163636364,1.5813636364,1.5902272727
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,86.395517241,17.577931034,12.833448276,12.663448276
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,12,71,71,46.587183099,3.8377464789,2.4578873239,3.0018309859
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,14,117,118,454.99177966,76.329830508,58.90059322,54.762288136
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,413.87142857,36.92,28.948571429,29.373714286
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,21,21,68,16260,0.2753505535,0.0467650677,0.0321574416,0.0321574416
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,45,3860,2.1331476684,0.1351398964,0.0975,0.0975
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,52,3195,11.134741784,3.0278873239,2.2869264476,2.2869264476
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,1425,56.213410526,46.671031579,36.483396491,36.483396491
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,107.339375,36.96,28.98,29.3775
1043297997,FORSYTHE,SEAN,,MD,M,I,2160 S FIRST AVE,"(321 N. LAGRANGE RD, LAGRANGE PARK, IL. 60526)",MAYWOOD,IL,60153,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,36,36,135,135,56.466666667,33,24.409185185,24.409185185
1043298011,BOYLE,GINGER,B,M.D.,F,I,1200 E MAIN ST,SUTE 12,SPARTANBURG,SC,293071711,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,37,115,59.796869565,8.32,5.9546086957,5.9546086957
1043298011,BOYLE,GINGER,B,M.D.,F,I,1200 E MAIN ST,SUTE 12,SPARTANBURG,SC,293071711,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,27,13.586296296,1.42,1.1140740741,1.1140740741
1043298052,BULSARA,GIRISH,,MD FACP,M,I,54 GREENWAY EAST,,NEW HYDE PARK,NY,11040,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,134.38,49.090909091,36.405909091,36.355909091
1043298052,BULSARA,GIRISH,,MD FACP,M,I,54 GREENWAY EAST,,NEW HYDE PARK,NY,11040,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,217.1,77.74,56.596428571,51.709285714
1043298052,BULSARA,GIRISH,,MD FACP,M,I,54 GREENWAY EAST,,NEW HYDE PARK,NY,11040,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,39,39,69.248461538,14.709230769,11.250769231,13.477179487
1043298052,BULSARA,GIRISH,,MD FACP,M,I,54 GREENWAY EAST,,NEW HYDE PARK,NY,11040,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,20.57,6.5837837838,5.0294594595,6.2786486486
1043298151,OBID,HIND,,M.D,F,I,951 W 23RD ST,,PANAMA CITY,FL,324053928,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,8.19,1.47,1.0615384615,1.0615384615
1043298151,OBID,HIND,,M.D,F,I,951 W 23RD ST,,PANAMA CITY,FL,324053928,US,Physician/Allergy/ Immunology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,86.31,18.502,14.5008,13.5216
1043298151,OBID,HIND,,M.D,F,I,951 W 23RD ST,,PANAMA CITY,FL,324053928,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,44.79,5.2773333333,3.9873333333,3.3791111111
1043298151,OBID,HIND,,M.D,F,I,951 W 23RD ST,,PANAMA CITY,FL,324053928,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,519.51,77.684827586,60.905517241,55.037931034
1043298151,OBID,HIND,,M.D,F,I,951 W 23RD ST,,PANAMA CITY,FL,324053928,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,1320,15.58,9.5857272727,7.3665530303,7.3665530303
1043298151,OBID,HIND,,M.D,F,I,951 W 23RD ST,,PANAMA CITY,FL,324053928,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2460,0.1768333333,0.0465934959,0.0320365854,0.0320365854
1043298151,OBID,HIND,,M.D,F,I,951 W 23RD ST,,PANAMA CITY,FL,324053928,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,38,38,126.78947368,33,24.508421053,24.508421053
1043298250,FISHER,PHILLIP,H,MD,M,I,7640 W. SYLVANIA,SUITE K,SYLVANIA,OH,43560,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,76,177,55.701864407,8.32,5.4231638418,5.4231638418
1043298250,FISHER,PHILLIP,H,MD,M,I,7640 W. SYLVANIA,SUITE K,SYLVANIA,OH,43560,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,27,42,13.492142857,1.42,0.9028571429,0.9028571429
1043298276,PYEVICH,MICHAEL,T,M.D.,M,I,2300 53RD AVE,SUITE 100,BETTENDORF,IA,527227564,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,56.692307692,18.211538462,13.26,13.098461538
1043298276,PYEVICH,MICHAEL,T,M.D.,M,I,2300 53RD AVE,SUITE 100,BETTENDORF,IA,527227564,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,36.5,8.7130769231,6.3415384615,6.1569230769
1043298276,PYEVICH,MICHAEL,T,M.D.,M,I,2300 53RD AVE,SUITE 100,BETTENDORF,IA,527227564,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,29,29,30,364,251.28,197,216.701
1043298284,FRANKLIN,LAUREN,B,MD,F,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366428,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,35,105,78.117142857,8.32,6.4607619048,6.4607619048
1043298284,FRANKLIN,LAUREN,B,MD,F,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366428,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,31.125,4.598,3.606,3.604
1043298284,FRANKLIN,LAUREN,B,MD,F,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366428,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,327.5,70.23,52.307,51.984
1043298284,FRANKLIN,LAUREN,B,MD,F,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366428,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,66.25,37.44,27.8825,28.0445
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,30,88,67.331931818,8.32,5.9288636364,5.9288636364
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,18.223809524,1.42,1.1152380952,1.1152380952
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,25,119.2704,45.3376,35.5448,27.7236
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,54.288181818,23.352727273,18.307272727,14.06
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,79,9.9437974684,3.046835443,2.2540506329,1.5730379747
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,61.09,18.547692308,14.538461538,13.993076923
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,35,4.6372727273,2.9709090909,2.9690909091
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,72.208333333,35.258333333,24.385555556,20.397222222
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,37,263.74513514,82.931081081,63.346486486,54.293243243
1043298524,CHAPMAN,PRIDE,R,MD,M,I,104 FAIRVIEW PARK DR,,DUBLIN,GA,31021,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,150,37.44,26.681818182,26.830909091
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,43,108,67.930925926,8.32,6.4621296296,6.4621296296
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,150.47142857,77.618571429,47.54,34.123571429
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,50,9.7836,2.7112,2.0522,1.722
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,61.712903226,22.080322581,15.865806452,12.220645161
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,124.89,108.11333333,79.105833333,62.8275
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,58,58,30.358965517,7.0368965517,4.9517241379,3.1593103448
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,69.424390244,54.039756098,36.654634146,23.15097561
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,99,113,444.79274336,101.85132743,74.768141593,51.793628319
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1736,0.17265553,0.0462096774,0.0362211982,0.0362211982
1043298532,ALTMAN,DANA,B,DO,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,76.3125,33,24.253125,24.253125
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,79,133,133,101.1906015,38.577142857,28.422330827,28.636541353
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,8.044,1.478,1.1563333333,1.153
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,89,191,191,327.84895288,85.480680628,63.346492147,64.074502618
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,87,209,479,132.97010438,33.328622129,25.255970772,25.041837161
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,44,112,533,79.672682927,18.17564728,13.367992495,13.65272045
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,32,65,330,46.436909091,15.304848485,11.47230303,11.361424242
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,73,152,152,213.79203947,56.349736842,40.976710526,39.782105263
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,152,199,199,62.090954774,18.535427136,13.394773869,12.973417085
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,87,204,204,83.156813725,12.162205882,8.9376960784,8.5470098039
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,158,379,1928,9.6912966805,2.0275622407,1.5036773859,1.5048910788
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,43,57,57,28.227368421,5.8403508772,4.3492982456,4.4238596491
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,81,105,105,40.671047619,13.083238095,9.4763809524,9.548
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,32,192,226,49.651150442,16.157256637,11.809557522,13.027964602
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,54,38.811666667,38.325833333
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,47.1,33.8525,34.5675
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,44,45,296.99688889,87.222666667,66.551555556,68.631333333
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1488.4,1071.9083333,840.37916667,840.37916667
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,46,46,46,348.19173913,136.24543478,106.81717391,104.77130435
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,20,58.375,13.4045,10.5095,10.48
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,12,61,63,41.564761905,4.9980952381,3.923015873,3.8819047619
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,56,297,306,150.04849673,33.297287582,25.698267974,26.075326797
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,56,341,355,307.70402817,80.146478873,59.772253521,53.490732394
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,139.67741935,37.976774194,26.885806452,26.68516129
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,150.79545455,57,44.69,44.69
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,1500,17.47892,9.66688,7.5788266667,7.5788266667
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,19,61,8951,0.537270696,0.0464719026,0.0338721931,0.0338721931
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,19,52,5028,1.2214896579,0.1331901352,0.1007816229,0.1007816229
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,52,3120,12.345490385,2.8870961538,2.2099262821,2.2099230769
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,1990,2.2518994975,0.2191457286,0.1664572864,0.1664572864
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,174.21052632,37.653421053,28.982631579,28.988684211
1043298805,CHIGURUPATI,NAGA,S,M.D.,F,I,2207 EXECUTIVE DR STE B,,HAMPTON,VA,236662478,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,36,110,110,77.406818182,33,25.075454545,25.075454545
1043298854,STRAIGHT,ALEXANDRA,E,MD,F,I,2085 RICE ST,,ROSEVILLE,MN,551136807,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1560,2.6712371795,0.7390769231,0.5415705128,0.5415705128
1043298854,STRAIGHT,ALEXANDRA,E,MD,F,I,2085 RICE ST,,ROSEVILLE,MN,551136807,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1560,6.6113461538,2.8387692308,2.2255705128,2.2255705128
1043298854,STRAIGHT,ALEXANDRA,E,MD,F,I,2085 RICE ST,,ROSEVILLE,MN,551136807,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1043298854,STRAIGHT,ALEXANDRA,E,MD,F,I,2085 RICE ST,,ROSEVILLE,MN,551136807,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,16,16,12.54,12.54
1043298870,GUPTA,SANJAY,K,MD,M,I,6500 29TH STREET,SUITE 106,GREELEY,CO,806348386,US,Physician/Otolaryngology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,540,6.7874259259,2.8501666667,2.1236296296,2.1236296296
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,94.444444444,40.26,31.57,30.55
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,44,7.6268181818,1.46,1.145,1.1545454545
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,30,65,65,402.85538462,89.696615385,68.722,66.599538462
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,23,54,132,144.40060606,34.6,26.572272727,25.474166667
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,20,107,77.719345794,18.84,14.770093458,14.564018692
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,14,69,56.042028986,15.58,11.151594203,10.872318841
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,17,36,36,184.04555556,60.5,44.27,40.169166667
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,41,59,59,72.70220339,19.61220339,14.856101695,13.719661017
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,38,82,82,64.707804878,12.702317073,9.7207317073,8.9597560976
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,44,101,520,7.9106923077,2.3064230769,1.7844038462,1.5906153846
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,18,24,24,17.980416667,6.8816666667,5.3995833333,4.6916666667
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,23,34,34,63.232352941,13.533823529,10.456764706,10.205588235
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,44,248,249,80.781767068,19.535582329,13.834457831,12.54751004
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,26,26,77.45,49.110769231,34.513076923,33.700384615
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,25,148,148,3448.0406757,974.13567568,756.83682432,829.39695946
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,59,60,66.4875,13.4175,9.8125,9.7818333333
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,4.67,2.8230769231,2.6
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,12,87,88,266.26727273,35.015795455,25.278977273,23.599545455
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,60,362,369,312.52113821,78.266368564,56.439918699,50.847479675
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,28,28,140.5,36.9,27.896785714,28.357857143
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,15.58,9.5857272727,7.2978257576,7.2978257576
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,29,4796,0.3236009174,0.0460341952,0.031469975,0.031469975
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,34,3407,2.0448693866,0.1332932198,0.0987144115,0.0987144115
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,1650,12.313078788,3.0065636364,2.3069212121,2.3069212121
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,267.8,36.93,27.067173913,27.569782609
1043298961,APATA,OLUSEGUN,,M.D.,M,I,650 GRANT ST STE 7,,GARY,IN,464041551,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,58,58,85.913793103,33,23.639827586,23.639827586
1043299134,TIMBOL,RANDOLPH,N,MD,M,I,910 SW 1ST AVENUE,SUITE 201,OCALA,FL,34471,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,31,16.97,16.97,13.31,13.532580645
1043299134,TIMBOL,RANDOLPH,N,MD,M,I,910 SW 1ST AVENUE,SUITE 201,OCALA,FL,34471,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,32,77.243125,77.243125,60.559375,54.90125
1043299266,TALPERS,SCOTT,S,M.D.,M,I,2521 GLENN HENDREN DR,SUITE 402,LIBERTY,MO,640683388,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,61,45.673770492,15.712786885,11.290163934,10.982622951
1043299266,TALPERS,SCOTT,S,M.D.,M,I,2521 GLENN HENDREN DR,SUITE 402,LIBERTY,MO,640683388,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,207.404,59.389,44.356,40.7795
1043299266,TALPERS,SCOTT,S,M.D.,M,I,2521 GLENN HENDREN DR,SUITE 402,LIBERTY,MO,640683388,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,66.704736842,13.414210526,10.021578947,8.6552631579
1043299266,TALPERS,SCOTT,S,M.D.,M,I,2521 GLENN HENDREN DR,SUITE 402,LIBERTY,MO,640683388,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,114,10.085789474,2.1973684211,1.5578947368,1.4263157895
1043299290,PANUSKI,REBECCA,M,M.D.,F,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,61,136,83.061838235,8.32,5.6583088235,5.6583088235
1043299290,PANUSKI,REBECCA,M,M.D.,F,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,22,22,37.625454545,1.42,0.9672727273,0.9672727273
1043299290,PANUSKI,REBECCA,M,M.D.,F,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,51.798888889,17.155185185,12.453703704,12.538148148
1043299290,PANUSKI,REBECCA,M,M.D.,F,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,35.174117647,5.0482352941,3.7594117647,3.3805882353
1043299290,PANUSKI,REBECCA,M,M.D.,F,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,39,356.62923077,78.775128205,57.852051282,51.382051282
1043299290,PANUSKI,REBECCA,M,M.D.,F,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,654.83,136.68833333,105.51916667,104.04916667
1043299324,RUBINO,FRANK,G,MD,M,I,10681 BOLSA AVE,,GARDEN GROVE,CA,928435223,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,58,154,76.306428571,8.32,5.8663636364,5.8663636364
1043299324,RUBINO,FRANK,G,MD,M,I,10681 BOLSA AVE,,GARDEN GROVE,CA,928435223,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,29,12.569655172,1.42,1.0793103448,1.0793103448
1043299365,PATOLIA,HARSUKH,,MD,M,I,1900 ELECTRIC RD,,SALEM,VA,241537474,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,95,17.29,10.771666667,10.756666667
1043299365,PATOLIA,HARSUKH,,MD,M,I,1900 ELECTRIC RD,,SALEM,VA,241537474,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,31,476.3883871,70.423870968,48.107419355,47.703548387
1043299365,PATOLIA,HARSUKH,,MD,M,I,1900 ELECTRIC RD,,SALEM,VA,241537474,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,100,37.44,27.265625,27.388125
1043299506,FOOTE,ROBERT,L,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,9719,2.0816956477,0.3318880543,0.2602006379,0.2430445519
1043299589,HALL,KELLI,G,M.D.,F,I,1850 STATE ST,,NEW ALBANY,IN,471504990,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,12,69,74,52.781891892,18.186351351,13.503918919,12.807162162
1043299589,HALL,KELLI,G,M.D.,F,I,1850 STATE ST,,NEW ALBANY,IN,471504990,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,170.75,49.89,32.591666667,31.358333333
1043299589,HALL,KELLI,G,M.D.,F,I,1850 STATE ST,,NEW ALBANY,IN,471504990,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,32,32.965,6.0290625,4.6003125,3.729375
1043299589,HALL,KELLI,G,M.D.,F,I,1850 STATE ST,,NEW ALBANY,IN,471504990,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,15,77,82,318.17292683,82.032439024,59.785609756,51.016707317
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,66,123,123,104.39853659,38.220569106,29.548211382,30.115934959
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,19,37,68,4.2836764706,1.5782352941,1.1161764706,1.0538235294
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,2.02,1.24,0.8953846154,0.8861538462
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,82,141,142,182.09260563,92.532816901,70.790704225,66.656690141
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,75,152,289,77.985363322,35.628858131,27.567577855,25.767854671
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,39,66,290,39.839586207,20.385103448,15.720034483,14.480241379
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,45,91,437,33.711464531,16.363180778,12.635720824,11.753089245
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,82,142,142,119.7628169,59.389577465,45.425070423,42.054788732
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,127,162,162,37.853765432,18.058271605,13.878765432,13.908641975
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,16,16,21.81625,10.4,7.13125,7.13125
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,86,143,143,35.071958042,13.647202797,10.495104895,9.0671328671
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,148,287,1455,5.8731340206,2.3049896907,1.7670309278,1.5807079038
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,28,36,36,17.556666667,6.5311111111,4.9894444444,4.6977777778
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,42,51,51,22.010784314,13.22,10.16254902,10.191764706
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,57,427,433,42.673510393,18.646951501,14.024688222,13.124572748
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,16,112,112,3167.4669643,1072.9889286,835.51910714,836.55526786
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,277.47391304,99.314565217,75.077173913,69.762826087
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,21,309.20904762,230.9147619,178.02238095,163.72952381
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,1488.4,1009.5875,782.551875,782.551875
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,58,59,59,241.6879661,149.85898305,117.49169492,104.92474576
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,17,130,130,25.778076923,6.4406153846,4.8901538462,3.6463076923
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,85,469,479,89.949331942,36.774926931,28.208455115,25.482379958
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,18,138,1170,1188,241.77305556,82.608232323,61.364309764,53.114200337
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,41,327,332,157.21159639,38.178162651,29.178192771,28.730240964
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,60.833333333,57,44.69,44.69
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,63,3480,15.506408046,9.6434913793,7.5421954023,7.5421954023
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,32,8313,0.3810886563,0.0455731986,0.031966799,0.031966799
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,23,67,7470,1.2318299866,0.1341124498,0.0987965194,0.0987965194
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,76,3570,7.2085518207,2.9490420168,2.2413445378,2.2413445378
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,1134,1.5373368607,0.2191005291,0.1718342152,0.1718342152
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,78,78,156.85666667,38.967564103,28.298205128,27.40525641
1043299712,IYER,SRIDHAR,K,MD,M,I,802 NORTH BONNIE BRAE STREET,SUITE 104,DENTON,TX,762012301,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,45,177,177,57.427966102,33,24.893672316,24.893672316
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,25,94,211,70.323601896,8.32,4.8998104265,4.8998104265
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,33,47,12.479361702,1.42,0.8072340426,0.8072340426
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,27,27,130.44962963,50.38,39.095555556,31.406666667
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,25,48,7.3341666667,2.0516666667,1.5025,1.0841666667
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,12,12,66.501666667,20.06,15.1175,8.4641666667
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,188.08333333,80.081333333,59.639333333,43.417333333
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,73.097777778,26.153333333,20.5,14.554444444
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,39,141,10.195886525,3.2919148936,2.3808510638,1.6107801418
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,147,147,73.77877551,22.175170068,16.301360544,12.756258503
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,32,33,232.35,59.760909091,42.267575758,33.374545455
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,420.51,89.897272727,64.312727273,55.909090909
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,81.75,17.84,13.376842105,10.467894737
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,55,55,37.796727273,8.5050909091,6.0767272727,3.818
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,227.8171875,50.92625,39.9290625,30.658125
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,28,234,243,428.66185185,100.80395062,75.093251029,53.560740741
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.34,31.286666667,26.911666667
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.290727273,8.851969697,8.851969697
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,5362,0.2324897426,0.047385304,0.0309604625,0.0309604625
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,50,5916,1.1990432725,0.1354834348,0.1062440838,0.1062440838
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,12.86,3.1041428571,2.3784603175,2.3784603175
1043299720,MCREE,HEATHER,,DO,F,I,1930 9TH AVE,,HELENA,MT,596014759,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,75,75,85.58,32.26,24.556133333,24.556133333
1043299795,SPORER,SCOTT,M,M.D.,M,I,25 NORTH WINFIELD ROAD,,WINFIELD,IL,60190,US,Physician/Orthopedic Surgery,S,E1811,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,301.43461538,150.95,118.34,118.34
1043299936,DOWDY,SUSAN,B,M.D.,F,I,2600 CAMPUS DR,SUITE A,LAFAYETTE,CO,800263357,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,109.08,17.91,13.627058824,13.171176471
1043299936,DOWDY,SUSAN,B,M.D.,F,I,2600 CAMPUS DR,SUITE A,LAFAYETTE,CO,800263357,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,200,53.98,42.32,41.843333333
1043299936,DOWDY,SUSAN,B,M.D.,F,I,2600 CAMPUS DR,SUITE A,LAFAYETTE,CO,800263357,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,24,24,216.175,54.7975,42.957916667,38.242916667
1043299936,DOWDY,SUSAN,B,M.D.,F,I,2600 CAMPUS DR,SUITE A,LAFAYETTE,CO,800263357,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,59,59,493.78372881,77.379830508,57.88440678,52.997966102
1043299969,LUDER,MARY,M,ARNP,F,I,12200 W 106TH STREET SUITE 130,,OVERLAND PARK,KS,662152305,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,2115,3.4568085106,0.589106383,0.4161607565,0.4161607565
1043299969,LUDER,MARY,M,ARNP,F,I,12200 W 106TH STREET SUITE 130,,OVERLAND PARK,KS,662152305,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,24,24,17.372307692,17.372307692
1043299969,LUDER,MARY,M,ARNP,F,I,12200 W 106TH STREET SUITE 130,,OVERLAND PARK,KS,662152305,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,13,16,16,10.610769231,10.610769231
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,5910,0.3603045685,0.13,0.0983096447,0.0983096447
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,15,11.365333333,5.54,4.3413333333,4.3413333333
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,555,3.1963063063,2.27,1.6674774775,1.6674774775
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,78,13530,4.5107553585,1.9096910569,1.390104952,1.4928011826
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,12,57,155,17.83316129,10.61683871,7.8938064516,8.136516129
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,80,11.17725,6.96675,5.460875,5.84725
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,48,9.5472916667,6.44,4.4891666667,4.4891666667
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,32,455,9.6917362637,7,4.6782417582,4.6782417582
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,34,510,5.3952352941,4.04,2.9770392157,2.9770392157
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,0.5676785714,0.39625,0.3105714286,0.3135
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,650,0.4189230769,0.27,0.2116153846,0.2116153846
1043299985,YOHANNES,PAULOS,,MD,M,I,1845 VETERANS PARK DR STE 110,,NAPLES,FL,341090493,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,652,0.594493865,0.27,0.2035122699,0.2035122699
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,44,105,285,62.229473684,8.32,6.1574736842,6.1574736842
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,16.666666667,3.38,2.65,2.65
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,37,61,17.735409836,1.42,1.0950819672,1.0950819672
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,75,71.56,56.105,56.105
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,57.4225,18,14.11,14.068333333
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,58,7.9775862069,2.0155172414,1.5267241379,1.5351724138
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,24,763.55125,87.083333333,64.68,61.6775
1043300122,HUGHES,LAWRENCE,M,MD,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,11,11,392.20181818,78,61.15,55.897272727
1043300148,HALLOUM,AMMAR,M,M.D.,M,I,844 CENTRAL BLVD,420,BROWNSVILLE,TX,785207552,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,8.4831818182,8.22,6.4425,6.43
1043300148,HALLOUM,AMMAR,M,M.D.,M,I,844 CENTRAL BLVD,420,BROWNSVILLE,TX,785207552,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,88,3.66,3.66,2.86875,3.37875
1043300148,HALLOUM,AMMAR,M,M.D.,M,I,844 CENTRAL BLVD,420,BROWNSVILLE,TX,785207552,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,53,43.396226415,17.27,13.54,13.54
1043300148,HALLOUM,AMMAR,M,M.D.,M,I,844 CENTRAL BLVD,420,BROWNSVILLE,TX,785207552,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,2928.2685714,1074.31,842.26,842.26
1043300148,HALLOUM,AMMAR,M,M.D.,M,I,844 CENTRAL BLVD,420,BROWNSVILLE,TX,785207552,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,23.982857143,4.3885714286,3.2795238095,3.3795238095
1043300148,HALLOUM,AMMAR,M,M.D.,M,I,844 CENTRAL BLVD,420,BROWNSVILLE,TX,785207552,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40.703333333,40.703333333,31.91,31.985
1043300148,HALLOUM,AMMAR,M,M.D.,M,I,844 CENTRAL BLVD,420,BROWNSVILLE,TX,785207552,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,53,227.93962264,68.78,53.92,54.674716981
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,,37,86,5.0618604651,1.801627907,1.3559302326,1.098372093
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,54,2.3466666667,1.327037037,1.0001851852,0.9262962963
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,,16,22,2.4840909091,1.6081818182,1.2586363636,0.9622727273
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,85.377222222,18.92,13.669722222,12.406944444
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,46.235833333,38.32
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,196.0125,50.5975,36.316666667,34.515
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,34.494166667
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,37,37,3952.4335135,1074.31,842.26,842.26
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,28,28,28.509642857,7.6935714286,6.0285714286,3.8610714286
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,22,163,163,577.63509202,88.204233129,65.510368098,52.934355828
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,64,64,174.990625,39.425,28.4928125,27.344375
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1260,15.948960317,11.142904762,8.5083412698,8.5083412698
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,22,9630,0.4973021807,0.0462274143,0.0322824507,0.0322824507
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,13,82,9342,3.6437829159,0.136652751,0.1036480411,0.1036480411
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,1920,36.130755208,3.04771875,2.3445729167,2.3445729167
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,644,186.47847826,41.113928571,32.092732919,32.092717391
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,243.78352941,41.377058824,28.846764706,26.238823529
1043300288,WILLERS,ELISABETH,D,MD,F,I,3601 THE VANDERBILT CLINIC,,NASHVILLE,TN,372325100,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,25,122,122,47.221311475,33,24.251639344,24.251639344
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,5.3181818182,0.51,0.4,0.4
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,63,150,457,52.059540481,8.313916849,6.1060612691,6.110809628
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,14,33,33,15.217575758,3.38,2.4893939394,2.4893939394
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,17,17,21.531176471,2.12,1.5717647059,1.5717647059
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,37,84,144,15.223819444,1.42,1.0915972222,1.0915972222
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,27,27,251.28555556,87.37,57.962592593,57.456666667
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,47,100.89765957,32.76,23.697446809,23.92106383
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,18,31,41.97,15.04,11.409677419,11.497741935
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,163.56166667,52.99,37.149166667,38.358333333
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,24,24,50.577916667,17.9,11.194583333,11.222916667
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,37,37,57.676756757,11.66,8.3989189189,8.3821621622
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,31,144,10.59375,2.06,1.4804861111,1.461875
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,17.140666667,5.93,4.03,4.03
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,26.970909091,12.36,7.9281818182,8.5481818182
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,101.88818182,44.53,34.91,36.178181818
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,79.6,47.6684,37.3692,38.5172
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,42,62.646904762,16.59,11.803095238,12.216904762
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,80,44.17,28.858333333,31.983333333
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,23.5,13.3585,8.3825,8.384
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,16,90,97,22.167319588,4.1525773196,2.8971134021,3.1598969072
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,177.16125,32.0578125,22.2590625,22.694375
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,124.23076923,44.248461538,34.692307692,35.155384615
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,28,33.443928571,9.5078571429,7.4471428571,7.7507142857
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,51,354.07705882,67.72,49.464509804,50.64
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,19,49,11747,0.4399276411,0.0463480037,0.0329777816,0.0329769303
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,44.565217391,17.601304348,13.798695652,14.854565217
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,27.529411765,7.6870588235,6.0252941176,6.52
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,599.5,129.60882353,101.61,105.98235294
1043300486,THIMMARAYAPPA,MAHESHA,,M.D.,M,I,860 111TH AVE N STE 5,,NAPLES,FL,341081835,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,17,40,40,33,33,23.92975,23.92975
1043300577,PETERS,NANCY,C,MD,F,I,281 ROUTE 34,SUITE 813,COLTS NECK,NJ,077222439,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,31,81,200,74.4772,8.32,5.62135,5.62135
1043300577,PETERS,NANCY,C,MD,F,I,281 ROUTE 34,SUITE 813,COLTS NECK,NJ,077222439,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,30,32,13.6609375,1.42,1.049375,1.049375
1043300577,PETERS,NANCY,C,MD,F,I,281 ROUTE 34,SUITE 813,COLTS NECK,NJ,077222439,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,60,6.2513333333,1.923,1.3585,1.429
1043300577,PETERS,NANCY,C,MD,F,I,281 ROUTE 34,SUITE 813,COLTS NECK,NJ,077222439,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,188.55142857,31.128571429,21.72,22.235
1043300643,FARRUKH,HANADI,M,MD,F,I,555 FOOTHILL DR,,SALT LAKE CITY,UT,841121106,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,37,118,76.193050847,8.32,6.1905932203,6.1905932203
1043300643,FARRUKH,HANADI,M,MD,F,I,555 FOOTHILL DR,,SALT LAKE CITY,UT,841121106,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,21,30,13.842666667,1.42,1.0423333333,1.0423333333
1043300643,FARRUKH,HANADI,M,MD,F,I,555 FOOTHILL DR,,SALT LAKE CITY,UT,841121106,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,57,80.817017544,18.906491228,14.063859649,12.845789474
1043300643,FARRUKH,HANADI,M,MD,F,I,555 FOOTHILL DR,,SALT LAKE CITY,UT,841121106,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,17,232.35,50.09,30.03,28.775882353
1043300643,FARRUKH,HANADI,M,MD,F,I,555 FOOTHILL DR,,SALT LAKE CITY,UT,841121106,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,23.87,3.8,2.9766666667,3.5666666667
1043300643,FARRUKH,HANADI,M,MD,F,I,555 FOOTHILL DR,,SALT LAKE CITY,UT,841121106,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,72,87,493.34574713,83.560229885,62.029310345,51.881264368
1043300643,FARRUKH,HANADI,M,MD,F,I,555 FOOTHILL DR,,SALT LAKE CITY,UT,841121106,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,147.97538462,39.82,30.297692308,28.727692308
1043300817,FIORE MD PA,EDWARD,D,,M,I,20 HOSPITAL DR,SUITE 12A,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,76,59.149868421,8.32,5.8347368421,5.8347368421
1043300817,FIORE MD PA,EDWARD,D,,M,I,20 HOSPITAL DR,SUITE 12A,TOMS RIVER,NJ,087556434,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,25,28,17.779642857,1.42,0.9985714286,0.9985714286
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,35,125,230,54.971217391,8.32,5.5881304348,5.5881304348
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,20,23,12.53826087,1.42,1.0686956522,1.0686956522
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,3.5461538462,2.0569230769,1.4192307692,1.0253846154
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.4608333333,0.9679166667,0.8216666667
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,56,23.7,18.58,14.686666667
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,60.53,19.345,15.165,9.9157142857
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,65,8.2,3.1252307692,2.4498461538,1.7161538462
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,196.16965517,65.04862069,43.928965517,30.370344828
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,85.147659574,22.299361702,16.52893617,12.794468085
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,22,22,90,62.207272727,43.143636364,33.712272727
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,300,52.791875,41.386875,29.438125
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,460.37446809,101.25531915,75.285744681,51.813191489
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,11213,0.3019771694,0.0463756354,0.0293043788,0.0293043788
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1080,2.19,0.13325,0.0817407407,0.0817407407
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1113,0.6676190476,0.2193351303,0.1719856244,0.1719856244
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,64.16,29.466363636,23.102727273,15.478181818
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,577.42,246.06142857,189.63380952,128.53333333
1043300999,LUDWICK,ROBERT,A,MD,M,I,110 NORMAN DORMINY DR STE A,,FITZGERALD,GA,317508858,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,48,48,37.916666667,33,22.034166667,22.034166667
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,70,143,81.561748252,8.32,5.4517482517,5.4517482517
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,20,16.046,1.42,0.948,0.948
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,28,56,8.19,1.5421428571,1.1257142857,1.0925
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,58,86.31,17,12.180862069,12.354482759
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,50.73,4.01,3.1382352941,3.7752941176
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,101,109,519.51,79.989174312,57.893761468,50.699357798
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,42,32.93,29.795
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,3626,0.2694594595,0.0471704357,0.0361555433,0.0361555433
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,73,7230,1.0683941909,0.1348257261,0.0942932227,0.0942932227
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0283636364,2.2970606061,2.2970606061
1043301161,WITTEK,MICHAEL,,RPA,M,I,6254 LAWVILLE RD,,WOLCOTT,NY,145909792,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,15,81,81,113.66666667,33,24.181358025,24.181358025
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,44,128,428,58.542242991,8.32,5.8472196262,5.8472196262
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.470769231,3.38,2.2423076923,2.2423076923
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,24,57,110,12.929909091,1.42,0.9766363636,0.9766363636
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,53,73.203396226,19.007358491,14.341320755,13.073773585
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,72,462.53861111,88.321666667,67.249722222,54.035555556
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1856,1.3737068966,0.1325161638,0.0980118534,0.0980118534
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,25,8.4746153846,6.1684615385,6.1584615385
1043301179,TRYON,RANDY,J,MD,M,I,2305 ASHEVILLE HWY,,HENDERSONVILLE,NC,287911500,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,87.45,33,22.3055,22.3055
1043301682,BARKER,SAMUEL,H,"D.C., NP-C",M,I,844 WASHINGTON ST N STE 400,,TWIN FALLS,ID,833013874,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,60,17.91,11.842666667,11.409333333
1043301682,BARKER,SAMUEL,H,"D.C., NP-C",M,I,844 WASHINGTON ST N STE 400,,TWIN FALLS,ID,833013874,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,341.53285714,70.48,42.999285714,42.582857143
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,24,70,179,65.870949721,8.32,5.8663687151,5.8663687151
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,12,18,36,14.770277778,1.42,0.9902777778,0.9902777778
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,33,33,134.03878788,49.814242424,38.033636364,30.286666667
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,26,26,456.40384615,119.68538462,88.036923077,64.236153846
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,26,67,174.15104478,45.919104478,33.814626866,24.262537313
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,58,92.872241379,19.954827586,13.099482759,10.09137931
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,275.4385,73.974,54.923,41.2815
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,27,27,89.252222222,24.410740741,17.767777778,13.466296296
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,98.7975,19.62,15.38,10.084166667
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,45,254,11.679212598,3.0747244094,2.3614566929,1.6227165354
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,33.84,8.4738461538,5.8546153846,4.2238461538
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,72.886,22.838666667,16.045777778,12.763111111
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,24,232.35,59.855,46.925833333,39.29875
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,81.75,18.92,12.353571429,9.2057142857
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,62,62,260.26983871,48.783548387,34.079354839,23.085806452
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,75,75,424.79733333,105.76413333,76.624666667,54.2924
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6116153846,7.3515769231,7.3515769231
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,390,13.94,11.192153846,8.4068461538,8.4068461538
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,6330,0.3463886256,0.0458736177,0.0293317536,0.0293317536
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,840,0.92,0.1302857143,0.0761666667,0.0761666667
1043301732,SWENSON,RICHARD,E,MD,M,I,1501 S OREGON ST,,YREKA,CA,96097,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,61,61,109.27868852,33,23.403934426,23.403934426
1043301815,GUINAN-CLARK,HEATHER,E,"MS, MPH, APRN, BC",F,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,360,14.093111111,3.2400833333,2.3333888889,2.3333888889
1043301997,CHAPARRO,SANDRA,,MD,F,I,1400 NW 12TH AVE,,MIAMI,FL,331361003,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,28,28,66.428571429,19.71,15.45,15.45
1043301997,CHAPARRO,SANDRA,,MD,F,I,1400 NW 12TH AVE,,MIAMI,FL,331361003,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,35,145,140.68965517,37.38,29.30662069,29.30662069
1043301997,CHAPARRO,SANDRA,,MD,F,I,1400 NW 12TH AVE,,MIAMI,FL,331361003,US,Physician/Cardiovascular Disease (Cardiology),S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,42,532,49.324906015,5.0490977444,3.9584774436,3.9584774436
1043301997,CHAPARRO,SANDRA,,MD,F,I,1400 NW 12TH AVE,,MIAMI,FL,331361003,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,3120,4.8504551282,0.5667884615,0.4130224359,0.4130128205
1043301997,CHAPARRO,SANDRA,,MD,F,I,1400 NW 12TH AVE,,MIAMI,FL,331361003,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2160,3.9310231481,1.5988333333,1.2534722222,1.2534722222
1043301997,CHAPARRO,SANDRA,,MD,F,I,1400 NW 12TH AVE,,MIAMI,FL,331361003,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,15.683333333,15.683333333
1043301997,CHAPARRO,SANDRA,,MD,F,I,1400 NW 12TH AVE,,MIAMI,FL,331361003,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,37,16,16,11.360810811,11.360810811
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,4050,0.2547407407,0.13,0.0973975309,0.0973975309
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,27,1317,2.4529157175,2.27,1.7796962794,1.7796962794
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,48,12060,2.5018656716,2.0397761194,1.5826650083,1.5826650083
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,49,10280,7.1406809339,6.1956420233,4.8089640078,5.6034299611
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,22,72,234,14.977264957,10.887948718,8.2432051282,8.2761538462
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,39,181,9.0079558011,7.3486187845,5.4693370166,5.5566850829
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,340,9.0958823529,3.83,2.8259117647,2.8784705882
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,340,8.0551764706,5.2976470588,3.9318529412,4.2895
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,170,17.986117647,9.86,7.6821176471,7.6821176471
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,14,460,16.113826087,7,5.2493913043,5.2493913043
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,230,12.227869565,5.54,4.3433478261,4.3433478261
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,29,650,8.5913846154,4.04,3.1154461538,3.1154461538
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4433,"Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,240,11.831583333,3.77,2.9557083333,2.9557083333
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,25,1195,0.7430627615,0.27,0.2116150628,0.2116150628
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,12,625,0.79112,0.27,0.211632,0.211632
1043302383,BLITZ,BARRY,F,MD,M,I,7451 GLADIOLUS DR,,FORT MYERS,FL,339085193,US,Physician/Urology,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,15,36.569333333,15.16,11.888666667,13.980666667
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,22,77,168,68.722083333,8.32,6.1182142857,6.1182142857
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,30,31,17.189354839,1.42,0.9748387097,0.9748387097
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,8.19,2.0057142857,1.3014285714,0.9035714286
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,16,64.194375,44.395,31.22375,25.5
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,42,4.4066666667,2.8723809524,1.9280952381,1.4928571429
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,25,68.8812,22.3396,16.0068,12.3764
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.64,1.3236363636,1.2290909091
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,63,382.64714286,102.08,76.682539683,52.905396825
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6433333333,7.5025138889,7.5025138889
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,2280,1.1036359649,0.1335263158,0.0951315789,0.0951315789
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,33,1920,12.745604167,3.052109375,2.35409375,2.35409375
1043302474,PETRESCUE,SCOTT,W,MD,M,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,43,43,113.58139535,33,24.666744186,24.666744186
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,28,56,56,116.28589286,38.736785714,28.393571429,28.517857143
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,18,34,34,336.32352941,89.767941176,65.350294118,62.967058824
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,14,41,84,140.965,33.837619048,24.153214286,23.605
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,23,109,79.706055046,20.107155963,14.468990826,13.738256881
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,60,34.96,15,10.733,10.867166667
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,20,40,40,181.11525,57.5535,40.80975,39.21425
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,33,41,41,63.765853659,18.318780488,12.740487805,12.446585366
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,52.897333333,12,8.678,8.408
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,30,63,326,9.2614110429,2.0570552147,1.4798466258,1.4586503067
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,19,25,25,40.5388,12.9396,9.52,9.6836
1043302615,YAGER,JONATHAN,E,MD,M,I,3023 HAMAKER CT,SUITE 100,FAIRFAX,VA,220315216,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,45.463333333,35.645,37.195
1043302748,KABALIN,JOHN,N,M.D.,M,I,3911 AVENUE B,SUITE 2200,SCOTTSBLUFF,NE,693614617,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,6144,0.2967138672,0.13,0.0926432292,0.0926432292
1043302748,KABALIN,JOHN,N,M.D.,M,I,3911 AVENUE B,SUITE 2200,SCOTTSBLUFF,NE,693614617,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,58,13494,4.5260893731,1.906299837,1.3085571365,1.3806039721
1043302748,KABALIN,JOHN,N,M.D.,M,I,3911 AVENUE B,SUITE 2200,SCOTTSBLUFF,NE,693614617,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,11.4,7.88,6.0450462963,6.0450462963
1043302748,KABALIN,JOHN,N,M.D.,M,I,3911 AVENUE B,SUITE 2200,SCOTTSBLUFF,NE,693614617,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,56,2.5257142857,1.73,1.3575,1.40625
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,43,106,318,62.504465409,8.32,5.9349685535,5.9349685535
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,21,50,66,13.809545455,1.42,1.0143939394,1.0143939394
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,137.19,45.495625,35.668125,37.439375
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,741,99.343571429,77.89,122.98428571
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,37.865,6.125,4.805,3.94
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,71.271875,39.483125,30.960625,32.19375
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,1.0656153846,0.1359230769,0.0995641026,0.0995641026
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9555454545,2.1080606061,2.1080606061
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,66.576153846,17.733076923,13.903076923,16.118461538
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,119.34,34.213571429,26.823571429,21.86
1043302946,ZABOSKI,MICHAEL,R,M.D.,M,I,240 WILLIAMSON ST,SUITE 204,ELIZABETH,NJ,072023625,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,93.5,33,25.87,25.87
1043303068,HEWITT,MARY,F,M.D.,F,I,620 MASSEY TOMPKINS RD,,BAYTOWN,TX,775214312,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,60,55.428166667,8.32,5.4348333333,5.4348333333
1043303068,HEWITT,MARY,F,M.D.,F,I,620 MASSEY TOMPKINS RD,,BAYTOWN,TX,775214312,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.32,11.64,11.605714286
1043303068,HEWITT,MARY,F,M.D.,F,I,620 MASSEY TOMPKINS RD,,BAYTOWN,TX,775214312,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,45.272121212,3.9724242424,2.5990909091,3.0603030303
1043303068,HEWITT,MARY,F,M.D.,F,I,620 MASSEY TOMPKINS RD,,BAYTOWN,TX,775214312,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,454.6325,75.93,54.931875,50.369166667
1043303068,HEWITT,MARY,F,M.D.,F,I,620 MASSEY TOMPKINS RD,,BAYTOWN,TX,775214312,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,151.81818182,35.56,26.612727273,28.261363636
1043303068,HEWITT,MARY,F,M.D.,F,I,620 MASSEY TOMPKINS RD,,BAYTOWN,TX,775214312,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,4666,0.2978354051,0.046705958,0.0366116588,0.0366116588
1043303068,HEWITT,MARY,F,M.D.,F,I,620 MASSEY TOMPKINS RD,,BAYTOWN,TX,775214312,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,71.076923077,33,25.87,25.87
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,1.3823636364,0.4686363636,0.3673333333,0.3673333333
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,53,7560,5.2571124339,0.5770396825,0.4301891534,0.4301891534
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,11400,0.0607,0.0125464912,0.0098377193,0.0098377193
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,2640,4.0059545455,1.3533409091,1.0600378788,1.0600378788
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,45,7200,6.3279152778,2.8315333333,2.2199083333,2.2199083333
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,35.197909091,7.438,5.8314090909,5.8314090909
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,70,70,24,24,18.551142857,18.551142857
1043303084,UDUPA,ANAND,D,MD,M,I,6465 S YALE AVE,SUITE 507,TULSA,OK,741367823,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,80,104,16,16,12.54,12.54
1043303183,BANDARA,ANOMA,P,M.D.,F,I,19241 MONTGOMERY VILLAGE AVENUE,SUITE E23,MONTGOMERY VILLAGE,MD,208865036,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,58,128,63.0940625,8.32,5.501796875,5.501796875
1043303183,BANDARA,ANOMA,P,M.D.,F,I,19241 MONTGOMERY VILLAGE AVENUE,SUITE E23,MONTGOMERY VILLAGE,MD,208865036,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.471428571,3.38,2.4607142857,2.4607142857
1043303183,BANDARA,ANOMA,P,M.D.,F,I,19241 MONTGOMERY VILLAGE AVENUE,SUITE E23,MONTGOMERY VILLAGE,MD,208865036,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,33,35,12.590857143,1.42,0.9914285714,0.9914285714
1043303233,KLEPPER,JAMES,I,M.D.,M,I,175 E MAIN ST,SUITE 200,HUNTINGTON,NY,117432939,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,50,148,60.158648649,8.32,6.477972973,6.477972973
1043303233,KLEPPER,JAMES,I,M.D.,M,I,175 E MAIN ST,SUITE 200,HUNTINGTON,NY,117432939,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.289090909,3.38,2.65,2.65
1043303233,KLEPPER,JAMES,I,M.D.,M,I,175 E MAIN ST,SUITE 200,HUNTINGTON,NY,117432939,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,34,57,16.181052632,1.42,1.0952631579,1.0952631579
1043303274,RAHMAN,RIAZ,,MD,M,I,MMG - BRONX EAST,2300 WESTCHESTER AVENUE,BRONX,NY,10462,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,36,98,68.737142857,8.32,6.3885714286,6.3885714286
1043303274,RAHMAN,RIAZ,,MD,M,I,MMG - BRONX EAST,2300 WESTCHESTER AVENUE,BRONX,NY,10462,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,28,21.650714286,1.42,1.1142857143,1.1142857143
1043303373,VERGHIS,ARUL,,MD,M,I,4402 CHURCHMAN AVE,SUITE 302,LOUISVILLE,KY,402151190,US,Physician/Anesthesiology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,779.52,124.34181818,84.445454545,82.947272727
1043303399,DECKER,PATRICIA,,,F,I,103 W SOUTH ST,,FLANAGAN,IL,617407547,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,37,80,72.638125,8.32,5.624,5.624
1043303399,DECKER,PATRICIA,,,F,I,103 W SOUTH ST,,FLANAGAN,IL,617407547,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,12.356363636,1.42,0.9163636364,0.9163636364
1043303688,RAO,REVATI,A,M.D.,F,I,2014 WASHINGTON ST,NEW ENGLAND HEMATOLOGY ONCOLOGY,NEWTON,MA,024621607,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,14,788,36.511751269,5.273642132,4.0689467005,4.0689467005
1043303688,RAO,REVATI,A,M.D.,F,I,2014 WASHINGTON ST,NEW ENGLAND HEMATOLOGY ONCOLOGY,NEWTON,MA,024621607,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,24,24,18.82,18.82
1043303704,SEOK,WOUN,,D.O,M,I,3500 DULUTH PARK LN,SUITE 220,DULUTH,GA,300963242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,66,165,49.518181818,8.32,5.8098181818,5.8098181818
1043303704,SEOK,WOUN,,D.O,M,I,3500 DULUTH PARK LN,SUITE 220,DULUTH,GA,300963242,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,36,49,15.245918367,1.42,1.0257142857,1.0257142857
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,31,31,95.118387097,41.022903226,25.937419355,24.588709677
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,25,25,400.4292,94.58,59.8724,54.572
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,11,27,66,163.815,35,25.923484848,24.516363636
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,14,28,141,56.004397163,19.971985816,15.122198582,14.015815603
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,21,39,39,176.97769231,56.051282051,41.688974359,40.662051282
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,35,35,60.434571429,19.470285714,14.935428571,13.729142857
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,22,22,85.854545455,12.08,9.47,9.12
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,25,49,279,9.7082795699,2.2989247312,1.7636917563,1.5620071685
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,22,81.75,14.1,11.05,10.48
1043303738,LOVERME,STEPHEN,R,M.D.,M,I,83 HERRICK ST,SUITE 1001,BEVERLY,MA,019152757,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,32,257.79375,33.5915625,26.3371875,25.1671875
1043303845,GOPAL,NAMITA,R,M.D.,F,I,415 SUTTON LN,,OWENSBORO,KY,423010372,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,12,48,8.32,5.44,5.44
1043303936,BHARUCHA,JITENDRA,B,M.D.,M,I,2660 MAIN ST,SUITE 110,BRIDGEPORT,CT,066065369,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,13,192,16.651875,10.93,8.0334895833,8.0334895833
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,50,53.3998,8.32,5.4072,5.4072
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,9.55,8.05,5.915625,6.3925
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,6.58,5.54,4.06875,4.06875
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,14.1,11.88,8.728125,10.166875
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,32,12.275,10.34,7.5984375,8.0371875
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,134.38,48.753333333,36.945925926,37.88037037
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,24.01,9.24,5.8825,6.949375
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,199.87142857,75.128571429,53.674761905,49.786190476
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,69.89,18.817333333,14.754666667,13.972
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,104.90722222,23.665,16.9275,19.429444444
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,45,45,20.327777778,7.7942222222,5.68,6.0455555556
1043304041,BERGMAN,HERBERT,M,MD,M,I,8420 ROOSEVELT BLVD,,PHILADELPHIA,PA,191522064,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,37,29.01,29.464545455
1043304249,RAVIN,NEIL,D,MD,M,I,62 BROWN ST,SUITE 303,HAVERHILL,MA,018306778,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,85,226,958,78.780281837,8.3109812109,6.3253131524,6.3323903967
1043304249,RAVIN,NEIL,D,MD,M,I,62 BROWN ST,SUITE 303,HAVERHILL,MA,018306778,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,40,83,185,14.730918919,1.42,1.082972973,1.082972973
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,59,143,406,67.632438424,8.32,5.7180295567,5.7180295567
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,10.384736842,3.38,2.5105263158,2.5105263158
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,26,50,73,12.634383562,1.42,1.0695890411,1.0695890411
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,772.44333333,110.78583333,76.7975,58.41
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,271.25076923,41.502307692,31.338076923,25.875384615
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,302.71875,60,47.04,43.3825
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,25,25,117.9176,21.1284,15.3472,13.0024
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,84.151363636,15.702272727,11.409090909,9.4431818182
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,24,144,9.4141666667,2.39,1.7361805556,1.5531944444
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.52,17.52,12.231666667,12.048333333
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55.34,23.135,18.14,13.5375
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,874.72,42.975,31.12,23.966666667
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,79,79,537.53594937,83.448860759,62.390632911,52.775443038
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,149.13043478,37,27.748695652,28.210869565
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3299,0.3376053349,0.0460715368,0.0333404062,0.0333404062
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,85.535,26.015625,19.485,13.09875
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,285.6,37,29.01,29.51
1043304306,O'CONNOR,THOMAS,,MD,M,I,300 E BOYD AVE,SUITE 100,GREENFIELD,IN,461402816,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,33,33,23.731578947,23.731578947
1043304348,RODRIGUES,MICHAEL,P,MD,M,I,520 UPPER CHESAPEAKE DRIVE,SUITE 206,BEL AIR,MD,21014,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,54,87.773518519,19.832407407,15.548518519,14.781851852
1043304348,RODRIGUES,MICHAEL,P,MD,M,I,520 UPPER CHESAPEAKE DRIVE,SUITE 206,BEL AIR,MD,21014,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,78,10.685384615,2.2815384615,1.788974359,1.6328205128
1043304348,RODRIGUES,MICHAEL,P,MD,M,I,520 UPPER CHESAPEAKE DRIVE,SUITE 206,BEL AIR,MD,21014,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,20,21,447.57428571,33.543333333,23.141904762,22.861904762
1043304371,JACH,MICHAEL,,MD,M,I,602 E NOB HILL BLVD,,YAKIMA,WA,989013534,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,28,45.536071429,8.32,6.0553571429,6.0553571429
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,18,32,65,8.6363076923,2.112,1.6152307692,1.1572307692
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,20,24,24,83.185416667,19.374166667,15.19125,9.3895833333
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,40,78,78,513.35205128,121.37076923,87.774871795,63.787692308
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,32,81,199,197.20040201,46.013366834,34.908844221,25.425577889
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,94,94.790425532,26.810425532,20.043829787,13.622659574
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,29,29,285.72931034,76.826896552,56.246206897,39.169655172
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,44,60,60,92.853666667,24.8175,19.018333333,13.773666667
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,44,94,94,95.940106383,20.560212766,15.637978723,9.1631914894
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,46,112,551,12.668638838,3.167477314,2.3986388385,1.5682577132
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,26.38125,8.45875,5.995,4.255
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,27,38,38,58.196842105,15.778157895,12.23,10.204210526
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,73,515,532,96.30887218,22.606033835,16.434774436,12.792086466
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,14,90,90,182.72388889,60.172888889,45.341444444,37.184444444
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,2645.1542857,1035.61,811.92,839.37047619
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,4602.495,1035.61,810.84583333,841.18583333
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,50,51,559.30627451,124.14215686,94.282352941,65.340980392
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,1813.77,295.51666667,212.55933333,145.80466667
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,88.3325,18.402,13.2695,10.4525
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,14,77,79,132.92113924,7.6891139241,5.5817721519,3.3787341772
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,166.83333333,36.87,28.91,30.3
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,15,74,76,317.56631579,49.934736842,38.013421053,26.824605263
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,12,12,12,155.1475,70.425,48.689166667,48.689166667
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,114,877,897,525.45530658,104.10185061,77.354659978,54.269364548
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,40,293,294,235.59156463,45.437006803,33.91047619,28.654013605
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,48,2880,16.242489583,9.6638333333,7.5510486111,7.5510486111
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,19.45,11.2095,8.7882916667,8.7882916667
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,17,70,12353,0.1765482069,0.0464534931,0.034259694,0.034259694
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2646,2.524569161,0.0758730159,0.0531934996,0.0531934996
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,70,6239,1.4965507293,0.1355858311,0.0983234493,0.0983234493
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,20,136,7980,11.757448622,3.0067969925,2.3033195489,2.3033195489
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,72,3352,1.4915721957,0.2191825776,0.1603192124,0.1603192124
1043304413,BOBADILLA,ARNEL ANTHONY,S,MD,M,I,2200 W 21ST ST,PLAINS REGIONAL MEDICAL GROUP,CLOVIS,NM,881012011,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,42,248,248,105.65322581,33,24.47983871,24.47983871
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,37,82,255,72.017686275,8.32,6.292627451,6.292627451
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,23,45,14.568666667,1.42,1.064,1.064
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1440,3.7294861111,2.02,1.5836666667,1.5836666667
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,641,0.9638533541,0.23,0.1803120125,0.2117628705
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,71.161818182,17.09,11.775757576,11.911818182
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,65,65,437.54492308,67.368615385,51.059846154,52.724461538
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,35,236.85714286,38.510857143,30.193142857,29.510285714
1043304462,ALLEN,JOHN,R,M.D.,M,I,1501 NE MEDICAL CENTER DR,,BEND,OR,977016051,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,57,18.4175,14.44125,14.73125
1043304512,COE,JOHN,L,M.D.,M,I,2480 SONOMA STREET,,REDDING,CA,96001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,40,130,59.988,8.32,5.8460769231,5.8460769231
1043304512,COE,JOHN,L,M.D.,M,I,2480 SONOMA STREET,,REDDING,CA,96001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,32,49,15.141020408,1.42,1.0704081633,1.0704081633
1043304512,COE,JOHN,L,M.D.,M,I,2480 SONOMA STREET,,REDDING,CA,96001,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,62.678571429,4.15,2.6164285714,3.0057142857
1043304512,COE,JOHN,L,M.D.,M,I,2480 SONOMA STREET,,REDDING,CA,96001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,388.33909091,65.7,49.168636364,51.986363636
1043304611,FULLER,TONYA,F,MD,F,I,782 E HARDING WAY,,STOCKTON,CA,952046101,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,234.27272727,17.901818182,10.824545455,10.73
1043304611,FULLER,TONYA,F,MD,F,I,782 E HARDING WAY,,STOCKTON,CA,952046101,US,Physician/Neurology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,92.836363636,9.6627272727,5.8418181818,5.1290909091
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,35,59,59.520847458,8.1969491525,5.6823728814,5.7557627119
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,13.050833333,1.42,1.0266666667,1.0266666667
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1080,0.39,0.13,0.0933981481,0.0933981481
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1080,4.35,2.04,1.4749814815,1.4749814815
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,10.724545455,9.86,7.73,7.73
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,11,11,70.709090909,26.723636364,18.114545455,12.312727273
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,80.746,20.974,15.770666667,10.054666667
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,92,10.64,3.0752173913,2.1418478261,1.4683695652
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,463.81702128,102.21744681,77.597234043,53.262765957
1043304736,MOUNCE,KERI,L,M.D.,F,I,56 CEDAR ST,,TIPTON,IA,527721705,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,105,44.745,33.858333333,28.59
1043304926,MACALALAD,J F HERBERT,R,MD,M,I,3501 CRANBERRY BLVD,,WESTON,WI,544765213,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,28,88,160,79.2481875,8.32,5.7083125,5.7083125
1043304926,MACALALAD,J F HERBERT,R,MD,M,I,3501 CRANBERRY BLVD,,WESTON,WI,544765213,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,23,17.437391304,1.42,0.872173913,0.872173913
1043304926,MACALALAD,J F HERBERT,R,MD,M,I,3501 CRANBERRY BLVD,,WESTON,WI,544765213,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,66,11.141515152,2.1648484848,1.5901515152,1.4954545455
1043304926,MACALALAD,J F HERBERT,R,MD,M,I,3501 CRANBERRY BLVD,,WESTON,WI,544765213,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2727,0.3604583792,0.045386872,0.0339090576,0.0339090576
1043304926,MACALALAD,J F HERBERT,R,MD,M,I,3501 CRANBERRY BLVD,,WESTON,WI,544765213,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1177,1.5407731521,0.1277994902,0.1002293968,0.1002293968
1043304926,MACALALAD,J F HERBERT,R,MD,M,I,3501 CRANBERRY BLVD,,WESTON,WI,544765213,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,21,33,33,23.406190476,23.406190476
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,49,124,316,49.634778481,8.32,5.2471202532,5.2471202532
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.584285714,3.38,2.65,2.65
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,39,78,119,11.611680672,1.42,0.9199159664,0.9199159664
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,8.0271428571,1.8471428571,1.2664285714,0.9857142857
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,55.9192,23.2852,18.2536,14.2524
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100.69,59.384545455,46.557272727,41.270909091
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,50,50,25.7072,7.9304,6.1188,3.7346
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,158.985,49.053333333,36.301666667,32.456666667
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,111,111,403.17117117,106.79405405,81.575585586,55.357207207
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,145.53333333,45.69,35.823333333,30.498333333
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,17.105263158,9.6072105263,7.3814298246,7.3814298246
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,42,9181,0.3627742076,0.0461757978,0.0316468794,0.0316468794
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,55,5790,1.6033937824,0.134507772,0.1035906736,0.1035906736
1043304967,HENIGAN,TAMYRA,,CFNP,F,I,573 N BRADLEY HWY,,ROGERS CITY,MI,497791508,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,17,97,97,86.072164948,33,24.536494845,24.536494845
1043305113,EISENHART,PAULA,A,M.D.,F,I,7565 MISSION VALLEY RD,,SAN DIEGO,CA,921084431,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,33,67.156363636,8.32,5.5324242424,5.5324242424
1043305113,EISENHART,PAULA,A,M.D.,F,I,7565 MISSION VALLEY RD,,SAN DIEGO,CA,921084431,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,20,469.8775,72.06,50.041,48.4485
1043305121,MOON,AMY,,N.P.,F,I,237 N FAYETTEVILLE ST STE D,,ASHEBORO,NC,272035573,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,78,201,57.901492537,8.32,5.9709950249,5.9709950249
1043305121,MOON,AMY,,N.P.,F,I,237 N FAYETTEVILLE ST STE D,,ASHEBORO,NC,272035573,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,15,3.38,2.4941176471,2.4941176471
1043305121,MOON,AMY,,N.P.,F,I,237 N FAYETTEVILLE ST STE D,,ASHEBORO,NC,272035573,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,41,55,14.446,1.42,0.9750909091,0.9750909091
1043305121,MOON,AMY,,N.P.,F,I,237 N FAYETTEVILLE ST STE D,,ASHEBORO,NC,272035573,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,28.23,3.84,2.3236363636,2.9272727273
1043305121,MOON,AMY,,N.P.,F,I,237 N FAYETTEVILLE ST STE D,,ASHEBORO,NC,272035573,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,423.70722222,81.64,53.263333333,45.023333333
1043305246,FELLENZ,MONICA,E,PA,F,I,36 THOMAS INDIAN SCHOOL DR,CATTARAUGUS INDIAN RESERVATION HEALTH CENTER,IRVING,NY,140819300,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,88,54.135340909,8.32,6.5226136364,6.5226136364
1043305279,WRIGHT,ALISON,,MD,F,I,7151 MARSH RD STE 150,,INDIANAPOLIS,IN,462781631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,27,65,74.094769231,8.32,5.1470769231,5.1470769231
1043305279,WRIGHT,ALISON,,MD,F,I,7151 MARSH RD STE 150,,INDIANAPOLIS,IN,462781631,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2490,3.6656626506,1.73,1.2987068273,1.5329477912
1043305279,WRIGHT,ALISON,,MD,F,I,7151 MARSH RD STE 150,,INDIANAPOLIS,IN,462781631,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,56,2.6389285714,1.53,1.2,1.3951785714
1043305279,WRIGHT,ALISON,,MD,F,I,7151 MARSH RD STE 150,,INDIANAPOLIS,IN,462781631,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,562.4,79.96,56.5175,49.884166667
1043305279,WRIGHT,ALISON,,MD,F,I,7151 MARSH RD STE 150,,INDIANAPOLIS,IN,462781631,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,145.71428571,37,27.628571429,28.110952381
1043305279,WRIGHT,ALISON,,MD,F,I,7151 MARSH RD STE 150,,INDIANAPOLIS,IN,462781631,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37,24.175,24.655
1043305394,WHANG,SEON,H,,M,I,3663 W 6TH ST STE 100,,LOS ANGELES,CA,900203047,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,33,93,181,41.550994475,8.32,5.9082872928,5.9082872928
1043305394,WHANG,SEON,H,,M,I,3663 W 6TH ST STE 100,,LOS ANGELES,CA,900203047,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,31,86,87,9.3657471264,1.42,1.003908046,1.003908046
1043305477,KALLMAN,JAMIE,A,P.A.-C.,F,I,100 NORTH EAGLE CREEK DRIVE,,LEXINGTON,KY,40509,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,28,76.723928571,8.32,5.3582142857,5.3582142857
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,84.5825,37.820833333,28.66,29.671666667
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,155.56615385,52.11,40.851538462,42.411538462
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,16,89,5.5742696629,2.0117977528,1.577752809,1.5937078652
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,2208.75,1074.31,833.293125,833.293125
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,57,57,154.41526316,31.82,23.498421053,23.553157895
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,85,89,372.21348315,71.5,52.553707865,51.388202247
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,52,166.56653846,35.5,25.689230769,27.304615385
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,94.373333333,35.5,26.283888889,27.893888889
1043305493,FLESS,KRISTIN,G,M.D.,F,I,94 OLD SHORT HILLS RD,,LIVINGSTON,NJ,070395672,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,33,33,25.87,25.87
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,95,143,144,115.99583333,41.108402778,29.591319444,28.160763889
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,21,8.19,1.53,1.2019047619,1.1485714286
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,72,122,122,369.32327869,96.984098361,67.935983607,60.972377049
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,45,77,178,112.29994382,38.070898876,29.106797753,25.574101124
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,39,68,287,55.814250871,20.370940767,15.206271777,13.860383275
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,37,52,249,49.059678715,16.443534137,10.991325301,10.175662651
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,103,192,192,230.54520833,60.984739583,43.269427083,38.863229167
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,170,219,219,66.941187215,19.548219178,13.76890411,12.652876712
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,20,20,31.502,11.9865,8.428,7.353
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,68,158,158,90.155949367,12.640632911,9.2553797468,8.5564556962
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,169,331,1733,10.216670514,2.1776918638,1.5568320831,1.4604673976
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,30,39,39,28.815128205,6.7041025641,4.8512820513,4.3038461538
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,17,105,132,132,53.8875,15.252424242,11.430227273,9.9436363636
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,86,89,76.814719101,18.796404494,13.943595506,13.033707865
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,54.99,39.5175,38.316666667
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,51.36,36.914166667,34.494166667
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,15,17,519.37882353,120.64705882,94.585882353,71.242352941
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,44,44,884.7075,243.08181818,183.06954545,154.65545455
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,25,26,26,447.46615385,151.50576923,113.88807692,104.28538462
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,22,86,100,55.6832,15.3925,11.5991,10.1528
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,50.73,5.8084,4.4332,3.4272
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,80,462,472,202.88641949,36.789131356,25.894682203,22.607436441
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,156,159,471.92264151,88.498553459,66.314025157,53.903459119
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,55,217.81818182,40.25,30.612909091,28.749454545
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1560,13.94,11.046307692,8.6578846154,8.6578846154
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,2036,0.1656237721,0.046453831,0.0363948919,0.0363948919
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1620,0.92,0.1355925926,0.1012469136,0.1012469136
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,42,2310,12.625329004,3.001025974,2.2753896104,2.2753896104
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.201666667,34.656666667,29.685833333
1043305675,ZEILENDER,STUART,B,M.D.,M,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014519,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,58,58,130.29310345,33,24.977931034,24.977931034
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,33,121,55.812892562,8.32,5.5519834711,5.5519834711
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.2575,3.38,2.153125,2.153125
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,25,52,14.125576923,1.42,0.9196153846,0.9196153846
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,151.72413793,53.196896552,40.660344828,39.371724138
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,22,55.130454545,16.61,11.836363636,12.297272727
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,120.36153846,50,39.2,37.63
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,42,268.34952381,77.293571429,57.616666667,52.875
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1500,0.22252,0.0465533333,0.0328133333,0.0328133333
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,54.963902439,18.946097561,13.188536585,12.705121951
1043305949,MARTINEZ,ARMANDO,O,M.D.,M,I,1395 N COURTENAY PKWY,SUITE # 200,MERRITT ISLAND,FL,329534400,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,114,33,23.518181818,23.518181818
1043305972,GOLI,VIJAY,B,M.D.,M,I,7500 SMOKE RANCH RD.,SUITE 200,LAS VEGAS,NV,891280373,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,61,7200,0.3784166667,0.13,0.0975138889,0.0975138889
1043305972,GOLI,VIJAY,B,M.D.,M,I,7500 SMOKE RANCH RD.,SUITE 200,LAS VEGAS,NV,891280373,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,585,3.3084615385,2.27,1.6884786325,1.6884786325
1043305972,GOLI,VIJAY,B,M.D.,M,I,7500 SMOKE RANCH RD.,SUITE 200,LAS VEGAS,NV,891280373,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,103,13670,4.6810534016,2.0010241405,1.5310241405,1.561582297
1043305972,GOLI,VIJAY,B,M.D.,M,I,7500 SMOKE RANCH RD.,SUITE 200,LAS VEGAS,NV,891280373,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,59,5390,9.7084415584,7.1939332096,5.5861706865,5.6144471243
1043305972,GOLI,VIJAY,B,M.D.,M,I,7500 SMOKE RANCH RD.,SUITE 200,LAS VEGAS,NV,891280373,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,1980,11.7,7.88,6.105469697,6.105469697
1043305972,GOLI,VIJAY,B,M.D.,M,I,7500 SMOKE RANCH RD.,SUITE 200,LAS VEGAS,NV,891280373,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,60,16.513166667,10.93,8.284,8.284
1043305972,GOLI,VIJAY,B,M.D.,M,I,7500 SMOKE RANCH RD.,SUITE 200,LAS VEGAS,NV,891280373,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,37,9.7508108108,7.46,5.5337837838,5.5337837838
1043306012,SCOTT,DUSTY,L,P.A.,F,I,1001 NEWMAN RD,,NEW BERN,NC,285625253,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,239.0625,86.33,67.68,67.83
1043306012,SCOTT,DUSTY,L,P.A.,F,I,1001 NEWMAN RD,,NEW BERN,NC,285625253,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,94.705882353,33.48,26.24,25.968235294
1043306012,SCOTT,DUSTY,L,P.A.,F,I,1001 NEWMAN RD,,NEW BERN,NC,285625253,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,54.166923077,17.88,13.606153846,13.656153846
1043306012,SCOTT,DUSTY,L,P.A.,F,I,1001 NEWMAN RD,,NEW BERN,NC,285625253,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,22,22,56.363636364,11.54,9.05,9.1168181818
1043306012,SCOTT,DUSTY,L,P.A.,F,I,1001 NEWMAN RD,,NEW BERN,NC,285625253,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,36,71,9.5332394366,2.01,1.58,1.5890140845
1043306012,SCOTT,DUSTY,L,P.A.,F,I,1001 NEWMAN RD,,NEW BERN,NC,285625253,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,425.71428571,84.676190476,66.383333333,66.383333333
1043306012,SCOTT,DUSTY,L,P.A.,F,I,1001 NEWMAN RD,,NEW BERN,NC,285625253,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,56,56,179.61071429,33.317142857,23.825535714,23.346428571
1043306145,STEMPEL,MICHAEL,S,DPM,M,I,2150 PENNSYLVANIA AVE NW,DEPT. OF MEDICINE,WASHINGTON,DC,200373201,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,24,107.8525,71.56,56.105,56.105
1043306145,STEMPEL,MICHAEL,S,DPM,M,I,2150 PENNSYLVANIA AVE NW,DEPT. OF MEDICINE,WASHINGTON,DC,200373201,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1828,0.56,0.45,0.3412199125,0.3412199125
1043306335,DELEAN-BOTKIN,SUSAN,,CRNP,F,I,8579 COMMERCE DR,SUITE 106,EASTON,MD,216017491,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,63,182,32.956758242,8.32,5.6392307692,5.6392307692
1043306335,DELEAN-BOTKIN,SUSAN,,CRNP,F,I,8579 COMMERCE DR,SUITE 106,EASTON,MD,216017491,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,30,49,7.7930612245,1.42,0.9548979592,0.9548979592
1043306335,DELEAN-BOTKIN,SUSAN,,CRNP,F,I,8579 COMMERCE DR,SUITE 106,EASTON,MD,216017491,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,22.212307692,17.413076923,13.53
1043306335,DELEAN-BOTKIN,SUSAN,,CRNP,F,I,8579 COMMERCE DR,SUITE 106,EASTON,MD,216017491,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,100.58923077,78.863846154,54.73
1043306335,DELEAN-BOTKIN,SUSAN,,CRNP,F,I,8579 COMMERCE DR,SUITE 106,EASTON,MD,216017491,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70,26.741818182,19.22,12.305454545
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,21,51,649,56.766702619,19.654114022,15.062033898,15.062033898
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,21,50,1542,7.735771725,2.633385214,2.0242412451,2.0242412451
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,51,145,855,69.648736842,8.2917426901,6.0914619883,6.113625731
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,27,59,172,17.326918605,1.42,1.016627907,1.016627907
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,56,56,744.75,345.2475,269.07607143,269.07607143
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,18,50,6560,16.523919207,10.647957317,8.3149984756,8.3149969512
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,9,22,94,94,386.86925532,251.02287234,196.80170213,196.86968085
1043306343,PERILLI,GRETCHEN,,MD,F,I,1243 S CEDAR CREST BLVD,SUITE 2800,ALLENTOWN,PA,181036268,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,9,19,19,19,362.61631579,237.68368421,183.17315789,194.14789474
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,36,75,68.797333333,8.32,5.1305333333,5.1305333333
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,16,12.56375,1.42,1.045,1.045
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,20,20,319.333,88.198,69.152,67.915
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,36,142.24805556,33.566666667,26.315833333,25.918055556
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,161.53615385,55.733076923,40.307692308,39.563076923
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,22,22,63.479545455,18.21,13.628181818,13.444090909
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,24,24,80.85,12.173333333,8.7558333333,8.3854166667
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,32,153,8.451503268,2.0729411765,1.4966013072,1.467124183
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.691818182,5.08,3.9790909091,3.9290909091
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,55,55,65.775454545,17.918181818,13.534545455,13.084
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,115.43903226,4.325483871,2.4335483871,2.54
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,50,58,162.88724138,31.181034483,22.026896552,22.034310345
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,78,78,373.6224359,71.281025641,53.375641026,52.378846154
1043306525,HUGHES,CRAIG,D,M.D.,M,I,1120 WELLINGTON AVE,,GRAND JUNCTION,CO,815016129,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,33,33,25.87,25.87
1043306632,GORCZYNSKI,JULIE,,PA,F,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,31,77,53.576623377,8.32,6.014025974,6.014025974
1043306632,GORCZYNSKI,JULIE,,PA,F,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,634,12.930662461,4.85,3.646829653,4.007555205
1043306632,GORCZYNSKI,JULIE,,PA,F,I,3946 ONEIDA ST.,,NEW HARTFORD,NY,13413,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,34.759444444,4.3866666667,3.2711111111,3.5644444444
1043307077,MALLIN,SANFORD,,MD,M,I,107 NELSON AVE,,STATEN ISLAND,NY,103082710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,37,99,65.377777778,8.32,5.5992929293,5.5992929293
1043307804,CARTER,KENNY,B,M.D.,M,I,8380 WARREN PKWY,SUITE 504,FRISCO,TX,750344198,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,13.5,12.540625,9.835625,9.12
1043307804,CARTER,KENNY,B,M.D.,M,I,8380 WARREN PKWY,SUITE 504,FRISCO,TX,750344198,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,2.23,2.20625,1.7308333333,1.5932291667
1043307846,NEWCOMB,CURTIS,V,O.D.,M,I,1225 EUREKA WAY # A,,REDDING,CA,960010815,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,79.136363636,78.757272727,61.746363636,53.706363636
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,30,100,226,66.130221239,8.32,4.0292920354,4.0292920354
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,24,41,15.015121951,1.42,0.8424390244,0.8424390244
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,170.24428571,50.117857143,36.884285714,28.312142857
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,67,92.353283582,26.255671642,19.013283582,13.247761194
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,213.28588235,79.334117647,59.423529412,41.845294118
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,76.591764706,25.415294118,18.088235294,12.929411765
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,28,132,9.7136363636,3.2372727273,2.4045454545,1.5820454545
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,119.02411765,22.680294118,16.024411765,13.382058824
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,646.23851852,45.973333333,33.169259259,20.686666667
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,54,577.5212963,103.87444444,73.254259259,54.227592593
1043307853,COPPLE,NATHAN,R,MD,M,I,1644 CENTRAL AVENUE,SUITE F,MCKINLEYVILLE,CA,95519,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,78.22,25.675833333,17.728333333,11.643333333
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,56,85,61.864235294,8.32,3.9031764706,3.9031764706
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,30,30,24.137666667,1.42,0.672,0.672
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,59,59,34.006779661,28.46,21.17559322,21.17559322
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,59,59,12.95559322,9.29,6.9098305085,8.1505084746
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.8,4.03,3.1595,3.1595
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,36,120.43,71.256666667,52.813333333,53.011666667
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,96,34.00625,29.05125,22.426770833,22.5115625
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,854,4.3319672131,3.7680327869,2.824941452,2.2594262295
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,84,1605,8.0736635514,7.147482866,5.3782679128,3.9736573209
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,113,33094,0.4291898834,0.3864192905,0.297920469,0.2396497855
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,6035,0.9072609776,0.8215211268,0.6276106048,0.5023512842
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,21,21,106.1,91.524761905,69.228571429,47.286190476
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,20.243333333,6.8061111111,5.1322222222,3.5033333333
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,11,55,55,12.222363636,10.445272727,7.9481818182,4.0209090909
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,275,98.85,64.692142857,43.002142857
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3329,0.3791919495,0.046139982,0.0341063382,0.0341063382
1043308208,LESLIE,LARRY,M,MD,M,I,23 WILLOW DR,,AUXIER,KY,416029259,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,55,33,24.432777778,24.432777778
1043308216,CAMP,ERNEST,R,M.D.,M,I,25 COURTENAY DR,"SUITE 7018, MSC 295",CHARLESTON,SC,294258911,US,Physician/Surgical Oncology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,330,3.1818181818,3.1545454545,2.4577878788,3.0421818182
1043308216,CAMP,ERNEST,R,M.D.,M,I,25 COURTENAY DR,"SUITE 7018, MSC 295",CHARLESTON,SC,294258911,US,Physician/Surgical Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,96,3.455,2.91,2.28125,2.28125
1043308216,CAMP,ERNEST,R,M.D.,M,I,25 COURTENAY DR,"SUITE 7018, MSC 295",CHARLESTON,SC,294258911,US,Physician/Surgical Oncology,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,380,4.413,4.413,3.0957894737,3.8575263158
1043308372,RODENBIKER,HAROLD,T,M.D.,M,I,100 4TH ST S STE 612,,FARGO,ND,581031940,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,17,82.488823529,70.415882353,55.204705882,53.052352941
1043308372,RODENBIKER,HAROLD,T,M.D.,M,I,100 4TH ST S STE 612,,FARGO,ND,581031940,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,25,65.88,65.8024,51.588,53.934
1043308620,KANESHIRO,OWEN,D,M.D.,M,I,321 N. KUAKINI ST.,SUITE #201,HONOLULU,HI,968172399,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,318.99333333,33.42,23.17875,22.48125
1043308695,ELFENBEIN,JEFFREY,N,D.O.,M,I,3921 MERRICK RD,,SEAFORD,NY,117832823,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,38,104,271,69.030774908,8.32,5.5347601476,5.5347601476
1043308695,ELFENBEIN,JEFFREY,N,D.O.,M,I,3921 MERRICK RD,,SEAFORD,NY,117832823,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.050666667,3.38,2.65,2.65
1043308695,ELFENBEIN,JEFFREY,N,D.O.,M,I,3921 MERRICK RD,,SEAFORD,NY,117832823,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,21,42,53,25.160377358,1.42,1.0154716981,1.0154716981
1043308828,DECK,BEVERLY,L,M.D.,F,I,7318 MADISON ST,,FOREST PARK,IL,601303100,US,Physician/Preventive Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,11,23,100,50,8.32,5.9356,5.9356
1043308828,DECK,BEVERLY,L,M.D.,F,I,7318 MADISON ST,,FOREST PARK,IL,601303100,US,Physician/Preventive Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,11,18,18,20,3.38,2.5027777778,2.5027777778
1043308828,DECK,BEVERLY,L,M.D.,F,I,7318 MADISON ST,,FOREST PARK,IL,601303100,US,Physician/Preventive Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,22,2.12,1.5181818182,1.5181818182
1043308828,DECK,BEVERLY,L,M.D.,F,I,7318 MADISON ST,,FOREST PARK,IL,601303100,US,Physician/Preventive Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,11,23,50,20,1.42,1.0232,1.0232
1043308877,DESALVO,JEFFREY,,M.D.,M,I,1200 NORTHSIDE FORSYTH DR,,CUMMING,GA,300417659,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,210,47.19,36.994,37.250666667
1043308877,DESALVO,JEFFREY,,M.D.,M,I,1200 NORTHSIDE FORSYTH DR,,CUMMING,GA,300417659,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,108.33333333,19,13.327222222,12.878333333
1043308877,DESALVO,JEFFREY,,M.D.,M,I,1200 NORTHSIDE FORSYTH DR,,CUMMING,GA,300417659,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,37.44,26.681818182,26.830909091
1043309024,SHERNER,JOHN,H,MD,M,I,6900 GEORGIA AVE NW,WRAMC - WD 77,WASHINGTON,DC,203070000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,34,466.08147059,79.8,60.095294118,55.719705882
1043309065,THIEMAN,MICHELE,,MD,F,I,705 PLEASANT AVE S,,PARK RAPIDS,MN,564701440,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,34,62,76.405806452,8.32,5.7861290323,5.7861290323
1043309065,THIEMAN,MICHELE,,MD,F,I,705 PLEASANT AVE S,,PARK RAPIDS,MN,564701440,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,50.300588235,7.0152941176,5.2847058824,3.6
1043309065,THIEMAN,MICHELE,,MD,F,I,705 PLEASANT AVE S,,PARK RAPIDS,MN,564701440,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,68.5,43.615
1043309065,THIEMAN,MICHELE,,MD,F,I,705 PLEASANT AVE S,,PARK RAPIDS,MN,564701440,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,107.25,33,25.87,25.87
1043309289,HOFFMAN,DAVID,F,MD,M,I,20 MCMASTER BOULEVARD,SUITE 1,KEMBLESVILLE,PA,19347,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,78,67.328717949,8.32,5.6856410256,5.6856410256
1043309289,HOFFMAN,DAVID,F,MD,M,I,20 MCMASTER BOULEVARD,SUITE 1,KEMBLESVILLE,PA,19347,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,25,15.566,1.42,0.98,0.98
1043309289,HOFFMAN,DAVID,F,MD,M,I,20 MCMASTER BOULEVARD,SUITE 1,KEMBLESVILLE,PA,19347,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,10.5444,2.06,1.6152,1.5932
1043309354,NASSRALLA,SUZY,,MD,F,I,7600 OLD DOMINION CT,,APTOS,CA,950033821,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,43,109,74.186422018,8.32,5.7447706422,5.7447706422
1043309354,NASSRALLA,SUZY,,MD,F,I,7600 OLD DOMINION CT,,APTOS,CA,950033821,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,19,13.834736842,1.42,1.0589473684,1.0589473684
1043309354,NASSRALLA,SUZY,,MD,F,I,7600 OLD DOMINION CT,,APTOS,CA,950033821,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.88,17.09,13.4,13.4
1043309487,GROSSMAN,HARRY,D,M.D.,M,I,100 BRICK RD,SUITE 115,MARLTON,NJ,080532146,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,43,43,43,61.781860465,59.599069767,44.535348837,50.542325581
1043309487,GROSSMAN,HARRY,D,M.D.,M,I,100 BRICK RD,SUITE 115,MARLTON,NJ,080532146,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,40,63.71425,63.47,49.75675,43.94525
1043309487,GROSSMAN,HARRY,D,M.D.,M,I,100 BRICK RD,SUITE 115,MARLTON,NJ,080532146,US,Physician/Ophthalmology,S,V2219,Bifocal seg width over 28 mm,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,46,53.06,53.06,41.6,37.683043478
1043309487,GROSSMAN,HARRY,D,M.D.,M,I,100 BRICK RD,SUITE 115,MARLTON,NJ,080532146,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,13,80.07,80.07,57.949230769,50.732307692
1043309487,GROSSMAN,HARRY,D,M.D.,M,I,100 BRICK RD,SUITE 115,MARLTON,NJ,080532146,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,44,76.44,76.44,51.524545455,46.218863636
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,4.6009090909,0.51,0.4,0.4
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,39,108,247,45.309676113,8.32,5.6896761134,5.6896761134
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,26,26,16.117692308,3.38,2.5480769231,2.5480769231
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,20.330588235,2.12,1.67,1.67
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,26,60,82,12.293536585,1.42,1.0480487805,1.0480487805
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,6,3.1116666667,1.90125,1.195
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,94.383181818,61.250909091,41.651363636,32.578181818
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,35,16.636285714,6.6782857143,4.8888571429,3.4197142857
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28.5,13.335,10.4575,8.9908333333
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,24,27,303.15703704,101.36222222,72.828888889,50.148888889
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36,11.266666667,8.8341666667,6.9383333333
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,68.15,44.745,32.679166667,27.391666667
1043309669,GOODWIN,GREGORY,W,PHYSICIAN ASSISTANT,M,I,1269 US HIGHWAY 221A,,FOREST CITY,NC,280435921,US,Physician Assistant,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,609.5,205.09916667,160.79583333,128.0925
1043309933,MOHAMMED,SHAHEEN,K,M.D.,F,I,2420 OWEN RD,,FENTON,MI,484303417,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,50,187,46.339839572,8.32,6.5221390374,6.5221390374
1043309933,MOHAMMED,SHAHEEN,K,M.D.,F,I,2420 OWEN RD,,FENTON,MI,484303417,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.833333333,3.38,2.65,2.65
1043309933,MOHAMMED,SHAHEEN,K,M.D.,F,I,2420 OWEN RD,,FENTON,MI,484303417,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,22.075,2.12,1.67,1.67
1043309933,MOHAMMED,SHAHEEN,K,M.D.,F,I,2420 OWEN RD,,FENTON,MI,484303417,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,33,61,14.760819672,1.42,1.1154098361,1.1154098361
1043309933,MOHAMMED,SHAHEEN,K,M.D.,F,I,2420 OWEN RD,,FENTON,MI,484303417,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,139.69,45.463333333,35.645,37.0725
1043310006,DAY,JOHN,D,M.D.,M,I,4301 W MARKHAM ST,#783,LITTLE ROCK,AR,722057101,US,Physician/Neurosurgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,19.75,15.633333333,10.965,12.5775
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,9.9126666667,2.59275,1.8585277778,1.8585277778
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,77,8040,3.2879353234,0.5728345771,0.4172238806,0.4216492537
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,3825,0.1257071895,0.0122405229,0.0090718954,0.0090718954
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,4470,2.7824317673,0.7392348993,0.5783310962,0.5783310962
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,52,5700,3.0205403509,1.3677105263,1.0427561404,1.0427561404
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,2760,4.9267318841,2.8889782609,2.2594637681,2.2594637681
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,109,109,24,24,18.199266055,18.199266055
1043310352,BIREWAR,SONALI,P,MD,F,I,12221 N MO PAC EXPY,,AUSTIN,TX,787582401,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,120,145,16,16,12.281448276,12.281448276
1043310394,WEINER,LON,S,MD,M,I,130 E 77TH ST,,NEW YORK,NY,100211851,US,Physician/Orthopedic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,16.86,11.371666667,11.699166667
1043310394,WEINER,LON,S,MD,M,I,130 E 77TH ST,,NEW YORK,NY,100211851,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,217.1,77.36,53.06875,47.88875
1043310550,PADILLA ROSA,SAMUEL,,,M,I,J23 CALLE ELLIOT VELEZ,URB ATENAS,MANATI,PR,006744616,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,60,32.573333333,8.32,6.523,6.523
1043310550,PADILLA ROSA,SAMUEL,,,M,I,J23 CALLE ELLIOT VELEZ,URB ATENAS,MANATI,PR,006744616,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,18.112857143,1.42,1.1125,1.1125
1043310568,OVERHOLT,THOMAS,,M.D.,M,I,75 N COUNTRY RD,,PORT JEFFERSON,NY,117772119,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,53,78.93,17.56754717,12.295283019,12.811132075
1043310568,OVERHOLT,THOMAS,,M.D.,M,I,75 N COUNTRY RD,,PORT JEFFERSON,NY,117772119,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,33,126.17151515,4.2278787879,3.2245454545,3.4239393939
1043310568,OVERHOLT,THOMAS,,M.D.,M,I,75 N COUNTRY RD,,PORT JEFFERSON,NY,117772119,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,76,82,563.58987805,67.72,52.452439024,54.00804878
1043310568,OVERHOLT,THOMAS,,M.D.,M,I,75 N COUNTRY RD,,PORT JEFFERSON,NY,117772119,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,38.72,30.36,29.576
1043310790,YALE,EILEEN,S,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,40,139,64.298417266,8.32,6.4284892086,6.4284892086
1043310790,YALE,EILEEN,S,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.769230769,3.38,2.65,2.65
1043310790,YALE,EILEEN,S,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,34,70,15.573857143,1.42,1.051,1.051
1043310790,YALE,EILEEN,S,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,77.18,60.51,55.2025
1043310790,YALE,EILEEN,S,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,35.53,27.85,29.371666667
1043310931,KAVA,CHARLES,F,D.O.,M,I,68 BEN PAUL LN,,ROCKPORT,ME,048564452,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,46,9.5847826087,3.0730434783,2.1791304348,1.3847826087
1043310931,KAVA,CHARLES,F,D.O.,M,I,68 BEN PAUL LN,,ROCKPORT,ME,048564452,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,611.86148148,50.843703704,39.859259259,27.603703704
1043310998,SAHM,JENNIFER,A,M.D.,F,I,235 W 6TH ST,,RENO,NV,895034548,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,275,86.294285714,64.249047619,55.218095238
1043311277,PEARLMAN,JUSTIN,D,MD ME PHD MA,M,I,ONE MEDICAL CENTER DRIVE,DARTMOUTH HITCHCOCK MEDICAL CENTER,LEBANON,NH,037561000,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,295.39833333,85.9725,67.405,66.8075
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,137.651,56.1705,44.0405,38.5295
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45.929166667,10.3225,6.8416666667,6.4591666667
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,15,10.216785714,7.4882142857,7.4164285714
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,29,134.41931034,52.561034483,39.184137931,35.872758621
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,36.331538462,4.1492307692,3.2492307692,3.6653846154
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,82.483636364,50.373636364,39.489090909,37.494545455
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,35,30.578181818,22.879545455,22.226818182
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,42,42,99.51,39.17,29.648809524,23.138809524
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,52,52,62.089807692,33.678846154,22.118076923,18.095192308
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,70,54.956666667,43.086666667,39.246666667
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,16.723333333,9.6366666667,6.4055555556,5.7730555556
1043311319,KUMAR,RAGHUVANSH,,M.D.,M,I,4001 VOLLMER RD.,,OLYMPIA FIELDS,IL,604611073,US,Physician/Physical Medicine and Rehabilitation,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,91.318181818,33,25.87,25.87
1043311376,MAISLIS,JEROME,A,PA-C,M,I,2400 MT. ZION PARKWAY,KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE,JONESBORO,GA,30236,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,72.25,72.25,51.490909091,49.754545455
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,30,93,263,73.980912548,8.32,5.3819011407,5.3819011407
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,22,35,12.117428571,1.42,0.9877142857,0.9877142857
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,360,11.015666667,7,5.3442777778,5.3442777778
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.48,1.95,1.4014305556,1.4014305556
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,26,53,53,136.65150943,49.064339623,37.830943396,30.363396226
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,22,43,43,351.84186047,120.54767442,92.873255814,70.16
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,18,32,81,117.41580247,46.819382716,35.645679012,26.072839506
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,49,62.515306122,25.481428571,19.977346939,14.916122449
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,64,57.36953125,19.825625,14.31171875,11.4684375
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,19,26,26,204.27192308,71.636153846,56.164230769,43.845
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,37,49,49,67.07755102,24.296938776,18.692040816,13.920612245
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,59.476923077,21.182307692,16.605384615,9.12
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,36,65,356,10.650280899,3.0310674157,2.346741573,1.5968820225
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,17,22,22,42.481818182,15.64,11.745,9.87
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,310,100,4.1919354839,3.1509032258,2.2454193548
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5180,1.4017065637,0.4106100386,0.3219208494,0.2430501931
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,126,126,76.025952381,22.782380952,16.988174603,13.165714286
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,4430.1,938.42,726.26375,832.79458333
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,81.75,17.782068966,13.488275862,10.183103448
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,28.968,6.9313333333,5.4333333333,3.78
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,13,73,73,227.92150685,45.662191781,33.323150685,25.059315068
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,34,249,249,431.167751,105.59269076,80.134457831,55.666465863
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,56,205,45.121071429,34.790535714,29.372678571
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,15.58,9.6195714286,7.314015873,7.314015873
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2726,1.4351540719,0.1397175348,0.1015333822,0.1015333822
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,39,1830,11.124087432,2.965557377,2.2466065574,2.2466065574
1043311673,DILL,TRACY,B,MD,M,I,2550 E BROADWAY ST,,HELENA,MT,596014905,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,44,44,91.5,33,25.207272727,25.207272727
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,67,149,65.786040268,8.32,5.6030872483,5.6030872483
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,26,39,16.271025641,1.42,0.8574358974,0.8574358974
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,35,50.647142857,17,12.809428571,13.002857143
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100,50,35.636363636,34.209090909
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,41.398421053,4.0521052632,2.7010526316,3.0942105263
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,47,273.85042553,79.88,59.955319149,53.231914894
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,210.76923077,35.31,27.69,29.09
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2680,0.265,0.0456492537,0.0328880597,0.0328880597
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2160,1.4931666667,0.1340694444,0.1051296296,0.1051296296
1043311699,NIRMALAN,NADARAJAH,,MD,M,I,3831 16TH ST N,,ST PETERSBURG,FL,337035601,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,93.923076923,33,24.875,24.875
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,43,131,53.668549618,8.32,5.7257251908,5.7257251908
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,138.125,56.46,35.969375,34.82375
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,44.375454545,34.792727273,36.306363636
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,45.97,17.76,12.79,12.425
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,47.39,33.772727273,34.263636364
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,36.017647059,4.3929411765,2.6988235294,2.9235294118
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,121.94444444,31.761666667,20.97,20.791666667
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,42,324.05595238,79.88,55.165238095,49.522380952
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,5990,0.3336360601,0.0448163606,0.0337495826,0.0337495826
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,34,120.73529412,18.660588235,14.126470588,14.259411765
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,56.166666667,35.66,18.64,20.061666667
1043311772,GINGERICH,DONALD,J,D.O.,M,I,2776 S STATE RD,,IONIA,MI,488468472,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,14,27,27,132.55,38.853703704,30.308518519,30.612592593
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,15,29,58,8.1110344828,2.0303448276,1.5479310345,1.135
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,30,52,52,344.65980769,91.145961538,62.585576923,58.873846154
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,29,58,143,139.00734266,35.58993007,25.942727273,23.887412587
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,11,25,136,100.36955882,18.415441176,13.832352941,13.955514706
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,20,100,62.9627,15.4309,11.5125,11.3638
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,17,42,42,259.38071429,59.093809524,44.598333333,41.745
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,47,62,62,71.909032258,18.828064516,13.832258065,13.272419355
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,36,73,73,84.277808219,14.082739726,10.554520548,8.6343835616
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,48,97,515,10.839805825,2.2041553398,1.6854757282,1.5536893204
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,14,20,20,28.2945,7.1855,5.6305,4.6505
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,26,34,34,39.144411765,13.116764706,9.1288235294,9.2420588235
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,89,97,82.563814433,22.450927835,16.84443299,13.482061856
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,219.115,50.2,39.357,37.63
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,632.43,109.80235294,86.085882353,65.119411765
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,42,42,68.392857143,16.434047619,12.608809524,10.08
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,62,62,46.269193548,8.4522580645,6.5082258065,3.6387096774
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,175.53625,56.0703125,42.3409375,26.1253125
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,30,203,211,458.9042654,98.970521327,74.265118483,54.313933649
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,185.84512195,41.939756098,32.882195122,29.515609756
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,1620,16.151555556,9.5999814815,7.3933024691,7.3933024691
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,2721,0.1906284454,0.0440683572,0.0345461227,0.0345461227
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,2519,1.0042675665,0.1344938468,0.1054545455,0.1054545455
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,13,37,2100,12.499814286,2.9995285714,2.351652381,2.351652381
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,735,0.8108571429,0.2185986395,0.1713605442,0.1713605442
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,123.63636364,35,22.450909091,24.615454545
1043311806,HONG,SONG,M,M.D.,M,I,519 N KING ST STE 106,,SEGUIN,TX,781554859,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,20,59,59,125.94915254,33,25.87,25.87
1043311848,LILLY,CHARLES,J,M.D.,M,I,2890 HEALTH PARKWAY,,MOUNT PLEASANT,MI,48858,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,83.468181818,45.826363636,35.930909091,24.379090909
1043311848,LILLY,CHARLES,J,M.D.,M,I,2890 HEALTH PARKWAY,,MOUNT PLEASANT,MI,48858,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,12.149090909,9.5236363636,7.2781818182
1043311848,LILLY,CHARLES,J,M.D.,M,I,2890 HEALTH PARKWAY,,MOUNT PLEASANT,MI,48858,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,750,668.52,524.12,484.58363636
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,19,7.7436842105,1.45,1.0163157895,1.0326315789
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,76.142857143,8.9714285714,6.5471428571,8.47
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,251.31857143,91.977142857,72.107142857,67.841428571
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,22,102,79.634215686,18.78,13.85745098,13.718431373
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,25,25,211.8772,53.63,40.09,40.7456
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,23,23,55.826521739,19.279565217,14.476521739,13.524782609
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,36,36,59.7525,11.062777778,8.4383333333,8.8066666667
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,19,43,194,9.0160824742,2.2940206186,1.789742268,1.6040206186
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,14.962727273,6,4.2727272727,4.2318181818
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,15,19,19,41.179473684,12.246842105,9.6031578947,10.291052632
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,103,111,59.274504505,17.007837838,12.375225225,12.527747748
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,36,36,232.35,44.25,31.799166667,34.6375
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,3935.8736842,1074.31,831.47736842,831.47736842
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,315.732,83.68,65.602,65.602
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,18,81.75,12.505,9.8038888889,9.8983333333
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,41,43,34.200697674,4.0858139535,3.0495348837,3.676744186
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,59,59,111.17457627,31.694915254,23.52,23.392881356
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,32,213,226,380.89597345,77.18,57.237035398,52.471946903
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,186.075,41.25,30.3996,27.9658
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,33,1980,16.598853535,9.612969697,7.4330959596,7.4330959596
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,33,7628,0.4342343996,0.0465416885,0.0337152596,0.0337152596
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,51,6120,1.162624183,0.1331666667,0.0937107843,0.0937107843
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,65,3810,11.595913386,2.9891023622,2.2628818898,2.2628818898
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,3.2891666667,0.2185833333,0.1713333333,0.1713333333
1043312093,FIORICA,NORMAN,O,MD,M,I,5320 MILITARY RD STE 105,,LEWISTON,NY,140922149,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,30,126,126,90.666666667,33,24.432777778,24.432777778
1043312531,SPRINGER,DENNIS,J,DPM,M,I,1266 S MAIN ST,,NORTH CANTON,OH,447204271,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,50,71.18,71.0672,55.714,56.0824
1043312531,SPRINGER,DENNIS,J,DPM,M,I,1266 S MAIN ST,,NORTH CANTON,OH,447204271,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,140,44,43.56,34.150142857,34.147
1043312655,WEINSTOCK,HENRY,,M.D.,M,I,227 N JACKSON AVE,,SAN JOSE,CA,951161603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,28,69,216,77.149768519,8.32,5.255787037,5.255787037
1043312655,WEINSTOCK,HENRY,,M.D.,M,I,227 N JACKSON AVE,,SAN JOSE,CA,951161603,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,36,51,14.566862745,1.42,0.9176470588,0.9176470588
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,57,142,50.813098592,8.32,6.1097887324,6.1097887324
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,14.465714286,3.38,2.65,2.65
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,39,60,26.970166667,1.42,1.0586666667,1.0586666667
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,144.77714286,18,13.550857143,13.095142857
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,66,66,322.64909091,77.327424242,56.958333333,52.171969697
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1828,0.9954868709,0.1344365427,0.0980087527,0.0980087527
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,3737.3684211,2535.9605263,1980.6415789,1980.6415789
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,62.81,36.95,28.971666667,29.413333333
1043313000,PARVAIZ,AKHTAR,,MD,M,I,2315 E 93RD ST,SUITE 237,CHICAGO,IL,606173936,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,116.36842105,33,23.146842105,23.146842105
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,52,153,318,67.052389937,8.32,5.5014779874,5.5014779874
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,30,31,14.432580645,1.42,1.0470967742,1.0470967742
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,160,15.088,7,5.488,5.488
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,188.44444444,87.37,59.741111111,59.271666667
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,43.6875,17.9,12.27625,12.301875
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,40.833333333,11.66,7.6166666667,7.6033333333
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,86,5.2093023256,2.06,1.4647674419,1.4524418605
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,4.4263636364,2.7236363636,3.0118181818
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,366.14380952,67.72,44.100952381,45.791428571
1043313083,AVADANIAN,PAUL,G,DO,M,I,136 A&B LAKE STREET,LAKE STREET FAMILY PRACTICE,EPHRATA,PA,17522,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,72.666666667,38.72,26.668666667,26.108666667
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,47,154,68.328766234,8.32,5.9725324675,5.9725324675
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,101.3,41.63,30.972142857,28.886428571
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,549.1075,85.52,67.05,67.85
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,,19,86,67.441627907,15.698372093,11.490930233,11.079534884
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,27,27,261.69074074,56.312222222,39.49,38.126666667
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,20,20,98.6765,18.6215,12.9255,12.3995
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,98.32875,12.21,7.846875,7.493125
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,30,180,10.203333333,2.136,1.5977777778,1.5144444444
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,16,16,28.87875,6.258125,4.4825,4.239375
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,175,46.644,34.280666667,35.247333333
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,139.269375,17.09,12.871875,12.995625
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,831.73166667
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,54.53,3.853,2.7225,3.148
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,514.86736842,35.242631579,27.629473684,27.854736842
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,59,59,548.79084746,66.621355932,50.485423729,52.764067797
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,250,37.613,29.4875,29.5075
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,87.943636364,26.813636364,19.271818182,19.971818182
1043313257,BLAIR,STEVEN,D,M.D.,M,I,1590 POOLE BLVD,,YUBA CITY,CA,959932607,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,12,12,49.5,33,23.47,23.47
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,38,75.491052632,8.32,6.5210526316,6.5210526316
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,32,32,148.944375,41.046875,30.6365625,29.056875
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,497.93538462,95.328461538,74.736153846,68.193846154
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,33,182.45333333,37.770909091,27.008181818,23.606666667
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,67,93.466865672,19.132985075,13.868656716,13.464776119
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,63,66.382380952,15.66,11.391269841,11.043174603
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,266.85,54.870909091,41.062272727,40.922272727
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,22,22,90.577272727,19.258636364,15.090909091,14.06
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,17,35,200,12.2313,2.2578,1.76245,1.59425
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,13,18,18,53.026666667,13.193888889,10.343888889,10.332222222
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,40,119.3445,20.28325,14.47775,12.18075
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,62,69,608.45768116,83.902173913,62.005072464,51.015652174
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1950,66.381076923,46.444523077,36.19674359,36.19674359
1043313356,ZUCKERMAN,JONATHAN,B,M.D.,M,I,100 FODEN ROAD,WEST BUILDING SUITE 103,SOUTH PORTLAND,ME,04106,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,33,33,25.87,25.87
1043313836,HEARN,HUNTER,A,M.D.,M,I,LRMC SLEEP DISORDERS CENTER,"BUIDING 3772, WARD 14D",LANDSTUHL,ZZ,66849,DE,Psychiatry & Neurology,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,303.134,90.442,62.316,59.206666667
1043313836,HEARN,HUNTER,A,M.D.,M,I,LRMC SLEEP DISORDERS CENTER,"BUIDING 3772, WARD 14D",LANDSTUHL,ZZ,66849,DE,Psychiatry & Neurology,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,13,14,14,53.845714286,19.663571429,14.347142857,12.975
1043313836,HEARN,HUNTER,A,M.D.,M,I,LRMC SLEEP DISORDERS CENTER,"BUIDING 3772, WARD 14D",LANDSTUHL,ZZ,66849,DE,Psychiatry & Neurology,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,16,49,8.5746938776,2.2344897959,1.6879591837,1.5283673469
1043313836,HEARN,HUNTER,A,M.D.,M,I,LRMC SLEEP DISORDERS CENTER,"BUIDING 3772, WARD 14D",LANDSTUHL,ZZ,66849,DE,Psychiatry & Neurology,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,121.615,34.46375,27.018125,26.783125
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,43,105,53.850095238,8.32,6.0248571429,6.0248571429
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,25,37,15.350540541,1.42,1.0243243243,1.0243243243
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,26,50,8.19,1.4,1.012,1.062
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,352.98533333,52.949333333,37.187333333,37.17
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,34.080588235,18.01,12.458823529,12.015294118
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,22,211,211,1686.963128,920.86843602,717.31265403,831.52658768
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,32,50.73,3.335,2.5346875,3.5546875
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,24,25.633333333,11.605416667,9.1054166667,8.8045833333
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,50,404.5042,77.18,58.2052,52.9946
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,4350,0.17,0.0465517241,0.0314137931,0.0314137931
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2100,0.9389142857,0.1338571429,0.1049809524,0.1049809524
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,744.71,230.5875,173.86916667,159.63833333
1043314057,STALLWORTH,GREGORY,T,M.D.,M,I,1430 HWY 4-EAST,,HOLLY SPRINGS,MS,38634,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,35,123.51428571,33,24.391714286,24.391714286
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,5,,86,250,255.056,19.68768,15.18772,15.18772
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,27,31,126.30451613,37.38,29.301290323,29.301290323
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,24.512272727,6.1781818182,4.8481818182,3.94
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,804.71034483,13.607931034,10.672413793,11.006206897
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,52,3340,251.54762874,39.379508982,30.799688623,30.799688623
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,5200,163.01914808,13.547153846,10.620971154,10.620971154
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J1557,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,960,378.9733125,52.527583333,41.181614583,41.181614583
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,38,15300,40.579526797,9.8400130719,7.7106405229,7.7106405229
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,2160,176.44288889,40.169231481,31.424509259,31.424509259
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,61,4300,193.07620233,42.061265116,32.176797674,32.176797674
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,26,8950,45.672160894,14.109973184,11.062215642,11.062215642
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,18,4160,0.3604759615,0.0461802885,0.0308293269,0.0308269231
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,60,337,123.9062908,2.637388724,2.0186350148,2.0186350148
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,22,22,63.318181818,33,22.342272727,22.342272727
1043314065,LAHOOD,NABEEH,N,M.D.,M,I,2320 N WYATT DR,SUITE 71,TUCSON,AZ,857122151,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,38,38,702.63157895,358.5,281.06,281.06
1043314313,JOKONYA,CHIEDZA,G,MD,F,I,31 COLCORD STREET,,SOUTH BERWICK,ME,039081004,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,26,109,49.557981651,8.32,6.1633944954,6.1633944954
1043314313,JOKONYA,CHIEDZA,G,MD,F,I,31 COLCORD STREET,,SOUTH BERWICK,ME,039081004,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,263.4,205.51818182,160.54454545,160.75181818
1043314313,JOKONYA,CHIEDZA,G,MD,F,I,31 COLCORD STREET,,SOUTH BERWICK,ME,039081004,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,78.98,61.92,55.374545455
1043314313,JOKONYA,CHIEDZA,G,MD,F,I,31 COLCORD STREET,,SOUTH BERWICK,ME,039081004,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2685,0.2905214153,0.0461042831,0.033594041,0.033594041
1043314313,JOKONYA,CHIEDZA,G,MD,F,I,31 COLCORD STREET,,SOUTH BERWICK,ME,039081004,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,23.88,23.88
1043314461,RAFFERTY,MAUREEN,,MD,F,I,16817 MARVIN ROAD,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,45,141,63.218723404,8.32,6.2446099291,6.2446099291
1043314461,RAFFERTY,MAUREEN,,MD,F,I,16817 MARVIN ROAD,,CHARLOTTE,NC,28277,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,28,15.361428571,1.42,1.115,1.115
1043314685,JOLLIFF,AMY,S,MD,F,I,128 E MILLTOWN RD,SUITE 105,WOOSTER,OH,44691,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,14,41,125,78.78136,8.32,5.12112,5.12112
1043314685,JOLLIFF,AMY,S,MD,F,I,128 E MILLTOWN RD,SUITE 105,WOOSTER,OH,44691,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,50,25.082,18.171,18.171
1043314685,JOLLIFF,AMY,S,MD,F,I,128 E MILLTOWN RD,SUITE 105,WOOSTER,OH,44691,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,320.962,101.111,70.603,70.351
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,60,146,449,55.214253898,8.3007572383,5.9132516704,5.9292650334
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,22,47,47,14.042553191,3.38,2.5936170213,2.5936170213
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,17,23,23,19.96173913,2.12,1.5973913043,1.5973913043
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,35,74,130,13.599307692,1.42,1.046,1.046
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,134.38,46.614285714,31.78,33.768571429
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,232.35,43.88,32.25,35.530625
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,120,30.888333333,24.213333333,24.676666667
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,16,328.025,70.09,54.95,54.74375
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2184,0.2266804029,0.0467078755,0.0324221612,0.0324221612
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,69.89,15.701428571,10.739285714,13.155
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,20.57,7.06,4.8321428571,6.2278571429
1043315153,SINHA,RABI,R,MD,M,I,822 ROUTE 82,SUIT 310,HOPEWELL JUNCTION,NY,125337373,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,92.4,33,22.420666667,22.420666667
1043315203,KUPRACZ,BETTY,,MD,F,I,18 E GRANBY RD,,GRANBY,CT,060352201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,46,71.929347826,8.32,4.8195652174,4.8195652174
1043315211,BURNS,ANTOINETTE,T,"DO, MPH",F,I,559 VINCENT ST BLDG 959,,PETERSON AFB,CO,809141541,US,Physician/Pediatric Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,84.735333333,36.778666667,26.915333333,28.608
1043315211,BURNS,ANTOINETTE,T,"DO, MPH",F,I,559 VINCENT ST BLDG 959,,PETERSON AFB,CO,809141541,US,Physician/Pediatric Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,86,5.6830232558,2.0013953488,1.5695348837,1.5918604651
1043315211,BURNS,ANTOINETTE,T,"DO, MPH",F,I,559 VINCENT ST BLDG 959,,PETERSON AFB,CO,809141541,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,52,52,124.77326923,32.263461538,22.580769231,22.462692308
1043315492,WARREN,DEBORAH,,MD,F,I,6176 US HIGHWAY 31,,GRAWN,MI,496379620,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,69,47.586956522,8.32,6.3333333333,6.3333333333
1043315492,WARREN,DEBORAH,,MD,F,I,6176 US HIGHWAY 31,,GRAWN,MI,496379620,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,29,13.01862069,1.42,1.1137931034,1.1137931034
1043315492,WARREN,DEBORAH,,MD,F,I,6176 US HIGHWAY 31,,GRAWN,MI,496379620,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,43,99.640465116,22.05372093,16.247906977,13.275348837
1043315492,WARREN,DEBORAH,,MD,F,I,6176 US HIGHWAY 31,,GRAWN,MI,496379620,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,50.323846154,7.0584615385,4.88,3.0323076923
1043315492,WARREN,DEBORAH,,MD,F,I,6176 US HIGHWAY 31,,GRAWN,MI,496379620,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,74,75,396.10466667,97.342666667,71.727333333,53.444
1043315492,WARREN,DEBORAH,,MD,F,I,6176 US HIGHWAY 31,,GRAWN,MI,496379620,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,6052,0.4594646398,0.0470984798,0.0350991408,0.0350991408
1043315492,WARREN,DEBORAH,,MD,F,I,6176 US HIGHWAY 31,,GRAWN,MI,496379620,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,44.647058824,33,24.348235294,24.348235294
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,20,1844,0.5560520607,0.44,0.330021692,0.330021692
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,21,34,1276,26.581661442,23.653887147,18.424467085,18.429255486
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,15,174,12.161034483,10.93,8.5690804598,8.5690804598
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,28,33,6960,0.072816092,0.0505172414,0.0384798851,0.0380747126
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,18,2080,0.16,0.13,0.1019086538,0.1019086538
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,24,3048,0.550183727,0.45,0.3528215223,0.3528215223
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,12,105,81.347619048,26.62,20.87,19.2
1043315542,ZAMBRANO,JACINTO,,M.D.,M,I,575 HILL COUNTRY DR STE 101,,KERRVILLE,TX,78028,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4818,824.23090909,646.19818182,484.59363636
1043315567,LESLIE,BRUCE,M,M.D.,M,I,2000 WASHINGTON ST,SUITE 341,NEWTON,MA,024621650,US,Physician/Hand Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,32,249.61875,215.783125,166.88875,168.97125
1043315567,LESLIE,BRUCE,M,M.D.,M,I,2000 WASHINGTON ST,SUITE 341,NEWTON,MA,024621650,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,43,48,95,69.461666667,53.404166667,46.825416667
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,30,30,157.77866667,40,28.224,27.47
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,1230,14.528536585,6.26,4.9079430894,5.6684878049
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,20,38,8.9247368421,1.56,1.0873684211,1.0394736842
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,413.87882353,88.169411765,66.054117647,64.855882353
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,39,160.87692308,34,26.656666667,25.973589744
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,101,98.967920792,18.99,14.888118812,14.571584158
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,113,63.140707965,15.153982301,11.13539823,11.149734513
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,20,41,41,251.77341463,55.110731707,41.13902439,40.81902439
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,24,32,32,81.15125,19.14625,14.538125,13.688125
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,28,28,77.6425,12.785714286,9.6589285714,8.8325
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,25,57,317,11.673817035,2.0811987382,1.5900630915,1.5532176656
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,21.83,6.0371428571,4.7271428571,4.6614285714
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,56.230625,12.96,10.16,10.34
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,493,4.5073630832,3.81,2.9870791075,2.9870791075
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,592.89375,87.8,66.156666667,63.210416667
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,55,56,55.29,3.7808928571,2.8633928571,3.4948214286
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,41,41,276.24780488,34.453902439,23.575121951,23.755121951
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,88,90,538.66155556,77.18,58.284333333,52.816444444
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,360,37,27.076,27.568
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,34,8767,0.3208543401,0.0466339683,0.0365621079,0.0365621079
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2100,0.92,0.1368285714,0.0969095238,0.0969095238
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,2280,11.705451754,2.9556052632,2.2542807018,2.2542807018
1043315575,SANDOUK,ADEL,,M.D.,M,I,210 S GRAND AVE,,GLENDORA,CA,917414205,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,58,58,108.77586207,33,24.977931034,24.977931034
1043315757,BEST,JAMES,R,"MD, MPH",M,I,599 FARRINGTON HWY,,KAPOLEI,HI,967072028,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,77.55,60.8,54.73
1043315864,SIMMONS,MICHAEL,R,M.D.,M,I,1026 N HIGHWAY 69,,FRONTENAC,KS,667638100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,94,58.051489362,8.1193617021,5.7063829787,5.8635106383
1043315864,SIMMONS,MICHAEL,R,M.D.,M,I,1026 N HIGHWAY 69,,FRONTENAC,KS,667638100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,29,11.973448276,1.42,0.9613793103,0.9613793103
1043315864,SIMMONS,MICHAEL,R,M.D.,M,I,1026 N HIGHWAY 69,,FRONTENAC,KS,667638100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,543.18352941,93.021764706,65.591176471,47.695882353
1043315864,SIMMONS,MICHAEL,R,M.D.,M,I,1026 N HIGHWAY 69,,FRONTENAC,KS,667638100,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1590,0.9294213836,0.1329622642,0.0905408805,0.0905408805
1043315864,SIMMONS,MICHAEL,R,M.D.,M,I,1026 N HIGHWAY 69,,FRONTENAC,KS,667638100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,22.174285714,22.174285714
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,54,140,140,150.58557143,40.037428571,28.150357143,27.399571429
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,46,119,119,428.36831933,90.924789916,65.781596639,62.87512605
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,44,124,321,166.02080997,34.456573209,25.473084112,24.52105919
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,14,37,196,92.180816327,18.20877551,12.827857143,13.103316327
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,30,30,269.86866667,56.730666667,41.341333333,39.720666667
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,58,87,87,81.39816092,18.489655172,14.170114943,13.839655172
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,38.232727273,10.22,8.02,8.1381818182
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,55,134,783,11.73614304,2.1012771392,1.5657471264,1.5219029374
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,47,68,68,43.525294118,13.446617647,9.7826470588,9.6297058824
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,32,32,180.83125,28.31375,17.2678125,18.435
1043316102,LEAMAN,HOWARD,M,MD,M,I,LDS HOSPITAL,8TH AVE AND C STREET,SALT LAKE CITY,UT,841430001,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,313.17276596,75.123404255,49.279361702,45.510851064
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,30,78,201,61.181741294,8.3056716418,5.2877114428,5.2989552239
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,37,55,14.413272727,1.42,0.8112727273,0.8112727273
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,28,13.926428571,10.93,7.9575,7.9575
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,116.84210526,61.631052632,44.888947368,35.555263158
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,20,86.31,18.8725,14.115,12.8535
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,38,44.934736842,6.1244736842,4.565,3.9344736842
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,58,497.24155172,83.528448276,62.126896552,53.604310345
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,40.55,29.344166667,27.626666667
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,58,10256,0.2428675897,0.0461320203,0.0306347504,0.0306347504
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,3504,1.6202083333,0.1353938356,0.0937300228,0.0937300228
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,50.6145,27.6765,21.698,14.4075
1043316466,ROACH,MARTIN,G,DO,M,I,7667 AL HIGHWAY 51 STE B,,OPELIKA,AL,368042200,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,67,67,98.014925373,33,23.272985075,23.272985075
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,31,82,62.99097561,8.32,5.6263414634,5.6263414634
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,22,9.9872727273,1.42,1.0145454545,1.0145454545
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,17,11.784444444,11.988888889
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,2975,987.02041667,767.84791667,836.28208333
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,52.935428571,5.85,4.1582857143,3.4102857143
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,67,67,504.97373134,79.22,59.439402985,52.720298507
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,468.10810811,37.15,28.48027027,28.829459459
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,5386,0.2081191979,0.0461158559,0.0361585592,0.0361585592
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,37.15,26.7025,27.090833333
1043316656,BISWAS,NANDA,,M.D.,F,I,12677 HESPERIA RD,SUITE 170,VICTORVILLE,CA,923957735,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,93.5,33,25.87,25.87
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,36,101,304,62.168388158,8.32,6.0076644737,6.0076644737
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,22,14.829090909,3.38,2.1681818182,2.1681818182
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,20.256666667,2.12,1.2525,1.2525
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,43,98,16.204693878,1.42,0.9887755102,0.9887755102
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,30,27.45,21.52,22.197142857
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,14,12.5,10.93,8.57,8.57
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,6.45,5.54,4.3435,4.3435
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,717,2.2562761506,1.95,1.5288284519,1.5288284519
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,50.73,3.6308,2.8508,3.6936
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,9.3609090909,7.3381818182,9.0127272727
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,136.78473684,77.55,50.49,45.461052632
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1380,1.6990507246,0.7400869565,0.5290507246,0.5290507246
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,49,10847,0.2191960911,0.0465852309,0.0338250207,0.0338231769
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1170,1.6728034188,0.1293333333,0.1014273504,0.1014273504
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,45,46,46.140217391,14.817173913,9.187173913,11.015869565
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,48,49,16.30877551,6.5240816327,4.2108163265,5.4583673469
1043316755,PATEL,NILESHKUMAR,G,MD,M,I,1 E ROE BLVD,"PATCHOGUE MEDICAL GROUP,LLP",PATCHOGUE,NY,117722631,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,,49,49,60.06122449,33,23.230204082,23.230204082
1043316821,SHELL,DAN,H,MD,M,I,6209 POPLAR AVE,SUITE 200,MEMPHIS,TN,381194712,US,Physician/Plastic and Reconstructive Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1400,0.55,0.44,0.345,0.345
1043316821,SHELL,DAN,H,MD,M,I,6209 POPLAR AVE,SUITE 200,MEMPHIS,TN,381194712,US,Physician/Plastic and Reconstructive Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,540,4.46,3.67,2.7174814815,2.7174814815
1043316821,SHELL,DAN,H,MD,M,I,6209 POPLAR AVE,SUITE 200,MEMPHIS,TN,381194712,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,2000,0.16,0.13,0.09172,0.09172
1043316821,SHELL,DAN,H,MD,M,I,6209 POPLAR AVE,SUITE 200,MEMPHIS,TN,381194712,US,Physician/Plastic and Reconstructive Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,1176.2352941,223.76882353,167.92470588,110.27882353
1043316847,HEMMEN,ANDREW,M,MD,M,I,6644 E BAYWOOD AVE,,MESA,AZ,852061747,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,21.027777778,18.529444444,13.717777778,12.787222222
1043316847,HEMMEN,ANDREW,M,MD,M,I,6644 E BAYWOOD AVE,,MESA,AZ,852061747,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,104.085,85.542777778,63.311666667,51.689444444
1043316854,SCHUCKMAN,ROBIN,R,CNP,F,I,7829 LAUREL AVE,,CINCINNATI,OH,452432608,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,25,73.5292,8.32,4.9052,4.9052
1043316912,GOLDSTEIN,HOWARD,B,DO,M,I,4735 OGLETOWN STANTON RD,SUITE 1208,NEWARK,DE,19713,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,19,6180,3.5760194175,1.95,1.5287961165,1.5993511327
1043316920,WOOD,CHRISTOPHER,G,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2700,0.3766666667,0.13,0.1019074074,0.1019074074
1043316920,WOOD,CHRISTOPHER,G,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,4.35,1.83,1.4347,1.59935
1043316946,GEORGE,USHA,,M.D.,F,I,1151 DUTCH BROADWAY,,VALLEY STREAM,NY,115801510,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,31,81.511612903,8.32,6.1009677419,6.1009677419
1043317043,KOSKINAS,CARLA,M,PA-C,F,I,730 HIGHLAND OAKS DR,SUITE 101,WINSTON SALEM,NC,271037108,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,60,60.2955,8.32,6.523,6.523
1043317290,POI,ELIZABETH,A,MD,F,I,3434 E. WASHINGTON AVE.,,MADISON,WI,537044155,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,120,80.97875,8.32,5.71925,5.71925
1043317290,POI,ELIZABETH,A,MD,F,I,3434 E. WASHINGTON AVE.,,MADISON,WI,537044155,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,25,20.4424,1.42,0.8452,0.8452
1043317290,POI,ELIZABETH,A,MD,F,I,3434 E. WASHINGTON AVE.,,MADISON,WI,537044155,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,79.117272727,17.97,14.09,14.071818182
1043317290,POI,ELIZABETH,A,MD,F,I,3434 E. WASHINGTON AVE.,,MADISON,WI,537044155,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,18.715,4.8325,3.5970833333,3.4345833333
1043317290,POI,ELIZABETH,A,MD,F,I,3434 E. WASHINGTON AVE.,,MADISON,WI,537044155,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,498.1375,69.81,51.309375,51.309375
1043317290,POI,ELIZABETH,A,MD,F,I,3434 E. WASHINGTON AVE.,,MADISON,WI,537044155,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2490,2.9190963855,0.1343614458,0.1020843373,0.1020843373
1043317290,POI,ELIZABETH,A,MD,F,I,3434 E. WASHINGTON AVE.,,MADISON,WI,537044155,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,33,33,24.745217391,24.745217391
1043317340,NIRANJAN,VARALAKSHMI,,MD,F,I,65 KANE STREET,,WEST HARTFORD,CT,061192110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,13,41,71.053658537,8.32,6.2041463415,6.2041463415
1043317340,NIRANJAN,VARALAKSHMI,,MD,F,I,65 KANE STREET,,WEST HARTFORD,CT,061192110,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,28.46,22.31,22.31
1043317340,NIRANJAN,VARALAKSHMI,,MD,F,I,65 KANE STREET,,WEST HARTFORD,CT,061192110,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,2.49,2.49,1.9516666667,1.9516666667
1043317340,NIRANJAN,VARALAKSHMI,,MD,F,I,65 KANE STREET,,WEST HARTFORD,CT,061192110,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,10.93,10.51,8.24,8.58
1043317340,NIRANJAN,VARALAKSHMI,,MD,F,I,65 KANE STREET,,WEST HARTFORD,CT,061192110,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.46,7.46,5.85,5.85
1043317365,VINCENT,HEATHER,M,PA-C,F,I,4237 RIVER HILLS DR STE 150,,LITTLE RIVER,SC,295666446,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,29,67.711034483,8.32,6.0727586207,6.0727586207
1043317365,VINCENT,HEATHER,M,PA-C,F,I,4237 RIVER HILLS DR STE 150,,LITTLE RIVER,SC,295666446,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,13,12.866923077,1.42,1.0338461538,1.0338461538
1043317365,VINCENT,HEATHER,M,PA-C,F,I,4237 RIVER HILLS DR STE 150,,LITTLE RIVER,SC,295666446,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,142.375,35.8175,28.08,27.825625
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,21,13.165714286,4.1,3.2133333333,3.2133333333
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,370,5.8214594595,4.91,3.3291621622,3.3291621622
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,275,4.3028363636,2.8240363636,1.9807636364,2.0481818182
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,25,144,8.7726388889,6.44,3.8089583333,3.8089583333
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,545,13.687137615,6.9875045872,5.2649174312,5.2749724771
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,360,6.8661111111,5.36,3.3616666667,3.3616666667
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,270,3.4288888889,3.04,2.2567777778,2.2567777778
1043317373,HOFMANN,PETER,M,M.D.,M,I,900 N 1ST ST,,SPRINGFIELD,IL,627023749,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,725,0.4000827586,0.26,0.1880137931,0.1952137931
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,51,124,124,121.70870968,38.762177419,28.170645161,28.265241935
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,21,49,49,347.13367347,83.52122449,62.584693878,64.879387755
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,22,54,137,134.94131387,31.726131387,23.685547445,24.668248175
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,27,70,384,71.283255208,18.400598958,14.041770833,14.1415625
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,27,73,420,57.414190476,15.106285714,10.987095238,11.044595238
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,57,151,151,213.57821192,51.76589404,38.41205298,40.549006623
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,73,106,106,68.038301887,17.052641509,13.26254717,13.932735849
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,31.267857143,10.45,8.19,8.1528571429
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,60,60,69.917166667,12.04,8.968,8.6906666667
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,74,179,1026,10.456744639,2.0221734893,1.5323781676,1.5377290448
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,24,31,31,24.021290323,5.9019354839,4.4819354839,4.5006451613
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,50,64,64,46.4753125,13.43671875,9.9709375,9.78640625
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,94.274074074,16.98,12.324074074,12.54037037
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,2432.5380645,910.59741935,700.26806452,828.61612903
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,531.94428571,130.15071429,102.03285714,104.52785714
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,58,60,36.983333333,3.3675,2.4803333333,3.3513333333
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,22,119,120,254.51766667,30.76,22.66,24.305
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,57,57,384.00105263,71.06,53.004035088,52.075614035
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,83.518518519,36.58,27.608148148,28.455555556
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,613,92.730146819,5.645497553,4.4260848287,4.4260848287
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2111,0.1969635244,0.0468024633,0.0340786357,0.0340786357
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,38,3821,1.8472729652,0.1358728082,0.0994085318,0.0994085318
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1064,12.693336466,2.9396992481,2.2684586466,2.2684586466
1043317563,FILUK,ROBERT,,M.D.,M,I,625 LINCOLN AVE.,,SAN JOSE,CA,951263518,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,56,56,68.357142857,33,24.522321429,24.522321429
1043317589,SCHWARTZ,STEVEN,,MD,M,I,7530 FREDLE DR,,CONCORD TWP,OH,440779406,US,Physician/Gastroenterology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,79.81,16.23,12.72,13.1
1043317704,CHADALAVADA,LAVANYA,,,F,I,2829 S GRAND AVE,,LOS ANGELES,CA,900073304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,35,92,183,87.565956284,8.32,4.2593989071,4.2593989071
1043317704,CHADALAVADA,LAVANYA,,,F,I,2829 S GRAND AVE,,LOS ANGELES,CA,900073304,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,27,54,63,14.754920635,1.42,0.7615873016,0.7615873016
1043317753,CABALES,VICTOR,L,MD,M,I,2726 JOHN F KENNEDY BLVD,,JERSEY CITY,NJ,073065508,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,43,88.83255814,8.32,5.311627907,5.311627907
1043317753,CABALES,VICTOR,L,MD,M,I,2726 JOHN F KENNEDY BLVD,,JERSEY CITY,NJ,073065508,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,41.565833333,1.42,0.9316666667,0.9316666667
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,46,137,283,59.987349823,8.32,5.6967491166,5.6967491166
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,23,41,13.620487805,1.42,1.033902439,1.033902439
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,19,19,42.262631579,17.917894737,12.563157895,12.580526316
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,32.014285714,11.007857143,8.6064285714,9.0714285714
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,18,72,5.4991666667,1.9908333333,1.3006944444,1.3291666667
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,21,4.7866666667,3.7533333333,3.7533333333
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,32.165,25.22,25.325
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,3.6,1.96,1.5345454545,1.5318181818
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1680,15.58,9.6127142857,7.4850178571,7.4850178571
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,900,0.7113444444,0.0463555556,0.0363,0.0363
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,1620,1.906691358,0.1338148148,0.101537037,0.101537037
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1680,12.86,3.1091428571,2.4375952381,2.4375952381
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,105,28.689090909,22.493636364,21.833636364
1043317829,BAKKE,ERIC,L,MD,M,I,1380 S COLUMBIA RD,,GRAND FORKS,ND,582014059,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,46,46,97.565217391,33,25.87,25.87
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,47,126,255,72.274392157,8.32,5.8984313725,5.8984313725
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.267272727,3.38,2.65,2.65
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,29,48,57,14.796842105,1.42,1.079122807,1.079122807
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,32.702307692,28.436153846,22.291538462,22.291538462
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.558333333,10.92,8.5625,8.5625
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,20,44,7.8620454545,1.9609090909,1.4218181818,1.0456818182
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,310.33230769,107.69923077,75.986923077,63.189230769
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,16,16,52.874375,24.35,17.13875,12.85875
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,16,16,63.12875,18.555,13.915,8.55
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,62,15.59016129,2.6570967742,2.0830645161,1.5929032258
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,117.4475,67.115,51.770833333,35.61
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,241.5,66.569047619,45.361904762,32.433809524
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,52,79.445384615,22.485576923,16.502692308,12.605384615
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,74.5,15.201666667,11.916666667,9.6091666667
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,32.327234043,7.280212766,5.3763829787,3.669787234
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,160.56666667,56.818,44.542666667,27.927333333
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,21,173,182,509.94076923,100.37840659,74.893351648,54.289340659
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,224.73684211,41.574736842,32.594736842,29.89
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,19,102,16970,0.2857802004,0.0460889806,0.0322421921,0.0322421921
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,3684,1.9627850163,0.1320032573,0.0916938111,0.0916938111
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,810,12.723197531,2.9953333333,2.0040617284,2.0040617284
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,33,86.093939394,26.741818182,16.163030303,12.014848485
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,27,28.444444444,11.007037037,7.8477777778,6.4607407407
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,104.475,44.745,35.0825,31.303333333
1043318066,MCCLINTOCK,ROGER,S,M.D.,M,I,600 N MAIN ST,,TAYLORVILLE,IL,625681511,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,22,111,111,74.027027027,33,23.073243243,23.073243243
1043318132,JAMI,PRASUNA,,M.D.,F,I,3100 MACCORKLE AVE SE,SUITE 810,CHARLESTON,WV,253041223,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,76,82,218,744,75.511330645,8.32,6.0837768817,6.0837768817
1043318132,JAMI,PRASUNA,,M.D.,F,I,3100 MACCORKLE AVE SE,SUITE 810,CHARLESTON,WV,253041223,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,67,73,160,289,19.19283737,1.42,1.0728719723,1.0728719723
1043318173,TRAN,LOANNE,B,"M.D., MPH",F,I,624 W DUARTE RD STE 205,,ARCADIA,CA,910079260,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,18,70.217777778,8.32,4.7605555556,4.7605555556
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,34,117,56.803846154,8.32,6.5227350427,6.5227350427
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,25,56,13.280714286,1.42,1.1139285714,1.1139285714
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,198.58,44.663636364,27.81,29.155454545
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35.909090909,7.8818181818,4.6172727273,4.9754545455
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,61,12690,2.3221686367,0.5656643026,0.4197659574,0.4197659574
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,8325,0.0386066066,0.0122714715,0.0093957958,0.0093957958
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,35,6240,3.3011041667,2.8263942308,2.192900641,2.192900641
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,1.97275,0.1335625,0.09334375,0.09334375
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,83.21,19.97,12.528,10.48
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,59,59,24,24,18.182033898,18.182033898
1043318199,VIDEEN,JOHN,S,MD,M,I,752 MEDICAL CENTER CT,SUITE 302,CHULA VISTA,CA,919116658,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,71,100,16,16,12.2911,12.2911
1043318363,ALI,ROKSANA,,MD,F,I,1700 PRAIRIE CITY RD,,FOLSOM,CA,956309594,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,34,69,73.247826087,8.32,6.3317391304,6.3317391304
1043318363,ALI,ROKSANA,,MD,F,I,1700 PRAIRIE CITY RD,,FOLSOM,CA,956309594,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,17,15.757647059,1.42,1.0517647059,1.0517647059
1043318363,ALI,ROKSANA,,MD,F,I,1700 PRAIRIE CITY RD,,FOLSOM,CA,956309594,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,7.75,1.73,1.3563333333,1.5993333333
1043318363,ALI,ROKSANA,,MD,F,I,1700 PRAIRIE CITY RD,,FOLSOM,CA,956309594,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,1.9159090909,1.8,1.41125,1.41125
1043318363,ALI,ROKSANA,,MD,F,I,1700 PRAIRIE CITY RD,,FOLSOM,CA,956309594,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,71.74,51.370909091,49.86
1043318363,ALI,ROKSANA,,MD,F,I,1700 PRAIRIE CITY RD,,FOLSOM,CA,956309594,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,62.846153846,27.12,21.263076923,22.616153846
1043318363,ALI,ROKSANA,,MD,F,I,1700 PRAIRIE CITY RD,,FOLSOM,CA,956309594,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37.58,26.781818182,26.832727273
1043318553,LAURENS,RICHARD,G,M.D.,M,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,62.334210526,17,11.225263158,11.443157895
1043318553,LAURENS,RICHARD,G,M.D.,M,I,3 SAINT FRANCIS DR,SUITE 300,GREENVILLE,SC,296013971,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,43,287.87255814,71,50.482325581,49.682093023
1043318819,KIERNAN,HOWARD,A,MD,M,I,903 PARK AVE FL 1,,NEW YORK,NY,100750362,US,Physician/Orthopedic Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.01,8.7466666667,6.8558333333,8.49
1043319064,EVERHART-CAYE,MARIA,,MD,F,I,85 SEYMOUR ST,,HARTFORD,CT,061065501,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,37,66.721621622,8.32,5.6416216216,5.6416216216
1043319122,FLEMING,JUSTIN,,DPM,M,I,3110 GRANT AVE,,PHILADELPHIA,PA,191142542,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,413,261.85,205.289375,217.07625
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,37,207,28243,0.3775721418,0.13,0.0940569345,0.0940569345
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,45,13.699111111,9.8884444444,7.1386666667,9.9806666667
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,17,14.643529412,14.008235294,10.152352941,13.298235294
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,41,211,28488,4.6178496209,1.7432845409,1.3287141955,1.5513798792
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,70,9590,9.65,7.23,5.5996047967,5.5996047967
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,23,41,10.951707317,9.5995121951,7.3170731707,8.152195122
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,32,89,9.3725842697,6.8766292135,5.034494382,5.4585393258
1043319437,BUSCEMI,MELCHIORE,L,MD,M,I,80 E MAIN ST,,CANTON,NY,136171450,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,44,2.655,1.8,1.41,1.41
1043319684,STERN,ANDREW,,PA,M,I,300 PENNY LN,,MOREHEAD CITY,NC,285574306,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,112.19764706,55.748823529,42.184117647,28.938235294
1043319783,HENNING,LYNNE,M,ARNP,F,I,100 CAMPUS DR,SUITE 12,PORTSMOUTH,NH,038015892,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78,50.958333333,46.143333333
1043319940,HOLLOWAY,SHANE,E,MD,M,I,6 MEDICAL DR,,AMARILLO,TX,791064136,US,Physician/Surgical Oncology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,280,22.734142857,9.86,7.7300357143,7.7300357143
1043319940,HOLLOWAY,SHANE,E,MD,M,I,6 MEDICAL DR,,AMARILLO,TX,791064136,US,Physician/Surgical Oncology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,290,11.163103448,7,5.2987586207,5.2987586207
1043319940,HOLLOWAY,SHANE,E,MD,M,I,6 MEDICAL DR,,AMARILLO,TX,791064136,US,Physician/Surgical Oncology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,150,8.2442666667,5.54,3.7641333333,3.7641333333
1043319940,HOLLOWAY,SHANE,E,MD,M,I,6 MEDICAL DR,,AMARILLO,TX,791064136,US,Physician/Surgical Oncology,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,7.98,5.36,3.8518333333,3.8518333333
1043319940,HOLLOWAY,SHANE,E,MD,M,I,6 MEDICAL DR,,AMARILLO,TX,791064136,US,Physician/Surgical Oncology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,560,6.9363214286,4.03,3.1595,3.1595
1043319940,HOLLOWAY,SHANE,E,MD,M,I,6 MEDICAL DR,,AMARILLO,TX,791064136,US,Physician/Surgical Oncology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,730,0.8009178082,0.27,0.210890411,0.210890411
1043319940,HOLLOWAY,SHANE,E,MD,M,I,6 MEDICAL DR,,AMARILLO,TX,791064136,US,Physician/Surgical Oncology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,730,0.7730684932,0.27,0.1971369863,0.1971369863
1043319973,KUO,TINA,M,,F,I,42-02 KISSENA BLVD.,#1A,FLUSHING,NY,11355,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,38,74.145,8.32,5.9557894737,5.9557894737
1043319973,KUO,TINA,M,,F,I,42-02 KISSENA BLVD.,#1A,FLUSHING,NY,11355,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,19,16.793684211,1.42,1.0021052632,1.0021052632
1043320278,FRACICA,PHILIP,J,M.D.,M,I,601 E 14TH ST,,SEDALIA,MO,653015972,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,67.24375,22.354375,16.02875,12.498125
1043320278,FRACICA,PHILIP,J,M.D.,M,I,601 E 14TH ST,,SEDALIA,MO,653015972,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,403.034375,101.67625,72.245,50.42
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,33,87,59.029885057,8.32,5.8194252874,5.8194252874
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,18,21,16.125714286,1.42,1.0114285714,1.0114285714
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,190,8.5605263158,5.74,4.2632105263,4.2632105263
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,20,40,8.19,1.9735,1.41275,1.035
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,331,12.915407855,7.3270392749,5.7445015106,4.3759214502
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,7476,0.8451150348,0.2736918138,0.2145759765,0.23820626
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,130,83.974166667,65.838333333,50.936666667
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,67.365652174,22.370434783,12.277826087,9.412173913
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,346.3825,346.3825
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,44,51,41.477058824,7.0529411765,4.5294117647,2.9860784314
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,11.746666667,9.205,4.535
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,115,125,465.92992,97.11008,66.13104,48.72608
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,14,63,14267,0.1800406533,0.0468774094,0.0309111937,0.0309111937
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,33,3990,0.7348571429,0.1333984962,0.0881879699,0.0881879699
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.1047692308,2.4341666667,2.4341666667
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1080,0.8953888889,0.2190092593,0.1645648148,0.1645648148
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,55,44.745,33.713333333,28.584166667
1043320401,LEITER,KAREN,S,NP,F,I,201 LINDEN ST,PHYSICIAN HEALTH SERVICES,BIG RAPIDS,MI,493071825,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,16,89,89,125.76404494,33,22.820898876,22.820898876
1043320468,SIQUEIROS,RAFAEL,,M.D.,M,I,400 E ROMIE LN,,SALINAS,CA,939014017,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,29,87,195,56.369692308,8.32,5.8029230769,5.8029230769
1043320468,SIQUEIROS,RAFAEL,,M.D.,M,I,400 E ROMIE LN,,SALINAS,CA,939014017,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,12.294,3.38,2.65,2.65
1043320468,SIQUEIROS,RAFAEL,,M.D.,M,I,400 E ROMIE LN,,SALINAS,CA,939014017,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,32,39,15.27974359,1.42,0.9743589744,0.9743589744
1043320468,SIQUEIROS,RAFAEL,,M.D.,M,I,400 E ROMIE LN,,SALINAS,CA,939014017,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,10.065454545,2.02,1.4409090909,1.4486363636
1043320542,ALDRICH,DANIEL,J,MD,M,I,3136 HORIZON RD,SUITE 100,ROCKWALL,TX,750327807,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,2010,795.76,623.88,570.83625
1043320930,HARTLEIN,JOHANNA,,FNP,F,I,4921 PARKVIEW PL,,SAINT LOUIS,MO,631101032,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,21,32,86.14125,26.8403125,21.043125,15.8434375
1043321581,DE JESUS PEREZ,VINICIO,A,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,17.09,13.4,13.53
1043321581,DE JESUS PEREZ,VINICIO,A,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,631.49,65.923333333,49.793333333,52.838333333
1043321581,DE JESUS PEREZ,VINICIO,A,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Internal Medicine,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,756,791.21626984,570.1921164,446.75747354,446.75747354
1043321581,DE JESUS PEREZ,VINICIO,A,M.D.,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,96.461538462,33,23.88,23.88
1043321664,DZURILLA,JOZEF,,D.O,M,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,51.81,19.871914894,15.579787234,13.522978723
1043321664,DZURILLA,JOZEF,,D.O,M,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,59,60,323.61066667,96.305333333,75.506,55.111
1043321698,CHANG,BILL,K,MD,M,I,560 BLOSSOM ST,SUITE A,WEBSTER,TX,775984236,US,Physician/Vascular Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25.28,7.1883333333,5.635,6.5
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,24,43,87.956744186,8.32,5.2306976744,5.2306976744
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,13,16.557692308,1.42,0.86,0.86
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,49,49,6.72,5.3485714286,3.4397959184,2.9434693878
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,521.12,79.96,59.964347826,52.696521739
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,100,37,26.937857143,27.447142857
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2881,0.3175078098,0.0456056925,0.0325789656,0.0325789656
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37,29.01,29.468333333
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,584.55,143.1,112.18833333,105.58666667
1043321755,VRABEL,JEANNE,,PA,F,I,234 E SOUTHERN AVE,,INDIANAPOLIS,IN,462252121,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,33,33,24.253125,24.253125
1043322019,CRUSE,LAURA,M,MD,F,I,13801 BRUCE B DOWNS BLVD STE 406,,TAMPA,FL,33613,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,38,68.406315789,8.32,6.5215789474,6.5215789474
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,53,108,65.126018519,8.32,5.4416666667,5.4416666667
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,24,26,11.896538462,1.42,0.9892307692,0.9892307692
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,94.290833333,41.5075,30.021666667,27.954166667
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,157.45411765,58.669411765,43.488823529,40.341176471
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,52.814705882,18.601764706,13.752352941,13.233529412
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,72.931818182,11.54,9.05,9.12
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,22,111,9.5717117117,2.2127027027,1.7355855856,1.5923423423
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,86.31,17.29,12.985416667,12.96625
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,48,484.55083333,70.23,51.600416667,51.281875
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,0.92,0.1345,0.0727291667,0.0727291667
1043322159,SITES,JOHN,D,M.D.,M,I,319 GREEN ACRES RD,SUITE 101,FORT WALTON BEACH,FL,32547,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,125.4,33,19.448,19.448
1043322175,PATEL,USHMA,,MD,F,I,617 23RD STREET,MEDICAL PLAZA A SUITE 8B,ASHLAND,KY,411012845,US,Physician/Physical Medicine and Rehabilitation,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,36,11.062727273,8.6781818182,6.9545454545
1043322217,HEROLD,HEIDI,A,MD,F,I,435 S EAGLE RD STE 100,,EAGLE,ID,836166018,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,29,49.288275862,8.0331034483,4.435862069,4.435862069
1043322217,HEROLD,HEIDI,A,MD,F,I,435 S EAGLE RD STE 100,,EAGLE,ID,836166018,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,77.698181818,71.56,54.487272727,54.487272727
1043322217,HEROLD,HEIDI,A,MD,F,I,435 S EAGLE RD STE 100,,EAGLE,ID,836166018,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,27,31.381481481,6.8422222222,4.7337037037,4.2062962963
1043322217,HEROLD,HEIDI,A,MD,F,I,435 S EAGLE RD STE 100,,EAGLE,ID,836166018,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,45,411.028,104.18888889,80.561111111,66.327555556
1043322217,HEROLD,HEIDI,A,MD,F,I,435 S EAGLE RD STE 100,,EAGLE,ID,836166018,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1566,0.7634099617,0.137247765,0.1006577267,0.1006577267
1043322217,HEROLD,HEIDI,A,MD,F,I,435 S EAGLE RD STE 100,,EAGLE,ID,836166018,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,105.21428571,33,22.174285714,22.174285714
1043322332,RAVI,SARAT,B,M.D.,M,I,4802 10TH AVE,DEPT OF MEDICINE,BROOKLYN,NY,112192916,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,344.27,77.74,60.95,55.421111111
1043322332,RAVI,SARAT,B,M.D.,M,I,4802 10TH AVE,DEPT OF MEDICINE,BROOKLYN,NY,112192916,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,85,40.66,31.88,29.668
1043322431,ORELLANO,TRISTAN,J,MD,M,I,7350 VAN DUSEN RD,SUITE 340,LAUREL,MD,207075264,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,19,1742,0.5556831228,0.44,0.3449827784,0.3449827784
1043322431,ORELLANO,TRISTAN,J,MD,M,I,7350 VAN DUSEN RD,SUITE 340,LAUREL,MD,207075264,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,16,533,10.314146341,8.28,6.2224015009,6.2224015009
1043322431,ORELLANO,TRISTAN,J,MD,M,I,7350 VAN DUSEN RD,SUITE 340,LAUREL,MD,207075264,US,Physician/General Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,216,13.31,10.93,8.5691666667,8.5691666667
1043322431,ORELLANO,TRISTAN,J,MD,M,I,7350 VAN DUSEN RD,SUITE 340,LAUREL,MD,207075264,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,417,4.46,3.67,2.8773381295,2.8773381295
1043322431,ORELLANO,TRISTAN,J,MD,M,I,7350 VAN DUSEN RD,SUITE 340,LAUREL,MD,207075264,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,24,38,5574,0.1607319699,0.13,0.1019088626,0.1019088626
1043322431,ORELLANO,TRISTAN,J,MD,M,I,7350 VAN DUSEN RD,SUITE 340,LAUREL,MD,207075264,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,23,3032,0.56,0.45,0.3528133245,0.3528133245
1043322605,BARDEN,ROBERT,E,M.D.,M,I,1282 US HIGHWAY 1,SUITE 4,ROCKLEDGE,FL,329552747,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,57,5.9389473684,2.15,1.6852631579,1.6149122807
1043322605,BARDEN,ROBERT,E,M.D.,M,I,1282 US HIGHWAY 1,SUITE 4,ROCKLEDGE,FL,329552747,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,41.094857143,16.61,13.02,13.346857143
1043322605,BARDEN,ROBERT,E,M.D.,M,I,1282 US HIGHWAY 1,SUITE 4,ROCKLEDGE,FL,329552747,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,490.01317073,35.922682927,28.15902439,26.503902439
1043322605,BARDEN,ROBERT,E,M.D.,M,I,1282 US HIGHWAY 1,SUITE 4,ROCKLEDGE,FL,329552747,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,47,366,366,220,79.436448087,60.551284153,54.217568306
1043322753,LUSTER,KAREN,,M.D.,F,I,5900 HILLANDALE DR 200,,LITHONIA,GA,300583858,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,48,51.321666667,8.32,6.5227083333,6.5227083333
1043322753,LUSTER,KAREN,,M.D.,F,I,5900 HILLANDALE DR 200,,LITHONIA,GA,300583858,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,26,14.900769231,1.42,1.0273076923,1.0273076923
1043322753,LUSTER,KAREN,,M.D.,F,I,5900 HILLANDALE DR 200,,LITHONIA,GA,300583858,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,3.5975,2.6075,3.4591666667
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,33.24,17.219166667,13.495833333,7.89
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,155,254,254,73.968661417,48.633622047,35.657283465,28.67984252
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,130,71.56,52.9440625,52.9440625
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,96,50,29.19,21.595729167,21.597291667
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,130,222,222,248.73333333,121.17972973,88.056036036,64.090765766
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,74,134,237,107.97700422,45.157299578,34.188649789,25.450843882
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,24,46,130,61.498769231,24.412846154,17.864307692,13.757384615
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,14,17,72,55.393611111,19.575416667,13.567777778,11.032083333
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,83,124,124,226.97330645,74.73516129,54.56983871,40.039919355
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,195,230,230,54.317913043,24.992391304,18.486086957,13.541217391
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,29.5625,12.04125,9.4425,8.289375
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,51,70,70,58.512571429,21.503,15.423428571,9.0305714286
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,202,336,1325,6.3728377358,2.844045283,2.0848,1.5277811321
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,34,38,38,28.451578947,8.8226315789,6.7810526316,4.9552631579
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,84,95,95,38.094315789,15.565684211,11.453789474,9.8574736842
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,8.7708333333,6.8775,3.65
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,300,140.86225806,110.43548387,75.708064516
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,21,700,291.95571429,228.15380952,201.79809524
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,146,756,769,51.070975293,17.883342003,13.26953186,9.8488686606
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,8.5461111111,6.295,3.7333333333
1043323199,ALGHADBAN,ADNAN,,M.D.,M,I,"527 MEDICAL PARK DRIVE, STE. 204","ASSOCIATED SPECIALISTS, INC.",BRIDGEPORT,WV,26330,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,150,882,889,130.67239595,52.640011249,39.32992126,25.22007874
1043323231,HENRIQUES,R,A,M.D.,M,I,503 DELANNOY AVE,,COCOA,FL,329227813,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,41,89,76.038426966,8.32,5.5685393258,5.5685393258
1043323231,HENRIQUES,R,A,M.D.,M,I,503 DELANNOY AVE,,COCOA,FL,329227813,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,19,13.994736842,1.42,1.0610526316,1.0610526316
1043323413,ESTRADA,CARLOS,R,D. O.,M,I,1605 E DEL MAR BLVD STE 107,,LAREDO,TX,780416518,US,Physician/Neurosurgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,62.642105263,45.704736842,35.828421053,35.232105263
1043323413,ESTRADA,CARLOS,R,D. O.,M,I,1605 E DEL MAR BLVD STE 107,,LAREDO,TX,780416518,US,Physician/Neurosurgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,460.24923077,371.50538462,291.25846154,292.91076923
1043323413,ESTRADA,CARLOS,R,D. O.,M,I,1605 E DEL MAR BLVD STE 107,,LAREDO,TX,780416518,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,1346.523,1181.55,926.337,890.796
1043323421,TABIBIAN,BIALICK,,M.D.,M,I,8540 S SEPULVEDA BLVD STE 1100,,LOS ANGELES,CA,900453819,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,55,150,65.7356,8.3156666667,5.9094666667,5.9128666667
1043323421,TABIBIAN,BIALICK,,M.D.,M,I,8540 S SEPULVEDA BLVD STE 1100,,LOS ANGELES,CA,900453819,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,26,40,14.645,1.42,0.9755,0.9755
1043323421,TABIBIAN,BIALICK,,M.D.,M,I,8540 S SEPULVEDA BLVD STE 1100,,LOS ANGELES,CA,900453819,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2880,3.9066388889,0.573375,0.4495277778,0.4495138889
1043323421,TABIBIAN,BIALICK,,M.D.,M,I,8540 S SEPULVEDA BLVD STE 1100,,LOS ANGELES,CA,900453819,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1950,0.1240717949,0.0137692308,0.0107948718,0.0107948718
1043323421,TABIBIAN,BIALICK,,M.D.,M,I,8540 S SEPULVEDA BLVD STE 1100,,LOS ANGELES,CA,900453819,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,3720,2.2943387097,1.3652096774,1.0703198925,1.0703198925
1043323421,TABIBIAN,BIALICK,,M.D.,M,I,8540 S SEPULVEDA BLVD STE 1100,,LOS ANGELES,CA,900453819,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1043323421,TABIBIAN,BIALICK,,M.D.,M,I,8540 S SEPULVEDA BLVD STE 1100,,LOS ANGELES,CA,900453819,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,30,16,16,12.541,12.541
1043323488,AMAZONA,CARLO,,MD,M,I,217 KERN AVENUE,,MCFARLAND,CA,932501360,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,39,63,50.510952381,8.32,5.073968254,5.073968254
1043323488,AMAZONA,CARLO,,MD,M,I,217 KERN AVENUE,,MCFARLAND,CA,932501360,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,22,29,9.4255172414,1.42,0.8075862069,0.8075862069
1043323702,BUBENIK,OLDRICH,V,MD,M,I,604 N WASINGTON STREET,,COUNCIL GROVE,KS,66846,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,71,47.784366197,8.32,5.9249295775,5.9249295775
1043323702,BUBENIK,OLDRICH,V,MD,M,I,604 N WASINGTON STREET,,COUNCIL GROVE,KS,66846,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.99,42.915,42.798333333
1043323827,NEELKANTAN,KAMAKSHI,,M.D.,F,I,2108 EMMORTON PARK RD,101-103,EDGEWOOD,MD,210401050,US,Physician/Pediatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,17,25,5.0911764706,3.0541176471,2.5847058824
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,88,68.144659091,8.32,6.4477272727,6.4477272727
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,27,16.18037037,1.42,1.0725925926,1.0725925926
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,172.19,48.333333333,37.89,39.146666667
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,29,418.99862069,77.55,56.967931034,52.363103448
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,23,250,41.25,30.933913043,28.842173913
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2670,0.2819662921,0.0458913858,0.0359737828,0.0359737828
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,89.25,15.441666667,11.469444444,13.203888889
1043323835,MENDELSON,MICHAEL,W,M.D.,M,I,5360 NESCONSET HGHY,SUITE B,PORT JEFFERSON STATION,NY,117762018,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,33,33,25.87,25.87
1043323926,RUMI,MUSTASIM,N,M.D.,M,I,16020 PARK VALLEY DR,,ROUND ROCK,TX,786813573,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,19,1492.7442105,1185.42,884.70894737,848.61631579
1043324098,RAI,HARDEEP,S,MD,M,I,1913 WALNUT PLZ,,CARROLLTON,TX,750065809,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,27,45,154,70.992012987,8.32,6.4375974026,6.4375974026
1043324098,RAI,HARDEEP,S,MD,M,I,1913 WALNUT PLZ,,CARROLLTON,TX,750065809,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,21,30,44,17.038181818,1.42,1.0897727273,1.0897727273
1043324098,RAI,HARDEEP,S,MD,M,I,1913 WALNUT PLZ,,CARROLLTON,TX,750065809,US,Physician/Internal Medicine,S,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,324,133.27545455,104.49272727,101.20272727
1043324098,RAI,HARDEEP,S,MD,M,I,1913 WALNUT PLZ,,CARROLLTON,TX,750065809,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,189.20727273,32.454545455,25.448181818,24.968181818
1043324098,RAI,HARDEEP,S,MD,M,I,1913 WALNUT PLZ,,CARROLLTON,TX,750065809,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,329.53066667,76.48,51.965333333,48.122666667
1043324098,RAI,HARDEEP,S,MD,M,I,1913 WALNUT PLZ,,CARROLLTON,TX,750065809,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,3506,1.7489104392,0.1353565317,0.0967855106,0.0967855106
1043324098,RAI,HARDEEP,S,MD,M,I,1913 WALNUT PLZ,,CARROLLTON,TX,750065809,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,81.8,33,24.145333333,24.145333333
1043324254,LEVIN,BARRY,S,M.D.,M,I,4646 N MARINE DR,,CHICAGO,IL,60640,US,Physician/Anesthesiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,20,519.51,77.18,60.51,55.0095
1043324445,PENA,FRANCISCO,I,M.D.,M,I,2801 MUSSER ST,,LAREDO,TX,780432441,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,19,41,47.237073171,8.312195122,4.7958536585,4.7958536585
1043324445,PENA,FRANCISCO,I,M.D.,M,I,2801 MUSSER ST,,LAREDO,TX,780432441,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,15,22,11.895454545,1.42,1.0645454545,1.0645454545
1043324544,CHENG,IVAN,,M.D.,M,I,450 BROADWAY ST,MC 6342,REDWOOD CITY,CA,940633132,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,63.155384615,47.266153846,37.056923077,36.69
1043324627,SCHLANGER,STUART,R,M.D.,M,I,601 N 30TH ST,,OMAHA,NE,681312137,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,16,43.7725,8.32,6.116875,6.116875
1043324643,WALLMAN,GREGORY,A,DO,M,I,2501 COMPASS RD,SUITE 100,GLENVIEW,IL,600268000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,40,129,81.525581395,8.32,5.5172093023,5.5172093023
1043324643,WALLMAN,GREGORY,A,DO,M,I,2501 COMPASS RD,SUITE 100,GLENVIEW,IL,600268000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,24,15.676666667,1.42,1.0683333333,1.0683333333
1043324643,WALLMAN,GREGORY,A,DO,M,I,2501 COMPASS RD,SUITE 100,GLENVIEW,IL,600268000,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,280,7.1577142857,5.74,4.41325,4.41325
1043324643,WALLMAN,GREGORY,A,DO,M,I,2501 COMPASS RD,SUITE 100,GLENVIEW,IL,600268000,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,390,23.717384615,5.79,4.5393333333,4.2208974359
1043324643,WALLMAN,GREGORY,A,DO,M,I,2501 COMPASS RD,SUITE 100,GLENVIEW,IL,600268000,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,15,15,505.59266667,65.8,44.893333333,42.341333333
1043324643,WALLMAN,GREGORY,A,DO,M,I,2501 COMPASS RD,SUITE 100,GLENVIEW,IL,600268000,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,45,5.41125,3.71,3.474375
1043324718,COOPER,MARTIN,,,M,I,1927 NICHOLAS DR,,HUNTINGDON VALLEY,PA,190067930,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,35,72,78.122361111,8.32,5.61625,5.61625
1043324718,COOPER,MARTIN,,,M,I,1927 NICHOLAS DR,,HUNTINGDON VALLEY,PA,190067930,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,24,18.382083333,1.42,0.9308333333,0.9308333333
1043324718,COOPER,MARTIN,,,M,I,1927 NICHOLAS DR,,HUNTINGDON VALLEY,PA,190067930,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,366,12.6,3.81,2.7095355191,2.7095355191
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,41,68,213,612,63.724607843,8.32,5.9635130719,5.9635130719
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,27,27,15.705925926,3.38,2.1592592593,2.1592592593
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,22.324285714,2.12,1.5507142857,1.5507142857
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,34,61,122,14.789590164,1.42,0.9863934426,0.9863934426
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,38,16.603157895,10.93,8.57,8.57
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,23,12.495652174,7.35,5.7608695652,5.8491304348
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,95.021666667,38,29.79,30.373333333
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,207.96923077,84,60.793846154,62.507692308
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,30,89.084666667,35,25.610666667,24.393333333
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,89,57.705730337,19.24,15.083595506,14.587640449
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,15,81,41.268148148,15.58,11.459506173,11.181851852
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,35,35,171.47028571,54.9,41.810285714,41.645714286
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,26,26,51.201923077,18,14.11,14.065769231
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,26,26,49.050769231,12,8.6861538462,8.4407692308
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,43,246,7.980203252,2,1.5301219512,1.552195122
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,20.505882353,6.03,4.72,4.6582352941
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,18,18,35.276111111,13,10.19,10.331666667
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,3.34,3,2.352,2.3663611111
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,582,5.2605498282,4.9977319588,3.9182474227,4.163161512
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,11389,0.4084326982,0.3629510932,0.2719536395,0.2770076389
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,80,80,94.6015,17,11.658375,11.871375
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,28.838,5.254,4.1226666667,3.4546666667
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,26,27,163.88666667,30.972222222,22.371111111,23.502962963
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,5.5164705882,5.2176470588,4.0888235294,3.9564705882
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,51.12,15.742727273,10.157272727,10.266363636
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,101,101,486.37851485,78.848712871,53.35049505,47.034158416
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,6286,0.4211358575,0.0462122176,0.0343620745,0.0343620745
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1650,0.92,0.1347818182,0.1057030303,0.1057030303
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,585,2.8127692308,0.2194358974,0.172017094,0.172017094
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70,23.289090909,18.259090909,14.62
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,36.631071429,36.631071429,24.663928571,20.333214286
1043324742,RIZKALLA,SUZANNE,,M.D.,F,I,25815 BARTON ROAD STE C102,,LOMA LINDA,CA,923543857,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,38,77.289473684,33,25.545789474,25.545789474
1043324783,COATSWORTH,SCOTT,,M.D.,M,I,1600 S 48TH ST,SUITE 600,LINCOLN,NE,685061275,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,197.87043478,50.158695652,37.823478261,24.652608696
1043325186,BACHHAWAT,REETU,,MD,F,I,8101 CLEARVISTA PKWY,SUITE 200,INDIANAPOLIS,IN,462564696,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,12,30,81.873666667,8.32,6.3043333333,6.3043333333
1043325186,BACHHAWAT,REETU,,MD,F,I,8101 CLEARVISTA PKWY,SUITE 200,INDIANAPOLIS,IN,462564696,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,376.25769231,100.87538462,79.088461538,55.342307692
1043325186,BACHHAWAT,REETU,,MD,F,I,8101 CLEARVISTA PKWY,SUITE 200,INDIANAPOLIS,IN,462564696,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2610,0.4083295019,0.0464904215,0.0320727969,0.0320727969
1043325186,BACHHAWAT,REETU,,MD,F,I,8101 CLEARVISTA PKWY,SUITE 200,INDIANAPOLIS,IN,462564696,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,18.814545455,18.814545455
1043325277,BERGER,LISA,,MD,F,I,2 OHIO DR,,NEW HYDE PARK,NY,110421111,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,65,49.812769231,8.32,6.3227692308,6.3227692308
1043325277,BERGER,LISA,,MD,F,I,2 OHIO DR,,NEW HYDE PARK,NY,110421111,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,29,16.434482759,1.42,1.114137931,1.114137931
1043325285,MARKS,SHELLEY,,MD,F,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/General Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,228.0875,60.5,47.43,48.0975
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,27,85,172,74.151104651,8.32,5.2294767442,5.2294767442
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,14.940588235,3.38,2.3382352941,2.3382352941
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,29,31,14.777419355,1.42,1.0103225806,1.0103225806
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,2550,3.0194117647,2.04,1.567945098,1.567945098
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,68.666666667,12.2425,9.6,9.6741666667
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,164.308,50.262,36.308666667,37.593333333
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,92.4,17.27,13.54,13.54
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,157.5,32.699090909,23.438181818,22.734545455
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,489.3,69.81,54.73,54.73
1043325293,DEMASTER,BRIAN,J,MD,M,I,313 S MAIN ST,,CEDAR GROVE,WI,53013,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,23,151.12521739,27.303478261,19.67,19.67
1043325400,DILLARD,GARY,A,MD,M,I,1810 STADIUM DRIVE STE 240,,PHENIX CITY,AL,36867,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,28,51,140,65.574714286,8.32,5.0309285714,5.0309285714
1043325400,DILLARD,GARY,A,MD,M,I,1810 STADIUM DRIVE STE 240,,PHENIX CITY,AL,36867,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,31,44,15.728409091,1.42,0.9113636364,0.9113636364
1043325400,DILLARD,GARY,A,MD,M,I,1810 STADIUM DRIVE STE 240,,PHENIX CITY,AL,36867,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,48,12.786666667,2.01,1.388125,1.4022916667
1043325400,DILLARD,GARY,A,MD,M,I,1810 STADIUM DRIVE STE 240,,PHENIX CITY,AL,36867,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,150.69777778,32.11,23.85,23.439444444
1043325400,DILLARD,GARY,A,MD,M,I,1810 STADIUM DRIVE STE 240,,PHENIX CITY,AL,36867,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1858,1.4901291712,0.1324811625,0.0903121636,0.0903121636
1043325400,DILLARD,GARY,A,MD,M,I,1810 STADIUM DRIVE STE 240,,PHENIX CITY,AL,36867,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,101.0625,33,17.525,17.525
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,47,126,67.26547619,8.32,5.7451587302,5.7451587302
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,15.666666667,3.38,2.4733333333,2.4733333333
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,29,44,18.755,1.42,1.0381818182,1.0381818182
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.49,1.165,1.151
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,9.4845454545,4.02,2.5854545455,2.8163636364
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,519.51,78.23,61.33,55.664285714
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,31,7073,0.1755167539,0.0458956596,0.0359776615,0.0359776615
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,14,14,879.04428571,653.24,512.14,564.49285714
1043325434,GRAHAM,LEROY,,MD,M,I,15408 WARWICK BLVD,,NEWPORT NEWS,VA,236081576,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,31,125.61290323,33,25.87,25.87
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,50,98,264,76.651893939,8.32,5.8420454545,5.8420454545
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,30,52,58,15.926724138,1.42,1.0417241379,1.0417241379
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,26,26,79.461923077,40.232307692,28.412692308,27.563461538
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,11,21,98,76.192857143,19.18,15.036938776,14.565306122
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,18,99,46.341212121,15.585757576,10.827575758,10.509393939
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,19,40,40,164.591,54.6405,38.457,38.5795
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,21,26,26,53.453076923,18.822307692,14.186923077,13.57
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,57.76625,12,9.41,9.12
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,38,222,9.6135135135,2.1043243243,1.5576576577,1.5086036036
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,14,17,17,47.564705882,12.84,9.4682352941,9.7352941176
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,250,84.675454545,66.388181818,67.093636364
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,240,31.773846154,23.178461538,23.392307692
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,472.79714286,83.66,58.379642857,50.836071429
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,41.763333333,30.178333333,28.245833333
1043325483,MAJHAIL,AMARDEEP,,MD,M,I,14674 W MOUNTAIN VIEW BLVD # 200,,SURPRISE,AZ,853742705,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,252.7,78.12,61.25,54.961666667
1043325566,SHULMAN,KAREN,A,MD,F,I,101 WISCONSIN AVE,,STRATFORD,WI,54484,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,54,144,76.531041667,8.32,5.9788888889,5.9788888889
1043325566,SHULMAN,KAREN,A,MD,F,I,101 WISCONSIN AVE,,STRATFORD,WI,54484,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1043325707,CANNON,SCOTT,C,MD,M,I,8170 LAGUNA BLVD,SUITE 114,ELK GROVE,CA,957587901,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,70,152,80.162368421,8.32,5.8825,5.8825
1043325707,CANNON,SCOTT,C,MD,M,I,8170 LAGUNA BLVD,SUITE 114,ELK GROVE,CA,957587901,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,23,25,15.4276,1.42,0.9848,0.9848
1043325707,CANNON,SCOTT,C,MD,M,I,8170 LAGUNA BLVD,SUITE 114,ELK GROVE,CA,957587901,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,212.81692308,51.13,33.913846154,36.576923077
1043325707,CANNON,SCOTT,C,MD,M,I,8170 LAGUNA BLVD,SUITE 114,ELK GROVE,CA,957587901,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,66.74,12.04,7.7236363636,7.4909090909
1043325707,CANNON,SCOTT,C,MD,M,I,8170 LAGUNA BLVD,SUITE 114,ELK GROVE,CA,957587901,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,73,7.8846575342,2,1.3110958904,1.332739726
1043325707,CANNON,SCOTT,C,MD,M,I,8170 LAGUNA BLVD,SUITE 114,ELK GROVE,CA,957587901,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,480,47.41875,35.342916667,37.74
1043325848,HSU,MICHAEL,C,M.D.,M,I,201 HEALTH PARK BLVD,STE 107,ST AUGUSTINE,FL,320865796,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,500,7.7572,4.03,3.1595,3.1595
1043325848,HSU,MICHAEL,C,M.D.,M,I,201 HEALTH PARK BLVD,STE 107,ST AUGUSTINE,FL,320865796,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,720,0.6313611111,0.27,0.211625,0.211625
1043326093,MASCARENHAS,FRANCIS,K,MD,M,I,3200 W EULESS BLVD,,EULESS,TX,760406253,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,29,98,47.534897959,8.32,6.1904081633,6.1904081633
1043326093,MASCARENHAS,FRANCIS,K,MD,M,I,3200 W EULESS BLVD,,EULESS,TX,760406253,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.42,3.38,2.65,2.65
1043326093,MASCARENHAS,FRANCIS,K,MD,M,I,3200 W EULESS BLVD,,EULESS,TX,760406253,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,37,11.742162162,1.42,1.0832432432,1.0832432432
1043326176,BREWINGTON,STACY,D,M.D.,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Interventional Cardiology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,164.7,78.266666667,53.503333333,42.119166667
1043326176,BREWINGTON,STACY,D,M.D.,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,70,7.234,3.2028571429,2.4608571429,1.8958571429
1043326176,BREWINGTON,STACY,D,M.D.,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,201.9075,104.5025,81.9325,59.7925
1043326176,BREWINGTON,STACY,D,M.D.,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Interventional Cardiology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,61.59,44.687142857,35.037142857,29.515714286
1043326176,BREWINGTON,STACY,D,M.D.,M,I,228 W. 4TH STREET,SUITE 200,COOKEVILLE,TN,38501,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,3742.7272727,2608.8527273,2038.8190909,2038.8190909
1043326192,SMITH,GINA,L,M.D.,F,I,261 M 62,,CASSOPOLIS,MI,490311034,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,39,73.305384615,8.32,5.5182051282,5.5182051282
1043326192,SMITH,GINA,L,M.D.,F,I,261 M 62,,CASSOPOLIS,MI,490311034,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,150,69.81,46.662727273,46.662727273
1043326788,THOMPSON,LYNN,E,M.D.,M,I,2020 SUNDANCE PKWY,SUITE A1,NEW BRAUNFELS,TX,781302770,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,58,114,48.890087719,8.2863157895,5.6366666667,5.6585964912
1043326788,THOMPSON,LYNN,E,M.D.,M,I,2020 SUNDANCE PKWY,SUITE A1,NEW BRAUNFELS,TX,781302770,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,14,14.664285714,1.42,1.12,1.12
1043326788,THOMPSON,LYNN,E,M.D.,M,I,2020 SUNDANCE PKWY,SUITE A1,NEW BRAUNFELS,TX,781302770,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,209.76,82,56.411818182,59.72
1043326788,THOMPSON,LYNN,E,M.D.,M,I,2020 SUNDANCE PKWY,SUITE A1,NEW BRAUNFELS,TX,781302770,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,69,6.5834782609,2,1.5682608696,1.5905797101
1043326788,THOMPSON,LYNN,E,M.D.,M,I,2020 SUNDANCE PKWY,SUITE A1,NEW BRAUNFELS,TX,781302770,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1674,0.0974253286,0.0476762246,0.0373715651,0.0373715651
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,4.6923076923,0.51,0.4,0.4
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,39,90,325,57.877815385,8.32,6.1814153846,6.1814153846
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,14,34,34,16.176470588,3.38,2.4941176471,2.4941176471
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,23.941176471,2.12,1.67,1.67
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,23,52,110,16.227545455,1.42,1.0530909091,1.0530909091
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,20,40,8.75175,1.479,1.10125,1.09275
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,60.965,12,9.41,9.1925
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,10.16,2,1.5683823529,1.5869117647
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,496,275,5.33,4.1787096774,4.163891129
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,6720,3.9783333333,0.3671369048,0.287828869,0.2900729167
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,31,82.999677419,17.706774194,12.990645161,12.66483871
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,52,52,49.894038462,6.9130769231,4.9830769231,3.4807692308
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,188.62941176,32.756470588,21.325882353,20.38
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,500.14575758,77.55,56.124848485,50.724848485
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,6178,0.1850226611,0.0461799935,0.0342295241,0.0342295241
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,42,3811,1.647966413,0.1303909735,0.0858252427,0.0858252427
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,175.22,41.25,32.34,26.648
1043326887,KODURI,VINAYA,,MD,M,I,5701 STATE AVE STE 100,,KANSAS CITY,KS,661021281,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,16,57,57,96.210526316,33,23.600701754,23.600701754
1043326945,DUA,RAJIV,,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,27,104,63.592692308,8.32,6.2715384615,6.2715384615
1043326945,DUA,RAJIV,,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,30,13.426,1.42,1.1143333333,1.1143333333
1043326945,DUA,RAJIV,,M.D.,M,I,8186 LARK BROWN ROAD,SUITE 201,ELKRIDGE,MD,21075,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,11,18,216.97944444,35.22,25.861666667,25.728333333
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,45,108,66.011111111,8.32,5.9782407407,5.9782407407
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.25,3.38,2.65,2.65
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,27,38,16.568684211,1.42,1.0552631579,1.0552631579
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,235,23.567021277,5.54,4.3433191489,4.2092340426
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4216,1.4238662239,0.3775664137,0.2960080645,0.2915275142
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,49.442727273,46.736363636,36.64,40.79
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9145454545,3.0636363636,3.6854545455
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,17.505517241,17.386206897,13.072758621,13.952758621
1043326978,GUL,AMBER,,M.D.,F,I,333 SCHOOL ST,SUITE 210,PAWTUCKET,RI,028605334,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,9.1421428571,9.0639285714,6.7975,6.6242857143
1043327372,PATEL,ANKUR,N,MD,M,I,3289 N MAYFAIR RD,,WAUWATOSA,WI,532223203,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,36,94,74.204468085,8.32,4.995106383,4.995106383
1043327372,PATEL,ANKUR,N,MD,M,I,3289 N MAYFAIR RD,,WAUWATOSA,WI,532223203,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,14,15.940714286,1.42,1.0371428571,1.0371428571
1043327372,PATEL,ANKUR,N,MD,M,I,3289 N MAYFAIR RD,,WAUWATOSA,WI,532223203,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36,11.628181818,9.1181818182,8.8990909091
1043327372,PATEL,ANKUR,N,MD,M,I,3289 N MAYFAIR RD,,WAUWATOSA,WI,532223203,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,27,24,10.297407407,8.0740740741,8.1140740741
1043327372,PATEL,ANKUR,N,MD,M,I,3289 N MAYFAIR RD,,WAUWATOSA,WI,532223203,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,300,217.88545455,170.81636364,170.81636364
1043327521,LAPOUR,RYAN,W,MD,M,I,655 MEDICAL CENTER DR NE,,SALEM,OR,97301,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,72.2775,67.415,52.853333333,52.723333333
1043327521,LAPOUR,RYAN,W,MD,M,I,655 MEDICAL CENTER DR NE,,SALEM,OR,97301,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,23,85.391304348,71.540869565,56.092173913,56.259565217
1043327596,LERFALD,NATHAN,,M.D.,M,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,73.206666667,17.29,12.750666667,12.730666667
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,37,1094,106.86627057,5.390511883,3.9958135283,3.9423674589
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,5841,4.0359236432,0.5914980312,0.4549306626,0.5088306797
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,B4160,"Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feedin",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3103,3.9335868514,0.9271028037,0.721588785,0.721588785
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.91,3.85,3.9416666667
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,3645,4.2545020576,0.567388203,0.3975528121,0.3975528121
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,2522,4.6377835052,1.2370023791,0.9179540048,0.9179540048
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,24,24,17.423928571,17.423928571
1043328057,NAILESCU,CORINA,,MD,F,I,705 RILEY HOSPITAL DR,RR 230,INDIANAPOLIS,IN,462025109,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,44,59,16,16,12.114915254,12.114915254
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,25,62,145,69.041034483,8.32,5.8915862069,5.8915862069
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.540909091,3.38,2.4090909091,2.4090909091
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,26,36,14.09,1.42,1.0861111111,1.0861111111
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,404.32,88.22,63.405833333,62.195833333
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,33,166.49515152,33.6,24.091212121,23.665454545
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,26,78.580769231,19.022692308,14.912692308,13.786923077
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,43,471.32651163,83.541395349,65.49372093,55.690930233
1043328123,CALLAHAN,THOMAS,D,M.D.,M,I,1240 E 100 S,SUITE 15A,ST GEORGE,UT,847903001,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,680.85714286,106.85,73.522142857,74.235
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,30,27.45,21.52,21.915
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,12.5,10.93,8.57,8.57
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,6.2931428571,5.54,4.3435,4.3435
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,900,2.3832,1.95,1.5288333333,1.5288333333
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,1376,0.1215406977,0.12,0.0941206395,0.0941206395
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,4680,0.44,0.44,0.3449444444,0.3449444444
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,74,2490,7.9457831325,7.3120481928,5.7325783133,5.7745060241
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,388,35.111572165,34.86,27.330154639,27.330154639
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,23,67,2787,8.28,8.28,6.49155723,6.49155723
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,26,1008,18.5,18.5,14.503998016,14.503998016
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,240,11.039333333,10.93,8.5691666667,8.5691666667
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,80,6150,3.67,3.67,2.8773268293,2.8773268293
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,3646,0.4559434997,0.45,0.3528058146,0.3528058146
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,28,62.714285714,52.94,41.5,41.5
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,41,609,6.7666666667,3,2.352134647,2.3664860427
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,20,177,3607,13.900643194,4.9003881342,3.8417937344,4.1189270862
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,12,116,34079,0.7827553625,0.360443675,0.2826018956,0.2891073682
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,55,18805,0.6577591066,0.2985482584,0.2340600904,0.2419510768
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,16408,1.4500670405,0.6475865431,0.5077175768,0.5165858118
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,1821,1.5,0.70184514,0.5502745744,0.5561449753
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,11,57,57,131.29122807,59.231578947,46.436491228,47.977192982
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,18,138,138,30,5.1926086957,4.0739130435,3.9694927536
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,12,12,12,77.8875,30.793333333,24.1425,28.321666667
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,12,12,12,379.95083333,137.47,107.78083333,112.94416667
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,42,42,80.232857143,17.58952381,13.788095238,15.030714286
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,175.37,31.749473684,24.896315789,27.774736842
1043328289,GROSS,RONALD,L,M.D.,M,I,3765 RIVERDALE AVE,SUITE 5,BRONX,NY,104631845,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,14,56,56,21.982678571,7.835,6.1442857143,7.1226785714
1043328297,CREDLE,WILLIAM,,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,291.96730769,79.267307692,60.954615385,53.532692308
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,39,39,39,131.58,50.27025641,39.415641026,36.812820513
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,13,17,21.46,10.235294118,8.0276470588,8.1194117647
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,19,3.83,2,1.4873684211,1.4515789474
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,73,129,5.02,3.2298449612,2.4942635659,2.2803100775
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,18,23.855,10.514444444,7.8127777778,7.7511111111
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,23,38.566521739,30.17,23.655652174,22.569130435
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,13,13,13,105.21769231,39.696153846,31.121538462,29.627692308
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,46,48,69.904583333,22.135416667,17.047916667,15.63375
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,53,55,167.68109091,34.653272727,25.457636364,21.102363636
1043328412,KUMAR,DRUPADI,,M.D.,F,I,916 BELLERIVE MANOR DR,,CREVE COEUR,MO,631416094,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,58,60,20.98,10.260333333,7.5765,6.5853333333
1043328545,SCHUERMAN-GEN,AMY,E,M.D.,F,I,1313 E HERNDON AVE,SUITE 106,FRESNO,CA,937203306,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,3051,4.4508718453,0.5613176008,0.4400786627,0.4400786627
1043328545,SCHUERMAN-GEN,AMY,E,M.D.,F,I,1313 E HERNDON AVE,SUITE 106,FRESNO,CA,937203306,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,24,24,18.82,18.82
1043328545,SCHUERMAN-GEN,AMY,E,M.D.,F,I,1313 E HERNDON AVE,SUITE 106,FRESNO,CA,937203306,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,13,16,16,12.540769231,12.540769231
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,35,114,276,16.184202899,8.32,5.3032246377,5.3032246377
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,14.143636364,3.38,2.4090909091,2.4090909091
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,14,14,11.56,2.12,1.5507142857,1.5507142857
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,29,77,89,5.5162921348,1.42,0.9285393258,0.9285393258
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,930,4.7595483871,1.95,1.4301827957,1.4301827957
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,312,16.5,4.1288461538,3.2369551282,2.3676602564
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5616,3.84,0.4865705128,0.3814725783,0.2900730057
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,34.39,22.274705882,16.230980392,12.617254902
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,14,7.5527777778,5.5172222222,3.8038888889
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,141.02941176,99.515,68.996911765,47.489411765
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,6194,0.4395931547,0.0463771392,0.0333177268,0.0333177268
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,43.36,25.6288,17.8888,11.5752
1043328552,SANCHEZ,DAVID,W,M.D.,M,I,202 N 2ND ST,,ALPINE,TX,798304704,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,24.253125,24.253125
1043328610,JONES,RYAN,C,DO,M,I,11444 S REDWOOD RD,,SOUTH JORDAN,UT,840957803,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,53.777368421,17.824736842,11.76,11.397894737
1043328610,JONES,RYAN,C,DO,M,I,11444 S REDWOOD RD,,SOUTH JORDAN,UT,840957803,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,28,234.705,77.88,54.799285714,48.95
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,46,132,63.255530303,8.32,5.0398484848,5.0398484848
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1904,0.44,0.44,0.3449842437,0.3449842437
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,28,81.422142857,71.28,55.885357143,56.105357143
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,72,34.095833333,29.095,22.810972222,22.886666667
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1446,0.4481327801,0.4481327801,0.3513692946,0.3513692946
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,351,6.9132478632,5.55,4.3513390313,4.163019943
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4057,0.8050973626,0.67,0.5252772985,0.5174389943
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,90,65.05,46.75,44.293333333
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,28,28,28,159.60571429,49.9975,39.196785714,36.699642857
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,6,19,19,19,32.833157895,15.183157895,11.902631579,12.008421053
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,116.29235294,57.26,44.892941176,40.799411765
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,6,15,85,87,140.50206897,52.068505747,40.390804598,37.967356322
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,59.26,48.805882353,36.214705882,36.641764706
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,51.5775,16.79,13.16,13.506875
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,21,14.001904762,4.4028571429,3.3066666667,3.4885714286
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,11.129230769,5.46,4.28,3.95
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,21,60.153809524,29.20952381,22.89952381,22.604285714
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,279.902,79.2,62.09,56.57
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,7,21,21,21,109.68428571,38.006190476,29.80047619,29.454761905
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,10,36,177,183,52.971857923,21.091967213,15.631530055,13.731967213
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,40,42,62.304761905,33.020952381,25.889761905,21.856428571
1043328735,KINNE,SANDFORD,H,DO,M,I,290 CLYDE MORRIS BLVD,SUITE A-1,ORMOND BEACH,FL,32174,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,23.851578947,9.7684210526,7.66,7.4926315789
1043328784,WINDLEY,STEVEN,,,M,I,411 W TIPTON ST,,SEYMOUR,IN,472742363,US,Physician/General Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,179.15090909,47.29,28.17,22.174545455
1043328784,WINDLEY,STEVEN,,,M,I,411 W TIPTON ST,,SEYMOUR,IN,472742363,US,Physician/General Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,299.8,67.860833333,45.913333333,35.5775
1043328784,WINDLEY,STEVEN,,,M,I,411 W TIPTON ST,,SEYMOUR,IN,472742363,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,83.246666667,22.481666667,17.621666667,14.061666667
1043328784,WINDLEY,STEVEN,,,M,I,411 W TIPTON ST,,SEYMOUR,IN,472742363,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,98,11.977959184,2.54,1.8943877551,1.5594897959
1043328818,LIN,CHUEN-FU,,,F,I,4150 V ST STE 3400,,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,703.96416667,830.30416667
1043328818,LIN,CHUEN-FU,,,F,I,4150 V ST STE 3400,,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,30,7.39,5.791875,3.75125
1043328818,LIN,CHUEN-FU,,,F,I,4150 V ST STE 3400,,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,41.87,32.825,32.825
1043328933,LAM,ANH,,MD,F,I,999 PONCE DE LEON BLVD,SUITE 930,CORAL GABLES,FL,331343000,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,83.43,17.09,13.4,13.52
1043328933,LAM,ANH,,MD,F,I,999 PONCE DE LEON BLVD,SUITE 930,CORAL GABLES,FL,331343000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.5,4.1336363636,3.24,3.6854545455
1043328933,LAM,ANH,,MD,F,I,999 PONCE DE LEON BLVD,SUITE 930,CORAL GABLES,FL,331343000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,34,416.91176471,67.517647059,52.935882353,54.635294118
1043328933,LAM,ANH,,MD,F,I,999 PONCE DE LEON BLVD,SUITE 930,CORAL GABLES,FL,331343000,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,276.81818182,36.745454545,28.806363636,29.51
1043329147,HENDRICKS,KELLY,J,M.D.,M,I,5701 W 119TH ST STE 410,,OVERLAND PARK,KS,662093721,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,29,29,29,144.29068966,50.57862069,38.400689655,35.433103448
1043329212,STANLEY,DAVID,E,PA-C,M,I,323 E HAWKINS PKWY,SUITE A,LONGVIEW,TX,756057905,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,110,26.808181818,16.690909091,16.330909091
1043329733,COLETTA,NINA,L,DPM,F,I,9685 W BROWARD BLVD,,PLANTATION,FL,333242321,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,192,13.05625,8.41,6.5090104167,6.5090104167
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,52,140,392,67.358035714,8.32,5.7617346939,5.7617346939
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,21,38,54,13.74037037,1.42,0.9918518519,0.9918518519
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,5.74,4.91,3.849,3.849
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,346,17.887861272,3.08,2.126416185,2.0835260116
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,7245,2.0964610076,0.31,0.237010352,0.237010352
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,14,14,14,129.03785714,49.017142857,38.43,36.577142857
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,29.106363636,15.68,12.29,12.04
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,134.15684211,48.189473684,30.222631579,29.666842105
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,60,17.29,13.139393939,13.122424242
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,43,43,7.5902325581,3,1.9930232558,1.9106976744
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,13.3,5.51,3.8262857143,3.552
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,46.666666667,38.578333333,27.719166667,26.069166667
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,321.45,70.23,51.8788,51.5732
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1620,1.512382716,0.1370555556,0.1074814815,0.1074814815
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,48,48,52.325625,19.663125,13.533333333,12.212916667
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,90.415,42.07,29.2425,18.941875
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,43.758333333,8.6325,5.7283333333,5.6533333333
1043329808,WILHITE,JAMES,B,M.D.,M,I,100 RICE MINE RD N,SUITE B,TUSCALOOSA,AL,354062300,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,66,33,22.995555556,22.995555556
1043329816,ZAHN,JENNIFER,H,"RN,MS,ARNP,CHPN",F,I,6600 S YALE AVE,SUITE 900,TULSA,OK,741363310,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,49,54.505918367,8.32,5.8573469388,5.8573469388
1043329816,ZAHN,JENNIFER,H,"RN,MS,ARNP,CHPN",F,I,6600 S YALE AVE,SUITE 900,TULSA,OK,741363310,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.915,1.48,1.0545454545,1.0454545455
1043329816,ZAHN,JENNIFER,H,"RN,MS,ARNP,CHPN",F,I,6600 S YALE AVE,SUITE 900,TULSA,OK,741363310,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,103.831875,17,12.7325,12.890625
1043329816,ZAHN,JENNIFER,H,"RN,MS,ARNP,CHPN",F,I,6600 S YALE AVE,SUITE 900,TULSA,OK,741363310,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,517.02076923,77.18,55.855384615,50.510769231
1043329816,ZAHN,JENNIFER,H,"RN,MS,ARNP,CHPN",F,I,6600 S YALE AVE,SUITE 900,TULSA,OK,741363310,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,4108,0.2937609542,0.046835443,0.029104187,0.029104187
1043329816,ZAHN,JENNIFER,H,"RN,MS,ARNP,CHPN",F,I,6600 S YALE AVE,SUITE 900,TULSA,OK,741363310,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.75,0.219,0.1406666667,0.1406666667
1043329816,ZAHN,JENNIFER,H,"RN,MS,ARNP,CHPN",F,I,6600 S YALE AVE,SUITE 900,TULSA,OK,741363310,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,114.52941176,33,20.9,20.9
1043330012,ZHANG,DEKUI,,M.D.,M,I,2400 17TH ST,,COLUMBUS,IN,472015351,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,63,63,59.413333333,19.477301587,14.6,13.178095238
1043330012,ZHANG,DEKUI,,M.D.,M,I,2400 17TH ST,,COLUMBUS,IN,472015351,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,211.1525,4.80125,3.325625,3.20875
1043330012,ZHANG,DEKUI,,M.D.,M,I,2400 17TH ST,,COLUMBUS,IN,472015351,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,73,73,354.93041096,82.641780822,60.769726027,52.550821918
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,26,227,227,227,1350.0489427,1145.9251101,882.00973568,870.11088106
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,22,839.66136364,642.94363636,491.61681818,468.17181818
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,108,109,187,931.73074866,818.15304813,630.7015508,666.96058824
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,134,141,226,529.3180531,441.30969027,342.02433628,350.0520354
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,123,125,217,129.25142857,113.45640553,88.005714286,87.924608295
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,28,30,50,57.337,48.21,36.6458,37.276
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,25,121,124,151,495.64139073,430.45384106,333.91549669,361.82596026
1043331788,DOMINGO,SHIRLEY,R,M.D.,F,I,1356 LUSITANA ST,ROOM 617,HONOLULU,HI,968132421,US,Physician/General Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,27,216,226,226,881.13787611,850.37942478,656.28044248,558.1100885
1043331903,LIU,MICHAEL,,DO,M,I,5720 BANDERA RD,SUITE 14,SAN ANTONIO,TX,782381985,US,Physician/Physical Medicine and Rehabilitation,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1650,0.0799333333,0.0132727273,0.0104121212,0.0104121212
1043332257,EVANGELISTA,STELLA,S,M.D.,F,I,10475 FARMINGTON RD,,LIVONIA,MI,481505704,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,58.626666667,17.312,9.0453333333,9.452
1043332265,POLINENI,DEEPIKA,,M.D.,F,I,64 E 54TH ST,,KANSAS CITY,MO,641122860,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,1488.4,976.59411765,762.06147059,762.06147059
1043332265,POLINENI,DEEPIKA,,M.D.,F,I,64 E 54TH ST,,KANSAS CITY,MO,641122860,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,44.837142857,6.425,4.6864285714,3.3785714286
1043332265,POLINENI,DEEPIKA,,M.D.,F,I,64 E 54TH ST,,KANSAS CITY,MO,641122860,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1550,0.1467677419,0.046,0.0360774194,0.0360774194
1043332265,POLINENI,DEEPIKA,,M.D.,F,I,64 E 54TH ST,,KANSAS CITY,MO,641122860,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,2.904,0.219,0.1575,0.1575
1043332265,POLINENI,DEEPIKA,,M.D.,F,I,64 E 54TH ST,,KANSAS CITY,MO,641122860,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,33,33,24.977931034,24.977931034
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,33,101,245,54.454530612,8.32,5.2950204082,5.2950204082
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,16.492307692,3.38,2.0384615385,2.0384615385
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,33,50,16.4982,1.42,0.9156,0.9156
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1440,2.03,1.73,1.2644513889,1.4874513889
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,19,38,8.8165789474,1.7784210526,1.3923684211,1.1876315789
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,83.94375,17.3353125,12.3359375,12.274375
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,39.748333333,4.8766666667,3.5208333333,3.9383333333
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,100,101,440.81405941,68.46039604,48.203168317,49.02029703
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.45,37.64,26.138333333,26.138333333
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,3861,0.3326029526,0.0452732453,0.0284537685,0.0284537685
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,31,2640,0.92,0.1355454545,0.0938825758,0.0938825758
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,495,2.4172727273,0.2187272727,0.1714949495,0.1714949495
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.45,37.64,29.51,29.51
1043332521,SCHOCK,JULIE,,NP,F,I,1035 PLACER ST,,REDDING,CA,960011125,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,62,62,101.75806452,33,23.191612903,23.191612903
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,49,153,54.464117647,8.32,5.57,5.57
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.171666667,3.38,2.4291666667,2.4291666667
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,28,49,15.122040816,1.42,1.0453061224,1.0453061224
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,8283,1.3183182422,0.3705493179,0.2905130991,0.2900857177
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.99,54.103636364,42.413636364,42.173636364
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,37,37,152.28,55.362702703,42.648378378,37.414324324
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,E0310,"Bed side rails, full length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,32,32,26.49,11.544375,9.0496875,8.0846875
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,79.9075,17.29,13.55,13.535
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,738.64,833.625
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,47,47,34.059574468,4.5857446809,3.2368085106,3.2355319149
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,396.58371429,70.23,51.913714286,51.670857143
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,3089,1.0119132405,0.1340822273,0.0963450955,0.0963450955
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,41,1944,12.233292181,3.0906378601,2.3736059671,2.3736059671
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,39,39,122.53282051,30.120769231,22.505128205,20.095384615
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,599.5,236.922,176.17866667,117.14533333
1043334089,WADE,KELVIN,C,M.D.,M,I,401 HALL ST STE A,,MONROE,LA,712017528,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,109.85294118,33,25.109117647,25.109117647
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,83,133,133,78.508345865,40.720526316,30.406766917,29.105864662
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,87,158,158,286.63183544,90.17556962,65.882848101,63.165696203
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,63,115,235,93.333021277,34.303148936,26.312255319,25.344765957
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,22,40,181,47.231767956,18.518508287,13.282044199,13.303812155
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,11,17,77,31.729090909,15.46,9.0309090909,8.8915584416
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,55,93,93,174.74268817,57.788172043,40.68344086,38.761505376
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,122,156,156,58.054038462,19.158269231,13.704679487,12.856987179
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,25.045263158,10.596842105,7.4626315789,7.3115789474
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,47,88,88,69.549318182,11.949772727,8.3754545455,8.1347727273
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,120,204,1123,7.2071950134,2.0686286732,1.4970970614,1.4650578807
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,24.778571429,6.5185714286,4.745,4.3192857143
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,68,85,85,31.975058824,13.900705882,10.034941176,9.546
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,23,135,136,293.25617647,88.589632353,65.161029412,62.636102941
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,649.23076923,256.93769231,201.44076923,183.02923077
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,28,28,28,329.84857143,147.75785714,106.78035714,95.351071429
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,30,31,73.403225806,12.341612903,9.3412903226,9.4596774194
1043334527,MADALA,SOUMYA,C,M.D.,F,I,260 JEFFERSON AVE SE,STE 300,GRAND RAPIDS,MI,495034597,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,49,247,249,165.93666667,33.72248996,23.779959839,22.734899598
1043334543,JAIN,MOHIT,,MD,M,I,515 W STATE ROAD 434,SUITE 110,LONGWOOD,FL,327504981,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,25,53.7016,8.32,6.4652,6.4652
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,31,79,67.868101266,8.32,5.8841772152,5.8841772152
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,53.111111111,17.29,12.546296296,12.527777778
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,65.600416667,4.85,2.8175,2.815
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,60,60,337.12366667,70.23,52.307,51.995333333
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,90.263157895,37.44,29.35,29.442631579
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2006,0.2244815553,0.0461266201,0.0310667996,0.0310667996
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,87.77,37.44,26.904166667,27.0675
1043334774,DARRAGH,CORA,M,PA-C,F,I,1 STADIUM DRIVE,,MORGANTOWN,WV,26506,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,73.764705882,33,21.304705882,21.304705882
1043334832,HAWKINS,SUZANNE,L,DO,F,I,5955 ZEAMER AVE,,JBER,AK,99506,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,234.25,44.06,33.253,22.211
1043335755,FREDERICKS,LEROY,E,M.D.,M,I,2770 3RD AVE STE 350,,LAKE CHARLES,LA,706010404,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,90.28,37.38,29.3,29.3
1043335755,FREDERICKS,LEROY,E,M.D.,M,I,2770 3RD AVE STE 350,,LAKE CHARLES,LA,706010404,US,Physician/Medical Oncology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,13.3,5.54,4.0093846154,4.0093846154
1043335755,FREDERICKS,LEROY,E,M.D.,M,I,2770 3RD AVE STE 350,,LAKE CHARLES,LA,706010404,US,Physician/Medical Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,7.13,3.04,2.1657692308,2.1657692308
1043335755,FREDERICKS,LEROY,E,M.D.,M,I,2770 3RD AVE STE 350,,LAKE CHARLES,LA,706010404,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,173,14.055953757,1.6114450867,1.2628323699,1.2628323699
1043335755,FREDERICKS,LEROY,E,M.D.,M,I,2770 3RD AVE STE 350,,LAKE CHARLES,LA,706010404,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,35,43.314285714,36.256,28.241714286,30.172
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,57,70.959298246,8.32,6.5228070175,6.5228070175
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,20,81.103,20.982,16.448,14.5225
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1034.36,798.98416667,830.30416667
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,40,45,515.45822222,95.142666667,70.546666667,56.425333333
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,66,3045,1.3887487685,0.4741970443,0.366679803,0.366679803
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,780,6.092525641,2.5759230769,2.019525641,2.019525641
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,53,65,466,50684,4.9181631284,0.5662082709,0.4273253887,0.4273230211
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,34,179,46565,0.0540863309,0.0130769892,0.0101262751,0.0101262751
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,1680,1.5212142857,0.73675,0.5776369048,0.5776369048
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,35,39,264,53236,3.2272272522,1.2301976106,0.9408347735,0.9511834097
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,4560,3.9118355263,2.8223947368,2.1781688596,2.1781688596
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,60,64,375,377,24.139124668,24,18.420636605,18.420636605
1043336001,WITT,CHAD,A,MD,M,I,4921 PARKVIEW PL STE 8A,STE 8A,SAINT LOUIS,MO,631101032,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,53,70,509,710,16.011267606,16,12.313788732,12.313788732
1043336373,HETMAN,JOANNA,,MD,F,I,2400 EASTPOINT PKWY STE 450,,LOUISVILLE,KY,402234154,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,21,55,124,63.392822581,8.32,5.7329032258,5.7329032258
1043336373,HETMAN,JOANNA,,MD,F,I,2400 EASTPOINT PKWY STE 450,,LOUISVILLE,KY,402234154,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,10.147272727,3.38,2.65,2.65
1043336373,HETMAN,JOANNA,,MD,F,I,2400 EASTPOINT PKWY STE 450,,LOUISVILLE,KY,402234154,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,11,20,27,13.378888889,1.42,1.0748148148,1.0748148148
1043336373,HETMAN,JOANNA,,MD,F,I,2400 EASTPOINT PKWY STE 450,,LOUISVILLE,KY,402234154,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,114.12,25.406666667,19.918333333,20.9775
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,26,40,101,80.381980198,8.32,5.4883168317,5.4883168317
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,15,16,16.251875,1.42,0.97875,0.97875
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,340.89416667,85.935,67.375,67.845
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,33,121.05848485,32.454545455,24.537575758,25.003030303
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,139.56428571,52.797142857,41.388571429,42.765714286
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,19,19,58.505789474,17.565263158,13.767894737,14.058421053
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,24,24,55.201666667,11.773333333,8.8491666667,8.7408333333
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,32,108,8.5022222222,2.0333333333,1.5334259259,1.5318518519
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,14.16,4.74,3.7071515152,4.1541515152
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,15.75,12.35,13.440833333
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,23.5,13.359,10.479,10.4795
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,121.78026316,31.623947368,24.791842105,25.107105263
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,74,55.855,52.839166667
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.45,29.36,29.515
1043336613,NICASTRO,OSWALDO,A,M.D.,M,I,2002 FOULK RD,SUITE D,WILMINGTON,DE,198103643,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,51.5625,33,20.81,20.81
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,20,67.2775,8.32,5.872,5.872
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,74.666666667,50.38,38.967222222,31.938333333
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,57.5,26.153333333,19.201666667,14.371666667
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,28,56,7.8928571429,3.2778571429,2.4455357143,1.8164285714
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,62.548529412,22.680294118,15.759411765,12.381764706
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,43.34,16.5388,11.5768,8.418
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,32.719,6.961,4.1845,2.421
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,164.57027027,43.928648649,31.731621622,22.130810811
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,87,87,372.64597701,103.78781609,73.232988506,49.935747126
1043337140,APPLEGATE,HEIDE,L,FNP,F,I,310 MAIN ST,,DEER LODGE,MT,597221000,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,88,33,18.683888889,18.683888889
1043337165,WEISELBERG,LORA,,,F,I,THE MONTER CANCER CENTER,450 LAKEVILLE ROAD,LAKE SUCCESS,NY,11042,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,22,28,95,50.581157895,35.633894737,27.936842105,30.249263158
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,35,8.19,1.48,1.0937142857,1.0845714286
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,82.53,8.72,6.2181818182,8.3054545455
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,21,103,115,86.83826087,17.653304348,13.485478261,13.236521739
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,18,18,129.08333333,50,37.602777778,36.207222222
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4837.2908333,913.16,703.96416667,819.77583333
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,55.276818182,4.0240909091,2.8956818182,3.4370454545
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,43,252,270,434.13544444,77.423851852,58.97462963,53.509518519
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,49,194.59183673,38.893469388,28.631836735,27.809387755
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,54,10283,0.3731391617,0.0471759214,0.0321657104,0.0321657104
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,26,141,11821,1.2041849251,0.1338592336,0.1003451485,0.1003451485
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,383,3.1469712794,0.2187206266,0.1491644909,0.1491644909
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,70,70,146.42857143,39.3,28.626857143,27.494
1043337751,HARTUNG,SETH,,,M,I,12728 19TH AVE SE,SUITE 200,EVERETT,WA,982086647,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,31,178,178,87.505617978,33,23.871011236,23.871011236
1043338635,RODRIGUEZ ESTRELLA,DULCE,J,MD,F,I,607 CALLE FERROCARRIL,ESQ. TORRES,PONCE,PR,00717,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,407,8.908968059,7.9571744472,6.2384029484,5.8608845209
1043338635,RODRIGUEZ ESTRELLA,DULCE,J,MD,F,I,607 CALLE FERROCARRIL,ESQ. TORRES,PONCE,PR,00717,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5068,0.5465745856,0.4936464088,0.3870165746,0.365789266
1043338635,RODRIGUEZ ESTRELLA,DULCE,J,MD,F,I,607 CALLE FERROCARRIL,ESQ. TORRES,PONCE,PR,00717,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,62.027142857,12.38,9.7014285714,8.9385714286
1043338650,POMEROY,NATHAN,,"MD, MPH",M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032543,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,18,258,35.920930233,17.159224806,12.017209302,12.33755814
1043338650,POMEROY,NATHAN,,"MD, MPH",M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032543,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,455,6.468021978,2.6320879121,1.8057582418,1.8057582418
1043338650,POMEROY,NATHAN,,"MD, MPH",M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032543,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,33,88,398,67.205,8.32,5.770678392,5.770678392
1043338650,POMEROY,NATHAN,,"MD, MPH",M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032543,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,13,21,43,17.434186047,1.42,1.01,1.01
1043338650,POMEROY,NATHAN,,"MD, MPH",M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032543,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,565.14,367.71923077,288.29153846,288.29153846
1043338650,POMEROY,NATHAN,,"MD, MPH",M,I,221 MICHIGAN ST NE,SUITE 200,GRAND RAPIDS,MI,495032543,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,40,40,342.5925,251.04175,196.8165,196.86975
1043338833,RYAN,MARK,T,D.O.,M,I,25625 SCHOENHERR RD,,WARREN,MI,480891451,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,12,13,169.82461538,137.94,108.14076923,103.80153846
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,65,65,65,513.02692308,373.88123077,287.21753846,287.006
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,26,91,91,91,1057.6573626,1000.2538462,768.30637363,760.36615385
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,89,850,850,850,1405.6108941,1277.6770706,980.48563529,868.56358824
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,138,139,210,130.93661905,110.6842381,85.153571429,76.730238095
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,40,280,303,466,876.5193133,682.81866953,530.13987124,477.11611588
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,52,340,356,596,931.02151007,828.01627517,644.57892617,670.47766779
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,53,326,331,545,511.28777982,454.95211009,349.23130275,346.6613211
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,67,613,654,1062,131.81565913,113.60669492,88.762608286,88.546412429
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,113,115,188,68.103031915,49.557234043,38.855744681,38.428617021
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,19,19,114.09421053,91.27,71.56,79.51
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,28,163,167,260,518.96630769,438.27688462,339.09765385,339.27469231
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,51,148,148,224,541.28133929,470.09008929,364.91089286,361.95
1043339286,GINDT,HENRY,S,MD,M,I,524 BAYSPRING DR,,FORT WAYNE,IN,468149080,US,General Practice,T,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,67,473,476,476,852.80798319,718.98890756,558.41888655,562.79726891
1043339336,HUSFELD,DOLLIE,A,FNP,F,I,425 HOLDERRIETH BLVD STE 112,,TOMBALL,TX,773754551,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,13,43,64.061395349,8.32,5.138372093,5.138372093
1043339336,HUSFELD,DOLLIE,A,FNP,F,I,425 HOLDERRIETH BLVD STE 112,,TOMBALL,TX,773754551,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2128,2.0051268797,0.1372744361,0.0822556391,0.0822556391
1043339575,NEUMANN,DAVID,A,MD,M,I,4811 GAILLARDIA PKWY,STE. 200,OKLAHOMA CITY,OK,731421874,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,220,11.96,5.74,4.2409545455,4.2409545455
1043339575,NEUMANN,DAVID,A,MD,M,I,4811 GAILLARDIA PKWY,STE. 200,OKLAHOMA CITY,OK,731421874,US,Physician/Gastroenterology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,420,19.361714286,7,5.3573333333,5.3573333333
1043339575,NEUMANN,DAVID,A,MD,M,I,4811 GAILLARDIA PKWY,STE. 200,OKLAHOMA CITY,OK,731421874,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,8.253,4.03,2.8966666667,2.8966666667
1043339641,BLACKNER,KENNETH,T,M.D.,M,I,275 W LOCUST ST,,SHELLEY,ID,832741230,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,49,11.514285714,2.8734693878,2.2167346939,1.5610204082
1043339641,BLACKNER,KENNETH,T,M.D.,M,I,275 W LOCUST ST,,SHELLEY,ID,832741230,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,21.24625,15.889375,12.763125
1043339641,BLACKNER,KENNETH,T,M.D.,M,I,275 W LOCUST ST,,SHELLEY,ID,832741230,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,22,50.73,7.9722727273,5.9204545455,3.3272727273
1043339641,BLACKNER,KENNETH,T,M.D.,M,I,275 W LOCUST ST,,SHELLEY,ID,832741230,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,138.3109375,45.7725,35.8834375,25.810625
1043339641,BLACKNER,KENNETH,T,M.D.,M,I,275 W LOCUST ST,,SHELLEY,ID,832741230,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,519.51,99.926666667,78.344285714,64.372857143
1043339757,SHERIDAN,ALYSSA,,PA,F,I,100 MADISON AVE,SUITE C3402,MORRISTOWN,NJ,079606136,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,18.82,18.82
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,32,108,255,62.579137255,8.32,5.631254902,5.631254902
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,40,53,12.956981132,1.42,1.0109433962,1.0109433962
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,38,70.5,28.46,21.722894737,21.722894737
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,27,30.57,10.93,8.2525925926,8.2525925926
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,20.88,7.46,5.85,5.85
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,28.56,3.97,2.6007272727,2.6007272727
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,21,108,56.640277778,18.607222222,12.763518519,12.711481481
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,28,28,163.00464286,58.238571429,40.385357143,37.738214286
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,20,20,55.154,18.986,13.0495,12.2395
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,30,30,55.193,11.145333333,7.6893333333,7.9943333333
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,33,169,7.7519526627,2.1016568047,1.4972781065,1.441183432
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,18.873333333,6.2916666667,4.1458333333,3.8791666667
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,33.198333333,14.215,10.231666667,9.5833333333
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,856,275,5.715,4.4807476636,4.1632242991
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,7333,2.7943092868,0.32,0.2508809491,0.2430396836
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7260,7.0186666667,0.6594545455,0.5170123967,0.5174407713
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,147.84636364,46.135454545,28.576363636,32.008181818
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,59,55.451186441,18,13.870847458,13.339491525
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,156.08631579,37.248421053,26.895263158,24.642105263
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,274.31692308,71,55.094358974,54.212051282
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3212,0.195143213,0.0464165629,0.0363823163,0.0363823163
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,0.988875,0.1406666667,0.1103055556,0.1103055556
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,420,0.75,0.2191428571,0.1718571429,0.1718571429
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,590.225625,134.775625,105.66375,108.228125
1043340011,ALBEY,MARK,E,M.D.,M,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,124.08,33,25.87,25.87
1043340144,TRAPPEY,GEORGE,J,M.D.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,82,85,85,185,104.26,79.950470588,85.514117647
1043340144,TRAPPEY,GEORGE,J,M.D.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,18,75,53.2,41.71,45.834444444
1043340292,LIM-SEIWERT,TANGUY,Y,M.D.,M,I,9910 FRANKLIN SQUARE DR STE 2110,,BALTIMORE,MD,212364902,US,Physician/Hematology-Oncology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,580,99.310344828,4.3244827586,3.3905,3.2513793103
1043340292,LIM-SEIWERT,TANGUY,Y,M.D.,M,I,9910 FRANKLIN SQUARE DR STE 2110,,BALTIMORE,MD,212364902,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,16024,1.3287843235,0.3279736645,0.2571349226,0.2433037943
1043340292,LIM-SEIWERT,TANGUY,Y,M.D.,M,I,9910 FRANKLIN SQUARE DR STE 2110,,BALTIMORE,MD,212364902,US,Physician/Hematology-Oncology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,64.117647059,38.3,24.37,29.02
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,8.6388888889,0.48575,0.38075,0.38075
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,23,215,20745,4.5926237648,0.5693256206,0.4295531453,0.4295516992
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,5400,0.3395037037,0.0131111111,0.010287037,0.010287037
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,2640,3.0755984848,1.2968598485,0.9534886364,0.9534886364
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,16,152,26760,4.545672272,2.8134282511,2.17217713,2.17217713
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1528,17.079836387,7.492513089,5.8741426702,5.8741426702
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,23,25,229,229,24,24,18.347030568,18.347030568
1043340367,BRUHA,ROBERT,,MD,M,I,1404 EASTLAND DR STE 103,,BLOOMINGTON,IL,617017904,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,25,203,228,16,16,12.266008772,12.266008772
1043340854,KREMPEC,JEFFREY,A,MD,M,I,2790 CLAY EDWARDS DR STE 600,,KANSAS CITY,MO,641163274,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,39,39,39,302.60435897,49.171794872,38.556923077,36.533333333
1043340854,KREMPEC,JEFFREY,A,MD,M,I,2790 CLAY EDWARDS DR STE 600,,KANSAS CITY,MO,641163274,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,83,90,1589,69.863750787,21.76,17.059943361,19.481296413
1043340854,KREMPEC,JEFFREY,A,MD,M,I,2790 CLAY EDWARDS DR STE 600,,KANSAS CITY,MO,641163274,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,389.54545455,121.10181818,94.950909091,94.946363636
1043340854,KREMPEC,JEFFREY,A,MD,M,I,2790 CLAY EDWARDS DR STE 600,,KANSAS CITY,MO,641163274,US,Physician/Orthopedic Surgery,S,E1811,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,243.24809524,122.11761905,88.91,88.986666667
1043340854,KREMPEC,JEFFREY,A,MD,M,I,2790 CLAY EDWARDS DR STE 600,,KANSAS CITY,MO,641163274,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,17,132.03352941,21.176470588,16.602352941,15.203529412
1043341043,MATHEWS,SHAWN,B,M.D.,M,I,300 MEDICAL DR STE 705,,LAGRANGE,GA,302404130,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,197.18153846,31.773846154,20.860769231,21.753076923
1043341928,FAULKNER,ANDREA,,NP,F,I,24 S MOUNT AUBURN RD,,CAPE GIRARDEAU,MO,637034914,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,15,119.54066667,41.2,32.298666667,26.921333333
1043341928,FAULKNER,ANDREA,,NP,F,I,24 S MOUNT AUBURN RD,,CAPE GIRARDEAU,MO,637034914,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,255.14,60.899230769,39.307692308,36.56
1043341928,FAULKNER,ANDREA,,NP,F,I,24 S MOUNT AUBURN RD,,CAPE GIRARDEAU,MO,637034914,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,72.880666667,21.1,14.097333333,12.86
1043341928,FAULKNER,ANDREA,,NP,F,I,24 S MOUNT AUBURN RD,,CAPE GIRARDEAU,MO,637034914,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,80,11.187,2.341375,1.585625,1.54275
1043341928,FAULKNER,ANDREA,,NP,F,I,24 S MOUNT AUBURN RD,,CAPE GIRARDEAU,MO,637034914,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,1561.02,1001.46,780.39421053,837.50421053
1043341928,FAULKNER,ANDREA,,NP,F,I,24 S MOUNT AUBURN RD,,CAPE GIRARDEAU,MO,637034914,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,33,35,547.292,87.237714286,63.551428571,54.086285714
1043341928,FAULKNER,ANDREA,,NP,F,I,24 S MOUNT AUBURN RD,,CAPE GIRARDEAU,MO,637034914,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1566,0.7474201788,0.1315197957,0.0923243934,0.0923243934
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,32,71,283,67.686042403,8.32,6.2417667845,6.2417667845
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,20,33,58,15.691896552,1.42,1.094137931,1.094137931
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,,17,90,46.024111111,17.638333333,13.805222222,14.528555556
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,13,26,26,137.06038462,56.243846154,44.095,42.86
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,15,20,20,37.4255,17.4915,13.5335,13.879
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,21,21,39.091904762,11.37,8.2176190476,8.4133333333
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,16,33,178,5.4438202247,2.0183146067,1.5696067416,1.577752809
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,3.7883333333,2.965,3.5191666667
1043342181,ESQUIVEL,LINDA,I,MD,F,I,11212 STATE HWY 151,MEDICAL PLAZA 1 STE 240,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,12,54,54,126.06537037,35.386666667,26.225740741,24.467407407
1043342470,LENAGHAN,NANCY,,APRN,F,I,615 HOPE RD STE 5,,EATONTOWN,NJ,077241273,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,89.15,8.32,6.521,6.521
1043342470,LENAGHAN,NANCY,,APRN,F,I,615 HOPE RD STE 5,,EATONTOWN,NJ,077241273,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,134.38,43.771333333,28.634666667,30.404666667
1043342470,LENAGHAN,NANCY,,APRN,F,I,615 HOPE RD STE 5,,EATONTOWN,NJ,077241273,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.87,45.71,35.839090909,36.480909091
1043342470,LENAGHAN,NANCY,,APRN,F,I,615 HOPE RD STE 5,,EATONTOWN,NJ,077241273,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,15,11.85,9.6793333333,7.5886666667,8.824
1043342470,LENAGHAN,NANCY,,APRN,F,I,615 HOPE RD STE 5,,EATONTOWN,NJ,077241273,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,24,19.21,15.81,12.396666667,14.296666667
1043342488,GOINS,AMANDA,D,D.O.,F,I,14 RICHLAND MEDICAL PARK DR,SUITE 320,COLUMBIA,SC,292036877,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,41.888,17.1395,12.024,12.1885
1043342488,GOINS,AMANDA,D,D.O.,F,I,14 RICHLAND MEDICAL PARK DR,SUITE 320,COLUMBIA,SC,292036877,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,249.4655,74.112,52.218,49.257
1043342819,BELLIZZI,KATHLEEN,B,ACNP,F,I,124 ROSA RD,SUITE 382,SCHENECTADY,NY,123082116,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,4003.8618605,1074.31,838.92348837,838.92348837
1043342819,BELLIZZI,KATHLEEN,B,ACNP,F,I,124 ROSA RD,SUITE 382,SCHENECTADY,NY,123082116,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,55,707.90472727,84.528363636,64.160727273,53.488545455
1043342819,BELLIZZI,KATHLEEN,B,ACNP,F,I,124 ROSA RD,SUITE 382,SCHENECTADY,NY,123082116,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,14,960,1.31540625,0.1295,0.095875,0.095875
1043342819,BELLIZZI,KATHLEEN,B,ACNP,F,I,124 ROSA RD,SUITE 382,SCHENECTADY,NY,123082116,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,30.111666667
1043342819,BELLIZZI,KATHLEEN,B,ACNP,F,I,124 ROSA RD,SUITE 382,SCHENECTADY,NY,123082116,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,15,15,85.8,33,24.145333333,24.145333333
1043342835,UHLIG,RICHARD,,D.O.,M,I,1005 N B ST,,HERINGTON,KS,674491600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,41,44.603902439,8.32,6.5217073171,6.5217073171
1043342835,UHLIG,RICHARD,,D.O.,M,I,1005 N B ST,,HERINGTON,KS,674491600,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,16,13.1725,1.42,1.115,1.115
1043342835,UHLIG,RICHARD,,D.O.,M,I,1005 N B ST,,HERINGTON,KS,674491600,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,21.844285714,16.032857143,12.791428571
1043342835,UHLIG,RICHARD,,D.O.,M,I,1005 N B ST,,HERINGTON,KS,674491600,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,519.51,96.589,69.75,49.257
1043343718,BRETT,MILES,E,M.D.,M,I,2520 WINDY HILL RD SE,SUITE 301,MARIETTA,GA,300678664,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,22,66.006818182,8.32,5.9286363636,5.9286363636
1043343718,BRETT,MILES,E,M.D.,M,I,2520 WINDY HILL RD SE,SUITE 301,MARIETTA,GA,300678664,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,25,7.4528571429,5.2914285714,5.7364285714
1043343726,EGAL,MOHAMED,,M.D.,M,I,432 MAIN ST,,ONEONTA,NY,138202046,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,58,107,62.622429907,8.32,5.6681308411,5.6681308411
1043343726,EGAL,MOHAMED,,M.D.,M,I,432 MAIN ST,,ONEONTA,NY,138202046,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,13.448666667,1.42,0.9706666667,0.9706666667
1043343726,EGAL,MOHAMED,,M.D.,M,I,432 MAIN ST,,ONEONTA,NY,138202046,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,27.5,4.3072727273,3.3809090909,3.6854545455
1043343726,EGAL,MOHAMED,,M.D.,M,I,432 MAIN ST,,ONEONTA,NY,138202046,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,442.15736842,104.97052632,79.153684211,64.638421053
1043343726,EGAL,MOHAMED,,M.D.,M,I,432 MAIN ST,,ONEONTA,NY,138202046,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1676,0.1741825776,0.0487112172,0.0381801909,0.0381801909
1043344005,WINDSOR,RICHARD,,MD,M,I,2845 GREENBRIER RD,SUITE 240,GREEN BAY,WI,543116519,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,11.4,7.88,6.178,6.178
1043344666,HIOE,KIEM,,MD,M,I,152 MEMORIAL CT,,JACKSONVILLE,NC,285466322,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,4070,159.28085258,9.8371891892,7.7123611794,7.7123611794
1043344666,HIOE,KIEM,,MD,M,I,152 MEMORIAL CT,,JACKSONVILLE,NC,285466322,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,39,419.93,2.64,2.07,2.07
1043344716,STABILE,JOHN,,,M,I,1401 WHITEHORSE MERCERVILLE RD STE 218,,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,16,31,65.259032258,8.32,5.2583870968,5.2583870968
1043344716,STABILE,JOHN,,,M,I,1401 WHITEHORSE MERCERVILLE RD STE 218,,HAMILTON,NJ,086193835,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,47.953684211,15.571052632,9.2636842105,10.626315789
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,91,91,91,80.416263736,80.416263736,53.722967033,45.446483516
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,17,39.5,37.88,25.021764706,28.285882353
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,66,41.318181818,36.17,26.983030303,27.255151515
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,19,64.026315789,56.6,38.286842105,37.214736842
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,49,50,89,63.601123596,60.736966292,46.144494382,42.507078652
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,14,74.5,70.03,53.047857143,53.101428571
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,46,84,74.261904762,74.261904762,51.500238095,47.572619048
1043345366,HAUGEN,PERRY,A,M.D.,M,I,940 SYLVA LN STE G,,SONORA,CA,953705969,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,43,17.395348837,16.06,12.594883721,13.925116279
1043345838,GOLDMAN,AIMEE,L,PA-C,F,I,65 E BUTLER AVE,,NEW BRITAIN,PA,189015211,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,3.862,3.028,3.568
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,26,109,340,76.041882353,8.32,5.3212352941,5.3212352941
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,14,28,49,15.723469388,1.42,1.0236734694,1.0236734694
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,86.31,23.831875,18.681875,13.616875
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1864.34,913.16,712.955,828.76666667
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,21.624285714,8.0614285714,5.6261904762,4.1328571429
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,91,92,485.69576087,107.6973913,79.542934783,53.849891304
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,172.36842105,46.002631579,36.068421053,31.464473684
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,4557,0.4236317753,0.0457801185,0.0322492868,0.0322492868
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,840,1.4694404762,0.1405714286,0.0845357143,0.0845357143
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,59.12,27.6625,21.688333333,15.1675
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,207.06607143,44.166428571,31.427142857,26.8075
1043345994,NOVAK,MICHAEL,W,PA,M,I,31660 HIGHWAY 3,,WEAVERVILLE,CA,960931879,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,73.965517241,33,22.301724138,22.301724138
1043346786,KUNITAKE,HIROKO,,MD,F,I,830 HARRISON AVE,SUITE 2100,BOSTON,MA,021182905,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,450,13.093666667,5.74,4.1000888889,4.1000888889
1043346786,KUNITAKE,HIROKO,,MD,F,I,830 HARRISON AVE,SUITE 2100,BOSTON,MA,021182905,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,13,400,22.9135,9.86,7.64205,7.64205
1043346786,KUNITAKE,HIROKO,,MD,F,I,830 HARRISON AVE,SUITE 2100,BOSTON,MA,021182905,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,455,14.00832967,5.54,4.3433626374,4.3433626374
1043346786,KUNITAKE,HIROKO,,MD,F,I,830 HARRISON AVE,SUITE 2100,BOSTON,MA,021182905,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,370,6.5125135135,4.03,3.0741351351,3.0741351351
1043346786,KUNITAKE,HIROKO,,MD,F,I,830 HARRISON AVE,SUITE 2100,BOSTON,MA,021182905,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,15,1330,0.9030902256,0.27,0.2021203008,0.2021203008
1043346786,KUNITAKE,HIROKO,,MD,F,I,830 HARRISON AVE,SUITE 2100,BOSTON,MA,021182905,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,12,495,0.7733939394,0.27,0.1988282828,0.1988282828
1043346893,IKE,CHRISTOPHER,O,M.D.,M,I,654 1ST ST,,MACON,GA,312012851,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,3722.173913,2587.8473913,1903.03,1903.0304348
1043347222,AKIN,JAY,D,MD,M,I,113 PLEASANT VALLEY DR STE 210,,BOERNE,TX,780065683,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,270,10.93,10.93,8.0931851852,8.0931851852
1043347222,AKIN,JAY,D,MD,M,I,113 PLEASANT VALLEY DR STE 210,,BOERNE,TX,780065683,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,468,2.4,2.4,1.8816239316,1.8816239316
1043347222,AKIN,JAY,D,MD,M,I,113 PLEASANT VALLEY DR STE 210,,BOERNE,TX,780065683,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7010,2.7176276748,0.2952924394,0.2315121255,0.2425492154
1043347222,AKIN,JAY,D,MD,M,I,113 PLEASANT VALLEY DR STE 210,,BOERNE,TX,780065683,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,70.39,57.914166667,45.401666667,37.010833333
1043347222,AKIN,JAY,D,MD,M,I,113 PLEASANT VALLEY DR STE 210,,BOERNE,TX,780065683,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,17,129.57176471,53.581764706,42.008235294,42.4
1043347222,AKIN,JAY,D,MD,M,I,113 PLEASANT VALLEY DR STE 210,,BOERNE,TX,780065683,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,58,58,49.093793103,18.974482759,14.878103448,15.258793103
1043347222,AKIN,JAY,D,MD,M,I,113 PLEASANT VALLEY DR STE 210,,BOERNE,TX,780065683,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,13,19.000769231,8.3176923077,6.5253846154,7.4253846154
1043347313,DEMACK,MICHAEL,K,PA C S,M,I,806 S PONDEROSA ST,,PAYSON,AZ,855415541,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,426.55777778,104.96074074,82.292222222,54.73
1043347354,GULLI,FARRIS,,MD,M,I,1 WILLIAM CARLS DR,,COMMERCE TOWNSHIP,MI,483822201,US,Physician/Plastic and Reconstructive Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,19,1540,0.108,0.1065714286,0.0835584416,0.0916688312
1043347354,GULLI,FARRIS,,MD,M,I,1 WILLIAM CARLS DR,,COMMERCE TOWNSHIP,MI,483822201,US,Physician/Plastic and Reconstructive Surgery,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,14,54,16.76037037,15.966481481,11.721111111,12.309259259
1043347354,GULLI,FARRIS,,MD,M,I,1 WILLIAM CARLS DR,,COMMERCE TOWNSHIP,MI,483822201,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,16,21,2234,0.1391136974,0.1275828111,0.1000358102,0.1007743957
1043347354,GULLI,FARRIS,,MD,M,I,1 WILLIAM CARLS DR,,COMMERCE TOWNSHIP,MI,483822201,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,13,19,3001,0.5616561146,0.4499500167,0.3527490836,0.3527857381
1043347461,SANDEN,STEFANIE,L,NP-C,F,I,301 BRUNDAGE LANE,CLINICA SIERRA VISTA,BAKERSFIELD,CA,93304,US,Registered Nurse,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,28,47.419285714,8.32,5.5928571429,5.5928571429
1043347479,GUSS,DANIEL,,M.D.,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,92.529411765,83.158823529,64.018823529,62.041176471
1043347479,GUSS,DANIEL,,M.D.,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,12,111.92,95.400833333,74.790833333,70.67
1043347479,GUSS,DANIEL,,M.D.,M,I,MASSACHUSETTS GENERAL HOSPITAL,55 FRUIT STREET,BOSTON,MA,02114,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,35,393.88571429,335.04,262.67,222.64257143
1043347925,GOLD,RICHARD,N,MD,M,I,8631 W 3RD ST,815E,LOS ANGELES,CA,900485901,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,8.9790909091,2.09,1.4893939394,1.4512121212
1043348063,COLLINGS,CAMERON,L,PA-C,M,I,520 N CHELAN AVE,,WENATCHEE,WA,988016697,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,34,46.187058824,45.851176471,33.067058824,43.051764706
1043348063,COLLINGS,CAMERON,L,PA-C,M,I,520 N CHELAN AVE,,WENATCHEE,WA,988016697,US,Physician Assistant,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,30,85,84.9,62.122666667,62.786333333
1043348154,RUBIN,KEITH,M,D.O.,M,I,25097 OLYMPIA AVE STE 203,,PUNTA GORDA,FL,339503914,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,41,109,65.847889908,8.32,5.8033027523,5.8033027523
1043348154,RUBIN,KEITH,M,D.O.,M,I,25097 OLYMPIA AVE STE 203,,PUNTA GORDA,FL,339503914,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,17,21,13.332857143,1.42,1.0095238095,1.0095238095
1043348436,GREENBERG,LAWRENCE,B,M.D.,M,I,1499 W 1ST ST,,SAN PEDRO,CA,907323255,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,19,63,64.137777778,8.32,5.4980952381,5.4980952381
1043348436,GREENBERG,LAWRENCE,B,M.D.,M,I,1499 W 1ST ST,,SAN PEDRO,CA,907323255,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,452,3.2707964602,2.9917699115,2.1894247788,2.2096902655
1043348436,GREENBERG,LAWRENCE,B,M.D.,M,I,1499 W 1ST ST,,SAN PEDRO,CA,907323255,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4320,0.73,0.66,0.514912037,0.514912037
1043348527,GRANT,LISA,,FNP,F,I,32 RESORT WAY,,ELLSWORTH,ME,04605,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,142.91090909,60.145454545,47.150909091,40.556363636
1043348550,BARNDS BROWN,JOSEPHINE,M,PA,F,I,78 BAKER ST,,PROVIDENCE,RI,029054417,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,21,50.266666667,17.5,12.413333333,12.259047619
1043348550,BARNDS BROWN,JOSEPHINE,M,PA,F,I,78 BAKER ST,,PROVIDENCE,RI,029054417,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,17,234.31235294,78.75,61.487647059,54.89
1043350275,COLLIER,JACK,L,MD,M,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,73120,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3706.3636364,2576.6445455,2020.0154545,2020.0154545
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,28.46,28.46,22.31,22.31
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,29.69,29.69,21.825,21.825
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,31,31,5.54,5.54,4.2,4.2
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,38,10.93,10.93,8.3444736842,8.3444736842
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,112,2.91,2.91,2.28125,2.28125
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,4.19,4.19,3.285,3.285
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,325,0.27,0.27,0.2116,0.2116
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,330,6.7503939394,3,2.352,2.3664848485
1043351356,SMITH,MICHAEL,W,MD,M,I,3145 W CLARK RD,SUITE 201,YPSILANTI,MI,481971120,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,6300,0.72,0.37,0.2897174603,0.2897174603
1043351448,BEANE,ALICE,D,FNP,F,I,601 LAUCHWOOD DRIVE,,LAURINBURG,NC,283525543,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,26,62.260384615,8.2646153846,6.4807692308,6.5242307692
1043351661,WOMBLE,JOE,R,MD,M,I,920 STANTON L YOUNG BLVD,WP 1130,OKLAHOMA CITY,OK,731045020,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,44,103.35159091,18.435909091,13.525681818,13.389545455
1043351661,WOMBLE,JOE,R,MD,M,I,920 STANTON L YOUNG BLVD,WP 1130,OKLAHOMA CITY,OK,731045020,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,3674.4336842,1074.31,837.91894737,837.91894737
1043351661,WOMBLE,JOE,R,MD,M,I,920 STANTON L YOUNG BLVD,WP 1130,OKLAHOMA CITY,OK,731045020,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,18,50.156111111,4.435,2.6677777778,2.6911111111
1043351661,WOMBLE,JOE,R,MD,M,I,920 STANTON L YOUNG BLVD,WP 1130,OKLAHOMA CITY,OK,731045020,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,49,492.44122449,77.383673469,56.938367347,51.398163265
1043351745,CATELLANI,CONSTANCE,A,M.D.,F,I,7830 KILBOURN AVE,SOUTH ENTRANCE,SKOKIE,IL,600763512,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,36,121,51.584628099,8.32,5.982892562,5.982892562
1043351745,CATELLANI,CONSTANCE,A,M.D.,F,I,7830 KILBOURN AVE,SOUTH ENTRANCE,SKOKIE,IL,600763512,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,20,3.38,2.4291666667,2.4291666667
1043351745,CATELLANI,CONSTANCE,A,M.D.,F,I,7830 KILBOURN AVE,SOUTH ENTRANCE,SKOKIE,IL,600763512,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,32,55,17.603454545,1.42,1.0123636364,1.0123636364
1043351745,CATELLANI,CONSTANCE,A,M.D.,F,I,7830 KILBOURN AVE,SOUTH ENTRANCE,SKOKIE,IL,600763512,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,78.373333333,50.886666667,34.651428571,31.990952381
1043351745,CATELLANI,CONSTANCE,A,M.D.,F,I,7830 KILBOURN AVE,SOUTH ENTRANCE,SKOKIE,IL,600763512,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,65,48.5228,36.6288,34.8496
1043351745,CATELLANI,CONSTANCE,A,M.D.,F,I,7830 KILBOURN AVE,SOUTH ENTRANCE,SKOKIE,IL,600763512,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,15,8.61,6.75,6.33
1043351745,CATELLANI,CONSTANCE,A,M.D.,F,I,7830 KILBOURN AVE,SOUTH ENTRANCE,SKOKIE,IL,600763512,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,31.8825,21.364166667,17.315
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,3.5,2.96,2.3206666667,2.3206666667
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,5,4.1,3.21,3.2345454545
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,12,8.23,6.45,6.4445454545
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,5,4.31,3.38,3.38
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,20,30,62,6.5258064516,1.8129032258,1.4208064516,1.2233870968
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,381.72636364,92.570909091,72.579090909,67.930909091
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,62.691428571,18.078571429,14.168571429,14.06
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,79.182857143,12.3,9.6371428571,9.0257142857
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,19,74,11.245675676,2.1371621622,1.6754054054,1.587027027
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,60,117.0935,20.473166667,14.882,12.991666667
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,46.354545455,36.543636364
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,1445.4366667,897.41,691.61416667,691.61416667
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,34,35,59.807142857,13.355714286,10.179142857,10.176571429
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,12,73,73,38.574383562,5.9083561644,4.2705479452,3.2608219178
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,33,35,223.93371429,30.663142857,23.377714286,23.368
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,31,216,226,483.0410177,80.547256637,58.798628319,52.707522124
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,50,325.6,41.2036,31.644,30.1548
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,26,152,8970,17.297828317,9.6274782609,7.4272820513,7.4272820513
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,20,68,8428,0.2863906028,0.0459219269,0.0340341718,0.0340341718
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,14,84,5628,1.5754299929,0.1355881308,0.0973667377,0.0973667377
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,25,142,7997,10.043790171,2.9558009253,2.2994297862,2.2994297862
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,42,1841,0.8646713743,0.2192178164,0.1566485606,0.1566485606
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,71,17.85,13.996666667,13.84
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,67,67,416,39.379701493,28.11641791,26.976268657
1043352057,AFROZE,ANEES,F,M.D,F,I,3800 S NATIONAL AVE STE 510,,SPRINGFIELD,MO,658075284,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,33,43,233,233,75.489270386,33,25.236309013,25.236309013
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,8.9111538462,1.5015384615,1.0876923077,1.0615384615
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,86,92,86.202608696,17.802717391,13.217065217,12.80923913
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,53,53,1799.6603774,1074.31,791.1445283,791.1445283
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,58.496774194,6.8893548387,5.3077419355,3.83
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,132.39,34.483636364,27.035454545,30.858181818
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,48,342,351,390.62259259,81.415669516,61.650740741,53.810911681
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,34,196,199,130.24341709,37.76758794,28.706884422,28.584522613
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,74,4476,17.215475871,9.6463293119,7.4640661305,7.4640661305
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,43,2580,20.60605814,11.167767442,8.6919341085,8.6919341085
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,53,8446,0.3513556713,0.0457601231,0.0352154866,0.0352154866
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,5216,2.878857362,0.0732496166,0.0574271472,0.0574252301
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,38,3060,0.977875817,0.1356078431,0.1027614379,0.1027614379
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,20,126,7620,12.385658793,3.012484252,2.352671916,2.352671916
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,798,2.1584085213,0.2181829574,0.1710401003,0.1710401003
1043352198,BIERACH,JENNIFER,B,M.D.,F,I,1245 S UTICA AVE,SUITE 330,TULSA,OK,741044214,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,26,141,141,88.234042553,33,25.182765957,25.182765957
1043352206,MCALLISTER,SUMNER,T,MD,M,I,722 N STATE ST,,BELLINGHAM,WA,982255334,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,14,54,70.376111111,8.32,5.9183333333,5.9183333333
1043352206,MCALLISTER,SUMNER,T,MD,M,I,722 N STATE ST,,BELLINGHAM,WA,982255334,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,18,257.82,30.194444444,14.937777778,15.531111111
1043352628,MAIER,HEATHER,M,"MSN, CNP",F,I,608 READING RD,,MASON,OH,450403001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,71.184482759,8.32,5.3982758621,5.3982758621
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,51,395,742,743,93.337617766,40.278896366,30.198479139,29.277604307
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,31,122,230,230,264.32578261,90.511478261,67.570608696,64.98673913
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,26,114,230,583,96.647650086,33.271475129,25.553790738,25.505540309
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,32,125,246,1267,54.87382794,19.375201263,14.714388319,14.143622731
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,39,184,391,1972,49.62979716,15.632515213,11.829888438,11.525238337
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,54,319,606,608,163.65565789,55.502483553,41.640065789,41.111052632
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,58,371,480,480,53.608479167,18.884791667,14.230583333,13.563854167
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,30,36,36,27.783333333,10.690277778,7.5294444444,7.4005555556
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,35,50,50,79.9902,13.4052,9.7608,8.8666
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,65,425,828,4488,9.9702250446,2.1302807487,1.610978164,1.5480681818
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,18,21,21,20.00952381,6.6752380952,5.0152380952,4.9366666667
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,49,252,325,325,39.189353846,13.013846154,9.8543692308,10.011938462
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,31,76.547741935,17.08,12.956129032,13.103225806
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,,47,55,326.40236364,85.387090909,64.724181818,66.186181818
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,24,137,137,789.09007299,219.47284672,167.8329927,165.03262774
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,107,108,108,413.56944444,133.91148148,104.26777778,104.48101852
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,10,18,89,95,67.672421053,14.074210526,10.882842105,10.191263158
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,33,189,1058,1078,212.15051948,32.88851577,24.312782931,24.341391466
1043353436,PETERSEN,ANN,M,N.P.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595404,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,22,162,169,270.02343195,76.141538462,57.185739645,52.56816568
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,24,259,58.375019305,19.634594595,15.280694981,15.280694981
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,22,560,9.0210714286,2.6314285714,2.0629821429,2.0629821429
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,46,66,204,898,67.544610245,8.32,5.9630289532,5.9630289532
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,16,3.38,2.4733333333,2.4733333333
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,27,70,140,16.470642857,1.42,1.0183571429,1.0183571429
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,22.790909091,16.51,12.3
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,2620,11.639251908,9.4807061069,7.4117748092,7.4117748092
1043354483,KISSELL,KERRI,A,MD,F,I,317 W LOCKHART ST,,SAYRE,PA,188401618,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,43,43,289.19767442,250.98302326,196.64186047,196.74116279
1043354509,REINOSO,BLAS,E,M.D.,M,I,350 7TH ST N,,NAPLES,FL,34102,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,18,399.70055556,83.785555556,65.688888889,56.974444444
1043354616,XIAO,GARY,S,MD,M,I,216 N BROAD ST,5TH FL,PHILADELPHIA,PA,191021121,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,28,3090,6.4607605178,0.5725145631,0.4313042071,0.4312944984
1043354616,XIAO,GARY,S,MD,M,I,216 N BROAD ST,5TH FL,PHILADELPHIA,PA,191021121,US,Physician/General Surgery,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,2040,4.7360637255,2.7837941176,2.1824754902,2.1824754902
1043354616,XIAO,GARY,S,MD,M,I,216 N BROAD ST,5TH FL,PHILADELPHIA,PA,191021121,US,Physician/General Surgery,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,28,14160,11.769444915,8.5120254237,6.6632937853,6.6632937853
1043354616,XIAO,GARY,S,MD,M,I,216 N BROAD ST,5TH FL,PHILADELPHIA,PA,191021121,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,24,24,18.266470588,18.266470588
1043354616,XIAO,GARY,S,MD,M,I,216 N BROAD ST,5TH FL,PHILADELPHIA,PA,191021121,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,46,50,16,16,12.54,12.54
1043355019,MADHAVAN,RANGANATHAN,G,M.D.,M,I,4150 V ST,SUITE 3400,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,86.314137931,16.973448276,12.392068966,12.615172414
1043355019,MADHAVAN,RANGANATHAN,G,M.D.,M,I,4150 V ST,SUITE 3400,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,468.25285714,71.264285714,51.371785714,50.355
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,29,93,63.239892473,8.32,5.7506451613,5.7506451613
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,18,10.476666667,1.42,1.0511111111,1.0511111111
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,2.44,2.04,1.5123818182,1.5123818182
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,3.7236363636,2.1,1.6454545455,1.2136363636
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.620833333,14.031666667
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,69.484090909,7.4927272727,5.5440909091,3.2254545455
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,97.342666667,72.333333333,53.781333333
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2650,0.1280641509,0.0467433962,0.0337018868,0.0337018868
1043355282,HALL,ERIKA,J,PA-C,F,I,905 MAIN STREET,,N. VASSALBORO,ME,04962,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,73.5,33,24.338181818,24.338181818
1043355407,MUELLER,MARK,A,MD,M,I,12800 MISSISSIPPI PKWY STE C100,,CROWN POINT,IN,463076900,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,490,0.2663265306,0.24,0.1881836735,0.210877551
1043355688,BERTINO,ERIN,M,M.D.,F,I,300 W 10TH AVE,,COLUMBUS,OH,432101280,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,27,49.652592593,19.383333333,15.196296296,13.54
1043355688,BERTINO,ERIN,M,M.D.,F,I,300 W 10TH AVE,,COLUMBUS,OH,432101280,US,Physician/Medical Oncology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50,39.2,37.760833333
1043355688,BERTINO,ERIN,M,M.D.,F,I,300 W 10TH AVE,,COLUMBUS,OH,432101280,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,36,374.30833333,85.901666667,67.346666667,54.936666667
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,35,102,214,59.38228972,8.268411215,6.0556542056,6.0968691589
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,39,43,12.187209302,1.42,0.988372093,0.988372093
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,156.51636364,53.63,42.04,42.776363636
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,36.553636364,18,12.827272727,12.786363636
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,19,93,6.2548387097,2.06,1.3219354839,1.3046236559
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,168.23,47.535,32.876666667,33.796666667
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,103.60117647,33.147058824,23.255294118,23.364705882
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3967,0.1963221578,0.046183514,0.0334232417,0.0334232417
1043356066,MCGUIRE,MICHAEL,A,M.D.,M,I,770 W LINCOLN HWY,,EXTON,PA,193412547,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,107.25,33,24.253125,24.253125
1043356314,CONWAY,JAMES,E,MD,M,I,5051 GREENSPRING AVE,SUITE 101,BALTIMORE,MD,212094354,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,5554.375,4378.96,3433.11,3433.11
1043356355,WATTS,MONICA,O,MD,F,I,48 MAIN ST,SUITE 3-A,SENOIA,GA,302761895,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,39,81,77.226049383,8.32,5.3139506173,5.3139506173
1043356355,WATTS,MONICA,O,MD,F,I,48 MAIN ST,SUITE 3-A,SENOIA,GA,302761895,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,21,27,14.346666667,1.42,0.9088888889,0.9088888889
1043356355,WATTS,MONICA,O,MD,F,I,48 MAIN ST,SUITE 3-A,SENOIA,GA,302761895,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,605.57071429,75.56,55.008571429,50.820714286
1043356355,WATTS,MONICA,O,MD,F,I,48 MAIN ST,SUITE 3-A,SENOIA,GA,302761895,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,660,20.270560606,9.5826363636,7.078030303,7.078030303
1043356355,WATTS,MONICA,O,MD,F,I,48 MAIN ST,SUITE 3-A,SENOIA,GA,302761895,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,19,19,38.210526316,33,25.87,25.87
1043356413,LOWE,ELIZABETH,H,M.D.,F,I,770 TAMALPAIS DR,SUITE 203,CORTE MADERA,CA,949251700,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,91,83.740879121,8.32,5.8062637363,5.8062637363
1043356538,DUSS,CHARLES,V,M.D.,M,I,3316 3RD ST S,SUITE 103,JACKSONVILLE,FL,322506073,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,29,83.626551724,77.900689655,61.067241379,52.8
1043356538,DUSS,CHARLES,V,M.D.,M,I,3316 3RD ST S,SUITE 103,JACKSONVILLE,FL,322506073,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,22,46.522727273,32.88,25.776363636,28.643181818
1043356538,DUSS,CHARLES,V,M.D.,M,I,3316 3RD ST S,SUITE 103,JACKSONVILLE,FL,322506073,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,25,74.5,50.01,39.21,43.56
1043356843,KHALIFEH,KATHERINE,,MD,F,I,2710 PROSPERITY AVE,SUITE 200,FAIRFAX,VA,220314357,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,88,5.6890909091,2.91,1.8922727273,1.8922727273
1043356843,KHALIFEH,KATHERINE,,MD,F,I,2710 PROSPERITY AVE,SUITE 200,FAIRFAX,VA,220314357,US,Physician/Colorectal Surgery (Proctology),S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,432,21.71,13.13,10.293888889,10.293888889
1043356843,KHALIFEH,KATHERINE,,MD,F,I,2710 PROSPERITY AVE,SUITE 200,FAIRFAX,VA,220314357,US,Physician/Colorectal Surgery (Proctology),S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,82,740,326.82,256.22731707,256.22731707
1043356843,KHALIFEH,KATHERINE,,MD,F,I,2710 PROSPERITY AVE,SUITE 200,FAIRFAX,VA,220314357,US,Physician/Colorectal Surgery (Proctology),S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,144,26,9.35,7.33,7.33
1043356843,KHALIFEH,KATHERINE,,MD,F,I,2710 PROSPERITY AVE,SUITE 200,FAIRFAX,VA,220314357,US,Physician/Colorectal Surgery (Proctology),S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,144,81,29.22,22.908472222,22.908472222
1043357262,BALLARD,CHARLES,H,D.O.,M,I,818 MAGNOLIA AVE,,CORONA,CA,928793106,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,8.76,3,2.352,2.3662424242
1043357262,BALLARD,CHARLES,H,D.O.,M,I,818 MAGNOLIA AVE,,CORONA,CA,928793106,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5643,1.0111642743,0.6287719298,0.492962963,0.5152206273
1043357262,BALLARD,CHARLES,H,D.O.,M,I,818 MAGNOLIA AVE,,CORONA,CA,928793106,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,912.3325,912.3325,709.60166667,836.59
1043357577,BERARDINELLI,SUSAN,,PA-C,F,I,3670 PORTAGE ST,,PORTAGE,PA,159466546,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,80,76.758625,8.32,5.707375,5.707375
1043357577,BERARDINELLI,SUSAN,,PA-C,F,I,3670 PORTAGE ST,,PORTAGE,PA,159466546,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,27,14.915925926,1.42,0.8222222222,0.8222222222
1043357577,BERARDINELLI,SUSAN,,PA-C,F,I,3670 PORTAGE ST,,PORTAGE,PA,159466546,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1100,1.95,1.95,1.4117181818,1.4758909091
1043357577,BERARDINELLI,SUSAN,,PA-C,F,I,3670 PORTAGE ST,,PORTAGE,PA,159466546,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,22.272727273,3.95,2.8181818182,3.1045454545
1043357916,CLINE,RICHARD,W,D.O.,M,I,108 MEDICAL CENTER BLVD,SUITE G-50,FAYETTEVILLE,TN,373342741,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,20,58.699,8.32,3.915,3.915
1043357916,CLINE,RICHARD,W,D.O.,M,I,108 MEDICAL CENTER BLVD,SUITE G-50,FAYETTEVILLE,TN,373342741,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,42.437368421,21.333157895,16.012105263,12.818947368
1043357916,CLINE,RICHARD,W,D.O.,M,I,108 MEDICAL CENTER BLVD,SUITE G-50,FAYETTEVILLE,TN,373342741,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,51.44,40.326363636,25.501818182
1043357916,CLINE,RICHARD,W,D.O.,M,I,108 MEDICAL CENTER BLVD,SUITE G-50,FAYETTEVILLE,TN,373342741,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,415.2783871,97.90483871,71.056129032,49.433225806
1043358369,HEKMAT,SOHEIL,P,MD,M,I,511 E MANCHESTER BLVD,,INGLEWOOD,CA,903011907,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,37,76,70.191315789,8.32,4.075,4.075
1043358369,HEKMAT,SOHEIL,P,MD,M,I,511 E MANCHESTER BLVD,,INGLEWOOD,CA,903011907,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,27,22.582962963,1.42,0.6614814815,0.6614814815
1043358369,HEKMAT,SOHEIL,P,MD,M,I,511 E MANCHESTER BLVD,,INGLEWOOD,CA,903011907,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.61,10.61,6.9333333333,7.1941666667
1043358583,CHOMSKY,MONICA,K,APRN-BC,F,I,297 16TH AVE,,NEWARK,NJ,071031104,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,21,83.994285714,8.32,4.3485714286,4.3485714286
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,35,35,141.84885714,38.062857143,29.839142857,30.49
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,407.54666667,88.621333333,69.478666667,67.84
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,150.5475,33.75625,24.0034375,23.4878125
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,70,67.516571429,18.030714286,14.135857143,14.551857143
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,12,55,55.994909091,15,10.477090909,10.6
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,15,31,31,229.1683871,54.978064516,41.711935484,41.485806452
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,24,33,33,71.844242424,18.015757576,13.694545455,13.635454545
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,69.349090909,12.012727273,9.3009090909,9.0281818182
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,47,236,9.5863135593,2.0083898305,1.5349576271,1.5519491525
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,17,17,20.982352941,5.3835294118,3.9705882353,4.4105882353
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,16,20,20,46.0625,12.9935,9.1535,9.316
1043358922,EGAN,TIMOTHY,J,M.D.,M,I,3299 WOODBURN RD,,ANNANDALE,VA,220031275,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,77,77,231.76909091,32.034025974,23.912337662,24.181558442
1043359094,ARDIANA,REGINA,,FNPC,F,I,11 BITTERROOT JIM RD,,ARLIE,MT,59821,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,36.613333333,28.2225
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,32,110,275,55.321745455,8.32,5.6921090909,5.6921090909
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,13.714666667,3.38,2.65,2.65
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,44,72,18.839444444,1.42,1.0218055556,1.0218055556
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,25,50,71.7832,71.404,45.8848,46.013
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,26,51,4.7896078431,1.5060784314,1.1354901961,1.1121568627
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,18,36,2.02,1.25,0.98,0.9666666667
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,43,43,192.87767442,46.824883721,31.172325581,32.408604651
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,27,77.528518519,16.98,11.338148148,11.542592593
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,19,84,85,34.169529412,3.4614117647,2.2655294118,3.1852941176
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,145.65,47.069166667,33.47,36.576666667
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,653.39545455,438.78181818,344.00363636,382.44909091
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,36,204,206,262.12169903,72.258834951,51.812572816,50.245970874
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E1800,"Dynamic adjustable elbow extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,395,112.81090909,88.446363636,88.446363636
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,E1825,"Dynamic adjustable finger extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,395,116.35545455,91.220909091,91.220909091
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,18.818035714,9.6745,7.5848095238,7.5848095238
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,900,20.16,11.350933333,8.8991777778,8.8991777778
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,3540,1.3011920904,0.1363559322,0.1015338983,0.1015338983
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,1800,13.465844444,2.8965666667,2.2709055556,2.2709055556
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,81.693181818,21.783636364,16.369090909,13.693636364
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,5,,11,63,31.976984127,23.41,18.353650794,18.353650794
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,84,43.56,43.56,33.779404762,33.777857143
1043359219,NAVAZO,LUIS,J,M.D.,M,I,1582 W SAN MARCOS BLVD STE 100,,SAN MARCOS,CA,920784081,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,67,67,75.850746269,33,23.939402985,23.939402985
1043359805,KNIFE CHIEF,SARAH,C,M.D.,F,I,1501 N FLORENCE,SUITE 350,CLAREMORE,OK,740173275,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,14,14,90,53.2,38.730714286,42.127857143
1043359813,LOVELACE,BRIAN,E,M.D.,M,I,4812 S 109TH EAST AVE,SUITE 100,TULSA,OK,741465826,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,39,40,633.7635,551.74,428.97325,471.02575
1043359813,LOVELACE,BRIAN,E,M.D.,M,I,4812 S 109TH EAST AVE,SUITE 100,TULSA,OK,741465826,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,108.78034483,96.59,67.886896552,57.442758621
1043359813,LOVELACE,BRIAN,E,M.D.,M,I,4812 S 109TH EAST AVE,SUITE 100,TULSA,OK,741465826,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,57.258333333,53.2,36.7,41.050833333
1043359813,LOVELACE,BRIAN,E,M.D.,M,I,4812 S 109TH EAST AVE,SUITE 100,TULSA,OK,741465826,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,289.59666667,251.28,197,218.89
1043360035,FRANKLIN,JOHN,,M.D.,M,I,8901 W DODGE RD,,OMAHA,NE,681143327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,30,104,66.750961538,8.32,5.5196153846,5.5196153846
1043360035,FRANKLIN,JOHN,,M.D.,M,I,8901 W DODGE RD,,OMAHA,NE,681143327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,278.33642857,77.18,56.187857143,51.225
1043360035,FRANKLIN,JOHN,,M.D.,M,I,8901 W DODGE RD,,OMAHA,NE,681143327,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,82.5,33,22.174285714,22.174285714
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,38,118,262,73.643167939,8.32,5.2588549618,5.2588549618
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,35,43,17.266046512,1.42,0.9093023256,0.9093023256
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,28,28,101.54607143,38.214642857,26.759285714,27.2725
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,20,41,41,369.90439024,84.195121951,58.295853659,60.079756098
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,19,42,104,117.30192308,32.469230769,24.090961538,24.560961538
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,103,82.012038835,17.116116505,11.995825243,13.15776699
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,25,109,56.017247706,14.56,9.1288073394,9.5297247706
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,16,40,40,229.1845,56.15375,37.7705,36.8055
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,36,50,50,75.7592,18.0108,13.0512,13.0038
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,51,51,66.16,10.102941176,7.0276470588,8.1898039216
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,34,72,392,10.241377551,1.8823979592,1.2429591837,1.3555357143
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,20.885714286,5.2414285714,3.8235714286,4.3792857143
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,28,39,39,40.909230769,13.073076923,9.1902564103,9.2974358974
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,315,85.380190476,5,3.5591111111,3.7438095238
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4518,1.4591633466,0.2933598938,0.2288556884,0.2405002213
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,120.58823529,43.731764706,34.289411765,36.220588235
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,57.95,47.88,37.544736842,38.880526316
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,95,98,79.070408163,17.441632653,12.464897959,12.359183673
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,58.423846154,12.908461538,7.78,8.0630769231
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,43,43,249.80883721,28.565813953,19.688604651,21.296046512
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,4.76,2.32,1.82,1.82
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,541.52,432.42833333,339.02666667,339.805
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,14.16,10.185,7.9883333333,7.9808333333
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,263.4,210.34166667,159.32666667,159.705
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,121,129,467.6951938,77.18,54.948372093,49.979147287
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,300,39.65,31.09,29.735714286
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,30,6720,0.3472068452,0.0458988095,0.0308973214,0.0308973214
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,780,2.4666538462,0.1293846154,0.0944487179,0.0944487179
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,50,50,41.2036,15.0812,10.739,13.1844
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,40.673809524,23.821428571,18.675714286,25.138571429
1043360043,HARRIS,JOHN,,M.D.,M,I,3308 SAMSON WAY,,BELLEVUE,NE,681233234,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,52.8,33,23.652571429,23.652571429
1043360688,MAGERS,EDWARD,M,D.O.,M,I,504 N. CLEVELAND ST.,,MOUNT AYR,IA,508542201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,80.455,58.105
1043360688,MAGERS,EDWARD,M,D.O.,M,I,504 N. CLEVELAND ST.,,MOUNT AYR,IA,508542201,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,32.344166667,27.6525
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,8,7,5.488,5.488
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,A4417,"Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1080,4.3333333333,4.0633333333,3.1856666667,3.2684444444
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.6,3.04,2.3835,2.3835
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,1002,14.013972056,5,3.92,4.0602195609
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,12465,0.7054392298,0.3,0.2352001604,0.2392009627
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,178.73,51.666666667,40.506666667,40.455
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,30,35,30,5.2,4.08,4.0094285714
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,41,41,76.13,15.682926829,12.292682927,13.967560976
1043360944,STEPANCIC,MARIANO,,M.D.,M,I,15455 WILLETS POINT BLVD,,WHITESTONE,NY,113573716,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,41,41,26.43,7.1195121951,5.583902439,6.5043902439
1043361298,HANJE,ADAM,J,M.D.,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101267,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,60,14100,5.3805765957,0.5756680851,0.4454510638,0.4454503546
1043361298,HANJE,ADAM,J,M.D.,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101267,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,70,11160,5.358078853,2.8248870968,2.190578853,2.190578853
1043361298,HANJE,ADAM,J,M.D.,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101267,US,Physician/Gastroenterology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,2,,27,14280,10.542481092,8.5069915966,6.6651771709,6.6651771709
1043361298,HANJE,ADAM,J,M.D.,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101267,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,84,84,24,24,18.161904762,18.161904762
1043361298,HANJE,ADAM,J,M.D.,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101267,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,78,89,16,16,12.539775281,12.539775281
1043361546,RASEKHI,MOHAMMAD,H,M.D.,M,I,12100 VALLEY BLVD,SUITE#109A,EL MONTE,CA,917323100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,40,116,56.495689655,8.32,5.4817241379,5.4817241379
1043361546,RASEKHI,MOHAMMAD,H,M.D.,M,I,12100 VALLEY BLVD,SUITE#109A,EL MONTE,CA,917323100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,32,50,15.1762,1.42,0.9824,0.9824
1043361546,RASEKHI,MOHAMMAD,H,M.D.,M,I,12100 VALLEY BLVD,SUITE#109A,EL MONTE,CA,917323100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,7,3.8346153846,2.5753846154,3.2307692308
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,25,62,800,66.0598125,19.6449,15.22055,15.22055
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,24,61,1963,9.213158431,2.6325012736,2.0638257769,2.0638257769
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,49,75,212,925,64.960518919,8.32,6.2144,6.2144
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,15,35,35,13.503428571,3.38,2.5742857143,2.5742857143
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,20.154117647,2.12,1.5717647059,1.5717647059
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,40,88,206,13.875485437,1.42,1.0809223301,1.0809223301
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,78.506363636,71.56,56.105454545,56.104545455
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,67,67,665.25432836,336.13074627,259.24179104,259.24179104
1043361835,LASSETER,DAVID,H,MD,M,I,713 VOLVO PKWY STE 101,,CHESAPEAKE,VA,233201614,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2360,16.241639831,10.331245763,8.0576822034,8.0576822034
1043362155,DOWLATSHAHI,BAHRAM,,MD,M,I,6780 PITTSFORD- PALMYRA ROAD - 3B,,FAIRPORT,NY,14450,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,17,34,126.475,8.32,4.6023529412,4.6023529412
1043362155,DOWLATSHAHI,BAHRAM,,MD,M,I,6780 PITTSFORD- PALMYRA ROAD - 3B,,FAIRPORT,NY,14450,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,16.81,10.883333333,8.5383333333,9.4383333333
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,51,112,68.157053571,8.32,5.0666071429,5.0666071429
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,105.48666667,39.31,30.823333333,30.49
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,760.48,65.7,49.4496,52.058
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,37.64,29.51,29.51
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,855,0.4215321637,0.2194502924,0.1720935673,0.1720935673
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,98.879411765,17.975882353,13.089411765,13.378235294
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,37.64,27.24,27.24
1043362270,MOORE,HOLLY B,,MD,F,I,2025 SOQUEL AVE,,SANTA CRUZ,CA,950621323,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,74.25,33,25.87,25.87
1043362627,GREWAL,SWIPEN,,M.D.,F,I,334 SAMUEL DR,,YUBA CITY,CA,959916325,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,41,137,48.829781022,8.32,4.9048175182,4.9048175182
1043362627,GREWAL,SWIPEN,,M.D.,F,I,334 SAMUEL DR,,YUBA CITY,CA,959916325,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,21,47,16.284680851,1.42,0.9714893617,0.9714893617
1043362627,GREWAL,SWIPEN,,M.D.,F,I,334 SAMUEL DR,,YUBA CITY,CA,959916325,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,488.69,65.7,42.120909091,45.196363636
1043362841,INFORZATO,NANCY,M,M.D.,F,I,3288 BELL ROAD,,AUBURN,CA,956039243,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2975,913.16,703.96416667,830.30416667
1043363179,CHERCIU,DOINA,M,M.D.,F,I,16 THOREAU DR,,FREEHOLD,NJ,077284666,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,37,102,69.090392157,8.32,5.5147058824,5.5147058824
1043363179,CHERCIU,DOINA,M,M.D.,F,I,16 THOREAU DR,,FREEHOLD,NJ,077284666,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,33,16.676363636,1.42,0.913030303,0.913030303
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,35,55,55,66.316,40.770181818,27.470363636,26.055090909
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,21,28,28,212.13392857,94.838571429,56.542142857,51.523928571
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,22,36,80.844444444,34.674166667,26.471666667,25.197777778
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,49,101.22122449,21.729591837,15.304285714,13.908979592
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,11,18,76,26,15.911052632,12.336052632,11.754736842
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,29,39,39,140.53076923,59.09974359,41.451794872,38.646923077
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,48,62,62,42.187580645,19.523064516,12.558548387,11.466774194
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,59.004545455,14.420909091,9.1527272727,8.0190909091
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,33,56,211,6.2723696682,2.251943128,1.6671563981,1.522985782
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,13,18,18,7.8422222222,6.1744444444,4.5605555556,4.3916666667
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,22,25,25,30.3184,13.8592,8.5528,8.1748
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,225,87.461111111,65.172222222,63.870555556
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,21,120,120,29.252083333,12.889833333,9.7414166667,9.25875
1043363211,MAHMOOD,RANA,H,MD,M,I,304 W HAY ST,STE 214,DECATUR,IL,625266328,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,25,156,156,114.55115385,36.39775641,26.194423077,22.971666667
1043363575,BARNETT,CONNIE,J,"RN, MSN, APRN-BC",F,I,23702 HIGHWAY 80 E,,STATESBORO,GA,304610845,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,20,39,44.661794872,8.32,6.5248717949,6.5248717949
1043363575,BARNETT,CONNIE,J,"RN, MSN, APRN-BC",F,I,23702 HIGHWAY 80 E,,STATESBORO,GA,304610845,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,49.941818182,39.151818182,38.491818182
1043363575,BARNETT,CONNIE,J,"RN, MSN, APRN-BC",F,I,23702 HIGHWAY 80 E,,STATESBORO,GA,304610845,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,45,4.6372727273,3.6368181818,3.6345454545
1043363575,BARNETT,CONNIE,J,"RN, MSN, APRN-BC",F,I,23702 HIGHWAY 80 E,,STATESBORO,GA,304610845,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2473,0.5278608977,0.0464577436,0.0295754145,0.0295754145
1043363575,BARNETT,CONNIE,J,"RN, MSN, APRN-BC",F,I,23702 HIGHWAY 80 E,,STATESBORO,GA,304610845,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,22.174285714,22.174285714
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,45,19.695909091,15.439090909,15.439090909
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,154,90,37.353181818,29.28474026,29.28474026
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,64,60.9071875,8.32,6.3178125,6.3178125
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,20,15.547,1.42,1.06,1.06
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,70,56.340625,40.959375,37.71625
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,90.5,17.855483871,13.567419355,13.096774194
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,257.125,76.69225,58.6965,53.76775
1043363708,GNATENCO,CARMEN,,M.D.,F,I,4938 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,1364,25.794428152,1.5653739003,1.22728739,1.2272140762
1043363740,LOMAN,GEOFFREY,L,M.D.,M,I,168 N BRENT ST,STE 502,VENTURA,CA,930032817,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,36,64.815833333,8.32,5.4338888889,5.4338888889
1043363740,LOMAN,GEOFFREY,L,M.D.,M,I,168 N BRENT ST,STE 502,VENTURA,CA,930032817,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,232.57285714,29.374285714,21.03,23.656428571
1043363740,LOMAN,GEOFFREY,L,M.D.,M,I,168 N BRENT ST,STE 502,VENTURA,CA,930032817,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1680,2.0999166667,0.1334285714,0.0916369048,0.0916369048
1043363740,LOMAN,GEOFFREY,L,M.D.,M,I,168 N BRENT ST,STE 502,VENTURA,CA,930032817,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,59.12,16.772727273,4.64,5.0381818182
1043363740,LOMAN,GEOFFREY,L,M.D.,M,I,168 N BRENT ST,STE 502,VENTURA,CA,930032817,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.22,7.8918181818,2.1854545455,2.3663636364
1043363740,LOMAN,GEOFFREY,L,M.D.,M,I,168 N BRENT ST,STE 502,VENTURA,CA,930032817,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,21.89,21.89
1043363765,BRAVATE,CRYSTAL,M,PA-C,F,I,1901 1ST AVE,RM 12A1,NEW YORK,NY,100297404,US,Physician Assistant,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,3,51,51,51,5350.7843137,4378.96,3430.5811765,3430.5811765
1043363872,MADRID,CECELIA,T,M.D.,F,I,2701 W ALAMEDA AVE STE 500,,BURBANK,CA,915054410,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,59.353548387,8.32,5.669516129,5.669516129
1043363997,HERNANDEZ,JOHN,J,M.D.,M,I,"1250 LA VENTA DRIVE, SUITE 110",,WESTLAKE VILLAGE,CA,91361,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,21,21,117.26857143,38.923333333,29.06952381,29.039047619
1043363997,HERNANDEZ,JOHN,J,M.D.,M,I,"1250 LA VENTA DRIVE, SUITE 110",,WESTLAKE VILLAGE,CA,91361,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,22,126,47.381269841,15.32,10.962936508,10.866269841
1043363997,HERNANDEZ,JOHN,J,M.D.,M,I,"1250 LA VENTA DRIVE, SUITE 110",,WESTLAKE VILLAGE,CA,91361,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,26,26,189.71307692,51,36.904615385,39.617692308
1043363997,HERNANDEZ,JOHN,J,M.D.,M,I,"1250 LA VENTA DRIVE, SUITE 110",,WESTLAKE VILLAGE,CA,91361,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,71.777333333,17.030666667,13.346,13.994
1043363997,HERNANDEZ,JOHN,J,M.D.,M,I,"1250 LA VENTA DRIVE, SUITE 110",,WESTLAKE VILLAGE,CA,91361,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,27,147,9.4946938776,2.0073469388,1.5032653061,1.5193197279
1043363997,HERNANDEZ,JOHN,J,M.D.,M,I,"1250 LA VENTA DRIVE, SUITE 110",,WESTLAKE VILLAGE,CA,91361,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,163.31257143,29.885142857,23.433428571,25.734857143
1043364110,TRUMAN,MICHAEL,E,DO,M,I,2401 CANTON DRIVE,,FT WORTH,TX,761125001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,81,61.571358025,8.32,6.0391358025,6.0391358025
1043364110,TRUMAN,MICHAEL,E,DO,M,I,2401 CANTON DRIVE,,FT WORTH,TX,761125001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,24,13.421666667,1.42,1.1145833333,1.1145833333
1043364110,TRUMAN,MICHAEL,E,DO,M,I,2401 CANTON DRIVE,,FT WORTH,TX,761125001,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1043364201,CHEATHAM CARPENTER,TERRELL,,FNP,F,I,1251 WESLEY DRIVE,SUITE 104,MEMPHIS,TN,38116,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,26,56,154,73.264220779,8.32,5.8875974026,5.8875974026
1043364201,CHEATHAM CARPENTER,TERRELL,,FNP,F,I,1251 WESLEY DRIVE,SUITE 104,MEMPHIS,TN,38116,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,23,15.639565217,1.42,0.8713043478,0.8713043478
1043364201,CHEATHAM CARPENTER,TERRELL,,FNP,F,I,1251 WESLEY DRIVE,SUITE 104,MEMPHIS,TN,38116,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1680,0.92,0.1326428571,0.0975238095,0.0975238095
1043364201,CHEATHAM CARPENTER,TERRELL,,FNP,F,I,1251 WESLEY DRIVE,SUITE 104,MEMPHIS,TN,38116,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,114.52941176,33,24.348235294,24.348235294
1043364342,FOWLER,JILL,B,P.A.,F,I,150 PADUCAH DR,,NEW MARTINSVILLE,WV,261552710,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,70,115,66.162173913,8.32,5.2639130435,5.2639130435
1043364342,FOWLER,JILL,B,P.A.,F,I,150 PADUCAH DR,,NEW MARTINSVILLE,WV,261552710,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,32,35,12.803428571,1.42,0.9591428571,0.9591428571
1043364342,FOWLER,JILL,B,P.A.,F,I,150 PADUCAH DR,,NEW MARTINSVILLE,WV,261552710,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,78.497692308,21.49,16.846153846,13.53
1043364342,FOWLER,JILL,B,P.A.,F,I,150 PADUCAH DR,,NEW MARTINSVILLE,WV,261552710,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,474.78538462,96.186153846,75.411538462,54.728461538
1043364342,FOWLER,JILL,B,P.A.,F,I,150 PADUCAH DR,,NEW MARTINSVILLE,WV,261552710,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,599.5,168.42954545,124.80772727,94.875909091
1043365026,MATHISEN,JESSICA,A,PA-C,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503901409,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,2220,4.930463964,0.5678468468,0.4327522523,0.4327522523
1043365026,MATHISEN,JESSICA,A,PA-C,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503901409,US,Physician Assistant,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1440,6.3513055556,2.89275,2.2678958333,2.2678958333
1043365026,MATHISEN,JESSICA,A,PA-C,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503901409,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,24,24,18.147857143,18.147857143
1043365026,MATHISEN,JESSICA,A,PA-C,F,I,1215 PLEASANT STREET,SUITE 100,DES MOINES,IA,503901409,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,16,16,12.54,12.54
1043365109,LINDAUER,LAURA,,PA-C,F,I,8613 N 30TH ST,,OMAHA,NE,681121852,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,43,111,86.280990991,8.32,4.9954054054,4.9954054054
1043365109,LINDAUER,LAURA,,PA-C,F,I,8613 N 30TH ST,,OMAHA,NE,681121852,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,20,15.817,1.42,1.062,1.062
1043365109,LINDAUER,LAURA,,PA-C,F,I,8613 N 30TH ST,,OMAHA,NE,681121852,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,106,11.796981132,1.9011320755,1.3751886792,1.4761320755
1043365109,LINDAUER,LAURA,,PA-C,F,I,8613 N 30TH ST,,OMAHA,NE,681121852,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,158.985,28.72,22.52,22.52
1043365109,LINDAUER,LAURA,,PA-C,F,I,8613 N 30TH ST,,OMAHA,NE,681121852,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,4512,0.2220124113,0.0453080674,0.0334707447,0.0334663121
1043365109,LINDAUER,LAURA,,PA-C,F,I,8613 N 30TH ST,,OMAHA,NE,681121852,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,33,33,23.385454545,23.385454545
1043365802,VALIN,DEBORAH,J,APRN,F,I,2690 WHITNEY AVE,,HAMDEN,CT,065182924,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,35.92,10.972222222,7.6766666667,7.5348148148
1043365802,VALIN,DEBORAH,J,APRN,F,I,2690 WHITNEY AVE,,HAMDEN,CT,065182924,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,36.67,10.07,7.0466666667,7.0018518519
1043365802,VALIN,DEBORAH,J,APRN,F,I,2690 WHITNEY AVE,,HAMDEN,CT,065182924,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,420.19,207.12666667,155.08111111,155.08037037
1043365802,VALIN,DEBORAH,J,APRN,F,I,2690 WHITNEY AVE,,HAMDEN,CT,065182924,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,34.97,14.638571429,9.0947619048,11.008571429
1043365802,VALIN,DEBORAH,J,APRN,F,I,2690 WHITNEY AVE,,HAMDEN,CT,065182924,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,24.264166667,7.2533333333,4.7566666667,5.245
1043365844,ROONEY,DAVID,G,M.D.,M,I,105 VINEYARD WAY,SUITE 200,WEST GROVE,PA,193908849,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,30,83,206,76.118349515,8.32,6.2232038835,6.2232038835
1043365844,ROONEY,DAVID,G,M.D.,M,I,105 VINEYARD WAY,SUITE 200,WEST GROVE,PA,193908849,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,43,46,13.534130435,1.42,0.9976086957,0.9976086957
1043365844,ROONEY,DAVID,G,M.D.,M,I,105 VINEYARD WAY,SUITE 200,WEST GROVE,PA,193908849,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,120,32.354545455,25.370909091,25.501818182
1043366305,ARBID,MASAD,I,M.D.,M,I,4055 WHITTIER BLVD,,LOS ANGELES,CA,900232536,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,48,59.360625,8.32,4.936875,4.936875
1043366305,ARBID,MASAD,I,M.D.,M,I,4055 WHITTIER BLVD,,LOS ANGELES,CA,900232536,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,24,53.529166667,1.42,0.9325,0.9325
1043366727,SOLOT,JOSHUA,J,DO,M,I,19284 E COTTONWOOD DR,SUITE 201,PARKER,CO,801383882,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,457.46181818,86.88,61.918181818,61.672727273
1043366727,SOLOT,JOSHUA,J,DO,M,I,19284 E COTTONWOOD DR,SUITE 201,PARKER,CO,801383882,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,34,176.12764706,33.2,26.03,25.917647059
1043366727,SOLOT,JOSHUA,J,DO,M,I,19284 E COTTONWOOD DR,SUITE 201,PARKER,CO,801383882,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,79.759333333,15.007333333,11.766,9.8913333333
1043366727,SOLOT,JOSHUA,J,DO,M,I,19284 E COTTONWOOD DR,SUITE 201,PARKER,CO,801383882,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,17,102,9.3570588235,2.2682352941,1.6835294118,1.5781372549
1043366727,SOLOT,JOSHUA,J,DO,M,I,19284 E COTTONWOOD DR,SUITE 201,PARKER,CO,801383882,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,78.49,51.250909091,45.069090909
1043366727,SOLOT,JOSHUA,J,DO,M,I,19284 E COTTONWOOD DR,SUITE 201,PARKER,CO,801383882,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,38.76,27.627272727,26.827272727
1043366735,MOSHER,KEITH,A,MD,M,I,21 MERIDIAN SPRINGS DR,,JACKSON,TN,38301,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,45,121,56.527933884,8.32,5.929338843,5.929338843
1043366735,MOSHER,KEITH,A,MD,M,I,21 MERIDIAN SPRINGS DR,,JACKSON,TN,38301,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,17,10.337058824,1.42,1.0505882353,1.0505882353
1043366735,MOSHER,KEITH,A,MD,M,I,21 MERIDIAN SPRINGS DR,,JACKSON,TN,38301,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,75,17.29,13.55,13.531818182
1043366735,MOSHER,KEITH,A,MD,M,I,21 MERIDIAN SPRINGS DR,,JACKSON,TN,38301,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,352.38095238,70.23,52.438095238,52.227619048
1043366735,MOSHER,KEITH,A,MD,M,I,21 MERIDIAN SPRINGS DR,,JACKSON,TN,38301,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,2462,0.1738383428,0.0459382616,0.0360073111,0.0360073111
1043366735,MOSHER,KEITH,A,MD,M,I,21 MERIDIAN SPRINGS DR,,JACKSON,TN,38301,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1043366750,WEEKES,COLIN,D,M.D.,M,I,1665 URSULA ST,,AURORA,CO,800457402,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,13,20,1368,35.016834795,5.2930628655,4.1145321637,4.1145321637
1043366750,WEEKES,COLIN,D,M.D.,M,I,1665 URSULA ST,,AURORA,CO,800457402,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,19,19,24,24,18.82,18.82
1043366842,PASSERMAN,DANIEL,S,D.O.,M,I,7800 W OUTER DR,,DETROIT,MI,482353461,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,178.46071429,48.075714286,37.692857143,36.907142857
1043366842,PASSERMAN,DANIEL,S,D.O.,M,I,7800 W OUTER DR,,DETROIT,MI,482353461,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,23,221.75217391,79.88,62.62,55.406956522
1043366875,KUNSMAN,BROOKE,H,CRNP,F,I,1906 HAY TER,,EASTON,PA,180424615,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,34,56.789117647,8.32,5.7570588235,5.7570588235
1043366875,KUNSMAN,BROOKE,H,CRNP,F,I,1906 HAY TER,,EASTON,PA,180424615,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,17,15.881764706,1.42,0.92,0.92
1043366875,KUNSMAN,BROOKE,H,CRNP,F,I,1906 HAY TER,,EASTON,PA,180424615,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,23,445.61391304,71.11,55.75,55.129130435
1043367030,CUSSON,SUSAN,E,APRN,F,I,100 OLD BILLERICA RD,CARLETON-WILLARD VILLAGE,BEDFORD,MA,017301267,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,50.2125,24.19,17.38,20.240833333
1043367030,CUSSON,SUSAN,E,APRN,F,I,100 OLD BILLERICA RD,CARLETON-WILLARD VILLAGE,BEDFORD,MA,017301267,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,19.5175,9.29,6.6733333333,7.775
1043367097,LIBERTINO,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,36,31.4775,9.9733333333,6.4252777778,7.2291666667
1043367097,LIBERTINO,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,160,10.07,5.74,4.4268125,4.4268125
1043367097,LIBERTINO,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,310,10.541741935,4.04,3.1673548387,3.1673548387
1043367204,LIGUORI,MICHAEL,A,MD,M,I,80 5TH AVE,ROOM 1601,NEW YORK,NY,100118002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,35,65.090857143,8.32,5.5914285714,5.5914285714
1043367931,AGUIRRE,RENE,V,MD,M,I,1559 SPARTA ST,"RIVER PARK HOSPITALIST, ATTN HOSPITALIST PROGRAM",MCMINNVILLE,TN,371101316,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,85,55.591058824,21.950235294,16.856705882,13.211647059
1043367931,AGUIRRE,RENE,V,MD,M,I,1559 SPARTA ST,"RIVER PARK HOSPITALIST, ATTN HOSPITALIST PROGRAM",MCMINNVILLE,TN,371101316,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,,31,32,36.5125,6.815,4.8884375,3.355
1043367931,AGUIRRE,RENE,V,MD,M,I,1559 SPARTA ST,"RIVER PARK HOSPITALIST, ATTN HOSPITALIST PROGRAM",MCMINNVILLE,TN,371101316,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,77,263.35116883,96.794545455,74.335714286,53.308441558
1043367964,RUTHERFORD,SHERRI,L,DO,F,I,417 NE 164TH AVE,SUITE 300,VANCOUVER,WA,98684,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,78.412105263,8.32,5.8373684211,5.8373684211
1043367964,RUTHERFORD,SHERRI,L,DO,F,I,417 NE 164TH AVE,SUITE 300,VANCOUVER,WA,98684,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,72.25,56.64,54.73
1043368053,YOUNG,LISA,M,MD,F,I,25825 VERMONT AVE,,HARBOR CITY,CA,907103518,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7,3.7583333333,2.945,3.5666666667
1043369044,BISHOP,RACHEL,A,M.D.,F,I,1117 SPRING ST,,FRIDAY HARBOR,WA,982509782,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,70,62.584142857,8.32,6.5217142857,6.5217142857
1043369044,BISHOP,RACHEL,A,M.D.,F,I,1117 SPRING ST,,FRIDAY HARBOR,WA,982509782,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1043369044,BISHOP,RACHEL,A,M.D.,F,I,1117 SPRING ST,,FRIDAY HARBOR,WA,982509782,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,16,15.1875,1.42,1.11375,1.11375
1043369044,BISHOP,RACHEL,A,M.D.,F,I,1117 SPRING ST,,FRIDAY HARBOR,WA,982509782,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,1.9,1.9,1.4896111111,1.5901898148
1043369044,BISHOP,RACHEL,A,M.D.,F,I,1117 SPRING ST,,FRIDAY HARBOR,WA,982509782,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,1.68,1.68,1.3175,1.4022916667
1043369218,SALZANO,ANDRIA,M,PAC,F,I,25 OFFICE PARK DRIVE,,HAMILTON,OH,45013,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,80,17.36,10.888,10.832
1043369218,SALZANO,ANDRIA,M,PAC,F,I,25 OFFICE PARK DRIVE,,HAMILTON,OH,45013,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,24.12,5.4875,3.345,2.9825
1043369218,SALZANO,ANDRIA,M,PAC,F,I,25 OFFICE PARK DRIVE,,HAMILTON,OH,45013,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,24,386.875,77.47,54.850416667,50.444166667
1043369523,SPERRY,TRACEY,M,D.O.,F,I,49650 CHERRY HILL ROAD,SUITE 120,CANTON,MI,48187,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,55,137,43.957372263,8.32,5.9984671533,5.9984671533
1043369523,SPERRY,TRACEY,M,D.O.,F,I,49650 CHERRY HILL ROAD,SUITE 120,CANTON,MI,48187,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.211818182,3.38,2.1681818182,2.1681818182
1043369523,SPERRY,TRACEY,M,D.O.,F,I,49650 CHERRY HILL ROAD,SUITE 120,CANTON,MI,48187,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,29,42,10.786904762,1.42,1.0628571429,1.0628571429
1043369523,SPERRY,TRACEY,M,D.O.,F,I,49650 CHERRY HILL ROAD,SUITE 120,CANTON,MI,48187,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,52.793076923,17.268461538,10.415384615,10.416923077
1043369523,SPERRY,TRACEY,M,D.O.,F,I,49650 CHERRY HILL ROAD,SUITE 120,CANTON,MI,48187,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,31.022727273,24.325454545,24.087272727
1043369523,SPERRY,TRACEY,M,D.O.,F,I,49650 CHERRY HILL ROAD,SUITE 120,CANTON,MI,48187,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,11.245,8.81,8.9391666667
1043369523,SPERRY,TRACEY,M,D.O.,F,I,49650 CHERRY HILL ROAD,SUITE 120,CANTON,MI,48187,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,33,373.07757576,74.997575758,54.385454545,50.315757576
1043369614,CADY,ANDREA,K,M.D,F,I,316 E BABCOCK ST,,BOZEMAN,MT,597154710,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1950,0.17,0.0466153846,0.0337179487,0.0337179487
1043369614,CADY,ANDREA,K,M.D,F,I,316 E BABCOCK ST,,BOZEMAN,MT,597154710,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.1128461538,2.380974359,2.380974359
1043369614,CADY,ANDREA,K,M.D,F,I,316 E BABCOCK ST,,BOZEMAN,MT,597154710,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,108.70588235,33,25.87,25.87
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,40,104,68.187788462,8.32,5.8943269231,5.8943269231
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,22,34,13.624705882,1.42,1.0502941176,1.0502941176
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,164.42052632,54.11,38.899473684,39.308947368
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,54.526,18.645333333,13.684,13.212
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,18,18,56.640555556,12.188888889,8.5072222222,8.1983333333
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,21,126,7.859047619,2.2771428571,1.6226190476,1.4804761905
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,153.12,31.616428571,23.137142857,23.375714286
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,19,19,19,1461.8821053,1017.66,785.94789474,841.93789474
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,17,30,128.302,110.62,86.73,88.072666667
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,17,18,570.00333333,458.27,359.29,362.34
1043369622,TARDIO,DAVID,,MD,M,I,4225 ALTAMONT PL STE 201,,WHITE PLAINS,MD,20695,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,32,32,32,847.090625,653.24,512.14,547.3775
1043369739,OLSON,JENNIFER,,PA,F,I,212 SKYLINE DR,,WHITE SALMON,WA,98672,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2175,0.17,0.0472413793,0.0344965517,0.0344965517
1043369739,OLSON,JENNIFER,,PA,F,I,212 SKYLINE DR,,WHITE SALMON,WA,98672,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1043369853,PUTNAM,RYAN,M,MD,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,20,93.595,74.55,58.45,63.1
1043369853,PUTNAM,RYAN,M,MD,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,94.57,78.81,61.79,68.66
1043369853,PUTNAM,RYAN,M,MD,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,24,24,24,193.75,154.71,121.29,119.75
1043369853,PUTNAM,RYAN,M,MD,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,13,200.31538462,163.79,128.41,126.52
1043370125,LOGAN,JERRY,W,OD,M,I,2519 E MAIN ST,,RICHMOND,IN,473745867,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,65.331,65.331,51.218,52.808
1043370125,LOGAN,JERRY,W,OD,M,I,2519 E MAIN ST,,RICHMOND,IN,473745867,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,26,58.653846154,52.13,40.87,43.55
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,93,161,65.019751553,8.32,5.5222360248,5.5222360248
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,22,24,14.06125,1.42,0.8858333333,0.8858333333
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,187.78833333,61.761666667,44.746666667,39.288333333
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,57.032142857,14.116428571,10.396428571,8.4685714286
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,17,94,11.373510638,2.2412765957,1.6574468085,1.5790425532
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,122.47421053,17.71,12.427894737,12.151578947
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,60.809259259,13.5,9.9344444444,9.8418518519
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,259.608,32.571,25.112333333,23.816666667
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,630.51761905,79.23,56.194761905,50.564285714
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1281,1.9034348165,0.1325995316,0.0955269321,0.0955269321
1043370489,KILLAM,MARGARET,A,MD,F,I,8101 PARALLEL PKWY,STE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,40.071428571,33,24.022142857,24.022142857
1043370604,KENNISTON,JULIA,A,MD,F,I,95 TREMONT ST,SUITE ONE,DUXBURY,MA,023324738,US,Physician/Orthopedic Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,47,57,75,75,54.212105263,165.80561404
1043370604,KENNISTON,JULIA,A,MD,F,I,95 TREMONT ST,SUITE ONE,DUXBURY,MA,023324738,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,35,35,394.85714286,361.08428571,283.03885714,256.95885714
1043370604,KENNISTON,JULIA,A,MD,F,I,95 TREMONT ST,SUITE ONE,DUXBURY,MA,023324738,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,45,45,32.676153846,169.28076923
1043370604,KENNISTON,JULIA,A,MD,F,I,95 TREMONT ST,SUITE ONE,DUXBURY,MA,023324738,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,49,51,55,31.909090909,31.488727273,21.965454545,43.795272727
1043370604,KENNISTON,JULIA,A,MD,F,I,95 TREMONT ST,SUITE ONE,DUXBURY,MA,023324738,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,36,252.08333333,233.69555556,181.8775,184.83388889
1043370604,KENNISTON,JULIA,A,MD,F,I,95 TREMONT ST,SUITE ONE,DUXBURY,MA,023324738,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,13,200.76923077,183.93,144.2,146.65230769
1043370752,ANAND,SUBASHINI,,M.D.,F,I,6699 GATE PKWY STE B,,JACKSONVILLE,FL,322568075,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,33,116,46.731982759,8.32,5.5099137931,5.5099137931
1043370752,ANAND,SUBASHINI,,M.D.,F,I,6699 GATE PKWY STE B,,JACKSONVILLE,FL,322568075,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,12.878888889,3.38,2.0611111111,2.0611111111
1043370752,ANAND,SUBASHINI,,M.D.,F,I,6699 GATE PKWY STE B,,JACKSONVILLE,FL,322568075,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,40,12.01075,1.42,0.8605,0.8605
1043370752,ANAND,SUBASHINI,,M.D.,F,I,6699 GATE PKWY STE B,,JACKSONVILLE,FL,322568075,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,46.8,33.619090909,15.84,14.820909091
1043370752,ANAND,SUBASHINI,,M.D.,F,I,6699 GATE PKWY STE B,,JACKSONVILLE,FL,322568075,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,10.62,8.4272727273,4.0790909091,3.92
1043370794,BRAND,KATHRYN,J,APRN,F,I,515 N 162ND AVE,SUITE # 301,OMAHA,NE,681182539,US,Nurse Practitioner,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,19,349,5.5296275072,3.79,2.9711747851,2.9711747851
1043370794,BRAND,KATHRYN,J,APRN,F,I,515 N 162ND AVE,SUITE # 301,OMAHA,NE,681182539,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,167,14.281497006,10.93,8.5691616766,8.5691616766
1043371156,HEDRICK,SARAH,M,M.D.,F,I,6661 CLYO RD,,CENTERVILLE,OH,454592702,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,58,462.55758621,80.281896552,55.272931034,47.766206897
1043371156,HEDRICK,SARAH,M,M.D.,F,I,6661 CLYO RD,,CENTERVILLE,OH,454592702,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,250,36.863333333,25.75,26.344444444
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,13,32.830769231,27.45,21.52,22.127692308
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,31,11.032903226,9.9525806452,7.8032258065,8.02
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,660,0.1320454545,0.12,0.0878181818,0.0878181818
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,444,1.1879954955,1.08,0.8466666667,0.8466666667
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,34,34,34,129.27264706,44.007941176,34.501470588,36.180294118
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,19,19,19,122.04105263,49.162631579,38.537368421,40.192631579
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,18.136875,12.06875,5.351875,5.726875
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,27,107.68777778,51.444444444,39.025555556,39.155555556
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,112.37777778,17,11.848888889,12.064444444
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,126.37538462,52.191538462,40.914615385,41.703846154
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,22.772857143,9.5291428571,7.4702857143,9.1457142857
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,30,443.41233333,77.702,56.856666667,51.703333333
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,59.709230769,29.704615385,23.289230769,28.864615385
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,40,1853,2.3069131139,0.1343119266,0.1053103076,0.1053103076
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,480,5.4399791667,3.11625,2.4431875,2.4431875
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,59,59,62.846271186,16.002881356,12.360677966,14.092711864
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,119.34,21.538333333,16.886666667,21.068333333
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,118.45652174,30.599130435,23.993913043,25.904347826
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,51,51,20.156666667,7.0745098039,5.4519607843,6.5147058824
1043371164,KRICHMAR,GRIGORIY,,D.O.,M,I,510 HICKSVILLE RD,,MASSAPEQUA,NY,117581203,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,33,33,25.87,25.87
1043371479,RAO,UMA,P,MD,F,I,1400 N HARBOR BLVD,SUITE 120,FULLERTON,CA,928354126,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,47,120,55.4385,8.32,5.2733333333,5.2733333333
1043371479,RAO,UMA,P,MD,F,I,1400 N HARBOR BLVD,SUITE 120,FULLERTON,CA,928354126,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,33,52,13.014615385,1.42,0.9446153846,0.9446153846
1043371636,MADRIGAL,MARTIN,,PA-C,M,I,5404 MORENO ST,SUITE N,MONTCLAIR,CA,917631667,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,42,97,66.67742268,8.32,4.9753608247,4.9753608247
1043371636,MADRIGAL,MARTIN,,PA-C,M,I,5404 MORENO ST,SUITE N,MONTCLAIR,CA,917631667,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,25,36,15.526944444,1.42,0.835,0.835
1043371909,RIEL,RYAN,,M.D.,M,I,11212 SUNRISE BLVD E,#201,PUYALLUP,WA,983748847,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,21,75,70.94,50.901904762,43.350952381
1043371909,RIEL,RYAN,,M.D.,M,I,11212 SUNRISE BLVD E,#201,PUYALLUP,WA,983748847,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,13,86,84.9,66.56,67.291538462
1043372055,HARR,MARY BETH,,M.D.,F,I,7950 FLOYD CURL DR,SUITE 805,SAN ANTONIO,TX,782293919,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,39,60.100769231,8.32,6.5215384615,6.5215384615
1043372063,SHERMAN,JEFFREY,B,MD,M,I,2021 K ST NW,SUITE 404,WASHINGTON,DC,200061003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,20,68.745,8.32,6.5225,6.5225
1043372162,ROBINSON,MARGARET,A,D.O.,F,I,4 CENTENNIAL DR,SUITE 204,PEABODY,MA,019607935,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,74.59,45.926666667,32.215,32.215
1043372428,FROSTICK,DAVID,W,PA,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,29,85.126896552,21.883103448,17.155172414,13.945172414
1043372428,FROSTICK,DAVID,W,PA,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,29,514.52689655,98.070344828,76.88862069,57.523103448
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,7.06,7.06,5.535,5.535
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,3.4653333333,3.04,2.3835,2.3835
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,400,0.27,0.27,0.2116,0.2116
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,294,8.28,8.28,6.4916326531,6.4916326531
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,26,26,26,65.448461538,47.976153846,37.607307692,36.350384615
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,22,23,222.29869565,55.272608696,42.859130435,37.227391304
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,157.136,46.817,36.707666667,33.808666667
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,33.012,11.050666667,7.922,7.7693333333
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E0958,"Manual wheelchair accessory, one-arm drive attachment, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,77.47,31.2525,21.99,22.59
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,27,27,34.912962963,10.31,7.3285185185,7.2818518519
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,399.478,208.606,150.366,150.366
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,29.555483871,16.253870968,12.38,14.514193548
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,52.97,24.220909091,17.341818182,22.808181818
1043372568,HUEBNER,DENNIS,L,M.D.,M,I,305 CHURCH ST,SUITE #1,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,22.826875,8.995625,7.05125,7.40875
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,19,32.24,19.71,15.451578947,15.451578947
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,24,71,37.38,29.303333333,29.303333333
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,620,9.9883870968,5.7380645161,4.3548870968,4.3567903226
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,357,5.4142296919,2.9093277311,2.2809243697,2.2814565826
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,126,9.063968254,5.0406349206,3.8717460317,3.8717460317
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,520,21.560557692,9.86,7.7300769231,7.7300769231
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,500,9.87008,6.9968,5.4855,5.488
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,660,6.7208636364,4.0006060606,2.9656515152,2.9905454545
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,636,16.176226415,10.75586478,8.4326415094,10.293977987
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,127,355.58582677,326.82,256.22724409,256.22724409
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,127,10.17480315,9.35,7.33,7.33
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,127,33.503070866,29.22,22.908582677,22.908582677
1043373038,DENEVE,JEREMIAH,L,DO,M,I,12901 USF MAGNOLIA DR,,TAMPA,FL,33612,US,Physician/General Surgery,S,J2270,"Injection, morphine sulfate, up to 10 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,16250,1.9495384615,1.6025384615,1.2563901538,1.2563901538
1043373087,STACY,SHANNON,M,M.D.,F,I,3330 LOMITA BLVD,TORRANCE MEMORIAL MEDICAL CENTER,TORRANCE,CA,905055002,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,7,3.8845454545,3.0436363636,3.6854545455
1043373103,GARNER,THOMAS,K,M.D.,M,I,35 COLLIER NWRD M200,,ATLANTA,GA,303091673,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,36,69.514166667,8.32,5.7966666667,5.7966666667
1043373103,GARNER,THOMAS,K,M.D.,M,I,35 COLLIER NWRD M200,,ATLANTA,GA,303091673,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,54.354375,17.2625,13.529375,13.533125
1043373103,GARNER,THOMAS,K,M.D.,M,I,35 COLLIER NWRD M200,,ATLANTA,GA,303091673,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,336.53705882,73.992352941,58.010588235,56.073529412
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,55,155,66.074967742,8.32,5.7226451613,5.7226451613
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,25,6.5556,1.3432,0.9152,0.9676
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,420,2.16,1.95,1.5287380952,1.5287380952
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,7.19,3.615,2.8354166667,2.1575
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,67.664482759,22.290689655,16.96,13.893793103
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,63.809166667,46.235833333,39.2775
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,43.488333333,35.606666667
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,53,459.62037736,99.276603774,72.833584906,53.835283019
1043373111,VIZCARRA,EDRED,T,MD,M,I,126 6TH AVE SW,,RONAN,MT,598642600,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,250,45.15,33.209333333,27.549333333
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,2.2872727273,0.51,0.3272727273,0.3272727273
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,51,134,434,58.046152074,8.32,5.4700921659,5.4700921659
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,29,29,14.866206897,3.38,2.375862069,2.375862069
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,26.508,2.12,1.4473333333,1.4473333333
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,39,75,125,16.20376,1.42,0.90824,0.90824
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,196.19615385,51,32.770769231,35.76
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,68.125833333,16.68,13.07,14.06
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,87.085333333,10.53,7.6946666667,8.522
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,25,128,9.60203125,2,1.421328125,1.444140625
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,174.46153846,31.977692308,23.995769231,26.639615385
1043373194,NEIRA,SERGIO,O,M.D.,M,I,1901 OUTLET CENTER DR STE 200,,OXNARD,CA,930360666,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,65.77,29.767368421,21.003157895,22.983157895
1043373707,DHAR,SANJAY,,"M.D., FACP",M,I,UK DIVISION OF PULMONARY CRITICAL CARE,"740 S. LIMESTONE, L543 KY CLINIC",LEXINGTON,KY,405360001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.96,14.08,13.585
1043373707,DHAR,SANJAY,,"M.D., FACP",M,I,UK DIVISION OF PULMONARY CRITICAL CARE,"740 S. LIMESTONE, L543 KY CLINIC",LEXINGTON,KY,405360001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,258.46,86.84,68.08,55.8425
1043373715,GARG,ANSHU,G,M.D.,F,I,240 WILLIAMSON ST,SUITE 300,ELIZABETH,NJ,072023674,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,37,40,454.43475,19.71,15.45075,15.45075
1043373715,GARG,ANSHU,G,M.D.,F,I,240 WILLIAMSON ST,SUITE 300,ELIZABETH,NJ,072023674,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,40,342,92.766052632,37.38,29.305847953,29.305847953
1043373715,GARG,ANSHU,G,M.D.,F,I,240 WILLIAMSON ST,SUITE 300,ELIZABETH,NJ,072023674,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,39,82.041282051,8.32,5.5184615385,5.5184615385
1043373715,GARG,ANSHU,G,M.D.,F,I,240 WILLIAMSON ST,SUITE 300,ELIZABETH,NJ,072023674,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,40,3784,32.789986786,1.5664059197,1.2280391121,1.2280391121
1043373715,GARG,ANSHU,G,M.D.,F,I,240 WILLIAMSON ST,SUITE 300,ELIZABETH,NJ,072023674,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2503,0.6915381542,0.0477067519,0.0373991211,0.0373991211
1043373715,GARG,ANSHU,G,M.D.,F,I,240 WILLIAMSON ST,SUITE 300,ELIZABETH,NJ,072023674,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,3682.8,2295.7892,1785.3756,1785.3756
1043373715,GARG,ANSHU,G,M.D.,F,I,240 WILLIAMSON ST,SUITE 300,ELIZABETH,NJ,072023674,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,25.87,25.87
1043373988,GONZALEZ,RALPH,F,M.D.,M,I,200 3RD AVE W STE 110,,BRADENTON,FL,342058628,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,129.47368421,31.892105263,25.005789474,25.141052632
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,21,51,6.5994117647,2.0211764706,1.5352941176,1.1303921569
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,39.14,16.549090909,12.976363636,9.7545454545
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,164.6125,67.274166667,52.745833333,37.188333333
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,121,126,55.539603175,21.952619048,16.725714286,13.318888889
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,16,16,108.271875,54.443125,42.684375,38.464375
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,19,112,112,25.026875,7.3798214286,5.5739285714,3.7225892857
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,40.745,20.2325,15.86,12.759166667
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,21,140,141,324.28234043,103.1012766,79.13822695,56.049148936
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,206.36363636,45.444545455,35.630909091,30.167272727
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,17,68,21429,0.2399192683,0.0462424752,0.0330486724,0.0330486724
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,45,7132,1.8480398205,0.1355005609,0.1001205833,0.1001205833
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,16,62,3597,2.7035446205,0.2189046428,0.1616346956,0.1616346956
1043374507,REDDY,JANARDHANA,P,"M.D. , FACS",M,I,400 SE 1ST ST STE B,,MINERAL WELLS,TX,760675300,US,Physician/Thoracic Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,24,99,99,50,33,23.711919192,23.711919192
1043374879,IVES,CHRISTINE,,M.D.,F,I,275 S ORCHARD AVE,,UKIAH,CA,954825016,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,11.899833333,1.2947272727,1.0069545455,1.0069545455
1043374929,SALIH,IBRAHIM,I,M.D.,M,I,7610 PENNSYLVANIA AVE,SUITE 200,FORESTVILLE,MD,207474701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,50,88,68.998977273,8.32,5.7717045455,5.7717045455
1043374929,SALIH,IBRAHIM,I,M.D.,M,I,7610 PENNSYLVANIA AVE,SUITE 200,FORESTVILLE,MD,207474701,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,34,34,18.618823529,1.42,1.0541176471,1.0541176471
1043374929,SALIH,IBRAHIM,I,M.D.,M,I,7610 PENNSYLVANIA AVE,SUITE 200,FORESTVILLE,MD,207474701,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.6875,3.34,2.7225
1043374929,SALIH,IBRAHIM,I,M.D.,M,I,7610 PENNSYLVANIA AVE,SUITE 200,FORESTVILLE,MD,207474701,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,5984,0.1809090909,0.045706885,0.0298328877,0.0298328877
1043374929,SALIH,IBRAHIM,I,M.D.,M,I,7610 PENNSYLVANIA AVE,SUITE 200,FORESTVILLE,MD,207474701,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,115.5,33,21.558333333,21.558333333
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,21,21,112.13666667,45.504761905,35.676190476,30.49
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,13,56,111,8.1775675676,1.7863063063,1.2225225225,0.9852252252
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,82.53,14.943529412,11.714705882,9.5147058824
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,12,18,18,334.07555556,102.45166667,74.150555556,64.412222222
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,12,18,44,133.20863636,38.765909091,29.189545455,25.780909091
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,184.67681818,70.991818182,55.658181818,42.86
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,18,18,57.340555556,22.475555556,16.753333333,13.278888889
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,74.678571429,18.629285714,13.885714286,9.2642857143
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,34,191,9.0427225131,2.8178010471,2.2092146597,1.6344502618
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,35.590769231,14.500769231,11.366923077,10.352307692
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,33,169,171,87.366725146,20.426959064,14.942105263,12.828128655
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,29,29,218.65862069,51.769310345,39.284137931,36.341034483
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,84,84,2965.5803571,1074.31,840.41559524,840.41559524
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,30,30,43.224333333,4.652,3.32,3.0743333333
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,163.164,46.832,34.396,23.0624
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,17,60,390,401,489.53673317,89.175835411,64.12319202,50.73957606
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,119,128,254.6875,41.443125,30.84625,28.09328125
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,44,2640,17.461537879,9.6199090909,7.487655303,7.487655303
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,29,153,39620,0.2249770318,0.0460858152,0.0341090358,0.0341090358
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,36,3118,1.6692238614,0.1331270045,0.0973893521,0.0973893521
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,1710,11.128736842,2.9478070175,2.153502924,2.153502924
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,40,1665,2.8389009009,0.2187807808,0.1407387387,0.1407387387
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,193.19806452,36.716774194,23.648709677,24.401612903
1043375025,WEST,JOSEPH,E,MD,M,I,1240 JESSE JEWELL PKWY SE,SUITE 500,GAINESVILLE,GA,305013862,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,41,212,212,93.353773585,33,24.152358491,24.152358491
1043375231,WASTILA,LISA,J,M.D.,F,I,200 WEST ARBOR DRIVE,MC 8811,SAN DIEGO,CA,921038811,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,44,69.522954545,8.32,3.8168181818,3.8168181818
1043375231,WASTILA,LISA,J,M.D.,F,I,200 WEST ARBOR DRIVE,MC 8811,SAN DIEGO,CA,921038811,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,55.32,39.427272727,38.150909091
1043375231,WASTILA,LISA,J,M.D.,F,I,200 WEST ARBOR DRIVE,MC 8811,SAN DIEGO,CA,921038811,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,45.26,32.263636364,34.259090909
1043375231,WASTILA,LISA,J,M.D.,F,I,200 WEST ARBOR DRIVE,MC 8811,SAN DIEGO,CA,921038811,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,470.64090909,72.06,56.5,55.695454545
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,139,247,247,86.502995951,40.524696356,30.078623482,28.95659919
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,28,62,122,122,290.30852459,92.754016393,66.132295082,61.695901639
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,26,55,118,275,128.27447273,34.792618182,25.416763636,24.086290909
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,69,125,625,56.563088,20.15968,15.020656,13.87528
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,54,97,501,39.699660679,15.5949501,11.228483034,10.893832335
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,27,127,230,230,156.15030435,60.435391304,44.107782609,39.980956522
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,32,168,220,220,51.893136364,19.256272727,14.059318182,13.100909091
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,31,40,40,29.07625,11.0985,8.0825,7.61
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,40,84,84,60.347380952,14,10.644642857,8.8296428571
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,34,181,345,1979,7.3970843861,2.3066599293,1.7070591208,1.5122283982
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,67,87,87,18.176781609,6.6595402299,4.8412643678,4.3048275862
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,24,86,116,116,34.748017241,14.047758621,10.490517241,9.8663793103
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,,38,39,346.58487179,98.458461538,73.306923077,64.863589744
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,58,58,58,318.08758621,141.95862069,107.74827586,101.7837931
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,,30,32,89.024375,16.1225,12.3125,9.888125
1043375405,BUSHNELL,THEODORE,E,MD,M,I,325 9TH AVE,BOX 359803,SEATTLE,WA,981042420,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,23,106,566,576,140.9759375,37.966545139,27.323072917,23.924930556
1043376064,GAWTHROP,CHARLES,S,MD,M,I,3400 SPRUCE ST,1 MALONEY BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,443,13.944740406,7.37,5.778013544,5.778013544
1043376064,GAWTHROP,CHARLES,S,MD,M,I,3400 SPRUCE ST,1 MALONEY BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,308,9.7708441558,5.23,4.1003896104,4.1003896104
1043376064,GAWTHROP,CHARLES,S,MD,M,I,3400 SPRUCE ST,1 MALONEY BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Otolaryngology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,14.16,4.8,3.7633333333,4.1266666667
1043376064,GAWTHROP,CHARLES,S,MD,M,I,3400 SPRUCE ST,1 MALONEY BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Otolaryngology,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4686,2.5,1.13,0.885915493,0.9429150662
1043376064,GAWTHROP,CHARLES,S,MD,M,I,3400 SPRUCE ST,1 MALONEY BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Otolaryngology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1200,9.27565,2.97455,2.212525,2.212525
1043376064,GAWTHROP,CHARLES,S,MD,M,I,3400 SPRUCE ST,1 MALONEY BUILDING,PHILADELPHIA,PA,191044206,US,Physician/Otolaryngology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,25.87,25.87
1043376189,HICKEY,JOHN,J,DPM,M,I,2870 HEMPSTEAD TPKE STE 103,,LEVITTOWN,NY,117561341,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,48,80.8,71.56,56.11,56.105416667
1043376189,HICKEY,JOHN,J,DPM,M,I,2870 HEMPSTEAD TPKE STE 103,,LEVITTOWN,NY,117561341,US,Podiatry,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,19,19,20.9,18.29,12.830526316,12.830526316
1043376189,HICKEY,JOHN,J,DPM,M,I,2870 HEMPSTEAD TPKE STE 103,,LEVITTOWN,NY,117561341,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,117,45,43.56,34.15,34.148803419
1043376395,LEMAY,MICHELE,L,MD,F,I,513 MANATEE AVE E,,BRADENTON,FL,342081145,US,Physician/Obstetrics & Gynecology,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,57.963333333,44.15,34.61,34.61
1043376569,EKONG,EDWIN,E,D.O.,M,I,10830 S HALSTED ST,,CHICAGO,IL,606283126,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,78.61,33.568181818,13.272727273,10.627272727
1043376627,SHAPIRO,RALPH,S,M.D.,M,I,15700 37TH AVE N,SUITE 110,PLYMOUTH,MN,554463399,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,16,58,35.649137931,19.683275862,15.43137931,15.43137931
1043376627,SHAPIRO,RALPH,S,M.D.,M,I,15700 37TH AVE N,SUITE 110,PLYMOUTH,MN,554463399,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,5760,44.410291667,9.84140625,7.7070364583,7.7070364583
1043376627,SHAPIRO,RALPH,S,M.D.,M,I,15700 37TH AVE N,SUITE 110,PLYMOUTH,MN,554463399,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,108,78.415555556,2.64,2.07,2.07
1043376890,EPSTEIN,BENJAMIN,C,"D.O., M.A.",M,I,1924 US HIGHWAY 441 N,,OKEECHOBEE,FL,349721922,US,Physician/Orthopedic Surgery,S,E0140,"Walker, with trunk support, adjustable or fixed height, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,31.3725,25.142916667,19.710416667,17.60375
1043376890,EPSTEIN,BENJAMIN,C,"D.O., M.A.",M,I,1924 US HIGHWAY 441 N,,OKEECHOBEE,FL,349721922,US,Physician/Orthopedic Surgery,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,26,99.06,79.192307692,62.086923077,61.014615385
1043376890,EPSTEIN,BENJAMIN,C,"D.O., M.A.",M,I,1924 US HIGHWAY 441 N,,OKEECHOBEE,FL,349721922,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,23,46.495217391,25.754782609,20.192608696,14.615217391
1043376999,BAJAJ,JASDIP,,MD,F,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,18,17.15,17.15,13.45,13.535
1043376999,BAJAJ,JASDIP,,MD,F,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,7.12,5.9682352941,4.6776470588,3.8258823529
1043376999,BAJAJ,JASDIP,,MD,F,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,31,144.53677419,79,61.94,55.427741935
1043376999,BAJAJ,JASDIP,,MD,F,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,68.15,35.27,26.935384615,28.509230769
1043377062,CHALLA,KISHORE,K,"M.D., F.A.C.C.",M,I,4607 MACCORKLE AVENUE SW,SUITE 300,SO CHARLESTON,WV,253091364,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,11,29,29,3727.9310345,2589.972069,2025.5906897,2025.5906897
1043377591,RAMIAH,VESHANA,S,MD,F,I,4420 LAKE BOONE TRL,,RALEIGH,NC,276077505,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,100,37.38,29.3,29.3
1043377591,RAMIAH,VESHANA,S,MD,F,I,4420 LAKE BOONE TRL,,RALEIGH,NC,276077505,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,121,14.4,1.6648760331,1.3048760331,1.3048760331
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,26,64,187,70.539839572,8.32,5.7137967914,5.7137967914
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,28,38,13.776842105,1.42,0.9978947368,0.9978947368
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,255.945,33.86,26.547142857,26.681428571
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35.92,11.221818182,8.7936363636,8.6245454545
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,36.67,10.7225,8.40375,8.366875
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,420.19,211.83363636,153.02818182,153.02818182
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1862,0.2146025779,0.0463748657,0.0363641246,0.0363641246
1043377609,DACUS,SEAN,J,D.O.,M,I,29 ELM ST,,SOUTH DEERFIELD,MA,013731005,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,117.85714286,33,25.87,25.87
1043378045,GAEDE,DON,H,M.D.,M,I,7191 N MILLBROOK AVE,STE. 115,FRESNO,CA,937203365,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,16.96,12.090909091,12.336363636
1043378045,GAEDE,DON,H,M.D.,M,I,7191 N MILLBROOK AVE,STE. 115,FRESNO,CA,937203365,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,71,54.708571429,53.778571429
1043378060,LYONS,LAWRENCE,,MD,M,I,1422 PASEO DE PERALTA,,SANTA FE,NM,875014391,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,17.27,12.411666667,12.411666667
1043378276,MCKENDRICK,CYNTHIA,L,FNP,F,I,3100 SCHOFIELD RD,,FORT SAM HOUSTON,TX,782347577,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,6.932,2,1.5686,1.5922
1043378276,MCKENDRICK,CYNTHIA,L,FNP,F,I,3100 SCHOFIELD RD,,FORT SAM HOUSTON,TX,782347577,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,33,114.30181818,33.939393939,22.56969697,22.461818182
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,21,246,52.058495935,19.660853659,15.413821138,15.413821138
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,660,7.1553181818,2.6336363636,2.0647121212,2.0647121212
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,89,110,280,1167,77.18688946,8.32,6.0417652099,6.0417652099
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,27,27,12.88,3.38,2.5518518519,2.5518518519
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,18,18,15.469444444,2.12,1.67,1.67
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,44,54,111,211,17.692037915,1.42,1.040521327,1.040521327
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,765.90210526,369.00947368,289.30315789,289.30315789
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,12,57,58,420.62275862,251.06293103,196.83310345,196.86982759
1043378292,SILVERMAN,MITCHELL,S,MD,M,I,2333 MORRIS AVE,B-9,UNION,NJ,070835714,US,Physician/Internal Medicine,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,344.72090909,245.03,192.1,204.36454545
1043378979,LEVIN,BRANDT,M,MD,M,I,100 COMMERCE PL,,CLARK,NJ,07066,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,38,75,73.8196,8.32,5.8258666667,5.8258666667
1043378979,LEVIN,BRANDT,M,MD,M,I,100 COMMERCE PL,,CLARK,NJ,07066,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,19,14.640526316,1.42,0.9421052632,0.9421052632
1043379191,GIRAULT,MARIE,O,NP,F,I,119 WINDSOR ST,,CAMBRIDGE,MA,021393647,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,32,58,76.281896552,8.1536206897,5.0053448276,5.1356896552
1043379191,GIRAULT,MARIE,O,NP,F,I,119 WINDSOR ST,,CAMBRIDGE,MA,021393647,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,15.99,1.42,0.7675,0.7675
1043379324,DAVIS,HARRIET,E,CRNP,F,I,35255 BROWN HILL RD,,UNION CITY,PA,164382919,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,52,61.551730769,8.32,6.2707692308,6.2707692308
1043379324,DAVIS,HARRIET,E,CRNP,F,I,35255 BROWN HILL RD,,UNION CITY,PA,164382919,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,16,15.68,1.42,1.045,1.045
1043379803,RAVI,SUBHASCHANDRA,R,MD,M,I,30 W MAIN ST,,HARTFORD,MI,490571005,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,34,36.437352941,8.32,5.885,5.885
1043379803,RAVI,SUBHASCHANDRA,R,MD,M,I,30 W MAIN ST,,HARTFORD,MI,490571005,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,228.88761905,45.282380952,28.327619048,28.612380952
1043379803,RAVI,SUBHASCHANDRA,R,MD,M,I,30 W MAIN ST,,HARTFORD,MI,490571005,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,17.9,4.6082352941,3.3411764706,3.1811764706
1043379803,RAVI,SUBHASCHANDRA,R,MD,M,I,30 W MAIN ST,,HARTFORD,MI,490571005,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,109.3,45.051111111,35.315555556,34.712222222
1043379803,RAVI,SUBHASCHANDRA,R,MD,M,I,30 W MAIN ST,,HARTFORD,MI,490571005,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,240,69.81,47.432666667,47.432666667
1043379803,RAVI,SUBHASCHANDRA,R,MD,M,I,30 W MAIN ST,,HARTFORD,MI,490571005,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,85,25.906315789,16.348421053,16.348421053
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,31.97,27.01,21.18,22.31
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,15,12.152666667,10.34,8.1,8.57
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,25,49,75.837959184,71.56,56.105102041,56.105102041
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,138,34.242173913,29.19,22.885072464,22.885289855
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,51,2124,8.6972740113,8.28,6.288940678,6.288940678
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,26,956,19.356171548,18.5,14.503995816,14.503995816
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,33,468,12.016452991,10.93,8.5691452991,8.5691452991
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,480,5.28,5.26,4.1239583333,4.139625
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,40,18.29,18.29,14.33875,14.33875
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,35.92,10.16,7.97,8.14
1043380140,FRAZIER,ACQUANETTA,,M.D.,F,I,8723 GREENBELT RD STE 201,,GREENBELT,MD,207702403,US,Physician/Gastroenterology,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,420.19,199.73,156.58,156.58
1043380173,COHEN,HERBERT,E,M.D.,M,I,111 S 11TH ST,G4280 THOS JEFF UNIV HOSP,PHILADELPHIA,PA,191074824,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,56,76.81625,8.32,5.1248214286,5.1248214286
1043380231,DIAZ-JIMENEZ,EVELYN,,M.D.,F,I,575 THORNHILL DR,,CAROL STREAM,IL,601882763,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,2.58,0.51,0.3666666667,0.3666666667
1043380231,DIAZ-JIMENEZ,EVELYN,,M.D.,F,I,575 THORNHILL DR,,CAROL STREAM,IL,601882763,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,30,116,49.556206897,8.32,5.6627586207,5.6627586207
1043380231,DIAZ-JIMENEZ,EVELYN,,M.D.,F,I,575 THORNHILL DR,,CAROL STREAM,IL,601882763,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,17.461818182,3.38,2.2886363636,2.2886363636
1043380231,DIAZ-JIMENEZ,EVELYN,,M.D.,F,I,575 THORNHILL DR,,CAROL STREAM,IL,601882763,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,24.048,2.12,1.4473333333,1.4473333333
1043380231,DIAZ-JIMENEZ,EVELYN,,M.D.,F,I,575 THORNHILL DR,,CAROL STREAM,IL,601882763,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,26,45,18.297777778,1.42,0.942,0.942
1043380306,GARZA,DAVID,E,M.D,M,I,5941 DALLAS PKWY,,PLANO,TX,750939001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,76,58.09,8.32,6.0068421053,6.0068421053
1043380306,GARZA,DAVID,E,M.D,M,I,5941 DALLAS PKWY,,PLANO,TX,750939001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,22,13.458636364,1.42,0.8618181818,0.8618181818
1043380413,TURPEN,MARK,W,M.D.,M,I,1311 N MILDRED RD,,CORTEZ,CO,813212231,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,15.134166667,11.275
1043380702,KENNEDY,WHITNEY,S,M.D.,F,I,4104 TEJON ST.,,DENVER,CO,802111813,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,26,35.676923077,8.0861538462,6.3415384615,12.508461538
1043380702,KENNEDY,WHITNEY,S,M.D.,F,I,4104 TEJON ST.,,DENVER,CO,802111813,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,31,319.21967742,78.49,61.53,55.168709677
1043380702,KENNEDY,WHITNEY,S,M.D.,F,I,4104 TEJON ST.,,DENVER,CO,802111813,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,303.07692308,38.76,28.052307692,27.24
1043381056,SYDNEY,ELANA,,,F,I,1400 PELHAM PKWY S,,BRONX,NY,104611138,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,39,78,74.888461538,8.32,5.7684615385,5.7684615385
1043381056,SYDNEY,ELANA,,,F,I,1400 PELHAM PKWY S,,BRONX,NY,104611138,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,12.016363636,3.38,2.4090909091,2.4090909091
1043381056,SYDNEY,ELANA,,,F,I,1400 PELHAM PKWY S,,BRONX,NY,104611138,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,23,26,14.193461538,1.42,1.0315384615,1.0315384615
1043381072,SANDYS,JAMES,M,MD,M,I,721 RIVER DRIVE,SUITE A,FORT BRAGG,CA,954375403,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,32,63.93375,8.32,3.6184375,3.6184375
1043381072,SANDYS,JAMES,M,MD,M,I,721 RIVER DRIVE,SUITE A,FORT BRAGG,CA,954375403,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,21.829473684,15.542631579,12.105789474
1043381072,SANDYS,JAMES,M,MD,M,I,721 RIVER DRIVE,SUITE A,FORT BRAGG,CA,954375403,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,100.90545455,73.678181818,49.754545455
1043381296,JAFRI,PARVEZ,,M.D.,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,39.04,11.613636364,9.1018181818,9.4836363636
1043381296,JAFRI,PARVEZ,,M.D.,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,151.73,53.247826087,41.749565217,37.784347826
1043381296,JAFRI,PARVEZ,,M.D.,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,75.645384615,17.55,12.701538462,12.532307692
1043381296,JAFRI,PARVEZ,,M.D.,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,144.35428571,45.649285714,32.602142857,31.847857143
1043381296,JAFRI,PARVEZ,,M.D.,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,594.54571429,79.48,60.084642857,54.121071429
1043381353,ZADVINSKIS,PETER,Z,M.D.,M,I,3271 CLEAR VISTA CT NE,,GRAND RAPIDS,MI,495259477,US,Physician/Rheumatology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,105.26315789,24.343684211,17.066315789,12.632631579
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,43,80,73.314375,8.32,5.667625,5.667625
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,29,29,67.860344828,1.42,0.9268965517,0.9268965517
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,34,72.490588235,71.56,48.140588235,48.138529412
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,96,31.94125,29.05,22.124791667,22.235208333
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,16,63.195,15.035,11.785,14.1825
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,16,20.285,6.965,5.46,6.665
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,17.109090909,17.109090909
1043381569,LIN,WEI,G,M.D.,M,I,139 CENTRE ST,SUITE 501,NEW YORK,NY,100134555,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,11.4,11.4
1043383136,REPPHUN,ANDREA,M,MD,F,I,150 DENNIS ST SW,,TUMWATER,WA,985015459,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,26,70,79.129857143,8.32,6.4294285714,6.4294285714
1043383136,REPPHUN,ANDREA,M,MD,F,I,150 DENNIS ST SW,,TUMWATER,WA,985015459,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,17,13.227058824,1.42,1.1164705882,1.1164705882
1043383276,BULLINGTON,DOUGLAS,K,MD,M,I,3000 S STATE ROAD 135,SUITE 200,GREENWOOD,IN,461439825,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,15,43,87,68.827471264,8.32,5.0228735632,5.0228735632
1043383276,BULLINGTON,DOUGLAS,K,MD,M,I,3000 S STATE ROAD 135,SUITE 200,GREENWOOD,IN,461439825,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,13,14.144615385,1.42,0.7738461538,0.7738461538
1043383276,BULLINGTON,DOUGLAS,K,MD,M,I,3000 S STATE ROAD 135,SUITE 200,GREENWOOD,IN,461439825,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,62.856153846,13.637692308,8.8930769231,7.5061538462
1043383276,BULLINGTON,DOUGLAS,K,MD,M,I,3000 S STATE ROAD 135,SUITE 200,GREENWOOD,IN,461439825,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,72,8.5425,2.2466666667,1.4761111111,1.3336111111
1043383276,BULLINGTON,DOUGLAS,K,MD,M,I,3000 S STATE ROAD 135,SUITE 200,GREENWOOD,IN,461439825,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,56.19,40.379166667,38.316666667
1043383276,BULLINGTON,DOUGLAS,K,MD,M,I,3000 S STATE ROAD 135,SUITE 200,GREENWOOD,IN,461439825,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.84,34.0625,32.7425
1043383540,PESCHE,MARK,A,D.O.,M,I,1001 W TEHACHAPI BLVD,SUITE A-100,TEHACHAPI,CA,935612532,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,36,104,72.529134615,8.32,4.9385576923,4.9385576923
1043383540,PESCHE,MARK,A,D.O.,M,I,1001 W TEHACHAPI BLVD,SUITE A-100,TEHACHAPI,CA,935612532,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,16.98,13.31,13.53
1043383540,PESCHE,MARK,A,D.O.,M,I,1001 W TEHACHAPI BLVD,SUITE A-100,TEHACHAPI,CA,935612532,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,62,63,641.90746032,72.06,53.362539683,51.761269841
1043383540,PESCHE,MARK,A,D.O.,M,I,1001 W TEHACHAPI BLVD,SUITE A-100,TEHACHAPI,CA,935612532,US,Physician/General Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.08,27.505,27.164166667
1043383540,PESCHE,MARK,A,D.O.,M,I,1001 W TEHACHAPI BLVD,SUITE A-100,TEHACHAPI,CA,935612532,US,Physician/General Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,285.6,38.08,27.553846154,27.266153846
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,66,66,66,136.63818182,42.423181818,32.750757576,35.453333333
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,21,21,21,28.574285714,14.336190476,11.24,11.938571429
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,60,60,60,134.426,48.321166667,37.593166667,39.868833333
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,23.849565217,9.5804347826,7.5126086957,8.3526086957
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,2,19,19,19,360.44315789,153.52,120.35473684,125.94421053
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,70,320,327,160.4011315,47.906422018,35.364036697,37.23559633
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,134.38625,43.725,34.284375,38.901875
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,750.8,104.12684211,81.636315789,130.88947368
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,119.23833333,48.888888889,38.328888889,39.41
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,45,45,82,69.034634146,27.055609756,21.21097561,22.168536585
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,27,27,49,137.87489796,46.984693878,36.834285714,39.142244898
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.78,9.5054545455,7.4472727273,8.3654545455
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E1225,"Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,60,27.129,21.269666667,24.091
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,406.14333333,235.55,184.67,216.59
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,58,58,58,67.151724138,32.065,25.137068966,28.189137931
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,37,37,37,230.36864865,139.44,109.32,112.83891892
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,28,133,136,66.472573529,15.056838235,9.6221323529,11.898235294
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,60,60,85,26.092,19.322333333,22.953666667
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,63,251,251,105.66693227,23.261792829,17.469442231,21.123505976
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,71,71,136.31,30.76056338,22.461549296,24.832676056
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,153.28076923,45.495,33.790769231,36.440769231
1043383656,HANSEN,WILLIAM,J,PA-C,M,I,999 RIVERVIEW DR,SUITE 201,TOTOWA,NJ,075121164,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,105,493,496,23.212842742,6.8469758065,4.9509879032,6.2154637097
1043383672,KLEIN,LAURA,,M.D.,F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,33,96,49.827916667,35.381875,27.739791667,30.3703125
1043383672,KLEIN,LAURA,,M.D.,F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,14,294.47857143,294.47857143,230.87142857,262.73357143
1043383730,AL-BANNA,EMAD,R,M.D.,M,I,1050 SOLOMONS ISLAND NORTH,,HUNTINGTOWN,MD,20639,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,37,145,67.657241379,8.32,5.8828275862,5.8828275862
1043383730,AL-BANNA,EMAD,R,M.D.,M,I,1050 SOLOMONS ISLAND NORTH,,HUNTINGTOWN,MD,20639,US,Physician/General Surgery,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.766666667,3.38,2.2083333333,2.2083333333
1043383730,AL-BANNA,EMAD,R,M.D.,M,I,1050 SOLOMONS ISLAND NORTH,,HUNTINGTOWN,MD,20639,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,15.54862069,1.42,1.0751724138,1.0751724138
1043383730,AL-BANNA,EMAD,R,M.D.,M,I,1050 SOLOMONS ISLAND NORTH,,HUNTINGTOWN,MD,20639,US,Physician/General Surgery,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1170,0.92,0.1359230769,0.0995726496,0.0995726496
1043383730,AL-BANNA,EMAD,R,M.D.,M,I,1050 SOLOMONS ISLAND NORTH,,HUNTINGTOWN,MD,20639,US,Physician/General Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,113.14285714,33,24.638095238,24.638095238
1043383813,CRISSMAN,MICHELE,H,RNP,F,I,10 GOVE ST,,EAST BOSTON,MA,021281920,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,31,48,78.071875,8.32,5.8460416667,5.8460416667
1043383813,CRISSMAN,MICHELE,H,RNP,F,I,10 GOVE ST,,EAST BOSTON,MA,021281920,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,24,18.039166667,1.42,1.0241666667,1.0241666667
1043383987,RICCI,JOHN,A,MD,M,I,2399 ROUTE 34,SUITE A5,MANASQUAN,NJ,087361500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,57,77.976140351,8.32,6.0643859649,6.0643859649
1043383987,RICCI,JOHN,A,MD,M,I,2399 ROUTE 34,SUITE A5,MANASQUAN,NJ,087361500,US,Physician/Internal Medicine,S,E0855,Cervical traction equipment not requiring additional stand or frame,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,850,47.5204,37.2524,37.2524
1043384035,MIKHAIL,MICHAEL,M,M.D.,M,I,30 LAWRENCE RD,SUITE 201,BROOMALL,PA,190083301,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,144.09826087,73.746086957,55.060434783,52.471304348
1043384035,MIKHAIL,MICHAEL,M,M.D.,M,I,30 LAWRENCE RD,SUITE 201,BROOMALL,PA,190083301,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,16,1512,5.2340013228,2.8702645503,2.2503373016,2.2503373016
1043384035,MIKHAIL,MICHAEL,M,M.D.,M,I,30 LAWRENCE RD,SUITE 201,BROOMALL,PA,190083301,US,Physician/Hematology-Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,35,27.44,29.51
1043384050,HSU,JUDY,,MD,F,I,1520 STOCKTON ST,,SAN FRANCISCO,CA,94133,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,47,138,72.61673913,8.32,2.4102173913,2.4102173913
1043384050,HSU,JUDY,,MD,F,I,1520 STOCKTON ST,,SAN FRANCISCO,CA,94133,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,31,50,17.281,1.42,0.3348,0.3348
1043384159,DUNHAM,SARAH,E,MD,F,I,4805 NE GLISAN ST,SUITE BG05,PORTLAND,OR,972132933,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,129.30071429,48.496428571,38.02,36.82
1043384159,DUNHAM,SARAH,E,MD,F,I,4805 NE GLISAN ST,SUITE BG05,PORTLAND,OR,972132933,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,20,32.175,17.5415,13.753,15.3775
1043384159,DUNHAM,SARAH,E,MD,F,I,4805 NE GLISAN ST,SUITE BG05,PORTLAND,OR,972132933,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,26,9.7,8.3969230769,6.5769230769,7.0707692308
1043384555,PANDRANGI,LAKSHMI,V,M.D.,F,I,HENRY FORD HEALTH SYSTEM,24725 E. JEFFERSON,ST. CLAIR SHORES,MI,48080,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,58,212,43.036415094,8.32,6.1530660377,6.1530660377
1043384555,PANDRANGI,LAKSHMI,V,M.D.,F,I,HENRY FORD HEALTH SYSTEM,24725 E. JEFFERSON,ST. CLAIR SHORES,MI,48080,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.490909091,2.12,1.67,1.67
1043384555,PANDRANGI,LAKSHMI,V,M.D.,F,I,HENRY FORD HEALTH SYSTEM,24725 E. JEFFERSON,ST. CLAIR SHORES,MI,48080,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,39,61,12.272459016,1.42,1.0603278689,1.0603278689
1043384555,PANDRANGI,LAKSHMI,V,M.D.,F,I,HENRY FORD HEALTH SYSTEM,24725 E. JEFFERSON,ST. CLAIR SHORES,MI,48080,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,114.69,48.194545455,37.78,36.589090909
1043384555,PANDRANGI,LAKSHMI,V,M.D.,F,I,HENRY FORD HEALTH SYSTEM,24725 E. JEFFERSON,ST. CLAIR SHORES,MI,48080,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2563,0.2316972298,0.0464494733,0.0328443231,0.0328443231
1043384555,PANDRANGI,LAKSHMI,V,M.D.,F,I,HENRY FORD HEALTH SYSTEM,24725 E. JEFFERSON,ST. CLAIR SHORES,MI,48080,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,69.718571429,18.548571429,14.537142857,14.929285714
1043384555,PANDRANGI,LAKSHMI,V,M.D.,F,I,HENRY FORD HEALTH SYSTEM,24725 E. JEFFERSON,ST. CLAIR SHORES,MI,48080,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,48.230769231,33,23.88,23.88
1043384654,ODULAJA,KOLAWOLE,A,MD,M,I,510 MED CT,SUITE 107,SAN ANTONIO,TX,782583482,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,3.9145454545,3.0636363636,3.6336363636
1043384795,ELLIS,JOHN,P,DPM,M,I,21992 LORAIN RD,,FAIRVIEW PARK,OH,441263333,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,92,92,184,106.5,71.56,54.620434783,54.620380435
1043384795,ELLIS,JOHN,P,DPM,M,I,21992 LORAIN RD,,FAIRVIEW PARK,OH,441263333,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,90,90,540,53.611111111,29.19,22.769222222,22.770592593
1043384795,ELLIS,JOHN,P,DPM,M,I,21992 LORAIN RD,,FAIRVIEW PARK,OH,441263333,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,58,66,331.81818182,297.64393939,228.635,231.88136364
1043384795,ELLIS,JOHN,P,DPM,M,I,21992 LORAIN RD,,FAIRVIEW PARK,OH,441263333,US,Podiatry,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,220,192.56,142.42866667,141.60733333
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,21,21,128.2452381,39.182857143,30.712857143,30.510952381
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,428.53777778,89.830555556,70.425555556,67.970555556
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,50,170.8064,32.7348,25.6636,25.8972
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,12,71,57.864366197,15.13,11.861690141,11.889295775
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,20,20,207.651,53.63,42.04,42.8095
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,22,22,68.395,18.085454545,14.175909091,14.064090909
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,11,22,22,68.5,11.869090909,8.4877272727,8.3513636364
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,38,228,9.5034649123,2.0452631579,1.5607894737,1.5515350877
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,142,145,81.352206897,17,12.686482759,12.884413793
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,65,65,2651.5755385,1072.2552308,837.94246154,839.55276923
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,1400.2176471,1002.9888235,786.34529412,786.34529412
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,61,344,356,34.472977528,3.6099719101,2.6173033708,3.3547752809
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,386.37176471,32.734705882,23.925294118,24.146764706
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,84,581,604,515.63019868,77.551572848,58.33339404,52.941043046
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,37,241,251,166.01804781,41.25,31.419322709,28.814780876
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,12,22,22,22,103.63636364,57,42.658636364,42.658636364
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,1860,15.323258065,9.6191935484,7.4131827957,7.4131827957
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,960,22.800916667,10.9613125,8.5936979167,8.5936979167
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,39,57,115,43958,0.368550207,0.0463105692,0.0351474134,0.0351474134
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,12,18,4064,2.8035482283,0.0813607283,0.0637893701,0.0637893701
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,44,59,176,22972,1.9687584886,0.1346521853,0.1043896918,0.1043896918
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,21,82,7200,9.9603652778,3.0165125,2.3103472222,2.3103472222
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,34,2723,3.0780499449,0.2192434815,0.165148733,0.165148733
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,32,167,178,201.71685393,41.233426966,30.691910112,28.322977528
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,60,93,257,257,41.770428016,33,25.266031128,25.266031128
1043385024,SARACENO,JOSEPH,L,DO,M,I,370 EAST MAIN STREET,SUITE 5,BAY SHORE,NY,11706,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,35,55,55,66,66,51.74,51.74
1043385123,VICK,DOUGLAS,T,PA,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician Assistant,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,31,31,1167.4193548,1001.1535484,783.52354839,775.75483871
1043385123,VICK,DOUGLAS,T,PA,M,I,2376 CYPRESS CIR STE 300,,CONWAY,SC,295268995,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,1380.8571429,1322.9714286,1029.6842857,930.64
1043385180,GARG,RAVIN,J,M.D.,M,I,2003 MEDICAL PARKWAY,SUITE 210,ANNAPOLIS,MD,214013093,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,21,1526,41.589816514,5.262785059,4.0883289646,4.0883289646
1043385180,GARG,RAVIN,J,M.D.,M,I,2003 MEDICAL PARKWAY,SUITE 210,ANNAPOLIS,MD,214013093,US,Physician/Medical Oncology,S,J8540,"Dexamethasone, oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,20,68,4416,0.5279008152,0.0786413043,0.0579710145,0.0579710145
1043385180,GARG,RAVIN,J,M.D.,M,I,2003 MEDICAL PARKWAY,SUITE 210,ANNAPOLIS,MD,214013093,US,Physician/Medical Oncology,S,J8655,Netupitant 300 mg and palonosetron 0.5 mg,O1E - Other Drugs,Drugs and Nutritional Products,N,1,20,68,68,707.18823529,363.00441176,277.40985294,277.40985294
1043385180,GARG,RAVIN,J,M.D.,M,I,2003 MEDICAL PARKWAY,SUITE 210,ANNAPOLIS,MD,214013093,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,24,49,49,24,24,17.667755102,17.667755102
1043385180,GARG,RAVIN,J,M.D.,M,I,2003 MEDICAL PARKWAY,SUITE 210,ANNAPOLIS,MD,214013093,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,19,43,45,16,16,11.982666667,11.982666667
1043385453,CLARDY,GEORGE,T,M.D.,M,I,215 8TH ST,,CLARKSVILLE,TN,370403249,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,46,43.582391304,8.32,4.5373913043,4.5373913043
1043385453,CLARDY,GEORGE,T,M.D.,M,I,215 8TH ST,,CLARKSVILLE,TN,370403249,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,50.73,4.51,3.3958333333,3.2391666667
1043385453,CLARDY,GEORGE,T,M.D.,M,I,215 8TH ST,,CLARKSVILLE,TN,370403249,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,448.13736842,70.23,55.06,54.737894737
1043385453,CLARDY,GEORGE,T,M.D.,M,I,215 8TH ST,,CLARKSVILLE,TN,370403249,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,660,15.58,9.6713181818,7.4438181818,7.4438181818
1043385453,CLARDY,GEORGE,T,M.D.,M,I,215 8TH ST,,CLARKSVILLE,TN,370403249,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,899,5.4721468298,0.0475194661,0.0372191324,0.0372191324
1043385453,CLARDY,GEORGE,T,M.D.,M,I,215 8TH ST,,CLARKSVILLE,TN,370403249,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,127.5,33,25.87,25.87
1043385529,DACRI-KIM,SANG WON,,DO,M,I,1970 TAMARACK RD.,,NEWARK,OH,43055,US,Physician/Vascular Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,308,22.739935065,8.28,6.4623051948,6.4623051948
1043385685,MAKANI,SAMIR,,M.D.,M,I,200 W ARBOR DR,DEPARTMENT OF PULMONARY AND CRITICAL CARE,SAN DIEGO,CA,921039001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,49,49,480.13142857,72.790612245,55.314693878,53.779387755
1043385685,MAKANI,SAMIR,,M.D.,M,I,200 W ARBOR DR,DEPARTMENT OF PULMONARY AND CRITICAL CARE,SAN DIEGO,CA,921039001,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,39,47,458.96319149,36.640638298,27.49893617,28.066170213
1043386022,MCLOUTH,AMBER,,PA-C,F,I,4530 E MUIRWOOD DR STE 111,,PHOENIX,AZ,850487693,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,140.825,30.62,16.329375,17.215625
1043386303,DIEHL,BRIDGET,A,P.A.C,F,I,3718 NORRISVILLE RD,SUITE C,JARRETTSVILLE,MD,210841419,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,36,60.003055556,8.32,4.7425,4.7425
1043386519,GENTRY,CARY,L,M.D.,M,I,7605 FOREST AVE,SUITE 308,RICHMOND,VA,232294938,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,600,10.8306,5.74,4.50015,4.50015
1043386519,GENTRY,CARY,L,M.D.,M,I,7605 FOREST AVE,SUITE 308,RICHMOND,VA,232294938,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,695,5.5525323741,2.9029784173,2.2759856115,2.2814820144
1043386519,GENTRY,CARY,L,M.D.,M,I,7605 FOREST AVE,SUITE 308,RICHMOND,VA,232294938,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,680,15.931117647,7,5.488,5.488
1043386519,GENTRY,CARY,L,M.D.,M,I,7605 FOREST AVE,SUITE 308,RICHMOND,VA,232294938,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,21,605,10.901454545,5.54,4.0639504132,4.0639504132
1043386519,GENTRY,CARY,L,M.D.,M,I,7605 FOREST AVE,SUITE 308,RICHMOND,VA,232294938,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,960,7.8132916667,4.03,3.1005520833,3.1005520833
1043386519,GENTRY,CARY,L,M.D.,M,I,7605 FOREST AVE,SUITE 308,RICHMOND,VA,232294938,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,390,6.3245384615,3.04,2.3833589744,2.3833589744
1043386519,GENTRY,CARY,L,M.D.,M,I,7605 FOREST AVE,SUITE 308,RICHMOND,VA,232294938,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,27,1050,0.716247619,0.23,0.180352381,0.2101619048
1043386808,YU,RICHARD,N,"M.D, PH.D.",M,I,300 LONGWOOD AVE,"DEPARTMENT OF UROLOGY, HU-390",BOSTON,MA,021155724,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,0.39,0.13,0.0934490741,0.0934490741
1043386808,YU,RICHARD,N,"M.D, PH.D.",M,I,300 LONGWOOD AVE,"DEPARTMENT OF UROLOGY, HU-390",BOSTON,MA,021155724,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,4.35,2.04,1.5830601852,1.5830601852
1043386881,MURPHY,ANGELA,W,DPM,F,I,401 SIVLEY RD,STE 3,HUNTSVILLE,AL,358015108,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,263.25916667,263.25916667,194.92,207.4175
1043386915,MAYER,AMIR,,M.D.,M,I,1729 EAST 12 STREET,FLOOR 2,BROOKLYN,NY,112291088,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,50,123,207.26260163,8.32,4.6367479675,4.6367479675
1043386915,MAYER,AMIR,,M.D.,M,I,1729 EAST 12 STREET,FLOOR 2,BROOKLYN,NY,112291088,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,23,25,55.1636,1.42,0.8504,0.8504
1043386915,MAYER,AMIR,,M.D.,M,I,1729 EAST 12 STREET,FLOOR 2,BROOKLYN,NY,112291088,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,23.011666667,6.3,4.1166666667,5.3866666667
1043386915,MAYER,AMIR,,M.D.,M,I,1729 EAST 12 STREET,FLOOR 2,BROOKLYN,NY,112291088,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1043386931,MCCABE,JAMES,E,M.D.,M,I,2996 7TH AVE,STE B,MARION,IA,523023713,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,361,12.12232687,5.6678116343,4.4434626039,3.3962049861
1043386931,MCCABE,JAMES,E,M.D.,M,I,2996 7TH AVE,STE B,MARION,IA,523023713,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,11190,0.78,0.5091742627,0.3863699732,0.2922904379
1043387004,KAUSHAL,VIVEK,,MD,M,I,2650 RIDGE AVE STE 4210,,EVANSTON,IL,60201,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,218.31,53.852857143,40.383571429,36.992857143
1043387004,KAUSHAL,VIVEK,,MD,M,I,2650 RIDGE AVE STE 4210,,EVANSTON,IL,60201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,56,56,45.988928571,17.982142857,13.095178571,12.603392857
1043387004,KAUSHAL,VIVEK,,MD,M,I,2650 RIDGE AVE STE 4210,,EVANSTON,IL,60201,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,23.99,4.0285714286,3.1542857143,3.6578571429
1043387004,KAUSHAL,VIVEK,,MD,M,I,2650 RIDGE AVE STE 4210,,EVANSTON,IL,60201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,78,78,371.88282051,77.25,57.452435897,52.303589744
1043387624,SCHNAPP,MOACIR,,MD,M,I,55 HUMPHREYS CENTER DRIVE SUITE 200,PAIN CLINIC ASSOCIATES PC,MEMPHIS,TN,381202366,US,Physician/Interventional Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,41,2400,1321.4634146,992.89707317,849.78658537
1043387632,FELTHEIMER,SETH,D,M.D.,M,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,20,72.544,8.32,6.5255,6.5255
1043387632,FELTHEIMER,SETH,D,M.D.,M,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,135.05454545,29.91,18.591818182,18.852727273
1043387731,JONES,GINA,G,PA-C,F,I,2425 HWY 121,,BEDFORD,TX,760215011,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,33,33,33,135,46.976060606,36.831212121,36.476666667
1043387731,JONES,GINA,G,PA-C,F,I,2425 HWY 121,,BEDFORD,TX,760215011,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,34,34,34,122.94117647,51.145294118,40.097058824,40.689705882
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,32,86,347,51.300403458,8.32,5.8837175793,5.8837175793
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,16.854285714,3.38,2.65,2.65
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,21.901538462,2.12,1.67,1.67
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,18,38,99,15.283737374,1.42,0.9897979798,0.9897979798
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,82.5,48.256428571,37.834285714,36.752857143
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,2.1133333333,1.572,1.0733333333
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,22,40,40,403.6925,116.44775,82.069,66.38975
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,19,48,119,153.8610084,44.00487395,32.902016807,26.824369748
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,80,95.37975,27.749875,21.755125,15.47025
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,60,73.393333333,18.94,13.319833333,10.613166667
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,14,25,25,278.7464,73.0312,55.3716,41.8804
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,36,47,47,78.300638298,23.778723404,17.744255319,14.45
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,60,60,94.9245,19.5755,15.145666667,9.8016666667
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,36,87,415,11.325542169,3.0247228916,2.3377108434,1.7635903614
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,24,24,29.113333333,8.2416666667,6.4616666667,4.9266666667
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,29,40,40,48.21875,15.38325,11.4925,10.3515
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,69.655,14.491875,10.325,8.165
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,108,109,83.645045872,21.485045872,15.210366972,12.166788991
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,61.925,48.5475,39.855
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,4430.1,1007.1953846,778.39435897,828.45538462
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,20,657.6165,144.914,113.059,82.4125
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,1370.7847059,321.91352941,252.38411765,181.41882353
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,15,63,64,69.99078125,16.900625,12.11921875,9.705
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,82,85,37.433294118,8.1428235294,6.112,3.5831764706
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,55,55,208.02218182,39.762727273,27.369454545,20.403636364
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,14,16,16,519.51,70.74,51.99375,51.99375
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,24,185,202,490.9170297,98.354950495,74.238118812,53.886683168
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,6300,0.166731746,0.0470746032,0.0286365079,0.0286365079
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,21,2458,0.7623555736,0.1275427177,0.0866924329,0.0866924329
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,436.94533333,252.588,198.026,142.29666667
1043388036,GREVING,JOHN,P,DO,M,I,6500 HOSPITAL DR,,HANNIBAL,MO,634016890,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,39,39,101.96153846,33,21.278461538,21.278461538
1043388481,CHULAMORKODT,NATAKOM,N,MD,M,I,2270 S RIDGEVIEW DR STE 301,,YUMA,AZ,853648866,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,3090,0.1736893204,0.13,0.0979546926,0.0979546926
1043388481,CHULAMORKODT,NATAKOM,N,MD,M,I,2270 S RIDGEVIEW DR STE 301,,YUMA,AZ,853648866,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,49,13005,4.4247520185,2.0314186851,1.5582222222,1.5649496348
1043388481,CHULAMORKODT,NATAKOM,N,MD,M,I,2270 S RIDGEVIEW DR STE 301,,YUMA,AZ,853648866,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,3120,8.2615384615,7.2269230769,5.6505544872,5.6529679487
1043388481,CHULAMORKODT,NATAKOM,N,MD,M,I,2270 S RIDGEVIEW DR STE 301,,YUMA,AZ,853648866,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,34,22.920294118,10.884411765,8.5335294118,8.5617647059
1043388481,CHULAMORKODT,NATAKOM,N,MD,M,I,2270 S RIDGEVIEW DR STE 301,,YUMA,AZ,853648866,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,40,17.363,6.733,5.01775,5.475
1043388481,CHULAMORKODT,NATAKOM,N,MD,M,I,2270 S RIDGEVIEW DR STE 301,,YUMA,AZ,853648866,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,240,9.78,5.54,4.1623333333,4.1623333333
1043388481,CHULAMORKODT,NATAKOM,N,MD,M,I,2270 S RIDGEVIEW DR STE 301,,YUMA,AZ,853648866,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,240,7.0545,4.04,2.9284166667,2.9284166667
1043388515,VIERS,JO ANNE,R,FNP,F,I,1 MEDICAL PARK BLVD,SUITE 458-W,BRISTOL,TN,376207430,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,70.23,55.06,54.750909091
1043388515,VIERS,JO ANNE,R,FNP,F,I,1 MEDICAL PARK BLVD,SUITE 458-W,BRISTOL,TN,376207430,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,37.44,29.35,29.495454545
1043388630,MCGUIRE,BIRGITTA,T,MD,F,I,7447 W TALCOTT AVE,SUITE 409,CHICAGO,IL,606313745,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,31,85,82.759647059,8.32,5.6008235294,5.6008235294
1043388630,MCGUIRE,BIRGITTA,T,MD,F,I,7447 W TALCOTT AVE,SUITE 409,CHICAGO,IL,606313745,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,229.2,77.18,60.51,55.685
1043388630,MCGUIRE,BIRGITTA,T,MD,F,I,7447 W TALCOTT AVE,SUITE 409,CHICAGO,IL,606313745,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,99.295714286,21.459285714,14.577857143,12.162857143
1043388739,MORAITIS,LAURA,B,PA,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,17,44,6180,4.9300744337,0.5676165049,0.4312524272,0.4312524272
1043388739,MORAITIS,LAURA,B,PA,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,32,5250,0.0260952381,0.0130857143,0.0093257143,0.0093257143
1043388739,MORAITIS,LAURA,B,PA,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,2340,5.1454871795,1.1087692308,0.7979316239,0.7979316239
1043388739,MORAITIS,LAURA,B,PA,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,3630,4.9385647383,2.9111790634,2.1935399449,2.2841763085
1043388739,MORAITIS,LAURA,B,PA,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,18,50,50,24.52,24,18.0672,18.0672
1043388739,MORAITIS,LAURA,B,PA,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,27,73,75,16,16,11.5368,11.5368
1043388754,PROVOST,MICHELE,T,PA,F,I,45-47 HALE STREET,,NORWICH,NY,138152038,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,53,165,71.355090909,8.32,5.7711515152,5.7711515152
1043388754,PROVOST,MICHELE,T,PA,F,I,45-47 HALE STREET,,NORWICH,NY,138152038,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,17,16.111176471,1.42,1.0505882353,1.0505882353
1043388754,PROVOST,MICHELE,T,PA,F,I,45-47 HALE STREET,,NORWICH,NY,138152038,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,76.3956,23.2852,17.6568,14.304
1043388754,PROVOST,MICHELE,T,PA,F,I,45-47 HALE STREET,,NORWICH,NY,138152038,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,49.967142857,7.7719047619,5.6880952381,3.2180952381
1043388754,PROVOST,MICHELE,T,PA,F,I,45-47 HALE STREET,,NORWICH,NY,138152038,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,45,449.66911111,102.36711111,73.490888889,55.311333333
1043388754,PROVOST,MICHELE,T,PA,F,I,45-47 HALE STREET,,NORWICH,NY,138152038,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,6851,0.3020843672,0.0462545614,0.0313034593,0.0313019997
1043388754,PROVOST,MICHELE,T,PA,F,I,45-47 HALE STREET,,NORWICH,NY,138152038,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,70.551724138,33,21.409655172,21.409655172
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,83.931034483,59.938965517,46.99137931,39.444827586
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,67.658181818,37.908181818,29.720909091,33.972727273
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,15,24.028666667,12.95,10.150666667,10.038
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,26,63.929230769,27.500769231,21.56,22.375
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,14,14,28,159.31714286,54.558571429,42.773928571,40.366785714
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,56.143076923,23.781538462,18.645384615,18.163846154
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,19.900555556,10.292777778,8.07,8.1183333333
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,32,240.709375,77.18,60.51,55.081875
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,393.17,154.71272727,121.29272727,114.3
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,41.707272727,20.03,14.272727273,12.381818182
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,17,87,87,168.22,37.055747126,27.720229885,25.726551724
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,15.45,8.8933333333,6.4,5.9441666667
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,17,749,601.63,434.94705882,407.67411765
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,18,157,126.52,91.446666667,91.407777778
1043388812,SRIGIRIRAJU,PADMA,,MD,F,I,26W171 ROOSEVELT RD,,WHEATON,IL,601876078,US,Physician/Physical Medicine and Rehabilitation,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,23,98,78.81,58.010869565,63.861304348
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,24,1400,0.1296285714,0.12,0.0833285714,0.0833285714
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,37,1600,0.57455,0.438,0.3348,0.3348
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,32,563,9.2363410302,8.28,6.0542984014,6.0542984014
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,19,34,834,33.380935252,18.5,14.04235012,14.04235012
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,19,46,702,9.6548860399,8.41,6.1703561254,6.1703561254
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,25,328,26.02402439,22.42,17.577378049,17.577378049
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,24,488,13.477131148,10.93,8.4371516393,8.4371516393
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,21,43,1399,4.6370907791,3.67,2.8291851322,2.8291851322
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6261,"Wound filler, gel/paste, per fluid ounce, not otherwise specified",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,25,188.612,45.79,35.8992,35.8992
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,17,23,1128,0.168962766,0.13,0.0954609929,0.0954609929
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6441,"Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,1012,1.072173913,0.7659387352,0.6005434783,0.602944664
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,30,3298,0.5638508187,0.4485142511,0.3516464524,0.3527986659
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,25,1936,2.1262809917,1.9617768595,1.5380320248,1.5432283058
1043389141,DREW,MARK,C,M.D.,M,I,1000 S COULTER ST,,AMARILLO,TX,791061781,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,79.68125,17.048125,12.834375,12.843125
1043389166,ZIMMERMANN,ALEXANDRA,A,NP,F,I,5008 BRITTONFIELD PKWY,SUITE 700,EAST SYRACUSE,NY,13057,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,12,700,43.5232,4.7539714286,3.7271285714,3.7271285714
1043389166,ZIMMERMANN,ALEXANDRA,A,NP,F,I,5008 BRITTONFIELD PKWY,SUITE 700,EAST SYRACUSE,NY,13057,US,Nurse Practitioner,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,2750,14.392,0.9044545455,0.7090945455,0.7090945455
1043389166,ZIMMERMANN,ALEXANDRA,A,NP,F,I,5008 BRITTONFIELD PKWY,SUITE 700,EAST SYRACUSE,NY,13057,US,Nurse Practitioner,S,Q0164,"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,20,40,1,0.0355,0.02775,0.02775
1043389166,ZIMMERMANN,ALEXANDRA,A,NP,F,I,5008 BRITTONFIELD PKWY,SUITE 700,EAST SYRACUSE,NY,13057,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,47.333333333,16,12.54,12.54
1043389307,BARNES,MARY ANN,,MD,F,I,413 S LOOP RD,,EDGEWOOD,KY,41017,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,27,65,66.647230769,8.32,5.0176923077,5.0176923077
1043389307,BARNES,MARY ANN,,MD,F,I,413 S LOOP RD,,EDGEWOOD,KY,41017,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,50,5.8080952381,4.34,3.3747619048
1043389307,BARNES,MARY ANN,,MD,F,I,413 S LOOP RD,,EDGEWOOD,KY,41017,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,405.2125,72.45,54.433333333,53.312083333
1043389307,BARNES,MARY ANN,,MD,F,I,413 S LOOP RD,,EDGEWOOD,KY,41017,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330,36.23,27.7725,28.5125
1043389307,BARNES,MARY ANN,,MD,F,I,413 S LOOP RD,,EDGEWOOD,KY,41017,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3650,0.2780630137,0.0471671233,0.0369780822,0.0369780822
1043389307,BARNES,MARY ANN,,MD,F,I,413 S LOOP RD,,EDGEWOOD,KY,41017,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,25.87,25.87
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,44,44,44,138.11,43.867272727,34.077954545,35.956590909
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,24.445833333,4.38,3.43,3.6133333333
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,146.89,49.18,38.55,40.382727273
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,40.172727273,11.945454545,7.8027272727,8.1790909091
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,48,48,143.8325,47.59375,32.241666667,32.384583333
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,128.98,44.830769231,35.140769231,36.013076923
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,24.01,9.0233333333,5.5788888889,7.3116666667
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,69.279756098,16.42195122,12.104146341,13.557804878
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,108.98,23.988095238,17.650952381,22.597142857
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,119.34,20.9075,14.49875,19.47875
1043389315,GUZIK,HOWARD,,MD,M,I,2800 MARCUS AVE,,NEW HYDE PARK,NY,110421008,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,14,66,66,20.57,7.1651515152,5.2687878788,6.3243939394
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,27,55,61.175454545,8.32,5.8121818182,5.8121818182
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,158.93684211,50.573157895,39.651578947,31.741578947
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,22,22,356.08,125.96727273,95.333181818,70.468636364
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,11,22,56,144.47964286,45.797678571,34.689642857,26.314107143
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,96,89.715,24.8925,16.490104167,11.709166667
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,13,29,29,265.75793103,75.137931034,57.282758621,42.265172414
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,27,27,74.137777778,24.907777778,18.935555556,14.110740741
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,27,27,86.567777778,19.829259259,15.545555556,9.9725925926
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,20,45,253,11.075177866,3.0900395257,2.3807509881,1.6732806324
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,44,58.759318182,22.387954545,16.533409091,13.2075
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,34,132.68470588,48.918235294,35.857352941,28.51
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,25,203,213,344.68018779,101.60938967,74.883380282,53.530798122
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,190,44.212105263,32.935263158,28.337894737
1043389356,AMMON,ANGELA,,MD,F,I,377 SYLVAN LAKE RD STE 220,,EAGLE,CO,816310129,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,200,44.07,32.727777778,28.669444444
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,41,185,290,65.352448276,8.32,5.870862069,5.870862069
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,27,71,72,26.940833333,1.42,1.0575,1.0575
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,11,52,37.720192308,28.883076923,22.644615385,22.886153846
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,J7608,"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,684,9.4803947368,5.7920175439,4.5410672515,4.5410672515
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2864,1.0648044693,0.0460719274,0.0314490223,0.0314490223
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,37,37,43.351351351,14.878918919,11.270810811,13.602972973
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,16.368064516,6.8419354839,5.1532258065,6.4109677419
1043389539,ZAKHAROV,IGOR,,DO,M,I,2748 OCEAN AVE,FL 7,BROOKLYN,NY,112294708,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,33,33,23.4325,23.4325
1043389638,MCKENNA,MARGARET,W,MD,F,I,1 BOSTON MEDICAL CTR PL,DOWLING 5108,BOSTON,MA,021182908,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,36,4.3388888889,2.8213888889,1.9558333333,1.9436111111
1043389638,MCKENNA,MARGARET,W,MD,F,I,1 BOSTON MEDICAL CTR PL,DOWLING 5108,BOSTON,MA,021182908,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,35,7.857,5.252,5.352
1043389810,MOORE,BRAD,B,M.D.,M,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,28,58.9925,8.32,6.5210714286,6.5210714286
1043389877,BRASHEAR,KRYSTINE,K,ARNP,F,I,619 2ND AVE N,,ESTHERVILLE,IA,513341942,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,17,42.28,8.32,6.1411764706,6.1411764706
1043389885,PATEL,MAHENDRA,M,M.D.,M,I,105 FINANCIAL PL STE 105,,ELIZABETHTOWN,KY,427018437,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,43,48.631395349,8.32,6.37,6.37
1043389885,PATEL,MAHENDRA,M,M.D.,M,I,105 FINANCIAL PL STE 105,,ELIZABETHTOWN,KY,427018437,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,53.465454545,11.54,8.2272727273,8.3
1043389885,PATEL,MAHENDRA,M,M.D.,M,I,105 FINANCIAL PL STE 105,,ELIZABETHTOWN,KY,427018437,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,15,301.38,48.832,38.282,37.578
1043389885,PATEL,MAHENDRA,M,M.D.,M,I,105 FINANCIAL PL STE 105,,ELIZABETHTOWN,KY,427018437,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,23.714166667,23.714166667
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,26,84,220,63.703772727,8.32,6.1064090909,6.1064090909
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,23,55,85,15.069882353,1.42,1.0372941176,1.0372941176
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,7.6913636364,1.46,1.145,1.1540909091
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,5.8,4.86,3.8103072626,4.133603352
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,86.31,17,12.988205128,13.194102564
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,40.067647059,5.8676470588,4.3611764706,3.5764705882
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,5.95,5.03,3.94,4.535
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,104,104,491.91538462,79.205865385,56.390865385,50.103076923
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1440,16.183395833,9.5698333333,7.4031180556,7.4031180556
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.301071429,8.6892738095,8.6892738095
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,70,23.72,18.596666667,14.553333333
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,123.92090909,97.158181818,95.989090909
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,689.5,245.4675,192.4475,168.12166667
1043390040,BAJWA,SAIF,U,MD,M,I,31739 RIVERSIDE DR,# A,LAKE ELSINORE,CA,925307818,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,46,46,110.62173913,33,25.87,25.87
1043390131,CRUZ,MADELINE,,D.P.M.,F,I,3 HEWITT ST,,GARNERVILLE,NY,109231409,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,30,60,84.688666667,71.56,54.234833333,54.234833333
1043390131,CRUZ,MADELINE,,D.P.M.,F,I,3 HEWITT ST,,GARNERVILLE,NY,109231409,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,170,34.551058824,29.19,22.701058824,22.702764706
1043390883,DAWSON,FRANCIS,M,M.D.,M,I,2100 LYNN RD STE 215,,THOUSAND OAKS,CA,913608038,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,40,73.574,8.32,5.70775,5.70775
1043390883,DAWSON,FRANCIS,M,M.D.,M,I,2100 LYNN RD STE 215,,THOUSAND OAKS,CA,913608038,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,30,345.084,70.85,51.846666667,51.245333333
1043390883,DAWSON,FRANCIS,M,M.D.,M,I,2100 LYNN RD STE 215,,THOUSAND OAKS,CA,913608038,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,36,28.22,29.4025
1043390917,FRENDO,CHRISTOPHER,D,DO,M,I,763 LARKFIELD RD,,COMMACK,NY,117253131,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1016.6536364,1016.6536364,797.06,870.38181818
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,33,72,266,73.298496241,8.32,6.0136466165,6.0136466165
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,22,35,13.056571429,1.42,0.9551428571,0.9551428571
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,9.4627272727,2.1136363636,1.5081818182,1.4472727273
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,22.6,5.26,4.124,4.163
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,10038,2.7362821279,0.37,0.290083682,0.290083682
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,74.679411765,17.11,13.42,13.525882353
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,499.36,31.88,8.925,8.3464285714
1043390958,DELANGE,MICHAEL,D,M.D.,M,I,22298 MAIN ST,,HAYWARD,CA,945414005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,519.51,79,61.94,55.180625
1043391030,RADDOCK,MICHAEL,L,MD,M,I,2500 METROHEALTH DR,MHMC-FAMILY MEDICINE,CLEVELAND,OH,441091900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,26,42,72.12,8.32,6.3676190476,6.3676190476
1043391030,RADDOCK,MICHAEL,L,MD,M,I,2500 METROHEALTH DR,MHMC-FAMILY MEDICINE,CLEVELAND,OH,441091900,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,21,15.936190476,1.42,1.0666666667,1.0666666667
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,24,34,125,47.81544,8.32,5.3224,5.3224
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,13,29,11.225862069,1.42,1.0751724138,1.0751724138
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,50,17.76,12.222592593,11.890740741
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,18,50.73,3.9366666667,2.5966666667,2.915
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,55,61,422.34983607,79.88,54.062622951,48.364262295
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,34,7979,0.2420052638,0.0463742324,0.0286827923,0.0286827923
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,809,0.6245488257,0.2188751545,0.1585414091,0.1585414091
1043391154,BUSH,MARC,A,PA,M,I,100 MICHIGAN ST. NW,SUITE A721,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,29,29,39.827586207,33,20.517586207,20.517586207
1043391352,HARWOOD,MAURY,K,M.D.,M,I,18181 BUTTERFIELD BLVD,STE 100,MORGAN HILL,CA,950378108,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,12,12,200,47,22.6641,16.2315,17.37635
1043391352,HARWOOD,MAURY,K,M.D.,M,I,18181 BUTTERFIELD BLVD,STE 100,MORGAN HILL,CA,950378108,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,160,143.56,112.3015,102.754
1043391352,HARWOOD,MAURY,K,M.D.,M,I,18181 BUTTERFIELD BLVD,STE 100,MORGAN HILL,CA,950378108,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,195,132.78416667,87.475,77.266666667
1043391543,RALSTON,GREGORY,L,M.D.,M,I,4805 NE GLISAN ST,,PORTLAND,OR,972132933,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.68,5.37,4.21,4.21
1043391824,RHODES,SHARON,H,FNP,F,I,100 CONSTITUTION DR STE 217,,VA BEACH,VA,234626799,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,25,49,65.566122449,8.32,5.9902040816,5.9902040816
1043392046,TOULOUSE,DOMINICK,R,MD,M,I,4011 TALBOT RD S,SUITE 440,RENTON,WA,980555773,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,41,176,70.476931818,8.32,4.94875,4.94875
1043392046,TOULOUSE,DOMINICK,R,MD,M,I,4011 TALBOT RD S,SUITE 440,RENTON,WA,980555773,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,435,77.34,60.557916667,54.657916667
1043392046,TOULOUSE,DOMINICK,R,MD,M,I,4011 TALBOT RD S,SUITE 440,RENTON,WA,980555773,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,200,39.3,30.81,29.51
1043392103,TOSTADO,MARINA,L,MD,F,I,701 E EL CAMNIO REAL,,MOUNTAIN VIEW,CA,940400000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,39,131,76.510458015,8.32,6.0245038168,6.0245038168
1043392103,TOSTADO,MARINA,L,MD,F,I,701 E EL CAMNIO REAL,,MOUNTAIN VIEW,CA,940400000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,34,14.429411765,1.42,1.1147058824,1.1147058824
1043392186,FATIMA,JABEEN,,M.D,F,I,4955 VAN NUYS BLVD,SUITE 415,SHERMAN OAKS,CA,914031801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,26,57,187,75.921871658,8.32,6.4526203209,6.4526203209
1043392186,FATIMA,JABEEN,,M.D,F,I,4955 VAN NUYS BLVD,SUITE 415,SHERMAN OAKS,CA,914031801,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,20,33,52,14.534615385,1.42,1.1153846154,1.1153846154
1043392186,FATIMA,JABEEN,,M.D,F,I,4955 VAN NUYS BLVD,SUITE 415,SHERMAN OAKS,CA,914031801,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1043392186,FATIMA,JABEEN,,M.D,F,I,4955 VAN NUYS BLVD,SUITE 415,SHERMAN OAKS,CA,914031801,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,357,1.2803361345,0.2198319328,0.1723529412,0.1723529412
1043392186,FATIMA,JABEEN,,M.D,F,I,4955 VAN NUYS BLVD,SUITE 415,SHERMAN OAKS,CA,914031801,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,67.12,23.863684211,18.707894737,16.19
1043392186,FATIMA,JABEEN,,M.D,F,I,4955 VAN NUYS BLVD,SUITE 415,SHERMAN OAKS,CA,914031801,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,117.85714286,33,25.87,25.87
1043392582,CONWAY,MICHAEL,A,DPM,M,I,892 N BROADWAY,,NORTH MASSAPEQUA,NY,117582352,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,56,111.89285714,70.765714286,55.482142857,56.105
1043392582,CONWAY,MICHAEL,A,DPM,M,I,892 N BROADWAY,,NORTH MASSAPEQUA,NY,117582352,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,159,48.859119497,29.19,22.885031447,22.886540881
1043392590,BANNON,MARY,S,NP,F,I,671 MAIN ST,,WALTHAM,MA,024510602,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,27,185.9037037,46.045925926,33.54962963,34.407407407
1043392590,BANNON,MARY,S,NP,F,I,671 MAIN ST,,WALTHAM,MA,024510602,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,124.362,18.764,14.7115,15.4265
1043392590,BANNON,MARY,S,NP,F,I,671 MAIN ST,,WALTHAM,MA,024510602,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,115.14133333,25.62,18.838,19.831333333
1043392590,BANNON,MARY,S,NP,F,I,671 MAIN ST,,WALTHAM,MA,024510602,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,130,31.618181818,21.972727273,21.913636364
1043392590,BANNON,MARY,S,NP,F,I,671 MAIN ST,,WALTHAM,MA,024510602,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,42,32.600952381,8.655952381,6.389047619,6.3997619048
1043392616,HODES,LEON,,M.D.,M,I,474 ATLANTIC AVE,,EAST ROCKAWAY,NY,115181415,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,52,139,69.467553957,8.32,6.4747482014,6.4747482014
1043392616,HODES,LEON,,M.D.,M,I,474 ATLANTIC AVE,,EAST ROCKAWAY,NY,115181415,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,31,48,15.553958333,1.42,1.115,1.115
1043392616,HODES,LEON,,M.D.,M,I,474 ATLANTIC AVE,,EAST ROCKAWAY,NY,115181415,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,17,1186,0.6781197302,0.0445784148,0.0344688027,0.034460371
1043392616,HODES,LEON,,M.D.,M,I,474 ATLANTIC AVE,,EAST ROCKAWAY,NY,115181415,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,33,33,25.87,25.87
1043392715,OGDEN,MARY,E,FNP,F,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042743,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1320,4.764469697,2.6935909091,1.9079166667,2.0672045455
1043392715,OGDEN,MARY,E,FNP,F,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042743,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,24,24,18.82,18.82
1043392723,REHEIS,JOHN,P,MD,M,I,40 WRIGHT ST,,PALMER,MA,010691138,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,4200,3.1293571429,2.0395714286,1.4979690476,1.4983047619
1043392871,HAAS,DEBORAH,S,,F,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,25,53,149,64.986241611,8.2783892617,6.0953020134,6.1036912752
1043392871,HAAS,DEBORAH,S,,F,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1043392871,HAAS,DEBORAH,S,,F,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,23,30,14.444666667,1.42,0.9673333333,0.9673333333
1043392871,HAAS,DEBORAH,S,,F,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,361,93.031495845,5.34,3.8271191136,3.8075623269
1043392871,HAAS,DEBORAH,S,,F,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5446,1.5359823724,0.31,0.2405343371,0.2405343371
1043392871,HAAS,DEBORAH,S,,F,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,150,26.166666667,13.306666667,13.306666667
1043392871,HAAS,DEBORAH,S,,F,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,25.87,25.87
1043392954,ARENBERG,DOUGLAS,A,MD,M,I,1500 E MEDICAL CENTER DR,,ANN ARBOR,MI,481095000,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1200,1074.31,830.30416667,830.30416667
1043393010,EPSTEIN,NATHANIEL,B,MD,M,I,158 HEMPSTEAD AVENUE,,LYNBROOK,NY,11563,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,47,135,60.094148148,8.32,6.0872592593,6.0872592593
1043393010,EPSTEIN,NATHANIEL,B,MD,M,I,158 HEMPSTEAD AVENUE,,LYNBROOK,NY,11563,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,12.365454545,3.38,2.65,2.65
1043393010,EPSTEIN,NATHANIEL,B,MD,M,I,158 HEMPSTEAD AVENUE,,LYNBROOK,NY,11563,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,31,41,15.425853659,1.42,1.0614634146,1.0614634146
1043393010,EPSTEIN,NATHANIEL,B,MD,M,I,158 HEMPSTEAD AVENUE,,LYNBROOK,NY,11563,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,405,77.74,56.886666667,51.081333333
1043393010,EPSTEIN,NATHANIEL,B,MD,M,I,158 HEMPSTEAD AVENUE,,LYNBROOK,NY,11563,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,52.164285714,14.54,8.8066666667,11.257142857
1043393010,EPSTEIN,NATHANIEL,B,MD,M,I,158 HEMPSTEAD AVENUE,,LYNBROOK,NY,11563,US,Physician/Cardiovascular Disease (Cardiology),S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,20.57,6.75,5.2935714286,6.5992857143
1043393010,EPSTEIN,NATHANIEL,B,MD,M,I,158 HEMPSTEAD AVENUE,,LYNBROOK,NY,11563,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,85,40.66,29.31826087,27.05173913
1043393465,PEREZ,OMAR,,MD,M,I,10728 E RAMONA BLVD,SUITE A,EL MONTE,CA,91731,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,30,77,173,69.719421965,8.32,5.3903468208,5.3903468208
1043393465,PEREZ,OMAR,,MD,M,I,10728 E RAMONA BLVD,SUITE A,EL MONTE,CA,91731,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,25,48,54,18.424074074,1.42,0.89,0.89
1043393465,PEREZ,OMAR,,MD,M,I,10728 E RAMONA BLVD,SUITE A,EL MONTE,CA,91731,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,362,100,5.1,3.9983425414,4.163038674
1043393465,PEREZ,OMAR,,MD,M,I,10728 E RAMONA BLVD,SUITE A,EL MONTE,CA,91731,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3847,1.2853210294,0.3,0.2351884585,0.2430335326
1043393465,PEREZ,OMAR,,MD,M,I,10728 E RAMONA BLVD,SUITE A,EL MONTE,CA,91731,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,66.504615385,23.626923077,11.906923077,10.329615385
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,52,150,329,63.431367781,8.32,5.9080547112,5.9080547112
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,12.20625,3.38,2.484375,2.484375
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,41,49,13.460612245,1.42,1.0726530612,1.0726530612
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,61.36,48.273846154,37.844615385,40.648461538
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,74.370232558,18.430930233,14.140232558,13.21744186
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,708.29272727,328.34727273,257.42181818,257.42181818
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,101,102,429.70990196,81.078529412,59.95627451,51.826862745
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,21,250,38.05,29.83,29.525238095
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,19,19,13.526315789,8.6842105263,6.8084210526,7.1163157895
1043393580,ZULLO,PETER,J,M.D.,M,I,7547 MEDICAL DRIVE,SUITE 2200,GLOUCESTER,VA,23061,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,25.87,25.87
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,37,37,140.47432432,39.952432432,28.190810811,27.465945946
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,21,109,62.685779817,19.348990826,14.525688073,13.943211009
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,14,33,175,61.769942857,16,10.2948,9.7673142857
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,26,55,55,240.83181818,55.842181818,39.018181818,38.217454545
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,31,40,40,91.5795,19.571,14.8305,13.6055
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,29,29,67.894482759,14,9.9086206897,8.1772413793
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,34,62,363,8.6434710744,2.1158677686,1.5107988981,1.4484848485
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,25.323076923,6.2,4.1123076923,3.9346153846
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,27,37,37,60.640810811,13.783513514,10.513243243,10.061081081
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,1166.04,913.16,715.92,830.77454545
1043393663,BIGELOW,JAMIE,M,MD,F,I,815 HYDE ST,,SAN FRANCISCO,CA,941095996,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,46,46,874.72,35.573913043,26.123043478,24.59673913
1043393895,YELLA,MALATHI,,M.D.,F,I,631B NORTH ST,SUITE A,PITTSFIELD,MA,012014102,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,32,64,58.81046875,8.32,5.2975,5.2975
1043393895,YELLA,MALATHI,,M.D.,F,I,631B NORTH ST,SUITE A,PITTSFIELD,MA,012014102,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,256.31,116.50090909,78.298181818,82.947272727
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,14,19,19,230,85.52,67.05,67.765789474
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,14,23,40,57.61875,32.92,24.33225,24.43575
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,212.78818182,53.584545455,38.764545455,39.488181818
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,21,26,26,42.191923077,18.013076923,14.123076923,14.075384615
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,29,29,52.755172414,12.21,9.24,8.8831034483
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,23,33,198,7.453030303,2.0193939394,1.5364646465,1.5442929293
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,19,24,24,16.3925,5.96,4.4754166667,4.4675
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,35,13.135833333,10.296666667,10.45
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,25,4.2436,3.168,3.6088
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,46,46,150,33.608478261,26.348695652,26.554782609
1043393986,KUMAR,RAJAPURAM,R,MD,M,I,780 W OLIVE AVE,STE 103,MERCED,CA,95348,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330,65.7,47.2175,50.505
1043394166,JAGASIA,MADAN,H,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,4.6414545455,0.5687575758,0.4458181818,0.4458181818
1043394166,JAGASIA,MADAN,H,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1290,3.9974341085,1.002255814,0.7857674419,0.7857674419
1043394166,JAGASIA,MADAN,H,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1043394166,JAGASIA,MADAN,H,MD,M,I,3601 TVC,,NASHVILLE,TN,372320001,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,19,16,16,12.541052632,12.541052632
1043394240,SMALLFIELD,MELISSA,C,MD,F,I,1250 E MARSHALL STREET,,RICHMOND,VA,232980510,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,11,165,165,165,19.71,15.45,15.45
1043394240,SMALLFIELD,MELISSA,C,MD,F,I,1250 E MARSHALL STREET,,RICHMOND,VA,232980510,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,11,168,599,250,37.38,29.307111853,29.307111853
1043394240,SMALLFIELD,MELISSA,C,MD,F,I,1250 E MARSHALL STREET,,RICHMOND,VA,232980510,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,28.4,4.355,3.42,3.66
1043394240,SMALLFIELD,MELISSA,C,MD,F,I,1250 E MARSHALL STREET,,RICHMOND,VA,232980510,US,Physician/Cardiovascular Disease (Cardiology),S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,612.0375,208.0459375,163.1084375,163.1084375
1043394240,SMALLFIELD,MELISSA,C,MD,F,I,1250 E MARSHALL STREET,,RICHMOND,VA,232980510,US,Physician/Cardiovascular Disease (Cardiology),S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,97,1334,35.601034483,5.1072788606,4.002916042,4.002916042
1043394240,SMALLFIELD,MELISSA,C,MD,F,I,1250 E MARSHALL STREET,,RICHMOND,VA,232980510,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,71,3932,83.345277213,1.5474415056,1.2131841302,1.2131790437
1043394240,SMALLFIELD,MELISSA,C,MD,F,I,1250 E MARSHALL STREET,,RICHMOND,VA,232980510,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1043394489,GRISWOLD,BRUCE,G,MD,M,I,1700 W PARADISE DR,,WEST BEND,WI,530959795,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,19,51,82.360980392,8.32,4.6049019608,4.6049019608
1043394596,SHAH,KISHORI,P,M.D.,F,I,354 MAIN ST,,POUGHKEEPSIE,NY,126013317,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,57,139,69.25942446,8.32,5.4894244604,5.4894244604
1043394596,SHAH,KISHORI,P,M.D.,F,I,354 MAIN ST,,POUGHKEEPSIE,NY,126013317,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,23,15.776956522,1.42,0.8730434783,0.8730434783
1043394596,SHAH,KISHORI,P,M.D.,F,I,354 MAIN ST,,POUGHKEEPSIE,NY,126013317,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,2777,0.8606049694,0.0466690673,0.0365934462,0.0365934462
1043394596,SHAH,KISHORI,P,M.D.,F,I,354 MAIN ST,,POUGHKEEPSIE,NY,126013317,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,33,33,25.87,25.87
1043394620,MAY,TERRY,,D.O.,F,I,1891 BAYSCOTT CIRCLE,STE 109,NAPERVILLE,IL,60540,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,61,142,68.795070423,8.32,5.3279577465,5.3279577465
1043394620,MAY,TERRY,,D.O.,F,I,1891 BAYSCOTT CIRCLE,STE 109,NAPERVILLE,IL,60540,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,32,44,16.983636364,1.42,0.9631818182,0.9631818182
1043394620,MAY,TERRY,,D.O.,F,I,1891 BAYSCOTT CIRCLE,STE 109,NAPERVILLE,IL,60540,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,167.92,49.17,35.98,32.890666667
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,17,39,98,47.615714286,8.2906122449,6.1663265306,6.1893877551
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,17,10.185882353,1.42,0.9864705882,0.9864705882
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,29,55,8.1649090909,1.9196363636,1.4125454545,1.0930909091
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,50,73.5292,19.812,12.9802,10.1528
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,285.66666667,74.637333333,52.230666667,40.56
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,93.9925,23.800833333,17.356666667,12.888333333
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,87.368421053,19.976315789,14.599473684,8.16
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,21,124,11.291612903,3.1309677419,2.3093548387,1.4562096774
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,4077.6338462,1001.46,785.15,837.86692308
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,50.73,7.0495121951,4.9634146341,3.103902439
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,53,556.01132075,102.99188679,76.168679245,52.126792453
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,221.76470588,45.340588235,33.616470588,28.201764706
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,40,9519,0.1616083622,0.0463557096,0.0310620864,0.0310620864
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,2880,1.6646666667,0.1345,0.0978958333,0.0978958333
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1380,9.9771086957,3.0004782609,2.2487898551,2.2487898551
1043395163,RUTTINGER,ALICE,C,DO,F,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,59,59,105.81355932,33,23.239152542,23.239152542
1043395171,DEOGUN,GURVINDER,K,MD,F,I,10880 DURANT RD,SUITE 200,RALEIGH,NC,276146628,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,1258.125,19.684166667,15.432291667,15.432291667
1043395171,DEOGUN,GURVINDER,K,MD,F,I,10880 DURANT RD,SUITE 200,RALEIGH,NC,276146628,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3840,159.85342708,9.8395833333,7.71425,7.7142421875
1043395171,DEOGUN,GURVINDER,K,MD,F,I,10880 DURANT RD,SUITE 200,RALEIGH,NC,276146628,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,419.93,2.6363636364,2.0670454545,2.0670454545
1043395361,DAVIS,KATILYN,M,CNP,F,I,10617 KYLE AVE N,,BROOKLYN PARK,MN,554431249,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,359.38272727,48.332727273,34.779090909,35.758636364
1043395361,DAVIS,KATILYN,M,CNP,F,I,10617 KYLE AVE N,,BROOKLYN PARK,MN,554431249,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,75.363636364,41.45,32.5,29.627272727
1043395361,DAVIS,KATILYN,M,CNP,F,I,10617 KYLE AVE N,,BROOKLYN PARK,MN,554431249,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,1425,0.6197192982,0.0460561404,0.0360842105,0.0360842105
1043395361,DAVIS,KATILYN,M,CNP,F,I,10617 KYLE AVE N,,BROOKLYN PARK,MN,554431249,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,67,67,75.420895522,19.208955224,14.458507463,14.089552239
1043395478,SLOOP,CHRISTINE,H,M.D.,F,I,111 RALEY BLVD STE 140,,CHICO,CA,959288351,US,Physician/Obstetrics & Gynecology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,105.26,32.0025,25.09,25.306666667
1043395585,PINCKNEY,JOSEPH,,MD,M,I,9908 COULOAK DR,STE 202,CHARLOTTE,NC,282168678,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,25,64,200,62.9901,8.32,5.8708,5.8708
1043395585,PINCKNEY,JOSEPH,,MD,M,I,9908 COULOAK DR,STE 202,CHARLOTTE,NC,282168678,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,15.93,3.38,2.5395833333,2.5395833333
1043395585,PINCKNEY,JOSEPH,,MD,M,I,9908 COULOAK DR,STE 202,CHARLOTTE,NC,282168678,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,27.165833333,2.12,1.5308333333,1.5308333333
1043395585,PINCKNEY,JOSEPH,,MD,M,I,9908 COULOAK DR,STE 202,CHARLOTTE,NC,282168678,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,25,45,16.667555556,1.42,1.0648888889,1.0648888889
1043395585,PINCKNEY,JOSEPH,,MD,M,I,9908 COULOAK DR,STE 202,CHARLOTTE,NC,282168678,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,143,34.78,22.765454545,16.994545455
1043395585,PINCKNEY,JOSEPH,,MD,M,I,9908 COULOAK DR,STE 202,CHARLOTTE,NC,282168678,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,8.18,5.8272727273,5.6227272727
1043395650,MALONE,MEGHAN,L,M.D,F,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,580,8.7386896552,4.03,3.1595862069,3.1595862069
1043395668,ROGERS,LARRY,C,M.D.,M,I,7 MEMORIAL DRIVE,,PETERSBURG,WV,268470007,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,18,38.771111111,8.32,6.1638888889,6.1638888889
1043395965,MARKLAND,ELLA,T,"FNP-C, PMHNP-BC",F,I,436 HOSPITAL DRIVE,SUITE 230,LINVILLE,NC,28646,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,54.1625,21.24625,14.626875,11.675
1043395965,MARKLAND,ELLA,T,"FNP-C, PMHNP-BC",F,I,436 HOSPITAL DRIVE,SUITE 230,LINVILLE,NC,28646,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,431.05295455,98.85,64.253181818,49.763181818
1043395965,MARKLAND,ELLA,T,"FNP-C, PMHNP-BC",F,I,436 HOSPITAL DRIVE,SUITE 230,LINVILLE,NC,28646,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,250,44.687142857,31.083928571,26.176428571
1043396039,RYDER,GARRETT,B,M.D.,M,I,3109 COMMON ST,STE 106,LAKE CHARLES,LA,706018575,US,Physician/Psychiatry,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.01,12.08,9.47,8.95
1043396112,FETTE,GERALD,G,M.D.,M,I,131 BRIDGE ST,,NAUGATUCK,CT,067702929,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,31,73,62.579452055,8.32,5.7173972603,5.7173972603
1043396112,FETTE,GERALD,G,M.D.,M,I,131 BRIDGE ST,,NAUGATUCK,CT,067702929,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.4291666667,2.4291666667
1043396112,FETTE,GERALD,G,M.D.,M,I,131 BRIDGE ST,,NAUGATUCK,CT,067702929,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,21,28,15.000714286,1.42,1.0757142857,1.0757142857
1043396112,FETTE,GERALD,G,M.D.,M,I,131 BRIDGE ST,,NAUGATUCK,CT,067702929,US,Physician/Internal Medicine,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,8.6153333333,7.06,5.5353333333,5.5353333333
1043396112,FETTE,GERALD,G,M.D.,M,I,131 BRIDGE ST,,NAUGATUCK,CT,067702929,US,Physician/Internal Medicine,S,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.8071666667,2.09,1.6385,1.6385
1043396229,RYAN,PHILIP,J,MD,M,I,176 HEALTH CARE LN,SUITE B,MARTINSBURG,WV,254014010,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,380,6.4765789474,2.6305263158,1.7379736842,1.7379736842
1043396229,RYAN,PHILIP,J,MD,M,I,176 HEALTH CARE LN,SUITE B,MARTINSBURG,WV,254014010,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,80,215,800,74.90245,8.2928125,5.890725,5.912025
1043396229,RYAN,PHILIP,J,MD,M,I,176 HEALTH CARE LN,SUITE B,MARTINSBURG,WV,254014010,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,16.01,3.38,2.65,2.65
1043396229,RYAN,PHILIP,J,MD,M,I,176 HEALTH CARE LN,SUITE B,MARTINSBURG,WV,254014010,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,22.525,2.12,1.67,1.67
1043396229,RYAN,PHILIP,J,MD,M,I,176 HEALTH CARE LN,SUITE B,MARTINSBURG,WV,254014010,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,30,67,132,15.523106061,1.42,1.0712121212,1.0712121212
1043396229,RYAN,PHILIP,J,MD,M,I,176 HEALTH CARE LN,SUITE B,MARTINSBURG,WV,254014010,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,783.09090909,357.31909091,273.61590909,273.61590909
1043396344,BRADY,VERONICA,J,APRN,F,I,1664 N. VIRGINIA ST. DIVISION OF ENDOCRINOLOGY,MS 153,RENO,NV,89557,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,27,348,55.219741379,19.640517241,15.16408046,15.16408046
1043396344,BRADY,VERONICA,J,APRN,F,I,1664 N. VIRGINIA ST. DIVISION OF ENDOCRINOLOGY,MS 153,RENO,NV,89557,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,11,30,929,7.2797416577,2.6316038751,1.9962755651,1.9962755651
1043396344,BRADY,VERONICA,J,APRN,F,I,1664 N. VIRGINIA ST. DIVISION OF ENDOCRINOLOGY,MS 153,RENO,NV,89557,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,59,144,773,66.10923674,8.32,6.1805821475,6.1805821475
1043396344,BRADY,VERONICA,J,APRN,F,I,1664 N. VIRGINIA ST. DIVISION OF ENDOCRINOLOGY,MS 153,RENO,NV,89557,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,26,83,12.504337349,1.42,1.1125301205,1.1125301205
1043396344,BRADY,VERONICA,J,APRN,F,I,1664 N. VIRGINIA ST. DIVISION OF ENDOCRINOLOGY,MS 153,RENO,NV,89557,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,714.42,331.18764706,251.20941176,251.20941176
1043396344,BRADY,VERONICA,J,APRN,F,I,1664 N. VIRGINIA ST. DIVISION OF ENDOCRINOLOGY,MS 153,RENO,NV,89557,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2060,16.467150485,10.605067961,8.3086990291,8.3086990291
1043396344,BRADY,VERONICA,J,APRN,F,I,1664 N. VIRGINIA ST. DIVISION OF ENDOCRINOLOGY,MS 153,RENO,NV,89557,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,11,69,69,254.8615942,250.95173913,193.48246377,193.60623188
1043396393,DIXON,LURLINE,,,F,I,2094 PITKIN AVE,,BROOKLYN,NY,112073509,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,29,43.552758621,8.32,4.724137931,4.724137931
1043396419,BRULL,ELLEN,S,M.D.,F,I,7900 N MILWAUKEE AVE,,NILES,IL,607143159,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,72,58.374305556,8.32,6.3397222222,6.3397222222
1043396419,BRULL,ELLEN,S,M.D.,F,I,7900 N MILWAUKEE AVE,,NILES,IL,607143159,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,21,17.083809524,1.42,1.0638095238,1.0638095238
1043396419,BRULL,ELLEN,S,M.D.,F,I,7900 N MILWAUKEE AVE,,NILES,IL,607143159,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,383.27,77.18,56.950588235,51.501176471
1043396708,POWELL,HEIDI,S,MD,F,I,UWMC-ROOSEVELT,4245 ROOSEVELT WAY NE,SEATTLE,WA,981056920,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,58,73.994655172,8.32,5.3984482759,5.3984482759
1043396708,POWELL,HEIDI,S,MD,F,I,UWMC-ROOSEVELT,4245 ROOSEVELT WAY NE,SEATTLE,WA,981056920,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,16.51,10.586666667,8.2983333333,8.5608333333
1043396708,POWELL,HEIDI,S,MD,F,I,UWMC-ROOSEVELT,4245 ROOSEVELT WAY NE,SEATTLE,WA,981056920,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,26.17,10.06,7.8866666667,7.9725
1043396708,POWELL,HEIDI,S,MD,F,I,UWMC-ROOSEVELT,4245 ROOSEVELT WAY NE,SEATTLE,WA,981056920,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,304.92,210.825,165.28,165.28
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,35,83,80.508433735,8.32,5.578313253,5.578313253
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,32,32,99.9559375,39.92125,30.329375,29.5915625
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,13,29,29,310.36448276,87.513448276,66.841724138,66.172413793
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,28,82,113.88365854,34.109756098,25.165,24.420487805
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,65,71.271846154,18.721384615,13.693846154,13.567692308
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,16,32,177,45.726779661,15,11.76,11.885141243
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,22,44,44,161.62886364,54.81,41.796136364,41.704318182
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,33,46,46,60.505217391,19.022391304,14.299347826,13.495652174
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,24.75,10.495454545,8.2263636364,8.1536363636
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,44,44,64.310681818,12.751136364,9.7638636364,8.9856818182
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,37,78,450,8.6615555556,2.0736,1.5756666667,1.5458444444
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,23,23,21.606086957,6.0286956522,4.5160869565,4.4560869565
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,13,15,15,40.249333333,12.942,9.4686666667,9.654
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,334.96894737,85.859473684,67.314736842,64.738421053
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,20,111,112,104.61169643,31.767857143,24.03625,24.320714286
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,340.83333333,71.58,53.121111111,51.736111111
1043396732,CHRISTODOULOU,CHRISTAKIS,,M.D.,M,I,3235 E COLORADO BLVD,SUITE 201,PASADENA,CA,911073813,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,221.66666667,36.886666667,28.072777778,28.666111111
1043397144,ENGEL,DAVID,J,M.D.,M,I,622 W 168TH ST,,NEW YORK,NY,100323720,US,Physician/Cardiovascular Disease (Cardiology),S,A7020,"Interface for cough stimulating device, includes all components, replacement only",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15.745833333,15.685833333,12.298333333,12.623333333
1043397144,ENGEL,DAVID,J,M.D.,M,I,622 W 168TH ST,,NEW YORK,NY,100323720,US,Physician/Cardiovascular Disease (Cardiology),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1995,1074.31,840.41166667,840.41166667
1043397276,SIBLEY,GEORGE,L,MD,M,I,16620 N 40TH ST,STE C1,PHOENIX,AZ,850323348,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,36,83.089166667,8.32,5.7969444444,5.7969444444
1043397391,ADAMS,SARA,E,M.D.,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,84,14.605238095,6.44,5.0485714286,5.0485714286
1043397391,ADAMS,SARA,E,M.D.,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,47,4780,40.089495816,3.7971338912,2.976960251,2.976960251
1043397391,ADAMS,SARA,E,M.D.,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Internal Medicine,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,1320,4.3331590909,4.1032727273,3.216969697,3.216969697
1043397391,ADAMS,SARA,E,M.D.,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Internal Medicine,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,27,71,45.676056338,42.42084507,32.364507042,30.077183099
1043397391,ADAMS,SARA,E,M.D.,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,32.037037037,24,18.82,18.82
1043397391,ADAMS,SARA,E,M.D.,F,I,2405 N FRASER ST,,GEORGETOWN,SC,294407764,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,53.142857143,16,12.54,12.54
1043397482,HAGE,CHRISTOPHER,N,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE 220,WEST HILLS,CA,913071910,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,129.68636364,48.496363636,24.982727273,23.769090909
1043397482,HAGE,CHRISTOPHER,N,M.D.,M,I,7345 MEDICAL CENTER DR,SUITE 220,WEST HILLS,CA,913071910,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,94.159,22.1875,17.3935,13.959
1043398076,PATEL,MAITRI,,MD,F,I,5 DUNDEE AVE,,ISELIN,NJ,088302118,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,40,108,64.653611111,8.32,5.6760185185,5.6760185185
1043398076,PATEL,MAITRI,,MD,F,I,5 DUNDEE AVE,,ISELIN,NJ,088302118,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,21,33,15.092121212,1.42,0.9806060606,0.9806060606
1043398266,LYON,ROLF,C,MD,M,I,155 S.E. HWY 19,,CRYSTAL RIVER,FL,344294838,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,61,179,190.97726257,8.32,5.1620111732,5.1620111732
1043398266,LYON,ROLF,C,MD,M,I,155 S.E. HWY 19,,CRYSTAL RIVER,FL,344294838,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,29,52,14.258846154,1.42,0.8798076923,0.8798076923
1043398266,LYON,ROLF,C,MD,M,I,155 S.E. HWY 19,,CRYSTAL RIVER,FL,344294838,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,76.12,12.545,9.8275,9.6875
1043398266,LYON,ROLF,C,MD,M,I,155 S.E. HWY 19,,CRYSTAL RIVER,FL,344294838,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,6583,0.3942138842,0.0469801003,0.0266140058,0.0266140058
1043398266,LYON,ROLF,C,MD,M,I,155 S.E. HWY 19,,CRYSTAL RIVER,FL,344294838,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,18.878235294,18.878235294
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,71,159,159,119.03754717,40.512767296,31.365408805,30.189937107
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,26,52,52,307.20230769,90.769230769,71.159230769,67.87
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,25,51,130,141.59392308,33.354538462,25.067,24.831307692
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,21,56,290,66.857517241,18.279068966,13.002655172,13.285206897
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,35,73,403,51.781563275,15.213101737,11.506153846,11.473945409
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,58,124,124,206.91564516,54.830080645,41.242822581,41.296451613
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,74,100,100,61.1975,18.8934,14.3715,13.7249
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,76,180,965,8.471357513,2.0476062176,1.5183937824,1.5060518135
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,51,61,61,57.557704918,12.296721311,9.5557377049,10.283278689
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,79.32,17,11.61,11.826451613
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,20,20,232.35,43.88,29.24,32.5915
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,460.04555556,80.696666667,62.456666667,64.02
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,560.37125,137.518125,107.8175,104.7
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,35,198,198,237.33515152,32.435454545,23.735151515,23.619090909
1043398399,MURRAY,JAMES,A,D.O.,M,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,561.22918919,77.18,55.603783784,50.43972973
1043398605,GUNN,EARLE,W,M.D.,M,I,740 PRINCE AVE,BLDG 1B,ATHENS,GA,306065908,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,20,56,42.52,42.52,33.336607143,31.399107143
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,26,26,164.51615385,40,28.947692308,28.144615385
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,530.65333333,86.067333333,67.479333333,67.84
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,28,207.545,33.767857143,26.472857143,25.918571429
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,72,97.256666667,18,13.719444444,14.163333333
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,68,71.315294118,15.32,11.128235294,11.018676471
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,29,29,282.2362069,51.26,38.349310345,40.949655172
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,24,24,86.407083333,17.801666667,13.385,13.492083333
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,87.135555556,12.222222222,9.5833333333,9.12
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,45,189,11.874603175,2.0142857143,1.5797883598,1.5923280423
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,12,12,51.6525,12.7275,9.98,10.34
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,90,90,82.438222222,18.675444444,14.083222222,14.185222222
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,711.80416667,827.61583333
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,23,54.824347826,3.2991304348,2.3560869565,3.357826087
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,50,51,249.60823529,28.441960784,20.382745098,22.270196078
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,97,97,495.15783505,73.599484536,54.513608247,51.874948454
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1197,1.1221136174,0.1364912281,0.1025396825,0.1025396825
1043399017,HARDEMAN,JAMES,L,M.D.,M,I,220 LAGUNA RD,SUITE 2,FULLERTON,CA,928352523,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,96.5,33,24.792083333,24.792083333
1043399207,GOGIOIU,BOGDAN,,MD,M,I,600 E DIXIE AVE,,LEESBURG,FL,347485925,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,317.014,79.2,62.09,55.220666667
1043399207,GOGIOIU,BOGDAN,,MD,M,I,600 E DIXIE AVE,,LEESBURG,FL,347485925,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64.54,35.11,27.53,29.51
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,29,42,136,50.608161765,8.32,5.7066911765,5.7066911765
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,14.470769231,3.38,2.4461538462,2.4461538462
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,19.124615385,2.12,1.67,1.67
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,23,50,15.1866,1.42,0.981,0.981
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,87.124615385,20.418461538,16.003846154,13.531538462
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,64,64,295.490625,78.39109375,58.868125,52.1690625
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,64.475882353,21.375294118,11.724705882,10.016470588
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,74.86,38.2584375,28.730625,28.2403125
1043400435,HAASE,ANTHONY,D,M.D.,M,I,1224 TROTWOOD AVE,,COLUMBIA,TN,38401,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,572.55,136.77666667,100.46416667,98.9275
1043400757,SOSA,SAMETA,F,MD,F,I,124 ROYAL LN,,UVALDE,TX,788014838,US,Physician/Hospice and Palliative Care,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,18,160,70.385555556,49.491666667,35.204444444
1043400898,MORRIS,IRA,A,M.D.,M,I,35767 POND FORK RD,,WHARTON,WV,252080089,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,29,58,49.404655172,8.32,4.2724137931,4.2724137931
1043400898,MORRIS,IRA,A,M.D.,M,I,35767 POND FORK RD,,WHARTON,WV,252080089,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,14,84.182142857,17.29,9.6785714286,9.6657142857
1043400898,MORRIS,IRA,A,M.D.,M,I,35767 POND FORK RD,,WHARTON,WV,252080089,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,48.31,37.711666667,37.545
1043400898,MORRIS,IRA,A,M.D.,M,I,35767 POND FORK RD,,WHARTON,WV,252080089,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,29,500.17931034,70.23,45.446551724,45.177586207
1043400898,MORRIS,IRA,A,M.D.,M,I,35767 POND FORK RD,,WHARTON,WV,252080089,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,17,146.25,19.269411765,12.310588235,11.301176471
1043401029,CHILDERS,DAVID,C,MD,M,I,5050 NE HOYT ST,SUITE 540,PORTLAND,OR,972132991,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,73.973333333,8.32,5.9766666667,5.9766666667
1043401086,GONZALEZ GONZALEZ,HUMBERTO,C,M.D,M,I,1265 UNION AVE,SUITE 184,MEMPHIS,TN,381043415,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,39,201,14730,4.9568180584,0.5655098439,0.3921961982,0.3921948405
1043401086,GONZALEZ GONZALEZ,HUMBERTO,C,M.D,M,I,1265 UNION AVE,SUITE 184,MEMPHIS,TN,381043415,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,37,5100,3.6904,1.3143882353,1.0304588235,1.0304588235
1043401086,GONZALEZ GONZALEZ,HUMBERTO,C,M.D,M,I,1265 UNION AVE,SUITE 184,MEMPHIS,TN,381043415,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,49,2790,16.254415771,7.4110501792,5.7787992832,5.7787992832
1043401086,GONZALEZ GONZALEZ,HUMBERTO,C,M.D,M,I,1265 UNION AVE,SUITE 184,MEMPHIS,TN,381043415,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,19,82,82,24,24,17.183902439,17.183902439
1043401086,GONZALEZ GONZALEZ,HUMBERTO,C,M.D,M,I,1265 UNION AVE,SUITE 184,MEMPHIS,TN,381043415,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,43,218,219,16,16,11.852876712,11.852876712
1043401201,CASSIDY,ERIN,P,FNP,F,I,2801 NW MERCY DR STE 340,,ROSEBURG,OR,974712348,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,43,72.603023256,8.32,6.5218604651,6.5218604651
1043401201,CASSIDY,ERIN,P,FNP,F,I,2801 NW MERCY DR STE 340,,ROSEBURG,OR,974712348,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,37,86.31,23.502432432,18.020540541,14.140540541
1043401201,CASSIDY,ERIN,P,FNP,F,I,2801 NW MERCY DR STE 340,,ROSEBURG,OR,974712348,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,13.879444444,8.1288888889,5.9011111111,3.1911111111
1043401201,CASSIDY,ERIN,P,FNP,F,I,2801 NW MERCY DR STE 340,,ROSEBURG,OR,974712348,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,70,466.72285714,107.894,83.738142857,59.733857143
1043401201,CASSIDY,ERIN,P,FNP,F,I,2801 NW MERCY DR STE 340,,ROSEBURG,OR,974712348,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,4435,0.2497903044,0.0463585118,0.0363449831,0.0363449831
1043401201,CASSIDY,ERIN,P,FNP,F,I,2801 NW MERCY DR STE 340,,ROSEBURG,OR,974712348,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,89.571428571,33,25.87,25.87
1043401672,KENERSON,KEVIN,R,DO,M,I,174 S FREEPORT RD,SUITE 2A,FREEPORT,ME,040326145,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,27,71,72.923802817,8.32,5.7866197183,5.7866197183
1043401672,KENERSON,KEVIN,R,DO,M,I,174 S FREEPORT RD,SUITE 2A,FREEPORT,ME,040326145,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,17,14.351176471,1.42,1.0470588235,1.0470588235
1043401672,KENERSON,KEVIN,R,DO,M,I,174 S FREEPORT RD,SUITE 2A,FREEPORT,ME,040326145,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,312.85208333,104.5025,76.951666667,55.231666667
1043401672,KENERSON,KEVIN,R,DO,M,I,174 S FREEPORT RD,SUITE 2A,FREEPORT,ME,040326145,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,44.560909091,31.950909091,26.832727273
1043401672,KENERSON,KEVIN,R,DO,M,I,174 S FREEPORT RD,SUITE 2A,FREEPORT,ME,040326145,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,2130,1.2969342723,0.1375774648,0.1078732394,0.1078732394
1043401672,KENERSON,KEVIN,R,DO,M,I,174 S FREEPORT RD,SUITE 2A,FREEPORT,ME,040326145,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,38,38,83.131578947,33,24.508421053,24.508421053
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,75.58,40,31.36,30.569090909
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,6.96,6.26,4.908,5.6989090909
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,3.29,2.96,2.3206666667,2.3206666667
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,11.93,8.1,6.35,6.4233333333
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,7.82,4.31,3.38,3.38
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,196.34785714,51.26,35.301428571,37.693571429
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,56.044285714,17.5,13.014285714,13.312857143
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,71.407272727,12,6.8436363636,6.6327272727
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,21,126,7.669047619,2,1.363968254,1.386031746
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,246.32,87.5,67.23,70.16
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,1488.4,931.92615385,718.25653846,718.25653846
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,23.721052632,3.2836842105,1.5973684211,2.73
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,189,32.033076923,25.117692308,27.569230769
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,362.23947368,71.11,50.916315789,50.164736842
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,34,11976,0.4722979292,0.0465631263,0.0277680361,0.0277680361
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,33,4129,2.2173988859,0.1353693388,0.1034972148,0.1034972148
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,102.83833333,36,28.22,29.295
1043401698,PHAM,DAVID,N,MD,M,I,14120 BEACH BLVD 101,,WESTMINSTER,CA,926834454,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,17,48,48,33,33,21.676458333,21.676458333
1043401813,SLACK,JENNIFER,M,MD,F,I,501 N GRAHAM ST STE 100,,PORTLAND,OR,972271650,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,13,332.94230769,49.697692308,38.962307692,40.503846154
1043401813,SLACK,JENNIFER,M,MD,F,I,501 N GRAHAM ST STE 100,,PORTLAND,OR,972271650,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,24,50.73,3.8575,3.0225,3.6354166667
1043401813,SLACK,JENNIFER,M,MD,F,I,501 N GRAHAM ST STE 100,,PORTLAND,OR,972271650,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,760.48,77.18,55.24826087,49.96173913
1043401813,SLACK,JENNIFER,M,MD,F,I,501 N GRAHAM ST STE 100,,PORTLAND,OR,972271650,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,40,31.36,30.126666667
1043401813,SLACK,JENNIFER,M,MD,F,I,501 N GRAHAM ST STE 100,,PORTLAND,OR,972271650,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,985,1.3301015228,0.1329746193,0.1042741117,0.1042741117
1043401813,SLACK,JENNIFER,M,MD,F,I,501 N GRAHAM ST STE 100,,PORTLAND,OR,972271650,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,40,29.730833333,27.880833333
1043401813,SLACK,JENNIFER,M,MD,F,I,501 N GRAHAM ST STE 100,,PORTLAND,OR,972271650,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,107.25,33,25.87,25.87
1043402373,RENDOFF,ANDREW,D,P.A.,M,I,1602 N 2ND ST,,CLINTON,MO,647351192,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,67.71,54.07,42.39,45.884117647
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,57,125,60.79976,8.32,5.84328,5.84328
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,33,42,16.231190476,1.42,1.0371428571,1.0371428571
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,8.724,7.37,5.778,5.778
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,3.144,2.66,2.0854444444,2.3206666667
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,4.885,4.12,3.23,3.3
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,9.565,7.68,6.0225,6.43
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,4.62,3.9,3.06,3.38
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,5.29,3.6,2.82,2.455
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A7012,"Water collection device, used with large volume nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,4.775,3.4,2.665,2.13
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,2.75,2.33,1.82,1.82
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,4.5,3.81,2.987,2.987
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,4.88,3.8258064516,4.1322580645
1043402456,JAFRY,BEHJATH,,M.D.,F,I,1210 BRACE RD,SUITE 102,CHERRY HILL,NJ,080343213,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5735,2.674,0.2996861378,0.2099319965,0.217168265
1043402480,MANGANO,ANDREW,P,DO,M,I,839 82ND PKWY,,MYRTLE BEACH,SC,295724614,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,124.67,17.29,12.904761905,12.89047619
1043402480,MANGANO,ANDREW,P,DO,M,I,839 82ND PKWY,,MYRTLE BEACH,SC,295724614,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.2636363636,3.3490909091,3.5836363636
1043402480,MANGANO,ANDREW,P,DO,M,I,839 82ND PKWY,,MYRTLE BEACH,SC,295724614,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,692.7071875,70.23,53.339375,53.126875
1043402944,HAAS,MICHELLE,K,MD,F,I,660 BANNOCK ST,,DENVER,CO,802044506,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,78.49,61.53,54.73
1043402944,HAAS,MICHELLE,K,MD,F,I,660 BANNOCK ST,,DENVER,CO,802044506,US,Physician/Infectious Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.76,30.39,29.51
1043403066,LUO,JIANN-GANG,F,MD,M,I,2220 MOORPARK AVE,,SAN JOSE,CA,951282613,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,12,16,16,12.540833333,12.540833333
1043403215,SERAG,RANDA,,M.D.,F,I,4708 BARRANCA PKWY,,IRVINE,CA,926044730,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35,11.4175,8.95,8.95
1043403363,WOELK,JOSHUA,L,,M,I,205 WABASHA ST S,,SAINT PAUL,MN,551071805,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,975,4.5269230769,2.04,1.5501333333,1.5501333333
1043403447,ALFORD,ERIKA,M,MD,F,I,1244 N MARINE CORPS DR,,TAMUNING,GU,969134308,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,13,45,93,76.914301075,8.32,6.0305376344,6.0305376344
1043403447,ALFORD,ERIKA,M,MD,F,I,1244 N MARINE CORPS DR,,TAMUNING,GU,969134308,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,12.134666667,1.42,0.896,0.896
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,69,171,67.833333333,8.32,6.0264912281,6.0264912281
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.65,2.65
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,40,60,14.484333333,1.42,0.9853333333,0.9853333333
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,12,19,20,291.944,124.2785,89.9005,63.1545
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,21,45,115.54222222,46.133111111,32.985555556,23.038888889
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,56.89625,25.055625,18.284375,13.26125
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,64.239333333,20.938,16.412,9.12
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,23,115,8.0128695652,2.967826087,2.3273043478,1.6112173913
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,63.809166667,50.0075,41.7875
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,59.855,43.488333333,34.494166667
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,25,213.9792,49.0628,36.9984,24.0084
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,42.731818182,13.437727273,10.536363636,8.8895454545
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,91,95,365.02589474,101.468,75.085473684,55.588736842
1043403751,LACY,KIMBERLY,K,D.O.,F,I,445 GIENOW RD,,RURAL RETREAT,VA,243683210,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,21,250,44.455714286,31.893333333,28.074761905
1043404122,HUMPHRYS,KIMBERLY,,NP,F,I,525 E MARKET ST,TRAUMA SERVICES,AKRON,OH,443041619,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,78,61.15,54.73
1043404122,HUMPHRYS,KIMBERLY,,NP,F,I,525 E MARKET ST,TRAUMA SERVICES,AKRON,OH,443041619,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,79.81,18.75,11.605263158,10.342105263
1043404122,HUMPHRYS,KIMBERLY,,NP,F,I,525 E MARKET ST,TRAUMA SERVICES,AKRON,OH,443041619,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36,28.22,29.51
1043404155,ROSCA,MIHAELA,L,MD,F,I,2545 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177300,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,36.88,16,12.54,13.54
1043404155,ROSCA,MIHAELA,L,MD,F,I,2545 SCHOENERSVILLE RD,,BETHLEHEM,PA,180177300,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,230,71.11,55.75,54.73
1043404585,BHUNIA,KAUSHIK,,M.D.,M,I,717 DELAWARE STREET,UNIVERSITY OF MN DEPT OF MED - MAIL STOP 1932J,MINNEAPOLIS,MN,55414,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,18,86.31,19.270555556,15.108333333,13.53
1043404585,BHUNIA,KAUSHIK,,M.D.,M,I,717 DELAWARE STREET,UNIVERSITY OF MN DEPT OF MED - MAIL STOP 1932J,MINNEAPOLIS,MN,55414,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,15,439.67333333,70.406666667,51.212,51.081333333
1043404593,LIN,MING,,MD,F,I,LAHEY HOSPITAL & MEDICAL CENTER,41 MALL ROAD,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,26,85,10560,4.0176818182,0.5857556818,0.4453125,0.4595047348
1043404593,LIN,MING,,MD,F,I,LAHEY HOSPITAL & MEDICAL CENTER,41 MALL ROAD,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,2781,3.1694354549,0.7336713412,0.5752067602,0.5752067602
1043404593,LIN,MING,,MD,F,I,LAHEY HOSPITAL & MEDICAL CENTER,41 MALL ROAD,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,30,93,93,24,24,18.82,18.82
1043404593,LIN,MING,,MD,F,I,LAHEY HOSPITAL & MEDICAL CENTER,41 MALL ROAD,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,20,21,16,16,12.54,12.54
1043404635,EBOIKPOMWEN,ABIEYUWA,,,F,I,404 W FOUNTAIN ST,,ALBERT LEA,MN,560072437,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,76.265555556,8.32,2.1766666667,2.1766666667
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,63,190,68.645210526,8.32,6.0765263158,6.0765263158
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,25,53,19.969056604,1.42,1.0301886792,1.0301886792
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,8.19,1.48,1.0707692308,1.0615384615
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,14,85.122857143,17.41,13.65,13.563571429
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,50,39.2,37.772727273
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,38.910769231,6.1423076923,4.8161538462,3.9023076923
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,492.43714286,79.3,62.17,56.324285714
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4874,0.1980098482,0.0457406648,0.0318957735,0.0318957735
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,900,0.92,0.1315333333,0.0970555556,0.0970555556
1043404932,DYAR,THERESA,A,D.O.,F,I,2405 N COLUMBUS ST STE 200,,LANCASTER,OH,431308186,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,31,31,128.80645161,33,23.366451613,23.366451613
1043405301,PATEL,ANKUR,A,"D.O., M. H. A.",M,I,9305 W THOMAS RD STE 255,,PHOENIX,AZ,850373364,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,4560,3.9921162281,0.5614780702,0.4086600877,0.4086535088
1043405301,PATEL,ANKUR,A,"D.O., M. H. A.",M,I,9305 W THOMAS RD STE 255,,PHOENIX,AZ,850373364,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,4140,2.2699396135,1.2768550725,0.9624758454,0.9624758454
1043405301,PATEL,ANKUR,A,"D.O., M. H. A.",M,I,9305 W THOMAS RD STE 255,,PHOENIX,AZ,850373364,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,15.049666667,7.4677272727,5.8546969697,5.8546969697
1043405301,PATEL,ANKUR,A,"D.O., M. H. A.",M,I,9305 W THOMAS RD STE 255,,PHOENIX,AZ,850373364,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,24,24,18.82,18.82
1043405301,PATEL,ANKUR,A,"D.O., M. H. A.",M,I,9305 W THOMAS RD STE 255,,PHOENIX,AZ,850373364,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,36,16,16,12.041388889,12.041388889
1043405343,ROBINSON,TRACY,A,PA-C,F,I,1138 LEXINGTON RD,,GEORGETOWN,KY,403249672,US,Physician Assistant,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,214.84,163.79,118.69,117.10083333
1043405442,RATHOD,AMEE,,M.D.,F,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,40,79,428,77.255,8.32,5.6495327103,5.6495327103
1043405442,RATHOD,AMEE,,M.D.,F,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,24,50,18.0018,1.42,1.0926,1.0926
1043405541,KARAYIL THEKKOOTT,NARAYANAN,D,MD,M,I,6550 MAIN STREET,STE. 1000,ZACHARY,LA,70791,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,93.21,18.5,13.291666667,12.491666667
1043405541,KARAYIL THEKKOOTT,NARAYANAN,D,MD,M,I,6550 MAIN STREET,STE. 1000,ZACHARY,LA,70791,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,563.52736842,71,53.026315789,52.193684211
1043405814,IGNACIO,RAMON,L,MD,M,I,1380 E MEDICAL CTR DR,,ST GEORGE,UT,847902123,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,15,15,83.241333333,17.952,13.171333333,13.038
1043405814,IGNACIO,RAMON,L,MD,M,I,1380 E MEDICAL CTR DR,,ST GEORGE,UT,847902123,US,Hospitalist,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,26,4.85,3.8,3.9375
1043405814,IGNACIO,RAMON,L,MD,M,I,1380 E MEDICAL CTR DR,,ST GEORGE,UT,847902123,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,12,12,425.335,73.311666667,51.414166667,52.055
1043405814,IGNACIO,RAMON,L,MD,M,I,1380 E MEDICAL CTR DR,,ST GEORGE,UT,847902123,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,26.185454545,18.783636364,11.909090909
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,93,43.857096774,8.32,6.2420430108,6.2420430108
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,12.050666667,3.38,2.65,2.65
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,36,13.490555556,1.42,1.1122222222,1.1122222222
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,36,36,36,144.86388889,48.877222222,38.313611111,36.46
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,30,30,210.194,59.099,46.332,39.568333333
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,39.027037037,19.318888889,12.935555556,11.528888889
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,39,39,100,60.253076923,46.18,37.34974359
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,54.498333333,4.622,3.4976666667,3.6
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,65,65,240.29507692,91.903692308,64.812153846,49.252153846
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,22,89,89,80.795505618,23.09988764,17.913707865,15.513595506
1043405913,NICKENS,WESLEY,S,M.D.,M,I,603 QUAIL CREEK DR SPC 300,,AMARILLO,TX,79124,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,32.344166667,27.6525
1043406069,SAMUELS,ANGELLA,,DNP,F,I,2795 MAIN ST W BLDG 21,NEW HORIZONS FAMILY CLINIC,SNELLVILLE,GA,300783164,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,21,43,77.986511628,8.32,6.0674418605,6.0674418605
1043406069,SAMUELS,ANGELLA,,DNP,F,I,2795 MAIN ST W BLDG 21,NEW HORIZONS FAMILY CLINIC,SNELLVILLE,GA,300783164,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,13.9,4.02,3.1516666667,3.2456666667
1043406069,SAMUELS,ANGELLA,,DNP,F,I,2795 MAIN ST W BLDG 21,NEW HORIZONS FAMILY CLINIC,SNELLVILLE,GA,300783164,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4942,2.2815054634,0.3,0.2352084176,0.2430513962
1043406069,SAMUELS,ANGELLA,,DNP,F,I,2795 MAIN ST W BLDG 21,NEW HORIZONS FAMILY CLINIC,SNELLVILLE,GA,300783164,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1920,2.38053125,0.134609375,0.1012864583,0.1012864583
1043406069,SAMUELS,ANGELLA,,DNP,F,I,2795 MAIN ST W BLDG 21,NEW HORIZONS FAMILY CLINIC,SNELLVILLE,GA,300783164,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,33,33,24.694090909,24.694090909
1043406424,FARRELL,BARBARA,,NP,F,I,333 BROADWAY,,AMITYVILLE,NY,117012719,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,138.02,43.8335,34.365,36.251
1043406424,FARRELL,BARBARA,,NP,F,I,333 BROADWAY,,AMITYVILLE,NY,117012719,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,146.89,49.15,38.528181818,40.589090909
1043406424,FARRELL,BARBARA,,NP,F,I,333 BROADWAY,,AMITYVILLE,NY,117012719,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,69.89,16.877272727,13.230909091,14.823333333
1043406424,FARRELL,BARBARA,,NP,F,I,333 BROADWAY,,AMITYVILLE,NY,117012719,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,119.34,23.114545455,18.121818182,22.204545455
1043406424,FARRELL,BARBARA,,NP,F,I,333 BROADWAY,,AMITYVILLE,NY,117012719,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,20.57,7.3568181818,5.7704545455,6.9795454545
1043407828,SPINNEY,KRISTIN,L,PAC,F,I,18 HIGHLAND AVE,,NEWBURYPORT,MA,019503812,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100.68,50,32.072727273,30.788181818
1043407992,CHIN,ROBERT,K,"MD, PHD",M,I,200 MEDICAL PLZ,SUITE B265,LOS ANGELES,CA,900950001,US,Physician/Radiation Oncology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,51.5,44.580769231,34.952307692,34.96
1043407992,CHIN,ROBERT,K,"MD, PHD",M,I,200 MEDICAL PLZ,SUITE B265,LOS ANGELES,CA,900950001,US,Physician/Radiation Oncology,S,E1700,Jaw motion rehabilitation system,D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,99.543877551,31.151836735,23.957959184,23.605306122
1043408495,FAKOURI,FARZAD,,"M.D. , MPH",M,I,1000 S BECKHAM AVE,,TYLER,TX,757011908,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,245.9375,86.6125,67.581875,54.406875
1043409055,NARVAEZ JACOB,CORINA,,MD,F,I,101 MARTIN LUTHER KING DR,,MANKATO,MN,560016460,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,51,132,79.3875,8.32,5.8304545455,5.8304545455
1043409055,NARVAEZ JACOB,CORINA,,MD,F,I,101 MARTIN LUTHER KING DR,,MANKATO,MN,560016460,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,18,21,15.04952381,1.42,0.6923809524,0.6923809524
1043409451,ROSS,STEVEN,E,M.D.,M,I,23 POND ST,,SHARON,MA,020672037,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,62,77.748225806,8.32,4.8396774194,4.8396774194
1043409691,COHENURAM,MICHAEL,,M.D.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,39,3682,34.931903857,5.1997582835,4.0646659424,4.0646659424
1043409691,COHENURAM,MICHAEL,,M.D.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,6000,12.257475,0.9032,0.70811,0.70811
1043409691,COHENURAM,MICHAEL,,M.D.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,24,24,18.82,18.82
1043409691,COHENURAM,MICHAEL,,M.D.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,26,16,16,12.54,12.54
1043409790,RONDEAU-MARZULLO,DONNA,M,NP,F,I,375 WAMPANOAG TRL,SUITE 102,RIVERSIDE,RI,029152232,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,34,88.464117647,8.32,6.1364705882,6.1364705882
1043409790,RONDEAU-MARZULLO,DONNA,M,NP,F,I,375 WAMPANOAG TRL,SUITE 102,RIVERSIDE,RI,029152232,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.351666667,1.42,1.0266666667,1.0266666667
1043409790,RONDEAU-MARZULLO,DONNA,M,NP,F,I,375 WAMPANOAG TRL,SUITE 102,RIVERSIDE,RI,029152232,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,20,76.675,49.532,38.8325,40.5185
1043410780,TRUNZO,JOSEPH,A,M.D.,M,I,29099 HEALTH CAMPUS DR BLDG 3,,WESTLAKE,OH,441455200,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,640,9.0559375,3.82,2.77071875,2.818734375
1043410780,TRUNZO,JOSEPH,A,M.D.,M,I,29099 HEALTH CAMPUS DR BLDG 3,,WESTLAKE,OH,441455200,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,26,990,9.8888282828,5.74,4.4092222222,4.4092222222
1043410780,TRUNZO,JOSEPH,A,M.D.,M,I,29099 HEALTH CAMPUS DR BLDG 3,,WESTLAKE,OH,441455200,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,584,4.7122089041,2.91,2.2814383562,2.2814383562
1043410780,TRUNZO,JOSEPH,A,M.D.,M,I,29099 HEALTH CAMPUS DR BLDG 3,,WESTLAKE,OH,441455200,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,1870,0.764026738,0.27,0.206,0.206
1043410780,TRUNZO,JOSEPH,A,M.D.,M,I,29099 HEALTH CAMPUS DR BLDG 3,,WESTLAKE,OH,441455200,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,1400,0.67755,0.24,0.1881571429,0.2091571429
1043410897,CHOW,DESIREE,,MD,F,I,10 UNION SQ E,SUITE 3G,NEW YORK,NY,100033314,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,49,54.028571429,8.32,6.3910204082,6.3910204082
1043411416,RAIA,FRANK,J,MD,M,I,3420 S MERCY RD,STE 200,GILBERT,AZ,852970419,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,40,42,43,101.75604651,69.702325581,51.817906977,43.833255814
1043411739,STUTZ,LUMINITA,,CNP,F,I,2650 RIDGE AVE,"WALGREEN BUILDING, SUITE 2507",EVANSTON,IL,602011718,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,48,2535,6.9679211045,0.5717080868,0.4482011834,0.4482011834
1043411739,STUTZ,LUMINITA,,CNP,F,I,2650 RIDGE AVE,"WALGREEN BUILDING, SUITE 2507",EVANSTON,IL,602011718,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,2.3494814815,0.7366666667,0.5775462963,0.5775462963
1043411739,STUTZ,LUMINITA,,CNP,F,I,2650 RIDGE AVE,"WALGREEN BUILDING, SUITE 2507",EVANSTON,IL,602011718,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,4020,14.949099502,1.1803731343,0.9046492537,0.9046492537
1043411739,STUTZ,LUMINITA,,CNP,F,I,2650 RIDGE AVE,"WALGREEN BUILDING, SUITE 2507",EVANSTON,IL,602011718,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,6540,5.6118669725,2.8275963303,2.2168333333,2.2168333333
1043411739,STUTZ,LUMINITA,,CNP,F,I,2650 RIDGE AVE,"WALGREEN BUILDING, SUITE 2507",EVANSTON,IL,602011718,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,60,60,24,24,18.542333333,18.542333333
1043411739,STUTZ,LUMINITA,,CNP,F,I,2650 RIDGE AVE,"WALGREEN BUILDING, SUITE 2507",EVANSTON,IL,602011718,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,67,71,16,16,12.54,12.54
1043411911,FRANKLIN,PETER,A,M.D.,M,I,71 PROSPECT AVE,,HUDSON,NY,125342907,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,50.73,7.5905263158,5.8226315789,3.4678947368
1043411911,FRANKLIN,PETER,A,M.D.,M,I,71 PROSPECT AVE,,HUDSON,NY,125342907,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,107.32875,84.14875,59.7925
1043412026,GAMBARIN,YELENA,,M.D.,F,I,319 DIABLO RD STE 105,,DANVILLE,CA,945263428,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,29,75,71.29,8.32,6.5221333333,6.5221333333
1043412026,GAMBARIN,YELENA,,M.D.,F,I,319 DIABLO RD STE 105,,DANVILLE,CA,945263428,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,17,13.561176471,1.42,1.1188235294,1.1188235294
1043412026,GAMBARIN,YELENA,,M.D.,F,I,319 DIABLO RD STE 105,,DANVILLE,CA,945263428,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,16,27.2725,20.703125,16.23125,14.5625
1043412026,GAMBARIN,YELENA,,M.D.,F,I,319 DIABLO RD STE 105,,DANVILLE,CA,945263428,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,443.41071429,27.897142857,18.385714286,17.648571429
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,420,9.5044285714,3.82,2.6532857143,2.7160714286
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,860,10.711593023,5.74,3.9592906977,3.9592906977
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,530,17.676754717,9.8558490566,6.2990377358,6.3022830189
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,300,19.2354,7,5.0097666667,5.0097666667
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,460,8.831,4.0282608696,3.1581304348,3.1595
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,18,1400,0.7759285714,0.27,0.21165,0.21165
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,620,8.6894193548,3.04,2.3833387097,2.3833387097
1043412109,HUSAIN,SYED,G,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,30,1500,0.7618266667,0.24,0.1659266667,0.1844733333
1043412281,KUNDAIKAR,AJITA,,M.D.,F,I,200 SE HOSPITAL AVE,,STUART,FL,349942346,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,29.823636364,23.384545455,21.169090909
1043412356,SHAH,PANKAJKUMAR,C,M.D.,M,I,320 W 18TH ST,,HOPKINSVILLE,KY,422401965,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,680,0.4411764706,0.12,0.0940882353,0.0940882353
1043412356,SHAH,PANKAJKUMAR,C,M.D.,M,I,320 W 18TH ST,,HOPKINSVILLE,KY,422401965,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,1523,0.6040709127,0.4495075509,0.3524294156,0.352790545
1043412356,SHAH,PANKAJKUMAR,C,M.D.,M,I,320 W 18TH ST,,HOPKINSVILLE,KY,422401965,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,55,55,35.76,18.390181818,13.920545455,13.038
1043412356,SHAH,PANKAJKUMAR,C,M.D.,M,I,320 W 18TH ST,,HOPKINSVILLE,KY,422401965,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,22.362173913,4.3726086957,2.9882608696,2.987826087
1043412356,SHAH,PANKAJKUMAR,C,M.D.,M,I,320 W 18TH ST,,HOPKINSVILLE,KY,422401965,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,15,82,82,229.74829268,79.636219512,60.962804878,53.31597561
1043412356,SHAH,PANKAJKUMAR,C,M.D.,M,I,320 W 18TH ST,,HOPKINSVILLE,KY,422401965,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,62.142857143,43.701428571,34.263571429,29.515
1043412521,YEE,ALAN,H,DO,M,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,130,42.6925,33.4725,36.013333333
1043412521,YEE,ALAN,H,DO,M,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Physician/Neurology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,10,2.84,2.22,2.2466666667
1043412521,YEE,ALAN,H,DO,M,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,125,16.454,12.903333333,13.805
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,29,70,157,73.641656051,8.32,5.638089172,5.638089172
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,31,33,11.073030303,1.42,0.8815151515,0.8815151515
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,66,22.532222222,16.558518519,12.527777778
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,238.78363636,52.176363636,40.903636364,25.501818182
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,68,427.69352941,96.966323529,72.557794118,53.277941176
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,194.93058824,43.437058824,32.122352941,27.874117647
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,40,6998,0.2710317233,0.0456044584,0.0307530723,0.0307502143
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,445,3.037505618,0.218494382,0.0576179775,0.0576179775
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,599.5,165.30722222,126.87388889,102.86722222
1043412893,STEVENS,JENNIFER,,MD,F,I,416 E LOCUST ST,,CHATSWORTH,IL,60921,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,40,40,65.175,33,18.586,18.586
1043412935,THOMAS,OWEN,C,MD,M,I,18947 JOHN J WILLIAMS HWY,TUNNELL CANCER CENTER,REHOBOTH BEACH,DE,199714474,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5561,1.1099442546,0.3,0.2323628844,0.2402103938
1043413131,THOMPSON,BENJAMIN,H,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,49.75,21.985,16.661153846,13.009615385
1043413131,THOMPSON,BENJAMIN,H,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,2028.1109091,1074.31,835.73863636,835.73863636
1043413131,THOMPSON,BENJAMIN,H,M.D.,M,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,49,314.83714286,103.00285714,77.097142857,52.205714286
1043413214,PETERSON,JEREMY,J,MD,M,I,919 NORTHLAND DR,,PRINCETON,MN,553712172,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,37,101,64.998019802,8.32,5.6833663366,5.6833663366
1043413214,PETERSON,JEREMY,J,MD,M,I,919 NORTHLAND DR,,PRINCETON,MN,553712172,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,16,13.586875,1.42,0.90875,0.90875
1043413503,TRISKET,KATHY,,CRNP,F,I,4570 ROUTE 60,,GERRY,NY,147409540,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,31.128,8.834,6.9246666667,3.828
1043413503,TRISKET,KATHY,,CRNP,F,I,4570 ROUTE 60,,GERRY,NY,147409540,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,19,519.51,95.28,68.408947368,48.968947368
1043413503,TRISKET,KATHY,,CRNP,F,I,4570 ROUTE 60,,GERRY,NY,147409540,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,21,110.17761905,29.415714286,22.373809524,14.045714286
1043413503,TRISKET,KATHY,,CRNP,F,I,4570 ROUTE 60,,GERRY,NY,147409540,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,111.99,42.831818182,33.577272727,21.773636364
1043413669,LAMOS,ELIZABETH,M,MD,F,I,827 LINDEN AVE,FLOOR 2 SOUTH,BALTIMORE,MD,212014606,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,45,49,101,539,63.080445269,8.32,6.2324304267,6.2324304267
1043413669,LAMOS,ELIZABETH,M,MD,F,I,827 LINDEN AVE,FLOOR 2 SOUTH,BALTIMORE,MD,212014606,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.038181818,3.38,2.4090909091,2.4090909091
1043413669,LAMOS,ELIZABETH,M,MD,F,I,827 LINDEN AVE,FLOOR 2 SOUTH,BALTIMORE,MD,212014606,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,31,57,148,13.256959459,1.42,1.0533108108,1.0533108108
1043413669,LAMOS,ELIZABETH,M,MD,F,I,827 LINDEN AVE,FLOOR 2 SOUTH,BALTIMORE,MD,212014606,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,250.86181818,250.86181818,196.67545455,196.86909091
1043413768,INTAGLIATA,NICOLAS,M,M.D.,M,I,LEE ST FL 1,,CHARLOTTESVILLE,VA,229080001,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,24,33,302,25969,3.6991289615,0.565643267,0.4255985983,0.4255982133
1043413768,INTAGLIATA,NICOLAS,M,M.D.,M,I,LEE ST FL 1,,CHARLOTTESVILLE,VA,229080001,US,Physician/Gastroenterology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,2250,0.1542666667,0.0131466667,0.0102933333,0.0102933333
1043413768,INTAGLIATA,NICOLAS,M,M.D.,M,I,LEE ST FL 1,,CHARLOTTESVILLE,VA,229080001,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,49,7740,1.1668888889,0.6973578811,0.5093178295,0.5093178295
1043413768,INTAGLIATA,NICOLAS,M,M.D.,M,I,LEE ST FL 1,,CHARLOTTESVILLE,VA,229080001,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,70,9340,2.8063319058,1.1996509636,0.903627409,0.903627409
1043413768,INTAGLIATA,NICOLAS,M,M.D.,M,I,LEE ST FL 1,,CHARLOTTESVILLE,VA,229080001,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,26,40,350,350,24,24,18.011914286,18.011914286
1043413768,INTAGLIATA,NICOLAS,M,M.D.,M,I,LEE ST FL 1,,CHARLOTTESVILLE,VA,229080001,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,22,110,115,16,16,12.321913043,12.321913043
1043414048,ASSER,INDIRA,R,MD,F,I,2020 HONEY CREEK PKWY SE,,CONYERS,GA,30013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,22,52,62.710384615,8.32,5.5180769231,5.5180769231
1043414048,ASSER,INDIRA,R,MD,F,I,2020 HONEY CREEK PKWY SE,,CONYERS,GA,30013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,13,16,11.398125,1.42,1.0475,1.0475
1043414048,ASSER,INDIRA,R,MD,F,I,2020 HONEY CREEK PKWY SE,,CONYERS,GA,30013,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.25,11.438333333,11.438333333
1043414048,ASSER,INDIRA,R,MD,F,I,2020 HONEY CREEK PKWY SE,,CONYERS,GA,30013,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,75.56,49.366666667,49.366666667
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,9.86,7.37,5.778,5.778
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,1200,3.65,2.96,2.3206,2.3206
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,6.35,5.23,4.1003333333,4.1003333333
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2140,0.1635046729,0.13,0.101911215,0.101911215
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,37,44,50.5875,17.089090909,12.7775,12.823863636
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1900,1074.31,842.26,842.26
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,27.528846154,5.3807692308,4.09,3.5084615385
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,14,95,102,365.20245098,72.707254902,53.470882353,51.844705882
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,46,97.173913043,37.347608696,26.163913043,26.398043478
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,38,9478,0.291789407,0.0465594007,0.0347636632,0.0347636632
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,464,754.55818966,568.583125,445.71540948,445.71540948
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,204.82666667,36.380666667,26.327333333,27.210666667
1043414055,CARRIE,ROBIN,D,ARNP,F,I,1600 SW ARCHER ROAD,M452,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,16,59,59,50.898305085,33,24.554576271,24.554576271
1043414402,KILPATRICK,JOSHUA,C,MD,M,I,907 MOUNTAIN LION CIR,,HARKER HEIGHTS,TX,765485713,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,26,72,74.549583333,8.32,6.52125,6.52125
1043414402,KILPATRICK,JOSHUA,C,MD,M,I,907 MOUNTAIN LION CIR,,HARKER HEIGHTS,TX,765485713,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1440,2.5118333333,0.0703333333,0.0551388889,0.0551388889
1043414402,KILPATRICK,JOSHUA,C,MD,M,I,907 MOUNTAIN LION CIR,,HARKER HEIGHTS,TX,765485713,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1320,1.5424848485,0.1314545455,0.1030984848,0.1030984848
1043414402,KILPATRICK,JOSHUA,C,MD,M,I,907 MOUNTAIN LION CIR,,HARKER HEIGHTS,TX,765485713,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,25.87,25.87
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,10,58,157,2809,43.681278035,19.643011748,14.997760769,14.997760769
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,10,56,147,4655,6.4516928034,2.6326960258,1.9863200859,1.9863200859
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,47,85,247,1058,64.347589792,8.32,6.1373818526,6.1373818526
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,19,41,41,10.357560976,3.38,2.5853658537,2.5853658537
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,15,22,22,13.367272727,2.12,1.67,1.67
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,40,94,234,12.899700855,1.42,1.0607692308,1.0607692308
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,24,183,183,655.49289617,344.81213115,266.91185792,266.91185792
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,81,6240,16.104027244,10.701100962,8.3499391026,8.3499391026
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,20,72,72,269.1825,251.03416667,196.81055556,196.86972222
1043414485,BURNEY,BASIL,O,M.D,M,I,1801 PINE ST,SUITE 203,MONTGOMERY,AL,361060165,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,19,19,19,255.50210526,242.21210526,189.89210526,199.94631579
1043414543,PITCHER,GRATIA,L,MD,F,I,400 E 3RD ST,ESSENTIA HEALTH DULUTH CLINIC,DULUTH,MN,558051951,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,258.6,92.1405,72.239,58.78
1043414626,MUMMADI,SRINIVAS,R,MBBS,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,225,105.01636364,82.335454545,54.73
1043414626,MUMMADI,SRINIVAS,R,MBBS,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,4914,0.3465466015,0.0459259259,0.0327228327,0.0327228327
1043414626,MUMMADI,SRINIVAS,R,MBBS,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.75,45.002727273,35.284545455,29.516363636
1043414626,MUMMADI,SRINIVAS,R,MBBS,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,82.5,33,25.87,25.87
1043414709,KUPPUSWAMY,RAMACHANDRAN,,MD,M,I,800 COLLEGE HWY,,SOUTHWICK,MA,010779690,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,51,123,61.631544715,8.32,6.2569918699,6.2569918699
1043414709,KUPPUSWAMY,RAMACHANDRAN,,MD,M,I,800 COLLEGE HWY,,SOUTHWICK,MA,010779690,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,17,16.304705882,1.42,1.1176470588,1.1176470588
1043415011,WANG,LYNN,,M.D.,F,I,9127 W RUSSELL RD STE 110,,LAS VEGAS,NV,891481253,US,Physician/Anesthesiology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,110.09,37,24.175,24.696666667
1043415250,RAPURI,VENKAT,R,M.D.,M,I,902 W RANDOL MILL RD STE 120,,ARLINGTON,TX,760122579,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,135,47,33.5,33.180909091
1043415250,RAPURI,VENKAT,R,M.D.,M,I,902 W RANDOL MILL RD STE 120,,ARLINGTON,TX,760122579,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,47.752727273,8.5154545455,5.3372727273,5.2427272727
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,73.155,18.6625,12.765,11.845
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,32,31,170,19227,4.2556295834,0.5582451761,0.4281900452,0.428183804
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,42,8700,0.0670333333,0.0128275862,0.0098712644,0.0098712644
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,15,67,13560,3.6423230088,1.2834122419,0.9848443953,0.9848443953
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,5640,4.9825319149,2.8285319149,2.1940070922,2.1940070922
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,449,19.022316258,7.4980400891,5.6829844098,5.6829844098
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,35,30,124,124,24,24,18.341048387,18.341048387
1043415292,KAPNADAK,SIDDHARTHA,G,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,39,36,227,271,16,16,12.355424354,12.355424354
1043415383,DERMENDJIAN,DIANA,,D.O.,F,I,607 S GLENOAKS BLVD,,BURBANK,CA,915021424,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,26,80.358076923,8.32,6.5234615385,6.5234615385
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,28,28,126.20571429,48.545,35.292142857,28.803214286
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,19,23,23,309.67565217,110.91608696,82.933043478,71.422173913
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,12,23,31,147.73774194,45.539032258,34.777741935,27.994516129
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,54,84.192592593,26.424074074,19.433888889,13.269259259
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,18,23,23,229.25565217,74.09,53.987391304,41.36
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,36,43,43,119.59325581,23.774651163,17.67744186,14.415581395
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,27,27,60.904074074,18.231851852,14.291111111,10.405555556
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,25,54,162,8.7358024691,2.8625925926,2.0484567901,1.5308641975
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,450,123.16916667,89.025833333,59.793333333
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,14,71,71,50.704225352,19.193098592,14.06971831,10.432112676
1043415706,LIU,YU,,M.D.,M,I,1100 MERCER AVE,,DECATUR,IN,46733,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,26,138,138,256.32434783,49.856231884,35.851449275,24.630217391
1043415771,TOLENTINO,CEZAR,B,M.D.,M,I,711 W NORTH AVE,,CHICAGO,IL,606101174,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,27,56.735185185,8.32,5.7537037037,5.7537037037
1043415961,SEERY,TARA,E,,F,I,1640 NEWPORT BLVD STE 370,,COSTA MESA,CA,926277738,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,7,15,68,5006,49.920205753,5.1793507791,4.0402017579,4.0402017579
1043415961,SEERY,TARA,E,,F,I,1640 NEWPORT BLVD STE 370,,COSTA MESA,CA,926277738,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,44,44,24,24,18.82,18.82
1043415961,SEERY,TARA,E,,F,I,1640 NEWPORT BLVD STE 370,,COSTA MESA,CA,926277738,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,16,16,12.54,12.54
1043415987,HILL,DEMAR,D,M.D.,M,I,388 SOUTH US HWY 20,,BASIN,WY,824108902,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,11.516363636,3.0781818182,2.1454545455,1.4484848485
1043415987,HILL,DEMAR,D,M.D.,M,I,388 SOUTH US HWY 20,,BASIN,WY,824108902,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,383.804,92.820666667,63.506333333,47.318333333
1043415987,HILL,DEMAR,D,M.D.,M,I,388 SOUTH US HWY 20,,BASIN,WY,824108902,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,153.07692308,43.966153846,31.944230769,27.519230769
1043416118,BARHAMS,AKIRA,,M.D.,F,I,3508 S LAFOUNTAIN ST,,KOKOMO,IN,469023803,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,140.26,38.077142857,28.62047619,23.373809524
1043416365,KODIAL,SUKHWINDER,S,M.D.,M,I,325 ESSJAY RD,,WILLIAMSVILLE,NY,142218243,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,40,71,72.399014085,8.32,5.144084507,5.144084507
1043416365,KODIAL,SUKHWINDER,S,M.D.,M,I,325 ESSJAY RD,,WILLIAMSVILLE,NY,142218243,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,92.545,39.85,31.24,30.6775
1043416365,KODIAL,SUKHWINDER,S,M.D.,M,I,325 ESSJAY RD,,WILLIAMSVILLE,NY,142218243,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,21,106,7.7898113208,2.26,1.738490566,1.5933018868
1043416365,KODIAL,SUKHWINDER,S,M.D.,M,I,325 ESSJAY RD,,WILLIAMSVILLE,NY,142218243,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,34,216.37411765,31.764705882,22.597647059,22.461176471
1043416373,BARANYK,CHRISTOPHER,S,D.O.,M,I,4052 E VANBUREN,STE A,EUREKA SPRINGS,AR,72632,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,122.27,61.026666667,46.871666667,35.883333333
1043416373,BARANYK,CHRISTOPHER,S,D.O.,M,I,4052 E VANBUREN,STE A,EUREKA SPRINGS,AR,72632,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,47,519.51,107.02808511,82.641276596,67.134468085
1043416480,JORDAN,VERONICA,,MD,F,I,3324 CHANATE RD,,SANTA ROSA,CA,954041708,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,78.978214286,8.32,5.1228571429,5.1228571429
1043416605,ONDRASIK,NICHOLAS,R,D.O.,M,I,209 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054265,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,127.73833333,18.1025,12.928333333,12.972916667
1043416605,ONDRASIK,NICHOLAS,R,D.O.,M,I,209 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054265,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1800,913.16,711.58416667,827.39583333
1043416605,ONDRASIK,NICHOLAS,R,D.O.,M,I,209 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054265,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,57,57,440.72947368,72.789473684,49.371403509,47.402982456
1043416605,ONDRASIK,NICHOLAS,R,D.O.,M,I,209 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054265,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,190,38.193333333,24.808333333,24.591666667
1043416605,ONDRASIK,NICHOLAS,R,D.O.,M,I,209 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054265,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,50,39.822,27.112,25.575333333
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,38,64.580789474,8.32,6.1792105263,6.1792105263
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,12.7425,1.42,1.025,1.025
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,12.34,9.6754545455,9.53
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,4.77,3.3516666667,3.1925
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,33.185454545,26.018181818,25.544545455
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,519.51,70.007647059,49.7,49.540588235
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,19,19,19,1327.5652632,1042.0857895,807.42526316,876.92631579
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,13,17,909.41823529,849.98,666.38117647,677.69
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,13,18,245.45666667,110.38333333,78.572222222,80.877777778
1043416696,FRANGOS,JENNIFER,A,D.O.,F,I,502 CABELA DR,,TRIADELPHIA,WV,260591044,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,13,824.09076923,653.24,512.14,564.18307692
1043416787,PADILLA,MICHAEL,A,M.D,M,I,3101 ARLINGTON ST,SUITE B,ADA,OK,748203085,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,16,1075,795.76,623.88,571.989375
1043416803,GROW,PATRICIA,A,FNP,F,I,301 UNIVERSITY BLVD,"2240 GULF FREEWAY SOUTH, SU 2.110 LEAGUE CITY TX 77573",GALVESTON,TX,775550737,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,28,44.917857143,36.28,28.443571429,30.750357143
1043416985,KIEWIET,NATHAN,J,M.D.,M,I,,,,XX,,XX,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,45,45,45,362.23333333,251.28,195.41866667,213.41733333
1043417157,RAIKHELKAR,JAYANT,,M.D.,M,I,177 FORT WASHINGTON AVE FL 5,,NEW YORK,NY,100323733,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,2310,5.3571082251,0.5321298701,0.4171774892,0.4171774892
1043417157,RAIKHELKAR,JAYANT,,M.D.,M,I,177 FORT WASHINGTON AVE FL 5,,NEW YORK,NY,100323733,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1860,3.6429516129,1.3867419355,1.0703978495,1.0703978495
1043417157,RAIKHELKAR,JAYANT,,M.D.,M,I,177 FORT WASHINGTON AVE FL 5,,NEW YORK,NY,100323733,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,24,24,18.82,18.82
1043417157,RAIKHELKAR,JAYANT,,M.D.,M,I,177 FORT WASHINGTON AVE FL 5,,NEW YORK,NY,100323733,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,27,16,16,12.541111111,12.541111111
1043417595,WESSON,HADLEY,K,MD,F,I,1250 E MARSHALL ST,SURG: GENERAL,RICHMOND,VA,232985051,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,14,175,27.42,24.88,19.506,19.278685714
1043417595,WESSON,HADLEY,K,MD,F,I,1250 E MARSHALL ST,SURG: GENERAL,RICHMOND,VA,232985051,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,115,8.75,7.68,6.0211304348,6.3224347826
1043417595,WESSON,HADLEY,K,MD,F,I,1250 E MARSHALL ST,SURG: GENERAL,RICHMOND,VA,232985051,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,1716.46,615.66,482.67333333,467.87533333
1043417769,CONVERS,KATHRYN,D,M.D.,F,I,4325 HIGHLAND PARK BLVD,,LAKELAND,FL,338131671,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,45,77,72.96,19.693896104,15.441558442,15.441558442
1043417769,CONVERS,KATHRYN,D,M.D.,F,I,4325 HIGHLAND PARK BLVD,,LAKELAND,FL,338131671,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,52.959473684,14.129473684,11.074736842,11.609473684
1043417769,CONVERS,KATHRYN,D,M.D.,F,I,4325 HIGHLAND PARK BLVD,,LAKELAND,FL,338131671,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,32,19000,34.26528,13.511694737,10.585619474,10.585619474
1043417769,CONVERS,KATHRYN,D,M.D.,F,I,4325 HIGHLAND PARK BLVD,,LAKELAND,FL,338131671,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,8000,43.06955625,13.969125,10.95179875,10.95179875
1043417769,CONVERS,KATHRYN,D,M.D.,F,I,4325 HIGHLAND PARK BLVD,,LAKELAND,FL,338131671,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,22,199,8.55,2.64,2.0696984925,2.0696984925
1043418619,YEUNG,ANNA,,D.O.,F,I,22921 TRITON WAY STE 125,,LAGUNA HILLS,CA,926531236,US,Physician/Geriatric Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,54.5,44.285,34.72,34.72
1043418619,YEUNG,ANNA,,D.O.,F,I,22921 TRITON WAY STE 125,,LAGUNA HILLS,CA,926531236,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,52.54,42.6925,30.04,30.393333333
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,11,32,62,4.6422580645,1.8435483871,1.4441935484,1.1503225806
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.4358333333,1.125,0.9620833333
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,2.926875,1.535,1.139375,0.903125
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,52.822307692,20.798461538,16.3,14.056153846
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,60,6.6806666667,2.9933333333,2.1701666667,1.4336666667
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,29,221,228,60.721710526,21.429605263,16.055614035,13.234912281
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,11,48,49,188.98367347,57.045510204,42.679387755,36.82244898
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,15,110,110,1565.6267273,913.16,707.49,831.533
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,1060.5772727,831.49545455,831.49545455
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,13,93,93,29.433548387,6.2396774194,4.5292473118,3.3176344086
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,46,308,320,381.83296875,90.28459375,67.83840625,53.94753125
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,62,70,120.91628571,40.930285714,30.723857143,28.296428571
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1230,16.108227642,9.6793902439,7.5886341463,7.5886341463
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,12.771294118,11.225941176,8.8011764706,8.8011764706
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,53,10008,0.4705685452,0.0456414868,0.032853717,0.032853717
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,21,65,8305,1.2262131246,0.1347778447,0.0993726671,0.0993726671
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,36,2310,10.049251082,2.9823766234,2.3382034632,2.3382034632
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,540,2.7169259259,0.2185,0.1332962963,0.1332962963
1043418692,MCCOLLUM,CHARLES,R,M.D.,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,41,137,138,61.797101449,33,24.416666667,24.416666667
1043419047,SERUR,ANNA,,MD,F,I,972 BRUSH HOLLOW RD,,WESTBURY,NY,115901740,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,150,12.282666667,5.7253333333,4.4886,4.5000666667
1043419047,SERUR,ANNA,,MD,F,I,972 BRUSH HOLLOW RD,,WESTBURY,NY,115901740,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,428,4.4767757009,2.9059345794,2.278317757,2.2811448598
1043419047,SERUR,ANNA,,MD,F,I,972 BRUSH HOLLOW RD,,WESTBURY,NY,115901740,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,375,11.832266667,6.9914666667,5.1668266667,5.1743466667
1043419047,SERUR,ANNA,,MD,F,I,972 BRUSH HOLLOW RD,,WESTBURY,NY,115901740,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,220,5.8245454545,3.0318181818,2.0014545455,2.0078636364
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,18,8.8683333333,1.575,1.1694444444,1.0861111111
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,16.97,13.31,13.527222222
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,81.75,15.9,12.46,11.04
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,35,54.858,3.9717142857,2.9954285714,3.5848571429
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,48.4125,37.955833333,31.009166667
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,68,68,604.55823529,71.11,54.201176471,53.256176471
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6481818182,7.5157272727,7.5157272727
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.15,29.13,29.478333333
1043419138,SIZEMORE,MARC,,FNP,M,I,215 E CALDWELL AVE,,VISALIA,CA,932777605,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,24,24,133.625,33,25.87,25.87
1043419559,MOORE,RAIN,,MD,F,I,3802 MAIN ST,,OCCIDENTAL,CA,95465,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,44,72.654090909,8.32,4.0259090909,4.0259090909
1043419559,MOORE,RAIN,,MD,F,I,3802 MAIN ST,,OCCIDENTAL,CA,95465,US,Physician/Family Practice,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,190,12,7,5.488,5.488
1043419559,MOORE,RAIN,,MD,F,I,3802 MAIN ST,,OCCIDENTAL,CA,95465,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,17.09,11.166666667,11.305
1043419559,MOORE,RAIN,,MD,F,I,3802 MAIN ST,,OCCIDENTAL,CA,95465,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,65.7,41.786666667,45.141666667
1043419682,HANSON,HARRISON,H,MD,M,I,20 9TH ST SE,,LONG PRAIRIE,MN,563471404,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,48,44.560416667,8.32,6.5220833333,6.5220833333
1043419682,HANSON,HARRISON,H,MD,M,I,20 9TH ST SE,,LONG PRAIRIE,MN,563471404,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,202.33529412,60.952352941,41.297058824,29.87
1043419682,HANSON,HARRISON,H,MD,M,I,20 9TH ST SE,,LONG PRAIRIE,MN,563471404,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,116.48545455,41.045454545,32.178181818,24.794545455
1043419682,HANSON,HARRISON,H,MD,M,I,20 9TH ST SE,,LONG PRAIRIE,MN,563471404,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1590,1.6789748428,0.1337358491,0.0980125786,0.0980125786
1043419682,HANSON,HARRISON,H,MD,M,I,20 9TH ST SE,,LONG PRAIRIE,MN,563471404,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,25.87,25.87
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,24,64,830,54.477481928,19.646879518,14.256084337,14.256084337
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,23,61,1890,7.4607089947,2.6336507937,1.8675925926,1.8675925926
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,79,288,1213,65.183297609,8.32,6.2661995054,6.2661995054
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,14.062,3.38,2.385,2.385
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,19.9225,2.12,1.5308333333,1.5308333333
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,44,122,15.636229508,1.42,1.0594262295,1.0594262295
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,11,50,50,789.4448,367.5558,285.294,285.294
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,2780,15.813348921,10.640035971,8.2964064748,8.2964028777
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,27,118,119,386.33966387,251.11,196.87,196.87
1043419732,NAYAK,BINDU,,M.D.,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,24,24,24,422.80416667,264.16,207.1,207.1
1043419872,BALLEK,NATHANIEL,K,M.D.,M,I,1698 E MCANDREWS RD STE 280,,MEDFORD,OR,97504,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,43,6310,0.39,0.13,0.0801061807,0.0801061807
1043419872,BALLEK,NATHANIEL,K,M.D.,M,I,1698 E MCANDREWS RD STE 280,,MEDFORD,OR,97504,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,54,6700,6.281641791,2.04,1.4299164179,1.4299164179
1043419872,BALLEK,NATHANIEL,K,M.D.,M,I,1698 E MCANDREWS RD STE 280,,MEDFORD,OR,97504,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,5190,9.4511560694,7.23,3.3531194605,3.3531194605
1043419872,BALLEK,NATHANIEL,K,M.D.,M,I,1698 E MCANDREWS RD STE 280,,MEDFORD,OR,97504,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,53,16.035660377,10.93,8.5688679245,8.5688679245
1043419872,BALLEK,NATHANIEL,K,M.D.,M,I,1698 E MCANDREWS RD STE 280,,MEDFORD,OR,97504,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,21,74,9.8359459459,6.41,4.8891891892,5.6518918919
1043419906,FERNANDEZ,JASPER,D,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,58,22.4775,17.620833333,17.620833333
1043419906,FERNANDEZ,JASPER,D,MD,M,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,295,102.61833333,80.455,80.455
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,41,89,203,51.931724138,8.32,5.65408867,5.65408867
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,25,41,59,13.121864407,1.42,0.9647457627,0.9647457627
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,26,104.74846154,71.56,56.105,56.105
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,66,30.31,29.19,22.885,22.886060606
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,164.575,69.372857143,54.387142857,49.427142857
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,49.088461538,17.878461538,14.011538462,13.531538462
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1561.02,913.16,713.75727273,828.61272727
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,49,49,25.470612245,6.3287755102,4.1695918367,2.8273469388
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,125.93775,42.55325,31.42425,22.8095
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,423.02875,75.75125,48.43,44.226666667
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,3311,0.3173029296,0.0463817578,0.031769858,0.031769858
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,63.92,29.748378378,22.403243243,14.744054054
1043420383,LANSDOWN,CHRISTOPHER,E,M.D.,M,I,11700 HIGHWAY 57,,VANCLEAVE,MS,395658309,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,38.823529412,33,22.826470588,22.826470588
1043420524,RUBIO-PINAROC,MARIA TERESA,,M.D.,F,I,11548 VISTA DEL SOL DR,,EL PASO,TX,79936,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,59,177,50.061638418,8.32,5.8219774011,5.8219774011
1043420524,RUBIO-PINAROC,MARIA TERESA,,M.D.,F,I,11548 VISTA DEL SOL DR,,EL PASO,TX,79936,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,10.936363636,3.38,2.4090909091,2.4090909091
1043420524,RUBIO-PINAROC,MARIA TERESA,,M.D.,F,I,11548 VISTA DEL SOL DR,,EL PASO,TX,79936,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,31,54,10.184074074,1.42,0.9903703704,0.9903703704
1043420557,BHAJU,SAJUMA,,MD,F,I,1060 FIRST COLONIAL RD,,VIRGINIA BEACH,VA,234543002,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,17.29,12.420833333,12.4025
1043420557,BHAJU,SAJUMA,,MD,F,I,1060 FIRST COLONIAL RD,,VIRGINIA BEACH,VA,234543002,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,268.86,70.55,53.1084,52.5312
1043420557,BHAJU,SAJUMA,,MD,F,I,1060 FIRST COLONIAL RD,,VIRGINIA BEACH,VA,234543002,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,363.07692308,37.486923077,29.386923077,29.51
1043420730,NASSAR,BOULOS,S,M.D.,M,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,253.33,100.35733333,78.682,54.73
1043421209,HATO,TAKASHI,,MD,M,I,550 UNIVERSITY BLVD,"UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.",INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,428.07692308,79.96,60.278846154,56.298846154
1043421209,HATO,TAKASHI,,MD,M,I,550 UNIVERSITY BLVD,"UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.",INDIANAPOLIS,IN,462025149,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,200,37,29.01,29.474285714
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,12,28,352,50.67625,19.652755682,13.800852273,13.800852273
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,12,31,915,6.1004043716,2.6347540984,1.8750601093,1.8750601093
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,58,79,220,912,64.139802632,8.32,5.7418201754,5.7418201754
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,22,22,10.803636364,3.38,2.2886363636,2.2886363636
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,30,54,118,11.479830508,1.4177966102,1.0833050847,1.085
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,719.9525,354.1,275.85333333,275.85333333
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2750,13.081345455,9.8999236364,5.3965381818,5.3965345455
1043421555,AZAR,MADONA,,M.D.,F,I,1000 N LINCOLN BLVD,SUITE 1000,OKLAHOMA CITY,OK,731043252,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,13,70,70,257.247,250.993,196.77828571,196.86957143
1043421779,JENKINS,TIMOTHY,D,M.D.,M,I,2410 SUSANNAH STREET,,JOHNSON CITY,TN,37601,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,120.29785714,59.217142857,43.764285714,33.855714286
1043421779,JENKINS,TIMOTHY,D,M.D.,M,I,2410 SUSANNAH STREET,,JOHNSON CITY,TN,37601,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,126.396875,64.80375,48.19625,38.24375
1043421779,JENKINS,TIMOTHY,D,M.D.,M,I,2410 SUSANNAH STREET,,JOHNSON CITY,TN,37601,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,19,21,170,121.63190476,81.544761905,88.445714286
1043421845,YIN,JIE,,MD,F,I,50 MEMORIAL DR,SUITE 209,LEOMINSTER,MA,014532238,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,58,13.401724138,2.2844827586,1.6048275862,1.4517241379
1043421845,YIN,JIE,,MD,F,I,50 MEMORIAL DR,SUITE 209,LEOMINSTER,MA,014532238,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,375,89.463636364,70.141818182,67.348181818
1043421860,OCCHINO,JOHN,A,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Obstetrics & Gynecology,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,61.071428571,50.454285714,39.555714286,39.555714286
1043422421,TAN,SANDA,A,MD,F,I,1600 SW ARCHER RD,BOX 100109,GAINESVILLE,FL,326100109,US,Physician/Colorectal Surgery (Proctology),S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,40,602,19.858803987,12.95551495,10.157043189,10.293853821
1043422421,TAN,SANDA,A,MD,F,I,1600 SW ARCHER RD,BOX 100109,GAINESVILLE,FL,326100109,US,Physician/Colorectal Surgery (Proctology),S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,41,285,581.63,373.44,292.77582456,292.77582456
1043422421,TAN,SANDA,A,MD,F,I,1600 SW ARCHER RD,BOX 100109,GAINESVILLE,FL,326100109,US,Physician/Colorectal Surgery (Proctology),S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,30,192,10.9,9.35,7.33,7.33
1043422421,TAN,SANDA,A,MD,F,I,1600 SW ARCHER RD,BOX 100109,GAINESVILLE,FL,326100109,US,Physician/Colorectal Surgery (Proctology),S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,40,285,32.728421053,29.22,22.908561404,22.908561404
1043422488,YENZER,VICTORIA,L,NP,F,I,901 PATIENTS FIRST DR,,WASHINGTON,MO,630904700,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,39.456666667,4.066,2.9946666667,3.4466666667
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,23,74,189,59.481957672,8.32,6.2401587302,6.2401587302
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.912,3.38,2.65,2.65
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,17,34,59,14.405084746,1.42,1.0586440678,1.0586440678
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,125.79,17.27,12.411666667,12.411666667
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,476.8,217.88545455,170.81636364,170.81636364
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,74,74,394.38,68.78,50.501891892,51.291756757
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,172.85714286,36.83,26.807857143,27.458571429
1043422629,TEJERO,ANA,I,D.O.,F,I,1722 PINE ST STE 309,,MONTGOMERY,AL,36106,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70,8.1163636364,6.3618181818,6.7190909091
1043423049,HOFFMAN,DEBORAH,,NP,F,I,1401 FOULK RD,SUITE 100B,WILMINGTON,DE,198032763,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,21,104,73.477884615,8.32,5.8957692308,5.8957692308
1043423049,HOFFMAN,DEBORAH,,NP,F,I,1401 FOULK RD,SUITE 100B,WILMINGTON,DE,198032763,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,175,49.569230769,38.862307692,38.842307692
1043423049,HOFFMAN,DEBORAH,,NP,F,I,1401 FOULK RD,SUITE 100B,WILMINGTON,DE,198032763,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,495,188.53181818,147.81,136.58454545
1043423049,HOFFMAN,DEBORAH,,NP,F,I,1401 FOULK RD,SUITE 100B,WILMINGTON,DE,198032763,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,250,58.173636364,41.696363636,49.549090909
1043423536,CONDRON,STEVEN,L,MD,M,I,6100 S LOUISE AVE STE 3100,,SIOUX FALLS,SD,571086021,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,5.7,3.02,2.1703611111,2.1703611111
1043423536,CONDRON,STEVEN,L,MD,M,I,6100 S LOUISE AVE STE 3100,,SIOUX FALLS,SD,571086021,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,688,8.9237936047,4.14,3.2457703488,3.2457703488
1043423536,CONDRON,STEVEN,L,MD,M,I,6100 S LOUISE AVE STE 3100,,SIOUX FALLS,SD,571086021,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,36,19877,2.043622277,0.3684177693,0.2851919304,0.2864174674
1043423536,CONDRON,STEVEN,L,MD,M,I,6100 S LOUISE AVE STE 3100,,SIOUX FALLS,SD,571086021,US,Physician/Gastroenterology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.99,3.91,3.9333333333
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,23,64,18.31625,7.9065625,5.81140625,6.08
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,699,3.0972818312,0.4441201717,0.2048783977,0.2048783977
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,2220,5.6047432432,2.6032972973,1.9117477477,1.9117387387
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,70,343,53035,3.1031720562,0.5654958047,0.4210004714,0.4209985858
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,56,243,55065,0.0879457005,0.0131164987,0.0090918006,0.0090918006
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,63,11010,1.5280544959,0.7393269755,0.5635985468,0.5635985468
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,24,104,18662,2.986490194,1.2259757797,0.9406542707,0.9406542707
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,47,264,49230,4.5647814341,2.8401096892,2.1770365631,2.205919155
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,12,9180,9.5682788671,8.4435882353,6.6071949891,6.6071949891
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,3,16,16,16,50,50,32.958125,32.958125
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,24,81,407,407,24,24,18.446732187,18.446732187
1043423775,MAHALLATI-SHIRAZI,AHMAD,,MD,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,19,83,547,670,16,16,12.248761194,12.248761194
1043424039,TURNER,STEPHEN,D,MD,M,I,57 N MEDICAL PARK DR STE 105,,FISHERSVILLE,VA,229392353,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,63.155,19.933,12.7085,10.824
1043424039,TURNER,STEPHEN,D,MD,M,I,57 N MEDICAL PARK DR STE 105,,FISHERSVILLE,VA,229392353,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,30,396.34,79.77,57.414333333,49.777333333
1043424286,MOURAD,SHADI,,MD,M,I,711 E COURT ST,,SEGUIN,TX,781555719,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,5730,5.8660855148,0.5275863874,0.3041535777,0.3511867365
1043424286,MOURAD,SHADI,,MD,M,I,711 E COURT ST,,SEGUIN,TX,781555719,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,2280,3.7587675439,0.6926622807,0.4781798246,0.5225
1043424286,MOURAD,SHADI,,MD,M,I,711 E COURT ST,,SEGUIN,TX,781555719,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,25,16,16,12.54,12.54
1043424468,WEBER,ANGELA,R,"RN, NP",F,I,2254 E MAIN ST,,UBLY,MI,484759566,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,29,58,59.285862069,8.32,5.8455172414,5.8455172414
1043424468,WEBER,ANGELA,R,"RN, NP",F,I,2254 E MAIN ST,,UBLY,MI,484759566,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,48,22.3396,15.5508,11.976
1043424468,WEBER,ANGELA,R,"RN, NP",F,I,2254 E MAIN ST,,UBLY,MI,484759566,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,170.13,105.01636364,76.901818182,51.824545455
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,69,93,93,80.131397849,45.715913978,34.602258065,29.983655914
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,56,80,80,322.307625,113.18475,83.11775,64.484375
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,51,101,208,121.22552885,42.330480769,31.772403846,25.826057692
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,13,20,83,50.022048193,22.798915663,17.69253012,14.369759036
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,12,23,109,56.71706422,17.198807339,12.541009174,11.331192661
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,35,48,48,181.5975,66.791458333,49.417916667,40.732083333
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,83,95,95,58.806526316,23.276,17.653157895,13.767684211
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,26,46,46,85.37326087,18.819130435,14.095652174,9.0284782609
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,92,161,742,7.3797843666,2.7244743935,2.0105525606,1.5406469003
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,25,31,31,18.692258065,7.8783870968,6.1783870968,4.7706451613
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,38,46,46,46.557391304,14.68,11.262826087,10.238043478
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,28,128,129,336.02395349,110.39829457,82.39,67.792713178
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,12,63,65,768.11907692,252.38538462,193.24523077,158.89169231
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,416.64923077,156.44230769,122.65230769,100.67384615
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,70,283,293,38.485802048,16.20221843,11.7821843,9.7726279863
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,66,341,352,150.18184659,43.4653125,30.752528409,23.426193182
1043424633,MASHAQI,SAIF,,MD,M,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,39,402.82564103,91.586666667,68.480512821,53.48974359
1043424880,ALEXANDER,ALICE,P,MD,F,I,4301 W MARKHAM ST # 641,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,61,60.595081967,8.32,6.5221311475,6.5221311475
1043424880,ALEXANDER,ALICE,P,MD,F,I,4301 W MARKHAM ST # 641,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.25,3.38,2.65,2.65
1043424880,ALEXANDER,ALICE,P,MD,F,I,4301 W MARKHAM ST # 641,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,18.461538462,1.42,1.1146153846,1.1146153846
1043424880,ALEXANDER,ALICE,P,MD,F,I,4301 W MARKHAM ST # 641,,LITTLE ROCK,AR,722057101,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3766,5.2155071694,0.7,0.5488050982,0.5281306426
1043425465,RADCLIFF,KENDRA,L,M.D.,F,I,2150 MARBLE CLIFF OFFICE PARK,,COLUMBUS,OH,432151056,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,63,78.376349206,8.32,6.1079365079,6.1079365079
1043425499,SCHODERBEK,ROBERT,J,MD,M,I,2093 HENRY TECKLENBURG DR,SUITE 200,CHARLESTON,SC,294145741,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,128.25,127.21,99.73,91.249230769
1043425689,FLORA-WATERMAN,REBECCA,E,"APRN, FNP",F,I,28 MIDWAY ST,,BRISTOL,TN,376201706,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,177.02769231,50.475384615,30.552307692,30.027692308
1043425689,FLORA-WATERMAN,REBECCA,E,"APRN, FNP",F,I,28 MIDWAY ST,,BRISTOL,TN,376201706,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,32.955,23.1875,22.728333333
1043425689,FLORA-WATERMAN,REBECCA,E,"APRN, FNP",F,I,28 MIDWAY ST,,BRISTOL,TN,376201706,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,299.159375,70.23,55.06,54.91125
1043425689,FLORA-WATERMAN,REBECCA,E,"APRN, FNP",F,I,28 MIDWAY ST,,BRISTOL,TN,376201706,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1488,0.3395295699,0.045813172,0.0359072581,0.0359072581
1043426034,PANWALKAR,AMIT,,,M,I,820 4TH ST N,,FARGO,ND,581024539,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,1092,50.490714286,4.93746337,3.8177564103,3.8177564103
1043426034,PANWALKAR,AMIT,,,M,I,820 4TH ST N,,FARGO,ND,581024539,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,25,45.92,37.138,25.4912,27.128
1043426034,PANWALKAR,AMIT,,,M,I,820 4TH ST N,,FARGO,ND,581024539,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,18.82,18.82
1043426349,BRILL,JANAE,Z,MD,F,I,345 N GRANT ST,,CANBY,OR,970133610,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,27,99,62.342626263,8.32,5.946969697,5.946969697
1043426349,BRILL,JANAE,Z,MD,F,I,345 N GRANT ST,,CANBY,OR,970133610,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,31,14.002580645,1.42,1.1135483871,1.1135483871
1043426349,BRILL,JANAE,Z,MD,F,I,345 N GRANT ST,,CANBY,OR,970133610,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,22,50.73,3.8304545455,2.8322727273,3.4472727273
1043426349,BRILL,JANAE,Z,MD,F,I,345 N GRANT ST,,CANBY,OR,970133610,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,726.05571429,77.18,56.187857143,52.052142857
1043426349,BRILL,JANAE,Z,MD,F,I,345 N GRANT ST,,CANBY,OR,970133610,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1440,0.92,0.1372916667,0.1038680556,0.1038680556
1043426349,BRILL,JANAE,Z,MD,F,I,345 N GRANT ST,,CANBY,OR,970133610,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1043426430,LUKOWSKY,MARIA,C,M.D.,F,I,6412 BEULAH ST,SUITE 100,ALEXANDRIA,VA,223102671,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,103,68.012427184,8.32,5.699223301,5.699223301
1043426430,LUKOWSKY,MARIA,C,M.D.,F,I,6412 BEULAH ST,SUITE 100,ALEXANDRIA,VA,223102671,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,20,9.4355,1.42,1.115,1.115
1043426430,LUKOWSKY,MARIA,C,M.D.,F,I,6412 BEULAH ST,SUITE 100,ALEXANDRIA,VA,223102671,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,479.32454545,79.8,62.56,54.73
1043426521,ZEKMAN,RICHARD,,DO,M,I,3577 W 13 MILE RD,,ROYAL OAK,MI,480736710,US,Physician/Medical Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,4.28,2.91,2.0911458333,2.0911458333
1043426521,ZEKMAN,RICHARD,,DO,M,I,3577 W 13 MILE RD,,ROYAL OAK,MI,480736710,US,Physician/Medical Oncology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,46,8.9,6.44,4.8304347826,4.8304347826
1043426521,ZEKMAN,RICHARD,,DO,M,I,3577 W 13 MILE RD,,ROYAL OAK,MI,480736710,US,Physician/Medical Oncology,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.8866666667,5.36,3.7354583333,3.7354583333
1043426521,ZEKMAN,RICHARD,,DO,M,I,3577 W 13 MILE RD,,ROYAL OAK,MI,480736710,US,Physician/Medical Oncology,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,0.64,0.4,0.2878333333,0.2878333333
1043426521,ZEKMAN,RICHARD,,DO,M,I,3577 W 13 MILE RD,,ROYAL OAK,MI,480736710,US,Physician/Medical Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,125,3,2.352,2.3663611111
1043426521,ZEKMAN,RICHARD,,DO,M,I,3577 W 13 MILE RD,,ROYAL OAK,MI,480736710,US,Physician/Medical Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,7538,1.9980100822,0.3022685062,0.2179371186,0.2239984081
1043426521,ZEKMAN,RICHARD,,DO,M,I,3577 W 13 MILE RD,,ROYAL OAK,MI,480736710,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,23,16,16,12.54,12.54
1043426695,HASSO,MAHA,,MD,F,I,33200 DEQUINDRE RD,SUITE 200,STERLING HEIGHTS,MI,483105967,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,57,172,42.259244186,8.32,6.1048837209,6.1048837209
1043426695,HASSO,MAHA,,MD,F,I,33200 DEQUINDRE RD,SUITE 200,STERLING HEIGHTS,MI,483105967,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,15.153846154,3.38,2.4461538462,2.4461538462
1043426695,HASSO,MAHA,,MD,F,I,33200 DEQUINDRE RD,SUITE 200,STERLING HEIGHTS,MI,483105967,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,38,57,11.08877193,1.42,1.0571929825,1.0571929825
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,43,94,440,47.776159091,8.32,5.9595,5.9595
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,26,26,12.667692308,3.38,2.4461538462,2.4461538462
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,21.236153846,2.12,1.4130769231,1.4130769231
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,56,129,11.935503876,1.42,1.0188372093,1.0188372093
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,229.7525,87.196666667,68.363333333,67.943333333
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,194.1575,52.99,38.078333333,39.205
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,13,13,68.136923077,17.898461538,12.949230769,12.979230769
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,19,19,46.956315789,11.66,8.1778947368,8.1621052632
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,17,90,7.5602222222,2.0533333333,1.4914444444,1.4777777778
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,15.95,3,2.352,2.3663611111
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7242,0.9504225352,0.3,0.2352016018,0.2424164595
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,23.5,12.889285714,8.9878571429,8.9882142857
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,23.873636364,3.95,2.5363636364,2.8290909091
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,111.58536585,31.454634146,24.066585366,24.4
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,32,337.99125,67.72,53.1,54.73
1043427081,ORR,DANIELLE,J,MD,F,I,11107 RACETRACK RD,,BERLIN,MD,218113279,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,125,38.72,30.121666667,29.281666667
1043427172,CURRY,JOSEPH,M,MD,M,I,925 CHESTNUT ST FL 6,,PHILADELPHIA,PA,191074204,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,3180,3.3993836478,2.8,2.1537955975,2.1537955975
1043427172,CURRY,JOSEPH,M,MD,M,I,925 CHESTNUT ST FL 6,,PHILADELPHIA,PA,191074204,US,Physician/Otolaryngology,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,930,4.4581505376,3.23,2.5196989247,2.5196989247
1043427172,CURRY,JOSEPH,M,MD,M,I,925 CHESTNUT ST FL 6,,PHILADELPHIA,PA,191074204,US,Physician/Otolaryngology,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5247,9.0188679245,1,0.7840041929,0.7840041929
1043427172,CURRY,JOSEPH,M,MD,M,I,925 CHESTNUT ST FL 6,,PHILADELPHIA,PA,191074204,US,Physician/Otolaryngology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.9225,3.075,3.66
1043427438,SNIPES,SAMUEL,T,"M.D,",M,I,4 ELLIOT WAY,SUITE 200,MANCHESTER,NH,031033547,US,Physician/Urology,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,36,36,15,5.9955555556,4.6986111111,4.71
1043427438,SNIPES,SAMUEL,T,"M.D,",M,I,4 ELLIOT WAY,SUITE 200,MANCHESTER,NH,031033547,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,5433,4.5413583655,2.04,1.5928455733,1.5928455733
1043427438,SNIPES,SAMUEL,T,"M.D,",M,I,4 ELLIOT WAY,SUITE 200,MANCHESTER,NH,031033547,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,28,13.7925,10.93,8.5696428571,8.5696428571
1043427438,SNIPES,SAMUEL,T,"M.D,",M,I,4 ELLIOT WAY,SUITE 200,MANCHESTER,NH,031033547,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.4563636364,6.34,4.97,5.845
1043427438,SNIPES,SAMUEL,T,"M.D,",M,I,4 ELLIOT WAY,SUITE 200,MANCHESTER,NH,031033547,US,Physician/Urology,S,A5102,"Bedside drainage bottle with or without tubing, rigid or expandable, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,22,22,30,25.228636364,18.148181818,18.284545455
1043427438,SNIPES,SAMUEL,T,"M.D,",M,I,4 ELLIOT WAY,SUITE 200,MANCHESTER,NH,031033547,US,Physician/Urology,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,34,35,40,33.713428571,23.410285714,27.53
1043427834,MITCHELL,MICHAEL,B,MD,M,I,128 HIGHLAND PKWY,SUITE 200,PICAYUNE,MS,394665577,US,Physician/Neurology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,12.912727273,9.0254545455,7.5127272727
1043427834,MITCHELL,MICHAEL,B,MD,M,I,128 HIGHLAND PKWY,SUITE 200,PICAYUNE,MS,394665577,US,Physician/Neurology,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,395,98.215,69.105,83.036666667
1043429152,WHALEN,SEAN,P,M.D.,M,I,5013 NEWPORT LANDING WAY,,GASTONIA,NC,280568401,US,Physician/Diagnostic Radiology,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,24,24,1285,735.65,576.75,480.62
1043429152,WHALEN,SEAN,P,M.D.,M,I,5013 NEWPORT LANDING WAY,,GASTONIA,NC,280568401,US,Physician/Diagnostic Radiology,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,244,255,327,1530,874.8559633,683.10868502,674.94620795
1043429152,WHALEN,SEAN,P,M.D.,M,I,5013 NEWPORT LANDING WAY,,GASTONIA,NC,280568401,US,Physician/Diagnostic Radiology,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,240,251,321,200,106.46616822,82.46105919,87.846417445
1043429483,VOLPI,DAVID,O,M.D.,M,I,262 CENTRAL PARK W # 1H,,NEW YORK,NY,100243512,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,120.92,39.10625,30.655,30.49
1043429483,VOLPI,DAVID,O,M.D.,M,I,262 CENTRAL PARK W # 1H,,NEW YORK,NY,100243512,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,210.36111111,53.173333333,39.371111111,40.555
1043429483,VOLPI,DAVID,O,M.D.,M,I,262 CENTRAL PARK W # 1H,,NEW YORK,NY,100243512,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,67.735714286,17.898571429,11.275,11.320714286
1043429483,VOLPI,DAVID,O,M.D.,M,I,262 CENTRAL PARK W # 1H,,NEW YORK,NY,100243512,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,23,135,8.8774814815,2.0368888889,1.5698518519,1.5653333333
1043429483,VOLPI,DAVID,O,M.D.,M,I,262 CENTRAL PARK W # 1H,,NEW YORK,NY,100243512,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,212.41469388,31.36244898,20.594489796,21.125510204
1043430325,CLAMPITT,DAVID,M,MD,M,I,9949 S OSWEGO ST,STE 200,PARKER,CO,801343753,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,38,73.381052632,8.32,4.7007894737,4.7007894737
1043430325,CLAMPITT,DAVID,M,MD,M,I,9949 S OSWEGO ST,STE 200,PARKER,CO,801343753,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,78.49,78.49,61.53,54.73
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,23,55,45.599272727,8.32,5.5416363636,5.5416363636
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,19,13.131052632,1.42,1.0557894737,1.0557894737
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,17,17,222.16352941,55.084705882,30.395294118,30.254117647
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,70,10.206285714,2.0222857143,1.2252857143,1.2318571429
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,17.27,13.54,13.54
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,51.386363636,12.092727273,8.0613636364,8.1081818182
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,178.80088235,32.513529412,22.902058824,22.211764706
1043430606,MILLER,PETER,C,M.D.,M,I,1326 EISENHOWER DR,BUILDING 1,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,225,69.81,54.73,54.73
1043430911,MADSEN,MICHAEL,W,M.D.,M,I,6825 S GALENA ST,STE 314,CENTENNIAL,CO,801123715,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,23,23,23,4995,4378.96,3433.11,3433.11
1043431208,JONES,MARCELLA,P,DO,F,I,104 WALL ST,,POTEAU,OK,749534405,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,33,69,43.896521739,8.32,5.9146376812,5.9146376812
1043431208,JONES,MARCELLA,P,DO,F,I,104 WALL ST,,POTEAU,OK,749534405,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,21,11.272857143,1.42,1.1171428571,1.1171428571
1043431208,JONES,MARCELLA,P,DO,F,I,104 WALL ST,,POTEAU,OK,749534405,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1200,64,50.18,48.658181818
1043431208,JONES,MARCELLA,P,DO,F,I,104 WALL ST,,POTEAU,OK,749534405,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,113.41,61.026666667,35.89,24.395
1043431208,JONES,MARCELLA,P,DO,F,I,104 WALL ST,,POTEAU,OK,749534405,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,5.16,4.05,3.9590909091
1043431208,JONES,MARCELLA,P,DO,F,I,104 WALL ST,,POTEAU,OK,749534405,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,24,390.63416667,81.913333333,61.973333333,54.17375
1043431281,JAMES,MICHAEL,T,ANP,M,I,555 FRENCH RD,SUITE 103,NEW HARTFORD,NY,134131044,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,67.72,44.25,45.95
1043431281,JAMES,MICHAEL,T,ANP,M,I,555 FRENCH RD,SUITE 103,NEW HARTFORD,NY,134131044,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,3300,4.4389363636,0.5734727273,0.4496,0.4496
1043431281,JAMES,MICHAEL,T,ANP,M,I,555 FRENCH RD,SUITE 103,NEW HARTFORD,NY,134131044,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,24,24,18.82,18.82
1043431281,JAMES,MICHAEL,T,ANP,M,I,555 FRENCH RD,SUITE 103,NEW HARTFORD,NY,134131044,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,26,16,16,12.057692308,12.057692308
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,11,16,32,6.288125,0.51,0.375,0.375
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,43,114,383,54.957571802,8.32,5.976997389,5.976997389
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,18,45,47,13.988085106,3.38,2.4874468085,2.4874468085
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,19,27,27,20.670740741,2.12,1.5462962963,1.5462962963
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,30,66,141,13.715390071,1.42,1.0258156028,1.0258156028
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,576,36.2,34.86,27.139618056,27.139618056
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,78.461538462,65.21,45.210769231,33.43
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,79.097142857,22.407142857,14.723809524,10.952857143
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,78,88,409.51477273,105.01636364,78.670227273,53.537727273
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,30,192,45.15,34.304666667,29.009666667
1043431554,KAMATH,MONA,B,M.D.,F,I,1 MEDICAL PARK,VALLEY,VALLEY,AL,36854,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,54.160909091,25.801818182,17.608181818,12.658181818
1043431935,HOOVER,STEPHEN,,M.D.,M,I,595 MARTHA JEFFERSON DR STE 180,,CHARLOTTESVILLE,VA,229114669,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,36,59.490833333,59.376666667,46.545555556,46.476666667
1043431992,JOSE,SONI,,M.D.,F,I,6901 MEDICAL PKWY,,WACO,TX,767127910,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,24.195454545,4.8218181818,3.4772727273,3.5918181818
1043432123,TUNITSKY-BITTON,ELENA,,MD,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL PROFESSIONAL SERVICES,HARTFORD,CT,061025037,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,2400,4.38675,2.04,1.0997541667,1.0997541667
1043432669,HARMS,MONICA,M,M.D.,F,I,23331 EL TORO RD,102,LAKE FOREST,CA,926304891,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,59.47,30.78,24.136,26.492
1043433774,DASILVA,JEROME,J,MD,M,I,200 NE MOTHER JOSEPH PLACE,SUITE 110,VANCOUVER,WA,98664,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,13,13,254,65,25.6,20.070511811,20.070511811
1043433790,ROY CHOWDHURY,KISHORE,,M.D,M,I,100 AIRPORT RD,LENOIR MEMORIAL HOSPITAL,KINSTON,NC,285011604,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,130.43333333,75.65952381,57.485714286,40.848571429
1043433790,ROY CHOWDHURY,KISHORE,,M.D,M,I,100 AIRPORT RD,LENOIR MEMORIAL HOSPITAL,KINSTON,NC,285011604,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,20,6.955862069,5.2024137931,3.224137931
1043433790,ROY CHOWDHURY,KISHORE,,M.D,M,I,100 AIRPORT RD,LENOIR MEMORIAL HOSPITAL,KINSTON,NC,285011604,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,45,13.852777778,10.862222222,9.0272222222
1043433790,ROY CHOWDHURY,KISHORE,,M.D,M,I,100 AIRPORT RD,LENOIR MEMORIAL HOSPITAL,KINSTON,NC,285011604,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,340.15217391,102.25956522,75.253913043,54.437826087
1043433790,ROY CHOWDHURY,KISHORE,,M.D,M,I,100 AIRPORT RD,LENOIR MEMORIAL HOSPITAL,KINSTON,NC,285011604,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,48.636363636,25.243181818,17.607272727,12.303181818
1043433790,ROY CHOWDHURY,KISHORE,,M.D,M,I,100 AIRPORT RD,LENOIR MEMORIAL HOSPITAL,KINSTON,NC,285011604,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,20,10.437142857,6.5807142857,4.9857142857
1043433790,ROY CHOWDHURY,KISHORE,,M.D,M,I,100 AIRPORT RD,LENOIR MEMORIAL HOSPITAL,KINSTON,NC,285011604,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,56,65.892857143,44.367857143,31.915178571,29.082678571
1043433816,FOLSOM,MICHELLE,A,M.D.,F,I,110 HOSPITAL RD,SUITE 111,PRINCE FREDERICK,MD,206784019,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,46,98,62.667142857,8.32,5.8896938776,5.8896938776
1043433816,FOLSOM,MICHELLE,A,M.D.,F,I,110 HOSPITAL RD,SUITE 111,PRINCE FREDERICK,MD,206784019,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.225333333,3.38,2.2966666667,2.2966666667
1043433816,FOLSOM,MICHELLE,A,M.D.,F,I,110 HOSPITAL RD,SUITE 111,PRINCE FREDERICK,MD,206784019,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,23,28,14.961071429,1.42,0.9971428571,0.9971428571
1043433816,FOLSOM,MICHELLE,A,M.D.,F,I,110 HOSPITAL RD,SUITE 111,PRINCE FREDERICK,MD,206784019,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,16.79,13.16,13.53
1043433816,FOLSOM,MICHELLE,A,M.D.,F,I,110 HOSPITAL RD,SUITE 111,PRINCE FREDERICK,MD,206784019,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,78.47,61.52,54.73
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,94,49.239255319,8.32,6.3842553191,6.3842553191
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.374545455,3.38,2.65,2.65
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,36,15.349722222,1.42,1.1133333333,1.1133333333
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,30,8.19,2.1626666667,1.6106666667,1.0733333333
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,913.16,706.31818182,832.65818182
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,24,24,24.35375,5.8841666667,3.0979166667,2.2279166667
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,490.89772727,113.23818182,79.105454545,48.964090909
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,2310,1.0841558442,0.1362337662,0.0997229437,0.0997229437
1043433931,HILLMAN,JOSEPH,C,M.D.,M,I,1201 STARK RD,,STARKVILLE,MS,397594264,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,36,124.93333333,33,24.432777778,24.432777778
1043434160,BAJRACHARYA,SARITA,,M.D.,F,I,1900 W HARRISON ST,,CHICAGO,IL,606123736,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,24,41,78.433170732,8.32,5.8856097561,5.8856097561
1043434160,BAJRACHARYA,SARITA,,M.D.,F,I,1900 W HARRISON ST,,CHICAGO,IL,606123736,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,300,86.573636364,67.876363636,67.093636364
1043434160,BAJRACHARYA,SARITA,,M.D.,F,I,1900 W HARRISON ST,,CHICAGO,IL,606123736,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,137.27272727,32.066818182,20.714545455,20.722727273
1043434202,LOMBEIDA,JUAN,I,MD,M,I,3232 N NORTH HILLS BLVD,,FAYETTEVILLE,AR,72703,US,Physician/Hospice and Palliative Care,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,77.89,18.143636364,12.988181818,12.3
1043434202,LOMBEIDA,JUAN,I,MD,M,I,3232 N NORTH HILLS BLVD,,FAYETTEVILLE,AR,72703,US,Physician/Hospice and Palliative Care,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,479.57533333,74.046,54.381333333,51.073333333
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,77,126,69.943253968,8.32,4.8143650794,4.8143650794
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,15.913076923,1.42,0.6015384615,0.6015384615
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,4.2033333333,3.9,3.0575,3.0575
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,8.995,8.39,6.0643333333,6.0643333333
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,144,8.88,7.36,5.7708333333,5.7708333333
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,183.40636364,58.42,43.34,40.396363636
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,71.157272727,19.165454545,13.611818182,13.497272727
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,56.556153846,11.998461538,7.9876923077,8.6715384615
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,19,99,9.8939393939,1.9958585859,1.3629292929,1.4017171717
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,34,80.527058824,16.98,12.326176471,12.502941176
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,366.00615385,85.525384615,57.573076923,55.714615385
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,42.253,13.295,9.4135,9.4755
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,36,307.32444444,32.670555556,25.616388889,25.580833333
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,39,443.87,77.09,55.790769231,51.544871795
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,2310,0.976965368,0.1382597403,0.1036969697,0.1036969697
1043434525,KENT,ROBERT,M,M.D.,M,I,1203 S LOCUST ST,,GLENWOOD,IA,515341872,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,116.16129032,33,24.355483871,24.355483871
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,31,58,58,85.866896552,40.019827586,29.432758621,28.605862069
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,16,26,27,290.89111111,88.975925926,69.759259259,68.00962963
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,12,20,47,116.54042553,33.951489362,26.61893617,26.031489362
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,19,32,161,50.42068323,18.283913043,13.650931677,13.871801242
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,17,35,175,38.138571429,14.848971429,10.9776,11.229485714
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,37,68,68,138.97970588,55.549852941,39.581323529,38.922941176
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,53,70,70,71.514428571,18.099,13.783285714,13.658
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,20.181818182,10.54,8.2709090909,8.15
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,37,37,51.381891892,12.496486486,9.5416216216,8.9167567568
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,50,92,514,6.0550194553,2.1495914397,1.6062451362,1.5209338521
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,36,47,47,14.92212766,6.2931914894,4.7289361702,4.47
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,25,34,34,30.406176471,12.97,10.165882353,10.336764706
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,275,89.2185,67.90275,67.65025
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,21,21,324.1,136.5352381,104.10095238,101.71333333
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,17,20,58.375,13.23,9.333,9.426
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,21,96,99,133.91050505,36.06040404,27.120707071,25.96040404
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,265.86206897,88.948965517,65.44862069,53.264482759
1043434640,SCHAFFERNOCKER,TROY,A,M.D.,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,29.515833333
1043434681,BALA,JUAN,F,M.D.,M,I,801 W 5TH AVE STE 416,,SPOKANE,WA,992042841,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,42,118,61.920169492,8.32,5.9697457627,5.9697457627
1043434681,BALA,JUAN,F,M.D.,M,I,801 W 5TH AVE STE 416,,SPOKANE,WA,992042841,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,19,13.403157895,1.42,1.0568421053,1.0568421053
1043434681,BALA,JUAN,F,M.D.,M,I,801 W 5TH AVE STE 416,,SPOKANE,WA,992042841,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,534.570625,65.7,48.290625,51.56125
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,25,30,30,72.508666667,52.949,41.516,32.471666667
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,221.10909091,135.92636364,106.56636364,79.26
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,27,94.665555556,50.504444444,39.592592593,29.81962963
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,23,41.356956522,27.466521739,21.533043478,16.880869565
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,18,20,20,166.428,81.896,64.204,46.7015
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,28,32,32,54.7065625,27.7840625,21.7790625,15.72875
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,29,55,131,7.0406870229,3.4242748092,2.6861832061,1.7367175573
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,273.62,146.52142857,114.87214286,81.422142857
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,12,51,53,64.773396226,21.362264151,16.748679245,10.954339623
1043435068,OOMMAN,SOWMINI,,MD,F,I,127 CRESTVIEW PARK DR,SUITE 201,DICKSON,TN,37055,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,17,73,75,153.9272,60.525466667,47.456266667,33.271733333
1043435548,HOLWITT,DANA,M,MD,F,I,333 MOUNT HOPE AVE,SUITE 210,ROCKAWAY,NJ,078661645,US,Physician/Surgical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,21,43.80952381,33.674285714,26.401904762,30.754761905
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,45,161,65.557763975,8.32,5.6049689441,5.6049689441
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,32,56,13.835714286,1.42,0.9358928571,0.9358928571
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,12,512.16,125.30333333,94.014166667,63.6225
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,100.690625,21.3125,16.078125,9.273125
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,68,13.745882353,2.9717647059,2.2791176471,1.5727941176
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,81.75,14.765714286,10.75,8.995
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,228.44744186,48.638139535,32.474418605,23.717209302
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,365.59315789,98.85,72.454473684,52.214210526
1043436009,SULT,JENNIFER,M,MD,F,I,1400 E 9TH ST,,ROCHESTER,IN,469758931,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,153.375,44.745,30.975,26.125
1043436140,SKIADAS,NICHOLAS,P,M.D.,M,I,1824 KING ST STE 300,,JACKSONVILLE,FL,322044736,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,21,77.45,45,35.28,37.518095238
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,34,62,62,94.178064516,38.998225806,29.330967742,29.252580645
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,36,62,62,224.32516129,88.579032258,67.243548387,65.728225806
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,28,54,111,103.70918919,34.893873874,26.654414414,25.271891892
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,49,80,353,42.046600567,19.75,14.808526912,13.934815864
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,25,44,238,39.929495798,15.51407563,11.905546218,11.644369748
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,85,129,129,128.6544186,60.010930233,46.172170543,42.206124031
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,114,134,134,39.662164179,19.042686567,14.846044776,14.022537313
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,19,19,18.424210526,10.617894737,7.8894736842,7.73
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,87,126,126,35.731031746,12.678174603,9.7412698413,8.9691269841
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,123,210,937,5.9726360726,2.1396798292,1.626488794,1.5456670224
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,24,29,29,15.99137931,6.724137931,5.2682758621,4.694137931
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,40,46,46,35.158913043,13.229782609,10.370434783,10.342391304
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,61,61,61,193.01737705,131.01295082,99.519672131,101.4147541
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,28,119,125,29.66984,13.20648,9.27792,9.39656
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,121,510,567,102.34918871,36.244497354,26.400035273,24.568977072
1043437395,CUSHING,KEITH,W,MD,M,I,1159 W JEFFERSON ST STE 206,,FRANKLIN,IN,461312795,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.96,79.96,57.465833333,50.8325
1043439102,O'DEA,ANNE,P,M.D.,F,I,2650 SHAWNEE MISSION PARKWAY,SUITE 1102,WESTWOOD,KS,66205,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,18,39,49.564102564,39.03025641,29.026666667,29.174358974
1043439219,SANGHVI,KIRTI,P,M.D.,F,I,2111 ORCHARD LAKE RD,,SYLVAN LAKE,MI,483201785,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,37.139615385,8.32,5.5173076923,5.5173076923
1043439748,HSU,JOHN,W,MD,M,I,200 E PENNSYLVANIA AVE,SUITE 212,PEORIA,IL,616033089,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1716.46,671.63,526.55,507.66
1043439870,COLON-PENA,ARISTIDES,,"M.D,",M,I,CALLE BARBOSA,55 SUR,CAYEY,PR,00736,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,17,91.065882353,61.914117647,36.577058824,26.945882353
1043439920,BRUNER,BRYAN,C,MD,M,I,1600 W COLLEGE ST,SUITE 140,GRAPEVINE,TX,760513580,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,960,0.27,0.13,0.09559375,0.09559375
1043439920,BRUNER,BRYAN,C,MD,M,I,1600 W COLLEGE ST,SUITE 140,GRAPEVINE,TX,760513580,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,3047,3.9755825402,2.03724319,1.5799343617,1.5802428618
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,39,62,62,103,41.102741935,31.728225806,30.458709677
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,20,28,56,7.8421428571,1.5257142857,1.11,1.0689285714
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,14,23,23,413.28565217,85.80173913,61.08,61.871304348
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,19,43,154.17534884,32.92,25.209767442,25.311860465
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,20,39,178,77.819157303,22.572078652,17.430730337,16.012134831
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,14,34,131,58.25,15.221832061,11.444580153,11.412442748
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,54,78,78,203.33448718,57.778589744,44.442307692,42.885
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,65,78,78,64.054871795,19.353205128,14.791538462,13.943076923
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,19,19,35.726315789,11.166315789,7.8731578947,7.3173684211
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,25,33,33,89.648484848,14.412727273,11.297575758,9.1745454545
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,65,124,531,9.2720903955,2.2360640301,1.7416195857,1.6493220339
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,40,51,51,17.796470588,6.18,4.8429411765,4.7343137255
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,19,22,22,47.816818182,13.395909091,10.504545455,10.559090909
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,78,98,86.31,18.150204082,14.078367347,13.43877551
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,4430.1,989.35454545,769.13136364,829.99590909
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,46,57,529.00350877,99.728596491,77.670350877,68.442807018
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,454.19870968,223.86483871,175.50870968,175.88419355
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,294.45882353,131.29882353,102.93941176,104.49764706
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,22,96,115,81.75,15.200173913,11.457130435,10.481043478
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,21,136,139,62.356402878,4.4314388489,3.3807913669,3.5992086331
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,42,253,276,168.70528986,35.57134058,26.54442029,24.675144928
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,146,167,558.39401198,70.671736527,53.824610778,52.977245509
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,244.44444444,37.64,29.51,29.51
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,7,15,15,15,133,57,41.710666667,41.710666667
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,600,15.58,9.7111,7.6134666667,7.6134666667
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,990,13.94,11.117878788,8.7076666667,8.7076666667
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,35,72,17248,0.2406644249,0.0455583256,0.0341448284,0.0341448284
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1590,12.86,2.9770943396,2.3340691824,2.3340691824
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,285.6,37.64,29.51,29.51
1043440118,MONROE,JOAN,A,MD,F,I,100 WOODS RD,,VALHALLA,NY,10595,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,35,89,89,108.53932584,33,24.997977528,24.997977528
1043440167,LINGERFELT,JENNIFER,,NP-C,F,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,29,79,60.365696203,8.32,6.1915189873,6.1915189873
1043440167,LINGERFELT,JENNIFER,,NP-C,F,I,4120 HIGHWAY 24,,ANDERSON,SC,296265321,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,14,13.964285714,1.42,1.0371428571,1.0371428571
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,58,129,297,66.563299663,8.32,6.0188552189,6.0188552189
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,15.674736842,3.38,2.65,2.65
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,31,63,92,16.344782609,1.42,1.0061956522,1.0061956522
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,160.1915,17.018,11.3405,11.527
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,87.039285714,4.33,3.1114285714,3.2371428571
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,12,12,12,27.386666667,27.386666667,20.034166667,54.776666667
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,39.824736842,10.785263158,8.4568421053,8.5347368421
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,484.81756098,67.251219512,47.937560976,50.024878049
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,2577,1.1237369034,0.1379666279,0.1081645324,0.1081645324
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,166.22086957,37.64,28.073043478,28.073043478
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,45,45,599.76666667,143.66555556,111.41422222,111.40755556
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,788.27428571,245.23642857,192.26785714,187.76285714
1043440845,AUNG,KHUN ZAW HTET,,MD,M,I,600 COFFEE RD,,MODESTO,CA,953554201,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,34,34,94.147058824,33,25.87,25.87
1043440951,LOFTIN JOHNSON,MELISSA,,"RN, NP-C",F,I,106 W MEDICAL PARK DR,SUITE A,LEXINGTON,NC,272926853,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,4380,3.9480616438,1.73,1.2781392694,1.5142716895
1043441330,ORENSTEIN,ERICA,G,NP,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,14,148.89714286,46.01,36.071428571,36.071428571
1043441439,KANAUJIA,RACHANA,,MD,F,I,85 SEYMOUR ST,SUITE 901,HARTFORD,CT,061065501,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,52.743333333,22.4775,16.3775,12.4025
1043441439,KANAUJIA,RACHANA,,MD,F,I,85 SEYMOUR ST,SUITE 901,HARTFORD,CT,061065501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,271.56,90.884545455,67.596363636,51.069090909
1043441488,SARASWAT,ARADHNA,B,MD,F,I,3525 OLENTANGY RIVER RD,STE. 4330,COLUMBUS,OH,432143937,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.12,4.8009090909,3.77,3.4818181818
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,60,68.006333333,8.32,6.5223333333,6.5223333333
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,76,76,96.000394737,22.451578947,17.207894737,14.319473684
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,39.07,7.3104761905,5.3835714286,3.4807142857
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,169.97923077,65.36,51.243076923,36.87
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,82,85,349.47317647,100.712,76.975764706,58.700470588
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,44.745,32.344166667,27.056666667
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,1974,1.6616008105,0.1344174265,0.1053900709,0.1053900709
1043442007,REDDY,LOHITH,V,MD,M,I,1555 LONG POND RD,,ROCHESTER,NY,146264122,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,39.833333333,33,25.87,25.87
1043442148,WEI,XIAOFEI,,,F,I,761 MAIN AVE,SUITE 201,NORWALK,CT,068511080,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,33,90,67.678444444,8.32,6.0866666667,6.0866666667
1043442148,WEI,XIAOFEI,,,F,I,761 MAIN AVE,SUITE 201,NORWALK,CT,068511080,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,15,13.352666667,1.42,1.0426666667,1.0426666667
1043442254,STEWART,GWENDOLYN,J,"DNP, FNP-BC",F,I,1907 MISSION 66,,VICKSBURG,MS,391803711,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,70,32.946857143,8.32,5.216,5.216
1043442254,STEWART,GWENDOLYN,J,"DNP, FNP-BC",F,I,1907 MISSION 66,,VICKSBURG,MS,391803711,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,11.624615385,1.42,0.9476923077,0.9476923077
1043442254,STEWART,GWENDOLYN,J,"DNP, FNP-BC",F,I,1907 MISSION 66,,VICKSBURG,MS,391803711,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,18,11.544545455,11.078181818
1043442254,STEWART,GWENDOLYN,J,"DNP, FNP-BC",F,I,1907 MISSION 66,,VICKSBURG,MS,391803711,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,30,32.552333333,8.7813333333,6.1163333333,3.1653333333
1043442254,STEWART,GWENDOLYN,J,"DNP, FNP-BC",F,I,1907 MISSION 66,,VICKSBURG,MS,391803711,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,345.12117647,75.509411765,48.901764706,44.841176471
1043442379,YUAN,HENRY,,M.D.,M,I,2501 E CHAPMAN AVE,,ORANGE,CA,92869,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,34.727272727,16.97,13.31,13.54
1043442379,YUAN,HENRY,,M.D.,M,I,2501 E CHAPMAN AVE,,ORANGE,CA,92869,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,81.454545455,71.11,55.75,54.73
1043442379,YUAN,HENRY,,M.D.,M,I,2501 E CHAPMAN AVE,,ORANGE,CA,92869,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,5.5132777778,0.5667916667,0.4443611111,0.4443518519
1043442379,YUAN,HENRY,,M.D.,M,I,2501 E CHAPMAN AVE,,ORANGE,CA,92869,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,12,16,16,12.540833333,12.540833333
1043442445,SWANSON,MATTHEW,A,PA-C,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142878,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,8.5816666667,6.725,7.2208333333
1043442445,SWANSON,MATTHEW,A,PA-C,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142878,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,61.14,49.68,38.9525,38.165
1043442445,SWANSON,MATTHEW,A,PA-C,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142878,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,36,77.18,77.18,57.148333333,51.68
1043442445,SWANSON,MATTHEW,A,PA-C,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142878,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,36.3475,16.98625,12.33125,13.771875
1043442445,SWANSON,MATTHEW,A,PA-C,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142878,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,83,83,48.526024096,26.906144578,20.602771084,21.272891566
1043442445,SWANSON,MATTHEW,A,PA-C,M,I,1100 N SAINT FRANCIS ST,STE 130,WICHITA,KS,672142878,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,11.63,9.302,6.7734285714,6.0994285714
1043442486,ALHASSAN,SULAIMAN,,M.D.,M,I,6071 W OUTER DRIVE,PULMONARY DEPT,DETROIT,MI,482352624,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,91,94,21.245106383,5.5480851064,4.2917021277,3.584893617
1043442593,JERRIDO,JOAN,M,DPM,F,I,2 PLAZA DR,,SEWELL,NJ,080809207,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,31,31,62,71.712419355,65.941290323,49.704193548,53.828064516
1043442593,JERRIDO,JOAN,M,DPM,F,I,2 PLAZA DR,,SEWELL,NJ,080809207,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,118,33.406949153,29.19,22.885,22.886355932
1043442650,PORTER,SCOTT,M,M.D.,M,I,2020 SUTTER PL,SUITE 104,DAVIS,CA,956166213,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,23,23,23,61.676956522,46.455652174,36.42173913,36.408695652
1043442650,PORTER,SCOTT,M,M.D.,M,I,2020 SUTTER PL,SUITE 104,DAVIS,CA,956166213,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,120,108.03,84.69,80.365
1043442650,PORTER,SCOTT,M,M.D.,M,I,2020 SUTTER PL,SUITE 104,DAVIS,CA,956166213,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,22,22,195,133.89,104.97,89.060909091
1043442825,BARTLEY,KELLY,D,CNP,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,160.66117647,34.486470588,23.482352941,21.447647059
1043442924,OKAFOR,GABRIEL,I,RPA-C,M,I,1700 COMMERCE ST STE 1160,,DALLAS,TX,752015310,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,105.86,27.22,19.561666667,18.296666667
1043442924,OKAFOR,GABRIEL,I,RPA-C,M,I,1700 COMMERCE ST STE 1160,,DALLAS,TX,752015310,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,599.5,113.7,84.168421053,79.744210526
1043443062,WRIGHT,ANGELA,R,ARNP-CNP,F,I,1805 W UNIVERSITY BLVD,,DURANT,OK,747013011,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,102.61833333,75.474166667,53.544166667
1043443518,NELSON,CARL,,M.D.,M,I,111 COLCHESTER AVE,DEPT OF RADIATION ONCOLOGY,BURLINGTON,VT,054011473,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,6000,0.7019566667,0.31315,0.2312733333,0.228805
1043443716,MOY,NICHOLAS,,M.D.,M,I,1100 9TH AVE,,SEATTLE,WA,981012756,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,33,84,56.827619048,8.32,6.2886904762,6.2886904762
1043444342,SCHNURR,XIMENA,S,M.D.,F,I,2630 HIGHWAY K,,O FALLON,MO,633686624,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,22,75,63.0888,8.32,5.9142666667,5.9142666667
1043444342,SCHNURR,XIMENA,S,M.D.,F,I,2630 HIGHWAY K,,O FALLON,MO,633686624,US,Physician/Emergency Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,468,4.9839957265,3.67,2.8773504274,2.8773504274
1043444342,SCHNURR,XIMENA,S,M.D.,F,I,2630 HIGHWAY K,,O FALLON,MO,633686624,US,Physician/Emergency Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1920,0.616015625,0.45,0.3527916667,0.3527916667
1043444342,SCHNURR,XIMENA,S,M.D.,F,I,2630 HIGHWAY K,,O FALLON,MO,633686624,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8875,2.7308333333,3.3633333333
1043444573,HOOVER,DERRICK,J,M.D.,M,I,1011 ROCK QUARRY RD,,RALEIGH,NC,276103825,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,233.02727273,65.464545455,43.261818182,35.216363636
1043444573,HOOVER,DERRICK,J,M.D.,M,I,1011 ROCK QUARRY RD,,RALEIGH,NC,276103825,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,48,12.7525,2.2170833333,1.5866666667,1.4416666667
1043444797,CHUNG,DAUN,,D.O.,M,I,909 N. WASHINGTON AVE,,DALLAS,TX,75246,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,18,18,135.42222222,55.504444444,40.826666667,37.731666667
1043444797,CHUNG,DAUN,,D.O.,M,I,909 N. WASHINGTON AVE,,DALLAS,TX,75246,US,Physician/Physical Medicine and Rehabilitation,S,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,142.61,123.53,96.84,96.84
1043444797,CHUNG,DAUN,,D.O.,M,I,909 N. WASHINGTON AVE,,DALLAS,TX,75246,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,59.48,39.723333333,31.141666667,31.141666667
1043444797,CHUNG,DAUN,,D.O.,M,I,909 N. WASHINGTON AVE,,DALLAS,TX,75246,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,111.16611111,45.833333333,31.817777778,32.742777778
1043444797,CHUNG,DAUN,,D.O.,M,I,909 N. WASHINGTON AVE,,DALLAS,TX,75246,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,102.61833333,80.455,54.73
1043444797,CHUNG,DAUN,,D.O.,M,I,909 N. WASHINGTON AVE,,DALLAS,TX,75246,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,148.33,31.975357143,23.449642857,24.91
1043444854,DRYSDALE,JONATHAN,R,M.D.,M,I,2208 W 7TH ST,,LOS ANGELES,CA,900574002,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.79,13.16,13.499166667
1043444854,DRYSDALE,JONATHAN,R,M.D.,M,I,2208 W 7TH ST,,LOS ANGELES,CA,900574002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,78.47,61.52,55.295833333
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,87,154,67.639220779,8.32,6.1312337662,6.1312337662
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,28,34,21.515294118,1.42,1.0523529412,1.0523529412
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,65,38.5,24.692727273,25.015454545
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,200.90909091,92.570909091,64.95,60.247272727
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,147.78,60.313846154,42.081538462,37.746153846
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,20,20,49.869,19.7395,14.528,13.117
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,47.090909091,14.024545455,9.4118181818,7.5218181818
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,26,58,6.2668965517,1.9993103448,1.2984482759,1.3210344828
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,14,180,50.29,39.426428571,39.426428571
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,30,64,19.14,13.881666667,12.428666667
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,275,85.480454545,63.242727273,62.433636364
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,38,13.313478261,9.0834782609,9.1204347826
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,129.44444444,32.44,22.848888889,22.956666667
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,44,390.90909091,85.907272727,62.251818182,49.754545455
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1768,1.5195022624,0.1400961538,0.1002262443,0.1002262443
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,150,27.76,21.765,21.123333333
1043445141,KUMOR,BENJAMIN,,M.D.,M,I,1515 DELHI ST,SUITE 100,DUBUQUE,IA,520016389,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,25,68.64,33,24.8352,24.8352
1043445349,GORDON,DAVID,M,CNP,M,I,350 PARNASSUS AVE,SUITE 404,SAN FRANCISCO,CA,941173608,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,102.61833333,80.455,54.73
1043445349,GORDON,DAVID,M,CNP,M,I,350 PARNASSUS AVE,SUITE 404,SAN FRANCISCO,CA,941173608,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.745,35.0825,29.515833333
1043445349,GORDON,DAVID,M,CNP,M,I,350 PARNASSUS AVE,SUITE 404,SAN FRANCISCO,CA,941173608,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,17,16,16,12.541764706,12.541764706
1043445612,BJERKE,BRIAN,P,M.D.,M,I,4010 W 65TH ST,,EDINA,MN,554351706,US,Physician/Orthopedic Surgery,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,19,22,233.44,44.828181818,35.143636364,35.143636364
1043445869,JOHNSON,CHRISTOPHER,R,M.D.,M,I,435 MAXINE DR,,MORTON,IL,615502498,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,33,100,80.2599,8.32,5.0272,5.0272
1043445869,JOHNSON,CHRISTOPHER,R,M.D.,M,I,435 MAXINE DR,,MORTON,IL,615502498,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,17,35,13.667714286,1.42,0.9542857143,0.9542857143
1043445869,JOHNSON,CHRISTOPHER,R,M.D.,M,I,435 MAXINE DR,,MORTON,IL,615502498,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,546.29777778,69.81,49.535,49.535
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,41,119,50.265798319,8.2920168067,5.8648739496,5.8922689076
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,29,57,17.533684211,1.42,1.0173684211,1.0173684211
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,16,5.68875,2.025,1.585625,1.278125
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,67.786,21.8668,16.5456,13.2296
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,58.105
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1200,1074.31,842.26,842.26
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,20,23.4225,10.641,8.344,4.855
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,99,99,338.93676768,96.547272727,72.184242424,54.655454545
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,34,3870,2.3601033592,0.1364573643,0.0987338501,0.0987338501
1043445927,MAZUMDER,MOHAMMED,A,M.D.,M,I,92 PICKETT LN,,PRESTONSBURG,KY,416538569,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,36,36,55,33,24.194444444,24.194444444
1043445976,HUTCHENS,ELEANOR,,MD,F,I,70 MEDICAL CENTER CIR STE 107,,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,33,100,254,57.240551181,8.32,6.1120472441,6.1120472441
1043445976,HUTCHENS,ELEANOR,,MD,F,I,70 MEDICAL CENTER CIR STE 107,,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,20,32,12.4384375,1.42,0.975625,0.975625
1043445976,HUTCHENS,ELEANOR,,MD,F,I,70 MEDICAL CENTER CIR STE 107,,FISHERSVILLE,VA,229392273,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,35,35,368.92028571,251.11,196.87,196.87
1043446149,ZITTERGRUEN,LISA,A,M.D.,F,I,901 MONTGOMERY ST,,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,148.57142857,49.964285714,31.4,16.87
1043446149,ZITTERGRUEN,LISA,A,M.D.,F,I,901 MONTGOMERY ST,,DECORAH,IA,521012325,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,475,328.34727273,257.42181818,257.42181818
1043446206,DICKERSON,JEREMY,L,MD,M,I,1139 E SONTERRA BLVD STE 205,,SAN ANTONIO,TX,782584349,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,200,95.355454545,64.305454545,58.981818182
1043446206,DICKERSON,JEREMY,L,MD,M,I,1139 E SONTERRA BLVD STE 205,,SAN ANTONIO,TX,782584349,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,499,253.74411765,196.75235294,210.27176471
1043446230,BONOMI,MARCELO,R,MD,M,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Medical Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,12,333,71.249249249,3.1981981982,2.5073873874,2.4941141141
1043446230,BONOMI,MARCELO,R,MD,M,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Medical Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,12,6600,1.4796560606,0.3179757576,0.2492909091,0.2504787879
1043446230,BONOMI,MARCELO,R,MD,M,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Medical Oncology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,141.38461538,6.0076923077,4.7138461538,4.6215384615
1043446636,BEUTLER,DAVID,S,DO,M,I,1400 E BOULDER ST STE 700,,COLORADO SPRINGS,CO,809095533,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,46,587.61021739,79.8,61.878478261,55.410217391
1043446735,SPEER,JOAN,E,PA-C,F,I,501 S AUSTIN AVE,STE 1320,GEORGETOWN,TX,786265610,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,68.42,23.36375,18.3175,13.1
1043446859,KING,SARA,,M.D.,F,I,1290 TREMONT STREET,,BOSTON,MA,02120,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,19,83.23,8.32,3.7773684211,3.7773684211
1043446982,PATEL,REEKESH,R,M.D.,M,I,323 N PRAIRIE AVE STE 417,,INGLEWOOD,CA,903014506,US,Physician/Physical Medicine and Rehabilitation,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,44,44,44,1001.76,972.47,761.08022727,774.21022727
1043447097,UMMARITCHOT,VORAWAN,,M.D.,F,I,100 HIGHLAND AVE,SUITE 203,PROVIDENCE,RI,029062740,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,64,78,194,653,70.906707504,8.32,5.6710107198,5.6710107198
1043447097,UMMARITCHOT,VORAWAN,,M.D.,F,I,100 HIGHLAND AVE,SUITE 203,PROVIDENCE,RI,029062740,US,Internal Medicine,T,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.593333333,3.38,1.7666666667,1.7666666667
1043447097,UMMARITCHOT,VORAWAN,,M.D.,F,I,100 HIGHLAND AVE,SUITE 203,PROVIDENCE,RI,029062740,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,25,59,102,14.88754902,1.42,0.9284313725,0.9284313725
1043447378,CHANDRA,RASHMI,,M.B.B.S.,F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,25,67,191,65.217068063,8.32,5.8389005236,5.8389005236
1043447378,CHANDRA,RASHMI,,M.B.B.S.,F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,29,45,15.25,1.42,1.0168888889,1.0168888889
1043447378,CHANDRA,RASHMI,,M.B.B.S.,F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,22.420666667,22.420666667
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,43,107,254,58.277086614,8.32,6.005,6.005
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,25,25,14.7624,3.38,2.544,2.544
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,22.685454545,2.12,1.67,1.67
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,27,49,72,14.005972222,1.42,1.0225,1.0225
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,331,9.8277945619,4.26,3.0372809668,2.9514803625
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7692,1.3,0.4456630265,0.343775351,0.5118135725
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,23.1725,4.67,2.8175,2.815
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,401.29,70.23,49.264210526,48.96
1043447410,JACKSON,CELESTE,T,M.D.,F,I,1204 E FIRE TOWER RD,ECU PHYSICIANS FIRETOWER MEDICAL OFFICE,GREENVILLE,NC,278584196,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,81.153846154,37.44,26.784615385,26.947692308
1043448095,PERRY,PAUL,K,D.O.,M,I,5450 FORT ST,,TRENTON,MI,481834601,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3006.75,1001.46,785.15,842.26
1043448095,PERRY,PAUL,K,D.O.,M,I,5450 FORT ST,,TRENTON,MI,481834601,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,320.94583333,84.769583333,61.48,50.169166667
1043448095,PERRY,PAUL,K,D.O.,M,I,5450 FORT ST,,TRENTON,MI,481834601,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,246.15384615,44.526923077,33.72,28.323076923
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,43,148,73.032297297,8.32,5.8686486486,5.8686486486
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,24,13.8975,1.42,1.06875,1.06875
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,230,5.5347826087,5.5347826087,4.3393913043,4.3434782609
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,31.018333333,11.086666667,8.695,8.7366666667
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,79.650714286,30.83,24.17,23.37
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,28.396923077,11.479230769,9.0015384615,8.9176923077
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,66,29.102727273,10.314090909,8.0872727273,8.105
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,16,362.48125,212.211875,166.3675,166.3675
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,630,1.4816507937,0.1347142857,0.1056031746,0.1056031746
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,90.886666667,17.33,13.58,13.1
1043448111,SHANMUGAM,RAJU,,,M,I,3024 E EMPIRE ST,,BLOOMINGTON,IL,617045402,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,12,33,33,24.971666667,24.971666667
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,40,119,330,51.87869697,8.32,5.76,5.76
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,12.513636364,3.38,2.65,2.65
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,20,41,63,12.058095238,1.42,1.0457142857,1.0457142857
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,165.57133333,49.646,34.425333333,26.424666667
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,65,116.38430769,25.702615385,17.571384615,12.077384615
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,333.37454545,74.967272727,58.774545455,42.86
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,84,13.454285714,3.1171428571,2.444047619,1.5933333333
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,46,86.31,22.370434783,16.654130435,12.808913043
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,232.35,58.04375,42.92875,36.946875
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,46.4,8.283125,6.494375,3.59
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,189,49.9,36.2475,22.728333333
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,57,62,519.51,104.68483871,79.183387097,54.041451613
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,34,2910,1.7662164948,0.1357113402,0.1026632302,0.1026632302
1043448160,HERNANDEZ,OLGA,E,DO,F,I,1020 ANDERSON DR,SUITE 203,ABERDEEN,WA,985201055,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,35,92.4,33,25.130857143,25.130857143
1043448210,LIVINGSTON,AMANDA,L,MD,F,I,300 MOUNT AUBURN STREET,SUITE 410,CAMBRIDGE,MA,02138,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,24,85.368333333,8.32,5.4366666667,5.4366666667
1043448350,GITTLEMAN,COREY,,MD,M,I,28 CRESCENT ST,,MIDDLETOWN,CT,064573654,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,32,83,77.347710843,8.32,5.4460240964,5.4460240964
1043448350,GITTLEMAN,COREY,,MD,M,I,28 CRESCENT ST,,MIDDLETOWN,CT,064573654,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1689.78,128.15166667,88.519166667,93.634166667
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,25,11.056,10.9144,7.5296,7.5416
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,190,15,9.86,7.73,7.73
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,230,8.0904347826,6.9513043478,5.1263478261,5.1644347826
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,300,5.1866666667,4.03,3.1595333333,3.1595333333
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,310,4.9758064516,4.04,2.8714516129,2.8714516129
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,4600,0.4507173913,0.4272173913,0.3349413043,0.3351456522
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,950,0.2807789474,0.2594736842,0.2034,0.2100105263
1043448434,PRICE,DEAN,,NP,M,I,2122 HEALTH DR SW,,WYOMING,MI,495199698,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,209,16.083732057,10.93,8.5691866029,8.5691866029
1043448491,BARSKY,YELANA,,DPM,F,I,6431 N CALIFORNIA AVE,,CHICAGO,IL,606455294,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,42,84,73,71.56,56.105,56.105
1043448491,BARSKY,YELANA,,DPM,F,I,6431 N CALIFORNIA AVE,,CHICAGO,IL,606455294,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,162,30,29.19,22.885,22.886419753
1043448491,BARSKY,YELANA,,DPM,F,I,6431 N CALIFORNIA AVE,,CHICAGO,IL,606455294,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,90,45,43.56,34.151666667,34.150333333
1043448509,LACKEY,BETTY,J,D.O.,F,I,255 ENTERPRISE BLVD STE 101,,GREENVILLE,SC,296153530,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,7.31,7.31,5.49125,6.5825
1043448509,LACKEY,BETTY,J,D.O.,F,I,255 ENTERPRISE BLVD STE 101,,GREENVILLE,SC,296153530,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.65,13.65,9.7272727273,9.85
1043448509,LACKEY,BETTY,J,D.O.,F,I,255 ENTERPRISE BLVD STE 101,,GREENVILLE,SC,296153530,US,Physician/Family Practice,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,15.84,15.84,12.42,14.12
1043448509,LACKEY,BETTY,J,D.O.,F,I,255 ENTERPRISE BLVD STE 101,,GREENVILLE,SC,296153530,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,49,10.81,10.81,8.1291836735,8.2253061224
1043448509,LACKEY,BETTY,J,D.O.,F,I,255 ENTERPRISE BLVD STE 101,,GREENVILLE,SC,296153530,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,112,6.92,6.92,5.3867857143,5.44375
1043448624,SCHROEDER,RYAN,,M.D.,M,I,401 YOUNG AVE STE 260A,,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,34,98,57.912244898,8.32,5.9891836735,5.9891836735
1043448624,SCHROEDER,RYAN,,M.D.,M,I,401 YOUNG AVE STE 260A,,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,33,12.296666667,1.42,1.0487878788,1.0487878788
1043448624,SCHROEDER,RYAN,,M.D.,M,I,401 YOUNG AVE STE 260A,,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,23.099090909,7.9909090909,10.783636364
1043448624,SCHROEDER,RYAN,,M.D.,M,I,401 YOUNG AVE STE 260A,,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,7.6345454545,3.0636363636,3.4627272727
1043448657,YERKES,DAVID,,D.O.,M,I,515 READ ST,,EVANSVILLE,IN,477101739,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240.62,102.61833333,75.474166667,53.544166667
1043448657,YERKES,DAVID,,D.O.,M,I,515 READ ST,,EVANSVILLE,IN,477101739,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,44.745,32.575,27.6525
1043449036,MUSHTAQ,ASIM,,M.D.,M,I,1 MEDICAL CENTER BLVD,,COOKEVILLE,TN,385014294,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,53,37.674150943,21.817735849,15.526415094,12.310943396
1043449036,MUSHTAQ,ASIM,,M.D.,M,I,1 MEDICAL CENTER BLVD,,COOKEVILLE,TN,385014294,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,20.017272727,4.64,2.6472727273,2.4581818182
1043449036,MUSHTAQ,ASIM,,M.D.,M,I,1 MEDICAL CENTER BLVD,,COOKEVILLE,TN,385014294,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,73,227.49534247,96.681917808,68.031917808,48.623972603
1043449036,MUSHTAQ,ASIM,,M.D.,M,I,1 MEDICAL CENTER BLVD,,COOKEVILLE,TN,385014294,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,61.59,44.07,29.076666667,24.596111111
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,50,100,82.1549,8.32,5.8049,5.8049
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,25,14.8112,1.42,0.9384,0.9384
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,13.76,7.37,5.778,5.778
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,14.56,5.23,4.1003333333,4.1003333333
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,17.5,7.3846153846,5.7884615385,6.1038461538
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,A7010,"Corrugated tubing, disposable, used with large volume nebulizer, 100 feet",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,48.96,14.8,11.6,11.6
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7.08,3.81,2.987,2.987
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,690,22.04,4.85,3.8023333333,3.9905072464
1043449127,ROSATO,ELIZABETH,A,M.D.,F,I,4417 VESTAL PARKWAY EAST,,VESTAL,NY,138503556,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3072,3.6,1.1,0.8623828125,0.9486328125
1043449440,LAMBRING,CHRISTOPHER,J,O.D.,M,I,707 W TIPTON ST,,SEYMOUR,IN,472742157,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,73.234166667,71.972916667,49.27,46.27875
1043449440,LAMBRING,CHRISTOPHER,J,O.D.,M,I,707 W TIPTON ST,,SEYMOUR,IN,472742157,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,29,64,64,46.022068966,49.801034483
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,28,72,921,56.157839305,19.622486428,14.729359392,14.729359392
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,28,69,2307,7.7998136107,2.6304638058,1.9077589944,1.9077589944
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,76,185,909,60.646369637,8.3073267327,6.116369637,6.1263146315
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,,22,22,13.853181818,3.38,2.2886363636,2.2886363636
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,21.238181818,2.12,1.5181818182,1.5181818182
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,27,61,123,13.979268293,1.42,0.9594308943,0.9594308943
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,728.19955556,337.57533333,257.468,257.468
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,28,2500,16.209976,10.950128,8.584916,8.584916
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,310.37266667,251.11,196.87,196.87
1043449465,SHANMUGAM,NATRAJ,A,M.D.,M,I,1602 ROCK PRAIRIE RD,SUITE 210,COLLEGE STATION,TX,778458306,US,Physician/Internal Medicine,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,64,14.75,0.6071875,0.43109375,0.43109375
1043449549,EDWARDS,ELIZABETH,W,M.D.,F,I,2 MEDICAL PARK RD STE 501,UNIVERSITY SPECIALTY CLINICS-DEPT. OF INTERNAL MEDICINE,COLUMBIA,SC,292036839,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,64,46.726875,8.32,6.421875,6.421875
1043449549,EDWARDS,ELIZABETH,W,M.D.,F,I,2 MEDICAL PARK RD STE 501,UNIVERSITY SPECIALTY CLINICS-DEPT. OF INTERNAL MEDICINE,COLUMBIA,SC,292036839,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,26,13.580384615,1.42,1.0711538462,1.0711538462
1043449689,BUTLER,RACHEL,R,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,337.23392857,97.733928571,70.571071429,50.3125
1043449705,BARTHELMES,SHARON,J,NP-C,F,I,701 CONGAREE RD,,GREENVILLE,SC,296073519,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,38,82,50.953292683,8.32,5.4098780488,5.4098780488
1043449705,BARTHELMES,SHARON,J,NP-C,F,I,701 CONGAREE RD,,GREENVILLE,SC,296073519,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,22,11.664545455,1.42,1.0654545455,1.0654545455
1043449705,BARTHELMES,SHARON,J,NP-C,F,I,701 CONGAREE RD,,GREENVILLE,SC,296073519,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,17,11.66375,11.866875
1043449705,BARTHELMES,SHARON,J,NP-C,F,I,701 CONGAREE RD,,GREENVILLE,SC,296073519,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,52,53,53.677169811,4.9037735849,3.4332075472,3.1
1043449705,BARTHELMES,SHARON,J,NP-C,F,I,701 CONGAREE RD,,GREENVILLE,SC,296073519,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,519.51,71,51.418461538,50.559615385
1043449705,BARTHELMES,SHARON,J,NP-C,F,I,701 CONGAREE RD,,GREENVILLE,SC,296073519,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,116.76923077,33,25.87,25.87
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,51,180,59.304,8.32,6.1238333333,6.1238333333
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,11.403076923,3.38,2.65,2.65
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,31,50,13.1062,1.42,1.0484,1.0484
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,141.44285714,38.63,26.602142857,26.814285714
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,386.96,85.671666667,67.165,67.84
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,55,68.560909091,15.29,11.191454545,11.096545455
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,26,26,274.225,54.685384615,41.213846154,41.21
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,22,22,81.614090909,18.249545455,13.661818182,13.421363636
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,20,20,92.3625,11.478,9.002,9.122
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,15,32,156,10.797307692,1.9440384615,1.4789102564,1.5443589744
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,46.103333333,14.459333333,11.337333333,10.34
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,42,72.165714286,18.745,13.083095238,12.103571429
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,308.83538462,85.312307692,66.886923077,66.233076923
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,24,25,57.71,12.138,9.1016,9.2204
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,52.545384615,5.5469230769,4.0369230769,3.4584615385
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,29,30,209.43133333,33.288666667,25.286333333,24.962666667
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,44,392.73136364,85.394772727,59.795,49.505
1043449929,SCOTT-CRAIG,THOMAS,P,MD,M,I,8001 CHALLIS ROAD,,BRIGHTON,MI,481167446,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,108.10909091,18.197272727,12.72,13.117272727
1043449960,LAWSON,MICHAEL,J,ARNP,M,I,2525 HARBOR BLVD,SUITE 102,PORT CHARLOTTE,FL,339525317,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,74,54.208513514,8.32,6.1695945946,6.1695945946
1043449960,LAWSON,MICHAEL,J,ARNP,M,I,2525 HARBOR BLVD,SUITE 102,PORT CHARLOTTE,FL,339525317,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,16,10.443125,1.42,0.97625,0.97625
1043449960,LAWSON,MICHAEL,J,ARNP,M,I,2525 HARBOR BLVD,SUITE 102,PORT CHARLOTTE,FL,339525317,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,11,108,108,25,5.382962963,4.0491666667,3.4811111111
1043449960,LAWSON,MICHAEL,J,ARNP,M,I,2525 HARBOR BLVD,SUITE 102,PORT CHARLOTTE,FL,339525317,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,24,3184,0.5820948492,0.1308448492,0.1026099246,0.1026099246
1043449960,LAWSON,MICHAEL,J,ARNP,M,I,2525 HARBOR BLVD,SUITE 102,PORT CHARLOTTE,FL,339525317,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,577.42,150.455,106.00416667,104.19416667
1043449960,LAWSON,MICHAEL,J,ARNP,M,I,2525 HARBOR BLVD,SUITE 102,PORT CHARLOTTE,FL,339525317,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,46.708333333,33,24.432777778,24.432777778
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,32,75,52.732,8.32,3.6792,3.6792
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,34,34,95.146470588,39.937647059,28.581764706,27.871764706
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,17,33,33,285.47575758,91.512727273,69.654545455,65.913333333
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,16,43,91,103.98813187,35.023516484,24.94021978,23.450879121
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,166.66142857,56.21,33.402142857,32.363571429
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,38,38,54.248421053,18.609736842,13.461842105,12.963421053
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,19,19,84.537368421,14.416315789,10.806315789,8.6468421053
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,25,50,204,9.0753431373,2.2386764706,1.698627451,1.5407352941
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,17,19,19,40.428947368,13.411052632,9.9689473684,9.7957894737
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.91,12.87,12.411666667
1043450760,CHRISTENSEN,WILLIAM,B,"MSN, NP-C",M,I,25 N 100 E STE 102,,ST GEORGE,UT,847707369,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,399.27818182,70.48,50.227272727,49.769545455
1043451008,RASBERRY,MELISSA,L,M.D.,F,I,1920 W SALE RD,"BLDG F, SUITE 2",LAKE CHARLES,LA,706052400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,54,126,65.219126984,8.32,6.0051587302,6.0051587302
1043451008,RASBERRY,MELISSA,L,M.D.,F,I,1920 W SALE RD,"BLDG F, SUITE 2",LAKE CHARLES,LA,706052400,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,43.982857143,17.29,12.582142857,12.565
1043451008,RASBERRY,MELISSA,L,M.D.,F,I,1920 W SALE RD,"BLDG F, SUITE 2",LAKE CHARLES,LA,706052400,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,41,421.45219512,70.23,52.374146341,52.067317073
1043451008,RASBERRY,MELISSA,L,M.D.,F,I,1920 W SALE RD,"BLDG F, SUITE 2",LAKE CHARLES,LA,706052400,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,61.651666667,19.21,13.476666667,12.371666667
1043451008,RASBERRY,MELISSA,L,M.D.,F,I,1920 W SALE RD,"BLDG F, SUITE 2",LAKE CHARLES,LA,706052400,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.035,8.4116666667,5.9025,5.8175
1043451412,HEDGE,HOLLY,A,APNP,F,I,600 N WESTHAVEN DR,,OSHKOSH,WI,549046926,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,44,7.011875,4.16875,2.3225
1043451412,HEDGE,HOLLY,A,APNP,F,I,600 N WESTHAVEN DR,,OSHKOSH,WI,549046926,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1802,1.1009433962,0.1351387347,0.1059711432,0.1059711432
1043451412,HEDGE,HOLLY,A,APNP,F,I,600 N WESTHAVEN DR,,OSHKOSH,WI,549046926,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,61.285714286,33,25.87,25.87
1043451644,KUNTZWEILER,ERIN,S,NP-C,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,231.33,47.845,35.359166667,24.771666667
1043451644,KUNTZWEILER,ERIN,S,NP-C,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,317.95909091,121.46,95.23,58.411818182
1043451644,KUNTZWEILER,ERIN,S,NP-C,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,1.9365897436,0.1350769231,0.0988974359,0.0988974359
1043451644,KUNTZWEILER,ERIN,S,NP-C,F,I,820 N MONTANA AVE,,HELENA,MT,596013856,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,23.518181818,23.518181818
1043452378,BOE,BRIAN,A,M.D.,M,I,700 CHILDRENS DR,,COLUMBUS,OH,432052664,US,Physician/Cardiovascular Disease (Cardiology),S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,21,245,25,18.46,14.472897959,14.472897959
1043452378,BOE,BRIAN,A,M.D.,M,I,700 CHILDRENS DR,,COLUMBUS,OH,432052664,US,Physician/Cardiovascular Disease (Cardiology),S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,720,4.6041666667,2.96,2.3206527778,2.3206527778
1043452378,BOE,BRIAN,A,M.D.,M,I,700 CHILDRENS DR,,COLUMBUS,OH,432052664,US,Physician/Cardiovascular Disease (Cardiology),S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,24,24,4.9583333333,4.21,3.3,3.3
1043452378,BOE,BRIAN,A,M.D.,M,I,700 CHILDRENS DR,,COLUMBUS,OH,432052664,US,Physician/Cardiovascular Disease (Cardiology),S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,720,5.95,5.23,4.1003333333,4.1003333333
1043452378,BOE,BRIAN,A,M.D.,M,I,700 CHILDRENS DR,,COLUMBUS,OH,432052664,US,Physician/Cardiovascular Disease (Cardiology),S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,21,15,8.24,6.46,6.43
1043452378,BOE,BRIAN,A,M.D.,M,I,700 CHILDRENS DR,,COLUMBUS,OH,432052664,US,Physician/Cardiovascular Disease (Cardiology),S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,571,4.4,3.81,2.9870577933,2.9870577933
1043452741,BLACK,JAMES,C,MD,M,I,3050 E RIVER BLUFF BLVD,,OZARK,MO,657218807,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,123.72,18.32,14.365,14.19
1043452741,BLACK,JAMES,C,MD,M,I,3050 E RIVER BLUFF BLVD,,OZARK,MO,657218807,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.34,8.765,6.87,6.67
1043452865,BOWEN,SUNNI,G,ANP,F,I,4624 MONARCHOS DR,,EDMOND,OK,730259772,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,324.12142857,89.16,57.377619048,43.166190476
1043453046,PARRACK,JONATHAN,E,D.O.,M,I,1441 WILKINS CIR,,CASPER,WY,826011337,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,64,1667,111.03689262,13.13,10.256946611,10.256946611
1043453046,PARRACK,JONATHAN,E,D.O.,M,I,1441 WILKINS CIR,,CASPER,WY,826011337,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,63,426,698.5,326.82,256.22720657,256.22720657
1043453046,PARRACK,JONATHAN,E,D.O.,M,I,1441 WILKINS CIR,,CASPER,WY,826011337,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,64,434,32.18640553,9.35,7.33,7.33
1043453046,PARRACK,JONATHAN,E,D.O.,M,I,1441 WILKINS CIR,,CASPER,WY,826011337,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,64,434,63.8,29.22,22.908548387,22.908525346
1043453046,PARRACK,JONATHAN,E,D.O.,M,I,1441 WILKINS CIR,,CASPER,WY,826011337,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,16,16,520.3,466.82,365.99,365.99
1043453079,SHAH,HARSHIT,R,M.D,M,I,9500 STOCKDALE HWY STE 201,,BAKERSFIELD,CA,933113621,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,14,54,65.098148148,8.32,6.297962963,6.297962963
1043453079,SHAH,HARSHIT,R,M.D,M,I,9500 STOCKDALE HWY STE 201,,BAKERSFIELD,CA,933113621,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,11,16,20.516875,1.42,1.11625,1.11625
1043453095,TOMLINSON,ANDREW,R,MD,M,I,5201 HARRY HINES BLVD,,DALLAS,TX,752357708,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,51,51,47.059803922,17.615882353,13.58,13.335490196
1043453095,TOMLINSON,ANDREW,R,MD,M,I,5201 HARRY HINES BLVD,,DALLAS,TX,752357708,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,21.845,6.486,4.3095,3.4065
1043453095,TOMLINSON,ANDREW,R,MD,M,I,5201 HARRY HINES BLVD,,DALLAS,TX,752357708,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,17,93,108,272.85592593,76.337407407,58.737777778,55.106296296
1043453095,TOMLINSON,ANDREW,R,MD,M,I,5201 HARRY HINES BLVD,,DALLAS,TX,752357708,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,17,156.26470588,36.5,28.62,29.405294118
1043453095,TOMLINSON,ANDREW,R,MD,M,I,5201 HARRY HINES BLVD,,DALLAS,TX,752357708,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,780,12.5375,2.8761538462,2.0709871795,2.0709871795
1043453095,TOMLINSON,ANDREW,R,MD,M,I,5201 HARRY HINES BLVD,,DALLAS,TX,752357708,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,13,13,33,33,25.87,25.87
1043453103,SHREVE,MARK,C,M.D.,M,I,9600 BROADWAY EXT,,OKLAHOMA CITY,OK,731147408,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,19,20,20,81.978,58.98,41.402,41.7325
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,39,77,222,63.793693694,8.32,6.0598648649,6.0598648649
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,28,53,16.278490566,1.42,1.0933962264,1.0933962264
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,130.035,39,28.031666667,27.956666667
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,34,182.74411765,39.390882353,28.355,25.037058824
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,100,12.8562,2.384,1.7634,1.5834
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,34.962727273,25.128181818,23.535454545
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,46,369.25130435,79.96,56.981304348,50.232608696
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,131.52173913,37,23.964782609,24.487391304
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,4432,0.2040297834,0.0461101083,0.0306543321,0.0306543321
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2188461538,0.1584871795,0.1584871795
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,732.24,133.48181818,104.64545455,107.30363636
1043453228,LEWIS,JASON,,MD,M,I,1675 NORTH MAIN STREET,,LAPEL,IN,460519671,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,40,97.35,33,23.283,23.283
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,37,197,80.228781726,8.32,6.2582741117,6.2582741117
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,34,22.525588235,1.42,1.1135294118,1.1135294118
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,39.049333333,17.63,13.82,13.53
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,201.286,76.48,59.96,54.72
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,16,67,66420,1.4710919904,1.2489322493,0.9791629027,0.9791629027
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,44,188,43560,5.7007878788,0.5714146006,0.4412102847,0.4412086777
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,6600,0.5933166667,0.4563636364,0.3577893939,0.3577893939
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,28,80,25950,0.0666400771,0.0129942197,0.0101919075,0.0101919075
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,1800,2.1657777778,0.7372166667,0.5779555556,0.5779555556
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,55,224,36360,6.269649615,2.8415709571,2.2213960396,2.2213960396
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,20,64,268,268,24,24,18.679552239,18.679552239
1043453293,MADHRIRA,MACHAIAH,M,MD,M,I,1001 PENNSYLVANIA AVE,,FORT WORTH,TX,761042228,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,68,296,364,16,16,12.507005495,12.507005495
1043453608,PATEL,RUTUJA,D,D.O.,F,I,2500 W FABYAN PKWY,,BATAVIA,IL,605101572,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,47,88.911702128,8.32,5.6891489362,5.6891489362
1043453749,CALDERON,IVAN,A,M.D.,M,I,6801 DIXIE HWY,SUITE 133,LOUISVILLE,KY,402583913,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,37,80,69.930375,8.32,5.761375,5.761375
1043453749,CALDERON,IVAN,A,M.D.,M,I,6801 DIXIE HWY,SUITE 133,LOUISVILLE,KY,402583913,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,18,24,14.79375,1.42,1.0216666667,1.0216666667
1043454374,NOLLAH,BLESSING,L,MD,F,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,22,64.77,19.71,15.45,15.45
1043454374,NOLLAH,BLESSING,L,MD,F,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,22,23,133.71,37.38,29.300434783,29.300434783
1043454374,NOLLAH,BLESSING,L,MD,F,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,422,43.087654028,4.9179383886,3.8556635071,3.8556635071
1043454374,NOLLAH,BLESSING,L,MD,F,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,169,7.5844970414,1.696035503,1.329408284,1.329408284
1043454374,NOLLAH,BLESSING,L,MD,F,I,911 BYPASS RD,,PIKEVILLE,KY,415011689,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,18.82,18.82
1043454523,XAVIER,SONIA,E,"APRN, MS, MPH",F,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,21,21,21,99.762380952,47.09,36.919047619,37.085714286
1043454523,XAVIER,SONIA,E,"APRN, MS, MPH",F,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,116.59722222,55.830555556,43.771111111,43.059444444
1043454523,XAVIER,SONIA,E,"APRN, MS, MPH",F,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.39,23.755833333,18.625,17.5525
1043454523,XAVIER,SONIA,E,"APRN, MS, MPH",F,I,170 GOVERNORS AVE,,MEDFORD,MA,021551643,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,15.93,10.4,8.1566666667,8.0741666667
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,512.29818182,116.00818182,70.403636364,49.342727273
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,28,193.90142857,42.150714286,27.544642857,20.708571429
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,90.666923077,23.326923077,16.252307692,12.144615385
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,98.120666667,17.227333333,12.832,8.512
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,13.503529412,2.6676470588,2.0394117647,1.5460294118
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,56.318181818,14.715454545,10.51,9.4
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.620833333,14.031666667
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,28,28,232.35,61.037857143,47.8525,38.583571429
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,698.46285714,41.07,28.505238095,20.04
1043454564,BALLARD,STEVEN,R,ANP,M,I,1050 W 10TH ST,STE 500,ROLLA,MO,654012905,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,626.60777778,104.71185185,79.882962963,57.202962963
1043454812,LUEKING,MELISSA,J,M.D.,F,I,11133 DUNN RD,STE 2427,SAINT LOUIS,MO,631366163,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,46.58,4.0631818182,3.1813636364,3.8381818182
1043454812,LUEKING,MELISSA,J,M.D.,F,I,11133 DUNN RD,STE 2427,SAINT LOUIS,MO,631366163,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,16,419.411875,79.82375,52.456875,45.586875
1043454812,LUEKING,MELISSA,J,M.D.,F,I,11133 DUNN RD,STE 2427,SAINT LOUIS,MO,631366163,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,13,46.01,31.54,24.73,23.373076923
1043454812,LUEKING,MELISSA,J,M.D.,F,I,11133 DUNN RD,STE 2427,SAINT LOUIS,MO,631366163,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,134.63545455,39.14,27.890909091,26.827272727
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,36,78,80.298974359,8.32,6.353974359,6.353974359
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,19,14.190526316,1.42,1.1168421053,1.1168421053
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,41,12.355853659,10.93,8.1512195122,8.1512195122
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,63,64.108730159,18.053333333,11.633015873,12.030634921
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,218.72928571,51.161428571,35.557142857,38.132857143
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,60.050625,12.050625,9.0425,8.733125
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,24,112,8.8126785714,1.9673214286,1.4751785714,1.52375
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,375.28,49.813636364,39.055454545,41.440909091
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,55.475454545,16.98,13.31,13.39
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,278.99052632,31.126842105,10.983157895,11.198421053
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,27,535.33777778,71.74,52.074074074,51.067407407
1043454838,BURNHAM,KEVIN,J,M.D.,M,I,4150 V ST,SUITE # 3116,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,744,0.6043548387,0.0459677419,0.0360215054,0.0360215054
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,31,78,52.290512821,8.32,6.3541025641,6.3541025641
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,20,10.807,1.42,1.114,1.114
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,2.19,1.92,1.4388564815,1.532912037
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,3.01,1.8,1.41,1.41
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,7.67,6.74,5.284,5.284
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.46,3.04,2.3835,2.3835
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,3063,0.1913157036,0.0464446621,0.0327979105,0.0327979105
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,124.31,57.59,45.148571429,26.232857143
1043456023,COKER,LARRY,D,MD,M,I,3399 BLACK FOREST DR,SUITE 2,FAYETTEVILLE,AR,727046541,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,120.35294118,33,22.826470588,22.826470588
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,78,58.720769231,8.32,6.5225641026,6.5225641026
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,43,17.975116279,1.42,1.0606976744,1.0606976744
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,32.01,5.91,4.6333333333,4.51575
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4104,0.98,0.3657675439,0.2867616959,0.3018421053
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,540,0.95,0.67,0.5253333333,0.5331666667
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattres",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,54.321666667,43.88,34.4,35.8275
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,183.885,162.29166667,127.23666667,121.63666667
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,29.026666667,17,13.33,13.54
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,33.260909091,26.073636364,25.566363636
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,5.43,3.8958333333,3.6458333333
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,30,143.30666667,77.628333333,60.856,54.72
1043456387,SIDDIQ,DANISH,M,MD,M,I,14690 SPRING HILL DR,#206,SPRING HILL,FL,346098102,US,Physician/Infectious Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,34.138,19.6,13.320666667,11.353333333
1043456445,THOMAS,JEREMY,M,D.P.M.,M,I,1720 NW MAYNARD RD,,CARY,NC,275133185,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,69,69,138,100,71.56,56.11,56.100144928
1043456445,THOMAS,JEREMY,M,D.P.M.,M,I,1720 NW MAYNARD RD,,CARY,NC,275133185,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,66,66,393,75,43.56,34.151653944,34.15
1043456445,THOMAS,JEREMY,M,D.P.M.,M,I,1720 NW MAYNARD RD,,CARY,NC,275133185,US,Podiatry,S,L2116,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,690,690,540.96,562.78
1043457005,ARORA,TARANDEEP,S,MD,M,I,500 SW RAMSEY AVE,,GRANTS PASS,OR,97527,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,4179.0184615,977.63230769,751.31346154,817.39153846
1043457005,ARORA,TARANDEEP,S,MD,M,I,500 SW RAMSEY AVE,,GRANTS PASS,OR,97527,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,244.71333333,71,52.567777778,51.689444444
1043457005,ARORA,TARANDEEP,S,MD,M,I,500 SW RAMSEY AVE,,GRANTS PASS,OR,97527,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,56.79,36,28.22,29.51
1043457674,DINKELS,MICHAEL,,M.D.,M,I,5 PALISADES DR STE 100,,ALBANY,NY,12205,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,325.46833333,79.48,58.848333333,52.101666667
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,35,89,218,64.046192661,8.32,5.9239908257,5.9239908257
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,16,28,32,14.3375,1.42,0.908125,0.908125
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,45.304545455,21.447272727,14.262727273,12.21
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,31.812,13.821333333,9.6286666667,7.9806666667
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,28,60,9.7,2.3558333333,1.3833333333,1.1886666667
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.165,7.1433333333,5.22,4.2733333333
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,38.489310345,18.453275862,12.2,11.441896552
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,27.860714286,8.9978571429,7.0557142857,6.9992857143
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,119.89,48.7435,35.831,24.154
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,94,94,237.3337234,74.556489362,50.475957447,47.410212766
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,69.252941176,37.44,27.388235294,27.550588235
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,145,37.71,28.29952381,26.503809524
1043457757,BIRDWHISTELL,MATTHEW,C,D.O.,M,I,1138 LEXINGTON RD,SUITE 290,GEORGETOWN,KY,403249672,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,25.87,25.87
1043458326,BARDINAS RODRIGUEZ,ROGELIO,O,MD,M,I,5200 SW 8TH ST,SUITE # 150,CORAL GABLES,FL,331342300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,31,61,49.08557377,8.2436065574,6.0337704918,6.0936065574
1043458326,BARDINAS RODRIGUEZ,ROGELIO,O,MD,M,I,5200 SW 8TH ST,SUITE # 150,CORAL GABLES,FL,331342300,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,18,19.182777778,1.42,1.0577777778,1.0577777778
1043458367,BARKOWSKI,RAKHI,S,M.D.,F,I,3150 HIGHWAY 153,,PIEDMONT,SC,296739498,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,70.166060606,22.611818182,16.821818182,13.074848485
1043458367,BARKOWSKI,RAKHI,S,M.D.,F,I,3150 HIGHWAY 153,,PIEDMONT,SC,296739498,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,372.15393939,103.64606061,77.638484848,53.867575758
1043458441,BROOME,JESSE,M,M.D.,M,I,840 FIRST COLONIAL RD,SUITE 102B,VIRGINIA BEACH,VA,234516106,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,17.194666667,4.288,2.8773333333,3.1073333333
1043458540,LYONS,ANDREA,L,M.D.,F,I,3581 HARRODSBURG RD STE 350,,LEXINGTON,KY,405131140,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,22,519.51,70.23,55.06,54.735454545
1043458631,SOTO,ABIGAIL,L,PA-C,F,I,6161 N STATE HIGHWAY 161,,IRVING,TX,75038,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,129.20454545,88.252727273,82.947272727
1043460124,CADENA-GARZA,ARACELY,,M.D.,F,I,101 S BROADWAY,,ELSA,TX,785430035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,34,98,201,33.595273632,8.32,6.0020895522,6.0020895522
1043460124,CADENA-GARZA,ARACELY,,M.D.,F,I,101 S BROADWAY,,ELSA,TX,785430035,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.94,3.38,2.65,2.65
1043460124,CADENA-GARZA,ARACELY,,M.D.,F,I,101 S BROADWAY,,ELSA,TX,785430035,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,31,75,84,7.8592857143,1.42,1.0335714286,1.0335714286
1043460124,CADENA-GARZA,ARACELY,,M.D.,F,I,101 S BROADWAY,,ELSA,TX,785430035,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,42,76.69047619,71.56,54.658095238,54.658095238
1043460124,CADENA-GARZA,ARACELY,,M.D.,F,I,101 S BROADWAY,,ELSA,TX,785430035,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,125,36.156,29.19,22.88504,22.88648
1043460124,CADENA-GARZA,ARACELY,,M.D.,F,I,101 S BROADWAY,,ELSA,TX,785430035,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,53.737142857,16.28,11.848571429,12.193571429
1043460751,ARENZ,KATHERINE,L,D.O.,F,I,2501 KENTUCKY AVE,,PADUCAH,KY,420033813,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,26,7.9045454545,6.1945454545,3.6854545455
1043461064,STISSER,BRIAN,C,MD,M,I,70 MEDICAL CENTER CIR,SUITE 208,FISHERSVILLE,VA,229392273,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,1680,0.2917857143,0.13,0.1019702381,0.1019702381
1043461064,STISSER,BRIAN,C,MD,M,I,70 MEDICAL CENTER CIR,SUITE 208,FISHERSVILLE,VA,229392273,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,2430,4.5811111111,1.83,1.4297942387,1.5842469136
1043461064,STISSER,BRIAN,C,MD,M,I,70 MEDICAL CENTER CIR,SUITE 208,FISHERSVILLE,VA,229392273,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,37,1914,9.1206896552,7.23,5.5743939394,5.5743939394
1043461064,STISSER,BRIAN,C,MD,M,I,70 MEDICAL CENTER CIR,SUITE 208,FISHERSVILLE,VA,229392273,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,104,2.3398076923,1.8,1.3561538462,1.3561538462
1043461080,KICKLAND,HALEY,D,"DNP, FNP-BC",F,I,1101 E 7TH ST,,ATLANTIC,IA,500221812,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,45,107,70.252523364,8.32,5.5458878505,5.5458878505
1043461080,KICKLAND,HALEY,D,"DNP, FNP-BC",F,I,1101 E 7TH ST,,ATLANTIC,IA,500221812,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,65.505,25.983333333,17.747777778,12.87
1043461080,KICKLAND,HALEY,D,"DNP, FNP-BC",F,I,1101 E 7TH ST,,ATLANTIC,IA,500221812,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,181.516,75.091,54.1575,39.8545
1043461080,KICKLAND,HALEY,D,"DNP, FNP-BC",F,I,1101 E 7TH ST,,ATLANTIC,IA,500221812,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,56.044285714,24.585,18.157142857,13.055714286
1043461080,KICKLAND,HALEY,D,"DNP, FNP-BC",F,I,1101 E 7TH ST,,ATLANTIC,IA,500221812,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,64.2675,19.62,14.73625,9.25875
1043461080,KICKLAND,HALEY,D,"DNP, FNP-BC",F,I,1101 E 7TH ST,,ATLANTIC,IA,500221812,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,26,152,7.8736842105,3.0889473684,2.3520394737,1.5838815789
1043461080,KICKLAND,HALEY,D,"DNP, FNP-BC",F,I,1101 E 7TH ST,,ATLANTIC,IA,500221812,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,166.58769231,48.596923077,38.097692308,37.908461538
1043461585,GUDUR,SUMA,,M.D,F,I,1705 COTTONWOOD VALLEY CIR S,,IRVING,TX,750386212,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,125.78854167,17.63,13.82,13.536041667
1043461585,GUDUR,SUMA,,M.D,F,I,1705 COTTONWOOD VALLEY CIR S,,IRVING,TX,750386212,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,125,5.93,4.65,3.38
1043461585,GUDUR,SUMA,,M.D,F,I,1705 COTTONWOOD VALLEY CIR S,,IRVING,TX,750386212,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,429.9,76.48,59.96,54.942978723
1043461817,WILLIAMS,TRAVIS,G,DO,M,I,520 S EAGLE RD,,MERIDIAN,ID,836426351,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,504.69153846,77.18,60.51,54.72
1043461817,WILLIAMS,TRAVIS,G,DO,M,I,520 S EAGLE RD,,MERIDIAN,ID,836426351,US,Physician/Hematology-Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,231.57894737,41.8,32.77,29.51
1043461932,HELM,MICHAEL,E,PA-C,M,I,305 LANGDON ST,STE H,SOMERSET,KY,425032750,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,66.577083333,22.23125,16.80625,12.96625
1043461932,HELM,MICHAEL,E,PA-C,M,I,305 LANGDON ST,STE H,SOMERSET,KY,425032750,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,19.992352941,8.9635294118,7.0258823529,4.1941176471
1043461932,HELM,MICHAEL,E,PA-C,M,I,305 LANGDON ST,STE H,SOMERSET,KY,425032750,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,305.64208333,100.73416667,76.487083333,52.449583333
1043461932,HELM,MICHAEL,E,PA-C,M,I,305 LANGDON ST,STE H,SOMERSET,KY,425032750,US,Physician Assistant,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,81.958181818,55.744545455,40.478181818,21.8
1043462070,PRETHISH,SWEETY,,MD,F,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,18,48,98,77.724795918,8.32,5.8146938776,5.8146938776
1043462070,PRETHISH,SWEETY,,MD,F,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,59,46.790508475,22.636101695,16.003559322,12.104745763
1043462070,PRETHISH,SWEETY,,MD,F,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,150,58.13,34.116111111,27.918888889
1043462070,PRETHISH,SWEETY,,MD,F,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,67,67,238.08298507,102.38791045,75.653432836,51.64
1043462070,PRETHISH,SWEETY,,MD,F,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1518,1.9905204216,0.137911726,0.1081422925,0.1081422925
1043462070,PRETHISH,SWEETY,,MD,F,I,200 BUNKER HILL DR,,AITKIN,MN,564311865,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,33,33,25.87,25.87
1043462153,YONTER,SIMGE,J,M.D,F,I,5464 WOODED WAY,,COLUMBIA,MD,210445722,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,12.48,10.29,8.07,8.04
1043462153,YONTER,SIMGE,J,M.D,F,I,5464 WOODED WAY,,COLUMBIA,MD,210445722,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.53,12.275,9.6166666667,7.55
1043462153,YONTER,SIMGE,J,M.D,F,I,5464 WOODED WAY,,COLUMBIA,MD,210445722,US,Physician/Physical Medicine and Rehabilitation,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,70.423636364,59.233636364,38.480909091,30.960909091
1043462153,YONTER,SIMGE,J,M.D,F,I,5464 WOODED WAY,,COLUMBIA,MD,210445722,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,124.6875,24.305,17.414166667,12.800833333
1043462153,YONTER,SIMGE,J,M.D,F,I,5464 WOODED WAY,,COLUMBIA,MD,210445722,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,148.41684211,38.195263158,26.507894737,18.908947368
1043462153,YONTER,SIMGE,J,M.D,F,I,5464 WOODED WAY,,COLUMBIA,MD,210445722,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,35.68,11.463333333,8.02,6.1591666667
1043462211,MEDINA,YESENIA,,D.O.,F,I,2394 NW 5TH ST,,MIAMI,FL,331254416,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,45,43.938666667,8.32,6.5246666667,6.5246666667
1043462393,VASIREDDY,SRI KRISHNA,,M.D.,M,I,2401 W UNIVERSITY AVE,BALL MEMORIAL HOSPITAL,MUNCIE,IN,473033428,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,25.89,17.353809524,12.316190476,12.25
1043462393,VASIREDDY,SRI KRISHNA,,M.D.,M,I,2401 W UNIVERSITY AVE,BALL MEMORIAL HOSPITAL,MUNCIE,IN,473033428,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,47.37,33.0675,33.5275
1043462393,VASIREDDY,SRI KRISHNA,,M.D.,M,I,2401 W UNIVERSITY AVE,BALL MEMORIAL HOSPITAL,MUNCIE,IN,473033428,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,276.65785714,70.269285714,51.180714286,50.820714286
1043462526,MANGIAFICO,LORA,A,PA-C,F,I,2940 E BANNER GATEWAY DR,SUITE 200,GILBERT,AZ,852342168,US,Physician Assistant,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,1341.1764706,1005.8329412,788.38176471,808.45
1043462526,MANGIAFICO,LORA,A,PA-C,F,I,2940 E BANNER GATEWAY DR,SUITE 200,GILBERT,AZ,852342168,US,Physician Assistant,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,2,17,17,34,650,357.96941176,280.64823529,285.69
1043462807,SENER,MELIS,O,M.D.,F,I,660 PENNSYLVANIA AVE SE,SUITE #100,WASHINGTON,DC,200034346,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,62,148,56.326959459,8.32,6.2573648649,6.2573648649
1043462807,SENER,MELIS,O,M.D.,F,I,660 PENNSYLVANIA AVE SE,SUITE #100,WASHINGTON,DC,200034346,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,14.650588235,3.38,2.65,2.65
1043462807,SENER,MELIS,O,M.D.,F,I,660 PENNSYLVANIA AVE SE,SUITE #100,WASHINGTON,DC,200034346,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.641666667,2.12,1.67,1.67
1043462807,SENER,MELIS,O,M.D.,F,I,660 PENNSYLVANIA AVE SE,SUITE #100,WASHINGTON,DC,200034346,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,33,52,12.384230769,1.42,1.1138461538,1.1138461538
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,51,5460,0.3614285714,0.13,0.0929615385,0.0929615385
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,69,11400,3.8086842105,1.7968421053,1.3657833333,1.5521035088
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,2460,9.65,6.3080487805,4.901304878,5.4898902439
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,30,96,15.896979167,9.395625,7.2141666667,8.2217708333
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,670,11.185970149,7,5.2114179104,5.2114179104
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,870,7.1600574713,4.04,3.0217701149,3.0217701149
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,810,0.4775308642,0.27,0.2116666667,0.2116666667
1043463029,ROGERS,WILLIAM,B,M.D.,M,I,2340 KNOB CREEK RD,SUITE 720,JOHNSON CITY,TN,376042977,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,450,0.4500222222,0.2466666667,0.1833777778,0.1994222222
1043463565,STEEN,AMANDA,B,M.D.,F,I,1600 E JEFFERSON ST,SUITE 300,SEATTLE,WA,981225698,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,52.5,23.305833333,18.27,16.010416667
1043463565,STEEN,AMANDA,B,M.D.,F,I,1600 E JEFFERSON ST,SUITE 300,SEATTLE,WA,981225698,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,65.06,33.438571429,26.218571429,26.238571429
1043463565,STEEN,AMANDA,B,M.D.,F,I,1600 E JEFFERSON ST,SUITE 300,SEATTLE,WA,981225698,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,25,10.362272727,8.1218181818,7.0595454545
1043463680,KOCH,NICOLE,,,F,I,10400 CONNECTICUT AVE,STE 606,KENSINGTON,MD,208953910,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,65,68.910615385,8.32,6.322,6.322
1043463680,KOCH,NICOLE,,,F,I,10400 CONNECTICUT AVE,STE 606,KENSINGTON,MD,208953910,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,20,17.3735,1.42,1.115,1.115
1043463680,KOCH,NICOLE,,,F,I,10400 CONNECTICUT AVE,STE 606,KENSINGTON,MD,208953910,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,188.06307692,54.217692308,39.233076923,39.567692308
1043463680,KOCH,NICOLE,,,F,I,10400 CONNECTICUT AVE,STE 606,KENSINGTON,MD,208953910,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,8.2491666667,2.2883333333,1.6433333333,1.4752777778
1043463680,KOCH,NICOLE,,,F,I,10400 CONNECTICUT AVE,STE 606,KENSINGTON,MD,208953910,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,69.72,38.6,30.266,26.02
1043464415,GOLINO,HILLARIE,,,F,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,34.633636364,17.022727273,13.346363636,14.285454545
1043464639,DO,TIMOTHY,D,MD,M,I,4689 US HIGHWAY 17,SUITE 11,ORANGE PARK,FL,320034831,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,120.93,35.333333333,27.701333333,27.529333333
1043466014,MITCHELL,SHERRY,D,APRN-CNP,F,I,309 W. 2ND ST.,,WELLSTON,OK,74881,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,36,36,36,1298.4861111,1172.1227778,907.34166667,883.97111111
1043466014,MITCHELL,SHERRY,D,APRN-CNP,F,I,309 W. 2ND ST.,,WELLSTON,OK,74881,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,22,946.81909091,875.41454545,686.31954545,677.69
1043466014,MITCHELL,SHERRY,D,APRN-CNP,F,I,309 W. 2ND ST.,,WELLSTON,OK,74881,US,Nurse Practitioner,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,25,250,109.14,85.56,95.07
1043466014,MITCHELL,SHERRY,D,APRN-CNP,F,I,309 W. 2ND ST.,,WELLSTON,OK,74881,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,17,19,28,135.70928571,106.36,83.39,88.068928571
1043466014,MITCHELL,SHERRY,D,APRN-CNP,F,I,309 W. 2ND ST.,,WELLSTON,OK,74881,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,48,48,63,491.29460317,468.77269841,363.77746032,361.7952381
1043466014,MITCHELL,SHERRY,D,APRN-CNP,F,I,309 W. 2ND ST.,,WELLSTON,OK,74881,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,63,63,63,966.85365079,793.73650794,617.73904762,564.85396825
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,141.875,39.32875,30.84,30.49875
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,4.14,1.68,1.2423529412,1.0823529412
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,261.13047619,85.628571429,60.708571429,61.395714286
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,46,95.250652174,32.976521739,23.092826087,23.141521739
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,161.06454545,55.57,43.57,42.989090909
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,57.434166667,17.371666667,13.618333333,14.060833333
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,56.702142857,11.501428571,8.3771428571,8.4714285714
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,33,192,7.2882291667,2.003125,1.4890104167,1.50890625
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,275,5.25,4.1161290323,4.1632258065
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,89.421290323,17.309677419,12.756451613,12.731612903
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,36,156.66388889,32.5525,23.840277778,23.678611111
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,89,89,322.5952809,76.298426966,57.027078652,52.654044944
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,132.5,35.326666667,27.696666667,29.374166667
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,23.686115385,9.6192307692,7.3575384615,7.3575384615
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2186,0.7021225984,0.1383074108,0.1084583715,0.1084583715
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1470,6.7772789116,3.0561632653,2.3093809524,2.3093809524
1043466535,VAKIL,RUPESH,M,M.D.,M,I,44 GODWIN AVE,SUITE 201,MIDLAND PARK,NJ,074321969,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,34,34,40.257352941,33,25.109117647,25.109117647
1043466576,SHARATH,GOWDA,,MD,M,I,201 S 14TH ST,,HERRIN,IL,62948,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,34,34,224.88205882,67.134117647,51.689705882,37.393529412
1043466576,SHARATH,GOWDA,,MD,M,I,201 S 14TH ST,,HERRIN,IL,62948,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,35,65.113428571,20.589428571,16.141142857,13.878571429
1043466576,SHARATH,GOWDA,,MD,M,I,201 S 14TH ST,,HERRIN,IL,62948,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,1369.8125,1074.31,837.13607143,837.13607143
1043466576,SHARATH,GOWDA,,MD,M,I,201 S 14TH ST,,HERRIN,IL,62948,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,47,355.81,85.879148936,65.00106383,54.124468085
1043466576,SHARATH,GOWDA,,MD,M,I,201 S 14TH ST,,HERRIN,IL,62948,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,36.14,25.496666667,26.7
1043466634,BOWSER,ERIN,M,DO,F,I,18 SPORTSMAN DR,,CLARION,PA,16214,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,23,71,159,65.996415094,8.32,5.0868553459,5.0868553459
1043466634,BOWSER,ERIN,M,DO,F,I,18 SPORTSMAN DR,,CLARION,PA,16214,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,29,14.999655172,1.42,1.0362068966,1.0362068966
1043466634,BOWSER,ERIN,M,DO,F,I,18 SPORTSMAN DR,,CLARION,PA,16214,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,53,52.055283019,21.929245283,15.613773585,12.083773585
1043466634,BOWSER,ERIN,M,DO,F,I,18 SPORTSMAN DR,,CLARION,PA,16214,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,28.356086957,6.5295652174,3.647826087,2.5626086957
1043466634,BOWSER,ERIN,M,DO,F,I,18 SPORTSMAN DR,,CLARION,PA,16214,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,139,139,359.00834532,98.362014388,72.660719424,52.231151079
1043466634,BOWSER,ERIN,M,DO,F,I,18 SPORTSMAN DR,,CLARION,PA,16214,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1350,1.3287555556,0.1323555556,0.0977259259,0.0977259259
1043466634,BOWSER,ERIN,M,DO,F,I,18 SPORTSMAN DR,,CLARION,PA,16214,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,103.71428571,33,22.174285714,22.174285714
1043466709,LOCKE,ELIZABETH,A,MD,F,I,713 TROY SCHENECTADY RD,SUITE 224,LATHAM,NY,121102490,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,57,38.473859649,8.32,5.6064912281,5.6064912281
1043466899,BERGESON BARKDULL,JILL,,M.D.,F,I,830 N 2000 W,,PLEASANT GROVE,UT,840624047,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,4.54,3.555,3.66
1043466931,RUDDELL,TIMOTHY,J,M.D.,M,I,800 SCOTT AND WHITE DR,,COLLEGE STATION,TX,77845,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2641,0.3603672851,0.13,0.101942446,0.101942446
1043466931,RUDDELL,TIMOTHY,J,M.D.,M,I,800 SCOTT AND WHITE DR,,COLLEGE STATION,TX,77845,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,3790,3.34823219,2.0344591029,1.5571451187,1.5614881266
1043466931,RUDDELL,TIMOTHY,J,M.D.,M,I,800 SCOTT AND WHITE DR,,COLLEGE STATION,TX,77845,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,3290,10.111094225,7.1434954407,5.6004863222,5.668325228
1043467012,STEVENS,WAYNE,B,OD,M,I,15255 HIGHWAY 43,,RUSSELLVILLE,AL,356531924,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,109,77.93,56.726428571,49.028571429
1043467012,STEVENS,WAYNE,B,OD,M,I,15255 HIGHWAY 43,,RUSSELLVILLE,AL,356531924,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,21,86.142857143,49.961904762,35.438095238,39.92952381
1043467038,MSANGI,GASPAR,,M.D.,M,I,55 WHITCHER ST NE STE 250,,MARIETTA,GA,300601169,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,0.19,0.13,0.0803680556,0.0803680556
1043467038,MSANGI,GASPAR,,M.D.,M,I,55 WHITCHER ST NE STE 250,,MARIETTA,GA,300601169,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2370,2.7984472574,2.03,1.2932447257,1.3000126582
1043467194,THAKUR,PANKAJ,,M.D.,M,I,37 HIGHLAND AVE,,WASHINGTON,PA,153014062,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,65.954117647,17.1,11.043529412,11.180588235
1043467194,THAKUR,PANKAJ,,M.D.,M,I,37 HIGHLAND AVE,,WASHINGTON,PA,153014062,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,443.30137931,77.5,56.480344828,50.866551724
1043467194,THAKUR,PANKAJ,,M.D.,M,I,37 HIGHLAND AVE,,WASHINGTON,PA,153014062,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,36.26,28.43,29.51
1043467384,WANG,MARK,L,"M.D., PH.D.",M,I,925 CHESTNUT ST,5TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,197.75,119.69,93.838,88.776
1043467384,WANG,MARK,L,"M.D., PH.D.",M,I,925 CHESTNUT ST,5TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,34,34,35,300,215.58,164.91085714,167.61657143
1043467384,WANG,MARK,L,"M.D., PH.D.",M,I,925 CHESTNUT ST,5TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,468.69230769,371.75923077,291.46307692,298.46923077
1043467384,WANG,MARK,L,"M.D., PH.D.",M,I,925 CHESTNUT ST,5TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,44,44,45,94,65.464444444,50.250666667,45.300888889
1043467665,KODUMAGULLA,MRINALINI,S,M.D.,F,I,1831 LAKE PINE DR STE 200,,CARY,NC,275116050,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,11,30,77,59.457532468,8.32,6.268961039,6.268961039
1043467665,KODUMAGULLA,MRINALINI,S,M.D.,F,I,1831 LAKE PINE DR STE 200,,CARY,NC,275116050,US,Physician/Family Practice,S,A7012,"Water collection device, used with large volume nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,7.6527272727,2.73,2.14,2.13
1043467665,KODUMAGULLA,MRINALINI,S,M.D.,F,I,1831 LAKE PINE DR STE 200,,CARY,NC,275116050,US,Physician/Family Practice,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,31,4.2025806452,2.33,1.8270967742,1.8270967742
1043467665,KODUMAGULLA,MRINALINI,S,M.D.,F,I,1831 LAKE PINE DR STE 200,,CARY,NC,275116050,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,413,275,5.49,4.304188862,4.1738014528
1043467665,KODUMAGULLA,MRINALINI,S,M.D.,F,I,1831 LAKE PINE DR STE 200,,CARY,NC,275116050,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3536,4.0830854072,0.37,0.2900820136,0.2900820136
1043467665,KODUMAGULLA,MRINALINI,S,M.D.,F,I,1831 LAKE PINE DR STE 200,,CARY,NC,275116050,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,33.660909091,4.0127272727,3.1418181818,3.6781818182
1043467665,KODUMAGULLA,MRINALINI,S,M.D.,F,I,1831 LAKE PINE DR STE 200,,CARY,NC,275116050,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,4.98,3.9,3.95
1043468234,WILLIAMS,MARILYN,D,NP,F,I,129 E STARLING ST STE A,,GREENVILLE,MS,387014725,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,52,51.916346154,8.32,4.595,4.595
1043468234,WILLIAMS,MARILYN,D,NP,F,I,129 E STARLING ST STE A,,GREENVILLE,MS,387014725,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.92,0.13325,0.1044444444,0.1044444444
1043468234,WILLIAMS,MARILYN,D,NP,F,I,129 E STARLING ST STE A,,GREENVILLE,MS,387014725,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1043468325,LEVIN,MARGARET,,PA-C,F,I,8686 BAY PKWY # M1-M2,,BROOKLYN,NY,112145119,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,26,50,1168.8518,8.32,5.4994,5.4994
1043468374,MASDEN,DEREK,L,MD,M,I,3333 N CALVERT ST,,BALTIMORE,MD,212182867,US,Physician/Plastic and Reconstructive Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,18,21,59.944761905,59.678095238,46.782857143,46.388095238
1043469778,PURANAM,SRILEKHA,,M.D.,F,I,664 SOUTHLAND MALL,,HAYWARD,CA,945452150,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,50,143,82.24013986,8.32,5.426993007,5.426993007
1043469778,PURANAM,SRILEKHA,,M.D.,F,I,664 SOUTHLAND MALL,,HAYWARD,CA,945452150,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,18,29,13.923448276,1.42,0.8462068966,0.8462068966
1043469778,PURANAM,SRILEKHA,,M.D.,F,I,664 SOUTHLAND MALL,,HAYWARD,CA,945452150,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,45.472,20.3125,8.7515,7.87
1043470370,YANG,SUNG,S,M.D.,M,I,2155 KALAKAUA AVE,STE 308,HONOLULU,HI,968152354,US,Physician/General Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,14.52,4.65,3.6456666667,3.2456666667
1043470735,LATIF,SYED,R,MD,M,I,2800 L ST FL 6,,SACRAMENTO,CA,958165616,US,Physician/Cardiovascular Disease (Cardiology),S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,171.18181818,74.618181818,58.503636364,54.818181818
1043470818,GUPTA,REENA,,M.D.,F,I,1001 POTRERO AVE RM 1M3,SFGH GENERAL MEDICINE CLINIC,SAN FRANCISCO,CA,941103518,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,25,111,73.665405405,8.32,6.1117117117,6.1117117117
1043470818,GUPTA,REENA,,M.D.,F,I,1001 POTRERO AVE RM 1M3,SFGH GENERAL MEDICINE CLINIC,SAN FRANCISCO,CA,941103518,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,34,15.887352941,1.42,1.0811764706,1.0811764706
1043470867,FIXEL,JULIA,,PA-C,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,32,50.4446875,8.32,6.1140625,6.1140625
1043470867,FIXEL,JULIA,,PA-C,F,I,451 JUNCTION RD,,MADISON,WI,537172656,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,13.249285714,1.42,1.1171428571,1.1171428571
1043470909,SHETH,SEEMA,,M.D.,F,I,499 FARMINGTON AVE,SUITE 220,FARMINGTON,CT,060321943,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,2970,2.321010101,2.023030303,1.5377340067,1.551026936
1043470909,SHETH,SEEMA,,M.D.,F,I,499 FARMINGTON AVE,SUITE 220,FARMINGTON,CT,060321943,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,2160,10.8125,7.5766666667,5.8736574074,6.1115231481
1043471071,LAMPMAN,ROBERT,W,M.D.,M,I,3643 N ROXBORO ST,,DURHAM,NC,277042702,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,70.23,52.305833333,51.966666667
1043471071,LAMPMAN,ROBERT,W,M.D.,M,I,3643 N ROXBORO ST,,DURHAM,NC,277042702,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,37.44,26.904166667,27.0675
1043471121,VEGELER,REID,C,M.D.,M,I,5 FIRSTVILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,452,0.4388053097,0.2598672566,0.2038053097,0.2086061947
1043471170,VUTIEN,ROSELYNE,T,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,50,121,68.505041322,8.32,6.0988429752,6.0988429752
1043471170,VUTIEN,ROSELYNE,T,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,20,24,13.839166667,1.42,1.025,1.025
1043471170,VUTIEN,ROSELYNE,T,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,125,16.96,13.3,13.54
1043471170,VUTIEN,ROSELYNE,T,MD,F,I,811 S HAMILTON ST,,CHANDLER,AZ,852256308,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,430.04,77.36,60.65,54.73
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,53,160,436,67.212385321,8.32,5.9986238532,5.9986238532
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,11.961111111,3.38,2.5027777778,2.5027777778
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,18.423076923,2.12,1.67,1.67
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,35,67,113,14.744159292,1.42,1.0948672566,1.0948672566
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,55.168333333,16.1475,11.828333333,9.565
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,7.37,5.7780645161,4.1632258065
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8100,3.4582222222,0.4,0.3136,0.243037037
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,178.33272727,62.477272727,48.985454545,39.36
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,14,92,92,202.47228261,56.844673913,39.088478261,31.696521739
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,45,48,54.246875,21.861875,14.962708333,13.090833333
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,15,103,103,37.931262136,7.8970873786,5.8219417476,3.7011650485
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,105,110,351.006,103.78309091,76.030636364,58.272909091
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.192153846,8.7746923077,8.7746923077
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,32,8300,0.2094409639,0.046586747,0.0338614458,0.0338614458
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,12,25,4288,1.7793983209,0.1303358209,0.0856413246,0.0856413246
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,23,126,126,75.083253968,24.243888889,17.199126984,12.383095238
1043471238,SEO,HAK,S,MD,M,I,188 16TH AVE,SUITE 107,DAYTON,TN,373211036,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,49,49,95.632653061,33,23.758163265,23.758163265
1043471279,ATHANASSIOUS,CHRISTIAN,N,M.D.,M,I,1405 MONTGOMERY DR,,SANTA ROSA,CA,954054557,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,5250,4378.96,3433.11,3433.11
1043471279,ATHANASSIOUS,CHRISTIAN,N,M.D.,M,I,1405 MONTGOMERY DR,,SANTA ROSA,CA,954054557,US,Physician/Orthopedic Surgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,455.50181818,418.08090909,327.77727273,292.91181818
1043471279,ATHANASSIOUS,CHRISTIAN,N,M.D.,M,I,1405 MONTGOMERY DR,,SANTA ROSA,CA,954054557,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,17,1403.3117647,1146.08,898.52,886.5
1043471329,HOLT,LYNLEY,S,MD,F,I,550 WHITE OAK ST,,ASHEBORO,NC,272034710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,48,144,57.512013889,8.32,5.8213194444,5.8213194444
1043471329,HOLT,LYNLEY,S,MD,F,I,550 WHITE OAK ST,,ASHEBORO,NC,272034710,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,23,45,11.041111111,1.42,1.0644444444,1.0644444444
1043471329,HOLT,LYNLEY,S,MD,F,I,550 WHITE OAK ST,,ASHEBORO,NC,272034710,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,29.327,3.908,2.496,3.062
1043471329,HOLT,LYNLEY,S,MD,F,I,550 WHITE OAK ST,,ASHEBORO,NC,272034710,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,320.5125,81.64,52.689583333,46.509583333
1043471329,HOLT,LYNLEY,S,MD,F,I,550 WHITE OAK ST,,ASHEBORO,NC,272034710,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,35.181818182,33,23.518181818,23.518181818
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,1125,2.95968,0.4932888889,0.3509155556,0.3509155556
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1230,11.341333333,2.5851219512,2.0267479675,2.0267479675
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,28,66,568,74630,5.6647157979,0.5641870561,0.4250515878,0.4308603779
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,50,22450,0.5364293987,0.4603924276,0.3609474388,0.3609474388
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,51,403,61070,0.1023579499,0.0129947601,0.009738988,0.009738988
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,5580,1.759062724,0.7424193548,0.5250896057,0.5250896057
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,44,368,60192,6.5984669059,1.2115521996,0.9043831406,0.9201812533
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,26,245,39852,4.8137606645,2.8293465824,2.1921379103,2.1921379103
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,780,29.734974359,7.492,5.716025641,5.716025641
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,3,,27,12232,8.9470331916,8.4309728581,6.4866219751,6.6004349248
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,31,72,588,588,24,24,18.348435374,18.348435374
1043471436,KHAIRI,TALAL,R,MD,M,I,19333 W NORTH AVE,,BROOKFIELD,WI,530454132,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,30,80,1084,1269,16.006304177,16,12.264499606,12.264499606
1043471477,ZEBALLOS-CHAVEZ,ROCIO,D,M.D.,F,I,1465 S GRAND BLVD,,ST. LOUIS,MO,631041003,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,17,102.55705882,34,26.658235294,26.136470588
1043471477,ZEBALLOS-CHAVEZ,ROCIO,D,M.D.,F,I,1465 S GRAND BLVD,,ST. LOUIS,MO,631041003,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,65.8275,18,14.11,14.06
1043471477,ZEBALLOS-CHAVEZ,ROCIO,D,M.D.,F,I,1465 S GRAND BLVD,,ST. LOUIS,MO,631041003,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,83,7.7486746988,2.0930120482,1.6401204819,1.5972289157
1043471477,ZEBALLOS-CHAVEZ,ROCIO,D,M.D.,F,I,1465 S GRAND BLVD,,ST. LOUIS,MO,631041003,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,571.98818182,85.038181818,66.669090909,65.352727273
1043471477,ZEBALLOS-CHAVEZ,ROCIO,D,M.D.,F,I,1465 S GRAND BLVD,,ST. LOUIS,MO,631041003,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,38,38,51.178947368,12.753684211,9.9963157895,9.9410526316
1043471477,ZEBALLOS-CHAVEZ,ROCIO,D,M.D.,F,I,1465 S GRAND BLVD,,ST. LOUIS,MO,631041003,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,240.12727273,35.079545455,26.944318182,25.741590909
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,55,55,156.54545455,45.78,31.502,30.914
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,12.420833333,12.4025
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,429.86357143,70.23,49.078928571,48.775714286
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,41,41,83.735853659,18.2,13.052439024,11.996585366
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,87,87,73.98,32.064482759,19.147931034,17.695977011
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,78.11,27.53,16.666666667,15.432380952
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,212.43692308,50.18,38.863076923,34.843846154
1043471485,LARKIN,LISA,M,MD,F,I,527 POCKET RD,,HURT,VA,245632023,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,29,145,145,18.190344828,8.0248275862,5.1293103448,5.0573103448
1043471584,BERNSTEIN,DAVID,A,M.D.,M,I,1427 VINE STREET,DREXEL INTERNAL MEDICINE,PHILADELPHIA,PA,19102,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.08,12.6,13.53
1043471584,BERNSTEIN,DAVID,A,M.D.,M,I,1427 VINE STREET,DREXEL INTERNAL MEDICINE,PHILADELPHIA,PA,19102,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,77.18,60.51,54.72
1043471618,SEIFERT,MICHAEL,E,MD,M,I,1 CHILDRENS PL,,SAINT LOUIS,MO,631101002,US,Physician/Pediatric Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,95,20523,6.8046547776,0.554161185,0.3796097062,0.4311971934
1043471618,SEIFERT,MICHAEL,E,MD,M,I,1 CHILDRENS PL,,SAINT LOUIS,MO,631101002,US,Physician/Pediatric Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,54,10935,0.1275683585,0.013218107,0.0100859625,0.0100859625
1043471618,SEIFERT,MICHAEL,E,MD,M,I,1 CHILDRENS PL,,SAINT LOUIS,MO,631101002,US,Physician/Pediatric Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,46,7132,5.9755005609,1.337254627,1.0176752664,1.0285067302
1043471618,SEIFERT,MICHAEL,E,MD,M,I,1 CHILDRENS PL,,SAINT LOUIS,MO,631101002,US,Physician/Pediatric Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,18,63,63,24.015873016,24,18.521269841,18.521269841
1043471618,SEIFERT,MICHAEL,E,MD,M,I,1 CHILDRENS PL,,SAINT LOUIS,MO,631101002,US,Physician/Pediatric Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,19,97,142,16.126760563,16,12.453309859,12.453309859
1043471717,OLALEKAN,DAVID,B,MD,M,I,1201 PLEASANT VALLEY RD,,OWENSBORO,KY,423039811,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,18,14.11,13.591818182
1043471717,OLALEKAN,DAVID,B,MD,M,I,1201 PLEASANT VALLEY RD,,OWENSBORO,KY,423039811,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,86.84,68.08,55.943636364
1043471758,NGUYEN-LE,TRANG,Q,D.O.,F,I,2850 W HORIZON RIDGE PKWY,SUITE 100,HENDERSON,NV,890524395,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1043472228,KUMAR,MANDEEP,,M.D.,M,I,80 SEYMOUR ST,SOUTH 502,HARTFORD,CT,061028000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,467.16733333,77.18,54.459,49.441
1043472269,DEMOINY,SEBASTIEN,G,D.P.M.,M,I,420 W MORRIS BLVD,SUITE 400D,MORRISTOWN,TN,378132283,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,53,53,106,75,71.56,54.065660377,54.056698113
1043472269,DEMOINY,SEBASTIEN,G,D.P.M.,M,I,420 W MORRIS BLVD,SUITE 400D,MORRISTOWN,TN,378132283,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,53,53,318,48,29.19,22.238930818,22.238930818
1043472269,DEMOINY,SEBASTIEN,G,D.P.M.,M,I,420 W MORRIS BLVD,SUITE 400D,MORRISTOWN,TN,378132283,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,21,174,74.55,45.852380952,49.990952381
1043472269,DEMOINY,SEBASTIEN,G,D.P.M.,M,I,420 W MORRIS BLVD,SUITE 400D,MORRISTOWN,TN,378132283,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,24,24,450,266.98,195.68791667,203.72083333
1043472293,HARRIS,NATHAN,P,MD,M,I,705 PLEASANT AVE S,,PARK RAPIDS,MN,564701440,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,20.718571429,14.111428571,11.597142857
1043472293,HARRIS,NATHAN,P,MD,M,I,705 PLEASANT AVE S,,PARK RAPIDS,MN,564701440,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,32,424.160625,91.784375,66.1715625,49.2575
1043472293,HARRIS,NATHAN,P,MD,M,I,705 PLEASANT AVE S,,PARK RAPIDS,MN,564701440,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,70,44.178,30.256666667,25.58
1043472509,RABY,SANDRA,K,GNP-BC,F,I,900 E MICHIGAN AVE,SUITE 106,JACKSON,MI,492012457,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,23,48,69.844166667,8.2364583333,5.368125,5.4335416667
1043472509,RABY,SANDRA,K,GNP-BC,F,I,900 E MICHIGAN AVE,SUITE 106,JACKSON,MI,492012457,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,34.91,25.089166667,25.089166667
1043472509,RABY,SANDRA,K,GNP-BC,F,I,900 E MICHIGAN AVE,SUITE 106,JACKSON,MI,492012457,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,417.4975,78.012083333,55.331875,49.005625
1043472509,RABY,SANDRA,K,GNP-BC,F,I,900 E MICHIGAN AVE,SUITE 106,JACKSON,MI,492012457,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1043472509,RABY,SANDRA,K,GNP-BC,F,I,900 E MICHIGAN AVE,SUITE 106,JACKSON,MI,492012457,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.14,23.608333333,24.836666667
1043472756,PATEL,MEHUL,P,MD,M,I,1600 HOSPITAL PKWY,,BEDFORD,TX,760226913,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,60.667419355,17.63,13.374193548,13.130967742
1043472756,PATEL,MEHUL,P,MD,M,I,1600 HOSPITAL PKWY,,BEDFORD,TX,760226913,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,41,366.95341463,76.48,58.497560976,54.407804878
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,15,37,133,45.624661654,8.32,5.3487218045,5.3487218045
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.541333333,3.38,2.12,2.12
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,13,28,55,14.054181818,1.42,0.9509090909,0.9509090909
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,128.38,41.641666667,23.1975,25.829166667
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,2610,0.92,0.135137931,0.0997011494,0.0997011494
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,630,12.86,2.9847142857,2.120952381,2.120952381
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,239.88,23.252105263,12.443684211,15.176315789
1043472962,MERRITT,EDWARD,J,MD,M,I,"821 EAST PARK STREET, HWY 70",,CARLISLE,AR,72024,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,132,33,24.977931034,24.977931034
1043473309,HOENIG,SANDRA,,"M.D,",F,I,170 CHANGEBRIDGE RD,SUITE C3,MONTVILLE,NJ,070459115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,29,53.705172414,8.32,4.9944827586,4.9944827586
1043473382,GANGULY,JOYA,A,MD,F,I,4160 JOHN R ST,SUITE 510,DETROIT,MI,482012020,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,14,48,48,3715,2406.2095833,1881.176875,1881.176875
1043473499,LOWELL,SALLY,T,NP,F,I,2525 13TH ST,,BOULDER,CO,803044104,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.91,11.7,11.283333333
1043473499,LOWELL,SALLY,T,NP,F,I,2525 13TH ST,,BOULDER,CO,803044104,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,49.88,32.583333333,31.480833333
1043473507,KISTLER,BRIAN,,M.D.,M,I,6620 FLY RD,,EAST SYRACUSE,NY,13057,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,325,260.69,191.33727273,205.84727273
1043473671,SCHARRER,IAN,S,M.D.,M,I,1402 E COUNTY LINE RD,,INDIANAPOLIS,IN,462270963,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,6.72,5.76,4.5157142857,3.905
1043473796,CARLISLE,LISABETH,,M.D.,F,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,36,97,45.969072165,8.32,5.531443299,5.531443299
1043473796,CARLISLE,LISABETH,,M.D.,F,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,30,13.079666667,1.42,1.0426666667,1.0426666667
1043473796,CARLISLE,LISABETH,,M.D.,F,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,254.64545455,31.696363636,21.03,23.905454545
1043473820,ISLAM,RAFIUL,S,MD,M,I,3502 9TH ST,SUITE 360,LUBBOCK,TX,794153300,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,11,294,106.96598639,3.0157823129,2.3644217687,2.367755102
1043473820,ISLAM,RAFIUL,S,MD,M,I,3502 9TH ST,SUITE 360,LUBBOCK,TX,794153300,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,34,14613,1.4466940396,0.31,0.2430452337,0.2430452337
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,28,28,121.71,39.464285714,29.837142857,29.429642857
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,33,64,8.85984375,1.5121875,1.1859375,1.15484375
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,19,21,21,89.306190476,8.239047619,6.4547619048,8.930952381
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,21,47,47,383.10170213,83.524893617,60.035531915,62.337021277
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,15,36,100,131.3554,31.913,23.7489,24.6237
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,91,77.034285714,18.03989011,13.028681319,13.406593407
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,28,28,231.50535714,50.832857143,39.855714286,42.643571429
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,27,38,38,71.434736842,17.476315789,13.697894737,14.041578947
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,43,43,73.036744186,11.513953488,8.6079069767,8.6976744186
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,33,74,410,10.919560976,2.0005853659,1.5,1.5218536585
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,25,25,24.0728,5.9024,4.6316,4.6504
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,46.514666667,12.976666667,8.8193333333,8.9873333333
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,31,167,167,89.942275449,16.991137725,12.204790419,12.396407186
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,17,84,84,2403.0569048,913.16,693.32321429,810.13178571
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,495,76.318571429,59.832857143,61.5
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,31.990625,12.87,10.09,10.455625
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,22,104,104,54.82875,3.68625,2.80125,3.5738461538
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,13,61,61,254.98983607,30.233278689,22.639836066,24.196393443
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,64,528,531,486.34455744,69.634839925,51.591581921,51.749171375
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,159,159,221.82893082,36.148742138,28.163396226,29.255157233
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,138.42857143,57,41.497857143,41.497857143
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.3246212121,7.3246212121
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1020,13.94,11.327882353,8.8300490196,8.8300490196
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,21,71,18078,0.2545441974,0.0465930966,0.0341326474,0.0341326474
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,1650,1.1548242424,0.1371818182,0.107569697,0.107569697
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,33,1620,13.43037037,2.9091851852,2.2425679012,2.2425679012
1043473986,DANIEL,VIJAI,J,"M.D,  MPH",M,I,1660 E HERNDON AVE,SUITE 101,FRESNO,CA,937203359,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,25,109,109,122.66972477,33,25.290825688,25.290825688
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,30,87,286,75.902237762,8.32,5.8267132867,5.8267132867
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,50,72,15.653472222,1.42,1.0227777778,1.0227777778
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,144.29538462,54.96,43.09,42.86
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,59.497272727,19.08,14.95,14.06
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,18,74,6.9724324324,2.22,1.7413513514,1.5937837838
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.25,11.266666667,11.286666667
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,191.52833333,33.671666667,26.395555556,26.405
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,49,443.5,71.50122449,53.686122449,52.355714286
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,28,250,39.02,30.591428571,29.51
1043474018,VEREEN,JAMES,B,D.O.,M,I,33 EDGERTON DR,,NORTH FALMOUTH,MA,02556,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,39.68,31.11,29.51
1043474042,LIU,JIJUN,,MD,F,I,8940 N. WOOD SAGE ROAD,,PEORIA,IL,61615,US,Physician/Medical Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,444,9,3.3283783784,2.4452477477,2.1991891892
1043474042,LIU,JIJUN,,MD,F,I,8940 N. WOOD SAGE ROAD,,PEORIA,IL,61615,US,Physician/Medical Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,11051,1.1773359877,0.3265125328,0.2496009411,0.2400072392
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,65.561428571,17.214285714,13.497142857,13.53
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1230.62,924.60454545,724.89090909,724.89090909
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,50.73,3.92,2.82,3.4026666667
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,151.31578947,34.603684211,24.914210526,23.787894737
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,41,518.45073171,78.23902439,60.147073171,54.163170732
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,1585,1.2308012618,0.1372365931,0.1075899054,0.1075899054
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,31,2192,9.2599771898,3.0132344891,2.3623813869,2.3623813869
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,225.941875,38,29.79,29.5625
1043474208,SIDHOM,SAMY,S,"M.D., M.P.H.",M,I,133 BROOKLINE AVE,,BOSTON,MA,02215,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,28,28,40.071428571,33,25.87,25.87
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,30,30,85.548666667,39.03,29.253333333,29.154333333
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,13,29,29,343.73517241,87.37,61.413793103,60.853448276
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,13,32,72,146.58680556,32.76,24.970833333,25.1925
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,14,25,129,82.914108527,18.19,13.974418605,14.249147287
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,13,24,117,61.604957265,15.04,11.287777778,11.384529915
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,23,46,46,218.98456522,52.99,38.830869565,40.114347826
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,33,48,48,67.50625,17.9,12.440625,12.471041667
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,22,51,51,78.191764706,11.66,8.4231372549,8.4054901961
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,39,84,396,9.0833333333,2.06,1.5415909091,1.5209848485
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,23,29,29,24.66137931,5.93,4.4896551724,4.4896551724
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,22,34,34,41.677352941,12.36,9.405,10.040588235
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,25,99.736,16.59,12.48,12.8884
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,27,28,30.285714286,13.358214286,9.7296428571,9.7314285714
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,172.07863636,4.2477272727,3.1931818182,3.4504545455
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,85,86,263.92674419,31.127674419,23.553023256,23.956511628
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,83,85,400.47482353,67.72,50.601176471,52.135882353
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,2066,1.4202758955,0.1346563408,0.1055517909,0.1055517909
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,630,8.023952381,3.0489047619,2.1626507937,2.1626507937
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,200,38.72,30.36,29.52
1043474364,BEAULIEU,KEITH,A,M.D.,M,I,540 N DUKE ST,SUITE 244,LANCASTER,PA,176022374,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,33,33,51,33,25.87,25.87
1043474596,IMMERMAN,IGOR,,M.D.,M,I,1500 OWENS ST,CAMPUS BOX 3004,SAN FRANCISCO,CA,941582334,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,34,35,41,241.68292683,71.633902439,56.163170732,47.019512195
1043474745,SONI,ANKOOR,B,M.D.,M,I,3174 PACKARD ST,,ANN ARBOR,MI,481081947,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,50,186,38.444139785,8.32,5.8575268817,5.8575268817
1043474745,SONI,ANKOOR,B,M.D.,M,I,3174 PACKARD ST,,ANN ARBOR,MI,481081947,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.153846154,3.38,2.2423076923,2.2423076923
1043474745,SONI,ANKOOR,B,M.D.,M,I,3174 PACKARD ST,,ANN ARBOR,MI,481081947,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,30,81,12.127654321,1.42,1.0037037037,1.0037037037
1043474745,SONI,ANKOOR,B,M.D.,M,I,3174 PACKARD ST,,ANN ARBOR,MI,481081947,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1980,3,2.04,1.5268737374,1.5268737374
1043474745,SONI,ANKOOR,B,M.D.,M,I,3174 PACKARD ST,,ANN ARBOR,MI,481081947,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,,11,48,7.1041666667,2.03,1.55875,1.55875
1043474745,SONI,ANKOOR,B,M.D.,M,I,3174 PACKARD ST,,ANN ARBOR,MI,481081947,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,47.144545455,36.962727273,37.331818182
1043474745,SONI,ANKOOR,B,M.D.,M,I,3174 PACKARD ST,,ANN ARBOR,MI,481081947,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,48.35,4.97,2.483,2.3665
1043474844,KING,CHRISTOPHER,M,M.D.,M,I,905 HANSHAW ROAD,SUITE A,ITHACA,NY,148501871,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,226.66222222,31.815,17.498333333,17.354444444
1043474844,KING,CHRISTOPHER,M,M.D.,M,I,905 HANSHAW ROAD,SUITE A,ITHACA,NY,148501871,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,329.2925,80.008333333,57.744166667,50.169166667
1043474901,MORA,ARNALDO,M,M.D.,M,I,5353 W ATLANTIC AVE,SUITE 400A,DELRAY BEACH,FL,33484,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,47,54.136382979,8.32,5.9663829787,5.9663829787
1043474901,MORA,ARNALDO,M,M.D.,M,I,5353 W ATLANTIC AVE,SUITE 400A,DELRAY BEACH,FL,33484,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,4.0331666667,2.8499166667,2.2343611111,2.2343611111
1043474901,MORA,ARNALDO,M,M.D.,M,I,5353 W ATLANTIC AVE,SUITE 400A,DELRAY BEACH,FL,33484,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1043474919,MALAEB,BAHAA,S,M.D.,M,I,1500 EAST MEDICAL CENTER DRIVE,2ND FLOOR TAUBMAN CENTER RECP C,ANN ARBOR,MI,481095330,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,25,3362,0.3862879239,0.13,0.0964753123,0.0964753123
1043474919,MALAEB,BAHAA,S,M.D.,M,I,1500 EAST MEDICAL CENTER DRIVE,2ND FLOOR TAUBMAN CENTER RECP C,ANN ARBOR,MI,481095330,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,,12,865,5.7888439306,2.27,1.7797109827,1.7797109827
1043474919,MALAEB,BAHAA,S,M.D.,M,I,1500 EAST MEDICAL CENTER DRIVE,2ND FLOOR TAUBMAN CENTER RECP C,ANN ARBOR,MI,481095330,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,34,5553,4.1648838466,2.04,1.528845669,1.528845669
1043474919,MALAEB,BAHAA,S,M.D.,M,I,1500 EAST MEDICAL CENTER DRIVE,2ND FLOOR TAUBMAN CENTER RECP C,ANN ARBOR,MI,481095330,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,14,59,8395,8.440096486,6.1483323407,4.8058606313,5.5381215009
1043474919,MALAEB,BAHAA,S,M.D.,M,I,1500 EAST MEDICAL CENTER DRIVE,2ND FLOOR TAUBMAN CENTER RECP C,ANN ARBOR,MI,481095330,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,,36,317,2.3452681388,1.6294006309,1.2068769716,1.3249842271
1043475049,THIYAGARAJAN,THANIGAIARSU,,MD,M,I,1100 BLYTHE BLVD,,CHARLOTTE,NC,282035814,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,163.335,53.41,41.87,41.25125
1043475155,AHMED,TANAM,,MD,F,I,120 CYPRESS EDGE DR,SUITE 207,PALM COAST,FL,321648453,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,57,142,69.746971831,8.32,5.9159859155,5.9159859155
1043475155,AHMED,TANAM,,MD,F,I,120 CYPRESS EDGE DR,SUITE 207,PALM COAST,FL,321648453,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,28,39,12.159487179,1.42,0.8882051282,0.8882051282
1043475304,CAMPBELL,DONALD,C,DO,M,I,44 CIRCLE ST,,FRANKLIN,PA,163232509,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,71.25,26.098333333,20.461666667,14.916666667
1043475353,INGRAM,RUSSELL,D,M.D.,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,72,186,64.767473118,8.32,6.3418817204,6.3418817204
1043475353,INGRAM,RUSSELL,D,M.D.,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.14,3.38,2.65,2.65
1043475353,INGRAM,RUSSELL,D,M.D.,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,32,44,15.032045455,1.42,1.09,1.09
1043475353,INGRAM,RUSSELL,D,M.D.,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,599.68227273,32.272727273,22.807272727,22.681818182
1043475353,INGRAM,RUSSELL,D,M.D.,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,686.53166667,77.8,55.819583333,50.0725
1043475353,INGRAM,RUSSELL,D,M.D.,M,I,7530 NW 23RD ST,,BETHANY,OK,730084921,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38,24.825,24.591666667
1043475684,AMADOR-DEL VALLE,ESTHER,,D.O.,F,I,4300 ALTON RD,,MIAMI BEACH,FL,331402948,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,12,76,48.02,8.32,6.5232894737,6.5232894737
1043475684,AMADOR-DEL VALLE,ESTHER,,D.O.,F,I,4300 ALTON RD,,MIAMI BEACH,FL,331402948,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,14.88,3.38,2.65,2.65
1043475684,AMADOR-DEL VALLE,ESTHER,,D.O.,F,I,4300 ALTON RD,,MIAMI BEACH,FL,331402948,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,12,39,15.7,1.42,1.1125641026,1.1125641026
1043475999,TANNER,JOHN,B,MD,M,I,2811 TIETON DR,,YAKIMA,WA,989023761,US,Physician/Emergency Medicine,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,120,91.27,71.56,79.51
1043476096,YAR KHAN,FAYZ,,M.D.,M,I,10238 E HAMPTON AVE,,MESA,AZ,85209,US,Physician/Emergency Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,409,48,12.580488998,9.8628361858,10.290709046
1043476096,YAR KHAN,FAYZ,,M.D.,M,I,10238 E HAMPTON AVE,,MESA,AZ,85209,US,Physician/Emergency Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,177,350,326.71943503,256.14717514,256.14717514
1043476096,YAR KHAN,FAYZ,,M.D.,M,I,10238 E HAMPTON AVE,,MESA,AZ,85209,US,Physician/Emergency Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,177,10,9.3471751412,7.3277966102,7.3277966102
1043476096,YAR KHAN,FAYZ,,M.D.,M,I,10238 E HAMPTON AVE,,MESA,AZ,85209,US,Physician/Emergency Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,177,34,29.210960452,22.900960452,22.900960452
1043476476,SHAH,RAJAL,D,M.D.,F,I,2200 PARK BEND DR,SUITE 300,AUSTIN,TX,787585387,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,260.3,73,57.23,54.73
1043476476,SHAH,RAJAL,D,M.D.,F,I,2200 PARK BEND DR,SUITE 300,AUSTIN,TX,787585387,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,35,27.44,29.51
1043476625,SUBRAMANYAM,LALITHA,,M.D.,F,I,2021 N MACARTHUR BLVD,SUITE 515,IRVING,TX,750612222,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,34,121,68.418842975,8.32,5.9295041322,5.9295041322
1043476625,SUBRAMANYAM,LALITHA,,M.D.,F,I,2021 N MACARTHUR BLVD,SUITE 515,IRVING,TX,750612222,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,17,13.227058824,1.42,1.0482352941,1.0482352941
1043476625,SUBRAMANYAM,LALITHA,,M.D.,F,I,2021 N MACARTHUR BLVD,SUITE 515,IRVING,TX,750612222,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,28,28,750.555,251.11,196.87,196.87
1043476716,CHEN,KAREN,T,M.D.,F,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,58,9.0803448276,2.2772413793,1.7855172414,1.6794827586
1043476716,CHEN,KAREN,T,M.D.,F,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,59,59,826.44338983,33.088644068,25.943389831,25.653050847
1043476716,CHEN,KAREN,T,M.D.,F,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,760.48,82,64.29,54.73
1043476716,CHEN,KAREN,T,M.D.,F,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,210,41.6,32.61,29.51
1043476732,FENSTAD,ERIC,R,"M.D., MSC",M,I,13205 ISLE DR,SUITE 100,BAXTER,MN,564258554,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,51.398846154,22.666923077,16.047692308,14.052692308
1043476732,FENSTAD,ERIC,R,"M.D., MSC",M,I,13205 ISLE DR,SUITE 100,BAXTER,MN,564258554,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,277.09666667,96.580740741,71.293703704,64.613333333
1043476898,HECKLER,ADRIENNE,M,MD,F,I,2525 NE 139TH ST,SUITE 220,VANCOUVER,WA,98686,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,2200,0.39,0.13,0.1019,0.1019
1043476898,HECKLER,ADRIENNE,M,MD,F,I,2525 NE 139TH ST,SUITE 220,VANCOUVER,WA,98686,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,3600,6.8088333333,2.0346666667,1.5328444444,1.5370888889
1043476898,HECKLER,ADRIENNE,M,MD,F,I,2525 NE 139TH ST,SUITE 220,VANCOUVER,WA,98686,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,45,6158,10.849415395,7.23,5.6339720689,5.6339720689
1043476898,HECKLER,ADRIENNE,M,MD,F,I,2525 NE 139TH ST,SUITE 220,VANCOUVER,WA,98686,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,52,1.5803846154,1.5803846154,1.1542307692,1.3315384615
1043476922,MAHASETH,HARISHCHANDRA,,M.D.,M,I,1138 KINGSTON GROVE DRIVE,,CARY,NC,27519,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,28.257555556,4.3004444444,3.1115555556,3.6244444444
1043476922,MAHASETH,HARISHCHANDRA,,M.D.,M,I,1138 KINGSTON GROVE DRIVE,,CARY,NC,27519,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,482.60210526,86.84,60.913684211,48.968947368
1043476922,MAHASETH,HARISHCHANDRA,,M.D.,M,I,1138 KINGSTON GROVE DRIVE,,CARY,NC,27519,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,93.42,39.51,27.537777778,26.312777778
1043477060,DINGER,KENNETH,M,MD,M,I,101 9TH ST,,SALTSBURG,PA,156818985,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,22.253636364,17.445454545,14.077272727
1043477060,DINGER,KENNETH,M,MD,M,I,101 9TH ST,,SALTSBURG,PA,156818985,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,100.90545455,79.111818182,58.411818182
1043477128,GURUNG,CHAKRA,B,M.D.,M,I,201 STATE ST,,ERIE,PA,165500002,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50,4.5546153846,3.5753846154,3.8969230769
1043477128,GURUNG,CHAKRA,B,M.D.,M,I,201 STATE ST,,ERIE,PA,165500002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,335,67.72,53.1,54.581818182
1043477128,GURUNG,CHAKRA,B,M.D.,M,I,201 STATE ST,,ERIE,PA,165500002,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,38.72,30.36,29.596363636
1043477334,DULABON,LORI,M,D.O.,F,I,5401 PEACH ST STE 3600,,ERIE,PA,165092601,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,3960,3.6492424242,1.9609848485,1.5153434343,1.5665984848
1043477334,DULABON,LORI,M,D.O.,F,I,5401 PEACH ST STE 3600,,ERIE,PA,165092601,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,1230,11.793414634,7.0551219512,5.5312276423,5.5933739837
1043477425,LEVARGE,BARBARA,L,M.D.,F,I,55 FRUIT ST,,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,98.821935484,28.539677419,21.514516129,17.791612903
1043477425,LEVARGE,BARBARA,L,M.D.,F,I,55 FRUIT ST,,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,129.72,39.209230769,30.743076923,30.743076923
1043477425,LEVARGE,BARBARA,L,M.D.,F,I,55 FRUIT ST,,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,21,141,141,484.18460993,85.456241135,64.01822695,54.100283688
1043477425,LEVARGE,BARBARA,L,M.D.,F,I,55 FRUIT ST,,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,52,107.81769231,38.595769231,29.684807692,29.260961538
1043477425,LEVARGE,BARBARA,L,M.D.,F,I,55 FRUIT ST,,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,672,889.81696429,578.64575893,453.65824405,453.65824405
1043477425,LEVARGE,BARBARA,L,M.D.,F,I,55 FRUIT ST,,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,218.64761905,38.4,27.267142857,26.69952381
1043477425,LEVARGE,BARBARA,L,M.D.,F,I,55 FRUIT ST,,BOSTON,MA,021142621,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,77,33,25.87,25.87
1043477821,WENDT,MELISSA,,M.D.,F,I,2000 WASHINGTON ST,SUITE 441 WHITE BLDG,NEWTON,MA,024621650,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,195,34.97,27.413846154,27.060769231
1043477912,KENNEDY,VICTORIA,M,FNP,F,I,418 FOLLY RD STE A,,CHARLESTON,SC,294122625,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,34,54.630588235,8.32,5.7541176471,5.7541176471
1043477953,CHAMBERLAIN-PENNY,CARRIE,A,CRNP-BC,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Nurse Practitioner,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,7560,1.3135304233,1.2564761905,0.9850780423,0.9850780423
1043477953,CHAMBERLAIN-PENNY,CARRIE,A,CRNP-BC,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,29,47,12330,0.8131013788,0.4681289538,0.3670178427,0.3670178427
1043477953,CHAMBERLAIN-PENNY,CARRIE,A,CRNP-BC,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,24,39,22620,0.0374668435,0.0128925729,0.0101105217,0.0101105217
1043477953,CHAMBERLAIN-PENNY,CARRIE,A,CRNP-BC,F,I,600 N WOLFE ST,,BALTIMORE,MD,212870005,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,27,42,9360,0.5232863248,0.3764412393,0.2951292735,0.2951292735
1043477987,CAROSI,JAMIE,B,PA,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,39,53,60.404150943,8.2113207547,5.4545283019,5.5398113208
1043477987,CAROSI,JAMIE,B,PA,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,11.987857143,1.42,0.96,0.96
1043477987,CAROSI,JAMIE,B,PA,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,17.620833333,14.031666667
1043477987,CAROSI,JAMIE,B,PA,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,412.45105263,97.66,73.421052632,53.981052632
1043477987,CAROSI,JAMIE,B,PA,F,I,403 12TH STREET EXT,,PRINCETON,WV,247402300,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,203.11727273,159.23909091,119.03
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,53,139,282,55.067695035,8.2478723404,5.0461702128,5.1025531915
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,41,41,26.495609756,3.38,2.0036585366,2.0036585366
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,16,21,21,15.52952381,2.12,1.3519047619,1.3519047619
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,47,109,125,40.76232,1.42,0.8856,0.8856
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,20,40,101.324,71.56,50.4945,50.4945
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,18,18,108,32.568333333,29.19,22.306111111,22.307685185
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,5.79,4.2939516129,3.9805107527
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5748,6.4353235908,0.6785803758,0.5320041754,0.5198608212
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,97.76,51.466666667,40.353333333,38.966666667
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.31,18,10.5825,10.155
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,46,8808,0.4371832425,0.0462113987,0.0293585377,0.0293585377
1043478555,KWON,YONGSOO,,,M,I,1800 GLENWOOD OAKS CT,,URBANA,IL,618016013,US,Physician/General Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,35,44.314285714,33,22.656285714,22.656285714
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,95,4630,4630,4630,1342.9000713,1121.2071771,871.87996112,879.4094946
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,50,58,86,813.21848837,664.46755814,518.57093023,478.25418605
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,79,5071,6115,9124,995.23506795,852.38394016,667.29224134,676.67800526
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,84,1857,1908,3185,521.37767975,448.71195918,350.30630769,352.52323705
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,84,5254,6377,9523,129.45107004,111.62032028,86.713609157,88.02753334
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,41,815,820,1427,57.98620883,48.769831815,38.220602663,38.409278206
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,30,203,203,203,105.28669951,94.526305419,74.11,79.42226601
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,77,1106,1123,1470,541.95935374,463.56195918,362.01397959,363.97152381
1043478878,PALUMBO,JOSEPH,M,DO,M,I,200 E STATE ST,,ALLIANCE,OH,446014936,US,Physician/Emergency Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,89,3770,3814,3814,843.47730205,713.37138175,557.49008915,566.5827032
1043479116,BALAKRISHNAN,AMRUTHA,,MD,F,I,640 BOLTON ST,,MARLBOROUGH,MA,017523999,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.1,7.5566666667,5.3066666667,5.8925
1043479348,FARMER,JEFFREY,L,MD,M,I,1800 N CAPITOL AVE,E-140,INDIANAPOLIS,IN,462021218,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50.73,5.4819047619,4.1095238095,3.569047619
1043479348,FARMER,JEFFREY,L,MD,M,I,1800 N CAPITOL AVE,E-140,INDIANAPOLIS,IN,462021218,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,57,64,519.51,79.96,55.89171875,49.05109375
1043479348,FARMER,JEFFREY,L,MD,M,I,1800 N CAPITOL AVE,E-140,INDIANAPOLIS,IN,462021218,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,34,154.89,37,27.303529412,27.796470588
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,55,169,349,62.009025788,8.32,5.3185673352,5.3185673352
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,26,51,61,12.710655738,1.42,0.9532786885,0.9532786885
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,2640,2.2,2.04,1.5821515152,1.5821515152
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,241.42857143,95.145,69.184285714,62.457142857
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,20,27,27,146.6437037,55.4,37.178148148,36.671111111
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,29,33,33,48.671818182,18.686666667,13.069090909,12.483636364
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,34,34,49.764705882,11.980588235,8.4455882353,8.1670588235
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,65,7.5233846154,1.99,1.3827692308,1.4146153846
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,16,16,17.054375,6.08,4.01,3.895
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,415,12.530120482,4.14,3.245686747,3.245686747
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,23,12197,0.8833081905,0.3659654013,0.2751512667,0.2751512667
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,160,61.64,48.32,48.32
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,100,17.69,13.292083333,12.994583333
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,333.63636364,86.684545455,67.230909091,66.399090909
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,40,13.313243243,9.8808108108,9.917027027
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,42,42.91,4.7185714286,3.1371428571,3.1371428571
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,54,54,147.77777778,36.367777778,24.817777778,22.197962963
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,289.33333333,69.99,50.462666667,50.341333333
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,38.68,30.32,29.5775
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,9.6199090909,9.6199090909,7.3919545455,7.3919545455
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,5556,0.1998722102,0.0465964723,0.0319942405,0.0319942405
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,3.4036956522,3.0701304348,2.3026666667,2.3026666667
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.2189090909,0.2189090909,0.1716969697,0.1716969697
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,112.33333333,27.76,16.801111111,16.263333333
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,210,64.309545455,50.412272727,53.851818182
1043479355,SANKEY,BRIAN,K,D.O.,M,I,2710 SAINT FRANCIS DR,SUITE 210,WATERLOO,IA,507025619,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,43,43,38.511627907,33,22.260232558,22.260232558
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,51,101,101,113.73207921,39.944653465,29.737920792,28.975940594
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,25,52,53,331.48339623,85.080566038,64.867924528,65.965283019
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,22,55,112,125.53303571,33.041071429,24.061696429,24.077857143
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,21,41,213,83.723755869,18.044131455,13.364225352,13.715117371
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,15,30,157,44.477261146,15.692484076,11.565159236,11.203566879
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,40,81,81,223.9945679,56.065061728,40.704691358,39.758641975
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,58,80,80,69.974625,18.007125,13.772375,13.723
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,26,26,82.866153846,12.063076923,8.8080769231,8.5173076923
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,55,123,677,9.5365435746,2.0145642541,1.5421713442,1.5547119645
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,27.282857143,6.02,4.7157142857,4.6535714286
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,33,40,40,45.5645,13.012,10.19925,10.3325
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,429.64153846,88.413846154,69.32,66.526153846
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,1180.1547826,226.81521739,168.32043478,160.21434783
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,27,144,144,59.817083333,13.780208333,10.206666667,9.9191666667
1043479405,ABBOTT,SABRA,M,"MD, PHD",F,I,675 N SAINT CLAIR ST,SUITE 20-100,CHICAGO,IL,606115975,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,29,168,168,257.49904762,35.099107143,25.228392857,24.000416667
1043479439,FUNG,DERRICK,S,MD,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,14,14,59.306428571,48.313571429,37.877857143,42.571428571
1043479512,METZ,RAYMOND,J,M.D.,M,I,555 BIESTERFIELD RD,,ELK GROVE VILLAGE,IL,600073306,US,Physician/Orthopedic Surgery,S,L3806,"Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,31,31,950,401.29032258,309.78612903,307.41032258
1043479512,METZ,RAYMOND,J,M.D.,M,I,555 BIESTERFIELD RD,,ELK GROVE VILLAGE,IL,600073306,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,48,53,61,100,64.570491803,49.789180328,45.88
1043479512,METZ,RAYMOND,J,M.D.,M,I,555 BIESTERFIELD RD,,ELK GROVE VILLAGE,IL,600073306,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,61,64,75,136.26666667,85.1048,64.526,65.0892
1043479512,METZ,RAYMOND,J,M.D.,M,I,555 BIESTERFIELD RD,,ELK GROVE VILLAGE,IL,600073306,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,18,455,188.47,136.61666667,135.57777778
1043479587,PATWARDHAN,VILAS,R,MD,M,I,"110 FRANCIS ST, SUITE 8E",BETH ISRAEL DEACONESS MEDICAL CENTER,BOSTON,MA,02215,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,4920,4.5447012195,0.5571463415,0.4227682927,0.4227682927
1043479587,PATWARDHAN,VILAS,R,MD,M,I,"110 FRANCIS ST, SUITE 8E",BETH ISRAEL DEACONESS MEDICAL CENTER,BOSTON,MA,02215,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,630,17.536301587,7.3745714286,5.6503650794,5.6503650794
1043479587,PATWARDHAN,VILAS,R,MD,M,I,"110 FRANCIS ST, SUITE 8E",BETH ISRAEL DEACONESS MEDICAL CENTER,BOSTON,MA,02215,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,47,47,24,24,16.81787234,16.81787234
1043479587,PATWARDHAN,VILAS,R,MD,M,I,"110 FRANCIS ST, SUITE 8E",BETH ISRAEL DEACONESS MEDICAL CENTER,BOSTON,MA,02215,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,13,16,16,12.541538462,12.541538462
1043479603,GOLUBCOW-TEGLASI,JORDAN,,MD,F,I,85 W BURNSIDE AVE,,BRONX,NY,104534015,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,29,48.730344828,8.32,6.0731034483,6.0731034483
1043479835,GERMANOVICH,ANDREW,,"D.O., M.S.",M,I,1120 W. LA VETA AVENUE,SUITE 300,ORANGE,CA,928684246,US,Physician/Anesthesiology,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20,13.12,10.29,11.0125
1043479835,GERMANOVICH,ANDREW,,"D.O., M.S.",M,I,1120 W. LA VETA AVENUE,SUITE 300,ORANGE,CA,928684246,US,Physician/Anesthesiology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,9.2525,7.25,6.7141666667
1043479835,GERMANOVICH,ANDREW,,"D.O., M.S.",M,I,1120 W. LA VETA AVENUE,SUITE 300,ORANGE,CA,928684246,US,Physician/Anesthesiology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,600,149.945,117.56,116.23333333
1043479876,AILABOUNI,NABEEL,B,DO,M,I,16830 198TH AVE NW,BIG LAKE CLINIC,BIG LAKE,MN,55309,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78.49,52.580833333,46.3475
1043480049,GAMBHIR,RASHI,,MD,F,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,225,65.029090909,50.986363636,36.298181818
1043480049,GAMBHIR,RASHI,,MD,F,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,16,16,236.679375,71.271875,55.876875,54.743125
1043480049,GAMBHIR,RASHI,,MD,F,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,191.07142857,37.355,29.283571429,29.498571429
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,56,150,54.903066667,8.32,5.8168666667,5.8168666667
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,25,41,11.525853659,1.42,1.0058536585,1.0058536585
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,180,97.02,60.881666667,56.146666667
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,39,19.281538462,14.032307692,13.669230769
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,241.5,66.658461538,50.732307692,36.371538462
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,399,130.4825,102.29583333,71.755
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,60,14.723103448,10.825862069,9.4162068966
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,202,33.767142857,20.718095238,20.06952381
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,370.94678571,84.961428571,64.426428571,52.546428571
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,52.908461538,44.083076923,34.563076923,29.515384615
1043480304,VERMA,AKSHRA,,"MD, MS",F,I,751 N RUTLEDGE ST,STE 1100,SPRINGFIELD,IL,627024968,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,21,33,33,25.87,25.87
1043480783,YUSAF,MICHAEL,A,M.D.,M,I,3100 CROSS CREEK PKWY,SUITE 200,AUBURN HILLS,MI,483262774,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,122.5,48.039285714,37.662142857,36.58
1043480783,YUSAF,MICHAEL,A,M.D.,M,I,3100 CROSS CREEK PKWY,SUITE 200,AUBURN HILLS,MI,483262774,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,4,18,18,341,91.290322581,25.6,20.070527859,20.070527859
1043480783,YUSAF,MICHAEL,A,M.D.,M,I,3100 CROSS CREEK PKWY,SUITE 200,AUBURN HILLS,MI,483262774,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,100,18.689090909,14.647272727,15.042727273
1043480783,YUSAF,MICHAEL,A,M.D.,M,I,3100 CROSS CREEK PKWY,SUITE 200,AUBURN HILLS,MI,483262774,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,11,161.88636364,137.94,108.14,102.5
1043481401,TANTCHOU,MICHELINE,S,M.D,F,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,253.72666667,94.138888889,70.486111111,54.257777778
1043481401,TANTCHOU,MICHELINE,S,M.D,F,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,16,84.125,19.753125,13.704375,12.28
1043481401,TANTCHOU,MICHELINE,S,M.D,F,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,44.745,32.344166667,27.6525
1043482037,THORNE,ALICIA,H,D.O.,F,I,193 W SCHROCK RD,,WESTERVILLE,OH,430812890,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,13,33,429,53.818414918,19.644242424,14.397459207,14.397459207
1043482037,THORNE,ALICIA,H,D.O.,F,I,193 W SCHROCK RD,,WESTERVILLE,OH,430812890,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,12,29,885,9.5913559322,2.6305084746,2.0622372881,2.0622372881
1043482037,THORNE,ALICIA,H,D.O.,F,I,193 W SCHROCK RD,,WESTERVILLE,OH,430812890,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,33,71,395,63.42121519,8.32,6.058556962,6.058556962
1043482037,THORNE,ALICIA,H,D.O.,F,I,193 W SCHROCK RD,,WESTERVILLE,OH,430812890,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,23,67,12.871492537,1.42,1.0462686567,1.0462686567
1043482037,THORNE,ALICIA,H,D.O.,F,I,193 W SCHROCK RD,,WESTERVILLE,OH,430812890,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,2600,16.049311538,10.806953846,8.4711,8.4711
1043482037,THORNE,ALICIA,H,D.O.,F,I,193 W SCHROCK RD,,WESTERVILLE,OH,430812890,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,303.03111111,250.95833333,196.75111111,196.86944444
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,31,102,305,37.80147541,8.32,5.8064590164,5.8064590164
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,28,75,118,7.5255932203,1.42,1.0022881356,1.0022881356
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,16,32,75.87875,71.56,52.5984375,52.5984375
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,78,30.846153846,29.19,22.885,22.886538462
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,704.19666667,820.00833333
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,114.31,31.689411765,22.08,21.995294118
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,237.94823529,77.18,56.950588235,52.182352941
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175.55,37,26.5925,27.061666667
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1788,0.355704698,0.0462416107,0.0331879195,0.0331879195
1043482060,ZAMORANO,ANTONIO,,D.O.,M,I,1030 S GLENDALE AVE STE 200,,GLENDALE,CA,912052866,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,22.174285714,22.174285714
1043482516,MURRAY,PATRICK,J,MD,M,I,2 CROSFIELD AVE,SUITE 422,WEST NYACK,NY,109942226,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,120,93.41,73.24,79.51
1043482516,MURRAY,PATRICK,J,MD,M,I,2 CROSFIELD AVE,SUITE 422,WEST NYACK,NY,109942226,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,25,95,70.94,55.62,46.34
1043482631,KARGUTKAR,SMITA,N,M.D.,F,I,225 HIGHWAY 35 NORTH,SUITE 102-B,RED BANK,NJ,07701,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,18,135,57.093259259,19.680148148,13.283111111,13.283111111
1043482631,KARGUTKAR,SMITA,N,M.D.,F,I,225 HIGHWAY 35 NORTH,SUITE 102-B,RED BANK,NJ,07701,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,290,6.4295172414,2.64,2.0145517241,2.0145517241
1043482631,KARGUTKAR,SMITA,N,M.D.,F,I,225 HIGHWAY 35 NORTH,SUITE 102-B,RED BANK,NJ,07701,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,54,90,223,924,68.351872294,8.32,6.3070670996,6.3070670996
1043482631,KARGUTKAR,SMITA,N,M.D.,F,I,225 HIGHWAY 35 NORTH,SUITE 102-B,RED BANK,NJ,07701,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,37,70,148,16.991486486,1.42,1.0539189189,1.0539189189
1043482631,KARGUTKAR,SMITA,N,M.D.,F,I,225 HIGHWAY 35 NORTH,SUITE 102-B,RED BANK,NJ,07701,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,482.22214286,251.11,196.87,196.87
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,39,88,287,37.662857143,8.32,6.0500696864,6.0500696864
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,12.9375,3.38,2.65,2.65
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,12,13,13,13.3,2.12,1.67,1.67
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,23,47,78,12.276666667,1.42,1.1006410256,1.1006410256
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,557,7.268940754,7.2024416517,5.6466606822,5.763572711
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,94,4.6228723404,3.9970212766,3.1338297872,3.1946808511
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,314,3.7420382166,3.7014012739,2.6154140127,2.6943312102
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,418,6.5,2.93,2.2970813397,2.3333971292
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,32,13093,3.916136867,0.3804170167,0.2982456274,0.2939379821
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,34.032727273,17.452727273,12.902727273,10.070909091
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,40,40,166.09875,57.55,41.54925,34.64175
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,25,160.1936,44.1032,32.1048,36.9032
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,45.743809524,17.48,13.043809524,12.913809524
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,49.642307692,6.2019230769,4.3396153846,3.2015384615
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,120.69818182,46.270909091,31.083181818,30.399090909
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,67,67,310.07686567,82.108656716,59.571940299,51.517313433
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2334,0.4450214225,0.0461568123,0.0318808912,0.0318808912
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,90.82,40.403030303,30.006666667,23.654545455
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,111.14210526,26.050526316,16.839473684,17.480526316
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,175,77.86,54.784166667,48.8525
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,50,50,26.52,8.5192,6.167,6.2284
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,7,19,27,90,19.500888889,15.26,11.964444444,11.964444444
1043482680,GILLETTE,MARK,F,PA-C,M,I,3355 EAGLE PARK DR NE,SUITE 103,GRAND RAPIDS,MI,495257004,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,23.416428571,23.416428571
1043482706,OSTROUKHOVA,MARINA,,MD,F,I,1329 LUSITANA ST STE 603,,HONOLULU,HI,968132431,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,16,62,757.67693548,22.314516129,17.494677419,15.454354839
1043482706,OSTROUKHOVA,MARINA,,MD,F,I,1329 LUSITANA ST STE 603,,HONOLULU,HI,968132431,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,8400,109.74269643,9.8440952381,7.7177738095,7.7177738095
1043482706,OSTROUKHOVA,MARINA,,MD,F,I,1329 LUSITANA ST STE 603,,HONOLULU,HI,968132431,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,70,240.24985714,2.7557142857,2.1608571429,2.0784285714
1043482813,GONZALES,POTENCIANO,D,MD,M,I,62 SPRING VISTA DR STE 100,,DEBARY,FL,327131812,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,75,57.6552,8.32,6.3481333333,6.3481333333
1043482813,GONZALES,POTENCIANO,D,MD,M,I,62 SPRING VISTA DR STE 100,,DEBARY,FL,327131812,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.86,3.38,2.65,2.65
1043482813,GONZALES,POTENCIANO,D,MD,M,I,62 SPRING VISTA DR STE 100,,DEBARY,FL,327131812,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,27,16.183703704,1.42,1.1118518519,1.1118518519
1043482813,GONZALES,POTENCIANO,D,MD,M,I,62 SPRING VISTA DR STE 100,,DEBARY,FL,327131812,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,402,125,3.08,2.3150746269,2.2716169154
1043482813,GONZALES,POTENCIANO,D,MD,M,I,62 SPRING VISTA DR STE 100,,DEBARY,FL,327131812,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5564,2.8676851186,0.3,0.2166049605,0.2239791517
1043483001,COCHRAN,LAURIE,E,M.D.,F,I,90 MARTIN LUTHER KING JR DR STE A,,FORSYTH,GA,310291695,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,67,80,57.321625,8.32,5.22175,5.22175
1043483001,COCHRAN,LAURIE,E,M.D.,F,I,90 MARTIN LUTHER KING JR DR STE A,,FORSYTH,GA,310291695,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,19,19,9.2626315789,1.42,0.8842105263,0.8842105263
1043483050,BURGESS,ANNA,E,MD,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,58,130,61.153384615,8.32,5.7696153846,5.7696153846
1043483050,BURGESS,ANNA,E,MD,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,24,29,12.924482759,1.42,0.9620689655,0.9620689655
1043483050,BURGESS,ANNA,E,MD,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,226.41166667,54.47,35.591666667,35.710833333
1043483050,BURGESS,ANNA,E,MD,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,9.2306060606,2.01,1.1466666667,1.1596969697
1043483050,BURGESS,ANNA,E,MD,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,584.2,34.2225,26.83125,26.505625
1043483050,BURGESS,ANNA,E,MD,F,I,2863 HIGHWAY 45 BYP,,JACKSON,TN,383053618,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,70.23,45.883333333,45.883333333
1043483191,ORANDI,BABAK,J,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352492204,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,10500,0.0386885714,0.0133428571,0.0104580952,0.0104580952
1043483191,ORANDI,BABAK,J,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352492204,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3120,3.9713237179,1.7329230769,1.3586025641,1.3586025641
1043483191,ORANDI,BABAK,J,M.D.,M,I,619 19TH ST S,,BIRMINGHAM,AL,352492204,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,16,16,12.54,12.54
1043484264,DERMESROPIAN,RACHA,,M.D,F,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,63,248,75.282862903,8.32,6.1805241935,6.1805241935
1043484264,DERMESROPIAN,RACHA,,M.D,F,I,114 WOODLAND ST,,HARTFORD,CT,061051208,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,31,16.459032258,1.42,0.9703225806,0.9703225806
1043484447,SHIRLEY,WILLIAM,C,M.D.,M,I,1050 N JAMES CAMPBELL BLVD,SUITE 200,COLUMBIA,TN,384012754,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,31,31,31,145.25806452,63.013225806,48.162903226,38.858709677
1043484447,SHIRLEY,WILLIAM,C,M.D.,M,I,1050 N JAMES CAMPBELL BLVD,SUITE 200,COLUMBIA,TN,384012754,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,130,67.043703704,50.925925926,41.882962963
1043484561,PAPAGIANNIS,IOANNIS,,M.D.,M,I,3901 RAINBOW BLVD,MAILSTOP 2024,KANSAS CITY,KS,661608500,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,23,60,285,63.672035088,8.32,6.3964210526,6.3964210526
1043484561,PAPAGIANNIS,IOANNIS,,M.D.,M,I,3901 RAINBOW BLVD,MAILSTOP 2024,KANSAS CITY,KS,661608500,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,20,55,14.401272727,1.42,1.0321818182,1.0321818182
1043484561,PAPAGIANNIS,IOANNIS,,M.D.,M,I,3901 RAINBOW BLVD,MAILSTOP 2024,KANSAS CITY,KS,661608500,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,365.47,251.11,196.87,196.87
1043484637,WILSON,JOY,S,MD,F,I,1190 WAIANUENUE AVE,,HILO,HI,967202089,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,153.44,21.985,17.235,13.53
1043484637,WILSON,JOY,S,MD,F,I,1190 WAIANUENUE AVE,,HILO,HI,967202089,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,44,44,760.48,102.39295455,79.683409091,57.824318182
1043484637,WILSON,JOY,S,MD,F,I,1190 WAIANUENUE AVE,,HILO,HI,967202089,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,44.119090909,34.591818182,30.164545455
1043485030,FLOREA,RADU,A,M.D.,M,I,836 W WELLINGTON AVE,,CHICAGO,IL,606575147,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,13.236807692,7.37,5.2261923077,5.2261923077
1043485139,DE VILLA,VICTOR ADALBERT,G,M.D.,M,I,720 S VANBUREN ST,SUITE 104,GREEN BAY,WI,543013538,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,21,273,56.219413919,19.650952381,14.890549451,14.890549451
1043485139,DE VILLA,VICTOR ADALBERT,G,M.D.,M,I,720 S VANBUREN ST,SUITE 104,GREEN BAY,WI,543013538,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,23,680,7.72,2.6347058824,2.0138088235,2.0138088235
1043485139,DE VILLA,VICTOR ADALBERT,G,M.D.,M,I,720 S VANBUREN ST,SUITE 104,GREEN BAY,WI,543013538,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,42,156,593,68.577689713,8.32,5.7499831366,5.7499831366
1043485139,DE VILLA,VICTOR ADALBERT,G,M.D.,M,I,720 S VANBUREN ST,SUITE 104,GREEN BAY,WI,543013538,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,35,78,16.846025641,1.42,1.0712820513,1.0712820513
1043485139,DE VILLA,VICTOR ADALBERT,G,M.D.,M,I,720 S VANBUREN ST,SUITE 104,GREEN BAY,WI,543013538,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,751.11555556,348.19833333,272.98611111,272.98611111
1043485139,DE VILLA,VICTOR ADALBERT,G,M.D.,M,I,720 S VANBUREN ST,SUITE 104,GREEN BAY,WI,543013538,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,25,28,701.50785714,251.11,196.87,196.87
1043485212,MENDEZ-VARGAS,CATHIA,,M.D.,F,I,1101 CAMINO LA COSTA,,AUSTIN,TX,787523930,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,613.52367347,76.528367347,54.198571429,49.499795918
1043485212,MENDEZ-VARGAS,CATHIA,,M.D.,F,I,1101 CAMINO LA COSTA,,AUSTIN,TX,787523930,US,Physician/Geriatric Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,38.76,30.39,29.51
1043485212,MENDEZ-VARGAS,CATHIA,,M.D.,F,I,1101 CAMINO LA COSTA,,AUSTIN,TX,787523930,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,285.6,39.18,28.1875,27.115
1043485501,JOHNSON,GREGORY,S,D.O.,M,I,875 8TH ST NE,,MASSILLON,OH,446468503,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,100,17.16,13.454285714,13.454285714
1043485501,JOHNSON,GREGORY,S,D.O.,M,I,875 8TH ST NE,,MASSILLON,OH,446468503,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,495,70.73125,51.335833333,51.094583333
1043485790,ROMAN,TORFAY,S,M.D.,F,I,2415 N ORANGE AVE,SUITE 700,ORLANDO,FL,328045505,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,24,188,16140,4.703622057,0.5701815366,0.4390061958,0.4390055762
1043485790,ROMAN,TORFAY,S,M.D.,F,I,2415 N ORANGE AVE,SUITE 700,ORLANDO,FL,328045505,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,49,5280,4.3981212121,1.4250454545,1.1172291667,1.1172291667
1043485790,ROMAN,TORFAY,S,M.D.,F,I,2415 N ORANGE AVE,SUITE 700,ORLANDO,FL,328045505,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,64,7800,4.5828538462,2.7824384615,2.1381423077,2.1381423077
1043485790,ROMAN,TORFAY,S,M.D.,F,I,2415 N ORANGE AVE,SUITE 700,ORLANDO,FL,328045505,US,Physician/Internal Medicine,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,2100,17.070819048,7.4585761905,5.8475142857,5.8475142857
1043485790,ROMAN,TORFAY,S,M.D.,F,I,2415 N ORANGE AVE,SUITE 700,ORLANDO,FL,328045505,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,27,174,174,24,24,18.71183908,18.71183908
1043485790,ROMAN,TORFAY,S,M.D.,F,I,2415 N ORANGE AVE,SUITE 700,ORLANDO,FL,328045505,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,23,157,205,16,16,12.234878049,12.234878049
1043485964,LAKHANI,MANISH,J,M.D.,M,I,190 CAMPUS BLVD,SUITE 201,WINCHESTER,VA,226012872,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,156.25090909,57.458181818,36.709090909,34.51
1043485964,LAKHANI,MANISH,J,M.D.,M,I,190 CAMPUS BLVD,SUITE 201,WINCHESTER,VA,226012872,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,66.48,13.051818182,9.4118181818,8.32
1043485964,LAKHANI,MANISH,J,M.D.,M,I,190 CAMPUS BLVD,SUITE 201,WINCHESTER,VA,226012872,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,90,7.678,2.0973333333,1.4347777778,1.382
1043485964,LAKHANI,MANISH,J,M.D.,M,I,190 CAMPUS BLVD,SUITE 201,WINCHESTER,VA,226012872,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,115,31.478333333,20.174166667,19.118333333
1043485964,LAKHANI,MANISH,J,M.D.,M,I,190 CAMPUS BLVD,SUITE 201,WINCHESTER,VA,226012872,US,Physician/Cardiovascular Disease (Cardiology),S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,328,67.994545455,53.302727273,51.359090909
1043485964,LAKHANI,MANISH,J,M.D.,M,I,190 CAMPUS BLVD,SUITE 201,WINCHESTER,VA,226012872,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,475,70.23,55.06,54.750909091
1043485964,LAKHANI,MANISH,J,M.D.,M,I,190 CAMPUS BLVD,SUITE 201,WINCHESTER,VA,226012872,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,37.44,29.35,29.495454545
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,25,95,213,54.988732394,8.32,4.3187323944,4.3187323944
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.01,3.38,1.325,1.325
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,29,39,13.921794872,1.42,0.801025641,0.801025641
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,55.930714286,8.275,6.1421428571,4.4564285714
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,507.24352941,100.18,75.027058824,53.892941176
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,2130,1.7064882629,0.1269859155,0.0867558685,0.0867558685
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,28.506363636,22.35,14.289090909
1043486145,NAMSUPAK,JAMES,,M.D.,M,I,401 GUFFEY ST,JOHN MANCHIN SR. HEALTH CARE CENTER,FAIRMONT,WV,265544029,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,97.058823529,33,18.261176471,18.261176471
1043486301,HARRIS,RACHEL,A,MD,F,I,3625 W 65TH ST STE 100,,EDINA,MN,554352147,US,Physician/Obstetrics & Gynecology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.5009090909,5.8736363636,3.4818181818
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,70,141,141,132.85765957,39.150070922,30.084822695,29.89
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,85,178,178,417.65146067,89.293595506,66.856235955,64.793820225
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,74,182,461,158.79913232,34.526008677,25.973817787,24.87472885
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,56,131,634,92.553422713,20.13,14.968249211,13.811198738
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,47,116,533,63.365984991,15.488292683,11.675403377,11.441313321
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,109,216,216,267.62708333,60.252314815,45.294583333,41.26537037
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,176,233,233,80.735665236,19.169570815,14.493776824,13.621630901
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,17,17,36.719411765,10.583529412,8.3011764706,8.1817647059
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,123,251,251,88.552709163,12.945458167,9.8584462151,8.9132270916
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,193,469,2329,11.165757836,2.1392357235,1.6304422499,1.552838128
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,96,127,127,26.11976378,6.7297637795,4.962992126,4.4099212598
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,89,117,117,53.952564103,13.243931624,10.217777778,10.174444444
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,108,113,70.054159292,22.180353982,16.310973451,14.748318584
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,33,66.601818182,20.242424242,15.456969697,14.810909091
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,232.35,61.904375,45.689375,39.330625
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,232.35,57.35125,42.38375,35.368125
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,40,40,3167.135,913.16,689.33075,803.03675
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,16,74,82,589.02341463,95.880243902,73.28,67.172682927
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,39,44,1290.1222727,215.625,166.37477273,156.84204545
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,1441.5309091,965.39636364,750.35090909,750.35090909
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,34,34,34,697.01176471,131.87,98.310294118,99.363529412
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,59,283,322,79.991086957,13.419627329,9.6237267081,9.5170186335
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,40.087222222,6.5116666667,4.7,3.2133333333
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,103,503,548,277.82133212,36.222737226,25.701806569,23.522062044
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,49,398,413,456.92496368,81.303728814,59.955447942,52.709588378
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,16,128,132,205.71969697,37,27.934772727,28.351363636
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1230,16.591447154,9.5841707317,7.3243170732,7.3243170732
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,8317,0.2965492365,0.0457965613,0.0359083804,0.0359083804
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,30,2244,1.8839304813,0.1329946524,0.0969875223,0.0969875223
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,1440,11.164708333,3.0951875,2.4266597222,2.4266597222
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,154.89,37,29.01,29.16625
1043486343,ABBASI,FAHEEM,A,MD,M,I,1402 E COUNTY LINE RD,SUITE 2400,INDIANAPOLIS,IN,462270963,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,17,63,63,78.571428571,33,24.638095238,24.638095238
1043486632,BAGLA,RITU,,MD,F,I,41 MALL RD,LAHEY CLINIC DEPARTMENT OF NEUROLOGY,BURLINGTON,MA,018050001,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,55,10.164909091,2.276,1.6705454545,1.5207272727
1043486632,BAGLA,RITU,,MD,F,I,41 MALL RD,LAHEY CLINIC DEPARTMENT OF NEUROLOGY,BURLINGTON,MA,018050001,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,175,36.831764706,28.875294118,27.567647059
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,25,145.6392,38.5008,26.1352,21.8688
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,38.480869565,18.997173913,13.619565217,12.360869565
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,59.234,43.689333333,35.121333333
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,180.24607843,77.912352941,54.894313725,48.745294118
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.305545455,8.8635909091,8.8635909091
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1116,1.4856182796,0.1351164875,0.1059408602,0.1059408602
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.8731818182,2.2525909091,2.2525909091
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,900,55.214666667,46.610033333,36.382788889,36.382788889
1043486764,CHAIRMAN,DENNIS,B,M.D.,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,69.3,33,25.87,25.87
1043486954,ZHU,CHUNLIU,,MD,M,I,2003 W FULTON ST,3RD FLOOR,CHICAGO,IL,606122345,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,50,8.32,6.52,6.52
1043486954,ZHU,CHUNLIU,,MD,M,I,2003 W FULTON ST,3RD FLOOR,CHICAGO,IL,606122345,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,20,1.42,1.12,1.12
1043487192,BENAVIDES LOPEZ,VALERIA,C,"M.D., M.P.H.",F,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,72.550909091,8.32,5.3365909091,5.3365909091
1043487218,PEREZ,OLGA,T,M.D.,F,I,3410 W 84TH ST,SUITE 110,HIALEAH,FL,330184906,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,44,61.232045455,8.32,4.83,4.83
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,207,408,408,76.648161765,40.570980392,29.878480392,28.698063725
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,108,212,212,260.0275,92.278066038,68.151226415,64.050518868
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,17,95,203,452,106.50389381,33.842057522,25.444535398,24.840530973
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,19,99,204,1028,62.118015564,20.281605058,15.060826848,13.793151751
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,71,138,685,41.357693431,15.348715328,10.722948905,10.581591241
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,22,164,336,336,162.32702381,60.166160714,43.087053571,39.299047619
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,242,324,324,53.591419753,19.100895062,14.063425926,13.22558642
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,48,58,58,32.50137931,11.143793103,8.5884482759,8.0094827586
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,49,97,97,65.474639175,12.532371134,8.7740206186,8.1909278351
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,255,485,2887,6.8154381711,2.3020228611,1.6771042605,1.4905264981
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,45,54,54,18.409074074,6.3222222222,4.775,4.4966666667
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,136,177,177,32.343107345,14.018474576,10.622881356,10.033050847
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,62,62,264.9833871,93.005,64.74,56.550806452
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,59,59,702.73627119,214.34101695,161.48542373,153.86152542
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,38,39,39,348.19282051,143.15307692,107.80871795,100.81923077
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,14,16,65.165,14.144375,7.62875,7.37
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,93,515,518,133.09764479,35.962509653,24.845830116,22.530598456
1043487309,KOPCAK,JULIA,M,PA-C,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,419.23076923,76.775384615,39.428461538,37.56
1043487507,IDOIDZE,NINO,,MD,F,I,80 HIGHLAND ST,,LACONIA,NH,032463235,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,86.31,22.576,16.845428571,13.100857143
1043487507,IDOIDZE,NINO,,MD,F,I,80 HIGHLAND ST,,LACONIA,NH,032463235,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,28,50.73,8.5421428571,6.6957142857,4.0085714286
1043487507,IDOIDZE,NINO,,MD,F,I,80 HIGHLAND ST,,LACONIA,NH,032463235,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,519.51,103.372,78.348285714,54.634571429
1043487655,AGHILI,NIMA,,MD,M,I,11700 W 2ND PL,SUITE 350,LAKEWOOD,CO,802281704,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,112.30769231,30.456153846,19.806153846,20.53
1043487663,KANDASWAMY,SHUNMUGA PRIYA,,M.D.,F,I,1335 S FAIRMONT AVE,,LODI,CA,952405520,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,30,71,210,72.171333333,8.32,5.7147619048,5.7147619048
1043487663,KANDASWAMY,SHUNMUGA PRIYA,,M.D.,F,I,1335 S FAIRMONT AVE,,LODI,CA,952405520,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,38,61,16.312786885,1.42,1.078852459,1.078852459
1043487663,KANDASWAMY,SHUNMUGA PRIYA,,M.D.,F,I,1335 S FAIRMONT AVE,,LODI,CA,952405520,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,304.47777778,71.246666667,53.77037037,52.875185185
1043487663,KANDASWAMY,SHUNMUGA PRIYA,,M.D.,F,I,1335 S FAIRMONT AVE,,LODI,CA,952405520,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2649,0.2106417516,0.0469422424,0.036802567,0.036802567
1043487663,KANDASWAMY,SHUNMUGA PRIYA,,M.D.,F,I,1335 S FAIRMONT AVE,,LODI,CA,952405520,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,65.053529412,36.836470588,27.143529412,27.398235294
1043487663,KANDASWAMY,SHUNMUGA PRIYA,,M.D.,F,I,1335 S FAIRMONT AVE,,LODI,CA,952405520,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,127.71428571,33,25.87,25.87
1043487788,JHA,AMALANSHU,,MD,M,I,3400 BAINBRIDGE AVE,"GREENE MEDICAL ARTS PAVILION, 4TH FLOOR",BRONX,NY,104672404,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,120,10.696,7,4.5733333333,4.5733333333
1043487788,JHA,AMALANSHU,,MD,M,I,3400 BAINBRIDGE AVE,"GREENE MEDICAL ARTS PAVILION, 4TH FLOOR",BRONX,NY,104672404,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,200,5.9266,4.03,2.991,2.991
1043487937,CHUA,PATRICK,C,M.D.,M,I,411 LAUREL ST,SUITE 2350,DES MOINES,IA,503143017,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,63,5040,5.7746011905,0.568484127,0.4456865079,0.4456865079
1043487937,CHUA,PATRICK,C,M.D.,M,I,411 LAUREL ST,SUITE 2350,DES MOINES,IA,503143017,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.0804888889,0.013,0.0102,0.0102
1043487937,CHUA,PATRICK,C,M.D.,M,I,411 LAUREL ST,SUITE 2350,DES MOINES,IA,503143017,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,2640,2.9199318182,1.4002651515,1.0653598485,1.0653598485
1043487937,CHUA,PATRICK,C,M.D.,M,I,411 LAUREL ST,SUITE 2350,DES MOINES,IA,503143017,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,48,7560,5.4847142857,2.8056507937,2.1828439153,2.1828439153
1043487937,CHUA,PATRICK,C,M.D.,M,I,411 LAUREL ST,SUITE 2350,DES MOINES,IA,503143017,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,95,95,24,24,18.621894737,18.621894737
1043487937,CHUA,PATRICK,C,M.D.,M,I,411 LAUREL ST,SUITE 2350,DES MOINES,IA,503143017,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,74,89,16.08988764,16,12.540898876,12.540898876
1043487978,PATEL,NIRANJAN,K,MD,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,10941,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,48.269642857,17.573571429,13.779285714,13.538214286
1043487978,PATEL,NIRANJAN,K,MD,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,10941,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,273.48392857,79.489642857,57.926428571,50.4775
1043488281,HUGHES,ALEXANDER,,M.D.,M,I,535 E 70TH ST,,NEW YORK,NY,100214872,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,105,79.123333333,62.033333333,62.4925
1043488281,HUGHES,ALEXANDER,,M.D.,M,I,535 E 70TH ST,,NEW YORK,NY,100214872,US,Physician/Orthopedic Surgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,249.3,249.3,195.45,213.55
1043488281,HUGHES,ALEXANDER,,M.D.,M,I,535 E 70TH ST,,NEW YORK,NY,100214872,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,62,62,62,972.47,972.47,760.10596774,772.17709677
1043488596,SHEILS,EDWIN,K,PA-C,M,I,1208 S RIVER ST,,SARATOGA,WY,823310650,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,45,22.666923077,17.769230769,13.993076923
1043488596,SHEILS,EDWIN,K,PA-C,M,I,1208 S RIVER ST,,SARATOGA,WY,823310650,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,24,24,232.35,59.855,37.509583333,29.524166667
1043488596,SHEILS,EDWIN,K,PA-C,M,I,1208 S RIVER ST,,SARATOGA,WY,823310650,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,390.66121951,101.60731707,76.73,53.896341463
1043488844,FAHED,RABIH,C,M.D.,M,I,110 N 29TH ST,SUITE 101,NORFOLK,NE,687014424,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,22.4775,17.620833333,14.031666667
1043488844,FAHED,RABIH,C,M.D.,M,I,110 N 29TH ST,SUITE 101,NORFOLK,NE,687014424,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,384.56521739,95.900869565,75.187391304,56.490869565
1043488844,FAHED,RABIH,C,M.D.,M,I,110 N 29TH ST,SUITE 101,NORFOLK,NE,687014424,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,38,3856,39.680707988,5.0023729253,3.8846680498,3.8846680498
1043488844,FAHED,RABIH,C,M.D.,M,I,110 N 29TH ST,SUITE 101,NORFOLK,NE,687014424,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,384,8.9489583333,3.995546875,3.1325,3.1325
1043488844,FAHED,RABIH,C,M.D.,M,I,110 N 29TH ST,SUITE 101,NORFOLK,NE,687014424,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,47,47,24,24,18.82,18.82
1043489271,WALINSKY-KING,NAOMI,B,M.D.,F,I,401 W ALLEGHENY AVE,,PHILADELPHIA,PA,191333644,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,38,80,64.882625,8.32,5.7885,5.7885
1043489271,WALINSKY-KING,NAOMI,B,M.D.,F,I,401 W ALLEGHENY AVE,,PHILADELPHIA,PA,191333644,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,17.873529412,1.42,1.1141176471,1.1141176471
1043489909,CHELLAPPA,DHANUKODI,,MD,M,I,10901 E WINNER RD,,INDEPENDENCE,MO,640523755,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,103,41.51776699,8.32,6.5234951456,6.5234951456
1043489909,CHELLAPPA,DHANUKODI,,MD,M,I,10901 E WINNER RD,,INDEPENDENCE,MO,640523755,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,36,7.9225,1.42,1.1130555556,1.1130555556
1043489909,CHELLAPPA,DHANUKODI,,MD,M,I,10901 E WINNER RD,,INDEPENDENCE,MO,640523755,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,119.875,21.985,15.743,12.177
1043489909,CHELLAPPA,DHANUKODI,,MD,M,I,10901 E WINNER RD,,INDEPENDENCE,MO,640523755,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,495.52979167,99.678125,75.277916667,52.068958333
1043489909,CHELLAPPA,DHANUKODI,,MD,M,I,10901 E WINNER RD,,INDEPENDENCE,MO,640523755,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,139.36066667,44.502,34.892,29.515333333
1043489909,CHELLAPPA,DHANUKODI,,MD,M,I,10901 E WINNER RD,,INDEPENDENCE,MO,640523755,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,67.12,23.74625,16.51625,11.4625
1043490113,CAICEDO,JENNIFER,L,M.D.,F,I,8045 PROVIDENCE RD STE 300,,CHARLOTTE,NC,28277,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,12,48,72.96,19.684166667,15.432291667,15.432291667
1043490113,CAICEDO,JENNIFER,L,M.D.,F,I,8045 PROVIDENCE RD STE 300,,CHARLOTTE,NC,28277,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,7200,33.55275,9.8395833333,7.7142305556,7.7142305556
1043490113,CAICEDO,JENNIFER,L,M.D.,F,I,8045 PROVIDENCE RD STE 300,,CHARLOTTE,NC,28277,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,96,8.55,2.6366666667,2.0673958333,2.0673958333
1043490675,MASSARD,KEVIN,M,D.P.M.,M,I,321 W RAILROAD AVE,,BARTLETT,IL,601034428,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,125,71.56,54.592407407,54.584259259
1043490675,MASSARD,KEVIN,M,D.P.M.,M,I,321 W RAILROAD AVE,,BARTLETT,IL,601034428,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,68,50,29.19,22.886470588,22.886470588
1043490857,BUFORD,JULIE,M,"WHNP, FNP",F,I,611 WEST MAIN STREET,SUITE E,FREDERICKTOWN,MO,636451111,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,50,21.42,8.32,5.8222,5.8222
1043490857,BUFORD,JULIE,M,"WHNP, FNP",F,I,611 WEST MAIN STREET,SUITE E,FREDERICKTOWN,MO,636451111,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,27.5,7.4192857143,4.2571428571,2.1714285714
1043490857,BUFORD,JULIE,M,"WHNP, FNP",F,I,611 WEST MAIN STREET,SUITE E,FREDERICKTOWN,MO,636451111,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,200,101.111,74.52825,51.376
1043491046,GANGI-POLLACEK,DENISE,C,RPA-C,F,I,411 NEW KARNER RD,,ALBANY,NY,122053809,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,44,80,65.761875,8.32,5.54325,5.54325
1043491046,GANGI-POLLACEK,DENISE,C,RPA-C,F,I,411 NEW KARNER RD,,ALBANY,NY,122053809,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,19,28.452631579,1.42,1,1
1043491129,MANNEM,SAI PRASANNA,,MD,F,I,400 108TH AVE NE,,BELLEVUE,WA,980045562,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,42,71.07547619,8.32,6.2107142857,6.2107142857
1043491293,ZHUO,YING,,M.D.,F,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,18,1782,11.558237935,1.6329685746,1.2802356902,1.2802356902
1043491293,ZHUO,YING,,M.D.,F,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,19,1610,36.609310559,4.4504347826,3.4388198758,3.4388198758
1043491293,ZHUO,YING,,M.D.,F,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,17,43,52.616744186,39.65372093,27.78255814,27.556976744
1043491293,ZHUO,YING,,M.D.,F,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,24,24,18.82,18.82
1043491293,ZHUO,YING,,M.D.,F,I,7360 W DESCHUTES AVE,,KENNEWICK,WA,993367774,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,28,16,16,12.54,12.54
1043491822,WALKER,CORTNIE,H,M.D.,F,I,1600 11TH ST,EMERGENCY DEPT,WICHITA FALLS,TX,763014300,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,21.840227273,4.6202272727,3.6181818182,3.6786363636
1043491970,TRAMPOTA,SARAH,E,MD,F,I,45 N.E. LOOP 410,SUITE 900,SAN ANTONIO,TX,782165831,US,Physician/Interventional Pain Management,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,1500,1001.69,785.32,778.33428571
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,720,0.1695,0.12,0.094,0.094
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,26,832,33.616862981,18.5,14.504014423,14.504014423
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,21,2328,0.7764475945,0.45,0.3164390034,0.3164390034
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,A6452,"High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,25,838,13.124797136,6.65,5.1435083532,5.1435083532
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,11,160,58.289375,25.3175,19.8488125,19.4246875
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,115,55.6,7.88,6.178,6.3416521739
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3511.1235294,515.09176471,403.83235294,478.11117647
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,13,13,606.86923077,480.92,377.05,412.48692308
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,22,44,958.36636364,762.77,598.01,565.98727273
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,15,102,29.855294118,20.1,15.758333333,16.342058824
1043492028,COYLE,BRIAN,W,MD,M,I,280 STATE ST,,NORTH HAVEN,CT,064736103,US,Physician/Vascular Surgery,S,L8470,"Prosthetic sock, single ply, fitting, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,90,8.076,6.45,5.0566666667,5.5808888889
1043492127,CEPOI,ANDREI,,MD,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,62.053448276,22.698275862,17.279310345,13.47862069
1043492127,CEPOI,ANDREI,,MD,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.6291666667,5.5775,3.1916666667
1043492127,CEPOI,ANDREI,,MD,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,432.89222222,105.13055556,80.764722222,55.459722222
1043492341,GUPTA,AJAY,,MD,M,I,5325 ELLIOTT DR,SUITE NUMBER 102,YPSILANTI,MI,481978633,US,Physician/Thoracic Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,30,5.04,3.95,3.95
1043492473,TANZER,MARIE,H,MD,F,I,887 CONGRESS ST,SUITE 320,PORTLAND,ME,04102,US,Physician/Pediatric Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,15,16,16,11.692,11.692
1043492911,ROSARIO,FLORO,D,MD,M,I,15136 LEVAN ROAD,,LIVONIA,MI,481545027,US,Physician/General Surgery,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,460,9.7322173913,5.36,4.0194130435,4.0194130435
1043493356,LOWE-SHIN,HYESOO,,M.D.,F,I,161 FORT WASHINGTON AVE FL 8,,NEW YORK,NY,100323729,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,13,169,57.061775148,19.686153846,14.584674556,14.584674556
1043493356,LOWE-SHIN,HYESOO,,M.D.,F,I,161 FORT WASHINGTON AVE FL 8,,NEW YORK,NY,100323729,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,451,6.5600221729,2.6373392461,2.0676274945,2.0676274945
1043493356,LOWE-SHIN,HYESOO,,M.D.,F,I,161 FORT WASHINGTON AVE FL 8,,NEW YORK,NY,100323729,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,83,108,300,829,76.358793727,8.32,5.8470566948,5.8470566948
1043493356,LOWE-SHIN,HYESOO,,M.D.,F,I,161 FORT WASHINGTON AVE FL 8,,NEW YORK,NY,100323729,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,51,58,111,157,13.775414013,1.42,1.0236942675,1.0236942675
1043493356,LOWE-SHIN,HYESOO,,M.D.,F,I,161 FORT WASHINGTON AVE FL 8,,NEW YORK,NY,100323729,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,17,86,88,504.88704545,251.03534091,195.54318182,195.60159091
1043493356,LOWE-SHIN,HYESOO,,M.D.,F,I,161 FORT WASHINGTON AVE FL 8,,NEW YORK,NY,100323729,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,652.65384615,246.50153846,193.25384615,207.09076923
1043494032,LOPEZ,HECTOR,U,M.D.,M,I,21 SPURS LN,STE 300,SAN ANTONIO,TX,782401679,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,17.5075,13.7275,14.154166667
1043494032,LOPEZ,HECTOR,U,M.D.,M,I,21 SPURS LN,STE 300,SAN ANTONIO,TX,782401679,US,Physician/Family Practice,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,36,41,152.14,130.57,102.37,102.4997561
1043494313,SHAKHBAZOVA,MILENA,,M.D.,F,I,3333 SKYPARK DR,SUITE 100,TORRANCE,CA,905055023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,52,76.417884615,8.32,6.2771153846,6.2771153846
1043494313,SHAKHBAZOVA,MILENA,,M.D.,F,I,3333 SKYPARK DR,SUITE 100,TORRANCE,CA,905055023,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,9.7107692308,2.09,1.6383333333,1.5916666667
1043494602,MORGAN,MATTHEW,C,ARNP,M,I,2111 SW 20TH PL,,OCALA,FL,344717734,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3731.5384615,2779.8038462,2179.3669231,2179.3669231
1043494826,ARGUMEDO,JENNIFER,M,MD,F,I,7355 BARLITE BLVD STE 401,,SAN ANTONIO,TX,782241341,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,31,74,359,65.930027855,8.32,6.1233426184,6.1233426184
1043494826,ARGUMEDO,JENNIFER,M,MD,F,I,7355 BARLITE BLVD STE 401,,SAN ANTONIO,TX,782241341,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,25,53,15.320377358,1.42,1.0928301887,1.0928301887
1043494826,ARGUMEDO,JENNIFER,M,MD,F,I,7355 BARLITE BLVD STE 401,,SAN ANTONIO,TX,782241341,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,322.98904762,251.11,196.87,196.87
1043495021,DUNCAN,JENNIFER,A,N.P,F,I,414 G ST,SUITE 208,MARYSVILLE,CA,959015663,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.02,13.342727273,13.506363636
1043495021,DUNCAN,JENNIFER,A,N.P,F,I,414 G ST,SUITE 208,MARYSVILLE,CA,959015663,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,586.75744186,66.402325581,48.282325581,50.669534884
1043495021,DUNCAN,JENNIFER,A,N.P,F,I,414 G ST,SUITE 208,MARYSVILLE,CA,959015663,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.64,29.215,29.215
1043495021,DUNCAN,JENNIFER,A,N.P,F,I,414 G ST,SUITE 208,MARYSVILLE,CA,959015663,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.64,27.050833333,27.050833333
1043495278,STEPHENSON,CATHARINE,H,A.R.N.P.,F,I,615 N BONITA AVE,,PANAMA CITY,FL,324013623,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,71,54.996619718,8.32,6.3392957746,6.3392957746
1043495278,STEPHENSON,CATHARINE,H,A.R.N.P.,F,I,615 N BONITA AVE,,PANAMA CITY,FL,324013623,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,21.43125,5.16,3.765,3.763125
1043495278,STEPHENSON,CATHARINE,H,A.R.N.P.,F,I,615 N BONITA AVE,,PANAMA CITY,FL,324013623,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,417.48,142.248,108.0944,106.5408
1043495823,DIKOS,GREGORY,D,MD,M,I,8450 NORTHWEST BLVD.,,INDIANAPOLIS,IN,462781381,US,Physician/Orthopedic Surgery,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,161.31272727,126.46727273,119.00909091
1043495948,ROBSON,CRAIG,H,MD,M,I,335 N CASWELL RD,,CHARLOTTE,NC,282042403,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,2880,3.3226284722,1.73,1.3139479167,1.5512534722
1043496243,DOANE,CHELSIE,N,PA-C,F,I,3515 RICHMOND CIR,,GRAND ISLAND,NE,688034965,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,253.93181818,55.4,43.43,42.86
1043496243,DOANE,CHELSIE,N,PA-C,F,I,3515 RICHMOND CIR,,GRAND ISLAND,NE,688034965,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,11.656363636,1.99,1.56,1.5887878788
1043496243,DOANE,CHELSIE,N,PA-C,F,I,3515 RICHMOND CIR,,GRAND ISLAND,NE,688034965,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,582.38095238,69.99,48.345238095,48.265238095
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,35,35,69.479714286,41.770857143,32.742285714,30.537714286
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,37,72,5.3943055556,1.6765277778,1.2459722222,1.0863888889
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,53,98,98,252.15642857,113.88316327,84.699081633,64.466938776
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,43,85,184,115.23728261,42.453641304,31.994619565,24.979891304
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,16,33,165,45.797333333,22.470787879,16.646181818,13.687818182
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,31,45,45,126.15155556,66.635777778,47.856,39.126888889
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,80,106,106,48.193584906,22.282075472,16.511698113,13.450377358
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,50,100,100,48.6856,18.9201,14.1379,8.7141
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,79,134,749,6.6234846462,2.7732443258,2.0058210948,1.4624432577
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,58,72,72,17.680555556,7.5720833333,5.2623611111,4.0702777778
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,28,37,37,27.782162162,15.319459459,11.702162162,10.208648649
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,167,167,57.249161677,20.83257485,14.988562874,12.540778443
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,95.62,63.259285714,43.742142857
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,232.35,61.862777778,48.498888889,41.806111111
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,18,18,125.84555556,56.272222222,37.243888889,33.985555556
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,18,18,232.35,57.44,45.033888889,37.63
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,67,67,2649.8776119,913.16,706.32791045,832.66791045
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,29,29,279.09344828,89.052068966,69.819310345,67.930689655
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,597.07181818,233.325,179.75,173.53772727
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,1206.99,1000.6911765,784.54176471,786.34529412
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,341.49333333,137.81,108.05,104.88611111
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,18,77,90,41.956333333,5.0988888889,3.7027777778,3.4668888889
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,24,66,66,156.23212121,34.878333333,24.884848485,24.504393939
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,61,459,461,334.09106291,87.784425163,63.873709328,50.560802603
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,91,92,139.40826087,41.729565217,31.22423913,28.302608696
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,3814,0.3869533298,0.0466098584,0.0307420031,0.0307420031
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,19,2400,1.8446208333,0.124825,0.0808125,0.0808125
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,25,101,38.7832,30.4052,29.51
1043496532,BROWN,KERI,K,D.O.,F,I,2055 EXCHANGE ST STE 210,,ASTORIA,OR,97103,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,36,36,43,33,20.848888889,20.848888889
1043496896,HOFFLER,CHARLES,E,MD PHD,M,I,8905 SW 87TH AVE,SUITE 100,MIAMI,FL,331762227,US,Physician/Hand Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1120.5818182,374.64,271.20454545,282.23818182
1043498314,AHLERS,JEANA,K,PA-C,F,I,305 N. 37TH ST.,,NORFOLK,NE,687013275,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,34,70.947647059,8.32,4.9864705882,4.9864705882
1043498314,AHLERS,JEANA,K,PA-C,F,I,305 N. 37TH ST.,,NORFOLK,NE,687013275,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,157.188,52.998,41.547333333,34.368
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,34,81,58.930740741,8.32,6.36,6.36
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,18,16.712222222,1.42,1.12,1.12
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,1230,1.540699187,0.4908780488,0.3606585366,0.3606585366
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,57,3900,7.9359820513,2.5928692308,2.0193461538,2.0193410256
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,63,14100,1.7057531915,1.2498730496,0.9710539007,0.9710539007
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,46,149,737,92860,4.6840331682,0.566300883,0.4288778807,0.42887605
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,14340,0.5421617852,0.470027894,0.3685006974,0.3685006974
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7510,"Prednisolone oral, per 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,14,80,2400,0.68,0.079525,0.0535083333,0.0535083333
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,13,106,497,100185,0.0697044468,0.0129644158,0.0098245246,0.0098245246
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,86,12300,1.9251276423,0.7387512195,0.5723869919,0.5723869919
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,32,118,593,103944,4.0506391903,1.2529145501,0.9587126722,0.9587126722
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,20,66,323,48860,4.5388591895,2.8397981989,2.1670665166,2.2003399509
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,4,,35,9480,15.907518987,8.4648037975,6.6127183544,6.6127183544
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,5,27,27,27,50,50,37.748148148,37.748148148
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,62,218,952,954,24,24,18.4660587,18.4660587
1043498397,NAJJAR,REIAD,Y,MD,M,I,8900 BEVERLY BLVD,#226,WEST HOLLYWOOD,CA,900482438,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,58,223,1258,1363,16,16,12.341914894,12.341914894
1043498553,HALLOWS,RHETT,K,M.D.,M,I,1000 TRENT DR,,DURHAM,NC,277100001,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,90.0555,60.15,47.158,41.9345
1043498553,HALLOWS,RHETT,K,M.D.,M,I,1000 TRENT DR,,DURHAM,NC,277100001,US,Physician/Orthopedic Surgery,S,E1811,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,477,125.79,90.65,90.65
1043498553,HALLOWS,RHETT,K,M.D.,M,I,1000 TRENT DR,,DURHAM,NC,277100001,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,14,683.92857143,672.18928571,524.73857143,478.36214286
1043499015,NGUYEN,NINA,T,MD,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,53,60.424716981,8.32,5.9066037736,5.9066037736
1043499049,SHAD,UMAR,,MD,M,I,5800 W BURLEIGH ST,,MILWAUKEE,WI,532101516,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,22,45,76.682,8.32,5.7971111111,5.7971111111
1043499478,SIMPSON,PETER,W,"MD, MPH",M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,10.495833333,7.86,6.16,6.5
1043499478,SIMPSON,PETER,W,"MD, MPH",M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.5688333333,5.74,4.5,4.5
1043499478,SIMPSON,PETER,W,"MD, MPH",M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,7.6133333333,6.44,5.05,5.05
1043499478,SIMPSON,PETER,W,"MD, MPH",M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,12.419833333,9.86,7.73,7.73
1043499478,SIMPSON,PETER,W,"MD, MPH",M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.3079,0.27,0.1939666667,0.1939666667
1043499478,SIMPSON,PETER,W,"MD, MPH",M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.2473636364,3.04,2.3835,2.3835
1043499478,SIMPSON,PETER,W,"MD, MPH",M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,0.3257333333,0.2601666667,0.2039333333,0.2116
1043499940,BUCK,THERESA,M,FNP-BC,F,I,1100 SMITHVILLE HWY,SUITE 123,MC MINNVILLE,TN,37110,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,15,153.66666667,75.125333333,58.900666667,45.559333333
1043499940,BUCK,THERESA,M,FNP-BC,F,I,1100 SMITHVILLE HWY,SUITE 123,MC MINNVILLE,TN,37110,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,63.227368421,21.207368421,13.795789474,10.92
1043499940,BUCK,THERESA,M,FNP-BC,F,I,1100 SMITHVILLE HWY,SUITE 123,MC MINNVILLE,TN,37110,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,481.68428571,94.005,61.567857143,43.3175
1043499940,BUCK,THERESA,M,FNP-BC,F,I,1100 SMITHVILLE HWY,SUITE 123,MC MINNVILLE,TN,37110,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2076,0.2847302505,0.0457899807,0.0305732177,0.0305732177
1043499981,PESTIEAU,SARAH,R,M.D.,F,I,STONY BROOK UNIVERSITY HOSPITAL,DEPARTMENT OF MEDICINE HSC-T16 020,STONY BROOK,NY,117948160,US,Physician/Undefined Physician type[6],S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,50.73,3.5975,2.825,3.5958333333
1043500135,OHLINGER,COURTNEY,L,M.D.,F,I,234 GOODMAN ST,,CINCINNATI,OH,452192364,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,144.27,35.869090909,24.956363636,22.845454545
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,30,92,61.737934783,8.32,6.4510869565,6.4510869565
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,18,13.786111111,1.42,0.9927777778,0.9927777778
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,20,36,169,13635,2.5090106344,0.4611184452,0.3407928126,0.3464136414
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,36,129,727,419006,1.4376560002,1.2426582913,0.9612106987,0.9667087106
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,96,178,1004,121494,4.3853401814,0.5626666337,0.4063302715,0.4124754309
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,58,200,1153,174885,0.0715263745,0.0129781285,0.0096823055,0.0096823055
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,2220,0.9438423423,0.6837027027,0.4417027027,0.5058828829
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,20,110,11070,3.5842014453,1.1029548329,0.8235447154,0.8321526649
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,53,170,883,116586,4.1825234591,2.7963720344,2.0934707426,2.1372699981
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,7,20,20,20,50,50,39.2,39.2
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,145,377,1834,1834,24,24,18.088320611,18.088320611
1043500259,MALONE,ANDREW,F,MD,M,I,4921 PARKVIEW PL,5TH FL,SAINT LOUIS,MO,631101032,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,113,350,1937,2193,16,16,12.263260374,12.263260374
1043500499,RASBAND-LINDQUIST,ALLISON,N,MD,F,I,850 E HARVARD AVE STE 505,,DENVER,CO,802105078,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,734.776,32.834,23.725333333,24.444
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,42,100,342,60.379152047,8.32,5.922748538,5.922748538
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,13.279,3.38,2.65,2.65
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,34,44,12.805454545,1.42,1.0409090909,1.0409090909
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,142.87333333,45.806666667,33.103333333,28.944166667
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,14,24,25,416.808,92.562,64.1068,62.7152
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,13,25,70,162.07242857,35.429714286,26.048571429,25.462
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,60,86.532833333,22.304,17.377833333,14.443
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,15,87,58.258850575,16.919655172,12.321494253,10.949885057
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,22,22,248.32181818,63.107272727,45.388636364,38.963636364
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,31,31,83.677419355,19.802258065,15.081935484,14.072903226
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,39,40,81.192,13.34175,9.86325,8.5165
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,53,289,11.61432526,2.2746712803,1.6828027682,1.5194117647
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,44.038823529,13.656470588,10.707647059,10.501176471
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,66.0515,17.798,12.531,12.253
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,464.15625,83.0025,57.420625,57.698125
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,81.75,15.137619048,11.870952381,9.9814285714
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,38.507777778,4.6533333333,3.0966666667,3.2027777778
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,17,91,93,195.99655914,38.793010753,29.020430108,24.620752688
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,66,498.70166667,80.858787879,60.739242424,52.819393939
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.651,7.4675,7.4675
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,3869,1.082520031,0.1317859912,0.0927604032,0.0927604032
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1560,12.86,2.9976923077,2.261525641,2.261525641
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,111.42857143,18.291428571,11.533571429,11.538571429
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,108.09,73.087272727,72.817272727
1043500598,VU,KHIEM,Q,D.O.,M,I,2700 CITIZENS PLZ,SUITE 400,VICTORIA,TX,779015754,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,56,56,128.46428571,33,24.8275,24.8275
1043501307,GACUGA,GLADWELL,W,NP,F,I,DUKE UNIVERSITY DEPT OF ADVANCED CLINICAL,BOX 3677,DURHAM,NC,277100001,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,85.357333333,48.866666667,35.44,33.215333333
1043501372,ANDREWS,JESSICA,K,,F,I,189 PROUTY DR,,NEWPORT,VT,058559326,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,32,77,275,62.931054545,8.32,5.5691636364,5.5691636364
1043501372,ANDREWS,JESSICA,K,,F,I,189 PROUTY DR,,NEWPORT,VT,058559326,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,24,52,14.198846154,1.42,1.0067307692,1.0067307692
1043501372,ANDREWS,JESSICA,K,,F,I,189 PROUTY DR,,NEWPORT,VT,058559326,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,266.815,59.01375,41.46375,30.82625
1043501372,ANDREWS,JESSICA,K,,F,I,189 PROUTY DR,,NEWPORT,VT,058559326,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,23.583488372,8.6088372093,6.1009302326,3.2297674419
1043501372,ANDREWS,JESSICA,K,,F,I,189 PROUTY DR,,NEWPORT,VT,058559326,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,26,474.89,102.32846154,77.928846154,68.395769231
1043501372,ANDREWS,JESSICA,K,,F,I,189 PROUTY DR,,NEWPORT,VT,058559326,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,68.870833333,44.745,35.0825,30.7075
1043501372,ANDREWS,JESSICA,K,,F,I,189 PROUTY DR,,NEWPORT,VT,058559326,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,21.558333333,21.558333333
1043501646,KOTCHEV,NICOLA,P,MD,M,I,3400 BAINBRIDGE AVE,MAP8,BRONX,NY,104672404,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,28,92,233,70.317424893,8.32,6.0735193133,6.0735193133
1043501646,KOTCHEV,NICOLA,P,MD,M,I,3400 BAINBRIDGE AVE,MAP8,BRONX,NY,104672404,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,32,38,22.561315789,1.42,0.9994736842,0.9994736842
1043501646,KOTCHEV,NICOLA,P,MD,M,I,3400 BAINBRIDGE AVE,MAP8,BRONX,NY,104672404,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,715,3.4314825175,0.0452167832,0.0354125874,0.0354125874
1043501646,KOTCHEV,NICOLA,P,MD,M,I,3400 BAINBRIDGE AVE,MAP8,BRONX,NY,104672404,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,14.641666667,14.65,9.0666666667,11.523333333
1043501778,MONTGOMERY,JUSTIN,B,FNP-C,M,I,1 MEDICAL DR,ATTN CENTERS FOR HEALTHY AGING,LEBANON,NH,037561000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,20,73.471,8.32,5.8715,5.8715
1043501778,MONTGOMERY,JUSTIN,B,FNP-C,M,I,1 MEDICAL DR,ATTN CENTERS FOR HEALTHY AGING,LEBANON,NH,037561000,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,22.995384615,22.666923077,17.769230769,13.993076923
1043501778,MONTGOMERY,JUSTIN,B,FNP-C,M,I,1 MEDICAL DR,ATTN CENTERS FOR HEALTHY AGING,LEBANON,NH,037561000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,248.23322581,101.03806452,73.431612903,53.352903226
1043501778,MONTGOMERY,JUSTIN,B,FNP-C,M,I,1 MEDICAL DR,ATTN CENTERS FOR HEALTHY AGING,LEBANON,NH,037561000,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,477.36,44.745,32.344166667,27.056666667
1043501851,LAFONTANT,JEAN,E,M.D.,M,I,5870 ARLINGTON AVE,,RIVERSIDE,CA,925042037,US,Physician/Preventive Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,34,108,45.823796296,8.32,6.2824074074,6.2824074074
1043501851,LAFONTANT,JEAN,E,M.D.,M,I,5870 ARLINGTON AVE,,RIVERSIDE,CA,925042037,US,Physician/Preventive Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,40,7.092,1.42,1.05925,1.05925
1043501851,LAFONTANT,JEAN,E,M.D.,M,I,5870 ARLINGTON AVE,,RIVERSIDE,CA,925042037,US,Physician/Preventive Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.3,2.27,1.4561298701,1.4561298701
1043501851,LAFONTANT,JEAN,E,M.D.,M,I,5870 ARLINGTON AVE,,RIVERSIDE,CA,925042037,US,Physician/Preventive Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,147.09818182,29.043636364,22.062727273,23.380909091
1043501851,LAFONTANT,JEAN,E,M.D.,M,I,5870 ARLINGTON AVE,,RIVERSIDE,CA,925042037,US,Physician/Preventive Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,25,9.7614285714,7.65,7.11
1043501851,LAFONTANT,JEAN,E,M.D.,M,I,5870 ARLINGTON AVE,,RIVERSIDE,CA,925042037,US,Physician/Preventive Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,600,179.15571429,139.58357143,138.045
1043502206,MALY,JOSEPH,J,M.D.,M,I,3991 DUTCHMANS LN STE 405,,LOUISVILLE,KY,402074723,US,Physician/Hematology-Oncology,S,J8610,"Methotrexate; oral, 2.5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,380,10.998578947,0.6660789474,0.5222105263,0.5222105263
1043502206,MALY,JOSEPH,J,M.D.,M,I,3991 DUTCHMANS LN STE 405,,LOUISVILLE,KY,402074723,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,24,24,18.82,18.82
1043502263,ORSINI,DAVID,,M.D,M,I,6410 FANNIN ST,SUITE 1535,HOUSTON,TX,770303000,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,306.85588235,95.293529412,74.704117647,66.811764706
1043502263,ORSINI,DAVID,,M.D,M,I,6410 FANNIN ST,SUITE 1535,HOUSTON,TX,770303000,US,Physician/Orthopedic Surgery,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,25,21,21,16.46,35.7936
1043502263,ORSINI,DAVID,,M.D,M,I,6410 FANNIN ST,SUITE 1535,HOUSTON,TX,770303000,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,81.3025,77.8575,61.0375,67.56875
1043502263,ORSINI,DAVID,,M.D,M,I,6410 FANNIN ST,SUITE 1535,HOUSTON,TX,770303000,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,41,42,42,236.10809524,210.41142857,164.96190476,216.36642857
1043502321,VIRK,CHARANJIT,,M.D.,M,I,31675 PACIFIC HWY S,,FEDERAL WAY,WA,980035407,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,89.147352941,8.32,6.52,6.52
1043502321,VIRK,CHARANJIT,,M.D.,M,I,31675 PACIFIC HWY S,,FEDERAL WAY,WA,980035407,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,136.77666667,95.280833333,93.634166667
1043502529,MCGUIRE,JESSICA,L,APRN,F,I,410 CELEBRATION PL STE 103,,CELEBRATION,FL,347475432,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,42,52.078095238,8.32,6.2104761905,6.2104761905
1043502529,MCGUIRE,JESSICA,L,APRN,F,I,410 CELEBRATION PL STE 103,,CELEBRATION,FL,347475432,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,26,26,77.45,50.301538462,34.88,33.348461538
1043502529,MCGUIRE,JESSICA,L,APRN,F,I,410 CELEBRATION PL STE 103,,CELEBRATION,FL,347475432,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,419,1.8879713604,0.1453699284,0.1140095465,0.1140095465
1043502941,DOWNING,NORMAN,L,M.D.,M,I,300 PASTEUR DR,S101 MC 5109,STANFORD,CA,943052200,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,214.3,15.7625,12.36,14.19
1043502990,KIRAN,SAYEE,H,MD,F,I,3601 W 13 MILE RD STE BCC,,ROYAL OAK,MI,480736712,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,22,53.608636364,41.17,32.276818182,30.961363636
1043503253,BETZ,GEOFFREY,D,M.D.,M,I,145 W 23RD ST,SUITE 101,ERIE,PA,165022858,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,47,59.588297872,8.32,5.5368085106,5.5368085106
1043503352,AUNE,KATHRYN,A,M.D.,F,I,830 PRAIRIE CENTER DR,,EDEN PRAIRIE,MN,553447301,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,51,89.264705882,8.32,6.2658823529,6.2658823529
1043503436,AL TEKREETI,ABDULJABBAR,,MD,M,I,3901 COCONUT PALM DR STE 120,,TAMPA,FL,336198362,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,37,16.97,17.137027027,13.43972973,13.533783784
1043503436,AL TEKREETI,ABDULJABBAR,,MD,M,I,3901 COCONUT PALM DR STE 120,,TAMPA,FL,336198362,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,77.18,79.260540541,59.732972973,52.626486486
1043503683,AYALA,SANTIAGO,M,MD,M,I,2300 GRANDE BLVD SE,SUITE A,RIO RANCHO,NM,871241755,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,43,56.989302326,8.32,6.2195348837,6.2195348837
1043504004,BOHN,HEATHER,,DO,F,I,400 N PEPPER,,COLTON,CA,92324,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,56,48.195178571,8.32,6.0566071429,6.0566071429
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,21,143,143,48.747412587,18.447622378,13.88041958,12.972447552
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,1561.02,942.14,726.51806452,826.79612903
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,46,46,30.911086957,4.6758695652,3.5202173913,3.5008695652
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,27,186,187,308.55748663,74.241390374,56.413368984,53.005347594
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,69.424,37.44,27.126666667,27.289333333
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2239,0.3253148727,0.0473068334,0.0297186244,0.0297186244
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,3180,1.5235220126,0.1359056604,0.1031509434,0.1031509434
1043504095,LEE,LAURIE,T,ANP-BC,F,I,227 BENDEL RD,SUITE B,LAFAYETTE,LA,705032922,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,42,42,84.857142857,33,24.638095238,24.638095238
1043504129,LOH,GEOFFREY,,M.D.,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,58.251764706,16.785882353,12.723235294,13.081764706
1043504129,LOH,GEOFFREY,,M.D.,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,66,66,342.87378788,77.47969697,55.384242424,49.581060606
1043504129,LOH,GEOFFREY,,M.D.,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,161.63636364,39.687272727,28.303636364,26.782727273
1043504152,KING,BRADLEY,M,"MD, MPH",M,I,1016 KIRKPATRICK RD,,BURLINGTON,NC,272159714,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,85,75.195333333,58.952666667,52.809333333
1043504152,KING,BRADLEY,M,"MD, MPH",M,I,1016 KIRKPATRICK RD,,BURLINGTON,NC,272159714,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,94.5,67.76,53.13,54.09
1043504251,ONUOHA,BERTHRAND,,M.D.,M,I,TAYLOR AT MARION,,COLUMBIA,SC,292201442,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,42,59.996904762,21.985,16.879761905,13.207857143
1043504251,ONUOHA,BERTHRAND,,M.D.,M,I,TAYLOR AT MARION,,COLUMBIA,SC,292201442,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,42,360.35547619,98.85,76.076904762,53.426904762
1043504681,WELDER,JEFFREY,D,M.D.,M,I,648 N MAIN ST,,ASHLAND,OR,975201710,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,144.5,71.6325,48.2375,46.204375
1043504681,WELDER,JEFFREY,D,M.D.,M,I,648 N MAIN ST,,ASHLAND,OR,975201710,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,32,50.75,50.75,32.033125,35.7103125
1043504681,WELDER,JEFFREY,D,M.D.,M,I,648 N MAIN ST,,ASHLAND,OR,975201710,US,Physician/Ophthalmology,S,V2744,"Tint, photochromatic, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,21,42.857142857,14.986666667,11.005238095,13.215238095
1043504681,WELDER,JEFFREY,D,M.D.,M,I,648 N MAIN ST,,ASHLAND,OR,975201710,US,Physician/Ophthalmology,S,V2750,"Anti-reflective coating, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,29,57.482758621,21.342413793,16.733448276,16.08
1043504780,CRAFT,EDWARD,A,D.O.,M,I,26908 COOK RD,,OLMSTED TWP,OH,441383548,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,264.78315789,78,57.931578947,54.214736842
1043504780,CRAFT,EDWARD,A,D.O.,M,I,26908 COOK RD,,OLMSTED TWP,OH,441383548,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,69.810526316,36,26.734736842,27.566315789
1043504814,TCHEN,LE,N,P.A.,F,I,6124 W PARKER RD,#536,PLANO,TX,750938122,US,Physician Assistant,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,17,1360,0.5580955882,0.44,0.3245588235,0.3245588235
1043504814,TCHEN,LE,N,P.A.,F,I,6124 W PARKER RD,#536,PLANO,TX,750938122,US,Physician Assistant,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,12,225,31.423377778,23.66,18.549422222,18.549422222
1043504814,TCHEN,LE,N,P.A.,F,I,6124 W PARKER RD,#536,PLANO,TX,750938122,US,Physician Assistant,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,11,270,10.08,8.28,6.4915925926,6.4915925926
1043504814,TCHEN,LE,N,P.A.,F,I,6124 W PARKER RD,#536,PLANO,TX,750938122,US,Physician Assistant,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,14,17,208,14.04,10.93,8.5690865385,8.5690865385
1043504814,TCHEN,LE,N,P.A.,F,I,6124 W PARKER RD,#536,PLANO,TX,750938122,US,Physician Assistant,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,15,17,399,4.6362406015,3.67,2.8773433584,2.8773433584
1043504814,TCHEN,LE,N,P.A.,F,I,6124 W PARKER RD,#536,PLANO,TX,750938122,US,Physician Assistant,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,25,27,2896,0.1645683702,0.13,0.1019129834,0.1019129834
1043504814,TCHEN,LE,N,P.A.,F,I,6124 W PARKER RD,#536,PLANO,TX,750938122,US,Physician Assistant,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,12,155,38.080645161,24.216774194,18.985870968,19.2
1043504848,SNELL,BENJAMIN,R,MD,M,I,555 N DUKE ST,,LANCASTER,PA,176022250,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,41,108,52.741388889,8.32,5.9187037037,5.9187037037
1043504848,SNELL,BENJAMIN,R,MD,M,I,555 N DUKE ST,,LANCASTER,PA,176022250,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,15.385238095,1.42,0.9547619048,0.9547619048
1043504848,SNELL,BENJAMIN,R,MD,M,I,555 N DUKE ST,,LANCASTER,PA,176022250,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,672.85454545,67.72,48.272727273,49.940909091
1043504863,CURRAN,BENJAMIN,R,MD,M,I,240 W FRONT ST,SUITE A,PORT ANGELES,WA,983622609,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,21,46,146,57.556986301,8.32,4.4496575342,4.4496575342
1043504863,CURRAN,BENJAMIN,R,MD,M,I,240 W FRONT ST,SUITE A,PORT ANGELES,WA,983622609,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,21,18.07,1.42,0.6914285714,0.6914285714
1043504871,VERBOFSKY,DAVID,H,M.D.,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,76,56.720394737,8.32,6.0081578947,6.0081578947
1043505001,LICHT,HEATHER,L,M.D.,F,I,1327 TROUP HWY,,TYLER,TX,757014443,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,258.74,222.06,174.1,172.23
1043505001,LICHT,HEATHER,L,M.D.,F,I,1327 TROUP HWY,,TYLER,TX,757014443,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,108,121,154,62,53.2,41.71,45.355714286
1043505001,LICHT,HEATHER,L,M.D.,F,I,1327 TROUP HWY,,TYLER,TX,757014443,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,39,45,90.01,77.25,60.56,64.149333333
1043505092,JOHNSON,KATY,,PA-C,F,I,933 MEDICAL CIR,,MYRTLE BEACH,SC,295724116,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,3731.1764706,2750.9476471,2148.3041176,2148.3041176
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,21,63,167,64.674431138,8.32,5.6815568862,5.6815568862
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,22,16.104545455,1.42,0.915,0.915
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,170,18.081058824,9.86,7.73,7.73
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,180,6.158,4.03,3.1596111111,3.1596111111
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,38,68.929210526,21.707105263,15.482894737,12.107105263
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,17.795454545,7.2881818182,5.5472727273,3.55
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,36,38,335.90815789,97.834736842,70.545263158,48.968947368
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,2338,1.4248032506,0.1269546621,0.090188195,0.090188195
1043505399,ISAYENKO,YELENA,V,M.D.,F,I,829 N CENTER AVE,SUITE 210,GAYLORD,MI,497351595,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,33,33,19.9,19.9
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,175.28666667,59.1725,40.221666667,36.8525
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,11,12,12,75.535,18.824166667,14.068333333,13.403333333
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,88.640769231,12.460769231,9.0707692308,8.4261538462
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,14,26,107,10.555233645,2.1160747664,1.601682243,1.5335514019
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,54.725945946,17.5,13.361621622,13.532162162
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,29,45,87.069111111,13.185777778,10.338222222,10.173111111
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,13,76,79,29.806329114,4.9194936709,3.7588607595,3.7426582278
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,43,59,259.05694915,35.341694915,27.70559322,26.337288136
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,62,62,301.74806452,71,54.762258065,53.982258065
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,5446,0.1439441792,0.0464083731,0.0347925083,0.0347925083
1043505670,CALLAHAN,SEAN,P,M.D.,M,I,200 PATEWOOD DR STE B300,,GREENVILLE,SC,296156338,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,30,30,69.95,33,25.007666667,25.007666667
1043506256,BLOCH,SARAH,E,"RN, MSN, FNP",F,I,901 PATIENTS FIRST DR,,WASHINGTON,MO,630904700,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,428.11,97.654285714,76.561428571,58.182142857
1043506413,WALKER,JAMES,E,M.D.,M,I,310 COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1043506413,WALKER,JAMES,E,M.D.,M,I,310 COUNTY ROAD 14,,DEL NORTE,CO,811328719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,73.565833333,48.260833333
1043506439,COOK,RACHEL,B,M.D.,F,I,605 MEDICAL CT STE 203,,BRENHAM,TX,778335406,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,70.845555556,60.701111111,41.980555556,46.225555556
1043506439,COOK,RACHEL,B,M.D.,F,I,605 MEDICAL CT STE 203,,BRENHAM,TX,778335406,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,19,63.210526316,45.454736842,32.603157895,40.493684211
1043506439,COOK,RACHEL,B,M.D.,F,I,605 MEDICAL CT STE 203,,BRENHAM,TX,778335406,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,26,25.75,25.75,19.450769231,37.797692308
1043506579,MURIGLAN,STEPHANIE,J,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,59,150,80.482133333,8.32,5.8264,5.8264
1043506579,MURIGLAN,STEPHANIE,J,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,21,14.155238095,1.42,1.0104761905,1.0104761905
1043506579,MURIGLAN,STEPHANIE,J,M.D.,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1140,2.6770526316,2.0126315789,1.5778947368,1.5836666667
1043506728,DAI,QIYUAN,,MD,F,I,45104 10TH ST W,,LANCASTER,CA,935342310,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,100.90545455,79.111818182,54.73
1043506728,DAI,QIYUAN,,MD,F,I,45104 10TH ST W,,LANCASTER,CA,935342310,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,108,44.560909091,34.938181818,29.515454545
1043506744,RODRIGUEZ,SHIRLEY,,DO,F,I,6850 N DURANGO DR,,LAS VEGAS,NV,891494595,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,29,67.721034483,8.32,6.5224137931,6.5224137931
1043506876,DAHLBORG,RACHEL,A,M.D.,F,I,929 S TAMIAMI TRL,SUITE 101,OSPREY,FL,342299239,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,31,56,214,55.888271028,8.32,6.1569158879,6.1569158879
1043506876,DAHLBORG,RACHEL,A,M.D.,F,I,929 S TAMIAMI TRL,SUITE 101,OSPREY,FL,342299239,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,26,50,14.5354,1.42,1.0688,1.0688
1043506876,DAHLBORG,RACHEL,A,M.D.,F,I,929 S TAMIAMI TRL,SUITE 101,OSPREY,FL,342299239,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,18,174.95,35.61,27.92,26.427777778
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,58,200,41.86325,8.32,6.0004,6.0004
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,13.010909091,3.38,2.4090909091,2.4090909091
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,26,39,11.055641026,1.42,0.9723076923,0.9723076923
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,250,51.264166667,24.170833333,20.550833333
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,283.21142857,125.79785714,98.630714286,80.765714286
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3900,0.2855384615,0.013,0.0093487179,0.0093487179
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,2160,3.9819583333,1.26075,0.934625,0.934625
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1043507049,AHMED,USMAN,,M.D.,M,I,3337 BRITTON RD,,PERRY,MI,488729706,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,34,16,16,12.54,12.54
1043507080,PRIEST-ALLEN,NIKA,S,M.D.,F,I,6091 S POINTE BLVD,,FORT MYERS,FL,339194899,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,11,82.690909091,72.070909091,56.499090909,52.802727273
1043507148,AVILA,CHRISTOPHER,,MD,M,I,4401 WORNALL RD,,KANSAS CITY,MO,641113220,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,510.58842105,94.262631579,70.659473684,56.164736842
1043507171,PHILIP,PRINCE,,M.D.,M,I,119 BELMONT ST,,WORCESTER,MA,016052903,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,78,61.15,61.15
1043507528,BASARABESCU,EMILY,G,PA,F,I,1031 BELLEVUE AVE,SUITE 300,SAINT LOUIS,MO,631171818,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,359.56,79.8,56.2275,49.7025
1043507528,BASARABESCU,EMILY,G,PA,F,I,1031 BELLEVUE AVE,SUITE 300,SAINT LOUIS,MO,631171818,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,56.79,39.14,28.123333333,27.148333333
1043507833,JAYASURIYA,HARSHINI,A,M.D.,F,I,1500 S MAIN ST,,EATON RAPIDS,MI,488271952,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,60,55.7665,8.32,6.5225,6.5225
1043507833,JAYASURIYA,HARSHINI,A,M.D.,F,I,1500 S MAIN ST,,EATON RAPIDS,MI,488271952,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,20.916666667,1.42,1.1108333333,1.1108333333
1043507866,FREDERICK,LUKE,R,MD,M,I,351 EXECUTIVE PKWY,,ROCKFORD,IL,611075339,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,31,8.3606451613,7.3309677419,5.7480645161,5.8490322581
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,17,51,658,54.040972644,19.66100304,14.989027356,14.989027356
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,17,50,1515,7.3676633663,2.6332673267,2.0234125413,2.0234125413
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,61,134,721,76.424022191,8.32,6.1429819695,6.1429819695
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,21,37,83,15.930361446,1.42,1.0598795181,1.0598795181
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,691.76064516,349.53096774,274.03096774,274.03096774
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,36,4320,16.399013889,10.752699074,8.3820763889,8.3820763889
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,90,90,298.83522222,250.95833333,196.75111111,196.86944444
1043507965,DAKE,ANDREW,W,M.D.,M,I,800 OAK RIDGE TURNPIKE,SUITE A-402,OAK RIDGE,TN,37830,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,84,14.75,0.6078571429,0.4423809524,0.4423809524
1043507973,THIELGES,BRENT,J,DPM,M,I,303 BRADLEY BLVD,SUITE 200,RICHLAND,WA,993524497,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,380,335.04,262.67,221.32222222
1043508203,SANTI,JAIME,A,,M,I,440 WOODWARD AVE,,IRON MOUNTAIN,MI,498014631,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,20,96.0965,21.6895,15.5115,12.478
1043508203,SANTI,JAIME,A,,M,I,440 WOODWARD AVE,,IRON MOUNTAIN,MI,498014631,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,530.76864865,98.238918919,70.849189189,50.061621622
1043508237,ORTEGA CORTES,ED,J,M.D.,M,I,59 CALLE DON CHEMARY,,MOCA,PR,006764153,US,Physician/General Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,4.82,4.82,3.78,3.2620833333
1043508237,ORTEGA CORTES,ED,J,M.D.,M,I,59 CALLE DON CHEMARY,,MOCA,PR,006764153,US,Physician/General Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,18,7.72,7.72,6.0533333333,5.1055555556
1043508237,ORTEGA CORTES,ED,J,M.D.,M,I,59 CALLE DON CHEMARY,,MOCA,PR,006764153,US,Physician/General Practice,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.09,8.09,6.3425,5.3722083333
1043508237,ORTEGA CORTES,ED,J,M.D.,M,I,59 CALLE DON CHEMARY,,MOCA,PR,006764153,US,Physician/General Practice,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,3.43,3.43,2.6027916667,2.3655277778
1043508237,ORTEGA CORTES,ED,J,M.D.,M,I,59 CALLE DON CHEMARY,,MOCA,PR,006764153,US,Physician/General Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,0.29,0.29,0.2272,0.2129
1043508237,ORTEGA CORTES,ED,J,M.D.,M,I,59 CALLE DON CHEMARY,,MOCA,PR,006764153,US,Physician/General Practice,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,56.96,56.96,44.66,16.536666667
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,74.815,47.4625,30.998333333,30.383333333
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,17,75,75,158.25333333,50.172266667,36.461333333,35.698933333
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,49.923076923,17.29,13.55,13.53
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,26.724137931,4.4589655172,2.3313793103,2.3303448276
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,50,7.27,5.7,5.21
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,69,38.578181818,20.58,18.961818182
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,280.76923077,70.23,55.06,54.72
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,68.2828125,18.9575,10.845625,9.97125
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,18,115,115,56.434782609,30.49026087,21.086086957,18.950608696
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,50.18,24.1325,21.4525
1043508310,CARTER,HEATHER,R,ARNP,F,I,1350 14TH AVE SE,,DECATUR,AL,356014364,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,50,7.97,5.3571428571,5.28
1043508344,YBARRA,THERESA,O,RN-FNP,F,I,2701 HOSPITAL DR,,VICTORIA,TX,779015748,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,32,32,305.8575,63.6875,49.9303125,40.85
1043508344,YBARRA,THERESA,O,RN-FNP,F,I,2701 HOSPITAL DR,,VICTORIA,TX,779015748,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,73.561818182,17.073636364,9.6945454545,9.7709090909
1043508344,YBARRA,THERESA,O,RN-FNP,F,I,2701 HOSPITAL DR,,VICTORIA,TX,779015748,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,411.85272727,76.794545455,45.498181818,42.926363636
1043508344,YBARRA,THERESA,O,RN-FNP,F,I,2701 HOSPITAL DR,,VICTORIA,TX,779015748,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,83,83,123.33144578,20.323975904,15.932650602,14.833012048
1043508427,WONG,KWOK,L,MD,M,I,6850 N DURANGO DR,#208,LAS VEGAS,NV,891494595,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,51,79.43372549,8.32,4.4760784314,4.4760784314
1043508427,WONG,KWOK,L,MD,M,I,6850 N DURANGO DR,#208,LAS VEGAS,NV,891494595,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,58.96,35.658181818,14.915454545,12.523636364
1043508625,TREVINO,MALLORY,I,MD,F,I,7211 WELLINGTON DR,SUITE 201,KNOXVILLE,TN,379195968,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,46,74.404130435,8.32,5.6710869565,5.6710869565
1043508625,TREVINO,MALLORY,I,MD,F,I,7211 WELLINGTON DR,SUITE 201,KNOXVILLE,TN,379195968,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,47.59,38.665,27.203333333,19.405
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,3.6,0.51,0.3666666667,0.3666666667
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,35,89,306,57.827941176,8.32,5.6877124183,5.6877124183
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,32,33,15.36969697,3.38,2.4893939394,2.4893939394
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,55,115,14.668173913,1.42,1.0074782609,1.0074782609
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,61.338461538,11.51,9.03,9.12
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,29,94,8.674893617,2.0836170213,1.6326595745,1.5926595745
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,48,46.284166667,18.571875,11.996875,11.852083333
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,28.265172414,4.5720689655,3.2037931034,3.245862069
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,159.86311111,34.116222222,26.052888889,24.934
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,48,244.2425,77.239583333,51.475,51.4325
1043508716,ALCOCER-AGUILAR,FERNANDO,,MD,M,I,120 E. BEAUREGARD,,SAN ANGELO,TX,769035919,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,79.285714286,24.475238095,19.188095238,15.383809524
1043508757,RAJA,NAGA PRANEETH,,"M.D.,",M,I,3000 ARLINGTON AVE,M.S. 1197,TOLEDO,OH,436142595,US,Physician/Hematology-Oncology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,22.896,8.536,6.6913333333,4.3293333333
1043508757,RAJA,NAGA PRANEETH,,"M.D.,",M,I,3000 ARLINGTON AVE,M.S. 1197,TOLEDO,OH,436142595,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,53,49.089056604,42.52,33.336792453,30.75245283
1043508922,EAKES,MARK,W,M.D.,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,43,117,246,79.25097561,8.32,5.9137398374,5.9137398374
1043508922,EAKES,MARK,W,M.D.,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,217.1,103.372,73.076666667,47.432666667
1043508922,EAKES,MARK,W,M.D.,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,2430,2.005691358,0.1324444444,0.0993497942,0.0993497942
1043508922,EAKES,MARK,W,M.D.,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.518166667,3.003,2.1551111111,2.1551111111
1043508922,EAKES,MARK,W,M.D.,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,61.96,44.526923077,29.856153846,24.975384615
1043508922,EAKES,MARK,W,M.D.,M,I,295 10TH AVE,,GRANITE FALLS,MN,562411456,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,34,33,33,24.348235294,24.348235294
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,35,81,238,63.14512605,8.32,6.0336554622,6.0336554622
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,269.36666667,118,86.2325,62.191666667
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,216.49416667,78.266666667,57.431666667,43.556666667
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,63.108,24.898666667,17.492,12.185333333
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,58.764666667,20.974,16.442,9.8913333333
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,22,116,8.5893103448,3.2298275862,2.5170689655,1.6495689655
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,96.64,22.158823529,17.371176471,13.884117647
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,55.375,7.9492857143,6.2317857143,3.8485714286
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,51,51,189.9345098,55.395686275,42.437254902,26.068431373
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,86,86,543.10430233,104.10813953,80.233255814,54.399069767
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,109.2,44.826,33.8316,29.7656
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1460,14.735876712,10.509335616,8.1410410959,8.1410410959
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,43.881818182,34.4,25.040909091
1043508963,AUBEELAUCK,BHAVISH,,M.D,M,I,3219 CENTRAL AVE,,KEARNEY,NE,688472949,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,51.857142857,33,25.87,25.87
1043509284,JILOT,MELISSA,L,APNP,F,I,1630 COMMANCHE AVE,,GREEN BAY,WI,543135753,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,38,75.683947368,8.32,5.1489473684,5.1489473684
1043509300,AMBROSE,ELIZABETH,M,,F,I,1223 GATEWAY DRIVIE,SUITE 1C,MELBOURNE,FL,329012607,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,40,68.264,8.32,6.52225,6.52225
1043509474,ELSE,BRITNEY,,D.O.,F,I,9645 RIVERSIDE PKWY,SUITE C,TULSA,OK,741377423,US,Physician/Family Practice,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,652.692,551.74,418.213,459.064
1043509474,ELSE,BRITNEY,,D.O.,F,I,9645 RIVERSIDE PKWY,SUITE C,TULSA,OK,741377423,US,Physician/Family Practice,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,316.41766667,251.28,187.39666667,207.09866667
1043509490,LIMTAO,FERDINAND,,NURSE PRACTITIONER,M,I,525 MARKS STREET,,HENDERSON,NV,89014,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,68.352142857,8.32,2.3285714286,2.3285714286
1043509508,BROADNAX,MONICA,D,FNP-C,F,I,1250 E MARSHALL ST,INTERNAL MEDICINE,RICHMOND,VA,232985051,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,40,80.85725,8.32,5.5435,5.5435
1043509508,BROADNAX,MONICA,D,FNP-C,F,I,1250 E MARSHALL ST,INTERNAL MEDICINE,RICHMOND,VA,232985051,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,626,4.4001277955,2.27,1.7469009585,1.7469009585
1043509508,BROADNAX,MONICA,D,FNP-C,F,I,1250 E MARSHALL ST,INTERNAL MEDICINE,RICHMOND,VA,232985051,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,40,16.98,12.302272727,12.445
1043509508,BROADNAX,MONICA,D,FNP-C,F,I,1250 E MARSHALL ST,INTERNAL MEDICINE,RICHMOND,VA,232985051,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,220,77.36,55.136363636,51.907272727
1043509540,MAATMAN,THERESA,,,F,I,9200 W WISCONSIN AVE,DEPT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,24,59,213,70.302112676,8.32,6.0899530516,6.0899530516
1043509540,MAATMAN,THERESA,,,F,I,9200 W WISCONSIN AVE,DEPT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,32,62,14.512096774,1.42,1.0601612903,1.0601612903
1043509540,MAATMAN,THERESA,,,F,I,9200 W WISCONSIN AVE,DEPT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,2068,2.2398549323,0.1361992263,0.1067940039,0.1067940039
1043509540,MAATMAN,THERESA,,,F,I,9200 W WISCONSIN AVE,DEPT OF INTERNAL MEDICINE,MILWAUKEE,WI,532263522,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,57.75,33,25.87,25.87
1043509607,MAMTORA,SEEMA,R,PAC,F,I,17495 LA GRANGE RD,,TINLEY PARK,IL,604877581,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,27,2168,41.1137869,4.6274815498,3.6279381919,3.6279381919
1043509607,MAMTORA,SEEMA,R,PAC,F,I,17495 LA GRANGE RD,,TINLEY PARK,IL,604877581,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,24,24,18.82,18.82
1043509920,KATZ,ANN,E,M.D.,F,I,300 PASTEUR DR,MC5548,STANFORD,CA,943052200,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,61,17.84,13.989615385,14.271153846
1043509920,KATZ,ANN,E,M.D.,F,I,300 PASTEUR DR,MC5548,STANFORD,CA,943052200,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23,8.4381818182,6.6154545455,6.3463636364
1043510050,STALEY,JESSICA,N,PA-C,F,I,36100 EUCLID AVE,SUITE 320,WILLOUGHBY,OH,440944456,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,137,39.240437956,8.32,6.4278832117,6.4278832117
1043510050,STALEY,JESSICA,N,PA-C,F,I,36100 EUCLID AVE,SUITE 320,WILLOUGHBY,OH,440944456,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,267.82727273,251.11,196.87,196.87
1043510431,HAN,JAMES,,DPM,M,I,2119 EL CAMINO REAL,,OCEANSIDE,CA,92054,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,37,68,299,297.58,227.37397059,230.81691176
1043510431,HAN,JAMES,,DPM,M,I,2119 EL CAMINO REAL,,OCEANSIDE,CA,92054,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,421.66666667,293.17,229.85,221.082
1043511074,TRINGALI,NICOLE,A,NP,F,I,874 PURCHASE ST,,NEW BEDFORD,MA,027406232,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,47,91.334893617,8.32,6.1053191489,6.1053191489
1043511074,TRINGALI,NICOLE,A,NP,F,I,874 PURCHASE ST,,NEW BEDFORD,MA,027406232,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,15,15.39,1.42,1.1186666667,1.1186666667
1043511256,REEVE,JACQUELYN,,FNP-BC,F,I,10400 ACADEMY NE,#390,ALBUQUERQUE,NM,87111,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,706.98666667,86.09,67.49,58.983333333
1043511686,NG,JUDY,W,PA,F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25.63,8.31,6.52,7.46
1043511744,PERALTA,JOYCE,V,ARNP,F,I,1520 SAN PABLO STREET,SUITE 4300,LOS ANGELES,CA,90033,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,11,14,200,29.7885,24.93175,19.54655,19.2765
1043511744,PERALTA,JOYCE,V,ARNP,F,I,1520 SAN PABLO STREET,SUITE 4300,LOS ANGELES,CA,90033,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,11,14,135,12.951851852,8.1,6.35,6.4143703704
1043511744,PERALTA,JOYCE,V,ARNP,F,I,1520 SAN PABLO STREET,SUITE 4300,LOS ANGELES,CA,90033,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,11,20,20,1983.223,667.7,523.4785,515.81
1043511744,PERALTA,JOYCE,V,ARNP,F,I,1520 SAN PABLO STREET,SUITE 4300,LOS ANGELES,CA,90033,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,33,61.738787879,23.712121212,18.589090909,14.281212121
1043511868,STAFFORD,THOMAS,,M.D.,M,I,2020 ZONAL AVE,ROOM 112,LOS ANGELES,CA,900890121,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,148.8,33.091428571,23.739285714,23.955
1043511900,LAPADAT,CONNIE,,,F,I,5600 BAYSHORE RD,,PALMETTO,FL,34221,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,107.49153846,98.8,77.46,78.99
1043512742,BORES,NICOLE,L,M.D.,F,I,1301 PIERCE ST,,SAN FRANCISCO,CA,941154005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,42,84.16,8.32,4.6583333333,4.6583333333
1043515018,DUM,ERIN,M,PA-C,F,I,1401 N 4TH ST,SUITE 105,PURCELL,OK,730801806,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,26,39.970769231,8.32,6.5203846154,6.5203846154
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,83,169,170,128.80570588,38.955764706,29.128764706,29.048058824
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,91,170,170,258.93923529,90.950647059,68.915470588,65.643352941
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,77,154,362,115.83864641,34.015690608,25.812458564,25.104779006
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,46,85,413,58.785835351,18,13.773680387,14.203365617
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,19,33,175,54.667885714,15.15,11.202114286,11.216742857
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,80,147,147,179.83,53.625646259,39.392040816,40.192108844
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,134,163,163,53.814355828,17.992515337,13.506625767,13.461656442
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,18,18,30.793333333,10,7.4044444444,7.7188888889
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,77,128,128,32.92953125,12.08,9.05359375,8.727734375
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,165,336,1710,6.7565321637,2.058994152,1.5411461988,1.5215906433
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,121,147,147,20.499183673,5.9995238095,4.5081632653,4.4615646259
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,65,71,71,33.440985915,12.517464789,9.2898591549,9.8076056338
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,75,75,41.041066667,16.08,11.76,12.6316
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,11,135,137,4430.1,1074.31,839.49291971,839.49291971
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,18,89,89,267.76179775,82.540561798,62.334382022,63.699101124
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,675,205.24727273,160.91454545,160.67272727
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,32,32,32,382.8209375,131.375625,90.8421875,91.7325
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,14,20,81.75,11.2555,8.3055,8.3915
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,40,40,41.292,3.862,2.957,3.51825
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,89,552,563,125.83687389,31.720301954,23.327424512,23.470248668
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,140,140,337.01035714,77.044857143,57.730214286,53.308642857
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,229.54545455,37,29.01,29.385
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,51,13593,0.4678488928,0.046427573,0.0353807107,0.0353807107
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1320,2.1792878788,0.1373636364,0.0994469697,0.0994469697
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,32,2168,9.9638191882,3.0413191882,2.3486761993,2.3486761993
1043515190,WEIDEMOYER,LEAH,G,CRNP,F,I,817 LAWN AVE,SUITE 4,SELLERSVILLE,PA,189601579,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,47,47,45.638297872,33,24.218723404,24.218723404
1043515893,ERMAN,NANCY,L,A.P.R.N.,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL GERIATRIC MEDICINE,HARTFORD,CT,061025037,US,Nurse Practitioner,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,42.42,35.74,28.02,28.02
1043515893,ERMAN,NANCY,L,A.P.R.N.,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL GERIATRIC MEDICINE,HARTFORD,CT,061025037,US,Nurse Practitioner,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,15.76,13.28,10.41,10.41
1043515893,ERMAN,NANCY,L,A.P.R.N.,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL GERIATRIC MEDICINE,HARTFORD,CT,061025037,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,13.12,10.51,8.24,8.5516666667
1043515893,ERMAN,NANCY,L,A.P.R.N.,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL GERIATRIC MEDICINE,HARTFORD,CT,061025037,US,Nurse Practitioner,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,4.92,4.1,3.21,3.21
1043515893,ERMAN,NANCY,L,A.P.R.N.,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL GERIATRIC MEDICINE,HARTFORD,CT,061025037,US,Nurse Practitioner,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,320,11.83,9.86,7.58696875,7.58696875
1043515893,ERMAN,NANCY,L,A.P.R.N.,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL GERIATRIC MEDICINE,HARTFORD,CT,061025037,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,170,3.65,3.04,2.1029411765,2.1029411765
1043516503,PUNJABI,KELASH,,MD,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,282035812,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,34.8975,17.76,13.059375,12.718125
1043516503,PUNJABI,KELASH,,MD,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,282035812,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,287.47538462,73.486153846,55.501923077,52.631923077
1043516636,SALVATORE,PAOLO,,,M,I,28 HELEN ST,,WARREN,NJ,070595817,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,33,107,81.703364486,8.32,5.3577570093,5.3577570093
1043516636,SALVATORE,PAOLO,,,M,I,28 HELEN ST,,WARREN,NJ,070595817,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,18,16.769444444,1.42,0.9933333333,0.9933333333
1043516636,SALVATORE,PAOLO,,,M,I,28 HELEN ST,,WARREN,NJ,070595817,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.44,5.7272727273,4.4936363636,3.7527272727
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,23,29,29,66.81,41.101724138,32.224827586,30.926551724
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,20,24,24,221.29833333,96.23625,75.450833333,67.985
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,17,23,34,75.040882353,37.382352941,29.308823529,26.778235294
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,44,43.5425,19.793636364,15.517272727,15.466818182
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,20,23,23,120.31391304,61.950869565,48.565217391,43.801304348
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,31,31,31,52.76483871,20.300645161,15.913870968,14.292258065
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,21,21,43.967619048,16.94,13.280952381,9.6404761905
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,40,60,220,5.3229090909,2.3194545455,1.8185909091,1.6345
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,17.145,6.73,5.2766666667,4.65
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,56.801428571,17.39,13.637142857,10.48
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,25,25,36.436,6.376,5.004,4.8204
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,68,68,139.92647059,43.853823529,34.379264706,27.685588235
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,376.92857143,71.558571429,56.109285714,57.39
1043517311,SMITH,MANDY,K,PA-C,F,I,1516 9TH AVE,,ALTOONA,PA,166022417,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,420,2.4377380952,0.1312857143,0.1029761905,0.1029761905
1043517352,NGUYEN,MELISSA,H,MD,F,I,2734 EL CAMINO REAL,,SANTA CLARA,CA,950513007,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,67.187777778,8.32,2.8988888889,2.8988888889
1043517386,AVERY,NATALIE,M,FNP,F,I,513 BURKARTH RD,,WARRENSBURG,MO,640933103,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,30,78,74.617051282,8.32,6.3544871795,6.3544871795
1043517386,AVERY,NATALIE,M,FNP,F,I,513 BURKARTH RD,,WARRENSBURG,MO,640933103,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,69.908181818,25.012727273,16.772727273,11.503636364
1043517386,AVERY,NATALIE,M,FNP,F,I,513 BURKARTH RD,,WARRENSBURG,MO,640933103,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,65.473636364,20.235454545,14.947272727,8.2909090909
1043517386,AVERY,NATALIE,M,FNP,F,I,513 BURKARTH RD,,WARRENSBURG,MO,640933103,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,75,10.090666667,3.06,2.2342666667,1.444
1043517386,AVERY,NATALIE,M,FNP,F,I,513 BURKARTH RD,,WARRENSBURG,MO,640933103,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,29,231.79448276,56.143448276,43.214137931,28.749310345
1043517402,JANJUA,AASIA,D,MD,F,I,2260 COLLEGE AVE,,FORT WORTH,TX,761101952,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,37,156,57.984423077,8.32,6.4389102564,6.4389102564
1043517402,JANJUA,AASIA,D,MD,F,I,2260 COLLEGE AVE,,FORT WORTH,TX,761101952,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,15,3.38,2.65,2.65
1043517402,JANJUA,AASIA,D,MD,F,I,2260 COLLEGE AVE,,FORT WORTH,TX,761101952,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,47,14.83,1.42,1.0640425532,1.0640425532
1043517402,JANJUA,AASIA,D,MD,F,I,2260 COLLEGE AVE,,FORT WORTH,TX,761101952,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,144.29333333,17.63,13.82,13.554166667
1043517402,JANJUA,AASIA,D,MD,F,I,2260 COLLEGE AVE,,FORT WORTH,TX,761101952,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,377.52,76.48,56.962,52.246
1043517402,JANJUA,AASIA,D,MD,F,I,2260 COLLEGE AVE,,FORT WORTH,TX,761101952,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,99.45,28.97,19.991470588,17.807352941
1043517956,ROSEMAN,KAITLYN,M,PA-C,F,I,808 MAIN ST,,HURON,OH,448392542,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,15,7.0526923077,5.1084615385,3.1192307692
1043517956,ROSEMAN,KAITLYN,M,PA-C,F,I,808 MAIN ST,,HURON,OH,448392542,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,519.51,105.31,78.296428571,50.820714286
1043518244,MEAH,SANA,S,D.O,F,I,761 45TH AVENUE,SUITE 110,MUNSTER,IN,463212899,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,54,108,258,1180,73.431381356,8.32,5.9779491525,5.9779491525
1043518244,MEAH,SANA,S,D.O,F,I,761 45TH AVENUE,SUITE 110,MUNSTER,IN,463212899,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,23,23,15.393913043,3.38,2.3043478261,2.3043478261
1043518244,MEAH,SANA,S,D.O,F,I,761 45TH AVENUE,SUITE 110,MUNSTER,IN,463212899,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,22.442857143,2.12,1.5507142857,1.5507142857
1043518244,MEAH,SANA,S,D.O,F,I,761 45TH AVENUE,SUITE 110,MUNSTER,IN,463212899,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,37,58,113,253,15.391106719,1.42,1.0471936759,1.0471936759
1043518244,MEAH,SANA,S,D.O,F,I,761 45TH AVENUE,SUITE 110,MUNSTER,IN,463212899,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,13,20,20,20,41.7695,39.1215,27.2035,44.7425
1043518244,MEAH,SANA,S,D.O,F,I,761 45TH AVENUE,SUITE 110,MUNSTER,IN,463212899,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,250.96631579,250.96631579,196.75736842,196.86947368
1043518657,WOODBY,CARRIE,B,FNP,F,I,2313 MAPLE RD,,SPARROWS POINT,MD,212192106,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,29,78,43.795769231,8.32,6.1869230769,6.1869230769
1043518657,WOODBY,CARRIE,B,FNP,F,I,2313 MAPLE RD,,SPARROWS POINT,MD,212192106,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,12.812,3.38,2.65,2.65
1043518657,WOODBY,CARRIE,B,FNP,F,I,2313 MAPLE RD,,SPARROWS POINT,MD,212192106,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,26,38,12.19,1.42,1.0578947368,1.0578947368
1043518657,WOODBY,CARRIE,B,FNP,F,I,2313 MAPLE RD,,SPARROWS POINT,MD,212192106,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,63.841818182,17.46,12.445454545,12.315909091
1043518657,WOODBY,CARRIE,B,FNP,F,I,2313 MAPLE RD,,SPARROWS POINT,MD,212192106,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45,35.28,37.434166667
1043518657,WOODBY,CARRIE,B,FNP,F,I,2313 MAPLE RD,,SPARROWS POINT,MD,212192106,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,388.83130435,82,56.447391304,48.133913043
1043518665,LWIN,KYAW,K,MD,M,I,9430 59TH AVE,APT 3G,ELMHURST,NY,113735160,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,200,37.38,29.307272727,29.307272727
1043518665,LWIN,KYAW,K,MD,M,I,9430 59TH AVE,APT 3G,ELMHURST,NY,113735160,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,474,62.5,1.546371308,1.2123206751,1.2123206751
1043518749,ALWAIR,HAZAIM,,M.D.,M,I,201 ABRAHAM FLEXNER WAY STE 1200,,LOUISVILLE,KY,40202,US,Physician/Cardiac Surgery,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,25,10.446,7.3228,6.8508
1043519200,HUNDERT,SAMUEL,A,M.D.,M,I,UW MEDICINE RESIDENCY,BOX 356421,SEATTLE,WA,981956421,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,17.26,13.53,13.539090909
1043519200,HUNDERT,SAMUEL,A,M.D.,M,I,UW MEDICINE RESIDENCY,BOX 356421,SEATTLE,WA,981956421,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,297.17652174,77.34,60.63,55.243043478
1043519200,HUNDERT,SAMUEL,A,M.D.,M,I,UW MEDICINE RESIDENCY,BOX 356421,SEATTLE,WA,981956421,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,50,39.3,30.81,29.628181818
1043519333,DORMAN,STEVE,,MD,M,I,5201 HARRY HINES BLVD,GRADUATE MEDICAL EDUCATION,DALLAS,TX,752357708,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,4,,27,63,56.59047619,19.71,15.452539683,15.452539683
1043519333,DORMAN,STEVE,,MD,M,I,5201 HARRY HINES BLVD,GRADUATE MEDICAL EDUCATION,DALLAS,TX,752357708,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,4,,50,136,200,37.340955882,28.17,28.17
1043519333,DORMAN,STEVE,,MD,M,I,5201 HARRY HINES BLVD,GRADUATE MEDICAL EDUCATION,DALLAS,TX,752357708,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,80,25170,47.371997219,13.50090147,10.582047279,10.582047279
1043519333,DORMAN,STEVE,,MD,M,I,5201 HARRY HINES BLVD,GRADUATE MEDICAL EDUCATION,DALLAS,TX,752357708,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,676,13.138136095,2.9662869822,2.3255769231,2.3255769231
1043519333,DORMAN,STEVE,,MD,M,I,5201 HARRY HINES BLVD,GRADUATE MEDICAL EDUCATION,DALLAS,TX,752357708,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,23,47,42.489361702,2.64,2.07,2.07
1043519358,REDING,PETER,A,DO,M,I,7900 S J STOCK RD,,TUCSON,AZ,857467012,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,52.5575,12.33,9.6675,7.9866666667
1043519440,MORRILL,JONATHAN,,MD,M,I,401 W POPLAR ST,,WALLA WALLA,WA,993622846,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,795.92,107.71,76.314444444,76.338333333
1043519515,JUDKINS,ANDREA BELEN,,MD,F,I,127 W MAIN ST,,LE ROY,NY,14482,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,84.36875,8.32,6.2516666667,6.2516666667
1043519598,JULIAN,JOSEPH,A,"MD,MPHTM",M,I,2401 GILLHAM RD,,KANSAS CITY,MO,641084619,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,37.865,6.521,5.112,3.716
1043519705,BRUNSON,JOEL,D,APN,M,I,209 GRACE CV,,MEDINA,TN,383558785,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,37,72.07027027,8.32,5.4662162162,5.4662162162
1043519705,BRUNSON,JOEL,D,APN,M,I,209 GRACE CV,,MEDINA,TN,383558785,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,14.215,1.42,1.04,1.04
1043519705,BRUNSON,JOEL,D,APN,M,I,209 GRACE CV,,MEDINA,TN,383558785,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,140.855,40.969583333,30.3425,23.618333333
1043519853,SIMMONS,JAMES,,D.O.,M,I,155 N FRESNO ST,,FRESNO,CA,937012302,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,47.344166667,17.065,11.70625,11.863333333
1043519853,SIMMONS,JAMES,,D.O.,M,I,155 N FRESNO ST,,FRESNO,CA,937012302,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,283.74375,66.827083333,45.954583333,48.3925
1043519853,SIMMONS,JAMES,,D.O.,M,I,155 N FRESNO ST,,FRESNO,CA,937012302,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,41.452727273,19.348181818,15.169090909,15.472727273
1043519879,WILSON,AARON,M,MD,M,I,150 KINGSLEY LN,,NORFOLK,VA,235054602,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1952,1073.16,829.40416667,830.30416667
1043520067,SCRUGGS,CARRIE,J,ACNP,F,I,1500 OGLETHORPE AVE STE 3300,,ATHENS,GA,306062190,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,127.94642857,20.655714286,16.194285714,14.968571429
1043520380,DUARTE ROJO,ANDRES,,MD,M,I,4301 W MARKHAM ST # 567,,LITTLE ROCK,AR,722057101,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,106,10020,4.2733892216,0.5436117764,0.3660838323,0.3838253493
1043520380,DUARTE ROJO,ANDRES,,MD,M,I,4301 W MARKHAM ST # 567,,LITTLE ROCK,AR,722057101,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,2190,1.5264063927,0.7466712329,0.4495707763,0.4495707763
1043520380,DUARTE ROJO,ANDRES,,MD,M,I,4301 W MARKHAM ST # 567,,LITTLE ROCK,AR,722057101,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,74,12886,3.2714938693,1.1355579699,0.8549425733,0.8605765948
1043520380,DUARTE ROJO,ANDRES,,MD,M,I,4301 W MARKHAM ST # 567,,LITTLE ROCK,AR,722057101,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,4200,4.9145309524,2.8371714286,2.2030309524,2.2030309524
1043520380,DUARTE ROJO,ANDRES,,MD,M,I,4301 W MARKHAM ST # 567,,LITTLE ROCK,AR,722057101,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,126,126,24,24,18.073174603,18.073174603
1043520380,DUARTE ROJO,ANDRES,,MD,M,I,4301 W MARKHAM ST # 567,,LITTLE ROCK,AR,722057101,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,93,100,16,16,12.1644,12.1644
1043520398,AMIN,DHRUV,M,DO,M,I,21814 HILLSIDE AVE,,QUEENS VILLAGE,NY,114271951,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,52,156,75.570769231,8.32,5.5183974359,5.5183974359
1043520398,AMIN,DHRUV,M,DO,M,I,21814 HILLSIDE AVE,,QUEENS VILLAGE,NY,114271951,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,37,47,30.520851064,1.42,0.8791489362,0.8791489362
1043520489,THOMAS,STEPHANIE,C,M.D.,F,I,465 MEMORIAL DR,,POCATELLO,ID,832014008,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,52,12.853846154,2.08,1.6301923077,1.5951923077
1043520489,THOMAS,STEPHANIE,C,M.D.,F,I,465 MEMORIAL DR,,POCATELLO,ID,832014008,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,65,13.972857143,10.212857143,10.216071429
1043520489,THOMAS,STEPHANIE,C,M.D.,F,I,465 MEMORIAL DR,,POCATELLO,ID,832014008,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,210,32.605625,23.37,23.37375
1043520489,THOMAS,STEPHANIE,C,M.D.,F,I,465 MEMORIAL DR,,POCATELLO,ID,832014008,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,389.451,70.48,55.25,54.879
1043520927,COOPER,LESLIE,,NP,F,I,260 N LITTLE TOR RD,,NEW CITY,NY,10956,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,29,33,80.714242424,8.32,5.9339393939,5.9339393939
1043520927,COOPER,LESLIE,,NP,F,I,260 N LITTLE TOR RD,,NEW CITY,NY,10956,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.206153846,1.42,1.0338461538,1.0338461538
1043520927,COOPER,LESLIE,,NP,F,I,260 N LITTLE TOR RD,,NEW CITY,NY,10956,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,134.38,50.769230769,38.070769231,39.392307692
1043520927,COOPER,LESLIE,,NP,F,I,260 N LITTLE TOR RD,,NEW CITY,NY,10956,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,18.297586207,11.913448276,9.3406896552,9.4903448276
1043520927,COOPER,LESLIE,,NP,F,I,260 N LITTLE TOR RD,,NEW CITY,NY,10956,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,47,15.499574468,10.742553191,8.4155319149,8.7131914894
1043520927,COOPER,LESLIE,,NP,F,I,260 N LITTLE TOR RD,,NEW CITY,NY,10956,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,35,35,297.50742857,235.868,184.91714286,184.91714286
1043520943,VENKATRAMAN,GAYATRI,,M.B.B.S.,F,I,44 HUGHES RD,SUITE 1300,MADISON,AL,357583045,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,69,76.199710145,8.32,5.1994202899,5.1994202899
1043520943,VENKATRAMAN,GAYATRI,,M.B.B.S.,F,I,44 HUGHES RD,SUITE 1300,MADISON,AL,357583045,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,58.5,19.852727273,13.836363636,12.701818182
1043521016,DUCKWORTH,HEIDI,M,"MSN, APRN, FNP-C",F,I,6750 S HIGHLAND DRIVE,SUITE 100,COTTONWOOD HEIGHTS,UT,84121,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,403,80.4,63.03,56.805
1043521255,THALLAPANENI,RAMBABU,,M.D,M,I,30 MEDICAL CENTER BLVD,SUITE 404,UPLAND,PA,19013,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,76.020526316,22.140526316,15.786315789,12.422631579
1043521255,THALLAPANENI,RAMBABU,,M.D,M,I,30 MEDICAL CENTER BLVD,SUITE 404,UPLAND,PA,19013,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,44.321428571,8.1678571429,6.4028571429,4.6871428571
1043521255,THALLAPANENI,RAMBABU,,M.D,M,I,30 MEDICAL CENTER BLVD,SUITE 404,UPLAND,PA,19013,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,250.54263158,100.04,72.141578947,51.100526316
1043521289,JACKSON,BRITNEY,M,APRN,F,I,1214B N RACE ST,,GLASGOW,KY,421413462,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,33,35,22.613142857,6.4911428571,4.708,3.1542857143
1043521289,JACKSON,BRITNEY,M,APRN,F,I,1214B N RACE ST,,GLASGOW,KY,421413462,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,35,404.82085714,88.391428571,62.776285714,52.145714286
1043521289,JACKSON,BRITNEY,M,APRN,F,I,1214B N RACE ST,,GLASGOW,KY,421413462,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,34.44375,33,21.84625,21.84625
1043521313,JOHNSON,EWAN,D,"MD, PHD",M,I,13414 MEDICAL COMPLEX DR STE 6,,TOMBALL,TX,773753333,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,36,126,69.199206349,8.32,4.503968254,4.503968254
1043521313,JOHNSON,EWAN,D,"MD, PHD",M,I,13414 MEDICAL COMPLEX DR STE 6,,TOMBALL,TX,773753333,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,214.28636364,76.58,49.115454545,44.770909091
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,98,229,65.371310044,8.3188209607,5.7804366812,5.7813537118
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,13.070769231,3.38,2.65,2.65
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,30,46,12.988695652,1.42,0.9452173913,0.9452173913
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,322.24,101.83,73.68,65.497272727
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,117.27615385,38.046923077,26.15,23.396923077
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,49.670909091,19.954545455,15.637272727,14.869090909
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,57.383333333,13.935333333,10.322666667,9.1166666667
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,108,7.3211111111,2.2488888889,1.6762962963,1.5637962963
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,13,86.31,17.29,13.55,13.536153846
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,151.6,4.598,3.2904,3.2888
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,34,404.99147059,70.23,55.06,54.77
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,76.931818182,19.852727273,15.565454545,14.289090909
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,150.45230769,29.646153846,21.579230769,20.083846154
1043521503,WILSON,RACHEL,C,DO,F,I,410 STAGECOACH RD,,BRISTOL,VA,242018359,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,8.6325,6.77,6.68
1043521529,BEHRINGER,JEFFREY,J,M.D.,M,I,421 E 17TH ST,,CHEYENNE,WY,820014609,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,236.57285714,70.48,55.25,54.72
1043521529,BEHRINGER,JEFFREY,J,M.D.,M,I,421 E 17TH ST,,CHEYENNE,WY,820014609,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,39.6,31.05,29.51
1043521644,ANTONOPOULOS,KOSTA,P,D.P.M,M,I,5885 SUNNYBROOK DR,STE E-100,SIOUX CITY,IA,511064203,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,249.99,249.99,195.99,215.61857143
1043521768,LU,MIN,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,146.425,45,35.28,36.361666667
1043521768,LU,MIN,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,395,114,89.374705882,95.478823529
1043521800,PATEL,ASHISH,,M.D.,M,I,7151 JAHNKE RD,,RICHMOND,VA,23225,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,228.8,77.36,60.65,57.864117647
1043521917,MIKHAEL,GABRIEL,M,MD,M,I,2901 W KINNICKINNIC RIVER PKWY,SUITE 315,MILWAUKEE,WI,532153677,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,489.3,90.253333333,64.678888889,64.678888889
1043522170,HALAQUIST,KIM,E,FNP,F,I,6 FRANKLIN RD,,WALTON,NY,138561214,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,70,53.856571429,8.32,5.684,5.684
1043522170,HALAQUIST,KIM,E,FNP,F,I,6 FRANKLIN RD,,WALTON,NY,138561214,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,15,12.234,1.42,0.968,0.968
1043522170,HALAQUIST,KIM,E,FNP,F,I,6 FRANKLIN RD,,WALTON,NY,138561214,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,15.134166667,11.275
1043522170,HALAQUIST,KIM,E,FNP,F,I,6 FRANKLIN RD,,WALTON,NY,138561214,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,35.606666667
1043522170,HALAQUIST,KIM,E,FNP,F,I,6 FRANKLIN RD,,WALTON,NY,138561214,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,519.51,102.61833333,73.069722222,47.764722222
1043522295,REINKING,RYAN,R,,M,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,19,19,79.475789474,72.45,53.810526316,59.115789474
1043522295,REINKING,RYAN,R,,M,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,27,27,294.77740741,251.11481481,188.7762963,203.49888889
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,81,237,53.971308017,8.32,5.4774261603,5.4774261603
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,16.317777778,3.38,2.3555555556,2.3555555556
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,32,72,19.039444444,1.42,0.9433333333,0.9433333333
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,92.053846154,22.182307692,16.613076923,9.3776923077
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,52,12.930769231,3.0215384615,2.0971153846,1.4521153846
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,381.36,72.213888889,52.344444444,36.567222222
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,67.943272727,21.128363636,15.206909091,12.3
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1812.76,1073.16,840.75,841.65
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,20,74.7375,20.244,15.872,11.895
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,19,244.74315789,60.939473684,47.779473684,33.791578947
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,128,134,449.08313433,94.486492537,69.418880597,51.069626866
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,600,13.94,11.3882,8.9283666667,8.9283666667
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,1988,0.3953370221,0.0466297787,0.0351408451,0.0351408451
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2010,2.0269950249,0.1338208955,0.0954378109,0.0954378109
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1020,12.86,3.0064117647,2.3570392157,2.3570392157
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,20,20,116.3125,35.616,27.2025,16.58
1043522329,DEEL,ROY,R,D.O.,M,I,364 HOSPITAL DR,,CLINTWOOD,VA,24228,US,Physician/Osteopathic Manipulative Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,51,51,87.352941176,33,24.348235294,24.348235294
1043522352,FAUGHT,RACHAEL,W,D.O.,F,I,2500 N STATE ST,DEPARTMENT OF MEDICINE,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,67,69,63.868695652,22.194202899,15.884927536,12.933623188
1043522352,FAUGHT,RACHAEL,W,D.O.,F,I,2500 N STATE ST,DEPARTMENT OF MEDICINE,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,2179.2251613,913.16,707.61774194,825.80709677
1043522352,FAUGHT,RACHAEL,W,D.O.,F,I,2500 N STATE ST,DEPARTMENT OF MEDICINE,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,89,95,391.65915789,96.164421053,69.828631579,50.388105263
1043522352,FAUGHT,RACHAEL,W,D.O.,F,I,2500 N STATE ST,DEPARTMENT OF MEDICINE,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,2549,0.9477402903,0.1390819929,0.1090545312,0.1090545312
1043522352,FAUGHT,RACHAEL,W,D.O.,F,I,2500 N STATE ST,DEPARTMENT OF MEDICINE,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,660,10.899863636,2.9633181818,2.3232575758,2.3232575758
1043522352,FAUGHT,RACHAEL,W,D.O.,F,I,2500 N STATE ST,DEPARTMENT OF MEDICINE,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,36,121,33,25.87,25.87
1043522402,BAROOAH,JUMEE,,MD,F,I,5 S WASHINGTON AVE,,JERMYN,PA,18433,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,53,75.132641509,8.32,5.7835849057,5.7835849057
1043522402,BAROOAH,JUMEE,,MD,F,I,5 S WASHINGTON AVE,,JERMYN,PA,18433,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,44.268,18.9096,13.7748,12.404
1043522402,BAROOAH,JUMEE,,MD,F,I,5 S WASHINGTON AVE,,JERMYN,PA,18433,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,108.45285714,58.022142857,45.491428571,29.725714286
1043522402,BAROOAH,JUMEE,,MD,F,I,5 S WASHINGTON AVE,,JERMYN,PA,18433,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,255,84.9504,62.3132,50.6304
1043522402,BAROOAH,JUMEE,,MD,F,I,5 S WASHINGTON AVE,,JERMYN,PA,18433,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3111,0.5186403086,0.0460366442,0.0331468981,0.0331468981
1043522790,AGGARWAL,RASHITA,,M.D.,F,I,746 JEFFERSON AVE,,SCRANTON,PA,185101624,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,289.06956522,69.366086957,46.843913043,47.629130435
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,74.772727273,38,29.79,30.426363636
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,49,99,162,8.4031481481,1.4612345679,1.0904938272,1.0983333333
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,89.13,14.94,11.71,9.5358823529
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,16,31,31,198.34193548,84.147096774,65.97516129,67.840967742
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,39,104.69230769,34.946666667,27.398205128,25.958717949
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,46,49.67,19.24,14.427826087,13.919130435
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,63,54.721269841,15.439047619,11.419206349,11.233968254
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,27,27,180.19074074,54.741481481,42.915555556,42.871851852
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,29,35,35,50.355142857,18.005142857,14.114285714,14.062857143
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,36,36,56.096666667,12.040833333,9.4411111111,9.1280555556
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,28,66,260,12.731038462,2.0023076923,1.5704230769,1.5911153846
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,17.205,6.03,4.72,4.65875
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,38.61,13.019090909,10.206363636,10.315454545
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,25,158,160,77.5218125,17.223125,12.7535625,12.8685625
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,3796.6837209,913.16,712.58348837,833.0472093
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,760.22325581,223.73255814,175.40651163,166.91767442
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,506.34666667,139.99,109.75,104.98055556
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,58.126363636,13.920909091,9.9809090909,9.5472727273
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,67,432,472,48.108199153,5.6340677966,4.2375847458,3.5478177966
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,76.227272727,45.667272727,35.803636364,35.807272727
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,18,117,118,188.42,31.441694915,24.202881356,25.521186441
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,70,516,522,513.81521073,79.44802682,60.182145594,53.395
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,39,288,289,310.66712803,37.496435986,28.555847751,28.627647059
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,10,25,25,25,120.84,57,42.8528,42.8528
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,18,70,4440,17.89679955,9.7077364865,7.6108626126,7.6108626126
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,900,16.551611111,11.048866667,8.5739555556,8.5739555556
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,26,61,196,46133,0.3824416361,0.046002211,0.0353467149,0.0353462814
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,45,5249,1.5932901505,0.1375404839,0.1078376834,0.1078376834
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,23,113,7266,10.731368015,2.9203963666,2.2685150014,2.2685150014
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,42,1498,1.2509345794,0.2191255007,0.1590453939,0.1590453939
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,26,59,238,238,103.04621849,33,25.652605042,25.652605042
1043522956,PERUMBETI,ANIL,,M.D.,M,I,39000 BOB HOPE DR,W-201,RANCHO MIRAGE,CA,922703221,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,20,24,24,66,66,51.74,51.74
1043523053,PURTTEMAN,MELISSA,B,M.D.,F,I,1620 COOPER POINT RD SW,PMG SW WA W OLYMPIA FAM MED,OLYMPIA,WA,985025736,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,51.1925,40.1275,37.536666667
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,277,34.768086643,34.768086643,27.258194946,27.330288809
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,258,3.79,3.79,2.9712403101,2.9712403101
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,18,225,2.4,2.4,1.8816444444,1.8816444444
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,17,222,7.36,7.36,5.7705405405,5.7705405405
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,47,18.29,18.29,14.338297872,14.338297872
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,79,80,90.280625,18.7375,13.669375,12.51575
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,51,51,38.171764706,6.1270588235,4.7970588235,3.7321568627
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,83,83,522.79855422,79.233253012,58.139156627,50.770722892
1043523277,GHATTAS,THARWAT,A,MD,M,I,1501 KINGS HWY,INTERNAL MEDICINE,SHREVEPORT,LA,711034228,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,41,41,92,33.762439024,24.922926829,23.148780488
1043523731,PLATO-JOHNSON,LINDSEY,S,CRNP,F,I,4049 MAIN ST,,CHINCOTEAGUE ISLAND,VA,233362406,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,14,40,97,46.047113402,8.32,5.4160824742,5.4160824742
1043523731,PLATO-JOHNSON,LINDSEY,S,CRNP,F,I,4049 MAIN ST,,CHINCOTEAGUE ISLAND,VA,233362406,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,23.23,7.9285,6.2145,3.604
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,59,140,75.380571429,8.32,5.963,5.963
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,25,29.4428,1.42,1.1128,1.1128
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,194.45818182,86.33,61.527272727,61.690909091
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,81.0625,52.138333333,37.8825,37.295833333
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,33.63962963,17.29,13.048148148,13.034814815
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,56,4.7027272727,3.4831818182,3.4809090909
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,36,133.12194444,34.081666667,24.954166667,24.515277778
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,151.49846154,70.23,52.083589744,51.830769231
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,23,5399,0.7961752176,0.0468734951,0.0285793665,0.0285793665
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.900909091,37.44,26.681818182,26.830909091
1043523897,LEWIS,ROD,L,NP,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,31,31,33,33,21.697419355,21.697419355
1043523905,ALISEO,JOYCE,A,APRN,F,I,6 BUTTRICK RD STE 200,,LONDONDERRY,NH,030533417,US,Nurse Practitioner,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,2.0404545455,1.53,1.0897727273,1.3070454545
1043523905,ALISEO,JOYCE,A,APRN,F,I,6 BUTTRICK RD STE 200,,LONDONDERRY,NH,030533417,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2908,0.5008768913,0.0472524072,0.0286726272,0.0286726272
1043523905,ALISEO,JOYCE,A,APRN,F,I,6 BUTTRICK RD STE 200,,LONDONDERRY,NH,030533417,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,40.071428571,33,22.174285714,22.174285714
1043523913,OGLE,CHRIS,J,P.A.,M,I,1300 OAK STREET,,FAULKTON,SD,57438,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,37,36.22972973,8.32,6.5224324324,6.5224324324
1043523913,OGLE,CHRIS,J,P.A.,M,I,1300 OAK STREET,,FAULKTON,SD,57438,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,17.620833333,14.031666667
1043523913,OGLE,CHRIS,J,P.A.,M,I,1300 OAK STREET,,FAULKTON,SD,57438,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,133,47.23,34.680909091,21.743636364
1043523913,OGLE,CHRIS,J,P.A.,M,I,1300 OAK STREET,,FAULKTON,SD,57438,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,410,105.01636364,82.335454545,58.411818182
1043523913,OGLE,CHRIS,J,P.A.,M,I,1300 OAK STREET,,FAULKTON,SD,57438,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,7.4763333333,3.003,2.354375,2.354375
1043523913,OGLE,CHRIS,J,P.A.,M,I,1300 OAK STREET,,FAULKTON,SD,57438,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1043523954,BOGGS,NICHOLAS,E,D.O.,M,I,3132 NEWPORT RD,,NEWPORT,MI,481666100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,44,51.3,8.32,5.1877272727,5.1877272727
1043524119,GALLO,RENEE,,M.D.,F,I,2700 RIVERSIDE AVE,,JACKSONVILLE,FL,322058275,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,71,71,71,1500,1328.44,1002.2302817,854.8343662
1043524465,JAHN,ELIZABETH,L,"RN, MSN, FNP",F,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,36,97.803888889,8.32,5.7966666667,5.7966666667
1043524465,JAHN,ELIZABETH,L,"RN, MSN, FNP",F,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1380,0.92,0.1348913043,0.0978768116,0.0978768116
1043524465,JAHN,ELIZABETH,L,"RN, MSN, FNP",F,I,1720 HIGHWAY 59 S,,THIEF RIVER FALLS,MN,567014331,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1043524812,ESPINOZA,ERICA,R,M.D.,F,I,707 W SESAME DR,,HARLINGEN,TX,785509289,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,38,79,187,32.144331551,8.32,6.1720320856,6.1720320856
1043524812,ESPINOZA,ERICA,R,M.D.,F,I,707 W SESAME DR,,HARLINGEN,TX,785509289,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,32,72,88,11.426363636,1.42,1.0552272727,1.0552272727
1043524812,ESPINOZA,ERICA,R,M.D.,F,I,707 W SESAME DR,,HARLINGEN,TX,785509289,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,52.313333333,45.39,33.699166667,33.349166667
1043524812,ESPINOZA,ERICA,R,M.D.,F,I,707 W SESAME DR,,HARLINGEN,TX,785509289,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3449,0.2970397217,0.0461119165,0.0334937663,0.0334937663
1043524812,ESPINOZA,ERICA,R,M.D.,F,I,707 W SESAME DR,,HARLINGEN,TX,785509289,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,31.911818182,26.02,13.422727273,13.102727273
1043524812,ESPINOZA,ERICA,R,M.D.,F,I,707 W SESAME DR,,HARLINGEN,TX,785509289,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,12,33.666666667,33,25.87,25.87
1043525173,GANNON,TIFFANY,,F.N.P.,F,I,155 HEALTH WAY STE 2,,MCMINNVILLE,TN,371102668,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,35,66.305714286,8.32,5.964,5.964
1043525652,KIMBLE,EMILY,L,CNP,F,I,1508 GARCES HWY,,DELANO,CA,932153687,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,22,47,88,59.085113636,8.32,4.1075,4.1075
1043525652,KIMBLE,EMILY,L,CNP,F,I,1508 GARCES HWY,,DELANO,CA,932153687,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,18,27,31,14.478709677,1.42,0.8296774194,0.8296774194
1043525744,STRAWMIER,THOMAS,,APRN,M,I,2412 CUMING ST STE 200,,OMAHA,NE,681311601,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,537.804,77.18,60.51,55.0095
1043525744,STRAWMIER,THOMAS,,APRN,M,I,2412 CUMING ST STE 200,,OMAHA,NE,681311601,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,39.65,31.09,29.51
1043526049,CHOPRA,ANITA,,MD,F,I,7320 216TH ST SW STE 200,,EDMONDS,WA,980268006,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,47,134,64.284253731,8.32,5.5982089552,5.5982089552
1043526049,CHOPRA,ANITA,,MD,F,I,7320 216TH ST SW STE 200,,EDMONDS,WA,980268006,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,12,19,21,12.598571429,1.42,0.9047619048,0.9047619048
1043526049,CHOPRA,ANITA,,MD,F,I,7320 216TH ST SW STE 200,,EDMONDS,WA,980268006,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,410,10.659219512,7,5.3575853659,5.3575853659
1043526049,CHOPRA,ANITA,,MD,F,I,7320 216TH ST SW STE 200,,EDMONDS,WA,980268006,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,310,5.7311290323,4.03,3.1596129032,3.1596129032
1043526403,KELLEY,JESSICA,L,NP-C,F,I,820 2ND AVE N,,WINDOM,MN,561011761,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,41,62.26902439,8.32,5.8841463415,5.8841463415
1043526403,KELLEY,JESSICA,L,NP-C,F,I,820 2ND AVE N,,WINDOM,MN,561011761,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,35,28.46,13.729230769,13.729230769
1043526403,KELLEY,JESSICA,L,NP-C,F,I,820 2ND AVE N,,WINDOM,MN,561011761,US,Nurse Practitioner,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,9.75,5.54,2.6707692308,2.6707692308
1043526403,KELLEY,JESSICA,L,NP-C,F,I,820 2ND AVE N,,WINDOM,MN,561011761,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.95,10.38,5.3733333333,5.7416666667
1043526403,KELLEY,JESSICA,L,NP-C,F,I,820 2ND AVE N,,WINDOM,MN,561011761,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,35.833333333,18.235833333,10.923333333,7.7
1043526403,KELLEY,JESSICA,L,NP-C,F,I,820 2ND AVE N,,WINDOM,MN,561011761,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,146.93058824,46.609411765,30.483529412,23.139411765
1043526460,JOHNSON,KIMBERLY,C,NP-C,F,I,2809 PINE ST,,UNADILLA,GA,310917701,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,37,67.556216216,8.32,5.8183783784,5.8183783784
1043526460,JOHNSON,KIMBERLY,C,NP-C,F,I,2809 PINE ST,,UNADILLA,GA,310917701,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,7.1066666667,5.5716129032,4.1945698925
1043526460,JOHNSON,KIMBERLY,C,NP-C,F,I,2809 PINE ST,,UNADILLA,GA,310917701,US,Nurse Practitioner,S,B4160,"Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feedin",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3576,6.8740939597,1.0191666667,0.7589177852,0.7589177852
1043526460,JOHNSON,KIMBERLY,C,NP-C,F,I,2809 PINE ST,,UNADILLA,GA,310917701,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,80.455,58.105
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,30,84,51.468809524,8.32,6.2108333333,6.2108333333
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14.753333333,3.38,2.65,2.65
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,22,28,13.679642857,1.42,1.0771428571,1.0771428571
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.19,2.1323076923,1.5738461538,1.1692307692
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,86.31,23.251428571,17.800857143,13.487428571
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,12,96,96,519.51,105.44458333,80.389895833,54.768020833
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,3417,0.1683904009,0.0452180275,0.0297278314,0.0297278314
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,900,0.92,0.1293666667,0.1014333333,0.1014333333
1043527336,PHILLIPS,TEDDY,,FNP-BC,M,I,136 BLOCK ST,,MARION,AR,723641956,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,42,42,117.85714286,33,24.875714286,24.875714286
1043527427,HOLMES,TAMMY,M,ARNP,F,I,1423 S US HIGHWAY 1,,FORT PIERCE,FL,349505102,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,49.230769231,17.29,12.507692308,12.490769231
1043527427,HOLMES,TAMMY,M,ARNP,F,I,1423 S US HIGHWAY 1,,FORT PIERCE,FL,349505102,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,293.07692308,70.23,50.824615385,50.563076923
1043528045,BERGER,SHANNON,C,PA,F,I,1260 SILAS DEANE HWY,,WETHERSFIELD,CT,061094362,US,Physician Assistant,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,864,17.257013889,1.613275463,1.2647685185,1.2647685185
1043528045,BERGER,SHANNON,C,PA,F,I,1260 SILAS DEANE HWY,,WETHERSFIELD,CT,061094362,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,13,996,65.96435743,4.8759136546,3.8227108434,3.8227108434
1043528045,BERGER,SHANNON,C,PA,F,I,1260 SILAS DEANE HWY,,WETHERSFIELD,CT,061094362,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,20,16,16,12.54,12.54
1043528789,GENSON,KRISTEN,R,PA-C,F,I,9949 S OSWEGO ST,STE 200,PARKER,CO,801343753,US,Physician Assistant,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,365,99.323333333,77.866666667,90.23
1043528979,GALINA-QUINTERO,DORIS,S,DORIS GALINA,F,I,2370 COUNTRY HILLS DR STE 101,,ANTIOCH,CA,945097436,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,4620,7.5836060606,0.5613463203,0.4009177489,0.4009177489
1043528979,GALINA-QUINTERO,DORIS,S,DORIS GALINA,F,I,2370 COUNTRY HILLS DR STE 101,,ANTIOCH,CA,945097436,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,4440,5.0245337838,1.2820945946,0.9873490991,0.9873490991
1043528979,GALINA-QUINTERO,DORIS,S,DORIS GALINA,F,I,2370 COUNTRY HILLS DR STE 101,,ANTIOCH,CA,945097436,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,40,40,24,24,18.82,18.82
1043528979,GALINA-QUINTERO,DORIS,S,DORIS GALINA,F,I,2370 COUNTRY HILLS DR STE 101,,ANTIOCH,CA,945097436,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,38,16,16,12.541315789,12.541315789
1043529167,TUCKER,KIM,,APN,F,I,101 E MILLER RD,,STERLING,IL,610811252,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,20,39,56.147948718,8.32,6.1858974359,6.1858974359
1043529803,MANAVALAN,MARY,L,M.D.,F,I,611 W PARK ST,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,660,8.28,8.28,6.4915151515,6.4915151515
1043529803,MANAVALAN,MARY,L,M.D.,F,I,611 W PARK ST,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,316,2.8,2.8,2.1952531646,2.367721519
1043529803,MANAVALAN,MARY,L,M.D.,F,I,611 W PARK ST,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,31,940,4.95,4.95,3.8676489362,4.1500851064
1043529803,MANAVALAN,MARY,L,M.D.,F,I,611 W PARK ST,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,16276,0.3000067584,0.3,0.2183226837,0.2262281887
1043529803,MANAVALAN,MARY,L,M.D.,F,I,611 W PARK ST,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,10382,0.6299816991,0.609610865,0.4641177037,0.5036216529
1043529803,MANAVALAN,MARY,L,M.D.,F,I,611 W PARK ST,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,5,5.0361290323,3.9493548387,3.95
1043530033,NORDFELDT,ROCIO,,M.D.,F,I,640 BOLTON ST,,MARLBOROUGH,MA,017523999,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,25,81.4264,8.32,5.4292,5.4292
1043530033,NORDFELDT,ROCIO,,M.D.,F,I,640 BOLTON ST,,MARLBOROUGH,MA,017523999,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,50.73,3.9789473684,3.1168421053,3.7336842105
1043530165,HAYS,ROBERT,,M.D.,M,I,17321 STATE ROAD 23,,SOUTH BEND,IN,466351531,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,27,79,54.373797468,8.32,5.6136708861,5.6136708861
1043530165,HAYS,ROBERT,,M.D.,M,I,17321 STATE ROAD 23,,SOUTH BEND,IN,466351531,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,19,9.2957894737,1.42,0.9978947368,0.9978947368
1043530165,HAYS,ROBERT,,M.D.,M,I,17321 STATE ROAD 23,,SOUTH BEND,IN,466351531,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,75,17.27,13.54,13.54
1043530165,HAYS,ROBERT,,M.D.,M,I,17321 STATE ROAD 23,,SOUTH BEND,IN,466351531,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,46,46,50,5.0743478261,3.9823913043,3.8141304348
1043530165,HAYS,ROBERT,,M.D.,M,I,17321 STATE ROAD 23,,SOUTH BEND,IN,466351531,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,360,69.81,54.73,54.73
1043530348,MEHDIANRAD,MAHKAMEH,,PA,F,I,10690 NE CORNELL RD STE 220,,HILLSBORO,OR,971249224,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,45,52.158,8.32,4.1073333333,4.1073333333
1043530348,MEHDIANRAD,MAHKAMEH,,PA,F,I,10690 NE CORNELL RD STE 220,,HILLSBORO,OR,971249224,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.46,3.38,0.9636363636,0.9636363636
1043530348,MEHDIANRAD,MAHKAMEH,,PA,F,I,10690 NE CORNELL RD STE 220,,HILLSBORO,OR,971249224,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,23,13.186086957,1.42,0.7765217391,0.7765217391
1043530942,SIMPSON,PAUL,J,DO,M,I,1040 MANGROVE AVE,,CHICO,CA,959263509,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,65,111,61.134684685,8.32,5.8296396396,5.8296396396
1043530942,SIMPSON,PAUL,J,DO,M,I,1040 MANGROVE AVE,,CHICO,CA,959263509,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,19,17.729473684,1.42,1.0010526316,1.0010526316
1043530942,SIMPSON,PAUL,J,DO,M,I,1040 MANGROVE AVE,,CHICO,CA,959263509,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,50,23.884642857,18.190357143,15.626785714
1043530942,SIMPSON,PAUL,J,DO,M,I,1040 MANGROVE AVE,,CHICO,CA,959263509,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,57,57,33.245614035,6.3005263158,4.668245614,3.5366666667
1043530942,SIMPSON,PAUL,J,DO,M,I,1040 MANGROVE AVE,,CHICO,CA,959263509,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,314.37307692,101.09461538,76.324871795,64.384871795
1043530942,SIMPSON,PAUL,J,DO,M,I,1040 MANGROVE AVE,,CHICO,CA,959263509,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1680,1.2260714286,0.139,0.0939404762,0.0939404762
1043531106,BURGET,BRADLEY,,MD,M,I,3400 NW EXPRESSWAY,SUITE 500,OKLAHOMA CITY,OK,731124493,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,71,172,62.295348837,8.32,6.0673255814,6.0673255814
1043531106,BURGET,BRADLEY,,MD,M,I,3400 NW EXPRESSWAY,SUITE 500,OKLAHOMA CITY,OK,731124493,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.543076923,3.38,2.65,2.65
1043531106,BURGET,BRADLEY,,MD,M,I,3400 NW EXPRESSWAY,SUITE 500,OKLAHOMA CITY,OK,731124493,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,33,48,12.562083333,1.42,1.0702083333,1.0702083333
1043531106,BURGET,BRADLEY,,MD,M,I,3400 NW EXPRESSWAY,SUITE 500,OKLAHOMA CITY,OK,731124493,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,56.906666667,20.162,14.57,13.68
1043531247,PELLEGRINO,TARA,M,D.O.,F,I,401 YOUNG AVE,SUITE 260,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,36,147,76.252244898,8.32,6.1119047619,6.1119047619
1043531247,PELLEGRINO,TARA,M,D.O.,F,I,401 YOUNG AVE,SUITE 260,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,36,15.156666667,1.42,0.9905555556,0.9905555556
1043531247,PELLEGRINO,TARA,M,D.O.,F,I,401 YOUNG AVE,SUITE 260,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24.28,8.7325,6.8475,7.7575
1043531247,PELLEGRINO,TARA,M,D.O.,F,I,401 YOUNG AVE,SUITE 260,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,134.38,47.036956522,36.879565217,39.222173913
1043531247,PELLEGRINO,TARA,M,D.O.,F,I,401 YOUNG AVE,SUITE 260,MOORESTOWN,NJ,08057,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,119.34,22.08,14.066,17.981333333
1043531296,DAVIS,MICHAEL,A,M.D.,M,I,2311 LAKE PARK DR,,ALBANY,GA,317073183,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,199,51.253333333,40.183333333,38.027222222
1043531296,DAVIS,MICHAEL,A,M.D.,M,I,2311 LAKE PARK DR,,ALBANY,GA,317073183,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,119.446875,62.708125,49.165,44.6575
1043531296,DAVIS,MICHAEL,A,M.D.,M,I,2311 LAKE PARK DR,,ALBANY,GA,317073183,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,71,19.498571429,13.758928571,12.839642857
1043531296,DAVIS,MICHAEL,A,M.D.,M,I,2311 LAKE PARK DR,,ALBANY,GA,317073183,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,30,8.466875,6.64,6.55
1043531403,TAL,YOAV,J,M.D.,M,I,4755 OGLETOWN STANTON RD,,NEWARK,DE,197184306,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,33.731818182,26.450909091,26.297272727
1043531544,WARD,CLAIRE,,M.D.,F,I,2000 N HURON RIVER DR STE 200,,YPSILANTI,MI,481971791,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1110,10.191198198,2.9772432432,2.3341711712,2.3341711712
1043531544,WARD,CLAIRE,,M.D.,F,I,2000 N HURON RIVER DR STE 200,,YPSILANTI,MI,481971791,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,52.8,33,25.87,25.87
1043531551,DECORT,RYAN,M,DO,M,I,2055 SCOTLAND AVE,,CHAMBERSBURG,PA,172011451,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,343.18181818,72.010909091,56.463636364,54.433636364
1043531593,KULKARNI,TEJASWINI,,MD,F,I,619 19TH ST S,,BIRMINGHAM,AL,35249,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,53.541724138,19.484137931,14.757241379,13.271034483
1043531593,KULKARNI,TEJASWINI,,MD,F,I,619 19TH ST S,,BIRMINGHAM,AL,35249,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,14,41.396428571,4.7685714286,3.22,3.2171428571
1043531593,KULKARNI,TEJASWINI,,MD,F,I,619 19TH ST S,,BIRMINGHAM,AL,35249,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,41,529.96512195,86.412439024,64.571707317,53.427804878
1043531593,KULKARNI,TEJASWINI,,MD,F,I,619 19TH ST S,,BIRMINGHAM,AL,35249,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39.56,28.2,26.964545455
1043531676,GREEN,MACK,,MD,M,I,16008 KAMANA RD,SUITE 100,APPLE VALLEY,CA,923071376,US,Physician/Sports Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,17,6725.84,849.98,656.30117647,667.44
1043531932,GASS,ABIGAIL,,M.D.,F,I,180 WINGO WAY,SUITE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,40,70.712,8.32,5.87025,5.87025
1043531932,GASS,ABIGAIL,,M.D.,F,I,180 WINGO WAY,SUITE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,59,7.3096610169,1.9,1.49,1.5813559322
1043531932,GASS,ABIGAIL,,M.D.,F,I,180 WINGO WAY,SUITE 306,MT PLEASANT,SC,294641810,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,157.74823529,33.998235294,26.651764706,27.287058824
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,56,183,45.93284153,8.32,6.4157923497,6.4157923497
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,20,20,14.4985,3.38,2.65,2.65
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,27.890909091,2.12,1.67,1.67
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,40,72,20.82375,1.42,1.0827777778,1.0827777778
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,16,80,80,101.929,56.03125,43.57175,40.179625
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,40.957272727,18,13.883636364,13.417272727
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,12.595,6.7466666667,5.29,4.55
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,59.073,46.378,36.36,36.36
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,92.229310345,50.25862069,37.915862069,39.055517241
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,325.39,90.01,70.57,56.397368421
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,11,1167,1.9474293059,0.1278920308,0.1002742074,0.1002742074
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,15,719,2.8944923505,0.2188873435,0.1181502086,0.1181502086
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,62,62,38.699032258,21.904516129,17.176451613,14.855806452
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,125.04181818,81.528181818,63.920909091,53.295454545
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,68,68,17.22,9.5282352941,7.4688235294,6.9641176471
1043532369,SANCHEZ CHAVEZ,JOSE,J,M.D.,M,I,4011 W FLAGLER ST,204,CORAL GABLES,FL,331341643,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,12,23,23,33,33,23.620434783,23.620434783
1043532419,STRATTON,TRACY,,,F,I,4233 HIGHWAY 411,,MADISONVILLE,TN,373541571,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,91.904166667,18.68,14.64,13.53
1043532419,STRATTON,TRACY,,,F,I,4233 HIGHWAY 411,,MADISONVILLE,TN,373541571,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,545.32821429,81.485,61.918571429,52.773571429
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,154,294,294,113.56255102,39.10622449,29.27547619,29.128333333
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,44,68,68,342.30808824,88.027352941,68.570882353,67.522794118
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,30,47,131,127.39832061,32.660839695,25.606335878,25.902290076
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,71,114,612,59.503267974,18.423088235,13.885065359,13.992614379
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,83,154,853,50.233317702,15.092872216,11.496189918,11.555228605
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,181,344,344,200.25622093,53.463139535,39.860232558,40.787412791
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,174,211,211,68.82507109,17.957914692,13.981611374,13.966919431
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,25,25,39.7292,10.0012,7.8408,8.15
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,54,91,91,64.725384615,12.113406593,9.2579120879,8.8986813187
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,193,360,2077,8.4201299952,2.0422051035,1.5564997593,1.5482185845
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,75,85,85,25.613764706,5.9724705882,4.4590588235,4.4341176471
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,81,92,92,37.257826087,12.243695652,9.2802173913,9.9807608696
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,300,79.561666667,60.393,61.584666667
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,17,89,93,660.91408602,206.15763441,157.60236559,159.26344086
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,52,52,52,540.45307692,132.98269231,102.26673077,102.72980769
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,100,542,553,236.00323689,31.802983725,23.493688969,23.923471971
1043533102,BARONE,DANIEL,A,M.D.,M,I,425 EAST 61ST STREET 5TH FLOOR,WEILL CORNELL CENTER FOR SLEEP MEDICINE,NEW YORK,NY,100654870,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.74,48.994166667,44.329166667
1043533755,REDDY,NEHA,B,MD,F,I,120 E 2ND ST FL 4,,ERIE,PA,16507,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,335,75.453333333,52.082,47.706
1043533755,REDDY,NEHA,B,MD,F,I,120 E 2ND ST FL 4,,ERIE,PA,16507,US,Physician/General Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,40.473636364,28.974545455,26.835454545
1043533888,HUBBARD,TIARA,R,PA,F,I,11815 EDUCATION ST,,AUBURN,CA,956022410,US,Physician Assistant,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,120,108.03,76.990909091,72.272727273
1043534514,MCLEAN,ANNA,W,MD,F,I,2150 PENNSYLVANIA AVE NW,SUITE 5 - 404,WASHINGTON,DC,200373201,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,8.5257142857,1.45,1.135,1.1489285714
1043534514,MCLEAN,ANNA,W,MD,F,I,2150 PENNSYLVANIA AVE NW,SUITE 5 - 404,WASHINGTON,DC,200373201,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,3.8346153846,3.0046153846,3.6384615385
1043534514,MCLEAN,ANNA,W,MD,F,I,2150 PENNSYLVANIA AVE NW,SUITE 5 - 404,WASHINGTON,DC,200373201,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.165642857,8.7519880952,8.7519880952
1043534514,MCLEAN,ANNA,W,MD,F,I,2150 PENNSYLVANIA AVE NW,SUITE 5 - 404,WASHINGTON,DC,200373201,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,3300,0.17,0.0466181818,0.0365363636,0.0365363636
1043534514,MCLEAN,ANNA,W,MD,F,I,2150 PENNSYLVANIA AVE NW,SUITE 5 - 404,WASHINGTON,DC,200373201,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,2.9872142857,2.342,2.342
1043534514,MCLEAN,ANNA,W,MD,F,I,2150 PENNSYLVANIA AVE NW,SUITE 5 - 404,WASHINGTON,DC,200373201,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,20,20,132,33,25.87,25.87
1043534530,GARMON,BLAKE,R,M.D.,M,I,590 PETER JEFFERSON PKWY STE 100,,CHARLOTTESVILLE,VA,22911,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,68,79.0875,8.32,6.215,6.215
1043534530,GARMON,BLAKE,R,M.D.,M,I,590 PETER JEFFERSON PKWY STE 100,,CHARLOTTESVILLE,VA,22911,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,4.7027272727,3.6881818182,3.6854545455
1043534530,GARMON,BLAKE,R,M.D.,M,I,590 PETER JEFFERSON PKWY STE 100,,CHARLOTTESVILLE,VA,22911,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,312.69,83.0375,63.26875,52.9525
1043534530,GARMON,BLAKE,R,M.D.,M,I,590 PETER JEFFERSON PKWY STE 100,,CHARLOTTESVILLE,VA,22911,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,29.35,29.47
1043535123,BODNAR,ALIA,R,M.D.,F,I,75 FRANCIS ST,PBB-B 428,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,15,49,62,47.793548387,8.32,4.9085483871,4.9085483871
1043535123,BODNAR,ALIA,R,M.D.,F,I,75 FRANCIS ST,PBB-B 428,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,58.448421053,1.42,0.8842105263,0.8842105263
1043535370,DECATO,THOMAS,W,"M.D,",M,I,212 E CENTRAL AVE STE 315,,SPOKANE,WA,99208,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,458.19263158,65.7,51.51,54.221578947
1043535370,DECATO,THOMAS,W,"M.D,",M,I,212 E CENTRAL AVE STE 315,,SPOKANE,WA,99208,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,15,16,16,12.54,12.54
1043535396,MEARS,STEPHEN,T,ARNP,M,I,4284 KELSON AVE,,MARIANNA,FL,324462948,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,48.820714286,5.3885714286,2.58,1.9314285714
1043535396,MEARS,STEPHEN,T,ARNP,M,I,4284 KELSON AVE,,MARIANNA,FL,324462948,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,3499,0.2148442412,0.0460417262,0.0279994284,0.0279994284
1043535396,MEARS,STEPHEN,T,ARNP,M,I,4284 KELSON AVE,,MARIANNA,FL,324462948,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,713,0.9457643759,0.2187237027,0.1486956522,0.1486956522
1043535396,MEARS,STEPHEN,T,ARNP,M,I,4284 KELSON AVE,,MARIANNA,FL,324462948,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,120.35294118,33,21.304705882,21.304705882
1043535453,SERAFINI,CHRISTOPHER,R,DO,M,I,145 W 23RD ST,SUITE 101,ERIE,PA,165022806,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,32,83,223,62.984394619,8.32,5.2603139013,5.2603139013
1043535453,SERAFINI,CHRISTOPHER,R,DO,M,I,145 W 23RD ST,SUITE 101,ERIE,PA,165022806,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,38,61,15.019836066,1.42,0.9862295082,0.9862295082
1043535453,SERAFINI,CHRISTOPHER,R,DO,M,I,145 W 23RD ST,SUITE 101,ERIE,PA,165022806,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,189.6875,47.2325,29.906875,31.09875
1043535552,FLIERL,MICHAEL,A,M.D.,M,I,1350 KIRTS BLVD,STE 160,TROY,MI,480844852,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.14,9.14,7.1666666667,7.2633333333
1043535560,JORDAN,ROBERTO,F,MD,M,I,1400 S GRAND AVE STE 101,,LOS ANGELES,CA,900153048,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,35,79,64.38278481,8.32,5.6153164557,5.6153164557
1043535560,JORDAN,ROBERTO,F,MD,M,I,1400 S GRAND AVE STE 101,,LOS ANGELES,CA,900153048,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,30,16.972,1.42,1.112,1.112
1043535560,JORDAN,ROBERTO,F,MD,M,I,1400 S GRAND AVE STE 101,,LOS ANGELES,CA,900153048,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,66.125882353,18.5,14.5,13.878823529
1043535560,JORDAN,ROBERTO,F,MD,M,I,1400 S GRAND AVE STE 101,,LOS ANGELES,CA,900153048,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,485.72851852,86.09,67.49,57.565555556
1043535792,YEHUDA,MARELLE,L,M.D.,F,I,815 BAY AVE,,CAPITOLA,CA,950102106,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,50,127,497,71.328953722,8.32,6.0422132797,6.0422132797
1043535792,YEHUDA,MARELLE,L,M.D.,F,I,815 BAY AVE,,CAPITOLA,CA,950102106,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,18,27,55,17.669272727,1.42,1.1127272727,1.1127272727
1043535792,YEHUDA,MARELLE,L,M.D.,F,I,815 BAY AVE,,CAPITOLA,CA,950102106,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,16,70,70,264.88885714,245.42042857,192.40885714,195.19228571
1043535792,YEHUDA,MARELLE,L,M.D.,F,I,815 BAY AVE,,CAPITOLA,CA,950102106,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,217.13615385,187.53307692,147.02538462,184.63692308
1043535941,RAGSDALE,EIEL,E,MD,M,I,1003 S SPRUCE ST,,VIVIAN,LA,710823200,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,58.618,21.44,14.005333333,10.824
1043535941,RAGSDALE,EIEL,E,MD,M,I,1003 S SPRUCE ST,,VIVIAN,LA,710823200,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,372.34,96.140666667,64.05,43.783333333
1043536113,JENTNER,CECILE,,M.D.,F,I,50 N MILLER RD,,FAIRLAWN,OH,443333702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,36,46.428611111,8.32,3.9852777778,3.9852777778
1043536113,JENTNER,CECILE,,M.D.,F,I,50 N MILLER RD,,FAIRLAWN,OH,443333702,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,18,257.82,34.925555556,27.388333333,26.405555556
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,48,143,273,59.666520147,8.3058974359,5.8421978022,5.8501831502
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,14.8125,3.38,2.484375,2.484375
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,31,61,79,12.758481013,1.42,1.0589873418,1.0589873418
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,380,6.2623157895,5.2255789474,4.0968684211,4.0968684211
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,15,33,7.3363636364,1.9327272727,1.5148484848,1.1818181818
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,356.29333333,125.30333333,83.534166667,60.741666667
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,31,143.95225806,46.675483871,34.745483871,28.129032258
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,69.889230769,26.394615385,20.689230769,14.744615385
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,87,9.652183908,2.8668965517,2.0036781609,1.5052873563
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,380,8.0866315789,7.0253684211,5.5080526316,4.1630526316
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6310,0.5115419968,0.4640047544,0.3522440571,0.2785293185
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,177.13666667,70.113333333,45.356666667,31.363333333
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,81.75,17.119677419,11.928064516,8.7948387097
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,50.73,6.6136363636,4.8540909091,3.505
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,234.05372093,50.21372093,36.760465116,22.290697674
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.906666667,9.3641666667,6.2525,2.9625
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,142,149,504.18362416,101.51879195,75.287718121,54.874026846
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,250,45.25125,33.425625,27.6725
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,38,10125,0.303894321,0.0463683951,0.0329906173,0.0329906173
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,41,3420,1.2346725146,0.1325906433,0.0911169591,0.0911169591
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1359,1.1230684327,0.2190360559,0.1563576159,0.1563576159
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,599.5,239.48730769,187.75461538,128.33461538
1043536261,WATERS,JEREMY,W,DO,M,I,151 ANDERSON LN,,WATERFORD,OH,457865312,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,73,73,99.452054795,33,23.274794521,23.274794521
1043536311,CHLAD,SANDRA,,CNP,F,I,6801 BRECKSVILLE RD,RK10,INDEPENDENCE,OH,441315032,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,19,72,76.635972222,8.32,5.8883333333,5.8883333333
1043536311,CHLAD,SANDRA,,CNP,F,I,6801 BRECKSVILLE RD,RK10,INDEPENDENCE,OH,441315032,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,50.73,6.345,4.9741666667,3.9291666667
1043536311,CHLAD,SANDRA,,CNP,F,I,6801 BRECKSVILLE RD,RK10,INDEPENDENCE,OH,441315032,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,569,78,56.054166667,50.169166667
1043536428,LARSEN,JANE,E,M.D,F,I,7 BLANCHARD CIR,,WHEATON,IL,601892039,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,48.962692308,8.32,6.0184615385,6.0184615385
1043536428,LARSEN,JANE,E,M.D,F,I,7 BLANCHARD CIR,,WHEATON,IL,601892039,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,15.716363636,1.42,1.0181818182,1.0181818182
1043536899,MORRIS,SAMUEL,R,MD,M,I,101 MARCLEY DR,,MARTINSBURG,WV,254012977,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,27,61,232,68.11625,8.32,5.7170258621,5.7170258621
1043536899,MORRIS,SAMUEL,R,MD,M,I,101 MARCLEY DR,,MARTINSBURG,WV,254012977,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,28,52,16.601730769,1.42,1.0076923077,1.0076923077
1043536899,MORRIS,SAMUEL,R,MD,M,I,101 MARCLEY DR,,MARTINSBURG,WV,254012977,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,37,64,17.262972973,12.796486486,12.781351351
1043536899,MORRIS,SAMUEL,R,MD,M,I,101 MARCLEY DR,,MARTINSBURG,WV,254012977,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,37.760625,5.465,3.8984375,3.5828125
1043536899,MORRIS,SAMUEL,R,MD,M,I,101 MARCLEY DR,,MARTINSBURG,WV,254012977,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,261.45486486,70.675405405,53.116216216,52.85
1043536899,MORRIS,SAMUEL,R,MD,M,I,101 MARCLEY DR,,MARTINSBURG,WV,254012977,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3418,0.237480983,0.0463253365,0.0363165594,0.0363165594
1043536899,MORRIS,SAMUEL,R,MD,M,I,101 MARCLEY DR,,MARTINSBURG,WV,254012977,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1043537038,PIPESTONE,MICHAEL,B,MD,M,I,801 OSTRUM ST,ST LUKE'S ENROLLMENT CENTER,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,89,290.41,207.75,162.87573034,162.87573034
1043537038,PIPESTONE,MICHAEL,B,MD,M,I,801 OSTRUM ST,ST LUKE'S ENROLLMENT CENTER,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,91,9.84,9.35,7.33,7.33
1043537038,PIPESTONE,MICHAEL,B,MD,M,I,801 OSTRUM ST,ST LUKE'S ENROLLMENT CENTER,BETHLEHEM,PA,180151000,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,91,31.216043956,29.22,22.908571429,22.908571429
1043537277,NGUYEN,KEVIN,C,MD,M,I,1900 S MAIN ST,,FINDLAY,OH,458401214,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,74.5,18.493333333,14.500555556,14.758333333
1043537277,NGUYEN,KEVIN,C,MD,M,I,1900 S MAIN ST,,FINDLAY,OH,458401214,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,50.12,9.1535294118,7.1788235294,6.92
1043537509,SHARP,WENDY,R,NP,F,I,"117 S WILLIAM BARNETT AVE, STE B",,CLEVELAND,TX,773274542,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,26,65.574230769,8.32,6.2726923077,6.2726923077
1043537657,JACKSON,BRIANI,,M.D.,F,I,1100 LONG POND RD,SUITE 250,ROCHESTER,NY,146261177,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,23,83.243913043,8.32,5.6704347826,5.6704347826
1043537947,GREISS,CHRISTINE,,DO,F,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,69.382432432,15.087027027,11.532432432,13.457027027
1043537947,GREISS,CHRISTINE,,DO,F,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,20.895555556,6.4105555556,4.7538888889,6.0161111111
1043538200,TEJEDA SOTO,ROBIN,,MD,M,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,27.22,23.035384615,18.06,15.000769231
1043538234,BHARTI,JYOTI,,MD,F,I,1948 E HEBRON PKWY,SUITE 110,CARROLLTON,TX,750071525,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,462,8.28,8.28,6.4915800866,6.4915800866
1043538416,MASSOUD,MONA,,,F,I,7726 LOUIS PASTEUR DR,,SAN ANTONIO,TX,782293402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,79.642857143,8.32,5.2396428571,5.2396428571
1043538416,MASSOUD,MONA,,,F,I,7726 LOUIS PASTEUR DR,,SAN ANTONIO,TX,782293402,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,102.78,32.727272727,25.658181818,25.501818182
1043538416,MASSOUD,MONA,,,F,I,7726 LOUIS PASTEUR DR,,SAN ANTONIO,TX,782293402,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,73.273157895,17.862105263,14.005789474,14.454210526
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1050,4.34,2.27,1.7203904762,1.7203904762
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,32,9390,3.8784664537,2.04,1.5679286475,1.5679286475
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,62,17.72,10.93,8.0158064516,8.0158064516
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,62,14.396129032,6.34,4.6493548387,5.3714516129
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,150.09666667,44.309333333,32.412666667,34.152
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,188.23529412,51.267058824,40.19,41.450588235
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,86,154,13.948051948,2.9,2.2190909091,2.2001298701
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,12,12,12,87.929166667,38.734166667,30.369166667,29.34
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,546.62909091,302.25272727,236.97,233.18818182
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,68.333333333,18.48,14.48,13.1
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,86,86,119.70930233,30.35872093,23.150581395,22.097790698
1043539406,POWELL,DAVID,J,MD,M,I,316 CALHOUN ST,,CHARLESTON,SC,294011113,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,28.304347826,7.9113043478,6.1956521739,6.6747826087
1043539539,GANETZKY,DAVID,B,MD,M,I,51 N 39TH ST,7 FLOOR MUTCH BLDG,PHILADELPHIA,PA,191042640,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,29,64,81.8509375,8.32,4.841875,4.841875
1043539802,LEE,KAREN,D,"MSN, ARNP-BC",F,I,101 W 8TH ST,,BENTON,KY,420251216,US,Nurse Practitioner,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,989,989,765.13142857,765.26571429
1043539802,LEE,KAREN,D,"MSN, ARNP-BC",F,I,101 W 8TH ST,,BENTON,KY,420251216,US,Nurse Practitioner,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,1280,875.56,677.6525,669.449375
1043539919,MOUSTAFA HUSSEIN,WESAM,H,M.D.,M,I,13326 HORSEPEN WOODS LANE,,HERNDON,VA,20171,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17,13.33,13.47
1043539919,MOUSTAFA HUSSEIN,WESAM,H,M.D.,M,I,13326 HORSEPEN WOODS LANE,,HERNDON,VA,20171,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,35,397.34628571,80.609714286,63.198,59.049714286
1043539968,CHEN,HSIANG-HWA,,DO,F,I,3915 TALBOT RD S,STE 401,RENTON,WA,980555738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,61,57.894918033,8.32,5.8808196721,5.8808196721
1043540149,SATHYAMOORTHY,KUMARAN,,"MD, MPH",M,I,2204 BELLEFONTAINE ST,,HOUSTON,TX,770303202,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,61,6885,0.39,0.13,0.0932040668,0.0932040668
1043540149,SATHYAMOORTHY,KUMARAN,,"MD, MPH",M,I,2204 BELLEFONTAINE ST,,HOUSTON,TX,770303202,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,65,7560,4.5366071429,2.04,1.4647566138,1.4647566138
1043540511,GREEN,ASHLEY,A,PA-C,F,I,148 SKYVIEW DR,,MOUNT STERLING,KY,403531496,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,32.259090909,6.3404545455,3.3168181818,1.9963636364
1043540511,GREEN,ASHLEY,A,PA-C,F,I,148 SKYVIEW DR,,MOUNT STERLING,KY,403531496,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2026,0.2410463968,0.0483366239,0.0296841066,0.0296841066
1043540511,GREEN,ASHLEY,A,PA-C,F,I,148 SKYVIEW DR,,MOUNT STERLING,KY,403531496,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,123,33,23.518181818,23.518181818
1043541303,RAMOS,ENRIQUE,C,D.O.,M,I,345 S WATER ST,,CORPUS CHRISTI,TX,78401,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,25,174.2468,48.416,34.158,33.8216
1043541303,RAMOS,ENRIQUE,C,D.O.,M,I,345 S WATER ST,,CORPUS CHRISTI,TX,78401,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,115,45.995882353,33.440588235,33.440588235
1043541303,RAMOS,ENRIQUE,C,D.O.,M,I,345 S WATER ST,,CORPUS CHRISTI,TX,78401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,60,17.009444444,11.635555556,11.644444444
1043541303,RAMOS,ENRIQUE,C,D.O.,M,I,345 S WATER ST,,CORPUS CHRISTI,TX,78401,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,22.501818182,7.44,5.3,5.6363636364
1043541337,SCHUETZ-SMITH,CYNTHIA,M,CFNP,F,I,9425 EASTSIDE DR. EXT HWY 15 NORTH,,NEWTON,MS,393458069,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2250,0.2684,0.13,0.1019155556,0.1019155556
1043541337,SCHUETZ-SMITH,CYNTHIA,M,CFNP,F,I,9425 EASTSIDE DR. EXT HWY 15 NORTH,,NEWTON,MS,393458069,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2340,4.7384615385,1.89,1.4817649573,1.5993504274
1043541337,SCHUETZ-SMITH,CYNTHIA,M,CFNP,F,I,9425 EASTSIDE DR. EXT HWY 15 NORTH,,NEWTON,MS,393458069,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1350,9.926,7.23,5.6683333333,5.6683333333
1043541725,PETTIFORD,JANINE,N,M.D.,F,I,325 NORTH JEFF DAVIS DR,,FAYETTEVILLE,GA,30214,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,42.831666667,42.52,29.169583333,27.232083333
1043541808,RAY,KELLI,M,PA-C,F,I,1019 S 8TH ST,,ALBION,NE,686201760,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,40,8.9455,3.535,2.77225,2.067
1043541808,RAY,KELLI,M,PA-C,F,I,1019 S 8TH ST,,ALBION,NE,686201760,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,179.24357143,52.691428571,35.77,20.037142857
1043542673,FLETCHER,STACEY,,FNP-BC,F,I,2055 HOSPITAL DRIVE,SUITE 130,BATAVIA,OH,451031978,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,60,88,79.655795455,8.32,4.7445454545,4.7445454545
1043542673,FLETCHER,STACEY,,FNP-BC,F,I,2055 HOSPITAL DRIVE,SUITE 130,BATAVIA,OH,451031978,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,18.259230769,1.42,0.6892307692,0.6892307692
1043542673,FLETCHER,STACEY,,FNP-BC,F,I,2055 HOSPITAL DRIVE,SUITE 130,BATAVIA,OH,451031978,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1830,1.394431694,0.1341311475,0.0932568306,0.0932568306
1043542673,FLETCHER,STACEY,,FNP-BC,F,I,2055 HOSPITAL DRIVE,SUITE 130,BATAVIA,OH,451031978,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,33,33,21.585789474,21.585789474
1043542871,NEWMAN,ERIN,G,M.D.,F,I,9300 VALLEY CHILDREN'S PLACE MB01,,MADERA,CA,936368761,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,48,50.779583333,8.32,5.1625,5.1625
1043542871,NEWMAN,ERIN,G,M.D.,F,I,9300 VALLEY CHILDREN'S PLACE MB01,,MADERA,CA,936368761,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,106.72,19.9425,13.884166667,12.152083333
1043542871,NEWMAN,ERIN,G,M.D.,F,I,9300 VALLEY CHILDREN'S PLACE MB01,,MADERA,CA,936368761,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,631.97395349,95.79627907,70.737906977,52.656046512
1043544091,TELLEZ,DOMINIC,,PA,M,I,1600 PHTORPE ROAD,,LAS CRUCES,NM,88012,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,85,57.720705882,8.32,4.6552941176,4.6552941176
1043544091,TELLEZ,DOMINIC,,PA,M,I,1600 PHTORPE ROAD,,LAS CRUCES,NM,88012,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,124.43466667,17.27,11.734666667,11.734666667
1043544091,TELLEZ,DOMINIC,,PA,M,I,1600 PHTORPE ROAD,,LAS CRUCES,NM,88012,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,512.84740741,68.78,45.615185185,46.357777778
1043544414,BOELLNER,SAMANTHA,W,CRNP,F,I,10155 YORK RD,STE. 200,COCKEYSVILLE,MD,21030,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,32,102,59.508921569,8.32,6.2024509804,6.2024509804
1043544414,BOELLNER,SAMANTHA,W,CRNP,F,I,10155 YORK RD,STE. 200,COCKEYSVILLE,MD,21030,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,37,58,20.755344828,1.42,1.0568965517,1.0568965517
1043544414,BOELLNER,SAMANTHA,W,CRNP,F,I,10155 YORK RD,STE. 200,COCKEYSVILLE,MD,21030,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,146.63352941,33.740588235,26.454705882,26.230588235
1043544430,BURLEY,DEBORAH,L,FNP,F,I,705 LANDA,SUITE C,NEW BRAUNFELS,TX,781306163,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,61,35.97295082,8.32,5.0254098361,5.0254098361
1043544992,SINGH,SAURABH,,M.D,M,I,700 BROADWAY,,FORT WAYNE,IN,468021402,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,65.690909091,47.167272727,29.364545455,28.824545455
1043544992,SINGH,SAURABH,,M.D,M,I,700 BROADWAY,,FORT WAYNE,IN,468021402,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,87.293913043,20.307826087,15.095217391,14.01
1043545254,MEAKO,MICHELLE,E,ARNP,F,I,7707 SE 27TH ST,SUITE 104,MERCER ISLAND,WA,980402844,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,106.81818182,46.9,36.772727273,36.482727273
1043545254,MEAKO,MICHELLE,E,ARNP,F,I,7707 SE 27TH ST,SUITE 104,MERCER ISLAND,WA,980402844,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,67,37.383636364,29.311818182,29.313636364
1043545254,MEAKO,MICHELLE,E,ARNP,F,I,7707 SE 27TH ST,SUITE 104,MERCER ISLAND,WA,980402844,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,48.595744681,17.677659574,13.856808511,15.078297872
1043545254,MEAKO,MICHELLE,E,ARNP,F,I,7707 SE 27TH ST,SUITE 104,MERCER ISLAND,WA,980402844,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,48,48,74.71,31.003541667,22.395625,22.288958333
1043545866,MCLAURIN,SCOTT,,PA-C,M,I,500 VONDERBURG DR,SUITE 311 WEST,BRANDON,FL,335115964,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,24,111,82.788558559,8.32,6.2281981982,6.2281981982
1043545965,SCOTT,DOUGLAS,A,M.D.,M,I,22 BETHEA DR,,HILTON HEAD ISLAND,SC,299264702,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,67.71,53.2,41.71,46.35
1043546351,SMITH,MORRIS,A,NP-C,M,I,10 SHILOH RD,,ODESSA,TX,797628400,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,22.253636364,17.445454545,13.53
1043546351,SMITH,MORRIS,A,NP-C,M,I,10 SHILOH RD,,ODESSA,TX,797628400,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1100,1035.61,799.96416667,830.30416667
1043546351,SMITH,MORRIS,A,NP-C,M,I,10 SHILOH RD,,ODESSA,TX,797628400,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,308.96,100.90545455,79.111818182,54.73
1043546468,PEREZ,MONA,,N.P.,F,I,160 N MIDLAND AVE,NYACK HOSPITAL,NYACK,NY,109601912,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,27,67,93,78.573010753,8.32,6.1043010753,6.1043010753
1043546468,PEREZ,MONA,,N.P.,F,I,160 N MIDLAND AVE,NYACK HOSPITAL,NYACK,NY,109601912,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,17,19,35.1,1.42,1.06,1.06
1043546534,WALDIE,JEREMY,G,PA-C,M,I,1470 N 16TH AVE STE D,,YAKIMA,WA,989021381,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,52,74.683461538,8.32,4.0140384615,4.0140384615
1043546930,HOLCOMB,SARAH,B,M.D.,F,I,311 E MATTHEWS AVE,,JONESBORO,AR,724013125,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,60.065423729,19.677288136,14.178135593,12.309152542
1043546930,HOLCOMB,SARAH,B,M.D.,F,I,311 E MATTHEWS AVE,,JONESBORO,AR,724013125,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1224.35,1048.7,810.22416667,828.63083333
1043546930,HOLCOMB,SARAH,B,M.D.,F,I,311 E MATTHEWS AVE,,JONESBORO,AR,724013125,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,74,74,229.28040541,80.890810811,59.571081081,51.031081081
1043546930,HOLCOMB,SARAH,B,M.D.,F,I,311 E MATTHEWS AVE,,JONESBORO,AR,724013125,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,123.57466667,39.378,26.069333333,15.968
1043546930,HOLCOMB,SARAH,B,M.D.,F,I,311 E MATTHEWS AVE,,JONESBORO,AR,724013125,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,321.55454545,61.646818182,46.536363636,35.686363636
1043546930,HOLCOMB,SARAH,B,M.D.,F,I,311 E MATTHEWS AVE,,JONESBORO,AR,724013125,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,23,23,328.94173913,10.45826087,7.3634782609,5.7117391304
1043547219,KRENSON,BETTY,A,FNP,F,I,602 YALE PL,,CANON CITY,CO,812124611,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,27,67.664444444,8.32,4.5903703704,4.5903703704
1043547219,KRENSON,BETTY,A,FNP,F,I,602 YALE PL,,CANON CITY,CO,812124611,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,352,16.5,3.14,2.4616477273,2.3676704545
1043547219,KRENSON,BETTY,A,FNP,F,I,602 YALE PL,,CANON CITY,CO,812124611,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,579.7525,70.48,51.4075,50.9305
1043547656,NORI,PHALGUN,,M.D.,M,I,201 PLEASANT HILL RD,KESSLER INSTITUTE FOR REHABILITATION,CHESTER,NJ,079302141,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,172.17272727,48.365,36.402272727,38.541363636
1043547656,NORI,PHALGUN,,M.D.,M,I,201 PLEASANT HILL RD,KESSLER INSTITUTE FOR REHABILITATION,CHESTER,NJ,079302141,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,101.30416667,20.964166667,12.434166667,16.756666667
1043547656,NORI,PHALGUN,,M.D.,M,I,201 PLEASANT HILL RD,KESSLER INSTITUTE FOR REHABILITATION,CHESTER,NJ,079302141,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,50,50,137.4576,30.9618,22.9852,25.1878
1043547656,NORI,PHALGUN,,M.D.,M,I,201 PLEASANT HILL RD,KESSLER INSTITUTE FOR REHABILITATION,CHESTER,NJ,079302141,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,25.029,6.8693333333,4.8966666667,6.257
1043547920,KENNY,CHRISTOPHER,,CHRIS KENNY,M,I,36000 DARNALL LOOP,,FORT HOOD,TX,765445095,US,Physician/Addiction Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,39,39,39,175.04102564,68.858717949,53.986923077,37.952307692
1043547920,KENNY,CHRISTOPHER,,CHRIS KENNY,M,I,36000 DARNALL LOOP,,FORT HOOD,TX,765445095,US,Physician/Addiction Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,26,39.384615385,32.957692308,25.839615385,23.678076923
1043547920,KENNY,CHRISTOPHER,,CHRIS KENNY,M,I,36000 DARNALL LOOP,,FORT HOOD,TX,765445095,US,Physician/Addiction Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,24,24,24,87.352083333,46.385833333,36.37125,30.575
1043547920,KENNY,CHRISTOPHER,,CHRIS KENNY,M,I,36000 DARNALL LOOP,,FORT HOOD,TX,765445095,US,Physician/Addiction Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,26,129,129,57.226511628,33.005581395,25.876124031,15.781860465
1043547920,KENNY,CHRISTOPHER,,CHRIS KENNY,M,I,36000 DARNALL LOOP,,FORT HOOD,TX,765445095,US,Physician/Addiction Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,139.21,70.755,55.475833333,40.425833333
1043547920,KENNY,CHRISTOPHER,,CHRIS KENNY,M,I,36000 DARNALL LOOP,,FORT HOOD,TX,765445095,US,Physician/Addiction Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,203.085,104.6325,82.036666667,69.919166667
1043548290,SMITH,MICHAEL,A,ARNP,M,I,1405 CENTERVILLE RD,SUITE 5000,TALLAHASSEE,FL,323084655,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,135.49357143,81.197857143,63.659285714,54.729285714
1043548290,SMITH,MICHAEL,A,ARNP,M,I,1405 CENTERVILLE RD,SUITE 5000,TALLAHASSEE,FL,323084655,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,48.316666667,44.34,34.765,29.515
1043549157,KNIGHTON,SEAN,E,APRN,M,I,122 PETERSEN PKWY,,THAYNE,WY,83127,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,30,30,232.35,55.244,37.138666667,32.244
1043549157,KNIGHTON,SEAN,E,APRN,M,I,122 PETERSEN PKWY,,THAYNE,WY,83127,US,Nurse Practitioner,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1239.93,387.12090909,303.50272727,310.46363636
1043549157,KNIGHTON,SEAN,E,APRN,M,I,122 PETERSEN PKWY,,THAYNE,WY,83127,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,519.51,97.110769231,67.627692308,62.186153846
1043549249,FLORES,SANDRA,,NP,F,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,159.19,84.63,66.3525,66.6275
1043549249,FLORES,SANDRA,,NP,F,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,139.33333333,37.427333333,27.783333333,26.102
1043549488,LYNDS,DONNA,K,ARNP-C,F,I,1615 DELAWARE ST,,LONGVIEW,WA,986322367,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,31,97,37.458453608,8.32,5.5128865979,5.5128865979
1043549488,LYNDS,DONNA,K,ARNP-C,F,I,1615 DELAWARE ST,,LONGVIEW,WA,986322367,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,2100,0.92,0.1361,0.1002333333,0.1002333333
1043549488,LYNDS,DONNA,K,ARNP-C,F,I,1615 DELAWARE ST,,LONGVIEW,WA,986322367,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,23,132,33,24.745217391,24.745217391
1043549587,HAKIM,TAMMY,E,ANP-BC,F,I,4001 OXFORD GLEN DR,,FRANKLIN,TN,370675850,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,332.31625,86.105,67.1621875,56.4740625
1043549587,HAKIM,TAMMY,E,ANP-BC,F,I,4001 OXFORD GLEN DR,,FRANKLIN,TN,370675850,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,38.9,24.374666667,19.112666667,14.829666667
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,1808,2.5905973451,2.0281415929,1.5900442478,2.2597787611
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,450,6.5006666667,5.926,4.6459333333,4.1458
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,348,8.5272413793,7.8864367816,6.1829597701,4.4354597701
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7519,0.4461284745,0.4107527597,0.3220295252,0.2535217449
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,72.226666667,67.77,53.13,53.13
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,53.34,19.15,14.506923077,13.255384615
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,75,37.353636364,29.284545455,27.77
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,53.87,40.7025,31.9105,32.737
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,85.345333333,57.692666667,43.008666667,34.616
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60.133333333,11.746666667,9.205,9.205
1043549850,MAHENDRAKAR,LOKESH,,M.D.,M,I,100 N ACADEMY AVE,,DANVILLE,PA,178224903,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,40,333.50925,82.06525,62.858,54.49475
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,36,78.187777778,8.32,5.9788888889,5.9788888889
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,36,8.19,2.02,1.5133333333,1.0861111111
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,5.91,1.5327272727,1.1045454545,0.8772727273
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,18.443636364,16.613636364,13.022727273,9.7563636364
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,141.10833333,68.636666667,53.813333333,38.1675
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,37.5,21.985,16.3025,13.060625
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,192.05588235,97.52,69.425294118,57.820588235
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.92,0.1330769231,0.0973653846,0.0973653846
1043549918,STATEN,TEQUILA,J,APRN,F,I,5796 NASHVILLE RD,,BOWLING GREEN,KY,42101,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,94.285714286,33,24.638095238,24.638095238
1043550080,GRAY,BROOKE,L,D.O.,F,I,3551 ROGER BROOKE DR,,JBSA FT SAM HOUSTON,TX,782344504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,175,77.34,55.5775,50.169166667
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,54,78,78,103.64153846,39.142435897,28.794487179,28.598461538
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,46,75,75,366.81733333,89.409733333,68.2716,65.998266667
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,47,82,172,160.50604651,34.881395349,26.957209302,25.566918605
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,21,37,119,73.69697479,19.972773109,15.113865546,14.028235294
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,15,22,91,64.465604396,15.50956044,11.899340659,11.621208791
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,50,70,71,195.29859155,55.858873239,40.516619718,39.558169014
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,86,102,102,68.526960784,18.685294118,14.229705882,13.642352941
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,11,12,12,47.6975,10.636666667,7.6566666667,7.4708333333
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,49,76,77,83.741038961,12.918571429,9.8233766234,8.808961039
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,96,155,621,9.2987117552,2.1016908213,1.583236715,1.5257648953
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,21,23,23,24.247391304,6.0917391304,4.5804347826,4.4569565217
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,53,63,63,47.878730159,13.491428571,10.246666667,10.023174603
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,23,23,23,487.31,135.74,106.42,104.77478261
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,20,97,105,65.623142857,14.296,10.650666667,10.091428571
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,42,217,223,290.97515695,36.946547085,27.9632287,26.570089686
1043551294,ANDERSON,CAITLIN,M,PA-C,F,I,2001 CRYSTAL SPRING AVE SW STE 300,,ROANOKE,VA,240142465,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,356.9047619,70.23,55.06,54.752380952
1043551328,LAUDERDALE,LISA,M,ARNP,F,I,1840 MEASE DR,SUITE 402,SAFETY HARBOR,FL,346956602,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,35,70.335428571,8.2788571429,4.626,4.6582857143
1043551971,CHOJNACKI,CARL,L,APNP,M,I,2801 W KINNICKINNIC RIVER PKWY,STE 245,MILWAUKEE,WI,532153669,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,56,130,418,73.798373206,8.32,5.9837559809,5.9837559809
1043551971,CHOJNACKI,CARL,L,APNP,M,I,2801 W KINNICKINNIC RIVER PKWY,STE 245,MILWAUKEE,WI,532153669,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,24,39,68,14.661911765,1.42,1.0660294118,1.0660294118
1043553167,EDE,CHINEDU,D,M.D,M,I,4310 W MARKHAM ST,,LITTLE ROCK,AR,722054024,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,129.81538462,76.344615385,59.850769231,40.648461538
1043553167,EDE,CHINEDU,D,M.D,M,I,4310 W MARKHAM ST,,LITTLE ROCK,AR,722054024,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,33.72,8.1936363636,6.4245454545,3.6854545455
1043553167,EDE,CHINEDU,D,M.D,M,I,4310 W MARKHAM ST,,LITTLE ROCK,AR,722054024,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,28.506363636,22.35,14.289090909
1043553753,SHAW,LAUREN,A,M.D.,F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,536.84,78.49,61.53,54.73
1043553753,SHAW,LAUREN,A,M.D.,F,I,640 JACKSON ST,,SAINT PAUL,MN,551012502,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,106.63,40.62,31.85,29.52
1043553993,HEBERT,DAWN,,FNP,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,2745,6.538298725,0.5620692168,0.4406593807,0.4406484517
1043553993,HEBERT,DAWN,,FNP,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2640,6.2055909091,1.2144545455,0.8977765152,0.8977765152
1043553993,HEBERT,DAWN,,FNP,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1043553993,HEBERT,DAWN,,FNP,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,30,16,16,12.54,12.54
1043554918,SCHULTZ,DIANA,E,APN,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,26,96.912307692,17.27,13.54,13.54
1043554918,SCHULTZ,DIANA,E,APN,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,55.888333333,4.8533333333,2.8911111111,2.7777777778
1043554918,SCHULTZ,DIANA,E,APN,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,459.42129032,69.81,54.697419355,54.697419355
1043554918,SCHULTZ,DIANA,E,APN,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1926,0.16192108,0.0467912773,0.025529595,0.025529595
1043554918,SCHULTZ,DIANA,E,APN,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,309,0.3527184466,0.2194822006,0.1233656958,0.1233656958
1043554918,SCHULTZ,DIANA,E,APN,F,I,1700 HENRY LUCKOW LN,,BELVIDERE,IL,61008,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,17.258666667,17.258666667
1043555170,HEYER,MELISSA,,PA-C,F,I,98 GOUGH ST,,SAN FRANCISCO,CA,941025920,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,14,58,121,75.357107438,8.32,6.3056198347,6.3056198347
1043555170,HEYER,MELISSA,,PA-C,F,I,98 GOUGH ST,,SAN FRANCISCO,CA,941025920,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,16.125,1.42,1.064,1.064
1043555170,HEYER,MELISSA,,PA-C,F,I,98 GOUGH ST,,SAN FRANCISCO,CA,941025920,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,76.934761905,21.562857143,15.483333333,12.307619048
1043555170,HEYER,MELISSA,,PA-C,F,I,98 GOUGH ST,,SAN FRANCISCO,CA,941025920,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,32,91.3378125,6.6003125,5.174375,3.485
1043555170,HEYER,MELISSA,,PA-C,F,I,98 GOUGH ST,,SAN FRANCISCO,CA,941025920,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,522.36078431,102.84,78.284901961,54.270784314
1043555170,HEYER,MELISSA,,PA-C,F,I,98 GOUGH ST,,SAN FRANCISCO,CA,941025920,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3029,0.411172004,0.0461637504,0.0339187851,0.0339187851
1043555170,HEYER,MELISSA,,PA-C,F,I,98 GOUGH ST,,SAN FRANCISCO,CA,941025920,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,102.66666667,33,24.885555556,24.885555556
1043555394,MENDEZ,KIMBERLEY,K,"MSN, RN, FNP-BC",F,I,209 E JEFFERSON ST,,PLYMOUTH,IN,465631861,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,350,120.76583333,87.141666667,58.084166667
1043555493,RAZVI,BATOOL,,MD,F,I,130 LAKEHURST RD,,BROWNS MILLS,NJ,080156057,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,45,104,70.209903846,8.32,5.5898076923,5.5898076923
1043555493,RAZVI,BATOOL,,MD,F,I,130 LAKEHURST RD,,BROWNS MILLS,NJ,080156057,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,24,26,14.922307692,1.42,0.9469230769,0.9469230769
1043555493,RAZVI,BATOOL,,MD,F,I,130 LAKEHURST RD,,BROWNS MILLS,NJ,080156057,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,3591,0.5701197438,0.0467446394,0.0334670008,0.0334670008
1043555493,RAZVI,BATOOL,,MD,F,I,130 LAKEHURST RD,,BROWNS MILLS,NJ,080156057,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,33,33,22.174285714,22.174285714
1043555717,BOCCHICCHIO,KAREN,A,CRNP,F,I,1006 MANTUA PIKE,,WOODBURY HEIGHTS,NJ,080971228,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,30,96,69.461666667,8.32,5.9784375,5.9784375
1043555717,BOCCHICCHIO,KAREN,A,CRNP,F,I,1006 MANTUA PIKE,,WOODBURY HEIGHTS,NJ,080971228,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,12.342941176,1.42,1.1176470588,1.1176470588
1043555717,BOCCHICCHIO,KAREN,A,CRNP,F,I,1006 MANTUA PIKE,,WOODBURY HEIGHTS,NJ,080971228,US,Nurse Practitioner,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,12.15,4.91,3.8495,3.8495
1043555717,BOCCHICCHIO,KAREN,A,CRNP,F,I,1006 MANTUA PIKE,,WOODBURY HEIGHTS,NJ,080971228,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,30,4.5031578947,3.5268421053,3.6773684211
1043557069,MATLOCK,PENNY,J,FNP,F,I,1985 STARTOWN RD,SUITE 102,HICKORY,NC,286028307,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,34,71.654411765,8.32,5.8217647059,5.8217647059
1043557069,MATLOCK,PENNY,J,FNP,F,I,1985 STARTOWN RD,SUITE 102,HICKORY,NC,286028307,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50,4.9876470588,3.9117647059,3.9070588235
1043557069,MATLOCK,PENNY,J,FNP,F,I,1985 STARTOWN RD,SUITE 102,HICKORY,NC,286028307,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1513,0.7246530073,0.0450495704,0.0338003966,0.0338003966
1043557069,MATLOCK,PENNY,J,FNP,F,I,1985 STARTOWN RD,SUITE 102,HICKORY,NC,286028307,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1043557549,GORHAM,JOAN,,"AOCNP, MSN",F,I,1275 YORK AVE,,NEW YORK,NY,100656007,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,47.641818182,37.352727273,37.372727273
1043557630,TAYAL,PRANAV,,M.D.,M,I,757 NORLAND AVE,SUITE 203,CHAMBERSBURG,PA,172014230,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,29,120,230,55.605086957,8.32,6.2125217391,6.2125217391
1043557630,TAYAL,PRANAV,,M.D.,M,I,757 NORLAND AVE,SUITE 203,CHAMBERSBURG,PA,172014230,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,41,44,12.913636364,1.42,1.0684090909,1.0684090909
1043557630,TAYAL,PRANAV,,M.D.,M,I,757 NORLAND AVE,SUITE 203,CHAMBERSBURG,PA,172014230,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,319.95545455,67.72,53.1,54.73
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,43,120,66.51375,8.32,5.8700833333,5.8700833333
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,13.965,1.42,1.1157142857,1.1157142857
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,44,20.065681818,17.51,13.249772727,13.09
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,160.16,23.616363636,17.268181818,16.132727273
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,33,34.370606061,5.0581818182,3.8742424242,3.48
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,257.82,33.144166667,25.983333333,25.973333333
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,118,128,204.7928125,79.8,59.884921875,52.98421875
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,38,27.3075,27.050833333
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,3600,0.17,0.0464472222,0.0317916667,0.0317916667
1043558109,TROEMEL,SARAH,,FNP,F,I,715 S 9TH ST,,CANON CITY,CO,812124911,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,110.78571429,33,24.022142857,24.022142857
1043558836,JOHNS,GARRI,R,FNP-BC,F,I,802 S 6TH ST,UFJAX - CROSSROADS FAMILY MEDICINE,MACCLENNY,FL,320639608,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,33,63.114242424,8.32,5.7324242424,5.7324242424
1043558836,JOHNS,GARRI,R,FNP-BC,F,I,802 S 6TH ST,UFJAX - CROSSROADS FAMILY MEDICINE,MACCLENNY,FL,320639608,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,17,14.125294118,1.42,0.9835294118,0.9835294118
1043558836,JOHNS,GARRI,R,FNP-BC,F,I,802 S 6TH ST,UFJAX - CROSSROADS FAMILY MEDICINE,MACCLENNY,FL,320639608,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,48.227272727,37.81,38.38
1043560105,DESAMOURS,ALVINE,,P.A.,F,I,7250 PARKWAY DR,SUITE 500,HANOVER,MD,210761388,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,79.425,16.857,13.213,13.546
1043560105,DESAMOURS,ALVINE,,P.A.,F,I,7250 PARKWAY DR,SUITE 500,HANOVER,MD,210761388,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.7272727273,4.4936363636,3.82
1043560105,DESAMOURS,ALVINE,,P.A.,F,I,7250 PARKWAY DR,SUITE 500,HANOVER,MD,210761388,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,475.759,78.823,61.797,55.686
1043560105,DESAMOURS,ALVINE,,P.A.,F,I,7250 PARKWAY DR,SUITE 500,HANOVER,MD,210761388,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,19,126.71052632,17.767368421,12.533684211,12.418947368
1043560238,HARTMAN,ELIZABETH,,NURSE PRACTITIONER,F,I,8314 TRAFORD LN STE C,,SPRINGFIELD,VA,221521661,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,71.089090909,12,9.41,9.12
1043560238,HARTMAN,ELIZABETH,,NURSE PRACTITIONER,F,I,8314 TRAFORD LN STE C,,SPRINGFIELD,VA,221521661,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,90,9.8546666667,2,1.5683333333,1.587
1043560683,CALES,CARRIE,L,CNP,F,I,4567 TURNEY RD,,MADISON,OH,440579773,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,15,61.06,8.32,5.22,5.22
1043561277,OLAGBAIYE,TEMITOPE,O,NP,M,I,3956 MOUNT ELLIOTT ST,,DETROIT,MI,482071841,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,40,49.65575,8.32,6.196,6.196
1043561277,OLAGBAIYE,TEMITOPE,O,NP,M,I,3956 MOUNT ELLIOTT ST,,DETROIT,MI,482071841,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,16.122,1.42,0.9706666667,0.9706666667
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,49,49,125.6977551,39.401020408,30.890816327,30.551632653
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,20,31,31,480.59290323,88.007096774,68.995806452,67.994193548
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,22,35,73,178.69315068,33.210958904,25.839041096,25.739726027
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,20,101,62.302970297,17.97,14.088217822,14.469108911
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,18,100,62.2454,15.4112,12.0825,11.8931
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,18,37,37,209.53567568,56.674054054,44.436486486,42.996486486
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,35,43,43,91.147209302,18.047209302,14.14744186,14.092790698
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,81.995882353,12.54,9.83,9.2452941176
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,38,68,361,9.0410249307,2.0448753463,1.6021606648,1.5937119114
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,24,29,29,52.963448276,13.338965517,10.461034483,10.353448276
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,20,97,122,81.202377049,18.169180328,13.419508197,12.916065574
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,13,232.35,50.09,39.27,37.756153846
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,986.58,773.47,842.25
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,17,60,65,443.74676923,31.114307692,22.745384615,24.574923077
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,47,249,313,494.9613099,81.297507987,61.855335463,54.590063898
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,34,39,191.12102564,40.002564103,29.762564103,28.44
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,39,2340,15.999905983,9.7019487179,7.4836923077,7.4836923077
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,15.18475,10.981272727,8.6093409091,8.6093409091
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1854,0.2148975189,0.0463106796,0.0318230852,0.0318230852
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,68,4435,1.2418579481,0.1349830891,0.1009064262,0.1009064262
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,14,83,4530,12.86,2.9585629139,2.3186997792,2.3186997792
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,39.82,28.618333333,27.06
1043561517,MAJOSKEY,ASHLEY,,PA-C,F,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,26,135,135,107.24444444,33,24.720222222,24.720222222
1043562085,VITANOVSKI-PETROVSKI,DANA,,NP,F,I,42557 WOODWARD AVE,SUITE 200,BLOOMFIELD HILLS,MI,483045206,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3750,2739.8326667,1975.4893333,1975.4893333
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,20,52,183,74.030273224,8.32,5.6009289617,5.6009289617
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,34,10.935882353,1.42,1.0817647059,1.0817647059
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,30,7.8506666667,1.5,1.0246666667,1.008
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,51.599090909,14.022727273,8.3072727273,6.6009090909
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,68.176363636,12.04,9.44,9.12
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,82.08,11.590909091,8.0181818182,8.1463636364
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,70.176511628,17.3,12.613953488,12.59627907
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,47.221363636,6.4840909091,4.8995454545,3.9890909091
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,100,105,447.48542857,78.57,56.263809524,49.982761905
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,16,48,10484,0.2679187333,0.0466596719,0.0342579168,0.0342579168
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,2640,1.8354431818,0.1309886364,0.0913522727,0.0913522727
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,12.666362319,3.1131304348,2.4407101449,2.4407101449
1043562267,ROUBEN,CRAIG,D,,M,I,1802 E 10TH ST,,JEFFERSONVILLE,IN,471306016,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,18,63,63,88,33,23.746666667,23.746666667
1043563232,MAR,THET,T,NP,F,I,120 HOBART ST,,UTICA,NY,135014308,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,14,60.181428571,8.32,6.0314285714,6.0314285714
1043563232,MAR,THET,T,NP,F,I,120 HOBART ST,,UTICA,NY,135014308,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1310,0.4908091603,0.0460305344,0.0325877863,0.0325877863
1043563653,GURUNG,SUSHMA,,NP,F,I,1049 MAIN ST,,SPRINGFIELD,MA,011032114,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,19,69,67.068405797,8.32,5.9553623188,5.9553623188
1043564586,HAZRAT,EHSAN,,MD,M,I,1515 VILLAGE DR,,COTTAGE GROVE,OR,974249700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,32,83,263,62.49418251,8.32,5.9463498099,5.9463498099
1043564586,HAZRAT,EHSAN,,MD,M,I,1515 VILLAGE DR,,COTTAGE GROVE,OR,974249700,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.942857143,3.38,2.4607142857,2.4607142857
1043564586,HAZRAT,EHSAN,,MD,M,I,1515 VILLAGE DR,,COTTAGE GROVE,OR,974249700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,25,30,14.221666667,1.42,1.0046666667,1.0046666667
1043564586,HAZRAT,EHSAN,,MD,M,I,1515 VILLAGE DR,,COTTAGE GROVE,OR,974249700,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,27,3.88,2.4278571429,2.8592857143
1043564586,HAZRAT,EHSAN,,MD,M,I,1515 VILLAGE DR,,COTTAGE GROVE,OR,974249700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,23,484.20304348,67.991304348,48.365217391,49.728695652
1043564586,HAZRAT,EHSAN,,MD,M,I,1515 VILLAGE DR,,COTTAGE GROVE,OR,974249700,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,2698,1.4356819867,0.1322127502,0.0915567087,0.0915567087
1043564586,HAZRAT,EHSAN,,MD,M,I,1515 VILLAGE DR,,COTTAGE GROVE,OR,974249700,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,101.53846154,33,25.87,25.87
1043565062,VINAS PALOMINO,CARLOS,,M.D.,M,I,11600 SE FEDERAL HWY,,HOBE SOUND,FL,334555213,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,14,26,69.208076923,8.32,5.5169230769,5.5169230769
1043565062,VINAS PALOMINO,CARLOS,,M.D.,M,I,11600 SE FEDERAL HWY,,HOBE SOUND,FL,334555213,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.855454545,1.42,0.9163636364,0.9163636364
1043565062,VINAS PALOMINO,CARLOS,,M.D.,M,I,11600 SE FEDERAL HWY,,HOBE SOUND,FL,334555213,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,111.99,29.058333333,13.783333333,12.703333333
1043565179,ZUNIGA,RINA,D,MD,F,I,601 ROUTE 73 N,SUITE 101,MARLTON,NJ,080533470,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,33,72,69.62,8.32,5.9779166667,5.9779166667
1043565617,HARRISON,KENDA,M,NP,F,I,1701 N MAIN ST,SUITE E,SHELBYVILLE,TN,371602303,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,33,90,46.568111111,8.32,5.6522222222,5.6522222222
1043565617,HARRISON,KENDA,M,NP,F,I,1701 N MAIN ST,SUITE E,SHELBYVILLE,TN,371602303,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,16,9.24,1.42,1.0475,1.0475
1043565617,HARRISON,KENDA,M,NP,F,I,1701 N MAIN ST,SUITE E,SHELBYVILLE,TN,371602303,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,27.45047619,8.7733333333,6.8766666667,4.1880952381
1043565641,HARRIS,REBECCA,,,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,225.06,120.62,94.57,87.48
1043565922,ANDERSEN,MICHAEL,,DPM,M,I,7900 LEES SUMMIT RD,,KANSAS CITY,MO,641391236,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,15,264,13.093636364,10.93,8.5193939394,8.5193939394
1043565922,ANDERSEN,MICHAEL,,DPM,M,I,7900 LEES SUMMIT RD,,KANSAS CITY,MO,641391236,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1350,0.3233333333,0.13,0.1019111111,0.1019111111
1043565922,ANDERSEN,MICHAEL,,DPM,M,I,7900 LEES SUMMIT RD,,KANSAS CITY,MO,641391236,US,Podiatry,S,L2270,"Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,16,48.706875,48.706875,38.184375,42.45125
1043565922,ANDERSEN,MICHAEL,,DPM,M,I,7900 LEES SUMMIT RD,,KANSAS CITY,MO,641391236,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,17,144.60764706,144.60764706,113.36882353,99.99
1043565922,ANDERSEN,MICHAEL,,DPM,M,I,7900 LEES SUMMIT RD,,KANSAS CITY,MO,641391236,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,17,78.759411765,78.759411765,61.75,68.254705882
1043565971,AHMED,NAVEED,,M.D.,M,I,1200 RIVERPLACE BLVD,SUITE 620,JACKSONVILLE,FL,322079046,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,333.17357143,99.252857143,73.024285714,53.24
1043566003,GROTZINGER,LAURIE,K,PA,F,I,560 S MAPLE ST,SUITE 400,WACONIA,MN,553871733,US,Physician Assistant,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,136,15.580441176,10.93,8.5691911765,8.5691911765
1043566623,MOHTASHAMI,SHIVA,,M.D.,F,I,2400 W VILLARD AVE,,MILWAUKEE,WI,532094901,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,48,59.027083333,8.32,6.5222916667,6.5222916667
1043566649,MONTGOMERY,MICHAEL,W,MD,M,I,601 TEXAN TRL,300,CORPUS CHRISTI,TX,784112549,US,Physician/Internal Medicine,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,17,65,53.894117647,39.800588235,43.964705882
1043566649,MONTGOMERY,MICHAEL,W,MD,M,I,601 TEXAN TRL,300,CORPUS CHRISTI,TX,784112549,US,Physician/Internal Medicine,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,320,251.28,189.02944444,210.91888889
1043567100,AGUILING,MARK DEAN,T,M.D.,M,I,1301 S CLIFF AVE,STE 400,SIOUX FALLS,SD,571051023,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,25,52,57.273269231,8.32,5.8953846154,5.8953846154
1043567100,AGUILING,MARK DEAN,T,M.D.,M,I,1301 S CLIFF AVE,STE 400,SIOUX FALLS,SD,571051023,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,75.9425,17.69,12.714166667,12.4025
1043567100,AGUILING,MARK DEAN,T,M.D.,M,I,1301 S CLIFF AVE,STE 400,SIOUX FALLS,SD,571051023,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,182.07857143,33.932857143,26.605714286,26.705714286
1043567100,AGUILING,MARK DEAN,T,M.D.,M,I,1301 S CLIFF AVE,STE 400,SIOUX FALLS,SD,571051023,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,312.195,69.99,51.821666667,51.689444444
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,83.75,39.03,30.6,30.49
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,256.25,87.37,68.5,67.904166667
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,42.076428571,17.9,14.03,14.055714286
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,12,30,5.464,2.06,1.6156666667,1.595
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,17.484615385,5.93,4.65,4.65
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,80,13.36,10.48,10.48
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,26,26,134.69230769,38.328461538,30.041538462,30.505384615
1043568314,KANDEL,SAROJ,P,MD,M,I,601 NORLAND AVE,,CHAMBERSBURG,PA,172014235,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,301.25,67.72,53.1,54.3225
1043568934,DAVISON-WIESE,SHANNON,E,ARNP,F,I,1500 ASSOCIATES DR,,DUBUQUE,IA,520022201,US,Nurse Practitioner,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,33,453.62,397.16545455,310.00484848,309.20939394
1043569148,MCCUE,JANEAN,M,CNP,F,I,3605 MAYFAIR AVE,FAIRVIEW MESABA CLINIC,HIBBING,MN,55746,US,Nurse Practitioner,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,214,6.663364486,5.7388785047,4.0785981308,4.0795327103
1043569148,MCCUE,JANEAN,M,CNP,F,I,3605 MAYFAIR AVE,FAIRVIEW MESABA CLINIC,HIBBING,MN,55746,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,260,7.9215384615,7,5.488,5.488
1043569437,KLEAVELAND,KIMBERLY,A,FNP,F,I,2175 NW SHEVLIN PARK RD,,BEND,OR,977037101,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,195.165,65.7,51.51,54.193333333
1043569692,BRUCE,KAREN,P,FNP-C,F,I,16 DANFORTH ST.,HOOSICK FALLS FAMILY HEALTH CLINIC,HOOSICK FALLS,NY,12090,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,53,69.023396226,8.32,6.0594339623,6.0594339623
1043569692,BRUCE,KAREN,P,FNP-C,F,I,16 DANFORTH ST.,HOOSICK FALLS FAMILY HEALTH CLINIC,HOOSICK FALLS,NY,12090,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,99,7.9045454545,6.1945454545,3.6854545455
1043569957,RODBERG,KATHRYN,R,NP,F,I,725 AMERICAN AVE EMPLOYEE HEALTH,PROHEATLTH CARE MEDICAL ASSOCIATES INC.,WAUKESHA,WI,531885031,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,55,192,76.426197917,8.32,5.8497916667,5.8497916667
1043569957,RODBERG,KATHRYN,R,NP,F,I,725 AMERICAN AVE EMPLOYEE HEALTH,PROHEATLTH CARE MEDICAL ASSOCIATES INC.,WAUKESHA,WI,531885031,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,10.329473684,1.42,0.9968421053,0.9968421053
1043569957,RODBERG,KATHRYN,R,NP,F,I,725 AMERICAN AVE EMPLOYEE HEALTH,PROHEATLTH CARE MEDICAL ASSOCIATES INC.,WAUKESHA,WI,531885031,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,438.50142857,79.98,56.647857143,50.377857143
1043569957,RODBERG,KATHRYN,R,NP,F,I,725 AMERICAN AVE EMPLOYEE HEALTH,PROHEATLTH CARE MEDICAL ASSOCIATES INC.,WAUKESHA,WI,531885031,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,206.41285714,37.46,25.174285714,25.3
1043570302,WYATT,LORI,C,MD,F,I,105 ZEID BLVD,,HENDERSON,TX,756526070,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,29,69,56.92826087,8.32,6.3337681159,6.3337681159
1043570302,WYATT,LORI,C,MD,F,I,105 ZEID BLVD,,HENDERSON,TX,756526070,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,329.97,68.78,49.426666667,50.244166667
1043570302,WYATT,LORI,C,MD,F,I,105 ZEID BLVD,,HENDERSON,TX,756526070,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,67.06,16.7,12.362777778,12.372222222
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,59,198,444,70.436824324,8.32,5.2513738739,5.2513738739
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,28,50,64,14.16375,1.42,0.8559375,0.8559375
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,30,14,13.8,10.82,10.82
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,34,56,12.765535714,10.896428571,8.2375,8.26375
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,104,6.0263461538,2.91,1.9302884615,1.9302884615
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,190,11.241052632,5.54,4.0004210526,4.0004210526
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A4423,"Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,4.5333333333,2.09,1.5354848485,1.5354848485
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,24,82.6725,71.56,51.429583333,51.429583333
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,4.8052173913,1.6891304348,0.9630434783,0.8
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,759.21,266.95916667,197.3375,109.2
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,63,66,74.712878788,17.304242424,12.130909091,12.106818182
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,27.44969697,6.6372727273,4.2281818182,2.6627272727
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,38.58047619,10.646190476,6.6461904762,6.6966666667
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,26,152,158,417.27607595,71.204050633,51.46556962,50.454810127
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,93.566666667,36.730555556,27.219444444,27.952777778
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,24,6492,0.1839248306,0.0461491066,0.0302387554,0.0302387554
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,4439,0.389990989,0.1330232034,0.0956273936,0.0956273936
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,46,46,60,20.138478261,14.389347826,13.123043478
1043570369,DUPRE,MATTHEW,T,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,46601,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,52,52,70.557692308,33,21.89,21.89
1043570450,HOBDY,NATALIE,,M.D.,F,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,33.3975,22.4775,15.134166667,13.783333333
1043570450,HOBDY,NATALIE,,M.D.,F,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1043570450,HOBDY,NATALIE,,M.D.,F,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,50.73,7.185,1.741875,1.345625
1043570450,HOBDY,NATALIE,,M.D.,F,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,296.3044,98.0128,69.908,64.3944
1043570450,HOBDY,NATALIE,,M.D.,F,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1920,0.92,0.1340625,0.0805729167,0.0805729167
1043570450,HOBDY,NATALIE,,M.D.,F,I,206 E 16TH ST,,DALHART,TX,790224802,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,132,33,18.980588235,18.980588235
1043570617,ASHLEY,TIMOTHY,D,M.D.,M,I,2900 E 29TH ST,SUITE 100,BRYAN,TX,778022622,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,15,28,58.336785714,8.32,6.5207142857,6.5207142857
1043570617,ASHLEY,TIMOTHY,D,M.D.,M,I,2900 E 29TH ST,SUITE 100,BRYAN,TX,778022622,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,17.29,13.203333333,13.183333333
1043570617,ASHLEY,TIMOTHY,D,M.D.,M,I,2900 E 29TH ST,SUITE 100,BRYAN,TX,778022622,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,380,70.23,50.471666667,50.16
1043570617,ASHLEY,TIMOTHY,D,M.D.,M,I,2900 E 29TH ST,SUITE 100,BRYAN,TX,778022622,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,45,4.58,3.591875,3.59
1043570708,HELLER,CASSANDRA,,DO,F,I,1381 UNIVERSITY ST,,HEALDSBURG,CA,954483314,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,31,65,185,84.257243243,8.32,4.3017837838,4.3017837838
1043570708,HELLER,CASSANDRA,,DO,F,I,1381 UNIVERSITY ST,,HEALDSBURG,CA,954483314,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,30,42,13.356428571,1.42,0.77,0.77
1043570708,HELLER,CASSANDRA,,DO,F,I,1381 UNIVERSITY ST,,HEALDSBURG,CA,954483314,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,22.190555556,4.42,3.465,3.8944444444
1043570757,HOFFMANN,JAMES,R,MD,M,I,3805 W 28TH AVE,,PINE BLUFF,AR,71603,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,33,33,33,68.327272727,64.360606061,45.134848485,47.399090909
1043570757,HOFFMANN,JAMES,R,MD,M,I,3805 W 28TH AVE,,PINE BLUFF,AR,71603,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,39,61.423076923,56.23,39.562564103,39.090512821
1043570757,HOFFMANN,JAMES,R,MD,M,I,3805 W 28TH AVE,,PINE BLUFF,AR,71603,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,32,21.796875,20.775,16.1365625,13.51625
1043570872,HALLOCK,RICHARD,J,MD,M,I,3980 SHERIDAN DR,,AMHERST,NY,142261727,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,395,105.42090909,82.651818182,54.73
1043570872,HALLOCK,RICHARD,J,MD,M,I,3980 SHERIDAN DR,,AMHERST,NY,142261727,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,300,45.002727273,35.284545455,29.516363636
1043570930,SPERLING,SCOTT,,M.D.,M,I,800 WASHINGTON ST,BOX 268NB,BOSTON,MA,021111552,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,47,95,512,71.5759375,8.32,6.0387695313,6.0387695313
1043570930,SPERLING,SCOTT,,M.D.,M,I,800 WASHINGTON ST,BOX 268NB,BOSTON,MA,021111552,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,20,39,135,18.589703704,1.42,1.0635555556,1.0635555556
1043571037,RENNELS,MATTHEW,L,DO,M,I,2865 N REYNOLDS RD STE 140,,TOLEDO,OH,436152069,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,473.26181818,80.790909091,61.260909091,63.13
1043571151,BANGA,PRITISHEEL,,DO,F,I,1595 SOQUEL DR STE 411,,SANTA CRUZ,CA,950651724,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,62,211,69.753838863,8.32,5.6564454976,5.6564454976
1043571151,BANGA,PRITISHEEL,,DO,F,I,1595 SOQUEL DR STE 411,,SANTA CRUZ,CA,950651724,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,16,33,14.340909091,1.42,1.0124242424,1.0124242424
1043571151,BANGA,PRITISHEEL,,DO,F,I,1595 SOQUEL DR STE 411,,SANTA CRUZ,CA,950651724,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,11,45,45,484.32622222,251.11,196.87,196.87
1043571458,HIMES,MARK,,DO,M,I,622 W MAPLE ST,STE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,34,96,84.256041667,8.32,5.37,5.37
1043571458,HIMES,MARK,,DO,M,I,622 W MAPLE ST,STE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,39,66.86025641,17.246153846,13.521538462,13.521538462
1043571458,HIMES,MARK,,DO,M,I,622 W MAPLE ST,STE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24,4.6954545455,3.6763636364,3.7872727273
1043571458,HIMES,MARK,,DO,M,I,622 W MAPLE ST,STE B,FARMINGTON,NM,874016590,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,44,422.44431818,69.365,49.892954545,50.452727273
1043571813,SHERMAN,LAURA,,FNP-BC,F,I,229 SEBASTIAN BLVD,,SEBASTIAN,FL,329584616,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2046,3.84,2.04,1.5955571848,1.5955571848
1043571813,SHERMAN,LAURA,,FNP-BC,F,I,229 SEBASTIAN BLVD,,SEBASTIAN,FL,329584616,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.6136363636,7.46,5.85,5.85
1043571813,SHERMAN,LAURA,,FNP-BC,F,I,229 SEBASTIAN BLVD,,SEBASTIAN,FL,329584616,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,80,4.7027272727,3.6881818182,3.6854545455
1043572696,OKEKE,AUGUSTINE,O,M.D.,M,I,5050 NE HOYT ST,SUITE 540,PORTLAND,OR,972132985,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,90.1085,22.13275,15.85875,12.177
1043572696,OKEKE,AUGUSTINE,O,M.D.,M,I,5050 NE HOYT ST,SUITE 540,PORTLAND,OR,972132985,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,30,6.9311764706,4.65,2.9152941176
1043572696,OKEKE,AUGUSTINE,O,M.D.,M,I,5050 NE HOYT ST,SUITE 540,PORTLAND,OR,972132985,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,401.0696,100.6588,72.3912,54.1756
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,39,74,47.26,8.32,5.9113513514,5.9113513514
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,287.63272727,102.20545455,65.615454545,57.183636364
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,66.922307692,19.835384615,13.666153846,12.864615385
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,57.113333333,14.26,9.944,8.5933333333
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,16,78,8.8666666667,2.4419230769,1.7944871795,1.5758974359
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,34,34,146.36647059,38.012058824,25.984117647,21.840588235
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,53,401.13207547,69.99,51.764150943,51.634716981
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,47,47,110,38.68,28.957446809,28.199148936
1043573025,NEVERMAN,ERIC,M,D.O.,M,I,101 E J AVE,SUITE 120,GRUNDY CENTER,IA,506382004,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,23.518181818,23.518181818
1043573058,PODZIEWSKI,JUDY,A,FNP-C,F,I,290 BROADWAY,,NEWBURGH,NY,125505441,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,31,83,53.365180723,8.32,4.8304819277,4.8304819277
1043573058,PODZIEWSKI,JUDY,A,FNP-C,F,I,290 BROADWAY,,NEWBURGH,NY,125505441,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,134.38,44.925,27.808333333,29.876666667
1043573058,PODZIEWSKI,JUDY,A,FNP-C,F,I,290 BROADWAY,,NEWBURGH,NY,125505441,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.5521666667,7.289625,7.289625
1043573058,PODZIEWSKI,JUDY,A,FNP-C,F,I,290 BROADWAY,,NEWBURGH,NY,125505441,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1140,1.5706315789,0.1365789474,0.0998947368,0.0998947368
1043573058,PODZIEWSKI,JUDY,A,FNP-C,F,I,290 BROADWAY,,NEWBURGH,NY,125505441,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,27,113.66666667,33,24.911851852,24.911851852
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,44,118,64.927457627,8.32,5.748220339,5.748220339
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,216.92307692,121.71461538,95.423846154,71.066153846
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,13,86.923076923,41.419230769,30.268461538,25.083076923
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,129.92428571,75.95,56.177142857,41.627142857
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,17,17,39.210588235,24.593529412,18.364705882,13.66
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,22,22,36.815454545,20.214090909,14.932272727,8.7863636364
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,32,122,4.841557377,2.7394262295,1.7786885246,1.3301639344
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,17,17,15.903529412,8.76,6.1311764706,4.1911764706
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,35,9.1348,7.1612,4.2244
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,54,54,140.74074074,43.996851852,32.504259259,23.648888889
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,70,329.94857143,95.086285714,72.117,56.466714286
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2340,1.3641837607,0.1375641026,0.1078675214,0.1078675214
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,75,42.841333333,32.495,29.037333333
1043573066,LAZORKA,JEREMY,D,PA-C,M,I,7133 NITTANY VALLEY DR,,MILL HALL,PA,177519013,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,67.65,33,25.87,25.87
1043573322,LESTER,JAMES,S,D.O.,M,I,1601 OWEN DR,,FAYETTEVILLE,NC,283043425,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,24,87.076666667,8.32,5.43375,5.43375
1043573322,LESTER,JAMES,S,D.O.,M,I,1601 OWEN DR,,FAYETTEVILLE,NC,283043425,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.38,5.38,3.8665,3.994625
1043573322,LESTER,JAMES,S,D.O.,M,I,1601 OWEN DR,,FAYETTEVILLE,NC,283043425,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,2.96,2.96,2.127125,2.1914166667
1043573322,LESTER,JAMES,S,D.O.,M,I,1601 OWEN DR,,FAYETTEVILLE,NC,283043425,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,277.41538462,81.623076923,63.993846154,57.980769231
1043573355,BASHAM,KYLE,B,MD,M,I,1924 ALCOA HWY # U-11,,KNOXVILLE,TN,379201511,US,Physician/General Surgery,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1830,5.2736065574,1.937704918,1.5191584699,1.5916338798
1043573561,YI,HEON SOO,,M.D.,M,I,3650 JOSEPH SIEWICK DR,SUITE 400,FAIRFAX,VA,220331710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,33,74.45969697,8.32,5.7327272727,5.7327272727
1043573595,DAVIS,BENJAMIN,,M.D.,M,I,1401 MADISON ST STE 400,,SEATTLE,WA,981041316,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,16,57.790625,8.32,5.225625,5.225625
1043573694,YU,CHIBONG ALEX,,"D.O., M.P.H.",M,I,2700 DOLBEER ST,,EUREKA,CA,955014736,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,35,5.7272727273,4.4936363636,3.6854545455
1043573785,ANTOUN,DAVID,G,MD,M,I,1 BAYLOR PLZ,,HOUSTON,TX,770303411,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,72.06,56.5,54.8775
1043573785,ANTOUN,DAVID,G,MD,M,I,1 BAYLOR PLZ,,HOUSTON,TX,770303411,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,36.58,28.67,29.44
1043573975,GONZALEZ,CHRISTINA,E,D.O.,F,I,700 W CENTRAL AVE,SUITE 200,EL DORADO,KS,670422184,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,19,31,49.234193548,8.32,6.104516129,6.104516129
1043573975,GONZALEZ,CHRISTINA,E,D.O.,F,I,700 W CENTRAL AVE,SUITE 200,EL DORADO,KS,670422184,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,22,277.8,29.219545455,21.909545455,23.461363636
1043574155,PATEL,SAMRAT,,M.D,M,I,250 PARK ST,,BOWLING GREEN,KY,421011760,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,41,61.750243902,21.429268293,16.070487805,13.163658537
1043574155,PATEL,SAMRAT,,M.D,M,I,250 PARK ST,,BOWLING GREEN,KY,421011760,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25.38,6.6966666667,5.2494444444,3.8377777778
1043574155,PATEL,SAMRAT,,M.D,M,I,250 PARK ST,,BOWLING GREEN,KY,421011760,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,371.07857143,95.551904762,72.148095238,54.010714286
1043574478,MOE,JACOB,L,D.O.,M,I,32255 NORTHWESTERN HWY STE 214,,FARMINGTON HILLS,MI,48334,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,59,48.696440678,8.32,6.5222033898,6.5222033898
1043574486,BLECHER,STACY,,M.D.,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1960,913.16,710.9975,837.33833333
1043574486,BLECHER,STACY,,M.D.,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21,5.3218181818,4.1690909091,3.6854545455
1043574486,BLECHER,STACY,,M.D.,F,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Hospitalist,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,110,43.541666667,32.809166667,33.7875
1043574650,HUBBARD,MICHAEL,D,D.O.,M,I,2345 DOUGHERTY FERRY RD,,SAINT LOUIS,MO,631223313,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,195.02538462,50.756923077,36.926923077,33.907692308
1043574650,HUBBARD,MICHAEL,D,D.O.,M,I,2345 DOUGHERTY FERRY RD,,SAINT LOUIS,MO,631223313,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,13,15,255,85.276470588,24.01,18.462352941,19.303098039
1043574783,BAUER,LEAH,R,CNP,F,I,270 MAIN ST N STE 300,,STILLWATER,MN,550826788,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,70,64.223714286,8.32,6.3368571429,6.3368571429
1043574783,BAUER,LEAH,R,CNP,F,I,270 MAIN ST N STE 300,,STILLWATER,MN,550826788,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,432.409375,46.43,34.12875,35.115625
1043574783,BAUER,LEAH,R,CNP,F,I,270 MAIN ST N STE 300,,STILLWATER,MN,550826788,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,176.35846154,34.397692308,26.965384615,26.617692308
1043574981,BOPPANA,RATNA,C,MBBS,F,I,1415 WOODLAND AVE,SUITE 140,DES MOINES,IA,503093203,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,400,103.089375,77.3678125,51.4309375
1043574981,BOPPANA,RATNA,C,MBBS,F,I,1415 WOODLAND AVE,SUITE 140,DES MOINES,IA,503093203,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,110,44.34,33.395833333,28.285416667
1043575145,BARCZEWSKI,LAURA,L,M.D.,F,I,1400 GRAND AVE,,NEWPORT,KY,41071,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,50,125,79.75344,8.32,6.15472,6.15472
1043575145,BARCZEWSKI,LAURA,L,M.D.,F,I,1400 GRAND AVE,,NEWPORT,KY,41071,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,28,14.663571429,1.42,1.0371428571,1.0371428571
1043575145,BARCZEWSKI,LAURA,L,M.D.,F,I,1400 GRAND AVE,,NEWPORT,KY,41071,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,50,5.657037037,3.8674074074,3.0948148148
1043575145,BARCZEWSKI,LAURA,L,M.D.,F,I,1400 GRAND AVE,,NEWPORT,KY,41071,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,3450,0.340115942,0.0449362319,0.032826087,0.032826087
1043575145,BARCZEWSKI,LAURA,L,M.D.,F,I,1400 GRAND AVE,,NEWPORT,KY,41071,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,29,3780,1.1567857143,0.1333333333,0.0929973545,0.0929973545
1043575145,BARCZEWSKI,LAURA,L,M.D.,F,I,1400 GRAND AVE,,NEWPORT,KY,41071,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,44,44,53.25,33,23.4125,23.4125
1043575244,TITIANU,MIRELA,,M.D.,F,I,2825 E BARNETT RD,,MEDFORD,OR,975048332,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,179,17.09,12.442857143,12.576428571
1043575244,TITIANU,MIRELA,,M.D.,F,I,2825 E BARNETT RD,,MEDFORD,OR,975048332,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,288.75,4.0807692308,3.1984615385,3.6384615385
1043575244,TITIANU,MIRELA,,M.D.,F,I,2825 E BARNETT RD,,MEDFORD,OR,975048332,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,39,760.48,65.7,49.073333333,52.314102564
1043575244,TITIANU,MIRELA,,M.D.,F,I,2825 E BARNETT RD,,MEDFORD,OR,975048332,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,285.6,37.64,29.51,29.51
1043575442,SINGSON,AUDREEN,L,MD,F,I,2101 JACKSON ST STE 209,,ANDERSON,IN,460164387,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,24,79.868333333,8.32,6.52125,6.52125
1043575442,SINGSON,AUDREEN,L,MD,F,I,2101 JACKSON ST STE 209,,ANDERSON,IN,460164387,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,34.521428571,17.27,11.605714286,11.605714286
1043575442,SINGSON,AUDREEN,L,MD,F,I,2101 JACKSON ST STE 209,,ANDERSON,IN,460164387,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,21,303.64142857,74.16,55.535238095,52.123809524
1043575491,LAU,MARIA,,D.O.,F,I,1450 NORIEGA ST,,SAN FRANCISCO,CA,941224432,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,28.03,22.727272727,16.036363636,14.481818182
1043575806,KACERGUIS,TERESA,A,"APRN, ACNS-BC",F,I,3000 N IH 35,STE 635,AUSTIN,TX,787051804,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160,49.558333333,38.855,37.161666667
1043575806,KACERGUIS,TERESA,A,"APRN, ACNS-BC",F,I,3000 N IH 35,STE 635,AUSTIN,TX,787051804,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,224.4,73,57.23,55.0425
1043575806,KACERGUIS,TERESA,A,"APRN, ACNS-BC",F,I,3000 N IH 35,STE 635,AUSTIN,TX,787051804,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,70.380714286,20.256785714,15.219642857,14.515714286
1043575806,KACERGUIS,TERESA,A,"APRN, ACNS-BC",F,I,3000 N IH 35,STE 635,AUSTIN,TX,787051804,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,25.28,8.5625925926,6.4207407407,6.66
1043575855,WILDA,ASHLEY,A,PA-C,F,I,2215 44TH ST SW,,WYOMING,MI,495196439,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,35,74.714,8.32,6.5211428571,6.5211428571
1043576325,GLASS,ASHLEIGH,L,D.O.,F,I,5354 REYNOLDS ST,STE 424,SAVANNAH,GA,314056007,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,33.838666667,21.260666667,16.665333333,14.464
1043576325,GLASS,ASHLEIGH,L,D.O.,F,I,5354 REYNOLDS ST,STE 424,SAVANNAH,GA,314056007,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,179.25066667,88.108,69.078,54.747333333
1043576382,WATSON,SAMANTHA,,M.D.,F,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,11,69.957272727,69.957272727,54.849090909,52.374545455
1043576630,ATHWAL,LISA,,,F,I,14 MULE RD,,TOMS RIVER,NJ,087555060,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,18,67.530555556,60.269444444,44.613888889,50.242222222
1043576960,MAYERS,LORI,H,N.P.,F,I,15813 PAUL VEGA MD DR,SUITE 201,HAMMOND,LA,704031495,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,58.390666667,17.328666667,12.947777778,12.934444444
1043576960,MAYERS,LORI,H,N.P.,F,I,15813 PAUL VEGA MD DR,SUITE 201,HAMMOND,LA,704031495,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,49,49,1561.02,942.14,732.78367347,834.28938776
1043576960,MAYERS,LORI,H,N.P.,F,I,15813 PAUL VEGA MD DR,SUITE 201,HAMMOND,LA,704031495,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,27.827272727,4.7027272727,3.6881818182,3.6868181818
1043576960,MAYERS,LORI,H,N.P.,F,I,15813 PAUL VEGA MD DR,SUITE 201,HAMMOND,LA,704031495,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,77,77,299.25272727,70.398051948,52.256753247,51.943896104
1043576960,MAYERS,LORI,H,N.P.,F,I,15813 PAUL VEGA MD DR,SUITE 201,HAMMOND,LA,704031495,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,106.44555556,37.44,26.088888889,26.217777778
1043577059,ZULFIQAR,OMER,,M.D.,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,28203,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,1200,65.29,51.19,48.559166667
1043577059,ZULFIQAR,OMER,,M.D.,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,28203,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,52.92,17.96,13.493333333,13.065833333
1043577059,ZULFIQAR,OMER,,M.D.,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,28203,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.98,3.9,3.95
1043577059,ZULFIQAR,OMER,,M.D.,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,28203,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,419.59652174,83.260869565,61.277826087,51.624565217
1043577059,ZULFIQAR,OMER,,M.D.,M,I,1000 BLYTHE BLVD,CMC ANNEX 1ST FLOOR,CHARLOTTE,NC,28203,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,100,35.27,25.145454545,27.047272727
1043577067,PENTLOW,CHRISTINA,,,F,I,2001 MARCUS AVE STE N204,,NEW HYDE PARK,NY,110421084,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,32,117,70.282051282,8.32,5.741965812,5.741965812
1043577067,PENTLOW,CHRISTINA,,,F,I,2001 MARCUS AVE STE N204,,NEW HYDE PARK,NY,110421084,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,22,34,13.774117647,1.42,0.8841176471,0.8841176471
1043577414,RIZK,CYNTHIA,,M.D.,F,I,1200 RIVERPLACE BLVD,SUITE 620,JACKSONVILLE,FL,322079046,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,29,91.030689655,16.5,12.94,13.519310345
1043577414,RIZK,CYNTHIA,,M.D.,F,I,1200 RIVERPLACE BLVD,SUITE 620,JACKSONVILLE,FL,322079046,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,43.855,3.8,2.2716666667,2.8941666667
1043577414,RIZK,CYNTHIA,,M.D.,F,I,1200 RIVERPLACE BLVD,SUITE 620,JACKSONVILLE,FL,322079046,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,31,480.37580645,77.18,60.51,54.906774194
1043577752,HUSAIN,MARIUM,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,37,17.448181818,12.429090909,12.309090909
1043577752,HUSAIN,MARIUM,,M.D.,F,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,270,78.77,56.7125,50.7875
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,160.83,67.444444444,51.231111111,37.530555556
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,38,70.206052632,22.607105263,16.544473684,12.937105263
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,4605.0466667,942.14,722.13133333,825.75266667
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,28.360909091,9.2727272727,6.61,3.6163636364
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,94.95,42.1955,31.7905,23.378
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,46,351.88,106.71434783,82.180869565,56.875217391
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2280,0.9316184211,0.1344473684,0.100627193,0.100627193
1043577984,ATKINS,LOGAN,M,MD,M,I,2106 LOOP RD,,WINNSBORO,LA,712953344,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,125.8125,33,22.63625,22.63625
1043578313,WHITE,KATHRYN,A,D.O.,F,I,1145 S UTICA AVE,STE 460,TULSA,OK,741044000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,310.47076923,76.48,59.96,55.929230769
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,25,67,41.912537313,8.32,5.8414925373,5.8414925373
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,160,13.5055,9.86,6.8333125,6.8333125
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,128.85333333,51.114,40.076,31.282666667
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,2.2823333333,2.02,1.5836666667,1.5836666667
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,8.6114705882,1.9464705882,1.4511764706,1.1241176471
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,23,23,428.44695652,120.20956522,88.98826087,64.735217391
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,52,163.38192308,47.099615385,35.273461538,25.290576923
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,74,116.70621622,25.961891892,18.933243243,13.24972973
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,292.85777778,74.922777778,52.02,36.616111111
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,23,23,86.374782609,24.309565217,18.057391304,13.129130435
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,20,20,100.234,19.9935,14.6665,8.2085
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,38,209,12.656267943,3.2133971292,2.41784689,1.5407177033
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,57.369230769,15.532307692,12.173076923,10.34
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,83,85,86.31,25.849529412,19.738235294,14.964823529
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4806.65,1034.36,798.98416667,830.30416667
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,33.835294118,8.2479411765,6.0382352941,3.2794117647
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,39,39,368.09128205,54.504871795,38.974358974,27.288717949
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,18,169,173,415.63369942,101.59456647,77.473468208,53.662543353
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,250,44.90875,33.156875,28.11625
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,33,1860,15.58,9.593016129,7.3666451613,7.3666451613
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,3669,0.4090569638,0.0457645135,0.0358680839,0.0358626329
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,52,4980,0.7333895582,0.133873494,0.1027811245,0.1027811245
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,34,1920,12.790411458,3.103125,2.432875,2.432875
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,200,44.745,35.0825,29.913055556
1043578834,WALZ,DALLAS,C,M.D.,M,I,651 E PRESCOTT RD,,SALINA,KS,674017408,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,16,98,98,104.07908163,33,25.87,25.87
1043578867,MUNSEY,DONNA,M,D.O.,F,I,2025 GLENN MITCHELL DR,,VIRGINIA BEACH,VA,234560178,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,220,78.23,58.663478261,52.340869565
1043578867,MUNSEY,DONNA,M,D.O.,F,I,2025 GLENN MITCHELL DR,,VIRGINIA BEACH,VA,234560178,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,200,38.05,24.922777778,24.637777778
1043579014,KINGSLEY,LESLIE,N,D.O.,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,79,44.380253165,8.32,5.5755696203,5.5755696203
1043579014,KINGSLEY,LESLIE,N,D.O.,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4514,1.2624723084,0.6360301285,0.4986597253,0.5128400532
1043579014,KINGSLEY,LESLIE,N,D.O.,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,17.27,12.787777778,12.787777778
1043579014,KINGSLEY,LESLIE,N,D.O.,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,340.70209302,69.81,53.142325581,53.142325581
1043579014,KINGSLEY,LESLIE,N,D.O.,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1074,1.7010148976,0.1272718808,0.0746461825,0.0746461825
1043579014,KINGSLEY,LESLIE,N,D.O.,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,84,36.14,28.33,29.411666667
1043579014,KINGSLEY,LESLIE,N,D.O.,F,I,2700 BAKER ST FL 3,,MUSKEGON,MI,494442157,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,88,33,20.978888889,20.978888889
1043579428,DANG,HUONG,H,M.D.,F,I,3600 GASTON AVE,#550,DALLAS,TX,752461800,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,46.801851852,17.63,12.436296296,12.167777778
1043579428,DANG,HUONG,H,M.D.,F,I,3600 GASTON AVE,#550,DALLAS,TX,752461800,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,3585.7145455,1074.31,842.26,842.26
1043579428,DANG,HUONG,H,M.D.,F,I,3600 GASTON AVE,#550,DALLAS,TX,752461800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,288.749,76.48,53.964,49.248
1043579519,GIRMA,FEBEN,,,F,I,1200 N MARTIN LUTHER KING JR DR,,WINSTON SALEM,NC,271013006,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,22,59,71.961864407,8.32,5.8588135593,5.8588135593
1043579519,GIRMA,FEBEN,,,F,I,1200 N MARTIN LUTHER KING JR DR,,WINSTON SALEM,NC,271013006,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,60.0075,17.29,11.85625,11.83875
1043579519,GIRMA,FEBEN,,,F,I,1200 N MARTIN LUTHER KING JR DR,,WINSTON SALEM,NC,271013006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,387.67384615,70.23,50.824615385,50.510769231
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,55,212,59.283962264,8.32,6.0917924528,6.0917924528
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,19,19,16.654736842,3.38,2.3710526316,2.3710526316
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,21.610909091,2.12,1.3663636364,1.3663636364
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,23,52,100,16.8332,1.42,1.0366,1.0366
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,302,70.779072848,18.441986755,14.458609272,14.472649007
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,1230,7.0964390244,2.96,2.3206666667,2.3206666667
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,3,,25,118,5.9354237288,4.1,3.2144915254,3.2987288136
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,450,7,5.21,4.0846666667,4.0972
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,476,41.832016807,34.86,27.193277311,27.193277311
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,328,9.9360060976,8.28,6.4916463415,6.4916463415
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,25,300,13.115833333,10.93,8.5691666667,8.5691666667
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,29,76,11.551842105,8.1,6.35,6.4257894737
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,32,106,6.705,4.31,3.3778301887,3.3778301887
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,35,4.6725714286,1.46,1.1131428571,1.1231428571
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,6.83,2.33,1.82,1.82
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,465,7.2477419355,3.81,2.9870537634,2.9870537634
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,670,3.34,2.9925970149,2.2470447761,2.2687164179
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,32,979,91.042083759,4.8637997957,3.7784473953,4.1283043922
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,12900,0.35,0.3,0.2267193798,0.2346294574
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,12192,2.3655011483,0.6287286745,0.4811540354,0.5056692913
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,15,15,65.07,60.998666667,47.824,48.329333333
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,25,129,130,84.395307692,17,12.711461538,12.915307692
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,3,,61,71,1797.318169,913.16,713.89929577,815.3271831
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,18,156,161,2815.2419876,913.16,711.5142236,829.22229814
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,68,69,1618.5,936.42826087,733.0673913,733.0673913
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,22,127,127,24.279212598,5.6334645669,4.0523622047,3.3685826772
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,5.95,5.0296,3.94,3.9504
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,51,301,303,508.28217822,79.19980198,58.220858086,51.492871287
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,19,135,136,525.01102941,37.15,27.844852941,28.220882353
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,13,22,1680,23.39947619,11.2495,8.8196607143,8.8196547619
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,13,22,4385,2.4424287343,0.1344811859,0.0984583808,0.0984583808
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,83.428666667,21.35,14.508,11.353333333
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,344.50769231,37.15,24.648461538,25.043846154
1043581317,MILANI,ARASH,,MD,M,I,12740 HESPERIA RD STE A,,VICTORVILLE,CA,923958306,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,26,26,41.538461538,33,24.875,24.875
1043581812,REILLY,CULLAN,R,D.P.M.,M,I,810 MITCHELL AVE,,SALISBURY,NC,281446253,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,22,319.44318182,266.98,209.31,218.89
1043581812,REILLY,CULLAN,R,D.P.M.,M,I,810 MITCHELL AVE,,SALISBURY,NC,281446253,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,184.82,163.79,128.41,126.52
1043582216,KOVAL,JESSICA,A,NP,F,I,850 HARRISON AVE,YACC 4,BOSTON,MA,021184001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,29,94.159310345,8.32,5.1748275862,5.1748275862
1043582851,ARORA,SHITIJ,,MD,M,I,374 STOCKHOLM ST,ROOM 406,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,16.86,13.22,13.54
1043582851,ARORA,SHITIJ,,MD,M,I,374 STOCKHOLM ST,ROOM 406,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.36,60.65,54.73
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,52,52,99.029807692,37.885961538,25.710192308,26.519423077
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,38,76,8.7132894737,1.4742105263,1.095,1.0907894737
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,28,32,32,73.3165625,14.77,10.784375,8.850625
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,252.36941176,89.818823529,60.21,57.81
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,22,62,98.507580645,33.909032258,21.163064516,20.566774194
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,15,33,166,59.955963855,19.453915663,14.453072289,13.803554217
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,22,119,43.015042017,16,11.278739496,10.726806723
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,24,55,55,181.99509091,56.238727273,39.883636364,38.763272727
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,26,37,37,54.513513514,17.997297297,12.963783784,12.921351351
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,28.727333333,10.069333333,7.898,8.15
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,61.468125,12,7.645625,7.41
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,28,69,389,9.5704884319,2.0035475578,1.4019794344,1.4216452442
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,22,28,28,29.154642857,12.900714286,9.3839285714,9.6117857143
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,123,129,69.70372093,17.709844961,13.193875969,12.87379845
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,299.59,52.17,34.091666667,34.955
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,131.18,49.78,33.427222222,32.422777778
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,3863.4320833,1032.9891667,805.51666667,834.22666667
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,20,21,50.391904762,13.5,10.076190476,9.980952381
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,21,113,113,39.301946903,6.7562831858,4.9409734513,3.4953097345
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,34,35,233.26885714,34.222571429,25.423714286,24.095714286
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,49,338,340,387.10323529,80.2245,60.768088235,53.323441176
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,25,214,218,126.74311927,37.90146789,29.129633028,28.938348624
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,75,4500,16.44106,9.62692,7.4091088889,7.4091088889
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,46,2580,15.249658915,11.208232558,8.6760658915,8.6760658915
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,17,73,15514,0.2128451721,0.0462517726,0.0337598298,0.0337598298
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,17,68,6117,1.5539986922,0.1325126696,0.0963217263,0.0963217263
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,14,103,5970,11.59941541,3.0164773869,2.3470653266,2.3470653266
1043583909,SCHMIDT,ESTELLE,R,NP,F,I,10500 QUIVIRA RD,,OVERLAND PARK,KS,662152306,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,33,201,201,106.70149254,33,24.840348259,24.840348259
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,3804,0.335,0.13,0.1000709779,0.1000709779
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,38,8870,3.2617204059,2.0165614431,1.5486257046,1.5670022548
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,5160,8.6280620155,6.2223255814,4.8783081395,5.5716899225
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,108,24.688240741,9.2881481481,7.0793518519,8.3407407407
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,184,4.2282608696,1.7434782609,1.3668478261,1.4108152174
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,220,20.112727273,9.86,7.3786363636,7.3786363636
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,440,14.158363636,7.33,5.7191590909,5.7191590909
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,340,9.3138823529,4.04,3.074,3.074
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,940,0.6002234043,0.27,0.2049148936,0.2049148936
1043584097,ALBA,FRANCES,M,M.D.,F,I,1 UNIVERSITY OF NEW MEXICO,DEPT. OF SURGERY. MSC10-5610,ALBUQUERQUE,NM,871310001,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,1045,1.2624976077,0.26,0.1986794258,0.2053014354
1043585300,ANTILL,TROY,W,,M,I,4446 SOUTHDOWN MANDALAY RD,,HOUMA,LA,703603011,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,56.823333333,17.29,12.904761905,12.888571429
1043585300,ANTILL,TROY,W,,M,I,4446 SOUTHDOWN MANDALAY RD,,HOUMA,LA,703603011,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,345.0047619,70.23,52.438095238,52.162857143
1043585342,LIM,YUJIN,,MD,F,I,550 FIRST AVENUE,NYU LANGONE MEDICAL CENTER,NEW YORK,NY,10016,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,26,48,227,74.786255507,8.32,6.1629955947,6.1629955947
1043585342,LIM,YUJIN,,MD,F,I,550 FIRST AVENUE,NYU LANGONE MEDICAL CENTER,NEW YORK,NY,10016,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,22,58,53.797586207,1.42,1.0951724138,1.0951724138
1043585342,LIM,YUJIN,,MD,F,I,550 FIRST AVENUE,NYU LANGONE MEDICAL CENTER,NEW YORK,NY,10016,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,353.73,251.11,196.87,196.87
1043585557,TRINH,QUOC-DIEN,,M.D.,M,I,45 FRANCIS ST,DIVISION OF UROLOGY,BOSTON,MA,021156105,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,23,50,24.9318,9.29,7.2806,8.4632
1043585557,TRINH,QUOC-DIEN,,M.D.,M,I,45 FRANCIS ST,DIVISION OF UROLOGY,BOSTON,MA,021156105,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,13,17.279230769,7.6415384615,5.99,6.44
1043585557,TRINH,QUOC-DIEN,,M.D.,M,I,45 FRANCIS ST,DIVISION OF UROLOGY,BOSTON,MA,021156105,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,292,10.877739726,5.74,4.5000342466,4.5000342466
1043585557,TRINH,QUOC-DIEN,,M.D.,M,I,45 FRANCIS ST,DIVISION OF UROLOGY,BOSTON,MA,021156105,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,15,242,7.8831818182,4.04,3.1011570248,3.1011570248
1043585946,GANGADHAR,SHIVA,P,M.D.,M,I,6330 E 75TH ST,STE 110,INDIANAPOLIS,IN,462502777,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,170.99,45.157692308,35.403846154,36.369230769
1043586027,HIRANANDANI,NITISHA,,MD,F,I,4000 HIGHLAND RD,STE. 114,WATERFORD,MI,483282167,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,36.034615385,5.8453846154,4.5830769231,3.8107692308
1043586027,HIRANANDANI,NITISHA,,MD,F,I,4000 HIGHLAND RD,STE. 114,WATERFORD,MI,483282167,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,33,33,21.700909091,21.700909091
1043586035,CHU,CATHERINE,,M.D.,F,I,80 TEMPLETON DR,,OSWEGO,IL,605437000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,79,84.825822785,8.32,6.1926582278,6.1926582278
1043586472,SHAH,SACHIN,J,D.O.,M,I,720 ESKENAZI AVENUE,,INDIANAPOLIS,IN,462025166,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,27.439166667,4.3275,3.39125,3.6358333333
1043586472,SHAH,SACHIN,J,D.O.,M,I,720 ESKENAZI AVENUE,,INDIANAPOLIS,IN,462025166,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,461.61,76.5775,55.089166667,50.826666667
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,45,110,75.787181818,8.32,5.3133636364,5.3133636364
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,19,11.105263158,1.42,0.9405263158,0.9405263158
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,71.755428571,17.29,12.654857143,12.637142857
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,40.204090909,4.5063636364,3.0731818182,3.0722727273
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,432.80973684,70.23,50.485,50.19
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4770,0.2437945493,0.0454339623,0.0313794549,0.0313794549
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,915,1.3144480874,0.2186666667,0.1508852459,0.1508852459
1043586605,FULK,ALEXIS,N,M.D.,F,I,5350 S MAIN ST,,WINSTON SALEM,NC,271079174,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,116.76923077,33,23.88,23.88
1043586662,SALERNO,RACHEL,E,NP-C,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,33,87,76.314712644,8.32,5.921954023,5.921954023
1043586662,SALERNO,RACHEL,E,NP-C,F,I,1185 DUNLAWTON AVE,SUITE 104,PORT ORANGE,FL,321272905,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,12.835882353,1.42,1.0482352941,1.0482352941
1043587009,WALKER,GAY,M,M.D.,F,I,477 N EL CAMINO REAL,SUITE 208A,ENCINITAS,CA,920241328,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,21,52,73.325576923,8.32,5.7688461538,5.7688461538
1043587009,WALKER,GAY,M,M.D.,F,I,477 N EL CAMINO REAL,SUITE 208A,ENCINITAS,CA,920241328,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,86.054545455,39.4,28.254545455,27.927272727
1043587009,WALKER,GAY,M,M.D.,F,I,477 N EL CAMINO REAL,SUITE 208A,ENCINITAS,CA,920241328,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,75,42.390133333,15.38,11.0924,10.954
1043587009,WALKER,GAY,M,M.D.,F,I,477 N EL CAMINO REAL,SUITE 208A,ENCINITAS,CA,920241328,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,179.98222222,53.75,39.798888889,40.448333333
1043587009,WALKER,GAY,M,M.D.,F,I,477 N EL CAMINO REAL,SUITE 208A,ENCINITAS,CA,920241328,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,104,8.3188461538,2,1.5683653846,1.5890384615
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,26,66,230,52.658304348,8.32,6.1949565217,6.1949565217
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,19,10.763157895,3.38,2.3710526316,2.3710526316
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,23,59,11.430338983,1.42,1.0189830508,1.0189830508
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,26,26,62.631153846,51.085769231,40.053846154,31.404615385
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,13,20,20,170.0625,128.955,97.3335,66.5475
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,12,25,45,53.491111111,45.562888889,34.206888889,24.738888889
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,66,38.494242424,27.054393939,21.21030303,14.551666667
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,80,24.97225,20.03,14.7185,11.001375
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,17,28,28,109.33428571,78.590714286,59.930357143,42.243928571
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,28,33,33,32.007575758,24.037878788,18.842727273,14.482424242
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,19,19,30.170526316,21.224736842,16.108421053,8.64
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,30,48,235,5.3508085106,3.2552765957,2.5515319149,1.6023829787
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,31.748095238,22.464047619,16.148333333,13.281904762
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,13,65,65,77.349230769,51.489846154,39.178,26.954153846
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,72.872857143,64.323571429,47.795714286,33.440714286
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,123,123,170.03739837,104.42715447,76.53097561,52.803252033
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,215.434375,44.9475,31.13375,27.168125
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,4.1204318182,0.5626363636,0.3992878788,0.3992878788
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,6031,0.267126513,0.0461913447,0.0332465594,0.0332465594
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,4946,1.4619025475,0.1356611403,0.0917185605,0.0917185605
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,855,0.75,0.2191929825,0.1598362573,0.1598362573
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,67.12,29.699230769,22.545769231,14.388846154
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,865.01117647,134.98588235,97.725294118,76.840588235
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,11.4,11.4
1043587124,MORGAN,TANJA,,FNP-C,F,I,109 S PARK DR,,BROWNWOOD,TX,768015917,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,53,53,61.018867925,33,22.594528302,22.594528302
1043588429,ESTERLY,CAROLYN,S,RPA-C,F,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,82,53.056585366,8.2970731707,5.5175609756,5.5287804878
1043588429,ESTERLY,CAROLYN,S,RPA-C,F,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,6.6168181818,1.42,1.0618181818,1.0618181818
1043588429,ESTERLY,CAROLYN,S,RPA-C,F,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1875,0.17,0.0459626667,0.033088,0.033088
1043588429,ESTERLY,CAROLYN,S,RPA-C,F,I,7573 STATE ROUTE 54,,BATH,NY,148109504,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,560,0.17725,0.12,0.094,0.094
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,36,102.03166667,71.505,52.6025,52.645277778
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,3260,0.0967822086,0.05,0.0392208589,0.0392208589
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,758,10.74,7.13,5.5899076517,5.5899076517
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,27,4368,0.671043956,0.45,0.3528113553,0.3528113553
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,,16,216,40.626851852,24.582962963,18.747685185,18.65662037
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,137,17.016788321,8.2405109489,6.3674452555,6.330729927
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,12,23,23,2275.8882609,825.17521739,644.34565217,503.75956522
1043589211,TOVMASSIAN,GREGORY,A,DPM,M,I,6600 MERCY CT STE 150,,FAIR OAKS,CA,95628,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,100.80384615,16.273076923,12.761538462,14.106153846
1043589443,KNIGHT,CARLEEN,,NP,F,I,4 HORTON PL,STE 101,TOPSHAM,ME,040861747,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,36,72.539444444,8.32,6.0183333333,6.0183333333
1043590292,SHAH,PARAS,P,M.D,M,I,1300 E 104TH ST,SUITE 150,KANSAS CITY,MO,641314510,US,Physician/Physical Medicine and Rehabilitation,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,1107.2727273,867.40545455,665.54272727,663.19272727
1043590292,SHAH,PARAS,P,M.D,M,I,1300 E 104TH ST,SUITE 150,KANSAS CITY,MO,641314510,US,Physician/Physical Medicine and Rehabilitation,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,151.36363636,120.83272727,94.726363636,88.840909091
1043590326,CLEEVES,MICHELLE,,M.D.,F,I,501 28TH ST,,DENVER,CO,802053003,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,160.16,22.9525,16.8525,15.885833333
1043590326,CLEEVES,MICHELLE,,M.D.,F,I,501 28TH ST,,DENVER,CO,802053003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,848.90790698,78.49,54.658837209,48.490930233
1043590326,CLEEVES,MICHELLE,,M.D.,F,I,501 28TH ST,,DENVER,CO,802053003,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,285.6,38.76,25.6415625,24.8990625
1043591076,EVANS,KIMBERLY,T,NP-C,F,I,"621 EAST FIRST STREET, UNIT B",,VIDALIA,GA,30474,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,49,51,25,4.4511764706,3.2698039216,3.2690196078
1043591597,NELSON,MARCIA,M,MD,F,I,4262 OLD WILLIAM PENN HWY,1ST FLOOR,MURRYSVILLE,PA,156681953,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,43,72.207906977,8.32,4.2476744186,4.2476744186
1043591597,NELSON,MARCIA,M,MD,F,I,4262 OLD WILLIAM PENN HWY,1ST FLOOR,MURRYSVILLE,PA,156681953,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,235,77.5,57.185882353,51.510588235
1043591902,MYERS,JOSHUA,P,M.D.,M,I,450 NORTHSIDE CHEROKEE BLVD,,CANTON,GA,301158015,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,152.10583333,17.278333333,13.541666667,13.525
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,22,41.145909091,8.32,6.5218181818,6.5218181818
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,66.629166667,52.235,42.855833333
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,23.095,6.4235,5.04,3.774
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,271.22764706,105.12176471,82.418235294,54.73
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2590,0.3207374517,0.0475521236,0.0331814672,0.0331814672
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,67.381538462,26.093846154,20.456923077,15.563461538
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,24.428571429,10.824285714,8.4885714286,6.9735714286
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.75,44.560909091,34.938181818,29.515454545
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,721.47894737,170.95157895,127.93368421,134.23368421
1043592033,ANDERSON,KELLY,A,NP,F,I,7900 W JEFFERSON BLVD,SUITE 304,FORT WAYNE,IN,468044128,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,51,33,23.518181818,23.518181818
1043592678,UNDERWOOD,SCOTT,R,D.O.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,28,47.618928571,8.32,6.055,6.055
1043592678,UNDERWOOD,SCOTT,R,D.O.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,260,70.85,55.55,54.73
1043592678,UNDERWOOD,SCOTT,R,D.O.,M,I,3291 LOMA VISTA RD,,VENTURA,CA,930033099,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,36,28.22,29.51
1043593049,AKINOLA,OLAYINKA,A,"M.D., MPH",M,I,833 W CHICAGO AVE,,CHICAGO,IL,606425449,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,830.30416667,830.30416667
1043593767,FELBER,AMANDA,V,PA-C,F,I,1202 W OAK ST,,GREENVILLE,MI,488382155,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,58.329166667,8.32,6.5225,6.5225
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,65,184,571,49.140420315,8.2885989492,6.2560945709,6.2807005254
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,24,24,14.91625,3.38,2.65,2.65
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,28,59,104,12.060384615,1.42,1.0825,1.0825
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,12,27,27,139.26444444,49.972222222,39.18,31.370740741
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,34,96.547647059,71.56,52.805,52.805
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,19,38,5.0452631579,2.0094736842,1.5752631579,1.2605263158
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,290.13454545,119.99181818,94.071818182,73.891363636
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,47,118.32553191,46.567659574,36.508723404,29.293191489
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,89,49.384719101,26.099213483,19.47011236,13.642696629
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,130.21590909,76.569545455,57.492272727,40.516363636
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,25,25,52.5148,25.2392,19.1604,13.854
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,21,21,65.394761905,19.124761905,14.96,9.6847619048
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,48,280,8.0867142857,3.082,2.3939285714,1.6639642857
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,21.796666667,8.6841666667,6.8083333333,4.65
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,64,59.37328125,22.72375,17.580625,13.68046875
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,33,33,93.85,60.513636364,46.191818182,36.48969697
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,33.125263158,7.1981578947,5.0105263158,3.2268421053
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,58,58,143.91241379,49.035689655,36.511034483,24.377758621
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,166,174,378.17281609,100.42172414,75.456321839,54.682068966
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,232.85714286,45.844285714,35.944285714,30.018095238
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,52,3120,16.699474359,9.6573461538,7.4851538462,7.4851538462
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,660,16.340181818,11.559909091,8.8456212121,8.8456212121
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1116,1.9371863799,0.1286379928,0.0861738351,0.0861738351
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,52,3062,9.2017374265,2.9751241019,2.3325179621,2.3325179621
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,945,3.4747089947,0.2188042328,0.1633862434,0.1633862434
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,66,95.113939394,43.56,34.151666667,34.15
1043593841,GERDES,MAURA,B,D.O.,F,I,315 S. OSTEOPATHY,,KIRKSVILLE,MO,63501,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,69,69,58.003623188,33,25.495072464,25.495072464
1043593940,BUZIASHVILI,IRAKLII,,MD,M,I,2952 BRIGHTON 3RD ST,#401,BROOKLYN,NY,112356897,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,74,95,308,698,262.75424069,8.32,5.9445415473,5.9445415473
1043593940,BUZIASHVILI,IRAKLII,,MD,M,I,2952 BRIGHTON 3RD ST,#401,BROOKLYN,NY,112356897,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,45,49,120,147,59.504081633,1.42,1.0419727891,1.0419727891
1043594344,FOJAS,MA. CONCHITINA,M,M.D.,F,I,229 ENGLE ST,,ENGLEWOOD,NJ,07631,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,26,62,254,72.498779528,8.32,5.1358267717,5.1358267717
1043594344,FOJAS,MA. CONCHITINA,M,M.D.,F,I,229 ENGLE ST,,ENGLEWOOD,NJ,07631,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,32,69,17.08,1.42,0.9202898551,0.9202898551
1043594567,BROWNE,MICHAEL,T,PA-C,M,I,1159 12TH ST,,OGDEN,UT,844045144,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,30,67.483333333,8.32,5.7656666667,5.7656666667
1043594567,BROWNE,MICHAEL,T,PA-C,M,I,1159 12TH ST,,OGDEN,UT,844045144,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,330,22.091515152,5.57,4.1445757576,3.9591515152
1043594567,BROWNE,MICHAEL,T,PA-C,M,I,1159 12TH ST,,OGDEN,UT,844045144,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,722.14666667,70.48,55.25,54.926111111
1043594799,JENSEN,TANYA,J,FNP-C,F,I,744 S WEBSTER AVE,,GREEN BAY,WI,543013505,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,40,5.028,2.7566666667,2.63
1043595317,BAIN,CHRISTY,M,NP-C,F,I,6417 CENTRAL PARK BLVD,,ABILENE,TX,796065884,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,40.873571429,4.52,2.9671428571,3.0614285714
1043596588,ROGEL,LAUREN,R,PA-C,F,I,270 E. STATE ST.,STE. 240,ALLIANCE,OH,446014369,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,20,5.6769230769,2.6969230769,2.27
1043596646,FEARON,MAUREEN,E,APRN,F,I,6 NORTHWESTERN DR,SUITE 303,BLOOMFIELD,CT,060023463,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,19,247,55.513279352,19.661052632,14.515222672,14.515222672
1043596646,FEARON,MAUREEN,E,APRN,F,I,6 NORTHWESTERN DR,SUITE 303,BLOOMFIELD,CT,060023463,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,590,7.7481355932,2.6338983051,1.9596779661,1.9596779661
1043596646,FEARON,MAUREEN,E,APRN,F,I,6 NORTHWESTERN DR,SUITE 303,BLOOMFIELD,CT,060023463,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,42,88,478,70.641527197,8.32,6.3095188285,6.3095188285
1043596646,FEARON,MAUREEN,E,APRN,F,I,6 NORTHWESTERN DR,SUITE 303,BLOOMFIELD,CT,060023463,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,33,70,18.414714286,1.42,0.9704285714,0.9704285714
1043596646,FEARON,MAUREEN,E,APRN,F,I,6 NORTHWESTERN DR,SUITE 303,BLOOMFIELD,CT,060023463,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,2860,16.439916084,10.681706294,8.335958042,8.335958042
1043596646,FEARON,MAUREEN,E,APRN,F,I,6 NORTHWESTERN DR,SUITE 303,BLOOMFIELD,CT,060023463,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,69,69,250.91217391,250.91217391,196.71492754,196.86927536
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,40,96,59.6134375,8.32,6.02875,6.02875
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,21,25,14.4736,1.42,0.9376,0.9376
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,25,5.2048,2.656,1.2328,1.078
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,21.36,12.921764706,9.5570588235,7.0164705882
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,30,34.292,7.283,5.3453333333,4.2393333333
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,140.37588235,43.281176471,25.712941176,19.506470588
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,37,519.51,110.46054054,84.22972973,62.615405405
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,5223,0.4415738082,0.0468255792,0.0345203906,0.0345203906
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1890,1.8614074074,0.1292539683,0.0811640212,0.0811640212
1043596760,GERRITY,SHAWN,R,PA-C,M,I,501 E. CUMMINS ST,,TECUMSEH,MI,49286,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,14,35,35,47.142857143,33,23.652571429,23.652571429
1043597131,FOLKERS,COLLEEN,M,ANP-BC,F,I,1725 W HARRISON ST,845-PROFESSIONAL BUILDING,CHICAGO,IL,606123841,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,930,4.8708064516,0.5623548387,0.4409032258,0.4409032258
1043597131,FOLKERS,COLLEEN,M,ANP-BC,F,I,1725 W HARRISON ST,845-PROFESSIONAL BUILDING,CHICAGO,IL,606123841,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1350,0.3927185185,0.0121703704,0.0095481481,0.0095481481
1043597131,FOLKERS,COLLEEN,M,ANP-BC,F,I,1725 W HARRISON ST,845-PROFESSIONAL BUILDING,CHICAGO,IL,606123841,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,25,25,24,24,18.82,18.82
1043597131,FOLKERS,COLLEEN,M,ANP-BC,F,I,1725 W HARRISON ST,845-PROFESSIONAL BUILDING,CHICAGO,IL,606123841,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,29,16,16,12.54,12.54
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,155.2975,49.0565,36.6185,34.723
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,30,8.9523529412,5.8011764706,5.8011764706
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,46.676666667,36.595,37.011666667
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,175,47.87,36.812307692,37.193076923
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,51,51,175,48.808823529,36.900980392,37.300784314
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,64.583333333,19.1875,15.0425,15.0425
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,52,52,35,5.5423076923,4.0540384615,3.9203846154
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,100,44.766363636,30.963636364,30.4
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,238.75,82.7225,64.855,64.855
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,73,73,114.79452055,20.711506849,15.490684932,13.906575342
1043597362,ISLEY,KATHLEEN,M,ANP-BC,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,86.38,35.236111111,24.648333333,23.806111111
1043597875,AREY,KELLY,M,D.O.,F,I,10675 LOVELAND MADEIRA RD,SUITE A,LOVELAND,OH,451408965,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,35,86,66.305348837,8.32,6.218255814,6.218255814
1043597875,AREY,KELLY,M,D.O.,F,I,10675 LOVELAND MADEIRA RD,SUITE A,LOVELAND,OH,451408965,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,15,10.436,1.42,1.0413333333,1.0413333333
1043598055,MCDONALD,NATALIE,M,PA-C,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,37,2370,0.3292405063,0.13,0.0929029536,0.0929029536
1043598055,MCDONALD,NATALIE,M,PA-C,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician Assistant,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,16,13.8,10.14375,10.14375
1043598055,MCDONALD,NATALIE,M,PA-C,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1170,4.0730769231,2.04,1.5583247863,1.5583247863
1043598055,MCDONALD,NATALIE,M,PA-C,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,28,2220,9.2367567568,7.19,5.515990991,5.5456486486
1043598055,MCDONALD,NATALIE,M,PA-C,F,I,120 E BEAUREGARD AVE,,SAN ANGELO,TX,769035919,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,8,6.34,4.97,5.8484615385
1043598063,PATEL,BRIJAL,P,M.D.,F,I,103 BENNETT RD,,OLIVER SPRINGS,TN,378405008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,32,106,83.843113208,8.32,5.4688679245,5.4688679245
1043598378,AZIM,SIDRA,,M.D.,F,I,100 RETREAT AVE STE 400,,HARTFORD,CT,061062528,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,33,54,276,68.732789855,8.32,6.2156521739,6.2156521739
1043598378,AZIM,SIDRA,,M.D.,F,I,100 RETREAT AVE STE 400,,HARTFORD,CT,061062528,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,22,34,96,14.403229167,1.42,1.0440625,1.0440625
1043598535,SMITH,KYRA,D,APRN,F,I,605 E SAN ANTONIO ST,SUITE 508E,VICTORIA,TX,779016050,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,37.703684211,6.0578947368,4.3636842105,3.3989473684
1043598535,SMITH,KYRA,D,APRN,F,I,605 E SAN ANTONIO ST,SUITE 508E,VICTORIA,TX,779016050,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,57,57,119.83,27.723508772,20.815964912,14.826491228
1043598535,SMITH,KYRA,D,APRN,F,I,605 E SAN ANTONIO ST,SUITE 508E,VICTORIA,TX,779016050,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,19,86,86,170.43976744,33.25872093,22.446860465,18.864534884
1043598741,JOHNSON,MATTHEW,S,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Hospitalist,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,0.1566666667,0.13,0.1019444444,0.1019444444
1043598741,JOHNSON,MATTHEW,S,M.D.,M,I,1520 SAN PABLO ST,SUITE 1000,LOS ANGELES,CA,900335310,US,Hospitalist,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,1.69,1.69,1.2585231481,1.532912037
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,33,117,36.748205128,8.32,4.6274358974,4.6274358974
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,80,13.6335,3.16,2.345,1.609125
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,64,91.6121875,22.1696875,15.5146875,12.3090625
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,110,127,528.99700787,102.23259843,75.518818898,53.244251969
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,250,45.15,34.182962963,28.953333333
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,35,2100,15.58,9.6383142857,7.4463761905,7.4463761905
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,615,0.75,0.2187154472,0.1548130081,0.1548130081
1043599004,MORRISON,MARVIN,J,APRN,M,I,305 CENTER STREET,,EAST CARBON,UT,845200930,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,37,37,129.32432432,33,25.170810811,25.170810811
1043599186,BLASKIS,WILLIAM,J,D.O.,M,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,26,74,153,65.337581699,8.32,5.8828104575,5.8828104575
1043599186,BLASKIS,WILLIAM,J,D.O.,M,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.454545455,3.38,2.5327272727,2.5327272727
1043599186,BLASKIS,WILLIAM,J,D.O.,M,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,27,39,14.385641026,1.42,1.0294871795,1.0294871795
1043599186,BLASKIS,WILLIAM,J,D.O.,M,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,17.87,4.7530769231,2.6869230769,2.6861538462
1043599186,BLASKIS,WILLIAM,J,D.O.,M,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,478.70916667,70.23,55.06,54.748333333
1043599186,BLASKIS,WILLIAM,J,D.O.,M,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,37.44,29.35,29.51
1043599194,BAADE,LINDSEY,E,APNP,F,I,820 ARBUTUS AVE,,OCONTO,WI,541532004,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,24,65,71.246307692,8.32,6.2215384615,6.2215384615
1043599194,BAADE,LINDSEY,E,APNP,F,I,820 ARBUTUS AVE,,OCONTO,WI,541532004,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,19,10.829473684,1.42,1.1126315789,1.1126315789
1043599327,HSIAO,WEI-HAN,W,M.D.,M,I,300 N 7TH ST,,BISMARCK,ND,585014439,US,Physician/Physical Medicine and Rehabilitation,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5192,1.0741987673,0.5012365177,0.3929661017,0.3047669492
1043599723,LAUGHLIN,SUSAN,G,FNP,F,I,1302 S ROGERS ST,,BLOOMINGTON,IN,474034752,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,53,77.499811321,8.32,5.6016981132,5.6016981132
1043599723,LAUGHLIN,SUSAN,G,FNP,F,I,1302 S ROGERS ST,,BLOOMINGTON,IN,474034752,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,174.26083333,33.4,26.185,25.54
1043599814,TENNEY,BRADFORD,G,PA-C,M,I,14520 W GRANITE VALLEY DR,SUITE 210,SUN CITY WEST,AZ,853755855,US,Physician Assistant,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,47,47,48,304.49166667,216.07,169.395,171.8475
1043599814,TENNEY,BRADFORD,G,PA-C,M,I,14520 W GRANITE VALLEY DR,SUITE 210,SUN CITY WEST,AZ,853755855,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,43,103.4,69.991395349,53.890232558,45.485813953
1043600612,GOEHMANN,SARAH,,"MSN, FNP-BC",F,I,21800 HAGGERTY RD STE 113,,NORTHVILLE,MI,481679051,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,225,49.715,38.9775,38.165
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,23,63.946521739,22.370434783,16.88826087,13.465217391
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,171.564,41.07,30.474,21.821333333
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,23,383.56173913,101.79913043,77.213913043,55.872173913
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,540.79,509.79153846,399.67692308,356.03769231
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L2755,"Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,27,123.79,123.79,97.05,98.441481481
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,21,23,105.08,101.65347826,79.695217391,71.636086957
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5301,"Below knee, molded socket, shin, sach foot, endoskeletal system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,17,19,2947.2,2813.8547368,2183.4052632,1943.3789474
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,29,32,282.79,280.3184375,219.77125,230.175625
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5629,"Addition to lower extremity, below knee, acrylic socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,19,22,24,307.26,307.26,240.89083333,262.08291667
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,28,30,370.95,355.67666667,278.84733333,245.62733333
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5645,"Addition to lower extremity, below knee, flexible inner socket, external frame",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,23,25,873.24,869.168,681.4276,671.3388
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5647,"Addition to lower extremity, below knee suction socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,21,22,1025.44,1002.0040909,785.56727273,694.24409091
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,47,75,631.33,628.73026667,489.44746667,468.14333333
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,46,101,121.57,121.57,94.784455446,96.208514851
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5910,"Addition, endoskeletal system, below knee, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,23,24,350.17,350.17,274.53916667,298.68541667
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,18,20,515.44,512.393,401.712,417.8755
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5968,"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,3449.13,3449.13,2704.11,2741.6318182
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5972,"All lower extremity prostheses, foot, flexible keel",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,13,454.32,448.97153846,351.99538462,305.95384615
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5984,"All endoskeletal lower extremity prosthesis, axial rotation unit, with or without adjustability",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,12,734.38,726.96666667,569.93916667,489.9725
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L5987,"All lower extremity prosthesis, shank foot system with vertical loading pylon",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,6827.91,6827.91,5353.08,5427.3790909
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L8400,"Prosthetic sheath, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,29,186,20.29,19.552580645,15.328763441,13.447795699
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,33,408,25.07,24.251176471,19.012990196,16.522181373
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,L8440,"Prosthetic shrinker, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,27,56,53.91,51.681785714,40.518392857,35.474642857
1043601040,NELSON,GLORIAJEAN,,"FNP-C, CWOCN",F,I,70 N HARRISON RD,,TUCSON,AZ,857483260,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,32,32,75.55125,39.164375,30.70375,30.503125
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,55,79,79,223.95544304,87.678101266,64.373291139,63.498860759
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,49,84,211,64.804075829,34.177819905,25.866587678,25.040616114
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,22,42,230,53.944869565,20.082086957,14.559913043,13.431608696
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,26,39,220,38.373363636,15.183,11.505727273,11.493909091
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,51,87,87,156.75827586,56.430804598,41.394482759,40.106436782
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,97,113,113,46.647610619,18.078761062,13.509646018,13.404159292
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,83,135,135,48.933259259,13.134296296,10.112148148,8.9725925926
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,99,169,905,6.5769281768,2.1405303867,1.655359116,1.5733922652
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,29,33,33,16.467272727,6.2654545455,4.7651515152,4.5090909091
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,46,50,50,46.324,12.1728,9.3534,10.155
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,124.40909091,89.852727273,70.444545455,69.079090909
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,168.19,135.706875,83.661875,82.20125
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,15,63,63,41.908888889,12.944761905,9.8061904762,9.6604761905
1043601453,CONRADO,JENNY,,ARNP,F,I,13670 METROPOLIS AVE STE 106,,FORT MYERS,FL,33912,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,33,247,247,87.664129555,34.630364372,25.661133603,24.518218623
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,145,47.55,37.28,36.46
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,131.5,54.555909091,42.772272727,40.79
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,225.5075,164.135,128.67833333,122.6025
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,27,193.58222222,50.831481481,37.098148148,33.522592593
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,19,79,79,158.69620253,56.873924051,43.197468354,37.812911392
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,124.37058824,46.839411765,33.720294118,32.500294118
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,22,22,41,78,30.521463415,23.926097561,22.727804878
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,21,110,39.095714286,30.647619048,29.454285714
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,22,22,22,343.64,161.50636364,126.62636364,115.43681818
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,46,276,276,111.99,30.800724638,21.457355072,19.109528986
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,149,54.3625,42.62,38.265
1043601479,NOONAN,KARYL,A,PA-C,F,I,3000 NEW BERN AVE,,RALEIGH,NC,276101231,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,47,267,267,25.100449438,8.8613483146,6.2294007491,5.9007865169
1043604473,AGARWAL,AMOL,,MD,M,I,22 S GREENE ST,,BALTIMORE,MD,21201,US,Student in an Organized Health Care Education/Training Program,T,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,45.885,35.973333333,37.196666667
1043605371,YASSIN,SAYF,,M.D.,M,I,738 NELSON RANCH RD,,CEDAR PARK,TX,78613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,215.72727273,81.181818182,63.648181818,54.957272727
1043605637,HSU,TONY,,M.D.,M,I,450 E SPRING ST STE 1,,LONG BEACH,CA,908061625,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,825,0.17,0.0464606061,0.0364,0.0364
1043606155,BANYAS,KAYLA,A,PA-C,F,I,1100 GOETHALS DR STE E,,RICHLAND,WA,99352,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,70.23,45.049090909,44.770909091
1043606262,LAMAS,KALEY,R,PA-C,F,I,59 EXECUTIVE PARK S,STE 3000,ATLANTA,GA,303292208,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,69.086956522,48.054782609,36.603478261,35.575652174
1043607112,BARNHART,JASON,G,M.D.,M,I,2222 BENWOOD ST,,HARLINGEN,TX,785508532,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.36,9.5733333333,5.925,5.7416666667
1043607112,BARNHART,JASON,G,M.D.,M,I,2222 BENWOOD ST,,HARLINGEN,TX,785508532,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,62.514285714,22.297142857,15.609285714,12.162857143
1043607203,ROBEY,BENJAMIN,S,,M,I,1215 LEE ST,,CHARLOTTESVILLE,VA,229080816,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,35.65,19.67125,15.42,15.42
1043607203,ROBEY,BENJAMIN,S,,M,I,1215 LEE ST,,CHARLOTTESVILLE,VA,229080816,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,112,75,37.30625,29.247857143,29.247857143
1043607203,ROBEY,BENJAMIN,S,,M,I,1215 LEE ST,,CHARLOTTESVILLE,VA,229080816,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,896,2.1,1.6254910714,1.2744419643,1.2744196429
1043607781,MONTEMAYOR,JESSICA,M,PA,F,I,184 TARRYTOWN RD,,MANCHESTER,NH,031032713,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,56,64.96,8.32,6.0560714286,6.0560714286
1043607781,MONTEMAYOR,JESSICA,M,PA,F,I,184 TARRYTOWN RD,,MANCHESTER,NH,031032713,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,4.6233333333,2.2866666667,2.2533333333
1043607781,MONTEMAYOR,JESSICA,M,PA,F,I,184 TARRYTOWN RD,,MANCHESTER,NH,031032713,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3486,0.189609868,0.0465662651,0.035195066,0.035195066
1043607781,MONTEMAYOR,JESSICA,M,PA,F,I,184 TARRYTOWN RD,,MANCHESTER,NH,031032713,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,0.75,0.2190909091,0.1717424242,0.1717424242
1043607781,MONTEMAYOR,JESSICA,M,PA,F,I,184 TARRYTOWN RD,,MANCHESTER,NH,031032713,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.518181818,23.518181818
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,106,185,185,84.912594595,36.985945946,27.338162162,28.737783784
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,37,62,62,216.59887097,90.018870968,65.369677419,63.003870968
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,32,60,129,83.933023256,33.978139535,24.934186047,24.313178295
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,42,77,378,52.235873016,18.035793651,13.557089947,13.95468254
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,56,83,386,37.218367876,15.661735751,11.383834197,11.05015544
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,100,164,164,163.31487805,56.633414634,41.828353659,40.463780488
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,110,128,128,50.409921875,18.827578125,14.24546875,13.628046875
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,38,45,45,22.986444444,10.549555556,8.2111111111,8.0951111111
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,34,34,48.302352941,11.993529412,9.4023529412,9.1405882353
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,126,249,1183,6.1009551986,2.0057819104,1.5000084531,1.5180726965
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,21,21,14.137142857,6.22,4.6476190476,4.459047619
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,71,79,79,26.264556962,12.916962025,10.016329114,10.213544304
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,365.60795455,88.016363636,65.331363636,62.809545455
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,829.36,224.51222222,172.60333333,159.27555556
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,44,44,44,383.41113636,140.83181818,107.48090909,102.57727273
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,41.887083333,13.9175,8.93125,8.5729166667
1043608086,CHALFIN,KAREN,A,CNP,F,I,200 ALBERT SABIN WAY,3RD FLOOR,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,65,422,422,143.07080569,36.167985782,26.577037915,24.330331754
1043608458,WRIGHT,JASON,,FNP,M,I,3919 N MAPLE ST,,SPOKANE,WA,992051349,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,36,77,46.702077922,8.32,4.9128571429,4.9128571429
1043608458,WRIGHT,JASON,,FNP,M,I,3919 N MAPLE ST,,SPOKANE,WA,992051349,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,46.463076923,4.3230769231,2.9319230769,3.395
1043608458,WRIGHT,JASON,,FNP,M,I,3919 N MAPLE ST,,SPOKANE,WA,992051349,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,760.48,65.7,41.261428571,44.367857143
1043608920,BLACK,KATY,A,APRN,F,I,211 E MAIN ST,,CARBONDALE,KS,664149607,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,37,29.479189189,8.32,5.8154054054,5.8154054054
1043608920,BLACK,KATY,A,APRN,F,I,211 E MAIN ST,,CARBONDALE,KS,664149607,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,874.72,33.932857143,26.605714286,26.714285714
1043609340,HOKIT,KELLY,,APRN,F,I,301 S J T STITES ST,,SALLISAW,OK,749559302,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,99.26375,29.81,23.37,23.38
1043609340,HOKIT,KELLY,,APRN,F,I,301 S J T STITES ST,,SALLISAW,OK,749559302,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,84.946363636,29.605454545,23.210909091,24.887272727
1043609670,WILSON,ANNE,T,CRNP,F,I,101 FITNESS WAY,SUITE 1200,ATHENS,AL,356112480,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,17.29,13.55,13.532666667
1043609670,WILSON,ANNE,T,CRNP,F,I,101 FITNESS WAY,SUITE 1200,ATHENS,AL,356112480,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,70.23,55.06,54.788
1043610017,FRANSSEN,NICHOLAS,J,N.P.,M,I,625 PETERSON AVE,,PHILLIPS,WI,545551452,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,30,76,76.906052632,8.32,6.5215789474,6.5215789474
1043611213,WALKER,TALANA,R,FNP,F,I,7556 HONEYSUCKLE,,TEMPLE,TX,765025631,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,46,63.704347826,8.32,5.1030434783,5.1030434783
1043611213,WALKER,TALANA,R,FNP,F,I,7556 HONEYSUCKLE,,TEMPLE,TX,765025631,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,8.8218181818,1.42,1.0181818182,1.0181818182
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,31,98,257,55.489922179,8.32,5.9403501946,5.9403501946
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,14,19,11.434210526,1.42,1.0584210526,1.0584210526
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,78,12.034615385,3.0676923077,2.1326923077,1.4524358974
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,86.31,22.4775,16.3775,13.225833333
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,49,49,4819.94,913.16,708.66020408,832.42183673
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,49.93625,7.3804166667,5.7854166667,3.7233333333
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.67,12.972727273,10.173636364,8.4736363636
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,91,93,597.36064516,101.6544086,77.191612903,58.75311828
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,20,243.111,45.555,35.7175,30.59
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,16.169305556,9.59575,7.3238055556,7.3238055556
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,3828,0.2359352142,0.0448432602,0.0351567398,0.0351567398
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1200,12.154991667,2.867525,2.24815,2.24815
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,40.731333333,26.692,17.084,11.521333333
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1017.92,265.74727273,208.34636364,174.86454545
1043611429,NELSON,JENNIFER,A,ARNP,F,I,237 PROFESSIONAL WAY,,SHELTON,WA,985844404,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,32,32,91.78125,33,25.0615625,25.0615625
1043611460,OHMIE,KRISTA,,,F,I,9350 E 35TH ST N STE 101,,WICHITA,KS,672262022,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,85.952727273,22.790909091,17.866363636,14.077272727
1043611460,OHMIE,KRISTA,,,F,I,9350 E 35TH ST N STE 101,,WICHITA,KS,672262022,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,452.072,109.40133333,85.774,57.43
1043611460,OHMIE,KRISTA,,,F,I,9350 E 35TH ST N STE 101,,WICHITA,KS,672262022,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,3750,2755.5788889,2160.3744444,2160.3744444
1043612120,KAZEEM,UNAKEM,A,,F,I,10919 LOUETTA RD,,HOUSTON,TX,770701710,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,64,78.8778125,8.32,5.299375,5.299375
1043612401,NEWSON,LAUREN,M,FNP-C,F,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,117.39315789,40.899473684,32.065263158,30.49
1043612401,NEWSON,LAUREN,M,FNP-C,F,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,194.485,56.304285714,44.146428571,42.86
1043612401,NEWSON,LAUREN,M,FNP-C,F,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,102,8.1433333333,2.0552941176,1.6118627451,1.5917647059
1043612401,NEWSON,LAUREN,M,FNP-C,F,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,76.219354839,17,12.175483871,12.35516129
1043612401,NEWSON,LAUREN,M,FNP-C,F,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,79,79,429.77848101,77.18,55.697721519,50.787341772
1043612401,NEWSON,LAUREN,M,FNP-C,F,I,1561 LONG POND RD,SUITE 408,ROCHESTER,NY,146264117,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,164.5,42,27.375,24.525
1043612609,KISICKI,SAMANTHA,,PA-C,F,I,2790 CLAY EDWARDS DR STE 1250,,NORTH KANSAS CITY,MO,641163260,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,43,277,67.192563177,8.32,6.0698916968,6.0698916968
1043612609,KISICKI,SAMANTHA,,PA-C,F,I,2790 CLAY EDWARDS DR STE 1250,,NORTH KANSAS CITY,MO,641163260,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,23,79,13.922531646,1.42,1.0565822785,1.0565822785
1043612609,KISICKI,SAMANTHA,,PA-C,F,I,2790 CLAY EDWARDS DR STE 1250,,NORTH KANSAS CITY,MO,641163260,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,312.82066667,250.746,193.84733333,193.99
1043613011,ANDERSON,TYLER,M,PA-C,M,I,2001 VAIL AVE,SUITE 200,CHARLOTTE,NC,282071248,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,18,88.555555556,74.55,55.202777778,59.917777778
1043613011,ANDERSON,TYLER,M,PA-C,M,I,2001 VAIL AVE,SUITE 200,CHARLOTTE,NC,282071248,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,42,42,42,266.42857143,266.41428571,193.48285714,203.10714286
1043613102,HILBURN,MIRANDA,A,,F,I,603 BEAMAN STREET,,CLINTON,NC,28328,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,76.464,35.509333333,26.401333333,19.959333333
1043613730,PAYNE,MEGAN,K,PA-C,F,I,140 CHARLOIS BLVD,,WINSTON SALEM,NC,271031522,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,13,16,16,11.576153846,11.576153846
1043613888,KEARNEY,KIMBERLY,D,DNP,F,I,134 4TH AVE W,,GOODING,ID,833301018,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,501.99727273,105.01636364,66.571818182,39.882727273
1043614597,WAGNER,KAVITHA,,CRNP,F,I,1340 S DAMEN AVE,SUITE 400,CHICAGO,IL,606081169,US,Nurse Practitioner,S,E0251,"Hospital bed, fixed height, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,208.46153846,40.143076923,28.713461538,30.787307692
1043614597,WAGNER,KAVITHA,,CRNP,F,I,1340 S DAMEN AVE,SUITE 400,CHICAGO,IL,606081169,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1407,133.22166667,104.44666667,121.15666667
1043614597,WAGNER,KAVITHA,,CRNP,F,I,1340 S DAMEN AVE,SUITE 400,CHICAGO,IL,606081169,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,100,4.8227272727,3.2681818182,2.935
1043614597,WAGNER,KAVITHA,,CRNP,F,I,1340 S DAMEN AVE,SUITE 400,CHICAGO,IL,606081169,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,152.22222222,16.591666667,10.168888889,10.52
1043614597,WAGNER,KAVITHA,,CRNP,F,I,1340 S DAMEN AVE,SUITE 400,CHICAGO,IL,606081169,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,29.178181818,18.171818182,18.984545455
1043614597,WAGNER,KAVITHA,,CRNP,F,I,1340 S DAMEN AVE,SUITE 400,CHICAGO,IL,606081169,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,170,23.605,16.01375,19.235625
1043614597,WAGNER,KAVITHA,,CRNP,F,I,1340 S DAMEN AVE,SUITE 400,CHICAGO,IL,606081169,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,44,44,35.75,8.6777272727,5.6715909091,5.3663636364
1043614795,ATKINS,AUBREY,,NP,F,I,181 E MEDICAL TOWER DR,,MURRAY,UT,841074872,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,57,72.153684211,8.32,5.9507017544,5.9507017544
1043614795,ATKINS,AUBREY,,NP,F,I,181 E MEDICAL TOWER DR,,MURRAY,UT,841074872,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,39.82,26.016666667,24.6
1043614860,NGUYEN,THACH,,M.D.,M,I,6050 BLVD EAST APT 4F,,WEST NEW YORK,NJ,070933932,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,45.0275,19.332142857,13.104642857,11.584285714
1043614860,NGUYEN,THACH,,M.D.,M,I,6050 BLVD EAST APT 4F,,WEST NEW YORK,NJ,070933932,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,44,275.12818182,84.264772727,59.359090909,48.473636364
1043614894,GARMON,LINDSEY,B,NP-C,F,I,330 TURNER MCCALL BLVD SW,,ROME,GA,301655630,US,Nurse Practitioner,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,30,31,106.06419355,74.55,58.449677419,62.800322581
1043614894,GARMON,LINDSEY,B,NP-C,F,I,330 TURNER MCCALL BLVD SW,,ROME,GA,301655630,US,Nurse Practitioner,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,27,337.72,266.98,209.31,217.82555556
1043615560,PSOTA,JENNIFER,,FNP-BC,F,I,725 AMERICAN AVE,,WAUKESHA,WI,531885031,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3720.9090909,2769.8936364,2171.5972727,2171.5972727
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,63.781666667,42.56,33.37,35.945
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,71.936363636,47.32,37.1,40.463636364
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,77.147058824,50.374705882,39.494117647,41.351764706
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,33,33,66.298181818,48.176363636,36.774242424,39.124545455
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,28.14,25.58,18.379166667,21.645833333
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,20,20,20,58.283,38.7625,30.3945,29.3695
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,30,170,170,47.805588235,18.863529412,14.388470588,14.261529412
1043616741,NORWOOD,JUANITA,M,,F,I,301 RIVERVIEW AVE,STE 500,NORFOLK,VA,235101065,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,21,119,119,15.103697479,8.5911764706,6.6368067227,6.822605042
1043617129,EISENLOHR,TARA,,ARNP,F,I,1631 4TH ST SW,SUITE 114B,MASON CITY,IA,504011612,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23,7.9045454545,6.1945454545,3.6854545455
1043617129,EISENLOHR,TARA,,ARNP,F,I,1631 4TH ST SW,SUITE 114B,MASON CITY,IA,504011612,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6168461538,7.4707692308,7.4707692308
1043617129,EISENLOHR,TARA,,ARNP,F,I,1631 4TH ST SW,SUITE 114B,MASON CITY,IA,504011612,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,570,12.86,3.0476315789,2.3893684211,2.3893684211
1043617129,EISENLOHR,TARA,,ARNP,F,I,1631 4TH ST SW,SUITE 114B,MASON CITY,IA,504011612,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,118.8,33,25.87,25.87
1043617830,LAL,DARSHAN,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,167.93,77.266666667,60.578333333,42.129166667
1043617830,LAL,DARSHAN,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,21.68,7.9045454545,6.1945454545,3.6854545455
1043617830,LAL,DARSHAN,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,320.52903226,94.188387097,72.088709677,63.910645161
1043617830,LAL,DARSHAN,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65.52,44.745,32.344166667,27.056666667
1043617830,LAL,DARSHAN,,,M,I,1 GUTHRIE SQ,,SAYRE,PA,188401625,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,66.6,27.6625,21.688333333,15.1675
1043618747,DETULLIO,ALIX,,APN,F,I,901 W MAIN ST,,FREEHOLD,NJ,077282537,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,75,5.5289473684,3.6852631579,3.0957894737
1043620529,MARTIN,ASHLEY,B,DO,F,I,12 ST PAUL DR STE 101,,CHAMBERSBURG,PA,172011035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,71,58.627464789,8.32,6.3390140845,6.3390140845
1043620529,MARTIN,ASHLEY,B,DO,F,I,12 ST PAUL DR STE 101,,CHAMBERSBURG,PA,172011035,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,18,14.901666667,1.42,1.1155555556,1.1155555556
1043620529,MARTIN,ASHLEY,B,DO,F,I,12 ST PAUL DR STE 101,,CHAMBERSBURG,PA,172011035,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,339.91090909,67.72,53.1,54.581818182
1043620792,KNIGHT,JOANNE,,D.O.,F,I,3315 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111820,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,114.39090909,20.219090909,15.850909091,13.535454545
1043620792,KNIGHT,JOANNE,,D.O.,F,I,3315 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111820,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,550.08454545,88.614545455,69.473636364,54.724545455
1043620834,WILLIAMS,ALEXANDER,,,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,138.71818182,45.082727273,35.343636364,36.46
1043620834,WILLIAMS,ALEXANDER,,,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,22.95,8.2333333333,6.4583333333,7.1775
1043620834,WILLIAMS,ALEXANDER,,,M,I,33-57 HARRISON ST,,JOHNSON CITY,NY,137902107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,72.198333333,56.610833333,58.105
1043621121,NARDOZZI,BRENDA,D,FNP,F,I,5311 LIMESTONE RD STE 201,,WILMINGTON,DE,198081258,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,30,75.434666667,8.32,5.652,5.652
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,16,16,152.498125,39.278125,30.79375,30.56
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,299.05333333,87.686,68.744,69.25
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,30,132.14,33.428,26.206666667,26.066333333
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,49,79.572040816,19.481632653,15.273469388,14.66244898
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,228.03,54.131666667,42.436666667,43.1875
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,14,17,17,60.793529412,17.65,13.834705882,14.085882353
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,16,28,144,8.79875,1.9870833333,1.5577083333,1.6224305556
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,12,15,476.506,92.86,72.801333333,73.825333333
1043621238,LAM HERNANDEZ,MEYLIN,,MD,F,I,351 NW LE JEUNE RD STE 308,,MIAMI,FL,33126,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,38,345.85631579,38.562368421,30.232105263,28.401578947
1043621410,MATTHEWS,NICOLE,M,M.D.,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,87.69,17.91,14.04,13.54
1043621410,MATTHEWS,NICOLE,M,M.D.,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,324.249,70.48,55.25,54.826
1043621451,MACKEY,JON,W,D.O.,M,I,11885 E 12 MILE RD STE 300A,,WARREN,MI,480933467,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,268.24,9.14,7.1666666667,7.1775
1043621451,MACKEY,JON,W,D.O.,M,I,11885 E 12 MILE RD STE 300A,,WARREN,MI,480933467,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,391.17190476,79.88,62.62,54.72
1043621642,SMITH,BENJAMIN,,D.O.,M,I,21 COMMERCE PKWY,,ADAIRSVILLE,GA,301032009,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,43,95.406511628,8.32,6.2174418605,6.2174418605
1043621642,SMITH,BENJAMIN,,D.O.,M,I,21 COMMERCE PKWY,,ADAIRSVILLE,GA,301032009,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,111.71,49.9,39.119166667,39.119166667
1043622095,RAUH,JENNALEE,,DPM,F,I,220 S MAIN ST,,CELINA,OH,458222229,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,44,44,88,74.405454545,71.56,55.729772727,55.722045455
1043622095,RAUH,JENNALEE,,DPM,F,I,220 S MAIN ST,,CELINA,OH,458222229,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,47,266,47.946766917,43.474285714,34.082857143,34.136766917
1043622095,RAUH,JENNALEE,,DPM,F,I,220 S MAIN ST,,CELINA,OH,458222229,US,Podiatry,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,150,93.92,72.677272727,69.987272727
1043622095,RAUH,JENNALEE,,DPM,F,I,220 S MAIN ST,,CELINA,OH,458222229,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,253.81,249.892,195.916,215.97133333
1043622095,RAUH,JENNALEE,,DPM,F,I,220 S MAIN ST,,CELINA,OH,458222229,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,165.14727273,161.84727273,123.35272727,122.99272727
1043622459,CHUNG,ARMDABI,,,F,I,8788 JAMACHA RD,,SPRING VALLEY,CA,919774035,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,19,68.203684211,8.32,5.8373684211,5.8373684211
1043622657,HASAN,USAID,,M.D.,M,I,100 E CARROLL ST,,SALISBURY,MD,218015422,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,46.933157895,18.760526316,14.702631579,13.369473684
1043622657,HASAN,USAID,,M.D.,M,I,100 E CARROLL ST,,SALISBURY,MD,218015422,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,352.104,78.9915,58.95125,51.95175
1043622657,HASAN,USAID,,M.D.,M,I,100 E CARROLL ST,,SALISBURY,MD,218015422,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,40,28.746666667,27.205
1043622657,HASAN,USAID,,M.D.,M,I,100 E CARROLL ST,,SALISBURY,MD,218015422,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,110.1,39.786666667,28.58,27.1925
1043622905,FIRRELL,AMY,B,NURSE PRACTITIONER,F,I,20050 HARVARD ROAD SUITE 106,SOUTH POINTE HOSPITAL,WARRENSVILLE HEIGHTS,OH,44122,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,26,84,79.264047619,8.32,6.305,6.305
1043622905,FIRRELL,AMY,B,NURSE PRACTITIONER,F,I,20050 HARVARD ROAD SUITE 106,SOUTH POINTE HOSPITAL,WARRENSVILLE HEIGHTS,OH,44122,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,18,17.707777778,1.42,0.9911111111,0.9911111111
1043623069,VENIS,JUAN CARLOS,,"MD, MPH",M,I,5750 W 56TH ST,,INDIANAPOLIS,IN,462541695,US,Physician/Obstetrics & Gynecology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,17.27,13.54,13.54
1043623184,MARTINEZ,RYAN,,"MD, MPH",M,I,7510 N ORACLE RD STE 100,,TUCSON,AZ,85704,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,32,94.100625,8.32,6.52125,6.52125
1043623184,MARTINEZ,RYAN,,"MD, MPH",M,I,7510 N ORACLE RD STE 100,,TUCSON,AZ,85704,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,48,7.20875,2.0875,1.6370833333,1.5977083333
1043623184,MARTINEZ,RYAN,,"MD, MPH",M,I,7510 N ORACLE RD STE 100,,TUCSON,AZ,85704,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,218.626,34.541666667,27.078666667,28.436666667
1043624141,FINNEY,DAVID,,,M,I,2000 E GREENVILLE ST,SUITE 3700,ANDERSON,SC,296211580,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,94.331538462,22.212307692,16.265384615,12.952307692
1043624141,FINNEY,DAVID,,,M,I,2000 E GREENVILLE ST,SUITE 3700,ANDERSON,SC,296211580,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,504.804,98.85,72.7155,52.223
1043624349,HERONEMUS,EMILY,N,DO,F,I,1112 W 6TH ST STE 124,,LAWRENCE,KS,66044,US,Physician/Sports Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,445,71.58,51.074166667,49.626666667
1043624372,VAZALES,RYAN,,DPM,M,I,7016 LEE PARK RD STE 105,,MECHANICSVILLE,VA,231113620,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,325,150.56666667,118.045,119.58333333
1043624760,QUINTANA,PABLO,N,M.D.,M,I,1653 W CONGRESS PKWY,,CHICAGO,IL,606123833,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,43,120,76.712333333,8.32,5.8701666667,5.8701666667
1043624760,QUINTANA,PABLO,N,M.D.,M,I,1653 W CONGRESS PKWY,,CHICAGO,IL,606123833,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,18,31,48,15.258541667,1.42,1.0458333333,1.0458333333
1043624760,QUINTANA,PABLO,N,M.D.,M,I,1653 W CONGRESS PKWY,,CHICAGO,IL,606123833,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,290.81,137.1925,100.64083333,95.49
1043624877,SUNG,CLIFFORD,,M.D.,M,I,34 MAPLE ST,,NORWALK,CT,068503815,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,75.43,54.2025,50.16
1043624877,SUNG,CLIFFORD,,M.D.,M,I,34 MAPLE ST,,NORWALK,CT,068503815,US,Student in an Organized Health Care Education/Training Program,T,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,25,40.62,29.195833333,27.06
1043624919,CHOWDHURY,JUNAD,M,M.D.,M,I,1500 LANSDOWNE AVE,,DARBY,PA,190231200,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,47.535,37.265,38.1675
1043624919,CHOWDHURY,JUNAD,M,M.D.,M,I,1500 LANSDOWNE AVE,,DARBY,PA,190231200,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,17.0625,13.3775,14.19
1043625163,IMSEIS-LOSH,JULIANNE,M,DO,F,I,9399 CROWN CREST BLVD STE 200,,PARKER,CO,801388508,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,55,53.691090909,8.32,5.2178181818,5.2178181818
1043625494,WELTY,CARRIE,,ARNP,F,I,2555 MARVIN RD NE,PMG SW WA HAWKS PRAIRIE FM,LACEY,WA,985163138,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,75.757692308,8.32,6.4703846154,6.4703846154
1043625668,CAMPBELL,LUKE,J,M.D.,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.92,0.1339230769,0.098025641,0.098025641
1043625668,CAMPBELL,LUKE,J,M.D.,M,I,1665 S GREEN ST,,TUPELO,MS,388046556,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,25.617692308,25.617692308
1043626112,FROERER,AUSTIN,,DO,M,I,1111 6TH AVE,,DES MOINES,IA,503142613,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,125,17.91,14.04,13.810833333
1043626112,FROERER,AUSTIN,,DO,M,I,1111 6TH AVE,,DES MOINES,IA,503142613,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,375,70.48,55.25,55.033181818
1043627128,NOGUER,JESUS,G,MD,M,I,A22 CALLE 2,URBANIZACION RIVERSIDE PARK,BAYAMON,PR,009618559,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,50,53.2816,8.32,6.2608,6.2608
1043627128,NOGUER,JESUS,G,MD,M,I,A22 CALLE 2,URBANIZACION RIVERSIDE PARK,BAYAMON,PR,009618559,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,17.4195,1.42,1.115,1.115
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1280,0.946875,0.12,0.09409375,0.09409375
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,30,2880,0.91875,0.44,0.3134270833,0.3134270833
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,451,12.611529933,8.28,6.3337472284,6.3337472284
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,160,14.87325,10.93,8.5690625,8.5690625
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,615,4.7629268293,3.67,2.8773333333,2.8773333333
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,20,36,4980,0.8346987952,0.13,0.0972028112,0.0972028112
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,21,3177,0.8836638338,0.45,0.3527919421,0.3527919421
1043627292,TIDWELL,TRAVIS,,DPM,M,I,2710 SAINT FRANCIS DR STE 510,,WATERLOO,IA,507025620,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,307,251.28,185.57,205.63583333
1043628050,SOSA POPOTEUR,WARLYN,,MD,M,I,9981 S HEALTHPARK DR,,FORT MYERS,FL,339083618,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,142.74,49.186363636,34.027272727,32.027272727
1043628050,SOSA POPOTEUR,WARLYN,,MD,M,I,9981 S HEALTHPARK DR,,FORT MYERS,FL,339083618,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10,3.985,3.12,3.6525
1043628050,SOSA POPOTEUR,WARLYN,,MD,M,I,9981 S HEALTHPARK DR,,FORT MYERS,FL,339083618,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,519.51,83.19,65.222222222,60.339444444
1043628233,FORSSBERG,JACQUELYN,R,APRN,F,I,1021 EISENHOWER AVE,,GREAT BEND,KS,67530,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,62.296296296,21.180740741,14.947037037,12.472962963
1043628233,FORSSBERG,JACQUELYN,R,APRN,F,I,1021 EISENHOWER AVE,,GREAT BEND,KS,67530,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,24,7.5753846154,5.5188461538,3.2484615385
1043628233,FORSSBERG,JACQUELYN,R,APRN,F,I,1021 EISENHOWER AVE,,GREAT BEND,KS,67530,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,58,59,404.35898305,96.183389831,68.220677966,52.933050847
1043628654,CHRIST,APRIL,A,FNP-BC,F,I,118 12TH STREET EXT,,PRINCETON,WV,247402352,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,42.5,21.985,17.235,13.53
1043628654,CHRIST,APRIL,A,FNP-BC,F,I,118 12TH STREET EXT,,PRINCETON,WV,247402352,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,64.6,9.1364,7.1616,4.068
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,26,41,41,70.82097561,38.360487805,28.775121951,29.169268293
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,8.19,1.42,1.01,1.0472727273
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,21,40,40,172.3215,84.045,63.06525,64.9735
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,16,35,78,79.315641026,32.212564103,23.150641026,23.81525641
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,20.25,17.966666667,14.085833333,14.5155
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,23,33,33,79.056363636,56.5,41.105757576,39.927575758
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,41,51,51,28.361568627,17.498431373,12.64,12.943333333
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,22,22,20.47,10.982272727,8.6068181818,9.075
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,42,66,318,4.6183018868,1.9983018868,1.4586792453,1.4835849057
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,20,24,24,35.345833333,13.281666667,9.5491666667,9.485
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,27,200,46.425185185,36.394074074,36.969259259
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,82,83,29.803373494,17.25,13.194216867,13.212771084
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,2111.4895652,1074.31,842.26,842.26
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,23,334.81304348,78.953478261,56.663043478,57.690434783
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1642.5,1035.4746154,809.59307692,809.59307692
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,38,44,13.29,12.873409091,9.8563636364,9.9315909091
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,17,103,107,36.534766355,3.7514953271,2.6923364486,3.2973831776
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,22,116,129,81.291627907,32.790387597,22.948217054,22.444883721
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,31,241,244,232.02196721,75.297868852,56.664016393,52.84807377
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,84.347826087,36.25,27.184347826,28.143913043
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,34,9689,0.2830591392,0.0464330684,0.0313272784,0.0313272784
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,14,1797,1.6329215359,0.1289760712,0.1011352254,0.1011352254
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,758,2.1225593668,0.2182058047,0.1575329815,0.1575329815
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,162.5648,36.25,28.42,29.4228
1043629140,BLAKE,OPAL,M,NP-C,F,I,631 PROFESSIONAL DR STE 350,,LAWRENCEVILLE,GA,300463370,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,21,49,49,73.408163265,33,22.867346939,22.867346939
1043629157,VENKATA DASARI LAKSHMI,KRISHNA,V,M.D,M,I,2055 E SOUTH BLVD STE 202,,MONTGOMERY,AL,361162002,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.53,22.253636364,17.445454545,14.077272727
1043629157,VENKATA DASARI LAKSHMI,KRISHNA,V,M.D,M,I,2055 E SOUTH BLVD STE 202,,MONTGOMERY,AL,361162002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,204.98,100.90545455,78.734545455,58.034545455
1043629231,WAN FOOK CHEUNG,VERONIQUE,,"MDCM, FRCSC",F,I,145 MICHIGAN ST NE STE 2220,,GRAND RAPIDS,MI,495032562,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,750,3.432,2.8,2.0680266667,2.0680266667
1043629231,WAN FOOK CHEUNG,VERONIQUE,,"MDCM, FRCSC",F,I,145 MICHIGAN ST NE STE 2220,,GRAND RAPIDS,MI,495032562,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,57.355454545,37.827272727,29.654545455,34.34
1043629413,MATHERLY,WADE,,P.A.,M,I,300 W NORTH ST,,SEDAN,KS,673611051,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,19.91,7.3816666667,4.7772222222,2.6277777778
1043629413,MATHERLY,WADE,,P.A.,M,I,300 W NORTH ST,,SEDAN,KS,673611051,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,145.26225806,52.539032258,40.076129032,25.771612903
1043629413,MATHERLY,WADE,,P.A.,M,I,300 W NORTH ST,,SEDAN,KS,673611051,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,58,272.67706897,105.08724138,78.887068966,53.581551724
1043629413,MATHERLY,WADE,,P.A.,M,I,300 W NORTH ST,,SEDAN,KS,673611051,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,59.37,46.77,36.67,30.541428571
1043629439,COGER,JOSHUA,,D.P.M.,M,I,1905 W HEBRON LN STE 204,,SHEPHERDSVILLE,KY,401657467,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,0.69,0.44,0.345,0.345
1043629439,COGER,JOSHUA,,D.P.M.,M,I,1905 W HEBRON LN STE 204,,SHEPHERDSVILLE,KY,401657467,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,375,11.6904,8.28,6.4916266667,6.4916266667
1043629439,COGER,JOSHUA,,D.P.M.,M,I,1905 W HEBRON LN STE 204,,SHEPHERDSVILLE,KY,401657467,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,20,900,3.16,2.4,1.8816444444,1.8816444444
1043629439,COGER,JOSHUA,,D.P.M.,M,I,1905 W HEBRON LN STE 204,,SHEPHERDSVILLE,KY,401657467,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,21,27,3461,0.672715978,0.45,0.3517682751,0.3517682751
1043629439,COGER,JOSHUA,,D.P.M.,M,I,1905 W HEBRON LN STE 204,,SHEPHERDSVILLE,KY,401657467,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,20,473,2.32,1.97,1.5445031712,1.5445031712
1043629611,KINSER,JAMES,H,FNP-C,M,I,6010 BALCONES DR STE 102,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,160,47.9275,33.526,34.1075
1043629611,KINSER,JAMES,H,FNP-C,M,I,6010 BALCONES DR STE 102,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,495,155.475,121.895,124.345
1043629611,KINSER,JAMES,H,FNP-C,M,I,6010 BALCONES DR STE 102,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,22,59.454545455,26.610909091,20.862727273,22.437272727
1043629611,KINSER,JAMES,H,FNP-C,M,I,6010 BALCONES DR STE 102,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,14,14,14,93.553571429,35.119285714,27.535,29.21
1043629611,KINSER,JAMES,H,FNP-C,M,I,6010 BALCONES DR STE 102,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,96,96,69.88875,19.659375,15.043645833,14.222083333
1043629611,KINSER,JAMES,H,FNP-C,M,I,6010 BALCONES DR STE 102,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,86.47,27.898571429,21.865714286,20.91
1043629611,KINSER,JAMES,H,FNP-C,M,I,6010 BALCONES DR STE 102,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,25.28,8.3766666667,6.5666666667,6.8433333333
1043630874,GILBERT,ALLISON,L,M.D.,F,I,75 FRANCIS ST,,BOSTON,MA,02115,US,Physician/Obstetrics & Gynecology,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,9.7,7.6,7.2633333333
1043631070,TRIPATHI,NISHANT,,M.D.,M,I,UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST MN602,,LEXINGTON,KY,40536,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,174.842,23.4625,18.3925,14.433
1043631070,TRIPATHI,NISHANT,,M.D.,M,I,UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST MN602,,LEXINGTON,KY,40536,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1020.1,787.80416667,830.30416667
1043631070,TRIPATHI,NISHANT,,M.D.,M,I,UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST MN602,,LEXINGTON,KY,40536,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,658.0744,103.372,80.2454,57.1692
1043631070,TRIPATHI,NISHANT,,M.D.,M,I,UK DIVISION OF HOSPITAL MEDICINE 800 ROSE ST MN602,,LEXINGTON,KY,40536,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,191.65,45.312,35.527,29.8745
1043631294,LAPSIWALA,PAREEN,R,D.O.,F,I,170 CHANGEBRIDGE RD,SUITE C-3,MONTVILLE,NJ,070459115,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,36,80.940277778,8.32,6.5216666667,6.5216666667
1043631294,LAPSIWALA,PAREEN,R,D.O.,F,I,170 CHANGEBRIDGE RD,SUITE C-3,MONTVILLE,NJ,070459115,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,128.98,44.423076923,29.852307692,31.079230769
1043631484,ALLENDER,KALLIE,E,"FNP-C,MSN,RN",F,I,33 W MAIN ST,,ALBION,IL,628061006,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,48,44.067083333,8.32,4.62,4.62
1043631484,ALLENDER,KALLIE,E,"FNP-C,MSN,RN",F,I,33 W MAIN ST,,ALBION,IL,628061006,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,19.241153846,7.9826923077,6.0715384615,3.7392307692
1043631773,SHARMA,NITIKA,,M.D.,F,I,600 MOYE BLVD,,GREENVILLE,NC,278344300,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,760.48,92.683636364,72.664545455,58.411818182
1043632326,BRYANT,JANET,R,NP-C,F,I,1500 TERRACE ST,SUITE 105,HINTON,WV,259519768,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,29,92,186,56.059354839,8.3170967742,5.5389784946,5.5401075269
1043632326,BRYANT,JANET,R,NP-C,F,I,1500 TERRACE ST,SUITE 105,HINTON,WV,259519768,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,13.393571429,1.4185714286,1.1185714286,1.12
1043632326,BRYANT,JANET,R,NP-C,F,I,1500 TERRACE ST,SUITE 105,HINTON,WV,259519768,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1920,1.93903125,0.132390625,0.082484375,0.082484375
1043632326,BRYANT,JANET,R,NP-C,F,I,1500 TERRACE ST,SUITE 105,HINTON,WV,259519768,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,18.478571429,18.478571429
1043633597,GOMEZ,JENNIFER,H,FNP,F,I,7390 N LA CHOLLA BLVD,,TUCSON,AZ,857412305,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,47.362307692,5.4776923077,3.3553846154,2.7996153846
1043633696,SANDERS,JENNIFER,C,FNP-BC,F,I,7163 GOODMAN RD,,OLIVE BRANCH,MS,386541904,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.82,3.25,2.5433333333,3.4783333333
1043634207,GONZALES,ELSA,M,"MSN, NP-C",F,I,200 EMILIO LOPEZ RD NW,,LOS LUNAS,NM,870316818,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,62,79.788064516,8.32,5.9966129032,5.9966129032
1043634207,GONZALES,ELSA,M,"MSN, NP-C",F,I,200 EMILIO LOPEZ RD NW,,LOS LUNAS,NM,870316818,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,21,19.24047619,1.42,1.0057142857,1.0057142857
1043634207,GONZALES,ELSA,M,"MSN, NP-C",F,I,200 EMILIO LOPEZ RD NW,,LOS LUNAS,NM,870316818,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,86.09,67.49,55.89
1043634744,ROSS,ROBYNN,E,,F,I,3509 HIGHWAY 4 W,,SARAH,MS,386653567,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,77.18,51.200769231,46.301538462
1043635006,JENKINS,COURTNEY,,PA,F,I,4605 SAWMILL RD,,UPPER ARLINGTON,OH,432202246,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,110,72.45,51.636363636,56.934545455
1043635162,DOMINGO,ALODIA,B,NP,F,I,5700 W OLIVE AVE STE 102,,GLENDALE,AZ,85302,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,77.36,60.65,54.73
1043635162,DOMINGO,ALODIA,B,NP,F,I,5700 W OLIVE AVE STE 102,,GLENDALE,AZ,85302,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,26,26,26,1590.3430769,1146.1542308,893.06115385,881.90692308
1043635162,DOMINGO,ALODIA,B,NP,F,I,5700 W OLIVE AVE STE 102,,GLENDALE,AZ,85302,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,20,35,35,1195.456,849.98,666.38,676.39742857
1043635162,DOMINGO,ALODIA,B,NP,F,I,5700 W OLIVE AVE STE 102,,GLENDALE,AZ,85302,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,22,39,39,147.3025641,119.93,94.02,89.371282051
1043635675,CRANDALL,SELENA,,ARNP,F,I,3860 SUN CITY CENTER BLVD,,RUSKIN,FL,335736806,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3676.1538462,2180.2361538,1709.3030769,1709.3030769
1043637051,WRIGHT,VERONICA,N,APN,F,I,1005 HEALTH CENTER DR STE 102,,MATTOON,IL,619384693,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,60,7.5041666667,5.8816666667,3.88
1043637176,ENKHTAIVAN,BAIGALMAA,,,F,I,6431 FANNIN ST,MSB 1.134,HOUSTON,TX,770305389,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,71.874117647,18.64,14.608823529,13.532352941
1043637176,ENKHTAIVAN,BAIGALMAA,,,F,I,6431 FANNIN ST,MSB 1.134,HOUSTON,TX,770305389,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,457.97809524,77.548571429,60.798571429,54.77
1043637259,TORRES,THALIA,A,MD,F,I,240 E HURON ST,"MCGAW PAVILLION, SUITE I-200",CHICAGO,IL,606112909,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,21,43,75.445581395,8.32,6.5213953488,6.5213953488
1043637580,SANGUANKEO,ANAWIN,,M.D.,M,I,4101 N WATER TOWER PL,,MOUNT VERNON,IL,62864,US,Internal Medicine,T,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1500,5.4900533333,0.56704,0.4445666667,0.4445666667
1043637580,SANGUANKEO,ANAWIN,,M.D.,M,I,4101 N WATER TOWER PL,,MOUNT VERNON,IL,62864,US,Internal Medicine,T,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,2400,3.5539458333,0.8638375,0.67725,0.67725
1043637580,SANGUANKEO,ANAWIN,,M.D.,M,I,4101 N WATER TOWER PL,,MOUNT VERNON,IL,62864,US,Internal Medicine,T,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,14,16,16,12.54,12.54
1043638083,KELLY,AMY,P,DO,F,I,8400 WASHINGTON AVE,,MOUNT PLEASANT,WI,534063735,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,29,60.015517241,4.7786206897,3.5855172414,3.4155172414
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,61,189,45.997989418,8.32,6.3151322751,6.3151322751
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,14.88,3.38,2.65,2.65
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,13,15,15,22.443333333,2.12,1.5586666667,1.5586666667
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,21,45,83,18.026626506,1.42,1.0997590361,1.0997590361
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,455,36.415296703,3.11,2.2775824176,2.226021978
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,20,97,97,89.52,54.445360825,39.130515464,36.25742268
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,72.831111111,18,13.326111111,12.819444444
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,14.88490566,6.4226415094,5.0364150943,3.9832075472
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,56.045555556,43.897407407,32.918518519,32.918518519
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,18,77,77,70.929350649,46.25,32.465714286,33.659220779
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,12,12,163.85166667,90.01,64.689166667,52.809166667
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,46.210909091,35.05,27.48,29.170909091
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,216.13636364,156.51,122.71,114.77363636
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,26,2102,2.186018078,0.1355042816,0.0959134158,0.0959134158
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,655,2.1148854962,0.2189160305,0.1259389313,0.1259389313
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,68,68,37.027647059,21.493235294,15.660441176,13.555882353
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,68,68,15.648235294,9.4867647059,7.0467647059,6.6136764706
1043638281,GARCIA-SAEZ,GEISHA,O,MD,F,I,411 SW 27TH AVE,STE 200,MIAMI,FL,331352903,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,27,27,33.888888889,33,21.403703704,21.403703704
1043638869,CARNEY,WENDELL,T,NP,M,I,111 MAIN ST,,QUITMAN,MS,393552119,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,37.63
1043639503,ASKIN,ELISABETH,T,M.D.,F,I,1545 DIVISADERO ST,SUITE 322,SAN FRANCISCO,CA,941433425,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,73.581818182,57.975454545,45.452727273,39.499090909
1043639503,ASKIN,ELISABETH,T,M.D.,F,I,1545 DIVISADERO ST,SUITE 322,SAN FRANCISCO,CA,941433425,US,Physician/Internal Medicine,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,28.363636364,8.3281818182,6.5254545455,6.9663636364
1043639545,KUMAR,MEGHANA,B,M.D.,F,I,101 MANNING DR,ROOM 1017,CHAPEL HILL,NC,275144220,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,71,96.517605634,8.32,6.3384507042,6.3384507042
1043639917,KRUEGER,ALYSSA,,DO,F,I,2503 E LYON STATION RD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,38,66.646315789,8.2442105263,6.1194736842,6.1786842105
1043639917,KRUEGER,ALYSSA,,DO,F,I,2503 E LYON STATION RD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,22.790909091,17.866363636,13.53
1043639917,KRUEGER,ALYSSA,,DO,F,I,2503 E LYON STATION RD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,293.60857143,101.12142857,79.280714286,54.73
1043640071,VAN LEEUWEN,BREELYN,J,"PA-C, MSPA",F,I,1055 N 500 W STE 211,,PROVO,UT,846043305,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,2850,4.35,1.73,1.3102842105,1.5404947368
1043640659,CHUMLEY,CHRISTINA,C,APRN,F,I,121 E MAIN ST,,PROVIDENCE,KY,424501268,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,29,37,56.363783784,8.32,5.1148648649,5.1148648649
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,62,149,61.28738255,8.32,5.7769798658,5.7769798658
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,18,18,306.90111111,122.86888889,87.957777778,64.957222222
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,12,43,47,106.89595745,46.567659574,33.838510638,24.647234043
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,21,60.15,27.23,21.348571429,16.67952381
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,19,41,40.415853659,21.013658537,13.703902439,10.64902439
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,171.821875,78.83375,55.911875,42.304375
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,24,24,61.980833333,26.153333333,19.201666667,14.000833333
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,18,26,26,63.57,23.265384615,18.08,10.296153846
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,64,139,8.1173381295,3.2420143885,2.4674100719,1.6195683453
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,30.708666667,15.92,10.974,9.144
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,68.383953488,22.603488372,15.984651163,12.096744186
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,35,39,117.16794872,58.979230769,42.008974359,34.112820513
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,28,27.8,10.525357143,8.2528571429,4.2485714286
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,56,60,138.49166667,53.500833333,40.943166667,31.284333333
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,90,93,483.05408602,106.87290323,79.356021505,52.416021505
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,50,250,45.5064,34.365,28.833
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,36,11251,0.1741774065,0.0461159008,0.0309856902,0.0309856902
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,2638,0.8722365428,0.1345602729,0.0777899924,0.0777899924
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,502,0.8007171315,0.2193625498,0.1413545817,0.1413545817
1043640758,LAWYER,NICHOLAS,P,PA-C,M,I,110 KRUGER RD,,PLAINS,MT,598599234,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,49,49,41.081632653,33,22.614693878,22.614693878
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,21,46,135,60.164962963,8.32,5.9375555556,5.9375555556
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.227692308,3.38,2.65,2.65
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,25,42,12.769761905,1.42,1.0080952381,1.0080952381
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,2467.8058824,913.16,711.70029412,834.32441176
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,52.474285714,5.875,4.6092857143,3.9921428571
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,503.77575,79.22,56.14475,49.50275
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,481.70612903,37.15,27.250645161,27.637096774
1043641798,NAING,KHIN,M,M.D.,F,I,12276 HESPERIA RD STE C,,VICTORVILLE,CA,923955838,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,37.15,26.7025,27.059166667
1043642440,TARIQ,ASMA,,M.D.,F,I,400 W MINERAL KING AVE,,VISALIA,CA,932916237,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,52,54.178269231,8.32,6.1444230769,6.1444230769
1043642598,MAHDI,BENJAMIN,,MD,M,I,45280 SEELEY DR,2ND FLOOR,LA QUINTA,CA,922536834,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,26,103,72.320485437,8.32,6.5232038835,6.5232038835
1043642598,MAHDI,BENJAMIN,,MD,M,I,45280 SEELEY DR,2ND FLOOR,LA QUINTA,CA,922536834,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,25,13.322,1.42,1.1136,1.1136
1043642598,MAHDI,BENJAMIN,,MD,M,I,45280 SEELEY DR,2ND FLOOR,LA QUINTA,CA,922536834,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,28,86.31,17.288928571,12.603928571,12.616071429
1043642598,MAHDI,BENJAMIN,,MD,M,I,45280 SEELEY DR,2ND FLOOR,LA QUINTA,CA,922536834,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,715.92,842.26
1043642598,MAHDI,BENJAMIN,,MD,M,I,45280 SEELEY DR,2ND FLOOR,LA QUINTA,CA,922536834,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,519.51,81.989259259,60.881851852,52.170185185
1043642598,MAHDI,BENJAMIN,,MD,M,I,45280 SEELEY DR,2ND FLOOR,LA QUINTA,CA,922536834,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,250,39.537727273,31.001363636,29.483181818
1043643174,HOFERER,PATRICK,M,NP,M,I,5885 HARRISON AVE,SUITE 2700,CINCINNATI,OH,452481691,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,61.967083333,8.0691666667,6.3283333333,6.525
1043643604,PLOMATOS,CHRISTOPHER,L,APRN-C,M,I,2350 SUNSET POINT RD,SUITE C,CLEARWATER,FL,337651443,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,140.46,49.49,36.9925,34.676785714
1043643604,PLOMATOS,CHRISTOPHER,L,APRN-C,M,I,2350 SUNSET POINT RD,SUITE C,CLEARWATER,FL,337651443,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,17.195,11.78875,11.835625
1043643604,PLOMATOS,CHRISTOPHER,L,APRN-C,M,I,2350 SUNSET POINT RD,SUITE C,CLEARWATER,FL,337651443,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,28,543.29142857,78.791428571,57.61,51.379285714
1043643604,PLOMATOS,CHRISTOPHER,L,APRN-C,M,I,2350 SUNSET POINT RD,SUITE C,CLEARWATER,FL,337651443,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,62.264166667,35.31,27.69,29.358333333
1043643604,PLOMATOS,CHRISTOPHER,L,APRN-C,M,I,2350 SUNSET POINT RD,SUITE C,CLEARWATER,FL,337651443,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,25,98,114,86.443421053,21.104298246,15.389736842,13.502982456
1043643687,HOLEWINSKI,CHRISTOPHER,J,"RP, DO",M,I,800 MERCY DR,,COUNCIL BLUFFS,IA,515033128,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,55.5175,22.3725,14.236875,12.1425
1043643687,HOLEWINSKI,CHRISTOPHER,J,"RP, DO",M,I,800 MERCY DR,,COUNCIL BLUFFS,IA,515033128,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,381.793125,77.09,45.80625,41.1675
1043643737,YIM,JUNG EUN,,N.P,F,I,9828 GARDEN GROVE BLVD STE 201,,GARDEN GROVE,CA,928441659,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,32.821666667,8.32,3.26,3.26
1043645526,SIDDIQUI,AJAZ,,M.D.,M,I,755 MEMORIAL PKWY,BLDG. 200 SUITE 201,PHILLIPSBURG,NJ,088652748,US,Physician/Pain Management,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,100.75,84.556428571,66.293571429,66.293571429
1043645872,ALEJO,ANDREA,J,M.D.,F,I,7547 MEDICAL DR STE 2200,INTERNAL MEDICINE ASSOCIATES OF GLOUCESTER,GLOUCESTER,VA,230614351,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,31,86,166,62.738795181,8.32,5.5790963855,5.5790963855
1043645872,ALEJO,ANDREA,J,M.D.,F,I,7547 MEDICAL DR STE 2200,INTERNAL MEDICINE ASSOCIATES OF GLOUCESTER,GLOUCESTER,VA,230614351,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,19,26,10.834230769,1.42,0.9865384615,0.9865384615
1043646284,OLIVIER-DE LA TORRE,MICHAEL,,"DNP, FNP-BC",M,I,1000 10TH AVE STE 2T,,NEW YORK,NY,100191147,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,28,73.128928571,8.32,6.0553571429,6.0553571429
1043646391,BARNETT,SARAH,,NP,F,I,1 SPRINGFIELD AVE,PULMONARY AND ALLERGY ASSOCIATES,SUMMIT,NJ,079014055,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,3775.52,1074.31,842.26,842.26
1043646391,BARNETT,SARAH,,NP,F,I,1 SPRINGFIELD AVE,PULMONARY AND ALLERGY ASSOCIATES,SUMMIT,NJ,079014055,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,35.5,27.83,29.357272727
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,27,85,199,60.934321608,8.3172864322,5.6921105528,5.6921105528
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,38,47,13.970851064,1.42,1.0693617021,1.0693617021
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,14,43,84,8.19,1.9077380952,1.4216666667,1.0941666667
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,91,102.48263736,25.451538462,18.650879121,14.522417582
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,263.869,79.174,62.071,48.196
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,86.758461538,26.394615385,20.689230769,14.744615385
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,19,19,98.363684211,19.944736842,15.103157895,10.458947368
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,24,135,12.162666667,2.92,2.210962963,1.6305925926
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,47.883846154,15.623846154,12.244615385,10.411538462
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,22,381.36,79.776363636,62.545454545,42.195
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,61,62,86.31,22.652258065,16.64983871,13.863870968
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,21,81.75,18.576666667,14.564285714,9.8214285714
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,46,62,50.73,6.6190322581,4.0029032258,2.6788709677
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,22,27,257.82,50.761851852,39.79962963,26.621851852
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,27,195,204,519.51,97.846911765,72.574803922,53.920735294
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,22,1320,13.94,11.163545455,8.6435606061,8.6435606061
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,13,108,22835,0.2088079702,0.0458865776,0.0326599518,0.0326599518
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,60,6900,1.2609971014,0.1373913043,0.1037855072,0.1037855072
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,55,3170,12.890649842,2.9476025237,2.1722807571,2.1722807571
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,21,142.38095238,29.144285714,22.163333333,14.903333333
1043646904,OSBORNE,PATRICIA,G,FNP-BC,F,I,702 PINE ST,,HILLSVILLE,VA,243431405,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,21,149,149,116.05369128,33,24.863087248,24.863087248
1043647027,MERKER-HORTON,JENNIFER,A,NP,F,I,1550 HOBBS DR,,DELAVAN,WI,531152027,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,36,39.995555556,8.32,6.5211111111,6.5211111111
1043647027,MERKER-HORTON,JENNIFER,A,NP,F,I,1550 HOBBS DR,,DELAVAN,WI,531152027,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,92.4,22.253636364,17.445454545,14.077272727
1043647027,MERKER-HORTON,JENNIFER,A,NP,F,I,1550 HOBBS DR,,DELAVAN,WI,531152027,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,489.3,100.90545455,79.111818182,58.411818182
1043647290,SALGADO POGACNIK,JAVIER,,MD,M,I,200 LOTHROP ST. DIGESTIVE DISORDER CTR,3RD FL PUH,PITTSBURGH,PA,15213,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,13,320,11.09625,5.7325,3.94040625,3.94628125
1043647290,SALGADO POGACNIK,JAVIER,,MD,M,I,200 LOTHROP ST. DIGESTIVE DISORDER CTR,3RD FL PUH,PITTSBURGH,PA,15213,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,277,5.9869314079,2.9050902527,2.0804693141,2.0838628159
1043647290,SALGADO POGACNIK,JAVIER,,MD,M,I,200 LOTHROP ST. DIGESTIVE DISORDER CTR,3RD FL PUH,PITTSBURGH,PA,15213,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,630,14.396444444,6.9974603175,5.2904603175,5.292952381
1043647290,SALGADO POGACNIK,JAVIER,,MD,M,I,200 LOTHROP ST. DIGESTIVE DISORDER CTR,3RD FL PUH,PITTSBURGH,PA,15213,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,280,9.1385,4.03,3.1595,3.1595
1043647290,SALGADO POGACNIK,JAVIER,,MD,M,I,200 LOTHROP ST. DIGESTIVE DISORDER CTR,3RD FL PUH,PITTSBURGH,PA,15213,US,Physician/Colorectal Surgery (Proctology),S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,660,5.0863636364,3.1290909091,2.2263181818,2.227030303
1043647290,SALGADO POGACNIK,JAVIER,,MD,M,I,200 LOTHROP ST. DIGESTIVE DISORDER CTR,3RD FL PUH,PITTSBURGH,PA,15213,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,675,0.5154666667,0.267037037,0.2093481481,0.2110814815
1043647696,SMITH,BRITTANY,B,FNP-C,F,I,3901A SPICEWOOD SPRINGS RD,STE 201,AUSTIN,TX,787598723,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160,51.615,40.465,41.054166667
1043647779,EGAN,AMBER,N,NP,F,I,1 CHATEAU LN,,BARBOURSVILLE,WV,255041627,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,21,69,43.13884058,8.3011594203,6.3679710145,6.3827536232
1043647779,EGAN,AMBER,N,NP,F,I,1 CHATEAU LN,,BARBOURSVILLE,WV,255041627,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50.73,4.00625,2.90625,3.530625
1043647779,EGAN,AMBER,N,NP,F,I,1 CHATEAU LN,,BARBOURSVILLE,WV,255041627,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,519.51,77.36,60.65,54.999090909
1043647779,EGAN,AMBER,N,NP,F,I,1 CHATEAU LN,,BARBOURSVILLE,WV,255041627,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,295.71428571,42.42,33.26,29.517619048
1043648132,LEAL,CARLOS,M,PA-C,M,I,1100 PASEO CAMARILLO,,CAMARILLO,CA,930106073,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,39,70,63.725285714,8.32,4.2181428571,4.2181428571
1043648132,LEAL,CARLOS,M,PA-C,M,I,1100 PASEO CAMARILLO,,CAMARILLO,CA,930106073,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,15.191428571,1.42,0.5585714286,0.5585714286
1043648132,LEAL,CARLOS,M,PA-C,M,I,1100 PASEO CAMARILLO,,CAMARILLO,CA,930106073,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,9.9733333333,2.0066666667,1.4431944444,1.4594444444
1043648132,LEAL,CARLOS,M,PA-C,M,I,1100 PASEO CAMARILLO,,CAMARILLO,CA,930106073,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.53,3.2083333333,1.9833333333,3.0933333333
1043648132,LEAL,CARLOS,M,PA-C,M,I,1100 PASEO CAMARILLO,,CAMARILLO,CA,930106073,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,252,28.556,18.977333333,21.06
1043648702,ARCHER,LISA,,,F,I,21610 PACIFIC WAY,,OCEAN PARK,WA,986403206,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,102.41909091,18.787272727,13.121818182,11.865454545
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,39,41,225.16780488,71.482439024,55.992439024,39.189756098
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,75.275625,21.615625,16.945625,13.90625
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,28.265454545,11.285454545,8.8490909091,8.6309090909
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,27,31.087407407,10.872222222,8.5266666667,8.12
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,47.454545455,14.183636364,11.120909091,9.7381818182
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,378.41272727,211.83363636,150.16545455,150.16545455
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,408.05157895,92.9,72.834210526,56.861578947
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,59,59,51.93220339,29.324745763,22.664745763,15.184576271
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,29.767272727,8.6181818182,6.7563636364,6.5327272727
1043649031,MONGER,JAMIE,B,NP,F,I,250 BMH PHYSICIANS OFFICE BLDG,,MARYVILLE,TN,378045904,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67.12,44.745,35.0825,30.111666667
1043650054,HORTON,ROBIN,R,NP,F,I,150 NE KENNETH FORD DR,,ROSEBURG,OR,974701042,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,38,37.756315789,8.32,5.8355263158,5.8355263158
1043650054,HORTON,ROBIN,R,NP,F,I,150 NE KENNETH FORD DR,,ROSEBURG,OR,974701042,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,64,64,92.95984375,22.354375,15.8925,12.80265625
1043650054,HORTON,ROBIN,R,NP,F,I,150 NE KENNETH FORD DR,,ROSEBURG,OR,974701042,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,4430.1,986.58,773.47,838.9747619
1043650054,HORTON,ROBIN,R,NP,F,I,150 NE KENNETH FORD DR,,ROSEBURG,OR,974701042,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,70,7.3581818182,5.7672727273,3.5836363636
1043650054,HORTON,ROBIN,R,NP,F,I,150 NE KENNETH FORD DR,,ROSEBURG,OR,974701042,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,92,94,500.26925532,104.62276596,77.414042553,54.747553191
1043650302,ROBERTSON,AARON,R,M.D.,M,I,801 BROADWAY N,,FARGO,ND,581220170,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,31,380.43967742,80.556774194,56.758064516,48.345806452
1043650302,ROBERTSON,AARON,R,M.D.,M,I,801 BROADWAY N,,FARGO,ND,581220170,US,Physician/Undefined Physician type[6],S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,175,38.68,30.32,29.51
1043650427,AZIZ,FREDERICK,,M.D.,M,I,215 PERRY HILL RD,CAVHCS-MONTGOMERY AND TUSKEGEE CAMPUS,MONTGOMERY,AL,361093725,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,35,35,35,85,65.263142857,48.900571429,34.4
1043650427,AZIZ,FREDERICK,,M.D.,M,I,215 PERRY HILL RD,CAVHCS-MONTGOMERY AND TUSKEGEE CAMPUS,MONTGOMERY,AL,361093725,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,22.342857143,13.985714286,10.968571429,8.0166666667
1043650427,AZIZ,FREDERICK,,M.D.,M,I,215 PERRY HILL RD,CAVHCS-MONTGOMERY AND TUSKEGEE CAMPUS,MONTGOMERY,AL,361093725,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,68.873,21.6895,15.5115,12.177
1043650427,AZIZ,FREDERICK,,M.D.,M,I,215 PERRY HILL RD,CAVHCS-MONTGOMERY AND TUSKEGEE CAMPUS,MONTGOMERY,AL,361093725,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,409.286,96.589,69.75,49.257
1043650427,AZIZ,FREDERICK,,M.D.,M,I,215 PERRY HILL RD,CAVHCS-MONTGOMERY AND TUSKEGEE CAMPUS,MONTGOMERY,AL,361093725,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,52.527692308,24.913076923,15.866923077,10.330769231
1043650427,AZIZ,FREDERICK,,M.D.,M,I,215 PERRY HILL RD,CAVHCS-MONTGOMERY AND TUSKEGEE CAMPUS,MONTGOMERY,AL,361093725,US,Physician/Physical Medicine and Rehabilitation,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1043650641,JOHNSON,JOHN,A,D.O.,M,I,123 SUMMER ST,"ST. VINCENT HOSPITAL, DEPT. OF INTERNAL MEDICINE",WORCESTER,MA,016081216,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,16,16,1336.051875,1248.09625,952.765,860.76375
1043650641,JOHNSON,JOHN,A,D.O.,M,I,123 SUMMER ST,"ST. VINCENT HOSPITAL, DEPT. OF INTERNAL MEDICINE",WORCESTER,MA,016081216,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,19,816.77736842,668.52,513.33421053,469.84210526
1043650641,JOHNSON,JOHN,A,D.O.,M,I,123 SUMMER ST,"ST. VINCENT HOSPITAL, DEPT. OF INTERNAL MEDICINE",WORCESTER,MA,016081216,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,15,23,122.70086957,113.96913043,79.845217391,79.340869565
1043650716,TADESSE,SAMSON,D,MD,M,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,212.5,53.444166667,36.565,33.153333333
1043650716,TADESSE,SAMSON,D,MD,M,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,62.142857143,17.500612245,13.135714286,12.98
1043650716,TADESSE,SAMSON,D,MD,M,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1500,1074.31,830.30416667,830.30416667
1043650716,TADESSE,SAMSON,D,MD,M,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,68,68,282.94117647,72.814411765,55.397647059,53.118823529
1043650716,TADESSE,SAMSON,D,MD,M,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,30.04,21.586363636,20.106363636
1043650716,TADESSE,SAMSON,D,MD,M,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,200,36.938947368,28.958421053,29.51
1043650781,WARD,RICHARD,J,MD,M,I,714 N MICHIGAN ST,,SOUTH BEND,IN,466011035,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,330,1.9135757576,0.1351818182,0.0894545455,0.0894545455
1043650955,MCCARTHY,STEPHANIE,C,"R.N., A.P.N.",F,I,1 CLARA MAASS DR,,BELLEVILLE,NJ,071093550,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,20,61,69.463442623,8.32,5.1321311475,5.1321311475
1043651235,WALTON,JONI,M,NP,F,I,670 PARK AVE,,SHELBY,MT,594741663,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,21,76.22047619,8.32,5.5914285714,5.5914285714
1043651235,WALTON,JONI,M,NP,F,I,670 PARK AVE,,SHELBY,MT,594741663,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,22.790909091,15.153636364,11.617272727
1043651235,WALTON,JONI,M,NP,F,I,670 PARK AVE,,SHELBY,MT,594741663,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,519.51,113.23818182,79.289090909,63.874545455
1043651458,SCANLON,DIANA,,CNP,F,I,45640 SCHOENHERR RD,SUITE B,SHELBY TOWNSHIP,MI,483156033,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,12,16,16,12.54,12.54
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,26,95,188,52.443829787,8.32,5.0508510638,5.0508510638
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,34,34,11.598235294,1.42,0.6917647059,0.6917647059
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,34,71.56,71.56,46.244411765,46.244411765
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,41,86.31,17.139756098,13.10804878,13.199512195
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,4815.51,913.16,710.97275862,832.9562069
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,31.753714286,4.6185714286,3.6202857143,3.668
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,57,62,519.51,67.952903226,52.297258065,53.890483871
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,990,15.58,9.6822727273,7.5728989899,7.5728989899
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,3999,0.1904776194,0.0451387847,0.0308002001,0.0307901975
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1379,0.9886004351,0.1357722988,0.0827338651,0.0827338651
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,810,12.86,2.8611111111,2.2431358025,2.2431358025
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,72,43.56,43.56,33.823472222,33.821944444
1043651490,SMITH GREENBERG,ALLISON,,MD,F,I,202 CULLENS ST NW,SEA MAR YELM MEDICAL AND DENTAL CLINIC,YELM,WA,985979417,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,13,54,54,99,33,22.677777778,22.677777778
1043651540,CARNEY,RACHEL,S,PA-C,F,I,14239 W BELL RD,#225,SURPRISE,AZ,853742469,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45,5.8581818182,4.5945454545,3.6854545455
1043651680,GUDE,SARAH,S,D.O.,F,I,2450 S TELSHOR BLVD,,LAS CRUCES,NM,880115069,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,86.31,23.39826087,18.342173913,14.053478261
1043651680,GUDE,SARAH,S,D.O.,F,I,2450 S TELSHOR BLVD,,LAS CRUCES,NM,880115069,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,30,519.51,109.40133333,85.774,57.43
1043651680,GUDE,SARAH,S,D.O.,F,I,2450 S TELSHOR BLVD,,LAS CRUCES,NM,880115069,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1770,1.0917062147,0.1408474576,0.1104180791,0.1104180791
1043651680,GUDE,SARAH,S,D.O.,F,I,2450 S TELSHOR BLVD,,LAS CRUCES,NM,880115069,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,12.86,2.999,2.3512407407,2.3512407407
1043651680,GUDE,SARAH,S,D.O.,F,I,2450 S TELSHOR BLVD,,LAS CRUCES,NM,880115069,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,122.1,33,25.87,25.87
1043652118,SMITH,CHRISTINA,D,PA,F,I,130 MALLARD ST,,GREENVILLE,SC,296014046,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,54,50.995740741,8.32,5.5561111111,5.5561111111
1043652142,VIDAL,CARLA PATRICIA,,PA-C,F,I,101 W 8TH AVE,,SPOKANE,WA,992042307,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,57,17.098,12.981333333,13.245666667
1043652290,MALL,PRERNA,A,DPM,F,I,408 S 1ST ST,,LAKE WALES,FL,338534146,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,23,46,86.750434783,71.56,48.787608696,48.787608696
1043652290,MALL,PRERNA,A,DPM,F,I,408 S 1ST ST,,LAKE WALES,FL,338534146,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,66,53.061818182,43.56,33.204090909,33.202424242
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,25,52,52,89.282692308,46.213846154,35.187307692,29.965576923
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,40,86,86,340.69093023,105.47569767,78.539302326,64.934069767
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,40,91,247,118.68813765,39.923481781,30.359392713,25.465060729
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,18,35,170,67.879176471,24.754058824,19.327176471,14.524235294
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,12,21,112,41.06,17.461517857,12.835,11.339642857
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,29,50,50,188.9334,69.3088,54.213,43.7608
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,51,61,61,72.16442623,22.260819672,16.495245902,13.433934426
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,43,73,73,78.840958904,15.984931507,12.152191781,9.0712328767
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,63,133,726,9.5234986226,2.6717768595,1.9932644628,1.5429752066
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,17,17,32.880588235,6.8717647059,5.3911764706,4.6552941176
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,41,53,53,42.838490566,14.848490566,11.000566038,9.7556603774
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,22,129,129,88.577984496,21.696976744,16.348062016,13.732093023
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,13,13,4134.6538462,1038.25,724.43769231,749.64615385
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,366.20541667,131.30416667,94.136666667,68.147916667
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,81.75,14.04,10.009545455,9.06
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,71.273809524,6.1928571429,4.8542857143,3.54
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,24,145,145,207.50475862,42.463103448,31.674206897,25.983931034
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,62,429,450,483.78655556,92.463155556,70.431488889,56.306777778
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,165.53658537,38.68,28.75804878,28.086341463
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1560,13.466153846,9.63,7.3659807692,7.3659807692
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,4208,0.2361288023,0.0460741445,0.032210076,0.032210076
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,31,2489,0.9400883889,0.1385094415,0.1074969867,0.1074969867
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,44,2400,10.458725,2.9421625,2.2469791667,2.2469791667
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,285.6,44.526923077,33.647692308,28.655384615
1043652472,GALLAGHER,ABBY,H,APRN,F,I,705 ORLEANS DR,,GRAND ISLAND,NE,688033409,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,17,81,81,89.913580247,33,24.911851852,24.911851852
1043653041,CALHOUN,RICHARD,D,DPM,M,I,13761 MCGREGOR BLVD,,FORT MYERS,FL,339196120,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,360,28.82,23.66,18.150805556,18.150805556
1043653397,KAUSHAL,KHUSHBOO,,M.D.,F,I,1250 16TH ST STE 2304,,SANTA MONICA,CA,904041249,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,193,69.948186528,13.13,10.293989637,10.293989637
1043653397,KAUSHAL,KHUSHBOO,,M.D.,F,I,1250 16TH ST STE 2304,,SANTA MONICA,CA,904041249,US,Physician/Internal Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,90,697.64766667,326.82,256.22722222,256.22722222
1043653397,KAUSHAL,KHUSHBOO,,M.D.,F,I,1250 16TH ST STE 2304,,SANTA MONICA,CA,904041249,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,90,154.09511111,9.35,7.33,7.33
1043653397,KAUSHAL,KHUSHBOO,,M.D.,F,I,1250 16TH ST STE 2304,,SANTA MONICA,CA,904041249,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,90,444.00366667,29.22,22.908555556,22.908555556
1043653686,ANDRES,ROBERT,B,M.D.,M,I,1542 TULANE AVE # T4M2,,NEW ORLEANS,LA,701122865,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,68.18,29.363636364,23.020909091,15.08
1043654007,KELTY,JASON,,D.P.M.,M,I,116 EAST AVE,SUITE 4,TALLMADGE,OH,442782300,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,58,90,71.56,56.105,56.105
1043654007,KELTY,JASON,,D.P.M.,M,I,116 EAST AVE,SUITE 4,TALLMADGE,OH,442782300,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,168,55,43.56,34.151666667,34.150119048
1043654114,PHAM,VIEN,T,MD,F,I,1717 US-59 LOOP N.,STE C,LIVINGSTON,TX,773517735,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,167.93,68.777391304,51.694782609,35.74173913
1043654114,PHAM,VIEN,T,MD,F,I,1717 US-59 LOOP N.,STE C,LIVINGSTON,TX,773517735,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1055.2,266.95916667,207.30916667,119.17166667
1043654114,PHAM,VIEN,T,MD,F,I,1717 US-59 LOOP N.,STE C,LIVINGSTON,TX,773517735,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,52,52,44.96,22.553269231,17.106346154,13.125384615
1043654114,PHAM,VIEN,T,MD,F,I,1717 US-59 LOOP N.,STE C,LIVINGSTON,TX,773517735,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,127.36,61.026666667,43.7475,31.581666667
1043654114,PHAM,VIEN,T,MD,F,I,1717 US-59 LOOP N.,STE C,LIVINGSTON,TX,773517735,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,52,52,264.24615385,103.19807692,77.324807692,52.214807692
1043654114,PHAM,VIEN,T,MD,F,I,1717 US-59 LOOP N.,STE C,LIVINGSTON,TX,773517735,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,68.28,26.260322581,18.707419355,11.795483871
1043654114,PHAM,VIEN,T,MD,F,I,1717 US-59 LOOP N.,STE C,LIVINGSTON,TX,773517735,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,29.807058824,10.338823529,7.1811764706,5.4352941176
1043654700,HUBER,MERRITT,S,M.D.,M,I,2000 1ST AVENUE,,SUMMERVILLE,SC,29486,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,31,75,73.718666667,8.32,6.3472,6.3472
1043654700,HUBER,MERRITT,S,M.D.,M,I,2000 1ST AVENUE,,SUMMERVILLE,SC,29486,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,17,15.751764706,1.42,1.1176470588,1.1176470588
1043654874,MYCLE,NOBLE,,MD,M,I,1000 E MAIN ST,,DANVILLE,IN,461221948,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,23.937142857,36.771428571,27.844285714,24.418571429
1043654874,MYCLE,NOBLE,,MD,M,I,1000 E MAIN ST,,DANVILLE,IN,461221948,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,79.96,79.96,62.69,54.73
1043654890,KHAN,FREEHA,,M.D.,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,28,68.418571429,17.154285714,13.45,13.54
1043654890,KHAN,FREEHA,,M.D.,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,228.8,69.81,54.73,54.73
1043655012,SMITH,EMILY,C,DO,F,I,945 OTTAWA AVE NW,,GRAND RAPIDS,MI,495031431,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,15,5.42,4.252,4.092
1043655186,SHEIKH,JAZAB,A,M.D.,M,I,1032 CROSSWINDS CT,,WENTZVILLE,MO,63385,US,Hospitalist,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,190.74,44.214375,34.6625,36.46
1043655186,SHEIKH,JAZAB,A,M.D.,M,I,1032 CROSSWINDS CT,,WENTZVILLE,MO,63385,US,Hospitalist,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,200,54.872222222,43.016666667,41.627222222
1043655186,SHEIKH,JAZAB,A,M.D.,M,I,1032 CROSSWINDS CT,,WENTZVILLE,MO,63385,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,150,18.086,11.503333333,11.478666667
1043655186,SHEIKH,JAZAB,A,M.D.,M,I,1032 CROSSWINDS CT,,WENTZVILLE,MO,63385,US,Hospitalist,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,160,37.644210526,29.517368421,25.770526316
1043655186,SHEIKH,JAZAB,A,M.D.,M,I,1032 CROSSWINDS CT,,WENTZVILLE,MO,63385,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,41,9.2665517241,7.2682758621,6.8417241379
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,48,49,132.46530612,57.172653061,44.824081633,41.46877551
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,24,125.60541667,51.815416667,40.620833333,38.550416667
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,24,25,20,15.68,15.29
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,18,18,36,42.53,29.72,23.3,22.605
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,35,30.58,23.97,23.315454545
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,15,52.973333333,37.25,29.2,29.34
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,15,222.17866667,158.64,124.37,113.97
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,90.82,43.086,33.776285714,26.633428571
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,80,80,45,35.87,28.118,22.74125
1043655210,KINDER,ALLISON,,ANP-BC,F,I,4815 S WESTERN BLVD,,CHICAGO,IL,606094067,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,24.834146341,10.325853659,8.0980487805,7.2285365854
1043655723,DAVIS,SARAH,M,APRN.CNP,F,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,50.219230769,21.743846154,17.046153846,13.532307692
1043655723,DAVIS,SARAH,M,APRN.CNP,F,I,460 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,213.55933333,104.124,81.636,54.73
1043655822,WEBER,JEFFREY,S,D.P.M.,M,I,10125 W NORTH AVE,,WAUWATOSA,WI,53226,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,400,0.3,0.12,0.0846,0.0846
1043655822,WEBER,JEFFREY,S,D.P.M.,M,I,10125 W NORTH AVE,,WAUWATOSA,WI,53226,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,41,75.584878049,71.56,56.105121951,56.104878049
1043655822,WEBER,JEFFREY,S,D.P.M.,M,I,10125 W NORTH AVE,,WAUWATOSA,WI,53226,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,106,35,29.19,22.885,22.886509434
1043655822,WEBER,JEFFREY,S,D.P.M.,M,I,10125 W NORTH AVE,,WAUWATOSA,WI,53226,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,480,86.2,34.86,27.269958333,27.269958333
1043655822,WEBER,JEFFREY,S,D.P.M.,M,I,10125 W NORTH AVE,,WAUWATOSA,WI,53226,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,375,251.28,197,215.24166667
1043656044,JOHNSON,SEAN,M,MD,M,I,2610 W ARROWOOD RD,,CHARLOTTE,NC,282736134,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,52,75.728461538,8.32,5.7694230769,5.7694230769
1043656093,FOSTER-GEETER,SHARON,,CNP,F,I,231 SPRINGSIDE DR,SUITE 201,AKRON,OH,443334530,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,37,60,65.89,8.32,6.3066666667,6.3066666667
1043656093,FOSTER-GEETER,SHARON,,CNP,F,I,231 SPRINGSIDE DR,SUITE 201,AKRON,OH,443334530,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,20,14.2535,1.42,1.059,1.059
1043656143,VILLALOBOS,DANIELLE,M,M.D.,F,I,2707 E 21ST ST N,,WICHITA,KS,672142249,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,62,47.135645161,8.32,5.7866129032,5.7866129032
1043656143,VILLALOBOS,DANIELLE,M,M.D.,F,I,2707 E 21ST ST N,,WICHITA,KS,672142249,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,107.4,33,12.072666667,12.072666667
1043656952,WEBER,JENNIFER,N,D.O.,F,I,3070 COLLEGE ST,SUITE 120,BEAUMONT,TX,777014691,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,43,122,57.750901639,8.32,5.7812295082,5.7812295082
1043656952,WEBER,JENNIFER,N,D.O.,F,I,3070 COLLEGE ST,SUITE 120,BEAUMONT,TX,777014691,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,6.9693333333,3.38,2.65,2.65
1043656952,WEBER,JENNIFER,N,D.O.,F,I,3070 COLLEGE ST,SUITE 120,BEAUMONT,TX,777014691,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,33,9.6833333333,1.42,1.1139393939,1.1139393939
1043656952,WEBER,JENNIFER,N,D.O.,F,I,3070 COLLEGE ST,SUITE 120,BEAUMONT,TX,777014691,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,703.19,73,57.23,55.146666667
1043657455,TUMMA,RAJACHENDRA,S,M.D.,M,I,1409 CHURCH ST.,,JEANERETTE,LA,70544,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,42,45.951428571,8.32,6.5221428571,6.5221428571
1043657455,TUMMA,RAJACHENDRA,S,M.D.,M,I,1409 CHURCH ST.,,JEANERETTE,LA,70544,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,11.729411765,1.42,1.1170588235,1.1170588235
1043657521,MARDHANI,AMBREEN,,,F,I,104 PROMINENCE POINT PKWY,SUITE 104,CANTON,GA,301141236,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,22,39,61.818974359,8.32,5.6851282051,5.6851282051
1043657521,MARDHANI,AMBREEN,,,F,I,104 PROMINENCE POINT PKWY,SUITE 104,CANTON,GA,301141236,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.25,17.25,13.52,13.54
1043657521,MARDHANI,AMBREEN,,,F,I,104 PROMINENCE POINT PKWY,SUITE 104,CANTON,GA,301141236,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75.56,75.56,55.520833333,51.010833333
1043658149,RAMDIAL,SAVITRI,,M.D.,F,I,1301 HODGES DR,,TALLAHASSEE,FL,323084614,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,35,63.068571429,8.32,6.1497142857,6.1497142857
1043658149,RAMDIAL,SAVITRI,,M.D.,F,I,1301 HODGES DR,,TALLAHASSEE,FL,323084614,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,14,14.562142857,1.42,1.1157142857,1.1157142857
1043658149,RAMDIAL,SAVITRI,,M.D.,F,I,1301 HODGES DR,,TALLAHASSEE,FL,323084614,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,57,27.670227273,19.4025,13.4675
1043658271,AYUB,SAMINA,,M.D.,F,I,21300 N JOHN WAYNE PKWY STE 115,,MARICOPA,AZ,851398978,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,30,68,59.541323529,8.32,6.235,6.235
1043658271,AYUB,SAMINA,,M.D.,F,I,21300 N JOHN WAYNE PKWY STE 115,,MARICOPA,AZ,851398978,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,19,86.31,17.91,12.562105263,12.167368421
1043658271,AYUB,SAMINA,,M.D.,F,I,21300 N JOHN WAYNE PKWY STE 115,,MARICOPA,AZ,851398978,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,19,519.51,70.48,51.695263158,51.248947368
1043659014,FUENTES,ARVIN,S,M.D.,M,I,2505 E DIVISADERO ST,,FRESNO,CA,937211401,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,84.811818182,8.32,5.9272727273,5.9272727273
1043659097,RUZIEV,ANNAMARIA,,MD,F,I,4300 LONDONDERRY RD,,HARRISBURG,PA,171095317,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,35,3.6681818182,2.8745454545,3.4818181818
1043659337,HECKER,GRACE,M,MD,F,I,1600 PROVIDENCE DR,,WACO,TX,767072261,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,50,49.7562,8.32,6.5226,6.5226
1043659337,HECKER,GRACE,M,MD,F,I,1600 PROVIDENCE DR,,WACO,TX,767072261,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,4050,0.3577037037,0.047037037,0.0341432099,0.0341432099
1043659337,HECKER,GRACE,M,MD,F,I,1600 PROVIDENCE DR,,WACO,TX,767072261,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,85.8,33,24.145333333,24.145333333
1043659345,HASSAN,SYED,A,M.D,M,I,5505 S EXPRESSWAY 77 STE 104,,HARLINGEN,TX,785503223,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,43,78.247209302,8.32,5.6109302326,5.6109302326
1043659493,UPTON,LAUREN,,,F,I,103 N BELL BLVD STE A2,,CEDAR PARK,TX,786132971,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,29.288333333,3.8,2.5066666667,3.1183333333
1043659550,KOLLER,ROBERT,,DO,M,I,101 S TAYLOR AVE,,MASON CITY,IA,504012849,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,22.4775,17.620833333,14.031666667
1043659550,KOLLER,ROBERT,,DO,M,I,101 S TAYLOR AVE,,MASON CITY,IA,504012849,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,23,7.3758333333,5.7816666667,3.7866666667
1043659550,KOLLER,ROBERT,,DO,M,I,101 S TAYLOR AVE,,MASON CITY,IA,504012849,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,215,102.61833333,80.455,58.105
1043659592,MARTINEZ,LISA,M,CRNP,F,I,3365 HIGH POINT BLVD,,BETHLEHEM,PA,180177806,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1410,4.6422056738,0.5829148936,0.2965035461,0.2965035461
1043659592,MARTINEZ,LISA,M,CRNP,F,I,3365 HIGH POINT BLVD,,BETHLEHEM,PA,180177806,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2382,5.4053736356,0.9888203191,0.7053358522,0.7053358522
1043659592,MARTINEZ,LISA,M,CRNP,F,I,3365 HIGH POINT BLVD,,BETHLEHEM,PA,180177806,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,16.605882353,16.605882353
1043659592,MARTINEZ,LISA,M,CRNP,F,I,3365 HIGH POINT BLVD,,BETHLEHEM,PA,180177806,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,19,16,16,12.54,12.54
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,43,47.646511628,8.32,5.2669767442,5.2669767442
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,24,75,22.4775,16.999166667,13.217083333
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,50,7.495625,5.61125,3.68375
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,143.52875,51.369375,37.04625,26.629375
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,24,275,102.61833333,77.964583333,54.137083333
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3435,0.4850131004,0.0464628821,0.0292343523,0.0292343523
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,11,25,2480,2.1934879032,0.1324153226,0.0844919355,0.0844919355
1043659717,BRIGGS,LAURA,C,NP,F,I,630 HURST ST,,CENTER,TX,759353414,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,34,34,33,33,21.472647059,21.472647059
1043659725,SCHOENLANK,CASEY,R,M.D.,F,I,425 JACK MARTIN BLVD,,BRICK,NJ,087247732,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,136.54307692,44.44,34.84,35.338461538
1043659725,SCHOENLANK,CASEY,R,M.D.,F,I,425 JACK MARTIN BLVD,,BRICK,NJ,087247732,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,119.34,23.947058824,18.775882353,22.065882353
1043659808,NAING,LE YU,,M.D.,F,I,1425 PORTLAND AVE,,ROCHESTER,NY,14621,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,7.7645454545,6.0854545455,3.5836363636
1043659956,PARK,MICHAEL,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,94.946190476,19.954285714,14.21952381,12.014285714
1043659956,PARK,MICHAEL,,M.D.,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,369.7884,85.8904,62.7956,51.4196
1043659998,SANGKAM,JENNA,,D.O.,F,I,2927 N 7TH AVE,PEPPERTREE BUILDING,PHOENIX,AZ,850134102,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,56,80.534821429,8.32,4.7758928571,4.7758928571
1043659998,SANGKAM,JENNA,,D.O.,F,I,2927 N 7TH AVE,PEPPERTREE BUILDING,PHOENIX,AZ,850134102,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,24,16.503333333,1.42,0.8358333333,0.8358333333
1043660194,GREEN,ERIN,L,APRN,F,I,303 E MATTHEWS AVE STE 202,,JONESBORO,AR,724013120,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,67.305833333,8.32,5.4375,5.4375
1043660194,GREEN,ERIN,L,APRN,F,I,303 E MATTHEWS AVE STE 202,,JONESBORO,AR,724013120,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,32,32,264.9484375,90.94375,71.1640625,55.8759375
1043660194,GREEN,ERIN,L,APRN,F,I,303 E MATTHEWS AVE STE 202,,JONESBORO,AR,724013120,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,588.46,134.041,103.667,102.119
1043660194,GREEN,ERIN,L,APRN,F,I,303 E MATTHEWS AVE STE 202,,JONESBORO,AR,724013120,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,25.87,25.87
1043660764,RASMUSSEN,LAUREN,,,F,I,4330 WORNALL RD,MEDICAL PLAZA III SUITE 2000,KANSAS CITY,MO,641113201,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,3090,5.5066569579,0.557368932,0.4369644013,0.4369644013
1043660764,RASMUSSEN,LAUREN,,,F,I,4330 WORNALL RD,MEDICAL PLAZA III SUITE 2000,KANSAS CITY,MO,641113201,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,3328,3.4009074519,1.4915084135,1.1693419471,1.1693419471
1043660764,RASMUSSEN,LAUREN,,,F,I,4330 WORNALL RD,MEDICAL PLAZA III SUITE 2000,KANSAS CITY,MO,641113201,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,29,16,16,12.542758621,12.542758621
1043661226,STELLA,GEMMA,,NP-C,F,I,90 HEALTH PARK DR,STE 350,LOUISVILLE,CO,800279757,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,220,78.49,61.53,58.98
1043661457,CHAABO,HANI,,M.D.,M,I,1111 N CHINA LAKE BLVD STE 190,,RIDGECREST,CA,935553131,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,27,50.443703704,8.32,5.5566666667,5.5566666667
1043661986,HERBERT,LAURA,E,N.P.,F,I,115 BLARNEY DR,SUITE 108,COLUMBIA,SC,292236291,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,4269,0.1599367533,0.0457624736,0.0292878894,0.0292878894
1043661986,HERBERT,LAURA,E,N.P.,F,I,115 BLARNEY DR,SUITE 108,COLUMBIA,SC,292236291,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,97.058823529,33,21.304705882,21.304705882
1043662133,WEBB,TAYLOR,,PA-C,F,I,15021 W BELL RD,,SURPRISE,AZ,853743916,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,51,57.509607843,8.32,6.0111764706,6.0111764706
1043662133,WEBB,TAYLOR,,PA-C,F,I,15021 W BELL RD,,SURPRISE,AZ,853743916,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,200,31.22,24.4825,25.26
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,22,22,302.16545455,93.507272727,72.951363636,67.356818182
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,13,33,75,124.08186667,34.241333333,26.1052,25.130533333
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,40,41.6755,15.13,10.41825,10.44525
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,174.07714286,54.66,36.737142857,36.737142857
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,23,23,59.501304348,18.634782609,12.812173913,12.24173913
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,31,31,81.558387097,12.993225806,9.284516129,8.2312903226
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,27,53,217,11.645437788,2.1976497696,1.5846082949,1.4616129032
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,20,20,22.43,6.473,4.836,4.425
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,37.176363636,13.425454545,9.6218181818,9.4436363636
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,81.75,13.26,10.4,10.475294118
1043662356,NEILL,NIKOLA,M,FNP-C,F,I,1760 MCCULLOCH BLVD N,STE 100,LAKE HAVASU CITY,AZ,864036559,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,13,54,54,176.36351852,33.540740741,23.605740741,23.519444444
1043662430,MATTHEWS,SABRINA,B,NP-C,F,I,1401 RIVER RD,,GREENWOOD,MS,389304030,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,36,58,55.60862069,8.32,5.8486206897,5.8486206897
1043662430,MATTHEWS,SABRINA,B,NP-C,F,I,1401 RIVER RD,,GREENWOOD,MS,389304030,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,24,26,12.225769231,1.42,0.99,0.99
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,20,50,101,7.7293069307,2.0302970297,1.5412871287,1.1477227723
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,20,24,24,55.38,16.762916667,12.7275,9.00875
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,43,78.649534884,22.191162791,15.239302326,11.78255814
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,49,295,297,33.808585859,7.1367676768,5.2190572391,3.415993266
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,130,139,492.63776978,100.24172662,76.518417266,56.625467626
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,70,74,239.45945946,44.382162162,34.797432432,30.095810811
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,123.5,57,44.69,44.69
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,32,1920,15.58,9.62490625,7.4565625,7.4565625
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,42,6659,0.2704294939,0.0462757171,0.0362637033,0.0362637033
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,38,138,13230,1.1528767952,0.1346492819,0.100840514,0.100840514
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,11,62,3600,12.86,3.0406083333,2.3440083333,2.3440083333
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1065,0.8652300469,0.2186666667,0.1714178404,0.1714178404
1043662851,IVEY,SARAH,N,"APRN, FNP-C",F,I,1600 22ND AVE,,MERIDIAN,MS,393013223,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,43,178,178,111.42134831,33,24.561966292,24.561966292
1043662927,OLIVER,JACLYN,,O.D.,F,I,1 PARK WEST BLVD STE 150,,AKRON,OH,443204230,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,30,72.019333333,72.019333333,53.281666667,49.887
1043662927,OLIVER,JACLYN,,O.D.,F,I,1 PARK WEST BLVD STE 150,,AKRON,OH,443204230,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,33,82.5,66.61,49.059393939,50.844242424
1043663198,AHMED,NIDA,N,,F,I,2055 E SOUTH BLVD STE 202,,MONTGOMERY,AL,361162002,US,Student in an Organized Health Care Education/Training Program,T,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0208181818,2.1767424242,2.1767424242
1043663198,AHMED,NIDA,N,,F,I,2055 E SOUTH BLVD STE 202,,MONTGOMERY,AL,361162002,US,Student in an Organized Health Care Education/Training Program,T,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,0.75,0.219,0.1561515152,0.1561515152
1043663198,AHMED,NIDA,N,,F,I,2055 E SOUTH BLVD STE 202,,MONTGOMERY,AL,361162002,US,Student in an Organized Health Care Education/Training Program,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1043663396,BAKER,AMY,,APRN-C,F,I,2323 RIDGE CT,,LAWRENCE,KS,660463956,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,59,71.979152542,8.2640677966,6.4791525424,6.5010169492
1043664535,KEOLA,CHELSEY,,PA-C,F,I,277 OHUA AVE,,HONOLULU,HI,968156612,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,53.57,14.289090909,11.202727273,14.031818182
1043664899,MATHEW,RYAN,,M.D.,M,I,480 MEDICAL CENTER DR,,COLUMBUS,OH,43210,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,23.99,3.7738461538,2.2153846154,2.7492307692
1043664899,MATHEW,RYAN,,M.D.,M,I,480 MEDICAL CENTER DR,,COLUMBUS,OH,43210,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,435.04,77.18,60.51,54.72
1043664998,SAROKA,SHANNON,M,NP,F,I,2160 FOUNTAIN DR STE D,,SNELLVILLE,GA,300787022,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,150,48,37.63,36.566363636
1043664998,SAROKA,SHANNON,M,NP,F,I,2160 FOUNTAIN DR STE D,,SNELLVILLE,GA,300787022,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,65,21,14.1245,13.198
1043664998,SAROKA,SHANNON,M,NP,F,I,2160 FOUNTAIN DR STE D,,SNELLVILLE,GA,300787022,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,8.0866666667,5.225,5.3775
1043665094,JACKLIN,JEAN,,CRNP,F,I,900 RITCHIE HWY,SUITE 203,SEVERNA PARK,MD,211464142,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,30,30,175,48.3,37.866666667,39.114666667
1043665094,JACKLIN,JEAN,,CRNP,F,I,900 RITCHIE HWY,SUITE 203,SEVERNA PARK,MD,211464142,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,82.066666667,20.006,15.684666667,15.403333333
1043665144,PARK,SA RA,,,F,I,1215 LEE ST,BOX 800744,CHARLOTTESVILLE,VA,229080816,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,72.16125,8.32,5.6016666667,5.6016666667
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,167.920625,52.43125,34.284375,33.12375
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,26,57.59,26.556153846,20.819230769,22.605
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,13,53.76,23.928461538,18.758461538,18.171538462
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,312.10666667,73,57.23,54.896666667
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,88.65,39.489166667,30.96,29.34
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,13,13,393.17,157.07384615,123.14615385,113.97076923
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,66,66,90.82,33.363333333,25.835454545,26.368030303
1043665300,MIDHA,KRISTINA,I,APN-BC,F,I,12624 S ROUTE 59,,PLAINFIELD,IL,605855448,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,73,73,26.52,9.3953424658,7.2809589041,7.0802739726
1043665466,SLINGWINE,REBECCA,L,DO,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,30,63.342,8.32,4.1363333333,4.1363333333
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,30,16.15375,12.664375,9.549375
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,5,0.6342857143,0.4985714286,0.4335714286
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,133.36692308,70.075384615,54.94,42.848461538
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,47.085,24.204166667,18.973333333,14.06
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,20,20,48.918,19.9695,15.656,9.12
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,18,96,6.1559375,3.0933333333,2.4257291667,1.593125
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,77,77,49.042727273,20.880649351,15.205454545,12.867662338
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,650.25,218.94833333,154.36416667,151.00666667
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,E0484,"Oscillatory positive expiratory pressure device, non-electric, any type, each",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,45.624705882,41.57,30.672941176,30.672941176
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,22,110,110,20.214,7.4228181818,5.6769090909,3.7202727273
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,48,48,117.49125,51.548541667,38.602291667,33.386041667
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,97,97,305.32092784,93.899072165,71.886701031,57.70443299
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,39,48,112,32894,0.2956165258,0.0454721226,0.0326120265,0.0326117225
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,4296,2.4950558659,0.0975,0.076443203,0.076443203
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,18,57,7312,2.0016425055,0.1357590263,0.0973878556,0.0973878556
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,K0800,"Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,130.91,101.28,79.4035,62.35
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,611.17,246.48692308,193.24692308,152.70384615
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,37,55,154,154,35.571428571,33,23.643766234,23.643766234
1043666597,MOSS,PEGGY,L,FNP,F,I,96 PHYSICIANS DR,,JACKSON,TN,383052070,US,Nurse Practitioner,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,11,11,66,66,51.74,51.74
1043666704,COFFMAN,SANDRA,,,F,I,2357 JENNIFER DR,,CHATTANOOGA,TN,374211541,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,960,0.92,0.1371875,0.1075625,0.1075625
1043668015,LIN,MICHELLE,I,D.O.,F,I,2865 SIENA HEIGHTS DR STE 140,,HENDERSON,NV,890524168,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,67.25,17.25,11.505454545,11.516363636
1043668015,LIN,MICHELLE,I,D.O.,F,I,2865 SIENA HEIGHTS DR STE 140,,HENDERSON,NV,890524168,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,31.061428571,6.1014285714,4.3685714286,3.3785714286
1043668015,LIN,MICHELLE,I,D.O.,F,I,2865 SIENA HEIGHTS DR STE 140,,HENDERSON,NV,890524168,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,375,77.36,49.622727273,47.47
1043668015,LIN,MICHELLE,I,D.O.,F,I,2865 SIENA HEIGHTS DR STE 140,,HENDERSON,NV,890524168,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,23.518181818,23.518181818
1043668353,STOKES,SARAH,,D.O.,F,I,1308 TUSCALOOSA AVE SW,,BIRMINGHAM,AL,35211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,50,59.2564,8.32,5.611,5.611
1043668353,STOKES,SARAH,,D.O.,F,I,1308 TUSCALOOSA AVE SW,,BIRMINGHAM,AL,35211,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,120.785,18,14.11,13.5875
1043668650,MWANAHIBA,REMNANT,,MD,M,I,4611 N CAMPUS RIDGE DR,,MIDLAND,MI,486409533,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1440,1.3332430556,0.1340416667,0.105125,0.105125
1043668700,ALLETTO,DANIEL,W,OD,M,I,125 N 13TH ST,,CENTERVILLE,IA,525441705,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,50,63.4322,63.4322,49.7352,52.4264
1043668700,ALLETTO,DANIEL,W,OD,M,I,125 N 13TH ST,,CENTERVILLE,IA,525441705,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,56,64.5,50.69,39.74,43.010357143
1043668700,ALLETTO,DANIEL,W,OD,M,I,125 N 13TH ST,,CENTERVILLE,IA,525441705,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,26,105,62.09,48.675769231,53.465384615
1043668700,ALLETTO,DANIEL,W,OD,M,I,125 N 13TH ST,,CENTERVILLE,IA,525441705,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,100,17.5,16.06,12.595,13.7947
1043669245,BONHEUR,JORANE,,APN,F,I,741 BROADWAY,,NEWARK,NJ,071044309,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,31,58,52.197413793,8.32,3.9346551724,3.9346551724
1043669245,BONHEUR,JORANE,,APN,F,I,741 BROADWAY,,NEWARK,NJ,071044309,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,24,24,42.332083333,1.42,0.4666666667,0.4666666667
1043669526,GRECO,DIANA,,APRN,F,I,2080 WHITNEY AVE,SUITE 250,HAMDEN,CT,065183600,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,38,79.554736842,8.32,6.5210526316,6.5210526316
1043669864,HEASLET,AARON,,,M,I,126 W 7TH AVE,,FLOODWOOD,MN,557361203,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,23,47.071304348,8.32,4.7147826087,4.7147826087
1043670060,KLENK,MICHELLE,,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326100118,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,172.26125,48.1075,35.3625,34.43875
1043670060,KLENK,MICHELLE,,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326100118,US,Nurse Practitioner,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,30.145454545,15.497272727,11.054545455,10.954545455
1043670060,KLENK,MICHELLE,,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326100118,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,27,175,46.10037037,36.144074074,36.958888889
1043670060,KLENK,MICHELLE,,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326100118,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,50,17.76,11.786923077,11.456923077
1043670060,KLENK,MICHELLE,,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326100118,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,300,79.88,52.986153846,46.301538462
1043670060,KLENK,MICHELLE,,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326100118,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,42,48,104.0625,18.42125,14.044583333,13.897708333
1043670060,KLENK,MICHELLE,,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326100118,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,555.61,163.3525,122.91583333,111.23416667
1043671506,SHEPARD,KAREN,,,F,I,60 HIGH ST,,LEWISTON,ME,042407616,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.25,12.290909091,12.310909091
1043671506,SHEPARD,KAREN,,,F,I,60 HIGH ST,,LEWISTON,ME,042407616,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,69.62,49.627272727,49.771818182
1043672421,CHEUNG,ERIC,,M.D.,M,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,77.18,57.020833333,51.714166667
1043672421,CHEUNG,ERIC,,M.D.,M,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Student in an Organized Health Care Education/Training Program,T,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,36.96,28.98,29.465833333
1043672660,MASTERS,HEATHER,A,A-GNP-C,F,I,500 W VOTAW ST,,PORTLAND,IN,473711322,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,16,88,62.714772727,8.32,5.7075,5.7075
1043672660,MASTERS,HEATHER,A,A-GNP-C,F,I,500 W VOTAW ST,,PORTLAND,IN,473711322,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,189.42,45.704166667,27.346666667,20.768333333
1043672660,MASTERS,HEATHER,A,A-GNP-C,F,I,500 W VOTAW ST,,PORTLAND,IN,473711322,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,13.92,2.9016666667,1.7466666667,1.2875
1043673486,FALLOON,KATHERINE,A,,F,I,1800 ORLEANS ST,,BALTIMORE,MD,212870010,US,Student in an Organized Health Care Education/Training Program,T,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,4.89,3.83,3.9390909091
1043673817,PARUCHURI,ARPANA,,M.D.,F,I,1750 W HARRISON ST,,CHICAGO,IL,606123825,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,228.8,77.18,60.51,54.72
1043675168,ARCE,JOHN,D,FNP-C,M,I,100 BREWSTER BLVD,,CAMP LEJEUNE,NC,285472575,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.4409090909,2.4581818182,2.4581818182
1043675168,ARCE,JOHN,D,FNP-C,M,I,100 BREWSTER BLVD,,CAMP LEJEUNE,NC,285472575,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,160.86956522,32.624347826,24.195652174,23.716521739
1043676273,MAESTAS,KYLE,,PA-C,M,I,85 WEST HWY 22,,SANTO DOMINGO,NM,87052,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,58.523076923,49.078461538,38.481538462,40.712307692
1043676422,MONROE,MELISSA,,"MSN, BSN, APRN, AGNP",F,I,150 E SWAN ST,,CENTERVILLE,TN,370331446,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,24,79.385,8.32,5.1620833333,5.1620833333
1043676422,MONROE,MELISSA,,"MSN, BSN, APRN, AGNP",F,I,150 E SWAN ST,,CENTERVILLE,TN,370331446,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,501.82727273,97.758181818,71.21,50.968181818
1043676422,MONROE,MELISSA,,"MSN, BSN, APRN, AGNP",F,I,150 E SWAN ST,,CENTERVILLE,TN,370331446,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,70,25.061538462,19.651538462,15.112307692
1043676448,BRANN,KAREN,M,APN,F,I,8600 W 168TH ST,,ORLAND PARK,IL,604625724,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,45,31.65,22.131111111,17.742222222
1043676448,BRANN,KAREN,M,APN,F,I,8600 W 168TH ST,,ORLAND PARK,IL,604625724,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,15,8.82,6.92,6.16
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,106.22428571,40.590714286,29.673571429,28.35
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,370.26909091,96.959090909,76.013636364,67.841818182
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,34,145.81823529,37.242352941,29.197352941,25.917352941
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,114,11.826315789,2.3357894737,1.8316666667,1.5930701754
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,44,81.169090909,20.39,15.197727273,12.808181818
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,85,85,1820,1074.31,831.73494118,831.73494118
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,12,61,64,32.808125,4.70234375,3.42046875,3.27
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,143.42625,36.211875,26.774375,22.405
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,85,88,457.89465909,89.082840909,66.173295455,51.454772727
1043677206,KORT,SARAH,,,F,I,3320 OLD JEFFERSON RD STE 200A,,ATHENS,GA,306071478,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,31,145.87580645,42.403548387,29.518064516,25.802258065
1043677248,MARTIN,LEANN,,CRNP,F,I,235 ROSEDALE DR,,MANCHESTER,PA,173451022,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,66,75.444090909,8.32,5.4359090909,5.4359090909
1043677248,MARTIN,LEANN,,CRNP,F,I,235 ROSEDALE DR,,MANCHESTER,PA,173451022,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,12.878823529,1.42,0.9823529412,0.9823529412
1043678170,CLARK,KATHERINE,,AGNP-C,F,I,940 GOLF HOUSE CT E,,WHITSETT,NC,273779296,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.65,11.590909091,7.2163636364,6.8090909091
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,63,53.178571429,8.32,5.9015873016,5.9015873016
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,24,15.323333333,1.42,1.0683333333,1.0683333333
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.938,1.4343333333,1.109
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,141.95428571,81.362857143,63.79,40.262857143
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,43.89483871,6.4696774194,4.6025806452,3.1374193548
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6168461538,7.3556666667,7.3556666667
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,600,13.94,11.11115,8.4720666667,8.4720666667
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,3036,0.2531916996,0.0462088274,0.0303129117,0.0303129117
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1320,12.86,2.9330681818,2.2995378788,2.2995378788
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,25.013846154,13.248461538,10.386153846,8.5292307692
1043680135,CURELL,KIMBERLEY,A,PA,F,I,51 AUSTIN ST,,SANDUSKY,MI,484711244,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,39,39,125,33,24.335384615,24.335384615
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,30,71.083,8.32,5.8713333333,5.8713333333
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,7.31,7.31,5.73,6.81
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.65,12.22,9.58,10.82
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,225,54.6572,41.3024,37.7204
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,40,85.141,17.178,12.90775,12.97
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,28.085714286,5.7638095238,3.9185714286,3.2176190476
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,13.68,3,2.2117647059,2.1176470588
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.92,8.48,6.0363636364,4.7363636364
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,61,63,508.63857143,78.56031746,57.922698413,51.743492063
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,30.56,23.96,23.551666667
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,960,1.06346875,0.1348125,0.1057083333,0.1057083333
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,73,73,143.26712329,22.376164384,15.374109589,12.610136986
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,143,35.7072,24.9752,18.3888
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,13,86,86,25,8.7831395349,6.0401162791,5.8110465116
1043680200,GRAHAM,LAUREN,E,PA-C,F,I,1401 W INNES ST STE B,,SALISBURY,NC,281442575,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,118.8,33,24.145333333,24.145333333
1043680853,WINTHROP,JENNIFER,C,NP,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,16,186,69.642043011,19.688333333,15.145376344,15.145376344
1043680853,WINTHROP,JENNIFER,C,NP,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,285,10.468842105,2.64,2.0697192982,2.0697192982
1043680853,WINTHROP,JENNIFER,C,NP,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,45,94,384,64.24328125,8.305,6.2686458333,6.2803645833
1043680853,WINTHROP,JENNIFER,C,NP,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,23,23,12.213043478,3.38,2.65,2.65
1043680853,WINTHROP,JENNIFER,C,NP,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,19.506666667,2.12,1.67,1.67
1043680853,WINTHROP,JENNIFER,C,NP,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,32,56,116,12.313275862,1.42,1.1045689655,1.1045689655
1043680853,WINTHROP,JENNIFER,C,NP,F,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038607101,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,27,27,399.79333333,251.11,196.87,196.87
1043681117,O'CONNOR,NICOLE,,AGPCNP,F,I,10113 COUNT FLEET DR,,RUSKIN,FL,335736772,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,372,54.742311828,3.17,2.4853225806,2.3676612903
1043681117,O'CONNOR,NICOLE,,AGPCNP,F,I,10113 COUNT FLEET DR,,RUSKIN,FL,335736772,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7668,1.3995305164,0.32,0.2508763693,0.2430359937
1043681646,PASCHKIS,ZOE,,,F,I,307 W CENTRAL ST,,NATICK,MA,017603719,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,38,86,72.400697674,8.32,4.1703488372,4.1703488372
1043681646,PASCHKIS,ZOE,,,F,I,307 W CENTRAL ST,,NATICK,MA,017603719,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,12,25,30,16.642,1.42,0.856,0.856
1043681646,PASCHKIS,ZOE,,,F,I,307 W CENTRAL ST,,NATICK,MA,017603719,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9272727273,3.0763636364,3.6854545455
1043681919,CAMILLERI,VICTORIA,,CRNP,F,I,3330 PEACH ST STE 106,,ERIE,PA,165082771,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,42,90.123095238,8.32,5.5897619048,5.5897619048
1043681919,CAMILLERI,VICTORIA,,CRNP,F,I,3330 PEACH ST STE 106,,ERIE,PA,165082771,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,16.59,11.916666667,12.458333333
1043681919,CAMILLERI,VICTORIA,,CRNP,F,I,3330 PEACH ST STE 106,,ERIE,PA,165082771,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,67.72,48.675,50.34
1043682677,WALKER,JANET,,NP,F,I,1264 WESLEY DR,SUITE 601,MEMPHIS,TN,381166400,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,65,164,72.352621951,8.32,5.4871341463,5.4871341463
1043682677,WALKER,JANET,,NP,F,I,1264 WESLEY DR,SUITE 601,MEMPHIS,TN,381166400,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,28,37,15.74,1.42,1.0248648649,1.0248648649
1043682677,WALKER,JANET,,NP,F,I,1264 WESLEY DR,SUITE 601,MEMPHIS,TN,381166400,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,1561.02,1074.31,832.47458333,832.47458333
1043682677,WALKER,JANET,,NP,F,I,1264 WESLEY DR,SUITE 601,MEMPHIS,TN,381166400,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,519.51,86.84,60.8644,49.1168
1043682677,WALKER,JANET,,NP,F,I,1264 WESLEY DR,SUITE 601,MEMPHIS,TN,381166400,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,72.391666667,22.166666667,15.146111111,12.033888889
1043683642,KAZOUSKY,KATELYN,,PA-C,F,I,200 LOTHROP ST,SUITE C-800,PITTSBURGH,PA,152132536,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50,6.256,4.906,3.9546666667
1043684418,SHEA,CASSIE,,,F,I,308 S BLOUNT ST,APT 403,RALEIGH,NC,276013102,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,39.5,4.67,3.6625,3.66
1043685522,RUNEY,CARLY,,PA,F,I,2695 ELMS PLANTATION BLVD,SUITE A,NORTH CHARLESTON,SC,294067132,US,Physician Assistant,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,90.286666667,73.905,57.935,63.756666667
1043685829,ADAMS,ROCHELLE,,FNP-C,F,I,539 MEDICAL PKWY STE 103,,BRENHAM,TX,778335405,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,42,64.612380952,8.32,5.2807142857,5.2807142857
1043685829,ADAMS,ROCHELLE,,FNP-C,F,I,539 MEDICAL PKWY STE 103,,BRENHAM,TX,778335405,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,105,51.701,40.539,27.942
1043685829,ADAMS,ROCHELLE,,FNP-C,F,I,539 MEDICAL PKWY STE 103,,BRENHAM,TX,778335405,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,60,28.066086957,21.790869565,14.024347826
1043686371,MILBY,SHAUN,,APRN,M,I,2411 RING RD,SUITE 114,ELIZABETHTOWN,KY,427015929,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,12,22,84.742727273,8.32,5.9281818182,5.9281818182
1043686371,MILBY,SHAUN,,APRN,M,I,2411 RING RD,SUITE 114,ELIZABETHTOWN,KY,427015929,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,43.446666667,17.29,11.291666667,11.275
1043686371,MILBY,SHAUN,,APRN,M,I,2411 RING RD,SUITE 114,ELIZABETHTOWN,KY,427015929,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,49.83,36.200833333,22.728333333
1043686371,MILBY,SHAUN,,APRN,M,I,2411 RING RD,SUITE 114,ELIZABETHTOWN,KY,427015929,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,258.98416667,70.23,45.363333333,45.080833333
1043686371,MILBY,SHAUN,,APRN,M,I,2411 RING RD,SUITE 114,ELIZABETHTOWN,KY,427015929,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,584.55,124.28454545,84.399090909,82.523636364
1043686710,LORENC,KRISTI,,,F,I,660 BEAVER CREEK CIR,#110,MAUMEE,OH,435371745,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,5.0475,3.9625,3.66
1043686710,LORENC,KRISTI,,,F,I,660 BEAVER CREEK CIR,#110,MAUMEE,OH,435371745,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2656,0.1842243976,0.0461596386,0.0295105422,0.0295105422
1043686710,LORENC,KRISTI,,,F,I,660 BEAVER CREEK CIR,#110,MAUMEE,OH,435371745,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,525,0.75,0.2189142857,0.1423238095,0.1423238095
1043686710,LORENC,KRISTI,,,F,I,660 BEAVER CREEK CIR,#110,MAUMEE,OH,435371745,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,124.38461538,33,19.9,19.9
1043686868,PRUITT,KRISTIN,M,APRN-CNS,F,I,1265 S UTICA AVE,SUITE 300,TULSA,OK,741044243,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,12,81,83,190.3,19.70626506,15.447349398,15.447349398
1043686868,PRUITT,KRISTIN,M,APRN-CNS,F,I,1265 S UTICA AVE,SUITE 300,TULSA,OK,741044243,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,12,105,248,190.3,37.35858871,29.288951613,29.288951613
1043686868,PRUITT,KRISTIN,M,APRN-CNS,F,I,1265 S UTICA AVE,SUITE 300,TULSA,OK,741044243,US,Nurse Practitioner,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,511.53157895,223.25789474,175.03578947,175.03578947
1043686868,PRUITT,KRISTIN,M,APRN-CNS,F,I,1265 S UTICA AVE,SUITE 300,TULSA,OK,741044243,US,Nurse Practitioner,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,12,103,6882,203.54005376,1.5702281314,1.2310636443,1.2310636443
1043687395,FITZGERALD,PATRICK,,APRN,M,I,2508 E FOX FARM RD,,CHEYENNE,WY,820072559,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,24,64,51.56921875,8.32,4.75890625,4.75890625
1043687395,FITZGERALD,PATRICK,,APRN,M,I,2508 E FOX FARM RD,,CHEYENNE,WY,820072559,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,68,69,83.396956522,18.546086957,11.416811594,10.648985507
1043687395,FITZGERALD,PATRICK,,APRN,M,I,2508 E FOX FARM RD,,CHEYENNE,WY,820072559,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.88,28.233333333,27.130833333
1043687395,FITZGERALD,PATRICK,,APRN,M,I,2508 E FOX FARM RD,,CHEYENNE,WY,820072559,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,57.307692308,4.6207692308,3.2815384615,3.39
1043687395,FITZGERALD,PATRICK,,APRN,M,I,2508 E FOX FARM RD,,CHEYENNE,WY,820072559,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,73,74,475.25121622,75.691621622,52.130135135,48.258783784
1043688328,PONCELOW,AMY,M,PA-C,F,I,1200 N 7TH ST,,CHARITON,IA,500491210,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,12,40,81,80.909876543,8.32,6.0371604938,6.0371604938
1043688328,PONCELOW,AMY,M,PA-C,F,I,1200 N 7TH ST,,CHARITON,IA,500491210,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,327.07285714,97.957142857,66.891428571,45.191428571
1043688450,FONTAINE,DANIELLE,,"RN, CNP",F,I,1230 E MAIN ST,,MANKATO,MN,560015066,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,303.91,48.685,38.1675,38.1675
1043688450,FONTAINE,DANIELLE,,"RN, CNP",F,I,1230 E MAIN ST,,MANKATO,MN,560015066,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,335,4.6132537313,0.5656716418,0.4434328358,0.4434328358
1043688450,FONTAINE,DANIELLE,,"RN, CNP",F,I,1230 E MAIN ST,,MANKATO,MN,560015066,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,27,27,123.10740741,21.637777778,15.186666667,14.243333333
1043688682,KERR,GARRETT,S,PA-C,M,I,805 FARSON ST,SUITE 113,BELPRE,OH,457141070,US,Physician Assistant,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,48,90.75,71.56,56.10625,56.10375
1043688682,KERR,GARRETT,S,PA-C,M,I,805 FARSON ST,SUITE 113,BELPRE,OH,457141070,US,Physician Assistant,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,65,84.876923077,43.56,34.151230769,34.149384615
1043688682,KERR,GARRETT,S,PA-C,M,I,805 FARSON ST,SUITE 113,BELPRE,OH,457141070,US,Physician Assistant,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,64,121.8125,43.56,34.15125,34.14890625
1043689441,WYNN,DEREK,R,PA,M,I,607 W MAIN STREET,,GRANGEVILLE,ID,83530,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,76.736153846,7.5176923077,5.5207692308,3.6792307692
1043689441,WYNN,DEREK,R,PA,M,I,607 W MAIN STREET,,GRANGEVILLE,ID,83530,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,102.61833333,80.455,54.73
1043689664,ROBINSON,MICHELLE,,NP-C,F,I,2365 SPRINGS RD NE,,HICKORY,NC,286013067,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,24.788947368,5.5810526316,3.6105263158,2.6684210526
1043689664,ROBINSON,MICHELLE,,NP-C,F,I,2365 SPRINGS RD NE,,HICKORY,NC,286013067,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,44,44,69.753181818,20.709090909,12.964090909,10.122727273
1043691066,KRUMLAND,STEPHEN,P,M.D.,M,I,34 HAVERHILL ST,,LAWRENCE,MA,018412884,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,53,65.783584906,8.32,6.2771698113,6.2771698113
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,117,229,229,111.9930131,45.465283843,33.979082969,29.280305677
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,101,206,206,253.60902913,114.89330097,85.888640777,67.328349515
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,20,102,267,547,98.019652651,43.131846435,33.168281536,26.228884826
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,142,328,1501,59.307708195,24.451085943,18.408147901,14.236042638
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,134,300,1406,40.068890469,19.061920341,14.223221906,11.55155761
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,254,586,586,163.42110922,72.04556314,54.384385666,41.959095563
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,324,455,455,52.825230769,23.267714286,17.617076923,13.942285714
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,73,80,80,22.38475,12.254375,9.277375,7.85025
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,224,517,517,55.797852998,19.827562863,15.198181818,9.5423017408
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,25,334,842,4222,7.6950947418,2.9424230223,2.2201136902,1.565672667
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,201,274,274,19.471970803,7.7271167883,5.8507664234,4.6277007299
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,171,230,230,32.94626087,15.397043478,11.42626087,9.9536956522
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,18,12.827272727,12.360909091
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,13,83,83,276.45240964,114.34036145,88.463975904,68.62939759
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,105,105,105,386.10761905,167.6187619,127.68961905,105.87190476
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,32,115,116,49.6125,20.527413793,15.844396552,11.235948276
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,21,233,1452,1455,155.84244674,42.786549828,31.566584192,25.378508591
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,30,262,264,257.81056818,98.279545455,74.203295455,55.173143939
1043691322,JOHNSON,KRISTYN,,APRN,F,I,9500 KANIS RD,SUITE 101,LITTLE ROCK,AR,722056324,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,44.560909091,34.938181818,29.515454545
1043691520,GANN,TARA,,NP,F,I,405 W MAIN ST STE B,,PAYSON,AZ,855415345,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,21,32,80.00875,8.32,5.58625,5.58625
1043691520,GANN,TARA,,NP,F,I,405 W MAIN ST STE B,,PAYSON,AZ,855415345,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,54,8.3885185185,3.3433333333,2.6214814815,1.9190740741
1043691520,GANN,TARA,,NP,F,I,405 W MAIN ST STE B,,PAYSON,AZ,855415345,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,107.23461538,22.666923077,16.275,13.300769231
1043691520,GANN,TARA,,NP,F,I,405 W MAIN ST STE B,,PAYSON,AZ,855415345,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,172.97722222,43.336666667,25.866388889,16.672222222
1043691520,GANN,TARA,,NP,F,I,405 W MAIN ST STE B,,PAYSON,AZ,855415345,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,435.21588235,103.74862745,78.661372549,56.334313725
1043691520,GANN,TARA,,NP,F,I,405 W MAIN ST STE B,,PAYSON,AZ,855415345,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,450,44.560909091,34.938181818,29.515454545
1043691637,SCANLON,KATIE,E,,F,I,170 BURWELL ST,,LITTLE FALLS,NY,133651716,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,39,94,88.702553191,8.32,6.2755319149,6.2755319149
1043691637,SCANLON,KATIE,E,,F,I,170 BURWELL ST,,LITTLE FALLS,NY,133651716,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,15,17.315333333,1.42,1.1173333333,1.1173333333
1043691637,SCANLON,KATIE,E,,F,I,170 BURWELL ST,,LITTLE FALLS,NY,133651716,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6156,1.3224951267,0.613151397,0.4574074074,0.4915253411
1043691637,SCANLON,KATIE,E,,F,I,170 BURWELL ST,,LITTLE FALLS,NY,133651716,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,65.769230769,16.777692308,13.147692308,13.489230769
1043691637,SCANLON,KATIE,E,,F,I,170 BURWELL ST,,LITTLE FALLS,NY,133651716,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,45,329.968,77.026222222,58.034666667,52.352444444
1043691637,SCANLON,KATIE,E,,F,I,170 BURWELL ST,,LITTLE FALLS,NY,133651716,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,3840,0.9665364583,0.13578125,0.0951119792,0.0951119792
1043691637,SCANLON,KATIE,E,,F,I,170 BURWELL ST,,LITTLE FALLS,NY,133651716,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,42,42,66,33,23.406190476,23.406190476
1043691884,DULLING,SHERRY,H,CRNP,F,I,18111 PRINCE PHILIP DR,SUITE 300,OLNEY,MD,208321507,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,68,54.166470588,8.32,5.6588235294,5.6588235294
1043692080,BAGBY,MICHELLE,L,APRN,F,I,2500 E 6TH ST,,LITTLE ROCK,AR,722023008,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,61.04,61.04,47.85,40.195
1043692080,BAGBY,MICHELLE,L,APRN,F,I,2500 E 6TH ST,,LITTLE ROCK,AR,722023008,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.5,24.5,19.21,15.0625
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,41,103,73.871650485,8.32,5.5086407767,5.5086407767
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,18,18.239444444,1.42,0.7444444444,0.7444444444
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,62.556666667,21.240833333,15.409166667,12.404166667
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,422.22,123.16916667,95.6525,65.715833333
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,48.357272727,7.2136363636,5.6554545455,3.9340909091
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,460.94833333,99.16,75.252916667,54.137083333
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,146.25,27.1525,21.288333333,13.826666667
1043692460,KELLERMEYER,WILLIAM,H,NP,M,I,11020 PENDLETON PIKE,,INDIANAPOLIS,IN,462362817,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,154.89,44.745,35.0825,30.111666667
1043692932,MEYER,JAMIE,,,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,52,48.307692308,8.32,4.265,4.265
1043692932,MEYER,JAMIE,,,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,31,36,168.99444444,55.058888889,39.848888889,40.504166667
1043692932,MEYER,JAMIE,,,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,20,50,11.108,6.238,6.4845
1043692932,MEYER,JAMIE,,,F,I,36123 SCHOOLCRAFT RD,,LIVONIA,MI,481501216,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,11,52,54,108.37907407,21.252407407,15.29037037,12.935740741
1043693344,WIMMER,JENNIFER,L,"APNP, FNP-C",F,I,1000 MINERAL POINT AVE,,JANESVILLE,WI,535482940,US,Nurse Practitioner,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,156,26.04525641,22.492884615,17.634294872,18.318525641
1043693344,WIMMER,JENNIFER,L,"APNP, FNP-C",F,I,1000 MINERAL POINT AVE,,JANESVILLE,WI,535482940,US,Nurse Practitioner,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,320,20.0155625,18.5,14.1543125,14.1543125
1043693344,WIMMER,JENNIFER,L,"APNP, FNP-C",F,I,1000 MINERAL POINT AVE,,JANESVILLE,WI,535482940,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,28,406,12.894950739,10.037142857,7.2866748768,7.9450985222
1043693344,WIMMER,JENNIFER,L,"APNP, FNP-C",F,I,1000 MINERAL POINT AVE,,JANESVILLE,WI,535482940,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,708,0.115480226,0.115480226,0.0833333333,0.0950282486
1043693344,WIMMER,JENNIFER,L,"APNP, FNP-C",F,I,1000 MINERAL POINT AVE,,JANESVILLE,WI,535482940,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,32,2663,0.5985317311,0.45,0.3335824258,0.3335824258
1043693831,WATTS,KARI,B,DO,F,I,815 MAIN ST,,PEORIA,IL,61602,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,180,51.29,40.213076923,40.213076923
1043694128,ADAMS,ERICA,C,FNP,F,I,2001 KINGSLEY AVE,,ORANGE PARK,FL,320735148,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,9.71,7.61,7.2633333333
1043694227,RADAJ,JACQUELINE,,"MSN, APNP, FNP-C",F,I,240 MAPLE AVE,,MUKWONAGO,WI,531498475,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,39,68.796666667,8.32,5.3515384615,5.3515384615
1043694482,THOMPSON,REBECCA,,CNP,F,I,33100 CLEVELAND CLINIC BLVD,,AVON,OH,44011,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,44,6585,5.3371298405,2.04,1.5456780562,1.5456780562
1043694672,BEINEMANN,AMANDA,,AGPCNP-BC,F,I,3100 SUPERIOR AVE,,SHEBOYGAN,WI,530811948,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,24,61,75.16295082,8.32,5.5608196721,5.5608196721
1043694847,KEISER,AUTUMN,,,F,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.69,12.714166667,12.4025
1043694847,KEISER,AUTUMN,,,F,I,2501 PIERCE ST,,SIOUX CITY,IA,511043725,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.99,50.2975,50.169166667
1043694995,RIZVI,SANA,Z,D.O.,F,I,1301 PENNSYLVANIA AVE,,FORT WORTH,TX,76104,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,40,40.04,9.19,6.99925,7.3615
1043695570,NEWSOM,AIMEE,G,NP,F,I,880 W MOULTRIE ST,SUITE 200,WINNSBORO,SC,291802411,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,47,54.482553191,8.32,6.5210638298,6.5210638298
1043695570,NEWSOM,AIMEE,G,NP,F,I,880 W MOULTRIE ST,SUITE 200,WINNSBORO,SC,291802411,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,16,10.315,1.42,1.11625,1.11625
1043696198,NEWTON,ELIZABETH,,,F,I,79 SWIFTWATER RD,,WOODSVILLE,NH,037851447,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,23,69,65.414782609,8.32,5.8601449275,5.8601449275
1043696198,NEWTON,ELIZABETH,,,F,I,79 SWIFTWATER RD,,WOODSVILLE,NH,037851447,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,14,26,13.388846154,1.42,1.0726923077,1.0726923077
1043696198,NEWTON,ELIZABETH,,,F,I,79 SWIFTWATER RD,,WOODSVILLE,NH,037851447,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,26,50.73,8.9646153846,5.9292307692,4.2961538462
1043696198,NEWTON,ELIZABETH,,,F,I,79 SWIFTWATER RD,,WOODSVILLE,NH,037851447,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,52.75,33,21.558333333,21.558333333
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.31,22.666923077,15.473846154,11.448461538
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,36.510769231,10.053846154,7.8823076923,3.8969230769
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,111.26,46.744166667,36.645833333,35.820833333
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,107.18,80.886315789,58.244210526
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,17.632638889,9.64075,7.5583333333,7.5583333333
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1050,1.9496380952,0.1395714286,0.1094190476,0.1094190476
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,840,11.730761905,2.9872142857,2.3420357143,2.3420357143
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,630,1.6775555556,0.2191904762,0.1718253968,0.1718253968
1043696420,NORDBY,STEFANY,,,F,I,1411 HIGHWAY 79 E,,ELBOW LAKE,MN,565314645,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,27,84.333333333,33,25.87,25.87
1043697972,BRANHAM,BRANDY,,NP-C,F,I,15888A US HIGHWAY 52,,WEST PORTSMOUTH,OH,456637503,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,28,85,70.613764706,8.32,6.2918823529,6.2918823529
1043697972,BRANHAM,BRANDY,,NP-C,F,I,15888A US HIGHWAY 52,,WEST PORTSMOUTH,OH,456637503,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,19,11.83,1.42,1.0557894737,1.0557894737
1043697972,BRANHAM,BRANDY,,NP-C,F,I,15888A US HIGHWAY 52,,WEST PORTSMOUTH,OH,456637503,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,78,22.4775,16.3775,12.4025
1043697972,BRANHAM,BRANDY,,NP-C,F,I,15888A US HIGHWAY 52,,WEST PORTSMOUTH,OH,456637503,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330,102.61833333,75.474166667,50.169166667
1043697972,BRANHAM,BRANDY,,NP-C,F,I,15888A US HIGHWAY 52,,WEST PORTSMOUTH,OH,456637503,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,4406,0.6291511575,0.0461257376,0.0335587835,0.0335587835
1043697972,BRANHAM,BRANDY,,NP-C,F,I,15888A US HIGHWAY 52,,WEST PORTSMOUTH,OH,456637503,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,33.071428571,33,24.946071429,24.946071429
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,53,87.577169811,8.32,6.1533962264,6.1533962264
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,13.885384615,1.42,1.12,1.12
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,349,5.7926361032,2.27,1.6638108883,1.6638108883
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,202.94117647,49.463529412,36.730588235,37.268235294
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,128.48484848,46.146060606,34.813333333,34.453939394
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,184.32222222,75.56,58.425555556,54.166111111
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,109.57142857,19.314285714,13.814285714,13.309285714
1043698574,SILVA,WILANTHA,,APRN-FNP-C,F,I,1120 15TH ST,,AUGUSTA,GA,309122440,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,36.25,28.42,29.51
1043698848,BURGESS,KATHY,,,F,I,104 RICE ST,,HAMLET,NC,283453304,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,44,62.442045455,8.32,6.3729545455,6.3729545455
1043699622,WILLIAMS,BARBARA,S,FNP-C,F,I,21001 N TATUM BLVD,STE 1630-156,PHOENIX,AZ,850504206,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,33,72.018787879,8.32,6.5209090909,6.5209090909
1043699622,WILLIAMS,BARBARA,S,FNP-C,F,I,21001 N TATUM BLVD,STE 1630-156,PHOENIX,AZ,850504206,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1074.31,842.26,842.26
1043699622,WILLIAMS,BARBARA,S,FNP-C,F,I,21001 N TATUM BLVD,STE 1630-156,PHOENIX,AZ,850504206,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,18,47.865,5.9983333333,4.7027777778,3.38
1043699622,WILLIAMS,BARBARA,S,FNP-C,F,I,21001 N TATUM BLVD,STE 1630-156,PHOENIX,AZ,850504206,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,780,19.075641026,9.6420769231,7.5200128205,7.52
1043699622,WILLIAMS,BARBARA,S,FNP-C,F,I,21001 N TATUM BLVD,STE 1630-156,PHOENIX,AZ,850504206,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,33,33,24.348235294,24.348235294
1043705411,RIOS QUINTERO,ANDREA,M,PA,F,I,6411 FANNIN ST,,HOUSTON,TX,770301501,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,20,16,16,12.5425,12.5425
1043714587,FOSTER,TRACY,L,,F,I,10512 N 110TH EAST AVE,,OWASSO,OK,74055,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,36.211818182,21.417272727,16.790909091,14.723636364
1043714587,FOSTER,TRACY,L,,F,I,10512 N 110TH EAST AVE,,OWASSO,OK,74055,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,14,28,4.6010714286,2.885,2.2628571429,1.6421428571
1043714587,FOSTER,TRACY,L,,F,I,10512 N 110TH EAST AVE,,OWASSO,OK,74055,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,13.352727273,7.2218181818,5.6645454545,4.9063636364
1043714587,FOSTER,TRACY,L,,F,I,10512 N 110TH EAST AVE,,OWASSO,OK,74055,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,287.59545455,164.42090909,128.90909091,110.66909091
1043714587,FOSTER,TRACY,L,,F,I,10512 N 110TH EAST AVE,,OWASSO,OK,74055,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,21,24,93.65875,55.102083333,43.198333333,34.776666667
1043721087,SORRELLS,SHARON,,CNP,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,45,22.790909091,17.866363636,14.077272727
1043721087,SORRELLS,SHARON,,CNP,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,122.78571429,59.237142857,46.439285714,38.214285714
1043721087,SORRELLS,SHARON,,CNP,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,320,105.01636364,82.335454545,58.411818182
1043721616,SCANLON,AUDREY,D,CRNP,F,I,1811 BETHLEHEM PIKE STE A108,,FLOURTOWN,PA,19031,US,Nurse Practitioner,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,103.50363636,81.143636364,89.207272727
1043721970,DAILEY,LAUREN,E,PA,F,I,370 S MAIN ST,,CLINTONVILLE,WI,549291632,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,175,71.113076923,50.046923077,33.466923077
1043725823,LOWY,RACHEL,,,F,I,410 LAKEVILLE RD,,NEW HYDE PARK,NY,110421101,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,728,44.188543956,4.9311538462,3.866043956,3.866043956
1043727829,ALLEN,JENNIFER,A,CRNP,F,I,3701 CORPORATE PKWY STE 130,,CENTER VALLEY,PA,180348230,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,25,35,137,67.028686131,8.32,6.5226277372,6.5226277372
1043727829,ALLEN,JENNIFER,A,CRNP,F,I,3701 CORPORATE PKWY STE 130,,CENTER VALLEY,PA,180348230,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,300.51230769,251.11,196.87,196.87
1043729064,IRISH,GRACE,M,APNP,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,460.03,47.34,37.115,38.1675
1043729064,IRISH,GRACE,M,APNP,F,I,3850 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,161.82,19.448,15.248,14.84
1043729825,CARUSETTA,ERINN,L,FNP,F,I,4618 FOUNTAIN AVE,,LOS ANGELES,CA,900291977,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,31,78.510322581,8.32,4.8383870968,4.8383870968
1043730302,GOULDING,LESLEY,D,FNP-BC,F,I,775 POLE LINE RD W STE 302,,TWIN FALLS,ID,833015823,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,422.92285714,70.48,55.25,55.098571429
1043731615,FOX,WALLACE,D,FNP,M,I,1919 STATE ST STE 440,,NEW ALBANY,IN,471506809,US,Nurse Practitioner,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,913.16,715.92,842.26
1043731615,FOX,WALLACE,D,FNP,M,I,1919 STATE ST STE 440,,NEW ALBANY,IN,471506809,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,280,94.21,73.86,72.476470588
1043731615,FOX,WALLACE,D,FNP,M,I,1919 STATE ST STE 440,,NEW ALBANY,IN,471506809,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,114.29545455,33,25.87,25.87
1043732472,SALVADOR,KRISTINE JOY,A,,F,I,300 MEDICAL PKWY STE 212,,CHESAPEAKE,VA,233204985,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,19,19,76.052631579,39.11,30.660526316,30.453157895
1043732472,SALVADOR,KRISTINE JOY,A,,F,I,300 MEDICAL PKWY STE 212,,CHESAPEAKE,VA,233204985,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,186.39058824,88,68.995294118,67.724117647
1043732472,SALVADOR,KRISTINE JOY,A,,F,I,300 MEDICAL PKWY STE 212,,CHESAPEAKE,VA,233204985,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,31,99.178709677,34.557419355,27.092580645,25.921612903
1043732472,SALVADOR,KRISTINE JOY,A,,F,I,300 MEDICAL PKWY STE 212,,CHESAPEAKE,VA,233204985,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,14,14,44,18.459285714,13.447142857,13.055714286
1043732472,SALVADOR,KRISTINE JOY,A,,F,I,300 MEDICAL PKWY STE 212,,CHESAPEAKE,VA,233204985,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,19,110,6.0132727273,2.108,1.653,1.5906363636
1043732472,SALVADOR,KRISTINE JOY,A,,F,I,300 MEDICAL PKWY STE 212,,CHESAPEAKE,VA,233204985,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,136.45833333,33.3125,26.1175,26.602916667
1043732746,ADESOLA,OLUTOYIN,,APRN,F,I,687 CAMPBELL AVE,,WEST HAVEN,CT,065163774,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,400,12.6188,5.54,4.22905,4.22905
1043732746,ADESOLA,OLUTOYIN,,APRN,F,I,687 CAMPBELL AVE,,WEST HAVEN,CT,065163774,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,6.9112727273,3.04,2.1668181818,2.1668181818
1043732746,ADESOLA,OLUTOYIN,,APRN,F,I,687 CAMPBELL AVE,,WEST HAVEN,CT,065163774,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.5578181818,0.27,0.2116,0.2116
1043733637,UNDERDAHL,DAYKEN,E,PA-C,F,I,717 W MORELAND BLVD,,WAUKESHA,WI,531882432,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,38,56.920789474,8.32,6.0076315789,6.0076315789
1043734411,MCCLESKEY,LAURA,K,CNP,F,I,3901 CARLISLE BLVD NE,,ALBUQUERQUE,NM,871074503,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,20,80.738,8.2875,6.4955,6.521
1043734429,MCCALL,LAURA,A,FNP-BC,F,I,DBA LTC HEALTH SOLUTIONS,110 GARDNER DR,HILTON HEAD ISLAND,SC,29926,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,15,15,162.40933333,57.988,45.458,44.724666667
1043734429,MCCALL,LAURA,A,FNP-BC,F,I,DBA LTC HEALTH SOLUTIONS,110 GARDNER DR,HILTON HEAD ISLAND,SC,29926,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,23.010909091,5.4518181818,4.2759090909,4.0440909091
1043734429,MCCALL,LAURA,A,FNP-BC,F,I,DBA LTC HEALTH SOLUTIONS,110 GARDNER DR,HILTON HEAD ISLAND,SC,29926,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,34,64.124705882,21.051764706,16.505294118,15.300882353
1043734429,MCCALL,LAURA,A,FNP-BC,F,I,DBA LTC HEALTH SOLUTIONS,110 GARDNER DR,HILTON HEAD ISLAND,SC,29926,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,106.42692308,31.763846154,22.686923077,20.982307692
1043734940,GOLD,ANDREA,M,FNP,F,I,2132 KERRY HILL DRIVE,,FORT COLLINS,CO,80525,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,27,27,27,1385.2074074,1030.5633333,780.11111111,855.36296296
1043734940,GOLD,ANDREA,M,FNP,F,I,2132 KERRY HILL DRIVE,,FORT COLLINS,CO,80525,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,19,23,135.60913043,115.64913043,90.670434783,88.968695652
1043737406,ALTITI,MONTHER,S,MD,M,I,96 JONATHAN LUCAS ST,,CHARLESTON,SC,294259031,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,14,65,9750,0.0448,0.0130307692,0.0102205128,0.0102205128
1043737406,ALTITI,MONTHER,S,MD,M,I,96 JONATHAN LUCAS ST,,CHARLESTON,SC,294259031,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,16,38,7200,3.967,1.1773833333,0.8655930556,0.9242541667
1043737406,ALTITI,MONTHER,S,MD,M,I,96 JONATHAN LUCAS ST,,CHARLESTON,SC,294259031,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,14,42,42,24,24,18.82,18.82
1043737406,ALTITI,MONTHER,S,MD,M,I,96 JONATHAN LUCAS ST,,CHARLESTON,SC,294259031,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,14,58,58,16,16,12.54,12.54
1043737448,GEBUR,BETHANY,M,PA-C,F,I,550 SOUTHLAND DR,,DECATUR,IL,625214080,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.895,3.8425,3.6625
1043738008,RAMIREZ,KATHY,L,APRN,F,I,330 ARKANSAS ST STE 205,,LAWRENCE,KS,660441485,US,Nurse Practitioner,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,45,23.9,14.18,8.8933333333,10.820666667
1043738008,RAMIREZ,KATHY,L,APRN,F,I,330 ARKANSAS ST STE 205,,LAWRENCE,KS,660441485,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,41,15.902926829,10.74,8.2717073171,8.3670731707
1043738222,BANKS,ALYSSA,N,CNP,F,I,3425 EXECUTIVE PKWY STE 100,,TOLEDO,OH,436061326,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,5.2236363636,4.1,4.1
1043740434,BELDEN,LINDA,,FNP,F,I,9 GIBSON ST,,DOLGEVILLE,NY,133291203,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,76.368846154,8.32,6.52,6.52
1043742752,MADUKA,SOBIE,,,F,I,2261 PHILADELPHIA DR,,DAYTON,OH,454061814,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,38,79.751052632,8.32,6.1781578947,6.1781578947
1043742752,MADUKA,SOBIE,,,F,I,2261 PHILADELPHIA DR,,DAYTON,OH,454061814,US,Student in an Organized Health Care Education/Training Program,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,37,17.55,12.509090909,12.309090909
1043742752,MADUKA,SOBIE,,,F,I,2261 PHILADELPHIA DR,,DAYTON,OH,454061814,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,270,77.18,55.009090909,49.745454545
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,193,330,330,68.003,36.849242424,28.106212121,29.637545455
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,33,9.0675757576,1.3896969697,1.0896969697,1.15
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,42.723333333,12.845833333,10.073333333,9.0766666667
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,107,199,199,194.47170854,91.419849246,69.643768844,66.412964824
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,104,213,513,93.781091618,34.648869396,26.625769981,25.587758285
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,81,148,654,45.499235474,18.041529052,13.944296636,14.333394495
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,77,135,671,42.018509687,15.620506706,12.069597615,11.73290611
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,165,279,279,173.28942652,56.416738351,43.165197133,41.884301075
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,223,275,275,45.889927273,18.737745455,14.105854545,13.529527273
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,24,28,28,36.432857143,10.679285714,8.3735714286,8.15
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,58,104,104,43.600384615,12.527019231,9.3063461538,8.8800961538
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,234,417,2257,5.6038812583,2.022295082,1.5300398759,1.5412494462
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,30,37,37,12.092162162,6.1886486486,4.5886486486,4.4089189189
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,165,194,194,39.263041237,13.030515464,9.8581443299,10.004484536
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,12,83,86,53.14244186,17.292325581,13.243953488,13.226860465
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,2273.5126667,1074.31,668.60666667,668.60666667
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,28,187,187,334.94524064,88.784064171,67.329946524,63.459144385
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,27,27,27,398.46111111,140.19074074,102.96851852,98.334814815
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,11,52,55,51.394181818,14.019636364,10.270909091,9.9689090909
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,15,105,105,49.929809524,5.6885714286,4.4026666667,3.7475238095
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,67,414,418,132.73354067,35.573995215,27.038492823,24.538684211
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,27,150,159,314.41056604,78.772704403,60.238553459,53.910314465
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,17,198.52941176,35.31,27.69,29.51
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,12,66,4146,20.137568741,9.6396816208,7.5137891944,7.5137891944
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,1830,19.827907104,11.233344262,8.6312131148,8.6312131148
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,29,29,87,20800,0.3079951923,0.0467519231,0.0327379808,0.0327379808
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,2441,3.7114502253,0.0659934453,0.0506390823,0.0506390823
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,38,43,137,14262,1.5376679288,0.1376125368,0.1032674239,0.1032674239
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,21,71,4806,10.603108614,3.1246941323,2.3793071161,2.3793071161
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,803,1.2211457036,0.2189165629,0.1456662516,0.1456662516
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,62,71,272,272,45.106617647,33,24.522169118,24.522169118
1043744063,MILLER,MIRANDA,J,NP,F,I,2123 AUBURN AVE,SUITE 401,CINCINNATI,OH,45219,US,Nurse Practitioner,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,12,12,66,66,51.74,51.74
1043745581,SUEN,JENNIFER,,MD,F,I,1010 4TH ST SW,SUITE 340,MASON CITY,IA,504012857,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,23,7.6325,5.9816666667,3.8166666667
1043745581,SUEN,JENNIFER,,MD,F,I,1010 4TH ST SW,SUITE 340,MASON CITY,IA,504012857,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,23,14.337391304,12.87,10.091304348,8.4360869565
1043746159,KANTOR,TATYANA,,CRNP,F,I,1648 HUNTINGDON PIKE,,MEADOWBROOK,PA,190468001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,3.73,2.9254545455,3.4818181818
1043746761,KAMMERER,AMY,,,F,I,2845 HAMLINE AVE N,,ROSEVILLE,MN,551137127,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,112.72666667,31.233333333,24.486666667,22.4075
1043747181,PIHL,CAROLINE,L,MD,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,87.69,17.91,14.04,13.54
1043747181,PIHL,CAROLINE,L,MD,F,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,321.34,70.48,55.25,54.72
1043747215,BAILEY,BRUCE,A,FNP-BC,M,I,107 W LIBERTY ST,,WASHINGTON,GA,306731623,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,20,8.8705882353,6.9547058824,4.0623529412
1043747215,BAILEY,BRUCE,A,FNP-BC,M,I,107 W LIBERTY ST,,WASHINGTON,GA,306731623,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,26.27,20.596363636,14.770909091
1043747298,NEVETT-FERNANDEZ,ALEXANDRA,,MD,F,I,1301 HODGES DR,,TALLAHASSEE,FL,323084614,US,Student in an Organized Health Care Education/Training Program,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,95.811818182,18.750909091,8.9436363636,8.1990909091
1043747579,PRESTIGIACOMO,AMANDA,J,FNP-C,F,I,801 POLE LINE RD W,,TWIN FALLS,ID,833015810,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,503.45666667,98.37,67.161666667,45.6075
1043749245,JARRETT,SHAUNA,E,"DNP, FNP",F,I,291 BROAD ST,,KERNERSVILLE,NC,272842932,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,143,54.742727273,42.918181818,38.898181818
1043749765,CHESINI,GINO,P,DO,M,I,1111 6TH AVE,,DES MOINES,IA,503142613,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,69.99,50.2975,50.1925
1043750318,DECHEN,TENZIN,,,F,I,2821 ISLAND AVE,,PHILADELPHIA,PA,191532300,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,73.585,8.32,5.9096875,5.9096875
1043751167,NICELY,KELLY,,,F,I,1400 N RITTER AVE STE 410,,INDIANAPOLIS,IN,462193046,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.3454545455,2.7536363636,2.4254545455
1043751654,VALLONE,EMILY,L,NP-C,F,I,101 MINEOLA BLVD FL 2,,MINEOLA,NY,115014007,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,49,59,106,660,74.468272727,8.32,6.1363484848,6.1363484848
1043751654,VALLONE,EMILY,L,NP-C,F,I,101 MINEOLA BLVD FL 2,,MINEOLA,NY,115014007,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,37,44,65,226,14.904690265,1.42,1.0584955752,1.0584955752
1043751860,SMITH,LAURIE,,,F,I,3207 N ACADEMY BLVD,SUITE 3500,COLORADO SPRINGS,CO,809175100,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,79.8,53.723333333,47.198333333
1043751860,SMITH,LAURIE,,,F,I,3207 N ACADEMY BLVD,SUITE 3500,COLORADO SPRINGS,CO,809175100,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38,27.3075,27.074166667
1043752710,HANNAN-REAGAN,LAURIE,S,FNP-C,F,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,43,56.034186047,8.32,5.0048837209,5.0048837209
1043752710,HANNAN-REAGAN,LAURIE,S,FNP-C,F,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,799,0.2437171464,0.0450062578,0.0352690864,0.0352690864
1043752710,HANNAN-REAGAN,LAURIE,S,FNP-C,F,I,67780 E PALM CANYON DR,,CATHEDRAL CITY,CA,922345441,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,114,33,25.87,25.87
1043753254,TAYLOR,ANNETTE,,FNP,F,I,36123 SCHOOLCRAFT RD.,,LIVONIA,MI,48150,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,185.2875,48.389166667,31.831666667,29.4025
1043753254,TAYLOR,ANNETTE,,FNP,F,I,36123 SCHOOLCRAFT RD.,,LIVONIA,MI,48150,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,111.87,43.72,29.006153846,28.295384615
1043753254,TAYLOR,ANNETTE,,FNP,F,I,36123 SCHOOLCRAFT RD.,,LIVONIA,MI,48150,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,37,37,62.402972973,14.81,8.4721621622,9.9691891892
1043753254,TAYLOR,ANNETTE,,FNP,F,I,36123 SCHOOLCRAFT RD.,,LIVONIA,MI,48150,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,22,6.31,3.96,5.23
1043753973,REED,MICHELLE,L,FNP-C,F,I,2500 BERNVILLE RD,,READING,PA,196059453,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,36.444705882,4.6876470588,3.4641176471,3.3788235294
1043754450,SHELTON,AMY,N,NP,F,I,920 S HEBRON AVE,,EVANSVILLE,IN,477144086,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1980,4.5101515152,1.73,1.1917424242,1.4347777778
1043754450,SHELTON,AMY,N,NP,F,I,920 S HEBRON AVE,,EVANSVILLE,IN,477144086,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,39,15.499230769,10.551538462,8.2730769231,8.5707692308
1043754518,CROSHAW,MARC,C,PA,M,I,700 N SPRING ST,,CALIENTE,NV,890081010,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,24.283333333,19.035555556,13.864444444
1043754518,CROSHAW,MARC,C,PA,M,I,700 N SPRING ST,,CALIENTE,NV,890081010,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,519.51,112.10413793,86.705517241,54.938965517
1043754880,HOEWISCH,ALETHEA,,,F,I,4110 BRIARGATE PKWY STE 465,,COLORADO SPRINGS,CO,809207839,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,89,60.709101124,8.0611235955,4.5611235955,4.7634831461
1043754880,HOEWISCH,ALETHEA,,,F,I,4110 BRIARGATE PKWY STE 465,,COLORADO SPRINGS,CO,809207839,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,104.66666667,17.91,14.04,13.54
1043754880,HOEWISCH,ALETHEA,,,F,I,4110 BRIARGATE PKWY STE 465,,COLORADO SPRINGS,CO,809207839,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,61,406.18459016,70.48,50.599508197,50.156229508
1043754880,HOEWISCH,ALETHEA,,,F,I,4110 BRIARGATE PKWY STE 465,,COLORADO SPRINGS,CO,809207839,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,241.088,39.6,28.566,27.2724
1043755069,HEILMAN,LINDA,L,ARNP,F,I,159 N 3RD ST,,MACCLENNY,FL,320632103,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,20,50,33.9342,8.32,6.2604,6.2604
1043755739,RODRIGUEZ,JENNA,L,FNP-C,F,I,545 CREEKSIDE XING STE 206,,NEW BRAUNFELS,TX,781304274,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,49,49,69.2,16.6,12.670408163,13.052653061
1043755952,LEBSON,ANDREW,,CRNP,M,I,1800 ORLEANS ST,,BALTIMORE,MD,212870010,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,11,28,60.494285714,8.32,6.5210714286,6.5210714286
1043756489,SCHRADER,ELIZABETH,,APN,F,I,610 S MAPLE AVE STE 5500,,OAK PARK,IL,603042808,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,47.584545455,37.303636364,29.217272727
1043756489,SCHRADER,ELIZABETH,,APN,F,I,610 S MAPLE AVE STE 5500,,OAK PARK,IL,603042808,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,26.52,11.20875,8.78875,7.88875
1043757941,PATTON,SHERRY,,,F,I,621 KELLY BLVD,,SLIPPERY ROCK,PA,160578523,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,30,80.331,8.32,5.2173333333,5.2173333333
1043757941,PATTON,SHERRY,,,F,I,621 KELLY BLVD,,SLIPPERY ROCK,PA,160578523,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,11.776363636,9.23,9.53
1043757941,PATTON,SHERRY,,,F,I,621 KELLY BLVD,,SLIPPERY ROCK,PA,160578523,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,30.720909091,24.087272727,25.501818182
1043759681,SMITH,MELISSA,A,AGACNP,F,I,1616 FALCON RIDGE BLVD,,FRIENDSWOOD,TX,77546,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3750,2769.8936364,2171.5972727,2171.5972727
1043760341,INMAN,KYLA,,,F,I,1240 N BUTTERFIELD RD,,BOLIVAR,MO,656133016,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,180,37.655555556,28.661481481,24.756666667
1043760424,VAUGHN,DEANNA,L,NP,F,I,1234 E DUPONT RD STE 3,,FORT WAYNE,IN,46825,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.29,12.420833333,12.4025
1043760424,VAUGHN,DEANNA,L,NP,F,I,1234 E DUPONT RD STE 3,,FORT WAYNE,IN,46825,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,70.23,50.471666667,50.16
1043760523,MOORMAN,LINDSEY,M,NP-C,F,I,2708 GUILFORD ST,,HUNTINGTON,IN,467509701,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,25,8.5129411765,6.3888235294,3.6658823529
1043760705,SCHOLZ,DENISE,,,F,I,3260 SACRAMENTO ST,,BERKELEY,CA,947022739,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,34,95,66.546736842,8.32,5.0956842105,5.0956842105
1043760705,SCHOLZ,DENISE,,,F,I,3260 SACRAMENTO ST,,BERKELEY,CA,947022739,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,17,20,14.0365,1.42,0.838,0.838
1043760705,SCHOLZ,DENISE,,,F,I,3260 SACRAMENTO ST,,BERKELEY,CA,947022739,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.11,13.42,13.53
1043760705,SCHOLZ,DENISE,,,F,I,3260 SACRAMENTO ST,,BERKELEY,CA,947022739,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,79,61.94,55.109473684
1043760705,SCHOLZ,DENISE,,,F,I,3260 SACRAMENTO ST,,BERKELEY,CA,947022739,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,0.92,0.1323333333,0.1037847222,0.1037847222
1043760705,SCHOLZ,DENISE,,,F,I,3260 SACRAMENTO ST,,BERKELEY,CA,947022739,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,23.714166667,23.714166667
1043760754,MICHEL,NICHOLAS,J,,M,I,4201 SAINT ANTOINE ST,,DETROIT,MI,482012153,US,Physician Assistant,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,87.58,80.74,63.3,69.16
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,13,22,9.5863636364,1.6009090909,1.255,1.1518181818
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,86.31,18.865714286,14.790952381,13.588095238
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1514.0833333,972.195,745.39,745.39
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,49.578,7.764,6.0873333333,4.0786666667
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,83,85,515.83952941,86.237411765,67.609529412,55.373058824
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,66,71,225.6971831,41.040140845,32.175070423,29.725774648
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,16,91,5406,18.931307806,9.6608342582,7.5475434702,7.5475434702
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,18.965833333,11.473666667,8.9953888889,8.9953888889
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,41,3607,0.6815386748,0.0447712781,0.0350956474,0.0350956474
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,23,84,8984,1.8555064559,0.1359739537,0.1066228851,0.1066228851
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,26,36,159,9582,10.874980171,2.911344187,2.2447902317,2.2447902317
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,809,0.9167243511,0.2186526576,0.1713967862,0.1713967862
1043761190,HOLLENKAMP,JESSICA,,CNP,F,I,1200 6TH AVE N,,SAINT CLOUD,MN,563032735,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,31,46,191,191,51.345549738,33,25.87,25.87
1043761521,SADLER,CANDY,,AGNP,F,I,1000 W 10TH ST,,ROLLA,MO,65401,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1800,0.55,0.44,0.3415944444,0.3415944444
1043761521,SADLER,CANDY,,AGNP,F,I,1000 W 10TH ST,,ROLLA,MO,65401,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,785,4.46,3.67,2.8772993631,2.8772993631
1043761521,SADLER,CANDY,,AGNP,F,I,1000 W 10TH ST,,ROLLA,MO,65401,US,Nurse Practitioner,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,605,8.68,7.13,5.59,5.59
1043761521,SADLER,CANDY,,AGNP,F,I,1000 W 10TH ST,,ROLLA,MO,65401,US,Nurse Practitioner,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,2060,2.64,2.16,1.6934368932,1.6934368932
1043761521,SADLER,CANDY,,AGNP,F,I,1000 W 10TH ST,,ROLLA,MO,65401,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,12,17,215,80.3,26.62,20.87,19.394186047
1043761521,SADLER,CANDY,,AGNP,F,I,1000 W 10TH ST,,ROLLA,MO,65401,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,12,16,150,53.9,9.05,7.0948666667,6.5228
1043761521,SADLER,CANDY,,AGNP,F,I,1000 W 10TH ST,,ROLLA,MO,65401,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,12,20,20,4818,987.095,773.8825,522.179
1043762248,GRUTTADAURIA,JACOB,,,M,I,18519 MARTINS LN,,STRONGSVILLE,OH,441496864,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,46.363636364,29.934545455,29.892727273
1043762800,LIM,MIOK,,,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,1740,9.666,7.37,5.778,5.778
1043762800,LIM,MIOK,,,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,870,6.8446666667,5.23,4.1003333333,4.1003333333
1043762800,LIM,MIOK,,,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.5,13.88,9.8909090909,12.151818182
1043762800,LIM,MIOK,,,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,8.4463636364,6.3354545455,4.6909090909,5.8809090909
1043763147,ACOSTA,IDEANNA,,PA-C,F,I,2265 3RD AVE,,NEW YORK,NY,100352231,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,18.555555556,7.4697222222,5.8538888889,3.9311111111
1043763147,ACOSTA,IDEANNA,,PA-C,F,I,2265 3RD AVE,,NEW YORK,NY,100352231,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,133,46.33,33.453333333,22.728333333
1043763253,AGOSTINELLI,RYAN,D,PA,M,I,9001 N COUNTRY HOMES BLVD,,SPOKANE,WA,992182072,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,85.827894737,4.2542105263,3.3347368421,3.7210526316
1043763253,AGOSTINELLI,RYAN,D,PA,M,I,9001 N COUNTRY HOMES BLVD,,SPOKANE,WA,992182072,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,595.84,31.386875,23.941875,24.141875
1043763576,LOOMIS,JUSTIN,D,FNP,M,I,116 S ELMER AVE,,SAYRE,PA,188402006,US,Nurse Practitioner,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,150.04181818,150.04181818,108.37727273,110.13
1043763865,DUGGIN,KELLY,,MD,F,I,8340 LAKEWOOD RANCH BLVD,SUITE 210,BRADENTON,FL,342025185,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,100,22.407142857,17.565714286,13.96
1043763865,DUGGIN,KELLY,,MD,F,I,8340 LAKEWOOD RANCH BLVD,SUITE 210,BRADENTON,FL,342025185,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,215,102.08,80.032857143,57.622857143
1043765274,LOICHLE,JENNIFER,,APRN,F,I,605 LAFAYETTE RD,,PORTSMOUTH,NH,038015406,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,23.24,6.2533333333,4.9,3.7533333333
1043765472,NAPUTI,SCOTT,R,APRN-RX,M,I,94-216 FARRINGTON HWY,,WAIPAHU,HI,967971922,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45.3,13.826666667,8.5583333333,11.701666667
1043765472,NAPUTI,SCOTT,R,APRN-RX,M,I,94-216 FARRINGTON HWY,,WAIPAHU,HI,967971922,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,16.44,7.6833333333,4.75,5.2583333333
1043766355,COMPTON,REBECCA,,FNP,F,I,405 MAIN ST,,VAN BUREN,MO,639659719,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,28.75,6.8857142857,2.8957142857,1.5285714286
1043767163,ABELL,JEFFREY,P,PA-C,M,I,82 CATAMOUNT PARK,,MIDDLEBURY,VT,05753,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,49,58.845102041,8.32,6.3910204082,6.3910204082
1043767163,ABELL,JEFFREY,P,PA-C,M,I,82 CATAMOUNT PARK,,MIDDLEBURY,VT,05753,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,18,16.05,1.42,0.9944444444,0.9944444444
1043768088,GREENWOOD,TYLER,J,PA,M,I,1723 BROADWAY ST,SUITE 410,CAPE GIRARDEAU,MO,637014566,US,Physician Assistant,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,17,19,57.38,47.89,33.952105263,34.081052632
1043768419,STROZIER,JAMIE,A,FNP,F,I,4307 HIGHWAY 66 S,,ROGERSVILLE,TN,378573155,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,36.75,5.7957142857,3.5257142857,2.6276190476
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,150.50166667,50.219166667,37.819166667,34.940833333
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,139.304375,55.785625,43.736875,40.790625
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,35,11.75,7.0452941176,6.8776470588
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,28,30,262.34133333,54.354666667,42.610666667,41.536333333
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,22,61.891363636,19.107727273,14.975909091,13.805454545
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,3160.1775,1074.31,836.28208333,836.28208333
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,32,4.958,3.8885,3.884
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,43,43,29.111627907,12.188139535,9.148372093,8.6572093023
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,20,395.9095,78.215,61.321,54.756
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,12,81.016666667,38.639166667,29.306666667,28.383333333
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,26,157,157,106.8966879,22.246878981,17.442420382,15.311656051
1043768435,MCNEES,MARY,R,FNP,F,I,2300 PAVILION DR,,KINGSPORT,TN,376604622,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,94,94,25.744680851,9.1325531915,7.1624468085,6.7444680851
1043768658,LOPEZ,AMANDA,R,PA-C,F,I,1513 PARK AVE FL 2,,COLUMBUS,WI,539251793,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,49,77.390204082,8.32,5.0583673469,5.0583673469
1043768658,LOPEZ,AMANDA,R,PA-C,F,I,1513 PARK AVE FL 2,,COLUMBUS,WI,539251793,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,27.3,7.6325,5.9816666667,3.9733333333
1043769326,LEATHAM,EMMA,,PA-C,F,I,100 OHIO ST,,MEDINA,NY,141031191,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,41,58.464634146,8.32,5.8843902439,5.8843902439
1043769326,LEATHAM,EMMA,,PA-C,F,I,100 OHIO ST,,MEDINA,NY,141031191,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,65.934,17,11.832666667,12.032666667
1043769326,LEATHAM,EMMA,,PA-C,F,I,100 OHIO ST,,MEDINA,NY,141031191,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.73,3.9145454545,2.8081818182,3.39
1043769326,LEATHAM,EMMA,,PA-C,F,I,100 OHIO ST,,MEDINA,NY,141031191,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,448.428,77.18,52.442,47.81
1053300095,GLAZER,DEBORAH,A,M.D.,F,I,10 ALICE PECK DAY DR,,LEBANON,NH,037662900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,78,68.977051282,8.32,5.6865384615,5.6865384615
1053300095,GLAZER,DEBORAH,A,M.D.,F,I,10 ALICE PECK DAY DR,,LEBANON,NH,037662900,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,21.45,8.85125,6.938125,3.8
1053300095,GLAZER,DEBORAH,A,M.D.,F,I,10 ALICE PECK DAY DR,,LEBANON,NH,037662900,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1320,1.7235681818,0.1314545455,0.0730075758,0.0730075758
1053300095,GLAZER,DEBORAH,A,M.D.,F,I,10 ALICE PECK DAY DR,,LEBANON,NH,037662900,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,57.75,33,17.246666667,17.246666667
1053300152,STUBBERS,JOSEPH,J,DO,M,I,2740 MACK RD,,FAIRFIELD,OH,450145161,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,61,68.469672131,8.32,6.5208196721,6.5208196721
1053300152,STUBBERS,JOSEPH,J,DO,M,I,2740 MACK RD,,FAIRFIELD,OH,450145161,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,68,8.1114705882,2,1.5679411765,1.5894117647
1053300152,STUBBERS,JOSEPH,J,DO,M,I,2740 MACK RD,,FAIRFIELD,OH,450145161,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,250,26.536,13.1272,10.2918,10.2918
1053300152,STUBBERS,JOSEPH,J,DO,M,I,2740 MACK RD,,FAIRFIELD,OH,450145161,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,348,550,268.38126437,210.40974138,210.40974138
1053300152,STUBBERS,JOSEPH,J,DO,M,I,2740 MACK RD,,FAIRFIELD,OH,450145161,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,348,85,9.3479885057,7.3284195402,7.3284195402
1053300152,STUBBERS,JOSEPH,J,DO,M,I,2740 MACK RD,,FAIRFIELD,OH,450145161,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,348,85,29.213563218,22.903505747,22.903505747
1053300152,STUBBERS,JOSEPH,J,DO,M,I,2740 MACK RD,,FAIRFIELD,OH,450145161,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,97.335,32.88,19.3275,17.5275
1053300236,HSIEH,KISSENG,,MD,M,I,5725 W LAS POSITAS BLVD,SUITE 250,PLEASANTON,CA,945884054,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,2550,0.2010588235,0.13,0.0992901961,0.0992901961
1053300236,HSIEH,KISSENG,,MD,M,I,5725 W LAS POSITAS BLVD,SUITE 250,PLEASANTON,CA,945884054,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,53,7270,5.3748830812,1.73,1.2997592847,1.5402751032
1053300236,HSIEH,KISSENG,,MD,M,I,5725 W LAS POSITAS BLVD,SUITE 250,PLEASANTON,CA,945884054,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1680,7.6732142857,7.025,5.5076071429,5.6683333333
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,27,81,58.94617284,8.32,6.1192592593,6.1192592593
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,27,15.987407407,1.42,1.0725925926,1.0725925926
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,88.13,38.175555556,27.942777778,28.504444444
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,32,32,367.62,91.4578125,64.250625,60.355
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,13,30,82,134.25585366,35.464390244,26.948170732,25.049878049
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,120,84.126333333,17,12.661916667,13.778166667
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,15,87,49.14,14.669425287,9.3474712644,9.7563218391
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,36,36,238.03305556,56.1875,41.593888889,40.521666667
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,39,39,73.018974359,18.583589744,14.205897436,13.702564103
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,48,48,77.317708333,11.451041667,8.1452083333,8.2220833333
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,62,358,10.25,2.0094413408,1.4283798883,1.4402513966
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,24.096923077,5.16,3.4269230769,4.0584615385
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,22,31,31,38.836129032,13.28,9.7519354839,9.6803225806
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,123.938,48.622,35.154666667,37.003333333
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,14,81.427142857,17.165714286,11.183571429,11.277857143
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,126.03714286,84.778571429,66.465714286,68.975
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,180.76923077,28.522307692,17.351538462,18.864615385
1053300244,MCGILL,LORRIE,L,MD,F,I,1502 S WASHINGTON ST,STE 201,PAPILLION,NE,680463136,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,27,377.73444444,77.15,52.34,47.861111111
1053300335,COVINGTON,JAMIE,W,APN,F,I,6570 SUMMER OAKS CV,,BARTLETT,TN,381342857,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,23,76,61.449078947,8.32,5.6280263158,5.6280263158
1053300335,COVINGTON,JAMIE,W,APN,F,I,6570 SUMMER OAKS CV,,BARTLETT,TN,381342857,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,17.2555,1.42,1.004,1.004
1053300335,COVINGTON,JAMIE,W,APN,F,I,6570 SUMMER OAKS CV,,BARTLETT,TN,381342857,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,86.84,62.406666667,50.169166667
1053300335,COVINGTON,JAMIE,W,APN,F,I,6570 SUMMER OAKS CV,,BARTLETT,TN,381342857,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,76.363636364,22.909090909,17.957272727,14.289090909
1053300426,BROWER,PATRICIA,A,FNP,F,I,355 TOWER RD NE STE 300,,MARIETTA,GA,300609408,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,36,90,70.043222222,8.32,6.1556666667,6.1556666667
1053300426,BROWER,PATRICIA,A,FNP,F,I,355 TOWER RD NE STE 300,,MARIETTA,GA,300609408,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,24,14.59625,1.42,0.92875,0.92875
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,34,65,65,74.982153846,41.003538462,31.437384615,29.957230769
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,17,32,32,190.5753125,92.176875,71.3715625,67.3759375
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,13,26,63,70,34.02,26.673333333,25.979365079
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,24,128,42.812109375,19.33,14.56171875,14.06265625
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,14,26,134,33.973134328,15.66,12.278059701,11.910970149
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,23,51,51,118.26490196,54.977843137,42.259215686,42.037647059
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,35,48,48,43.05375,19.056458333,14.931666667,14.115625
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,43.956363636,12.07,9.47,9.1609090909
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,35,76,436,5.2590366972,2.2186238532,1.6926146789,1.5658486239
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,33.306666667,13.01,9.52,9.6626666667
1053300467,WOOD,DAVID,A,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,18,109,109,150.61788991,32.534220183,24.003761468,23.990917431
1053300509,KULESZA,GREGORY,W,MD,M,I,264 W MAPLE RD,#200,TROY,MI,480845435,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,3120,10.748080128,1.2999230769,0.9731442308,0.9731442308
1053300509,KULESZA,GREGORY,W,MD,M,I,264 W MAPLE RD,#200,TROY,MI,480845435,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1053300509,KULESZA,GREGORY,W,MD,M,I,264 W MAPLE RD,#200,TROY,MI,480845435,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,16,16,12.54,12.54
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,64,191,449,49.394944321,8.32,5.9497772829,5.9497772829
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,15.372,3.38,2.65,2.65
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,21.276666667,2.12,1.5772222222,1.5772222222
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,32,66,95,15.278631579,1.42,1.0456842105,1.0456842105
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,22,7.94,7.46,5.3181818182,5.3181818182
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,36,79.488333333,71.488888889,54.596666667,54.652222222
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,100,32.4247,29.1708,22.87,22.8864
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,468,8.28,8.28,6.491517094,6.491517094
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,7.975,1.9563636364,1.3604545455,0.9936363636
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,26,26,214.86423077,118.53461538,87.136153846,67.084615385
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,30,47.478333333,27.728666667,19.970333333,14.271333333
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,183.06722222,81.291111111,63.621666667,45.597222222
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,25,25,50.7772,24.9872,18.9632,14.12
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,29,29,55.107241379,22.056896552,16.943448276,9.1993103448
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,32,130,9.6042307692,3.4253846154,2.6579230769,1.6509230769
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,45.387884615,21.871346154,15.898461538,12.552692308
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,20.28,7.9947619048,5.23,2.9666666667
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,55,58,121.67258621,53.726206897,40.490862069,28.297586207
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,71,74,314.88175676,100.68324324,72.319594595,53.846891892
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,6692,0.3317662881,0.0462881052,0.0349237896,0.0349237896
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1530,1.0099477124,0.1378431373,0.1027385621,0.1027385621
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,67.04,35.004,27.443333333,14.844
1053300558,HOLT,BRENT,E,MD,M,I,2901 MEDICAL CENTER DR,,POCAHONTAS,AR,724559438,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,36,66,33,24.432777778,24.432777778
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,17,34,34,96.198823529,39.006176471,27.886470588,27.815
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,51,101,7.8876237624,1.4476237624,1.0994059406,1.1164356436
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,72.083076923,13.488461538,9.8661538462,8.3769230769
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,20,43,43,238.95651163,90.011162791,64.638372093,62.066046512
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,13,31,65,95.026153846,34.963076923,27.411076923,26.012
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,27,72,348,51.630574713,19.5,14.011063218,13.34658046
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,21,47,233,39.760772532,15.743261803,10.434077253,10.00888412
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,68,159,159,152.24257862,56.53490566,39.828553459,38.542641509
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,80,111,111,45.93027027,17.051891892,12.463153153,13.133873874
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,14,14,21.155714286,10,7.84,8.15
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,72,172,172,54.980290698,12.157674419,8.8565116279,8.4812209302
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,70,186,986,8.1530831643,2.0107099391,1.4723022312,1.4863286004
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,40,58,58,18.251034483,6.2872413793,4.4206896552,4.1810344828
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,48,72,72,28.812222222,12.439027778,9.1888888889,9.7647222222
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,34,222,237,73.220042194,16.38978903,12.311898734,12.949324895
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,16.36,12.83,13.54
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,33,38,110.08157895,50,35.073684211,33.710263158
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,1151.882963,1057.35,813.02037037,826.31
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,487.03147059,90.122941176,64.836764706,60.818823529
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,20,20,399.992,147.902,110.2995,99.8775
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,14,68,68,20.008382353,14.080882353,9.0770588235,8.6535294118
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,26,135,138,40.106666667,5.9779710145,4.2332608696,3.307173913
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,46,256,260,164.9385,36.795538462,25.967307692,22.991461538
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,81,584,622,404.46498392,79.226688103,58.694292605,52.494758842
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,22,124,146,226.86767123,35.11,26.587191781,28.367328767
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1350,15.58,9.6882222222,7.5313481481,7.5313481481
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,13.94,11.044857143,8.6592063492,8.6592063492
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,17,56,15391,0.2305093886,0.0464583198,0.0338470535,0.0338470535
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,4030,2.5347022333,0.079325062,0.0508833747,0.0508833747
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,13,74,6267,1.0666937929,0.1337849051,0.097978299,0.097978299
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,15,71,4170,12.368453237,2.9612086331,2.2602446043,2.2602446043
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,795,1.3045786164,0.2190440252,0.1588301887,0.1588301887
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,238.04444444,35.11,24.471111111,25.553333333
1053300590,RODRIGUEZ,ANTONIO,L,M.D.,M,I,515 WEST STATE RD. 434,SUITE 203,LONGWOOD,FL,327505162,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,38,170,170,100.76470588,33,24.232823529,24.232823529
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,14,182,47.891208791,19.665714286,15.417582418,15.417582418
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,445,5.9726966292,2.6373033708,2.0675955056,2.0675955056
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,76,183,961,72.358574402,8.32,6.1735587929,6.1735587929
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,16.75,3.38,2.65,2.65
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,20.954615385,2.12,1.67,1.67
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,36,70,190,16.377105263,1.42,1.0603157895,1.0603157895
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,713.60083333,344.82916667,258.38916667,258.7175
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,19,93,93,271.57516129,251.05129032,196.08333333,196.12924731
1053300665,ROGERS,KIMBERLY,P,N.P.,F,I,1415 S DIVISION ST,,SALISBURY,MD,218047291,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,16,16,16,301.6025,245.7525,192.6675,202.335625
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,103,55.165631068,8.32,6.5225242718,6.5225242718
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,10.027272727,3.38,2.65,2.65
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,30,9.361,1.42,1.116,1.116
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,91.177142857,40.080714286,26.85,26.994285714
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,220.56928571,94.986428571,69.673571429,66.049285714
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,24,85.4125,33.933333333,26.605416667,26.368333333
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,77,52.571038961,19.360779221,14.864285714,14.231558442
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,62,61.353225806,15.13,11.862096774,11.889354839
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,14,27,27,197.9862963,56.274814815,39.204814815,38.097777778
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,20,27,27,56.898148148,18.184814815,12.147777778,12.276296296
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,31,31,60.984193548,12.630322581,9.3019354839,8.5183870968
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,22,46,233,10.059484979,2.1532618026,1.5484978541,1.4911587983
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,20,20,23.0095,6.2195,4.1685,3.954
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,11,15,15,38.77,12.637333333,7.9506666667,8.4086666667
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,69,69,55.764927536,17.807536232,13.156376812,12.753623188
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,100,48,35.278125,35.278125
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,37,114.89486486,38.28972973,29.388108108,27.162702703
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,22,149,149,351.57885906,72.966442953,54.24852349,51.797651007
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,45,165.14333333,38.940666667,30.526666667,29.454666667
1053300863,HEADSTREAM,THOMAS,L,M.D.,M,I,1665 ANTILLEY RD,SUITE 200,ABILENE,TX,796065265,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,68.696,23.555,17.812,13.535
1053300905,SALIBY,AIDA,H,MD,F,I,317 E 17TH ST,7 FIERMAN HALL,NEW YORK,NY,100033804,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,45,144,81.609930556,8.32,6.1549305556,6.1549305556
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,41,124,52.929758065,8.32,5.1541935484,5.1541935484
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,10.535,3.38,2.484375,2.484375
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,11.658181818,2.12,1.5181818182,1.5181818182
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,30,47,13.678723404,1.42,0.8785106383,0.8785106383
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.25,13.52,13.54
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,34.84125,5.8025,4.1870833333,3.2383333333
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,37,385.34837838,77.316216216,60.615945946,54.884054054
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,78.857142857,38.292857143,30.024285714,29.477857143
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,2340,23.41825641,11.342589744,8.7705726496,8.7705683761
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,3088,2.3589410622,0.1305310881,0.0996891192,0.0996891192
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,2768,13.091589595,2.9876011561,2.2904515896,2.2904515896
1053300913,JACOBS,MICHAEL,B,"M.D., PH.D.",M,I,3017 W CHARLESTON BLVD,SUITE 60,LAS VEGAS,NV,891021927,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,36.333333333,33,23.953703704,23.953703704
1053301051,LARSON,JENNIFER,P,MD,F,I,3399 E GRAND RIVER AVE STE 204,,HOWELL,MI,488437555,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,25,9.3,7.29,7.1545454545
1053301051,LARSON,JENNIFER,P,MD,F,I,3399 E GRAND RIVER AVE STE 204,,HOWELL,MI,488437555,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,158.70307692,62.641538462,43.917692308,35.515384615
1053301051,LARSON,JENNIFER,P,MD,F,I,3399 E GRAND RIVER AVE STE 204,,HOWELL,MI,488437555,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,27.764705882,4.4905882353,3.52,3.65
1053301051,LARSON,JENNIFER,P,MD,F,I,3399 E GRAND RIVER AVE STE 204,,HOWELL,MI,488437555,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,27,28,91.289642857,18.570357143,14.556785714,14.656071429
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,86,220,70.2545,8.32,5.9291818182,5.9291818182
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,15.647058824,3.38,2.3382352941,2.3382352941
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,35,50,16.875,1.42,0.9596,0.9596
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,200.14571429,54.47,37.320714286,37.472857143
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,66.113529412,17.88,13.952352941,13.999411765
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,61.632,11.54,8.4466666667,8.514
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,21,126,8.9104761905,2.01,1.5015873016,1.5184126984
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,300,82.808333333,58.084166667,58.084166667
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,140.27777778,32.673333333,22.525,22.078888889
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,438.33333333,70.23,55.06,54.765333333
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1138,0.963602812,0.1316344464,0.0936379613,0.0936379613
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,90.681818182,20.679090909,16.213181818,14.883636364
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,250.95833333,250.95833333,193.35333333,193.47222222
1053301101,KLEMENTAVICIENE,JOLITA,,MD,F,I,1118 GULF BREEZE PKWY,SUITE 205,GULF BREEZE,FL,325617800,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,96.642857143,33,24.022142857,24.022142857
1053301440,WALKER,CARL,J,MD,M,I,1820 FULLERTON AVE,#260,CORONA,CA,928813101,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,2670,0.39,0.13,0.0996404494,0.0996404494
1053301440,WALKER,CARL,J,MD,M,I,1820 FULLERTON AVE,#260,CORONA,CA,928813101,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,61,7655,5.3339973873,1.73,1.3542299151,1.5724741999
1053301549,HELY,DANIEL,P,M.D.,M,I,3399 TRINDLE RD,,CAMP HILL,PA,170114407,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,100.75,81.373076923,63.797692308,63.797692308
1053301549,HELY,DANIEL,P,M.D.,M,I,3399 TRINDLE RD,,CAMP HILL,PA,170114407,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,134.54545455,89.38,70.07,77.85
1053301549,HELY,DANIEL,P,M.D.,M,I,3399 TRINDLE RD,,CAMP HILL,PA,170114407,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,14,15,95,59.74,43.708,43.250666667
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,59,59,59,263.03457627,47.439322034,36.240169492,35.506440678
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,38,38,38,49.078947368,15.891578947,12.134736842,11.731842105
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,63.684210526,17.842105263,13.236315789,12.825526316
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,52,52,37.307692308,6.0782692308,4.1225,3.0973076923
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,61,61,353.36065574,78.732459016,57.763442623,51.335245902
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,51.63,40.62,29.080434783,26.953043478
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,15,80,80,69.468,17.106625,12.57525,13.53925
1053301580,PERNELL,ANDREA,,M.D.,F,I,2810 W CHARLESTON BLVD,SUITE 48,LAS VEGAS,NV,891021921,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,29,29,23.376896552,9.3896551724,6.7751724138,6.3262068966
1053301614,HERMAN,PARMIE,A,M.D.,F,I,1007 W AUGLAIZE ST,,WAPAKONETA,OH,458951351,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,22,57,118,45.785338983,8.2711864407,5.9508474576,5.9938135593
1053301614,HERMAN,PARMIE,A,M.D.,F,I,1007 W AUGLAIZE ST,,WAPAKONETA,OH,458951351,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,37.565217391,22.370434783,15.590869565,12.026956522
1053301614,HERMAN,PARMIE,A,M.D.,F,I,1007 W AUGLAIZE ST,,WAPAKONETA,OH,458951351,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,36.613333333,28.2225
1053301614,HERMAN,PARMIE,A,M.D.,F,I,1007 W AUGLAIZE ST,,WAPAKONETA,OH,458951351,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,66,70,31.159285714,7.2205714286,5.1228571429,3.1542857143
1053301614,HERMAN,PARMIE,A,M.D.,F,I,1007 W AUGLAIZE ST,,WAPAKONETA,OH,458951351,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,268.60465116,107.78883721,80.674418605,54.896744186
1053301614,HERMAN,PARMIE,A,M.D.,F,I,1007 W AUGLAIZE ST,,WAPAKONETA,OH,458951351,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,3479,0.1923943662,0.0442138546,0.034668008,0.034668008
1053301663,SAMPHILIPO,ANTHONY,W,D.O.,M,I,2110 HARRISBURG PIKE,SUITE 100,LANCASTER,PA,176043200,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,30.46875,4.3320833333,3.4004166667,3.6795833333
1053301663,SAMPHILIPO,ANTHONY,W,D.O.,M,I,2110 HARRISBURG PIKE,SUITE 100,LANCASTER,PA,176043200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,473.60842105,67.72,50.305263158,51.957368421
1053301697,ISMAIL,YOUNUS,M,M.D.,M,I,1508 S BROAD ST,SUITE 200,SCOTTSBORO,AL,357682667,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,34,78,39.500769231,8.32,6.1866666667,6.1866666667
1053301697,ISMAIL,YOUNUS,M,M.D.,M,I,1508 S BROAD ST,SUITE 200,SCOTTSBORO,AL,357682667,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,125,64.812727273,50.810909091,38.431818182
1053301697,ISMAIL,YOUNUS,M,M.D.,M,I,1508 S BROAD ST,SUITE 200,SCOTTSBORO,AL,357682667,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,16.664782609,8.9982608696,6.8443478261,4.1791304348
1053301697,ISMAIL,YOUNUS,M,M.D.,M,I,1508 S BROAD ST,SUITE 200,SCOTTSBORO,AL,357682667,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2370,2.2598396624,0.1361940928,0.0964219409,0.0964219409
1053301697,ISMAIL,YOUNUS,M,M.D.,M,I,1508 S BROAD ST,SUITE 200,SCOTTSBORO,AL,357682667,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,49.156,24.054,13.659333333,8.8893333333
1053301697,ISMAIL,YOUNUS,M,M.D.,M,I,1508 S BROAD ST,SUITE 200,SCOTTSBORO,AL,357682667,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,21.3565,21.3565
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,39,101,345,46.966753623,8.32,5.7468985507,5.7468985507
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,24,24,11.970833333,3.38,2.5395833333,2.5395833333
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,13,14,14,15.172857143,2.12,1.5507142857,1.5507142857
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,29,58,107,11.864672897,1.42,0.9839252336,0.9839252336
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,153.298,55.05,36.09,35.819
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,18,18,46.741666667,18.27,13.526111111,13.278888889
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,71.385,11.49,7.0155555556,7.1338888889
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,21,94,5.675106383,1.94,1.3791489362,1.4520212766
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.25,12.393333333,12.413333333
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,52,52,139.79365385,33.518846154,25.703653846,25.693076923
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,47,314.95021277,79.88,61.249574468,55.702765957
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,275,35.63,27.93,29.222727273
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,4544,0.4264414613,0.0454555458,0.028787412,0.028787412
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,79.15,35.63,27.93,28.785833333
1053301713,HACHIGIAN,TODD,M,MD,M,I,1701 SOUTH BLVD E,STE 290,ROCHESTER HILLS,MI,48307,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,33,33,23.518181818,23.518181818
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,56,163,52.242453988,8.32,5.9503067485,5.9503067485
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.92,3.38,2.4090909091,2.4090909091
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,29,53,14.688490566,1.42,0.9683018868,0.9683018868
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,310,8.3284516129,4.91,3.1382903226,3.1382903226
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,223.752,76.452,54.196,37.402666667
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,15,15,65.212666667,23.604,17.462666667,13.641333333
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,79.711428571,20.524285714,16.087142857,9.12
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,20,112,13.109285714,2.8296428571,2.21875,1.5933035714
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,165.2,78.414210526,61.478947368,43.269473684
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,20.478421053,13.782631579,12.041052632
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,21,28,190.16214286,42.203214286,27.658571429,19.226071429
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,55,56,502.19839286,102.10339286,76.710357143,56.016785714
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1770,1.2261977401,0.137440678,0.0954350282,0.0954350282
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,62.444,25.9415,20.338,15.355
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,19,20,13.905263158,10.22,8.7842105263
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,21.52826087,11.694782609,9.1656521739,7.2169565217
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,318.6,44.745,33.294166667,28.323333333
1053301721,SHAFER,TIMOTHY,,M.D.,M,I,1154 VT ROUTE 30,,TOWNSHEND,VT,053539724,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,45.375,33,22.63625,22.63625
1053301747,MANSOOR,SHAHID,,MD,M,I,19 VANASSE RD,,EASTPORT,ME,046313860,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,2738,4.0912783053,0.5801789627,0.4527574872,0.4527574872
1053301747,MANSOOR,SHAHID,,MD,M,I,19 VANASSE RD,,EASTPORT,ME,046313860,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,3480,3.2100402299,1.3810689655,1.0467816092,1.0467816092
1053301747,MANSOOR,SHAHID,,MD,M,I,19 VANASSE RD,,EASTPORT,ME,046313860,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,990,14.963474747,7.4479090909,5.6912323232,5.6912323232
1053301747,MANSOOR,SHAHID,,MD,M,I,19 VANASSE RD,,EASTPORT,ME,046313860,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,31,24,24,18.82,18.82
1053301747,MANSOOR,SHAHID,,MD,M,I,19 VANASSE RD,,EASTPORT,ME,046313860,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,40,16,16,12.22775,12.22775
1053301861,HERTNEKY,GEORGE,W,O.D.,M,I,212 CAMERON ST,,BRUSH,CO,807232015,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,45,45,89.291111111,70.431111111,51.535333333,49.540666667
1053301861,HERTNEKY,GEORGE,W,O.D.,M,I,212 CAMERON ST,,BRUSH,CO,807232015,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,34,58,64.5,53.415862069,37.58,39.036896552
1053301861,HERTNEKY,GEORGE,W,O.D.,M,I,212 CAMERON ST,,BRUSH,CO,807232015,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,33,89.5,67.561515152,51.387878788,51.924545455
1053301861,HERTNEKY,GEORGE,W,O.D.,M,I,212 CAMERON ST,,BRUSH,CO,807232015,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,45,45,20,16.96,13.066666667,13.633555556
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,975,7.5327179487,3.9,2.9949025641,2.9949025641
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,13,13.228461538,7.69,6.03,6.4907692308
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,24,60,15.9425,4.1,3.1605,3.1605
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,46,1600,10.5875,5.74,4.27135,4.27135
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,340,23.026705882,9.86,7.4939705882,7.4939705882
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,470,11.950680851,7,5.2544680851,5.2544680851
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,695,9.8164748201,5.54,4.2736115108,4.2736115108
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,380,8.6845263158,4.03,2.9932105263,2.9932105263
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,985,0.6141116751,0.27,0.2116446701,0.2116446701
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,720,5.2158055556,3.04,2.3439166667,2.3439166667
1053302067,GORFINE,STEPHEN,R,MD,M,I,68 EAST 86TH STREET,,NEW YORK,NY,10028,US,Colon & Rectal Surgery,T,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,1035,0.5518357488,0.27,0.206531401,0.206531401
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,46,118,75.819830508,8.32,5.316440678,5.316440678
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.2423076923,2.2423076923
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,32,15.1134375,1.42,0.938125,0.938125
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,12,77,80,442.9,76.34325,58.09525,53.358625
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,15,215.49,40.426,29.538666667,27.666
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,17,930,10.189763441,2.8820967742,2.2096774194,2.2096774194
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,534,3.3187827715,0.2191011236,0.1717602996,0.1717602996
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,156.12421053,40.183157895,26.472105263,24.894736842
1053302117,CONDOS,RANY,,M.D.,F,I,530 1ST AVE,9N,NEW YORK,NY,100166402,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,11,27,27,33,33,25.87,25.87
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,171,172,172,79.122267442,77.151104651,57.89627907,50.655813953
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,24,31.348333333,31.348333333,23.629166667,28.05625
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,22,22,35,57.894285714,48.868,36.091428571,40.100285714
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,79,80,141,48.45964539,48.45964539,37.598156028,42.127163121
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2204,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,21,52.804761905,52.804761905,41.40047619,44.138571429
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,16,64.37,64.37,50.4675,54.96
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,79,67.043037975,67.043037975,52.134810127,53.62721519
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,28,68.811428571,68.811428571,53.950357143,56.556785714
1053302125,BRAWNER,WILLIAM,C,M.D.,M,I,610 BRUNSON DR,,TUPELO,MS,388014947,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,99,100,199,17.52201005,17.52201005,13.714321608,13.760050251
1053302158,GORMAN,INGRID,,M.D.,F,I,321 MAIN ST,,ACTON,MA,017203718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,52,59.359038462,8.32,5.2673076923,5.2673076923
1053302158,GORMAN,INGRID,,M.D.,F,I,321 MAIN ST,,ACTON,MA,017203718,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,26,13.466923077,1.42,0.9446153846,0.9446153846
1053302158,GORMAN,INGRID,,M.D.,F,I,321 MAIN ST,,ACTON,MA,017203718,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,751.24,34.991176471,25.989411765,24.819411765
1053302166,MARKOWITZ,CHARLES,R,M.D.,M,I,485 RIVER AVE,,LAKEWOOD,NJ,087014720,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,31.978,5.39,4.22,4.063
1053302166,MARKOWITZ,CHARLES,R,M.D.,M,I,485 RIVER AVE,,LAKEWOOD,NJ,087014720,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,7.008,3.54,2.6053333333,2.7713333333
1053302166,MARKOWITZ,CHARLES,R,M.D.,M,I,485 RIVER AVE,,LAKEWOOD,NJ,087014720,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,35.044,15.236666667,11.170666667,10.64
1053302166,MARKOWITZ,CHARLES,R,M.D.,M,I,485 RIVER AVE,,LAKEWOOD,NJ,087014720,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,68.184090909,14.41,10.272727273,12.031818182
1053302166,MARKOWITZ,CHARLES,R,M.D.,M,I,485 RIVER AVE,,LAKEWOOD,NJ,087014720,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,62,62,119.34,23.751612903,16.566290323,19.64983871
1053302166,MARKOWITZ,CHARLES,R,M.D.,M,I,485 RIVER AVE,,LAKEWOOD,NJ,087014720,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,69,69,20.57,6.9243478261,4.7528985507,5.8346376812
1053302182,DEE,MICHAEL,M,M.D.,M,I,215 E HAWAII AVE,,NAMPA,ID,836866011,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,30,78,60.821282051,8.32,4.9334615385,4.9334615385
1053302182,DEE,MICHAEL,M,M.D.,M,I,215 E HAWAII AVE,,NAMPA,ID,836866011,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,54.82,39.398333333,38.423333333
1053302182,DEE,MICHAEL,M,M.D.,M,I,215 E HAWAII AVE,,NAMPA,ID,836866011,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50,35.933333333,34.625
1053302208,BROMAGEN,KIMBERLY,,PA-C,F,I,632 SLATE AVE,,OWINGSVILLE,KY,403602206,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,45,46.586444444,8.32,6.2331111111,6.2331111111
1053302208,BROMAGEN,KIMBERLY,,PA-C,F,I,632 SLATE AVE,,OWINGSVILLE,KY,403602206,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,310.91354167,94.139583333,61.72625,48.44375
1053302208,BROMAGEN,KIMBERLY,,PA-C,F,I,632 SLATE AVE,,OWINGSVILLE,KY,403602206,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,61.698947368,42.677368421,26.071578947,23.732105263
1053302232,MILLER,GORDON,B,D.O.,M,I,1211 FORGE ROAD,SUITE 300,CARLISLE,PA,17013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,61,202,67.742425743,8.32,5.6511386139,5.6511386139
1053302232,MILLER,GORDON,B,D.O.,M,I,1211 FORGE ROAD,SUITE 300,CARLISLE,PA,17013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,20,55,51.144909091,1.42,0.9725454545,0.9725454545
1053302232,MILLER,GORDON,B,D.O.,M,I,1211 FORGE ROAD,SUITE 300,CARLISLE,PA,17013,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,10.828181818,7.4909090909,8.2345454545
1053302232,MILLER,GORDON,B,D.O.,M,I,1211 FORGE ROAD,SUITE 300,CARLISLE,PA,17013,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,14,14,233.91571429,45.675714286,33.365714286,34.484285714
1053302232,MILLER,GORDON,B,D.O.,M,I,1211 FORGE ROAD,SUITE 300,CARLISLE,PA,17013,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,288.75,4.3072727273,3.3809090909,3.66
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,53,189,415,63.402096386,8.3061204819,6.0447710843,6.0556144578
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,25,56,82,15.435365854,1.42,0.9926829268,0.9926829268
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,95.668181818,71.56,47.655,47.655
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,12,21,21,243.90190476,122.30619048,92.3,70.592857143
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,26,109.69730769,42.765,32.5,26.079230769
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,200.21733333,74.637333333,55.028,41.364666667
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,17,23,23,73.181304348,25.933913043,18.296086957,13.000434783
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,27,27,60.198518519,20.249259259,15.498888889,9.6355555556
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,17,35,141,8.2542553191,2.7767375887,2.0769503546,1.6203546099
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,20,20,183.75,59.9165,32.959,24.074
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,51,51,92.451568627,22.738235294,16.83254902,13.071764706
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,36.882352941,17.758235294,13.921764706,11.28
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,44,45,59.122888889,7.5717777778,5.3713333333,3.292
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,27,27,173.88888889,47.114444444,34.277037037,25.914444444
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,25,10.605555556,7.93,6.1366666667
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,98,98,510.20928571,104.38714286,76.931020408,52.607142857
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,242.30769231,44.900769231,35.204615385,29.516153846
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1560,2.3445641026,0.1382307692,0.0836089744,0.0836089744
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,17,17,142.37235294,25.491176471,19.985882353,15.558823529
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,44.560909091,31.950909091,26.832727273
1053302240,DAVIS,DAVID,P,MD,M,I,890 E RIDGELAWN RD,,MARTINSVILLE,IL,624422551,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,20,20,52.8,33,21.9895,21.9895
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,43,111,319,59.269780564,8.32,5.8291222571,5.8291222571
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,40,65,14.239384615,1.42,1.0290769231,1.0290769231
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,2400,1.9058333333,1.7458333333,1.3089541667,1.5395708333
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,196.43166667,121.65166667,95.373333333,71.3325
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,14,82.578571429,45.517142857,33.638571429,25.142142857
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,19,19,51.024736842,25.823157895,20.241052632,14.528421053
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,40.549285714,20.552857143,16.11,9.9428571429
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,27,62,5.0419354839,2.9696774194,2.215,1.539516129
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,275,60.768,47.646,36.013333333
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,101.68724138,21.679310345,16.093103448,13.334137931
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,75,59.89125,44.37625,37.876875
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,32,19.269047619,14.555714286,9.980952381
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40.909090909,6.5554545455,3.3754545455,2.1490909091
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,146.70675676,55.152702703,41.237027027,27.528378378
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,130,60.526363636,35.158181818,24.32
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,60,12.666842105,7.5442105263,6.3905263158
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,60,60,429.7795,98.096333333,70.823333333,51.655833333
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,168.57142857,45.728571429,35.853571429,30.267857143
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,3240,0.9933765432,0.1331296296,0.0976574074,0.0976574074
1053302471,VANDEHEY,TRICIA,W,M.D.,F,I,1400 E 2ND ST,,DEFIANCE,OH,435122440,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,28,28,68.357142857,33,22.174285714,22.174285714
1053302562,GILLETT,WARD,R,M.D.,M,I,3922 CEDAR RUN RD,,TRAVERSE CITY,MI,496849687,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,48,7980,0.1648571429,0.13,0.1007105263,0.1007105263
1053302562,GILLETT,WARD,R,M.D.,M,I,3922 CEDAR RUN RD,,TRAVERSE CITY,MI,496849687,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.8,13.8,9.8363636364,9.8363636364
1053302562,GILLETT,WARD,R,M.D.,M,I,3922 CEDAR RUN RD,,TRAVERSE CITY,MI,496849687,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,63,10800,2.3853592593,1.9448703704,1.5057796296,1.5621240741
1053302562,GILLETT,WARD,R,M.D.,M,I,3922 CEDAR RUN RD,,TRAVERSE CITY,MI,496849687,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,39,6050,6.7311570248,6.1351239669,4.7533719008,5.5879752066
1053302562,GILLETT,WARD,R,M.D.,M,I,3922 CEDAR RUN RD,,TRAVERSE CITY,MI,496849687,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,36,15.822222222,10.93,8.57,8.57
1053302562,GILLETT,WARD,R,M.D.,M,I,3922 CEDAR RUN RD,,TRAVERSE CITY,MI,496849687,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,31,368,1.8251086957,1.8,1.3957608696,1.3957608696
1053302562,GILLETT,WARD,R,M.D.,M,I,3922 CEDAR RUN RD,,TRAVERSE CITY,MI,496849687,US,Physician/Urology,S,A5200,"Percutaneous catheter/tube anchoring device, adhesive skin attachment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,12.73,12.73,9.98,9.98
1053302729,MULLANE,MICHAEL,,MD,M,I,1151 WARWICK WAY,,RACINE,WI,534065661,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,716,44.136075419,5.3477653631,4.1926396648,4.1926396648
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,14,49,63,69.670793651,8.32,5.5933333333,5.5933333333
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.823333333,1.42,0.9333333333,0.9333333333
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,28,28,84.64,43.833928571,28.809642857,21.291428571
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,65.64,26.142,18.2665,12.914
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,148.61,75.998333333,47.7975,32.145
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,13,19,19,55.73,24.832631579,17.004210526,11.84
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,16,47,93,8.69,3.1632258065,2.0248387097,1.2774193548
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,13,18,18,20.84,8.8677777778,5.345,3.3583333333
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,58.3,22.270967742,15.93516129,12.096129032
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,288.75,115.34666667,78.114166667,55.013333333
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,197.92,42.354,30.473,25.314666667
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,59,405.09271186,103.06542373,75.424237288,53.894576271
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,176.67,45.15,31.018666667,27.965333333
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,2580,1.6509767442,0.1400697674,0.1077054264,0.1077054264
1053302794,HOLMES,WILLIAM,R,D.O.,M,I,408 WENDELL AVE,,LEWISTOWN,MT,594572261,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,33,33,25.87,25.87
1053302836,HERALD,CARLTON,W,DO,M,I,100 JACKSON PIKE,,GALLIPOLIS,OH,456311560,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,73,73,51.938493151,21.830136986,15.994520548,12.901506849
1053302836,HERALD,CARLTON,W,DO,M,I,100 JACKSON PIKE,,GALLIPOLIS,OH,456311560,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,7.3581818182,5.7672727273,3.5836363636
1053302836,HERALD,CARLTON,W,DO,M,I,100 JACKSON PIKE,,GALLIPOLIS,OH,456311560,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,87,87,306.27,98.101149425,72.174942529,52.904597701
1053302844,HARDIN,LAURA,A,M.D.,F,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,103,58.593883495,8.32,6.269223301,6.269223301
1053302844,HARDIN,LAURA,A,M.D.,F,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,22,36,16.207222222,1.42,1.0527777778,1.0527777778
1053302844,HARDIN,LAURA,A,M.D.,F,I,199 E MAIN ST,,FARMINGTON,AR,727303023,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,17.29,6.2538461538,6.2446153846
1053302893,BIENVENU,GREGORY,S,M.D.,M,I,2 LILE CT,SUITE 102B,LITTLE ROCK,AR,722056221,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,96,12930,3.9551276102,0.564162413,0.4162606342,0.4162567672
1053302893,BIENVENU,GREGORY,S,M.D.,M,I,2 LILE CT,SUITE 102B,LITTLE ROCK,AR,722056221,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,40,7950,0.3831207547,0.0131069182,0.0096503145,0.0096503145
1053302893,BIENVENU,GREGORY,S,M.D.,M,I,2 LILE CT,SUITE 102B,LITTLE ROCK,AR,722056221,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2070,1.6099275362,0.7330869565,0.5491304348,0.5491304348
1053302893,BIENVENU,GREGORY,S,M.D.,M,I,2 LILE CT,SUITE 102B,LITTLE ROCK,AR,722056221,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,42,5160,4.2981317829,1.2346744186,0.9240193798,0.9240193798
1053302893,BIENVENU,GREGORY,S,M.D.,M,I,2 LILE CT,SUITE 102B,LITTLE ROCK,AR,722056221,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,38,7320,5.8284836066,2.8160819672,2.1685997268,2.1685997268
1053302893,BIENVENU,GREGORY,S,M.D.,M,I,2 LILE CT,SUITE 102B,LITTLE ROCK,AR,722056221,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,15,99,99,25.393939394,24,18.24969697,18.24969697
1053302893,BIENVENU,GREGORY,S,M.D.,M,I,2 LILE CT,SUITE 102B,LITTLE ROCK,AR,722056221,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,14,114,132,17.212121212,16,12.256060606,12.256060606
1053302901,MASSIE,DON,C,PA C,M,I,155 SOLANO STREET,CORNING MEDICAL ASSOCIATES INC,CORNING,CA,960213511,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,46,91,63.596043956,8.32,5.8053846154,5.8053846154
1053302901,MASSIE,DON,C,PA C,M,I,155 SOLANO STREET,CORNING MEDICAL ASSOCIATES INC,CORNING,CA,960213511,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,24,24,12.846666667,1.42,0.98,0.98
1053302901,MASSIE,DON,C,PA C,M,I,155 SOLANO STREET,CORNING MEDICAL ASSOCIATES INC,CORNING,CA,960213511,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,16,10.93,10.93,7.498125,7.498125
1053302901,MASSIE,DON,C,PA C,M,I,155 SOLANO STREET,CORNING MEDICAL ASSOCIATES INC,CORNING,CA,960213511,US,Physician Assistant,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,323,100,4.0698142415,3.1193498452,2.2963157895
1053302901,MASSIE,DON,C,PA C,M,I,155 SOLANO STREET,CORNING MEDICAL ASSOCIATES INC,CORNING,CA,960213511,US,Physician Assistant,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3557,1.6700815294,0.4835704245,0.3606072533,0.2733651954
1053302901,MASSIE,DON,C,PA C,M,I,155 SOLANO STREET,CORNING MEDICAL ASSOCIATES INC,CORNING,CA,960213511,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,58,467.89586207,98.175862069,72.440517241,54.037586207
1053302976,MISTRY,TUSHARKUMAR,N,MD,M,I,28 THROCKMORTON LN,,OLD BRIDGE,NJ,088572558,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,62,111,69.566846847,8.32,5.3464864865,5.3464864865
1053302976,MISTRY,TUSHARKUMAR,N,MD,M,I,28 THROCKMORTON LN,,OLD BRIDGE,NJ,088572558,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,22,24,13.975833333,1.42,1.0716666667,1.0716666667
1053302976,MISTRY,TUSHARKUMAR,N,MD,M,I,28 THROCKMORTON LN,,OLD BRIDGE,NJ,088572558,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,18,18,33,33,24.432777778,24.432777778
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,28,90,215,65.42172093,8.3074883721,5.4198604651,5.4296744186
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,31,42,16.05952381,1.42,0.929047619,0.929047619
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,60,11.258,6.44,4.713,4.713
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.27,0.09,0.064625,0.064625
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,15.29,10.81,8.3002777778,8.3002777778
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,2200,0.12,0.05,0.0392,0.0392
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,68.77,23.15,16.068333333,15.493055556
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,42.153333333,4.895,3.5466666667,3.3808333333
1053303032,SALINAS,TRACY,L,MD,F,I,3201 MIDDLE ROAD,,COLUMBUS,IN,472034427,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,434.755,69.81,47.88875,47.88875
1053303214,SIEGEL,JANE,M,MD,F,I,301 21ST AVE N,,NASHVILLE,TN,372031821,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,28,28,75.214285714,53.514285714,40.466785714,44.404642857
1053303214,SIEGEL,JANE,M,MD,F,I,301 21ST AVE N,,NASHVILLE,TN,372031821,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,14,328.71428571,240.54,179.99,178.09571429
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,28,85,202,48.665990099,8.32,6.2003960396,6.2003960396
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.34,3.38,2.65,2.65
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,19,39,66,12.611515152,1.42,1.0637878788,1.0637878788
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,386.97291667,119.41916667,84.719166667,61.30875
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,51,167.79803922,46.397254902,33.703921569,23.836078431
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,188.02928571,73.73,57.206428571,44.090714286
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,19,19,69.037894737,23.692105263,18.571578947,14.06
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,27,27,75.441111111,19.870740741,15.576666667,9.5485185185
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,31,137,10.440583942,3.0154744526,2.3646715328,1.6720437956
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,47.581875,21.8003125,15.2253125,12.0703125
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,54.535714286,19.993571429,15.675714286,10.965714286
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,20,195.801,56.8185,44.543,34.717
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,70,71,351.74239437,101.07915493,72.27028169,54.807887324
1053303230,ROBERTSON,LILLIAN,T,FNP,F,I,403 E UNIVERSITY STREET,,LIVINGSTON,TN,358700001,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,70.402285714,44.826,33.203428571,28.173142857
1053303248,BECKHAM,MICHAEL,T,MD MBA,M,I,3901 CENTRAL PIKE,SUITE 352,HERMITAGE,TN,370763419,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,33,112,45.458660714,8.32,6.2904464286,6.2904464286
1053303248,BECKHAM,MICHAEL,T,MD MBA,M,I,3901 CENTRAL PIKE,SUITE 352,HERMITAGE,TN,370763419,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,580.84266667,86.84,63.541333333,51.971333333
1053303255,VALLADARES,JOSE,L,MD,M,I,605 E SAN ANTONIO ST STE 310E,,VICTORIA,TX,779016053,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,15,1204,69.850556478,4.9851162791,3.8683803987,3.8683803987
1053303420,LAIRD,NAOMI,R,PA-C,F,I,590 S WAKARA WAY,,SALT LAKE CITY,UT,841081200,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,319.75,276.63058824,216.87823529,217.77823529
1053303461,VAUGHAN,MARK,A,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,29,88,78.036022727,8.32,5.3498863636,5.3498863636
1053303461,VAUGHAN,MARK,A,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,8.2040909091,2.1827272727,1.5710606061,1.466969697
1053303461,VAUGHAN,MARK,A,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,41,108.10317073,16.98,12.660731707,12.872926829
1053303461,VAUGHAN,MARK,A,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,33,54.53,3.6227272727,2.6090909091,3.4075757576
1053303461,VAUGHAN,MARK,A,M.D.,M,I,3256 PROFESSIONAL DR,,AUBURN,CA,956022412,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,61,530.06606557,71.74,53.474098361,52.112622951
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,54,163,503,72.450497018,8.32,5.6843737575,5.6843737575
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,20,21,13.47952381,3.38,2.65,2.65
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,15.333846154,2.12,1.4130769231,1.4130769231
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,26,67,89,14.083258427,1.42,0.9530337079,0.9530337079
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,48.14,28.46,20.281818182,20.281818182
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,38,9.5790909091,7.5072727273,7.5072727273
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,73.461538462,17.27,12.498461538,12.498461538
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,47.37,37.14,37.63
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,52,54,50.229814815,4.8811111111,3.4372222222,3.2796296296
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,8.9409090909,4.8072727273,4.5963636364
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,88,101,377.76356436,72.430594059,56.702871287,56.251980198
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,21,175,36.14,28.33,29.341428571
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,23.679277778,9.6325,7.551875,7.551875
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,50,14459,0.3239456394,0.0467805519,0.0293173802,0.0293173802
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2478,1.2918724778,0.1276836158,0.0956941082,0.0956941082
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,12.546333333,3.0209230769,2.2465641026,2.2465641026
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,60,19.256666667,12.074666667,11.674666667
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,43,73.786976744,37.510232558,29.405116279,29.380465116
1053303479,DYCK,DAVID,M,MD,M,I,3301 COUNTY ROAD 6 E,,ELKHART,IN,465147673,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,55,55,56.4,33,22.107636364,22.107636364
1053303602,CUMBIE,WILLIAM,G,MD,M,I,1722 PINE ST,STE 500,MONTGOMERY,AL,361061103,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,52,62.861538462,8.32,6.02,6.02
1053303677,FIELDER,CATHY,J,PA-C,F,I,202 E GALER AVE,,NOWATA,OK,740484422,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250.08,102.61833333,70.6525,45.608333333
1053303727,HOLLAND,CHRISTOPHER,M,DPM,M,I,1212 WOODHURST ST,UNIT B,BOWLING GREEN,KY,421043369,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,105,71.56,53.428214286,53.427857143
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,23,70,188,48.477978723,8.32,5.7516489362,5.7516489362
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,32,69,16.79884058,1.42,0.9526086957,0.9526086957
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,7.7933333333,1.74,1.1525,0.9583333333
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,23,23,206.78086957,71.680869565,51.183478261,40.996086957
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,21,21,60.686666667,21.562857143,15.483333333,13.432380952
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,37.5375,28.845833333
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,48,48,47.830208333,7.2575,4.9858333333,3.595
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,101.83818182,64.410909091,50.496363636,48.198181818
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,12,79,79,380.90481013,103.63936709,77.115443038,56.481772152
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,198.2,45.4092,34.2888,29.3288
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,606,15.58,9.6030528053,7.292029703,7.292029703
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,28,4828,0.3257829329,0.0456483016,0.0330240265,0.0330240265
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,44,3610,1.2558891967,0.13433241,0.0945207756,0.0945207756
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,606,12.86,3.150709571,2.4701980198,2.4701980198
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,65.303636364,31.413636364,23.320909091,14.287272727
1053303735,ROCK,PETER,T,M.D.,M,I,2645 N LAUREL RD,,LONDON,KY,407419075,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,67,67,80.28358209,33,23.939402985,23.939402985
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,43,1258.1248837,19.688372093,15.435581395,15.435581395
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,3.264375,2.855,2.0552083333,2.1001041667
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,8.54125,6.44,4.6291666667,4.6291666667
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.9265,9.86,7.5587083333,7.5587083333
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.8225,3.75,2.7132916667,2.9419583333
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,37.89625,18.58,14.562916667,13.5325
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,110.565,94.713888889,74.257222222,54.727777778
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,8586,159.70806313,9.8392755649,7.7139890519,7.7139890519
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,13,1162,48.585714286,5.0247246127,3.8152581756,3.8152581756
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,90,419.93122222,2.6364444444,2.0672222222,2.0672222222
1053303750,MINHAS,SOHAIL,A,MD,M,I,7900 AIRWAYS BLVD STE 100,,SOUTHAVEN,MS,38671,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,24,24,18.82,18.82
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,43,110,51.359,8.32,6.1431818182,6.1431818182
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,14.014615385,3.38,2.4461538462,2.4461538462
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,21,36,13.483611111,1.42,1.0533333333,1.0533333333
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,15,29.69,28.93,22.68,23
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,240,2.49,2.49,1.8540833333,1.8540833333
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,42,64,10.863125,9.29,7.16625,8.35734375
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,264,2.91,2.91,2.28125,2.28125
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10.18,10.18,7.981,7.981
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,1320,3.1071818182,3.1,2.3849848485,2.3849848485
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,2848,0.44,0.44,0.3449543539,0.3449543539
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,37,1850,0.27,0.27,0.2116,0.2116
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,618,7.3881553398,6.29,4.9312944984,5.7780582524
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,339,5.2505309735,5.23,4.1003244838,4.1003244838
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.04,3.04,2.3835,2.3835
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A5114,"Leg strap; foam or fabric, replacement only, per set",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,10.08,10.08,7.9,7.9
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,42,1575,0.272031746,0.27,0.2048825397,0.2048825397
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,24,729,34.86,34.86,27.222469136,27.222469136
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,24,68,2765,8.28,8.28,6.4161735986,6.4161735986
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,512,18.5,18.5,14.504003906,14.504003906
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,33,394,10.93,10.93,8.5689086294,8.5689086294
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,72,18.29,18.29,14.339444444,14.339444444
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,1651,0.4491823137,0.4491823137,0.3521865536,0.3521865536
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,66,72.252727273,26.488181818,19.31,13.904848485
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,216.31909091,76.204545455,55.458636364,40.127727273
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,66.569333333,23.123333333,17.084666667,13.122666667
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,23,23,74.073913043,20.832608696,16.247826087,9.0369565217
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,24,139,9.5204316547,3.0879136691,2.4186330935,1.590647482
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,37.968181818,15.64,12.257272727,10.34
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,510,3.49,3.02,2.2295490196,2.2295490196
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,53,1567,12.418442884,5.6560880664,4.4342693044,4.1630312699
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,18479,0.441559067,0.3601488176,0.2823567293,0.2900811732
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,8949,0.3796290088,0.31,0.2430383283,0.2430383283
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,72.363636364,61.64,43.927272727,43.927272727
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,74.0928125,20.381875,15.089375,12.686875
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,10.523902439,4.85,3.6146341463,3.7665853659
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,314.685,88.273125,65.653125,51.3384375
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.551875,7.551875
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1829,1.1410060142,0.1351503554,0.0940349918,0.0940349918
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,12.86,2.9332941176,2.2997254902,2.2997254902
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,60,19.798571429,12.432857143,12.344285714
1053303958,SELVAKUMARRAJ,POLLACHI,P,MD,M,I,501 E WASHINGTON AVE,,NAVASOTA,TX,778683001,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,35,123.51428571,33,23.598285714,23.598285714
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,37,107,247,52.459473684,8.32,6.1255060729,6.1255060729
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,14.952941176,3.38,2.65,2.65
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,20.104615385,2.12,1.67,1.67
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,58,78,14.132692308,1.4125641026,1.0420512821,1.0474358974
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,420,8.2244285714,7,5.159547619,5.159547619
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,230,7.9443913043,4.03,3.1595217391,3.1595217391
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,625,0.517408,0.26,0.18952,0.197312
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,22,22,254.36,91.644545455,65.694090909,63.586363636
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,17,17,57.442352941,19.670588235,14.591176471,13.671176471
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,31,31,50.703548387,13.942580645,10.348709677,8.8903225806
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,39,77,7.8792207792,2.3181818182,1.6564935065,1.4444155844
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,180.27647059,47.394117647,26.034705882,26.354117647
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,152.37526316,33.090526316,24.687894737,24.145263158
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,296.65,70.23,50.824615385,50.693846154
1053304097,MOELLER,MARK,B,MD,M,I,137 MEDICAL LANE,,POLLOCKSVILLE,NC,28573,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,71.06,37.44,26.904166667,26.9875
1053304105,TINDLE,ROLAND,R,D.O.,M,I,8401 HOLLY RD,,GRAND BLANC,MI,484391812,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,30,105,54.16952381,8.32,5.9639047619,5.9639047619
1053304105,TINDLE,ROLAND,R,D.O.,M,I,8401 HOLLY RD,,GRAND BLANC,MI,484391812,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,15,3.38,2.65,2.65
1053304105,TINDLE,ROLAND,R,D.O.,M,I,8401 HOLLY RD,,GRAND BLANC,MI,484391812,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,25,44,14.5325,1.42,1.0886363636,1.0886363636
1053304105,TINDLE,ROLAND,R,D.O.,M,I,8401 HOLLY RD,,GRAND BLANC,MI,484391812,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,18,3.99,2.4666666667,2.9233333333
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,36,74,72.950675676,8.32,5.5527027027,5.5527027027
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,17,21,15.835238095,1.42,0.9580952381,0.9580952381
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,385,2.81,2.27,1.5147012987,1.5147012987
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,125.47727273,61.987272727,44.719090909,39.356363636
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,6.0538461538,2.3369230769,1.7114102564,1.4834615385
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,35.75,17.61625,13.806875,13.53
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,84,84,217.32845238,70.444642857,51.546309524,51.062857143
1053304139,FARRIS,NEIL,R,MD,M,I,1401 HARRODSBURG RD,SUITE C215,LEXINGTON,KY,405043751,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,52.352941176,37.44,28.17,28.33
1053304212,LEPERA,PAMELA,A,DO,F,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMATOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Medical Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,273,8.0704029304,3.170989011,2.485970696,2.3676556777
1053304212,LEPERA,PAMELA,A,DO,F,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMATOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Medical Oncology,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2206,2.34,1.21,0.9486355394,0.9486355394
1053304212,LEPERA,PAMELA,A,DO,F,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMATOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Medical Oncology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,24.877272727,11.488181818,8.2109090909,7.76
1053304212,LEPERA,PAMELA,A,DO,F,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMATOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,14,1164,71.943505155,4.7172079038,3.5750085911,3.5750085911
1053304212,LEPERA,PAMELA,A,DO,F,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMATOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Medical Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,13,2727,31.948786212,2.2822698937,1.2235790246,1.2235790246
1053304212,LEPERA,PAMELA,A,DO,F,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMATOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,43,52.066511628,42.52,32.560930233,30.397674419
1053304212,LEPERA,PAMELA,A,DO,F,I,600 MOYE BLVD,LEO JENKINS CANCER SERVICES HEMATOLOGY/ONCOLOGY,GREENVILLE,NC,278344300,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,28.894736842,24,18.82,18.82
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,37,124,265,70.907509434,8.32,6.1286792453,6.1286792453
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,27,55,69,13.810144928,1.42,1.1017391304,1.1017391304
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,30,88.533333333,71.456,56.023333333,56.105
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,74,46.689189189,29.19,22.825945946,22.827567568
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,17.5,12.997894737,12.836842105
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,59,502.27169492,78.27,59.349322034,53.099830508
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,1860,17.959629032,11.161096774,8.7503333333,8.7503333333
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,37,5771,0.3989603188,0.0458915266,0.0283243805,0.0283243805
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.92,0.1365454545,0.0905151515,0.0905151515
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,2040,11.43902451,2.8917794118,2.2023382353,2.2023382353
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,143.53344828,39,30.58,29.546896552
1053304469,PHILIP,LINSEY,,M.D.,M,I,277 PLEASANT ST,SUITE 306,FALL RIVER,MA,027213005,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,15,68,68,86.867647059,33,23.206911765,23.206911765
1053304477,FERRELL,PAUL,B,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,38,107,201,63.663781095,8.3024875622,5.8760199005,5.8897512438
1053304477,FERRELL,PAUL,B,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,16,14.056875,1.42,0.77,0.77
1053304477,FERRELL,PAUL,B,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,20,20,132.742,58.1995,39.2175,33.498
1053304477,FERRELL,PAUL,B,MD,M,I,711 N DEKALB ST,,SHELBY,NC,281503911,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,343.38235294,97.52,72.941176471,51.510588235
1053304519,WOLK,MICHAEL,D,M.D.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,334,8,3,2.3519760479,2.3677245509
1053304519,WOLK,MICHAEL,D,M.D.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5010,0.65,0.3,0.2352015968,0.2430379242
1053304519,WOLK,MICHAEL,D,M.D.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,32.646153846,11.481538462,7.2276923077,5.8738461538
1053304519,WOLK,MICHAEL,D,M.D.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,13,148.61923077,49.01,38.425384615,37.945384615
1053304519,WOLK,MICHAEL,D,M.D.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,16,88.75,20.085,15.481875,14.169375
1053304519,WOLK,MICHAEL,D,M.D.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,150,28.910833333,22.6625,24.485
1053304519,WOLK,MICHAEL,D,M.D.,M,I,5 MORGAN HWY,SUITE 4,SCRANTON,PA,185082641,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,24,27.05,9.2220833333,7.2354166667,6.8820833333
1053304576,POULIN,ERIC,A,MD,M,I,1350 JEFFERSON DR,,ZUMBROTA,MN,559921180,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,30,63,41.578253968,8.32,6.313968254,6.313968254
1053304576,POULIN,ERIC,A,MD,M,I,1350 JEFFERSON DR,,ZUMBROTA,MN,559921180,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,496.04357143,89.16,65.632142857,50.820714286
1053304576,POULIN,ERIC,A,MD,M,I,1350 JEFFERSON DR,,ZUMBROTA,MN,559921180,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,726,11.212534435,2.8261157025,2.1157988981,2.1157988981
1053304576,POULIN,ERIC,A,MD,M,I,1350 JEFFERSON DR,,ZUMBROTA,MN,559921180,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,82.5,33,25.87,25.87
1053304600,GALEJS,LARIS,E,M.D.,M,I,14800 FARMINGTON RD,SUITE 103,LIVONIA,MI,481545461,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,2310,0.1944935065,0.13,0.0992813853,0.0992813853
1053304600,GALEJS,LARIS,E,M.D.,M,I,14800 FARMINGTON RD,SUITE 103,LIVONIA,MI,481545461,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,20,50.9535,13.8,10.279,10.279
1053304600,GALEJS,LARIS,E,M.D.,M,I,14800 FARMINGTON RD,SUITE 103,LIVONIA,MI,481545461,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,70,8780,5.1815854214,2.0392824601,1.417047836,1.4174498861
1053304600,GALEJS,LARIS,E,M.D.,M,I,14800 FARMINGTON RD,SUITE 103,LIVONIA,MI,481545461,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,3210,9.3345794393,6.15,4.7769034268,5.6236261682
1053304600,GALEJS,LARIS,E,M.D.,M,I,14800 FARMINGTON RD,SUITE 103,LIVONIA,MI,481545461,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,23,25.96,10.93,8.1965217391,8.1965217391
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,100,100,100,1162.5334,997.3694,752.4293,746.0409
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,89,89,89,1493.9475281,1281.7489888,976.65730337,857.26977528
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,112,112,137,822.84905109,726.1719708,557.74364964,469.0449635
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,131,137,178,1006.0820225,867.5041573,664.07067416,661.50994382
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,26,28,43,530.33651163,452.7872093,346.31093023,345.34697674
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,240,246,314,133.40640127,107.47601911,83.433471338,88.042961783
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,46,47,71,540.65732394,470.18507042,361.54591549,358.30915493
1053304667,BROWN,JEFFREY,L,DO,M,I,701 NORTHPOINT PKWY STE 140,,WEST PALM BEACH,FL,334071950,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,81,84,84,898.62857143,734.32166667,569.0947619,561.23392857
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,39,118,71.168644068,8.32,5.6928813559,5.6928813559
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,22,17.431818182,1.42,1.0140909091,1.0140909091
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,4200,0.1785714286,0.13,0.072797619,0.072797619
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.620833333,14.031666667
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,26,36.147692308,7.075,4.6676923077,2.8153846154
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,222.48,43.254375,28.525625,19.96875
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,491.81142857,102.08,77.046857143,53.045428571
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,2316,2.199097582,0.1292141623,0.0930699482,0.0930699482
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,318.6,44.745,32.344166667,27.056666667
1053304717,SHER,PETER,M,MD,M,I,4 S MAIN ST STE 6,,HARDWICK,VT,058437070,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,40.071428571,33,22.174285714,22.174285714
1053304725,BLAHEY,MARIA,S,MD,F,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,46,56.688478261,8.32,5.9547826087,5.9547826087
1053304725,BLAHEY,MARIA,S,MD,F,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,12.587272727,1.42,0.9163636364,0.9163636364
1053304725,BLAHEY,MARIA,S,MD,F,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17,17,13.33,13.5225
1053304725,BLAHEY,MARIA,S,MD,F,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,73,73,53.414666667,51.248
1053304725,BLAHEY,MARIA,S,MD,F,I,755 N 11TH ST,SUITE P-5200,BEAUMONT,TX,777021501,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,89.571428571,33,24.022142857,24.022142857
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,44,61,152,413,68.999612591,8.32,6.0330992736,6.0330992736
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,12,28,30,13.463333333,3.38,2.65,2.65
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,11,13,14,20.329285714,2.12,1.67,1.67
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,40,81,148,16.886148649,1.42,1.0846621622,1.0846621622
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,247.15357143,57.895714286,39.163571429,36.737142857
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,91.778181818,19.473636364,14.055454545,12.852727273
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,66.069333333,13.88,9.5113333333,7.904
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,90,9.4373333333,2.24,1.7571111111,1.5978888889
1053304758,MCCALLUM,LEE,W,MD,M,I,1385 W BRIERBROOK RD,,GERMANTOWN,TN,381382208,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,332.62769231,44.408461538,34.815384615,34.677692308
1053304766,KAVANAUGH,TIMOTHY,,MD,M,I,2122 E HIGHLAND AVE STE 300,,PHOENIX,AZ,850164744,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,22,22,22,160.74636364,61.351818182,46.298181818,37.200909091
1053304766,KAVANAUGH,TIMOTHY,,MD,M,I,2122 E HIGHLAND AVE STE 300,,PHOENIX,AZ,850164744,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,32.04,12.624,9.9006666667,7.5223333333
1053304766,KAVANAUGH,TIMOTHY,,MD,M,I,2122 E HIGHLAND AVE STE 300,,PHOENIX,AZ,850164744,US,Physician/Orthopedic Surgery,S,E0188,Synthetic sheepskin pad,D1E - Other DME,Durable Medical Equipment,N,1,76,80,80,90,39.199375,30.735875,20.051125
1053304766,KAVANAUGH,TIMOTHY,,MD,M,I,2122 E HIGHLAND AVE STE 300,,PHOENIX,AZ,850164744,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,60,61,1107,65,22.656901536,17.763179765,19.693233966
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,35,73,291,59.554158076,8.3002061856,6.1089347079,6.1089347079
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.9375,3.38,2.484375,2.484375
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,34,64,16.6878125,1.42,1.0775,1.0775
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,190,10.816210526,5.74,4.5,4.5
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,35,70.432285714,24.672285714,19.342571429,17.262
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,23,24,33.964166667,6.22,4.1725,2.9841666667
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,96.12,48.8025,32.59125,32.045
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,43,352.34162791,82.350232558,61.89255814,53.128837209
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,15.58,9.6423333333,7.5201428571,7.5201428571
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,3146,1.0976064844,0.1376001271,0.1009885569,0.1009885569
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,36,2160,13.185740741,3.0504166667,2.3160787037,2.3160787037
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,34,64.742352941,21.984411765,16.252352941,15.334705882
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,21.21,9.8942857143,7.3633333333,7.3004761905
1053304774,MEMON,TANWEER,A,M.D.,M,I,2091 TAMIAMI TRL,,PORT CHARLOTTE,FL,339482112,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,55,55,89.686363636,33,24.929272727,24.929272727
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,24,73,191,68.98973822,8.32,5.9078534031,5.9078534031
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,18,35,13.041142857,1.42,1.0408571429,1.0408571429
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,50.576363636,18.78,14.72,14.12
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,54,9.7959259259,2.1,1.6466666667,1.597962963
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,203.71428571,31.562857143,22.562857143,23.354285714
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,27,653.38222222,77.36,54.15962963,48.897777778
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,5670,0.3767707231,0.0459488536,0.0344109347,0.0344109347
1053304808,BEACH,JAMES,,D.O.,M,I,7725 N 43RD AVE,SUITE 111,PHOENIX,AZ,850515770,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1053304816,HERTZ,RONALD,D,DO,M,I,19251 MACK AVE,,GROSSE POINTE WOODS,MI,482362893,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,56,38.678214286,8.32,5.8228571429,5.8228571429
1053304816,HERTZ,RONALD,D,DO,M,I,19251 MACK AVE,,GROSSE POINTE WOODS,MI,482362893,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.727272727,3.38,2.4090909091,2.4090909091
1053304816,HERTZ,RONALD,D,DO,M,I,19251 MACK AVE,,GROSSE POINTE WOODS,MI,482362893,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,14,13.714285714,1.42,0.8785714286,0.8785714286
1053304816,HERTZ,RONALD,D,DO,M,I,19251 MACK AVE,,GROSSE POINTE WOODS,MI,482362893,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,49.931818182,39.149090909,38.255454545
1053304816,HERTZ,RONALD,D,DO,M,I,19251 MACK AVE,,GROSSE POINTE WOODS,MI,482362893,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,6682,0.6818033523,0.046614786,0.0365474409,0.0365474409
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,28,73,178,65.88747191,8.32,6.0137078652,6.0137078652
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,18,20,13.3325,3.38,2.12,2.12
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,35,53,14.480566038,1.42,1.0313207547,1.0313207547
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,80.9825,17.5,13.72,13.5625
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,50.73,3.9927272727,2.8181818182,3.4336363636
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,539.61254237,78.09,59.642372881,53.702542373
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,421.875,36.82,27.065625,27.684375
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,2751,1.6832715376,0.1373282443,0.0997673573,0.0997673573
1053304857,HERMAN,DAVID,E,MD,M,I,543 ORCHARD ST,,ANTIOCH,IL,600023107,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,63.9375,33,24.253125,24.253125
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,29,68,222,54.93009009,8.32,6.0113963964,6.0113963964
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,15.66952381,3.38,2.65,2.65
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,21.923333333,2.12,1.5308333333,1.5308333333
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,43,75,14.8368,1.42,1.0109333333,1.0109333333
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,217,7.3811520737,4.082718894,3.0971428571,2.2638709677
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.098333333,13.008333333
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,37.539574468,7.5663829787,4.8774468085,2.8470212766
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,51,519.51,102.84,75.940980392,50.43745098
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1500,0.17,0.0463,0.0363,0.0363
1053304881,KALE,DEEPALI,R,MD,F,I,344 ARNOLD AVE,,GREENVILLE,MS,387014711,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1053304931,BERKEY,FRANKLIN,J,D.O.,M,I,476 ROLLING RIDGE DR,SUITE 101,STATE COLLEGE,PA,168017639,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,229.28571429,87.256190476,68.413809524,56.580952381
1053304972,BOTTNER,MELVIN,L,M.D.,M,I,16100 N 71ST ST,SUITE 100,SCOTTSDALE,AZ,852542209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,23,44,91.914318182,8.32,6.2247727273,6.2247727273
1053305102,COOPER,JASON,A,MD,M,I,555 HERNDON PARKWAY,STE 100,HERNDON,VA,201704828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,41,93,61.525698925,8.32,5.0378494624,5.0378494624
1053305102,COOPER,JASON,A,MD,M,I,555 HERNDON PARKWAY,STE 100,HERNDON,VA,201704828,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,14.515,1.42,1.1183333333,1.1183333333
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,30,68,236,43.354237288,8.32,6.1312288136,6.1312288136
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,20,20,13.888,3.38,2.5175,2.5175
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,14,14,18.192857143,2.12,1.67,1.67
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,41,76,14.120789474,1.42,1.0547368421,1.0547368421
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,203.84615385,45.77,33.792307692,32.972307692
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,139.69,49.715,38.9775,38.2275
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21,8.5575,6.705,6.8433333333
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,43,225.15162791,79.88,58.103023256,51.381395349
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,275,35.63,27.93,29.3204
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,4489,0.3198663399,0.0468812653,0.0367565159,0.0367542883
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1379,1.2024583031,0.1322697607,0.0997316896,0.0997316896
1053305110,OSOWA,BENJAMIN,O,M.D.,M,I,18263 E 10 MILE RD,SUITE E,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,100.73684211,33,25.198421053,25.198421053
1053305185,ZAMORA,WILLIAM,,D.O.,M,I,3104 EAST INDIAN SCHOOL RD,SUITE #100,PHOENIX,AZ,85016,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,28,57,62.669122807,8.32,5.9510526316,5.9510526316
1053305185,ZAMORA,WILLIAM,,D.O.,M,I,3104 EAST INDIAN SCHOOL RD,SUITE #100,PHOENIX,AZ,85016,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,19,14.795263158,1.42,1.0557894737,1.0557894737
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,46,45.749347826,8.32,6.3823913043,6.3823913043
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,23,158.20695652,46.102608696,33.182173913,25.572173913
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,91.430714286,19.185,15.04,9.8978571429
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,20,80,12.0495,2.81,2.204,1.69675
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,80.987647059,22.854117647,16.160588235,12.292352941
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,57.584,6.904,4.946,3.404
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,221.4775,48.455,37.991666667,25.325
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,402.60655172,104.30758621,75.800344828,54.684482759
1053305219,LASHBROOK,REBECCA,D,M.D.,F,I,280 CLINTON CT,,MEADVILLE,PA,163353362,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2475,0.17,0.045030303,0.0353050505,0.0353050505
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,54,43.096481481,8.32,6.0401851852,6.0401851852
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,16,6.74875,1.42,1.04625,1.04625
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,29,16171,3.0525384948,0.32,0.224740585,0.2177100983
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,80.538947368,18,14.11,13.66
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,348.924,71,55.66,54.8788
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,34,51.794411765,16.408235294,9.5367647059,11.120882353
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,129.29,24.876956522,18.751304348,20.970434783
1053305250,NUNN,GARY,P,MD,M,I,1024 SCOTT ST,,LITTLE ROCK,AR,722023824,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,29.17,7.03,5.248,6.322
1053305284,DEAN,STEVEN,M,M.D.,M,I,3900 STONERIDGE LN,,DUBLIN,OH,430172009,US,Physician/Peripheral Vascular Disease,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,4,21,21,21,2174.1542857,878.62,688.84,798.82285714
1053305284,DEAN,STEVEN,M,M.D.,M,I,3900 STONERIDGE LN,,DUBLIN,OH,430172009,US,Physician/Peripheral Vascular Disease,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,5,22,22,41,731.54073171,364.3902439,285.6802439,285.68902439
1053305334,NAKAMURA,GRANT,J,MD,M,I,923 G ST,,REEDLEY,CA,936542626,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,20,91.4645,8.32,4.8915,4.8915
1053305334,NAKAMURA,GRANT,J,MD,M,I,923 G ST,,REEDLEY,CA,936542626,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,45.3,32.56,34.715
1053305391,SKOUSEN,GALE,J,M.D.,M,I,555 WEST SR 164,,SALEM,UT,84653,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,46,133,78.056766917,8.32,4.9272932331,4.9272932331
1053305391,SKOUSEN,GALE,J,M.D.,M,I,555 WEST SR 164,,SALEM,UT,84653,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,72,13.513333333,2.08,1.5652777778,1.5283333333
1053305391,SKOUSEN,GALE,J,M.D.,M,I,555 WEST SR 164,,SALEM,UT,84653,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,15,81.735333333,17.91,12.168,11.734666667
1053305391,SKOUSEN,GALE,J,M.D.,M,I,555 WEST SR 164,,SALEM,UT,84653,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,47,506.62191489,70.48,51.723404255,51.238510638
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,17,875,4.7324,2.27,1.6486971429,1.6486971429
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,58,11578,2.7023708758,1.73,1.1278571429,1.333558473
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,42,20.614285714,10.93,6.9171428571,6.9171428571
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,18,9.8888888889,7.46,4.55,4.55
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,22,2390,0.6188284519,0.12,0.0940878661,0.0940878661
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,24,3241,0.6036717063,0.44,0.3308917001,0.3308917001
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,510,12.087058824,6.26,4.9079411765,5.778
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,7.86,4.21,3.3,3.3
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,480,9.34025,5.23,4.1003333333,4.1003333333
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,25,988,23.212834008,18.5,14.503997976,14.503997976
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,161,14.065776398,10.93,8.4362732919,8.4362732919
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,6000,0.3233333333,0.05,0.03528,0.03528
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,588,4.7870408163,3.67,2.8773129252,2.8773129252
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,932,9.0963948498,7.13,5.5899785408,5.5899785408
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,3000,2.6368,2.16,1.69345,1.69345
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,20,33,4700,0.5161914894,0.13,0.1019170213,0.1019170213
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,17,158,1.6732278481,1.28,1.0030379747,1.0030379747
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,56,26.149642857,8.3657142857,6.46375,6.3573214286
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,44,5.7481818182,3.66,2.6090909091,3.1297727273
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A7012,"Water collection device, used with large volume nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,15,27,7.1237037037,2.9044444444,2.1888888889,2.0518518519
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,231.16416667,118,86.2325,62.191666667
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,46.493333333,18.183333333,14.253333333,9.12
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,7.6468421053,2.6442105263,2.0731578947,1.5963157895
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,125,7.1308,3.81,2.98712,2.98712
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,129.40846154,54.761538462,40.066153846,33.781538462
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,5,17,107,107,22.792336449,10.723551402,7.8982242991,7.201588785
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,65,65,208.02646154,58.850153846,42.114923077,34.476923077
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,801.66277778,186.34333333,142.87972222,127.155
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,132.69230769,50.173076923,38.027692308,33.461538462
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,72,8.4272727273,5.8272727273,5.7454545455
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,7,17,17,17,269.18176471,170.93764706,134.01470588,108.43
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,31.700869565,12.087826087,9.4782608696,8.8443478261
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,7,16,16,32,169.43,57.0375,44.719375,40.01
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,58,113,14.94,6.4676106195,4.9938938053,3.9527433628
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1197.9,433.42166667,327.8475,327.8475
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction",D1D - Wheelchairs,Durable Medical Equipment,N,6,12,12,12,16815.833333,8178.2666667,6411.7566667,5939.11
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each",D1D - Wheelchairs,Durable Medical Equipment,N,7,15,15,15,3515.492,974.75866667,764.21266667,827.83
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,19,26.786842105,15.206842105,11.923684211,11.848421053
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,7,18,25,52,431.23461538,182.06153846,142.73788462,100.98884615
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,8,29,251,283,23.981978799,11.726007067,9.168869258,8.1690106007
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,370.96,227.11052632,170.49947368,172.67
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,391.31282051,80.812051282,58.418461538,52.035641026
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,37.44,29.35,29.496666667
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E2311,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,6,13,13,13,4491.5846154,2196.7153846,1722.2269231,1629.31
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,6,15,15,15,765.4,356.62666667,279.59866667,282.79
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,8,17,17,34,354.92588235,113.57588235,89.045588235,85.364705882
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue",D1D - Wheelchairs,Durable Medical Equipment,N,6,15,15,15,965.14666667,457.28,358.504,342.37
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,66,66,165.1080303,44.437121212,28.389545455,20.623787879
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,7,,12,21,189.23428571,96.646666667,75.77047619,75.77
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,23.0815625,9.316875,6.243125,5.4534375
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,37.44,26.318181818,26.452727273
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,5,13,14,60,29.991666667,15.26,11.963833333,11.9635
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,48,48,620.761875,178.51354167,139.958125,121.08145833
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,7,18,149,149,668.31208054,187.19080537,144.80724832,121.9038255
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0824,"Power wheelchair, group 2 heavy duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,557.625,202.20863636,155.09227273,136.63318182
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,6,,52,52,732.77730769,235.70442308,182.23692308,174.47807692
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,N,6,13,13,13,11652.046154,5511.2,4313.3761538,4313.3761538
1053305425,MILLAN,RAYMUNDO,V,MD,M,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Physician/Physical Medicine and Rehabilitation,S,L8501,Tracheostomy speaking valve,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,278.8,141.71,111.1,101.75
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,33,65,7.5943076923,1.7896923077,1.4018461538,1.1716923077
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,4.825,1.5542857143,1.2157142857,0.99
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,112,118,50.237881356,17.853728814,13.302457627,12.961101695
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,36,36,99.389444444,48.31,37.88,37.650833333
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,73,73,1561.02,942.14,732.74356164,830.68616438
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,62,62,17.88,5.1279032258,3.5667741935,3.1787096774
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,28,167,173,310.06508671,73.173063584,55.189479769,52.588092486
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,114.49782609,37.44,28.073913043,28.225217391
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1560,17.375320513,9.5891153846,7.4383397436,7.4383397436
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,930,15.797064516,11.014709677,8.6355698925,8.6355698925
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,29,93,29634,0.2635574003,0.0460309104,0.0333026254,0.0333026254
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,38,4465,1.7916394177,0.1339260918,0.1007390817,0.1007390817
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,64,3780,19.762830688,2.991515873,2.2116984127,2.2116984127
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,248,176.66254032,43.855483871,33.804274194,33.804274194
1053305482,BROWN,WALTER,D,MD,M,I,155 HOSPITAL DR,STE 206,LAFAYETTE,LA,705032852,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,39,161,161,74.260248447,33,24.325341615,24.325341615
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,342,786,786,88.121959288,36.873778626,27.533918575,29.043193384
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,21,40,5.311,1.63,1.2795,1.15
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,206,468,468,244.07213675,82.875918803,59.744700855,62.394038462
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,20,194,487,1242,82.92647343,31.789492754,23.409146538,24.318035427
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,19,162,387,2122,56.07565033,17.748426013,13.114401508,13.746083883
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,15,167,400,2280,38.614736842,15.046684211,11.230390351,11.321600877
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,330,788,788,164.82420051,55.482880711,40.313159898,39.733680203
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,480,672,672,56.074315476,17.144449405,12.688645833,13.27639881
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,49,64,64,30.45265625,10,7.7175,8.009375
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,201,476,476,64.651932773,11.563991597,8.3178361345,8.3910084034
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,27,494,1240,6979,6.5830391174,2.0214471987,1.5051740937,1.512193724
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,42,62,62,19.008064516,5.9643548387,4.6712903226,4.6503225806
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,290,362,362,38.220828729,12.650994475,9.4731491713,9.8786464088
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,69,69,101.58855072,17.432173913,12.298985507,12.182463768
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,22,22,229.425,50,33.89,32.712727273
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,18,75,76,345.85526316,85.128815789,62.112368421,62.642368421
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,15,98,98,557.05459184,198.70112245,147.80785714,150.66214286
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,106,110,110,406.61618182,129.08,98.610363636,101.16281818
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,13,61,66,93.605757576,12.937272727,10.141212121,10.436363636
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,66,67,39.859701493,4.0873134328,3.1986567164,3.8310447761
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,179,1048,1053,134.33610636,32.731699905,23.783133903,23.681348528
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,35,236,238,442.27705882,73.423613445,53.225168067,50.891596639
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,116,116,93.85387931,35,25.191810345,26.97637931
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,19.071455556,9.6025333333,7.5283777778,7.5283777778
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,17,28,6409,0.2832547979,0.0472257763,0.0343438914,0.0343438914
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1290,1.0979069767,0.1337906977,0.0879922481,0.0879922481
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1320,10.553462121,3.0331363636,2.378,2.378
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,392,754.55357143,570.69686224,447.42637755,447.42637755
1053305508,SANTIAGO,RAFAEL,M,M.D.,M,I,225 E SONTERRA BLVD,SUITE 217,SAN ANTONIO,TX,782583992,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,17,62,62,79.838709677,33,24.381612903,24.381612903
1053305540,GO,MELISSA,M,M.D.,F,I,337 E CORONADO RD,SUITE 201,PHOENIX,AZ,850041580,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,3780,1.4968227513,0.5765873016,0.4506984127,0.4506984127
1053305540,GO,MELISSA,M,M.D.,F,I,337 E CORONADO RD,SUITE 201,PHOENIX,AZ,850041580,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,1620,4.0445432099,2.755037037,2.0822901235,2.0822901235
1053305540,GO,MELISSA,M,M.D.,F,I,337 E CORONADO RD,SUITE 201,PHOENIX,AZ,850041580,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,24,24,18.82,18.82
1053305540,GO,MELISSA,M,M.D.,F,I,337 E CORONADO RD,SUITE 201,PHOENIX,AZ,850041580,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,16,16,12.0175,12.0175
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,35,93,210,58.564571429,8.2994285714,5.7502857143,5.7664285714
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,15.882352941,3.38,2.4941176471,2.4941176471
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,24,49,64,14.9396875,1.42,1.0303125,1.0303125
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,23,99.397391304,37.010434783,27.875217391,24.79173913
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,64,55.4725,18.90890625,12.69609375,12.45015625
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,55,44.180909091,16.588,11.968181818,10.851454545
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,18,24,24,167.62208333,57.444583333,37.922916667,35.735833333
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,25,31,31,53.84483871,18.926451613,13.023548387,12.248709677
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,33,33,56.453636364,12.007272727,8.2166666667,7.9203030303
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,21,30,156,7.7057692308,2.2923076923,1.7778205128,1.5717948718
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,19.634,6.4453333333,4.4773333333,4.076
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,14,19,19,29.094210526,13.526315789,10.056315789,9.8084210526
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,300,15.808,5.54,4.1842,4.0214666667
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,4014,0.7598530144,0.31,0.2310463378,0.2310463378
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,46,66.509565217,17.29,12.077173913,12.062391304
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,55.381578947,12.398421053,9.7194736842,9.3784210526
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,243.38242424,30.42,19.791818182,19.392727273
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,51.785714286,12.957142857,10.157857143,9.4428571429
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,91,94,382.06851064,73.5,52.713617021,50.755212766
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2476,3.064644588,0.0684894992,0.051098546,0.051098546
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,103.47,33.429032258,22.511612903,19.338387097
1053305722,CHAMBERLAIN,MATTHEW,P,MD,M,I,91 ENTERPRISE DR,,ROCKY MOUNT,NC,278049590,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,37,37,22.956216216,9.4048648649,6.7559459459,6.3310810811
1053305763,HELLER,TODD,D,M.D.,M,I,1838 GREENE TREE RD,SUITE 400,BALTIMORE,MD,212086391,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,1445,15.206,13.13,10.294,10.294
1053305763,HELLER,TODD,D,M.D.,M,I,1838 GREENE TREE RD,SUITE 400,BALTIMORE,MD,212086391,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,135,531.04,268.44,210.45607407,210.45607407
1053305763,HELLER,TODD,D,M.D.,M,I,1838 GREENE TREE RD,SUITE 400,BALTIMORE,MD,212086391,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,148,646.52,326.82,256.2272973,256.2272973
1053305763,HELLER,TODD,D,M.D.,M,I,1838 GREENE TREE RD,SUITE 400,BALTIMORE,MD,212086391,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,289,10,9.35,7.33,7.33
1053305763,HELLER,TODD,D,M.D.,M,I,1838 GREENE TREE RD,SUITE 400,BALTIMORE,MD,212086391,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,46,284,29.911478873,29.208380282,22.89943662,22.908556338
1053305763,HELLER,TODD,D,M.D.,M,I,1838 GREENE TREE RD,SUITE 400,BALTIMORE,MD,212086391,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,499,466.82,365.99,365.99
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,50.520909091,39.61,38.434545455
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,9.4909090909,7.4390909091,6.9054545455
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,301,268.8,210.74,232.19916667
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5629,"Addition to lower extremity, below knee, acrylic socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,344,307.26,240.89,265.42916667
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,313,279.31,218.98,241.2825
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5647,"Addition to lower extremity, below knee suction socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,861,769.08,602.95,664.36666667
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,14,27,661.74074074,572.87,449.13,467.50074074
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,19,31,140,125.23,98.18,97.010645161
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5910,"Addition, endoskeletal system, below knee, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,392,350.17,274.54,302.49833333
1053305789,FISHER,DANIEL,F,M.D.,M,I,2108 E 3RD ST,SUITE 200,CHATTANOOGA,TN,374042600,US,Physician/General Surgery,S,L5940,"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,543,484.97,380.22,418.94916667
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,27,82,50.305853659,8.312195122,5.5651219512,5.568902439
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,29,17.586896552,1.42,1.035862069,1.035862069
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,840,0.8838095238,0.4342857143,0.3194166667,0.3194166667
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,91,177,177,130.96214689,49.385536723,37.642372881,30.156327684
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,60,210,409,7.1186308068,1.9937652812,1.4900488998,1.0993643032
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,42,84,2.02,1.4261904762,1.0663095238,0.9271428571
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,49,69,69,77.416811594,17.796956522,13.242028986,8.8524637681
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,13,33,35,2.0011428571,0.6505714286,0.5105714286,0.4277142857
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,2.6976923077,1.5584615385,1.1384615385,0.8892307692
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,123,272,272,358.42547794,119.12908088,90.271176471,67.925919118
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,20,125,307,712,142.15924157,44.926320225,34.214452247,26.062261236
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,68,138,648,82.698209877,26.23308642,20.251311728,14.605709877
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,41,79,363,43.909862259,20.310055096,15.581404959,11.898071625
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,101,190,190,193.56957895,76.927473684,59.509684211,43.227526316
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,205,289,289,65.635570934,24.124117647,18.729896194,14.276989619
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,34.72,12.46,9.1314285714,7.7271428571
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,125,277,277,74.86534296,19.943971119,15.391841155,9.6580866426
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,221,523,2702,9.7952294597,3.1028608438,2.3817061436,1.6326128793
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,127,166,166,21.186626506,8.2197590361,6.3196987952,4.6946385542
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,90,121,121,43.028016529,15.712809917,12.221404959,10.45768595
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,169.36,73.698181818,57.781818182,43.515454545
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,40,40,176.4465,65.19625,49.19375,36.12625
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,120,810,828,61.550301932,21.982041063,16.352451691,13.062693237
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,15,70,77,185.61038961,60.060649351,46.015324675,38.042857143
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,4184.5543902,1074.31,836.17073171,836.17073171
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,13,87,90,460.001,124.88477778,95.396222222,67.696444444
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,1070.052,333.9816,256.1064,173.9344
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,47,47,47,400.01787234,184.36234043,144.39148936,109.60723404
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,42,203,219,75.809360731,16.544657534,12.278401826,9.5713242009
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,11,52,296,301,38.926378738,7.2305315615,5.326744186,3.3959468439
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,108,687,707,178.92824611,50.35612447,37.861442716,25.611117397
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,18,240,1781,1801,360.35612993,100.78492504,75.364591893,53.096574125
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,31,201,204,224.64411765,44.406568627,33.872058824,29.034166667
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,22,22,22,150.27272727,57,44.69,44.69
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,44,291,16230,15.747134935,9.6236099815,7.3971823783,7.3971823783
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,29,238,14040,15.033205128,11.196850427,8.6916880342,8.6916880342
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,67,313,47668,0.2592380633,0.0462001762,0.0348411933,0.0348407737
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,16,87,7139,1.2454377364,0.1339305225,0.0991623477,0.0991623477
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,74,556,32010,12.639005623,3.0119653233,2.3414220556,2.3414220556
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,19,121,5757,1.023738058,0.2192739274,0.1643390655,0.1643390655
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,27,126,126,75.946587302,24.242460317,17.211428571,12.595634921
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,35.790909091,12.702727273,9.9572727273,6.7190909091
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,35.0825,29.515833333
1053305888,ISSA,ELIAS,G,MD,M,I,101 RIVERSTONE VIS,SUITE 207,BLUE RIDGE,GA,305136648,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,123,785,785,109.97961783,33,25.379388535,25.379388535
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,73,201,96.495124378,8.32,5.797960199,5.797960199
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,23,36,14.219444444,1.42,0.93,0.93
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,602,47.689784053,5.31,3.9487375415,3.9487375415
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,6094,1.1114391204,0.3505710535,0.272481129,0.2850443059
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,66.494285714,4.9734285714,3.5637142857,3.0902857143
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,371.28,69.81,49.503157895,49.503157895
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,49,4469,1.4514499888,0.1351778921,0.1004945178,0.1004945178
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1320,10.173628788,3.1165,2.2972954545,2.2972954545
1053305961,MULLER,JAY,R,MD,M,I,420 E DIVISION ST,,FOND DU LAC,WI,549354560,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,45,45,59.4,33,24.653555556,24.653555556
1053306035,GILLS,JAMES,P,M.D.,M,I,43309 US HIGHWAY 19 N,,TARPON SPRINGS,FL,346896221,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,87,87,87,76.265057471,72.580804598,54.185287356,50.946666667
1053306035,GILLS,JAMES,P,M.D.,M,I,43309 US HIGHWAY 19 N,,TARPON SPRINGS,FL,346896221,US,Physician/Ophthalmology,S,V2100,"Sphere, single vision, plano to plus or minus 4.00, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,20,20,38,31.691052632,31.687894737,24.693421053,31.161578947
1053306035,GILLS,JAMES,P,M.D.,M,I,43309 US HIGHWAY 19 N,,TARPON SPRINGS,FL,346896221,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,22,22,42,33.553571429,32.373571429,25.379285714,27.849285714
1053306035,GILLS,JAMES,P,M.D.,M,I,43309 US HIGHWAY 19 N,,TARPON SPRINGS,FL,346896221,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,25,26,50,47.9848,47.7676,37.0208,41.8762
1053306035,GILLS,JAMES,P,M.D.,M,I,43309 US HIGHWAY 19 N,,TARPON SPRINGS,FL,346896221,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,34,47.558823529,47.265882353,37.056470588,43.001176471
1053306035,GILLS,JAMES,P,M.D.,M,I,43309 US HIGHWAY 19 N,,TARPON SPRINGS,FL,346896221,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,18,18,33,69.66,61.101212121,47.903636364,53.825151515
1053306035,GILLS,JAMES,P,M.D.,M,I,43309 US HIGHWAY 19 N,,TARPON SPRINGS,FL,346896221,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,75,75,150,13.783333333,13.390933333,10.410133333,13.6652
1053306076,KREVITZ,CURT,S,DPM,M,I,259 E ERIE ST,SUITE 2230,CHICAGO,IL,606112987,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,46,29.19,22.323333333,22.323333333
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,32,102,276,48.88884058,8.32,5.9545289855,5.9545289855
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,25,11.21,1.42,0.9824,0.9824
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,9.66,4.03,3.0190416667,3.0190416667
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,15,15,99.878,46.896,34.517333333,29.272
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,16,28,7.7575,1.935,1.4278571429,1.165
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,27,41,41,378.47,116.38292683,88.600731707,67.667804878
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,21,33,62,133.87790323,43.943870968,34.319677419,26.077580645
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,226.19545455,66.279090909,47.68,41.291818182
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,34,39,39,76.801025641,22.647948718,16.953333333,13.567692308
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,24,34,34,88.365882353,18.930588235,14.278235294,9.2608823529
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,37,63,248,11.762137097,2.8560483871,2.144233871,1.6131451613
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,44.126666667,13.985833333,10.964166667,10.270833333
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,76,98,82.925612245,20.920612245,15.146326531,13.655816327
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,50,21.463529412,15.071176471,11.938235294
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,300,96.337777778,68.357222222,47.837222222
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,17,100,65.624705882,51.445294118,41.802352941
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,17,100,62.107647059,48.690588235,37.63
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,714.3575,333.870625,261.478125,192.741875
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,587.64666667,178.02416667,135.25416667,106.06083333
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,27,32,93.703125,17.989375,14.1040625,10.97375
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,17,83,87,46.027816092,7.6486206897,5.9132183908,4.0770114943
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,26,137,155,214.57445161,51.64916129,39.611870968,26.817225806
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,36,248,269,469.92442379,93.572750929,68.721747212,53.756319703
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,51,198.33333333,44.482941176,32.299803922,27.481176471
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,18.695583333,9.6154,7.4313333333,7.4313333333
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,65,14676,0.3388750341,0.0453584083,0.0340562824,0.0340562824
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1620,0.92,0.1316296296,0.0707469136,0.0707469136
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,2010,10.299333333,2.8746716418,2.1823781095,2.1823781095
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,44,126.27840909,25.517045455,20.005227273,15.014772727
1053306092,KIMMEL,DAVID,P,MD,M,I,150 PARK AVE,,BANNER ELK,NC,286046604,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,16,86,86,106.6744186,33,23.84744186,23.84744186
1053306100,SKIDMORE,ALLEN,R,MD,M,I,16528 E DESMET CT,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,36,83,67.647228916,8.32,6.0504819277,6.0504819277
1053306100,SKIDMORE,ALLEN,R,MD,M,I,16528 E DESMET CT,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,140.66666667,17.09,13.4,13.512666667
1053306100,SKIDMORE,ALLEN,R,MD,M,I,16528 E DESMET CT,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,37.504,4.6736666667,2.8813333333,2.81
1053306100,SKIDMORE,ALLEN,R,MD,M,I,16528 E DESMET CT,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,133,32.166666667,25.218666667,25.454666667
1053306100,SKIDMORE,ALLEN,R,MD,M,I,16528 E DESMET CT,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,69,72,513.29125,66.430277778,49.756805556,52.154305556
1053306100,SKIDMORE,ALLEN,R,MD,M,I,16528 E DESMET CT,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,50,37.64,29.51,29.51
1053306100,SKIDMORE,ALLEN,R,MD,M,I,16528 E DESMET CT,,SPOKANE VALLEY,WA,992163522,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,69,33,25.87,25.87
1053306167,DANCIU,RUXANDRA,,P.A.-C.,F,I,44201 DEQUINDRE RD,,TROY,MI,480851117,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,202.66,53.03,41.575333333,41.125333333
1053306175,PATTERSON,DONALD,P,M.D.,M,I,1800 MEDICAL CENTER PARKWAY,DEPAUL BLDG. STE. 400,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,79,269,63.314907063,8.3173605948,6.0353531599,6.0373977695
1053306175,PATTERSON,DONALD,P,M.D.,M,I,1800 MEDICAL CENTER PARKWAY,DEPAUL BLDG. STE. 400,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,18,38,17.411842105,1.42,0.9676315789,0.9676315789
1053306175,PATTERSON,DONALD,P,M.D.,M,I,1800 MEDICAL CENTER PARKWAY,DEPAUL BLDG. STE. 400,MURFREESBORO,TN,37129,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,65,21.998076923,11.416538462,9.0684615385
1053306183,LYONS,JAMES,J,M.D.,M,I,1 COLUMBIA ST,SUITE 200,POUGHKEEPSIE,NY,12601,US,Advanced Heart Failure and Transplant Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,1258.12,19.71,15.45,15.45
1053306183,LYONS,JAMES,J,M.D.,M,I,1 COLUMBIA ST,SUITE 200,POUGHKEEPSIE,NY,12601,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,23,155,617.71116129,37.38,29.305677419,29.305677419
1053306183,LYONS,JAMES,J,M.D.,M,I,1 COLUMBIA ST,SUITE 200,POUGHKEEPSIE,NY,12601,US,Advanced Heart Failure and Transplant Cardiology,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,23,484,37.237458678,1.5809090909,1.2392768595,1.2392768595
1053306225,HOLTON,GEANICE,,MD,F,I,1648 GENTRY MEMORIAL HWY,,EASLEY,SC,296408877,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,31,84,201,59.095920398,8.3167661692,5.9968656716,5.9994029851
1053306225,HOLTON,GEANICE,,MD,F,I,1648 GENTRY MEMORIAL HWY,,EASLEY,SC,296408877,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,9.0327272727,3.38,2.65,2.65
1053306225,HOLTON,GEANICE,,MD,F,I,1648 GENTRY MEMORIAL HWY,,EASLEY,SC,296408877,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,36,49,11.176326531,1.42,1.0918367347,1.0918367347
1053306225,HOLTON,GEANICE,,MD,F,I,1648 GENTRY MEMORIAL HWY,,EASLEY,SC,296408877,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,92.94,45.22,26.630666667,28.766
1053306282,BASSI,JOSEPH,A,MD,M,I,3131 PARISA DR,,PADUCAH,KY,420034584,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,13,169,55.017751479,19.566923077,13.970946746,13.970946746
1053306282,BASSI,JOSEPH,A,MD,M,I,3131 PARISA DR,,PADUCAH,KY,420034584,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,435,7.6513793103,2.6234482759,1.8860229885,1.8860229885
1053306282,BASSI,JOSEPH,A,MD,M,I,3131 PARISA DR,,PADUCAH,KY,420034584,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,73,266,51.343345865,8.32,5.587593985,5.587593985
1053306282,BASSI,JOSEPH,A,MD,M,I,3131 PARISA DR,,PADUCAH,KY,420034584,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,23,48,17.137708333,1.42,1.021875,1.021875
1053306282,BASSI,JOSEPH,A,MD,M,I,3131 PARISA DR,,PADUCAH,KY,420034584,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,177.7,38.656470588,27.268235294,20.629411765
1053306282,BASSI,JOSEPH,A,MD,M,I,3131 PARISA DR,,PADUCAH,KY,420034584,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,725.65333333,336.395,251.77583333,251.77583333
1053306282,BASSI,JOSEPH,A,MD,M,I,3131 PARISA DR,,PADUCAH,KY,420034584,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,53,319.39622642,97.570188679,71.985471698,52.127735849
1053306308,MERKEL,VICTORIA,L,MD,F,I,3650 JOSEPH SIEWICK DR,STE 400,FAIRFAX,VA,220331710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,26,74,59.605405405,8.32,6.4356756757,6.4356756757
1053306308,MERKEL,VICTORIA,L,MD,F,I,3650 JOSEPH SIEWICK DR,STE 400,FAIRFAX,VA,220331710,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,20,11.795,1.42,1.059,1.059
1053306308,MERKEL,VICTORIA,L,MD,F,I,3650 JOSEPH SIEWICK DR,STE 400,FAIRFAX,VA,220331710,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,36,189.42,34.277777778,26.874444444,26.020833333
1053306308,MERKEL,VICTORIA,L,MD,F,I,3650 JOSEPH SIEWICK DR,STE 400,FAIRFAX,VA,220331710,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,95,13.92,2.0176842105,1.3842105263,1.3946315789
1053306308,MERKEL,VICTORIA,L,MD,F,I,3650 JOSEPH SIEWICK DR,STE 400,FAIRFAX,VA,220331710,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,19,81.75,13.65,10.7,10.48
1053306308,MERKEL,VICTORIA,L,MD,F,I,3650 JOSEPH SIEWICK DR,STE 400,FAIRFAX,VA,220331710,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,257.82,31.9375,25.0375,25.3175
1053306399,GOWER,WILLIAM,J,M.D.,M,I,755 MOUNT VERNON HWY,SUITE 500,ATLANTA,GA,303284274,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,72,63.351666667,8.32,5.7966666667,5.7966666667
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,42,148,356,49.547134831,8.32,6.0823314607,6.0823314607
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,23,48,14.14125,1.42,1.1152083333,1.1152083333
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,12,24,24,434.58916667,99.355833333,68.668333333,62.709166667
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,25,62,167.27016129,37.65516129,25.862096774,23.892903226
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,276.45066667,59.956,47.003333333,43.034
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,25,25,76.0116,18.602,12.2064,12.1704
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,35,35,96.521428571,14.08,10.348857143,9.142
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,42,237,12.302869198,2.2972151899,1.7143881857,1.5814767932
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,29.157272727,6.4663636364,4.6345454545,4.5836363636
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,48.453333333,13.347777778,10.457777778,10.468888889
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,81.75,12.341666667,9.6708333333,9.6066666667
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50.73,3.59,2.81,3.342
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,257.82,32.307692308,21.533076923,20.381538462
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,37,519.51,86.555675676,65.827297297,54.005675676
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2691,0.3257525084,0.0455852843,0.0326607209,0.0326607209
1053306522,BOCKHORST,JAMES,L,MD,M,I,1177 E CHERRY ST,,TROY,MO,633791520,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,76.3125,33,24.253125,24.253125
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,39,130,76.465153846,8.32,5.6188461538,5.6188461538
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,23,14.345652174,1.42,0.922173913,0.922173913
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,448.97857143,94.58,64.809285714,58.95
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,35,174.71485714,35,25.459142857,23.937142857
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,78.736666667,19.5,15.29,14.06
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,97.560714286,12.08,9.47,9.12
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,80,12.90075,2.3,1.8035,1.59725
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,743.26785714,78,56.782142857,51.279285714
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6109090909,7.4553636364,7.4553636364
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,900,10.500611111,3.047,2.3888666667,2.3888666667
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38,27.3075,27.074166667
1053306589,PEARCE,THOMAS,S,M.D.,M,I,279 E MAIN ST,,GLOUCESTER,MA,019304141,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,112.2,33,25.87,25.87
1053306639,BEISWANGER,JAY,C,MD,M,I,80 DOCTORS DR,,PANAMA CITY,FL,324054517,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1380,0.39,0.13,0.093057971,0.093057971
1053306639,BEISWANGER,JAY,C,MD,M,I,80 DOCTORS DR,,PANAMA CITY,FL,324054517,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,22.13,18.02,12.845454545,12.845454545
1053306639,BEISWANGER,JAY,C,MD,M,I,80 DOCTORS DR,,PANAMA CITY,FL,324054517,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,2700,5.7433333333,2.04,1.5338592593,1.5338592593
1053306639,BEISWANGER,JAY,C,MD,M,I,80 DOCTORS DR,,PANAMA CITY,FL,324054517,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,23,10.084782609,7.46,5.85,5.85
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,31,80,184,67.340163043,8.32,5.3520108696,5.3520108696
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,15.203,3.38,2.2525,2.2525
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,21.426153846,2.12,1.5415384615,1.5415384615
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,38,57,16.612280702,1.42,0.9785964912,0.9785964912
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,98.02,53.41,22.331666667,21.956666667
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,86.31,16.59,11,11.551538462
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,50,5.2544444444,4.1213888889,3.6288888889
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,34,415.56529412,67.72,49.548823529,50.532647059
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,8198,0.2638180044,0.0464906075,0.035326909,0.035326909
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,3300,2.730769697,0.1344909091,0.0904969697,0.0904969697
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,38.72,27.83,27.83
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,82.5,33,24.694090909,24.694090909
1053306647,SWEITZER,JEANNETTE,L,CRNP,F,I,22221 WESTERNPORT RD SW,,WESTERNPORT,MD,215622206,US,Nurse Practitioner,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,66,66,47.395625,47.395625
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,34,50.02,8.32,5.755,5.755
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,442.34,121.65166667,82.818333333,60.025833333
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,29,174.34758621,46.291034483,33.943103448,24.087241379
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,286.612,71.984,49.150666667,40.992
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,22,22,85.287727273,23.781818182,15.873181818,13.121818182
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,27,27,95.427407407,18.191481481,13.515925926,8.8744444444
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,15,32,167,13.081437126,2.8995209581,2.2049700599,1.5956886228
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,50.411428571,15.271428571,11.164285714,9.9935714286
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,50,84.5252,21.5122,15.9694,13.1998
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,40,47,205.98404255,60.273404255,44.200638298,35.376170213
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,12,14,81.75,15.299285714,10.506428571,8.2442857143
1053306662,BARTHOLOMEW,DEAN,W,MD,M,I,250 N EVARTS ST,,POWELL,WY,824352718,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,98,99,502.37292929,96.337777778,65.929292929,47.018383838
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,62,67.260806452,8.32,5.575,5.575
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,40.75,23.934166667,16.1625,12.2975
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,33.181818182,20.639090909,14.348181818,9.38
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,108,13.888888889,3.1733333333,2.2903703704,1.6240740741
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,66.2,22.97,18.006666667,13.931333333
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,117.98125,53.3725,41.8475,36.587083333
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,395,104.5025,81.9325,57.26125
1053306704,RAMSAY,JOHN,P,MD,M,I,514 W WINDCREST ST,,FREDERICKSBURG,TX,786244633,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,119.92705882,52.002941176,40.764705882,23.511764706
1053306795,ASHCROFT,ANDREW,B,M.D.,M,I,1179 N MCDOWELL BLVD,,PETALUMA,CA,949546559,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,60,150,83.438466667,8.32,5.1322,5.1322
1053306795,ASHCROFT,ANDREW,B,M.D.,M,I,1179 N MCDOWELL BLVD,,PETALUMA,CA,949546559,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,23,15.907391304,1.42,1.067826087,1.067826087
1053306795,ASHCROFT,ANDREW,B,M.D.,M,I,1179 N MCDOWELL BLVD,,PETALUMA,CA,949546559,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,523.99833333,65.7,44.471666667,47.76
1053306795,ASHCROFT,ANDREW,B,M.D.,M,I,1179 N MCDOWELL BLVD,,PETALUMA,CA,949546559,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,525,37.64,24.144545455,24.144545455
1053306795,ASHCROFT,ANDREW,B,M.D.,M,I,1179 N MCDOWELL BLVD,,PETALUMA,CA,949546559,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1053306829,MAYS,CHRISTOPHER,J,M.D.,M,I,18111 PRINCE PHILIP DR,SUITE 207,OLNEY,MD,208321513,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,14,34,88,71.957613636,8.32,6.2251136364,6.2251136364
1053306829,MAYS,CHRISTOPHER,J,M.D.,M,I,18111 PRINCE PHILIP DR,SUITE 207,OLNEY,MD,208321513,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,12,14,16.665,1.42,1.0371428571,1.0371428571
1053306829,MAYS,CHRISTOPHER,J,M.D.,M,I,18111 PRINCE PHILIP DR,SUITE 207,OLNEY,MD,208321513,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,142.92,54.8,39.922142857,39.802857143
1053306829,MAYS,CHRISTOPHER,J,M.D.,M,I,18111 PRINCE PHILIP DR,SUITE 207,OLNEY,MD,208321513,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,40.594545455,12.467272727,9.7745454545,9.1563636364
1053306829,MAYS,CHRISTOPHER,J,M.D.,M,I,18111 PRINCE PHILIP DR,SUITE 207,OLNEY,MD,208321513,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,6.2257142857,2.2857142857,1.7914285714,1.6055952381
1053306829,MAYS,CHRISTOPHER,J,M.D.,M,I,18111 PRINCE PHILIP DR,SUITE 207,OLNEY,MD,208321513,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,72.75,20.625,15.435,13.753
1053306894,HOUSEWORTH,STEPHEN,W,M.D.,M,I,2516 BROADMOOR BOULEVARD,SUITE 3C,MONROE,LA,71201,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,157.6,42.848181818,33.589090909,33.589090909
1053306902,QUIST,JOSEPH,,MD,M,I,445 LENOX RD,BOX 1262,BROOKLYN,NY,112032017,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,27,78,73.508076923,8.32,5.8533333333,5.8533333333
1053306902,QUIST,JOSEPH,,MD,M,I,445 LENOX RD,BOX 1262,BROOKLYN,NY,112032017,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,18,14.533333333,1.42,0.9311111111,0.9311111111
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,46,160,53.0279375,8.275,5.997625,6.0329375
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,23,37,14.200810811,1.42,1.1148648649,1.1148648649
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,22,96,8.9966666667,2.3139583333,1.6963541667,1.4921875
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,11,11,103.48272727,50,35.636363636,34.209090909
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,32,50.73,5.525,3.67875,2.9515625
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,44,48,233.68416667,38.8775,30.479166667,26.550625
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,414.6815,86.23,61.6865,50.3945
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,35.11,27.53,29.51
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,5666,0.2175608895,0.0470773032,0.0336286622,0.0336286622
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,47.47,21.988,17.242,14.984666667
1053306969,KANNER,STEVEN,L,DO,M,I,840 US HIGHWAY 1,STE 400,NORTH PALM BEACH,FL,334083830,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,108.42857143,33,21.878095238,21.878095238
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,32,1840,0.3566630435,0.12,0.0899673913,0.0899673913
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,2200,0.6306590909,0.44,0.3324045455,0.3324045455
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,406,43.132610837,23.66,18.549359606,18.549359606
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,15,503,13.373439364,8.28,6.491610338,6.491610338
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,426,29.278450704,18.5,14.50399061,14.50399061
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,20,37,11000,0.3190690909,0.05,0.0392,0.0392
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,18,29,1440,4.8089583333,3.67,2.8173888889,2.8173888889
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,592,2.6534121622,2.16,1.6655912162,1.6655912162
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,17,23,2200,0.3235454545,0.13,0.1019318182,0.1019318182
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,22,3544,0.6095936795,0.45,0.3528103837,0.3528103837
1053307066,EMERICK,JANE,L,M.D.,F,I,625 AFRICA RD STE 320,,WESTERVILLE,OH,43082,US,Physician/Infectious Disease,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.85,8.925,6.995,6.8591666667
1053307173,WEAVER,SCOTT,S,O.D.,M,I,2791 S QUEEN ST,,DALLASTOWN,PA,173139540,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,60.481428571,60.481428571,47.420714286,50.924285714
1053307173,WEAVER,SCOTT,S,O.D.,M,I,2791 S QUEEN ST,,DALLASTOWN,PA,173139540,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,38,69.985263158,69.827368421,54.744473684,54.406578947
1053307173,WEAVER,SCOTT,S,O.D.,M,I,2791 S QUEEN ST,,DALLASTOWN,PA,173139540,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,22,43,16.018372093,16.016511628,12.559302326,13.275116279
1053307264,WILLS,PATRICK,W,MD,M,I,1315 ST JOSEPH PKWY,SUITE 1102,HOUSTON,TX,770028233,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,43.3946,8.32,6.5224,6.5224
1053307447,MURPHY,BRADFORD,J,DO,M,I,3716 WILMINGTON PIKE,,KETTERING,OH,454294845,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,27,80,50.404625,8.32,5.9225,5.9225
1053307447,MURPHY,BRADFORD,J,DO,M,I,3716 WILMINGTON PIKE,,KETTERING,OH,454294845,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,22,34,10.750588235,1.42,1.0476470588,1.0476470588
1053307447,MURPHY,BRADFORD,J,DO,M,I,3716 WILMINGTON PIKE,,KETTERING,OH,454294845,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,152.31,30.066363636,23.573636364,21.773636364
1053307520,TAN,ROMEO,B,MD,M,I,1601 3RD ST,,MOUNDSVILLE,WV,260411716,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,150,48.323333333,37.883333333,37.241666667
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,48,71.254166667,8.32,6.25,6.25
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,23,37.647826087,1.42,1.067826087,1.067826087
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,31,9.68,7.63,5.9806451613,6.7570967742
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,29,32,15.7,13.8,10.82,10.82
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,38,87,12.79,9.29,7.113908046,8.2597701149
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,1097,6.4682588879,6.1514402917,4.6526071103,4.0716043756
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,44,18564,0.3565007541,0.3437249515,0.2585892049,0.2356361775
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,479,0.8165135699,0.7963674322,0.6243632568,0.5567014614
1053307538,BROWNING,LLOYD,M,MD,M,I,203 S WATER ST,,LOUISA,KY,412301387,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,15.85,10.695,7.57125,3.258125
1053307561,HISLER,STUART,E,M.D.,M,I,13529 LEFFERTS BLVD,,SOUTH OZONE PARK,NY,114203601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,44,80.723409091,8.32,4.6790909091,4.6790909091
1053307561,HISLER,STUART,E,M.D.,M,I,13529 LEFFERTS BLVD,,SOUTH OZONE PARK,NY,114203601,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,15.836666667,1.42,0.7433333333,0.7433333333
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,115,301,62.603787375,8.3008637874,6.1661461794,6.1810963455
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,10.489230769,3.38,2.65,2.65
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,55,80,17.211875,1.42,1.0745,1.0745
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,161.56333333,54.47,39.963333333,40.075833333
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,51,10.408627451,2.01,1.5547058824,1.5688235294
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,161.52571429,47.55,34.617142857,33.855714286
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,37.991818182,15.68,11.172727273,10.945454545
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,35,80.792,17.281428571,12.769142857,12.758
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,58,58,29.10137931,4.4589655172,2.9529310345,2.9522413793
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,46,413.52434783,70.475,49.935869565,49.448478261
1053307629,DUNN,JOE,A,MD,M,I,321 S FAIRFIELD DR,,PENSACOLA,FL,325064990,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1019.8,124.34181818,97.488181818,95.99
1053307645,SNOW,JERROLD,L,DO,M,I,6564 SE LAKE RD STE 200,,MILWAUKIE,OR,97222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,37,74.825945946,8.32,4.7618918919,4.7618918919
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,43,100,287,62.104250871,8.3049477352,5.7707665505,5.7825783972
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.945454545,3.38,2.65,2.65
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,37,46,13.841304348,1.42,0.9232608696,0.9232608696
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,30,11.033,6.44,5.047,5.047
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,275,13.685672727,7,5.488,5.488
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,304.1345,75.28,57.0995,36.4035
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,34,86.31,22.158823529,16.932352941,13.309117647
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,42.158076923,6.8807692308,5.2538461538,3.3792307692
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,51,524.23490196,102.84,79.456862745,60.108627451
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,5978,0.1995968551,0.0458949481,0.0341334895,0.0341334895
1053307660,GUERRERO,RAUL,V,MD,M,I,1614 E NORRIS DR,,OTTAWA,IL,613503681,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,99,33,24.534666667,24.534666667
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,27,60,224,49.530223214,8.32,6.1644642857,6.1644642857
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,11.77,3.38,2.4291666667,2.4291666667
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,26,62,11.862903226,1.3991935484,1.0796774194,1.0796774194
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,147.84285714,39.186428571,26.582857143,26.350714286
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,272.46705882,54.79,37.271764706,37.196470588
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,85.25,18.129166667,11.9975,11.855833333
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,22,96,11.59,2.145625,1.6353125,1.5445833333
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,50.73,5.1336363636,3.8140909091,3.6527272727
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,45,49,257.82,38.174489796,24.292857143,20.752653061
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,38,41,115,82.932682927,65.020487805,65.020487805
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,519.51,69.81,52.775357143,52.775357143
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1260,1.2215555556,0.1329047619,0.0822539683,0.0822539683
1053307694,SIMON,MARK,T,,M,I,2300 WALES AVE NW,,MASSILLON,OH,446462323,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,108.70588235,33,24.348235294,24.348235294
1053307827,STOCK,KIMBERLY,A,M.D.,F,I,3382 PARIS BLVD,,WESTERVILLE,OH,430814260,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,65,212,66.252358491,8.32,5.8772641509,5.8772641509
1053307827,STOCK,KIMBERLY,A,M.D.,F,I,3382 PARIS BLVD,,WESTERVILLE,OH,430814260,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,21,37,11.664054054,1.42,1.0835135135,1.0835135135
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,8.19,1.51,1.08625,1.05875
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,5.91,1.1,0.86,0.96
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,66.758461538,17,10.253846154,10.475384615
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,91,92,50.73,3.652173913,2.4419565217,3.0292391304
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,429.82632353,78.027794118,49.745147059,44.274117647
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,183.87666667,38,24.825,24.591666667
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,8940,0.2000928412,0.0468814318,0.0324295302,0.0324295302
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,660,11.455651515,3.1182727273,2.2273636364,2.2273636364
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,0.75,0.2188461538,0.1584102564,0.1584102564
1053307934,KENNEY,LAWRENCE,A,MD,M,I,736 CAMBRIDGE ST,"SETON PAVILLION, 3RD FLOOR",BRIGHTON,MA,021352907,US,Internal Medicine,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,42,42,80.142857143,33,23.406190476,23.406190476
1053307967,HOSHIZAKI,ROBERT,J,MD,M,I,912 NORTHWEST HWY,STE 107,FOX RIVER GROVE,IL,600211925,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,25,65,77.386923077,8.32,5.8190769231,5.8190769231
1053307967,HOSHIZAKI,ROBERT,J,MD,M,I,912 NORTHWEST HWY,STE 107,FOX RIVER GROVE,IL,600211925,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,17.637692308,1.42,1.0338461538,1.0338461538
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,46,50.304347826,8.32,5.9126086957,5.9126086957
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,12,18,15,1.42,1.0522222222,1.0522222222
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1832,0.44,0.44,0.3449508734,0.3449508734
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,48,2071,8.28,8.28,6.482153549,6.482153549
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,32,1219,18.5,18.5,14.402264151,14.402264151
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,661,5.28,5.28,4.1395461422,4.1395461422
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,46,18.29,18.29,13.403913043,13.403913043
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,47,512.52,98.36893617,69.602553191,48.607659574
1053307975,PAINTER,ANDREW,E,MD,M,I,204 E 3RD ST,,PORTAGEVILLE,MO,638731402,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,128.72,33,21.444,21.444
1053308056,ANDERSON,CHRYSTAL,L,M.D.,F,I,2855 N KEYSTONE AVE,,INDIANAPOLIS,IN,462182790,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,56,193,67.22134715,8.32,5.6025906736,5.6025906736
1053308056,ANDERSON,CHRYSTAL,L,M.D.,F,I,2855 N KEYSTONE AVE,,INDIANAPOLIS,IN,462182790,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,17,13.712941176,3.38,2.1823529412,2.1823529412
1053308056,ANDERSON,CHRYSTAL,L,M.D.,F,I,2855 N KEYSTONE AVE,,INDIANAPOLIS,IN,462182790,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,29,66,13.807121212,1.42,0.8777272727,0.8777272727
1053308056,ANDERSON,CHRYSTAL,L,M.D.,F,I,2855 N KEYSTONE AVE,,INDIANAPOLIS,IN,462182790,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,519.51,79.96,62.69,54.73
1053308056,ANDERSON,CHRYSTAL,L,M.D.,F,I,2855 N KEYSTONE AVE,,INDIANAPOLIS,IN,462182790,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,15,4616,0.4514839688,0.0460181976,0.025355286,0.025355286
1053308056,ANDERSON,CHRYSTAL,L,M.D.,F,I,2855 N KEYSTONE AVE,,INDIANAPOLIS,IN,462182790,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,20,20,62.7,33,24.5765,24.5765
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,71,71,71,140.53183099,53.991126761,41.936338028,36.507746479
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,67,67,67,135.91835821,59.41238806,46.580447761,41.606865672
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,167.99,67.668181818,53.05,43.820909091
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,33,33,152.28,56.614848485,44.388787879,40.397272727
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,E0310,"Bed side rails, full length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,26.49,12.135357143,9.5128571429,9.07
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,20,20,272,30.087977941,24.487536765,19.198272059,19.929522059
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,41,41,72.89902439,30.147317073,23.287804878,15.865121951
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,38,243,243,122.57213992,33.579794239,24.760123457,20.464773663
1053308163,MORSTEAD,ROLF,D,MD,M,I,312 GRAMMONT ST,STE 301,MONROE,LA,71201,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,28.964193548,9.2229032258,7.0303225806,6.8616129032
1053308171,CARTY,TRICIA,A,MD,F,I,534 PROSPECT ST,,FALL RIVER,MA,027205281,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,33,84,85.346428571,8.32,5.7528571429,5.7528571429
1053308171,CARTY,TRICIA,A,MD,F,I,534 PROSPECT ST,,FALL RIVER,MA,027205281,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,22,16.170909091,1.42,0.9140909091,0.9140909091
1053308262,NUNNEMANN,RUDOLF,G,M.D.,M,I,2500 STARLING ST,SUITE 602,BRUNSWICK,GA,315204219,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,3150,11.335714286,6.9914285714,4.7784952381,4.9526698413
1053308338,ECHEVERRI,DIEGO,,M.D.,M,I,2951 NW 49TH AVE.,SUITE #101,LAUDERDALE LAKES,FL,33313,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,2100,3.6533619048,0.5501761905,0.4313428571,0.4313428571
1053308338,ECHEVERRI,DIEGO,,M.D.,M,I,2951 NW 49TH AVE.,SUITE #101,LAUDERDALE LAKES,FL,33313,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,24,24,18.82,18.82
1053308338,ECHEVERRI,DIEGO,,M.D.,M,I,2951 NW 49TH AVE.,SUITE #101,LAUDERDALE LAKES,FL,33313,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,16,16,12.54,12.54
1053308395,EIBEN,CARL,F,M.D.,M,I,850 WEST BARAGA AVENUE SUITE #30,,MARQUETTE,MI,49855,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,9,3.6816666667,2.0566666667,1.5766666667
1053308395,EIBEN,CARL,F,M.D.,M,I,850 WEST BARAGA AVENUE SUITE #30,,MARQUETTE,MI,49855,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,100,27.63,21.662307692,14.106153846
1053308395,EIBEN,CARL,F,M.D.,M,I,850 WEST BARAGA AVENUE SUITE #30,,MARQUETTE,MI,49855,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,111.99,39.875454545,29.691515152,19.59
1053308478,BIRNBAUM,FRED,,DPM,M,I,1950 STREET RD,SUITE 101,BENSALEM,PA,190203755,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,46,92,197,71.56,56.105108696,56.104891304
1053308478,BIRNBAUM,FRED,,DPM,M,I,1950 STREET RD,SUITE 101,BENSALEM,PA,190203755,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,40,240,50,43.56,34.151666667,34.15025
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,41,59,59,165.11067797,40.641694915,31.33559322,30.314237288
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,41,63,63,530.8984127,91.681111111,70.036666667,67.586190476
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,37,62,129,215.5927907,33.111085271,25.751860465,25.920930233
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,26,51,203,83.764778325,19.135714286,14.339507389,13.946502463
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,26,38,148,54.93027027,15.744797297,11.933918919,11.525
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,65,98,98,215.12938776,54.975816327,40.909183673,40.710102041
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,92,111,111,82.163063063,19.067387387,14.285945946,13.642972973
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,63,98,98,73.062653061,12.15755102,9.1440816327,8.8924489796
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,102,167,826,8.9322760291,2.1352542373,1.6204237288,1.5650242131
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,25,26,26,16.399230769,6.0207692308,4.7165384615,4.6723076923
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,31,39,39,73.976410256,13.09,9.7641025641,9.8835897436
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,3775.52,1074.31,842.26,842.26
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,46,46,718.0226087,93.798695652,69.124347826,68.417826087
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,1482.8921429,242.82285714,190.36928571,183.92785714
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,30,31,31,689.78774194,135.49193548,106.22806452,106.86419355
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,26,116,116,36.963534483,13.774482759,10.086896552,10.188362069
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,65,390,392,506.01482143,33.170433673,24.639005102,24.835841837
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,11,108,110,546.23209091,77.36,58.791727273,53.302272727
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,38,207.89473684,39.26,29.16,27.990263158
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,5740,0.2101184669,0.0464355401,0.0364059233,0.0364059233
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,1976,1.6498684211,0.1343522267,0.0943522267,0.0943522267
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,1350,10.260577778,3.2068888889,2.4417259259,2.4417259259
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,242.8,39.26,29.4975,28.333333333
1053308486,KHALID,IRFAN,,MD,M,I,10250 N 92ND ST,SUITE 300,SCOTTSDALE,AZ,852584510,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,38,38,85.105263158,33,23.827631579,23.827631579
1053308502,KLEKAMP,JOHN,W,MD,M,I,4323 CAROTHERS PKWY STE 201,,FRANKLIN,TN,370675973,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,481.50190476,401.12809524,298.21,295.02190476
1053308502,KLEKAMP,JOHN,W,MD,M,I,4323 CAROTHERS PKWY STE 201,,FRANKLIN,TN,370675973,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,24,24,24,1648.3041667,1325.47875,1038.59125,898.83041667
1053308676,ACKERMANN,EVELYN,S,MD,F,I,1670 CAPITAL STREET,SUITE 100,ELGIN,IL,601247837,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,48,48,48,76.06125,72.323333333,53.910416667,50.273541667
1053308676,ACKERMANN,EVELYN,S,MD,F,I,1670 CAPITAL STREET,SUITE 100,ELGIN,IL,601247837,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,18,34,65.147058824,50.504705882,36.8,40.644705882
1053308676,ACKERMANN,EVELYN,S,MD,F,I,1670 CAPITAL STREET,SUITE 100,ELGIN,IL,601247837,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,47,77.606382979,66.61,49.448510638,51.248510638
1053308874,GIBBONS,GLENN,G,MD,M,I,1480 W CENTER ST,,GREENWOOD,AR,729363449,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,30,11.192,8.32,6.0866666667,6.0866666667
1053308874,GIBBONS,GLENN,G,MD,M,I,1480 W CENTER ST,,GREENWOOD,AR,729363449,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,17.29,11.086363636,11.07
1053308874,GIBBONS,GLENN,G,MD,M,I,1480 W CENTER ST,,GREENWOOD,AR,729363449,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,70.23,45.049090909,44.770909091
1053308874,GIBBONS,GLENN,G,MD,M,I,1480 W CENTER ST,,GREENWOOD,AR,729363449,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,975,0.17,0.0461641026,0.0333333333,0.0333333333
1053308874,GIBBONS,GLENN,G,MD,M,I,1480 W CENTER ST,,GREENWOOD,AR,729363449,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1053308882,SCHOTT,STEPHAN,N,D.O.,M,I,306 LANDRUM PL,,CLARKSVILLE,TN,370434648,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,93.2,11.54,9.05,9.1038461538
1053308882,SCHOTT,STEPHAN,N,D.O.,M,I,306 LANDRUM PL,,CLARKSVILLE,TN,370434648,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,108,11.853888889,2.01,1.5477777778,1.5607407407
1053308882,SCHOTT,STEPHAN,N,D.O.,M,I,306 LANDRUM PL,,CLARKSVILLE,TN,370434648,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,169.74,4.5718181818,3.1754545455,3.1745454545
1053308882,SCHOTT,STEPHAN,N,D.O.,M,I,306 LANDRUM PL,,CLARKSVILLE,TN,370434648,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,19,24,206.645,35.49,26.5,26.288333333
1053308908,MATTESON,DAVID,E,MD,M,I,2001 MEDICAL PKWY,,ANNAPOLIS,MD,214013280,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,15,1520,0.1571052632,0.12,0.0834210526,0.0834210526
1053308908,MATTESON,DAVID,E,MD,M,I,2001 MEDICAL PKWY,,ANNAPOLIS,MD,214013280,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,297,10.350707071,8.28,5.5423905724,5.5423905724
1053308908,MATTESON,DAVID,E,MD,M,I,2001 MEDICAL PKWY,,ANNAPOLIS,MD,214013280,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,375,5.018,3.67,2.0525866667,2.0525866667
1053308908,MATTESON,DAVID,E,MD,M,I,2001 MEDICAL PKWY,,ANNAPOLIS,MD,214013280,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,21,24,3515,0.1887339972,0.13,0.0859032717,0.0859032717
1053308908,MATTESON,DAVID,E,MD,M,I,2001 MEDICAL PKWY,,ANNAPOLIS,MD,214013280,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,17,18,2160,0.56,0.45,0.3528148148,0.3528148148
1053308999,ARGIRES,PERRY,J,MD,M,I,233 COLLEGE AVE.,SUITE 201,LANCASTER,PA,176033384,US,Physician/Neurosurgery,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,89,47.464545455,34.11,34.11
1053309039,SAYALOLIPAVAN,THIHALOLIPAVAN,,MD,M,I,19 GOLDEN PHEASANT DR,,GETZVILLE,NY,140681460,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,184,4.64,4.34,3.1439130435,3.0107065217
1053309039,SAYALOLIPAVAN,THIHALOLIPAVAN,,MD,M,I,19 GOLDEN PHEASANT DR,,GETZVILLE,NY,140681460,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,3216,0.4000497512,0.37,0.2692848259,0.2692848259
1053309039,SAYALOLIPAVAN,THIHALOLIPAVAN,,MD,M,I,19 GOLDEN PHEASANT DR,,GETZVILLE,NY,140681460,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,202.13,44.29,33.659444444,34.739444444
1053309039,SAYALOLIPAVAN,THIHALOLIPAVAN,,MD,M,I,19 GOLDEN PHEASANT DR,,GETZVILLE,NY,140681460,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,56.892727273,47.82,37.49,40.8
1053309039,SAYALOLIPAVAN,THIHALOLIPAVAN,,MD,M,I,19 GOLDEN PHEASANT DR,,GETZVILLE,NY,140681460,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,39.873043478,17,13.075652174,13.285652174
1053309039,SAYALOLIPAVAN,THIHALOLIPAVAN,,MD,M,I,19 GOLDEN PHEASANT DR,,GETZVILLE,NY,140681460,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,240.32346154,77.18,60.51,54.72
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,22,53,180,68.921055556,8.32,6.0158333333,6.0158333333
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.65,2.65
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,23,59,15.236610169,1.42,1.0572881356,1.0572881356
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,13.845454545,13.8,9.8363636364,9.8363636364
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.3518181818,2.27,1.6438701299,1.6438701299
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,11.85,9.29,6.6181818182,7.82
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,88.113846154,48.566153846,38.077692308,30.49
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.0063636364,3.97,2.8295454545,2.8295454545
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,18,67.666666667,48.758888889,38.226666667,25.918333333
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,139.68352941,69.521176471,49.630588235,38.237647059
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,20,20,39.169,22.2875,16.0245,12.7
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,23,76,6.1231578947,2.8585526316,2.0292105263,1.3864473684
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,115.76923077,62.332307692,48.872307692,26.970769231
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,230.58823529,100.18,78.542941176,58.451764706
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,117.94117647,43.911176471,34.428823529,30.775882353
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,4249,0.116733349,0.0467992469,0.0340880207,0.0340856672
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,1.2962045455,0.1371818182,0.0804545455,0.0804545455
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,840,8.0731071429,3.0533214286,2.0653928571,2.0653928571
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,839,0.2792967819,0.2191418355,0.1718235995,0.1718235995
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,26.185454545,16.163636364,11.66
1053309088,BIRNBAUM,LAURA,M,M.D.,F,I,219A E RAILROAD ROW,,GIDDINGS,TX,789422639,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,29,33.560344828,33,24.085862069,24.085862069
1053309096,BRADLEY,KEVIN,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,340,13.88,5.74,4.5000882353,4.5000882353
1053309096,BRADLEY,KEVIN,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,425,0.6576470588,0.27,0.2116705882,0.2116705882
1053309146,BACON,BARRY,J,MD,M,I,1200 E COLUMBIA AVE,,COLVILLE,WA,991143354,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,22,22,197.25,46.58,29.871818182,31.040909091
1053309146,BACON,BARRY,J,MD,M,I,1200 E COLUMBIA AVE,,COLVILLE,WA,991143354,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,533.68470588,65.7,33.434705882,35.767647059
1053309229,GILLOCK,CHARLES,B,MD,M,I,70 MEDICAL CENTER CIR,SUITE 208,FISHERSVILLE,VA,229392273,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,17,67,16704,3.7826760057,1.83,1.4068582375,1.5601059626
1053309229,GILLOCK,CHARLES,B,MD,M,I,70 MEDICAL CENTER CIR,SUITE 208,FISHERSVILLE,VA,229392273,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,18,56,10042,10.02744274,7.2290440151,5.5996305517,5.6003804023
1053309229,GILLOCK,CHARLES,B,MD,M,I,70 MEDICAL CENTER CIR,SUITE 208,FISHERSVILLE,VA,229392273,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,20,22.93,9.68,6.831,7.6395
1053309286,DELEON,CLARA,T,PA-C,F,I,1750 12TH ST,,HOOD RIVER,OR,97031,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,50,65.022,8.32,5.6976,5.6976
1053309286,DELEON,CLARA,T,PA-C,F,I,1750 12TH ST,,HOOD RIVER,OR,97031,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,13.427894737,1.42,0.8842105263,0.8842105263
1053309286,DELEON,CLARA,T,PA-C,F,I,1750 12TH ST,,HOOD RIVER,OR,97031,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,53.172857143,5.9171428571,4.12,2.8971428571
1053309336,KAIMAL,PARAMESWARA,K,M.D.,M,I,501 MEDICAL CENTER DR,SUITE 250,ALEXANDRIA,LA,713018124,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,118.41482759,18.645172414,13.632068966,12.597586207
1053309336,KAIMAL,PARAMESWARA,K,M.D.,M,I,501 MEDICAL CENTER DR,SUITE 250,ALEXANDRIA,LA,713018124,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,648.94071429,78.621785714,56.817142857,50.105357143
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,35,111,58.824144144,8.32,6.3520720721,6.3520720721
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,26,32,17.6175,1.42,1.0821875,1.0821875
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,61,61,51.904590164,3.6293442623,2.7213114754,3.5483606557
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,671.70157895,79,61.94,55.488947368
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3286,0.3942604991,0.0459707851,0.0360407791,0.0360407791
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1530,1.2087189542,0.1275294118,0.092869281,0.092869281
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,19,28.03,18.75,14.7,13.1
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39,30.58,29.599166667
1053309369,CHOU,GRACE,S,M.D.,F,I,2160 APPIAN WAY,SUITE 200,PINOLE,CA,945642524,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,87.3,33,24.946071429,24.946071429
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,39,94,58.339148936,8.32,6.1042553191,6.1042553191
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.932857143,3.38,2.4607142857,2.4607142857
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,33,17.27030303,1.42,1.0812121212,1.0812121212
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,109.99,44.199166667,31.9975,28.064166667
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,3.8830769231,1.54,1.1253846154,1.0669230769
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,284.83857143,96.487857143,68.302857143,61.28
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,30,117.013,37.694333333,28.552,24.917333333
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,58.928461538,19.401538462,12.953846154,11.896923077
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,116,9.1011206897,2.310862069,1.6370689655,1.4273275862
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,72.65,17.528,13.746,10.933333333
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,31.668636364,6.3295454545,4.9595454545,4.0404545455
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,31,243.50387097,40.68483871,31.090645161,26.505483871
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,6.34,3.6490909091,2.8609090909,2.25
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,31.6,15.543636364,12.19,10.53
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,39,10120,0.430270751,0.0460563241,0.0336511858,0.0336511858
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,936,11.802297009,3.001517094,2.2171581197,2.2171581197
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,130.21,65.167272727,51.089090909,36.390909091
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,1500,1001.76,778.26192308,768.43153846
1053309419,AKHTAR,AFAQUE,,M.D.,M,I,409 WAKE CHAPEL RD,,FUQUAY VARINA,NC,275261956,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,11,47,47,64.595744681,33,25.319574468,25.319574468
1053309484,BLEGEN,MICHELLE,P,,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,34,42.657058824,8.32,6.5220588235,6.5220588235
1053309484,BLEGEN,MICHELLE,P,,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.021818182,3.38,2.65,2.65
1053309484,BLEGEN,MICHELLE,P,,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,14.939285714,1.42,1.04,1.04
1053309484,BLEGEN,MICHELLE,P,,F,I,4435 SENECA RD,,TRUMANSBURG,NY,148869201,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,50.73,6.44125,4.615,3.5129166667
1053309633,WELBOURNE,WILLIAM,P,M.D.,M,I,200 NORTH ST,SUITE 102,GENEVA,NY,144561561,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,67,74.585522388,8.32,6.1326865672,6.1326865672
1053309633,WELBOURNE,WILLIAM,P,M.D.,M,I,200 NORTH ST,SUITE 102,GENEVA,NY,144561561,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,11.826206897,1.42,1.114137931,1.114137931
1053309633,WELBOURNE,WILLIAM,P,M.D.,M,I,200 NORTH ST,SUITE 102,GENEVA,NY,144561561,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,20,86.31,17,11.997,12.212
1053309633,WELBOURNE,WILLIAM,P,M.D.,M,I,200 NORTH ST,SUITE 102,GENEVA,NY,144561561,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,39,519.51,77.18,57.514615385,53.101538462
1053309633,WELBOURNE,WILLIAM,P,M.D.,M,I,200 NORTH ST,SUITE 102,GENEVA,NY,144561561,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,959,0.9954014599,0.1334827946,0.099447341,0.099447341
1053309633,WELBOURNE,WILLIAM,P,M.D.,M,I,200 NORTH ST,SUITE 102,GENEVA,NY,144561561,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,120.35294118,33,24.348235294,24.348235294
1053309682,PALAZZO,VIRGINIA,H,M.D.,F,I,725 CONCORD AVE,SUITE 4100,CAMBRIDGE,MA,021381040,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,45,68.564888889,8.32,5.9424444444,5.9424444444
1053309732,TILLMAN,CLIFFORD,R,,M,I,107 FRONT ST,SUITE 2126,VIDALIA,LA,713732836,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,34,48.194411765,8.32,6.1379411765,6.1379411765
1053309732,TILLMAN,CLIFFORD,R,,M,I,107 FRONT ST,SUITE 2126,VIDALIA,LA,713732836,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,420,7.6128571429,3.9928571429,3.1303333333,2.4886190476
1053309732,TILLMAN,CLIFFORD,R,,M,I,107 FRONT ST,SUITE 2126,VIDALIA,LA,713732836,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,7723,0.66,0.3979412146,0.3023319953,0.2449553282
1053309732,TILLMAN,CLIFFORD,R,,M,I,107 FRONT ST,SUITE 2126,VIDALIA,LA,713732836,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,15,88.764,22.97,17.012,12.628
1053309781,FAICCO,JANET,M,F. N. P.,F,I,347 EDISON ST,,STATEN ISLAND,NY,103063034,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,57,53.525614035,8.32,6.2933333333,6.2933333333
1053309880,SEALS,EUGENE,O,MD,M,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,40,116,55.241896552,8.32,5.6227586207,5.6227586207
1053309880,SEALS,EUGENE,O,MD,M,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,25,35,15.474857143,1.42,0.924,0.924
1053309880,SEALS,EUGENE,O,MD,M,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,1.5854545455,1.5745454545,1.0725454545,1.5573246753
1053309880,SEALS,EUGENE,O,MD,M,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,5.58,5.58,3.9772727273,5.3513636364
1053309880,SEALS,EUGENE,O,MD,M,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,120.73588235,4.8729411765,3.5476470588,3.3905882353
1053309880,SEALS,EUGENE,O,MD,M,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,243.07357143,69.81,50.820714286,50.820714286
1053309880,SEALS,EUGENE,O,MD,M,I,1575 CONCENTRIC BLVD,,SAGINAW,MI,486049312,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,600,12.758966667,3.0958,2.37215,2.37215
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,61,46.676885246,8.32,5.9872131148,5.9872131148
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,21,11.025714286,7.63,5.98,6.81
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,21,15.097619048,13.8,10.82,10.82
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,35,38,11.978421053,10.93,8.3444736842,8.3444736842
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.28,7,5.488,5.488
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.752,4.03,3.1595,3.1595
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,18,531,9.8828813559,8.28,6.4216195857,6.4216195857
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,192,12.89484375,10.93,8.5691145833,8.5691145833
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,351,2.9745299145,2.4,1.8816239316,1.8816239316
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,25,94,1.7723404255,1.47,1.1540425532,1.1540425532
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,73.732419355,16.704677419,11.87516129,10.71016129
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,280.504,59.242,39.203333333,35.883333333
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,76.81,18.856666667,12.755833333,12.148333333
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,19,19,82.680526316,13.150526316,8.7478947368,7.5989473684
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,19,96,13.029791667,2.2494791667,1.6314583333,1.4628125
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,743,45.893270525,3.08,2.4146164199,2.3675908479
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,27,18269,1.4232995785,0.3098303136,0.2387372051,0.2388740489
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,89.360555556,47.838888889,35.435,34.48
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,91.541818182,47.553636364,33.893636364,33.004545455
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,15.65,9.19,7.2,6.896
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,122.41,53.137333333,38.874666667,38.268666667
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,12,40,40,158.48,51.12375,33.14925,31.33975
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,108,108,63.541759259,17.45287037,13.051203704,13.033333333
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,79.719230769,49.565384615,35.953846154,34.836923077
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1194.1241667,1047.7491667,821.04583333,841.87166667
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,58,58,25.068965517,4.4837931034,3.1667241379,3.1655172414
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,46.33,33.453333333,22.728333333
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,27,9.0866666667,6.4108333333,6.3308333333
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,34.77,15.887272727,11.357272727,11.357272727
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,21,17.747619048,12.77,10.01047619,10.01047619
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,24,48.15,29.94,23.47,22.745
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,116,116,190.23017241,70.382758621,52.815948276,52.405344828
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,60.965454545,38.45,30.14,29.485454545
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,315.99833333,159.395,124.97083333,115.76083333
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,74,74,119.76337838,37.610675676,29.484594595,26.304864865
1053309898,HAMILTON,LANCE,L,M.D.,M,I,2618 SE J ST,STE 12,BENTONVILLE,AR,727123857,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,20,77,77,119.07363636,27.768961039,14.762337662,13.63038961
1053309955,DZIUBINSKI,BARBARA,A,ARNP,F,I,9555 SEMINOLE BLVD,SUITE 104,SEMINOLE,FL,337722562,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,250,51.69,36.265833333,33.544166667
1053309955,DZIUBINSKI,BARBARA,A,ARNP,F,I,9555 SEMINOLE BLVD,SUITE 104,SEMINOLE,FL,337722562,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,20,60,51.75,38.22,38.171
1053309955,DZIUBINSKI,BARBARA,A,ARNP,F,I,9555 SEMINOLE BLVD,SUITE 104,SEMINOLE,FL,337722562,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,4209,0.2888239487,0.0450605845,0.0275029698,0.0275029698
1053309955,DZIUBINSKI,BARBARA,A,ARNP,F,I,9555 SEMINOLE BLVD,SUITE 104,SEMINOLE,FL,337722562,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,41,3300,2.2309484848,0.1327363636,0.100769697,0.100769697
1053309955,DZIUBINSKI,BARBARA,A,ARNP,F,I,9555 SEMINOLE BLVD,SUITE 104,SEMINOLE,FL,337722562,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,630,11.627142857,2.8613333333,2.2433174603,2.2433174603
1053309955,DZIUBINSKI,BARBARA,A,ARNP,F,I,9555 SEMINOLE BLVD,SUITE 104,SEMINOLE,FL,337722562,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,36.602142857,21.465714286,15.367142857,13.312857143
1053309955,DZIUBINSKI,BARBARA,A,ARNP,F,I,9555 SEMINOLE BLVD,SUITE 104,SEMINOLE,FL,337722562,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,17,52,52,65.365384615,33,24.875,24.875
1053309997,HUGHES,CHARLES,V,MD,M,I,116A JOHN DUPRE DR,,LEVELLAND,TX,79336,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,49.963333333,21.394,13.187333333,12.632
1053309997,HUGHES,CHARLES,V,MD,M,I,116A JOHN DUPRE DR,,LEVELLAND,TX,79336,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,40.050833333,31.358333333
1053309997,HUGHES,CHARLES,V,MD,M,I,116A JOHN DUPRE DR,,LEVELLAND,TX,79336,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1053309997,HUGHES,CHARLES,V,MD,M,I,116A JOHN DUPRE DR,,LEVELLAND,TX,79336,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,305.43666667,94.328,58.409333333,56.393333333
1053310045,LUSTIG,RICHARD,W,D.O.,M,I,4320 WORNALL RD,SUITE 65,KANSAS CITY,MO,641115941,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,44,61.317954545,8.32,6.5220454545,6.5220454545
1053310045,LUSTIG,RICHARD,W,D.O.,M,I,4320 WORNALL RD,SUITE 65,KANSAS CITY,MO,641115941,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,182.27545455,59.358181818,42.252727273,39.077272727
1053310045,LUSTIG,RICHARD,W,D.O.,M,I,4320 WORNALL RD,SUITE 65,KANSAS CITY,MO,641115941,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,61.723636364,14.039090909,8.99,8.5745454545
1053310045,LUSTIG,RICHARD,W,D.O.,M,I,4320 WORNALL RD,SUITE 65,KANSAS CITY,MO,641115941,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,231.256,33.718,22.194666667,19.388666667
1053310110,VAUGHT,WINSTON,W,MD,M,I,800 E CHEVES ST,STE 350,FLORENCE,SC,295062650,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1380,5.6456521739,2.04,1.4008333333,1.4008333333
1053310110,VAUGHT,WINSTON,W,MD,M,I,800 E CHEVES ST,STE 350,FLORENCE,SC,295062650,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,120,26.248,9.86,7.201,7.201
1053310268,GEFFKEN,JACK,,D.O.,M,I,530 HICKSVILLE RD,,BETHPAGE,NY,117143415,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,53,181,57.798287293,8.32,5.8013259669,5.8013259669
1053310268,GEFFKEN,JACK,,D.O.,M,I,530 HICKSVILLE RD,,BETHPAGE,NY,117143415,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,12.265,3.38,2.65,2.65
1053310268,GEFFKEN,JACK,,D.O.,M,I,530 HICKSVILLE RD,,BETHPAGE,NY,117143415,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,27,47,10.634893617,1.42,1.065106383,1.065106383
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,80,144,144,114.52465278,45.682430556,33.729722222,29.122569444
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,9,12,29,54,6.6203703704,1.9942592593,1.5657407407,1.1503703704
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,28,183,329,329,304.51021277,113.56057751,84.030364742,65.233282675
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,22,115,207,423,111.50274232,43.62106383,32.67250591,25.090260047
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,39,82,350,55.358314286,22.582571429,15.957142857,12.855571429
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,18,34,156,46.681858974,18.944230769,14.097115385,11.298974359
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,96,181,181,182.3740884,70.522541436,51.341767956,40.035082873
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,32,249,337,337,55.612047478,22.971305638,16.968041543,13.544094955
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,17,21,21,29.254285714,11.388095238,8.5538095238,7.7752380952
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,184,316,316,58.080348101,18.458037975,13.891075949,9.0063924051
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,249,471,2092,9.2132217973,2.801123327,2.0652198853,1.5099330784
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,80,107,107,21.823271028,7.3598130841,5.2471028037,4.2369158879
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,117,146,146,39.255342466,14.792876712,11.120068493,10.010342466
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,24,163,164,73.855914634,21.881097561,16.155731707,12.926707317
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,8,11,68,70,123.83357143,53.662857143,39.911285714,35.112857143
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,4233.3551064,1074.31,834.6912766,834.6912766
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,35,171,171,350.04385965,136.49701754,104.0154386,72.057602339
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,40,41,1150.6236585,318.05536585,243.07341463,164.42658537
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,1349.5953846,1012.4638462,782.73692308,782.73692308
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,87,87,87,380.09689655,187.3637931,138.22954023,104.92022989
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,,30,39,47.660512821,17.03974359,13.36,11.728717949
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,24,137,145,30.232137931,7.0652413793,5.2893793103,3.4064827586
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,117,673,680,167.02120588,50.184867647,36.794705882,24.397191176
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,60,396,408,396.55139706,101.15821078,75.503186275,53.377230392
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,76,76,186.05263158,42.773684211,33.328289474,29.310131579
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1290,18.604031008,9.5872093023,7.5163643411,7.5163643411
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,14,43,4223,1.3234690978,0.1368174284,0.1047146578,0.1047146578
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,54,3150,10.644596825,2.9883428571,2.2868730159,2.2868730159
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,146.25,25.4725,19.97,14.615833333
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,85,44.88,33.362777778,28.273888889
1053310276,BROWN,GREGORY,P,MD,M,I,601 NORLAND AVE,SUITE 100,CHAMBERSBURG,PA,172014235,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,21,86,86,70.290697674,33,25.569186047,25.569186047
1053310292,ORAY-SCHROM,PINAR,,MD,F,I,471 BARNUM AVE,,BRIDGEPORT,CT,066082409,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,86,59.036860465,8.32,5.9155813953,5.9155813953
1053310292,ORAY-SCHROM,PINAR,,MD,F,I,471 BARNUM AVE,,BRIDGEPORT,CT,066082409,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,35,15.455142857,1.42,0.9871428571,0.9871428571
1053310292,ORAY-SCHROM,PINAR,,MD,F,I,471 BARNUM AVE,,BRIDGEPORT,CT,066082409,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,3.84,2.04,1.4997013889,1.4997013889
1053310342,ABUSUWA,JAMAL,A,MD,M,I,220 ALAFAYA WOODS BLVD,STE: 1000,OVIEDO,FL,327656212,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,29,118,78.703644068,8.32,6.3111864407,6.3111864407
1053310342,ABUSUWA,JAMAL,A,MD,M,I,220 ALAFAYA WOODS BLVD,STE: 1000,OVIEDO,FL,327656212,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,30,18.631333333,1.42,1.0773333333,1.0773333333
1053310342,ABUSUWA,JAMAL,A,MD,M,I,220 ALAFAYA WOODS BLVD,STE: 1000,OVIEDO,FL,327656212,US,Physician/General Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,56.79,11.641666667,9.12,8.72
1053310367,CROCKER,RODERICK,H,MD,M,I,300 MOUNT AUBURN ST,STE 519,CAMBRIDGE,MA,021385600,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,45,13.534888889,7.46,5.8486666667,5.8486666667
1053310409,KAZIMUDDIN,MOHAMMED,,MD FACC FSCAI,M,I,825 SECOND AVE,STE B1,BOWLING GREEN,KY,42101,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,50.73,6.3786956522,4.6086956522,3.3782608696
1053310433,PARRISH,PATRICIA,M,NP,F,I,901 18TH ST E,,TIFTON,GA,317943648,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,53.833333333,8.8841666667,6.9633333333,4.16
1053310433,PARRISH,PATRICIA,M,NP,F,I,901 18TH ST E,,TIFTON,GA,317943648,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,1.2595138889,0.1354166667,0.1061944444,0.1061944444
1053310433,PARRISH,PATRICIA,M,NP,F,I,901 18TH ST E,,TIFTON,GA,317943648,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,25.87,25.87
1053310474,SIVERHUS,DAVID,J,M.D.,M,I,2500 N MAYFAIR RD,SUITE 670,MILWAUKEE,WI,532261409,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,90,64.76,50.77,46.69
1053310540,THAKER,SEJAL,A,M.D.,F,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,308,54.371428571,5.79,4.5393181818,4.2094155844
1053310540,THAKER,SEJAL,A,M.D.,F,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,495,396,310.46363636,310.46363636
1053310540,THAKER,SEJAL,A,M.D.,F,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,53.84,5.41,4.24,3.95
1053310540,THAKER,SEJAL,A,M.D.,F,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,49,52,345.69788462,77.18,57.843846154,52.499423077
1053310540,THAKER,SEJAL,A,M.D.,F,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,61.521538462,36.96,28.98,29.51
1053310540,THAKER,SEJAL,A,M.D.,F,I,3231 EUCLID AVE,SUITE 405,BERWYN,IL,604023471,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,74.912941176,36.96,27.275294118,27.782352941
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,41,75,78.475333333,8.32,5.6729333333,5.6729333333
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,24,10.38625,1.42,0.74375,0.74375
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,21,21,53.63047619,38.89,26.446190476,26.446190476
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,30,123.98666667,32.73,21.828666667,22.086333333
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,212.67,56.824375,41.860625,40.18125
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,22,22,64.232727273,18.484545455,13.852727273,13.43
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,24,134,9.3184328358,2.03,1.4491044776,1.4491044776
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,43.549230769,13.43,9.72,9.5446153846
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,34.894230769,13.623076923,10.281923077,10.316923077
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,35.8425,4.7075,3.5483333333,3.3875
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,113.695,36.445714286,25.9825,25.3725
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,577.13857143,69.81,48.866071429,48.866071429
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2100,0.2609904762,0.0476857143,0.0321047619,0.0321047619
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,88.5,19.064,14.263,13.753
1053310557,BALLARD,BROOKE,N,M.D.,F,I,4965 E LOST BRIDGE RD,,DECATUR,IL,625215139,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,93.5,33,20.121111111,20.121111111
1053310607,FERGUSON,CLIFFORD,L,M.D.,M,I,9813 HILL ST,,KENSINGTON,MD,208953136,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,967.33,758.38,842.25
1053310631,DAVIES,THOMAS,C,MD,M,I,5802 HARBOUR BLUFF TER,,MIDLOTHIAN,VA,231122014,US,Family Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.531666667
1053310631,DAVIES,THOMAS,C,MD,M,I,5802 HARBOUR BLUFF TER,,MIDLOTHIAN,VA,231122014,US,Family Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.23,55.06,54.748333333
1053310797,GLATZ,RICHARD,M,MD,M,I,700 ESSEX ST,,LAWRENCE,MA,018414396,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,43,89,78.968314607,8.32,5.4814606742,5.4814606742
1053310797,GLATZ,RICHARD,M,MD,M,I,700 ESSEX ST,,LAWRENCE,MA,018414396,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,22,33,15.725757576,1.42,1.0054545455,1.0054545455
1053310821,DAS,AKHIL,K,MD,M,I,833 CHESTNUT ST,SUITE 703,PHILADELPHIA,PA,191074414,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,12,61,10620,4.1642937853,1.95,1.5011440678,1.5699623352
1053310920,PURVIN,JAY,M,D.P.M.,M,I,336 CEDAR LN,,EAST MEADOW,NY,115542714,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,80,71.56,56.105,56.105
1053310920,PURVIN,JAY,M,D.P.M.,M,I,336 CEDAR LN,,EAST MEADOW,NY,115542714,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,45,43.56,34.151666667,34.151538462
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,74,102,8440,0.5566291469,0.44,0.3333969194,0.3333969194
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,32,48,952,29.044401261,23.66,18.549548319,18.549548319
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,41,67,2321,10.477277036,8.28,6.2144506678,6.2144506678
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,25,815,23.457239264,18.5,14.504,14.504
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,525,9.6294285714,5.95,4.6648190476,4.6648190476
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,52,74,1129,10.408786537,8.41,6.5848627104,6.5848627104
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,330,27.489090909,22.42,17.577515152,17.577515152
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,40,67,1004,14.052131474,10.93,8.4248705179,8.4248705179
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,17,20,472,1.3902118644,1.08,0.8466525424,0.8466525424
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,24,718,2.9074930362,2.4,1.8816155989,1.8816155989
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,30,60,2442,4.6162653563,3.67,2.8773218673,2.8773218673
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,41,4776,2.64,2.16,1.6827847571,1.6827847571
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,77,114,15586,0.1655492108,0.13,0.0991158732,0.0991158732
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,38,58,5088,0.5728262579,0.45,0.3486261792,0.3486261792
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,25,43,2142,2.411923436,1.97,1.5444957983,1.5444957983
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,100,1.56,1.28,0.9428,0.9428
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,13,27,296,84.180067568,25.357162162,19.463817568,18.783986486
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,13,26,207,54.094492754,8.5931884058,6.6389855072,6.3356038647
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,176.07238095,49.738571429,37.312380952,35.230952381
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,766.91333333,194.25,152.29583333,117.96833333
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,E0373,Nonpowered advanced pressure reducing mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,610.37307692,296.35923077,232.34538462,130.24269231
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,114.47,67.577272727,52.978181818,48.340909091
1053310938,STEPHENS,THAD,A,MD,M,I,4801 COLLEGE BLVD,,LEAWOOD,KS,662111628,US,Physician/Emergency Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,12,28,28,4737.7635714,622.66535714,488.16785714,485.39607143
1053310946,JAHROUMI,FIROOZEH,,M.D.,F,I,15785 LAGUNA CANYON RD,SUITE 310,IRVINE,CA,926183165,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,20,64.4125,8.32,6.525,6.525
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,47,121,280,80.361428571,8.32,5.8314642857,5.8314642857
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.166666667,3.38,2.65,2.65
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,19,44,57,17.190877193,1.42,1.0178947368,1.0178947368
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,103,103,61.114271845,16.59,12.037572816,12.525631068
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,112.42105263,44.17,28.023157895,30.825789474
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,19,131,131,19.049770992,4.24,2.9021374046,3.2096946565
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,108,108,311.54324074,67.72,47.393888889,48.870555556
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,868,1.5518778802,0.1383179724,0.0917396313,0.0917396313
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,56,17.19,12.668,13.672
1053310995,SMITH,CURTIS,A,D.O.,M,I,314 S CENTRAL AVE,,LAUREL,DE,199561525,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,62.117647059,33,18.261176471,18.261176471
1053311019,ANDERSON,PATRICK,J,DO,M,I,620 SPEAR ST,,OXFORD,PA,193631655,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,84,261,68.344482759,8.32,6.221954023,6.221954023
1053311019,ANDERSON,PATRICK,J,DO,M,I,620 SPEAR ST,,OXFORD,PA,193631655,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.981052632,3.38,2.5105263158,2.5105263158
1053311019,ANDERSON,PATRICK,J,DO,M,I,620 SPEAR ST,,OXFORD,PA,193631655,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,27,70,14.985571429,1.42,1.0982857143,1.0982857143
1053311019,ANDERSON,PATRICK,J,DO,M,I,620 SPEAR ST,,OXFORD,PA,193631655,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,53,11.160754717,2.0675471698,1.4971698113,1.4690566038
1053311019,ANDERSON,PATRICK,J,DO,M,I,620 SPEAR ST,,OXFORD,PA,193631655,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,780,10.281974359,2.9458461538,2.3096025641,2.3096025641
1053311019,ANDERSON,PATRICK,J,DO,M,I,620 SPEAR ST,,OXFORD,PA,193631655,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,33,33,25.87,25.87
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,28,47,170,47.136176471,8.3161764706,5.5986470588,5.6016470588
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,21,48,12.517291667,1.42,0.97375,0.97375
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1240,0.4825806452,0.44,0.322733871,0.322733871
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,28,28,93.308571429,39.263928571,28.621428571,28.750714286
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,1564,0.4774424552,0.4479028133,0.337640665,0.3389578005
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,13,34,34,315.13441176,88.192941176,65.159411765,65.082647059
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,33,87,130.86241379,33.801264368,25.48045977,25.10183908
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,195.86636364,57.458181818,40.403636364,38.215454545
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,24,24,60.1775,18.379166667,13.234166667,13.213333333
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,68.964545455,11.54,9.05,9.1136363636
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,39,206,9.1262621359,2.0342718447,1.5346116505,1.5441747573
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.090909091,12.841818182,9.2354545455,8.9427272727
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,103.94736842,49.451578947,31.212105263,30.285789474
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,51.237804878,18.723414634,14.344146341,13.201463415
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,48.31,32.78,32.5725
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,57,57,18.245614035,4.6321052632,3.2964912281,3.3585964912
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,170.04,33.462,25.0425,24.545
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,73,73,278.57821918,75.190821918,57.348493151,53.146986301
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,61.96,37.44,26.215,26.379
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,13.94,11.3595625,8.8638854167,8.8638854167
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2475,0.17,0.0468282828,0.0244121212,0.0244121212
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1470,0.8893197279,0.1328979592,0.0986054422,0.0986054422
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,38,2220,12.86,3.0042702703,2.231981982,2.231981982
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,93.75,30.395625,23.826875,22.139375
1053311068,BOWMAN,VERNON,D,MD,M,I,146 HWY 32-2A,,ASHDOWN,AR,71822,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,53,53,128.26415094,33,24.405660377,24.405660377
1053311134,CHOKSHI,RAKESH,P,M.D.,M,I,800 E CHEVES ST STE 480-B,,FLORENCE,SC,295062650,US,Physician/Orthopedic Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,48,89.995,8.32,5.1629166667,5.1629166667
1053311134,CHOKSHI,RAKESH,P,M.D.,M,I,800 E CHEVES ST STE 480-B,,FLORENCE,SC,295062650,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,105.82538462,57.190769231,38.440769231,31.090769231
1053311134,CHOKSHI,RAKESH,P,M.D.,M,I,800 E CHEVES ST STE 480-B,,FLORENCE,SC,295062650,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,36,37,37,4500,4378.96,3433.11,3433.11
1053311134,CHOKSHI,RAKESH,P,M.D.,M,I,800 E CHEVES ST STE 480-B,,FLORENCE,SC,295062650,US,Physician/Orthopedic Surgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,35,36,36,33.142222222,27.3,20.805555556,20.432222222
1053311134,CHOKSHI,RAKESH,P,M.D.,M,I,800 E CHEVES ST STE 480-B,,FLORENCE,SC,295062650,US,Physician/Orthopedic Surgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,293.84,249.3,184.44225806,204.76064516
1053311134,CHOKSHI,RAKESH,P,M.D.,M,I,800 E CHEVES ST STE 480-B,,FLORENCE,SC,295062650,US,Physician/Orthopedic Surgery,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,34,1565.83,1328.44,1039.8394118,884.84
1053311134,CHOKSHI,RAKESH,P,M.D.,M,I,800 E CHEVES ST STE 480-B,,FLORENCE,SC,295062650,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,35,1565.83,1319.5605714,1003.8434286,897.558
1053311183,LEWIS,TERRY,N,O.D.,M,I,14975 BYPASS ST,,CHOCTAW,OK,730208504,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,86,65.1,47.394285714,49.195714286
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,35,59,59,85.891186441,38.629491525,29.751694915,30.064237288
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,23,36,36,150.825,89.716388889,67.645,65.704444444
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,20,38,76,79.045394737,33.81,25.811710526,25.345921053
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,17,28,142,54.677183099,19.38,13.160633803,12.730492958
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,11,15,70,39.920285714,16.693142857,11.774,11.088857143
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,29,49,49,159.25897959,57.185306122,39.731020408,38.486530612
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,44,55,55,40.404727273,18.023454545,12.847454545,12.790363636
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,16,20,20,49.8955,11.865,7.221,7.108
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,47,75,379,6.0568337731,2.053298153,1.5107915567,1.5102902375
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,26,32,32,27.4465625,14.9678125,10.64625,9.498125
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,293.66882353,139.69411765,109.52,105.89058824
1053311282,WEEKS,KENNETH,D,MD,M,I,2801 RANDOLPH RD,SUITE 101,CHARLOTTE,NC,282111047,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,18,92,92,130.18717391,37.251304348,27.641086957,26.17423913
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,32,78,228,65.845833333,8.32,6.1160526316,6.1160526316
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,14.314545455,3.38,2.65,2.65
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,20,34,49,14.34877551,1.42,1.1146938776,1.1146938776
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,187,15.96144385,13.13,10.294171123,10.294171123
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,122,517.25,373.44,292.7757377,292.7757377
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,122,203.94,9.35,7.33,7.33
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,122,652.8857377,29.22,22.908606557,22.908606557
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,90.007058824,18,14.11,13.674117647
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,39.716666667,3.9059259259,3.0577777778,3.5611111111
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,65,49.012727273,38.421818182,36.480909091
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,352.485,76.536923077,57.804230769,53.952692308
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,31,6174,0.327436022,0.0458973113,0.0349983803,0.0349951409
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,48.176,21.359333333,16.742666667,13.1
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,25.93,8.275,5.7325,5.405
1053311407,KAISTHA,VIVEK,,M.D.,M,I,6703 159TH ST,103,TINLEY PARK,IL,604771781,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,33,33,23.870952381,23.870952381
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2264,0.5389664311,0.45,0.3527915194,0.3816077739
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,766,3.4722715405,2.9981201044,2.3198825065,2.6752610966
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,28,108,214,55.295654206,8.32,5.8821028037,5.8821028037
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,30,46,14.319782609,1.42,1.0184782609,1.0184782609
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,19,9.1163157895,4.1,2.8752631579,2.8752631579
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,220,12.948181818,5.74,4.3472272727,4.3472272727
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,517,25.026692456,16.703481625,13.095531915,13.096344294
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,816,19.14375,7.3686519608,5.7769485294,5.778002451
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,95,4.5410526316,4.12,3.23,3.2736842105
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,407,1.5184766585,0.27,0.1987960688,0.1987960688
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,180,13,8.41,6.5933333333,6.5933333333
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,1940,0.2717680412,0.13,0.1019020619,0.1019020619
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,23,146,10.27,7.68,5.8584246575,6.1652739726
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,27,135,4.2031111111,3.8303703704,3.0033333333,3.2043703704
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,363,7.8,3.81,2.9869972452,2.9869972452
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,1018,14.638998035,5,3.92,4.0985559921
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,444.75,59.8,46.88,48.189090909
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,1811.4666667,1069.8686667,838.77733333,842.26
1053311464,LEVENSON,ALAN,,M.D.,M,I,1270 51ST ST,,BROOKLYN,NY,112193661,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,46,126,61.00952381,8.32,5.9925396825,5.9925396825
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,27,13.132222222,1.42,1.0333333333,1.0333333333
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,113.13692308,40.553076923,31.79,30.49
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,61,62.939672131,21.033114754,16.476229508,14.831803279
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,220.20941176,62.015294118,48.617058824,44.427647059
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,16,16,73.049375,19.78375,15.508125,14.540625
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,82.390714286,13.104285714,10.272857143,9.8685714286
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,34,140,8.6301428571,2.2691428571,1.7790714286,1.6127142857
1053311548,CARPENTER,CARY,L,M.D.,M,I,15809 NE 23RD ST,,CHOCTAW,OK,730208428,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,45.664615385,13.246923077,10.384615385,10.34
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,4.4054545455,0.51,0.3636363636,0.3636363636
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,78,210,607,57.891878089,8.32,6.0275288303,6.0275288303
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,31,31,12.273548387,3.38,2.4790322581,2.4790322581
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,19,19,17.443157895,2.12,1.5821052632,1.5821052632
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,41,93,132,13.340530303,1.42,1.0646969697,1.0646969697
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,86,8.7062790698,2.0020930233,1.538372093,1.558372093
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,14,20,66.097,13.634,8.551,8.417
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,29,35,225.83428571,32.141714286,20.326857143,20.473428571
1053311555,LATIMER,ROBERT,A,M.D.,M,I,8640 SUDLEY RD,SUITE 203,MANASSAS,VA,201104420,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,57,433.82017544,84.603859649,60.578421053,52.372105263
1053311613,HUNDT,DAVID,G,MD,M,I,227 MCLAWS CIR,,WILLIAMSBURG,VA,231855649,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,22,67,180,67.422055556,8.32,6.0597777778,6.0597777778
1053311613,HUNDT,DAVID,G,MD,M,I,227 MCLAWS CIR,,WILLIAMSBURG,VA,231855649,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,23,38,12.275526316,1.42,1.0273684211,1.0273684211
1053311621,GLASER,CHRISTOPHER,C,MD,M,I,2801 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/General Surgery,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,324,9.09,4.1046296296,3.1287962963,2.344845679
1053311621,GLASER,CHRISTOPHER,C,MD,M,I,2801 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5757,0.4980719125,0.4003647733,0.3045544554,0.239233976
1053311621,GLASER,CHRISTOPHER,C,MD,M,I,2801 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,25,69,57.039565217,42.52,30.546666667,28.079130435
1053311662,RAISSI,SINA,,MD,M,I,850 STRAITS TPKE,,MIDDLEBURY,CT,067622843,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,35,75.538,8.32,5.6562857143,5.6562857143
1053311670,KERENSKY,MARCIA,M,MD,F,I,2400 SW VERMONT ST,,PORTLAND,OR,972191940,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,44,76.635,8.32,5.93,5.93
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,148.68454545,52.99,39.061818182,40.260909091
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,6.52,2.06,1.4804166667,1.4605555556
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,25,4.2523076923,2.8607692308,3.1507692308
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,152.94869565,31.009130435,21.637391304,21.84
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,222.17142857,67.72,49.307142857,50.850714286
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,14.599984848,11.554909091,8.8615,8.8615
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38.72,30.36,29.59
1053311761,PANDOLPH,STEPHEN,J,MD,M,I,1528 MARTIN ST,,STATE COLLEGE,PA,168033058,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,102.27272727,33,25.87,25.87
1053311795,MEIR-LEVI,DAVID,,D.O.,M,I,292 FRANTZ RD,SUITE 102,STROUDSBURG,PA,183608356,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,14,150,67.222666667,24.911666667,19.531,19.237666667
1053311795,MEIR-LEVI,DAVID,,D.O.,M,I,292 FRANTZ RD,SUITE 102,STROUDSBURG,PA,183608356,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,105,41,7.68,6.0213333333,6.3898095238
1053311795,MEIR-LEVI,DAVID,,D.O.,M,I,292 FRANTZ RD,SUITE 102,STROUDSBURG,PA,183608356,US,Physician/Vascular Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,217.07,46.021666667,32.080833333,33.218333333
1053311795,MEIR-LEVI,DAVID,,D.O.,M,I,292 FRANTZ RD,SUITE 102,STROUDSBURG,PA,183608356,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,4102.26,629.73230769,493.70692308,488.37846154
1053311936,DE LUCA,MICHAEL,J,MD,M,I,1733 CURIE DR,SUITE 210,EL PASO,TX,799022910,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,24,24,190.3,19.71,15.45,15.45
1053311936,DE LUCA,MICHAEL,J,MD,M,I,1733 CURIE DR,SUITE 210,EL PASO,TX,799022910,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,27,70,190.3,37.38,29.306142857,29.306142857
1053311936,DE LUCA,MICHAEL,J,MD,M,I,1733 CURIE DR,SUITE 210,EL PASO,TX,799022910,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,46.62,24.593333333,25.740833333
1053311936,DE LUCA,MICHAEL,J,MD,M,I,1733 CURIE DR,SUITE 210,EL PASO,TX,799022910,US,Physician/Internal Medicine,S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,27,233,274.58566524,5.1187124464,4.0130042918,4.0130042918
1053311944,PIROTTA,STEPHEN,S,DPM,M,I,903 SE 22ND ST,SUITE 1,BENTONVILLE,AR,727124196,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,55,55,110,79.2,71.56,52.378727273,52.378727273
1053311944,PIROTTA,STEPHEN,S,DPM,M,I,903 SE 22ND ST,SUITE 1,BENTONVILLE,AR,727124196,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,246,32,29.19,22.630853659,22.632357724
1053311944,PIROTTA,STEPHEN,S,DPM,M,I,903 SE 22ND ST,SUITE 1,BENTONVILLE,AR,727124196,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,78,68.615384615,43.56,33.750769231,33.749230769
1053311944,PIROTTA,STEPHEN,S,DPM,M,I,903 SE 22ND ST,SUITE 1,BENTONVILLE,AR,727124196,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,273,251.28,196.75454545,218.64545455
1053311944,PIROTTA,STEPHEN,S,DPM,M,I,903 SE 22ND ST,SUITE 1,BENTONVILLE,AR,727124196,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,167,163.78,124.53294118,122.76352941
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,,23,299,55.078662207,19.642608696,15.399464883,15.399464883
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,25,831,8.7742238267,2.6320577617,2.0634897714,2.0634897714
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,48,70,154,597,63.819849246,8.32,5.6741708543,5.6741708543
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,11.527142857,3.38,2.4607142857,2.4607142857
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,21,37,74,15.145675676,1.42,1.0545945946,1.0545945946
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,114.3675,55.426666667,40.033333333,39.749166667
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,103,7.052038835,2.0151456311,1.4933009709,1.5136893204
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,26,62.439230769,17.35,12.030769231,11.98
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,136.08461538,34.615384615,23.52,23.384615385
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,45,389.83977778,73,54.686444444,52.353111111
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,183.68421053,35,27.410526316,29.371578947
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,86.47,28.85,22.6125,21.925833333
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,21,119,120,274.387,250.95075,195.5495,195.67383333
1053311985,GEYER,DARREN,E,M.D.,M,I,5625 EIGER RD,SUITE 200,AUSTIN,TX,787358982,US,Physician/Family Practice,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,300.87866667,263.77733333,206.8,207.1
1053312074,JENKINS,RONALD,A,M.D.,M,I,345 DOUCET RD,SUITE 240,LAFAYETTE,LA,705033488,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,42,116,50.706982759,8.32,6.2973275862,6.2973275862
1053312074,JENKINS,RONALD,A,M.D.,M,I,345 DOUCET RD,SUITE 240,LAFAYETTE,LA,705033488,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.666666667,3.38,2.65,2.65
1053312074,JENKINS,RONALD,A,M.D.,M,I,345 DOUCET RD,SUITE 240,LAFAYETTE,LA,705033488,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,25,44,15.437954545,1.42,1.065,1.065
1053312074,JENKINS,RONALD,A,M.D.,M,I,345 DOUCET RD,SUITE 240,LAFAYETTE,LA,705033488,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,192,7.37125,2.91,2.1861979167,2.1861979167
1053312074,JENKINS,RONALD,A,M.D.,M,I,345 DOUCET RD,SUITE 240,LAFAYETTE,LA,705033488,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,396.87526316,32.021052632,23.901052632,23.428947368
1053312074,JENKINS,RONALD,A,M.D.,M,I,345 DOUCET RD,SUITE 240,LAFAYETTE,LA,705033488,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,33.203636364,20.425454545,14.285454545,13.204545455
1053312173,ARMEL,HARVEY,E,M.D.,M,I,140 CLARK STREET,,MILFORD,CT,06460,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,0.39,0.13,0.1019444444,0.1019444444
1053312173,ARMEL,HARVEY,E,M.D.,M,I,140 CLARK STREET,,MILFORD,CT,06460,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,2700,4.92,1.978,1.5507333333,1.5993333333
1053312181,HERRING,HAL,C,"OD, PA",M,I,204 IONA ST,,FAIRMONT,NC,283401616,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,73.588235294,73.588235294,57.693529412,52.81
1053312181,HERRING,HAL,C,"OD, PA",M,I,204 IONA ST,,FAIRMONT,NC,283401616,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,27,65,50.01,39.21,43.56
1053312181,HERRING,HAL,C,"OD, PA",M,I,204 IONA ST,,FAIRMONT,NC,283401616,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,17.5,17.298333333,13.5625,13.989583333
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,44,128,67.471953125,8.32,6.01234375,6.01234375
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,29,42,17.857619048,1.42,1.0095238095,1.0095238095
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,30,60,8.7648333333,1.71,1.1656666667,1.0073333333
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,84.0575,14.993333333,11.756666667,9.3133333333
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,555.22363636,82.94,64.428181818,66.734545455
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,35,205.43828571,36,28.223142857,26.312285714
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,272.435,55.62,39.975833333,39.288333333
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,98.113684211,13.08,9.7105263158,8.6994736842
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,24,142,13.679577465,2.12,1.5929577465,1.531971831
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,17,10.287647059,9.35,7.33,7.33
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,17,33.75,29.22,22.909411765,22.909411765
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,77,86.311298701,18.45,13.814675325,12.966363636
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,27,42.95962963,7.3911111111,5.6,3.6696296296
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,14.0625,9.8891666667,8.0316666667
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,26,222,232,445.78685345,86.84,64.210689655,52.356853448
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,250,40.5,31.75,29.622
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1260,16.635714286,9.5674761905,7.3088571429,7.3088571429
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,13.94,11.324466667,8.8784222222,8.8784222222
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,52,9727,0.4101891642,0.0463370001,0.0348072376,0.0348072376
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,41,4150,1.5423253012,0.135913253,0.0953975904,0.0953975904
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1053312199,SCOTT,DANIEL,J,M.D.,M,I,7889 ASTORIA RD,,MILLINGTON,TN,380532760,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,108,108,94.416666667,33,24.193240741,24.193240741
1053312223,VERHULST,JOHN,H,M.D.,M,I,606 W 11TH AVE,,COVINGTON,LA,704333630,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,12,1600,0.16,0.13,0.1019125,0.1019125
1053312256,GRAY,DAVID,,MD,M,I,14000 NICOLLET AVE STE 100,,BURNSVILLE,MN,553375793,US,Physician/Family Practice,S,E0968,"Commode seat, wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,16.353636364,12.819090909,12.927272727
1053312298,KRASNYANSKY,INNA,,M.D.,F,I,36100 EUCLID AVE,SUITE 420,WILLOUGHBY,OH,440944456,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,42,87,63.328275862,8.32,5.4713793103,5.4713793103
1053312447,ALLOJU,MANOHAR,M,M.D.,M,I,12549 GULF FWY,,HOUSTON,TX,770344509,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,56,171,59.711754386,8.32,6.1023976608,6.1023976608
1053312447,ALLOJU,MANOHAR,M,M.D.,M,I,12549 GULF FWY,,HOUSTON,TX,770344509,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,22,37,10.897027027,1.42,1.0237837838,1.0237837838
1053312496,PURDY,TIMOTHY,S,CRNP,M,I,1602 FORD AVE,,CUMBERLAND,MD,215024612,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,31,72,61.955416667,8.32,6.4308333333,6.4308333333
1053312496,PURDY,TIMOTHY,S,CRNP,M,I,1602 FORD AVE,,CUMBERLAND,MD,215024612,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,16.25,3.38,2.65,2.65
1053312496,PURDY,TIMOTHY,S,CRNP,M,I,1602 FORD AVE,,CUMBERLAND,MD,215024612,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,30,17.812,1.42,1.1163333333,1.1163333333
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,12,29,54,100.72814815,8.32,5.6753703704,5.6753703704
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,54,76.256296296,26.60037037,19.452592593,14.030925926
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,196.12625,77.1325,57.525,41.781875
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,61.294,27.408,21.484,14.653333333
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,17,17,67.432352941,22.407647059,16.974117647,9.2641176471
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,21,109,8.7339449541,3.2095412844,2.3542201835,1.4436697248
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,20.133333333,9.6825,7.59,4.9633333333
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,125,4.1061643836,3.2191506849,2.3676986301
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5036,2.3300635425,0.4056711676,0.3165190627,0.2415091342
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,108,109,62.348899083,21.858807339,16.117431193,14.143119266
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,161.545625,65.093125,50.2234375,31.13875
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,32,237,244,396.60520492,101.62877049,74.461721311,56.805327869
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3448,0.2414646172,0.04600058,0.0296548724,0.0296548724
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2280,1.8397587719,0.1341052632,0.0931929825,0.0931929825
1053312504,HICKS,TANDA,E,FNP,F,I,1551 BRICE ST,WHEATLAND MEDICAL CLINIC,WHEATLAND,WY,822013505,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,62.7,33,22.887666667,22.887666667
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,9.55,8.1414285714,6.3814285714,6.81
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,42.42,35.74,28.02,28.02
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,47,11.731276596,10.390212766,8.1440425532,8.5559574468
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,4.1,4.1,3.21,3.21
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,300,5.532,5.532,4.3372333333,4.3435
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.5709090909,9.5709090909,7.5034090909,7.5105
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,300,3.036,3.036,2.3803666667,2.3835
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,23,703,151.91203414,4.85,3.6474110953,3.9923470839
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,5472,2.4172898392,0.3,0.235191886,0.2424451754
1053312520,MCGLAUGHLIN,MICHAEL,J,MD,M,I,125 PARK AVE,,GETTYSBURG,PA,173258409,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,15,4.1683333333,3.2716666667,3.5666666667
1053312702,ASHBY,JEFFREY,A,M.D.,M,I,1831 RESERVOIR ST,,HARRISONBURG,VA,228018743,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,57,114,66.545614035,8.32,5.9497368421,5.9497368421
1053312702,ASHBY,JEFFREY,A,M.D.,M,I,1831 RESERVOIR ST,,HARRISONBURG,VA,228018743,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,13.803636364,1.42,1.12,1.12
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,18,50,112,56.968482143,8.32,5.8716071429,5.8716071429
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.005454545,3.38,2.4090909091,2.4090909091
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,26,36,12.168611111,1.42,0.96,0.96
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,17,17,80.619411765,49.516470588,37.779411765,30.146470588
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,15,54,4.9231481481,1.8666666667,1.1340740741,0.8533333333
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,265.824,119.46066667,78.589333333,57.066666667
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,90.385454545,45.823181818,35.925454545,27.97
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,49,55.425306122,25.675714286,18.574081633,13.360816327
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,168.01818182,77.441818182,60.713636364,45.188181818
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,26,116,7.4786206897,3.1651724138,2.3293103448,1.5956896552
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,45,22.354375,11.64,8.8325
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,45,7.5744,5.3552,3.1536
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,123.33333333,43.642777778,20.995,12.211666667
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,125,60.15,33.833571429,23.652142857
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,71,71,344.01408451,98.531549296,71.793661972,52.40943662
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,32.344166667,27.6525
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,75,23.723636364,16.339393939,11.972727273
1053312819,WOLFE,LARRY,E,M.D.,M,I,2974 BAKER HWY,,HUNTSVILLE,TN,377563806,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,96,33,16.870909091,16.870909091
1053312827,MYERS,DALE,R,MD,M,I,721 SHERIDAN AVE,SUITE 220,CODY,WY,824143423,US,Physician/Obstetrics & Gynecology,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,45.487272727,35.659090909,35.659090909
1053312900,STEPHENSON,JEFFREY,A,MD,M,I,500 W BROADWAY ST,,MISSOULA,MT,598024008,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6165,0.5708791565,0.4091970803,0.3208126521,0.2464736415
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,6.4509090909,0.51,0.4,0.4
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,58,160,516,46.729651163,8.32,6.108624031,6.108624031
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,29,50,51,14.274509804,3.38,2.5950980392,2.5950980392
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,25,29,29,20.148275862,2.12,1.6124137931,1.6124137931
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,45,109,189,13.011640212,1.42,1.0377248677,1.0377248677
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,173.943125,50.53875,35.138125,34.796875
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,200,50.383529412,37.384705882,36.772352941
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,39.9504,5.18,3.8976,3.2448
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,110,50.313333333,39.4425,38.945833333
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,311.64892857,79.88,56.141428571,49.622857143
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,4788,0.2602255639,0.0467648287,0.0314933166,0.0314933166
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24,7.41,4.45,5.0916666667
1053312983,SHARP,WILLIAM,C,MD,M,I,21700 NORTHWESTERN HWY,600,SOUTHFIELD,MI,480754906,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,61.96,35.63,27.93,29.417058824
1053313023,SCHRECK,STEPHEN,J,M.D.,M,I,10021 DUPONT CIRCLE CT,,FORT WAYNE,IN,468251604,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,113.43095238,41.450952381,31.046190476,29.192857143
1053313023,SCHRECK,STEPHEN,J,M.D.,M,I,10021 DUPONT CIRCLE CT,,FORT WAYNE,IN,468251604,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,23,171.59652174,37.636086957,28.26,25.683043478
1053313023,SCHRECK,STEPHEN,J,M.D.,M,I,10021 DUPONT CIRCLE CT,,FORT WAYNE,IN,468251604,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,39,58.92,15.17,9.1476923077,9.1476923077
1053313023,SCHRECK,STEPHEN,J,M.D.,M,I,10021 DUPONT CIRCLE CT,,FORT WAYNE,IN,468251604,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,60.100769231,19.134615385,13.917692308,13.105384615
1053313023,SCHRECK,STEPHEN,J,M.D.,M,I,10021 DUPONT CIRCLE CT,,FORT WAYNE,IN,468251604,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,41,126,7.6476190476,2.2419047619,1.5538888889,1.4154761905
1053313023,SCHRECK,STEPHEN,J,M.D.,M,I,10021 DUPONT CIRCLE CT,,FORT WAYNE,IN,468251604,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,143.70757576,36.623030303,24.1,19.977575758
1053313056,STANTON,THADDEUS,M,M.D.,M,I,525 WESTERN AVE,SUITE 203,CONWAY,AR,720344967,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10,9.86,7.73,7.73
1053313056,STANTON,THADDEUS,M,M.D.,M,I,525 WESTERN AVE,SUITE 203,CONWAY,AR,720344967,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,35,58.205142857,36.993142857,28.19,29.756857143
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,21,69.422857143,8.32,6.5223809524,6.5223809524
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,644,9.1998602484,4.98,3.9043322981,4.1509627329
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,6308,0.6729343691,0.3,0.2296131896,0.23700539
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,13,13,67.303846154,60.57,43.836923077,44.693076923
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,27,69.471111111,15.084444444,11.338148148,13.05037037
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,6.505,5.1,3.8333333333,3.7895833333
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,302.255,71.11,53.427083333,52.449583333
1053313270,TRAN,KY,,M.D.,M,I,4332 KATELLA AVE,,LOS ALAMITOS,CA,907203564,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1053313338,NICHOLSON,LARRY,L,O.D.,M,I,19870 MAIN E ST,,HUNTINGDON,TN,383443927,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,67.096470588,67.096470588,52.603529412,51.365294118
1053313338,NICHOLSON,LARRY,L,O.D.,M,I,19870 MAIN E ST,,HUNTINGDON,TN,383443927,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,29,26.051724138,26.051724138,20.426551724,30.502413793
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,54,160,373,65.332949062,8.3122788204,5.7218766756,5.7279088472
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,12.89,3.38,2.484375,2.484375
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,27,58,78,22.243461538,1.42,0.9443589744,0.9443589744
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,80.053181818,71.56,45.904090909,45.904090909
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,62,31.100645161,29.173225806,21.863387097,21.878225806
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,13,35,69,5.2473913043,2.091884058,1.4389855072,1.0037681159
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,318.69285714,124.26,82.139285714,59.614285714
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,213.30727273,73.356363636,57.510909091,42.86
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,22,22,59.772727273,25.281818182,19.816818182,14.464545455
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,20,20,57.502,20.769,16.282,10.3245
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,28,104,9.6656730769,3.0521153846,2.3596153846,1.67625
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,20.54625,9.15875,7.18,4.915
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,18,111,111,63.014144144,22.171351351,15.768018018,12.067297297
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,50.023333333,42.761666667
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,58.912173913,8.5093478261,5.5782608696,3.2019565217
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,13.335,10.4575,9.1666666667
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,24,51.5,12.775833333,10.019166667,8.605
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,477.12,216.3725,169.63,169.63
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,21,140,140,448.46807143,100.465,71.247785714,47.709785714
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,251.57,45.274615385,32.97,27.796923077
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,41,11046,0.4025674452,0.0460383849,0.0324044903,0.0324044903
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,23,131,16860,1.7539744958,0.1344946619,0.0935474496,0.0935474496
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,80,4470,10.131299776,3.0004228188,2.2221834452,2.2221834452
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1554,2.5056499356,0.2192728443,0.1603667954,0.1603667954
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,27.1525,19.6875,12.371666667
1053313361,KLAASSEN,PAUL,A,M.D.,M,I,510 W RADIO LN,,ARKANSAS CITY,KS,670054011,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,27,181,181,49.408839779,33,23.798342541,23.798342541
1053313395,POMEROY,GREGORY,C,M.D.,M,I,117 AUBURN ST,,PORTLAND,ME,041036003,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,402,329.36833333,258.22333333,218.89
1053313452,KNOWLES,PATRICK,M,MD,M,I,5040 N 15TH AVE,SUITE 202,PHOENIX,AZ,850153328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,24,54,155,76.295612903,8.32,6.1434193548,6.1434193548
1053313452,KNOWLES,PATRICK,M,MD,M,I,5040 N 15TH AVE,SUITE 202,PHOENIX,AZ,850153328,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,22,26,13.681538462,1.42,1.0738461538,1.0738461538
1053313452,KNOWLES,PATRICK,M,MD,M,I,5040 N 15TH AVE,SUITE 202,PHOENIX,AZ,850153328,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,5.5,2.04,1.5157777778,1.5157777778
1053313478,CAMPENNI,MICHAEL,A,D.O.,M,I,670 S RIVER ST STE 301,,PLAINS,PA,187051032,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,11,1500,3.465,1.95,1.43926,1.5004066667
1053313478,CAMPENNI,MICHAEL,A,D.O.,M,I,670 S RIVER ST STE 301,,PLAINS,PA,187051032,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,36,9.3177777778,7.4566666667,5.5216666667,5.5244444444
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,37,124,249,53.245903614,8.32,5.1500803213,5.1500803213
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,13.706,3.38,2.12,2.12
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,17.333636364,2.12,1.3663636364,1.3663636364
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,28,60,80,16.37225,1.42,0.823,0.823
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A4322,"Irrigation syringe, bulb or piston, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,26,182,4.2024725275,3.2903846154,2.5797252747,2.6151098901
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,660,3.2327272727,1.73,0.968530303,1.2253484848
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,28,77.322142857,71.56,47.743928571,47.743928571
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,84,33.95,29.19,22.512857143,22.514404762
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,182,14.012032967,8.8284615385,6.9218131868,4.3981318681
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,3720,2.3374193548,1.6266129032,1.2752580645,1.074983871
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,46.470769231,22.666923077,15.928461538,12.723076923
1053313577,SLONE,KENNETH,M,MD,M,I,"59 COWTOWN RD.,",UK JUNE BUCHANAN CLINIC,HINDMAN,KY,41822,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,235.596,98.85,67.832,49.868
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,31,71,209,52.731004785,8.32,6.2710526316,6.2710526316
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,23,23,15.529565217,3.38,2.5347826087,2.5347826087
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,19.308,2.12,1.5586666667,1.5586666667
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,20,41,76,14.288552632,1.42,1.0714473684,1.0714473684
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,94.083076923,48.968461538,35.796923077,29.059230769
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,30,80,3.67875,1.854,1.421875,1.1735
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,,26,60,1.02,0.6366666667,0.4911666667,0.427
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,44,45.867272727,19.732727273,13.380681818,10.000681818
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,159.415,81.507142857,63.899285714,42.86
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,23,23,51.056521739,24.55,18.56826087,14.113913043
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,92,8.0861956522,3.0497826087,2.2757608696,1.5189130435
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,16.351333333,8.0853333333,6.3433333333,4.848
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,171.29,75.124545455,58.899090909,42.418181818
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,57,61,53.994262295,22.387704918,16.179836066,12.372295082
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,181.26433333,49.693333333,33.577,23.736
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,24,10.941111111,8.1916666667,6.3283333333
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,71,75,301.6564,102.09626667,73.6996,49.3944
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,3391,1.4476378649,0.1349572398,0.1058124447,0.1058124447
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,599.5,214.1,167.85,125.7747619
1053313635,CAMPBELL,GEORGE,W,MD,M,I,111 W MAIN ST,,WESTMINSTER,SC,296931668,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,33,33,25.306333333,25.306333333
1053313759,ROBERTS,WILLIAM,L,M.D.,M,I,"NAVAL HOSPITAL, CAMP PENDLETON","BLDG H100, SANTA MARGARITA ROAD",CAMP PENDLETON,CA,92055,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,31.965454545,12.423636364,3.9063636364,3.9290909091
1053313775,SHAH,PARTHIV,,M.D.,M,I,1790 NATIONS DR,SUITE 102,GURNEE,IL,600319164,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,14,30.513571429,5.9878571429,4.105,3.2385714286
1053313858,CASTILLO-POWELL,MARIA,,P.A.-C.,F,I,7473-C HWY 22,,WHISPERING PINES,NC,283278514,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.94,7.2181818182,4.5563636364,2.4581818182
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,26,26,111.36269231,37.934615385,29.735769231,30.850384615
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,6.535,1.51,1.1829166667,1.1520833333
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,32,67,67,204.87597015,90.370597015,65.428208955,62.654477612
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,31,65,138,78.711521739,34.776956522,25.49442029,24.262246377
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,18,34,146,58.972534247,19.636369863,14.352808219,13.817123288
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,14,23,111,37.295855856,16,11.372612613,10.781261261
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,31,55,55,164.49963636,58.122545455,40.801636364,39.288
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,57,72,72,46.310416667,17.661666667,12.204444444,12.610416667
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,46,87,87,47.894827586,12.908275862,9.1744827586,8.3828735632
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,60,115,632,7.0453955696,2.2502373418,1.6205063291,1.4806487342
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,31,40,40,18.549,6.20725,4.1845,3.99575
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,32,36,36,29.370555556,13.1025,9.4886111111,9.5519444444
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,26,184,186,77.335967742,17.616451613,12.730860215,12.503064516
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,,44,51,140.55,54.335294118,38.018431373,33.602352941
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,264.67272727,91.760606061,71.901818182,67.558181818
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,13,13,310.30923077,154.08,120.80076923,117.23076923
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,34,34,51.835588235,7.6788235294,5.8829411765,3.9358823529
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,24,88,89,110.82696629,35.406516854,26.467191011,25.910786517
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,54,395,397,345.47891688,76.385994962,56.159546599,51.88861461
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,127,127,157.88188976,36.520787402,27.509448819,28.359448819
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,56,3546,18.086043429,9.659357022,7.4987337845,7.4987337845
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,22.2015,11.2095,8.7673055556,8.7673055556
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,31,7029,0.2254445867,0.0471475317,0.0359837815,0.0359809361
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,14,60,6590,1.5271623672,0.1388133536,0.1071881639,0.1071881639
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,80,4485,10.233832776,3.0693154961,2.3642742475,2.3642742475
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,1215,1.1488888889,0.2191769547,0.171909465,0.171909465
1053313882,OSAFO-MENSAH,KWAKU,A,MD,M,I,2550 RIVER PARK DR,SUITE 100,FORT WORTH,TX,761160921,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,22,120,120,61.73125,33,25.654416667,25.654416667
1053313957,WILSON,EDWINA,C,MD,F,I,833 BUFFALO ST,SUITE 200,FARMVILLE,VA,239011111,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,22,68,194,53.684020619,8.32,5.9381443299,5.9381443299
1053313957,WILSON,EDWINA,C,MD,F,I,833 BUFFALO ST,SUITE 200,FARMVILLE,VA,239011111,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,27,27,15.705925926,3.38,2.4866666667,2.4866666667
1053313957,WILSON,EDWINA,C,MD,F,I,833 BUFFALO ST,SUITE 200,FARMVILLE,VA,239011111,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,19,49,84,16.613809524,1.42,1.0352380952,1.0352380952
1053313957,WILSON,EDWINA,C,MD,F,I,833 BUFFALO ST,SUITE 200,FARMVILLE,VA,239011111,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,53.533636364,19.897272727,15.596363636,9.12
1053313957,WILSON,EDWINA,C,MD,F,I,833 BUFFALO ST,SUITE 200,FARMVILLE,VA,239011111,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,89,8.9520224719,2.9359550562,2.3021348315,1.6164044944
1053313957,WILSON,EDWINA,C,MD,F,I,833 BUFFALO ST,SUITE 200,FARMVILLE,VA,239011111,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,29,519.51,98.070344828,72.417586207,58.985862069
1053314062,MANN,RICHARD,,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,191.30181818,67.963636364,49,38.963636364
1053314062,MANN,RICHARD,,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,50,8.4112,2.9208,1.8654,1.2104
1053314062,MANN,RICHARD,,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,67.834482759,22.290689655,16.649310345,13.375862069
1053314062,MANN,RICHARD,,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,90,56.391666667,40.775,35.606666667
1053314062,MANN,RICHARD,,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,3482.6552381,1074.31,842.26,842.26
1053314062,MANN,RICHARD,,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,27.091538462,6.3592307692,4.7061538462,3.4092307692
1053314062,MANN,RICHARD,,MD,M,I,1850 W ARLINGTON BLVD,,GREENVILLE,NC,278345704,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,62,62,482.29354839,98.120645161,69.648064516,49.897419355
1053314088,BROWN,DAVID,A,MD,M,I,2820 NAPOLEON AVE,STE 990,NEW ORLEANS,LA,701158220,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,32,100,53.7239,8.32,5.3476,5.3476
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,40,114,353,73.255864023,8.32,5.7254957507,5.7254957507
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.086153846,3.38,2.4461538462,2.4461538462
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,22,52,87,17.713333333,1.42,1.0004597701,1.0004597701
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.253,4.03,3.1595416667,3.1595416667
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,254.24,52.667647059,41.292352941,40.3
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,35.019230769,6.7484615385,4.4907692308,3.1292307692
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,86.84,56.733333333,45.608333333
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,129,40.5,31.75,29.713636364
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1582,1.3269405815,0.1349683944,0.0972503161,0.0972503161
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,80.911666667,22.458333333,17.60375,14.335416667
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,36.6,11.043333333,8.2857142857,6.7314285714
1053314104,UNGAB,RAMON,T,M.D.,M,I,2851 STAGE CENTER DR,,BARTLETT,TN,381344679,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.518181818,23.518181818
1053314278,KUNS,BRETT,R,D.O.,M,I,101 S WASHINGTON ST,,CASTALIA,OH,448249262,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,32,70,60.014,8.32,6.243,6.243
1053314278,KUNS,BRETT,R,D.O.,M,I,101 S WASHINGTON ST,,CASTALIA,OH,448249262,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,16,13.155,1.42,1.045,1.045
1053314278,KUNS,BRETT,R,D.O.,M,I,101 S WASHINGTON ST,,CASTALIA,OH,448249262,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,15,8.2603225806,5.8487096774,3.2451612903
1053314278,KUNS,BRETT,R,D.O.,M,I,101 S WASHINGTON ST,,CASTALIA,OH,448249262,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,2421,0.4377860388,0.0455472945,0.0318546055,0.0318546055
1053314278,KUNS,BRETT,R,D.O.,M,I,101 S WASHINGTON ST,,CASTALIA,OH,448249262,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,33,33,22.826470588,22.826470588
1053314302,MARTIN,JAMES,P,D.O.,M,I,1619 CREIGHTON RD STE 1,,PENSACOLA,FL,325047152,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,2070,4.4340048309,0.5709710145,0.447647343,0.447647343
1053314302,MARTIN,JAMES,P,D.O.,M,I,1619 CREIGHTON RD STE 1,,PENSACOLA,FL,325047152,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,30,4602,2.5610321599,1.3870252064,1.0442633638,1.0442633638
1053314302,MARTIN,JAMES,P,D.O.,M,I,1619 CREIGHTON RD STE 1,,PENSACOLA,FL,325047152,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,27,27,24,24,18.142222222,18.142222222
1053314302,MARTIN,JAMES,P,D.O.,M,I,1619 CREIGHTON RD STE 1,,PENSACOLA,FL,325047152,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,31,33,16,16,12.540606061,12.540606061
1053314385,MEIS,RYAN,C,MD,M,I,575 N SIOUX POINT RD,,DAKOTA DUNES,SD,570495312,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,246,124.96466667,97.972666667,90.389333333
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,62,93.217258065,8.32,5.8909677419,5.8909677419
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,70.088181818,12.617272727,9.0863636364,8.3227272727
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,84,9.6226190476,2.1164285714,1.5475,1.478452381
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,34,104.01558824,17,12.153823529,12.306470588
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,837.36833333,837.36833333
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,563.51166667,31.138333333,23.024444444,23.290555556
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,59,587.76762712,76.505084746,57.778305085,55.651186441
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,77.45,35.13,22.532727273,24.591818182
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3150,0.17,0.0466222222,0.0339174603,0.0339174603
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,0.75,0.2191428571,0.1595873016,0.1595873016
1053314393,STOUT,KEITH,B,M. D.,M,I,3480 COLLEGE ST,,BEAUMONT,TX,777014612,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,23.714166667,23.714166667
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,61,146,75.763972603,8.32,5.6732876712,5.6732876712
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,11.563636364,3.38,2.4090909091,2.4090909091
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,28,31,14.040967742,1.42,0.9380645161,0.9380645161
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,440,4.91,4.91,3.6745227273,3.6745227273
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,1100,0.27,0.27,0.2052181818,0.2052181818
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,625,0.27,0.27,0.2116,0.2116
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,432.65041667,84,60.371666667,62.393333333
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,25,71,166.2228169,32,22.967042254,23.814788732
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,15,15,71.770666667,17,13.016666667,13.698
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,26,26,66.009230769,11.37,8.92,9.1219230769
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,30,180,9.8042777778,2,1.5346666667,1.558
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,390,3,3,2.352,2.3676923077
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,8029,1.0069846805,0.2976460331,0.2208818035,0.230254079
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,16,122.305,44.666875,32.818125,33.763125
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,61.35,47.9275,29.715,28.991666667
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,57.385882353,17,11.761764706,11.977647059
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,33,50.73,3.9927272727,3.0436363636,3.6712121212
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,52,54,137.60666667,31.474259259,23.198703704,22.952777778
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,150,4.72,3.1307692308,3.3784615385
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,443.101,73,52.93775,50.87525
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,17,228.82352941,35.13,24.3,25.516470588
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1670,0.3029101796,0.0463832335,0.0308622754,0.0308622754
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1170,2.0172307692,0.1333333333,0.1045299145,0.1045299145
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,19.95,14.96,10.663636364,12.064545455
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,19,8.68,6.8526315789,4.8389473684,5.9173684211
1053314401,ANWAR,SYED,I,M.D.,M,I,3570 COLLEGE ST,SUITE 200,BEAUMONT,TX,777014683,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,71.739130435,33,24.745217391,24.745217391
1053314443,FULLER,JONATHAN,E,M.D.,M,I,13616 CALIFORNIA ST,STE 100,OMAHA,NE,681545335,US,Physician/Orthopedic Surgery,S,L0626,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,165,75.29,48.2675,48.1525
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,280.134,89.748,63.289,61.056
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,47,92.967021277,34.94893617,26.550425532,25.067446809
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,92,53.865108696,19.51826087,15.196521739,14.493586957
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,150.696,56.194666667,44.058666667,42.942666667
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,55.113529412,16.921764706,13.265294118,14.06
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,33,33,51.033333333,12,8.8396969697,8.5760606061
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,34,194,8.0075257732,2,1.4713402062,1.4943298969
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,20.563076923,6.2276923077,4.5030769231,4.2923076923
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,31.204615385,12.446923077,9.0023076923,9.5984615385
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,30.866363636,14.41,11.3,10.554545455
1053314450,SHANMUGHAM,SAMPATHKUMAR,,M.D.,M,I,755 STIRLING CENTER PL,,LAKE MARY,FL,327465714,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,96.307272727,36.830909091,27.363636364,25.68
1053314724,PORCH-CURREN,CRISTINA,N,M.D.,F,I,2412 N PONDEROSA DR,STE B111,CAMARILLO,CA,930102379,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,105,19.71,15.4525,15.4525
1053314724,PORCH-CURREN,CRISTINA,N,M.D.,F,I,2412 N PONDEROSA DR,STE B111,CAMARILLO,CA,930102379,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,7280,63.70754533,9.844,7.7176909341,7.7176909341
1053314724,PORCH-CURREN,CRISTINA,N,M.D.,F,I,2412 N PONDEROSA DR,STE B111,CAMARILLO,CA,930102379,US,Physician/Allergy/ Immunology,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,870,1.7948850575,0.0822758621,0.0645057471,0.0645057471
1053314724,PORCH-CURREN,CRISTINA,N,M.D.,F,I,2412 N PONDEROSA DR,STE B111,CAMARILLO,CA,930102379,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,96,50,2.64,2.07,2.07
1053314724,PORCH-CURREN,CRISTINA,N,M.D.,F,I,2412 N PONDEROSA DR,STE B111,CAMARILLO,CA,930102379,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,15,15,33,33,25.87,25.87
1053314815,HANNON,DENNIS,M,M.D.,M,I,3300 OLNEY SANDY SPRING RD,SUITE 330,OLNEY,MD,208321494,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,32,84.3075,8.32,5.70625,5.70625
1053314849,MOORE,R,K,MD,M,I,2831 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/Orthopedic Surgery,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,73.935,49.822857143,30.235,27.976428571
1053314849,MOORE,R,K,MD,M,I,2831 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,110.83,53.506666667,38.843333333,33.421666667
1053314849,MOORE,R,K,MD,M,I,2831 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,75,75,58.8,77.86
1053314849,MOORE,R,K,MD,M,I,2831 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,15,108,107.49466667,84.274,86.910666667
1053314849,MOORE,R,K,MD,M,I,2831 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,63,63,49.39,119.75
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,32,131,318,56.588207547,8.32,5.8272641509,5.8272641509
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,15,3.38,2.5627777778,2.5627777778
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,21,48,14.740833333,1.42,1.1152083333,1.1152083333
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,1,11,13,13,82.53,18.652307692,13.089230769,7.68
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,29,189.42,45.749310345,32.770344828,22.915517241
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,305.61818182,77.441818182,41.632727273,27.274545455
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,91.015,26.601428571,19.227857143,13.816428571
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,104.07,21.3125,15.346875,9.324375
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,23,112,13.92,3.1573214286,2.2859821429,1.5675
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,37,37,381.36,71.550810811,54.018648649,38.97027027
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,16,122,122,86.31,21.835737705,15.379098361,12.026721311
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,23,23,232.35,59.796086957,41.499130435,33.302173913
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,81.75,16.172307692,10.897307692,8.4776923077
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,12,70,72,60.121111111,8.1873611111,5.9663888889,3.5716666667
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,257.82,48.7053125,34.145,21.185625
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,33,238,240,519.51,102.10395833,75.556125,52.639916667
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,66,66,250,45.444545455,34.316363636,28.730757576
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1372,0.2663411079,0.0455247813,0.0356559767,0.0356559767
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,16,63,6390,1.0803881064,0.1344131455,0.088198748,0.088198748
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,12.86,3.0211111111,2.2357314815,2.2357314815
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,34,146.25,29.756764706,22.91,14.677647059
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,359.75,251.11,196.87,196.87
1053314864,SECREST,ALVIN,J,MD,M,I,701 LEWISTON ST,,COTTONWOOD,ID,835229750,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,22,85,85,121.97647059,33,23.739529412,23.739529412
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,13,47,90,33.168555556,8.272,6.1932222222,6.2308888889
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,36.643636364,28.46,22.31,22.31
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,9.9209090909,8.8081818182,6.9063636364,8.5563636364
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,228.30769231,118.98,87.484615385,62.627692308
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,49,42.658367347,26.368367347,19.692040816,17.12244898
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,13,21,21,185.9047619,79.562857143,55.641428571,40.395714286
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,23,31,31,46.387096774,25.58483871,17.541290323,12.366451613
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,32,32,56.625,21.735625,16.0515625,8.915
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,34,189,6.1306349206,3.1152380952,2.123968254,1.3831746032
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,18,18,17.783333333,8.825,6.0638888889,4.2933333333
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,256.6,136.3975,106.828125,70.4325
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,12,61,61,31.79147541,20.027868852,15.338032787,10.582131148
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,18.39,7.5176923077,5.6130769231,3.6676923077
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,128.17309524,62.142619048,47.076190476,29.745952381
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,95,95,225.65547368,98.612,71.493157895,50.666210526
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,135.97448276,44.423793103,32.564482759,27.842068966
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,39,7431,0.1489140089,0.0464257839,0.0341367245,0.0341367245
1053314971,PENNER,TIMOTHY,M,M.D.,M,I,609 LIBERTY ST,,CLAY CENTER,KS,674321564,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,41,41,33,33,23.977073171,23.977073171
1053314989,YEE,LAURENCE,F,M.D.,M,I,3838 CALIFORNIA ST,RM 616,SAN FRANCISCO,CA,941181508,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,420,9.5115238095,5.74,4.1584285714,4.1584285714
1053314989,YEE,LAURENCE,F,M.D.,M,I,3838 CALIFORNIA ST,RM 616,SAN FRANCISCO,CA,941181508,US,Physician/General Surgery,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,370,22.144297297,10.81,8.4751081081,8.4751081081
1053314989,YEE,LAURENCE,F,M.D.,M,I,3838 CALIFORNIA ST,RM 616,SAN FRANCISCO,CA,941181508,US,Physician/General Surgery,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,660,7.4090909091,3.1,2.4303333333,2.4303333333
1053314989,YEE,LAURENCE,F,M.D.,M,I,3838 CALIFORNIA ST,RM 616,SAN FRANCISCO,CA,941181508,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,600,0.5059833333,0.268,0.21005,0.2116166667
1053314997,DUFFEY,RICHARD,J,M.D.,M,I,2880 DAUPHIN ST,,MOBILE,AL,366062457,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,77.140588235,77.140588235,60.473529412,53.642352941
1053315036,GOODGLICK,TODD,A,MD,M,I,5454 WISCONSIN AVE,STE 950,CHEVY CHASE,MD,208156912,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,21,21,81.885714286,78.48,56.755714286,46.993809524
1053315077,REBMAN,JEFFREY,A,MD,M,I,1401 JOHNSTON WILLIS DR,SUITE 4500,RICHMOND,VA,232354730,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,35,5510,4.8638656987,1.83,1.3832413793,1.5236660617
1053315085,PRIOR,JOHN,E,D.O.,M,I,802 JEFFERSON AVE,,SCRANTON,PA,185101038,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,27,92.242962963,8.32,6.5218518519,6.5218518519
1053315085,PRIOR,JOHN,E,D.O.,M,I,802 JEFFERSON AVE,,SCRANTON,PA,185101038,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,51,5760,4.4578385417,0.5642916667,0.4279583333,0.4279583333
1053315085,PRIOR,JOHN,E,D.O.,M,I,802 JEFFERSON AVE,,SCRANTON,PA,185101038,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,2820,3.7626631206,1.2234716312,0.9441347518,0.9441347518
1053315085,PRIOR,JOHN,E,D.O.,M,I,802 JEFFERSON AVE,,SCRANTON,PA,185101038,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,52,52,24,24,18.458076923,18.458076923
1053315085,PRIOR,JOHN,E,D.O.,M,I,802 JEFFERSON AVE,,SCRANTON,PA,185101038,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,39,16,16,12.218974359,12.218974359
1053315390,FEDERICI,ROBERT,E,MD,M,I,201 CEDAR ST SE,SUITE 7600,ALBUQUERQUE,NM,871064917,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,89.847272727,17.940909091,14.063636364,13.583636364
1053315390,FEDERICI,ROBERT,E,MD,M,I,201 CEDAR ST SE,SUITE 7600,ALBUQUERQUE,NM,871064917,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,363.75,77.435,53.704166667,48.500416667
1053315432,SALVITTI DAVIS,JENNIFER,,M.D,F,I,750 E BEAU ST,,WASHINGTON,PA,153016661,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,65.417647059,58.983529412,46.241764706,49.895882353
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,6.7083333333,0.51,0.3666666667,0.3666666667
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,36,114,415,59.777951807,8.32,5.8859518072,5.8859518072
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,16,51,51,14.570980392,3.38,2.4941176471,2.4941176471
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,12,14,14,23.395714286,2.12,1.67,1.67
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,42,74,14.398783784,1.42,1.0378378378,1.0378378378
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,16.08,12.6,13.53
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,16,234.759375,30.2775,22.29,22.414375
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,77.18,60.51,54.72
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,3686,0.4110309278,0.0448643516,0.0351899078,0.0351817689
1053315523,LABRICCIOSA,JOSEPH,,DO,M,I,1999 SPROUL RD,STE 21,BROOMALL,PA,190083508,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,40.2,33,25.87,25.87
1053315531,FORD,PAUL,W,M.D.,M,I,870 S GOVERNORS AVE,,DOVER,DE,199044108,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,40,89,302,73.715033113,8.32,5.1830463576,5.1830463576
1053315531,FORD,PAUL,W,M.D.,M,I,870 S GOVERNORS AVE,,DOVER,DE,199044108,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.38375,3.38,2.65,2.65
1053315531,FORD,PAUL,W,M.D.,M,I,870 S GOVERNORS AVE,,DOVER,DE,199044108,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,29,66,97,14.945876289,1.42,0.9548453608,0.9548453608
1053315531,FORD,PAUL,W,M.D.,M,I,870 S GOVERNORS AVE,,DOVER,DE,199044108,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,497.24,68.818461538,53.960769231,55.465384615
1053315531,FORD,PAUL,W,M.D.,M,I,870 S GOVERNORS AVE,,DOVER,DE,199044108,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,80.385,16.877272727,13.231818182,14.242272727
1053315549,FREM,GEORGE,J,MD,M,I,88 OSBORNE ST,,JOHNSTOWN,PA,159054146,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.101,0.013,0.0092833333,0.0092833333
1053315549,FREM,GEORGE,J,MD,M,I,88 OSBORNE ST,,JOHNSTOWN,PA,159054146,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,3.7057222222,0.7405,0.5579212963,0.5579166667
1053315549,FREM,GEORGE,J,MD,M,I,88 OSBORNE ST,,JOHNSTOWN,PA,159054146,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,34,16,16,12.171176471,12.171176471
1053315598,HEATH,TIMOTHY,R,MD,M,I,5423 S MCCOLL RD,,EDINBURG,TX,785399183,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1304,11.632361963,7.87,6.1700843558,6.1779141104
1053315598,HEATH,TIMOTHY,R,MD,M,I,5423 S MCCOLL RD,,EDINBURG,TX,785399183,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,10.25,2.91,2.28125,2.28125
1053315598,HEATH,TIMOTHY,R,MD,M,I,5423 S MCCOLL RD,,EDINBURG,TX,785399183,US,Physician/Internal Medicine,S,A4397,"Irrigation supply; sleeve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,22.59,5.39,4.226,4.226
1053315598,HEATH,TIMOTHY,R,MD,M,I,5423 S MCCOLL RD,,EDINBURG,TX,785399183,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,21.31,3.97,3.1123333333,3.1123333333
1053315598,HEATH,TIMOTHY,R,MD,M,I,5423 S MCCOLL RD,,EDINBURG,TX,785399183,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.795,0.27,0.2116,0.2116
1053315606,SCHILLER,CARL,,MD,M,I,100 E MAIN ST,STE 201,ASPEN,CO,816111778,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,459.608,106.38666667,83.41,68.23
1053315606,SCHILLER,CARL,,MD,M,I,100 E MAIN ST,STE 201,ASPEN,CO,816111778,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,46.328181818,36.323636364,30.169090909
1053315689,BENNETT,CRISTA,M,PA-C,F,I,1095 MILLION DOLLAR HWY,,SAINT MARYS,PA,158572743,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,26,77.096923077,8.1538461538,4.745,4.8753846154
1053315689,BENNETT,CRISTA,M,PA-C,F,I,1095 MILLION DOLLAR HWY,,SAINT MARYS,PA,158572743,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,256.66666667,95.081666667,69.564166667,50.169166667
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,53,137,460,64.360804348,8.32,5.8593478261,5.8593478261
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.005454545,3.38,2.1681818182,2.1681818182
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,25,55,79,14.420886076,1.42,0.89,0.89
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,20,20,70.433,39.265,27.387,27.0935
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,342.022,87.804666667,59.793333333,58.794666667
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,26,138.79153846,33.023076923,23.916153846,23.949230769
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,38,90.449473684,18.03,11.159210526,11.553684211
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,22,22,224.64363636,54.845,37.125909091,37.008181818
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,21,21,66.311428571,18.060952381,12.148095238,12.061428571
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,75.318571429,11.64,7.1657142857,7.1657142857
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,34,125,10.90888,2.02968,1.51552,1.51568
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,182.3805,35.97,25.38,24.859
1053315861,GRAVLIN,DEAN,A,M.D.,M,I,200 E PENNSYLVANIA AVE,STE 105,PEORIA,IL,616033045,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,1078.296,69.81,54.73,54.73
1053315903,BURKE,JAMES,B,MD,M,I,1202 LOUISIANA AVENUE,,SHREVEPORT,LA,711013910,US,Physician/General Surgery,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,300,6.7305,4.91,3.3362333333,3.3362333333
1053315903,BURKE,JAMES,B,MD,M,I,1202 LOUISIANA AVENUE,,SHREVEPORT,LA,711013910,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,184,3.285326087,2.91,2.083423913,2.083423913
1053315903,BURKE,JAMES,B,MD,M,I,1202 LOUISIANA AVENUE,,SHREVEPORT,LA,711013910,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,925,0.3764432432,0.27,0.2002054054,0.2002054054
1053315903,BURKE,JAMES,B,MD,M,I,1202 LOUISIANA AVENUE,,SHREVEPORT,LA,711013910,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,375,0.3400266667,0.24,0.1754933333,0.19792
1053315937,LE,JENNY,,MD,F,I,2611 KELLEY POINTE PKWY,,EDMOND,OK,730132994,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,20,608,136.22606908,5.2509210526,4.0116118421,4.0545230263
1053315937,LE,JENNY,,MD,F,I,2611 KELLEY POINTE PKWY,,EDMOND,OK,730132994,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,196.2,48.6625,38.1525,38.1725
1053315937,LE,JENNY,,MD,F,I,2611 KELLEY POINTE PKWY,,EDMOND,OK,730132994,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.34,3.4,3.95
1053315986,TOVEY,JAMES,E,MD,M,I,751 ROUTE 206,SUITE 101,HILLSBOROUGH,NJ,088442635,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,395,106.7375,83.68,92.24875
1053316000,HALENDA,GREGORY,,M.D.,M,I,2580 HAYMAKER RD,STE 401,MONROEVILLE,PA,151463500,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,30.636363636,28.061818182,21.999090909,22.31
1053316000,HALENDA,GREGORY,,M.D.,M,I,2580 HAYMAKER RD,STE 401,MONROEVILLE,PA,151463500,US,Physician/Urology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8.5,5.54,4.34,4.34
1053316000,HALENDA,GREGORY,,M.D.,M,I,2580 HAYMAKER RD,STE 401,MONROEVILLE,PA,151463500,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,21,15.742857143,10.649047619,8.3461904762,8.57
1053316026,DRABEK,STEVEN,A,MD,M,I,6201 N SANTA FE AVE STE 2020,,OKLAHOMA CITY,OK,73118,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,48,9.765,2.09,1.50125,1.460625
1053316125,BOND,GARY,D,MD,M,I,3366 NW EXPRESSWAY,STE 550,OKLAHOMA CITY,OK,731124489,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,10.4665,2.59275,2.0327083333,2.0327083333
1053316125,BOND,GARY,D,MD,M,I,3366 NW EXPRESSWAY,STE 550,OKLAHOMA CITY,OK,731124489,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1053316133,RAJU,DANTULURI,P,M.D.,M,I,2840 SE 3RD CT,SUITE 100,OCALA,FL,344710479,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,24,53,161,64.327329193,8.3132919255,6.2735403727,6.2788198758
1053316133,RAJU,DANTULURI,P,M.D.,M,I,2840 SE 3RD CT,SUITE 100,OCALA,FL,344710479,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,30,47,10.157234043,1.42,1.0191489362,1.0191489362
1053316133,RAJU,DANTULURI,P,M.D.,M,I,2840 SE 3RD CT,SUITE 100,OCALA,FL,344710479,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,89.019166667,12,8.6258333333,8.36
1053316133,RAJU,DANTULURI,P,M.D.,M,I,2840 SE 3RD CT,SUITE 100,OCALA,FL,344710479,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,11.741612903,2.0083870968,1.3659677419,1.3891935484
1053316133,RAJU,DANTULURI,P,M.D.,M,I,2840 SE 3RD CT,SUITE 100,OCALA,FL,344710479,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,590.38352941,77.18,56.809411765,51.700588235
1053316133,RAJU,DANTULURI,P,M.D.,M,I,2840 SE 3RD CT,SUITE 100,OCALA,FL,344710479,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,2489,1.7097468863,0.1365528325,0.1070871836,0.1070871836
1053316133,RAJU,DANTULURI,P,M.D.,M,I,2840 SE 3RD CT,SUITE 100,OCALA,FL,344710479,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,66.8125,33,25.87,25.87
1053316158,EBRIGHT,BRADFORD,L,MD,M,I,9524 BELAIR RD,,BALTIMORE,MD,212361508,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,28,56,178,75.676741573,8.32,6.0457303371,6.0457303371
1053316158,EBRIGHT,BRADFORD,L,MD,M,I,9524 BELAIR RD,,BALTIMORE,MD,212361508,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,17,11.159411765,1.42,1.0505882353,1.0505882353
1053316158,EBRIGHT,BRADFORD,L,MD,M,I,9524 BELAIR RD,,BALTIMORE,MD,212361508,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,13,73,5.3564383562,2.3,1.358630137,1.2020547945
1053316158,EBRIGHT,BRADFORD,L,MD,M,I,9524 BELAIR RD,,BALTIMORE,MD,212361508,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,26.707619048,17.46,13.69,13.547142857
1053316158,EBRIGHT,BRADFORD,L,MD,M,I,9524 BELAIR RD,,BALTIMORE,MD,212361508,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,22,242.87590909,32.933636364,24.745909091,24.572727273
1053316158,EBRIGHT,BRADFORD,L,MD,M,I,9524 BELAIR RD,,BALTIMORE,MD,212361508,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,152.47619048,82,64.29,55.185238095
1053316174,ABERNATHIE,GORDON,,D.O.,M,I,5410 SHERIDAN LAKE RD,,RAPID CITY,SD,577029208,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,288.75,4.7,3.6854545455,3.6854545455
1053316190,MOEZI,MEHDI,M,MD,M,I,2370 MARKET DR,,FLEMING ISLAND,FL,320034326,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,6920,2.256732659,0.3199075145,0.2412442197,0.2339985549
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,50,152,56.255328947,8.32,5.9222368421,5.9222368421
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,32,13.438125,1.42,1.00875,1.00875
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,22,46,46,385.42108696,93.002608696,66.95173913,61.875869565
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,17,44,104,158.30740385,35.427980769,26.368173077,24.577115385
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,104,58.066153846,18.78,14.723846154,14.551538462
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,21,81,49.76382716,15.12,10.683950617,10.721111111
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,18,37,37,173.99351351,54.47,41.555675676,41.702702703
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,37,51,51,65.290588235,18.547058824,13.695490196,13.220588235
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,33,67,68,70.197647059,11.796911765,8.97,8.8501470588
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,34,84,404,10.259405941,2.0904455446,1.5675,1.5208415842
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,23.48,5.91,4.64,4.66
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,15,20,20,46.237,13.63,10.165,9.823
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,77.225806452,11.695483871,6.6748387097,6.4270967742
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,17,112,112,176.09839286,35.473839286,25.098214286,23.745625
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,416.23068966,80.098965517,57.641034483,49.764137931
1053316232,HEMPHILL,CHRISTOPHER,B,M.D.,M,I,301 MED TECH PKWY,STE 280,JOHNSON CITY,TN,376042364,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,53.943333333,20.725,16.249166667,15.014166667
1053316281,GACHA,SAMUEL,A,M.D.,M,I,101 E WOOD ST,SUITE 401,SPARTANBURG,SC,293033040,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,28.3,4.5157142857,3.5414285714,3.54
1053316315,LINZ,JOHN,C,M.D.,M,I,7575 5 MILE RD,,CINCINNATI,OH,452304346,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,79.81,16.001666667,11.229166667,12.54
1053316315,LINZ,JOHN,C,M.D.,M,I,7575 5 MILE RD,,CINCINNATI,OH,452304346,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,47,47,47,108.9787234,72.539361702,52.786808511,58.854042553
1053316315,LINZ,JOHN,C,M.D.,M,I,7575 5 MILE RD,,CINCINNATI,OH,452304346,US,Physician/Orthopedic Surgery,S,L1960,"Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,20,20,894.95,596.6995,438.5945,417.3425
1053316315,LINZ,JOHN,C,M.D.,M,I,7575 5 MILE RD,,CINCINNATI,OH,452304346,US,Physician/Orthopedic Surgery,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,20,20,20,189,126.1235,93.9285,94.202
1053316315,LINZ,JOHN,C,M.D.,M,I,7575 5 MILE RD,,CINCINNATI,OH,452304346,US,Physician/Orthopedic Surgery,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,39,39,78,195,192.58692308,149.15166667,148.10564103
1053316315,LINZ,JOHN,C,M.D.,M,I,7575 5 MILE RD,,CINCINNATI,OH,452304346,US,Physician/Orthopedic Surgery,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,22,25,25,17.831363636,33.791818182
1053316315,LINZ,JOHN,C,M.D.,M,I,7575 5 MILE RD,,CINCINNATI,OH,452304346,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,38,38,38,377,252.10631579,193.84052632,213.25526316
1053316349,GLUCK,WILLIAM,L,MD,M,I,3 BUTTERNUT DR,STE B,GREENVILLE,SC,296054653,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,34,49.482941176,42.52,33.336470588,30.753235294
1053316356,ADELBERG,DAVID,E,MD,M,I,300C FAUNCE CORNER RD,,N DARTMOUTH,MA,027471257,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,2,23,23,23,24.997826087,22.83,17.112173913,17.789130435
1053316356,ADELBERG,DAVID,E,MD,M,I,300C FAUNCE CORNER RD,,N DARTMOUTH,MA,027471257,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,105.38,94.24,73.88,70.67
1053316364,CLARK,RICHARD,D,MD,M,I,802 WAYNE ST,STE 202,MARIETTA,OH,457503300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,28,50.691428571,8.32,5.5907142857,5.5907142857
1053316364,CLARK,RICHARD,D,MD,M,I,802 WAYNE ST,STE 202,MARIETTA,OH,457503300,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,12.752222222,1.42,0.8088888889,0.8088888889
1053316364,CLARK,RICHARD,D,MD,M,I,802 WAYNE ST,STE 202,MARIETTA,OH,457503300,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,50.023333333,42.761666667
1053316364,CLARK,RICHARD,D,MD,M,I,802 WAYNE ST,STE 202,MARIETTA,OH,457503300,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,46.925833333,38.7425
1053316380,LINDENFELD,THOMAS,N,M.D.,M,I,12115 SHERATON LN,,CINCINNATI,OH,452461613,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,12,12,234,85.317307692,25.6,20.070512821,20.070512821
1053316448,LAMB,SCOTT,M,NP,M,I,105 S WILLOW AVE,,COOKEVILLE,TN,385014667,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,13,107.70461538,53.2,41.71,45.636153846
1053316489,KAUFMAN,SUSAN,M,D.O,F,I,1251 LINCOLN HWY,SUITE 1,WAPAKONETA,OH,458957356,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,37,86,241,52.888008299,8.32,6.0287551867,6.0287551867
1053316489,KAUFMAN,SUSAN,M,D.O,F,I,1251 LINCOLN HWY,SUITE 1,WAPAKONETA,OH,458957356,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,31,37,12.951081081,1.42,0.9659459459,0.9659459459
1053316489,KAUFMAN,SUSAN,M,D.O,F,I,1251 LINCOLN HWY,SUITE 1,WAPAKONETA,OH,458957356,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,2279,0.2656296621,0.0458007898,0.0298903028,0.0298903028
1053316489,KAUFMAN,SUSAN,M,D.O,F,I,1251 LINCOLN HWY,SUITE 1,WAPAKONETA,OH,458957356,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1620,1.8172530864,0.1349814815,0.105845679,0.105845679
1053316489,KAUFMAN,SUSAN,M,D.O,F,I,1251 LINCOLN HWY,SUITE 1,WAPAKONETA,OH,458957356,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,900,8.3261555556,3.0251,2.0681,2.0681
1053316489,KAUFMAN,SUSAN,M,D.O,F,I,1251 LINCOLN HWY,SUITE 1,WAPAKONETA,OH,458957356,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,30,59.7,33,25.87,25.87
1053316562,IRVIN,STEPHEN,B,MD,M,I,1050 JABARRAH AVE,,SEYMOUR JOHNSON A F B,NC,275312310,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,12,57.410833333,17.725,12.763333333,12.4025
1053316562,IRVIN,STEPHEN,B,MD,M,I,1050 JABARRAH AVE,,SEYMOUR JOHNSON A F B,NC,275312310,US,Hospitalist,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,132.46,44.694545455,27.826363636,27.36
1053316562,IRVIN,STEPHEN,B,MD,M,I,1050 JABARRAH AVE,,SEYMOUR JOHNSON A F B,NC,275312310,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,15,339.332,71.432,52.331333333,51.074
1053316562,IRVIN,STEPHEN,B,MD,M,I,1050 JABARRAH AVE,,SEYMOUR JOHNSON A F B,NC,275312310,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40,8.6927272727,6.8172727273,6.7190909091
1053316646,LUMAPAS,MARIA,A,D.O.,F,I,3525 OLENTANGY RIVER RD,SUITE 4330,COLUMBUS,OH,432143937,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.07,17.41,12.5125,12.420833333
1053316646,LUMAPAS,MARIA,A,D.O.,F,I,3525 OLENTANGY RIVER RD,SUITE 4330,COLUMBUS,OH,432143937,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,244.24,79.3,59.344090909,52.580454545
1053316653,MARGOLIN,MICHAEL,L,MD,M,I,210 NORTH AVE E,,CRANFORD,NJ,070162441,US,Physician/Gastroenterology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,6.8,5.54,4.343,4.343
1053316653,MARGOLIN,MICHAEL,L,MD,M,I,210 NORTH AVE E,,CRANFORD,NJ,070162441,US,Physician/Gastroenterology,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,6.8,2.02,1.512125,1.512125
1053316778,GOODSETT,MARY,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Neurology,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,232.665,45.850416667,34.614166667,25.695416667
1053316786,GROOMS,GUY,E,MD,M,I,267 N CANYON DR,,GOODING,ID,833305500,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,186.25692308,104.34307692,81.802307692,87.039230769
1053316836,SHEIN,DAVID,M,M.D.,M,I,1250 WATERS PL,SUITE 903,BRONX,NY,104612720,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,49.649090909,38.921818182,40.569090909
1053316836,SHEIN,DAVID,M,M.D.,M,I,1250 WATERS PL,SUITE 903,BRONX,NY,104612720,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,21,21,21,4995,4378.96,3433.11,3433.11
1053316836,SHEIN,DAVID,M,M.D.,M,I,1250 WATERS PL,SUITE 903,BRONX,NY,104612720,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,68.8475,14.978333333,11.74,13.826666667
1053316836,SHEIN,DAVID,M,M.D.,M,I,1250 WATERS PL,SUITE 903,BRONX,NY,104612720,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.57,6.65,5.215,6.5016666667
1053316836,SHEIN,DAVID,M,M.D.,M,I,1250 WATERS PL,SUITE 903,BRONX,NY,104612720,US,Physician/Orthopedic Surgery,S,L0457,"Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,1108.3553333,943.60466667,739.792,750.64266667
1053316836,SHEIN,DAVID,M,M.D.,M,I,1250 WATERS PL,SUITE 903,BRONX,NY,104612720,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,1147.2133333,972.47,762.42,770.44388889
1053316836,SHEIN,DAVID,M,M.D.,M,I,1250 WATERS PL,SUITE 903,BRONX,NY,104612720,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,18,861.07833333,735.65,518.11111111,448.685
1053316869,PATEL,UMANG,M,MD,M,I,901 SAINT MARYS DR,STE 300,EVANSVILLE,IN,477140520,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,12,29,29,3727.9310345,2541.1044828,1992.2255172,1992.2255172
1053316893,PALMER,GARY,J,M.D.,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,45,1322,8.6154765507,6.2585930408,4.5355143722,5.3463691377
1053316893,PALMER,GARY,J,M.D.,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,762,6.1945669291,5.23,4.1003674541,4.1003674541
1053316893,PALMER,GARY,J,M.D.,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,42,492,4.4485365854,3.7997560976,2.8104471545,2.8170731707
1053316893,PALMER,GARY,J,M.D.,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,13.234545455,5.0036363636,3.9227272727,3.95
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,24,40,40,116.1785,39.275,30.62875,30.33975
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,321.76533333,89.031333333,61.658666667,59.843333333
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,35,119.59542857,32.75,24.66,24.900285714
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,17,31,182,63.106428571,18.364285714,12.983956044,13.133461538
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,27,51,51,206.81470588,54.211960784,39.328235294,39.674509804
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,32,37,37,67.563243243,18.096216216,13.69972973,13.576486486
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,29,29,64.440689655,12.877931034,9.0406896552,8.1765517241
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,37,71,421,8.9011163895,2.0863182898,1.5067933492,1.4682660333
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,25,25,25.7036,6.074,4.5712,4.4644
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,15,19,19,41.851052632,12.298947368,8.6257894737,9.3063157895
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,300,78.338387097,61.419032258,63.48483871
1053316984,ALPERT,HAROLD,M,MD,M,I,209 HOSPITAL DR,STE 304,HIGHLANDS,NC,287417623,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,15,83,83,120,32.275421687,24.83686747,25.391325301
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,7.2645454545,1.48,1.16,1.15
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,48,56,55.568214286,3.90875,2.6075,3.1780357143
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,30,209,209,250.82406699,77.058851675,55.747942584,50.870717703
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,103,103,93.161553398,39.517572816,29.485242718,28.103203883
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,22.560318182,9.6481818182,7.3467878788,7.3467878788
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,6521,0.2524996166,0.0456310382,0.0357767214,0.0357767214
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,50,6737,1.8264286775,0.1362104794,0.0991019742,0.0991019742
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,1780,9.9238932584,2.8627921348,2.1638314607,2.1638314607
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,82,82,50,38.996341463,29.069268293,28.213170732
1053317222,ANDERSON,LINDA,C,M.D.,F,I,904 7TH AVE,,SEATTLE,WA,981041132,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,22,91,91,58.769230769,33,24.732857143,24.732857143
1053317248,BLAZEK,MATTHEW,C,M.D.,M,I,29257 CENTER RIDGE RD,,WESTLAKE,OH,441455224,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,50,97,75.194123711,8.32,5.7141237113,5.7141237113
1053317248,BLAZEK,MATTHEW,C,M.D.,M,I,29257 CENTER RIDGE RD,,WESTLAKE,OH,441455224,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,17,12.430588235,1.42,1.12,1.12
1053317248,BLAZEK,MATTHEW,C,M.D.,M,I,29257 CENTER RIDGE RD,,WESTLAKE,OH,441455224,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,544.255,78,53.925555556,48.575555556
1053317263,RIVERA,JORGE,J,MD,M,I,500 FAUNCE CORNER RD,SUITE 110,NORTH DARTMOUTH,MA,027471278,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,13,66.296153846,63.768461538,49.996153846,52.175384615
1053317297,DURAN,ROBERT,R,M.D.,M,I,1305 WONDER WORLD DR STE 209,,SAN MARCOS,TX,786667541,US,Physician/General Surgery,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,6.1,3.1,2.2129545455,2.2129545455
1053317305,KNORR,GREGORY,M,MD,M,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,78.8515,21.8115,17.099,13.53
1053317305,KNORR,GREGORY,M,MD,M,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,471.84681818,96.293181818,75.495454545,54.736363636
1053317396,HYMAN,JEFFREY,S,MD,M,I,8012 3RD AVE,,BROOKLYN,NY,112093802,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,15,47,107,64.793551402,8.32,5.4856074766,5.4856074766
1053317396,HYMAN,JEFFREY,S,MD,M,I,8012 3RD AVE,,BROOKLYN,NY,112093802,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,24,14.265416667,1.42,1.0708333333,1.0708333333
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,49,147,364,65.042747253,8.2652747253,5.9020054945,5.9450274725
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,10.031578947,3.38,2.65,2.65
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,13.02,2.12,1.67,1.67
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,33,89,117,14.260683761,1.42,1.0117948718,1.0117948718
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,697,0.6785509326,0.27,0.2116642755,0.2116642755
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,240.811,46.073,34.399,35.2415
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,109.50428571,16.08,12.6,13.53
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,30.558181818,22.555454545,22.68
1053317438,REINPRECHT,JAMES,T,MD,M,I,400 HUNTINGDON PIKE STE C,,ROCKLEDGE,PA,190464431,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,553.49428571,77.18,60.51,54.72
1053317453,STOMPER,AMY,,APN,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,32,64,62.17796875,8.32,5.31140625,5.31140625
1053317453,STOMPER,AMY,,APN,F,I,1606 N ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600043908,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,22,16.048636364,1.42,0.9622727273,0.9622727273
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,33,33,131.88,39.56,29.14,28.658181818
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,301,36.72,6.26,4.9080066445,5.6016943522
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,1080,7.25,2.96,2.3206666667,2.3206666667
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,375,7,5.21,4.0846666667,4.0972
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,600,0.365,0.13,0.102,0.102
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,21.952307692,8.1,6.35,6.4115384615
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.75,4.31,3.38,3.38
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,457.54611111,85.52,67.05,67.761111111
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,11,21,55,152.35418182,32.92,25.81,25.904909091
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,,19,90,80.043444444,18.56,14.228333333,14.228333333
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,14,26,26,270.37846154,53.83,39.053076923,39.678076923
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,31,31,76.514516129,18.06,14.16,14.06
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,22,49,274,12.567080292,2.02,1.5849635036,1.5922262774
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,12,17,17,45.997058824,13.07,10.25,10.344117647
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,6.83,2.33,1.82,1.82
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,7.63,3.81,2.987,2.987
1053317461,STEWART,ROBERT,G,,M,I,895 AEROVISTA PL,103,SAN LUIS OBISPO,CA,934018724,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,41,42,305.12857143,32.354285714,25.345238095,25.537380952
1053317479,HOSEY,THOMAS,C,DPM,M,I,42550 GARFIELD RD,STE 103,CLINTON TOWNSHIP,MI,480381644,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,66,91.818181818,71.56,55.5,55.5
1053317479,HOSEY,THOMAS,C,DPM,M,I,42550 GARFIELD RD,STE 103,CLINTON TOWNSHIP,MI,480381644,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,31,166,32.361445783,29.19,22.885,22.886445783
1053317537,PAI,SHANTHARAM,,M.D.,M,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,39,1173,5.2662915601,4.86,3.8103154305,4.1537766411
1053317537,PAI,SHANTHARAM,,M.D.,M,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,7355,0.3237688647,0.3,0.2352046227,0.2426934058
1053317537,PAI,SHANTHARAM,,M.D.,M,I,2 W FERN AVE,,REDLANDS,CA,923735916,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,5.4527027027,5.03,3.94,3.9494594595
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,29,82,262,76.253816794,8.32,5.8106870229,5.8106870229
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,27,46,15.288695652,1.42,0.9930434783,0.9930434783
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,723,14.946943292,12.131175657,9.5109405256,10.293914246
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,364,215,207.75,162.79653846,162.79653846
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,364,15,9.35,7.33,7.33
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,364,30,29.22,22.908571429,22.908571429
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80.85,17.27,12.411666667,12.411666667
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,53,4.9290909091,2.5781818182,2.4590909091
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,412.79285714,69.81,53.346,53.346
1053317594,IHDE,DEBORAH,A,MD,F,I,2500 E CAPITOL DR,,APPLETON,WI,549118735,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,36.14,28.33,29.51
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,43,43,133.86093023,39.56,27.413023256,26.981627907
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,26,45,45,262.91422222,94.531333333,71.017333333,65.234
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,23,41,91,101.77824176,36.45,27.188571429,24.824175824
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,32,63,288,70.172916667,20.09,14.869236111,13.728576389
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,22,45,205,35.513853659,15.614536585,10.501853659,10.239902439
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,52,97,97,180.84876289,55.97,39.04,38.18814433
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,67,85,85,50.543176471,18.924352941,14.194470588,13.487529412
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,54,103,103,51.596116505,14.374271845,10.457087379,8.5745631068
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,67,147,802,8.7806982544,2.2835411471,1.6527057357,1.4799875312
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,35,44,44,23.068863636,6.7172727273,4.9077272727,4.3459090909
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,23,27,27,45.489259259,13.338888889,9.6933333333,9.5762962963
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,50,14.05,11.02,10.521538462
1053317685,LEE,MICHAEL,K,MD,M,I,590 HARTSVILLE PIKE,SUITE 1,GALLATIN,TN,370662466,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,23,134,134,173.60791045,34.727462687,25.426791045,24.00141791
1053317693,YERGER,EDWARD,S,M.D.,M,I,4212 W CONGRESS ST STE 3100,,LAFAYETTE,LA,705066771,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,34,34,34,144.57323529,56.397058824,43.752058824,35.995588235
1053317693,YERGER,EDWARD,S,M.D.,M,I,4212 W CONGRESS ST STE 3100,,LAFAYETTE,LA,705066771,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,139.20428571,64.819285714,50.82,40.793571429
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,46,46,161.60217391,36.248043478,27.802608696,29.747391304
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,21,60,123,8.6335772358,1.45,1.0796747967,1.0944715447
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,23,30,30,79.691333333,14.586666667,10.652666667,8.4653333333
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,,18,32,3.44375,0.6,0.440625,0.39375
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,5.91,1.3,1.02,0.9646153846
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,28,78,78,436.01794872,83.203589744,62.216794872,64.810512821
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,24,66,177,157.29322034,32.353220339,24.794067797,25.339943503
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,25,120,77.240916667,17,13.21725,14.382
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,28,139,62.889280576,13.823669065,10.370431655,11.391654676
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,31,65,65,240.94907692,50.281230769,37.001230769,40.275384615
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,55,81,81,77.99308642,16.578148148,12.521481481,13.549382716
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,34,85,86,75.161162791,11.42755814,8.4405813953,8.5980232558
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,54,147,769,11.155786736,1.918426528,1.4192847854,1.5055396619
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,22.8435,5.6825,4.2375,4.429
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,39,54,54,40.619074074,12.080185185,9.2985185185,10.171666667
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,22,145,157,96.142866242,15.75,11.799363057,12.813248408
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,28,28,212.0625,43,31.302142857,35.292142857
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,25,51.16,43,33.71,37.1596
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,37,38,632.43,77.223157895,60.496052632,65.592368421
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,17,92,96,79.526666667,13.160416667,9.9977083333,10.154375
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,29,167,178,49.857977528,5.6235955056,4.0499438202,3.3412359551
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,15,88,92,257.82,30.409782609,22.763695652,23.594021739
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,44,291,337,507.26531157,70,52.946439169,52.814243323
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,66,78,221.86461538,35,27.088205128,28.687179487
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1410,18.556978723,9.6326170213,7.4403829787,7.4403829787
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,2100,16.0341,11.303628571,8.8156952381,8.8156952381
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,30,125,28364,0.3137046961,0.0464116486,0.0324961218,0.0324961218
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,16,103,11118,1.5054794028,0.1329267854,0.0982218025,0.0982218025
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,21,177,10234,11.65344147,2.9827330467,2.2441196013,2.2441196013
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,49,85,35,25.76,27.861836735
1053317701,TOMASUOLO,VINCENT,A,MD,M,I,552 COMMONS WAY,BUILDING E,TOMS RIVER,NJ,087556432,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,46,303,303,88.613861386,33,24.503927393,24.503927393
1053317818,LEE,RAYMOND,W,M.D.,M,I,200 JOSE FIGUERES AVE,STE 245,SAN JOSE,CA,951161588,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,31,3112,7.7815938303,3.1035089974,2.4331619537,2.4331491003
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,22,52,353.23076923,19.71,15.154807692,15.154807692
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,22,28,219.14285714,37.38,28.255714286,28.255714286
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,35,73.078571429,22.069428571,17.301142857,13.913714286
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,850,200.314,157.046,157.046
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,56,59,407.82830508,100.76610169,77.989491525,53.88779661
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,15,50,5170,39.658514507,5.0194139265,3.8621876209,3.8621760155
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,2808,25.605694444,1.9831160969,1.5547435897,1.5547435897
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,22,249,29.136024096,1.5704016064,1.1833333333,1.1833333333
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,34.621666667,29.055
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,18,20,50,48.701,36.28,27.0932,29.4114
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,13,18,398.89666667,322.51,251.93777778,264.795
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,21,56,56,40.232142857,24,18.82,18.82
1053317941,SNEED,THOMAS,B,M.D.,M,I,8901 CARTI WAY,,LITTLE ROCK,AR,722056523,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,27,30,46.133333333,16,12.54,12.54
1053318063,GUPTA,JUHEE,,MD,F,I,35-37 PROGRESS ST STE A1,,EDISON,NJ,088201179,US,Physician/Hematology-Oncology,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,1,0.5,0.392,0.392
1053318063,GUPTA,JUHEE,,MD,F,I,35-37 PROGRESS ST STE A1,,EDISON,NJ,088201179,US,Physician/Hematology-Oncology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,32,86,65.841162791,8.32,6.066744186,6.066744186
1053318063,GUPTA,JUHEE,,MD,F,I,35-37 PROGRESS ST STE A1,,EDISON,NJ,088201179,US,Physician/Hematology-Oncology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,26,34,12.986764706,1.42,1.0170588235,1.0170588235
1053318063,GUPTA,JUHEE,,MD,F,I,35-37 PROGRESS ST STE A1,,EDISON,NJ,088201179,US,Physician/Hematology-Oncology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7.15,5.23,4.1003333333,4.1003333333
1053318063,GUPTA,JUHEE,,MD,F,I,35-37 PROGRESS ST STE A1,,EDISON,NJ,088201179,US,Physician/Hematology-Oncology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1200,0.36,0.13,0.1019,0.1019
1053318063,GUPTA,JUHEE,,MD,F,I,35-37 PROGRESS ST STE A1,,EDISON,NJ,088201179,US,Physician/Hematology-Oncology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,5.95,3.81,2.987,2.987
1053318063,GUPTA,JUHEE,,MD,F,I,35-37 PROGRESS ST STE A1,,EDISON,NJ,088201179,US,Physician/Hematology-Oncology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,842.26,842.26
1053318089,MYSORE,VEENA,,MD,F,I,5100 AUTH WAY,KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER,SUITLAND,MD,207464207,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,39.178333333,39.178333333,28.1525,27.958333333
1053318089,MYSORE,VEENA,,MD,F,I,5100 AUTH WAY,KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER,SUITLAND,MD,207464207,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,20,114,4.1164912281,2.2842105263,1.6960526316,1.5116666667
1053318089,MYSORE,VEENA,,MD,F,I,5100 AUTH WAY,KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER,SUITLAND,MD,207464207,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,29,39.34,30.865862069,23.13862069,23.328965517
1053318089,MYSORE,VEENA,,MD,F,I,5100 AUTH WAY,KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER,SUITLAND,MD,207464207,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,75,17.118181818,13.419090909,13.892727273
1053318089,MYSORE,VEENA,,MD,F,I,5100 AUTH WAY,KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER,SUITLAND,MD,207464207,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,38.1,7.9545454545,6.2363636364,6.5327272727
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,33,289,511,511,118.92479452,44.409393346,33.224168297,29.381232877
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,39,295,584,584,336.80291096,104.57539384,76.994349315,64.711969178
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,32,263,585,1377,127.82778504,39.282076979,29.587240378,25.253398693
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,38,230,473,2135,72.081381733,22.103264637,16.323419204,13.758960187
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,27,147,307,1363,53.217703595,17.06780631,12.088275862,10.718033749
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,46,394,725,725,208.33786207,65.368358621,47.895889655,40.232634483
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,54,666,866,866,63.094445727,21.31669746,15.878279446,13.511420323
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,81,87,87,25.800114943,11.775862069,8.9477011494,7.9656321839
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,48,378,771,771,72.880090791,15.766342412,11.837756161,8.9214526589
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,58,682,1545,7559,9.9393425056,2.5716271994,1.9209300172,1.5402381267
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,44,488,616,616,22.472353896,7.1716558442,5.3936850649,4.5237337662
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,31,230,324,324,42.48037037,14.671635802,10.902839506,9.8614197531
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,15,31,188,193,365.12766839,101.13305699,74.170984456,65.570103627
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,706.39,271.78727273,213.08727273,156.06
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,35,282,283,283,408.30512367,164.05102473,124.02201413,103.60176678
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,14,24,78,89,77.37505618,15.602134831,11.576179775,10.124494382
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,47,447,2450,2489,144.24424267,41.005447971,30.428879068,24.803543592
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,74,74,242.25878378,79.208918919,58.17,51.057162162
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,220,39.65,31.09,29.653636364
1053318147,SCHLUTERMAN,KEITH,O,M.D.,M,I,2200 ADA AVE,STE 305,CONWAY,AR,720344985,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,43.918,26.463,19.0665,12.444
1053318196,FYE,MARK,,M.D.,M,I,4100 JOHNSON RD,SUITE 208,STEUBENVILLE,OH,439522356,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,512.95,395.25846154,309.88692308,309.84076923
1053318246,BRITTON,MARY,J,M.D.,F,I,915 TATE BLVD SE STE 186,,HICKORY,NC,286024042,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,48,163,59.305214724,8.32,6.082392638,6.082392638
1053318246,BRITTON,MARY,J,M.D.,F,I,915 TATE BLVD SE STE 186,,HICKORY,NC,286024042,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.270666667,3.38,2.4733333333,2.4733333333
1053318246,BRITTON,MARY,J,M.D.,F,I,915 TATE BLVD SE STE 186,,HICKORY,NC,286024042,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,25,56,14.576964286,1.42,1.0146428571,1.0146428571
1053318246,BRITTON,MARY,J,M.D.,F,I,915 TATE BLVD SE STE 186,,HICKORY,NC,286024042,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,82.065,17.29,13.55,13.533333333
1053318246,BRITTON,MARY,J,M.D.,F,I,915 TATE BLVD SE STE 186,,HICKORY,NC,286024042,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,29,429.92068966,83.424827586,63.507241379,54.418965517
1053318246,BRITTON,MARY,J,M.D.,F,I,915 TATE BLVD SE STE 186,,HICKORY,NC,286024042,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,510,0.75,0.2191960784,0.156745098,0.156745098
1053318246,BRITTON,MARY,J,M.D.,F,I,915 TATE BLVD SE STE 186,,HICKORY,NC,286024042,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1053318287,TULEY,BARBARA,K,MD,F,I,212 W SPAULDING ST,,CHECOTAH,OK,744262452,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,19,46,58.521086957,8.2919565217,6.5006521739,6.5226086957
1053318287,TULEY,BARBARA,K,MD,F,I,212 W SPAULDING ST,,CHECOTAH,OK,744262452,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,22,78.64,23.596818182,17.41,12.505909091
1053318287,TULEY,BARBARA,K,MD,F,I,212 W SPAULDING ST,,CHECOTAH,OK,744262452,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,40.050833333,31.358333333
1053318287,TULEY,BARBARA,K,MD,F,I,212 W SPAULDING ST,,CHECOTAH,OK,744262452,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,31,399.26193548,111.24903226,81.438709677,49.433548387
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,100,190,15600,0.4767275641,0.44,0.3290628205,0.3290628205
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,24,39,1352,25.133816568,23.654230769,18.353039941,18.357566568
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,18.5,18.5,14.504,14.504
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,42,2160,2.4,2.4,1.7510648148,1.7510648148
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,420,2.73,2.73,1.987452381,1.987452381
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,58,126,556,18.704118705,18.288920863,14.056996403,14.057841727
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,41,1440,3.7605208333,3.67,2.8773333333,2.8773333333
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,78,105,13850,0.1528519856,0.13,0.0994440433,0.0994440433
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,50,108,17571,0.4985834614,0.4491036367,0.3447094645,0.3453633828
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,4,,18,240,37.38875,24.7125,19.374333333,19.197541667
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,140,17.482142857,8.2735714286,6.4860714286,6.431
1053318311,OLIVEIRA,NOEL,E,MD,M,I,5509 DOCTORS DR,,EDINBURG,TX,785395563,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,5,,20,20,2845.326,693.7965,525.9245,488.799
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,41,131,68.139618321,8.32,5.974351145,5.974351145
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,24,37,16.225675676,1.42,1.0237837838,1.0237837838
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,18,1652,0.15,0.12,0.0941101695,0.0941101695
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,760,0.57,0.44,0.345,0.345
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,24,2650,0.1687169811,0.13,0.1019018868,0.1019018868
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,22,3450,0.6010463768,0.45,0.3528086957,0.3528086957
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,2400,0.7493208333,0.12855,0.0780708333,0.0780708333
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,21,51.728571429,20.532857143,15.368095238,13.53
1053318329,VUCEMILOVIC,JULIJE,,MD,M,I,6560 9TH AVE N,,SAINT PETERSBURG,FL,337106216,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,65.973684211,33,19.062105263,19.062105263
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,71,183,63.496666667,8.32,6.2722404372,6.2722404372
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,39,55,23.362181818,1.42,1.0349090909,1.0349090909
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8.5,7.69,6.03,6.4481818182
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.74,5.74,4.5,4.5
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,8.75,6.44,5.05,5.05
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10,9.86,7.73,7.73
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,700,0.375,0.27,0.2116142857,0.2116142857
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,350,5.8177142857,3.04,2.2493428571,2.2493428571
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,700,0.3610714286,0.27,0.2116285714,0.2116285714
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2573,0.2095569374,0.0449747377,0.0288184998,0.0288184998
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,0.75,0.219,0.1289583333,0.1289583333
1053318576,DAAS,MAMOON,,M.D.,M,I,326 S PEARL ST,ST. PETER'S HOSPITAL FAMILY HEALTH CENTER,ALBANY,NY,122021914,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,119.625,33,21.019375,21.019375
1053318683,HOWARD,REBECCA,S,PA,F,I,14 ASYLUM ST,,MILFORD,MA,017572203,US,Physician Assistant,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,74.59,49.724285714,36.546428571,36.546428571
1053318717,CROOT,CHRISTOPHER,C,MD,M,I,100 E LIBERTY ST,SUITE 800,LOUISVILLE,KY,402021434,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,12,98,134,68.510820896,19.700746269,15.443656716,15.443656716
1053318717,CROOT,CHRISTOPHER,C,MD,M,I,100 E LIBERTY ST,SUITE 800,LOUISVILLE,KY,402021434,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,11,85,85,133.71,37.38,29.3,29.3
1053318717,CROOT,CHRISTOPHER,C,MD,M,I,100 E LIBERTY ST,SUITE 800,LOUISVILLE,KY,402021434,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,11,44,44,600,206.205,161.665,161.665
1053318717,CROOT,CHRISTOPHER,C,MD,M,I,100 E LIBERTY ST,SUITE 800,LOUISVILLE,KY,402021434,US,Physician/Hematology-Oncology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,686,150,42.209635569,32.883206997,32.883206997
1053318717,CROOT,CHRISTOPHER,C,MD,M,I,100 E LIBERTY ST,SUITE 800,LOUISVILLE,KY,402021434,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,11,85,690,7.3656956522,1.6790869565,1.3166376812,1.3166376812
1053318717,CROOT,CHRISTOPHER,C,MD,M,I,100 E LIBERTY ST,SUITE 800,LOUISVILLE,KY,402021434,US,Physician/Hematology-Oncology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,86,50,2.6362790698,2.0670930233,2.0670930233
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,33,61,61,126.78819672,38.353278689,28.808688525,29.147213115
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,21,34,34,202.11764706,84,63.922941176,65.451764706
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,20,33,66,79.161212121,32.2,25.081363636,25.613181818
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,16,30,163,59.171288344,18.02392638,12.81202454,13.181104294
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,60,36.366666667,14.81,11.611666667,11.842
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,24,44,44,155.84909091,56.453863636,41.833181818,40.723863636
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,38,49,49,47.396734694,17.488163265,13.706326531,14.008571429
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,52.569333333,11,8.0453333333,8.4873333333
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,37,68,399,7.0197493734,2.0001503759,1.4879448622,1.5073684211
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,19.277272727,5.77,4.53,4.6245454545
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,21,26,26,32.091538462,13.25,9.5907692308,9.5561538462
1053318774,HERMAN,HOWARD,K,M.D.,M,I,1215 EAGLES LANDING PKWY,SUITE 106,STOCKBRIDGE,GA,302817279,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,16,99,99,220.05111111,32.186161616,24.676767677,24.567575758
1053318782,RANKIN,WILLIAM,R,MD,M,I,230 W MAIN ST,SUITE 102,DANVILLE,KY,404221871,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,32,5260,0.2273764259,0.13,0.1019201521,0.1019201521
1053318782,RANKIN,WILLIAM,R,MD,M,I,230 W MAIN ST,SUITE 102,DANVILLE,KY,404221871,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,22,76,14457,3.891814346,1.73,1.2630421249,1.4955391852
1053318782,RANKIN,WILLIAM,R,MD,M,I,230 W MAIN ST,SUITE 102,DANVILLE,KY,404221871,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,2330,11.502660944,6.15,4.8215879828,5.5520429185
1053318782,RANKIN,WILLIAM,R,MD,M,I,230 W MAIN ST,SUITE 102,DANVILLE,KY,404221871,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,92,3.4197826087,1.53,1.1995652174,1.4105434783
1053318790,WHITSON,DAVID,M,OD,M,I,1633 S MORLEY ST,,MOBERLY,MO,652701938,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,34,60,60,44.272941176,49.618529412
1053318790,WHITSON,DAVID,M,OD,M,I,1633 S MORLEY ST,,MOBERLY,MO,652701938,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,49,47,47,34.98122449,41.485918367
1053318808,REZK,MAGDY,W,M.D.,M,I,3203 S CHEROKEE LN.,STE 220 WEATHERSTONE MEDICAL CARE LLC.,WOODSTOCK,GA,301884461,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,39,84,100.0277381,8.32,4.349047619,4.349047619
1053318808,REZK,MAGDY,W,M.D.,M,I,3203 S CHEROKEE LN.,STE 220 WEATHERSTONE MEDICAL CARE LLC.,WOODSTOCK,GA,301884461,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,58.2,44.972727273,28.829090909,29.900909091
1053318865,SALTZMAN,ANDREW,T,M.D.,M,I,225 CROSSLAKE DR,,EVANSVILLE,IN,477158198,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,107.94545455,94.109090909,73.781818182,85.092727273
1053318915,ACREMAN,ANNE,E,MD,F,I,4222 WENDOVER AVE,SUITE 400,ODESSA,TX,797625945,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,28,72,190,66.349684211,8.32,5.3201052632,5.3201052632
1053318915,ACREMAN,ANNE,E,MD,F,I,4222 WENDOVER AVE,SUITE 400,ODESSA,TX,797625945,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.34,3.38,2.5316666667,2.5316666667
1053318915,ACREMAN,ANNE,E,MD,F,I,4222 WENDOVER AVE,SUITE 400,ODESSA,TX,797625945,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,37,58,12.137413793,1.42,0.9120689655,0.9120689655
1053318915,ACREMAN,ANNE,E,MD,F,I,4222 WENDOVER AVE,SUITE 400,ODESSA,TX,797625945,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,54.150769231,17.27,13.54,13.54
1053318915,ACREMAN,ANNE,E,MD,F,I,4222 WENDOVER AVE,SUITE 400,ODESSA,TX,797625945,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,65,306.21723077,68.78,50.575692308,51.148307692
1053318915,ACREMAN,ANNE,E,MD,F,I,4222 WENDOVER AVE,SUITE 400,ODESSA,TX,797625945,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,3139,0.4243230328,0.044367633,0.0347849634,0.0347849634
1053318915,ACREMAN,ANNE,E,MD,F,I,4222 WENDOVER AVE,SUITE 400,ODESSA,TX,797625945,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,62.117647059,33,25.87,25.87
1053318964,WEISHOLTZ,STEVEN,J,MD,M,I,25 ROCKWOOD PL,,ENGLEWOOD,NJ,076314957,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,62,63.381129032,8.32,6.3116129032,6.3116129032
1053318964,WEISHOLTZ,STEVEN,J,MD,M,I,25 ROCKWOOD PL,,ENGLEWOOD,NJ,076314957,US,Physician/Infectious Disease,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,20.57,8.222,5.6213333333,5.7466666667
1053319145,STRAUSS,NEIL,H,D.P.M.,M,I,7421 N UNIVERSITY DR,SUITE 304,TAMARAC,FL,333212977,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,62,50,43.56,34.151290323,34.15
1053319202,KOCHER,JEFFREY,,MD,M,I,25 ROCKWOOD PL,,ENGLEWOOD,NJ,076314957,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,26,65,75.264153846,8.32,5.1172307692,5.1172307692
1053319202,KOCHER,JEFFREY,,MD,M,I,25 ROCKWOOD PL,,ENGLEWOOD,NJ,076314957,US,Physician/Infectious Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,24,22.570833333,1.42,0.9766666667,0.9766666667
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,33,95,241,62.23780083,8.32,5.7358506224,5.7358506224
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,20,20,15.1155,3.38,2.5175,2.5175
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,23.057333333,2.12,1.5586666667,1.5586666667
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,27,62,85,13.742705882,1.42,1.0243529412,1.0243529412
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,25,25,92.1192,40.6572,31.87,30.5564
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,45,55.144,19.581333333,15.351555556,14.602
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,27,27,161.25074074,55.875555556,43.802962963,42.898518519
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,20,20,56.557,18.976,14.881,14.06
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,33,193,8.112642487,2.288238342,1.7940932642,1.6049222798
1053319210,SHEIKH,SABA,S,M.D.,F,I,5450 KNOLL NORTH DR,SUITE 260,COLUMBIA,MD,210452373,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,130.51657143,31.718857143,22.840857143,22.721142857
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,2130,2.2692723005,0.4851830986,0.3585305164,0.3585305164
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,66,3960,6.8110959596,2.590530303,1.9742424242,1.9742424242
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,18,150,14180,5.1856713681,0.5681981664,0.4089703808,0.4089668547
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,8250,0.061910303,0.0136,0.0100678788,0.0100678788
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,25,5040,1.9085912698,0.7253551587,0.5592519841,0.5592519841
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,21,27,189,32200,4.2114295031,1.2135409938,0.9128372671,0.9128372671
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,47,9320,4.4942006438,2.8406502146,2.2270675966,2.2270665236
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,28,32,238,238,24,24,18.187394958,18.187394958
1053319343,FRANKLIN,DONALD,B,M.D.,M,I,251 N LYERLY ST,SUITE 100,CHATTANOOGA,TN,374042739,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,26,35,267,312,16,16,11.857820513,11.857820513
1053319509,EMY,JOHN,K,MD,M,I,317 E 34TH ST,,NEW YORK,NY,100164974,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,15,48,78.391458333,8.32,6.25,6.25
1053319533,GREER,ROBERT,C,D.O.,M,I,624 US 1,,LAKE PARK,FL,334032916,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,134.73684211,37.504210526,27.44,23.2
1053319590,IMPASTATO,JOHN,P,PA-C,M,I,7858 SHRADER RD,,HENRICO,VA,232944222,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,275,274.33166667,199.83083333,203.64583333
1053319624,QUINN,ANTHONY,D,MD,M,I,3 SHAWS CV,SUITE 206,NEW LONDON,CT,063204952,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,5510,2.9888058076,1.932522686,1.4630145191,1.5472649728
1053319624,QUINN,ANTHONY,D,MD,M,I,3 SHAWS CV,SUITE 206,NEW LONDON,CT,063204952,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,2826,9.5873248408,6.7985774947,5.2301804671,5.5684076433
1053319624,QUINN,ANTHONY,D,MD,M,I,3 SHAWS CV,SUITE 206,NEW LONDON,CT,063204952,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,46,12.825869565,10.51,7.8817391304,8.215
1053319624,QUINN,ANTHONY,D,MD,M,I,3 SHAWS CV,SUITE 206,NEW LONDON,CT,063204952,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,22,9.1840909091,7.46,5.85,5.85
1053319624,QUINN,ANTHONY,D,MD,M,I,3 SHAWS CV,SUITE 206,NEW LONDON,CT,063204952,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,230,14.225782609,7,5.2653913043,5.2653913043
1053319624,QUINN,ANTHONY,D,MD,M,I,3 SHAWS CV,SUITE 206,NEW LONDON,CT,063204952,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,270,7.4805925926,4.04,3.0501111111,3.0501111111
1053319624,QUINN,ANTHONY,D,MD,M,I,3 SHAWS CV,SUITE 206,NEW LONDON,CT,063204952,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,375,0.7356,0.27,0.1974933333,0.1974933333
1053319640,RICHARDSON,PATRICIA,,M.D.,F,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,57,202,54.457326733,8.32,6.458019802,6.458019802
1053319640,RICHARDSON,PATRICIA,,M.D.,F,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,20,39,11.792307692,1.42,1.1141025641,1.1141025641
1053319640,RICHARDSON,PATRICIA,,M.D.,F,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,86,10.638139535,2.01,1.576744186,1.593255814
1053319640,RICHARDSON,PATRICIA,,M.D.,F,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,138.13421053,32.622105263,25.576315789,24.825526316
1053319657,TIEN,DAVE,,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,159,14340,4.4848960948,0.5654490934,0.427902371,0.4278981869
1053319657,TIEN,DAVE,,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,55,9900,0.1418646465,0.0134242424,0.0096131313,0.0096131313
1053319657,TIEN,DAVE,,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2280,2.2360833333,0.7388421053,0.5327719298,0.5327719298
1053319657,TIEN,DAVE,,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,103,13842,3.974698743,1.1998974137,0.9042161537,0.9042161537
1053319657,TIEN,DAVE,,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,3060,8.2585424837,2.8654117647,2.0991437908,2.0991437908
1053319657,TIEN,DAVE,,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,129,129,24,24,17.944573643,17.944573643
1053319657,TIEN,DAVE,,M.D.,M,I,650 E 4500 S,SUITE 210,SALT LAKE CITY,UT,841072900,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,188,234,16.034188034,16,12.059487179,12.059487179
1053319699,GONZALEZ,GONZALO,A,M.D,M,I,108 S PEBBLE BEACH BLVD,,SUN CITY CENTER,FL,335735788,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,37,116,63.608017241,8.32,6.2979310345,6.2979310345
1053319699,GONZALEZ,GONZALO,A,M.D,M,I,108 S PEBBLE BEACH BLVD,,SUN CITY CENTER,FL,335735788,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.088333333,3.38,2.65,2.65
1053319699,GONZALEZ,GONZALO,A,M.D,M,I,108 S PEBBLE BEACH BLVD,,SUN CITY CENTER,FL,335735788,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,39,14.348461538,1.42,1.1138461538,1.1138461538
1053319699,GONZALEZ,GONZALO,A,M.D,M,I,108 S PEBBLE BEACH BLVD,,SUN CITY CENTER,FL,335735788,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2049,0.1886725232,0.0465104929,0.0305807711,0.0305807711
1053319699,GONZALEZ,GONZALO,A,M.D,M,I,108 S PEBBLE BEACH BLVD,,SUN CITY CENTER,FL,335735788,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,124.38461538,33,21.89,21.89
1053319749,SCOTT,STANLEY,,M.D.,M,I,10112 78TH ST,,OZONE PARK,NY,114161907,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,5.91,1.18,0.8542857143,0.895
1053319749,SCOTT,STANLEY,,M.D.,M,I,10112 78TH ST,,OZONE PARK,NY,114161907,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,3375,0.17,0.0459111111,0.0316148148,0.0316148148
1053319749,SCOTT,STANLEY,,M.D.,M,I,10112 78TH ST,,OZONE PARK,NY,114161907,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,420,0.75,0.2187857143,0.1593809524,0.1593809524
1053319749,SCOTT,STANLEY,,M.D.,M,I,10112 78TH ST,,OZONE PARK,NY,114161907,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1053319897,MOVVA,PRASAD,V,M.D.,M,I,922 E TYLER AVE,,HARLINGEN,TX,785507134,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,40,85,47.175176471,8.32,6.3672941176,6.3672941176
1053319897,MOVVA,PRASAD,V,M.D.,M,I,922 E TYLER AVE,,HARLINGEN,TX,785507134,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,26,28,12.115357143,1.42,1.0392857143,1.0392857143
1053319897,MOVVA,PRASAD,V,M.D.,M,I,922 E TYLER AVE,,HARLINGEN,TX,785507134,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,515.19727273,85.185454545,64.675454545,65.551818182
1053319897,MOVVA,PRASAD,V,M.D.,M,I,922 E TYLER AVE,,HARLINGEN,TX,785507134,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,28,191.22428571,32.411428571,23.5875,24.016071429
1053319897,MOVVA,PRASAD,V,M.D.,M,I,922 E TYLER AVE,,HARLINGEN,TX,785507134,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,81.752727273,11.250909091,8.0045454545,8.2263636364
1053319897,MOVVA,PRASAD,V,M.D.,M,I,922 E TYLER AVE,,HARLINGEN,TX,785507134,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,11.042361111,2.06,1.4806944444,1.4629166667
1053319897,MOVVA,PRASAD,V,M.D.,M,I,922 E TYLER AVE,,HARLINGEN,TX,785507134,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,31,88.258064516,28.537096774,22.374193548,21.90483871
1053319962,MANSOUR,MERVAT,B,M.D.,F,I,2 AUER CT STE D,,EAST BRUNSWICK,NJ,088165824,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,36,73,55.477123288,8.32,5.7167123288,5.7167123288
1053319962,MANSOUR,MERVAT,B,M.D.,F,I,2 AUER CT STE D,,EAST BRUNSWICK,NJ,088165824,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,23,11.643043478,1.42,1.0217391304,1.0217391304
1053319996,WOJNOWICH,LEONARD,S,M.D.,M,I,1326 EISENHOWER DR,SUITE D,SAVANNAH,GA,314063928,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,38,56.6,8.32,5.9939473684,5.9939473684
1053320010,SCHEINBERG,ROBERT,R,MD,M,I,8210 WALNUT HILL LN,"STE 130, LB 11",DALLAS,TX,752314405,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,144,106.1725,69.615833333,74.095
1053320069,ONDASH,ROBERT,J,M.D.,M,I,912 S CAPITAL OF TEXAS HWY STE 100,,WEST LAKE HILLS,TX,78746,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,17,69.027647059,8.32,6.5270588235,6.5270588235
1053320135,DELAGE,MIGUEL,A,D.P.M.,M,I,8900 CORAL WAY STE 206,,MIAMI,FL,331652075,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,11,22,89.381363636,71.47,45.076818182,45.147272727
1053320168,SUE,RICHARD,D,M.D.,M,I,3330 N 2ND ST,SUITE 300,PHOENIX,AZ,850122368,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1074.31,841.50916667,841.50916667
1053320176,KEIGHLEY,ROBERT,D,D.O.,M,I,1165 S KNOXVILLE AVE,,SAINT MARYS,OH,458852622,US,Physician/General Surgery,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1350,3,1.92,1.5053333333,1.5868
1053320176,KEIGHLEY,ROBERT,D,D.O.,M,I,1165 S KNOXVILLE AVE,,SAINT MARYS,OH,458852622,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,190,6.0484210526,5.74,4.2631578947,4.2631578947
1053320176,KEIGHLEY,ROBERT,D,D.O.,M,I,1165 S KNOXVILLE AVE,,SAINT MARYS,OH,458852622,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,442,3.1814932127,2.8578733032,2.2406334842,2.2815384615
1053320176,KEIGHLEY,ROBERT,D,D.O.,M,I,1165 S KNOXVILLE AVE,,SAINT MARYS,OH,458852622,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,240,12.295833333,9.8141666667,7.3756666667,7.4124166667
1053320176,KEIGHLEY,ROBERT,D,D.O.,M,I,1165 S KNOXVILLE AVE,,SAINT MARYS,OH,458852622,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,201,3.7286567164,3.0245771144,2.2615920398,2.2734328358
1053320176,KEIGHLEY,ROBERT,D,D.O.,M,I,1165 S KNOXVILLE AVE,,SAINT MARYS,OH,458852622,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,,12,130,82.804615385,26.62,20.87,19.2
1053320309,ACHEBE,NGOZI,,,F,I,3900 CAPITOL MALL DR SW,SW,OLYMPIA,WA,985028654,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,39.07,3.8921621622,2.8094594595,3.2372972973
1053320317,ENKE,RYAN,C,M.D.,M,I,324 ROXBURY RD,,ROCKFORD,IL,611075090,US,Physician/Physical Medicine and Rehabilitation,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,15,86,64.76,50.77,46.35
1053320424,SCHWARTZ,MATTHEW,,MD,M,I,10001 S EASTERN AVE,SUITE 108,HENDERSON,NV,89052,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,251,59.35625498,3.04,2.2693625498,2.254501992
1053320424,SCHWARTZ,MATTHEW,,MD,M,I,10001 S EASTERN AVE,SUITE 108,HENDERSON,NV,89052,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,6743,1.3867981611,0.32,0.246643927,0.2388017203
1053320432,O`REILLY,WILLIAM,C,DPM,M,I,1690 RIMROCK RD,SUITE L,BILLINGS,MT,591020700,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,48.087,48.087,31.197,76.7625
1053320663,MARTIN,KAREN,L,"CNS, APRN-BC",F,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Certified Clinical Nurse Specialist,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1330,0.19,0.13,0.101962406,0.101962406
1053320663,MARTIN,KAREN,L,"CNS, APRN-BC",F,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Certified Clinical Nurse Specialist,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,32,8.99375,5.54,3.935625,3.935625
1053320663,MARTIN,KAREN,L,"CNS, APRN-BC",F,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Certified Clinical Nurse Specialist,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,38,60,24.854666667,13.8,9.9183333333,9.9183333333
1053320663,MARTIN,KAREN,L,"CNS, APRN-BC",F,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Certified Clinical Nurse Specialist,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,94,12735,5.0228975265,2.04,1.5933867295,1.5933867295
1053320663,MARTIN,KAREN,L,"CNS, APRN-BC",F,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Certified Clinical Nurse Specialist,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,51,5790,10.665025907,6.15,4.8209775475,5.5360811744
1053320663,MARTIN,KAREN,L,"CNS, APRN-BC",F,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Certified Clinical Nurse Specialist,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,38,107,15.554205607,10.93,7.9286915888,7.9286915888
1053320663,MARTIN,KAREN,L,"CNS, APRN-BC",F,I,6025 LAKE RD,SUITE 200,WOODBURY,MN,551251712,US,Certified Clinical Nurse Specialist,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,96,10.429479167,7.35,5.4013541667,5.4897916667
1053320671,MELLGREN,ANDERS,,MD,M,I,1801 W TAYLOR ST,3F OCC,CHICAGO,IL,606124795,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,300,5.5562666667,3.32,2.6029333333,3.0272666667
1053320671,MELLGREN,ANDERS,,MD,M,I,1801 W TAYLOR ST,3F OCC,CHICAGO,IL,606124795,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,16,12.426875,4.1,3.21,3.21
1053320671,MELLGREN,ANDERS,,MD,M,I,1801 W TAYLOR ST,3F OCC,CHICAGO,IL,606124795,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,590,7.1925254237,5.7349152542,4.3190338983,4.323
1053320671,MELLGREN,ANDERS,,MD,M,I,1801 W TAYLOR ST,3F OCC,CHICAGO,IL,606124795,US,Physician/Colorectal Surgery (Proctology),S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,220,8.0814090909,4.9077272727,3.8474545455,3.8492272727
1053320671,MELLGREN,ANDERS,,MD,M,I,1801 W TAYLOR ST,3F OCC,CHICAGO,IL,606124795,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,81,5.1491358025,2.91,2.2809876543,2.2809876543
1053320671,MELLGREN,ANDERS,,MD,M,I,1801 W TAYLOR ST,3F OCC,CHICAGO,IL,606124795,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,1405,0.4307758007,0.27,0.2116227758,0.2116227758
1053320671,MELLGREN,ANDERS,,MD,M,I,1801 W TAYLOR ST,3F OCC,CHICAGO,IL,606124795,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,1030,0.4313106796,0.2585436893,0.2026893204,0.2114466019
1053320713,ESQUIVEL,SANDRA,,MD,F,I,1330 E 6TH ST STE 201,,WESLACO,TX,785966608,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,20,225,27.42,24.44,19.160622222,19.197377778
1053320713,ESQUIVEL,SANDRA,,MD,F,I,1330 E 6TH ST STE 201,,WESLACO,TX,785966608,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,19,150,9.1,8.22,6.444,6.4297333333
1053320713,ESQUIVEL,SANDRA,,MD,F,I,1330 E 6TH ST STE 201,,WESLACO,TX,785966608,US,Physician/General Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,32,36,115.00305556,75.56,51.012222222,51.012222222
1053320713,ESQUIVEL,SANDRA,,MD,F,I,1330 E 6TH ST STE 201,,WESLACO,TX,785966608,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,1716.46,598.22222222,469.00333333,452.365
1053320739,GERSCH,DARON,W,MD,M,I,320 3RD AVE,,ALBANY,MN,563079363,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,55,90,69.211222222,8.32,5.4357777778,5.4357777778
1053320739,GERSCH,DARON,W,MD,M,I,320 3RD AVE,,ALBANY,MN,563079363,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,480,6.7,5.36,3.9570625,3.9201041667
1053320739,GERSCH,DARON,W,MD,M,I,320 3RD AVE,,ALBANY,MN,563079363,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,7990,0.69,0.3672215269,0.2846683354,0.2868460576
1053320739,GERSCH,DARON,W,MD,M,I,320 3RD AVE,,ALBANY,MN,563079363,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,622.78285714,69.99,47.031428571,46.911428571
1053320739,GERSCH,DARON,W,MD,M,I,320 3RD AVE,,ALBANY,MN,563079363,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,3240,2.2413024691,0.1325925926,0.0871388889,0.0871388889
1053320739,GERSCH,DARON,W,MD,M,I,320 3RD AVE,,ALBANY,MN,563079363,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,199,61.591818182,42.982727273,46.474545455
1053320739,GERSCH,DARON,W,MD,M,I,320 3RD AVE,,ALBANY,MN,563079363,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,33,33,22.68137931,22.68137931
1053321026,MOTA,MARIO,C,MD,M,I,1101 SOUTH 70TH ST,SUITE 200,LINCOLN,NE,68510,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,49,49,49,62.913673469,52.480816327,40.123673469,50.96877551
1053321026,MOTA,MARIO,C,MD,M,I,1101 SOUTH 70TH ST,SUITE 200,LINCOLN,NE,68510,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,20,96.3,49.903,38.1615,42.5175
1053321026,MOTA,MARIO,C,MD,M,I,1101 SOUTH 70TH ST,SUITE 200,LINCOLN,NE,68510,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,17,31,46.806451613,46.264193548,33.122580645,40.396774194
1053321026,MOTA,MARIO,C,MD,M,I,1101 SOUTH 70TH ST,SUITE 200,LINCOLN,NE,68510,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,39,39,74,70.785945946,62.042432432,47.327027027,52.518513514
1053321026,MOTA,MARIO,C,MD,M,I,1101 SOUTH 70TH ST,SUITE 200,LINCOLN,NE,68510,US,Physician/Ophthalmology,S,V2750,"Anti-reflective coating, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,30,30,59,54.661016949,19.87,15.579830508,16.045932203
1053321026,MOTA,MARIO,C,MD,M,I,1101 SOUTH 70TH ST,SUITE 200,LINCOLN,NE,68510,US,Physician/Ophthalmology,S,V2784,"Lens, polycarbonate or equal, any index, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,71,32.021126761,31.89943662,23.667464789,33.879295775
1053321059,MCHUGH,THERESA,W,DO,F,I,100 LANCASTER AVE,"LANKENAU MSB, 1ST FLOOR",WYNNEWOOD,PA,19096,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,23,28,70.923928571,19.71,15.45,15.45
1053321059,MCHUGH,THERESA,W,DO,F,I,100 LANCASTER AVE,"LANKENAU MSB, 1ST FLOOR",WYNNEWOOD,PA,19096,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,24,29,113.55310345,37.38,29.3,29.3
1053321059,MCHUGH,THERESA,W,DO,F,I,100 LANCASTER AVE,"LANKENAU MSB, 1ST FLOOR",WYNNEWOOD,PA,19096,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,450,223.03642857,174.86214286,174.86214286
1053321059,MCHUGH,THERESA,W,DO,F,I,100 LANCASTER AVE,"LANKENAU MSB, 1ST FLOOR",WYNNEWOOD,PA,19096,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,24,277,7.3129602888,1.6683032491,1.3076895307,1.3076895307
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,51,123,410,47.065585366,8.32,5.7903658537,5.7903658537
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,14.87625,3.38,1.9875,1.9875
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,20.072307692,2.12,1.4130769231,1.4130769231
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,33,71,116,12.497758621,1.42,1.0282758621,1.0282758621
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,5.54,5.54,4.2583928571,4.2583928571
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1488,0.44,0.44,0.344952957,0.344952957
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,830,0.4072289157,0.27,0.2116024096,0.2116024096
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,475,0.3911578947,0.27,0.2116,0.2116
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,20,39,8.0305128205,1.38,1.0292307692,1.0956410256
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,164.18181818,48.544545455,31.537272727,30.891818182
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,94.886818182,30.657727273,22.803181818,18.597272727
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,19,105,108,35.801574074,5.644537037,4.19,3.5717592593
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,573.05,32.85,25.75,30.3
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,12,12,12,49.135,48.575,38.081666667,58.82
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,11.049090909,5.7745454545,6.1545454545
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,64,68,389.79191176,79.88,60.381323529,53.643088235
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,33,256.81818182,35.63,27.083636364,28.292424242
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,19,57,17934,0.3394702799,0.0454717297,0.0330963533,0.0330963533
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,26,2602,1.7344619523,0.1277171407,0.1001383551,0.1001383551
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,97.348484848,17.377575758,11.317575758,11.71
1053321117,ASKAR,MAAN,A,MD,M,I,13430 E 13 MILE RD,,WARREN,MI,480883187,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,28,82,82,73.317073171,33,24.923536585,24.923536585
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,16,54,643,64.250171073,19.635272162,15.14437014,15.14437014
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,17,60,1728,8.5545717593,2.6318981481,1.9660763889,1.9660763889
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,104,331,1654,69.943325272,8.32,5.9343349456,5.9343349456
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,15,29,29,14.436206897,3.38,2.375862069,2.375862069
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,14,17,17,20.872941176,2.12,1.5717647059,1.5717647059
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,33,61,182,14.016703297,1.42,1.0214285714,1.0214285714
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,38,38,731.99736842,352.23631579,272.40473684,272.40473684
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,36,3060,16.379480392,10.852196078,8.4629836601,8.4629738562
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,18,132,132,285.51325758,251.02727273,196.37901515,196.44356061
1053321273,DANICICH,MICHELE,A,MD,F,I,900 N ORANGE ST STE 304,,MISSOULA,MT,598022951,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,14.75,0.6076923077,0.4396153846,0.4396153846
1053321364,SANDVED,KARIN,M,MD,F,I,400 W BRAMBLETON AVE,STE 100,NORFOLK,VA,235101115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,32,97,57.185773196,8.32,6.2528865979,6.2528865979
1053321364,SANDVED,KARIN,M,MD,F,I,400 W BRAMBLETON AVE,STE 100,NORFOLK,VA,235101115,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,16.071428571,3.38,2.65,2.65
1053321364,SANDVED,KARIN,M,MD,F,I,400 W BRAMBLETON AVE,STE 100,NORFOLK,VA,235101115,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,27,15.275555556,1.42,1.1155555556,1.1155555556
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,8,28,80,1030,59.335456311,19.636262136,15.236582524,15.236582524
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,26,74,2455,8.3670835031,2.6321792261,1.9719348269,1.9719348269
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,52,145,309,1409,71.560305181,8.32,6.0530731015,6.0530731015
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,38,55,115,16.50226087,1.42,1.024,1.024
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,26,26,52,77.035384615,71.481923077,56.043846154,56.043846154
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,81,36.49617284,29.19,22.885061728,22.88654321
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,61,45.983606557,43.56,34.151311475,34.149508197
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,68,68,677.6175,343.68529412,266.97441176,266.97441176
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,39,4040,16.260532178,10.789346535,8.3975074257,8.3975074257
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,31,197,201,301.76995025,251.00134328,196.78482587,196.86960199
1053321539,HOOD,ROBERT,C,"M.D.,F.R.C.P.C.",M,I,3030 NORTH ST,SUITE 560,BEAUMONT,TX,777021433,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,280.14117647,264.16,204.03235294,204.03235294
1053321745,ASHFORD,MELVIN,,MD,M,I,10731 HAWTHORN TRL,,WOODBURY,MN,551298767,US,Physician/Obstetrics & Gynecology,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,110.07333333,44.15,29.995333333,29.995333333
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,38,98,350,56.0906,8.3085428571,6.1035428571,6.1125142857
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,,22,22,10.107727273,3.38,2.65,2.65
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,15.8375,2.12,1.67,1.67
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,34,90,10.808333333,1.42,1.0883333333,1.0883333333
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,52,52,34.113269231,28.415769231,21.691923077,21.697692308
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,252,2.49,2.49,1.9516666667,1.9516666667
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,60,70,12.606285714,9.29,6.864,8.1157142857
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,26,8.4138461538,6.34,4.2053846154,5.115
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,280,34.937142857,5.54,4.3431428571,4.3431428571
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,34,5280,0.44,0.44,0.3449621212,0.3449621212
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,744,7.37,6.29,4.9312903226,5.4252419355
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,496,5.23,5.23,4.1003225806,4.1003225806
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,160,21.28,3.04,2.383,2.383
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,333,34.86,34.86,27.33033033,27.33033033
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,31,592,23.66,23.66,18.307094595,18.307094595
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,19,42,1598,8.3716145181,8.28,6.4905256571,6.4905256571
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,400,18.5,18.5,14.504025,14.504025
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,282,8.41,8.41,6.5935106383,6.5935106383
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,32,460,11.346086957,10.926086957,8.5660217391,8.5690869565
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,468,2.3980769231,2.3980769231,1.8801282051,1.8816452991
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,54,18.278888889,18.278888889,14.330555556,14.339259259
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,1734,0.4494809689,0.4494809689,0.3524048443,0.35272203
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,17,34,3.8217647059,1.5552941176,1.1508823529,1.0867647059
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,26,2.2361538462,1.22,0.8819230769,0.8919230769
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,23,141.19869565,32.56,25.527826087,25.900869565
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,40,50.6695,21.6635,15.46525,13.11
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,22,57,41.330175439,18.664210526,11.484561404,9.4845614035
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,15,31,31,158.59193548,65.028387097,43.75,37.552903226
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,18,25,25,49.6824,19.402,13.4856,12.6728
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,20,20,60.2825,15.039,11.2905,9.187
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,18,42,140,10.835428571,2.6047142857,1.7700714286,1.4424285714
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,,11,11,42.39,13.940909091,8.8727272727,8.5827272727
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,368,126.35869565,3.02,2.1682880435,2.1682880435
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,11,53,1625,199.9184,5.2677846154,4.1298030769,4.2096676923
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,5940,3.7691582492,0.37,0.2900824916,0.2900824916
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,54,25718,1.784918734,0.3371545221,0.2583015787,0.2422902247
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,18,18,808.05555556,65.511111111,51.357222222,51.091111111
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,19,19,19,127.38368421,54.191052632,42.479473684,37.995789474
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,144.7075,71.19,55.815,48.2775
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,32,32,160.61,49.6453125,33.3590625,33.1178125
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,30,211,213,50.667464789,18.122394366,12.994037559,12.428826291
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,27,27,193.26888889,48,35.363703704,35.363703704
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,53,58,41.734482759,4.9198275862,3.8525862069,3.774137931
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,20,20,128.4375,36.4235,27.387,27.3915
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,72.115384615,4.9030769231,3.5492307692,3.6607692308
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,41,257,259,329.96814672,73.796061776,52.673629344,50.00980695
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,213.71909091,38.888181818,28.992272727,27.965909091
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,31,3419,1.8779760164,0.1332026908,0.0948786195,0.0948786195
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,72.573333333,19.032,12.301333333,10.48
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,43,46,93.117826087,38.367826087,28.75,25.032826087
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,21.42,11.075,7.7108333333,5.7116666667
1053322016,MCPHERSON,MICHAEL,G,MD,M,I,808 JOLIET AVE UNIT 220,,LUBBOCK,TX,794151158,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,41,41,60.670731707,33,25.115609756,25.115609756
1053322073,CZECH,JULIE,A,M.D.,F,I,4420 LAKE BOONE TRL,,RALEIGH,NC,276077505,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,8.5,5.8818181818,6.5427272727
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,36,92,188,62.19393617,8.32,5.9670212766,5.9670212766
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,20,10.475,3.38,2.65,2.65
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,44,54,10.787777778,1.42,0.9883333333,0.9883333333
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,16,85.67,46.971875,33.2325,33.811875
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,35.636363636,34.209090909
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,49,49,34.382244898,3.7959183673,2.7432653061,3.2330612245
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,277.268,78.704,54.536,47.965333333
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.3675,8.7673333333,8.7673333333
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2824,0.1782011331,0.0475070822,0.0247769122,0.0247769122
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1053322289,FLYNN,RICHARD,,MD,M,I,4124 BLANDING BLVD,,JACKSONVILLE,FL,322105419,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,26,120.57692308,33,20.665769231,20.665769231
1053322321,AITKEN,GEORGE,K,MD,M,I,617 23RD ST,STE 3,ASHLAND,KY,41101,US,Physician/Orthopedic Surgery,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,12,45,45,18,5.1202222222,2.406,2.0273333333
1053322321,AITKEN,GEORGE,K,MD,M,I,617 23RD ST,STE 3,ASHLAND,KY,41101,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,102.93625,67.4375,52.870625,36.46
1053322321,AITKEN,GEORGE,K,MD,M,I,617 23RD ST,STE 3,ASHLAND,KY,41101,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.588181818,5.2772727273,3.0572727273,2.3236363636
1053322321,AITKEN,GEORGE,K,MD,M,I,617 23RD ST,STE 3,ASHLAND,KY,41101,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,33,33,127.26545455,114.59393939,86.899393939,75.602424242
1053322321,AITKEN,GEORGE,K,MD,M,I,617 23RD ST,STE 3,ASHLAND,KY,41101,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,14,143.17857143,116.56,85.747857143,96.986428571
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,89,194,66.482938144,8.32,4.5359793814,4.5359793814
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,9.9238888889,1.42,0.6844444444,0.6844444444
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2550,2.2739215686,2.04,1.5348039216,1.5348039216
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,52,1.7192307692,1.5115384615,1.1838461538,1.3911538462
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,8,7,4.9518461538,4.9518461538
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,160,5,4.03,2.76475,2.76475
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,159.25,77.1325,55.91125,41.76875
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,50.857142857,25.929285714,19.211428571,14.327142857
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,19,19,48.210526316,22.114210526,16.806315789,8.64
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,70,11.614285714,3.1171428571,2.1408571429,1.4352857143
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,22.4775,16.3775,12.4025
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,22.7,7.036,4.244,2.6725
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,268.18181818,100.90545455,72.953333333,49.02969697
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1469,2.2098298162,0.1360721579,0.106712049,0.106712049
1053322404,KIES,LISA,M,MD,F,I,903 W CONGRESS,,NORA SPRINGS,IA,504587747,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,23,33,33,25.87,25.87
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,71,227,61.933259912,8.32,5.8750220264,5.8750220264
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,43,13.039069767,1.42,1.0372093023,1.0372093023
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,22,24.686818182,10.34,7.3736363636,7.75
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,22,17.81,7.46,5.3181818182,5.3181818182
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,50,13.92,2.06,1.615,1.5928
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,57.32875,16.59,11.916666667,12.25375
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,333.59125,67.72,48.385833333,49.422083333
1053322412,PATEL,DIPAK,M,MD,M,I,755 S PLEASANT AVE,,DALLASTOWN,PA,173139252,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,739.56,116.45545455,88.451818182,93.144545455
1053322719,FIROOZMAND,EIMAN,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 307,BEVERLY HILLS,CA,902104703,US,Physician/Colorectal Surgery (Proctology),S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,2190,7.3461415525,3.1,2.4303926941,2.4303926941
1053322719,FIROOZMAND,EIMAN,,M.D.,M,I,9400 BRIGHTON WAY,SUITE 307,BEVERLY HILLS,CA,902104703,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,450,0.5034,0.27,0.1998888889,0.1998888889
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,51,161,448,52.644196429,8.3065625,6.2058705357,6.21640625
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,14.005217391,3.38,2.65,2.65
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,38,95,13.871052632,1.42,1.0907368421,1.0907368421
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,35,4.1314285714,1.7731428571,1.3911428571,1.1902857143
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,29,569,39.673866432,7.8004042179,6.1156239016,4.3736906854
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,7963,0.849777722,0.4173075474,0.3271681527,0.2581979154
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,166.05,62.335,45.598333333,32.223333333
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,57.961176471,22.854117647,17.915882353,14.592352941
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,25,29.1168,7.5712,5.7896,3.6192
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,21.05125,11.525,9.03125,4.495625
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,14,79,81,345.65567901,103.03703704,79.307530864,56.378641975
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,175.53846154,44.900769231,32.676923077,27.796153846
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,36,7674,0.3111858223,0.0455160281,0.0324472244,0.0324472244
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,1075,1.4993488372,0.1392372093,0.0990232558,0.0990232558
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,968,1.9648347107,0.2194421488,0.1533884298,0.1533884298
1053322842,GARCIA,NOEL,V,M.D.,M,I,1002 E MADISON ST,,HOUSTON,MS,388512417,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,45,45,38.955555556,33,23.570444444,23.570444444
1053323063,SOTO,JOSEPH,C,M.D.,M,I,1405 CENTERVILLE RD,SUITE 5400,TALLAHASSEE,FL,323084655,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,69.298181818,11.54,6.5818181818,6.66
1053323063,SOTO,JOSEPH,C,M.D.,M,I,1405 CENTERVILLE RD,SUITE 5400,TALLAHASSEE,FL,323084655,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,56,10.523928571,2.01,1.3796428571,1.3967857143
1053323063,SOTO,JOSEPH,C,M.D.,M,I,1405 CENTERVILLE RD,SUITE 5400,TALLAHASSEE,FL,323084655,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,60,12.988,8.702,8.386
1053323063,SOTO,JOSEPH,C,M.D.,M,I,1405 CENTERVILLE RD,SUITE 5400,TALLAHASSEE,FL,323084655,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,128.94736842,33.712631579,20.433684211,19.686315789
1053323089,KANSAL,SUNIL,C,MD,M,I,18820 E BAGLEY ROAD,SUITE 106,MIDDLEBURG HEIGHTS,OH,441303325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,44,108,66.22962963,8.32,5.7369444444,5.7369444444
1053323089,KANSAL,SUNIL,C,MD,M,I,18820 E BAGLEY ROAD,SUITE 106,MIDDLEBURG HEIGHTS,OH,441303325,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,32,45,14.768666667,1.42,1.0411111111,1.0411111111
1053323089,KANSAL,SUNIL,C,MD,M,I,18820 E BAGLEY ROAD,SUITE 106,MIDDLEBURG HEIGHTS,OH,441303325,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.12,5.7390909091,4.5018181818,3.4818181818
1053323089,KANSAL,SUNIL,C,MD,M,I,18820 E BAGLEY ROAD,SUITE 106,MIDDLEBURG HEIGHTS,OH,441303325,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,78,54.4425,49.0925
1053323089,KANSAL,SUNIL,C,MD,M,I,18820 E BAGLEY ROAD,SUITE 106,MIDDLEBURG HEIGHTS,OH,441303325,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2487,1.451672698,0.1344229996,0.1010052272,0.1010052272
1053323089,KANSAL,SUNIL,C,MD,M,I,18820 E BAGLEY ROAD,SUITE 106,MIDDLEBURG HEIGHTS,OH,441303325,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36,25.868333333,27.0775
1053323089,KANSAL,SUNIL,C,MD,M,I,18820 E BAGLEY ROAD,SUITE 106,MIDDLEBURG HEIGHTS,OH,441303325,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,124.38461538,33,23.88,23.88
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,36,110,72.430363636,8.32,6.0670909091,6.0670909091
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,16,24,15.584166667,1.42,1.0225,1.0225
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,31,59,8.8447457627,1.7186440678,1.3045762712,1.1372881356
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,70,75,83.465333333,19.417466667,13.895866667,12.288266667
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,4430.1,913.16,715.92,830.22761905
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,33,54.78,8.3751515152,6.0687878788,4.6218181818
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,22,199,199,515.18502513,86.259798995,63.125477387,52.137738693
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2874,0.2074599861,0.0443771747,0.0347877523,0.0347877523
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,16,61,5185,1.2400443587,0.1308428158,0.0931456123,0.0931456123
1053323626,LEVY,HOWARD,P,D.O.,M,I,57370 29 PALMS HWY STE 203,,YUCCA VALLEY,CA,922842900,US,Physician/Osteopathic Manipulative Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,70,70,112.54285714,33,24.022142857,24.022142857
1053323758,PATEL,INDRAJIT,J,MD,M,I,4500 13TH ST,,GULFPORT,MS,395012515,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,50,17.29,11.614285714,11.597142857
1053323758,PATEL,INDRAJIT,J,MD,M,I,4500 13TH ST,,GULFPORT,MS,395012515,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,350,70.23,47.194285714,46.902857143
1053323790,FETT,DANIEL,J,D.O.,M,I,1314 E APPLE AVE,,MUSKEGON,MI,494423759,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,22,22,22,135.90318182,50.628181818,39.695,39.144545455
1053323790,FETT,DANIEL,J,D.O.,M,I,1314 E APPLE AVE,,MUSKEGON,MI,494423759,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,79.144545455,38.726363636,22.785454545,13.481818182
1053323790,FETT,DANIEL,J,D.O.,M,I,1314 E APPLE AVE,,MUSKEGON,MI,494423759,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.298181818,10.590909091,5.6509090909,3.92
1053323972,KENAS,KIMBERLY,D,D.O.,F,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,54,78.566481481,8.32,4.7275925926,4.7275925926
1053323972,KENAS,KIMBERLY,D,D.O.,F,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50,35.933333333,34.494166667
1053323972,KENAS,KIMBERLY,D,D.O.,F,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,232.05157895,77.18,58.194210526,52.404736842
1053323972,KENAS,KIMBERLY,D,D.O.,F,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2340,0.92,0.1356282051,0.1004957265,0.1004957265
1053323972,KENAS,KIMBERLY,D,D.O.,F,I,8200 W CENTRAL AVE,SUITE 1,WICHITA,KS,672129503,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,132,33,24.022142857,24.022142857
1053324020,PATHAK,RAM,D,MD,M,I,1000 N OAK AVE,,MARSHFIELD,WI,544495703,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,62,196,758,86.275329815,8.32,5.9240501319,5.9240501319
1053324020,PATHAK,RAM,D,MD,M,I,1000 N OAK AVE,,MARSHFIELD,WI,544495703,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,35,61,122,17.245,1.42,0.9309016393,0.9309016393
1053324038,KANDRU,VEERENDRA,N,MD,M,I,9920 SW 84TH CT,,OCALA,FL,344819118,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,33,78,210,65.256047619,8.32,5.8693333333,5.8693333333
1053324038,KANDRU,VEERENDRA,N,MD,M,I,9920 SW 84TH CT,,OCALA,FL,344819118,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,11.265,3.38,2.65,2.65
1053324038,KANDRU,VEERENDRA,N,MD,M,I,9920 SW 84TH CT,,OCALA,FL,344819118,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,31,41,12.311219512,1.42,0.9804878049,0.9804878049
1053324038,KANDRU,VEERENDRA,N,MD,M,I,9920 SW 84TH CT,,OCALA,FL,344819118,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,16,57.99375,11.68625,9.16,8.7775
1053324079,KOPER,ALEX,,M.D.,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,3950,4.4870886076,1.73,1.3235316456,1.5610151899
1053324079,KOPER,ALEX,,M.D.,M,I,215 PESETAS LN,,SANTA BARBARA,CA,931101416,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,3750,11.1788,7.23,5.5698613333,5.5698613333
1053324384,STUART,JAMES,G,DO,M,I,46 WELLS STREET,,WESTERLY,RI,02891,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,54,128,41.653984375,8.32,5.858671875,5.858671875
1053324384,STUART,JAMES,G,DO,M,I,46 WELLS STREET,,WESTERLY,RI,02891,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,30,9.7733333333,1.42,1.006,1.006
1053324384,STUART,JAMES,G,DO,M,I,46 WELLS STREET,,WESTERLY,RI,02891,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,0.92,0.1328181818,0.0958863636,0.0958863636
1053324384,STUART,JAMES,G,DO,M,I,46 WELLS STREET,,WESTERLY,RI,02891,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,108.70588235,33,24.348235294,24.348235294
1053324400,FISHMAN,LAURIE,E,MD,F,I,300 LONGWOOD AVE,,BOSTON,MA,021155724,US,Physician/Pediatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,540,23.655555556,5.0333333333,3.9461111111,4.1451481481
1053324400,FISHMAN,LAURIE,E,MD,F,I,300 LONGWOOD AVE,,BOSTON,MA,021155724,US,Physician/Pediatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3718,2.7426035503,0.31,0.2430177515,0.2430177515
1053324418,RAMER,TIMOTHY,,MD,M,I,2020 E 28TH ST,SMILEY'S CLINIC,MINNEAPOLIS,MN,554071394,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,48,60.180833333,8.32,3.6689583333,3.6689583333
1053324459,NGUYEN,TRANG,D,M.D.,F,I,246 RANCH DR,,MILPITAS,CA,950355107,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,56,175,70.312057143,8.32,4.6960571429,4.6960571429
1053324459,NGUYEN,TRANG,D,M.D.,F,I,246 RANCH DR,,MILPITAS,CA,950355107,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,31,43,14.87,1.42,0.7137209302,0.7137209302
1053324459,NGUYEN,TRANG,D,M.D.,F,I,246 RANCH DR,,MILPITAS,CA,950355107,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.98,12.200833333,12.425833333
1053324459,NGUYEN,TRANG,D,M.D.,F,I,246 RANCH DR,,MILPITAS,CA,950355107,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,83.483636364,10.623636364,8.2818181818,8.9709090909
1053324459,NGUYEN,TRANG,D,M.D.,F,I,246 RANCH DR,,MILPITAS,CA,950355107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,71.06,51.0675,50.169166667
1053324624,PENNAVARIA,LAURA,K,MD,F,I,568 NE SAVANNAH DR,,BEND,OR,977014866,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,125.75,33,25.87,25.87
1053324889,PRAJAPATI,BINITA,,DO,F,I,780 CEDAR LN,,TEANECK,NJ,076661706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,26,75.628461538,8.32,5.9426923077,5.9426923077
1053324889,PRAJAPATI,BINITA,,DO,F,I,780 CEDAR LN,,TEANECK,NJ,076661706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,21,30.51047619,1.42,1.0628571429,1.0628571429
1053324970,BAN,SUSAN,L,M.D.,F,I,17400 IRVINE BLVD,SUITE F,TUSTIN,CA,927803030,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,15,30,84.363666667,8.32,6.5223333333,6.5223333333
1053324970,BAN,SUSAN,L,M.D.,F,I,17400 IRVINE BLVD,SUITE F,TUSTIN,CA,927803030,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,19.98,8.91,5.592,6.926
1053325001,RICE,SANDRA,C,M.D.,F,I,1407 116TH AVE NE,SUITE 200,BELLEVUE,WA,980043819,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50,35.933333333,34.494166667
1053325076,AMATO,VICTOR,M,MD,M,I,108 HEALTHCARE DR,,LANCASTER,SC,297208037,US,Physician/Gastroenterology,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,240,16.898333333,7.06,5.535,5.535
1053325076,AMATO,VICTOR,M,MD,M,I,108 HEALTHCARE DR,,LANCASTER,SC,297208037,US,Physician/Gastroenterology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,46,15.537391304,6.44,5.0497826087,5.0497826087
1053325076,AMATO,VICTOR,M,MD,M,I,108 HEALTHCARE DR,,LANCASTER,SC,297208037,US,Physician/Gastroenterology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,240,9.66,4.03,3.07725,3.07725
1053325076,AMATO,VICTOR,M,MD,M,I,108 HEALTHCARE DR,,LANCASTER,SC,297208037,US,Physician/Gastroenterology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,550,0.6772727273,0.27,0.2116,0.2116
1053325076,AMATO,VICTOR,M,MD,M,I,108 HEALTHCARE DR,,LANCASTER,SC,297208037,US,Physician/Gastroenterology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,275,0.6627272727,0.26,0.204,0.2116
1053325100,CAVELLI,RACHAEL,L,NP,F,I,4939 BRITTONFIELD PKWY,CNY FAMILY CARE,EAST SYRACUSE,NY,130579208,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,22,76.504090909,8.32,5.3354545455,5.3354545455
1053325399,LALLY,BART,,MD,M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,26,76,83.333157895,8.32,5.5882894737,5.5882894737
1053325407,LI,PAUL,X,MD,M,I,13336 41ST RD STE 1,,FLUSHING,NY,113553666,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,27,51,64.483529412,8.0250980392,5.9064705882,6.0221568627
1053325407,LI,PAUL,X,MD,M,I,13336 41ST RD STE 1,,FLUSHING,NY,113553666,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,13,20,23,26.595652174,1.42,1.0208695652,1.0208695652
1053325480,OSHIOKPEKHAI,EVARISTUS,I,DPM,M,I,1043 NORTH HOUSTON RD,,WARNER ROBINS,GA,31093,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,345.74714286,266.83857143,194.18571429,203.87642857
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,34,2610,0.257816092,0.13,0.0925938697,0.0925938697
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,24,8.8475,5.54,4.3425,4.3425
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,14,24.998571429,15.32,11.152142857,13.31
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.75,2.27,1.6314047619,1.6314047619
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,41,5190,2.5892601156,1.9167052023,1.4371194605,1.5339710983
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,3600,11.6505,7.23,5.6284805556,5.6284805556
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,7.87,7.87,6.1560347222,6.1638680556
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,43,20.434418605,10.34,8.1048837209,8.5679069767
1053325548,LANDOW,CRAIG,A,MD,M,I,1974 SPROUL RD STE 106,,BROOMALL,PA,190083402,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,37,82,10.782682927,7.46,5.7775609756,5.7775609756
1053325589,KLAASSEN,MARK,A,MD,M,I,2310 CALIFORNIA ROAD,STE A,ELKHART,IN,465141228,US,Physician/Orthopedic Surgery,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,74.248235294,48.205882353,35.552941176,33.684705882
1053325589,KLAASSEN,MARK,A,MD,M,I,2310 CALIFORNIA ROAD,STE A,ELKHART,IN,465141228,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,145.45125,54.5125,40.26,34.261875
1053325589,KLAASSEN,MARK,A,MD,M,I,2310 CALIFORNIA ROAD,STE A,ELKHART,IN,465141228,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,4,33,36,482,52.126016598,25.6,20.070497925,20.070497925
1053325605,HOEFLICKER,CODY,B,DO,M,I,101 SKAGGS RD,SUITE 104,BRANSON,MO,656162075,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,23,56.32826087,23.655217391,17.894782609,12.94173913
1053325605,HOEFLICKER,CODY,B,DO,M,I,101 SKAGGS RD,SUITE 104,BRANSON,MO,656162075,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,23,334.67608696,111.62956522,84.922608696,52.350434783
1053325647,YAO,ALAN,C,M.D.,M,I,13633 37TH AVE 7TH FLOOR,,FLUSHING,NY,113544561,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,27,48.062222222,8.32,6.0374074074,6.0374074074
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,44,44,132.82227273,38.731363636,28.999318182,29.093409091
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,28,77,158,7.988164557,1.5026582278,1.0862658228,1.0634177215
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,24,28,28,73.863928571,13.3975,10.496785714,9.3378571429
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,31,69,69,272.91188406,91.082463768,70.110144928,66.66115942
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,19,41,86,131.12453488,33.815930233,25.896046512,25.352093023
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,15,31,128,65.0575,19.804609375,13.41015625,12.50734375
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,13,24,100,55.2586,15.5756,12.2115,11.9799
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,42,85,85,243.95694118,56.288823529,39.511411765,38.391058824
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,64,86,86,78.842906977,18.007790698,13.479883721,13.428139535
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,44,92,93,94.811612903,12.315483871,9.0011827957,8.4991397849
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,65,157,759,11.364110672,2.053083004,1.5413438735,1.5216073781
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,27.81,6.2385714286,4.015,3.7857142857
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,32,49,49,50.847142857,14.62,10.559795918,9.6016326531
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,29,186,197,80.276091371,17.228121827,13.01106599,13.029492386
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,26,29,127.36931034,50,37.848275862,36.603103448
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,20,137,137,2386.2775182,1074.31,834.58883212,834.58883212
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,28,618.24107143,86.008571429,65.135357143,62.951071429
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,1603.2396429,940.14428571,726.82642857,726.82642857
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,267.98181818,137.86818182,102.32181818,99.393636364
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,11,57,63,105.18650794,12.611428571,8.9573015873,8.6246031746
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,26,108,122,49.393278689,5.9336065574,4.4304918033,3.6437704918
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,34,201,222,207.70423423,34.457747748,25.64981982,24.017207207
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,90,637,679,456.63240059,77.199410898,59.131487482,54.083195876
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,35,211,235,149.82978723,36.241914894,28.18412766,29.142297872
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,139.90909091,57,44.69,44.69
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,22,126,7626,15.978890637,9.6232874377,7.5161185418,7.5161185418
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1500,14.609773333,11.04164,8.5347666667,8.5347666667
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,29,148,29647,0.2054744156,0.0467295173,0.0334576854,0.0334576854
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4937,2.312442779,0.0750962123,0.0561636621,0.0561636621
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,16,77,7979,1.2323524251,0.1369620253,0.1007883193,0.1007883193
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,35,180,10664,12.754889347,2.9563409602,2.3048565266,2.3048565266
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,940,1.915712766,0.219606383,0.1667021277,0.1667021277
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,189.54285714,35.89,28.142857143,29.450714286
1053325803,PEREZ,JOSE,E,MD,M,I,208 OLD MOCKSVILLE RD,,STATESVILLE,NC,286251953,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,67,378,378,114.11904762,33,24.762248677,24.762248677
1053325985,BHANDARI,SADHANA,,MD,F,I,24 COMPTON ROAD,SUITE 205,CINCINNATI,OH,45216,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,30,91,176,61.700625,8.32,6.1811931818,6.1811931818
1053325985,BHANDARI,SADHANA,,MD,F,I,24 COMPTON ROAD,SUITE 205,CINCINNATI,OH,45216,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,12.491428571,3.38,2.5238095238,2.5238095238
1053325985,BHANDARI,SADHANA,,MD,F,I,24 COMPTON ROAD,SUITE 205,CINCINNATI,OH,45216,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,31,40,12.78225,1.42,1.117,1.117
1053326348,SPENCER,DAVID,L,MD,M,I,2525 TELEPHONE RD,,PASCAGOULA,MS,395673202,US,Physician/General Surgery,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,30,2250,2.7590133333,1.89,1.3982266667,1.5099333333
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,30,97,162,65.598765432,8.32,5.9262962963,5.9262962963
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,15,14.261333333,1.42,1.044,1.044
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,23,8.0508695652,2.0060869565,1.5726086957,1.2113043478
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,179.98833333,72.325,56.7025,44.983333333
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,19,95,7.0673684211,2.8746315789,2.2166315789,1.5911578947
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,56.943157895,21.829473684,15.542631579,12.105789474
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,152.344,44.2192,31.5648,23.4944
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,334.34578947,97.66,69.435263158,47.863684211
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6300714286,7.3791785714,7.3791785714
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,11,50,8586,0.5891171675,0.0468413697,0.0355136268,0.0355136268
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1290,1.6883178295,0.1368139535,0.1072635659,0.1072635659
1053326496,COCHRAN,TERRY,W,M.D.,M,I,2000B SOUTH MAIN ST,,FAIRFIELD,IA,525563740,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,59,59,73.271186441,33,25.431525424,25.431525424
1053326603,KISER,DELESLIE,,FNP,F,I,6208 CREFT CIR,STE 222,INDIAN TRAIL,NC,280799003,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,450,79,61.94,55.330833333
1053326603,KISER,DELESLIE,,FNP,F,I,6208 CREFT CIR,STE 222,INDIAN TRAIL,NC,280799003,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,35.27,27.66,29.365
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,65,75.946923077,8.32,6.0798461538,6.0798461538
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,23,6.0952173913,2.1669565217,1.6986956522,1.1504347826
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,6,1.5427272727,1.2090909091,0.9631818182
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,26,189.42,49.228846154,37.272307692,24.594615385
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,65,13.92,3.4830769231,2.6769230769,1.5647692308
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,56,86.31,22.196071429,16.601071429,13.235178571
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,31,81.75,18.769677419,14.716129032,11.357741935
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,35,257.82,50.440857143,39.545142857,28.841428571
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,70,591.801,102.726,79.351571429,55.349857143
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,3150,1.526768254,0.1292761905,0.089247619,0.089247619
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,12.86,3.0985,2.2714404762,2.2714404762
1053326736,REGIER,LISA,,P.A.-C,F,I,116 E 9TH ST,,JULESBURG,CO,807371100,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,73.333333333,33,23.953703704,23.953703704
1053326827,ZEBUHR,MARCELLE,S,PA-C,F,I,325 PRINCETON AVE,,PRINCETON,NJ,085401617,US,Physician Assistant,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,85,85,49.98,144.2575
1053326827,ZEBUHR,MARCELLE,S,PA-C,F,I,325 PRINCETON AVE,,PRINCETON,NJ,085401617,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,40,67.71,67.71,51.7325,45.6665
1053326827,ZEBUHR,MARCELLE,S,PA-C,F,I,325 PRINCETON AVE,,PRINCETON,NJ,085401617,US,Physician Assistant,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,319.75,315.69076923,247.49769231,221.33538462
1053326876,LENDERMON,LAURA,N,M.D.,F,I,9950 CROOKED CREEK DRIVE,,COLLIERVILLE,TN,38017,US,Physician/Family Practice,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,59,150,118.98186441,84.366101695,93.245084746
1053326876,LENDERMON,LAURA,N,M.D.,F,I,9950 CROOKED CREEK DRIVE,,COLLIERVILLE,TN,38017,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,34,44,1012.1590909,849.60545455,665.67977273,677.27886364
1053326876,LENDERMON,LAURA,N,M.D.,F,I,9950 CROOKED CREEK DRIVE,,COLLIERVILLE,TN,38017,US,Physician/Family Practice,S,L1852,"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,30,1332.6143333,896.93866667,681.74133333,631.733
1053326876,LENDERMON,LAURA,N,M.D.,F,I,9950 CROOKED CREEK DRIVE,,COLLIERVILLE,TN,38017,US,Physician/Family Practice,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,350,266.98,199.06214286,207.27357143
1053327015,WEISS,DEBORAH,J,M.D.,F,I,325 PARK AVE,,HUNTINGTON,NY,117432779,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,19,37,67.443513514,8.32,6.1678378378,6.1678378378
1053327015,WEISS,DEBORAH,J,M.D.,F,I,325 PARK AVE,,HUNTINGTON,NY,117432779,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.680909091,1.42,1.12,1.12
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,58,184,519,67.107475915,8.32,5.9224277457,5.9224277457
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,12,27,27,15.788518519,3.38,2.5518518519,2.5518518519
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,38,98,142,16.282957746,1.42,1.0522535211,1.0522535211
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,11.056923077,10.18,7.7026153846,7.7026153846
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,2640,0.44,0.44,0.3449431818,0.3449431818
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,28,560,3.2796428571,3.04,2.298375,2.298375
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,31,1362,8.28,8.28,6.4384287812,6.4384287812
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1680,0.45,0.45,0.3528333333,0.3528333333
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,200,48.047272727,37.666363636,38.544545455
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,175,50.167894737,39.33,40.791578947
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,58.848888889,16,11.146666667,12.173333333
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,367.86190476,71.11,47.316190476,46.345238095
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,93.991794872,16.751282051,13.132820513,14.367692308
1053327106,CESANEK,JOSEPH,E,MD,M,I,951 MALE RD,,WIND GAP,PA,180911513,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,38.1,7.7993333333,6.074,6.572
1053327247,BARONE,KATHLEEN,M,FNP,F,I,1150 YOUNGS RD STE 104,,WILLIAMSVILLE,NY,142218024,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,35,82.670571429,8.32,5.2182857143,5.2182857143
1053327270,KNIGHT,REBECCA,,N.P.,F,I,16510 BLOOMFIELD AVE,,CERRITOS,CA,907039346,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,38,116,67.532155172,8.32,5.8470689655,5.8470689655
1053327270,KNIGHT,REBECCA,,N.P.,F,I,16510 BLOOMFIELD AVE,,CERRITOS,CA,907039346,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,17,30,10.926,1.42,1.0036666667,1.0036666667
1053327288,LEE,STEPHEN,K,M.D.,M,I,3580 CALIFORNIA ST,#303,SAN FRANCISCO,CA,941181725,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,11,32,86,73.869534884,8.32,5.0815116279,5.0815116279
1053327288,LEE,STEPHEN,K,M.D.,M,I,3580 CALIFORNIA ST,#303,SAN FRANCISCO,CA,941181725,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,27,16.31,1.42,0.8681481481,0.8681481481
1053327338,LAROSA,JOSEPH,M,MD,M,I,5 CARE LANE,,SARATOGA SPRINGS,NY,12866,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,130.6,97.49,74.398666667,75.828666667
1053327338,LAROSA,JOSEPH,M,MD,M,I,5 CARE LANE,,SARATOGA SPRINGS,NY,12866,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,95,69.896470588,53.864705882,45.404705882
1053327338,LAROSA,JOSEPH,M,MD,M,I,5 CARE LANE,,SARATOGA SPRINGS,NY,12866,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,340,260.69,198.201875,212.713125
1053327668,SOLAN,BRIAN,,,M,I,1209 UNIVERSITY BLVD NE,,ALBUQUERQUE,NM,871021727,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,50,131,61.37648855,8.32,5.6251908397,5.6251908397
1053327668,SOLAN,BRIAN,,,M,I,1209 UNIVERSITY BLVD NE,,ALBUQUERQUE,NM,871021727,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,86.09,67.49,54.73
1053327668,SOLAN,BRIAN,,,M,I,1209 UNIVERSITY BLVD NE,,ALBUQUERQUE,NM,871021727,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,5297,0.2739456296,0.0464999056,0.0291542382,0.0291542382
1053327668,SOLAN,BRIAN,,,M,I,1209 UNIVERSITY BLVD NE,,ALBUQUERQUE,NM,871021727,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,67.65,33,20.742,20.742
1053327726,PATEL,NIMESH,,MD,M,I,1930 S BROAD ST,,PHILADELPHIA,PA,191452328,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,350,117.44846154,92.084615385,100.71538462
1053327726,PATEL,NIMESH,,MD,M,I,1930 S BROAD ST,,PHILADELPHIA,PA,191452328,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,3.7813333333,2.9653333333,3.5293333333
1053327726,PATEL,NIMESH,,MD,M,I,1930 S BROAD ST,,PHILADELPHIA,PA,191452328,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,232.77333333,77.18,60.51,55.106
1053327734,LOUGHNANE,JOHN,,MD,M,I,ONE BOSTON MEDICAL CENTER PLACE #5108,BOSTON'S COMMUNITY MEDICAL GROUP,BOSTON,MA,021187062,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,47.535,33.443333333,34.299166667
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,42,49.767142857,8.32,6.4064285714,6.4064285714
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,71.313846154,14.432307692,11.315384615,9.12
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,66,9.3684848485,2.3024242424,1.8043939394,1.5918181818
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,22,1800,1074.31,840.84409091,840.84409091
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,519.43545455,37.551363636,23.810454545,18.066363636
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.3,62.17,54.73
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1110,1.4113153153,0.1302972973,0.0874144144,0.0874144144
1053327767,RUMBALSKI,DAVID,E,M.D.,M,I,801 OHIOHEALTH BLVD.,SUITE 260,DELAWARE,OH,43015,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,85.411764706,33,22.826470588,22.826470588
1053327791,MISTRY,MEGAN,R,DO,F,I,1450 HIGHLAND AVE,,NEEDHAM,MA,024922690,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,31,86.752580645,8.32,6.3129032258,6.3129032258
1053327791,MISTRY,MEGAN,R,DO,F,I,1450 HIGHLAND AVE,,NEEDHAM,MA,024922690,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,177.75529412,33.150588235,25.991764706,24.752941176
1053328336,VELEZ,LUIS,E,M.D.,M,I,215 N SAN SABA STE 301,,SAN ANTONIO,TX,782078101,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,2730,5.0084395604,0.5531758242,0.4334505495,0.4334505495
1053328336,VELEZ,LUIS,E,M.D.,M,I,215 N SAN SABA STE 301,,SAN ANTONIO,TX,782078101,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,3240,4.6388487654,1.3903333333,1.090037037,1.090037037
1053328336,VELEZ,LUIS,E,M.D.,M,I,215 N SAN SABA STE 301,,SAN ANTONIO,TX,782078101,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,18.82,18.82
1053328336,VELEZ,LUIS,E,M.D.,M,I,215 N SAN SABA STE 301,,SAN ANTONIO,TX,782078101,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,16,16,12.54,12.54
1053328385,CHANCELLOR,BILLY,C,CNP,M,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3710,2657.165,2064.755,2064.755
1053328435,LUCIANO,ANTHONY,L,M.D.,M,I,450 PLANDOME RD,,MANHASSET,NY,110301937,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,30,90,54.990222222,8.32,5.7181111111,5.7181111111
1053328435,LUCIANO,ANTHONY,L,M.D.,M,I,450 PLANDOME RD,,MANHASSET,NY,110301937,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,22,7.8977272727,1.42,1.0654545455,1.0654545455
1053328435,LUCIANO,ANTHONY,L,M.D.,M,I,450 PLANDOME RD,,MANHASSET,NY,110301937,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,55.133478261,15.687826087,12.296521739,14.319565217
1053328559,WAGUESPACK,ERIC,M,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,26,65,168,62.0775,8.32,6.1345833333,6.1345833333
1053328559,WAGUESPACK,ERIC,M,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,18,39,57,13.906842105,1.42,0.998245614,0.998245614
1053328559,WAGUESPACK,ERIC,M,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,131.01,48.194545455,37.78,38.38
1053328559,WAGUESPACK,ERIC,M,MD,M,I,7373 PERKINS RD,,BATON ROUGE,LA,708084326,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,114.5,18.818181818,14.75,14.327272727
1053328609,JAMMA,KIRANMAI,,M.D.,F,I,6624 FANNIN ST,SUITE 1240,HOUSTON,TX,770302312,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,12,33,63.718787879,8.32,5.9284848485,5.9284848485
1053328609,JAMMA,KIRANMAI,,M.D.,F,I,6624 FANNIN ST,SUITE 1240,HOUSTON,TX,770302312,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,47.142857143,33.705714286,18.296428571,18.095714286
1053328625,PARK,AMY,,MD,F,I,106 IRVING ST NW,SUITE 405 SOUTH,WASHINGTON,DC,200102927,US,Physician/Obstetrics & Gynecology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,1260,0.39,0.13,0.1019365079,0.1019365079
1053328625,PARK,AMY,,MD,F,I,106 IRVING ST NW,SUITE 405 SOUTH,WASHINGTON,DC,200102927,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,2010,4.35,2.0265671642,1.5174328358,1.5279552239
1053328682,DEVRIES,JON,P,MD,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,31,31,293.20806452,293.20806452,229.87129032,254.64612903
1053328682,DEVRIES,JON,P,MD,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,55,69,80,52.47,52.47,37.881,42.857375
1053328682,DEVRIES,JON,P,MD,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,22,22,238.57818182,238.57818182,187.04363636,186.17
1053328682,DEVRIES,JON,P,MD,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,50,60,76.715,76.715,59.144666667,65.989666667
1053328716,GARCES,CLARITO,L,MD,M,I,283 MAIN ST,,CHATHAM,NJ,07928,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,21,52,54.817884615,8.32,5.2671153846,5.2671153846
1053328716,GARCES,CLARITO,L,MD,M,I,283 MAIN ST,,CHATHAM,NJ,07928,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,16,10.776875,1.42,0.97375,0.97375
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,29,660,11.339848485,5.7309090909,4.4928939394,4.4928939394
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,176,5.5401704545,2.9013636364,2.2744886364,2.2744886364
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,36,675,16.459896296,7,5.4066962963,5.4066962963
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,400,13.05,5.54,4.126225,4.126225
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,7.02,3.13,2.2495,2.2495
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,33,2000,0.62779,0.27,0.207865,0.207865
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,36,750,7.1702133333,3.04,2.29068,2.29068
1053328765,AKBARI,ROBERT,P,M.D.,M,I,708 N SHADY RETREAT RD STE 8,,DOYLESTOWN,PA,18901,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,37,1325,0.6424226415,0.2688679245,0.2067622642,0.2067622642
1053328807,FOSTER,DAVID,A,APRN,M,I,1101 SOUTH 70TH STREET,STE 101,LINCOLN,NE,685104293,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,75.602777778,8.32,6.1633333333,6.1633333333
1053328807,FOSTER,DAVID,A,APRN,M,I,1101 SOUTH 70TH STREET,STE 101,LINCOLN,NE,685104293,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,174.64178571,31.457857143,17.819285714,17.856428571
1053328831,WHEELER,RONALD,D,M.D.,M,I,503 E GRANT ST,,MACOMB,IL,614553313,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,100,29.026071429,22.2425,14.404285714
1053328831,WHEELER,RONALD,D,M.D.,M,I,503 E GRANT ST,,MACOMB,IL,614553313,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,25,12.287777778,9.6355555556,7.1988888889
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,16,34,438,50.615342466,19.654794521,14.675707763,14.675707763
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,15,36,1200,7.073675,2.635,1.9527,1.9527
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,115,138,373,1707,63.724604569,8.3031575864,5.9306326889,5.9428412419
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,23,23,9.0343478261,3.38,2.65,2.65
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,50,60,137,277,12.475920578,1.42,1.0292418773,1.0292418773
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,718.16769231,343.20461538,258.03461538,258.03461538
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,22,2620,16.646492366,10.827419847,5.6483625954,5.6483625954
1053328872,WEILAND,KAREN,M,N.P.,F,I,456 W 10TH AVE,,COLUMBUS,OH,432101240,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,31,31,420.23225806,251.11,196.87,196.87
1053328930,GINGER,HERMAN,H,OD,M,I,2701 S HAZEL STREET,,PINE BLUFF,AR,716035000,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,63.165,63.165,47.053,49.771
1053328930,GINGER,HERMAN,H,OD,M,I,2701 S HAZEL STREET,,PINE BLUFF,AR,716035000,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,44,33.795454545,33.795454545,25.287727273,40.843636364
1053328955,HAMID,SYED,I,M.D.,M,I,880 W MAIN ST,,BOONEVILLE,AR,729273420,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,220,97.342666667,76.318,54.73
1053328955,HAMID,SYED,I,M.D.,M,I,880 W MAIN ST,,BOONEVILLE,AR,729273420,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,200,44.178,34.638,29.514666667
1053329045,VINAGRE,JOSE,M,MD,M,I,811 WORCESTER ST,,INDIAN ORCHARD,MA,011511001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,27,92,179,79.377486034,8.32,5.902849162,5.902849162
1053329045,VINAGRE,JOSE,M,MD,M,I,811 WORCESTER ST,,INDIAN ORCHARD,MA,011511001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,33,41,13.25195122,1.42,1.0087804878,1.0087804878
1053329045,VINAGRE,JOSE,M,MD,M,I,811 WORCESTER ST,,INDIAN ORCHARD,MA,011511001,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,195,40.828333333,17.38,23.071666667
1053329094,STANISLAV,ANDREW,C,D.P.M.,M,I,502 E REED ST,,RED OAK,IA,515662350,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,12,90,84.455555556,26.62,19.710555556,18.411666667
1053329169,KUBIK,VICTORIA,D,M.D.,F,I,1229 E SEMINOLE ST,,SPRINGFIELD,MO,658042227,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,34,34,69.05,54.018823529,39.729117647,43.535294118
1053329169,KUBIK,VICTORIA,D,M.D.,F,I,1229 E SEMINOLE ST,,SPRINGFIELD,MO,658042227,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,24,26,100.72,78.88,53.954230769,59.351538462
1053329193,GAMAGAMI,ALLAN,,M.D.,M,I,8010 FROST ST,2ND FLR,SAN DIEGO,CA,921232778,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,1743,41.877481354,13.127751004,10.292226047,10.292226047
1053329193,GAMAGAMI,ALLAN,,M.D.,M,I,8010 FROST ST,2ND FLR,SAN DIEGO,CA,921232778,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,497.25,326.75153846,256.17346154,256.17346154
1053329193,GAMAGAMI,ALLAN,,M.D.,M,I,8010 FROST ST,2ND FLR,SAN DIEGO,CA,921232778,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,203.94,9.3480769231,7.328489011,7.328489011
1053329193,GAMAGAMI,ALLAN,,M.D.,M,I,8010 FROST ST,2ND FLR,SAN DIEGO,CA,921232778,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,364,652.88571429,29.213846154,22.903736264,22.903736264
1053329268,SMITH,DON,T,MD,M,I,200 PERRY HOUSE RD,200 PERRY HOUSE ROAD,FITZGERALD,GA,317508857,US,Physician/Anesthesiology,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,199,81.157777778,63.628888889,63.628888889
1053329425,KARNISH,CHRISTINE,A,APRN,F,I,810 N 96TH ST,SUITE 201,OMAHA,NE,681142767,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,76.490909091,41.332727273,26.519090909,30.756363636
1053329425,KARNISH,CHRISTINE,A,APRN,F,I,810 N 96TH ST,SUITE 201,OMAHA,NE,681142767,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,506.25,79.77125,59.508125,51.689375
1053329425,KARNISH,CHRISTINE,A,APRN,F,I,810 N 96TH ST,SUITE 201,OMAHA,NE,681142767,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,39.65,31.09,29.51
1053329441,VANSICKLE,CHRIS,,M.D.,M,I,1636 N PLAZA DR,,TALLAHASSEE,FL,323085323,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,37,66.825675676,8.32,5.6416216216,5.6416216216
1053329441,VANSICKLE,CHRIS,,M.D.,M,I,1636 N PLAZA DR,,TALLAHASSEE,FL,323085323,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,12,71.000833333,15.3075,12.0025,10.048333333
1053329441,VANSICKLE,CHRIS,,M.D.,M,I,1636 N PLAZA DR,,TALLAHASSEE,FL,323085323,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,72,8.9991666667,2.4625,1.7997222222,1.5736111111
1053329482,PRICE,DIANE,M,NURSE PRACTITIONER,F,I,1 MEDICAL CENTER DR,4,LEBANON,NH,037561000,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,198.72,61.605,44.64,32.713571429
1053329482,PRICE,DIANE,M,NURSE PRACTITIONER,F,I,1 MEDICAL CENTER DR,4,LEBANON,NH,037561000,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,76.166666667,34.9875,27.43,15.641666667
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,55,225,56.217111111,8.32,5.9717333333,5.9717333333
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,41,23.169756098,1.42,1.0851219512,1.0851219512
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,25,25,74.9508,49.2056,35.8792,28.5264
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,26,143,50.468531469,25.712167832,18.842657343,13.631118881
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,141.83333333,74.63,52.0775,37.85125
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,19,19,45.998421053,24.107894737,17.256842105,13.048421053
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,31,178,5.8491011236,2.9166292135,2.1474157303,1.5134831461
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,16.111764706,8.4529411765,6.0229411765,4.1029411765
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.56,22.253636364,16.089090909,12.3
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,287.76555556,120.96722222,91.111666667,62.641111111
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,120,51.298666667,35.908333333,22.277
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,374.34,102.61833333,75.699166667,53.559166667
1053329490,SPADY,ROBERT,N,MD,M,I,619 S WASHINGTON,SUITE 203,MOSCOW,ID,83843,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,55.275789474,25.425789474,19.176842105,13.716315789
1053329524,HOLGADO,MARCO,P,D.O,M,I,406 ROUTE 23,,FRANKLIN,NJ,074162132,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,54,113,63.591238938,8.32,6.2898230088,6.2898230088
1053329524,HOLGADO,MARCO,P,D.O,M,I,406 ROUTE 23,,FRANKLIN,NJ,074162132,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,39,43,12.778372093,1.42,1.1190697674,1.1190697674
1053329615,STANOS,STEVEN,,DO,M,I,1101 MADISON ST,SUITE 200,SEATTLE,WA,981041306,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,19.67,10.2475,8.0375,8.1783333333
1053329615,STANOS,STEVEN,,DO,M,I,1101 MADISON ST,SUITE 200,SEATTLE,WA,981041306,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,426.7125,157.8075,111.76666667,104.65333333
1053329631,MARSHALL,LYNN,L,MD,F,I,215 NORTH MAIN STREET,,WHITE RIVER JUNCTION,VT,05001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,24,700.2375,78.5825,61.6125,54.724166667
1053329631,MARSHALL,LYNN,L,MD,F,I,215 NORTH MAIN STREET,,WHITE RIVER JUNCTION,VT,05001,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,285.6,40.963333333,31.451666667,28.935
1053329755,BEAVERS,GENE,A,PA-C,M,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,56201,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,45,58.388888889,8.32,4.0573333333,4.0573333333
1053329755,BEAVERS,GENE,A,PA-C,M,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,56201,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1053329755,BEAVERS,GENE,A,PA-C,M,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,56201,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,111.26,52.643333333,41.271666667,31.5925
1053329755,BEAVERS,GENE,A,PA-C,M,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,56201,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,476.30857143,98.85,68.130714286,46.080714286
1053329755,BEAVERS,GENE,A,PA-C,M,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,56201,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,4663,0.2107312889,0.0465472872,0.0306004718,0.0306004718
1053329755,BEAVERS,GENE,A,PA-C,M,I,101 WILLMAR AVE SW,AFFILIATED COMMUNITY MEDICAL CENTERS,WILLMAR,MN,56201,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,24.022142857,24.022142857
1053329839,LISOWSKY,MYKOLA,,DPM,M,I,1819 N DIVISION ST,,HARVARD,IL,600333683,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,33,64,141.840625,71.56,54.65390625,54.65046875
1053329839,LISOWSKY,MYKOLA,,DPM,M,I,1819 N DIVISION ST,,HARVARD,IL,600333683,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,16,82,65.675609756,29.19,22.885731707,22.886341463
1053329839,LISOWSKY,MYKOLA,,DPM,M,I,1819 N DIVISION ST,,HARVARD,IL,600333683,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,86,95.220930233,43.56,34.045813953,34.043255814
1053329854,VOLOZHANINA,ELENA,,M.D.,F,I,1000 BROADWAY,,CHELSEA,MA,021502247,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,58,87.835,8.32,5.9612068966,5.9612068966
1053329904,MORGAN,CHRISTOPHER,B,DPM,M,I,123 MEDICAL DRIVE,STE C,PALESTINE,TX,75801,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,24,82.995,71.56,56.105,56.105
1053329912,DORR,VICTORIA,J,MD,F,I,2412 50TH ST,,LUBBOCK,TX,794122504,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,31.730909091,4.3454545455,3.4036363636,3.9863636364
1053330001,SAMPAT,JAYESH,,M.D.,M,I,160 N MIDLAND AVE,,NYACK,NY,109601912,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,230.54545455,76.59,60.04,54.971363636
1053330001,SAMPAT,JAYESH,,M.D.,M,I,160 N MIDLAND AVE,,NYACK,NY,109601912,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,65.251428571,40,31.36,29.642142857
1053330134,OGG,BRIAN,G,D.O.,M,I,2821 N VAN BUREN ST,SUITE A,ENID,OK,737031729,US,Physician/Orthopedic Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.13,7.9045454545,6.1945454545,4.0272727273
1053330134,OGG,BRIAN,G,D.O.,M,I,2821 N VAN BUREN ST,SUITE A,ENID,OK,737031729,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,481.64652174,465.22695652,364.7373913,448.80956522
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,2220,2.7242702703,0.5067837838,0.3973333333,0.3973333333
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,26,50,229,36785,4.0567184994,0.5714109012,0.439963844,0.4399616692
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,22,69,23400,0.0693123932,0.0129239316,0.0101324786,0.0101324786
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,2700,1.3038592593,0.7418444444,0.5816148148,0.5816148148
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,22,38,145,23808,3.5361617944,1.271671287,0.9831464214,0.9876373488
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,4320,4.5044884259,2.8511666667,2.202099537,2.202099537
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,30,59,215,215,24.03255814,24,18.559813953,18.559813953
1053330456,AUGUSTINE,JOSHUA,J,MD,M,I,9500 EUCLID AVE,MAILSTOP Q7,CLEVELAND,OH,441950001,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,35,64,285,305,16.014754098,16,12.49947541,12.49947541
1053330589,MCGOWAN,MICHELE,,D.P.M.,F,I,3150 CITRUS TOWER BLVD,SUITE B,CLERMONT,FL,34711,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,17,930,0.3309677419,0.12,0.0940752688,0.0940752688
1053330589,MCGOWAN,MICHELE,,D.P.M.,F,I,3150 CITRUS TOWER BLVD,SUITE B,CLERMONT,FL,34711,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,650,0.7004615385,0.44,0.3449846154,0.3449846154
1053330589,MCGOWAN,MICHELE,,D.P.M.,F,I,3150 CITRUS TOWER BLVD,SUITE B,CLERMONT,FL,34711,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,100.71307692,71.56,56.105,56.105
1053330589,MCGOWAN,MICHELE,,D.P.M.,F,I,3150 CITRUS TOWER BLVD,SUITE B,CLERMONT,FL,34711,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,18,18,244,30.750122951,23.66,18.549385246,18.549385246
1053330589,MCGOWAN,MICHELE,,D.P.M.,F,I,3150 CITRUS TOWER BLVD,SUITE B,CLERMONT,FL,34711,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,23,32,3141,0.3850238777,0.13,0.1019229545,0.1019229545
1053330589,MCGOWAN,MICHELE,,D.P.M.,F,I,3150 CITRUS TOWER BLVD,SUITE B,CLERMONT,FL,34711,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,20,28,2630,0.6811939163,0.45,0.3528022814,0.3528022814
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,350,23.289771429,9.86,7.7301142857,7.7301142857
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,1680,4.0163809524,1.9485714286,1.4736428571,1.4749047619
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,465,0.6892473118,0.2689247312,0.2107741935,0.2116129032
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,16,2100,0.075952381,0.05,0.0392,0.0392
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,318,2.5,1.35,1.0584591195,1.0584591195
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,11,18,205,27.42,24.84,19.474585366,19.273707317
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,145,8.75,7.68,6.0211724138,6.3304137931
1053330647,YRAD,JONATHAN,P,M.D.,M,I,478 BRICK BLVD,,BRICK,NJ,087236077,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,11,19,19,1716.46,569.84210526,446.75315789,495.19631579
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,39,52,52,106.82326923,39.510576923,30.975769231,30.7475
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,33,8.19,1.5536363636,1.0760606061,1.0187878788
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,34,62,62,334.62870968,86.228064516,64.386451613,64.892258065
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,35,67,154,118.35376623,32.865,24.409935065,24.789155844
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,29,46,230,64.016130435,19.45,14.522608696,13.877608696
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,27,43,218,46.100917431,15.21,11.551146789,11.522293578
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,56,87,87,185.44229885,52.794022989,39.492643678,40.861494253
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,73,91,91,62.989010989,17.405164835,13.194615385,13.585714286
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,45.281818182,10.104545455,6.51,6.7536363636
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,51,91,91,58.081978022,11.085494505,8.1653846154,8.5615384615
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,83,143,823,7.2972296476,1.8799392467,1.4368651276,1.5532199271
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,18.187368421,6.2,4.86,4.6721052632
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,29,34,34,42.116176471,12.622058824,9.3191176471,9.8523529412
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,23,158,166,73.327409639,16.932108434,12.810662651,13.040963855
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,462.7,82.464375,62.769375,64.0225
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,1642.5,1025.6128571,804.08285714,804.08285714
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,19,19,449.05473684,134.59,102.89894737,102.25210526
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,34,151,151,31.166225166,3.8304635762,2.6581456954,3.2452317881
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,34,175,179,354.76927374,32.458100559,23.912569832,23.780949721
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,40,263,272,455.63077206,78.620955882,58.221470588,52.353088235
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,208.33333333,36.95,25.898333333,26.485555556
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,17.203535714,9.6745,7.5848095238,7.5848095238
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,7111,0.2583743496,0.0454802419,0.0285923218,0.0285923218
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,18,42,4939,1.2627130998,0.1366774651,0.1038590808,0.1038590808
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,33,1860,8.216,2.9878548387,2.2423333333,2.2423333333
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,285.6,35.31,24.3672,25.9512
1053330787,MCCOSKEY,EUGENE,H,D.O.,M,I,1893 KINGSLEY AVE,SUITE C,ORANGE PARK,FL,320734421,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,26,71,71,57.161971831,33,24.776901408,24.776901408
1053330803,WIMBERLY,KELLY,L,MD,F,I,17101 PRESTON RD,SUITE 200,DALLAS,TX,752481331,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,29,79.989655172,8.32,6.4237931034,6.4237931034
1053330803,WIMBERLY,KELLY,L,MD,F,I,17101 PRESTON RD,SUITE 200,DALLAS,TX,752481331,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,87,2.8031034483,2.22,1.7416091954,1.6034482759
1053330803,WIMBERLY,KELLY,L,MD,F,I,17101 PRESTON RD,SUITE 200,DALLAS,TX,752481331,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,60,34.536190476,25.707857143,24.038809524
1053331009,BEEBE,NATHAN,L,MD,M,I,333 CONOVER DR,SUITE E,FRANKLIN,OH,450051900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,61,139,76.108705036,8.32,6.1477697842,6.1477697842
1053331009,BEEBE,NATHAN,L,MD,M,I,333 CONOVER DR,SUITE E,FRANKLIN,OH,450051900,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,23,31,12.308064516,1.42,0.9358064516,0.9358064516
1053331009,BEEBE,NATHAN,L,MD,M,I,333 CONOVER DR,SUITE E,FRANKLIN,OH,450051900,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,139.09,25.826923077,13.923846154,17.064615385
1053331108,MCNAMARA,PATRICIA,M,ARNP,F,I,3 ALUMNI DR,SUITE 401,EXETER,NH,038332119,US,Nurse Practitioner,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,75,49.053333333,38.456666667,38.456666667
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,30,56,56,74.205178571,37.976071429,28.709642857,29.41
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,12,23,23,199.3773913,87.54,65.646086957,64.959130435
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,12,29,49,78.018979592,33.48,25.240204082,24.910408163
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,15,36,148,57.424324324,18.381621622,12.990472973,13.151013514
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,16,45,163,34.160429448,15.549202454,11.468588957,11.213435583
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,32,71,71,148.22676056,55.853239437,39.703802817,38.973098592
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,38,47,47,50.381276596,17.944042553,13.468723404,13.472553191
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,28,28,49.521428571,12.36,8.9978571429,8.4889285714
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,41,99,389,6.3109511568,2.0039588689,1.4909511568,1.5117737789
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,22,22,18.024545455,6.1868181818,4.85,4.6504545455
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,32,42,42,25.862380952,12.972619048,9.6919047619,9.8564285714
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,14,113,114,141.5822807,33.691052632,24.864298246,22.993947368
1053331124,STROHL,KINGMAN,P,MD,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,474.01434783,77.857391304,58.38,53.186086957
1053331215,VADNAIS,DAVID,S,MD,M,I,"550 PEACHTREE STREET, NE","EMORY UNIVERSITY HOSPITAL MIDTOWN, MOT 6TH FLOOR",ATLANTA,GA,30308,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,45.81,33.4225,34.99
1053331397,ASHIKARI,ANDREW,Y,MD FACS,M,I,128 ASHFORD AVE,COMMUNITY HOSPITAL @ DOBBS FERRY,DOBBS FERRY,NY,10522,US,Physician/Surgical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,38,57.277894737,34.416842105,25.569736842,29.306842105
1053331504,RABON,STEVE,E,D.P.M.,M,I,1050 MYDLAND RD,,SHERIDAN,WY,828012186,US,Podiatry,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,40,77,53.246753247,46.138181818,31.933636364,31.409220779
1053331504,RABON,STEVE,E,D.P.M.,M,I,1050 MYDLAND RD,,SHERIDAN,WY,828012186,US,Podiatry,S,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,27,54,72.222222222,65.82,41.672407407,45.949814815
1053331504,RABON,STEVE,E,D.P.M.,M,I,1050 MYDLAND RD,,SHERIDAN,WY,828012186,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,32,265,265,200.714375,211.14875
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,48,71.120208333,8.32,5.87875,5.87875
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,28,35,35,145.59257143,85.63,63.294,63.892
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,24,86,87,80.435632184,32.56,23.075172414,23.419885057
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,46.794705882,18.3,11.869411765,12.052352941
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,16,39,40.817948718,15.13,10.036923077,10.061794872
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,17,24,24,135.51791667,54.66,34.77125,34.77125
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,41,54,54,46.452222222,17.62,12.284444444,12.490185185
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,38,52,52,49.8775,11.51,7.9880769231,8.0636538462
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,41,115,238,6.1875630252,2.05,1.4706722689,1.462394958
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,19,19,14.458421053,5.7284210526,4.24,4.2110526316
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,91,91,73.321208791,17.27,11.903296703,11.903296703
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,642.17,209.45307692,157.01769231,159.54923077
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,22.917741935,4.5038709677,3.2087096774,3.3164516129
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,14,48,54,129.87277778,32.629444444,23.456296296,23.462592593
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,22,148,148,292.01986486,71.164527027,50.958986486,49.864391892
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,158.64864865,39.791081081,30.102702703,28.383783784
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.62425,7.5454166667,7.5454166667
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,20,6209,0.2683395072,0.04450153,0.034883234,0.034883234
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,1201,1.1051706911,0.130041632,0.0837801832,0.0837801832
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.8975833333,2.2717222222,2.2717222222
1053331512,SANKAR,GOVINDASAMY,,M.D.,M,I,1753 AIRWAY AVE,SUITE A,KINGMAN,AZ,864093720,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,15,38,38,75.026315789,33,24.861315789,24.861315789
1053331579,ARTETA,PABLO,A,MD,M,I,426 57TH STREET,,WEST NEW YORK,NJ,07093,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,35,66,56.745454545,8.32,6.3248484848,6.3248484848
1053331579,ARTETA,PABLO,A,MD,M,I,426 57TH STREET,,WEST NEW YORK,NJ,07093,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,24,15.111666667,1.42,1.07,1.07
1053331595,FOZAILOFF,ALAN,,M.D.,M,I,18370 BURBANK BLVD,SUITE 211,TARZANA,CA,913562804,US,Physician/Nephrology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,393,18.412748092,5.1,3.9984987277,4.1377862595
1053331595,FOZAILOFF,ALAN,,M.D.,M,I,18370 BURBANK BLVD,SUITE 211,TARZANA,CA,913562804,US,Physician/Nephrology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,4712,0.9980263158,0.3,0.2352037351,0.2418951613
1053331595,FOZAILOFF,ALAN,,M.D.,M,I,18370 BURBANK BLVD,SUITE 211,TARZANA,CA,913562804,US,Physician/Nephrology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7.06,5.32,4.17,3.9775
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,32,62,53.649354839,8.32,6.2090322581,6.2090322581
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,72,9.3716666667,2.08,1.4941666667,1.4590277778
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,14,175.62857143,49.88,39.1,37.84
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,20.425,4.6354545455,2.0881818182,2.1918181818
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,175,30.713636364,24.078181818,24.087272727
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,59,64,460.42328125,70.48,55.25,54.81109375
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,70,39.6,31.05,29.51
1053331603,FRETWELL,JAMES,M,M.D.,M,I,205 S MAIN ST STE B,,LONGMONT,CO,805011714,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,17,197.29411765,39.6,31.05,29.51
1053331942,ARMSTRONG,HENRY,R,M.D.,M,I,2909 S HAMPTON RD,SUITE E123,DALLAS,TX,752243000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,95,51.127789474,8.32,5.4235789474,5.4235789474
1053331942,ARMSTRONG,HENRY,R,M.D.,M,I,2909 S HAMPTON RD,SUITE E123,DALLAS,TX,752243000,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,8.35,5.8558333333,5.985
1053331942,ARMSTRONG,HENRY,R,M.D.,M,I,2909 S HAMPTON RD,SUITE E123,DALLAS,TX,752243000,US,Physician/Internal Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,607.93,173.715,131.06666667,111.755
1053332197,THYNG,DARLA,L,MD,F,I,591 W HOLLIS ST,,NASHUA,NH,030621323,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,56,73.183035714,8.32,5.9405357143,5.9405357143
1053332320,BADRUDDOJA,MOHAMMED,,M.D.,M,I,6116 MULFORD VILLAGE DR,,ROCKFORD,IL,611076657,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,107.52,18.262258065,13.874193548,13.380645161
1053332478,GILELS,MICHAEL,R,M.D.,M,I,900 E. OCEAN BLVD,SUITE 118,STUART,FL,349943503,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,61,91.795245902,8.32,5.238852459,5.238852459
1053332478,GILELS,MICHAEL,R,M.D.,M,I,900 E. OCEAN BLVD,SUITE 118,STUART,FL,349943503,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,203.21538462,54.47,42.71,42.86
1053332478,GILELS,MICHAEL,R,M.D.,M,I,900 E. OCEAN BLVD,SUITE 118,STUART,FL,349943503,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,45,9.2295555556,2.01,1.5764444444,1.5926666667
1053332478,GILELS,MICHAEL,R,M.D.,M,I,900 E. OCEAN BLVD,SUITE 118,STUART,FL,349943503,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,26.357692308,20.064615385,15.731538462,14.561538462
1053332528,MAHER,THOMAS,,O.D.,M,I,865 MERRIAM AVE,SUITE 121,LEOMINSTER,MA,01453,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,35,35,76.684571429,68.52,52.185142857,51.405142857
1053332528,MAHER,THOMAS,,O.D.,M,I,865 MERRIAM AVE,SUITE 121,LEOMINSTER,MA,01453,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,28,44,62.171136364,52.643181818,39.379545455,41.557954545
1053332593,MITCHELL,JENNIFER,,MD,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,62.023846154,17.16,12.369230769,12.489230769
1053332593,MITCHELL,JENNIFER,,MD,F,I,16811 SE MCGILLIVRAY BLVD,,VANCOUVER,WA,986833404,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,355.624,66.274,48.9345,51.0275
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,66,123,60.464390244,8.32,5.7269918699,5.7269918699
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,41,48,15.113958333,1.42,0.9779166667,0.9779166667
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,46,5.9032608696,2.06,1.3341304348,1.3147826087
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,202.25272727,54.005454545,33.016363636,28.113636364
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,110,16.59,11.916666667,11.916666667
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,28.091666667,4.4958333333,3.185,3.5108333333
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,150,30.612666667,18.384,18.824666667
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,454.80851064,67.72,48.360638298,49.306170213
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,98.947368421,38.72,28.762105263,27.966315789
1053332601,PARONISH,CHRISTOPHER,B,MD,M,I,142 E CARROLL ST,,CARROLLTOWN,PA,15722,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,24.022142857,24.022142857
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,15,28,54,4.7596296296,1.9787037037,1.2751851852,0.9166666667
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,17,22,22,217.73818182,119.99181818,94.071818182,69.747272727
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,14,86.509285714,44.395,32.757857143,25.142142857
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,49,45.918367347,19.651836735,13.798367347,10.437142857
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,24,43,43,134.17209302,76.447209302,56.149302326,42.248604651
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,33,40,40,41.3585,24.81425,18.9215,14.253
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,33,55,55,45.919636364,19.967454545,14.924,9.6112727273
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,28,62,167,5.8736526946,2.8893413174,2.1478443114,1.5771257485
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,24,29,29,24.242068966,8.7072413793,6.5365517241,4.7489655172
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,180,67.274166667,52.745833333,37.188333333
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,18,125,125,66.2368,22.71784,17.16936,14.35
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,550,310.49388889,243.43111111,168.3
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,14,72,72,54.003472222,17.610277778,13.324166667,10.093888889
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,17,123,123,26.775203252,7.7460162602,5.6556910569,3.4373170732
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,11,67,67,105.98537313,47.010149254,35.29641791,23.897761194
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,36,286,286,219.23258741,102.3972028,75.523881119,54.187902098
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,112.8,44.390588235,32.276470588,27.201372549
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,45,2700,17.499540741,11.449433333,8.8977777778,8.8977777778
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,20,5858,0.2172652783,0.0462222602,0.028552407,0.028552407
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,3360,1.1750863095,0.134625,0.0909494048,0.0909494048
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,41,2460,11.550520325,2.9905365854,2.3298658537,2.3298658537
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,72.025,44.795625,32.0415625,29.82125
1053332627,DESAI,JAYESH,B,MD,M,I,126 E CHURCH ST,SUITE 3200,SOMERSET,PA,155012271,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,86,86,66.034883721,33,23.702790698,23.702790698
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,13,29,163,40.669202454,16.248895706,11.199509202,10.390858896
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,17,39,39,160.88128205,60.778461538,43.777435897,39.097692308
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,17,24,24,56.910833333,19.305416667,13.325416667,12.323333333
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,17,36,36,52.180555556,14.244444444,10.627222222,8.6113888889
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,20,44,227,8.5711013216,2.2278854626,1.6317180617,1.4816299559
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,19.737142857,6.3507142857,4.2857142857,3.9928571429
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,39.861666667,13.565,10.634166667,10.346666667
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,57.916666667,12.4425,9.7558333333,9.6091666667
1053332692,HARWICK,JOHN,D,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,48,48,167.99229167,36.381875,26.429375,22.575625
1053332759,MONTALVO,HECTOR,M,M.D.,M,I,3020 KINGMAN ST,SUITE B,METAIRIE,LA,700066673,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,42,73.165714286,8.32,5.7480952381,5.7480952381
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,1100,2040,2040,109.19348529,40.427333333,29.77225,28.748073529
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,20,521,1004,1004,268.86207171,93.127141434,69.110318725,64.643316733
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,465,995,2058,74.634990282,35.830383868,26.257677357,24.382186589
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,414,774,3782,41.377773665,19.806597039,14.302416711,13.488093601
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,326,625,3155,33.423676704,16.011391442,11.566969889,11.012323296
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,29,793,1443,1444,137.69608726,58.03966759,42.748518006,40.596004155
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,30,1173,1525,1525,49.257206557,19.0628,14.196039344,13.463180328
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,130,153,153,31.545424837,10.730849673,7.839869281,7.5895424837
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,156,277,278,65.298129496,13.776151079,10.255791367,8.866942446
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,33,1227,2356,12506,9.7925035983,2.210839597,1.6197081401,1.5026627219
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,107,134,134,25.844328358,6.5599253731,4.8204477612,4.4190298507
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,18,814,1048,1048,47.324236641,13.711812977,10.117843511,9.762490458
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,89,23.298333333,13.577222222,10.85
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,20,111,111,385.04504505,94.889279279,72.728288288,66.38954955
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,65,65,650,248.74784615,192.81261538,169.70184615
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,300,301,301,398.59182724,143.69146179,105.82757475,98.238471761
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,23,61,61,58.213114754,14.87557377,9.7980327869,8.84
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,17,660,4127,4127,249.37614975,35.642820451,25.48887085,23.151095227
1053332841,WELLS,CHARLES,C,M.D.,M,I,435 2ND ST,430,MACON,GA,312018298,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,478.29703704,107.6162963,66.261111111,47.302592593
1053334078,MORRIS,KING,E,MD,M,I,1102 E 2ND ST,,CUSHING,OK,740234139,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1590,0.39,0.13,0.0942201258,0.0942201258
1053334078,MORRIS,KING,E,MD,M,I,1102 E 2ND ST,,CUSHING,OK,740234139,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,2010,9.65,6.17,4.7719850746,5.5658308458
1053334185,ALFEREZ,TLALOC,S,MD,F,I,1057 PAUL MAILLARD RD,SUITE 1900,LULING,LA,700704349,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,38,114,56.001052632,8.32,5.0057017544,5.0057017544
1053334185,ALFEREZ,TLALOC,S,MD,F,I,1057 PAUL MAILLARD RD,SUITE 1900,LULING,LA,700704349,US,Physician/Infectious Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,20,38,13.486578947,1.42,0.9368421053,0.9368421053
1053334185,ALFEREZ,TLALOC,S,MD,F,I,1057 PAUL MAILLARD RD,SUITE 1900,LULING,LA,700704349,US,Physician/Infectious Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1053334201,QUINONES-CORDERO,ERIC,A,M.D.,M,I,513 AVE HOSTOS,STE 3,SAN JUAN,PR,009183235,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,62,42.993709677,8.32,5.9798387097,5.9798387097
1053334201,QUINONES-CORDERO,ERIC,A,M.D.,M,I,513 AVE HOSTOS,STE 3,SAN JUAN,PR,009183235,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,14.88,3.38,2.2423076923,2.2423076923
1053334201,QUINONES-CORDERO,ERIC,A,M.D.,M,I,513 AVE HOSTOS,STE 3,SAN JUAN,PR,009183235,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,18,31,13.902580645,1.42,0.9683870968,0.9683870968
1053334201,QUINONES-CORDERO,ERIC,A,M.D.,M,I,513 AVE HOSTOS,STE 3,SAN JUAN,PR,009183235,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,13,13,98.556923077,55.338461538,43.386923077,40.079230769
1053334219,WALLER,ANDREW,,MD,M,I,5361 MCAULEY DR,,YPSILANTI,MI,481971011,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,26,66,192,48.625729167,8.32,5.84234375,5.84234375
1053334219,WALLER,ANDREW,,MD,M,I,5361 MCAULEY DR,,YPSILANTI,MI,481971011,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,25,25,15.24,3.38,2.438,2.438
1053334219,WALLER,ANDREW,,MD,M,I,5361 MCAULEY DR,,YPSILANTI,MI,481971011,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,22.666666667,2.12,1.5308333333,1.5308333333
1053334219,WALLER,ANDREW,,MD,M,I,5361 MCAULEY DR,,YPSILANTI,MI,481971011,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,52,68,13.994558824,1.42,1.0014705882,1.0014705882
1053334219,WALLER,ANDREW,,MD,M,I,5361 MCAULEY DR,,YPSILANTI,MI,481971011,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,65,5.8566666667,4.3961111111,3.3788888889
1053334227,NEIDORF,DAVID,L,MD,M,I,409 E GIBBSBORO RD,,LINDENWOLD,NJ,08021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,76,195,71.579025641,8.32,6.226974359,6.226974359
1053334227,NEIDORF,DAVID,L,MD,M,I,409 E GIBBSBORO RD,,LINDENWOLD,NJ,08021,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,23,29,17.062413793,1.42,1.0793103448,1.0793103448
1053334227,NEIDORF,DAVID,L,MD,M,I,409 E GIBBSBORO RD,,LINDENWOLD,NJ,08021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,72,49.379333333,47.774666667
1053334227,NEIDORF,DAVID,L,MD,M,I,409 E GIBBSBORO RD,,LINDENWOLD,NJ,08021,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,36.3,26.088333333,27.16
1053334250,COHEN,JOSEPH,H,MD,M,I,5 NEPONSET ST,,WORCESTER,MA,016062714,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,24,231,67.571168831,19.634848485,15.227489177,15.227489177
1053334250,COHEN,JOSEPH,H,MD,M,I,5 NEPONSET ST,,WORCESTER,MA,016062714,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,27,570,8.9657368421,2.6357894737,2.0664736842,2.0664736842
1053334250,COHEN,JOSEPH,H,MD,M,I,5 NEPONSET ST,,WORCESTER,MA,016062714,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,83,234,1043,67.837219559,8.32,5.8601342282,5.8601342282
1053334250,COHEN,JOSEPH,H,MD,M,I,5 NEPONSET ST,,WORCESTER,MA,016062714,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,8.3536842105,3.38,2.5105263158,2.5105263158
1053334250,COHEN,JOSEPH,H,MD,M,I,5 NEPONSET ST,,WORCESTER,MA,016062714,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,35,39,90,202,12.720049505,1.42,1.075,1.075
1053334250,COHEN,JOSEPH,H,MD,M,I,5 NEPONSET ST,,WORCESTER,MA,016062714,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1820,16.128483516,10.831098901,8.4915824176,8.4915824176
1053334250,COHEN,JOSEPH,H,MD,M,I,5 NEPONSET ST,,WORCESTER,MA,016062714,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,39,39,288.78692308,251.04,196.81512821,196.86974359
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,53,4230,0.2826950355,0.13,0.0961536643,0.0961536643
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,70,5460,4.2442857143,2.0246703297,1.4416336996,1.4546520147
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,1815,14.891735537,6.15,1.9993663912,2.3562534435
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1260,17.834285714,7.8742857143,6.173452381,6.1778968254
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,27,66,15.965454545,10.93,8.5695454545,8.5695454545
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,110,13.384,9.86,7.73,7.73
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,23.289090909,9.58,7.5105,7.5105
1053334318,SEKHON,DAVINDER,S,M.D.,M,I,4724 NORTH DAVIS HWY,,PENSACOLA,FL,325032339,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,110,4.962,4.04,3.1021818182,3.1021818182
1053334367,GASTON,RAYMOND,G,M.D.,M,I,1915 RANDOLPH RD,,CHARLOTTE,NC,282071101,US,Physician/Hand Surgery,S,E1806,"Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,407,106.73384615,83.68,84.212307692
1053334367,GASTON,RAYMOND,G,M.D.,M,I,1915 RANDOLPH RD,,CHARLOTTE,NC,282071101,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,290,290,223.813125,250.8225
1053334367,GASTON,RAYMOND,G,M.D.,M,I,1915 RANDOLPH RD,,CHARLOTTE,NC,282071101,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,14,14,59,53.2,39.24,43.880714286
1053334367,GASTON,RAYMOND,G,M.D.,M,I,1915 RANDOLPH RD,,CHARLOTTE,NC,282071101,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,25,28,28,240.14285714,235.75428571,183.84857143,185.07642857
1053334367,GASTON,RAYMOND,G,M.D.,M,I,1915 RANDOLPH RD,,CHARLOTTE,NC,282071101,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,25,89.92,77.17,53.2848,60.214
1053334458,CONLIN,MICHAEL,J,M.D.,M,I,3303 SW BOND AVE,CH10U,PORTLAND,OR,972394501,US,Physician/Urology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,41,69.676585366,8.32,6.5217073171,6.5217073171
1053334482,MCELVEEN,LINDA,C,MD,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,704582949,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,37,68,74.743235294,8.32,4.7002941176,4.7002941176
1053334482,MCELVEEN,LINDA,C,MD,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,704582949,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,17.96,1.42,0.8186666667,0.8186666667
1053334482,MCELVEEN,LINDA,C,MD,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,704582949,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,34.483809524,6.5914285714,4.9376190476,3.4904761905
1053334482,MCELVEEN,LINDA,C,MD,F,I,901 GAUSE BLVD STE 100,,SLIDELL,LA,704582949,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,582.0975,71,48.7025,48.411875
1053334516,WOODS,TIMOTHY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/General Surgery,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,350,125.07818182,98.063636364,96.991818182
1053334516,WOODS,TIMOTHY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/General Surgery,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,115,45.085454545,35.349090909,34.452727273
1053334516,WOODS,TIMOTHY,D,MD,M,I,1001 E PRIMROSE ST,,SPRINGFIELD,MO,658075155,US,Physician/General Surgery,S,E0912,"Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,62.869090909,49.29,48.340909091
1053334698,HURWITZ,ALFRED,L,M D,M,I,455 OCONNOR DR,SUITE 350,SAN JOSE,CA,951281633,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,27,187,497.25,326.82,256.22716578,256.22716578
1053334698,HURWITZ,ALFRED,L,M D,M,I,455 OCONNOR DR,SUITE 350,SAN JOSE,CA,951281633,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,221,203.94,9.3481900452,7.3285972851,7.3285972851
1053334698,HURWITZ,ALFRED,L,M D,M,I,455 OCONNOR DR,SUITE 350,SAN JOSE,CA,951281633,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,34,221,652.88579186,29.214208145,22.904027149,22.904027149
1053334730,ANDERSON,RYAN,K,DPM,M,I,596 W 750 S,SUITE 200,BOUNTIFUL,UT,840107268,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,19,280,271.16,212.59,218.89
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,43,10.911627907,7.86,6.16,6.4555813953
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,37,1040,8.24825,5.7217307692,4.0464038462,4.0578461538
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,35,364,3.7624175824,2.8965934066,2.1890384615,2.197967033
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,35,880,13.188136364,9.8206818182,7.6401022727,7.6645
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,720,3.3625,1.95,1.4469722222,1.4469722222
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,34,2225,0.3596494382,0.27,0.2116269663,0.2116269663
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,44,1340,4.8929253731,3.0386567164,2.1483283582,2.1494701493
1053334748,LEE,WAI,S,M.D.,M,I,205 E RIVER PARK CIR,SUITE 460,FRESNO,CA,937201571,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,36,1449,0.5183988958,0.27,0.2058523119,0.2058523119
1053334805,HUNT,JASON,P,M.D.,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Surgical Oncology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1300,0.41,0.27,0.2116615385,0.2116615385
1053334805,HUNT,JASON,P,M.D.,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Surgical Oncology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1500,0.39,0.255,0.1999133333,0.2116666667
1053334805,HUNT,JASON,P,M.D.,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Surgical Oncology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,40,4895,3.45453524,2.8,2.195215526,2.195215526
1053334805,HUNT,JASON,P,M.D.,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Surgical Oncology,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,2055,5.7204914842,3.23,2.5323309002,2.5323309002
1053334805,HUNT,JASON,P,M.D.,M,I,50 N MEDICAL DR,,SALT LAKE CITY,UT,841320001,US,Physician/Surgical Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,13,7014,3.0893798118,0.406247505,0.3185015683,0.3010963787
1053334854,HU,PEIYI,,MD,F,I,9015 E 17TH ST,,INDIANAPOLIS,IN,462292016,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,45,95,83.999052632,8.32,5.4917894737,5.4917894737
1053334854,HU,PEIYI,,MD,F,I,9015 E 17TH ST,,INDIANAPOLIS,IN,462292016,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,20,19.347,1.42,0.894,0.894
1053334904,DARILEK,ANDREA,L,MD,F,I,2800 10TH AVE N,,BILLINGS,MT,591010703,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,83.132307692,17.91,13.536923077,13.516153846
1053334904,DARILEK,ANDREA,L,MD,F,I,2800 10TH AVE N,,BILLINGS,MT,591010703,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,504.54769231,70.48,50.915384615,50.467692308
1053335059,MCKENZIE,HEATHER,L,M.D.,F,I,3517 SW WILSHIRE BLVD,,JOSHUA,TX,760586159,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,28,81,60.551851852,8.32,6.0391358025,6.0391358025
1053335059,MCKENZIE,HEATHER,L,M.D.,F,I,3517 SW WILSHIRE BLVD,,JOSHUA,TX,760586159,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,22,15.936363636,1.42,1.0154545455,1.0154545455
1053335059,MCKENZIE,HEATHER,L,M.D.,F,I,3517 SW WILSHIRE BLVD,,JOSHUA,TX,760586159,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,38.629230769,13.606923077,9.1346153846,8.5876923077
1053335059,MCKENZIE,HEATHER,L,M.D.,F,I,3517 SW WILSHIRE BLVD,,JOSHUA,TX,760586159,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,72,5.9483333333,2.3441666667,1.5458333333,1.4444444444
1053335059,MCKENZIE,HEATHER,L,M.D.,F,I,3517 SW WILSHIRE BLVD,,JOSHUA,TX,760586159,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,710.41142857,76.445714286,55.65,50.812857143
1053335059,MCKENZIE,HEATHER,L,M.D.,F,I,3517 SW WILSHIRE BLVD,,JOSHUA,TX,760586159,US,Physician/General Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.5,21.659166667,22.5875
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,17,43,132,68.429166667,8.32,6.2175,6.2175
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,21,26,15.33,1.42,1.0738461538,1.0738461538
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,181.14666667,86.88,62.434166667,62.209166667
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,27,73.066666667,33.2,24.921481481,24.81962963
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,145.7,55.9,39.845454545,38.963636364
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,48.967692308,17.99,13.015384615,12.981538462
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,40.11875,12.04,9.235625,8.91625
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,23,128,6.1003125,2.04,1.523359375,1.51734375
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,34.890909091,17.52,12.490909091,12.322727273
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,166.76413793,17.52,13.74,13.560689655
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,202.69583333,53.98,38.793333333,38.36
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,73.194666667,49.74,36.390666667,35.121333333
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,202.69583333,49.74,35.740833333,34.6075
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,41,44,78.953863636,30.287272727,20.652727273,21.178181818
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,39,307,307,341.0985342,79.433127036,58.848631922,52.438501629
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,180,38.76,30.39,29.686
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,E1399,"Durable medical equipment, miscellaneous",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,210,56.42,44.231818182,44.231818182
1053335166,MARTAU,JAMES,M,M.D.,M,I,8510 BRYANT ST,SUITE 350,WESTMINSTER,CO,800313844,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,70,70,234.24,39.786,29.457857143,27.950428571
1053335174,WENDLAND,DIANE,L,M.D.,F,I,6408 COPPS AVE,,MONONA,WI,53716,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,77,84.292857143,8.32,6.522987013,6.522987013
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,18,1360,0.1702941176,0.12,0.0940955882,0.0940955882
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,16,311,11.083215434,8.470192926,6.6406109325,6.4932154341
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,144,14.020833333,10.93,8.5691666667,8.5691666667
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,245,1.5616326531,1.08,0.8466530612,0.8466530612
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,21,28,3468,0.1682352941,0.1312975779,0.1029267589,0.1022433679
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,17,1494,0.7912048193,0.45,0.3528246319,0.3528246319
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,,16,215,78.729069767,24.701860465,18.296232558,18.129767442
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,125,48.476,8.2164,6.05192,6.05192
1053335273,BROWN,DAMIEON,,DPM,M,I,3697 MAIN ST,,JASPER,TN,373470417,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,4484.5263158,674.29473684,513.57105263,490.21052632
1053335281,THOMBS,EVERETTE,B,MD,M,I,711 W MOUNTAIN ST,,KINGS MOUNTAIN,NC,280862711,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,42,65.694047619,8.32,5.9002380952,5.9002380952
1053335281,THOMBS,EVERETTE,B,MD,M,I,711 W MOUNTAIN ST,,KINGS MOUNTAIN,NC,280862711,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,49.386666667,18.936,14.841333333,14.734
1053335281,THOMBS,EVERETTE,B,MD,M,I,711 W MOUNTAIN ST,,KINGS MOUNTAIN,NC,280862711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,27,350.69851852,90.53962963,68.924814815,58.698888889
1053335281,THOMBS,EVERETTE,B,MD,M,I,711 W MOUNTAIN ST,,KINGS MOUNTAIN,NC,280862711,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,109.15384615,33,23.88,23.88
1053335307,PRINCE,TRACY,,D.O.,M,I,2030 THISTLE HILL DR,SUITE 100,SPRING GROVE,PA,173621159,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,67,74.445074627,8.32,5.7786567164,5.7786567164
1053335307,PRINCE,TRACY,,D.O.,M,I,2030 THISTLE HILL DR,SUITE 100,SPRING GROVE,PA,173621159,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,14.493529412,1.42,0.8535294118,0.8535294118
1053335307,PRINCE,TRACY,,D.O.,M,I,2030 THISTLE HILL DR,SUITE 100,SPRING GROVE,PA,173621159,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,18,63.155,16.59,13,13.53
1053335307,PRINCE,TRACY,,D.O.,M,I,2030 THISTLE HILL DR,SUITE 100,SPRING GROVE,PA,173621159,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,20.869565217,4.2347826087,1.8208695652,2.1013043478
1053335307,PRINCE,TRACY,,D.O.,M,I,2030 THISTLE HILL DR,SUITE 100,SPRING GROVE,PA,173621159,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,18,369.755,67.72,53.1,54.73
1053335356,ZWEIG,SUSAN,,MD,F,I,135 EAST 37TH ST,,NEW YORK,NY,10016,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,57,52,162,616,71.555194805,8.32,5.9719155844,5.9719155844
1053335356,ZWEIG,SUSAN,,MD,F,I,135 EAST 37TH ST,,NEW YORK,NY,10016,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,29,26,58,130,16.029692308,1.42,0.925,0.925
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,32,55,55,83.243272727,50.246545455,37.706727273,29.568181818
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,11,32,118,235,6.0171489362,2.0230638298,1.5318723404,1.1194893617
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,33,74,2.1764864865,1.462972973,1.1178378378,0.9431081081
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,13,13,77.493846154,16.607692308,12.253846154,8.3769230769
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,6,,23,28,3.1825,1.5635714286,1.1885714286,0.9303571429
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,164,277,277,305.49833935,122.71472924,91.209783394,66.089638989
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,128,250,620,98.053709677,46.56733871,35.602564516,25.96733871
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,62,110,495,58.595474747,26.622808081,20.406,14.418828283
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,28,54,283,33.251590106,20.727137809,15.971731449,12.26540636
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,19,106,187,187,174.0028877,78.586631016,58.491283422,41.578663102
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,248,330,330,56.100242424,25.005030303,19.034060606,14.072848485
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,20,20,23.1655,12.6915,9.957,8.267
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,216,384,384,57.498072917,21.11453125,16.122552083,9.347265625
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,215,402,2102,8.151755471,3.2007611798,2.4609276879,1.6309514748
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,167,212,212,17.712924528,8.4495283019,6.478490566,4.7072169811
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,104,132,132,35.569772727,15.9375,11.993409091,10.007575758
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,39,350,358,58.158463687,22.397709497,16.722234637,13.58396648
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,55,55,206.88,58.932909091,43.953454545,36.548363636
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,33,3468.9727273,913.16,711.57242424,834.08393939
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,23,122,126,294.15587302,122.69730159,92.295555556,68.568095238
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,63,63,63,410.90555556,182.36047619,139.53111111,105.8815873
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,43,47,81.75,18.654042553,14.625106383,10.172765957
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,11,21,100,100,44.7279,8.1441,6.203,3.8722
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,125,767,768,155.15608073,48.053932292,35.301380208,23.889192708
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,11,11,359.47,70.74,55.46,55.46
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,87,718,725,376.61533793,100.99355862,76.027806897,56.079089655
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,77,77,188.25974026,44.371558442,33.509480519,28.594545455
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,13,116,6840,16.911687135,9.6204122807,7.4524649123,7.4524649123
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,40,2280,16.985,11.230644737,8.804872807,8.804872807
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,35,203,34662,0.3205262247,0.046174485,0.0351583867,0.0351583867
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1809,2.993488115,0.0793311222,0.0492205638,0.0492205638
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,83,8910,1.3973535354,0.1334545455,0.1024971942,0.1024971942
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,20,132,7620,12.431788714,2.9967362205,2.3494566929,2.3494566929
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,33,1710,0.75,0.2189824561,0.1551929825,0.1551929825
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,72.28,44.560909091,28.963636364,24.15
1053335372,HOLLIDAY,HARRY,R,M.D.,M,I,107 BRANDON RD,,STARKVILLE,MS,397592521,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,53,351,351,93.027350427,33,25.143504274,25.143504274
1053335471,HINTON,NOEL,C,CFNP,M,I,4201 NELSON RD STE 100,,LAKE CHARLES,LA,706054117,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,17.88,6.7633333333,5.3033333333,5.3027777778
1053335562,HESS,RACHEL,E,PAC,F,I,2525 13TH ST,,BOULDER,CO,803044104,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,43,42.224883721,8.32,3.033255814,3.033255814
1053335570,MOREHEAD,RICHARD,S,MD,M,I,740 S LIMESTONE L543 KY CLINIC,"DIVISON OF PULMONARY, CRITICAL CARE",LEXINGTON,KY,405360001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,24,60.712083333,19.88375,14.96375,12.96625
1053335570,MOREHEAD,RICHARD,S,MD,M,I,740 S LIMESTONE L543 KY CLINIC,"DIVISON OF PULMONARY, CRITICAL CARE",LEXINGTON,KY,405360001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,352.1648,85.7764,64.8588,52.5492
1053335570,MOREHEAD,RICHARD,S,MD,M,I,740 S LIMESTONE L543 KY CLINIC,"DIVISON OF PULMONARY, CRITICAL CARE",LEXINGTON,KY,405360001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1053335612,DEGROTE,JANELLE,E,PA,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician Assistant,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,25,27,100.08185185,73.048148148,57.27,61.905925926
1053335794,HARDACKER,JAMES,W,MD,M,I,13431 OLD MERIDIAN ST,SUITE 200,CARMEL,IN,460327101,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,1605,996.34,774.89217391,769.54521739
1053335828,WHITLOCK,RICHARD,R,M.D.,M,I,1348 WALTON WAY,SUITE 5100,AUGUSTA,GA,309015104,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,131.17647059,30.842352941,24.177647059,25.079411765
1053335828,WHITLOCK,RICHARD,R,M.D.,M,I,1348 WALTON WAY,SUITE 5100,AUGUSTA,GA,309015104,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,23,303.69565217,72.46,49.270869565,47.396086957
1053335844,GREEN,DAVID,A,M.D.,M,I,9696 SKILLMAN ST,SUITE 285,DALLAS,TX,752438264,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,430,8.28,8.28,6.4915813953,6.4915813953
1053335844,GREEN,DAVID,A,M.D.,M,I,9696 SKILLMAN ST,SUITE 285,DALLAS,TX,752438264,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,106,10.93,10.93,8.5691509434,8.5691509434
1053335844,GREEN,DAVID,A,M.D.,M,I,9696 SKILLMAN ST,SUITE 285,DALLAS,TX,752438264,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,14,14,156.76142857,51.555714286,40.417857143,40.222857143
1053335844,GREEN,DAVID,A,M.D.,M,I,9696 SKILLMAN ST,SUITE 285,DALLAS,TX,752438264,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,17,43.529411765,13.481764706,10.568235294,13.531764706
1053335844,GREEN,DAVID,A,M.D.,M,I,9696 SKILLMAN ST,SUITE 285,DALLAS,TX,752438264,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,26,293.76153846,76.183846154,58.677307692,54.274615385
1053335844,GREEN,DAVID,A,M.D.,M,I,9696 SKILLMAN ST,SUITE 285,DALLAS,TX,752438264,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,73.795319149,21.971489362,16.824893617,14.541489362
1053335844,GREEN,DAVID,A,M.D.,M,I,9696 SKILLMAN ST,SUITE 285,DALLAS,TX,752438264,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,74.391818182,28.869090909,22.632727273,21.169090909
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,17,49,45.853877551,8.32,5.856122449,5.856122449
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,20,9.3975,1.42,1.004,1.004
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,373.13833333,91.025,71.36,71.090833333
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,31,136.14354839,33.19516129,26.024516129,26.250967742
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,95,76.287157895,20.776421053,15.382210526,13.648526316
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,224.5985,62.015,47.856,42.092
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,20,20,69.706,18.88,14.805,14.0675
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,18,33,33,76.064242424,13.73,10.494545455,9.1645454545
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,32,168,10.201785714,2.2932142857,1.7399404762,1.5355952381
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,24,64.878333333,17.27,12.975833333,12.975833333
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,14,582.40571429,83.7,65.623571429,65.895
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,14,97,98,36.138163265,4.8330612245,3.2621428571,3.1534693878
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,29,362.66655172,68.78,47.113793103,47.907931034
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1170,13.94,11.150948718,8.4321709402,8.4321709402
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1400,1.0371571429,0.1362357143,0.0990214286,0.0990214286
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,1530,12.86,3.023745098,2.3706339869,2.3706339869
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,101.93181818,19.231818182,15.076363636,15.081818182
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,147.72166667,26.02,15.537777778,15.195555556
1053335851,ROMERO,ORESTES,,MD,M,I,601 E SAN ANTONIO ST,STE 205 W,VICTORIA,TX,779016002,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,33,33,127.18181818,33,25.086060606,25.086060606
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,26,44,44,90.663181818,48.213863636,37.800454545,30.834090909
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,16,29,29,263.02689655,116.63517241,86.245517241,63.424482759
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,103.30482759,43.205862069,33.276896552,26.547241379
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,17,64,48.11625,24.7346875,18.61421875,13.774375
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,20,34,34,139.48941176,73.227352941,57.410588235,43.607058824
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,34,43,43,46.624651163,23.009302326,18.036046512,14.269767442
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,54.012142857,18.214285714,13.559285714,8.4892857143
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,34,62,261,8.1480842912,2.8676628352,2.1254789272,1.5159770115
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,11,14,14,53.553571429,15.041428571,10.049285714,8.9292857143
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,306.42846154,145.11769231,108.55307692,69.765384615
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,13,71,71,168.27464789,54.687464789,41.659295775,30.325915493
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,475,100.90545455,73.678181818,49.754545455
1053335919,MCGUIRT,WYMAN,T,M.D,M,I,5 FIRST VILLAGE DRIVE,,PINEHURST,NC,28374,US,Physician/Otolaryngology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,44.745,32.344166667,27.056666667
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,26,50,96,5.988125,1.38,1.0169791667,1.0823958333
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,4.30875,1.3,0.95625,0.9
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,44,80.129090909,17.25,11.231590909,11.2475
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,47.39,37.15,37.59
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,33,156,160,37.2391875,5.6449375,3.926375,3.306875
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,24,164,187,294.99352941,79.88,59.901497326,53.288983957
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,101,113,275,35.63,27.435663717,28.784867257
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,26,8881,0.3535637879,0.0463202342,0.035072627,0.035072627
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,37,48,172,22647,1.6593173489,0.1349935974,0.1021671745,0.1021671745
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,780,12.891269231,2.9377692308,2.3032307692,2.3032307692
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,35,48,164,164,63.182926829,33,24.688841463,24.688841463
1053336057,LEE,JOHN,W,M.D.,M,I,25319 LITTLE MACK AVE,,SAINT CLAIR SHORES,MI,480813370,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,16,16,66,66,51.74,51.74
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,29,52,179,71.505083799,8.32,5.3326256983,5.3326256983
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,31,12.659677419,1.42,1.0077419355,1.0077419355
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,18,35,5.8068571429,2.0851428571,1.562,1.1245714286
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,73.976538462,21.075769231,13.653461538,11.159615385
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,146,146,404.09212329,98.230547945,72.321575342,53.19109589
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,158.56,44.61,33.151111111,28.670555556
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,4548,0.1920976253,0.0468667546,0.0298592788,0.0298592788
1053336099,PORTER,STEPHEN,,FNP,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,123.39130435,33,20.246086957,20.246086957
1053336271,KHAN,MUBINA,,MD,F,I,80600 VAN DYKE,,ROMEO,MI,48065,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,37,78,59.433846154,8.32,5.2721794872,5.2721794872
1053336271,KHAN,MUBINA,,MD,F,I,80600 VAN DYKE,,ROMEO,MI,48065,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,23,31,14.085483871,1.42,1.0083870968,1.0083870968
1053336271,KHAN,MUBINA,,MD,F,I,80600 VAN DYKE,,ROMEO,MI,48065,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,31.61,17.25,13.52,13.54
1053336271,KHAN,MUBINA,,MD,F,I,80600 VAN DYKE,,ROMEO,MI,48065,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,190.64,79.88,62.62,54.72
1053336404,STEWART,PAULETTE,A,M.D,F,I,22806 LINDEN BLVD,,CAMBRIA HEIGHTS,NY,11411,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,36,52,80.005192308,8.32,5.2426923077,5.2426923077
1053336404,STEWART,PAULETTE,A,M.D,F,I,22806 LINDEN BLVD,,CAMBRIA HEIGHTS,NY,11411,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,32.083636364,1.42,0.8145454545,0.8145454545
1053336420,DONAHUE-LUNSFORD,KEITINA,,D.O.,F,I,1400 HOSPITAL DR,,HURRICANE,WV,255269202,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,5376,0.3459375,0.0462555804,0.0331956845,0.0331956845
1053336420,DONAHUE-LUNSFORD,KEITINA,,D.O.,F,I,1400 HOSPITAL DR,,HURRICANE,WV,255269202,US,Physician/Emergency Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,11.2615,3.003,2.3098888889,2.3098888889
1053336420,DONAHUE-LUNSFORD,KEITINA,,D.O.,F,I,1400 HOSPITAL DR,,HURRICANE,WV,255269202,US,Physician/Emergency Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1080,3.6816666667,0.219,0.1575,0.1575
1053336420,DONAHUE-LUNSFORD,KEITINA,,D.O.,F,I,1400 HOSPITAL DR,,HURRICANE,WV,255269202,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,23.714166667,23.714166667
1053336727,RAHMAN,RIAZ,,MD,M,I,155 CRYSTAL RUN RD,,MIDDLETOWN,NY,109414028,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,43,62.636046512,8.32,6.2197674419,6.2197674419
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,51,130,61.274692308,8.32,6.3216153846,6.3216153846
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,24,36,10.860277778,1.42,1.1169444444,1.1169444444
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,104.38454545,50.331818182,39.467272727,36.46
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,25,14.56,10.604285714,10.595
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,280.3325,54.915,43.06,41.295833333
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,835,0.369005988,0.0451976048,0.0326946108,0.0326946108
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,828,2.0529710145,0.1334057971,0.098115942,0.098115942
1053336974,KALPARI,KAMRAN,,M.D.,M,I,8797 BEVERLY BLVD STE 315,,WEST HOLLYWOOD,CA,900481862,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,33,33,23.406190476,23.406190476
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,25,247,247,35.101214575,19.704979757,15.258461538,15.258461538
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,25,247,247,79.91902834,37.370445344,28.936680162,28.936680162
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,23,101,102,336.58588235,201.58460784,155.41598039,155.41598039
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,1152,12.250034722,1.6188368056,1.269140625,1.269140625
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,37,2636,41.403171472,4.6423179059,3.5307169954,3.5307169954
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,25,247,2194,2.6412944394,1.6847721057,1.3034503191,1.3034503191
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,23,58.695652174,35.3,27.677391304,30.75
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,36,36,24,24,18.82,18.82
1053337295,SAIDMAN,BRUCE,H,MD,M,I,382 PIERCE ST,,KINGSTON,PA,187045535,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,31,22.193548387,16,12.54,12.54
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,11,16,32,5.53125,0.51,0.375,0.375
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,69,163,596,51.38261745,8.32,5.7560738255,5.7560738255
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,17,37,37,15.027027027,3.38,2.5067567568,2.5067567568
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,15,20,20,23.38,2.12,1.5865,1.5865
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,41,87,148,12.923851351,1.42,0.9876351351,0.9876351351
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,380,15.522421053,9.86,7.7301578947,7.7301578947
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,250,4.7874,3.04,2.28804,2.28804
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,34,95,71.56,55.715588235,55.715588235
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,12,33,82,3.8482926829,1.9320731707,1.3441463415,0.9975609756
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,48,2.02,1.5766666667,1.1039583333,0.8435416667
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,46.191818182,14.005454545,10.073636364,8.2472727273
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,127.21818182,68.615454545,50.189090909,33.145454545
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,180,72.895416667,53.947083333,36.697916667
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,105,108,69.828518519,22.258611111,16.344907407,13.116296296
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,13,85,85,29.753647059,8.3732941176,6.2789411765,3.6083529412
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,565.14,347.66181818,272.56545455,272.56545455
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,32,244,245,362.32918367,103.07714286,76.179306122,53.578122449
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,52,16205,0.2871237272,0.046237581,0.0317513113,0.0317513113
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,42,5038,1.4207502977,0.1370365224,0.0917070266,0.0917070266
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,1500,9.5645933333,2.95804,2.2287933333,2.2287933333
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,135,32.45,25.441538462,15.112307692
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,196.93421053,45.363157895,33.837631579,30.774473684
1053337535,WATSON,DONALD,O,D.O.,M,I,740 S MAIN ST,,CHEBOYGAN,MI,497212220,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,22,85,85,57.741176471,33,23.006352941,23.006352941
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,58,154,59.961298701,8.32,5.4600649351,5.4600649351
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,10.72,3.38,2.65,2.65
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,25,48,14.107708333,1.42,1.0666666667,1.0666666667
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,15,390,222.25410256,5.72,3.9670512821,3.7083333333
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,5761,2.9026835619,0.32,0.2403107099,0.2337146329
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,21,50.73,3.6166666667,2.7014285714,3.3071428571
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,17.7,9.59,6.1929411765,6.23
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,346.24714286,83.046666667,59.134761905,49.757619048
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2698,0.2119125278,0.0452779837,0.0334544107,0.0334544107
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,4097,1.6344593605,0.1322162558,0.0983426898,0.0983426898
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,71.099090909,20.381818182,15.98,15.152727273
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,24.495294118,8.8958823529,5.9041176471,5.59
1053337568,SHAIKH,SHABBIR,A,MD,M,I,4600 MEMORIAL DR,STE 20,BELLEVILLE,IL,622265366,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,33,33,78,33,23.518181818,23.518181818
1053337709,EGBUCHUNAM,CHRISTIE,U,MD,F,I,305 REGENCY PKWY,SUITE 509,MANSFIELD,TX,760633794,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,56,88.192321429,8.32,6.0569642857,6.0569642857
1053337709,EGBUCHUNAM,CHRISTIE,U,MD,F,I,305 REGENCY PKWY,SUITE 509,MANSFIELD,TX,760633794,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,91.99,62.741666667,38.833333333,42.585833333
1053337733,HORSTMYER,JEFFREY,L,M.D,M,I,3661 S MIAMI AVE,SUITE 209,MIAMI,FL,331334236,US,Physician/Neurology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,2.93,2.04,1.5123818182,1.5123818182
1053337733,HORSTMYER,JEFFREY,L,M.D,M,I,3661 S MIAMI AVE,SUITE 209,MIAMI,FL,331334236,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,27,92.314814815,51.314814815,36.294074074,33.415555556
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,146,305,305,84.668196721,39.982,29.726131148,28.97895082
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,28,8.8417857143,1.48,1.16,1.1507142857
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,80,144,144,288.00854167,85.018888889,65.16875,66.249652778
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,69,182,341,115.31548387,32.98856305,25.149912023,25.202140762
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,57,154,539,60.696103896,17.994434137,13.429443414,13.831317254
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,48,129,399,36.56952381,15.730726817,11.801303258,11.429799499
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,102,184,184,163.56108696,55.892608696,41.446684783,40.586358696
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,174,245,245,51.572367347,17.967469388,13.789877551,13.769836735
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,18,18,26.323888889,10.19,7.99,8.1322222222
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,35,74,74,58.100675676,12.057702703,8.9409459459,8.6413513514
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,170,500,1856,6.9826077586,2.0002586207,1.5162015086,1.537575431
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,68,97,97,8.9773195876,6,4.6515463918,4.6067010309
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,88,119,119,42.479243697,12.991260504,9.8405882353,9.9827731092
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,57,57,90.279473684,18,13.86245614,13.34245614
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,12,60,60,294.6345,88.484,67.8655,65.3175
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,11,48,48,809.00416667,223.01041667,173.72916667,167.76625
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,25,25,25,254.1612,138,102.4032,99.332
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,15,56,56,61.787857143,13.692857143,9.7783928571,9.6139285714
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,23.99,4.0866666667,3.0933333333,3.6444444444
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,57,331,331,115.91178248,34.245468278,25.449486405,24.256676737
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,132,132,308.40325758,77.18,57.14469697,52.14469697
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,81.586341463,36.96,28.98,29.419512195
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1380,15.58,9.6605217391,7.4698768116,7.4698768116
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1913,0.3034134867,0.0469053842,0.0324411918,0.0324411918
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,11,48,3410,1.3486304985,0.1353225806,0.1029061584,0.1029061584
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1380,12.86,3.0206521739,2.3682173913,2.3682173913
1053337758,KERN,RICHARD,D,M.D.,M,I,2800 W 95TH ST,"PULMONARY MEDICINE CONSULTANTS, LTD.",EVERGREEN PARK,IL,608052701,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,68,68,94.147058824,33,25.109117647,25.109117647
1053337782,SECUNDA,EDWARD,P,D.O.,M,I,14011 BEACH BLVD,SUITE 120,JACKSONVILLE BEACH,FL,322502079,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,26,57,60.635964912,8.3085964912,5.8364912281,5.8364912281
1053337782,SECUNDA,EDWARD,P,D.O.,M,I,14011 BEACH BLVD,SUITE 120,JACKSONVILLE BEACH,FL,322502079,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,14,16.977857143,1.42,1.0371428571,1.0371428571
1053337840,BREZICKI,PAUL,,MD,M,I,1090 NE GATEWAY CT NE,STE 202,CONCORD,NC,280252414,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,33.803157895,5.9021052632,4.6252631579,3.7368421053
1053337931,RIEDER,JEFFREY,G,DPM,M,I,1234 MAIN ST,,PECKVILLE,PA,184522043,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,143,143,286,84.86013986,71.56,56.105,56.105
1053337931,RIEDER,JEFFREY,G,DPM,M,I,1234 MAIN ST,,PECKVILLE,PA,184522043,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,141,141,846,37.929078014,29.19,22.885,22.886264775
1053337931,RIEDER,JEFFREY,G,DPM,M,I,1234 MAIN ST,,PECKVILLE,PA,184522043,US,Podiatry,S,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,62,75,69.86,53.991774194,54.444032258
1053337998,BAE,HO,S,M.D.,M,I,520 S VIRGIL AVE STE 202,,LOS ANGELES,CA,900201425,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,9.84,4.1,3.2143333333,3.2430555556
1053337998,BAE,HO,S,M.D.,M,I,520 S VIRGIL AVE STE 202,,LOS ANGELES,CA,900201425,US,Physician/Gastroenterology,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5124,1.0327868852,0.66,0.4894476971,0.4894476971
1053337998,BAE,HO,S,M.D.,M,I,520 S VIRGIL AVE STE 202,,LOS ANGELES,CA,900201425,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,780,5.2098333333,0.5548461538,0.3818846154,0.3818846154
1053337998,BAE,HO,S,M.D.,M,I,520 S VIRGIL AVE STE 202,,LOS ANGELES,CA,900201425,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,24,24,16.838947368,16.838947368
1053338095,ALFANDARY,VIVIANE,D,M.D.,F,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,86.31,17.11,11.841176471,11.965882353
1053338095,ALFANDARY,VIVIANE,D,M.D.,F,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,37,39,55.155384615,3.69,2.8297435897,3.6915384615
1053338095,ALFANDARY,VIVIANE,D,M.D.,F,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,532.89722222,79,55.459444444,48.65
1053338095,ALFANDARY,VIVIANE,D,M.D.,F,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1260,0.92,0.1345952381,0.1055396825,0.1055396825
1053338095,ALFANDARY,VIVIANE,D,M.D.,F,I,1220 ROSSMOOR PKWY,,WALNUT CREEK,CA,945952501,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,127.71428571,33,25.87,25.87
1053338517,SEWELL,DAN,G,MD,M,I,1600 STATE STREET,,SALEM,OR,97301,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,68.814,46.21,33.814666667,34.032666667
1053338517,SEWELL,DAN,G,MD,M,I,1600 STATE STREET,,SALEM,OR,97301,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,155,104.62529412,72.482352941,68.7
1053338558,TAYLOR,APARNA,V,MD,F,I,259 MOUNT NEBO POINTE RD,UNIT E-18,PITTSBURGH,PA,152371313,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,65,70.237230769,8.32,6.0193846154,6.0193846154
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,13,24,57,8.7036842105,1.4821052632,1.161754386,1.1507017544
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,16,17,17,87.694705882,8.9464705882,7.0176470588,9.08
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,3,12,12,13,2.3623076923,0.47,0.37,0.4238461538
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,44,75.094090909,17.786818182,12.349090909,12.005454545
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,19,130,131,50.258167939,4.172519084,3.1119847328,3.543740458
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,114,116,515.6262069,78.022413793,57.382241379,51.389396552
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,51,54,244.86111111,37.505,28.870555556,28.907777778
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,162.85714286,57,44.69,44.69
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,20,67,4140,17.834425121,9.6898550725,7.5628864734,7.5628864734
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,1500,16.44346,11.25502,8.82398,8.8239733333
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,8566,0.3044676629,0.0470382909,0.0365538174,0.0365538174
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,18,58,4985,1.2873681043,0.1382347041,0.1067382146,0.1067382146
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,25,110,6570,12.876136986,2.9517123288,2.259152207,2.259152207
1053338871,BELLAM,SHASHI,K,MD,M,I,1000 CENTRAL ST STE 615,,EVANSTON,IL,602011779,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,29,139,139,102.1294964,33,25.497769784,25.497769784
1053339127,HUBLI,SHITAL,C,M.D.,F,I,644 W 12TH ST,,TRACY,CA,953763437,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,38,186,62.660215054,8.32,6.2076344086,6.2076344086
1053339127,HUBLI,SHITAL,C,M.D.,F,I,644 W 12TH ST,,TRACY,CA,953763437,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,44,15.049545455,1.42,1.1125,1.1125
1053339127,HUBLI,SHITAL,C,M.D.,F,I,644 W 12TH ST,,TRACY,CA,953763437,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,4430.1,913.16,715.67045455,830.525
1053339127,HUBLI,SHITAL,C,M.D.,F,I,644 W 12TH ST,,TRACY,CA,953763437,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.96,29.501666667,23.126666667,24.554166667
1053339127,HUBLI,SHITAL,C,M.D.,F,I,644 W 12TH ST,,TRACY,CA,953763437,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,3045,0.4013924466,0.0457372742,0.0349195402,0.0349195402
1053339127,HUBLI,SHITAL,C,M.D.,F,I,644 W 12TH ST,,TRACY,CA,953763437,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,33,33,23.704375,23.704375
1053339168,MUNNA,RANA,K,M.D.,F,I,107 PRESTON CT,,MACON,GA,31210,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,72,66.592222222,8.32,5.97875,5.97875
1053339168,MUNNA,RANA,K,M.D.,F,I,107 PRESTON CT,,MACON,GA,31210,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,112.27272727,35.950909091,28.186363636,27.681818182
1053339242,ANGELO,STEVEN,J,MD,M,I,1450 CHAPEL STREET,SAINT RAPHAEL FACULTY PHYSICIANS,NEW HAVEN,CT,06511,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,26,69,44.612608696,8.32,6.4873913043,6.4873913043
1053339242,ANGELO,STEVEN,J,MD,M,I,1450 CHAPEL STREET,SAINT RAPHAEL FACULTY PHYSICIANS,NEW HAVEN,CT,06511,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,20,13.7985,1.42,1.115,1.115
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,58,112,112,131.68125,39.510535714,29.408571429,28.910446429
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,16,38,75,8.0636,1.5592,1.1944,1.1422666667
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,80.632666667,11.499333333,7.8146666667,7.8826666667
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,104,229,230,423.06726087,89.983869565,67.204434783,64.521652174
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,18,99,243,607,168.58359143,34.320988468,25.533377265,24.56723229
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,49,116,516,97.867170543,19.215213178,13.889031008,13.385155039
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,72,152,707,63.377963225,15.38175389,11.020325318,10.852772277
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,113,212,212,256.79490566,55.984716981,40.563066038,39.521415094
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,211,286,286,74.99041958,18.446398601,13.960874126,13.615594406
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,33.7495,10.4,7.7425,7.7425
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,169,339,339,85.110943953,12.126725664,9.0695575221,8.6789380531
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,207,453,2167,11.921241347,2.1045639132,1.6008075681,1.5457637287
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,17,23,23,24.428695652,6.2786956522,4.8060869565,4.5291304348
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,20,132,173,173,49.520578035,13.458208092,10.266184971,10.060231214
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,32,239,246,77.652764228,17.572357724,12.762926829,12.531626016
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,39,39,220.63076923,48.31,35.712564103,35.494615385
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,23,170,170,4208.2564706,1074.31,838.04029412,838.04029412
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,26,29,464.89241379,88.722413793,69.556551724,69.7
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,1481.97,199.97894737,149.23368421,149.23368421
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,17,18,18,451.17,141.11277778,110.63277778,108.58388889
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,33,145,184,81.523043478,13.794184783,10.490543478,10.204130435
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,19,127,147,53.864829932,4.906122449,3.5395238095,3.3646258503
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,57,322,356,307.08075843,34.894662921,26.380955056,24.736460674
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,113,865,890,498.7188427,73.842505618,54.458022472,52.028213483
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,43,302,322,238.77515528,38.430776398,28.786645963,28.25015528
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,53,3060,15.58,9.5767254902,7.3606830065,7.3606830065
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,39,2340,13.94,11.382435897,8.875965812,8.875965812
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,53,8624,0.2602353896,0.0466871521,0.0330762987,0.0330762987
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,2730,1.0145824176,0.1343076923,0.1023186813,0.1023186813
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,71,4140,12.883565217,2.9184565217,2.2880845411,2.2880845411
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,335,0.6778507463,0.2184477612,0.1713731343,0.1713731343
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,80.364444444,37.44,28.114814815,28.27037037
1053339267,LEE,MITCHELL,D,MD,M,I,1202 MEDICAL CENTER DR,,WILMINGTON,NC,284017307,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,34,166,166,115.53614458,33,25.090783133,25.090783133
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,21,36,100,57.6876,8.32,6.2608,6.2608
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,7.875,3.38,2.65,2.65
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,27,37,10.664324324,1.42,1.0854054054,1.0854054054
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,96.559354839,18.303225806,14.350322581,13.734193548
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,14,183.08857143,34.422857143,23.618571429,23.492142857
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,49,422.88061224,80.243673469,61.142040816,54.111020408
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,16,250,35.56,27.88,29.51
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6531538462,7.3841282051,7.3841282051
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1619,1.0405744287,0.1375293391,0.097708462,0.097708462
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0512307692,2.3921923077,2.3921923077
1053339416,KHAN,KAMRAN,A,MD,M,I,2655 W BAKER RD,,BAYTOWN,TX,775212206,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,124.38461538,33,23.88,23.88
1053339432,DORFMAN,JUSTIN,N,D.O.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,29,63.045862069,8.32,4.7217241379,4.7217241379
1053339432,DORFMAN,JUSTIN,N,D.O.,M,I,24 NEWTON ST,,SOUTHBOROUGH,MA,017721215,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2135.46,1074.31,830.30416667,830.30416667
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,49,115,329,81.004103343,8.32,5.439331307,5.439331307
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,27,58,79,15.39721519,1.42,0.9994936709,0.9994936709
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,150,7.836,7,5.488,5.488
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,240,5.6545,3.04,2.3831666667,2.3831666667
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,169.56705882,18,13.28,12.743529412
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,505.56695652,77.18,53.542608696,48.256086957
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.6386527778,8.6386527778
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1053339499,NORA,MARYANNETTE,E,M.D.,F,I,6969 N LINCOLN AVE,,LINCOLNWOOD,IL,607122527,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,107.25,33,25.87,25.87
1053339564,FORINGER,JOHN,R,M.D.,M,I,6410 FANNIN ST,606,HOUSTON,TX,770303000,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1350,2.4437555556,0.7476,0.5861259259,0.5861259259
1053339564,FORINGER,JOHN,R,M.D.,M,I,6410 FANNIN ST,606,HOUSTON,TX,770303000,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,18.82,18.82
1053339564,FORINGER,JOHN,R,M.D.,M,I,6410 FANNIN ST,606,HOUSTON,TX,770303000,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,20,16,16,12.542,12.542
1053339713,ANDERSON,MILO,,DPM,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,19,36,94.623333333,71.56,56.1075,56.103055556
1053339713,ANDERSON,MILO,,DPM,M,I,3605 EXECUTIVE DR,,SAN ANGELO,TX,769046884,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,59,57.277966102,43.56,34.150338983,34.15
1053339796,KIESLICH,JANET,E,N.P.,F,I,3805A SPRING ST STE 330,,RACINE,WI,534051600,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,25,87,84.249425287,8.32,5.365862069,5.365862069
1053339796,KIESLICH,JANET,E,N.P.,F,I,3805A SPRING ST STE 330,,RACINE,WI,534051600,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,25,16.8044,1.42,0.9812,0.9812
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,28,87,232,78.380603448,8.32,6.0166810345,6.0166810345
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,37,16.656756757,1.42,0.992972973,0.992972973
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,3200,2.545,2.04,1.509684375,1.509684375
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,165.13,60.786666667,46.3375,41.559166667
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,60.676666667,20.565,14.818333333,12.9625
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,56.79,18.396363636,12.648181818,8.4845454545
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,15,54,6.7822222222,2.4459259259,1.7890740741,1.6074074074
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,643.32689655,96.928965517,73.934482759,52.837931034
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3357,0.7569109324,0.0470002979,0.03282395,0.03282395
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1110,2.1811801802,0.1342972973,0.1052882883,0.1052882883
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,9.9998333333,3.0705454545,2.1899545455,2.1899545455
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,299.25517241,43.871724138,33.264482759,28.552413793
1053339887,SHIPPEE,LUCAS,D,DO,M,I,454 OLD STREET RD,SUITE 301,PETERBOROUGH,NH,034581200,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,33,63,33,24.302121212,24.302121212
1053339945,TRESPALACIOS,VANESSA,N,M.D.,F,I,83 HANOVER RD,SUITE 280,FLORHAM PARK,NJ,079321508,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,54,58.407222222,8.32,5.5557407407,5.5557407407
1053339945,TRESPALACIOS,VANESSA,N,M.D.,F,I,83 HANOVER RD,SUITE 280,FLORHAM PARK,NJ,079321508,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,128.98,43.17,26.877272727,27.516363636
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,35,70,134.73242857,8.32,6.1501428571,6.1501428571
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,271.69090909,69.81,47.866363636,47.866363636
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,2831,0.4050370894,0.0454927587,0.034867538,0.034867538
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,1739,1.0316906268,0.1327832087,0.0931684876,0.0931684876
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,690,17.98815942,2.9216956522,2.2906086957,2.2906086957
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,47.951818182,29.252727273,22.931818182,16.718181818
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,81.92173913,36.14,25.866521739,27.07173913
1053340067,CAYLEY,WILLIAM,E,MD,M,I,617 W CLAIREMONT AVE,,EAU CLAIRE,WI,547016223,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,33,33,23.88,23.88
1053340141,DILLON,WILLIAM,C,MD,M,I,3900 KRESGE WAY,SUITE 60,LOUISVILLE,KY,402074660,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,60.837777778,17.006666667,13.327777778,13.501851852
1053340141,DILLON,WILLIAM,C,MD,M,I,3900 KRESGE WAY,SUITE 60,LOUISVILLE,KY,402074660,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,364.57111111,70.935555556,55.615555556,54.824074074
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,16,33,49.076666667,8.32,6.5251515152,6.5251515152
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,16,22,15.785,1.42,1.1154545455,1.1154545455
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,7.79,6.26,4.908,5.7055
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,6.48,5.23,4.1003333333,4.1003333333
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,1400,0.1278571429,0.05,0.0392,0.0392
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,36,4.2458333333,1.6094444444,1.2625,1.1558333333
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,2.89,2.33,1.83,1.83
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.72,3.81,2.987,2.987
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,15.7,4.02,3.1516666667,3.2456666667
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7425,3.36,0.31,0.243037037,0.243037037
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,62.584166667,11.19,6.8625,5.5366666667
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,26.536818182,12.460454545,8.5425,7.7638636364
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,52,53,108.46924528,46.857735849,29.609433962,28.229433962
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,34,34,166.72941176,46.082352941,34.605,35.832352941
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,116.129,17.653,13.84,13.539
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,70,30.13,23.62,24.11
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,45.948666667,3.8773333333,2.608,2.9753333333
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,56.092857143,33.47,24.365714286,28.507142857
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,120.57391304,39.544782609,31.00173913,25.669130435
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,4,,46,48,26.636666667,8.9516666667,6.23,5.5554166667
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,16.519032258,9.9738709677,7.8222580645,8.0487096774
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,30,411.81133333,77.572,60.82,55.886
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,65.146666667,23.851111111,10.678333333,7.52
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,26,26,26.871923077,10.213846154,6.8869230769,5.2907692308
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,364.473,152.40066667,117.34566667,107.72166667
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,592.6247619,180.50285714,141.51285714,146.86714286
1053340505,DAWSON,DAVID,W,MD,M,I,7 S MICKEY MANTLE DR,SUITE 325,OKLAHOMA CITY,OK,731042458,US,Physician/General Practice,S,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,829.04,322.135,252.558,278.903
1053340521,FAIG,DOUGLAS,E,M.D.,M,I,5700 N FEDERAL HWY,SUITE 5,FT LAUDERDALE,FL,333082600,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,22,2086,73.146040268,4.9897459252,3.9049472675,3.9049472675
1053340521,FAIG,DOUGLAS,E,M.D.,M,I,5700 N FEDERAL HWY,SUITE 5,FT LAUDERDALE,FL,333082600,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,39.933333333,16,12.54,12.54
1053340661,FROST,LEIGHTON,E,MD,M,I,300 N 4TH AVE E,SUITE 200,NEWTON,IA,502083155,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,52,62.658846154,8.32,6.2703846154,6.2703846154
1053340695,MICHEL,STEVE,,MD,M,I,965 LAKE ST,,OAK PARK,IL,603011292,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,33,91,67.241098901,8.32,5.8050549451,5.8050549451
1053340695,MICHEL,STEVE,,MD,M,I,965 LAKE ST,,OAK PARK,IL,603011292,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,22,11.505909091,1.42,0.8609090909,0.8609090909
1053340695,MICHEL,STEVE,,MD,M,I,965 LAKE ST,,OAK PARK,IL,603011292,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,18,5,4.21,3.3038888889,3.3038888889
1053340695,MICHEL,STEVE,,MD,M,I,965 LAKE ST,,OAK PARK,IL,603011292,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,18.5,8.24,6.46,6.43
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,101.83578947,18.403684211,10.662105263,10.048421053
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,41,405.06268293,84.955121951,54.77195122,45.206097561
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,129,40.5,31.75,29.51
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,38,94,5660,44.968621908,4.9315017668,3.8513233216,3.8513233216
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,184.7548,43.7192,34.27,24.054
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,36.6,11.927857143,9.0903571429,7.3207142857
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,52,70,186,52.26844086,42.201290323,31.616075269,29.817526882
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,26,26,30,333.88133333,313.23133333,245.57166667,263.60366667
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,39,84,84,53.820238095,24,18.82,18.82
1053340802,TAUER,KURT,W,MD,M,I,7945 WOLF RIVER BLVD,,GERMANTOWN,TN,381381762,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,13,23,23,53.691304348,16,12.54,12.54
1053340885,QUDDUSI,SHAISTA,,MD,F,I,700 S 320TH ST,SUITE D,FEDERAL WAY,WA,980034691,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,12,30,390,51.762666667,19.648,14.466153846,14.466153846
1053340885,QUDDUSI,SHAISTA,,MD,F,I,700 S 320TH ST,SUITE D,FEDERAL WAY,WA,980034691,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,12,32,965,7.1595336788,2.6325388601,1.7967357513,1.7967357513
1053340885,QUDDUSI,SHAISTA,,MD,F,I,700 S 320TH ST,SUITE D,FEDERAL WAY,WA,980034691,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,38,114,658,63.50674772,8.32,6.1037993921,6.1037993921
1053340885,QUDDUSI,SHAISTA,,MD,F,I,700 S 320TH ST,SUITE D,FEDERAL WAY,WA,980034691,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,39,14.382564103,1.42,1.1135897436,1.1135897436
1053340885,QUDDUSI,SHAISTA,,MD,F,I,700 S 320TH ST,SUITE D,FEDERAL WAY,WA,980034691,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,960,16.163427083,10.804979167,8.4711145833,8.4711145833
1053340885,QUDDUSI,SHAISTA,,MD,F,I,700 S 320TH ST,SUITE D,FEDERAL WAY,WA,980034691,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,42,42,613.05642857,250.59547619,196.46666667,196.87
1053340927,MANCHESTER,RALPH,A,M.D.,M,I,738 LIBRARY RD,,ROCHESTER,NY,146270617,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,18,73.863888889,8.32,5.0722222222,5.0722222222
1053341065,BRITTIG,JENNIFER,J,M.D.,F,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,46,130,76.064076923,8.32,6.0196923077,6.0196923077
1053341065,BRITTIG,JENNIFER,J,M.D.,F,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,30,15.930666667,1.42,0.968,0.968
1053341065,BRITTIG,JENNIFER,J,M.D.,F,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1020,2.05,2.04,1.4586764706,1.4586764706
1053341065,BRITTIG,JENNIFER,J,M.D.,F,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,312,47.9725,5.31,3.7494551282,3.7494551282
1053341065,BRITTIG,JENNIFER,J,M.D.,F,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,196.61571429,22.31,14.59,10.638571429
1053341065,BRITTIG,JENNIFER,J,M.D.,F,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.9290909091,3.8690909091,3.6881818182
1053341065,BRITTIG,JENNIFER,J,M.D.,F,I,2408 4 MILE RD,,RACINE,WI,534022091,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,417.07285714,69.81,43.002142857,43.002142857
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,37,66.655675676,21.745405405,16.644054054,14.303243243
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,31,45.513870968,7.684516129,5.7903225806,3.7296774194
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,46,487.92630435,98.91,76.24826087,61.464130435
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,5250,0.17,0.0461428571,0.0330133333,0.0330133333
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,36,4438,1.6025416854,0.1362640829,0.1068476791,0.1068476791
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,18,65,5754,12.334638512,2.9840667362,2.3032551269,2.3032551269
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,284,763.58714789,573.19077465,449.3815493,449.3815493
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,66,66,94.590909091,33,25.478030303,25.478030303
1053341099,SHERGILL,RAVINDER,P,MD,M,I,13305 SE RIVERCREST DR,,VANCOUVER,WA,986836674,US,Physician/Critical Care (Intensivists),S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,66,66,51.74,51.74
1053341115,LEITZE,ZACHARY,R,MD,M,I,652 S MEDICAL CENTER DR,SUITE 120,ST GEORGE,UT,84790,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,17,551.74,551.74,432.15823529,480.21882353
1053341156,SALTER,RIDGLEY,P,MD,M,I,2775 N GEORGE ST,,YORK,PA,174021020,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,31,96,223,66.064798206,8.32,5.6376681614,5.6376681614
1053341156,SALTER,RIDGLEY,P,MD,M,I,2775 N GEORGE ST,,YORK,PA,174021020,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.932857143,3.38,2.2714285714,2.2714285714
1053341156,SALTER,RIDGLEY,P,MD,M,I,2775 N GEORGE ST,,YORK,PA,174021020,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,17,44,59,14.511864407,1.42,0.9633898305,0.9633898305
1053341156,SALTER,RIDGLEY,P,MD,M,I,2775 N GEORGE ST,,YORK,PA,174021020,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,60,8.9806666667,2.34,1.7436666667,1.506
1053341156,SALTER,RIDGLEY,P,MD,M,I,2775 N GEORGE ST,,YORK,PA,174021020,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2335,2.0355588865,0.1340299786,0.1027708779,0.1027708779
1053341156,SALTER,RIDGLEY,P,MD,M,I,2775 N GEORGE ST,,YORK,PA,174021020,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,142.75866667,22.54,12.958,15.4
1053341156,SALTER,RIDGLEY,P,MD,M,I,2775 N GEORGE ST,,YORK,PA,174021020,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,38.1,7.26,4.1726666667,4.672
1053341305,KHAN,IQBAL,H,DPM,M,I,4310 W CRYSTAL LAKE RD,SUITE F,MCHENRY,IL,600504214,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,75,71.56,54.338148148,54.337962963
1053341305,KHAN,IQBAL,H,DPM,M,I,4310 W CRYSTAL LAKE RD,SUITE F,MCHENRY,IL,600504214,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,162,40,29.19,22.885,22.88654321
1053341487,KUSHNER,DAVID,,D.O.,M,I,1775 DEMPSTER ST,DEPARTMENT OF INTERNAL MEDICINE,PARK RIDGE,IL,600681143,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,46.76,22.575555556,17.696666667,16.805
1053341487,KUSHNER,DAVID,,D.O.,M,I,1775 DEMPSTER ST,DEPARTMENT OF INTERNAL MEDICINE,PARK RIDGE,IL,600681143,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,415.58,77.18,60.51,55.363333333
1053341560,LIU,LAWRENCE,U,MD,M,I,5 E 98TH ST,12TH FLR,NEW YORK,NY,100296501,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,2070,7.0890048309,0.5777246377,0.4262705314,0.4262705314
1053341560,LIU,LAWRENCE,U,MD,M,I,5 E 98TH ST,12TH FLR,NEW YORK,NY,100296501,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,14,14,24,24,16.056428571,16.056428571
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,44,45,35.355333333,27.45,21.52,22.204666667
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,142,2.9998591549,2.49,1.951971831,1.951971831
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,42,43,14.018372093,10.93,8.57,8.57
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,3.4,2.91,2.28125,2.28125
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,30,600,6.15,5.54,4.3435,4.3435
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,40,1208,14.312847682,7.37,5.693807947,5.693807947
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,30,600,3.24,3.016,2.3646,2.3814
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,21,50,1941,8.28,8.28,6.491555899,6.491555899
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,486,2.4,2.4,1.8816666667,1.8816666667
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,43,1298,7.768751926,3.81,2.727788906,2.727788906
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,92,1447,9.0309467865,4.7869661368,3.7529993089,4.1152176918
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,5226,0.43,0.36,0.282238806,0.289797168
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,8970,0.6527157191,0.2992976589,0.2346432553,0.2411170569
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,5988,1.32,1.097244489,0.8602254509,0.9432264529
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,4804,1.2865549542,0.6,0.4703975853,0.5054787677
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,32,814,1.2029361179,0.7182800983,0.5631326781,0.5588083538
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,22,29,95.308275862,58.773793103,46.080689655,48.100689655
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,12,58,58,145.18844828,45.694482759,31.577586207,33.042241379
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,110.11411765,45.59,33.840588235,35.379411765
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,35,41,15.342926829,5.0029268293,3.9202439024,4.12
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,25.144736842,9.3868421053,5.5768421053,7.1568421053
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,79.559655172,17.171724138,12.665172414,13.677586207
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,94.988181818,21.056363636,13.008181818,16.611818182
1053341586,RIZVI,SEEMA,S,MD,F,I,1491 ROUTE 52 STE 48,,FISHKILL,NY,125241634,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,18.804054054,7.0359459459,4.9627027027,5.9637837838
1053341651,SPITLER,MARY,M,PA,F,I,130 PLANTATION DR,SUITE 100,MOORESVILLE,NC,281175820,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,32.701538462,5.7507692308,4.1838461538,3.4638461538
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,53,213,72.343192488,8.32,5.97657277,5.97657277
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,24,43,17.111860465,1.42,1.0106976744,1.0106976744
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,86.704615385,41,29.667692308,28.144615385
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7.8,5.23,3.7586388889,3.7586388889
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.75,7.88,6.18,6.43
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,17,17,372.28411765,94.58,70.390588235,64.080588235
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,11,13,13,67.495384615,19.5,15.29,14.06
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,20,94,9.3514893617,2.3,1.6884042553,1.4905319149
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,423,78.092198582,4.9,3.5639479905,3.725035461
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3960,4.28,0.37,0.2900833333,0.2900833333
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,21,75.176666667,17,12.695238095,12.847619048
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,50.73,4.2352941176,2.4882352941,2.9641176471
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,39,39,237.15692308,35.054102564,25.638461538,24.418205128
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,46,488.60673913,78,57.608695652,52.305217391
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,33,2550,1.1108705882,0.1316470588,0.0979176471,0.0979176471
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,29,1706,9.4855158265,2.9264009379,2.2102227433,2.2102227433
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,16,139.88625,16.19,11.920625,12.605
1053341685,BHATTACHARYA,SUBROTO,,MD,M,I,140 COMMONWEALTH AVE STE 202,,DANVERS,MA,019233625,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,19,59,59,63.203389831,33,24.993050847,24.993050847
1053341784,LIMVARAPUSS,CHAINARONG,,MD,M,I,100 HOSPITAL DR,SUITE # 110,VALLEJO,CA,945892578,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,50,50,48,19.71,15.45,15.45
1053341784,LIMVARAPUSS,CHAINARONG,,MD,M,I,100 HOSPITAL DR,SUITE # 110,VALLEJO,CA,945892578,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,50,50,100,37.38,29.3,29.3
1053341784,LIMVARAPUSS,CHAINARONG,,MD,M,I,100 HOSPITAL DR,SUITE # 110,VALLEJO,CA,945892578,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,880,204.92434783,160.66086957,160.66086957
1053341784,LIMVARAPUSS,CHAINARONG,,MD,M,I,100 HOSPITAL DR,SUITE # 110,VALLEJO,CA,945892578,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,649.37846154,69.792307692,50.148461538,50.16
1053341784,LIMVARAPUSS,CHAINARONG,,MD,M,I,100 HOSPITAL DR,SUITE # 110,VALLEJO,CA,945892578,US,Physician/Hematology-Oncology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1168,0.3317294521,0.0458476027,0.0300684932,0.0300684932
1053341784,LIMVARAPUSS,CHAINARONG,,MD,M,I,100 HOSPITAL DR,SUITE # 110,VALLEJO,CA,945892578,US,Physician/Hematology-Oncology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,53.307692308,33,21.89,21.89
1053341826,NEKHLYUDOV,LARISSA,,M.D.,F,I,133 BROOKLINE AVE,6TH FLOOR,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,70,77.320857143,8.32,5.9631428571,5.9631428571
1053341958,KOSHY,SINDHU,,M.D.,F,I,37771 SCHOENHERR RD,SUITE 101,STERLING HTS,MI,483122302,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,3730,2790.02375,2187.379375,2187.379375
1053342204,CANO,MARIELA,,M.D.,F,I,4600 N RAVENSWOOD AVE,2ND FLR,CHICAGO,IL,606404510,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2340,4.35,2.04,1.5380213675,1.5380213675
1053342204,CANO,MARIELA,,M.D.,F,I,4600 N RAVENSWOOD AVE,2ND FLR,CHICAGO,IL,606404510,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,29.08,4.0652631579,3.1831578947,3.7010526316
1053342246,MULLER,ARTHUR,,D.O.,M,I,1550 BARKLEY CIR,,FORT MYERS,FL,339074539,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,68,12.480441176,2.4208823529,1.7486764706,1.4597058824
1053342253,BATSON,WANDA,C,O.D.,F,I,207 N MAIN ST,,CRESTVIEW,FL,325363543,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,70,70,49.890909091,48.009090909
1053342253,BATSON,WANDA,C,O.D.,F,I,207 N MAIN ST,,CRESTVIEW,FL,325363543,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,24,71.916666667,49.57,32.631666667,37.03875
1053342253,BATSON,WANDA,C,O.D.,F,I,207 N MAIN ST,,CRESTVIEW,FL,325363543,US,Optometry,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,22,79.545454545,64.37,50.465454545,54.96
1053342279,BARRINGTON-SHULENBERGER,ROSA,L,"DNP, ANP, FNP",F,I,"UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC",20170 N UMPQUA HWY,GLIDE,OR,97443,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,39,65.383333333,8.32,5.8535897436,5.8535897436
1053342279,BARRINGTON-SHULENBERGER,ROSA,L,"DNP, ANP, FNP",F,I,"UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC",20170 N UMPQUA HWY,GLIDE,OR,97443,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,24.94,19.55,14.480526316
1053342279,BARRINGTON-SHULENBERGER,ROSA,L,"DNP, ANP, FNP",F,I,"UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC",20170 N UMPQUA HWY,GLIDE,OR,97443,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,36.35,17.204666667,12.716,9.1046666667
1053342279,BARRINGTON-SHULENBERGER,ROSA,L,"DNP, ANP, FNP",F,I,"UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC",20170 N UMPQUA HWY,GLIDE,OR,97443,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,17,140.20352941,52.58,37.841764706,24.207647059
1053342279,BARRINGTON-SHULENBERGER,ROSA,L,"DNP, ANP, FNP",F,I,"UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC",20170 N UMPQUA HWY,GLIDE,OR,97443,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,403.504,109.832,84.404,57.794857143
1053342279,BARRINGTON-SHULENBERGER,ROSA,L,"DNP, ANP, FNP",F,I,"UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC",20170 N UMPQUA HWY,GLIDE,OR,97443,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1019,1.0035132483,0.132875368,0.0668007851,0.0668007851
1053342279,BARRINGTON-SHULENBERGER,ROSA,L,"DNP, ANP, FNP",F,I,"UMPQUA COMMUNITY HEALTH CENTER, GLIDE CLINIC",20170 N UMPQUA HWY,GLIDE,OR,97443,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,85.105263158,33,19.940526316,19.940526316
1053342287,CLEEREMAN,LINDSAY,D,PA-C,F,I,835 S MAIN ST,,OCONTO FALLS,WI,541541282,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,152.31071429,52.528571429,41.185,38.569285714
1053342378,HSU,KENNETH,,M.D.,M,I,511 W COLUMBUS ST,,BAKERSFIELD,CA,933011201,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,74,53.385135135,8.32,5.662972973,5.662972973
1053342378,HSU,KENNETH,,M.D.,M,I,511 W COLUMBUS ST,,BAKERSFIELD,CA,933011201,US,Physician/Rheumatology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,34,18.05,1.42,1.015,1.015
1053342386,WEINTRAUB,MARK,P,MD,M,I,200 3RD AVE W,SUITE 210,BRADENTON,FL,342058626,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,2610,0.1968965517,0.13,0.1019425287,0.1019425287
1053342386,WEINTRAUB,MARK,P,MD,M,I,200 3RD AVE W,SUITE 210,BRADENTON,FL,342058626,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,5330,3.6754221388,2.0183864916,1.5435159475,1.5604540338
1053342386,WEINTRAUB,MARK,P,MD,M,I,200 3RD AVE W,SUITE 210,BRADENTON,FL,342058626,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1260,10.321428571,6.15,4.7077380952,5.4536666667
1053342428,KAMBOJ,GINNY,,MD,F,I,661 RIDGEVIEW DR,,MCHENRY,IL,600507012,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,1088,52.4225,4.7876286765,3.7535018382,3.7535018382
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,66,173,66.449653179,8.32,4.8628901734,4.8628901734
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,31,21.021290323,1.42,0.6477419355,0.6477419355
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,450,29.064444444,3.02,2.2098222222,2.2098222222
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3960,0.4,0.37,0.271790404,0.271790404
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,10121,0.4990564174,0.32,0.2508803478,0.2450617528
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,28,28,291.27892857,47.493571429,35.095357143,37.240714286
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,156.27272727,17,13.33,13.482727273
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,37.131428571,3.73,2.6571428571,3.2595238095
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,39.820909091,24.790909091,24.790909091
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,25,25,389.6456,77.18,51.374,46.974
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,1919,3.0251380928,0.1337154768,0.0934861907,0.0934861907
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,154.57083333,17.065,13.38,15.14
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,76.118823529,7.4217647059,5.8235294118,7.1029411765
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,831.56833333,180.545,141.55,146.78333333
1053342535,OESTERLE,SUSAN,A,"RN,MSN,FNP",F,I,1560 HARLEM RD,,CHEEKTOWAGA,NY,142061964,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,16,16,33,33,21.681875,21.681875
1053342543,MCCARDLE,STEPHANIE,A,MD,F,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,39,83,65.310240964,8.32,5.5071084337,5.5071084337
1053342543,MCCARDLE,STEPHANIE,A,MD,F,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,28,11.960714286,1.42,0.8364285714,0.8364285714
1053342543,MCCARDLE,STEPHANIE,A,MD,F,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.84,35.814166667,34.494166667
1053342543,MCCARDLE,STEPHANIE,A,MD,F,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,22,567.17636364,79.96,59.840454545,52.965909091
1053342543,MCCARDLE,STEPHANIE,A,MD,F,I,1411 S GREEN ST,SUITE 130,BROWNSBURG,IN,461122049,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,8.8392272727,3.0705454545,2.3663484848,2.3663484848
1053342550,TARTELL,PAUL,B,M.D.,M,I,100 NW 82ND AVE,SUITE 104,PLANTATION,FL,333247809,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,5.6880769231,2.4,1.4935897436,1.2703846154
1053342592,RABBITT,EDWARD,C,M.D.,M,I,6355 WALKER LN,SUITE 501,ALEXANDRIA,VA,223103245,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,395,126.2,93.768666667,93.765333333
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,72,189,2384,56.966627517,19.645113255,14.791854027,14.791854027
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,70,174,5515,7.7871894832,2.6235720762,1.9969537625,2.0053980054
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,100,221,1487,65.671156691,8.32,6.3124949563,6.3124949563
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,12.20625,3.38,2.65,2.65
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,29,58,193,15.752435233,1.42,1.0671502591,1.0671502591
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,6,22,99,99,658.71737374,344.44272727,263.46070707,263.46070707
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,23,76,20060,16.39140329,10.77129013,8.427445663,8.427445663
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,60,14.75,0.609,0.4773333333,0.4773333333
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,59,59,59,1316.6259322,1017.4723729,778.24915254,864.04135593
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,54,55,74,939.0277027,849.98,660.56432432,671.41513514
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,19,19,26,491.33,429.44230769,336.68846154,341.91
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,59,60,80,116.85875,105.858,82.99275,88.45975
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,25,26,31,532.36064516,458.27,359.28935484,364.60225806
1053342600,BEACH,JONATHAN,C,DO,M,I,79 HAMMOND LN,SUITE #2,PLATTSBURGH,NY,129012008,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,41,41,41,810.68487805,668.96585366,516.04268293,559.0297561
1053343152,SVETEC,DAVID,A,MD,M,I,2106 HARRISBURG PIKE,SUTE 200,LANCASTER,PA,176013200,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,32,6450,0.2686511628,0.13,0.1019209302,0.1019209302
1053343152,SVETEC,DAVID,A,MD,M,I,2106 HARRISBURG PIKE,SUTE 200,LANCASTER,PA,176013200,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,44,8982,3.9512692051,1.9378757515,1.4700077934,1.5434368737
1053343152,SVETEC,DAVID,A,MD,M,I,2106 HARRISBURG PIKE,SUTE 200,LANCASTER,PA,176013200,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,3690,8.7126829268,7.23,5.6683279133,5.6683279133
1053343178,GIBSON,WILLIAM,C,M.D.,M,I,9430 PARK WEST BLVD STE 310,,KNOXVILLE,TN,379234203,US,Physician/General Surgery,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,9.6,7.04,4.5163636364,5.5318181818
1053343178,GIBSON,WILLIAM,C,M.D.,M,I,9430 PARK WEST BLVD STE 310,,KNOXVILLE,TN,379234203,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,32,6.75,6.44,4.41625,4.41625
1053343186,WHITE,JOHN,H,M.D.,M,I,605 E SAN ANTONIO ST,SUITE 509E,VICTORIA,TX,779016050,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,56.93,13.8,9.8363636364,9.8363636364
1053343186,WHITE,JOHN,H,M.D.,M,I,605 E SAN ANTONIO ST,SUITE 509E,VICTORIA,TX,779016050,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,30,5880,3.6458265306,2.0381632653,1.5491071429,1.5505459184
1053343186,WHITE,JOHN,H,M.D.,M,I,605 E SAN ANTONIO ST,SUITE 509E,VICTORIA,TX,779016050,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,35.06,9.29,6.6181818182,7.9322727273
1053343186,WHITE,JOHN,H,M.D.,M,I,605 E SAN ANTONIO ST,SUITE 509E,VICTORIA,TX,779016050,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,24.56,6.34,4.5181818182,5.4136363636
1053343566,STRONG,SHARON,A,MD,F,I,2295 FOOTHILL DR,,SALT LAKE CITY,UT,841094000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,18,519.51,80.4,63.03,57.496666667
1053343566,STRONG,SHARON,A,MD,F,I,2295 FOOTHILL DR,,SALT LAKE CITY,UT,841094000,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,5248,0.3152705793,0.0466006098,0.0302153201,0.0302153201
1053343566,STRONG,SHARON,A,MD,F,I,2295 FOOTHILL DR,,SALT LAKE CITY,UT,841094000,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,175.22,40.909090909,28.509090909,23.252727273
1053343566,STRONG,SHARON,A,MD,F,I,2295 FOOTHILL DR,,SALT LAKE CITY,UT,841094000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,74.684210526,33,23.146842105,23.146842105
1053343574,FEFER,SERGIO,D,M.D.,M,I,780 MAIN ST,,SOUTH WEYMOUTH,MA,021901622,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,5910,0.3692893401,0.13,0.087607445,0.087607445
1053343574,FEFER,SERGIO,D,M.D.,M,I,780 MAIN ST,,SOUTH WEYMOUTH,MA,021901622,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,48,8280,4.2580797101,2.0373188406,1.5777729469,1.5798731884
1053343574,FEFER,SERGIO,D,M.D.,M,I,780 MAIN ST,,SOUTH WEYMOUTH,MA,021901622,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,280,19.780714286,9.86,7.4438571429,7.4438571429
1053343574,FEFER,SERGIO,D,M.D.,M,I,780 MAIN ST,,SOUTH WEYMOUTH,MA,021901622,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,360,7.3486666667,4.0288888889,2.98275,2.9915277778
1053343582,HOLZMAN,NATHANIEL,L,M.D.,M,I,1203 LANGHORNE NEWTOWN RD STE 334,,LANGHORNE,PA,19047,US,Physician/Plastic and Reconstructive Surgery,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,19,249,14.694457831,10.922771084,7.7540160643,7.7540160643
1053343582,HOLZMAN,NATHANIEL,L,M.D.,M,I,1203 LANGHORNE NEWTOWN RD STE 334,,LANGHORNE,PA,19047,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,12,606,0.2230693069,0.13,0.101980198,0.101980198
1053343582,HOLZMAN,NATHANIEL,L,M.D.,M,I,1203 LANGHORNE NEWTOWN RD STE 334,,LANGHORNE,PA,19047,US,Physician/Plastic and Reconstructive Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1406,0.9675604552,0.45,0.3527738265,0.3527738265
1053343582,HOLZMAN,NATHANIEL,L,M.D.,M,I,1203 LANGHORNE NEWTOWN RD STE 334,,LANGHORNE,PA,19047,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,12,134,50.091044776,24.84,19.474701493,19.261492537
1053343582,HOLZMAN,NATHANIEL,L,M.D.,M,I,1203 LANGHORNE NEWTOWN RD STE 334,,LANGHORNE,PA,19047,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,2538.5130769,632.15384615,484.56923077,478.89230769
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,72,162,73.311296296,8.32,6.0311111111,6.0311111111
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,25,31,21.079677419,1.42,1.044516129,1.044516129
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,324,14.259259259,5,3.92,4.0894444444
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3793,0.7303163723,0.2997627208,0.2349986818,0.241247034
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4083,2.3557678178,1.0816801372,0.8480235121,0.9113715405
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,130,59.8,46.88,47.927272727
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,134.38,48.75,38.22,38.171666667
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.5,17,12.118181818,12.332727273
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,5.2,4.08,3.9854545455
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,217.1,77.74,53.33125,47.88875
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,41,3930,2.7568753181,0.5714427481,0.4269414758,0.4269414758
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1950,0.1119692308,0.0129230769,0.0101384615,0.0101384615
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,4500,3.2553466667,1.43228,1.1190911111,1.1190911111
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,38,24,24,17.829473684,17.829473684
1053343731,TAN,REYNALDO,G,M.D.,M,I,8122 7TH AVE,,BROOKLYN,NY,112282805,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,49,59,16,16,12.327457627,12.327457627
1053343764,CRITTENDEN,GRACE,,MD,F,I,1250 PEACH ST STE B,,SAN LUIS OBISPO,CA,93401,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,34,69,75.825217391,8.32,5.6842028986,5.6842028986
1053343764,CRITTENDEN,GRACE,,MD,F,I,1250 PEACH ST STE B,,SAN LUIS OBISPO,CA,93401,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,14.04,1.42,1.12,1.12
1053343764,CRITTENDEN,GRACE,,MD,F,I,1250 PEACH ST STE B,,SAN LUIS OBISPO,CA,93401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.78,3.9045454545,2.43,2.8727272727
1053343764,CRITTENDEN,GRACE,,MD,F,I,1250 PEACH ST STE B,,SAN LUIS OBISPO,CA,93401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,472.18511628,65.7,43.124651163,46.326744186
1053343772,GUZMAN,LILLIAM,B,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,48,138,60.881884058,8.32,6.0018115942,6.0018115942
1053343772,GUZMAN,LILLIAM,B,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,14.88,3.38,2.65,2.65
1053343772,GUZMAN,LILLIAM,B,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,25,43,14.523023256,1.42,1.0879069767,1.0879069767
1053343772,GUZMAN,LILLIAM,B,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,3.11,2.4383870968,2.3677419355
1053343772,GUZMAN,LILLIAM,B,MD,F,I,1611 NW 12TH AVE,BOX 016960 M851,MIAMI,FL,331361005,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7440,2.674,0.3,0.2159099462,0.2237486559
1053343814,SMITH,PATRIKA,L,M.D.,F,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,48,54.060833333,8.32,6.2489583333,6.2489583333
1053343814,SMITH,PATRIKA,L,M.D.,F,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,14.818181818,3.38,2.65,2.65
1053343814,SMITH,PATRIKA,L,M.D.,F,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,19,15.334736842,1.42,1.0578947368,1.0578947368
1053343871,PATEL,MITAL,B,D.P.M.,F,I,20 HICKSVILLE RD,,MASSAPEQUA,NY,117585819,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,56,450,71.56,56.11,56.100714286
1053343871,PATEL,MITAL,B,D.P.M.,F,I,20 HICKSVILLE RD,,MASSAPEQUA,NY,117585819,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,166,444.57831325,43.56,34.150120482,34.146987952
1053343871,PATEL,MITAL,B,D.P.M.,F,I,20 HICKSVILLE RD,,MASSAPEQUA,NY,117585819,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,25,26,500,444.53423077,348.52269231,353.56615385
1053343871,PATEL,MITAL,B,D.P.M.,F,I,20 HICKSVILLE RD,,MASSAPEQUA,NY,117585819,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,850,90.51,70.96,69.12
1053343871,PATEL,MITAL,B,D.P.M.,F,I,20 HICKSVILLE RD,,MASSAPEQUA,NY,117585819,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,300,158.95,124.62,126.11285714
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,52,109,109,115.89302752,38.19587156,28.717155963,29.226513761
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,14,18,47,4.9770212766,1.4187234043,1.0634042553,1.1029787234
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,80.515833333,12.150833333,9.5283333333,9.0775
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,49,104,104,358.80538462,89.897980769,66.10375,63.815769231
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,37,73,194,142.65391753,33.933195876,25.822835052,25.21
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,41,93,497,77.786981891,18.139577465,13.284144869,13.59277666
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,20,40,221,44.670588235,15,11.037692308,11.155746606
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,68,150,150,201.19893333,55.194866667,41.638333333,41.2534
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,108,152,152,67.814868421,18.082828947,13.663947368,13.554144737
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,28.654285714,10,7.28,7.5514285714
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,66,140,140,73.234785714,11.993357143,8.9342142857,8.6805714286
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,107,224,1306,9.7791883614,2.0097396631,1.5224425727,1.5367687596
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,25,35,35,21.54,5.35,4.19,4.6368571429
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,66,88,88,42.163068182,13.112840909,10.160795455,10.212272727
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,37,275,298,73.471510067,17.200134228,12.969194631,13.016040268
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,29,43,157.78186047,46.62,34.85,35.94255814
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,12,54,55,551.322,81.363636364,61.943818182,64.200181818
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,18,18,495.58444444,136.5,107.02,104.82888889
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,34,170,187,69.186684492,13.64026738,10.29197861,10.113582888
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,14,77,77,22.394545455,5.1211688312,3.9223376623,3.6425974026
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,50,304,328,209.18591463,32.647134146,24.662469512,24.887682927
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,76,546,577,424.53244367,80.440970537,60.436741768,53.591941075
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,18,102,118,242.09915254,37.770508475,28.599152542,28.52440678
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,33,3503,0.3099800171,0.0454810163,0.0327861833,0.0327861833
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,36,7447,3.4364280918,0.079190278,0.0598778031,0.0598764603
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,17,77,7829,1.5023221356,0.134794993,0.0995427258,0.0995427258
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,16,816,9.2027083333,2.9978308824,2.3502941176,2.3502941176
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,53,53,172.90773585,38.616415094,27.578113208,26.856603774
1053343905,ROBINSON,RICHARD,G,M.D.,M,I,2296 OPITZ BLVD,SUITE 230,WOODBRIDGE,VA,221913300,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,27,36,122,122,63.221311475,33,23.654508197,23.654508197
1053344051,MIKKILINENI,HYMAVATI,,M.D.,F,I,483 UPPER RIVERDALE RD SW,SUITE B,RIVERDALE,GA,302742584,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,28,74,66.500810811,8.32,5.9935135135,5.9935135135
1053344051,MIKKILINENI,HYMAVATI,,M.D.,F,I,483 UPPER RIVERDALE RD SW,SUITE B,RIVERDALE,GA,302742584,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,18,86.31,17.25,13.52,13.537777778
1053344051,MIKKILINENI,HYMAVATI,,M.D.,F,I,483 UPPER RIVERDALE RD SW,SUITE B,RIVERDALE,GA,302742584,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,24,519.51,75.56,59.24,55.105833333
1053344200,MOUNZER,ASSAAD,M,M.D.,M,I,488 CHERRY ST,BLDG E,BLUEFIELD,WV,247013304,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1262,4.7567670365,1.8472583201,1.440792393,1.5918700475
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,52.176923077,13.123846154,9.6515384615,8.4353846154
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,70,6.7411428571,2.1425714286,1.5392857143,1.4631428571
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,42.954666667,17.5,10.061333333,9.9293333333
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,3179.875,1074.31,841.5975,841.5975
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,52,347.87096154,77.8,54.876346154,49.571730769
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,227.27571429,38,27.662142857,27.442142857
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,0.66225,0.1335833333,0.0896111111,0.0896111111
1053344283,MALPANI,RAVI,K,MD,M,I,1044 SW 44TH ST,SUITE 410,OKLAHOMA CITY,OK,731093609,US,Internal Medicine,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,100.08333333,33,22.363333333,22.363333333
1053344416,ORTIZ,PATRICIA,,MD,F,I,820 N CHELAN AVE,,WENATCHEE,WA,988012028,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24,4.3627272727,3.42,3.7909090909
1053344499,VILLEGAS,LYDIA,A,MD,F,I,5050 NE HOYT ST,SUITE 240,PORTLAND,OR,972132991,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,6156,1.6666666667,0.38,0.29791423,0.2900779727
1053344580,PARSLEY,SHAWN,D,DO,M,I,6100 LAKE WORTH BLVD,,FORT WORTH,TX,761353703,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,44,50.996818182,8.32,6.5213636364,6.5213636364
1053344580,PARSLEY,SHAWN,D,DO,M,I,6100 LAKE WORTH BLVD,,FORT WORTH,TX,761353703,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,18,14.763333333,1.42,1.1166666667,1.1166666667
1053344655,JAGER,NATACHA,I,MD,F,I,5957 MAIN ST,,MANCHESTER CENTER,VT,052558913,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,85,61.183529412,8.32,6.306,6.306
1053344655,JAGER,NATACHA,I,MD,F,I,5957 MAIN ST,,MANCHESTER CENTER,VT,052558913,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,69.851538462,21.757692308,15.909230769,12.489230769
1053344655,JAGER,NATACHA,I,MD,F,I,5957 MAIN ST,,MANCHESTER CENTER,VT,052558913,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,72.985,5.994,4.3355,3.322
1053344655,JAGER,NATACHA,I,MD,F,I,5957 MAIN ST,,MANCHESTER CENTER,VT,052558913,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,545.806,94.328,69.969333333,51.081333333
1053344853,PYNE,GREGORY,M,MD,M,I,117 KITE RD,,SWAINSBORO,GA,304013231,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,14.880909091,11.667272727,13.884545455
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,18,18,503.32111111,86,59.928888889,60.313333333
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,,19,46,193.78978261,33.166956522,21.565434783,21.460217391
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,72,102.28819444,18.416666667,13.229722222,13.344027778
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,23,23,286.7926087,55.57,40.189565217,39.51
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,27,27,88.986296296,17.385185185,12.618148148,13.026666667
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,21,35,35,82.503714286,11.489714286,8.4965714286,8.5985714286
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,24,47,276,10.432028986,2,1.4919565217,1.5139855072
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,25.493636364,5.9990909091,4.2718181818,4.2318181818
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,11,14,14,65.307142857,12.82,10.05,10.307142857
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,3775.52,1074.31,842.26,842.26
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,576.392,34.136,26.768,26.53475
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,855.54,75.685,59.33,55.054375
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,750,12.822253333,3.082,2.4163066667,2.4163066667
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,555,0.6918918919,0.218990991,0.1716756757,0.1716756757
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,188,141.63,41.239946809,31.569042553,31.569042553
1053344887,MCKELVY,BRANDY,J,M.D.,F,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,69.3,33,25.87,25.87
1053344937,SCHAUERS,TODD,,P.A.,M,I,3570 W 9000 S,"SUITE, 100",WEST JORDAN,UT,840888869,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,26,70,84.842714286,8.32,5.0305714286,5.0305714286
1053344937,SCHAUERS,TODD,,P.A.,M,I,3570 W 9000 S,"SUITE, 100",WEST JORDAN,UT,840888869,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,20,15.3465,1.42,0.838,0.838
1053344937,SCHAUERS,TODD,,P.A.,M,I,3570 W 9000 S,"SUITE, 100",WEST JORDAN,UT,840888869,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,26,367.51038462,80.4,53.333076923,48.225384615
1053345157,HARWELL,JAMES,L,MD,M,I,1102 W 32ND STREET,,JOPLIN,MO,64804,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,64.640425532,17.29,12.732553191,12.714680851
1053345157,HARWELL,JAMES,L,MD,M,I,1102 W 32ND STREET,,JOPLIN,MO,64804,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,24.960277778,4.75,3.5375,3.535
1053345157,HARWELL,JAMES,L,MD,M,I,1102 W 32ND STREET,,JOPLIN,MO,64804,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,112,112,316.365,70.333035714,52.429553571,52.105892857
1053345157,HARWELL,JAMES,L,MD,M,I,1102 W 32ND STREET,,JOPLIN,MO,64804,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,62,62,44.92,37.44,29.35,29.484193548
1053345199,NOONAN,JULIANNE,S,ARNP,F,I,456 DANIEL WEBSTER HWY,,MERRIMACK,NH,030543699,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,21.166363636,21.166363636
1053345306,DHADUVAI,ASHOK KUMAR,K,M.D.,M,I,2901 US HIGHWAY 301,,ELLENTON,FL,342222007,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,322,100,3.17,2.4853416149,2.3786645963
1053345348,ROSTAND,ROBERT,A,MD,M,I,4515 PREMIER DR,SUITE 204,HIGH POINT,NC,272658357,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,13,28,48,61.162916667,8.32,6.1145833333,6.1145833333
1053345348,ROSTAND,ROBERT,A,MD,M,I,4515 PREMIER DR,SUITE 204,HIGH POINT,NC,272658357,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,462.5,81.64,59.428571429,50.820714286
1053345348,ROSTAND,ROBERT,A,MD,M,I,4515 PREMIER DR,SUITE 204,HIGH POINT,NC,272658357,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,100,36.16625,24.66625,25.924375
1053345488,SEYMOUR,DEBORAH,M,APN-BC,F,I,390 MAPLE SUMMIT RD,,JERSEYVILLE,IL,620522000,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1040,0.5046153846,0.44,0.3449903846,0.3449903846
1053345488,SEYMOUR,DEBORAH,M,APN-BC,F,I,390 MAPLE SUMMIT RD,,JERSEYVILLE,IL,620522000,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,503,4.2002982107,3.67,2.8773359841,2.8773359841
1053345488,SEYMOUR,DEBORAH,M,APN-BC,F,I,390 MAPLE SUMMIT RD,,JERSEYVILLE,IL,620522000,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,20,2173,0.5153796595,0.4493097101,0.3522503451,0.3527657616
1053345488,SEYMOUR,DEBORAH,M,APN-BC,F,I,390 MAPLE SUMMIT RD,,JERSEYVILLE,IL,620522000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,397.91545455,105.35727273,82.602727273,59.137272727
1053345512,LEVY,CLIFFORD,M,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L0628,"Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,87.444444444,79.48,62.31,63.193333333
1053345512,LEVY,CLIFFORD,M,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,1209.4736842,1111.16,863.59947368,878.07
1053345629,SHAH,CHIRAG,M,MD,M,I,40 BEY LEA RD,SUITE B 102,TOMS RIVER,NJ,087532900,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,16,115,115,75.367304348,19.71,15.181304348,15.181304348
1053345629,SHAH,CHIRAG,M,MD,M,I,40 BEY LEA RD,SUITE B 102,TOMS RIVER,NJ,087532900,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,16,118,167,65.666706587,37.38,28.601017964,28.601017964
1053345629,SHAH,CHIRAG,M,MD,M,I,40 BEY LEA RD,SUITE B 102,TOMS RIVER,NJ,087532900,US,Physician/Medical Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,16,57,57,341.8045614,207.75526316,161.87157895,161.87157895
1053345629,SHAH,CHIRAG,M,MD,M,I,40 BEY LEA RD,SUITE B 102,TOMS RIVER,NJ,087532900,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,26,1790,51.874324022,5.4613798883,4.2817150838,4.2817150838
1053345629,SHAH,CHIRAG,M,MD,M,I,40 BEY LEA RD,SUITE B 102,TOMS RIVER,NJ,087532900,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,16,120,1439,2.6311466296,1.6905072967,1.3087074357,1.3087074357
1053345629,SHAH,CHIRAG,M,MD,M,I,40 BEY LEA RD,SUITE B 102,TOMS RIVER,NJ,087532900,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,20,20,16,16,12.54,12.54
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,35,156,78.838525641,8.32,5.7278205128,5.7278205128
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,287.48785714,119,89.102857143,66.640714286
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,38,86.506578947,46.009210526,33.809736842,25.059473684
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,129.84833333,72.118333333,45.023333333,32.145
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,55.932307692,24.946923077,18.337692308,13.645384615
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,58.137222222,18.059444444,13.024444444,8.0938888889
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,24,144,7.1845833333,2.985,2.2665972222,1.583125
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,67.6,21.463529412,15.071176471,11.938235294
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,187.90833333,44.253333333,34.692777778,25.223333333
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,450,91.313333333,63.620666667,47.432666667
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1349,2.2549888807,0.1363083766,0.0987991105,0.0987991105
1053345686,HERBIG,AMY,J,M.D.,F,I,3907 6TH AVE,,KEARNEY,NE,688453392,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,24.687272727,24.687272727
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,163,8092,2.9344327731,0.4886875927,0.3707847257,0.3707847257
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,42,2110,6.966535545,2.5928672986,1.8795260664,1.8795118483
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,21,150,87330,1.4767497996,1.2478660254,0.9739638154,0.9739633574
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,30,77,776,71585,3.2797505064,0.5653819934,0.4176683663,0.4176672487
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,16,68,596,91340,0.06916455,0.0129541274,0.0096473615,0.0096473615
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,87,10522,1.6170737502,0.7394041057,0.5708401445,0.5708401445
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,113,13240,4.1063957704,1.2482167674,0.9406820242,0.9406812689
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,80,673,74720,4.1234329497,2.8277698073,2.1728383298,2.1728383298
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,75,3513,12.737816681,7.4872957586,5.6727981782,5.6727953316
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,13,13,50,50,36.184615385,36.184615385
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,39,118,921,921,24,24,18.131954397,18.131954397
1053345736,ASHBAUGH,CATHERINE,M,APRN,F,I,1 HOSPITAL DR,,COLUMBIA,MO,652120001,US,Certified Clinical Nurse Specialist,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,34,117,1566,1803,16.004437049,16,12.198191902,12.198191902
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,39,94,343,62.68696793,8.32,5.9898833819,5.9898833819
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,16.077777778,3.38,2.5027777778,2.5027777778
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,25,53,107,14.943925234,1.42,1.0612149533,1.0612149533
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,56,8.6551785714,2.0775,1.6283928571,1.5916071429
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,45.2105,16.5805,12.9965,13.465
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,265.6455,80.005,59.619,53.737
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,55.355652174,20.202608696,13.040434783,12.471304348
1053346148,MUMTAZ,SYED,T,MD.PA,M,I,724 W VINE ST,,KISSIMMEE,FL,347414161,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,110.78571429,33,24.022142857,24.022142857
1053346221,KOKOCINSKI,ALBENE,,MD,F,I,1725 W HARRISON,SUITE 318,CHICAGO,IL,60612,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,44,68.517727273,8.32,5.4838636364,5.4838636364
1053346221,KOKOCINSKI,ALBENE,,MD,F,I,1725 W HARRISON,SUITE 318,CHICAGO,IL,60612,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.043636364,1.42,0.8145454545,0.8145454545
1053346254,SCHWARTZ,IRA,A,M.D.,M,I,672 STONELEIGH AVE,SUITE C112,CARMEL,NY,105124634,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,55,71.576545455,8.32,5.2881818182,5.2881818182
1053346254,SCHWARTZ,IRA,A,M.D.,M,I,672 STONELEIGH AVE,SUITE C112,CARMEL,NY,105124634,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,30.969090909,24.277272727,24.75
1053346429,FIELDS,EVA,K,FNP,F,I,1404 TUSCULUM BLVD,SUITE 3100,GREENEVILLE,TN,377454395,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,34,91.545588235,8.32,6.1385294118,6.1385294118
1053346429,FIELDS,EVA,K,FNP,F,I,1404 TUSCULUM BLVD,SUITE 3100,GREENEVILLE,TN,377454395,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,16,519.51,107.32875,78.538125,64.6225
1053346429,FIELDS,EVA,K,FNP,F,I,1404 TUSCULUM BLVD,SUITE 3100,GREENEVILLE,TN,377454395,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2400,0.3021416667,0.0463666667,0.0363416667,0.0363416667
1053346429,FIELDS,EVA,K,FNP,F,I,1404 TUSCULUM BLVD,SUITE 3100,GREENEVILLE,TN,377454395,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1740,2.0240287356,0.1371724138,0.0888735632,0.0888735632
1053346429,FIELDS,EVA,K,FNP,F,I,1404 TUSCULUM BLVD,SUITE 3100,GREENEVILLE,TN,377454395,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,56.294117647,33,23.587352941,23.587352941
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,60,69.39,8.32,5.2173333333,5.2173333333
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,120.345,39.51,22.400625,22.033125
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,314.04727273,88.2,56.593636364,55.633636364
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,41,112.13146341,33.580487805,18.656829268,18.315853659
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,17,17,60.84,18.235294118,12.890588235,12.684705882
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,20,120,8.95175,2.078,1.3146666667,1.2835833333
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,120.16375,17.91,12.285,11.91
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,15,17,201.26470588,49.88,39.1,37.802941176
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,65,13.355454545,10.476363636,10.48
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,70,4.7033333333,3.6842857143,3.59
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.75,10.3675,8.0108333333,8.0683333333
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,63,63,352.31809524,70.48,48.654761905,48.259365079
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,81,39.6,26.448,25.113333333
1053346734,WEEKS,MATTHEW,G,M.D.,M,I,2400 N WASHINGTON BLVD,,NORTH OGDEN,UT,844147233,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,382.73,210.5,165.03,166.46
1053346767,KLEIN-RITTER,DIANE,,M.D.,F,I,205 N BELLE MEAD AVE,,EAST SETAUKET,NY,11733,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,68,75.851911765,8.32,5.8695588235,5.8695588235
1053346767,KLEIN-RITTER,DIANE,,M.D.,F,I,205 N BELLE MEAD AVE,,EAST SETAUKET,NY,11733,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,465,2.7970967742,2.265483871,1.3348172043,1.3386666667
1053346783,PICKENS,TRAVIS,,OD,M,I,5211 EASON ST,,SOUTHPORT,NC,284616901,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,39,39,77.627692308,74.921794872,53.280512821,47.868205128
1053346783,PICKENS,TRAVIS,,OD,M,I,5211 EASON ST,,SOUTHPORT,NC,284616901,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,19,36,69.5,50.245555556,36.181111111,40.406111111
1053346783,PICKENS,TRAVIS,,OD,M,I,5211 EASON ST,,SOUTHPORT,NC,284616901,US,Optometry,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,29,55,85.045454545,64.37,45.333818182,49.742727273
1053346866,SOLIMAN,ALAAELDIN,A,M.D.,M,I,333 COTTMAN AVE,,PHILADELPHIA,PA,191112434,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,510,34.86,34.86,26.205058824,26.205058824
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,24,810,8.5253333333,8.28,6.4916296296,6.4916296296
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,144,11.840763889,10.93,8.5691666667,8.5691666667
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1560,0.45,0.45,0.3256794872,0.3256794872
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,515,4.0922330097,3,2.2722330097,2.285184466
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,18,128,3967,6.1392714898,5.1,3.984151752,4.1417670784
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,31,10432,0.3746299847,0.3680138037,0.2703633052,0.2719248466
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,20,8998,0.7667581685,0.3,0.2351989331,0.2412991776
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,13,94,34206,0.7140253172,0.6590738467,0.4915450506,0.4921525463
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,35,35,66.98,61.8,48.45,48.342285714
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,81.943888889,50.87,39.89,36.841111111
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,4,17,117,123,5.6203252033,5.32,4.17,3.9719512195
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,24,20.985833333,20.83,16.33,15.29
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,25,28.916,28.212,22.1192,22.6048
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,24,53.920833333,53.05,41.59,40.01
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,24.575384615,22.192307692,17.393076923,18.170769231
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,13.076363636,11.825454545,9.2736363636,10.197272727
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,36,35.41,27.76,29.34
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,141,140.57,110.21,113.98
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,42.5,24.376666667,19.11,16.88875
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,2038,2037.9745455,1584.7281818,1618.2936364
1053346940,MUN,DONG,W,MD,M,I,3511 W OLYMPIC BLVD,STE 101,LOS ANGELES,CA,900193563,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,28,19.091428571,8.7064285714,6.8264285714,6.5725
1053347229,BARRETT,SUSAN,E,M.D.,F,I,321 FORTUNE BLVD,,MILFORD,MA,017571750,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,135.8,135.8,106.47,103.4925
1053347229,BARRETT,SUSAN,E,M.D.,F,I,321 FORTUNE BLVD,,MILFORD,MA,017571750,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,234.46272727,150.19,117.75,119.75
1053347294,SWANN,WILLIAM,B,DO,M,I,1434 PORTER ST,,FREDERICK,MD,217029254,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,47.344210526,8.32,6.5242105263,6.5242105263
1053347401,TREIHAFT,LEONARD,A,MD,M,I,2035 LAKEVILLE ROAD,,NEW HYDE PARK,NY,11040,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,19,41,136,69.752647059,8.32,4.9874264706,4.9874264706
1053347401,TREIHAFT,LEONARD,A,MD,M,I,2035 LAKEVILLE ROAD,,NEW HYDE PARK,NY,11040,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,21,40,15.65175,1.42,0.9725,0.9725
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,133.29384615,43.798461538,34.340769231,36.222307692
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,21,21,60.476190476,20.626666667,16.17,16.012857143
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,20,20,16.45,8.875,6.958,7.2875
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,75,75,76,100,83.806578947,61.430263158,59.029868421
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,13,469.07230769,448.81,340.83384615,379.93153846
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,16,405.198125,382.23,299.671875,310.416875
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,20,80.9935,78.681,61.688,68.6595
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L3010,"Foot, insert, removable, molded to patient model, longitudinal arch support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,164.57571429,164.57571429,122.71904762,125.09119048
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,34,34,68,187.70705882,187.58,142.65882353,145.36852941
1053347419,MIDIS,NICHOLAS,A,M.D.,M,I,5716 CLEVELAND ST,SUITE 200,VIRGINIA BEACH,VA,234621784,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,66,66,66,373.54924242,277.76272727,210.02636364,211.15409091
1053347534,LACKAN,DARREN,W,M.D.,M,I,7801 OAKMONT BLVD,SUITE 101,FORT WORTH,TX,761324204,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,44,218,65.324311927,8.32,5.8944495413,5.8944495413
1053347534,LACKAN,DARREN,W,M.D.,M,I,7801 OAKMONT BLVD,SUITE 101,FORT WORTH,TX,761324204,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,40,15.0995,1.42,0.94575,0.94575
1053347567,KNUUTI,ERIN,,NP,F,I,500 UNIVERSITY AVE,,SACRAMENTO,CA,958256504,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,7.9825,5.54,3.6191666667,3.6191666667
1053347567,KNUUTI,ERIN,,NP,F,I,500 UNIVERSITY AVE,,SACRAMENTO,CA,958256504,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,4.285,3.04,1.9858333333,1.9858333333
1053347740,FINK,ALBERT,H,MD,M,I,605 WEST STATE STREET,,MEDIA,PA,19063,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,26,67,72.383432836,8.32,5.8405970149,5.8405970149
1053347740,FINK,ALBERT,H,MD,M,I,605 WEST STATE STREET,,MEDIA,PA,19063,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,21,33.159047619,1.42,1.01,1.01
1053347773,HUFF,AUDREY,C,M.D.,F,I,63 W CANDLER ST,,WINDER,GA,306802558,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,33,49,58.043469388,8.32,6.2569387755,6.2569387755
1053347773,HUFF,AUDREY,C,M.D.,F,I,63 W CANDLER ST,,WINDER,GA,306802558,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,21.694375,1.42,1.12,1.12
1053347773,HUFF,AUDREY,C,M.D.,F,I,63 W CANDLER ST,,WINDER,GA,306802558,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.25,13.52,13.54
1053347773,HUFF,AUDREY,C,M.D.,F,I,63 W CANDLER ST,,WINDER,GA,306802558,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,100,45.81,32.926666667,34.673333333
1053347815,SHORE,LAWRENCE,G,M.D.,M,I,1700 CALIFORNIA ST,SUITE 100,SAN FRANCISCO,CA,941094586,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,39,124,60.905483871,8.32,6.0485483871,6.0485483871
1053347815,SHORE,LAWRENCE,G,M.D.,M,I,1700 CALIFORNIA ST,SUITE 100,SAN FRANCISCO,CA,941094586,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,187.27272727,56,43.9,42.954545455
1053347815,SHORE,LAWRENCE,G,M.D.,M,I,1700 CALIFORNIA ST,SUITE 100,SAN FRANCISCO,CA,941094586,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,51,8.1411764706,2.09,1.6388235294,1.592745098
1053347815,SHORE,LAWRENCE,G,M.D.,M,I,1700 CALIFORNIA ST,SUITE 100,SAN FRANCISCO,CA,941094586,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,55.16,3.5975,2.825,3.66
1053347815,SHORE,LAWRENCE,G,M.D.,M,I,1700 CALIFORNIA ST,SUITE 100,SAN FRANCISCO,CA,941094586,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,252,36.858125,28.8946875,27.5784375
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,22,82,242,62.610041322,8.32,5.5900826446,5.5900826446
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.714285714,3.38,2.2714285714,2.2714285714
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,32,57,13.907368421,1.42,0.9389473684,0.9389473684
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,18,36,8.19,2.01,1.5769444444,1.1802777778
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,318.36142857,115.69428571,90.704285714,70.836428571
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,96.691304348,43.378695652,34.00826087,27.880869565
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,73.893571429,24.399285714,18.011428571,13.691428571
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,75.753076923,21.974615385,17.228461538,9.12
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,24,109,13.76146789,2.9658715596,2.3263302752,1.6505504587
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,193.59214286,62.237857143,48.798571429,36.068571429
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,59.552941176,22.854117647,17.477058824,13.486176471
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,715.92,842.26
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,20,73.05,20.6075,16.157,10.662
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,21,50.73,7.8471428571,6.1495238095,3.7
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,25,152.4132,53.71,42.1076,27.4852
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,91,91,438.70714286,101.08615385,75.096373626,52.184835165
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1690,0.2875147929,0.0460414201,0.0306863905,0.0306863905
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,13,74,5730,0.9733961606,0.1321832461,0.0955427574,0.0955427574
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1080,12.358064815,2.9907222222,2.2119074074,2.2119074074
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,105.33,25.025,19.62,13.1
1053347856,ECKERT,THOMAS,C,M.D.,M,I,1373 E STATE ROAD 62,,MADISON,IN,47250,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,15,98,98,118.86734694,33,23.535918367,23.535918367
1053347906,WANG,MICHAEL,Y,MD,M,I,1475 NW 12TH AVE,,MIAMI,FL,331365310,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,31,31,31,124.31612903,53.45483871,41.909032258,36.650322581
1053347906,WANG,MICHAEL,Y,MD,M,I,1475 NW 12TH AVE,,MIAMI,FL,331365310,US,Physician/Neurosurgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,33,33,33,114.06363636,51.993636364,40.765454545,40.796363636
1053347906,WANG,MICHAEL,Y,MD,M,I,1475 NW 12TH AVE,,MIAMI,FL,331365310,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,52,52,52,5752.3076923,4378.96,3433.11,3433.11
1053347906,WANG,MICHAEL,Y,MD,M,I,1475 NW 12TH AVE,,MIAMI,FL,331365310,US,Physician/Neurosurgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,95.769230769,27.3,21.4,21.012307692
1053347906,WANG,MICHAEL,Y,MD,M,I,1475 NW 12TH AVE,,MIAMI,FL,331365310,US,Physician/Neurosurgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,41,1150.9756098,1003.2846341,782.03926829,771.01341463
1053347906,WANG,MICHAEL,Y,MD,M,I,1475 NW 12TH AVE,,MIAMI,FL,331365310,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,39,39,39,1370.9187179,1307.8266667,1023.4194872,900.21461538
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,365,115.5475,90.5875,90.5875
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L1932,"Afo, rigid anterior tibial section, total carbon fiber or equal material, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,19,845.33,845.33,662.73421053,673.38263158
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,20,119.6175,119.48,93.6715,98.324
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,28,369.09071429,345.59142857,270.9425,237.49178571
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L5629,"Addition to lower extremity, below knee, acrylic socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,13,416.28076923,393.92307692,308.83615385,271.77769231
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,16,18,329.38111111,316.88333333,248.43111111,243.79888889
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,17,480.61176471,480.61176471,376.80529412,418.93
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,32,762.510625,752.0490625,589.608125,572.6975
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L5679,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,19,714.16842105,635.6,498.31,482.87
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L5685,"Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,22,123.89227273,121.57,95.31,96.045454545
1053347914,ZANIEWSKI,RICHARD,L,D.O.,M,I,SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL,DOVE AVE.,SALEM,MA,01970,US,Physician/Physical Medicine and Rehabilitation,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,96,20.1,20.1,15.758333333,16.1846875
1053348052,GIDWANI,MONALI,L,M.D.,F,I,806 S DOUGLAS RD,SUITE 820,CORAL GABLES,FL,331343157,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,41.492592593,17.927407407,13.53037037,13.228148148
1053348052,GIDWANI,MONALI,L,M.D.,F,I,806 S DOUGLAS RD,SUITE 820,CORAL GABLES,FL,331343157,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,230.94074074,89.342962963,67.433333333,57.982962963
1053348144,TOPEL,JORDAN,L,M.D.,M,I,1725 W HARRISON ST,SUITE 1118,CHICAGO,IL,606123841,US,Psychiatry & Neurology,T,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,38.522727273,23.441818182,18.238181818
1053348144,TOPEL,JORDAN,L,M.D.,M,I,1725 W HARRISON ST,SUITE 1118,CHICAGO,IL,606123841,US,Psychiatry & Neurology,T,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,26.52,9.0872727273,5.6618181818,5.04
1053348326,SHARIEF,UBAIDULLAH,,MD,M,I,2020 MERIDIAN ST STE 100,,ANDERSON,IN,460164338,US,Physician/Hematology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,11,768,20.382369792,1.5595052083,1.22265625,1.22265625
1053348326,SHARIEF,UBAIDULLAH,,MD,M,I,2020 MERIDIAN ST STE 100,,ANDERSON,IN,460164338,US,Physician/Hematology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,16,1452,66.30177686,4.5738636364,3.417231405,3.417231405
1053348326,SHARIEF,UBAIDULLAH,,MD,M,I,2020 MERIDIAN ST STE 100,,ANDERSON,IN,460164338,US,Physician/Hematology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,3704,0.6059044276,0.5653779698,0.4432640389,0.4432640389
1053348326,SHARIEF,UBAIDULLAH,,MD,M,I,2020 MERIDIAN ST STE 100,,ANDERSON,IN,460164338,US,Physician/Hematology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,17,43.529411765,16,12.54,12.54
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,53,73,177,538,74.675371747,8.32,5.7567100372,5.7567100372
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,11.196666667,3.38,2.65,2.65
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,49,95,154,15.960714286,1.42,1.0350649351,1.0350649351
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,115.27090909,39.773636364,31.182727273,30.492727273
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,11,11,63.233636364,17.998181818,12.825454545,12.786363636
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,18,100,7.7678,2.0036,1.3832,1.4033
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,62.1215,18,10.414,9.977
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,38.93,3.9704761905,3.1085714286,3.639047619
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,321.5471875,77.18,49.933125,45.1565625
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,63.571428571,36.96,20.767142857,21.33047619
1053348482,ZIMMANCK,ROBERT,,MD,M,I,1775 BALLARD RD,,PARK RIDGE,IL,600681005,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,40.615384615,33,21.89,21.89
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,32,99,52.946868687,8.32,5.9951515152,5.9951515152
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,18,27,14.383333333,1.42,1.1166666667,1.1166666667
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,7.4990909091,5.54,4.2345454545,4.2345454545
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,16.042307692,10.93,8.57,8.57
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,402,275.6840796,4.9,3.56960199,3.8663681592
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,8060,4.088,0.3690818859,0.2893610422,0.2900806452
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,48.177692308,22.056153846,16.143076923,12.49
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,447.255,89.899166667,66.731666667,51.184583333
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,41.25,29.4,27.084545455
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,4.7331666667,0.567,0.4061805556,0.4061805556
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2688,0.481264881,0.04625,0.0331919643,0.0331919643
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,55.367692308,28.321538462,22.202307692,15.587692308
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,17.251666667,17.251666667
1053348599,SIEPEL,TIMOTHY,V,MD,M,I,8912 HEBDON RD,,WEST VALLEY,NY,141719741,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,23.714166667,23.714166667
1053348607,CALHOUN,JILL,S,PA-C,F,I,738 BRYANT ST STE A,,STATESVILLE,NC,286774189,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,26,210.31538462,34.229615385,25.857692308,24.416538462
1053348607,CALHOUN,JILL,S,PA-C,F,I,738 BRYANT ST STE A,,STATESVILLE,NC,286774189,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,31,429.20580645,79,57.311612903,51.031935484
1053348607,CALHOUN,JILL,S,PA-C,F,I,738 BRYANT ST STE A,,STATESVILLE,NC,286774189,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,236.29090909,35.27,27,28.860909091
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,38,97,275,50.769454545,8.32,5.9997090909,5.9997090909
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,24,24,13.891666667,3.38,2.65,2.65
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,14.822857143,2.12,1.67,1.67
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,25,57,95,13.664315789,1.42,1.0206315789,1.0206315789
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.19,1.46,1.0632142857,1.0732142857
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,50,80.3482,17.9544,13.4296,13.905
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,186.21636364,55.860909091,35.81,35.067272727
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,54.6375,10.07,6.5833333333,7.865
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,70,10.132857143,2.03,1.4877142857,1.4877142857
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3.58,1.57,1.23,1.22
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,118.07153846,46.118461538,36.155384615,37.99
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,51,62.791568627,18,13.833333333,13.38627451
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,31.257222222,3.9633333333,3.1055555556,3.595
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,13,257.82,30.098461538,23.594615385,25.025384615
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,52,395.74673077,71,55.66,54.908846154
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,3113,0.1761034372,0.0473048506,0.0361933826,0.0361933826
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,127.72714286,23.141428571,15.67,18.362380952
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,29.17,6.59,3.87,4.93
1053348870,SNYDER,STEPHEN,,MD,M,I,11321 INTERSTATE 30,SUITE 101,LITTLE ROCK,AR,722097059,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,127.69565217,33,24.745217391,24.745217391
1053348896,BASILICO,ENRICA,,M.D.,F,I,515 MINOR AVE,,SEATTLE,WA,981042120,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,27,50,72.2044,8.32,5.739,5.739
1053348896,BASILICO,ENRICA,,M.D.,F,I,515 MINOR AVE,,SEATTLE,WA,981042120,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1794.22,157.8075,123.7225,116.60916667
1053348946,CHOWDHURY,PRADIP,C,M.D.,M,I,3114 W BEVERLY BLVD,,MONTEBELLO,CA,906402217,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,12,30,61,57.004590164,8.32,6.2024590164,6.2024590164
1053348946,CHOWDHURY,PRADIP,C,M.D.,M,I,3114 W BEVERLY BLVD,,MONTEBELLO,CA,906402217,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,11,20,26,16.407692308,1.42,1.1161538462,1.1161538462
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,30,91,338,58.93739645,8.32,6.2140532544,6.2140532544
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,32,85,14.070705882,1.42,1.0877647059,1.0877647059
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,17.34,17.34,0.7854545455,1.1118181818
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.1,7.26,0.3627272727,0.4586363636
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,98.273333333,12.21,8.7725,8.5475
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,54,12.486111111,2.02,1.5848148148,1.5903703704
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,39.07,4.1186956522,3.2282608696,3.672173913
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,21,364.95142857,37.513809524,29.40952381,29.574285714
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3820,0.1870157068,0.0465497382,0.0335968586,0.0335968586
1053349043,CLOWER,ATHALIA,L,PA-C,F,I,3950 KEENE RD,,WEST RICHLAND,WA,993534901,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,91.5,33,24.694090909,24.694090909
1053349167,RAMESH,PRADEEP,M,MD,M,I,1825 LOGAN AVE,,WATERLOO,IA,507031916,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50,7.3957142857,5.0564285714,3.1357142857
1053349167,RAMESH,PRADEEP,M,MD,M,I,1825 LOGAN AVE,,WATERLOO,IA,507031916,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,400,88.529714286,65.386857143,50.869428571
1053349167,RAMESH,PRADEEP,M,MD,M,I,1825 LOGAN AVE,,WATERLOO,IA,507031916,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,110,43.251304348,31.162173913,26.983913043
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,55,118,48.700084746,8.32,5.7470338983,5.7470338983
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,29,32,12.331875,1.42,0.9790625,0.9790625
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,243.44,84.526428571,66.270714286,42.552857143
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,19,84.135789474,22.762631579,17.058947368,15.498947368
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,80,59.185294118,43.974705882,36.201764706
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,19,7.91,5.97375,3.714375
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,79,94,446.2256383,93.530957447,70.150425532,57.901914894
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1170,15.58,9.6483846154,7.4438547009,7.4438547009
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,2771,0.3724431613,0.0459040058,0.0359689643,0.0359689643
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1347,1.1319673348,0.136956199,0.0811358575,0.0811358575
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,36,2010,13.281810945,3.0308208955,2.3761890547,2.3761890547
1053349225,MITCHELL,JOHN,E,M.D.,M,I,1023 MEDICAL CENTER PKWY,SUITE 200,SELMA,AL,367016780,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,49,49,97.653061224,33,23.919387755,23.919387755
1053349357,ADAMS,STEVEN,D,M.D.,M,I,420 THOMSON CIR,,ABBEVILLE,SC,296205656,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,81.164444444,20.538888889,11.452222222,11.533888889
1053349357,ADAMS,STEVEN,D,M.D.,M,I,420 THOMSON CIR,,ABBEVILLE,SC,296205656,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,48,48,462.098125,98.085833333,72.666666667,58.929791667
1053349357,ADAMS,STEVEN,D,M.D.,M,I,420 THOMSON CIR,,ABBEVILLE,SC,296205656,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,305.25333333,44.745,35.0825,29.515833333
1053349373,WHITAKER,MURRAY,P,MD,M,I,2100 HIGHWAY 61 N,,VICKSBURG,MS,391838211,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,293.50066667,91.313333333,57.873333333,44.386
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,26,79,160,59.791375,8.32,5.075375,5.075375
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,12.580909091,1.42,1.0181818182,1.0181818182
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,63.823529412,38.5,28.404705882,28.682352941
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,330,17.25,17.25,13.524,14.472666667
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,990,3,2.52,1.9756666667,2.3206565657
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,12,27,8.23,6.4508333333,6.43
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,13,10.596153846,4.31,3.38,3.38
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,188.07,86.92,53.546428571,53.332142857
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,38,67.153157895,32.929736842,24.226315789,24.328421053
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,41.925,18.649375,12.85875,12.3025
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,92,5,1.9906521739,1.4588043478,1.4883695652
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,50.205882353,13.294117647,9.8135294118,9.8623529412
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,35,4.6675,2.95625,2.95625
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,151.782,33.9005,25.028,25.319
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,324.23578947,70.377894737,50.122631579,49.685789474
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,3890,0.3034884319,0.0461311054,0.0237789203,0.0237789203
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1380,1.9778985507,0.1335217391,0.0967898551,0.0967898551
1053349423,RODIG,MARK,,M.D.,M,I,3400 S SOUTHEASTERN AVE,,SIOUX FALLS,SD,571037184,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,33,33,22.995555556,22.995555556
1053349456,GARNER,KAMARA,E,MD,F,I,6801 DIXIE HWY,STE 133,LOUISVILLE,KY,402583913,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,38,65,70.871846154,8.32,6.2226153846,6.2226153846
1053349456,GARNER,KAMARA,E,MD,F,I,6801 DIXIE HWY,STE 133,LOUISVILLE,KY,402583913,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,181.41,49.379375,38.713125,38.894375
1053349456,GARNER,KAMARA,E,MD,F,I,6801 DIXIE HWY,STE 133,LOUISVILLE,KY,402583913,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2839,1.9145861219,0.1366150053,0.1042338852,0.1042338852
1053349456,GARNER,KAMARA,E,MD,F,I,6801 DIXIE HWY,STE 133,LOUISVILLE,KY,402583913,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,33,33,23.518181818,23.518181818
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,72,202,63.772425743,8.32,6.0745544554,6.0745544554
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,20,42,67,16.04761194,1.42,1.048358209,1.048358209
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,2.91,2.91,2.28125,2.28125
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,9.86,9.86,7.4669545455,7.4669545455
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,1.95,1.95,1.5288333333,1.5288333333
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.27,0.27,0.2116,0.2116
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,537,119.46927374,4.8767783985,3.8234450652,4.0841154562
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,9870,1.6029574468,0.3,0.2351985816,0.2414042553
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,130,60,47.04,47.893333333
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,185,45.735454545,35.854545455,36.258181818
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,58.341176471,17.1,13.41,13.524705882
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,29,50.302068966,5.4403448276,4.1182758621,3.5896551724
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,5.05,3.96,3.9533333333
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,9.1381818182,7.17,6.5790909091
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,456.16,77.5,56.709333333,51.885333333
1053349480,KHAN,ABDUL,Q,"MD, MPM",M,I,200 PENN AVE,,PITTSBURGH,PA,152212156,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,70,37.217692308,15.646153846,15.75
1053349498,HADDAD-MASHAD,AFSANE,,MD,F,I,6801 WHITTIER AVE,STE 205,MCLEAN,VA,221014534,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,46.62,33.504166667,34.606666667
1053349506,TORRES,JOSE,,MD,M,I,2211 NE 36TH ST. SUITE 101,,LIGHTHOUSE POINT,FL,33064,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,33,48.872727273,8.32,6.5212121212,6.5212121212
1053349555,HAMILTON,THOMAS,E,M.D.,M,I,52 BEAR DR,,GREENVILLE,SC,296054458,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,4710,3.9168789809,2.04,1.5688874735,1.5688874735
1053349555,HAMILTON,THOMAS,E,M.D.,M,I,52 BEAR DR,,GREENVILLE,SC,296054458,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1050,11.928,7.23,5.6683333333,5.6683333333
1053349555,HAMILTON,THOMAS,E,M.D.,M,I,52 BEAR DR,,GREENVILLE,SC,296054458,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,12,45,18.408666667,10.93,7.3666666667,7.3666666667
1053349720,LLERENA,REINHOLD,,MD,M,I,114 S NORTHWEST HWY,,BARRINGTON,IL,600104608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,28,82,62.408292683,8.32,5.3286585366,5.3286585366
1053349720,LLERENA,REINHOLD,,MD,M,I,114 S NORTHWEST HWY,,BARRINGTON,IL,600104608,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,34,17.482941176,1.42,0.8617647059,0.8617647059
1053349787,FIACCO,CINDY,L,PA,F,I,115 EXECUTIVE PKWY,,MONCKS CORNER,SC,29461,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,78,52.057948718,8.32,6.0206410256,6.0206410256
1053349894,NOVACK,JOEL,,DPM,M,I,20050 HARVARD ROAD,SUITE 205,WARRENSVILLE HEIGHTS,OH,441226805,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,40,72.1,71.56,56.11,56.101
1053349894,NOVACK,JOEL,,DPM,M,I,20050 HARVARD ROAD,SUITE 205,WARRENSVILLE HEIGHTS,OH,441226805,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,120,44.05,43.56,34.15,34.147
1053349928,TANNENBAUM,DARRYL,A,MD,M,I,940 N MARR RD,SUITE C,COLUMBUS,IN,472012610,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,23,23,23,139.09173913,55.392608696,42.276521739,35.306521739
1053349928,TANNENBAUM,DARRYL,A,MD,M,I,940 N MARR RD,SUITE C,COLUMBUS,IN,472012610,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,16,18,28,28,19.222777778,38.538333333
1053349993,VANWINGEN,JEFFREY,J,M.D.,M,I,721 3 MILE RD NW,SUITE 200,GRAND RAPIDS,MI,495448229,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,57,68.67245614,8.32,6.2926315789,6.2926315789
1053349993,VANWINGEN,JEFFREY,J,M.D.,M,I,721 3 MILE RD NW,SUITE 200,GRAND RAPIDS,MI,495448229,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,3.9957142857,2.4342857143,2.8585714286
1053349993,VANWINGEN,JEFFREY,J,M.D.,M,I,721 3 MILE RD NW,SUITE 200,GRAND RAPIDS,MI,495448229,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1140,0.988254386,0.1335263158,0.0951315789,0.0951315789
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,6.0169230769,0.51,0.4,0.4
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,37,108,290,61.663689655,8.32,5.9210689655,5.9210689655
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,25,25,13.8872,3.38,2.544,2.544
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,22.878333333,2.12,1.67,1.67
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,56,75,14.015333333,1.42,1.0554666667,1.0554666667
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,12.52,9.4681818182,5.8909090909,5.6290909091
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,152.28,58.169130435,44.051304348,40.204782609
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,E0310,"Bed side rails, full length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,26.49,10.586,7.706,7.402
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,24.558333333,4.67,2.2533333333,2.2533333333
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,55,442.80545455,71.161454545,53.993454545,52.954363636
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,660,0.3358484848,0.2192878788,0.0801212121,0.0801212121
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,124.31,35.41969697,25.866060606,20.843939394
1053350009,SMITH,RICHARD,D,M.D.,M,I,3510 MAGNOLIA COVE,STE 120,MONROE,LA,71203,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,95.526315789,33,21.508947368,21.508947368
1053350140,ANWAR,KARIM,,M.D.,M,I,800 W 9TH ST,,JASPER,IN,475462514,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,11,33,2654,52.02741899,4.6281876413,3.5946721929,3.5946721929
1053350140,ANWAR,KARIM,,M.D.,M,I,800 W 9TH ST,,JASPER,IN,475462514,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,20,20,24,24,18.82,18.82
1053350140,ANWAR,KARIM,,M.D.,M,I,800 W 9TH ST,,JASPER,IN,475462514,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,18,16,16,12.540555556,12.540555556
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,18,38,102,53.553333333,8.32,6.1631372549,6.1631372549
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,13.256666667,1.42,1.0577777778,1.0577777778
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,60.856923077,18.992307692,14.053846154,9.1761538462
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,58,9.1587931034,2.9065517241,1.8515517241,1.255862069
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,41,79.913170732,21.624634146,15.828292683,12.620731707
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,232.35,59.384545455,46.557272727,38.843636364
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,21,23,64.785652174,18.563478261,14.554347826,11.366521739
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,30,32,205.4275,54.565625,42.7771875,28.0925
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,67,68,414.84764706,99.515,73.713529412,54.887647059
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,4536,0.2077557319,0.0461067019,0.0245590829,0.0245590829
1053350207,KAUFFMAN,JAMIE,M,DO,F,I,1201 N RUTHERFORD ST,,MACON,MO,635522020,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,25,25,56.76,33,19.9436,19.9436
1053350256,REDDY,HANUMANTH,K,M.D,M,I,2360 KATY LN,,POPLAR BLUFF,MO,639012300,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,3728.6666667,2503.6393333,1962.8526667,1962.8526667
1053350488,SALAM,AMBAREEN,,M.D.,F,I,7777 FOREST LN STE C650,,DALLAS,TX,752306867,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,35,102,311,66.200932476,8.32,5.8628617363,5.8628617363
1053350488,SALAM,AMBAREEN,,M.D.,F,I,7777 FOREST LN STE C650,,DALLAS,TX,752306867,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,14.779166667,3.38,2.65,2.65
1053350488,SALAM,AMBAREEN,,M.D.,F,I,7777 FOREST LN STE C650,,DALLAS,TX,752306867,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,23.227692308,2.12,1.67,1.67
1053350488,SALAM,AMBAREEN,,M.D.,F,I,7777 FOREST LN STE C650,,DALLAS,TX,752306867,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,50,80,13.707125,1.42,1.07325,1.07325
1053350488,SALAM,AMBAREEN,,M.D.,F,I,7777 FOREST LN STE C650,,DALLAS,TX,752306867,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2304,0.3655381944,0.0453211806,0.0315538194,0.0315494792
1053350488,SALAM,AMBAREEN,,M.D.,F,I,7777 FOREST LN STE C650,,DALLAS,TX,752306867,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,23.714166667,23.714166667
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,52,160,518,82.771409266,8.32,5.4724517375,5.4724517375
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,37,61,17.44442623,1.42,1.0042622951,1.0042622951
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,320,11.2495625,5.54,3.9264375,3.9264375
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,52.678181818,17.97,12.809090909,12.790909091
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,27,6.0640740741,2.03,1.5922222222,1.5922222222
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,67.942380952,22.017857143,16.939761905,16.939761905
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,30,12.092727273,8.3163636364,8.3627272727
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,27.3,5.3381818182,4.1881818182,4.0118181818
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,33.4,20.813333333,20.124166667
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,314.38214286,75.343928571,53.976785714,53.976785714
1053350520,SCHUG,LEO,A,MD,M,I,10 TOWER DR,DEAN MEDICAL CENTER,SUN PRAIRIE,WI,535901239,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,50,18.380909091,11.936363636,11.554545455
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,18,82,73.805609756,8.32,6.4492682927,6.4492682927
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,22,22,71.966363636,39.879090909,29.747727273,29.004545455
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,379.41176471,85.037058824,65.591764706,66.762941176
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,49,123.42857143,32.413061224,23.855510204,24.354285714
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,62,61.439354839,19.04,13.482258065,13.179677419
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,204.85333333,53.767333333,39.346666667,40.008
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,19,19,67.535789474,18.273157895,14.33,14.078421053
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,30,176,11.7925,2.0446590909,1.546875,1.5394886364
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,39.55875,12.465625,9.1625,9.679375
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,108.87916667,18.360416667,13.84,12.979583333
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,40,41,250.57219512,30.220731707,22.97804878,24.577073171
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,51,51,506.29137255,77.757647059,57.988039216,51.974901961
1053350603,CORCORAN,JOHN,G,MD,M,I,5265 E KNIGHT DRIVE,TUCSON INTERNAL MEDICINE,TUCSON,AZ,85711,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,326.8,37.9244,28.5516,28.3296
1053350611,PARKEY,WENDELL,W,M.D.,M,I,207 NW 8TH ST,,SEMINOLE,TX,793603447,US,Physician/Obstetrics & Gynecology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,43,49.255813953,8.32,5.308372093,5.308372093
1053350611,PARKEY,WENDELL,W,M.D.,M,I,207 NW 8TH ST,,SEMINOLE,TX,793603447,US,Physician/Obstetrics & Gynecology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,102.08,69.53,44.587857143
1053350611,PARKEY,WENDELL,W,M.D.,M,I,207 NW 8TH ST,,SEMINOLE,TX,793603447,US,Physician/Obstetrics & Gynecology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,107.25,33,19.4025,19.4025
1053350710,SILVER,FREDERICK,M,MD,M,I,2451 FILLINGIM ST,MASTIN 101,MOBILE,AL,366172238,US,Physician/General Surgery,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,410,6.4336585366,6.0448780488,4.7393170732,5.4809268293
1053350710,SILVER,FREDERICK,M,MD,M,I,2451 FILLINGIM ST,MASTIN 101,MOBILE,AL,366172238,US,Physician/General Surgery,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,637,10.375541601,5.23,4.1003296703,4.1003296703
1053350710,SILVER,FREDERICK,M,MD,M,I,2451 FILLINGIM ST,MASTIN 101,MOBILE,AL,366172238,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,26,23.701538462,8.4653846154,6.6369230769,6.4569230769
1053350710,SILVER,FREDERICK,M,MD,M,I,2451 FILLINGIM ST,MASTIN 101,MOBILE,AL,366172238,US,Physician/General Surgery,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,7.7847058824,3.66,2.87,3.29
1053350710,SILVER,FREDERICK,M,MD,M,I,2451 FILLINGIM ST,MASTIN 101,MOBILE,AL,366172238,US,Physician/General Surgery,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,12,60.48,53.316666667,41.803333333,41.898333333
1053350710,SILVER,FREDERICK,M,MD,M,I,2451 FILLINGIM ST,MASTIN 101,MOBILE,AL,366172238,US,Physician/General Surgery,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,697,6.8731420373,3.7259397418,2.9210473458,2.9870301291
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,36,444,59.65518018,19.629009009,14.848175676,14.848175676
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,12,34,1005,8.8415721393,2.631641791,1.9395721393,1.9395721393
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,50,129,712,68.677064607,8.32,5.8075421348,5.8075421348
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,15.454545455,3.38,2.65,2.65
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,27,72,16.479166667,1.42,1.0216666667,1.0216666667
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,250,29.945,17.872142857,19.521428571
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,42,42,753.01619048,359.15857143,281.57952381,281.57952381
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,37,3260,16.15242638,10.655196319,8.3074815951,8.3074815951
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,23,154,158,718.02151899,251.02360759,194.98613924,195.05360759
1053350728,INSEL,JONATHAN,R,MD,M,I,6369 E TANQUE VERDE RD,SUITE 150,TUCSON,AZ,857153850,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,495.95533333,264.16,207.1,207.1
1053350777,WONG,JAMES,R,MD,M,I,100 MADISON AVE,,MORRISTOWN,NJ,079606136,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,5842,2.1733824033,0.299435125,0.2347569326,0.2398613489
1053350819,MEYER,MICAH,S,MD,M,I,2329 N 39TH ST,,WACO,TX,767083003,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,2445,4.0205439673,0.5695460123,0.1321472393,0.3885357873
1053350819,MEYER,MICAH,S,MD,M,I,2329 N 39TH ST,,WACO,TX,767083003,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,4800,3.3820291667,1.1702,0.83918125,0.83918125
1053350819,MEYER,MICAH,S,MD,M,I,2329 N 39TH ST,,WACO,TX,767083003,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,24,24,17.437777778,17.437777778
1053350819,MEYER,MICAH,S,MD,M,I,2329 N 39TH ST,,WACO,TX,767083003,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,16,16,11.064705882,11.064705882
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,12,156,54.444230769,19.658333333,14.492115385,14.492115385
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,420,7.6164285714,2.6342857143,2.0652142857,2.0652142857
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,72,113,264,1208,67.036978477,8.3123096026,6.2139569536,6.2199834437
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,11,20,21,10.501904762,3.38,2.65,2.65
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,12,13,13,12.16,2.12,1.67,1.67
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,35,42,86,164,11.498780488,1.4180487805,1.0697560976,1.0712804878
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,687.46,318.69,249.85,249.85
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,25,129,131,361.58091603,250.47770992,195.27908397,195.34412214
1053350843,CORRIERE,MARK,D,M.D.,M,I,10710 CHARTER DR,SUITE 410,COLUMBIA,MD,210443128,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,18,18,18,420.31777778,246.58,193.31555556,205.59
1053351106,KATZ,DORON,Z,M.D.,M,I,177 N DEAN ST,SUITE 203,ENGLEWOOD,NJ,076312533,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,24,65.242083333,8.32,5.9783333333,5.9783333333
1053351106,KATZ,DORON,Z,M.D.,M,I,177 N DEAN ST,SUITE 203,ENGLEWOOD,NJ,076312533,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100.98,21.333333333,16.73,21.068333333
1053351106,KATZ,DORON,Z,M.D.,M,I,177 N DEAN ST,SUITE 203,ENGLEWOOD,NJ,076312533,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22.55,6.65,5.215,6.5016666667
1053351247,STATHAKIOS,JAMES,,M.D.,M,I,3400 FLECKENSTEIN RD,SUITE 1,FLINT,MI,485073042,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,28,7.8,4.825,5.9458333333
1053351353,DELOS SANTOS,MIGDONIA,M,M.D.,F,I,2024 W. 79TH STREET,,CHICAGO,IL,60620,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,207.8,77.18,55.66,49.871818182
1053351361,BLACK,STUART,A,M.D.,M,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,69.727272727,40,27.416363636,26.624545455
1053351361,BLACK,STUART,A,M.D.,M,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,54,5.2222222222,2.25,1.7638888889,1.5990740741
1053351361,BLACK,STUART,A,M.D.,M,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,54.82,42.98,41.9075
1053351361,BLACK,STUART,A,M.D.,M,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,50,39.2,37.760833333
1053351361,BLACK,STUART,A,M.D.,M,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,122.25,36.132857143,23.398571429,21.151428571
1053351361,BLACK,STUART,A,M.D.,M,I,223 16TH AVE N,,NAMPA,ID,836874058,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,327.21285714,77.18,43.295714286,39.499285714
1053351411,AMSDEN,JESSICA,M,PAC,F,I,2800 10TH AVE N,,BILLINGS,MT,591010703,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50,4.6275,2.273125,2.3475
1053351429,BUDA,STEVEN,J,M.D.,M,I,8111 DODGE ST,SUITE 263,OMAHA,NE,681144129,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,152,2.9163157895,2.9068421053,2.2792105263,2.2817105263
1053351429,BUDA,STEVEN,J,M.D.,M,I,8111 DODGE ST,SUITE 263,OMAHA,NE,681144129,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,150,54.74,25.31,19.842933333,19.142
1053351429,BUDA,STEVEN,J,M.D.,M,I,8111 DODGE ST,SUITE 263,OMAHA,NE,681144129,US,Physician/General Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3821,1.2900654279,0.3,0.2352002094,0.2419523685
1053351528,ALI,NADEEM,S,M.D.,M,I,30 WEST COLE ROAD,,BIDDEFORD,ME,04005,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,30,30,15.168,6.0743333333,3.246,2.3176666667
1053351585,CASSIDY,CHARLES,,M.D.,M,I,800 WASHINGTON ST,BOX 26,BOSTON,MA,021111552,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,18,20,72,70.94,55.619,47.268
1053351643,AHMED,FAROOQ,,M.D.,M,I,4562 HUNTING TRL,,LAKE WORTH,FL,334673535,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,29,62.41,17.596206897,13.384137931,13.22
1053351643,AHMED,FAROOQ,,M.D.,M,I,4562 HUNTING TRL,,LAKE WORTH,FL,334673535,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,29,366.98241379,84.480689655,66.234482759,57.656896552
1053351825,GASTON,JANET,E,M.D.,F,I,1505 SAINT ALPHONSUS WAY,,ALAMO,CA,945071570,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,42,138,75.730289855,8.32,5.5245652174,5.5245652174
1053351825,GASTON,JANET,E,M.D.,F,I,1505 SAINT ALPHONSUS WAY,,ALAMO,CA,945071570,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,14,14.07,1.42,0.7985714286,0.7985714286
1053351825,GASTON,JANET,E,M.D.,F,I,1505 SAINT ALPHONSUS WAY,,ALAMO,CA,945071570,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,549.5,344.69,270.235,270.235
1053351833,YALAMANCHI,VIDYA,B,M.D.,M,I,200 MEDICAL CENTER DR,SUITE 2A,HAZARD,KY,417019466,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,28,6.1792857143,3.2242857143,2.0853571429,1.5839285714
1053351833,YALAMANCHI,VIDYA,B,M.D.,M,I,200 MEDICAL CENTER DR,SUITE 2A,HAZARD,KY,417019466,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,15.626666667,11.6525
1053351833,YALAMANCHI,VIDYA,B,M.D.,M,I,200 MEDICAL CENTER DR,SUITE 2A,HAZARD,KY,417019466,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,102.61833333,70.493333333,45.608333333
1053351924,MAZURE,JEFFREY,M,DO,M,I,15 E REDMAN AVE STE A,,HADDONFIELD,NJ,080332316,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,65,59.823846154,8.32,5.9206153846,5.9206153846
1053351924,MAZURE,JEFFREY,M,DO,M,I,15 E REDMAN AVE STE A,,HADDONFIELD,NJ,080332316,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,300.19,46.538181818,32.314545455,33.221818182
1053351924,MAZURE,JEFFREY,M,DO,M,I,15 E REDMAN AVE STE A,,HADDONFIELD,NJ,080332316,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,25.87,25.87
1053351957,KOTHARI,SUNIL,,M.D.,M,I,1333 MOURSUND ST,,HOUSTON,TX,770303405,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.62,10.105,7.9233333333,8.35
1053351965,BATES,DWIGHT,D,MD,M,I,1132 N CHURCH ST,SUITE 200,GREENSBORO,NC,274011039,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,220,33.228181818,26.050909091,25.547272727
1053351981,THOMAS,SHIBU,,DO,M,I,4802 10TH AVE,ATTN CARDIOLOGY,BROOKLYN,NY,112192844,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,46,89,119.37662921,8.32,5.6431460674,5.6431460674
1053351981,THOMAS,SHIBU,,DO,M,I,4802 10TH AVE,ATTN CARDIOLOGY,BROOKLYN,NY,112192844,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,22,27,15.74,1.42,1.0333333333,1.0333333333
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,78,184,70.184619565,8.32,6.0971195652,6.0971195652
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,33,38,14.994210526,1.42,1.0878947368,1.0878947368
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,22,22,140.46090909,38.24,28.617272727,29.086818182
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,83.33,31.73,24.875,25.87
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,13,68,52.246323529,15,11.592941176,11.726176471
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,24,24,167.66041667,51.86,38.965833333,40.913333333
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,19,19,51.923157895,17.48,13.7,14.022105263
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,26,147,7.056122449,1.9,1.4291836735,1.5234693878
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3.7590909091,2.9471260997,2.3912609971
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,8260,3.0297845036,0.3639225182,0.28531477,0.2449237288
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,170.4,44.430769231,34.840769231,36.143076923
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,16,41.08125,3.205625,2.35125,3.440625
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,71,71,125.49295775,31.612676056,23.077183099,23.863239437
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,35,385.06228571,73.816,52.992571429,50.132285714
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1437,1.4217606124,0.1406680585,0.1102922756,0.1102922756
1053351999,LAMBERT,JERRY,A,MD,M,I,105 EAST HUGH ST,,NORTH AUGUSTA,SC,298412925,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.02,28.05,27.06
1053352112,NGUYEN,THY,K,M.D.,F,I,1011 N DEWEY AVE,#100,OKLAHOMA CITY,OK,731021024,US,Physician/Hematology-Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3,2.3519354839,2.3663049853
1053352112,NGUYEN,THY,K,M.D.,F,I,1011 N DEWEY AVE,#100,OKLAHOMA CITY,OK,731021024,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7260,3.1197272727,0.31,0.2430454545,0.2430454545
1053352120,SIMPSON,MICHELLE,L,NP,F,I,43145 SCHOENHERR RD,,STERLING HEIGHTS,MI,483131955,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,44,33.957954545,8.32,5.6313636364,5.6313636364
1053352120,SIMPSON,MICHELLE,L,NP,F,I,43145 SCHOENHERR RD,,STERLING HEIGHTS,MI,483131955,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,18,21,10.914285714,1.42,0.9571428571,0.9571428571
1053352120,SIMPSON,MICHELLE,L,NP,F,I,43145 SCHOENHERR RD,,STERLING HEIGHTS,MI,483131955,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,31.783333333,19.675,19.483333333
1053352195,DAVIS,SUSAN,M,DO,F,I,1019 CAMPUS DR,,BIG RAPIDS,MI,493072280,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,30,113,67.690442478,8.32,5.9398230088,5.9398230088
1053352195,DAVIS,SUSAN,M,DO,F,I,1019 CAMPUS DR,,BIG RAPIDS,MI,493072280,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,40.243333333,7.3329166667,5.7495833333,4.1654166667
1053352195,DAVIS,SUSAN,M,DO,F,I,1019 CAMPUS DR,,BIG RAPIDS,MI,493072280,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,41,503.44829268,104.91609756,77.883414634,54.676585366
1053352195,DAVIS,SUSAN,M,DO,F,I,1019 CAMPUS DR,,BIG RAPIDS,MI,493072280,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,15.58,9.6506,7.5029888889,7.5029888889
1053352195,DAVIS,SUSAN,M,DO,F,I,1019 CAMPUS DR,,BIG RAPIDS,MI,493072280,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1985,0.3905289673,0.0465037783,0.0364483627,0.0364483627
1053352195,DAVIS,SUSAN,M,DO,F,I,1019 CAMPUS DR,,BIG RAPIDS,MI,493072280,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,26,26,101.53846154,33,25.87,25.87
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,15,67,133,7.3128571429,1.867593985,1.4061654135,1.0981954887
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,15,30,2.02,1.2766666667,0.862,0.833
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,83.088125,16.28,10.89125,7.37375
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,88.703333333,20.110833333,15.349444444,13.6575
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1156.76,942.14,734.4025,829.38833333
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,13.581578947,4.6131578947,3.6178947368,3.6157894737
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,126,130,499.28469231,84.667692308,61.807923077,51.268692308
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,58,210.41672414,41.645689655,31.517413793,28.613275862
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6299166667,7.4377361111,7.4377361111
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,24,184,18540,1.0022006472,0.1343883495,0.0968586839,0.0968586839
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,17,159,9210,12.720846906,3.0178534202,2.274844734,2.274844734
1053352328,MARAN,ANTTI,G,MD,M,I,411 CALYPSO STREET;,SUITE 210,MONROE,LA,71201,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,27,219,219,120.69863014,33,24.500456621,24.500456621
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,43,130,280,69.108357143,8.2975357143,5.5668214286,5.5888214286
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,30,37,16.381351351,1.42,1.0254054054,1.0254054054
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,63.909230769,11.596923077,8.3984615385,8.4207692308
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,96,9.79,2.00875,1.4770833333,1.49375
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,20,4.43,3.4741666667,3.4733333333
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,234.0625,70.23,55.06,54.89
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1590,1.6426226415,0.1344339623,0.0848113208,0.0848113208
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,29.35,29.403333333
1053352724,SCHMITZ,STEPHEN,P,MD,M,I,10950 ROCKFISH VALLEY HWY,,AFTON,VA,229202734,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,33,33,25.87,25.87
1053352732,SHAH,SHRENIK,G,M.D.,M,I,55 W PASSAIC AVE,,BLOOMFIELD,NJ,070034502,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,41,79,212,72.476226415,8.32,5.0849056604,5.0849056604
1053352732,SHAH,SHRENIK,G,M.D.,M,I,55 W PASSAIC AVE,,BLOOMFIELD,NJ,070034502,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,25,46,62,17.610483871,1.42,0.9891935484,0.9891935484
1053352732,SHAH,SHRENIK,G,M.D.,M,I,55 W PASSAIC AVE,,BLOOMFIELD,NJ,070034502,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,240,14,4.9,3.8414583333,4.0945833333
1053352732,SHAH,SHRENIK,G,M.D.,M,I,55 W PASSAIC AVE,,BLOOMFIELD,NJ,070034502,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,226.96,71.5,56.06,54.818666667
1053352732,SHAH,SHRENIK,G,M.D.,M,I,55 W PASSAIC AVE,,BLOOMFIELD,NJ,070034502,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,61.96,35.5,27.83,29.39
1053352773,HARGETT,WALTER,,MD,M,I,2550 LUSK DR,,NEOSHO,MO,648508855,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,36,91,55.868131868,8.32,5.0891208791,5.0891208791
1053352773,HARGETT,WALTER,,MD,M,I,2550 LUSK DR,,NEOSHO,MO,648508855,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,22.49,6.31625,3.5875,2.1125
1053352773,HARGETT,WALTER,,MD,M,I,2550 LUSK DR,,NEOSHO,MO,648508855,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,134.45,48.596923077,33.459230769,22.636153846
1053352773,HARGETT,WALTER,,MD,M,I,2550 LUSK DR,,NEOSHO,MO,648508855,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,62,374.35016129,106.14354839,79.141612903,53.509032258
1053352864,TRENT,DIAN,S,ARNP,F,I,1747 BAPTIST CLAY RD,SUITE 340,FLEMING ISLAND,FL,320038502,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,25,71,84.948028169,8.32,5.9707042254,5.9707042254
1053352997,GONZALEZ,NELLY,,MD,F,I,7617 LITTLE RIVER TPK,SUITE 600,ANNANDALE,VA,22003,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,40,46.6375,8.32,6.52175,6.52175
1053352997,GONZALEZ,NELLY,,MD,F,I,7617 LITTLE RIVER TPK,SUITE 600,ANNANDALE,VA,22003,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,20,12.428,1.42,1.113,1.113
1053353029,JACOBY,RICHARD,M,MD,M,I,700 GARDEN VIEW CT STE 204,,ENCINITAS,CA,920242478,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,277,79,59.359166667,52.449583333
1053353029,JACOBY,RICHARD,M,MD,M,I,700 GARDEN VIEW CT STE 204,,ENCINITAS,CA,920242478,US,Interventional Cardiology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35.27,25.355,27.253333333
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,52,208,362,77.43558011,8.32,5.9182872928,5.9182872928
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,14.530833333,3.38,2.65,2.65
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,21,44,51,19.460980392,1.42,1.0303921569,1.0303921569
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,12,26,26,346.12846154,117.29730769,83.576538462,62.951923077
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,26,59,141.42677966,45.291864407,33.702372881,26.128135593
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,60,99.006666667,25.19,17.880333333,13.5985
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,18,96,67.853958333,19.882395833,14.766979167,11.150104167
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,31,31,241.4783871,75.92516129,56.483870968,40.920967742
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,34,34,78.412058824,24.377058824,17.870294118,13.175882353
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,47,47,70.147446809,19.697659574,15.386595745,9.5638297872
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,48,266,9.9213533835,3.0245112782,2.2801879699,1.6212781955
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,20,20,24.26,8.768,6.874,4.658
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,16,21,21,56.117619048,15.671904762,11.767619048,10.184285714
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,145,60.41875,44.9675,35.23125
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,79.819818182,22.468545455,16.8,13.229818182
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,79.971333333,17.591333333,13.792,11.158666667
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,201.48857143,52.897857143,41.469285714,27.3975
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,122,122,506.58221311,104.7804918,80.190819672,55.383278689
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,780,30.590153846,9.6180384615,7.3566025641,7.3566025641
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,12,56,12615,0.3552651605,0.0464074514,0.0287895363,0.0287895363
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,71,7566,2.2126592651,0.1349933915,0.097753106,0.097753106
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,40,1725,4.0206086957,0.2190956522,0.1438666667,0.1438666667
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,60,32.71,25.645384615,19.091538462
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,20,21.58,13.514,10.6,9.243
1053353045,MILLER,JACKIE,S,DO,F,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,19,114,114,58.494736842,33,22.919912281,22.919912281
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,25.858888889,9.4908333333,7.445,7.5536111111
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,55,10.93,8.57,8.93
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,6,,36,39,144.94512821,50.480512821,36.811282051,37.056666667
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,75.563888889,36.898333333,24.931666667,29.611666667
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,28,131,213,3.9170422535,2.8292957746,2.025258216,2.0044600939
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,4.95,4.95,3.5272727273,3.6390909091
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,487.888,76.936,60.32,55.030666667
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,38,38,45.815789474,19.219473684,12.09,11.239736842
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,45,240,251,53.717888446,31.95749004,24.048167331,20.845298805
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,17,76,78,14.024358974,7.9505128205,5.0923076923,5.3783333333
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,11,56,34.669642857,15.26,11.963928571,11.963928571
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,844.95,148.9125,116.75,123.42916667
1053353078,STRASSER,DALE,C,M.D.,M,I,1441 CLIFTON RD NE,,ATLANTA,GA,303221004,US,Physician/Physical Medicine and Rehabilitation,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,674.64666667,229.03333333,179.56333333,181.575
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,26,68,183,55.667923497,8.3043169399,5.9036065574,5.9159562842
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,13.176666667,3.38,1.9875,1.9875
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,26,40,12.9165,1.42,1.0045,1.0045
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,387.165,86.92,57.506666667,57.23
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,30,168.06466667,33.06,23.719333333,23.719333333
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,69.154545455,18.971818182,13.590909091,12.781818182
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,76.361875,11.7275,8.103125,8.04875
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,103,10.736116505,2.0900970874,1.4794174757,1.4332038835
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,103.97578947,17.738947368,13.177894737,12.819473684
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,179.7,49.67,38.95,37.75
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,25,25.93,4.7192,2.9592,2.928
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,54,55,534.24090909,75.906727273,54.751454545,50.074181818
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,3808,0.2849921218,0.0459217437,0.0223634454,0.0223581933
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,6.2662777778,3.06975,2.3806666667,2.3806666667
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,158.48333333,38.68,28.635555556,27.915555556
1053353201,PIERCE,HEATHER,L,MD,F,I,110 N HOSPITAL DR,,FULTON,MO,652512511,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,33,33,21.043,21.043
1053353318,MUEHRCKE,CECILE,S,M.D.,F,I,5701 OVERSEAS HWY STE 17,,MARATHON,FL,330502784,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,17,311.15235294,81.447058824,60.295294118,51.505882353
1053353474,CUBELLI,VINCENT,,M.D.,M,I,16 POCONO RD,SUITE 302,DENVILLE,NJ,078342901,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,88,10992,0.3441484716,0.13,0.0987509098,0.0987509098
1053353474,CUBELLI,VINCENT,,M.D.,M,I,16 POCONO RD,SUITE 302,DENVILLE,NJ,078342901,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,685,2.6054744526,1.9984671533,1.4758832117,1.617810219
1053353474,CUBELLI,VINCENT,,M.D.,M,I,16 POCONO RD,SUITE 302,DENVILLE,NJ,078342901,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,18,103,13320,3.7579391892,1.9416779279,1.4931921922,1.5683866366
1053353474,CUBELLI,VINCENT,,M.D.,M,I,16 POCONO RD,SUITE 302,DENVILLE,NJ,078342901,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,1062,9.8805084746,7.23,5.544613936,5.544613936
1053353474,CUBELLI,VINCENT,,M.D.,M,I,16 POCONO RD,SUITE 302,DENVILLE,NJ,078342901,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,31,82,11.772073171,7.2514634146,5.2580487805,5.4153658537
1053353607,EICHENBERGER,RHONDA,A,DPM,F,I,9900 SHELBYVILLE RD STE 11A,,LOUISVILLE,KY,402232965,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,74,80,71.56,52.105810811,52.105675676
1053353607,EICHENBERGER,RHONDA,A,DPM,F,I,9900 SHELBYVILLE RD STE 11A,,LOUISVILLE,KY,402232965,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,32,192,30,29.19,22.885,22.8865625
1053353607,EICHENBERGER,RHONDA,A,DPM,F,I,9900 SHELBYVILLE RD STE 11A,,LOUISVILLE,KY,402232965,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,21,21,25,23.66,17.666666667,17.666666667
1053353755,LANSKE,GEORGE,,MD,M,I,801 N 29TH ST,,BILLINGS,MT,59101,US,Physician/Allergy/ Immunology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,23,71,218,48.393165138,8.32,6.1029816514,6.1029816514
1053353755,LANSKE,GEORGE,,MD,M,I,801 N 29TH ST,,BILLINGS,MT,59101,US,Physician/Allergy/ Immunology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,39,13.946923077,1.42,1.1133333333,1.1133333333
1053353755,LANSKE,GEORGE,,MD,M,I,801 N 29TH ST,,BILLINGS,MT,59101,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,51,51,30,7.2321568627,5.1917647059,3.1580392157
1053353755,LANSKE,GEORGE,,MD,M,I,801 N 29TH ST,,BILLINGS,MT,59101,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,298.39842105,88.138947368,65.956315789,49.052631579
1053353755,LANSKE,GEORGE,,MD,M,I,801 N 29TH ST,,BILLINGS,MT,59101,US,Physician/Allergy/ Immunology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,200,43.793888889,32.511111111,28.271666667
1053353763,MARKLEY,DAISY MAE,C,MD.,F,I,27924 SECO CANYON RD,,SANTA CLARITA,CA,913503870,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,15,85.676,8.32,5.654,5.654
1053353938,WINNIE,JOHN,N,M.D.,M,I,4402 SECOND ST N STE B,,FOLKSTON,GA,315379388,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,22,68.239090909,8.32,6.2272727273,6.2272727273
1053353938,WINNIE,JOHN,N,M.D.,M,I,4402 SECOND ST N STE B,,FOLKSTON,GA,315379388,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,36,65.527777778,23.298333333,17.184722222,15.576944444
1053353938,WINNIE,JOHN,N,M.D.,M,I,4402 SECOND ST N STE B,,FOLKSTON,GA,315379388,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,74,83,368.79144578,101.52240964,74.410722892,62.837228916
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,79,130,131,83.477709924,41.707862595,31.414122137,29.701221374
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,59,103,103,262.71873786,94.170776699,67.930873786,63.756601942
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,48,103,228,100.98745614,35.923903509,26.654517544,24.91245614
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,20,32,120,43.84775,18.677666667,14.471416667,14.335666667
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,23,38,167,44.551736527,15.446107784,11.747365269,11.562095808
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,75,120,121,178.74834711,59.840826446,43.813140496,41.092809917
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,119,153,153,57.119411765,19.896666667,14.535555556,13.526339869
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,39,62,62,66.702419355,13.046612903,9.565483871,9.2091935484
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,117,206,1129,7.5672896368,2.1254030115,1.5993445527,1.560088574
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,22,23,23,16.626956522,6.8013043478,5.1847826087,4.867826087
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,70,91,91,33.613956044,14.097582418,10.488791209,9.9427472527
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,35,38,300.31973684,99.629736842,69.387894737,66.570526316
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,415.83222222,261.99111111,205.40333333,196.28333333
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,15,15,306.52533333,149.656,115.304,111.43
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,35,36,44.472222222,13.087777778,9.3986111111,9.4905555556
1053353946,ROOT,KENNETH,D,PA-C,M,I,4100 LAKE DR SE STE 200,,GRAND RAPIDS,MI,495468292,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,37,235,235,177.32212766,33.539021277,22.570255319,21.472553191
1053353953,QUINTANA,RUBENCIO,,M.D.,M,I,8500 WILSHIRE BLVD,SUITE 605,BEVERLY HILLS,CA,902113121,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,33,98,62.534693878,8.32,6.0560204082,6.0560204082
1053353953,QUINTANA,RUBENCIO,,M.D.,M,I,8500 WILSHIRE BLVD,SUITE 605,BEVERLY HILLS,CA,902113121,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,32,15.20875,1.42,1.04625,1.04625
1053353953,QUINTANA,RUBENCIO,,M.D.,M,I,8500 WILSHIRE BLVD,SUITE 605,BEVERLY HILLS,CA,902113121,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,238.88307692,55.267692308,36.679230769,36.344615385
1053353953,QUINTANA,RUBENCIO,,M.D.,M,I,8500 WILSHIRE BLVD,SUITE 605,BEVERLY HILLS,CA,902113121,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,16,16,76.66375,12.54,8.039375,7.606875
1053353953,QUINTANA,RUBENCIO,,M.D.,M,I,8500 WILSHIRE BLVD,SUITE 605,BEVERLY HILLS,CA,902113121,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,102,10.451176471,2.0911764706,1.54,1.5042156863
1053353953,QUINTANA,RUBENCIO,,M.D.,M,I,8500 WILSHIRE BLVD,SUITE 605,BEVERLY HILLS,CA,902113121,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,149.84272727,51.349090909,36.909090909,35.238181818
1053354043,HOLLINGSWORTH,SAMUEL,,M.D.,M,I,1801 N SENATE BLVD,STE 400,INDIANAPOLIS,IN,462021245,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,48,53.145208333,8.32,6.5225,6.5225
1053354084,HILL,MARK,A,D.O.,M,I,3844 E TREMONT AVE,,BRONX,NY,104652422,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,29,74,34.731486486,8.32,5.9936486486,5.9936486486
1053354084,HILL,MARK,A,D.O.,M,I,3844 E TREMONT AVE,,BRONX,NY,104652422,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,32,7.5559375,1.42,1.08,1.08
1053354084,HILL,MARK,A,D.O.,M,I,3844 E TREMONT AVE,,BRONX,NY,104652422,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2588,0.3538601236,0.0475695518,0.0302241113,0.0302241113
1053354084,HILL,MARK,A,D.O.,M,I,3844 E TREMONT AVE,,BRONX,NY,104652422,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,22.85,22.85
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,63,185,533,61.740375235,8.32,5.9468105066,5.9468105066
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,46,107,152,15.486710526,1.42,1.0132894737,1.0132894737
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,119.58857143,38.5,30.18,30.445714286
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,520.41882353,86.92,66.251764706,65.986470588
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,33,181.42363636,33.06,25.917878788,25.917878788
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,96,92.314166667,19.683958333,13.633333333,12.63875
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,17,29,29,240.28068966,58.866896552,43.484137931,40.313793103
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,25,32,32,76.4065625,19.0646875,14.5146875,13.6328125
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,26,26,89.901153846,13.435384615,10.527692308,9.4803846154
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,20,40,179,13.242793296,2.1679888268,1.6473743017,1.5362011173
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,26.842307692,6.5330769231,5.1269230769,4.6484615385
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,50.581538462,13.514615385,10.596923077,10.34
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,85,86,56.956511628,17.69,13.029883721,12.733372093
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,438.77764706,87.251176471,61.076470588,60.358823529
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,76,76,18.981052632,5.1853947368,3.5713157895,3.4943421053
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,68,68,146.98691176,37.306470588,27.538088235,23.951764706
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,121,124,348.00451613,69.993870968,52.218064516,52.092258065
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6481818182,7.5641666667,7.5641666667
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,5040,0.2162718254,0.0463849206,0.0308194444,0.0308194444
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,25,74,10134,0.9659216499,0.134756266,0.1002861654,0.1002861654
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,49,2940,11.814683673,3.0321428571,2.2885340136,2.2885340136
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1185,2.9739915612,0.2190295359,0.1587594937,0.1587594937
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,170.27172414,38.594482759,29.060344828,28.339655172
1053354092,RIVAS-GOTZ,FEDERICO,,M.D.,M,I,3715 BECK RD STE F,,SAINT JOSEPH,MO,645063643,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,27,108,108,55,33,23.738333333,23.738333333
1053354118,MITCHELL,PAUL,B,MD,M,I,301 RIVERVIEW AVENUE,SUITE 400,NORFOLK,VA,235101065,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,5890,4378.96,3433.11,3433.11
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,25,45,4.6691111111,1.9753333333,1.4935555556,1.1
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.4608333333,1.1445833333,0.9620833333
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,28,222,223,55.19955157,24.038654709,18.101524664,13.915336323
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,36,36,142.36805556,58.475,45.844722222,39.113333333
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,59,59,24.447966102,8.0152542373,6.2008474576,3.6511864407
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,31,245,246,382.70268293,99.655325203,76.089186992,53.839715447
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,133.66666667,40.55,31.79,29.513333333
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,41,2460,14.008536585,9.6290487805,7.4325284553,7.4325284553
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,44,9733,0.4978290352,0.0461255522,0.0350220898,0.0350220898
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,63,6900,1.1412478261,0.1344347826,0.1000202899,0.1000202899
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,75,4500,10.470133333,3.0157066667,2.2739244444,2.2739244444
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,3.52,0.2189411765,0.1615686275,0.1615686275
1053354142,COLLINS,FRANCIS,F,MD,M,I,205 PAGE RD,,PINEHURST,NC,283748798,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,21,142,142,71.5,33,25.683802817,25.683802817
1053354159,SANGURIMA,JESSICA,E,MD,F,I,45 READE PL,,POUGHKEEPSIE,NY,126013947,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,258.89846154,70.09,54.95,54.73
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,62.856363636,28.46,22.31,22.31
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,29.69,28.93,22.68,23.28
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,34,5.54,5.54,4.34,4.34
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,47,61,13.827704918,9.29,7.28,8.567704918
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,5.54,5.54,4.3435,4.3435
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,4136,0.44,0.44,0.3449468085,0.3449468085
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,3.04,3.04,2.3835,2.3835
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,355,7.36,7.36,5.7703098592,5.7703098592
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,360,8.18,8.18,6.4130277778,6.4130277778
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,45,18.29,18.29,14.339333333,14.339333333
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,2100,0.45,0.45,0.3528142857,0.3528142857
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,872,125,3.3808142202,2.4949197248,2.2250458716
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,54,1658,275,5.4,4.1543908323,4.091960193
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,7118,3.7317631357,0.38,0.2880078674,0.2806490587
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6953,3.3247058824,0.31,0.2430404142,0.2430404142
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,23141,8.8307899399,0.7020910937,0.5437120263,0.5133343416
1053354167,RUEDA-ROJAS,JAIME,,MD,M,I,833 W DOVE AVE,,MCALLEN,TX,785043508,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,23,23,1200,65.42,51.29,48.716086957
1053354332,ZAFMAN,NELLI,,CRNP,F,I,10753 FALLS RD,SUITE 145,LUTHERVILLE,MD,210934535,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,16,1148,34.941428571,5.0567247387,3.9644686411,3.9644686411
1053354332,ZAFMAN,NELLI,,CRNP,F,I,10753 FALLS RD,SUITE 145,LUTHERVILLE,MD,210934535,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,11,25,40.316,35.3,27.6768,30.0128
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,85,211,73.470331754,8.32,5.2241232227,5.2241232227
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,21,43,12.450697674,1.42,1.088372093,1.088372093
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,6.16,2.27,1.6179220779,1.6179220779
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,52.377142857,16.59,12.380952381,12.892380952
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,71.083846154,4.2523076923,2.6223076923,2.9392307692
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,299.940625,67.72,51.440625,52.981875
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,31,9210,0.3349294245,0.0454940282,0.0354234528,0.0354234528
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2388,1.9896273032,0.1318844221,0.0988484087,0.0988484087
1053354357,ORDILLE,JOSEPH,D,DO,M,I,105 MANHEIM AVE,STE 1,BRIDGETON,NJ,083022139,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,31,31,36.193548387,33,24.200967742,24.200967742
1053354563,FERGUSON,DON,K,MD,M,I,216 S MAIN ST,,LINDSAY,OK,730525634,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1.45,1.3927272727,0.8881818182,1.0072727273
1053354563,FERGUSON,DON,K,MD,M,I,216 S MAIN ST,,LINDSAY,OK,730525634,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,93.931666667,20.60875,15.012916667,12.405833333
1053354563,FERGUSON,DON,K,MD,M,I,216 S MAIN ST,,LINDSAY,OK,730525634,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,34.398333333,5.0416666667,2.7129166667,2.3975
1053354563,FERGUSON,DON,K,MD,M,I,216 S MAIN ST,,LINDSAY,OK,730525634,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,20,564.96,99.63,72.313,51.282
1053354563,FERGUSON,DON,K,MD,M,I,216 S MAIN ST,,LINDSAY,OK,730525634,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,4106,0.1622795908,0.0453726254,0.0255211885,0.0255211885
1053354563,FERGUSON,DON,K,MD,M,I,216 S MAIN ST,,LINDSAY,OK,730525634,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1830,1.4550163934,0.1386229508,0.0968961749,0.0968961749
1053354563,FERGUSON,DON,K,MD,M,I,216 S MAIN ST,,LINDSAY,OK,730525634,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,33,33,21.079259259,21.079259259
1053354589,EASTON,DAVID,,D.O,M,I,8767 GRATIOT RD,,SAGINAW,MI,486094823,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,47,113,48.575663717,8.32,5.7715929204,5.7715929204
1053354589,EASTON,DAVID,,D.O,M,I,8767 GRATIOT RD,,SAGINAW,MI,486094823,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,21,12.547142857,1.42,0.959047619,0.959047619
1053354589,EASTON,DAVID,,D.O,M,I,8767 GRATIOT RD,,SAGINAW,MI,486094823,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,163.83933333,54.79,36.088666667,36.027333333
1053354589,EASTON,DAVID,,D.O,M,I,8767 GRATIOT RD,,SAGINAW,MI,486094823,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,53.4175,17.97,11.90625,11.89125
1053354589,EASTON,DAVID,,D.O,M,I,8767 GRATIOT RD,,SAGINAW,MI,486094823,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,47.437647059,11.64,7.6370588235,7.6370588235
1053354589,EASTON,DAVID,,D.O,M,I,8767 GRATIOT RD,,SAGINAW,MI,486094823,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,24,75,7.8581333333,2.03,1.5150666667,1.5150666667
1053354654,BARTON,COURTNEY,K,M.D.,F,I,2665 SCRIPTURE ST,,DENTON,TX,762012302,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,48,52.839166667,8.32,4.9602083333,4.9602083333
1053354654,BARTON,COURTNEY,K,M.D.,F,I,2665 SCRIPTURE ST,,DENTON,TX,762012302,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,13,14.796923077,1.42,0.6738461538,0.6738461538
1053354654,BARTON,COURTNEY,K,M.D.,F,I,2665 SCRIPTURE ST,,DENTON,TX,762012302,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.63,12.668333333,12.450833333
1053354654,BARTON,COURTNEY,K,M.D.,F,I,2665 SCRIPTURE ST,,DENTON,TX,762012302,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,102.78,34.363636364,26.944545455,25.501818182
1053354654,BARTON,COURTNEY,K,M.D.,F,I,2665 SCRIPTURE ST,,DENTON,TX,762012302,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,160.21363636,119.67363636,113.09727273
1053354993,STOLPMAN,TODD,J,M.D.,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,52,118,81.132118644,8.32,6.0805084746,6.0805084746
1053354993,STOLPMAN,TODD,J,M.D.,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,15,15.440666667,1.42,1.116,1.116
1053354993,STOLPMAN,TODD,J,M.D.,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,15,11.194,10.93,8.57,8.57
1053354993,STOLPMAN,TODD,J,M.D.,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,32,8.434375,7.345,5.75625,5.8346875
1053354993,STOLPMAN,TODD,J,M.D.,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,4317,0.2783530229,0.0468658791,0.0346166319,0.0346166319
1053354993,STOLPMAN,TODD,J,M.D.,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,24.022142857,24.022142857
1053355024,ROBINSON,LAURIE,,NP,F,I,218 E MAIN ST,,FLORENCE,MS,390738407,US,Nurse Practitioner,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,144.16666667,59.219444444,37.930555556,31.342777778
1053355024,ROBINSON,LAURIE,,NP,F,I,218 E MAIN ST,,FLORENCE,MS,390738407,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.95,4.55,2.535,2.535
1053355024,ROBINSON,LAURIE,,NP,F,I,218 E MAIN ST,,FLORENCE,MS,390738407,US,Nurse Practitioner,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,45,35.03,22.614117647,19.394705882
1053355024,ROBINSON,LAURIE,,NP,F,I,218 E MAIN ST,,FLORENCE,MS,390738407,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,115,21.642142857,14.787857143,12.307857143
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,11,32,416,59.104086538,19.6421875,14.663004808,14.663004808
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,11,33,1050,8.0894285714,2.6314285714,1.9447047619,1.9447047619
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,83,99,254,1285,70.326116732,8.32,5.9570894942,5.9570894942
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,24,24,13.587916667,3.38,2.5395833333,2.5395833333
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,23.041538462,2.12,1.4130769231,1.4130769231
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,32,65,171,14.900643275,1.42,1.0810526316,1.0810526316
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,69,69,753.88318841,349.48130435,272.05115942,272.05115942
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,3120,16.186791667,10.796160256,8.4182115385,8.4182115385
1053355057,SCHEIDLER,JAMES,A,MD,M,I,4880 CENTURY PLAZA RD,STE 165,INDIANAPOLIS,IN,462545475,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,35,35,308.45342857,251.11,196.87,196.87
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,104,3.6553846154,2.91,2.28125,2.28125
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,58,7.9213793103,6.44,5.0494827586,5.0494827586
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,290,8.7257241379,6.9944827586,5.4836551724,5.488
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.148,4.03,3.1595,3.1595
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,725,0.3509655172,0.27,0.2116689655,0.2116689655
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,59,95,95,88.206210526,45.534105263,34.990736842,30.718842105
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,55,1652,6.8067736077,5.23,4.0513014528,4.0513014528
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.712,8.39,6.578,6.578
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,18,66,189,380,6.6366315789,1.7935,1.3375,1.1002368421
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,15,23,23,81.532173913,13.955217391,10.073043478,8.587826087
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,52,91,91,308.69604396,108.0943956,81.547032967,67.456813187
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,32,105,167,85.987305389,40.302814371,30.862035928,26.920179641
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,28,82,244,64.93545082,23.555245902,17.691598361,14.025081967
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,19,51,167,48.67239521,18.318203593,14.047365269,12.004610778
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,58,99,99,176.10242424,67.042424242,50.472828283,41.717878788
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,102,132,132,59.118863636,21.835227273,16.95969697,14.258939394
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,50,87,87,81.758965517,16.522643678,12.849425287,9.1467816092
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,92,240,839,8.9941954708,2.7492252682,2.1412395709,1.6476042908
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,38,48,48,16.475625,7.2708333333,5.5935416667,4.6785416667
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,32,42,42,46.851190476,14.77,11.577857143,10.34
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,100,4.3682,3.0233,2.3705,2.3679
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,6009,0.7410001664,0.321787319,0.2520635713,0.2898568813
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,79,587,592,69.674864865,19.663293919,14.632736486,12.92652027
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,6,18,99,99,206.14262626,52.790808081,36.871818182,33.811515152
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,1787.1354545,1074.31,842.26,842.26
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,17,113,113,2920.8315929,1074.31,833.49247788,833.49247788
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,14,78,82,365.03,109.91865854,82.772195122,67.776219512
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,649.27384615,206.52461538,143.86076923,145.06461538
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1488.4,1022.0516667,798.11666667,798.11666667
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,20,20,478.4205,164.8845,129.273,108.6635
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,18,78,83,51.436746988,16.802168675,12.755662651,10.017590361
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,24,109,111,28.061441441,6.1312612613,4.4277477477,3.3130630631
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,54,296,303,139.83531353,42.17650165,31.167887789,24.19339934
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,17.6,8.6118181818,6.5509090909,4.7990909091
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,24,27,27,324.54259259,70.74,53.405925926,53.405925926
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,136,1084,1108,385.79887184,86.99482852,64.996326715,52.974241877
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,19,147,156,212.08358974,40.635897436,30.124871795,28.20775641
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,13,24,24,24,66.5,57,44.69,44.69
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,116,708,43472,16.829526592,9.5919693136,7.4548373666,7.4548373666
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,2220,15.901545045,11.139972973,8.5907072072,8.5907072072
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,32,99,377,73895,0.2777688612,0.0461458827,0.0325889438,0.0325885378
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,26,75,345,34017,1.4239306817,0.1338871741,0.0998879972,0.0998879972
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,94,640,39601,10.164807454,2.9577109164,2.2823873135,2.2823873135
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,94,5309,2.664874741,0.2190506687,0.1621020908,0.1621020908
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,36,221,1132,1134,66.121693122,33,24.906940035,24.906940035
1053355073,WHITSON,BRIAN,D,M.D.,M,I,620 S MADISON ST,SUITE 209,ENID,OK,737017273,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,23,25,25,67.12,66,51.74,51.74
1053355107,COHEN,BRUCE,H,M.D.,M,I,4921 PARKVIEW PL,STE 14F,SAINT LOUIS,MO,631101032,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,82.990909091,60.656363636,47.554545455,52.272727273
1053355107,COHEN,BRUCE,H,M.D.,M,I,4921 PARKVIEW PL,STE 14F,SAINT LOUIS,MO,631101032,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,19,86.842105263,60.453157895,47.393684211,51.294736842
1053355115,KRENZER,BARBARA,E,MD,F,I,550 HARRISON ST,SUITE 200,SYRACUSE,NY,132023188,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,27,77,66.363116883,8.32,5.6750649351,5.6750649351
1053355115,KRENZER,BARBARA,E,MD,F,I,550 HARRISON ST,SUITE 200,SYRACUSE,NY,132023188,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,13.010909091,3.38,2.65,2.65
1053355115,KRENZER,BARBARA,E,MD,F,I,550 HARRISON ST,SUITE 200,SYRACUSE,NY,132023188,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,19,13.151578947,1.42,1.1142105263,1.1142105263
1053355172,BLANCHET,TIMOTHY,J,D.O.,M,I,64580 VAN DYKE RD,SUITE C,WASHINGTON,MI,480952857,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,27,88,50.548295455,8.32,5.9296590909,5.9296590909
1053355172,BLANCHET,TIMOTHY,J,D.O.,M,I,64580 VAN DYKE RD,SUITE C,WASHINGTON,MI,480952857,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,35.769230769,33,21.89,21.89
1053355206,MABE,JEREMY,D,MD,M,I,1150 STATE HIGHWAY 248,STE. 202,BRANSON,MO,656163758,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,30,106,226,59.591460177,8.32,5.2530973451,5.2530973451
1053355206,MABE,JEREMY,D,MD,M,I,1150 STATE HIGHWAY 248,STE. 202,BRANSON,MO,656163758,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,36,48,13.892916667,1.42,0.8366666667,0.8366666667
1053355206,MABE,JEREMY,D,MD,M,I,1150 STATE HIGHWAY 248,STE. 202,BRANSON,MO,656163758,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,26,26,52,78.903461538,71.56,53.448461538,53.448269231
1053355206,MABE,JEREMY,D,MD,M,I,1150 STATE HIGHWAY 248,STE. 202,BRANSON,MO,656163758,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,86.31,24.485384615,19.193846154,13.993076923
1053355206,MABE,JEREMY,D,MD,M,I,1150 STATE HIGHWAY 248,STE. 202,BRANSON,MO,656163758,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,519.51,118.44533333,92.866,57.43
1053355206,MABE,JEREMY,D,MD,M,I,1150 STATE HIGHWAY 248,STE. 202,BRANSON,MO,656163758,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,120,51.43,43.56,34.151666667,34.15
1053355222,WAALKES,PHILIP,,DO,M,I,8333 FELCH ST,SUITE C,ZEELAND,MI,494649666,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,38,123,55.508373984,8.32,5.2552845528,5.2552845528
1053355222,WAALKES,PHILIP,,DO,M,I,8333 FELCH ST,SUITE C,ZEELAND,MI,494649666,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,20,9.5285,1.42,0.896,0.896
1053355222,WAALKES,PHILIP,,DO,M,I,8333 FELCH ST,SUITE C,ZEELAND,MI,494649666,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,55.749090909,20.48,13.916363636,12.787272727
1053355222,WAALKES,PHILIP,,DO,M,I,8333 FELCH ST,SUITE C,ZEELAND,MI,494649666,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,50,17.76,13.001333333,12.637333333
1053355222,WAALKES,PHILIP,,DO,M,I,8333 FELCH ST,SUITE C,ZEELAND,MI,494649666,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,125,32.404615385,25.406153846,25.198461538
1053355222,WAALKES,PHILIP,,DO,M,I,8333 FELCH ST,SUITE C,ZEELAND,MI,494649666,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,300,79.88,56.028421053,48.96
1053355479,LYONS,KRISTYN,L,CRNP,F,I,35 MILKSHAKE LN,,ANNAPOLIS,MD,214031507,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,317,34.651735016,3,2.3519873817,2.3644164038
1053355479,LYONS,KRISTYN,L,CRNP,F,I,35 MILKSHAKE LN,,ANNAPOLIS,MD,214031507,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,8389,1.3492812016,0.3023137442,0.2370175229,0.2418810347
1053355479,LYONS,KRISTYN,L,CRNP,F,I,35 MILKSHAKE LN,,ANNAPOLIS,MD,214031507,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,329.5625,48.0225,29.951666667,30.189166667
1053355479,LYONS,KRISTYN,L,CRNP,F,I,35 MILKSHAKE LN,,ANNAPOLIS,MD,214031507,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,100,5.52,3.8725,3.1925
1053355479,LYONS,KRISTYN,L,CRNP,F,I,35 MILKSHAKE LN,,ANNAPOLIS,MD,214031507,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,326.41176471,44.404117647,32.815294118,22.91
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,48,117,301,64.484451827,8.32,6.1533222591,6.1533222591
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.705454545,3.38,2.65,2.65
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,30,66,88,12.060909091,1.42,1.0277272727,1.0277272727
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,225.38181818,51.76,33.201818182,35.583636364
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,75.636666667,17.001666667,11.126666667,11.825
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,23,24,81.9575,10.9325,7.5920833333,8.1341666667
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,29,164,10.767804878,2.0085365854,1.5176829268,1.5359146341
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,28.615833333,5.8716666667,4.225,4.2716666667
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,43.906923077,12.374615385,9.6961538462,10.263846154
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,86.31,17.37,12.76,12.68875
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,11.994545455,8.4627272727,8.5927272727
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,43.091111111,3.505,2.4155555556,3.2538888889
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,257.82,30.368,23.704,24.832666667
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,132.37,46.2375,30.673333333,30.655833333
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,519.51,78.2,56.856428571,51.105
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,2854,0.1562333567,0.047186405,0.0311562719,0.0311562719
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,21,49.946666667,17.57047619,12.556666667,12.92952381
1053355578,JOHNSON,JERE,M,M.D.,M,I,1920 E GRIFFIN PKWY,,MISSION,TX,785723106,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,86.625,33,20.51875,20.51875
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,23,86,171,38.884093567,8.32,5.8161988304,5.8161988304
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,70.5,28.46,22.31,22.31
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,30.57,10.93,8.57,8.57
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,4.9675,4.9675,3.8484583333,4.4542083333
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,54,6.8694444444,6.44,4.6753703704,4.6753703704
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,3.16,3.16,2.2518181818,2.9012727273
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,96,71.56,56.105,56.105
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,58,12.126896552,2.8806896552,2.075862069,1.4744827586
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,15,71.95,18.660666667,14.630666667,10.48
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,41,519.51,98.298536585,74.031463415,53.173414634
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1050,0.8299714286,0.1322857143,0.0985047619,0.0985047619
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,1080,9.471,2.9087777778,2.1476851852,2.1476851852
1053355669,WALLINGA,MELVIN,,M.D.,M,I,410 WEST 16TH AVE,,TYNDALL,SD,570660027,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,37,37,99.891891892,33,24.471621622,24.471621622
1053355743,KALMBACHER,KRISTIN,B,M.D.,F,I,100 N BANCROFT ST,SUITE A2,FAIRHOPE,AL,365322444,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,22.5,5.5041666667,4.315,3.5666666667
1053355982,KNAPP,ROLF,D,D.O,M,I,2540N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Osteopathic Manipulative Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,63.155,16.985,13.32,13.54
1053355982,KNAPP,ROLF,D,D.O,M,I,2540N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Osteopathic Manipulative Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,302.255,75.165,58.93,54.73
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,28,79,167,70.170898204,8.32,5.1126347305,5.1126347305
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,22,23,16.974347826,1.42,1.0217391304,1.0217391304
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.8105,5.54,4.127875,4.127875
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.1923333333,1.95,1.4014305556,1.4014305556
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,233.006875,93.119375,68.595625,63.770625
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,36,91.415277778,35.013888889,26.08,24.628888889
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,147.83263158,56.26,37.145263158,36.29
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,19,19,49.174736842,18.594210526,13.833157895,13.327894737
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,24,24,48.745416667,12.599583333,8.7245833333,7.9891666667
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,15,31,158,8.5616455696,2.066835443,1.5115189873,1.4805696203
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,22.029166667,6.5133333333,4.7008333333,4.2875
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,37,102.50405405,17.71,13.514594595,13.268648649
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,27,30,50.905666667,13.5,10.227333333,10.137333333
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,32,238.86625,34.4759375,27.0346875,25.651875
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,69,531.49884058,79.23,57.453768116,51.826521739
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,199.09090909,37.15,22.305,22.627272727
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,18,3867,0.2680062064,0.0455003879,0.0356814068,0.0356814068
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,2632,1.4262955927,0.1351785714,0.0977431611,0.0977431611
1053356055,SIMMONS,TERRY,A,MD,M,I,8101 PARALLEL PKWY,SUITE 100,KANSAS CITY,KS,661122010,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,36,36,57.75,33,24.432777778,24.432777778
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,16,208,32.891778846,19.6325,14.352307692,14.352307692
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,480,8.11,2.63,2.0618333333,2.0618333333
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,61,186,428,61.04614486,8.32,5.9026869159,5.9026869159
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,20,20,15.5,3.38,2.2525,2.2525
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,34,74,101,14.311386139,1.42,1.0168316832,1.0168316832
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2520,2.1595238095,2.04,1.5424325397,1.5424325397
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1950,9.65,7.23,5.5947589744,5.5947589744
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,56,9.5757142857,6.44,5.0492857143,5.0492857143
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,5.54,5.54,4.343,4.343
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2,1.95,1.5288333333,1.5288333333
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,205.31,56.997,42.5105,40.831
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,22,22,70.129090909,18.455909091,14.464545455,14.06
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,19,19,70.148421053,11.885789474,8.8552631579,8.5994736842
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,22,118,9.1398305085,1.99,1.4542372881,1.4816101695
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,64,64,105.60328125,17.69,12.78640625,12.48359375
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1001.46,778.92166667,831.27333333
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,19.250769231,4.475,3.2061538462,3.2061538462
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,113.15142857,31.104285714,24.388571429,24.433333333
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,19,129,136,478.61419118,69.99,51.394411765,51.267794118
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1560,16.34900641,10.737038462,8.2506410256,8.2506410256
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,6637,0.2213982221,0.0452704535,0.0314615037,0.0314615037
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,3711,0.9551630288,0.1336513069,0.1018701159,0.1018701159
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,300,251.11,196.87,196.87
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,165.688,38.68,29.1072,28.3296
1053356097,ALDERSON,THOMAS,W,M.D,M,I,711 N 36TH ST,,SAINT JOSEPH,MO,645062977,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,50,50,33,33,23.8004,23.8004
1053356238,THEKDI,APURVA,,M.D.,M,I,6550 FANNIN ST,SUITE 2025,HOUSTON,TX,770302717,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,37.46,11.785714286,8.5985714286,8.4714285714
1053356238,THEKDI,APURVA,,M.D.,M,I,6550 FANNIN ST,SUITE 2025,HOUSTON,TX,770302717,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,4.9723076923,2.0353846154,1.4753846154,1.4697435897
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,60,185,68.324756757,8.32,5.9561081081,5.9561081081
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.714285714,3.38,2.4607142857,2.4607142857
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,27,35,14.636,1.42,1.02,1.02
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,5.6514285714,4.1235714286,3.2185714286
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,70,4.3628571429,2.8788571429,2.1848571429,2.1857142857
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1256,1.4608757962,0.1390843949,0.1046974522,0.1046974522
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,38.91,20.97804878,14.841219512,12.84804878
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,47.905714286,35.164571429,26.598285714,20.909714286
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,21.967142857,9.86,7.73,7.23
1053356295,JERYAN,EDWARD,M,MD,M,I,3345 BURNS RD,SUITE 302,PALM BEACH GARDENS,FL,334104324,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,115.5,33,25.87,25.87
1053356378,YALAMANCHILI,RAVI,,M.D.,M,I,141 THOMAS JOHNSON DR,SUITE 200,FREDERICK,MD,217024502,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,5890,4378.96,3427.8016667,3427.8016667
1053356378,YALAMANCHILI,RAVI,,M.D.,M,I,141 THOMAS JOHNSON DR,SUITE 200,FREDERICK,MD,217024502,US,Physician/Neurosurgery,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,995,972.47,762.42,774.54
1053356410,BELL,BLANCHE,M,ARNP,F,I,1495A US HIGHWAY 61 S,,WOODVILLE,MS,396693577,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,80,45.367875,8.112,6.360625,6.523625
1053356410,BELL,BLANCHE,M,ARNP,F,I,1495A US HIGHWAY 61 S,,WOODVILLE,MS,396693577,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1053356410,BELL,BLANCHE,M,ARNP,F,I,1495A US HIGHWAY 61 S,,WOODVILLE,MS,396693577,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,14,35,14.067428571,1.42,1.1128571429,1.1128571429
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,86,295,975,55.700882051,8.3186153846,5.9557333333,5.9568102564
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,14,44,44,12.538181818,3.38,2.5897727273,2.5897727273
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,19.11,2.12,1.67,1.67
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,49,136,249,12.648795181,1.42,1.0258232932,1.0258232932
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,12,12,24,94.949166667,71.43,48.839583333,48.941666667
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,58.824285714,22.97,17.296190476,12.885714286
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,56,315.38767857,104.5025,77.663214286,51.543928571
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1560,2.0559871795,0.1293846154,0.073474359,0.073474359
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,86.25,28.468333333,20.719166667,12.735
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,353.43583333,251.11,196.87,196.87
1053356675,VAN LOON,GLEN,R,MD  PH.D.,M,I,619 OLD SYMSONIA RD,STE C,BENTON,KY,420251365,US,Physician/Endocrinology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,34.5,33,18.814545455,18.814545455
1053356915,TROSTLER,GERALD,,M.D.,M,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,27,53,76.123584906,8.32,5.7843396226,5.7843396226
1053356915,TROSTLER,GERALD,,M.D.,M,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,16,16,58.44,11.92125,8.760625,8.569375
1053356915,TROSTLER,GERALD,,M.D.,M,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,90,10.282,2.1293333333,1.6696666667,1.5902222222
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,332.34,86.9,63.551666667,63.261666667
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,33,121.06,34.22,26.83,25.919090909
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,245.765,56.82,43.9075,42.3575
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,19,19,66.770526316,12.827894737,8.9636842105,8.2263157895
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,14,30,136,9.0727941176,2.15,1.5858823529,1.4985294118
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,28.027058824,4.4929411765,3.1552941176,3.4105882353
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,142.16666667,34.201481481,25.595925926,24.297037037
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,80,52.236363636,44.973636364
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,35.91,25.6,26.981818182
1053356964,SANTUCCI,RAYMOND,,MD,M,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,15,15,33,33,25.87,25.87
1053357012,OLEGARIO,ALBERTA,C,MD,F,I,209 N SECOND AVE,,BARSTOW,CA,92311,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,38,49.993684211,8.32,4.805,4.805
1053357012,OLEGARIO,ALBERTA,C,MD,F,I,209 N SECOND AVE,,BARSTOW,CA,92311,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,86.31,17,12.2636,12.4776
1053357012,OLEGARIO,ALBERTA,C,MD,F,I,209 N SECOND AVE,,BARSTOW,CA,92311,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,79.22,58.841052632,52.626315789
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,129,233,233,149.99922747,39.596609442,29.9827897,29.464892704
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,110,26.19,18.46,14.473,14.473
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,330,7.7436363636,7.37,5.3617878788,5.3617878788
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,33,66,8.19,1.5236363636,1.0806060606,1.0612121212
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,13,18,18,79.844444444,13.062222222,10.235555556,9.0777777778
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,15,23,5.6969565217,1.28,1.0034782609,0.9634782609
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,138,277,277,441.97169675,91.336750903,67.720361011,64.334765343
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,110,262,617,170.1249919,35.928654781,27.210470016,25.144343598
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,101,215,961,92.674380853,19.503225806,14.5378564,13.834651405
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,47,108,467,67.838586724,15.505438972,11.681156317,11.558372591
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,172,312,312,269.69301282,56.619871795,42.566762821,41.362467949
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,274,358,358,83.824106145,18.712067039,14.203715084,13.725977654
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,16,21,21,40.628571429,10.767619048,8.4395238095,8.15
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,182,348,348,93.706293103,12.681551724,9.6811781609,8.9782758621
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,288,629,2847,12.417660695,2.1118616087,1.5943589744,1.5413874254
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,33.16,7.1964285714,5.6442857143,4.6528571429
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,119,146,146,48.690410959,13.528356164,10.222671233,9.9995205479
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,343,466.8,373.44,292.77580175,292.77580175
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,349,11.69,9.35,7.33,7.33
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,349,35.49,29.22,22.908567335,22.908567335
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,12,12,550,466.82,365.99,365.99
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,35,207,209,86.31,17.306650718,12.820095694,12.791196172
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,18,232.35,59.24,43.920555556,39.483888889
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,35,38,190.55526316,48.536315789,34.281315789,33.932894737
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,30,30,232.35,52.227333333,38.311666667,35.121333333
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1073.16,829.40416667,830.30416667
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,4430.1,1073.16,835.12217391,836.02217391
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,11,51,61,604.70622951,99.068688525,75.651147541,67.627213115
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,1035.7056522,240.05521739,180.66173913,161.48913043
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,37,37,37,443.31405405,142.99459459,111.74945946,104.57351351
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,123,582,633,81.636951027,13.117898894,9.6753238547,9.232906793
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,54,56,44.436964286,4.7071428571,3.0476785714,3.0466071429
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,164,896,937,215.72905016,35.823767343,26.306232657,24.12977588
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,62,436,442,481.25511312,72.553914027,53.149909502,51.200882353
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,78,81,219.47679012,37.282222222,28.864691358,29.118518519
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,19.029,9.6325,7.3589444444,7.3589444444
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,19,71,20189,0.3753846154,0.0463480113,0.0343375105,0.0343375105
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,81,10229,1.1692814547,0.133288689,0.0946456154,0.0946456154
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1650,11.323218182,2.8233636364,2.2066363636,2.2066363636
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,176,231.66994318,42.165852273,32.243011364,32.243011364
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,19.21,15.061666667,13.924166667
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,75,37.44,29.17047619,29.314761905
1053357053,KHOURY,JOSEPH,B,M.D.,M,I,2011 TATE SPRINGS RD,,LYNCHBURG,VA,245011111,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,33,148,148,82.506756757,33,24.150202703,24.150202703
1053357251,SEAMON,MEREDITH,L,M.D.,F,I,100 MARIO CAPECCHI DR,UNIVERSITY OF UTAH- DEPARTMENT OF PEDIATRICS,SALT LAKE CITY,UT,841131103,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,1320,4.7877348485,1.1966363636,0.9381590909,0.9381590909
1053357251,SEAMON,MEREDITH,L,M.D.,F,I,100 MARIO CAPECCHI DR,UNIVERSITY OF UTAH- DEPARTMENT OF PEDIATRICS,SALT LAKE CITY,UT,841131103,US,Physician/Nephrology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,632,11.975617089,2.9774367089,2.3342879747,2.3342879747
1053357251,SEAMON,MEREDITH,L,M.D.,F,I,100 MARIO CAPECCHI DR,UNIVERSITY OF UTAH- DEPARTMENT OF PEDIATRICS,SALT LAKE CITY,UT,841131103,US,Physician/Nephrology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,33,33,25.87,25.87
1053357277,BERNARDSON,ELLEN,A,"RN, NP",F,I,701 PARK AVE,,MINNEAPOLIS,MN,554151623,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,31,33,6045,3.5720843672,0.5530603805,0.4210405294,0.4210339123
1053357277,BERNARDSON,ELLEN,A,"RN, NP",F,I,701 PARK AVE,,MINNEAPOLIS,MN,554151623,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,29,30,26115,0.0243741145,0.0133796669,0.0104820984,0.0104820984
1053357277,BERNARDSON,ELLEN,A,"RN, NP",F,I,701 PARK AVE,,MINNEAPOLIS,MN,554151623,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,45,142,29470,3.68326264,1.2406837462,0.93147981,0.9637387173
1053357277,BERNARDSON,ELLEN,A,"RN, NP",F,I,701 PARK AVE,,MINNEAPOLIS,MN,554151623,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,39,100,100,24,24,18.82,18.82
1053357277,BERNARDSON,ELLEN,A,"RN, NP",F,I,701 PARK AVE,,MINNEAPOLIS,MN,554151623,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,33,86,87,16,16,12.540114943,12.540114943
1053357475,KAYYAL,MAZHAR,,M.D.,M,I,875 STERTHAUS AVE,,ORMOND BEACH,FL,321745131,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,64.03,51.720714286,40.551428571,37.753571429
1053357475,KAYYAL,MAZHAR,,M.D.,M,I,875 STERTHAUS AVE,,ORMOND BEACH,FL,321745131,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,16.79,16.79,12.063333333,12.410833333
1053357475,KAYYAL,MAZHAR,,M.D.,M,I,875 STERTHAUS AVE,,ORMOND BEACH,FL,321745131,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,149.6,79.2,56.647083333,50.207083333
1053357475,KAYYAL,MAZHAR,,M.D.,M,I,875 STERTHAUS AVE,,ORMOND BEACH,FL,321745131,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,35.8,25.730833333,27.200833333
1053357491,PRUIKSMA,RICHARD,T,MD,M,I,500 S MOUNT OLIVE ST,SUITE 200,SILOAM SPRINGS,AR,727613602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,53,116,55.177068966,8.32,5.3409482759,5.3409482759
1053357491,PRUIKSMA,RICHARD,T,MD,M,I,500 S MOUNT OLIVE ST,SUITE 200,SILOAM SPRINGS,AR,727613602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,23,11.577391304,1.42,1.0695652174,1.0695652174
1053357491,PRUIKSMA,RICHARD,T,MD,M,I,500 S MOUNT OLIVE ST,SUITE 200,SILOAM SPRINGS,AR,727613602,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,3705,0.5570310391,0.0449149798,0.0352253711,0.0352253711
1053357491,PRUIKSMA,RICHARD,T,MD,M,I,500 S MOUNT OLIVE ST,SUITE 200,SILOAM SPRINGS,AR,727613602,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,2250,2.1369955556,0.13288,0.0993377778,0.0993377778
1053357491,PRUIKSMA,RICHARD,T,MD,M,I,500 S MOUNT OLIVE ST,SUITE 200,SILOAM SPRINGS,AR,727613602,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,51.5625,33,24.253125,24.253125
1053357582,BULAN,JEANINE,H,MD,F,I,200 S ORANGE AVE,SUITE 107,LIVINGSTON,NJ,070395817,US,Physician/Internal Medicine,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,0.588,0.5,0.392,0.392
1053357582,BULAN,JEANINE,H,MD,F,I,200 S ORANGE AVE,SUITE 107,LIVINGSTON,NJ,070395817,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,31,98,72.556734694,8.32,6.5218367347,6.5218367347
1053357582,BULAN,JEANINE,H,MD,F,I,200 S ORANGE AVE,SUITE 107,LIVINGSTON,NJ,070395817,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,32,16.8765625,1.42,1.11375,1.11375
1053357582,BULAN,JEANINE,H,MD,F,I,200 S ORANGE AVE,SUITE 107,LIVINGSTON,NJ,070395817,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,8.724,7.37,5.778,5.778
1053357582,BULAN,JEANINE,H,MD,F,I,200 S ORANGE AVE,SUITE 107,LIVINGSTON,NJ,070395817,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3697,0.7,0.35766297,0.2804138491,0.2900730322
1053357582,BULAN,JEANINE,H,MD,F,I,200 S ORANGE AVE,SUITE 107,LIVINGSTON,NJ,070395817,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,1275.14,1074.31,835.42809524,835.42809524
1053357582,BULAN,JEANINE,H,MD,F,I,200 S ORANGE AVE,SUITE 107,LIVINGSTON,NJ,070395817,US,Physician/Internal Medicine,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,67.28,29.418333333,23.065,25.258333333
1053357608,HASSELL,DAVID,F,MD,M,I,10731 CHAPMAN HWY,,SEYMOUR,TN,378654765,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1053357707,CORDERO,DIANA,M,MD,F,I,3720 BEACH BLVD,,JACKSONVILLE,FL,322073814,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,31,155,49.289935484,8.32,5.9921935484,5.9921935484
1053357707,CORDERO,DIANA,M,MD,F,I,3720 BEACH BLVD,,JACKSONVILLE,FL,322073814,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.405263158,3.38,2.3710526316,2.3710526316
1053357707,CORDERO,DIANA,M,MD,F,I,3720 BEACH BLVD,,JACKSONVILLE,FL,322073814,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,23.536363636,2.12,1.5181818182,1.5181818182
1053357707,CORDERO,DIANA,M,MD,F,I,3720 BEACH BLVD,,JACKSONVILLE,FL,322073814,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,25,68,14.756470588,1.42,1.0636764706,1.0636764706
1053357707,CORDERO,DIANA,M,MD,F,I,3720 BEACH BLVD,,JACKSONVILLE,FL,322073814,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1320,0.92,0.1355,0.0979848485,0.0979848485
1053357707,CORDERO,DIANA,M,MD,F,I,3720 BEACH BLVD,,JACKSONVILLE,FL,322073814,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,132,33,24.253125,24.253125
1053357871,URQUIDEZ,JOSE,A,M.D.,M,I,11851 JOLLYVILLE RD STE 103,,AUSTIN,TX,787592350,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,52,9.7413461538,9.19,6.9230769231,7.2865384615
1053357913,LABBIE,ANDREW,S,MD,M,I,3200 SW 60TH CT STE 104,,MIAMI,FL,331554069,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2520,0.2,0.13,0.1019047619,0.1019047619
1053357913,LABBIE,ANDREW,S,MD,M,I,3200 SW 60TH CT STE 104,,MIAMI,FL,331554069,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,40,7294,3.0955031533,2.04,1.5262777625,1.5262777625
1053357913,LABBIE,ANDREW,S,MD,M,I,3200 SW 60TH CT STE 104,,MIAMI,FL,331554069,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,3120,10.181538462,7.87,6.1331314103,6.1404487179
1053357913,LABBIE,ANDREW,S,MD,M,I,3200 SW 60TH CT STE 104,,MIAMI,FL,331554069,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,56,2.64,1.6,1.255,1.41
1053357939,WESTFALL,BETTY,A,ARNP,F,I,1830 BICKFORD AVE,SUITE 211,SNOHOMISH,WA,982901749,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4837.66,913.16,703.96416667,819.77583333
1053357939,WESTFALL,BETTY,A,ARNP,F,I,1830 BICKFORD AVE,SUITE 211,SNOHOMISH,WA,982901749,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.34,55.5775,50.660833333
1053358077,JOHNS,GORDON,E,MD,M,I,2517 NE KRESKY AVE,,CHEHALIS,WA,985322409,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,26,26,26,68.659615385,64.95,46.923076923,48.756923077
1053358077,JOHNS,GORDON,E,MD,M,I,2517 NE KRESKY AVE,,CHEHALIS,WA,985322409,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,26,58.459230769,55.590769231,38.585384615,39.447307692
1053358143,RECUPERO,PETER,J,D.O.,M,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1073.16,829.40416667,830.30416667
1053358143,RECUPERO,PETER,J,D.O.,M,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,33,476.77666667,71.782424242,54.608787879,54.31
1053358143,RECUPERO,PETER,J,D.O.,M,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,121.25,20.530769231,16.096923077,14.866923077
1053358234,DUBEY,RASHMI,,M.D.,F,I,34 MAPLE ST,DEPT. OF INTERNAL MEDICINE,NORWALK,CT,068503815,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,760.48,78.429090909,61.484545455,54.723636364
1053358275,SHEBESTER,LAYNIE,D,PA-C,F,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,34.79,22.4775,17.620833333,13.53
1053358275,SHEBESTER,LAYNIE,D,PA-C,F,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician Assistant,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,12,12,207,24.32,21.739130435,17.043285024,20.051449275
1053358275,SHEBESTER,LAYNIE,D,PA-C,F,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,258.75,102.61833333,80.455,54.73
1053358275,SHEBESTER,LAYNIE,D,PA-C,F,I,3315 KETHLEY RD,,SHAWNEE,OK,748049638,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,67.04,27.365925926,21.455925926,15.567037037
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,49,108,316,71.966582278,8.32,5.8218670886,5.8218670886
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.62875,3.38,2.65,2.65
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,31,49,75,14.2848,1.42,1.0112,1.0112
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,4280,4.7252336449,2.04,1.5643551402,1.5643551402
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,23,23,78.046521739,39.155652174,30.70173913,30.49
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,5.685,3.97,2.8901785714,2.8901785714
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,14,35,35,239.79314286,89.626571429,66.225142857,64.047142857
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,14,33,87,84.119310345,34.769885057,26.329195402,25.074482759
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,20,44,211,58.571895735,19.466350711,14.43014218,13.78971564
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,20,38,194,30.11371134,15.530103093,11.188041237,10.937680412
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,40,81,81,140.62876543,56.200740741,41.55345679,40.44308642
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,48,65,65,44.176,17.177230769,12.438615385,13.034615385
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,43,86,86,47.455465116,12.145348837,9.2548837209,8.8651162791
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,52,110,529,6.7696786389,2.0154820416,1.520926276,1.5315879017
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,22,22,17.999090909,6.1922727273,4.0504545455,3.8809090909
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,18,25,25,33.0636,12.3756,8.8936,9.5408
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,47,57.391276596,16.597446809,12.46787234,12.999574468
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,16,90,90,30.11,14.625,11.218,10.256222222
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,22.313333333,5.7858333333,3.7975,2.91
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,17,125,125,96.46936,36.95936,28.47776,24.88024
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,14,14,14,27.366428571,27.366428571,21.454285714,58.951428571
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,45,11.363636364,8.9018181818,8.9018181818
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,55,357.95363636,77.096,58.183454545,52.876909091
1053358382,AUNG,MA,T,M.D.,F,I,10250 SE 167TH PLACE RD,SUITE 5-1,SUMMERFIELD,FL,344918682,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,66,33,23.714166667,23.714166667
1053358457,DASHTIPOUR,KHASHAYAR,,M.D.,M,I,11370 ANDERSON ST,SUITE 2400,LOMA LINDA,CA,923543450,US,Physician/Neurology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,24,95,72.959157895,19.683894737,15.067473684,15.067473684
1053358457,DASHTIPOUR,KHASHAYAR,,M.D.,M,I,11370 ANDERSON ST,SUITE 2400,LOMA LINDA,CA,923543450,US,Physician/Neurology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,24,1036,150.6,37.332162162,29.268349421,29.268349421
1053358457,DASHTIPOUR,KHASHAYAR,,M.D.,M,I,11370 ANDERSON ST,SUITE 2400,LOMA LINDA,CA,923543450,US,Physician/Neurology,S,J7340,"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,1036,363.31285714,213.95,167.73678571,167.73678571
1053358465,DAVIDSON,DEANNA,D,DO,F,I,100 3RD ST,SUITE 4,DAVENPORT,WA,991229730,US,Physician/General Surgery,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,4500,0.17,0.046,0.0336066667,0.0336066667
1053358465,DAVIDSON,DEANNA,D,DO,F,I,100 3RD ST,SUITE 4,DAVENPORT,WA,991229730,US,Physician/General Surgery,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,0.75,0.2187333333,0.1600666667,0.1600666667
1053358465,DAVIDSON,DEANNA,D,DO,F,I,100 3RD ST,SUITE 4,DAVENPORT,WA,991229730,US,Physician/General Surgery,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,24.145333333,24.145333333
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,46,79.77673913,8.32,5.1034782609,5.1034782609
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,64,127,127,93.35015748,38.552204724,27.469370079,27.727086614
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,15,27,27,211.17148148,83.84962963,63.314444444,65.448148148
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,24,54,110.8312963,31.893333333,24.868148148,25.780925926
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,42,82,424,73.036462264,18.036981132,13.373183962,13.750188679
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,35,84,437,45.697643021,15.114279176,11.045080092,11.090183066
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,83,187,187,184.28197861,51.533636364,38.680909091,40.954812834
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,87,122,122,56.153032787,17.020081967,13.017131148,13.719672131
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,30.8475,10.465625,8.2025,8.1525
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,34,71,71,60.211971831,12.061549296,9.1905633803,8.8766197183
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,88,187,1056,12.699498106,2.0027272727,1.5208522727,1.5409659091
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,13.231818182,5.9109090909,4.6372727273,4.65
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,39,51,51,48.456078431,13.315882353,10.44,10.340784314
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,842.26
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,1488.4,969.2036,752.4356,752.4356
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,18,18,497.37555556,130.625,96.722222222,98.916666667
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,42.681818182,13.082727273,9.4681818182,9.6345454545
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,45,268,269,353.58460967,30.029107807,21.800817844,23.389702602
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,44,468.84977273,71.06,51.525454545,50.612272727
1053358531,CHOSLOVSKY,SYDNEY,C,MD,M,I,65 N 14TH ST,,SAN JOSE,CA,951126207,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,60,36.58,28.67,29.45
1053358549,SAMAVATI,LOBELIA,,MD,F,I,"3990 JOHN R ST, 6 BRUSH CENTER",,DETROIT,MI,482012018,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,47,313.07680851,79.88,56.861276596,49.970212766
1053358549,SAMAVATI,LOBELIA,,MD,F,I,"3990 JOHN R ST, 6 BRUSH CENTER",,DETROIT,MI,482012018,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,58,270.25862069,35.927241379,26.488103448,27.467068966
1053358663,BENENATI,ANTHONY,V,DPM,M,I,27593 HARPER,,SAINT CLAIR SHORES,MI,48081,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,64,64,128,218.1125,71.56,55.423515625,55.423515625
1053358663,BENENATI,ANTHONY,V,DPM,M,I,27593 HARPER,,SAINT CLAIR SHORES,MI,48081,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,102,49.677254902,43.56,32.589803922,32.588235294
1053358663,BENENATI,ANTHONY,V,DPM,M,I,27593 HARPER,,SAINT CLAIR SHORES,MI,48081,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,47,47,282,49.941631206,43.56,34.151666667,34.15035461
1053358671,GADI,VIJAYAKRISHNA,K,M.D. PHD,M,I,825 EASTLAKE AVE E,,SEATTLE,WA,98109,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,27,1708,21.039724824,5.0322189696,3.9452810304,3.9452810304
1053358671,GADI,VIJAYAKRISHNA,K,M.D. PHD,M,I,825 EASTLAKE AVE E,,SEATTLE,WA,98109,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,24,24,18.82,18.82
1053358762,FARNAN,LORI,A,M.D.,F,I,850 BOYLSTON ST,SUITE 402 FISH CENTER FOR WOMEN'S HEALTH,CHESTNUT HILL,MA,024672477,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,54,34.641818182,34.256363636
1053358762,FARNAN,LORI,A,M.D.,F,I,850 BOYLSTON ST,SUITE 402 FISH CENTER FOR WOMEN'S HEALTH,CHESTNUT HILL,MA,024672477,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,33.854545455,32.57
1053358820,PRITZ,LLOYD,M,O.D.,M,I,921 BLACK HORSE PIKE,,PLEASANTVILLE,NJ,082324129,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,19,68.421052632,62.808421053,38.916842105,34.389473684
1053358820,PRITZ,LLOYD,M,O.D.,M,I,921 BLACK HORSE PIKE,,PLEASANTVILLE,NJ,082324129,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,80.9,76.823,54.121,48.681
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,38,86,41.631162791,8.32,5.5361627907,5.5361627907
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,17,19,12.463684211,1.42,0.8821052632,0.8821052632
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,21,4.2276190476,1.8514285714,1.2095238095,0.9319047619
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,147.91666667,80.535,63.1375,42.86
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,48.636363636,25.002727273,19.599090909,14.06
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,18,100,7.8,3.22,2.3907,1.4697
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18,12.934166667,12.459166667
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,352.38638298,80.815319149,49.724893617,42.537021277
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,65,41.3975,29.747916667,26.970416667
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,7024,0.2967027335,0.0459980068,0.031732631,0.031732631
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1290,1.4681395349,0.1343488372,0.0989922481,0.0989922481
1053358853,MASTERSON,ROBERT,C,DO,M,I,1901 MISSION 66,,VICKSBURG,MS,391803711,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,42,42,63.642857143,33,23.288571429,23.288571429
1053358911,HETT,HOLLY,A,MD,F,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,27,74,95.030540541,8.32,6.1698648649,6.1698648649
1053358911,HETT,HOLLY,A,MD,F,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,37,15.433243243,1.42,0.9337837838,0.9337837838
1053359000,JANDRIC,JESSICA,F,PAC,F,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,70,74.323571429,8.32,4.9388571429,4.9388571429
1053359182,RIVERS,ROBERT,R,M.D.,M,I,302 RANDALL RD,SUITE 202,GENEVA,IL,601344209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,47,78,78.247692308,8.32,5.415,5.415
1053359182,RIVERS,ROBERT,R,M.D.,M,I,302 RANDALL RD,SUITE 202,GENEVA,IL,601344209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,11.6225,1.42,1.0266666667,1.0266666667
1053359182,RIVERS,ROBERT,R,M.D.,M,I,302 RANDALL RD,SUITE 202,GENEVA,IL,601344209,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,55,7.1527272727,2.0047272727,1.3650909091,1.3854545455
1053359182,RIVERS,ROBERT,R,M.D.,M,I,302 RANDALL RD,SUITE 202,GENEVA,IL,601344209,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,16,67.96875,13.35,9.821875,9.83875
1053359182,RIVERS,ROBERT,R,M.D.,M,I,302 RANDALL RD,SUITE 202,GENEVA,IL,601344209,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,40,148.2975,32.86975,21.86025,21.35925
1053359315,THOMPSON,JUDITH,L,M.D.,F,I,876 LOOP 337,BLDG 101,NEW BRAUNFELS,TX,781303518,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,19,55,44.469454545,36.28,28.443272727,30.624181818
1053359331,EDGERTON,WILLIAM,C,D.P.M.,M,I,9B DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,59,117,70.57,70.57,54.357521368,55.132307692
1053359331,EDGERTON,WILLIAM,C,D.P.M.,M,I,9B DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,175,42.96,42.96,33.681657143,34.15
1053359331,EDGERTON,WILLIAM,C,D.P.M.,M,I,9B DR OSMAN BABSON RD,,GLOUCESTER,MA,019301812,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,174,42.96,42.96,33.681666667,34.15
1053359356,AHN,JEANIE,,M.D.,F,I,1999 MOWRY AVE,SUITE R,FREMONT,CA,945381738,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,1.4087575758,0.5,0.3920909091,0.3920909091
1053359356,AHN,JEANIE,,M.D.,F,I,1999 MOWRY AVE,SUITE R,FREMONT,CA,945381738,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,24,24,17.919,17.919
1053359356,AHN,JEANIE,,M.D.,F,I,1999 MOWRY AVE,SUITE R,FREMONT,CA,945381738,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,16,16,11.704,11.704
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,66,164,55.240365854,8.32,6.0454268293,6.0454268293
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,22,34,52,16.320961538,1.42,1.0090384615,1.0090384615
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,455,29.57832967,4.4445054945,3.4844395604,2.3853186813
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6689,1.8793078188,0.9017491404,0.6914665869,0.5049304829
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,29,36,62.413333333,19.7825,14.301388889,12.403055556
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,1561.02,942.14,726.68333333,825.98666667
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,18.05,8.3833333333,5.965,3.19
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,54.56,38.96,29.100454545,23.753181818
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,424.92,347.66181818,272.56545455,272.56545455
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,29,306.8262069,86.227586207,63.643448276,50.963448276
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1631,0.2666830166,0.0482403433,0.0156468424,0.0156468424
1053359604,MCPHERSON,STEVEN,S,M.D.,M,I,200 MEDICAL DRIVE,SUITE B,FRANKLIN,LA,705384230,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,25,56.444,27.3248,19.2756,12.2872
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,432,4,3.53,2.7675,2.7675
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,74,78.9,8.32,5.7690540541,5.7690540541
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,15.818928571,1.42,0.9546428571,0.9546428571
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,1230,3.662195122,2.96,2.3206585366,2.3206585366
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,365,6.08,5.23,4.1003287671,4.1003287671
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1875,0.3068746667,0.27,0.2116693333,0.2116693333
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,48,12,8.235,6.45625,6.43
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,40,4.862,4.31,3.378,3.378
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,169.4,52.94,41.5,41.5
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,365,4.43,3.81,2.9870410959,2.9870410959
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1600,1074.31,842.26,842.26
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,521.2,78.49,55.832857143,53.404285714
1053359760,BALASUBRAHMANYAN,RAVI,,MD,M,I,1026 W 7TH STREET,,ST PAUL,MN,551023007,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,103.52,40.62,27.3,26.634285714
1053359778,HUDSON,TONIA,,P.A.,F,I,3440 BELL ST UNIT 122,,AMARILLO,TX,79119,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,35.97,17.27,13.54,13.54
1053359778,HUDSON,TONIA,,P.A.,F,I,3440 BELL ST UNIT 122,,AMARILLO,TX,79119,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,455,68.78,49.426666667,50.244166667
1053360024,SPALDING,ALANSON,R,M.D.,M,I,329 COATSLAND DR,,JACKSON,TN,383013912,US,Thoracic Surgery (Cardiothoracic Vascular Surgery),T,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,26.324166667,26.4875
1053360172,DINCHER,GARY,M,D.P.M.,M,I,445 RIVER AVE,,WILLIAMSPORT,PA,177013722,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,109.61,71.56,56.105,56.105
1053360271,HIBBITTS,JOHN,M,M.D.,M,I,22971 HIGHWAY 76 E,,CLINTON,SC,293257529,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,119.49625,28.289375,22.174375,21.6775
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,29,78,217,73.628110599,8.32,5.7108294931,5.7108294931
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,37,49,15.950408163,1.42,1.0244897959,1.0244897959
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,72,8.0044444444,2.0216666667,1.3238888889,1.3295833333
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,23,25,211.7184,43.9616,22.9876,24.4268
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,292.2225,75.43,59.13,54.72
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2103,1.4862054208,0.0455967665,0.0357727057,0.0357727057
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,87.1275,40.62,31.85,29.52
1053360305,TREMAGLIO,RALPH,,MD,M,I,305 CHURCH ST,SUITE 6,NAUGATUCK,CT,067702836,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,34.5,33,25.87,25.87
1053360743,DESIR,MERGIE,,"M.D. , M. P. H.",F,I,7580 184TH ST,,FRESH MEADOWS,NY,113661715,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,58,75.06362069,8.32,3.6536206897,3.6536206897
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,3987.5,1074.31,837.7765625,837.7765625
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,218.11,79.321875,58.45875,60.24625
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,133.125,7.1235714286,5.1428571429,3.1871428571
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,693.21435897,78.457948718,56.476923077,49.959230769
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,5748,0.3777731385,0.0460177453,0.0344832985,0.0344832985
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1410,3.1981702128,0.1332553191,0.0890070922,0.0890070922
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,10.377263158,2.97,2.2053684211,2.2053684211
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,89,6592,62.877360437,46.712273968,36.544083738,36.544083738
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,644,993.33307453,567.7357764,444.87571429,444.87571429
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,266,38.72,28.98,28.178181818
1053360776,VENDER,ROBERT,L,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,19,136,136,45.176470588,33,25.109117647,25.109117647
1053360834,HENDERSON,SANDRA,E,M.D.,F,I,2025 BIGHORN RD,,FORT COLLINS,CO,80525,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,70.48,48.19,47.748333333
1053360834,HENDERSON,SANDRA,E,M.D.,F,I,2025 BIGHORN RD,,FORT COLLINS,CO,80525,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,39.6,31.05,29.638333333
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,28,82,53.665121951,8.32,6.3629268293,6.3629268293
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,24,15.741666667,1.42,1.1133333333,1.1133333333
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,29,39.923103448,25.682413793,17.925862069,12.546896552
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,22,52,6.1442307692,3.2611538462,2.2838461538,1.4928846154
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,35.323333333,22.149166667,16.949166667,13.321388889
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,54.254166667,5.235,3.5266666667,2.8258333333
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,135,46.858,36.740666667,24.936
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,57,57,325.24701754,102.42,76.250877193,51.745614035
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,97.4,29.184285714,22.880714286,14.034285714
1053361055,CULWELL,CODY,,MD,M,I,1010 S 4TH ST,,CANADIAN,TX,790143315,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1053361212,ZOLTICK,JEREL,M,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,38,71.090526316,20.498157895,15.324736842,12.861842105
1053361212,ZOLTICK,JEREL,M,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,28,388.28678571,85.269285714,65.694285714,54.2
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,27,57,97,43.471443299,8.32,5.0443298969,5.0443298969
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,21,25,40.128,1.42,0.9824,0.9824
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,58.121304348,17.27,12.061304348,12.061304348
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,48.89516129,12.87483871,10.096774194,10.141935484
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,28.99975,4.67,3.3715,3.2165
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,179.71454545,34.256666667,26.856666667,26.047575758
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,38,379.50131579,73.887631579,55.046842105,55.046842105
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,3360,0.3526785714,0.0461755952,0.0296636905,0.0296636905
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,57,7763,1.7802112585,0.1347984027,0.096966379,0.096966379
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,114.12,38.266,29.998,30.784666667
1053361238,DHILLON,SARTAJ,K,MD,F,I,11051 N SHERMAN RD,,EDGERTON,WI,535349002,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,53,53,66.622641509,33,23.460943396,23.460943396
1053361246,SIRAGUSA,JENIFER,A,DO,F,I,111 ANNA ST,,WATERLOO,WI,535941184,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,62,89.334677419,8.32,5.6570967742,5.6570967742
1053361311,READ,WILLIAM,J,M.D.,M,I,2600 TOWER DR,SUITE 111,MONROE,LA,712015766,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,89,89,89,67.543258427,58.288764045,43.498314607,50.085168539
1053361311,READ,WILLIAM,J,M.D.,M,I,2600 TOWER DR,SUITE 111,MONROE,LA,712015766,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,20,27.85,27.3595,19.412,26.812
1053361311,READ,WILLIAM,J,M.D.,M,I,2600 TOWER DR,SUITE 111,MONROE,LA,712015766,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,34,51.818823529,50.678823529,35.914705882,39.159705882
1053361311,READ,WILLIAM,J,M.D.,M,I,2600 TOWER DR,SUITE 111,MONROE,LA,712015766,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,55,55,98,49.451020408,48.834591837,37.486734694,42.206734694
1053361311,READ,WILLIAM,J,M.D.,M,I,2600 TOWER DR,SUITE 111,MONROE,LA,712015766,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,35,35,65,63.586923077,63.586923077,46.007076923,49.958
1053361311,READ,WILLIAM,J,M.D.,M,I,2600 TOWER DR,SUITE 111,MONROE,LA,712015766,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,29,22.616896552,21.41,16.785517241,14.182758621
1053361329,MATTHEIS,JOHN,R,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,37,85,60.461764706,8.32,5.9612941176,5.9612941176
1053361329,MATTHEIS,JOHN,R,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,34.786216216,5.4532432432,3.8121621622,3.1662162162
1053361329,MATTHEIS,JOHN,R,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,6.34,3.34,2.5156521739,2.1965217391
1053361329,MATTHEIS,JOHN,R,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,60.247368421,25.442631579,17.194210526,13.073157895
1053361329,MATTHEIS,JOHN,R,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,123.12,54.742727273,42.918181818,38.898181818
1053361329,MATTHEIS,JOHN,R,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,23.97,10.227692308,7.3788461538,6.5226923077
1053361329,MATTHEIS,JOHN,R,MD,M,I,555 E CHEVES ST,,FLORENCE,SC,295062617,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,132,33,25.87,25.87
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,24,63,68.246190476,8.32,6.2123809524,6.2123809524
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,21,14.593809524,1.42,1.1147619048,1.1147619048
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,64.642083333,23.622916667,17.342083333,12.653333333
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,32.995882353,8.9570588235,7.0205882353,3.8411764706
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,62,62,365.81806452,109.51645161,83.036935484,56.816451613
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,51.63,45.33,35.541111111,30.311481481
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.7882916667,8.7882916667
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3547,0.141291232,0.0459261348,0.0334197914,0.0334197914
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1199,1.0288490409,0.1426438699,0.1095746455,0.1095746455
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1500,12.87226,3.01128,2.3241333333,2.3241333333
1053361378,AVERSA,ALPHONSE,,MD,M,I,90 S BEDFORD RD,CARE MOUNT MEDICAL RD,MOUNT KISCO,NY,105493412,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,35,107.65714286,33,25.130857143,25.130857143
1053361386,SAWIN,PAUL,D,M.D.,M,I,1605 W FAIRBANKS AVE,,WINTER PARK,FL,327894603,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,49,49,49,4995,4378.96,3430.1818367,3430.1818367
1053361386,SAWIN,PAUL,D,M.D.,M,I,1605 W FAIRBANKS AVE,,WINTER PARK,FL,327894603,US,Physician/Neurosurgery,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,1581.96,1323.702,1028.22,876.936
1053361550,KLOTS,LARISA,,DO,F,I,B3 BRIER HILL CT,,EAST BRUNSWICK,NJ,088163330,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,28,73,176,59.421818182,8.32,5.7175568182,5.7175568182
1053361550,KLOTS,LARISA,,DO,F,I,B3 BRIER HILL CT,,EAST BRUNSWICK,NJ,088163330,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,11.675,3.38,2.2083333333,2.2083333333
1053361550,KLOTS,LARISA,,DO,F,I,B3 BRIER HILL CT,,EAST BRUNSWICK,NJ,088163330,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,22,53,73,17.45260274,1.42,1.0095890411,1.0095890411
1053361576,KANTAMNENI,RAVINDRANATH,V,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,450,4.7641111111,2.5912,1.8921777778,1.8921111111
1053361576,KANTAMNENI,RAVINDRANATH,V,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,24,24,17.251666667,17.251666667
1053361576,KANTAMNENI,RAVINDRANATH,V,M.D.,M,I,1540 E MAIN ST,,DOTHAN,AL,363013012,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,22,16,16,12.54,12.54
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,14,48,81.473958333,8.32,6.5227083333,6.5227083333
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,3.1,1.47,0.8625,0.8625
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.24,0.7275,0.72
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,46.89,4.598,3.19,3.188
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,360,70.23,51.389333333,51.072
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,3545,0.4622172073,0.0465698166,0.0294894217,0.0294866008
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,18.750909091,14.701818182,13.496363636
1053361691,BRYAN,KIMBERLY,R,M.D.,F,I,6701 AIRPORT BLVD,SUITE A101,MOBILE,AL,366086705,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,20.696,20.696
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,26,62,72.094032258,8.32,5.8898387097,5.8898387097
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,17,20,16.625,1.42,1.005,1.005
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,122.27789474,39.85,30.932105263,30.221578947
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,206.46,53.63,42.04,42.85
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,91,8.8250549451,2.26,1.7716483516,1.5934065934
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,52.078518519,17,12.342592593,12.556296296
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,150,32.857142857,25.76,25.612380952
1053361816,KELLY,MARY,A,MD,F,I,1900 RIDGE RD,STE 130,WEST SENECA,NY,142243332,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,330.16066667,77.18,55.066888889,49.791777778
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,44,162,330,56.591090909,8.32,5.4408484848,5.4408484848
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,28,36,13.971111111,1.42,0.93,0.93
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,238.91363636,56.999090909,40.692727273,39.058181818
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,74,9.7186486486,1.87,1.3062162162,1.4251351351
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,17,86.31,17.5,13.72,13.550588235
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,55,489.97745455,77.18,56.472181818,51.208727273
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,250,39.65,28.499166667,27.1825
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,15.58,9.6349285714,7.3829761905,7.3829761905
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,2174,0.2797056118,0.0449264029,0.0352023919,0.0352023919
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,30.95,23.883333333,13.985555556,19.629444444
1053361915,CRUZ,ABELARDO,C,MD,M,I,8901 W DODGE RD,,OMAHA,NE,681143321,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,93.260869565,33,25.87,25.87
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,420,25.285714286,5.54,4.3433333333,4.163
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,2.36,0.31,0.2430444444,0.2430444444
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,23,23,183.65565217,51.751304348,37.45173913,36.744347826
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,135,53.315,41.8,41.272727273
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,65.199285714,17.29,13.55,13.53
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1900,1074.31,842.26,842.26
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,20.527916667,4.8841666667,3.5016666667,3.5195833333
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,32.955,25.8375,25.325
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,117.14285714,49.577142857,36.436428571,35.866428571
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,342.97890909,70.23,52.094363636,51.840909091
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1680,2.465452381,0.0782142857,0.0549285714,0.0549285714
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,29,29,82.155172414,18.945862069,14.736551724,13.788965517
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64.57,37.44,29.35,29.51
1053361956,CRUMLISH,MARY,A,PA-C,F,I,16271 BASS RD,,FORT MYERS,FL,339083616,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,44.647058824,33,24.348235294,24.348235294
1053361972,HILL,MATTHEW,L,DO,M,I,1221 PLEASANT ST,STE 100,DES MOINES,IA,50309,US,Physician/Medical Oncology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,15,5.36,4.0036944444,3.9643611111
1053361972,HILL,MATTHEW,L,DO,M,I,1221 PLEASANT ST,STE 100,DES MOINES,IA,50309,US,Physician/Medical Oncology,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5645,2.1045172719,0.6690504872,0.511785651,0.5048786537
1053361972,HILL,MATTHEW,L,DO,M,I,1221 PLEASANT ST,STE 100,DES MOINES,IA,50309,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,23,2006,38.875388833,5.4552542373,4.2054037886,4.2054037886
1053361972,HILL,MATTHEW,L,DO,M,I,1221 PLEASANT ST,STE 100,DES MOINES,IA,50309,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,24,24,18.82,18.82
1053361972,HILL,MATTHEW,L,DO,M,I,1221 PLEASANT ST,STE 100,DES MOINES,IA,50309,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,16,16,16,12.540625,12.540625
1053362004,EARING,MICHAEL,G,MD,M,I,9000 W WISCONSIN AVE,PEDIATRIC CARDIOLOGY,MILWAUKEE,WI,532264874,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,462.66666667,79.35,47.885416667,42.254166667
1053362004,EARING,MICHAEL,G,MD,M,I,9000 W WISCONSIN AVE,PEDIATRIC CARDIOLOGY,MILWAUKEE,WI,532264874,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,240,37.46,26.9225,27.065833333
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,118.24,55.4536,42.058,44.3164
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,70,70,70,118.24,91.570571429,71.795571429,78.487714286
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,127.78,127.21,99.73,89.01125
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,95,96,96,400,300.5321875,225.1521875,244.99291667
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,37,600,380.52756757,280.44405405,287.20918919
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,75,76,77,73,54.671948052,41.780519481,45.175324675
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,234,241,282,350,240.08042553,177.07716312,175.1235461
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,26,80,77.884615385,61.058461538,67.031153846
1053362046,GATES,HERBERT,S,M.D.,M,I,681 GOODLETTE RD N,SUITE 220,NAPLES,FL,341025612,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,97,102,117,300,189.24897436,141.33264957,139.67786325
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,18,58,1638,9.1216117216,3.6682539683,2.8584432234,3.0280891331
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,32,57,17.84245614,8.28,6.4901754386,6.4901754386
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,41,64,18.72953125,4.1,3.16296875,3.16296875
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,23,88,2350,12.076251064,5.7619574468,4.3299148936,4.3126978723
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,21,80,1581,5.1322643896,2.9442820999,2.2736116382,2.2467488931
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,23,78,558,14.304516129,6.4394982079,4.7173655914,4.7177240143
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,23,91,2865,23.55625829,9.86,7.5261116928,7.5261116928
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,33,113,3405,15.423926579,7,5.2621174743,5.2621174743
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,34,725,12.567641379,5.535862069,4.1567448276,4.16
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,2460,4.2946138211,1.95,1.4915203252,1.4915203252
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,26,84,3090,8.3834110032,4.03,3.1077281553,3.1077281553
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,34,680,6.4866764706,3.13,2.2782794118,2.2782794118
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,250,12.182,7.3268,5.51668,5.5198
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,230,10.243,4.04,3.1672173913,3.1672173913
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,1244,0.9366961415,0.4,0.3136254019,0.3136254019
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,66,24.621818182,1.37,1.0739393939,1.2534848485
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,44,106,7430,0.7302409152,0.270269179,0.2061776581,0.2059650067
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,26,73,2840,6.7602570423,3.0395774648,2.2487535211,2.2490774648
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,46,102,5630,0.7489573712,0.2407815275,0.1820817052,0.2034920071
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,347,18.936714697,13.075216138,9.7189337176,9.7485878963
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,106,79.228867925,9.3367924528,7.3196226415,7.3196226415
1053362137,ROBB,BRUCE,W,MD,M,I,550 UNIVERSITY BLVD,SUITE 1295,INDIANAPOLIS,IN,462025149,US,Physician/Colorectal Surgery (Proctology),S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,108,192.40740741,29.178518519,22.876018519,22.875925926
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,357,38.6,7.3301680672,5.3986554622,3.8465266106
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3888,0.42,0.3664789095,0.2819495885,0.2847093621
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,9777,2.2857931881,0.6920435716,0.5259230848,0.500801882
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,444.75,82.92,65.011818182,48.32
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,55.68,44.08,32.739583333,35.299166667
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,61,79.149016393,17,12.130327869,12.344590164
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,49.142391304,5.1186956522,3.7989130435,3.4904347826
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,79,82,398.50207317,71,51.51402439,50.640609756
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,73,73,28.274246575,16.97109589,12.552465753,12.946986301
1053362178,KUMAR,SANJEEV,,MD,M,I,819 N FANT ST,,ANDERSON,SC,296215717,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,37,37,11.400540541,6.7810810811,5.1340540541,6.3389189189
1053362210,DORRELL,SEAN,G,MD,M,I,860 SPRINGDALE DR,SUITE 100,EXTON,PA,19341,US,Physician/Neurology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,5220,4.1935191571,0.5636896552,0.4260689655,0.4260689655
1053362210,DORRELL,SEAN,G,MD,M,I,860 SPRINGDALE DR,SUITE 100,EXTON,PA,19341,US,Physician/Neurology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,3840,3.1450052083,1.1115,0.8340416667,0.8340416667
1053362210,DORRELL,SEAN,G,MD,M,I,860 SPRINGDALE DR,SUITE 100,EXTON,PA,19341,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,24,24,18.147857143,18.147857143
1053362210,DORRELL,SEAN,G,MD,M,I,860 SPRINGDALE DR,SUITE 100,EXTON,PA,19341,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,42,16,16,12.54,12.54
1053362426,BUTNER,MICHAEL,R,MD,M,I,250 BOSWELL ST,,LEXINGTON,TN,383511566,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,27,81,79.620123457,8.32,6.2808641975,6.2808641975
1053362426,BUTNER,MICHAEL,R,MD,M,I,250 BOSWELL ST,,LEXINGTON,TN,383511566,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,62.5,22.4775,16.820833333,12.788333333
1053362426,BUTNER,MICHAEL,R,MD,M,I,250 BOSWELL ST,,LEXINGTON,TN,383511566,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,328.4,101.3132,74.65,62.5036
1053362541,HAYCOCK,DARRYL,M,D.P.M.,M,I,2311 BATON ROUGE,,LIMA,OH,458051129,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,275,251.28,197,218.89
1053362574,JORDAN,CHRISTOPHER,S,M.D.,M,I,200 MIFFLIN AVE,,SCRANTON,PA,185031982,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,51.470588235,51.470588235,35.836470588,48.713529412
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,32,64,287,66.827630662,8.32,6.1591289199,6.1591289199
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,19,48,14.950833333,1.42,0.9270833333,0.9270833333
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,37,37,89.613243243,39.933513514,29.635945946,29.234864865
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,19,40,40,481.12675,85.54525,64.991,65.7155
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,17,39,84,141.23107143,32.917738095,24.98702381,25.08797619
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,26,104,80.733076923,19.217115385,14.227307692,14.227307692
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,66,69.413636364,15.21,10.479545455,10.454848485
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,21,35,35,230.71028571,54.787428571,39.333428571,39.922857143
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,36,53,53,89.747924528,18.058301887,13.644716981,13.557924528
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,72.647272727,10.7,7.6272727273,7.4090909091
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,41,41,153.00146341,12.21,8.6363414634,8.2412195122
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,41,85,379,10.343878628,2.0477044855,1.5147757256,1.522585752
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,24,24,19.667916667,5.9675,4.6758333333,4.6679166667
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,18,24,24,58.32,13.07,10.25,10.345833333
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,94,94,116.36808511,17.126595745,11.90893617,12.008404255
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,291.10545455,88.49,69.375,69.890454545
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,18,76,76,75.431578947,13.136842105,9.4843421053,9.6646052632
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,29,43.396551724,4.3113793103,3.3796551724,3.7593103448
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,15,78,78,120.69730769,32.539358974,23.452564103,23.433846154
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,10.23,5.3054545455,4.1663636364,4.0154545455
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,32,228,229,718.81899563,66.146812227,47.416331878,50.175764192
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2625,0.2099085714,0.0472342857,0.0370247619,0.0370247619
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,62.395833333,17.583333333,11.768333333,12.030833333
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,170,28.09,22.025714286,22.808571429
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,577.42,161.62333333,126.71666667,126.71
1053362673,ARNOTT,TIMOTHY,J,MD,M,I,6161 CLARK RD,STE 5,PARADISE,CA,959694164,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,118.5,33,24.694090909,24.694090909
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,22,49,133,69.714661654,8.32,6.5216541353,6.5216541353
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,22,14.265909091,1.42,1.1127272727,1.1127272727
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,453.38352941,87.6,55.993529412,55.354117647
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,44,182.18818182,33.259090909,21.179090909,21.023181818
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,88,93.062727273,18.781136364,11.890909091,11.740113636
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,255.09,55.83,39.864444444,39.124444444
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,23,23,77.080869565,17.933478261,12.850434783,12.860869565
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,35,35,86.276,11.500285714,8.7651428571,8.8834285714
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,16,37,191,12.716753927,2.0077486911,1.5672774869,1.5841884817
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,43.119285714,13.140714286,9.5592857143,9.5864285714
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,33,86.31,18.56,12.83969697,11.893636364
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,25,40.04,13.5,10.1568,10.0888
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,31,254.16290323,35.411290323,26.969032258,25.810322581
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,35,588.35857143,81.394571429,57.154857143,48.859428571
1053362681,CIANCIOLO,MATTHEW,,DO,M,I,20 NE SAINT LUKES BLVD,STE. 200,LEES SUMMIT,MO,640866001,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,20.454545455,16.036363636,14.289090909
1053362723,IBACH,MICHAEL,B,M.D.,M,I,1375 ROBERTS DR,STE 204,JACKSONVILLE BEACH,FL,322503210,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5280,2.278125,0.3193333333,0.2494886364,0.2474943182
1053362822,ORCUTT,DANIEL,R,MD,M,I,1240 EAGLES LANDING PKWY,SUITE 300,STOCKBRIDGE,GA,30281,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.6,9.2927272727,7.2936363636,7.0981818182
1053362822,ORCUTT,DANIEL,R,MD,M,I,1240 EAGLES LANDING PKWY,SUITE 300,STOCKBRIDGE,GA,30281,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,86.195652174,18.782608696,14.110869565,13.186956522
1053362822,ORCUTT,DANIEL,R,MD,M,I,1240 EAGLES LANDING PKWY,SUITE 300,STOCKBRIDGE,GA,30281,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,218.92307692,118.89384615,93.218461538,102.50923077
1053362822,ORCUTT,DANIEL,R,MD,M,I,1240 EAGLES LANDING PKWY,SUITE 300,STOCKBRIDGE,GA,30281,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,24,24,183.57583333,127.21,86.170416667,76.17125
1053362822,ORCUTT,DANIEL,R,MD,M,I,1240 EAGLES LANDING PKWY,SUITE 300,STOCKBRIDGE,GA,30281,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,580.66666667,266.98,207.53583333,215.52
1053362855,NORRIS,BEATRICE,,NP,F,I,400 TAYLOR RD,,MONTGOMERY,AL,361173512,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,52,61.645192308,8.32,6.3973076923,6.3973076923
1053362939,MURFF,RONALD,E,M.D.,M,I,1300 OLD WEISGARBER RD,,KNOXVILLE,TN,379091291,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,36,107,74.228317757,8.32,5.9842056075,5.9842056075
1053362939,MURFF,RONALD,E,M.D.,M,I,1300 OLD WEISGARBER RD,,KNOXVILLE,TN,379091291,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,13,16.555384615,1.42,1.1184615385,1.1184615385
1053362939,MURFF,RONALD,E,M.D.,M,I,1300 OLD WEISGARBER RD,,KNOXVILLE,TN,379091291,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,19,608.28842105,87,64.62,52.558947368
1053362939,MURFF,RONALD,E,M.D.,M,I,1300 OLD WEISGARBER RD,,KNOXVILLE,TN,379091291,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,521.76,130.80090909,102.54727273,54.818181818
1053362970,BERGER,MITCHELL,R,MD,M,I,1999 MARCUS AVE,SUITE M14,NEW HYDE PARK,NY,110421023,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,22,83.823181818,8.32,5.3386363636,5.3386363636
1053363002,DILELLA,MARK,J,DO,M,I,1260 INNOVATION PKWY #100,,GREENWOOD,IN,461433602,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,60,60,47.04,97.458181818
1053363176,SUNDARAM,MALATHY,T,MD,F,I,60 ROCHESTER HILL RD STE 7,,ROCHESTER,NH,038673235,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,63,82.111111111,8.32,5.7977777778,5.7977777778
1053363226,NIGH,ANDREW,D,MD,M,I,1801 N SENATE BLVD,SUITE 635,INDIANAPOLIS,IN,462021239,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,480,11.044,7,5.2884166667,5.2884166667
1053363226,NIGH,ANDREW,D,MD,M,I,1801 N SENATE BLVD,SUITE 635,INDIANAPOLIS,IN,462021239,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,470,4.5153829787,3.04,2.282,2.282
1053363325,MASOOD,SYED,A,MD,M,I,3214 CHARLES B ROOT WYND,SUITE 211,RALEIGH,NC,276125440,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,62,44.868870968,8.32,5.9964516129,5.9964516129
1053363325,MASOOD,SYED,A,MD,M,I,3214 CHARLES B ROOT WYND,SUITE 211,RALEIGH,NC,276125440,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,491.39842105,86.84,64.496842105,52.552105263
1053363325,MASOOD,SYED,A,MD,M,I,3214 CHARLES B ROOT WYND,SUITE 211,RALEIGH,NC,276125440,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,27,3029,1.8818058765,0.1395708155,0.105830307,0.105830307
1053363325,MASOOD,SYED,A,MD,M,I,3214 CHARLES B ROOT WYND,SUITE 211,RALEIGH,NC,276125440,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,39.51,28.398333333,27.050833333
1053363325,MASOOD,SYED,A,MD,M,I,3214 CHARLES B ROOT WYND,SUITE 211,RALEIGH,NC,276125440,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,31,31,56.225806452,33,25.035483871,25.035483871
1053363499,MURATA,PAUL,J,M.D.,M,I,21311 MADRONA AVE,SUITE 100-A,TORRANCE,CA,905035970,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,49,110,78.875272727,8.32,5.8700909091,5.8700909091
1053363499,MURATA,PAUL,J,M.D.,M,I,21311 MADRONA AVE,SUITE 100-A,TORRANCE,CA,905035970,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,27,34,15.996470588,1.42,1.0520588235,1.0520588235
1053363515,RODRIGUEZ,EDUARDO,E,M.D.,M,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,16,90,82.258,8.32,5.8703333333,5.8703333333
1053363515,RODRIGUEZ,EDUARDO,E,M.D.,M,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,30,30,57.398666667,19.791666667,15.026666667,13.39
1053363515,RODRIGUEZ,EDUARDO,E,M.D.,M,I,3525 PRYTANIA ST.,SUITE 526,NEW ORLEANS,LA,701153585,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,19.445789474,9.4936842105,7.0784210526,6.1594736842
1053363580,AGOSTO,MADELINE,,M.D.,F,I,915 W MARKET ST,,LIMA,OH,458052768,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,43,104,225,52.865777778,8.32,5.2776888889,5.2776888889
1053363580,AGOSTO,MADELINE,,M.D.,F,I,915 W MARKET ST,,LIMA,OH,458052768,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,11.765,3.38,2.65,2.65
1053363580,AGOSTO,MADELINE,,M.D.,F,I,915 W MARKET ST,,LIMA,OH,458052768,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,23,41,52,10.493269231,1.42,0.9242307692,0.9242307692
1053363663,BRAR,HARJEET,S,M.D.,M,I,3850 RIVERLAKES DR,SUITE B,BAKERSFIELD,CA,933126662,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,38,68.617631579,8.32,6.1789473684,6.1789473684
1053363663,BRAR,HARJEET,S,M.D.,M,I,3850 RIVERLAKES DR,SUITE B,BAKERSFIELD,CA,933126662,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.98,12.200833333,12.4075
1053363663,BRAR,HARJEET,S,M.D.,M,I,3850 RIVERLAKES DR,SUITE B,BAKERSFIELD,CA,933126662,US,Physician/Nephrology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1993.54,913.16,715.92,831.73166667
1053363663,BRAR,HARJEET,S,M.D.,M,I,3850 RIVERLAKES DR,SUITE B,BAKERSFIELD,CA,933126662,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,72.06,51.791666667,50.316666667
1053363747,HUANG,DAVID,T,M.D.,M,I,444 NW ELKS DR,,CORVALLIS,OR,973303745,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,70,68.55,52.034782609,51.145217391
1053363747,HUANG,DAVID,T,M.D.,M,I,444 NW ELKS DR,,CORVALLIS,OR,973303745,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,37,74.459459459,72.113513514,55.004324324,52.786486486
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,45,1361,6.18,5.21,3.7797060985,3.7957384276
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,A7520,"Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,63.43,53.44,41.9,41.9
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,13,123,3732,5.8,4.98,3.7962299035,4.0559539121
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,730,4.51,4.02,3.0021506849,3.0972876712
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,23,40.18,26.67,20.91,20.480434783
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,62,23131,0.43,0.37,0.2696848385,0.2696848385
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,30,14617,0.35,0.3,0.2263556133,0.2342450571
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,9117,1.57,1.24,0.9545793572,0.9310573654
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5428,0.73,0.64,0.4753242447,0.4910058954
1053363820,PATEL,DILIP,R,MD,M,I,2501 HARBOR BLVD,,COSTA MESA,CA,926266143,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,14,145,145,5.95,5.1,3.8896551724,3.8410344828
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,31,80,278,75.572913669,8.32,5.8743884892,5.8743884892
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.921666667,3.38,2.4291666667,2.4291666667
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,18,29,52,15.182307692,1.42,1.0944230769,1.0944230769
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,300,24.6872,9.86,7.7301,7.7301
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,120,7.038,3.04,2.3830833333,2.3830833333
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,31,60,8.19,2.052,1.5676666667,1.1483333333
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,472.59692308,126.42692308,79.090769231,52.190769231
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,22,37,176.28648649,47.579459459,30.158378378,20.659189189
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,84.214,26.153333333,17.123333333,11.456666667
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,96.727333333,22.779333333,17.186666667,8.512
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,34,128,12.37125,3.0678125,2.1446875,1.406484375
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,4.1,3.2143548387,2.3677419355
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7254,3,0.4792307692,0.3559318996,0.2703019024
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,12,23,53.686956522,11.875652174,9.3117391304,7.317826087
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,28,64.495,22.407142857,16.711071429,14.015357143
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,45,50.73,7.0615555556,5.2928888889,3.2542222222
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,35,239.98857143,55.031428571,38.959142857,22.828857143
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,64,472.42046875,98.1434375,72.08625,56.82859375
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,47,10510,0.1751836346,0.0459343482,0.0354852521,0.0354843007
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,3150,0.9662507937,0.1332190476,0.0871396825,0.0871396825
1053363861,PRUSS,MARTIN,W,MD,M,I,1406 W BELLA DR,,MARION,IN,469535229,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,74,74,127.98648649,33,23.964054054,23.964054054
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,39,106,292,61.770273973,8.32,5.9860616438,5.9860616438
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,14.505,3.38,2.65,2.65
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,20,40,70,16.658,1.42,1.0504285714,1.0504285714
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,197.72727273,48.642727273,38.137272727,38.385454545
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,71.359166667,17.04,13.36,13.515833333
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,217.82105263,28.9,19.082105263,19.828947368
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,52.352941176,12.622352941,8.8764705882,7.6147058824
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,75,75,386.4736,74,57.2464,54.746
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,82.352941176,18.310588235,12.530588235,11.881176471
1053363887,HOLMSTROM,TALLULAH,,MD,F,I,710 DEWITT DR,,LUGOFF,SC,290789069,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,245.48,38.78,28.373333333,27.542666667
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,36,53.098611111,8.32,5.6155555556,5.6155555556
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,33.039166667,1.42,1.0266666667,1.0266666667
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,140.48846154,76.870769231,56.64,39.563076923
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,48.062727273,25.012727273,17.061818182,11.654545455
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,48.4375,20.4325,15.38625,8.55
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,58,6.5172413793,2.9806896552,2.2768965517,1.5368965517
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,291.325,102.61833333,77.964583333,52.449583333
1053363903,KOENIGS,MARY,C,MD,F,I,10988 BARTEL BLVD,,GALENA,IL,610368222,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,103,45.15,33.675333333,27.792
1053364224,BRUNS,CRISTIN,M,MD,F,I,9228 S MINGO RD,SUITE 200,TULSA,OK,741335718,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,16,38,455,56.535472527,19.657538462,15.087164835,15.087164835
1053364224,BRUNS,CRISTIN,M,MD,F,I,9228 S MINGO RD,SUITE 200,TULSA,OK,741335718,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,16,37,1090,7.8064678899,2.6344954128,1.8901926606,1.8901926606
1053364224,BRUNS,CRISTIN,M,MD,F,I,9228 S MINGO RD,SUITE 200,TULSA,OK,741335718,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,43,53,122,701,68.055991441,8.3085021398,6.3723680456,6.3813837375
1053364224,BRUNS,CRISTIN,M,MD,F,I,9228 S MINGO RD,SUITE 200,TULSA,OK,741335718,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,20,58,11.096206897,1.42,1.0934482759,1.0934482759
1053364224,BRUNS,CRISTIN,M,MD,F,I,9228 S MINGO RD,SUITE 200,TULSA,OK,741335718,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,699.46533333,361.182,283.166,283.166
1053364224,BRUNS,CRISTIN,M,MD,F,I,9228 S MINGO RD,SUITE 200,TULSA,OK,741335718,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,18,90,91,256.48153846,251.01142857,195.08758242,195.16450549
1053364224,BRUNS,CRISTIN,M,MD,F,I,9228 S MINGO RD,SUITE 200,TULSA,OK,741335718,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,272.83333333,263.77733333,206.8,207.1
1053364232,KOPEC,ROBERT,,M.D.,M,I,3231 MCMULLEN BOOTH RD,,SAFETY HARBOR,FL,346956607,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,75,20.688333333,16.221666667,13.825
1053364257,PALMA,RUTH,S,NP,F,I,3680 NW SAMARITAN DR,,CORVALLIS,OR,973303737,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,83,84.882289157,8.32,5.9728915663,5.9728915663
1053364299,HOWELL,DEREK,L,PA-C,M,I,110 N 29TH ST,SUITE 302,NORFOLK,NE,687014424,US,Physician Assistant,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,180,12.051833333,11.651,9.1343333333,14.503944444
1053364299,HOWELL,DEREK,L,PA-C,M,I,110 N 29TH ST,SUITE 302,NORFOLK,NE,687014424,US,Physician Assistant,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,28,191,8.7855497382,8.6051308901,6.3914659686,7.9754450262
1053364299,HOWELL,DEREK,L,PA-C,M,I,110 N 29TH ST,SUITE 302,NORFOLK,NE,687014424,US,Physician Assistant,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,148,25.569324324,0.45,0.3385135135,0.3385135135
1053364315,ANSARI,MASOOD,U,MD,M,I,3100 E FLETCHER AVE,,TAMPA,FL,336134613,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,37,56.931891892,8.32,4.9743243243,4.9743243243
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,25,68,70.769852941,8.3008823529,5.8358823529,5.8508823529
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,16,12.958125,1.42,1.04625,1.04625
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,15,38.656,28.439333333,22.294,22.294
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,31,15.865806452,10.922258065,8.2877419355,8.2877419355
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,363,6.26,3,2.3519834711,2.3664187328
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5509,1.38,0.6398838265,0.5016627337,0.5160265021
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.27,11.485833333,11.485833333
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,431,69.81,50.820714286,50.820714286
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,15.58,9.6212,7.3836,7.3836
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,1125,0.17,0.0467466667,0.0366133333,0.0366133333
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,3.0455333333,2.3877222222,2.3877222222
1053364349,AGUERO-MEDINA,CARLOS,,MD,M,I,301 E STATE ST,,ROCKFORD,IL,611041012,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,25.87,25.87
1053364430,DUNCAN,DAVID,B,MD,M,I,1945 ROUTE 33,1ST FLOOR AMDUR PAVILLION,NEPTUNE,NJ,077532605,US,Physician/Neurology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,4.56,1.73,1.3378208333,1.5808708333
1053364430,DUNCAN,DAVID,B,MD,M,I,1945 ROUTE 33,1ST FLOOR AMDUR PAVILLION,NEPTUNE,NJ,077532605,US,Physician/Neurology,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1488.4,966.44230769,746.65538462,746.65538462
1053364521,OVERSTREET,WILLIAM,L,MD,M,I,420 5TH AVE WEST,STE 300,HENDERSONVILLE,NC,28739,US,Physician/Plastic and Reconstructive Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,945,110.4025,86.5575,124.3425
1053364521,OVERSTREET,WILLIAM,L,MD,M,I,420 5TH AVE WEST,STE 300,HENDERSONVILLE,NC,28739,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,4143,653.2325,512.1375,447.53666667
1053364745,CAMNITZ,PAUL,S,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,601,10.524758735,5.23,3.8038269551,3.8038269551
1053364745,CAMNITZ,PAUL,S,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,33,320,7.554375,3.81,2.296125,2.296125
1053364745,CAMNITZ,PAUL,S,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,L8513,"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,25,20,5.1,3.84,3.7848
1053364745,CAMNITZ,PAUL,S,MD,M,I,850 JOHNS HOPKINS DR,,GREENVILLE,NC,278347222,US,Physician/Otolaryngology,S,L8515,"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,23,61,61,47.600869565,47.543043478
1053364778,CIPOLETTI,PATSY,P,MD,M,I,1421 COMMERCE STREET,,WELLSBURG,WV,260701320,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,35,57,62.821929825,8.319122807,4.9201754386,4.9210526316
1053364935,SEGARS-HUFFSTETLER,AMANDA,B,PA-C,F,I,716 FIRST AVENUE SOUTH,,OKANOGAN,WA,988409679,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,50,51.8432,8.32,5.739,5.739
1053364935,SEGARS-HUFFSTETLER,AMANDA,B,PA-C,F,I,716 FIRST AVENUE SOUTH,,OKANOGAN,WA,988409679,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,18,10.434444444,1.42,0.9911111111,0.9911111111
1053364935,SEGARS-HUFFSTETLER,AMANDA,B,PA-C,F,I,716 FIRST AVENUE SOUTH,,OKANOGAN,WA,988409679,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,27,86.31,22.094444444,16.215555556,12.527777778
1053364935,SEGARS-HUFFSTETLER,AMANDA,B,PA-C,F,I,716 FIRST AVENUE SOUTH,,OKANOGAN,WA,988409679,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,27,37.173333333,7.0203703704,4.74,2.9762962963
1053364935,SEGARS-HUFFSTETLER,AMANDA,B,PA-C,F,I,716 FIRST AVENUE SOUTH,,OKANOGAN,WA,988409679,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,23,515.83565217,93.934782609,65.409565217,50.673043478
1053364935,SEGARS-HUFFSTETLER,AMANDA,B,PA-C,F,I,716 FIRST AVENUE SOUTH,,OKANOGAN,WA,988409679,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,82.5,33,25.87,25.87
1053364943,SIDHARAJU,RAJESWARI,,MD,F,I,262 W PUTNAM AVE,,PORTERVILLE,CA,93258,US,Physician/Pediatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,2.96,2.96,2.208109589,2.2551780822
1053364943,SIDHARAJU,RAJESWARI,,MD,F,I,262 W PUTNAM AVE,,PORTERVILLE,CA,93258,US,Physician/Pediatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,1472,5.06,5.06,3.8485733696,4.0413043478
1053364943,SIDHARAJU,RAJESWARI,,MD,F,I,262 W PUTNAM AVE,,PORTERVILLE,CA,93258,US,Physician/Pediatric Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,36,10298,0.3710196155,0.3696047776,0.2651514857,0.2654651389
1053364943,SIDHARAJU,RAJESWARI,,MD,F,I,262 W PUTNAM AVE,,PORTERVILLE,CA,93258,US,Physician/Pediatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4496,0.3,0.2995996441,0.2115547153,0.2199177046
1053364943,SIDHARAJU,RAJESWARI,,MD,F,I,262 W PUTNAM AVE,,PORTERVILLE,CA,93258,US,Physician/Pediatric Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3667,0.6502727025,0.6489364603,0.4696400327,0.4777774748
1053364943,SIDHARAJU,RAJESWARI,,MD,F,I,262 W PUTNAM AVE,,PORTERVILLE,CA,93258,US,Physician/Pediatric Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,48,48,5.06,5.06,3.97,3.9504166667
1053364968,MEDBERY,ROBENA,E,M.D.,F,I,40 V TWIN DR,,GETTYSBURG,PA,173257875,US,Physician/Radiation Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,67.72,53.1,54.73
1053364968,MEDBERY,ROBENA,E,M.D.,F,I,40 V TWIN DR,,GETTYSBURG,PA,173257875,US,Physician/Radiation Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,38.72,30.36,29.52
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,26,80,44.2905,7.994125,6.022625,6.278125
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,29,14.705517241,1.42,1.0779310345,1.0779310345
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,60,8.0713333333,2,1.5683333333,1.5918333333
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,182.23846154,35.384615385,27.741538462,27.569230769
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,780,4.2627051282,0.5630128205,0.4059615385,0.4059615385
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,25800,0.6302015504,0.4543953488,0.3528437984,0.3528437984
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,4440,3.8663918919,1.2770810811,0.9524369369,0.9524369369
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,24,24,17.071875,17.071875
1053365023,ARAUJO,JULIO,C,M.D.,M,I,11481 TOEPPERWEIN RD STE 1202,,LIVE OAK,TX,782333146,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,44,16,16,12.255454545,12.255454545
1053365130,ELDRIDGE,JOEL,G,D.O.,M,I,233 TAYLOR AVE,,WINNSBORO,LA,712952431,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,93.672307692,22.666923077,16.621538462,12.952307692
1053365130,ELDRIDGE,JOEL,G,D.O.,M,I,233 TAYLOR AVE,,WINNSBORO,LA,712952431,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4806.655,942.14,738.64,842.26
1053365130,ELDRIDGE,JOEL,G,D.O.,M,I,233 TAYLOR AVE,,WINNSBORO,LA,712952431,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,105,110,562.44818182,103.78309091,78.977454545,53.995090909
1053365130,ELDRIDGE,JOEL,G,D.O.,M,I,233 TAYLOR AVE,,WINNSBORO,LA,712952431,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2924,0.1811662107,0.0463577291,0.0363474692,0.0363474692
1053365130,ELDRIDGE,JOEL,G,D.O.,M,I,233 TAYLOR AVE,,WINNSBORO,LA,712952431,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,22,122.60409091,28.381818182,19.446363636,11.907272727
1053365130,ELDRIDGE,JOEL,G,D.O.,M,I,233 TAYLOR AVE,,WINNSBORO,LA,712952431,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,122.57142857,33,25.87,25.87
1053365163,RUSSELL,GREGORY,D,MD,M,I,275 ALLEN ST,,NEW BEDFORD,MA,027403373,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,67,131,77.673206107,8.32,5.525648855,5.525648855
1053365163,RUSSELL,GREGORY,D,MD,M,I,275 ALLEN ST,,NEW BEDFORD,MA,027403373,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,34,41,14.682682927,1.42,0.9541463415,0.9541463415
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,16,16,16,153.42625,48.079375,37.688125,36.2575
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,38.126153846,17.27,12.498461538,12.498461538
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,261.86571429,69.392857143,40.302142857,40.975714286
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,26,26,26,120.89615385,38.951923077,30.533076923,29.751538462
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,13,514.52307692,158.53307692,124.29307692,115.73538462
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,58,263,265,70.436641509,18.913433962,13.336264151,13.082603774
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,201.51428571,50.685714286,36.381428571,35.888571429
1053365213,BAGLEY,TERRY,L,M.D.,M,I,3700 N WINDSONG DR,,PRESCOTT VALLEY,AZ,863141253,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,28,127,127,26.15488189,8.5662992126,6.1274015748,6.294488189
1053365320,FAVARO,JUSTIN,P,,M,I,2630 E 7TH ST STE 210,,CHARLOTTE,NC,282044319,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,460.29411765,79,61.94,54.73
1053365486,GEETHA,DUVURU,,M.D.,F,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,40,6210,6.8863913043,0.5523703704,0.4264283414,0.4264251208
1053365486,GEETHA,DUVURU,,M.D.,F,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,2850,0.0733333333,0.0127894737,0.0100385965,0.0100385965
1053365486,GEETHA,DUVURU,,M.D.,F,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,5280,8.9187689394,1.0258598485,0.788469697,0.788469697
1053365486,GEETHA,DUVURU,,M.D.,F,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,32,16,16,12.54,12.54
1053365510,GUO,LINSHENG,,M.D.,M,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,705,6.7882553191,0.5582695035,0.4376312057,0.4376312057
1053365510,GUO,LINSHENG,,M.D.,M,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Physician/Internal Medicine,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,17.703333333,7.4974545455,5.8779848485,5.8779848485
1053365510,GUO,LINSHENG,,M.D.,M,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1053365510,GUO,LINSHENG,,M.D.,M,I,3600 GASTON AVE,"WADLEY TOWER, SUITE 651",DALLAS,TX,752461800,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,12.54,12.54
1053365528,BODELL,LEONARD,,MD,M,I,370 E VIRGINIA AVE STE 100,,PHOENIX,AZ,850041254,US,Physician/Orthopedic Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,14,15,495,466.52066667,365.752,305.67066667
1053365551,BENDIX,MARCELO,V,MD,M,I,9740 SW 40TH ST,,MIAMI,FL,331654080,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,28,110,381,69.739317585,8.32,6.0551706037,6.0551706037
1053365551,BENDIX,MARCELO,V,MD,M,I,9740 SW 40TH ST,,MIAMI,FL,331654080,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,17.820526316,3.38,2.65,2.65
1053365551,BENDIX,MARCELO,V,MD,M,I,9740 SW 40TH ST,,MIAMI,FL,331654080,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,56,111,18.307837838,1.42,1.0344144144,1.0344144144
1053365577,SCIGACZ,BOZENA,E,M.D.,F,I,28 W LAKE ST,SUITE # 2,ADDISON,IL,601012709,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,35,121,73.047272727,8.32,5.8785123967,5.8785123967
1053365577,SCIGACZ,BOZENA,E,M.D.,F,I,28 W LAKE ST,SUITE # 2,ADDISON,IL,601012709,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,15,16.110666667,1.42,0.8933333333,0.8933333333
1053365577,SCIGACZ,BOZENA,E,M.D.,F,I,28 W LAKE ST,SUITE # 2,ADDISON,IL,601012709,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,44.8875,32.025,23.465,22.211
1053365577,SCIGACZ,BOZENA,E,M.D.,F,I,28 W LAKE ST,SUITE # 2,ADDISON,IL,601012709,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,45,29.764615385,23.333076923,21.492307692
1053365627,NOSCE,RACHEL,J,M.D.,F,I,217 DIVISION AVE,,EUGENE,OR,974045429,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,32,107,60.95,8.32,6.5220560748,6.5220560748
1053365627,NOSCE,RACHEL,J,M.D.,F,I,217 DIVISION AVE,,EUGENE,OR,974045429,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,25,11.3884,1.42,1.0688,1.0688
1053365627,NOSCE,RACHEL,J,M.D.,F,I,217 DIVISION AVE,,EUGENE,OR,974045429,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,97.640769231,17.097692308,12.117307692,12.241346154
1053365627,NOSCE,RACHEL,J,M.D.,F,I,217 DIVISION AVE,,EUGENE,OR,974045429,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,484.47529412,66.321764706,46.674313725,49.232745098
1053365627,NOSCE,RACHEL,J,M.D.,F,I,217 DIVISION AVE,,EUGENE,OR,974045429,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,132,33,25.87,25.87
1053365668,MCCLARY,DENNIS,J,DO,M,I,1245 S UTICA AVE,,TULSA,OK,741044214,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,38,121,57.595702479,8.32,6.414214876,6.414214876
1053365668,MCCLARY,DENNIS,J,DO,M,I,1245 S UTICA AVE,,TULSA,OK,741044214,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,30,19.179333333,1.42,1.1136666667,1.1136666667
1053365668,MCCLARY,DENNIS,J,DO,M,I,1245 S UTICA AVE,,TULSA,OK,741044214,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,239.68666667,77.18,54.092777778,48.64
1053365668,MCCLARY,DENNIS,J,DO,M,I,1245 S UTICA AVE,,TULSA,OK,741044214,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,70,35.66,26.2125,27.786875
1053365668,MCCLARY,DENNIS,J,DO,M,I,1245 S UTICA AVE,,TULSA,OK,741044214,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,2520,1.1793214286,0.1325714286,0.0944047619,0.0944047619
1053365668,MCCLARY,DENNIS,J,DO,M,I,1245 S UTICA AVE,,TULSA,OK,741044214,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,93.5,33,22.995555556,22.995555556
1053365676,KAYAL,ROBERT,A,MD,M,I,784 FRANKLIN AVE,SUITE 250,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,27,109,120,395,113.98383333,88.743583333,98.023333333
1053365676,KAYAL,ROBERT,A,MD,M,I,784 FRANKLIN AVE,SUITE 250,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,24,26,980.73230769,849.98,655.34384615,664.91384615
1053365676,KAYAL,ROBERT,A,MD,M,I,784 FRANKLIN AVE,SUITE 250,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,140.50181818,119.07,79.425454545,74.621818182
1053365676,KAYAL,ROBERT,A,MD,M,I,784 FRANKLIN AVE,SUITE 250,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,26,248.70692308,215.58,169.01,171.88
1053365676,KAYAL,ROBERT,A,MD,M,I,784 FRANKLIN AVE,SUITE 250,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,24,28,81.804285714,70.94,55.62,47.665714286
1053365676,KAYAL,ROBERT,A,MD,M,I,784 FRANKLIN AVE,SUITE 250,FRANKLIN LAKES,NJ,074171306,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,307.325,261.13928571,204.73214286,215.78071429
1053365767,ONG,ALBERT,M,M.D.,M,I,41 W KALEY ST,,ORLANDO,FL,328062942,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,1230,0.3402439024,0.13,0.0994552846,0.0994552846
1053365767,ONG,ALBERT,M,M.D.,M,I,41 W KALEY ST,,ORLANDO,FL,328062942,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,23,23.703913043,13.8,10.82,10.82
1053365767,ONG,ALBERT,M,M.D.,M,I,41 W KALEY ST,,ORLANDO,FL,328062942,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,47,5160,5.2086627907,1.9426744186,1.455255814,1.5315484496
1053365767,ONG,ALBERT,M,M.D.,M,I,41 W KALEY ST,,ORLANDO,FL,328062942,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,690,10.67173913,6.15,4.6181594203,5.3544057971
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,78,151,69.827682119,8.32,5.6962913907,5.6962913907
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,30.963333333,1.42,0.9955555556,0.9955555556
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,26,56,48.585,18.773928571,14.205714286,14.040357143
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,141.37,55.4,43.43,42.86
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,51.051666667,17.94,14.06,14.06
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,27,27,50.372962963,11.08,8.037037037,8.4851851852
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,47,130,6.8209230769,1.9983076923,1.4433076923,1.4709230769
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,19.047222222,5.8127777778,4.06,4.1594444444
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,134.53846154,29.69,19.258461538,19.361538462
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2100,1.7847285714,0.1330714286,0.0913571429,0.0913571429
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,155.97,45.9325,28.623333333,30.9925
1053365908,SINSKY,THOMAS,A,M.D.,M,I,1000 LANGWORTHY ST,,DUBUQUE,IA,520017313,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,29,29,33,33,22.301724138,22.301724138
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,138.78666667,39.69,31.12,30.56
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,11,22,22,404.78,88.816363636,66.464545455,64.925
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,35,151.28171429,35.435714286,26.544571429,24.961714286
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,293.92583333,55.922083333,42.351666667,41.482916667
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,26,26,90.897692308,17.854615385,12.916923077,12.977307692
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,27,27,93.77962963,11.977407407,9.0422222222,8.8137037037
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,20,42,234,11.418461538,2.1130769231,1.5986324786,1.5462393162
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,13,19,19,54.524210526,12.300526316,8.6463157895,9.2289473684
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,561.12705882,87.995882353,63.789411765,62.514705882
1053365916,DELGADO,ALAIN,,MD,M,I,50 2ND STREET SE,,WINTER HAVEN,FL,338804544,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,25,29,234.71862069,37.367586207,26.920689655,24.984137931
1053365957,BRUNS,BRADLEY,P,PA,M,I,2408 HILL AVE,,MIDDLETOWN,OH,450444732,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,51,51,146.01490196,48.270196078,37.844509804,38.225098039
1053365957,BRUNS,BRADLEY,P,PA,M,I,2408 HILL AVE,,MIDDLETOWN,OH,450444732,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,47.5,5.15,4.0333333333,3.5666666667
1053365957,BRUNS,BRADLEY,P,PA,M,I,2408 HILL AVE,,MIDDLETOWN,OH,450444732,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,107.68466667,50.375333333,39.497333333,39.39
1053365957,BRUNS,BRADLEY,P,PA,M,I,2408 HILL AVE,,MIDDLETOWN,OH,450444732,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,79.81,15.619090909,10.28,11.444090909
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,119.55722222,39.407222222,30.891666667,30.472777778
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,720,8.724,7.37,5.778,5.778
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,421.62,89.520666667,67.907333333,65.47
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,224.02117647,53.26,41.76,42.795294118
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,16,16,88.33875,18.11875,14.200625,14.0325
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,60.214285714,11.789285714,8.5771428571,8.4642857143
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,31,180,8.3225,2.0742777778,1.5733888889,1.5385
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,52.0875,12.315833333,9.6516666667,10.1725
1053366070,PAZOS,GEORGE,A,M.D.,M,I,2651 STRANG BLVD,,YORKTOWN HEIGHTS,NY,105982909,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,55,58,256.53241379,31.375172414,23.806724138,24.304482759
1053366252,CAMPBELL,CAROL,A,CRNP,F,I,8051 PROSPERITY WAY STE 100,,RUTHER GLEN,VA,225465812,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,44,76.607954545,8.32,4.9084090909,4.9084090909
1053366286,BOYETT,WILLIAM,T,MD,M,I,1243 BROADRICK DR,,DALTON,GA,307202800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,82,167,64.186526946,8.32,6.2892814371,6.2892814371
1053366286,BOYETT,WILLIAM,T,MD,M,I,1243 BROADRICK DR,,DALTON,GA,307202800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,25,41,15.75195122,1.42,1.0341463415,1.0341463415
1053366286,BOYETT,WILLIAM,T,MD,M,I,1243 BROADRICK DR,,DALTON,GA,307202800,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,360.36615385,86.33,62.473846154,62.612307692
1053366286,BOYETT,WILLIAM,T,MD,M,I,1243 BROADRICK DR,,DALTON,GA,307202800,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,31,151.52580645,33.48,23.803225806,23.526451613
1053366286,BOYETT,WILLIAM,T,MD,M,I,1243 BROADRICK DR,,DALTON,GA,307202800,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,65.722142857,17.88,14.01,14.056428571
1053366286,BOYETT,WILLIAM,T,MD,M,I,1243 BROADRICK DR,,DALTON,GA,307202800,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,79.791428571,11.54,9.05,9.105
1053366286,BOYETT,WILLIAM,T,MD,M,I,1243 BROADRICK DR,,DALTON,GA,307202800,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,92,11.364565217,2.01,1.5767391304,1.5910869565
1053366294,SANOFF,HANNA,K,MD,F,I,THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL,"PHYSICIANS OFFICE BUILDING, 170 MANNING DR., 3RD FLOOR",CHAPEL HILL,NC,275997305,US,Physician/Medical Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,13,134,134,47.92,19.71,15.228358209,15.228358209
1053366294,SANOFF,HANNA,K,MD,F,I,THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL,"PHYSICIANS OFFICE BUILDING, 170 MANNING DR., 3RD FLOOR",CHAPEL HILL,NC,275997305,US,Physician/Medical Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,13,136,136,78.87,37.38,29.084558824,29.084558824
1053366294,SANOFF,HANNA,K,MD,F,I,THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL,"PHYSICIANS OFFICE BUILDING, 170 MANNING DR., 3RD FLOOR",CHAPEL HILL,NC,275997305,US,Physician/Medical Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,344.33,200.56468085,157.24255319,157.24255319
1053366294,SANOFF,HANNA,K,MD,F,I,THE UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL,"PHYSICIANS OFFICE BUILDING, 170 MANNING DR., 3RD FLOOR",CHAPEL HILL,NC,275997305,US,Physician/Medical Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,13,135,1227,11.772461288,1.6734392828,1.2798451508,1.2798451508
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,29,503,41.574254473,19.635427435,15.23222664,15.23222664
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,26,800,6.3513125,2.631,1.9754125,1.9754125
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,3.1669230769,0.51,0.4,0.4
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,75,93,237,1165,62.909613734,8.32,6.1261545064,6.1261545064
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,19,50,50,11.9852,3.38,2.597,2.597
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,19,27,27,17.598148148,2.12,1.6081481481,1.6081481481
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,48,110,271,13.025940959,1.42,1.0686715867,1.0686715867
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,516.5,347.018,272.06066667,272.06066667
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,1340,16.158007463,10.880865672,8.503619403,8.5036119403
1053366500,ARGUELLO,CARLOS,R,MD,M,I,619 19TH STREET SOUTH,,BIRMINGHAM,AL,35233,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,36,36,284.58388889,251.03416667,196.04166667,196.10111111
1053366641,HUGHES,WILLIAM,E,MD,M,I,1210 14TH AVE SE,SUITE G200,DECATUR,AL,35601,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,3270,0.2468807339,0.13,0.1019388379,0.1019388379
1053366641,HUGHES,WILLIAM,E,MD,M,I,1210 14TH AVE SE,SUITE G200,DECATUR,AL,35601,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,55,8690,5.1476179517,2.04,1.5663210587,1.5663210587
1053366641,HUGHES,WILLIAM,E,MD,M,I,1210 14TH AVE SE,SUITE G200,DECATUR,AL,35601,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,54,18.342592593,10.909259259,8.5524074074,8.5687037037
1053366906,HOLLINGER,TONYA,N,MD,F,I,3 SHIRCLIFF WAY,"DILLON BUILDING, SUITE 330",JACKSONVILLE,FL,322044780,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,24,63,65.221111111,8.32,6.1080952381,6.1080952381
1053366906,HOLLINGER,TONYA,N,MD,F,I,3 SHIRCLIFF WAY,"DILLON BUILDING, SUITE 330",JACKSONVILLE,FL,322044780,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,22,18.265454545,1.42,1.1136363636,1.1136363636
1053367060,MAYERSON,ELIZABETH,A,APRN,F,I,1776 BOSTON TPKE,,COVENTRY,CT,062381160,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,78,66.732307692,8.32,6.0203846154,6.0203846154
1053367268,JOHNSON,CHEILONDA,R,M.D.,F,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,225,82.3875,64.59,66.470833333
1053367268,JOHNSON,CHEILONDA,R,M.D.,F,I,3400 CIVIC CENTER BLVD FL 1,,PHILADELPHIA,PA,191045161,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,406.92277778,82,64.29,54.73
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,56,55.005892857,8.32,5.9392857143,5.9392857143
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,18,11.523888889,1.42,1.1144444444,1.1144444444
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,13,189.84461538,54.521538462,42.743846154,42.286923077
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,24,38.225833333,17.3625,12.477916667,12.408333333
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2500,913.16,703.96416667,819.77583333
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.57,7.27,5.225,4.7758333333
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,45,58,243.99517241,72.825517241,53.19,50.899137931
1053367342,JAISWAL,SUNIL,K,MD,M,I,107 MAIN STREET,,COLLINSVILLE,AL,35961,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,32,85.0290625,39.0009375,28.7409375,27.66375
1053367383,LIPMAN,BRIAN,J,MD,M,I,10001 S. EASTERN AVE.,SUITE #307,HENDERSON,NV,890523908,US,Physician/Infectious Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,21,52,1258.1248077,19.686153846,15.434615385,15.434615385
1053367383,LIPMAN,BRIAN,J,MD,M,I,10001 S. EASTERN AVE.,SUITE #307,HENDERSON,NV,890523908,US,Physician/Infectious Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,1488.4,938.20181818,733.965,733.965
1053367383,LIPMAN,BRIAN,J,MD,M,I,10001 S. EASTERN AVE.,SUITE #307,HENDERSON,NV,890523908,US,Physician/Infectious Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,5380,159.96287918,9.8405130112,7.7149628253,7.7149628253
1053367383,LIPMAN,BRIAN,J,MD,M,I,10001 S. EASTERN AVE.,SUITE #307,HENDERSON,NV,890523908,US,Physician/Infectious Disease,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2080,131.9075,42.766769231,33.529134615,33.529134615
1053367383,LIPMAN,BRIAN,J,MD,M,I,10001 S. EASTERN AVE.,SUITE #307,HENDERSON,NV,890523908,US,Physician/Infectious Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,21,53,419.93,2.6369811321,2.0675471698,2.0675471698
1053367383,LIPMAN,BRIAN,J,MD,M,I,10001 S. EASTERN AVE.,SUITE #307,HENDERSON,NV,890523908,US,Physician/Infectious Disease,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,25,900,358.5,281.06,281.06
1053367441,BAHROO,SONIA,L,PA-C,F,I,2150 PENNSYLVANIA AVE NW,,WASHINGTON,DC,200373201,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,108,33.1775,8.32,6.1600925926,6.1600925926
1053367722,WARNEKE,RICHARD,M,M.D.,M,I,1015 MEDICAL CENTER BLVD,SUITE 1400,WEBSTER,TX,775984052,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6623,3.2016835271,0.38,0.2979163521,0.2908561075
1053367730,FOX,JAMES,,MD,M,I,2401 RAVINE WAY,SUITE 200,GLENVIEW,IL,600257645,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,313.5,251.28,197,218.89
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,11,35,430,59.090651163,19.627093023,15.053813953,15.053813953
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,37,1169,6.5464927288,2.6292215569,2.061283148,2.061283148
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,112,187,457,2211,69.904509272,8.32,6.0723111714,6.0723111714
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,30,55,55,13.756181818,3.38,2.65,2.65
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,29,35,35,18.595714286,2.12,1.6222857143,1.6222857143
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,61,97,197,550,16.156218182,1.42,1.0665636364,1.0665636364
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,20,22,22,22,39.172727273,37.494090909,29.393636364,53.017272727
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,613.17384615,343.20461538,269.07076923,269.07076923
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2820,16.244847518,10.787900709,8.4068439716,8.4068439716
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,15,57,58,548.04465517,251.06293103,196.83310345,196.86982759
1053367912,WIESEN,MARK,,M.D.,M,I,870 PALISADE AVE,SUITE 203,TEANECK,NJ,076663419,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,458.22692308,245.03,192.1,204.78384615
1053368019,KAYFAN,ARASH,D,D.O.,M,I,1005 E RING RD STE 2,,IRONTON,OH,456389610,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,36,126,233,78.81055794,8.32,5.8349356223,5.8349356223
1053368019,KAYFAN,ARASH,D,D.O.,M,I,1005 E RING RD STE 2,,IRONTON,OH,456389610,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,21,31,14.752580645,1.42,1.0793548387,1.0793548387
1053368019,KAYFAN,ARASH,D,D.O.,M,I,1005 E RING RD STE 2,,IRONTON,OH,456389610,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,72.579375,22.72375,17.81375,13.90625
1053368019,KAYFAN,ARASH,D,D.O.,M,I,1005 E RING RD STE 2,,IRONTON,OH,456389610,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,46,46,20,7.925,6.1060869565,4.2560869565
1053368019,KAYFAN,ARASH,D,D.O.,M,I,1005 E RING RD STE 2,,IRONTON,OH,456389610,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,16,3547,0.8791965041,0.0460417254,0.0354553144,0.0354524951
1053368019,KAYFAN,ARASH,D,D.O.,M,I,1005 E RING RD STE 2,,IRONTON,OH,456389610,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,960,1.6583020833,0.1320625,0.0779375,0.0779375
1053368019,KAYFAN,ARASH,D,D.O.,M,I,1005 E RING RD STE 2,,IRONTON,OH,456389610,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,33,33,48,33,23.926363636,23.926363636
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,11,414.03545455,339.04,239.72272727,266.82454545
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,55,454,454,454,1576.3426432,1320.1936564,1001.3269163,853.81881057
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,30,306,309,344,921.92171512,733.63686047,566.21354651,471.66238372
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,31,31,44,1439.4281818,875.34409091,669.96704545,661.38659091
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,28,28,43,578.9427907,457.39,357.05372093,352.48372093
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,36,337,340,389,145.10943445,106.42557841,82.944601542,88.359254499
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,21,22,32,60.59,49.65,38.9271875,38.4271875
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,99.986666667,91.27,71.56,79.51
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,27,27,33,523.07515152,443.53090909,347.72606061,343.74
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,40,232,234,328,571.18996951,470.19042683,365.2095122,361.96884146
1053368043,MAURICE,KETTY,,DO,F,I,636 DEL PRADO BLVD,,CAPE CORAL,FL,339902695,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,40,212,212,212,915.46872642,728.23490566,567.53801887,565.1254717
1053368084,LUH,STEVEN,C,M.D,M,I,4950 BARRANCA PKWY,SUITE 202,IRVINE,CA,926044671,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,25,53,76.833962264,8.32,5.4601886792,5.4601886792
1053368118,NASSERI,KEVIN,K,M.D.,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,1788,0.39,0.13,0.0892505593,0.0892505593
1053368118,NASSERI,KEVIN,K,M.D.,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,2520,6.2321428571,2.04,1.336797619,1.336797619
1053368118,NASSERI,KEVIN,K,M.D.,M,I,823 SW MULVANE ST,,TOPEKA,KS,666061764,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,79,7228,9.65,7.23,5.5562230216,5.5562230216
1053368225,NGO,DUC,M,M.D.,M,I,4004 BURKE STATION RD,,FAIRFAX,VA,220321002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,59,105,63.953238095,8.32,5.714952381,5.714952381
1053368225,NGO,DUC,M,M.D.,M,I,4004 BURKE STATION RD,,FAIRFAX,VA,220321002,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,13.069411765,3.38,2.4941176471,2.4941176471
1053368225,NGO,DUC,M,M.D.,M,I,4004 BURKE STATION RD,,FAIRFAX,VA,220321002,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,34,39,15.244102564,1.42,1.0025641026,1.0025641026
1053368316,CHAFFIN,CINDY,,NP,F,I,135 W BROADWAY ST,,ASTORIA,IL,61501,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,38,96,45.586458333,8.32,5.3669791667,5.3669791667
1053368316,CHAFFIN,CINDY,,NP,F,I,135 W BROADWAY ST,,ASTORIA,IL,61501,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6600,3.1197272727,0.4,0.2918621212,0.2247439394
1053368316,CHAFFIN,CINDY,,NP,F,I,135 W BROADWAY ST,,ASTORIA,IL,61501,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,104.5025,81.9325,59.7925
1053368316,CHAFFIN,CINDY,,NP,F,I,135 W BROADWAY ST,,ASTORIA,IL,61501,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,15.58,9.6431538462,7.3762948718,7.3762948718
1053368316,CHAFFIN,CINDY,,NP,F,I,135 W BROADWAY ST,,ASTORIA,IL,61501,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,165.67909091,125.27454545,91.378181818
1053368316,CHAFFIN,CINDY,,NP,F,I,135 W BROADWAY ST,,ASTORIA,IL,61501,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,124.92857143,33,25.87,25.87
1053368357,WILLIAMS,TINA,V,M.D.,F,I,6330 PRIMROSE HILL CT,,NORCROSS,GA,300924544,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,45,59.074,8.32,6.3768888889,6.3768888889
1053368357,WILLIAMS,TINA,V,M.D.,F,I,6330 PRIMROSE HILL CT,,NORCROSS,GA,300924544,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,20,14.1815,1.42,1.057,1.057
1053368357,WILLIAMS,TINA,V,M.D.,F,I,6330 PRIMROSE HILL CT,,NORCROSS,GA,300924544,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,75.56,50.759166667,46.625
1053368373,MATSUURA,PETER,A,M.D.,M,I,670 PONAHAWAI ST,SUITE 214,HILO,HI,967202660,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,37,38,196.04,99.39,72.405,42.690526316
1053368373,MATSUURA,PETER,A,M.D.,M,I,670 PONAHAWAI ST,SUITE 214,HILO,HI,967202660,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,323.06,160.082,117.79133333,70.750666667
1053368464,WEINGOLD,MATTHEW,A,MD,M,I,2718 HENRY ST,,GREENSBORO,NC,274053633,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,91.445,91.27,71.56,78.8475
1053368464,WEINGOLD,MATTHEW,A,MD,M,I,2718 HENRY ST,,GREENSBORO,NC,274053633,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,125,125,98,165.16363636
1053368464,WEINGOLD,MATTHEW,A,MD,M,I,2718 HENRY ST,,GREENSBORO,NC,274053633,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,25,25,67.6016,53.2,41.71,46.1644
1053368985,FUENTES-APONTE,ANSELMO,,MD,M,I,500 COMERIO AVE,DAVIDSON PLAZA SUITE 10,TOA BAJA,PR,00949,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,43,51.716976744,8.32,5.7641860465,5.7641860465
1053369058,MICHAEL,CHRISTINA,S,D.O.,F,I,6355 WALKER LN,SUITE 505,ALEXANDRIA,VA,223103245,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,44,66.170454545,8.32,6.5227272727,6.5227272727
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,43,94,94,116.97851064,40.218723404,30.262021277,29.330851064
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,42,91,91,344.87945055,85.091318681,60.593296703,61.661428571
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,40,119,250,135.24232,32.91168,25.0696,25.17048
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,29,63,298,68.084966443,19.034899329,13.332583893,12.898053691
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,25,124,71.444758065,15.645645161,11.686048387,11.316612903
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,39,85,85,227.86258824,57.516117647,41.106117647,39.051176471
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,76,104,104,69.752307692,18.268076923,13.7775,13.523076923
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,39,78,78,79.982692308,12.420769231,8.9116666667,8.3380769231
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,75,194,927,9.9610248112,2.0609924488,1.5266019417,1.5006364617
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,35,47,47,24.328297872,6.1125531915,4.3889361702,4.2570212766
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,54,74,74,47.16972973,13.06472973,9.8275675676,9.9163513514
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,86,86,64.157325581,18,12.843372093,12.34627907
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,18,164.675,18,14.11,13.825
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,484.15363636,137.67636364,107.93636364,105.65181818
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,21,113,114,215.63684211,34.898508772,25.784736842,24.771052632
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,27,196,196,434.53566327,77.18,55.501683673,50.450408163
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,57,57,123.68421053,36.96,26.437894737,26.961578947
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,13,51,7192,1.9563000556,0.1334149055,0.1030964961,0.1030964961
1053369066,TU,RONG,S,M.D.,M,I,2340 S HIGHLAND AVE,230,LOMBARD,IL,601485371,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,11,42,42,44.785714286,33,25.87,25.87
1053369140,SCHWARTZ,STEVEN,M,MD,M,I,8401 CONNECTICUT AVE PH SUITE,,CHEVY CHASE,MD,208155822,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,30,97,61.392061856,8.32,5.952371134,5.952371134
1053369140,SCHWARTZ,STEVEN,M,MD,M,I,8401 CONNECTICUT AVE PH SUITE,,CHEVY CHASE,MD,208155822,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,37,15.001351351,1.42,0.9932432432,0.9932432432
1053369215,GARGIN,KATHLEEN,,MD,F,I,9770 BAYMEADOWS RD.,SUITE 115,JACKSONVILLE,FL,32256,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,78.490454545,8.32,5.3345454545,5.3345454545
1053369231,BURGER,ROBERT,C,MD,M,I,1020 HITT ST,,COLUMBIA,MO,652120001,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,82.032857143,47.259285714,37.049285714,26.15
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,5.1108333333,0.51,0.4,0.4
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,53,119,354,58.062485876,8.32,6.2271468927,6.2271468927
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,32,32,13.786875,3.38,2.65,2.65
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,15,17,17,20.887058824,2.12,1.67,1.67
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,31,56,87,13.41091954,1.42,1.1024137931,1.1024137931
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,36,36,81.346666667,17.7225,13.508611111,13.172777778
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,44.45,6.2128571429,3.9364285714,2.9757142857
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,18.08,10.5625,8.2775,8.78375
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,41,47,396.38276596,76.614042553,58.495531915,54.599787234
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,60.982352941,27.753529412,15.88,14.797647059
1053369280,SENNOUR,YOUCEF,,MD,M,I,4004 WORTH ST,SUITE 100,DALLAS,TX,752461607,US,Physician/Geriatric Medicine,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,474.65,169.40818182,132.81590909,113.44772727
1053369322,SNEAD,MAXWELL,A,MD,M,I,2 PILLSBURY ST STE 100,,CONCORD,NH,033013502,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,64,64,64,68.48171875,68.48171875,49.505,48.71265625
1053369322,SNEAD,MAXWELL,A,MD,M,I,2 PILLSBURY ST STE 100,,CONCORD,NH,033013502,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,24,57.625,32.114166667,24.105416667,27.600416667
1053369322,SNEAD,MAXWELL,A,MD,M,I,2 PILLSBURY ST STE 100,,CONCORD,NH,033013502,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,40,69,83.891304348,52.946376812,36.682898551,38.733043478
1053369322,SNEAD,MAXWELL,A,MD,M,I,2 PILLSBURY ST STE 100,,CONCORD,NH,033013502,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,50,99.5,70.5,52.2676,51.1816
1053369447,GERLACH,CHARLES,D,M.D.,M,I,805 SIR THOMAS CT,1ST FLOOR,HARRISBURG,PA,171094839,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,29,77,255,52.929921569,8.2605882353,5.7115294118,5.7580784314
1053369447,GERLACH,CHARLES,D,M.D.,M,I,805 SIR THOMAS CT,1ST FLOOR,HARRISBURG,PA,171094839,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,12.764,3.38,2.4733333333,2.4733333333
1053369447,GERLACH,CHARLES,D,M.D.,M,I,805 SIR THOMAS CT,1ST FLOOR,HARRISBURG,PA,171094839,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,25,55,11.071272727,1.42,1.0327272727,1.0327272727
1053369447,GERLACH,CHARLES,D,M.D.,M,I,805 SIR THOMAS CT,1ST FLOOR,HARRISBURG,PA,171094839,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,18,58.009444444,16.59,13,13.323888889
1053369447,GERLACH,CHARLES,D,M.D.,M,I,805 SIR THOMAS CT,1ST FLOOR,HARRISBURG,PA,171094839,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,39,372.47871795,67.72,53.1,54.437435897
1053369447,GERLACH,CHARLES,D,M.D.,M,I,805 SIR THOMAS CT,1ST FLOOR,HARRISBURG,PA,171094839,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,1759,1.0097043775,0.0469471291,0.0345480387,0.0345480387
1053369447,GERLACH,CHARLES,D,M.D.,M,I,805 SIR THOMAS CT,1ST FLOOR,HARRISBURG,PA,171094839,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,55.5,33,21.166363636,21.166363636
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,290,3.1236206897,2.8550689655,2.2384137931,3.0573793103
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,140,10.0395,5.74,4.1785714286,4.1785714286
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,140,14.932285714,7,4.704,4.704
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,167,4.9360479042,2.8921556886,2.2674251497,2.2814371257
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,41,94,14.00606383,6.44,4.8196808511,4.8196808511
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,25.570454545,9.86,6.8047272727,6.8047272727
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,35,350,16.748114286,7,5.3879142857,5.3879142857
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,360,9.4115555556,4.03,3.0722222222,3.0722222222
1053369496,DANIELS,RICHARD,J,M.D.,M,I,719 W HAMILTON AVE,SUITE C,EAU CLAIRE,WI,547016968,US,Physician/General Surgery,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,510,3.9060784314,2.02,1.4113333333,1.4113333333
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,26,29.461153846,8.32,6.2742307692,6.2742307692
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,512.312,122.382,84.9635,57.612
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,52,194.63076923,45.905576923,33.578076923,23.610769231
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,78,52.119487179,25.636410256,18.994871795,13.451794872
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,20,20,128.91,70.735,48.822,36.4375
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,25,25,67.088,23.9316,17.77,13.0764
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,17,37,37,73.903243243,19.662972973,14.978108108,8.7089189189
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,19,41,237,9.6653164557,3.0232911392,2.3296624473,1.5528691983
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,49.288571429,15.535,12.175,10.34
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,62.145882353,21.527647059,15.527941176,12.376911765
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,175.228,46.089,33.549,23.266
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,174,179,357.52335196,101.73050279,74.452178771,52.396368715
1053369595,DURMON,BEUFORD,,M.D,M,I,700 N HENSON ST,,LAKE CITY,CO,81235,US,Physician/General Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,250,44.755882353,33.157647059,28.621764706
1053369611,FRYLING,BRENT,A,M.D.,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,51,88.851372549,8.32,4.4631372549,4.4631372549
1053369611,FRYLING,BRENT,A,M.D.,M,I,269 UNION ST,,LYNN,MA,019011314,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,31.486666667,1.42,0.56,0.56
1053369637,LAURETTI,LINDA,A,M.D.,F,I,1153 CENTRE ST,SUITE 43,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,27,83,226,63.997566372,8.32,5.6503097345,5.6503097345
1053369637,LAURETTI,LINDA,A,M.D.,F,I,1153 CENTRE ST,SUITE 43,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,21,54,73,13.744657534,1.42,0.9469863014,0.9469863014
1053369637,LAURETTI,LINDA,A,M.D.,F,I,1153 CENTRE ST,SUITE 43,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,175,46.46,25.128235294,26.061764706
1053369637,LAURETTI,LINDA,A,M.D.,F,I,1153 CENTRE ST,SUITE 43,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,760.48,78,59.402857143,53.533142857
1053369637,LAURETTI,LINDA,A,M.D.,F,I,1153 CENTRE ST,SUITE 43,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,210,38,28.494782609,28.251304348
1053369637,LAURETTI,LINDA,A,M.D.,F,I,1153 CENTRE ST,SUITE 43,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,16.34,10.178181818,10.894545455
1053369637,LAURETTI,LINDA,A,M.D.,F,I,1153 CENTRE ST,SUITE 43,JAMAICA PLAIN,MA,021303446,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,38,29.79,29.51
1053369645,BOEHMER,JOHN,P,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Advanced Heart Failure and Transplant Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,11,68,233.08823529,37.38,29.306029412,29.306029412
1053369645,BOEHMER,JOHN,P,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,20,158,20025,3.7132534332,0.5653533084,0.439101623,0.439101623
1053369645,BOEHMER,JOHN,P,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,12,83,14160,3.7478700565,1.3496927966,1.0236956215,1.0236956215
1053369645,BOEHMER,JOHN,P,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Advanced Heart Failure and Transplant Cardiology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,2640,4.2136401515,2.8290681818,2.1092954545,2.1092954545
1053369645,BOEHMER,JOHN,P,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Advanced Heart Failure and Transplant Cardiology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,49,2550,22.799552941,7.4252078431,5.8213411765,5.8213411765
1053369645,BOEHMER,JOHN,P,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,23,25,155,157,24.031847134,24,18.69656051,18.69656051
1053369645,BOEHMER,JOHN,P,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,22,24,172,199,16,16,12.414070352,12.414070352
1053369686,KLEM,STEPHEN,A,M.D.,M,I,2401 GILLHAM RD,CHILDREN'S MERCY HOSPITAL,KANSAS CITY,MO,641084619,US,Physician/Pediatric Medicine,S,B4160,"Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feedin",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3564,2.2787878788,0.4164421998,0.2895566779,0.2895566779
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,87.971333333,43.768,32.06,29.361333333
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,336.7425,108.3475,82.098125,70.98
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,37,136.81351351,40.97,32.120810811,29.232432432
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,108,95.616111111,23.175555556,16.960185185,13.930833333
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,12,22,22,232.79545455,65.966363636,49.059090909,41.375909091
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,19,25,25,65.4608,22.216,17.412,14.7508
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,24,24,85.09,17.7,13.457916667,10.242916667
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,19,35,191,9.6286910995,2.5655497382,1.8451308901,1.5507853403
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,20.833636364,7.9136363636,5.7363636364,4.5690909091
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,14,18,18,43.877777778,14.488888889,10.104444444,9.2272222222
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,23,72.73,19.9,15.598695652,13.534347826
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,18,19,195.09473684,47.78,37.46,37.621052632
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,28,28,347.155,40.608571429,28.881428571,26.294285714
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,74,86,394.20802326,81.393953488,63.053604651,54.94255814
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,21,147.94857143,39.68,31.11,29.890952381
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,3329,1.4958816461,0.134998498,0.1033793932,0.1033793932
1053369744,RAJAN,THOMAS,,MD,M,I,417 STATE ST,STE 400,BANGOR,ME,044016690,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,26,86.307692308,33,24.875,24.875
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,41,168,47.569166667,8.32,6.2119047619,6.2119047619
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,15.781111111,3.38,2.5027777778,2.5027777778
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,22,63,15.955555556,1.42,1.0588888889,1.0588888889
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,,25,49,7.0689795918,1.7548979592,1.3632653061,1.1673469388
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,5.3642857143,1.4614285714,1.1435714286,0.9935714286
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,300.51636364,54.983636364,34.944545455,35.084545455
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,86.548333333,11.649166667,9.135,9.12
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,11.419230769,2.0292307692,1.5916666667,1.5933333333
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,9.7116666667,6.0083333333,6.0083333333
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,63.125,17.515,13.327941176,13.311764706
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,154.78190476,4.7214285714,3.5419047619,3.539047619
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,101,101,429.03138614,71.271881188,54.117623762,53.796732673
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,81.333333333,37.44,29.35,29.499333333
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,7200,0.1889569444,0.0457708333,0.0335819444,0.0335819444
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,36,3357,1.4749270182,0.1363777182,0.0979892761,0.0979892761
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,0.75,0.2190666667,0.1709666667,0.1709666667
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,18,18,61.441666667,21.2,14.242777778,12.854444444
1053369801,CROWDER,ROWE,S,M.D.,M,I,952 GREEN MEADOW RD,,BAY ST LOUIS,MS,395201620,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,59,59,103.47457627,33,23.943220339,23.943220339
1053369819,CATALA,EDGAR,,MD,M,I,80 PHOENIX AVE,SUITE 303,WATERBURY,CT,067021418,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,1.24,0.51,0.4,0.4
1053369819,CATALA,EDGAR,,MD,M,I,80 PHOENIX AVE,SUITE 303,WATERBURY,CT,067021418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,52,135,338,65.646568047,8.32,5.8073668639,5.8073668639
1053369819,CATALA,EDGAR,,MD,M,I,80 PHOENIX AVE,SUITE 303,WATERBURY,CT,067021418,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,31,31,14.887741935,3.38,2.65,2.65
1053369819,CATALA,EDGAR,,MD,M,I,80 PHOENIX AVE,SUITE 303,WATERBURY,CT,067021418,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,36,82,110,27.659545455,1.42,1.0138181818,1.0138181818
1053369819,CATALA,EDGAR,,MD,M,I,80 PHOENIX AVE,SUITE 303,WATERBURY,CT,067021418,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1586,1.027887768,0.0470491803,0.0354224464,0.0354224464
1053369819,CATALA,EDGAR,,MD,M,I,80 PHOENIX AVE,SUITE 303,WATERBURY,CT,067021418,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1053369884,SCHABEN,LAURA,J,M.D.,F,I,2349 NE CONNERS AVE,,BEND,OR,977016068,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,227.80368421,46.030526316,34.280526316,35.293684211
1053369884,SCHABEN,LAURA,J,M.D.,F,I,2349 NE CONNERS AVE,,BEND,OR,977016068,US,Physician/Neurology,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,187.42857143,33.205714286,22.637142857,22.841428571
1053369900,BRACKER,TROY,D,M.D.,M,I,5908 S 142ND ST,,OMAHA,NE,681372800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,45,81,58.530987654,8.32,5.6377777778,5.6377777778
1053369900,BRACKER,TROY,D,M.D.,M,I,5908 S 142ND ST,,OMAHA,NE,681372800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,27,11.167037037,1.42,1.0348148148,1.0348148148
1053369900,BRACKER,TROY,D,M.D.,M,I,5908 S 142ND ST,,OMAHA,NE,681372800,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,187.18666667,55.625,43.6075,42.946666667
1053369900,BRACKER,TROY,D,M.D.,M,I,5908 S 142ND ST,,OMAHA,NE,681372800,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,72,9.8575,1.9275,1.5116666667,1.5929166667
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,39,127,374,60.83328877,8.32,5.876631016,5.876631016
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,28,28,13.939285714,3.38,2.4607142857,2.4607142857
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,20.507058824,2.12,1.67,1.67
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,26,56,107,14.847383178,1.42,1.0108411215,1.0108411215
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,8.531,5.54,3.9026363636,3.9026363636
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.461,2.02,1.4516944444,1.4516944444
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,22.4,3.08,2.4146666667,2.3676666667
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5639,2.7563397766,0.38,0.2979198439,0.290078028
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,31,33,528.36484848,85.680606061,61.999393939,50.83030303
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,13,1559,1.7692623477,0.1359332906,0.1066003849,0.1066003849
1053370056,DICRISTOFARO,SEAN,C,M.D.,M,I,104 STATION PLACE WAY,,HURRICANE,WV,255268747,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,33,33,25.52,25.52
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,23,59,137,56.582773723,8.32,5.3323357664,5.3323357664
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,13,23,10.043043478,1.42,0.8234782609,0.8234782609
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.29,13.55,13.531666667
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,6.2844444444,3,2.35,2.2537037037
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,44,45,433.69622222,77.594888889,58.866666667,52.769555556
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1170,1.9722136752,0.1339230769,0.0863418803,0.0863418803
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,61,61,57.827540984,19.888852459,14.190163934,13.045737705
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,120.84615385,30.351538462,23.792307692,22.38
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,27.36,8.7271428571,6.0692857143,5.9910714286
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,78.68125,39.748125,30.931875,29.2825
1053370098,BAKER,CLIFTON,A,MD,M,I,18539 S NC HIGHWAY 109,,DENTON,NC,272397713,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,21.019375,21.019375
1053370213,BUTTROSS,JOHN,B,MD,M,I,6799 GREAT OAKS ROAD,250,MEMPHIS,TN,38138,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,43,64,143,392,67.559591837,8.32,5.8394387755,5.8394387755
1053370213,BUTTROSS,JOHN,B,MD,M,I,6799 GREAT OAKS ROAD,250,MEMPHIS,TN,38138,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,13.911052632,3.38,2.65,2.65
1053370213,BUTTROSS,JOHN,B,MD,M,I,6799 GREAT OAKS ROAD,250,MEMPHIS,TN,38138,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,24.545,2.12,1.67,1.67
1053370213,BUTTROSS,JOHN,B,MD,M,I,6799 GREAT OAKS ROAD,250,MEMPHIS,TN,38138,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,32,67,80,15.791,1.42,1.075,1.075
1053370213,BUTTROSS,JOHN,B,MD,M,I,6799 GREAT OAKS ROAD,250,MEMPHIS,TN,38138,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,259.70933333,55.176,35.331333333,35.016
1053370213,BUTTROSS,JOHN,B,MD,M,I,6799 GREAT OAKS ROAD,250,MEMPHIS,TN,38138,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,67.931428571,13.002857143,7.7421428571,6.9421428571
1053370213,BUTTROSS,JOHN,B,MD,M,I,6799 GREAT OAKS ROAD,250,MEMPHIS,TN,38138,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,58,8.5472413793,2.1075862069,1.1839655172,1.144137931
1053370288,PELTZER,DAVID,E,M.D.,M,I,767 W 1ST ST,,NEWTON,NC,286584238,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,76,226,56.860707965,8.32,6.147300885,6.147300885
1053370288,PELTZER,DAVID,E,M.D.,M,I,767 W 1ST ST,,NEWTON,NC,286584238,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,40,70,16.350285714,1.42,1.0997142857,1.0997142857
1053370288,PELTZER,DAVID,E,M.D.,M,I,767 W 1ST ST,,NEWTON,NC,286584238,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,15.083798883,5.54,4.2318156425,4.0665921788
1053370288,PELTZER,DAVID,E,M.D.,M,I,767 W 1ST ST,,NEWTON,NC,286584238,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5586,0.6578947368,0.282141067,0.2026727533,0.2235302542
1053370312,DOWNS,TIMOTHY,M,D.P.M,M,I,4 COURTHOUSE LN,SUITE 11,CHELMSFORD,MA,018241728,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,73,73,146,80,71.56,53.054041096,53.053972603
1053370312,DOWNS,TIMOTHY,M,D.P.M,M,I,4 COURTHOUSE LN,SUITE 11,CHELMSFORD,MA,018241728,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,72,72,432,40,29.19,22.740277778,22.741944444
1053370312,DOWNS,TIMOTHY,M,D.P.M,M,I,4 COURTHOUSE LN,SUITE 11,CHELMSFORD,MA,018241728,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,125,84.260714286,66.055714286,63.265714286
1053370312,DOWNS,TIMOTHY,M,D.P.M,M,I,4 COURTHOUSE LN,SUITE 11,CHELMSFORD,MA,018241728,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,135,122.21,88.966428571,88.288571429
1053370312,DOWNS,TIMOTHY,M,D.P.M,M,I,4 COURTHOUSE LN,SUITE 11,CHELMSFORD,MA,018241728,US,Podiatry,S,L3030,"Foot, insert, removable, formed to patient foot, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,35,400,72.3,54.423142857,55.265142857
1053370312,DOWNS,TIMOTHY,M,D.P.M,M,I,4 COURTHOUSE LN,SUITE 11,CHELMSFORD,MA,018241728,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,312,150.51285714,95.527142857,97.312857143
1053370551,APPEL,CAROL,P,N.P.,F,I,3577 W 13 MILE RD,SUITE 404,ROYAL OAK,MI,480736710,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,17,952,36.005598739,5.0134243697,3.9305357143,3.9305357143
1053370593,BUDDEN,TEMISHA,H,PA,F,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,43,78,75.283846154,8.32,3.8641025641,3.8641025641
1053370593,BUDDEN,TEMISHA,H,PA,F,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,21,30,16.837666667,1.42,0.5953333333,0.5953333333
1053370593,BUDDEN,TEMISHA,H,PA,F,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,144.76230769,50.475384615,35.889230769,35.347692308
1053370593,BUDDEN,TEMISHA,H,PA,F,I,12 BARNETTE DR,,SUMTER,SC,291508004,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,66.521666667,19.715,9.5116666667,8.8291666667
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,24,63,193,60.923834197,8.32,5.9152331606,5.9152331606
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,16,13.8275,3.38,2.65,2.65
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,14,29,72,15.312916667,1.42,1.0205555556,1.0205555556
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,86.31,20.890967742,15.894193548,13.093548387
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,50.73,7.9683333333,6.1888888889,3.6972222222
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,519.51,105.633,79.8305,51.9935
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,3838,0.3586086503,0.0464564878,0.0334184471,0.0334184471
1053370619,THOMAS,KIM,M,APN,F,I,434 4TH ST,SUITE 310,NEWPORT,TN,378213746,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,26,101.53846154,33,25.87,25.87
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,45,127,73.361259843,8.32,6.2140944882,6.2140944882
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,20,18.8445,1.42,1.06,1.06
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,225,48.605925926,35.930740741,35.279259259
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,120.78125,4.31,2.9575,2.9575
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,118.96352941,11.252352941,8.8282352941,8.4894117647
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,489.62307692,70.23,46.589230769,46.353846154
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,3588,0.2729765886,0.0462987737,0.0347658863,0.0347658863
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1552,1.9084342784,0.1306185567,0.0813208763,0.0813208763
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,143,29.148235294,22.848823529,21.228823529
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,37.44,28.738333333,28.885
1053370643,SCHAEFFER,STANLEY,D,MD,M,I,2800 DARROW RD,DBA WALKERTOWN FAMILY PRACTICE,WALKERTOWN,NC,270519206,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,69,33,24.694090909,24.694090909
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,74,58.761486486,8.32,5.1122972973,5.1122972973
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,31,16.934516129,1.42,0.9348387097,0.9348387097
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,515.06,90,67.85625,65.13625
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,44,192.90136364,34,26.656363636,25.9175
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,90.561818182,18,14.11,14.06
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,92.01,12.08,9.47,9.12
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,12.093636364,2,1.5683333333,1.5916666667
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,64,69,76.321594203,17.567971014,11.785072464,11.585942029
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,33,35,172.22,49.682,35.62,34.601714286
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,105,111,473.5327027,78.96036036,58.601891892,52.205405405
1053370650,JOHNSON,THOMAS,G,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,231.81818182,38,29.79,29.535454545
1053370734,PIZIO,HELGA,F,M.D.,F,I,2020 WELLNESS WAY STE 402,,LAS VEGAS,NV,891064145,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,26,26,26,88.838846154,78.951923077,61.897307692,53.553846154
1053370734,PIZIO,HELGA,F,M.D.,F,I,2020 WELLNESS WAY STE 402,,LAS VEGAS,NV,891064145,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,66.833333333,61.57,44.2475,40.3225
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,28,88,232,60.391508621,8.32,5.7273706897,5.7273706897
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,14.042307692,3.38,2.4461538462,2.4461538462
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,33,61,12.470327869,1.42,1.0239344262,1.0239344262
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.45,1.22,0.8681818182,0.8781818182
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,50.96,17.16,11.665333333,11.749333333
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,362.78057143,73.296857143,52.764,50.261714286
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2040,1.1861323529,0.1332647059,0.0964705882,0.0964705882
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1053370791,DRAGAN,MICHAEL,K,MD,M,I,1980 LITTON LN,,HEBRON,KY,41048,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,33,78,33,25.086060606,25.086060606
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,68,225,53.262844444,8.32,6.2032444444,6.2032444444
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,13,33,33,13.673939394,3.38,2.5696969697,2.5696969697
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,19.715294118,2.12,1.5764705882,1.5764705882
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,18,42,78,12.705512821,1.42,1.0988461538,1.0988461538
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,239.53545455,52.848181818,38.08,39.490909091
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,74.707272727,18.143636364,12.937272727,12.777272727
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,74.834,10.04,7.3453333333,8.6166666667
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,97,10.811443299,1.9290721649,1.4206185567,1.5002061856
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,15,15,183.33333333,52.292,40.994,41.756
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,52.5,41.16,41.755833333
1053370841,AKHTAR,JEFFREY,M,DO,M,I,2270 ASHLEY CROSSING DR STE 155,,CHARLESTON,SC,294145749,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45.92,36.01,37.495
1053370973,CASTRO,NANCY,E,NP,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,82,212,77.28995283,8.32,4.608490566,4.608490566
1053370973,CASTRO,NANCY,E,NP,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,37,14.808108108,1.42,0.9654054054,0.9654054054
1053370973,CASTRO,NANCY,E,NP,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,3.9318181818,2.3554545455,3.0045454545
1053370973,CASTRO,NANCY,E,NP,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1374,0.2598981077,0.048224163,0.0326637555,0.0326637555
1053370973,CASTRO,NANCY,E,NP,F,I,450 CLINTON ST,,WOONSOCKET,RI,028953207,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,45.545454545,33,25.87,25.87
1053371104,BULLARD,ROBERT,E,MD,M,I,214 S 2ND ST,,HARTSVILLE,SC,295504304,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,71,47.855352113,8.32,6.4307042254,6.4307042254
1053371104,BULLARD,ROBERT,E,MD,M,I,214 S 2ND ST,,HARTSVILLE,SC,295504304,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,156.962,54.1255,38.5885,34.055
1053371104,BULLARD,ROBERT,E,MD,M,I,214 S 2ND ST,,HARTSVILLE,SC,295504304,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,24,28,67.212857143,14.703928571,10.571785714,13.059642857
1053371104,BULLARD,ROBERT,E,MD,M,I,214 S 2ND ST,,HARTSVILLE,SC,295504304,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,913.16,715.92,842.26
1053371104,BULLARD,ROBERT,E,MD,M,I,214 S 2ND ST,,HARTSVILLE,SC,295504304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,42,316.91166667,75.342380952,56.306904762,52.220714286
1053371104,BULLARD,ROBERT,E,MD,M,I,214 S 2ND ST,,HARTSVILLE,SC,295504304,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,66.450909091,19.852727273,15.565454545,14.289090909
1053371104,BULLARD,ROBERT,E,MD,M,I,214 S 2ND ST,,HARTSVILLE,SC,295504304,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,51.63,39.491666667,30.96,29.502777778
1053371187,OLSON,DAVID,A,MD,M,I,8611 W POINT DOUGLAS RD S,,COTTAGE GROVE,MN,550164005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,62,235,71.568170213,8.32,5.9121276596,5.9121276596
1053371187,OLSON,DAVID,A,MD,M,I,8611 W POINT DOUGLAS RD S,,COTTAGE GROVE,MN,550164005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,25,48,14.441875,1.42,0.9754166667,0.9754166667
1053371187,OLSON,DAVID,A,MD,M,I,8611 W POINT DOUGLAS RD S,,COTTAGE GROVE,MN,550164005,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,2.33,2.04,1.5994,1.5994
1053371286,BERKOWITZ,PAUL,A,M.D.,M,I,5333 MCAULEY DRIVE,SUITE 4003,YPSILANTI,MI,481971099,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2880,5.79475,2.82975,2.2185208333,2.2185208333
1053371286,BERKOWITZ,PAUL,A,M.D.,M,I,5333 MCAULEY DRIVE,SUITE 4003,YPSILANTI,MI,481971099,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,23,16,16,11.994782609,11.994782609
1053371328,STEICHEN,JOHN,D,MD,M,I,2145 HENRY TECKLENBURG DR STE 220,,CHARLESTON,SC,294145894,US,Physician/Neurosurgery,S,L0627,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,21,449.06,401.13,314.48,310.72761905
1053371344,WORMUTH,DAVID,W,"M.D.,",M,I,5100 W TAFT RD,SUITE 2E,LIVERPOOL,NY,130883807,US,Physician/Thoracic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,78.638,16.602666667,12.198666667,12.736
1053371344,WORMUTH,DAVID,W,"M.D.,",M,I,5100 W TAFT RD,SUITE 2E,LIVERPOOL,NY,130883807,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,452.16611111,71.386666667,52.917777778,51.697777778
1053371369,TAMAYO,RAOUL,I,MD,M,I,1800 W CHARLESTON BLVD,,LAS VEGAS,NV,891022329,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,67.533333333,17.25,13.52,13.538666667
1053371369,TAMAYO,RAOUL,I,MD,M,I,1800 W CHARLESTON BLVD,,LAS VEGAS,NV,891022329,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45,5.5845454545,4.3790909091,3.5836363636
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,18,55,172,47.708313953,8.32,5.915,5.915
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,13.478666667,3.38,2.4733333333,2.4733333333
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,40,15.95025,1.42,1.057,1.057
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2340,0.39,0.13,0.0941025641,0.0941025641
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2340,4.35,2.04,1.5791965812,1.5791965812
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,4.9452631579,4.9452631579,3.88,3.65
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,1.5947619048,1.5185714286,1.190952381,1.21
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,16,64,23.093125,18.103125,14.8325
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,8.4910344828,6.3903448276,4.8565517241,3.6303448276
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,105,50.99,39.974375,25.81125
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,55,58,411.6062069,90.016206897,66.31137931,53.82362069
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,248.88444444,39.573333333,27.544444444,26.644444444
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1440,1.0500625,0.1325,0.0963125,0.0963125
1053371435,WESTCOTT,ROBERT,M,M.D.,M,I,409 S MAIN ST,,LINDSAY,OK,730526448,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,112.2,33,24.5765,24.5765
1053371484,PRETTO,ZORAYDA,,MD,F,I,33 DAVIS AVE,,WHITE PLAINS,NY,106051030,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,12,16,32,3.77625,0.51,0.4,0.4
1053371484,PRETTO,ZORAYDA,,MD,F,I,33 DAVIS AVE,,WHITE PLAINS,NY,106051030,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,47,76,197,898,67.197806236,8.32,6.0341202673,6.0341202673
1053371484,PRETTO,ZORAYDA,,MD,F,I,33 DAVIS AVE,,WHITE PLAINS,NY,106051030,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,18,45,46,14.576086957,3.38,2.4195652174,2.4195652174
1053371484,PRETTO,ZORAYDA,,MD,F,I,33 DAVIS AVE,,WHITE PLAINS,NY,106051030,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,16,24,24,24.484166667,2.12,1.5308333333,1.5308333333
1053371484,PRETTO,ZORAYDA,,MD,F,I,33 DAVIS AVE,,WHITE PLAINS,NY,106051030,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,40,101,251,14.962788845,1.42,1.0198804781,1.0198804781
1053371484,PRETTO,ZORAYDA,,MD,F,I,33 DAVIS AVE,,WHITE PLAINS,NY,106051030,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,47,47,614.71574468,251.11,195.11978723,195.11978723
1053371559,TSENG,ROBERT,R,MD,M,I,1498 SOUTHGATE AVE,STE 102,DALY CITY,CA,94015,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,1830,5.1755901639,0.5463770492,0.4132568306,0.4132568306
1053371559,TSENG,ROBERT,R,MD,M,I,1498 SOUTHGATE AVE,STE 102,DALY CITY,CA,94015,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,4680,3.2422606838,1.2215769231,0.9409551282,0.9409551282
1053371559,TSENG,ROBERT,R,MD,M,I,1498 SOUTHGATE AVE,STE 102,DALY CITY,CA,94015,US,Physician/Nephrology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,28.8475,22.61,21.6225
1053371559,TSENG,ROBERT,R,MD,M,I,1498 SOUTHGATE AVE,STE 102,DALY CITY,CA,94015,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1053371559,TSENG,ROBERT,R,MD,M,I,1498 SOUTHGATE AVE,STE 102,DALY CITY,CA,94015,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,22,16,16,11.971818182,11.971818182
1053371567,VIRANT,JENNIFER,,MD,F,I,908 N ELM ST,STE 301,HINSDALE,IL,605213635,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,39,94,63.592978723,8.32,6.4523404255,6.4523404255
1053371567,VIRANT,JENNIFER,,MD,F,I,908 N ELM ST,STE 301,HINSDALE,IL,605213635,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,18,20,12.155,1.42,1.118,1.118
1053371567,VIRANT,JENNIFER,,MD,F,I,908 N ELM ST,STE 301,HINSDALE,IL,605213635,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,549.5,338.00454545,264.99363636,264.99363636
1053371575,KANBOUR,MUHANNAD,S,MD,M,I,601 DR MARTIN LUTHER KING JR AVE NE,,ALBUQUERQUE,NM,871023670,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,175,49.5075,38.813333333,40.035
1053371575,KANBOUR,MUHANNAD,S,MD,M,I,601 DR MARTIN LUTHER KING JR AVE NE,,ALBUQUERQUE,NM,871023670,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,74.286486486,17.404864865,11.802162162,11.708108108
1053371575,KANBOUR,MUHANNAD,S,MD,M,I,601 DR MARTIN LUTHER KING JR AVE NE,,ALBUQUERQUE,NM,871023670,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,36,41,29.392926829,5.7824390244,4.0682926829,3.4392682927
1053371575,KANBOUR,MUHANNAD,S,MD,M,I,601 DR MARTIN LUTHER KING JR AVE NE,,ALBUQUERQUE,NM,871023670,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,381.64809524,78.637142857,57.288809524,50.842619048
1053371575,KANBOUR,MUHANNAD,S,MD,M,I,601 DR MARTIN LUTHER KING JR AVE NE,,ALBUQUERQUE,NM,871023670,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,41.6,32.61,29.791818182
1053371658,GILBERT,NEIL,,M.D.,M,I,18535 W 12 MILE RD,SUITE A,LATHRUP VILLAGE,MI,480762676,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,18,18,116.57666667,38.49,28.488888889,28.771111111
1053371658,GILBERT,NEIL,,M.D.,M,I,18535 W 12 MILE RD,SUITE A,LATHRUP VILLAGE,MI,480762676,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,302.97111111,85.25,63.111111111,64.017222222
1053371658,GILBERT,NEIL,,M.D.,M,I,18535 W 12 MILE RD,SUITE A,LATHRUP VILLAGE,MI,480762676,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,63.105833333,18.291666667,14.34,14.11
1053371658,GILBERT,NEIL,,M.D.,M,I,18535 W 12 MILE RD,SUITE A,LATHRUP VILLAGE,MI,480762676,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,21,91,7.2002197802,1.9558241758,1.4882417582,1.5441758242
1053371658,GILBERT,NEIL,,M.D.,M,I,18535 W 12 MILE RD,SUITE A,LATHRUP VILLAGE,MI,480762676,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,32,210.0621875,33.633125,25.38625,25.2571875
1053371658,GILBERT,NEIL,,M.D.,M,I,18535 W 12 MILE RD,SUITE A,LATHRUP VILLAGE,MI,480762676,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,14,15,20,95.966,64.76,50.7725,46.35
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,32,143,50.282167832,8.32,5.9752447552,5.9752447552
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.381818182,3.38,2.65,2.65
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,22,11.792727273,1.42,0.9640909091,0.9640909091
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,95.818181818,70.322727273,51.527272727,33.145454545
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,291.55,60.444545455,42.730909091,32.027272727
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,29,29,203.65517241,69.746896552,52.03137931,36.041034483
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,69,69,64.218695652,22.370434783,16.16173913,13.10115942
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,28,31,227.35322581,60.622903226,41.568387097,35.036129032
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,36,36.334166667,7.8905555556,6.0836111111,3.7327777778
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.18,13.03,10.215,7.3833333333
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,20,124,124,389.28177419,100.30870968,73.437016129,53.644274194
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,44.560909091,34.938181818,29.515454545
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,68,68,63.352941176,27.476764706,18.655882353,12.849411765
1053371666,COFAS,CHARLES,K,M.D.,M,I,2640 BIEHN ST STE 4,,KLAMATH FALLS,OR,976011181,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,258.42153846,250.9,196.70538462,196.86923077
1053371682,ROCK,PAUL,B,D.O.,M,I,717 S HOUSTON AVE STE 304,,TULSA,OK,741279023,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1760,0.6727272727,0.44,0.3449602273,0.3449602273
1053371682,ROCK,PAUL,B,D.O.,M,I,717 S HOUSTON AVE STE 304,,TULSA,OK,741279023,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,6000,0.356,0.05,0.0365866667,0.0365866667
1053371682,ROCK,PAUL,B,D.O.,M,I,717 S HOUSTON AVE STE 304,,TULSA,OK,741279023,US,Physician/Internal Medicine,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,750,8.9968,7.13,5.58992,5.58992
1053371682,ROCK,PAUL,B,D.O.,M,I,717 S HOUSTON AVE STE 304,,TULSA,OK,741279023,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,22,3729,0.6346902655,0.45,0.3287959238,0.3287959238
1053371682,ROCK,PAUL,B,D.O.,M,I,717 S HOUSTON AVE STE 304,,TULSA,OK,741279023,US,Physician/Internal Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,3126.2509091,776.08636364,608.45272727,484.58909091
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,12,45,84,65.308095238,8.32,4.9698809524,4.9698809524
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,22,12.781818182,1.42,1.0159090909,1.0159090909
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,86.31,21.811176471,15.343529412,11.938235294
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,232.35,63.119230769,49.483076923,37.63
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,32.472857143,7.4166666667,5.4671428571,3.2714285714
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,519.59894737,95.28,68.72,49.014736842
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,2070,1.0824202899,0.1352898551,0.1008164251,0.1008164251
1053371740,COLEMAN,RENEE,L,PAC,F,I,331 HIGHWAY 65 S,,MORA,MN,550511899,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,82.5,33,25.007666667,25.007666667
1053371807,CARTER,MICHAEL,,MD,M,I,1407 STRONG AVE,,GREENWOOD,MS,389304035,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,6.561,5.23,4.1003333333,4.1003333333
1053371807,CARTER,MICHAEL,,MD,M,I,1407 STRONG AVE,,GREENWOOD,MS,389304035,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,5,3.81,2.99,2.99
1053371849,KOPALA,CARRIE,L,PAC,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,40,116,68.580775862,8.32,6.1284482759,6.1284482759
1053371849,KOPALA,CARRIE,L,PAC,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,18,14.971111111,1.42,0.9305555556,0.9305555556
1053371849,KOPALA,CARRIE,L,PAC,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.7583333333,2.945,3.5175
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,38,74,74,135.19864865,39.49027027,27.691351351,27.216891892
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,8.19,1.4329411765,1.1232352941,1.15
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,37,73,74,370.11472973,86.583243243,62.284189189,62.793783784
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,27,71,164,152.61097561,32.141158537,22.942317073,23.625182927
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,22,41,187,74.231336898,18.143048128,13.245026738,13.52657754
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,13,29,151,60.240198675,15.407615894,8.8490728477,8.6956291391
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,44,83,83,205.78096386,56.294698795,39.599518072,38.406626506
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,72,96,96,66.785729167,18.544375,13.5634375,13.223125
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,19,19,33.397894737,10.657368421,7.2968421053,7.1178947368
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,38,72,72,79.133194444,11.795555556,9.1894444444,9.2159722222
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,77,169,831,9.2712274368,2.0026955475,1.5047292419,1.5179422383
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,19,22,22,23.361363636,6.36,4.5336363636,4.2609090909
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,40,54,54,44.455925926,14.246666667,10.806666667,10.045925926
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,35,84.235142857,17.258,13.528,13.537714286
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,19,19,203.14263158,47.927894737,33.557368421,33.674736842
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,7,,32,37,511.70891892,89.456216216,61.325675676,60.707297297
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,9,23,113,116,53.515172414,12.906810345,9.0652586207,9.1490517241
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,37,50.73,5.4794594595,4.002972973,3.4745945946
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,30,144,145,152.18075862,33.116413793,22.270344828,21.798965517
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,20,94,135,491.55622222,76.747111111,58.845703704,55.451703704
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,64,88,252.55681818,35.763295455,27.399772727,28.426590909
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,1620,15.58,9.6006666667,7.3242160494,7.3242160494
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,6107,0.1845750778,0.0457147536,0.0320828557,0.0320828557
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,36,6028,1.1269807565,0.1352720637,0.1024469144,0.1024469144
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,26,1560,12.86,3.0811923077,2.4156794872,2.4156794872
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1191,0.7701595298,0.2191099916,0.1717464316,0.1717464316
1053371922,PATTON,WILLIAM,F,M.D.,M,I,5333 MCAULEY DR,SUITE 3111,YPSILANTI,MI,481971014,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,16,84,84,100.57142857,33,24.845238095,24.845238095
1053371955,ABBAS,QAISER,,MD,M,I,12102 HILLSIDE AVE,,RICHMOND HILL,NY,114181812,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,57,159,66.861006289,8.32,5.660754717,5.660754717
1053371955,ABBAS,QAISER,,MD,M,I,12102 HILLSIDE AVE,,RICHMOND HILL,NY,114181812,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,31,54,17.070740741,1.42,1.0540740741,1.0540740741
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,29,113,56.85699115,8.32,6.3120353982,6.3120353982
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,14.9625,3.38,2.65,2.65
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,40,15.95425,1.42,1.11575,1.11575
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,16,86.31,17.29,13.55,13.5425
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,40,50.73,4.994,3.91675,3.91275
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,519.51,70.23,51.389333333,51.072
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,3321,0.3044896116,0.0457964469,0.0359048479,0.0359048479
1053372011,LLOYD,PATRICIA,Z,PA C,F,I,4830 RUCKER ROAD,VILLAGE FAMILY PHYSICIANS,MONETA,VA,24121,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,71.076923077,33,23.88,23.88
1053372037,JOHNSON-SMITH,JILL,L,PA-C,F,I,612 N ANDOVER RD,,ANDOVER,KS,670029778,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,22,42,68.542380952,8.32,6.5204761905,6.5204761905
1053372037,JOHNSON-SMITH,JILL,L,PA-C,F,I,612 N ANDOVER RD,,ANDOVER,KS,670029778,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,458.54727273,77.18,60.51,59.457272727
1053372045,CLEMOW-TILLEY,ELIZABETH,,ARNP,F,I,1713 NW FEDERAL HWY,,STUART,FL,349949631,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,492.30769231,88.507692308,69.388461538,69.388461538
1053372045,CLEMOW-TILLEY,ELIZABETH,,ARNP,F,I,1713 NW FEDERAL HWY,,STUART,FL,349949631,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,29.402666667,4.63,3.3806666667,3.3786666667
1053372045,CLEMOW-TILLEY,ELIZABETH,,ARNP,F,I,1713 NW FEDERAL HWY,,STUART,FL,349949631,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,25,154.8,32.448,22.896,22.4432
1053372045,CLEMOW-TILLEY,ELIZABETH,,ARNP,F,I,1713 NW FEDERAL HWY,,STUART,FL,349949631,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,20,86,11005,1.598916856,0.1363534757,0.101969105,0.101969105
1053372045,CLEMOW-TILLEY,ELIZABETH,,ARNP,F,I,1713 NW FEDERAL HWY,,STUART,FL,349949631,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,64,64,80.015625,33,24.0725,24.0725
1053372045,CLEMOW-TILLEY,ELIZABETH,,ARNP,F,I,1713 NW FEDERAL HWY,,STUART,FL,349949631,US,Nurse Practitioner,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,11,11,66,66,51.74,51.74
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,56,129,337,64.428278932,8.32,6.0858753709,6.0858753709
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,12.925454545,3.38,2.65,2.65
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,23,46,63,14.99984127,1.42,0.9736507937,0.9736507937
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,27.144166667,4.88,3.8258333333,4.0333333333
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,187.73263158,35.756842105,28.034210526,27.575789474
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1320,1.0031969697,0.1310454545,0.0924090909,0.0924090909
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2188461538,0.1584871795,0.1584871795
1053372128,MURPHY,JEAN,,M.D.,M,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,77.939655172,33,22.832413793,22.832413793
1053372136,KING,KRISTA,H,M.D.,F,I,318 WHITE HORSE PIKE,,HADDON HEIGHTS,NJ,080351705,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,63,163,72.874662577,8.32,5.9611656442,5.9611656442
1053372136,KING,KRISTA,H,M.D.,F,I,318 WHITE HORSE PIKE,,HADDON HEIGHTS,NJ,080351705,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,28,40,14.5205,1.42,0.949,0.949
1053372136,KING,KRISTA,H,M.D.,F,I,318 WHITE HORSE PIKE,,HADDON HEIGHTS,NJ,080351705,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.01,9.7416666667,7.6316666667,8.72
1053372136,KING,KRISTA,H,M.D.,F,I,318 WHITE HORSE PIKE,,HADDON HEIGHTS,NJ,080351705,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,22.581818182,17.705454545,21.773636364
1053372193,MAHALE,RADHA,S,MD,F,I,221 RUSSELLTON DORSEYVILLE RD,,CHESWICK,PA,15024,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,45,127,68.297244094,8.32,6.1567716535,6.1567716535
1053372193,MAHALE,RADHA,S,MD,F,I,221 RUSSELLTON DORSEYVILLE RD,,CHESWICK,PA,15024,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,17,12.435882353,1.42,1.0517647059,1.0517647059
1053372219,PALMITESSA,GABRIELLA,,M.D.,F,I,6565 W MAIN ST,,KALAMAZOO,MI,490096114,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,48,123,52.748373984,8.32,5.9381300813,5.9381300813
1053372219,PALMITESSA,GABRIELLA,,M.D.,F,I,6565 W MAIN ST,,KALAMAZOO,MI,490096114,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.431666667,3.38,2.65,2.65
1053372219,PALMITESSA,GABRIELLA,,M.D.,F,I,6565 W MAIN ST,,KALAMAZOO,MI,490096114,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,28,44,14.495909091,1.42,1.0143181818,1.0143181818
1053372219,PALMITESSA,GABRIELLA,,M.D.,F,I,6565 W MAIN ST,,KALAMAZOO,MI,490096114,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.9,4.895,3.8425,3.6625
1053372219,PALMITESSA,GABRIELLA,,M.D.,F,I,6565 W MAIN ST,,KALAMAZOO,MI,490096114,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,292.96384615,92.148461538,48.881538462,39.512307692
1053372268,SANDHOFER,CHARLES,R,MD,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,51.74,7.9045454545,6.1945454545,3.6854545455
1053372268,SANDHOFER,CHARLES,R,MD,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,536.84,105.01636364,82.335454545,54.73
1053372268,SANDHOFER,CHARLES,R,MD,M,I,2200 NW 26TH ST,,OWATONNA,MN,550605503,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,106.63,45.002727273,35.284545455,29.516363636
1053372318,ANDREWS,VALERIA,M,FNP,F,I,1766 CONNELLY SPRINGS RD,,LENOIR,NC,286457827,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,61,160,69.3535,8.32,5.625375,5.625375
1053372318,ANDREWS,VALERIA,M,FNP,F,I,1766 CONNELLY SPRINGS RD,,LENOIR,NC,286457827,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,25,15.392,1.42,1.1152,1.1152
1053372318,ANDREWS,VALERIA,M,FNP,F,I,1766 CONNELLY SPRINGS RD,,LENOIR,NC,286457827,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.29,12.420833333,12.4025
1053372318,ANDREWS,VALERIA,M,FNP,F,I,1766 CONNELLY SPRINGS RD,,LENOIR,NC,286457827,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,44.383846154,4.8084615385,3.7711538462,3.7676923077
1053372318,ANDREWS,VALERIA,M,FNP,F,I,1766 CONNELLY SPRINGS RD,,LENOIR,NC,286457827,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,519.51,70.23,50.054545455,49.807272727
1053372318,ANDREWS,VALERIA,M,FNP,F,I,1766 CONNELLY SPRINGS RD,,LENOIR,NC,286457827,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1140,1.0694210526,0.1368421053,0.0977368421,0.0977368421
1053372318,ANDREWS,VALERIA,M,FNP,F,I,1766 CONNELLY SPRINGS RD,,LENOIR,NC,286457827,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,111.15789474,33,25.87,25.87
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,34,87,232,81.794698276,8.32,5.8009051724,5.8009051724
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,12.164285714,3.38,2.65,2.65
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,33,47,16.41787234,1.42,1.0685106383,1.0685106383
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,20,40,7.752,1.598,1.254,1.154
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,490.75636364,84,61.925454545,63.905454545
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,32,181.03,32,25.0871875,25.9171875
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,92,71.074130435,14.94,11.190543478,11.369673913
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,282.51095238,53.920952381,42.27,42.76952381
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,20,20,91.8275,17.4915,13.0485,13.3665
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,92.478333333,11.827333333,8.981,8.827
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,36,200,12.0708,2,1.52135,1.54425
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,31.565454545,5.95,4.66,4.65
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,50.73,4.00625,2.964375,3.634375
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,241.54777778,39.318888889,28.255555556,25.643888889
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,39,451.35179487,73,55.762564103,53.454871795
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,3789,1.0329136975,0.0466270784,0.0358273951,0.0358273951
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,15,54,5456,1.2724101906,0.1353629032,0.0966330645,0.0966330645
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1380,9.5652173913,3.0353043478,2.3483333333,2.3483333333
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,1200,2.2888166667,0.2191833333,0.171825,0.171825
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,19.95,15.5588,9.5404,11.0412
1053372359,INDUPALLI,SURESH,B,M.D.,M,I,4180 DELAWARE ST,SUITE 102,BEAUMONT,TX,77706,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,72,72,90.75,33,24.073472222,24.073472222
1053372425,HAN,ZE-HUI,,M.D.,M,I,450 LAUREL ST,STE. A,DES MOINES,IA,503143045,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,76,54.07,42.39,46.045384615
1053372466,KHANNA,PUNEET,K,M.D.,M,I,39000 BOB HOPE DR,HAL B WALLIS,RANCHO MIRAGE,CA,922703221,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,79.22,59.653076923,52.273076923
1053372649,MATTAR,BASSAM,I,MD,M,I,818 N EMPORIA ST,SUITE 403,WICHITA,KS,672143729,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,43,50.488372093,39.11,30.662325581,30.752093023
1053372748,DAVIES-WAIT,BRENDA,J,D.O.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,39,151,62.284900662,8.32,5.8517880795,5.8517880795
1053372748,DAVIES-WAIT,BRENDA,J,D.O.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.005454545,3.38,2.4090909091,2.4090909091
1053372748,DAVIES-WAIT,BRENDA,J,D.O.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,27,54,13.406851852,1.42,0.9903703704,0.9903703704
1053372748,DAVIES-WAIT,BRENDA,J,D.O.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,71.73,23.549411765,17.582941176,12.734117647
1053372748,DAVIES-WAIT,BRENDA,J,D.O.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,176.586,63.374,49.682666667,37.63
1053372748,DAVIES-WAIT,BRENDA,J,D.O.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,43,377.0972093,110.94372093,83.647209302,52.57
1053372813,CAIN,MARY,E,NP,F,I,26 CITY HALL MALL,,MEDFORD,MA,021554754,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,78,76.62025641,8.32,6.0205128205,6.0205128205
1053372847,HINGST,MARK,D,M.D.,M,I,1551 WALL ST,4TH FLOOR,SAINT CHARLES,MO,633033539,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,45,145,51.11,8.32,5.8026206897,5.8026206897
1053372847,HINGST,MARK,D,M.D.,M,I,1551 WALL ST,4TH FLOOR,SAINT CHARLES,MO,633033539,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,28,52,10.952692308,1.42,1.0911538462,1.0911538462
1053372847,HINGST,MARK,D,M.D.,M,I,1551 WALL ST,4TH FLOOR,SAINT CHARLES,MO,633033539,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,56,11.346428571,2.08,1.3975,1.3726785714
1053372847,HINGST,MARK,D,M.D.,M,I,1551 WALL ST,4TH FLOOR,SAINT CHARLES,MO,633033539,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,17,81.75,12.670588235,9.9311764706,9.8694117647
1053372847,HINGST,MARK,D,M.D.,M,I,1551 WALL ST,4TH FLOOR,SAINT CHARLES,MO,633033539,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,29,513.08896552,34.396551724,25.834827586,24.542758621
1053372953,ROBINS,H,I,MD PHD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Medical Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,3868,18.293697001,1.1272078594,0.8837383661,0.8837357808
1053372953,ROBINS,H,I,MD PHD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,24,24,18.82,18.82
1053372995,PARIKH,AJAY,R,MD,M,I,3333 N CALVERT ST,STE 605 JOHNSTON PROFESSIONAL BLDG,BALTIMORE,MD,21218,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,2700,2.6,2.04,1.5993444444,1.5993444444
1053372995,PARIKH,AJAY,R,MD,M,I,3333 N CALVERT ST,STE 605 JOHNSTON PROFESSIONAL BLDG,BALTIMORE,MD,21218,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,9.72,9.72,7.6205,7.73
1053372995,PARIKH,AJAY,R,MD,M,I,3333 N CALVERT ST,STE 605 JOHNSTON PROFESSIONAL BLDG,BALTIMORE,MD,21218,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.99,3.99,3.128,3.1675
1053373001,SHAH,AMI,R,MD,F,I,6124 WEST PARKER ROAD,MOB III SUITE 234,PLANO,TX,750938124,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,24,51,71.346862745,8.32,5.8833333333,5.8833333333
1053373035,ZALEWSKI,JOHN,F,MD,M,I,10024 WATSON RD,,SAINT LOUIS,MO,631261829,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,33,109,64.44587156,8.32,5.5049541284,5.5049541284
1053373035,ZALEWSKI,JOHN,F,MD,M,I,10024 WATSON RD,,SAINT LOUIS,MO,631261829,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,18,11.158888889,1.42,0.93,0.93
1053373217,OLSON,LYLE,T,M.D.,M,I,659 PARK MEADOW RD,SUITE J,WESTERVILLE,OH,430812879,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,34.15,28.46,22.31,22.31
1053373217,OLSON,LYLE,T,M.D.,M,I,659 PARK MEADOW RD,SUITE J,WESTERVILLE,OH,430812879,US,Physician/Internal Medicine,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,13,6.09,5.36,4.2,4.6315384615
1053373217,OLSON,LYLE,T,M.D.,M,I,659 PARK MEADOW RD,SUITE J,WESTERVILLE,OH,430812879,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,13.12,10.93,8.57,8.57
1053373290,TAYLOR,PETER,D,MD,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Clinical Cardiatric Electrophysiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3743.3333333,2480.02,1939.3625,1939.3625
1053373332,VAN ZANDT,KEITH,B,MD,M,I,ROBINHOOD MEDICAL PLAZA,BLDG 100,WINSTON-SALEM,NC,27106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,32,64,59.10796875,8.32,5.69,5.69
1053373332,VAN ZANDT,KEITH,B,MD,M,I,ROBINHOOD MEDICAL PLAZA,BLDG 100,WINSTON-SALEM,NC,27106,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,18,14.548333333,1.42,0.8088888889,0.8088888889
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,70,116,116,151.18706897,39.99137931,30.516293103,29.782068966
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,34,64,64,456.59265625,83.6815625,60.47046875,62.44796875
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,11,24,30,140.85,32.008333333,25.096333333,25.927
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,27,51,183,94.02989071,17.265901639,13.150546448,14.082568306
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,17,40,72.9685,15.06,11.21825,11.30575
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,59,96,96,365.99614583,51.833125,38.975416667,40.973541667
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,82,96,96,90.210520833,17.521458333,13.0253125,13.318125
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,36,36,90.675,10.116666667,7.2775,8.4283333333
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,89,139,831,5.7160770156,2,1.5003971119,1.521576414
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,58,70,70,20.929714286,6.0281428571,4.5914285714,4.5388571429
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,36,44,44,117.87340909,13.53,10.600909091,10.375
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,474.67173913,77.796086957,49.625652174,50.935217391
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,1009.4327778,203.98666667,151.43555556,159.81388889
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,27,27,27,494.44,134.96,105.81,104.90555556
1053373357,SACKETT,SUZANNE,H,"PA-C, MHS",F,I,1021 BANDANA BLVD E,SUITE 100,SAINT PAUL,MN,551085113,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,53,257,257,231.77832685,30.515603113,21.044785992,22.68151751
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,28.46,28.46,22.31,22.31
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,256,2.49,2.49,1.9516796875,1.9516796875
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,10.93,10.93,8.57,8.57
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,52,7792,0.44,0.44,0.3449499487,0.3449499487
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,30,74,3211,34.86,34.86,27.330280287,27.330280287
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,48,111,4191,8.294817466,8.28,6.4573252207,6.4573252207
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,30,74,3667,18.5,18.5,14.388677393,14.388677393
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,19,625,3.79,3.79,2.971344,2.971344
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,206,22.42,22.42,17.577330097,17.577330097
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,25,53,794,10.916234257,10.916234257,8.5583123426,8.5583123426
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,480,1.08,1.08,0.8466666667,0.8466666667
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,21,849,2.4,2.4,1.8816489988,1.8816489988
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,1050,2.73,2.73,2.1403333333,2.1403333333
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,22,102,18.469313725,18.29,14.339215686,14.339215686
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,1680,0.13,0.13,0.1019345238,0.1019345238
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,27,61,8136,0.4542920354,0.4491887906,0.3521718289,0.352324238
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,26,778,134.70560411,6.6168123393,5.0066709512,4.0122107969
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,9692,2.0616632274,0.3772183244,0.2954519191,0.2439754437
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,25,25,25,144.1072,69.3896,54.402,37.4088
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,26.79,19.055384615,14.937692308,12.049230769
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,5,21,21,21,114.44142857,71.516190476,55.007619048,40.818095238
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,15,59,59,116.07762712,72.652542373,53.70220339,39.778474576
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,25,31.2956,20.6848,16.2164,13.53
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,37,190.86756757,93.35027027,71.571891892,54.345405405
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,70,8.223,0.626,0.49,0.49
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,28,112,115,46.714956522,26.115913043,19.723913043,14.993565217
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,70,70,53.729428571,37.484285714,28.254857143,22.475285714
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,22.684166667,11.38625,8.6458333333,7.0404166667
1053373399,CLARK,KEVIN,R,DO,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,61.575,44.745,30.975,26.125
1053373415,CAMPBELL,JOHN,T,M.D.,M,I,4386 TRAIL BOSS DR,SUITE A,CASTLE ROCK,CO,801047512,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,24.154545455,8.32,5.9272727273,5.9272727273
1053373415,CAMPBELL,JOHN,T,M.D.,M,I,4386 TRAIL BOSS DR,SUITE A,CASTLE ROCK,CO,801047512,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,520.16,78.49,58.111666667,51.689444444
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,24,750,8.5295333333,3.9,3.05768,3.05768
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,640,9.66384375,5.74,4.495046875,4.495046875
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,310,19.232516129,10.81,8.2016451613,8.2016451613
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,528,5.6176325758,2.91,2.1867613636,2.1867613636
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,94,9.7579787234,6.44,5.0490425532,5.0490425532
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,560,21.472857143,9.86,7.5295714286,7.5295714286
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,33,815,7.4491411043,5.3116319018,3.5194233129,3.7025889571
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,920,7.7494782609,4.03,3.0434673913,3.0434673913
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,26,1945,0.3890282776,0.2636452442,0.1997069409,0.204714653
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,280,23.535428571,10.81,8.475,8.475
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,420,7.9642142857,3.04,2.1603809524,2.1603809524
1053373431,BANERJEE,SAUMITRA,R,M.D.,M,I,6 NORTHWESTERN DR,SUITE # 305,BLOOMFIELD,CT,060023463,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,11,31,1805,0.4911800554,0.2571246537,0.1959445983,0.2063878116
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,179,338,338,119.78618343,39.002692308,29.53091716,29.44443787
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.19,1.5053846154,1.09,1.0657692308
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,68,127,127,327.39708661,91.032677165,68.813149606,65.565905512
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,53,101,291,120.38687285,34.038247423,26.047560137,25.326975945
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,81,145,808,67.723737624,18.002821782,13.601410891,14.010556931
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,37,73,390,51.736205128,15.149692308,11.531025641,11.545615385
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,144,276,276,206.36206522,53.609601449,39.926268116,40.7125
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,181,224,224,66.772857143,17.995625,13.555044643,13.512544643
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,37,37,59.923243243,12.08,9.2140540541,8.9113513514
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,188,366,2148,8.27216946,2.0597765363,1.5529888268,1.5333938547
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,122,165,165,26.983818182,5.999030303,4.4791515152,4.4346666667
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,67,77,77,34.426623377,12.505844156,9.5701298701,10.073376623
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,116,121,40.148099174,16.08,11.87107438,12.791900826
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,12,52,55,331.81818182,89.352363636,70.047636364,71.442181818
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,44,44,44,496.23863636,132.49886364,103.32568182,104.12568182
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,64,70,48.258142857,3.9392857143,2.9124285714,3.4822857143
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,75,460,460,122.88182609,31.989978261,24.10123913,24.236956522
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,39,292,303,267.26656766,77.18,56.836237624,51.977821782
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,126,132,100.18939394,37,28.408712121,28.850075758
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1860,16.823806452,11.139322581,8.6282849462,8.6282849462
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,22,67,17184,0.231654446,0.0463477654,0.0343668529,0.0343668529
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2400,1.3090958333,0.1335125,0.0978708333,0.0978708333
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,45,3060,11.692071895,3.0130196078,2.2417026144,2.2417026144
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,845,0.779443787,0.2189585799,0.1716686391,0.1716686391
1053373464,JOSSELSON,ALAN,S,MD,M,I,1330 POWELL ST,SUITE 508,NORRISTOWN,PA,194013353,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,30,120,120,89.925,33,25.007666667,25.007666667
1053373522,ZEIGLER,AZURE,L,ARNP,F,I,1025 PENNOCK PL,FAMILY MEDICINE CENTER,FORT COLLINS,CO,805243257,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,40,103,65.353592233,8.32,5.5086407767,5.5086407767
1053373522,ZEIGLER,AZURE,L,ARNP,F,I,1025 PENNOCK PL,FAMILY MEDICINE CENTER,FORT COLLINS,CO,805243257,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,13,10.782307692,1.42,0.8615384615,0.8615384615
1053373522,ZEIGLER,AZURE,L,ARNP,F,I,1025 PENNOCK PL,FAMILY MEDICINE CENTER,FORT COLLINS,CO,805243257,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,86.673157895,17.91,13.301052632,12.985263158
1053373522,ZEIGLER,AZURE,L,ARNP,F,I,1025 PENNOCK PL,FAMILY MEDICINE CENTER,FORT COLLINS,CO,805243257,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,464.46277778,70.48,52.864444444,52.540555556
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,68,68,68,138.02,44.578088235,34.948235294,36.293235294
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,24.79,4.2793333333,3.2376666667,3.392
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25.63,8.0346666667,5.9146666667,7.2846666667
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,24,24,24,30.35,14.13,11.074166667,11.925
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,76,76,76,146.70065789,48.042236842,37.165789474,40.039342105
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,24.28,9.19,7.2058064516,7.8093548387
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,38,189,189,130.69952381,48.06962963,36.443068783,38.170952381
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,39,39,128.98,49.064102564,37.628205128,38.319487179
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,1,20,20,40,33.685,15.72,12.325,15.29
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,24,24,46,57.78,26.08,20.449565217,22.511086957
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,19,134.93842105,48.3,37.868421053,40.003157895
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,21,49.02,20,15.68,18.17
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,23.7,9.45,7.4073684211,8.3105263158
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,92,92,24.01,9.8095652174,7.5051086957,8.860326087
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,39.094210526,22.196842105,14.514210526,19.342105263
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,74,74,74,70.404054054,30.598648649,23.651081081,28.651756757
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,7.0285714286,3.05,2.39,2.8271428571
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,61,61,61,362.86836066,142.61836066,110.48557377,114.39147541
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,35.555714286,13.98,10.96,11.316190476
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,71,345,345,67.88515942,16.292956522,12.384434783,14.296289855
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,84.975714286,29.402857143,23.05,26.232857143
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,57,363,363,116.90107438,22.324545455,16.447217631,20.377162534
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,53,53,163.02,48.237358491,37.813396226,39.069245283
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,131,757,757,20.104702774,7.0093130779,5.2654029062,6.513011889
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,L5620,"Addition to lower extremity, test socket, below knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,12,16,434.629375,317.5875,248.98875,234.148125
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,L5629,"Addition to lower extremity, below knee, acrylic socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,11,552.95636364,409.27454545,320.87272727,267.66
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,L5637,"Addition to lower extremity, below knee, total contact",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,12,12,470.58916667,356.02666667,279.12666667,243.31083333
1053373613,PORWAL,ANOOP,,MD,M,I,20 HOSPITAL DR,SUITE 17A,TOMS RIVER,NJ,087556434,US,Physician/Physical Medicine and Rehabilitation,S,L8420,"Prosthetic sock, multiple ply, below knee, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,73,32.469041096,21.8,17.091369863,16.378630137
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,20,32,64,5.194375,0.51,0.3875,0.3875
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,21,3.9238095238,1,0.7071428571,0.7071428571
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,113,300,944,46.931133475,8.3120444915,6.0185699153,6.0247881356
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,37,95,95,14.892631579,3.38,2.5105263158,2.5105263158
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,35,53,53,21.754150943,2.12,1.6069811321,1.6069811321
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,78,165,302,13.241754967,1.42,1.0590397351,1.0590397351
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,29,22.011034483,9.29,6.7789655172,7.9993103448
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,19,19,66.526315789,49.414210526,33.414736842,25.675789474
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,28,28,55,75.252363636,71.531636364,52.908727273,52.930727273
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,19,114,30.366578947,29.19,22.885,22.886491228
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,37,82,6.7441463415,2.0892682927,1.4856097561,1.0556097561
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,60.503076923,17.252307692,13.527692308,9.0753846154
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,15,31,31,191.64516129,120.12032258,93.690645161,68.712903226
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,14,30,61,74.736065574,45.553934426,34.774590164,25.561311475
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,73,49.865068493,26.689726027,17.313835616,11.653150685
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,119.85277778,76.754444444,52.647222222,36.992777778
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,30,30,39.536666667,24.136,17.145666667,12.647666667
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,31,31,43.196451613,20.601612903,14.958709677,8.7274193548
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,23,49,294,5.6528571429,3.1171428571,2.2994217687,1.4909183673
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.559230769,8.1930769231,6.0330769231,4.2976923077
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,15,21,21,22.348095238,15.7,10.694285714,8.8628571429
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,288,31.822083333,4.1416666667,3.2470138889,2.3677777778
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,23,643,39.392612753,7.4216018663,5.6066718507,3.9688646967
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,28,12066,0.9190958064,0.3964810211,0.3102370297,0.242439085
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,24,24,24,93.8975,72.634166667,56.94625,37.502916667
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,23.766923077,19.843846154,15.559230769,12.05
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,23,23,23,108.18,72.05826087,56.49,41.885652174
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,N,1,16,16,16,216,192.41125,150.8425,126.47375
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,24,97,97,98.71,65.936185567,48.437525773,36.122164948
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,19,139,139,36.58676259,22.601510791,17.288633094,13.786978417
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,19,106,106,23.515,7.2946226415,5.4443396226,3.4388679245
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,84.2275,57.77,44.218333333,29.301666667
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,90.292894737,64.350526316,50.450789474,38.786315789
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,38.3,17.495714286,12.757142857,11.207142857
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,31,208,209,228.49004785,103.93454545,78.727990431,65.11861244
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,20,20,20,84.032,46.3,36.304,30.328
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,20,20,20,386.696,203.728,159.7245,120.8705
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,55,13287,0.2490878302,0.0463776624,0.0336554527,0.0336554527
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,16,59,6133,1.3710141856,0.1321897929,0.0918490135,0.0918490135
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,900,12.312422222,3.1396333333,2.1337,2.1337
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,782,1.9287723785,0.2194629156,0.1622506394,0.1622506394
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,20,91,91,39.826263736,26.781538462,20.333516484,14.128461538
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,69,69,77.423768116,41.377391304,32.080724638,24.471304348
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,130.31470588,78.08,61.215294118,40.863529412
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,577.42,176.41105263,133.43684211,102.85052632
1053373662,OZBORN,CHARLES,,MD,M,I,1301 VETERANS MEMORIAL BLVD,,EUPORA,MS,397442064,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,29,116,116,87.103448276,33,24.531896552,24.531896552
1053373712,SGAMBATI,SUSAN,A,MD,F,I,4600 HALE PKWY,SUITE 430,DENVER,CO,802204020,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,717,9.2926917713,5.74,4.50013947,4.50013947
1053373712,SGAMBATI,SUSAN,A,MD,F,I,4600 HALE PKWY,SUITE 430,DENVER,CO,802204020,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,26,611,4.120589198,2.9020130933,2.275106383,2.2813747954
1053373712,SGAMBATI,SUSAN,A,MD,F,I,4600 HALE PKWY,SUITE 430,DENVER,CO,802204020,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,720,19.905791667,9.86,7.730125,7.730125
1053373712,SGAMBATI,SUSAN,A,MD,F,I,4600 HALE PKWY,SUITE 430,DENVER,CO,802204020,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,480,11.784833333,7,4.9604375,4.9604375
1053373712,SGAMBATI,SUSAN,A,MD,F,I,4600 HALE PKWY,SUITE 430,DENVER,CO,802204020,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,29,2340,3.0055512821,1.95,1.5144059829,1.5144059829
1053373712,SGAMBATI,SUSAN,A,MD,F,I,4600 HALE PKWY,SUITE 430,DENVER,CO,802204020,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,560,6.111625,4.03,3.1595,3.1595
1053373712,SGAMBATI,SUSAN,A,MD,F,I,4600 HALE PKWY,SUITE 430,DENVER,CO,802204020,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,1050,0.481647619,0.27,0.211647619,0.211647619
1053373738,RIEDEL,LARRY,,MD,M,I,605 E SAN ANTONIO ST,STE. 510E,VICTORIA,TX,779016050,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,84,56.524404762,8.32,6.3666666667,6.3666666667
1053373738,RIEDEL,LARRY,,MD,M,I,605 E SAN ANTONIO ST,STE. 510E,VICTORIA,TX,779016050,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,128.67388889,69.633888889,50.322777778,33.272777778
1053373738,RIEDEL,LARRY,,MD,M,I,605 E SAN ANTONIO ST,STE. 510E,VICTORIA,TX,779016050,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,62.93,17.27,12.411666667,12.411666667
1053373738,RIEDEL,LARRY,,MD,M,I,605 E SAN ANTONIO ST,STE. 510E,VICTORIA,TX,779016050,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,107.54,40.796666667,30.33,30.33
1053373738,RIEDEL,LARRY,,MD,M,I,605 E SAN ANTONIO ST,STE. 510E,VICTORIA,TX,779016050,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,366.42,68.78,45.624615385,46.456923077
1053373795,HARAWAY,JAMES,,NP,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,81506,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,84.593846154,17.91,14.04,13.578461538
1053373795,HARAWAY,JAMES,,NP,M,I,3150 N 12TH ST,,GRAND JUNCTION,CO,81506,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,49,339.06367347,70.48,50.067346939,49.602244898
1053373928,PARRINELLO,JOHN,F,D.P.M.,M,I,14540 CORTEZ BLVD,SUITE 200,BROOKSVILLE,FL,346136056,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,44,44,88,90,71.56,55.773977273,55.773977273
1053373928,PARRINELLO,JOHN,F,D.P.M.,M,I,14540 CORTEZ BLVD,SUITE 200,BROOKSVILLE,FL,346136056,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,40,240,44.75,29.19,22.885,22.886333333
1053373969,HOUCK,BRADFORD,H,PA-C,M,I,520 UPPER CHESAPEAKE DR,SUITE 306,BEL AIR,MD,210144339,US,Physician Assistant,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,32,2720,0.2702941176,0.12,0.0941066176,0.0941066176
1053373969,HOUCK,BRADFORD,H,PA-C,M,I,520 UPPER CHESAPEAKE DR,SUITE 306,BEL AIR,MD,210144339,US,Physician Assistant,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,312,19.932403846,8.28,6.4915384615,6.4915384615
1053373969,HOUCK,BRADFORD,H,PA-C,M,I,520 UPPER CHESAPEAKE DR,SUITE 306,BEL AIR,MD,210144339,US,Physician Assistant,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,25,42,2158,0.266978684,0.13,0.1019462465,0.1019462465
1053373969,HOUCK,BRADFORD,H,PA-C,M,I,520 UPPER CHESAPEAKE DR,SUITE 306,BEL AIR,MD,210144339,US,Physician Assistant,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,34,4057,1.1047103771,0.45,0.3527754498,0.3527754498
1053373969,HOUCK,BRADFORD,H,PA-C,M,I,520 UPPER CHESAPEAKE DR,SUITE 306,BEL AIR,MD,210144339,US,Physician Assistant,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,1200,1033.67,810.4,810.4
1053373969,HOUCK,BRADFORD,H,PA-C,M,I,520 UPPER CHESAPEAKE DR,SUITE 306,BEL AIR,MD,210144339,US,Physician Assistant,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,2,13,13,24,491.66666667,364.4,285.69,285.69
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,530,4.8381886792,3.32,2.5798867925,2.9743584906
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,36,9.6777777778,4.1,3.1241666667,3.1241666667
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,820,9.7452439024,5.74,4.5000609756,4.5000609756
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,500,8.27696,7,5.25428,5.25428
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,324,3.8205555556,2.91,2.2250308642,2.2250308642
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,58,13.361724138,6.44,5.0470689655,5.0470689655
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,34,2080,0.3831586538,0.27,0.1984038462,0.1984038462
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,30,1950,0.8127846154,0.2594871795,0.2034051282,0.2098102564
1053374041,WARE,PAUL,D,MD,M,I,1340 BROAD AVE,SUITE 240,GULFPORT,MS,395012404,US,Physician/General Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,115,28.294166667,22.179166667,22.179166667
1053374157,KISHBAUGH,DAVID,,D.O.,M,I,2109 VALLEYGATE DR,SUITE 201,FAYETTEVILLE,NC,283043571,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,15,17,87.93,80.172352941,62.848823529,69.800588235
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,43,109,60.566880734,8.32,5.9385321101,5.9385321101
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,11.633846154,3.38,2.65,2.65
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,34,13.409411765,1.42,1.0805882353,1.0805882353
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,47.285833333,19.564166667,14.113333333,12.936666667
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,78,5.7582051282,2.0348717949,1.3946153846,1.3914102564
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,50,17.76,13.93,13.679285714
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,275,79.88,57.164444444,51.02
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,145,17.47,10.816666667,10.95
1053374165,BONZELAAR,WILLIAM,B,,M,I,904 S WASHINGTON AVE,SUITE 210,HOLLAND,MI,494237724,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.75,35.66,23.3,24.785833333
1053374199,SHAPICH,TARA,J,PA-C,F,I,141 MEDICAL PARK LN,,BELLEFONTE,PA,168239112,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,26,80,192,74.05484375,8.32,5.6355208333,5.6355208333
1053374199,SHAPICH,TARA,J,PA-C,F,I,141 MEDICAL PARK LN,,BELLEFONTE,PA,168239112,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,16.59,13,13.53
1053374199,SHAPICH,TARA,J,PA-C,F,I,141 MEDICAL PARK LN,,BELLEFONTE,PA,168239112,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,67.72,52.723333333,54.354166667
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,38,80,80,56.657368421,57.01
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,29,32,118.65625,116.9703125,88.823125,91.6846875
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,42,42,29.0384,31.284
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L3050,"Foot, arch support, removable, premolded, metatarsal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,13,17,42.352941176,42.151176471,31.598823529,33.783529412
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,15,17,41.411764706,40.225882353,31.536470588,32.498235294
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L3350,Heel wedge,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,24,22.125,21.71,17.02,17.25625
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,61,63,63,315.74603175,313.10063492,235.63761905,209.79571429
1053374447,GENTCHOS,CHRISTOPHER,E,MD,M,I,264 PLEASANT ST,,CONCORD,NH,033012551,US,Physician/Orthopedic Surgery,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,151.4375,150.011875,104.430625,106.470625
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,31,80,87.697375,8.32,5.217,5.217
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,21,17.704285714,1.42,1.0095238095,1.0095238095
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,46,4,2.0704347826,1.6230434783,1.2434782609
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,170.63636364,66.577727273,46.955909091,34.214545455
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,104,104,48.20125,22.098653846,16.176346154,12.734134615
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,45,6.4722222222,4.4,3.0033333333
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,51.437272727,40.324545455,27.459090909
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,40.01,12.912727273,6.4190909091,5.1245454545
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,23,180,180,369.45333333,98.85,72.015333333,50.726555556
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,75,44.03625,30.419375,25.825625
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,32,11527,0.3286848269,0.0469306845,0.0270833695,0.0270833695
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,73.770625,22.8575,15.218125,11.3484375
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,599.5,286.73384615,224.79769231,147.07461538
1053374454,CROSS,TRENT,W,M.D.,M,I,20405 ALBERTA ST,SUITE A,ONEIDA,TN,378413509,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,37,37,54.405405405,33,21.674864865,21.674864865
1053374538,KAMMUELLER,KARLA,F,MD,F,I,21260 CHIPPENDALE AVE W,,FARMINGTON,MN,550241427,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,35,74.849428571,8.32,4.2857142857,4.2857142857
1053374587,PEDDADA,ARVIND,V,MD,M,I,1810 W US HIGHWAY 82,,SHERMAN,TX,750927069,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,25.000540541,9.6978378378,7.0162162162,6.9594594595
1053374587,PEDDADA,ARVIND,V,MD,M,I,1810 W US HIGHWAY 82,,SHERMAN,TX,750927069,US,Physician/Physical Medicine and Rehabilitation,S,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,21.18,9.7527272727,5.0281818182,4.8918181818
1053374587,PEDDADA,ARVIND,V,MD,M,I,1810 W US HIGHWAY 82,,SHERMAN,TX,750927069,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,28,28,178.54607143,50.685,39.734285714,39.003571429
1053374587,PEDDADA,ARVIND,V,MD,M,I,1810 W US HIGHWAY 82,,SHERMAN,TX,750927069,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,28,214,214,148.58705607,29.094299065,20.365420561,18.599018692
1053374678,SAXENA,LEILA,J,M.D.,F,I,305 CRESCENT AVE,,CINCINNATI,OH,452154406,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,33,87,67.844252874,8.32,6.2227586207,6.2227586207
1053374694,SPOO,JEFFREY,E,M.D.,M,I,2342 PROFESSIONAL PKWY,#200,SANTA MARIA,CA,934551630,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,15,17,276,25.166521739,22.616449275,17.731086957,19.390362319
1053374702,MALLOY,TERRENCE,R,M.D.,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,0.16,0.13,0.0926262626,0.0926262626
1053374702,MALLOY,TERRENCE,R,M.D.,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,990,4.02,1.95,1.3931212121,1.4636767677
1053374710,DURRETT,ROBIN,D,D.O.,M,I,611 N MAIN ST,,ELLINWOOD,KS,675261440,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,134.6875,53.26625,38.76,21.995
1053374744,JAIN,RANJIT,,M.D.,M,I,700 SHADOW LN,430,LAS VEGAS,NV,891064126,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,7300,5.0086849315,2.04,1.5580547945,1.5580547945
1053374751,GHABRA,NABEEL,,MD,M,I,527 MEDICAL PARK DR STE 402,,BRIDGEPORT,WV,263309010,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,26,95.914615385,8.32,5.7688461538,5.7688461538
1053374769,SHALABY,IBRAHIM,A,MD,M,I,4101 22ND PL,,LUBBOCK,TX,794101121,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,12,56,3904,33.991416496,5.1853714139,3.6068135246,3.6068135246
1053374769,SHALABY,IBRAHIM,A,MD,M,I,4101 22ND PL,,LUBBOCK,TX,794101121,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,4610,13.410169197,0.9846767896,0.7408655098,0.7408655098
1053374769,SHALABY,IBRAHIM,A,MD,M,I,4101 22ND PL,,LUBBOCK,TX,794101121,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,30,44.599333333,36.28,28.443666667,30.366333333
1053374769,SHALABY,IBRAHIM,A,MD,M,I,4101 22ND PL,,LUBBOCK,TX,794101121,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,53,53,24,24,18.82,18.82
1053374769,SHALABY,IBRAHIM,A,MD,M,I,4101 22ND PL,,LUBBOCK,TX,794101121,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,16,16,12.54,12.54
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,37,114,49.757894737,8.32,5.1537719298,5.1537719298
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,26,43,9.7786046512,1.42,0.9586046512,0.9586046512
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,30,31.592,10.93,7.9983333333,7.9983333333
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,12.219166667,12.415833333
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,20,519.51,70.09,52.2025,52.0375
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,43,3810,6.1976614173,0.562511811,0.4116981627,0.4116981627
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.2066,0.0126666667,0.0090222222,0.0090222222
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,5640,9.354679078,1.2460638298,0.9497960993,0.9497960993
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,3.4665833333,2.8040909091,2.0896969697,2.0896969697
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,24,24,17.854871795,17.854871795
1053374934,DHUPAR,SHAWN,,MD,M,I,68 W CEDAR ST,,POUGHKEEPSIE,NY,126011300,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,54,57,16,16,12.1,12.1
1053375022,BECK,JENNIFER,L,M.D.,F,I,610 8TH ST SE,,CEDAR RAPIDS,IA,524012143,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,64,118,67.077881356,8.32,5.5090677966,5.5090677966
1053375022,BECK,JENNIFER,L,M.D.,F,I,610 8TH ST SE,,CEDAR RAPIDS,IA,524012143,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,21,16.29,1.42,0.959047619,0.959047619
1053375022,BECK,JENNIFER,L,M.D.,F,I,610 8TH ST SE,,CEDAR RAPIDS,IA,524012143,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,63.384615385,11.08,8.68,9.0184615385
1053375022,BECK,JENNIFER,L,M.D.,F,I,610 8TH ST SE,,CEDAR RAPIDS,IA,524012143,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,67,8.8805970149,1.99,1.56,1.5831343284
1053375022,BECK,JENNIFER,L,M.D.,F,I,610 8TH ST SE,,CEDAR RAPIDS,IA,524012143,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,338,23.731508876,5.36,4.2023372781,4.1630473373
1053375022,BECK,JENNIFER,L,M.D.,F,I,610 8TH ST SE,,CEDAR RAPIDS,IA,524012143,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,168.95833333,31.34,19.53,19.620833333
1053375113,SIEGEL,DONNA,S,RPA-C,F,I,35 BARBAROSSA LN,,KINGSTON,NY,124011221,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.59,11.916666667,12.458333333
1053375113,SIEGEL,DONNA,S,RPA-C,F,I,35 BARBAROSSA LN,,KINGSTON,NY,124011221,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4430.1,1074.31,842.26,842.26
1053375113,SIEGEL,DONNA,S,RPA-C,F,I,35 BARBAROSSA LN,,KINGSTON,NY,124011221,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,67.72,48.675,50.34
1053375121,SMITH,CHRISTOFER,A,MD,M,I,600 W 98TH ST,,BLOOMINGTON,MN,554204773,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,32,103,226,79.997389381,8.32,5.734380531,5.734380531
1053375121,SMITH,CHRISTOFER,A,MD,M,I,600 W 98TH ST,,BLOOMINGTON,MN,554204773,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,26,30,15.599666667,1.42,0.8933333333,0.8933333333
1053375121,SMITH,CHRISTOFER,A,MD,M,I,600 W 98TH ST,,BLOOMINGTON,MN,554204773,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,31,1075,2.6288837209,2.27,1.7217674419,1.7217674419
1053375121,SMITH,CHRISTOFER,A,MD,M,I,600 W 98TH ST,,BLOOMINGTON,MN,554204773,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,20,15.041,10.93,7.2845,7.2845
1053375121,SMITH,CHRISTOFER,A,MD,M,I,600 W 98TH ST,,BLOOMINGTON,MN,554204773,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,1100,2.96,2.96,2.3206,2.3206
1053375121,SMITH,CHRISTOFER,A,MD,M,I,600 W 98TH ST,,BLOOMINGTON,MN,554204773,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,869,2.0316340621,0.1338780207,0.1049712313,0.1049712313
1053375121,SMITH,CHRISTOFER,A,MD,M,I,600 W 98TH ST,,BLOOMINGTON,MN,554204773,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,156,33.220909091,26.043636364,23.776363636
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,19,19,19,487.70421053,341.79842105,267.97157895,292.91578947
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,16,16,16,1451.305,992.51,760.194375,757.614375
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,48,48,48,1423.434375,1160.8879167,898.36083333,874.72125
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,34,34,56,512.09089286,450.00696429,352.80732143,354.02
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,19,19,32,60.3665625,48.89375,38.33375,38.4275
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,33,34,51,514.84,433.88784314,340.16882353,343.74078431
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,28,28,39,540.88282051,463.74384615,359.89589744,361.70923077
1053375170,VANDERHAVE,KELLY,L,MD,F,I,1025 MOREHEAD MEDICAL DRIVE,SUITE 300,CHARLOTTE,NC,282042966,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,40,40,40,869.12,696.66675,544.551,566.88875
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,62,155,77.025419355,8.32,6.0170322581,6.0170322581
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,94.918333333,50.833333333,37.958888889,37.913333333
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,34.46,17,13.33,13.54
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,415.2872,77.74,60.95,54.9788
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,40.66,31.88,29.51
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,572,20.47763986,9.6075524476,7.5322902098,7.5322902098
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,26,1620,11.302722222,2.9309814815,2.2567962963,2.2567962963
1053375246,REX,SCOTT,L,MD,M,I,6 BERNARD ST,,PORT WASHINGTON,NY,110502902,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,19,19,33,33,24.508421053,24.508421053
1053375279,BRAVIN,ERIC,N,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,25,25,364,19.71,15.45,15.45
1053375279,BRAVIN,ERIC,N,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,25,25,79.5704,37.38,29.3,29.3
1053375279,BRAVIN,ERIC,N,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,1200,195.159375,153.004375,153.004375
1053375279,BRAVIN,ERIC,N,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hematology-Oncology,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,13.778181818,10.803636364,9.0136363636
1053375279,BRAVIN,ERIC,N,M.D.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,25,217,33.510921659,1.7000460829,1.3328110599,1.3328110599
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,51,112,70.628660714,8.32,4.9321428571,4.9321428571
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,25,15.9584,1.42,0.9392,0.9392
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,17.766,7,4.9890909091,4.9890909091
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,14,28,7.7207142857,1.5378571429,1.1132142857,1.0678571429
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,25,86.31,17.39,12.5368,12.4808
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,64.875,14.0325,10.0375,9.6025
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,39.801111111,6.125,4.6016666667,3.4583333333
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,210.84166667,40.728333333,30.493888889,24.776666667
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,35,519.51,85.273428571,59.889428571,49.106
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,11,31,10160,0.3796978346,0.0470826772,0.0340177165,0.0340177165
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1500,0.9391,0.13376,0.10126,0.10126
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9921333333,2.3458555556,2.3458555556
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,2.9846666667,0.219,0.1574305556,0.1574305556
1053375295,REID-RENNER,KAREN,L,MD MPH,F,I,1403 E ATWATER AVE,,BLOOMINGTON,IN,474013707,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,41,41,66.804878049,33,23.346097561,23.346097561
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,20,33,33,69.819090909,40,31.36,30.727272727
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,20,35,35,179.52142857,100.01,71.664285714,63.517714286
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,14,22,43,72.039534884,38.72,28.882325581,25.682093023
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,16,30,144,39.521666667,21,16.3525,14.891736111
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,80,26.9795,16.05,12.41575,11.95875
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,33,62,62,105.62919355,61.89,46.336290323,41.954193548
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,47,57,57,33.007192982,18.35,13.127719298,12.87877193
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,30,61,61,32.433934426,15,10.988852459,8.8249180328
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,49,92,515,4.7855145631,2.4,1.7501359223,1.5379029126
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,19,19,10.865263158,7,4.6231578947,4.0042105263
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.533636364,12.46,8.8818181818,9.3618181818
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,24,24,289.49625,152,118.61,107.75791667
1053375360,RAMIREZ-MEJIA,CARLOS,A,MD,M,I,8940 N KENDALL DR,SUITE 802E,MIAMI,FL,331762148,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,42,213,222,94.991936937,39.586666667,29.151396396,26.056621622
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,25,63.272,8.32,4.9564,4.9564
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,146.89,49.922307692,39.133076923,40.273846154
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,35,35,128.00457143,51.428571429,38.976,38.924857143
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,36,36,34.175,9.93,7.5997222222,9.2597222222
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,711.08181818,77.74,60.95,60.384545455
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,516,13.064767442,2.9740116279,2.3316666667,2.3316666667
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,69.195,14.65,11.483333333,13.818333333
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,20.57,6.6315789474,5.2005263158,6.4836842105
1053375378,LESTER,PAULA,,"M.D.,",F,I,222 STATION PLZ N,SUITE 518,MINEOLA,NY,115013808,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,33,33,25.87,25.87
1053375394,LARSON,DEBRA,S,MD,F,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,38,52.898421053,8.32,5.8344736842,5.8344736842
1053375394,LARSON,DEBRA,S,MD,F,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,521.2,100.90545455,79.111818182,65.775454545
1053375394,LARSON,DEBRA,S,MD,F,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,135.01,44.560909091,34.938181818,31.465454545
1053375394,LARSON,DEBRA,S,MD,F,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,25.87,25.87
1053375501,HERRERA CESPEDES,HUMBERTO,,M.D.,M,I,GP8 AVE ROBERTO SANCHEZ VILELLA,COUNTRY CLUB,CAROLINA,PR,009822677,US,Physician/General Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40.08,21.15,16.584545455,10.471818182
1053375501,HERRERA CESPEDES,HUMBERTO,,M.D.,M,I,GP8 AVE ROBERTO SANCHEZ VILELLA,COUNTRY CLUB,CAROLINA,PR,009822677,US,Physician/General Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,115.715,60.169166667,47.175,36.760833333
1053375592,JAMES,HUGH,T,M.D.,M,I,100 E WOOD ST,SUITE 301,SPARTANBURG,SC,293033004,US,Physician/General Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,520,6.3043076923,3.04,2.3833653846,2.3833653846
1053375758,SPENCER,TIMOTHY,E,DO,M,I,14250 BEADLE LAKE RD,STE 160,BATTLE CREEK,MI,490147200,US,Physician/Neurosurgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,94.7875,47.05,36.89,36.4815
1053375758,SPENCER,TIMOTHY,E,DO,M,I,14250 BEADLE LAKE RD,STE 160,BATTLE CREEK,MI,490147200,US,Physician/Neurosurgery,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,42.438333333,15.37,12.05,12.05
1053375758,SPENCER,TIMOTHY,E,DO,M,I,14250 BEADLE LAKE RD,STE 160,BATTLE CREEK,MI,490147200,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,75,77,77,4995,4378.96,3394.7201299,3394.7201299
1053375758,SPENCER,TIMOTHY,E,DO,M,I,14250 BEADLE LAKE RD,STE 160,BATTLE CREEK,MI,490147200,US,Physician/Neurosurgery,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40,9.1325,7.16,6.85
1053375758,SPENCER,TIMOTHY,E,DO,M,I,14250 BEADLE LAKE RD,STE 160,BATTLE CREEK,MI,490147200,US,Physician/Neurosurgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,16,507.28125,437.88,334.323125,283.943125
1053375758,SPENCER,TIMOTHY,E,DO,M,I,14250 BEADLE LAKE RD,STE 160,BATTLE CREEK,MI,490147200,US,Physician/Neurosurgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,43,461.97674419,398.97139535,312.8,310.69488372
1053375758,SPENCER,TIMOTHY,E,DO,M,I,14250 BEADLE LAKE RD,STE 160,BATTLE CREEK,MI,490147200,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,62,62,62,1512.7741935,1254.65,955.76403226,861.32532258
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,27,61,158,58.345506329,8.32,6.275,6.275
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,32,46,10.985217391,1.42,1.0669565217,1.0669565217
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,157.71352941,38,28.037647059,28.706470588
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,405.76545455,90.021818182,65.006818182,62.392727273
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,23,66,153.03909091,34.136363636,25.658787879,24.812121212
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,53,94.932641509,18.147169811,12.141886792,12.412830189
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,225.06882353,54.937647059,37.167058824,36.991764706
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,25,25,72.9276,17.8944,13.5248,13.556
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,24,24,75.2025,11.9425,8.9729166667,8.7491666667
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,36,204,11.107058824,2.0010784314,1.4922058824,1.5136764706
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,19,19,51.086842105,12.978947368,9.6357894737,9.8021052632
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,635,18.476629921,11.530141732,9.0397007874,10.287464567
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,114,500,268.26070175,210.31526316,210.31526316
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,155,128.16129032,9.345483871,7.195483871,7.195483871
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,162,194.83333333,29.20617284,21.515987654,21.515987654
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,49.24,10.717142857,8.4,10.107857143
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,25,67.606,17,13.33,13.54
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,15,22,76.909090909,13.65,7.7818181818,7.6518181818
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,36.441666667,4.9441666667,3.875,3.8533333333
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,228.96857143,32.288571429,19.419642857,19.655
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,27,414.21,79.8,62.56,55.31
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2944,0.226576087,0.046627038,0.0365557065,0.0365557065
1053375790,SCHUETTE,JOSEPH,,M.D.,M,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,69.473684211,33,25.87,25.87
1053375816,BENNETT,MARIA,E,M.D.,F,I,5295 PRESERVE PKWY,SUITE 210,HOOVER,AL,352444701,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,18,55.915,8.32,6.5233333333,6.5233333333
1053375816,BENNETT,MARIA,E,M.D.,F,I,5295 PRESERVE PKWY,SUITE 210,HOOVER,AL,352444701,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,136.58823529,56.037647059,40.850588235,36.853529412
1053375816,BENNETT,MARIA,E,M.D.,F,I,5295 PRESERVE PKWY,SUITE 210,HOOVER,AL,352444701,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,7.62,3.12,2.45,2.26
1053375816,BENNETT,MARIA,E,M.D.,F,I,5295 PRESERVE PKWY,SUITE 210,HOOVER,AL,352444701,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,9.5,6.15,4.82,4
1053375816,BENNETT,MARIA,E,M.D.,F,I,5295 PRESERVE PKWY,SUITE 210,HOOVER,AL,352444701,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,48.4325,22.43375,17.58375,14.73125
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,71,188,508,70.924133858,8.32,5.85,5.85
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,39,67,92,14.662065217,1.42,0.9468478261,0.9468478261
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,79.096363636,71.56,56.105909091,56.104090909
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,66,33.9,29.19,22.88530303,22.886515152
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,33,7.2045454545,2.0460606061,1.373030303,0.9424242424
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,407.74117647,124.44411765,93.131764706,66.317058824
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,41,173.20097561,44.969756098,32.197560976,23.659512195
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,65.70375,23.37125,17.345,13.6675
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,20,20,96.6795,20.908,15.381,9.356
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,29,147,18.61952381,2.8594557823,2.2423809524,1.6779591837
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,52.351666667,15.3425,12.024166667,10.568333333
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,46,80.883478261,22.370434783,15.915217391,12.059347826
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,46.096153846,15.903846154,11.577692308,8.8930769231
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,56,62,46.944677419,7.2916129032,4.9533870968,2.9551612903
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,139.62866667,43.940666667,33.468,23.956666667
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,112,120,477.38941667,102.998,76.238666667,52.534833333
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,352.91588235,45.340588235,33.110588235,27.695294118
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.3756515152,7.3756515152
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,23,71,6960,1.5629181034,0.130887931,0.0942614943,0.0942614943
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,27,1652,10.646107748,3.1151089588,2.2751937046,2.2751937046
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,575,2.9436,0.2188869565,0.156573913,0.156573913
1053375824,DRANGINIS,THERESE,E,MD,F,I,655 MAIN ST,,BENNINGTON,VT,052012870,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,22,82,82,84.914634146,33,24.292560976,24.292560976
1053375832,YERNENI,MADHAVI,,M.D.,F,I,407 EAST AVE,SUITE 120,PAWTUCKET,RI,028605299,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,22,65,167,66.86011976,8.32,5.6370658683,5.6370658683
1053375832,YERNENI,MADHAVI,,M.D.,F,I,407 EAST AVE,SUITE 120,PAWTUCKET,RI,028605299,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,28,44,11.804090909,1.42,1.0395454545,1.0395454545
1053375840,CHAO,SERENA,H,M.D.,F,I,103 GARLAND ST,,EVERETT,MA,021495066,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,363,43.951404959,4.9,3.8416528926,4.1630027548
1053375840,CHAO,SERENA,H,M.D.,F,I,103 GARLAND ST,,EVERETT,MA,021495066,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,174.69,47.012857143,29.484285714,30.362142857
1053375857,FISH,TED,J,M.D.,M,I,3211 N NORTHHILLS BLVD,SUITE 110,FAYETTEVILLE,AR,727034007,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.29,12.582142857,12.563571429
1053375857,FISH,TED,J,M.D.,M,I,3211 N NORTHHILLS BLVD,SUITE 110,FAYETTEVILLE,AR,727034007,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,70.23,51.127142857,50.811428571
1053375964,HALFPENNY,CHARLES,F,MD,M,I,12 NE 12TH AVE,,FT LAUDERDALE,FL,333011604,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,40,18,14.11,13.564782609
1053375964,HALFPENNY,CHARLES,F,MD,M,I,12 NE 12TH AVE,,FT LAUDERDALE,FL,333011604,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2500,1074.31,842.26,842.26
1053375964,HALFPENNY,CHARLES,F,MD,M,I,12 NE 12TH AVE,,FT LAUDERDALE,FL,333011604,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,220,90.01,70.57,55.418695652
1053376061,BELIS,ANDREW,M,DPM,M,I,12670 CREEKSIDE LANE,SUITE 202,FORT MYERS,FL,33919,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,44,181.96363636,71.56,54.861363636,54.851818182
1053376061,BELIS,ANDREW,M,DPM,M,I,12670 CREEKSIDE LANE,SUITE 202,FORT MYERS,FL,33919,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,138,102.17855072,43.138985507,33.819927536,33.816884058
1053376061,BELIS,ANDREW,M,DPM,M,I,12670 CREEKSIDE LANE,SUITE 202,FORT MYERS,FL,33919,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,179.28,74.226923077,53.7,58.209230769
1053376061,BELIS,ANDREW,M,DPM,M,I,12670 CREEKSIDE LANE,SUITE 202,FORT MYERS,FL,33919,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,642.08,272.65166667,213.75666667,218.89
1053376061,BELIS,ANDREW,M,DPM,M,I,12670 CREEKSIDE LANE,SUITE 202,FORT MYERS,FL,33919,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,642.08,264.12545455,194.02909091,205.84636364
1053376061,BELIS,ANDREW,M,DPM,M,I,12670 CREEKSIDE LANE,SUITE 202,FORT MYERS,FL,33919,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,372.1,154.627,121.225,119.75
1053376061,BELIS,ANDREW,M,DPM,M,I,12670 CREEKSIDE LANE,SUITE 202,FORT MYERS,FL,33919,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,60,60,70,393.9,163.60542857,125.23057143,123.61
1053376137,STRASSLER,DAVID,,MD,M,I,61 BARRA ROAD,,BIDDEFORD,ME,040053243,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,26,70,64.577285714,8.32,6.3182857143,6.3182857143
1053376137,STRASSLER,DAVID,,MD,M,I,61 BARRA ROAD,,BIDDEFORD,ME,040053243,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,200,6.4688,3.04,2.22885,2.22885
1053376137,STRASSLER,DAVID,,MD,M,I,61 BARRA ROAD,,BIDDEFORD,ME,040053243,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,116.14555556,17.25,10.863333333,10.882222222
1053376137,STRASSLER,DAVID,,MD,M,I,61 BARRA ROAD,,BIDDEFORD,ME,040053243,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,645.73238095,69.62,46.791428571,46.925238095
1053376137,STRASSLER,DAVID,,MD,M,I,61 BARRA ROAD,,BIDDEFORD,ME,040053243,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1350,17.336311111,9.6610888889,7.4705407407,7.4705407407
1053376137,STRASSLER,DAVID,,MD,M,I,61 BARRA ROAD,,BIDDEFORD,ME,040053243,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,930,12.86,2.9984516129,2.3508172043,2.3508172043
1053376137,STRASSLER,DAVID,,MD,M,I,61 BARRA ROAD,,BIDDEFORD,ME,040053243,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,105,33,25.87,25.87
1053376202,ALIMENTI,SIGITA,,M.D.,F,I,405 MOMANY DRIVE,,ST JOSEPH,MI,490852178,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,42,152,63.636644737,8.32,5.6338157895,5.6338157895
1053376202,ALIMENTI,SIGITA,,M.D.,F,I,405 MOMANY DRIVE,,ST JOSEPH,MI,490852178,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,11.59,3.38,2.2714285714,2.2714285714
1053376202,ALIMENTI,SIGITA,,M.D.,F,I,405 MOMANY DRIVE,,ST JOSEPH,MI,490852178,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,42,11.247619048,1.42,0.980952381,0.980952381
1053376202,ALIMENTI,SIGITA,,M.D.,F,I,405 MOMANY DRIVE,,ST JOSEPH,MI,490852178,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,44,3.8118181818,2.03,1.5931818182,1.5931818182
1053376301,WOOLDRIDGE,DAVID,A,MD,M,I,4401 WORNALL RD,,KANSAS CITY,MO,641113220,US,Hospitalist,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,163.35,34.700909091,27.200909091,24.840909091
1053376301,WOOLDRIDGE,DAVID,A,MD,M,I,4401 WORNALL RD,,KANSAS CITY,MO,641113220,US,Hospitalist,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,144.24,36.678181818,28.755454545,31.219090909
1053376301,WOOLDRIDGE,DAVID,A,MD,M,I,4401 WORNALL RD,,KANSAS CITY,MO,641113220,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,220,87.333684211,68.466842105,56.856315789
1053376327,BARNES,DAVID,S,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,1230,4.5005203252,0.549097561,0.3806666667,0.3806666667
1053376327,BARNES,DAVID,S,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,17.64375,17.64375
1053376350,MOO,JEFFREY,B,M.D.,M,I,1600 E JEFFERSON ST,SUITE 600,SEATTLE,WA,981225698,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,36,42,21.156666667,16.263888889,14.391111111
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,57,144,60.021180556,8.32,6.1143055556,6.1143055556
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.65,2.65
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,30,37,16.408918919,1.42,1.0259459459,1.0259459459
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,61,6.5081967213,2.9272131148,2.121147541,1.4367213115
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,3.08,2.2133064516,2.1740591398
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4556,3.7073880597,0.38,0.28285777,0.2757704126
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,49.385,24.4475,19.164166667,15.536666667
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,136.92307692,64.730769231,46.856153846,24.573846154
1053376442,LOHUIS,NANCY,A,M.D.,F,I,118 12TH STREET,,PRINCETON,WV,247402352,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,25,25,264.7608,110.6072,86.7196,62.83
1053376764,PAREKH,MITESH,H,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Obstetrics & Gynecology,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,48.161818182,37.757272727,37.757272727
1053376806,BUTIN,RICHARD,E,MD,M,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,70,59.939285714,8.32,6.5234285714,6.5234285714
1053376806,BUTIN,RICHARD,E,MD,M,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,83.222666667,17.71,11.112,10.902
1053376806,BUTIN,RICHARD,E,MD,M,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,499.54266667,78.53,49.743333333,45.184
1053376814,YAPPEL SINKKO,KATHLEEN,B,CNP,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,1470,9.2919455782,3.0508979592,2.3919251701,2.3919251701
1053376814,YAPPEL SINKKO,KATHLEEN,B,CNP,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,25.87,25.87
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,48,52.994375,8.32,6.5220833333,6.5220833333
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,13,7.1115384615,1.42,1.12,1.12
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,310,11.548709677,4.91,3.6446451613,3.6446451613
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,18,18,108.37222222,38.78,28.122222222,28.202777778
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,83,32.904096386,15.377951807,11.243493976,11.072891566
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,25,25,142.2952,53.2792,40.146,41.1672
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,48.150625,17.98,14.09,14.061875
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,47.918571429,11.182142857,8.2028571429,8.5807142857
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,26,151,7.4054304636,1.9739072848,1.4887417219,1.5294701987
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,34.236363636,13.97,10.96,10.35
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,132.98782609,30.156086957,19.811304348,20.399565217
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,220,74,58.02,54.983076923
1053376848,MCDONALD,JOHN,W,MD,M,I,1208 TWO ISLAND CT,,MT PLEASANT,SC,294667436,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,200,38.78,30.4,29.578461538
1053376921,MCCORD,JENNIFER,A,M.D.,F,I,9 MANHATTAN SQ,SUITE A,HAMPTON,VA,236665843,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,37,110,59.708090909,8.32,5.5731818182,5.5731818182
1053376954,DESAI,NAVTIKA,R,DO,F,I,105 RAIDER BLVD,SUITE 200,HILLSBOROUGH,NJ,088441528,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,50,104,385,66.396701299,8.32,6.0484415584,6.0484415584
1053376954,DESAI,NAVTIKA,R,DO,F,I,105 RAIDER BLVD,SUITE 200,HILLSBOROUGH,NJ,088441528,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,33,53,93,14.830430108,1.42,1.007311828,1.007311828
1053376954,DESAI,NAVTIKA,R,DO,F,I,105 RAIDER BLVD,SUITE 200,HILLSBOROUGH,NJ,088441528,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,266.54181818,250.98590909,196.77272727,196.86954545
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,46,97,297,63.349225589,8.3103030303,6.0774747475,6.0850505051
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.357142857,3.38,2.5685714286,2.5685714286
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,24,41,73,15.310821918,1.42,0.9926027397,0.9926027397
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,72,7.9022222222,6.4122222222,4.9027777778,4.9125
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,180,7.7563333333,5.54,3.3781666667,3.3781666667
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,240,4.8429166667,3.04,1.986125,1.986125
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,140.76923077,55.008461538,43.133076923,42.933076923
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,99,6.8145454545,2.0733333333,1.6265656566,1.5974747475
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,100,49.5775,36.42,35.278125
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,26.072083333,4.2233333333,2.6679166667,2.8925
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,260.625,74.3175,58.2625,56.40625
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,179.21052632,36.244210526,28.417368421,29.503684211
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,16.004469697,9.6391818182,7.5571212121,7.5571212121
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,23,2669,1.667590858,0.1318696141,0.0993143499,0.0993143499
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,840,12.067369048,2.8396428571,2.226297619,2.226297619
1053377010,GOODING,DAVID,J,DO,M,I,190 W DEARBORN ST,,ENGLEWOOD,FL,342233237,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,31,31,87.290322581,33,25.035483871,25.035483871
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,24,34,34,71.717941176,42.011176471,31.839117647,29.740882353
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,9,17,38,82,6.49,1.552195122,1.1591463415,1.113902439
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,120,219,219,206.05474886,90.091552511,67.299908676,64.756027397
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,72,144,189,83.628994709,35.533756614,25.994074074,24.276031746
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,21,60.263809524,21.435714286,16.802857143,14.547619048
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,35,28.841714286,15.17,11.894285714,11.894285714
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,29,52,52,133.18769231,56.872884615,42.623653846,40.906923077
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,139,172,172,50.434011628,18.565930233,13.931046512,13.497209302
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,25.472727273,10.683636364,7.6218181818,7.4245454545
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,113,195,195,46.676461538,12.456512821,9.4018974359,8.7725641026
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,67,143,426,6.3925117371,2.2794835681,1.7042253521,1.5361502347
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,95,114,114,19.225877193,6.4006140351,4.7357894737,4.4188596491
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,74,88,88,44.989772727,13.7325,10.441022727,10.031818182
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,20,175,186,76.22344086,21.01172043,15.285483871,14.363225806
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,16,19,106.65368421,49.228947368,36.642105263,36.255789474
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,241.20275862,88.33,67.085172414,66.003103448
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,642.17,214.0825,158.874375,152.37625
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,34,183,183,38.106065574,13.129672131,9.840273224,9.5124043716
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,11,63,70,39.981571429,4.8218571429,3.6337142857,3.5064285714
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,27,174,174,109.82758621,35.487183908,26.462011494,24.260517241
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,33,252,264,333.26284091,75.987045455,56.281515152,51.561022727
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,15.58,9.6325,7.4468472222,7.4468472222
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,40,11172,0.309584676,0.0462576083,0.0348639456,0.0348639456
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,14,73,9438,1.2720883662,0.1335590167,0.1001017165,0.1001017165
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,12,66,3870,11.776059432,3.0006330749,2.3415116279,2.3415116279
1053377044,CHAUNCEY,JAMES,B,MD,M,I,205 N EAST AVE,,JACKSON,MI,492011753,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,24,130,130,106.86923077,33,24.964615385,24.964615385
1053377135,PALLEGAR,KRISHNAKUMARI,G,MD,F,I,303 NICOLLET BLVD,,BURNSVILLE,MN,55337,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,31,80,203,80.775960591,8.32,5.7830541872,5.7830541872
1053377135,PALLEGAR,KRISHNAKUMARI,G,MD,F,I,303 NICOLLET BLVD,,BURNSVILLE,MN,55337,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,22,24,16.07375,1.42,0.98,0.98
1053377135,PALLEGAR,KRISHNAKUMARI,G,MD,F,I,303 NICOLLET BLVD,,BURNSVILLE,MN,55337,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,3.84,2.04,1.5196277778,1.5196277778
1053377135,PALLEGAR,KRISHNAKUMARI,G,MD,F,I,303 NICOLLET BLVD,,BURNSVILLE,MN,55337,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,18.59,13.083333333,12.763333333
1053377135,PALLEGAR,KRISHNAKUMARI,G,MD,F,I,303 NICOLLET BLVD,,BURNSVILLE,MN,55337,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,107.7,33.958181818,26.62,26.197272727
1053377325,STUBE,KEITH,C,,M,I,100 CORPORATE PKWY,SUITE 112,AMHERST,NY,142261200,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,895,735.65,567.40615385,471.27615385
1053377333,KELLY,JAMES,,MD,M,I,3535 S JEFFERSON AVE,SUITE 114,SAINT LOUIS,MO,631183930,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,76,19.775789474,10.843684211,8.5009210526,8.5686842105
1053377333,KELLY,JAMES,,MD,M,I,3535 S JEFFERSON AVE,SUITE 114,SAINT LOUIS,MO,631183930,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,64,14.499375,6.41,5.024375,5.8478125
1053377408,SIMS,MICHAEL,,MD,M,I,2420 W PIERCE ST,STE 105,CARLSBAD,NM,882203543,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,70,52.338285714,8.32,6.3402857143,6.3402857143
1053377408,SIMS,MICHAEL,,MD,M,I,2420 W PIERCE ST,STE 105,CARLSBAD,NM,882203543,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,82.83,22.666923077,16.621538462,12.489230769
1053377408,SIMS,MICHAEL,,MD,M,I,2420 W PIERCE ST,STE 105,CARLSBAD,NM,882203543,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,58.406,40.290666667,32.612666667
1053377408,SIMS,MICHAEL,,MD,M,I,2420 W PIERCE ST,STE 105,CARLSBAD,NM,882203543,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,371.31709677,99.579354839,70.995483871,48.141935484
1053377432,MARVEL,MATTHEW,E,M.D.,M,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101651,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,54,102.10962963,18.96537037,11.914259259,11.599259259
1053377432,MARVEL,MATTHEW,E,M.D.,M,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101651,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,290.61823529,61.576470588,38.852352941,33.898235294
1053377432,MARVEL,MATTHEW,E,M.D.,M,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101651,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,82.116153846,17.71,10.900769231,11.146153846
1053377432,MARVEL,MATTHEW,E,M.D.,M,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101651,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,68.113333333,11.965,7.41,7.2166666667
1053377432,MARVEL,MATTHEW,E,M.D.,M,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101651,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,18,100,7.6484,2.2048,1.4998,1.3705
1053377432,MARVEL,MATTHEW,E,M.D.,M,I,739 IRVING AVE,SUITE 200,SYRACUSE,NY,132101651,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,627.73037037,34.276666667,21.311481481,20.731111111
1053377531,CHAVEZ,MELINDA,,FNP,F,I,4321 MARSHA SHARP FREEWAY,DOOR #1,LUBBOCK,TX,794072504,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,37.567777778,17.27,9.0266666667,9.0266666667
1053377531,CHAVEZ,MELINDA,,FNP,F,I,4321 MARSHA SHARP FREEWAY,DOOR #1,LUBBOCK,TX,794072504,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,397.126,69.526,36.8995,37.139
1053377556,LECHNER,THOMAS,R,MD,M,I,506 1ST AVE SE,,WATERTOWN,SD,572014402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,41,89,33.319101124,8.2612359551,5.4629213483,5.5088764045
1053377556,LECHNER,THOMAS,R,MD,M,I,506 1ST AVE SE,,WATERTOWN,SD,572014402,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,22,26.917727273,10.93,8.57,8.57
1053377556,LECHNER,THOMAS,R,MD,M,I,506 1ST AVE SE,,WATERTOWN,SD,572014402,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,195.31647059,54.317647059,39.542352941,24.184117647
1053377556,LECHNER,THOMAS,R,MD,M,I,506 1ST AVE SE,,WATERTOWN,SD,572014402,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1170,0.6250854701,0.1351538462,0.106008547,0.106008547
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,455,3.76,2.27,1.6428131868,1.6428131868
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,17.34,10.93,7.9107692308,7.9107692308
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,8.76,2.8,2.1953333333,2.3676666667
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,9394,1.094941452,0.6292622951,0.4933372365,0.5174355972
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,24.098823529,9.9511764706,6.3,6.9517647059
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,312,0.916025641,0.0459294872,0.0330769231,0.0330769231
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,89.191111111,16.758333333,11.872777778,12.694444444
1053377580,LAI,STEVE,R,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Hospice and Palliative Care,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,23.714166667,23.714166667
1053377630,CREMISI,HENRY,D,M.D.,M,I,1500 MATTHEWS TOWNSHIP PKWY,,MATTHEWS,NC,281054656,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,90.883684211,21.829473684,17.113157895,15.431052632
1053377630,CREMISI,HENRY,D,M.D.,M,I,1500 MATTHEWS TOWNSHIP PKWY,,MATTHEWS,NC,281054656,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,39.090909091,7.4981818182,5.8763636364,3.6854545455
1053377630,CREMISI,HENRY,D,M.D.,M,I,1500 MATTHEWS TOWNSHIP PKWY,,MATTHEWS,NC,281054656,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,489.30678571,84.572857143,62.171785714,55.4475
1053377630,CREMISI,HENRY,D,M.D.,M,I,1500 MATTHEWS TOWNSHIP PKWY,,MATTHEWS,NC,281054656,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,85,35.27,26.204210526,27.990526316
1053377754,BERRIOS,JOSE,A,M.D.,M,I,800 TARPON WOODS BLVD,SUITE D,PALM HARBOR,FL,346852011,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,183.44083333,54.55,42.77,42.86
1053377754,BERRIOS,JOSE,A,M.D.,M,I,800 TARPON WOODS BLVD,SUITE D,PALM HARBOR,FL,346852011,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,90.615454545,17.3,13.56,14.06
1053377754,BERRIOS,JOSE,A,M.D.,M,I,800 TARPON WOODS BLVD,SUITE D,PALM HARBOR,FL,346852011,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,61,17.295737705,2,1.5686885246,1.5914754098
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,42,118,47.187711864,8.32,5.4723728814,5.4723728814
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,45,10.937555556,1.42,0.9395555556,0.9395555556
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,16,30,8.9033333333,2.131,1.542,1.0813333333
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,329.458125,113.73875,89.17,70.629375
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,31,91.419032258,41.638064516,31.961612903,26.762903226
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,43,70.160465116,19.801860465,14.914186047,11.340232558
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,17,17,74.944117647,22.891176471,16.110588235,13.312352941
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,78.378571429,18.358095238,13.909047619,8.6995238095
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,32,106,14.941792453,2.9086792453,2.2144339623,1.6074528302
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,94.143333333,21.985,16.406111111,13.112777778
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,13,589.47692308,132.18076923,103.62846154,74.496153846
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,89.1,15.635294118,11.577058824,8.6594117647
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,46,47,41.629361702,7.7919148936,5.7976595745,3.5455319149
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,156.82543478,53.154782609,40.242608696,23.715
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,59,409.70050847,100.76610169,73.583389831,51.797288136
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,122.20947368,44.851578947,32.571842105,27.562631579
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6764545455,7.5863333333,7.5863333333
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,3598,0.2933824347,0.0471428571,0.0323374097,0.0323374097
1053377937,WATKINS,STEVEN,K,DO,M,I,908 N ROCKFORD RD,SUITE G,ARDMORE,OK,734012540,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,99,33,24.145333333,24.145333333
1053377945,MATFIS,STEVEN,B,M.D.,M,I,1250 HANCOCK ST,INTERNAL MEDICINE,QUINCY,MA,021694339,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,25,56,81.458214286,8.32,3.9592857143,3.9592857143
1053378000,PLANCEY,ROBERT,M,MD,M,I,911 W FOOTHILL BLVD,,MONROVIA,CA,910161915,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,200,54.4375,42.6825,37.99
1053378000,PLANCEY,ROBERT,M,MD,M,I,911 W FOOTHILL BLVD,,MONROVIA,CA,910161915,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.5,12.576666667,12.426666667
1053378000,PLANCEY,ROBERT,M,MD,M,I,911 W FOOTHILL BLVD,,MONROVIA,CA,910161915,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,2975,913.16,708.36894737,828.05947368
1053378000,PLANCEY,ROBERT,M,MD,M,I,911 W FOOTHILL BLVD,,MONROVIA,CA,910161915,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,3.25,2.2758333333,3.3175
1053378000,PLANCEY,ROBERT,M,MD,M,I,911 W FOOTHILL BLVD,,MONROVIA,CA,910161915,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,389.00181818,72.632727273,52.925454545,51.076818182
1053378000,PLANCEY,ROBERT,M,MD,M,I,911 W FOOTHILL BLVD,,MONROVIA,CA,910161915,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,550,35.83,28.09,29.51
1053378000,PLANCEY,ROBERT,M,MD,M,I,911 W FOOTHILL BLVD,,MONROVIA,CA,910161915,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,95,17.302142857,13.563928571,14.500357143
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,28,28,232.64821429,94.2175,62.560714286,57.021071429
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,31,90,88.175888889,35.386,25.380666667,23.604
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,64,74.46296875,23.724375,18.48640625,14.50359375
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,73,62.68630137,18.204931507,12.310273973,10.028767123
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,22,22,219.97727273,65.883181818,44.334090909,35.905
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,16,27,27,61.268518519,19.925185185,15.041111111,13.542962963
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,18,41,41,67.35,14.930731707,11.476585366,8.9046341463
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,19,50,292,10.392842466,2.372739726,1.8048287671,1.5356849315
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,13,20,20,25.9695,7.0855,5.553,4.6585
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,15,22,22,32.982727273,13.656818182,10.700909091,10.34
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55.136666667,17.71,13.89,13.54
1053378083,MONTEE,TANNAZ,,MD,F,I,6420 PROSPECT AVE,T303,KANSAS CITY,MO,64132,US,Physician/Pulmonary Disease,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,329.97,78.53,61.56,54.72
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,136.17625,39.16,30.65375,30.45625
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,12,25,25,370.3184,86.8772,59.9364,59.7108
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,13,28,72,150.31833333,34.199444444,23.870416667,23.000416667
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,72,67.93,20.14,14.693472222,13.730416667
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,12,55,36.841454545,15.154181818,10.802,10.813454545
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,27,27,174.66074074,56.767407407,41.019259259,39.683333333
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,29,29,59.77137931,17.975172414,12.953793103,12.931724138
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,21,42,42,67.386190476,13.19952381,9.6069047619,8.5585714286
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,26,60,340,9.5542058824,2.1471764706,1.6233235294,1.5410588235
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,20.155714286,6.2435714286,4.5407142857,4.3185714286
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,17,21,21,46.281904762,12.08,9.019047619,9.8166666667
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,65,69,67.452318841,16.998405797,13.135217391,13.336811594
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,112.6047619,50,35.466666667,34.046190476
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,15,18,2653.35,1074.31,685.135,685.135
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,25,27,36.832962963,4.5003703704,3.2966666667,3.4607407407
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,31,165.25322581,34.601290323,26.334193548,25.118709677
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,129,133,432.82661654,79.830225564,61.172481203,53.975789474
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,30,35,220.39342857,36.479142857,28.414,29.203142857
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,690,14.983898551,9.5686956522,7.1860434783,7.1860434783
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,960,1.2700520833,0.13403125,0.10509375,0.10509375
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,810,10.50537037,2.8337037037,2.2216296296,2.2216296296
1053378240,PAMMI,SUNIL,,MD,M,I,13782 PLANTATION RD,"BUILDING 4, SUITE 201",FORT MYERS,FL,339124462,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,77.386363636,33,25.87,25.87
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,36,100,259,64.136216216,8.32,6.0432046332,6.0432046332
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,23,23,11.887826087,3.38,2.65,2.65
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,17.261875,2.12,1.67,1.67
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,50,72,13.311805556,1.42,1.0686111111,1.0686111111
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,54,114,114,127.68561404,39.316754386,29.215526316,28.875964912
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,34,69,69,227.35492754,86.162608696,62.369130435,62.560724638
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,36,73,156,90.70525641,32.912564103,24.763910256,24.824294872
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,28,142,58.479084507,18.022394366,13.190633803,13.584577465
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,16,33,169,36.782662722,14.94,11.142248521,11.310591716
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,29,66,66,136.15439394,51.874545455,38.480606061,40.527121212
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,61,80,80,50.166375,18.352125,13.4365,13.126875
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,13,13,23.335384615,10.570769231,7.6530769231,7.5353846154
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,52.588125,11.215,8.29875,8.57
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,59,117,687,6.9708588064,2.0578165939,1.5151382824,1.4918777293
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,32,43,43,31.549534884,14.073023256,10.428604651,9.8088372093
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,40,17.04,12.053611111,12.21
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,280,84.090909091,65.927272727,68.63
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,344.04833333,134.7,105.6,104.775
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,28,177,177,126.32451977,32.717740113,23.570960452,23.292937853
1053378588,DITZLER,RUSSELL,E,MD,M,I,109 BARTON CREEK COURT,,COLUMBIA,SC,29229,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,38,38,220,74,50.720789474,48.123684211
1053378646,RICHARD,MARK,P,N.P.,M,I,827 AMERICAN LEGION HIGHWAY,,WESTPORT,MA,02790,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,74,81.143648649,8.32,6.1702702703,6.1702702703
1053378661,TOLAN,TIMOTHY,M,MD,M,I,3195 SAINT ROSE PKWY,SUITE 210,HENDERSON,NV,890523501,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,410,10.75,6.26,4.9078780488,5.778
1053378661,TOLAN,TIMOTHY,M,MD,M,I,3195 SAINT ROSE PKWY,SUITE 210,HENDERSON,NV,890523501,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,62,43.117258065,19.067580645,9.8291935484,9.5656451613
1053378661,TOLAN,TIMOTHY,M,MD,M,I,3195 SAINT ROSE PKWY,SUITE 210,HENDERSON,NV,890523501,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,18,197.81555556,56.793888889,34.743333333,33.383888889
1053378661,TOLAN,TIMOTHY,M,MD,M,I,3195 SAINT ROSE PKWY,SUITE 210,HENDERSON,NV,890523501,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,19,19,71.050526316,12.701052632,7.4157894737,6.8605263158
1053378661,TOLAN,TIMOTHY,M,MD,M,I,3195 SAINT ROSE PKWY,SUITE 210,HENDERSON,NV,890523501,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,23,133,7.4109774436,2.09,1.2688721805,1.2390225564
1053378661,TOLAN,TIMOTHY,M,MD,M,I,3195 SAINT ROSE PKWY,SUITE 210,HENDERSON,NV,890523501,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,21,207.82285714,31.248095238,24.502380952,23.75047619
1053378836,SELZNICK,HUGH,S,M.D.,M,I,3006 S MARYLAND PKWY,570,LAS VEGAS,NV,891092218,US,Physician/Orthopedic Surgery,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,295.95,160.63636364,125.94181818,118.04090909
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,22,42,84,1.2761904762,0.51,0.4,0.4
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,68,120,425,1127,64.100559006,8.32,6.0953859805,6.0953859805
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,27,94,94,14.928297872,3.38,2.65,2.65
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,24,32,32,27.5065625,2.12,1.67,1.67
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,48,84,214,285,15.166631579,1.42,1.0659298246,1.0659298246
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,768.34,356.18294118,279.24647059,279.24647059
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,14,56,56,429.38571429,251.0125,194.23160714,194.30767857
1053378893,BAQUERIZO,HERNAN,R,M.D.,M,I,3661 S MIAMI AVE,# 505,MIAMI,FL,331334200,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,263.92083333,263.92083333,206.9125,207.1
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,43,43,43,53.638604651,44.561860465,34.935581395,36.340465116
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,24.039090909,4.44,2.5309090909,2.7118181818
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,35,35,35,47.999142857,48.063714286,37.681428571,40.232571429
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,24.28,8.7785714286,6.8828571429,7.4514285714
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,16,79,80,78.34475,48.349625,36.08775,37.82975
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,26,26,52,28.518461538,26.08,20.45,22.190576923
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,30,30,30,36.504,30.722333333,24.084666667,28.434333333
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,29,29,29,154.90689655,140.24275862,109.95172414,113.22793103
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,39,39,41.752307692,16.954615385,13.003076923,14.903846154
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,41,34.3,30.119512195,21.644146341,24.294878049
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,22,96,97,70.159793814,23.50185567,17.371237113,20.377525773
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,19,58.1,47.401052632,37.157368421,38.358947368
1053378935,COOPERMAN,TODD,J,M.D.,M,I,2 CENTER PLZ,,TINTON FALLS,NJ,077249744,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,25,103,107,9.9313084112,7.4328037383,5.5479439252,6.6336448598
1053378976,BAILEY,TIMOTHY,S,M.D.,M,I,302 W HAY ST,STE. 140,DECATUR,IL,625264167,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,7.3454545455,6.44,5.045,5.045
1053378976,BAILEY,TIMOTHY,S,M.D.,M,I,302 W HAY ST,STE. 140,DECATUR,IL,625264167,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,165,7.5545454545,7,5.1553939394,5.1553939394
1053378976,BAILEY,TIMOTHY,S,M.D.,M,I,302 W HAY ST,STE. 140,DECATUR,IL,625264167,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,420,6.8588571429,4.03,3.1595714286,3.1595714286
1053378976,BAILEY,TIMOTHY,S,M.D.,M,I,302 W HAY ST,STE. 140,DECATUR,IL,625264167,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,19,752,2.8026595745,2.4,1.8816090426,1.8816090426
1053378976,BAILEY,TIMOTHY,S,M.D.,M,I,302 W HAY ST,STE. 140,DECATUR,IL,625264167,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,1140,3.7531578947,3.67,2.8773157895,2.8773157895
1053378976,BAILEY,TIMOTHY,S,M.D.,M,I,302 W HAY ST,STE. 140,DECATUR,IL,625264167,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,16,3222,0.4798882682,0.4491620112,0.3521384233,0.3528088144
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,14,35,140,47.628714286,8.32,6.5225,6.5225
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,14.88,3.38,2.65,2.65
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,14,34,69,16.051594203,1.42,1.1139130435,1.1139130435
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,21,21,160.33380952,78.54047619,59.746666667,39.757619048
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,29,139.97862069,88.664482759,69.516206897,44.216896552
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,6.8095652174,6.3669565217,4.5913043478,3.8604347826
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,56,13.098214286,8.855,6.9448214286,4.2821428571
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,33,76.113030303,47.756363636,37.441515152,24.277272727
1053379065,BAEZ-FRANCESCHI,DAISY,,M.D.,F,I,101 AVE SAN PATRICIO,SUITE 1010,GUAYNABO,PR,009682606,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,40,22.4605,13.0695,10.24225,7.264
1053379107,SELTZER,SAMUEL,E,MD,M,I,400 N CASHUA DR,,FLORENCE,SC,295012098,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,70,70,70,116.57142857,77.264571429,58.755428571,51.931428571
1053379107,SELTZER,SAMUEL,E,MD,M,I,400 N CASHUA DR,,FLORENCE,SC,295012098,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,35,32.88,23.787692308,26.712307692
1053379107,SELTZER,SAMUEL,E,MD,M,I,400 N CASHUA DR,,FLORENCE,SC,295012098,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,44,44,84,52.077380952,49.979880952,39.186309524,43.249285714
1053379107,SELTZER,SAMUEL,E,MD,M,I,400 N CASHUA DR,,FLORENCE,SC,295012098,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,29,52,56.826923077,56.740769231,44.484807692,52.764230769
1053379107,SELTZER,SAMUEL,E,MD,M,I,400 N CASHUA DR,,FLORENCE,SC,295012098,US,Physician/Ophthalmology,S,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,49,70,43.571428571,43.571428571,33.939857143,46.843
1053379115,ALVAREZ,JAIME,,M.D.,M,I,9075 SW 87TH AVE STE 414,,MIAMI,FL,33176,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,5,,54,165,331.39648485,19.698727273,15.444363636,15.444363636
1053379115,ALVAREZ,JAIME,,M.D.,M,I,9075 SW 87TH AVE STE 414,,MIAMI,FL,33176,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,60,20780,63.660520212,9.8399817132,7.707647257,7.7076458133
1053379115,ALVAREZ,JAIME,,M.D.,M,I,9075 SW 87TH AVE STE 414,,MIAMI,FL,33176,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,51,309,55.767540453,2.6374110032,2.0677022654,2.0677022654
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,32,105,71.05752381,8.32,6.3863809524,6.3863809524
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,37,16.480540541,1.42,1.1145945946,1.1145945946
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1388,0.44,0.44,0.3449567723,0.3449567723
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,14,365,34.86,34.86,26.937068493,26.937068493
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,48,18.29,18.29,14.338958333,14.338958333
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,186.03588235,51.637647059,38.122352941,40.534705882
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,63.12375,10.09625,7.425625,8.650625
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,96,8.548125,2,1.3722916667,1.3965625
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,60,46.443333333,25.875,26.643333333
1053379164,EPSTEIN,NONA,K,MD,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,16,35.35,29.825,23.385,26.2975
1053379230,WEILER,KAREN,M,MD,F,I,4151 WILLOWWOOD ST SE,,PRIOR LAKE,MN,553724304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,12,29,63.413103448,8.2579310345,6.0234482759,6.0234482759
1053379248,WESTON,CHARLES,S,M.D.,M,I,230 MAIN ST,,AGAWAM,MA,010011838,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,44,101,383,79.401749347,8.32,5.3823759791,5.3823759791
1053379248,WESTON,CHARLES,S,M.D.,M,I,230 MAIN ST,,AGAWAM,MA,010011838,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,13.940833333,3.38,2.4291666667,2.4291666667
1053379248,WESTON,CHARLES,S,M.D.,M,I,230 MAIN ST,,AGAWAM,MA,010011838,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,40,67,13.434776119,1.42,0.9982089552,0.9982089552
1053379248,WESTON,CHARLES,S,M.D.,M,I,230 MAIN ST,,AGAWAM,MA,010011838,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,18,12.934166667,12.411666667
1053379248,WESTON,CHARLES,S,M.D.,M,I,230 MAIN ST,,AGAWAM,MA,010011838,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,646.12105263,79.35,55.661578947,48.968947368
1053379248,WESTON,CHARLES,S,M.D.,M,I,230 MAIN ST,,AGAWAM,MA,010011838,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,838,1.9642720764,0.133699284,0.1048210024,0.1048210024
1053379248,WESTON,CHARLES,S,M.D.,M,I,230 MAIN ST,,AGAWAM,MA,010011838,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,12,12,33,33,23.714166667,23.714166667
1053379255,STEIN,PHILIP,,MD,M,I,975 STEWART AVE,,GARDEN CITY,NY,115304816,US,Physician/Cardiovascular Disease (Cardiology),S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,8.51,6.0636363636,7.5454545455
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,19,25,25,107.4904,40.2368,30.2928,29.318
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,44.202727273,11.653636364,9.1372727273,9.1454545455
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,258.63294118,93.294117647,73.142352941,68.480588235
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,39,92.632564103,34.25,26.852051282,25.85025641
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,12,15,63,67.191269841,19.18,13.777777778,13.291428571
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,15,76,60.772894737,15.51,12.16,11.893684211
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,22,34,34,194.35529412,54.5,42.73,42.86
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,31,37,37,64.275405405,19.123513514,14.989189189,14.131351351
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,22,22,91.21,12.654090909,9.495,8.745
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,29,49,221,9.5967420814,2.1307692308,1.6261538462,1.5647058824
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,28.455454545,6,4.7,4.6636363636
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,16,21,21,54.76047619,13.096666667,9.7823809524,9.8504761905
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,36,59.158055556,16.96,13.3,13.453333333
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,13,13,379.94461538,132.14,101.28923077,102.30538462
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,37,37,39.725675676,6.5708108108,5.1556756757,4.4832432432
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,20,95,96,291.7975,34.1721875,24.8096875,24.339791667
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,19,112,120,450.07233333,76.931,59.97525,55.53525
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,19,1080,20.751351852,9.7396944444,7.6358981481,7.6358981481
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,990,18.054636364,11.014939394,8.6357373737,8.6357373737
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,16,4725,0.3225417989,0.046810582,0.0343809524,0.0343809524
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3912,6.7942356851,0.0710148262,0.0548517382,0.0548517382
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,989,1.7677654196,0.1305763397,0.1023761375,0.1023761375
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,14,42,2550,9.6240588235,2.9624,2.322545098,2.322545098
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,J7639,"Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1725,76.098811594,46.859333333,36.675855072,36.675855072
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,213.34736842,39.26,30.78,29.677105263
1053379263,LIAO,DA-WEI,,MD,M,I,19841 N 27TH AVE STE 102,,PHOENIX,AZ,85027,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,27,26,77,77,44.275974026,33,25.198051948,25.198051948
1053379420,OBRIEN,EDWARD,P,MD,M,I,300 CENTER RD,,WEST SENECA,NY,14224,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,39,97,53.75443299,8.32,5.5997938144,5.5997938144
1053379420,OBRIEN,EDWARD,P,MD,M,I,300 CENTER RD,,WEST SENECA,NY,14224,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,25,4.6632,1.42,1.0696,1.0696
1053379420,OBRIEN,EDWARD,P,MD,M,I,300 CENTER RD,,WEST SENECA,NY,14224,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,306.30307692,87.036923077,63.583076923,51.407692308
1053379479,SMITH,SHEILA,M,FNP,F,I,1014 N SPRINGBROOK RD STE B,,NEWBERG,OR,971322061,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,4.1092307692,3.2192307692,3.8515384615
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,64,158,550,66.135563636,8.32,5.9554,5.9554
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,22,22,15.096363636,3.38,2.65,2.65
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,12,12,22.3,2.12,1.67,1.67
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,33,65,124,15.614516129,1.42,1.0248387097,1.0248387097
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,427.91823529,70.23,50.201764706,49.891764706
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,37.44,26.570833333,26.734166667
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,806,0.2952233251,0.0469727047,0.0367990074,0.0367990074
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,34,50.251764706,42.208823529,33.090588235,30.750882353
1053379735,PADALA,LAKSHMI NARAYANA,N,MD,M,I,2021 N CROOKED BRANCH DR,,LECANTO,FL,344619453,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,19,19,69.473684211,33,24.508421053,24.508421053
1053379834,WALKER,WENDY,H,M.D.,F,I,8881 M 119,,HARBOR SPRINGS,MI,49740,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,59,61.215762712,8.32,6.0794915254,6.0794915254
1053379834,WALKER,WENDY,H,M.D.,F,I,8881 M 119,,HARBOR SPRINGS,MI,49740,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,15.265294118,1.42,0.9835294118,0.9835294118
1053379834,WALKER,WENDY,H,M.D.,F,I,8881 M 119,,HARBOR SPRINGS,MI,49740,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,229.50047619,91.313333333,59.535714286,43.395238095
1053379859,FOROOZESH,FAROKH,,MD,M,I,370 E RIDGE RD,,ROCHESTER,NY,146211240,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,11,40,113,79.733451327,8.32,5.5953097345,5.5953097345
1053379859,FOROOZESH,FAROKH,,MD,M,I,370 E RIDGE RD,,ROCHESTER,NY,146211240,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,86.31,17,12.774583333,12.986666667
1053379859,FOROOZESH,FAROKH,,MD,M,I,370 E RIDGE RD,,ROCHESTER,NY,146211240,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,77.18,56.187857143,50.811428571
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,26,26,165,19.71,15.45,15.45
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,26,69,250,37.38,29.306231884,29.306231884
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,26,1107,85.857181572,1.5825925926,1.2407588076,1.2407588076
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,13,70,4800,4.7325791667,0.5681875,0.43025625,0.4302520833
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,4230,3.0759479905,0.7403049645,0.5498723404,0.5498723404
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1440,8.2429791667,1.3556666667,1.0628263889,1.0628263889
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,6.8665833333,2.8040909091,2.1983863636,2.1983863636
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,16,71,71,24,24,18.017464789,18.017464789
1053379867,HANKINS,SHELLEY,R,MD,F,I,245 N 15TH ST,DREXEL COLLEGE OF MEDICINE MAIL STOP1012,PHILADELPHIA,PA,191021101,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,15,47,50,16,16,12.2892,12.2892
1053379990,FRUGONE,LUIGI,P,M.D.,M,I,2201 S STERLING ST,,MORGANTON,NC,286554044,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1995,1074.31,833.36916667,833.36916667
1053380071,CHLUDZINSKI,MELODIE,F,DO,F,I,1490 N CENTER AVE STE 100,,SOMERSET,PA,155011691,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,207.06,47.562727273,37.286363636,38.336363636
1053380071,CHLUDZINSKI,MELODIE,F,DO,F,I,1490 N CENTER AVE STE 100,,SOMERSET,PA,155011691,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,135.78,4.0052,0.744,1.0492
1053380105,ROSENZWEIG,ANDREW,B,M.D.,M,I,5501 OLD YORK RD,KLEIN 331,PHILADELPHIA,PA,191413018,US,Physician/Geriatric Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25.63,8.76,6.87,6.89
1053380105,ROSENZWEIG,ANDREW,B,M.D.,M,I,5501 OLD YORK RD,KLEIN 331,PHILADELPHIA,PA,191413018,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,47.535,34.398333333,35.318333333
1053380105,ROSENZWEIG,ANDREW,B,M.D.,M,I,5501 OLD YORK RD,KLEIN 331,PHILADELPHIA,PA,191413018,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,33.65,16.08,11.55,12.5
1053380105,ROSENZWEIG,ANDREW,B,M.D.,M,I,5501 OLD YORK RD,KLEIN 331,PHILADELPHIA,PA,191413018,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,220.03444444,77.18,57.148333333,51.68
1053380105,ROSENZWEIG,ANDREW,B,M.D.,M,I,5501 OLD YORK RD,KLEIN 331,PHILADELPHIA,PA,191413018,US,Physician/Geriatric Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,75,37.2686,29.2188,29.511
1053380105,ROSENZWEIG,ANDREW,B,M.D.,M,I,5501 OLD YORK RD,KLEIN 331,PHILADELPHIA,PA,191413018,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,37,29.01,29.51
1053380139,LEHMAN,THOMAS,P,MD,M,I,825 NE 10TH STREET,SUITE 1300,OKLAHOMA CITY,OK,73104,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,331.72727273,222.06,174.1,172.09090909
1053380139,LEHMAN,THOMAS,P,MD,M,I,825 NE 10TH STREET,SUITE 1300,OKLAHOMA CITY,OK,73104,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,20,79.4,53.2,41.71,46.35
1053380139,LEHMAN,THOMAS,P,MD,M,I,825 NE 10TH STREET,SUITE 1300,OKLAHOMA CITY,OK,73104,US,Physician/Orthopedic Surgery,S,L3927,"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,19,34.631578947,24.423157895,16.583157895,21.512631579
1053380220,BRIGGS,JONATHAN,D,CFNP,M,I,415 E MAIN ST,,ENDICOTT,NY,137604925,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,37,76.058108108,8.32,5.0943243243,5.0943243243
1053380220,BRIGGS,JONATHAN,D,CFNP,M,I,415 E MAIN ST,,ENDICOTT,NY,137604925,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,99.933846154,65.070769231,42.257692308
1053380220,BRIGGS,JONATHAN,D,CFNP,M,I,415 E MAIN ST,,ENDICOTT,NY,137604925,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.95,38.72,18.4025,17.8425
1053380246,VASICEK,VERONICA,A,MD,F,I,3480 YORKSHIRE MEDICAL PARK,,LEXINGTON,KY,40508,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,21,22,437,24.87,24.87,18.69590389,19.136590389
1053380246,VASICEK,VERONICA,A,MD,F,I,3480 YORKSHIRE MEDICAL PARK,,LEXINGTON,KY,40508,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,97.517272727,76.450909091,88.813636364
1053380246,VASICEK,VERONICA,A,MD,F,I,3480 YORKSHIRE MEDICAL PARK,,LEXINGTON,KY,40508,US,Physician/Orthopedic Surgery,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,98.901818182,77.540909091,90.078181818
1053380246,VASICEK,VERONICA,A,MD,F,I,3480 YORKSHIRE MEDICAL PARK,,LEXINGTON,KY,40508,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,64.224615385,20.64,16.183076923,14.776923077
1053380246,VASICEK,VERONICA,A,MD,F,I,3480 YORKSHIRE MEDICAL PARK,,LEXINGTON,KY,40508,US,Physician/Orthopedic Surgery,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,116.70111111,47.265,29.171666667,17.318888889
1053380246,VASICEK,VERONICA,A,MD,F,I,3480 YORKSHIRE MEDICAL PARK,,LEXINGTON,KY,40508,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,26.485384615,9.0215384615,7.0746153846,6.9469230769
1053380246,VASICEK,VERONICA,A,MD,F,I,3480 YORKSHIRE MEDICAL PARK,,LEXINGTON,KY,40508,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,191.25818182,118.14,83.004545455,70.928181818
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,27,144,58.804583333,8.32,6.5230555556,6.5230555556
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.301333333,3.38,2.65,2.65
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,48,14.47875,1.42,1.1125,1.1125
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,279.12,82,55.105714286,58.275714286
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,36,108.95611111,31.5,23.807222222,24.961666667
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,58.262,11.37,8.3253333333,8.5106666667
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,100,8.3966,2,1.3801,1.4016
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.24,17,11.683333333,11.8975
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,441.42818182,79.672727273,55.109090909,55.882727273
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,32.26625,3.8503125,2.7796875,3.366875
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,306.29416667,73,47.691666667,45.608333333
1053380279,KAUFMAN,HOLLY,,M.D.,F,I,"1055 ADA, MS 65-2",,SAN ANTONIO,TX,78223,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,65.460526316,27.526842105,21.58,21.011578947
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,38,61,56.568852459,8.32,5.3468852459,5.3468852459
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,12,11.445833333,1.42,0.84,0.84
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,4.5,3.97,3.1125,3.1125
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,21,606,7.3640759076,5.38,4.1182343234,4.0633168317
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,5935,0.8343740522,0.6186419545,0.4475046335,0.4805324347
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,17,86.31,16.98,13.31,13.517058824
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.906666667,5,3.5933333333,3.6241666667
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,27,519.51,77.36,60.65,54.949259259
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1937,0.5168817759,0.0462983996,0.0278007228,0.0278007228
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,18,73,73,73.054794521,19.099452055,13.349041096,13.293972603
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,43,43,46.327906977,8.468372093,6.5,6.7248837209
1053380352,HELLAMS,RALPH,D,MD,M,I,294 RIVER RD W,,MANAKIN SABOT,VA,231033200,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,20.326428571,20.326428571
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,96,240,55.645583333,8.32,6.1417916667,6.1417916667
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.789473684,3.38,2.65,2.65
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,22.327272727,2.12,1.67,1.67
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,45,60,12.836833333,1.42,1.0613333333,1.0613333333
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,3.18,2.27,1.7796666667,1.7796666667
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,13.88,10.93,8.57,8.57
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,6.78,6.61,5.185,5.85
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,5.81,5.54,3.9485909091,3.9485909091
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1560,2.9360384615,1.95,0.8899230769,0.8899230769
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,65.205,38.63,27.756666667,27.97
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.51,3.04,2.1668181818,2.1668181818
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,314.94384615,85.5,60.537692308,61.363076923
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,28,128.57321429,31.86,24.085714286,25.034285714
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,197.699375,55.05,42.36125,42.06125
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,64.61,18.28,14.33,14.06
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,85.133888889,11.5,8.5188888889,8.6211111111
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,27,154,8.6563636364,1.94,1.4015584416,1.4744805195
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,37.97,14.41,10.272727273,9.4
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,338,125,3,2.2757692308,2.2886390533
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4235,3.7063636364,0.39,0.2779693034,0.2665596222
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,139.69,48.075714286,30.435714286,29.900714286
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,11.994545455,9.4027272727,9.53
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,69.090909091,5.5918181818,4.3845454545,3.7472727273
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,224.12625,31.9925,25.085625,24.83875
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,35.92,12.2575,9.611,9.385
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,36.67,11.0255,8.645,8.685
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,420.19,222.77346154,174.64923077,174.64923077
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,29,411.35793103,79.88,60.460689655,53.650344828
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,4538,0.4125319524,0.0464631996,0.032494491,0.032494491
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,98.388333333,28.3725,22.2425,21.625
1053380402,MCCOWAN,ROBERT,K,DO,M,I,66707 GRATIOT AVE,,LENOX,MI,48050,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,21.9895,21.9895
1053380410,NIAZI,MUHAMMAD,A,MD,M,I,165 LONDON MOUNTAIN VIEW DRIVE,,LONDON,KY,40741,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,882,39.181043084,5.5218253968,4.0645578231,4.0645578231
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,45,92,60.263695652,8.32,6.2179347826,6.2179347826
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,12.957647059,1.42,1.1164705882,1.1164705882
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,68,49.067647059,15.17,10.843529412,10.843529412
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,18,18,190.62055556,54.79,35.865555556,35.8
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,17,17,94.121764706,17.97,10.774705882,10.760588235
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,18,88,3.5782954545,1.5936363636,1.1768181818,1.4338636364
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,47.018181818,13.516363636,8.6827272727,8.4772727273
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,517.335,69.81,52.951666667,52.951666667
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,2126,0.4111382879,0.0467732832,0.0340780809,0.0340780809
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,390,8.9512307692,3.0074615385,2.1668717949,2.1668717949
1053380428,EGLASH,ANNE,R,MD,F,I,600 N 8TH ST,,MT HOREB,WI,53572,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,22.995555556,22.995555556
1053380436,PIERRE-LOUIS,YVES,E,M.D.,M,I,170 S BARFIELD HWY,SUITE 103,PAHOKEE,FL,334761868,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,53,134,44.583208955,8.32,5.0729104478,5.0729104478
1053380436,PIERRE-LOUIS,YVES,E,M.D.,M,I,170 S BARFIELD HWY,SUITE 103,PAHOKEE,FL,334761868,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.97,3.38,2.4291666667,2.4291666667
1053380436,PIERRE-LOUIS,YVES,E,M.D.,M,I,170 S BARFIELD HWY,SUITE 103,PAHOKEE,FL,334761868,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,27,42,11.901190476,1.42,0.955952381,0.955952381
1053380436,PIERRE-LOUIS,YVES,E,M.D.,M,I,170 S BARFIELD HWY,SUITE 103,PAHOKEE,FL,334761868,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2824,0.1767315864,0.0454320113,0.0356161473,0.0356161473
1053380436,PIERRE-LOUIS,YVES,E,M.D.,M,I,170 S BARFIELD HWY,SUITE 103,PAHOKEE,FL,334761868,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1053380469,TSENG,EWEN,Y,M.D.,M,I,8380 WARREN PARKWAY,SUITE 504,FRISCO,TX,750344197,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,61.566666667,57.02,41.506666667,39.656666667
1053380469,TSENG,EWEN,Y,M.D.,M,I,8380 WARREN PARKWAY,SUITE 504,FRISCO,TX,750344197,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,18.6,17.25,12.290909091,12.794545455
1053380469,TSENG,EWEN,Y,M.D.,M,I,8380 WARREN PARKWAY,SUITE 504,FRISCO,TX,750344197,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,77,2.2276623377,2.22,1.6058441558,1.4806493506
1053380519,WEINREICH,DON,,MD,M,I,3000 COLBY ST,SUITE #307,BERKELEY,CA,947052058,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,31,67,45.798656716,8.32,5.7856716418,5.7856716418
1053380519,WEINREICH,DON,,MD,M,I,3000 COLBY ST,SUITE #307,BERKELEY,CA,947052058,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,16,14.3525,1.42,0.84,0.84
1053380600,HUBERT,JANET,,M.D.,F,I,1255 E M 36,,PINCKNEY,MI,481698133,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,12,41,64.825853659,8.32,6.2043902439,6.2043902439
1053380667,RICHARDS,RICHARD,S,MD,M,I,120 N 7TH ST,SUITE 101,CHAMBERSBURG,PA,172011795,US,Physician/Orthopedic Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,35,9.72875,6.6925,7.52375
1053380667,RICHARDS,RICHARD,S,MD,M,I,120 N 7TH ST,SUITE 101,CHAMBERSBURG,PA,172011795,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,65,17.681428571,13.861428571,14.964285714
1053380667,RICHARDS,RICHARD,S,MD,M,I,120 N 7TH ST,SUITE 101,CHAMBERSBURG,PA,172011795,US,Physician/Orthopedic Surgery,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,63.616842105,63.616842105,49.870526316,74.416842105
1053380667,RICHARDS,RICHARD,S,MD,M,I,120 N 7TH ST,SUITE 101,CHAMBERSBURG,PA,172011795,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,27,59.74,59.74,45.095555556,44.623703704
1053380667,RICHARDS,RICHARD,S,MD,M,I,120 N 7TH ST,SUITE 101,CHAMBERSBURG,PA,172011795,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,40,40,40,150.15925,150.15925,117.726,119.6
1053380923,FABENS,ELIZABETH,,MD,F,I,345 E MOUNT AIRY AVE,,PHILADELPHIA,PA,191191114,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,51,119,416,68.069543269,8.32,5.8012259615,5.8012259615
1053380923,FABENS,ELIZABETH,,MD,F,I,345 E MOUNT AIRY AVE,,PHILADELPHIA,PA,191191114,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,13.76,3.38,2.3710526316,2.3710526316
1053380923,FABENS,ELIZABETH,,MD,F,I,345 E MOUNT AIRY AVE,,PHILADELPHIA,PA,191191114,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,33,68,111,14.11036036,1.42,0.953963964,0.953963964
1053380923,FABENS,ELIZABETH,,MD,F,I,345 E MOUNT AIRY AVE,,PHILADELPHIA,PA,191191114,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,19.73,3.8216666667,2.9966666667,3.5538095238
1053380923,FABENS,ELIZABETH,,MD,F,I,345 E MOUNT AIRY AVE,,PHILADELPHIA,PA,191191114,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,12,12,12,37.2475,36.545833333,27.3125,58.455
1053380923,FABENS,ELIZABETH,,MD,F,I,345 E MOUNT AIRY AVE,,PHILADELPHIA,PA,191191114,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,40.285714286,33,24.022142857,24.022142857
1053380949,SADEGHI,SAM,,MD,M,I,135 W RAVINE RD,SUITE 5A,KINGSPORT,TN,376603847,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,59,151,66.561589404,8.32,6.0889403974,6.0889403974
1053380949,SADEGHI,SAM,,MD,M,I,135 W RAVINE RD,SUITE 5A,KINGSPORT,TN,376603847,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,27,31,16.341290323,1.42,1.0451612903,1.0451612903
1053380949,SADEGHI,SAM,,MD,M,I,135 W RAVINE RD,SUITE 5A,KINGSPORT,TN,376603847,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,8.7061538462,1.47,1.15,1.15
1053380949,SADEGHI,SAM,,MD,M,I,135 W RAVINE RD,SUITE 5A,KINGSPORT,TN,376603847,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,15,86.31,17.29,13.55,13.532666667
1053380949,SADEGHI,SAM,,MD,M,I,135 W RAVINE RD,SUITE 5A,KINGSPORT,TN,376603847,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,47,47,467.64255319,72.921489362,54.228085106,51.808297872
1053380949,SADEGHI,SAM,,MD,M,I,135 W RAVINE RD,SUITE 5A,KINGSPORT,TN,376603847,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,5880,0.1977363946,0.0472295918,0.033042517,0.033042517
1053380949,SADEGHI,SAM,,MD,M,I,135 W RAVINE RD,SUITE 5A,KINGSPORT,TN,376603847,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,44,44,110.01704545,33,23.518181818,23.518181818
1053381095,MIRKIN,GENE,S,DPM,M,I,10901 CONNECTICUT AVE,SUITE 200,KENSINGTON,MD,208951645,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,19,552,278.27315789,218.16421053,218.89210526
1053381186,BRUNCKHORST,KEITH,R,M.D.,M,I,157 E 72ND ST,,NEW YORK,NY,100214331,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,20,1888,50.128479873,5.4947563559,4.2318961864,4.2318961864
1053381186,BRUNCKHORST,KEITH,R,M.D.,M,I,157 E 72ND ST,,NEW YORK,NY,100214331,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,24,24,18.82,18.82
1053381228,FALCON,MICHELLE,L,MD,F,I,2228 SEPULVEDA BLVD,,TORRANCE,CA,905015301,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,50,77.7946,8.32,5.627,5.627
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,47,103,103,128.95631068,39.369805825,28.939029126,28.615825243
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,11,34,95,7.1314736842,1.4793684211,1.0124210526,1.006
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,17,22,22,73.509090909,11.805454545,8.8781818182,8.6677272727
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,11,14,36,1.1575,0.5972222222,0.4677777778,0.4316666667
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,35,77,77,372.40935065,86.815584416,64.425974026,64.245194805
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,26,60,161,130.62049689,32.402298137,24.694596273,25.175838509
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,18,34,154,73.889155844,18.428441558,13.465714286,13.566428571
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,17,97,47.578453608,15.408041237,11.650103093,11.467319588
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,41,85,85,239.77423529,52.224941176,38.532705882,40.365764706
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,63,84,84,71.273809524,17.26547619,12.743333333,13.245595238
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,26,66,66,82.685454545,12.315454545,9.2113636364,8.7221212121
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,67,162,908,10.205627753,2.0909030837,1.5635572687,1.5207268722
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,37,54,54,28.298518519,5.9124074074,4.3833333333,4.4
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,35,51,51,46.987647059,12.247254902,8.8556862745,9.55
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,119,134,71.020149254,16.04,11.685298507,12.633432836
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,17,20,197.0865,43.11,33.8,36.864
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3500,1074.31,842.26,842.26
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,445.90666667,135.79333333,106.46666667,104.88166667
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,22,25,81.75,13.0532,9.7084,9.5484
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,19,96,96,31.5375,4.4553125,3.25375,3.4323958333
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,29,170,173,142.71739884,31.479306358,23.521618497,24.631387283
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,44,274,322,424.90195652,72.128695652,53.113726708,51.618478261
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,66,82,234.23353659,36.3,26.769268293,27.524512195
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,30,42,172,38778,0.3404156996,0.0460023725,0.0342364227,0.0342361648
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,52,3706,1.7503426875,0.1347058824,0.0967808958,0.0967808958
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,28,2550,10.182227451,2.9299882353,2.2971058824,2.2971058824
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,33,1289,1.9889526765,0.2186423584,0.1674553918,0.1674553918
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,36,77.96,36.3,28.46,29.4225
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,33,49,207,207,84,33,24.166086957,24.166086957
1053381244,GIUDICE,JAMES,C,D.O.,M,I,42 E LAUREL RD,SUITE 3100,STRATFORD,NJ,080841354,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,15,15,68.8,66,51.74,51.74
1053381293,KUZNITS,SAGI,M,MD,M,I,649 N LEWIS RD,SUITE 225,ROYERSFORD,PA,194681234,US,Physician/Orthopedic Surgery,S,E0855,Cervical traction equipment not requiring additional stand or frame,D1E - Other DME,Durable Medical Equipment,Y,1,12,24,24,200,53.624166667,40.65375,40.65375
1053381293,KUZNITS,SAGI,M,MD,M,I,649 N LEWIS RD,SUITE 225,ROYERSFORD,PA,194681234,US,Physician/Orthopedic Surgery,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,38,38,38,1000,973.19447368,762.98789474,774.51342105
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,21,63,819,58.365323565,19.626349206,15.036361416,15.036361416
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,21,64,1901,8.5235560231,2.6305312993,2.0496159916,2.0496159916
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,17,21,42,2.8242857143,0.51,0.380952381,0.380952381
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,74,185,554,2577,62.588661234,8.3176096236,6.1730811021,6.1749553745
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,37,69,69,12.804057971,3.38,2.5347826087,2.5347826087
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,33,46,46,15.050434783,2.12,1.5973913043,1.5973913043
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,50,92,197,470,14.228276596,1.42,1.0384255319,1.0384255319
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,16,16,16,57.9075,48.12,32.768125,48.335
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,11,56,56,719.49053571,337.65964286,264.72321429,264.72321429
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,11,43,3740,16.201596257,10.673139037,8.3663877005,8.3663877005
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,36,175,179,387.70346369,251.04899441,196.82217877,196.86977654
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,31,31,31,298.70935484,264.06741935,204.95741935,205.03
1053381418,ARCE,LUIS,R,MD,M,I,619 S FLEISHEL AVE,STE 327,TYLER,TX,757012004,US,Physician/Endocrinology,S,K0603,"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,102,14.75,0.607254902,0.4478431373,0.4478431373
1053381442,PACZKOSKIE,VINCENT,J,M. D.,M,I,11277 VERNON PLACE,SUITE 200,MEADVILLE,PA,163353717,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,155.1,120.62,94.57,89.843333333
1053381442,PACZKOSKIE,VINCENT,J,M. D.,M,I,11277 VERNON PLACE,SUITE 200,MEADVILLE,PA,163353717,US,Physician/Orthopedic Surgery,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,568.02,431.13,338,342.85692308
1053381467,WALTERS,RUSTIN,C,M.D.,M,I,34800 BOB WILSON DR,"NMCSD, ATTN: MEDICAL STAFF SERVICES",SAN DIEGO,CA,921341098,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,3060,3.1976470588,1.83,1.3588627451,1.5235163399
1053381467,WALTERS,RUSTIN,C,M.D.,M,I,34800 BOB WILSON DR,"NMCSD, ATTN: MEDICAL STAFF SERVICES",SAN DIEGO,CA,921341098,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1740,28.21,7.87,6.0876149425,6.0948448276
1053381509,DEL-CHECCOLO,RICHARD,L,MD,M,I,31ST ST MEDICAL CLINIC,410 31ST ST,HUNTINGTON,WV,25702,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,23,50,72.329,8.32,5.8692,5.8692
1053381509,DEL-CHECCOLO,RICHARD,L,MD,M,I,31ST ST MEDICAL CLINIC,410 31ST ST,HUNTINGTON,WV,25702,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,13.429090909,1.42,0.9163636364,0.9163636364
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,7.8528571429,7.8528571429,6.1614285714,6.7614285714
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,16,34.5425,14.18,11.1125,12.8275
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,25,29,50.284482759,20.994137931,15.802068966,21.685517241
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,17.13,17.13,12.854285714,13.495714286
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,17,806,4.5519851117,2.27,1.7796898263,1.7796898263
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,14,78,10976,4.0475327988,2.0379154519,1.5073952259,1.5090306122
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,51,8490,9.4533922261,7.1180565371,5.4960694935,5.5838374558
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,56,109,14.403119266,10.893669725,8.5411009174,8.5681651376
1053381517,FOLEY,JOHN,P,MD,M,I,505 DUTCHMANS LN,BUILDING A,EASTON,MD,216014302,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,12,83,180,14.313888889,7.4493333333,5.7759444444,5.7838888889
1053381541,KUENSTLER,KEVIN,A,M.D.,M,I,7630 N BEACH ST STE 140,,FORT WORTH,TX,761373016,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,32,74,63.424189189,8.32,5.7286486486,5.7286486486
1053381541,KUENSTLER,KEVIN,A,M.D.,M,I,7630 N BEACH ST STE 140,,FORT WORTH,TX,761373016,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,22,15.970909091,1.42,1.0654545455,1.0654545455
1053381558,HARDIN,DANA,B,M.D.,M,I,619 SOUTH BLUFF STREET,TOWER 1 SUITE 100,ST. GEORGE,UT,847703853,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,32,76,66.626184211,8.32,5.6628947368,5.6628947368
1053381558,HARDIN,DANA,B,M.D.,M,I,619 SOUTH BLUFF STREET,TOWER 1 SUITE 100,ST. GEORGE,UT,847703853,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,12.247333333,1.42,0.8946666667,0.8946666667
1053381558,HARDIN,DANA,B,M.D.,M,I,619 SOUTH BLUFF STREET,TOWER 1 SUITE 100,ST. GEORGE,UT,847703853,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,20,86.31,17.7705,13.9305,13.5305
1053381558,HARDIN,DANA,B,M.D.,M,I,619 SOUTH BLUFF STREET,TOWER 1 SUITE 100,ST. GEORGE,UT,847703853,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,16,50.73,3.895625,3.049375,3.5875
1053381558,HARDIN,DANA,B,M.D.,M,I,619 SOUTH BLUFF STREET,TOWER 1 SUITE 100,ST. GEORGE,UT,847703853,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,34,485.50764706,70.619411765,52.684411765,52.232352941
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,45,202,387,85.384134367,8.32,5.9217312661,5.9217312661
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,42,49,16.874285714,1.42,1.0485714286,1.0485714286
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,12,24,113.375,71.56,56.105,56.105
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,176.92727273,51.724545455,37.35,37.37
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,42.750714286,16.348571429,11.885714286,12.559285714
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,32.855,25.76,26.766666667
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,37,239.02756757,70.879459459,51.192972973,50.42972973
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,37,3180,1.0729308176,0.1360377358,0.0986698113,0.0986698113
1053381590,BRUNDAGE,RANDALL,G,DO,M,I,320 KEYSTONE AVE,,PECKVILLE,PA,184522242,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,75.25,33,24.26,24.26
1053381780,GAO,QINGLIN,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,15.209090909,9.0872727273,7.1290909091,7.0981818182
1053381780,GAO,QINGLIN,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,175,46.575,36.514285714,37.148571429
1053381780,GAO,QINGLIN,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,65,76,76.554078947,17.46,13.509868421,13.363815789
1053381780,GAO,QINGLIN,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,16,80,98,26.720918367,5.673877551,3.9056122449,3.2786734694
1053381780,GAO,QINGLIN,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,68,79,420.5635443,82,64.29,54.972025316
1053381780,GAO,QINGLIN,,M.D.,M,I,500 UPPER CHESAPEAKE DR,,BEL AIR,MD,210144324,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,41.6,32.61,29.768333333
1053381798,POTTI,ESTHER,,MD,F,I,123 4TH ST NW,,BAGLEY,MN,566218306,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,29,91,163,73.089631902,8.32,5.8219018405,5.8219018405
1053381798,POTTI,ESTHER,,MD,F,I,123 4TH ST NW,,BAGLEY,MN,566218306,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,15.6105,1.42,0.952,0.952
1053381798,POTTI,ESTHER,,MD,F,I,123 4TH ST NW,,BAGLEY,MN,566218306,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1900,0.6760210526,0.0456,0.0357315789,0.0357315789
1053381798,POTTI,ESTHER,,MD,F,I,123 4TH ST NW,,BAGLEY,MN,566218306,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,1620,1.8897777778,0.1318888889,0.1034197531,0.1034197531
1053381798,POTTI,ESTHER,,MD,F,I,123 4TH ST NW,,BAGLEY,MN,566218306,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,106.66666667,28.836666667,21.4075,15.865
1053381798,POTTI,ESTHER,,MD,F,I,123 4TH ST NW,,BAGLEY,MN,566218306,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,26,26,36.807692308,33,25.87,25.87
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,60,161,47.946521739,8.1858385093,6.2364596273,6.3259006211
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,23,16.411304348,1.42,1.1165217391,1.1165217391
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,21,21,152.04952381,48.138095238,34.527619048,29.850952381
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,334.54,114.22083333,85.375,70.645833333
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,52,76.558076923,25.922307692,20.322692308,16.611730769
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,189.52368421,74.446315789,55.885263158,43.3
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,27,146,8.6728767123,2.7601369863,1.8739726027,1.503630137
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,42.667333333,22.576,15.708666667,11.726
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,192.06166667,51.925,36.4,25.615833333
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,472.125,106.38666667,79.943333333,58.293888889
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1200,1.0371583333,0.1319,0.0852583333,0.0852583333
1053381863,NASH,ALLAN,D,MD,M,I,1664 PROBART STREET,,BREVARD,NC,28712,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,109.15384615,33,21.89,21.89
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,41,146,66.049863014,8.32,5.4880136986,5.4880136986
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,14,14.570714286,1.42,1.0371428571,1.0371428571
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,25,8.19,1.51,1.0904,1.0688
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,26,86.31,18,13.024615385,12.520384615
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,81.75,13.150769231,10.314615385,10.48
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,192.7464,34.548,26.0296,24.1656
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,26,519.51,77.18,56.096153846,50.751923077
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2100,0.17,0.0459285714,0.0333809524,0.0333809524
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,11.295666667,3.003,2.0883333333,2.0883333333
1053381889,SWINDLE,JEREMY,S,MD,M,I,1003 PROVIDENCE DRIVE,SUITE 210,NEWBERG,OR,971327523,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,84.333333333,33,23.953703704,23.953703704
1053381939,MATHESON,ANGUS,D,M.D.,M,I,1245 S MAIN ST,,WILLITS,CA,954904305,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,31,69,152,79.930855263,8.32,5.5773026316,5.5773026316
1053381939,MATHESON,ANGUS,D,M.D.,M,I,1245 S MAIN ST,,WILLITS,CA,954904305,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,16,27,36,17.0775,1.42,0.93,0.93
1053381939,MATHESON,ANGUS,D,M.D.,M,I,1245 S MAIN ST,,WILLITS,CA,954904305,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,157.61,22.666923077,17.769230769,13.53
1053381939,MATHESON,ANGUS,D,M.D.,M,I,1245 S MAIN ST,,WILLITS,CA,954904305,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,20.13,8.88,6.7583333333,3.5655555556
1053381939,MATHESON,ANGUS,D,M.D.,M,I,1245 S MAIN ST,,WILLITS,CA,954904305,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,81,81,379.18382716,101.36222222,75.839753086,59.662716049
1053381939,MATHESON,ANGUS,D,M.D.,M,I,1245 S MAIN ST,,WILLITS,CA,954904305,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,102.68030303,44.119090909,32.60030303,28.477575758
1053381954,YODER,ELIZABETH,A,M.D.,F,I,2637 MIDPOINT DR STE B,,FORT COLLINS,CO,805254408,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,364.79,70.48,48.75,48.344705882
1053382135,MORTON,MYLENA,E,M.D.,F,I,8121 MADISON BLVD STE 101A,,MADISON,AL,357582082,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,29,76,56.439210526,8.32,6.0926315789,6.0926315789
1053382135,MORTON,MYLENA,E,M.D.,F,I,8121 MADISON BLVD STE 101A,,MADISON,AL,357582082,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,49.090909091,17.29,13.55,13.531818182
1053382135,MORTON,MYLENA,E,M.D.,F,I,8121 MADISON BLVD STE 101A,,MADISON,AL,357582082,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,379.09090909,70.23,55.06,54.750909091
1053382267,ROBINSON,SUSAN,A,C-FNP,F,I,312 KING STREET,CENTRA SOUTHSIDE PROFESSIONAL LLC,KEYSVILLE,VA,239373659,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,61,51.92147541,8.32,5.9881967213,5.9881967213
1053382267,ROBINSON,SUSAN,A,C-FNP,F,I,312 KING STREET,CENTRA SOUTHSIDE PROFESSIONAL LLC,KEYSVILLE,VA,239373659,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,24,15.695833333,1.42,1.0679166667,1.0679166667
1053382291,DICHIARA,FRANK,P,D.O.,M,I,2446 CHURCH RD,,TOMS RIVER,NJ,087538182,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,57,82.379122807,8.32,4.6915789474,4.6915789474
1053382341,KANURI,KAVITHA,,MD,F,I,100 FRANKLIN SQUARE DR,SUITE 201,SOMERSET,NJ,088734109,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,24.01,9.8766666667,7.4336666667,8.8416666667
1053382341,KANURI,KAVITHA,,MD,F,I,100 FRANKLIN SQUARE DR,SUITE 201,SOMERSET,NJ,088734109,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,48,48,69.89,18.410833333,14.435833333,14.556666667
1053382341,KANURI,KAVITHA,,MD,F,I,100 FRANKLIN SQUARE DR,SUITE 201,SOMERSET,NJ,088734109,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,119.34,21.9,14.34826087,18.293478261
1053382341,KANURI,KAVITHA,,MD,F,I,100 FRANKLIN SQUARE DR,SUITE 201,SOMERSET,NJ,088734109,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,59,59,20.57,7.413220339,5.4647457627,6.3893220339
1053382390,OWENS,ALBERT,Z,M.D.,M,I,3855 J ST,,SACRAMENTO,CA,958165520,US,Clinic/Center,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,76,63.993421053,8.32,6.1794736842,6.1794736842
1053382416,MILJKOVIC,GORAN,,M.D.,M,I,3241 MAIN ST,SUITE B,STRATFORD,CT,066144850,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,40,62.1095,8.32,6.19575,6.19575
1053382416,MILJKOVIC,GORAN,,M.D.,M,I,3241 MAIN ST,SUITE B,STRATFORD,CT,066144850,US,Physician/Infectious Disease,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,16,15.839375,1.42,1.1175,1.1175
1053382440,NASEEF,GEORGE,S,M.D.,M,I,160 E HANOVER AVE,SECOND FLOOR,MORRISTOWN,NJ,079603150,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,3,22,23,23,4987.4191304,4378.96,3300.7173913,3300.7173913
1053382648,HYDRICK,JACK,D,FNP,M,I,2910 SOUTH CHURCH ST,STE B,MURFREESBORO,TN,37127,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,23.254615385,18,11.939230769,11.456923077
1053382648,HYDRICK,JACK,D,FNP,M,I,2910 SOUTH CHURCH ST,STE B,MURFREESBORO,TN,37127,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,120.12230769,86.84,57.606153846,46.31
1053382648,HYDRICK,JACK,D,FNP,M,I,2910 SOUTH CHURCH ST,STE B,MURFREESBORO,TN,37127,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2040,1.0225980392,0.1327647059,0.1040980392,0.1040980392
1053382648,HYDRICK,JACK,D,FNP,M,I,2910 SOUTH CHURCH ST,STE B,MURFREESBORO,TN,37127,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,108.70588235,33,25.87,25.87
1053382853,LIN,PAMELA,Y,M.D.,F,I,7801 YORK RD,SUITE 102,TOWSON,MD,212047446,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,38,55.841842105,8.32,5.8352631579,5.8352631579
1053382853,LIN,PAMELA,Y,M.D.,F,I,7801 YORK RD,SUITE 102,TOWSON,MD,212047446,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,18.477727273,5.7045454545,4.1009090909,3.4136363636
1053382879,VELEZ,RUBEN,,M.D.,M,I,1420 VICEROY DR,,DALLAS,TX,752352208,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,2220,4.7626171171,0.5678648649,0.4452252252,0.4452252252
1053382879,VELEZ,RUBEN,,M.D.,M,I,1420 VICEROY DR,,DALLAS,TX,752352208,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,3600,0.0533333333,0.0133333333,0.0104527778,0.0104527778
1053382879,VELEZ,RUBEN,,M.D.,M,I,1420 VICEROY DR,,DALLAS,TX,752352208,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,5640,3.8078280142,2.8381914894,2.2251382979,2.2251382979
1053382879,VELEZ,RUBEN,,M.D.,M,I,1420 VICEROY DR,,DALLAS,TX,752352208,US,Physician/Nephrology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,252.58,29.313076923,22.980769231,21.494615385
1053382879,VELEZ,RUBEN,,M.D.,M,I,1420 VICEROY DR,,DALLAS,TX,752352208,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,24,24,18.82,18.82
1053382879,VELEZ,RUBEN,,M.D.,M,I,1420 VICEROY DR,,DALLAS,TX,752352208,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,37,50,16,16,12.5418,12.5418
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,50,116,67.264310345,8.32,6.0162068966,6.0162068966
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,24,12.792083333,1.42,1.1158333333,1.1158333333
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,174.49272727,39.92,29.382727273,28.628181818
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,268.7,52.178888889,39.683333333,41.551666667
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,83.94,17.57,13.044545455,13.296363636
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,28,127,11.992755906,2.0102362205,1.5148031496,1.5303937008
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,16.97,13.31,13.463333333
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,81.75,12.83,10.05,10.47
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,54.954705882,3.5811764706,1.9776470588,2.5917647059
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,416.83225806,32.621612903,25.576774194,25.877741935
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,67,559.07223881,71.11,51.996268657,51.082985075
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2724,0.3000183554,0.0457268722,0.0277312775,0.0277312775
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37.15,29.13,29.51
1053383091,RODARTE,CHRISTOPHER,J,M.D.,M,I,311 W NOBLE AVE,,VISALIA,CA,932772669,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,71.076923077,33,23.88,23.88
1053383174,KUETER,JOSEPH,C,M.D.,M,I,303 E MATTHEWS AVE,SUITE 200,JONESBORO,AR,724013150,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,3486,0.2821858864,0.13,0.0992857143,0.0992857143
1053383174,KUETER,JOSEPH,C,M.D.,M,I,303 E MATTHEWS AVE,SUITE 200,JONESBORO,AR,724013150,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,38,4770,3.3356352201,1.92,1.399966457,1.4885408805
1053383174,KUETER,JOSEPH,C,M.D.,M,I,303 E MATTHEWS AVE,SUITE 200,JONESBORO,AR,724013150,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,44.646666667,5.54,3.9810833333,3.9810833333
1053383174,KUETER,JOSEPH,C,M.D.,M,I,303 E MATTHEWS AVE,SUITE 200,JONESBORO,AR,724013150,US,Physician/Urology,S,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,31.593333333,3.58,2.5730833333,2.5730833333
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,11,28,421,48.082446556,19.652565321,14.29584323,14.29584323
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,11,27,900,8.1872666667,2.6333333333,1.9265,1.9265
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,46,61,152,845,76.904757396,8.32,6.3623905325,6.3623905325
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,13.746,3.38,2.65,2.65
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,22.628333333,2.12,1.67,1.67
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,30,53,139,12.871654676,1.42,1.1058992806,1.1058992806
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,686.34588235,356.18294118,278.22029412,278.22029412
1053383224,MOTURI,HEMLATA,,M.D.,F,I,420 E NORTH AVE,SUITE 205,PITTSBURGH,PA,15212,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,35,35,377.65257143,251.032,196.74628571,196.80714286
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,82,157,65.271656051,8.32,5.5094904459,5.5094904459
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,67,80.194029851,24.834776119,19.433283582,15.180895522
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,170.95666667,71.008,52.529333333,41.71
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,56.931818182,25.012727273,19.605454545,14.869090909
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,18,108,8.2788888889,3.1766666667,2.3923148148,1.5800925926
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,22.4775,16.3775,12.4025
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,135.86206897,57.162068966,43.741034483,26.83862069
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,534.72,100.90545455,75.158787879,53.537272727
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,1.3923636364,0.1351818182,0.0976969697,0.0976969697
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,990,9.2654343434,3.0628484848,2.4012929293,2.4012929293
1053383257,NILLES,JOAN,M,MD,F,I,2015 W 5TH ST,,STORM LAKE,IA,505883000,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,33,33,23.283,23.283
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,36,90,41.041222222,8.32,5.9643333333,5.9643333333
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,28,14.705357143,1.4085714286,0.9457142857,0.9457142857
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,79,57.405316456,19.293037975,13.264810127,12.691518987
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,20,20,162.0355,63.857,50.061,42.8885
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,57.304117647,21.620588235,16.029411765,13.232941176
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,55.898235294,13.986470588,10.449411765,8.6158823529
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,21,122,8.2156557377,2.3627868852,1.7653278689,1.513852459
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,240,19.322625,13.123,10.287833333,10.287833333
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,322,300,268.37652174,210.27152174,210.27152174
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,322,9.5372670807,9.2593167702,7.2589130435,7.3236956522
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,50,322,28.9,28.9,22.657360248,22.888167702
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,22.175384615,4.86,3.4646153846,3.4646153846
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,291.06461538,36.663076923,24.304615385,22.169230769
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,49,520.48,77.980612245,55.145714286,48.860204082
1053383281,PHILLIPS,KENNETH,,MD,M,I,8 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034928,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,979.69,18.380909091,14.405454545,13.936363636
1053383349,FARBER,ERIC,B,M.D.,M,I,2149 W 24TH ST,,YUMA,AZ,853646136,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,74.565833333,73.984166667,48.044166667,44.008333333
1053383349,FARBER,ERIC,B,M.D.,M,I,2149 W 24TH ST,,YUMA,AZ,853646136,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,52.5,52.466363636,38.248181818,40.674545455
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,39,111,244,60.688278689,8.32,5.0854098361,5.0854098361
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,24,44,58,15.349482759,1.42,0.9796551724,0.9796551724
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,3.1,2.0341666667,1.5966666667,1.15
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.4608333333,1.1445833333,0.9620833333
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,63.19,44.883636364,34.161818182
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,89,24.94,19.55,16.266363636
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,475,116.938,91.684,64.855
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,44,11092,0.6998683736,0.0460521096,0.0297277317,0.0297277317
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,2.19,0.1314166667,0.1030625,0.1030625
1053383406,JENKINS,LISA,M,FNP-C,F,I,615 S CENTER ST,,THOMASTON,GA,302864141,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,53,53,33,33,23.72509434,23.72509434
1053383414,BATES,LORI,A,M.D.,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,37,44.616756757,8.32,5.1124324324,5.1124324324
1053383554,FORNANDER,WADE,,M.D.,M,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,47,128,72.17953125,8.32,5.878203125,5.878203125
1053383554,FORNANDER,WADE,,M.D.,M,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,34,15.515882353,1.42,1.0476470588,1.0476470588
1053383554,FORNANDER,WADE,,M.D.,M,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,270.42615385,60.313846154,47.282307692,42.947692308
1053383554,FORNANDER,WADE,,M.D.,M,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,12.876923077,2.2630769231,1.7742307692,1.5919230769
1053383554,FORNANDER,WADE,,M.D.,M,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1053383554,FORNANDER,WADE,,M.D.,M,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,12.86,3.003,2.354375,2.354375
1053383554,FORNANDER,WADE,,M.D.,M,I,1401 E H ST,,MC COOK,NE,690013432,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,132,33,23.88,23.88
1053383620,BEST,GEORGE,S,M.D.,M,I,3338 OAKWELL COURT,SUITE 216,SAN ANTONIO,TX,78218,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,4204,2.6094291151,2.0374310181,1.5480708849,1.550083254
1053383653,MARGOLIS,DAVID,I,MD,M,I,2050 N HAGGERTY RD,SUITE 100,CANTON,MI,481873795,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,45,57.629777778,8.32,5.9364444444,5.9364444444
1053383661,HAIMES,CHRISTINA,,M.D.,F,I,1814 CHARLTON CT,SUITE B,GOSHEN,IN,465266463,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,48,120,74.137583333,8.32,5.3834166667,5.3834166667
1053383661,HAIMES,CHRISTINA,,M.D.,F,I,1814 CHARLTON CT,SUITE B,GOSHEN,IN,465266463,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,22,14.407727273,1.42,0.86,0.86
1053383661,HAIMES,CHRISTINA,,M.D.,F,I,1814 CHARLTON CT,SUITE B,GOSHEN,IN,465266463,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,5,2.3816666667,1.45625,1.195
1053383661,HAIMES,CHRISTINA,,M.D.,F,I,1814 CHARLTON CT,SUITE B,GOSHEN,IN,465266463,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,350,69.81,50.169166667,50.169166667
1053383661,HAIMES,CHRISTINA,,M.D.,F,I,1814 CHARLTON CT,SUITE B,GOSHEN,IN,465266463,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,350,251.11,196.87,196.87
1053383661,HAIMES,CHRISTINA,,M.D.,F,I,1814 CHARLTON CT,SUITE B,GOSHEN,IN,465266463,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,36.14,25.969166667,27.075
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,40,154,67.287077922,8.32,6.1833116883,6.1833116883
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,43,17.576976744,1.42,1.1139534884,1.1139534884
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,150.38176471,74.530588235,53.069411765,40.830588235
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,45.129333333,20.194,15.158666667,9.9186666667
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,76,7.0539473684,2.8728947368,1.9726315789,1.4069736842
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,24.12,7.8615384615,5.1376923077,2.9753846154
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,140.28529412,45.508823529,35.680882353,25.439411765
1053383703,MAY,SUSANA,,"MD, MPH",F,I,5701 OVERSEAS HWY,STE 17,MARATHON,FL,330502784,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,222.71533333,97.342666667,60.067333333,42.187333333
1053383752,YOUNG,DEANA,,MD,F,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,28,56,128,68.238203125,8.32,5.377421875,5.377421875
1053383752,YOUNG,DEANA,,MD,F,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,27,36,14.961111111,1.42,0.9916666667,0.9916666667
1053383752,YOUNG,DEANA,,MD,F,I,1935 W MAIN ST,,SALEM,VA,241533109,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,150,52.32,41.015714286,40.308571429
1053383810,LOPEZ,JOSE,A,MD,M,I,1810 E GRIFFIN PKWY,STE. A4,MISSION,TX,785728518,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,21,60,120,9.5063333333,8.32,5.1073333333,5.1073333333
1053383810,LOPEZ,JOSE,A,MD,M,I,1810 E GRIFFIN PKWY,STE. A4,MISSION,TX,785728518,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,20,57,57,1.8057894737,1.42,0.8645614035,0.8645614035
1053383836,EDYNAK,EUGENE,M,M.D.,M,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,24.547058824,4.2576470588,3.3382352941,3.65
1053383836,EDYNAK,EUGENE,M,M.D.,M,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,69.108125,14.313125,8.22875,10.6596875
1053383836,EDYNAK,EUGENE,M,M.D.,M,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,20.57,6.579375,3.665625,4.945
1053383869,THEUNE,LILLIAN,J,D.O.,F,I,"657 WILLOW GROVE STREET,",SUITE 401,HACKETTSTOWN,NJ,07840,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,26,56,82.748928571,8.32,5.9401785714,5.9401785714
1053383869,THEUNE,LILLIAN,J,D.O.,F,I,"657 WILLOW GROVE STREET,",SUITE 401,HACKETTSTOWN,NJ,07840,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,13,14.753846154,1.42,1.0323076923,1.0323076923
1053383950,SMITH,CHARLES,,MD,M,I,2920 N 4TH ST,,FLAGSTAFF,AZ,860041816,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,58.857142857,17.278571429,12.89952381,12.890952381
1053383950,SMITH,CHARLES,,MD,M,I,2920 N 4TH ST,,FLAGSTAFF,AZ,860041816,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,40,403.853,69.36,53.028,53.39975
1053383968,ROHRBOUGH,JOEL,,MD,M,I,1485 N TURQUOISE DR,SUITE 200,FLAGSTAFF,AZ,860011398,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,31,31,31,170.11354839,129.94806452,101.87967742,89.163548387
1053383992,ZAHEDI,SYEDA,H,M.D.,F,I,1431 N WESTERN AVE,SUITE 112,CHICAGO,IL,606221797,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,53,69.258679245,8.32,6.521509434,6.521509434
1053383992,ZAHEDI,SYEDA,H,M.D.,F,I,1431 N WESTERN AVE,SUITE 112,CHICAGO,IL,606221797,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,121.8,52.545454545,32.710909091,28.824545455
1053383992,ZAHEDI,SYEDA,H,M.D.,F,I,1431 N WESTERN AVE,SUITE 112,CHICAGO,IL,606221797,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100.98,33.568181818,26.313636364,21.169090909
1053384073,HADDOCK,KRISTIN,B,APRN,F,I,420 SOCIETY HILL DR STE 100,,AIKEN,SC,298031731,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,25,56,77.150357143,8.32,5.5905357143,5.5905357143
1053384073,HADDOCK,KRISTIN,B,APRN,F,I,420 SOCIETY HILL DR STE 100,,AIKEN,SC,298031731,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,151.22909091,38.24,27.254545455,27.73
1053384073,HADDOCK,KRISTIN,B,APRN,F,I,420 SOCIETY HILL DR STE 100,,AIKEN,SC,298031731,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,75,10.736,1.9,1.49,1.5833333333
1053384073,HADDOCK,KRISTIN,B,APRN,F,I,420 SOCIETY HILL DR STE 100,,AIKEN,SC,298031731,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,137.89473684,33.461578947,26.231578947,26.989473684
1053384164,MCMILLAN,DAMON,C,M.D.,M,I,1720 S GADSDEN ST,,TALLAHASSEE,FL,323015506,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,31,42.131290323,8.32,5.26,5.26
1053384321,NGUYEN,KEVIN,T,MD,M,I,8200 WALNUT HILL LN,,DALLAS,TX,752314426,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,39.83173913,17.530869565,13.153913043,12.957391304
1053384321,NGUYEN,KEVIN,T,MD,M,I,8200 WALNUT HILL LN,,DALLAS,TX,752314426,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,230.82875,76.25,57.311666667,52.660416667
1053384362,ANDERSON,JOHN,M,MD,M,I,908 WEST 4TH NORTH STREET,DEPT OF RADIATION ONCOLOGY,MORRISTOWN,TN,378143894,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,7611,0.7969097359,0.3794008672,0.2849822625,0.2365392196
1053384545,COKER,MATHEW,,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,32,33,69.242424242,53.2,39.551818182,44.086363636
1053384545,COKER,MATHEW,,M.D.,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,328.84615385,251.28,197,218.89
1053384552,MATH,ERIC,M,M.D.,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,134.89333333,51.517333333,40.391333333,36.444666667
1053384552,MATH,ERIC,M,M.D.,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,72,17.09,13.4,13.53
1053384552,MATH,ERIC,M,M.D.,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,369.16326531,78.155102041,60.055510204,53.547346939
1053384552,MATH,ERIC,M,M.D.,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,130,22.960416667,18.003333333,14.85875
1053384750,RICHARDSON,LEONARD,A,MD,M,I,19 WALKER AVE,SUITE 202,PIKESVILLE,MD,212084075,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,25,61,202,47.050643564,8.32,6.4575742574,6.4575742574
1053384750,RICHARDSON,LEONARD,A,MD,M,I,19 WALKER AVE,SUITE 202,PIKESVILLE,MD,212084075,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,22,22,12.016363636,3.38,2.65,2.65
1053384750,RICHARDSON,LEONARD,A,MD,M,I,19 WALKER AVE,SUITE 202,PIKESVILLE,MD,212084075,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,18.329090909,2.12,1.67,1.67
1053384750,RICHARDSON,LEONARD,A,MD,M,I,19 WALKER AVE,SUITE 202,PIKESVILLE,MD,212084075,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,42,77,11.293116883,1.42,1.1122077922,1.1122077922
1053384818,ROSS,KELLY,L,DO,F,I,2305 SOUTH 65 HIGHWAY,,MARSHALL,MO,653403702,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,90.7425,23.861875,17.5075,12.28125
1053384867,HEFNER,JAYE,E,MD,F,I,125 NASHUA ST,SPAULDING REHAB HOSPITAL,BOSTON,MA,021141101,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,78,61.15,54.73
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,35,142,64.122464789,8.32,6.0634507042,6.0634507042
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,28,13.732142857,1.42,1.0735714286,1.0735714286
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,87.042,39.21,26.641333333,26.424666667
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,22,113,32.386017699,14.94,10.56619469,10.740442478
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,15,38,38,146.05078947,55.200526316,39.042631579,38.632368421
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,24,24,52.75625,17.2425,13.512083333,14.014166667
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,30,30,41.726666667,12.204666667,8.9366666667,8.558
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,18,48,273,5.96003663,2.1447252747,1.6174358974,1.536959707
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,36.99625,12.108125,9.498125,10.235
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,66,66,194.12212121,33.234090909,24.163939394,22.66969697
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,220,79.8,60.548181818,53.074090909
1053384875,KNAPPMAN,JOHN,W,M.D.,M,I,2404 N COURTENAY PKWY,SUITE D,MERRITT ISLAND,FL,329534191,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,35.31,27.69,29.51
1053384974,CONLEY,THOMAS,D,MD,M,I,3343 SPRINGHILL,ST 1035,NORTH LITTLE ROCK,AR,72117,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,46.23,19.982857143,15.664285714,14.374285714
1053384974,CONLEY,THOMAS,D,MD,M,I,3343 SPRINGHILL,ST 1035,NORTH LITTLE ROCK,AR,72117,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,275.81571429,85.417142857,66.965714286,58.287142857
1053385021,BARNHILL,GREGORY,L,D.O.,M,I,2790 CLAY EDWARDS DR,SUITE #650,NORTH KANSAS CITY,MO,641163276,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,42,45,726,65,21.76,17.059793388,19.502410468
1053385195,BRUBAKER,LINDA,,MD,F,I,2160 S 1ST AVE,"(RUSSO ENT., RM. 1016)",MAYWOOD,IL,60153,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,2110,4.968056872,1.7820379147,1.2918151659,1.450563981
1053385294,CHATHA,AIYSHA,I,MD,F,I,501 PENN AVE,,TURTLE CREEK,PA,151452085,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,18,519.51,77.5,55.905,50.880555556
1053385310,WALKER,DAVID,E,M.D.,M,I,250 FLAT ROCK PL,2ND FL,WESTBROOK,CT,064981565,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,13,33,71.439393939,8.32,6.1263636364,6.1263636364
1053385310,WALKER,DAVID,E,M.D.,M,I,250 FLAT ROCK PL,2ND FL,WESTBROOK,CT,064981565,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,148,11.08,7.36,5.77,5.77
1053385310,WALKER,DAVID,E,M.D.,M,I,250 FLAT ROCK PL,2ND FL,WESTBROOK,CT,064981565,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6396,2.2795497186,0.3091275797,0.2423561601,0.2423561601
1053385344,DYSARD,TRACY,L,NP,F,I,1010 FAIRWAY DR,,FREEPORT,IL,610326600,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,68,73.274705882,8.32,5.6598529412,5.6598529412
1053385344,DYSARD,TRACY,L,NP,F,I,1010 FAIRWAY DR,,FREEPORT,IL,610326600,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,179,17.27,12.309090909,12.309090909
1053385344,DYSARD,TRACY,L,NP,F,I,1010 FAIRWAY DR,,FREEPORT,IL,610326600,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,760.48,69.81,49.754545455,49.754545455
1053385526,COGGINS,ASHLEY,A,D.O.,F,I,2475 E BROADWAY ST,,HELENA,MT,596014928,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,77,77,77.916363636,21.86987013,15.594675325,12.358831169
1053385526,COGGINS,ASHLEY,A,D.O.,F,I,2475 E BROADWAY ST,,HELENA,MT,596014928,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,42.034666667,6.8333333333,5.043,3.524
1053385526,COGGINS,ASHLEY,A,D.O.,F,I,2475 E BROADWAY ST,,HELENA,MT,596014928,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,70,70,416.18671429,95.62,69.638857143,51.512285714
1053385526,COGGINS,ASHLEY,A,D.O.,F,I,2475 E BROADWAY ST,,HELENA,MT,596014928,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,51,33,25.87,25.87
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,86.3740625,8.32,4.89,4.89
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,219.82,84,65.86,67.51
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,16,16,60.9975,12,9.11125,8.8575
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,96,11.074375,2,1.5683333333,1.58875
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,497.78090909,79.22,62.11,54.73
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,265.14,37.15,29.13,29.475454545
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1260,1.9348253968,0.1323571429,0.0907777778,0.0907777778
1053385575,NAZZAL,SAMI,B,M.D.,M,I,399 E HIGHLAND AVE,SUITE 307,SAN BERNARDINO,CA,924043808,US,Interventional Cardiology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,74.684210526,33,23.146842105,23.146842105
1053385617,GUIRAO,LYNNETTE,J,M.D.,F,I,325 MEDICAL PKWY,SUITE 200,GREER,SC,296502457,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,65,193,49.716632124,8.245388601,6.0241450777,6.0824352332
1053385617,GUIRAO,LYNNETTE,J,M.D.,F,I,325 MEDICAL PKWY,SUITE 200,GREER,SC,296502457,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,12.413846154,3.38,2.65,2.65
1053385617,GUIRAO,LYNNETTE,J,M.D.,F,I,325 MEDICAL PKWY,SUITE 200,GREER,SC,296502457,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,17.538181818,2.12,1.67,1.67
1053385617,GUIRAO,LYNNETTE,J,M.D.,F,I,325 MEDICAL PKWY,SUITE 200,GREER,SC,296502457,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,34,59,12.320847458,1.42,1.0771186441,1.0771186441
1053385617,GUIRAO,LYNNETTE,J,M.D.,F,I,325 MEDICAL PKWY,SUITE 200,GREER,SC,296502457,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,86.31,17,11.868636364,12.074090909
1053385617,GUIRAO,LYNNETTE,J,M.D.,F,I,325 MEDICAL PKWY,SUITE 200,GREER,SC,296502457,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,439.00085714,70.824,52.342285714,51.653428571
1053385617,GUIRAO,LYNNETTE,J,M.D.,F,I,325 MEDICAL PKWY,SUITE 200,GREER,SC,296502457,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,119.27083333,21.606666667,16.9375,15.736666667
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,27,90,65.168111111,8.32,6.1605555556,6.1605555556
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,34,15.181470588,1.42,1.0829411765,1.0829411765
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,21,10.26,3.66,2.5966666667,3.07
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,15,427,25.85676815,4.3195550351,3.3864637002,2.4718735363
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6534,0.57,0.3978022651,0.3032063055,0.2343587389
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.075833333,22.4775,17.620833333,17.620833333
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,19.513181818,8.3804545455,6.57,3.9140909091
1053385674,WEIGEL,JOSEPH,G,M.D.,M,I,350 HOSPITAL WAY,SUITE 100,SOMERSET,KY,425032872,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,127.66583333,102.61833333,80.455,80.455
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,34,93,279,60.664802867,8.32,5.1549462366,5.1549462366
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.484375,2.484375
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,56,78,14.111538462,1.42,0.9142307692,0.9142307692
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,116.32277778,39.962777778,26.249444444,25.408333333
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,181.8405,56.9505,40.8575,39.0765
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,61.644545455,18.143636364,12.944545455,12.79
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,114,7.9621052632,2.1121052632,1.4885087719,1.4242982456
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,36.335454545,13.812727273,7.9572727273,7.52
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,13.356363636,10.474545455,10.563636364
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,21,21,156.65857143,53.59952381,42.024761905,36.908571429
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,80,81,38.395308642,17.568024691,12.753580247,12.536296296
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,48,48,24.405416667,5.13,3.5783333333,3.270625
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,34,36.67,9.9623529412,7.2217647059,7.2685294118
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,20.69,11.227857143,7.6264285714,7.68
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,17,91,93,271.54870968,71.266451613,50.554086022,49.466344086
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,36.14,25.496666667,26.601666667
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,22,3266,1.4874954072,0.1289620331,0.0919259032,0.0919259032
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,64.04,18.0236,11.952,11.5272
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,105.32,29.28,22.95,22.95
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,199.17071429,68.677142857,53.839285714,53.839285714
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,25.8955,8.117,6.3645,6.4675
1053385682,AREKAPUDI,LAKSHMI,,M.D.,F,I,3720 KATALIN CT,,BAY CITY,MI,487062160,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,17,17,40.235294118,33,22.826470588,22.826470588
1053385716,GREEN,BRUCE,G,MD,M,I,5673 PEACHTREE DUNWOODY RD NE,STE 910,ATLANTA,GA,303421731,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,12200,3.8184508197,2.03,1.5647631148,1.5724762295
1053385716,GREEN,BRUCE,G,MD,M,I,5673 PEACHTREE DUNWOODY RD NE,STE 910,ATLANTA,GA,303421731,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,26,25.414615385,9.29,7.28,8.5653846154
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,56,103,103,122.53854369,38.593398058,29.384368932,29.588834951
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,39,66,66,201.74227273,84.376969697,64.292424242,65.805
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,36,61,135,82.798962963,32.381037037,25.38637037,25.868666667
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,18,38,197,49.936751269,18.159441624,13.575736041,13.868730964
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,21,30,146,38.699726027,15.12630137,11.064383562,11.292123288
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,39,76,76,127.83473684,57.238421053,41.969078947,40.415131579
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,68,84,84,43.660833333,17.806904762,13.303809524,13.48
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,22.49375,10.205,8.00375,8.15
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,18,35,35,48.341142857,11.015428571,7.8934285714,8.378
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,73,142,776,6.5044716495,2.0057345361,1.5071778351,1.5248840206
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,13,18,18,18.776111111,5.77,4.2783333333,4.4027777778
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,33,37,37,29.727027027,13.25,9.8554054054,9.8094594595
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,159,175,43.186742857,17.151885714,13.211314286,13.227657143
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,33,33,124.50606061,46.416060606,33.12969697,34.352727273
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,2140,1074.31,832.69533333,832.69533333
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,42,42,290.73095238,84.64452381,66.355952381,67.751904762
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,32,32,32,315.1059375,136.83375,107.273125,104.67
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,19.513636364,13.29,10.42,10.474545455
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,41,42,30.513571429,3.7871428571,2.7052380952,3.3804761905
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,44,261,266,136.69022556,33.343157895,24.752857143,24.514135338
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,42,340,351,298.88723647,75.52962963,56.546609687,52.607464387
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,65,65,130.46153846,36.414769231,25.925846154,26.896461538
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,33,1920,19.559739583,9.63153125,7.5419583333,7.5419583333
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,36,7164,0.587765215,0.046006421,0.0320435511,0.0320407594
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,23,2638,1.3303752843,0.1358756634,0.1065276725,0.1065276725
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,48,2850,10.836568421,2.9904105263,2.3386421053,2.3386421053
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,90,92,145.91032609,36.25,27.184347826,28.215
1053385930,ARISTIZABAL,JOSE,F,MD,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336149,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,18,90,90,46.344444444,33,25.187,25.187
1053385955,ALEXANDER,DAN,G,M.D.,M,I,"1569 SMITH TOWNSHIP STATE RD., SUITE 6",,ATLASBURG,PA,15004,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,52,81.598269231,8.32,5.7698076923,5.7698076923
1053385955,ALEXANDER,DAN,G,M.D.,M,I,"1569 SMITH TOWNSHIP STATE RD., SUITE 6",,ATLASBURG,PA,15004,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,31,86.31,17.1,12.977419355,13.096129032
1053385955,ALEXANDER,DAN,G,M.D.,M,I,"1569 SMITH TOWNSHIP STATE RD., SUITE 6",,ATLASBURG,PA,15004,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,236.256,36.108,26.088,24.414666667
1053385955,ALEXANDER,DAN,G,M.D.,M,I,"1569 SMITH TOWNSHIP STATE RD., SUITE 6",,ATLASBURG,PA,15004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,48,488.75833333,77.5,58.093958333,52.814583333
1053386011,NASIR,MOKHTAR,N,MD,M,I,826 WASHINGTON ROAD,SUITE 100,WESTMINSTER,MD,211575779,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,720,3.1671666667,2.60225,2.0401527778,2.0401527778
1053386011,NASIR,MOKHTAR,N,MD,M,I,826 WASHINGTON ROAD,SUITE 100,WESTMINSTER,MD,211575779,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,43,2550,3.2531137255,0.5596941176,0.4279686275,0.4279686275
1053386011,NASIR,MOKHTAR,N,MD,M,I,826 WASHINGTON ROAD,SUITE 100,WESTMINSTER,MD,211575779,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1620,1.450537037,0.7401481481,0.5416790123,0.5416790123
1053386011,NASIR,MOKHTAR,N,MD,M,I,826 WASHINGTON ROAD,SUITE 100,WESTMINSTER,MD,211575779,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,65,8670,2.2856366782,1.1617197232,0.8859031142,0.8859031142
1053386011,NASIR,MOKHTAR,N,MD,M,I,826 WASHINGTON ROAD,SUITE 100,WESTMINSTER,MD,211575779,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,64,64,24,24,18.5259375,18.5259375
1053386011,NASIR,MOKHTAR,N,MD,M,I,826 WASHINGTON ROAD,SUITE 100,WESTMINSTER,MD,211575779,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,53,64,16,16,12.3453125,12.3453125
1053386045,GORDON,LORI,L,MD,F,I,"1420 8TH AVENUE, SUITE 103",,FORT WORTH,TX,761044138,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,380,7.7352368421,3.61,2.6812368421,2.9116578947
1053386045,GORDON,LORI,L,MD,F,I,"1420 8TH AVENUE, SUITE 103",,FORT WORTH,TX,761044138,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,27,730,7.1558630137,5.7252054795,4.4885068493,4.4987808219
1053386045,GORDON,LORI,L,MD,F,I,"1420 8TH AVENUE, SUITE 103",,FORT WORTH,TX,761044138,US,Physician/Colorectal Surgery (Proctology),S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,290,11.795517241,10.81,7.6890344828,7.6890344828
1053386045,GORDON,LORI,L,MD,F,I,"1420 8TH AVENUE, SUITE 103",,FORT WORTH,TX,761044138,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,528,3.783030303,2.91,2.0739583333,2.0739583333
1053386045,GORDON,LORI,L,MD,F,I,"1420 8TH AVENUE, SUITE 103",,FORT WORTH,TX,761044138,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,310,16.126387097,9.86,7.3676129032,7.3676129032
1053386045,GORDON,LORI,L,MD,F,I,"1420 8TH AVENUE, SUITE 103",,FORT WORTH,TX,761044138,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,400,8.9985,6.974,5.4676,5.488
1053386045,GORDON,LORI,L,MD,F,I,"1420 8TH AVENUE, SUITE 103",,FORT WORTH,TX,761044138,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,610,4.756557377,4.0191803279,2.9956229508,3.0041311475
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,32,82,200,54.702,8.23555,5.9628,6.02885
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,13.188235294,3.38,2.65,2.65
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,32,56,13.085178571,1.42,1.0544642857,1.0544642857
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,116.28285714,73.235714286,56.800714286,41.098571429
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,67.532727273,18.618181818,12.13,11.07
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,59.45,4.87,3.5778571429,3.5778571429
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,127.69230769,43.366153846,33.999230769,26.970769231
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,378.30090909,77.072727273,50.413636364,44.775454545
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1140,15.58,9.6543684211,7.5516403509,7.5516403509
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,2021,0.1950667986,0.0460118753,0.0302721425,0.0302721425
1053386078,MUNN,WILLIAM,A,PA,M,I,10589 EAST NC 97,,ROCKY MOUNT,NC,27803,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,119.08695652,33,24.745217391,24.745217391
1053386250,KOHLER,CORINNE,E,MD,F,I,819 BLOOMINGTON RD,,CHAMPAIGN,IL,618202101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,39,125,75.43728,8.32,5.73952,5.73952
1053386250,KOHLER,CORINNE,E,MD,F,I,819 BLOOMINGTON RD,,CHAMPAIGN,IL,618202101,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,18,16.012222222,1.42,0.93,0.93
1053386250,KOHLER,CORINNE,E,MD,F,I,819 BLOOMINGTON RD,,CHAMPAIGN,IL,618202101,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,29,4.8661538462,3.4569230769,3.3069230769
1053386250,KOHLER,CORINNE,E,MD,F,I,819 BLOOMINGTON RD,,CHAMPAIGN,IL,618202101,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,371.50272727,69.81,52.272272727,52.272272727
1053386250,KOHLER,CORINNE,E,MD,F,I,819 BLOOMINGTON RD,,CHAMPAIGN,IL,618202101,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,88,36.14,26.559375,27.68375
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,528,0.5,0.5,0.3920833333,0.3920833333
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,35,120,67.862416667,8.32,4.5801666667,4.5801666667
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,28,15.283928571,1.42,0.6371428571,0.6371428571
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8.45,8.45,6.62,6.81
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.45,13.45,10.54,10.82
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,1120,2.1,2.04,1.5652232143,1.5652232143
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,1080,2.45,2.45,1.7879351852,2.1878240741
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,132,4.1,4.1,3.2141666667,3.3008333333
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,360,5.2,5.2,4.0766666667,4.1003333333
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,4.2,4.2,3.2925,3.3620454545
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.65,1.8,1.41,1.1716666667
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,6.155,3.32,2.6,2.4670833333
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A7012,"Water collection device, used with large volume nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,4.285,2.12,1.66,2.0908333333
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,16,4.296875,2.33,1.82,1.82
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,372,3.7,3.7,2.9006451613,2.9870967742
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,7.512,2.93,2.297,2.3617777778
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4320,0.84,0.38,0.2979166667,0.2907361111
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,50,17.76,13.93,13.6
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,300,79.88,62.62,55.352
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,990,3.4845151515,0.1361818182,0.1067676768,0.1067676768
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,145,22.51,16.209444444,13.039444444
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,19.25,9.81,7.69,6.8775
1053386367,EVENHOUSE,MARK,A,M.D.,M,I,1150 N HUDSON ST,,LOWELL,MI,493311000,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1053386490,ORTIZ TORO,LYNNETTE,,M.D.,F,I,CARR 308 KM 0.2 # 30,,CABO ROJO,PR,006231331,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,38,47.236052632,8.32,6.1768421053,6.1768421053
1053386490,ORTIZ TORO,LYNNETTE,,M.D.,F,I,CARR 308 KM 0.2 # 30,,CABO ROJO,PR,006231331,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,10.351176471,1.42,1.0541176471,1.0541176471
1053386508,HARDEN,CHARLES,M,MD,M,I,1111 GLYNCO PKWY,BLDG A SUITE 10,BRUNSWICK,GA,315257921,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,31,46.463225806,7.5867741935,5.2006451613,3.3793548387
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,74.76375,8.32,4.8904166667,4.8904166667
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,20,563,13.877779751,7.1414742451,5.5988277087,4.1830728242
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4635,3.2280906149,1.5080582524,1.1628220065,0.9367594391
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,23,59.080434783,19.816956522,14.886956522,12.939130435
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,20,24,159.8225,7.045,5.08875,4.2404166667
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,40,372.153,82.0965,64.36725,55.81175
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,25,21,153,20563,4.1701565919,0.5661163254,0.389992219,0.4289301172
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,34,5050,0.068809901,0.0131485149,0.0096613861,0.0096613861
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,2250,1.5083155556,0.7375866667,0.5782666667,0.5782666667
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,11,74,9300,2.1514032258,1.051327957,0.8112344086,0.8153204301
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,1560,4.4158269231,2.891,2.192724359,2.192724359
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,960,14.656020833,7.4048125,5.8053645833,5.8053645833
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,10,12,67,22080,14.097813859,8.4165407609,5.8726064312,6.5887699275
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,22.868166667,11.2095,8.7882916667,8.7882916667
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,25,7145,0.4245906228,0.0455969209,0.0357480756,0.0357480756
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,28,24,156,156,24,24,18.458076923,18.458076923
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,26,23,190,201,16,16,12.352835821,12.352835821
1053386599,PILEWSKI,JOSEPH,M,MD,M,I,3601 5TH AVE,"4TH FLOOR FALK, COMPREHENSIVE LUNG CENTER",PITTSBURGH,PA,152133403,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,17,49,50,34.98,33,25.87,25.87
1053386706,SELPH,AMELIA,K,"APRN, ACNP",F,I,3045 ST MATTHEWS RD,,ORANGEBURG,SC,291188201,US,Specialist,T,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,169.05,68.636666667,53.813333333,53.813333333
1053386706,SELPH,AMELIA,K,"APRN, ACNP",F,I,3045 ST MATTHEWS RD,,ORANGEBURG,SC,291188201,US,Specialist,T,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,71.6,27.531578947,21.584736842,14.600526316
1053386771,GORENBURG,IDA,P,M.D.,F,I,230 WORCESTER ST,INTERNAL MEDICINE,WELLESLEY,MA,024815420,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,52,79.323461538,8.32,5.7698076923,5.7698076923
1053386771,GORENBURG,IDA,P,M.D.,F,I,230 WORCESTER ST,INTERNAL MEDICINE,WELLESLEY,MA,024815420,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,80,10.64,7.4616666667,7.7916666667
1053386789,SELEDOTIS,ROBERT,J,"D.O., P.C.",M,I,847 PARCHMENT DR SE STE 125,,GRAND RAPIDS,MI,495468623,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,1400,1253.7725,982.9595,891.4735
1053386938,ALI,ASAD,S,MD,M,I,4777 E GALBRAITH RD,,CINCINNATI,OH,452362725,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,456.24,77.861176471,57.51,54.363529412
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,102,76.272727273,59.8,63.1
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,295,214.68,167.82,183.40333333
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,15,679,489.452,380.024,385.84533333
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,17,159,119.49647059,93.682352941,98.778235294
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,15,539,361.47,283.39266667,308.342
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,28,106,81.593928571,63.9725,68.168928571
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,393,261.74666667,193.25083333,203.74083333
1053387191,DE ASLA,RICHARD,J,MD,M,I,1285 CREEKSIDE BLVD EAST,SUITE 102,NAPLES,FL,34109,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,113,113,113,381.15044248,271.02159292,206.52026549,212.64079646
1053387217,CASEY,MICHELE,R,MD,F,I,8836 WILDWOOD LINKS,SUITE 103,RALEIGH,NC,27613,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,43,101,72.752970297,8.32,6.262970297,6.262970297
1053387217,CASEY,MICHELE,R,MD,F,I,8836 WILDWOOD LINKS,SUITE 103,RALEIGH,NC,27613,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,21,24,14.691666667,1.42,1.0716666667,1.0716666667
1053387217,CASEY,MICHELE,R,MD,F,I,8836 WILDWOOD LINKS,SUITE 103,RALEIGH,NC,27613,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,365.69058824,93.5,68.988235294,63.849411765
1053387217,CASEY,MICHELE,R,MD,F,I,8836 WILDWOOD LINKS,SUITE 103,RALEIGH,NC,27613,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,42,144.575,36.25,26.749285714,24.247619048
1053387217,CASEY,MICHELE,R,MD,F,I,8836 WILDWOOD LINKS,SUITE 103,RALEIGH,NC,27613,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,108,8.71,2.15,1.685,1.5917592593
1053387266,RICHARDS,PAUL,D,M.D.,M,I,1900 ELECTRIC RD,,SALEM,VA,241537474,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,16,1400,41.124885714,3.6246285714,2.8417214286,2.8417214286
1053387266,RICHARDS,PAUL,D,M.D.,M,I,1900 ELECTRIC RD,,SALEM,VA,241537474,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,37,48.243243243,35.3,27.676216216,30.667567568
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,45,81,82,133.6504878,41.301219512,29.444390244,27.78
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,79,192,192,502.80484375,99.061666667,73.050729167,64.337291667
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,74,191,500,190.01016,36.57188,27.93638,25.39162
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,129,266,1405,103.9186121,19.976548043,14.572533808,13.551231317
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,81,185,1022,73.526320939,15.81944227,11.176634051,10.750009785
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,210,453,454,291.90372247,55.99746696,40.425638767,39.461211454
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,263,379,379,91.038575198,19.852559367,14.495804749,13.150131926
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,31,41,41,50.087804878,10.347560976,7.4841463415,7.5219512195
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,236,526,527,95.827210626,12.333244782,9.1467172676,8.6588614801
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,281,657,3598,12.269244024,2.1415063924,1.5888354641,1.5112034464
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,150,208,208,32.018221154,6.5752403846,4.9509134615,4.4970673077
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,187,258,258,55.278023256,13.394147287,10.162364341,10.033178295
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,53,54,579.86555556,84.13462963,63.468888889,63.438518519
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,24,24,580.50958333,137.73333333,101.15208333,98.652916667
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,44,150,179,81.75,13.501899441,9.3426815642,9.2596648045
1053387662,SMITH,BARBARA,,NP,F,I,6 EXECUTIVE PARK DR,ENTR C,ALBANY,NY,122033791,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,85,414,457,276.40045952,35.407417943,25.507155361,23.849649891
1053387704,SEROOGY,CHRISTINE,M,MD,F,I,451 JUNCTION RD,,MADISON,WI,53717,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,18,68,715.47779412,19.71,15.452352941,15.452352941
1053387704,SEROOGY,CHRISTINE,M,MD,F,I,451 JUNCTION RD,,MADISON,WI,53717,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,123,179.32544715,2.64,2.0695934959,2.0695934959
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,34,97,64.802989691,8.32,6.075257732,6.075257732
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,14.956666667,1.42,1.1141666667,1.1141666667
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,48.361818182,35.170909091,33.554545455
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,32,32,35.761875,5.95,3.0284375,2.564375
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,95,45.322727273,35.534545455,34.453636364
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,335.99666667,78,61.15,59.01
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,1948,1.81612423,0.1348921971,0.0853952772,0.0853952772
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,31,31,75.008064516,19.959677419,13.751612903,12.356774194
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,27.230909091,21.348181818,20.564545455
1053387761,DEEB,KHALEEL,,MD,M,I,7575 NORTHCLIFF AVE,SUITE 304,BROOKLYN,OH,441443267,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,18,18,45.333333333,33,20.121111111,20.121111111
1053387795,PENNACCHIO,JOSEPH,L,MD,M,I,41 MONTVALE AVE,HEMATOLOGY & ONCOLOGY CENTER,STONEHAM,MA,021802445,US,Physician/Hematology-Oncology,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17,12.219166667,12.433333333
1053387795,PENNACCHIO,JOSEPH,L,MD,M,I,41 MONTVALE AVE,HEMATOLOGY & ONCOLOGY CENTER,STONEHAM,MA,021802445,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,78,56.054166667,50.169166667
1053387837,METH,ROBERT,F,MD,M,I,2080 CENTURY PARK E,,LOS ANGELES,CA,90067,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,24,1760,913.16,710.7525,837.0925
1053387837,METH,ROBERT,F,MD,M,I,2080 CENTURY PARK E,,LOS ANGELES,CA,90067,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,913.16,703.96416667,830.30416667
1053387860,MCMILLIAN,LORELEI,,FNP,F,I,1523 NW CANAL BLVD,SUITE 300,REDMOND,OR,977561340,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,22,56,97,66.544948454,8.32,5.5143298969,5.5143298969
1053387860,MCMILLIAN,LORELEI,,FNP,F,I,1523 NW CANAL BLVD,SUITE 300,REDMOND,OR,977561340,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,20,26,13.335,1.42,0.9015384615,0.9015384615
1053387860,MCMILLIAN,LORELEI,,FNP,F,I,1523 NW CANAL BLVD,SUITE 300,REDMOND,OR,977561340,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,30,5.913,3.402,2.477
1053387860,MCMILLIAN,LORELEI,,FNP,F,I,1523 NW CANAL BLVD,SUITE 300,REDMOND,OR,977561340,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,18,404.03555556,88.555555556,65.418888889,65.776666667
1053387860,MCMILLIAN,LORELEI,,FNP,F,I,1523 NW CANAL BLVD,SUITE 300,REDMOND,OR,977561340,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,3453,0.1913524471,0.0464610484,0.0288068346,0.0288068346
1053387860,MCMILLIAN,LORELEI,,FNP,F,I,1523 NW CANAL BLVD,SUITE 300,REDMOND,OR,977561340,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,19.9,19.9
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,29,87,223,60.722017937,8.32,5.6452466368,5.6452466368
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.65,2.65
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,32,14.9003125,1.42,1.1125,1.1125
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,28,28,95.331428571,49.169285714,34.144642857,26.8575
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,847,0.1571900826,0.13,0.1018654073,0.1018654073
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,26,30,81.384666667,43.680666667,29.709666667,21.748
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,11,23,72,65.644722222,24.42,17.587916667,13.137638889
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,17,33,33,162.90242424,74.51030303,48.861818182,35.506060606
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,28,28,49.875357143,25.523928571,16.960714286,11.867142857
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,41,126,8.8884920635,2.8885714286,2.0548412698,1.4316666667
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3640,0.804,0.4977747253,0.3567115385,0.2591978022
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,127.31,71.078095238,53.286190476,36.935714286
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,19,81.75,16.297368421,12.777894737,9.9373684211
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,48.61,7.26,4.9833333333,3.0033333333
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,13,72,76,159.07131579,44.393815789,30.272105263,21.007105263
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,389.90571429,105.956,80.096571429,54.212285714
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.6525
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,39.095,26.378333333,17.478333333,10.916666667
1053387878,NEUBAUER,JOANN,V,MD,F,I,101 WILLMAR AVE SW,,WILLMAR,MN,562013556,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,22.174285714,22.174285714
1053387936,CLARK,MICHAEL,E,MD,M,I,4 SHERIDAN DRIVE,,FAIRFIELD,ME,04937,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,31,101,73.140891089,8.32,6.1346534653,6.1346534653
1053387936,CLARK,MICHAEL,E,MD,M,I,4 SHERIDAN DRIVE,,FAIRFIELD,ME,04937,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,35,46.229142857,6.6865714286,4.9305714286,3.982
1053387936,CLARK,MICHAEL,E,MD,M,I,4 SHERIDAN DRIVE,,FAIRFIELD,ME,04937,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,37,4290,1.1767482517,0.138979021,0.1083286713,0.1083286713
1053387936,CLARK,MICHAEL,E,MD,M,I,4 SHERIDAN DRIVE,,FAIRFIELD,ME,04937,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,740,11.341243243,3.0039594595,2.1612297297,2.1612297297
1053387936,CLARK,MICHAEL,E,MD,M,I,4 SHERIDAN DRIVE,,FAIRFIELD,ME,04937,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,145,44.560909091,34.938181818,29.515454545
1053387936,CLARK,MICHAEL,E,MD,M,I,4 SHERIDAN DRIVE,,FAIRFIELD,ME,04937,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,48,48,90.75,33,24.792083333,24.792083333
1053387969,HOWELL,WENDY,O,CFNP,F,I,2686 HIGHWAY 145,SUITE B,SALTILLO,MS,388666941,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,36.15,8.72,6.5063636364,3.72
1053388025,LEGG,DUNCAN,E,MD,M,I,11925 LITHOPOLIS RD NW,,CANAL WINCHESTER,OH,431109585,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,37,98,54.175612245,8.32,6.1898979592,6.1898979592
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,27,73,206,63.950145631,8.32,5.9523300971,5.9523300971
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,25,58,18.034827586,1.42,1.0562068966,1.0562068966
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,478.0605,85.63,60.417,61.073
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,31,157.71741935,32.56,22.072903226,22.431935484
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,93.058125,17.62,12.0925,12.334375
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,24,24,93.838333333,11.51,7.5404166667,7.6320833333
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,37,150,13.6312,2.05,1.3707333333,1.3594
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,33.409090909,6,4.2727272727,4.2363636364
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,15,87,100,89.8062,17.27,11.9779,11.9779
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,25,25,148.334,48.3688,31.6092,31.6092
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,22,122,137,514.83328467,68.78,49.751094891,50.438029197
1053388058,DEKAY,MATTHEW,,M.D.,M,I,2130 FARMINGTON AVE,,FARMINGTON,NM,874012123,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,36.83,26.245454545,26.899090909
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,36,4.9844444444,0.51,0.4,0.4
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,65,188,532,58.502236842,8.32,5.9705827068,5.9705827068
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,18,43,43,13.916744186,3.38,2.588372093,2.588372093
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,18,24,24,20.965,2.12,1.67,1.67
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,35,84,152,13.846710526,1.42,1.0634210526,1.0634210526
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,21,42,7.5192857143,1.8485714286,1.3280952381,1.0652380952
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,199.650625,73.02375,57.25125,42.86
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,13,13,76.837692308,25.363076923,18.333076923,13.112307692
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,61.001818182,18.739090909,14.689090909,9.12
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,22,103,11.634951456,2.7648543689,1.919223301,1.409223301
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,15,15,124.47533333,62.094,46.115333333,39.519333333
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,42,76.704285714,23.110714286,16.340714286,12.492619048
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,63.809166667,46.235833333,38.32
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,59.855,46.7275,37.431666667
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,31.685333333,7.434,5.5846666667,3.852
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,171,174,454.21494253,100.08034483,72.047298851,54.68454023
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.129571429,8.6717142857,8.6717142857
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,78,12698,0.3074870058,0.0456835722,0.0340400063,0.0340400063
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,2010,1.4781691542,0.1346716418,0.0893134328,0.0893134328
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,2.9615714286,2.3218928571,2.3218928571
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,73.3875,43.645714286,30.7,29.982142857
1053388066,HOWE,STEVEN,W,D.O.,M,I,300 E. EIGHTH ST.,SUITE 121,MARIETTA,OH,457501644,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,16,80,80,76.3125,33,24.253125,24.253125
1053388090,MABOURAKH,SHAHRAD,,MD,M,I,6463 W COMMERCIAL BLVD,,TAMARAC,FL,333192110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,47,58.31,8.32,6.3838297872,6.3838297872
1053388090,MABOURAKH,SHAHRAD,,MD,M,I,6463 W COMMERCIAL BLVD,,TAMARAC,FL,333192110,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,36.298,20.3705,15.972,13.8595
1053388090,MABOURAKH,SHAHRAD,,MD,M,I,6463 W COMMERCIAL BLVD,,TAMARAC,FL,333192110,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,15.423846154,9.1007692308,7.1103846154,6.6284615385
1053388116,PAIK,JAY,C,M.D.,M,I,800 MACARTHUR BLVD,#15,MUNSTER,IN,463212917,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,60,153,70.509803922,8.32,5.6693464052,5.6693464052
1053388116,PAIK,JAY,C,M.D.,M,I,800 MACARTHUR BLVD,#15,MUNSTER,IN,463212917,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,14,33,37,15.964864865,1.42,0.8475675676,0.8475675676
1053388116,PAIK,JAY,C,M.D.,M,I,800 MACARTHUR BLVD,#15,MUNSTER,IN,463212917,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,480,23.6118125,9.77775,7.6656875,7.6656875
1053388116,PAIK,JAY,C,M.D.,M,I,800 MACARTHUR BLVD,#15,MUNSTER,IN,463212917,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,550,2.7326363636,0.078,0.0611454545,0.0611454545
1053388116,PAIK,JAY,C,M.D.,M,I,800 MACARTHUR BLVD,#15,MUNSTER,IN,463212917,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,570,13.199280702,2.929,2.1657017544,2.1657017544
1053388116,PAIK,JAY,C,M.D.,M,I,800 MACARTHUR BLVD,#15,MUNSTER,IN,463212917,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1053388199,WIEGEL,DARICE,T,DO,F,I,1825 N CORPORATE LAKES BLVD,,WESTON,FL,333263211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,43,63.391162791,8.32,5.4602325581,5.4602325581
1053388199,WIEGEL,DARICE,T,DO,F,I,1825 N CORPORATE LAKES BLVD,,WESTON,FL,333263211,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,16,15.8475,1.42,1.045,1.045
1053388199,WIEGEL,DARICE,T,DO,F,I,1825 N CORPORATE LAKES BLVD,,WESTON,FL,333263211,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,12,3.11,2.2704166667,2.2056388889
1053388199,WIEGEL,DARICE,T,DO,F,I,1825 N CORPORATE LAKES BLVD,,WESTON,FL,333263211,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,8100,1.1049382716,0.154,0.1104901235,0.2252851852
1053388272,RAMS,HUGO,,MD,M,I,7800 SW 57TH AVE STE 203,,SOUTH MIAMI,FL,331435537,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3.11,2.2844281525,2.2137829912
1053388272,RAMS,HUGO,,MD,M,I,7800 SW 57TH AVE STE 203,,SOUTH MIAMI,FL,331435537,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4840,2.8604545455,0.3,0.2352045455,0.2430454545
1053388306,PARGHI,ANJAN,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,32073,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,84,51.076190476,8.32,6.5230952381,6.5230952381
1053388306,PARGHI,ANJAN,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,32073,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,38,16.665263158,1.42,1.1131578947,1.1131578947
1053388306,PARGHI,ANJAN,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,32073,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,454.46727273,82.94,53.614545455,56.497272727
1053388306,PARGHI,ANJAN,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,32073,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,166.91541667,32.4,20.108333333,20.65375
1053388306,PARGHI,ANJAN,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,32073,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,77,9.6405194805,1.85,1.25,1.3942857143
1053388306,PARGHI,ANJAN,R,M.D.,M,I,847 PARK AVE,,ORANGE PARK,FL,32073,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,781.97333333,31.666666667,22.213333333,22.078888889
1053388421,SIGSBEE,JILL,R,PA,F,I,4708 ALLIANCE BLVD,SUITE 485,PLANO,TX,750935340,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,190.31384615,40.446153846,25.744615385,17.984615385
1053388421,SIGSBEE,JILL,R,PA,F,I,4708 ALLIANCE BLVD,SUITE 485,PLANO,TX,750935340,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,18.040681818,9.6109090909,7.4437727273,7.4437727273
1053388421,SIGSBEE,JILL,R,PA,F,I,4708 ALLIANCE BLVD,SUITE 485,PLANO,TX,750935340,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,33,33,23.88,23.88
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,34,438,54.261278539,19.655502283,14.855319635,14.855319635
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,13,36,1050,7.6654857143,2.6342857143,2.0060666667,2.0060666667
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,82,116,242,1203,68.33394015,8.32,6.005120532,6.005120532
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,15,27,32,11.131875,3.38,2.65,2.65
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,17.778333333,2.12,1.67,1.67
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,58,75,152,347,12.65832853,1.42,0.9885878963,0.9885878963
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,727.88181818,395.94818182,310.42454545,310.42454545
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,720,1.2170833333,0.5468333333,0.42875,0.42875
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,,48,50,477.113,251.0008,196.7844,196.8696
1053388439,NAMBI,SRIDHAR,S,MD,M,I,22 OLD SHORT HILLS RD,SUITE 201,LIVINGSTON,NJ,07039,US,Physician/Endocrinology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,26.666666667,24,18.82,18.82
1053388454,MOE,KHAING,,M.D.,M,I,374 STOCKHOLM ST,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,3190.9810526,1074.31,834.70894737,834.70894737
1053388454,MOE,KHAING,,M.D.,M,I,374 STOCKHOLM ST,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,760.48,77.74,60.95,60.535333333
1053388454,MOE,KHAING,,M.D.,M,I,374 STOCKHOLM ST,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,33.034736842,14.609473684,10.762631579,13.004210526
1053388454,MOE,KHAING,,M.D.,M,I,374 STOCKHOLM ST,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,20.57,7.2692307692,5.7015384615,6.9184615385
1053388454,MOE,KHAING,,M.D.,M,I,374 STOCKHOLM ST,,BROOKLYN,NY,112374006,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,40.66,31.88,31.722
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,52,191,63.640942408,8.32,6.4542408377,6.4542408377
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,11.196666667,3.38,2.4291666667,2.4291666667
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,23,41,14.965853659,1.42,1.083902439,1.083902439
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,25,50,8.19,1.48,1.16,1.1512
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,39.142,17,13.33,13.498
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,28,30,50.73,4.3193333333,3.1853333333,3.4753333333
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,119,120,341.3575,79.88,61.0545,53.9445
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,25,1470,15.58,9.6255714286,7.5041768707,7.5041768707
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1469,1.075241661,0.1322940776,0.1037372362,0.1037372362
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,52,3090,12.569343042,2.9172718447,2.2867734628,2.2867734628
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,21,87.857142857,21.233333333,15.274761905,13.491904762
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,97.351428571,30.889285714,22.505714286,20.288571429
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,35.31,27.69,29.358333333
1053388512,TEYTELBAUM,LEO,R,M.D.,M,I,6450 38TH AVE N,SUITE #350,ST PETERSBURG,FL,337101645,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,49,49,120.67346939,33,25.87,25.87
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,52,142,76.398802817,8.32,5.7866901408,5.7866901408
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,26,28,11.275,1.3957142857,0.9,0.9142857143
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,46.76,18,13.496521739,12.951304348
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,829.21727273,829.21727273
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,212.70666667,32.874,25.774,24.936
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,334.85294118,77.18,53.859411765,48.581176471
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3150,0.17,0.047,0.0350920635,0.0350920635
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,850.52,149.99833333,117.59833333,106.38916667
1053388520,LAGATTUTA,JOSEPH,A,MD,M,I,630 E NORTH AVE DEPT OF,,CAROL STREAM,IL,601882127,US,Physician/Gastroenterology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,101.0625,33,22.63625,22.63625
1053388603,BENGOA,CODY,S,O.D.,M,I,1050 HANSON ST,,WINNEMUCCA,NV,894452774,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,138.25,80.83,63.37,55.4425
1053388603,BENGOA,CODY,S,O.D.,M,I,1050 HANSON ST,,WINNEMUCCA,NV,894452774,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,54.857142857,54.857142857,43.01,43.581428571
1053388611,GWYN,DAVID,T,M.D.,M,I,2778 N WEBB RD,,WICHITA,KS,672268000,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,33,39,252,219.76,158.79051282,158.40282051
1053388611,GWYN,DAVID,T,M.D.,M,I,2778 N WEBB RD,,WICHITA,KS,672268000,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,21,125,78.88,53.996666667,59.316666667
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,1.2176666667,0.43,0.337,0.3874166667
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,29,72,258,70.104496124,8.32,5.8155426357,5.8155426357
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,21,44,69,14.705217391,1.42,1.0026086957,1.0026086957
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,410,8.4456341463,6.26,4.9079268293,5.693097561
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,39,39,39,135.8074359,49.476153846,38.793333333,37.125641026
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,14,154.51,50.843571429,39.862142857,39.242142857
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,103.55,55.560909091,43.56,38.861818182
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,15,232.046,48.502,35.649333333,34.028
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.78,8.8890909091,6.9709090909,6.9109090909
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,31,33,424.40272727,79.8,52.377272727,46.92
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,50,52,114.89288462,20.213269231,14.34,13.162692308
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,42,43,50.228837209,9.393255814,6.4948837209,6.0476744186
1053388678,KULIKOWSKI,PIOTR,,MD,M,I,6400 CLAYTON RD,STE 303,SAINT LOUIS,MO,631171850,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,133.5075,39.14,26.845,26.186875
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,45,125,323,62.975510836,8.32,5.4980185759,5.4980185759
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,42,75,15.099866667,1.42,0.9817333333,0.9817333333
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,50,97.8176,18.36,13.3196,13.479
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,12,18,18,213.01611111,57.174444444,38.604444444,38.097777778
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,15,15,72.023333333,18.696666667,12.185333333,12.185333333
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,69.029285714,11.08,7.44,7.8957142857
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,26,136,8.3213235294,2.0680882353,1.4377205882,1.4077205882
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,23.997142857,6.2085714286,3.9923809524,2.6819047619
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,13,145.37076923,34.259230769,25.070769231,25.181538462
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,811,1.5811097411,0.1314549938,0.1030949445,0.1030949445
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,450,12.271666667,2.8333111111,2.2158666667,2.2158666667
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,161,28.49,22.3375,21.6225
1053388686,CHARIS-DONELSON,CHRISTINA,M,M.D.,F,I,105 E 9TH ST,,CORALVILLE,IA,522412209,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,34.454545455,33,25.87,25.87
1053388702,WOOD,KIRKHAM,B,MD,M,I,300 PASTEUR DR,,STANFORD,CA,943052200,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,17,17,17,5229.4117647,4378.96,3433.11,3433.11
1053388710,GUO,DAQING,,M.D,M,I,937 GREGORY DR,,ROANOKE RAPIDS,NC,278706420,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,41,66.357804878,8.32,6.2041463415,6.2041463415
1053388710,GUO,DAQING,,M.D,M,I,937 GREGORY DR,,ROANOKE RAPIDS,NC,278706420,US,Physician/Nephrology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,900,0.7413333333,0.1393333333,0.1031555556,0.1031555556
1053388710,GUO,DAQING,,M.D,M,I,937 GREGORY DR,,ROANOKE RAPIDS,NC,278706420,US,Physician/Nephrology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,109.15384615,33,23.88,23.88
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,388.221875,94.109375,69.591875,63.726875
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,132.78625,37.313333333,25.673333333,22.754583333
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,44,46.582954545,15.111818182,11.848636364,11.896136364
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,252.54357143,53.755,36.755714286,37.475
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,22,22,83.275909091,18.392272727,13.130454545,12.756818182
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,19,19,89.038947368,12.219473684,8.5673684211,8.16
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,38,166,10.358192771,2.186746988,1.6576506024,1.5353614458
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,48.906363636,13.256363636,8.5318181818,8.4854545455
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,38.43,13.58,9.6727272727,9.5181818182
1053388728,GO,JAMES,T,MD,M,I,2290 W EAU GALLIE BLVD,SUITE 110,MELBOURNE,FL,329353133,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,150,33.658823529,23.452941176,22.092941176
1053388777,SAIFUDDIN,TAHIRA,,M.D.,F,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,29,389,30.056786632,13.02622108,10.212879177,10.292262211
1053388777,SAIFUDDIN,TAHIRA,,M.D.,F,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,102,566,477.39134276,266.96042403,209.04298587,210.15848057
1053388777,SAIFUDDIN,TAHIRA,,M.D.,F,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,101,558,207.96032258,9.3480286738,7.3284587814,7.3284587814
1053388777,SAIFUDDIN,TAHIRA,,M.D.,F,I,1818 CAREW ST,SUITE 110,FORT WAYNE,IN,468054788,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,102,566,662.11358657,29.213780919,22.903321555,22.903321555
1053388785,NICKELL,KEVIN,G,MD,M,I,7777 SOUTHWEST FWY,# 1032,HOUSTON,TX,770741802,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,2520,0.2214285714,0.13,0.101952381,0.101952381
1053388785,NICKELL,KEVIN,G,MD,M,I,7777 SOUTHWEST FWY,# 1032,HOUSTON,TX,770741802,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,35,7590,3.3138339921,2.0362055336,1.569513834,1.572115942
1053388785,NICKELL,KEVIN,G,MD,M,I,7777 SOUTHWEST FWY,# 1032,HOUSTON,TX,770741802,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,38,3480,9.2455172414,7.19,5.5747528736,5.6042270115
1053388785,NICKELL,KEVIN,G,MD,M,I,7777 SOUTHWEST FWY,# 1032,HOUSTON,TX,770741802,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,14,46,19.78326087,9.2856521739,7.2791304348,8.5680434783
1053388819,BENITES,GABRIEL,M,PA-C,M,I,600 DIVISION AVE STE E,,SAN ANTONIO,TX,782141336,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,59.033333333,17,12.219166667,12.433333333
1053388819,BENITES,GABRIEL,M,PA-C,M,I,600 DIVISION AVE STE E,,SAN ANTONIO,TX,782141336,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,353.72083333,73,52.460833333,50.169166667
1053388827,ALEXANDRE,SALLY,F,PA-C,F,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,53,124,82.222983871,8.32,5.8541935484,5.8541935484
1053388827,ALEXANDRE,SALLY,F,PA-C,F,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,25,15.0336,1.42,1.0696,1.0696
1053388827,ALEXANDRE,SALLY,F,PA-C,F,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician Assistant,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,10.394545455,8.1490909091,9.7554545455
1053388827,ALEXANDRE,SALLY,F,PA-C,F,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,50.73,3.975,2.87875,3.47125
1053388827,ALEXANDRE,SALLY,F,PA-C,F,I,101 PAGE ST,,NEW BEDFORD,MA,027403464,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,103.93,44.388181818,34.799090909,36.480909091
1053388868,ADAMS,JEROME,M,MD,M,I,501 E 3RD ST,,BURKBURNETT,TX,763543481,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,55,150,70.749533333,8.32,5.752,5.752
1053388868,ADAMS,JEROME,M,MD,M,I,501 E 3RD ST,,BURKBURNETT,TX,763543481,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,22,11.122272727,1.42,1.0645454545,1.0645454545
1053388868,ADAMS,JEROME,M,MD,M,I,501 E 3RD ST,,BURKBURNETT,TX,763543481,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,21,8.19,1.51,1.1852380952,1.1552380952
1053388868,ADAMS,JEROME,M,MD,M,I,501 E 3RD ST,,BURKBURNETT,TX,763543481,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,62.7746875,17.27,12.270625,12.270625
1053388868,ADAMS,JEROME,M,MD,M,I,501 E 3RD ST,,BURKBURNETT,TX,763543481,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,29,50.73,4.4296551724,2.1524137931,2.2586206897
1053388868,ADAMS,JEROME,M,MD,M,I,501 E 3RD ST,,BURKBURNETT,TX,763543481,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,426.85916667,68.78,49.866875,50.6425
1053388868,ADAMS,JEROME,M,MD,M,I,501 E 3RD ST,,BURKBURNETT,TX,763543481,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,123.75,33,25.87,25.87
1053388900,TEYMOURI,SAMAN,,M.D.,M,I,7 PARKCENTER DR,SUITE 100,SACRAMENTO,CA,958258359,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,42,100,281,64.356298932,8.32,5.7791103203,5.7791103203
1053388900,TEYMOURI,SAMAN,,M.D.,M,I,7 PARKCENTER DR,SUITE 100,SACRAMENTO,CA,958258359,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,11.915789474,3.38,2.5105263158,2.5105263158
1053388900,TEYMOURI,SAMAN,,M.D.,M,I,7 PARKCENTER DR,SUITE 100,SACRAMENTO,CA,958258359,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,26,43,63,13.542857143,1.42,0.9558730159,0.9558730159
1053388900,TEYMOURI,SAMAN,,M.D.,M,I,7 PARKCENTER DR,SUITE 100,SACRAMENTO,CA,958258359,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,3.34,2.92,2.2893548387,2.3677419355
1053388900,TEYMOURI,SAMAN,,M.D.,M,I,7 PARKCENTER DR,SUITE 100,SACRAMENTO,CA,958258359,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3972,0.73,0.62,0.449979859,0.4813116818
1053388900,TEYMOURI,SAMAN,,M.D.,M,I,7 PARKCENTER DR,SUITE 100,SACRAMENTO,CA,958258359,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,25,130.8012,16.98,13.31,13.486
1053388900,TEYMOURI,SAMAN,,M.D.,M,I,7 PARKCENTER DR,SUITE 100,SACRAMENTO,CA,958258359,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,29,593.13724138,71.895172414,52.483103448,51.215862069
1053388926,ZERVOS,NICK,L,M.D.,M,I,200 ORTHOPEDIC WAY,,MORGANTOWN,WV,265051240,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,90,90,65.749090909,81.506363636
1053388926,ZERVOS,NICK,L,M.D.,M,I,200 ORTHOPEDIC WAY,,MORGANTOWN,WV,265051240,US,Physician/Orthopedic Surgery,S,L4350,"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,16,16,95.3125,90.051875,64.77625,64.84
1053388926,ZERVOS,NICK,L,M.D.,M,I,200 ORTHOPEDIC WAY,,MORGANTOWN,WV,265051240,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,200,150.420625,101.748125,103.42375
1053389023,CHENG,HUNG-CHUAN,,M.D.,M,I,11100 WARNER AVE #118,,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,28,75,236,68.482118644,8.32,4.8919491525,4.8919491525
1053389023,CHENG,HUNG-CHUAN,,M.D.,M,I,11100 WARNER AVE #118,,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,24,58,83,24.557831325,1.42,0.8477108434,0.8477108434
1053389023,CHENG,HUNG-CHUAN,,M.D.,M,I,11100 WARNER AVE #118,,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,400,71.11,42.706363636,41.872727273
1053389023,CHENG,HUNG-CHUAN,,M.D.,M,I,11100 WARNER AVE #118,,FOUNTAIN VALLEY,CA,92708,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,39.807272727,19.915909091,15.617727273,20.638636364
1053389122,COERT,LESLEY,A,MD,F,I,2651 WINDSOR ST,,SUN PRAIRIE,WI,535909825,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,50,129,76.697596899,8.32,5.3824031008,5.3824031008
1053389122,COERT,LESLEY,A,MD,F,I,2651 WINDSOR ST,,SUN PRAIRIE,WI,535909825,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,89.225,47.37,31.974166667,32.434166667
1053389122,COERT,LESLEY,A,MD,F,I,2651 WINDSOR ST,,SUN PRAIRIE,WI,535909825,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,48.514375,12.47,7.82375,7.8725
1053389122,COERT,LESLEY,A,MD,F,I,2651 WINDSOR ST,,SUN PRAIRIE,WI,535909825,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,204.93277778,33.114444444,21.485,20.773333333
1053389122,COERT,LESLEY,A,MD,F,I,2651 WINDSOR ST,,SUN PRAIRIE,WI,535909825,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,522.82,69.81,44.779090909,44.779090909
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,44,78,78,141.94576923,42.656794872,29.943846154,27.263205128
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,33,64,64,450.20515625,102.858125,74.5696875,61.95375
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,30,69,178,170.35724719,38.448764045,28.514606742,24.31988764
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,30,88,344,96.071656977,20.043459302,13.560377907,12.753488372
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,26,75,276,59.675253623,16.818949275,11.328369565,10.202789855
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,58,105,105,263.05990476,61.824190476,42.417333333,37.952761905
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,89,116,116,82.162931034,20.673362069,14.554224138,12.553362069
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,15,15,39.588,11.276,7.7153333333,7.0806666667
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,34,85,85,88.044,15.258117647,11.109411765,8.6677647059
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,72,182,790,11.078341772,2.4808227848,1.8066582278,1.479
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,16,16,28.0125,8.490625,6.6575,4.651875
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,40,56,56,57.105,14.485892857,9.8973214286,8.9671428571
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,66.049375,27.04125,16.753125,13.60875
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,505.75176471,80.707647059,55.622352941,54.264705882
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,16,17,81.75,12.967647059,9.5570588235,9.8652941176
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,15,96,97,425.2671134,36.907525773,23.678453608,19.727216495
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,79,79,451.58822785,74.452911392,51.438227848,48.449620253
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,178.57142857,38.68,30.32,29.625714286
1053389130,CHIBA,MASARU,,MD,M,I,2805 5TH ST,SUITE 100,RAPID CITY,SD,57701,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,211.022,41.2676,27.3992,25.0768
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,23,23,95.92173913,39.652173913,28.36,27.914347826
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,11,26,26,316.38153846,84.399230769,54.252307692,55.66
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,11,27,64,123.5034375,33.6134375,21.449375,21.06359375
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,78,80.756153846,18.214358974,12.651538462,12.868461538
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,58,30.044655172,15.139482759,11.869655172,11.893448276
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,14,29,29,179.82206897,52.095172414,38.07137931,39.955862069
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,21,31,31,58.367741935,17.640322581,12.487741935,12.692903226
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,24,24,67.139583333,11.856666667,7.7208333333,7.6241666667
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,47,236,9.6868220339,2.0109322034,1.5370762712,1.5508474576
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,38.26,12.677058824,9.3570588235,9.7382352941
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,94,100,68.3112,16.9754,12.9833,13.1764
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,25.123448276,3.3262068966,2.3262068966,3.3934482759
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,241.89176471,32.147941176,24.579411765,25.872058824
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,19,174,174,347.52545977,71.855172414,54.584367816,53.049885057
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,88.044827586,36,28.22,29.376551724
1053389254,FOX,MICHAEL,E,M.D.,M,I,1310 W STEWART DR STE 408,,ORANGE,CA,928683855,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,110.09,36,28.22,29.4025
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,36,64,64,127.7353125,39.28125,28.3703125,28.1759375
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,15,23,23,420.03652174,87.08173913,68.273913043,68.034347826
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,18,36,164,78.79847561,19.130243902,14.544146341,14.126402439
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,12,23,73,56.728767123,15.326849315,10.39739726,10.290410959
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,36,67,67,227.9658209,54.988955224,39.714328358,39.501940299
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,43,54,54,80.182592593,18.815555556,14.20962963,13.580185185
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,22,22,70.784090909,12.454545455,9.7645454545,9.12
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,49,106,358,10.04952514,2.062122905,1.5494413408,1.5274022346
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,28.78,6.0375,4.7275,4.65
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,20,25,25,54.1068,13.122,9.88,9.9224
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,3598.6142857,913.16,709.08809524,829.41190476
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,18,18,675.09111111,134.12555556,98.143888889,97.967777778
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,51.5,42.154545455,33.049090909,33.054545455
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,29,173,186,294.91666667,32.122903226,22.98,23.407473118
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,26,615.51192308,78.278461538,55.727307692,50.155384615
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,14.672307692,2.9734615385,2.3312179487,2.3312179487
1053389338,ELTAHIR,NADIR,A,MD,M,I,1940 N ORANGE GROVE AVE,,POMONA,CA,917673002,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,82.5,33,25.87,25.87
1053389353,HIGHTOWER,MICHAEL,D,M.D.,M,I,311 MATTHEWS AVE,,JONESBORO,AR,72401,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,39,1321,29.770984103,13.126290689,10.182498107,10.182498107
1053389353,HIGHTOWER,MICHAEL,D,M.D.,M,I,311 MATTHEWS AVE,,JONESBORO,AR,72401,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,39,269,546,326.72736059,256.15453532,256.15453532
1053389353,HIGHTOWER,MICHAEL,D,M.D.,M,I,311 MATTHEWS AVE,,JONESBORO,AR,72401,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,39,269,130,9.3473977695,7.3279553903,7.3279553903
1053389353,HIGHTOWER,MICHAEL,D,M.D.,M,I,311 MATTHEWS AVE,,JONESBORO,AR,72401,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,39,269,130,29.211672862,22.902007435,22.902007435
1053389353,HIGHTOWER,MICHAEL,D,M.D.,M,I,311 MATTHEWS AVE,,JONESBORO,AR,72401,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,12,12,1200,466.82,365.99,365.99
1053389361,MALONE,KEVIN,A,"MD, MBA",M,I,1415 RIDGEBACK RD,SUITE # 4,CHULA VISTA,CA,919106932,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,72.06,56.5,54.73
1053389361,MALONE,KEVIN,A,"MD, MBA",M,I,1415 RIDGEBACK RD,SUITE # 4,CHULA VISTA,CA,919106932,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36.58,28.67,29.51
1053389445,DOPICO,JORGE,L,DPM,M,I,601 1ST ST N,,WINTER HAVEN,FL,338814129,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,37,85.81972973,71.56,48.431891892,48.431081081
1053389502,VANWAGONER,JOHN,A,M.D.,M,I,6101 WINDCOM CT,SUITE 400,PLANO,TX,750937817,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,19,23,62.874782609,19.696521739,15.440434783,15.440434783
1053389502,VANWAGONER,JOHN,A,M.D.,M,I,6101 WINDCOM CT,SUITE 400,PLANO,TX,750937817,US,Physician/Allergy/ Immunology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,22,49,186.73469388,37.331836735,29.267755102,29.267755102
1053389502,VANWAGONER,JOHN,A,M.D.,M,I,6101 WINDCOM CT,SUITE 400,PLANO,TX,750937817,US,Physician/Allergy/ Immunology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,400,191.4775,150.1175,150.1175
1053389502,VANWAGONER,JOHN,A,M.D.,M,I,6101 WINDCOM CT,SUITE 400,PLANO,TX,750937817,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2700,51.888277778,13.535666667,10.611966667,10.611966667
1053389502,VANWAGONER,JOHN,A,M.D.,M,I,6101 WINDCOM CT,SUITE 400,PLANO,TX,750937817,US,Physician/Allergy/ Immunology,S,J1575,"Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,6700,48.12910597,13.987649254,10.9449,10.9449
1053389668,AKHTAR,MATEEN,,M.D.,M,I,910 BERKSHIRE RD,,SMITHFIELD,NC,275774751,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,60,8.756,2.0986666667,1.6455,1.6011666667
1053389668,AKHTAR,MATEEN,,M.D.,M,I,910 BERKSHIRE RD,,SMITHFIELD,NC,275774751,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,176.84807692,34.386923077,25.678461538,24.522307692
1053389668,AKHTAR,MATEEN,,M.D.,M,I,910 BERKSHIRE RD,,SMITHFIELD,NC,275774751,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,3721.4285714,2480.02,1944.335,1944.335
1053389775,STACHERSKI,MARK,D,M.D.,M,I,37595 7 MILE RD,SUITE 220,LIVONIA,MI,481521003,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,28,78,59.435641026,8.32,6.0198717949,6.0198717949
1053389775,STACHERSKI,MARK,D,M.D.,M,I,37595 7 MILE RD,SUITE 220,LIVONIA,MI,481521003,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,25,19.2324,1.42,1.028,1.028
1053389817,FERRIS,DAVID,V,DO,M,I,25 MOUNT EUSTIS RD,,LITTLETON,NH,035613712,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,26,83,65.141204819,8.32,5.264939759,5.264939759
1053389817,FERRIS,DAVID,V,DO,M,I,25 MOUNT EUSTIS RD,,LITTLETON,NH,035613712,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,21.6,7.5041666667,5.8816666667,3.88
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,17,49,164,62.755853659,8.32,5.5426219512,5.5426219512
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.65,2.65
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,24,40,14.71,1.42,1.088,1.088
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,49.079090909,23.983636364,15.968181818,11.504545455
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,99.1075,67.085416667,49.387083333,35.71
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,17,17,17,112.95352941,79.667647059,62.462941176,44.308235294
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,33,34,148.79176471,72.093823529,55.010588235,39.483235294
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,54,42.268518519,20.43462963,14.96537037,13.316851852
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,5.6446153846,5.5723076923,4.3646153846,3.8107692308
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,105.33526316,41.335526316,30.352894737,23.122105263
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,14,11.748571429,8.5914285714,6.3214285714,4.8378571429
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,78,78,199.34012821,84.746282051,63.256410256,54.521410256
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,66,72,54.829027778,27.01,17.147222222,12.123055556
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,81.47,50.533043478,38.534782609,25.610434783
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,139.6895,84.0315,56.848,42.7125
1053389833,PADDACK,GARY,L,MD,M,I,902 ARLINGTON CTR,PMB 224,ADA,OK,748202883,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,46,19.400869565,10.48326087,7.6313043478,5.9404347826
1053389908,CHILLAG,KIM,J,MD,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,51,51,51,71.428823529,49.459411765,38.776470588,36.921568627
1053389908,CHILLAG,KIM,J,MD,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,52,52,52,80.461538462,54.756923077,42.924807692,41.366730769
1053389908,CHILLAG,KIM,J,MD,M,I,14 RICHLAND MEDICAL PARK DR,SUITE 200,COLUMBIA,SC,292036877,US,Physician/Orthopedic Surgery,S,E0168,"Commode chair, extra wide and/or heavy duty, stationary or mobile, with or without arms, any type, each",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,52.205882353,12.5,5.1882352941,4.7435294118
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,19,244,45.170245902,19.595655738,15.362786885,15.362786885
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,570,5.9071929825,2.6315789474,1.9541578947,1.9541578947
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,116,155,343,1586,69.280397226,8.32,6.1430706179,6.1430706179
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,15,30,30,10.707333333,3.38,2.65,2.65
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,13,19,19,15.740526316,2.12,1.5821052632,1.5821052632
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,59,73,134,272,15.277573529,1.42,1.0158823529,1.0158823529
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,777.13130435,360.25826087,282.44173913,282.44173913
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,23,79,79,496.63974684,251.00632911,196.78873418,196.86962025
1053389916,FRIEDMAN,SETH,G,MD,M,I,560 NORTHERN BLVD,,GREAT NECK,NY,11021,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,18,18,18,388.91333333,264.16,207.1,207.1
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,46,134,78.502537313,8.32,5.4995522388,5.4995522388
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,28,14.596785714,1.42,0.9960714286,0.9960714286
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,41,41,69.869268293,41.016097561,32.149756098,30.599756098
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,18,18,188.32166667,92.147777778,68.223888889,64.08
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,33,76.64969697,34.198181818,26.003030303,25.131515152
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,98,44.429795918,19.33,15.15377551,14.563571429
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,58,35.961724138,15.730344828,12.332931034,12.028275862
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,16,33,33,117.98757576,54.992727273,41.80969697,41.600606061
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,32,32,44.07,19.0271875,14.0440625,13.2653125
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,28,52,300,4.9994333333,2.2188,1.7058,1.5698666667
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,15.618125,5.991875,4.691875,4.654375
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,13,13,32.092307692,13.01,10.2,10.34
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,59,59,131.03372881,32.334576271,25.156271186,25.165762712
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,1300,878.62,688.84,800.27
1053389924,GRYBOSKI,ANN,M,MD,F,I,495 STATION AVE,,SOUTH YARMOUTH,MA,026641218,US,Physician/Internal Medicine,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,1,12,12,23,500,309.74,242.83478261,281.96347826
1053389973,KANE,SEAN,M,ANP,M,I,2500 W UTOPIA RD,SUITE 100,PHOENIX,AZ,850274171,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,215.1,30.822,21.154666667,21.896
1053390047,RIZK,BASSAM,,MD,M,I,6067 KENNERLY RD,,JACKSONVILLE,FL,322164305,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,700,0.5597571429,0.4331428571,0.3396,0.3396
1053390047,RIZK,BASSAM,,MD,M,I,6067 KENNERLY RD,,JACKSONVILLE,FL,322164305,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,55,48.667272727,8.3909090909,6.3643636364,6.2147272727
1053390203,KOPYEV,VICTOR,Y,M.D.,M,I,1949 STATE ROUTE 59,STE 102,KENT,OH,442408124,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.4613333333,0.9133333333,0.92
1053390203,KOPYEV,VICTOR,Y,M.D.,M,I,1949 STATE ROUTE 59,STE 102,KENT,OH,442408124,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,40,87.332,17.07225,12.7385,12.90075
1053390203,KOPYEV,VICTOR,Y,M.D.,M,I,1949 STATE ROUTE 59,STE 102,KENT,OH,442408124,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,43,45,39.632888889,6.1491111111,3.5582222222,3.2311111111
1053390203,KOPYEV,VICTOR,Y,M.D.,M,I,1949 STATE ROUTE 59,STE 102,KENT,OH,442408124,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,63,63,468.25714286,76.512539683,56.363333333,51.564126984
1053390203,KOPYEV,VICTOR,Y,M.D.,M,I,1949 STATE ROUTE 59,STE 102,KENT,OH,442408124,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,3160,1.0990601266,0.1355949367,0.0959493671,0.0959493671
1053390203,KOPYEV,VICTOR,Y,M.D.,M,I,1949 STATE ROUTE 59,STE 102,KENT,OH,442408124,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,43.53,31.391666667,27.054166667
1053390203,KOPYEV,VICTOR,Y,M.D.,M,I,1949 STATE ROUTE 59,STE 102,KENT,OH,442408124,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,114.52941176,33,22.826470588,22.826470588
1053390229,OLIVERAS,CARMEN,,M.D.,F,I,1955 W FRYE RD,,CHANDLER,AZ,852246282,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,645.36,77.36,55.1325,49.705833333
1053390245,SHELHAMER,LEONARD,E,M.D.,M,I,404 W FOUNTAIN ST,,ALBERT LEA,MN,560072437,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,73,230,69.174391304,8.32,6.0686521739,6.0686521739
1053390245,SHELHAMER,LEONARD,E,M.D.,M,I,404 W FOUNTAIN ST,,ALBERT LEA,MN,560072437,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,34,18.964117647,1.42,1.0832352941,1.0832352941
1053390245,SHELHAMER,LEONARD,E,M.D.,M,I,404 W FOUNTAIN ST,,ALBERT LEA,MN,560072437,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,7.6325,5.5783333333,3.285
1053390245,SHELHAMER,LEONARD,E,M.D.,M,I,404 W FOUNTAIN ST,,ALBERT LEA,MN,560072437,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,660,1.661969697,0.1399090909,0.1096666667,0.1096666667
1053390245,SHELHAMER,LEONARD,E,M.D.,M,I,404 W FOUNTAIN ST,,ALBERT LEA,MN,560072437,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,33,33,24.508421053,24.508421053
1053390252,SINGH,JASWINDER,,MD,F,I,330 S GARDEN WAY,SUITE 350,EUGENE,OR,974018176,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,17.09,13.4,13.53
1053390252,SINGH,JASWINDER,,MD,F,I,330 S GARDEN WAY,SUITE 350,EUGENE,OR,974018176,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,326.87,65.7,51.51,54.461666667
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,18,18,103.68611111,38.383333333,30.095,30.443333333
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,17,27,27,231.23037037,87.106296296,68.292222222,67.687777778
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,14,24,53,101.88113208,32.707169811,25.640754717,25.834339623
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,15,28,145,62.601724138,18.987724138,14.474689655,14.139517241
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,21,37,37,178.87297297,57.332162162,43.798378378,41.706756757
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,31,36,36,58.180555556,18.229444444,13.897222222,13.661111111
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,22,43,43,60.953023256,12.468372093,9.1444186047,8.4890697674
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,30,61,309,7.9962135922,2.0890291262,1.6069579288,1.5600323625
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,17,18,18,39.853888889,13.265555556,10.401666667,10.342777778
1053390344,OLVERA,VICTORIA,D,FNP,F,I,2000 NORMANDIE DR,,MONTGOMERY,AL,361112712,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,39,39,203.73692308,33.641794872,24.567179487,24.198717949
1053390377,LOERZEL,MARIA,J,M.D.,F,I,502 2ND ST SW,SUITE 1,WILLMAR,MN,562013365,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,21,65.134285714,8.32,4.6604761905,4.6604761905
1053390427,JABER,WISSAM,A,M.D.,M,I,550 PEACHTREE ST NE,MOT 6TH FLOOR CARDIOLOGY,ATLANTA,GA,303082208,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,49.97,17.25,13.52,13.535
1053390427,JABER,WISSAM,A,M.D.,M,I,550 PEACHTREE ST NE,MOT 6TH FLOOR CARDIOLOGY,ATLANTA,GA,303082208,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,326.87,75.56,54.330833333,51.296666667
1053390450,PORTER,GREGORY,,PA,M,I,707 CHESTNUT ST,,SOUTH CHARLESTON,WV,253092003,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,53,69.731886792,8.32,5.7888679245,5.7888679245
1053390450,PORTER,GREGORY,,PA,M,I,707 CHESTNUT ST,,SOUTH CHARLESTON,WV,253092003,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,40.37,30.96875,24.27625,22.45375
1053390500,GLASSER,MORTON,,M.D.,M,I,40 MANSFIELD AVE,,WILLIMANTIC,CT,062262018,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,46,106,70.769150943,8.32,4.3833962264,4.3833962264
1053390500,GLASSER,MORTON,,M.D.,M,I,40 MANSFIELD AVE,,WILLIMANTIC,CT,062262018,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,24,15.52,1.42,0.8833333333,0.8833333333
1053390500,GLASSER,MORTON,,M.D.,M,I,40 MANSFIELD AVE,,WILLIMANTIC,CT,062262018,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,30,8.4976190476,5.97,3.4495238095
1053390500,GLASSER,MORTON,,M.D.,M,I,40 MANSFIELD AVE,,WILLIMANTIC,CT,062262018,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,942,2.082611465,0.1305626327,0.0911571125,0.0911571125
1053390609,DICKENS,JOHN,D,"MD, MPH, SFHM",M,I,300 MAIN ST,,LEWISTON,ME,042407007,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,254,19.86519685,13.13,10.293818898,10.293818898
1053390609,DICKENS,JOHN,D,"MD, MPH, SFHM",M,I,300 MAIN ST,,LEWISTON,ME,042407007,US,Physician/Internal Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,85,500,326.82,256.22717647,256.22717647
1053390609,DICKENS,JOHN,D,"MD, MPH, SFHM",M,I,300 MAIN ST,,LEWISTON,ME,042407007,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,85,20,9.35,7.33,7.33
1053390609,DICKENS,JOHN,D,"MD, MPH, SFHM",M,I,300 MAIN ST,,LEWISTON,ME,042407007,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,85,60,29.22,22.908588235,22.908588235
1053390641,SAGARDIA,MIGUEL,J,MD,M,I,102 POMONA DR,,GREENSBORO,NC,27407,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,963,0.498317757,0.0438317757,0.0344029076,0.0344029076
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,41,128,296,59.899121622,8.32,5.6976689189,5.6976689189
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,16.538461538,3.38,2.65,2.65
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,59.958571429,2.12,1.4314285714,1.4314285714
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,34,95,112,60.945,1.42,1.0183928571,1.0183928571
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,17,34,243.86,71.514117647,55.192941176,55.228529412
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,19,36,4.7602777778,2.0105555556,1.5761111111,1.1505555556
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.4536363636,1.1390909091,0.9622727273
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,3.290625,1.57375,1.233125,0.964375
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,37,44.581351351,22.544054054,17.672972973,13.692702703
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,21.0925,7.675,5.8144444444,3.9605555556
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,146.91761905,59.757142857,46.853809524,33.564285714
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,73,315.84260274,98.540273973,74.615479452,52.919315068
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,17.505294118,11.219588235,8.6541764706,8.6541764706
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,71,6960,2.0679712644,0.1365948276,0.1031853448,0.1031853448
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,10.627647059,3.113,2.4406176471,2.4406176471
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,76.085714286,26.798571429,17.122380952,12.093333333
1053390781,WRIGHT,JAMES,C,DO,M,I,2918 LOUIS SESSIONS STREET,,LAKE VILLAGE,AR,71653,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,82,82,72.841463415,33,24.923536585,24.923536585
1053390815,JARVIS,LAURA,,PA-C,F,I,1020 BANDANA BLVD W,,SAINT PAUL,MN,551085107,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,80,7.48325,2,1.43525,1.457375
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,30,87,217,56.844562212,8.32,5.5903686636,5.5903686636
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,25,25,13.78,3.38,2.3864,2.3864
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,17.511764706,2.12,1.5717647059,1.5717647059
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,19,42,56,14.544642857,1.42,0.9371428571,0.9371428571
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,24,99.25,71.56,56.106666667,56.103333333
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,40,21.985,16.169285714,12.563571429
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,444.6325,106.38666667,79.5525,54.248333333
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1917,1.1238184664,0.1351017214,0.1002660407,0.1002660407
1053390906,COLEMAN,GEORGE,,MD,M,I,344 W MAIN ST,,WAVERLY,VA,238903235,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,72.6,33,23.283,23.283
1053390914,LINDAMAN,MATTHEW,R,D.O.,M,I,2300 53RD AVE,SUITE 100,BETTENDORF,IA,527227564,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,24,24,24,150.325,51.770416667,39.89875,36.72875
1053390914,LINDAMAN,MATTHEW,R,D.O.,M,I,2300 53RD AVE,SUITE 100,BETTENDORF,IA,527227564,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,20,20,182,121.3435,88.7885,96.2635
1053391151,KESER,KIMBERLY,A,CS-FNP,F,I,1702 N. KINGSHIGHWAY,,CAPE GIRARDEAU,MO,637012122,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,47,127,58.699606299,8.32,6.3687401575,6.3687401575
1053391151,KESER,KIMBERLY,A,CS-FNP,F,I,1702 N. KINGSHIGHWAY,,CAPE GIRARDEAU,MO,637012122,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,20,29,14.83862069,1.42,1.1151724138,1.1151724138
1053391151,KESER,KIMBERLY,A,CS-FNP,F,I,1702 N. KINGSHIGHWAY,,CAPE GIRARDEAU,MO,637012122,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,23,35.866956522,4.6830434783,3.672173913,3.672173913
1053391151,KESER,KIMBERLY,A,CS-FNP,F,I,1702 N. KINGSHIGHWAY,,CAPE GIRARDEAU,MO,637012122,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,29,29,210.10827586,37.673793103,23.949310345,18.54
1053391151,KESER,KIMBERLY,A,CS-FNP,F,I,1702 N. KINGSHIGHWAY,,CAPE GIRARDEAU,MO,637012122,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,27,385.26333333,80.678888889,61.037777778,52.708148148
1053391151,KESER,KIMBERLY,A,CS-FNP,F,I,1702 N. KINGSHIGHWAY,,CAPE GIRARDEAU,MO,637012122,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1053391185,BARSOUM,NOHA,R,M.D.,F,I,12660 RIVERSIDE DR,SUITE 225,NORTH HOLLYWOOD,CA,916073429,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,27,69,71.601014493,8.32,6.3336231884,6.3336231884
1053391185,BARSOUM,NOHA,R,M.D.,F,I,12660 RIVERSIDE DR,SUITE 225,NORTH HOLLYWOOD,CA,916073429,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,4005,4.9977852684,0.5730686642,0.4475630462,0.4475630462
1053391185,BARSOUM,NOHA,R,M.D.,F,I,12660 RIVERSIDE DR,SUITE 225,NORTH HOLLYWOOD,CA,916073429,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2400,0.0949833333,0.01275,0.0100083333,0.0100083333
1053391185,BARSOUM,NOHA,R,M.D.,F,I,12660 RIVERSIDE DR,SUITE 225,NORTH HOLLYWOOD,CA,916073429,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,4856,3.7237088138,1.2085914333,0.9217668863,0.9217668863
1053391185,BARSOUM,NOHA,R,M.D.,F,I,12660 RIVERSIDE DR,SUITE 225,NORTH HOLLYWOOD,CA,916073429,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1380,5.2590434783,2.9414347826,2.3060797101,2.3060797101
1053391185,BARSOUM,NOHA,R,M.D.,F,I,12660 RIVERSIDE DR,SUITE 225,NORTH HOLLYWOOD,CA,916073429,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,42,42,24,24,17.936190476,17.936190476
1053391185,BARSOUM,NOHA,R,M.D.,F,I,12660 RIVERSIDE DR,SUITE 225,NORTH HOLLYWOOD,CA,916073429,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,63,71,16,16,12.540140845,12.540140845
1053391243,JOHNSON,MICHAEL,,,M,I,4663 SCOTTS VALLEY DR,,SCOTTS VALLEY,CA,950664202,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,52,142,60.423591549,8.32,6.0633098592,6.0633098592
1053391243,JOHNSON,MICHAEL,,,M,I,4663 SCOTTS VALLEY DR,,SCOTTS VALLEY,CA,950664202,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,22,14.694545455,1.42,1.0631818182,1.0631818182
1053391243,JOHNSON,MICHAEL,,,M,I,4663 SCOTTS VALLEY DR,,SCOTTS VALLEY,CA,950664202,US,Physician/Family Practice,S,A5083,"Continent device, stoma absorptive cover for continent stoma",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1600,0.731,0.72,0.56446875,0.56446875
1053391250,POSS,MICHAEL,J,MD,M,I,1818 AMHERST ST,,WINCHESTER,VA,226012869,US,Physician/Interventional Pain Management,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,30,46,120,53.79375,8.32,6.162,6.162
1053391250,POSS,MICHAEL,J,MD,M,I,1818 AMHERST ST,,WINCHESTER,VA,226012869,US,Physician/Interventional Pain Management,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,16,21,23,9.3669565217,1.42,1.0208695652,1.0208695652
1053391250,POSS,MICHAEL,J,MD,M,I,1818 AMHERST ST,,WINCHESTER,VA,226012869,US,Physician/Interventional Pain Management,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,17,128,128,90.8021875,74.278125,53.637734375,57.109375
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,45,91,83.043296703,8.32,6.1068131868,6.1068131868
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,28.115833333,1.42,1.115,1.115
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,216.28,90.23,70.74,68.367272727
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,75,39.9504,15.58,11.339066667,11.039066667
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,179.687,55.091,41.876,41.544
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,54.344444444,18.140555556,14.222222222,14.069444444
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,25,25,58.308,12.51,9.81,9.1752
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,34,192,9.8097916667,2,1.5356770833,1.5577083333
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,29.302666667,13.09,9.576,9.6573333333
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,82.08,13.881818182,10.881818182,10.096363636
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,55.07,14,10.248,9.7813333333
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,50.03173913,5.92,4.2039130435,3.322173913
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,229.86666667,33.04,24.904444444,23.442222222
1053391268,HART,RICHARD,,M.D.,M,I,1000 PARK PLACE,STE 209,WASHINGTON,PA,153015946,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,24,33,451.88515152,77.422424242,52.551212121,49.079393939
1053391342,JACKSON,PAUL,,D.O.,M,I,17800 NEWBURGH RD,SUITE 103,LIVONIA,MI,481522700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,52,53.887692308,8.32,5.7694230769,5.7694230769
1053391466,POLLARD,RICHARD,B,MD,M,I,4150 V ST,PSSB G500,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,16,37,88,48.450227273,8.32,5.1881818182,5.1881818182
1053391466,POLLARD,RICHARD,B,MD,M,I,4150 V ST,PSSB G500,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,13,23,33,22.57,1.42,0.7433333333,0.7433333333
1053391466,POLLARD,RICHARD,B,MD,M,I,4150 V ST,PSSB G500,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,55.04,3.4209090909,0,0.9981818182
1053391466,POLLARD,RICHARD,B,MD,M,I,4150 V ST,PSSB G500,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,606.684375,71.74,41.49875,40.271875
1053391466,POLLARD,RICHARD,B,MD,M,I,4150 V ST,PSSB G500,SACRAMENTO,CA,958171460,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,2.0605333333,0.1288,0.1010111111,0.1010111111
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,41,108,68.407037037,8.32,5.6161111111,5.6161111111
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,23,15.833043478,1.42,1.0169565217,1.0169565217
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,119.87666667,43.5475,28.81,25.435833333
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,195.68363636,65.489090909,47.190909091,38.708181818
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,96.576363636,19.996363636,15.671818182,14.06
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,18,98,11.564285714,2.3736734694,1.6564285714,1.3992857143
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,56.203333333,14.038333333,11.005,10.34
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,130.46153846,31.98,19.137692308,18.748461538
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,15.939166667,9.6431538462,7.3762948718,7.3762948718
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2340,0.3412307692,0.1330769231,0.0973290598,0.0973290598
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1053391490,REISMAN,ANDREW,B,MD,M,I,4222 FAIRBANKS DR,,OAKWOOD,GA,305662811,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,75.428571429,33,24.946071429,24.946071429
1053391565,EGENOLF,CRISTI,,M.D.,F,I,6 TSIENNETO RD,SUITE 100,DERRY,NH,03038,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,37,53.681621622,8.32,5.1118918919,5.1118918919
1053391565,EGENOLF,CRISTI,,M.D.,F,I,6 TSIENNETO RD,SUITE 100,DERRY,NH,03038,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,37.5,11.86,9.2963636364,9.7554545455
1053391565,EGENOLF,CRISTI,,M.D.,F,I,6 TSIENNETO RD,SUITE 100,DERRY,NH,03038,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,144.5,47.099166667,36.928333333,38.106666667
1053391565,EGENOLF,CRISTI,,M.D.,F,I,6 TSIENNETO RD,SUITE 100,DERRY,NH,03038,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,139.27571429,19.633214286,14.901785714,13.058571429
1053391565,EGENOLF,CRISTI,,M.D.,F,I,6 TSIENNETO RD,SUITE 100,DERRY,NH,03038,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,151.43076923,7.0238461538,5.3180769231,3.5946153846
1053391565,EGENOLF,CRISTI,,M.D.,F,I,6 TSIENNETO RD,SUITE 100,DERRY,NH,03038,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,648.02733333,88.435333333,65.531666667,51.161666667
1053391672,CHIAFFITELLI,JOHN,J,DO,M,I,1601 SW 89TH ST,,OKLAHOMA CITY,OK,731596349,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,45,58.039555556,8.32,6.5215555556,6.5215555556
1053391672,CHIAFFITELLI,JOHN,J,DO,M,I,1601 SW 89TH ST,,OKLAHOMA CITY,OK,731596349,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50,35.933333333,34.625
1053391698,CRANDALL,DAVID,E,DO,M,I,901 MCCORMICK BLVD,,CLIFTON FORGE,VA,244221037,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,346.2,98.85,64.692142857,43.002142857
1053391805,DIAZ BORRAS,LYDIA,,M.D.,F,I,202 AVE GAUTIER BENITEZ,CONSOLIDATED MALL C-1-A,CAGUAS,PR,00725,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,100,46.3252,8.32,6.1311,6.1311
1053391805,DIAZ BORRAS,LYDIA,,M.D.,F,I,202 AVE GAUTIER BENITEZ,CONSOLIDATED MALL C-1-A,CAGUAS,PR,00725,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,14.88,3.38,2.65,2.65
1053391805,DIAZ BORRAS,LYDIA,,M.D.,F,I,202 AVE GAUTIER BENITEZ,CONSOLIDATED MALL C-1-A,CAGUAS,PR,00725,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,46,12.516086957,1.42,1.0408695652,1.0408695652
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,32,81,206,678,61.726755162,8.32,5.9166814159,5.9166814159
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,22,43,43,12.08,3.38,2.65,2.65
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,21,27,27,16.142962963,2.12,1.67,1.67
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,48,105,158,13.751202532,1.42,1.0660759494,1.0660759494
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,240,14.45,7,5.0888333333,5.0888333333
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,4828,3.4090534383,0.0464333057,0.0341176471,0.0341176471
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,59.706666667,18.91,14.823333333,16
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,128,24.861052632,19.490526316,22.06
1053391854,BLACKSTONE,PETER,E,D.O.,M,I,555 GLASGOW ST,,POTTSTOWN,PA,194646557,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,26,26,34.038461538,33,24.875,24.875
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,27,59,184,49.636141304,8.32,5.4940217391,5.4940217391
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,21,21,14,3.38,2.2714285714,2.2714285714
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,23.475,2.12,1.3916666667,1.3916666667
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,44,71,11.868591549,1.42,1.0047887324,1.0047887324
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,198.57857143,85.5,62.930714286,63.682857143
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,175.88642857,54.981428571,43.106428571,42.77
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,19,19,48.37,18.291578947,14.338947368,14.095263158
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,20,20,54.895,11.491,9.013,9.098
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,114,6.9684210526,1.94,1.52,1.584122807
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,14,14,31.160714286,14.41,11.3,10.477142857
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,31,40.996774194,5.7938709677,4.2806451613,3.7348387097
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,184.09090909,32.848181818,23.61,23.486818182
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,71,78,280.20615385,79.88,59.39474359,53.520384615
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,63,273.41269841,35.63,26.805714286,28.116031746
1053391920,RASAK,MARK,A,DO,M,I,28080 GRAND RIVER AVE,SUITE 300W,FARMINGTON HILLS,MI,483365966,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,23,100,16.935652174,13.16173913,13.539565217
1053392100,REILLY,JOSEPH,G,"M.D., PH.D.",M,I,3418 OLANDWOOD CT,SUITE 111,OLNEY,MD,208321375,US,Physician/Hematology-Oncology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,35,76.163428571,8.32,6.0657142857,6.0657142857
1053392100,REILLY,JOSEPH,G,"M.D., PH.D.",M,I,3418 OLANDWOOD CT,SUITE 111,OLNEY,MD,208321375,US,Physician/Hematology-Oncology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,80,44.44,34.84,37.3975
1053392175,ANTERO,PATRICIA,M,DPM,F,I,215 HARGROVE RD E,,TUSCALOOSA,AL,354015027,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,27,91.87,74.55,58.45,62.927777778
1053392217,JOHNSON,JERRY,S,M.D.,M,I,116 MIMOSA DR,,THOMASVILLE,GA,317926605,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,8,4.1,3.2143333333,2.4872222222
1053392225,PETZ,DARRELL,W,DO,M,I,1621 UNION AVE,,NATRONA HEIGHTS,PA,150652144,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,27,40.066296296,8.32,5.7988888889,5.7988888889
1053392225,PETZ,DARRELL,W,DO,M,I,1621 UNION AVE,,NATRONA HEIGHTS,PA,150652144,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,23,5.6872727273,4.4609090909,3.4818181818
1053392225,PETZ,DARRELL,W,DO,M,I,1621 UNION AVE,,NATRONA HEIGHTS,PA,150652144,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,353.82352941,77.5,55.665294118,49.99
1053392258,SILODOR,SCOTT,W,M.D.,M,I,1211 HAMBURG TPKE,224,WAYNE,NJ,074705043,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,30,60.526666667,60.526666667,45.872333333,50.037666667
1053392258,SILODOR,SCOTT,W,M.D.,M,I,1211 HAMBURG TPKE,224,WAYNE,NJ,074705043,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,28,45.470714286,43.84,31.902857143,27.605357143
1053392258,SILODOR,SCOTT,W,M.D.,M,I,1211 HAMBURG TPKE,224,WAYNE,NJ,074705043,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,24,77.83,77.83,61.01,54.666666667
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,31,8.944516129,8.69,6.3706451613,6.3706451613
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,70.5,28.46,18.591666667,18.591666667
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,29.69,29.69,23.28,23.28
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,33,33,5.606969697,5.54,4.34,4.34
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,31,15.043548387,13.8,9.4238709677,9.4238709677
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4354,Insertion tray with drainage bag but without catheter,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,21,13.28,13.28,10.41047619,10.41047619
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,58,72,14.068888889,10.762777778,7.7425,7.8791666667
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,32,7.96875,7.46,5.11875,5.11875
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,100,11.25,9.86,7.73,7.73
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,330,7.2696969697,7,5.488,5.488
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,310,3.855,3.855,2.8273870968,2.9668387097
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,137,18.215328467,18.215328467,14.28080292,14.504014599
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,26,307,8.7485667752,8.7047557003,6.646514658,8.4055374593
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,21,230,14.701956522,11.451521739,8.843826087,8.9445217391
1053392282,BERMINGHAM,ROGER,P,M. D.,M,I,1025 PENNOCK PL,,FORT COLLINS,CO,805243257,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,2600,0.075,0.05,0.0392,0.0392
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,48,120,49.417166667,8.32,5.7574166667,5.7574166667
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,19,23,9.0447826087,1.42,1.0208695652,1.0208695652
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.3331666667,1.95,1.5288333333,1.5288333333
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,126.1875,39.585,25.916666667,25.453333333
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,227.53071429,57.92,36.911428571,34.905
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,66.017142857,18,11.086428571,11.047142857
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,77,8.6772727273,2.1064935065,1.5074025974,1.4612987013
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,19,25,57.258,12.3864,9.7084,9.6636
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,23,209.66173913,34.239130435,26.846956522,25.639130435
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,47,460.58170213,79.844468085,58.91212766,52.879574468
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2700,0.17,0.0460851852,0.0320296296,0.0320296296
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,181.59545455,38.054545455,27.115909091,26.849090909
1053392316,SAITZ,ROBERT,M,M.D.,M,I,5034 GRIFFIN RD,,SAINT LOUIS,MO,631283418,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1053392357,PEYTON,RANDALL,S,M.D.,M,I,21475 RIDGETOP CIR,SUITE 150,STERLING,VA,201666580,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,1,30,30,30,35,23.298,17.966,18.27
1053392357,PEYTON,RANDALL,S,M.D.,M,I,21475 RIDGETOP CIR,SUITE 150,STERLING,VA,201666580,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,46,46,46,141.75,41.360652174,31.834347826,35.674565217
1053392357,PEYTON,RANDALL,S,M.D.,M,I,21475 RIDGETOP CIR,SUITE 150,STERLING,VA,201666580,US,Physician/Orthopedic Surgery,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.909090909,25.180909091,15.676363636,19.782727273
1053392357,PEYTON,RANDALL,S,M.D.,M,I,21475 RIDGETOP CIR,SUITE 150,STERLING,VA,201666580,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30,7.9636363636,4.9581818182,5.0663636364
1053392357,PEYTON,RANDALL,S,M.D.,M,I,21475 RIDGETOP CIR,SUITE 150,STERLING,VA,201666580,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,24,205,138.26625,105.78041667,99.889583333
1053392373,REABOLD,TIFFANY,D,CRNP,F,I,1630 MAIN STREET,SUITE 107,CHESTER,MD,21619,US,Nurse Practitioner,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,113.73,89.38,70.07,77.85
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,48,163,484,55.385082645,8.32,5.6211570248,5.6211570248
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,33,33,14.005454545,3.38,2.4090909091,2.4090909091
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,23.570714286,2.12,1.67,1.67
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,25,66,117,13.864273504,1.42,0.9521367521,0.9521367521
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8.69,8.69,6.1909090909,6.1909090909
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,2.9,2.49,1.7890277778,1.7890277778
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,18.02,18.02,12.845454545,12.845454545
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,41,15.697560976,10.93,7.9429268293,7.9429268293
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,58,6.5098275862,6.44,5.049137931,5.049137931
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,240,5.72,4.03,3.1595416667,3.1595416667
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,280,4.9257142857,3.97,2.9386071429,2.9386071429
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,1150,0.3147304348,0.24,0.1800173913,0.2016608696
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,30,75.090666667,71.56,56.105,56.105
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,24,6.0275,1.81875,1.27625,1.0070833333
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,323.58727273,119.99181818,94.071818182,67.845454545
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,33,137.40666667,47.013333333,33.385757576,22.776060606
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,186.81846154,78.964615385,58.280769231,39.563076923
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,60.585,26.349375,19.68,13.18125
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,23,23,63.34,22.227391304,16.109565217,7.9304347826
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,22,120,8.7755,3.0666666667,2.37525,1.56675
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,22.820625,9.195,7.2075,4.65
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,32.310909091,15.85,12.386363636,10.304545455
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,411,7.1,4.1930656934,3.2872992701,2.4724087591
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6805,0.6674783248,0.3998677443,0.3134974284,0.2504055841
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,120,77.881363636,59.312727273,39.525909091
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,759.36,281.89090909,220.99818182,125.21454545
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,74,74,57.807027027,22.544054054,15.736621622,12.225945946
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,43.691818182,34.209090909
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,14.43902439,7.3765853659,5.2497560976,3.1317073171
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,133,53.035185185,37.42962963,23.528148148
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,151,152,382.85736842,103.015,76.911578947,55.536578947
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,16.408196078,9.6504705882,7.4252941176,7.4252941176
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,12,53,14029,0.2257794568,0.0462178345,0.033727992,0.033727992
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1446,11.56186722,3.0567634855,2.3187482711,2.3187482711
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,857,0.9080980163,0.2191948658,0.1658459743,0.1658459743
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,41,41,35.59097561,27.271463415,18.335365854,12.381219512
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,50,45.15,35.4,29.857142857
1053392555,DUNMYER,SHELLY,L,M.D.,F,I,3620 COURT DR,,ZANESVILLE,OH,437016456,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,78,78,82.5,33,24.543333333,24.543333333
1053392571,GLAZIER,JOSEPH,G,MD,M,I,2106 IRONWOOD CIR,,SOUTH BEND,IN,466351864,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,1750,1257.37,946.31333333,851.01761905
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,47,111,410,61.998463415,8.32,5.9660487805,5.9660487805
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,8.8630769231,3.38,2.4461538462,2.4461538462
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,18,35,62,11.065967742,1.42,1.0964516129,1.0964516129
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,27.95,27.95,21.91,22.31
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,12,5.9,5.9,4.63,4.71
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,10.73,10.73,8.41,8.57
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.13,7.13,5.59,5.85
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,190,5.28,3.9,3.0577894737,3.0577894737
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,260,9.7658461538,7,5.488,5.488
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,500,5.57436,4.03,2.87256,2.87256
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1250,0.355536,0.27,0.21164,0.21164
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,8.0590909091,2.2654545455,1.4546969697,1.3036363636
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,60.67,46.21,36.23,36.46
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,17.384545455,15.69,12.3,12.04
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,275.70266667,34.811333333,24.966,23.352666667
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,468.96692308,65.7,51.51,52.996153846
1053392597,GRETCH,GARY,J,MD,M,I,2620 WHEATON WAY,STE 1,BREMERTON,WA,983103335,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,19,21,1022.592381,251.11,196.87,196.87
1053392720,SIEGEL,TIMOTHY,S,M.D.,M,I,1050 REID PKWY STE 325,UROLOGICAL CARE,RICHMOND,IN,473741161,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,48,6084,0.39,0.13,0.0955637738,0.0955637738
1053392720,SIEGEL,TIMOTHY,S,M.D.,M,I,1050 REID PKWY STE 325,UROLOGICAL CARE,RICHMOND,IN,473741161,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,68,11854,3.7740087734,1.73,1.2861734436,1.5115699342
1053392720,SIEGEL,TIMOTHY,S,M.D.,M,I,1050 REID PKWY STE 325,UROLOGICAL CARE,RICHMOND,IN,473741161,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,9.65,6.15,4.8216666667,5.5977777778
1053392720,SIEGEL,TIMOTHY,S,M.D.,M,I,1050 REID PKWY STE 325,UROLOGICAL CARE,RICHMOND,IN,473741161,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,100,2.5728,1.53,1.2,1.4107
1053392720,SIEGEL,TIMOTHY,S,M.D.,M,I,1050 REID PKWY STE 325,UROLOGICAL CARE,RICHMOND,IN,473741161,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,560,15.370785714,7,5.488,5.488
1053392720,SIEGEL,TIMOTHY,S,M.D.,M,I,1050 REID PKWY STE 325,UROLOGICAL CARE,RICHMOND,IN,473741161,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,720,9.1181111111,4.04,3.1674027778,3.1674027778
1053392761,TALWAR,GURMEET,K,MD,F,I,3581 PALMER DR,SUITE 602,CAMERON PARK,CA,956828236,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,27,49,76.562857143,8.32,6.3895918367,6.3895918367
1053392761,TALWAR,GURMEET,K,MD,F,I,3581 PALMER DR,SUITE 602,CAMERON PARK,CA,956828236,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,524.64,71.74,53.794782609,52.416086957
1053392761,TALWAR,GURMEET,K,MD,F,I,3581 PALMER DR,SUITE 602,CAMERON PARK,CA,956828236,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,77.44,37.58,26.781818182,26.828181818
1053392761,TALWAR,GURMEET,K,MD,F,I,3581 PALMER DR,SUITE 602,CAMERON PARK,CA,956828236,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,125,15.95,11.191666667,12.475
1053392761,TALWAR,GURMEET,K,MD,F,I,3581 PALMER DR,SUITE 602,CAMERON PARK,CA,956828236,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,37.58,29.46,29.51
1053392795,HARNEY,RODNEY,W,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 102,DECATUR,AL,356031538,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,25,66,127,45.484173228,8.3086614173,6.3062992126,6.3151968504
1053392795,HARNEY,RODNEY,W,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 102,DECATUR,AL,356031538,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,47,47,13.938510638,1.42,1.0723404255,1.0723404255
1053392795,HARNEY,RODNEY,W,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 102,DECATUR,AL,356031538,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,76.569090909,71.509090909,56.064545455,56.104545455
1053392795,HARNEY,RODNEY,W,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 102,DECATUR,AL,356031538,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,3.9659090909,1.5627272727,1.2245454545,1.1877272727
1053392795,HARNEY,RODNEY,W,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 102,DECATUR,AL,356031538,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,4106,0.5733999026,0.0460131515,0.0333804189,0.0333804189
1053392795,HARNEY,RODNEY,W,M.D.,M,I,2828 HIGHWAY 31 S,SUITE 102,DECATUR,AL,356031538,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,46.365384615,33,23.88,23.88
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,72,188,668,59.288143713,8.32,5.888742515,5.888742515
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,26,26,16.346153846,3.38,2.4461538462,2.4461538462
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,11,15,15,24,2.12,1.67,1.67
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,40,92,171,16.084035088,1.42,1.0496491228,1.0496491228
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,150,6.9884,5.54,4.0537333333,4.0537333333
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2832,0.4431956215,0.44,0.3449752825,0.3449752825
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,24,73.678333333,71.14,55.517916667,55.847916667
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,72,33.834444444,29.19,20.977916667,20.979583333
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,29,747,34.86,34.86,27.242516734,27.242516734
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,276,8.28,8.28,5.9663405797,5.9663405797
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,21,660,18.5,18.5,13.9725,13.9725
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1416,0.45,0.45,0.3527824859,0.3527824859
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,77.355454545,20.235454545,15.862727273,9.12
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,780,7.28,4.2153846154,3.3047948718,2.4228461538
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,11694,0.6393022063,0.3986762442,0.2991440055,0.2296297246
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,156.00333333,70.654444444,49.56,34.016666667
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,12,67,67,156.90626866,70.454626866,52.002238806,36.475074627
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,81.320357143,22.225,17.422857143,13.746785714
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,22.265106383,8.3374468085,6.3555319149,3.6974468085
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,209.6745,66.387,50.2035,37.898
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.95,11.6725,9.155,7.2066666667
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,25,14.562777778,11.416666667,9.4888888889
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,117,118,479.47508475,102.7220339,77.432033898,54.927711864
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,250,45.25125,33.425625,28.119375
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2173,0.4493649333,0.0476254027,0.037330879,0.037330879
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,23,151,152,60.121052632,25.731907895,19.212565789,13.445394737
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,24.384615385,10.123076923,7.2430769231,5.6861538462
1053392811,BUSBY,MICKY,L,M.D.,M,I,317 W GAINES ST,,LAWRENCEBURG,TN,384643604,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,19,19,69.473684211,33,24.508421053,24.508421053
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,34,84,296,56.785945946,8.32,6.0265540541,6.0265540541
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,11.117333333,3.38,2.12,2.12
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,26,52,12.875192308,1.42,0.8782692308,0.8782692308
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,3080,0.44,0.44,0.3449642857,0.3449642857
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,27,989,8.2588877654,8.2588877654,6.410091001,6.4268351871
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,125,10.9108,10.9108,8.55432,8.56936
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,51,23.279411765,18.29,14.34,14.34
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,1734,0.45,0.45,0.3528085352,0.3528085352
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,19,186.97052632,59.772105263,46.858421053,40.173157895
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,52.041666667,13.511666667,9.7083333333,9.6333333333
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,31.085833333,4.0483333333,2.635,3.0166666667
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,163.0925,30.98,22.7625,21.909375
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,53,549.73,82.453773585,57.349622642,48.623962264
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,4223,0.2019701634,0.0466729813,0.0291925172,0.0291925172
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,267.60230769,37.068461538,29.063846154,30.060769231
1053392969,BELLAM,RAJENDRA,P,M.D,M,I,20021 SW 111TH PLACE,,DUNNELLON,FL,344325890,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,120.12,33,21.7308,21.7308
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,20,43,118,62.668983051,8.32,5.9686440678,5.9686440678
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,18,14.838888889,1.42,0.9322222222,0.9322222222
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,25,82.5692,17.1624,12.924,12.9408
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,34,44.347647059,4.1061764706,3.1370588235,3.5208823529
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,48,371.431875,85.564583333,67.07875,55.874583333
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,78.6836,19.6,14.7552,12.576
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,77.2,35.505714286,27.84,25.324285714
1053393066,GARRISON,MELISSA,S,N.P.,F,I,953 DELL WEBB BLVD EAST,,SUN CITY CENTER,FL,335736669,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,36.192,7.88,6.17,6.16
1053393207,LUDWIG,SAMANTHA,,MD,F,I,713 TROY SCHENECTADY RD,SUITE 224,LATHAM,NY,121102490,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,51,117,58.493504274,8.32,6.0764102564,6.0764102564
1053393207,LUDWIG,SAMANTHA,,MD,F,I,713 TROY SCHENECTADY RD,SUITE 224,LATHAM,NY,121102490,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,12.72,3.38,2.65,2.65
1053393207,LUDWIG,SAMANTHA,,MD,F,I,713 TROY SCHENECTADY RD,SUITE 224,LATHAM,NY,121102490,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,33,14.650606061,1.42,1.1133333333,1.1133333333
1053393355,HASH,GERRY,L,DPM,M,I,583 S CLARIZZ BLVD,,BLOOMINGTON,IN,474015515,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,249,249,495,130,71.56,56.105030303,56.104989899
1053393355,HASH,GERRY,L,DPM,M,I,583 S CLARIZZ BLVD,,BLOOMINGTON,IN,474015515,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,83,83,492,60,29.19,22.885020325,22.886463415
1053393355,HASH,GERRY,L,DPM,M,I,583 S CLARIZZ BLVD,,BLOOMINGTON,IN,474015515,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,156,156,929,50.215285253,43.56,33.98846071,33.986813778
1053393355,HASH,GERRY,L,DPM,M,I,583 S CLARIZZ BLVD,,BLOOMINGTON,IN,474015515,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,138,99,43.56,34.151666667,34.150652174
1053393355,HASH,GERRY,L,DPM,M,I,583 S CLARIZZ BLVD,,BLOOMINGTON,IN,474015515,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,130,130,96.432,111.192
1053393421,HARRIS,MARCIANN,,NP,F,I,4205 BELFORT RD STE 2069,,JACKSONVILLE,FL,322161471,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,311.85043478,70.48,54.446521739,54.03173913
1053393421,HARRIS,MARCIANN,,NP,F,I,4205 BELFORT RD STE 2069,,JACKSONVILLE,FL,322161471,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,164.01,39.6,31.05,29.51
1053393496,WEN,PATRICK,Y,MD,M,I,75 FRANCIS ST,DEPT OF NEUROLOGY,BOSTON,MA,021156110,US,Physician/Neurology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,11,22,4450,12.886089888,1.6356247191,1.2823280899,1.2823280899
1053393496,WEN,PATRICK,Y,MD,M,I,75 FRANCIS ST,DEPT OF NEUROLOGY,BOSTON,MA,021156110,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1053393496,WEN,PATRICK,Y,MD,M,I,75 FRANCIS ST,DEPT OF NEUROLOGY,BOSTON,MA,021156110,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,22,16,16,12.540454545,12.540454545
1053393561,KASHLAN,GHIATH,,MD,M,I,8835 HAWBUCK ST,,TRINITY,FL,346555361,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,373.93090909,79.88,56.407272727,49.225454545
1053393595,MACBETH,RONALD,A,M.D.,M,I,35 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,52.19,29.888333333,23.433333333,15.09
1053393595,MACBETH,RONALD,A,M.D.,M,I,35 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,25,25,876,718.224,557.3492,509.488
1053393595,MACBETH,RONALD,A,M.D.,M,I,35 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,120,74.55,55.246666667,59.1225
1053393595,MACBETH,RONALD,A,M.D.,M,I,35 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Orthopedic Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,14,14,250,222.08,163.86142857,161.79071429
1053393595,MACBETH,RONALD,A,M.D.,M,I,35 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,18,88.333333333,53.2,38.464444444,42.911111111
1053393595,MACBETH,RONALD,A,M.D.,M,I,35 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,15,15,400,266.98,209.31,216.33533333
1053393611,PARDEE,ANGELA,,M.D.,F,I,15825 BALLANTYNE MEDICAL PL STE 200,,CHARLOTTE,NC,282774790,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,23,67.917391304,8.32,4.8213043478,4.8213043478
1053393611,PARDEE,ANGELA,,M.D.,F,I,15825 BALLANTYNE MEDICAL PL STE 200,,CHARLOTTE,NC,282774790,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,225,50.886363636,38.652727273,35.374545455
1053393611,PARDEE,ANGELA,,M.D.,F,I,15825 BALLANTYNE MEDICAL PL STE 200,,CHARLOTTE,NC,282774790,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,32.157272727,6.1490909091,4.8209090909,3.9918181818
1053393702,KARAMCHANDANI,MAHESH,C,MD,M,I,3770 CAPITAL AVE SW,SUITE A,BATTLE CREEK,MI,490159411,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,385,6.8359480519,3.3412727273,2.6194805195,3.0576623377
1053393702,KARAMCHANDANI,MAHESH,C,MD,M,I,3770 CAPITAL AVE SW,SUITE A,BATTLE CREEK,MI,490159411,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,560,8.9962857143,5.74,4.0832142857,4.0832142857
1053393702,KARAMCHANDANI,MAHESH,C,MD,M,I,3770 CAPITAL AVE SW,SUITE A,BATTLE CREEK,MI,490159411,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,296,4.2091891892,2.9018918919,2.1913175676,2.1970945946
1053393702,KARAMCHANDANI,MAHESH,C,MD,M,I,3770 CAPITAL AVE SW,SUITE A,BATTLE CREEK,MI,490159411,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,1150,0.6129652174,0.27,0.2116521739,0.2116521739
1053393702,KARAMCHANDANI,MAHESH,C,MD,M,I,3770 CAPITAL AVE SW,SUITE A,BATTLE CREEK,MI,490159411,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,995,0.6198090452,0.2689949749,0.2108844221,0.2116683417
1053393769,SIPPEL,DIANE,L,NP,F,I,2880 UNIVERSITY AVE,,MADISON,WI,537053644,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,46,46,116.95869565,18.712173913,12.972391304,12.610869565
1053393769,SIPPEL,DIANE,L,NP,F,I,2880 UNIVERSITY AVE,,MADISON,WI,537053644,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,28,8.0166666667,6.2855555556,6.36
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,34,7380,0.1513495935,0.13,0.0998536585,0.0998536585
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,8.75,2.49,1.95,1.95
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,13,52,11600,3.1333275862,2.0320525862,1.5845517241,1.5893706897
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,51,7698,8.8380098727,6.1426344505,4.7805391011,5.5894427124
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,33,65,19.688153846,10.93,7.6463076923,7.6463076923
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,47,11.129361702,6.61,4.8540425532,5.5014893617
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,248,2.0522580645,1.8,1.41125,1.41125
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,160,18.1225,9.86,7.4885,7.4885
1053393819,SPENCER,WILLIAM,F,MD,M,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730926,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,380,6.2348421053,4.04,2.9486052632,2.9486052632
1053393827,HENRY,JAYSON,D,DO,M,I,500 E ROBINSON ST,SUITE 2200,NORMAN,OK,730716697,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,47,102,75.297843137,8.32,4.6668627451,4.6668627451
1053393827,HENRY,JAYSON,D,DO,M,I,500 E ROBINSON ST,SUITE 2200,NORMAN,OK,730716697,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,28,16.886785714,1.42,0.7964285714,0.7964285714
1053393827,HENRY,JAYSON,D,DO,M,I,500 E ROBINSON ST,SUITE 2200,NORMAN,OK,730716697,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,55,11.218909091,2.09,1.5176363636,1.4712727273
1053393827,HENRY,JAYSON,D,DO,M,I,500 E ROBINSON ST,SUITE 2200,NORMAN,OK,730716697,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,18,120.12333333,33.333333333,24.391111111,24.25
1053393843,MURTHY,SANGEETHA,P,MD,F,I,7830 CLAIREMONT MESA BLVD,SUITE 287,SAN DIEGO,CA,921111619,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,77,85.764935065,8.32,6.5216883117,6.5216883117
1053393959,SHAHIN,MOHAMMAD,K,MD,M,I,830 MAGNOLIA AVE,,CORONA,CA,928793128,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,44,92,58.860652174,8.32,6.0965217391,6.0965217391
1053393959,SHAHIN,MOHAMMAD,K,MD,M,I,830 MAGNOLIA AVE,,CORONA,CA,928793128,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,23,11.539565217,1.42,0.9226086957,0.9226086957
1053393959,SHAHIN,MOHAMMAD,K,MD,M,I,830 MAGNOLIA AVE,,CORONA,CA,928793128,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,4.86,4.86,3.8103333333,4.1336111111
1053393959,SHAHIN,MOHAMMAD,K,MD,M,I,830 MAGNOLIA AVE,,CORONA,CA,928793128,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3240,0.63,0.63,0.4939259259,0.5154845679
1053393959,SHAHIN,MOHAMMAD,K,MD,M,I,830 MAGNOLIA AVE,,CORONA,CA,928793128,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,23.714166667,23.714166667
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,90,231,65.899134199,8.32,5.5285714286,5.5285714286
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,15.277777778,3.38,2.5027777778,2.5027777778
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,38,57,15.842280702,1.42,0.9589473684,0.9589473684
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,60.6,9.8233333333,6.1442857143,5.5776190476
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,41.37952381,17.3,10.977142857,10.968571429
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,51,294.04941176,78.57,53.914705882,48.391764706
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,3107,0.3545831992,0.0467042163,0.0336626971,0.0336626971
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,26,2938,1.2927705922,0.1315895167,0.1013104152,0.1013104152
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,900,11.758588889,3.0272222222,2.2847333333,2.2847333333
1053394023,MCGHEE,GEORGE,P,M.D.,M,I,935 WATER ST,,CHARLESTOWN,IN,471111430,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,15,48,48,57.75,33,24.253125,24.253125
1053394130,BHAMBHANI,RITU,T,MD,F,I,100 WALTER WARD BLVD,SUITE 300,ABINGDON,MD,210091284,US,Physician/Anesthesiology,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,53,53,53,499.83018868,389.4,302.58301887,307.83301887
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,22,166,167,43.811676647,18,13.603053892,13.070598802
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,350,231.2,181.26,161.568
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,1488.4,1096.8366667,850.35866667,850.35866667
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,53,55,34.144363636,6.0887272727,4.1718181818,3.3074545455
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,72.64,37.749642857,29.5925,27.203928571
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,25,175,176,191.02306818,90.01,67.330965909,52.933579545
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,78.711666667,35.11,27.53,28.52
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,17,66,5995,1.4111492911,0.1336263553,0.0993678065,0.0993678065
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1620,12.17008642,2.9930740741,2.3465925926,2.3465925926
1053394247,BOSCH,LOURDES,T,MD,F,I,351 NW LEJEUNE RD,SUITE 401,MIAMI,FL,331265683,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,18,68,68,75.117647059,33,25.489558824,25.489558824
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,85,11.567826087,8.6726086957,8.94
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,225,47.768636364,33.504090909,32.565454545
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,3.9225,3.075,3.66
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,125,46.614615385,36.547692308,36.010769231
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.35,10.946666667,8.5816666667,8.5891666667
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,13.224545455,8.4563636364,8.3618181818
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,288.88,210.825,165.105,165.105
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,82,82,143,26.234756098,17.835731707,18.192073171
1053394254,KIRSTEINS,ANDREW,,M.D.,M,I,510 N ELAM AVE,SUITE 302,GREENSBORO,NC,274031150,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,25,8.3394117647,5.7917647059,6.0217647059
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,32.094285714,28.437857143,22.292857143,22.292857143
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,23,11.779565217,10.924782609,8.5660869565,8.5660869565
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,342,8.8447368421,8.41,6.5933625731,6.5933625731
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,120.74571429,52,40.770714286,37.122142857
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,43,43,176.42930233,48.271860465,35.127906977,36.501395349
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,152.39405405,18.239189189,13.566486486,12.808918919
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E0958,"Manual wheelchair accessory, one-arm drive attachment, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,54.91,31.935,25.035,25.1275
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,50,57.59,28.2768,21.2768,21.7114
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,25,53.76,24.472,18.4176,17.4432
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,52,457.715,79.723076923,60.180961538,52.556730769
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,19,19,19,85.442105263,38.781052632,29.942631579,28.953684211
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,23,23,23,388.24956522,140.28043478,103.59434783,107.59434783
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,23,60,18.837826087,12.795652174,12.36
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,23,129,129,90.962325581,32.277596899,23.081937984,23.109457364
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,70,70,113.84342857,31.253857143,21.724428571,19.439285714
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,168.22,33.475,26.2475,25.998333333
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,39,222,222,26.71009009,8.1359459459,5.845045045,6.2363513514
1053394320,KIM,STEVE,J,MD,M,I,7380 S CAMBRIDGE DR,,FRANKLIN,WI,531321975,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,215,37.46,29.37,29.51
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,95.625925926,47.663333333,37.368888889,36.49037037
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,25,25,25,115.8576,53.4104,41.0448,40.0792
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,16.798461538,9.9084615385,7.7661538462,7.7084615385
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,122.84684211,56.070526316,42.947894737,40.494736842
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,51.0528,17.5684,12.0192,11.8408
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,93.94,55.545833333,43.545833333,38.690416667
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,31,31,62,17.295483871,12.919032258,10.126935484,10.101129032
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,33,33,66,104.13515152,56.275151515,44.120606061,41.571969697
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,268.2432,71.1916,45.4724,44.8652
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,26,26,26,175.83384615,159.22076923,124.83461538,114.39076923
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,47,236,236,51.429957627,19.820720339,15.114788136,13.680847458
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,49.924814815,35.224444444,27.614444444,25.648518519
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,18,45,45,96.446222222,35.196222222,27.127777778,24.333777778
1053394486,MANI,SUSAN,,FP,F,I,101 E WOOD ST,,SPARTANBURG,SC,293033040,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,52.394545455,8.9336363636,7.0063636364,6.9143181818
1053394551,VAN SWEDEN,SALLY,J,MD,F,I,601 JOHN ST,BOX 74 - BRONSON INTERNAL MEDICINE SPECIALIST,KALAMAZOO,MI,490075341,US,Physician/Pediatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,22.175,4.8636363636,3.5493181818,3.3806818182
1053394551,VAN SWEDEN,SALLY,J,MD,F,I,601 JOHN ST,BOX 74 - BRONSON INTERNAL MEDICINE SPECIALIST,KALAMAZOO,MI,490075341,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,63,63,225.83301587,81.798095238,60.655079365,51.897936508
1053394551,VAN SWEDEN,SALLY,J,MD,F,I,601 JOHN ST,BOX 74 - BRONSON INTERNAL MEDICINE SPECIALIST,KALAMAZOO,MI,490075341,US,Physician/Pediatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,47,55.767021277,39.920212766,29.367234043,27.729361702
1053394593,ZHENG,YINING,,MD,F,I,500 GRAND AVE STE 100,,ENGLEWOOD,NJ,076314968,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,119.34,21.555,16.898333333,20.739166667
1053394593,ZHENG,YINING,,MD,F,I,500 GRAND AVE STE 100,,ENGLEWOOD,NJ,076314968,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,20.57,6.9233333333,5.4266666667,6.752
1053394601,WALUZAK,MICHAEL,D,M.D.,M,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,33,110,67.467181818,8.32,5.6203636364,5.6203636364
1053394601,WALUZAK,MICHAEL,D,M.D.,M,I,555 W SCHROCK RD,SUITE 110,WESTERVILLE,OH,430818702,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,16,27,13.344074074,1.4044444444,0.9807407407,0.9959259259
1053394619,MOHAMMADZADEH,HAMID,R,M.D.,M,I,1401 HARRODSBURG RD,SUITE B-275,LEXINGTON,KY,405043751,US,Physician/Cardiac Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,39,56.910512821,20.767692308,15.896666667,13.491794872
1053394619,MOHAMMADZADEH,HAMID,R,M.D.,M,I,1401 HARRODSBURG RD,SUITE B-275,LEXINGTON,KY,405043751,US,Physician/Cardiac Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,43,43,273.06906977,95.595348837,74.513023256,58.059534884
1053394627,DOWD,PHILLIP,E,M.D.,M,I,5500 KELL BLVD,SUITE 200,WICHITA FALLS,TX,763101612,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,126,136,14.823529412,13.784779412,9.5244852941,9.5364705882
1053394627,DOWD,PHILLIP,E,M.D.,M,I,5500 KELL BLVD,SUITE 200,WICHITA FALLS,TX,763101612,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,4790,3.3800417537,2.04,1.5654885177,1.5654885177
1053394627,DOWD,PHILLIP,E,M.D.,M,I,5500 KELL BLVD,SUITE 200,WICHITA FALLS,TX,763101612,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,660,10.485,7.87,5.9526969697,5.9605757576
1053394627,DOWD,PHILLIP,E,M.D.,M,I,5500 KELL BLVD,SUITE 200,WICHITA FALLS,TX,763101612,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,97,109,10.753761468,6.3502752294,4.2901834862,5.1148623853
1053394692,DALEIDEN,AMY,,,F,I,8240 GOLDEN VALLEY RD,,GOLDEN VALLEY,MN,554274409,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,21,77,79.041428571,8.32,5.9293506494,5.9293506494
1053394700,LONG,MICHAEL,H,PA-C,M,I,870 SUMMIT CROSSING PL,,GASTONIA,NC,28054,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,16,144.229375,117.67,90.301875,100.551875
1053394700,LONG,MICHAEL,H,PA-C,M,I,870 SUMMIT CROSSING PL,,GASTONIA,NC,28054,US,Physician Assistant,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,199,154.71,121.29,120.10538462
1053394817,MORENO,CYNTHIA,D,D.O.,F,I,15361 CENTRAL AVE,,CHINO,CA,917107608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,37,64,81.1928125,8.32,5.19734375,5.19734375
1053394817,MORENO,CYNTHIA,D,D.O.,F,I,15361 CENTRAL AVE,,CHINO,CA,917107608,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,36,16.986363636,12.110909091,12.325909091
1053394817,MORENO,CYNTHIA,D,D.O.,F,I,15361 CENTRAL AVE,,CHINO,CA,917107608,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,5.625,5.625,4.1192857143,3.3785714286
1053394817,MORENO,CYNTHIA,D,D.O.,F,I,15361 CENTRAL AVE,,CHINO,CA,917107608,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,286.15,75.533636364,54.150909091,50.09
1053394916,BEATTY,DOUGLAS,C,M.D.,M,I,693 PRESIDENT PL,103,SMYRNA,TN,371678600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,27,73.494814815,8.32,5.0718518519,5.0718518519
1053394916,BEATTY,DOUGLAS,C,M.D.,M,I,693 PRESIDENT PL,103,SMYRNA,TN,371678600,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,86.84,68.08,55.8425
1053394916,BEATTY,DOUGLAS,C,M.D.,M,I,693 PRESIDENT PL,103,SMYRNA,TN,371678600,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,39.51,30.98,29.6325
1053395020,PODOLSKY,SCOTT,,MD,M,I,50 STANIFORD ST,3RD FLOOR S50 300,BOSTON,MA,021142517,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,25,70,69.807857143,8.32,6.336,6.336
1053395020,PODOLSKY,SCOTT,,MD,M,I,50 STANIFORD ST,3RD FLOOR S50 300,BOSTON,MA,021142517,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,17,15.863529412,1.42,1.0505882353,1.0505882353
1053395020,PODOLSKY,SCOTT,,MD,M,I,50 STANIFORD ST,3RD FLOOR S50 300,BOSTON,MA,021142517,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,54,10.61962963,2.3,1.3359259259,1.1792592593
1053395020,PODOLSKY,SCOTT,,MD,M,I,50 STANIFORD ST,3RD FLOOR S50 300,BOSTON,MA,021142517,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,195,36.773333333,28.82952381,27.585238095
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,70,211,539,63.764285714,8.32,5.7475510204,5.7475510204
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,20,36,36,15.922222222,3.38,2.4291666667,2.4291666667
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,20,26,26,22.183461538,2.12,1.4773076923,1.4773076923
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,41,84,130,17.164230769,1.42,1.003,1.003
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,5.01,2.27,1.7797142857,1.7797142857
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A4364,"Adhesive, liquid or equal, any type, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,68,14.087941176,2.81,2.2036764706,2.5954411765
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,360,15.926,9.86,7.3315833333,7.3315833333
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,360,5.001,3.04,2.3834444444,2.3834444444
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,500,0.40988,0.27,0.21166,0.21166
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,355.728,96.794,66.476,61.619333333
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,62.712727273,19.741818182,14.229090909,12.79
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,21,21,64.53952381,14.885714286,10.777619048,8.7880952381
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,10.346969697,2.0472727273,1.6053030303,1.5898484848
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,200,50.561428571,39.638571429,39.95
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,86.31,17.25,10.816,10.834666667
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,259.52272727,259.52272727
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,634.75652174,75.56,50.41173913,46.596521739
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,165.30631579,30.063157895,23.567894737,21.01
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,139.21,56.0625,43.9525,38.265
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,36.25,23.252727273,24.391818182
1053395129,SMITH,JAMES,M,M.D.,M,I,2401 NEWNAN CROSSING BLVD E,SUITE 200,NEWNAN,GA,302652408,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,66,33,24.432777778,24.432777778
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,49,80,80,109.4615,39.056,28.744,28.729375
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,28,53,5.6790566038,1.42,0.9849056604,1.0260377358
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,15,30,2.02,1.23,0.8363333333,0.8363333333
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,74,113,113,189.94415929,85.623716814,65.124159292,65.996725664
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,59,102,221,88.966606335,33.453348416,25.538144796,25.507782805
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,17,32,153,45.860130719,19.409803922,14.393071895,13.744117647
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,12,18,90,35.72,15.892222222,11.819666667,11.253444444
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,36,64,64,112.14140625,59.0790625,43.551875,40.31484375
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,98,123,123,36.769756098,17.785203252,13.240894309,13.341788618
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,25.163636364,10.44,7.4645454545,7.3981818182
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,58,99,99,46.27989899,12.782929293,9.8296969697,9.0244444444
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,95,162,823,7.0095139733,2.120072904,1.5792223572,1.5183232078
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,39,47,47,17.689574468,6.0970212766,4.5804255319,4.4614893617
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,49,61,61,34.403442623,13.443442623,10.121639344,9.9263934426
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,82,83,45.794337349,17.962891566,13.778192771,13.234698795
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.72,38.61,38.325833333
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,57,57,125.54122807,48.408947368,34.094210526,33.724035088
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45.81,32.926666667,34.673333333
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,49,49,2064.5942857,1074.31,839.33204082,839.33204082
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,12,65,65,277.91353846,91.621384615,67.816615385,64.562
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1520.9175,897.41,703.57,703.57
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,30,30,30,302.66666667,145.10833333,113.76133333,106.941
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,27.940571429,3.6671428571,2.6268571429,3.2837142857
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,40,208,208,145.00134615,35.846201923,26.926586538,25.808413462
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,31,173,178,285.16522472,80.643988764,61.248089888,53.701235955
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,52,244.92211538,37.479230769,27.744423077,27.9825
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,19.562849206,9.608,7.4903412698,7.4903412698
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,55,15876,0.3733213656,0.046451877,0.0304818594,0.0304818594
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,17,81,9300,1.6172129032,0.1345193548,0.0960967742,0.0960967742
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,61,3646,12.325340099,2.9855046626,2.2089275919,2.2089275919
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,148.88888889,40.025555556,29.363333333,27.504814815
1053395145,SNYDER,DAVID,C,M.D.,M,I,2665 N DECATUR RD,SUITE 430,DECATUR,GA,300336145,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,26,163,163,45.754601227,33,23.615030675,23.615030675
1053395160,OREILLY,SIOBHAN,A,DO,F,I,272 MEDICAL LOOP,SUITE B,ROSEBURG,OR,974715597,US,Hospitalist,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,87.811818182,17.773636364,12.100909091,7.4618181818
1053395160,OREILLY,SIOBHAN,A,DO,F,I,272 MEDICAL LOOP,SUITE B,ROSEBURG,OR,974715597,US,Hospitalist,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,78,11.253846154,2.8369230769,1.9517948718,1.3482051282
1053395160,OREILLY,SIOBHAN,A,DO,F,I,272 MEDICAL LOOP,SUITE B,ROSEBURG,OR,974715597,US,Hospitalist,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,23,23,232.35,63.627826087,44.124347826,36.363478261
1053395160,OREILLY,SIOBHAN,A,DO,F,I,272 MEDICAL LOOP,SUITE B,ROSEBURG,OR,974715597,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,485.80157895,92.9,60.251052632,43.207894737
1053395293,SCHAVEY,DENISE,,MD,F,I,1950 CENTER CREEK DR,SUITE 100,FAIRMONT,MN,560313428,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,17,42,131,71.638320611,8.32,4.8570992366,4.8570992366
1053395293,SCHAVEY,DENISE,,MD,F,I,1950 CENTER CREEK DR,SUITE 100,FAIRMONT,MN,560313428,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,14.078333333,1.42,0.84,0.84
1053395293,SCHAVEY,DENISE,,MD,F,I,1950 CENTER CREEK DR,SUITE 100,FAIRMONT,MN,560313428,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,6.834,2.9466666667,1.8685,1.2213333333
1053395293,SCHAVEY,DENISE,,MD,F,I,1950 CENTER CREEK DR,SUITE 100,FAIRMONT,MN,560313428,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,22.4775,16.298333333,12.324166667
1053395293,SCHAVEY,DENISE,,MD,F,I,1950 CENTER CREEK DR,SUITE 100,FAIRMONT,MN,560313428,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,154.16666667,47.960833333,32.215416667,23.07
1053395293,SCHAVEY,DENISE,,MD,F,I,1950 CENTER CREEK DR,SUITE 100,FAIRMONT,MN,560313428,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,403,98.85,68.961428571,46.911428571
1053395491,CLINGERMAN,MERCEDES,L,PAC,F,I,31 HALL DR,VALLEY MEDICAL GROUP,AMHERST,MA,010022751,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,63,158,838,81.514391408,8.32,5.961300716,5.961300716
1053395491,CLINGERMAN,MERCEDES,L,PAC,F,I,31 HALL DR,VALLEY MEDICAL GROUP,AMHERST,MA,010022751,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,22,47,130,15.895076923,1.42,0.9937692308,0.9937692308
1053395491,CLINGERMAN,MERCEDES,L,PAC,F,I,31 HALL DR,VALLEY MEDICAL GROUP,AMHERST,MA,010022751,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,1250,251.11,196.87,196.87
1053395533,TWYMAN,MICHAEL,A,MD,M,I,7733 FORSYTH BLVD FL 11,,SAINT LOUIS,MO,631051878,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,13,14,36.593571429,13.46,10.55,10.485
1053395533,TWYMAN,MICHAEL,A,MD,M,I,7733 FORSYTH BLVD FL 11,,SAINT LOUIS,MO,631051878,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,135.14727273,35.318181818,27.692727273,26.329090909
1053395624,MARIS,MICHAEL,B,MD,M,I,1800 WILLIAMS ST,STE 300,DENVER,CO,802181238,US,Hematopoietic Cell Transplantation and Cellular Therapy,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,24,24,18.82,18.82
1053395681,LUO,ZHEN ZHEN,,,M,I,14000 FAIRVIEW DR,,BURNSVILLE,MN,553375713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,50,178,67.527977528,8.32,5.8365168539,5.8365168539
1053395681,LUO,ZHEN ZHEN,,,M,I,14000 FAIRVIEW DR,,BURNSVILLE,MN,553375713,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,30,19.160333333,1.42,1.1156666667,1.1156666667
1053395855,AUSTIN,ORSON,J,M.D.,M,I,11590 CENTURY BLVD,,CINCINNATI,OH,452463326,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,32,60,79.436666667,8.32,6.0866666667,6.0866666667
1053395855,AUSTIN,ORSON,J,M.D.,M,I,11590 CENTURY BLVD,,CINCINNATI,OH,452463326,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,15.095714286,1.42,1.12,1.12
1053395889,BICOS,JAMES,,MD,M,I,24255 W 13 MILE RD,SUITE 100,BINGHAM FARMS,MI,480254320,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,163.33333333,100.42,75.221666667,82.999444444
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,17,62,128,43.192265625,8.32,5.469609375,5.469609375
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,22,29,6.4820689655,1.42,1.0020689655,1.0020689655
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,40,6.31,2.3075,1.6515,1.43325
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,40,6.2861290323,4.7703225806,3.7929032258
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,29,325,69.81,48.253793103,48.253793103
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,1590,1.1827987421,0.141,0.1037044025,0.1037044025
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,24,112,36.14,25.732916667,26.838333333
1053395913,BEFAY,TRACEY,W,PA,F,I,833 S MAIN ST,,OCONTO FALLS,WI,541541241,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,33,33,22.995555556,22.995555556
1053395954,LLAVONA,LUIS,A,M.D.,M,I,63 CALLE GEORGETTI,,COMERIO,PR,007822541,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,19,38,8.32,8.32,5.4884210526,5.4884210526
1053395954,LLAVONA,LUIS,A,M.D.,M,I,63 CALLE GEORGETTI,,COMERIO,PR,007822541,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,1.42,1.42,0.9431578947,0.9431578947
1053395970,CESAR,GARY,L,DPM,M,I,1515 LAKE LANSING RD,,LANSING,MI,489123752,US,Podiatry,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,150,36,18.489333333,13.539066667,13.539066667
1053396226,CRAIGG,GERALD,B,M.D.,M,I,1103B S 2ND AVE,,WALLA WALLA,WA,993624118,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,29,106,63.608962264,8.32,6.399245283,6.399245283
1053396226,CRAIGG,GERALD,B,M.D.,M,I,1103B S 2ND AVE,,WALLA WALLA,WA,993624118,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,23,13.929130435,1.42,1.1139130435,1.1139130435
1053396226,CRAIGG,GERALD,B,M.D.,M,I,1103B S 2ND AVE,,WALLA WALLA,WA,993624118,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,17.09,13.4,13.443333333
1053396226,CRAIGG,GERALD,B,M.D.,M,I,1103B S 2ND AVE,,WALLA WALLA,WA,993624118,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,551.09291667,65.7,49.36375,52.6175
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,38,6.63,1.4,1.0131578947,1.0581578947
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,25,164.6244,32.75,22.596,22.8348
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,77,64.831428571,15.37,10.577922078,10.439480519
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,258.86047619,53.82,36.171428571,36.822857143
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,17,17,78.795882353,17.96,14.005294118,13.986470588
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,25,25,94.1184,10.74,7.4096,8.1032
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,35,181,11.78121547,2,1.4297790055,1.4522099448
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,50.765833333,12,9.41,10.34
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,69,70,86.31,20.085,14.993142857,15.011428571
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,46,36.06,41.330833333
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43.62,32.946666667,36.090833333
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,25,26,3399.8653846,1074.31,836.74192308,836.74192308
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,700,461.175,361.5625,308.3075
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,22.7175,5.55625,4.100625,3.380625
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,19,152,158,376.11537975,75.16221519,52.878987342,49.440949367
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,31,135.85322581,40.4,23.958387097,22.706129032
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,13.988823529,9.6446470588,7.4207352941,7.4207352941
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,24,4314,0.4811566991,0.046893834,0.0328511822,0.0328511822
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,19,1644,1.4703284672,0.133892944,0.0917518248,0.0917518248
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1320,11.930454545,3.0351363636,2.3795606061,2.3795606061
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,53.428888889,40.29,28.051111111,26.300833333
1053396275,ROGOL,PETER,R,MD,M,I,60 TEMPLE ST,7F,NEW HAVEN,CT,065102716,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,18,62,62,71.322580645,33,23.783709677,23.783709677
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,241.53333333,86.92,59.063333333,58.803333333
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,34,87.881470588,33.06,24.926176471,24.926176471
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,59,59.440677966,18.36,13.175084746,13.335084746
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,174.70529412,59.435294118,44.039411765,40.338823529
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,22,29,29,56.837586207,18.856551724,13.808965517,13.090344828
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,34,34,58.164117647,12.084705882,8.9576470588,8.6029411765
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,19,34,141,6.9172340426,2.0691489362,1.5225531915,1.4916312057
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,21,21,16.674285714,6.0428571429,4.3119047619,4.2304761905
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,310,86.684545455,67.961818182,67.166363636
1053396283,WAGDY,HISHAM,,MD,M,I,202 10TH ST SE,SUITE 225,CEDAR RAPIDS,IA,524032404,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,109.9537037,32.946296296,25.832592593,25.685185185
1053396309,UNYON,CESAR,A,M.D.,M,I,1879 NIGHTINGALE LN,SUITE B1,TAVARES,FL,327784363,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,40,112,296,67.887972973,8.32,5.7488851351,5.7488851351
1053396309,UNYON,CESAR,A,M.D.,M,I,1879 NIGHTINGALE LN,SUITE B1,TAVARES,FL,327784363,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,15.005454545,3.38,2.5295454545,2.5295454545
1053396309,UNYON,CESAR,A,M.D.,M,I,1879 NIGHTINGALE LN,SUITE B1,TAVARES,FL,327784363,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,42,53,13.933018868,1.42,1.0964150943,1.0964150943
1053396309,UNYON,CESAR,A,M.D.,M,I,1879 NIGHTINGALE LN,SUITE B1,TAVARES,FL,327784363,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,16.36,12.83,13.54
1053396309,UNYON,CESAR,A,M.D.,M,I,1879 NIGHTINGALE LN,SUITE B1,TAVARES,FL,327784363,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.2,62.09,55.343333333
1053396309,UNYON,CESAR,A,M.D.,M,I,1879 NIGHTINGALE LN,SUITE B1,TAVARES,FL,327784363,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,810,0.9362962963,0.1338148148,0.0981851852,0.0981851852
1053396309,UNYON,CESAR,A,M.D.,M,I,1879 NIGHTINGALE LN,SUITE B1,TAVARES,FL,327784363,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,24.022142857,24.022142857
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2070,0.4291304348,0.13,0.1019227053,0.1019227053
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,36,6285,4.2304295943,2.04,1.5765171042,1.5765171042
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,17,47,152,21.602828947,10.545657895,6.9823684211,7.2167105263
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,720,9.2952638889,3.9,3.0576527778,3.0576527778
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,38,17.666315789,8.28,6.4902631579,6.4902631579
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,590,9.8796440678,5.7379661017,4.3391864407,4.340779661
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,400,20.9358,9.86,7.412675,7.412675
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,690,13.931710145,6.9924637681,5.4820869565,5.4820869565
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,390,12.150307692,7.33,4.4168717949,4.4168717949
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,42,1915,19.780861619,9.5789556136,7.2101775457,7.2109921671
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,24,1040,8.0121346154,4.0376923077,2.9496730769,2.9496730769
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,22,2335,0.6162184154,0.27,0.2116659529,0.2116659529
1053396341,COLBERG,JOHN,W,MD,M,I,800 HOWARD AVE,YALE PHYSICIANS BUILDING 3RD FLOOR,NEW HAVEN,CT,065191369,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,22,1280,0.6582734375,0.27,0.1826875,0.1826875
1053396358,HAGENBUCH,MICHELLE,L,M.D.,F,I,500 PLAZA CIRCLE,SUITE J,CLINTON,SC,29325,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,36,114,52.788508772,8.32,6.0510526316,6.0510526316
1053396358,HAGENBUCH,MICHELLE,L,M.D.,F,I,500 PLAZA CIRCLE,SUITE J,CLINTON,SC,29325,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,14.31625,3.38,2.484375,2.484375
1053396358,HAGENBUCH,MICHELLE,L,M.D.,F,I,500 PLAZA CIRCLE,SUITE J,CLINTON,SC,29325,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,24,11.619583333,1.42,1.0675,1.0675
1053396358,HAGENBUCH,MICHELLE,L,M.D.,F,I,500 PLAZA CIRCLE,SUITE J,CLINTON,SC,29325,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,95,17,13.33,13.4875
1053396358,HAGENBUCH,MICHELLE,L,M.D.,F,I,500 PLAZA CIRCLE,SUITE J,CLINTON,SC,29325,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,31.411333333,4.62,2.896,3.024
1053396358,HAGENBUCH,MICHELLE,L,M.D.,F,I,500 PLAZA CIRCLE,SUITE J,CLINTON,SC,29325,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,495,71,55.66,54.9625
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,34,81,250,56.8584,8.32,5.97348,5.97348
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.287777778,3.38,2.3555555556,2.3555555556
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,20,44,76,15.001315789,1.42,1.0273684211,1.0273684211
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,268.48833333,54.47,39.150833333,39.291666667
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,15,79,8.7494936709,2.2340506329,1.497721519,1.3513924051
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,28,588,19.421037415,13.127619048,10.292057823,10.292057823
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,332,567.2439759,326.74493976,256.16822289,256.16822289
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,332,125,9.3478915663,7.3283433735,7.3283433735
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,332,175,29.213253012,22.903253012,22.903253012
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,12.420833333,12.4025
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,188,83.204545455,57.773636364,57.773636364
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.23,50.471666667,50.16
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,3424,0.1760747664,0.0463522196,0.0331103972,0.0331103972
1053396390,WHITNEY,WILLIAM,P,MD,M,I,3369 COLONIAL AVE SW,,ROANOKE,VA,240183739,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,105.6,33,24.145333333,24.145333333
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,35,78,241,70.394896266,8.32,5.8188381743,5.8188381743
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,30,51,14.914117647,1.42,1.0278431373,1.0278431373
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,185.72,50.046363636,36.170909091,28.799090909
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,26,60,7.988,1.9103333333,1.4583333333,1.1356666667
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,461.90125,122.2575,95.84875,70.45125
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,47,169.01021277,46.177021277,36.202765957,26.89893617
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,19,113,13.001150442,3.0033628319,2.3551327434,1.6643362832
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5670,0.728,0.379047619,0.2865978836,0.2411693122
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,270,82.92,61.135454545,44.443636364
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,52,80.649230769,21.704038462,16.727307692,14.249423077
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,56,63,50.73,6.7476190476,5.04,3.7711111111
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,67,74,474.5727027,94.862567568,72.822162162,58.319459459
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,112.84,37.44,27.533333333,27.665833333
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,930,15.963494624,9.6611290323,7.4360645161,7.4360645161
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,47,15167,0.2220373179,0.0464191996,0.0327144458,0.0327144458
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,26,3239,1.7693362149,0.1369589379,0.0840382834,0.0840382834
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1230,12.901300813,2.9828536585,2.3385853659,2.3385853659
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,46,2355,0.9301146497,0.2189341826,0.1553036093,0.1553036093
1053396432,HOOD,MICHAEL,T,MD,M,I,407 4TH ST,,NEWPORT,TN,378213755,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,16,74,74,120.48648649,33,24.258648649,24.258648649
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,47,62.662340426,17.337234043,12.695106383,12.666382979
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,232.35,54.687647059,37.747647059,36.891176471
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,23,23,232.35,54.333478261,37.512173913,33.302173913
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,34.723333333,34.494166667
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.31,2.535,2.535
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,104,104,449.21076923,76.053076923,52.161826923,48.172788462
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,97.857142857,41.586428571,25.912142857,23.444285714
1053396481,CHIN,ROBERT,,MD,M,I,3001 LYNDHURST AVE,,WINSTON SALEM,NC,271034007,US,Internal Medicine,T,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,142.31428571,38.550714286,27.950238095,27.409285714
1053396499,ADAIR,NORMAN,E,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,62.052380952,19.89,14.905714286,12.846666667
1053396499,ADAIR,NORMAN,E,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,495.53631579,79.109736842,56.029210526,48.916315789
1053396499,ADAIR,NORMAN,E,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,37.44,29.35,29.496666667
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,67,177,460,61.946608696,8.32,6.0445217391,6.0445217391
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,15,29,30,12.848333333,3.38,2.65,2.65
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,13,16,16,17.85625,2.12,1.67,1.67
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,28,43,97,140,14.997214286,1.42,1.0350714286,1.0350714286
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,28,81.462857143,18.292857143,14.021071429,13.429642857
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,29,416.29793103,83.508965517,65.469655172,56.723103448
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,33,4760,0.2608172269,0.0461218487,0.0355630252,0.0355630252
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,300,10.3453,2.8492666667,2.1097333333,2.1097333333
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,659.93,131.93181818,103.43272727,95.193636364
1053396523,PELZ,FREDERICK,R,MD,M,I,7205 WOLF RIVER BLVD,SUITE 100,GERMANTOWN,TN,381381758,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,82.5,33,25.007666667,25.007666667
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,30,1.24,0.51,0.4,0.4
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,51,202,51.869059406,8.32,6.2644059406,6.2644059406
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,29,29,14.88,3.38,2.65,2.65
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,28.18,2.12,1.67,1.67
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,33,68,17.319264706,1.42,1.0788235294,1.0788235294
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,55.885714286,55.885714286,43.817142857,40.487857143
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1137,3.6719613017,0.0690677221,0.0417766051,0.0417766051
1053396549,MACWILLIAMS,GRISEL,,M.D.,F,I,810 E 39TH PL,,HIALEAH,FL,330132863,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,19,19,33,33,23.146842105,23.146842105
1053396606,WILLIAMS,BRYANT,F,M.D.,M,I,1118 ROSS CLARK CR,SUITE 500,DOTHAN,AL,363013030,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,2220,0.3348648649,0.13,0.0895315315,0.0895315315
1053396606,WILLIAMS,BRYANT,F,M.D.,M,I,1118 ROSS CLARK CR,SUITE 500,DOTHAN,AL,363013030,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,17,81,13010,4.8670445811,2.0394465796,1.5569169869,1.5573504996
1053396606,WILLIAMS,BRYANT,F,M.D.,M,I,1118 ROSS CLARK CR,SUITE 500,DOTHAN,AL,363013030,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1440,9.82,6.42,4.9678541667,5.5499722222
1053396606,WILLIAMS,BRYANT,F,M.D.,M,I,1118 ROSS CLARK CR,SUITE 500,DOTHAN,AL,363013030,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,33,20.157878788,10.93,8.57,8.57
1053396606,WILLIAMS,BRYANT,F,M.D.,M,I,1118 ROSS CLARK CR,SUITE 500,DOTHAN,AL,363013030,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,2.58,1.8,1.41,1.41
1053396655,COOPER,MICHAEL,,MD,M,I,500 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Undefined Physician type[6],S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,26,335,27.42,24.38,18.865462687,18.925791045
1053396655,COOPER,MICHAEL,,MD,M,I,500 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Undefined Physician type[6],S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,27,235,8.75,7.68,5.7649361702,6.0730638298
1053396655,COOPER,MICHAEL,,MD,M,I,500 SEAVIEW AVE,,STATEN ISLAND,NY,103053436,US,Physician/Undefined Physician type[6],S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,1823.142963,584.56555556,458.29740741,445.87814815
1053396713,SAGLIMBENE,RICHARD,G,DPM PC,M,I,1163 HIGHWAY 37 SUITE B2,,TOMS RIVER,NJ,087554974,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,28,28,56,71.483214286,70.461071429,55.24,56.100892857
1053396713,SAGLIMBENE,RICHARD,G,DPM PC,M,I,1163 HIGHWAY 37 SUITE B2,,TOMS RIVER,NJ,087554974,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,150,43.1088,43.1088,33.796466667,34.15
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,36,102,69.384019608,8.32,5.5631372549,5.5631372549
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,20,16.5555,1.42,0.95,0.95
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,173.04466667,57.252,41.744666667,41.71
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,60.054545455,14.429090909,9.9609090909,8.8927272727
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,72,7.8501388889,2.2266666667,1.6736111111,1.6058333333
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,27,66.533333333,17.318148148,12.143333333,12.542222222
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,27,355.55555556,77.18,58.268888889,53.551111111
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,6714,0.3336044087,0.0462257968,0.0321537087,0.0321537087
1053396812,STOKES,JOSEPH,D,M.D.,M,I,1193 NORTON AVE,SUITE A.,NORTON,OH,442039516,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,20.326428571,20.326428571
1053396994,STEA,SAM,F,MD,M,I,1660 SYCAMORE RD,SUITE C,MONTOURSVILLE,PA,177549314,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,1.6998333333,0.48575,0.3592638889,0.3592638889
1053396994,STEA,SAM,F,MD,M,I,1660 SYCAMORE RD,SUITE C,MONTOURSVILLE,PA,177549314,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,15,19,172,12465,3.7739574809,0.5691528279,0.428055355,0.428055355
1053396994,STEA,SAM,F,MD,M,I,1660 SYCAMORE RD,SUITE C,MONTOURSVILLE,PA,177549314,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,4800,0.06795,0.01309375,0.0102729167,0.0102729167
1053396994,STEA,SAM,F,MD,M,I,1660 SYCAMORE RD,SUITE C,MONTOURSVILLE,PA,177549314,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,16,122,13524,2.6552728483,1.1465047323,0.8665269151,0.8665261757
1053396994,STEA,SAM,F,MD,M,I,1660 SYCAMORE RD,SUITE C,MONTOURSVILLE,PA,177549314,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1440,4.0855416667,2.8095833333,2.1970347222,2.1970347222
1053396994,STEA,SAM,F,MD,M,I,1660 SYCAMORE RD,SUITE C,MONTOURSVILLE,PA,177549314,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,21,179,179,24,24,17.768603352,17.768603352
1053396994,STEA,SAM,F,MD,M,I,1660 SYCAMORE RD,SUITE C,MONTOURSVILLE,PA,177549314,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,18,170,184,16,16,12.267391304,12.267391304
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,51,151,62.756225166,8.32,6.1771523179,6.1771523179
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.218571429,3.38,2.65,2.65
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,44,13.469772727,1.42,1.0629545455,1.0629545455
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,46,9.8202173913,2.0613043478,1.3397826087,1.3276086957
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,6045,3.346,0.31,0.2304416873,0.2304416873
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,34,86.31,17.27,13.54,13.54
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,16,16,241.06,47.37,32.4975,32.88125
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,31,519.51,69.81,54.73,54.73
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,3926,0.4468262863,0.0460443199,0.0337620988,0.0337620988
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2579,1.2735284994,0.1356339667,0.0958239628,0.0958239628
1053397018,AHMAD,AHMAD,H,M.D.,M,I,1770 E LAKE SHORE DR,SUITE 201,DECATUR,IL,625213832,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,49,49,77.448979592,33,23.758163265,23.758163265
1053397265,WOOD,DALE,A,M.D.,M,I,341 E HILDEBRAND AVE,,SAN ANTONIO,TX,782122412,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,34.688333333,3.8875,3.0425,3.66
1053397265,WOOD,DALE,A,M.D.,M,I,341 E HILDEBRAND AVE,,SAN ANTONIO,TX,782122412,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,9.1888939394,3.1031818182,2.2549090909,2.2549090909
1053397265,WOOD,DALE,A,M.D.,M,I,341 E HILDEBRAND AVE,,SAN ANTONIO,TX,782122412,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,25.87,25.87
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,220,7,7,5.488,5.488
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.5,4.03,3.1595,3.1595
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,93.468333333,39.59,31.04,30.49
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,370,6.8824324324,5.23,4.1003243243,4.1003243243
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1050,0.2285714286,0.13,0.1019142857,0.1019142857
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,314.06555556,86.5,63.915,63.934444444
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,50,132.682,32.2,21.4844,22.1414
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,145.48923077,52.26,34.666923077,36.627692308
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,58.638,17.24,12.609333333,13.132
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,56.495555556,12.34,8.7177777778,8.2288888889
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,31,186,7.8661290323,2.1,1.5404301075,1.4907526882
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,22.619166667,5.92,4.2625,4.2725
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,63,77.403333333,16.04,12.170952381,13.138888889
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,3500,1074.31,832.69533333,832.69533333
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,64,69,41.702463768,4.46,3.1952173913,3.337826087
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,185.6625,30.132857143,20.972142857,21.565357143
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,113.08,46.102941176,33.608235294,34.86
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,81,92,427.7726087,72.563043478,54.783586957,52.713913043
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,18,246.94444444,36.3,28.46,29.393333333
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,20,4381,0.3038849578,0.0462816709,0.034190824,0.034190824
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,67.1975,17.065,13.38,15.275
1053397356,CURRERI,PETER,A,DO,M,I,124 LEXINGTON AVE,,MERCHANTVILLE,NJ,081092031,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,19,19,95.526315789,33,25.87,25.87
1053397398,WEHBIE,CHARLES,S,MD,M,I,2417 ATRIUM DR,SUITE 250,RALEIGH,NC,276076673,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,23,67,72.740298507,8.32,6.1329850746,6.1329850746
1053397398,WEHBIE,CHARLES,S,MD,M,I,2417 ATRIUM DR,SUITE 250,RALEIGH,NC,276076673,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,242.34727273,31.86,24.98,23.38
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,15,182,44.688186813,19.621428571,15.382857143,15.382857143
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,390,5.4170769231,2.6307692308,2.0624615385,2.0624615385
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,54,213,67.415117371,8.32,5.8384037559,5.8384037559
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,13.314285714,3.38,2.65,2.65
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,24,10.288333333,1.42,0.9316666667,0.9316666667
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.4025
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,75.474166667,50.169166667
1053397505,SCHEERER,DANIEL,,M.D.,M,I,1210 ASHLAND AVE,,ZANESVILLE,OH,437012806,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,383.125,251.11,196.87,196.87
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,35,155,155,97.324580645,17.909290323,13.312645161,12.868
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,42.966774194,4.2309677419,3.1896774194,3.7032258065
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,42,245,245,321.96244898,76.816,57.20044898,52.383102041
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,64,126.28125,36.806875,28.406875,29.0428125
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.3526111111,7.3526111111
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,16,7580,0.2882546174,0.045005277,0.0338364116,0.0338337731
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,57,7268,1.6961117226,0.1359218492,0.1047771051,0.1047771051
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1560,12.86,2.9945,2.3477115385,2.3477115385
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,639,0.653943662,0.2185602504,0.1713928013,0.1713928013
1053397513,TEPELI,AGOP,,MD,M,I,17850 SOUTH KEDZIE AVENUE,SUITE 3300,HAZEL CREST,IL,60429,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,19,73,74,88.480540541,33,25.389324324,25.389324324
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,22,65,129,8.19,1.4389147287,1.1068217054,1.1289147287
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,23,28,28,80.8325,13.2925,10.036071429,8.8525
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,74,76,78.596842105,20.680789474,15.679342105,15.230131579
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,108.74333333,50,36.586666667,35.121333333
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1074.31,842.26,842.26
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,3888.9666667,1074.31,723.71666667,723.71666667
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,1616.4162963,1008.2025926,782.69259259,782.69259259
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,13,99,99,48.507777778,5.4260606061,3.9074747475,3.2731313131
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,26,217,220,491.98827273,77.285863636,57.634590909,52.263772727
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,228.6525,35.8125,27.50625,28.9475
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1560,19.181326923,9.6285769231,7.4568397436,7.4568397436
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,63,3720,15.292865591,11.299040323,8.8199193548,8.8199193548
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,16,94,15735,0.2097267239,0.0464804576,0.0351986018,0.0351986018
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,75,8850,1.0099254237,0.1333050847,0.1017389831,0.1017389831
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,18,116,6585,12.306349279,3.0005148064,2.3313272589,2.3313272589
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1140,1.0355,0.2191842105,0.1718421053,0.1718421053
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,18.750909091,14.701818182,13.496363636
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,75,35.993333333,25.7775,26.889166667
1053397562,PATEL,NILESH,V,M.D.,M,I,611 MOCKSVILLE AVE,,SALISBURY,NC,281442705,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,34,224,224,116.70535714,33,25.400848214,25.400848214
1053397570,FISHER,PATRICIA,L,M.D.,F,I,617 RIVERSIDE AVE,,BURLINGTON,VT,054011601,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,21.6,4.5127272727,3.5345454545,3.4818181818
1053397794,CEESAY,KARAMBA,J,M.D.,M,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,51.81,17,12.724090909,12.917272727
1053397794,CEESAY,KARAMBA,J,M.D.,M,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,317.44,77.18,58.6190625,53.371875
1053397828,CONNOR,BARBARA,A,MD,F,I,215 W THOMAS ST,,ROME,NY,13440,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,17,69.421176471,8.32,6.14,6.14
1053397828,CONNOR,BARBARA,A,MD,F,I,215 W THOMAS ST,,ROME,NY,13440,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225,75.748333333,50.929166667,50.929166667
1053397851,CUDECKI,JOHN,J,MD,M,I,2850 S WABASH AVE,SUITE 106,CHICAGO,IL,606162955,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,3.25,2.27,1.7797142857,1.7797142857
1053397851,CUDECKI,JOHN,J,MD,M,I,2850 S WABASH AVE,SUITE 106,CHICAGO,IL,606162955,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,40,12.02175,7.46,5.84925,5.84925
1053398008,NORAN JAEGER,CARRIE,,,F,I,3800 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.5,9.775,7.6633333333,7.98
1053398008,NORAN JAEGER,CARRIE,,,F,I,3800 PARK NICOLLET BLVD,,ST LOUIS PARK,MN,554162527,US,Physician/Physical Medicine and Rehabilitation,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,525.23,142.125,103.43666667,97.601666667
1053398032,STUART,WILLIAM,,,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,960,6.8639375,2.55925,1.21578125,1.6685729167
1053398032,STUART,WILLIAM,,,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,2.0771666667,0.7405,0.5524236111,0.5524236111
1053398032,STUART,WILLIAM,,,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,7920,1.740885101,0.8083737374,0.5352247475,0.5535012626
1053398032,STUART,WILLIAM,,,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,17.934117647,17.934117647
1053398032,STUART,WILLIAM,,,M,I,3931 LOUISIANA AVE S,,ST LOUIS PARK,MN,554265000,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,23,16,16,12.541304348,12.541304348
1053398065,FUKSINA,NATASHA,A,M.D.,F,I,550 BLOOMFIELD AVE,,NEWARK,NJ,071071338,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,30,50,73.0392,8.32,6.5238,6.5238
1053398107,ENGBLOM,JAMES,A,DPM,M,I,90 VERMONT AVE,SUITE 300,OAK RIDGE,TN,378306474,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,39,39,319.53846154,263.98051282,199.76769231,210.5025641
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,18,710,7.3888732394,3.65,2.7714507042,2.9508873239
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,50,9.2608,4.1,3.0846,3.0846
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,16,46,1520,8.3283947368,5.7353947368,4.4965131579,4.4980592105
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,410,8.9165853659,4.91,3.8494878049,3.8494878049
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,30,978,3.9342842536,2.8836400818,2.1674437628,2.1881186094
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,15,37,300,11.574633333,6.4064333333,4.7867,4.8129333333
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,12,38,1190,16.868882353,9.86,7.5003361345,7.5003361345
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,12,25,880,11.135556818,6.9884090909,5.1589886364,5.161125
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,3330,2.5843243243,1.9496396396,1.5001171171,1.5003993994
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,26,830,7.0659156627,4.03,2.986686747,2.986686747
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,25,1940,0.398556701,0.27,0.2116546392,0.2116546392
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,35,1500,4.0687,3.0394,2.2650866667,2.2655533333
1053398123,DELLE DONNE,EDWARD,P,MD,M,I,621 MEMORIAL DR,,SOUTH BEND,IN,466011064,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,17,42,2275,0.4682461538,0.2406593407,0.1886549451,0.208821978
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,401.8975,90,50.359375,48.48875
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,40,155.155,34,21.10975,20.44475
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,66.145333333,18,13.169333333,13.126
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,78.981818182,12.08,8.6090909091,8.3227272727
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,90,8.2726666667,2,1.5334444444,1.5554444444
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,32,17.51,17.51,13.1565625,12.97875
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,101.2512,31.2,23.52,23.3976
1053398131,ROBINSON,MARK,O,D.O.,M,I,9480 BRIAR VILLAGE PT STE 200,,COLORADO SPRINGS,CO,809207923,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,55,263.67872727,79.8,55.068363636,49.373818182
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,48,135,309,69.236634304,8.32,5.996828479,5.996828479
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,43,61,17.135245902,1.42,1.08,1.08
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,31,31,168.68225806,48.722580645,36.022580645,28.522903226
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,21,47,47,446.14,123.2112766,92.310851064,64.769574468
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,20,49,117,173.43094017,46.666410256,34.587179487,24.76017094
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,29,171,96.055964912,25.329181287,18.567017544,13.363391813
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,63,74.529047619,20.47984127,15.63952381,11.516031746
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,14,42,42,285.46571429,75.026190476,55.453571429,39.798571429
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,35,54,54,83.456481481,24.07537037,18.293148148,13.674259259
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,23,50,50,87.93,20.881,15.967,8.978
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,37,93,469,12.291918977,3.0991897655,2.398891258,1.5819189765
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,22,22,30.421363636,8.075,6.335,4.7859090909
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,26,33,33,52.325757576,15.861818182,12.431212121,10.423030303
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,73.561428571,22.97,18.006666667,14.103333333
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,632.43,131.1212,102.7976,66.4224
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,12,64,65,81.064307692,19.059384615,14.765230769,10.270153846
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,75,75,217.3772,55.113466667,40.633066667,24.939733333
1053398149,CHURCH,SAMUEL,L,MD,M,I,85 SEASONS LANE,,HIAWASSEE,GA,305463217,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,466.9452,101.5632,78.8964,57.2392
1053398180,BEASLEY,BYRON,T,MD,M,I,250 S CRESCENT DR,,MASON CITY,IA,504012926,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,204.09090909,105.01636364,76.901818182,49.754545455
1053398404,SCHRADER,MICHAEL,K,M.D.,M,I,6020 W PARKER RD,#420,PLANO,TX,75093,US,Physician/Internal Medicine,S,E0500,"Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,142.61,123.53,88.77,88.77
1053398404,SCHRADER,MICHAEL,K,M.D.,M,I,6020 W PARKER RD,#420,PLANO,TX,75093,US,Physician/Internal Medicine,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,47,47,47,1481,1001.6346809,781.80957447,774.31851064
1053398404,SCHRADER,MICHAEL,K,M.D.,M,I,6020 W PARKER RD,#420,PLANO,TX,75093,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,17,17,1295,875.48,681.81117647,673.64176471
1053398461,SCHWARZ,ERIC,,DO,M,I,726 YORKLYN RD,SUITE 100,HOCKESSIN,DE,197078744,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,42,177,65.764067797,8.32,5.5306214689,5.5306214689
1053398461,SCHWARZ,ERIC,,DO,M,I,726 YORKLYN RD,SUITE 100,HOCKESSIN,DE,197078744,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,34,12.463529412,1.42,0.9494117647,0.9494117647
1053398461,SCHWARZ,ERIC,,DO,M,I,726 YORKLYN RD,SUITE 100,HOCKESSIN,DE,197078744,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,212.55727273,51.64,39.339090909,41.501818182
1053398461,SCHWARZ,ERIC,,DO,M,I,726 YORKLYN RD,SUITE 100,HOCKESSIN,DE,197078744,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,68.778461538,12,8.6861538462,8.4407692308
1053398461,SCHWARZ,ERIC,,DO,M,I,726 YORKLYN RD,SUITE 100,HOCKESSIN,DE,197078744,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,114,8.4131578947,2.0031578947,1.488245614,1.5083333333
1053398511,RADOFF,RUSSELL,N,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,72,64.335833333,8.32,6.3411111111,6.3411111111
1053398511,RADOFF,RUSSELL,N,MD,M,I,1701 SUNSET BLVD,,HOUSTON,TX,770051713,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,60,32.988571429,23.619285714,23.377142857
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,50,72.0918,8.32,5.9986,5.9986
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,16.847142857,1.42,0.96,0.96
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,20,6.81,6.34,4.97,5.8455
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,32,32,76.55375,49.5771875,35.706875,28.003125
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,251.55,124.26,84.808571429,55.925
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,30,83.885666667,47.013333333,35.903666667,25.054
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,23,129,52.864186047,26.245813953,19.40496124,13.795348837
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,167.25652174,76.518695652,51.79173913,36.519565217
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,20,20,51.5065,25.526,16.892,11.248
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,42,232,6.9378448276,3.1512068966,2.4096982759,1.5731034483
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15.95,9.7630769231,7.6530769231,4.9392307692
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,1230.2278261,919.5873913,714.71695652,836.01391304
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,295.09,126.5,99.174545455,67.093636364
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,60,14.76625,7.9575,7.205
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,121.15,46.924222222,30.693777778,19.064222222
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,446.925,96.02375,62.581875,42.973125
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,5020,0.2978486056,0.0461553785,0.0321553785,0.0321553785
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,2.1665,0.1345,0.097875,0.097875
1053398578,MARCIANO,PATRICIA,N,M.D.,F,I,623 S MAIN ST,,MOSCOW,ID,838432983,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,53.482758621,33,24.085862069,24.085862069
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,33,86,202,66.173366337,8.32,5.1438613861,5.1438613861
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,15,3.38,2.4090909091,2.4090909091
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,23,61,82,18.835487805,1.42,0.9802439024,0.9802439024
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,48,50,201.1308,48.5862,37.4252,38.801
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,11.661622222,2.9302666667,2.1379333333,2.1379333333
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,56,16.37,12.835,15.275
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,25,7.478,5.864,7.1606666667
1053398602,SGAMBATI,THEODORE,P,M.D.,M,I,2 SEARS DR,FLOOR 2,PARAMUS,NJ,076523539,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,25.87,25.87
1053398669,BOTT KITSLAAR,DALENE,M,NP,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,17,1120,0.1450446429,0.1297767857,0.1017857143,0.1019553571
1053398669,BOTT KITSLAAR,DALENE,M,NP,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,554,0.5086642599,0.5032310469,0.3945848375,1.3944765343
1053398768,BURKY,ROBERT,E,MD,M,I,470 PLUMAS BLVD,SUITE 201,YUBA CITY,CA,959915077,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,143.56,143.56,112.49916667,102.44833333
1053398768,BURKY,ROBERT,E,MD,M,I,470 PLUMAS BLVD,SUITE 201,YUBA CITY,CA,959915077,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,995,658.83,516.52,483.01333333
1053398768,BURKY,ROBERT,E,MD,M,I,470 PLUMAS BLVD,SUITE 201,YUBA CITY,CA,959915077,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,71.075833333,70.94,51.0325,43.251666667
1053398792,FISHER-GLOVER,ODETTE,D,FNP,F,I,3700 FOREST DR STE 200,,COLUMBIA,SC,292044010,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,30,72.263,8.32,5.6516666667,5.6516666667
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,31,109,205,74.838,8.32,5.3648780488,5.3648780488
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,18,21.692777778,1.42,0.9933333333,0.9933333333
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,25,11,10.27,8.0528,8.5728
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,195,11.170358974,9.86,7.2528205128,7.2528205128
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,23,23,238.90782609,99.236956522,65.640434783,59.700869565
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,11,19,34,102.64705882,36.753529412,24.911764706,22.096470588
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,28,124,62.636774194,21.765725806,16.222177419,14.163145161
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,15,47,47.352340426,20.006808511,13.646808511,10.195106383
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,36,36,175.60138889,66.524166667,44.748055556,37.245277778
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,27,40,40,53.345,22.2005,15.1155,12.74075
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,22,51,51,55.946862745,15.647843137,10.990784314,8.5905882353
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,24,60,279,7.3491397849,2.54,1.6756989247,1.3622222222
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,23,35,35,19.256285714,7.4608571429,5.0502857143,4.2145714286
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,18,25,25,33.4196,14.8552,10.7428,9.9544
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,7.37,5.7780645161,4.6701612903
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5350,6.4074392523,0.8476485981,0.664553271,0.559611215
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,29,69.012413793,22.494482759,16.294482759,13.164827586
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,337.69230769,97.141538462,70.94,61.502307692
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,41.9136,7.5668,5.9316,3.7832
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,137.4875,36.775625,23.3396875,19.48875
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,91,93,375.7,93.455913978,68.43688172,52.893225806
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,4.4967222222,1.26075,0.9883958333,0.9883958333
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,2724,0.430201909,0.047298091,0.034232746,0.034232746
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,3060,2.1889183007,0.1357352941,0.091875817,0.091875817
1053398800,SCURR,STEVEN,T,D.O.,M,I,105 N CHURCH ST,,CONRAD,IA,506217714,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,34,34,35.911764706,33,22.065588235,22.065588235
1053398925,WEINSTEIN,JEFFREY,R,MD,M,I,64 JEFFERSON ST,SUITE 2,MONTICELLO,NY,127011148,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,20,73.1615,8.32,3.914,3.914
1053398933,FORD,DONALD,R,MD,M,I,600 N COLLEGE AVE,SUITE 120,GENESEO,IL,612541091,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,100,4.5914285714,3.2119047619,3.0580952381
1053398974,VESELY,SHERRI,L,ARNP,F,I,402 SIEGEL ST,,TAMA,IA,523392302,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,53,102.21830189,8.32,5.5379245283,5.5379245283
1053398974,VESELY,SHERRI,L,ARNP,F,I,402 SIEGEL ST,,TAMA,IA,523392302,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,38,75.234736842,21.667631579,15.991578947,12.776052632
1053398974,VESELY,SHERRI,L,ARNP,F,I,402 SIEGEL ST,,TAMA,IA,523392302,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,64,387.8721875,98.67765625,71.48296875,49.87671875
1053398974,VESELY,SHERRI,L,ARNP,F,I,402 SIEGEL ST,,TAMA,IA,523392302,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,29.515833333
1053398974,VESELY,SHERRI,L,ARNP,F,I,402 SIEGEL ST,,TAMA,IA,523392302,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,2940,1.7600102041,0.1320612245,0.099829932,0.099829932
1053398974,VESELY,SHERRI,L,ARNP,F,I,402 SIEGEL ST,,TAMA,IA,523392302,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,33,33,22.826470588,22.826470588
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,32,68,227,63.807665198,8.32,6.1386784141,6.1386784141
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,43,67,15.633731343,1.42,1.0494029851,1.0494029851
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,297.66666667,86.654666667,63.398,63.326
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,32,107.34375,32.93625,23.4140625,23.4625
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,14,19,19,182.63157895,55.4,36.572631579,36.122631579
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,23,28,28,71.685,17.915,12.420714286,12.440357143
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,28,37,37,62.939459459,11.055675676,8.1835135135,8.6032432432
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,32,178,8.3141011236,1.9743820225,1.4951685393,1.5361235955
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,20,22,22,21.264545455,5.7895454545,4.1331818182,4.2445454545
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,31,13.181818182,8.1663636364,8.1836363636
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,41.181818182,4.31,2.7654545455,2.7654545455
1053398982,GRAY,MATTHEW,N,MD,M,I,1030 5TH AVE SE,SUITE 1400,CEDAR RAPIDS,IA,524032464,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,13,85,85,184.85741176,32.383411765,23.264117647,23.357882353
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,93,257,70.290311284,8.32,5.3455252918,5.3455252918
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,42,72,14.675,1.42,0.9141666667,0.9141666667
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,21,21,165.08761905,48.777142857,30.354285714,24.362857143
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,19,39,8.19,2.0505128205,1.4758974359,1.0676923077
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,485.89538462,126.42692308,93.32,65.403846154
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,43,174.37116279,46.769767442,36.66744186,26.267209302
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,278.43846154,67.305384615,47.710769231,40.1
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,17,17,85.950588235,23.105294118,17.195882353,13.66
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,11,25,121,13.489586777,2.7938842975,2.1614049587,1.6352066116
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,53.903333333,14.959166667,11.724166667,10.796666667
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,75.433846154,14.500769231,11.365384615,9.6353846154
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,25,343.4912,67.1448,52.6424,42.302
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,53,86.31,22.556603774,16.275283019,13.163018868
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,50.73,8.5947058824,6.7382352941,4.3905882353
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,272.79,56.842727273,40.092727273,30.4
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,68,74,519.51,103.2227027,75.763648649,53.736486486
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,250,45.25125,35.479375,29.516875
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,3433,0.1904223711,0.0467142441,0.0293766385,0.0293766385
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,54,6690,1.1311106129,0.1353497758,0.1004125561,0.1004125561
1053399048,BADGER,MICHAEL,A,M.D.,M,I,3073 WHITE MOUNTAIN HWY,,NORTH CONWAY,NH,038605111,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,67,67,113.37313433,33,24.112985075,24.112985075
1053399071,MATHER,BRUCE,S,M.D.,M,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,24,63,228,60.625964912,8.32,6.2934649123,6.2934649123
1053399071,MATHER,BRUCE,S,M.D.,M,I,123 PROFESSIONAL PARK DR STE 200,,MOORESVILLE,NC,28117,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,26,32,17.11125,1.42,1.118125,1.118125
1053399220,KOEHL,MARK,T,M.D.,M,I,8765 LEWIS AVE,,TEMPERANCE,MI,481829583,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,25,72,166,50.731084337,8.32,5.658253012,5.658253012
1053399220,KOEHL,MARK,T,M.D.,M,I,8765 LEWIS AVE,,TEMPERANCE,MI,481829583,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,16.090909091,3.38,2.1681818182,2.1681818182
1053399220,KOEHL,MARK,T,M.D.,M,I,8765 LEWIS AVE,,TEMPERANCE,MI,481829583,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,21,44,62,14.782096774,1.42,0.9187096774,0.9187096774
1053399220,KOEHL,MARK,T,M.D.,M,I,8765 LEWIS AVE,,TEMPERANCE,MI,481829583,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,420,5.34,2.27,1.7797142857,1.7797142857
1053399220,KOEHL,MARK,T,M.D.,M,I,8765 LEWIS AVE,,TEMPERANCE,MI,481829583,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,365,47,5.31,4.1629041096,4.1629041096
1053399220,KOEHL,MARK,T,M.D.,M,I,8765 LEWIS AVE,,TEMPERANCE,MI,481829583,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,3977,0.5907694242,0.31,0.2430198642,0.2430198642
1053399220,KOEHL,MARK,T,M.D.,M,I,8765 LEWIS AVE,,TEMPERANCE,MI,481829583,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,519.51,70.024666667,54.898,54.742
1053399261,SEVIER,WAYNE,H,D.O.,M,I,7689 SAGAMORE HILLS BLVD,,SAGAMORE HILLS,OH,440672960,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,52,117,64.666752137,8.32,5.9641880342,5.9641880342
1053399261,SEVIER,WAYNE,H,D.O.,M,I,7689 SAGAMORE HILLS BLVD,,SAGAMORE HILLS,OH,440672960,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,24,25,14.1876,1.42,1.0296,1.0296
1053399261,SEVIER,WAYNE,H,D.O.,M,I,7689 SAGAMORE HILLS BLVD,,SAGAMORE HILLS,OH,440672960,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,619.22172414,77.519310345,50.46,45.289655172
1053399311,SPAIN,JON,B,D.O,M,I,2223 NE 28TH ST,,FORT WORTH,TX,761067478,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,49,52.290204082,8.32,6.5230612245,6.5230612245
1053399311,SPAIN,JON,B,D.O,M,I,2223 NE 28TH ST,,FORT WORTH,TX,761067478,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,15.2552,1.42,1.112,1.112
1053399337,RICHARDSON,KATRINA,D,NP,F,I,375 BRIARWOOD CIRCLE,,ANN ARBOR,MI,481081605,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,28,59.14,8.32,5.5896428571,5.5896428571
1053399584,PAPPAS,PUIFUN,L,MD,F,I,4110 RICHMOND PL,,TEXARKANA,TX,755030001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,38,64.044210526,8.32,6.1789473684,6.1789473684
1053399584,PAPPAS,PUIFUN,L,MD,F,I,4110 RICHMOND PL,,TEXARKANA,TX,755030001,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,13,74,8.0689189189,2.3954054054,1.6039189189,1.3358108108
1053399584,PAPPAS,PUIFUN,L,MD,F,I,4110 RICHMOND PL,,TEXARKANA,TX,755030001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,26,60.047692308,19.354230769,11.889615385,10.411153846
1053399584,PAPPAS,PUIFUN,L,MD,F,I,4110 RICHMOND PL,,TEXARKANA,TX,755030001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,40,343.66425,81.84925,52.0595,43.00375
1053399626,SOLTAN,ALAA-EL-DIN,,MD,M,I,1668 MULKEY RD STE 164,,AUSTELL,GA,301061143,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,35,3080,70.546818182,5.0142305195,3.838,3.8379772727
1053399626,SOLTAN,ALAA-EL-DIN,,MD,M,I,1668 MULKEY RD STE 164,,AUSTELL,GA,301061143,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,21,24,24,18.82,18.82
1053399626,SOLTAN,ALAA-EL-DIN,,MD,M,I,1668 MULKEY RD STE 164,,AUSTELL,GA,301061143,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,16,16,12.54,12.54
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,48,151,57.602582781,8.32,5.8933774834,5.8933774834
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,18,39,15.321025641,1.42,1.0564102564,1.0564102564
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,169,12.49,5.5,4.3119526627,4.1904733728
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2738,0.6,0.31,0.243046019,0.243046019
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,20,20,20,119.928,57.4905,45.072,38.083
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,43.933571429,17.138571429,13.437142857,12.05
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,11.963888889,9.3772222222,9.7705555556
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,41,43,133.31744186,52.408139535,39.415116279,38.356046512
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,31.61,19.582941176,15.350588235,13.534705882
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,190.64,88.592941176,69.162941176,54.433529412
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,4333,0.507073621,0.0456658204,0.0319732287,0.0319732287
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,17,93,97,67.69257732,19.449587629,14.323917526,13.617731959
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,160.29923077,48.623076923,34.038461538,33.966153846
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,15.26,8.2182608696,5.427826087,6.0013043478
1053399642,NAQVI,FARRUKH,Z,M.D.,M,I,4190 24TH AVE,,FORT GRATIOT,MI,480593882,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,33,33,23.134615385,23.134615385
1053399709,WEBB,BARRY,W,MD,M,I,212 W SHARON RD,,CINCINNATI,OH,452464137,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,32,71,207,65.136811594,8.32,5.900821256,5.900821256
1053399709,WEBB,BARRY,W,MD,M,I,212 W SHARON RD,,CINCINNATI,OH,452464137,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,13.838333333,3.38,2.2083333333,2.2083333333
1053399709,WEBB,BARRY,W,MD,M,I,212 W SHARON RD,,CINCINNATI,OH,452464137,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,30,45,11.763555556,1.42,1.016,1.016
1053399709,WEBB,BARRY,W,MD,M,I,212 W SHARON RD,,CINCINNATI,OH,452464137,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,151.32909091,56.63,44.109090909,42.568181818
1053399709,WEBB,BARRY,W,MD,M,I,212 W SHARON RD,,CINCINNATI,OH,452464137,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,15,79,6.5873417722,2,1.4492405063,1.4732911392
1053399824,SABIN,BRADLEY,H,MD,M,I,3290 W BIG BEAVER RD,STE 420,TROY,MI,480842903,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,32,66,251,52.249880478,8.32,6.4705577689,6.4705577689
1053399824,SABIN,BRADLEY,H,MD,M,I,3290 W BIG BEAVER RD,STE 420,TROY,MI,480842903,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.571428571,3.38,2.65,2.65
1053399824,SABIN,BRADLEY,H,MD,M,I,3290 W BIG BEAVER RD,STE 420,TROY,MI,480842903,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,38,72,13.373611111,1.42,1.0680555556,1.0680555556
1053399824,SABIN,BRADLEY,H,MD,M,I,3290 W BIG BEAVER RD,STE 420,TROY,MI,480842903,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,17.168,7,5.488,5.488
1053399824,SABIN,BRADLEY,H,MD,M,I,3290 W BIG BEAVER RD,STE 420,TROY,MI,480842903,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1380,4.4302898551,1.9491304348,1.5281521739,1.5288333333
1053399824,SABIN,BRADLEY,H,MD,M,I,3290 W BIG BEAVER RD,STE 420,TROY,MI,480842903,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,29.761538462,10.907692308,8.5492307692,8.8630769231
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,34,70,146,46.060958904,8.32,6.0308219178,6.0308219178
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,12.655714286,3.38,2.65,2.65
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,28,42,8.8957142857,1.42,1.0628571429,1.0628571429
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,35,5.9005714286,2.0851428571,1.4531428571,0.9874285714
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,42,17.177857143,3.6171428571,2.7526190476,1.7097619048
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,7.19,4.1681818182,3.2199393939,2.3198181818
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5269,0.69,0.4054545455,0.2936344657,0.2209337635
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,173.4,69.761333333,51.276666667,36.796
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,35,83.596,22.913714286,17.962571429,13.53
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1500,942.14,726.68333333,830.30416667
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,28.2865625,7.634375,5.0746875,2.850625
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,155.13,45.547272727,32.578181818,22.776363636
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,79,84,504.56857143,105.31,81.142619048,54.873333333
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,69.36826087,44.86826087,35.179130435,30.137826087
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2986,0.189909578,0.0456597455,0.0269758875,0.0269758875
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,15,50,7104,1.6741751126,0.1352266329,0.0920425113,0.0920425113
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,2.9690714286,2.2411309524,2.2411309524
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,54.125,12.361875,9.69,7.27
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,884.695,234.905,184.162,131.856
1053399873,GRIFFIN,JOHN,T,M.D.,M,I,501 S PINE ST,,DERIDDER,LA,706344939,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,13,52,52,101.53846154,33,22.3875,22.3875
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,33,80,227,74.304537445,8.32,5.5348017621,5.5348017621
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,27,49,14.715510204,1.42,0.9555102041,0.9555102041
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6,3.97,2.8830833333,2.8830833333
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,325.735,82.94,57.504166667,60.381666667
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,36,123.56638889,32.4,23.263333333,23.783611111
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,190.14090909,50,35.636363636,39.379090909
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,57.893846154,17.9,14.03,14.06
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,75.285,10.95,7.7771428571,8.315
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,23,121,9.4497520661,1.79,1.2332231405,1.4204958678
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,35,35,196.66457143,30.61,22.241714286,23.703428571
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1590,1.0709433962,0.1347735849,0.0953836478,0.0953836478
1053399980,KHAN,ABDUL,W,M.D.,M,I,1144 NORMAN DR,SUITE 205,MANTECA,CA,953365925,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,115.5,33,21.737777778,21.737777778
1053400093,COREY-BLOOM,JODY,,"MD, PHD",F,I,8950 VILLA LA JOLLA DR,C129,LA JOLLA,CA,920371714,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,145.65,46.2375,36.25,36.229166667
1053400283,EHRHART,KEVIN,M,M.D.,M,I,2020 SANTA MONICA BLVD STE 400,,SANTA MONICA,CA,904042139,US,Physician/Orthopedic Surgery,S,E0100,"Cane, includes canes of all materials, adjustable or fixed, with tip",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,29.435,22.351666667,17.521666667,18.377222222
1053400283,EHRHART,KEVIN,M,M.D.,M,I,2020 SANTA MONICA BLVD STE 400,,SANTA MONICA,CA,904042139,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,55.428571429,49.985714286,39.195,36.991428571
1053400283,EHRHART,KEVIN,M,M.D.,M,I,2020 SANTA MONICA BLVD STE 400,,SANTA MONICA,CA,904042139,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,27,27,445,34.730449438,22.450831461,17.601348315,19.85741573
1053400283,EHRHART,KEVIN,M,M.D.,M,I,2020 SANTA MONICA BLVD STE 400,,SANTA MONICA,CA,904042139,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,54,54,788.29,659.83722222,508.56814815,475.99962963
1053400291,JOHNSON,MARY,M,MD,F,I,200 N MADISON ST,,MARSHALL,MI,490681143,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,169.85818182,55.228181818,43.300909091,43.775454545
1053400291,JOHNSON,MARY,M,MD,F,I,200 N MADISON ST,,MARSHALL,MI,490681143,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,82,82,47.778414634,17.27,12.879512195,12.879512195
1053400291,JOHNSON,MARY,M,MD,F,I,200 N MADISON ST,,MARSHALL,MI,490681143,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,47,47,19.84212766,4.7370212766,3.465106383,3.2880851064
1053400291,JOHNSON,MARY,M,MD,F,I,200 N MADISON ST,,MARSHALL,MI,490681143,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,88,88,228.81556818,69.81,52.163522727,52.163522727
1053400366,DURBHAKULA,SRIDHAR,,M.D.,M,I,10215 FERNWOOD RD,SUITE 506,BETHESDA,MD,208171106,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,54,59,147,90.350847458,68.621864407,75.165084746
1053400457,FOLSOM,AMY,M,PA,F,I,135 PLAZA DR STE 102,,SIKESTON,MO,638015148,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,50,97,42.452164948,8.32,6.0529896907,6.0529896907
1053400457,FOLSOM,AMY,M,PA,F,I,135 PLAZA DR STE 102,,SIKESTON,MO,638015148,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,28,40,14.8765,1.42,1.089,1.089
1053400457,FOLSOM,AMY,M,PA,F,I,135 PLAZA DR STE 102,,SIKESTON,MO,638015148,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,410,102.61833333,80.455,58.105
1053400457,FOLSOM,AMY,M,PA,F,I,135 PLAZA DR STE 102,,SIKESTON,MO,638015148,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.5983333333,7.37175,7.37175
1053400457,FOLSOM,AMY,M,PA,F,I,135 PLAZA DR STE 102,,SIKESTON,MO,638015148,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,3713,0.2101535147,0.0469512524,0.0322596283,0.0322596283
1053400457,FOLSOM,AMY,M,PA,F,I,135 PLAZA DR STE 102,,SIKESTON,MO,638015148,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,2.9730833333,2.3309166667,2.3309166667
1053400457,FOLSOM,AMY,M,PA,F,I,135 PLAZA DR STE 102,,SIKESTON,MO,638015148,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,66.942857143,33,24.391714286,24.391714286
1053400739,CANARY,MARCY,L,M.D.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,332.19529412,67.72,50.162352941,51.792352941
1053400804,PERKINS,CHERALYN,S,DPM,F,I,325 BLUE VALLEY DR,,BANGOR,PA,180131526,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,1160,0.2451206897,0.12,0.0940689655,0.0940689655
1053400804,PERKINS,CHERALYN,S,DPM,F,I,325 BLUE VALLEY DR,,BANGOR,PA,180131526,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,59,59,118,149.33898305,71.56,55.533898305,55.533813559
1053400804,PERKINS,CHERALYN,S,DPM,F,I,325 BLUE VALLEY DR,,BANGOR,PA,180131526,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,51,51,306,40.745098039,29.19,22.885,22.886601307
1053400879,KIM,ALLIS,,M.D.,F,I,65 FREMONT ST,,MARLBOROUGH,MA,017521271,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,28,140,138.14,108.3,102.91428571
1053401117,MORRIS,DEBRA,S,NURSE PRACTITIONER,F,I,1624 SOUTH I STREET,SUITE 102,TACOMA,WA,984055093,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,1208,34.51888245,4.0130215232,3.1462168874,3.1462168874
1053401133,RHOADES,DENNIS,W,D.O.,M,I,757 JOHNSONBURG RD,GROUND FLOOR REHAB BUILDING,SAINT MARYS,PA,158573488,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,25,4.67,3.3808333333,3.3783333333
1053401158,KATHURIA,AMITA,,MD,F,I,PO BOX 100226,,GAINESVILLE,FL,326107201,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,36,72,304,69.186776316,8.32,6.3939802632,6.3939802632
1053401158,KATHURIA,AMITA,,MD,F,I,PO BOX 100226,,GAINESVILLE,FL,326107201,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,17,32,84,12.498690476,1.42,1.086547619,1.086547619
1053401158,KATHURIA,AMITA,,MD,F,I,PO BOX 100226,,GAINESVILLE,FL,326107201,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,264.44363636,251.11,196.87,196.87
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,40,69,83.268985507,8.32,5.1056521739,5.1056521739
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,118.32545455,38.55,30.22,30.391818182
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,17,50,50,312.436,85.8432,62.6014,63.13
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,18,54,157,113.90178344,33.585859873,24.863184713,24.487961783
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,18,58,297,70.053468013,18.986700337,14.283333333,14.157340067
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,21,102,50.025980392,15.082352941,11.156176471,11.219607843
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,22,66,66,196.70484848,54.07969697,39.534090909,39.931818182
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,31,48,48,61.85375,17.934375,13.499375,13.504791667
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,29,87,87,67.250804598,11.494137931,8.8067816092,8.9037931034
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,31,90,492,9.0868699187,1.9803658537,1.516402439,1.5507113821
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,18,30,30,38.039666667,13.371666667,10.483333333,10.342666667
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,61.37,17.29,13.008,12.9896
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,12,203.91,35.515,27.845,27.44
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,74,76,411.78657895,72.181710526,52.293026316,51.559078947
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,182.62315789,36.738947368,28.800526316,29.51
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1980,1.2049292929,0.1337121212,0.1007121212,0.1007121212
1053401430,KHAN,FOZIA,M,M.D.,F,I,2991 CROUSE LN,,BURLINGTON,NC,272158833,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,107.25,33,23.714166667,23.714166667
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,67,35.066119403,8.32,6.2507462687,6.2507462687
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,23,14.855217391,1.42,1.0660869565,1.0660869565
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,70.5,28.46,22.31,22.31
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,25,26.8272,10.93,8.57,8.57
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,31.76,4.04,3.1675,3.1675
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,868,0.147235023,0.12,0.094078341,0.094078341
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,20,848,29.240188679,23.66,18.549445755,18.549445755
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,29,1026,9.9747368421,8.28,6.3517836257,6.3517836257
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,440,21.022727273,18.5,14.504,14.504
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,30,564,12.81929078,10.93,8.5690780142,8.5690780142
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,17,2240,0.5571741071,0.449625,0.3524866071,0.35278125
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,496,275,6.7725,5.0524193548,3.9066935484
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,17,8763,2.6975202556,0.3688188976,0.2877667465,0.2424512153
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,15,15,1200,80.215333333,62.890666667,50.094
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,50.12,49.98,39.19,40.14875
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,31,47.914516129,17.931290323,13.163548387,12.739354839
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,33,288.23545455,70.93,53.936969697,53.183636364
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,32,32,46.32625,18.350625,12.684375,12.8209375
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,137.79692308,23.788461538,18.651538462,21.291538462
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,32,32,19.0159375,7.884375,5.5928125,5.8928125
1053401521,KAJKENOVA,OUMITANA,,MD,F,I,1 SAINT VINCENT CIR,SUITE 210,LITTLE ROCK,AR,722055405,US,Physician/Geriatric Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,782.31,131.48833333,103.08666667,105.42166667
1053401570,RIOS-BENITEZ,MARTA,,MD,F,I,EDF PORRATA PILA,2431 BLVD LUIS A FERRER STE 302,PONCE,PR,00717,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.36,4.82,3.78,3.4690909091
1053401570,RIOS-BENITEZ,MARTA,,MD,F,I,EDF PORRATA PILA,2431 BLVD LUIS A FERRER STE 302,PONCE,PR,00717,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,38,8.5389473684,7.72,6.0521052632,5.4173684211
1053401570,RIOS-BENITEZ,MARTA,,MD,F,I,EDF PORRATA PILA,2431 BLVD LUIS A FERRER STE 302,PONCE,PR,00717,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.3836363636,6.64,5.206,4.7355454545
1053401570,RIOS-BENITEZ,MARTA,,MD,F,I,EDF PORRATA PILA,2431 BLVD LUIS A FERRER STE 302,PONCE,PR,00717,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1100,0.3190909091,0.29,0.2274,0.2188363636
1053401570,RIOS-BENITEZ,MARTA,,MD,F,I,EDF PORRATA PILA,2431 BLVD LUIS A FERRER STE 302,PONCE,PR,00717,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.0136363636,3.61,2.83,2.5864545455
1053401570,RIOS-BENITEZ,MARTA,,MD,F,I,EDF PORRATA PILA,2431 BLVD LUIS A FERRER STE 302,PONCE,PR,00717,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1100,0.1345454545,0.12,0.0941,0.1582454545
1053401570,RIOS-BENITEZ,MARTA,,MD,F,I,EDF PORRATA PILA,2431 BLVD LUIS A FERRER STE 302,PONCE,PR,00717,US,Physician/Internal Medicine,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,63.329090909,56.96,44.66,27.925454545
1053401653,LOPEZ,RUTH,,APRN,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL ADULT PRIMARY CARE,HARTFORD,CT,06102,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,28,45,59.903333333,8.32,5.9428888889,5.9428888889
1053401653,LOPEZ,RUTH,,APRN,F,I,80 SEYMOUR STREET,HARTFORD HOSPITAL ADULT PRIMARY CARE,HARTFORD,CT,06102,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,14.432307692,1.42,1.0338461538,1.0338461538
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,28,108,78.172314815,19.687037037,15.434444444,15.434444444
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,28,435,150.6,37.342022989,29.276183908,29.276183908
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,27,99.986666667,17.29,12.546296296,12.528518519
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,11,94,95,429.07231579,70.23,52.922421053,52.621789474
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,61.022608696,37.44,28.073913043,28.214782609
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,J1325,"Injection, epoprostenol, 0.5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,3996,28.212097097,15.806836837,12.392555055,12.392552553
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,392,754.55357143,568.7519898,445.51538265,445.51538265
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,1224,291.7928,223.9848,228.8232
1053401737,FAGAN,KAREN,A,MD,F,I,2451 FILLINGIM ST,MASTIN BLDG.,MOBILE,AL,366172238,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,99,33,22.174285714,22.174285714
1053401745,GUNDERSON,ELIZABETH,M,MD,F,I,1204 N VERCLER RD STE 201,,SPOKANE VALLEY,WA,992161020,US,Physician/Medical Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7619,1.0975062344,0.31,0.2430305814,0.2430305814
1053401802,TAHL,MARIANNE,,MD,F,I,2390 E FLORIDA AVE,SUITE #101,HEMET,CA,92544,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1650,0.17,0.0473636364,0.0235212121,0.0235212121
1053401802,TAHL,MARIANNE,,MD,F,I,2390 E FLORIDA AVE,SUITE #101,HEMET,CA,92544,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,16.462727273,16.462727273
1053401893,DEETS,CHERYL,L,D.O.,F,I,423 MEDICAL PARK DR,SUITE 100,LENOIR CITY,TN,377725640,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,6.09,6.09,4.7746666667,5.778
1053401893,DEETS,CHERYL,L,D.O.,F,I,423 MEDICAL PARK DR,SUITE 100,LENOIR CITY,TN,377725640,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,1023,2.42,2.42,1.897311828,2.3207526882
1053401893,DEETS,CHERYL,L,D.O.,F,I,423 MEDICAL PARK DR,SUITE 100,LENOIR CITY,TN,377725640,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,361,73.364210526,6.88,5.3192797784,4.1905817175
1053401893,DEETS,CHERYL,L,D.O.,F,I,423 MEDICAL PARK DR,SUITE 100,LENOIR CITY,TN,377725640,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,3660,1.080568306,0.3782786885,0.2923989071,0.2785027322
1053401893,DEETS,CHERYL,L,D.O.,F,I,423 MEDICAL PARK DR,SUITE 100,LENOIR CITY,TN,377725640,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,36.98,7.01,2.75,1.69
1053402073,PATEL,SUNIL,C,M.D.,M,I,6860 AUSTIN ST,SUITE 402,FOREST HILLS,NY,113754245,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,29,120,61.225416667,8.32,5.4356666667,5.4356666667
1053402073,PATEL,SUNIL,C,M.D.,M,I,6860 AUSTIN ST,SUITE 402,FOREST HILLS,NY,113754245,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,33,17.227878788,1.42,0.9793939394,0.9793939394
1053402073,PATEL,SUNIL,C,M.D.,M,I,6860 AUSTIN ST,SUITE 402,FOREST HILLS,NY,113754245,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,192,14,4.9,3.8415104167,4.104375
1053402073,PATEL,SUNIL,C,M.D.,M,I,6860 AUSTIN ST,SUITE 402,FOREST HILLS,NY,113754245,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4144,0.6613899614,0.2999276062,0.2351447876,0.2415588803
1053402164,DAVIS,THOMAS,M,MD,M,I,700 HELEN KELLER BLVD,,TUSCALOOSA,AL,354042960,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,70,71,71,80.253661972,77.711126761,60.720140845,54.469859155
1053402164,DAVIS,THOMAS,M,MD,M,I,700 HELEN KELLER BLVD,,TUSCALOOSA,AL,354042960,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,48,49,92,50.222826087,49.488043478,38.799565217,42.377608696
1053402164,DAVIS,THOMAS,M,MD,M,I,700 HELEN KELLER BLVD,,TUSCALOOSA,AL,354042960,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,48,68.677083333,67.54,50.746875,51.676666667
1053402164,DAVIS,THOMAS,M,MD,M,I,700 HELEN KELLER BLVD,,TUSCALOOSA,AL,354042960,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,69,70,138,16.641304348,16.30942029,12.616376812,13.748623188
1053402230,DECHURCH,FRANCES,E,M.D.,F,I,1750 KERNERSVILLE MEDICAL PKWY,,KERNERSVILLE,NC,272847146,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,21.538461538,4.1507692308,2.7353846154,2.86
1053402230,DECHURCH,FRANCES,E,M.D.,F,I,1750 KERNERSVILLE MEDICAL PKWY,,KERNERSVILLE,NC,272847146,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,496.57093023,70.897674419,51.741860465,50.910930233
1053402230,DECHURCH,FRANCES,E,M.D.,F,I,1750 KERNERSVILLE MEDICAL PKWY,,KERNERSVILLE,NC,272847146,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,85,37.194230769,27.875769231,28.228846154
1053402263,BROWN,THOMAS,A,M.D.,M,I,672 SILAS DEANE HWY,KATHY'S URGENT CARE OF WETHERSFIELD,WETHERSFIELD,CT,061093053,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,47.936363636,5.48,3.51,2.7654545455
1053402354,CAMPBELL,MARY,A,M.D.,F,I,11301 ASH STREET,LEAWOOD FAMILY CARE P.A.,LEAWOOD,KS,66211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,28,62,74.511290323,8.32,5.6796774194,5.6796774194
1053402479,HANNA,DALIA,,MD,F,I,213 MAIN ST,,MATAWAN,NJ,077473221,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,78,256,73.4128125,8.32,6.3362109375,6.3362109375
1053402479,HANNA,DALIA,,MD,F,I,213 MAIN ST,,MATAWAN,NJ,077473221,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,19,30,16.266333333,1.42,1.078,1.078
1053402487,OBIAS,VINCENT,J,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Colorectal Surgery (Proctology),S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,160,11.715,7.06,5.5351875,5.5351875
1053402487,OBIAS,VINCENT,J,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,264,3.7873106061,2.91,2.2814772727,2.2814772727
1053402487,OBIAS,VINCENT,J,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,280,6.6015714286,4.03,3.0768928571,3.0768928571
1053402487,OBIAS,VINCENT,J,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,1165,0.472360515,0.27,0.2025579399,0.2025579399
1053402487,OBIAS,VINCENT,J,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Colorectal Surgery (Proctology),S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,150,15.29,10.81,7.944,7.944
1053402487,OBIAS,VINCENT,J,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,925,0.6454054054,0.257027027,0.2014918919,0.2116540541
1053402610,RAHMAN,MAHFUZUR,,MD,M,I,728 GOODMAN RD E,STE 2,SOUTHAVEN,MS,386719530,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,71,60.005211268,8.32,6.5216901408,6.5216901408
1053402610,RAHMAN,MAHFUZUR,,MD,M,I,728 GOODMAN RD E,STE 2,SOUTHAVEN,MS,386719530,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,16,20.3125,1.42,1.1175,1.1175
1053402735,HENDRICKS,JENNIFER,A,FNP-BC,F,I,2200 WABASH AVE,,SPRINGFIELD,IL,627045352,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,840,1.7157142857,0.1310714286,0.083297619,0.083297619
1053402784,HUSSAIN,ARIF,,MD,M,I,1925 PACIFIC AVE,,ATLANTIC CITY,NJ,084016713,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,22,75,4.1286363636,3.0995454545,3.395
1053402784,HUSSAIN,ARIF,,MD,M,I,1925 PACIFIC AVE,,ATLANTIC CITY,NJ,084016713,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,41,393.15878049,69.069268293,51.40097561,52.060243902
1053402784,HUSSAIN,ARIF,,MD,M,I,1925 PACIFIC AVE,,ATLANTIC CITY,NJ,084016713,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,34,85,37.297647059,29.243529412,29.516176471
1053402875,BAUER,STEVEN,R,,M,I,12311 COPPER WAY,SUITE 100,CHARLOTTE,NC,282773642,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,40,45.022,8.32,3.129,3.129
1053402875,BAUER,STEVEN,R,,M,I,12311 COPPER WAY,SUITE 100,CHARLOTTE,NC,282773642,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.76,13.93,13.54
1053402875,BAUER,STEVEN,R,,M,I,12311 COPPER WAY,SUITE 100,CHARLOTTE,NC,282773642,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,70.04,54.91,54.73
1053403055,RUDAWSKI,STEPHEN,M,DO,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,23,106,77.924811321,8.32,5.4151886792,5.4151886792
1053403055,RUDAWSKI,STEPHEN,M,DO,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,5153,0.3475916942,0.0467921599,0.0312342325,0.0312342325
1053403055,RUDAWSKI,STEPHEN,M,DO,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,77,18.568571429,14.552857143,14.034285714
1053403055,RUDAWSKI,STEPHEN,M,DO,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,20.908571429,20.908571429
1053403105,ANDERSON,BRADLEY,W,MD,M,I,2169 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507059,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2124,3.9003389831,1.8166949153,1.3567372881,1.5318079096
1053403105,ANDERSON,BRADLEY,W,MD,M,I,2169 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507059,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,63,15.973333333,10.93,7.5152380952,7.5152380952
1053403105,ANDERSON,BRADLEY,W,MD,M,I,2169 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507059,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,87,10.557241379,7.3689655172,5.3789655172,5.452183908
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,52,116,64.000258621,8.32,4.9937931034,4.9937931034
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,2.4090909091,2.4090909091
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,27,35,17.811428571,1.42,1.0514285714,1.0514285714
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,149.04857143,56.26,37.808571429,36.737142857
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,12,12,45.045833333,18,11.758333333,11.716666667
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,56.74625,12,8.23375,7.98
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,69,8.3347826087,2,1.2501449275,1.2747826087
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,14,20,52.5545,13.5,10.58,10.525
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,20,243.6385,35.724,28.012,27.0955
1053403253,BROXTERMAN,STEVEN,J,MD,M,I,9119 WEST 74TH STREET,SUITE 150,SHAWNEE MISSION,KS,662042229,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,353.72083333,79.23,62.11,54.72
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,36,72.828611111,8.32,5.2530555556,5.2530555556
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,357,714,714,90.134145658,39.631190476,29.660938375,29.220056022
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,26,264,544,544,262.21112132,88.763694853,64.944411765,63.439430147
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,23,249,552,1128,102.98787234,33.443005319,24.878945035,24.626400709
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,189,401,1929,65.580953862,17.402882322,12.579533437,13.395495075
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,199,424,2051,43.322530473,14.802374451,11.093773769,11.375392491
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,403,838,838,187.39976134,54.324809069,39.328806683,39.622816229
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,556,760,760,56.576763158,18.072828947,13.256592105,13.170947368
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,32,42,42,23.423809524,10.227142857,7.3097619048,7.4007142857
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,25,270,591,591,66.066565144,12.137005076,8.5446700508,8.1749238579
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,31,626,1487,7467,7.0867229142,2.0382643632,1.5013619928,1.4970912013
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,204,277,277,18.833935018,6.1044404332,4.4301805054,4.3031046931
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,27,407,552,552,30.234166667,13.083315217,9.7843115942,9.8662862319
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,40.100833333,17.55,13.76,13.54
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,14,49,49,333.47142857,89.594897959,68.205918367,69.291836735
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,22,120,130,987.62692308,215.69246154,161.16453846,157.01423077
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,156,156,156,434.77487179,131.18051282,100.86929487,103.15038462
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,21,133,136,37.068161765,12.895,9.3718382353,9.7013235294
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,22,313,1795,1812,189.53658389,34.191087196,24.197251656,23.160811258
1053403329,CARTER,KEVIN,A,DO,M,I,38 WOODCROFT TRL,,BEAVERCREEK,OH,45430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,339.09023256,77.518604651,57.053255814,51.403488372
1053403410,SONGY,ROBERT,E,M.D.,M,I,3800 HOUMA BLVD,SUITE 250,METAIRIE,LA,700064182,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,65,86.809076923,8.32,5.5186153846,5.5186153846
1053403410,SONGY,ROBERT,E,M.D.,M,I,3800 HOUMA BLVD,SUITE 250,METAIRIE,LA,700064182,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,17,16.748823529,1.42,0.9847058824,0.9847058824
1053403410,SONGY,ROBERT,E,M.D.,M,I,3800 HOUMA BLVD,SUITE 250,METAIRIE,LA,700064182,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4751.275,942.14,735.78666667,830.7725
1053403410,SONGY,ROBERT,E,M.D.,M,I,3800 HOUMA BLVD,SUITE 250,METAIRIE,LA,700064182,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,40.90826087,20.108695652,15.765217391,14.047826087
1053403428,RUSSO,WILLIAM,L,,M,I,8060 WOLF RIVER BLVD,,MEMPHIS,TN,381381727,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,82.835,19.6,15.365,9.12
1053403428,RUSSO,WILLIAM,L,,M,I,8060 WOLF RIVER BLVD,,MEMPHIS,TN,381381727,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,64,11.5675,2.9828125,2.2834375,1.54375
1053403428,RUSSO,WILLIAM,L,,M,I,8060 WOLF RIVER BLVD,,MEMPHIS,TN,381381727,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,46,48,262.42395833,49.367083333,35.779166667,23.616458333
1053403428,RUSSO,WILLIAM,L,,M,I,8060 WOLF RIVER BLVD,,MEMPHIS,TN,381381727,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,454.115,81.582222222,57.39,48.648888889
1053403485,NYGARD,SHANE,D,MD,M,I,110 7TH ST W,,PARK RAPIDS,MN,564701872,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,35,74,151,69.59986755,8.32,5.5713907285,5.5713907285
1053403485,NYGARD,SHANE,D,MD,M,I,110 7TH ST W,,PARK RAPIDS,MN,564701872,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,13,17.831538462,1.42,0.9461538462,0.9461538462
1053403485,NYGARD,SHANE,D,MD,M,I,110 7TH ST W,,PARK RAPIDS,MN,564701872,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,146.43,61.116666667,47.9125,42.86
1053403485,NYGARD,SHANE,D,MD,M,I,110 7TH ST W,,PARK RAPIDS,MN,564701872,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,14,14,41.702857143,19.7,15.44,14.695714286
1053403485,NYGARD,SHANE,D,MD,M,I,110 7TH ST W,,PARK RAPIDS,MN,564701872,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.67,4.99,3.5841666667,3.625
1053403485,NYGARD,SHANE,D,MD,M,I,110 7TH ST W,,PARK RAPIDS,MN,564701872,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,17.85,13.749166667,13.579166667
1053403584,BURG,STEVEN,H,RPA-C,M,I,800 MONTAUK HWY,,WEST ISLIP,NY,117954919,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,45,45,45,57.104,44.4,34.034444444,35.658666667
1053403626,INOUE,KENNETH,H,,M,I,1505 EASTLAND DR,,BLOOMINGTON,IL,617013534,US,Physician/Undefined Physician type[6],S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,60.737142857,17.27,12.379428571,12.379428571
1053403626,INOUE,KENNETH,H,,M,I,1505 EASTLAND DR,,BLOOMINGTON,IL,617013534,US,Physician/Undefined Physician type[6],S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,32.05,5.0417391304,3.9569565217,3.7986956522
1053403626,INOUE,KENNETH,H,,M,I,1505 EASTLAND DR,,BLOOMINGTON,IL,617013534,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,37,37,324.4,72.601891892,54.792972973,54.792972973
1053403675,PEDERSEN,PAUL,,,M,I,1701 E COLLEGE AVE,,BLOOMINGTON,IL,617042101,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,28,79.9825,8.32,4.6575,4.6575
1053403766,HINKSON,HILLARY,L,PA-C,F,I,2885 N MAYFAIR RD,,MILWAUKEE,WI,532224404,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,42.72,13.748,10.782,10.48
1053403766,HINKSON,HILLARY,L,PA-C,F,I,2885 N MAYFAIR RD,,MILWAUKEE,WI,532224404,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,26,184.03846154,33.799230769,26.499230769,25.771538462
1053403774,CANFIELD,CRAIG,W,M.D.,M,I,77 CASA ST,SUITE 202,SAN LUIS OBISPO,CA,934055803,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,71,12496,0.3695454545,0.13,0.0941269206,0.0941269206
1053403774,CANFIELD,CRAIG,W,M.D.,M,I,77 CASA ST,SUITE 202,SAN LUIS OBISPO,CA,934055803,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,17,1257,4.4145902944,2.27,1.7796897375,1.7796897375
1053403774,CANFIELD,CRAIG,W,M.D.,M,I,77 CASA ST,SUITE 202,SAN LUIS OBISPO,CA,934055803,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,28,182,32276,4.7142678771,1.7300777668,1.3238799727,1.5536838518
1053403774,CANFIELD,CRAIG,W,M.D.,M,I,77 CASA ST,SUITE 202,SAN LUIS OBISPO,CA,934055803,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,3420,12.794473684,7.23,4.4749912281,4.4749912281
1053403774,CANFIELD,CRAIG,W,M.D.,M,I,77 CASA ST,SUITE 202,SAN LUIS OBISPO,CA,934055803,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1950,11.4,7.88,6.1779333333,6.1779333333
1053403774,CANFIELD,CRAIG,W,M.D.,M,I,77 CASA ST,SUITE 202,SAN LUIS OBISPO,CA,934055803,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,18,78,19.706153846,10.853589744,8.2894871795,8.3493589744
1053403923,MALDONADO-ALFANDARI,MARTIN,,M.D.,M,I,14547 BRUCE B. DOWNS BLVD.,,TAMPA,FL,33613,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,290,89.584551724,5.91,4.6334827586,4.1631724138
1053404012,KEA,JOE,C,O.D.,M,I,3437 TUPELO COMMONS,SUITE 101,TUPELO,MS,388049791,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,72.416666667,57.571666667,41.8,49.743333333
1053404012,KEA,JOE,C,O.D.,M,I,3437 TUPELO COMMONS,SUITE 101,TUPELO,MS,388049791,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,22,37.5,37.5,26.727272727,41.209090909
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,79,49.21835443,8.32,6.5229113924,6.5229113924
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,18.571538462,1.42,1.1142307692,1.1142307692
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,450,275,4.54,3.5593333333,4.1227555556
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5356,3.7062098581,0.36,0.2822274085,0.2895743092
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,299,23.791304348,0.71,0.5565217391,0.5565217391
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,43.808,12.2275,9.1555,9.544
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,151.73,51.029166667,32.441666667,29.358333333
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,37,39,86.31,17.55,13.225384615,13.022564103
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,135.92222222,51.376111111,39.597222222,39.574444444
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,64,66,519.51,79.48,58.533636364,51.978636364
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,41.75,32.73,29.778333333
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1200,1.762925,0.13045,0.0932,0.0932
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,104.23470588,16.283529412,11.341764706,12.481176471
1053404061,GENDRON,KIM,P,"FNP, NPP",F,I,433 RIVER ST STE 3000,,TROY,NY,121802250,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33.5,33,24.851875,24.851875
1053404137,HADEED,SAMI,K,MD,M,I,1500 COOPER ST,,FORT WORTH,TX,761042710,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.28,4.0500293255,4.0714369501
1053404137,HADEED,SAMI,K,MD,M,I,1500 COOPER ST,,FORT WORTH,TX,761042710,US,Physician/Pulmonary Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4883,2.6503952488,0.31,0.2198873643,0.2198873643
1053404137,HADEED,SAMI,K,MD,M,I,1500 COOPER ST,,FORT WORTH,TX,761042710,US,Physician/Pulmonary Disease,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,5.06,3.97,3.95
1053404137,HADEED,SAMI,K,MD,M,I,1500 COOPER ST,,FORT WORTH,TX,761042710,US,Physician/Pulmonary Disease,S,J7611,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2300,0.3596826087,0.155,0.1215043478,0.1215043478
1053404137,HADEED,SAMI,K,MD,M,I,1500 COOPER ST,,FORT WORTH,TX,761042710,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,720,11.191777778,3.06975,2.4067083333,2.4067083333
1053404137,HADEED,SAMI,K,MD,M,I,1500 COOPER ST,,FORT WORTH,TX,761042710,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,25.87,25.87
1053404152,TURNAGE,KIRBY,L,M.D.,M,I,4541 N DAVIS HWY,SUITE A,PENSACOLA,FL,32503,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,100.75,87.492105263,68.595263158,68.595263158
1053404152,TURNAGE,KIRBY,L,M.D.,M,I,4541 N DAVIS HWY,SUITE A,PENSACOLA,FL,32503,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,38,40,40,190.75,127.21,92.43525,83.86025
1053404277,ROBBINS,NOAH,,MD,M,I,MMG - MAP,3400 BAINBRIDGE AVENUE,BRONX,NY,10467,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,31,49.610645161,8.32,5.6809677419,5.6809677419
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,31,73,165,60.701454545,8.32,5.3087272727,5.3087272727
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,19.583333333,3.38,2.2083333333,2.2083333333
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,22.272727273,2.12,1.3663636364,1.3663636364
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,26,59,70,17.251714286,1.42,0.8791428571,0.8791428571
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,8.75,1.48,1.0707692308,1.0615384615
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1200,66.08,51.8,48.32
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.7909090909,2.6181818182,3.1381818182
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.3175,4.1675,3.9983333333
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,385,77.18,53.383333333,48.075833333
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,3690,0.92,0.1356747967,0.0879159892,0.0879159892
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,80.845652174,32.108695652,19.776086957,16.191304348
1053404343,WONG,SZE,K,M.D.,M,I,2323 S WENTWORTH AVE,SUITE 201,CHICAGO,IL,606164615,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,35,129.17142857,33,20.759142857,20.758857143
1053404822,HARMON,JAMES,C,M.D.,M,I,504 S MAIN ST,,CORNELIA,GA,305313966,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,43.037272727,8.32,4.7427272727,4.7427272727
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,79.761052632,39.184736842,29.098421053,28.896842105
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,82.53,10.018461538,7.8561538462,8.8953846154
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,20,43,43,334.61069767,92.053488372,69.030232558,65.084651163
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,17,40,100,129.8302,33.7053,26.3394,25.7816
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,28,150,66.4618,18.1482,14.227533333,14.542733333
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,20,110,34.182727273,15.13,10.675636364,10.707454545
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,44,80,80,177.199125,53.6275,41.114,41.80125
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,60,77,77,64.99012987,18.255714286,14.125714286,13.885844156
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,50,94,94,64.303829787,12.501808511,9.3978723404,8.7526595745
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,62,116,661,7.4542208775,2.0703479576,1.5546142209,1.5259455371
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,32,32,16.1725,6,4.553125,4.5109375
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,19,21,21,42.04047619,12,8.9619047619,9.7704761905
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,99,108,52.736944444,17,12.836296296,13.04037037
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49,38.42,41.81
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,45,35.28,37.63
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2850,1074.31,842.26,842.26
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,23,102.38,81.240434783,60.382608696,61.1
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,30,30,30,677.66066667,132.927,104.21433333,104.49366667
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,49,49,50.73,3.4106122449,2.5736734694,3.3730612245
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,41,165,172,572.7952907,35.542034884,27.098081395,26.251337209
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,40,241,294,372.89646259,77.558401361,59.149421769,53.654489796
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,45,52,243.55769231,40.456153846,30.473076923,28.873653846
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,52,3270,16.851030581,9.6341834862,7.4178623853,7.4178623853
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,30,2162,21.09052729,11.060333025,8.6713459759,8.6713459759
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,27,35,86,23654,0.3364289338,0.0457740763,0.0349551873,0.0349551873
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,1408,2.1018963068,0.1308522727,0.1007670455,0.1007670455
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,28,113,7410,11.939198381,2.8939595142,2.2241592443,2.2241592443
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,14,70,111,85,41.212792793,32.01963964,29.371621622
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,29,47,165,165,73.345454545,33,25.429090909,25.429090909
1053405084,ANWAR,JALIL,,MD,M,I,172 E MAIN ST,,HUNTINGTON,NY,117432948,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,16,16,66,66,51.74,51.74
1053405365,MARKOVICS,SHARON,B,MD,F,I,1129 NORTHERN BLVD,,MANHASSET,NY,110303022,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,662,13.165951662,2.9883987915,2.3429305136,2.3429305136
1053405365,MARKOVICS,SHARON,B,MD,F,I,1129 NORTHERN BLVD,,MANHASSET,NY,110303022,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,24.253125,24.253125
1053405498,BLAZEY,WILLIAM,R,D.O.,M,I,NORTHERN BLVD,ACADEMIC HEALTH CARE CENTER,OLD WESTBURY,NY,115688000,US,Physician/Osteopathic Manipulative Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,24.01,9.078,7.116,8.812
1053405506,ALI,MOHAMMED,M,M.D.,M,I,23672 BIRTCHER DR,UNIT A,LAKE FOREST,CA,926301711,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,20,72,61.966388889,8.32,6.3708333333,6.3708333333
1053405506,ALI,MOHAMMED,M,M.D.,M,I,23672 BIRTCHER DR,UNIT A,LAKE FOREST,CA,926301711,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,15,15.942,1.42,1.1186666667,1.1186666667
1053405548,KROEZE,JON,W,MD,M,I,382 N 120TH AVE,,HOLLAND,MI,49424,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,28,111,52.774414414,8.32,4.6418018018,4.6418018018
1053405548,KROEZE,JON,W,MD,M,I,382 N 120TH AVE,,HOLLAND,MI,49424,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,425.43428571,79.88,59.638095238,55.876190476
1053405589,GOODMAN,ELI,G,MD,M,I,1600 W WALNUT ST,,JACKSONVILLE,IL,626501136,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,15,1480,0.4733108108,0.44,0.3386216216,0.3386216216
1053405589,GOODMAN,ELI,G,MD,M,I,1600 W WALNUT ST,,JACKSONVILLE,IL,626501136,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,3000,0.0758133333,0.05,0.0392,0.0392
1053405589,GOODMAN,ELI,G,MD,M,I,1600 W WALNUT ST,,JACKSONVILLE,IL,626501136,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,255,3.8668235294,3.67,2.8773333333,2.8773333333
1053405589,GOODMAN,ELI,G,MD,M,I,1600 W WALNUT ST,,JACKSONVILLE,IL,626501136,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1430,0.1508391608,0.13,0.0983636364,0.0983636364
1053405605,PARAD,ANDREW,M,M.D.,M,I,1104 CALINDA DR,,PENSACOLA,FL,325068372,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,11,24,68,64.113382353,8.32,5.7542647059,5.7542647059
1053405605,PARAD,ANDREW,M,M.D.,M,I,1104 CALINDA DR,,PENSACOLA,FL,325068372,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,16,27,12.024444444,1.42,1.0303703704,1.0303703704
1053405605,PARAD,ANDREW,M,M.D.,M,I,1104 CALINDA DR,,PENSACOLA,FL,325068372,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,77,12.108051948,2.2028571429,1.5923376623,1.4692207792
1053405605,PARAD,ANDREW,M,M.D.,M,I,1104 CALINDA DR,,PENSACOLA,FL,325068372,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,18,50.73,4.6233333333,2.6677777778,2.6288888889
1053405605,PARAD,ANDREW,M,M.D.,M,I,1104 CALINDA DR,,PENSACOLA,FL,325068372,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,257.82,31.796,21.989333333,21.997333333
1053405605,PARAD,ANDREW,M,M.D.,M,I,1104 CALINDA DR,,PENSACOLA,FL,325068372,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,510,1.9746078431,0.1312352941,0.0974901961,0.0974901961
1053405605,PARAD,ANDREW,M,M.D.,M,I,1104 CALINDA DR,,PENSACOLA,FL,325068372,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1053405688,MODLINGER,PAUL,S,M.D.,M,I,3930 WALNUT STREET,SUITE 101,FAIRFAX,VA,220304738,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,49,4365,4.0809278351,0.5689896907,0.4352164948,0.4352164948
1053405688,MODLINGER,PAUL,S,M.D.,M,I,3930 WALNUT STREET,SUITE 101,FAIRFAX,VA,220304738,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,58,8040,6.1241330846,1.2695447761,0.9670895522,0.9670895522
1053405688,MODLINGER,PAUL,S,M.D.,M,I,3930 WALNUT STREET,SUITE 101,FAIRFAX,VA,220304738,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,49,49,24,24,18.82,18.82
1053405688,MODLINGER,PAUL,S,M.D.,M,I,3930 WALNUT STREET,SUITE 101,FAIRFAX,VA,220304738,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,62,65,16,16,12.347076923,12.347076923
1053406157,SARYAN,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,27,79,87.962025316,19.686455696,15.434810127,15.434810127
1053406157,SARYAN,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,27,9600,33.558525,9.839975,7.7145416667,7.7145416667
1053406157,SARYAN,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,1380,325.33173188,42.633891304,33.320992754,33.320992754
1053406157,SARYAN,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Allergy/ Immunology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,1075,1.6088465116,0.1329674419,0.0967255814,0.0967255814
1053406157,SARYAN,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,26,338,8.55,2.6369230769,2.0675739645,2.0675739645
1053406157,SARYAN,JOHN,A,MD,M,I,41 MALL RD,,BURLINGTON,MA,018050001,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,13,23,23,37.304347826,33,22.495652174,22.495652174
1053406173,DAVIS,JOHN,J,M.D.,M,I,5577 CHALKVILLE RD,,BIRMINGHAM,AL,352352171,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,89.86,70.45,56.04
1053406173,DAVIS,JOHN,J,M.D.,M,I,5577 CHALKVILLE RD,,BIRMINGHAM,AL,352352171,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,39.56,31.02,29.635833333
1053406199,STARK,SUZANNE,,FNP,F,I,220 ALSTON ST,,RICHLAND,GA,318251404,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,26,56.925769231,8.32,5.2684615385,5.2684615385
1053406199,STARK,SUZANNE,,FNP,F,I,220 ALSTON ST,,RICHLAND,GA,318251404,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,384.505,102.61833333,75.474166667,50.169166667
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,20,61,145,66.794551724,8.32,5.006137931,5.006137931
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,34,16.163235294,1.42,0.8523529412,0.8523529412
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,21,15.456666667,10.914761905,8.5580952381,8.5704761905
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,176,4.1345454545,2.91,2.2813636364,2.2813636364
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.88,3.97,3.1125,3.1125
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,30,908,16,5.82,4.4221475771,4.0348348018
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,8451,0.85,0.3,0.2351958348,0.2430375104
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,7379,1.55,0.68,0.5309920043,0.5153177937
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,87.962666667,51.222,37.604,35.231333333
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,108.25,55.072857143,43.175714286,40.548571429
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,24.200588235,6.3858823529,5.0076470588,3.9629411765
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,31.5,5.59,4.38,3.95
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,471.16,90.01,66.384761905,51.29952381
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,68,134,99.06,63.13380597,49.496791045,56.077761194
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,66,66,47.35030303,21.115151515,16.30030303,14.162727273
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,73.739375,33.73875,24.860625,19.54375
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100.11181818,49.94,39.15,35.32
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,183.85,81.14,63.616666667,54.154166667
1053406207,KOS,JAMES,,MD,M,I,1930 NE 47TH ST,#100,FT LAUDERDALE,FL,333087718,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,17.727272727,8.9627272727,6.1209090909,5.6927272727
1053406405,MCRAE,ANDREW,T,MD,M,I,2400 PATTERSON ST,SUITE 502,NASHVILLE,TN,372031562,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,3,,95,96,67.978125,19.706770833,15.4475,15.4475
1053406405,MCRAE,ANDREW,T,MD,M,I,2400 PATTERSON ST,SUITE 502,NASHVILLE,TN,372031562,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,3,,110,258,136.22596899,37.373139535,29.151395349,29.151395349
1053406405,MCRAE,ANDREW,T,MD,M,I,2400 PATTERSON ST,SUITE 502,NASHVILLE,TN,372031562,US,Physician/Cardiovascular Disease (Cardiology),S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,611.30714286,210.41285714,164.96428571,164.96428571
1053406405,MCRAE,ANDREW,T,MD,M,I,2400 PATTERSON ST,SUITE 502,NASHVILLE,TN,372031562,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,109,9629,34.148205421,1.5651926472,1.2161948281,1.2161937896
1053406421,WANG,JIANHUA,,M.D.,F,I,19999 ROCKSIDE RD,,BEDFORD,OH,441462074,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,27,72.697407407,8.32,4.8314814815,4.8314814815
1053406421,WANG,JIANHUA,,M.D.,F,I,19999 ROCKSIDE RD,,BEDFORD,OH,441462074,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.9081818182,4.6336363636,3.5836363636
1053406421,WANG,JIANHUA,,M.D.,F,I,19999 ROCKSIDE RD,,BEDFORD,OH,441462074,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,115.5,33,25.87,25.87
1053406488,SHIELDS,HEIDI,E,MD,F,I,1150 N SISTER CATHERINE WAY,,NAMPA,ID,83687,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,31,62,29.974193548,8.2696774194,6.4832258065,6.5227419355
1053406488,SHIELDS,HEIDI,E,MD,F,I,1150 N SISTER CATHERINE WAY,,NAMPA,ID,83687,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,18,21,6.4595238095,1.3876190476,1.0933333333,1.1185714286
1053406488,SHIELDS,HEIDI,E,MD,F,I,1150 N SISTER CATHERINE WAY,,NAMPA,ID,83687,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,54.82,42.98,41.81
1053406488,SHIELDS,HEIDI,E,MD,F,I,1150 N SISTER CATHERINE WAY,,NAMPA,ID,83687,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,50,39.2,37.63
1053406488,SHIELDS,HEIDI,E,MD,F,I,1150 N SISTER CATHERINE WAY,,NAMPA,ID,83687,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,30,6.2780952381,4.5671428571,3.665
1053406512,BROTHERS,ANTHONY,J,M.D.,M,I,341 RACETRACK RD NW STE B,SUITE 114,FORT WALTON BEACH,FL,325471552,US,Physician/Orthopedic Surgery,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,31,11.336,3.933,3.717
1053406660,TOWNE,KEITH,A,MD,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,26,59.685769231,8.32,4.7684615385,4.7684615385
1053406660,TOWNE,KEITH,A,MD,M,I,1216 RYANS RD,,WORTHINGTON,MN,561871722,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,350,99.926666667,73.466666667,52.02047619
1053406777,JAMES - PETERS,CATHERINE,T,M.D.,F,I,215 N COLEMAN ST,,SWAINSBORO,GA,304013530,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,38,68.655263158,8.32,4.8063157895,4.8063157895
1053406835,CARTELLONE,CHRISTOPHER,,MD,M,I,34501 AURORA RD STE 104B,,SOLON,OH,441393831,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,42,171,69.157894737,8.3161988304,5.870877193,5.8738596491
1053406835,CARTELLONE,CHRISTOPHER,,MD,M,I,34501 AURORA RD STE 104B,,SOLON,OH,441393831,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,18,16.188888889,1.42,0.9927777778,0.9927777778
1053406835,CARTELLONE,CHRISTOPHER,,MD,M,I,34501 AURORA RD STE 104B,,SOLON,OH,441393831,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,169.64090909,56,39.909090909,39.247272727
1053406835,CARTELLONE,CHRISTOPHER,,MD,M,I,34501 AURORA RD STE 104B,,SOLON,OH,441393831,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,66,7.4181818182,2,1.4259090909,1.4484848485
1053406835,CARTELLONE,CHRISTOPHER,,MD,M,I,34501 AURORA RD STE 104B,,SOLON,OH,441393831,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,71.543684211,16.815789474,12.484736842,12.841052632
1053406835,CARTELLONE,CHRISTOPHER,,MD,M,I,34501 AURORA RD STE 104B,,SOLON,OH,441393831,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,221.18793103,34.375517241,23.477931034,23.147931034
1053406835,CARTELLONE,CHRISTOPHER,,MD,M,I,34501 AURORA RD STE 104B,,SOLON,OH,441393831,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,453.9,77.558461538,58.453461538,52.842307692
1053406934,HALLEY,DAVID,L,M.D.,M,I,345 NAOMI ST,,PLAINWELL,MI,490801257,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,43,117,386,59.677953368,8.32,6.0150259067,6.0150259067
1053406934,HALLEY,DAVID,L,M.D.,M,I,345 NAOMI ST,,PLAINWELL,MI,490801257,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,20,20,14.465,3.38,2.65,2.65
1053406934,HALLEY,DAVID,L,M.D.,M,I,345 NAOMI ST,,PLAINWELL,MI,490801257,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,26,47,79,22.533544304,1.42,1.0448101266,1.0448101266
1053406934,HALLEY,DAVID,L,M.D.,M,I,345 NAOMI ST,,PLAINWELL,MI,490801257,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,50.794545455,20.641818182,16.182727273,13.656363636
1053406934,HALLEY,DAVID,L,M.D.,M,I,345 NAOMI ST,,PLAINWELL,MI,490801257,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,265.16045455,94.739090909,68.842727273,51.595454545
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,36,83,282,70.611276596,8.32,5.8746099291,5.8746099291
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,37,61,15.339016393,1.42,1.0057377049,1.0057377049
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,3060,4.1852941176,2.04,1.5524607843,1.5524607843
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,86.31,17.25,10.104285714,10.124285714
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,29.521212121,4.7339393939,2.6693939394,2.6272727273
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15,10.299090909,8.0718181818,8.0181818182
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,516.50775,69.62,47.2065,47.353
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70.2,39.68,31.11,29.51
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.84,8.1336363636,5.6545454545,5.8090909091
1053407114,ZIADA,IHAB,M,MD,M,I,173 DANIEL WEBSTER HWY,,NASHUA,NH,03060,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,615,130.48181818,89.986363636,95.194545455
1053407304,RANA,SUNIL,,MD,M,I,49 LAKE AVE,,GREENWICH,CT,068304501,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,58,113,70.533628319,8.32,5.5982300885,5.5982300885
1053407304,RANA,SUNIL,,MD,M,I,49 LAKE AVE,,GREENWICH,CT,068304501,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,23,13.693913043,1.42,0.972173913,0.972173913
1053407304,RANA,SUNIL,,MD,M,I,49 LAKE AVE,,GREENWICH,CT,068304501,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,62,8.3809677419,2.1280645161,1.4364516129,1.3943548387
1053407304,RANA,SUNIL,,MD,M,I,49 LAKE AVE,,GREENWICH,CT,068304501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,401.75347826,76.153913043,57.109565217,52.792173913
1053407304,RANA,SUNIL,,MD,M,I,49 LAKE AVE,,GREENWICH,CT,068304501,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1530,0.92,0.137627451,0.1007908497,0.1007908497
1053407304,RANA,SUNIL,,MD,M,I,49 LAKE AVE,,GREENWICH,CT,068304501,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,91.2,40,31.36,29.794615385
1053407304,RANA,SUNIL,,MD,M,I,49 LAKE AVE,,GREENWICH,CT,068304501,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1053407361,MATHIS,LOUIS,B,M.D.,M,I,10701 ANDERSON RD,,EASLEY,SC,296429309,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,275,4.9,3.5461042184,3.8491563275
1053407387,NEWLIN,DONALD,B,PHYSICIAN ASSISTANT,M,I,MADIGAN ARMY MEDICAL CTR,ATTN: DEPARTMENT OF MEDICINE,TACOMA,WA,984311100,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,53,87.283018868,19.906981132,12.221509434,11.413018868
1053407387,NEWLIN,DONALD,B,PHYSICIAN ASSISTANT,M,I,MADIGAN ARMY MEDICAL CTR,ATTN: DEPARTMENT OF MEDICINE,TACOMA,WA,984311100,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,278.05,59.3985,36.317,34.756
1053407387,NEWLIN,DONALD,B,PHYSICIAN ASSISTANT,M,I,MADIGAN ARMY MEDICAL CTR,ATTN: DEPARTMENT OF MEDICINE,TACOMA,WA,984311100,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,19,19,79.781052632,19.800526316,11.646842105,10.43
1053407387,NEWLIN,DONALD,B,PHYSICIAN ASSISTANT,M,I,MADIGAN ARMY MEDICAL CTR,ATTN: DEPARTMENT OF MEDICINE,TACOMA,WA,984311100,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,92.8475,12.5125,7.3508333333,6.84
1053407387,NEWLIN,DONALD,B,PHYSICIAN ASSISTANT,M,I,MADIGAN ARMY MEDICAL CTR,ATTN: DEPARTMENT OF MEDICINE,TACOMA,WA,984311100,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,21,92,10.728478261,2.2254347826,1.5164130435,1.395326087
1053407601,WELLINS,CHRISTOPHER,A,MD,M,I,155 SPURWINK AVE,,CAPE ELIZABETH,ME,04107,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,42,129,56.115658915,8.32,5.3290697674,5.3290697674
1053407601,WELLINS,CHRISTOPHER,A,MD,M,I,155 SPURWINK AVE,,CAPE ELIZABETH,ME,04107,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,22,6.9154545455,1.42,0.9627272727,0.9627272727
1053407601,WELLINS,CHRISTOPHER,A,MD,M,I,155 SPURWINK AVE,,CAPE ELIZABETH,ME,04107,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.25,13.52,13.538181818
1053407601,WELLINS,CHRISTOPHER,A,MD,M,I,155 SPURWINK AVE,,CAPE ELIZABETH,ME,04107,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,85,31.465,24.096666667,24.106666667
1053407601,WELLINS,CHRISTOPHER,A,MD,M,I,155 SPURWINK AVE,,CAPE ELIZABETH,ME,04107,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,671.70157895,69.62,53.153421053,53.286052632
1053407601,WELLINS,CHRISTOPHER,A,MD,M,I,155 SPURWINK AVE,,CAPE ELIZABETH,ME,04107,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,23.518181818,23.518181818
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,265,555,555,107.6701982,39.912306306,29.586522523,28.890576577
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,156,324,324,307.36515432,90.078055556,67.184691358,64.752283951
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,156,345,766,120.91804178,34.036344648,25.83421671,25.221788512
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,70,151,749,70.682336449,18.277329773,13.276502003,13.495300401
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,73,158,789,52.661191381,15.548859316,11.078288973,10.805576679
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,143,314,314,196.09576433,57.261401274,41.20522293,39.337292994
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,271,367,367,61.345831063,18.440626703,14.034904632,13.695476839
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,41,48,48,29.59875,10.2525,7.54375,7.6464583333
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,41,41,85.081707317,12.866585366,9.3668292683,8.4873170732
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,276,576,3276,8.5250335775,2.1063003663,1.590958486,1.5383791209
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,11,11,22.340909091,6.0945454545,4.7781818182,4.6572727273
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,178,235,235,35.198978723,13.476851064,10.232468085,10.012638298
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,83.450833333,17.985,14.098333333,13.54
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,17,93,94,336.80053191,89.101276596,68.523297872,67.022021277
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,46,316,321,571.24426791,219.02308411,170.30121495,162.24588785
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,84,84,84,361.67892857,135.22666667,101.32202381,99.980714286
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,10,41,195,208,72.821923077,13.261923077,9.8164423077,9.6403846154
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,129,763,772,172.50677461,31.299546632,22.947823834,24.00757772
1053407726,CLOWARD,TOM,V,MD,M,I,400 D STREET STE 206,,SALT LAKE CITY,UT,84143,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,34,255,262,338.20316794,79.036946565,57.360076336,51.505076336
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,59,212,459,67.584618736,8.2991503268,5.3510675381,5.3692374728
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,28,62,96,11.9084375,1.42,0.8951041667,0.8951041667
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,270,12.920148148,10.576666667,7.7608148148,7.9438148148
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,216,4.5397222222,2.91,2.2081481481,2.2081481481
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,14,7,5.0306666667,5.0306666667
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A4426,"Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,7,3.07,2.2064166667,2.2064166667
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,1,0.4,0.314,0.314
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,11,20,20,359.327,122.9275,92.6075,64.454
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,42,139.38,47.387380952,35.787380952,24.683571429
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,27,107,59.196261682,25.590373832,20.062803738,15.219439252
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,32,32,157.3596875,75.43125,52.1584375,37.215625
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,27,27,68.7,25.087037037,19.666296296,14.356666667
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,37,37,66.325675676,21.632702703,16.204054054,8.7294594595
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,22,49,274,8.2376642336,3.0975912409,2.277919708,1.4910583942
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,16.756666667,8.2455555556,6.1838888889,4.3972222222
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,37.050909091,16.06,10.537272727,8.46
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,17,19,301.49052632,61.743157895,46.384736842,38.414210526
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,65,84.918,22.394153846,16.728307692,13.044923077
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4430.1,1074.31,842.26,842.26
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,40.788863636,8.2806818182,5.3884090909,3.7381818182
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,128.80666667,52.485897436,38.896153846,26.094871795
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,16,113,135,479.32985185,105.04681481,79.356148148,55.400148148
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,27,1560,15.58,9.6288076923,7.4159551282,7.4159551282
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,4424,0.3138336347,0.0464873418,0.0314579566,0.0314579566
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,34,2190,12.935410959,2.9899452055,2.2786164384,2.2786164384
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,35.0825,29.515833333
1053407890,MCGEE,JAMES,W,MD,M,I,1323 EAST WOOD STREET,,PARIS,TN,382424421,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,50,50,108.24,33,24.7612,24.7612
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,52,139,347,60.123659942,8.2951008646,4.8817867435,4.8963976945
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,31,31,15.453548387,3.38,2.1370967742,2.1370967742
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,23.102666667,2.12,1.336,1.336
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,40,78,115,15.107391304,1.42,0.8342608696,0.8342608696
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,46,92,5.9568478261,1.47,0.975,0.975
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,347.79076923,95.323846154,69.884615385,66.188461538
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,37,135.40216216,36.04,28.254054054,27.19027027
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,93,108.83537634,20.977419355,15.154086022,13.838494624
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,67,71.529253731,15.413731343,10.602238806,10.474776119
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,13,29,29,271.18137931,58.454827586,41.366896552,39.425517241
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,18,26,26,78.430384615,19.088846154,14.958846154,14.350384615
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,17,39,39,81.69025641,12.683333333,9.2228205128,8.711025641
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,21,52,282,12.411134752,2.2106737589,1.6068085106,1.5274113475
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,11,16,16,24.585,6.814375,5.348125,5.019375
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,58.418125,13.3325,9.15125,9.048125
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,33,33,172.4030303,49.491818182,29.43,27.974242424
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,68.769166667,19.24625,14.46375,12.969583333
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3853.1338462,913.16,709.11846154,835.45923077
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,69,70,33.426285714,5.8072857143,4.4568571429,3.6611428571
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,142.2,30.674,14.368,13.8865
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,54,57,491.6845614,86.985263158,66.182807018,52.829122807
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,7586,0.168825468,0.0460137095,0.0302451885,0.0302451885
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,44,6330,1.2081895735,0.1376113744,0.0982906793,0.0982906793
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,856,0.9372897196,0.2191004673,0.1251168224,0.1251168224
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,11,11,63.06,21.505454545,15.563636364,14.393636364
1053407973,BROWN,TRAESA,A,MD,F,I,312 S MCQUEEN ST,,FLORENCE,SC,295014723,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,17,71,71,79.014084507,33,22.37056338,22.37056338
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,40,99,273,56.70010989,8.32,6.183003663,6.183003663
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,31,31,13.043870968,3.38,2.65,2.65
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,23.181428571,2.12,1.67,1.67
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,24,62,86,12.671046512,1.42,1.0495348837,1.0495348837
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,161.22666667,38.052,25.86,26.540666667
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,215.91083333,55,39.526666667,39.31
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,76.515384615,18.023076923,13.499230769,13.436923077
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,21,126,11.234761905,2,1.4573015873,1.4792857143
1053408047,HARPE,KATRINA,,MD,F,I,120 EXECUTIVE CENTER PKWY,,FREDERICKSBURG,VA,224013100,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,38,43,160.42325581,31.308837209,21.829767442,22.1
1053408138,REID,MANNEY,C,"MD, PHD",M,I,1484 1ST AVE # 1486,,NEW YORK,NY,100212304,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,217.1,77.74,55.870833333,50.169166667
1053408138,REID,MANNEY,C,"MD, PHD",M,I,1484 1ST AVE # 1486,,NEW YORK,NY,100212304,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,119.34,20.21,15.85,19.96
1053408138,REID,MANNEY,C,"MD, PHD",M,I,1484 1ST AVE # 1486,,NEW YORK,NY,100212304,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.57,6.43,5.04,6.15
1053408138,REID,MANNEY,C,"MD, PHD",M,I,1484 1ST AVE # 1486,,NEW YORK,NY,100212304,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,40.66,29.223333333,27.050833333
1053408179,CORFMAN,JUDY,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Neurological Surgery,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,54.169090909,13.270909091,8.3727272727,7.4554545455
1053408179,CORFMAN,JUDY,,APRN,F,I,3601 TVC,,NASHVILLE,TN,372320001,US,Neurological Surgery,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,65,7.5778461538,2.1967692308,1.5575384615,1.4441538462
1053408336,MARTIN,WALBURGA,S,M.D.,F,I,701 DALE AVE,,BENTON CITY,WA,99320,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,43,68.806511628,8.32,6.521627907,6.521627907
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,17,221,47.374343891,19.637058824,14.745927602,14.745927602
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,600,8.063,2.63,2.0618333333,2.0618333333
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,4.4845454545,0.51,0.4,0.4
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,109,312,986,43.780760649,8.32,5.8372210953,5.8372210953
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,21,49,49,12.185714286,3.38,2.3795918367,2.3795918367
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,16,22,22,18.965454545,2.12,1.5181818182,1.5181818182
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,67,141,246,9.8812195122,1.42,1.0101626016,1.0101626016
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,8.4013333333,7.39,5.79,6.742
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,5.69,5.54,4.34,4.34
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,14.15,13.8,10.82,10.82
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,27,48,10.48375,9.29,7.28,8.5120833333
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,25,6.44,6.44,5.0452,5.0452
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,420,7,7,5.047047619,5.047047619
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.18,10.18,7.5818333333,7.5818333333
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.04,4.04,3.0270416667,3.0270416667
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.04,3.04,2.184875,2.184875
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,700,0.4714285714,0.26,0.2038,0.2110428571
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,26,90.367692308,71.56,56.106923077,56.103076923
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,70,177,326,7.721595092,2.0429754601,1.5082515337,1.0947546012
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,53,74,74,78.847297297,16.960810811,12.973513514,9.1421621622
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,13,14,15,4.8266666667,1.4866666667,1.1666666667,0.994
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,247.82705882,124.44411765,97.562941176,67.846470588
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,25,25,138.098,75.3632,59.0848,44.9088
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,22,22,42.521363636,24.595454545,19.279090909,14.767272727
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,19,34,34,47.560882353,21.488235294,16.844705882,9.7917647059
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,35,192,5.78140625,3.1896875,2.5009895833,1.6780208333
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,14,14,16.060714286,8.2942857143,6.5071428571,4.8614285714
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,420,4.8861428571,4.2071428571,3.2983333333,2.3676666667
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,18,235,4208,11.765995722,7.5299524715,5.8781725285,4.3782770913
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,15,210,65459,0.5986620633,0.4020412777,0.3123822545,0.2477210162
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,2223,2.8168915879,1.6022807018,1.2562033288,0.9657219973
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,10943,0.9766654482,0.8405866764,0.659022206,0.558554327
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,12,49,60,115.66983333,82.582666667,63.603166667,50.440166667
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,28,28,28,136.79714286,66.397857143,50.64,38.733571429
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,17,17,17,36.174705882,19.642941176,15.401764706,13.192352941
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,129.43416667,69.989166667,54.868333333,40.79
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0184,Dry pressure mattress,D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,246.68,191.00357143,149.73928571,131.37785714
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,134.38,65.544210526,41.813684211,28.863157895
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,14,67,67,113.45641791,70.124179104,53.828059701,41.032985075
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,672.97,253.1225,192.159375,140.035
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0293,"Hospital bed, variable height, hi-lo, without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,68.417222222,55.612777778,43.598888889,39.629444444
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,46,292,292,63.396541096,22.101609589,16.324417808,13.020787671
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,41,41,207.41536585,57.759756098,43.272195122,36.12
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,715.92,831.73166667
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,52,305,305,39.140098361,7.4664590164,5.6026229508,3.5938688525
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,40,40,139.805,53.12425,39.32775,26.526
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,68.0375,60.475833333,47.4125,50.954166667
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,98.54625,61.5859375,47.130625,36.4478125
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,16,84,117,25.534871795,11.658290598,9.0244444444,4.431025641
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,432.33545455,318.69,226.33909091,226.33909091
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25.25,10.93,8.5741666667,7.3425
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,11,15,15,435.608,70.74,55.46,55.46
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,114,930,932,446.17984979,100.04056867,74.986641631,53.838401288
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,17,136,136,241.14705882,44.625882353,33.781029412,28.971102941
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E2370,"Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,22,87.1,46.654090909,33.612727273,27.801363636
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E2374,"Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,57.92,37.284285714,26.571428571,26.571428571
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E2375,"Power wheelchair accessory, non-expandable controller, including all related electronics and mounting hardware, replacement only",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,92.92,60.745454545,43.849090909,38.656363636
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,18,18,18,88.65,46.805555556,34.943888889,30.768888889
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,24,24,24,152,57,42.827916667,42.827916667
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1100,16.504236364,10.592490909,8.2989727273,8.2989727273
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,64,419,24690,15.764520049,9.6214349939,7.3178347509,7.3178347509
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,86,425,53924,0.2007688599,0.0461796232,0.0335787404,0.0335787404
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,49,5095,1.2511285574,0.134626104,0.1023513248,0.1023513248
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,46,204,12090,12.86,3.0002133995,2.2517146402,2.2517146402
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,660,0.75,0.2198636364,0.1723787879,0.1723787879
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,15,64,64,62.75296875,31.17375,24.33890625,17.23640625
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,72,72,77.2,43.683888889,32.984444444,23.837777778
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,191.9,105.81428571,81.392857143,54.950952381
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,65,65,577.42,233.58092308,178.07323077,125.65630769
1053408476,CLARK,STEVEN,G,M.D>,M,I,810 E SUNFLOWER RD,,CLEVELAND,MS,387322800,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,106,630,630,125.36666667,33,25.500428571,25.500428571
1053408484,WOODY,SUSAN,A,D.O.,F,I,1911 S NATIONAL AVE,SUITE 301,SPRINGFIELD,MO,658042219,US,Physician/Nephrology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1560,9.65,7.23,5.6347628205,5.6347628205
1053408484,WOODY,SUSAN,A,D.O.,F,I,1911 S NATIONAL AVE,SUITE 301,SPRINGFIELD,MO,658042219,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,3.9185897436,2.6033076923,2.0409871795,2.0409871795
1053408484,WOODY,SUSAN,A,D.O.,F,I,1911 S NATIONAL AVE,SUITE 301,SPRINGFIELD,MO,658042219,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,1.797875,0.567,0.4061805556,0.4061805556
1053408484,WOODY,SUSAN,A,D.O.,F,I,1911 S NATIONAL AVE,SUITE 301,SPRINGFIELD,MO,658042219,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,3300,0.046269697,0.0128181818,0.0100484848,0.0100484848
1053408484,WOODY,SUSAN,A,D.O.,F,I,1911 S NATIONAL AVE,SUITE 301,SPRINGFIELD,MO,658042219,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,24,24,18.82,18.82
1053408484,WOODY,SUSAN,A,D.O.,F,I,1911 S NATIONAL AVE,SUITE 301,SPRINGFIELD,MO,658042219,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,29,31,16,16,12.136129032,12.136129032
1053408567,LESSLY,JEAN,R,M.D.,F,I,1836 CROMWELL DRIVE,,NASHVILLE,TN,37215,US,Physician/Geriatric Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,3.66,3.1,2.2278055556,2.2278055556
1053408567,LESSLY,JEAN,R,M.D.,F,I,1836 CROMWELL DRIVE,,NASHVILLE,TN,37215,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,51.842105263,24.387368421,17.33,13.810526316
1053408781,LECHER,THOMAS,I,M.D.,M,I,156-36 CROSSBAY BLVD,"SECOND FLOOR, SUITE G",HOWARD BEACH,NY,11414,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,26,72,64.982777778,8.32,5.7968055556,5.7968055556
1053408781,LECHER,THOMAS,I,M.D.,M,I,156-36 CROSSBAY BLVD,"SECOND FLOOR, SUITE G",HOWARD BEACH,NY,11414,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,26,15.829230769,1.42,1.0269230769,1.0269230769
1053408963,ROBEN,REBECCA,A,APRN,F,I,27 MAIN ST,"BRISTOL HOSPITAL MULTI SPECIALTY GROUP, INC",TERRYVILLE,CT,067865101,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,40,77.69425,8.32,6.5215,6.5215
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,33,88,194,37.898917526,8.32,5.5793814433,5.5793814433
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,19,26,34,18.371764706,1.42,1.0835294118,1.0835294118
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1680,4.3385714286,2.0371428571,1.5607202381,1.5618392857
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,25,25,66.2836,41.1308,29.6924,27.9296
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,22,63,130,4.6092307692,1.7696923077,1.3104615385,1.093
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,22,44,2.02,1.3513636364,1.0584090909,0.9634090909
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,273.20529412,100.24764706,70.693529412,59.881176471
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,24,72.114166667,32.538333333,23.727083333,23.943333333
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,24,66,60.933939394,18.3,13.911212121,14.101363636
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,11,30,44.029333333,15.838,10.835666667,10.312333333
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,16,26,26,173.51461538,60.107692308,43.832307692,39.563076923
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,27,33,33,51.75,20.038484848,15.177575758,13.502424242
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,18,18,73.327777778,14.161666667,10.603333333,8.6105555556
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,54,178,7.8678651685,2.2852808989,1.7367977528,1.5412921348
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,15,15,14.137333333,6.794,5.3253333333,4.662
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,27,31,122.58709677,48.318387097,36.729677419,36.379032258
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,90,96,57.5034375,19.211041667,14.4825,13.348854167
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,23,23,219.89086957,55.404347826,38.526086957,32.72173913
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,409.76,82.715294118,59.500588235,59.772941176
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,29,30,52.197333333,13.410333333,10.516333333,9.4333333333
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,11,50,53,17.919056604,5.4986792453,4.0335849057,3.5737735849
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,12,73,74,138.88445946,40.662162162,31.876756757,26.088918919
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,24,169,180,387.61255556,83.824888889,62.031277778,51.712111111
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,170.35823529,41.819411765,32.785882353,30.525882353
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,17,108,6480,18.204742284,9.6091774691,7.4584475309,7.4584475309
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,14,70,16227,0.2959370185,0.0459542737,0.0322437912,0.0322437912
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,22,73,9776,1.2048762275,0.1334073241,0.0995703764,0.0995703764
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,19,117,7020,9.4381282051,3.0359430199,2.3476253561,2.3476253561
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,1410,1.0545673759,0.2189929078,0.1571489362,0.1571489362
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,34.832380952,19.321428571,12.59047619,11.227619048
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,37.586875,28.1875,9.35,9.148125
1053409052,WARD,DAVID,A,ARNP,M,I,302 N INDEPENDENCE STREET,SUITE 600,ENID,OK,737014025,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,35,186,186,56.951612903,33,24.618225806,24.618225806
1053409060,SMITH,JAMES,D,MD,M,I,100 MEDICAL CENTER DR,SUITE 101,GADSDEN,AL,359031134,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,38,38,38,5250,4378.96,3433.11,3433.11
1053409060,SMITH,JAMES,D,MD,M,I,100 MEDICAL CENTER DR,SUITE 101,GADSDEN,AL,359031134,US,Physician/Orthopedic Surgery,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,23,460.9826087,339.04,265.81,290.55347826
1053409060,SMITH,JAMES,D,MD,M,I,100 MEDICAL CENTER DR,SUITE 101,GADSDEN,AL,359031134,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,13,2142.7176923,1328.44,1034.9469231,891.87076923
1053409094,NICHOLS,JOSEPH,J,M.D.,M,I,35 COLLIER RD NW,SUITE 475,ATLANTA,GA,30309,US,Physician/Colorectal Surgery (Proctology),S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,18.91,7.06,4.8051818182,4.8051818182
1053409094,NICHOLS,JOSEPH,J,M.D.,M,I,35 COLLIER RD NW,SUITE 475,ATLANTA,GA,30309,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,540,8.1543703704,5.74,4.5001481481,4.5001481481
1053409094,NICHOLS,JOSEPH,J,M.D.,M,I,35 COLLIER RD NW,SUITE 475,ATLANTA,GA,30309,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,480,10.652291667,5.54,3.9057708333,3.9057708333
1053409094,NICHOLS,JOSEPH,J,M.D.,M,I,35 COLLIER RD NW,SUITE 475,ATLANTA,GA,30309,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,260,7.8112307692,4.03,2.9165,2.9165
1053409094,NICHOLS,JOSEPH,J,M.D.,M,I,35 COLLIER RD NW,SUITE 475,ATLANTA,GA,30309,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,775,0.556683871,0.27,0.2116645161,0.2116645161
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,65.641818182,24.19,18.96,22.31
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,19,24.747894737,10.917368421,8.56,8.56
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,21,594,78.566835017,3.14,2.4616666667,2.3723232323
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,9840,2.6871585366,0.3095589431,0.2426971545,0.2430426829
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,46,46,46,152.60565217,51.605434783,37.872391304,34.793043478
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,1,20,22,22,35,14.106818182,10.561363636,11.456818182
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,15,15,15,130,57.706666667,36.235333333,33.049333333
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,48,49,170,51.868163265,38.472653061,36.034285714
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,37,67.235945946,17.004054054,12.244864865,12.388378378
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,50.73,3.758,2.718,3.1656
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,65,1.8870588235,1.4811764706,1.5247058824
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,75,75,6.5,2.9105333333,2.2165333333,2.1922666667
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,38,249,249,16.25,5.3500401606,4.0622891566,3.9030923695
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,43,50,357.2306,77.002,57.9026,54.5842
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,22,22,22,145,38.489545455,28.82,28.020454545
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,350,162.05818182,127.05272727,114.59454545
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,19,133,133,65,20.046766917,14.758496241,13.520451128
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,90,33.754545455,26.463181818,24.5475
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,72,72,100,35.394444444,26.224027778,21.830416667
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,165,47.24,34.181538462,32.734615385
1053409144,PARES,SEGISMUNDO,,M.D.,M,I,2800 SW 41ST ST,,OCALA,FL,344744454,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,39,255,255,25,8.8285490196,6.5657254902,6.3534509804
1053409201,BALLARD,JULIA,E,MD,F,I,1968 PEACHTREE RD NW,,ATLANTA,GA,303091281,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,360,75.56,59.24,54.73
1053409706,DUKIC,TOMISLAV,,MD,M,I,5958 W LAWRENCE,,CHICAGO,IL,606303130,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,88.538461538,18,14.11,13.54
1053409706,DUKIC,TOMISLAV,,MD,M,I,5958 W LAWRENCE,,CHICAGO,IL,606303130,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,237.69230769,77.18,60.51,54.72
1053409771,SVED,AMY,M,NP,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,36,73,37.658082192,8.32,5.4510958904,5.4510958904
1053409771,SVED,AMY,M,NP,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.265,3.38,2.2083333333,2.2083333333
1053409771,SVED,AMY,M,NP,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,26,10.596153846,1.42,0.9007692308,0.9007692308
1053409771,SVED,AMY,M,NP,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,23.706818182,4.5718181818,3.0988636364,3.0975
1053409771,SVED,AMY,M,NP,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,60.265714286,19.931428571,11.551428571,10.687857143
1053409771,SVED,AMY,M,NP,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.97,8.6927272727,5.3027272727,5.2345454545
1053409771,SVED,AMY,M,NP,F,I,1925 HOFFMEYER RD,,FLORENCE,SC,295014011,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1053409847,LICHTIGER,SIMON,,M.D,M,I,12 EAST 86 ST.,,NEW YORK,NY,100286849,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,670,10.05480597,5.74,4.2859850746,4.2859850746
1053409847,LICHTIGER,SIMON,,M.D,M,I,12 EAST 86 ST.,,NEW YORK,NY,100286849,US,Physician/Gastroenterology,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.461,2.02,1.5836666667,1.5836666667
1053409847,LICHTIGER,SIMON,,M.D,M,I,12 EAST 86 ST.,,NEW YORK,NY,100286849,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,390,6.0116153846,3.04,2.3833589744,2.3833589744
1053409847,LICHTIGER,SIMON,,M.D,M,I,12 EAST 86 ST.,,NEW YORK,NY,100286849,US,Physician/Gastroenterology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,555,0.8958378378,0.27,0.2116576577,0.2116576577
1053409888,DALTON,JOHN,H,MD,M,I,731 MARTIN RD,,HURST,TX,760542703,US,Physician/Pediatric Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1320,2.04,2.04,1.4906590909,1.4906590909
1053409888,DALTON,JOHN,H,MD,M,I,731 MARTIN RD,,HURST,TX,760542703,US,Physician/Pediatric Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,65,1.5538461538,1.5538461538,1.2173846154,1.4106153846
1053409946,TRUONG,PARKER,K,D.O.,M,I,8121 NATIONAL AVE,SUITE 300,OKLAHOMA CITY,OK,731107530,US,Interventional Cardiology,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3737.6923077,2561.7792308,2008.4346154,2008.4346154
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,101,101,112.48306931,19.243960396,14.277722772,14.09970297
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,26,26,175.19,45.176923077,28.783461538,31.077307692
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1687.015,913.16,703.96416667,830.30416667
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,35,233,233,32.221244635,3.4084120172,2.4855364807,3.3249785408
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,51,314,322,487.65248447,72.623540373,54.16984472,52.253509317
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,22,122,129,279.93573643,37.128682171,28.370310078,28.718372093
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,57,57,40.627272727,40.627272727
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,1680,21.214089286,9.6360357143,7.5021607143,7.5021607143
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,19,63,11195,0.4380946851,0.0466619026,0.0340089326,0.0340089326
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,870,4.5412413793,0.077,0.0572988506,0.0572988506
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,17,44,4974,2.1040430237,0.133283072,0.1028729393,0.1028729393
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,17,73,5016,10.457284689,3.064238437,2.3740091707,2.3740091707
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,53,2118,2.5206137866,0.2192067989,0.1618555241,0.1618555241
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,32,40,151,151,49.331125828,33,24.68986755,24.68986755
1053410027,CHANG,JACQUELINE,A,M.D.,F,I,9898 GENESEE AVE # AMP615,,LA JOLLA,CA,920371205,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,35,35,66,66,51.74,51.74
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,25,25,129.6372,40.104,30.2056,29.2708
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,49,129,256,8.7601171875,1.523984375,1.1557421875,1.1152734375
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,34,39,39,85.763333333,11.104102564,8.4897435897,8.8438461538
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,35,80,80,524.99075,88.635875,65.566125,63.967625
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,33,84,209,185.56607656,34.798516746,26.359904306,24.988947368
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,40,81,381,109.07559055,19.032073491,13.904041995,13.557401575
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,14,33,152,71.069276316,15.188815789,11.631907895,11.617828947
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,52,94,94,279.00734043,54.965425532,40.516276596,40.479680851
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,84,115,115,94.437652174,18.708695652,14.175565217,13.654434783
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,29,29,40.206896552,10.858275862,7.935862069,7.725862069
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,73,154,154,89.600844156,12.778831169,9.6432467532,8.874025974
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,84,186,1031,11.144199806,2.1093307468,1.6149660524,1.5607080504
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,32,39,39,22.780769231,6.3715384615,4.7535897436,4.5166666667
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,50,70,70,61.376571429,13.295571429,10.133428571,10.051285714
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,55,337,341,93.283372434,17.262521994,13.058005865,13.076979472
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,59,60,232.35,46.694,34.774166667,35.851666667
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,582.944,82.188,64.434,65.602
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,1339.830303,997.12333333,775.50606061,775.50606061
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,21,78,80,54.090625,13.34575,10.075125,10.33675
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,40,194,201,55.974328358,4.7277114428,3.626119403,3.7442288557
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,25,104,107,249.43962617,34.365233645,26.076168224,26.278411215
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,22,30,30,324.99166667,70.688666667,51.742666667,51.742666667
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,100,639,643,515.91237947,66.393748056,50.246485226,52.746967341
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,252.60869565,37.64,29.51,29.51
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,29,29,29,155.27586207,57,44.69,44.69
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,21,86,5130,16.342442495,9.6853859649,7.5625555556,7.5625555556
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,54,204,39571,0.2381910995,0.0456753683,0.0342804074,0.0342804074
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,23,70,5345,1.3099981291,0.1327951356,0.1020898036,0.1020898036
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,23,85,5102,12.497849863,2.908124265,2.251871815,2.251871815
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,1109,0.897348963,0.218160505,0.1710279531,0.1710279531
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,125.93877551,37.64,28.907755102,28.907755102
1053410241,BAINS,MANINDER PAUL,S,M.D.,M,I,1162 LIVE OAK BLVD,,YUBA CITY,CA,959913407,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,71,289,289,114.23875433,33,25.075605536,25.075605536
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,22,60,133,67.474135338,8.32,5.9221804511,5.9221804511
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,24,39,15.25,1.42,1.0564102564,1.0564102564
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,8.7,7.8,6.12,6.7771428571
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,5.69,5.54,4.34,4.34
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,21,14.15,11.73,9.19,10.742380952
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,47,11.318085106,9.29,7.28,8.4834042553
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,30,886,35.020778781,5.36,4.1717832957,4.1338826185
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,9090,0.5006930693,0.3,0.2223916392,0.2303388339
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,18,8228,2.6027357803,0.6078719008,0.4656635877,0.491023335
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,24,175.83333333,48.542083333,29.865416667,30.498333333
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,16.865555556,4.97,3.9,4.3438888889
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1650,0.1379333333,0.0129090909,0.0091272727,0.0091272727
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,1440,3.7134513889,1.26075,0.9304444444,0.9304444444
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,41,44,113.59272727,19.090909091,13.058636364,12.1075
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,23.564210526,8.0442105263,5.4,5.7863157895
1053410357,HARVEY,PAUL,L,MD,M,I,6572 RIVER PARK DR #102,,RIVERDALE,GA,30274,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,25,16,16,12.0396,12.0396
1053410514,MIRANDA,TITANIA,W,MD,F,I,3699 CASCADE RD SW,SUITE B2,ATLANTA,GA,303312163,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,31,68.804516129,8.32,5.2609677419,5.2609677419
1053410621,FALKOVE,MICHAEL,,M.D.,M,I,4150 SUNRISE HWY,,MASSAPEQUA,NY,117585303,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,38,122,56.762786885,8.32,5.9836065574,5.9836065574
1053410662,JOHNSON,L,D,MD,M,I,24 PHYSICIANS DR,,JACKSON,TN,383052070,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,7,21,21,21,143.13571429,65.209047619,49.238095238,36.140952381
1053410662,JOHNSON,L,D,MD,M,I,24 PHYSICIANS DR,,JACKSON,TN,383052070,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,7,21,29,404,26.681856436,21.747524752,17.050173267,19.760940594
1053410662,JOHNSON,L,D,MD,M,I,24 PHYSICIANS DR,,JACKSON,TN,383052070,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,18,180,118.14,84.485,71.021666667
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,36,146,52.787945205,8.32,6.0759589041,6.0759589041
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,20,40,16.71225,1.42,1.02975,1.02975
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,257.23117647,87.071764706,56.458823529,56.175294118
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,56.014,11.96,8.156,7.988
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,68,6.3535294118,2.0379411765,1.4119117647,1.4057352941
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,55.811071429,17.27,12.578571429,12.578571429
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,115.9952,32.4748,20.55,19.8136
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,56,56,227.17928571,69.81,52.775357143,52.775357143
1053410704,LAURAIN,JOHN,,M.D.,M,I,806 HOGSBACK RD,,MASON,MI,488548524,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,18.478571429,18.478571429
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,29,40,99,319,63.641630094,8.32,5.809153605,5.809153605
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,16.294285714,3.38,2.4607142857,2.4607142857
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,24,47,104,16.233365385,1.42,1.0609615385,1.0609615385
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,457,17.778993435,3,2.2078774617,2.2238293217
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,7080,1.193059322,0.38,0.2948206215,0.2869731638
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,39.918181818,17.630909091,13.823636364,13.54
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,50,50,25,3.826,2.8672,3.4558
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,220,76.58,60.03,55.015
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2159,1.0451597962,0.1360629921,0.1003520148,0.1003520148
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600,131.93181818,103.43272727,95.193636364
1053410910,THAKKAR,HARISH,N,MD,M,I,9220 HIGHWAY 6 SOUTH SUITE E,,HOUSTON,TX,770836445,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,35.979166667,33,23.714166667,23.714166667
1053411132,BLACK,MICHELLE,R,APRN,F,I,427 US 31W BYP,,BOWLING GREEN,KY,421011703,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,16,36,29.94,15.12,10.538333333,10.576111111
1053411132,BLACK,MICHELLE,R,APRN,F,I,427 US 31W BYP,,BOWLING GREEN,KY,421011703,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,63.858571429,19.71,14.516428571,13.451428571
1053411132,BLACK,MICHELLE,R,APRN,F,I,427 US 31W BYP,,BOWLING GREEN,KY,421011703,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,15,15,60.980666667,13.734,9.3146666667,8.4606666667
1053411132,BLACK,MICHELLE,R,APRN,F,I,427 US 31W BYP,,BOWLING GREEN,KY,421011703,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,21,42,8.88,2.6171428571,1.4316666667,1.2142857143
1053411215,ANEMA,JOHN,G,M.D.,M,I,25 MICHIGAN ST NE,SUITE 3300,GRAND RAPIDS,MI,495032515,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,4245,0.2305583039,0.13,0.0990530035,0.0990530035
1053411215,ANEMA,JOHN,G,M.D.,M,I,25 MICHIGAN ST NE,SUITE 3300,GRAND RAPIDS,MI,495032515,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,47,7365,4.0145010183,2.0319348269,1.532365241,1.5386870333
1053411215,ANEMA,JOHN,G,M.D.,M,I,25 MICHIGAN ST NE,SUITE 3300,GRAND RAPIDS,MI,495032515,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,44,5400,7.4666333333,6.0941666667,4.7512685185,5.5424555556
1053411215,ANEMA,JOHN,G,M.D.,M,I,25 MICHIGAN ST NE,SUITE 3300,GRAND RAPIDS,MI,495032515,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,112,1.875,1.8,1.4107142857,1.4107142857
1053411272,SHEN,JUNG,S,MD,M,I,219 S BROAD ST,,ELIZABETH,NJ,072023453,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,3630,0.9952231405,0.1337190083,0.0928236915,0.0928236915
1053411272,SHEN,JUNG,S,MD,M,I,219 S BROAD ST,,ELIZABETH,NJ,072023453,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33.66,33,22.8205,22.8205
1053411637,MANSOUR,ANTOINE,Y,M.D.,M,I,1300 N VERMONT AVE,SUITE 704,LOS ANGELES,CA,900276005,US,Physician/General Surgery,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,111.88,42.201666667,29.6,31.698333333
1053411892,MULLIGAN,MICHAEL,P,MD,M,I,11795 EDUCATION ST STE 110,,AUBURN,CA,95602,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,50,33.8,10.484,8.22,8.307
1053411942,ALAM,EJAZ,,MD,M,I,1309 WEST MAIN ST,FAMILY MEDICAL CENTER,WALNUT RIDGE,AR,72476,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,37.894736842,22.451578947,17.600526316,15.821052632
1053411942,ALAM,EJAZ,,MD,M,I,1309 WEST MAIN ST,FAMILY MEDICAL CENTER,WALNUT RIDGE,AR,72476,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,45,45,2000,1048.7,816.18288889,835.81666667
1053411942,ALAM,EJAZ,,MD,M,I,1309 WEST MAIN ST,FAMILY MEDICAL CENTER,WALNUT RIDGE,AR,72476,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,23.6876,7.5128,5.888,5.8024
1053411942,ALAM,EJAZ,,MD,M,I,1309 WEST MAIN ST,FAMILY MEDICAL CENTER,WALNUT RIDGE,AR,72476,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,212.10526316,102.42,80.299473684,69.916315789
1053412205,ROFF-CRANE,DAWNA,R,ARNP,F,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,760.48,77.34,60.63,55.362142857
1053412205,ROFF-CRANE,DAWNA,R,ARNP,F,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,39.089545455,15.975,11.816363636,13.340909091
1053412205,ROFF-CRANE,DAWNA,R,ARNP,F,I,1330 ROCKEFELLER AVE,SUITE 230,EVERETT,WA,982011684,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,285.6,39.3,30.81,29.61
1053412338,MAIMONE,RAYMOND,M,D.P.M.,M,I,89 ANDERSON AVE,,FAIRVIEW,NJ,070222071,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,23,23,46,76.44173913,70.351304348,55.157173913,56.105
1053412338,MAIMONE,RAYMOND,M,D.P.M.,M,I,89 ANDERSON AVE,,FAIRVIEW,NJ,070222071,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,132,41.904545455,41.873636364,32.828787879,34.147424242
1053412395,RAMANATHAN,VENKATARAMAN,,MBBS,M,I,2002 HOLCOMBE BLVD,# 111-J,HOUSTON,TX,770304211,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,32,35,173,19832,4.6823336023,0.5727647237,0.3966967527,0.4125968132
1053412395,RAMANATHAN,VENKATARAMAN,,MBBS,M,I,2002 HOLCOMBE BLVD,# 111-J,HOUSTON,TX,770304211,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,17,56,10050,0.0833791045,0.0133134328,0.0099512438,0.0099512438
1053412395,RAMANATHAN,VENKATARAMAN,,MBBS,M,I,2002 HOLCOMBE BLVD,# 111-J,HOUSTON,TX,770304211,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,2280,1.1979342105,0.7295263158,0.5719517544,0.5719517544
1053412395,RAMANATHAN,VENKATARAMAN,,MBBS,M,I,2002 HOLCOMBE BLVD,# 111-J,HOUSTON,TX,770304211,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,22,29,116,17220,3.5735017422,1.2936794425,0.9633426249,0.9965481998
1053412395,RAMANATHAN,VENKATARAMAN,,MBBS,M,I,2002 HOLCOMBE BLVD,# 111-J,HOUSTON,TX,770304211,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,4020,4.4089079602,2.8086268657,2.2019626866,2.2019626866
1053412395,RAMANATHAN,VENKATARAMAN,,MBBS,M,I,2002 HOLCOMBE BLVD,# 111-J,HOUSTON,TX,770304211,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,34,40,131,131,24,24,18.528015267,18.528015267
1053412395,RAMANATHAN,VENKATARAMAN,,MBBS,M,I,2002 HOLCOMBE BLVD,# 111-J,HOUSTON,TX,770304211,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,32,40,186,241,16,16,12.15373444,12.15373444
1053412551,BALACHANDRAN,DIWAKER,D,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,77030,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,51.97,17.315,12.884,12.8585
1053412551,BALACHANDRAN,DIWAKER,D,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,77030,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,294.0475,84.38,66.15,66.6275
1053412551,BALACHANDRAN,DIWAKER,D,M.D.,M,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,77030,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,229.28,75.311034483,56.972758621,52.836551724
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,32,64,255,67.860156863,8.32,6.0569411765,6.0569411765
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,21,21,16.152380952,3.38,2.3976190476,2.3976190476
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,22.128333333,2.12,1.5308333333,1.5308333333
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,36,59,16.211186441,1.42,1.0576271186,1.0576271186
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,61,9.0157377049,2.2950819672,1.6221311475,1.4972131148
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,21,86.31,16.79,13.16,13.53
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,44.44,34.84,37.3975
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,41,434.77536585,78.47,60.019512195,54.72
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1380,15.58,9.659173913,7.3856014493,7.3856014493
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,38,7894,0.1912743856,0.0448783886,0.0328515328,0.0328515328
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,62.16,9.02,7.08,7.0033333333
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,39.3,29.463333333,28.163333333
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1861.77,146.25,114.66,114.66
1053412569,STACKHOUSE,NORMAN,R,P.A.,M,I,9131 PISCATAWAY RD,SUITE 600,CLINTON,MD,207352508,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,40,124.575,33,24.5765,24.5765
1053412692,MULLER,VINCENT,,PHYSICIAN ASSISTANT,M,I,200 NEEL AVE,,SOCORRO,NM,878014649,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,16,35,59,74.801355932,8.32,5.6379661017,5.6379661017
1053412692,MULLER,VINCENT,,PHYSICIAN ASSISTANT,M,I,200 NEEL AVE,,SOCORRO,NM,878014649,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,12,15,15,14.034,1.42,1.0453333333,1.0453333333
1053412692,MULLER,VINCENT,,PHYSICIAN ASSISTANT,M,I,200 NEEL AVE,,SOCORRO,NM,878014649,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,86.31,22.680294118,16.463235294,12.731176471
1053412692,MULLER,VINCENT,,PHYSICIAN ASSISTANT,M,I,200 NEEL AVE,,SOCORRO,NM,878014649,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,89,91,493.84417582,107.04923077,81.367252747,53.835164835
1053412692,MULLER,VINCENT,,PHYSICIAN ASSISTANT,M,I,200 NEEL AVE,,SOCORRO,NM,878014649,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,176.36363636,45.444545455,35.630909091,29.669545455
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,30,98,58.85622449,8.32,5.3244897959,5.3244897959
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,29,14.955172414,1.42,0.9579310345,0.9579310345
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,23,46,8.2695652174,1.9417391304,1.3565217391,1
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,10.612727273,3.0781818182,2.4134848485,1.5933333333
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,63.155,20.19375,14.62375,12.427916667
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,23,23,191.94130435,56.93,41.047391304,34.357826087
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.5718181818,3.58,3.6854545455
1053412742,SHY,MARY,E,FNP-CS,F,I,201 LAMKIN STREET,UNIT 101,PUEBLO,CO,810033558,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,51,51,389.43686275,89.715294118,66.990588235,52.310980392
1053412767,ROSENBERG,MARK,,M.D.,M,I,725 RESERVOIR AVE,SUITE 102,CRANSTON,RI,029104448,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,75.270689655,8.32,6.5224137931,6.5224137931
1053412767,ROSENBERG,MARK,,M.D.,M,I,725 RESERVOIR AVE,SUITE 102,CRANSTON,RI,029104448,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,144.08727273,32.321818182,25.340909091,25.494545455
1053413138,OSMANSKA-JAC,DAGMARA,,M.D,F,I,145 WARD HILL AVE,,HAVERHILL,MA,018356928,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,39.55,17,13.33,13.54
1053413153,PHANEUF,JOSEPH,D,MD,M,I,101 W 8TH AVE,,SPOKANE,WA,992042307,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,326.87,102.61833333,70.493333333,45.608333333
1053413443,SANDY,DIANNE,,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,SUITE # A11/12,WESTON,FL,333313609,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,3540,1.6749830508,0.4419293785,0.2188446328,0.3490734463
1053413443,SANDY,DIANNE,,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,SUITE # A11/12,WESTON,FL,333313609,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,1620,2.7843765432,1.2645555556,0.5665617284,0.9650246914
1053413443,SANDY,DIANNE,,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,SUITE # A11/12,WESTON,FL,333313609,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,1560,3.3903589744,2.6365320513,1.5301410256,1.9479358974
1053413443,SANDY,DIANNE,,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,SUITE # A11/12,WESTON,FL,333313609,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,21,21,24,24,18.82,18.82
1053413443,SANDY,DIANNE,,M.D.,F,I,2950 CLEVELAND CLINIC BLVD,SUITE # A11/12,WESTON,FL,333313609,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,16,16,12.54,12.54
1053413476,BURNS,RISA,B,M.D.,F,I,BETH ISRAEL DEACONESS MED CTR,330 BROOKLINE AVE,BOSTON,MA,02215,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,34,94,77.524468085,8.32,6.5223404255,6.5223404255
1053413476,BURNS,RISA,B,M.D.,F,I,BETH ISRAEL DEACONESS MED CTR,330 BROOKLINE AVE,BOSTON,MA,02215,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,29,21.996206897,1.42,1.115862069,1.115862069
1053413500,GREENBERG,DAVID,B,MD,M,I,1707 ATLANTIC AVE,,MANASQUAN,NJ,087361147,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,50,50,58.6584,19.71,15.45,15.45
1053413500,GREENBERG,DAVID,B,MD,M,I,1707 ATLANTIC AVE,,MANASQUAN,NJ,087361147,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,50,52,116.53346154,36.754615385,28.81,29.300192308
1053413500,GREENBERG,DAVID,B,MD,M,I,1707 ATLANTIC AVE,,MANASQUAN,NJ,087361147,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,290.052,209.7396,164.4364,164.4364
1053413500,GREENBERG,DAVID,B,MD,M,I,1707 ATLANTIC AVE,,MANASQUAN,NJ,087361147,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,21,1962,40.178154944,5.0893170234,3.9900254842,3.9900254842
1053413500,GREENBERG,DAVID,B,MD,M,I,1707 ATLANTIC AVE,,MANASQUAN,NJ,087361147,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,50,455,10.04021978,1.6638681319,1.3040879121,1.3040879121
1053413500,GREENBERG,DAVID,B,MD,M,I,1707 ATLANTIC AVE,,MANASQUAN,NJ,087361147,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,24,24,18.82,18.82
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,38,122,269,45.063977695,8.32,6.0846468401,6.0846468401
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,15.827058824,3.38,2.3382352941,2.3382352941
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,29,72,99,12.588181818,1.42,0.9918181818,0.9918181818
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,17,28,94.342142857,71.469285714,56.034642857,56.0325
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,15,68,34.316470588,29.144117647,22.849558824,22.850588235
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,5.3523076923,2.0753846154,1.5292307692,1.1769230769
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,22,36.723181818,6.7972727273,5.1086363636,3.5318181818
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,137.83875,35.49,25.97625,25.541875
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3265,0.1323583461,0.0457151608,0.0324563553,0.0324563553
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1410,1.0436241135,0.1416808511,0.1072056738,0.1072056738
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,81.591666667,22.221666667,13.798333333,13.798333333
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,577.42,136.77666667,95.280833333,93.634166667
1053413583,BOURGEOIS,LEONARD,J,MD,M,I,1409 CHURCH ST,,JEANERETTE,LA,705444407,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,26,26,37.5,33,23.88,23.88
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,18,60,138,60.933550725,8.32,6.048115942,6.048115942
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,30,39,17.525641026,1.42,1.0594871795,1.0594871795
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,22,75.166363636,23.596818182,16.883636364,13.684545455
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,4430.1,1074.31,836.28208333,836.28208333
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,20,192.669,55.9815,43.886,25.325
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,54,58,395.71086207,102.74827586,74.876206897,54.371724138
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2751,0.2709996365,0.045132679,0.0237150127,0.0237150127
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,632.698,209.46733333,154.65466667,104.34933333
1053413690,FINDLEY,AMBROUS,O,DO,M,I,331 RIDGECREST CIR,,CLAYTON,GA,305254186,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,41.25,33,19.4025,19.4025
1053413773,WOLFE,DANA,,FNP,F,I,10210 COULOAK DR,STE E,CHARLOTTE,NC,282167679,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,33.405897436,5.7507692308,4.2187179487,3.4505128205
1053413856,MANALAC,MICHELLE,M,MD,F,I,1011 S VAN DYKE RD,SUITE C,BAD AXE,MI,484139630,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,89.38,21.876666667,17.15,10.084166667
1053413856,MANALAC,MICHELLE,M,MD,F,I,1011 S VAN DYKE RD,SUITE C,BAD AXE,MI,484139630,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,64,11.69,2.981875,2.3384375,1.69015625
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,35.347692308,28.46,22.31,22.31
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,29.69,29.69,22.221818182,22.221818182
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,38,38,12.985789474,10.93,8.3444736842,8.3444736842
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,940,8.28,8.28,6.3389255319,6.3389255319
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,32,32,201.2,48.164375,31.4303125,30.8046875
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,70.567692308,47.938461538,30.250384615,29.810769231
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,9.2133333333,4.55,3.1925,3.1916666667
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,103.56555556,45.79,29.600555556,29.104444444
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,36,2,1.2766666667,0.61,0.6130555556
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,12,12,262.27,71.7325,37.884166667,36.539166667
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,39,46,75,18.081304348,9.4539130435,8.7180434783
1053413880,JARRELL,GREGORY,,D.O.,M,I,1201 WASHINGTON ST E,SUITE 108,CHARLESTON,WV,253011834,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,61.475869565,29.387391304,21.108478261,19.935869565
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,52,107,64.067850467,8.32,6.398411215,6.398411215
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,17.684,1.42,1.0453333333,1.0453333333
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1470,0.2797959184,0.13,0.0936326531,0.0936326531
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,3130,2.8068051118,2.04,1.5574217252,1.5574217252
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,26,93.760384615,36.28,26.239615385,23.925
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,77,62.011558442,18.36,13.178181818,13.331298701
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,19,19,171.29631579,55.4,38.858421053,38.348421053
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,17,17,55.161764706,18.607647059,14.583529412,14.06
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,20,20,52.037,12.6995,8.579,7.807
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,97,7.7105154639,2.2256701031,1.6404123711,1.4879381443
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,49,108.47693878,17.69,11.759183673,11.488571429
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,42.026923077,13.312307692,9.64,9.6769230769
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,16.938947368,5.1010526316,3.5921052632,3.3389473684
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,47,47,184.96468085,33.060212766,24.270638298,24.376595745
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,86,86,489.18988372,69.99,50.251162791,50.135581395
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,20.295433333,9.653,7.5679416667,7.5679416667
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,9.5578083333,3.02095,2.2488916667,2.2488916667
1053413914,BARTULICA,NIKOLA,K,DO,M,I,105 FAR WEST DR STE 100,,SAINT JOSEPH,MO,645063514,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,25.87,25.87
1053414128,LIGHTFOOT,DIANA,,PA,F,I,2332 ALPINE AVE NW,,GRAND RAPIDS,MI,495441955,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.04,2.84,3.3041666667
1053414243,THOMPSON,JAMES,W,M.D.,M,I,1050 WELLINGTON AVE,,GRAND JUNCTION,CO,815018121,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,17.91,12.87,12.453333333
1053414243,THOMPSON,JAMES,W,M.D.,M,I,1050 WELLINGTON AVE,,GRAND JUNCTION,CO,815018121,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,250,70.48,49.694347826,49.233478261
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,176,307,307,94.764462541,48.787589577,35.825667752,28.841693811
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,33,91,175,7.3378857143,1.9285714286,1.4324,1.0855428571
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,1.8811764706,1.4617647059,1.0205882353,0.8485294118
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,26,29,29,61.203448276,16.624137931,12.345862069,8.9662068966
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,21,233,443,444,261.95490991,119.12576577,87.142882883,63.964572072
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,104,222,444,137.53734234,42.807387387,31.528468468,24.428378378
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,89,182,786,76.468956743,23.473129771,17.492391858,13.958384224
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,24,35,147,39.217346939,18.280884354,13.455102041,11.156326531
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,217,397,397,162.06707809,74.088589421,54.323476071,40.306372796
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,30,407,535,535,53.637738318,24.029420561,17.778971963,13.417682243
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,27,32,32,28.5671875,12.123125,8.3965625,7.2409375
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,238,425,426,59.577276995,19.674483568,14.622018779,8.985399061
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,30,196,401,1946,9.0426567318,2.8964491264,2.1715467626,1.5533042138
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,322,399,399,16.826466165,8.0770426065,5.924235589,4.4433082707
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,174,217,217,39.28875576,15.536221198,11.734976959,10.034562212
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,38,277,283,52.300353357,22.254628975,16.758374558,13.203215548
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,22,23,232.35,58.062608696,42.023478261,34.357826087
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,76,76,2084.2105263,913.16,704.05447368,823.01131579
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,25,150,152,314.79342105,114.92493421,80.892697368,59.796776316
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,109,109,109,414.21238532,189.72706422,146.04477064,105.89770642
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,28,114,127,77.219291339,15.653149606,11.167480315,9.0653543307
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,8,30,202,205,29.019804878,6.9192682927,5.0002439024,3.2961463415
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,22,208,1151,1172,151.65843003,48.12581058,36.031817406,24.95105802
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,59,435,441,308.61995465,101.03732426,76.391678005,54.146371882
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,66,69,184.7826087,43.592028986,33.701594203,29.313188406
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,35,216,12870,16.554000777,9.6475058275,7.4719114219,7.4719114219
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1500,15.03538,11.2922,8.7358266667,8.7358266667
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,38,217,38425,0.265037866,0.0464785947,0.0348559532,0.0348559532
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,19,82,7993,1.2054109846,0.1318803953,0.0946428125,0.0946428125
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,45,281,16770,12.356826476,2.9861073345,2.3091091234,2.3091091234
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,36,176,9246,1.4503071599,0.2191325979,0.1661972745,0.1661972745
1053414326,EVANS,JEFFREY,N,MD,M,I,2301 SOUTH LAMAR BLVD SUITE 100,2301 SOUTH LAMAR BLVD SUITE 100,OXFORD,MS,386550768,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,76,420,420,93.164285714,33,25.192452381,25.192452381
1053414383,CLIONSKY,EMILYMARIE,,MD,F,I,155 MAPLE ST,SUITE 203,SPRINGFIELD,MA,011051828,US,Psychiatry & Neurology,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,510.71470588,93.138235294,68.718823529,63.849411765
1053414383,CLIONSKY,EMILYMARIE,,MD,F,I,155 MAPLE ST,SUITE 203,SPRINGFIELD,MA,011051828,US,Psychiatry & Neurology,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,16,46,188.30326087,34.19173913,25.277608696,24.388695652
1053414383,CLIONSKY,EMILYMARIE,,MD,F,I,155 MAPLE ST,SUITE 203,SPRINGFIELD,MA,011051828,US,Psychiatry & Neurology,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,275.38909091,54.5,38.845454545,38.978181818
1053414383,CLIONSKY,EMILYMARIE,,MD,F,I,155 MAPLE ST,SUITE 203,SPRINGFIELD,MA,011051828,US,Psychiatry & Neurology,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,16,16,96.50875,19.21625,14.575625,13.570625
1053414383,CLIONSKY,EMILYMARIE,,MD,F,I,155 MAPLE ST,SUITE 203,SPRINGFIELD,MA,011051828,US,Psychiatry & Neurology,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,106.49555556,12.401111111,9.725,9.1294444444
1053414383,CLIONSKY,EMILYMARIE,,MD,F,I,155 MAPLE ST,SUITE 203,SPRINGFIELD,MA,011051828,US,Psychiatry & Neurology,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,29,174,12.327586207,2.2420689655,1.7571264368,1.5916666667
1053414383,CLIONSKY,EMILYMARIE,,MD,F,I,155 MAPLE ST,SUITE 203,SPRINGFIELD,MA,011051828,US,Psychiatry & Neurology,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,391.68181818,31.217272727,24.473636364,24.788181818
1053414458,SHELFO,SCOTT,W,M.D.,M,I,1336 HIGHWAY 54 W,BLDG 200,FAYETTEVILLE,GA,302144535,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,23,65,24.512153846,9.7441538462,6.7418461538,7.5638461538
1053414458,SHELFO,SCOTT,W,M.D.,M,I,1336 HIGHWAY 54 W,BLDG 200,FAYETTEVILLE,GA,302144535,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,440,10.437,3.32,2.4637727273,2.8564772727
1053414458,SHELFO,SCOTT,W,M.D.,M,I,1336 HIGHWAY 54 W,BLDG 200,FAYETTEVILLE,GA,302144535,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,700,12.8806,7,5.3171428571,5.3171428571
1053414458,SHELFO,SCOTT,W,M.D.,M,I,1336 HIGHWAY 54 W,BLDG 200,FAYETTEVILLE,GA,302144535,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,550,5.904,4.04,3.0521818182,3.0521818182
1053414458,SHELFO,SCOTT,W,M.D.,M,I,1336 HIGHWAY 54 W,BLDG 200,FAYETTEVILLE,GA,302144535,US,Physician/Urology,S,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,41,21.42195122,1.6070731707,1.17,1.1726829268
1053414458,SHELFO,SCOTT,W,M.D.,M,I,1336 HIGHWAY 54 W,BLDG 200,FAYETTEVILLE,GA,302144535,US,Physician/Urology,S,A5073,"Ostomy pouch, urinary; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,380,5.51,3.58,2.8066578947,2.8066578947
1053414458,SHELFO,SCOTT,W,M.D.,M,I,1336 HIGHWAY 54 W,BLDG 200,FAYETTEVILLE,GA,302144535,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,1250,0.680712,0.2682,0.193656,0.195144
1053414581,GREEN,MICHAEL,E,MD,M,I,854 LONE OAK DRIVE,,GALLATIN,TN,37066,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,42,42,42,72.738333333,71.259761905,52.02,49.633095238
1053414581,GREEN,MICHAEL,E,MD,M,I,854 LONE OAK DRIVE,,GALLATIN,TN,37066,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,34,51.162058824,49.257941176,38.62,42.843823529
1053414581,GREEN,MICHAEL,E,MD,M,I,854 LONE OAK DRIVE,,GALLATIN,TN,37066,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,16,66.635625,62.53,49.026875,52.99
1053414581,GREEN,MICHAEL,E,MD,M,I,854 LONE OAK DRIVE,,GALLATIN,TN,37066,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,59,68.84779661,67.632881356,51.177288136,52.179491525
1053414631,SCHULTZ,STEVEN,E,MD,M,I,323 S MINNESOTA ST,,CROOKSTON,MN,567161601,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,35,4940,0.25,0.13,0.1019210526,0.1019210526
1053414631,SCHULTZ,STEVEN,E,MD,M,I,323 S MINNESOTA ST,,CROOKSTON,MN,567161601,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,43,7670,4.0642242503,1.9866492829,1.5118265971,1.5536466754
1053414631,SCHULTZ,STEVEN,E,MD,M,I,323 S MINNESOTA ST,,CROOKSTON,MN,567161601,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,3620,7.7668508287,6.15,4.7619585635,5.6086767956
1053414938,PABODY,GLENN,D,PA,M,I,101 N HOUSTON ST,,KAUFMAN,TX,751421950,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,38,30.696578947,8.32,4.1189473684,4.1189473684
1053415067,TIWARI,NIDHI,,M.D.,F,I,2020 OGDEN AVE STE 400,,AURORA,IL,605045898,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,34,83,77.863493976,8.32,5.8155421687,5.8155421687
1053415067,TIWARI,NIDHI,,M.D.,F,I,2020 OGDEN AVE STE 400,,AURORA,IL,605045898,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,27,21.944074074,1.42,0.9511111111,0.9511111111
1053415067,TIWARI,NIDHI,,M.D.,F,I,2020 OGDEN AVE STE 400,,AURORA,IL,605045898,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1381.41,1074.31,842.26,842.26
1053415067,TIWARI,NIDHI,,M.D.,F,I,2020 OGDEN AVE STE 400,,AURORA,IL,605045898,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,25,50.73,3.8456,2.8644,3.484
1053415067,TIWARI,NIDHI,,M.D.,F,I,2020 OGDEN AVE STE 400,,AURORA,IL,605045898,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,90.82,40.95,24.425,19.126428571
1053415067,TIWARI,NIDHI,,M.D.,F,I,2020 OGDEN AVE STE 400,,AURORA,IL,605045898,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,24.50375,9.42625,5.045,4.49875
1053415158,NGUYEN,UYEN,A,DO,F,I,280 FARNER PL,,THE VILLAGES,FL,321636066,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,124.64363636,54.718181818,35.184545455,35.228181818
1053415158,NGUYEN,UYEN,A,DO,F,I,280 FARNER PL,,THE VILLAGES,FL,321636066,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,655.055625,79.2,62.09,54.73
1053415315,MILLER,JEFFREY,L,MD,M,I,3218 W AZEELE ST,,TAMPA,FL,33609,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,59,67.176271186,8.32,6.1910169492,6.1910169492
1053415315,MILLER,JEFFREY,L,MD,M,I,3218 W AZEELE ST,,TAMPA,FL,33609,US,Physician/Rheumatology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,34,178.78823529,80.451764706,62.083235294,54.004705882
1053415430,LEVIN,DENNIS,L,MD,M,I,3227 PROFESSIONAL DR,SUITE A,AUBURN,CA,95602,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,137.2895,16.98,12.6445,12.8565
1053415430,LEVIN,DENNIS,L,MD,M,I,3227 PROFESSIONAL DR,SUITE A,AUBURN,CA,95602,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,740.39916667,71.74,47.024166667,45.765
1053415430,LEVIN,DENNIS,L,MD,M,I,3227 PROFESSIONAL DR,SUITE A,AUBURN,CA,95602,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,37.58,29.46,29.51
1053415455,PAYNE,WESLEY,K,M.D.,M,I,11657 CHAPMAN HWY,,SEYMOUR,TN,378655047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,57,168,53.151428571,8.32,6.0705952381,6.0705952381
1053415455,PAYNE,WESLEY,K,M.D.,M,I,11657 CHAPMAN HWY,,SEYMOUR,TN,378655047,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,20,36,9.9097222222,1.42,1.1133333333,1.1133333333
1053415455,PAYNE,WESLEY,K,M.D.,M,I,11657 CHAPMAN HWY,,SEYMOUR,TN,378655047,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,38.896875,18.701875,12.8275,11.83875
1053415455,PAYNE,WESLEY,K,M.D.,M,I,11657 CHAPMAN HWY,,SEYMOUR,TN,378655047,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,323.844,89.9312,62.3832,47.8856
1053415463,PATEL,BHAKTASHARAN,C,MD,M,I,2920 N CASCADE AVE,STE 301,COLORADO SPRINGS,CO,809076265,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,397,22.505037783,5.5082619647,4.3184634761,4.1629974811
1053415463,PATEL,BHAKTASHARAN,C,MD,M,I,2920 N CASCADE AVE,STE 301,COLORADO SPRINGS,CO,809076265,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,6439,2.7180152198,0.3088647305,0.242147849,0.2430361857
1053415463,PATEL,BHAKTASHARAN,C,MD,M,I,2920 N CASCADE AVE,STE 301,COLORADO SPRINGS,CO,809076265,US,Physician/Gastroenterology,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,11,11,444.75,63.181818182,49.538181818,48.32
1053415505,CONWAY,MICHAEL,,MD,M,I,85 SEYMOUR STREET,SUITE 923,HARTFORD,CT,06106,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,76.866666667,60.263333333,54.723333333
1053415570,COLE,STEPHEN,A,M.D.,M,I,525 KENOSHA ST,SUITE A,WALWORTH,WI,531849512,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,46.235833333,38.32
1053415570,COLE,STEPHEN,A,M.D.,M,I,525 KENOSHA ST,SUITE A,WALWORTH,WI,531849512,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,34.494166667
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,39,114,292,64.294794521,8.32,5.5173630137,5.5173630137
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,18,33,43,12.605813953,1.42,0.9869767442,0.9869767442
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,360,9.5611111111,5.74,4.2669444444,4.2669444444
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,86,17.215232558,6.44,4.3443023256,4.3443023256
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,250,14.504,5.54,4.1496,4.1496
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,148.415,41.820833333,27.336666667,25.679166667
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,475,0.6152210526,0.27,0.2116421053,0.2116421053
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,82,104.05963415,19.21,13.162560976,12.690731707
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,284.80928571,58,42.222142857,39.798571429
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,107.49818182,18.572727273,13.241818182,12.781818182
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,91,10.083296703,2.2486813187,1.7624175824,1.6054945055
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,91.6804,17.47,10.1288,10.0232
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,14,232.35,50,33.187142857,31.841428571
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,458.47714286,30.804285714,22.159428571,22.263142857
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,88,88,542.44659091,77.542727273,53.121363636,48.058295455
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,2130,1.5418403756,0.1382957746,0.1084366197,0.1084366197
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,298.32307692,38.969230769,25.862307692,24.97
1053415794,CLAIRMONT,THOMAS,P,MD,M,I,330 BORTHWICK AVE,SUITE 205,PORTSMOUTH,NH,03801,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,53,147,383,70.617624021,8.32,5.7003655352,5.7003655352
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,15.644615385,3.38,2.65,2.65
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,30,71,110,16.088545455,1.42,0.983,0.983
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,145,6.4724137931,3,2.352,2.3596551724
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5644,3.642097803,0.37,0.2646598157,0.2646598157
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,57.692631579,17.142368421,13.103421053,13.181578947
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,89.0675,44.7925,32.484,35.0265
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,364.16317073,78.528780488,61.567073171,54.749756098
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,3498,0.6095797599,0.0465037164,0.0340937679,0.0340937679
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1800,1.7542777778,0.1353,0.0995277778,0.0995277778
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,2.9344545455,2.091530303,2.091530303
1053416008,EISNER,JOEL,,M.D.,M,I,824 MAIN ST,SUITE 100,PHOENIXVILLE,PA,194604478,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,38,38,69.473684211,33,25.189210526,25.189210526
1053416040,TEATERS,CHARLES,H,O.D.,M,I,2851 CARROLLTON PIKE,SUITE A-1,WOODLAWN,VA,243813668,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,18,44.591111111,44.591111111,34.960555556,42.516111111
1053416040,TEATERS,CHARLES,H,O.D.,M,I,2851 CARROLLTON PIKE,SUITE A-1,WOODLAWN,VA,243813668,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,26,26.384615385,26.384615385,20.687307692,34.797692308
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,515,5.26,5.26,4.1238834951,4.1631067961
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,8309,0.3699338067,0.3694211096,0.2896341317,0.2900878565
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,12,12,62.55,62.55,49.04,48.32
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2975,913.16,703.96416667,830.30416667
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,35,3.505,2.7533333333,3.5666666667
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,51.5,40.791666667,31.98,31.983333333
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,475.64,34.535,24.295833333,22.720833333
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,5.16,5.16,4.05,3.95
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,502.5,79,56.040952381,49.517619048
1053416230,LOWERY,WILLIAM,S,M.D.,M,I,2070 CLINTON AVE,,ALAMEDA,CA,945014320,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,525,39,27.667619048,26.69952381
1053416412,CARVALLO,ALEJANDRO,,MD,M,I,36763 EILAND BLVD STE 103,,ZEPHYRHILLS,FL,335420600,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,48,6374,4.2900611861,0.5666033888,0.4053200502,0.4053153436
1053416412,CARVALLO,ALEJANDRO,,MD,M,I,36763 EILAND BLVD STE 103,,ZEPHYRHILLS,FL,335420600,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2310,1.4341515152,0.7437272727,0.5830909091,0.5830909091
1053416412,CARVALLO,ALEJANDRO,,MD,M,I,36763 EILAND BLVD STE 103,,ZEPHYRHILLS,FL,335420600,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,4670,2.8092184154,1.2549143469,0.9625952891,0.9625952891
1053416412,CARVALLO,ALEJANDRO,,MD,M,I,36763 EILAND BLVD STE 103,,ZEPHYRHILLS,FL,335420600,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,59,59,24,24,17.544067797,17.544067797
1053416412,CARVALLO,ALEJANDRO,,MD,M,I,36763 EILAND BLVD STE 103,,ZEPHYRHILLS,FL,335420600,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,38,16,16,12.54,12.54
1053416461,WANG,PING H,,MD,M,I,UNIVERSITY OF CALIF IRVINE,GOTTSCHALK MEDICAL PLAZA,IRVINE,CA,926970001,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,12,152,35.3525,19.659013158,15.3,15.3
1053416461,WANG,PING H,,MD,M,I,UNIVERSITY OF CALIF IRVINE,GOTTSCHALK MEDICAL PLAZA,IRVINE,CA,926970001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,40,88,413,79.758619855,8.32,5.9385472155,5.9385472155
1053416461,WANG,PING H,,MD,M,I,UNIVERSITY OF CALIF IRVINE,GOTTSCHALK MEDICAL PLAZA,IRVINE,CA,926970001,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,16,26,57,20.42754386,1.42,1.0170175439,1.0170175439
1053416461,WANG,PING H,,MD,M,I,UNIVERSITY OF CALIF IRVINE,GOTTSCHALK MEDICAL PLAZA,IRVINE,CA,926970001,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,39,39,312.60948718,233.48102564,183.04717949,193.63564103
1053416461,WANG,PING H,,MD,M,I,UNIVERSITY OF CALIF IRVINE,GOTTSCHALK MEDICAL PLAZA,IRVINE,CA,926970001,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,287.49818182,207.72363636,162.85454545,198.25090909
1053416743,REDDY,NEEMA,,MD,F,I,217 DIVISION AVE,,EUGENE,OR,974045429,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,24,76.63,8.32,6.2495833333,6.2495833333
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,32,109,217,8.19,1.5767281106,1.1488018433,1.0789861751
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,14,14,82.897857143,12.221428571,8.6078571429,8.1821428571
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,93.722666667,12.08,8.8386666667,8.5353333333
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,79,12.151392405,2.14,1.6767088608,1.5981012658
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,54,57,83.173157895,21.214210526,14.374210526,13.342280702
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,55,34.496,33.448
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,32,32,232.35,51.385625,35.4246875,33.00875
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,49.67,32.536666667,31.393333333
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,4336.5885714,1021.8597143,788.96257143,826.65485714
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,21,75,83,50.73,3.5865060241,1.9704819277,2.5818072289
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,196.20857143,33.75,20.737857143,19.604285714
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,30,187,191,507.29722513,80.524764398,54.638115183,47.267643979
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.15,27.089166667,27.469166667
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,30,103,26765,0.2001726135,0.0475101812,0.0287330469,0.0287330469
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1260,12.86,3.2214761905,2.2747619048,2.2747619048
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,29,97,5444,1.4096289493,0.2194030125,0.1355639236,0.1355639236
1053417238,MARTINEZ-BARRIOS,EDUARDO,,MD,M,I,4600 MEMORIAL DR,SUITE 120,BELLEVILLE,IL,622265366,US,Internal Medicine,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,37,121,121,108.27272727,33,21.050082645,21.050082645
1053417352,KINCHEN,ERNEST,W,M.D.,M,I,2100 JEFFERSON ST,,LAFAYETTE,LA,705018556,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,148.72714286,34.041428571,26.689285714,26.158571429
1053417501,PATEL,MADHU,S,M.D.,F,I,1300 UNION TPKE,SUITE 301,NEW HYDE PARK,NY,110401764,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,28,67,63.669402985,8.32,6.2289552239,6.2289552239
1053417501,PATEL,MADHU,S,M.D.,F,I,1300 UNION TPKE,SUITE 301,NEW HYDE PARK,NY,110401764,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,13.781428571,1.42,1.1157142857,1.1157142857
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,81,71.003703704,8.32,5.6917283951,5.6917283951
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,24,16.415833333,1.42,0.8816666667,0.8816666667
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,4.3061538462,1.4,1.1,1.15
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,46,57.114565217,17,13.040217391,13.196521739
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,53,349.97603774,80,61.323396226,53.65245283
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,35.91,28.16,29.51
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,4202,1.0607782009,0.1360495002,0.1066587339,0.1066587339
1053417568,SEWELL,ERICA,A,D.O.,F,I,2002 DEL PRADO BLVD S,SUITE 102,CAPE CORAL,FL,339904557,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,34.895833333,33,25.87,25.87
1053417691,GHAFARI,DAUOD,,MD,M,I,1533 W 7TH ST,APT 115,UPLAND,CA,917866951,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,23,65,139,58.660503597,8.32,4.9733093525,4.9733093525
1053417691,GHAFARI,DAUOD,,MD,M,I,1533 W 7TH ST,APT 115,UPLAND,CA,917866951,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,44,51,36.495294118,1.42,0.8980392157,0.8980392157
1053417691,GHAFARI,DAUOD,,MD,M,I,1533 W 7TH ST,APT 115,UPLAND,CA,917866951,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,4.24,1.73,1.2693818182,1.5123818182
1053417691,GHAFARI,DAUOD,,MD,M,I,1533 W 7TH ST,APT 115,UPLAND,CA,917866951,US,Physician/Family Practice,S,A6531,"Gradient compression stocking, below knee, 30-40 mmhg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,24,48.69,48.69,38.17,38.17
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,105.82166667,38.833333333,27.830833333,28.094166667
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,15,20,20,227.381,84.5145,61.1935,62.5725
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,31,113.69612903,34.90516129,27.365806452,26.163870968
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,27,110,105.46263636,19.219545455,14.740363636,14.272636364
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,15,30,142,49.689295775,15.514084507,11.657394366,11.437816901
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,30,60,60,202.76466667,54.787333333,40.2875,40.174666667
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,42,52,52,61.55,18.056346154,13.883076923,13.787884615
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,30.241818182,11.1,8.7,8.25
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,38,65,65,60.794923077,12.103846154,9.4910769231,9.1512307692
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,43,80,463,15.397278618,2.0093304536,1.5755939525,1.5892440605
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,27,32,32,20.099375,6.0371875,4.7259375,4.6609375
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,19,23,23,49.906521739,12.99,10.182173913,10.333478261
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,78,78,80.222564103,17,12.988205128,13.180641026
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,66,73,3238.1846575,913.16,712.21191781,833.35986301
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,570.61285714,139.41,109.29571429,105.32785714
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,58,13.998333333,10.978333333,10.48
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,52,52,22.5,5.8557692308,4.515,3.7786538462
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,25,119,119,175.32352941,30.989579832,23.701092437,25.014537815
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,116,116,479.90508621,79.167241379,60.462327586,54.800086207
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,323.78378378,37.15,26.768108108,27.022702703
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,4217,0.3258643585,0.0466397913,0.0338439649,0.0338439649
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,3636,1.9539493949,0.1366309131,0.1071342134,0.1071342134
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,900,12.222955556,2.9387333333,2.304,2.304
1053417808,CHANG,ELBERT,K,MD,M,I,9655 MONTE VISTA AVE,#402,MONTCLAIR,CA,917632238,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,35,98.057142857,33,25.510857143,25.510857143
1053417857,HANSFORD-ORSBURN,SUSAN,R,FNP,F,I,1001 W EAGLE DR,,DECATUR,TX,762343745,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,41,77.628536585,8.32,6.203902439,6.203902439
1053417857,HANSFORD-ORSBURN,SUSAN,R,FNP,F,I,1001 W EAGLE DR,,DECATUR,TX,762343745,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,40,17.63,13.82,13.53
1053417857,HANSFORD-ORSBURN,SUSAN,R,FNP,F,I,1001 W EAGLE DR,,DECATUR,TX,762343745,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.008181818,7.2181818182,3.8945454545,1.8436363636
1053417857,HANSFORD-ORSBURN,SUSAN,R,FNP,F,I,1001 W EAGLE DR,,DECATUR,TX,762343745,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,125.26315789,34.727368421,27.228947368,24.771052632
1053417857,HANSFORD-ORSBURN,SUSAN,R,FNP,F,I,1001 W EAGLE DR,,DECATUR,TX,762343745,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,45,45,220,76.137777778,58.493333333,53.526444444
1053417857,HANSFORD-ORSBURN,SUSAN,R,FNP,F,I,1001 W EAGLE DR,,DECATUR,TX,762343745,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,200,36.547142857,26.593571429,27.458571429
1053418004,LARSON,ANTHONY,K,MD,M,I,4300 B ST,SUITE 200,ANCHORAGE,AK,995035925,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,75,21.518421053,16.084210526,12.817894737
1053418004,LARSON,ANTHONY,K,MD,M,I,4300 B ST,SUITE 200,ANCHORAGE,AK,995035925,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,49.5,8.165,6.399375,4.138125
1053418004,LARSON,ANTHONY,K,MD,M,I,4300 B ST,SUITE 200,ANCHORAGE,AK,995035925,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,146.19473684,57.026842105,44.711052632,36.957894737
1053418004,LARSON,ANTHONY,K,MD,M,I,4300 B ST,SUITE 200,ANCHORAGE,AK,995035925,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,395,99.910769231,78.332564103,57.851538462
1053418004,LARSON,ANTHONY,K,MD,M,I,4300 B ST,SUITE 200,ANCHORAGE,AK,995035925,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,300,45.69,35.823333333,29.915
1053418152,DUNN,CHARLES,W,MD,M,I,1230 E KINGSLEY ST,SUITE C,SPRINGFIELD,MO,658047211,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,210,9.2666666667,3.9,3.0575238095,3.0575238095
1053418152,DUNN,CHARLES,W,MD,M,I,1230 E KINGSLEY ST,SUITE C,SPRINGFIELD,MO,658047211,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,300,10.217333333,5.74,4.5,4.5
1053418152,DUNN,CHARLES,W,MD,M,I,1230 E KINGSLEY ST,SUITE C,SPRINGFIELD,MO,658047211,US,Physician/General Surgery,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,240,17.0875,9.86,7.73,7.73
1053418152,DUNN,CHARLES,W,MD,M,I,1230 E KINGSLEY ST,SUITE C,SPRINGFIELD,MO,658047211,US,Physician/General Surgery,S,A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,11.03,6.2,4.861,4.861
1053418152,DUNN,CHARLES,W,MD,M,I,1230 E KINGSLEY ST,SUITE C,SPRINGFIELD,MO,658047211,US,Physician/General Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,36,43,115,84.933023256,65.211162791,65.211162791
1053418426,DEKAY,JOSEPH,R,D.O.,M,I,4 SEBAGO ROAD,,HIRAM,ME,040410089,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,39,129,74.272248062,8.32,5.9341085271,5.9341085271
1053418426,DEKAY,JOSEPH,R,D.O.,M,I,4 SEBAGO ROAD,,HIRAM,ME,040410089,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,20,14.49,1.42,0.837,0.837
1053418426,DEKAY,JOSEPH,R,D.O.,M,I,4 SEBAGO ROAD,,HIRAM,ME,040410089,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,519.51,83.6504,58.6216,48.1644
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,30,93,233,58.358969957,8.3144206009,5.8705150215,5.8748927039
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,19,19,14.261052632,3.38,2.5105263158,2.5105263158
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,21,37,66,15.098636364,1.42,0.9284848485,0.9284848485
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,403,125,3.03,2.375483871,2.3674193548
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,651,275,5.38,4.2177419355,4.1629032258
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,13317,3.2455079973,0.3,0.2244304273,0.2322655253
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45.625,7.3125,5.2916666667,7.0475
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,100,29.25,22.93,23.38
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,315.29863636,77.36,60.65,57.151818182
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,5019,0.3388463837,0.0457182706,0.0330962343,0.0330942419
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1050,2.0848857143,0.1362857143,0.1068761905,0.1068761905
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1020,10.644186275,2.9035588235,2.2030392157,2.2030392157
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,725,1.8879310345,0.2187448276,0.1608137931,0.1608137931
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,19.133333333,14.999166667,14.916666667
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,23.321818182,7.6181818182,11.61
1053418434,HERRERA,JOLANTA,A,,F,I,3236 A BOULEVARD,,COLONIAL HEIGHTS,VA,23834,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,63.461538462,33,24.543333333,24.543333333
1053418459,PATEL,MANISH,S,MD,M,I,520 WESTFIELD AVE,SUITE 306,ELIZABETH,NJ,072081658,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,71,153,65.448496732,8.32,5.4935294118,5.4935294118
1053418459,PATEL,MANISH,S,MD,M,I,520 WESTFIELD AVE,SUITE 306,ELIZABETH,NJ,072081658,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,24,56,63,24.831269841,1.42,0.9577777778,0.9577777778
1053418459,PATEL,MANISH,S,MD,M,I,520 WESTFIELD AVE,SUITE 306,ELIZABETH,NJ,072081658,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,146.89,47.82,37.49,40.499090909
1053418459,PATEL,MANISH,S,MD,M,I,520 WESTFIELD AVE,SUITE 306,ELIZABETH,NJ,072081658,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,43,43,69.89,15.737674419,12.07627907,14.080697674
1053418459,PATEL,MANISH,S,MD,M,I,520 WESTFIELD AVE,SUITE 306,ELIZABETH,NJ,072081658,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,20.57,7.0104545455,5.3836363636,6.6520454545
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,33,51,51,119.44921569,40.431960784,28.548823529,27.630784314
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,22,33,33,385.01212121,92.072121212,71.213939394,67.534848485
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,20,44,96,132.83708333,36.916875,28.942604167,26.596770833
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,13,26,118,70.306101695,20.224745763,14.099322034,12.967711864
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,18,33,163,49.631226994,15.233619632,10.932392638,10.87791411
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,32,64,64,196.6546875,58.30703125,42.11734375,39.77984375
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,45,54,54,64.256481481,18.925925926,14.277037037,13.619259259
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,22,44,44,60.544772727,13.186363636,10.090681818,8.9918181818
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,49,84,394,8.6028680203,2.1460406091,1.570786802,1.4939593909
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,18.820909091,6.1445454545,4.8190909091,4.6863636364
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,26,29,29,49.386206897,13.964137931,10.168275862,9.684137931
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,732.41863636,93.910909091,70.179545455,65.791818182
1053418509,JAGADEESAN,SINGARAVELU,,MD,M,I,1110 SE CARY PKWY,SUITE 206,CARY,NC,275187420,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,21,119,120,181.86191667,34.482666667,25.12125,23.734166667
1053418640,FELTMAN,JOAN,K,M.D.,F,I,2021 SANTA MONICA BLVD,SUITE 710,SANTA MONICA,CA,904042208,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,58,83.012068966,8.32,5.8470689655,5.8470689655
1053418723,GAGE,MIRIAM,E,MD,F,I,2073 OLYMPIC STREET,,SPRINGFIELD,OR,974773413,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,58,222,51.143378378,8.32,4.7006756757,4.7006756757
1053418723,GAGE,MIRIAM,E,MD,F,I,2073 OLYMPIC STREET,,SPRINGFIELD,OR,974773413,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,14.952941176,3.38,2.4941176471,2.4941176471
1053418723,GAGE,MIRIAM,E,MD,F,I,2073 OLYMPIC STREET,,SPRINGFIELD,OR,974773413,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,21,46,14.46,1.42,1.0658695652,1.0658695652
1053418723,GAGE,MIRIAM,E,MD,F,I,2073 OLYMPIC STREET,,SPRINGFIELD,OR,974773413,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,66.231,17.09,10.05,10.1925
1053418723,GAGE,MIRIAM,E,MD,F,I,2073 OLYMPIC STREET,,SPRINGFIELD,OR,974773413,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,415.9375,65.7,45.3478125,47.6375
1053418723,GAGE,MIRIAM,E,MD,F,I,2073 OLYMPIC STREET,,SPRINGFIELD,OR,974773413,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,2426,1.0241343776,0.1328112119,0.0795342127,0.0795342127
1053418723,GAGE,MIRIAM,E,MD,F,I,2073 OLYMPIC STREET,,SPRINGFIELD,OR,974773413,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,22,22,87,33,18.124090909,18.124090909
1053418939,GRELLET,CATHERINE,A,M.D.,F,I,15251 NATIONAL AVE,SUITE 104,LOS GATOS,CA,950322400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,34,76.573235294,8.32,3.4520588235,3.4520588235
1053419028,ABBASEY,SALMAN,,M.D.,M,I,4263 LAKEVILLE RD,,GENESEO,NY,144541179,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,51,113,69.176371681,8.32,5.7128318584,5.7128318584
1053419028,ABBASEY,SALMAN,,M.D.,M,I,4263 LAKEVILLE RD,,GENESEO,NY,144541179,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,14,16.802142857,1.42,1.0385714286,1.0385714286
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,7.8718181818,7.8627272727,6.1643636364,6.1779333333
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,49,49,49,142.65306122,51.94122449,40.724489796,37.071428571
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,29,29,29,123.44827586,54.662068966,42.854137931,40.790689655
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,23.823529412,9.7811764706,7.6635294118,7.5735294118
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,53,53,302.08377358,49.889811321,37.742075472,37.883396226
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,52,52,102.66826923,22.463076923,15.5825,12.819807692
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,105.90173913,31.037826087,23.003043478,23.643043478
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,120.38461538,26.112307692,18.936153846,18.936153846
1053419119,JACKSON,ALYCE,F,MD,F,I,375 N WALL ST STE P520,,KANKAKEE,IL,609013493,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,30.339130435,8.0873913043,5.8108695652,5.8969565217
1053419192,DHILLON,PERMINDER,,M.D.,F,I,1410 HIGHLAND AVE,,NEEDHAM,MA,024922671,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,32,83,76.71,8.32,5.1077108434,5.1077108434
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,8,14,30,73,6.505890411,1.4720547945,1.1209589041,1.1194520548
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,182.97454545,63.506363636,43.262727273,34.213636364
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,62,381,411,72.452189781,18.157445255,13.241776156,12.61243309
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,11,16,68,71,158.50323944,50.913943662,38.13971831,36.338028169
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,69,69,2671.184058,884.78434783,605.8126087,712.86724638
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,13,27,142,156,44.958910256,5.4128205128,3.8159615385,3.2007051282
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,20,97,643,687,394.03538574,74.574352256,55.062197962,51.668369723
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,64,68,213.20808824,38.586176471,29.3275,28.671470588
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,36,2520,16.838626984,9.6390952381,7.509015873,7.509015873
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,26,83,25009,0.2470070775,0.0464456796,0.0326710384,0.0326710384
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,21,56,6898,1.3104639026,0.1326775877,0.0993041461,0.0993041461
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,16,90,5130,11.140955166,3.0544093567,2.2860935673,2.2860935673
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,12,33,2210,2.8032760181,0.2192624434,0.1655837104,0.1655837104
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,16,125,132,74.127575758,37.44,28.460606061,28.613333333
1053419341,SMITH,JASON,,MD,M,I,1104 MONROE ST SW,,HUNTSVILLE,AL,358015029,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,34,55,190,191,72.910994764,33,24.650994764,24.650994764
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,11,25,325,57.507107692,19.6356,15.158184615,15.158184615
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,11,28,860,7.2761511628,2.631627907,2.0631162791,2.0631162791
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,57,161,643,58.026034215,8.32,6.0406842924,6.0406842924
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,15,36,37,14.360540541,3.38,2.5067567568,2.5067567568
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,24.810769231,2.12,1.5415384615,1.5415384615
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,25,55,108,13.76537037,1.42,1.0210185185,1.0210185185
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,79,145,145,133.55862069,43.591448276,33.341655172,29.941724138
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,73,132,132,206.01598485,102.35045455,76.925,64.939924242
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,72,131,262,84.236641221,38.999160305,29.845267176,25.313473282
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,25,45,222,46.261261261,21.259684685,16.090135135,14.363603604
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,21,39,186,37.903225806,16.207311828,12.44655914,11.631666667
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,45,90,90,126.41577778,61.015777778,46.097111111,41.732888889
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,106,136,136,45.504338235,20.153897059,15.299338235,13.640588235
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,32,58,58,45.764137931,13.99,10.493793103,8.655862069
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,114,214,1219,6.5201886792,2.477292863,1.8875799836,1.5597621001
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,36,47,47,18.063404255,7.1442553191,5.1917021277,4.2572340426
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,33,41,41,30.195121951,13.87804878,10.228536585,9.7704878049
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,40.625,17.27,13.54,13.54
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,45,45,45,325,150.24644444,115.53644444,102.42333333
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,84,470,470,127.74468085,38.757851064,28.966914894,24.538702128
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,667.68514286,336.90085714,251.83085714,251.83085714
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,45,45,315.64711111,72.681333333,54.581555556,52.333333333
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,168.18181818,36.310454545,26.846363636,27.898181818
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,4830,12.507196687,9.8507826087,7.6995031056,7.6995031056
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2571,1.9723142746,0.1331855309,0.1044146247,0.1044146247
1053419572,PRASAD,SURESH,,MD,M,I,403 PITTSBURG AVE,,ODESSA,TX,797615224,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,1017.92,236.5875,185.485,155.24583333
1053419614,PEDRAZA,ROBERTO,,MD,M,I,9420 KEY WEST AVE.,#420,ROCKVILLE,MD,20850,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,0.19,0.13,0.1018888889,0.1018888889
1053419614,PEDRAZA,ROBERTO,,MD,M,I,9420 KEY WEST AVE.,#420,ROCKVILLE,MD,20850,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,1986,4.5824773414,2.04,1.5993605237,1.5993605237
1053419614,PEDRAZA,ROBERTO,,MD,M,I,9420 KEY WEST AVE.,#420,ROCKVILLE,MD,20850,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1350,10.064,7.23,5.6683333333,5.6683333333
1053419648,GOLDBERGER,ERICA,D,M.D.,F,I,600 MAMARONECK AVE,,HARRISON,NY,105281635,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,47,73.95106383,8.32,5.1338297872,5.1338297872
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,36,130,345,79.325710145,8.32,5.6257681159,5.6257681159
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,37,53,17.228867925,1.42,0.9683018868,0.9683018868
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,70,6.4,5.54,2.7925714286,2.7925714286
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,19,59.344736842,22.140526316,16.571578947,13.451578947
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,25,28,32.857142857,17.655714286,13.8425,10.733214286
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,45,9.4163636364,7.3818181818,4.0927272727
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,24,26,135,52.679230769,41.304615385,29.806538462
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,26,339.88692308,98.85,75.201153846,58.855769231
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1461,1.9259548255,0.1397330595,0.1021149897,0.1021149897
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,417.59166667,251.11,196.87,196.87
1053419861,KROHN,KIMBERLY,T,M.D.,F,I,WESLEY FAMILY MEDICINE RESIDENCY,850 NORTH HILLSIDE,WICHITA,KS,67214,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,33,33,25.345909091,25.345909091
1053420067,BEYER,WILLIAM,D,M.D.,M,I,204 S ADAMS ST,,SAINT CROIX FALLS,WI,540249449,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,19,58,136,66.574191176,8.32,4.9897794118,4.9897794118
1053420067,BEYER,WILLIAM,D,M.D.,M,I,204 S ADAMS ST,,SAINT CROIX FALLS,WI,540249449,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,25,15.2744,1.42,1.0252,1.0252
1053420067,BEYER,WILLIAM,D,M.D.,M,I,204 S ADAMS ST,,SAINT CROIX FALLS,WI,540249449,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,15.67,10.93,8.57,8.57
1053420158,EVANS,WILLIAM,B,M.D.,M,I,1169 EASTERN PKWY STE G58,,LOUISVILLE,KY,402171472,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6571,3.1334956628,0.3097169381,0.2224729874,0.2224729874
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,59,164,61.992317073,8.32,6.2032926829,6.2032926829
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,26,44,10.277272727,1.42,0.9863636364,0.9863636364
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,33,81.15,35.46,27.640606061,30.134545455
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,86.31,17.55,11.862068966,11.672413793
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,10.295882353,5.8029411765,3.2823529412,2.6558823529
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,39,44,519.51,77.18,53.836590909,48.573181818
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2220,1.6853513514,0.135,0.1034009009,0.1034009009
1053420612,NORDIN,ERIC,S,D.O.,M,I,5900 N MAIN ST,,DAYTON,OH,454153150,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,76.56,33,24.8352,24.8352
1053420646,CALDERA,RICARDO,G,MD,M,I,2041 GEORGIA AVE NW,,WASHINGTON,DC,200600001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,27,105,305,54.389803279,8.32,5.4139016393,5.4139016393
1053420646,CALDERA,RICARDO,G,MD,M,I,2041 GEORGIA AVE NW,,WASHINGTON,DC,200600001,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,15.16,3.38,2.5347826087,2.5347826087
1053420646,CALDERA,RICARDO,G,MD,M,I,2041 GEORGIA AVE NW,,WASHINGTON,DC,200600001,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,24.775454545,2.12,1.5181818182,1.5181818182
1053420646,CALDERA,RICARDO,G,MD,M,I,2041 GEORGIA AVE NW,,WASHINGTON,DC,200600001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,52,101,12.929405941,1.42,1.0144554455,1.0144554455
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,22,241,56.636099585,19.654688797,14.931493776,14.931493776
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,520,8.7555769231,2.6346153846,2.0654807692,2.0654807692
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,24,35,70,2.318,0.51,0.4,0.4
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,16,5.15,1,0.781875,0.781875
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,123,250,997,2689,65.903146151,8.32,6.0415321681,6.0415321681
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,9,43,106,106,13.890943396,3.38,2.6,2.6
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,38,46,46,20.924782609,2.12,1.67,1.67
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,84,172,435,712,16.005589888,1.42,1.0557724719,1.0557724719
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,15,15,15,15,55.345333333,43.512666667,32.520666667,57.891333333
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,562.95666667,349.67375,268.165,268.165
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1020,17.793411765,10.553588235,8.274,8.274
1053421032,JOSEPH,MERAB,,M.D.,M,I,24-07 BROADWAY,,FAIR LAWN,NJ,074103053,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,788.37,251.11,196.87,196.87
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,59,179,60.406815642,8.32,5.7204469274,5.7204469274
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,22,29,12.292068966,1.4089655172,1.1089655172,1.1175862069
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,91.205,40,26.523333333,25.870833333
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,335.275,90.213333333,54.4325,52.135
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,131.33565217,33.864347826,20.119130435,19.486956522
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,56,71.047857143,19.87,15.299464286,14.419464286
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,13,38,46.132105263,15.58,12.157105263,11.937105263
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,17,22,22,174.86454545,58,45.47,43.097272727
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,30,30,58.307666667,17.992,14.103333333,14.063333333
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,77.191764706,11.945882353,9.3676470588,9.1370588235
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,29,173,9.552716763,2.0751445087,1.5697687861,1.5405780347
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,35.172307692,12.957692308,10.152307692,10.34
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,33.12,13.46,10.55,10.508
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.73,4.1309090909,3.2327272727,3.6990909091
1053421065,GRUS,BRIAN,,,M,I,20 PROGRESS POINT PKWY,STE 108,O FALLON,MO,633682206,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,44,47,249.54255319,33.734042553,19.794468085,18.94106383
1053421123,BAGHERI,BRUCE,B,MD,M,I,1560 E CHEVY CHASE DR,445,GLENDALE,CA,912064197,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,37,74,54.194864865,8.32,4.4941891892,4.4941891892
1053421123,BAGHERI,BRUCE,B,MD,M,I,1560 E CHEVY CHASE DR,445,GLENDALE,CA,912064197,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,26,26,12.105769231,1.42,0.8184615385,0.8184615385
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,34,157,224,58.983839286,8.32,5.5741071429,5.5741071429
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,20,43,43,14.882325581,1.42,1.0418604651,1.0418604651
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,56.628181818,48.131818182,34.669090909,27.718181818
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,192.36545455,123.97545455,95.992727273,66.643636364
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,28,35,59.981142857,45.668571429,34.984285714,25.179142857
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,64,66.1575,25.4875,19.8075,15.49296875
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,14,44,28.636363636,19.517727273,15.302954545,11.892272727
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,152.14526316,74.492631579,55.053157895,42.432105263
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,19,19,41.958421053,24.309473684,18.847368421,14.244210526
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,50.142777778,20.066666667,15.171666667,9.8511111111
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,52,159,7.7891823899,3.0816352201,2.3041509434,1.5601886792
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,90.81804878,49.419756098,37.482195122,23.947317073
1053421172,HARVEY,MARK,R,MD,M,I,203 MEDICAL ARTS PLACE,SUITE 3,SANDERSVILLE,GA,31082,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,21.558333333,21.558333333
1053421206,BABARIA,DHARMESH,,MD,M,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,27,54,136,77.972647059,8.32,4.8977941176,4.8977941176
1053421206,BABARIA,DHARMESH,,MD,M,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,18,19,15.182631579,1.42,0.7652631579,0.7652631579
1053421206,BABARIA,DHARMESH,,MD,M,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,200.84,4.9366666667,3.0883333333,2.9422222222
1053421206,BABARIA,DHARMESH,,MD,M,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,3364,0.5025653983,0.0467657551,0.0267717004,0.0267717004
1053421206,BABARIA,DHARMESH,,MD,M,I,2116 CRAIG RD,,EAU CLAIRE,WI,547016149,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,28,28,33,33,22.341071429,22.341071429
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,56,150,64.150866667,8.32,6.131,6.131
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.438181818,3.38,2.65,2.65
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,28,41,15.996829268,1.42,1.0336585366,1.0336585366
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,86.641875,40,29.4,28.693125
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,15,15,175.04466667,56,38.662666667,37.760666667
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,55.048333333,18,14.11,14.068333333
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,23,129,7.7,2,1.4954263566,1.5168992248
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,85.453076923,18,13.024615385,12.498461538
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,302.28666667,36.75,26.756666667,25.984166667
1053421271,PRABHU,VEENA,,M.D.,F,I,534 CHESTNUT STREET,STE 210W,HINSDALE,IL,605213257,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,31,417.74419355,77.043225806,54.381290323,49.555483871
1053421602,SHETH,MINESH,,,M,I,2201 S CLEAR CREEK RD,,KILLEEN,TX,765494110,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,64.335,18.548333333,14.541666667,14.541666667
1053421602,SHETH,MINESH,,,M,I,2201 S CLEAR CREEK RD,,KILLEEN,TX,765494110,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,30,38.891,4.7136666667,3.5816666667,3.6576666667
1053421602,SHETH,MINESH,,,M,I,2201 S CLEAR CREEK RD,,KILLEEN,TX,765494110,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,329.926,76.682,60.1165,60.7165
1053421693,ANDL,STEPHEN,,M.D.,M,I,75-5751 KUAKINI HWY,SUITE 104,KAILUA KONA,HI,967401752,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,24,36,81.868333333,8.32,4.5955555556,4.5955555556
1053421776,PEREIRA,BENVINDA,A,F.N.P.,F,I,255 N. CENTRAL BLVD.,SUITE #5,QUARTZSITE,AZ,85346,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,28,73,59.920958904,8.32,6.0768493151,6.0768493151
1053421875,FLAX,JULIA,L,M.D.,F,I,1530 E REPUBLIC RD,,SPRINGFIELD,MO,658046530,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,30,67.194666667,8.32,3.914,3.914
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,30,76,284,51.770704225,8.32,6.041443662,6.041443662
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.733333333,3.38,2.4733333333,2.4733333333
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,19,40,72,12.269444444,1.42,1.0209722222,1.0209722222
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,58,24.733793103,10.93,7.9782758621,7.9782758621
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,40,11.724,6.61,5.18375,5.749
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,6.4407692308,1.4084615385,0.94,0.9869230769
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.25,13.52,13.535
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,25.075714286,4.8071428571,3.7671428571,3.7280952381
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,45,320.456,78.336,59.962,54.227333333
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,30,275,35.482,26.887,28.411666667
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,3780,0.5617142857,0.1363492063,0.1040079365,0.1040079365
1053422006,LEARNER,JAMES,M,DO,M,I,1435 N MILFORD RD,STE 101,MILFORD,MI,483811032,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,120.35294118,33,24.348235294,24.348235294
1053422154,HOLLAND,RANDY,R,PAC,M,I,2615 FAIRWAY ST,,DICKINSON,ND,586012590,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,29,65.147586207,8.32,5.3979310345,5.3979310345
1053422154,HOLLAND,RANDY,R,PAC,M,I,2615 FAIRWAY ST,,DICKINSON,ND,586012590,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,257.82,39.463571429,23.93,16.897142857
1053422360,LOEHNER,SANDRA,M,FNP,F,I,5727 N FRESNO ST,SUITE 101,FRESNO,CA,937106000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,26,85.549615385,8.32,5.7707692308,5.7707692308
1053422444,SADSAD,RAMON,,PA-C,M,I,1000 S MADERA AVE,,KERMAN,CA,936301750,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,37,82,80.307439024,8.32,5.6464634146,5.6464634146
1053422444,SADSAD,RAMON,,PA-C,M,I,1000 S MADERA AVE,,KERMAN,CA,936301750,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,17,14.45,1.42,1.0529411765,1.0529411765
1053422444,SADSAD,RAMON,,PA-C,M,I,1000 S MADERA AVE,,KERMAN,CA,936301750,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,499.09090909,71,50.6,49.839090909
1053422527,JONES,JAMES,H,MD,M,I,535 W 25TH ST,,MERCED,CA,953402801,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,29,56,180,69.620166667,8.32,6.0147777778,6.0147777778
1053422527,JONES,JAMES,H,MD,M,I,535 W 25TH ST,,MERCED,CA,953402801,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,24,31,13.199032258,1.42,1.0438709677,1.0438709677
1053422527,JONES,JAMES,H,MD,M,I,535 W 25TH ST,,MERCED,CA,953402801,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,60,12.957,2.02,1.4263333333,1.434
1053422527,JONES,JAMES,H,MD,M,I,535 W 25TH ST,,MERCED,CA,953402801,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,591.16054054,70.125675676,53.445405405,53.457297297
1053422527,JONES,JAMES,H,MD,M,I,535 W 25TH ST,,MERCED,CA,953402801,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,7607,0.1945786775,0.0461167346,0.0361561719,0.0361561719
1053422527,JONES,JAMES,H,MD,M,I,535 W 25TH ST,,MERCED,CA,953402801,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,252.38461538,39.32,30.763846154,29.756153846
1053422527,JONES,JAMES,H,MD,M,I,535 W 25TH ST,,MERCED,CA,953402801,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,89.1,33,25.007666667,25.007666667
1053422642,AJMANI,DEEP,,MD,M,I,200 E CHESTNUT ST,"SERVICES BLDG, STE 303",LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.51,1.0772727273,1.0527272727
1053422642,AJMANI,DEEP,,MD,M,I,200 E CHESTNUT ST,"SERVICES BLDG, STE 303",LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,150,45.157692308,35.403846154,36.46
1053422642,AJMANI,DEEP,,MD,M,I,200 E CHESTNUT ST,"SERVICES BLDG, STE 303",LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,27,160,160,37.2960625,16.9885625,12.279625,12.59875
1053422642,AJMANI,DEEP,,MD,M,I,200 E CHESTNUT ST,"SERVICES BLDG, STE 303",LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,33.349354839,3.6,2.3651612903,2.9461290323
1053422642,AJMANI,DEEP,,MD,M,I,200 E CHESTNUT ST,"SERVICES BLDG, STE 303",LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,32.321818182,25.340909091,25.494545455
1053422642,AJMANI,DEEP,,MD,M,I,200 E CHESTNUT ST,"SERVICES BLDG, STE 303",LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,27,162,162,267.0167284,72.332098765,52.519259259,51.018518519
1053422642,AJMANI,DEEP,,MD,M,I,200 E CHESTNUT ST,"SERVICES BLDG, STE 303",LOUISVILLE,KY,402021831,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,113.09173913,19.849130435,14.949130435,14.004347826
1053422675,POULOS,PHILLIP,,M.D.,M,I,2202 E OGLETHORPE BLVD,,ALBANY,GA,317052940,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,78,141,60.392907801,8.3082269504,4.7163120567,4.7255319149
1053422675,POULOS,PHILLIP,,M.D.,M,I,2202 E OGLETHORPE BLVD,,ALBANY,GA,317052940,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,19,22,13.103636364,1.42,0.7609090909,0.7609090909
1053422741,DOOLITTLE,JOHN,K,MD,M,I,568 N SUNRISE AVE,SUITE 250,ROSEVILLE,CA,956613097,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,24,121,56.570826446,8.32,6.4155371901,6.4155371901
1053422741,DOOLITTLE,JOHN,K,MD,M,I,568 N SUNRISE AVE,SUITE 250,ROSEVILLE,CA,956613097,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,35,9.032,1.42,1.1134285714,1.1134285714
1053422741,DOOLITTLE,JOHN,K,MD,M,I,568 N SUNRISE AVE,SUITE 250,ROSEVILLE,CA,956613097,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,1.97,1.9625,1.2786428571,1.5330952381
1053422741,DOOLITTLE,JOHN,K,MD,M,I,568 N SUNRISE AVE,SUITE 250,ROSEVILLE,CA,956613097,US,Physician/Family Practice,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,4.8090909091,4.8090909091,3.7703272727,5.6683333333
1053422741,DOOLITTLE,JOHN,K,MD,M,I,568 N SUNRISE AVE,SUITE 250,ROSEVILLE,CA,956613097,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,13.762727273,10.93,7.0118181818,7.0118181818
1053422741,DOOLITTLE,JOHN,K,MD,M,I,568 N SUNRISE AVE,SUITE 250,ROSEVILLE,CA,956613097,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,16.98,11.091666667,11.303333333
1053422741,DOOLITTLE,JOHN,K,MD,M,I,568 N SUNRISE AVE,SUITE 250,ROSEVILLE,CA,956613097,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,435,71.74,46.503333333,45.370833333
1053422840,HAACK,MARTHA,,,F,I,690 DALLAS HWY,SUITE 104,VILLA RICA,GA,301801209,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,22,86.31,17.25,12.905454545,12.924545455
1053422840,HAACK,MARTHA,,,F,I,690 DALLAS HWY,SUITE 104,VILLA RICA,GA,301801209,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,511.164375,75.56,53.39375,49.4475
1053422998,TURNER,WILLIAM,C,MD,M,I,622 W 168 STREET,PH 1-137 COLUMBIA UNIVERSITY MED CENTER,NEW YORK,NY,100323784,US,Hospitalist,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,105,19.71,15.45,15.45
1053422998,TURNER,WILLIAM,C,MD,M,I,622 W 168 STREET,PH 1-137 COLUMBIA UNIVERSITY MED CENTER,NEW YORK,NY,100323784,US,Hospitalist,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,32,200,37.38,29.305625,29.305625
1053422998,TURNER,WILLIAM,C,MD,M,I,622 W 168 STREET,PH 1-137 COLUMBIA UNIVERSITY MED CENTER,NEW YORK,NY,100323784,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,15,15.63,8.32,6.0893333333,6.0893333333
1053422998,TURNER,WILLIAM,C,MD,M,I,622 W 168 STREET,PH 1-137 COLUMBIA UNIVERSITY MED CENTER,NEW YORK,NY,100323784,US,Hospitalist,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,516,62.5,1.5396511628,1.2070930233,1.2070736434
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,52,118,51.001949153,8.32,5.51,5.51
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,29,15.945862069,1.42,1.1131034483,1.1131034483
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,28,86.31,17.09,13.4,13.525357143
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,25,4.03,3.1585714286,3.5933333333
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,125,30.435454545,21.054545455,21.286363636
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,64,67,428.43,66.014626866,46.873432836,49.763432836
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,4714,0.1595417904,0.0467501061,0.0314106916,0.0314106916
1053423202,JOHL,HARPREET,K,MD,F,I,4941 OLIVEHURST AVE,,OLIVEHURST,CA,959614225,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,78,33,19.990454545,19.990454545
1053423350,SAKR,SAFWAN,H,MD,M,I,10001 LILE DR,,LITTLE ROCK,AR,722056217,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,196.01416667,153.67,120.61166667
1053423426,MAXWELL,LINDA,S,PA-C,F,I,16 COMMUNITY LN,,SOUTHWEST HARBOR,ME,046794273,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,22,56.001363636,8.32,5.6331818182,5.6331818182
1053423434,ALTHEIMER,MICHAEL,D,M.D.,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271573839,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,50,60,212,625,73.0476,8.32,5.69616,5.69616
1053423434,ALTHEIMER,MICHAEL,D,M.D.,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271573839,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,24,54,78,16.724230769,1.42,1.0303846154,1.0303846154
1053423434,ALTHEIMER,MICHAEL,D,M.D.,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271573839,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,763.84666667,354.1,277.61333333,277.61333333
1053423434,ALTHEIMER,MICHAEL,D,M.D.,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271573839,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,31,31,279.06870968,251.02193548,193.93096774,193.99967742
1053423640,THOMPSON,KIRK,,OD,M,I,811 GEORGIANA ST,,PORT ANGELES,WA,983623511,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,43,43,43,75.418604651,66.710465116,46.049302326,46.734186047
1053423640,THOMPSON,KIRK,,OD,M,I,811 GEORGIANA ST,,PORT ANGELES,WA,983623511,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,25,54.5,54.5,37.9344,38.7144
1053423640,THOMPSON,KIRK,,OD,M,I,811 GEORGIANA ST,,PORT ANGELES,WA,983623511,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,69.916666667,69.916666667,51.075833333,50.35125
1053423640,THOMPSON,KIRK,,OD,M,I,811 GEORGIANA ST,,PORT ANGELES,WA,983623511,US,Optometry,S,V2304,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,60,72.216666667,66.684,50.656,54.6955
1053423764,SALERNO,EGISTO,,MD,M,I,2850 6TH AVE,,SAN DIEGO,CA,921036308,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,83,53.824096386,8.1306024096,6.276746988,6.44
1053423764,SALERNO,EGISTO,,MD,M,I,2850 6TH AVE,,SAN DIEGO,CA,921036308,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,34,15.653823529,1.42,0.9491176471,0.9491176471
1053423764,SALERNO,EGISTO,,MD,M,I,2850 6TH AVE,,SAN DIEGO,CA,921036308,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,54.891428571,3.08,1.205,2.285
1053423764,SALERNO,EGISTO,,MD,M,I,2850 6TH AVE,,SAN DIEGO,CA,921036308,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,480.6864,72.06,42.94,41.8072
1053423764,SALERNO,EGISTO,,MD,M,I,2850 6TH AVE,,SAN DIEGO,CA,921036308,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,15.58,9.4472352941,6.9893627451,6.9893627451
1053423764,SALERNO,EGISTO,,MD,M,I,2850 6TH AVE,,SAN DIEGO,CA,921036308,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,128.04,33,25.87,25.87
1053424150,COENEN,JULIA,F,NP,F,I,111 LANSING ST,SUITE 200,CHARLOTTE,MI,488132400,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,27,72,53.512638889,8.32,5.76875,5.76875
1053424150,COENEN,JULIA,F,NP,F,I,111 LANSING ST,SUITE 200,CHARLOTTE,MI,488132400,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,34,4.7352941176,2.0194117647,1.585,1.5932352941
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,33,29.893333333,8.32,6.3245454545,6.3245454545
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,15,9.2746666667,1.42,0.9666666667,0.9666666667
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,1.46,1.0495833333,1.05875
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,19,64.353157895,18,12.624736842,12.204736842
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,232.35,50,33.010526316,31.688421053
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,46.33,36.325,25.6
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,6300,0.17,0.0463809524,0.0311,0.0311
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,2010,0.92,0.1313432836,0.1029800995,0.1029800995
1053424515,BURNS,STANLEY,C,M.D.,M,I,4509 E MCCAIN BLVD,,NORTH LITTLE ROCK,AR,721172902,US,Physician/Diagnostic Radiology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,36,36,132,33,23.958055556,23.958055556
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,50,24.104,18.897333333,12.744666667
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,22,119,119,200.88663866,70.888319328,53.706134454,38.371512605
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,111.36,60.605454545,45.570909091,37.558181818
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,44,48.42,22.364090909,16.514090909,12.777727273
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,25.587272727,4.6972727273,3.1086363636,3.0718181818
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,68,70,337.89642857,93.817,70.223142857,53.439142857
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,970,3.2992783505,0.1292474227,0.0985051546,0.0985051546
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,24,119,128,84.26078125,26.79125,19.8784375,14.51640625
1053424598,CULLER,MICHAEL,D,PA,M,I,5261 CARROLLTON PIKE,SUITE B,WOODLAWN,VA,243813030,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,25.87,25.87
1053424655,SMITH,JOHN,W,M.D.,M,I,704 EDWARDS ST,,WESTCLIFFE,CO,812528588,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,61,445.86,96.996721311,70.606885246,54.350983607
1053424655,SMITH,JOHN,W,M.D.,M,I,704 EDWARDS ST,,WESTCLIFFE,CO,812528588,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,19.9,19.9
1053424853,FALK,PETER,M,MD,M,I,670 CORMIER ROAD,,GREEN BAY,WI,543044824,US,Physician/General Practice,S,A4373,"Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,90,13.79,7.06,5.5352222222,5.5352222222
1053424853,FALK,PETER,M,MD,M,I,670 CORMIER ROAD,,GREEN BAY,WI,543044824,US,Physician/General Practice,S,A5054,"Ostomy pouch, closed; for use on barrier with flange (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.6996666667,2.02,1.5836666667,1.5836666667
1053424895,HAWTHORNE,CATHERINE,G,MD,F,I,305 S STRONG DR,,GALLUP,NM,87301,US,Orthopaedic Surgery,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,12,12,1305.6616667,1187.0983333,925.43916667,881.26166667
1053424952,SWANSON,MICHAEL,C,M.D.,M,I,201 DOUG BAKER BLVD,,BIRMINGHAM,AL,352422013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,42,63.475952381,8.32,5.5895238095,5.5895238095
1053425173,MARTIN,JEFFREY,A,MD,M,I,2525 E ARIZONA BILTMORE CIR STE D142,,PHOENIX,AZ,850162147,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,1485,1141.1146667,894.62933333,888.10266667
1053425181,HUGHEY,BRIAN,W,M.D.,M,I,715 CASTLE HEIGHTS CT # B,,LEBANON,TN,370872666,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,43,118,269,68.235687732,8.32,5.7700371747,5.7700371747
1053425181,HUGHEY,BRIAN,W,M.D.,M,I,715 CASTLE HEIGHTS CT # B,,LEBANON,TN,370872666,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,15.823636364,3.38,2.65,2.65
1053425181,HUGHEY,BRIAN,W,M.D.,M,I,715 CASTLE HEIGHTS CT # B,,LEBANON,TN,370872666,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,37,50,13.3712,1.42,0.9824,0.9824
1053425181,HUGHEY,BRIAN,W,M.D.,M,I,715 CASTLE HEIGHTS CT # B,,LEBANON,TN,370872666,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,219.13043478,59.144782609,42.377826087,38.410869565
1053425181,HUGHEY,BRIAN,W,M.D.,M,I,715 CASTLE HEIGHTS CT # B,,LEBANON,TN,370872666,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,40,18.5552,13.4164,12.9376
1053425181,HUGHEY,BRIAN,W,M.D.,M,I,715 CASTLE HEIGHTS CT # B,,LEBANON,TN,370872666,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,220,88.450232558,66.498604651,54.079767442
1053425280,MESSNER,LYNNE,M,M.D.,F,I,72780 COUNTRY CLUB DR,SUITE 100,RANCHO MIRAGE,CA,922704126,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,50,85.108,8.32,5.999,5.999
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,35,73,73,104.85547945,46.347671233,34.21630137,29.446712329
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,12,28,58,6.7329310345,1.8189655172,1.3815517241,1.1456896552
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,26,49,49,353.46877551,107.04673469,74.009795918,60.251836735
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,23,49,107,140.90803738,40.538691589,29.987009346,24.736635514
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,31,70,346,91.219421965,23.31566474,17.277861272,14.233988439
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,13,34,150,58.020066667,17.587266667,12.931666667,11.033933333
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,49,96,96,249.59885417,65.1096875,48.431875,41.128125
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,62,90,90,74.075888889,21.589555556,16.108333333,13.558333333
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,37,74,75,91.3424,14.790533333,11.323733333,9.1781333333
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,67,152,796,10.109798995,2.4968341709,1.849798995,1.5390954774
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,17,22,22,22.699545455,6.915,4.6318181818,3.9031818182
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,43,61,61,42.559672131,14.716065574,10.980655738,10.027704918
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,15,124,126,81.541666667,20.291428571,14.301269841,12.086825397
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,14,18,174.975,55.838333333,41.485555556,35.539444444
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,23,24,4027.365,1074.31,839.79916667,839.79916667
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,18,81.75,10.833888889,7.7911111111,7.625
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,63,63,33.263333333,7.3914285714,5.5061904762,3.4384126984
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,55,55,209.66727273,36.634,21.710363636,20.528909091
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,28,225,235,469.00353191,94.15506383,69.911404255,57.741829787
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,55,210.66181818,44.059090909,33.946909091,30.514
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,17,68,20860,0.2603403643,0.0466634708,0.0330973154,0.0330973154
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,23,103,12524,1.7117502395,0.1340122964,0.1003209837,0.1003209837
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,69.7,44.656956522,32.156086957,30.019130435
1053425637,MCKINLEY,ROBERT,A,"M.D., F.C.C.P.",M,I,400 MATTHEW ST,SUITE 305,MARIETTA,OH,457501644,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,33,147,147,53.87755102,33,23.93414966,23.93414966
1053425868,BROWN,KEVIN,K,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,125,17.515555556,13.735555556,13.661666667
1053425868,BROWN,KEVIN,K,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,35,35,345.726,78.789428571,61.765428571,57.090857143
1053425868,BROWN,KEVIN,K,MD,M,I,1400 JACKSON ST,,DENVER,CO,802062761,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,136.95652174,38.76,29.068695652,28.226956522
1053425892,LIPTON,ANDREW,M,D.O.,M,I,822 MONTGOMERY AVE,SUITE 315,NARBERTH,PA,190721937,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,39.509090909,16.08,12.027272727,12.925909091
1053425892,LIPTON,ANDREW,M,D.O.,M,I,822 MONTGOMERY AVE,SUITE 315,NARBERTH,PA,190721937,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.396666667,3.9225,3.075,3.66
1053425892,LIPTON,ANDREW,M,D.O.,M,I,822 MONTGOMERY AVE,SUITE 315,NARBERTH,PA,190721937,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,227.98863636,77.18,57.759545455,52.495909091
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,23,78,133,63.800300752,8.32,5.684887218,5.684887218
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,9.5310526316,1.42,0.9431578947,0.9431578947
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,56,8.75,7,5.39,5.39
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,15,30,8.855,2.0146666667,1.41,0.9966666667
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,16,34,34,333.91735294,122.21264706,89.548529412,68.174117647
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,13,27,56,148.49571429,45.901964286,33.890178571,25.88
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,69,32.367391304,26.500724638,19.418985507,13.97057971
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,108.6,76.747857143,53.435714286,38.566428571
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,24,38,38,48.394210526,24.834736842,17.835263158,13.718947368
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,36,36,50.275,20.560277778,15.476111111,10.4525
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,46,204,11.053627451,3.1440196078,2.3573039216,1.6498039216
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,22,22,17.442272727,8.9531818182,6.7859090909,5.1227272727
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,54,68,86.31,22.419558824,16.697794118,12.754558824
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,51,51,100.62784314,7.4307843137,5.3729411765,3.4054901961
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,82.571086957,49.602391304,36.264782609,28.788695652
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,99,107,500.52672897,98.726542056,74.463738318,53.113271028
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,16,250,40.78875,31.979375,29.510625
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,41,9930,0.1862950655,0.0465558912,0.0325135952,0.0325135952
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,2012,11.677445328,2.9976292247,2.1705417495,2.1705417495
1053425934,DAVIS,BRYAN,C,M.D.,M,I,1305 E 19TH AVE,,WINFIELD,KS,671565201,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,69,69,85.217391304,33,23.697536232,23.697536232
1053426031,JANDA,ROBERT,C,MD,M,I,12 SALT CREEK LN,SUITE 425,HINSDALE,IL,605218605,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,100,3.17,2.4853333333,2.3676666667
1053426031,JANDA,ROBERT,C,MD,M,I,12 SALT CREEK LN,SUITE 425,HINSDALE,IL,605218605,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5400,1.64,0.4,0.306512963,0.2830018519
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,24,68,195,47.55425641,8.32,6.2541538462,6.2541538462
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.842105263,3.38,2.5105263158,2.5105263158
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,20.990909091,2.12,1.67,1.67
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,18,45,62,33.674516129,1.42,1.0617741935,1.0617741935
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,11.55,6.61,4.7136363636,5.3940909091
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.6827272727,1.1936363636,1.0654545455
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,54,7.3422222222,1.94,1.3511111111,1.4242592593
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,86.31,17.25,13.52,13.53826087
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.095,2.5491666667,3.0175
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,29,398.88448276,79.88,56.364827586,50.148965517
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,267.1875,35.63,26.184375,27.4925
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,2220,0.92,0.1332027027,0.0970540541,0.0970540541
1053426049,FELDMAN,ERWIN,E,D.O.,M,I,1385 E 12 MILE RD,STE 100,MADISON HEIGHTS,MI,480712602,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,35,35,132,33,24.391714286,24.391714286
1053426304,ARNAOUTAKIS,KONSTANTINOS,,M.D.,M,I,4301 W MARKHAM ST # 508,,LITTLE ROCK,AR,722057101,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,69.07047619,17.643333333,13.568571429,13.274285714
1053426304,ARNAOUTAKIS,KONSTANTINOS,,M.D.,M,I,4301 W MARKHAM ST # 508,,LITTLE ROCK,AR,722057101,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,23,24,285.24,72.935833333,57.18,56.45125
1053426346,BEAMER,MARK,E,MD,M,I,245 ALLEN STREET,,BELHAVEN,NC,278101405,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,36,69,210,59.424380952,8.32,5.1295714286,5.1295714286
1053426346,BEAMER,MARK,E,MD,M,I,245 ALLEN STREET,,BELHAVEN,NC,278101405,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,24,29,13.53862069,1.3448275862,0.8175862069,0.8837931034
1053426346,BEAMER,MARK,E,MD,M,I,245 ALLEN STREET,,BELHAVEN,NC,278101405,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,360,5.1211111111,3.04,2.3635833333,2.3635833333
1053426346,BEAMER,MARK,E,MD,M,I,245 ALLEN STREET,,BELHAVEN,NC,278101405,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,70.688,21.382,14.879333333,12.146
1053426346,BEAMER,MARK,E,MD,M,I,245 ALLEN STREET,,BELHAVEN,NC,278101405,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1073.16,841.36,842.26
1053426346,BEAMER,MARK,E,MD,M,I,245 ALLEN STREET,,BELHAVEN,NC,278101405,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,658.22978723,96.505957447,73.486595745,56.229148936
1053426346,BEAMER,MARK,E,MD,M,I,245 ALLEN STREET,,BELHAVEN,NC,278101405,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,43,43,285.6,40.996046512,31.499767442,29.336511628
1053426551,SWEENEY,MARY ELLEN,T,M.D.,F,I,1670 CLAIRMONT RD # -111,,DECATUR,GA,300334004,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,23,46,180,64.072611111,8.32,6.0877777778,6.0877777778
1053426551,SWEENEY,MARY ELLEN,T,M.D.,F,I,1670 CLAIRMONT RD # -111,,DECATUR,GA,300334004,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,12,19,35,15.471142857,1.42,1.018,1.018
1053426700,MAKOUI,AMIR,S,MD,M,I,615 WEST AVE Q SUITE D,,PALMDALE,CA,93551,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,5250,4378.96,3433.11,3433.11
1053426957,RUDRICH,HORST,R,D.O.,M,I,255 TERRACINA BLVD,STE. 105,REDLANDS,CA,923734870,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,47,78.308085106,8.32,5.1342553191,5.1342553191
1053426957,RUDRICH,HORST,R,D.O.,M,I,255 TERRACINA BLVD,STE. 105,REDLANDS,CA,923734870,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,519.51,79.22,53.449285714,46.596428571
1053427161,GREENE,JOANNE,L,NP,F,I,275 KIENLE DR,,PIQUA,OH,453564119,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,180,48.723636364,33.836363636,33.095454545
1053427161,GREENE,JOANNE,L,NP,F,I,275 KIENLE DR,,PIQUA,OH,453564119,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,94.6348,21.346,15.9424,13.9712
1053427187,LENHART,MICHAEL,B,MD,M,I,228 WEST 4TH ST,SUITE 200,COOKEVILLE,TN,38501,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,43.344705882,21.463529412,14.193529412,11.142352941
1053427187,LENHART,MICHAEL,B,MD,M,I,228 WEST 4TH ST,SUITE 200,COOKEVILLE,TN,38501,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,310.675,98.85,68.984,46.7185
1053427203,SLINKARD,TAMARA,J,M.D.,F,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547016930,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,23,43,76.715581395,8.32,5.753255814,5.753255814
1053427203,SLINKARD,TAMARA,J,M.D.,F,I,3221 STEIN BLVD,,EAU CLAIRE,WI,547016930,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,269.97214286,69.81,43.002142857,43.002142857
1053427690,FISCHER,GARY,H,MD,M,I,10200 FORD AVE,SUITE 101,RICHMOND HILL,GA,313248823,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,19,19,55.845263158,18.042631579,14.141578947,13.53
1053427690,FISCHER,GARY,H,MD,M,I,10200 FORD AVE,SUITE 101,RICHMOND HILL,GA,313248823,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,349.48888889,73.913888889,55.529444444,52.303333333
1053427690,FISCHER,GARY,H,MD,M,I,10200 FORD AVE,SUITE 101,RICHMOND HILL,GA,313248823,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,31.176470588,10.288823529,8.0688235294,6.7082352941
1053427815,DEAN,ROBERT,W,D.O.,M,I,13600 E 86TH ST N,SUITE 400,OWASSO,OK,740558731,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,39,116,58.401982759,8.32,5.1725862069,5.1725862069
1053427815,DEAN,ROBERT,W,D.O.,M,I,13600 E 86TH ST N,SUITE 400,OWASSO,OK,740558731,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,51.81,17,13.33,13.498
1053427815,DEAN,ROBERT,W,D.O.,M,I,13600 E 86TH ST N,SUITE 400,OWASSO,OK,740558731,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,153.519375,33.66875,26.3925,26.30625
1053427815,DEAN,ROBERT,W,D.O.,M,I,13600 E 86TH ST N,SUITE 400,OWASSO,OK,740558731,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,227.3425,77.18,58.6190625,53.73375
1053427898,BLUHM,DIANE,M,FNP-C,F,I,1035 E WILCOX AVE,,WHITE CLOUD,MI,493498794,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,22,51,146,59.523561644,8.32,6.0308219178,6.0308219178
1053427898,BLUHM,DIANE,M,FNP-C,F,I,1035 E WILCOX AVE,,WHITE CLOUD,MI,493498794,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,21,33,15.777575758,1.42,1.0815151515,1.0815151515
1053427898,BLUHM,DIANE,M,FNP-C,F,I,1035 E WILCOX AVE,,WHITE CLOUD,MI,493498794,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,29,63.772758621,22.494482759,16.808965517,12.753103448
1053427898,BLUHM,DIANE,M,FNP-C,F,I,1035 E WILCOX AVE,,WHITE CLOUD,MI,493498794,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,23,50.73,7.1808695652,4.9969565217,3.6852173913
1053427898,BLUHM,DIANE,M,FNP-C,F,I,1035 E WILCOX AVE,,WHITE CLOUD,MI,493498794,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,69,439.9773913,103.10985507,77.375507246,54.492028986
1053427898,BLUHM,DIANE,M,FNP-C,F,I,1035 E WILCOX AVE,,WHITE CLOUD,MI,493498794,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1740,0.92,0.1347758621,0.1056896552,0.1056896552
1053427898,BLUHM,DIANE,M,FNP-C,F,I,1035 E WILCOX AVE,,WHITE CLOUD,MI,493498794,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,22,127.5,33,25.87,25.87
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,27,48,71.671458333,8.32,5.979375,5.979375
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,10.93,10.93,7.7772727273,7.7772727273
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,7.46,7.35,4.7127272727,4.8063636364
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,89.286153846,17.09,11.338461538,11.476153846
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24,4.105,2.8875,3.3416666667
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,43,43,556.99860465,65.7,47.335813953,50.46255814
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,330,3.7148181818,0.571,0.4057878788,0.4057878788
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,178.74411765,17.160588235,12.701176471,13.115294118
1053427989,CAMPBELL,S,D,MD,M,I,670 THIRD STREET WEST,,SONOMA,CA,95476,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,17.109090909,17.109090909
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,70,8.3011428571,2.0042857143,1.5715714286,1.5898571429
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,24,88.185416667,17,13.33,13.505
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,2184.1230769,1074.31,820.18769231,820.18769231
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,1321.6011765,950.19941176,738.68823529,738.68823529
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,34,34,29.204117647,3.73,2.8094117647,3.2729411765
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,147.10695652,31.739130435,21.815652174,21.764347826
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,20,127,129,434.01620155,72.901860465,54.098837209,52.182713178
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,153.51282051,35.140769231,25.189487179,26.755384615
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,2439,0.1995653957,0.0441451415,0.0346084461,0.0346084461
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,9.7649102564,3.0503846154,2.391525641,2.391525641
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,J7682,"Tobramycin, inhalation solution, fda-approved final product, non-compounded, unit dose form, administered through dme, per 300 milligrams",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,152,140.75802632,41.906118421,31.817565789,31.817565789
1053428128,ANZUETO,ANTONIO,,MD,M,I,7703 FLOYD CURL DR,MC7977,SAN ANTONIO,TX,782293901,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,40,40,33.56875,33,25.87,25.87
1053428276,IOFEL,GENEKH,,MD,M,I,7779 SUNSET BLVD,,LOS ANGELES,CA,90046,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,50,168,367,59.771825613,8.32,5.3664577657,5.3664577657
1053428276,IOFEL,GENEKH,,MD,M,I,7779 SUNSET BLVD,,LOS ANGELES,CA,90046,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,41,120,136,15.481617647,1.42,0.9206617647,0.9206617647
1053428276,IOFEL,GENEKH,,MD,M,I,7779 SUNSET BLVD,,LOS ANGELES,CA,90046,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,30,79.696,71.56,55.960333333,55.960333333
1053428276,IOFEL,GENEKH,,MD,M,I,7779 SUNSET BLVD,,LOS ANGELES,CA,90046,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,90,32.761777778,29.19,22.885,22.886444444
1053428326,ZOMORODI,ALI,R,MD,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Neurosurgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,5732,1.4022540126,0.3925750174,0.2840143057,0.2213799721
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,34,107,256,81.443398438,8.32,5.3891015625,5.3891015625
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,38,50,15.197,1.42,0.9376,0.9376
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2430,5.3765432099,2.04,1.5402921811,1.5402921811
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,18,451,208.74807095,5.31,4.1631707317,4.1631707317
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,19,7703,2.2761469557,0.37,0.2900778917,0.2900778917
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,20,20,883.2,61.8,48.45,48.3785
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,129.63636364,5.04,3.95,3.95
1053428417,NITKE,LEAH,A,DO,F,I,2845 GREENBRIER RD,#130,GREEN BAY,WI,543088900,US,Physician/Internal Medicine,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,10611,444.8275,348.745,348.745
1053428508,EDIN,ANDREW,E,MD,M,I,855 MANKATO AVE,,WINONA,MN,559874868,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,53,65.382641509,8.32,5.4943396226,5.4943396226
1053428508,EDIN,ANDREW,E,MD,M,I,855 MANKATO AVE,,WINONA,MN,559874868,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,49.545454545,25.691818182,18.721818182,12.781818182
1053428508,EDIN,ANDREW,E,MD,M,I,855 MANKATO AVE,,WINONA,MN,559874868,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,77.048,21.788,16.086,12.628
1053428508,EDIN,ANDREW,E,MD,M,I,855 MANKATO AVE,,WINONA,MN,559874868,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,53.829166667,40.0475,26.114166667
1053428508,EDIN,ANDREW,E,MD,M,I,855 MANKATO AVE,,WINONA,MN,559874868,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,460.608,97.342666667,72.333333333,51.081333333
1053428540,NWOSU,OGUCHI,A,"M.D., FAAFP",M,I,4500 N SHALLOWFORD RD,,DUNWOODY,GA,303386476,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,34,58.02,8.32,5.7541176471,5.7541176471
1053428599,LALANDE,BETH,M,MD,F,I,W129N7055 NORTHFIELD DR,ENDOCRINOLOGY,MENOMONEE FALLS,WI,530510538,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,30,436,43.637385321,19.663784404,15.416284404,15.416284404
1053428599,LALANDE,BETH,M,MD,F,I,W129N7055 NORTHFIELD DR,ENDOCRINOLOGY,MENOMONEE FALLS,WI,530510538,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,28,1140,6.3178947368,2.6336842105,2.0207192982,2.0207192982
1053428599,LALANDE,BETH,M,MD,F,I,W129N7055 NORTHFIELD DR,ENDOCRINOLOGY,MENOMONEE FALLS,WI,530510538,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,37,85,567,65.740458554,8.32,6.2008289242,6.2008289242
1053428599,LALANDE,BETH,M,MD,F,I,W129N7055 NORTHFIELD DR,ENDOCRINOLOGY,MENOMONEE FALLS,WI,530510538,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,20,40,119,11.307478992,1.42,1.03,1.03
1053428599,LALANDE,BETH,M,MD,F,I,W129N7055 NORTHFIELD DR,ENDOCRINOLOGY,MENOMONEE FALLS,WI,530510538,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,52,52,251.0575,251.0575,194.06961538,194.11076923
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,71,56.37084507,8.32,5.9711267606,5.9711267606
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,261.92,84,55.727692308,57.784615385
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,30,116.504,31.66,21.188,22.111333333
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,73,89.161643836,17.97,14.088493151,14.551780822
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,68,58.768235294,14.75,10.194264706,10.502205882
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,26,26,244.775,51.033846154,38.475384615,41.230384615
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,16,22,22,66.015454545,18.131818182,14.215909091,14.067727273
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,31,31,74.426451613,10.763870968,7.9016129032,8.575483871
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,16,40,229,9.5741484716,1.9223580786,1.3900436681,1.4743231441
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,40.530714286,13.064285714,9.5071428571,9.6035714286
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,23.79,3.975,2.40875,3.01125
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,38,38,140.34368421,31.349473684,18.065263158,18.103157895
1053428714,OLASH,FELIX,A,M.D.,M,I,3900 KRESGE WAY,STE. 50,LOUISVILLE,KY,402074660,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,267.43296296,71.761851852,50.036296296,48.698148148
1053428821,YANG,HUGO,,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,48,66.86,8.32,6.5216666667,6.5216666667
1053428821,YANG,HUGO,,MD,M,I,795 EL CAMINO REAL,,PALO ALTO,CA,943012302,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,21,10.933809524,1.42,1.0085714286,1.0085714286
1053428938,GIULIANI,NICHOLAS,A,MD,M,I,1020 BALTIMORE PIKE,SUITE 100,GLEN MILLS,PA,193421365,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,20,50,67.816,8.32,5.217,5.217
1053428938,GIULIANI,NICHOLAS,A,MD,M,I,1020 BALTIMORE PIKE,SUITE 100,GLEN MILLS,PA,193421365,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,1.95,1.95,1.5287777778,1.5993333333
1053428938,GIULIANI,NICHOLAS,A,MD,M,I,1020 BALTIMORE PIKE,SUITE 100,GLEN MILLS,PA,193421365,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,425,0.7615764706,0.2570588235,0.2014588235,0.2116
1053428938,GIULIANI,NICHOLAS,A,MD,M,I,1020 BALTIMORE PIKE,SUITE 100,GLEN MILLS,PA,193421365,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,67,7.7435820896,2.06,1.5667164179,1.5474626866
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,25,35,1304,1.6726993865,0.44,0.3344171779,0.3344171779
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,45,90,100,71.56,56.105,56.105
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,34,34,204,50,29.19,22.885,22.886127451
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,18,65,43.56,34.153888889,34.150555556
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,22,26,918,54.969694989,34.86,27.004662309,27.004662309
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,19,28,432,33.61875,23.66,18.307939815,18.307939815
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,19,40,941,9.9711477152,8.28,6.4916046759,6.4916046759
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,362,51.627071823,18.5,14.491077348,14.491077348
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,18,23,258,11.782325581,8.41,6.5003488372,6.5003488372
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,25,30,1095,4.701369863,2.4,1.8815890411,1.8815890411
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,15,24,1977,0.1864491654,0.13,0.1019524532,0.1019524532
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,29,44,2791,4.8656682193,1.9690720172,1.4959154425,1.4966427804
1053429027,SHIMOZAKI,KENNETH,K,DPM,M,I,3031 W MARCH LN,SUITE 310,STOCKTON,CA,952196500,US,Podiatry,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,885,1.826440678,0.88,0.6524858757,0.6524858757
1053429159,KENNEDY,DIANA,L,M.D.,F,I,4205 MCAULEY BLVD,SUITE 420,OKLAHOMA CITY,OK,731208347,US,Internal Medicine,T,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,14,177,69.75440678,19.622429379,15.14920904,15.14920904
1053429159,KENNEDY,DIANA,L,M.D.,F,I,4205 MCAULEY BLVD,SUITE 420,OKLAHOMA CITY,OK,731208347,US,Internal Medicine,T,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,7,,15,410,8.0256585366,2.6302439024,2.0620243902,2.0620243902
1053429159,KENNEDY,DIANA,L,M.D.,F,I,4205 MCAULEY BLVD,SUITE 420,OKLAHOMA CITY,OK,731208347,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,15,56,209,71.856172249,8.32,4.7386602871,4.7386602871
1053429159,KENNEDY,DIANA,L,M.D.,F,I,4205 MCAULEY BLVD,SUITE 420,OKLAHOMA CITY,OK,731208347,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,12,48,9.720625,2.4939583333,1.7158333333,1.3595833333
1053429159,KENNEDY,DIANA,L,M.D.,F,I,4205 MCAULEY BLVD,SUITE 420,OKLAHOMA CITY,OK,731208347,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,687.76684211,43.887368421,28.465789474,21.246842105
1053429159,KENNEDY,DIANA,L,M.D.,F,I,4205 MCAULEY BLVD,SUITE 420,OKLAHOMA CITY,OK,731208347,US,Internal Medicine,T,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,743.29,342.29666667,262.30277778,262.30277778
1053429159,KENNEDY,DIANA,L,M.D.,F,I,4205 MCAULEY BLVD,SUITE 420,OKLAHOMA CITY,OK,731208347,US,Internal Medicine,T,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,39,39,251.11,251.11,196.87,196.87
1053429167,MOYSIK,LYUBOV,,D.O,F,I,260 AVENUE X,,BROOKLYN,NY,112235940,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,30,93,164,57.639573171,8.32,6.0118292683,6.0118292683
1053429167,MOYSIK,LYUBOV,,D.O,F,I,260 AVENUE X,,BROOKLYN,NY,112235940,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,24,68,69,44.577826087,1.42,1.0385507246,1.0385507246
1053429191,FARBER,ANDREW,S,M.D.,M,I,76 W SPRINGHILL DR,,TERRE HAUTE,IN,478028767,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,67.85,67.85,48.2,47.936923077
1053429191,FARBER,ANDREW,S,M.D.,M,I,76 W SPRINGHILL DR,,TERRE HAUTE,IN,478028767,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,48.63,48.63,34.071923077,38.353461538
1053429233,SCHWANEBECK,MARY,K,NP,F,I,410 DEWEY ST,,WISCONSIN RAPIDS,WI,544944715,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,184.16833333,95.081666667,73.8375,54.023333333
1053429233,SCHWANEBECK,MARY,K,NP,F,I,410 DEWEY ST,,WISCONSIN RAPIDS,WI,544944715,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.691666667,43.935,34.4475,29.514166667
1053429456,EBERLY,VANCE,C,M.D.,M,I,11525 BROOKSHIRE AVE,SUITE #405,DOWNEY,CA,902414985,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,11,11,199,37.439296482,22.437085427,17.590502513,19.369095477
1053429498,KAMINSKI,JOHN,J,MD,M,I,879 LAFAYETTE RD,,HAMPTON,NH,038421258,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,43,59.246046512,8.32,6.3723255814,6.3723255814
1053429498,KAMINSKI,JOHN,J,MD,M,I,879 LAFAYETTE RD,,HAMPTON,NH,038421258,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78.98,56.76,50.16
1053429563,MURDOCK,KENNETH,J,M.D.,M,I,226 N 1100 E,SUITE A,AMERICAN FORK,UT,840032054,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,19,62,172,74.378023256,8.32,5.4425581395,5.4425581395
1053429563,MURDOCK,KENNETH,J,M.D.,M,I,226 N 1100 E,SUITE A,AMERICAN FORK,UT,840032054,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,48,96.674375,17.91,13.060833333,12.63375
1053429563,MURDOCK,KENNETH,J,M.D.,M,I,226 N 1100 E,SUITE A,AMERICAN FORK,UT,840032054,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,73,77,449.43701299,70.48,52.37987013,51.911818182
1053429621,MYERSON,ANDREW,N,P.A.-C.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,14,14,67.71,67.71,53.09,46.35
1053429621,MYERSON,ANDREW,N,P.A.-C.,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician Assistant,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,15,98.3,78.326,57.366666667,62.916
1053429654,SNAPP,NANCY,J,M.D.,F,I,720 8TH AVE S,SUITE 100,SEATTLE,WA,981043032,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,44,66,61.130909091,8.32,4.8553030303,4.8553030303
1053429654,SNAPP,NANCY,J,M.D.,F,I,720 8TH AVE S,SUITE 100,SEATTLE,WA,981043032,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,13.59,1.42,0.7127272727,0.7127272727
1053429779,GEISTLER,PERRY,K,DPM,M,I,12152 TESSON FERRY RD,,SAINT LOUIS,MO,631281779,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,85.616666667,71.56,56.105,56.105
1053429779,GEISTLER,PERRY,K,DPM,M,I,12152 TESSON FERRY RD,,SAINT LOUIS,MO,631281779,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,69,52.03,43.56,33.783333333,33.781304348
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,11,19,38,5.5373684211,0.51,0.3789473684,0.3789473684
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,16,23,24,6.75,1,0.7804166667,0.7804166667
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,70,259,923,59.954355363,8.32,5.732524377,5.732524377
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,27,80,80,15.1205,3.38,2.45125,2.45125
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,28,41,41,24.534146341,2.12,1.6292682927,1.6292682927
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,47,139,274,15.148394161,1.42,1.0162408759,1.0162408759
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,23,23,167.77391304,51.177826087,39.302608696,32.909130435
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,35,70,8.19,2.1414285714,1.6045714286,1.1434285714
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,18,22,22,77.845454545,17.375,13.170909091,8.6627272727
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,26,26,417.72730769,127.73692308,99.465384615,78.432307692
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,28,58,161.45413793,47.592586207,37.312241379,29.290344828
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,246.97388889,71.903888889,56.373888889,43.097777778
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,22,30,30,80.267666667,24.443,19.163,15.078666667
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,65.316875,19.976875,15.66125,9.800625
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,22,47,211,11.03014218,2.9301421801,2.2978199052,1.7413744076
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,56.981333333,15.847333333,12.052,10.764666667
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,183.52363636,74.617272727,58.501818182,36.46
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,35.441818182,19.999090909,15.680909091,12.05
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,29,181,197,86.196751269,22.663502538,16.887614213,13.198984772
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,32,33,232.35,60.137272727,45.896969697,36.894242424
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1481.97,290.97636364,226.32363636,154.25272727
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,30,31,81.75,15.820645161,9.9103225806,8.1016129032
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,18,108,113,50.581415929,7.3267256637,5.3787610619,3.2824778761
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,198.87722222,49.639166667,34.111944444,23.188611111
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,58,433,463,507.39568035,102.76658747,76.72224622,53.470518359
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,65,66,222.72727273,45.591818182,35.746363636,29.950909091
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1350,15.659696296,9.6735333333,7.5480222222,7.5480222222
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,42,8350,0.2311532934,0.0463736527,0.0325976048,0.0325976048
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,22,89,9080,1.4210099119,0.1314834802,0.0940881057,0.0940881057
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,14,77,4474,12.435815825,3.0177000447,2.2545261511,2.254523916
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,1.0864705882,0.2188823529,0.1615294118,0.1615294118
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,259.06666667,25.084,14.998,10.770666667
1053429829,VEJENDLA PHYSICIAN PC,UMAMAHESWARA,R,,M,I,152 FOOTE AVE,,JAMESTOWN,NY,147016940,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,36,159,159,105.22641509,33,24.292641509,24.292641509
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,38.145,4.0217857143,2.8903571429,3.3785714286
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,13,91,93,409.07311828,79.802043011,58.344731183,51.325698925
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,170.34482759,39.331034483,29.26,27.979655172
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,1200,18.77635,9.5607,7.4686666667,7.4686666667
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2881,0.3024956612,0.0476848317,0.0307740368,0.0307740368
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,14,50,7256,1.6210735943,0.1290463065,0.0841579383,0.0841579383
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,26,1680,11.915077381,3.1745535714,2.2802261905,2.2802261905
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,56,110.06285714,39.262142857,28.037142857,26.906785714
1053429977,BEST,JOHN,,MD,M,I,222 S WOODS MILL RD,SUITE 310 NORTH,CHESTERFIELD,MO,630173625,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,19,72,72,57.75,33,22.79875,22.79875
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,88,198,198,102.39085859,40.094393939,30.104343434,29.231313131
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,19,35,8.7085714286,1.48,1.16,1.1511428571
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,54,136,136,335.19257353,86.011397059,62.932647059,63.563088235
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,50,139,346,136.46182081,33.264132948,25.327572254,25.293381503
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,58,142,721,77.841761442,17.974785021,13.231525659,13.665284327
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,30,67,350,56.302742857,15.7314,11.873142857,11.441771429
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,14,91,210,210,209.9057619,55.775047619,41.311190476,40.519904762
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,141,196,196,68.459234694,18.047091837,13.399540816,13.311632653
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,22,22,29.335454545,10.183181818,7.9845454545,8.15
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,66,147,147,79.524761905,12.235034014,9.2069387755,8.8405442177
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,144,359,1882,9.3904410202,2.0075876727,1.5242029756,1.5405738576
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,63,89,89,21.940674157,5.9838202247,4.2903370787,4.2597752809
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,82,112,112,47.023214286,13.049107143,9.8249107143,9.9288392857
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,77,84,79.174880952,21.5175,16.390238095,14.49297619
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,1708.6955556,1072.2317778,834.81688889,836.44533333
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,38,38,286.565,90.74,63.673947368,61.185789474
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,23,23,565.48086957,138.24521739,106.42217391,103.23565217
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,20,77,78,47.038974359,13.730769231,10.263717949,10.051282051
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,50.73,4.1294736842,3.2336842105,3.7515789474
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,61,357,359,230.03899721,34.618189415,25.240250696,24.121197772
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,38,311,318,339.34616352,78.115283019,58.653647799,52.642641509
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,21,180,180,202.22633333,36.921111111,28.412055556,28.917944444
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,10.994923077,8.4361153846,8.4361153846
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,14,3638,0.2213496427,0.0462946674,0.0339224849,0.0339224849
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1635,4.4497003058,0.0778409786,0.0610152905,0.0610091743
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,2034,1.961120944,0.1365290069,0.1070452311,0.1070452311
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,1965,12.32037659,3.0418167939,2.3117913486,2.3117913486
1053430033,SAMALA,VASANTHA,,M.D.,F,I,700 E OGDEN AVE,SUITE 202,WESTMONT,IL,605595569,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,15,63,63,61.904761905,33,25.391904762,25.391904762
1053430082,MOSES,DUSTY,A,M.D.,M,I,PALMETTO HEALTH RICHLAND MEDICAL EDUCATION,5 MEDICAL PARK ATTN MARGIE BODIE,COLUMBIA,SC,29203,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,4.3854545455,3.4436363636,3.6854545455
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,32,105,220,46.662318182,8.2649090909,5.7974090909,5.8405909091
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.208,3.38,2.65,2.65
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,20,45,53,15.863962264,1.42,1.0535849057,1.0535849057
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,50,23.626666667,17.692222222,12.778333333
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,123.19923077,7.9884615385,5.8892307692,3.84
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,100.75,83.431875,65.411875,65.411875
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,54,54,455.20074074,102.19962963,75.145555556,50.872222222
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,45.002727273,35.284545455,29.516363636
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1709,1.6590754827,0.1321708602,0.0938209479,0.0938209479
1053430314,TOMLINSON,ANGELA,,R.N./ARNP,F,I,173 NW ALBRITTON LN,,LAKE CITY,FL,320554451,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,70.125,33,21.985,21.985
1053430512,BROOKS,GREGORY,S,DO,M,I,395200 W 2900 RD,,OCHELATA,OK,740512463,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,564.88,111.24153846,87.217692308,67.189230769
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,71,140,62.851928571,8.32,5.7310714286,5.7310714286
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,28,41,13.574390244,1.42,0.923902439,0.923902439
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,73.476666667,11.779166667,8.5216666667,8.3683333333
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,17.63,17.63,13.82,13.557619048
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,13,72,72,63.660138889,6.8520833333,5.1779166667,3.7940277778
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,334.70555556,76.48,58.294444444,53.491111111
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,17,42,4858,1.2529621243,0.1335076163,0.1001379168,0.1001379168
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,68.220833333,18.5,13.326666667,12.485
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,36.5,26.018181818,26.929090909
1053430975,GOLDMAN,PAUL,J,M.D.,M,I,1650 W ROSEDALE ST STE 100,,FORT WORTH,TX,761047400,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,32,32,50.8046875,33,24.253125,24.253125
1053431213,SCHILLING,HELEN,M,MD,F,I,17320 RED OAK DR,SUITE 104,HOUSTON,TX,770902633,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,45,47,73.157446809,16.575319149,11.664042553,12.964255319
1053431213,SCHILLING,HELEN,M,MD,F,I,17320 RED OAK DR,SUITE 104,HOUSTON,TX,770902633,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,33,150.9269697,22.336363636,17.505454545,20.555454545
1053431213,SCHILLING,HELEN,M,MD,F,I,17320 RED OAK DR,SUITE 104,HOUSTON,TX,770902633,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,31.560952381,7.5666666667,5.93,6.84
1053431213,SCHILLING,HELEN,M,MD,F,I,17320 RED OAK DR,SUITE 104,HOUSTON,TX,770902633,US,Physician/Physical Medicine and Rehabilitation,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,600,131.93181818,90.389090909,82.809090909
1053431221,MORRIS,GLENELL,,RD,F,I,540 LITCHFIELD ST,,TORRINGTON,CT,067906679,US,Physician Assistant,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,3.3,1.64,1.28,1
1053431221,MORRIS,GLENELL,,RD,F,I,540 LITCHFIELD ST,,TORRINGTON,CT,067906679,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,10.99,4.04,3.17,2.25
1053431338,LUCKHARDT,TRACY,R,"M.D., M.S.",F,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,42,75.298095238,17.684285714,13.523095238,13.221190476
1053431338,LUCKHARDT,TRACY,R,"M.D., M.S.",F,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,232.35,58.205714286,39.740714286,32.29
1053431338,LUCKHARDT,TRACY,R,"M.D., M.S.",F,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,20,40.473,6.033,4.392,3.576
1053431338,LUCKHARDT,TRACY,R,"M.D., M.S.",F,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,11,84,84,412.92642857,82.615595238,63.513571429,54.031071429
1053431338,LUCKHARDT,TRACY,R,"M.D., M.S.",F,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,142.60869565,38.63826087,30.293913043,29.641304348
1053431338,LUCKHARDT,TRACY,R,"M.D., M.S.",F,I,619 19TH ST S,,BIRMINGHAM,AL,352491900,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,60.392,39.136,28.729333333,27.556
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,49,109,70.990550459,8.32,4.76,4.76
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,29,36,12.874444444,1.42,0.9305555556,0.9305555556
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,8.8627586207,1.58,1.0686206897,0.9975862069
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,413.77,43.900909091,30.372727273,32.304545455
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,703.96416667,830.30416667
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,55.011111111,3.6781481481,2.3937037037,3.0007407407
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,32.128181818,25.19,25.468181818
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,670.11625,71.11,47.888125,46.995625
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,50,5158,1.2924253587,0.1350523459,0.0984955409,0.0984955409
1053431882,SHIPP-ROWELL,CYNTHIA,D,F.N.P.,F,I,330 E PINE ST,,EXETER,CA,932211838,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,57,57,104.21052632,33,24.032982456,24.032982456
1053432468,O'CHAB,KIM,,FNP,F,I,3715 DAUPHIN ST,STE 7A,MOBILE,AL,366081771,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,25,47,70.678085106,8.32,6.1042553191,6.1042553191
1053432856,REDDY,SHALINI,R,MD,F,I,1870 AMHERST ST,STE. 2B,WINCHESTER,VA,226012873,US,Physician/Thoracic Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,282,20,6.3931914894,5.0121985816,4.1629432624
1053432856,REDDY,SHALINI,R,MD,F,I,1870 AMHERST ST,STE. 2B,WINCHESTER,VA,226012873,US,Physician/Thoracic Surgery,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4410,0.9278911565,0.3394965986,0.2661609977,0.2430408163
1053432856,REDDY,SHALINI,R,MD,F,I,1870 AMHERST ST,STE. 2B,WINCHESTER,VA,226012873,US,Physician/Thoracic Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,16,16,150,75.25125,58.9975,48.32
1053433250,CLARK,MATTHEW,T,M.D.,M,I,616 EDGEFIELD RD,SUITE 180,NORTH AUGUSTA,SC,298411938,US,Physician/Allergy/ Immunology,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,13.47575,11.09225,8.4970972222,8.4970972222
1053433250,CLARK,MATTHEW,T,M.D.,M,I,616 EDGEFIELD RD,SUITE 180,NORTH AUGUSTA,SC,298411938,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,2139,0.1185834502,0.0440953717,0.0345582048,0.0345582048
1053433250,CLARK,MATTHEW,T,M.D.,M,I,616 EDGEFIELD RD,SUITE 180,NORTH AUGUSTA,SC,298411938,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1140,9.6257368421,2.7769473684,2.1767631579,2.1767631579
1053433250,CLARK,MATTHEW,T,M.D.,M,I,616 EDGEFIELD RD,SUITE 180,NORTH AUGUSTA,SC,298411938,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,79.170454545,33,25.87,25.87
1053433276,PETTIS,LARRY,,M.D.,M,I,204 DALE RD,,WESTAMPTON,NJ,080605516,US,Specialist,T,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,1134,972.47,744.72064516,757.85064516
1053433276,PETTIS,LARRY,,M.D.,M,I,204 DALE RD,,WESTAMPTON,NJ,080605516,US,Specialist,T,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,53,858,725.02773585,565.71509434,481.54415094
1053433441,DUERLER,TIMOTHY,S,M.D.,M,I,75 PUUHONU PL,STE 205,HILO,HI,967202000,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,40,113,74.694690265,8.32,6.1181415929,6.1181415929
1053433441,DUERLER,TIMOTHY,S,M.D.,M,I,75 PUUHONU PL,STE 205,HILO,HI,967202000,US,Physician/Family Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,700,4.65,4.65,3.5476571429,3.1799857143
1053433441,DUERLER,TIMOTHY,S,M.D.,M,I,75 PUUHONU PL,STE 205,HILO,HI,967202000,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,8221,0.42,0.42,0.3027344605,0.2698443012
1053433441,DUERLER,TIMOTHY,S,M.D.,M,I,75 PUUHONU PL,STE 205,HILO,HI,967202000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,57.106428571,22.829285714,17.896428571,15.25
1053433441,DUERLER,TIMOTHY,S,M.D.,M,I,75 PUUHONU PL,STE 205,HILO,HI,967202000,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,357.29615385,59.729230769,44.838461538,25.172307692
1053433441,DUERLER,TIMOTHY,S,M.D.,M,I,75 PUUHONU PL,STE 205,HILO,HI,967202000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,238.09,101.38363636,76.737272727,59.620454545
1053433995,NISSEL-HOROWITZ,SANDRA,,PA,F,I,27005 76TH AVE,,NEW HYDE PARK,NY,110401433,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,16,1352,85.822426036,4.6140088757,3.6173816568,3.6173816568
1053433995,NISSEL-HOROWITZ,SANDRA,,PA,F,I,27005 76TH AVE,,NEW HYDE PARK,NY,110401433,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,24,24,18.82,18.82
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,30,106,204,53.109901961,8.32,5.4012745098,5.4012745098
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,36,36,16.105,1.42,0.8711111111,0.8711111111
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,70.5,28.46,18.433333333,18.433333333
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,30.57,10.67,6.975,7.1916666667
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,19,19,71.924210526,38.5,28.591578947,28.888947368
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,284.48,94.596666667,74.167333333,67.869333333
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,16,47,96.028510638,35.731914894,28.01212766,25.917021277
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,80,60.997125,18.36,14.39475,14.530125
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,21,21,189.87380952,56.920952381,42.554285714,40.846190476
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,20,20,62.6235,19.172,15.026,14.06
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,14,14,73.454285714,13.393571429,9.875,8.4764285714
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,15,37,217,8.0543778802,2.1524423963,1.6011520737,1.5426728111
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.69,11.558333333,11.275
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,60,60,199.64533333,34.9595,25.945333333,25.086166667
1053434019,BROSZ,ADAM,B,M.D.,M,I,2444 W FAIDLEY AVE,,GRAND ISLAND,NE,688034327,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,38,538.76684211,69.99,48.206842105,48.118421053
1053434092,GOPAL,CHITRA,K,"M.D.,",F,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,55.395294118,18.64,12.093529412,11.887647059
1053434092,GOPAL,CHITRA,K,"M.D.,",F,I,6161 S YALE AVE,,TULSA,OK,741361902,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,16,340.58,82.5975,60.61125,53.7375
1053434399,DAVIDOFF,SCOTT,,M.D.,M,I,700 S HENDERSON RD,SUITE 308 C,KING OF PRUSSIA,PA,194063530,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,199,92.353333333,72.406666667,72.406666667
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.4308333333,0.43,0.3372,0.3874333333
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,762,6.2203937008,6.2203937008,4.8767060367,5.7070472441
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,44,4.4404545455,4.0913636364,3.2084090909,3.3034090909
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,601,0.1350249584,0.13,0.1018302829,0.1018302829
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,87,11.023793103,8.22,6.4437931034,6.4285057471
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,154,3.8280519481,3.6218181818,2.8401298701,3.3520779221
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,1500,3.47912,2.8,2.19522,2.19522
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,343,6.3267055394,3.7326239067,2.9264431487,2.9829154519
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,6,14,81,2178,16.672938476,3.0216988062,2.3042378329,2.3035261708
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,6606,0.38,0.3779291553,0.2939100817,0.2883378747
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,6,,57,32700,1.1009143731,0.2934357798,0.2296272171,0.2413311927
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17.27,17.27,13.54,13.54
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,5,,42,43,87.419534884,41.593488372,32.607906977,32.649534884
1053434910,KARNI,RON,J,MD,M,I,6400 FANNIN ST,2700,HOUSTON,TX,770301521,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.57,69.57,54.55,54.713636364
1053435032,BENSON,AURORA,L,D.O.,F,I,78120 WILDCAT DR,,PALM DESERT,CA,922111140,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,48,79.34875,8.32,6.5222916667,6.5222916667
1053435032,BENSON,AURORA,L,D.O.,F,I,78120 WILDCAT DR,,PALM DESERT,CA,922111140,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,247.03083333,247.03083333,193.67166667,193.84916667
1053435412,BUNTING,ELIZABETH,M,PA-C,F,I,2511 OLD CORNWALLIS RD,SUITE 200,DURHAM,NC,277131869,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,14,52,178,37.584269663,8.32,6.0462359551,6.0462359551
1053435412,BUNTING,ELIZABETH,M,PA-C,F,I,2511 OLD CORNWALLIS RD,SUITE 200,DURHAM,NC,277131869,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,14,53,100,27.8,1.42,1.0351,1.0351
1053435412,BUNTING,ELIZABETH,M,PA-C,F,I,2511 OLD CORNWALLIS RD,SUITE 200,DURHAM,NC,277131869,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,61.66,21.034210526,14.981578947,11.721052632
1053435917,HABIB,SHAHNAZ,,M.D.,F,I,6215 FRANKLIN HAWK,,EL PASO,TX,799128169,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,46,30.599130435,8.32,6.5223913043,6.5223913043
1053436170,WEIL,ROBERT,F,M.D.,M,I,1180 DURYEA DRIVE,,HUMMELSTOWN,PA,170366821,US,Specialist,T,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,15,15,996.16933333,972.47,752.27,765.4
1053436170,WEIL,ROBERT,F,M.D.,M,I,1180 DURYEA DRIVE,,HUMMELSTOWN,PA,170366821,US,Specialist,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,14,14,14,1263.28,1017.66,756.85857143,845.50857143
1053436295,HALEY,TARA,S,RN NP,F,I,563-A NEFF AVE,,HARRISONBURG,VA,228010000,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,175,49.941818182,34.302727273,33.643636364
1053436295,HALEY,TARA,S,RN NP,F,I,563-A NEFF AVE,,HARRISONBURG,VA,228010000,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,75,19.546666667,14.532777778,13.341111111
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,41,105,19.71,15.452439024,15.452439024
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,27,28.428888889,3.8177777778,2.5796296296,3.1796296296
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,624,14.755,11.57,11.57
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,4000,64.9297175,13.53204,10.5880925,10.5880925
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,J1557,"Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1680,293.88516667,46.74025,36.644375,36.644375
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,16,38,6110,0.3499885434,0.0462487725,0.0362602291,0.0362585925
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,27,2206,12.395290118,3.1456980961,2.3372438803,2.3372438803
1053436345,SCHAFER,EWA,H,MD,F,I,2150 PFINGSTEN RD,,GLENVIEW,IL,600261361,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,19,47,47,33,33,25.87,25.87
1053436469,FERRANTINO,MICHAEL,A,M.D.,M,I,1000 SOUTH AVE,BOX 58,ROCHESTER,NY,146202733,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60.84,16.978181818,11.271818182,11.503636364
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,14,58,8880,4.6728716216,1.73,1.3336114865,1.5372207207
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,45,7110,10.985063291,7.23,5.6449085795,5.6449085795
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,17,27,19.618888889,10.808518519,8.4740740741,8.5692592593
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,250,9.58252,3.84,3.01064,3.05012
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,561,9.8221568627,5.74,4.0037076649,4.0037076649
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A4455,"Adhesive remover or solvent (for tape, cement or other adhesive), per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,57,20.165087719,1.61,1.2636842105,1.2636842105
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,790,1.1270379747,0.27,0.2116202532,0.2116202532
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A5071,"Ostomy pouch, urinary; with barrier attached (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,350,13.681085714,6.76,5.2998857143,5.2998857143
1053436550,LESSER,TIMOTHY,F,MD,M,I,20911 EARL ST,SUITE 140,TORRANCE,CA,90503,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,520,1.6770576923,0.27,0.2116538462,0.2116538462
1053436923,TITUS,REBIN,T,M.D.,M,I,2602 FRANKLIN RD SW,,ROANOKE,VA,24014,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,22,1830,4.3203333333,0.573704918,0.4195901639,0.4195901639
1053436923,TITUS,REBIN,T,M.D.,M,I,2602 FRANKLIN RD SW,,ROANOKE,VA,24014,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,1800,2.7855944444,1.36395,1.0307555556,1.0307555556
1053436923,TITUS,REBIN,T,M.D.,M,I,2602 FRANKLIN RD SW,,ROANOKE,VA,24014,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,2040,4.5132107843,2.8366470588,2.2034117647,2.2034117647
1053436923,TITUS,REBIN,T,M.D.,M,I,2602 FRANKLIN RD SW,,ROANOKE,VA,24014,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,24,24,18.231875,18.231875
1053436923,TITUS,REBIN,T,M.D.,M,I,2602 FRANKLIN RD SW,,ROANOKE,VA,24014,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,34,34,16,16,12.54,12.54
1053437061,MALONE-JONES,ROSE,M,CNS,F,I,301 W 1ST ST,SUITE 100,DAYTON,OH,454023033,US,Certified Clinical Nurse Specialist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,29,63,78.414285714,8.32,5.2787301587,5.2787301587
1053437079,MOORE,ETHEL,L,M.D.,F,I,RR 1 BOX 67,,HARLEM,MT,595269705,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,16,265.2825,73.704375,52.98,33.0275
1053437079,MOORE,ETHEL,L,M.D.,F,I,RR 1 BOX 67,,HARLEM,MT,595269705,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,79.617,23.01925,17.074,12.779
1053437079,MOORE,ETHEL,L,M.D.,F,I,RR 1 BOX 67,,HARLEM,MT,595269705,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,469.19459459,99.461081081,69.255675676,47.782162162
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,47,134,55.086865672,8.32,6.2782835821,6.2782835821
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,14.998214286,1.42,1.0335714286,1.0335714286
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,19,151.04315789,51.771052632,37.034210526,33.864736842
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,561.1275,79.88,58.70625,52.2875
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,100,35.31,25.3825,26.9375
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1674,0.1998387097,0.0479569892,0.0367682198,0.0367682198
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,17,74.411764706,19.6,14.465882353,12.329411765
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,37.676,33.095,25.945,21.822
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,62.16,8.3563636364,6.5445454545,6.5327272727
1053437855,DILORENZO,JAMIE,A,"APRN, BC",M,I,10150 HIGHLAND MANOR DR STE 240,,TAMPA,FL,33610,US,Nurse Practitioner,S,K0827,"Power wheelchair, group 2 very heavy duty, captains chair, patient weight capacity 451 to 600 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,2273.07,323.71727273,253.79545455,245.63272727
1053438465,CHON,STEVEN,K,MD,M,I,9303 PINECROFT DR STE 270,,THE WOODLANDS,TX,773803183,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,22,22,67.991818182,17.32,12.962727273,12.931818182
1053438465,CHON,STEVEN,K,MD,M,I,9303 PINECROFT DR STE 270,,THE WOODLANDS,TX,773803183,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,24,24,330.27208333,76.58,53.335416667,48.910416667
1053438622,RABBANI,KAMRAN,C,M.D.,M,I,5363 BALBOA BLVD,542,ENCINO,CA,91316,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,42,64,69.865,8.32,5.709375,5.709375
1053438622,RABBANI,KAMRAN,C,M.D.,M,I,5363 BALBOA BLVD,542,ENCINO,CA,91316,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,42,45.13,3.9566666667,2.635,3.2604761905
1053438622,RABBANI,KAMRAN,C,M.D.,M,I,5363 BALBOA BLVD,542,ENCINO,CA,91316,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,87.135384615,34.365384615,22.343076923,17.836923077
1053438846,HA,JOHN,K,D.O.,M,I,6 MEDICAL CENTER BLVD,,LUFKIN,TX,759043163,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,55,46.694727273,8.32,6.0474545455,6.0474545455
1053438846,HA,JOHN,K,D.O.,M,I,6 MEDICAL CENTER BLVD,,LUFKIN,TX,759043163,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.96,3.38,2.65,2.65
1053438846,HA,JOHN,K,D.O.,M,I,6 MEDICAL CENTER BLVD,,LUFKIN,TX,759043163,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,25,14.8096,1.42,1.1136,1.1136
1053439372,MISER,JAY,H,PA-C,M,I,6156 PONY EXPRESS TRL,,POLLOCK PINES,CA,957269649,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,43,65.241162791,8.32,6.5211627907,6.5211627907
1053439372,MISER,JAY,H,PA-C,M,I,6156 PONY EXPRESS TRL,,POLLOCK PINES,CA,957269649,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2990,0.3968093645,0.0470535117,0.0368929766,0.0368929766
1053439372,MISER,JAY,H,PA-C,M,I,6156 PONY EXPRESS TRL,,POLLOCK PINES,CA,957269649,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,87,33,25.87,25.87
1053439992,KIM,ANDREA,H,M.D.,F,I,1500 E. MEDICAL CENTER DR.,3RD FLOOR TAUBMAN CENTER RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,13.224,5.5,4.312,4.1878333333
1053439992,KIM,ANDREA,H,M.D.,F,I,1500 E. MEDICAL CENTER DR.,3RD FLOOR TAUBMAN CENTER RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,6480,0.756,0.1628611111,0.127691358,0.2713641975
1053440008,TAGLE,LAURA,K,MD,F,I,2900 FOXFIELD RD,,ST CHARLES,IL,601745799,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,36,86.6175,8.32,5.4563888889,5.4563888889
1053440099,GARD,DWAYNE,T,MD,M,I,4700 WATERS AVE,,SAVANNAH,GA,314046220,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,34.729090909,17.29,13.55,13.53
1053440271,TOMEH,BASSAM,,M.D.,M,I,2536 LAWRENCEVILLE HWY,,DECATUR,GA,300333227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,43,136,49.858823529,8.32,6.17875,6.17875
1053440271,TOMEH,BASSAM,,M.D.,M,I,2536 LAWRENCEVILLE HWY,,DECATUR,GA,300333227,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,35,9.012,1.42,1.0811428571,1.0811428571
1053440933,THIBODEAU,DONNA,M,MD,F,I,2100 N DR MARTIN LUTHER KING JR BLVD,CLOVIS PLAINS REG MED CTR,CLOVIS,NM,881019412,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,624.934375,101.67625,79.71625,55.045
1053441121,BRUNING,KARLA,V,M.D,F,I,300 BYPASS LN,SUITE 200,LIVINGSTON,TX,773518413,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,68,42.522352941,8.32,5.8658823529,5.8658823529
1053441121,BRUNING,KARLA,V,M.D,F,I,300 BYPASS LN,SUITE 200,LIVINGSTON,TX,773518413,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,25,10.9256,1.42,1.024,1.024
1053441121,BRUNING,KARLA,V,M.D,F,I,300 BYPASS LN,SUITE 200,LIVINGSTON,TX,773518413,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,351.4325,42.23125,31.2625,22.64
1053441402,BUGDA,DENISE,J,PA C,F,I,32 W FOOTHILLS DR,,DRUMS,PA,182222407,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,34,49.117647059,8.32,5.0155882353,5.0155882353
1053441402,BUGDA,DENISE,J,PA C,F,I,32 W FOOTHILLS DR,,DRUMS,PA,182222407,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,4449,0.2100269724,0.0462688245,0.0362755675,0.0362755675
1053441402,BUGDA,DENISE,J,PA C,F,I,32 W FOOTHILLS DR,,DRUMS,PA,182222407,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1860,1.9974784946,0.1316451613,0.0856236559,0.0856236559
1053441402,BUGDA,DENISE,J,PA C,F,I,32 W FOOTHILLS DR,,DRUMS,PA,182222407,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,82.5,33,24.735,24.735
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,33,57,86.60754386,8.32,6.0640350877,6.0640350877
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,25,25,16.3712,1.42,1.0304,1.0304
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,50.73,5.8731818182,4.6090909091,3.82
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,51,460.78254902,78.57,56.768627451,52.323333333
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1020,15.58,9.6305882353,7.550372549,7.550372549
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,3208,1.0620885287,0.0464089776,0.0345978803,0.0345978803
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,37,5576,1.5958106169,0.1345695839,0.103956241,0.1039544476
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1230,12.707292683,2.9602195122,2.3208373984,2.3208373984
1053441444,NISBET,VIRGINIA,L,NP-C,F,I,73 QUARTERMASTER CT,,JEFFERSONVILLE,IN,471303623,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,17,75,75,84.48,33,25.525066667,25.525066667
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,32,78,63.008333333,8.32,5.685,5.685
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,13,41.931538462,1.42,1.1184615385,1.1184615385
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,627,26.122647528,12.97738437,10.174401914,10.289314195
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,155,510.39425806,266.85180645,209.21064516,210.3523871
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,24,161,73.333726708,9.3456521739,7.3265838509,7.3265838509
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,162,93.036604938,29.20617284,22.897716049,22.897654321
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,25,4.195625,2.905625,3.21125
1053441881,PORTER,JILL,R,CRNP,F,I,1310 BELMONT AVE,STE 302,SALISBURY,MD,218044506,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225,67.72,51.365,52.995833333
1053442020,NGUYEN,JAMIE,T,MD,F,I,500 TULLY RD,INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951111917,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,47,46.594680851,8.32,5.6880851064,5.6880851064
1053442020,NGUYEN,JAMIE,T,MD,F,I,500 TULLY RD,INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951111917,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,23,12.952608696,1.42,0.9739130435,0.9739130435
1053442020,NGUYEN,JAMIE,T,MD,F,I,500 TULLY RD,INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951111917,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.92,10.586666667,7.4241666667,7.6941666667
1053442020,NGUYEN,JAMIE,T,MD,F,I,500 TULLY RD,INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951111917,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,36.67,10.06,7.0558333333,7.145
1053442020,NGUYEN,JAMIE,T,MD,F,I,500 TULLY RD,INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951111917,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,420.19,210.825,155.0275,155.0275
1053442020,NGUYEN,JAMIE,T,MD,F,I,500 TULLY RD,INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951111917,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,419.58333333,71.06,51.0675,50.3325
1053442020,NGUYEN,JAMIE,T,MD,F,I,500 TULLY RD,INTERNAL MEDICINE CLINIC,SAN JOSE,CA,951111917,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,103.5,36.58,26.280833333,26.9975
1053442558,EVERS,GREGORY,W,D.O.,M,I,4461 STARKEY RD,SUITE 201,ROANOKE,VA,240180620,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,508.3825,70.23,41.295,41.068333333
1053442558,EVERS,GREGORY,W,D.O.,M,I,4461 STARKEY RD,SUITE 201,ROANOKE,VA,240180620,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,73.98,34.582727273,27.110909091,25.214545455
1053442558,EVERS,GREGORY,W,D.O.,M,I,4461 STARKEY RD,SUITE 201,ROANOKE,VA,240180620,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,23.067692308,9.5723076923,7.5069230769,6.9553846154
1053443275,SAMS,MARY,,MD,F,I,875 JOHNSON FY RD NE,SUITE 200,ATLANTA,GA,303421418,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,68,71.311764706,8.32,6.1388235294,6.1388235294
1053444679,SMITH,NICHOLE,M,PA-C,F,I,7200 WYOMING SPGS,SUITE 600,ROUND ROCK,TX,786814303,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9272727273,2.0509090909,2.7090909091
1053445270,WONG,LARA,L,M.D.,F,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,34,88,546,72.278553114,8.3174542125,6.153974359,6.155970696
1053445270,WONG,LARA,L,M.D.,F,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,20,62,11.330483871,1.42,1.1133870968,1.1133870968
1053445403,BETANCOURT,NICOLAS,R,M.D.,M,I,TORRE DE AUXILIO MUTUO 735 PONCE DE LEON,SUITE 207,SAN JUAN,PR,009175024,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,19,110,71.604210526,53.442105263,39.198947368
1053445627,BROOKS-FERNANDEZ,CONNIE,,MD,F,I,530 SANDHURST DR,,FAYETTEVILLE,NC,283044426,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,41,7.3392682927,2.833902439,1.8865853659,1.4765853659
1053445627,BROOKS-FERNANDEZ,CONNIE,,MD,F,I,530 SANDHURST DR,,FAYETTEVILLE,NC,283044426,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,12.420833333,12.4025
1053445627,BROOKS-FERNANDEZ,CONNIE,,MD,F,I,530 SANDHURST DR,,FAYETTEVILLE,NC,283044426,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,469.86823529,44.525882353,32.101176471,23.268823529
1053445627,BROOKS-FERNANDEZ,CONNIE,,MD,F,I,530 SANDHURST DR,,FAYETTEVILLE,NC,283044426,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,712.286,70.23,48.025333333,47.798666667
1053445791,HESSEN,HOSSAM,A,MD,M,I,3599 UNIVERSITY BLVD S,STE 805,JACKSONVILLE,FL,322164252,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,39,62.185641026,8.32,5.8520512821,5.8520512821
1053445791,HESSEN,HOSSAM,A,MD,M,I,3599 UNIVERSITY BLVD S,STE 805,JACKSONVILLE,FL,322164252,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.18,77.18,55.4675,50.6425
1053445866,GRISSETT,TASHA,,PA,F,I,14502 W MEEKER BLVD,,SUN CITY WEST,AZ,853755282,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,71,71,71,1518.2187324,1232.753662,953.09352113,873.11971831
1053445866,GRISSETT,TASHA,,PA,F,I,14502 W MEEKER BLVD,,SUN CITY WEST,AZ,853755282,US,Physician Assistant,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,21,21,26,839.94730769,654.64461538,509.03884615,476.42038462
1053445866,GRISSETT,TASHA,,PA,F,I,14502 W MEEKER BLVD,,SUN CITY WEST,AZ,853755282,US,Physician Assistant,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,11,13,1033.9853846,849.21,657.17923077,669.09076923
1053445866,GRISSETT,TASHA,,PA,F,I,14502 W MEEKER BLVD,,SUN CITY WEST,AZ,853755282,US,Physician Assistant,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,31,32,38,137.50973684,106.56815789,83.552894737,88.847368421
1053445866,GRISSETT,TASHA,,PA,F,I,14502 W MEEKER BLVD,,SUN CITY WEST,AZ,853755282,US,Physician Assistant,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,15,15,22,541.11909091,469.98545455,361.94590909,358.86636364
1053445866,GRISSETT,TASHA,,PA,F,I,14502 W MEEKER BLVD,,SUN CITY WEST,AZ,853755282,US,Physician Assistant,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,23,23,23,909.68521739,765.52130435,593.93565217,562.29217391
1053445973,CHBIHI,TAIBI,,PA-C,M,I,44199 DEQUINDRE,SUITE 400,TROY,MI,48085,US,Physician Assistant,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,28,12.413636364,8.8454545455,6.9609090909
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,39,124,345,64.675826087,8.32,6.105942029,6.105942029
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,32,32,13.89,3.38,2.5671875,2.5671875
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,16.884,2.12,1.5586666667,1.5586666667
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,24,58,88,16.1425,1.42,1.04,1.04
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,3780,8.4580952381,5.2342857143,4.033042328,5.5976904762
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,0.66,0.66,0.5175,1.4075
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,92.94,44.45,34.85,37.398333333
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,78.47,51.960833333,45.736666667
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,36.68,26.354166667,27.129166667
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,3,,11,87,28.568965517,15.26,11.963678161,11.963678161
1053446112,OLANO,ARREL,S,MD,M,I,110 IRVING ST NW # 2A38,,WASHINGTON,DC,200102976,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,44,33,25.87,25.87
1053446252,NEUBAUER,ROBERT,,MD,M,I,950 BOGARD RD STE 233,,WASILLA,AK,996547185,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,50.573928571,5.9232142857,4.5235714286,4.5860714286
1053446252,NEUBAUER,ROBERT,,MD,M,I,950 BOGARD RD STE 233,,WASILLA,AK,996547185,US,Physician/Family Practice,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,155.56,155.56,121.96,119.75
1053446799,BLOSSER,CHRISTOPHER,D,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,36,41.746388889,8.32,6.5225,6.5225
1053446799,BLOSSER,CHRISTOPHER,D,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,30,49,333,39575,2.3259674037,0.3708684776,0.2795757423,0.282320657
1053446799,BLOSSER,CHRISTOPHER,D,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,23,118,17740,0.0680529876,0.0128060879,0.0093996618,0.0093996618
1053446799,BLOSSER,CHRISTOPHER,D,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,780,2.7954102564,0.8754615385,0.6050384615,0.6050384615
1053446799,BLOSSER,CHRISTOPHER,D,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,34,168,17674,4.28264626,2.8299485119,2.1612159104,2.1740783071
1053446799,BLOSSER,CHRISTOPHER,D,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,29,51,236,236,24,24,18.261779661,18.261779661
1053446799,BLOSSER,CHRISTOPHER,D,M.D.,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,28,48,358,456,16,16,12.071513158,12.071513158
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,98.426153846,38.797692308,26.003076923,26.953846154
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,24,44,44,304.82636364,102.17363636,75.137954545,67.878181818
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,19,42,100,123.2616,37.6961,29.2556,26.2434
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,24,51,244,67.482090164,21.581598361,15.698770492,13.494303279
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,16,35,172,44.684883721,16.509127907,11.925116279,10.986046512
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,44,85,85,202.42505882,62.418117647,46.915058824,41.830117647
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,53,70,70,64.011857143,21.117142857,16.146857143,14.546714286
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,34.381538462,10.896923077,8.5476923077,8.6546153846
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,57,111,111,66.555945946,15.057657658,11.467027027,9.5340540541
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,63,130,655,9.8318473282,2.3342290076,1.767648855,1.5886870229
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,30,39,39,24.26974359,6.7617948718,5.0505128205,4.5117948718
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,36,47,47,38.239574468,13.933404255,10.486382979,10.018297872
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1001.46,773.19333333,830.30416667
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,18,20,751.2905,115.7455,90.746,73.739
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,18,1305.1261111,295.09055556,223.38166667,206.14944444
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,21,87,108,67.30037037,17.120092593,13.313703704,10.705925926
1053447250,VANOWEN,KENNETH,R,M.D.,M,I,8550 MARSHALL DR STE 100,,LENEXA,KS,662149836,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,26,111,131,248.18832061,48.518854962,37.469007634,27.915572519
1053447581,OSTROV,JULIA,I,M.D.,F,I,209 HARVARD ST,SUITE 301,BROOKLINE,MA,024465071,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,33,61,49.58295082,8.32,5.6659016393,5.6659016393
1053447581,OSTROV,JULIA,I,M.D.,F,I,209 HARVARD ST,SUITE 301,BROOKLINE,MA,024465071,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,21,41.35952381,1.42,0.959047619,0.959047619
1053447581,OSTROV,JULIA,I,M.D.,F,I,209 HARVARD ST,SUITE 301,BROOKLINE,MA,024465071,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,52,81.836923077,71.56,54.850384615,54.850384615
1053447581,OSTROV,JULIA,I,M.D.,F,I,209 HARVARD ST,SUITE 301,BROOKLINE,MA,024465071,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,156,35.736153846,29.19,22.365448718,22.366923077
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.54,5.54,4.34,4.34
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.27,2.27,1.7797142857,1.7797142857
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,10.34,10.34,8.105,8.5231818182
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,804,7.5791044776,7.37,5.5731343284,5.5731343284
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,402,3.9183333333,3.81,2.9870895522,2.9870895522
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,22,22,147.30454545,44.904545455,27.953636364,28.552272727
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,36.88,17.005263158,12.681052632,12.756315789
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,225.39285714,77.218571429,60.542142857,54.551785714
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.89,15.75,9.2808333333,10.059166667
1053448431,REDDY,VIVEK,K,MD,M,I,111 CONTINENTAL DR,SUITE 406,NEWARK,DE,197134306,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,20.57,7.41,5.3630769231,5.7192307692
1053448498,KADZIELSKI,JOHN,J,MD,M,I,2 POND PARK RD,SUITE 102,HINGHAM,MA,020434347,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,64,64,66,720.74,362.16212121,283.80893939,256.93469697
1053448498,KADZIELSKI,JOHN,J,MD,M,I,2 POND PARK RD,SUITE 102,HINGHAM,MA,020434347,US,Physician/Orthopedic Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,81,82,83,823.93421687,414.56831325,322.23433735,303.64542169
1053448498,KADZIELSKI,JOHN,J,MD,M,I,2 POND PARK RD,SUITE 102,HINGHAM,MA,020434347,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,41,42,46,445.95043478,229.81630435,176.75630435,182.68217391
1053448498,KADZIELSKI,JOHN,J,MD,M,I,2 POND PARK RD,SUITE 102,HINGHAM,MA,020434347,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,22,22,360.95727273,183.93,142.98818182,145.43863636
1053449421,SAINI,AMARJIT,,M.D.,F,I,956 AMBOY AVE,,EDISON,NJ,088372810,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,24,24,134.38,50.694583333,36.9475,37.852083333
1053449421,SAINI,AMARJIT,,M.D.,F,I,956 AMBOY AVE,,EDISON,NJ,088372810,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,72.506,16.628666667,11.908,13.530333333
1053449421,SAINI,AMARJIT,,M.D.,F,I,956 AMBOY AVE,,EDISON,NJ,088372810,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,20.57,7.5911111111,5.5833333333,6.415
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,47,124,52.894032258,8.32,6.1014516129,6.1014516129
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,13.359047619,3.38,2.3976190476,2.3976190476
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,18.990909091,2.12,1.5181818182,1.5181818182
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,22,41,15.55804878,1.42,1.0590243902,1.0590243902
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,156.70272727,55.374545455,41.818181818,41.357272727
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,96,6.68,2.041875,1.6013541667,1.5923958333
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,47.124615385,16.778461538,10.518461538,10.972307692
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,25.349130435,5.9665217391,4.6765217391,3.5047826087
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,143.07692308,33.148846154,24.755769231,24.625384615
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,61,61,220,75.149836066,56.192786885,52.483770492
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,220,39.51,30.98,29.608
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,3555,0.4653783404,0.045533052,0.0357018284,0.0357018284
1053449694,WRIGHT,KRISTEN,N,M.D.,F,I,3 MEDICAL PARK DR,SUITE 100,BENTON,AR,720153728,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,78.375,33,25.87,25.87
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,28,60,69.774,8.32,6.303,6.303
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,134.28615385,38.5,25.536923077,25.857692308
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,453.56526316,85.31,59.848947368,60.632105263
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,37,200.77783784,32.22,22.529189189,23.134054054
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,12,36,184,97.313423913,18.392282609,13.277663043,13.413423913
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,16,36,36,275.64805556,53.542777778,37.7025,38.572777778
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,30,30,86.666666667,17.558,12.852666667,13.116
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,38,38,90.757105263,12.053157895,8.9397368421,8.6428947368
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,26,59,326,11.236196319,2.0439877301,1.4954907975,1.484601227
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,29.028181818,5.9527272727,3.3936363636,3.3818181818
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,17,21,21,58.489047619,12.368571429,8.7828571429,9.3847619048
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,18,102.64777778,17,11.848888889,12.064444444
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,75.244545455,12.12,5.1681818182,5.1945454545
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,51,51,694.65411765,32.479803922,20.251960784,20.597843137
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,85,88,639.38602273,76.59,56.493636364,51.545568182
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,25,229.2,40,30.1056,28.3296
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3860,0.1946580311,0.0464766839,0.0364378238,0.0364378238
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,17,191.2,40,29.515294118,27.991764706
1053449991,LEHRMAN,GARY,R,M.D.,M,I,362 N BROADWAY,,SLEEPY HOLLOW,NY,10591,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,116.76923077,33,25.87,25.87
1053450080,FRASER,BONNIE,J,MD,F,I,3150 N TENAYA WAY,STE 550,LAS VEGAS,NV,891280490,US,Physician/Preventive Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,29,34,3460,0.5451098266,0.44,0.3449768786,0.3449768786
1053450080,FRASER,BONNIE,J,MD,F,I,3150 N TENAYA WAY,STE 550,LAS VEGAS,NV,891280490,US,Physician/Preventive Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,17,547,2.8876234004,2.4,1.8816087751,1.8816087751
1053450080,FRASER,BONNIE,J,MD,F,I,3150 N TENAYA WAY,STE 550,LAS VEGAS,NV,891280490,US,Physician/Preventive Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,30,36,5694,0.1598735511,0.13,0.1019195645,0.1019195645
1053450080,FRASER,BONNIE,J,MD,F,I,3150 N TENAYA WAY,STE 550,LAS VEGAS,NV,891280490,US,Physician/Preventive Medicine,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,14,100,1.56,1.28,1.0032,1.0032
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,52.056,14.94,11.713,11.856333333
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,173.09555556,55,43.12,42.903333333
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,59.689090909,17,13.33,13.927272727
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,14,14,72.887142857,11.37,8.92,9.1
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,122,8.8340983607,2,1.5683606557,1.5882786885
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1710,3.3918538012,2.8,2.1952222222,2.1952222222
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,24,709,105.86403385,3.0231734838,2.2673201693,2.2650634697
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,34,18302,2.5573827997,0.299070047,0.2306152333,0.2389509343
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,86.614615385,42.613076923,33.407692308,33.407692308
1053450304,HALES,NATHAN,W,M.D.,M,I,4775 HAMILTON WOLFE RD STE 1,,SAN ANTONIO,TX,782293456,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,119.23076923,30,21.603846154,21.473846154
1053450403,SCHWARTZ,LAWRENCE,P,M.D.,M,I,55 E 34TH ST,,NEW YORK,NY,100164337,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,72,81.675138889,8.32,4.8922222222,4.8922222222
1053450403,SCHWARTZ,LAWRENCE,P,M.D.,M,I,55 E 34TH ST,,NEW YORK,NY,100164337,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,294.72571429,77.414285714,50.444285714,46.216428571
1053450445,MILLER,BRETT,A,M.D.,M,I,1 AUDUBON PLAZA DR,,LOUISVILLE,KY,402171318,US,Physician/Emergency Medicine,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,119.72,91.27,71.56,79.51
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,24,66,72.053484848,8.32,6.1266666667,6.1266666667
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,1918,7.0114702815,2.9585922836,2.319535975,2.319535975
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,22,5.35,4.2054545455,3.3004545455,3.3004545455
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,69,12.310869565,8.2373913043,6.4579710145,6.4330434783
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,28,7.4642857143,4.3064285714,3.3771428571,3.3771428571
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,7,2.3275,1.8183333333,1.8183333333
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,472,8.7665254237,3.8074576271,2.9850211864,2.9850211864
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,26,770,42.166233766,5.79,4.5393506494,4.1923896104
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,5869,2.0072738116,0.3948883967,0.3095927756,0.2902351338
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7560,5,0.68,0.5331269841,0.5187513228
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,32,32,158.74,53.946875,36.789375,33.7153125
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,23,3449.3426087,1074.31,842.26,842.26
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,31.236666667,12.139166667,9.5183333333,9.3175
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,31,39.506451613,10.619032258,8.3264516129,8.3648387097
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,E1029,"Wheelchair accessory, ventilator tray, fixed",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,72.547272727,29.114545455,22.820909091,22.820909091
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,457.92166667,227.4675,166.37416667,166.37416667
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,323.68333333,83.539583333,62.583333333,53.136041667
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,3189,0.3237880213,0.0457039824,0.0358356852,0.0358356852
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,600,8.47165,3.0715,2.4081,2.4081
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,33.978181818,18.264545455,17.386363636
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,112.78,34.896153846,27.354615385,22.006153846
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,26.72516129,9.6322580645,6.74,6.1635483871
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,61.96,39.707647059,29.429117647,28.010294118
1053450494,ZACHARIA,ANCY,,NP,F,I,1800 N MAIN ST,SECOND FLOOR,WHEATON,IL,601873112,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,19,19,38.210526316,33,25.87,25.87
1053450510,WRIGHT,CURTIS,M,PA-C,M,I,616 EDGEFIELD RD STE 180,,NORTH AUGUSTA,SC,298416407,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,53.265625,33,23.110625,23.110625
1053450627,TABIBI,REZA,,MD,M,I,11521 NE 128TH ST STE 100,,KIRKLAND,WA,980344317,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,30,75,193,59.307564767,8.32,6.3195854922,6.3195854922
1053450627,TABIBI,REZA,,MD,M,I,11521 NE 128TH ST STE 100,,KIRKLAND,WA,980344317,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,19,33,51,14.123137255,1.42,1.0494117647,1.0494117647
1053450627,TABIBI,REZA,,MD,M,I,11521 NE 128TH ST STE 100,,KIRKLAND,WA,980344317,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,55.54,3.76,2.5414285714,3.1164285714
1053450627,TABIBI,REZA,,MD,M,I,11521 NE 128TH ST STE 100,,KIRKLAND,WA,980344317,US,Physician/Geriatric Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,29,35.187241379,10.273793103,8.055862069,8.1444827586
1053450627,TABIBI,REZA,,MD,M,I,11521 NE 128TH ST STE 100,,KIRKLAND,WA,980344317,US,Physician/Geriatric Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,428.770625,136.28875,101.2275,96.06375
1053450767,RAJ,KAVITHA,P,MD,F,I,5725 W LAS POSITAS BLVD,SUITE 100,PLEASANTON,CA,945884054,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,50,56.4798,47.07,35.4276,30.0156
1053450783,CHAMBERS,RONALD,G,M.D.,M,I,7601 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235408,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,43,60.825116279,8.32,5.9155813953,5.9155813953
1053450783,CHAMBERS,RONALD,G,M.D.,M,I,7601 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235408,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,132.67166667,44.3,31.835833333,32.04
1053450783,CHAMBERS,RONALD,G,M.D.,M,I,7601 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235408,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,134.17714286,16.98,12.042380952,12.268095238
1053450783,CHAMBERS,RONALD,G,M.D.,M,I,7601 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235408,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,160.16,16.98,13.31,13.53
1053450783,CHAMBERS,RONALD,G,M.D.,M,I,7601 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235408,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,804.16,71.74,56.24,54.73
1053450783,CHAMBERS,RONALD,G,M.D.,M,I,7601 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235408,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,617.34941176,71.74,52.931764706,51.510588235
1053451328,KAVEH,KIAN,,D.O.,M,I,3650 GEER RD,STE A,TURLOCK,CA,953821148,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,42,51.512142857,8.32,6.21,6.21
1053451328,KAVEH,KIAN,,D.O.,M,I,3650 GEER RD,STE A,TURLOCK,CA,953821148,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,43.73,31.423333333,32.393333333
1053451328,KAVEH,KIAN,,D.O.,M,I,3650 GEER RD,STE A,TURLOCK,CA,953821148,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,60,17.09,11.387,11.523
1053451328,KAVEH,KIAN,,D.O.,M,I,3650 GEER RD,STE A,TURLOCK,CA,953821148,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,12,76,76,28.947368421,3.91,2.8688157895,3.3242105263
1053451328,KAVEH,KIAN,,D.O.,M,I,3650 GEER RD,STE A,TURLOCK,CA,953821148,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,330,66.705,45.85875,48.3925
1053451328,KAVEH,KIAN,,D.O.,M,I,3650 GEER RD,STE A,TURLOCK,CA,953821148,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,65,16.4,9.4764285714,9.9221428571
1053451567,RASKIN,KEITH,B,MD,M,I,317 EAST 34TH STREET,3RD FLOOR,NEW YORK,NY,10016,US,Physician/Orthopedic Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,18,19,863.15789474,337.68315789,249.02526316,235.22263158
1053451567,RASKIN,KEITH,B,MD,M,I,317 EAST 34TH STREET,3RD FLOOR,NEW YORK,NY,10016,US,Physician/Orthopedic Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,15,650,233.5,177.99133333,181.10066667
1053451567,RASKIN,KEITH,B,MD,M,I,317 EAST 34TH STREET,3RD FLOOR,NEW YORK,NY,10016,US,Physician/Orthopedic Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,25,31,491.93548387,183.93,130.09903226,132.55258065
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,69,196,413,58.130242131,8.32,5.6582808717,5.6582808717
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,14,34,34,13.944117647,3.38,2.4941176471,2.4941176471
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,15,17,17,21.249411765,2.12,1.4735294118,1.4735294118
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,29,73,88,14.063181818,1.42,0.9522727273,0.9522727273
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,123.351875,48.3275,37.89,30.49
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.82,2.1133333333,1.5508333333,1.0541666667
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,65,49.582,25.116769231,19.691076923,15.100461538
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,11,60,68.772333333,19.575833333,15.347833333,11.8935
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,11,22,22,223.39136364,73.73,55.662272727,42.075909091
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,17,17,64.410588235,24.201176471,18.969411765,14.06
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,28,168,8.8589285714,2.9478571429,2.3113095238,1.6417261905
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,84.54037037,23.626666667,18.391851852,14.06962963
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,715.92,842.26
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,41,46,109.89282609,7.1730434783,5.1217391304,3.0608695652
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,161.8669697,45.134848485,35.387272727,29.204848485
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,121,124,471.07830645,99.373709677,74.460080645,55.491935484
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,5644,0.219332034,0.0463501063,0.0324202693,0.0324202693
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,29,2940,0.92,0.1335204082,0.1019081633,0.1019081633
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,12.86,3.0444285714,2.3003690476,2.3003690476
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.45,44.745,35.0825,29.515833333
1053451625,DAHNKE,DAVID,,,M,I,2450 SISTER MARY COLUMBA DR,,RED BLUFF,CA,960804356,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,59,59,119.23728814,33,25.068474576,25.068474576
1053451955,NAMKUNG,YUN,,MD,M,I,901 ADAMS BLVD,,BOULDER CITY,NV,890052213,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.1908333333,5.6358333333,4.4441666667
1053451955,NAMKUNG,YUN,,MD,M,I,901 ADAMS BLVD,,BOULDER CITY,NV,890052213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,117.98153846,87.904615385,50.52
1053451955,NAMKUNG,YUN,,MD,M,I,901 ADAMS BLVD,,BOULDER CITY,NV,890052213,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,15.58,9.7474117647,7.5013039216,7.5013039216
1053451955,NAMKUNG,YUN,,MD,M,I,901 ADAMS BLVD,,BOULDER CITY,NV,890052213,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1020,12.86,2.854,2.2375588235,2.2375588235
1053451955,NAMKUNG,YUN,,MD,M,I,901 ADAMS BLVD,,BOULDER CITY,NV,890052213,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,132,33,25.87,25.87
1053452425,TREKELL,MELISSA,E,"M.D.,FACS,M.B.A.",F,I,1111 E. LAMAR ALEXANDER PARKWAY,,MARYVILLE,TN,378045130,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,25,59,47.786440678,42.52,29.381355932,27.148474576
1053452649,TURNER,JUDITH,A,NP,F,I,920 2ND AVE S,SUITE 400,MINNEAPOLIS,MN,554023318,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,16,20,234,12.718974359,10.93,8.5691452991,8.5691452991
1053452839,WARDEN,MARTI,L,APN,F,I,201 S. ELM STREET,,GAINESVILLE,MO,656550000,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,35.059090909,9.8159090909,7.6954545455,4.7390909091
1053453001,LINDHOUT,KATHLEEN,A,PA-C,F,I,730 GRANDVILLE AVE,,GRAND RAPIDS,MI,49503,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,45.463333333,35.645,37.195
1053453142,BORST,ELLEN,E,D.O.,F,I,550 N HILLSIDE ST,,WICHITA,KS,672144910,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,29.97,22.4775,17.620833333,14.031666667
1053453142,BORST,ELLEN,E,D.O.,F,I,550 N HILLSIDE ST,,WICHITA,KS,672144910,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,3376.92,1034.36,805.98875,837.30875
1053453142,BORST,ELLEN,E,D.O.,F,I,550 N HILLSIDE ST,,WICHITA,KS,672144910,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,102.61833333,80.455,58.105
1053453795,EZUTEH,DONALD,O,M.D.,M,I,300 STEAM PLANT RD.,STE 300,GALLATIN,TN,37066,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,37,71,74.751549296,8.32,5.9723943662,5.9723943662
1053453795,EZUTEH,DONALD,O,M.D.,M,I,300 STEAM PLANT RD.,STE 300,GALLATIN,TN,37066,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1561.02,1074.31,842.26,842.26
1053453795,EZUTEH,DONALD,O,M.D.,M,I,300 STEAM PLANT RD.,STE 300,GALLATIN,TN,37066,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,25,7.7428571429,6.0638095238,3.5933333333
1053453795,EZUTEH,DONALD,O,M.D.,M,I,300 STEAM PLANT RD.,STE 300,GALLATIN,TN,37066,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,15.58,9.6790588235,7.5883823529,7.5883823529
1053453795,EZUTEH,DONALD,O,M.D.,M,I,300 STEAM PLANT RD.,STE 300,GALLATIN,TN,37066,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1810,0.3203922652,0.0447348066,0.0350773481,0.0350773481
1053453795,EZUTEH,DONALD,O,M.D.,M,I,300 STEAM PLANT RD.,STE 300,GALLATIN,TN,37066,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,36,36,77.090277778,33,25.151388889,25.151388889
1053454389,THACKER,SHERYL,V,MD,F,I,619 RANKIN ST NE,,ATLANTA,GA,303082920,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,46,87,59.044942529,8.32,6.1473563218,6.1473563218
1053455444,CLARK,CLANCY,J,MD,M,I,MEDICAL CENTER BLVD,,WINSTON SALEM,NC,271570001,US,Physician/General Surgery,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,30,5.6,4.39,4.0233333333
1053456509,SCHANZER,BARRY,M,M.D.,M,I,1812 OAK TREE RD,,EDISON,NJ,088202704,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,101.01176471,60.62,45.239411765,50.209411765
1053456509,SCHANZER,BARRY,M,M.D.,M,I,1812 OAK TREE RD,,EDISON,NJ,088202704,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,18,66.797777778,65.697222222,45.699444444,38.717222222
1053456855,NATH,CHITHRANJAN,,MD,M,I,6 LAFAYETTE CT,,FISHKILL,NY,125243036,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,15,192,69.175104167,19.606666667,15.371458333,15.371458333
1053456855,NATH,CHITHRANJAN,,MD,M,I,6 LAFAYETTE CT,,FISHKILL,NY,125243036,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,490,8.6027142857,2.6326530612,2.0639387755,2.0639387755
1053456855,NATH,CHITHRANJAN,,MD,M,I,6 LAFAYETTE CT,,FISHKILL,NY,125243036,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,75,207,822,49.278880779,8.32,6.2845985401,6.2845985401
1053456855,NATH,CHITHRANJAN,,MD,M,I,6 LAFAYETTE CT,,FISHKILL,NY,125243036,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,26,50,50,10.282,3.38,2.65,2.65
1053456855,NATH,CHITHRANJAN,,MD,M,I,6 LAFAYETTE CT,,FISHKILL,NY,125243036,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,9,26,28,28,12.364642857,2.12,1.67,1.67
1053456855,NATH,CHITHRANJAN,,MD,M,I,6 LAFAYETTE CT,,FISHKILL,NY,125243036,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,48,107,220,11.532545455,1.42,1.0786363636,1.0786363636
1053456855,NATH,CHITHRANJAN,,MD,M,I,6 LAFAYETTE CT,,FISHKILL,NY,125243036,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,11,11,11,51.502727273,45.398181818,34.337272727,51.055454545
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,45,105,62.843333333,8.32,6.025047619,6.025047619
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,28,31.659285714,1.42,1.1167857143,1.1167857143
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,134.099,16.98,11.3135,11.5425
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,54.53,3.3153846154,2.4092307692,3.4638461538
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,537.63083333,72.06,49.4375,47.88875
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,37.75,29.595,29.538333333
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2657,0.5599548363,0.0473503952,0.0303613097,0.0303613097
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1500,1.4504266667,0.13026,0.0876066667,0.0876066667
1053456970,CAREY,TONY,A,D.O.,M,I,422 CENTER ST,,TAFT,CA,932683511,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,24,61.875,33,21.558333333,21.558333333
1053457085,MCMILLAN,LYNN,M,NP-BC,F,I,1225 FORT UNION BLVD,SUITE 200,MIDVALE,UT,840471889,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,52,5220,4.4425268199,0.5552931034,0.4171666667,0.417164751
1053457085,MCMILLAN,LYNN,M,NP-BC,F,I,1225 FORT UNION BLVD,SUITE 200,MIDVALE,UT,840471889,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,32,24,24,18.82,18.82
1053457085,MCMILLAN,LYNN,M,NP-BC,F,I,1225 FORT UNION BLVD,SUITE 200,MIDVALE,UT,840471889,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,34,36,16,16,12.191666667,12.191666667
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,34,73,73.159315068,8.32,6.1645205479,6.1645205479
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,41,100,100,110.906,38.9668,29.1376,29.08
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,606,12.3,6.26,4.9078217822,5.7779867987
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,46,16.7,8.1,6.35,6.4295652174
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,25,42,8.8680952381,1.3823809524,1.055952381,1.115
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,69,185,185,339.40281081,79.547837838,59.866540541,64.737621622
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,70,188,541,125.96528651,31.676672828,24.16323475,25.102735675
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,63,161,919,96.520217628,18.007377584,13.750369967,14.1504679
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,31,59,321,54.427850467,15.248224299,11.955109034,11.898598131
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,89,222,222,191.40328829,51.429414414,39.109774775,41.432072072
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,146,226,226,75.31,16.967433628,12.968938053,13.668097345
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,58,75,75,29.866666667,11.016,8.5281333333,8.1246666667
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,114,319,319,81.422319749,10.790940439,8.3443573668,8.9403448276
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,150,404,2350,9.1144680851,2.008387234,1.5499446809,1.5651702128
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,112,169,169,23.808402367,5.7672189349,4.4508284024,4.5703550296
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,45,59,59,45.625084746,12.676271186,9.2677966102,9.6606779661
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,92,92,86.31,16.995108696,12.460217391,12.662391304
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,24,2975,913.16,714.46458333,840.80458333
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,3775.52,942.01714286,730.16142857,827.86190476
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,17,98,98,408.17346939,82.72377551,60.270714286,61.448367347
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,808.25,193.136,141.7805,149.5545
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,897.41,703.57,703.57
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0486,"Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,5309.0909091,1384.81,1085.69,1085.69
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,40,40,40,538.6025,129.359,101.41,104.14075
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,38,40,54.758,3.343,2.501,3.551
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,56,302,306,225.17300654,29.565,21.48369281,23.21369281
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,113.25,43.615454545,21.149090909,23.628181818
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,72,479,479,351.80325678,71.281983299,53.885615866,52.86308977
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,54,342,342,108.42520468,36.049707602,27.744356725,28.846812865
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,16.039541667,9.61225,7.5359861111,7.5359861111
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,31,7068,0.2582838144,0.0465548953,0.0357173175,0.0357159027
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,32,2706,1.333248337,0.1342165558,0.1042128603,0.1042128603
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,38,2040,12.502352941,3.1431323529,2.395872549,2.395872549
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,221.01818182,36.363636364,28.507272727,29.51
1053457127,MEHDIAN,RAMIN,,M.D.,M,I,1000 NEWBURY RD,SUITE 275,NEWBURY PARK,CA,913206435,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,20,75,75,99,33,25.525066667,25.525066667
1053457937,KUHN,NICHOLAS,A,MD,M,I,2400 SW VERMONT ST,,PORTLAND,OR,972191940,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,60,69.917,8.32,6.089,6.089
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,25,70,72.453714286,8.32,6.4285714286,6.4285714286
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,11,16,12.2,1.42,1.116875,1.116875
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,18,18,142.93,39.376666667,30.873333333,30.49
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,368.62777778,90.337777778,70.821111111,67.855555556
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,36,157.80416667,34.443888889,27.005,25.925555556
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,70,62.885142857,19.863428571,15.572857143,14.551571429
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,16,84,69.639761905,15.2,10.497619048,10.477857143
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,18,30,31,222.56322581,57.342580645,41.960645161,39.922580645
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,25,29,29,74.797241379,18.469655172,13.017586207,12.605517241
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,34,34,71.018529412,12.971470588,9.3367647059,8.3341176471
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,25,44,247,8.3991093117,2.1459109312,1.5262348178,1.4374089069
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,19.444545455,5.95,3.9109090909,3.9009090909
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,66.884,13.068,10.094666667,10.168666667
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,26,27,45.05962963,17.52,13.231111111,13.045925926
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.52,13.74,13.54
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,240,78.49,61.53,54.73
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,62,63,297.34333333,34.062222222,25.817460317,24.015079365
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,22,199,204,362.78813725,79.865196078,59.499705882,52.336127451
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,57,218.94736842,39.181578947,29.575087719,28.426842105
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.338,8.8890384615,8.8890384615
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9101538462,2.2815769231,2.2815769231
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,50,189.1736,40.5168,31.1102,29.0272
1053458349,SCHULTZ,ALAN,,DO,M,I,2115 STUART AVE,,ALAMOSA,CO,811012269,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,113.4375,33,24.253125,24.253125
1053458976,POWELL,LESLIE,T,P.A.,F,I,441-G PINEY FOREST ROAD,,DANVILLE,VA,245404154,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,33,115,50.731391304,8.32,5.9557391304,5.9557391304
1053458976,POWELL,LESLIE,T,P.A.,F,I,441-G PINEY FOREST ROAD,,DANVILLE,VA,245404154,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,15.9375,3.38,2.65,2.65
1053458976,POWELL,LESLIE,T,P.A.,F,I,441-G PINEY FOREST ROAD,,DANVILLE,VA,245404154,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,17,32,16.875,1.42,1.114375,1.114375
1053458976,POWELL,LESLIE,T,P.A.,F,I,441-G PINEY FOREST ROAD,,DANVILLE,VA,245404154,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,58.966923077,22.212307692,16.265384615,15.374615385
1053459487,BARBERA,PAUL,T,M.D.,M,I,703 S CLINTON ST,,BALTIMORE,MD,212244026,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,39,115,62.573478261,8.32,5.7066086957,5.7066086957
1053459487,BARBERA,PAUL,T,M.D.,M,I,703 S CLINTON ST,,BALTIMORE,MD,212244026,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,11.874285714,3.38,2.65,2.65
1053459487,BARBERA,PAUL,T,M.D.,M,I,703 S CLINTON ST,,BALTIMORE,MD,212244026,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,28,42,13.069285714,1.42,1.0092857143,1.0092857143
1053459487,BARBERA,PAUL,T,M.D.,M,I,703 S CLINTON ST,,BALTIMORE,MD,212244026,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,47.421818182,37.178181818,38.336363636
1053459487,BARBERA,PAUL,T,M.D.,M,I,703 S CLINTON ST,,BALTIMORE,MD,212244026,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,36.88,17.46,12.862777778,12.729444444
1053459487,BARBERA,PAUL,T,M.D.,M,I,703 S CLINTON ST,,BALTIMORE,MD,212244026,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,281.14285714,82,57.243333333,49.049285714
1053459487,BARBERA,PAUL,T,M.D.,M,I,703 S CLINTON ST,,BALTIMORE,MD,212244026,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,203.1,41.6,32.61,29.768333333
1053459578,ELLO,MARIA ALELI,T,M.D.,F,I,4309 W. 27TH AVE.,SUITE 301,KENNEWICK,WA,993360128,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,22,45,114,69.564122807,8.32,6.4074561404,6.4074561404
1053459578,ELLO,MARIA ALELI,T,M.D.,F,I,4309 W. 27TH AVE.,SUITE 301,KENNEWICK,WA,993360128,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,11,13.375454545,1.42,1.0181818182,1.0181818182
1053459644,NGUYEN,VINCENT,T,MD,M,I,17520 OLD JEFFERSON HWY,STE B,PRAIRIEVILLE,LA,707693929,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,33,42.150606061,8.32,6.5227272727,6.5227272727
1053459644,NGUYEN,VINCENT,T,MD,M,I,17520 OLD JEFFERSON HWY,STE B,PRAIRIEVILLE,LA,707693929,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,137.70666667,18.6875,5.6333333333,5.4933333333
1053459750,RAMIREZ,RAUL,,M.D.,M,I,4100 EVERETT DR STE 400,,KYLE,TX,786406147,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,29,67,184,56.747934783,8.3141304348,6.0235869565,6.0264673913
1053459750,RAMIREZ,RAUL,,M.D.,M,I,4100 EVERETT DR STE 400,,KYLE,TX,786406147,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.4733333333,2.4733333333
1053459750,RAMIREZ,RAUL,,M.D.,M,I,4100 EVERETT DR STE 400,,KYLE,TX,786406147,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,28,42,13.811666667,1.42,1.01,1.01
1053459750,RAMIREZ,RAUL,,M.D.,M,I,4100 EVERETT DR STE 400,,KYLE,TX,786406147,US,Physician/Internal Medicine,S,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,19.33,19.33,13.959416667,13.959416667
1053459750,RAMIREZ,RAUL,,M.D.,M,I,4100 EVERETT DR STE 400,,KYLE,TX,786406147,US,Physician/Internal Medicine,S,A5122,"Skin barrier; solid, 8 x 8 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,12.29,12.29,9.635,11.337
1053460063,KAUR,SUNEET,,MD,F,I,1350 S KINGS DR,,CHARLOTTE,NC,282072134,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,28,81,73.832962963,8.32,5.6188888889,5.6188888889
1053460063,KAUR,SUNEET,,MD,F,I,1350 S KINGS DR,,CHARLOTTE,NC,282072134,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,39.56,17.15,12.329166667,12.421666667
1053460063,KAUR,SUNEET,,MD,F,I,1350 S KINGS DR,,CHARLOTTE,NC,282072134,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,17,49.863529412,5.7588235294,4.2658823529,3.4470588235
1053460063,KAUR,SUNEET,,MD,F,I,1350 S KINGS DR,,CHARLOTTE,NC,282072134,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,235.28,79,56.778333333,50.169166667
1053460063,KAUR,SUNEET,,MD,F,I,1350 S KINGS DR,,CHARLOTTE,NC,282072134,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1260,1.0323730159,0.1387142857,0.1001111111,0.1001111111
1053460063,KAUR,SUNEET,,MD,F,I,1350 S KINGS DR,,CHARLOTTE,NC,282072134,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,107.25,33,24.5765,24.5765
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,276.23444444,98.439444444,77.178333333,67.842222222
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,35,118.60971429,36.018857143,28.238857143,25.919142857
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,39,42.051282051,24.705897436,19.368717949,15.807435897
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,19,19,231.66684211,64.681052632,50.038947368,43.539473684
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,18,23,23,62.882608696,21.17826087,16.601304348,14.393913043
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,14,24,24,51.990833333,15.468333333,11.78,8.7841666667
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,21,43,195,7.9299487179,2.5814871795,1.9733846154,1.5962051282
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,13,17,17,21.526470588,7.55,5.92,4.8264705882
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,12,16,16,35.24125,14.07,11.02875,10.51125
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,55.253333333,4.4891666667,2.98,2.8741666667
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,36,40,114.47825,45.89975,34.808,27.79525
1053460923,AHMED,MOHAMMED,N,M.D.,M,I,8121 NATIONAL AVE STE 300,,MIDWEST CITY,OK,73110,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,52,54,433.48074074,85.480740741,60.317037037,50.905925926
1053461152,COHEN,LANCE,M,,M,I,1330 S FORT HARRISON AVE,,CLEARWATER,FL,337563313,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,20,23,105.91304348,38.476956522,30.165217391,30.499130435
1053461152,COHEN,LANCE,M,,M,I,1330 S FORT HARRISON AVE,,CLEARWATER,FL,337563313,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,16,21,26,165.63076923,54.543846154,42.765384615,42.849615385
1053461152,COHEN,LANCE,M,,M,I,1330 S FORT HARRISON AVE,,CLEARWATER,FL,337563313,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,24,24,65.090833333,17.324166667,13.57875,14.039166667
1053461152,COHEN,LANCE,M,,M,I,1330 S FORT HARRISON AVE,,CLEARWATER,FL,337563313,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,18,25,83,6.4198795181,2.0004819277,1.5697590361,1.5904819277
1053461152,COHEN,LANCE,M,,M,I,1330 S FORT HARRISON AVE,,CLEARWATER,FL,337563313,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,248.44909091,83.804545455,65.703636364,67.093636364
1053461152,COHEN,LANCE,M,,M,I,1330 S FORT HARRISON AVE,,CLEARWATER,FL,337563313,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,52,55,34.801272727,12.424363636,9.1774545455,9.34
1053461152,COHEN,LANCE,M,,M,I,1330 S FORT HARRISON AVE,,CLEARWATER,FL,337563313,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,58,62,121.50774194,33.275806452,24.800322581,24.304516129
1053461590,STEPHAN,NAMIR,Y,M.D.,M,I,75 BARCLAY CIR,SUITE 230,ROCHESTER HILLS,MI,483075820,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,70,44.642,8.32,5.5904285714,5.5904285714
1053461590,STEPHAN,NAMIR,Y,M.D.,M,I,75 BARCLAY CIR,SUITE 230,ROCHESTER HILLS,MI,483075820,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,25,12,1.42,0.9816,0.9816
1053461590,STEPHAN,NAMIR,Y,M.D.,M,I,75 BARCLAY CIR,SUITE 230,ROCHESTER HILLS,MI,483075820,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,4.95,3.88,4.5636363636
1053461590,STEPHAN,NAMIR,Y,M.D.,M,I,75 BARCLAY CIR,SUITE 230,ROCHESTER HILLS,MI,483075820,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,310,79.88,62.62,55.597777778
1053461590,STEPHAN,NAMIR,Y,M.D.,M,I,75 BARCLAY CIR,SUITE 230,ROCHESTER HILLS,MI,483075820,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,72.95,18.484166667,14.486666667,14.880833333
1053461715,LACY,JOHN,H,M.D.,M,I,130 DANIEL DR,,DANVILLE,KY,404222527,US,Physician/General Surgery,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,18.326666667,2.73,1.9616666667,1.9616666667
1053461715,LACY,JOHN,H,M.D.,M,I,130 DANIEL DR,,DANVILLE,KY,404222527,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,36,52.327222222,42.24,30.488333333,28.606111111
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,18,50,89,67.08011236,8.32,6.0831460674,6.0831460674
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,17,15.464117647,1.42,1.1164705882,1.1164705882
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4359,0.7909153476,0.3861757284,0.3027552191,0.2430373939
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,75.686190476,22.407142857,17.565714286,13.816666667
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,21,50.73,6.5628571429,4.6247619048,3.2361904762
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,50,57,500.2977193,102.42,76.925438596,53.042280702
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3311,0.1910721836,0.045653881,0.0324524313,0.0324524313
1053462085,SMITH,JULIE,R,"ARNP-C, DNP",F,I,4318 5TH AVE,,MARIANNA,FL,324462182,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,112.2,33,23.337,23.337
1053462168,WOLFER,GENETH,K,D.O.,F,I,1060 GOLDEN MOUNTAIN RD,,SPARTA,TN,385831120,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,33,75.993333333,8.32,6.523030303,6.523030303
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,59,117,311,58.894276527,8.32,6.0563665595,6.0563665595
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,17,33,33,14.829090909,3.38,2.5696969697,2.5696969697
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,14,19,19,21.923157895,2.12,1.5821052632,1.5821052632
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,33,60,83,13.992650602,1.42,1.0901204819,1.0901204819
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,190.10818182,52.58,33.123636364,34.828181818
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,65.585333333,10.63,7.2193333333,8.036
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,23,128,8.847578125,1.8715625,1.353671875,1.481328125
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,248.01818182,30.909090909,24.232727273,24.087272727
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,11,11,11,57.859090909,49.457272727,38.773636364,54.120909091
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,274.45636364,77.18,55.009090909,49.745454545
1053463075,CRUIKSHANK,BARBARA,L,MD,F,I,2300 PARK AVE STE 200,,ORANGE PARK,FL,320735571,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,16,66.72,19.8025,14.629375,13.474375
1053463372,NEELY,CHERYL,,DO,F,I,1540 MAPLE RD,EMERGENCY ROOM,WILLIAMSVILLE,NY,142213647,US,Physician/Emergency Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,35,35,35,1375.3445714,1045.9368571,820.01857143,880.79742857
1053463372,NEELY,CHERYL,,DO,F,I,1540 MAPLE RD,EMERGENCY ROOM,WILLIAMSVILLE,NY,142213647,US,Physician/Emergency Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,65,67,95,1033.8635789,850.73652632,666.97315789,675.428
1053463372,NEELY,CHERYL,,DO,F,I,1540 MAPLE RD,EMERGENCY ROOM,WILLIAMSVILLE,NY,142213647,US,Physician/Emergency Medicine,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,49,49,74,543.31756757,444.16783784,348.23581081,352.10648649
1053463372,NEELY,CHERYL,,DO,F,I,1540 MAPLE RD,EMERGENCY ROOM,WILLIAMSVILLE,NY,142213647,US,Physician/Emergency Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,15,77,80,117,134.8682906,107.1791453,84.028632479,87.645811966
1053463372,NEELY,CHERYL,,DO,F,I,1540 MAPLE RD,EMERGENCY ROOM,WILLIAMSVILLE,NY,142213647,US,Physician/Emergency Medicine,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,27,27,41,59.124634146,48.21,37.8,37.96902439
1053463372,NEELY,CHERYL,,DO,F,I,1540 MAPLE RD,EMERGENCY ROOM,WILLIAMSVILLE,NY,142213647,US,Physician/Emergency Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,47,48,63,560.67174603,458.27,359.28793651,363.93555556
1053463372,NEELY,CHERYL,,DO,F,I,1540 MAPLE RD,EMERGENCY ROOM,WILLIAMSVILLE,NY,142213647,US,Physician/Emergency Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,96,98,98,872.97183673,670.52153061,525.68785714,559.60571429
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,29,100,212,75.076320755,8.32,5.6294811321,5.6294811321
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,34,37,14.861891892,1.42,1.0578378378,1.0578378378
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,32,65,50.58875,36.4759375,34.82875
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,20,37.793,17,12.6635,12.7815
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,47,474.8306383,77.498510638,56.795531915,52.969148936
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.140769231,8.6626538462,8.6626538462
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,29.67,8.4354545455,7.2318181818
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,33,9.015,7.0633333333,6.5
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,1067.62775,129.4975,95.1445,94.001
1053463612,TANYI,RUTH,A,"RN, MSN, NP-C",F,I,577 N D ST,SUITE # 101,SAN BERNARDINO,CA,924011324,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,114.675,33,25.87,25.87
1053464396,MCFARLANE,MHAIRI,A,MD,F,I,16180 SE SUNNYSIDE RD,SUITE 102,HAPPY VALLEY,OR,970156301,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,36,57.0975,8.32,6.5205555556,6.5205555556
1053464610,STARLING,MARY,J,MD,F,I,300 WILSON ST,,HENDERSON,TX,756525956,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,51,69,61.483623188,8.32,6.2408695652,6.2408695652
1053464610,STARLING,MARY,J,MD,F,I,300 WILSON ST,,HENDERSON,TX,756525956,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,13.862941176,1.42,1.0541176471,1.0541176471
1053464610,STARLING,MARY,J,MD,F,I,300 WILSON ST,,HENDERSON,TX,756525956,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1320,1.0667045455,0.1349090909,0.0830606061,0.0830606061
1053464610,STARLING,MARY,J,MD,F,I,300 WILSON ST,,HENDERSON,TX,756525956,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,90.75,33,19.448333333,19.448333333
1053465344,KOROVIN,GWEN,S,M.D.,F,I,70 E 77TH ST,1B,NEW YORK,NY,100751811,US,Physician/Otolaryngology,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,7.2909090909,2.52,1.9591414141,2.3041313131
1053465344,KOROVIN,GWEN,S,M.D.,F,I,70 E 77TH ST,1B,NEW YORK,NY,100751811,US,Physician/Otolaryngology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,372,7.15,5.23,3.7586290323,3.7586290323
1053465344,KOROVIN,GWEN,S,M.D.,F,I,70 E 77TH ST,1B,NEW YORK,NY,100751811,US,Physician/Otolaryngology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1200,0.36,0.13,0.1019,0.1019
1053465344,KOROVIN,GWEN,S,M.D.,F,I,70 E 77TH ST,1B,NEW YORK,NY,100751811,US,Physician/Otolaryngology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,118,10.25,7.68,6.0210169492,6.3944067797
1053465344,KOROVIN,GWEN,S,M.D.,F,I,70 E 77TH ST,1B,NEW YORK,NY,100751811,US,Physician/Otolaryngology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,116,4.0163793103,3.9,3.0580172414,3.3513793103
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,33,91,68.082417582,8.32,5.2494505495,5.2494505495
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,20,15.5705,1.42,1.06,1.06
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,58,91.352758621,18.69,14.652931034,14.55137931
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,288.54210526,58.26,41.038421053,38.348421053
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,17,17,76.614705882,18.345882353,13.542941176,13.247647059
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,99.954210526,12.99,9.1857894737,8.1894736842
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,32,153,12.378562092,2.16,1.4585620915,1.3649673203
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,57.188181818,13.298181818,9.4845454545,9.4
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,17.91,14.04,13.54
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,81.75,13.3525,9.426,9.432
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,397.28871795,31.339230769,22.171538462,22.178717949
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,E0958,"Manual wheelchair accessory, one-arm drive attachment, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,95.46,32.0025,25.09,25.131666667
1053465559,GIBBON,LAWRENCE,K,MD,M,I,185 W 4TH AVENUE,SUITE B,POST FALLS,ID,838547298,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,499.2276,70.48,54.1712,53.6412
1053465658,MASRI,SOFIA,C,MD,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Advanced Heart Failure and Transplant Cardiology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,98,12633,2.2027333175,0.4039753028,0.3031979736,0.3031932241
1053465658,MASRI,SOFIA,C,MD,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Advanced Heart Failure and Transplant Cardiology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,33,4674,0.6482819855,0.4186735131,0.3026658109,0.3058943089
1053465658,MASRI,SOFIA,C,MD,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Advanced Heart Failure and Transplant Cardiology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,4080,5.2411348039,2.8406176471,2.1880784314,2.1880784314
1053465658,MASRI,SOFIA,C,MD,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Advanced Heart Failure and Transplant Cardiology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,79,79,24,24,18.092911392,18.092911392
1053465658,MASRI,SOFIA,C,MD,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Advanced Heart Failure and Transplant Cardiology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,81,98,16,16,11.644489796,11.644489796
1053467001,STEWART,DENNIS,A,MD,M,I,369 N MAIN ST,,CRESTVIEW,FL,325363541,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,30,60.811333333,42.52,31.114333333,28.703666667
1053467308,JONES,TANYA,Y,M.D.,F,I,116 SMITH ST,,TENNILLE,GA,310891465,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,29,87,65.352873563,8.32,6.0832183908,6.0832183908
1053467308,JONES,TANYA,Y,M.D.,F,I,116 SMITH ST,,TENNILLE,GA,310891465,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,25,14.7512,1.42,1.0232,1.0232
1053467365,TYSON,GIA,L,M.D.,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,22,31,231,30259,5.058381308,0.5696622492,0.4333309098,0.433326944
1053467365,TYSON,GIA,L,M.D.,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,15,80,8940,4.5267997763,1.3459798658,1.0412158837,1.0412158837
1053467365,TYSON,GIA,L,M.D.,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Physician/Gastroenterology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,1690,4.095591716,2.8045502959,2.1253668639,2.1253609467
1053467365,TYSON,GIA,L,M.D.,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1260,19.137198413,7.4788571429,5.7495634921,5.7495634921
1053467365,TYSON,GIA,L,M.D.,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,25,32,221,221,24,24,18.479366516,18.479366516
1053467365,TYSON,GIA,L,M.D.,F,I,9001 SUMMA AVE,,BATON ROUGE,LA,708093726,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,18,25,118,126,16,16,12.193412698,12.193412698
1053467415,ATHANAIL,STEVEN,,MD,M,I,268 BAY RIDGE PKWY,,BROOKLYN,NY,112092452,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,44,52.699090909,8.32,5.5193181818,5.5193181818
1053467589,NEWMAN,CAROLYN,M,APN-BC,F,I,219 S MISSOURI ST,,JACKSON,TN,383017464,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,17,46,103,70.498834951,8.32,6.0101941748,6.0101941748
1053467589,NEWMAN,CAROLYN,M,APN-BC,F,I,219 S MISSOURI ST,,JACKSON,TN,383017464,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,22,14.430909091,1.42,1.0681818182,1.0681818182
1053467589,NEWMAN,CAROLYN,M,APN-BC,F,I,219 S MISSOURI ST,,JACKSON,TN,383017464,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,321,12.22,3.08,2.317694704,2.2706853583
1053467589,NEWMAN,CAROLYN,M,APN-BC,F,I,219 S MISSOURI ST,,JACKSON,TN,383017464,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4770,1.2933333333,0.3080503145,0.2323438155,0.2338721174
1053467589,NEWMAN,CAROLYN,M,APN-BC,F,I,219 S MISSOURI ST,,JACKSON,TN,383017464,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,50.6136,17.2884,11.9228,11.9068
1053467589,NEWMAN,CAROLYN,M,APN-BC,F,I,219 S MISSOURI ST,,JACKSON,TN,383017464,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,61.827368421,48.31,34.613157895,34.376842105
1053467589,NEWMAN,CAROLYN,M,APN-BC,F,I,219 S MISSOURI ST,,JACKSON,TN,383017464,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,307.39,70.4432,48.62,48.154
1053467803,HRUSCHKA,JUDITH,K,M.D.,F,I,60 WASHINGTON BLVD,,KENTON,OH,433262080,US,Physician/Internal Medicine,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,240,21.934,10.81,7.7660416667,7.7660416667
1053467803,HRUSCHKA,JUDITH,K,M.D.,F,I,60 WASHINGTON BLVD,,KENTON,OH,433262080,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,407.2305,89.806,60.746,55.184
1053467886,JACOBSON,ELIZABETH,,MD,F,I,425 E 61ST ST,11TH FLOOR,NEW YORK,NY,100658722,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,52,69.9825,8.32,6.5217307692,6.5217307692
1053467902,JACKSON,MICHAEL,R,M.D.,M,I,103 N FIRST ST,,ROCKWALL,TX,750873033,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,54,64.533703704,8.32,6.1598148148,6.1598148148
1053467977,KIMMELL,JOSEPH,K,D.O.,M,I,8135 PERRY HWY,,PITTSBURGH,PA,152375233,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,109.04909091,38,27.513636364,28.15
1053467977,KIMMELL,JOSEPH,K,D.O.,M,I,8135 PERRY HWY,,PITTSBURGH,PA,152375233,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,165.68916667,55,43.12,42.86
1053467977,KIMMELL,JOSEPH,K,D.O.,M,I,8135 PERRY HWY,,PITTSBURGH,PA,152375233,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,14,64,8.64875,2,1.56859375,1.59
1053467977,KIMMELL,JOSEPH,K,D.O.,M,I,8135 PERRY HWY,,PITTSBURGH,PA,152375233,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,120,14,10.98,10.51125
1053467977,KIMMELL,JOSEPH,K,D.O.,M,I,8135 PERRY HWY,,PITTSBURGH,PA,152375233,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,232.90322581,36.313548387,28.469032258,27.004516129
1053467977,KIMMELL,JOSEPH,K,D.O.,M,I,8135 PERRY HWY,,PITTSBURGH,PA,152375233,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,95.294565217,21.465652174,15.678913043,13.092391304
1053467977,KIMMELL,JOSEPH,K,D.O.,M,I,8135 PERRY HWY,,PITTSBURGH,PA,152375233,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,24.865882353,9.6111764706,7.5341176471,7.0582352941
1053468041,DUNKLE,DAVID,H,MD,M,I,1155 W JEFFERSON ST,SUITE 101,FRANKLIN,IN,461312730,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,41,76.248536585,8.32,6.2031707317,6.2031707317
1053468249,TIMMONS,TIMOTHY,F,D.O.,M,I,1811 156TH AVE NE,SUITE 2,BELLEVUE,WA,980074344,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,45,69.957777778,8.32,4.0893333333,4.0893333333
1053468322,TOMPKINS,BRYAN,D,DO,M,I,107 CHURCH ST,,WALTERBORO,SC,294882901,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,42,92,67.523695652,8.32,5.5156521739,5.5156521739
1053468322,TOMPKINS,BRYAN,D,DO,M,I,107 CHURCH ST,,WALTERBORO,SC,294882901,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,15.298333333,1.42,0.9922222222,0.9922222222
1053468322,TOMPKINS,BRYAN,D,DO,M,I,107 CHURCH ST,,WALTERBORO,SC,294882901,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,200,64.112666667,40.700666667,28.032
1053468322,TOMPKINS,BRYAN,D,DO,M,I,107 CHURCH ST,,WALTERBORO,SC,294882901,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,45.833333333,23.955,17.535,13.405833333
1053468322,TOMPKINS,BRYAN,D,DO,M,I,107 CHURCH ST,,WALTERBORO,SC,294882901,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,25,7.6735294118,5.6238235294,3.2135294118
1053468322,TOMPKINS,BRYAN,D,DO,M,I,107 CHURCH ST,,WALTERBORO,SC,294882901,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,41.852727273,13.550909091,10.628181818,8.7863636364
1053468322,TOMPKINS,BRYAN,D,DO,M,I,107 CHURCH ST,,WALTERBORO,SC,294882901,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,258.68421053,116.7,88.941578947,58.568947368
1053468876,NEBEL,THOMAS,C,DO,M,I,2801 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,130,7.65,5.74,4.1538461538,4.1538461538
1053468876,NEBEL,THOMAS,C,DO,M,I,2801 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,165,10.010787879,7,5.1553939394,5.1553939394
1053468876,NEBEL,THOMAS,C,DO,M,I,2801 NEW HARTFORD RD,,OWENSBORO,KY,423031320,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,600,0.39775,0.27,0.2116,0.2116
1053468959,PIERSON,LINDA,M,NP,F,I,520 MEDICAL CENTER DRIVE,STE 200,MEDFORD,OR,975044314,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,23,86.31,17.51173913,12.499130435,12.327391304
1053468959,PIERSON,LINDA,M,NP,F,I,520 MEDICAL CENTER DRIVE,STE 200,MEDFORD,OR,975044314,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,25,519.51,67.808,49.494,50.2892
1053468967,MARINO,ROBERT,A,M.D.,M,I,2045 PROFESSIONAL CENTER DR,,ORANGE PARK,FL,320734461,US,Physician/Urology,S,A4312,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,45,20.863111111,20.163111111,15.809333333,15.862222222
1053468967,MARINO,ROBERT,A,M.D.,M,I,2045 PROFESSIONAL CENTER DR,,ORANGE PARK,FL,320734461,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,2950,3.1324745763,2.0367457627,1.5036745763,1.5062237288
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,9,17,48,603,53.508922056,19.650878939,15.406185738,15.406185738
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,18,51,1510,7.0730264901,2.6328476821,2.0637615894,2.0637615894
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,68,76,225,1260,65.755515873,8.32,5.9213412698,5.9213412698
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,21,21,9.6485714286,3.38,2.5238095238,2.5238095238
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,24,50,134,10.264552239,1.42,1.0458208955,1.0458208955
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,743.36545455,347.66181818,266.04409091,266.04409091
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,13,35,4880,16.719586066,10.678348361,8.148272541,8.148272541
1053469569,BEARD,JAMES,C,MD,M,I,9135 SW BARNES RD STE 985,,PORTLAND,OR,972256699,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,71,71,311.68126761,251.01746479,192.75605634,192.82830986
1053470070,GOMEZ-VAZQUEZ,JORGE,,M.D.,M,I,7210 MCPHERSON RD,SUITE # 115,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,30,66,41.97969697,8.32,5.6115151515,5.6115151515
1053470070,GOMEZ-VAZQUEZ,JORGE,,M.D.,M,I,7210 MCPHERSON RD,SUITE # 115,LAREDO,TX,780416507,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,24,28,12.315,1.42,0.9178571429,0.9178571429
1053470070,GOMEZ-VAZQUEZ,JORGE,,M.D.,M,I,7210 MCPHERSON RD,SUITE # 115,LAREDO,TX,780416507,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,23.197586207,4.4775862069,3.1286206897,3.2365517241
1053470070,GOMEZ-VAZQUEZ,JORGE,,M.D.,M,I,7210 MCPHERSON RD,SUITE # 115,LAREDO,TX,780416507,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,18.676666667,15.141666667,11.870833333,13.826666667
1053470476,SETTIPANE,RUSSELL,A,MD,M,I,95 PITMAN ST,,PROVIDENCE,RI,02906,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,3.8646153846,3.0246153846,3.6384615385
1053470476,SETTIPANE,RUSSELL,A,MD,M,I,95 PITMAN ST,,PROVIDENCE,RI,02906,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,900,22.627744444,9.5918,7.5199666667,7.5199666667
1053470476,SETTIPANE,RUSSELL,A,MD,M,I,95 PITMAN ST,,PROVIDENCE,RI,02906,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,810,12.071444444,3.0094444444,2.1822962963,2.1822962963
1053470476,SETTIPANE,RUSSELL,A,MD,M,I,95 PITMAN ST,,PROVIDENCE,RI,02906,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,25.87,25.87
1053470518,BOUNIF,FARID,,MD,M,I,800 FOREST AVE,,ZANESVILLE,OH,437012882,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,52.4,20.606,12.57,10.224
1053470518,BOUNIF,FARID,,MD,M,I,800 FOREST AVE,,ZANESVILLE,OH,437012882,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,302,88.298666667,53.287333333,40.135333333
1053470526,HAIDER,BUSHRA,,MD,F,I,6502 STEUBENVILLE PIKE,,PITTSBURGH,PA,152051006,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,46,88.142608696,8.32,5.955,5.955
1053470542,FIFE,SALLY,M,OD,F,I,300 9TH ST,,HENDERSON,KY,424202751,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,67.641923077,67.641923077,46.745384615,46.698076923
1053470542,FIFE,SALLY,M,OD,F,I,300 9TH ST,,HENDERSON,KY,424202751,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,33,66,67.760909091,50.074242424,37.097424242,41.43
1053470559,STEWART,VALLI,P,MD,F,I,1000 CENTRAL ST,SUITE 640,EVANSTON,IL,602011777,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,69.269655172,8.32,4.7217241379,4.7217241379
1053471300,ANDERSON,RANDALL,M,MD,M,I,330 TURNER MCCALL BLVD SW,,ROME,GA,301655630,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,48.166666667,19.166666667,13.839166667,12.735
1053471300,ANDERSON,RANDALL,M,MD,M,I,330 TURNER MCCALL BLVD SW,,ROME,GA,301655630,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,25,210.0616,117.67,91.9556,101.7956
1053471318,KOURA,DIVYA,T,M.D.,F,I,3855 HEALTH SCIENCES DR,,LA JOLLA,CA,920931013,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,24,24,18.82,18.82
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,176,304,304,79.571907895,40.162598684,29.626282895,28.768848684
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,68,120,120,260.6045,90.793333333,62.8835,60.119333333
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,64,126,276,108.79894928,33.180724638,23.118913043,23.038188406
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,17,68,115,588,57.655102041,19.733945578,14.826020408,13.996122449
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,73,135,690,43.316710145,15.425057971,11.22573913,11.062507246
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,23,156,276,276,165.29333333,59.356014493,42.65634058,39.547028986
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,24,193,250,250,53.94444,18.8018,13.8424,13.23736
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,38,44,44,30.568863636,11.156363636,8.5904545455,8.0131818182
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,30,50,50,68.469,12.9906,9.4122,8.4136
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,24,196,359,2106,7.1038319088,2.2547103514,1.673651472,1.5193637227
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,24,28,28,21.3375,6.2171428571,4.6028571429,4.3971428571
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,17,108,129,129,34.087209302,13.978062016,10.615813953,10.043488372
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,262.46571429,93.443333333,73.256666667,69.03952381
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,45,45,701.19044444,228.42533333,179.07977778,171.72333333
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,54,55,55,328.79018182,141.652,106.35636364,100.86472727
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,18,19,78.917368421,13.925789474,7.6557894737,7.5394736842
1053471425,STOLZ,SARAH,E,MD,F,I,550 17TH AVE,STE A20,SEATTLE,WA,981225788,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,15,89,544,552,151.67592391,36.57307971,26.755525362,24.227210145
1053471433,KAHN,MARGIE,A,MD,F,I,4720 S I 10 SERVICE RD W,SUITE 302,METAIRIE,LA,700017404,US,Physician/Obstetrics & Gynecology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,2490,5.4831325301,1.9192771084,1.5047429719,1.5993493976
1053471490,FUJII,DOUGLAS,T,D.O.,M,I,726 4TH ST,,MARYSVILLE,CA,959015656,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,175,46.158333333,33.328333333,34.351666667
1053471490,FUJII,DOUGLAS,T,D.O.,M,I,726 4TH ST,,MARYSVILLE,CA,959015656,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,49,49,80,17.09,12.032653061,12.159795918
1053471490,FUJII,DOUGLAS,T,D.O.,M,I,726 4TH ST,,MARYSVILLE,CA,959015656,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,4073.0563636,913.16,715.92,830.77454545
1053471490,FUJII,DOUGLAS,T,D.O.,M,I,726 4TH ST,,MARYSVILLE,CA,959015656,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,50,50,25,4.0672,2.7572,3.1912
1053471490,FUJII,DOUGLAS,T,D.O.,M,I,726 4TH ST,,MARYSVILLE,CA,959015656,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,86,86,402.50325581,65.945116279,46.910465116,49.901395349
1053471490,FUJII,DOUGLAS,T,D.O.,M,I,726 4TH ST,,MARYSVILLE,CA,959015656,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,33,86.136363636,18.686363636,14.651515152,14.937575758
1053471490,FUJII,DOUGLAS,T,D.O.,M,I,726 4TH ST,,MARYSVILLE,CA,959015656,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,144.63783784,37.870810811,27.8,27.618918919
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,68,143,46.855524476,8.3059440559,6.1022377622,6.1132867133
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,17.005,3.38,2.65,2.65
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,42,16.692619048,1.42,1.085,1.085
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,58.132857143,17.437619048,11.737142857,11.604761905
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.6563636364,3.2272727273,3.0727272727
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,363.56625,70.345833333,43.747916667,43.327916667
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1440,0.92,0.1323333333,0.0886111111,0.0886111111
1053471672,GOSWAMI,NABA,,MD,M,I,109 PLAZA DR,,ST CLAIRSVILLE,OH,43950,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,112.2,33,22.33,22.33
1053471987,EMAS,MARK,K,MD,M,I,4085 UNIVERSITY BLVD SOUTH,# 3,JACKSONVILLE,FL,32216,US,Physician/Neurology,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,1665,339.04,263.21521739,289.1373913
1053471987,EMAS,MARK,K,MD,M,I,4085 UNIVERSITY BLVD SOUTH,# 3,JACKSONVILLE,FL,32216,US,Physician/Neurology,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,2700,1328.44,1041.3511111,886.35111111
1053471987,EMAS,MARK,K,MD,M,I,4085 UNIVERSITY BLVD SOUTH,# 3,JACKSONVILLE,FL,32216,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,17,360,53.2,41.71,46.35
1053472159,KIM,JOHN,K,M.D.,M,I,6300 STEVENSON AVE,SUITE B,ALEXANDRIA,VA,223043576,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,40,88,350,57.052342857,8.32,5.5672,5.5672
1053472159,KIM,JOHN,K,M.D.,M,I,6300 STEVENSON AVE,SUITE B,ALEXANDRIA,VA,223043576,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,31,31,15.595483871,3.38,2.3935483871,2.3935483871
1053472159,KIM,JOHN,K,M.D.,M,I,6300 STEVENSON AVE,SUITE B,ALEXANDRIA,VA,223043576,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,23.207142857,2.12,1.5507142857,1.5507142857
1053472159,KIM,JOHN,K,M.D.,M,I,6300 STEVENSON AVE,SUITE B,ALEXANDRIA,VA,223043576,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,51,96,15.599166667,1.42,0.9630208333,0.9630208333
1053472159,KIM,JOHN,K,M.D.,M,I,6300 STEVENSON AVE,SUITE B,ALEXANDRIA,VA,223043576,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,8.2433333333,2,1.1401388889,1.1551388889
1053472159,KIM,JOHN,K,M.D.,M,I,6300 STEVENSON AVE,SUITE B,ALEXANDRIA,VA,223043576,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,12,12,12,32.47,31.230833333,24.4825,51.893333333
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,15,23.04,4.1,3.2106666667,3.2106666667
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,240,7.88625,5.74,4.5,4.5
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,96,3.6151041667,2.91,2.28125,2.28125
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,52,8.7046153846,6.44,5.0496153846,5.0496153846
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,1008,21.013134921,13.127222222,10.212718254,10.212718254
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,257,500,268.38319066,210.41151751,210.41151751
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,257,125,9.3480544747,7.3284824903,7.3284824903
1053472175,EISENMAN,RICHARD,H,M.D.,M,I,2376 CYPRESS CIRCLE,SUITE 203,CONWAY,SC,295268994,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,257,175,29.213774319,22.903151751,22.903151751
1053472712,WILSON,CHARLES,H,MD,M,I,6144 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,125.24545455,48.384545455,37.934545455,36.683636364
1053472712,WILSON,CHARLES,H,MD,M,I,6144 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Orthopedic Surgery,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,778.39888889,166.41166667,122.49722222,111.77277778
1053472712,WILSON,CHARLES,H,MD,M,I,6144 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,41,41,41,178.8195122,117.67,85.706829268,95.246341463
1053472712,WILSON,CHARLES,H,MD,M,I,6144 AIRPORT BLVD,,MOBILE,AL,36608,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,15,65,53.2,38.929333333,43.337333333
1053473090,GONAVARAM,PARTHA,,MD,M,I,10510 GRAVELLY LAKE DR SW,,LAKEWOOD,WA,984995036,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,43,126,49.698571429,8.32,5.2806349206,5.2806349206
1053473090,GONAVARAM,PARTHA,,MD,M,I,10510 GRAVELLY LAKE DR SW,,LAKEWOOD,WA,984995036,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,26,10.708461538,1.42,1.0707692308,1.0707692308
1053473090,GONAVARAM,PARTHA,,MD,M,I,10510 GRAVELLY LAKE DR SW,,LAKEWOOD,WA,984995036,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,77.34,55.5775,50.169166667
1053473090,GONAVARAM,PARTHA,,MD,M,I,10510 GRAVELLY LAKE DR SW,,LAKEWOOD,WA,984995036,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3319,0.3300873757,0.0459716782,0.031907201,0.031907201
1053473090,GONAVARAM,PARTHA,,MD,M,I,10510 GRAVELLY LAKE DR SW,,LAKEWOOD,WA,984995036,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,39.3,28.2425,27.050833333
1053473090,GONAVARAM,PARTHA,,MD,M,I,10510 GRAVELLY LAKE DR SW,,LAKEWOOD,WA,984995036,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1053473223,HUFF,HAROLD,R,DPM,M,I,777 N 5TH AVE,SUITE 101,SEQUIM,WA,983823080,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,450,331.23363636,253.83,220.99454545
1053473223,HUFF,HAROLD,R,DPM,M,I,777 N 5TH AVE,SUITE 101,SEQUIM,WA,983823080,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,225,156.3,122.54,126.15818182
1053473231,TEJADA,RUBEN,,M.D.,M,I,5212 VILLAGE PKWY,SUITE 9,ROGERS,AR,727588104,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,25,110,58.186727273,8.32,6.5227272727,6.5227272727
1053473231,TEJADA,RUBEN,,M.D.,M,I,5212 VILLAGE PKWY,SUITE 9,ROGERS,AR,727588104,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,14.88,3.38,2.65,2.65
1053473231,TEJADA,RUBEN,,M.D.,M,I,5212 VILLAGE PKWY,SUITE 9,ROGERS,AR,727588104,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,44,15.005227273,1.42,1.1131818182,1.1131818182
1053473843,HSU,WARREN,W,D.O.,M,I,21215 UNION TPKE,,OAKLAND GARDENS,NY,113643519,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,18,64.614444444,8.32,3.6244444444,3.6244444444
1053473983,MATO,ANTHONY,R,MD,M,I,3400 CIVIC CENTER BLVD,,PHILADELPHIA,PA,191045127,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.88,16.04,12.57,13.53
1053473983,MATO,ANTHONY,R,MD,M,I,3400 CIVIC CENTER BLVD,,PHILADELPHIA,PA,191045127,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,262.08333333,72,56.45,54.73
1053474254,SNYDER,WAYNE,E,M.D.,M,I,1225 4TH ST NE,,WATERTOWN,SD,572011204,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,102.04545455,66.918636364,47.829090909,48.131818182
1053474254,SNYDER,WAYNE,E,M.D.,M,I,1225 4TH ST NE,,WATERTOWN,SD,572011204,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,87.5,66.53,47.955,49.889545455
1053474320,ORRA,ABDUL,M,DO,M,I,13535 DETROIT AVE #4,,LAKEWOOD,OH,44107,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,19,38,131,72.569007634,8.32,5.9795419847,5.9795419847
1053474320,ORRA,ABDUL,M,DO,M,I,13535 DETROIT AVE #4,,LAKEWOOD,OH,44107,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,16,9.089375,1.4075,1.035625,1.045
1053474320,ORRA,ABDUL,M,DO,M,I,13535 DETROIT AVE #4,,LAKEWOOD,OH,44107,US,Physician/Family Practice,S,E0301,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,270.42583333,136.895,99.995833333,90.583333333
1053474320,ORRA,ABDUL,M,DO,M,I,13535 DETROIT AVE #4,,LAKEWOOD,OH,44107,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,41,477.66439024,78,59.658536585,56.057073171
1053474320,ORRA,ABDUL,M,DO,M,I,13535 DETROIT AVE #4,,LAKEWOOD,OH,44107,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,2149,2.0461889251,0.1328617962,0.1041693811,0.1041693811
1053474320,ORRA,ABDUL,M,DO,M,I,13535 DETROIT AVE #4,,LAKEWOOD,OH,44107,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,45.375,33,25.87,25.87
1053474361,MUSA,M.,B,M.D.,M,I,700 W 6TH ST,SUITE S,GILROY,CA,950206014,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,1040,0.1338461538,0.12,0.0904615385,0.0904615385
1053474361,MUSA,M.,B,M.D.,M,I,700 W 6TH ST,SUITE S,GILROY,CA,950206014,US,Physician/General Surgery,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,582,1.31,1.08,0.8467010309,0.8467010309
1053474361,MUSA,M.,B,M.D.,M,I,700 W 6TH ST,SUITE S,GILROY,CA,950206014,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,2032,0.1546850394,0.13,0.0989124016,0.0989124016
1053474361,MUSA,M.,B,M.D.,M,I,700 W 6TH ST,SUITE S,GILROY,CA,950206014,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,19,2040,0.5092941176,0.4491176471,0.3205294118,0.3209852941
1053474452,CATER,ROBERT,L,"MD,AAFP",M,I,1425 GREENBRIER DEAR RD,,ANNISTON,AL,362078706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,57,57.803859649,8.32,5.7203508772,5.7203508772
1053474452,CATER,ROBERT,L,"MD,AAFP",M,I,1425 GREENBRIER DEAR RD,,ANNISTON,AL,362078706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,18,18.088888889,1.42,0.93,0.93
1053474452,CATER,ROBERT,L,"MD,AAFP",M,I,1425 GREENBRIER DEAR RD,,ANNISTON,AL,362078706,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,4350,0.17,0.0462436782,0.0337103448,0.0337103448
1053474452,CATER,ROBERT,L,"MD,AAFP",M,I,1425 GREENBRIER DEAR RD,,ANNISTON,AL,362078706,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,132,33,24.253125,24.253125
1053474528,RAMIREZ,MARK,A,,M,I,1000 E LATHAM AVE STE G,,HEMET,CA,925434409,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,37,69.097567568,8.32,4.4062162162,4.4062162162
1053474528,RAMIREZ,MARK,A,,M,I,1000 E LATHAM AVE STE G,,HEMET,CA,925434409,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,14,20.68,1.42,0.88,0.88
1053474569,SCHWARTZ,MINDY,A,M.D.,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,53,146,63.913767123,8.32,6.0309589041,6.0309589041
1053474569,SCHWARTZ,MINDY,A,M.D.,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,14.901052632,3.38,2.5105263158,2.5105263158
1053474569,SCHWARTZ,MINDY,A,M.D.,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,22.628333333,2.12,1.3916666667,1.3916666667
1053474569,SCHWARTZ,MINDY,A,M.D.,F,I,180 HARVESTER DR STE 110,,BURR RIDGE,IL,605276686,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,27,39,16.315897436,1.42,0.9856410256,0.9856410256
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,18,62,806,62.107568238,19.63,15.211575682,15.211575682
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,19,65,1921,8.720937012,2.6297969807,2.0616814159,2.0616814159
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,12,14,27,3.3885185185,0.51,0.4,0.4
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,65,145,496,1519,59.217037525,8.32,5.880757077,5.880757077
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,17,34,34,13.808235294,3.38,2.65,2.65
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,19.324210526,2.12,1.67,1.67
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,49,112,214,13.600700935,1.42,1.0936915888,1.0936915888
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,19,19,38,87.586052632,71.56,56.105789474,56.104210526
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,54,54,721.40962963,334.42777778,256.14444444,256.14444444
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,11,62,6160,12.964832792,9.8216980519,7.6159967532,7.6159902597
1053474577,OSWALT,CHRISTY,T,M.D.,F,I,65 S THOMAS ST,,TUPELO,MS,388014352,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,79,79,304.18012658,250.97177215,193.85101266,193.95886076
1053474585,WISEMAN,PATRICIA,G,MD,F,I,1155 W JEFFERSON ST,SUITE 101,FRANKLIN,IN,461312730,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,16,39,131,67.58129771,8.32,5.3422137405,5.3422137405
1053474585,WISEMAN,PATRICIA,G,MD,F,I,1155 W JEFFERSON ST,SUITE 101,FRANKLIN,IN,461312730,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,22,11.553181818,1.42,0.8113636364,0.8113636364
1053474585,WISEMAN,PATRICIA,G,MD,F,I,1155 W JEFFERSON ST,SUITE 101,FRANKLIN,IN,461312730,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,53,110.04,19.75,13.730566038,13.01
1053474585,WISEMAN,PATRICIA,G,MD,F,I,1155 W JEFFERSON ST,SUITE 101,FRANKLIN,IN,461312730,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,99.9,12.52,9.82,9.13
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,79,142,72.840492958,8.32,6.3844366197,6.3844366197
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,13.701538462,3.38,2.65,2.65
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,31,33,12.611818182,1.42,1.1187878788,1.1187878788
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,438.71733333,86.33,67.372,67.521333333
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,35,167.072,33.48,26.246857143,25.945142857
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,96.801666667,11.54,9.05,9.1083333333
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,88,11.981363636,2.01,1.5768181818,1.5911363636
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,59,63,86.31,17.29,11.425079365,11.408888889
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,70.23,42.017272727,41.739090909
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,18,18,232.35,49.477777778,30.380555556,29.281666667
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,12,77,77,68.886883117,5.287012987,3.8875324675,3.5284415584
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,257.82,37.44,29.353846154,28.802307692
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,103,109,535.8733945,73.313944954,54.757614679,52.092110092
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,22,202.40909091,37.44,29.35,29.495454545
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,660,20.056242424,9.7165454545,7.6177575758,7.6177575758
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,3735,0.3424310576,0.0462623829,0.0333065596,0.0333065596
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,46,3600,1.1246555556,0.1346583333,0.103325,0.103325
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,198.208,37.44,27.8825,28.0285
1053474718,HUGHES,LINDA,K,M.D.,F,I,6322 FAYETTEVILLE RD,,RAEFORD,NC,283767979,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,16,65,65,89.353846154,33,23.88,23.88
1053475160,COSTIN,ANDREW,,MD,M,I,419 N HARRISON ST,,PRINCETON,NJ,085403521,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,3696.6666667,2509.5441667,1731.6725,1731.6725
1053475673,KIM,CHRISTI,Y,M.D.,F,I,235 N BELLE MEAD RD,,EAST SETAUKET,NY,117333456,US,Physician/Medical Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5967,2.744595274,0.3,0.2352036199,0.2424467907
1053475707,COFFEY,DEBRA,D,M.D.,F,I,NAVAL MEDICAL CTR,34800 BOB WILSON DRIVE,SAN DIEGO,CA,921345000,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2975,913.16,703.96416667,830.30416667
1053475939,CAPOTE,HORACIO,,M.D.,M,I,3980 SHERIDAN DR STE 500,"DENT NEUROLOGIC GROUP, LLP",AMHERST,NY,142261727,US,Physician/Psychiatry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,98.573529412,10.63,7.84,8.6417647059
1053475939,CAPOTE,HORACIO,,M.D.,M,I,3980 SHERIDAN DR STE 500,"DENT NEUROLOGIC GROUP, LLP",AMHERST,NY,142261727,US,Physician/Psychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,66,11.601818182,2.26,1.6107575758,1.4481818182
1053475939,CAPOTE,HORACIO,,M.D.,M,I,3980 SHERIDAN DR STE 500,"DENT NEUROLOGIC GROUP, LLP",AMHERST,NY,142261727,US,Physician/Psychiatry,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,40.132142857,32.142857143,23.52,23.377142857
1053476226,GALLOGLY,PETER,M,M.D.,M,I,1026 SW 2ND AVE,,GAINESVILLE,FL,326016134,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,56,72.053214286,8.32,5.5903571429,5.5903571429
1053476226,GALLOGLY,PETER,M,M.D.,M,I,1026 SW 2ND AVE,,GAINESVILLE,FL,326016134,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,17.29,10.771666667,10.755
1053476226,GALLOGLY,PETER,M,M.D.,M,I,1026 SW 2ND AVE,,GAINESVILLE,FL,326016134,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,70.23,45.883333333,45.6
1053476812,SAGLIO,STEPHEN,D,M.D.,M,I,1332 NATIVIDAD RD STE C,,SALINAS,CA,939063133,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,50,137,166,60.344277108,8.32,4.9930120482,4.9930120482
1053476812,SAGLIO,STEPHEN,D,M.D.,M,I,1332 NATIVIDAD RD STE C,,SALINAS,CA,939063133,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.891428571,3.38,2.0821428571,2.0821428571
1053476812,SAGLIO,STEPHEN,D,M.D.,M,I,1332 NATIVIDAD RD STE C,,SALINAS,CA,939063133,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,29,52,53,14.709433962,1.42,0.9083018868,0.9083018868
1053476812,SAGLIO,STEPHEN,D,M.D.,M,I,1332 NATIVIDAD RD STE C,,SALINAS,CA,939063133,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,18,86.31,16.847777778,13.208888889,13.532222222
1053476812,SAGLIO,STEPHEN,D,M.D.,M,I,1332 NATIVIDAD RD STE C,,SALINAS,CA,939063133,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,27,513.84,66.501481481,52.138148148,54.73
1053476812,SAGLIO,STEPHEN,D,M.D.,M,I,1332 NATIVIDAD RD STE C,,SALINAS,CA,939063133,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,3504,0.1862928082,0.0467608447,0.0304794521,0.0304794521
1053476812,SAGLIO,STEPHEN,D,M.D.,M,I,1332 NATIVIDAD RD STE C,,SALINAS,CA,939063133,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,93.260869565,33,20.350869565,20.350869565
1053477406,O'BORSKY,MICHAEL,D,D.P.M.,M,I,1700 HIGHWAY 25 N,,BUFFALO,MN,553131930,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,42,332,304.89,238.06357143,236.29333333
1053477646,FRANCKE,WENDY,,M.D.,F,I,133 W SANTA CLARA ST,,VENTURA,CA,930012543,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,42,47.254761905,8.32,5.2807142857,5.2807142857
1053477703,YAVARI,REZA,,M.D.,M,I,1008 MAIN ST,,BRANFORD,CT,064053773,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,37,127,447,74.544071588,8.32,6.0658165548,6.0658165548
1053477703,YAVARI,REZA,,M.D.,M,I,1008 MAIN ST,,BRANFORD,CT,064053773,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,17,27,16.468888889,1.42,1.0325925926,1.0325925926
1053477711,SNOW,KIMBERLY,L,FNP,F,I,1007 W CONGRESS ST,,BROOKHAVEN,MS,396012603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,519.51,101.79913043,77.213913043,52.350434783
1053477992,WICKS,WANDA,J,MD,F,I,4920 CAMPBELL BOULAVARD,,BALTIMORE,MD,212365916,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,874.72,33.996486486,26.655405405,26.339459459
1053477992,WICKS,WANDA,J,MD,F,I,4920 CAMPBELL BOULAVARD,,BALTIMORE,MD,212365916,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,760.48,82,54.399230769,47.045384615
1053478123,FAIL,BENJAMIN,S,M.D.,M,I,704 MADISON STREET,,HUNTSVILLE,AL,358014407,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,64,114,64.760964912,8.32,5.5986842105,5.5986842105
1053478123,FAIL,BENJAMIN,S,M.D.,M,I,704 MADISON STREET,,HUNTSVILLE,AL,358014407,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,27,16.308888889,1.42,1.0340740741,1.0340740741
1053478123,FAIL,BENJAMIN,S,M.D.,M,I,704 MADISON STREET,,HUNTSVILLE,AL,358014407,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,40,17.29,12.507692308,12.496923077
1053478123,FAIL,BENJAMIN,S,M.D.,M,I,704 MADISON STREET,,HUNTSVILLE,AL,358014407,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,328.54166667,70.23,52.765833333,52.525
1053478123,FAIL,BENJAMIN,S,M.D.,M,I,704 MADISON STREET,,HUNTSVILLE,AL,358014407,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,3408,0.3323620892,0.0458362676,0.0359419014,0.0359419014
1053478123,FAIL,BENJAMIN,S,M.D.,M,I,704 MADISON STREET,,HUNTSVILLE,AL,358014407,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,78.636363636,37.44,29.35,29.495454545
1053478123,FAIL,BENJAMIN,S,M.D.,M,I,704 MADISON STREET,,HUNTSVILLE,AL,358014407,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,411.18769231,109.42,79.190769231,77.972307692
1053478131,HOU,JINGZHOU,,MD,M,I,5115 CENTRE AVE FL 3,THE HILLMAN CANCER CENTER,PITTSBURGH,PA,152321301,US,Physician/Hematology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,510,5.5061568627,2.621,1.9319215686,1.9318823529
1053478131,HOU,JINGZHOU,,MD,M,I,5115 CENTRE AVE FL 3,THE HILLMAN CANCER CENTER,PITTSBURGH,PA,152321301,US,Physician/Hematology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,690,1.4086811594,0.7406521739,0.5294927536,0.5294927536
1053478131,HOU,JINGZHOU,,MD,M,I,5115 CENTRE AVE FL 3,THE HILLMAN CANCER CENTER,PITTSBURGH,PA,152321301,US,Physician/Hematology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,24,24,17.565333333,17.565333333
1053478495,DUNNIWAY,HEIDI,M,M.D.,F,I,1116 MILLIS AVE,,BOONVILLE,IN,476012204,US,Physician/Otolaryngology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,122,8.6590163934,3.81,2.2526229508,2.2526229508
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,38,134,41.28761194,8.32,6.2302238806,6.2302238806
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,27,54,10.451481481,1.4140740741,1.1096296296,1.1142592593
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,71.25,53.1325,38.848333333,28.94
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,33,8.1063636364,2.0460606061,1.45,1.0957575758
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,24,24,384.705,127.12916667,96.529583333,70.250416667
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,30,62,139.63758065,47.182258065,35.891774194,26.517903226
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,120,77.797,26.5205,18.314833333,12.259416667
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,19,90,67.345111111,20.03,14.828111111,11.836333333
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,36,36,256.55972222,76.754444444,55.4175,39.881666667
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,25,34,34,77.079705882,26.245588235,19.425294118,14.004705882
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,22,49,49,85.931020408,20.863469388,16.316326531,10.025510204
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,27,68,327,11.328256881,3.18,2.4611314985,1.6466055046
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,17,25,25,43.6068,15.8584,12.4284,10.6688
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,73,81,88.860617284,22.751111111,17.835185185,13.827283951
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,50.73,7.86,5.3696153846,2.8592307692
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,57,57,183.28824561,50.781052632,38.272105263,26.510526316
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,21,168,177,507.94519774,104.08734463,79.562090395,56.201751412
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,15.58,9.6531538462,7.3841282051,7.3841282051
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,960,14.40559375,11.3770625,8.9196666667,8.9196666667
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2861,0.1668857043,0.0445159035,0.0348968892,0.0348968892
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,30,2820,1.5062269504,0.1346702128,0.0959148936,0.0959148936
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,39,2340,10.367478632,3.075025641,2.4088247863,2.4088247863
1053479089,SPADY,JODI,E,PA-C,F,I,600 W 12TH ST,,IMPERIAL,NE,690333130,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,71,71,109.69014085,33,24.89,24.89
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,59,199,39.412713568,8.32,5.79,5.79
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.368421053,3.38,2.3710526316,2.3710526316
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,21.1,2.12,1.5308333333,1.5308333333
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,32,61,11.431803279,1.42,0.9890163934,0.9890163934
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,30.146,5.526,4.332,3.6493333333
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,150,32.341111111,23.916296296,23.727037037
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,25,308.4876,79.88,57.6104,50.6584
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.63,35.63,25.6025,27.215
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,4607,0.4561080964,0.0465791187,0.0353093119,0.0353093119
1053479154,COLTON,KENNETH,L,D.O.,M,I,400 N WAYNE RD,,WESTLAND,MI,481853628,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,22,22,109.5,33,23.518181818,23.518181818
1053479337,PETTY,CINDY,S,NP-C,F,I,4710 EVERHART RD,SUITE 100,CORPUS CHRISTI,TX,784112750,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,66.1375,21.175625,16.600625,13.5325
1053479337,PETTY,CINDY,S,NP-C,F,I,4710 EVERHART RD,SUITE 100,CORPUS CHRISTI,TX,784112750,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,274.47473684,90.151578947,70.678947368,54.642105263
1053479402,BENNETT,ROBERT,J,M.D.,M,I,602 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,420.85941176,94.86,32.35,26.302941176
1053479402,BENNETT,ROBERT,J,M.D.,M,I,602 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,111.02916667,58.82,38.759166667,30.8775
1053479402,BENNETT,ROBERT,J,M.D.,M,I,602 YALE PL,,CANON CITY,CO,812124611,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,266.07846154,95.371538462,58.103846154,40.782307692
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,16,51,177,67.85079096,8.32,5.9973446328,5.9973446328
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,15.357142857,3.38,2.4607142857,2.4607142857
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,23,40,14.85575,1.42,1.08675,1.08675
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,233,119.53533333,87.684666667,67.358
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,25,53.6,7.9948,6.0732,3.7596
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,69,74,349.64175676,97.026351351,71.422567568,52.612432432
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,79.967142857,45.034285714,35.309285714,30.537857143
1053479436,STRONG,MIKA,,PA-C,F,I,527 W 3RD ST,,KONAWA,OK,748491415,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,121.57894737,33,25.87,25.87
1053479816,JOSEPH,MARK,C,M.D.,M,I,1509 ROCKAWAY PKWY,,BROOKLYN,NY,11236,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,31,82,64.70304878,8.32,6.522195122,6.522195122
1053479816,JOSEPH,MARK,C,M.D.,M,I,1509 ROCKAWAY PKWY,,BROOKLYN,NY,11236,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,24,21.805416667,1.42,1.0683333333,1.0683333333
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,27,62,49.964193548,8.32,5.4690322581,5.4690322581
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,38,41.628157895,26.943684211,18.868421053,13.392368421
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,13,30,30.853333333,19.848333333,14.686,11.468
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,129.70583333,78.266666667,57.431666667,39.288333333
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,40.341666667,21.67,16.983333333,9.12
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,32,71,5.5392957746,3.1261971831,2.2530985915,1.5069014085
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,457,12.771794311,7.8989715536,6.1927571116,4.1631509847
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,5896,0.6261533243,0.4299592944,0.3370810719,0.2430427408
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,19.73,7.5041666667,5.4783333333,3.505
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,153.97333333,45.321481481,31.701851852,21.068888889
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35.13,13.0175,10.209166667,8.59
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,11.71,11.435,8.965,7.98
1053479881,GREEN,JANET,H,M.D.,F,I,1401 E VAN BUREN AVE,,MCALESTER,OK,745014245,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,309.52,210.825,157.22916667,157.22916667
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,50,129,379,70.264327177,8.3182849604,6.2796833773,6.2796833773
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,25,55,85,15.360235294,1.4172941176,1.0754117647,1.0781176471
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,440,6.5605681818,5.74,4.5000227273,4.5000227273
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,285,11.8,10.81,8.4750175439,8.4750175439
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,220,3.1570909091,3.0349090909,2.3794090909,2.3834545455
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,25,39.4872,15.27,11.9716,11.9048
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,24.106666667,9.674,7.11,6.9033333333
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21.733333333,4.9773333333,3.9026666667,3.9026666667
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,47.690909091,10.525454545,7.5663636364,7.56
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,50,322.64,69.99,50.6054,50.4766
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,E2202,"Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,50,44.336363636,34.76,33.83
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,688,4.5539389535,0.5659883721,0.4437209302,0.4437209302
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,375,2.6636,0.2192266667,0.16032,0.16032
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,190,59.78,46.86,50.25
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,55,38.68,28.074074074,27.354074074
1053480103,CARY,BRENDA,L,MD,F,I,1101 9TH STREET NORTH,DULUTH CLINIC - VIRGINIA,VIRGINIA,MN,55792,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,33,33,22.495652174,22.495652174
1053480202,ALI,SAYED,K,M.D.,M,I,601 E ROLLINS ST,,ORLANDO,FL,328031248,US,Physician/Hospice and Palliative Care,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,144.29333333,16.98,12.200833333,12.389166667
1053480202,ALI,SAYED,K,M.D.,M,I,601 E ROLLINS ST,,ORLANDO,FL,328031248,US,Physician/Hospice and Palliative Care,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,476.66666667,71.74,51.553333333,50.169166667
1053480384,MITSUMOTO,HIROSHI,,M.D.,F,I,710 W 168TH ST,,NEW YORK,NY,100323726,US,Physician/Neurology,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,144,19.0575,18.2125,14.278541667,14.4725
1053480384,MITSUMOTO,HIROSHI,,M.D.,F,I,710 W 168TH ST,,NEW YORK,NY,100323726,US,Physician/Neurology,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,17,148,164,1115.2215854,1068.8984756,794.25176829,797.75743902
1053480384,MITSUMOTO,HIROSHI,,M.D.,F,I,710 W 168TH ST,,NEW YORK,NY,100323726,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1074.31,1074.31,842.26,842.26
1053480384,MITSUMOTO,HIROSHI,,M.D.,F,I,710 W 168TH ST,,NEW YORK,NY,100323726,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,778.68266667,370.154,271.07,283.85866667
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,57,57,57,128.34614035,55.753157895,43.711052632,37.296842105
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,20,11.868421053,9.3052631579,8.0984210526
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,25.2208,11.8512,8.9836,7.7472
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,21,21,180.48666667,66.225238095,37.111904762,33.293333333
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,24,57.7625,20.38,15.976666667,15.29
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,37,56,112,44.90625,24.923035714,19.538303571,22.779017857
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,29,20.426896552,3.0434482759,2.2217241379,2.0948275862
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,33,33,33,49,25.870909091,20.283333333,18.447878788
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,46,46,21.219130435,14.607608696,10.631304348,9.9982608696
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,260.90153846,76.952051282,60.330769231,54.721538462
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,32,32,32,88.3809375,40.754375,31.9503125,29.67375
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,49,270,270,86.246740741,34.398296296,26.607148148,22.146555556
1053480442,TAYLOR,ROBERT,F,M.D.,M,I,2343 ALEXANDRIA DR,SUITE 225,LEXINGTON,KY,405043281,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,34.848484848,8.2842424242,5.5493939394,5.4133333333
1053480574,MILLER,MELANIE,L,MD,F,I,159 MAIN ST,,TRUSSVILLE,AL,351731435,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,352,30.561079545,6.15,4.8216477273,4.2696590909
1053480574,MILLER,MELANIE,L,MD,F,I,159 MAIN ST,,TRUSSVILLE,AL,351731435,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,4869,1.847689464,0.3093530499,0.2425282399,0.2395563771
1053480574,MILLER,MELANIE,L,MD,F,I,159 MAIN ST,,TRUSSVILLE,AL,351731435,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,54,7.5796551724,5.7596551724,3.8634482759
1053480574,MILLER,MELANIE,L,MD,F,I,159 MAIN ST,,TRUSSVILLE,AL,351731435,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,189,38.8256,30.438,27.8372
1053480574,MILLER,MELANIE,L,MD,F,I,159 MAIN ST,,TRUSSVILLE,AL,351731435,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,23,436.2873913,89.86,64.995652174,56.805652174
1053480947,IGNACZAK,THOMAS,F,M.D.,M,I,363 FREMONT ST STE 203,,BATTLE CREEK,MI,490173398,US,Physician/Rheumatology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,78,37.052820513,8.32,5.6864102564,5.6864102564
1053480947,IGNACZAK,THOMAS,F,M.D.,M,I,363 FREMONT ST STE 203,,BATTLE CREEK,MI,490173398,US,Physician/Rheumatology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,22,388.31363636,69.81,54.73,54.73
1053480947,IGNACZAK,THOMAS,F,M.D.,M,I,363 FREMONT ST STE 203,,BATTLE CREEK,MI,490173398,US,Physician/Rheumatology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,85,17.855454545,13.992727273,13.496363636
1053480962,KIM,HONGJAE,,M.D.,M,I,100 HOSPITAL DR,,HENDERSONVILLE,NC,28792,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,62,75,77.012,18.748,13.7264,12.8944
1053480962,KIM,HONGJAE,,M.D.,M,I,100 HOSPITAL DR,,HENDERSONVILLE,NC,28792,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,79,91,465.76208791,87.981318681,64.134505495,52.533516484
1053480996,INGRAM,JOHN,J,MD,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,37,101,72.845346535,8.32,5.6824752475,5.6824752475
1053480996,INGRAM,JOHN,J,MD,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,150,53.188461538,41.699230769,37.941538462
1053480996,INGRAM,JOHN,J,MD,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,70.7736,20.5028,14.3028,12.1916
1053480996,INGRAM,JOHN,J,MD,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,53.716666667,37.6825,32.120833333
1053480996,INGRAM,JOHN,J,MD,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,80,80,417.575875,89.34275,64.73275,51.406875
1053480996,INGRAM,JOHN,J,MD,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,250,40,31.36,29.727647059
1053480996,INGRAM,JOHN,J,MD,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3022,0.2728127068,0.0465056254,0.032819325,0.0328160159
1053481200,HERRING,KIRK,M,DPM,M,I,1215 N MCDONALD ROAD,SUITE 201,SPOKANE VALLEY,WA,99216,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,38,108.67210526,71.56,53.596842105,53.596578947
1053481200,HERRING,KIRK,M,DPM,M,I,1215 N MCDONALD ROAD,SUITE 201,SPOKANE VALLEY,WA,99216,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,81,159.13962963,43.56,34.151604938,34.149876543
1053481242,CAMPBELL,JENIEF,A,RNP,F,I,1055 E TREMONT AVE,,BRONX,NY,104602306,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,773,0.5666752911,0.048771022,0.0293790427,0.0293790427
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,45,143,61.263706294,8.32,6.2113286713,6.2113286713
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,22,40,12.62025,1.42,0.97575,0.97575
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,48,12.62625,7.46,5.84875,5.84875
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,35.727241379,17.775862069,12.992758621,12.813448276
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,160.16,17.52,13.74,13.556666667
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,16,111,121,468.41049587,80.927768595,60.739256198,53.035619835
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,59,66,235.75757576,39.848181818,30.782727273,29.090606061
1053481382,HASSELKUS,HERMAN,,M.D.,M,I,1360 S POTOMAC ST,,AURORA,CO,800124505,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,270.03636364,38.76,27.627272727,27.227272727
1053481432,CLANCY,MICHAEL,A,,M,I,835 GEORGIANA ST,,PORT ANGELES,WA,983623511,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,36,97,212,72.831320755,8.32,5.4660849057,5.4660849057
1053481432,CLANCY,MICHAEL,A,,M,I,835 GEORGIANA ST,,PORT ANGELES,WA,983623511,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,17,37,46,26.433043478,1.42,0.9473913043,0.9473913043
1053481432,CLANCY,MICHAEL,A,,M,I,835 GEORGIANA ST,,PORT ANGELES,WA,983623511,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,396.54333333,102.61833333,75.474166667,50.169166667
1053481820,CHRISTENSEN,TANNIKA,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,26,66,72.326666667,8.32,5.1724242424,5.1724242424
1053481820,CHRISTENSEN,TANNIKA,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,113.45,40.756470588,28.268235294,23.347647059
1053481820,CHRISTENSEN,TANNIKA,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,220,71.5,51.713888889,50.531666667
1053481820,CHRISTENSEN,TANNIKA,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,74.7,27.59,21.630909091,15.252727273
1053481820,CHRISTENSEN,TANNIKA,,M.D.,F,I,1023 NEW MOODY LN,SUITE 201,LA GRANGE,KY,400319177,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,200,36.82,28.232727273,28.823636364
1053481853,RAMALINGAM,YAMINI,,M.D.,F,I,7320 S STATE RD,,GOODRICH,MI,484389292,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,35,87,40.732758621,8.32,5.7717241379,5.7717241379
1053481853,RAMALINGAM,YAMINI,,M.D.,F,I,7320 S STATE RD,,GOODRICH,MI,484389292,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,29,12.483103448,1.42,1.0013793103,1.0013793103
1053481853,RAMALINGAM,YAMINI,,M.D.,F,I,7320 S STATE RD,,GOODRICH,MI,484389292,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,58,9.2479310345,1.94,1.3627586207,1.4286206897
1053481853,RAMALINGAM,YAMINI,,M.D.,F,I,7320 S STATE RD,,GOODRICH,MI,484389292,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,5550,0.17,0.0474774775,0.0277567568,0.0277567568
1053481853,RAMALINGAM,YAMINI,,M.D.,F,I,7320 S STATE RD,,GOODRICH,MI,484389292,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,23,132,33,17.996521739,17.996521739
1053481879,HERNANDO,FRANKLIN,P,MD,M,I,55 VILLAGE CT,,HAZLET,NJ,07730,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,30,1720,0.1405523256,0.12,0.0940406977,0.0940406977
1053481879,HERNANDO,FRANKLIN,P,MD,M,I,55 VILLAGE CT,,HAZLET,NJ,07730,US,Physician/General Surgery,S,A6022,"Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,22,293,36.906143345,23.66,18.549453925,18.549453925
1053481879,HERNANDO,FRANKLIN,P,MD,M,I,55 VILLAGE CT,,HAZLET,NJ,07730,US,Physician/General Surgery,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,34,55,4700,0.075,0.05,0.0392,0.0392
1053481879,HERNANDO,FRANKLIN,P,MD,M,I,55 VILLAGE CT,,HAZLET,NJ,07730,US,Physician/General Surgery,S,A6443,"Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,20,34,1596,1.9116541353,0.31,0.2430827068,0.2430827068
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,780,12.293487179,5.74,4.5001153846,4.5001153846
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,141,4.6870212766,2.904893617,2.2771631206,2.2812056738
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,575,21.474852174,9.86,7.6365391304,7.6365391304
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,445,14.555370787,7,5.1655955056,5.1655955056
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,240,15.2135,5.54,4.2935416667,4.2935416667
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,1830,2.833989071,1.95,1.5287868852,1.5287868852
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,740,7.7113243243,4.03,3.1595,3.1595
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4427,"Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.998,3.13,2.454,2.454
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,1195,0.7073389121,0.27,0.2027782427,0.2027782427
1053482000,WESTON,LYNN,A,MD,F,I,10710 N TORREY PINES RD,,LA JOLLA,CA,920371035,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,760,1.0416447368,0.27,0.1977236842,0.1977236842
1053482125,O'DWYER,PETER,,MD,M,I,3400 SPRUCE ST,15 PENN TOWER,PHILADELPHIA,PA,191044206,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,11,96,117,73.520683761,19.544615385,15.053931624,15.215982906
1053482125,O'DWYER,PETER,,MD,M,I,3400 SPRUCE ST,15 PENN TOWER,PHILADELPHIA,PA,191044206,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,11,114,114,148.90631579,37.38,29.042982456,29.042982456
1053482125,O'DWYER,PETER,,MD,M,I,3400 SPRUCE ST,15 PENN TOWER,PHILADELPHIA,PA,191044206,US,Physician/Hematology-Oncology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,170,9.5235294118,3.9,3.0578823529,3.0578823529
1053482125,O'DWYER,PETER,,MD,M,I,3400 SPRUCE ST,15 PENN TOWER,PHILADELPHIA,PA,191044206,US,Physician/Hematology-Oncology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,270,9.6192592593,4.03,3.1596296296,3.1596296296
1053482125,O'DWYER,PETER,,MD,M,I,3400 SPRUCE ST,15 PENN TOWER,PHILADELPHIA,PA,191044206,US,Physician/Hematology-Oncology,S,E0781,"Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,450,212.096,166.284,166.284
1053482125,O'DWYER,PETER,,MD,M,I,3400 SPRUCE ST,15 PENN TOWER,PHILADELPHIA,PA,191044206,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,11,114,998,10.762254509,1.6271142285,1.2647194389,1.2647194389
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,35,437,48.719199085,19.661075515,14.994508009,14.994508009
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,13,36,940,6.2996170213,2.6310638298,1.9305957447,1.9305957447
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,11,14,27,5.2592592593,0.51,0.4,0.4
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,52,175,448,1936,65.343868802,8.3162809917,5.9060588843,5.9089721074
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,16,31,31,15.941935484,3.38,2.65,2.65
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,18,23,23,22.612608696,2.12,1.67,1.67
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,53,99,235,15.205531915,1.42,1.0330638298,1.0330638298
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,13,13,13,32.097692308,31.646153846,22.103846154,46.333846154
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,668.17,349.67375,266.98666667,266.98666667
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,28,2960,16.581844595,10.748959459,8.4271756757,8.4271756757
1053482174,GRAF,GARY,G,,M,I,3520 SW 6TH AVE,,TOPEKA,KS,666062806,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,57,58,299.60724138,251.06293103,194.30275862,194.33965517
1053482562,RILEY,RACHEL,A,,F,I,480 MAPLE ST,"BEVERLY HOSPITAL AT DANVERS, LMI",DANVERS,MA,019234065,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,64,137,336,1699,71.734920541,8.32,6.1407592702,6.1407592702
1053482562,RILEY,RACHEL,A,,F,I,480 MAPLE ST,"BEVERLY HOSPITAL AT DANVERS, LMI",DANVERS,MA,019234065,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,16,39,39,12.738205128,3.38,2.65,2.65
1053482562,RILEY,RACHEL,A,,F,I,480 MAPLE ST,"BEVERLY HOSPITAL AT DANVERS, LMI",DANVERS,MA,019234065,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,18.896,2.12,1.67,1.67
1053482562,RILEY,RACHEL,A,,F,I,480 MAPLE ST,"BEVERLY HOSPITAL AT DANVERS, LMI",DANVERS,MA,019234065,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,39,73,138,332,14.407861446,1.42,1.0553614458,1.0553614458
1053482562,RILEY,RACHEL,A,,F,I,480 MAPLE ST,"BEVERLY HOSPITAL AT DANVERS, LMI",DANVERS,MA,019234065,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,11,17,17,17,42.259411765,40.546470588,31.785294118,53.794117647
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,187,335,335,123.24674627,39.548597015,29.539522388,29.092895522
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,74,125,125,301.5976,85.51168,62.54736,63.27624
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,74,132,357,107.87112045,32.918935574,24.600168067,24.69767507
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,101,186,993,57.208197382,18.552104733,13.66939577,13.675609265
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,62,105,547,43.111681901,15.200621572,11.041755027,11.02369287
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,163,289,289,188.61079585,53.773633218,39.065778547,39.704809689
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,209,248,248,64.873266129,18.045040323,13.634314516,13.559435484
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,14,15,15,50.172,10.683333333,8.3766666667,8.166
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,41,63,63,62.896666667,12.221269841,8.7614285714,8.3738095238
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,219,388,2249,8.7868252557,2.0198577145,1.5256602935,1.5332636727
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,149,186,186,17.260215054,5.9590322581,4.4182795699,4.4103763441
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,145,175,175,65.619542857,13.0756,9.9785142857,10.065942857
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,150.44315789,86.751052632,68.011842105,68.472631579
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,29,29,29,340.88241379,131.29,102.93241379,104.34413793
1053483008,NORRIS,HELENA,P,MSN  NP,F,I,1665 DOMINICAN WAY STE 222,,SANTA CRUZ,CA,950651515,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,60,309,309,130.82171521,31.685825243,22.13407767,22.414466019
1053483099,SUZUKA,RANDALL,,M.D.,M,I,66-125 KAMEHAMEHA HWY,,HALEIWA,HI,967121420,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,38,62.496315789,8.32,6.5218421053,6.5218421053
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,43,146,426,60.719413146,8.32,6.0875586854,6.0875586854
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,27,28,12.555,3.38,2.5553571429,2.5553571429
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,58,94,12.875531915,1.42,1.0446808511,1.0446808511
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,22,22,182.34181818,39.98,24.623636364,24.041363636
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,517.18333333,84,65.86,67.84
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,21,93,95.86172043,18.5,13.256021505,13.30172043
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,48,69.924583333,15.214375,7.1333333333,7.110625
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,32,32,276.048125,51.369375,34.396875,36.8103125
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,27,27,85.858518519,17.22,12.152222222,12.677037037
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,23,23,88.163913043,12.916956522,8.9434782609,8.0417391304
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,24,61,272,13.359816176,2.0003676471,1.4187867647,1.4404779412
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,30.664615385,5.9646153846,4.4015384615,4.3715384615
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,86.31,16.97,11.696666667,11.926969697
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,49,49,81.75,12.859591837,9.3344897959,9.7179591837
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,54.962,3.8756,2.9208,3.5416
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,11,56,56,266.375,32.265357143,24.1,24.384821429
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,26,187,187,534.35508021,72.59342246,51.958128342,49.894759358
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2175,0.17,0.0469011494,0.036754023,0.036754023
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1620,1.0719382716,0.1334074074,0.0978641975,0.0978641975
1053483289,DELA CERNA,JAIME,F,MD,M,I,100 WILLOW PLAZA,STE 210,VISALIA,CA,932916213,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,48,48,115.5,33,24.792083333,24.792083333
1053483362,TYMOCZKO,ROBERT,G,MD,M,I,545 RUGH ST.,,GREENSBURG,PA,156015684,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,52,112,66.459107143,8.32,5.044375,5.044375
1053483362,TYMOCZKO,ROBERT,G,MD,M,I,545 RUGH ST.,,GREENSBURG,PA,156015684,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,29,33,12.509090909,1.42,0.9818181818,0.9818181818
1053483362,TYMOCZKO,ROBERT,G,MD,M,I,545 RUGH ST.,,GREENSBURG,PA,156015684,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,14,34,5.9352941176,2,1.3847058824,1.41
1053483362,TYMOCZKO,ROBERT,G,MD,M,I,545 RUGH ST.,,GREENSBURG,PA,156015684,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17.1,17.1,12.190909091,12.324545455
1053483362,TYMOCZKO,ROBERT,G,MD,M,I,545 RUGH ST.,,GREENSBURG,PA,156015684,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.5,55.696666667,50.671666667
1053483362,TYMOCZKO,ROBERT,G,MD,M,I,545 RUGH ST.,,GREENSBURG,PA,156015684,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,154.89,36.26,28.068333333,29.058333333
1053483388,QUINONES,MARIA,T,MD,F,I,CARR 101 KM. 16.2,"LAS ARENAS, BOQUERON",CABO ROJO,PR,006220000,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,26,31.58,8.32,6.5207692308,6.5207692308
1053483800,KAMRAVA,KAMRAN,K,MD,M,I,6915 RESEDA BLVD,SUITE 1,RESEDA,CA,91335,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,31,57,76.651754386,8.32,4.8056140351,4.8056140351
1053483800,KAMRAVA,KAMRAN,K,MD,M,I,6915 RESEDA BLVD,SUITE 1,RESEDA,CA,91335,US,Physician/General Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,2966.9588235,913.16,707.48058824,811.52529412
1053483800,KAMRAVA,KAMRAN,K,MD,M,I,6915 RESEDA BLVD,SUITE 1,RESEDA,CA,91335,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,19.73,3.9566666667,3.1,3.7533333333
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,48,100,71.946,8.32,5.0933,5.0933
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,15.952666667,1.42,0.7466666667,0.7466666667
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.9795454545,1.4836363636,1.1609090909,1.15
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,339.77636364,68.126363636,53.414545455,37.364545455
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,42,78.743571429,19.980714286,14.641428571,12.563571429
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,59.234,43.689333333,36.011333333
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,51,471.94941176,89.992156863,66.064901961,50.607058824
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,6671,0.1938464998,0.0460620597,0.0322470394,0.0322470394
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1035,0.75,0.2189082126,0.1594396135,0.1594396135
1053484121,SINHA,MANVESH,N,MD,M,I,305 RIVER ROAD,,DECATUR,TN,37322,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,107.25,33,25.87,25.87
1053484287,POULOS,MICHELE,L,"RN, MSN, ANP-C",F,I,2500 W STRUB RD,SUITE 230,SANDUSKY,OH,448705390,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,42,45.356666667,8.32,5.28,5.28
1053484287,POULOS,MICHELE,L,"RN, MSN, ANP-C",F,I,2500 W STRUB RD,SUITE 230,SANDUSKY,OH,448705390,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,20,13.8395,1.42,0.891,0.891
1053484360,VIKOREN,THOMAS,H,M.D.,M,I,800 W STATE ST,SUITE 202,DOYLESTOWN,PA,189012250,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,35,35,35,70.325142857,44.984,35.267428571,36.190285714
1053484360,VIKOREN,THOMAS,H,M.D.,M,I,800 W STATE ST,SUITE 202,DOYLESTOWN,PA,189012250,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,40,47,195.31914894,138.47,104.11553191,98.451489362
1053484360,VIKOREN,THOMAS,H,M.D.,M,I,800 W STATE ST,SUITE 202,DOYLESTOWN,PA,189012250,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,27,1285.5555556,849.98,666.38,676.85222222
1053484709,KHATTAR,VIMI,,M.D.,F,I,331 E MAIN ST,,SOMERVILLE,NJ,088763109,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,69.89,18.645294118,14.617647059,16.417647059
1053484709,KHATTAR,VIMI,,M.D.,F,I,331 E MAIN ST,,SOMERVILLE,NJ,088763109,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,20.57,8.2117647059,6.4358823529,7.6205882353
1053484717,TANTUM,JANE,,R.N.,F,I,1703 LANGHORNE NEWTOWN RD,SUITE 1,LANGHORNE,PA,190471082,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,47,95,65.515263158,8.32,5.6824210526,5.6824210526
1053484717,TANTUM,JANE,,R.N.,F,I,1703 LANGHORNE NEWTOWN RD,SUITE 1,LANGHORNE,PA,190471082,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,19,19.447894737,1.42,0.94,0.94
1053484717,TANTUM,JANE,,R.N.,F,I,1703 LANGHORNE NEWTOWN RD,SUITE 1,LANGHORNE,PA,190471082,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,3.95,3.0963636364,3.6854545455
1053484915,WALKER,LEVI,,M.D.,M,I,211 N WHITFIELD ST,SUITE 710,PITTSBURGH,PA,152063039,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,65,54.977538462,8.32,4.9686153846,4.9686153846
1053484915,WALKER,LEVI,,M.D.,M,I,211 N WHITFIELD ST,SUITE 710,PITTSBURGH,PA,152063039,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.031666667,3.38,1.9875,1.9875
1053484915,WALKER,LEVI,,M.D.,M,I,211 N WHITFIELD ST,SUITE 710,PITTSBURGH,PA,152063039,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,20,14.4705,1.42,0.7815,0.7815
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,22,22,151.305,37.96,27.054545455,27.701363636
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,330,7.5,7.37,5.778,5.778
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1200,0.2916666667,0.13,0.1019,0.1019
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,15,30,8.19,1.45,1.135,1.149
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,70.384545455,14.08,10.286363636,8.2654545455
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,457.49866667,83.47,58.933333333,60.86
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,33,179.48181818,32.06,25.133333333,25.845454545
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,52,100.21788462,18,14.111538462,14.552115385
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,260.78722222,51.64,40.48,42.727777778
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,19,19,83.795263158,16.84,13.2,13.969473684
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,77.901818182,12.14,9.52,9.12
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,38,202,11.731188119,2,1.5528712871,1.5742574257
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,30.48,5.92,4.65,4.6591666667
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,51.404615385,12,9.41,10.34
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,37,170,178,69.729382022,16.05505618,12.299662921,13.140561798
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,43.28,33.93,37.321666667
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1600,1074.31,842.26,842.26
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,47,47,3489.732766,1074.31,836.15489362,836.15489362
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,18,21,1500,897.41,694.55904762,694.55904762
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,53,53,29.629811321,5.4811320755,3.0833962264,2.5290566038
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,30,243.162,32.407333333,25.404666667,26.015
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,81,551,604,436.57629139,71.885662252,54.140546358,52.753062914
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,29,160,191,165.78680628,35.447643979,26.605026178,27.760890052
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,15,98,5850,18.148528205,9.6515692308,7.464434188,7.464434188
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,60,2910,17.439804124,11.271752577,8.7385017182,8.7385017182
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,22,24,59,9658,0.3987109132,0.045745496,0.0323276041,0.0323276041
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,1585,2.0209148265,0.1385930599,0.1052239748,0.1052239748
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,23,171,7581,11.27553489,3.0118849756,2.3416897507,2.3416897507
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,54,76.288888889,35.5,25.797407407,27.376111111
1053485243,SANTOMAURO,EMANUELE,A,MD,M,I,211 ESSEX ST,,HACKENSACK,NJ,076013231,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,29,42,236,236,73.211864407,33,25.038686441,25.038686441
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,28,87,59.062873563,8.32,5.6220689655,5.6220689655
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,19,31,14.552258065,1.42,0.9696774194,0.9696774194
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,222.72727273,50.381818182,39.501818182,36.298181818
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,26,86.31,17.923076923,13.927307692,13.439230769
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,50.73,5.4868421053,2.5147368421,2.1589473684
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,38,6.34,2.8789473684,2.2492105263,2.25
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,45,519.51,88.374,69.287333333,55.434
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,250,36.278421053,28.445789474,29.405789474
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,59.360434783,35.204782609,27.596956522,21.694782609
1053485318,STEIN,JEFFREY,L,M.D.,M,I,9291 GLADES RD,SUITE 306,BOCA RATON,FL,334343959,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,22.79,9.2190909091,7.2254545455,6.7190909091
1053485565,MCEVOY,JAMES,A,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2755 CARPENTER ROAD,ANN ARBOR,MI,48108,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,74.315384615,38.905384615,30.497692308,30.49
1053485565,MCEVOY,JAMES,A,M.D.,M,I,HENRY FORD HEALTH SYSTEM,2755 CARPENTER ROAD,ANN ARBOR,MI,48108,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,116.17117647,34.034705882,26.684705882,26.136470588
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,145,5.4196551724,4.1,3.214137931,3.2793103448
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,97,5.5868041237,4.22,3.3087628866,3.362371134
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,49,1432,14.52,4.65,3.6115223464,3.2199022346
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,32,12567,1.3280090714,0.42,0.3289655447,0.2911092544
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,5975,2.4554125523,0.7298778243,0.5632669456,0.5084820084
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,30,30,93.6,58.608,40.261666667,33.365333333
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,384,130.61714286,93.243333333,110.47714286
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,82.633333333,62.337037037,46.647407407,31.965925926
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,760.48,81.09,56.091176471,48.291176471
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,38,39.226315789,14.591578947,9.8184210526,12.261578947
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,16.7824,8.248,5.0812,5.6208
1053486035,MAESHIRO,JOAN,M,APRN,F,I,550 S BERETANIA ST,601,HONOLULU,HI,968132414,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,38.86,28.438666667,27.542666667
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,124,636,636,636,1417.0802987,1056.6956918,818.90512579,873.54327044
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,15,1173.518,933.03,731.49,722.50266667
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,111,116,206,201.93830097,126.19679612,95.934951456,99.499951456
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,38,181,187,250,837.88936,574.69484,446.53564,474.77164
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,70,242,269,374,971.33606952,854.96245989,666.12986631,673.05879679
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,28,29,50,205.9856,138.654,104.6328,91.0428
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,39,124,162,219,509.79246575,454.62420091,355.76977169,353.68232877
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,90,428,466,645,136.712,115.36469767,90.077953488,88.56303876
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,18,18,18,108.94222222,103.075,80.808333333,79.501666667
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,64,167,170,231,543.15939394,462.56982684,362.03562771,364.62372294
1053486076,BOWMAN,DAVID,P,D.O.,M,I,576 E HIGHWAY 138,SUITE 350,STANSBURY PARK,UT,840744027,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,88,341,346,346,838.62465318,713.82586705,558.30488439,566.37193642
1053486126,WIGGINS,TRAVIS,F,M.D.,M,I,519 STEPHENSON AVE,,SAVANNAH,GA,314055969,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,300,20.64,3.08,2.4146666667,2.3676666667
1053486126,WIGGINS,TRAVIS,F,M.D.,M,I,519 STEPHENSON AVE,,SAVANNAH,GA,314055969,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6076,2.1220210665,0.31,0.243038183,0.243038183
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,38,75,223,71.147130045,8.32,5.5705381166,5.5705381166
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,21,45,76,17.717368421,1.42,0.9973684211,0.9973684211
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,48,7.42375,2.09,1.6385416667,1.5995833333
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,39.666666667,5.942,4.3686666667,3.4446666667
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,193.08481481,33.797037037,18.459259259,17.928518519
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,40.01,10.411052632,7.0705263158,7.5973684211
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,360.16464286,76.320714286,55.533928571,53.145357143
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,9304,0.4267293637,0.0461683147,0.0315348237,0.0315348237
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,4.3665,0.2191818182,0.1718030303,0.1718030303
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,95.88,15.34,8.6811111111,9.8333333333
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,50,34.58,23.72125,20.08125
1053486472,SALCEDO,ANNA,F,MD,F,I,10001 S EASTERN AVE,SUTIE 407,HENDERSON,NV,890523907,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,29,29,50.068965517,33,23.105172414,23.105172414
1053486530,MEDAPATI,UMA,,MD,F,I,6511 SPRING BROOK AVE,,RHINEBECK,NY,125723709,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,18,119.875,17,12.589444444,12.802222222
1053486530,MEDAPATI,UMA,,MD,F,I,6511 SPRING BROOK AVE,,RHINEBECK,NY,125723709,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,24,629.95458333,72.5275,52.279583333,50.205833333
1053486605,ALLAM,AFDAL,I,M.D.,M,I,8970 WARNER AVE,,FOUNTAIN VALLEY,CA,927083211,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2527,0.5284052236,0.0479026514,0.0339097744,0.0339097744
1053486654,DUTKO,JOANN,,PA-C,F,I,ROUTE 29,MONROE-NOXEN HEALTH CENTER,NOXEN,PA,186369766,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,37,86,70.806976744,8.32,5.696627907,5.696627907
1053486654,DUTKO,JOANN,,PA-C,F,I,ROUTE 29,MONROE-NOXEN HEALTH CENTER,NOXEN,PA,186369766,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,14.024666667,1.42,0.896,0.896
1053486654,DUTKO,JOANN,,PA-C,F,I,ROUTE 29,MONROE-NOXEN HEALTH CENTER,NOXEN,PA,186369766,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,15,403.706,71.06,55.71,54.795333333
1053486654,DUTKO,JOANN,,PA-C,F,I,ROUTE 29,MONROE-NOXEN HEALTH CENTER,NOXEN,PA,186369766,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1649,1.6649605822,0.1309096422,0.0993268648,0.0993268648
1053486654,DUTKO,JOANN,,PA-C,F,I,ROUTE 29,MONROE-NOXEN HEALTH CENTER,NOXEN,PA,186369766,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,88,33,25.87,25.87
1053486662,TRONTELL,MARIE,,,F,I,125 PATERSON ST,CLINICAL ACADEMIC BUILDING - SUITE 5200B,NEW BRUNSWICK,NJ,089011962,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,565,70,54.88,54.7425
1053486662,TRONTELL,MARIE,,,F,I,125 PATERSON ST,CLINICAL ACADEMIC BUILDING - SUITE 5200B,NEW BRUNSWICK,NJ,089011962,US,Internal Medicine,T,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35,27.44,29.3375
1053486852,STEVENSON,NATALIA,A,FNP,F,I,ELLISVILLE STATE SCHOOL,1101 HWY 11 SOUTH,ELLISVILLE,MS,39437,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,45,1276,8.0701410658,3.35,2.4375940439,2.1960501567
1053486852,STEVENSON,NATALIA,A,FNP,F,I,ELLISVILLE STATE SCHOOL,1101 HWY 11 SOUTH,ELLISVILLE,MS,39437,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,588,15.5,5.79,4.2873979592,3.9109863946
1053486852,STEVENSON,NATALIA,A,FNP,F,I,ELLISVILLE STATE SCHOOL,1101 HWY 11 SOUTH,ELLISVILLE,MS,39437,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,13685,0.7941176471,0.327826087,0.229092437,0.2158962368
1053486852,STEVENSON,NATALIA,A,FNP,F,I,ELLISVILLE STATE SCHOOL,1101 HWY 11 SOUTH,ELLISVILLE,MS,39437,US,Nurse Practitioner,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,10984,2.6449836125,1.31,0.9895420612,0.9111434814
1053486852,STEVENSON,NATALIA,A,FNP,F,I,ELLISVILLE STATE SCHOOL,1101 HWY 11 SOUTH,ELLISVILLE,MS,39437,US,Nurse Practitioner,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,30,5.54,4.34,3.95
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,58,146,63.789246575,8.32,6.2095205479,6.2095205479
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,22,32,13.724375,1.42,1.08,1.08
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,145.93333333,54.924166667,39.481666667,39.288333333
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,71,4.7954929577,2.0950704225,1.5074647887,1.4571830986
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,30,51.182,17.41,12.397666667,12.301333333
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,26,89.248076923,35.508846154,26.581153846,25.670769231
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,40,354.4855,79.3,56.739,50.00125
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,44,4440,1.3138423423,0.133972973,0.0963693694,0.0963671171
1053487108,ERDY,GARY,P,MD,M,I,214 ELM ST,,LONDON,OH,431402173,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,42,42,82.5,33,24.638095238,24.638095238
1053487314,PETERS,RICHARD,B,MD,M,I,2200 KERNAN DR,,BALTIMORE,MD,212076665,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,175,48.196666667,37.785238095,38.536666667
1053487314,PETERS,RICHARD,B,MD,M,I,2200 KERNAN DR,,BALTIMORE,MD,212076665,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,65.312727273,18.84,13.474545455,12.836363636
1053487454,LAYTON,STEVEN,E,P.A. - C,M,I,2919 W SWANN AVE,SUITE 202,TAMPA,FL,336094038,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,19,142.32631579,56.56,44.347894737,40.797894737
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,41,70,67.295142857,8.32,6.1491428571,6.1491428571
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,30,30,16.583666667,1.42,1.0826666667,1.0826666667
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,8.0425,8.0425,5.2583333333,5.7875
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,14,15.295714286,15.295714286,7.7207142857,10.052857143
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,30,10.325333333,10.325333333,5.4033333333,5.9173333333
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,7.4533333333,7.4533333333,4.875,4.8816666667
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,17.79,3,2.352,2.3662424242
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,52,1560,14.16,4.9023076923,3.6811923077,4.0020192308
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,360,13.965,4.14,2.9751944444,2.9751944444
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B4087,"Gastrostomy/jejunostomy tube, standard, any material, any type, each",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,12,195,25,19.6,20.1925
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,4500,2.67,0.37,0.2798355556,0.2798355556
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,51,19934,1.25,0.297983345,0.2261879201,0.2354735628
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5980,3,0.66,0.5174414716,0.5174414716
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,11,11,178,59.51,46.66,48.169090909
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,45,45,175,48.028666667,34.828444444,35.522888889
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,192.58,46.781,34.229,34.3055
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,30.03,5.04,3.95,3.95
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,74,74,37.443243243,10.618108108,8.2204054054,8.3954054054
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,69,69,39.079710145,9.6234782609,7.537826087,7.9198550725
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,12,74,74,475.40878378,208.72594595,153.54702703,153.54689189
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,128,24.457272727,17.404545455,19.948181818
1053487496,HASBROUCK,EDITH,D,MD,F,I,1200 W TABOR RD,SUITE 141,PHILADELPHIA,PA,191413019,US,Physician/Geriatric Medicine,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,3,14,16,49,34.598367347,16.283061224,10.363673469,10.363673469
1053487736,GAMPONIA,EDGAR,C,M.D.,M,I,1255 PINEVIEW DR,,MORGANTOWN,WV,265052713,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,28,28,28,57.297857143,54.913571429,42.269642857,50.164642857
1053487736,GAMPONIA,EDGAR,C,M.D.,M,I,1255 PINEVIEW DR,,MORGANTOWN,WV,265052713,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,19,19,32,29.125,29.125,22.2359375,32.8875
1053487744,CLOAR,ROBERT,B,MD,M,I,10440 E RIGGS RD,SUITE 170,SUN LAKES,AZ,852487757,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,34,146,84.751369863,8.32,6.388630137,6.388630137
1053487744,CLOAR,ROBERT,B,MD,M,I,10440 E RIGGS RD,SUITE 170,SUN LAKES,AZ,852487757,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,51,14.723921569,1.42,1.0268627451,1.0268627451
1053487744,CLOAR,ROBERT,B,MD,M,I,10440 E RIGGS RD,SUITE 170,SUN LAKES,AZ,852487757,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,76.322,12.094666667,9.4826666667,9.1393333333
1053487744,CLOAR,ROBERT,B,MD,M,I,10440 E RIGGS RD,SUITE 170,SUN LAKES,AZ,852487757,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,69,7.6710144928,2.1205797101,1.6628985507,1.5928985507
1053487744,CLOAR,ROBERT,B,MD,M,I,10440 E RIGGS RD,SUITE 170,SUN LAKES,AZ,852487757,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,216.54545455,38.253636364,28.951818182,25.948484848
1053487744,CLOAR,ROBERT,B,MD,M,I,10440 E RIGGS RD,SUITE 170,SUN LAKES,AZ,852487757,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,62,63,274.72825397,75.253015873,55.763015873,53.373015873
1053487744,CLOAR,ROBERT,B,MD,M,I,10440 E RIGGS RD,SUITE 170,SUN LAKES,AZ,852487757,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,71.1175,39.26,29.241,28.098
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,23,59,72.045254237,8.32,5.8579661017,5.8579661017
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,207.36,92.772222222,65.78,60.906111111
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,43,78.002790698,35.415116279,26.555813953,24.713255814
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,16,16,52.64,18.745,13.811875,13.18125
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,43.474117647,12.047647059,8.8911764706,8.5841176471
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,27,156,7.8976923077,2.1769230769,1.6443589744,1.5305769231
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.52,17.52,12.04,11.856666667
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,15.592916667,3.85375,2.4533333333,2.9579166667
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,103.54857143,33.11,24.518095238,25.199047619
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,155,155,511.30896774,77.638064516,57.584258065,52.255290323
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2002,1.5463436563,0.1341258741,0.097027972,0.097027972
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,285.6,38.76,28.294137931,27.474827586
1053488007,LIEBENTRITT,MATTHEW,A,D.O.,M,I,12169 SHERIDAN BLVD,,BROOMFIELD,CO,800202459,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33,33,23.283,23.283
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,17,64,105,73.824,8.32,5.5811428571,5.5811428571
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,24,26,11.065769231,1.42,0.9030769231,0.9030769231
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1364,0.1215542522,0.12,0.0940762463,0.0940762463
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1244,0.44,0.44,0.3449678457,0.3449678457
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,96.538181818,71.56,55.647272727,55.646818182
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,973,8.2716752312,8.2716752312,6.3867625899,6.3932887975
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,2215,0.4625056433,0.45,0.3528081264,0.3528081264
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,775,13.887845161,4.9,3.8414322581,4.0890451613
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,19,10278,0.7624168126,0.3096983849,0.2428089122,0.2430453396
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3979,1.452186479,0.6598341292,0.5173083689,0.517439055
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,15,16,130.575,62,48.61,48.446875
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17,17,11.405454545,11.62
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,78,78,50.031818182,44.779090909
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,23,24,30,5.43,4.25,4.0375
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,35,519.51,78,59.402857143,53.349714286
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1470,1.1316938776,0.1434285714,0.1124693878,0.1124693878
1053488098,SOODAN,RAVINDER,S,MD,M,I,72 SHARP ST,SUITE A10,HINGHAM,MA,02043,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,78.692307692,33,25.87,25.87
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,22,29.69,29.69,23.28,23.28
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,228,2.49,2.49,1.9516666667,1.9516666667
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,30,30,5.54,5.54,4.34,4.34
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,29,29,10.93,10.93,8.57,8.57
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,22,2712,0.44,0.44,0.3449668142,0.3449668142
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,714,34.86,34.86,27.330294118,27.330294118
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,33,68,2018,8.28,8.28,6.4916352825,6.4916352825
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,16,34,998,18.5,18.5,14.503997996,14.503997996
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,30,1764,5.95,5.95,4.664829932,4.664829932
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,156,10.93,10.93,8.5691666667,8.5691666667
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,199,2.4,2.4,1.8816080402,1.8816080402
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,244,3.67,3.67,2.8773770492,2.8773770492
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,15,30,3568,0.45,0.45,0.3528139013,0.3528139013
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,11,86,114.79651163,24.292674419,19.045232558,19.196627907
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,405,51.1775,40.125,41.796666667
1053488114,CHEEMA,CHANDAN,D,MD,M,I,6608 MERCY CT STE B,,FAIR OAKS,CA,956283171,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,109.72222222,25.720555556,20.164444444,18.042777778
1053488221,PAKULSKI,DAVID,A,"OD, PA",M,I,10 HIGH ST,,SKOWHEGAN,ME,049761852,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,17,55.176470588,46.711764706,34.172941176,41.139411765
1053488403,LEFLER,CHARLES,D,MD,M,I,89 MEDICAL PARK DR,STE A,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,14,48,124,73.738548387,8.3147580645,5.4830645161,5.4871774194
1053488403,LEFLER,CHARLES,D,MD,M,I,89 MEDICAL PARK DR,STE A,BREVARD,NC,28712,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,16,13.78,1.42,1.0475,1.0475
1053488403,LEFLER,CHARLES,D,MD,M,I,89 MEDICAL PARK DR,STE A,BREVARD,NC,28712,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,24.620714286,7.535,5.9042857143,3.86
1053488452,BRAATEN,ARNDT,B,,M,I,1025 10TH AVE NE,,DEER RIVER,MN,566368703,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,18,17.503636364,13.722727273,13.534545455
1053488452,BRAATEN,ARNDT,B,,M,I,1025 10TH AVE NE,,DEER RIVER,MN,566368703,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,79.8,72.109090909,56.532727273,54.73
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,11,14,28,4.6585714286,0.51,0.4,0.4
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,82,247,715,58.556895105,8.32,5.914041958,5.914041958
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,24,49,49,13.258367347,3.38,2.3255102041,2.3255102041
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,22,27,27,18.621481481,2.12,1.67,1.67
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,43,96,184,16.969782609,1.42,0.9877717391,0.9877717391
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,290.41090909,102.40909091,80.285454545,69.330909091
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,192.46947368,58.64,44.97,42.841578947
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,59.979411765,19.287647059,15.122352941,14.203529412
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,25,25,53.1048,14.2172,11.146,9.372
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,26,131,7.5416793893,2.1550381679,1.6891603053,1.6217557252
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,11,12,12,47.153333333,14.0775,10.1225,9.6483333333
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,56,17.96,14.08,13.57
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,62,62,34.606612903,3.9777419355,2.9290322581,3.3593548387
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,71,395.82957746,86.84,64.474929577,52.065352113
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,24,4803,0.2325255049,0.0465688112,0.026945659,0.026945659
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2188461538,0.1467948718,0.1467948718
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,63.996923077,21.566153846,16.911538462,15.501538462
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,577.42,144.98076923,103.08692308,103.13307692
1053488502,FAKADEJ,MARIA,,M.D.,F,I,11618 US HIGHWAY 70 W,SUITE 200,CLAYTON,NC,275202275,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,33,33,75,33,23.51,23.51
1053488692,NARUSEVICIUS,LILY,S,MD,F,I,30 NEW CROSSING RD,SUITE 200,READING,MA,018673270,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,54,131,75.002137405,8.32,5.8248091603,5.8248091603
1053488692,NARUSEVICIUS,LILY,S,MD,F,I,30 NEW CROSSING RD,SUITE 200,READING,MA,018673270,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,24,36,14.143611111,1.42,1.1166666667,1.1166666667
1053488692,NARUSEVICIUS,LILY,S,MD,F,I,30 NEW CROSSING RD,SUITE 200,READING,MA,018673270,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,20,13.079,9.29,5.825,7.1115
1053488718,HRBEK,MARJORIE,J,MD,F,I,4212 NE BROADWAY ST,,PORTLAND,OR,972131460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,74.574285714,8.32,5.3585714286,5.3585714286
1053488718,HRBEK,MARJORIE,J,MD,F,I,4212 NE BROADWAY ST,,PORTLAND,OR,972131460,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,7.5041666667,5.8816666667,3.88
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,13,169,51.425443787,19.638461538,13.018934911,13.018934911
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,430,6.21,2.631627907,1.7743488372,1.7743488372
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,4.9172727273,0.51,0.4,0.4
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,51,170,399,1881,63.451477937,8.32,6.2101754386,6.2101754386
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,9,27,49,49,13.18244898,3.38,2.65,2.65
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,21,26,26,21.950769231,2.12,1.6057692308,1.6057692308
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,36,81,154,357,14.08745098,1.42,1.0603921569,1.0603921569
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,15,15,15,55.135333333,46.395333333,35.329333333,56.767333333
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,744.75,345.2475,270.6725,270.6725
1053488866,PATEL,PRAGNESH,M,MD,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,665.985625,246.72125,193.42875,196.87
1053489187,JETER,JULIE,W,MD,F,I,1924 ALCOA HWY # U67,,KNOXVILLE,TN,379201511,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,15,41,80.421707317,8.32,5.0063414634,5.0063414634
1053489187,JETER,JULIE,W,MD,F,I,1924 ALCOA HWY # U67,,KNOXVILLE,TN,379201511,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,18.68,14.64,13.53
1053489187,JETER,JULIE,W,MD,F,I,1924 ALCOA HWY # U67,,KNOXVILLE,TN,379201511,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,679.408,87,60.7615,48.63
1053489583,CARDWELL,SILAS,G,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,26,60,265,46.498075472,8.32,6.1864150943,6.1864150943
1053489583,CARDWELL,SILAS,G,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,24,24,14.791666667,3.38,2.31875,2.31875
1053489583,CARDWELL,SILAS,G,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,21.28,2.12,1.4473333333,1.4473333333
1053489583,CARDWELL,SILAS,G,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,25,55,123,14.564146341,1.42,1.096097561,1.096097561
1053489583,CARDWELL,SILAS,G,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,71.42,17.705454545,13.876363636,14.269090909
1053489583,CARDWELL,SILAS,G,M.D.,M,I,2799 W GRAND BLVD,,DETROIT,MI,482022608,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,20.761538462,7.56,5.9323076923,6.6330769231
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,40,58,58,88.916896552,43.311551724,32.398103448,29.347586207
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,8.0175,1.5266666667,0.9070833333,0.8625
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,24,36,36,250.67555556,97.551111111,73.650555556,66.383055556
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,16,38,63,98.384285714,38.345238095,28.914444444,24.79984127
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,19,61,47.674098361,18.594590164,14.11442623,14.063114754
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,12,18,55,36.733090909,16.949636364,11.548363636,10.153454545
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,40,56,56,147.61678571,62.270714286,46.515357143,41.029285714
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,66,78,78,50.456538462,20.956923077,16.090897436,13.958589744
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,20.87,11.115833333,8.7166666667,8.1925
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,31,31,58.896774194,13.699354839,10.424516129,9.1819354839
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,68,122,382,7.0977748691,2.2838743455,1.6964136126,1.515026178
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,18,18,18.917777778,6.8972222222,5.4038888889,4.6677777778
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,21,24,24,31.61375,14.227916667,10.8725,10.3275
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,19,169,171,44.59245614,19.068888889,13.743157895,12.719415205
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,19,115.57631579,53.57,39.829473684,35.649473684
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,4357.3688889,1074.31,839.8537037,839.8537037
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,47,48,310.12333333,115.40520833,87.48625,71.646458333
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,32,33,909.49,286.10090909,219.95818182,165.81
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,17,17,17,341.68588235,156.16294118,116.3,98.547647059
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,11,47,250,253,39.308735178,14.669683794,10.598339921,9.8789328063
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,58,374,376,123.67941489,38.301781915,27.911888298,24.436941489
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,30,255,255,311.69843137,83.159686275,61.755176471,54.350666667
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,130,38.227916667,29.96875,29.510833333
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,1560,18.974205128,9.6691538462,7.4908974359,7.4908974359
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,17.901858974,11.514384615,8.8433846154,8.8433846154
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,3333,0.2829252925,0.048079808,0.0182388239,0.0182388239
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,18,2037,1.4838389789,0.1348208149,0.0950073638,0.0950073638
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,32,1980,8.7882575758,3.0891212121,2.3494393939,2.3494393939
1053490177,BLAMOUN,JOHN,,MD,M,I,4201 CAMPUS RIDGE DRIVE,,MIDLAND,MI,48640,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,63,64,73.21875,33,23.3775,23.3775
1053490326,DANIEL,SURESH,,MD,M,I,2515 BUSINESS CENTER DR,,PEARLAND,TX,775842294,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,67,5.7556716418,2.4611940299,1.9295522388,1.5852238806
1053490359,GHOBRAIEL,RAAFAT,,M.D.,M,I,79 BRUNSWICK WOODS DR,,EAST BRUNSWICK,NJ,088165601,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,34,86.744705882,8.32,4.7991176471,4.7991176471
1053490425,OELLER,TRACY,L,PA,F,I,6100 LAKE WORTH BLVD,,FORT WORTH,TX,761353703,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,25,69.3564,8.32,6.2632,6.2632
1053490458,WALSH-PHILIP,JOAN,T,D.P.M.,F,I,406 CRABTREE DR,,LEVITTOWN,PA,190551644,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,68,68,53.31,54.833636364
1053490839,NEMECHEK,ANDREW,J,MD,M,I,701 E HAMPDEN AVE STE 225,,ENGLEWOOD,CO,801132737,US,Physician/Otolaryngology,S,A4481,"Tracheostoma filter, any type, any size, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,780,0.7666666667,0.42,0.3293333333,0.3293333333
1053490839,NEMECHEK,ANDREW,J,MD,M,I,701 E HAMPDEN AVE STE 225,,ENGLEWOOD,CO,801132737,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,1200,3.5095916667,2.8,2.1952,2.1952
1053490839,NEMECHEK,ANDREW,J,MD,M,I,701 E HAMPDEN AVE STE 225,,ENGLEWOOD,CO,801132737,US,Physician/Otolaryngology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,14,376,125.55797872,4.323537234,3.3373404255,3.1979787234
1053490839,NEMECHEK,ANDREW,J,MD,M,I,701 E HAMPDEN AVE STE 225,,ENGLEWOOD,CO,801132737,US,Physician/Otolaryngology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,12,6673,2.4456316499,0.3341135921,0.2619466507,0.24390529
1053490839,NEMECHEK,ANDREW,J,MD,M,I,701 E HAMPDEN AVE STE 225,,ENGLEWOOD,CO,801132737,US,Physician/Otolaryngology,S,E1700,Jaw motion rehabilitation system,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,48.55,28.791,21.5005,22.514
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,47,83,235,765,68.804300654,8.32,5.7987973856,5.7987973856
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,15,36,36,15.186666667,3.38,2.5027777778,2.5027777778
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,16,22,22,20.573636364,2.12,1.67,1.67
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,51,120,208,15.051634615,1.42,0.9959615385,0.9959615385
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,464.88333333,85,61.086666667,62.311666667
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,34,180.13676471,32.920588235,23.550588235,23.657352941
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,18,91,78.93967033,19.831648352,14.42043956,13.413076923
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,22,22,253.51636364,63.038181818,45.044090909,38.735
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,18,18,84.917222222,19.980555556,15.661111111,14.064444444
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,11,30,30,80.728,14.221,10.496666667,8.4956666667
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,35,198,11.495151515,2.2567676768,1.685,1.5065656566
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,11,15,15,55.906,13.83,10.478,9.968
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,115.63384615,57.995384615,45.469230769,41.816153846
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,706.47454545,31.5,20.209090909,19.129090909
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,15.973076923,11.663076923,9.1392307692,9.1115384615
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,694.76090909,77.384242424,58.934545455,53.591818182
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,140.84347826,36.886956522,27.662608696,28.23826087
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,2280,16.400350877,10.678403509,8.3718640351,8.3718640351
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,,17,2067,1.6479825835,0.1297145622,0.0912433478,0.0912433478
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,112.78,29.029411765,16.685294118,15.263529412
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,37.9248,8.1576,4.0292,3.9808
1053490920,KHAN,MANSOOR,,MD,M,I,800 BIESTERFIELD RD # 407,,ELK GROVE VILLAGE,IL,600073311,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,11,17,17,62.117647059,33,22.826470588,22.826470588
1053490938,HUGHES,NIKKI,,MD,F,I,4445 S LEE ST,SUITE 100,BUFORD,GA,305188804,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,64,55.90375,8.32,6.52265625,6.52265625
1053491027,SPECHT,JENNIFER,M,,F,I,AMBULATORY CLINIC,825 EASTLAKE AVENUE EAST,SEATTLE,WA,98109,US,Physician/Medical Oncology,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,980,7.4728571429,1.7847755102,1.3992142857,1.3992142857
1053491027,SPECHT,JENNIFER,M,,F,I,AMBULATORY CLINIC,825 EASTLAKE AVENUE EAST,SEATTLE,WA,98109,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,34,2224,25.410732914,5.3845863309,4.2214883094,4.2214883094
1053491027,SPECHT,JENNIFER,M,,F,I,AMBULATORY CLINIC,825 EASTLAKE AVENUE EAST,SEATTLE,WA,98109,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,18,18,24,24,18.82,18.82
1053491027,SPECHT,JENNIFER,M,,F,I,AMBULATORY CLINIC,825 EASTLAKE AVENUE EAST,SEATTLE,WA,98109,US,Physician/Medical Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,37,16,16,12.54,12.54
1053491050,CHOWDHURY-JACKSON,ZEENAT,,M.D.,F,I,15921 W AJO HWY,,TUCSON,AZ,857352032,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,24,41,70.734390244,8.32,5.5673170732,5.5673170732
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,46,88,88,110.54284091,39.570681818,28.780113636,28.327272727
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A4618,Breathing circuits,D1E - Other DME,Durable Medical Equipment,N,1,,13,37,2.0662162162,1.802972973,1.4143243243,1.4778378378
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,47,87,87,277.56,85.91954023,63.563563218,64.025172414
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,43,91,197,89.521370558,33.142639594,24.55142132,24.501370558
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,37,74,359,47.204818942,18.444289694,13.704345404,13.793593315
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,29,65,329,41.690516717,14.997598784,10.644316109,10.771246201
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,65,126,126,155.38626984,55.523253968,40.985873016,40.356031746
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,104,137,137,53.732627737,17.408832117,13.113284672,13.508832117
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,24,28,28,27.617142857,10.053571429,7.6028571429,7.8428571429
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,62,119,119,63.342689076,11.525378151,8.557394958,8.6350420168
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,106,220,1207,8.4335625518,2.0048467274,1.476031483,1.4944573322
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,36,45,45,22.049777778,6.0171111111,4.5048888889,4.4471111111
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,61,83,83,41.513253012,12.811686747,9.6879518072,9.9801204819
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,27,33.530740741,17.32,12.574074074,12.548888889
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,2029.33,1074.31,842.26,842.26
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,56,56,2029.33,1074.31,836.43375,836.43375
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,21,106,109,365.07577982,84.133761468,61.519541284,61.919174312
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,17,17,470.84294118,131.08235294,96.771764706,98.524705882
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,30,35,65.321714286,13.235714286,10.086,10.175714286
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,22,94,96,189.30416667,34.1121875,24.869166667,24.671770833
1053491324,ALAPAT,PHILIP,,MD,M,I,1504 TAUB LOOP,,HOUSTON,TX,770301608,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,27,186.32814815,76.58,55.583333333,52.24
1053491332,WIJEYAKUMAR,VIJAYALAKSHMI,,M.D.,F,I,11100 WARNER AVE,SUITE 212,FOUNTAIN VALLEY,CA,927087506,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,1530,5.7639477124,0.5545294118,0.4032810458,0.4032810458
1053491332,WIJEYAKUMAR,VIJAYALAKSHMI,,M.D.,F,I,11100 WARNER AVE,SUITE 212,FOUNTAIN VALLEY,CA,927087506,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,32,4800,0.1076645833,0.0130625,0.0095604167,0.0095604167
1053491332,WIJEYAKUMAR,VIJAYALAKSHMI,,M.D.,F,I,11100 WARNER AVE,SUITE 212,FOUNTAIN VALLEY,CA,927087506,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,3360,1.7706785714,0.740125,0.527702381,0.527702381
1053491332,WIJEYAKUMAR,VIJAYALAKSHMI,,M.D.,F,I,11100 WARNER AVE,SUITE 212,FOUNTAIN VALLEY,CA,927087506,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,32,2820,3.348535461,1.2253617021,0.9458758865,0.9458758865
1053491332,WIJEYAKUMAR,VIJAYALAKSHMI,,M.D.,F,I,11100 WARNER AVE,SUITE 212,FOUNTAIN VALLEY,CA,927087506,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,24,24,17.578974359,17.578974359
1053491332,WIJEYAKUMAR,VIJAYALAKSHMI,,M.D.,F,I,11100 WARNER AVE,SUITE 212,FOUNTAIN VALLEY,CA,927087506,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,52,72,16,16,12.045833333,12.045833333
1053491530,HOUDA,JOSEPH,H,MD,M,I,2566 HAYMAKER ROAD,SUITE 203,MONROEVILLE,PA,151463554,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,270.625,96.33875,75.53125,58.015
1053491530,HOUDA,JOSEPH,H,MD,M,I,2566 HAYMAKER ROAD,SUITE 203,MONROEVILLE,PA,151463554,US,Physician/Thoracic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,30.111666667
1053491548,RAJDEV,LAKSHMI,N,MD,F,I,WEILER - DEPT. OF ONCOLOGY,1695 EASTCHESTER ROAD,BRONX,NY,10461,US,Physician/Medical Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,88,2.9045454545,2.9045454545,2.2769318182,2.28125
1053491548,RAJDEV,LAKSHMI,N,MD,F,I,WEILER - DEPT. OF ONCOLOGY,1695 EASTCHESTER ROAD,BRONX,NY,10461,US,Physician/Medical Oncology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,40,6.431,6.431,4.79325,4.801
1053491548,RAJDEV,LAKSHMI,N,MD,F,I,WEILER - DEPT. OF ONCOLOGY,1695 EASTCHESTER ROAD,BRONX,NY,10461,US,Physician/Medical Oncology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,4.0227272727,4.0227272727,2.8665454545,2.8722727273
1053491548,RAJDEV,LAKSHMI,N,MD,F,I,WEILER - DEPT. OF ONCOLOGY,1695 EASTCHESTER ROAD,BRONX,NY,10461,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,29,3762,39.149853801,4.7421105795,3.7060287081,3.7060287081
1053491548,RAJDEV,LAKSHMI,N,MD,F,I,WEILER - DEPT. OF ONCOLOGY,1695 EASTCHESTER ROAD,BRONX,NY,10461,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,11,28,28,24,24,18.82,18.82
1053491597,INAMDAR,NINA,,M.D.,F,I,1450 WASHINGTON BLVD,,STAMFORD,CT,069022451,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,66,49.576060606,8.32,6.3236363636,6.3236363636
1053491597,INAMDAR,NINA,,M.D.,F,I,1450 WASHINGTON BLVD,,STAMFORD,CT,069022451,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,23,12.114782609,1.42,1.067826087,1.067826087
1053491597,INAMDAR,NINA,,M.D.,F,I,1450 WASHINGTON BLVD,,STAMFORD,CT,069022451,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,3576,2.7849832215,0.36,0.2822371365,0.2895749441
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,125,128,10.90125,7.63078125,5.655234375,6.457578125
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4320,"Irrigation tray with bulb or piston syringe, any purpose",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,25,25,12,6.01,3.9564,3.9564
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,92,12814,0.2242235055,0.126179179,0.0973482129,0.1001576401
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,90,90,46,35.74,27.086,27.086
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,25,24.6,17.696,12.2648,12.5404
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,27,174,27106,2.6859226739,1.904479451,1.4425186306,1.5424050026
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,36,6256,7.2665089514,5.5074168798,4.2417774936,5.5340569054
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,40,3429,9.4904695246,7.88,6.1342023914,6.1342023914
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,53,78,14.021410256,10.827435897,7.9564102564,8.0412820513
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,100,109,10.921100917,7.4188990826,5.5035779817,5.5378899083
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,38,204,2.8685784314,1.7996078431,1.3274019608,1.3277941176
1053491811,FERGUSON,SCOTT,F,MD,M,I,715 W SHERMAN AVE,SUITE A,HARRISON,AR,72601,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,60,5.052,4.84,2.8673333333,4.226
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,57,62.734561404,8.32,6.2936842105,6.2936842105
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,14,14,86.8,41.03,32.16,30.49
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,51.450625,19.0225,14.905625,14.10125
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,28,5.6371428571,2.2114285714,1.7332142857,1.5989285714
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,20.3,5.7734482759,4.4055172414,3.4565517241
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,48,48,155.05875,32.25,23.497708333,23.518333333
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,69.62,45.705,45.849166667
1053492231,DUXBURY,MELISSA,A,M.D.,F,I,300 DERRY RD,,HUDSON,NH,030513023,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1602,0.3291510612,0.0469038702,0.0271785268,0.0271785268
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,30,3200,0.44,0.44,0.344965625,0.344965625
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,948,8.28,8.28,6.4654746835,6.4654746835
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,372,2.4,2.4,1.8816666667,1.8816666667
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,600,0.13,0.13,0.102,0.102
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1536,0.45,0.45,0.3528190104,0.3528190104
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,72,72,151.41944444,18.495,13.101111111,12.467361111
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,14,14,49.027857143,5.9214285714,4.3828571429,3.6185714286
1053492256,MCGUIRE,ANGELA,M,D.O.,F,I,213 E REDWOOD AVE,,SALLISAW,OK,749552811,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,73,73,522.04246575,82.510410959,58.552465753,49.903150685
1053492348,SALMON,CHEVONNE,T,MD,F,I,6525 BELCREST RD,KAISER PERMANENTE PRINCE GEORGE'S MEDICAL CENTER,HYATTSVILLE,MD,207822003,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,71,4.1966197183,2.2445070423,1.7597183099,1.6095774648
1053492348,SALMON,CHEVONNE,T,MD,F,I,6525 BELCREST RD,KAISER PERMANENTE PRINCE GEORGE'S MEDICAL CENTER,HYATTSVILLE,MD,207822003,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,31,38,45.651052632,31.533157895,23.105263158,23.394473684
1053492348,SALMON,CHEVONNE,T,MD,F,I,6525 BELCREST RD,KAISER PERMANENTE PRINCE GEORGE'S MEDICAL CENTER,HYATTSVILLE,MD,207822003,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75,17.816666667,13.965,13.826666667
1053492645,BRAND,WOODROW,W,MD,M,I,806 EARL FRYE BLVD,,AMORY,MS,38821,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,400,11.7323,6.968,5.463,5.472375
1053492645,BRAND,WOODROW,W,MD,M,I,806 EARL FRYE BLVD,,AMORY,MS,38821,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,1200,2.8615,1.939,1.3814583333,1.3885083333
1053492827,BERG,TONY,L,MD,M,I,809 JACKSON ST,,BURKE,SD,575232065,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,34,51.467647059,8.32,4.9864705882,4.9864705882
1053492827,BERG,TONY,L,MD,M,I,809 JACKSON ST,,BURKE,SD,575232065,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,73,11.592328767,3.2463013699,2.3906849315,1.4532876712
1053492827,BERG,TONY,L,MD,M,I,809 JACKSON ST,,BURKE,SD,575232065,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.31,22.4775,16.3775,12.904166667
1053492827,BERG,TONY,L,MD,M,I,809 JACKSON ST,,BURKE,SD,575232065,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,519.51,102.61833333,74.058333333,48.753333333
1053492827,BERG,TONY,L,MD,M,I,809 JACKSON ST,,BURKE,SD,575232065,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,519.51,99.33106383,65.649574468,45.838085106
1053492827,BERG,TONY,L,MD,M,I,809 JACKSON ST,,BURKE,SD,575232065,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,990,0.92,0.1338181818,0.0939090909,0.0939090909
1053492827,BERG,TONY,L,MD,M,I,809 JACKSON ST,,BURKE,SD,575232065,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,90.315789474,33,19.062105263,19.062105263
1053492959,LEBENTHAL,ABRAHAM,,M.D.,M,I,75 FRANCIS ST,DIVISION OF THORACIC SURGERY BWH,BOSTON,MA,021156110,US,Physician/General Surgery,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,12,249,31.262168675,4.9522891566,3.8826506024,4.1630923695
1053492959,LEBENTHAL,ABRAHAM,,M.D.,M,I,75 FRANCIS ST,DIVISION OF THORACIC SURGERY BWH,BOSTON,MA,021156110,US,Physician/General Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,14,15,303.14466667,61.572,48.275333333,48.474666667
1053492959,LEBENTHAL,ABRAHAM,,M.D.,M,I,75 FRANCIS ST,DIVISION OF THORACIC SURGERY BWH,BOSTON,MA,021156110,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,80.455,54.73
1053492959,LEBENTHAL,ABRAHAM,,M.D.,M,I,75 FRANCIS ST,DIVISION OF THORACIC SURGERY BWH,BOSTON,MA,021156110,US,Physician/General Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,29.515833333
1053493106,RUBAYI,SALAH,,M.D.,M,I,7601 IMPERIAL HWY,,DOWNEY,CA,902423456,US,Plastic Surgery,T,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,15,11.717333333,10.802,7.9153333333,8.0053333333
1053493106,RUBAYI,SALAH,,M.D.,M,I,7601 IMPERIAL HWY,,DOWNEY,CA,902423456,US,Plastic Surgery,T,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,260,0.092,0.092,0.0667692308,0.0840769231
1053493106,RUBAYI,SALAH,,M.D.,M,I,7601 IMPERIAL HWY,,DOWNEY,CA,902423456,US,Plastic Surgery,T,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,12,46.073333333,37.053333333,26.5075,28.0025
1053493106,RUBAYI,SALAH,,M.D.,M,I,7601 IMPERIAL HWY,,DOWNEY,CA,902423456,US,Plastic Surgery,T,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,682.37454545,137.42818182,99.010909091,118.11636364
1053493569,CROSS,ROBERT,D,MD,M,I,7519 HOSPITAL DR,,GLOUCESTER,VA,230614178,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,17,13.33,13.54
1053493569,CROSS,ROBERT,D,MD,M,I,7519 HOSPITAL DR,,GLOUCESTER,VA,230614178,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,23,46.223478261,4.5443478261,3.5669565217,3.7956521739
1053493569,CROSS,ROBERT,D,MD,M,I,7519 HOSPITAL DR,,GLOUCESTER,VA,230614178,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,78.23,61.33,54.72
1053493734,PRAKASAM,LILIANA,P,F.N.P.,F,I,219 N SANBORN RD,,SALINAS,CA,939052218,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,19,22,49.008636364,8.32,5.6377272727,5.6377272727
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,99.736,21.44,15.812,12.628
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,2,,11,13,163.35,29.395384615,23.041538462,24.12
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,567.704,96.140666667,71.391333333,51.079333333
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,36,1470,4.9246258503,0.4379591837,0.3434081633,0.3434081633
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,1540,11.324545455,2.5716753247,1.8973116883,1.8972987013
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,20,20,187,15160,5.7694340369,0.5653502639,0.4359432718,0.4359412929
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,63,15985,0.0895351892,0.013222396,0.0101914295,0.0101914295
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,32,4458,1.7873239121,0.7081090175,0.5503903096,0.5503903096
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,3720,0.6255,0.6255,0.4903763441,0.4903763441
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,390,17.243358974,7.492,5.8737179487,5.8737179487
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,28,31,178,178,24.033707865,24,18.670955056,18.670955056
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,26,30,193,223,16.035874439,16,12.315336323,12.315336323
1053493924,SNYDER,LAURIE,D,MD,F,I,4101 N ROXBORO ST,,DURHAM,NC,277042121,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,35,33,23.714166667,23.714166667
1053493981,COLVILLE,MARTHA,J,MD,F,I,15740 S OUTER 40 RD,,CHESTERFIELD,MO,630172004,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,22.49,6.884375,5.39625,3.59
1053493981,COLVILLE,MARTHA,J,MD,F,I,15740 S OUTER 40 RD,,CHESTERFIELD,MO,630172004,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.89,45.002727273,35.284545455,29.516363636
1053494278,AYERTEY,KODJO,,MD,M,I,35 COLLIER RD NW,STE 635,ATLANTA,GA,303091613,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,113.06818182,19.78,14.224545455,13.098181818
1053494435,FANNING,JOHN,M,DO,M,I,8 MORTON AVE,SUITE 303,RIDLEY PARK,PA,190782210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,16,37,87,60.21816092,8.32,6.2216091954,6.2216091954
1053494435,FANNING,JOHN,M,DO,M,I,8 MORTON AVE,SUITE 303,RIDLEY PARK,PA,190782210,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,25,29,11.89,1.42,1.0013793103,1.0013793103
1053495077,TAKAMI,MIMI,S,,F,I,1500 EAST MEDICAL CENTER DR,3RD FLOOR TAUBMAN CTR RECP D,ANN ARBOR,MI,481095362,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,275,5.5,4.1682777778,4.0316944444
1053495077,TAKAMI,MIMI,S,,F,I,1500 EAST MEDICAL CENTER DR,3RD FLOOR TAUBMAN CTR RECP D,ANN ARBOR,MI,481095362,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3600,3.644,0.39,0.2802861111,0.2672027778
1053495119,JUEL,VERN,,,M,I,2100 ERWIN RD,,DURHAM,NC,277100001,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,89.824545455,58.833636364,46.123636364,34.452727273
1053495390,KHODOSH,ZINAIDA,,M.D.,F,I,8415 4TH AVE,APT.#A2,BROOKLYN,NY,112094654,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,42,79,1542.0313924,8.32,4.8915189873,4.8915189873
1053495390,KHODOSH,ZINAIDA,,M.D.,F,I,8415 4TH AVE,APT.#A2,BROOKLYN,NY,112094654,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,25,25,43.186,1.42,0.7616,0.7616
1053495390,KHODOSH,ZINAIDA,,M.D.,F,I,8415 4TH AVE,APT.#A2,BROOKLYN,NY,112094654,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3328,0.3835186298,0.0466676683,0.0281280048,0.0281280048
1053495390,KHODOSH,ZINAIDA,,M.D.,F,I,8415 4TH AVE,APT.#A2,BROOKLYN,NY,112094654,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,615,3.2943902439,0.2186829268,0.1450243902,0.1450243902
1053495390,KHODOSH,ZINAIDA,,M.D.,F,I,8415 4TH AVE,APT.#A2,BROOKLYN,NY,112094654,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,33,33,19.89,19.89
1053495408,MILLILI,DAVID,M,DPM,M,I,3 COOPER PLZ,SUITE 502,CAMDEN,NJ,081031438,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,37,37,74,72.872972973,71.272162162,54.145,54.369864865
1053495408,MILLILI,DAVID,M,DPM,M,I,3 COOPER PLZ,SUITE 502,CAMDEN,NJ,081031438,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,84,29.64,29.167142857,22.867142857,22.886547619
1053495408,MILLILI,DAVID,M,DPM,M,I,3 COOPER PLZ,SUITE 502,CAMDEN,NJ,081031438,US,Podiatry,S,L5000,"Partial foot, shoe insert with longitudinal arch, toe filler",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,19,20,506.7855,487.8975,378.4455,417.222
1053495424,VELASQUEZ-MORFIN,VERONICA,,M.D.,F,I,4327 GOLDEN CENTER DR,,PLACERVILLE,CA,956676260,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,139.28733333,16.98,11.535333333,11.763333333
1053495424,VELASQUEZ-MORFIN,VERONICA,,M.D.,F,I,4327 GOLDEN CENTER DR,,PLACERVILLE,CA,956676260,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,521.9137037,71.74,51.714074074,50.371851852
1053495614,JENSEN,ALAN,D,MD,M,I,8761 WEST CENTER RD,SUITE B,OMAHA,NE,681242109,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,27,64,69.87859375,8.32,6.31953125,6.31953125
1053495614,JENSEN,ALAN,D,MD,M,I,8761 WEST CENTER RD,SUITE B,OMAHA,NE,681242109,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,250,28.72,22.52,24.461666667
1053495887,ROSENTHAL,BRENT,H,DPM,M,I,800 W MAIN ST,SUITE 101,FREEHOLD,NJ,077282554,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,15,15,30,83.470333333,71.378666667,50.482,50.624
1053495887,ROSENTHAL,BRENT,H,DPM,M,I,800 W MAIN ST,SUITE 101,FREEHOLD,NJ,077282554,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,62,32.765322581,29.034193548,22.762741935,22.886612903
1053496315,KORICH,ROBERTA,L,N.P.,F,I,367 E MAIN ST,SENECA FAMILY HEALTH CENTER,WATERLOO,NY,131651643,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,46,68.310217391,8.32,5.67,5.67
1053496315,KORICH,ROBERTA,L,N.P.,F,I,367 E MAIN ST,SENECA FAMILY HEALTH CENTER,WATERLOO,NY,131651643,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,15.113636364,1.42,1.0181818182,1.0181818182
1053496315,KORICH,ROBERTA,L,N.P.,F,I,367 E MAIN ST,SENECA FAMILY HEALTH CENTER,WATERLOO,NY,131651643,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,13.55,11.43125,8.96375,9.13125
1053496315,KORICH,ROBERTA,L,N.P.,F,I,367 E MAIN ST,SENECA FAMILY HEALTH CENTER,WATERLOO,NY,131651643,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,12.24,10.3275,8.09,8.45875
1053496315,KORICH,ROBERTA,L,N.P.,F,I,367 E MAIN ST,SENECA FAMILY HEALTH CENTER,WATERLOO,NY,131651643,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,266.3,224.69375,176.155,176.155
1053496349,HOLMES,ROBERT,O,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Rheumatology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,18,8.5,2.0238888889,1.5905555556,1.5922222222
1053496349,HOLMES,ROBERT,O,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Rheumatology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,17.32,17.32,12.61,12.572857143
1053496349,HOLMES,ROBERT,O,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Rheumatology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,36,36,150.37277778,34.9275,23.959722222,20.348888889
1053496349,HOLMES,ROBERT,O,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Rheumatology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,14,76.58,76.58,53.322857143,48.391428571
1053496349,HOLMES,ROBERT,O,D.O.,M,I,137 MEDICAL LN,,POLLOCKSVILLE,NC,285738200,US,Physician/Rheumatology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,59.090909091,19.301818182,13.836363636,12.701818182
1053496372,LOVE,MICHELLE,H,MD,F,I,81 WEST 115TH STREET,HELEN B ATKINSON HEALTH CENTER,NEW YORK,NY,10026,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,71.874166667,8.32,5.4333333333,5.4333333333
1053496422,NICHOLS,ANDREA,M,MD,F,I,178 SUNRISE HWY,,ROCKVILLE CENTRE,NY,115704704,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,32,58,73.76862069,8.32,5.1737931034,5.1737931034
1053496422,NICHOLS,ANDREA,M,MD,F,I,178 SUNRISE HWY,,ROCKVILLE CENTRE,NY,115704704,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,18,25.850555556,1.42,0.9288888889,0.9288888889
1053496422,NICHOLS,ANDREA,M,MD,F,I,178 SUNRISE HWY,,ROCKVILLE CENTRE,NY,115704704,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,375,2.42,2.27,1.6373066667,1.6373066667
1053496422,NICHOLS,ANDREA,M,MD,F,I,178 SUNRISE HWY,,ROCKVILLE CENTRE,NY,115704704,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,3425,0.3945635036,0.0465255474,0.0249576642,0.0249576642
1053496422,NICHOLS,ANDREA,M,MD,F,I,178 SUNRISE HWY,,ROCKVILLE CENTRE,NY,115704704,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1080,12.172731481,2.9732222222,2.1595277778,2.1595277778
1053496422,NICHOLS,ANDREA,M,MD,F,I,178 SUNRISE HWY,,ROCKVILLE CENTRE,NY,115704704,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,36,33,33,20.571388889,20.571388889
1053496745,KOHN,HOWARD,D,,M,I,3844 S LINDBERGH BLVD,STE 120,SAINT LOUIS,MO,631271368,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,37,100,230,67.132347826,8.32,6.1246521739,6.1246521739
1053496745,KOHN,HOWARD,D,,M,I,3844 S LINDBERGH BLVD,STE 120,SAINT LOUIS,MO,631271368,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,56,81,16.551851852,1.42,1.1018518519,1.1018518519
1053496745,KOHN,HOWARD,D,,M,I,3844 S LINDBERGH BLVD,STE 120,SAINT LOUIS,MO,631271368,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,9.998,7,5.1540769231,5.1540769231
1053496745,KOHN,HOWARD,D,,M,I,3844 S LINDBERGH BLVD,STE 120,SAINT LOUIS,MO,631271368,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,34.265454545,3.6981818182,1.6172727273,2.2636363636
1053497073,HILL,CYNTHIA,,MD,F,I,1801 ROZZELLES FERRY RD,,CHARLOTTE,NC,282084228,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,25,71,187,83.23828877,8.32,5.7889839572,5.7889839572
1053497073,HILL,CYNTHIA,,MD,F,I,1801 ROZZELLES FERRY RD,,CHARLOTTE,NC,282084228,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,29,42,17.29,1.42,0.93,0.93
1053497073,HILL,CYNTHIA,,MD,F,I,1801 ROZZELLES FERRY RD,,CHARLOTTE,NC,282084228,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,235.28,79,53.771666667,47.163333333
1053497123,GHAFFAR,UMAR,,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,17.4675,13.69,13.534166667
1053497123,GHAFFAR,UMAR,,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,322.72727273,84.17,60.699090909,50.987575758
1053497123,GHAFFAR,UMAR,,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,65,42.04,28.432857143,25.647619048
1053497123,GHAFFAR,UMAR,,MD,M,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,60.35,24.342666667,19.086666667,15.424
1053497255,SIKORSKI,CHRISTINE,E,PAC,F,I,4045 E BELL RD,STE 125,PHOENIX,AZ,850322236,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,24,204.42,29.51,20.970416667,21.225416667
1053497362,HICKS,SCOTT,C,M.D.,M,I,W129N7055 NORTHFIELD DR,ORTHOPAEDIC SURGERY,MENOMONEE FALLS,WI,530510538,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,12,12,219,85.5,21.96,17.216575342,20.070502283
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,1815,6.1283471074,0.494137741,0.3831570248,0.3831570248
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,31,193,25530,4.7646760674,0.5674187231,0.4402557775,0.4402549941
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,4800,0.0895708333,0.0131270833,0.0099479167,0.0099479167
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,3870,1.4254186047,0.7436899225,0.5401989664,0.5401989664
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,105,17520,4.0659343607,1.3459931507,1.050658105,1.050658105
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,36,6240,4.7231057692,2.8393846154,2.2030737179,2.2030737179
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,360,17.281,7.46725,5.8543333333,5.8543333333
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,34,179,179,24,24,18.501564246,18.501564246
1053497396,KAPROVE,ALISON,,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,41,233,284,16,16,12.453098592,12.453098592
1053498097,JAFARI,MORTAZA,,MD,M,I,176 BLOOMFIELD AVE,,NEWARK,NJ,071041127,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,34,52,62.329423077,8.32,5.3942307692,5.3942307692
1053498097,JAFARI,MORTAZA,,MD,M,I,176 BLOOMFIELD AVE,,NEWARK,NJ,071041127,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,15.3875,1.42,0.84,0.84
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,128.99214286,56.74,44.478571429,42.86
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,43.085454545,20.171818182,15.814545455,14.06
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,48.576153846,13.005384615,10.194615385,9.9576923077
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,73,6.6021917808,2.362739726,1.8526027397,1.6784931507
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,16,108,114,42.637192982,17.459824561,13.236315789,13.180350877
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,45.136666667,37.220833333
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,93.667647059,43.83,28.335294118,30.732352941
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,43.488333333,34.494166667
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1770.26,1074.31,830.30416667,830.30416667
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,2236.17,1074.31,834.28944444,834.28944444
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,227.73076923,73.68,57.76,61.5
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,39.034545455,4.2090909091,3.2972727273,3.9909090909
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,33,33,96.056363636,35.812424242,28.078787879,26.16969697
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,33,267,273,249.05857143,78.488351648,59.982051282,55.322747253
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,58,113.44827586,39.605689655,29.30637931,28.250862069
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,12,37,8583,0.4550017476,0.0452767098,0.0334649889,0.0334649889
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,840,1.5529285714,0.1342142857,0.1052261905,0.1052261905
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,200,41.236551724,32.33137931,29.874482759
1053498170,SHETTY,AJAY,,MD,M,I,1800 MULBERRY ST.,,SCRANTON,PA,185106800,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,16,16,47,47,47.744680851,33,25.319574468,25.319574468
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,29,74,204,66.463088235,8.32,5.3708333333,5.3708333333
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,27,38,14.510526316,1.42,0.9694736842,0.9694736842
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,27,6.7988888889,1.7711111111,1.1781481481,0.98
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,20,86.31,18.68,13.908,12.909
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,18,232.35,53.691111111,37.453888889,33.448888889
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,48.246315789,6.8852631579,4.2442105263,2.6684210526
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,46,49,519.51,87,64.033877551,51.929387755
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,3324,0.2652196149,0.0469434416,0.0235649819,0.0235649819
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,51.411764706,26.542352941,17.625882353,12.354705882
1053498204,GADDIS,RICHARD,M,DO,M,I,266 JOULE ST,,ALCOA,TN,377012422,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,69.473684211,33,23.146842105,23.146842105
1053498212,SPEARMAN,ERIN,V,M.D.,F,I,997 SAINT SEBASTIAN WAY,EG-3027,AUGUSTA,GA,309122613,US,Physician/Psychiatry,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,28,63.546071429,8.32,6.0557142857,6.0557142857
1053498295,NUMRYCH,AMY,S,MD,F,I,1600 116 AVE NE,#102,BELLEVUE,WA,98004,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,38,60.403947368,8.32,6.3502631579,6.3502631579
1053498295,NUMRYCH,AMY,S,MD,F,I,1600 116 AVE NE,#102,BELLEVUE,WA,98004,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,2.37,2.27,1.4661818182,1.4661818182
1053498295,NUMRYCH,AMY,S,MD,F,I,1600 116 AVE NE,#102,BELLEVUE,WA,98004,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,8.8054545455,7.26,4.6595454545,4.8218181818
1053498303,BARRERA,RAUL,,MD,M,I,10418 VALLEY BLVD STE B,,EL MONTE,CA,917313600,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,62,108,77.745462963,8.32,3.332962963,3.332962963
1053498303,BARRERA,RAUL,,MD,M,I,10418 VALLEY BLVD STE B,,EL MONTE,CA,917313600,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,21,44,44,19.221136364,1.42,0.5345454545,0.5345454545
1053498303,BARRERA,RAUL,,MD,M,I,10418 VALLEY BLVD STE B,,EL MONTE,CA,917313600,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1500,2.5,1.73,1.2606866667,1.5036866667
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,44,105,398,51.989623116,8.3085678392,6.1898743719,6.1997487437
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,30,30,14.739333333,3.38,2.65,2.65
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,14,19,19,20.137368421,2.12,1.67,1.67
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,23,51,133,14.38924812,1.42,1.0884210526,1.0884210526
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,19,84.341578947,32.56,25.528947368,25.918947368
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,46.573636364,17.62,12.582727273,12.832727273
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,50.57,11.51,9.03,9.12
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,70,6.785,2.05,1.6064285714,1.5921428571
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,672.98,163.96363636,128.55,125.21454545
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,19,19,65.95,50.167894737,39.328421053,38.958947368
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,18.51,8.6025,6.74,6.8416666667
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,58,263.56586207,68.78,52.990344828,53.738793103
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1230,0.9580406504,0.1345853659,0.1010894309,0.1010894309
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,74.209375,25.684375,20.135625,15.0075
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,47,47,78.440212766,33.159574468,25.562765957,22.385744681
1053498436,DAVIES,DALE,C,M.D.,M,I,115 W LAMBERTH RD STE D,,SHERMAN,TX,750922657,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,94.875,33,24.792083333,24.792083333
1053498519,BEAN,CHARLES,P,PA,M,I,818 SAINT SEBASTIAN WAY STE 403,,AUGUSTA,GA,309012654,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,126,14280,0.3891806723,0.13,0.0823151261,0.0823151261
1053498519,BEAN,CHARLES,P,PA,M,I,818 SAINT SEBASTIAN WAY STE 403,,AUGUSTA,GA,309012654,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,31,161,20850,4.9664748201,2.033942446,1.4759880096,1.4801956835
1053498519,BEAN,CHARLES,P,PA,M,I,818 SAINT SEBASTIAN WAY STE 403,,AUGUSTA,GA,309012654,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,48,6030,9.65,7.1329850746,4.4737628524,4.5281907131
1053498766,YOUN,SUGKEE,,M.D.,M,I,13880 BRADDOCK RD STE 107,,CENTREVILLE,VA,201212460,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,37,72,74.167916667,8.32,5.3105555556,5.3105555556
1053499426,DYER,NICOLE,L,M.D.,F,I,1338 PHAY AVE,,CANON CITY,CO,81212,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,59.259310345,20.423793103,16.009655172,13.744137931
1053499426,DYER,NICOLE,L,M.D.,F,I,1338 PHAY AVE,,CANON CITY,CO,81212,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,34,38.732352941,7.3773529412,5.7829411765,3.9358823529
1053499426,DYER,NICOLE,L,M.D.,F,I,1338 PHAY AVE,,CANON CITY,CO,81212,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,336.42724138,92.65862069,72.644482759,54.73
1053499541,RICHARDS,TODD,A,MD,M,I,370 E VIRGINIA AVE,100,PHOENIX,AZ,850041214,US,Physician/Plastic and Reconstructive Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,21,495,467.87,366.81,305.67047619
1053499541,RICHARDS,TODD,A,MD,M,I,370 E VIRGINIA AVE,100,PHOENIX,AZ,850041214,US,Physician/Plastic and Reconstructive Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,17,21,210,183.93,140.9152381,143.25285714
1053499566,HAYES,RICHARD,M,M.D.,M,I,2000 E LAYTON AVE,,SAINT FRANCIS,WI,532356053,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,41,149,69.693691275,8.32,5.9534228188,5.9534228188
1053499566,HAYES,RICHARD,M,M.D.,M,I,2000 E LAYTON AVE,,SAINT FRANCIS,WI,532356053,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,20,40,13.88525,1.42,1.1125,1.1125
1053499582,"DONALD W. INADOMI, MD, INC",,,,,O,20911 EARL ST,SUITE 320,TORRANCE,CA,905034352,US,Internal Medicine,T,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,165,16.25,7.4813333333,5.8652121212,5.8652121212
1053499582,"DONALD W. INADOMI, MD, INC",,,,,O,20911 EARL ST,SUITE 320,TORRANCE,CA,905034352,US,Internal Medicine,T,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1053499863,FAN,WEI,,MD,M,I,7373 WEST LN,,STOCKTON,CA,952103377,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,1424.4628571,913.16,715.92,833.23571429
1053499970,JAMES,WELDON,G,MD,M,I,4275 BURNHAM AVE STE 340,,LAS VEGAS,NV,891195400,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,22.933846154,5.8376923077,4.2369230769,3.3946153846
1053500223,SCHUSTER,GARY,R,M.D,M,I,1600 116TH AVE NE,STE 202,BELLEVUE,WA,980043056,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,13,31,143,75.501608392,8.32,5.8840559441,5.8840559441
1053500223,SCHUSTER,GARY,R,M.D,M,I,1600 116TH AVE NE,STE 202,BELLEVUE,WA,980043056,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,203.70916667,77.34,51.55,46.141666667
1053500223,SCHUSTER,GARY,R,M.D,M,I,1600 116TH AVE NE,STE 202,BELLEVUE,WA,980043056,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,65,39.3,28.009090909,26.827272727
1053500314,FARLEY,CHAD,W,MD,M,I,15 S 1000 E,SUITE 225,PAYSON,UT,846515590,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,33,33,33,5250,4378.96,3433.11,3433.11
1053500736,TAYLOR,JOEL,R,M.D.,M,I,30 N 1900 E,1C026,SALT LAKE CITY,UT,841320006,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,375,70.48,50.471176471,50.159411765
1053501080,DEVUNI,DEEPIKA,,MD,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,87,17700,4.0361497175,0.5677525424,0.4427853107,0.4427847458
1053501080,DEVUNI,DEEPIKA,,MD,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Gastroenterology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2400,0.09075,0.0130041667,0.0101916667,0.0101916667
1053501080,DEVUNI,DEEPIKA,,MD,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Gastroenterology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,22,3930,2.7410559796,0.743351145,0.5827938931,0.5827938931
1053501080,DEVUNI,DEEPIKA,,MD,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,3720,3.3684704301,1.2187580645,0.9442607527,0.9442607527
1053501080,DEVUNI,DEEPIKA,,MD,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Gastroenterology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,2430,13.950164609,7.4521111111,5.8424526749,5.8424526749
1053501080,DEVUNI,DEEPIKA,,MD,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,16,107,107,24,24,18.64411215,18.64411215
1053501080,DEVUNI,DEEPIKA,,MD,F,I,55 LAKE AVE N,,WORCESTER,MA,016550002,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,80,80,16,16,12.54,12.54
1053501163,ZNIDARSIC,JOSIE,D,D.O.,F,I,9500 EUCLID AVE,SO-10,CLEVELAND,OH,441950001,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,12,22,34.19,13.77,9.8140909091,10.835
1053501163,ZNIDARSIC,JOSIE,D,D.O.,F,I,9500 EUCLID AVE,SO-10,CLEVELAND,OH,441950001,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,20,40,5.80475,2,1.4915,1.5155
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,29,118,63.512457627,8.32,6.0001694915,6.0001694915
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,11,14,13.263571429,1.42,0.8785714286,0.8785714286
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,399.62375,86.37875,59.21,59.461875
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,40,160.124,33.576,23.174,22.82525
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,185.68181818,55.267272727,32.576363636,32.226363636
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,12,15,15,76.787333333,18.358666667,12.506666667,12.21
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,21,21,68.428571429,12.266666667,7.3419047619,6.9928571429
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,24,144,9.6077777778,2.0616666667,1.2827083333,1.2632638889
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,52.006666667,13.1175,9.4308333333,9.4841666667
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,12,12,61.218333333,17.891666667,10.423333333,10.168333333
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,20,26,137.02692308,54.273846154,42.546538462,40.310384615
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,380.24,29.54,16.555,16.7875
1053501452,NICOLESCU,IOAN,V,MD,M,I,2555 MARVIN RD NE,,LACEY,WA,985163138,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,25,25,285.5992,69.7936,45.0276,45.2808
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,31,93,49.918064516,8.32,6.2413978495,6.2413978495
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,26,26,15.192307692,3.38,2.4461538462,2.4461538462
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,24.454545455,2.12,1.5181818182,1.5181818182
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,30,46,15.712826087,1.42,1.0647826087,1.0647826087
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,405,11.216,5.54,4.3434814815,4.3434814815
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,450,8.88,3.97,3.1124666667,3.1124666667
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,56,85.240357143,71.56,56.105,56.105
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,28,28,168,35.094166667,29.19,22.885,22.886309524
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,471,13.555944798,5.68,4.453014862,4.1629936306
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,25,736,8.804076087,4.12,3.1282472826,3.1433152174
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,5768,0.7195423024,0.3792753121,0.2662985437,0.2597000693
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,11915,0.6314007554,0.32,0.2489836341,0.2411993286
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,510.78,79.8,56.872727273,50.466363636
1053501973,GAVINI,RAJENDRA,,M.D.,M,I,12101 WOODCREST EXECUTIVE DR,SUITE 210,SAINT LOUIS,MO,631415047,US,Physician/General Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,155.81909091,39.761818182,29.541818182,28.201818182
1053502260,MORTIMER,BEVERLY,J,ARNP,F,I,1330 N RACE ST,,GLASGOW,KY,421413465,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,32,84,161,47.221180124,8.32,5.8868944099,5.8868944099
1053502260,MORTIMER,BEVERLY,J,ARNP,F,I,1330 N RACE ST,,GLASGOW,KY,421413465,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,22,27,29,11.64137931,1.42,1.0034482759,1.0034482759
1053502260,MORTIMER,BEVERLY,J,ARNP,F,I,1330 N RACE ST,,GLASGOW,KY,421413465,US,Nurse Practitioner,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,36,2160,8.3888842593,7.7622222222,6.0192268519,6.1115740741
1053502260,MORTIMER,BEVERLY,J,ARNP,F,I,1330 N RACE ST,,GLASGOW,KY,421413465,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,101.44,58.640833333,45.973333333,36.589166667
1053502260,MORTIMER,BEVERLY,J,ARNP,F,I,1330 N RACE ST,,GLASGOW,KY,421413465,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,212.83,94.86,70.855294118,51.510588235
1053502260,MORTIMER,BEVERLY,J,ARNP,F,I,1330 N RACE ST,,GLASGOW,KY,421413465,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,61.96,43.7325,32.235,27.669375
1053502435,QUEZADA,RICARDO,M,M.D.,M,I,761 45TH AVE,STE. 103,MUNSTER,IN,463212893,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,37.5,8.0175,5.64,6.84
1053502435,QUEZADA,RICARDO,M,M.D.,M,I,761 45TH AVE,STE. 103,MUNSTER,IN,463212893,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,53.590666667,17.517333333,12.818666667,12.636
1053502435,QUEZADA,RICARDO,M,M.D.,M,I,761 45TH AVE,STE. 103,MUNSTER,IN,463212893,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,266.314,77.624,56.794666667,51.08
1053502435,QUEZADA,RICARDO,M,M.D.,M,I,761 45TH AVE,STE. 103,MUNSTER,IN,463212893,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,18.778333333,14.725,13.826666667
1053502948,STRAND,ADRIAN,L,M.D.,F,I,8992 UNIVERSITY BLVD,STE 300,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,45,111,68.971171171,8.32,5.9336036036,5.9336036036
1053502948,STRAND,ADRIAN,L,M.D.,F,I,8992 UNIVERSITY BLVD,STE 300,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,46,48,33.790833333,5.42,3.8410416667,3.4339583333
1053502948,STRAND,ADRIAN,L,M.D.,F,I,8992 UNIVERSITY BLVD,STE 300,NORTH CHARLESTON,SC,294068104,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,160.81083333,30.505,18.883333333,19.683333333
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,41,104,326,64.317392638,8.32,5.2380674847,5.2380674847
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,16.08,3.38,1.6863636364,1.6863636364
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,26,42,81,14.100740741,1.42,0.8519753086,0.8519753086
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,0.156,0.13,0.1019333333,0.1019333333
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,2100,3.0295714286,2.04,1.4626952381,1.4626952381
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,13.463636364,5.54,3.9486363636,3.9486363636
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.2936363636,3.04,2.2934090909,2.2934090909
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.6627272727,0.26,0.1854545455,0.1898181818
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,26,86.31,18,10.311153846,9.8946153846
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,15,18,77.947222222,14.040555556,11.006666667,9.9144444444
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,27,217.84703704,38.490740741,29.262962963,24.069259259
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,12,12,12,39.0825,35.445833333,18.97,47.438333333
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,158.51285714,47.142857143,34.048095238,32.296190476
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,21,122,122,26.298196721,11.707540984,9.1118032787,8.8921311475
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,32,34.359375,19.53125,15.314375,15.314375
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,21,21,42,68.80952381,28.015952381,21.963571429,22.55452381
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,21,21,42,149.8947619,50.040952381,39.234761905,40.022857143
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,21,21,21,54.857142857,24.059047619,18.858095238,18.206666667
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,21,134,176,41.167272727,10.758522727,8.3926704545,8.4267045455
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,21,122,122,338.0995082,219.37360656,166.32532787,166.3252459
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,555.20925926,79.99,57.557407407,50.464259259
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E2231,"Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,206.34,137.65,107.92,104.42
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,13,88.292307692,37.021538462,29.022307692,29.334615385
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,312.35,142.33,111.58,113.77083333
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,21,4745,0.2695827187,0.0452687039,0.0219641728,0.0219641728
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1017,1.5714945919,0.1363421829,0.1069223206,0.1069223206
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,K0040,"Adjustable angle footplate, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,22,22,44,114.54545455,51.824545455,40.633181818,39.342272727
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,84,84,28.888571429,8.5235714286,6.3645238095,6.3961904762
1053503045,STEELE,BRYAN,E,MD,M,I,4 MEMORIAL DR STE 210,,ALTON,IL,62002,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,26,26,59.653846154,33,22.718461538,22.718461538
1053503284,BUSTAMANTE,CECILIA,A,PA,F,I,1501 PRESIDENTIAL WAY,SUITE # 21,WEST PALM BEACH,FL,334011800,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,36,6.34,2.8688888889,2.2425,2.2516666667
1053503284,BUSTAMANTE,CECILIA,A,PA,F,I,1501 PRESIDENTIAL WAY,SUITE # 21,WEST PALM BEACH,FL,334011800,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,42.015833333,20.664166667,16.201666667,14.19
1053503284,BUSTAMANTE,CECILIA,A,PA,F,I,1501 PRESIDENTIAL WAY,SUITE # 21,WEST PALM BEACH,FL,334011800,US,Physician Assistant,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,49.708947368,34.866842105,27.332631579,22.76
1053503284,BUSTAMANTE,CECILIA,A,PA,F,I,1501 PRESIDENTIAL WAY,SUITE # 21,WEST PALM BEACH,FL,334011800,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,14.776086957,9.4326086957,7.3930434783,7.05
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,36,118,280,50.853035714,8.32,6.1367857143,6.1367857143
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,15.384615385,3.38,2.4461538462,2.4461538462
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,26,48,14.597083333,1.42,0.976875,0.976875
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,72,9.385,2.1225,1.6648611111,1.5919444444
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,178.4475,45.79,32.12,31.581666667
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,260.427,79.77,58.743333333,51.075
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2685,0.2794562384,0.0472960894,0.0353780261,0.0353780261
1053503417,HILL,JORDAN,L,D.O.,M,I,13892 TIMBER WAY,,BROADWAY,VA,228153332,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,67.941176471,33,21.304705882,21.304705882
1053503466,MCGUIRK,DOUGLAS,J,M.D.,M,I,1725 N 5TH ST,,TERRE HAUTE,IN,478044010,US,Physician/Hand Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,28,28,255.89285714,220.72214286,159.38107143,158.70357143
1053503466,MCGUIRK,DOUGLAS,J,M.D.,M,I,1725 N 5TH ST,,TERRE HAUTE,IN,478044010,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,84,89,119,64.984201681,64.748235294,50.085462185,47.383109244
1053503466,MCGUIRK,DOUGLAS,J,M.D.,M,I,1725 N 5TH ST,,TERRE HAUTE,IN,478044010,US,Physician/Hand Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,34,107,85.32,66.89,67.034705882
1053503466,MCGUIRK,DOUGLAS,J,M.D.,M,I,1725 N 5TH ST,,TERRE HAUTE,IN,478044010,US,Physician/Hand Surgery,S,L3982,"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,425.46666667,345.59466667,270.944,279.84733333
1053503532,IGNACIO,CRISTINA,,M.D.,F,I,223 APPLEGARTH RD,,MONROE TOWNSHIP,NJ,08831,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,18,56,70.515535714,8.32,5.8233928571,5.8233928571
1053503532,IGNACIO,CRISTINA,,M.D.,F,I,223 APPLEGARTH RD,,MONROE TOWNSHIP,NJ,08831,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,15.242666667,1.42,0.894,0.894
1053503730,ONUMAH,CHAVON,M,"M.D., M.P.H",F,I,2300 M ST NW,,WASHINGTON,DC,200371434,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,79,42.592278481,8.32,5.6249367089,5.6249367089
1053503730,ONUMAH,CHAVON,M,"M.D., M.P.H",F,I,2300 M ST NW,,WASHINGTON,DC,200371434,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,14,12.655714286,3.38,2.4607142857,2.4607142857
1053503730,ONUMAH,CHAVON,M,"M.D., M.P.H",F,I,2300 M ST NW,,WASHINGTON,DC,200371434,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,24,10.0125,1.42,0.9766666667,0.9766666667
1053503920,GUDEL,CHENOAH,E,D.O.,F,I,1924 ALCOA HWY,DEPT. OF MEDICINE,KNOXVILLE,TN,379201511,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,95,48.31,37.88,37.755
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,68,162,60.300123457,8.32,5.8189506173,5.8189506173
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,27,46,12.043043478,1.42,0.977173913,0.977173913
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,43,8.498372093,1.51,1.13,1.1027906977
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,315,13.9,4.17,3.2693333333,3.2456825397
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4691,4.4508207205,0.38,0.2979215519,0.2900937966
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,23,35.82,18,12.269565217,11.84826087
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,31,278.48290323,79.99,54.618387097,48.697741935
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,3517,0.2154961615,0.0465567245,0.034139892,0.0341370486
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,2790,0.9301756272,0.1339462366,0.0952473118,0.0952473118
1053504506,SUTHAN,NANTHINI,,M.D,F,I,2 TERMINAL DR,SUITE 8,EAST ALTON,IL,620242201,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,44,44,120.75,33,23.518181818,23.518181818
1053504662,CHICO,MICHELLE,A,M.D.,F,I,1455 E. BERT KOUNS,,SHREVEPORT,LA,71105,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,40,93,402,54.309477612,8.32,5.9805223881,5.9805223881
1053504662,CHICO,MICHELLE,A,M.D.,F,I,1455 E. BERT KOUNS,,SHREVEPORT,LA,71105,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,19,19,16.414736842,3.38,2.2315789474,2.2315789474
1053504662,CHICO,MICHELLE,A,M.D.,F,I,1455 E. BERT KOUNS,,SHREVEPORT,LA,71105,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,21,44,103,16.556116505,1.42,1.0053398058,1.0053398058
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,42,42,42,149.53,43.22,33.89,36.154047619
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,248.6,45.340909091,31.488181818,33.355454545
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,66,6.28,2.8098484848,1.718030303,1.7136363636
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,24,24,24,67.726666667,39.5625,31.017916667,29.83125
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,21,21,21,450.68,153.43666667,120.29380952,116.6152381
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,36,213,213,127.80338028,17.114835681,12.439483568,13.135399061
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,56,56,119.91928571,27.019285714,20.706607143,24.875357143
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,129.28,26.686666667,20.93,22.105333333
1053504894,YANG,ANGELA,Z,M.D.,F,I,119 BELMONT ST,DEPARTMENT OF ORTHOPEDICS,WORCESTER,MA,016052903,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,27,152,152,25.84,8.3782894737,6.1185526316,6.1933552632
1053504902,WONG,GRACE,I,M.D.,F,I,3808 W RIVERSIDE DR,406,BURBANK,CA,915054325,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,363,5.3330578512,5.1,3.9983746556,4.1630853994
1053504902,WONG,GRACE,I,M.D.,F,I,3808 W RIVERSIDE DR,406,BURBANK,CA,915054325,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,87.245454545,55.628181818,43.619090909,42.403636364
1053504902,WONG,GRACE,I,M.D.,F,I,3808 W RIVERSIDE DR,406,BURBANK,CA,915054325,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,60.9,47.854285714,32.4,31.917142857
1053504902,WONG,GRACE,I,M.D.,F,I,3808 W RIVERSIDE DR,406,BURBANK,CA,915054325,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,21.950714286,17,12.377857143,12.576428571
1053504902,WONG,GRACE,I,M.D.,F,I,3808 W RIVERSIDE DR,406,BURBANK,CA,915054325,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,5.5628571429,5.32,4.17,3.975
1053504902,WONG,GRACE,I,M.D.,F,I,3808 W RIVERSIDE DR,406,BURBANK,CA,915054325,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,108.775,77.18,56.187857143,51.225
1053505131,BHARTI,RACHNA,,MD,F,I,5602 LYONS AVE,,HOUSTON,TX,77020,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,234.5,68.78,49.426666667,50.110833333
1053505131,BHARTI,RACHNA,,MD,F,I,5602 LYONS AVE,,HOUSTON,TX,77020,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,191.66666667,36.83,26.464166667,27.01
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,35,130,316,65.652468354,8.32,5.5109177215,5.5109177215
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,24,56,77,14.777272727,1.42,0.912987013,0.912987013
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,2.052,1.5243333333,1.119
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,4745,0.8998166491,0.3892349842,0.3051675448,0.2430453109
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,30,30,169.078,61.381,32.152333333,24.422333333
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,81,81,59.209259259,22.605185185,16.631481481,12.955308642
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,48.31,48.31,34.723333333,34.535833333
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,35,35,21.406285714,6.8205714286,4.2048571429,2.5102857143
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,21,21,33.174761905,13.247142857,7.7942857143,6.4023809524
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,132,132,351.97492424,101.2480303,73.970606061,51.576212121
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,15.58,9.6350833333,7.4481111111,7.4481111111
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,5083,0.5573932717,0.0462168011,0.036112532,0.036112532
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,2550,1.3139254902,0.1293294118,0.0864352941,0.0864352941
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,,64,64,63.0921875,26.67125,19.60421875,13.39890625
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,35,35,27.112,11.762571429,9.0285714286,6.7865714286
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,614.99344828,242.95137931,190.47068966,127.48931034
1053505479,COMPTON,CRYSTAL,K,D.O.,F,I,50 WEDDINGTON BRANCH RD,SUITE B,PIKEVILLE,KY,415013296,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,12,60,60,85.8,33,23.714166667,23.714166667
1053505636,KUO,MINGGEN,,M.D.,M,I,12462 PUTNAM ST,SUITE #208,WHITTIER,CA,906021048,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,3775.52,1020.5933333,792.17611111,834.28944444
1053505636,KUO,MINGGEN,,M.D.,M,I,12462 PUTNAM ST,SUITE #208,WHITTIER,CA,906021048,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,874.72,30.836363636,21.327272727,21.245454545
1053505636,KUO,MINGGEN,,M.D.,M,I,12462 PUTNAM ST,SUITE #208,WHITTIER,CA,906021048,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,268.12708333,76.005416667,59.588333333,54.968333333
1053505636,KUO,MINGGEN,,M.D.,M,I,12462 PUTNAM ST,SUITE #208,WHITTIER,CA,906021048,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,93.947368421,39.286315789,30.803684211,29.49
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,44,134,68.113059701,8.32,5.6953731343,5.6953731343
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,37,16.898648649,1.42,1.1124324324,1.1124324324
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,65.614166667,17.685,13.11,8.3683333333
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,67,10.195522388,2.8347761194,2.0810447761,1.4517910448
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,20,86.31,19.4635,15.2555,13.53
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,28.986666667,4.31,3.1546666667,3.1546666667
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,37,37,262.84216216,40.907567568,30.377837838,23.425135135
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,375.7584375,81.8121875,64.1415625,55.9990625
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,599.5,136.77666667,107.23666667,105.59
1053505909,HAM,BRIAN,C,ARNP,M,I,409 HIGH ST,,CHATTAHOOCHEE,FL,323241303,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,57.75,33,24.503333333,24.503333333
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,18,65,136,8.8633823529,1.4921323529,1.0860294118,1.0692647059
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,16,21,21,89.383333333,13.836666667,10.52,8.7723809524
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,363.82083333,85.603333333,65.091666667,65.486666667
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,172.60588235,54.9,32.946470588,32.808235294
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,61.315714286,18.191428571,13.252857143,13.055714286
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,20,20,61.641,12.0105,8.477,8.2225
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,30,163,12.690552147,2.0139877301,1.463803681,1.4741717791
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,41.976153846,12.999230769,8.1461538462,8.2915384615
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,92,92,98.4,17,12.750434783,12.944347826
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,17,17,162.00882353,44.541176471,34.92,37.491176471
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,55.07,13.999166667,9.1491666667,8.7333333333
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,15,105,105,47.440761905,5.2271428571,3.5132380952,3.0267619048
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,24,257.82,30.92875,22.098333333,23.460833333
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,159,159,544.60830189,79.048930818,58.747672956,52.198176101
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,250,37.15,29.13,29.492727273
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,27,205,17820,1.0739635241,0.13546633,0.0981010101,0.0981010101
1053505982,UTZURRUM,FRANKIE,D,M.D.,M,I,99 N SAN ANTONIO AVE,SUITE 370,UPLAND,CA,917864579,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,27,202,202,126.9950495,33,23.808514851,23.808514851
1053506527,PAIK,BRIAN,J,M.D,M,I,4900 BARRANCA PKWY,STE 103,IRVINE,CA,926048603,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,71.11,55.75,54.73
1053506527,PAIK,BRIAN,J,M.D,M,I,4900 BARRANCA PKWY,STE 103,IRVINE,CA,926048603,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36,28.22,29.51
1053506949,THATISHETTY,AMEET,V,MD,M,I,4700 WATERS AVE,,SAVANNAH,GA,31404,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,35.96,17.29,12.8725,12.8565
1053506949,THATISHETTY,AMEET,V,MD,M,I,4700 WATERS AVE,,SAVANNAH,GA,31404,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,224.62,70.23,52.307,52.035
1053507202,ECK,DAWN,H,"MSN, APRN, BC",F,I,908 OXFORD HOUSE,1313 21ST AVENUE SOUTH,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,2422,5.3433938893,0.5719488026,0.2859620149,0.2859620149
1053507202,ECK,DAWN,H,"MSN, APRN, BC",F,I,908 OXFORD HOUSE,1313 21ST AVENUE SOUTH,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,4140,3.4628285024,1.0465217391,0.7626690821,0.7626690821
1053507202,ECK,DAWN,H,"MSN, APRN, BC",F,I,908 OXFORD HOUSE,1313 21ST AVENUE SOUTH,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,13,41,41,24,24,15.553902439,15.553902439
1053507202,ECK,DAWN,H,"MSN, APRN, BC",F,I,908 OXFORD HOUSE,1313 21ST AVENUE SOUTH,NASHVILLE,TN,372320001,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,12,30,33,16,16,9.7442424242,9.7442424242
1053507798,PRIMM,LISA,C,ARNP,F,I,828 LANE ALLEN RD STE 219,,LEXINGTON,KY,40504,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,11,45,45,178.90622222,52.696888889,41.167555556,39.524
1053507798,PRIMM,LISA,C,ARNP,F,I,828 LANE ALLEN RD STE 219,,LEXINGTON,KY,40504,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,135.24571429,53.659285714,42.066428571,38.217857143
1053507798,PRIMM,LISA,C,ARNP,F,I,828 LANE ALLEN RD STE 219,,LEXINGTON,KY,40504,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,21,117,117,71.033846154,20.895811966,14.36025641,12.374871795
1053507798,PRIMM,LISA,C,ARNP,F,I,828 LANE ALLEN RD STE 219,,LEXINGTON,KY,40504,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,167.93,52.6075,41.2425,38.494166667
1053507798,PRIMM,LISA,C,ARNP,F,I,828 LANE ALLEN RD STE 219,,LEXINGTON,KY,40504,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,26.842173913,9.652173913,7.5626086957,7.552173913
1053508218,SHEHZAD,NAZIA,I,MD,F,I,401 E MAIN ST,,JOHNSON CITY,TN,37601,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,43.689473684,4.6131578947,3.3805263158,3.3789473684
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,25,78,164,53.982256098,8.32,5.4974390244,5.4974390244
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,17.272727273,3.38,2.4090909091,2.4090909091
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,27,17.332962963,1.42,0.9918518519,0.9918518519
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,21,48.095238095,18.03,12.788571429,13.215714286
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,60,4.6916666667,2.021,1.5328333333,1.5398333333
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,67.365652174,17.27,11.219565217,11.219565217
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,52,52,302.49115385,69.81,51.5725,51.5725
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,36.14,28.33,29.215
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2739,0.1412449799,0.0469952537,0.0232347572,0.0232347572
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,32,3750,2.2239573333,0.132096,0.0881013333,0.0881013333
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,3.5407246377,2.8646086957,2.0537681159,2.0537681159
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,58.834,36.14,28.33,28.802
1053508838,BOYCE,SHARON,L,MD,F,I,300 B DR N,,ALBION,MI,492248420,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,41,41,33,33,21.453170732,21.453170732
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,39,59.594102564,8.32,6.5241025641,6.5241025641
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1091,2.7916865261,1.73,1.3562694775,1.599340055
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9.15,9.15,6.5770833333,8.00125
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,24,8.6266666667,7.15,5.605,5.7683333333
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,240,8.8875,5.74,4.5000833333,4.5000833333
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,11.458,7,5.488,5.488
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2.7613333333,1.95,1.5288333333,1.5288333333
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,135,66.774166667,52.353333333,38.165
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,60.125714286,21.281428571,15.262857143,12.528095238
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,28.820740741,6.9633333333,4.8748148148,3.1014814815
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,235.51263158,55.412631579,40.726842105,27.247368421
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,30,12.552727273,9.8463636364,8.2472727273
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,11,58,58,415.92706897,99.629655172,73.034310345,55.062241379
1053508846,PLATE,BETH,A,MD,F,I,MSC 09 5040,1 UNIVERSITY OF NEW MEXICO,ALBUQUERQUE,NM,871310001,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,751,194.67909091,152.62545455,119.03
1053508945,BAILEY,DERRICK,A,MD,M,I,240 EAST ST,,PLAINVILLE,CT,060622935,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,11,19,36.342631579,8.32,6.5215789474,6.5215789474
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,50,144,274,116.0710219,8.32,4.9804744526,4.9804744526
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,14.73,3.38,2.0611111111,2.0611111111
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,28,57,78,13.398589744,1.42,0.8593589744,0.8593589744
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,14,32,6.4284375,2.115,1.5434375,1.099375
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,61.343157895,22.140526316,15.786315789,12.422631579
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,34,34,100,60.281176471,46.046470588,36.523235294
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,62,62,42.917096774,8.8409677419,5.5112903226,3.7383870968
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,107,108,412.06037037,101.36222222,74.992222222,52.032222222
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,19,54,9314,0.469845394,0.0462432897,0.0310833154,0.0310833154
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,30,765,2.3049411765,0.1344444444,0.1052941176,0.1052941176
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,285.6,44.34,31.479,26.564
1053509729,KIRBY,JACQUELYN,,APRN,F,I,480 HOPKINSVILLE ST,,GREENVILLE,KY,423451124,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,18,58,58,46.655172414,33,23.193793103,23.193793103
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,24,34,34,69.377941176,39.907352941,29.666176471,28.996764706
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,17,24,24,329.0825,92.775,69.760416667,64.9925
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,18,28,67,110.93238806,33.749552239,24.525671642,23.981343284
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,19,27,130,58.282692308,19.838846154,14.256846154,13.471461538
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,14,24,130,43.426615385,15.092923077,10.350461538,10.412769231
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,30,54,54,172.03518519,59.054074074,42.897592593,39.930740741
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,41,51,51,60.973529412,18.891568627,14.089019608,13.383529412
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,19,41,41,58.834878049,12.57,9.1346341463,8.4504878049
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,42,79,454,7.5875550661,2.2659911894,1.6282819383,1.4664977974
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,20.208181818,6.25,4.4545454545,4.2272727273
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,22,28,28,42.580357143,13.843214286,10.464285714,9.9571428571
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,50,34.337272727,32.91
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,528.70375,101.980625,75.711875,68.584375
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,320.444,141.44,106.73,101.213
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,152.21086957,3.8956521739,3.0508695652,3.55
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,22,109,109,135.11110092,38.36412844,29.408990826,26.675504587
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,55,55,477.67127273,75.435272727,55.996363636,52.676181818
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,174.4525,38.766428571,29.338214286,28.548928571
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,360,11.045,3.061,2.3997777778,2.3997777778
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,216.30588235,39.3,30.81,29.586470588
1053509976,KANDASAMY,RAJESH,K,MD,M,I,1708 YAKIMA AVE,SUITE 300,TACOMA,WA,984055307,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,78.692307692,33,25.87,25.87
1053510735,MUJIBUR,RAHAMAN,,MD,M,I,1000 N OAK AVE,,MARSHFIELD,WI,544495703,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,86.31,23.0225,18.0475,13.90875
1053510735,MUJIBUR,RAHAMAN,,MD,M,I,1000 N OAK AVE,,MARSHFIELD,WI,544495703,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,519.51,108.5475,85.105,54.73
1053511097,DROEMER,LEE,R,M.D.,M,I,6465 S YALE AVE STE 514,,TULSA,OK,741367807,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3198,0.4672920575,0.046575985,0.0330581614,0.0330581614
1053511097,DROEMER,LEE,R,M.D.,M,I,6465 S YALE AVE STE 514,,TULSA,OK,741367807,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1053511253,WISDO,CORINNE,M,DPM,F,I,907 MEDICAL CIR,,MYRTLE BEACH,SC,295724116,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,300,266.98,209.31,218.89
1053511279,EISENBERG,LAUREN,N,"D,O.",F,I,7420 REMCON CIRCLE,BLDG. A,EL PASO,TX,79912,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,3808,3.9826207983,2.0381092437,1.5601995798,1.5616806723
1053511279,EISENBERG,LAUREN,N,"D,O.",F,I,7420 REMCON CIRCLE,BLDG. A,EL PASO,TX,79912,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,4.81,1.7425,1.3658333333,1.4108333333
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,44,90,78.076444444,8.32,6.0888888889,6.0888888889
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,39,40,17.41225,1.42,1.0915,1.0915
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,22,79,163,8.8117791411,1.6100613497,1.1596932515,1.0600613497
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,15,21,21,88.843809524,11.805714286,9.25,9.0280952381
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,42,86.31,17.464285714,13.055238095,13.181190476
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,58,58,4430.1,913.16,715.92,833.54689655
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,16,93,93,54.614193548,4.1086021505,2.9364516129,3.2544086022
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,39,339,349,505.77524355,75.715816619,56.224068768,51.703524355
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,84.287692308,37.64,29.51,29.51
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,6523,0.1776007972,0.0461490112,0.0340732792,0.0340732792
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,17,126,12582,0.92,0.1346343983,0.0986369417,0.0986369417
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,64,3375,0.75,0.2193985185,0.1575644444,0.1575644444
1053511378,BERT,KARLENE,H,NURSE PRACTITIONER,F,I,1878 E HATCH RD,,MODESTO,CA,953515002,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,29,203,203,131.51231527,33,23.84955665,23.84955665
1053511568,JONES,INDIE,F,MD,F,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,3.7825,2.9683333333,3.675
1053511568,JONES,INDIE,F,MD,F,I,743 SPRING ST NE,,GAINESVILLE,GA,305013715,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,178.73142857,75.56,56.419047619,52.982857143
1053511592,KORNEGAY,JEFFREY,,MD,M,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,79,185,67.911459459,8.32,5.7121081081,5.7121081081
1053511592,KORNEGAY,JEFFREY,,MD,M,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,22,46,18.512826087,1.42,0.9695652174,0.9695652174
1053511592,KORNEGAY,JEFFREY,,MD,M,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,510,16.288627451,9.86,7.3332941176,7.3332941176
1053511592,KORNEGAY,JEFFREY,,MD,M,I,1960 S 16TH ST,,WILMINGTON,NC,284016676,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,12,59.166666667,21.365,14.349166667,13.096666667
1053511626,NORRIS,DAVID,R,M.D.,M,I,2500 N STATE ST,DEPT OF FAMILY MEDICINE,JACKSON,MS,392164500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,60.433846154,8.32,4.5157692308,4.5157692308
1053511626,NORRIS,DAVID,R,M.D.,M,I,2500 N STATE ST,DEPT OF FAMILY MEDICINE,JACKSON,MS,392164500,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,715.92,831.73166667
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,47,50.153829787,8.32,5.2955319149,5.2955319149
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,19,19,70.092105263,18.913157895,14.295789474,8.64
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,19,114,10.704473684,3.1821052632,2.3470175439,1.4548245614
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,56.94,23.695789474,18.575263158,13.846842105
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,168,60.513636364,47.441818182,38.843636364
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,272.79,63.722727273,49.959090909,36.478181818
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,66,66,436.56954545,102.96090909,74.51969697,49.597878788
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,29,250,44.758965517,32.827241379,27.480689655
1053511642,BOONE,MIRA,,MD,F,I,1534 W D ST,,NORTH WILKESBORO,NC,286593528,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,129.57769231,27.8,21.794615385,14.103846154
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,306,630,630,136.01850794,40.577809524,31.162444444,29.983301587
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,,38,80,7.6745,1.7,1.333125,1.171875
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,23,133,267,267,262.21374532,93.433970037,69.048801498,64.207191011
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,114,246,473,90.716638478,34.214038055,25.980591966,25.153657505
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,19,153,304,1384,53.641929191,19.106127168,14.572680636,14.207521676
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,19,166,339,1454,43.767090784,15.603273728,11.808569464,11.541403026
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,29,301,601,601,164.97981697,59.481031614,45.009966722,41.606123128
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,30,382,505,505,55.761861386,19.247821782,14.419069307,13.507683168
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,65,71,71,26.426760563,10.487887324,7.9973239437,7.9242253521
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,99,207,207,78.108357488,13.427004831,9.8461352657,8.6138647343
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,35,396,873,4506,7.4857323569,2.2606280515,1.7234465158,1.5578628495
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,24,31,31,24.071612903,6.954516129,4.9558064516,4.2022580645
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,23,209,273,273,31.454065934,13.51047619,10.14010989,9.9498168498
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,180,65.029090909,50.986363636,36.298181818
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,26,151,156,60.523205128,18.840769231,14.594871795,13.427564103
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,19,20,151.29,56.4035,42.2595,37.751
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,60,60,2673.1256667,1074.31,830.30416667,830.30416667
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,44,248,248,335.69395161,89.825282258,67.001129032,63.514758065
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,17,83,84,791.41416667,214.93607143,161.69,161.75928571
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,1230.62,1014.4647826,789.10478261,789.10478261
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,124,124,124,351.04919355,139.37669355,106.24870968,102.33935484
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,17,49,241,260,82.209423077,15.207846154,11.133730769,9.9411923077
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,12,66,67,35.901791045,4.2459701493,3.2005970149,3.53
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,27,235,1451,1464,160.95631148,35.729146175,26.897185792,24.753934426
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,72,572,577,330.52762565,81.264783362,61.856672444,54.459982669
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,25,190,190,204.82731579,38.276947368,28.956157895,28.520421053
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,79,4740,17.089194093,9.6409113924,7.510978903,7.510978903
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,50,7496,0.3875386873,0.0457764141,0.0355136073,0.0355136073
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,26,2399,1.1053397249,0.1386744477,0.0996456857,0.0996456857
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,80,5166,12.024816105,2.9031358885,2.253844367,2.253844367
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,885,1.4975706215,0.2190960452,0.1717853107,0.1717853107
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,109,109,190.95045872,39.413394495,30.625688073,29.425688073
1053511675,SAWHENY,EVA,,M.D.,F,I,4050 W MEMORIAL RD,,OKLAHOMA CITY,OK,731208382,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,23,136,136,88.323529412,33,25.489558824,25.489558824
1053511691,SINGH,LOVEENA,,MD,F,I,11220 LIBERTY AVE,,SOUTH RICHMOND HILL,NY,114191814,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,58,65.307586207,8.32,5.1713793103,5.1713793103
1053511691,SINGH,LOVEENA,,MD,F,I,11220 LIBERTY AVE,,SOUTH RICHMOND HILL,NY,114191814,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,21.893333333,1.42,0.9333333333,0.9333333333
1053511824,SRIVASTAVA,NILAM,,M.D.,F,I,254 EASTON AVE,CARES BUILDING,NEW BRUNSWICK,NJ,089011766,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,42,108,65.911111111,8.32,5.6762037037,5.6762037037
1053511824,SRIVASTAVA,NILAM,,M.D.,F,I,254 EASTON AVE,CARES BUILDING,NEW BRUNSWICK,NJ,089011766,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,27,39,14.755641026,1.42,1.0866666667,1.0866666667
1053511824,SRIVASTAVA,NILAM,,M.D.,F,I,254 EASTON AVE,CARES BUILDING,NEW BRUNSWICK,NJ,089011766,US,Physician/Internal Medicine,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,763.44,168.45454545,132.06818182,137.20090909
1053512269,JAGADEESH,JYOTHI,,M.D,F,I,175 MADISON AVE,,MOUNT HOLLY,NJ,080602038,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,70.769230769,15.11,11.846923077,14.098461538
1053512350,VARON,JUAN,C,M.D.,M,I,2400 N ORANGE BLOSSOM TRL STE 306,,KISSIMMEE,FL,347442308,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,16,195,47.789333333,19.689333333,15.436923077,15.436923077
1053512350,VARON,JUAN,C,M.D.,M,I,2400 N ORANGE BLOSSOM TRL STE 306,,KISSIMMEE,FL,347442308,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,420,6.1707142857,2.6371428571,2.0674285714,2.0674285714
1053512350,VARON,JUAN,C,M.D.,M,I,2400 N ORANGE BLOSSOM TRL STE 306,,KISSIMMEE,FL,347442308,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,28,1.7914285714,0.51,0.4,0.4
1053512350,VARON,JUAN,C,M.D.,M,I,2400 N ORANGE BLOSSOM TRL STE 306,,KISSIMMEE,FL,347442308,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,43,71,211,840,59.589404762,8.32,6.2011547619,6.2011547619
1053512350,VARON,JUAN,C,M.D.,M,I,2400 N ORANGE BLOSSOM TRL STE 306,,KISSIMMEE,FL,347442308,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,18,52,52,14.9,3.38,2.65,2.65
1053512350,VARON,JUAN,C,M.D.,M,I,2400 N ORANGE BLOSSOM TRL STE 306,,KISSIMMEE,FL,347442308,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,16,26,26,23.495384615,2.12,1.67,1.67
1053512350,VARON,JUAN,C,M.D.,M,I,2400 N ORANGE BLOSSOM TRL STE 306,,KISSIMMEE,FL,347442308,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,35,89,210,14.810761905,1.42,1.082,1.082
1053512418,KASIREDDY,RAVICHANDRA,R,M.D.,M,I,10010 KENNERLY RD,3 SOUTHBRIDGE,SAINT LOUIS,MO,631282106,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,44.480714286,3.675,2.2742857143,2.8857142857
1053512418,KASIREDDY,RAVICHANDRA,R,M.D.,M,I,10010 KENNERLY RD,3 SOUTHBRIDGE,SAINT LOUIS,MO,631282106,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,16,379.55375,79.8,62.56,54.73
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,36,90,249,523,34.424493308,8.32,5.9449713193,5.9449713193
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,9.586875,3.38,1.9875,1.9875
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,17,20,20,10.7915,2.12,1.4195,1.4195
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,31,78,199,211,7.7906161137,1.42,1.0396208531,1.0396208531
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,31,31,62,76.201612903,71.358709677,55.947419355,56.105483871
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,31,31,186,32.182795699,29.19,22.88516129,22.886397849
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,E0235,"Paraffin bath unit, portable (see medical supply code a4265 for paraffin)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,25,15.206666667,11.926666667,11.921333333
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,10,21,21,21,70.525238095,66.368095238,47.735714286,54.51
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2610,4.7015478927,0.5652988506,0.4431954023,0.443183908
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,3450,0.1479942029,0.0129565217,0.0101652174,0.0101652174
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1380,4.1450217391,1.277,1.0011376812,1.0011376812
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,50,24.52,19.222352941,16.970588235
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,19,24,24,18.82,18.82
1053512566,CHO,CHARLES,,M.D.,M,I,505 S VIRGIL AVE,STE. 301,LOS ANGELES,CA,900201406,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,34,42,16,16,12.54,12.54
1053512822,JANKOWSKI,JASON,T,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,35,5777,5.1714228838,1.92,1.4059425307,1.4951739657
1053512822,JANKOWSKI,JASON,T,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,47,32.251914894,10.93,7.2929787234,7.2929787234
1053512822,JANKOWSKI,JASON,T,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,290,14.475344828,5.54,4.1170689655,4.1170689655
1053512822,JANKOWSKI,JASON,T,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,225,18.466488889,9.5711111111,6.2174222222,6.2244
1053512822,JANKOWSKI,JASON,T,M.D.,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,630,0.7911269841,0.2471428571,0.1536349206,0.1678888889
1053513135,WEST,JASON,R,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,30,100,76.2703,8.32,5.9351,5.9351
1053513135,WEST,JASON,R,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,32,18.0084375,1.42,0.974375,0.974375
1053513135,WEST,JASON,R,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,12,12,20.661666667,5.03,3.945,3.9425
1053513135,WEST,JASON,R,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.23,8.8043636364,8.8043636364
1053513135,WEST,JASON,R,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,825,0.17,0.0466545455,0.0365333333,0.0365333333
1053513135,WEST,JASON,R,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0705454545,2.4073333333,2.4073333333
1053513135,WEST,JASON,R,M.D.,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1053513473,WAN,DERRICK,C,MD,M,I,200 MEDICAL PLZ,SUITE 465,LOS ANGELES,CA,900950001,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,14,1730,0.16,0.13,0.096017341,0.096017341
1053513903,WALSH,DEANNE,,APRN,F,I,762 LINDLEY ST,ST.VINCENT'S FAMILY HEALTH CENTER,BRIDGEPORT,CT,066065046,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,23,53,66.958113208,8.32,5.7833962264,5.7833962264
1053513903,WALSH,DEANNE,,APRN,F,I,762 LINDLEY ST,ST.VINCENT'S FAMILY HEALTH CENTER,BRIDGEPORT,CT,066065046,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,16,16.250625,1.42,0.905625,0.905625
1053513903,WALSH,DEANNE,,APRN,F,I,762 LINDLEY ST,ST.VINCENT'S FAMILY HEALTH CENTER,BRIDGEPORT,CT,066065046,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,19.21,14.846363636,6.1636363636,8.2363636364
1053513986,KHANDELWAL,AKSHAY,K,MD,M,I,2799 W. GRAND BLVD.,HENRY FORD HOSPITAL K-14,DETROIT,MI,48202,US,Interventional Cardiology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,31.61,17.25,13.52,13.54
1053513986,KHANDELWAL,AKSHAY,K,MD,M,I,2799 W. GRAND BLVD.,HENRY FORD HOSPITAL K-14,DETROIT,MI,48202,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,190.64,79.88,62.62,54.72
1053514141,LITTLE,BRITTAIN,D,M.D.,M,I,27 MEDICAL CENTER DR,,JACKSON,TN,383013949,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,394,12.22,4.157106599,3.2591370558,2.367715736
1053514141,LITTLE,BRITTAIN,D,M.D.,M,I,27 MEDICAL CENTER DR,,JACKSON,TN,383013949,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,42.68,7.37,5.778,4.163
1053514141,LITTLE,BRITTAIN,D,M.D.,M,I,27 MEDICAL CENTER DR,,JACKSON,TN,383013949,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,10519,1.5959691986,0.3808156669,0.298556897,0.243037361
1053514190,BHATTI,MOHAMMAD,B,M.D.,M,I,12108 HILLSIDE AVE,,RICHMOND HILL,NY,114181812,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,28,31,72.043548387,8.32,5.3206451613,5.3206451613
1053514190,BHATTI,MOHAMMAD,B,M.D.,M,I,12108 HILLSIDE AVE,,RICHMOND HILL,NY,114181812,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,66.82,1.42,0.8145454545,0.8145454545
1053514257,LINDLEY,KATARINA,,D.O.,F,I,202 SW 25TH AVE,SUITE 300,MINERAL WELLS,TX,760678242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,65,46.561692308,8.32,5.92,5.92
1053514257,LINDLEY,KATARINA,,D.O.,F,I,202 SW 25TH AVE,SUITE 300,MINERAL WELLS,TX,760678242,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,11.983636364,3.38,2.4090909091,2.4090909091
1053514257,LINDLEY,KATARINA,,D.O.,F,I,202 SW 25TH AVE,SUITE 300,MINERAL WELLS,TX,760678242,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,24,10.590833333,1.42,1.0208333333,1.0208333333
1053514257,LINDLEY,KATARINA,,D.O.,F,I,202 SW 25TH AVE,SUITE 300,MINERAL WELLS,TX,760678242,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,57.48,21.788,15.87,12.412666667
1053514257,LINDLEY,KATARINA,,D.O.,F,I,202 SW 25TH AVE,SUITE 300,MINERAL WELLS,TX,760678242,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,22.650540541,6.1124324324,4.0054054054,2.74
1053514257,LINDLEY,KATARINA,,D.O.,F,I,202 SW 25TH AVE,SUITE 300,MINERAL WELLS,TX,760678242,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,272,92.9,63.396842105,46.088421053
1053514257,LINDLEY,KATARINA,,D.O.,F,I,202 SW 25TH AVE,SUITE 300,MINERAL WELLS,TX,760678242,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,72.766153846,26.948461538,21.128461538,15.008461538
1053514455,STURDIVANT,JOSEPH,M,M.D.,M,I,7691 POPLAR AVE,SUITE 350,GERMANTOWN,TN,381383904,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,75,22.5,14.109285714,11.467142857
1053514455,STURDIVANT,JOSEPH,M,M.D.,M,I,7691 POPLAR AVE,SUITE 350,GERMANTOWN,TN,381383904,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,36.6,10.649285714,6.6778571429,5.3957142857
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,50,166,62.275783133,8.32,5.5398192771,5.5398192771
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,14.9625,3.38,1.9875,1.9875
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,27,49,15.07244898,1.42,0.8640816327,0.8640816327
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,225,13.237777778,5.54,3.9574222222,3.9574222222
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,250,7.5084,3.04,2.15704,2.15704
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.44,4.2775,2.0666666667,2.4
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,228.8,67.72,53.1,54.73
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1146,1.7038307155,0.1321291449,0.0786038394,0.0786038394
1053514612,IONNO,JESSICA,L,NP,F,I,1608 MAIN ST,,CONWAY,SC,295263572,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,16.849285714,16.849285714
1053514646,DEKOJ,THOMAS,R,M.D.,M,I,1750 E LAKE SHORE DRIVE,SUITE 200,DECATUR,IL,625213806,US,Physician/General Surgery,S,A4366,"Ostomy vent, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,1.958,1.46,0.9541666667,0.9541666667
1053514646,DEKOJ,THOMAS,R,M.D.,M,I,1750 E LAKE SHORE DRIVE,SUITE 200,DECATUR,IL,625213806,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,1300,0.7131,0.27,0.2116692308,0.2116692308
1053514695,MENDELSOHN,ANDREA,S,MD,F,I,3627 MAYBANK HWY,,JOHNS ISLAND,SC,294554825,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.59,1.53,1.0909090909,1.0454545455
1053514695,MENDELSOHN,ANDREA,S,MD,F,I,3627 MAYBANK HWY,,JOHNS ISLAND,SC,294554825,US,Physician/Family Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,0.92,0.7,0.5,0.3818181818
1053514695,MENDELSOHN,ANDREA,S,MD,F,I,3627 MAYBANK HWY,,JOHNS ISLAND,SC,294554825,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,1.82,1.35,0.9716666667,0.8845833333
1053514695,MENDELSOHN,ANDREA,S,MD,F,I,3627 MAYBANK HWY,,JOHNS ISLAND,SC,294554825,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,365,11.95,5.27,3.7809041096,3.8129041096
1053514695,MENDELSOHN,ANDREA,S,MD,F,I,3627 MAYBANK HWY,,JOHNS ISLAND,SC,294554825,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4524,0.57,0.3,0.2351945181,0.2430349248
1053515064,WILLIAMS,LISA,P,APN,F,I,18 N CAVALIER DR,,ALAMO,TN,380016468,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,42,70,54.112714286,8.32,5.0884285714,5.0884285714
1053515064,WILLIAMS,LISA,P,APN,F,I,18 N CAVALIER DR,,ALAMO,TN,380016468,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,16,15.725,1.42,0.9075,0.9075
1053515064,WILLIAMS,LISA,P,APN,F,I,18 N CAVALIER DR,,ALAMO,TN,380016468,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1753,0.3536052481,0.044808899,0.0257444381,0.0257444381
1053515064,WILLIAMS,LISA,P,APN,F,I,18 N CAVALIER DR,,ALAMO,TN,380016468,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,200,28.363636364,22.233636364,20.564545455
1053515064,WILLIAMS,LISA,P,APN,F,I,18 N CAVALIER DR,,ALAMO,TN,380016468,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,21.166363636,21.166363636
1053515221,BUGGANA,SRINIVASA,R,M.D.,M,I,135 E. FIRST STREET,,LAKELAND,FL,338054609,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,42.666666667,17.07,11.574666667,11.684
1053515221,BUGGANA,SRINIVASA,R,M.D.,M,I,135 E. FIRST STREET,,LAKELAND,FL,338054609,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,254.66666667,78.494666667,51.550666667,46.616
1053515338,JENKINS,LONI,E,MD,F,I,3579 HIGHWAY 138 SE,SUITE 101,STOCKBRIDGE,GA,302814142,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,44,109,60.41293578,8.32,6.2225688073,6.2225688073
1053515338,JENKINS,LONI,E,MD,F,I,3579 HIGHWAY 138 SE,SUITE 101,STOCKBRIDGE,GA,302814142,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,12,17,15.235294118,1.42,0.9858823529,0.9858823529
1053515338,JENKINS,LONI,E,MD,F,I,3579 HIGHWAY 138 SE,SUITE 101,STOCKBRIDGE,GA,302814142,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,3940,0.3602461929,0.0459137056,0.0338908629,0.0338908629
1053515338,JENKINS,LONI,E,MD,F,I,3579 HIGHWAY 138 SE,SUITE 101,STOCKBRIDGE,GA,302814142,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,143,31.156363636,24.424545455,21.994545455
1053515338,JENKINS,LONI,E,MD,F,I,3579 HIGHWAY 138 SE,SUITE 101,STOCKBRIDGE,GA,302814142,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,7.94,6.2181818182,6.6772727273
1053515338,JENKINS,LONI,E,MD,F,I,3579 HIGHWAY 138 SE,SUITE 101,STOCKBRIDGE,GA,302814142,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,33,33,24.253125,24.253125
1053515544,THOMASSEE,ERIC,J,MD,M,I,315 RUE LOUIS XIV,,LAFAYETTE,LA,705085734,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,27,29,48.473103448,17.29,11.681034483,11.665862069
1053515544,THOMASSEE,ERIC,J,MD,M,I,315 RUE LOUIS XIV,,LAFAYETTE,LA,705085734,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,153.18,35.1,27.519230769,27.006923077
1053515544,THOMASSEE,ERIC,J,MD,M,I,315 RUE LOUIS XIV,,LAFAYETTE,LA,705085734,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,34,36,280.77277778,70.23,53.271111111,52.968888889
1053515619,GOMEZ,ADRIANA,,MD,F,I,4418 N. MCCOLL ROAD,,MCALLEN,TX,78504,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,372,275,5.4,3.8807526882,3.8221505376
1053515619,GOMEZ,ADRIANA,,MD,F,I,4418 N. MCCOLL ROAD,,MCALLEN,TX,78504,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,4.91,3.5291666667,3.6233333333
1053515635,MOLINA-ANSTEE,ANA,M,MD,F,I,1250 CYPRESS STATION DR,SUITE B,HOUSTON,TX,770903052,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,50,73.549,8.32,5.739,5.739
1053515635,MOLINA-ANSTEE,ANA,M,MD,F,I,1250 CYPRESS STATION DR,SUITE B,HOUSTON,TX,770903052,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,32.68,17.32,12.137647059,12.1
1053515635,MOLINA-ANSTEE,ANA,M,MD,F,I,1250 CYPRESS STATION DR,SUITE B,HOUSTON,TX,770903052,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,210.00875,76.58,56.278125,51.3
1053515718,KAHWASH,RAMI,,M.D.,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,5340,2.9349588015,1.5364494382,1.2045730337,1.2045730337
1053515718,KAHWASH,RAMI,,M.D.,M,I,410 W 10TH AVE,,COLUMBUS,OH,432101240,US,Physician/Undefined Physician type[6],S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,24,24,18.82,18.82
1053515726,FISSEL,BRIAN,A,M.D.,M,I,12639 OLD TESSON RD,SUITE 115,SAINT LOUIS,MO,631282786,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,132.25,52.437272727,41.114545455,39.32
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,29,57,152,62.796315789,8.2919736842,5.5559868421,5.5669078947
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,27,36,17.015277778,1.42,0.9922222222,0.9922222222
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,425.7552381,90,65.881428571,64.067619048
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,23,51,157.21803922,34,25.611372549,25.074901961
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,196.55714286,62.294285714,45.477142857,39.97
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,23,23,86.571304348,18.572608696,12.104782609,11.621304348
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,28,28,78.921071429,13.157142857,8.94,7.8421428571
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,37,203,9.7723152709,2.2428571429,1.5721674877,1.424137931
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,55.432352941,13.298235294,9.2247058824,9.1458823529
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,18.904782609,18,12.490652174,12.094130435
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,49.67,49.67,38.95,37.63
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,137.74555556,35,22.809444444,21.902777778
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,133.2724,79.99,51.2648,44.5618
1053516294,MOSSMAN,BARRY,M,M.D.,M,I,2 MEMORIAL DR,STE 220,ALTON,IL,620026723,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,17,17,91.235294118,33,23.384117647,23.384117647
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,11,143,60.861468531,19.653636364,15.408111888,15.408111888
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,85,112,317,1017,68.300884956,8.3184070796,6.2490363815,6.2490363815
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,9.4642857143,3.38,2.65,2.65
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,50,60,108,206,13.410194175,1.42,1.0762621359,1.0762621359
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,12,12,12,35.395,32.758333333,24.245833333,54.779166667
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,751.11555556,336.395,255.76111111,255.76111111
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,42,232,232,256.37465517,251.00409483,195.89262931,195.97525862
1053516542,NGUYEN,QUANG,T,DO,M,I,229 N PECOS RD STE 100,,HENDERSON,NV,890747364,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,27,27,27,272.63444444,264.0537037,201.85074074,201.93407407
1053516864,WELLS,KRAMER,O,M.D.,M,I,1504 SPRING HILL AVE,,MOBILE,AL,366043207,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,21,74.634761905,8.32,4.6585714286,4.6585714286
1053516963,ALRASHID,WUFAA,,MD,F,I,10 CONGRESS ST STE 512,,PASADENA,CA,911053042,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,32,74,70.171351351,8.32,5.9918918919,5.9918918919
1053516963,ALRASHID,WUFAA,,MD,F,I,10 CONGRESS ST STE 512,,PASADENA,CA,911053042,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,21,13.62952381,1.42,1.0619047619,1.0619047619
1053516963,ALRASHID,WUFAA,,MD,F,I,10 CONGRESS ST STE 512,,PASADENA,CA,911053042,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,341,89.379677419,5.1,3.9983577713,4.0418181818
1053516963,ALRASHID,WUFAA,,MD,F,I,10 CONGRESS ST STE 512,,PASADENA,CA,911053042,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5928,4.5770647773,0.37,0.2900809717,0.2900809717
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,40,112,232,62.730991379,8.32,5.4824568966,5.4824568966
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,15.263157895,3.38,2.65,2.65
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,39,54,13.922407407,1.42,0.9918518519,0.9918518519
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,24,25,66.5892,41.9796,27.3252,24.9024
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,15,38,8.925,1.7526315789,1.3063157895,1.2115789474
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,16,25,25,325.7,92.7124,64.5428,59.9972
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,12,22,42,131.41166667,34.022380952,24.840238095,24.075714286
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,11,15,15,141.74933333,57.315333333,38.622666667,36.562666667
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,25,33,33,51.43,18.945454545,12.628181818,11.937272727
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,86.573333333,11.841666667,8.4391666667,8.36
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,29,122,10.099508197,2.151147541,1.5827868852,1.4881967213
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,15,18,18,33.258888889,13.769444444,8.9577777778,8.6788888889
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,61,63,59.837301587,22.613809524,16.61047619,14.848253968
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3825.8723077,1074.31,826.52076923,826.52076923
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,51,55,42.218181818,13.975818182,9.9858181818,8.3836363636
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,36,36,50.154166667,5.6858333333,4.3261111111,3.4472222222
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,13,85,88,193.72931818,39.137613636,28.008636364,22.471022727
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,121,130,487.39061538,75.866923077,56.395615385,52.308307692
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,63,3570,15.58,9.6344705882,7.3979327731,7.3979327731
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,44,8611,0.1921669957,0.0464464058,0.0351271629,0.0351271629
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1504,2.9262167553,0.0808510638,0.0615757979,0.0615757979
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,73,4140,12.316263285,3.0094855072,2.3594637681,2.3594637681
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,390,0.75,0.2189230769,0.1716923077,0.1716923077
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,44,50,143.7176,36.14,27.1968,28.1996
1053516971,BILYEU,SCOTT,M,M.D.,M,I,620 N PUTNAM ST,,MOWEAQUA,IL,625509482,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,14,102,102,109.67647059,33,25.109117647,25.109117647
1053517359,SOFINOWSKI,TROY,M,MD,M,I,5000 KY ROUTE 321 STE 2162,,PRESTONSBURG,KY,416539113,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1440,4.35,1.73,1.2567013889,1.4997013889
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,33,33,78.345151515,47.120606061,34.696969697,29.061515152
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,17,40,94,7.5230851064,1.7063829787,1.3372340426,1.1624468085
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,11,33,36,36,53.624166667,15.385833333,10.963888889,8.3777777778
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,7,11,14,37,1.2086486486,0.6027027027,0.4737837838,0.4243243243
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,21,21,244.86333333,122.30619048,85.482380952,60.147142857
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,112.01708333,46.854583333,33.110416667,22.314583333
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,71,28.483098592,16.295915493,11.101267606,10.607323944
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,118.16277778,65.016111111,43.346111111,37.139444444
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,17,21,21,44.872857143,22.646190476,14.998095238,11.384761905
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,15,31,138,5.9344927536,2.7765217391,2.1773188406,1.6527536232
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,13,14,14,28.966428571,15.593571429,11.47,9.7971428571
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,35,291,296,56.809222973,19.880675676,14.797331081,13.221587838
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,23,23,83.070869565,54.65173913,38.413913043,33.295652174
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,40,241,241,28.568340249,5.7867219917,4.2558506224,3.5058506224
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,56,447,482,314.09450207,83.349377593,62.23906639,52.2106639
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,63,68,187.34058824,41.789852941,30.215882353,27.386176471
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,9,21,21,21,116.71428571,57,44.69,44.69
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,54,3240,17.799632716,9.6954259259,7.6012098765,7.6012098765
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,32,80,27898,0.3367693025,0.0463556527,0.0346178938,0.0346178938
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,29,101,11573,1.1862766785,0.134989199,0.0989743368,0.0989743368
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,14,71,4296,10.710977654,2.915726257,2.2525535382,2.2525535382
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,58,44.745,35.0825,29.515833333
1053517540,SOUEIDAN,ALI,,M.D,M,I,640 S TRUMBULL ST,,BAY CITY,MI,487087656,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,32,58,205,205,69.814634146,33,24.355658537,24.355658537
1053517656,VOSS,BENJAMIN,A,MD,M,I,3009 N BALLAS RD,SUITE 227A,SAINT LOUIS,MO,631312322,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,22,62,220,68.841818182,8.32,5.8018181818,5.8018181818
1053517656,VOSS,BENJAMIN,A,MD,M,I,3009 N BALLAS RD,SUITE 227A,SAINT LOUIS,MO,631312322,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,25,46,15.928043478,1.42,1.015,1.015
1053517656,VOSS,BENJAMIN,A,MD,M,I,3009 N BALLAS RD,SUITE 227A,SAINT LOUIS,MO,631312322,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,10.741428571,2.08,1.5135714286,1.4779761905
1053517839,UDANI,SUNEEL,M,M.D.,M,I,911 N ELM ST,SUITE 102,HINSDALE,IL,605213634,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,5.4498333333,0.5617272727,0.4404090909,0.4404090909
1053517839,UDANI,SUNEEL,M,M.D.,M,I,911 N ELM ST,SUITE 102,HINSDALE,IL,605213634,US,Physician/Nephrology,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,46200,0.5250064935,0.4553116883,0.3569647186,0.3569647186
1053517839,UDANI,SUNEEL,M,M.D.,M,I,911 N ELM ST,SUITE 102,HINSDALE,IL,605213634,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1260,3.3872936508,1.1994761905,0.874515873,0.874515873
1053517839,UDANI,SUNEEL,M,M.D.,M,I,911 N ELM ST,SUITE 102,HINSDALE,IL,605213634,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,2160,2.2117083333,2.0694305556,1.6224490741,1.6224490741
1053517839,UDANI,SUNEEL,M,M.D.,M,I,911 N ELM ST,SUITE 102,HINSDALE,IL,605213634,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,24,24,18.82,18.82
1053517839,UDANI,SUNEEL,M,M.D.,M,I,911 N ELM ST,SUITE 102,HINSDALE,IL,605213634,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,40,16,16,12.54125,12.54125
1053517961,GRAVATT,MICHAEL,H,MD,M,I,916 KOALA DR,,OMAK,WA,988419759,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,19,72,132,48.803257576,8.32,5.9293181818,5.9293181818
1053517961,GRAVATT,MICHAEL,H,MD,M,I,916 KOALA DR,,OMAK,WA,988419759,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1890,2.139047619,0.1369206349,0.0929206349,0.0929206349
1053517961,GRAVATT,MICHAEL,H,MD,M,I,916 KOALA DR,,OMAK,WA,988419759,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,22.174285714,22.174285714
1053518134,MANASANCH,ELISABET,,M.D.,F,I,1515 HOLCOMBE BLVD,,HOUSTON,TX,770304009,US,Physician/Medical Oncology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,70.94,16.335,12.805,13.763333333
1053518274,BEKEMEIER,ERIC,C,DO,M,I,13010 HESPERIA RD,SUITE 600,VICTORVILLE,CA,923955837,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,13,16,16,12.54,12.54
1053518290,FAYSSOUX,KULWINDER,K,MD,F,I,45280 SEELEY DR,2ND FLOOR,LA QUINTA,CA,922536834,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,35,55.618857143,8.32,6.5222857143,6.5222857143
1053518423,DEHGHANY,SIMA,,MD,F,I,1360 UPPER HEMBREE RD STE 100,,ROSWELL,GA,300761230,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,22.4775,16.3775,12.4025
1053518423,DEHGHANY,SIMA,,MD,F,I,1360 UPPER HEMBREE RD STE 100,,ROSWELL,GA,300761230,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,75.474166667,50.169166667
1053518555,JETER,ASHLEY,A,M.D.,F,I,2910 TRICOM ST,,NORTH CHARLESTON,SC,294069350,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,100,19.71,15.45,15.45
1053518555,JETER,ASHLEY,A,M.D.,F,I,2910 TRICOM ST,,NORTH CHARLESTON,SC,294069350,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,210,37.38,29.3,29.3
1053518555,JETER,ASHLEY,A,M.D.,F,I,2910 TRICOM ST,,NORTH CHARLESTON,SC,294069350,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,48.902,17.04,13.36,13.53
1053518555,JETER,ASHLEY,A,M.D.,F,I,2910 TRICOM ST,,NORTH CHARLESTON,SC,294069350,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,292.142,74,58.02,54.73
1053518555,JETER,ASHLEY,A,M.D.,F,I,2910 TRICOM ST,,NORTH CHARLESTON,SC,294069350,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,140,11.793285714,1.7738571429,1.3907142857,1.3907142857
1053518803,SAWAH,AHMED,,M.D.,M,I,5250 AUTO CLUB DR,SUITE 200,DEARBORN,MI,481262619,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,93,44.75827957,8.32,5.6548387097,5.6548387097
1053519256,ZALATIMO,OMAR,A,MD,M,I,2700 QUARRY LAKE DR,SUITE 360,BALTIMORE,MD,212093742,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,5250.3958333,4378.96,3433.11,3433.11
1053519439,ROHENA,JORGE,A,M.D.,M,I,200 AVE WINSTON CHURCHILL,SUITE 401,SAN JUAN,PR,009266651,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,46,189,55.304708995,8.32,5.9701587302,5.9701587302
1053519439,ROHENA,JORGE,A,M.D.,M,I,200 AVE WINSTON CHURCHILL,SUITE 401,SAN JUAN,PR,009266651,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.904,3.38,2.65,2.65
1053519439,ROHENA,JORGE,A,M.D.,M,I,200 AVE WINSTON CHURCHILL,SUITE 401,SAN JUAN,PR,009266651,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,30,56,12.788571429,1.42,1.0339285714,1.0339285714
1053519512,HASSETT,CATHRYN,C,,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,12,123,440,76.309954545,19.687454545,15.294659091,15.294659091
1053519512,HASSETT,CATHRYN,C,,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,81.621176471,14.137058824,9.6670588235,9.6670588235
1053519512,HASSETT,CATHRYN,C,,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,168,48770,36.611810949,9.8403602625,7.705330326,7.7053293008
1053519512,HASSETT,CATHRYN,C,,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,1146,195.45303665,39.895183246,31.277844677,31.277835951
1053519512,HASSETT,CATHRYN,C,,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,14,168,559,13.7219678,2.6375670841,2.0532200358,2.0532200358
1053519553,GILLES,RYAN,J,MD,M,I,1919 LINCOLN WAY,315,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,94,57.28606383,8.32,5.620106383,5.620106383
1053519553,GILLES,RYAN,J,MD,M,I,1919 LINCOLN WAY,315,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,11.855483871,2.08,1.4198387097,1.3864516129
1053519553,GILLES,RYAN,J,MD,M,I,1919 LINCOLN WAY,315,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,150.47518519,18.117407407,11.228888889,10.69
1053519553,GILLES,RYAN,J,MD,M,I,1919 LINCOLN WAY,315,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,54.82,37.556666667,36.581666667
1053519553,GILLES,RYAN,J,MD,M,I,1919 LINCOLN WAY,315,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,18,81.75,13.354444444,9.3111111111,9.3155555556
1053519553,GILLES,RYAN,J,MD,M,I,1919 LINCOLN WAY,315,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,31.466666667,19.475,19.483333333
1053519553,GILLES,RYAN,J,MD,M,I,1919 LINCOLN WAY,315,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,720.31833333,71.44,43.864,42.838666667
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,29,83,299,57.903344482,8.32,6.107993311,6.107993311
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,15.501052632,3.38,2.5105263158,2.5105263158
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,43,87,13.835632184,1.42,1.0888505747,1.0888505747
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,8.99,7,5.1976363636,5.1976363636
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,300,7.5885333333,7,5.3014333333,5.3014333333
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,140,7.12,5.54,4.3432142857,4.3432142857
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,320,3.693125,3.641875,2.85521875,3.12571875
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1356,0.5101769912,0.45,0.3528171091,0.3528171091
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,281,6.3209964413,3.0599288256,2.3990035587,2.3676868327
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,16,8900,0.7972719101,0.2892550562,0.2140235955,0.2302876404
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,105.60333333,46.63,34.113333333,34.029333333
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,15.49,12.675454545,7.7290909091,7.5863636364
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,78,78,52.907692308,17.27,12.845641026,12.845641026
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,3995,17.27,13.5175,13.5175
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,181.46,88.536,65.330666667,65.625333333
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,71,71,26.088169014,5.0977464789,3.7307042254,3.4690140845
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,17,146,147,387.44312925,68.78,51.638639456,52.369591837
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,4452,0.3822327044,0.0443800539,0.0346922731,0.034690027
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,19,35,4344,1.606519337,0.1367127072,0.1053199816,0.1053199816
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,95,95,65.208842105,17.96,13.145263158,13.152315789
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,68.15,26.02,16.496666667,16.114666667
1053519587,EGWUONWU,STEVE,,MD,M,I,5604 SW LEE BLVD STE 245,,LAWTON,OK,735059663,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,18,44,44,66.75,33,25.282045455,25.282045455
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,43,106,106,130.59349057,39.567735849,29.55009434,29.053867925
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,15,40,80,8.19,1.48,1.102,1.09275
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,19,20,20,80.401,12.4915,9.7905,9.0275
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,27,72,72,407.98027778,86.416666667,65.053611111,65.116111111
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,22,37,104,138.88884615,32.2,24.745,25.366730769
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,,24,131,74.959312977,18.46,13.250305344,13.329770992
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,12,29,171,51.770701754,15.416491228,11.236140351,11.058245614
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,24,55,55,199.51290909,52.359636364,34.744181818,36.622363636
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,45,69,69,74.807681159,17.250434783,12.691594203,13.228695652
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,25.663846154,10,7.2369230769,7.5530769231
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,22,22,60.591363636,12.293636364,8.7554545455,8.3040909091
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,48,126,745,9.6533959732,2.096295302,1.5906979866,1.5415973154
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,37,52,52,26.431730769,5.91,4.4623076923,4.4748076923
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,30,39,39,43.18,12.262820513,9.1179487179,9.818974359
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,53,53,86.31,16.04,11.538490566,12.512830189
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,3710.5886792,1074.31,831.72188679,831.72188679
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,20,101,101,50.73,4.3808910891,3.2107920792,3.3723762376
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,12,59,59,191.56118644,30.850169492,22.200677966,23.151864407
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,45,328,346,461.28072254,71.88150289,53.712572254,52.216589595
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,32,223,238,212.31092437,36.302941176,27.60407563,28.592689076
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,118.33333333,57,44.69,44.69
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,40,2340,15.512470085,9.5791794872,7.483957265,7.483957265
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,18.527257576,11.336636364,8.8879545455,8.8879545455
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,18,49,11597,0.2489807709,0.0471095973,0.0354246788,0.0354246788
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,14,54,5172,1.1791395978,0.1332173241,0.1007675947,0.1007675947
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,16,86,5014,12.172293578,3.0261168728,2.2887514958,2.2887514958
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,24,85,37.51,29.41,29.55
1053519702,VELASCO,ANTONIO,Q,D.O.,M,I,107 BERLIN RD,,CHERRY HILL,NJ,080343526,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,34,143,143,110.98601399,33,25.327972028,25.327972028
1053519801,NOEL,CAMILLE,M,M.D.,F,I,1111 AMSTERDAM AVE,,NEW YORK,NY,100251716,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,134.38,46.395909091,29.760909091,31.348636364
1053519801,NOEL,CAMILLE,M,M.D.,F,I,1111 AMSTERDAM AVE,,NEW YORK,NY,100251716,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,36.5,16.86,13.22,13.513333333
1053519801,NOEL,CAMILLE,M,M.D.,F,I,1111 AMSTERDAM AVE,,NEW YORK,NY,100251716,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,217.1,77.36,60.65,55.026
1053520023,MOISA,RADU,,M.D.,M,I,2865 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,47,44.510425532,8.32,5.934893617,5.934893617
1053520023,MOISA,RADU,,M.D.,M,I,2865 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,82.802,22.97,17.891333333,14.619333333
1053520023,MOISA,RADU,,M.D.,M,I,2865 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,37.403571429,10.847142857,8.5057142857,4.2885714286
1053520023,MOISA,RADU,,M.D.,M,I,2865 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,28,510.84571429,105.31,80.431071429,57.114642857
1053520023,MOISA,RADU,,M.D.,M,I,2865 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,1620,0.946537037,0.135037037,0.1058703704,0.1058703704
1053520023,MOISA,RADU,,M.D.,M,I,2865 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,870,12.132689655,2.8748965517,2.2539425287,2.2539425287
1053520023,MOISA,RADU,,M.D.,M,I,2865 DAGGETT AVE,,KLAMATH FALLS,OR,976011106,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,118.34482759,33,24.977931034,24.977931034
1053520080,KHAN,ZEESHAAN,,M.D.,M,I,7600 S LEWIS AVE,SUITE 1400,TULSA,OK,741366836,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,45,45,45,6142.2933333,4378.96,3433.11,3433.11
1053520080,KHAN,ZEESHAAN,,M.D.,M,I,7600 S LEWIS AVE,SUITE 1400,TULSA,OK,741366836,US,Physician/Orthopedic Surgery,S,L0174,"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,433.758,249.3,195.45,217.17
1053520080,KHAN,ZEESHAAN,,M.D.,M,I,7600 S LEWIS AVE,SUITE 1400,TULSA,OK,741366836,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,38,38,38,1754.3223684,1182.2439474,877.66026316,847.24605263
1053520122,CHONG,HUI SEN,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/General Surgery,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,306.24,62,48.61,48.32
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,27,132,47.384924242,8.32,5.3374242424,5.3374242424
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.61,3.38,2.31875,2.31875
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,46,14.730217391,1.42,0.9436956522,0.9436956522
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,201.155,49.715,35.979166667,35.229166667
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,16.541666667,5.4683333333,3.9483333333,3.9483333333
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,403.89608696,79.442173913,59.554347826,52.684782609
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,68.348,17.312,12.72,12.877333333
1053520148,SPASSOVA,GANKA,A,M.D.,F,I,18770 FARMINGTON RD,,LIVONIA,MI,481523292,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,35.63,27.93,29.366363636
1053520353,SEPULVEDA,ASDRUBAL,D,MD,M,I,14075 TOWN LOOP BLVD,,ORLANDO,FL,328376132,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,33,101,59.16009901,8.32,6.135049505,6.135049505
1053520353,SEPULVEDA,ASDRUBAL,D,MD,M,I,14075 TOWN LOOP BLVD,,ORLANDO,FL,328376132,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,39,14.966923077,1.42,0.9707692308,0.9707692308
1053520353,SEPULVEDA,ASDRUBAL,D,MD,M,I,14075 TOWN LOOP BLVD,,ORLANDO,FL,328376132,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,22.67,6.214375,4.318125,3.458125
1053520353,SEPULVEDA,ASDRUBAL,D,MD,M,I,14075 TOWN LOOP BLVD,,ORLANDO,FL,328376132,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,96.12,43.921666667,30.8075,31.695
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,97,59.037010309,8.32,5.5813402062,5.5813402062
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,25,16.7284,1.42,1.0244,1.0244
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,155.53916667,55,37.293333333,37.09
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,52.936666667,12.51,8.0675,7.5183333333
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,90,7.1913333333,2,1.409,1.4283333333
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,120,14,10.98,10.48
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,39.213333333,5.7244444444,3.5277777778,2.8238888889
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,237.03,35.8425,26.53875,25.07
1053520361,TU,BENJAMIN,Y,M.D.,M,I,1000 HIGBEE DR,SUITE 104,BETHEL PARK,PA,151024200,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,270.23794118,77.323529412,49.515,45.081176471
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,39,136,288,66.516423611,8.0803125,5.7493055556,5.9371180556
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,18,30,34,13.827647059,1.42,1.02,1.02
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,95.84,19.939230769,14.484615385,12.489230769
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,45,8.015625,6.2825,3.87
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,41,41,295,98.298536585,74.15195122,53.04804878
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,2665,0.1700450281,0.0457560976,0.0358761726,0.0358761726
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,96.810434783,44.86826087,32.32173913,26.95
1053520403,SUNDQUIST,PHILIP,D,M.D.,M,I,1030 N 7TH ST,,CHARITON,IA,500491206,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,33,33,24.641578947,24.641578947
1053520486,EVANCHO,DAWN,P,PA-C,F,I,218 ASHVILLE AVE,SUITE 20,CARY,NC,275186118,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,28,75.016071429,8.32,5.1242857143,5.1242857143
1053520486,EVANCHO,DAWN,P,PA-C,F,I,218 ASHVILLE AVE,SUITE 20,CARY,NC,275186118,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,233.40166667,33.63,26.366666667,24.81
1053520577,RAJAN,DIVYA,S,M.D.,F,I,1832 HARPER RD,,BECKLEY,WV,258013366,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,375,70.23,49.082083333,48.784583333
1053520650,SMITH,JACQUELINE,L,DO,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,128661003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,32,407.119375,79.48,56.9025,49.786875
1053520650,SMITH,JACQUELINE,L,DO,F,I,211 CHURCH ST,,SARATOGA SPRINGS,NY,128661003,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,41.75,29.754545455,26.827272727
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,21,84,76.34797619,19.695238095,15.440952381,15.440952381
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,2,,18,396,67.172727273,33.795909091,26.496010101,29.270959596
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,,59,59,97.321694915,21.091355932,16.065932203,14.978305085
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,61.666666667,4.415,3.465,3.38
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E0574,Ultrasonic/electronic aerosol generator with small volume nebulizer,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,60.945454545,40.16,31.489090909,31.489090909
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,20,21,148,149,448.88872483,77.234966443,57.572751678,52.204697987
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,196.02564103,39.717179487,29.579230769,27.997948718
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,J1325,"Injection, epoprostenol, 0.5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,32.789166667,15.841583333,12.419796296,12.419796296
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,980,1094.177551,571.86557143,448.11113265,448.11113265
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,K0455,"Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,1034.2778947,297.92947368,233.57631579,233.57631579
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,158.11764706,39.836470588,27.895882353,26.681764706
1053520759,GERKE,ALICIA,,M.D.,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,41,41,45.87804878,33,24.60804878,24.60804878
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,50,97,97,83.128247423,41.697010309,29.830515464,27.735051546
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,41,74,74,279.7427027,90.739459459,65.447837838,62.321486486
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,38,90,162,99.154074074,35.545679012,26.580061728,24.685802469
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,23,83,52.156626506,20.583012048,15.00253012,13.498915663
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,17,67,40.698507463,17.310895522,12.285074627,10.630746269
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,16,28,28,155.57142857,62.037857143,45.383214286,39.798571429
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,56,71,71,56.391830986,19.750985915,14.766338028,13.433802817
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,22.447272727,10.538181818,7.17,7.0990909091
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,54,137,558,6.675734767,2.3799641577,1.6634408602,1.4126164875
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,16,16,15.91875,6.395625,4.665625,4.315625
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,30,40,40,36.198,13.87075,9.37275,8.916
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,86.31,22.178461538,17.386153846,13.53
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,77.45,54.82,38.641333333,37.627333333
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,77.45,50,33.973333333,32.612666667
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,22,22,325.89227273,89.776818182,63.095454545,61.282727273
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,661.5026087,231.93565217,166.24347826,136.97304348
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,60.945652174,13.838695652,8.9343478261,8.6582608696
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,16,16,35.1825,8.435,6.328125,4.040625
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,41.87,32.825,32.825
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,16,106,106,139.75,36.770377358,26.068396226,22.391415094
1053521203,KOUSKOV,OLEG,S,MD,M,I,2347 E GALA ST,,MERIDIAN,ID,836424881,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,42,397.19738095,84.448095238,64.172380952,53.100238095
1053521450,STEIN,ELLEN,M,M.D.,F,I,600 N WOLFE ST,1830 BLDG ROOM 429,BALTIMORE,MD,212870005,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,55,690,22.653130435,12.915202899,10.125797101,10.289898551
1053521450,STEIN,ELLEN,M,M.D.,F,I,600 N WOLFE ST,1830 BLDG ROOM 429,BALTIMORE,MD,212870005,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,263,550,268.44,210.45657795,210.45657795
1053521450,STEIN,ELLEN,M,M.D.,F,I,600 N WOLFE ST,1830 BLDG ROOM 429,BALTIMORE,MD,212870005,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,88,619.83454545,326.61772727,256.06875,256.06875
1053521450,STEIN,ELLEN,M,M.D.,F,I,600 N WOLFE ST,1830 BLDG ROOM 429,BALTIMORE,MD,212870005,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,67,352,76.779147727,9.3485795455,7.3288920455,7.3288920455
1053521450,STEIN,ELLEN,M,M.D.,F,I,600 N WOLFE ST,1830 BLDG ROOM 429,BALTIMORE,MD,212870005,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,66,351,87.014672365,29.215441595,22.904985755,22.904985755
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,39,164,56.971646341,8.32,6.1247560976,6.1247560976
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,20,15.149,3.38,2.385,2.385
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,24,57,15.714035088,1.42,1.0333333333,1.0333333333
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,33,8.2736363636,1.8733333333,1.3924242424,1.1193939394
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,31,31,165.81354839,71.312903226,53.938387097,36.822258065
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,72.083333333,22.4775,16.3775,12.4025
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,19,50.73,7.0005263158,5.1042105263,3.2010526316
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,111.65333333,64.470666667,50.546,39.414
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,23.975,11.31,8.86875,6.95
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,260.33333333,106.38666667,79.425333333,53.781333333
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1920,0.92,0.1295,0.095859375,0.095859375
1053521559,MANDEL,DAVID,B,M.D.,M,I,1002 N MOUND ST,,NACOGDOCHES,TX,759614437,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,132,33,24.638095238,24.638095238
1053521682,CHINO,KAZUMI,,M.D.,F,I,2100 STATE AVE,,PANAMA CITY,FL,324054587,US,Physician/Radiation Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,71.967857143,17.29,13.55,13.53
1053521682,CHINO,KAZUMI,,M.D.,F,I,2100 STATE AVE,,PANAMA CITY,FL,324054587,US,Physician/Radiation Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,457.910625,70.23,55.06,54.72
1053521989,RAMIREZ,RUBEN,,M.D.,M,I,1250 E CLIFF DR STE 2B,,EL PASO,TX,79902,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,3990,6.0171002506,0.5680075188,0.4301528822,0.4301428571
1053521989,RAMIREZ,RUBEN,,M.D.,M,I,1250 E CLIFF DR STE 2B,,EL PASO,TX,79902,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,24,24,17.425925926,17.425925926
1053521989,RAMIREZ,RUBEN,,M.D.,M,I,1250 E CLIFF DR STE 2B,,EL PASO,TX,79902,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1053522144,VAN DER VEN,ALEXANDER,,M.D.,M,I,1150 CAMPO SANO AVE STE 301,DOCTORS HOSPITAL CENTER FOR ORTHOPAEDICS AND SPORTS MED,CORAL GABLES,FL,331461174,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,63,63,63,90.480793651,53.887777778,41.655079365,36.042539683
1053522144,VAN DER VEN,ALEXANDER,,M.D.,M,I,1150 CAMPO SANO AVE STE 301,DOCTORS HOSPITAL CENTER FOR ORTHOPAEDICS AND SPORTS MED,CORAL GABLES,FL,331461174,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,67,67,67,118.2080597,53.528208955,41.967910448,40.79358209
1053522268,MCNEIL,CARRIE,L,MD,F,I,213 MAIN STREET,SALEM FAMILY HEALTH CENTER,SALEM,NY,12865,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,64,54.50703125,8.3096875,4.60109375,4.60921875
1053522268,MCNEIL,CARRIE,L,MD,F,I,213 MAIN STREET,SALEM FAMILY HEALTH CENTER,SALEM,NY,12865,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,68.475,11.475,8.2358333333,8.3625
1053522839,JUNGST,ELIZABETH,,MD,F,I,1921 WALDEMERE ST,SUITE 405,SARASOTA,FL,342392943,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,50,120,69.459916667,8.32,5.7615833333,5.7615833333
1053522839,JUNGST,ELIZABETH,,MD,F,I,1921 WALDEMERE ST,SUITE 405,SARASOTA,FL,342392943,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,16,12.083125,1.42,0.98,0.98
1053522839,JUNGST,ELIZABETH,,MD,F,I,1921 WALDEMERE ST,SUITE 405,SARASOTA,FL,342392943,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,13.33,13.5225
1053522839,JUNGST,ELIZABETH,,MD,F,I,1921 WALDEMERE ST,SUITE 405,SARASOTA,FL,342392943,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,624,10.504407051,2.8750961538,2.2540865385,2.2540865385
1053522854,THORNE,NYREE,K,MD,F,I,MEDICAL CENTER BLVD,,WINSTON-SALEM,NC,271570001,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,424,40.589622642,3.4313679245,2.6901650943,2.4681367925
1053522854,THORNE,NYREE,K,MD,F,I,MEDICAL CENTER BLVD,,WINSTON-SALEM,NC,271570001,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,9354,2.9229762668,0.3426427197,0.2596568313,0.2422493051
1053522862,ZAFAR,SHAZIA,,MD,F,I,1000 N HIATUS RD STE 110,,PEMBROKE PINES,FL,330263094,US,Physician/Hematology-Oncology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,154.9,50,35.933333333,34.494166667
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,51,129,317,60.783974763,8.32,5.6089905363,5.6089905363
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,14.529230769,3.38,2.2423076923,2.2423076923
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,24,50,65,12.651076923,1.42,0.9967692308,0.9967692308
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,153.13583333,56.068333333,40.380833333,39.459166667
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,14,14,55.212142857,19.611428571,15.372857143,14.063571429
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,90,6.7385555556,2.118,1.661,1.5898888889
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,11.108333333,11.309166667
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,16,16,147.28875,47.29,37.07,37.595
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,410.69666667,40.943888889,29.241388889,23.427222222
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,397.87906977,91.658604651,66.23255814,50.843255814
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,2819,0.3175452288,0.0448385952,0.0309223129,0.0309223129
1053523340,CALABRESE,JENNIFER,A,MD,F,I,101 COOPER FOSTER PARK RD,,AMHERST,OH,440011001,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,99,33,21.558333333,21.558333333
1053523613,SAMARA,MICHAEL,A,M.D.,M,I,"920 EAST 28TH STREET, SUITE 300",,MINNEAPOLIS,MN,554071321,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,28,3331,2.2223806665,0.547337136,0.4125577905,0.4125577905
1053523613,SAMARA,MICHAEL,A,M.D.,M,I,"920 EAST 28TH STREET, SUITE 300",,MINNEAPOLIS,MN,554071321,US,Physician/Cardiovascular Disease (Cardiology),S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,3410,0.7474017595,0.4580439883,0.3591026393,0.3591026393
1053523613,SAMARA,MICHAEL,A,M.D.,M,I,"920 EAST 28TH STREET, SUITE 300",,MINNEAPOLIS,MN,554071321,US,Physician/Cardiovascular Disease (Cardiology),S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,1260,1.2703333333,0.7432142857,0.549952381,0.549952381
1053523613,SAMARA,MICHAEL,A,M.D.,M,I,"920 EAST 28TH STREET, SUITE 300",,MINNEAPOLIS,MN,554071321,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,42,5680,0.8977552817,0.6226971831,0.4683661972,0.4683626761
1053523613,SAMARA,MICHAEL,A,M.D.,M,I,"920 EAST 28TH STREET, SUITE 300",,MINNEAPOLIS,MN,554071321,US,Physician/Cardiovascular Disease (Cardiology),S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,855,17.53205848,7.4329707602,5.4635321637,5.4635321637
1053523613,SAMARA,MICHAEL,A,M.D.,M,I,"920 EAST 28TH STREET, SUITE 300",,MINNEAPOLIS,MN,554071321,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,13,51,51,24,24,18.243921569,18.243921569
1053523613,SAMARA,MICHAEL,A,M.D.,M,I,"920 EAST 28TH STREET, SUITE 300",,MINNEAPOLIS,MN,554071321,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,65,72,16,16,12.226527778,12.226527778
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,28,80,176,71.207045455,8.32,5.7436363636,5.7436363636
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,11,23,28,14.873214286,1.42,1.0764285714,1.0764285714
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,70.5,28.46,20.450833333,20.450833333
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,18,33.373333333,10.93,8.0933333333,8.0933333333
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,105.748125,49.92125,37.03125,28.584375
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,65,87.433846154,27.020769231,21.183692308,14.551538462
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,239.425,78.266666667,58.913888889,41.901666667
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,14,14,82.720714286,26.601428571,20.851428571,14.695714286
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,103.32142857,22.478571429,17.62,9.9428571429
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,32,162,11.421111111,2.972962963,2.3312962963,1.6317901235
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,14,79.65,22.829285714,15.765,11.597142857
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,83.302727273,19.435454545,15.237272727,10.479090909
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,50.022777778,8.5461111111,6.1616666667,3.1911111111
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,243.91,55.995,42.461666667,24.674444444
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,56,544.04160714,102.08,75.478928571,53.33875
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,250,44.34,27.723571429,23.191428571
1053523704,MOORE,APRIL,,MD,F,I,803 S FIRST AVE,,FORRESTON,IL,610309575,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,88.6875,33,22.63625,22.63625
1053523852,MALDONADO,EMILY,J,P.A.C.,F,I,801 N. MONTESANO ST.,,WESTPORT,WA,98595,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,62,60.611290323,8.32,4.1074193548,4.1074193548
1053523852,MALDONADO,EMILY,J,P.A.C.,F,I,801 N. MONTESANO ST.,,WESTPORT,WA,98595,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,16,88.69,18.45875,13.748125,9.201875
1053523852,MALDONADO,EMILY,J,P.A.C.,F,I,801 N. MONTESANO ST.,,WESTPORT,WA,98595,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,279.73,58.304705882,44.495294118,26.374117647
1053523852,MALDONADO,EMILY,J,P.A.C.,F,I,801 N. MONTESANO ST.,,WESTPORT,WA,98595,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1170,1.082042735,0.1357435897,0.0901196581,0.0901196581
1053523852,MALDONADO,EMILY,J,P.A.C.,F,I,801 N. MONTESANO ST.,,WESTPORT,WA,98595,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,122.1,33,22.203,22.203
1053524017,MINTER,DAVID,A,D.O.,M,I,50 N PERRY ST,,PONTIAC,MI,483422217,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,31.61,17.25,13.52,13.534545455
1053524017,MINTER,DAVID,A,D.O.,M,I,50 N PERRY ST,,PONTIAC,MI,483422217,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,27,190.64,79.88,62.62,56.768148148
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,,25,311,56.359485531,19.658167203,15.206720257,15.216848875
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,23,720,7.4904166667,2.6333333333,2.0644722222,2.0657777778
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,11,13,26,3.6023076923,0.51,0.4,0.4
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,75,214,956,61.07001046,8.3197698745,6.2780020921,6.2780962343
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,21,42,42,13.836190476,3.38,2.5869047619,2.5869047619
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,21,24,24,20.614166667,2.12,1.67,1.67
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,35,80,177,14.36779661,1.42,1.1141242938,1.1141242938
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,748.31333333,341.22363636,260.54333333,260.54333333
1053524116,OESTERLE,ROBERT,A,MD,M,I,300 HEALTH PARK BLVD.,SUITE 3008,ST. AUGUSTINE,FL,320863703,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,62,68,597.78,250.95588235,196.74911765,196.86970588
1053524140,MCLAIN,ROGER,D,NP,M,I,201 GOVERNORS DR SW STE 400,,HUNTSVILLE,AL,358015183,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,36,36,119.9,76.928333333,54.598611111,54.620555556
1053524272,SOTO,CARMEN,E,M.D.,F,I,4761 HIGBEE AVE NW,COMMUNITY HEALTH CARE,CANTON,OH,447182551,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,29,98,75.196632653,8.32,5.391122449,5.391122449
1053524272,SOTO,CARMEN,E,M.D.,F,I,4761 HIGBEE AVE NW,COMMUNITY HEALTH CARE,CANTON,OH,447182551,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,15,13.688,1.42,1.0426666667,1.0426666667
1053524272,SOTO,CARMEN,E,M.D.,F,I,4761 HIGBEE AVE NW,COMMUNITY HEALTH CARE,CANTON,OH,447182551,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,73.311428571,11.726428571,8.4685714286,8.4685714286
1053524272,SOTO,CARMEN,E,M.D.,F,I,4761 HIGBEE AVE NW,COMMUNITY HEALTH CARE,CANTON,OH,447182551,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,66,10.866363636,2.0334848485,1.5948484848,1.5922727273
1053524272,SOTO,CARMEN,E,M.D.,F,I,4761 HIGBEE AVE NW,COMMUNITY HEALTH CARE,CANTON,OH,447182551,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,29.872758621,14.030689655,10.725862069,10.2
1053524272,SOTO,CARMEN,E,M.D.,F,I,4761 HIGBEE AVE NW,COMMUNITY HEALTH CARE,CANTON,OH,447182551,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,132.48518519,41.209259259,31.03037037,24.557037037
1053524868,VEERLA,VEERA,C,MD,M,I,1000 MCKINLEY PARK DR,,MARION,OH,433026399,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,62,62,50.64516129,7.9967741935,6.0574193548,3.735483871
1053524868,VEERLA,VEERA,C,MD,M,I,1000 MCKINLEY PARK DR,,MARION,OH,433026399,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,373.65075,97.949,70.77425,50.2695
1053524868,VEERLA,VEERA,C,MD,M,I,1000 MCKINLEY PARK DR,,MARION,OH,433026399,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,82,44.197058824,32.72,27.778823529
1053524868,VEERLA,VEERA,C,MD,M,I,1000 MCKINLEY PARK DR,,MARION,OH,433026399,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,65,43.992857143,34.492857143,30.025
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,41,100,100,97.061,38.166,28.1961,28.7437
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,41,96,96,240.56375,92.8746875,69.368958333,64.594895833
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,41,120,277,92.575812274,34.779747292,26.743646209,25.417256318
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,25,57,268,60.833619403,19.393470149,14.704738806,14.066119403
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,23,102,40.693039216,15.575490196,10.054607843,9.8118627451
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,38,75,75,182.41413333,55.738933333,40.362666667,39.538933333
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,66,91,91,53.342637363,18.558241758,14.222417582,13.756593407
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,34,65,65,58.640769231,13.642461538,10.278769231,8.744
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,72,200,948,10.406540084,2.0633860759,1.5609704641,1.5345042194
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,25,31,31,20.800967742,6.4348387097,4.7561290323,4.3758064516
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,42,59,59,28.020169492,13.179152542,10.00440678,10.001694915
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,14,86.31,35.657142857,27.955714286,22.430714286
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,17,100,102,552.12911765,88.054607843,64.799117647,62.145686275
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,618.15,376.8575,295.4575,307.31916667
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,39,207,212,55.950943396,14.185566038,10.400283019,9.7926415094
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,39,40,50.73,5.888,3.86025,3.03625
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,75,41.87,32.825,32.825
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,35,230,233,242.14171674,34.9572103,26.196566524,24.120686695
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,68,70,545.487,77.5,60.76,55.160714286
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,250,36.26,28.43,29.417428571
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.358625,7.358625
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2388,0.1740452261,0.0465912898,0.0365284757,0.0365242881
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,275,4.6796,0.2192,0.1716727273,0.1716727273
1053524991,LEE,EUHAN,J,M.D.,M,I,490 E NORTH AVE,,PITTSBURGH,PA,152124740,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,37,97.216216216,33,25.87,25.87
1053525238,STRASSER,NICHOLAS,L,MD,M,I,55 COBURG RD,,EUGENE,OR,974012433,US,Physician/Orthopedic Surgery,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,133,33.016470588,22.705882353,22.954117647
1053525238,STRASSER,NICHOLAS,L,MD,M,I,55 COBURG RD,,EUGENE,OR,974012433,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,476.48,335.04,255.65928571,221.26142857
1053525238,STRASSER,NICHOLAS,L,MD,M,I,55 COBURG RD,,EUGENE,OR,974012433,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,26,26,235.44384615,150.19,114.90615385,116.75230769
1053525568,BAL,HARDEEP,,D.O.,F,I,7105 FM 2920 RD,,SPRING,TX,773792210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,21,64,67.26859375,8.32,6.11421875,6.11421875
1053525568,BAL,HARDEEP,,D.O.,F,I,7105 FM 2920 RD,,SPRING,TX,773792210,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,17,10.467058824,1.42,0.9841176471,0.9841176471
1053525584,GALLOWAY,KENNETH,C,M.D.,M,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,65.679285714,18.49,13.455,12.563571429
1053525584,GALLOWAY,KENNETH,C,M.D.,M,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,437.4124,86.84,65.3568,53.0748
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,101.27076923,40.381538462,29.240769231,28.144615385
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,30,3.7786666667,1.64,1.199,1.0913333333
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.02,1.16,0.91,0.9604166667
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,79,126,126,334.63428571,96.17468254,67.524920635,61.227857143
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,58,104,272,144.04106618,36.780551471,27.138345588,24.423198529
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,29,60,303,66.846534653,20.910693069,16.125445545,14.321419142
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,17,28,140,48.278571429,15.522,9.9725,9.7309285714
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,57,95,95,159.12968421,58.600105263,41.85,39.291368421
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,116,139,139,62.065899281,18.670359712,13.389280576,13.014172662
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,118,200,200,39.57415,13.6191,9.8784,8.56295
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,115,213,1009,6.9806342914,2.1898909812,1.6084241824,1.4914469772
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,109,130,130,18.598076923,6.4385384615,4.6302307692,4.3315384615
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,23,26,26,34.643846154,13.559230769,9.1992307692,8.9546153846
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,54.84375,17.98,13.0259375,12.5184375
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,12,12,53.450833333,54.04,42.37,38.025
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,262.08588235,87.024705882,44.864117647,40.478823529
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,583.33333333,233.22,176.01095238,159.06380952
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,18,18,415.63944444,148.28888889,116.26111111,105.61444444
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,49.833333333,6.8296666667,4.8206666667,3.2916666667
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,49,303,303,158.08052805,36.128811881,24.832343234,22.102673267
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,13,85,85,355.89705882,89.038117647,63.728,50.591647059
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,58.068461538,39.56,28.633846154,27.472307692
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,4946,0.445369996,0.0458794986,0.0315628791,0.0315628791
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1020,10.711960784,2.9531176471,2.315254902,2.315254902
1053525618,DANIEL,NEAL,,MD,M,I,2660 10TH AVENUE SOUTH,SUITE 528,BIRMINGHAM,AL,35205,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,32,48.46875,33,22.9478125,22.9478125
1053525634,FECKO,ALICE,M,MD,F,I,3601 W 13 MILE RD,,ROYAL OAK,MI,480736712,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,56,56,56,67.642857143,67.642857143,49.761428571,49.648571429
1053525634,FECKO,ALICE,M,MD,F,I,3601 W 13 MILE RD,,ROYAL OAK,MI,480736712,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,52,70.192307692,51.951923077,36.014615385,38.714615385
1053525634,FECKO,ALICE,M,MD,F,I,3601 W 13 MILE RD,,ROYAL OAK,MI,480736712,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,32,32,61,76.213114754,65.983442623,48.574590164,50.460491803
1053525634,FECKO,ALICE,M,MD,F,I,3601 W 13 MILE RD,,ROYAL OAK,MI,480736712,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,66,66,129,15.348837209,15.028139535,10.928527132,12.821317829
1053525659,RAMAMURTHY,SUJATHA,G,MD,F,I,6801 LUCY CORR CT,,CHESTERFIELD,VA,238326657,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,142.74,53.043333333,39.507222222,37.189444444
1053525659,RAMAMURTHY,SUJATHA,G,MD,F,I,6801 LUCY CORR CT,,CHESTERFIELD,VA,238326657,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,51.53,23.851818182,17.375454545,13.889090909
1053525782,MCNEARY,LYDIA,L,M.D.,F,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,20,20,300.68,61.9535,48.571,38.7535
1053525782,MCNEARY,LYDIA,L,M.D.,F,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,18,29,227.71931034,36.543103448,27.157931034,19.947586207
1053525782,MCNEARY,LYDIA,L,M.D.,F,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,225,75.456,59.158,53.6
1053525782,MCNEARY,LYDIA,L,M.D.,F,I,2331 FRANKLIN RD SW,,ROANOKE,VA,240141111,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,26,32,38.6075,9.26625,6.86,6.3678125
1053525907,GILLESPIE,ROBERT,J,MD,M,I,11000 EUCLID AVE,,CLEVELAND,OH,441061714,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,36,36,36,195.96944444,100.42,74.658333333,83.225833333
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,15,15,281.07266667,122.382,85.256,64.023333333
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,129.9425,46.35875,35.21875,27.085833333
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,70,77.637142857,24.238,15.221714286,11.022428571
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,20,20,172.698,69.647,48.8145,37.4965
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,21,27,27,55.630740741,23.276296296,17.071851852,13.304074074
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,25,25,38.6508,17.7244,12.0468,8.1188
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,21,40,137,6.0324087591,3.0373722628,2.2300729927,1.5025547445
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,15,18,18,17.420555556,7.9044444444,5.2738888889,3.9988888889
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,14,273.77928571,116.39142857,84.789285714,61.502142857
1053526293,KOURY,DAVID,,M.D.,M,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,76,78,138.3225641,56.628846154,44.402307692,28.273076923
1053526384,DUNLEAVY,JOHN,P,M.D.,M,I,73 SAND PIT RD,SUITE 204,DANBURY,CT,068104042,US,Physician/Orthopedic Surgery,S,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,19,114.36842105,94.206315789,73.862105263,77.86
1053526533,HEINRICH,JOHN,B,M.D.,M,I,3900 JUNIUS ST,SUITE 500,DALLAS,TX,752461615,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,153,47,36.85,36.49
1053526772,REEVES,TRACY,B,PA,F,I,201 OAKBROOK LN,STE. 255,SUMMERVILLE,SC,294857538,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,41,101,61.969108911,8.32,5.4883168317,5.4883168317
1053526772,REEVES,TRACY,B,PA,F,I,201 OAKBROOK LN,STE. 255,SUMMERVILLE,SC,294857538,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,23,25,10.6532,1.42,0.984,0.984
1053526889,STONE,DEREK,E,D.O.,M,I,4343 ALL SEASONS DR,STE 220,HILLIARD,OH,430261961,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,24,64,74.20515625,8.32,5.91078125,5.91078125
1053526889,STONE,DEREK,E,D.O.,M,I,4343 ALL SEASONS DR,STE 220,HILLIARD,OH,430261961,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,686,0.2753498542,0.0454373178,0.0356268222,0.0356268222
1053526889,STONE,DEREK,E,D.O.,M,I,4343 ALL SEASONS DR,STE 220,HILLIARD,OH,430261961,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,25.87,25.87
1053528307,AMINI,AHMED,,DO,M,I,12720 MCMANUS BLVD STE 307,,NEWPORT NEWS,VA,236024414,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1020,4.1842058824,1.4878235294,1.1664509804,1.1664509804
1053528356,GOODRICH,SONYA,L,NP,F,I,1200 CLINTON AVE,SUITE 140,IRVINGTON,NJ,071112070,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,44,78,83.022435897,8.32,4.5148717949,4.5148717949
1053528356,GOODRICH,SONYA,L,NP,F,I,1200 CLINTON AVE,SUITE 140,IRVINGTON,NJ,071112070,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,24.043478261,1.42,0.827826087,0.827826087
1053528356,GOODRICH,SONYA,L,NP,F,I,1200 CLINTON AVE,SUITE 140,IRVINGTON,NJ,071112070,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,171.29,52.14,40.877333333,42.649333333
1053528356,GOODRICH,SONYA,L,NP,F,I,1200 CLINTON AVE,SUITE 140,IRVINGTON,NJ,071112070,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,237.55117647,74.876470588,55.022352941,51.510588235
1053528356,GOODRICH,SONYA,L,NP,F,I,1200 CLINTON AVE,SUITE 140,IRVINGTON,NJ,071112070,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,1.9324444444,0.1341666667,0.0900833333,0.0900833333
1053528364,BROOKS,JULIE,,PA,F,I,14 TSIENNETO RD STE 200A,,DERRY,NH,03038,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,696.25818182,74.725454545,58.588181818,55.051818182
1053528364,BROOKS,JULIE,,PA,F,I,14 TSIENNETO RD STE 200A,,DERRY,NH,03038,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.91,30.51,29.593333333
1053528752,FRISCH,RICHARD,F,M.D.,M,I,1106 CHUCK DAWLEY BLVD,200,MT PLEASANT,SC,294644183,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,20,20,20,5236.551,4378.96,3433.11,3433.11
1053528752,FRISCH,RICHARD,F,M.D.,M,I,1106 CHUCK DAWLEY BLVD,200,MT PLEASANT,SC,294644183,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,104,104,104,1400,1328.44,1039.0296154,912.34701923
1053528752,FRISCH,RICHARD,F,M.D.,M,I,1106 CHUCK DAWLEY BLVD,200,MT PLEASANT,SC,294644183,US,Physician/Orthopedic Surgery,S,L0972,"Lso, corset front",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,92,92,92,201.08695652,106.02,82.615978261,80.962282609
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,23,28.446521739,24.19,18.135652174,21.52173913
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,204,2.49,2.49,1.9516666667,1.9516666667
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,20,5.537,5.537,4.123,4.126
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,25,10.9252,10.8772,8.1888,8.232
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,300,7,7,5.488,5.488
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,220,4.03,4.03,3.1595454545,3.1595454545
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,420,34.86,34.86,27.330309524,27.330309524
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,510,8.28,8.28,6.2998235294,6.2998235294
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,54.295185185,17.27,12.537037037,12.537037037
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,277.33222222,68.78,49.609259259,50.395555556
1053528760,MONTGOMERY,TERRENCE,J,NP,M,I,61 BELL ROCK PLZ,,SEDONA,AZ,863518810,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,11,53,53,65.196226415,18.614150943,12.780566038,12.685849057
1053528778,BOOKER,LISA,J,APN,F,I,260 WEST BROAD STREET,,LEPANTO,AR,723540000,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,22,54,77.852407407,8.32,5.2544444444,5.2544444444
1053528778,BOOKER,LISA,J,APN,F,I,260 WEST BROAD STREET,,LEPANTO,AR,723540000,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,165,24.402727273,19.129090909,13.53
1053528778,BOOKER,LISA,J,APN,F,I,260 WEST BROAD STREET,,LEPANTO,AR,723540000,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1048.7,810.22416667,830.30416667
1053528778,BOOKER,LISA,J,APN,F,I,260 WEST BROAD STREET,,LEPANTO,AR,723540000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,265.9608,110.6072,86.7196,57.97
1053528778,BOOKER,LISA,J,APN,F,I,260 WEST BROAD STREET,,LEPANTO,AR,723540000,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,44.745,35.0825,29.515833333
1053529214,ELLMAN,PETER,I,MD,M,I,155 MEMORIAL DR,,PINEHURST,NC,283748710,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,514.51612903,85.030645161,62.739677419,51.206451613
1053529214,ELLMAN,PETER,I,MD,M,I,155 MEMORIAL DR,,PINEHURST,NC,283748710,US,Physician/Thoracic Surgery,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,37.44,29.35,29.495454545
1053529214,ELLMAN,PETER,I,MD,M,I,155 MEMORIAL DR,,PINEHURST,NC,283748710,US,Physician/Thoracic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,85,40.955,30.583,28.01
1053529321,CAMFERDAM,ROBERT,R,M.D.,M,I,403 S POPLAR ST STE D,,SEARCY,AR,721436000,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,12,95,7185,3.8758274182,0.5633333333,0.4283451635,0.4379986082
1053529321,CAMFERDAM,ROBERT,R,M.D.,M,I,403 S POPLAR ST STE D,,SEARCY,AR,721436000,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,37,6750,0.7647511111,0.0129777778,0.0092044444,0.0092044444
1053529321,CAMFERDAM,ROBERT,R,M.D.,M,I,403 S POPLAR ST STE D,,SEARCY,AR,721436000,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1920,1.66,0.7391875,0.57953125,0.57953125
1053529321,CAMFERDAM,ROBERT,R,M.D.,M,I,403 S POPLAR ST STE D,,SEARCY,AR,721436000,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,59,9360,4.225159188,1.2343205128,0.9587702991,0.9587702991
1053529321,CAMFERDAM,ROBERT,R,M.D.,M,I,403 S POPLAR ST STE D,,SEARCY,AR,721436000,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,51,8040,6.2344626866,2.8320870647,2.1173793532,2.1959539801
1053529321,CAMFERDAM,ROBERT,R,M.D.,M,I,403 S POPLAR ST STE D,,SEARCY,AR,721436000,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,13,107,107,27.252336449,24,18.64411215,18.64411215
1053529321,CAMFERDAM,ROBERT,R,M.D.,M,I,403 S POPLAR ST STE D,,SEARCY,AR,721436000,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,107,138,18.376811594,16,12.157826087,12.157826087
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,48,145,68.145241379,8.32,4.851862069,4.851862069
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,15,19,13.217368421,1.42,0.8810526316,0.8810526316
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,64,104.37390625,17.27,11.0240625,11.0240625
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,205.87615385,4.8315384615,3.5307692308,3.6453846154
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,114,115,466.14582609,68.78,47.913130435,48.700347826
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,102.19565217,36.83,28.87,29.51
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,5100,0.4025490196,0.0463823529,0.0363666667,0.0363666667
1053529446,KELLY,JONATHAN,D,PA.C.,M,I,102 LLANO ST,,AZTEC,NM,874102172,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,70.714285714,33,25.87,25.87
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,34,85,63.779411765,8.32,6.0611764706,6.0611764706
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,25,14.0916,1.42,1.0272,1.0272
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,21,21,108.89904762,38.98,30.56,30.49
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,136.38692308,51.86,40.66,42.86
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,11,11,49,17.98,14.09,14.06
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,22,132,9.8990909091,2,1.4970454545,1.5206818182
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,47,13.97,10.96,10.35
1053529685,MOFOR,ACHU,,MD,M,I,1301 TAYLOR ST STE 8A,,COLUMBIA,SC,292012955,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,250,28.9,18.52,19.270909091
1053529727,HYMBAUGH,MICHAEL,E,M.D.,M,I,4560 NORTH BLVD,STE 101,BATON ROUGE,LA,708064043,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,29,26.359310345,8.32,5.1727586207,5.1727586207
1053530311,GRADISAR,IAN,M,M.D.,M,I,3975 EMBASSY PKWY,,AKRON,OH,443338320,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,228.52615385,50.156923077,35.340769231,32.637692308
1053530428,ARAGON,HUMBERTO,S,M.D.,M,I,41750 WINCHESTER RD.,STE. N,TEMECULA,CA,925904898,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,64,72.77484375,8.32,5.605,5.605
1053530436,SHUE,SABRINA,S,MD,F,I,3020 WESTCHESTER AVE,SUITE 104,PURCHASE,NY,105772510,US,Physician/Anesthesiology,S,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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,950,950,744.8,775.55
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,63,155,65.414709677,8.32,5.7607096774,5.7607096774
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.218571429,3.38,2.65,2.65
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,24,41,14.178536585,1.42,1.0043902439,1.0043902439
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,88,18.316666667,13.431666667,12.668888889
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,26,21.47,6.6273076923,4.7765384615,3.2915384615
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,206.61230769,46.681923077,35.450769231,29.293461538
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,425.23384615,92.255897436,66.259230769,49.603846154
1053531004,BERSTLER,YVONNE,E,MD,F,I,2527 LYONS STATION ROAD,,CREEDMOOR,NC,275229112,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,15,15,33,33,20.696,20.696
1053531467,DAGHER,NADIM,,M.D,M,I,13950 MILTON AVE,404,WESTMINSTER,CA,926832900,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,83,174,64.435632184,8.32,5.3600574713,5.3600574713
1053531467,DAGHER,NADIM,,M.D,M,I,13950 MILTON AVE,404,WESTMINSTER,CA,926832900,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,35,41,12.635853659,1.42,0.817804878,0.817804878
1053531467,DAGHER,NADIM,,M.D,M,I,13950 MILTON AVE,404,WESTMINSTER,CA,926832900,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.2583333333,2.2583333333,1.4765714286,1.4864047619
1053531467,DAGHER,NADIM,,M.D,M,I,13950 MILTON AVE,404,WESTMINSTER,CA,926832900,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,13,10.81,10.81,7.8269230769,7.9276923077
1053531467,DAGHER,NADIM,,M.D,M,I,13950 MILTON AVE,404,WESTMINSTER,CA,926832900,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,13,7.4107692308,7.35,4.8738461538,4.9669230769
1053531731,LEBOURVEAU,PETER,,MD,M,I,4401 WORNALL RD,,KANSAS CITY,MO,641113220,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,519.51,78.88,59.527727273,52.723636364
1053532309,HERTZEL,CHAYE,,MD,F,I,129 N WASHINGTON ST,,SUMTER,SC,29150,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,58,79.993793103,8.32,5.62,5.62
1053532309,HERTZEL,CHAYE,,MD,F,I,129 N WASHINGTON ST,,SUMTER,SC,29150,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,16,17,17,42.677058824,11.789411765,6.5341176471,6.4094117647
1053532309,HERTZEL,CHAYE,,MD,F,I,129 N WASHINGTON ST,,SUMTER,SC,29150,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,8.745,1.3391666667,0.6975,0.6441666667
1053532309,HERTZEL,CHAYE,,MD,F,I,129 N WASHINGTON ST,,SUMTER,SC,29150,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,47.045,17.603333333,13.803333333,13.570833333
1053532309,HERTZEL,CHAYE,,MD,F,I,129 N WASHINGTON ST,,SUMTER,SC,29150,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,22,27.821818182,6.2204545455,4.875,4.0081818182
1053532309,HERTZEL,CHAYE,,MD,F,I,129 N WASHINGTON ST,,SUMTER,SC,29150,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,42,44,388.35295455,71.086136364,54.480454545,53.526136364
1053533406,MILLER,RICHARD,E,M.D.,M,I,513-C BROOKMAN DR,,BROOKHAVEN,MS,396012399,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,2340,4.5289102564,0.5626923077,0.4386965812,0.4386837607
1053533406,MILLER,RICHARD,E,M.D.,M,I,513-C BROOKMAN DR,,BROOKHAVEN,MS,396012399,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,3.9822777778,1.26075,0.9304907407,0.9304907407
1053533406,MILLER,RICHARD,E,M.D.,M,I,513-C BROOKMAN DR,,BROOKHAVEN,MS,396012399,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1260,4.8527222222,2.8368571429,2.2240873016,2.2240873016
1053533406,MILLER,RICHARD,E,M.D.,M,I,513-C BROOKMAN DR,,BROOKHAVEN,MS,396012399,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1053533406,MILLER,RICHARD,E,M.D.,M,I,513-C BROOKMAN DR,,BROOKHAVEN,MS,396012399,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,25,16,16,12.0384,12.0384
1053533919,FONN,SONJAY,J,DO,M,I,65 DOCTORS PARK STE A,,CAPE GIRARDEAU,MO,637034927,US,Physician/Neurosurgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,38.469333333,31.680666667,23.164666667,20.141333333
1053534107,SIVESIND,RIENERA,S,MD,F,I,2724 MEADOW GLEN RD,,AMES,IA,50014,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,132.375,46.7975,36.689166667,26.2975
1053534578,MUSLIM,ARIF,M,MD,M,I,418 BLOOMING GROVE TPKE,SUITE 304,NEW WINDSOR,NY,125537805,US,Physician/Gastroenterology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,46,10.820869565,6.44,5.0484782609,5.0484782609
1053534578,MUSLIM,ARIF,M,MD,M,I,418 BLOOMING GROVE TPKE,SUITE 304,NEW WINDSOR,NY,125537805,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,300,5.3339333333,3.04,2.3039333333,2.3039333333
1053534669,HARDY,VICKI,,D.O.,F,I,405 S MAIN ST,,RAEFORD,NC,283763222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,54,91.351666667,8.32,6.0396296296,6.0396296296
1053534669,HARDY,VICKI,,D.O.,F,I,405 S MAIN ST,,RAEFORD,NC,283763222,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.99,4.67,3.6625,3.66
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,16,35,119,71.40697479,8.32,5.4260504202,5.4260504202
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,32,15.6728125,1.42,0.975,0.975
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,12,116,18240,4.7332072368,0.5656425439,0.4314539474,0.4314512061
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,93,14520,0.1316921488,0.0130929752,0.0096129477,0.0096115702
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,46,7200,2.1143986111,0.7393916667,0.5626222222,0.5626222222
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,101,18300,3.3632551913,1.2515606557,0.9465469945,0.9465469945
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,1500,5.1120133333,2.8634,2.1610066667,2.1610066667
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,2104,15.229030418,7.4665304183,5.7734458175,5.7734458175
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,12,19,174,174,24,24,17.954712644,17.954712644
1053534925,GORDON,EARL,M,M.D.,M,I,2001 SANTA MONICA BLVD,SUITE # 765 - W,SANTA MONICA,CA,904042102,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,11,18,165,220,16,16,12.156727273,12.156727273
1053534982,SMITH,HOBERT,L,MD,M,I,2104 PECOS ST,,MISSION,TX,785727417,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,36,78,183,39.992240437,8.32,6.2361202186,6.2361202186
1053534982,SMITH,HOBERT,L,MD,M,I,2104 PECOS ST,,MISSION,TX,785727417,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,33,67,84,12.286428571,1.42,1.0892857143,1.0892857143
1053534982,SMITH,HOBERT,L,MD,M,I,2104 PECOS ST,,MISSION,TX,785727417,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,45,45,90,81.964111111,71.535111111,56.085444444,56.105
1053534982,SMITH,HOBERT,L,MD,M,I,2104 PECOS ST,,MISSION,TX,785727417,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,40,40,237,36.544852321,29.19,22.885021097,22.886624473
1053534982,SMITH,HOBERT,L,MD,M,I,2104 PECOS ST,,MISSION,TX,785727417,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,56,11.612142857,2,1.4007142857,1.4217857143
1053534982,SMITH,HOBERT,L,MD,M,I,2104 PECOS ST,,MISSION,TX,785727417,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,14,131.70571429,53.714285714,42.112142857,39.597857143
1053534982,SMITH,HOBERT,L,MD,M,I,2104 PECOS ST,,MISSION,TX,785727417,US,Physician/Family Practice,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,115,80.14,58.715454545,58.715454545
1053535120,BASHAM,DERWOOD,E,D.O.,M,I,2371 NE STEPHENS ST,SUITE 200,ROSEBURG,OR,974701372,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,15,519.51,115.43066667,90.502,60.13
1053535211,WILKINSON,AMBER,F,APN,F,I,2685 BOONES CREEK ROAD,SUITE 104,JOHNSON CITY,TN,37615,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,34,107,52.072616822,8.32,5.6286915888,5.6286915888
1053535211,WILKINSON,AMBER,F,APN,F,I,2685 BOONES CREEK ROAD,SUITE 104,JOHNSON CITY,TN,37615,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,60,12.477,2.76,2.1645,1.593
1053535211,WILKINSON,AMBER,F,APN,F,I,2685 BOONES CREEK ROAD,SUITE 104,JOHNSON CITY,TN,37615,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,81.75,17.288,13.554666667,10.933333333
1053535211,WILKINSON,AMBER,F,APN,F,I,2685 BOONES CREEK ROAD,SUITE 104,JOHNSON CITY,TN,37615,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,34.27962963,4.79,2.7544444444,2.7537037037
1053535211,WILKINSON,AMBER,F,APN,F,I,2685 BOONES CREEK ROAD,SUITE 104,JOHNSON CITY,TN,37615,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,489.22071429,72.895,57.15,54.725
1053535427,STONE,NANCY,E,NP,F,I,2 DUDLEY ST,,PROVIDENCE,RI,029053236,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,12,694,0.6104178674,0.4483573487,0.3514985591,0.3527809798
1053535880,CHUNG,ANNA,,PA-C,F,I,170 CHANGEBRIDGE RD,SIUTE C-3,MONTVILLE,NJ,070459115,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,134.38,51.918666667,40.700666667,42.28
1053535880,CHUNG,ANNA,,PA-C,F,I,170 CHANGEBRIDGE RD,SIUTE C-3,MONTVILLE,NJ,070459115,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,128.98,46.29375,31.5775,32.944375
1053535880,CHUNG,ANNA,,PA-C,F,I,170 CHANGEBRIDGE RD,SIUTE C-3,MONTVILLE,NJ,070459115,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,20.57,7.67,5.2646153846,6.7769230769
1053536177,GAYLE,WEZYANN,,MD,F,I,916 LOGANVILLE HWY,350,BETHLEHEM,GA,306202144,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,25,76.234,8.32,5.478,5.478
1053536177,GAYLE,WEZYANN,,MD,F,I,916 LOGANVILLE HWY,350,BETHLEHEM,GA,306202144,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,75.56,54.303333333,50.169166667
1053536409,PARRAVANI,ANTHONY,J,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1380,4.7332391304,2.5923478261,2.0296304348,2.0296304348
1053536409,PARRAVANI,ANTHONY,J,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,46,3150,3.6735015873,0.5670952381,0.4129650794,0.4129650794
1053536409,PARRAVANI,ANTHONY,J,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,3600,1.5737111111,0.7405,0.5805666667,0.5805666667
1053536409,PARRAVANI,ANTHONY,J,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,4220,5.1433601896,1.2482748815,0.9588672986,0.9588672986
1053536409,PARRAVANI,ANTHONY,J,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,2.9968680556,2.82725,2.2165416667,2.2165416667
1053536409,PARRAVANI,ANTHONY,J,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,55,55,24,24,17.854363636,17.854363636
1053536409,PARRAVANI,ANTHONY,J,MD,M,I,1 MEDICAL CENTER DRIVE,,MORGANTOWN,WV,26506,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,79,79,16.810126582,16,12.381265823,12.381265823
1053536425,SNOW,BRIAN,J,MD,M,I,8080 STATE HIGHWAY 121,SUITE 320,MCKINNEY,TX,750702900,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,11,12,213,85.5,25.6,20.07056338,20.07056338
1053536425,SNOW,BRIAN,J,MD,M,I,8080 STATE HIGHWAY 121,SUITE 320,MCKINNEY,TX,750702900,US,Physician/Orthopedic Surgery,S,E1811,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,150.36428571,121.29714286,85.250714286,85.250714286
1053536425,SNOW,BRIAN,J,MD,M,I,8080 STATE HIGHWAY 121,SUITE 320,MCKINNEY,TX,750702900,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,27,28,995,551.74,427.43607143,473.77964286
1053536425,SNOW,BRIAN,J,MD,M,I,8080 STATE HIGHWAY 121,SUITE 320,MCKINNEY,TX,750702900,US,Physician/Orthopedic Surgery,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,46,1750,875.48,684.61456522,676.87804348
1053536425,SNOW,BRIAN,J,MD,M,I,8080 STATE HIGHWAY 121,SUITE 320,MCKINNEY,TX,750702900,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,13,105,53.2,41.71,46.35
1053536425,SNOW,BRIAN,J,MD,M,I,8080 STATE HIGHWAY 121,SUITE 320,MCKINNEY,TX,750702900,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,1530,795.76,578.72807692,531.15192308
1053536508,WESTBROOK,KELLY,E,M.D.,F,I,1650 ORLEANS ST RM 186,"THE JOHNS HOPKINS HOSPITAL, CRBI",BALTIMORE,MD,212870013,US,Physician/Internal Medicine,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,18,1624,48.867315271,4.8545628079,3.7675738916,3.7675738916
1053536508,WESTBROOK,KELLY,E,M.D.,F,I,1650 ORLEANS ST RM 186,"THE JOHNS HOPKINS HOSPITAL, CRBI",BALTIMORE,MD,212870013,US,Physician/Internal Medicine,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,16,24,83,50.958795181,41.918554217,28.72626506,27.516987952
1053536508,WESTBROOK,KELLY,E,M.D.,F,I,1650 ORLEANS ST RM 186,"THE JOHNS HOPKINS HOSPITAL, CRBI",BALTIMORE,MD,212870013,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1053536755,KELKAR,PRASHANT,S,D.O.,M,I,22250 PROVIDENCE DR STE 601,,SOUTHFIELD,MI,480756214,US,Physician/Neurosurgery,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,1800,996.34,769.17416667,763.58416667
1053536755,KELKAR,PRASHANT,S,D.O.,M,I,22250 PROVIDENCE DR STE 601,,SOUTHFIELD,MI,480756214,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,16,1957.515,1257.37,985.78,886.51
1053536789,ALI,MALIK,M,D.O.,M,I,1280 SETTLERS RDG,,CELINA,TX,75009,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,17.63,17.63,12.040952381,11.778571429
1053536789,ALI,MALIK,M,D.O.,M,I,1280 SETTLERS RDG,,CELINA,TX,75009,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,76.48,76.48,49.355714286,44.865238095
1053537589,MEHTA,SIMA,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Hospitalist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,143,37.6775,29.535,21.6225
1053537589,MEHTA,SIMA,,MD,F,I,2001 VAIL AVE,,CHARLOTTE,NC,282071248,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25,8.8625,6.9475,6.6725
1053537779,GOUGH,BRANDON,E,M.D.,M,I,3811 E BELL RD STE 309,,PHOENIX,AZ,85032,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,31,67,67,125.41985075,98.246567164,77.027014925,77.935671642
1053537779,GOUGH,BRANDON,E,M.D.,M,I,3811 E BELL RD STE 309,,PHOENIX,AZ,85032,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,13,42,43,395,124.08069767,96.455348837,97.218139535
1053537779,GOUGH,BRANDON,E,M.D.,M,I,3811 E BELL RD STE 309,,PHOENIX,AZ,85032,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,33,34,1073.0294118,649.66588235,509.33558824,485.185
1053537852,BOLY,LAWRENCE,R,MD,M,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Physical Medicine and Rehabilitation,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,54,145,46.999724138,8.32,5.8472413793,5.8472413793
1053537852,BOLY,LAWRENCE,R,MD,M,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Physical Medicine and Rehabilitation,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,15,3.38,2.2083333333,2.2083333333
1053537852,BOLY,LAWRENCE,R,MD,M,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Physical Medicine and Rehabilitation,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,37,43,11.234651163,1.42,0.9088372093,0.9088372093
1053537852,BOLY,LAWRENCE,R,MD,M,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Physical Medicine and Rehabilitation,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1080,0.92,0.13325,0.0893148148,0.0893148148
1053537852,BOLY,LAWRENCE,R,MD,M,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Physician/Physical Medicine and Rehabilitation,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,95,193,193,124.76103627,40.062124352,29.509689119,28.705233161
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,91,194,194,408.20603093,85.730051546,64.624793814,65.375206186
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,87,185,438,163.87125571,33.207694064,25.63152968,25.569429224
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,36,74,390,86.227307692,18.158051282,13.299974359,13.597487179
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,30,74,357,66.505938375,15.355966387,11.097030812,10.975378151
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,70,158,158,236.98310127,53.919746835,39.080949367,39.621392405
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,144,199,199,77.550603015,18.160552764,13.707839196,13.546180905
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,66,149,150,80.160733333,10.890066667,8.1938666667,8.7192
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,153,342,1872,9.9418269231,2.0097435897,1.5168482906,1.5308226496
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,68,95,95,27.432,5.9961052632,4.6089473684,4.5606315789
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,94,128,128,49.565078125,12.137109375,9.274921875,10.038359375
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,11,44,52,332.89807692,86.130192308,67.521153846,69.564423077
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,18,927.32333333,273.77611111,214.64555556,165.00944444
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,29,29,29,336.20689655,132.14931034,103.60724138,104.66206897
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,11,29,37,81.75,12.854864865,10.081351351,10.155945946
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,49,275,286,176.8343007,31.756503497,23.591048951,24.465174825
1053538181,KONSTANTINOVA,NINA,A,MD,F,I,423 W 55TH ST,,NEW YORK,NY,100194460,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,303.49652174,75.43,59.13,54.91173913
1053538512,SZENDERSKI,RYAN,J,P A,M,I,7640 SYLVANIA AVENUE,# 100,SYLVANIA,OH,43560,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,452.61352941,69.985882353,36.738235294,36.632352941
1053539403,FYNN-THOMPSON,ERIC,K,M.D.,M,I,1118 HAMPSHIRE ST,,QUINCY,IL,623013027,US,Physician/Plastic and Reconstructive Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,20,444,310.2265,236.045,247.573
1053539403,FYNN-THOMPSON,ERIC,K,M.D.,M,I,1118 HAMPSHIRE ST,,QUINCY,IL,623013027,US,Physician/Plastic and Reconstructive Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,15,15,410,238.83333333,187.24666667,186.354
1053539403,FYNN-THOMPSON,ERIC,K,M.D.,M,I,1118 HAMPSHIRE ST,,QUINCY,IL,623013027,US,Physician/Plastic and Reconstructive Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,16,137.7,84.010625,57.501875,58.92125
1053540120,LAZAREWICZ,NICOLAS,R,FNP,M,I,421 NUT TREE RD,,VACAVILLE,CA,956873508,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,33,75,86.920533333,8.32,5.3808,5.3808
1053540120,LAZAREWICZ,NICOLAS,R,FNP,M,I,421 NUT TREE RD,,VACAVILLE,CA,956873508,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,18,11.298888889,1.42,1.1166666667,1.1166666667
1053540120,LAZAREWICZ,NICOLAS,R,FNP,M,I,421 NUT TREE RD,,VACAVILLE,CA,956873508,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,24,22.5,4.2625,3.34125,3.8
1053540146,JONES,DANIEL,A,M.D.,M,I,425 W 3RD AVE STE 50,,ALBANY,GA,317011955,US,Physician/Radiation Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,49,1371,21.897155361,3.5479431072,2.7815244347,2.3743617797
1053540146,JONES,DANIEL,A,M.D.,M,I,425 W 3RD AVE STE 50,,ALBANY,GA,317011955,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,53,27273,2.1404062626,0.3347475525,0.2571810949,0.2383313167
1053540237,CONLEE,ANNEVAY,,MD,F,I,3375 N SEMINARY ST,,GALESBURG,IL,614011251,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,31,74,76.53472973,8.32,4.9358108108,4.9358108108
1053540237,CONLEE,ANNEVAY,,MD,F,I,3375 N SEMINARY ST,,GALESBURG,IL,614011251,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,173.40764706,56.873529412,44.585882353,36.402352941
1053540237,CONLEE,ANNEVAY,,MD,F,I,3375 N SEMINARY ST,,GALESBURG,IL,614011251,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,96.02375,67.8125,61.805
1053540450,BROCK,JESSICA,N,CRNP,F,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,21,8.19,1.5695238095,0.9985714286,0.9314285714
1053540450,BROCK,JESSICA,N,CRNP,F,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,65.302592593,17.471851852,11.908148148,11.799259259
1053540450,BROCK,JESSICA,N,CRNP,F,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,53,53,47.271320755,4.5273584906,3.0403773585,3.0390566038
1053540450,BROCK,JESSICA,N,CRNP,F,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,22,133,133,338.18052632,76.742180451,56.478195489,53.006090226
1053540450,BROCK,JESSICA,N,CRNP,F,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,156.70307692,37.44,29.35,29.497692308
1053540450,BROCK,JESSICA,N,CRNP,F,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,2588,1.6231761978,0.1346097372,0.0981761978,0.0981761978
1053540450,BROCK,JESSICA,N,CRNP,F,I,5955 AIRPORT BLVD,,MOBILE,AL,36608,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,63.130434783,33,24.740434783,24.740434783
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,29,72,163,64.535705521,8.32,6.2815337423,6.2815337423
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.65,2.65
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,25,50,58,16.797241379,1.42,1.0786206897,1.0786206897
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,155,65.029090909,46.325454545,32.027272727
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,49.103448276,22.698275862,17.279310345,13.271034483
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,23.130434783,7.8260869565,5.7660869565,3.2808695652
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,113.45,47.164545455,33.849090909,21.254545455
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,64,71,350.11549296,102.35295775,76.784225352,56.898028169
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,128.32705882,45.340588235,35.549411765,29.937647059
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,4520,0.481550885,0.0474955752,0.0323650442,0.0323650442
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,31,4620,1.8869047619,0.1333376623,0.1021883117,0.1021883117
1053540674,BROUGHTON,MICHELLE,L,APRN,F,I,602 KNOX ST,,BARBOURVILLE,KY,409061304,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,43,43,49.11627907,33,23.506511628,23.506511628
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,27,43,108,149.13564815,8.32,6.4612962963,6.4612962963
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,22,28,13.183214286,1.42,1.0771428571,1.0771428571
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,47.418181818,19.456363636,14.43,8.3
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,79,10.683924051,2.8878481013,2.2646835443,1.5926582278
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,17,279.80470588,68.527058824,49.155882353,36.913529412
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,32,52.136875,19.6703125,14.023125,12.6409375
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,15,77,77,50.113766234,6.8327272727,5.2462337662,3.5394805195
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,105.75,51.13375,21.973333333,13.532916667
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,57,390.40631579,96.763157895,71.183859649,54.043859649
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,22,6346,0.6335628743,0.0465947053,0.0298361172,0.0298361172
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,2430,0.92,0.1323580247,0.0891687243,0.0891687243
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,113.84615385,22.469230769,15.399230769,11.084615385
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,85,44.526923077,32.383846154,27.795384615
1053540781,MICHAEL,AMANDA,G,D.O.,F,I,2055 VALLEY ROAD,,BERKELEY SPRINGS,WV,25411,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,34,34,91.235294118,33,23.612352941,23.612352941
1053540906,PAGANO,JULIA,K,DPM,F,I,2310 CALIFORNIA RD,,ELKHART,IN,465141228,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,1360,0.2033382353,0.13,0.1019338235,0.1019338235
1053540906,PAGANO,JULIA,K,DPM,F,I,2310 CALIFORNIA RD,,ELKHART,IN,465141228,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,1295,0.5128030888,0.4491891892,0.3521621622,0.3528030888
1053540906,PAGANO,JULIA,K,DPM,F,I,2310 CALIFORNIA RD,,ELKHART,IN,465141228,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,95,72.45,56.8,62.527272727
1053540906,PAGANO,JULIA,K,DPM,F,I,2310 CALIFORNIA RD,,ELKHART,IN,465141228,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,11,200,153.88,120.64,120.07363636
1053541110,PROPST,MAYRA,B,MD,F,I,2606 HOSPITAL BLVD,4TH FLOOR,CORPUS CHRISTI,TX,784051804,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,73.557272727,17.27,13.54,13.54
1053541110,PROPST,MAYRA,B,MD,F,I,2606 HOSPITAL BLVD,4TH FLOOR,CORPUS CHRISTI,TX,784051804,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,441.97090909,68.78,53.762727273,54.126363636
1053541110,PROPST,MAYRA,B,MD,F,I,2606 HOSPITAL BLVD,4TH FLOOR,CORPUS CHRISTI,TX,784051804,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,56,56,47.544642857,18.139821429,13.378035714,13.31125
1053541110,PROPST,MAYRA,B,MD,F,I,2606 HOSPITAL BLVD,4TH FLOOR,CORPUS CHRISTI,TX,784051804,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,106.04375,27.82625,21.816666667,21.36375
1053541185,KASSELS,STEPHANIE,H,APRN,F,I,172 GOVERNOR WENTWORTH HWY,YMCA CAMP BELKNAP,MIRROR LAKE,NH,03853,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,14,172,55.590639535,19.61627907,15.378837209,15.378837209
1053541185,KASSELS,STEPHANIE,H,APRN,F,I,172 GOVERNOR WENTWORTH HWY,YMCA CAMP BELKNAP,MIRROR LAKE,NH,03853,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,390,7.0063846154,2.6307692308,2.0624358974,2.0624358974
1053541185,KASSELS,STEPHANIE,H,APRN,F,I,172 GOVERNOR WENTWORTH HWY,YMCA CAMP BELKNAP,MIRROR LAKE,NH,03853,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,30,70,378,75.533862434,8.32,6.0737566138,6.0737566138
1053541185,KASSELS,STEPHANIE,H,APRN,F,I,172 GOVERNOR WENTWORTH HWY,YMCA CAMP BELKNAP,MIRROR LAKE,NH,03853,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,19,46,13.24326087,1.42,0.9686956522,0.9686956522
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,28,90,51.427,8.32,5.8696666667,5.8696666667
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,30,11.329666667,1.42,1.002,1.002
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.1,1.47,1.15,1.15
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.24,0.97,0.96
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,2.1,1.28,1,0.96
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.33,4.55,3.5683333333,3.5666666667
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1380,2.182673913,0.1363478261,0.1069275362,0.1069275362
1053541565,BURGIN,JODE JANN,,M.D.,F,I,9220 ELLERBE RD,SUITE 700,SHREVEPORT,LA,711066739,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,41.25,33,25.87,25.87
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,16,54,102,68.98127451,8.32,5.7085294118,5.7085294118
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,20,26,12.376153846,1.42,0.9453846154,0.9453846154
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,64,109.00640625,25.93375,15.9671875,12.5425
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,307.49785714,73.73,46.867857143,37.714285714
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,91.581538462,20.140769231,13.264615385,9.1853846154
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,22,97,16.661443299,3.141443299,2.1871134021,1.5510309278
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,81.75,16.918235294,12.583529412,10.264117647
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,257.82,55.054615385,40.509230769,27.795384615
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,73,73,375.09767123,96.23890411,69.574794521,53.089452055
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,37,250,47.063513514,35.123243243,29.567837838
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,870,15.58,9.6079310345,7.379183908,7.379183908
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,1437,1.1576061239,0.1322546973,0.0941823243,0.0941823243
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9682,2.3270888889,2.3270888889
1053541672,MCMILLIN,KELLY,L,MD,F,I,709 W 8TH ST,SUITE 4,GILLETTE,WY,827164125,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,104.28,33,23.8004,23.8004
1053541797,ASENCIO MAGDALENO,LUIS ALEJANDRO,,M.D.,M,I,1717 HARPER RD,"SECOND FLOOR, SUITE G",BECKLEY,WV,258013373,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,3750,2779.8038462,2179.3669231,2179.3669231
1053541946,WINSLOW,STEPHEN,J,M.D.,M,I,14410 US HIGHWAY 1,,SEBASTIAN,FL,329583237,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,24,24,24,75.767083333,75.767083333,54.457916667,49.2725
1053541946,WINSLOW,STEPHEN,J,M.D.,M,I,14410 US HIGHWAY 1,,SEBASTIAN,FL,329583237,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,22,48.59,48.59,38.09,43.062727273
1053541946,WINSLOW,STEPHEN,J,M.D.,M,I,14410 US HIGHWAY 1,,SEBASTIAN,FL,329583237,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,65.83,65.83,50.846538462,52.945
1053542878,RECTO,CHARLENE,O,M.D.,F,I,2300 E COUNTY ROAD 540A,,LAKELAND,FL,338133825,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,16,36,54.528333333,8.32,6.5180555556,6.5180555556
1053542878,RECTO,CHARLENE,O,M.D.,F,I,2300 E COUNTY ROAD 540A,,LAKELAND,FL,338133825,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,17.164166667,12.214166667,12.406666667
1053542928,GEETI,ADIBA,A,MD,F,I,50 GAYLORD FARM RD,,WALLINGFORD,CT,064922828,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,35,82,64.183780488,8.32,5.7312195122,5.7312195122
1053542928,GEETI,ADIBA,A,MD,F,I,50 GAYLORD FARM RD,,WALLINGFORD,CT,064922828,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,22,17.925909091,1.42,1.0145454545,1.0145454545
1053542928,GEETI,ADIBA,A,MD,F,I,50 GAYLORD FARM RD,,WALLINGFORD,CT,064922828,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,68.539411765,16.901176471,11.453529412,11.744705882
1053542928,GEETI,ADIBA,A,MD,F,I,50 GAYLORD FARM RD,,WALLINGFORD,CT,064922828,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,373.21,75.842758621,53.373448276,50.236206897
1053542928,GEETI,ADIBA,A,MD,F,I,50 GAYLORD FARM RD,,WALLINGFORD,CT,064922828,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,94.656666667,40,28.746666667,27.050833333
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,41,67,67,84.59238806,40.83880597,30.277313433,28.898507463
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,,14,14,194.21428571,106.99071429,78.281428571,63.002857143
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,23,43,169,33.842721893,15.922899408,12.484023669,11.942071006
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,37,62,62,123.05290323,61.168225806,46.671129032,42.176612903
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,42,50,50,41.395,19.1444,14.528,13.6316
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,44,75,396,5.9376010101,2.4018181818,1.8443181818,1.5806565657
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,12,13,13,27.192307692,12.407692308,9.7284615385,10.252307692
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,229.10444444,101.66666667,68.336666667,59.564444444
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,23,23,360.64304348,153.79782609,115.89826087,101.64173913
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,35.312608696,15.143913043,10.594782609,9.7626086957
1053542936,TORRE,CARLOS,A,MD,M,I,1120 NW 14TH ST,,MIAMI,FL,331362107,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,36,205,213,135.11126761,39.681408451,29.90600939,25.590234742
1053542951,LEBOEUF,LAINA,,NP,F,I,153 AUBREY DRIVE,,HOUMA,LA,70360,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,25,2200,0.1523045455,0.12,0.0941,0.0941
1053542951,LEBOEUF,LAINA,,NP,F,I,153 AUBREY DRIVE,,HOUMA,LA,70360,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,21,612,10.050343137,8.2777941176,6.4898366013,6.4915686275
1053542951,LEBOEUF,LAINA,,NP,F,I,153 AUBREY DRIVE,,HOUMA,LA,70360,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,16,228,13.266140351,10.93,8.1181578947,8.1181578947
1053542951,LEBOEUF,LAINA,,NP,F,I,153 AUBREY DRIVE,,HOUMA,LA,70360,US,Nurse Practitioner,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,14,20,660,1.3027272727,1.0797727273,0.8464848485,0.8466666667
1053542951,LEBOEUF,LAINA,,NP,F,I,153 AUBREY DRIVE,,HOUMA,LA,70360,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,447,4.3582102908,3.6646308725,2.8731319911,2.8731319911
1053542951,LEBOEUF,LAINA,,NP,F,I,153 AUBREY DRIVE,,HOUMA,LA,70360,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,19,29,4500,0.1568888889,0.13,0.1019022222,0.1019022222
1053542951,LEBOEUF,LAINA,,NP,F,I,153 AUBREY DRIVE,,HOUMA,LA,70360,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,29,2979,0.5675730111,0.45,0.3385901309,0.3385901309
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,28,354,55.698248588,19.630310734,14.984548023,14.984548023
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,29,910,7.3773626374,2.6336263736,2.0025714286,1.999989011
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,55,128,642,67.826479751,8.32,6.2294392523,6.2294392523
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,13.484444444,3.38,2.65,2.65
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,23.118181818,2.12,1.67,1.67
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,25,56,119,14.138235294,1.42,1.0914285714,1.0914285714
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,749.95818182,347.66181818,272.56545455,272.56545455
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1600,16.328575,10.9295,8.56874375,8.56874375
1053543009,MASANNAT,YANAL,,M.D.,M,I,2851 S AVENUE B BLDG 20,,YUMA,AZ,853647726,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,281.97454545,251.11,196.87,196.87
1053543025,ADDAIR,KAREN,P,FNP-BC,F,I,15237 COAL HERITAGE ROAD/US-52 NORTH,HONEYCAMP/247,RODERFIELD,WV,24881,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,31.076923077,8.1534615385,6.3896153846,3.7676923077
1053543074,PILCHER,JESSICA,R,NP,F,I,3524 TONGASS AVE,,KETCHIKAN,AK,999015635,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,23,59,93.720338983,8.32,5.8594915254,5.8594915254
1053543710,RUSSELL,DAREE,E,M.D.,F,I,2201 HEMPSTEAD TPKE,DEPT OF MEDICINE-BOX 50,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,70.165714286,17.96,13.074285714,13.074285714
1053543710,RUSSELL,DAREE,E,M.D.,F,I,2201 HEMPSTEAD TPKE,DEPT OF MEDICINE-BOX 50,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,429.36923077,86.84,65.461538462,64.948076923
1053543710,RUSSELL,DAREE,E,M.D.,F,I,2201 HEMPSTEAD TPKE,DEPT OF MEDICINE-BOX 50,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,61.66,18.41,14.44,13.1
1053543710,RUSSELL,DAREE,E,M.D.,F,I,2201 HEMPSTEAD TPKE,DEPT OF MEDICINE-BOX 50,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,101.84,39.51,30.98,30.735
1053543769,HABERLAND,SWOBODA,E,M.D.,F,I,20950 NE 27TH CT STE 200,,AVENTURA,FL,331801232,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,44,50.872954545,8.32,6.0784090909,6.0784090909
1053543967,TOVEY,MICAH,D,DPM,M,I,2460 NW STEWART PKWY STE 100,,ROSEBURG,OR,97471,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,14,480,95.203125,34.86,27.330291667,27.330291667
1053543967,TOVEY,MICAH,D,DPM,M,I,2460 NW STEWART PKWY STE 100,,ROSEBURG,OR,97471,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,15,570,6.9473684211,2.4,1.8816666667,1.8816666667
1053543967,TOVEY,MICAH,D,DPM,M,I,2460 NW STEWART PKWY STE 100,,ROSEBURG,OR,97471,US,Podiatry,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,14,450,5.4013333333,1.97,1.5443555556,1.5443555556
1053543967,TOVEY,MICAH,D,DPM,M,I,2460 NW STEWART PKWY STE 100,,ROSEBURG,OR,97471,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,20,20,493.1,256.463,186.7175,203.1325
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,48,134,67.229253731,8.32,6.1334328358,6.1334328358
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,26,13.888076923,1.42,1.0276923077,1.0276923077
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,15,65.950666667,24.19,18.96,22.086666667
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,19,25.322631579,10.93,8.57,8.57
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,13.463636364,5.54,4.2544090909,4.2544090909
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,280,6.5170714286,3.04,2.2132142857,2.2132142857
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,450,57.755333333,23.66,18.549333333,18.549333333
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,2160,1.1183333333,0.45,0.3528287037,0.3528287037
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,60,18.338125,12.67125,11.846875
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,56,56,45.35,4.83125,3.3733928571,3.2396428571
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,38,423.02631579,79.59,60.776052632,54.348157895
1053543983,ATHAR,MASOOMA,,M.D.,F,I,4201 SAINT ANTOINE ST # 2E,,DETROIT,MI,482012153,US,Physician/Geriatric Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,104,41.765294118,32.745294118,29.933529412
1053544122,HITO,RAMEY,,D.O.,M,I,3500 GASTON AVE,4 ROBERTS,DALLAS,TX,752462017,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,36,110,73.231272727,8.32,6.4031818182,6.4031818182
1053544122,HITO,RAMEY,,D.O.,M,I,3500 GASTON AVE,4 ROBERTS,DALLAS,TX,752462017,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,18,27,18.161111111,1.42,1.1162962963,1.1162962963
1053544122,HITO,RAMEY,,D.O.,M,I,3500 GASTON AVE,4 ROBERTS,DALLAS,TX,752462017,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,160,45.735454545,35.854545455,36.297272727
1053544122,HITO,RAMEY,,D.O.,M,I,3500 GASTON AVE,4 ROBERTS,DALLAS,TX,752462017,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70.94,18,14.11,13.191818182
1053544585,PATTERSON,ANN,E,ARNP,F,I,206 NORTH ARCADE,,MAQUOKETA,IA,520602022,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,20,51,97,64.708453608,8.32,6.2516494845,6.2516494845
1053544585,PATTERSON,ANN,E,ARNP,F,I,206 NORTH ARCADE,,MAQUOKETA,IA,520602022,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,14,30,30,10.922666667,1.42,1.12,1.12
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,21,49,601,58.746206323,19.689883527,14.959101498,14.959101498
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,22,50,1695,7.2004424779,2.6382300885,2.0683421829,2.0683421829
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,87,185,521,2207,76.151468056,8.319034889,6.2004531038,6.201205256
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,20,41,41,12.209512195,3.38,2.65,2.65
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,18.72,2.12,1.67,1.67
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,40,71,147,316,17.741487342,1.42,1.0362341772,1.0362341772
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,13,15,15,15,39.586666667,39.13,30.676666667,56.026666667
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,740.75302326,343.39465116,268.77255814,268.77255814
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,25,3180,18.72891195,10.786880503,8.4302515723,8.4302515723
1053544791,JHINGAN,RAM,M,MBBS,M,I,2010 N BROAD ST STE 100,,LANSDALE,PA,194461004,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,40,40,331.31325,251.11,196.87,196.87
1053544858,GREEN,JOEL,R,MD,M,I,2100 PFINGSTEN RD STE 3001A,,GLENVIEW,IL,60026,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,46.76,17.818181818,12.685454545,12.360909091
1053544858,GREEN,JOEL,R,MD,M,I,2100 PFINGSTEN RD STE 3001A,,GLENVIEW,IL,60026,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,385,78.198181818,55.805454545,50.271818182
1053545129,WOEHRSTEIN,CHRISTOPHER,,M.D.,M,I,323 N PRAIRIE AVE,SUITE #334,INGLEWOOD,CA,903014502,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,50,78.3622,8.32,6.5212,6.5212
1053545129,WOEHRSTEIN,CHRISTOPHER,,M.D.,M,I,323 N PRAIRIE AVE,SUITE #334,INGLEWOOD,CA,903014502,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,40.653076923,1.42,1.12,1.12
1053545129,WOEHRSTEIN,CHRISTOPHER,,M.D.,M,I,323 N PRAIRIE AVE,SUITE #334,INGLEWOOD,CA,903014502,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1950,4.4863333333,0.5685384615,0.4457230769,0.4457230769
1053545129,WOEHRSTEIN,CHRISTOPHER,,M.D.,M,I,323 N PRAIRIE AVE,SUITE #334,INGLEWOOD,CA,903014502,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1560,4.6025,2.8178461538,2.1171987179,2.1171987179
1053545129,WOEHRSTEIN,CHRISTOPHER,,M.D.,M,I,323 N PRAIRIE AVE,SUITE #334,INGLEWOOD,CA,903014502,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1053545129,WOEHRSTEIN,CHRISTOPHER,,M.D.,M,I,323 N PRAIRIE AVE,SUITE #334,INGLEWOOD,CA,903014502,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,16,16,12.54,12.54
1053545269,AKUSOBA-DAVIS,EUCHARIA,C,MD,F,I,3130 N COUNTY ROAD 25A,,TROY,OH,453731337,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,36,19.633181818,14.062272727,12.441590909
1053545269,AKUSOBA-DAVIS,EUCHARIA,C,MD,F,I,3130 N COUNTY ROAD 25A,,TROY,OH,453731337,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,200.85106383,90.149787234,65.576382979,50.929361702
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,27,41,41,122.91,41.482682927,28.67195122,27.003658537
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,24,44,45,360.90955556,94.223111111,65.707111111,61.144
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,19,43,104,154.36576923,34.985961538,26.118653846,24.738942308
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,,21,113,62.717876106,16.121150442,11.970973451,11.232831858
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,19,34,34,237.60529412,56.762352941,43.559411765,41.982058824
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,40,52,52,74.165,19.621730769,15.091346154,13.908269231
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,42,42,81.164761905,12.074285714,9.4657142857,9.1616666667
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,42,90,460,11.698086957,2.3273043478,1.773826087,1.5587826087
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,19,19,28.870526316,6.2773684211,4.9178947368,4.6526315789
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,26,37,37,49.47027027,13.156216216,10.037027027,10.053783784
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,48,57,60.833684211,17,13.096140351,13.27754386
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,19,20,432.1675,96.9605,73.5745,71.0675
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,359.09090909,140.95454545,110.50454545,105.23090909
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,22,29,64.942758621,14.098275862,10.287931034,9.9734482759
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,13,74,85,50.73,3.8117647059,2.8752941176,3.4261176471
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,21,107,113,209.00725664,35.084159292,26.28699115,25.076283186
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,24,179,192,446.64151042,78,58.607552083,53.458229167
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,49,56,188.14285714,38,28.726071429,28.526071429
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,32,6418,0.6597834216,0.0468899969,0.0344811468,0.0344811468
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,2520,1.466765873,0.1371547619,0.0978055556,0.0978055556
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,43,191.3672093,38,28.690930233,28.417209302
1053545459,FITELSON,DANIEL,S,MD,M,I,41 MALL RD,LAHEY HOSPITAL AND MEDICAL CENTER,BURLINGTON,MA,018050001,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,20,51,51,54.352941176,33,23.558431373,23.558431373
1053545624,ADEGBAMIGBE,TEMITAYO,,MD,F,I,501 BILLINGSLEY RD,COTTAGE B,CHARLOTTE,NC,282111009,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,65,70.565846154,8.32,6.4218461538,6.4218461538
1053545624,ADEGBAMIGBE,TEMITAYO,,MD,F,I,501 BILLINGSLEY RD,COTTAGE B,CHARLOTTE,NC,282111009,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,24,16.147083333,1.42,1.1141666667,1.1141666667
1053545624,ADEGBAMIGBE,TEMITAYO,,MD,F,I,501 BILLINGSLEY RD,COTTAGE B,CHARLOTTE,NC,282111009,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,101.32571429,79,61.94,56.275
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,48,90,244,35.786229508,7.433442623,5.3318852459,5.7595491803
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,17,17,12.784705882,3.38,2.65,2.65
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,20,23,23,10.886956522,2.12,1.67,1.67
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,31,50,84,11.987857143,1.3692857143,0.9821428571,1.0219047619
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,36,70.57,70.57,49.177777778,49.974444444
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,108,28.79,28.79,21.963888889,22.278888889
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,32,6.599375,2.12875,1.589375,1.078125
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,12.52,11.991666667,8.5866666667,6.6958333333
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,25,25,85,54.5584,40.7416,35.6856
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,14,95,99,55.436666667,23.138383838,17.389191919,13.515656566
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,36.5785,7.56,5.322,3.3485
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,E0585,"Nebulizer, with compressor and heater",D1E - Other DME,Durable Medical Equipment,Y,1,,13,19,30.31,27.244736842,21.366842105,19.618421053
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,20,175.6215,61.0915,47.8955,38.15
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,101,115,332.20382609,106.0333913,79.388695652,57.771304348
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,36,8470,0.3997567887,0.0460885478,0.0348335301,0.0348335301
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,3.52,0.219,0.1716666667,0.1716666667
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,85.82,26.544,19.6572,13.3008
1053545913,SELVARAJ,PRADEEP,K,M.D,M,I,451 BANK ST,,WOODVILLE,MS,396696000,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,40,72.6,33,24.5765,24.5765
1053546390,SAKPAL,SUJIT,V,M.D.,M,I,1315 S CLIFF AVE STE 1100,,SIOUX FALLS,SD,571051057,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2760,3.947865942,1.1827826087,0.9272789855,0.9272789855
1053546390,SAKPAL,SUJIT,V,M.D.,M,I,1315 S CLIFF AVE STE 1100,,SIOUX FALLS,SD,571051057,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1053546390,SAKPAL,SUJIT,V,M.D.,M,I,1315 S CLIFF AVE STE 1100,,SIOUX FALLS,SD,571051057,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,16,16,12.54,12.54
1053546671,YUKIO,UYLY,,DO,M,I,414 NAVARRO ST,SUITE #809,SAN ANTONIO,TX,782052516,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,40,52.6035,8.32,6.5215,6.5215
1053546838,DOMANTE,MARIA,,RPA-C,F,I,256 MASON AVE,BUILDING C,STATEN ISLAND,NY,103053408,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,11,812,42.168657635,5.0422167488,3.7764285714,3.7764285714
1053546846,PATEL,DHAVALKUMAR,B,M.D.,M,I,"VCUHS DEPT OF INTERNAL MEDICINE, 980509",1250 E MARSHALL ST,RICHMOND,VA,232980509,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,127.12,47.167272727,36.977272727,36.297272727
1053546846,PATEL,DHAVALKUMAR,B,M.D.,M,I,"VCUHS DEPT OF INTERNAL MEDICINE, 980509",1250 E MARSHALL ST,RICHMOND,VA,232980509,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,53.84,18.750909091,14.701818182,13.496363636
1053547224,HODACK,SARAH,F,MD,F,I,2930 11TH AVE,,EVANS,CO,806201011,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,86.715882353,17.91,13.214117647,12.743529412
1053547224,HODACK,SARAH,F,MD,F,I,2930 11TH AVE,,EVANS,CO,806201011,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,504.26615385,70.48,47.336923077,46.847692308
1053547232,TRAN,DIEM-PHUONG,N,DO,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,40,79,63.536582278,8.32,5.695443038,5.695443038
1053547232,TRAN,DIEM-PHUONG,N,DO,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,19,20,13.961,1.42,0.896,0.896
1053547232,TRAN,DIEM-PHUONG,N,DO,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,86.31,17.26,12.213636364,12.223181818
1053547232,TRAN,DIEM-PHUONG,N,DO,F,I,13020 MERIDIAN AVE S,,EVERETT,WA,982086468,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,519.51,77.34,56.891818182,51.528181818
1053547257,WAHEED,ABDUL,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,26,26,489.68615385,87.37,60.674230769,60.073846154
1053547257,WAHEED,ABDUL,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,319.38,52.99,35.605714286,36.971428571
1053547257,WAHEED,ABDUL,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,34,34,92.576764706,17.9,11.576470588,11.607941176
1053547257,WAHEED,ABDUL,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,54,54,101.69703704,11.668888889,7.792962963,7.7688888889
1053547257,WAHEED,ABDUL,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,48,276,13.790724638,2.06,1.4835144928,1.4630072464
1053547257,WAHEED,ABDUL,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,21,21,34.495238095,5.9295238095,3.8004761905,3.800952381
1053547257,WAHEED,ABDUL,,M.D.,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,19,26,26,52.673076923,12.36,9.3173076923,9.9734615385
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,8.4963636364,7.39,5.79,6.7172727273
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,5.69,5.54,4.34,4.34
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,14.15,13.8,10.82,10.82
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,29,11.397931034,10.93,8.57,8.57
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,122.30285714,51.450714286,40.339285714,37.753571429
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,36.684285714,16.79,11.782857143,12.133571429
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,25,4.2433333333,3.1933333333,3.429
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,211.95428571,79.258285714,58.587428571,52.022285714
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,220,35.695,27.988571429,29.38
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,18,118,118,60.700084746,20.25,14.182288136,12.164745763
1053547349,AHMED,SHAZIA,,M.D.,F,I,2555 S VOLUSIA AVE,,ORANGE CITY,FL,327639135,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,30,20.74,8.82,6.9153333333,6.7066666667
1053547398,HOWARD,JEAN,A,DO,F,I,908 N ELM ST,STE 207,HINSDALE,IL,605213635,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,24,75.269166667,8.32,6.5204166667,6.5204166667
1053547398,HOWARD,JEAN,A,DO,F,I,908 N ELM ST,STE 207,HINSDALE,IL,605213635,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.7909090909,2.9672727273,3.4727272727
1053547539,VASIREDDY,RISHI,K,MBBS,M,I,1035 BELLEVUE AVE,SUITE 305,SAINT LOUIS,MO,631171854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,31,115,60.664086957,8.32,5.5582608696,5.5582608696
1053547539,VASIREDDY,RISHI,K,MBBS,M,I,1035 BELLEVUE AVE,SUITE 305,SAINT LOUIS,MO,631171854,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,45,12.008222222,1.42,1.114,1.114
1053547539,VASIREDDY,RISHI,K,MBBS,M,I,1035 BELLEVUE AVE,SUITE 305,SAINT LOUIS,MO,631171854,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,179,18,12.581666667,12.059166667
1053547539,VASIREDDY,RISHI,K,MBBS,M,I,1035 BELLEVUE AVE,SUITE 305,SAINT LOUIS,MO,631171854,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,79.8,52.133333333,45.608333333
1053547778,KHAN,FAKHAR,J,MD,M,I,80 SEYMOUR STREET,HARTFORD HOSPITAL CARIOLOGY DEPT,HARTFORD,CT,061025037,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,40.562083333,8.32,5.4333333333,5.4333333333
1053547778,KHAN,FAKHAR,J,MD,M,I,80 SEYMOUR STREET,HARTFORD HOSPITAL CARIOLOGY DEPT,HARTFORD,CT,061025037,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,78.19,44.541818182,34.92,38.53
1053547778,KHAN,FAKHAR,J,MD,M,I,80 SEYMOUR STREET,HARTFORD HOSPITAL CARIOLOGY DEPT,HARTFORD,CT,061025037,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,21.53,8.1818181818,6.4145454545,6.7190909091
1053547828,KHAIRA,GURINDERPAL,S,MD,M,I,2845 SIENA HEIGHTS DR,,HENDERSON,NV,890524153,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,33,11.28,2,1.3790909091,1.4024242424
1053547828,KHAIRA,GURINDERPAL,S,MD,M,I,2845 SIENA HEIGHTS DR,,HENDERSON,NV,890524153,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,257.82,30.166842105,21.386842105,22.71
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,17,48,101,51.064455446,8.32,5.230990099,5.230990099
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,13,10.8,1.42,0.9461538462,0.9461538462
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,21,69.484761905,42.893809524,32.220952381,24.511904762
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,13,13,40.904615385,22.981538462,18.016923077,14.653076923
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,49.890909091,19.944545455,15.631818182,10.149090909
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,48.333333333,23.407777778,17.140740741,12.424444444
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,35,16.381111111,11.127037037,8.9277777778
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,7.9045454545,6.1945454545,3.6854545455
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,150,47.355714286,34.771142857,22.570857143
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,50,12.130909091,9.5145454545,7.7890909091
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,224.40333333,105.36921569,77.699411765,50.21254902
1053547950,SIZELOVE,AARON,S,D.O.,M,I,915 E GARRIOTT RD,SUITE B,ENID,OK,737016153,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1239.8,165.67909091,116.84363636,82.947272727
1053547968,DHINGANI,DARSHAN,R,,M,I,3000 Q ST FL 2,,SACRAMENTO,CA,958167058,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,71.74,56.24,54.73
1053548065,HOPPE,ALLYSON,A,M.D.,F,I,1 HOAG DR,,NEWPORT BEACH,CA,926634162,US,Hospitalist,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.31,8.465,6.6383333333,7.2216666667
1053548107,STEVAHN,AMY,I,"APRN, CNP",F,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,140,39.911428571,25.136190476,17.813333333
1053548107,STEVAHN,AMY,I,"APRN, CNP",F,I,2801 UNIVERSITY DR S,,FARGO,ND,581036029,US,Nurse Practitioner,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,3734,2480.02,1939.7525,1939.7525
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,65,241,53.981701245,8.32,6.251659751,6.251659751
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,14.271304348,3.38,2.65,2.65
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.034545455,2.12,1.67,1.67
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,35,75,14.438533333,1.42,1.0386666667,1.0386666667
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,32,563.94375,72.77,51.595,49.601875
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,31,5981,0.2486022404,0.0458735997,0.0330630329,0.0330630329
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,107.418,29.975333333,23.497333333,21.949333333
1053548156,GHANTA,SUMATHA,,MD,F,I,920 OLIVER RD,,MONROE,LA,712015702,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,31,31,84.096774194,33,24.458064516,24.458064516
1053548172,TERASAKI,ORELIA,R,M.D.,F,I,600 S RED RIVER EXPY,STE B,BURKBURNETT,TX,763543755,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,32,89,65.940674157,8.32,6.0825842697,6.0825842697
1053548172,TERASAKI,ORELIA,R,M.D.,F,I,600 S RED RIVER EXPY,STE B,BURKBURNETT,TX,763543755,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,28.615714286,4.6367857143,3.6303571429,3.7364285714
1053548172,TERASAKI,ORELIA,R,M.D.,F,I,600 S RED RIVER EXPY,STE B,BURKBURNETT,TX,763543755,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,145,27.465,19.266666667,18.850833333
1053548172,TERASAKI,ORELIA,R,M.D.,F,I,600 S RED RIVER EXPY,STE B,BURKBURNETT,TX,763543755,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,79.588235294,33,25.87,25.87
1053548461,BELL,CHRISTOPHER,B,M.D.,M,I,605 HEATHER LN,,ALMA,AR,729215061,US,Physician/Emergency Medicine,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,200,105.4075,82.6395,86.6575
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,38,69,188,605,52.06338843,8.32,6.0239834711,6.0239834711
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,16,31,31,15.100645161,3.38,2.65,2.65
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,16,19,19,23.028421053,2.12,1.67,1.67
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,39,77,134,15.312014925,1.42,1.0813432836,1.0813432836
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,307.495,123.4775,92.096875,66.22125
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,34,103.11058824,46.705294118,34.931764706,25.720588235
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,11,11,59.028181818,20.131818182,15.780909091,9.12
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,18,95,13.226315789,3.1284210526,2.3411578947,1.5782105263
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,17,194.29411765,68.413529412,45.307647059,32.465882353
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,17.620833333,14.031666667
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,299,117.96,92.48,66.6275
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,41,41,27.136829268,7.33,5.5087804878,3.9326829268
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,8,15,15,15,48.953333333,46.176,35.052,54.892
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,36,37,429.01702703,105.57189189,80.494324324,55.873243243
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,25,7885,0.4702612555,0.0460279011,0.0340545339,0.0340545339
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,21,3624,1.5427952539,0.133692053,0.0961589404,0.0961589404
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,60.265,28.115,21.3685,14.1695
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,147.05,53.253809524,35.416666667,19.411904762
1053548545,RAYFORD,VERNON,A,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,34,34,67.941176471,33,23.587941176,23.587941176
1053548750,SUBRAMANIAN,SUKANYA,,M.D.,F,I,622 W 168TH ST,PH14-105E,NEW YORK,NY,100323720,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,81,1786,40.441954087,12.960912654,10.161382979,10.247844345
1053548750,SUBRAMANIAN,SUKANYA,,M.D.,F,I,622 W 168TH ST,PH14-105E,NEW YORK,NY,100323720,US,Physician/General Surgery,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,256,481.21582031,205.47851563,161.09523437,162.87609375
1053548750,SUBRAMANIAN,SUKANYA,,M.D.,F,I,622 W 168TH ST,PH14-105E,NEW YORK,NY,100323720,US,Physician/General Surgery,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,137,506.93430657,268.44,210.45613139,210.45613139
1053548750,SUBRAMANIAN,SUKANYA,,M.D.,F,I,622 W 168TH ST,PH14-105E,NEW YORK,NY,100323720,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,40,165,602.24436364,326.82,256.22654545,256.22654545
1053548750,SUBRAMANIAN,SUKANYA,,M.D.,F,I,622 W 168TH ST,PH14-105E,NEW YORK,NY,100323720,US,Physician/General Surgery,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,89,492.39449438,359.89539326,282.15719101,292.77617978
1053548750,SUBRAMANIAN,SUKANYA,,M.D.,F,I,622 W 168TH ST,PH14-105E,NEW YORK,NY,100323720,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,7,,127,670,121.87746269,9.35,7.3300149254,7.3300149254
1053548750,SUBRAMANIAN,SUKANYA,,M.D.,F,I,622 W 168TH ST,PH14-105E,NEW YORK,NY,100323720,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,7,,128,668,332.43669162,29.22,22.908398204,22.908398204
1053548818,RABINOWITZ,JOSEPH,H,M.D.,M,I,950 S APOLLO BLVD,,MELBOURNE,FL,329011932,US,Physician/Family Practice,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,95,32.9775,24.658333333,24.915
1053548818,RABINOWITZ,JOSEPH,H,M.D.,M,I,950 S APOLLO BLVD,,MELBOURNE,FL,329011932,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.3,4.55,2.535,2.535
1053548933,KOOIKER,BENJAMIN,A,DO,M,I,2450 RIVERSIDE AVE,,MINNEAPOLIS,MN,55454,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,25,4.319,3.10475,3.2665
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,13,86.31,17.691538462,12.718461538,12.489230769
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,913.16,706.35,822.16166667
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,55,55,39.700909091,5.2814545455,3.9052727273,3.4805454545
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,198.75818182,35.029090909,24.572727273,24.386363636
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,453.804,72.634,50.976666667,49.092666667
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,1320,1.0102727273,0.1318863636,0.0930606061,0.0930606061
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,28,28,538.79285714,144.59285714,108.24035714,106.5475
1053549063,CASEY,JUSTIN,,CRNP,M,I,1118 ROSS CLARK CIR,SUITE 303,DOTHAN,AL,363013001,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,110.78571429,33,22.174285714,22.174285714
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,59.067272727,13.583636364,9.7581818182,9.12
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,60,14.9415,2.03,1.5918333333,1.5918333333
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,12,73,81,92.659259259,21.331604938,15.867407407,14.799012346
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,3869.0314286,1074.31,842.26,842.26
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,1845.87,393.25,308.3075,308.3075
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,17,81,81,32.053333333,5.5674074074,3.957037037,3.397037037
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,38,267,286,470.49447552,75.586818182,55.719825175,52.092762238
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,51,65,194.70769231,38.247230769,29.983692308,29.293384615
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,720,16.103236111,9.6895,7.4022222222,7.4022222222
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,20,21,49,11029,0.245679572,0.0460213981,0.0315558981,0.0315558981
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,22,74,9724,1.7070732209,0.1348457425,0.1003331962,0.1003331962
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,62,67,158.78208955,36.14,27.061492537,28.184029851
1053549121,KAUFMANN,BRENT,,MD,M,I,611 W. PARK ST.,,URBANA,IL,618012500,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,29,38,108,108,43.083333333,33,24.193240741,24.193240741
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,61,61,105.99868852,50.152131148,37.495737705,37.092131148
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,32,51.9425,30.356875,22.2103125,21.4234375
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,12,53.76,24.475833333,19.1925,18.325833333
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,15,78.92,37.290666667,29.233333333,29.326666667
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,14,14,14,354.14571429,151.53785714,118.80214286,114.54214286
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,56,56,90.82,42.73,33.497142857,26.7625
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,38,38,65.702631579,29.918947368,22.822894737,22.377105263
1053549170,DUGGAL,KUNWARJIT,S,M.D.,M,I,601 SHEFFIELD AVE,,DYER,IN,463111167,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,79,79,26.374177215,9.9960759494,7.84,7.0555696203
1053549287,PATHIREDDY,SAMATA,,MD,F,I,600 MARY ST,,EVANSVILLE,IN,477101674,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,70.417647059,18.099411765,14.19,13.534705882
1053549287,PATHIREDDY,SAMATA,,MD,F,I,600 MARY ST,,EVANSVILLE,IN,477101674,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,46.37,8.8142857143,6.9092857143,4.2192857143
1053549287,PATHIREDDY,SAMATA,,MD,F,I,600 MARY ST,,EVANSVILLE,IN,477101674,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,78,78,466.7074359,76.742051282,57.790128205,52.489230769
1053549287,PATHIREDDY,SAMATA,,MD,F,I,600 MARY ST,,EVANSVILLE,IN,477101674,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,249,37.44,28.301785714,28.451785714
1053549295,KIRSANOV,EVGENY,,M.D.,M,I,140 ACADEMY ST,,PRESQUE ISLE,ME,047693102,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60.92,7.3545454545,5.7663636364,3.9390909091
1053549303,DILEEP-ANSAL,LALITHA,,MD,F,I,155 E BRUSH HILL RD,,ELMHURST,IL,60126,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,54,54,48.884444444,17.962222222,12.516296296,12.06
1053549303,DILEEP-ANSAL,LALITHA,,MD,F,I,155 E BRUSH HILL RD,,ELMHURST,IL,60126,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,62,62,368.14516129,77.04516129,50.655645161,46.20516129
1053549329,MESSER,PHILIP,D,D.O.,M,I,14 PROSPECT ST,,MILFORD,MA,017573003,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,27,489.56444444,77.616666667,58.587037037,52.702962963
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,77,226,73.786858407,8.32,5.8010619469,5.8010619469
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,29,35,14.64,1.42,1.0531428571,1.0531428571
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,440,5.1734090909,4.03,3.1595,3.1595
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,7.7454545455,1.9318181818,1.3981818182,1.1145454545
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,84.641666667,24.753333333,18.108333333,14.703333333
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,78,12.934358974,3.0779487179,2.3682051282,1.7393589744
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,15,80,86,86.31,22.854767442,16.542325581,12.621511628
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,15.134166667,11.275
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,70.985833333,45.680833333
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,57.785,41.866666667,34.494166667
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,54,60,50.73,6.5721666667,4.5455,3.3018333333
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,257.82,38.288571429,22.634285714,16.7
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,21,115,133,501.15150376,102.91413534,75.159097744,52.130526316
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,3391,0.1706222353,0.0462577411,0.0342465349,0.034243586
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,15,53,5072,1.24420347,0.1329652997,0.0978036278,0.0978036278
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,24,1350,12.86,3.0362,2.3252518519,2.3252518519
1053549394,HAMILTON,RACHEL,R,D.O,F,I,3073 WHITE MOUNTAIN HWY,MEMORIAL HOSPITAL,NORTH CONWAY,NH,038607101,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,21,71,71,111.63380282,33,24.646901408,24.646901408
1053549444,WATSON,MARY,C,M.D.,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,24,86.31,19.88375,15.585416667,13.53
1053549444,WATSON,MARY,C,M.D.,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.6325,5.9816666667,3.66
1053549444,WATSON,MARY,C,M.D.,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,23,519.51,87.12826087,68.309565217,54.725217391
1053549493,BARRINO,ALETHEA,Y,M.D.,F,I,515 THOMPSON ST STE D,,EDEN,NC,272885040,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,24,59,158,58.035063291,8.32,5.6593670886,5.6593670886
1053549493,BARRINO,ALETHEA,Y,M.D.,F,I,515 THOMPSON ST STE D,,EDEN,NC,272885040,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,20,35,60,14.110333333,1.42,0.9851666667,0.9851666667
1053549493,BARRINO,ALETHEA,Y,M.D.,F,I,515 THOMPSON ST STE D,,EDEN,NC,272885040,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,0.92,0.1385454545,0.1086439394,0.1086439394
1053549493,BARRINO,ALETHEA,Y,M.D.,F,I,515 THOMPSON ST STE D,,EDEN,NC,272885040,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,27.6625,18.486666667,18.231666667
1053549527,FARRELL,JENNIFER,A,D.O.,F,I,1500 S DAIRY ASHFORD RD,STE 198,HOUSTON,TX,770773854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,18,61,52.062622951,8.32,6.3081967213,6.3081967213
1053549527,FARRELL,JENNIFER,A,D.O.,F,I,1500 S DAIRY ASHFORD RD,STE 198,HOUSTON,TX,770773854,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,22,8.9654545455,1.42,1.0636363636,1.0636363636
1053549964,GRIMES,MICHAEL,,MD,M,I,1900 WATERDAM PLAZA DR,2ND FLOOR,MC MURRAY,PA,153175442,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,25,158,46.019113924,8.32,6.11,6.11
1053549964,GRIMES,MICHAEL,,MD,M,I,1900 WATERDAM PLAZA DR,2ND FLOOR,MC MURRAY,PA,153175442,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,18,48,11.250833333,1.42,0.9516666667,0.9516666667
1053551465,BREZINSKI-CLARK,KARA,A,D.O.,F,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,22,73,161,66.842919255,8.32,6.1160869565,6.1160869565
1053551465,BREZINSKI-CLARK,KARA,A,D.O.,F,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,28,34,12.997352941,1.42,0.9873529412,0.9873529412
1053551465,BREZINSKI-CLARK,KARA,A,D.O.,F,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2755,0.0895136116,0.0129981851,0.0092849365,0.0092849365
1053551465,BREZINSKI-CLARK,KARA,A,D.O.,F,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,121.875,39.36,30.197083333,29.240416667
1053551465,BREZINSKI-CLARK,KARA,A,D.O.,F,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,11.495,11.495
1053552117,TEXLEY-QUIGG,KIMBERLY,A,N.P.,F,I,145 MICHIGAN ST NE,,GRAND RAPIDS,MI,495032562,US,Nurse Practitioner,S,J8520,"Capecitabine, oral, 150 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,11,440,12.262,1.7427272727,1.3663636364,1.3663636364
1053552117,TEXLEY-QUIGG,KIMBERLY,A,N.P.,F,I,145 MICHIGAN ST NE,,GRAND RAPIDS,MI,495032562,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,19,1200,43.945416667,5.1093916667,3.8861916667,3.8861916667
1053552117,TEXLEY-QUIGG,KIMBERLY,A,N.P.,F,I,145 MICHIGAN ST NE,,GRAND RAPIDS,MI,495032562,US,Nurse Practitioner,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,16,21,47,46.418297872,41.159148936,30.952553191,29.444680851
1053552117,TEXLEY-QUIGG,KIMBERLY,A,N.P.,F,I,145 MICHIGAN ST NE,,GRAND RAPIDS,MI,495032562,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,24,24,18.82,18.82
1053552117,TEXLEY-QUIGG,KIMBERLY,A,N.P.,F,I,145 MICHIGAN ST NE,,GRAND RAPIDS,MI,495032562,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,16,16,12.54,12.54
1053553024,WHITEHEAD,JAIME,L,APRN,F,I,800 MAIN ST,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,18,45,8.19,2.1133333333,1.6002222222,1.1302222222
1053553024,WHITEHEAD,JAIME,L,APRN,F,I,800 MAIN ST,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,229.5,65.911666667,47.405833333,32.294166667
1053553024,WHITEHEAD,JAIME,L,APRN,F,I,800 MAIN ST,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,26,519.51,116.24230769,91.138461538,62.712307692
1053553024,WHITEHEAD,JAIME,L,APRN,F,I,800 MAIN ST,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,13.802916667,9.78375,7.6704444444,7.6704444444
1053553024,WHITEHEAD,JAIME,L,APRN,F,I,800 MAIN ST,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,40,4440,0.92,0.1359189189,0.1065743243,0.1065743243
1053553024,WHITEHEAD,JAIME,L,APRN,F,I,800 MAIN ST,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,660,11.197272727,2.7928181818,2.1895909091,2.1895909091
1053553024,WHITEHEAD,JAIME,L,APRN,F,I,800 MAIN ST,,AUGUSTA,AR,72006,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,50,50,122.1,33,25.87,25.87
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,33,404,43.775445545,19.680841584,14.831188119,14.831188119
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,31,935,6.3514973262,2.6367914439,2.0450374332,2.0450374332
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,72,176,767,60.800104302,8.3173794003,6.1233898305,6.1254498044
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,21,21,15.764761905,3.38,2.65,2.65
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,32,61,136,14.706764706,1.42,1.11375,1.11375
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,651.76285714,364.21714286,285.54571429,285.54571429
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1280,16.567601563,10.885359375,8.527703125,8.527703125
1053553172,LAWLER,ELIZABETH,E,M.D.,F,I,1129 N CARBON ST,,MARION,IL,629591068,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,28,28,373.96821429,251.11,196.87,196.87
1053553255,FALCO,CHRISTOPHER,,,M,I,1333 MOURSUND ST,,HOUSTON,TX,770303405,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,20.62,9.2711111111,6.2783333333,6.4216666667
1053553255,FALCO,CHRISTOPHER,,,M,I,1333 MOURSUND ST,,HOUSTON,TX,770303405,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,167.93,46.304444444,32.317777778,31.75037037
1053553255,FALCO,CHRISTOPHER,,,M,I,1333 MOURSUND ST,,HOUSTON,TX,770303405,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,113.08,43.378,31.784666667,31.960666667
1053553255,FALCO,CHRISTOPHER,,,M,I,1333 MOURSUND ST,,HOUSTON,TX,770303405,US,Physician/Physical Medicine and Rehabilitation,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,117.49,73.273181818,50.922272727,56.540454545
1053553255,FALCO,CHRISTOPHER,,,M,I,1333 MOURSUND ST,,HOUSTON,TX,770303405,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,39.497142857,12.66,9.93,9.54
1053553255,FALCO,CHRISTOPHER,,,M,I,1333 MOURSUND ST,,HOUSTON,TX,770303405,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,23,26.565217391,11.225652174,8.4856521739,8.4769565217
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,30,30,81.143333333,48.178,35.522666667,29.178666667
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,10,15,34,86,8.46,1.9276744186,1.276744186,0.9502325581
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,19,21,21,53.475238095,18.243809524,13.83,8.6433333333
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,17,24,24,207.92583333,118,83.351666667,59.23
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,16,40,61,90.339508197,45.245245902,34.856885246,26.323770492
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,21,37,173,56.871849711,24.667225434,18.599942197,13.964913295
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,25,50,50,186.858,71.008,51.9008,39.8592
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,37,48,48,48.628125,23.896875,17.836875,13.285208333
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,45,45,53.200666667,17.884888889,12.956444444,8.2011111111
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,37,83,348,7.1081609195,2.7805747126,1.999454023,1.4533908046
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,16.656666667,8.5658333333,5.9691666667,3.975
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,13,13,34.656923077,15.801538462,11.686923077,9.7007692308
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,205,70.417272727,55.209090909,38.434545455
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,26,161,162,70.184320988,22.823209877,16.218765432,13.098641975
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,14,14,177.02857143,61.481428571,48.2,41.444285714
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,3261.1666667,1074.31,842.26,842.26
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,299.92548387,113.96580645,84.971935484,60.840322581
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,16.770909091,13.149090909,10.48
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,12,28,186,187,22.615347594,7.6793048128,5.7699465241,3.716631016
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,13,70,70,122.63742857,44.799714286,30.552142857,21.284
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,18,90,738,739,289.13738836,102.22169147,75.868930988,53.321366712
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,156,156,228.87602564,44.865641026,32.649358974,27.833012821
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,21,39,119,36157,0.5653475122,0.0471822884,0.0332118262,0.0332112731
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,23,83,7650,1.5241934641,0.1328705882,0.0905398693,0.0905398693
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,25,59,194,194,51.680412371,33,23.08,23.08
1053553925,CHAMMAS-AOUN,NADIA,M,M.D.,F,I,1735 27TH ST,"WALLER BUILDING, SUITE 108",PORTSMOUTH,OH,456622677,US,Physician/Internal Medicine,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,11,11,71.090909091,66,51.74,51.74
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,47,121,393,45.496132316,8.32,5.8084223919,5.8084223919
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,25,50,88,11.276136364,1.42,0.9627272727,0.9627272727
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,30,60,8.1978333333,1.789,1.152,0.9373333333
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,53,84.777169811,21.642264151,15.610754717,12.255471698
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,32,34,25.973529412,7.5452941176,5.3438235294,3.2252941176
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,257.82,58.616923077,45.953076923,27.224615385
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,70,72,532.09819444,105.75861111,79.243472222,52.461111111
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,510,16.653196078,9.5327647059,7.4274117647,7.4274117647
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,62,15474,0.2018288742,0.0462976606,0.0319749257,0.0319749257
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,46,6780,1.1394955752,0.1315973451,0.0789660767,0.0789660767
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,181.27833333,142.11666667,105.59
1053554071,RELWANI,RESHMA,L,DO,F,I,15505 E 127TH ST STE 100,,LEMONT,IL,604394433,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,19,111,111,90.081081081,33,22.243063063,22.243063063
1053554154,GINOZA,JEREMY,A,DO,M,I,4455 CORDATA PKWY,,BELLINGHAM,WA,982268037,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4815.51,913.16,715.92,831.73166667
1053554287,CAMPBELL,ELIZABETH,A,NP,F,I,150 S FAIRVIEW AVE,,DECATUR,IL,625222852,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,15,4.895,3.4491666667,3.3008333333
1053554303,ALLEN,ALEXANDRIA,D,M.D.,F,I,1265 UNION AVE,,MEMPHIS,TN,381043415,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,227.68307692,54.628461538,34.975384615,27.752307692
1053554311,STRONG,KAMI,,MD,F,I,2650 HIGHWAY 138 E,,JONESBORO,GA,302362744,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,20.447272727,11.23,8.8109090909,8.2772727273
1053554311,STRONG,KAMI,,MD,F,I,2650 HIGHWAY 138 E,,JONESBORO,GA,302362744,US,Physician/Physical Medicine and Rehabilitation,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,37,37,60.167837838,44.254054054,28.882702703,29.770540541
1053554311,STRONG,KAMI,,MD,F,I,2650 HIGHWAY 138 E,,JONESBORO,GA,302362744,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,83.589230769,43.1,31.190769231,30.867692308
1053554311,STRONG,KAMI,,MD,F,I,2650 HIGHWAY 138 E,,JONESBORO,GA,302362744,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,343.112,82.446666667,60.689333333,53.008
1053554311,STRONG,KAMI,,MD,F,I,2650 HIGHWAY 138 E,,JONESBORO,GA,302362744,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,39.020666667,18.082666667,12.294,11.934666667
1053554311,STRONG,KAMI,,MD,F,I,2650 HIGHWAY 138 E,,JONESBORO,GA,302362744,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,19,71,71,49.316760563,30.227464789,18.732816901,16.315774648
1053554311,STRONG,KAMI,,MD,F,I,2650 HIGHWAY 138 E,,JONESBORO,GA,302362744,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,38,38,15.489210526,8.3144736842,6.2144736842,6.3165789474
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,5.935,0.51,0.4,0.4
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,38,88,308,39.222142857,8.32,6.3321428571,6.3321428571
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,28,59,59,12.619322034,3.38,2.5601694915,2.5601694915
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,24,30,30,18.584333333,2.12,1.67,1.67
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,37,78,135,11.664074074,1.42,1.0977777778,1.0977777778
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,114.82933333,51.394,40.29,39.746
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,38,53.370789474,17.63,13.456315789,13.273157895
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,111,116,383.08284483,76.48,57.892413793,53.646206897
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,2507,0.6457040287,0.0455963303,0.0357479059,0.0357479059
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1311,1.8908390542,0.1308085431,0.094317315,0.094317315
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,79.289230769,19.384615385,14.111538462,13.098461538
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,235.06,30.243333333,23.71,22.253333333
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,37,37,534.98081081,150.57567568,116.95459459,110.77324324
1053554360,OLBAMO,BEKELE,C,MD,M,I,4545 FULLER DR,SUITE 325,IRVING,TX,750386521,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,39.6,33,25.87,25.87
1053554477,DAWSON,DAVID,M,D.O.,M,I,1102 W 32ND ST,,JOPLIN,MO,648043503,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,52,52,421.06442308,88.138846154,61.7225,47.555961538
1053554477,DAWSON,DAVID,M,D.O.,M,I,1102 W 32ND ST,,JOPLIN,MO,648043503,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,43,110.80116279,41.61372093,29.039069767,26.175581395
1053554519,LEVEA,SWEE-LING,L,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907301,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,28,132,21065,6.4568027534,0.5791920247,0.445549015,0.4455485402
1053554519,LEVEA,SWEE-LING,L,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907301,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,19,85,13500,0.0911155556,0.0131503704,0.0099496296,0.0099496296
1053554519,LEVEA,SWEE-LING,L,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907301,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,14,79,10920,6.7028388278,2.8566978022,2.2338818681,2.2338818681
1053554519,LEVEA,SWEE-LING,L,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907301,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,29,111,111,24,24,18.141801802,18.141801802
1053554519,LEVEA,SWEE-LING,L,MD,F,I,5323 HARRY HINES BOULEVARD,,DALLAS,TX,753907301,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,32,157,207,16,16,12.286908213,12.286908213
1053554600,SCOTT,RYAN,T,DPM,M,I,9305 W THOMAS RD,STE 305,PHOENIX,AZ,850373328,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,22,22,120.01681818,83.01,62.288636364,60.398636364
1053554600,SCOTT,RYAN,T,DPM,M,I,9305 W THOMAS RD,STE 305,PHOENIX,AZ,850373328,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,46,46,47,433.68,291.38744681,211.69978723,202.75765957
1053554808,RICHARDS,JULIET,W,,F,I,15444 DEDEAUX RD STE B,,GULFPORT,MS,395032637,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,43,136,66.463308824,8.32,5.9463970588,5.9463970588
1053554808,RICHARDS,JULIET,W,,F,I,15444 DEDEAUX RD STE B,,GULFPORT,MS,395032637,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,24,12.66,1.42,1.1141666667,1.1141666667
1053554808,RICHARDS,JULIET,W,,F,I,15444 DEDEAUX RD STE B,,GULFPORT,MS,395032637,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,64.120555556,17.29,13.55,13.53
1053554808,RICHARDS,JULIET,W,,F,I,15444 DEDEAUX RD STE B,,GULFPORT,MS,395032637,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,42.246956522,4.8734782609,3.822173913,3.8182608696
1053554808,RICHARDS,JULIET,W,,F,I,15444 DEDEAUX RD STE B,,GULFPORT,MS,395032637,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,438.44,70.23,52.666086957,52.4
1053554808,RICHARDS,JULIET,W,,F,I,15444 DEDEAUX RD STE B,,GULFPORT,MS,395032637,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2388,0.1990117253,0.0471566164,0.0360008375,0.0360008375
1053554915,KNIERIM,KYLE,E,M.D.,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,31.706666667,4.0075,3.14,3.66
1053554915,KNIERIM,KYLE,E,M.D.,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,760.48,77.565769231,58.643846154,52.885384615
1053554915,KNIERIM,KYLE,E,M.D.,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,210,38.76,29.068695652,28.226956522
1053555029,HOWELL,JEAN,G,M.D.,M,I,3946 NORWOOD AVE,,SACRAMENTO,CA,95838,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,16,32,89,58.858539326,8.32,5.1294382022,5.1294382022
1053555029,HOWELL,JEAN,G,M.D.,M,I,3946 NORWOOD AVE,,SACRAMENTO,CA,95838,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.428571429,3.38,2.65,2.65
1053555029,HOWELL,JEAN,G,M.D.,M,I,3946 NORWOOD AVE,,SACRAMENTO,CA,95838,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,12,25,37,15.566486486,1.42,0.9059459459,0.9059459459
1053555177,KURIAN,SANDHYA,T,M.D.,F,I,1 PROFESSIONAL DRIVE,SUITE 220,ALTON,IL,620025068,US,Physician/Family Practice,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,179.16,91.740333333,68.662333333,74.146333333
1053555177,KURIAN,SANDHYA,T,M.D.,F,I,1 PROFESSIONAL DRIVE,SUITE 220,ALTON,IL,620025068,US,Physician/Family Practice,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,51,51,279.22294118,132.94313725,97.275294118,82.748431373
1053555177,KURIAN,SANDHYA,T,M.D.,F,I,1 PROFESSIONAL DRIVE,SUITE 220,ALTON,IL,620025068,US,Physician/Family Practice,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,35,618.31428571,219.79142857,168.79885714,168.42142857
1053555177,KURIAN,SANDHYA,T,M.D.,F,I,1 PROFESSIONAL DRIVE,SUITE 220,ALTON,IL,620025068,US,Physician/Family Practice,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,20,106.64,54.07,42.39,45.558
1053555177,KURIAN,SANDHYA,T,M.D.,F,I,1 PROFESSIONAL DRIVE,SUITE 220,ALTON,IL,620025068,US,Physician/Family Practice,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,42,42,42,743.43,251.28,191.69047619,209.93214286
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,62,47.070322581,8.32,6.4179032258,6.4179032258
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,26.875,4.39875,3.454375,3.59
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,12,63,2475,1.6006505051,0.4747393939,0.3565777778,0.3565777778
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,810,4.9014938272,2.5697037037,2.0146296296,2.0146049383
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,36,44,220,20701,4.4160001932,0.5739012608,0.4415690063,0.444657746
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,14,23,73,13740,0.0733820961,0.0128646288,0.0097299854,0.0097299854
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,37,5880,1.373670068,0.739744898,0.5705,0.5705
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,23,27,118,23624,3.7717063156,1.3798560786,1.0458203522,1.0613570945
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,3900,4.0852435897,2.8960769231,2.2705282051,2.2705282051
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,23,533,17.121594747,7.5156472795,5.8922326454,5.8922326454
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,52,57,239,239,24,24,18.426276151,18.426276151
1053555276,VENOY,GLENNA,L,ARNP,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,43,53,278,329,16,16,12.273677812,12.273677812
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,23,251,61.279840637,19.598844622,14.896613546,14.896613546
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,27,735,7.4179319728,2.6293877551,2.0332517007,2.0332517007
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,60,91,218,1151,69.987862728,8.32,5.9963857515,5.9963857515
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,35,46,101,255,14.263803922,1.42,1.021372549,1.021372549
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,12,12,12,29.5925,29.5925,21.108333333,57.569166667
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,,27,27,729.52518519,350.16555556,274.52851852,274.52851852
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,22,144,144,337.15743056,251.01520833,196.79569444,196.86965278
1053555334,KAUR,MANMEET,,M.D.,F,I,100 GRAND ST,JOSLIN DIABETES CENTER,NEW BRITAIN,CT,060522016,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,345.85461538,248.88384615,195.13,205.19538462
1053555797,DUPPONG,MAIJA,L,,F,I,900 HILLIGOSS BLVD SE,,FOSSTON,MN,565421542,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,34,49.425882353,8.32,6.5217647059,6.5217647059
1053555953,CANCINO,RAMON,,MD,M,I,25723 OLD FREDERICKSBURG,,BOERNE,TX,78015,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,38,55.203684211,8.32,6.3502631579,6.3502631579
1053555987,XIONG,NCHA,D,,F,I,1313 PENN AVE N,,MINNEAPOLIS,MN,554113047,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,40,101,70.408514851,8.32,3.6174257426,3.6174257426
1053555987,XIONG,NCHA,D,,F,I,1313 PENN AVE N,,MINNEAPOLIS,MN,554113047,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,20,25,13.9568,1.42,0.5816,0.5816
1053556332,RIKLON,SHELDON,,M.D.,M,I,95-390 KUAHELANI AVE,,MILILANI,HI,967891192,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,48,53.958333333,8.32,4.0758333333,4.0758333333
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,45,107,51.148598131,8.3028037383,6.1777570093,6.1912149533
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,14,24,26,11.720384615,1.42,1.1192307692,1.1192307692
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,314.77052632,102.31263158,76.628421053,71.672105263
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,59,107.80033898,38.203389831,28.630169492,26.497457627
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,53.3275,22.674,17.069,15.734
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,52.83375,14.05,10.466875,10.024375
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,14,26,136,7.5163235294,2.6338235294,1.9869852941,1.6991176471
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,34.171333333,14.547333333,10.711333333,10.505333333
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,20,20,77.2325,19.5025,13.2095,11.8015
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.67,33.730833333,32.521666667
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,42.14,16.75,11.027272727,8.2545454545
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,169.06,56.339375,40.39875,26.47875
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,332.9265,102.4345,74.579,51.282
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,44,1700,1.2220647059,0.1365470588,0.0974470588,0.0974470588
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,690,12.86,3.0353043478,2.3797101449,2.3797101449
1053556647,CONKRIGHT,KENDRA,J,M.D.,F,I,320 N MADISON ST,,PITTSFIELD,IL,623631412,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,32,32,90.9375,33,24.253125,24.253125
1053557199,SAMARDZIJA,RADMILA,,DPM,F,I,8919 PARALLEL PKWY STE 550,,KANSAS CITY,KS,661121545,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,26,111,71.56,56.105,56.105
1053557199,SAMARDZIJA,RADMILA,,DPM,F,I,8919 PARALLEL PKWY STE 550,,KANSAS CITY,KS,661121545,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,114.35714286,76.46,51.385714286,54.425
1053557199,SAMARDZIJA,RADMILA,,DPM,F,I,8919 PARALLEL PKWY STE 550,,KANSAS CITY,KS,661121545,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,14,376.07142857,251.28,197,217.32642857
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,107,162,163,158.52711656,49.745766871,37.772269939,30.754233129
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,23,45,8.19,1.9048888889,1.4942222222,1.1742222222
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,94,144,145,486.8097931,118.31606897,88.056758621,67.685172414
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,46,97,228,192.54614035,44.213114035,33.930877193,26.269561404
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,19,29,124,100.90435484,25.568548387,18.637177419,13.525806452
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,14,19,67,70.813134328,19.890447761,15.594328358,12.223134328
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,58,93,93,354.63731183,72.519139785,53.089354839,43.086989247
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,141,166,166,91.328795181,24.728313253,18.775903614,14.415963855
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,32,32,93.99875,18.866875,14.475625,9.9503125
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,127,199,1108,8.5939620939,2.8846028881,2.1744584838,1.6514440433
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,73,85,85,22.317176471,9.0884705882,6.8325882353,5.0087058824
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,52,61,61,92.310655738,15.584590164,12.053934426,10.473114754
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,30,216,238,88.257268908,21.986638655,15.961890756,12.645336134
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,85,85,3867.9312941,941.31258824,728.95270588,828.93741176
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,11,63,69,668.57478261,123.39014493,94.72,66.427391304
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,42,42,42,541.00952381,189.89642857,148.88238095,111.19428571
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,32,118,136,81.75,16.212058824,11.315588235,9.1288235294
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,13,81,85,80.536588235,6.0038823529,4.1787058824,3.1248235294
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,84,445,461,332.89572668,49.230694143,36.331084599,24.789197397
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,83,565,612,507.56658497,100.5394281,74.911862745,53.999820261
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,17,108,108,95,44.751388889,34.174814815,29.115740741
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,17,107,6390,18.064087637,9.6349295775,7.5045618153,7.5045618153
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,18,54,10083,0.1993761777,0.0470286621,0.0326549638,0.032653972
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,1530,1.3628431373,0.1352156863,0.0863921569,0.0863921569
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,27,143,8550,9.0667789474,3.0429789474,2.2950046784,2.2950046784
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,231.46810811,44.931081081,34.34027027,29.298378378
1053558676,KHAN,MUHAMMAD,T,M.D.,M,I,235 E STATE ST,,SAINT CROIX FALLS,WI,540244117,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,43,195,195,65.615384615,33,24.808666667,24.808666667
1053558700,LARSON,KATIE,,,F,I,7235 W APPLETON AVE,,MILWAUKEE,WI,532161932,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,89,77.021235955,8.32,6.5224719101,6.5224719101
1053558700,LARSON,KATIE,,,F,I,7235 W APPLETON AVE,,MILWAUKEE,WI,532161932,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,17,475.12352941,79.98,59.011764706,51.970588235
1053559005,LOMAX,HEATHER,A,NP,F,I,46 DAGGETT DR,,WEST SPRINGFIELD,MA,010894638,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,46,72.548478261,8.32,6.2376086957,6.2376086957
1053559005,LOMAX,HEATHER,A,NP,F,I,46 DAGGETT DR,,WEST SPRINGFIELD,MA,010894638,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,15,18.055333333,1.42,1.04,1.04
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,22,464.41045455,67.72,49.195454545,50.845454545
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,18,26,98,6893,4.4027593211,0.599994197,0.4563658784,0.4563658784
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,4200,0.0769571429,0.0125357143,0.0098261905,0.0098261905
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,30,4380,2.7700981735,1.5698447489,1.2307511416,1.2307511416
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,2640,6.0840833333,2.977,2.0987121212,2.3387575758
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,510,18.096745098,7.6217058824,5.9754117647,5.9754117647
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,18,27,75,75,24,24,18.318133333,18.318133333
1053559906,REGULAGADDA,ASHISH,V,M.D.,M,I,736 BROADWAY N,,FARGO,ND,58122,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,22,31,101,105,16,16,12.301142857,12.301142857
1053560250,BRINKER,JARED,Z,MD,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,74,58.673513514,8.32,6.5224324324,6.5224324324
1053560250,BRINKER,JARED,Z,MD,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,22,15.08,1.42,1.1127272727,1.1127272727
1053560250,BRINKER,JARED,Z,MD,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,163.35166667,49.1725,35.5825,35.231666667
1053560250,BRINKER,JARED,Z,MD,M,I,4515 MARSHA SHARP FWY,,LUBBOCK,TX,794072520,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,122.69230769,32.103846154,25.167692308,25.175384615
1053560300,MISRA,ARTIKA,,M.D.,F,I,1025 MARSH ST,,MANKATO,MN,56001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,63,159,77.586037736,8.32,6.1936477987,6.1936477987
1053560300,MISRA,ARTIKA,,M.D.,F,I,1025 MARSH ST,,MANKATO,MN,56001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,25,25,13.7176,1.42,1.12,1.12
1053560300,MISRA,ARTIKA,,M.D.,F,I,1025 MARSH ST,,MANKATO,MN,56001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,403,102.61833333,75.474166667,67.044166667
1053560524,DRURY,KRISTEN,E,"RD, LD, PA-C",F,I,26458 MAPLE VALLEY BLACK DIAMOND RD SE,,MAPLE VALLEY,WA,980388350,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,71.205517241,8.32,6.5244827586,6.5244827586
1053560805,PYLMAN,JOHN,,M.D.,M,I,1656 CHAMPLIN AVE,,UTICA,NY,135024830,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,137.60846154,44.282307692,34.716153846,36.340769231
1053560805,PYLMAN,JOHN,,M.D.,M,I,1656 CHAMPLIN AVE,,UTICA,NY,135024830,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27,12.783333333,9.5391666667,10.240833333
1053560805,PYLMAN,JOHN,,M.D.,M,I,1656 CHAMPLIN AVE,,UTICA,NY,135024830,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,14,28.92,10.438571429,6.9385714286,7.6857142857
1053560805,PYLMAN,JOHN,,M.D.,M,I,1656 CHAMPLIN AVE,,UTICA,NY,135024830,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,12,44,50,63.9604,18.6692,14.636,14.9152
1053560805,PYLMAN,JOHN,,M.D.,M,I,1656 CHAMPLIN AVE,,UTICA,NY,135024830,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,150,30.02,23.538333333,25.173333333
1053560805,PYLMAN,JOHN,,M.D.,M,I,1656 CHAMPLIN AVE,,UTICA,NY,135024830,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,26,20.779615385,8.2838461538,6.4938461538,7.0230769231
1053560888,KLUMP,BETH,A,PA-C,F,I,3572 BRODHEAD RD.,SUITE 301,MONACA,PA,15061,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1860,4.3870967742,1.9461290323,1.4794623656,1.5409139785
1053560979,BOWLING,WILLIAM,,P.A,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,48,99,66.704040404,8.32,5.6648484848,5.6648484848
1053560979,BOWLING,WILLIAM,,P.A,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,20,23,11.709565217,1.42,1.02,1.02
1053560979,BOWLING,WILLIAM,,P.A,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,33,33,25,4.3645454545,2.8042424242,2.8678787879
1053560979,BOWLING,WILLIAM,,P.A,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,22,9,2.4859090909,1.1695454545,1.2840909091
1053560979,BOWLING,WILLIAM,,P.A,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,223.01714286,68.78,52.379428571,53.162571429
1053560979,BOWLING,WILLIAM,,P.A,M,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,87.159090909,18.219090909,14.281818182,14.289090909
1053561134,PHUNG,PHUC,T,MD,M,I,24920 104TH AVE SE,,KENT,WA,980306443,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,91,263,51.320874525,8.32,6.1233460076,6.1233460076
1053561134,PHUNG,PHUC,T,MD,M,I,24920 104TH AVE SE,,KENT,WA,980306443,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,16.785714286,3.38,2.65,2.65
1053561134,PHUNG,PHUC,T,MD,M,I,24920 104TH AVE SE,,KENT,WA,980306443,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,46,78,13.421410256,1.42,1.0006410256,1.0006410256
1053561290,PUSTILNIKOV,YEVGENIY,,,M,I,1335 N LA BREA AVE,APT#105,LOS ANGELES,CA,900287526,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,40,102,86.877647059,8.32,4.9416666667,4.9416666667
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,154,279,279,95.688924731,49.516379928,35.997598566,29.334229391
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,89,145,145,303.83317241,122.04524138,91.317103448,67.955310345
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,93,239,391,114.28043478,45.704424552,33.559386189,25.138107417
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,59,131,450,70.780511111,25.697733333,19.372333333,14.730444444
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,28,46,144,45.970138889,20.279791667,13.834305556,10.648819444
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,106,167,169,157.6035503,77.00183432,56.857573964,43.169881657
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,189,239,239,51.894100418,25.756485356,19.570209205,14.478158996
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,21.405882353,12.597647059,8.8247058824,7.7158823529
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,29,43,45,74.424444444,20.312222222,15.408,10.446666667
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,195,392,1388,8.4205403458,2.8861383285,2.1844380403,1.6325144092
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,122,167,167,36.209041916,15.704670659,11.735568862,10.119341317
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,235.1165,130.069,95.634,73.8705
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,38,50,1201.179,304.3646,204.4278,157.0966
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,7,59,292,307,42.698827362,17.541856678,12.454201954,10.073322476
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,69,444,455,131.31092308,47.682417582,34.492571429,25.626263736
1053561639,SCHUSTER,MICHELLE,L,"RN, MSN, FNP-C",F,I,921 W FRONT ST,,TRAVERSE CITY,MI,496842327,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,482.89777778,99.352444444,73.909333333,52.993333333
1053561811,CRIDER,STEVE,R,M.D.,M,I,1250 JESSE JEWELL PKWY SE,SUITE 200,GAINESVILLE,GA,305013871,US,Physician/Anesthesiology,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1001.76,1001.76,726.90909091,718.70454545
1053561852,MAURHOFF,BRADLEY,D,PA-C,M,I,1330 N SUPERIOR AVE,,TOMAH,WI,546601130,US,Physician Assistant,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,21,60,31,8.28,6.4911666667,6.4911666667
1053561852,MAURHOFF,BRADLEY,D,PA-C,M,I,1330 N SUPERIOR AVE,,TOMAH,WI,546601130,US,Physician Assistant,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,54,220,8.6041818182,8.3835454545,6.5735909091,6.5943636364
1053561852,MAURHOFF,BRADLEY,D,PA-C,M,I,1330 N SUPERIOR AVE,,TOMAH,WI,546601130,US,Physician Assistant,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,24,96,1045,8.7814066986,8.7814066986,6.8497990431,8.3308325359
1053561852,MAURHOFF,BRADLEY,D,PA-C,M,I,1330 N SUPERIOR AVE,,TOMAH,WI,546601130,US,Physician Assistant,S,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,89,591,18.815736041,11.58,9.0783248731,9.0783248731
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,38,88,222,50.522882883,8.32,5.6403153153,5.6403153153
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,14.008,3.38,2.12,2.12
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,22,42,65,13.012461538,1.42,0.996,0.996
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,21,21,116.49,37.454761905,26.610952381,27.74
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,1197,2.9541520468,2.9541520468,2.3160651629,2.3206432749
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,28,4.4,4.21,3.3032142857,3.3032142857
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,3050,0.2,0.13,0.1019180328,0.1019180328
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,28,12.45,8.25,6.4689285714,6.4339285714
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,27,9,4.31,3.3792592593,3.3792592593
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,,25,25,295.398,84.5848,64.1336,65.6556
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,50,72,119.30013889,29.845694444,21.141944444,23.596805556
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,23,84,62.951428571,13.864642857,9.7229761905,10.656190476
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,11,26,26,230.69115385,51.993076923,39.216153846,41.241923077
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,20,31,31,63.597741935,17.041612903,13.358064516,14.064193548
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,29,29,69.916206897,11.422068966,8.9537931034,9.12
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,21,87,268,9.4578731343,1.998358209,1.4417164179,1.4662313433
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,11,15,15,45.188666667,12.752666667,8.6873333333,9.016
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,104.34,52.94,41.5,41.5
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,365,11.5,3,2.352,2.3676712329
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5472,4.8,0.36,0.282244152,0.2900913743
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1300,1074.31,830.30416667,830.30416667
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,31.4325,5.435,3.35,3.095
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,28,184.83321429,33.513571429,26.273571429,27.063214286
1053561993,EVERLY,BRADLEY,P,MD,M,I,1900 INDIAN WOOD CIR STE 202B,,MAUMEE,OH,43537,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,20,398.2305,69.925,54.82,54.748
1053563106,GREGORY,JANICE,,ARNP,F,I,1670 E HWY 50,,CLERMONT,FL,347115191,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,40,16.36,11.760833333,12.485833333
1053563163,PARIKH,VAIBHAVE,Y,MD,M,I,10907 MEMORIAL HERMANN DR STE 300,,PEARLAND,TX,775844194,US,Physician/Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,2345.04,1185.42,929.37,889.03117647
1053563643,WARNECKE,NICHOLAS,,PA-C,M,I,112 NE CRESCENT AVE,,PEORIA,IL,616061901,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3723.3333333,2775.2616667,2163.85,2163.85
1053563957,COOPER,BRIAN,K,PA,M,I,275 11TH ST S,,WAHPETON,ND,580754655,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,12,32,6.753125,3.49125,2.738125,2.0609375
1053563957,COOPER,BRIAN,K,PA,M,I,275 11TH ST S,,WAHPETON,ND,580754655,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,325.10357143,115,90.164285714,54.73
1053563957,COOPER,BRIAN,K,PA,M,I,275 11TH ST S,,WAHPETON,ND,580754655,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,46.618888889,26.872777778,21.067777778,14.594444444
1053564146,MARTINEZ-MADRIGAL,EZEQUIEL,,MD,M,I,1447 N HARRISON ST,,SAGINAW,MI,486024727,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.44,7.5041666667,5.4783333333,3.505
1053564260,GUERRA,ANA,,MD,F,I,4337 BROADWAY,,NEW YORK,NY,100332411,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,48,110,55.309454545,8.32,5.4550909091,5.4550909091
1053564260,GUERRA,ANA,,MD,F,I,4337 BROADWAY,,NEW YORK,NY,100332411,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,28,17.863928571,1.42,0.995,0.995
1053564260,GUERRA,ANA,,MD,F,I,4337 BROADWAY,,NEW YORK,NY,100332411,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,20.822727273,14.409090909,18.768181818
1053564260,GUERRA,ANA,,MD,F,I,4337 BROADWAY,,NEW YORK,NY,100332411,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,6.6245454545,4.5818181818,5.76
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,26,51,51,128.12705882,40.894117647,30.890196078,29.365490196
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,23,47,47,199.80170213,85.957446809,62.347021277,62.76787234
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,24,46,97,75.305360825,33.184536082,24.971340206,24.889587629
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,22,37,173,46.796705202,19.161849711,13.758786127,13.284393064
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,17,29,148,35,15.500810811,10.966824324,10.699527027
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,37,65,65,129.58461538,57.616769231,41.295076923,39.078923077
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,50,60,60,45.233,17.583166667,12.999833333,13.237833333
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,17,17,20.529411765,10.434117647,7.7188235294,7.69
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,34,58,58,46.697758621,11.5,8.5534482759,8.6451724138
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,61,110,652,6.5114110429,2.0607208589,1.5048006135,1.4792177914
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,25,27,27,18.642592593,6,4.5259259259,4.4833333333
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,29,35,35,23.936571429,12.834285714,9.7742857143,10.047428571
1053565028,STRINGFELLOW,AMIE,,MD,F,I,18220 STATE HIGHWAY 249,SUITE 335,HOUSTON,TX,770704347,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,15,76,76,206.09263158,34.870657895,24.730263158,23.155
1053566133,HINERTH,NICHOLAS,A,PA-C,M,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Physician Assistant,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,5.2641818182,4.04,3.1675,3.1675
1053567040,CHAMPION-ODUSOLA,OLAYEMI,O,M.D.,F,I,7905 CALUMET AVENUE,HAMMOND CLINIC LLC,MUNSTER,IN,606313745,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,30,69,165,63.641090909,8.32,5.0196363636,5.0196363636
1053567040,CHAMPION-ODUSOLA,OLAYEMI,O,M.D.,F,I,7905 CALUMET AVENUE,HAMMOND CLINIC LLC,MUNSTER,IN,606313745,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,18,29,45,15.836444444,1.42,0.9908888889,0.9908888889
1053567040,CHAMPION-ODUSOLA,OLAYEMI,O,M.D.,F,I,7905 CALUMET AVENUE,HAMMOND CLINIC LLC,MUNSTER,IN,606313745,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1984,0.3361139113,0.0457610887,0.0336239919,0.0336139113
1053567040,CHAMPION-ODUSOLA,OLAYEMI,O,M.D.,F,I,7905 CALUMET AVENUE,HAMMOND CLINIC LLC,MUNSTER,IN,606313745,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1751.66,147.78272727,114.57454545,117.23272727
1053567040,CHAMPION-ODUSOLA,OLAYEMI,O,M.D.,F,I,7905 CALUMET AVENUE,HAMMOND CLINIC LLC,MUNSTER,IN,606313745,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1053567354,RICHARDSON,JASMIN,J,PA,F,I,1750 CRYSTAL DR,SUITE 1600,ARLINGTON,VA,222023401,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,29,82.407241379,8.32,4.7237931034,4.7237931034
1053567552,HAWK,JILLISA,D,ARNP,F,I,305 ESTILL ST,,BEREA,KY,404031742,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,41,152,75.728881579,8.32,5.8788157895,5.8788157895
1053567552,HAWK,JILLISA,D,ARNP,F,I,305 ESTILL ST,,BEREA,KY,404031742,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,21,18.011904762,1.42,1.009047619,1.009047619
1053567552,HAWK,JILLISA,D,ARNP,F,I,305 ESTILL ST,,BEREA,KY,404031742,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,60,61.34,21.985,15.991666667,12.603166667
1053567552,HAWK,JILLISA,D,ARNP,F,I,305 ESTILL ST,,BEREA,KY,404031742,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,34,34,16.418823529,6.8191176471,3.4394117647,2.1864705882
1053567552,HAWK,JILLISA,D,ARNP,F,I,305 ESTILL ST,,BEREA,KY,404031742,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,90,92,335.58108696,99.833043478,70.732934783,51.425978261
1053567552,HAWK,JILLISA,D,ARNP,F,I,305 ESTILL ST,,BEREA,KY,404031742,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1800,1.9253944444,0.135,0.0857333333,0.0857333333
1053567552,HAWK,JILLISA,D,ARNP,F,I,305 ESTILL ST,,BEREA,KY,404031742,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,33,33,20.555,20.555
1053567743,NADOLSKY,KARL,,DO,M,I,221 MICHIGAN ST NE STE 200,,GRAND RAPIDS,MI,495032533,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,11,138,57.575652174,19.680797101,15.429855072,15.429855072
1053567743,NADOLSKY,KARL,,DO,M,I,221 MICHIGAN ST NE STE 200,,GRAND RAPIDS,MI,495032533,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,370,7.9079189189,2.6367567568,2.0671351351,2.0671351351
1053567743,NADOLSKY,KARL,,DO,M,I,221 MICHIGAN ST NE STE 200,,GRAND RAPIDS,MI,495032533,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,43,172,72.92127907,8.32,5.7023837209,5.7023837209
1053567743,NADOLSKY,KARL,,DO,M,I,221 MICHIGAN ST NE STE 200,,GRAND RAPIDS,MI,495032533,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,774.766,345.2475,270.6725,270.6725
1053567743,NADOLSKY,KARL,,DO,M,I,221 MICHIGAN ST NE STE 200,,GRAND RAPIDS,MI,495032533,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,49,49,352.40326531,251.11,196.87,196.87
1053567750,ARDOIN,SADIE,M,NURSE PRACTITIONER,F,I,211 4TH ST,BOX 30162,ALEXANDRIA,LA,713018421,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,81.528125,18.311875,10.033125,9.301875
1053567750,ARDOIN,SADIE,M,NURSE PRACTITIONER,F,I,211 4TH ST,BOX 30162,ALEXANDRIA,LA,713018421,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,353.95625,75.31,41.89625,37.663125
1053567842,WANG,MARY,,MD,F,I,9333 GENESEE AVE STE 200,,SAN DIEGO,CA,921212113,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,25,66.542,8.32,4.4348,4.4348
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,24,71,828,50.351171498,19.640362319,14.429492754,14.429492754
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,23,70,2005,6.4613965087,2.6334164589,1.9816458853,1.9816458853
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,46,117,490,1690,74.776325444,8.32,5.7453254438,5.7453254438
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,11.45,3.38,2.65,2.65
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,35,130,225,15.094622222,1.42,1.0047111111,1.0047111111
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,47,3020,17.502990066,10.787953642,7.9049503311,7.9049503311
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,13,51,51,387.54372549,251.00294118,193.9727451,194.05647059
1053567990,DANGLE,MICHELLE,M,CRNP,F,I,131 JPM RD STE A,,LEWISBURG,PA,178379309,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,11,11,11,353.22181818,237.82,186.45,199.59090909
1053568436,KIM,YU,S,M.D.,F,I,201 N WASHINGTON ST,,FALLS CHURCH,VA,220464518,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,57.43,43.07,30.955833333,32.455833333
1053568436,KIM,YU,S,M.D.,F,I,201 N WASHINGTON ST,,FALLS CHURCH,VA,220464518,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,218.44285714,33.692857143,26.414285714,26.617142857
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,20,155,80.300516129,19.678,14.244129032,14.244129032
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,320,11.0389375,2.635,1.7424375,1.7424375
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,43,111,383,67.121279373,8.32,6.0454830287,6.0454830287
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,26,12.566153846,1.42,1.1153846154,1.1153846154
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,53,53,149.46113208,39.784339623,28.600754717,27.941886792
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,30,30,394.85833333,89.943,64.167333333,61.628
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,17,38,92,152.455,33.960217391,25.177608696,24.479782609
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,24,115,89.347304348,18.69,14.525478261,14.424869565
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,15,29,29,238.75103448,56.21,39.511034483,38.467931034
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,27,37,37,69.616216216,18.481891892,13.718108108,13.306756757
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,28,72,383,11.125535248,2.1081984334,1.5798694517,1.5255091384
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,20,26,26,47.095,13.324615385,10.047692308,9.9423076923
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5473,1.6666910287,0.3796528412,0.2976484561,0.2900803947
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,89,96,90.743229167,17.848125,13.26,12.858958333
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,46,48,232.35,49.88,37.599375,36.190625
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,28,328.57142857,82.918571429,62.768571429,61.501071429
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,48,50,71.7,13.355,10.0542,10.0574
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,70,74,205.20216216,31.556216216,23.210810811,23.218378378
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,37,276,280,489.19685714,71.089857143,53.894892857,52.966392857
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,250,39.6,31.05,29.645882353
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.64075,7.5583333333,7.5583333333
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1619,1.3894811612,0.1411612106,0.1106794317,0.1106794317
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1200,12.203916667,3.12535,2.4503083333,2.4503083333
1053568592,MILLER,GARRY,T,D.O.,M,I,555 W SR 164 NORTH,,SALEM,UT,846531666,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,38,38,105.94736842,33,25.87,25.87
1053568923,ADLER,ADAM,H,MD,M,I,1292 WAIANUENUE AVE,,HILO,HI,967201228,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,760.48,104.91625,82.25625,59.8025
1053568923,ADLER,ADAM,H,MD,M,I,1292 WAIANUENUE AVE,,HILO,HI,967201228,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,30.7075
1053569228,SALMON,PATRICIA,M,M.D.,F,I,751 S BASCOM AVE,"VALLEY SPECIALTY CENTER, SUITE 210",SAN JOSE,CA,951282604,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,16,185,57.542378378,19.579297297,14.25572973,14.25572973
1053569228,SALMON,PATRICIA,M,M.D.,F,I,751 S BASCOM AVE,"VALLEY SPECIALTY CENTER, SUITE 210",SAN JOSE,CA,951282604,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,440,7.4475,2.6263636364,1.9649545455,1.9649545455
1053569228,SALMON,PATRICIA,M,M.D.,F,I,751 S BASCOM AVE,"VALLEY SPECIALTY CENTER, SUITE 210",SAN JOSE,CA,951282604,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,29,74,345,77.264347826,8.32,5.6333043478,5.6333043478
1053569228,SALMON,PATRICIA,M,M.D.,F,I,751 S BASCOM AVE,"VALLEY SPECIALTY CENTER, SUITE 210",SAN JOSE,CA,951282604,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,23,49,99,13.809191919,1.42,0.9109090909,0.9109090909
1053569228,SALMON,PATRICIA,M,M.D.,F,I,751 S BASCOM AVE,"VALLEY SPECIALTY CENTER, SUITE 210",SAN JOSE,CA,951282604,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,264.790625,251.11,196.87,196.87
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,13,18,36,2.2777777778,0.51,0.3777777778,0.3777777778
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,12,16,31,4.0967741935,1,0.7848387097,0.7848387097
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,63,130,397,49.119647355,8.32,6.1276826196,6.1276826196
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,32,60,60,19.234333333,3.38,2.6058333333,2.6058333333
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,38,45,45,18.080888889,2.12,1.6328888889,1.6328888889
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,62,119,188,18.017393617,1.42,1.0738297872,1.0738297872
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,72,72,144,75.390972222,71.520972222,48.847638889,48.877638889
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,64,64,384,34.67046875,29.17703125,22.87484375,22.886666667
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,420,13.670285714,5.79,4.5393333333,4.163
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,5670,1.2958641975,0.3514638448,0.2755432099,0.2914991182
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,31,31,31,142.90032258,58.95,40.256129032,32.38516129
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21.624666667,10.25,6.534,5.97
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,6,32,32,32,27.3353125,15.3271875,10.5103125,10.5103125
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,62,62,162.83080645,54.985806452,40.722419355,37.463870968
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,80.3192,18,12.4168,12.0064
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,42.47,4.29,3.36,3.8616666667
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,5,,35,35,113.18942857,51.008571429,34.335714286,32.804285714
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,17.72962963,9.672962963,7.25,6.8111111111
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,14,14,28,58.755714286,29.673571429,19.935,19.375714286
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,50,164.3438,55.2968,43.357,40.566
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,78.264545455,26.01,20.395454545,19.479090909
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,37,474.27297297,77.18,56.828918919,51.978108108
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E2365,"Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,2,18,18,36,160.10444444,71.8,56.29,56.921944444
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,13,13,13,77.739230769,37.257692308,26.96,27.096153846
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,396.91181818,157.15727273,118.60818182,109.37090909
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1020,17.144470588,9.6263529412,7.5048235294,7.5048235294
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,5069,0.3494140856,0.0464687315,0.036429276,0.036429276
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,2398,1.9831943286,0.1371059216,0.1029482902,0.1029482902
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,71.506666667,22.570952381,14.702380952,13.00952381
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,56,56,106.17589286,36.925,27.320535714,22.555714286
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,213.2,52.208333333,36.625,33.358333333
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,80,80,32.132,9.44475,6.8325,6.161625
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,25,138,138,711.78,179.36586957,140.09485507,123.96826087
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,699.15,120,90.408888889,80.428888889
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,22,22,22,1781.3063636,1257.37,985.15363636,894.90818182
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,55,960.13363636,668.52,513.74527273,474.20418182
1053569327,GAGER,ROSEANN,M,M.D.,F,I,2359 HASSELL RD,,HOFFMAN ESTATES,IL,60169,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,48,48,62.6875,33,25.331041667,25.331041667
1053569582,PARK,SUN,A,M.D.,F,I,1480 N MAIN ST,STE A,MADISON,VA,227273093,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,51,62.504509804,8.32,5.7539215686,5.7539215686
1053569582,PARK,SUN,A,M.D.,F,I,1480 N MAIN ST,STE A,MADISON,VA,227273093,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,55.136666667,20.0725,12.696666667,10.723333333
1053569582,PARK,SUN,A,M.D.,F,I,1480 N MAIN ST,STE A,MADISON,VA,227273093,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,405.786,79.7175,56.5215,49.2515
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,163,316,317,105.61611987,44.004921136,33.364984227,29.724731861
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,28,188,374,374,273.16144385,100.92005348,75.24473262,65.176791444
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,23,163,392,697,99.326671449,38.044347202,28.455050215,24.976241033
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,18,114,224,820,57.41245122,22.061634146,16.203195122,13.858512195
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,17,91,186,579,43.699412781,17.064576857,12.810431779,11.422003454
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,23,220,417,417,186.73040767,63.386882494,47.050911271,40.879064748
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,34,378,519,519,50.082716763,20.703603083,15.551271676,13.5777842
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,60,72,72,25.06125,11.38125,8.1234722222,7.5011111111
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,213,388,388,54.730386598,14.880902062,11.118530928,8.8286340206
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,32,343,731,3209,7.7741290122,2.5422249922,1.9161296354,1.5476565908
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,149,198,198,19.951666667,7.0292424242,5.3566161616,4.5765656566
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,19,134,164,164,34.615182927,14.414756098,10.802439024,9.9637804878
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,71.378461538,17.423846154,13.655384615,13.531538462
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,10,23,143,148,362.31047297,105.95283784,81.22972973,69.218648649
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,85,88,88,359.64011364,155.79272727,118.44113636,101.985
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,12,57,62,65.959677419,16.602903226,12.237741935,9.4417741935
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,23,160,1026,1041,139.84852065,39.928318924,29.582238232,24.321690682
1053570085,RAJU,SRIRANGARAJAN,,MD,M,I,1759 E VILLA DR,,COTTONWOOD,AZ,863264681,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,13,104,104,262.14298077,89.031153846,67.152596154,55.538365385
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,18,41,57.200243902,8.32,5.5668292683,5.5668292683
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,480,11.182083333,5.54,4.343375,4.1747291667
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,5239,0.6481580454,0.2999408284,0.2351536553,0.2430425654
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,16,16,131.7,64,50.18,48.43625
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,114.74333333,47.55,37.28,36.528333333
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,94.339090909,53.29,34.183636364,33.373636364
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,7,23,75,81,137.73530864,49.736296296,31.997530864,31.48691358
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,11,66,70,32.323857143,4.6185714286,3.3645714286,3.363
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,47.323636364,37.1,36.478181818
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,16,98,98,457.77459184,70.23,49.397142857,49.126734694
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,27,2760,0.7669057971,0.1365108696,0.1070434783,0.1070434783
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,12,40,46,109.69108696,20.600652174,14.442391304,13.398695652
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,38,167,167,87.380538922,30.879520958,20.730778443,19.234311377
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,18,92,92,27.683152174,8.8629347826,6.5885869565,6.5044565217
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,69,69,85,37.44,26.306376812,26.465797101
1053570101,WOOD,CHRISTOPHER,D,D.O.,M,I,2001 CRYSTAL SPRING AVE SW,SUITE 302,ROANOKE,VA,240142462,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,91.666666667,33,25.87,25.87
1053570432,ALNOAH,ZAID,,M.D.,M,I,69 JESSE HILL JR DR SE,,ATLANTA,GA,303033033,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,247,92.286153846,6.138340081,4.6643724696,4.0149392713
1053570432,ALNOAH,ZAID,,M.D.,M,I,69 JESSE HILL JR DR SE,,ATLANTA,GA,303033033,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4677,1.3982296344,0.3204575583,0.2283921317,0.220906564
1053570432,ALNOAH,ZAID,,M.D.,M,I,69 JESSE HILL JR DR SE,,ATLANTA,GA,303033033,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,51,1295,31.104123552,13.117698842,10.173567568,10.181513514
1053570432,ALNOAH,ZAID,,M.D.,M,I,69 JESSE HILL JR DR SE,,ATLANTA,GA,303033033,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,51,353,729.25705382,268.38209632,210.41033994,210.41033994
1053570432,ALNOAH,ZAID,,M.D.,M,I,69 JESSE HILL JR DR SE,,ATLANTA,GA,303033033,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,51,353,26.373314448,9.3480169972,7.3284419263,7.3284419263
1053570432,ALNOAH,ZAID,,M.D.,M,I,69 JESSE HILL JR DR SE,,ATLANTA,GA,303033033,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,51,353,78.296260623,28.703966006,22.503966006,22.903569405
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,6.2916666667,0.51,0.3666666667,0.3666666667
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,54,145,555,57.218522523,8.268972973,6.0711531532,6.1110990991
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,15,38,38,13.744736842,3.38,2.3747368421,2.3747368421
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,19,19,21.137894737,2.12,1.5821052632,1.5821052632
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,28,70,119,14.246554622,1.42,1.086302521,1.086302521
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,13,25,25,414.216,87.37,63.5792,63.0316
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,13,30,64,159.17453125,32.76,25.6846875,25.88125
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,17,21,21,74.954285714,17.9,14.03,14.055714286
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,25,25,89.7332,11.66,8.7744,8.7592
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,16,35,174,11.224137931,2.06,1.5593678161,1.5403448276
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,13,18,18,27.503888889,5.93,4.3916666667,4.3916666667
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,56.799090909,16.59,11.227272727,11.487272727
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,47.063333333,4.343,3.409,3.716
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,27,27,210.93407407,32.204814815,21.558888889,21.933703704
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,54,54,471.32833333,67.72,49.011481481,50.672592593
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,750,0.93468,0.13524,0.09876,0.09876
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.1626944444,2.1626944444
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,140.9125,110.4725,115.29
1053570531,KOUVATSOS,PETER,A,D.O.,M,I,1777 5TH AVE,,YORK,PA,174032632,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,102.88235294,33,25.87,25.87
1053570879,STEELE,KATHRYN,M,M.D.,F,I,1906 BELLEVIEW AVE SE,,ROANOKE,VA,240141838,US,Physician/Emergency Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,1860,3.4854086022,0.5469354839,0.4287903226,0.4287903226
1053570879,STEELE,KATHRYN,M,M.D.,F,I,1906 BELLEVIEW AVE SE,,ROANOKE,VA,240141838,US,Physician/Emergency Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,16,16,12.54,12.54
1053571109,SANN,KATE,M,M.D.,F,I,530 3RD ST NW,RIVERWAY CLINIC-ELK RIVER-MAIL STOP 39400A,ELK RIVER,MN,553308863,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,32,81,68.710123457,8.32,5.8783950617,5.8783950617
1053571216,PLASENCIA,VERONICA,R,MD,F,I,325 REEF RD,ROOM 203,FAIRFIELD,CT,068246537,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,34,72.370588235,8.32,4.6044117647,4.6044117647
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,0.13,0.13,0.1019166667,0.1019166667
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,1.97,1.73,1.3563333333,1.5772424242
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,49.081666667,45.170833333,32.474166667,33.088333333
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,13.25,8.3825,6.5725,6.88
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,56,19.7325,9.7608928571,7.6539285714,7.6944642857
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,E1800,"Dynamic adjustable elbow extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,343.18181818,106.54363636,75.231818182,75.231818182
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,32,32,350,117.769375,83.3575,83.3575
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,40,40,46.3545,29.945,21.796,21.01625
1053571224,MEHTA,SACHIN,A,M.D.,M,I,8051 S EMERSON AVE,SUITE 360,INDIANAPOLIS,IN,462378600,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,34,34,18.437352941,8.4905882353,6.1720588235,6.1455882353
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,47,93,71.533655914,8.32,6.1702150538,6.1702150538
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,26,17.686153846,1.42,1.0730769231,1.0730769231
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,72.96,6.88,5.1302820513,3.8992820513
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,2212,0.815641953,0.33,0.2403661844,0.2258137432
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,88.424285714,18.68,14.117142857,13.046785714
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,38.854615385,7.91,4.9346153846,3.1938461538
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,53,53,441.88358491,91.348301887,67.802830189,51.676603774
1053571315,BOWMAN,ERIC,C,MD,M,I,1420 NORTH GATEWAY AVE,,ROCKWOOD,TN,378546543,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,21.89,21.89
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,29,89,49.6,8.32,6.5220224719,6.5220224719
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,15.252352941,1.42,1.1141176471,1.1141176471
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,15,38,6.3847368421,1.5,1.1757894737,1.1542105263
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,45.735454545,31.636363636,32.092727273
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,39.679032258,6.6925806452,5.2461290323,3.895483871
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,87.5,38.100555556,25.088333333,20.78
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,3998,0.1687193597,0.0453151576,0.0355227614,0.0355202601
1053571596,HAMPTON,MAVIS,O,"RN, FNP",F,I,1607 E QUINLAN PKWY,,QUINLAN,TX,75474,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,105.34615385,33,23.88,23.88
1053571703,IQBAL,ZAFAR,,MD,M,I,201 LYONS AVE,NEWARK BETH ISRAEL MEDICAL CENTER,NEWARK,NJ,071122027,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,133.21428571,90.113571429,62.222857143,58.869285714
1053571703,IQBAL,ZAFAR,,MD,M,I,201 LYONS AVE,NEWARK BETH ISRAEL MEDICAL CENTER,NEWARK,NJ,071122027,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,94.053636364,53.294545455,36.619090909,36.947272727
1053571703,IQBAL,ZAFAR,,MD,M,I,201 LYONS AVE,NEWARK BETH ISRAEL MEDICAL CENTER,NEWARK,NJ,071122027,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,26.538235294,17.948823529,13.42,13.251764706
1053571703,IQBAL,ZAFAR,,MD,M,I,201 LYONS AVE,NEWARK BETH ISRAEL MEDICAL CENTER,NEWARK,NJ,071122027,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,22,22,20.061818182,10.511818182,7.9259090909,8.54
1053571703,IQBAL,ZAFAR,,MD,M,I,201 LYONS AVE,NEWARK BETH ISRAEL MEDICAL CENTER,NEWARK,NJ,071122027,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,25,135,2.636,1.9635555556,1.4697037037,1.492
1053571703,IQBAL,ZAFAR,,MD,M,I,201 LYONS AVE,NEWARK BETH ISRAEL MEDICAL CENTER,NEWARK,NJ,071122027,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,5.9138461538,4.81,3.7515384615,4.4307692308
1053571703,IQBAL,ZAFAR,,MD,M,I,201 LYONS AVE,NEWARK BETH ISRAEL MEDICAL CENTER,NEWARK,NJ,071122027,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,13,64,65,74.191692308,34.965538462,25.905230769,24.147384615
1053571760,BELTRAN PAPSDORF,TANIA,B,MD,F,I,3801 S NATIONAL AVE,SUITE 900,SPRINGFIELD,MO,658075210,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,3766.7361538,1005.0938462,776.96153846,831.22384615
1053571760,BELTRAN PAPSDORF,TANIA,B,MD,F,I,3801 S NATIONAL AVE,SUITE 900,SPRINGFIELD,MO,658075210,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,133.862,40.754,31.9515,34.529
1053571794,GEORGOLIOS,ALEXANDROS,,MD,M,I,79 VENIZELOU STREET,,HOLARGOS,ZZ,15561,GR,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,60.773846154,38.336923077,30.056153846,32.449230769
1053571828,KEPLINGER,LISBETH,M,D.P.M.,F,I,2141 N HARBOR BLVD,SUITE 35000,FULLERTON,CA,928353827,US,Podiatry,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21,9.405,6.6008333333,7.9791666667
1053571828,KEPLINGER,LISBETH,M,D.P.M.,F,I,2141 N HARBOR BLVD,SUITE 35000,FULLERTON,CA,928353827,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,319.75,293.17,221.6295,211.062
1053572024,VEMULA,RAHUL,,MD,M,I,300 2ND AVE,DEPT OF GENERAL SURGERY,LONG BRANCH,NJ,077406303,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,28,228,109.32280702,24.84,18.962280702,18.718859649
1053572024,VEMULA,RAHUL,,MD,M,I,300 2ND AVE,DEPT OF GENERAL SURGERY,LONG BRANCH,NJ,077406303,US,Physician/Plastic and Reconstructive Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,111,38.233333333,7.670990991,6.0143243243,6.3737837838
1053572024,VEMULA,RAHUL,,MD,M,I,300 2ND AVE,DEPT OF GENERAL SURGERY,LONG BRANCH,NJ,077406303,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,3752.02,536.19428571,420.37285714,464.53071429
1053572057,GOLLAMUDI,SREEVANI,,MD,F,I,1 MEDICAL CENTER DR,,MIDDLETOWN,OH,45005,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,40.287333333,17.55,12.384,12.200666667
1053572057,GOLLAMUDI,SREEVANI,,MD,F,I,1 MEDICAL CENTER DR,,MIDDLETOWN,OH,45005,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,286.634,77.18,54.628,49.634
1053572099,DUDAS,LAWRENCE,V,MD,M,I,743 SPRING STREET NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,13,95,95,24.445263158,5.7825263158,4.4636842105,3.6628421053
1053572099,DUDAS,LAWRENCE,V,MD,M,I,743 SPRING STREET NE,,GAINESVILLE,GA,305013715,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,232.10526316,87.501578947,66.419473684,63.222105263
1053572156,CALAF,SALVADOR,F,M.D.,M,I,2301 CIRCADIAN WAY,SUITE A,SANTA ROSA,CA,954075444,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,2700,0.1351185185,0.0131111111,0.009062963,0.009062963
1053572156,CALAF,SALVADOR,F,M.D.,M,I,2301 CIRCADIAN WAY,SUITE A,SANTA ROSA,CA,954075444,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,34,5720,3.3820192308,1.2666258741,0.9363321678,0.9363321678
1053572156,CALAF,SALVADOR,F,M.D.,M,I,2301 CIRCADIAN WAY,SUITE A,SANTA ROSA,CA,954075444,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,34,34,24,24,18.699117647,18.699117647
1053572156,CALAF,SALVADOR,F,M.D.,M,I,2301 CIRCADIAN WAY,SUITE A,SANTA ROSA,CA,954075444,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,32,35,16,16,11.823428571,11.823428571
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,368,864,864,90.799178241,37.09193287,27.227824074,28.62162037
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,183,434,434,249.16843318,83.127741935,61.393317972,63.90218894
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,174,441,1228,81.340276873,31.897540717,24.057882736,24.918485342
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,137,304,1642,52.027618758,17.694652862,13.212125457,13.843014616
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,98,230,1345,35.538074349,15.216490706,11.237003717,11.268356877
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,245,549,549,156.96834244,55.821038251,41.136156648,40.416466302
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,381,523,523,54.639483748,17.204703633,13.165602294,13.701185468
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,67,71,71,30.064366197,10.112112676,7.7071830986,7.9183098592
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,48,109,109,66.82853211,11.414587156,8.2063302752,8.3864220183
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,390,934,5351,6.4318090077,2.0334965427,1.5094075874,1.5087703233
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,41,57,57,16.80122807,5.9603508772,4.5864912281,4.5685964912
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,251,304,304,36.681940789,12.636052632,9.6491776316,10.063289474
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,61,426,429,362.8644289,84.942494172,62.145081585,61.596643357
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,58,58,662.46568966,219.8562069,170.235,163.92603448
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,117,123,123,374.98146341,131.64121951,102.03504065,103.10252033
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,34,36,54.930277778,13.078888889,9.4905555556,9.6913888889
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,174,1037,1041,141.2845341,33.207204611,23.860307397,23.318059558
1053572164,BHANDARI,HANUL,S,MD,M,I,4358 LOCKHILL SELMA RD STE 106,,SHAVANO PARK,TX,782494167,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,73,57.23,54.73
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,70,70.853857143,8.32,5.4977142857,5.4977142857
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,12.339166667,1.42,1.0266666667,1.0266666667
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,35,57.882285714,17.500285714,13.72,14.133428571
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,212.64818182,51.901818182,40.691818182,42.374545455
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,18,72,7.4604166667,2.0075,1.575,1.5886111111
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,10.66,8.36,8.14
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,9.59,7.52,7.56
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,263.4,199.73,156.58,156.58
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4366388889,7.4366388889
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,12.86,3.0705454545,2.4073333333,2.4073333333
1053572560,CHEMA,ANDREW,,M.D.,M,I,3780 MEDINA RD STE 310,,MEDINA,OH,442569312,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,103.71428571,33,25.87,25.87
1053572735,SEKIGUCHI,HIROSHI,,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,1335,3.6354157303,0.5059550562,0.3910037453,0.3910037453
1053572735,SEKIGUCHI,HIROSHI,,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,15,80,4570,4.774654267,0.5625733042,0.4183719912,0.4183676149
1053572735,SEKIGUCHI,HIROSHI,,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,13,59,8728,0.2597089826,0.0131610907,0.0100160403,0.0100160403
1053572735,SEKIGUCHI,HIROSHI,,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,2880,2.1555486111,0.9277604167,0.6797013889,0.6987534722
1053572735,SEKIGUCHI,HIROSHI,,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,17,71,71,24,24,18.024788732,18.024788732
1053572735,SEKIGUCHI,HIROSHI,,MD,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,20,111,127,16,16,12.14511811,12.14511811
1053572883,GUALTIERI,JOSEPH,A,M.D.,M,I,400 INTERNATIONAL DR,,WILLIAMSVILLE,NY,142215771,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,13,32,48.1253125,8.32,5.7078125,5.7078125
1053572883,GUALTIERI,JOSEPH,A,M.D.,M,I,400 INTERNATIONAL DR,,WILLIAMSVILLE,NY,142215771,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,51,56.403921569,18.78,12.991176471,12.875490196
1053572883,GUALTIERI,JOSEPH,A,M.D.,M,I,400 INTERNATIONAL DR,,WILLIAMSVILLE,NY,142215771,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,56,7.6853571429,2.26,1.7716071429,1.6317857143
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,93,148,149,121.6038255,43.066778523,32.263557047,29.372885906
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,25,369,604,605,316.11687603,94.958694215,69.235190083,63.376942149
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,26,310,641,1371,118.95424508,36.247330416,26.518971554,24.284748359
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,15,135,242,994,78.682645875,20.406468813,14.976971831,13.716197183
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,226,428,1722,44.240069686,16.468252033,11.735261324,10.872195122
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,22,452,762,762,173.55800525,61.115866142,44.127703412,39.698989501
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,29,755,953,953,59.509118573,19.795897167,14.277628541,13.008856243
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,111,125,125,32.89072,10.61976,7.61872,7.49768
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,28,684,1184,1184,58.603606419,13.299923986,9.6550422297,8.5089273649
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,28,810,1682,7465,7.7977320831,2.2697026122,1.6593529806,1.4928265238
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,600,733,733,16.409972715,6.3918281037,4.6591268759,4.3411732606
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,164,201,201,54.972587065,14.041741294,10.346517413,9.79039801
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,2895.312,1001.46,785.15,839.4045
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,13,99,542,551,441.92555354,96.693684211,73.105753176,65.964410163
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,11,87,87,629.95954023,243.67804598,183.65275862,160.67114943
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,214,214,214,419.75149533,148.16705607,112.00219626,102.39280374
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,40,192,203,59.543596059,15.472660099,10.783054187,9.2157142857
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,35,6.4394444444,4.7788888889,3.2544444444
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,16,361,2116,2132,206.07513133,36.759732645,26.478635084,23.442964353
1053572966,MAXFIELD,JASON,L,M.D.,M,I,3202 MCINTOSH CIR,STE 102,JOPLIN,MO,648043646,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,59,478,502,416.30193227,77.613984064,56.027131474,50.674243028
1053573147,WISER,HERBERT,J,MD,M,I,800 N 1ST ST,,SPRINGFIELD,IL,627023719,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,1260,0.19,0.13,0.1019047619,0.1019047619
1053573147,WISER,HERBERT,J,MD,M,I,800 N 1ST ST,,SPRINGFIELD,IL,627023719,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,1500,5.5,2.04,1.5660466667,1.5660466667
1053573162,WRIGHT,LORENA,A,MD,F,I,4225 ROOSEVELT WAY NE,SUITE 101,SEATTLE,WA,981056099,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,,31,313,49.068242812,19.633738019,15.251916933,15.251916933
1053573162,WRIGHT,LORENA,A,MD,F,I,4225 ROOSEVELT WAY NE,SUITE 101,SEATTLE,WA,981056099,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,32,910,5.2105054945,2.6334065934,2.0645714286,2.0645714286
1053573162,WRIGHT,LORENA,A,MD,F,I,4225 ROOSEVELT WAY NE,SUITE 101,SEATTLE,WA,981056099,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,72,75,180,1042,65.712120921,8.32,6.1642418426,6.1642418426
1053573162,WRIGHT,LORENA,A,MD,F,I,4225 ROOSEVELT WAY NE,SUITE 101,SEATTLE,WA,981056099,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,22,37,129,12.482403101,1.42,1.0097674419,1.0097674419
1053573162,WRIGHT,LORENA,A,MD,F,I,4225 ROOSEVELT WAY NE,SUITE 101,SEATTLE,WA,981056099,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,12,12,716.32,371.805,291.495,291.495
1053573162,WRIGHT,LORENA,A,MD,F,I,4225 ROOSEVELT WAY NE,SUITE 101,SEATTLE,WA,981056099,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,7,21,85,87,1093.5311494,251.11,196.87,196.87
1053573162,WRIGHT,LORENA,A,MD,F,I,4225 ROOSEVELT WAY NE,SUITE 101,SEATTLE,WA,981056099,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,6,18,18,18,522.30388889,264.16,207.1,207.1
1053573246,HALL,HOLLY,M,M.D.,F,I,1740 NICHOLASVILLE RD,,LEXINGTON,KY,405031431,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,29,30,64.347333333,17.533,12.838666667,12.832
1053573246,HALL,HOLLY,M,M.D.,F,I,1740 NICHOLASVILLE RD,,LEXINGTON,KY,405031431,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,23,24,339.21708333,72.364583333,52.145416667,51.847916667
1053573311,DUNCAN,REBECCA,E,M.D.,F,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,18,40,70.038,8.32,5.87,5.87
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,22,86,195,65.979846154,8.32,5.8538461538,5.8538461538
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,33,37,13.711891892,1.42,0.9367567568,0.9367567568
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,46,9.6539130435,2.1730434783,1.422826087,1.3163043478
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,16,86.31,21.005625,16.465625,13.90625
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,838.08583333,838.08583333
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,40,122.136,7.18725,5.5125,3.7455
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,48,444.91666667,88.9375,69.7325,56.454583333
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6593571429,7.4021309524,7.4021309524
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1650,1.9615454545,0.1324727273,0.1038909091,0.1038909091
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.9182307692,2.2879102564,2.2879102564
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,75,38.72,30.36,29.584615385
1053573428,FOLTZ,ASHLEY,R,PA-C,F,I,3001 WOODWARD AVE,,LOCK HAVEN,PA,177458521,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,86.035714286,33,25.87,25.87
1053573659,KALYANARAMAN,BALAJI,,"M.D., PH.D",M,I,7370 TURFWAY RD,,FLORENCE,KY,41042,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,42,18.499285714,10.867142857,7.1842857143,7.1842857143
1053573659,KALYANARAMAN,BALAJI,,"M.D., PH.D",M,I,7370 TURFWAY RD,,FLORENCE,KY,41042,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,352,8.6453977273,3.3313636364,2.6118465909,3.0317329545
1053573659,KALYANARAMAN,BALAJI,,"M.D., PH.D",M,I,7370 TURFWAY RD,,FLORENCE,KY,41042,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,320,16.805625,9.86,7.73009375,7.73009375
1053573659,KALYANARAMAN,BALAJI,,"M.D., PH.D",M,I,7370 TURFWAY RD,,FLORENCE,KY,41042,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,32,593,10.872074199,7,5.3529005059,5.3529005059
1053573659,KALYANARAMAN,BALAJI,,"M.D., PH.D",M,I,7370 TURFWAY RD,,FLORENCE,KY,41042,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,40,890,6.7005842697,4.04,3.0685842697,3.0685842697
1053573659,KALYANARAMAN,BALAJI,,"M.D., PH.D",M,I,7370 TURFWAY RD,,FLORENCE,KY,41042,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,20,1730,0.5480867052,0.27,0.2116705202,0.2116705202
1053573659,KALYANARAMAN,BALAJI,,"M.D., PH.D",M,I,7370 TURFWAY RD,,FLORENCE,KY,41042,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,1125,0.5135733333,0.27,0.2116711111,0.2116711111
1053574178,WHITFIELD,AMBER,J,,F,I,2903 WALL TRIANA HWY SW STE 7,,HUNTSVILLE,AL,358241537,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,32,54.7246875,8.32,6.113125,6.113125
1053574178,WHITFIELD,AMBER,J,,F,I,2903 WALL TRIANA HWY SW STE 7,,HUNTSVILLE,AL,358241537,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,11.884615385,1.42,1.0338461538,1.0338461538
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,492,744,744,147.38801075,40.37983871,29.542567204,28.454395161
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,333,511,511,334.667182,86.306888454,62.364911937,62.653894325
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,13,168,357,388,121.74010309,33.056340206,23.253092784,23.277268041
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,115,221,350,67.673085714,19.254685714,13.309485714,12.760228571
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,63,147,236,55.884449153,16.265762712,12.223177966,11.400466102
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,223,346,346,205.73248555,55.147601156,39.877080925,39.444104046
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,513,619,619,68.001276252,18.536219709,13.440613893,13.00644588
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,93,104,104,39.574134615,10.327307692,7.7109615385,7.7790384615
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,41,60,60,60.456166667,11.0095,7.9243333333,8.3696666667
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,22,490,1004,2084,7.9011996161,2.130815739,1.5289395393,1.4543378119
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,17.969090909,5.8290909091,3.3318181818,3.4063636364
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,255,298,298,42.722885906,12.997986577,9.2481208054,9.3837248322
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,87,444,444,400.79797297,90.665810811,67.43204955,64.653986486
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,60,312,313,950.19412141,206.23214058,157.42306709,164.03824281
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,200,208,208,503.49865385,138.52048077,107.23072115,103.29576923
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,27,33,57.159090909,16.111212121,9.4345454545,8.0357575758
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,235,1331,1341,151.53820283,34.94442953,25.222252051,23.526413125
1053574376,MCLAUGHLIN,MICHAEL,D,D.O.,M,I,6655 S. YALE AVE.,LAUREATE PSYCHIATRIC CLINIC & HOSPITAL,TULSA,OK,741363326,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,259.76241379,77.496206897,58.634482759,53.034827586
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,38,58,4728,0.566607445,0.44,0.3333121827,0.3333121827
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,33,33,66,92.60030303,71.56,54.404848485,54.404848485
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,33,33,181,57.80121547,43.56,33.412872928,33.41121547
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,207,47.285797101,23.66,18.54942029,18.54942029
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,28,43,1923,10.258471139,8.28,6.449349974,6.449349974
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,A6266,"Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,2880,2.64,2.16,1.6934409722,1.6934409722
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,37,56,7482,0.1613926758,0.13,0.0978201016,0.0978201016
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,136.90333333,18.705,10.7025,9.825
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,8.2109090909,5.1136363636,5.04
1053574392,POLK,MATTHEW,A,D.P.M.,M,I,83 WAR MEMORIAL DR,,BERKELEY SPRINGS,WV,25411,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,281.63866667,276.23866667,207.21333333,207.17866667
1053574491,ROMERO-CORTEZ,LUIS,F,MD,M,I,10801 N MICHIGAN RD,,ZIONSVILLE,IN,460778170,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,51,172,60.318953488,8.32,5.5744767442,5.5744767442
1053574491,ROMERO-CORTEZ,LUIS,F,MD,M,I,10801 N MICHIGAN RD,,ZIONSVILLE,IN,460778170,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,14.571428571,3.38,2.4607142857,2.4607142857
1053574491,ROMERO-CORTEZ,LUIS,F,MD,M,I,10801 N MICHIGAN RD,,ZIONSVILLE,IN,460778170,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,26,62,15.574516129,1.42,1.0062903226,1.0062903226
1053574491,ROMERO-CORTEZ,LUIS,F,MD,M,I,10801 N MICHIGAN RD,,ZIONSVILLE,IN,460778170,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,25.89,22.4775,16.3775,12.904166667
1053574491,ROMERO-CORTEZ,LUIS,F,MD,M,I,10801 N MICHIGAN RD,,ZIONSVILLE,IN,460778170,US,Physician/Family Practice,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,146.64,102.61833333,72.429166667,50.499166667
1053574509,SAMUEL,JOHN,S,M.D.,M,I,8008 WESTPARK DR,,MC LEAN,VA,221023109,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,399.87111111,78.811111111,59.425,52.37
1053574608,CHUNG,MICHAEL,S,M.D.,M,I,11480 BROOKSHIRE AVE,SUITE 309,DOWNEY,CA,902415018,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,25,1792,27.12280692,4.1844754464,3.2494475446,3.2494475446
1053574608,CHUNG,MICHAEL,S,M.D.,M,I,11480 BROOKSHIRE AVE,SUITE 309,DOWNEY,CA,902415018,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,24,24,18.82,18.82
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,30,90,59.181777778,8.32,6.0148888889,6.0148888889
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,28,13.338928571,1.42,1.075,1.075
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,335.38714286,86.33,65.606428571,65.743571429
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,21,108.86428571,33.48,24.997142857,24.698571429
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,54.888181818,17.88,12.736363636,12.787272727
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,85,7.9712941176,2.01,1.5028235294,1.5184705882
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,77.808181818,17.29,8.6227272727,8.61
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,71.147333333,12.668,9.2233333333,9.0846666667
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,55.969565217,4.497826087,1.1760869565,1.1752173913
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,198.23378378,32.338378378,23.695675676,23.248648649
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,40,40,457.94675,73.36775,52.665,49.946
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1472,0.6009035326,0.0454959239,0.02015625,0.02015625
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1852,1.8320572354,0.1361987041,0.1038444924,0.1038444924
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,85,36.482352941,26.872941176,27.785882353
1053574707,ALM,STEPHANIE,S,M.D.,F,I,1041 MORGANTON BLVD SW STE 200,,LENOIR,NC,286455605,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,26,61.153846154,33,22.885,22.885
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,54,157,66.462420382,8.32,5.8907643312,5.8907643312
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,18,14.75,1.42,0.9944444444,0.9944444444
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,1292,3.9321981424,3.1,2.430371517,2.430371517
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,550,0.27,0.27,0.2116,0.2116
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,513,0.3080116959,0.27,0.2115984405,0.2115984405
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,391,8.28,8.28,6.2425575448,6.2425575448
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,13.316666667,9.7506666667,9.784
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,140,31.104285714,23.28,23.383809524
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,337.156875,94.46125,74.05875,54.73875
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1260,8.5583888889,3.071,2.3483730159,2.3483730159
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,35.0825,29.515833333
1053575092,VETTER,WENDY,A,DO,F,I,2701 S KIWANIS AVE,,SIOUX FALLS,SD,571054252,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,20,20,33,33,25.87,25.87
1053575209,STOCKHAM,CHAD,E,M.D.,M,I,419 N HARRISON ST,,PRINCETON,NJ,085403521,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,15,60,75.946166667,8.32,5.8698333333,5.8698333333
1053575357,SMYTH,AARON,J,D.O.,M,I,801 OAK RIDGE TPKE,,OAK RIDGE,TN,378306916,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,15,40,60.389,8.32,5.6555,5.6555
1053575365,BECKER,AARON,B,M.D.,M,I,101 HOSPITAL BLVD,,JEFFERSONVILLE,IN,471303769,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,3120,2.0709230769,1.73,1.2943237179,1.5285608974
1053575365,BECKER,AARON,B,M.D.,M,I,101 HOSPITAL BLVD,,JEFFERSONVILLE,IN,471303769,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,75,12.066666667,9.86,6.6993333333,6.6993333333
1053575597,RAJAGOPAL,MANIKANDAN,,M.D.,M,I,2710 S RIFE MEDICAL LN,,ROGERS,AR,727581452,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,17.29,12.420833333,12.405833333
1053575597,RAJAGOPAL,MANIKANDAN,,M.D.,M,I,2710 S RIFE MEDICAL LN,,ROGERS,AR,727581452,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,1210.8384615,1048.7,800.10769231,820.18769231
1053575597,RAJAGOPAL,MANIKANDAN,,M.D.,M,I,2710 S RIFE MEDICAL LN,,ROGERS,AR,727581452,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,168.21529412,82.284117647,58.034117647,48.324705882
1053575779,JOHNSON,DAVID,S,MD,M,I,253 PLEASANT ST,DARTMOUTH HITCHCOCK - PRIMARY CARE,CONCORD,NH,033017560,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,24,59,176,66.275681818,8.32,6.1544886364,6.1544886364
1053575779,JOHNSON,DAVID,S,MD,M,I,253 PLEASANT ST,DARTMOUTH HITCHCOCK - PRIMARY CARE,CONCORD,NH,033017560,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,31,55,13.005818182,1.42,1.1149090909,1.1149090909
1053575779,JOHNSON,DAVID,S,MD,M,I,253 PLEASANT ST,DARTMOUTH HITCHCOCK - PRIMARY CARE,CONCORD,NH,033017560,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.2095,8.5890138889,8.5890138889
1053575779,JOHNSON,DAVID,S,MD,M,I,253 PLEASANT ST,DARTMOUTH HITCHCOCK - PRIMARY CARE,CONCORD,NH,033017560,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,12.170619048,3.0187857143,2.36675,2.36675
1053575779,JOHNSON,DAVID,S,MD,M,I,253 PLEASANT ST,DARTMOUTH HITCHCOCK - PRIMARY CARE,CONCORD,NH,033017560,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,149,59.529090909,45.535454545,24.405454545
1053575779,JOHNSON,DAVID,S,MD,M,I,253 PLEASANT ST,DARTMOUTH HITCHCOCK - PRIMARY CARE,CONCORD,NH,033017560,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,24,82.5,33,24.792083333,24.792083333
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,31,31,137.04419355,42.535483871,32.365806452,29.541290323
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,12,23,23,376.22304348,91.453478261,69.651304348,65.903043478
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,42,142.5197619,35.833571429,28.093095238,25.991666667
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,11,18,18,268.64444444,66.528333333,52.155,43.107777778
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,24,31,31,99.79516129,20.453548387,16.035483871,14.117419355
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,23,47,213,11.343098592,2.3481220657,1.8263849765,1.5833333333
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,58.88,14.0625,11.024166667,10.355833333
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,63,73,69.320136986,19.585342466,14.349452055,12.796575342
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,26,26,100,48.181538462,36.345384615,36.224230769
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,330.22933333,134.63133333,101.366,69.682666667
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,27,64.5,13.352222222,9.6974074074,8.5537037037
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,50.73,5.0078571429,3.6764285714,3.5421428571
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,54,55,240.39254545,35.516545455,24.298181818,22.110545455
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,21,117,141,425.83262411,82.35070922,61.180283688,52.934751773
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,25,236,37.8408,29.6644,30.6084
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1677,1.4199642218,0.1434883721,0.1039415623,0.1039415623
1053575860,MATHURA,ZAHRA,I,MBBCH,F,I,8733 W 400 N,,MICHIGAN CITY,IN,463609330,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,57.75,33,24.253125,24.253125
1053575993,PATEL,SAMIP,N,MD,M,I,170 MANNING DR,,CHAPEL HILL,NC,275997070,US,Physician/Otolaryngology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,2600,0.41,0.27,0.2116576923,0.2116576923
1053575993,PATEL,SAMIP,N,MD,M,I,170 MANNING DR,,CHAPEL HILL,NC,275997070,US,Physician/Otolaryngology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,2850,0.39,0.26,0.2038596491,0.2116596491
1053575993,PATEL,SAMIP,N,MD,M,I,170 MANNING DR,,CHAPEL HILL,NC,275997070,US,Physician/Otolaryngology,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,41,4770,3.4848280922,2.8,2.1821383648,2.1821383648
1053575993,PATEL,SAMIP,N,MD,M,I,170 MANNING DR,,CHAPEL HILL,NC,275997070,US,Physician/Otolaryngology,S,A7508,"Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,27,3110,5.5180096463,3.23,2.5323376206,2.5323376206
1053575993,PATEL,SAMIP,N,MD,M,I,170 MANNING DR,,CHAPEL HILL,NC,275997070,US,Physician/Otolaryngology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,283,10.407243816,3.5581625442,2.7896113074,2.5210600707
1053575993,PATEL,SAMIP,N,MD,M,I,170 MANNING DR,,CHAPEL HILL,NC,275997070,US,Physician/Otolaryngology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,20,24,81.430416667,40.42,31.6875,31.6875
1053576223,CHENG,JACK,,M.D.,M,I,4754 MARTIN ROAD,,FLOWERY BRANCH,GA,305423507,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,43,91,74.256043956,8.32,5.8601098901,5.8601098901
1053576223,CHENG,JACK,,M.D.,M,I,4754 MARTIN ROAD,,FLOWERY BRANCH,GA,305423507,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,20,20,14.9725,1.42,0.952,0.952
1053576223,CHENG,JACK,,M.D.,M,I,4754 MARTIN ROAD,,FLOWERY BRANCH,GA,305423507,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,78.384615385,42.175384615,33.063846154,31.421538462
1053576223,CHENG,JACK,,M.D.,M,I,4754 MARTIN ROAD,,FLOWERY BRANCH,GA,305423507,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,168.41384615,65.018461538,50.976923077,44.83
1053576223,CHENG,JACK,,M.D.,M,I,4754 MARTIN ROAD,,FLOWERY BRANCH,GA,305423507,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,52.197272727,20.690909091,16.217272727,14.743636364
1053576223,CHENG,JACK,,M.D.,M,I,4754 MARTIN ROAD,,FLOWERY BRANCH,GA,305423507,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,65,13.325846154,2.6204615385,2.0547692308,1.7173846154
1053576223,CHENG,JACK,,M.D.,M,I,4754 MARTIN ROAD,,FLOWERY BRANCH,GA,305423507,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,52,52,138.95115385,36.620961538,28.710961538,25.184423077
1053576314,ANABTAWI,ABEER,W,MD,F,I,3901 RAINBOW BLVD,MAILSTOP 2024,KANSAS CITY,KS,661600001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,76,56.758157895,8.0168421053,5.43,5.69
1053576405,BROWN,TERRI,L,NP,F,I,2229 MARY SHERMAN DR,,SULLIVAN,IN,478827633,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,26,60.551153846,8.32,6.0207692308,6.0207692308
1053576405,BROWN,TERRI,L,NP,F,I,2229 MARY SHERMAN DR,,SULLIVAN,IN,478827633,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,45.461538462,33,21.89,21.89
1053576504,LARSON,KIRT,W,"MSN,FNP-C",M,I,2332 W 12600 S,SUITE 2C,RIVERTON,UT,840657161,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,874.72,30.926,20.439333333,22.468666667
1053576579,MEHTA,AVANI,T,M.D.,F,I,9669 KENTON AVE STE 602,,SKOKIE,IL,600761248,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,21,120.39857143,17.785714286,13.942857143,13.548571429
1053576579,MEHTA,AVANI,T,M.D.,F,I,9669 KENTON AVE STE 602,,SKOKIE,IL,600761248,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,17,103,106,615.02377358,76.369433962,59.873396226,54.972169811
1053576579,MEHTA,AVANI,T,M.D.,F,I,9669 KENTON AVE STE 602,,SKOKIE,IL,600761248,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,52,52,175.52596154,37.210576923,28.617307692,28.886538462
1053576579,MEHTA,AVANI,T,M.D.,F,I,9669 KENTON AVE STE 602,,SKOKIE,IL,600761248,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,660,11.99630303,3.1453636364,2.466,2.466
1053576579,MEHTA,AVANI,T,M.D.,F,I,9669 KENTON AVE STE 602,,SKOKIE,IL,600761248,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,279.95,36.8525,28.894583333,29.46625
1053576579,MEHTA,AVANI,T,M.D.,F,I,9669 KENTON AVE STE 602,,SKOKIE,IL,600761248,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,16,16,82.5,33,25.87,25.87
1053576603,OTSUKA,RYOHEI,,MD,M,I,163 BUTNER DR,,HOPE,IN,472469447,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.81,49.066666667,49.066666667
1053577122,CARTER-MELETICH,LAURALYN,B,DO,F,I,3617 S PACIFIC HWY,,MEDFORD,OR,975018957,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,64,66.41265625,8.32,4.22140625,4.22140625
1053577197,ORDONEZ,MARIA,A,MD,F,I,420 DELAWARE ST SE,MMC 88,MINNEAPOLIS,MN,554550341,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1140,0.1885526316,0.13,0.0805,0.0805
1053577197,ORDONEZ,MARIA,A,MD,F,I,420 DELAWARE ST SE,MMC 88,MINNEAPOLIS,MN,554550341,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,31,4080,4.5639705882,2.04,1.4696102941,1.4696102941
1053577379,MAY,DAVID,J,M.D.,M,I,301 E 2ND ST,,RICHLAND CENTER,WI,535811900,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,17,61,133,57.760676692,8.32,5.2460150376,5.2460150376
1053577379,MAY,DAVID,J,M.D.,M,I,301 E 2ND ST,,RICHLAND CENTER,WI,535811900,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,19,44.545789474,1.42,0.88,0.88
1053577379,MAY,DAVID,J,M.D.,M,I,301 E 2ND ST,,RICHLAND CENTER,WI,535811900,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,326,0.7361656442,0.13,0.0738343558,0.0738343558
1053577379,MAY,DAVID,J,M.D.,M,I,301 E 2ND ST,,RICHLAND CENTER,WI,535811900,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,86.31,21.829473684,13.972105263,10.681578947
1053577379,MAY,DAVID,J,M.D.,M,I,301 E 2ND ST,,RICHLAND CENTER,WI,535811900,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,519.51,97.66,64.605789474,43.299473684
1053577478,KANG,DIANA,C,MD,F,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,3240,6.4444444444,1.9022222222,1.4470524691,1.5550524691
1053577718,TOULOUKIAN,EMILY,Z,D.O.,F,I,8121 ROURK ST,,MYRTLE BEACH,SC,295724128,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,25,69,43.947536232,42.52,28.045797101,25.799710145
1053577718,TOULOUKIAN,EMILY,Z,D.O.,F,I,8121 ROURK ST,,MYRTLE BEACH,SC,295724128,US,Physician/Hematology-Oncology,S,L8015,"External breast prosthesis garment, with mastectomy form, post mastectomy",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,21,36,74.778055556,58.6,45.940555556,45.496666667
1053577718,TOULOUKIAN,EMILY,Z,D.O.,F,I,8121 ROURK ST,,MYRTLE BEACH,SC,295724128,US,Physician/Hematology-Oncology,S,L8020,"Breast prosthesis, mastectomy form",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,15,227.804,220.42,172.81,168.958
1053577734,CEMER,ADNAN,,M.D.,M,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,41,125,60.6936,8.32,5.76696,5.76696
1053577734,CEMER,ADNAN,,M.D.,M,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,20,37,14.742702703,1.42,1.0235135135,1.0235135135
1053577734,CEMER,ADNAN,,M.D.,M,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,268.9,46.953076923,27.168461538,28.373076923
1053577734,CEMER,ADNAN,,M.D.,M,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,33.86,26.55,27.301666667
1053577734,CEMER,ADNAN,,M.D.,M,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1796,1.2389755011,0.1349944321,0.0906681514,0.0906681514
1053577734,CEMER,ADNAN,,M.D.,M,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,112.2,33,20.696,20.696
1053577882,LYNCH,JAMIE,L,M.D.,F,I,18626 HARDY OAK BLVD STE 101,,SAN ANTONIO,TX,782584218,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,27,27,121.49,104.26,76.357407407,81.247037037
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,16,101.93875,39.31,26.9675,26.699375
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,486.10666667,89.6,70.25,68.241666667
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,32,180.421875,34.833125,24.8675,23.6303125
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,73,92.124383562,19.5,15.288356164,14.552054795
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,19,94,55.059893617,15.23,11.17787234,11.135744681
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,17,35,35,225.17371429,55.87,42.558285714,41.662571429
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,30,30,73.534666667,17.95,14.07,14.060333333
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,33,33,87.495151515,13.189393939,9.7509090909,8.6075757576
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,23,47,250,11.05248,2.11712,1.54328,1.48116
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,20.775882353,6.25,4.6117647059,4.3911764706
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,15,21,21,54.548571429,12.11,9.0476190476,9.8980952381
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,21,22,65.875,13.058181818,9.7272727273,9.0536363636
1053578377,RACCIO,DIANE,L,"APRN, ANP-BC",F,I,7005 CORTEZ RD W,1ST FLOOR,BRADENTON,FL,342102509,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,27,29,194.61517241,33.047241379,23.396206897,21.766206897
1053578534,CAMACHO-HALILI,MARIE,M,M.D.,F,I,245 US HIGHWAY 22,THIRD FLOOR,BRIDGEWATER,NJ,088072560,US,Physician/Allergy/ Immunology,S,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,990,135.99,39.332636364,30.836808081,30.836808081
1053578534,CAMACHO-HALILI,MARIE,M,M.D.,F,I,245 US HIGHWAY 22,THIRD FLOOR,BRIDGEWATER,NJ,088072560,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,900,358.5,281.06,281.06
1053578542,SHETA,AMRO,R,MD,M,I,2405 E FOURTEEN MILE RD,,STERLING HEIGHTS,MI,483105961,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2200,1074.31,830.30416667,830.30416667
1053578625,GUL,ZARTASH,,M.D,F,I,3130 HIGHLAND AVE,,CINCINNATI,OH,452192399,US,Physician/Hematology-Oncology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,17,100,48.31,37.88,37.644705882
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,38,124,266,57.568270677,8.32,5.3078947368,5.3078947368
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,45,55,10.822545455,1.4141818182,0.9905454545,0.9950909091
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,21,21,151.81714286,68.612380952,51.353333333,37.522380952
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,84,84,46.407380952,21.844285714,15.311666667,12.097619048
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,22.953636364,7.2963636364,4.8931818182,3.7163636364
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,105,105,273.96190476,98.204,69.990380952,50.521333333
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,20.369277778,9.6325,7.3753333333,7.3753333333
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,4380,2.0155479452,0.1343561644,0.0978630137,0.0978630137
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,1380,9.7661449275,3.0353043478,2.3503768116,2.3503768116
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,69.490909091,42.641818182,30.81,19.354545455
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,96.957692308,44.900769231,35.204615385,31.716153846
1053578757,VENT,CHEVONE,R,M.D.,F,I,885 N SANDUSKY AVE,,UPPER SANDUSKY,OH,433511031,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,36,33,33,25.151388889,25.151388889
1053578864,TOMPKINS HANSBARGER,HEATHER,,PA-C,F,I,882 JACKSONVILLE RD,SUITE 204,IVYLAND,PA,189744807,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.76,3.68,1.8363636364,2.3709090909
1053578898,AYOUBI,EDRIS,,M.D.,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,27.421621622,21.891621622,16.794054054,13.658108108
1053578898,AYOUBI,EDRIS,,M.D.,M,I,701 E COUNTY LINE RD,SUITE 101,GREENWOOD,IN,461431072,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,168.694,79.681,60.90375,53.75975
1053579094,SHAMI,SALWAT,,M.D.,F,I,850 W HOSPITAL DRIVE,STE D,FULTON,MO,65251,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,15,519.51,79.8,62.56,57.862
1053579094,SHAMI,SALWAT,,M.D.,F,I,850 W HOSPITAL DRIVE,STE D,FULTON,MO,65251,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,15,154.89,39.14,30.68,29.978
1053579110,JACOB,CARA,A,M.D.,F,I,222 PIEDMONT AVE,SUITE 3200,CINCINNATI,OH,452194231,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,191.66666667,48.1975,34.880833333,35.268333333
1053579276,FAOUR,FARAJ,M,MD,M,I,350 E 17TH ST,BAIRD HALL 19TH FLOOR,NEW YORK,NY,100033805,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,281.80625,77.74,60.95,55.11875
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,18,27,27,130.19592593,42.318888889,31.927037037,29.381851852
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,29,52,52,433.73634615,91.012692308,70.99,67.670961538
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,25,48,111,168.17540541,34.933873874,27.129009009,25.774864865
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,,15,63,68.239365079,22.160793651,15.108888889,13.274603175
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,17,53,51.283018868,15.12,11.855660377,11.879056604
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,20,36,36,226.18277778,58.593055556,43.3225,41.152777778
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,46,54,54,72.663518519,18.758518519,14.70037037,14.212962963
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,32,60,60,74.503333333,12.185166667,9.3875,9.1733333333
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,50,114,455,12.122065934,2.1684175824,1.6589230769,1.5697142857
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,20,25,25,50.2188,13.8344,10.4292,9.9568
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,27,27,27,482.08666667,137.67703704,103.99851852,101.35259259
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,57,65,81.75,13.790307692,10.634923077,10.196153846
1053579417,ISAACS,PHILLIP,A,PA,M,I,40 DUKE MEDICINE CIR # 1L,CLINIC 1L,DURHAM,NC,277104000,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,18,41,280,293,293.97539249,35.443822526,26.864744027,25.218054608
1053579441,MAYER,HEATHER,L,APNP,F,I,620 SMITH AVE,,OCONTO,WI,541531080,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,31,72,67.442916667,8.32,5.8877777778,5.8877777778
1053579441,MAYER,HEATHER,L,APNP,F,I,620 SMITH AVE,,OCONTO,WI,541531080,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,15,14.994666667,1.42,1.0426666667,1.0426666667
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,29,66,188,60.013085106,8.32,5.5504255319,5.5504255319
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,16.153846154,3.38,2.4461538462,2.4461538462
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,29,38,14.260263158,1.42,0.9994736842,0.9994736842
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,17,17,103.11647059,38.89,30.49,30.49
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,74.647083333,71.495,51.37875,51.429583333
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,7.9948,1.4972,0.9876,0.9876
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,332.21545455,96.235454545,69.281818182,61.674545455
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,36,50.899166667,18.825555556,14.758611111,14.515833333
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,13,24,24,138.87541667,58.16875,42.194583333,39.472083333
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,21,26,26,53.100769231,19.931923077,14.542692308,12.989615385
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,16,16,49.325,14.556875,11.408125,9.12
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,34,120,8.0515,2.199,1.7249166667,1.5923333333
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,29.927692308,13.576153846,9.8338461538,9.5738461538
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,77.814285714,47.37,37.14,37.455
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,38,38,36.6,12.601052632,9.6076315789,9.6184210526
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,47,47,136.35404255,34.548297872,26.57106383,26.27
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,365.45833333,69.81,51.689444444,51.689444444
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,6280,0.4843598726,0.0463582803,0.0312308917,0.0312292994
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,2040,0.92,0.1338970588,0.0969803922,0.0969803922
1053579581,NG,GARRY,T,M.D.,M,I,715 E MAIN ST,SUITE 100,MIDLAND,MI,486405382,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,42,42,87.214285714,33,22.790238095,22.790238095
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,6,23,56,686,50.541326531,19.638148688,14.802434402,14.802434402
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,22,53,1503,6.7020292748,2.6309514305,1.9997471723,1.9997471723
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,75,118,297,1600,71.37175,8.32,6.106225,6.106225
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,23,23,14.829565217,3.38,2.4195652174,2.4195652174
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,22.278571429,2.12,1.67,1.67
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,32,40,80,194,14.227113402,1.42,1.0847938144,1.0847938144
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,781.65225806,366.66483871,287.46483871,287.46483871
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,28,2320,16.652237069,10.852637931,8.5084784483,8.5084698276
1053579599,GROGG,JEREMY,R,M.D.,M,I,11141 PARKVIEW PLAZA,SUITE 310,FORT WAYNE,IN,468451714,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,38,38,328.18973684,251.03815789,191.03947368,191.09552632
1053579888,NOBEL,VADIM,,MD,M,I,1980 CROMPOND RD,,CORTLANDT MANOR,NY,105674144,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,39.820666667,17.019333333,13.344666667,13.526666667
1053579888,NOBEL,VADIM,,MD,M,I,1980 CROMPOND RD,,CORTLANDT MANOR,NY,105674144,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,230.24826087,76.313478261,59.823478261,54.975217391
1053580373,PATEL,YATIN,R,MD,M,I,844 WASHINGTON RD,SUITE 102,WESTMINSTER,MD,211576664,US,Physician/Orthopedic Surgery,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,126.08,32.0975,25.165,25.915
1053580373,PATEL,YATIN,R,MD,M,I,844 WASHINGTON RD,SUITE 102,WESTMINSTER,MD,211576664,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,27.906666667,9.2233333333,7.2333333333,6.8627777778
1053580373,PATEL,YATIN,R,MD,M,I,844 WASHINGTON RD,SUITE 102,WESTMINSTER,MD,211576664,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,62,64,132.96484375,132.96484375,102.9746875,101.3821875
1053580373,PATEL,YATIN,R,MD,M,I,844 WASHINGTON RD,SUITE 102,WESTMINSTER,MD,211576664,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,58,58,45.47,56.319230769
1053580373,PATEL,YATIN,R,MD,M,I,844 WASHINGTON RD,SUITE 102,WESTMINSTER,MD,211576664,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,57.55,57.55,45.119090909,46.35
1053580373,PATEL,YATIN,R,MD,M,I,844 WASHINGTON RD,SUITE 102,WESTMINSTER,MD,211576664,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,315.7326087,274.48913043,215.19695652,218.28
1053580696,WILT,MARK,T,DPM,M,I,401 ROGERS ST,,PRINCETON,WV,247403636,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,97,97,194,79.991443299,71.56,55.349845361,55.349845361
1053580696,WILT,MARK,T,DPM,M,I,401 ROGERS ST,,PRINCETON,WV,247403636,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,39,39,234,40,29.19,22.885,22.886581197
1053580696,WILT,MARK,T,DPM,M,I,401 ROGERS ST,,PRINCETON,WV,247403636,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,59,59,334,59.696826347,43.56,34.057964072,34.056467066
1053580696,WILT,MARK,T,DPM,M,I,401 ROGERS ST,,PRINCETON,WV,247403636,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,111.8,19.816,14.268666667,13.098666667
1053580696,WILT,MARK,T,DPM,M,I,401 ROGERS ST,,PRINCETON,WV,247403636,US,Podiatry,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,143,52.968333333,41.526666667,37.618333333
1053580696,WILT,MARK,T,DPM,M,I,401 ROGERS ST,,PRINCETON,WV,247403636,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,25,8.5588888889,6.4037037037,6.3148148148
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,44,64.740227273,8.32,4.4468181818,4.4468181818
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,168,13.31,10.93,8.5691071429,8.5691071429
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,373.077,113.491,80.3815,59.9985
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,53,154.45981132,43.765849057,30.120188679,21.879433962
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,71.062727273,22.181818182,15.971818182,12.781818182
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,71.461052632,18.837894737,14.239473684,8.64
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,23,138,10.568913043,2.8347826087,2.1451449275,1.5232608696
1053581124,PATTERSON,LINDSAY,K,M.D.,F,I,103 CHURCH ST,,HIAWASSEE,GA,305463223,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,500.18470588,76.24,52.007647059,47.560588235
1053581231,TRIMBLE,GEORGE,,M.D.,M,I,1250 S WASHINGTON ST,,VAN WERT,OH,458912551,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,495,78,56.782142857,51.737857143
1053581231,TRIMBLE,GEORGE,,M.D.,M,I,1250 S WASHINGTON ST,,VAN WERT,OH,458912551,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,36,25.654545455,26.973636364
1053581306,CHENG,MICKIE,H,"MD, PHD",F,I,UCSF ENDOCRINOLOGY CLINIC,"500 PARNASSUS AVE, 5TH FLOOR BOX 1222",SAN FRANCISCO,CA,941430001,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,67,218,683,73.880527086,8.32,5.8053001464,5.8053001464
1053581306,CHENG,MICKIE,H,"MD, PHD",F,I,UCSF ENDOCRINOLOGY CLINIC,"500 PARNASSUS AVE, 5TH FLOOR BOX 1222",SAN FRANCISCO,CA,941430001,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,24,48,79,13.043417722,1.42,0.9892405063,0.9892405063
1053581306,CHENG,MICKIE,H,"MD, PHD",F,I,UCSF ENDOCRINOLOGY CLINIC,"500 PARNASSUS AVE, 5TH FLOOR BOX 1222",SAN FRANCISCO,CA,941430001,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1380,17.258173913,10.76026087,8.3802753623,8.3802753623
1053581306,CHENG,MICKIE,H,"MD, PHD",F,I,UCSF ENDOCRINOLOGY CLINIC,"500 PARNASSUS AVE, 5TH FLOOR BOX 1222",SAN FRANCISCO,CA,941430001,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,12,74,74,245.87148649,242.7677027,190.32878378,195.26405405
1053581710,SISCO,LESLIE,E,M.D.,F,I,1514 JEFFERSON HWY,,NEW ORLEANS,LA,701212429,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,18,60.576666667,53.2,41.71,46.35
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,140,242,242,147.86371901,40.054421488,30.771735537,30.01714876
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,136,272,272,372.87323529,85.005735294,64.298786765,65.318970588
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,136,275,735,135.74468027,34.04385034,25.877768707,25.232081633
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,55,115,606,98.104521452,19.860082508,15.070379538,14.210973597
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,47,90,493,67.037383367,16,11.870324544,11.288681542
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,109,206,206,235.44849515,56.465873786,41.726262136,40.545970874
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,216,293,293,85.165460751,19.445631399,14.517337884,13.516587031
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,42,49,49,45.817346939,11.091836735,8.516122449,8.0173469388
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,105,233,233,76.56695279,14.093733906,10.627639485,8.8886266094
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,234,556,2687,8.4248827689,2.1009676219,1.6078414589,1.5614291031
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,171,233,233,22.192274678,6.2198712446,4.7712875536,4.5916309013
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,68,85,85,88.565176471,13.758941176,10.278117647,9.8688235294
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,26,159,159,673.0872956,92.702704403,71.541698113,68.258679245
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,122,123,123,622.42764228,134.01926829,100.3195122,99.97902439
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,55.105789474,3.32,2.1978947368,2.9994736842
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,160,877,878,367.77048975,35.843519362,26.368656036,24.82953303
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,428.40489362,82.361702128,61.577446809,52.851702128
1053581769,ZAKA,JAMAL,J,M. D.,M,I,130 LA CASA VIA,#208,WALNUT CREEK,CA,945983045,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,70,39,30.58,29.51
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,1.3294117647,0.51,0.4,0.4
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,51,141,342,65.589152047,8.32,5.7356432749,5.7356432749
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,31,31,15.210322581,3.38,2.65,2.65
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,27.15,2.12,1.67,1.67
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,27,44,104,140,25.596714286,1.42,1.0122857143,1.0122857143
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,6965,4.0075104092,0.66,0.5174386217,0.5174386217
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,30,24.224375,18.990625,14.71875
1053582171,AZURIN,ELEANOR,V,M.D.,F,I,3045 E FLORENCE AVE,,HUNTINGTON PARK,CA,902555837,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,20.65,9.1425,7.165,6.818125
1053582270,SHASHIKANT,MARK,,M.D.,M,I,6215 SOUTH CLIFF AVENUE,,SIOUX FALLS,SD,571088589,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,16,150,84.296666667,25.36,19.882066667,19.486933333
1053582270,SHASHIKANT,MARK,,M.D.,M,I,6215 SOUTH CLIFF AVENUE,,SIOUX FALLS,SD,571088589,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4818,676.29928571,530.21714286,523.98714286
1053583096,SAFFARI,BEHROOZ,,M.D.,M,I,23923 CINCO RANCH BLVD,,KATY,TX,774943399,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,38,56.397368421,8.32,6.5221052632,6.5221052632
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,35,35,35,297.17971429,59.469428571,46.625142857,38.146571429
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,337.71,70.279285714,55.097142857,40.860714286
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,225,48.323333333,33.895833333,33.2725
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,75.259130435,20.113043478,15.766086957,13.555217391
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,32.003076923,5.3215384615,3.8938461538,3.8515384615
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,50,489.608,93.974,73.6768,59.489
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,42,47,145.42021277,23.63787234,17.820851064,14.493404255
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,230.08,74.67,58.541666667,53.041666667
1053583294,ALLEN,TYLER,D,PA,M,I,90 SOUTHSIDE AVE,SUITE 350,ASHEVILLE,NC,288014160,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,34.29,9.0009375,6.5871875,6.1653125
1053583609,YEHLING,HILARY,A,MD,F,I,15 FREETOWN RD,,RAYMOND,NH,03077,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,17,67,42.445223881,8.32,5.1595522388,5.1595522388
1053583815,POST,CATHERINE,A,M.D.,F,I,12541 FOSTER ST,SUITE 300,OVERLAND PARK,KS,662132630,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,14,60.012857143,13.5,9.8242857143,9.76
1053583815,POST,CATHERINE,A,M.D.,F,I,12541 FOSTER ST,SUITE 300,OVERLAND PARK,KS,662132630,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,17,281.08588235,35.229411765,24.716470588,23.717058824
1053584037,PUNZALAN,CARMI,S,M.D.,F,I,41 MALL ROAD,LAHEY HOSPITAL & MEDICAL CENTER,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,,28,3240,4.1716975309,0.5968919753,0.4656975309,0.4656944444
1053584037,PUNZALAN,CARMI,S,M.D.,F,I,41 MALL ROAD,LAHEY HOSPITAL & MEDICAL CENTER,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,1590,2.8622075472,1.7108867925,1.3413144654,1.3413144654
1053584037,PUNZALAN,CARMI,S,M.D.,F,I,41 MALL ROAD,LAHEY HOSPITAL & MEDICAL CENTER,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,21,24,24,17.923809524,17.923809524
1053584037,PUNZALAN,CARMI,S,M.D.,F,I,41 MALL ROAD,LAHEY HOSPITAL & MEDICAL CENTER,BURLINGTON,MA,01805,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,10,11,30,30,16,16,12.54,12.54
1053584227,BHATT,JYOTSNA,,M.D.,F,I,101 MADIDON STREET,SUITE 204,OAK PARK,IL,603024210,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,32.7,28.434166667,22.29,22.29
1053584227,BHATT,JYOTSNA,,M.D.,F,I,101 MADIDON STREET,SUITE 204,OAK PARK,IL,603024210,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.558333333,10.92,8.5625,8.5625
1053584227,BHATT,JYOTSNA,,M.D.,F,I,101 MADIDON STREET,SUITE 204,OAK PARK,IL,603024210,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,256,3.6458984375,3.17,2.4850390625,2.373671875
1053584227,BHATT,JYOTSNA,,M.D.,F,I,101 MADIDON STREET,SUITE 204,OAK PARK,IL,603024210,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,313,6.6586261981,5.79,4.5392971246,4.1965814696
1053584227,BHATT,JYOTSNA,,M.D.,F,I,101 MADIDON STREET,SUITE 204,OAK PARK,IL,603024210,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,4046,0.46,0.4,0.3135912012,0.2922095897
1053584227,BHATT,JYOTSNA,,M.D.,F,I,101 MADIDON STREET,SUITE 204,OAK PARK,IL,603024210,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,4535,0.3795126792,0.33,0.2587144432,0.2438809261
1053584276,POE,CHRISTINE,N,ARNP,F,I,1200 W CARMEL DR STE 103,,CARMEL,IN,460328707,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,430,0.2520930233,0.13,0.1019767442,0.1019767442
1053584441,DURBHAKULA,MAHIDHAR,,M.D.,M,I,10215 FERNWOOD RD,SUITE 506,BETHESDA,MD,208171106,US,Physician/Hand Surgery,S,L3807,"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,300,215.58,167.21117647,170.08117647
1053584441,DURBHAKULA,MAHIDHAR,,M.D.,M,I,10215 FERNWOOD RD,SUITE 506,BETHESDA,MD,208171106,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,91,97,109,115.89853211,59.842752294,46.756422018,46.203669725
1053584441,DURBHAKULA,MAHIDHAR,,M.D.,M,I,10215 FERNWOOD RD,SUITE 506,BETHESDA,MD,208171106,US,Physician/Hand Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,466.72222222,233.5,183.06,185.99722222
1053584441,DURBHAKULA,MAHIDHAR,,M.D.,M,I,10215 FERNWOOD RD,SUITE 506,BETHESDA,MD,208171106,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,23,55,55,41.596956522,63.665217391
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,87,158,158,89.835126582,39.097341772,29.368734177,29.212974684
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,22,44,8.6202272727,1.5168181818,1.1347727273,1.0977272727
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,26,32,32,55.9921875,11.5028125,9.0125,9.074375
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,137,297,297,283.25878788,86.947912458,63.076363636,62.744410774
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,121,295,769,106.14208062,33.624226268,25.299713914,24.876059818
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,66,143,736,62.23017663,18.986779891,14.335366848,14.007975543
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,31,69,352,38.9103125,15.667130682,11.483011364,11.131931818
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,99,207,207,172.80589372,55.214347826,42.266328502,41.825748792
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,204,285,285,55.714736842,18.079017544,13.711754386,13.602385965
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,25,25,23.6948,10.4,8.15,8.15
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,134,331,331,59.970453172,11.637794562,8.9011178248,8.8945015106
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,218,491,2673,8.2920014964,2.0400823045,1.5668275346,1.5594612795
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,57,83,83,22.21626506,6.0143373494,4.6098795181,4.546746988
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,138,192,192,33.616510417,13.36015625,10.257760417,10.130416667
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,13,2.8215384615,2.33,1.8230769231,1.8230769231
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,48,334,346,52.48300578,17.310115607,12.568757225,12.535693642
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,53,53,164.28716981,48.31,35.735849057,35.514150943
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1200,913.16,715.92,830.77454545
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,6,15,124,125,2731.33664,913.16,708.25336,832.57208
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,27,146,146,328.22869863,84.539726027,60.929794521,60.929794521
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,49,49,1008.8826531,207.65714286,157.16571429,157.16571429
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,1487.4536842,960.38684211,741.61789474,741.61789474
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,25,25,25,380.4088,135.74,102.7444,101.1256
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,54,280,280,38.536357143,13.620821429,10.36875,10.184178571
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,30,182,184,44.406141304,4.673423913,3.4755434783,3.5148913043
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,78,445,445,145.69103371,33.085146067,24.958359551,24.561797753
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,84,694,715,321.62186014,70.920881119,52.514699301,52.10648951
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,82,89,160.50224719,37.754494382,27.255280899,27.400449438
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,31,1830,19.458038251,9.6168360656,7.511715847,7.511715847
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.94,11.244818182,8.8159848485,8.8159848485
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,17,107,19420,0.2448918641,0.0465792997,0.0322095778,0.0322095778
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,30,141,12898,1.2972941541,0.1344867421,0.1012327493,0.1012327493
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,39,2400,12.481929167,2.9863625,2.2853583333,2.2853583333
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,101,101,137.14633663,37.617029703,28.577623762,28.713465347
1053584888,HAYEK,HAFEZ,,MD,M,I,2376 CYPRESS CIR,SUITE 100,CONWAY,SC,295268964,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,45,261,261,101.65517241,33,24.474904215,24.474904215
1053584946,DUBAY,DEREK,A,,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,17,33,9720,4.4934711934,0.5755802469,0.4479372428,0.4479372428
1053584946,DUBAY,DEREK,A,,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,3750,0.03152,0.01336,0.0104826667,0.0104826667
1053584946,DUBAY,DEREK,A,,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,11,18,2900,4.5167551724,1.1305172414,0.8432482759,0.8871862069
1053584946,DUBAY,DEREK,A,,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,13,22,22,24,24,17.964545455,17.964545455
1053584946,DUBAY,DEREK,A,,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294258908,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,18,31,37,16,16,12.54,12.54
1053585331,WU,MELISSA,Z,M.D.,F,I,15215 NATIONAL AVE,SUITE 200,LOS GATOS,CA,950322425,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,29,61,77.460655738,8.32,6.202295082,6.202295082
1053585463,JAIN,SHIKHA,,M.D.,F,I,676 N SAINT CLAIR ST,ARKES 2140,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,567.57818182,77.18,60.51,57.088636364
1053585463,JAIN,SHIKHA,,M.D.,F,I,676 N SAINT CLAIR ST,ARKES 2140,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,36.96,28.98,29.51
1053585463,JAIN,SHIKHA,,M.D.,F,I,676 N SAINT CLAIR ST,ARKES 2140,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,856,37.443107477,4.2968457944,3.3687149533,3.3687149533
1053585463,JAIN,SHIKHA,,M.D.,F,I,676 N SAINT CLAIR ST,ARKES 2140,CHICAGO,IL,606112927,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,24,24,18.82,18.82
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,43,72,83.441944444,8.32,4.9825,4.9825
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,11,18,18,15.484444444,1.42,0.8711111111,0.8711111111
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,86.31,22.790909091,16.51,12.573636364
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,55.04,10.1325,7.9441666667,4.2533333333
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,150,53.476428571,39.461428571,23.377142857
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,50,50,519.51,106.0852,81.382,54.6592
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.179615385,8.5809102564,8.5809102564
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,2844,0.4989345992,0.0460513361,0.0361005626,0.0361005626
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,1320,1.520219697,0.1400681818,0.1008712121,0.1008712121
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1320,19.278977273,3.0868636364,2.3114393939,2.3114393939
1053585836,ROOT,KAREN,L,NP,F,I,619 S CLARK AVE,,LYONS,KS,675543003,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,36,74.25,33,24.432777778,24.432777778
1053586016,PUSKAS,BRIAN,L,MD,M,I,15755 SW SEQUOIA PKWY STE 200,,TIGARD,OR,972247166,US,Physician/Orthopedic Surgery,S,L3650,"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,15,66.64,56.14,41.076,42.967333333
1053586016,PUSKAS,BRIAN,L,MD,M,I,15755 SW SEQUOIA PKWY STE 200,,TIGARD,OR,972247166,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,123.89,104.38,81.83,85.931818182
1053586032,LEWIS,ASHLEY,M,M.D.,F,I,2800 BLUE RIDGE RD STE 400,,RALEIGH,NC,276076477,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,20,20,85.8965,45.055,33.73,29.088
1053586032,LEWIS,ASHLEY,M,M.D.,F,I,2800 BLUE RIDGE RD STE 400,,RALEIGH,NC,276076477,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,238.07583333,113.485,71.630833333,52.039166667
1053586032,LEWIS,ASHLEY,M,M.D.,F,I,2800 BLUE RIDGE RD STE 400,,RALEIGH,NC,276076477,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,161.14833333,63.175833333,49.529166667,43.166666667
1053586032,LEWIS,ASHLEY,M,M.D.,F,I,2800 BLUE RIDGE RD STE 400,,RALEIGH,NC,276076477,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,50.042666667,21.720666667,14.95,12.226
1053586032,LEWIS,ASHLEY,M,M.D.,F,I,2800 BLUE RIDGE RD STE 400,,RALEIGH,NC,276076477,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,25,118,8.0602542373,2.5105084746,1.8075423729,1.4469491525
1053586032,LEWIS,ASHLEY,M,M.D.,F,I,2800 BLUE RIDGE RD STE 400,,RALEIGH,NC,276076477,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,70,70,165.32585714,44.921,32.755428571,23.052571429
1053586255,HERRERA,MARISA,A,NP,F,I,119 S STATE ST,,SHELBY,MI,494551243,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16.567272727,7.2181818182,3.8945454545,1.8436363636
1053586370,MOORADIAN,VAHE,,MD.,M,I,18460 ROSCOE BLVD,,NORTHRIDGE,CA,913254107,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,32,73.4646875,8.32,5.705625,5.705625
1053586370,MOORADIAN,VAHE,,MD.,M,I,18460 ROSCOE BLVD,,NORTHRIDGE,CA,913254107,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,11,12,15.336666667,1.42,0.9316666667,0.9316666667
1053586420,GIRNIUS,SAULIUS,K,,M,I,3130 HIGHLAND AVE,,CINCINNATI,OH,452192399,US,Physician/Hematology-Oncology,S,J8530,"Cyclophosphamide; oral, 25 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,11,616,6.5793344156,3.6255032468,2.8424188312,2.8424188312
1053586461,PAREKH,HEMALATHA,R,M.D.,F,I,333 N SUNSET AVE,,WEST COVINA,CA,917901651,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,44,87.562954545,8.32,5.9279545455,5.9279545455
1053586776,WARTINBEE,DANIEL,A,M.D.,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3808,"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,294.9725,294.9725,231.2525,254.20166667
1053586776,WARTINBEE,DANIEL,A,M.D.,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,150,150,117.6,171.88
1053586776,WARTINBEE,DANIEL,A,M.D.,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,71,82,83,52.47,52.47,39.771084337,44.886144578
1053586776,WARTINBEE,DANIEL,A,M.D.,M,I,9100 MEDCOM ST,,NORTH CHARLESTON,SC,294069167,US,Physician/Hand Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,53,53,61,76.741311475,76.741311475,58.593114754,65.611967213
1053586941,COX,CLAUDIA,C,MD,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,150.61153846,58.535384615,42.911538462,35.23
1053586941,COX,CLAUDIA,C,MD,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,73.078571429,18.358095238,13.166666667,12.363809524
1053586941,COX,CLAUDIA,C,MD,F,I,119 BOONE RIDGE DR,SUITE 201,JOHNSON CITY,TN,376154998,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,433.93571429,85.952380952,62.983095238,51.184285714
1053587402,BUCK,AMY,M,APN,F,I,1512 N GREEN MOUNT RD,SUITE 200,O FALLON,IL,622691953,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,38,88.05,8.32,5.8318421053,5.8318421053
1053587402,BUCK,AMY,M,APN,F,I,1512 N GREEN MOUNT RD,SUITE 200,O FALLON,IL,622691953,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,17.468461538,1.42,1.1184615385,1.1184615385
1053587402,BUCK,AMY,M,APN,F,I,1512 N GREEN MOUNT RD,SUITE 200,O FALLON,IL,622691953,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1686,0.16871293,0.0465421115,0.0250118624,0.0250118624
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,27,62,77.237741935,8.32,5.6793548387,5.6793548387
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,19,15.370526316,1.42,1,1
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,121,4.88,3.9,3.0572727273,3.0572727273
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,297,5.96,5.74,4.5,4.5
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,8.4766666667,5.54,4.3435,4.3435
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,4.5982666667,3.04,2.3835,2.3835
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.34,12.908333333,10.113333333,10.735
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,K0822,"Power wheelchair, group 2 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,600,131.93833333,91.4825,100.0325
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,19,19,31,1006.9180645,849.98,666.38064516,675.86580645
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,21,21,33,136.78484848,111.18424242,87.169090909,88.525454545
1053587659,POPIEL,DAVID,K,"MD, MPH",M,I,180 SUTTER STREET # 100-S,,SAN FRANCISCO,CA,94104,US,Physician/Internal Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,15,15,15,855.848,653.24,512.14,561.00266667
1053587774,BRAFMAN,LOIS BROOKS,,NP,F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,1148,40.155792683,5.1118815331,3.9672996516,3.9672996516
1053587774,BRAFMAN,LOIS BROOKS,,NP,F,I,161 FORT WASHINGTON AVE,,NEW YORK,NY,100323729,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1053587816,ROBINSON,JEFFREY,C,M.D.,M,I,9427 SW BARNES RD STE 296,,PORTLAND,OR,972256652,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,61,7.1740983607,2.0149180328,1.5804918033,1.5896721311
1053587816,ROBINSON,JEFFREY,C,M.D.,M,I,9427 SW BARNES RD STE 296,,PORTLAND,OR,972256652,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,37,39,83.302564103,20.288717949,15.904358974,15.106410256
1053587816,ROBINSON,JEFFREY,C,M.D.,M,I,9427 SW BARNES RD STE 296,,PORTLAND,OR,972256652,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,57,57,227.06035088,36.81754386,28.245789474,25.261754386
1053587816,ROBINSON,JEFFREY,C,M.D.,M,I,9427 SW BARNES RD STE 296,,PORTLAND,OR,972256652,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,16,72,74,476.09662162,85.282432432,66.862972973,58.241351351
1053587816,ROBINSON,JEFFREY,C,M.D.,M,I,9427 SW BARNES RD STE 296,,PORTLAND,OR,972256652,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,3855,0.5624565499,0.0461297017,0.0361634241,0.0361634241
1053587816,ROBINSON,JEFFREY,C,M.D.,M,I,9427 SW BARNES RD STE 296,,PORTLAND,OR,972256652,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,25.87,25.87
1053587949,GANJAM,SATISHKUMAR,M,MD,M,I,3400 OLD MILTON PKWY STE C270,,ALPHARETTA,GA,300054414,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,14,36,74,78.394594595,8.32,5.9041891892,5.9041891892
1053587949,GANJAM,SATISHKUMAR,M,MD,M,I,3400 OLD MILTON PKWY STE C270,,ALPHARETTA,GA,300054414,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,18,21,13.245238095,1.42,0.9580952381,0.9580952381
1053587964,CHEN,HONG,,MD,F,I,650 W LAKE COOK RD,,BUFFALO GROVE,IL,600892082,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,27,55,57.143636364,8.32,4.5776363636,4.5776363636
1053587964,CHEN,HONG,,MD,F,I,650 W LAKE COOK RD,,BUFFALO GROVE,IL,600892082,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,21,8.6104761905,1.42,0.8514285714,0.8514285714
1053587998,SEARES,JESSICA,B,M.D.,F,I,35 BEAVERSON BLVD BLDG 7,SUITE B,BRICK,NJ,087237812,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,34,79,73.649367089,8.32,4.2926582278,4.2926582278
1053587998,SEARES,JESSICA,B,M.D.,F,I,35 BEAVERSON BLVD BLDG 7,SUITE B,BRICK,NJ,087237812,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,18,14.146111111,1.42,0.9922222222,0.9922222222
1053588467,OCMOND,CULLEN,M,MD,M,I,1645 LUTCHER AVE,,LUTCHER,LA,700715150,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,25,91,173,57.728959538,8.32,5.731734104,5.731734104
1053588467,OCMOND,CULLEN,M,MD,M,I,1645 LUTCHER AVE,,LUTCHER,LA,700715150,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,38,48,9.609375,1.4170833333,1.0433333333,1.0458333333
1053588731,SHEPARD,DAVID,D,M.D.,M,I,2675 N DECATUR RD STE 200,,DECATUR,GA,300336132,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,79.8,79.8,54.697647059,47.788823529
1053588731,SHEPARD,DAVID,D,M.D.,M,I,2675 N DECATUR RD STE 200,,DECATUR,GA,300336132,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,16,1552,83.345650773,4.7546842784,3.7276739691,3.7276481959
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,31,32,133.56875,41.163125,31.291875,29.7003125
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,7.9545454545,1.7309090909,1.36,1.1509090909
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,26,52,52,417.21153846,100.51326923,76.658076923,66.305769231
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,21,33,57,125.47052632,38.327894737,28.262982456,24.530877193
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,11,13,43,74.715813953,21.611860465,16.943488372,15.436976744
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,13,56,56.949107143,15.44,11.023928571,10.856785714
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,33,52,52,272.12634615,59.341538462,45.6475,43.180576923
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,49,64,64,76.6596875,19.58484375,15.17296875,14.05984375
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,34,66,66,90.308787879,12.730454545,9.8451515152,9.1496969697
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,56,115,581,11.497194492,2.2305679862,1.7171084337,1.5876247849
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,19,19,28.073684211,6.73,5.2747368421,4.6621052632
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,31,39,39,52.572307692,15.252564103,11.956923077,10.431282051
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,19,101,108,73.272222222,19.013703704,14.514537037,13.233888889
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,23,23,232.35,54.99,41.235652174,40.096521739
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,186.6,51.36,36.914166667,34.494166667
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,23,23,232.35,51.36,38.519130435,36.223478261
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,830.30416667,830.30416667
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,304.145625,111.946875,85.015625,61.315
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,31,33,73.873636364,15.311212121,12.002727273,10.281515152
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,60,62,43.137580645,5.07,3.9108064516,3.6230645161
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,25,139,147,239.52,39.450068027,29.166938776,24.041496599
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,15,35,228,237,422.54265823,89.600590717,67.549324895,55.091097046
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,70,86,191.09395349,40.544883721,29.956162791,28.716627907
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,32,1890,17.649984127,11.276079365,8.7645661376,8.7645661376
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,20,54,16531,0.2514403242,0.0459724155,0.0336289396,0.0336289396
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,2460,0.9631626016,0.1386585366,0.104300813,0.104300813
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,13,33,2100,11.313109524,2.9953428571,2.2555333333,2.2555333333
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,103.26,40.25,28.93,28.246666667
1053588848,PATTANAYAK,AMANDA,S,ANP,F,I,30 CHOCTAW ST,,ASHEVILLE,NC,288014513,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,27,87,87,102.86206897,33,25.572643678,25.572643678
1053589028,AGAJELU,NORA,N,CRNP,F,I,85 KINDRED WAY,APT 101,GLEN BURNIE,MD,210615246,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,33,84.597575758,8.32,6.1263636364,6.1263636364
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,341,457,457,83.77452954,45.217964989,32.117155361,27.393326039
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,149,191,191,273.95497382,104.77324607,74.444240838,60.807486911
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,151,241,491,115.37118126,39.924704684,28.342423625,23.202749491
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,144,195,880,52.995534091,22.450204545,15.157306818,12.266090909
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,125,178,851,42.318918919,17.76546416,12.222079906,10.323419506
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,266,356,356,156.45837079,65.646713483,43.334606742,35.42002809
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,345,349,349,56.313237822,21.711002865,14.987507163,12.21765043
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,31,31,31,26.719032258,11.704193548,8.1983870968,7.244516129
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,31,40,40,67.0735,15.21175,10.71475,8.00725
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,374,527,2772,7.9003427128,2.5672294372,1.8759163059,1.4710569986
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,53,53,53,15.506415094,7.08,5.5181132075,4.6190566038
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,11,160,161,161,32.193913043,14.769627329,10.617018634,9.4519254658
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,22,99,101,364.52158416,107.84485149,77.210792079,59.345643564
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,13,1264.4,203.31461538,142.13384615,134.20076923
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,55,55,55,305.09090909,151.64363636,111.88818182,97.973454545
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,19,62,66,55.367878788,15.977575758,11.122575758,9.21
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,154,770,779,145.66165597,42.442015404,29.94478819,23.375994865
1053589465,MCDONALD,MICHAEL,L,M.D.,M,I,10101 SE MAIN ST,# 2004,PORTLAND,OR,972162455,US,Physician/Otolaryngology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,278.33636364,87.202424242,61.121515152,48.096060606
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,35,35,70,211.15185714,71.56,56.105,56.105
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,122,95.27,29.19,22.885,22.88647541
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,A6254,"Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,18,477,2.0972327044,1.35,1.058427673,1.058427673
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,26,26,95.746538462,25.652307692,19.557692308,14.440769231
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,26.972,11.076666667,8.236,6.4313333333
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,40,40,42,140,96.59,73.231666667,60.911904762
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,12,12,233.25,118.58,92.96,98.11
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,160,78.81,61.79,67.410909091
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,L3000,"Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,52,400,306.51,240.305,237.26
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,L3060,"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,103,109,218,71.11412844,60.134678899,44.821100917,53.465917431
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,L3350,Heel wedge,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,16,42.1875,21.70875,17.02,17.325625
1053589580,POURCIAU,JOHN,K,D.P.M.,M,I,1747 IMPERIAL BLVD,,LAKE CHARLES,LA,706055362,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,96,97,97,300.82474227,251.28,190.77051546,212.02536082
1053589648,MONDESI-GARRIDO,JOSE,M,MD,M,I,2825 E BARNETT ROAD,,MEDFORD,OR,97504,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,135.38117647,17.09,13.4,13.522352941
1053589648,MONDESI-GARRIDO,JOSE,M,MD,M,I,2825 E BARNETT ROAD,,MEDFORD,OR,97504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,647.08235294,65.7,51.51,54.540588235
1053590273,LEIDING,JENNIFER,W,M.D.,F,I,601 5TH ST S,BOX# 7890,SAINT PETERSBURG,FL,337014804,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,14,52,72.96,19.698076923,15.443269231,15.443269231
1053590273,LEIDING,JENNIFER,W,M.D.,F,I,601 5TH ST S,BOX# 7890,SAINT PETERSBURG,FL,337014804,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,53.817692308,13.974615385,10.953076923,11.475384615
1053590273,LEIDING,JENNIFER,W,M.D.,F,I,601 5TH ST S,BOX# 7890,SAINT PETERSBURG,FL,337014804,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,4000,34.200965,13.54772,10.6214075,10.6214075
1053590273,LEIDING,JENNIFER,W,M.D.,F,I,601 5TH ST S,BOX# 7890,SAINT PETERSBURG,FL,337014804,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,60,8.5568333333,2.6366666667,2.0673333333,2.0673333333
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,73,73,73,150,49.321917808,38.666575342,37.369041096
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,30,16.025625,12.56125,12.040625
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,65,65,65,150,53.935846154,42.279230769,41.743538462
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,31,10.868148148,8.5233333333,7.7703703704
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,26,145,145,200,50.061310345,38.409793103,37.947655172
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,40,17.25,13.52,13.528571429
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,25,3.74,2.7302631579,3.4960526316
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,5,83,562,562,5.5,2.9325978648,2.2061565836,2.1543950178
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,45,11.837586207,9.2831034483,9.3055172414
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,110,37.6,29.48,28.27
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,220,75.32826087,59.05826087,56.102173913
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,38,38,38,180,38.708421053,30.347105263,29.620263158
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,7,159,1076,1076,65,20.001682156,15.064758364,13.678903346
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,30.146666667,20.520833333,18.225833333
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,7,152,1074,1074,25,8.1550931099,6.1420018622,6.3148137803
1053590323,WENDEL,BONITA,J,APNP/BC,F,I,2061 CHEYENNE CT,,GRAFTON,WI,530249368,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,200,36.338148148,28.488888889,29.267777778
1053590471,BRADLEY,JACQUELINE,,M.D.,F,I,495 BILTMORE WAY,,CORAL GABLES,FL,331345756,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,79,72.072025316,8.32,6.3569620253,6.3569620253
1053590471,BRADLEY,JACQUELINE,,M.D.,F,I,495 BILTMORE WAY,,CORAL GABLES,FL,331345756,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,15,17.398666667,1.42,1.116,1.116
1053590471,BRADLEY,JACQUELINE,,M.D.,F,I,495 BILTMORE WAY,,CORAL GABLES,FL,331345756,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,18,18,107.73833333,51.616666667,38.34,35.231111111
1053590471,BRADLEY,JACQUELINE,,M.D.,F,I,495 BILTMORE WAY,,CORAL GABLES,FL,331345756,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,34.256363636,18,14.11,13.54
1053590471,BRADLEY,JACQUELINE,,M.D.,F,I,495 BILTMORE WAY,,CORAL GABLES,FL,331345756,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,161.9495,90.01,70.57,54.73
1053590471,BRADLEY,JACQUELINE,,M.D.,F,I,495 BILTMORE WAY,,CORAL GABLES,FL,331345756,US,Physician/Cardiovascular Disease (Cardiology),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1015,1.8580985222,0.1343349754,0.105320197,0.105320197
1053590471,BRADLEY,JACQUELINE,,M.D.,F,I,495 BILTMORE WAY,,CORAL GABLES,FL,331345756,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,15,15,33,33,25.87,25.87
1053590554,KHAING,AYE,,M.D.,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,3135.104,913.16,706.35533333,807.42733333
1053590554,KHAING,AYE,,M.D.,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,718.45315789,77.18,60.51,55.024736842
1053590554,KHAING,AYE,,M.D.,M,I,1155 MILL ST,,RENO,NV,895021576,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,267.42545455,37,29.01,29.51
1053590752,POLIDORI,MARIANO,A,M.D.,M,I,303 POINCIANA ISLAND DR,,SUNNY ISLES BEACH,FL,33160,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,44.285714286,21.562857143,14.772857143,11.597142857
1053590752,POLIDORI,MARIANO,A,M.D.,M,I,303 POINCIANA ISLAND DR,,SUNNY ISLES BEACH,FL,33160,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,266,87.545,58.673333333,45.608333333
1053590851,ROE,DEBORAH,L,APNP,F,I,2900 W OKLAHOMA AVE,5TH FLOOR GALLERIA BUILDING,MILWAUKEE,WI,532154330,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,64.14,23.040357143,17.528928571,13.046785714
1053590851,ROE,DEBORAH,L,APNP,F,I,2900 W OKLAHOMA AVE,5TH FLOOR GALLERIA BUILDING,MILWAUKEE,WI,532154330,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,32.2,6.31625,1.35625,1.05625
1053590851,ROE,DEBORAH,L,APNP,F,I,2900 W OKLAHOMA AVE,5TH FLOOR GALLERIA BUILDING,MILWAUKEE,WI,532154330,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,457.6,106.925,81.6975,52.775357143
1053591065,PETRIE,CLAIRE,A,ARNP,F,I,600 W GREGORY ST,,PENSACOLA,FL,32502,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,48,1398,12.937124464,5.54,4.3432904149,4.1631759657
1053591065,PETRIE,CLAIRE,A,ARNP,F,I,600 W GREGORY ST,,PENSACOLA,FL,32502,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,8774,0.7445235924,0.38,0.2948586734,0.2870196034
1053591065,PETRIE,CLAIRE,A,ARNP,F,I,600 W GREGORY ST,,PENSACOLA,FL,32502,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,8778,0.6190601504,0.31,0.2430325815,0.2430325815
1053591065,PETRIE,CLAIRE,A,ARNP,F,I,600 W GREGORY ST,,PENSACOLA,FL,32502,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,7287,1.1219816111,0.66,0.5024825031,0.5024825031
1053591065,PETRIE,CLAIRE,A,ARNP,F,I,600 W GREGORY ST,,PENSACOLA,FL,32502,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,44,44,20.227272727,4.6372727273,3.0990909091,3.0970454545
1053591065,PETRIE,CLAIRE,A,ARNP,F,I,600 W GREGORY ST,,PENSACOLA,FL,32502,US,Nurse Practitioner,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,48,48,19.3,5.16,3.628125,3.5447916667
1053591065,PETRIE,CLAIRE,A,ARNP,F,I,600 W GREGORY ST,,PENSACOLA,FL,32502,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,32,32,91.5625,19.904375,14.7140625,13.5928125
1053591644,DOREAU,HEIDI,R,N.P.,F,I,450 BEDFORD STREET,,LEXINGTON,MA,02420,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,72.326666667,8.32,4.89,4.89
1053591644,DOREAU,HEIDI,R,N.P.,F,I,450 BEDFORD STREET,,LEXINGTON,MA,02420,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,116.175,18.94,13.8125,14.468333333
1053591644,DOREAU,HEIDI,R,N.P.,F,I,450 BEDFORD STREET,,LEXINGTON,MA,02420,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,25.84,9.2708333333,6.7608333333,6.8333333333
1053591701,PATEL,HARENDRA,C,MD,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,40,16.36,11.2225,11.6525
1053591701,PATEL,HARENDRA,C,MD,M,I,1222 S ORANGE AVE,,ORLANDO,FL,328061215,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,220,79.2,51.741666667,48.675
1053591941,KAZANJIAN,KEVORK,,M.D.,M,I,10833 LECONTE AVENUE,,LOS ANGELES,CA,90095,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,710,6.9451549296,5.7129577465,4.4789577465,4.5001690141
1053591941,KAZANJIAN,KEVORK,,M.D.,M,I,10833 LECONTE AVENUE,,LOS ANGELES,CA,90095,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,19,203,4.8022660099,2.907635468,2.2796551724,2.2815270936
1053591941,KAZANJIAN,KEVORK,,M.D.,M,I,10833 LECONTE AVENUE,,LOS ANGELES,CA,90095,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,1500,0.3890933333,0.27,0.2116533333,0.2116533333
1053591941,KAZANJIAN,KEVORK,,M.D.,M,I,10833 LECONTE AVENUE,,LOS ANGELES,CA,90095,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,775,0.3446967742,0.27,0.2116516129,0.2116516129
1053592139,NOLAND,SHELLEY,S,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Plastic and Reconstructive Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,62.886153846,61.046153846,44.846153846,43.466923077
1053592139,NOLAND,SHELLEY,S,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Plastic and Reconstructive Surgery,S,L3913,"Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,20,21,233.5,233.5,183.06,186.17
1053592139,NOLAND,SHELLEY,S,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Plastic and Reconstructive Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,24,77.25,77.25,60.560833333,67.290833333
1053592139,NOLAND,SHELLEY,S,M.D.,F,I,13400 E SHEA BLVD,,SCOTTSDALE,AZ,852595452,US,Physician/Plastic and Reconstructive Surgery,S,L3933,"Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,15,196.33933333,183.93,142.25333333,144.708
1053592162,NELSON,JAMES,J,MD,M,I,3720 NW 83RD ST,,GAINESVILLE,FL,326065603,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,34,97,65.426907216,8.32,5.7822680412,5.7822680412
1053592162,NELSON,JAMES,J,MD,M,I,3720 NW 83RD ST,,GAINESVILLE,FL,326065603,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,29,13.227931034,1.42,0.8848275862,0.8848275862
1053592162,NELSON,JAMES,J,MD,M,I,3720 NW 83RD ST,,GAINESVILLE,FL,326065603,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160,49.595,38.88,38.165
1053592162,NELSON,JAMES,J,MD,M,I,3720 NW 83RD ST,,GAINESVILLE,FL,326065603,US,Physician/Cardiovascular Disease (Cardiology),S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,8.86,6.945,6.85
1053592162,NELSON,JAMES,J,MD,M,I,3720 NW 83RD ST,,GAINESVILLE,FL,326065603,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,303.83909091,90.112727273,66.630909091,61.648787879
1053592162,NELSON,JAMES,J,MD,M,I,3720 NW 83RD ST,,GAINESVILLE,FL,326065603,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,40.55,31.320833333,29.639166667
1053592444,PITTMAN,DEVAH,N,PA-C,F,I,1 MEDICAL DR,,CLARENDON,TX,792266046,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,12,89.766666667,45.040833333,32.923333333,25.013333333
1053592444,PITTMAN,DEVAH,N,PA-C,F,I,1 MEDICAL DR,,CLARENDON,TX,792266046,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,38,6.3968421053,2.6652631579,1.9960526316,1.5747368421
1053592501,SHAH,SAMIR,H,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,167.08545455,93.287272727,71.265909091,52.856818182
1053592501,SHAH,SAMIR,H,MD,M,I,1701 S CREASY LN,,LAFAYETTE,IN,479054972,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,67.06,38.266,29.998,29.433333333
1053592535,MCGUIRE,ANDREA,,PA-C,F,I,5033 W HIGHWAY 290,,AUSTIN,TX,787356751,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,41,187,187,187,1397.3068449,1182.7286631,913.29272727,874.09973262
1053592535,MCGUIRE,ANDREA,,PA-C,F,I,5033 W HIGHWAY 290,,AUSTIN,TX,787356751,US,Physician Assistant,S,L0651,"Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebra",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,1244.69,1185.42,918.33384615,875.47384615
1053592535,MCGUIRE,ANDREA,,PA-C,F,I,5033 W HIGHWAY 290,,AUSTIN,TX,787356751,US,Physician Assistant,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,19,21,836.93,551.74,432.56,480.62047619
1053592535,MCGUIRE,ANDREA,,PA-C,F,I,5033 W HIGHWAY 290,,AUSTIN,TX,787356751,US,Physician Assistant,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,122,126,136,955.99617647,872.65316176,681.64941176,675.03595588
1053592535,MCGUIRE,ANDREA,,PA-C,F,I,5033 W HIGHWAY 290,,AUSTIN,TX,787356751,US,Physician Assistant,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,26,133,135,148,120.83452703,106.22675676,81.594594595,86.891418919
1053592535,MCGUIRE,ANDREA,,PA-C,F,I,5033 W HIGHWAY 290,,AUSTIN,TX,787356751,US,Physician Assistant,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,32,95,95,132,514.32287879,470.6375,367.54128788,364.23848485
1053592535,MCGUIRE,ANDREA,,PA-C,F,I,5033 W HIGHWAY 290,,AUSTIN,TX,787356751,US,Physician Assistant,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,24,93,93,93,842.04956989,783.53408602,612.75204301,571.7511828
1053592816,DE JESUS,JOCELYN,V,MD,F,I,3880 SALEM LAKE DR STE F,,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,46.76,18,14.11,13.54
1053592816,DE JESUS,JOCELYN,V,MD,F,I,3880 SALEM LAKE DR STE F,,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,20.526363636,6.6163636364,4.9327272727,3.4445454545
1053592816,DE JESUS,JOCELYN,V,MD,F,I,3880 SALEM LAKE DR STE F,,LONG GROVE,IL,600475292,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,385,77.18,56.375833333,50.586666667
1053592972,KEEFER BRIGHAM,ROBIN,L,PA-C,F,I,3165 COUNTY FARM RD,,JACKSON,MI,492014101,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,42,46.649285714,8.32,5.8685714286,5.8685714286
1053593079,BLACKBURN,TAMIKA,,M.D.,F,I,1260 SILAS DEANE HWY STE 103,,WETHERSFIELD,CT,061094363,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,40,94,66.991702128,8.32,5.62,5.62
1053593079,BLACKBURN,TAMIKA,,M.D.,F,I,1260 SILAS DEANE HWY STE 103,,WETHERSFIELD,CT,061094363,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,27,15.237407407,1.42,0.8674074074,0.8674074074
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,29,39,200,18660,5.7516318328,0.5643370847,0.4330953912,0.4330937835
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,4110,0.1021459854,0.0125474453,0.0098491484,0.0098442822
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,2580,2.0914302326,0.743744186,0.5557170543,0.5557170543
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,21,22,102,15258,4.3102392188,1.1487187049,0.8593583694,0.8593583694
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,3928,7.46223778,2.8232281059,2.163691446,2.163691446
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,25,780,18.657782051,7.4153076923,5.5885512821,5.5885512821
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,1,,11,2400,22.72375,8.4605,6.5817916667,6.5817916667
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,31,41,193,193,24,24,18.143523316,18.143523316
1053593095,DEPASQUALE,EUGENE,C,M.D.,M,I,1520 SAN PABLO ST STE 1000,,LOS ANGELES,CA,900335312,US,Physician/Cardiovascular Disease (Cardiology),S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,30,41,186,213,17.201877934,16,12.333051643,12.333051643
1053593244,JOHNSON,MICHAEL,E,MD,M,I,4211 JOE RAMSEY BLVD E STE 100,,GREENVILLE,TX,75401,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,255.81,39.215,30.74125,22.07125
1053593244,JOHNSON,MICHAEL,E,MD,M,I,4211 JOE RAMSEY BLVD E STE 100,,GREENVILLE,TX,75401,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,12,68,53.2,41.71,46.35
1053593244,JOHNSON,MICHAEL,E,MD,M,I,4211 JOE RAMSEY BLVD E STE 100,,GREENVILLE,TX,75401,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,321,251.28,185.47615385,204.40153846
1053593327,HIXSON,PAIGE,M,M.D.,F,I,3540 W SAHARA AVE,STE 330,LAS VEGAS,NV,891025816,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,6.0772727273,4.7654545455,3.7754545455
1053593509,ARANT,AUDRA,P,APN,F,I,4301 W MARKHAM ST # 602A,,LITTLE ROCK,AR,722057101,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,14,65,36.191428571,28.374285714,14.968571429
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,47,28.10893617,8.32,6.5217021277,6.5217021277
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,18,16.272222222,1.42,1.1144444444,1.1144444444
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,66.491578947,17.999473684,11.753684211,11.399473684
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,675,393.25,308.3075,308.3075
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,12,12,54.693333333,5.3316666667,3.8933333333,3.7516666667
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,31,300.23741935,71.328387097,49.414193548,48.544193548
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,39.68,28.5175,27.050833333
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,4280,1.6645607477,0.5598130841,0.4388971963,0.4388948598
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1182,4.0377241963,1.2018104907,0.9422419628,0.9422419628
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,133.71138889,25.178611111,17.913333333,19.023333333
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,15,24,24,18.82,18.82
1053593962,SAYLOR,KAREN,E,M.D.,F,I,50 MARQUIS RD,,FREEPORT,ME,040326477,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,19,16,16,12.54,12.54
1053594002,THOMAS,ABEY,K,M.D.,M,I,5323 HARRY HINES BLVD.,,DALLAS,TX,753907208,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,23.353333333,17.63,12.668333333,12.426666667
1053594002,THOMAS,ABEY,K,M.D.,M,I,5323 HARRY HINES BLVD.,,DALLAS,TX,753907208,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,113.39916667,76.48,54.963333333,50.596666667
1053594408,AFINIWALA,MITUL,,M.D.,M,I,455 S WASHINGTON ST,SUITE 22,GETTYSBURG,PA,173252516,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,28,28,3735.7142857,2631.8585714,2058.2532143,2058.2532143
1053594994,LUNA,MARIA,G,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,,78,9810,6.0444413863,0.5664250765,0.4300275229,0.4300254842
1053594994,LUNA,MARIA,G,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,5550,0.0531081081,0.0126216216,0.0098972973,0.0098972973
1053594994,LUNA,MARIA,G,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.02,0.7419166667,0.5326180556,0.5326180556
1053594994,LUNA,MARIA,G,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,,69,8420,3.5957909739,1.2440570071,0.9235890736,0.9235890736
1053594994,LUNA,MARIA,G,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1320,5.5658333333,2.8588181818,2.1782272727,2.1782272727
1053594994,LUNA,MARIA,G,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,,91,91,24,24,17.661648352,17.661648352
1053594994,LUNA,MARIA,G,M.D.,F,I,8042 WURZBACH RD,SUITE 500,SAN ANTONIO,TX,782293818,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,11,108,110,16,16,12.312,12.312
1053595280,TELLES,CONNOR,J,MD,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203391,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,19,19,19,139.92421053,44.924210526,31.587368421,32.880526316
1053595280,TELLES,CONNOR,J,MD,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203391,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,63,63,63,4995,4378.96,3433.11,3433.11
1053595348,BAILEY,JAIME,R,MD,F,I,2525 DESALES AVE,,CHATTANOOGA,TN,37404,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,345,89.715714286,66.067142857,53.713571429
1053596122,FINCH,TANYA,J,FNP-BC,F,I,11 CROSS STREET,,BOLTON LANDING,NY,128140539,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,31,52.285806452,8.32,5.8922580645,5.8922580645
1053596122,FINCH,TANYA,J,FNP-BC,F,I,11 CROSS STREET,,BOLTON LANDING,NY,128140539,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,219.41384615,41.291538462,27.903846154,19.783076923
1053596353,RAIKANTI,ANUPAMA,,M.D.,F,I,1411 E 31ST ST,,OAKLAND,CA,946021018,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,86.838484848,17.11,12.606666667,12.729090909
1053596353,RAIKANTI,ANUPAMA,,M.D.,F,I,1411 E 31ST ST,,OAKLAND,CA,946021018,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,550.75446809,79,59.395744681,52.339574468
1053596395,CLAYTON,DOROTHEA,,M.D.,F,I,3641 W 5TH ST,,OXNARD,CA,93030,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,77,61.722077922,8.32,6.1833766234,6.1833766234
1053596395,CLAYTON,DOROTHEA,,M.D.,F,I,3641 W 5TH ST,,OXNARD,CA,93030,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,26,16.397692308,1.42,1.0284615385,1.0284615385
1053597039,MEHTA,CHHAVI,,MD,F,I,1501 TROUSDALE DRIVE,3RD FLOOR,BURLINGAME,CA,940104506,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,42,141,72.135886525,8.32,5.8746099291,5.8746099291
1053597039,MEHTA,CHHAVI,,MD,F,I,1501 TROUSDALE DRIVE,3RD FLOOR,BURLINGAME,CA,940104506,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,15,21,15.851428571,1.42,0.9571428571,0.9571428571
1053597674,USDAN,LISA,S,M.D.,F,I,"6401 POPLAR AVE, SUITE 420",,MEMPHIS,TN,38120,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,315,8.63,2.6285714286,2.0607301587,2.0607301587
1053597674,USDAN,LISA,S,M.D.,F,I,"6401 POPLAR AVE, SUITE 420",,MEMPHIS,TN,38120,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,33,157,71.995031847,8.32,6.08,6.08
1053597674,USDAN,LISA,S,M.D.,F,I,"6401 POPLAR AVE, SUITE 420",,MEMPHIS,TN,38120,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,36,17.314444444,1.42,0.9277777778,0.9277777778
1053597674,USDAN,LISA,S,M.D.,F,I,"6401 POPLAR AVE, SUITE 420",,MEMPHIS,TN,38120,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,749.95818182,347.66181818,259.52272727,259.52272727
1053597674,USDAN,LISA,S,M.D.,F,I,"6401 POPLAR AVE, SUITE 420",,MEMPHIS,TN,38120,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,720,16.164055556,10.757666667,8.2710416667,8.2710416667
1053597674,USDAN,LISA,S,M.D.,F,I,"6401 POPLAR AVE, SUITE 420",,MEMPHIS,TN,38120,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,250.837,250.837,196.656,196.869
1053599407,HANCOCK,ROBERT,J,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,186,5.8556451613,2.91,1.9422580645,1.9422580645
1053599407,HANCOCK,ROBERT,J,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,72,14.321111111,6.44,5.0477777778,5.0477777778
1053599407,HANCOCK,ROBERT,J,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/General Surgery,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,7.994,5.54,3.9810833333,3.9810833333
1053599407,HANCOCK,ROBERT,J,MD,M,I,801 N 29TH ST,,BILLINGS,MT,591010905,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,750,3.75,1.95,1.40652,1.40652
1053599449,STANCZAK,NICOLE,M,NP,F,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730996,US,Nurse Practitioner,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,22,9.8509090909,8.6654545455,6.7918181818,6.8045454545
1053599449,STANCZAK,NICOLE,M,NP,F,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730996,US,Nurse Practitioner,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,18,22,15.635454545,13.759090909,10.787272727,10.809090909
1053599449,STANCZAK,NICOLE,M,NP,F,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730996,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,1980,2.7216363636,2.0372727273,1.5937979798,1.5952222222
1053599449,STANCZAK,NICOLE,M,NP,F,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730996,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,35,67,12.581343284,10.913880597,8.3014925373,8.3101492537
1053599449,STANCZAK,NICOLE,M,NP,F,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730996,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,52,112,8.8898214286,6.604375,4.948125,5.588125
1053599449,STANCZAK,NICOLE,M,NP,F,I,31157 WOODWARD AVE,,ROYAL OAK,MI,480730996,US,Nurse Practitioner,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,1.8475,1.8,1.41125,1.41125
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,18,19,96.263157895,41.478947368,32.52,30.49
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,284.30058824,87.532352941,68.624705882,67.849411765
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,31,115.51225806,32.994516129,25.868064516,25.918387097
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,17,17,54.75,19.337058824,14.331176471,13.232941176
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,15,26,130,7.6604615385,2.1166153846,1.6598461538,1.5920769231
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,291,6.98,2.8,1.9689347079,1.9689347079
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,25,58.114,17.182,12.2736,12.4476
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,377.47666667,77.998333333,49.583333333,51.7375
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,1642.5,982.87857143,763.74666667,763.74666667
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,48,51,189.52941176,31.127058824,24.077254902,25.036862745
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,172.42909091,43.911818182,30.381818182,30.396363636
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,91,96,345.13572917,78.381041667,57.536354167,51.049583333
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,30,132,40.496,29.628666667,27.55
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,3400,0.2941911765,0.0461264706,0.0259235294,0.0259235294
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,662,8.8044561934,3.0667522659,2.4043353474,2.4043353474
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,69.729230769,42.523846154,33.341923077,29.518076923
1053599902,URBANO,FERDINANDO,,MD,M,I,170 GRANDVIEW AVE,,WATERBURY,CT,06708,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,24,24,61.875,33,22.88875,22.88875
1053600015,MUDHAR,JASJIT,K,MD,F,I,1402 E COUNTY LINE RD,,INDIANAPOLIS,IN,462270963,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,23,26.492608696,17.52,13.257826087,13.057826087
1053600015,MUDHAR,JASJIT,K,MD,F,I,1402 E COUNTY LINE RD,,INDIANAPOLIS,IN,462270963,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,3968.0435294,913.16,715.92,834.82823529
1053600015,MUDHAR,JASJIT,K,MD,F,I,1402 E COUNTY LINE RD,,INDIANAPOLIS,IN,462270963,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,24,153.21833333,79.75,62.525416667,54.73
1053600015,MUDHAR,JASJIT,K,MD,F,I,1402 E COUNTY LINE RD,,INDIANAPOLIS,IN,462270963,US,Hospitalist,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,12,1776.365,1257.37,973.82416667,957.27916667
1053600015,MUDHAR,JASJIT,K,MD,F,I,1402 E COUNTY LINE RD,,INDIANAPOLIS,IN,462270963,US,Hospitalist,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,18,1128.5177778,870.85,682.74944444,682.46833333
1053600015,MUDHAR,JASJIT,K,MD,F,I,1402 E COUNTY LINE RD,,INDIANAPOLIS,IN,462270963,US,Hospitalist,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,17,138.13882353,116.33294118,91.205294118,90.968235294
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,27,72,154,68.037012987,8.32,5.4643506494,5.4643506494
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,16,23,9.9004347826,1.42,1.067826087,1.067826087
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,379.97538462,93.986153846,68.496923077,65.729230769
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,23,128.75695652,32.991304348,24.733913043,24.723913043
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,76.403636364,18.076363636,14.173636364,14.070909091
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,77.204545455,13.291818182,10.293636364,10.048181818
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,95,11.808631579,2.1631578947,1.696,1.67
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,43.655833333,13.686666667,10.728333333,10.3275
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,11.95,7.9773684211,4.9552631579,5.7463157895
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,18,60.332222222,16.98,12.570555556,12.793888889
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,44.206,16.818666667,12.49,10.234666667
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,24,24,278.68916667,41.03125,29.077916667,23.765
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,80,85,545.88352941,80.892588235,63.277294118,56.222705882
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,3937,0.3612496825,0.0453035306,0.0321539243,0.0321539243
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,34,2849,1.2478659179,0.1342365742,0.1014320814,0.1014320814
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,285.6,38.5156,30.1932,30.3532
1053600296,MCCOOL,JESSICA,,M.D.,F,I,1 EDMUNDSON PL,,COUNCIL BLUFFS,IA,515034658,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,46,46,36.260869565,33,24.745217391,24.745217391
1053600429,MATSUO,KEN,,MD,M,I,56 FRANKLIN ST,,WATERBURY,CT,067061253,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,30,5.52,4.3283333333,3.5683333333
1053600908,PATEL,YOGI,R,M.D.,M,I,4343 W NEWBERRY RD,,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,170.95428571,69.773809524,54.703333333,42.555238095
1053600908,PATEL,YOGI,R,M.D.,M,I,4343 W NEWBERRY RD,,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,28,52.580357143,17.898571429,12.575714286,12.080357143
1053600908,PATEL,YOGI,R,M.D.,M,I,4343 W NEWBERRY RD,,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,135,136,329.37647059,89.104485294,66.138529412,51.987205882
1053600908,PATEL,YOGI,R,M.D.,M,I,4343 W NEWBERRY RD,,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,11,83,83,65,42.554457831,32.379759036,28.829638554
1053600908,PATEL,YOGI,R,M.D.,M,I,4343 W NEWBERRY RD,,GAINESVILLE,FL,326072817,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,146,44.34,33.122,28.0395
1053601096,CHABOT,MATTHEW,R,M.D.,M,I,380 PLAINFIELD ST,,SPRINGFIELD,MA,011071524,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,61,57.853770492,8.32,6.4157377049,6.4157377049
1053601096,CHABOT,MATTHEW,R,M.D.,M,I,380 PLAINFIELD ST,,SPRINGFIELD,MA,011071524,US,Physician/Pediatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.91,11.7,11.325
1053601096,CHABOT,MATTHEW,R,M.D.,M,I,380 PLAINFIELD ST,,SPRINGFIELD,MA,011071524,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.48,45.635833333,45.194166667
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,41,92,306,79.609313725,8.32,5.5165359477,5.5165359477
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,16,33,63,14.983809524,1.42,1.0258730159,1.0258730159
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,83.324545455,40.268181818,31.570909091,30.49
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,32,105.14625,32.73,20.84875,21.0934375
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,173.51666667,56.96,43.092666667,41.306666667
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,21,21,21,73.235238095,18.509047619,13.841428571,13.401428571
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,17,21,74,4.015,1.8135135135,1.4227027027,1.4910810811
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.515,10.245,8.03,8.03
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3.9275,1.54,1.21,1.21
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,73.2609375,14.381875,10.6259375,9.378125
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,232.54125,40.5353125,29.2728125,24.4384375
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,533.84307692,69.81,50.52,50.52
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1439,2.1203961084,0.1344892286,0.1054690757,0.1054690757
1053601112,JELENC,BRIANA,L,M.D.,F,I,4122 E TOWNE BLVD,,MADISON,WI,537043732,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,24.022142857,24.022142857
1053601344,COSSEY,TIFFANY,,M.D.,F,I,6410 FANNIN ST STE 1014,,HOUSTON,TX,770305301,US,Physician/Neurology,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,42.07,8.63,6.7645454545,7.5145454545
1053601369,PATRI,JYOTHI RANGA,,"M.D., MHA",F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,28,88,52.110340909,8.32,6.0036363636,6.0036363636
1053601369,PATRI,JYOTHI RANGA,,"M.D., MHA",F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,28,18.943928571,1.42,0.9957142857,0.9957142857
1053601369,PATRI,JYOTHI RANGA,,"M.D., MHA",F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,414.26952381,77.5,57.866666667,52.123809524
1053601369,PATRI,JYOTHI RANGA,,"M.D., MHA",F,I,2740 HERNDON AVE,,CLOVIS,CA,936116813,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,750,197.12666667,154.55,151.41166667
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,51,176,121.07113636,8.32,5.2994318182,5.2994318182
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,14,26.867857143,1.42,0.6385714286,0.6385714286
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,69.970909091,47.667272727,37.371818182,30.49
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,25,118.8168,43.0244,32.0088,26.6032
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,103,10.673592233,2.6603883495,2.0861165049,1.6637864078
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,32,85.1128125,22.1696875,15.9809375,12.2615625
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,916.956,6.9533333333,5.2086666667,4.0026666667
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,48,48,153.55625,47.606875,36.107083333,25.251458333
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,28,512.74178571,100.465,72.573571429,48.897142857
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,5941,0.3968321831,0.0463541491,0.0358811648,0.0358794816
1053601567,CRAWFORD,STEPHANIE,,NP,F,I,900 N 2ND ST,,ROCHELLE,IL,610681764,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,32,32,88.6875,33,24.3065625,24.3065625
1053601583,BOUNDAOUI,OUSSAMA,,M.D,M,I,1211 S ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600053142,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,72.426470588,72.426470588,50.192941176,46.837647059
1053601583,BOUNDAOUI,OUSSAMA,,M.D,M,I,1211 S ARLINGTON HEIGHTS RD,,ARLINGTON HEIGHTS,IL,600053142,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,20,51.8975,51.8975,40.6875,43.4255
1053601591,BROLIN,TYLER,J,M.D.,M,I,1458 W POPLAR AVE STE 100,,COLLIERVILLE,TN,380170630,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,52,54,54,140.18518519,119.28296296,86.144444444,81.371111111
1053601716,PANIAMOGAN,CEPHAS,,FNP-C,M,I,3202 MILLER ST,,BETHANY,MO,644242713,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,26,45,70.150666667,8.32,4.0582222222,4.0582222222
1053601716,PANIAMOGAN,CEPHAS,,FNP-C,M,I,3202 MILLER ST,,BETHANY,MO,644242713,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,16,16,11.7925,1.42,0.77,0.77
1053601716,PANIAMOGAN,CEPHAS,,FNP-C,M,I,3202 MILLER ST,,BETHANY,MO,644242713,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,55.436666667,24.4475,19.164166667,17.659166667
1053601716,PANIAMOGAN,CEPHAS,,FNP-C,M,I,3202 MILLER ST,,BETHANY,MO,644242713,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,39.406470588,7.9805882353,6.0423529412,3.3788235294
1053601765,JACKSON,CHRISTOPHER,R,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,24,24,77.984166667,41.03,32.16,30.69875
1053601765,JACKSON,CHRISTOPHER,R,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,190,92.26,72.33,68.539230769
1053601765,JACKSON,CHRISTOPHER,R,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,21,70,34.02,25.405714286,24.685238095
1053601765,JACKSON,CHRISTOPHER,R,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,125.60785714,54.96,43.09,42.892857143
1053601765,JACKSON,CHRISTOPHER,R,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,14,17,17,41.978235294,19.08,14.95,14.164705882
1053601765,JACKSON,CHRISTOPHER,R,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,24,104,5.6244230769,2.22,1.7413461538,1.6107692308
1053601765,JACKSON,CHRISTOPHER,R,M.D.,M,I,65 CEDAR ST,,HYANNIS,MA,026013009,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,16,109,109,135.5412844,32.543027523,23.051743119,23.060458716
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,37,127,261,36.144521073,8.3085823755,5.9876245211,5.9965517241
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,36,51,19.61745098,1.42,0.9633333333,0.9633333333
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,20,20,67.8135,48.8985,34.9725,27.9
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,23,8.6539130435,1.9013043478,1.4895652174,1.1504347826
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,199.14941176,109.42235294,73.108823529,58.391764706
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,41.811764706,22.423529412,16.66,13.232941176
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,11,21,49,5.8606122449,2.8918367347,2.1965306122,1.5812244898
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,44,87.275454545,21.985,16.217727273,12.881136364
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,40.050833333,31.358333333
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,15,93,93,95.301935484,8.6751612903,6.3627956989,3.8619354839
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,175,38.958571429,23.81047619,17.809761905
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,80,82,503.60719512,100.5502439,76.200487805,54.750487805
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,17,58,4530,1.1818454746,0.1345761589,0.0943554084,0.0943554084
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,396,1.5830808081,0.2181060606,0.1399242424,0.1398232323
1053601849,CECIL,JULIAN,,,M,I,1318 ELM ST,,PERRY,OK,730775034,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,18,62,62,48.967741935,33,22.547741935,22.547741935
1053602060,ENGLISH,AIMEE,F,M.D.,F,I,3055 ROSLYN ST,SUITE 100,DENVER,CO,802383323,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,703.96416667,830.30416667
1053602102,JACKSON,LEE,D,NP-C,M,I,214 W 1ST ST,,CLE ELUM,WA,989221108,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,33.27,22.253636364,14.732727273,11.07
1053602102,JACKSON,LEE,D,NP-C,M,I,214 W 1ST ST,,CLE ELUM,WA,989221108,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,199.28,100.90545455,68.781818182,44.858181818
1053602466,SCHWARTZENBERGER,JUSTIN,J,M.D.,M,I,3406 LARAMIE DR,,BOZEMAN,MT,597182005,US,Physician/Orthopedic Surgery,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,575,363.16,284.72,305.67
1053602466,SCHWARTZENBERGER,JUSTIN,J,M.D.,M,I,3406 LARAMIE DR,,BOZEMAN,MT,597182005,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,55,58,66,84,54.275151515,40.22030303,43.794393939
1053602466,SCHWARTZENBERGER,JUSTIN,J,M.D.,M,I,3406 LARAMIE DR,,BOZEMAN,MT,597182005,US,Physician/Orthopedic Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,27,122,77.816666667,61.004444444,67.29
1053602540,BILLS,ADAM,,DPM,M,I,4224 HOLLAND RD,SUITE 106,VIRGINIA BEACH,VA,234521900,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,15,2460,0.6775,0.45,0.3528089431,0.3528089431
1053602540,BILLS,ADAM,,DPM,M,I,4224 HOLLAND RD,SUITE 106,VIRGINIA BEACH,VA,234521900,US,Podiatry,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,12,175,27.42,24.195428571,18.9692,19.150285714
1053602540,BILLS,ADAM,,DPM,M,I,4224 HOLLAND RD,SUITE 106,VIRGINIA BEACH,VA,234521900,US,Podiatry,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,110,9.54,8.1,6.35,6.4146363636
1053602540,BILLS,ADAM,,DPM,M,I,4224 HOLLAND RD,SUITE 106,VIRGINIA BEACH,VA,234521900,US,Podiatry,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,1716.46,769.3625,603.18375,525.194375
1053602920,BYRON,KATHLEEN,A,M.D.,F,I,3 CENTURY AVE SE,,HUTCHINSON,MN,553503108,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,34,68,60.881176471,8.32,5.945,5.945
1053602920,BYRON,KATHLEEN,A,M.D.,F,I,3 CENTURY AVE SE,,HUTCHINSON,MN,553503108,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,12.976470588,1.42,1.0541176471,1.0541176471
1053602920,BYRON,KATHLEEN,A,M.D.,F,I,3 CENTURY AVE SE,,HUTCHINSON,MN,553503108,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,24.022142857,24.022142857
1053603076,TUXHARI,SNEZHANA,,DO,F,I,32754 GRAND RIVER AVE,,FARMINGTON,MI,483363133,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,13,25,93,36.158602151,8.32,6.0633333333,6.0633333333
1053603076,TUXHARI,SNEZHANA,,DO,F,I,32754 GRAND RIVER AVE,,FARMINGTON,MI,483363133,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,9.5703846154,1.42,1.1146153846,1.1146153846
1053603597,PAGE,TREVOR,D,D.O.,M,I,25 NORTH 100 EAST,FAMILY HEALTHCARE,WASHINGTON,UT,84770,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,23,82,57.143414634,8.32,5.6475609756,5.6475609756
1053603597,PAGE,TREVOR,D,D.O.,M,I,25 NORTH 100 EAST,FAMILY HEALTHCARE,WASHINGTON,UT,84770,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,12.18,1.42,1.0346428571,1.0346428571
1053603597,PAGE,TREVOR,D,D.O.,M,I,25 NORTH 100 EAST,FAMILY HEALTHCARE,WASHINGTON,UT,84770,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24,4.4233333333,2.7333333333,2.8333333333
1053603860,SMITH,CHERYL,L,M.D.,F,I,22250 PROVIDENCE DR,SUITE 500,SOUTHFIELD,MI,480754825,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,63,221,34.507692308,8.32,5.9924886878,5.9924886878
1053603860,SMITH,CHERYL,L,M.D.,F,I,22250 PROVIDENCE DR,SUITE 500,SOUTHFIELD,MI,480754825,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,11.82375,3.38,2.65,2.65
1053603860,SMITH,CHERYL,L,M.D.,F,I,22250 PROVIDENCE DR,SUITE 500,SOUTHFIELD,MI,480754825,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,38,77,10.317662338,1.42,1.0214285714,1.0214285714
1053604124,CHANDOLU,SATISH,,M.D.,M,I,86 W UNDERWOOD ST,,ORLANDO,FL,328061110,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,71.315789474,18.444736842,14.461052632,13.461578947
1053604124,CHANDOLU,SATISH,,M.D.,M,I,86 W UNDERWOOD ST,,ORLANDO,FL,328061110,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,254,73.98725,52.091,49.31
1053604728,GREY,ELEONORA,I,DO,F,I,146 WILLIAMS DR,,SPENCER,WV,252761826,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,114.3,20.09375,6.241875,5.73
1053604868,SHAW,NATHAN,A,M.D.,M,I,200 HAWKINS DR,,IOWA CITY,IA,52242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,14,39,65.600769231,8.32,6.5225641026,6.5225641026
1053604868,SHAW,NATHAN,A,M.D.,M,I,200 HAWKINS DR,,IOWA CITY,IA,52242,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,246.15384615,94.226153846,73.874615385,54.73
1053604868,SHAW,NATHAN,A,M.D.,M,I,200 HAWKINS DR,,IOWA CITY,IA,52242,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,86.153846154,42.662307692,33.446153846,29.514615385
1053605592,CARHARTT,WYLIE,,MD,M,I,635 E BASELINE RD,LOWER LEVEL 2,PHOENIX,AZ,850426551,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,72,81.2325,8.32,5.3155555556,5.3155555556
1053605774,PRESLEY,MELODY,A,APRN,F,I,83 W MAIN ST,,TAYLORSVILLE,KY,400718616,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,57,108,61.865925926,8.32,5.8594444444,5.8594444444
1053605774,PRESLEY,MELODY,A,APRN,F,I,83 W MAIN ST,,TAYLORSVILLE,KY,400718616,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,64.38173913,16.78,13.15,13.513478261
1053605774,PRESLEY,MELODY,A,APRN,F,I,83 W MAIN ST,,TAYLORSVILLE,KY,400718616,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,50,419.1096,71.5,56.06,54.8364
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,20,58,112,70.99375,8.32,5.4726785714,5.4726785714
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,26,45.459615385,1.42,1.0323076923,1.0323076923
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,44.3025,5.27,4.135,3.962
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,354.56842105,69.81,54.73,54.73
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1326,0.3785067873,0.0457239819,0.0233257919,0.0233257919
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,839,1.8593563766,0.1391299166,0.1091060787,0.1091060787
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,86.165,18.775,13.264166667,12.778333333
1053606095,TOMCIK,MATTHEW,A,MD,M,I,2509 COUNTY HIGHWAY I,,CHIPPEWA FALLS,WI,547292785,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,33,33,21.695,21.695
1053606426,ALA,SUBASH,,MD,M,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,49,37.204897959,21.804081633,16.78877551,13.62244898
1053606426,ALA,SUBASH,,MD,M,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,60,257.24183333,98.096333333,73.9205,54.6935
1053607051,SAM,SIBY,,,M,I,1301 3RD ST STE 200,,WICHITA FALLS,TX,763012245,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,284.375,68.78,50.55,51.288125
1053607051,SAM,SIBY,,,M,I,1301 3RD ST STE 200,,WICHITA FALLS,TX,763012245,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,65.216363636,36.83,27.775151515,28.380909091
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,29,78,304,55.930230263,8.32,5.9946381579,5.9946381579
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,15.174166667,3.38,2.5395833333,2.5395833333
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,20.647857143,2.12,1.67,1.67
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,21,50,89,14.339775281,1.42,1.0514606742,1.0514606742
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,17,86.31,17.705294118,13.069411765,12.885882353
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,20,480.5835,77.249,58.6315,55.1905
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,234.05,69.771666667,45.345833333,43.993333333
1053607192,TREEMANEEKARN,VARAPORN,,D.O.,F,I,2700 CLAY EDWARDS DR,SUITE 400,NORTH KANSAS CITY,MO,641163251,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.62,9.1833333333,5.6833333333,5.1883333333
1053607333,NAIK,DHARA,,DO,F,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,13,32,67.6996875,8.32,4.0753125,4.0753125
1053607333,NAIK,DHARA,,DO,F,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,121.8,55.25,43.3125,38.563333333
1053607333,NAIK,DHARA,,DO,F,I,172 E SCHILLER ST,,ELMHURST,IL,60126,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,145.03666667,33.25,23.3275,22.08
1053607457,REFAAT,MOHAMED,,MD,M,I,4000 WELLNESS DR,,MIDLAND,MI,486702000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,12,61,61,48.003606557,21.289344262,15.734098361,13.334918033
1053607457,REFAAT,MOHAMED,,MD,M,I,4000 WELLNESS DR,,MIDLAND,MI,486702000,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,24.26,9.9353333333,7.7893333333,4.8986666667
1053607457,REFAAT,MOHAMED,,MD,M,I,4000 WELLNESS DR,,MIDLAND,MI,486702000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,60,60,346.92083333,96.378166667,72.894,57.039166667
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,23,66,194,66.431907216,8.32,6.0851546392,6.0851546392
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,18,30,52,13.063461538,1.42,1.0294230769,1.0294230769
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,54.931470588,22.001470588,17.247647059,14.255588235
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,350,148.59833333,116.5,101.205
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,47.6625,6.3325,4.206875,3.340625
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,58,58,401.46551724,102.10275862,76.997758621,54.922413793
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1400,1.3674642857,0.1335357143,0.0891071429,0.0891071429
1053607507,LUKNER,RALF,B,"MD, PHD",M,I,1400 HIGHWAY 71,,INTERNATIONAL FALLS,MN,566492154,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,82.5,33,24.554166667,24.554166667
1053607887,HUANG,HUI,L,,F,I,49 NIXON CT,APT # 1E,BROOKLYN,NY,112236529,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,34,57,81.169122807,8.32,2.7456140351,2.7456140351
1053607887,HUANG,HUI,L,,F,I,49 NIXON CT,APT # 1E,BROOKLYN,NY,112236529,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,14,42.480714286,1.42,0.32,0.32
1053607952,PARK,SAMUEL,J,M.D.,M,I,160 1ST ST UNIT 551,,MINEOLA,NY,115015025,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,11,12,444.83666667,117.19083333,91.8825,54.729166667
1053608133,PARMAR,SAROJBEN,N,M.D.,F,I,4249 COLDEN ST,11C,FLUSHING,NY,113553902,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,73.333333333,16.96,13.3,13.46
1053608133,PARMAR,SAROJBEN,N,M.D.,F,I,4249 COLDEN ST,11C,FLUSHING,NY,113553902,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,311.11111111,71,53.598518519,52.90962963
1053608224,BURNS,CASSIE,K,M.D.,F,I,3610 SPRINGHILL MEMORIAL DR N,,MOBILE,AL,366081162,US,Physician/Anesthesiology,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,597.59833333,136.77666667,94.499444444,93.072777778
1053608349,GILL-MEYER,RAMAN,,M.D.,F,I,34 MAPLE ST,,NORWALK,CT,068503815,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,66,68,57.432794118,20.751323529,15.854705882,15.374117647
1053608349,GILL-MEYER,RAMAN,,M.D.,F,I,34 MAPLE ST,,NORWALK,CT,068503815,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,87,89,360.44292135,78.294606742,59.81247191,53.484269663
1053608349,GILL-MEYER,RAMAN,,M.D.,F,I,34 MAPLE ST,,NORWALK,CT,068503815,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,94.656666667,40,28.746666667,27.205
1053608364,VAYDA,SERENA,,MD,F,I,2312 ELLISTON PL,,NASHVILLE,TN,372035259,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,59,59,56.073220339,17.85559322,13.51779661,13.098305085
1053608364,VAYDA,SERENA,,MD,F,I,2312 ELLISTON PL,,NASHVILLE,TN,372035259,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,59,59,284.63423729,83.461694915,62.038474576,52.397627119
1053608588,OURS,NICOLE,R,DO,F,I,10 E HOSPITAL STREET,HOSPITALIST DEPARTMENT,MANNING,SC,29102,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,79.955,21.985,16.39475,14.033
1053608588,OURS,NICOLE,R,DO,F,I,10 E HOSPITAL STREET,HOSPITALIST DEPARTMENT,MANNING,SC,29102,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,3775.52,913.16,710.1812,826.414
1053608588,OURS,NICOLE,R,DO,F,I,10 E HOSPITAL STREET,HOSPITALIST DEPARTMENT,MANNING,SC,29102,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,347.00647059,97.52,72.764313725,57.884509804
1053608588,OURS,NICOLE,R,DO,F,I,10 E HOSPITAL STREET,HOSPITALIST DEPARTMENT,MANNING,SC,29102,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,67.3,30.038181818,23.55,14.685454545
1053608588,OURS,NICOLE,R,DO,F,I,10 E HOSPITAL STREET,HOSPITALIST DEPARTMENT,MANNING,SC,29102,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,51.63,44.583,34.9555,29.873
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,32,98,239,43.059079498,8.32,5.0451464435,5.0451464435
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,33,40,14.418,1.42,0.8385,0.8385
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,37,37,62.339189189,49.884054054,37.246756757,29.444324324
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,24,101.96333333,71.56,56.105,56.105
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,11,24,24,211.255,121.65166667,92.234583333,66.7625
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,65.904761905,45.088571429,35.34952381,26.635238095
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,185.3435,76.452,55.224,39.8545
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,23,23,47.711304348,26.016956522,19.03826087,13.224347826
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,47,188,8.254893617,3.2972340426,2.472712766,1.5989893617
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,23,86.31,22.370434783,16.239565217,12.353478261
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,22.4775,15.134166667,11.275
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,12,73,73,153.12246575,53.457808219,40.374520548,25.533424658
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,91,95,346.08263158,102.896,77.224526316,53.944
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,5589,0.3293845053,0.046677402,0.0285578816,0.0285578816
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,49,74.591836735,44.984693878,33.929183673,28.672040816
1053608646,JONES,EMILY,J,M.D.,F,I,500 W LEOTA ST,SUITE 100,NORTH PLATTE,NE,691016576,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,24,24,41.25,33,20.68625,20.68625
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,24,69,186,51.524784946,8.32,5.6811290323,5.6811290323
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,14.518181818,3.38,2.4090909091,2.4090909091
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,20,35,68,13.363676471,1.42,0.9997058824,0.9997058824
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,17,17,361.2,62.956470588,42.574705882,30.394117647
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,62,83.381774194,23.128870968,17.890483871,14.715967742
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,22,50.497727273,8.9381818182,6.3468181818,3.3763636364
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,24,212.10125,61.09125,45.739583333,26.518333333
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,100,121,471.69355372,105.39008264,80.639173554,56.840495868
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1920,1.1798802083,0.1333125,0.1045260417,0.1045260417
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,12.245151515,3.0228181818,2.3699242424,2.3699242424
1053608885,CALLAHAN,TYLER,J,DO,M,I,200 HOSPITAL AVE STE 3,,JEFFERSON,NC,286409244,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,113.76,33,25.87,25.87
1053608992,CHRISTIANSON,PEGGY,S,APRN,F,I,15397 STATE HIGHWAY 32,,LAKEWOOD,WI,541389702,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.27,11.283333333,11.283333333
1053608992,CHRISTIANSON,PEGGY,S,APRN,F,I,15397 STATE HIGHWAY 32,,LAKEWOOD,WI,541389702,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,69.81,45.608333333,45.608333333
1053609073,NEARY,KAITLIN,C,M.D.,F,I,555 N ARLINGTON AVE,,RENO,NV,895034723,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,100.71428571,22.787142857,17.865,15.587857143
1053609073,NEARY,KAITLIN,C,M.D.,F,I,555 N ARLINGTON AVE,,RENO,NV,895034723,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,25.771818182,8.4790909091,6.6454545455,7.09
1053609107,CARLSON,ANJALEE,G,DO,F,I,20375 W 151ST ST STE 251,,OLATHE,KS,660617253,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,47.458333333,37.208333333,37.19
1053609107,CARLSON,ANJALEE,G,DO,F,I,20375 W 151ST ST STE 251,,OLATHE,KS,660617253,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,321.41,70.48,55.25,54.72
1053609107,CARLSON,ANJALEE,G,DO,F,I,20375 W 151ST ST STE 251,,OLATHE,KS,660617253,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,164.01,39.6,31.05,29.51
1053609248,GELBMANN,DAVID,B,D.P.M.,M,I,1810 W CHICAGO AVE,,CHICAGO,IL,606225512,US,Podiatry,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,1,19,19,19,1200,1033.67,810.4,810.4
1053609248,GELBMANN,DAVID,B,D.P.M.,M,I,1810 W CHICAGO AVE,,CHICAGO,IL,606225512,US,Podiatry,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,1,19,19,38,400,364.4,285.69,285.69
1053609248,GELBMANN,DAVID,B,D.P.M.,M,I,1810 W CHICAGO AVE,,CHICAGO,IL,606225512,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,47,48,83,71.56626506,70.38373494,53.858313253,59.621686747
1053609248,GELBMANN,DAVID,B,D.P.M.,M,I,1810 W CHICAGO AVE,,CHICAGO,IL,606225512,US,Podiatry,S,L1970,"Ankle foot orthosis, plastic with ankle joint, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,13,14,700,671.76,526.66,562.53
1053609248,GELBMANN,DAVID,B,D.P.M.,M,I,1810 W CHICAGO AVE,,CHICAGO,IL,606225512,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,18,19,390,390,305.76,351.48052632
1053609248,GELBMANN,DAVID,B,D.P.M.,M,I,1810 W CHICAGO AVE,,CHICAGO,IL,606225512,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,14,15,150,78.81,61.79,68.659333333
1053609420,MAYES,TYLER,N,OD,M,I,1601 W EVERLY BROTHERS BLVD,,CENTRAL CITY,KY,423302707,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,94.806315789,73.419473684,54.435263158,49.853684211
1053609420,MAYES,TYLER,N,OD,M,I,1601 W EVERLY BROTHERS BLVD,,CENTRAL CITY,KY,423302707,US,Optometry,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,32,48,48,36.4540625,41.518125
1053609560,GONZALEZ,JESSICA,,MD,F,I,1202 S TYLER ST,,COVINGTON,LA,704332330,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,30.323888889,17.177222222,13.464444444,13.533888889
1053609560,GONZALEZ,JESSICA,,MD,F,I,1202 S TYLER ST,,COVINGTON,LA,704332330,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,726.68333333,830.30416667
1053609560,GONZALEZ,JESSICA,,MD,F,I,1202 S TYLER ST,,COVINGTON,LA,704332330,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,157.35294118,73.914117647,57.947058824,54.725294118
1053609644,LAKRA,MANJU,,M.D.,F,I,1011 TIGER BLVD,SUITE 400,CLEMSON,SC,296312915,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,21.108125,12.67375,9.83875
1053609644,LAKRA,MANJU,,M.D.,F,I,1011 TIGER BLVD,SUITE 400,CLEMSON,SC,296312915,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,94.71375,60.196875,41.101875
1053609917,BRUMBAUGH,DAVID,,PA-C,M,I,18652 MCKAY BLVD,,HUMBLE,TX,773385716,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,195.96,16.335,7.88,9.3983333333
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,165,333,333,84.788678679,39.885495495,29.583123123,28.853243243
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,91,186,186,268.12908602,87.388172043,63.461774194,62.745430108
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,68,141,285,106.44452632,33.852526316,24.987649123,24.359824561
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,37,73,288,64.572986111,18.56,13.089340278,13.089340278
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,43,91,408,45.528553922,15.21,11.427598039,11.4
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,102,198,198,176.69787879,53.83,39.570656566,40.181919192
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,173,231,231,54.034155844,18.213722944,13.383463203,13.173246753
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,31.272777778,10.7,8.39,8.15
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,32,32,82.886875,12.21,9.2709375,8.863125
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,180,372,1889,7.7265484383,2.051694018,1.527130757,1.5102435151
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,33,40,40,22.2005,5.96,4.4365,4.42775
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,114,140,140,33.387857143,13.147571429,9.9364285714,9.9727142857
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,,56,56,308.92196429,98.134107143,73.057857143,61.784285714
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,663.09166667,208.75166667,163.66333333,159.885
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,38,38,38,409.20289474,131.77947368,100.42026316,101.73210526
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,36,38,88.245789474,13.136052632,9.4184210526,9.5905263158
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,90,526,533,170.57836773,31.906210131,22.143846154,22.366754221
1053610493,RIAZ,MUHAMMAD,,M.D,M,I,1100 LAS TABLAS RD,,TEMPLETON,CA,934659704,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,266.62857143,65.7,46.604285714,49.441428571
1053610501,BACHIM,BRENT,L,M.D.,M,I,9250 PINECROFT DR # N2.101,,SHENANDOAH,TX,77380,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,28.675714286,3.7814285714,2.9642857143,3.54
1053610774,TSEGA,SURAFEL,,M.D.,M,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.5,16.86,13.22,13.510909091
1053610774,TSEGA,SURAFEL,,M.D.,M,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,287.52857143,77.540952381,60.792857143,55.011904762
1053610774,TSEGA,SURAFEL,,M.D.,M,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,75.404545455,14.689090909,10.36,12.505454545
1053610774,TSEGA,SURAFEL,,M.D.,M,I,1 GUSTAVE L LEVY PL,,NEW YORK,NY,100296504,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,42.077272727,6.6472727273,4.6772727273,5.875
1053610808,JANUSZEWSKI,JACOB,,D.O.,M,I,2222 S HARBOR CITY BLVD STE 610,,MELBOURNE,FL,329015591,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,2627.98,1320.1509091,1035.0009091,900.59090909
1053610865,WHATLEY,JOHN,M,M.D.,M,I,701 PARK AVE,,MINNEAPOLIS,MN,554151623,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,107.5,28.636363636,22.450909091,21.83
1053612101,TAGHECHIAN,SHAYA,,MD,F,I,790 CHURCH ST NE,SUITE 430,MARIETTA,GA,300607282,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,42,5580,0.3648387097,0.13,0.100844086,0.100844086
1053612101,TAGHECHIAN,SHAYA,,MD,F,I,790 CHURCH ST NE,SUITE 430,MARIETTA,GA,300607282,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,23,144,23185,5.2088462368,2.03,1.5721358637,1.5796877291
1053612101,TAGHECHIAN,SHAYA,,MD,F,I,790 CHURCH ST NE,SUITE 430,MARIETTA,GA,300607282,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,2860,10.431678322,7.1,5.504986014,5.605951049
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,32,108,263,62.864486692,8.32,6.2980988593,6.2980988593
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,14.94,3.38,2.65,2.65
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,21,43,67,15.430597015,1.42,1.0985074627,1.0985074627
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,62,7.8706451613,3.2625806452,2.2146774194,1.5430645161
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,88.858421053,21.426842105,16.012105263,13.207894737
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,482.57617021,100.29319149,76.677659574,54.713829787
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.325461538,8.6952564103,8.6952564103
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,868,1.2635599078,0.1323041475,0.091140553,0.091140553
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.0074615385,2.3578717949,2.3578717949
1053612325,WEEKS,WOODWIN,M,D.O.,M,I,9 HOSPITAL PARK,,MOULTRIE,GA,317686772,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,104.5,33,24.432777778,24.432777778
1053613000,VARCHO,MEGAN,K,ARNP,F,I,3319 SPRING ST,202,DAVENPORT,IA,528072125,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,1800,0.39,0.13,0.0843722222,0.0843722222
1053613000,VARCHO,MEGAN,K,ARNP,F,I,3319 SPRING ST,202,DAVENPORT,IA,528072125,US,Nurse Practitioner,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,14,14,29,13.8,4.9478571429,4.9478571429
1053613000,VARCHO,MEGAN,K,ARNP,F,I,3319 SPRING ST,202,DAVENPORT,IA,528072125,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,35,3930,3.6347506361,2.04,1.5210534351,1.5210534351
1053613000,VARCHO,MEGAN,K,ARNP,F,I,3319 SPRING ST,202,DAVENPORT,IA,528072125,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,24,24,15.656666667,10.19,6.3245833333,6.9166666667
1053613000,VARCHO,MEGAN,K,ARNP,F,I,3319 SPRING ST,202,DAVENPORT,IA,528072125,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,13,19,11,6.5757894737,3.0626315789,3.8489473684
1053614537,HAYS,TONI,J,PA-C,F,I,4248 MONTERA PL NW,,ALBUQUERQUE,NM,87114,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,667,275,5.34,4.1864467766,4.1643028486
1053614537,HAYS,TONI,J,PA-C,F,I,4248 MONTERA PL NW,,ALBUQUERQUE,NM,87114,US,Physician Assistant,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,8138,3.3369304497,0.3,0.2352002949,0.242403539
1053614636,LEE,NICOLINE,V,M.D.,F,I,18220 STATE HIGHWAY 249,SUITE 400,HOUSTON,TX,770704347,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,19,58,68.155344828,8.32,6.2968965517,6.2968965517
1053615716,POLANCO ZACARIAS,FRANCISCO,A,MD,M,I,1325 SPRING ST,,GREENWOOD,SC,296463860,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,21,73.73047619,24.377142857,19.109047619,15.536666667
1053615716,POLANCO ZACARIAS,FRANCISCO,A,MD,M,I,1325 SPRING ST,,GREENWOOD,SC,296463860,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,80,59.855,43.488333333,34.494166667
1053615716,POLANCO ZACARIAS,FRANCISCO,A,MD,M,I,1325 SPRING ST,,GREENWOOD,SC,296463860,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,24,438.61125,113.92333333,89.32,66.5425
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,19,47,196,52.308826531,8.32,6.0894387755,6.0894387755
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,12,31,31,15.161290323,3.38,2.564516129,2.564516129
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,25.01,2.12,1.67,1.67
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,17,40,91,15.185164835,1.42,1.1016483516,1.1016483516
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,35,35,155.60342857,45.658571429,33.805714286,34.204857143
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,157.72,17.63,12.668333333,12.4025
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,469.63314286,85.476,63.587714286,57.530571429
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,114.308,28.127,18.85,17.631
1053616268,EBUNE,CATHERINE,N,ANP,F,I,3149 I-30,SUITE A,MESQUITE,TX,751502790,US,Nurse Practitioner,S,K0814,"Power wheelchair, group 1 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,450,120.85272727,90.75,89.818181818
1053616409,BUSH,MICHAEL,S,PA-C,M,I,801 MIDDLEFORD RD,,SEAFORD,DE,199733636,US,Physician Assistant,S,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,81.626363636,52.552727273,33.659090909,34.103636364
1053616409,BUSH,MICHAEL,S,PA-C,M,I,801 MIDDLEFORD RD,,SEAFORD,DE,199733636,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,22.484375,4.986875,2.8296875,2.42375
1053616409,BUSH,MICHAEL,S,PA-C,M,I,801 MIDDLEFORD RD,,SEAFORD,DE,199733636,US,Physician Assistant,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,191.42416667,120.62,94.57,89.2525
1053616631,FOX-MELLUL,JODI,V,MD,F,I,34 COLSON LN,,MULLICA HILL,NJ,080621502,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,20,255,44.98,19.646784314,14.840117647,14.840117647
1053616631,FOX-MELLUL,JODI,V,MD,F,I,34 COLSON LN,,MULLICA HILL,NJ,080621502,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,540,5.7394444444,2.6355555556,2.0661851852,2.0661851852
1053616631,FOX-MELLUL,JODI,V,MD,F,I,34 COLSON LN,,MULLICA HILL,NJ,080621502,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,48,101,325,66.703292308,8.32,5.8528307692,5.8528307692
1053616631,FOX-MELLUL,JODI,V,MD,F,I,34 COLSON LN,,MULLICA HILL,NJ,080621502,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,23,30,59,82,12.10402439,1.42,1.0752439024,1.0752439024
1053616631,FOX-MELLUL,JODI,V,MD,F,I,34 COLSON LN,,MULLICA HILL,NJ,080621502,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,,38,38,494.64289474,251.11,196.87,196.87
1053617290,DARISETTY,SRIRAM,,M.D.,M,I,5000 W CHAMBERS ST,,MILWAUKEE,WI,532101650,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,172.10333333,17.5,13.148333333,12.975833333
1053617290,DARISETTY,SRIRAM,,M.D.,M,I,5000 W CHAMBERS ST,,MILWAUKEE,WI,532101650,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,24,456.50333333,79.98,62.487083333,54.5075
1053617837,SEEMAB,FARZANA,,MD,F,I,800 HOOPER RD,,ENDICOTT,NY,137601560,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,22,52,90,84.474111111,8.32,5.9571111111,5.9571111111
1053617837,SEEMAB,FARZANA,,MD,F,I,800 HOOPER RD,,ENDICOTT,NY,137601560,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,16,16,14.45125,1.42,0.98,0.98
1053617837,SEEMAB,FARZANA,,MD,F,I,800 HOOPER RD,,ENDICOTT,NY,137601560,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,27,400,67.72,49.166666667,50.767407407
1053617837,SEEMAB,FARZANA,,MD,F,I,800 HOOPER RD,,ENDICOTT,NY,137601560,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,26,56.95,38.72,28.925384615,28.117692308
1053618074,GOFF,LAURA,R,NP,F,I,406 N WHITNEY AVE STE 3,,COOKEVILLE,TN,38501,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,40,90,224,1131,64.739982317,8.32,5.9883023873,5.9883023873
1053618074,GOFF,LAURA,R,NP,F,I,406 N WHITNEY AVE STE 3,,COOKEVILLE,TN,38501,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,24,38,102,36.90627451,1.42,1.0259803922,1.0259803922
1053618074,GOFF,LAURA,R,NP,F,I,406 N WHITNEY AVE STE 3,,COOKEVILLE,TN,38501,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1640,16.375396341,10.728878049,8.3723902439,8.3723902439
1053618355,STEWART,JENNIFER,,NP,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,4980,5.3909638554,1.89,1.4302028112,1.5350522088
1053618413,SORREL,LISA,H,N.P.,F,I,11323 CHURCH ST,,CLINTON,LA,70722,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,98,53.70122449,8.32,6.5232653061,6.5232653061
1053618413,SORREL,LISA,H,N.P.,F,I,11323 CHURCH ST,,CLINTON,LA,70722,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1151,942.14,737.89272727,841.51363636
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,37,61,4480,0.18375,0.1197321429,0.0930491071,0.0930491071
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,193,39.825181347,23.66,18.549274611,18.549274611
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,25,52,1581,12.03626186,8.28,6.4725237192,6.4725237192
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,30,35,481,11.542286902,8.41,6.4745322245,6.4745322245
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,35,49,756,15.25984127,10.93,8.4638624339,8.4638624339
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,29,35,873,1.3267010309,1.08,0.8466666667,0.8466666667
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,26,996,2.6268072289,2.4,1.8816566265,1.8816566265
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,22,780,4.2290384615,3.67,2.8773333333,2.8773333333
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,67,110,10039,0.1783723478,0.13,0.1018298635,0.1018298635
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,32,55,5785,0.664988764,0.4492999136,0.3522627485,0.3526724287
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,12,16,240,59.48875,25.235,19.784166667,19.304375
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,12,16,155,37.171612903,9.0419354839,7.0887096774,6.4744516129
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,199,66.876666667,49.585,35.883888889
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,765.2573913,257.1073913,201.57130435,129.75130435
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,6.5954545455,5.1690909091,3.6854545455
1053618710,COMER,RICHARD,,FNP-C,M,I,529 S FOURTH ST,,BALDWYN,MS,388242114,US,Nurse Practitioner,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,12,22,22,4212,1009.2254545,791.23363636,526.79181818
1053619437,PAYETTE,NICOLE,,PA-C,F,I,3310 FALL HILL AVE,,FREDERICKSBURG,VA,224013000,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55.93,16.536363636,12.961818182,13.496363636
1053619437,PAYETTE,NICOLE,,PA-C,F,I,3310 FALL HILL AVE,,FREDERICKSBURG,VA,224013000,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,17.91,7.9636363636,6.2436363636,6.3463636364
1053619460,EPPS,TRACY,H,A.P.N.,F,I,1101 NEAL ST,,COOKEVILLE,TN,385010901,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,142.74,67.274166667,52.745833333,39.193333333
1053619460,EPPS,TRACY,H,A.P.N.,F,I,1101 NEAL ST,,COOKEVILLE,TN,385010901,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,18.16,10.500833333,8.2375,6.86
1053619676,RADOVIC,ALEKSANDAR,,MD,M,I,635 N DEARBORN ST STE 100,,CHICAGO,IL,606544618,US,Physician/Emergency Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,69,69,69,1577.3682609,1251.9891304,973.3942029,881.21985507
1053619676,RADOVIC,ALEKSANDAR,,MD,M,I,635 N DEARBORN ST STE 100,,CHICAGO,IL,606544618,US,Physician/Emergency Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,17,27,30,1032.715,668.52,524.12,480.629
1053619676,RADOVIC,ALEKSANDAR,,MD,M,I,635 N DEARBORN ST STE 100,,CHICAGO,IL,606544618,US,Physician/Emergency Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,17,28,28,1225.2925,870.85,682.75,677.69
1053619676,RADOVIC,ALEKSANDAR,,MD,M,I,635 N DEARBORN ST STE 100,,CHICAGO,IL,606544618,US,Physician/Emergency Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,34,56,59,151.36711864,118.47,92.88,88.849491525
1053619676,RADOVIC,ALEKSANDAR,,MD,M,I,635 N DEARBORN ST STE 100,,CHICAGO,IL,606544618,US,Physician/Emergency Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,22,538.11409091,468.51545455,367.31590909,365.38863636
1053619676,RADOVIC,ALEKSANDAR,,MD,M,I,635 N DEARBORN ST STE 100,,CHICAGO,IL,606544618,US,Physician/Emergency Medicine,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,20,20,20,842.0905,704.5,548.709,564.909
1053619908,MCLIN,LEAH,A,FNP,F,I,1826 N MAIN AVE,,ERWIN,TN,376508932,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,49,60.605306122,8.32,3.4610204082,3.4610204082
1053619908,MCLIN,LEAH,A,FNP,F,I,1826 N MAIN AVE,,ERWIN,TN,376508932,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,16,79.4775,18.79,12.863125,11.84125
1053619908,MCLIN,LEAH,A,FNP,F,I,1826 N MAIN AVE,,ERWIN,TN,376508932,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,18.11,4.3785714286,2.2533333333,2.2533333333
1053619908,MCLIN,LEAH,A,FNP,F,I,1826 N MAIN AVE,,ERWIN,TN,376508932,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,25,26,468.30615385,75.557692308,48.332307692,44.258461538
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,40,122,47.310409836,8.32,6.0942622951,6.0942622951
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,26,53,12.308301887,1.42,1.03,1.03
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,44,44,70.5,28.031590909,20.506363636,20.827727273
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,45,45,30.57,10.017555556,7.3286666667,7.9637777778
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,64,22.253636364,16.089090909,14.489090909
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,11.746666667,9.205,4.6775
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,410,86.449,64.787,60.049
1053620013,CHUDEJ,ERIC,J,MD,M,I,401 MEADOW DR,,WEST,TX,766911033,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,28,100.51571429,22.628571429,17.272142857,17.151785714
1053620278,DOBBINS,ANGELA,M,PA-C,F,I,1016 N VIRGINIA ST,,PORT LAVACA,TX,779793000,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,36,51.248611111,8.32,6.5205555556,6.5205555556
1053620278,DOBBINS,ANGELA,M,PA-C,F,I,1016 N VIRGINIA ST,,PORT LAVACA,TX,779793000,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,33.23,3.6981818182,2.5545454545,3.1581818182
1053621045,MACHADO,KERRY-ANNE,S,,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,347111979,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,53.231428571,16.912380952,12.652380952,12.947142857
1053621045,MACHADO,KERRY-ANNE,S,,F,I,1900 DON WICKHAM DR,,CLERMONT,FL,347111979,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,305.57428571,78.861904762,58.866666667,52.447619048
1053621078,LEVINE,MATHEW,,D.O.,M,I,1100 NORTHSIDE FORSYTH DR,SUITE 340,CUMMING,GA,300416012,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,132.89571429,47.935714286,37.58,36.602142857
1053621078,LEVINE,MATHEW,,D.O.,M,I,1100 NORTHSIDE FORSYTH DR,SUITE 340,CUMMING,GA,300416012,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,48,48,49,140,117.67,86.883265306,97.17122449
1053622167,WALLER,HOLLI,D,D.O.,F,I,3700 SOUTH MAIN STREET,,BLACKSBURG,VA,24060,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,1360,0.55,0.44,0.3449852941,0.3449852941
1053622167,WALLER,HOLLI,D,D.O.,F,I,3700 SOUTH MAIN STREET,,BLACKSBURG,VA,24060,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,12,512,4.489296875,3.67,2.8773242188,2.8773242188
1053622167,WALLER,HOLLI,D,D.O.,F,I,3700 SOUTH MAIN STREET,,BLACKSBURG,VA,24060,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,22,3620,0.1583425414,0.1287569061,0.0986160221,0.0995911602
1053622167,WALLER,HOLLI,D,D.O.,F,I,3700 SOUTH MAIN STREET,,BLACKSBURG,VA,24060,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,15,1508,0.5646750663,0.45,0.3527984085,0.3527984085
1053622167,WALLER,HOLLI,D,D.O.,F,I,3700 SOUTH MAIN STREET,,BLACKSBURG,VA,24060,US,Physician/Family Practice,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,13,150,27.42,24.127,18.915466667,19.176466667
1053622167,WALLER,HOLLI,D,D.O.,F,I,3700 SOUTH MAIN STREET,,BLACKSBURG,VA,24060,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,120,9.1,8.22,6.444,6.43075
1053622167,WALLER,HOLLI,D,D.O.,F,I,3700 SOUTH MAIN STREET,,BLACKSBURG,VA,24060,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,1716.46,638.26714286,500.40214286,476.79642857
1053622183,LIBERATORE,ANTHONY,,MD,M,I,2150 SE SALERNO RD,,STUART,FL,34997,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,41,92,424,75.537688679,8.32,5.8710377358,5.8710377358
1053622183,LIBERATORE,ANTHONY,,MD,M,I,2150 SE SALERNO RD,,STUART,FL,34997,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,14.371764706,3.38,2.65,2.65
1053622183,LIBERATORE,ANTHONY,,MD,M,I,2150 SE SALERNO RD,,STUART,FL,34997,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,22,47,109,15.47440367,1.42,1.0925688073,1.0925688073
1053622290,WALKER,HOLLIS,W,M.D.,M,I,177 E BRUSH HILL RD,,ELMHURST,IL,601265658,US,Physician/Hematology-Oncology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,15,4.1,3.21,3.21
1053622290,WALKER,HOLLIS,W,M.D.,M,I,177 E BRUSH HILL RD,,ELMHURST,IL,601265658,US,Physician/Hematology-Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,3.58,2.91,2.28125,2.28125
1053622290,WALKER,HOLLIS,W,M.D.,M,I,177 E BRUSH HILL RD,,ELMHURST,IL,601265658,US,Physician/Hematology-Oncology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,10.325,6.44,5.045,5.045
1053622290,WALKER,HOLLIS,W,M.D.,M,I,177 E BRUSH HILL RD,,ELMHURST,IL,601265658,US,Physician/Hematology-Oncology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,8.531,5.54,4.3435,4.3435
1053622290,WALKER,HOLLIS,W,M.D.,M,I,177 E BRUSH HILL RD,,ELMHURST,IL,601265658,US,Physician/Hematology-Oncology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,600,0.78,0.27,0.2116,0.2116
1053622290,WALKER,HOLLIS,W,M.D.,M,I,177 E BRUSH HILL RD,,ELMHURST,IL,601265658,US,Physician/Hematology-Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.378,3.04,2.3835,2.3835
1053622290,WALKER,HOLLIS,W,M.D.,M,I,177 E BRUSH HILL RD,,ELMHURST,IL,601265658,US,Physician/Hematology-Oncology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,300,0.9,0.26,0.204,0.2109666667
1053622399,KEBEDE,MIKIAS,A,,M,I,501 E HAMPDEN AVE,,ENGLEWOOD,CO,801132702,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,48,17.636,13.1595,12.924
1053622399,KEBEDE,MIKIAS,A,,M,I,501 E HAMPDEN AVE,,ENGLEWOOD,CO,801132702,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,23.975,5.25375,3.921875,3.39625
1053622399,KEBEDE,MIKIAS,A,,M,I,501 E HAMPDEN AVE,,ENGLEWOOD,CO,801132702,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,276.06636364,77.752727273,58.169545455,53.022272727
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,25,25,25,119.64,55.2696,43.3316,38.2736
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,115,60.685384615,47.575384615,40.643076923
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,151.38888889,50.052222222,32.788333333,33.166111111
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,4.82,3.1546666667,3.0046666667
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,59,115,7.5,3.1086956522,2.278173913,2.1167826087
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,5.5,2.5585185185,1.9381481481,1.7548148148
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,19,90,90,105,34.043888889,25.168,20.925777778
1053622407,ARTHUR,DONALD,J,"M.D., MSC, MBA",M,I,939 W MARKET ST,SUITE 1,LIMA,OH,458052738,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,25,8.7625,6.1985714286,6.24
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,7,,18,223,69.696098655,19.655784753,14.766726457,14.766726457
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,,16,500,8.35484,2.6328,2.06404,2.06404
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,61,77,200,953,66.363473242,8.32,5.9768310598,5.9768310598
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,15,30,30,14.92,3.38,2.65,2.65
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,15,25.401333333,2.12,1.67,1.67
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,40,82,199,14.743366834,1.42,1.0852261307,1.0852261307
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,320,477.25,268.376125,209.95734375,209.95734375
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,320,203.94,9.3478125,7.32828125,7.32828125
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,47,320,652.88575,29.213,22.90309375,22.90309375
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,694.61142857,349.04142857,268.36809524,268.36809524
1053622449,DODELL,GREGORY,B,M.D.,M,I,115 CENTRAL PARK WEST,SUITE 14,NEW YORK CITY,NY,100234198,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,42,44,503.46204545,250.92386364,196.31545455,196.46068182
1053622498,MATHIS,TAYLOR,P,MD,M,I,1211 S GLOSTER ST,SUITE A,TUPELO,MS,38801,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,223.07,68.636666667,53.813333333,40.1725
1053622498,MATHIS,TAYLOR,P,MD,M,I,1211 S GLOSTER ST,SUITE A,TUPELO,MS,38801,US,Physician/Orthopedic Surgery,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,12.4545,8.296,4.805,3.7595
1053622498,MATHIS,TAYLOR,P,MD,M,I,1211 S GLOSTER ST,SUITE A,TUPELO,MS,38801,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,63.38,26.673636364,15.85,10.407272727
1053622498,MATHIS,TAYLOR,P,MD,M,I,1211 S GLOSTER ST,SUITE A,TUPELO,MS,38801,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,16,16,874.636875,735.65,576.75,516.66875
1053622498,MATHIS,TAYLOR,P,MD,M,I,1211 S GLOSTER ST,SUITE A,TUPELO,MS,38801,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,65,53.2,41.71,44.240909091
1053622498,MATHIS,TAYLOR,P,MD,M,I,1211 S GLOSTER ST,SUITE A,TUPELO,MS,38801,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,300,266.98,209.31,212.99461538
1053622704,HAGLUND,JENNIFER,W,MD,F,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,661608500,US,Physician/Gastroenterology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,1206,3.0399834163,0.6141625207,0.4686484245,0.4700829187
1053622704,HAGLUND,JENNIFER,W,MD,F,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,661608500,US,Physician/Gastroenterology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,24,24,16.885333333,16.885333333
1053622704,HAGLUND,JENNIFER,W,MD,F,I,3901 RAINBOW BLVD,,KANSAS CITY,KS,661608500,US,Physician/Gastroenterology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,16,16,11.644285714,11.644285714
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,64,161,47.52136646,8.32,4.8950931677,4.8950931677
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,33,16.192424242,1.42,0.98,0.98
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,53,82.272641509,26.537169811,19.270188679,13.044528302
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,195.324,76.452,59.938,42.86
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,63.192,23.072,18.084,14.06
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,106,12.093962264,3.1090566038,2.4378301887,1.5932075472
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,67.014166667,22.4775,15.134166667,11.275
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,29.678181818,7.5412121212,4.9566666667,2.7303030303
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,186.279375,43.140625,31.131875,23.17
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,97,105,449.95542857,99.926666667,74.384571429,53.009904762
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,2700,0.17,0.047862963,0.0283074074,0.0283074074
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,250.939375,250.939375,187.76875,187.9025
1053623066,PATOKA,MATTHEW,,M.D.,M,I,8970 MARKET ST,,DOVER,AR,728379110,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,120.35294118,33,21.304705882,21.304705882
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,38,83,229,69.76580786,8.312139738,5.7750218341,5.7750218341
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,17,36,47,13.450638298,1.42,0.9729787234,0.9729787234
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,9.89,7.97,6.25,6.5
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,302,7.5122516556,5.6446357616,4.4251986755,4.5
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10.898,9.86,7.73,7.73
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,370,5.2791891892,3.9645945946,3.1083783784,3.1548648649
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,425,0.8228235294,0.26,0.204,0.2111529412
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,52,16.684423077,2.03,1.3467307692,1.3467307692
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,66,17.27,13.54,13.54
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,51,51,37.639019608,5.337254902,3.8809803922,3.2988235294
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,202.77,44.766363636,22.050909091,21.599090909
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,48,407.78854167,69.81,54.73,54.73
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,201.99076923,36.14,28.33,29.419230769
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1680,0.9495178571,0.1326428571,0.0845178571,0.0845178571
1053623330,HOLSCHBACH,JUSTIN,J,M.D.,M,I,308 SAINT JOSEPH DR,,BLOOMINGTON,IL,617013506,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,19,19,108,33,20.423684211,20.423684211
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,21,21,102.93285714,36.58,28.015238095,29.748095238
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,237.15272727,82,64.29,67.517272727
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,148.75583333,55,43.12,42.881666667
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,53.230769231,17,13.33,14.003846154
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,22,118,5.6488135593,2,1.5683050847,1.5894915254
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,3311.5511111,1074.31,842.26,842.26
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,438.08954545,80.844090909,63.375909091,64.296818182
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1230.62,972.195,753.16666667,753.16666667
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,20,76.934,12.909,10.119,10.444
1053623512,AMALAKUHAN,BRAVEIN,,M.D.,M,I,21 SPURS LN,STE 230B,SAN ANTONIO,TX,782401669,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,53,55,111.74545455,34.545454545,27.083636364,26.921454545
1053623538,CORREA MARQUEZ,RICARDO,R,M.D,M,I,900 WARREN AVENUE,SUITE 300,EAST PROVIDENCE,RI,02914,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,21,91,76.876703297,8.32,6.5224175824,6.5224175824
1053623553,PAZ,KATHLEEN,G,M.D.,F,I,6912 FM 1488 RD,STE A,MAGNOLIA,TX,773541527,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,65,75.302153846,8.32,4.4396923077,4.4396923077
1053623553,PAZ,KATHLEEN,G,M.D.,F,I,6912 FM 1488 RD,STE A,MAGNOLIA,TX,773541527,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,34.303333333,26.899166667,26.641666667
1053623876,TAFA,MULETA,D,M.D.,M,I,1025 MARSH ST,,MANKATO,MN,560014752,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,58.75,19.551875,15.32875,13.53
1053623876,TAFA,MULETA,D,M.D.,M,I,1025 MARSH ST,,MANKATO,MN,560014752,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20,4.7,3.3781818182,3.3781818182
1053623876,TAFA,MULETA,D,M.D.,M,I,1025 MARSH ST,,MANKATO,MN,560014752,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,373.33333333,77.98625,59.64,53.230416667
1053623959,CHU,TERENCE,,M.D.,M,I,500 N COLUMBIA RIVER HWY STE 6,,SAINT HELENS,OR,97051,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,38,128,71.65734375,8.32,5.860234375,5.860234375
1053623959,CHU,TERENCE,,M.D.,M,I,500 N COLUMBIA RIVER HWY STE 6,,SAINT HELENS,OR,97051,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,28,15.916071429,1.42,0.995,0.995
1053623959,CHU,TERENCE,,M.D.,M,I,500 N COLUMBIA RIVER HWY STE 6,,SAINT HELENS,OR,97051,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,19,618.45947368,77.18,60.51,55.634210526
1053623959,CHU,TERENCE,,M.D.,M,I,500 N COLUMBIA RIVER HWY STE 6,,SAINT HELENS,OR,97051,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,210,40,31.36,29.846363636
1053624189,JAIN,PRAGYA,,M.D.,F,I,"1301 SHOREWAY RD., STE. 100",,BELMONT,CA,94002,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,36,70,75.251857143,8.32,5.4044285714,5.4044285714
1053624221,CARSON,ELIZABETH,D,M.D.,F,I,4111 LITTLE RD,,TRINITY,FL,346551743,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,22,82,73.333902439,8.32,5.8863414634,5.8863414634
1053624221,CARSON,ELIZABETH,D,M.D.,F,I,4111 LITTLE RD,,TRINITY,FL,346551743,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,1889,1.3419428269,0.1348808894,0.0985283219,0.0985283219
1053624221,CARSON,ELIZABETH,D,M.D.,F,I,4111 LITTLE RD,,TRINITY,FL,346551743,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,124.92857143,33,23.84,23.84
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,48,123,45.789674797,8.32,5.7798373984,5.7798373984
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,15,3.38,2.4607142857,2.4607142857
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,13,23,41,13.376341463,1.42,1.0592682927,1.0592682927
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,30,7.844,2.103,1.5666666667,1.074
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,24.912,8.536,6.4486666667,3.6026666667
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,36,519.51,102.61833333,76.490555556,56.670833333
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,33,6156,0.2202501624,0.046219948,0.0330945419,0.0330945419
1053624296,GILLHAM,JOSEPH,E,M.D.,M,I,921 S LONG DR STE 101,,ROCKINGHAM,NC,283794874,US,Hospitalist,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,36,101.97222222,33,24.853611111,24.853611111
1053624437,HUYNH,SUSAN,,DO,F,I,1441 N BECKLEY AVE,,DALLAS,TX,752031201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,63,17.63,17.63,13.161904762,12.894920635
1053624437,HUYNH,SUSAN,,DO,F,I,1441 N BECKLEY AVE,,DALLAS,TX,752031201,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,2858.8985366,1074.31,840.86365854,840.86365854
1053624437,HUYNH,SUSAN,,DO,F,I,1441 N BECKLEY AVE,,DALLAS,TX,752031201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,63,63,76.48,76.48,57.104761905,52.280634921
1053624866,KACHNER,JOSHUA,H,M.D.,M,I,27203 216TH AVE SE STE D,,MAPLE VALLEY,WA,98038,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,18,47,122,61.632622951,8.32,6.0704918033,6.0704918033
1053624866,KACHNER,JOSHUA,H,M.D.,M,I,27203 216TH AVE SE STE D,,MAPLE VALLEY,WA,98038,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,19,25,11.9656,1.42,1.0728,1.0728
1053625632,PALOPOLI,JASON,,M.D.,M,I,4701 OGLETOWN STANTON RD,STE 2400,NEWARK,DE,197137013,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,,23,1682,37.911307967,4.6838882283,3.6721640904,3.6721640904
1053625632,PALOPOLI,JASON,,M.D.,M,I,4701 OGLETOWN STANTON RD,STE 2400,NEWARK,DE,197137013,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,4,,13,3039,7.1268377756,0.9279894702,0.727538664,0.727538664
1053625632,PALOPOLI,JASON,,M.D.,M,I,4701 OGLETOWN STANTON RD,STE 2400,NEWARK,DE,197137013,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,22,22,25.409090909,24,18.82,18.82
1053625632,PALOPOLI,JASON,,M.D.,M,I,4701 OGLETOWN STANTON RD,STE 2400,NEWARK,DE,197137013,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,27.833333333,16,12.54,12.54
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,16,44,111,59.826846847,8.32,5.9942342342,5.9942342342
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,20,39,14.214358974,1.42,1.0846153846,1.0846153846
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,46.857142857,21.731714286,17.036571429,13.741714286
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,108.725,61.481428571,45.253571429,34.942142857
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,35,16.735333333,11.13,8.6353333333
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,30,6.3592307692,4.7061538462,3.12
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,104,47.216842105,32.482631579,21.432631579
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,132,137,260.65693431,101.98569343,77.054744526,53.930729927
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,20,106,44.583,34.9555,31.4705
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1170,1.3017863248,0.1381025641,0.098957265,0.098957265
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,86.666666667,47.26,34.706428571,27.918333333
1053625798,FOURNIER,JULIE,A,NP-C,F,I,255 SW 8TH AVE,SURFACE CREEK FAMILY PRACTICE,CEDAREDGE,CO,81413,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,58.428571429,33,22.174285714,22.174285714
1053626242,AL-SAYYED,LEEN,H,M.D.,F,I,2301 HOLMES ST,,KANSAS CITY,MO,64108,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,2910,4.8525670103,0.5583608247,0.4377560137,0.4377560137
1053626242,AL-SAYYED,LEEN,H,M.D.,F,I,2301 HOLMES ST,,KANSAS CITY,MO,64108,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,24,2700,4.617162963,2.8391111111,2.2258703704,2.2258703704
1053626242,AL-SAYYED,LEEN,H,M.D.,F,I,2301 HOLMES ST,,KANSAS CITY,MO,64108,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,24,24,18.82,18.82
1053626242,AL-SAYYED,LEEN,H,M.D.,F,I,2301 HOLMES ST,,KANSAS CITY,MO,64108,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,29,16,16,12.542758621,12.542758621
1053626564,KAPLAN,ELIZABETH,J,PA-C,F,I,1340 NW WALL ST,,BEND,OR,977011985,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,441.37545455,65.7,44.371818182,47.665454545
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,21,42,8.0771428571,1.51,1.1285714286,1.1014285714
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,56.149032258,17.27,12.802258065,12.802258065
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,59,427.03898305,68.78,49.900847458,50.633728814
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1680,15.58,9.57525,7.4536964286,7.4536964286
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,3150,0.17,0.046768254,0.0348952381,0.0348952381
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1800,1.0982166667,0.1312666667,0.1029388889,0.1029388889
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,12.86,3.0590869565,2.3983478261,2.3983478261
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,1545,0.75,0.2191003236,0.1717475728,0.1717475728
1053626622,LYON,JERRY,M,FNP-BC,M,I,5000 BRIARWOOD AVE STE 203,,MIDLAND,TX,79707,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,62,62,130.40322581,33,25.452741935,25.452741935
1053626648,EARLEY,ALICIA,M,FNP,F,I,1107 E BELL RD STE 4,,PHOENIX,AZ,850222692,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,38.708571429,4.8142857143,2.3285714286,2.210952381
1053626648,EARLEY,ALICIA,M,FNP,F,I,1107 E BELL RD STE 4,,PHOENIX,AZ,850222692,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,29.63,9.18,6.5363636364,6.9145454545
1053627570,ALHAJI,MOHAMMAD,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,48.544545455,38.062727273,37.268181818
1053627570,ALHAJI,MOHAMMAD,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,45.4025,17.27,12.411666667,12.411666667
1053627570,ALHAJI,MOHAMMAD,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,272.66,69.81,50.169166667,50.169166667
1053627570,ALHAJI,MOHAMMAD,,MD,M,I,1901 W HARRISON ST,,CHICAGO,IL,606123714,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,100,17.213636364,13.490909091,13.856363636
1053628198,SUBRAMANIAM,RAJARATHINAM,,M.D,M,I,4550 CALIFORNIA AVE,SUIT 500,BAKERSFIELD,CA,933097020,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,16.96,13.3,13.54
1053628198,SUBRAMANIAM,RAJARATHINAM,,M.D,M,I,4550 CALIFORNIA AVE,SUIT 500,BAKERSFIELD,CA,933097020,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,360,71,55.66,54.73
1053628271,SMITH,MARK,T,O.D.,M,I,592 MAIN ST N,,MC KENZIE,TN,382011707,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,76.686111111,76.686111111,60.116666667,53.262222222
1053628784,MARTINS,JESSICA,V,PA-C,F,I,160 HAWLEY LN STE 2,,TRUMBULL,CT,066115387,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,3324,4.2845848375,2.04,1.1690162455,1.1690162455
1053628925,KRINGS,CATHERINE,L,"MSN,FNP",F,I,13945 W GRAND AVE STE A-105,,SURPRISE,AZ,853742437,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,20,65,57.793846154,8.32,6.3215384615,6.3215384615
1053628925,KRINGS,CATHERINE,L,"MSN,FNP",F,I,13945 W GRAND AVE STE A-105,,SURPRISE,AZ,853742437,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,26,13.179230769,1.42,1.1138461538,1.1138461538
1053629378,BUENAVISTA,HAZEL,R,M.D.,F,I,2146 45TH RD,,LONG ISLAND CITY,NY,111014707,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1080,2.052,1.73,1.2433055556,1.4711203704
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5321,"Above knee, molded socket, open end, sach foot, endoskeletal system, single axis knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,5277.3836364,5229.84,4100.19,2768.15
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5624,"Addition to lower extremity, test socket, above knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,539.51916667,535.06,419.49,306.19
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5631,"Addition to lower extremity, above knee or knee disarticulation, acrylic socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,682.64,676.49,530.37,370.06
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5649,"Addition to lower extremity, ischial containment/narrow m-l socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,1515.8475,1503.32,1178.61,1603.55
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5650,"Additions to lower extremity, total contact, above knee or knee disarticulation socket",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,1061.0891667,1052.32,825.02,411.16
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5671,"Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,915.46285714,908.97,712.64,418.93
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5673,"Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,28,604.43714286,600.15,470.52,562.785
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5705,"Custom shaped protective cover, above knee",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,1151.5645455,1141.19,894.69,782.36
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5812,"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,714.07,714.07,559.83,476.12
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5920,"Addition, endoskeletal system, above knee or hip disarticulation, alignable system",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,1364.255,1352.98,1060.73,446.88
1053629428,TORRES,RUBEN,Y,MD,M,I,AVE HOSTOS # 770,,MAYAGUEZ,PR,006826353,US,Physician/Physical Medicine and Rehabilitation,S,L5950,"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,986.05363636,977.17,766.11,655.27
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,278.24916667,86.33,54.870833333,55.0375
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,20,92.9915,33.48,24.93,24.633
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,31,57.496774194,15.12,10.212580645,10.246451613
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,14,14,49.91,17.88,10.007142857,10.06
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,19,19,60.126315789,11.54,7.1447368421,7.2173684211
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,34,84,7.9561904762,2.01,1.4285714286,1.440952381
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,30.57,17.29,12.938333333,12.92
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,185.45454545,34.107272727,19.513636364,19.183636364
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,335.72173913,75.991304348,54.789130435,54.596956522
1053629535,SARDINA,JONATHAN,M,D.O.,M,I,100 BREWSTER BLVD,NAVAL HOSPITAL,CAMP LEJEUNE,NC,285472538,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,151.58181818,41.168181818,29.224545455,29.286363636
1053629881,KHANNA,SAMRAT,U,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,14,15,15,90,38.89,30.49,30.49
1053629881,KHANNA,SAMRAT,U,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,282.72727273,86.53,67.84,67.84
1053629881,KHANNA,SAMRAT,U,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,55,17.97,14.09,14.07
1053629881,KHANNA,SAMRAT,U,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,395,133.02,104.29,104.7
1053629881,KHANNA,SAMRAT,U,MD,M,I,500 N WALL ST STE C400,,KANKAKEE,IL,609012942,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,11,27,27,200,41.11,32.23,31.239259259
1053629972,HASAN,NAZIA,,MD,F,I,51 DEAK DR,,SMYRNA,DE,199771268,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,24,89,64.736629213,8.32,6.3756179775,6.3756179775
1053629972,HASAN,NAZIA,,MD,F,I,51 DEAK DR,,SMYRNA,DE,199771268,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,34,14.783235294,1.42,1.0494117647,1.0494117647
1053629972,HASAN,NAZIA,,MD,F,I,51 DEAK DR,,SMYRNA,DE,199771268,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,175,43.6,28.921538462,30.011538462
1053629972,HASAN,NAZIA,,MD,F,I,51 DEAK DR,,SMYRNA,DE,199771268,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,28.437692308,4.2523076923,2.8607692308,3.1507692308
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,20,35,35,165.65714286,41.378,29.684571429,28.241142857
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,512.83842105,83.47,58.551578947,60.896842105
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,43,191.54302326,31.41,22.906046512,24.222093023
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,11,21,103,110.64660194,17.467184466,12.646504854,13.462330097
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,19,35,35,298.718,53.793142857,38.944571429,39.597714286
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,38,38,91.145526316,18.511315789,13.273684211,13.105
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,12,20,20,96.353,10.07,7.11,8.3095
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,33,64,360,11.46025,2.0943333333,1.5598055556,1.5340277778
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,31.111538462,6.02,4.72,4.66
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,20,26,26,72.853461538,13.730384615,9.9153846154,9.5676923077
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,27,596.96333333,82.22,64.463333333,68.207777778
1053630335,IRFAN,MUNA,,M.D.,F,I,900 S 8TH ST,,MINNEAPOLIS,MN,554041292,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,13,55,70,287.30885714,31.008142857,23.615285714,24.192142857
1053630640,DONOVAN,JENNIFER,A,M.D.,F,I,1201 3RD AVE SE,EASTERN IOWA HEALTH CENTER,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,51.815652174,4.7452173913,3.5252173913,3.5252173913
1053630640,DONOVAN,JENNIFER,A,M.D.,F,I,1201 3RD AVE SE,EASTERN IOWA HEALTH CENTER,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1512,2.9746825397,0.1348346561,0.1056349206,0.1056150794
1053630640,DONOVAN,JENNIFER,A,M.D.,F,I,1201 3RD AVE SE,EASTERN IOWA HEALTH CENTER,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,25.87,25.87
1053630665,WEIR,STEPHANIE,A,A.N.P.,F,I,3070 REIDVILLE RD.,,SPARTANBURG,SC,29301,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,38,62.496842105,8.32,5.835,5.835
1053630673,ROACH,KENNETH,L,"MD, PHD",M,I,3300 GALLOWS ROAD,DEPARTMENT OF MEDICINE,FALLS CHURCH,VA,22042,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,29,86.31,16.997241379,11.48862069,11.699655172
1053630673,ROACH,KENNETH,L,"MD, PHD",M,I,3300 GALLOWS ROAD,DEPARTMENT OF MEDICINE,FALLS CHURCH,VA,22042,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,29,519.51,79.463448276,53.954137931,47.467586207
1053630699,GUPTA,ASHITA,,"MD, MPH",F,I,146 W 29TH ST STE 12E,,NEW YORK,NY,100015303,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,73,68.116575342,8.32,4.7352054795,4.7352054795
1053631010,ALESE,OLATUNJI,B,M.D.,M,I,1365 CLIFTON RD NE,WINSHIP CANCER INSTITUTE,ATLANTA,GA,303221013,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,15,1260,50.266801587,5.3887142857,4.2247539683,4.2247539683
1053631101,COMBS ROYSE,ELIZABETH,L,D.O.,F,I,310 N L ROGERS WELLS BLVD,,GLASGOW,KY,421411300,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,11.607142857,5.0389285714,2.7817857143,2.4535714286
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,2640,0.39,0.13,0.0914886364,0.0914886364
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,193,3.6730569948,2.49,1.6936787565,1.6936787565
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,57,11.6,5.54,4.3433333333,4.3433333333
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,24,58,12.711896552,12.320689655,9.5934482759,10.754310345
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4340,"Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,26,45.135769231,35.725,26.942307692,26.956923077
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,17,104,16750,3.3805432836,2.0392835821,1.5526501493,1.5532256716
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,1350,11.436666667,6.15,4.6158444444,5.4625777778
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,16,38,117,12.63025641,10.869487179,8.4490598291,8.4968376068
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,46,159,13.242830189,7.4589937107,5.6364150943,5.6374213836
1053631564,MAKI,MICHELLE,L,"MS, APNP",F,I,1821 S. WEBSTER AVENUE,,GREEN BAY,WI,543012253,US,Nurse Practitioner,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,404,2.1936881188,1.8,1.411039604,1.411039604
1053631614,COLON-GONZALEZ,MARIA,C,MD,F,I,205 E TORONTO AVE,,MCALLEN,TX,785031209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,17,22,40.585454545,8.32,5.9327272727,5.9327272727
1053631614,COLON-GONZALEZ,MARIA,C,MD,F,I,205 E TORONTO AVE,,MCALLEN,TX,785031209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,13.218823529,1.42,1.0541176471,1.0541176471
1053631713,HONAKER,SARAH,A,FNP,F,I,1125 W 1ST NORTH ST,STE. B,MORRISTOWN,TN,378144562,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,40,17.951904762,13.423809524,12.938571429
1053631713,HONAKER,SARAH,A,FNP,F,I,1125 W 1ST NORTH ST,STE. B,MORRISTOWN,TN,378144562,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,220,75.639677419,55.661612903,51.54
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,450,9.3837555556,7.6657333333,6.01,4.2517555556
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,11784,0.455305499,0.3998387644,0.3134758995,0.2453453836
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,15,15,101.33,87.148,68.326,48.32
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.04,12.160833333,9.5375,7.455
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,26,26,179.99615385,83.298461538,63.827307692,43.260769231
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,12,53,53,54.242264151,22.145471698,17.104150943,13.555471698
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,3809.3866667,1074.31,842.26,842.26
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,41.171538462,7.7034615385,6.0392307692,4.3465384615
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,19.244210526,12.995263158,10.183684211,3.95
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,52.5,12.912727273,9.0254545455,7.5127272727
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,15,55,55,327.23090909,102.60709091,79.538909091,58.624363636
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1128,0.7333421986,0.7333421986,0.5749379433,0.5749379433
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,39,39,62.437948718,33.055384615,25.424358974,15.992820513
1053631804,RAVI,PALLAKI,D,M.D.,M,I,124 DANIEL DR,,DANVILLE,KY,40422,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1053631929,BLUME,KRISTEN,L,M.D.,F,I,10995 ALLISONVILLE RD,SUITE 100,FISHERS,IN,460382616,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,23,88.706521739,8.32,3.2065217391,3.2065217391
1053631929,BLUME,KRISTEN,L,M.D.,F,I,10995 ALLISONVILLE RD,SUITE 100,FISHERS,IN,460382616,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,29.68173913,5.4782608696,4.2943478261,3.6747826087
1053632018,SPEER,OWEN,F,DO,M,I,2051 HAMILL ROAD SUITE 301,,HIXSON,TN,37343,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,30,71,292,62.022226027,8.32,5.8524657534,5.8524657534
1053632018,SPEER,OWEN,F,DO,M,I,2051 HAMILL ROAD SUITE 301,,HIXSON,TN,37343,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,12.2,3.38,2.65,2.65
1053632018,SPEER,OWEN,F,DO,M,I,2051 HAMILL ROAD SUITE 301,,HIXSON,TN,37343,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,28,67,12.227014925,1.42,1.0471641791,1.0471641791
1053632018,SPEER,OWEN,F,DO,M,I,2051 HAMILL ROAD SUITE 301,,HIXSON,TN,37343,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,36.491538462,17.96,12.996923077,12.519230769
1053632018,SPEER,OWEN,F,DO,M,I,2051 HAMILL ROAD SUITE 301,,HIXSON,TN,37343,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,46,46,271.28521739,86.17,62.091956522,50.580217391
1053632042,KELLEY,JEANETTE,M,D.O.,F,I,4401 S WESTERN AVE,,OKLAHOMA CITY,OK,731093413,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,465.67272727,77.8,54.098181818,48.399090909
1053632091,GILBERT,DANIEL,R,D.O.,M,I,1100 TRANCAS ST STE 201,,NAPA,CA,945582904,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,1560,3.9394230769,1.7657692308,1.3843717949,1.5712948718
1053632091,GILBERT,DANIEL,R,D.O.,M,I,1100 TRANCAS ST STE 201,,NAPA,CA,945582904,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,25,31.784,10.93,8.5696,8.5696
1053632216,CRUZ,MARISA,L,M.D.,F,I,10903 NEW HAMPSHIRE AVE,,SILVER SPRING,MD,20993,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,31,82,74.129390244,8.32,6.2029268293,6.2029268293
1053632216,CRUZ,MARISA,L,M.D.,F,I,10903 NEW HAMPSHIRE AVE,,SILVER SPRING,MD,20993,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,14,18.459285714,1.42,1.0371428571,1.0371428571
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,21,60,158,60.184240506,8.32,5.5723417722,5.5723417722
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,14.718181818,3.38,2.1681818182,2.1681818182
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,18,32,15.635,1.42,0.975,0.975
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,3900,3.3907692308,2.04,1.5625615385,1.5625615385
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.7027272727,1.8890909091,0.9036363636,0.6272727273
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,29,29,536.4037931,121.77758621,87.492068966,60.640689655
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,35,97,197.82268041,45.285773196,33.397319588,23.810927835
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,13,27,138,97.271811594,25.19,19.599057971,14.85442029
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,16,30,30,256.27133333,74.637333333,57.685666667,42.882666667
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,23,34,34,85.404411765,25.415294118,19.921176471,14.06
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,22,52,52,93.780384615,20.401153846,15.992692308,9.3425
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,22,57,302,12.838245033,3.0745695364,2.410794702,1.6289735099
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,23,23,27.834782609,8.9082608696,6.9839130435,4.8134782609
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,17,17,54.524705882,15.602941176,12.228235294,10.34
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,12.91,7.37,5.527,3.9433611111
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5685,0.6804045734,0.408348285,0.3201442392,0.2451503958
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,12,99,104,105.29451923,25.29,18.965288462,15.673269231
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,4674.8575,1050.34,823.468,842.26
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,88.69,14.765,10.610833333,8.7466666667
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,28,45.56,7.7375,5.9346428571,3.4992857143
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,28,29,279.84034483,52.110689655,39.663793103,24.925862069
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,154,160,469.9786875,98.194375,72.5776875,53.0039375
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,900,7.2769333333,0.5554,0.4035777778,0.4035777778
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,17,126,7560,18.424730159,9.5976587302,7.4234867725,7.4234867725
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,11,41,6018,0.3144649385,0.0468727152,0.0266999003,0.0266999003
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,21,60,5280,1.8044981061,0.1358068182,0.0945984848,0.0945984848
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,16,104,6152,11.588961313,3.1323520806,2.4557916125,2.4557916125
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,690,0.75,0.2193333333,0.172,0.172
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,60.580625,35.2125,19.83625,15.783125
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,62.16,11.266666667,8.8341666667,6.9383333333
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1824.96,196.01416667,153.67,120.61166667
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,17,16,16,11.804117647,11.804117647
1053632315,ATKINS,DAVID,L,MD,M,I,114 E WALNUT ST,,HILL CITY,KS,676421722,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,37,189,189,58.153439153,33,24.330952381,24.330952381
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,35,98,67.781632653,8.32,6.2558163265,6.2558163265
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,78.133076923,20.113076923,15.765384615,14.026153846
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,84.301818182,14.774545455,10.725454545,8.4190909091
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,21,99,13.285757576,2.2987878788,1.7077777778,1.5026262626
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,97.498333333,17.201111111,13.453333333,13.6675
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,15,54.53,3.542,2.608,3.392
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,179.56333333,44.216666667,31.793888889,25.075
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,72,72,413.51583333,72.430555556,52.875972222,51.659583333
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,36,36,77.44,37.58,27.037222222,27.076388889
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2135,0.1834800937,0.0468571429,0.0343700234,0.0343700234
1053632349,BOYD,MICHAEL,D,MD,M,I,3200 BELL RD,,AUBURN,CA,956039244,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,119.625,33,22.93875,22.93875
1053632406,REESE,DONALD,P,M.D.,M,I,5425 W LAKE ST,,CHICAGO,IL,606442342,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,23,81,169,34.213550296,8.32,5.7852662722,5.7852662722
1053632406,REESE,DONALD,P,M.D.,M,I,5425 W LAKE ST,,CHICAGO,IL,606442342,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,21,27,17.635185185,1.42,0.9518518519,0.9518518519
1053632406,REESE,DONALD,P,M.D.,M,I,5425 W LAKE ST,,CHICAGO,IL,606442342,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,12,12,82.576666667,19.065,13.7725,12.896666667
1053632406,REESE,DONALD,P,M.D.,M,I,5425 W LAKE ST,,CHICAGO,IL,606442342,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,15,73,11.881369863,2.1573972603,1.3720547945,1.2869863014
1053632406,REESE,DONALD,P,M.D.,M,I,5425 W LAKE ST,,CHICAGO,IL,606442342,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,18,232.52666667,34.195555556,26.808888889,26.159444444
1053632406,REESE,DONALD,P,M.D.,M,I,5425 W LAKE ST,,CHICAGO,IL,606442342,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,60,33,25.87,25.87
1053632430,CHAMPAGNE,PHILIPPE,,M.D.,M,I,757 WESTWOOD PLZ STE 7501,,LOS ANGELES,CA,900951736,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,2.65,2.04,1.3327777778,1.3327777778
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,32,77,73.171428571,8.32,6.2253246753,6.2253246753
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,12.633076923,1.42,1.0338461538,1.0338461538
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,167.93,70.977037037,53.747407407,39.740740741
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,39.832083333,22.4775,16.999166667,13.467916667
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,28.6375,7.1404166667,5.4470833333,3.6125
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,76,76,278.645,101.23,73.642763158,52.068947368
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,3102,0.5401966473,0.0477627337,0.0252804642,0.0252804642
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,62.015,28.2690625,21.113125,13.37125
1053632471,PAGANA,CHARLES,M,MD,M,I,21 SUSQUEHANNA VALLEY MALL DR,SUITE D,SELINSGROVE,PA,178709148,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,75,44.423793103,31.43137931,26.708965517
1053632489,O'SHEA,KAREN,A,RN ANP,F,I,2400 S CLINTON AVE,"BUILDING H, SUITE 210",ROCHESTER,NY,146182668,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,244.24,77.18,57.735833333,51.946666667
1053632489,O'SHEA,KAREN,A,RN ANP,F,I,2400 S CLINTON AVE,"BUILDING H, SUITE 210",ROCHESTER,NY,146182668,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,42,32.93,29.51
1053632539,NITZBERG,MATTHEW,A,MD,M,I,2014 WASHINGTON ST,,NEWTON,MA,024621607,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,44,47,50.73,3.9319148936,3.02,3.6087234043
1053632539,NITZBERG,MATTHEW,A,MD,M,I,2014 WASHINGTON ST,,NEWTON,MA,024621607,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,175,37.600952381,29.478095238,28.251904762
1053632539,NITZBERG,MATTHEW,A,MD,M,I,2014 WASHINGTON ST,,NEWTON,MA,024621607,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,701.84,77.935714286,55.108571429,49.655714286
1053632539,NITZBERG,MATTHEW,A,MD,M,I,2014 WASHINGTON ST,,NEWTON,MA,024621607,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,22,3241,0.3238691762,0.0459240975,0.0307621105,0.0307621105
1053632539,NITZBERG,MATTHEW,A,MD,M,I,2014 WASHINGTON ST,,NEWTON,MA,024621607,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38,24.825,24.615
1053632539,NITZBERG,MATTHEW,A,MD,M,I,2014 WASHINGTON ST,,NEWTON,MA,024621607,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,20,20,57.75,33,23.283,23.283
1053632836,SAUNDERS,KEVIN,R,M.D.,M,I,10110 CLEMSON BLVD,,SENECA,SC,296780812,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,62,186,65.185537634,8.32,6.3819892473,6.3819892473
1053632836,SAUNDERS,KEVIN,R,M.D.,M,I,10110 CLEMSON BLVD,,SENECA,SC,296780812,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,22,40,14.13575,1.42,1.0305,1.0305
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,20,98,71.822755102,8.32,6.4568367347,6.4568367347
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,24,12.444166667,1.42,1.1145833333,1.1145833333
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,15,4.1,3.21,3.21
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,440,7.9595,5.74,4.50025,4.50025
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,470,15,9.86,7.7302553191,7.7302553191
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,5.9266666667,4.03,3.1596666667,3.1596666667
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.27,0.09,0.0705,0.0705
1053632844,AW,DIANE,,M.D.,F,I,1025 S 6TH ST,,SPRINGFIELD,IL,627032403,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,2200,0.12,0.05,0.0392,0.0392
1053632901,JORDAN,DASHIELL,,MD,M,I,99 CAMPUS AVE STE 201,,LEWISTON,ME,042406045,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,22,62,179,50.747988827,8.32,5.8037988827,5.8037988827
1053632901,JORDAN,DASHIELL,,MD,M,I,99 CAMPUS AVE STE 201,,LEWISTON,ME,042406045,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,32,36,12.795833333,1.42,0.9933333333,0.9933333333
1053632901,JORDAN,DASHIELL,,MD,M,I,99 CAMPUS AVE STE 201,,LEWISTON,ME,042406045,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,220,9.2795,5.74,4.5,4.5
1053632901,JORDAN,DASHIELL,,MD,M,I,99 CAMPUS AVE STE 201,,LEWISTON,ME,042406045,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,27,127.50555556,17.25,13.52,13.535555556
1053632901,JORDAN,DASHIELL,,MD,M,I,99 CAMPUS AVE STE 201,,LEWISTON,ME,042406045,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,542.03535714,78.877142857,61.847142857,56.146428571
1053632901,JORDAN,DASHIELL,,MD,M,I,99 CAMPUS AVE STE 201,,LEWISTON,ME,042406045,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,5191,0.3515257176,0.0467424388,0.0331111539,0.0331092275
1053632901,JORDAN,DASHIELL,,MD,M,I,99 CAMPUS AVE STE 201,,LEWISTON,ME,042406045,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,21.89,21.89
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,50,144,424,66.362924528,8.32,6.0925235849,6.0925235849
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,21,13.815238095,3.38,2.65,2.65
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,29,65,86,12.711627907,1.42,1.0648837209,1.0648837209
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,2.04,2.04,1.5521777778,1.5521777778
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,115.388,49.646,38.924,32.075333333
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,13,18,18,325.65,127.45444444,87.947777778,63.676666667
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,,21,38,149.19526316,46.741842105,34.383157895,25.455526316
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,37,49.135135135,19.853243243,15.20972973,11.722162162
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,15,15,185.62333333,76.452,56.795333333,40.002666667
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,21,21,79.213333333,26.96,19.649047619,13.992380952
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,67.627333333,20.014666667,14.347333333,8.6753333333
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,19,52,165,9.5058181818,3.0625454545,2.2512121212,1.6097575758
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,25.081666667,8.9425,6.5825,4.2625
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,29,160,18.194482759,12.409310345,11.823448276
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,22,24,71.89,18.421666667,14.443333333,10.763333333
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,41,44,44.142045455,7.5627272727,4.9095454545,2.7218181818
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,14,70,81,162.05197531,53.135555556,39.741604938,29.440123457
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,17,131,132,363.56340909,98.164848485,69.205227273,50.689848485
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2206,0.2863599275,0.0467452403,0.0341432457,0.0341432457
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,42,5332,1.3769186047,0.133375844,0.0979576144,0.0979576144
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1590,12.108534591,3.0199433962,2.1902138365,2.1902138365
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,146.56882353,29.982941176,22.377058824,13.788823529
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,23,112.56565217,44.656956522,33.584782609,28.543478261
1053632935,SMITH,JAMESY,C,D.O.,M,I,1103 W LIBERTY ST,,FARMINGTON,MO,636401921,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,16,62,62,96.870967742,33,24.200967742,24.200967742
1053633206,REDUBLA,DENNIS,M,,M,I,30 E RIVER PARK PL W STE 320,,FRESNO,CA,937201539,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,49,66.798163265,8.32,5.7242857143,5.7242857143
1053633206,REDUBLA,DENNIS,M,,M,I,30 E RIVER PARK PL W STE 320,,FRESNO,CA,937201539,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,22,660,15.7,4.03,3.1596666667,3.2456666667
1053633206,REDUBLA,DENNIS,M,,M,I,30 E RIVER PARK PL W STE 320,,FRESNO,CA,937201539,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,7839,3.6462303865,0.37,0.2900765404,0.2900765404
1053633206,REDUBLA,DENNIS,M,,M,I,30 E RIVER PARK PL W STE 320,,FRESNO,CA,937201539,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5114,2.2807978099,0.2956003129,0.231755964,0.2430465389
1053634485,SIMMS,MONA,R,APN,F,I,850 HENRY ST,,MALVERN,AR,721042712,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,70.723333333,21.788,17.080666667,13.931333333
1053634485,SIMMS,MONA,R,APN,F,I,850 HENRY ST,,MALVERN,AR,721042712,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,460.70793103,105.86689655,83.002413793,57.523103448
1053634485,SIMMS,MONA,R,APN,F,I,850 HENRY ST,,MALVERN,AR,721042712,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,236.93714286,46.422857143,36.397857143,29.519285714
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,26,55,159,52.692641509,8.2239622642,6.1049056604,6.1720754717
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,19,23,11.420434783,1.42,1.0191304348,1.0191304348
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,29,30,169.53166667,76.847,58.968,47.574666667
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,46.708823529,21.463529412,11.591176471,9.4629411765
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,22.719090909,8.2715151515,6.1184848485,3.7539393939
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,26,332.24307692,109.28538462,85.683076923,68.749230769
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,58.234545455,33.898181818,26.577272727,21.146363636
1053635078,NGUYEN,THAIHANG,,DO,F,I,100 DOCTORS DR STE G,,DOUGLAS,GA,315332211,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,25.507,12.238,9.5955,7.83
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,28,55,56,117.54285714,48.366607143,36.139285714,29.068928571
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,60,98,99,328.20363636,117.86525253,88.082929293,66.284949495
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,35,78,168,154.82547619,44.828571429,34.463333333,26.730535714
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,31,72,261,80.044827586,26.448390805,18.315555556,12.994942529
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,16,30,140,57.778928571,18.6895,14.238714286,11.521142857
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,66,106,106,205.82,74.532830189,52.826132075,39.439811321
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,118,145,145,61.838758621,24.793172414,18.496827586,13.631172414
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,79,134,134,71.166492537,19.884253731,14.596044776,9.1812686567
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,91,188,766,10.401775457,2.8446736292,2.1132375979,1.5294908616
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,41,53,53,19.464716981,8.2464150943,6.0577358491,4.4635849057
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,54,63,63,37.96047619,15.553968254,10.954285714,9.41
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,15,101,105,377.56657143,105.29295238,78.105714286,61.513047619
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,392.27692308,170.03692308,133.31230769,115.19076923
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,21,95,100,45.695,17.6143,13.0537,10.082
1053635086,ANDREWS,CARRIE,A,CNP,F,I,2945 MAPLE AVENUE,SUITE A,ZANESVILLE,OH,437010801,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,39,238,244,157.05127049,50.189959016,37.063483607,24.707418033
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,21,63,141,58.494397163,8.32,6.029858156,6.029858156
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,26,40,12.664,1.42,1.033,1.033
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,13,7.88,6.1115185185,6.1115185185
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,147.75428571,72.797857143,57.076428571,39.465
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,23,151.68521739,59.824347826,46.899130435,27.610869565
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,664.092,98.85,74.5115,54.0185
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,3671,0.2648188504,0.0461481885,0.0304412966,0.0304412966
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,80,26.561818182,20.824545455,14.594090909
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,29.515833333
1053635482,PARENTE-HECK,JULIANNE,M,MD,F,I,1205 N MAIN ST,,MARION,SC,295712008,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,42.857142857,33,24.022142857,24.022142857
1053635714,TURCO,DOMENIC,A,,M,I,1700 OLD GATESBURG RD STE 300,,STATE COLLEGE,PA,168032276,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,66.285714286,60.575714286,44.135,49.175714286
1053635763,CREWS,LISA,T,NP,F,I,455 S MAIN ST STE 104,,HINESVILLE,GA,313134354,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,23,67,70.312835821,8.32,5.0464179104,5.0464179104
1053636282,WOLF,SARAH,K,M.D.,F,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,42.300588235,21.145882353,16.573529412,13.586470588
1053636282,WOLF,SARAH,K,M.D.,F,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,324.22411765,93.967647059,72.952352941,54.405294118
1053636613,LANGE,TRACY,M,"MSN, FNP, PMHNP",F,I,22280 JEB STUART HWY,,STUART,VA,241712999,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,36,93,57.468924731,8.32,4.4886021505,4.4886021505
1053636613,LANGE,TRACY,M,"MSN, FNP, PMHNP",F,I,22280 JEB STUART HWY,,STUART,VA,241712999,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,25,16.6924,1.42,0.6248,0.6248
1053636613,LANGE,TRACY,M,"MSN, FNP, PMHNP",F,I,22280 JEB STUART HWY,,STUART,VA,241712999,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,12,381.36,67.274166667,52.745833333,37.188333333
1053636613,LANGE,TRACY,M,"MSN, FNP, PMHNP",F,I,22280 JEB STUART HWY,,STUART,VA,241712999,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,18,519.51,108.89888889,85.38,61.48
1053636886,HOU,XIAOYU,,,M,I,6545 FRANCE AVE S,,MINNEAPOLIS,MN,554352131,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,43,74,65.198243243,8.32,5.3768918919,5.3768918919
1053636886,HOU,XIAOYU,,,M,I,6545 FRANCE AVE S,,MINNEAPOLIS,MN,554352131,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,21,22,14.768181818,1.42,0.9154545455,0.9154545455
1053636886,HOU,XIAOYU,,,M,I,6545 FRANCE AVE S,,MINNEAPOLIS,MN,554352131,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4295972222,7.4295972222
1053636886,HOU,XIAOYU,,,M,I,6545 FRANCE AVE S,,MINNEAPOLIS,MN,554352131,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,12.86,3.003,2.3543333333,2.3543333333
1053636886,HOU,XIAOYU,,,M,I,6545 FRANCE AVE S,,MINNEAPOLIS,MN,554352131,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,107.25,33,24.253125,24.253125
1053637272,DESAI,NIRMIT,D,"M.D., M.P.H.",M,I,STONY BROOK UNIVERSITY HOSPITAL,MEDICAL STAFF OFFICE T9,STONY BROOK,NY,117947097,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,266.74470588,77.55,60.8,55.444117647
1053637272,DESAI,NIRMIT,D,"M.D., M.P.H.",M,I,STONY BROOK UNIVERSITY HOSPITAL,MEDICAL STAFF OFFICE T9,STONY BROOK,NY,117947097,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,73.576,41.25,32.34,29.887333333
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,27,104,163,38.42595092,8.32,5.7790797546,5.7790797546
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,28,28,10.4075,1.42,1,1
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,33,6.0348484848,5.8921212121,4.3393939394,4.773030303
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5697,0.4198314903,0.3997893628,0.3134281201,0.2450166754
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,17.879375,17.879375,13.203125,9.60125
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,33,39.098787879,22.611818182,16.821818182,12.892424242
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,42.714347826,7.4513043478,5.6813043478,3.7860869565
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,133,51.44,40.326363636,25.501818182
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,33,181.47636364,103.64606061,77.638484848,52.64030303
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,3121,0.229871836,0.045379686,0.0355751362,0.0355751362
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1440,1.2854722222,0.1326666667,0.0888819444,0.0888819444
1053637561,KOPPENHEFFER,PETER,B,M.D.,M,I,48 SANDERSON ST,,GREENFIELD,MA,01301,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,26,26,74.884615385,33,23.88,23.88
1053637587,DUBIN,SARAH,N,"MD, MPH",F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,38,63.828947368,17.71,13.158947368,12.882631579
1053637587,DUBIN,SARAH,N,"MD, MPH",F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,50.73,6.0336842105,3.7521052632,2.7273684211
1053637587,DUBIN,SARAH,N,"MD, MPH",F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,106,115,468.20991304,78.54826087,58.566782609,52.72826087
1053637587,DUBIN,SARAH,N,"MD, MPH",F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,32,37,225.44216216,37.15,29.13,29.49972973
1053637587,DUBIN,SARAH,N,"MD, MPH",F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,5590,0.2154132379,0.0461305903,0.0361681574,0.0361681574
1053637587,DUBIN,SARAH,N,"MD, MPH",F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,26,3353,1.8892722935,0.136248136,0.1035490605,0.1035490605
1053637587,DUBIN,SARAH,N,"MD, MPH",F,I,2301 HOLMES ST,,KANSAS CITY,MO,641082640,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,31,31,96.870967742,33,25.035483871,25.035483871
1053637926,FERLAND,MIRA,L,M.D.,F,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,21,91.765238095,22.920952381,17.968095238,13.817142857
1053637926,FERLAND,MIRA,L,M.D.,F,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,21.892307692,7.28,5.7,3.38
1053637926,FERLAND,MIRA,L,M.D.,F,I,509 BILTMORE AVE,,ASHEVILLE,NC,288014601,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,23,28,460.735,101.87857143,79.874285714,58.083571429
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,86,139,139,117.34964029,39.95676259,29.561582734,28.908776978
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,59,99,99,336.9430303,89.694949495,65.667676768,63.86989899
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,51,103,208,132.76370192,33.697836538,25.321730769,25.067451923
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,21,33,158,66.345253165,18.633670886,13.120949367,13.025949367
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,17,95,59.275263158,17.385263158,12.800421053,11.179789474
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,34,53,53,204.21358491,60.450377358,44.663584906,40.368301887
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,80,96,96,70.69125,18.677708333,13.766666667,13.212083333
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,75.403076923,14.718461538,10.196923077,7.8938461538
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,91,163,775,8.4124516129,2.1379225806,1.5474451613,1.4768516129
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,19,19,15.853157895,6.1115789474,4.0347368421,3.9236842105
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,37,47,47,38.515319149,13.460212766,9.6108510638,9.4312765957
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,45,45,386.04044444,93.278222222,73.134888889,71.605111111
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,30,30,954.72833333,259.65766667,203.567,183.916
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,31,31,31,394.77483871,138.61129032,102.46483871,98.412580645
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,27,135,137,60.884087591,13.204014599,9.7837226277,9.7761313869
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,18,63,324,342,201.14374269,31.598859649,22.959502924,23.771169591
1053637991,HOLLINGSHAUS,SCOTT,M,M.D.,M,I,UNIVERSITY HOSPITAL,50 N MEDICAL DRIVE,SALT LAKE CITY,UT,841320001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,21,21,501.06333333,81.003809524,57.50047619,54.161904762
1053638148,BENSON,LEVI,P,M.D.,M,I,4321 CAROTHERS PKWY,,FRANKLIN,TN,370675909,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,41.56,18.2118,14.2764,13.6636
1053638148,BENSON,LEVI,P,M.D.,M,I,4321 CAROTHERS PKWY,,FRANKLIN,TN,370675909,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,201.84181818,85.825681818,66.151136364,55.252272727
1053638189,GUTTENBERG,KATIE,B,M.D.,F,I,6410 FANNIN ST STE 600,,HOUSTON,TX,770305206,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,30,172,62.893139535,8.32,6.4472093023,6.4472093023
1053638189,GUTTENBERG,KATIE,B,M.D.,F,I,6410 FANNIN ST STE 600,,HOUSTON,TX,770305206,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,15,49,17.717142857,1.42,1.1124489796,1.1124489796
1053638254,REYES,RACQUEL,K,MD,F,I,11530 ALLISONVILLE RD,SUITE 100,FISHERS,IN,460381866,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,15,42,121,69.193636364,8.32,5.7680991736,5.7680991736
1053638577,BREMER,JENNIFER,L,P.A.,F,I,600 BLUES LAKE PKWY,,ROLLA,MO,654018022,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,827.26615385,47.751538462,30.483846154,18.133076923
1053638916,KIEFFER,LESLEY,J,DO,F,I,1800 LAWRENCE DR,,DE PERE,WI,541159108,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,31,101,63.035643564,8.32,6.3926732673,6.3926732673
1053638916,KIEFFER,LESLEY,J,DO,F,I,1800 LAWRENCE DR,,DE PERE,WI,541159108,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,5,2.03,1.4810714286,1.4810714286
1053639161,SMITH,SARAH,B,M.D.,F,I,10 DUTTON DR,,YOUNGSTOWN,OH,445021818,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,15,15,70.496,68.744666667,50.182,49.478666667
1053639302,HORNEFF,JOHN,G,MD,M,I,925 CHESTNUT ST,5TH FLOOR,PHILADELPHIA,PA,191074216,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,31,32,32,155,120.5715625,88.62125,82.2340625
1053639732,JOHNSON,MELANIE,,D.P.M.,F,I,4653 WHITE BEAR PKWY,,WHITE BEAR LAKE,MN,55110,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,44,95.909090909,71.347272727,55.937954545,56.049318182
1053639831,MIX,MONICA,,M.D.,F,I,1000 E EAGER ST,,BALTIMORE,MD,212025533,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,21,13.376190476,1.42,0.7433333333,0.7433333333
1053639872,HENDRICKS,BRADLEY,B,D.O.,M,I,7519 HOSPITAL DR,,GLOUCESTER,VA,230614178,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,86.31,18.661666667,14.134333333,13.071666667
1053639872,HENDRICKS,BRADLEY,B,D.O.,M,I,7519 HOSPITAL DR,,GLOUCESTER,VA,230614178,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,1284.11,1064.4,834.49,842.2525
1053639872,HENDRICKS,BRADLEY,B,D.O.,M,I,7519 HOSPITAL DR,,GLOUCESTER,VA,230614178,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,519.51,85.103333333,65.171333333,53.615333333
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,42,78.175952381,8.32,5.9004761905,5.9004761905
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,13.156666667,1.42,0.9333333333,0.9333333333
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,78,2735,2.3710054845,2.2527239488,1.4945082267,1.5083510055
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,38,3282,6.555630713,1.7290006094,1.3057678245,1.5387903717
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1790,9.8994413408,7.8654748603,6.043877095,6.0552681564
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,64,127,10.645433071,10.645433071,7.2785826772,7.5084251969
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,28,56,11.070714286,7.35,5.1428571429,5.235
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4364,"Adhesive, liquid or equal, any type, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,4.75,2.81,2.0189583333,2.4195833333
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,35,284,2.0309507042,1.7732394366,1.244084507,1.2657042254
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,480,6.906,5.54,4.1236666667,4.1236666667
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,480,3.665,3.04,2.184875,2.184875
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,35,42,56.869285714,38.96,28.169761905,28.169761905
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,17.890833333,17.381666667,11.325,11.690833333
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,2340,0.0721111111,0.05,0.0331880342,0.0331880342
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,331,100,3,2.3519939577,2.367673716
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4494,1.6472652425,0.3,0.2351913663,0.2430485091
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,1528.6,962.44043478,748.31695652,748.31695652
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,109.28,42.942222222,33.664444444,35.917777778
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,34,34,1154.1488235,454.89147059,352.415,352.415
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,E2622,"Skin protection wheelchair seat cushion, adjustable, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,11,12,12,745.4,303.86,238.23,231.29666667
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,3,,11,43,227.10348837,126.72465116,99.352325581,99.352325581
1053639914,CORDERO-PAGUNSAN,JARDINE,M,NP-C,F,I,7601 EAST IMPERIAL HIGHWAY,,DOWNEY,CA,90242,US,Nurse Practitioner,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,4,,13,104,35.65,23.352307692,16.195865385,16.195865385
1053640003,HOUK,RYAN,,M.D.,M,I,6101 PINE RIDGE RD FL 1,,NAPLES,FL,341193900,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,3710,2745.7375,2152.65875,2152.65875
1053640052,GEORGE,WINSON,T,"PHD, D.O",M,I,135 S BRYN MAWR AVE STE 200,,BRYN MAWR,PA,190103129,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,50,52.7398,8.246,5.1706,5.2132
1053640052,GEORGE,WINSON,T,"PHD, D.O",M,I,135 S BRYN MAWR AVE STE 200,,BRYN MAWR,PA,190103129,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,15,12.538,1.42,0.7453333333,0.7453333333
1053640607,GEBAROWSKI,TINA MARIE,,N.P.,F,I,1 COUNTRYSIDE DR,,MILFORD,MA,017571252,US,Nurse Practitioner,S,E0251,"Hospital bed, fixed height, with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,74.08,46.306666667,30.2625,28.584166667
1053640607,GEBAROWSKI,TINA MARIE,,N.P.,F,I,1 COUNTRYSIDE DR,,MILFORD,MA,017571252,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,110,49.090909091,38.487272727,36.480909091
1053640607,GEBAROWSKI,TINA MARIE,,N.P.,F,I,1 COUNTRYSIDE DR,,MILFORD,MA,017571252,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,71.511428571,18.722857143,13.495714286,14.325
1053640607,GEBAROWSKI,TINA MARIE,,N.P.,F,I,1 COUNTRYSIDE DR,,MILFORD,MA,017571252,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,31.363636364,26.201818182,20.55,21.776363636
1053640607,GEBAROWSKI,TINA MARIE,,N.P.,F,I,1 COUNTRYSIDE DR,,MILFORD,MA,017571252,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,18,18,34.488888889,8.5738888889,5.4177777778,5.5794444444
1053640698,PENDLETON,MICHAEL,L,ARNP,M,I,100 REYNOLDS RD,SUITE A,GLASGOW,KY,421411177,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,35,66.184285714,8.32,6.15,6.15
1053640698,PENDLETON,MICHAEL,L,ARNP,M,I,100 REYNOLDS RD,SUITE A,GLASGOW,KY,421411177,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,72.6,33,24.253125,24.253125
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,29,61.909310345,8.32,6.2327586207,6.2327586207
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,59,2958,8.28,8.28,6.2478566599,6.2478566599
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,28,1560,18.5,18.5,14.402910256,14.402910256
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,30,900,5.28,5.26,4.124,4.1396666667
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,138.02,43.84,34.37,35.7
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,24.304117647,4.38,3.43,3.6370588235
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,11,67,68,133.32264706,48.75,37.182352941,37.134558824
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,3,25,25,50,33.685,15.9592,12.5126,15.1798
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,56,3.4778571429,1.5835714286,1.1060714286,1.3923214286
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,26,26,52,57.78,27.02,21.185,22.495769231
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,28,56,5.7307142857,2.7,1.8928571429,2.0235714286
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,24,24,24,49.02,20.4775,16.0475,17.99
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,4.91,2.07,1.625,1.8033333333
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,27.92,11.794545455,9.2472727273,10.710909091
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,22,23.7,9.7072727273,6.9781818182,7.6263636364
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,496.96,231.55454545,181.53818182,232.55909091
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,27,27,27,70.2,29.68,23.27,28.656666667
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,7.0208,2.9684,2.0488,2.6276
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,24,24,24,358.58,134.59458333,105.5275,112.91125
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,35.3425,13.559583333,9.3108333333,10.073333333
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,39,239,239,69.366569038,15.291129707,11.393974895,13.665648536
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,33,33,119.34,20.411212121,13.200909091,17.982727273
1053640722,WIN,SEIN,,M.D,M,I,98 E BROADWAY FL 5,,NEW YORK,NY,100027181,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,47,270,270,20.57,6.8988888889,5.0447037037,6.3015555556
1053641100,ZAHLER,JONATHAN,D,D.O.,M,I,278 BENEDICT AVE,ST. #300,NORWALK,OH,448572399,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,51,51,51,68.451176471,66.11254902,45.664313725,47.08745098
1053641100,ZAHLER,JONATHAN,D,D.O.,M,I,278 BENEDICT AVE,ST. #300,NORWALK,OH,448572399,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,21,71.46,50.62,32.418095238,35.704761905
1053641100,ZAHLER,JONATHAN,D,D.O.,M,I,278 BENEDICT AVE,ST. #300,NORWALK,OH,448572399,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,43,43,84,74.846666667,69.2,49.253333333,49.937380952
1053641563,TRAN,SHERI,,,F,I,3350 LA JOLLA VILLAGE DR,,SAN DIEGO,CA,921612357,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,442.30733333,72.06,56.5,54.73
1053641563,TRAN,SHERI,,,F,I,3350 LA JOLLA VILLAGE DR,,SAN DIEGO,CA,921612357,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,209.61538462,36.58,28.67,29.51
1053641654,PAZIENZA,DANIELLE,,PA-C,F,I,"20 YORK STREET, CB-2041",,NEW HAVEN,CT,06510,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,96.62,75.43,54.931578947,51.682105263
1053641654,PAZIENZA,DANIELLE,,PA-C,F,I,"20 YORK STREET, CB-2041",,NEW HAVEN,CT,06510,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,52.16,40.62,28.497368421,26.903157895
1053642819,IQBAL,ZAHID,,M.D,M,I,2900 1ST AVE,,HUNTINGTON,WV,257021241,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,1455,4.5738969072,0.5779656357,0.4531134021,0.4531134021
1053642819,IQBAL,ZAHID,,M.D,M,I,2900 1ST AVE,,HUNTINGTON,WV,257021241,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,2040,3.958254902,1.4784117647,1.1590539216,1.1590539216
1053642819,IQBAL,ZAHID,,M.D,M,I,2900 1ST AVE,,HUNTINGTON,WV,257021241,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,1560,3.9653012821,2.8364615385,2.2237628205,2.2237628205
1053642819,IQBAL,ZAHID,,M.D,M,I,2900 1ST AVE,,HUNTINGTON,WV,257021241,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,24,24,18.82,18.82
1053642819,IQBAL,ZAHID,,M.D,M,I,2900 1ST AVE,,HUNTINGTON,WV,257021241,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,40,43,16,16,12.540697674,12.540697674
1053643361,MAYORQUIN,BERTHA,,M.D.,F,I,377 JERSEY AVE,SUITE 470,JERSEY CITY,NJ,073020000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,39,109,54.552844037,8.32,5.4089908257,5.4089908257
1053643361,MAYORQUIN,BERTHA,,M.D.,F,I,377 JERSEY AVE,SUITE 470,JERSEY CITY,NJ,073020000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,29,22.440689655,1.42,1.0762068966,1.0762068966
1053644179,RYAN,ELIZABETH,B,MD,F,I,7150 N MAIN ST,SUITE 100,OVID,NY,14521,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,48,89.669583333,8.32,5.8433333333,5.8433333333
1053644179,RYAN,ELIZABETH,B,MD,F,I,7150 N MAIN ST,SUITE 100,OVID,NY,14521,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,44.17,31.481818182,34.55
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,595,2.7851764706,2.27,1.7797142857,1.7797142857
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,29,7170,3.128,2.0314644351,1.5551617852,1.5618521618
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,19,13.755263158,9.7215789474,7.6194736842,8.5689473684
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,21,9.3457142857,7.3166666667,5.7380952381,5.85
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,1.895,1.6,1.1504166667,1.2958333333
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,20,20,20,53.413,48.5655,36.1675,34.721
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,15.622307692,14.795384615,10.653846154,11.133846154
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,37,41,211.52292683,51.526341463,40.394390244,39.425365854
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,7,,43,43,157.35418605,47.368604651,36.345581395,36.02744186
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,17,17,17,245.12764706,183.18235294,143.61411765,117.06882353
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,4.83,3,2.35,2.25
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,6,12,12,12,67.775833333,23.6075,18.51,18.105833333
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E1007,"Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,14224.727273,8479.7,6648.08,6068.0136364
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E1012,"Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,13,13,13,3508.4615385,1109.6,869.93,837.54538462
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,4,18,24,67,300.10447761,199.90447761,156.72791045,114.05910448
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E2311,"Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function selection switch, and fixed mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,12,12,12,3647.725,2230.225,1748.4991667,1658.07
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E2313,"Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,574.72727273,348.06363636,272.88090909,280.80818182
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E2361,"Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat)",D1D - Wheelchairs,Durable Medical Equipment,N,3,17,17,34,303.81294118,135.20352941,105.99735294,90.232058824
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E2377,"Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,858.63636364,471,369.26,347.25909091
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E2620,"Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,14,14,14,844.35714286,531.29,416.53,313.735
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,E2624,"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,527.07272727,317.53545455,227.57636364,217.14181818
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,12,76,84,47.0875,19.525119048,14.965952381,13.596666667
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,54,58,61.197413793,28.697413793,19.560344828,17.567068966
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,K0040,"Adjustable angle footplate, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,11,11,21,120.84857143,61.279047619,48.04047619,42.784761905
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,16,13.07875,7.82,6.043125,6.28625
1053644203,TONUZI,GENEVA,L,MD,F,I,3901 UNIVERSITY BLVD. SOUTH,SUITE # 103,JACKSONVILLE,FL,32216,US,Physician/Physical Medicine and Rehabilitation,S,K0861,"Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,9689.1818182,5511.2,4320.78,4320.78
1053644435,SATTELMAIER,NAKISHA,,CRNP,F,I,815 E PENNSYLVANIA AVE,,ESCONDIDO,CA,920253424,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,51,106,52.037830189,8.32,5.044245283,5.044245283
1053644435,SATTELMAIER,NAKISHA,,CRNP,F,I,815 E PENNSYLVANIA AVE,,ESCONDIDO,CA,920253424,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,25,5.1227777778,3.1716666667,2.7438888889
1053644435,SATTELMAIER,NAKISHA,,CRNP,F,I,815 E PENNSYLVANIA AVE,,ESCONDIDO,CA,920253424,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,42,33,23.518181818,23.518181818
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,34,81,54.730864198,8.32,4.6240740741,4.6240740741
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,27,17.344074074,1.42,0.8281481481,0.8281481481
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,170,15.877,9.86,7.2752941176,7.2752941176
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,83.528421053,23.384736842,15.732105263,11.710526316
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.09,19.393636364,13.099090909,11.665454545
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,66.947037037,8.3,4.1966666667,2.2103703704
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,203.956,52.108666667,37.405333333,31.428666667
1053644716,EDWARDS,STEFFANEE,R,NP,F,I,727 E WYANDOTTE AVE,,MCALESTER,OK,745015451,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,492.025,105.31,67.552142857,45.862857143
1053645580,MOLINA,NOEL,C,MD,M,I,101 SIVLEY RD SW,,HUNTSVILLE,AL,35801,US,Physician/Undefined Physician type[6],S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,51.85,11.642727273,9.1290909091,9.2045454545
1053645580,MOLINA,NOEL,C,MD,M,I,101 SIVLEY RD SW,,HUNTSVILLE,AL,35801,US,Physician/Undefined Physician type[6],S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,66,17.27,13.54,13.54
1053645580,MOLINA,NOEL,C,MD,M,I,101 SIVLEY RD SW,,HUNTSVILLE,AL,35801,US,Physician/Undefined Physician type[6],S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,324.4,69.81,54.73,54.73
1053645713,BOUNOUS,SUSAN,,NP,F,I,307 W BENTON ST,,MONETT,MO,657081665,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,806,0.8731265509,0.0463523573,0.0334987593,0.0334987593
1053645739,CIRIGNANO,BARBARA,,MD,F,I,705 B ANDERSON AVE,,CLIFFSIDE PARK,NJ,07010,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,22,61.776818182,8.32,4.4477272727,4.4477272727
1053645739,CIRIGNANO,BARBARA,,MD,F,I,705 B ANDERSON AVE,,CLIFFSIDE PARK,NJ,07010,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,31,31,31,1752.4783871,1017.66,772.31290323,860.96290323
1053645739,CIRIGNANO,BARBARA,,MD,F,I,705 B ANDERSON AVE,,CLIFFSIDE PARK,NJ,07010,US,Physician/Family Practice,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,13,802.33615385,731.95769231,573.85615385,480.62153846
1053645739,CIRIGNANO,BARBARA,,MD,F,I,705 B ANDERSON AVE,,CLIFFSIDE PARK,NJ,07010,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,11,13,17,1436.24,821.19647059,643.81529412,677.69
1053645739,CIRIGNANO,BARBARA,,MD,F,I,705 B ANDERSON AVE,,CLIFFSIDE PARK,NJ,07010,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,22,24,30,154.59366667,106.832,83.756,88.841
1053645739,CIRIGNANO,BARBARA,,MD,F,I,705 B ANDERSON AVE,,CLIFFSIDE PARK,NJ,07010,US,Physician/Family Practice,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,14,14,20,605.016,458.27,345.302,351.402
1053645747,BHUIYAN,SHAMSUL,A,MD,M,I,5823 208 STREET,,OAKLAND GARDENS,NY,11364,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,178.73,49.090909091,38.487272727,38.439090909
1053645747,BHUIYAN,SHAMSUL,A,MD,M,I,5823 208 STREET,,OAKLAND GARDENS,NY,11364,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,40.796666667,28.616666667,28.616666667
1053645812,SEXTON,ROCHELLE,M,M.D.,F,I,1321 WATERS EDGE DR,SUITE 101,GRANBURY,TX,760481232,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,36,65.666111111,8.32,6.5208333333,6.5208333333
1053645812,SEXTON,ROCHELLE,M,M.D.,F,I,1321 WATERS EDGE DR,SUITE 101,GRANBURY,TX,760481232,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,199.05513514,76.48,55.351891892,50.537027027
1053645812,SEXTON,ROCHELLE,M,M.D.,F,I,1321 WATERS EDGE DR,SUITE 101,GRANBURY,TX,760481232,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,36.5,28.62,29.435833333
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,570,1.3823684211,0.5225263158,0.3961052632,0.3961052632
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,900,5.6388888889,2.6268666667,2.0594555556,2.0594555556
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,20,127,10515,4.5034446029,0.5728806467,0.441914408,0.4419115549
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,3180,0.092581761,0.0127358491,0.0096194969,0.0096194969
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,12,61,10800,5.2983351852,1.2982888889,1.0041055556,1.0041046296
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,1320,4.1188181818,2.8122727273,2.2047954545,2.2047954545
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,J7527,"Everolimus, oral, 0.25 mg",O1G - Immunizations/Vaccinations,Drugs and Nutritional Products,N,4,,20,4320,10.332921296,8.51775,6.6779282407,6.6779282407
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,24,107,107,24,24,18.64411215,18.64411215
1053645903,VERLASKY,MARC,J,N.P.,M,I,3075 HEALTH CENTER DR,,SAN DIEGO,CA,921232773,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,27,156,172,16,16,12.24877907,12.24877907
1053645978,POPE,DAVID,J,PA-C,M,I,15128 STEPPING STONE DR,,HAYMARKET,VA,201693322,US,Physician Assistant,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,448.34,345.7,271.03,292.92
1053645978,POPE,DAVID,J,PA-C,M,I,15128 STEPPING STONE DR,,HAYMARKET,VA,201693322,US,Physician Assistant,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,54,55,55,1187.3218182,972.47,759.22381818,771.39890909
1053646182,POPOVENIUC,GEANINA,,,F,I,110 IRVING ST NW,2A72,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,39,67,205,741,65.92122807,8.32,5.9562618084,5.9562618084
1053646182,POPOVENIUC,GEANINA,,,F,I,110 IRVING ST NW,2A72,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,29,29,10.611034483,3.38,2.5586206897,2.5586206897
1053646182,POPOVENIUC,GEANINA,,,F,I,110 IRVING ST NW,2A72,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,8,15,18,18,15.767222222,2.12,1.5772222222,1.5772222222
1053646182,POPOVENIUC,GEANINA,,,F,I,110 IRVING ST NW,2A72,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,46,100,195,14.361948718,1.42,1.0685641026,1.0685641026
1053646182,POPOVENIUC,GEANINA,,,F,I,110 IRVING ST NW,2A72,WASHINGTON,DC,200103017,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,12,16,16,16,46.438125,43.86875,31.614375,57.2775
1053646232,LEARY,TERESEA,G,NP,F,I,128 NORTH AVE,,OWEGO,NY,138271304,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,362,67.72,48.675,49.525
1053646588,FICHTENBERG,HANS,,D.O.,M,I,610 E 24TH STREET,,TISHOMINGO,OK,734603245,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,46,38.45826087,8.32,3.1015217391,3.1015217391
1053646588,FICHTENBERG,HANS,,D.O.,M,I,610 E 24TH STREET,,TISHOMINGO,OK,734603245,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,222.74285714,106.38666667,83.41,58.587142857
1053646588,FICHTENBERG,HANS,,D.O.,M,I,610 E 24TH STREET,,TISHOMINGO,OK,734603245,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,51.63,45.002727273,35.284545455,30.166363636
1053648162,KRAMER,HEATHER,,ANP-BC,F,I,525 E 68TH ST,DEPARTMENT OF NEUROLOGICAL SURGERY,NEW YORK,NY,100654870,US,Nurse Practitioner,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,1512,49.004761905,5.4999074074,4.3119312169,4.3119312169
1053648170,MCGUIRE,WILLIAM,H,PA,M,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,86.31,18.737674419,14.339069767,13.216744186
1053648170,MCGUIRE,WILLIAM,H,PA,M,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,4.55,2.9108333333,2.91
1053648170,MCGUIRE,WILLIAM,H,PA,M,I,2215 LANDOVER PL,,LYNCHBURG,VA,245012115,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,519.51,79.268604651,60.756976744,53.47372093
1053648311,BANGIA,NEHA,,M.D,F,I,707S ORANGE AVE,,SOUTH ORANGE,NJ,070792698,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,25,81,72.792345679,8.32,5.1530864198,5.1530864198
1053648311,BANGIA,NEHA,,M.D,F,I,707S ORANGE AVE,,SOUTH ORANGE,NJ,070792698,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,13,12.687692308,1.42,1.0323076923,1.0323076923
1053648626,WILSON,DEISHA,M,D.O.,F,I,145 THUNDER DR,,VISTA,CA,920836010,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,72.06,56.5,54.73
1053648626,WILSON,DEISHA,M,D.O.,F,I,145 THUNDER DR,,VISTA,CA,920836010,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.58,28.67,29.51
1053648642,AUTON,JULIA,K,APN,F,I,1200 N STATE HIGHWAY 121,,MT ZION,IL,625491224,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,225,86.72,67.9875,66.6275
1053648642,AUTON,JULIA,K,APN,F,I,1200 N STATE HIGHWAY 121,,MT ZION,IL,625491224,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,26,12.035238095,8.9419047619,8.9876190476
1053648642,AUTON,JULIA,K,APN,F,I,1200 N STATE HIGHWAY 121,,MT ZION,IL,625491224,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,90,32.543333333,22.8275,22.071666667
1053649566,PRADA,STEPHANIE,,MD.,F,I,8745 N WICKHAM RD,,MELBOURNE,FL,329405997,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,31.453636364,16.61,13.02,13.516363636
1053649566,PRADA,STEPHANIE,,MD.,F,I,8745 N WICKHAM RD,,MELBOURNE,FL,329405997,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.8063636364,2.9790909091,3.5836363636
1053649566,PRADA,STEPHANIE,,MD.,F,I,8745 N WICKHAM RD,,MELBOURNE,FL,329405997,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,149.9,79.8,62.56,55.3825
1053649640,LAING,BRIAN,Y,M.D.,M,I,1920 COLORADO AVE,,SANTA MONICA,CA,904043414,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,45,131,47.345496183,8.32,5.9294656489,5.9294656489
1053649640,LAING,BRIAN,Y,M.D.,M,I,1920 COLORADO AVE,,SANTA MONICA,CA,904043414,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,20,30,10.998333333,1.42,0.855,0.855
1053649640,LAING,BRIAN,Y,M.D.,M,I,1920 COLORADO AVE,,SANTA MONICA,CA,904043414,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,608,0.9284375,0.2192763158,0.1359210526,0.1359210526
1053649640,LAING,BRIAN,Y,M.D.,M,I,1920 COLORADO AVE,,SANTA MONICA,CA,904043414,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,19,19,95.526315789,33,23.146842105,23.146842105
1053649657,WHITE,MELISSA,A,ARNP-BC,F,I,701 CHARLES GILMAN JR AVE STE B,,KINGSLAND,GA,31548,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,56,51.356785714,8.32,5.5898214286,5.5898214286
1053649657,WHITE,MELISSA,A,ARNP-BC,F,I,701 CHARLES GILMAN JR AVE STE B,,KINGSLAND,GA,31548,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,202.17583333,75.998333333,55.654166667,39.288333333
1053649657,WHITE,MELISSA,A,ARNP-BC,F,I,701 CHARLES GILMAN JR AVE STE B,,KINGSLAND,GA,31548,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,155.13,50.440909091,39.542727273,24.794545455
1053649657,WHITE,MELISSA,A,ARNP-BC,F,I,701 CHARLES GILMAN JR AVE STE B,,KINGSLAND,GA,31548,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,16,1560,1.0386858974,0.1302884615,0.0846794872,0.0846794872
1053649657,WHITE,MELISSA,A,ARNP-BC,F,I,701 CHARLES GILMAN JR AVE STE B,,KINGSLAND,GA,31548,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,105.6,33,19.714666667,19.714666667
1053649848,GHETMIRI,REZA,,M.D.,M,I,39000 BOB HOPE DR,HOSPITALIST DEPARTMENT,RANCHO MIRAGE,CA,922703221,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,86.31,17.124090909,12.215,12.332727273
1053649848,GHETMIRI,REZA,,M.D.,M,I,39000 BOB HOPE DR,HOSPITALIST DEPARTMENT,RANCHO MIRAGE,CA,922703221,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,519.51,81.8416,59.4916,51.9716
1053650960,BAKER,MARY,J,FNP,F,I,275 LOTO ST,,EAGLE POINT,OR,975249517,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,43,53.784418605,8.32,5.9162790698,5.9162790698
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,33,75,203,58.903793103,8.314729064,6.1961083744,6.1961083744
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,11,22,23,13,3.38,2.4195652174,2.4195652174
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,18.907272727,2.12,1.5181818182,1.5181818182
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,22,48,67,13.40238806,1.42,1.0498507463,1.0498507463
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,61,7.3780327869,2.0757377049,1.6275409836,1.5927868852
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,200,46.902272727,35.045,36.186363636
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,75,75,31.048266667,16.59,12.980266667,13.488933333
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,20,5.0853333333,3.9926666667,4.332
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,89,89,249.38426966,67.72,52.503370787,53.95494382
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,2676,1.7578624813,0.1324476831,0.0997720478,0.0997720478
1053651398,ZUCCONI,NICOLE,C,D.O.,F,I,1505 W SHERMAN AVE,,VINELAND,NJ,083606912,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,13,20,20,33,33,24.5765,24.5765
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,3.97,3.97,3.1125,3.1125
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,14,450,0.3495777778,0.27,0.1763555556,0.1763555556
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,450,8.28,8.28,6.4916,6.4916
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,24,725,3.9015172414,2.9702068966,2.3117793103,2.3508275862
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,11,67,1991,13.891778001,4.9670416876,3.8332546459,4.0616675038
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,38,19756,0.479621887,0.3638388338,0.2714987852,0.2763474388
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,25,9919,0.7390704708,0.2966125618,0.232542595,0.2405020667
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,13365,0.6570542462,0.6393310887,0.4778720539,0.4940748223
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,4,,45,45,63.595555556,60.658888889,47.559333333,48.241333333
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,7,117,412,412,151.68252427,45.303737864,25.939004854,26.258762136
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,114.7856,42.8792,30.792,32.5708
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,11,11,254.65909091,118.54454545,76.960909091,86.998181818
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0373,Nonpowered advanced pressure reducing mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,639.18,257.16909091,183.26818182,97.730454545
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,30,125,130,35.569461538,16.465307692,10.549153846,11.162692308
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,18,912.05666667,912.05666667,715.05444444,842.25888889
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,39,39,10.675384615,3.8451282051,3.0107692308,3.8571794872
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,54.500434783,40.33,24.90173913,24.90173913
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,6,26,89,91,109.6043956,41.15032967,27.118681319,29.355934066
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,4,,63,63,5.4614285714,5.0911111111,3.9923809524,3.9496825397
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,20.306923077,8.2307692308,5.0307692308,4.9161538462
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,20,29.865,20.506,16.076,15.55
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,21,50.619047619,27.619047619,21.654285714,22.485714286
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,33,154,155,245.66658065,74.187354839,48.681677419,46.364129032
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,63.394545455,33.958181818,26.620909091,29.05
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,254.22181818,132.99636364,104.27272727,112.94909091
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,52,52,53.286153846,19.105769231,14.978076923,14.268846154
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,41.333333333,33.589166667,26.336666667,24.868333333
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,N,3,15,15,15,2118.3626667,2025.4,1587.9113333,1625.8753333
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,210.38142857,38.301428571,30.029642857,29.436785714
1053651497,GEISS,JOHN,M,D.O.,M,I,2592 N SANTIAGO BLVD,,ORANGE,CA,928671862,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1053652883,LOSEE,JASON,T,D.O.,M,I,319 SERGEANT SQUARE DR,,SERGEANT BLUFF,IA,510547729,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,32,56.7215625,8.32,6.0290625,6.0290625
1053652883,LOSEE,JASON,T,D.O.,M,I,319 SERGEANT SQUARE DR,,SERGEANT BLUFF,IA,510547729,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,281.27157895,34.900526316,27.364210526,27.474736842
1053653089,THORNTON,GABRIEL,,,M,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Student in an Organized Health Care Education/Training Program,T,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,94,144,144,154.33618056,42.123125,31.653680556,29.462430556
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,36,59,59,422.77542373,98.319661017,69.833898305,62.866101695
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,35,59,136,169.42044118,38.651911765,28.382279412,24.891764706
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,38,62,337,86.786142433,22.383857567,17.274569733,14.789050445
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,12,32,55,222,53.271531532,16.392702703,12.480810811,11.537072072
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,78,117,117,217.57119658,60.864957265,47.116837607,43.154700855
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,95,112,112,79.879553571,20.409821429,15.506160714,13.899017857
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,19,20,20,35.6635,10.865,8.0975,7.759
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,22,22,68.155,14.289090909,10.734545455,9.2259090909
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,100,164,859,9.8229336438,2.4459371362,1.8491385332,1.571443539
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,19,21,21,24.667142857,6.9076190476,5.1885714286,4.5685714286
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,48,59,59,50.246271186,13.921355932,10.554576271,10.069322034
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,19,632.43,84.526842105,62.960526316,61.501578947
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,600,287.43142857,225.34666667,179.82333333
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,34,34,34,425.57588235,147.99617647,107.35735294,96.113529412
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,24,35,81.75,14.674857143,10.9,10.085714286
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,47,213,228,402.52754386,39.834517544,29.108289474,26.143508772
1053653220,BURNS,AMBER,L,PA-C,F,I,501 20TH ST STE 303,,KNOXVILLE,TN,379161899,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,577.95294118,97.135294118,76.157058824,68.227647059
1053653345,BELTOWSKI,LESLIE,P,PA-C,F,I,9376 ATLEE STATION RD,,MECHANICSVILLE,VA,23116,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,114.28083333,16.98,10.353333333,10.583333333
1053653345,BELTOWSKI,LESLIE,P,PA-C,F,I,9376 ATLEE STATION RD,,MECHANICSVILLE,VA,23116,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,50.73,4.2433333333,2.8516666667,3.0841666667
1053653345,BELTOWSKI,LESLIE,P,PA-C,F,I,9376 ATLEE STATION RD,,MECHANICSVILLE,VA,23116,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,619.91416667,77.36,45.4875,41.0475
1053653345,BELTOWSKI,LESLIE,P,PA-C,F,I,9376 ATLEE STATION RD,,MECHANICSVILLE,VA,23116,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,78,33,25.87,25.87
1053653436,HELMS,ERIN,B,,F,I,375 S CHIPETA WAY STE A,,SALT LAKE CITY,UT,841081261,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,61,77.633278689,8.2491803279,5.9319672131,5.9875409836
1053653436,HELMS,ERIN,B,,F,I,375 S CHIPETA WAY STE A,,SALT LAKE CITY,UT,841081261,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,437.72,80.4,58.161111111,50.322222222
1053653436,HELMS,ERIN,B,,F,I,375 S CHIPETA WAY STE A,,SALT LAKE CITY,UT,841081261,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,72,20.63,11.825833333,9.5233333333
1053653469,DUNBAR,EDWARD,,,M,I,600 HIGHLAND AVE,,MADISON,WI,537921473,US,Hospitalist,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,33.633636364,26.368181818,26.368181818
1053653469,DUNBAR,EDWARD,,,M,I,600 HIGHLAND AVE,,MADISON,WI,537921473,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,457,69.81,54.73,54.73
1053653469,DUNBAR,EDWARD,,,M,I,600 HIGHLAND AVE,,MADISON,WI,537921473,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,135,36.14,28.33,29.425714286
1053653709,WANG,SHYH-JEUN,,M.D.,M,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171577,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,31,59.185483871,17.498064516,13.714516129,13.728709677
1053653709,WANG,SHYH-JEUN,,M.D.,M,I,7391 W CHARLESTON BLVD,SUITE 140,LAS VEGAS,NV,891171577,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,31,326.99354839,78.782580645,61.765483871,57.564193548
1053654343,YOUSEF,NADIA,,MD,F,I,246 HAMBURG TPKE STE 207,,WAYNE,NJ,07470,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.23,45.883333333,45.628333333
1053654343,YOUSEF,NADIA,,MD,F,I,246 HAMBURG TPKE STE 207,,WAYNE,NJ,07470,US,Physician/Nephrology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,154.89,37.44,26.570833333,26.720833333
1053654509,ABNEY,LORI,P,ARNP,F,I,58 CITATION LN,,CAMPBELLSBURG,KY,400117590,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,33,58,61.626206897,8.32,6.0713793103,6.0713793103
1053654509,ABNEY,LORI,P,ARNP,F,I,58 CITATION LN,,CAMPBELLSBURG,KY,400117590,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,21,67.857142857,33,25.87,25.87
1053654541,NICHOLS,CHLOE,,NP,F,I,46B THOMAS JOHNSON DRIVE,SUITE 200,FREDERICK,MD,21702,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,36,40.005277778,8.32,6.1605555556,6.1605555556
1053654541,NICHOLS,CHLOE,,NP,F,I,46B THOMAS JOHNSON DRIVE,SUITE 200,FREDERICK,MD,21702,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,37,37,173.25918919,51.08027027,37.297567568,37.573513514
1053654541,NICHOLS,CHLOE,,NP,F,I,46B THOMAS JOHNSON DRIVE,SUITE 200,FREDERICK,MD,21702,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,32.5,5.484,4.0565,3.5605
1053654541,NICHOLS,CHLOE,,NP,F,I,46B THOMAS JOHNSON DRIVE,SUITE 200,FREDERICK,MD,21702,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,32,394.5265625,78.47,61.52,54.9421875
1053654541,NICHOLS,CHLOE,,NP,F,I,46B THOMAS JOHNSON DRIVE,SUITE 200,FREDERICK,MD,21702,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,80.395714286,39.3,30.81,29.571904762
1053654590,LALA,ROSHAN,R,M.D.,M,I,820 PRUDENTIAL DR,SUITE 304,JACKSONVILLE,FL,322078210,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,113.73066667,17.492,12.238,12.048666667
1053654590,LALA,ROSHAN,R,M.D.,M,I,820 PRUDENTIAL DR,SUITE 304,JACKSONVILLE,FL,322078210,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,424.01882353,79.954117647,55.548823529,49.335882353
1053654608,DIETRICH,TIMOTHY,J,D.O,M,I,"1705 CLUB MANOR DRIVE,",SUITE 2,MAUMELLE,AR,721137401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,58,59,45.432372881,18.898644068,14.624915254,13.450169492
1053654608,DIETRICH,TIMOTHY,J,D.O,M,I,"1705 CLUB MANOR DRIVE,",SUITE 2,MAUMELLE,AR,721137401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,57,58,266.43982759,77.528448276,59.82,54.484482759
1053654863,SAVITSKI,ALIAKSANDR,,M.D.,M,I,1501 S COULTER ST,,AMARILLO,TX,791061770,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,74,74,38.202837838,17.987027027,12.821081081,12.257837838
1053654863,SAVITSKI,ALIAKSANDR,,M.D.,M,I,1501 S COULTER ST,,AMARILLO,TX,791061770,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,29,29,100,48.275862069,34.947241379,34.730689655
1053654863,SAVITSKI,ALIAKSANDR,,M.D.,M,I,1501 S COULTER ST,,AMARILLO,TX,791061770,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,16,120,120,283.625,76.798666667,58.361916667,52.883833333
1053654863,SAVITSKI,ALIAKSANDR,,M.D.,M,I,1501 S COULTER ST,,AMARILLO,TX,791061770,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,36.83,28.87,29.51
1053654970,EPPERSON,CHASITY,L,APRN,F,I,1450 DOWELL SPRINGS BLVD,SUITE 300,KNOXVILLE,TN,379092442,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,32,414,51.519541063,19.661328502,14.869855072,14.869855072
1053654970,EPPERSON,CHASITY,L,APRN,F,I,1450 DOWELL SPRINGS BLVD,SUITE 300,KNOXVILLE,TN,379092442,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,13,30,900,7.1547333333,2.6346666667,2.0654888889,2.0654888889
1053654970,EPPERSON,CHASITY,L,APRN,F,I,1450 DOWELL SPRINGS BLVD,SUITE 300,KNOXVILLE,TN,379092442,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,68,84,188,1205,77.015078838,8.32,6.1928713693,6.1928713693
1053654970,EPPERSON,CHASITY,L,APRN,F,I,1450 DOWELL SPRINGS BLVD,SUITE 300,KNOXVILLE,TN,379092442,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,25,49,132,15.900378788,1.42,1.0456060606,1.0456060606
1053654970,EPPERSON,CHASITY,L,APRN,F,I,1450 DOWELL SPRINGS BLVD,SUITE 300,KNOXVILLE,TN,379092442,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,2990,13.589638796,10.191367893,7.9900267559,7.9900267559
1053654970,EPPERSON,CHASITY,L,APRN,F,I,1450 DOWELL SPRINGS BLVD,SUITE 300,KNOXVILLE,TN,379092442,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,15,85,91,683.13879121,251.11,195.29340659,195.29340659
1053654970,EPPERSON,CHASITY,L,APRN,F,I,1450 DOWELL SPRINGS BLVD,SUITE 300,KNOXVILLE,TN,379092442,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,474.45923077,264.16,207.1,207.1
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,21,1032,0.1508914729,0.12,0.090755814,0.090755814
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,11,23,775,14.094722581,8.41,6.5934967742,6.5934967742
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,23,555,31.472162162,22.42,17.577369369,17.577369369
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,18,243,16.048518519,10.93,8.5691358025,8.5691358025
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,20,21,528,2.9040909091,2.4,1.8816287879,1.8816287879
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,19,1266,4.2968957346,3.67,2.8772748815,2.8772748815
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,18,22,1892,0.6330602537,0.4497621564,0.3526374207,0.3528171247
1053655001,SEVIGNY,HEATHER,,APRN,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Nurse Practitioner,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,16,1726,2.4497798378,1.97,1.530179606,1.530179606
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,11,22,84.305909091,8.32,5.93,5.93
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,458.80333333,90,70.56,67.84
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,30,139.90133333,34,26.656666667,25.918
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,80.560666667,12.08,9.47,9.1433333333
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,80,8.0735,2,1.568375,1.590125
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,82,84,67.269047619,17.51,13.348095238,13.174047619
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,37,43.320810811,4.0524324324,3.0940540541,3.537027027
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,31,184.01741935,32.903225806,24.784516129,24.646451613
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,161,167,314.57760479,79.8,58.903173653,52.629401198
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,230,38,28.135,27.870555556
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,809,1.4290729295,0.1370951792,0.1007292954,0.1007292954
1053655613,SMITH,MARIA,,,F,I,3100 N ACADEMY BLVD,,COLORADO SPRINGS,CO,809175321,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,51,33,23.518181818,23.518181818
1053656140,HUDGENS,KATHERINE,H,,F,I,101 E WOOD ST,DEPARTMENT OF INPATIENT SERVICES,SPARTANBURG,SC,293033040,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,24,56,65.852321429,8.32,6.2878571429,6.2878571429
1053656140,HUDGENS,KATHERINE,H,,F,I,101 E WOOD ST,DEPARTMENT OF INPATIENT SERVICES,SPARTANBURG,SC,293033040,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,32.1285,4.436,2.77,2.903
1053656298,MEREDITH,ALAN,M,PA-C,M,I,6812 STATE ROUTE 162,,MARYVILLE,IL,62062,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,30,64,78.95984375,8.32,5.4,5.4
1053656561,BLEICHER,JEREMY,S,"D.O., MPH",M,I,400 S POINTE DR,APT. 1808,MIAMI BEACH,FL,331397301,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,56,57.897321429,8.32,6.5225,6.5225
1053656561,BLEICHER,JEREMY,S,"D.O., MPH",M,I,400 S POINTE DR,APT. 1808,MIAMI BEACH,FL,331397301,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,32,11.47375,1.42,1.114375,1.114375
1053656884,BROWN,MUKUMBI,C,N.P.,F,I,365 EAST ST,,TEWKSBURY,MA,018761950,US,Nurse Practitioner,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.79,8.5,6.6654545455,7.3681818182
1053657684,TAN,MAYBEL,M,M.D,F,I,3114 W BEVERLY BLVD,,MONTEBELLO,CA,906402217,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,32,50.905,8.32,6.115625,6.115625
1053657783,KUMAR,ASHOK,,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,84,87,44.865172414,16.746551724,12.53137931,12.937586207
1053657783,KUMAR,ASHOK,,MD,M,I,1350 WALTON WAY,,AUGUSTA,GA,309012612,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,11,86,89,260.46370787,72.458314607,54.211460674,52.227977528
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,22,88,88,88,487.46465909,433.46829545,338.16272727,291.81329545
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,45,45,45,1236.6353333,993.68777778,740.95355556,737.69266667
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,38,279,279,279,1425.1094624,1228.2756989,938.15494624,862.40609319
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,19,20,27,131.07407407,98.445925926,77.182222222,77.893703704
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,13,17,907.23764706,682.24176471,534.87529412,480.62411765
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,17,17,28,1111.7857143,867.12321429,679.82642857,677.69
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,31,189,190,335,505.8778806,451.88402985,344.23931343,344.0059403
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,21,22,35,136.12942857,116.89342857,87.544857143,84.746285714
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,25,86,86,156,62.551602564,49.165897436,38.021346154,37.903525641
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,27,128,135,208,521.34019231,436.79663462,335.6525,336.97149038
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,32,116,120,163,532.62705521,466.82680982,359.93067485,359.37693252
1053659417,GIEDD,ANN MARIE,B,MSN/FNP,F,I,413 STEWART RD,,EATON CENTER,NH,038320383,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,36,213,214,214,872.36785047,711.91303738,548.65859813,559.04663551
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,32,99,81.12969697,8.32,5.4676767677,5.4676767677
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,13,24,16.57875,1.42,1.0204166667,1.0204166667
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,95.88,38.55,30.22,30.49
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,7.9752,1.47,1.0584,1.0584
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,72,7.3980555556,2.01,1.5766666667,1.5930555556
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,50,11.978235294,8.14,8.0176470588
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,29,26.774482759,4.7072413793,3.5362068966,3.534137931
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,150.6,33.15,23.85,23.401538462
1053660415,RANNINGER,CONSUELO,,A.R.N.P.,F,I,315 E. OLYMPIA AVENUE,SUITE 111-112-223,PUNTA GORDA,FL,33950,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,350,70.23,55.06,54.74
1053660613,PINEDA,JESSICA,M,PA-C,F,I,6404 ALBERMARLE RD,SUITE J&K,CHARLOTTE,NC,28212,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,15,31,78.503548387,8.2667741935,6.0593548387,6.1009677419
1053660613,PINEDA,JESSICA,M,PA-C,F,I,6404 ALBERMARLE RD,SUITE J&K,CHARLOTTE,NC,28212,US,Physician Assistant,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.86,14.335,6.8383333333,6.5583333333
1053660613,PINEDA,JESSICA,M,PA-C,F,I,6404 ALBERMARLE RD,SUITE J&K,CHARLOTTE,NC,28212,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,21.553333333,9.3391666667,7.6416666667
1053660688,WALL,MARSHA,D,PA-C,F,I,425 CLINIC DR,,MOREHEAD,KY,403511077,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,181.77083333,70.851666667,45.56,32.453333333
1053660688,WALL,MARSHA,D,PA-C,F,I,425 CLINIC DR,,MOREHEAD,KY,403511077,US,Physician Assistant,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,130,118.14,92.62,77.86
1053660688,WALL,MARSHA,D,PA-C,F,I,425 CLINIC DR,,MOREHEAD,KY,403511077,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,24,52.47,52.47,41.14,46.35
1053660969,ANARA,CYRIL,,M.D,M,I,601 S 8TH ST,,GRIFFIN,GA,302244213,US,Physician/Internal Medicine,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,17,17,342.81,137.21294118,98.505294118,85.608235294
1053660969,ANARA,CYRIL,,M.D,M,I,601 S 8TH ST,,GRIFFIN,GA,302244213,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,76.748571429,22.125714286,15.924285714,12.241428571
1053660969,ANARA,CYRIL,,M.D,M,I,601 S 8TH ST,,GRIFFIN,GA,302244213,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,449.11071429,89.16,64.979285714,50.167857143
1053661025,BALL,NATALIE,K,PA,F,I,805 FARSON ST STE 117,,BELPRE,OH,45714,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,29,51,120,72.731666667,8.32,5.8671666667,5.8671666667
1053661025,BALL,NATALIE,K,PA,F,I,805 FARSON ST STE 117,,BELPRE,OH,45714,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,24,15.765,1.42,1.1170833333,1.1170833333
1053661025,BALL,NATALIE,K,PA,F,I,805 FARSON ST STE 117,,BELPRE,OH,45714,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,50.73,4.6081632653,3.6140816327,3.5857142857
1053661025,BALL,NATALIE,K,PA,F,I,805 FARSON ST STE 117,,BELPRE,OH,45714,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,2100,1.4764571429,0.1398571429,0.1005666667,0.1005666667
1053661025,BALL,NATALIE,K,PA,F,I,805 FARSON ST STE 117,,BELPRE,OH,45714,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,71.824,19.816,13.350666667,12.620666667
1053661025,BALL,NATALIE,K,PA,F,I,805 FARSON ST STE 117,,BELPRE,OH,45714,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,78.81,41.416666667,32.464166667,32.464166667
1053661025,BALL,NATALIE,K,PA,F,I,805 FARSON ST STE 117,,BELPRE,OH,45714,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,87.620689655,33,23.993448276,23.993448276
1053661181,KIZARR,CRYSTAL,C,APRN,F,I,1324 N HARVILLE RD,,DUNCAN,OK,735331514,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,14.840714286,8.275,5.8821428571,3.4057142857
1053661181,KIZARR,CRYSTAL,C,APRN,F,I,1324 N HARVILLE RD,,DUNCAN,OK,735331514,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1890,1.9263809524,0.1353809524,0.0712910053,0.0712910053
1053661348,WILSON,JESSICA,L,PA,F,I,8 RICHLAND MEDICAL PARK DR STE 400,,COLUMBIA,SC,29203,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35,22.4775,16.3775,12.904166667
1053661348,WILSON,JESSICA,L,PA,F,I,8 RICHLAND MEDICAL PARK DR STE 400,,COLUMBIA,SC,29203,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,185,102.61833333,74.619166667,52.689166667
1053661454,QUERIO,LEXI,K,PA-C,F,I,810 E 3RD ST,SUITE 201,DURANGO,CO,81301,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,76,40.131973684,8.32,4.9776315789,4.9776315789
1053661454,QUERIO,LEXI,K,PA-C,F,I,810 E 3RD ST,SUITE 201,DURANGO,CO,81301,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,81.7,22.2805,17.4665,14.433
1053661454,QUERIO,LEXI,K,PA-C,F,I,810 E 3RD ST,SUITE 201,DURANGO,CO,81301,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,24.4375,8.283125,6.266875,3.37875
1053661454,QUERIO,LEXI,K,PA-C,F,I,810 E 3RD ST,SUITE 201,DURANGO,CO,81301,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,48,48,501.51583333,103.64166667,78.825416667,56.67
1053661454,QUERIO,LEXI,K,PA-C,F,I,810 E 3RD ST,SUITE 201,DURANGO,CO,81301,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,3060,0.400245098,0.0461111111,0.026372549,0.026372549
1053661454,QUERIO,LEXI,K,PA-C,F,I,810 E 3RD ST,SUITE 201,DURANGO,CO,81301,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,285.6,44.745,32.344166667,27.056666667
1053661454,QUERIO,LEXI,K,PA-C,F,I,810 E 3RD ST,SUITE 201,DURANGO,CO,81301,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,56.294117647,33,21.304705882,21.304705882
1053661934,GUNN-NOLAN,SHERANDA,C,D.O.,F,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,134.38,58.375,40.161875,30.82625
1053661934,GUNN-NOLAN,SHERANDA,C,D.O.,F,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,82,82,39.245609756,22.107926829,15.909878049,12.724878049
1053661934,GUNN-NOLAN,SHERANDA,C,D.O.,F,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,30.228,21.985,15.743,12.478
1053661934,GUNN-NOLAN,SHERANDA,C,D.O.,F,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,52,52,21.004615385,7.0548076923,5.0401923077,3.1696153846
1053661934,GUNN-NOLAN,SHERANDA,C,D.O.,F,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,85,85,262.46741176,100.10929412,72.862117647,53.394588235
1053661934,GUNN-NOLAN,SHERANDA,C,D.O.,F,I,142 S MAIN ST,,DANVILLE,VA,245412922,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,59.12,22.165294118,15.400588235,12.328235294
1053662171,COVINGTON,SARAH,A,CRNP,F,I,1608 GILMER AVE,,TALLASSEE,AL,360782314,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,22,3.6136363636,1.47,1.0981818182,1.0981818182
1053662171,COVINGTON,SARAH,A,CRNP,F,I,1608 GILMER AVE,,TALLASSEE,AL,360782314,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,38.757878788,17.29,13.55,13.531212121
1053662171,COVINGTON,SARAH,A,CRNP,F,I,1608 GILMER AVE,,TALLASSEE,AL,360782314,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,33,38,21.561842105,4.7063157895,3.1731578947,3.1710526316
1053662171,COVINGTON,SARAH,A,CRNP,F,I,1608 GILMER AVE,,TALLASSEE,AL,360782314,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,233.85972222,70.23,54.9825,54.661666667
1053662171,COVINGTON,SARAH,A,CRNP,F,I,1608 GILMER AVE,,TALLASSEE,AL,360782314,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,3300,1.967330303,0.1372818182,0.1011060606,0.1011060606
1053662171,COVINGTON,SARAH,A,CRNP,F,I,1608 GILMER AVE,,TALLASSEE,AL,360782314,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,38,33,33,23.417105263,23.417105263
1053662569,BROWN,KRISTI,R,NP,F,I,8424 NAAB RD BLDG 1,SUITE 1B,INDIANAPOLIS,IN,462605918,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,38,69,371,78.227466307,8.32,6.2773854447,6.2773854447
1053662569,BROWN,KRISTI,R,NP,F,I,8424 NAAB RD BLDG 1,SUITE 1B,INDIANAPOLIS,IN,462605918,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,15,25,46,17.614130435,1.42,1.0663043478,1.0663043478
1053662569,BROWN,KRISTI,R,NP,F,I,8424 NAAB RD BLDG 1,SUITE 1B,INDIANAPOLIS,IN,462605918,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,570,251.11,196.87,196.87
1053662650,FITZSIMMONS,SARAH,L,PA-C,F,I,890 LAZELLE ST,,STURGIS,SD,577851611,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,28.688333333,5.8404761905,4.3645238095,3.5123809524
1053662650,FITZSIMMONS,SARAH,L,PA-C,F,I,890 LAZELLE ST,,STURGIS,SD,577851611,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,320.4696,71.24,47.036,46.1288
1053662650,FITZSIMMONS,SARAH,L,PA-C,F,I,890 LAZELLE ST,,STURGIS,SD,577851611,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,3741,0.4652686447,0.0461962042,0.034755413,0.034755413
1053662650,FITZSIMMONS,SARAH,L,PA-C,F,I,890 LAZELLE ST,,STURGIS,SD,577851611,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,110.52117647,39.63,27.350588235,26.038235294
1053662650,FITZSIMMONS,SARAH,L,PA-C,F,I,890 LAZELLE ST,,STURGIS,SD,577851611,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,56.571428571,33,24.296190476,24.296190476
1053662783,ETHERTON,EDWARD,E,NP,M,I,1701 W GARDEN ST,,PEORIA,IL,616053531,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,36.741428571,4.8057142857,3.6038095238,3.4442857143
1053662783,ETHERTON,EDWARD,E,NP,M,I,1701 W GARDEN ST,,PEORIA,IL,616053531,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,164.15,49.655714286,38.924285714,38.214285714
1053662783,ETHERTON,EDWARD,E,NP,M,I,1701 W GARDEN ST,,PEORIA,IL,616053531,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,264,69.81,54.73,54.73
1053662874,HALE,JESSI,L,ARNP,F,I,6801 RIVER RD STE 301,,COLUMBUS,GA,319043353,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,40,66.612,8.32,5.381,5.381
1053665232,SEARCY,LARONA,R,FNP,F,I,161 WOODLAND DR,,MADISON,MS,391108751,US,Nurse Practitioner,S,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less",D1E - Other DME,Durable Medical Equipment,N,1,37,38,38,1100.38,1011.35,792.9,792.9
1053665232,SEARCY,LARONA,R,FNP,F,I,161 WOODLAND DR,,MADISON,MS,391108751,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,40,180,180,93.17,77.151944444,60.483611111,67.066111111
1053665232,SEARCY,LARONA,R,FNP,F,I,161 WOODLAND DR,,MADISON,MS,391108751,US,Nurse Practitioner,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,368.88,339.04,265.81,292.91
1053665232,SEARCY,LARONA,R,FNP,F,I,161 WOODLAND DR,,MADISON,MS,391108751,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,497.65,457.39,358.59,354.02
1053665232,SEARCY,LARONA,R,FNP,F,I,161 WOODLAND DR,,MADISON,MS,391108751,US,Nurse Practitioner,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,54.02,49.65,38.93,38.43
1053665232,SEARCY,LARONA,R,FNP,F,I,161 WOODLAND DR,,MADISON,MS,391108751,US,Nurse Practitioner,S,L3761,"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,19,452.68052632,444.11,340.62894737,336.18894737
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,21,45,133,58.460827068,8.32,6.1296992481,6.1296992481
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,22,6.5345454545,1.42,1.1127272727,1.1127272727
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,25.198181818,25.198181818,19.755454545,22.31
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,12.61,7.26,5.69,5.85
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175.1025,52.6875,39.8975,36.76
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,39,73.492307692,17.176410256,13.123846154,13.19
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,46.726875,5.70375,4.24375,3.131875
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,55,63,462.16555556,66.740793651,49.593174603,51.061269841
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,250,37.64,28.280416667,28.280416667
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,6300,0.17,0.0468571429,0.0349793651,0.0349793651
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,1710,1.2460350877,0.1258245614,0.0890877193,0.0890877193
1053666081,EVANS,MORGAN,D,D.O,F,I,1718 E KESSLER BLVD,,LONGVIEW,WA,986321842,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,35,35,100.88571429,33,24.603428571,24.603428571
1053666123,CHRISTENSEN,LANCE,,PA,M,I,201 S CLINTON ST STE 195,,IOWA CITY,IA,522404023,US,Physician Assistant,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,109,78.81,61.79,68.035454545
1053666354,PRICE,ELEANOR,G,D.O.,F,I,7551 W ALAMEDA AVE,,LAKEWOOD,CO,802263208,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,75,76.259333333,8.32,6.5226666667,6.5226666667
1053666354,PRICE,ELEANOR,G,D.O.,F,I,7551 W ALAMEDA AVE,,LAKEWOOD,CO,802263208,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,913.16,711.62416667,827.43583333
1053666354,PRICE,ELEANOR,G,D.O.,F,I,7551 W ALAMEDA AVE,,LAKEWOOD,CO,802263208,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,31,31,528.00516129,79.585806452,59.499032258,52.935806452
1053666354,PRICE,ELEANOR,G,D.O.,F,I,7551 W ALAMEDA AVE,,LAKEWOOD,CO,802263208,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,285.6,39.972352941,29.552941176,27.826470588
1053666420,MIRZA,KHURRAM,,,M,I,700 E MARSHALL AVE,,LONGVIEW,TX,756015580,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,66,18,13.367368421,12.857368421
1053666420,MIRZA,KHURRAM,,,M,I,700 E MARSHALL AVE,,LONGVIEW,TX,756015580,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,26,402.15692308,83.151538462,60.385384615,50.637692308
1053666594,ANTHONY,CRAIG,L,M.D.,M,I,8510 BRYANT ST,SUITE 200,WESTMINSTER,CO,800313844,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,26,66.896153846,8.32,6.2723076923,6.2723076923
1053666594,ANTHONY,CRAIG,L,M.D.,M,I,8510 BRYANT ST,SUITE 200,WESTMINSTER,CO,800313844,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,619.56,78.273513514,51.001081081,45.487567568
1053666594,ANTHONY,CRAIG,L,M.D.,M,I,8510 BRYANT ST,SUITE 200,WESTMINSTER,CO,800313844,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,233.15789474,38.76,28.790526316,27.956842105
1053666719,MARIN,JOSE,A,M.D.,M,I,13001 EASTLAKE BLVD STE 105-106,,EL PASO,TX,799286311,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,50,65.8706,8.32,6.5224,6.5224
1053666800,SPARTZ-KOLBO,ANGELA,M,O. D.,F,I,4600 SINGING HILLS BLVD,,SIOUX CITY,IA,511069702,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,23,23,142.34782609,63.86,48.382608696,51.122608696
1053666800,SPARTZ-KOLBO,ANGELA,M,O. D.,F,I,4600 SINGING HILLS BLVD,,SIOUX CITY,IA,511069702,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,24,45,64.561111111,50.69,36.966222222,40.824
1053666800,SPARTZ-KOLBO,ANGELA,M,O. D.,F,I,4600 SINGING HILLS BLVD,,SIOUX CITY,IA,511069702,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,29,32,64,20,16.06,12.20140625,13.56375
1053667295,CAPPELL,ADINA,,M.D.,F,I,2200 KERNAN DR,,BALTIMORE,MD,212076665,US,Physician/Family Practice,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,85.186363636,54.842727273,41.045,35.655454545
1053667295,CAPPELL,ADINA,,M.D.,F,I,2200 KERNAN DR,,BALTIMORE,MD,212076665,US,Physician/Family Practice,S,E0305,"Bed side rails, half length",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,74.522727273,7.8790909091,6.1727272727,6.5704545455
1053667808,KLUDT,MELISSA,,CNP,F,I,600 BILLARS ST,,SCOTLAND,SD,570592026,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,17.620833333,13.53
1053667808,KLUDT,MELISSA,,CNP,F,I,600 BILLARS ST,,SCOTLAND,SD,570592026,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,502.62461538,104.06769231,81.591538462,54.73
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,35,78,160,86.984,8.32,5.7475,5.7475
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,17,17,13.065294118,1.42,0.9223529412,0.9223529412
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,80,82.793,25.904,18.310375,13.314625
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,12,21,21,219.97666667,76.97047619,55.834761905,42.212857143
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,55.38875,25.76125,19.21875,14.29375
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,14,27,27,62.204814815,19.369259259,14.437407407,8.872962963
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,13,27,130,12.333538462,3.0446153846,2.2239230769,1.5083846154
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,22.4775,16.3775,12.4025
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,77.45,59.855,40.570833333,31.5775
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,305,138.53,108.60642857,70.892857143
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,39.818666667,19.13,13.454,9.536
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,36.166666667,10.2575,8.0433333333,5.405
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,134.73793103,54.266206897,40.76,24.924482759
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,45,379.33333333,102.36711111,77.601555556,58.145555556
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,2496,2.3272475962,0.1394871795,0.109375,0.109375
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,134.77538462,44.900769231,35.204615385,30.066153846
1053668475,HOOLEY,JAIME,M,PA,F,I,405 E MAIN ST,,MARSHALLTOWN,IA,501581928,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,33,33,25.87,25.87
1053668806,RIVERO,ALBERT,,MD,M,I,1134 N 500 W STE 101,,PROVO,UT,846045569,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,125,17.91,14.04,13.735652174
1053668806,RIVERO,ALBERT,,MD,M,I,1134 N 500 W STE 101,,PROVO,UT,846045569,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,375,70.48,55.25,54.896666667
1053669226,SCHERER,BENJAMIN,,D.P.M.,M,I,500 N GARFIELD AVE STE 108,,MONTEREY PARK,CA,917541242,US,Podiatry,S,E1830,"Dynamic adjustable toe extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,395,130.36,102.2,102.2
1053669283,PFENINGER,KATHERINE,,APRN,F,I,30 BEE ST,,CHARLESTON,SC,294258910,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,38,52.578684211,8.32,5.3213157895,5.3213157895
1053669283,PFENINGER,KATHERINE,,APRN,F,I,30 BEE ST,,CHARLESTON,SC,294258910,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,9.4542857143,1.42,1.0357142857,1.0357142857
1053669390,SHEN,BRENDA,,M.D.,F,I,520 N PROSPECT AVE,SUITE 103,REDONDO BEACH,CA,902773041,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,33,73.841818182,8.32,5.1390909091,5.1390909091
1053669390,SHEN,BRENDA,,M.D.,F,I,520 N PROSPECT AVE,SUITE 103,REDONDO BEACH,CA,902773041,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,37.617368421,3.9357894737,2.79,3.4136842105
1053669895,MOILANEN,JENNIFER,L,NP-C,F,I,107 N BRIDGE ST,,SARANAC,MI,488815121,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,71.786,20.273,15.2005,12.879
1053669895,MOILANEN,JENNIFER,L,NP-C,F,I,107 N BRIDGE ST,,SARANAC,MI,488815121,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,419.73272727,93.11,70.149545455,52.954090909
1053669895,MOILANEN,JENNIFER,L,NP-C,F,I,107 N BRIDGE ST,,SARANAC,MI,488815121,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1410,0.92,0.1346595745,0.0901134752,0.0901134752
1053669895,MOILANEN,JENNIFER,L,NP-C,F,I,107 N BRIDGE ST,,SARANAC,MI,488815121,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,107.25,33,23.05125,23.05125
1053670547,BEAM,KEITH,T,M.D.,M,I,1060 W PERIMETER RD DEPT INTERNAL,,JB ANDREWS,MD,207626602,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,84,6.6764285714,2.15,1.5738095238,1.5103571429
1053670547,BEAM,KEITH,T,M.D.,M,I,1060 W PERIMETER RD DEPT INTERNAL,,JB ANDREWS,MD,207626602,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,360,125,3,2.3382222222,2.354
1053670547,BEAM,KEITH,T,M.D.,M,I,1060 W PERIMETER RD DEPT INTERNAL,,JB ANDREWS,MD,207626602,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,6774,2.3303542958,0.2991585474,0.2140847358,0.2227590788
1053670786,STOVER,TITORYA,,DPM/MPH,F,I,2706 SAINT JUDE ST,,GREENSBORO,NC,274053670,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,31,60,95,71.56,56.1065,56.1035
1053670786,STOVER,TITORYA,,DPM/MPH,F,I,2706 SAINT JUDE ST,,GREENSBORO,NC,274053670,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,23,122,59,43.56,31.622377049,31.620245902
1053670786,STOVER,TITORYA,,DPM/MPH,F,I,2706 SAINT JUDE ST,,GREENSBORO,NC,274053670,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,13,100,74.55,58.45,63.1
1053670794,CROZIER,MATTHEW,W,M.D.,M,I,3450 HULL RD STE 3301,,GAINESVILLE,FL,326074144,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,193.75,53.903703704,38.236296296,32.794444444
1053670794,CROZIER,MATTHEW,W,M.D.,M,I,3450 HULL RD STE 3301,,GAINESVILLE,FL,326074144,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,20,20,20,206.6,57.3095,40.872,36.8215
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,37,71,228,47.750614035,8.32,6.0644298246,6.0644298246
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,17,35,35,17.006857143,3.38,2.4985714286,2.4985714286
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,22,23,23,15.766086957,2.12,1.452173913,1.452173913
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,35,62,102,16.46127451,1.42,1.0160784314,1.0160784314
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,60,60,120,78.33,71.352,52.245333333,52.397833333
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,55,55,324,34.447160494,29.107037037,22.723703704,22.785401235
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,9,22,22,22,122.58681818,58.064545455,39.56,33.792727273
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,8,23,23,23,24.134782609,15.13173913,10.816086957,10.909130435
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,6,11,42,42,163.155,55.91952381,41.7,39.525952381
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,44.122,4.0866666667,2.496,3.072
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,15,15,15,64.634666667,62.911333333,41.462666667,48.316
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,65,50.213529412,39.363529412,37.375294118
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,40.01,12.046666667,9.44,9.4125
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,17,2878,0.3270917304,0.0462265462,0.0362404448,0.0362404448
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,14,54.577142857,23.365,16.82,16.076428571
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,20,20,80.659,36.925,28.945,23.932
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,27,27,21.413333333,9.8,7.4303703704,6.6151851852
1053671479,DUKE,DORAN,M,M.D.,M,I,621 S ROSELLE RD,2ND FLR,SCHAUMBURG,IL,601933175,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,19,19,90.315789474,33,24.508421053,24.508421053
1053671529,GREWAL,TARANDEEP,S,MD,M,I,5443 W MOLLY LN,,PHOENIX,AZ,850836376,US,Physician/Family Practice,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,24,24,24,122.62,67.302083333,52.768333333,46.55375
1053671529,GREWAL,TARANDEEP,S,MD,M,I,5443 W MOLLY LN,,PHOENIX,AZ,850836376,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,760.48,77.36,60.65,57.534210526
1053671529,GREWAL,TARANDEEP,S,MD,M,I,5443 W MOLLY LN,,PHOENIX,AZ,850836376,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,285.6,39.26,30.78,30.111578947
1053671743,LE,TRI,,M.D.,M,I,2231 N HIGH ST,,COLUMBUS,OH,432011101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,62,115,45.512173913,8.32,5.998,5.998
1053671743,LE,TRI,,M.D.,M,I,2231 N HIGH ST,,COLUMBUS,OH,432011101,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,11,20,24,7.6354166667,1.42,0.9783333333,0.9783333333
1053671792,BELZER,BLYTHE,K,MD,F,I,500 W BROADWAY ST FL 4,,MISSOULA,MT,59802,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,,24,96,87.300520833,8.32,5.7073958333,5.7073958333
1053671792,BELZER,BLYTHE,K,MD,F,I,500 W BROADWAY ST FL 4,,MISSOULA,MT,59802,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,46,48.40173913,15.17,10.341304348,10.341304348
1053671792,BELZER,BLYTHE,K,MD,F,I,500 W BROADWAY ST FL 4,,MISSOULA,MT,59802,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,78.88,17.97,12.867692308,12.850769231
1053671792,BELZER,BLYTHE,K,MD,F,I,500 W BROADWAY ST FL 4,,MISSOULA,MT,59802,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,15,64,4.9321875,1.805,1.26640625,1.38421875
1053671826,SHUKLA,PARUL,J,M.D.,M,I,1300 YORK AVE,K-802E,NEW YORK,NY,100654805,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,580,7.508862069,3.5089655172,2.6288275862,2.8204310345
1053671826,SHUKLA,PARUL,J,M.D.,M,I,1300 YORK AVE,K-802E,NEW YORK,NY,100654805,US,Physician/General Surgery,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,26,1055,9.4411469194,5.5534597156,4.213971564,4.3053744076
1053671826,SHUKLA,PARUL,J,M.D.,M,I,1300 YORK AVE,K-802E,NEW YORK,NY,100654805,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,614,3.5568403909,2.8360749186,2.1758957655,2.2133224756
1053671826,SHUKLA,PARUL,J,M.D.,M,I,1300 YORK AVE,K-802E,NEW YORK,NY,100654805,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,580,11.317448276,6.5834482759,4.8572931034,5.0600517241
1053671826,SHUKLA,PARUL,J,M.D.,M,I,1300 YORK AVE,K-802E,NEW YORK,NY,100654805,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,16,1920,2.7086041667,1.846875,1.218875,1.23909375
1053671826,SHUKLA,PARUL,J,M.D.,M,I,1300 YORK AVE,K-802E,NEW YORK,NY,100654805,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,830,0.7912650602,0.27,0.2116987952,0.2116987952
1053671859,DUNNE,SARA,B,RPA-C,F,I,2339 GULF TO BAY BLVD,,CLEARWATER,FL,33765,US,Physician Assistant,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,20,1542.631,1183.735,909.2845,867.734
1053671859,DUNNE,SARA,B,RPA-C,F,I,2339 GULF TO BAY BLVD,,CLEARWATER,FL,33765,US,Physician Assistant,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,16,18,1149.0105556,857.705,667.32444444,672.71777778
1053671859,DUNNE,SARA,B,RPA-C,F,I,2339 GULF TO BAY BLVD,,CLEARWATER,FL,33765,US,Physician Assistant,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,25,27,137.84740741,105.53111111,82.735185185,88.353703704
1053671883,PETERSON TRUKSA,VICKI,D,APRN,F,I,505 S PARK ST,,GENOA,NE,686403036,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,241.66666667,93.825555556,67.247222222,50.947222222
1053671958,LIERMANN,BRENDA,M,APRN-NP,F,I,110 N 29TH ST,SUITE 302,NORFOLK,NE,687014424,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,392.89473684,95.28,71.554736842,51.849473684
1053672048,AFSARI,HAMID,A,D.O.,M,I,11885 E 12 MILE RD,STE. 300A,WARREN,MI,480933474,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,300,53.385384615,39.601923077,34.456538462
1053672048,AFSARI,HAMID,A,D.O.,M,I,11885 E 12 MILE RD,STE. 300A,WARREN,MI,480933474,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.05818182,22.790909091,17.866363636,13.53
1053672048,AFSARI,HAMID,A,D.O.,M,I,11885 E 12 MILE RD,STE. 300A,WARREN,MI,480933474,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,5.385,3.6166666667,2.8166666667
1053672048,AFSARI,HAMID,A,D.O.,M,I,11885 E 12 MILE RD,STE. 300A,WARREN,MI,480933474,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,450,83.278,61.306,51.081333333
1053672048,AFSARI,HAMID,A,D.O.,M,I,11885 E 12 MILE RD,STE. 300A,WARREN,MI,480933474,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,100,20.337391304,15.945652174,15.33
1053672048,AFSARI,HAMID,A,D.O.,M,I,11885 E 12 MILE RD,STE. 300A,WARREN,MI,480933474,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,130,41.5628,29.958,27.152
1053673442,CHOW,STEPHEN,,DO,M,I,10628 PARK RD,,CHARLOTTE,NC,282108407,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,21.615,4.815,3.53,3.1392857143
1053673483,ZEITOUNI,RAGHID,,MD,M,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17.15,17.15,13.45,13.54
1053673483,ZEITOUNI,RAGHID,,MD,M,I,8800 N TRYON ST,,CHARLOTTE,NC,282623300,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,177.97733333,84.201333333,64.024666667,53.386333333
1053673509,RAHMAN,RYAN,S,M.D.,M,I,1301 PRIMACY PKWY,,MEMPHIS,TN,38119,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,17,62,73.971612903,8.32,5.2269354839,5.2269354839
1053673509,RAHMAN,RYAN,S,M.D.,M,I,1301 PRIMACY PKWY,,MEMPHIS,TN,38119,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,19,15.233684211,1.42,0.8210526316,0.8210526316
1053673897,SHORT,KEVIN,,D.P.M,M,I,2414 WALBERT AVE,,ALLENTOWN,PA,181041326,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,50,50,100,77.9144,70.2368,55.0674,55.9149
1053673897,SHORT,KEVIN,,D.P.M,M,I,2414 WALBERT AVE,,ALLENTOWN,PA,181041326,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,114,43.733684211,29.19,22.885,22.886403509
1053673897,SHORT,KEVIN,,D.P.M,M,I,2414 WALBERT AVE,,ALLENTOWN,PA,181041326,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,132,51.297272727,43.56,34.151666667,34.150227273
1053673897,SHORT,KEVIN,,D.P.M,M,I,2414 WALBERT AVE,,ALLENTOWN,PA,181041326,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,95,78.516666667,56.985833333,58.698333333
1053674606,FRENCH,MICHAEL,H,D.O.,M,I,26520 CACTUS AVE,ORTHOPEDIC SURGERY,MORENO VALLEY,CA,925553927,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,14,14,14,158.29,47.7,37.4,36.46
1053674994,GARCIA,FRANK,,M.D.,M,I,2215 BURDETT AVE,,TROY,NY,121802466,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,16,64.281875,17.55,13.76,13.5675
1053674994,GARCIA,FRANK,,M.D.,M,I,2215 BURDETT AVE,,TROY,NY,121802466,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,16,436.599375,79.48,62.31,55.66875
1053675009,BEAN,MATTHEW,C,MD,M,I,1919 LINCOLN WAY STE 315,,COEUR D ALENE,ID,838142527,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,3,1.73,1.2693818182,1.5123818182
1053675397,TAVAREZ,LAURA,,MD,F,I,225 60TH ST,,WEST NEW YORK,NJ,070932805,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,24,74.255833333,8.32,5.9766666667,5.9766666667
1053675405,SNIEZEK,MATTHEW,P,D.O,M,I,79 WAGNER RD,,MONACA,PA,150612337,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,15,52,7.5588461538,2,1.5084615385,1.5286538462
1053675405,SNIEZEK,MATTHEW,P,D.O,M,I,79 WAGNER RD,,MONACA,PA,150612337,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,189.455,39.825,31.22,29.571666667
1053675520,KRONGLAS,PESSIE,,PA,F,I,1771 MADISON AVE,,LAKEWOOD,NJ,087011251,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,14.846363636,10.272727273,12.181818182
1053675645,WU,XIANNIAN,,M.D.,M,I,8268 164TH ST RM N707,,JAMAICA,NY,114321121,US,Internal Medicine,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,35,91,67.050549451,8.32,4.9449450549,4.9449450549
1053675645,WU,XIANNIAN,,M.D.,M,I,8268 164TH ST RM N707,,JAMAICA,NY,114321121,US,Internal Medicine,T,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,25,23.9564,1.42,0.938,0.938
1053675827,RASLAN,SERAGELDIN,,,M,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Hospitalist,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,36.98,9.6827272727,7.5863636364,7.5863636364
1053675827,RASLAN,SERAGELDIN,,,M,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Hospitalist,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,240.95,46.591818182,36.527272727,37.130909091
1053675827,RASLAN,SERAGELDIN,,,M,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.05,6.4366666667,4.4425,3.5266666667
1053675827,RASLAN,SERAGELDIN,,,M,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,429.45923077,73.778461538,46.474615385,43.802307692
1053675827,RASLAN,SERAGELDIN,,,M,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,106.02,18.380909091,14.405454545,13.936363636
1053675827,RASLAN,SERAGELDIN,,,M,I,530 NE GLEN OAK AVE,,PEORIA,IL,616370001,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.16,8.1990909091,6.4290909091,6.5236363636
1053676197,CHEDDI,ARUNA,,M.D.,F,I,1600 E BROADWAY,,COLUMBIA,MO,652015844,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,82.08,11.755454545,7.3227272727,7.3145454545
1053676197,CHEDDI,ARUNA,,M.D.,F,I,1600 E BROADWAY,,COLUMBIA,MO,652015844,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,30,461.02033333,89.021666667,67.801,52.905666667
1053676197,CHEDDI,ARUNA,,M.D.,F,I,1600 E BROADWAY,,COLUMBIA,MO,652015844,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,677.5,38.68,30.32,29.51
1053676593,LUDLOW,SARAH,,M.D.,F,I,601 NORTH 30TH ST,CREIGHTON UNIVERSITY-DEPARTMENT OF FAMILY MEDICINE,OMAHA,NE,68131,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,36,93,277,62.850361011,8.32,5.7048736462,5.7048736462
1053676593,LUDLOW,SARAH,,M.D.,F,I,601 NORTH 30TH ST,CREIGHTON UNIVERSITY-DEPARTMENT OF FAMILY MEDICINE,OMAHA,NE,68131,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,11.021818182,3.38,2.1681818182,2.1681818182
1053676593,LUDLOW,SARAH,,M.D.,F,I,601 NORTH 30TH ST,CREIGHTON UNIVERSITY-DEPARTMENT OF FAMILY MEDICINE,OMAHA,NE,68131,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,19,40,53,13.875471698,1.42,0.9683018868,0.9683018868
1053676650,SEA,JASON,C,"MD, FRCSC",M,I,7301 STONEROCK CIR,,ORLANDO,FL,328198004,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,25,5110,7.0404305284,2.04,1.5712700587,1.5712700587
1053677062,HOLMGREN,SANDRA,J,GNP-C,F,I,40520 COUNTY HIGHWAY 34,,OGEMA,MN,56569,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,22.407142857,14.723809524,11.23952381
1053677062,HOLMGREN,SANDRA,J,GNP-C,F,I,40520 COUNTY HIGHWAY 34,,OGEMA,MN,56569,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,199.08117647,40.750588235,28.906470588,20.629411765
1053677062,HOLMGREN,SANDRA,J,GNP-C,F,I,40520 COUNTY HIGHWAY 34,,OGEMA,MN,56569,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,491.25833333,107.32875,78.701875,51.285625
1053677062,HOLMGREN,SANDRA,J,GNP-C,F,I,40520 COUNTY HIGHWAY 34,,OGEMA,MN,56569,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,45.444545455,35.630909091,30.167272727
1053677062,HOLMGREN,SANDRA,J,GNP-C,F,I,40520 COUNTY HIGHWAY 34,,OGEMA,MN,56569,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,720,0.92,0.1323333333,0.0848194444,0.0848194444
1053677062,HOLMGREN,SANDRA,J,GNP-C,F,I,40520 COUNTY HIGHWAY 34,,OGEMA,MN,56569,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,21.166363636,21.166363636
1053677245,TEBBS,RICHARD,C,PHYSICIAN ASSISTANT,M,I,544 S 400 E,,ST GEORGE,UT,847703705,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,11,826,38.70220339,4.9744067797,3.6523728814,3.6523728814
1053677260,KIM,SO DAM,,M.D.,F,I,1600 SW ARCHER RD # 112610,,GAINESVILLE,FL,326103411,US,Physician/Geriatric Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,243,18.5,18.5,14.503950617,14.503950617
1053677260,KIM,SO DAM,,M.D.,F,I,1600 SW ARCHER RD # 112610,,GAINESVILLE,FL,326103411,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,39,39,181.85153846,57.75974359,45.282051282,40.103076923
1053677260,KIM,SO DAM,,M.D.,F,I,1600 SW ARCHER RD # 112610,,GAINESVILLE,FL,326103411,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,,51,57,88.112280702,20.867017544,15.28754386,13.88122807
1053677260,KIM,SO DAM,,M.D.,F,I,1600 SW ARCHER RD # 112610,,GAINESVILLE,FL,326103411,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,31,39.570322581,9.0435483871,7.0893548387,7.0293548387
1053677641,HARP,GARRETT,M,M.D.,M,I,2005 KNIGHT LANE BLDG H,NAVY MEDICINE SUPPORT COMMAND ATTN: MED STAFF SERVICES,JACKSONVILLE,FL,322120140,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,541.41636364,78.402727273,61.469090909,54.76
1053677674,PATEL,ANERI,,M.D.,F,I,6821 PINES RD,SUITE 100,SHREVEPORT,LA,711292547,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,54,68.31962963,8.32,6.5224074074,6.5224074074
1053677674,PATEL,ANERI,,M.D.,F,I,6821 PINES RD,SUITE 100,SHREVEPORT,LA,711292547,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,54.796666667,26.639333333,20.886,14.844
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A4217,"Sterile water/saline, 500 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,216,4.4,3,2.3521759259,2.7672685185
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,34,102,64.296078431,8.2494117647,5.1794117647,5.248627451
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,26,34,16.092647059,1.42,0.9511764706,0.9511764706
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,15.9,6.26,4.9078333333,5.778
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,990,5.082,2.52,1.9756666667,2.3206666667
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,7.5,5.23,4.1003333333,4.1003333333
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,0.3,0.26,0.2038666667,0.2116666667
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1050,0.1,0.05,0.0392,0.0392
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,12,8.2,6.43,6.43
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,10,3.66,2.87,3.38
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,A7507,"Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,3.75,2.8,2.1951666667,2.1951666667
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,5.785,4.5325,3.6625
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,235.28,79,61.94,54.73
1053677930,DHINGRA,VIBHU,,MD,M,I,4525 CAMERON VALLEY PKWY,,CHARLOTTE,NC,282114369,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,68.15,35.27,27.66,29.52
1053678052,SAN DIEGO,ALEXANDER,F,D.P.M.,M,I,2404 N COURTENAY PKWY,,MERRITT ISLAND,FL,329534191,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,200,74.55,56.201923077,60.539230769
1053678052,SAN DIEGO,ALEXANDER,F,D.P.M.,M,I,2404 N COURTENAY PKWY,,MERRITT ISLAND,FL,329534191,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,36,446.25,266.98,204.30916667,213.62305556
1053678086,ELDER,JOSHUA,W,MD MPH,M,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Physician/Emergency Medicine,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,33,253,253,253,1552.1024111,1145.7584585,828.58304348,816.8144664
1053678086,ELDER,JOSHUA,W,MD MPH,M,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Physician/Emergency Medicine,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,19,115,115,126,998.11507937,658.83,501.10460317,465.20555556
1053678086,ELDER,JOSHUA,W,MD MPH,M,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Physician/Emergency Medicine,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,124,124,138,154.67398551,117.62492754,90.031231884,86.706086957
1053678086,ELDER,JOSHUA,W,MD MPH,M,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Physician/Emergency Medicine,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,23,100,100,161,534.47049689,458.39062112,355.76819876,361.77385093
1053678664,NAMBIRO-KASOLO,AGNES,,M.D.,F,I,705 DIXIE ST,,CARROLLTON,GA,301173818,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,39,39,48.335384615,17.25,12.532820513,12.549230769
1053678664,NAMBIRO-KASOLO,AGNES,,M.D.,F,I,705 DIXIE ST,,CARROLLTON,GA,301173818,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,326.78,75.56,55.088627451,51.551568627
1053678664,NAMBIRO-KASOLO,AGNES,,M.D.,F,I,705 DIXIE ST,,CARROLLTON,GA,301173818,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,101.84,36.25,26.051666667,27.073333333
1053678755,JUNAID,NIDA,,M.D.,F,I,1300 ANNE ST NW,,BEMIDJI,MN,566015103,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,3322.06,1074.31,842.26,842.26
1053678755,JUNAID,NIDA,,M.D.,F,I,1300 ANNE ST NW,,BEMIDJI,MN,566015103,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,17.044125,9.6501666667,7.5657361111,7.5657361111
1053678755,JUNAID,NIDA,,M.D.,F,I,1300 ANNE ST NW,,BEMIDJI,MN,566015103,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,960,18.6118125,11.3031875,8.8617395833,8.8617395833
1053678755,JUNAID,NIDA,,M.D.,F,I,1300 ANNE ST NW,,BEMIDJI,MN,566015103,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,2616,0.4193730887,0.0456230887,0.0357683486,0.0357683486
1053678755,JUNAID,NIDA,,M.D.,F,I,1300 ANNE ST NW,,BEMIDJI,MN,566015103,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,15,33,3660,1.4218114754,0.1369262295,0.1073579235,0.1073579235
1053678755,JUNAID,NIDA,,M.D.,F,I,1300 ANNE ST NW,,BEMIDJI,MN,566015103,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,16,44,2946,9.4858248473,2.8478954515,2.232766463,2.232766463
1053678755,JUNAID,NIDA,,M.D.,F,I,1300 ANNE ST NW,,BEMIDJI,MN,566015103,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,13,25,80,80,46.6125,33,25.87,25.87
1053679407,MCKENZIE,JERRY,L,M.D.,M,I,825 FAIRFAX AVE,SUITE 410,NORFOLK,VA,235071914,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,58.178125,20.636875,16.175,13.53125
1053679407,MCKENZIE,JERRY,L,M.D.,M,I,825 FAIRFAX AVE,SUITE 410,NORFOLK,VA,235071914,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,218.114375,92.643125,72.634375,54.745625
1053679431,CAPOBIANCO,ALESSANDRA,,M.D.,F,I,874 HOWARD AVE,NEMG - YNH GERIATRIC SERVICES,NEW HAVEN,CT,065191106,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,297,79.905757576,4.73,3.3211447811,3.7403367003
1053679431,CAPOBIANCO,ALESSANDRA,,M.D.,F,I,874 HOWARD AVE,NEMG - YNH GERIATRIC SERVICES,NEW HAVEN,CT,065191106,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5418,1.4010741971,0.3,0.2299372462,0.2369121447
1053679431,CAPOBIANCO,ALESSANDRA,,M.D.,F,I,874 HOWARD AVE,NEMG - YNH GERIATRIC SERVICES,NEW HAVEN,CT,065191106,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,20,20,123.75,45.674,33.269,34.9
1053679431,CAPOBIANCO,ALESSANDRA,,M.D.,F,I,874 HOWARD AVE,NEMG - YNH GERIATRIC SERVICES,NEW HAVEN,CT,065191106,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,55,16.97,13.305333333,15.265333333
1053679530,DAUTERIVE,MATTHEW,E,,M,I,600 MOYE BLVD STE 3E149,,GREENVILLE,NC,278344300,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,67.171875,21.071875,16.353125,13.74375
1053679530,DAUTERIVE,MATTHEW,E,,M,I,600 MOYE BLVD STE 3E149,,GREENVILLE,NC,278344300,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,2000,1074.31,842.26,842.26
1053679530,DAUTERIVE,MATTHEW,E,,M,I,600 MOYE BLVD STE 3E149,,GREENVILLE,NC,278344300,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,399.32409091,70.23,55.06,54.750909091
1053680900,RAJAN,ROY,,MD,M,I,1111 SUPERIOR ST,SUITE 101,MELROSE PARK,IL,601604138,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,436.45,92.39,68.165,56.606428571
1053680900,RAJAN,ROY,,MD,M,I,1111 SUPERIOR ST,SUITE 101,MELROSE PARK,IL,601604138,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,237.6,99.950833333,78.364166667,54.4375
1053680900,RAJAN,ROY,,MD,M,I,1111 SUPERIOR ST,SUITE 101,MELROSE PARK,IL,601604138,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,21.6,11.08,8.6825,6.67
1053681791,HEIM,KATHRYN,A,M.D.,F,I,"2850 N FEDERAL HWY, 2ND FLOOR",,LIGHTHOUSE POINT,FL,33064,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,41,41,67.71,53.2,40.692682927,45.021463415
1053683334,TSAI,DAVID,Y,M.D.,M,I,701 E EL CAMINO REAL,,MOUNTAIN VIEW,CA,940402833,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,70.75,40.991818182,32.136363636,32.136363636
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,38,107,63.432803738,8.32,5.7686915888,5.7686915888
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.65,2.65
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,29,46,15.721086957,1.42,1.017826087,1.017826087
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,22,46,4.8052173913,1.9108695652,1.447826087,1.1104347826
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,,14,14,1.5,0.6664285714,0.4935714286,0.3985714286
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,E0256,"Hospital bed, variable height, hi-lo, with any type side rails, without mattres",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175.58,51.72,40.552727273,36.115454545
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,189.54545455,82.124545455,53.898181818,32.025454545
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,16,68.698125,23.831875,18.681875,13.90625
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,60,17.125454545,12.46,9.5563636364
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,18,144.44333333,43.719444444,32.953333333,23.43
1053684332,ADDISON,SAMANTHA,G,NP,F,I,280 VIRGINIA AVE NE,SUITE 107,NORTON,VA,242731538,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,23,443.32913043,105.73130435,80.297391304,54.111304348
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,409.68421053,90,60.133157895,57.842631579
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,48,167.20125,34,23.75375,23.108125
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,277.72714286,61.065714286,47.872857143,42.934285714
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,17,17,77.477058824,18.690588235,13.821176471,13.232941176
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,31,31,87.968709677,13.045806452,9.6158064516,8.5541935484
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,36,216,11.2525,2.09,1.5313888889,1.4833796296
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,45.38875,13.281875,10.366875,10.294375
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,83.737222222,20.821666667,15.561111111,13.115555556
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,15,15,159.278,49.67,36.353333333,35.121333333
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,19,150,150,430.90186667,80.7448,57.3634,49.6576
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,294.23076923,38,29.79,29.51
1053685081,VANWINKLE,JENNIFER,L,NP,F,I,1625 MEDICAL CENTER PT,,COLORADO SPRINGS,CO,809078731,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,285.6,38.126666667,27.903333333,27.542666667
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,151.73,65.195,46.571666667,40.593333333
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,35,35,150,47.142857143,29.421714286,29.380857143
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,18.401818182,12.596363636,9.8763636364,9.6381818182
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,35,17.407142857,11.230571429,8.8057142857,8.8451428571
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,299,236.04090909,185.05272727,185.05272727
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,698.0062963,77.18,56.027777778,50.881111111
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,43,43,89.483953488,19.912790698,12.079069767,10.813023256
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,14.337272727,9.1372727273,7.1672727273,7.2690909091
1053686683,GROSSMANN,ROBERT,T,MD,M,I,7073 CLYO RD,,CENTERVILLE,OH,454594816,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38,29.79,29.533333333
1053686725,ELLIOTT,ABIGAIL,L,D.P.M.,F,I,809 COSHOCTON AVE,SUITE A,MOUNT VERNON,OH,430501900,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,500,0.43526,0.12,0.09402,0.09402
1053686725,ELLIOTT,ABIGAIL,L,D.P.M.,F,I,809 COSHOCTON AVE,SUITE A,MOUNT VERNON,OH,430501900,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,30,84.610666667,71.082666667,55.730666667,55.730666667
1053686725,ELLIOTT,ABIGAIL,L,D.P.M.,F,I,809 COSHOCTON AVE,SUITE A,MOUNT VERNON,OH,430501900,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,1117,0.7747985676,0.45,0.3528021486,0.3528021486
1053686725,ELLIOTT,ABIGAIL,L,D.P.M.,F,I,809 COSHOCTON AVE,SUITE A,MOUNT VERNON,OH,430501900,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,78,108.9,43.56,34.151666667,34.150897436
1053686725,ELLIOTT,ABIGAIL,L,D.P.M.,F,I,809 COSHOCTON AVE,SUITE A,MOUNT VERNON,OH,430501900,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,15,92.19,72.45,53.543333333,57.744666667
1053686725,ELLIOTT,ABIGAIL,L,D.P.M.,F,I,809 COSHOCTON AVE,SUITE A,MOUNT VERNON,OH,430501900,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,19,19,319.75,251.28,189.44894737,209.03421053
1053686931,ALFARO,ROSARIO,M,NP-C,F,I,403 EBONY TREE AVE,,GALLOWAY,NJ,082054429,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,35,66.305714286,8.32,5.1528571429,5.1528571429
1053686931,ALFARO,ROSARIO,M,NP-C,F,I,403 EBONY TREE AVE,,GALLOWAY,NJ,082054429,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,2820,10.33,6.15,4.8216099291,5.6683333333
1053687152,AJWANI,DIMPLE,,D.O.,F,I,10 WOODLAND RD,ICU ROOM 500,SAINT HELENA,CA,945749554,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,85.748571429,17.054285714,13.372857143,13.535714286
1053687152,AJWANI,DIMPLE,,D.O.,F,I,10 WOODLAND RD,ICU ROOM 500,SAINT HELENA,CA,945749554,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,485.706,76.096,59.66,55.210666667
1053687491,TAM,ANTHONY,,M.D,M,I,139 CENTRE ST STE 709,,NEW YORK,NY,100134557,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,24,55,81.255454545,8.32,6.1656363636,6.1656363636
1053687491,TAM,ANTHONY,,M.D,M,I,139 CENTRE ST STE 709,,NEW YORK,NY,100134557,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,11,20,28,98.627857143,1.42,1.0757142857,1.0757142857
1053687491,TAM,ANTHONY,,M.D,M,I,139 CENTRE ST STE 709,,NEW YORK,NY,100134557,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,44.436363636,27.662727273,29.200909091
1053687806,MARJI,MELISSA,L,M.D.,F,I,967 N BROADWAY,,YONKERS,NY,107011301,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,559.67166667,76.59,57.925,52.615
1053688457,JACOB,ARUN,,MD,M,I,4834 ORCHARD RIDGE DR,,GARLAND,TX,750438239,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,38.131538462,17.32,12.535384615,12.501538462
1053688457,JACOB,ARUN,,MD,M,I,4834 ORCHARD RIDGE DR,,GARLAND,TX,750438239,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,227.15615385,76.58,55.412307692,50.919230769
1053688549,KUMAR,MAHESH,,MBBS,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,22,25,80.1144,20.3588,14.1704,11.9064
1053688549,KUMAR,MAHESH,,MBBS,M,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,25,441.7948,87.2112,57.6256,44.7892
1053688671,CADET-VALEUS,SERGELYNE,B,M.D.,F,I,6200 BEACH CHANNEL DR,,ARVERNE,NY,116921409,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,26,52,73.130769231,8.32,4.7653846154,4.7653846154
1053688671,CADET-VALEUS,SERGELYNE,B,M.D.,F,I,6200 BEACH CHANNEL DR,,ARVERNE,NY,116921409,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,10.392307692,1.42,1.0338461538,1.0338461538
1053688671,CADET-VALEUS,SERGELYNE,B,M.D.,F,I,6200 BEACH CHANNEL DR,,ARVERNE,NY,116921409,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,18,16,16,12.54,12.54
1053689067,AMSLER,ALLISON,A,PA-C,F,I,6885 US HIGHWAY 322,SUITE 3,FRANKLIN,PA,16323,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,41,41,50,7.2995121951,5.7224390244,3.5165853659
1053690537,TASTET,HEIDI,H,MD,F,I,1040 N MASON RD,STE 103,SAINT LOUIS,MO,631416399,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,2057,0.6016042781,0.046631016,0.0365483714,0.0365483714
1053690537,TASTET,HEIDI,H,MD,F,I,1040 N MASON RD,STE 103,SAINT LOUIS,MO,631416399,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,39.05,33,25.87,25.87
1053690669,SURI MOHANRAM,SHARMILA,,MD,F,I,1125 MADISON ST,CAPITAL REGION PHYSICIANS,JEFFERSON CITY,MO,651015227,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,128.98714286,18.521428571,14.522857143,14.361428571
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,49,8.4463265306,2.0232653061,1.5865306122,1.5957142857
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.73,3.95,3.0963636364,3.6854545455
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,26,27,217.29296296,33.447407407,26.225925926,26.501851852
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,31,31,368.49709677,77.18,60.51,55.467096774
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,223.91304348,37,29.01,29.466521739
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,4200,4.3745833333,0.5763428571,0.45185,0.45185
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,15.899984848,9.7047272727,7.6085,7.6085
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,1590,12.654188679,2.9806415094,2.2466037736,2.2466037736
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,24,24,18.82,18.82
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,28,30,16,16,12.54,12.54
1053690792,SEHGAL,SAMEEP,,MD,M,I,3401 N BROAD ST,,PHILADELPHIA,PA,191405103,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,36,107.25,33,25.87,25.87
1053691493,LEE,YATING,,D.O.,F,I,327 BEACH 19TH ST,,FAR ROCKAWAY,NY,116914423,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,11,38,84,49.282738095,8.32,6.2901190476,6.2901190476
1053691493,LEE,YATING,,D.O.,F,I,327 BEACH 19TH ST,,FAR ROCKAWAY,NY,116914423,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,16,18,13.626666667,1.42,0.9933333333,0.9933333333
1053691493,LEE,YATING,,D.O.,F,I,327 BEACH 19TH ST,,FAR ROCKAWAY,NY,116914423,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,4.35,1.73,1.2476439394,1.4906439394
1053691832,RAMESH,NAVITHA,,MD,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113478,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,37.730909091,16.21,11.249090909,12.095
1053691832,RAMESH,NAVITHA,,MD,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113478,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,73,73,306.57136986,71.070273973,51.901369863,50.970684932
1053691832,RAMESH,NAVITHA,,MD,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113478,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,682,1.8885777126,0.1345307918,0.0976099707,0.0976099707
1053691832,RAMESH,NAVITHA,,MD,F,I,1000 EAST MOUNTAIN BLVD.,,WILKES-BARRE,PA,187113478,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,42,33,24.895454545,24.895454545
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,12,40,418,52.173444976,19.6684689,14.659449761,14.659449761
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,12,40,1070,6.6825233645,2.6343925234,2.0152803738,2.0152803738
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,63,105,288,1106,67.389683544,8.32,5.9506148282,5.9506148282
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.216666667,3.38,2.2083333333,2.2083333333
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,26,35,100,187,14.346631016,1.42,1.0671122995,1.0671122995
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,4,,44,44,709.69909091,338.00454545,264.99363636,264.99363636
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,12,26,26,370.08461538,251.11,196.87,196.87
1053691857,SLUCKI,ANDREA,M,CRNP,F,I,675 BALTIMORE DR,,WILKES BARRE,PA,187027900,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,356.49272727,237.82,178.94727273,190.21090909
1053692426,HAGER,BRYAN,W,PA,M,I,3200 NORTHLINE AVE,,GREENSBORO,NC,274087616,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,81.64,58.666666667,50.941666667
1053694497,MILLER-ESHLEMAN,HOLLY,M,FNP,F,I,819 N 1ST ST,,DENNISON,OH,446211003,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,99.56,66.491666667,47.863333333,33.2725
1053695676,MCCLENAHAN,MELISSA,B,PA-C,F,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician Assistant,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,20,55.472,24.026,18.832,22.1425
1053695676,MCCLENAHAN,MELISSA,B,PA-C,F,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician Assistant,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,28,3.82,2.49,1.9503571429,1.9503571429
1053695676,MCCLENAHAN,MELISSA,B,PA-C,F,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,2580,5.1418604651,1.73,1.3117713178,1.4869612403
1053695676,MCCLENAHAN,MELISSA,B,PA-C,F,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2740,9.6295036496,7.23,5.6683175182,5.6683175182
1053695676,MCCLENAHAN,MELISSA,B,PA-C,F,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,23,45,12.251111111,9.29,7.28,8.5651111111
1053695676,MCCLENAHAN,MELISSA,B,PA-C,F,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,28,11.495714286,6.34,4.97,5.7825
1053695676,MCCLENAHAN,MELISSA,B,PA-C,F,I,2855 E MAGIC VIEW DR,,MERIDIAN,ID,836426245,US,Physician Assistant,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,80,2.2155,1.57,1.231,1.411
1053696047,SIGNORILE,ASHLEY,,PAC,F,I,514 OGORMAN AVE,,STATEN ISLAND,NY,103082935,US,Physician Assistant,S,L0464,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, rest",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,1985.1176471,1408.09,1103.94,1111.6482353
1053696047,SIGNORILE,ASHLEY,,PAC,F,I,514 OGORMAN AVE,,STATEN ISLAND,NY,103082935,US,Physician Assistant,S,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,95,73.83,57.88,57.995384615
1053696047,SIGNORILE,ASHLEY,,PAC,F,I,514 OGORMAN AVE,,STATEN ISLAND,NY,103082935,US,Physician Assistant,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,43,43,43,195,133.58,104.72,103.63581395
1053696047,SIGNORILE,ASHLEY,,PAC,F,I,514 OGORMAN AVE,,STATEN ISLAND,NY,103082935,US,Physician Assistant,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,18,121.44444444,93.172222222,73.053333333,74.795
1053696047,SIGNORILE,ASHLEY,,PAC,F,I,514 OGORMAN AVE,,STATEN ISLAND,NY,103082935,US,Physician Assistant,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,90,69.575384615,54.55,49.553076923
1053696344,NELSON,ANTHONY,D,PA-C,M,I,16390 N 59TH AVE,SUITE 200,GLENDALE,AZ,85306,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,29,69,64.578985507,8.32,6.3324637681,6.3324637681
1053696344,NELSON,ANTHONY,D,PA-C,M,I,16390 N 59TH AVE,SUITE 200,GLENDALE,AZ,85306,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2210,5.5,2.04,1.5993393665,1.5993393665
1053696344,NELSON,ANTHONY,D,PA-C,M,I,16390 N 59TH AVE,SUITE 200,GLENDALE,AZ,85306,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,77,8.9235064935,2.1,1.6467532468,1.6083116883
1053696344,NELSON,ANTHONY,D,PA-C,M,I,16390 N 59TH AVE,SUITE 200,GLENDALE,AZ,85306,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,200,32.02,25.11,25.8225
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,36.88,16,12.54,13.354814815
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,300,79.546666667,59.571,62.845333333
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,33,33,37.383333333,4.0090909091,2.9727272727,3.5615151515
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,230,71.11,55.575,54.7845
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,23,1740,19.330045977,9.6372758621,7.5556206897,7.5556206897
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,25,29,69,14349,0.4087155899,0.0452965363,0.0346985853,0.0346985853
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,12,2152,1.603313197,0.1369702602,0.1073977695,0.1073977695
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,18,49,3480,9.7559827586,3.0031896552,2.214545977,2.214545977
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,15,1109,1.9193417493,0.2190261497,0.1717132552,0.1717132552
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,75,36,28.22,29.51
1053696815,MARTORANO,KELLY,E,ACNP,F,I,801 OSTRUM ST,,BETHLEHEM,PA,180151000,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,32,39,96,96,40.321875,33,25.87,25.87
1053697284,HARCLEROAD,TAMMY,A,FNP,F,I,905 CULVER RD,,ROCHESTER,NY,146097115,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,26,84.332307692,8.32,6.5207692308,6.5207692308
1053698266,KLEMENT,BRADLEY,,PA-C,M,I,13340 METRO PARKWAY,SUITE 200,FORT MYERS,FL,339664703,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3730,2834.31,2216.3666667,2216.3666667
1053698407,LOVING,NATASHA,L,CRNP,F,I,4554 HIDDEN STREAM CT,,OWINGS MILLS,MD,211174837,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,225,12.122,5.38,4.0244,3.9696
1053698407,LOVING,NATASHA,L,CRNP,F,I,4554 HIDDEN STREAM CT,,OWINGS MILLS,MD,211174837,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,4362,1.5,0.31,0.2430192572,0.2430192572
1053698407,LOVING,NATASHA,L,CRNP,F,I,4554 HIDDEN STREAM CT,,OWINGS MILLS,MD,211174837,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,30,30,175,45.402,34.458666667,35.678666667
1053698407,LOVING,NATASHA,L,CRNP,F,I,4554 HIDDEN STREAM CT,,OWINGS MILLS,MD,211174837,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,192.58,44.640909091,32.245454545,32.713636364
1053698407,LOVING,NATASHA,L,CRNP,F,I,4554 HIDDEN STREAM CT,,OWINGS MILLS,MD,211174837,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,82.0272,17.8104,13.934,14.2788
1053698407,LOVING,NATASHA,L,CRNP,F,I,4554 HIDDEN STREAM CT,,OWINGS MILLS,MD,211174837,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,41,41,34.487804878,8.7729268293,6.4041463415,6.067804878
1053698878,RAMACHANDRAN,ARUN,,MD,M,I,3300 GALLOWS ROAD,DEPARTMENT OF MEDICINE,FALLS CHURCH,VA,220423307,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,257.82,29.93,18.937058824,18.862941176
1053699132,SHETH,MONISH,A,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,168.41692308,46.553846154,33.756153846,33.423846154
1053699132,SHETH,MONISH,A,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,58.037272727,19.950454545,15.640454545,13.535454545
1053699132,SHETH,MONISH,A,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,270.20863636,86.559090909,67.861818182,54.433636364
1053699132,SHETH,MONISH,A,M.D.,M,I,2401 S 31ST ST,,TEMPLE,TX,765080001,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,79.213636364,17.712727273,12.694545455,12.701818182
1053699439,NSIAH,ISSAKA,O,MD,M,I,1726 SHAWANO AVE,,GREEN BAY,WI,543033216,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,3.8216666667,2.76,3.3408333333
1053699439,NSIAH,ISSAKA,O,MD,M,I,1726 SHAWANO AVE,,GREEN BAY,WI,543033216,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,478,81.64,58.8752,50.7176
1053699439,NSIAH,ISSAKA,O,MD,M,I,1726 SHAWANO AVE,,GREEN BAY,WI,543033216,US,Hospitalist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,7.9545454545,5.7018181818,6.0045454545
1053699439,NSIAH,ISSAKA,O,MD,M,I,1726 SHAWANO AVE,,GREEN BAY,WI,543033216,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,85,35.96,24.8072,26.114
1053699595,MENON,ASHWATY,,MD,F,I,80 HIGHLAND ST,,LACONIA,NH,032463235,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,18,86.31,23.955,18.778333333,13.53
1053699595,MENON,ASHWATY,,MD,F,I,80 HIGHLAND ST,,LACONIA,NH,032463235,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,19,519.51,114.32,89.631052632,56.861578947
1053699876,KARROUM,ELIAS,G,"M.D, PH.D.",M,I,2150 PENNSYLVANIA AVE NW FL 9,,WASHINGTON,DC,200373201,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,60.218181818,18.196363636,14.262727273,14.08
1053699876,KARROUM,ELIAS,G,"M.D, PH.D.",M,I,2150 PENNSYLVANIA AVE NW FL 9,,WASHINGTON,DC,200373201,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,70,7.84,2.072,1.6245714286,1.5871428571
1053699876,KARROUM,ELIAS,G,"M.D, PH.D.",M,I,2150 PENNSYLVANIA AVE NW FL 9,,WASHINGTON,DC,200373201,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,64,13.549230769,10.623076923,10.470769231
1053699876,KARROUM,ELIAS,G,"M.D, PH.D.",M,I,2150 PENNSYLVANIA AVE NW FL 9,,WASHINGTON,DC,200373201,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,172.55651163,34.783953488,27.272325581,27.680697674
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,29,120,52.79925,8.32,6.3050833333,6.3050833333
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,18.171428571,3.38,2.65,2.65
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,36,17.901388889,1.42,1.1138888889,1.1138888889
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,114.61666667,42.82,20.515,22.344444444
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,35.92,10.58,7.3688888889,7.2266666667
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,36.67,9.71,6.7644444444,6.72
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,420.19,199.73,151.985,151.98388889
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,19,252.42157895,75.43,56.017894737,52.768421053
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,52.13,16.107619048,11.058571429,12.225238095
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,31.064,7.496,5.024,5.317
1053699884,GNECO WILAMO,CYNTHIA,,MD,F,I,9727 POTEET JOURDANTON FWY STE 108,,SAN ANTONIO,TX,782114575,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,52.16,40.62,31.85,29.714166667
1053699934,EL GASSIER,ATEF,H,MBBS,M,I,1249 15TH ST,SUITE 2000,HUNTINGTON,WV,257013662,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,55,55,44.326363636,19.834363636,14.805454545,12.793090909
1053699934,EL GASSIER,ATEF,H,MBBS,M,I,1249 15TH ST,SUITE 2000,HUNTINGTON,WV,257013662,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,13,66,66,271.23651515,84.798030303,63.851818182,52.23
1053700245,MCCANN,NADIA,A,APRN,F,I,2820 E US HIGHWAY 34,,GRAND ISLAND,NE,688019734,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,51,51.750392157,8.32,3.9639215686,3.9639215686
1053700450,KUDRICK,KATHERINE,,PA-C,F,I,7095 WESTBRANCH HIGHWAY,SUITE 1100,LEWISBURG,PA,178376808,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,85,29.495,21.323125,12.28
1053702076,SCHWEER,JENNIFER,L,,F,I,5145 SELLERS RD,,SHALLOTTE,NC,284703405,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,28,73.626071429,8.32,5.1564285714,5.1564285714
1053702076,SCHWEER,JENNIFER,L,,F,I,5145 SELLERS RD,,SHALLOTTE,NC,284703405,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,24,76.795833333,17.29,12.737916667,12.71875
1053702076,SCHWEER,JENNIFER,L,,F,I,5145 SELLERS RD,,SHALLOTTE,NC,284703405,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,31,330.69516129,70.23,49.731612903,49.424516129
1053702282,MOODY,CHELCIA,,APRN,F,I,310 HAWTHORNE ST,,PRINCETON,KY,424451622,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,69,33,23.518181818,23.518181818
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4216,"Sterile water, saline and/or dextrose, diluent/flush, 10 ml",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,600,1.4573166667,0.5,0.3763833333,0.3763833333
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,23,76.313478261,18.496521739,14.499565217,13.530869565
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,17,17,37.460588235,6.0164705882,4.3058823529,3.3776470588
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,20,23,168,192,464.48307292,84.79,64.865416667,55.8209375
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,47,53,180.86188679,41.731698113,32.096226415,29.30245283
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,53,3150,18.770542857,9.5978761905,7.3206380952,7.3206380952
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,14.389474359,11.325461538,8.6952564103,8.6952564103
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,19,18,59,16453,0.3065416641,0.0459077372,0.0348805689,0.0348805689
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,1080,1.1562685185,0.138,0.1031388889,0.1031388889
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,18,88,4560,11.619796053,2.9961710526,2.2697675439,2.2697675439
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,49,210.72367347,41.706938776,32.027959184,29.070612245
1053702464,AGUIRRE,ERIC,A,NP-C,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,33,34,138,138,61.695652174,33,25.307608696,25.307608696
1053704346,TIPPITT,AMANDA,,FNP-BC,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,32224,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,14,36.667857143,8.32,6.0592857143,6.0592857143
1053704346,TIPPITT,AMANDA,,FNP-BC,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,32224,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,67.12,16.927142857,12.531428571,14.183809524
1053704346,TIPPITT,AMANDA,,FNP-BC,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,32224,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,122.38052632,23.252105263,16.407894737,19.256315789
1053704346,TIPPITT,AMANDA,,FNP-BC,F,I,4500 SAN PABLO RD S,,JACKSONVILLE,FL,32224,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,28.147222222,6.9566666667,4.875,5.9533333333
1053704361,RENTERIA,JOSE,L,ACNP,M,I,1905 19TH ST,,GREAT BEND,KS,675302502,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,325,102.61833333,75.196666667,49.891666667
1053704403,CARVER,LACOSTA,S,NP-C,F,I,127 FOOTHILLS AVE,,ALBANY,KY,426021037,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,18,26,41,61.57804878,8.32,5.4107317073,5.4107317073
1053704403,CARVER,LACOSTA,S,NP-C,F,I,127 FOOTHILLS AVE,,ALBANY,KY,426021037,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,195,67.834285714,49.171428571,35.415
1053704403,CARVER,LACOSTA,S,NP-C,F,I,127 FOOTHILLS AVE,,ALBANY,KY,426021037,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,62.944390244,22.633658537,16.287560976,12.537560976
1053704403,CARVER,LACOSTA,S,NP-C,F,I,127 FOOTHILLS AVE,,ALBANY,KY,426021037,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,17.2075,11.5625,7.8875
1053704403,CARVER,LACOSTA,S,NP-C,F,I,127 FOOTHILLS AVE,,ALBANY,KY,426021037,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,50,50,411.2908,103.372,74.721,56.5014
1053704999,NATELBORG,CHRISTINA,C,NP-C,F,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,49,49,50.73,4.0285714286,3.0955102041,3.5895918367
1053704999,NATELBORG,CHRISTINA,C,NP-C,F,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2247,1.0742634624,0.1277659101,0.1001824655,0.1001824655
1053704999,NATELBORG,CHRISTINA,C,NP-C,F,I,5841 S MARYLAND AVE,,CHICAGO,IL,606371447,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,115.5,33,25.87,25.87
1053706069,DAUCHY,ERIN,M,D.O.,F,I,1542 TULANE AVE,BOX T4M-2,NEW ORLEANS,LA,70112,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,942.14,726.68333333,821.66916667
1053706234,SHAFRAZIAN,ARA,,,M,I,435 ARDEN AVE STE 450,,GLENDALE,CA,912034024,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,577.42,113.01181818,75.559090909,82.946363636
1053706382,SAINI,GURPREET,,M.D,F,I,2540 CENTREVILLE RD,,CENTREVILLE,MD,21617,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,32.961428571,5.8514285714,4.5892857143,3.835
1053706556,VAUGH,ZACHARY,,NP,M,I,1078 EAGLE VALLEY DR,,FESTUS,MO,630281257,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,192.94,40.433636364,29.738181818,19.978181818
1053706952,SRIVASTAVA,ANSHUL,K,M.D.,M,I,725 ALBANY ST,SHAPIRO 5 & 6,BOSTON,MA,021182526,US,Student in an Organized Health Care Education/Training Program,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,3300,0.17,0.046230303,0.0362424242,0.0362424242
1053706952,SRIVASTAVA,ANSHUL,K,M.D.,M,I,725 ALBANY ST,SHAPIRO 5 & 6,BOSTON,MA,021182526,US,Student in an Organized Health Care Education/Training Program,T,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1053706952,SRIVASTAVA,ANSHUL,K,M.D.,M,I,725 ALBANY ST,SHAPIRO 5 & 6,BOSTON,MA,021182526,US,Student in an Organized Health Care Education/Training Program,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,25.87,25.87
1053707018,KUPPY,JESSICA,E,MD,F,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,90.82,40.505,31.7525,24.865
1053707018,KUPPY,JESSICA,E,MD,F,I,1740 W TAYLOR ST,,CHICAGO,IL,606127232,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,26.52,9.555,7.495,6.6725
1053707323,RASBERRY,VALERIE,,M.D.,F,I,3066 SW MARTIN DOWNS BLVD STE C,,PALM CITY,FL,34990,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,30,81.513,8.32,4.782,4.782
1053707679,CURL,LEIZEL,,FNP-BC,F,I,3501 SE WILLOUGHBY BLVD,,STUART,FL,349945059,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,83,85,41.263294118,4.6654117647,3.6582352941,3.7138823529
1053707679,CURL,LEIZEL,,FNP-BC,F,I,3501 SE WILLOUGHBY BLVD,,STUART,FL,349945059,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,21,179.38857143,34.765714286,27.257142857,26.879047619
1053707679,CURL,LEIZEL,,FNP-BC,F,I,3501 SE WILLOUGHBY BLVD,,STUART,FL,349945059,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,20,4788,0.2176315789,0.0467147034,0.036622807,0.036622807
1053707679,CURL,LEIZEL,,FNP-BC,F,I,3501 SE WILLOUGHBY BLVD,,STUART,FL,349945059,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,32,3441,1.3677274048,0.1389014821,0.1081197326,0.1081197326
1053707679,CURL,LEIZEL,,FNP-BC,F,I,3501 SE WILLOUGHBY BLVD,,STUART,FL,349945059,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,15,42,42,89.571428571,33,25.254047619,25.254047619
1053707919,SILECCHIO,MARGARET,M,ANP-C,F,I,6 ELLINGTON DR,,EAST NORTHPORT,NY,117313614,US,Nurse Practitioner,S,E1031,"Rollabout chair, any and all types with casters 5"" or greater",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,47.347058824,29.448823529,23.088235294,26.664117647
1053707919,SILECCHIO,MARGARET,M,ANP-C,F,I,6 ELLINGTON DR,,EAST NORTHPORT,NY,117313614,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,21.391111111,9.7161111111,7.1188888889,8.6372222222
1053708073,KHWAJA,SIBAT,M,MD,F,I,8901 CLEMENT AVE,,PARKVILLE,MD,21234,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,75,19.21,15.059583333,15.827083333
1053708073,KHWAJA,SIBAT,M,MD,F,I,8901 CLEMENT AVE,,PARKVILLE,MD,21234,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,38.1,10.430666667,8.178,7.9393333333
1053708545,WIGGINS,HEATHER,,APRN,F,I,1 UNIVERSITY BLVD,,LA GRANDE,OR,978502807,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,83.751666667,8.32,5.9766666667,5.9766666667
1053708545,WIGGINS,HEATHER,,APRN,F,I,1 UNIVERSITY BLVD,,LA GRANDE,OR,978502807,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,64,22.790909091,16.51,15.71
1053708545,WIGGINS,HEATHER,,APRN,F,I,1 UNIVERSITY BLVD,,LA GRANDE,OR,978502807,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.0033333333,5.0866666667,3.0983333333
1053708545,WIGGINS,HEATHER,,APRN,F,I,1 UNIVERSITY BLVD,,LA GRANDE,OR,978502807,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,483.00666667,96.696666667,66.275238095,45.913809524
1053708545,WIGGINS,HEATHER,,APRN,F,I,1 UNIVERSITY BLVD,,LA GRANDE,OR,978502807,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,87,33,25.87,25.87
1053708560,FYE,ALEXANDER,S,M.D.,M,I,RAF LAKENHEATH 48 MDG/SGHC,UNIT 5115,APO,AE,094610000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,350,70.23,46.589230769,46.353846154
1053708560,FYE,ALEXANDER,S,M.D.,M,I,RAF LAKENHEATH 48 MDG/SGHC,UNIT 5115,APO,AE,094610000,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,29.28,29.4125
1053708560,FYE,ALEXANDER,S,M.D.,M,I,RAF LAKENHEATH 48 MDG/SGHC,UNIT 5115,APO,AE,094610000,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,105.90909091,18.750909091,14.701818182,13.496363636
1053708693,MICHAEL,TAMMIE,,AGPCNP-BC,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775550177,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,160,49.256923077,34.477692308,33.898461538
1053708693,MICHAEL,TAMMIE,,AGPCNP-BC,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775550177,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,60,42.162727273,33.054545455,33.054545455
1053708693,MICHAEL,TAMMIE,,AGPCNP-BC,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775550177,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,744,2.8062903226,0.2193548387,0.1719354839,0.1719354839
1053708693,MICHAEL,TAMMIE,,AGPCNP-BC,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775550177,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,69.711764706,15.818235294,11.704117647,12.913529412
1053708693,MICHAEL,TAMMIE,,AGPCNP-BC,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775550177,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,12,34.5,7.945,6.225,7.0891666667
1053708693,MICHAEL,TAMMIE,,AGPCNP-BC,F,I,301 UNIVERSITY BLVD,,GALVESTON,TX,775550177,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1768.03,147.78272727,115.85818182,118.82272727
1053709857,MORGAN,KORI,A,CRNP,F,I,805 SIR THOMAS CT,FIRST FLOOR,HARRISBURG,PA,171094839,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,27,92,50.274565217,8.2917391304,6.3636956522,6.3872826087
1053709857,MORGAN,KORI,A,CRNP,F,I,805 SIR THOMAS CT,FIRST FLOOR,HARRISBURG,PA,171094839,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,17,28,8.0464285714,1.42,1.1135714286,1.1135714286
1053709857,MORGAN,KORI,A,CRNP,F,I,805 SIR THOMAS CT,FIRST FLOOR,HARRISBURG,PA,171094839,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,150,33.750909091,26.457272727,26.916363636
1053709857,MORGAN,KORI,A,CRNP,F,I,805 SIR THOMAS CT,FIRST FLOOR,HARRISBURG,PA,171094839,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,12,13,85.961538462,15.866923077,12.440769231,13.285384615
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,36,78,78,160.78153846,48.333205128,34.907307692,28.384487179
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,26,64,64,458.18375,115.90828125,87.4009375,66.8340625
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,18,29,66,133.21454545,44.954848485,34.642121212,26.145606061
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,12,18,80,81.77225,23.4105,18.353375,15.109625
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,12,18,85,61.567882353,18.240705882,12.99,11.233176471
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,27,47,47,248.4587234,72.331276596,52.058723404,40.098723404
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,54,73,73,80.949589041,23.881506849,17.320958904,13.043013699
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,35,35,79.830571429,18.982285714,14.561142857,9.4611428571
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,55,127,629,11.567551669,2.7702384738,2.0607631161,1.5452941176
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,19,19,21.508947368,8.3826315789,6.5710526316,4.9921052632
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,39,47,47,46.93212766,15.327234043,11.533404255,10.076170213
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,25,129,139,80.151079137,16.58676259,12.019064748,9.5353956835
1053709907,BOYLE,PENNY,J,FNP-C,F,I,490 CADMUS LN,SUITE 102,EASTON,MD,216014091,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,30,194,202,236.28717822,45.42970297,33.553861386,23.816386139
1053710319,HOLLEY,LEONORA,,,F,I,1 PENN PLAZA 8TH FLOOR,,NEW YORK,NY,101190002,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,134.38,45.704545455,25.282727273,25.792727273
1053710319,HOLLEY,LEONORA,,,F,I,1 PENN PLAZA 8TH FLOOR,,NEW YORK,NY,101190002,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,24.01,8.7681818182,5.4572727273,7.18
1053710319,HOLLEY,LEONORA,,,F,I,1 PENN PLAZA 8TH FLOOR,,NEW YORK,NY,101190002,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,69.45862069,14.767241379,9.8972413793,12.07
1053710319,HOLLEY,LEONORA,,,F,I,1 PENN PLAZA 8TH FLOOR,,NEW YORK,NY,101190002,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,119.34,20.371666667,14.289166667,19.119166667
1053710319,HOLLEY,LEONORA,,,F,I,1 PENN PLAZA 8TH FLOOR,,NEW YORK,NY,101190002,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,20.57,6.5748648649,4.4894594595,5.7789189189
1053711069,GONZALEZ,JACQUELINE,,N.P.,F,I,14445 OLIVE VIEW DR,,SYLMAR,CA,913421437,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,76,143,80.386643357,8.32,5.5634265734,5.5634265734
1053711069,GONZALEZ,JACQUELINE,,N.P.,F,I,14445 OLIVE VIEW DR,,SYLMAR,CA,913421437,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,14,24,24,14.854583333,1.42,0.9333333333,0.9333333333
1053711747,SAULSBY-SMITH,AMY,,"ARNP, AGNP-C",F,I,188 WATKINS GLEN DR,,MCDONOUGH,GA,302524084,US,Nurse Practitioner,S,E0691,"Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less",D1E - Other DME,Durable Medical Equipment,N,2,22,22,22,1200,1011.35,792.9,792.9
1053711879,D'ONOFRIO,LOUIS,E,FNP-C,M,I,2875 MAIN ST STE 2A,,STRATFORD,CT,06614,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,41,41,41,60.03,43.630243902,34.198780488,36.18195122
1053711879,D'ONOFRIO,LOUIS,E,FNP-C,M,I,2875 MAIN ST STE 2A,,STRATFORD,CT,06614,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,33,33,33,65,48.569393939,38.08030303,40.277272727
1053711879,D'ONOFRIO,LOUIS,E,FNP-C,M,I,2875 MAIN ST STE 2A,,STRATFORD,CT,06614,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,84.9125,53.3525,41.8275,44.0425
1053711879,D'ONOFRIO,LOUIS,E,FNP-C,M,I,2875 MAIN ST STE 2A,,STRATFORD,CT,06614,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,16.941666667,13.282777778,13.513888889
1053711879,D'ONOFRIO,LOUIS,E,FNP-C,M,I,2875 MAIN ST STE 2A,,STRATFORD,CT,06614,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,22,519.51,75.766818182,59.395909091,55.587727273
1053711879,D'ONOFRIO,LOUIS,E,FNP-C,M,I,2875 MAIN ST STE 2A,,STRATFORD,CT,06614,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,34.97,17.275714286,13.545238095,15.871904762
1053711879,D'ONOFRIO,LOUIS,E,FNP-C,M,I,2875 MAIN ST STE 2A,,STRATFORD,CT,06614,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,21.53,8.8771428571,6.9566666667,7.4938095238
1053711911,PRENDERGAST,ERIN,D,ARNP,F,I,1700 W 2ND ST,,GULF SHORES,AL,365423422,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,59,74.961694915,8.32,6.4118644068,6.4118644068
1053711911,PRENDERGAST,ERIN,D,ARNP,F,I,1700 W 2ND ST,,GULF SHORES,AL,365423422,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,397.219,70.23,53.224666667,52.907333333
1053711911,PRENDERGAST,ERIN,D,ARNP,F,I,1700 W 2ND ST,,GULF SHORES,AL,365423422,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,29.585454545,29.197272727,20.271818182,18.75
1053711994,WELBORN,LAYLA,,FNP,F,I,3451 E 12TH ST,,OAKLAND,CA,946013463,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,20,97.512,8.32,6.521,6.521
1053712083,GINDER,SARAH,M,PA,F,I,1250 S CEDAR CREST BLVD STE 205,,ALLENTOWN,PA,181036271,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,21,21,117.29952381,39.165714286,30.69952381,30.552857143
1053712083,GINDER,SARAH,M,PA,F,I,1250 S CEDAR CREST BLVD STE 205,,ALLENTOWN,PA,181036271,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,308.56285714,85,61.88,62.93
1053712083,GINDER,SARAH,M,PA,F,I,1250 S CEDAR CREST BLVD STE 205,,ALLENTOWN,PA,181036271,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,106.73538462,31.983846154,24.11,24.865
1053712083,GINDER,SARAH,M,PA,F,I,1250 S CEDAR CREST BLVD STE 205,,ALLENTOWN,PA,181036271,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,14,14,14,195.85785714,52.342857143,41.04,42.375
1053712083,GINDER,SARAH,M,PA,F,I,1250 S CEDAR CREST BLVD STE 205,,ALLENTOWN,PA,181036271,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,18,18,64.153888889,17.757777778,13.712222222,13.806111111
1053712083,GINDER,SARAH,M,PA,F,I,1250 S CEDAR CREST BLVD STE 205,,ALLENTOWN,PA,181036271,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,27,32,161,7.1473291925,2.0044720497,1.5719254658,1.5895652174
1053712083,GINDER,SARAH,M,PA,F,I,1250 S CEDAR CREST BLVD STE 205,,ALLENTOWN,PA,181036271,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,11,20,22,148.51045455,37.296818182,27.840909091,28.393636364
1053713560,REDMOND,ERIN,M,FNP-BC,F,I,1135 NORTH WAY STE E,,DARIEN,GA,313059182,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,19.21,13.476666667,12.371666667
1053713586,LINNEWEBER,LINDA,,FNP-C,F,I,429 S 6TH ST,,VINCENNES,IN,475911022,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,22.790909091,17.866363636,13.53
1053713586,LINNEWEBER,LINDA,,FNP-C,F,I,429 S 6TH ST,,VINCENNES,IN,475911022,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,105.01636364,82.335454545,54.73
1053713636,WADDELL,BEAU,E,MD,M,I,1111 11TH ST,,HAWARDEN,IA,510231903,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,31,38,60.053421053,8.32,6.1831578947,6.1831578947
1053713636,WADDELL,BEAU,E,MD,M,I,1111 11TH ST,,HAWARDEN,IA,510231903,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,41.666666667,17.679333333,12.319333333,9.9893333333
1053713636,WADDELL,BEAU,E,MD,M,I,1111 11TH ST,,HAWARDEN,IA,510231903,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,879,0.2864846416,0.0457337884,0.035847554,0.035847554
1053713636,WADDELL,BEAU,E,MD,M,I,1111 11TH ST,,HAWARDEN,IA,510231903,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,0.7866666667,0.1415833333,0.111,0.111
1053713636,WADDELL,BEAU,E,MD,M,I,1111 11TH ST,,HAWARDEN,IA,510231903,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,17,33,33,25.87,25.87
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,24,100,123,84.62796748,19.872682927,14.651544715,13.787723577
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.66,11.971666667,12.461666667
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,81.64,58.666666667,50.169166667
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,30,34,185.63823529,55.505,43.516764706,37.666764706
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,,40,51,28.163529412,6.101372549,4.7845098039,3.9701960784
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,24,34,202,220,534.52831818,84.276409091,63.253090909,53.104136364
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,14,73,73,194.52520548,41.036438356,30.53260274,28.082876712
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,1057,0.8099810785,0.0437653737,0.0343140965,0.0343140965
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,23,3111,1.7324815172,0.1325715204,0.0995981999,0.0995981999
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,98.373333333,36.276,28.444666667,29.516
1053714006,ANDERSON,CHRISTINE,,NP-C,F,I,315 TRENT DR,ROOM 100,DURHAM,NC,277103038,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,25,25,56.84,33,23.8004,23.8004
1053714089,WILSON,JENNIFER,A,PA,F,I,1630 E HERNDON AVE,,FRESNO,CA,937203391,US,Physician Assistant,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,30,98.3,77.25,56.972666667,63.534333333
1053715243,TORRES,EDWIN,A,NP,M,I,3418 BROADWAY,2ND FLOOR,NEW YORK,NY,10031,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,48,83.725416667,8.32,5.0277083333,5.0277083333
1053715474,LINEHAN,ASHLEY,K,PA-C,F,I,51 N 39TH ST,,PHILADELPHIA,PA,191042640,US,Physician Assistant,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,590,13.647966102,5.74,4.1044067797,4.1044067797
1053715474,LINEHAN,ASHLEY,K,PA-C,F,I,51 N 39TH ST,,PHILADELPHIA,PA,191042640,US,Physician Assistant,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,555,17.800198198,7,5.3974594595,5.3974594595
1053715474,LINEHAN,ASHLEY,K,PA-C,F,I,51 N 39TH ST,,PHILADELPHIA,PA,191042640,US,Physician Assistant,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,490,8.7379387755,4.03,3.1595714286,3.1595714286
1053715573,BIXLER,LINDA,M,FNP-C,F,I,200 DOCTORS DR STE 106,,DOUGLAS,GA,315332202,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,55.932222222,22.751111111,17.282592593,14.812592593
1053715573,BIXLER,LINDA,M,FNP-C,F,I,200 DOCTORS DR STE 106,,DOUGLAS,GA,315332202,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,20.95,7.03,3.9028571429,2.6177142857
1053715573,BIXLER,LINDA,M,FNP-C,F,I,200 DOCTORS DR STE 106,,DOUGLAS,GA,315332202,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,53,318.76150943,106.9554717,81.600566038,62.598679245
1053715573,BIXLER,LINDA,M,FNP-C,F,I,200 DOCTORS DR STE 106,,DOUGLAS,GA,315332202,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1350,15.58,9.5774,7.360037037,7.360037037
1053715573,BIXLER,LINDA,M,FNP-C,F,I,200 DOCTORS DR STE 106,,DOUGLAS,GA,315332202,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,15,57.568,21.93,17.193333333,13.1
1053715573,BIXLER,LINDA,M,FNP-C,F,I,200 DOCTORS DR STE 106,,DOUGLAS,GA,315332202,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,114.32142857,33,25.87,25.87
1053715862,BEIGH,KATHLEEN,P,ANP-BC,F,I,3078 ROUTE 9W,,NEW WINDSOR,NY,125536751,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,639.995,70.09,51.025,50.820714286
1053716977,KAUR,GAGANDEEP,,PA-C,F,I,680 CENTRE ST,,BROCKTON,MA,023023308,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,50.73,4,3.1333333333,3.7533333333
1053717082,JOHNSON,VINCENT,B,APRN,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294255335,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,47.54,37.266363636,38.337272727
1053717082,JOHNSON,VINCENT,B,APRN,M,I,171 ASHLEY AVE,,CHARLESTON,SC,294255335,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,8.5518181818,6.6990909091,6.8818181818
1053717546,CASTRO,AMY,,APRN,F,I,1025 STRAKA TER,,OKLAHOMA CITY,OK,731392544,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,567.20545455,84.461818182,55.35,44.779090909
1053717710,BENNETT,JENNIFER,M,NP-C,F,I,1333 S DICKINSON DR UNIT 140,,LELAND,NC,284516434,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,63,69.683015873,8.32,5.693968254,5.693968254
1053717710,BENNETT,JENNIFER,M,NP-C,F,I,1333 S DICKINSON DR UNIT 140,,LELAND,NC,284516434,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1110,0.92,0.1371891892,0.1075765766,0.1075765766
1053717710,BENNETT,JENNIFER,M,NP-C,F,I,1333 S DICKINSON DR UNIT 140,,LELAND,NC,284516434,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,123.75,33,25.87,25.87
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,42,211,310,42.242193548,8.32,5.4223225806,5.4223225806
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,14.88,3.38,2.65,2.65
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,37,95,106,49.289339623,1.42,0.9703773585,0.9703773585
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,8.531,5.54,4.0093846154,4.0093846154
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,0.8216666667,0.27,0.1953846154,0.1953846154
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,4.378,3.04,2.2001538462,2.2001538462
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,0.9,0.27,0.205025641,0.205025641
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,21,25,21.1364,5.9616,4.5024,3.5136
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,19,102,16324,1.3985383484,0.0460456996,0.0276537613,0.0276537613
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,21,70,5205,9.1351700288,0.2190585975,0.1298597502,0.1298597502
1053717736,GARCIA,LIAGNYS,,"ARNP,NP-C",F,I,5975 SW 8TH ST,,WEST MIAMI,FL,331445037,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,27,130,130,33,33,20.478615385,20.478615385
1053718346,ALDABAG,SADDAM,,MD,M,I,1301 PENNSYLVANIA AVE,,FORT WORTH,TX,761042122,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,35,87.924571429,17.63,12.357714286,12.142285714
1053718346,ALDABAG,SADDAM,,MD,M,I,1301 PENNSYLVANIA AVE,,FORT WORTH,TX,761042122,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,351.69621622,76.48,54.907567568,50.942432432
1053718585,BURRELL,AMY,J,NP,F,I,2360 W JOPPA RD,SUITE 210,LUTHERVILLE,MD,210934624,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,85,47.367294118,8.32,6.1389411765,6.1389411765
1053718585,BURRELL,AMY,J,NP,F,I,2360 W JOPPA RD,SUITE 210,LUTHERVILLE,MD,210934624,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,40,24.1245,1.42,1.0035,1.0035
1053718585,BURRELL,AMY,J,NP,F,I,2360 W JOPPA RD,SUITE 210,LUTHERVILLE,MD,210934624,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,18,25,5.52,3.645,3.045
1053718700,O'BRIEN,SARA,D,,F,I,250 W KENWOOD AVE,,DECATUR,IL,625264371,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,24,70.997083333,8.32,4.3466666667,4.3466666667
1053718700,O'BRIEN,SARA,D,,F,I,250 W KENWOOD AVE,,DECATUR,IL,625264371,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,27.454545455,9.6781818182,6.6390909091,6.6718181818
1053718700,O'BRIEN,SARA,D,,F,I,250 W KENWOOD AVE,,DECATUR,IL,625264371,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,105.65217391,33.064782609,21.718695652,21.033913043
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,147.55,47.050714286,36.887142857,35.965714286
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,23,23,23,218.66782609,47.284782609,37.075217391,40.618695652
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,34,161,161,175.15521739,49.307888199,36.68757764,37.304099379
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,36.88,17.050555556,13.366111111,13.542222222
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,43,43,31.162790698,5.5555813953,4.2134883721,3.5004651163
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,194.76235294,49.619411765,36.740588235,37.157647059
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,13,13,25,258.2112,53.896,42.252,40.4832
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E1226,"Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,97.4,33.754545455,23.790909091,25.509090909
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,362.62,80.382083333,63.020416667,55.128333333
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,19,19,19,125.36421053,37.498947368,29.402105263,29.371052632
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,15,15,15,326.53333333,158.67266667,124.40533333,117.042
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,35,230,230,76.237913043,17.560347826,13.083043478,13.371043478
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,150,31.555714286,20.695714286,20.206428571
1053718726,BRANDENBURG,JULIA,,CRNP,F,I,6934 AVIATION BLVD,SUITE B,GLEN BURNIE,MD,210612593,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,19,138,138,36.280434783,8.7222463768,6.4554347826,6.1345652174
1053719237,JOHNSON,LISELLE,M,CNP,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,10.818461538,8.69,5.7623076923,5.7623076923
1053719237,JOHNSON,LISELLE,M,CNP,F,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Nurse Practitioner,S,A4344,"Indwelling catheter, foley type, two-way, all silicone, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,21.18,17.25,11.266666667,11.9
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,29,64.937931034,8.32,5.6217241379,5.6217241379
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,153,58.996666667,42.839333333,32.881333333
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,4430.1,1074.31,827.55571429,827.55571429
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,57,63,44.755555556,6.3696825397,4.3780952381,2.879047619
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,40,40,519.51,93.1975,62.00975,44.55425
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,15.58,9.5888947368,7.2891491228,7.2891491228
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,33,5902,0.4805506608,0.047539817,0.0299237547,0.0299237547
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,12.86,3.0764210526,2.4119385965,2.4119385965
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.62,11.266666667,8.8341666667,6.9383333333
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,698.48833333,196.01416667,145.54333333,112.48416667
1053719310,TURNER,STACY,L,APRN FNP-C,F,I,789 EASTERN BYP STE 17,,RICHMOND,KY,404752407,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,37,37,86.513513514,33,22.374054054,22.374054054
1053719740,ROSAS,MARIA JOANA RIZZA,R,PA-C,F,I,14 TECHNOLOGY DR,"SUITE 11, 12, 15",EAST SETAUKET,NY,117333472,US,Physician Assistant,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,16,18,98.3,77.25,60.561111111,67.291111111
1053720342,HILLIE,KRISTAL,,FNP,F,I,1520 UNION AVE,,MEMPHIS,TN,381740275,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,50,78.987,8.32,4.5656,4.5656
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,160,46.08375,36.12625,36.53875
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,41.137222222,17.35,13.6,13.543333333
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,244.95055556,73,57.23,54.868888889
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,24,24,24,82.680833333,35.45625,27.799166667,29.046666667
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,2,16,16,16,301.51,149.783125,117.429375,114.415625
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,34,167,167,49.288982036,20.368502994,15.363892216,13.950479042
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,44,44,117.3075,29.253636364,21.822272727,21.032954545
1053720631,MEYER,ARLENE,,AGCNS-BC,F,I,3724 EXECUTIVE CENTER DR,SUITE 230,AUSTIN,TX,787311646,US,Certified Clinical Nurse Specialist,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,12.06,7.9583333333,6.2383333333,6.5016666667
1053720748,HURT,CACE,S,NP-C,M,I,4001 WORTH ST,,DALLAS,TX,752461608,US,Nurse Practitioner,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,7.8625,7.8625,6.1044375,6.1181208333
1053720748,HURT,CACE,S,NP-C,M,I,4001 WORTH ST,,DALLAS,TX,752461608,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.19,1.5,0.9613636364,0.9431818182
1053720748,HURT,CACE,S,NP-C,M,I,4001 WORTH ST,,DALLAS,TX,752461608,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2700,0.17,0.0472555556,0.0308962963,0.0308962963
1053720748,HURT,CACE,S,NP-C,M,I,4001 WORTH ST,,DALLAS,TX,752461608,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,22.420666667,22.420666667
1053720847,KAMALU,OKEBUGWU,,MD,M,I,1 COOPER PLZ,,CAMDEN,NJ,081031461,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,30,4.692,3.676,3.832
1053720847,KAMALU,OKEBUGWU,,MD,M,I,1 COOPER PLZ,,CAMDEN,NJ,081031461,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,21,469.76190476,72,56.45,54.73
1053720847,KAMALU,OKEBUGWU,,MD,M,I,1 COOPER PLZ,,CAMDEN,NJ,081031461,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,21,85,36.3,28.46,29.51
1053721001,SHARMA,SANJEEV,,M.D,M,I,100 E 77TH ST,,NEW YORK,NY,100751850,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,16,365,77.36,60.65,54.73
1053721233,KIMBALL,RYAN,,,M,I,111 W HIGH ST,SUITE 314,ELKTON,MD,219215529,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,36.98,4.80125,3.25,3.05125
1053721233,KIMBALL,RYAN,,,M,I,111 W HIGH ST,SUITE 314,ELKTON,MD,219215529,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,14.16,10.225,8.015,8.1741666667
1053721340,WOOD,REBECCA,,MD,F,I,273 COUNTY RD,,NEW LONDON,NH,032575736,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,31,69,925.99217391,8.32,6.1427536232,6.1427536232
1053721340,WOOD,REBECCA,,MD,F,I,273 COUNTY RD,,NEW LONDON,NH,032575736,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,96,33,25.87,25.87
1053721514,POSCA,GENE,A,M.D.,M,I,777 GLADES RD # BC71,,BOCA RATON,FL,334316424,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,396.34,71.022222222,55.681111111,54.74
1053721803,BUTT,AASIA,,M.D,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,21,47,63.956808511,8.32,6.3819148936,6.3819148936
1053721803,BUTT,AASIA,,M.D,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,71.181538462,22.894230769,17.947307692,13.993076923
1053721803,BUTT,AASIA,,M.D,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,37,37,20,7.8356756757,6.1418918919,5.4291891892
1053721803,BUTT,AASIA,,M.D,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,444.38923077,105.80692308,82.955384615,57.845384615
1053721803,BUTT,AASIA,,M.D,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1800,1.2249055556,0.1346,0.1055333333,0.1055333333
1053721803,BUTT,AASIA,,M.D,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1053722371,ROSING,KEITH,A,,M,I,2139 AUBURN AVE,,CINCINNATI,OH,452192906,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,79.529411765,19.143529412,15.007647059,13.541764706
1053722371,ROSING,KEITH,A,,M,I,2139 AUBURN AVE,,CINCINNATI,OH,452192906,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,383.52941176,88.990588235,69.772941176,55.154117647
1053722405,ZERLANG,STEPHEN,,,M,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Osteopathic Manipulative Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,50,128,60.661328125,8.32,5.3990625,5.3990625
1053722405,ZERLANG,STEPHEN,,,M,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Osteopathic Manipulative Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,693.27882353,32.915882353,25.807647059,26.108823529
1053722405,ZERLANG,STEPHEN,,,M,I,1600 23RD AVE,,GREELEY,CO,806346070,US,Physician/Osteopathic Manipulative Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,13,382.31538462,70.673846154,55.403846154,54.723076923
1053724013,NGUYEN,VAN ANH,,DO,F,I,265 SE OAK ST,,HILLSBORO,OR,971234392,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,43,56.394418605,8.32,6.5218604651,6.5218604651
1053724013,NGUYEN,VAN ANH,,DO,F,I,265 SE OAK ST,,HILLSBORO,OR,971234392,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.8575,2.7125,3.3658333333
1053724146,HANEY,JENNIFER,,DO,F,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,29,82.483793103,18.608965517,10.926206897,10.297931034
1053724146,HANEY,JENNIFER,,DO,F,I,3700 S MAIN ST,,BLACKSBURG,VA,240607017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,24,508.27625,70.23,34.879583333,34.73875
1053724179,PARKER,ADAM,,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,34.956363636,23.328181818,18.287272727,14.077272727
1053724179,PARKER,ADAM,,M.D.,M,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,207.8,109.12727273,85.559090909,69.457272727
1053724856,HALL,MICHELLE,,FNP-C,F,I,5505 S 900 E STE 240,,MURRAY,UT,841177210,US,Nurse Practitioner,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,214.2,69.31,54.335454545,53.293636364
1053725028,HOLLERAN,BRIGETTE,,APRN,F,I,2101 NICHOLASVILLE RD,304,LEXINGTON,KY,405032518,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,14.808387097,6.4470967742,4.5848387097,3.124516129
1053725200,ERDREICH,BRETT,,,M,I,130 FISHER RD,,BERLIN,VT,05602,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,703.10619048,98.35047619,77.110952381,58.587142857
1053725200,ERDREICH,BRETT,,,M,I,130 FISHER RD,,BERLIN,VT,05602,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,285.6,45.034285714,35.309285714,29.516428571
1053725473,MCQUELLON,BRENDAN,T,D.O.,M,I,3333 SILAS CREEK PKWY,,WINSTON SALEM,NC,271033013,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,842.26,842.26
1053725473,MCQUELLON,BRENDAN,T,D.O.,M,I,3333 SILAS CREEK PKWY,,WINSTON SALEM,NC,271033013,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,29,29,20,4.905862069,3.7513793103,3.7472413793
1053725473,MCQUELLON,BRENDAN,T,D.O.,M,I,3333 SILAS CREEK PKWY,,WINSTON SALEM,NC,271033013,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,493.75,71.231666667,55.845,54.721666667
1053725473,MCQUELLON,BRENDAN,T,D.O.,M,I,3333 SILAS CREEK PKWY,,WINSTON SALEM,NC,271033013,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,85,38.036,29.818,29.51
1053725739,KOSA,MILAD,,D.O.,M,I,501 N LANSDOWNE AVE,,DREXEL HILL,PA,190261114,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,37.42,4.0853846154,3.2015384615,3.7692307692
1053725739,KOSA,MILAD,,D.O.,M,I,501 N LANSDOWNE AVE,,DREXEL HILL,PA,190261114,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,32.354545455,25.370909091,25.490909091
1053726521,YI,JAMES,,D.O.,M,I,400 N JEFFERSON ST,,LEWISBURG,WV,249011177,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,29.413235294,7.1941176471,5.4723529412,3.5991176471
1053726653,BOISVERT,NICHOLE,,MD,F,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,47,43.915106383,8.32,6.1976595745,6.1976595745
1053726653,BOISVERT,NICHOLE,,MD,F,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Student in an Organized Health Care Education/Training Program,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1468,0.6004904632,0.0452656676,0.0299659401,0.0299659401
1053726653,BOISVERT,NICHOLE,,MD,F,I,2500 ALHAMBRA AVE,,MARTINEZ,CA,945533156,US,Student in an Organized Health Care Education/Training Program,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,11,33,33,19.547272727,19.547272727
1053726844,SAKAI,YUKI,,M.D.,M,I,1100 CENTRAL AVE SE,,ALBUQUERQUE,NM,871064930,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,15.023333333,6.0206666667,4.7166666667,3.6813333333
1053726885,SNYDER,ASHLEY,R,DO,F,I,1610 GROVER ST,,LYNDEN,WA,982641539,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,13,32,46,54.532608696,8.32,5.9569565217,5.9569565217
1053727339,YANG,JESSICA,N,FNP-BC,F,I,55 LAKE AVE N,UMASS MEMORIAL MEDICAL CENTER,WORCESTER,MA,016550002,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,682,0.3708064516,0.0479765396,0.0375953079,0.0375953079
1053727487,SPIVA,SARA,,D.O.,F,I,1201 3RD AVE SE,,CEDAR RAPIDS,IA,524034009,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1565,0.4262619808,0.0459616613,0.0360319489,0.0360319489
1053727578,PERRY,JESSICA,W,FNP-C,F,I,2106 LOOP RD STE A,,WINNSBORO,LA,712953343,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.45,7.9045454545,6.1945454545,3.6854545455
1053727784,YOUNGBLOOD,LINDSEY,,FNP-BC,F,I,5231 JOHN TYLER HWY,,WILLIAMSBURG,VA,23185,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,165.45,45.463333333,35.645,37.0725
1053727784,YOUNGBLOOD,LINDSEY,,FNP-BC,F,I,5231 JOHN TYLER HWY,,WILLIAMSBURG,VA,23185,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,175,43.107272727,29.818181818,32.396363636
1053727784,YOUNGBLOOD,LINDSEY,,FNP-BC,F,I,5231 JOHN TYLER HWY,,WILLIAMSBURG,VA,23185,US,Nurse Practitioner,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,495,106.25454545,81.052727273,116.00181818
1053727784,YOUNGBLOOD,LINDSEY,,FNP-BC,F,I,5231 JOHN TYLER HWY,,WILLIAMSBURG,VA,23185,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,19,39.1,8.2268421053,5.2594736842,5.4057894737
1053728337,TSENG,JOYCE,,"APRN, AGCNS-BC",F,I,3713 N 1ST LN W,,MCALLEN,TX,785019123,US,Certified Clinical Nurse Specialist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,168,50.14,36.535333333,37.114666667
1053728840,DIPZINSKI,KRISTI,L,NP-C,F,I,560 W MITCHELL ST,SUITE 300,PETOSKEY,MI,497702275,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,76,65.589473684,8.32,5.6636842105,5.6636842105
1053729046,SEILER,DEBRA,,NP,F,I,1111 DELAFIELD ST,SUITE 215,WAUKESHA,WI,531883417,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,33,84,67.311666667,8.32,5.9010714286,5.9010714286
1053729046,SEILER,DEBRA,,NP,F,I,1111 DELAFIELD ST,SUITE 215,WAUKESHA,WI,531883417,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,425,79.98,53.5075,46.1925
1053730242,NO,DONALD,,M.D.,M,I,79 RETREAT AVE,,HARTFORD,CT,061062527,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,26,82.437692308,17,13.33,13.507692308
1053730242,NO,DONALD,,M.D.,M,I,79 RETREAT AVE,,HARTFORD,CT,061062527,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,26,497.14769231,77.18,60.51,55.165384615
1053730374,BORTNEM,JASON,R,DO,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,11,22,50,60.4068,8.32,4.7368,4.7368
1053730374,BORTNEM,JASON,R,DO,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,16,50.73,5.504375,2.6225,2.225
1053730374,BORTNEM,JASON,R,DO,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,22,519.51,79.88,58.414090909,50.873181818
1053730374,BORTNEM,JASON,R,DO,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,6975,0.17,0.0461318996,0.0261978495,0.0261978495
1053730374,BORTNEM,JASON,R,DO,M,I,555 SAINT CLAIR RIVER DR,,ALGONAC,MI,480011802,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,20,20,132,33,20.22,20.22
1053730432,MULLEN,REBECCA,,"M.D., MPH",F,I,13001 E 17TH PL,,AURORA,CO,800452570,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,3775.52,913.16,695.42428571,821.76428571
1053731083,TOWNSEND,SUSAN CHRISTINE,M,DO,F,I,1000 BOWER HILL RD,,PITTSBURGH,PA,152431873,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,335,77.5,50.512142857,46.205
1053731133,BAYOUTH,LILLY,A,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Student in an Organized Health Care Education/Training Program,T,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,165,16.91,12.970848485,10.169212121,10.294
1053731133,BAYOUTH,LILLY,A,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Student in an Organized Health Care Education/Training Program,T,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,76,225,9.35,7.33,7.33
1053731133,BAYOUTH,LILLY,A,M.D.,F,I,2100 STANTONSBURG RD,,GREENVILLE,NC,278342818,US,Student in an Organized Health Care Education/Training Program,T,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,76,88,29.22,22.908552632,22.908552632
1053731406,MARTIN,MICHELLE,,,F,I,123 SUMMER ST,SUITE 230 SOUTH,WORCESTER,MA,016081216,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,90,41,30.08625,28.641875
1053731406,MARTIN,MICHELLE,,,F,I,123 SUMMER ST,SUITE 230 SOUTH,WORCESTER,MA,016081216,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,121.60307692,55.230769231,39.983076923,39.583076923
1053731406,MARTIN,MICHELLE,,,F,I,123 SUMMER ST,SUITE 230 SOUTH,WORCESTER,MA,016081216,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,50.004545455,19.5,15.29,14.283636364
1053731406,MARTIN,MICHELLE,,,F,I,123 SUMMER ST,SUITE 230 SOUTH,WORCESTER,MA,016081216,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,19,106,10.813396226,2.3,1.8033962264,1.6037735849
1053731406,MARTIN,MICHELLE,,,F,I,123 SUMMER ST,SUITE 230 SOUTH,WORCESTER,MA,016081216,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,175,35.313571429,26.006428571,25.044285714
1053732099,JAVER,NEETA,,NP-C,F,I,5410 LEE AVE,,CHATTANOOGA,TN,374102219,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,97,97,97,1680,1328.44,1024.4283505,872.6257732
1053732099,JAVER,NEETA,,NP-C,F,I,5410 LEE AVE,,CHATTANOOGA,TN,374102219,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,26,33,930,735.65,572.40242424,476.27242424
1053732370,SHRESTHA,ANUP,,PA-C,M,I,753 CRANBERRY DR,,MOUNT HOPE,WV,258809168,US,Physician Assistant,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,30,9.2757142857,7.2714285714,8.0071428571
1053732370,SHRESTHA,ANUP,,PA-C,M,I,753 CRANBERRY DR,,MOUNT HOPE,WV,258809168,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,214.5,49.495555556,35.87,37.09962963
1053732370,SHRESTHA,ANUP,,PA-C,M,I,753 CRANBERRY DR,,MOUNT HOPE,WV,258809168,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,45,66.114,17.55,13.76,13.544888889
1053732370,SHRESTHA,ANUP,,PA-C,M,I,753 CRANBERRY DR,,MOUNT HOPE,WV,258809168,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,28,50.73,3.8875,3.0264285714,3.5503571429
1053732370,SHRESTHA,ANUP,,PA-C,M,I,753 CRANBERRY DR,,MOUNT HOPE,WV,258809168,US,Physician Assistant,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,115,47.126875,32.00125,31.98125
1053732370,SHRESTHA,ANUP,,PA-C,M,I,753 CRANBERRY DR,,MOUNT HOPE,WV,258809168,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,50,367.641,79.48,62.1824,54.7442
1053732370,SHRESTHA,ANUP,,PA-C,M,I,753 CRANBERRY DR,,MOUNT HOPE,WV,258809168,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,50,52,88.75,16.771923077,12.912115385,13.711538462
1053732677,OPHEIKENS,CAROL,,FNP-C,F,I,401 SW BELAIR DR,,CLATSKANIE,OR,970167415,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,30,50.73,3.679,2.604,3.227
1053732677,OPHEIKENS,CAROL,,FNP-C,F,I,401 SW BELAIR DR,,CLATSKANIE,OR,970167415,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,19,2640,0.92,0.135,0.0955037879,0.0955037879
1053732677,OPHEIKENS,CAROL,,FNP-C,F,I,401 SW BELAIR DR,,CLATSKANIE,OR,970167415,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,990,12.86,2.8604545455,2.1170505051,2.1170505051
1053732677,OPHEIKENS,CAROL,,FNP-C,F,I,401 SW BELAIR DR,,CLATSKANIE,OR,970167415,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,36,36,132,33,24.432777778,24.432777778
1053733014,FAST,DORA,A,FNP,F,I,105 S. STEWART ST.,,COTULLA,TX,78014,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,24,46.083333333,8.32,4.89,4.89
1053733345,MCDOWELL,ASHLEY,E,PA-C,F,I,9280 W SUNSET RD STE 200,,LAS VEGAS,NV,89148,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,14,85.467857143,21.985,17.235,13.96
1053733345,MCDOWELL,ASHLEY,E,PA-C,F,I,9280 W SUNSET RD STE 200,,LAS VEGAS,NV,89148,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,39.47,7.6325,5.375,3.0966666667
1053733345,MCDOWELL,ASHLEY,E,PA-C,F,I,9280 W SUNSET RD STE 200,,LAS VEGAS,NV,89148,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,137.65263158,38.660526316,24.414736842,18.457894737
1053733345,MCDOWELL,ASHLEY,E,PA-C,F,I,9280 W SUNSET RD STE 200,,LAS VEGAS,NV,89148,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,471.973125,101.67625,79.71625,57.26125
1053733345,MCDOWELL,ASHLEY,E,PA-C,F,I,9280 W SUNSET RD STE 200,,LAS VEGAS,NV,89148,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,2491,0.3040706544,0.0469369731,0.0290285026,0.0290285026
1053733345,MCDOWELL,ASHLEY,E,PA-C,F,I,9280 W SUNSET RD STE 200,,LAS VEGAS,NV,89148,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,51,33,23.518181818,23.518181818
1053733857,LAVACHE,KATELINE,,NP-C,F,I,6218 SW 32ND ST,,MIRAMAR,FL,330235002,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,48,482,482,482,1430.4909751,1310.1693983,1022.3407054,897.66008299
1053733857,LAVACHE,KATELINE,,NP-C,F,I,6218 SW 32ND ST,,MIRAMAR,FL,330235002,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,48,520,541,916,977.31254367,847.3075655,663.40536026,676.49111354
1053733857,LAVACHE,KATELINE,,NP-C,F,I,6218 SW 32ND ST,,MIRAMAR,FL,330235002,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,41,307,310,521,533.61422265,456.04333973,356.9506142,353.88161228
1053733857,LAVACHE,KATELINE,,NP-C,F,I,6218 SW 32ND ST,,MIRAMAR,FL,330235002,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,50,548,572,975,130.91346667,105.90843077,82.247138462,87.558594872
1053733857,LAVACHE,KATELINE,,NP-C,F,I,6218 SW 32ND ST,,MIRAMAR,FL,330235002,US,Nurse Practitioner,S,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,26,98,99,150,68.454266667,49.619333333,38.6442,38.293466667
1053733857,LAVACHE,KATELINE,,NP-C,F,I,6218 SW 32ND ST,,MIRAMAR,FL,330235002,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,43,243,250,379,546.45258575,470.59187335,367.96751979,364.06042216
1053733857,LAVACHE,KATELINE,,NP-C,F,I,6218 SW 32ND ST,,MIRAMAR,FL,330235002,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,50,451,462,462,870.67508658,731.1725974,569.91426407,565.92374459
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,64,66.88484375,8.32,6.114375,6.114375
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,10,7.97,6.25,6.4791666667
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,7.5,6.44,5.05,5.05
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.3,5.54,4.3435,4.3435
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1920,0.5475,0.4,0.313625,0.313625
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.5,3.04,2.3835,2.3835
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1200,0.27,0.26,0.2038,0.2110416667
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.27,13.54,13.54
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,20,37.365,4.745,3.548,3.3805
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,519.51,69.81,50.114285714,50.114285714
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2460,1.0582804878,0.0457642276,0.0358902439,0.0358902439
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,840,1.3256785714,0.1371428571,0.107547619,0.107547619
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,50,50,50,1695.6532,1257.37,962.464,867.1648
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,14,16,908.38625,668.52,524.12,491.501875
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,36,47,52,1127.9609615,870.85,680.60980769,675.54980769
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,48,62,70,139.52842857,116.394,91.253142857,89.080142857
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,22,22,22,964.22772727,704.5,545.80863636,562.00863636
1053734004,WITHERSPOON,FABIENNE,N,NP-C,F,I,712 N MAIN ST,,GEORGETOWN,IL,618461440,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,19,19,74.684210526,33,25.87,25.87
1053734632,KAYASTHA,SHITAL,,D.O.,F,I,32 N MAIN ST,,MARLBORO,NJ,077461429,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,46,107,193.51841121,8.32,6.0957943925,6.0957943925
1053734632,KAYASTHA,SHITAL,,D.O.,F,I,32 N MAIN ST,,MARLBORO,NJ,077461429,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,19,17.166842105,1.42,1.0578947368,1.0578947368
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,7,0.51,0.3666666667,0.3666666667
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,17,19,19,7,1,0.7389473684,0.7389473684
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,74,167,674,50.892507418,8.32,6.2691097923,6.2691097923
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,64,125,125,14.97344,3.38,2.5228,2.5228
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,56,70,70,24.957142857,2.12,1.5745714286,1.5745714286
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,69,135,315,14.987777778,1.42,1.0631111111,1.0631111111
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,31,44,86,8.8647674419,1.51,1.1301162791,1.1015116279
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,6.3923529412,1.08,0.84,0.96
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,55,59,86.31,16.985254237,12.186101695,12.407118644
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,69,313,317,54.869526814,3.270126183,2.212555205,3.2639747634
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,4,33,33,33,75.976969697,74.717575758,55.013333333,55.083636364
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,39,228,246,519.23341463,72.052560976,53.088780488,51.493414634
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,307.89473684,36.58,28.67,29.421578947
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,1,21,21,21,171,57,44.69,44.69
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,43,125,7290,14.118329218,11.271292181,8.6411015089,8.6411015089
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,40,103,3870,2.7944031008,0.1339767442,0.1035943152,0.1035943152
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,36,101,5768,12.830813107,3.2063332178,2.4889129681,2.4889129681
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,L1844,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,16,2476.875,1924,1508.42,1257.01
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,19,159.02842105,119.81210526,93.928421053,88.841052632
1053735019,TOBON-CHUNG,CRISTINA,,FNP,F,I,4579 MAPLE AVE,SUITE 1,LA MESA,CA,919413154,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,38,127,127,124.03937008,33,25.666299213,25.666299213
1053735282,SULLIVAN,MARY,K,"DNP, FNP, RN",F,I,1920 KIRBY PKWY STE 102,,GERMANTOWN,TN,381383654,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,12,24,289,65.536297578,19.640276817,15.397681661,15.397681661
1053735282,SULLIVAN,MARY,K,"DNP, FNP, RN",F,I,1920 KIRBY PKWY STE 102,,GERMANTOWN,TN,381383654,US,Nurse Practitioner,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,11,20,610,7.9576885246,2.6360655738,2.0666065574,2.0666065574
1053735282,SULLIVAN,MARY,K,"DNP, FNP, RN",F,I,1920 KIRBY PKWY STE 102,,GERMANTOWN,TN,381383654,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,39,90,503,70.71417495,8.32,5.8726441352,5.8726441352
1053735282,SULLIVAN,MARY,K,"DNP, FNP, RN",F,I,1920 KIRBY PKWY STE 102,,GERMANTOWN,TN,381383654,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,11,15,28,14.806071429,1.42,1.1139285714,1.1139285714
1053735282,SULLIVAN,MARY,K,"DNP, FNP, RN",F,I,1920 KIRBY PKWY STE 102,,GERMANTOWN,TN,381383654,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,16,61,6690,15.496562033,10.589478326,7.7875351271,7.7875336323
1053735282,SULLIVAN,MARY,K,"DNP, FNP, RN",F,I,1920 KIRBY PKWY STE 102,,GERMANTOWN,TN,381383654,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,255.88823529,251.11,194.77823529,194.77823529
1053735308,PAYNE,SHARON,A,FNP-C,F,I,1454 COUNTY ROAD 417,,ELLSINORE,MO,639378154,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,18,18,10.5825,10.155
1053735340,SONG,ZHENG,,PA-C,M,I,127 W EL PORTAL DR,,MERCED,CA,953482853,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,37,66.675945946,8.32,6.5218918919,6.5218918919
1053735639,SULLIVAN,AMY,,,F,I,5830 HIGHWAY 5,,CABOT,AR,720237328,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,62,220,75.069354839,50.818064516,46.831774194
1053735639,SULLIVAN,AMY,,,F,I,5830 HIGHWAY 5,,CABOT,AR,720237328,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1980,1.2618585859,0.1313030303,0.0781616162,0.0781616162
1053735639,SULLIVAN,AMY,,,F,I,5830 HIGHWAY 5,,CABOT,AR,720237328,US,Nurse Practitioner,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,552.15416667,206.485,154.57083333,159.235
1053735639,SULLIVAN,AMY,,,F,I,5830 HIGHWAY 5,,CABOT,AR,720237328,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33.975,33,18.7555,18.7555
1053735670,MCCUTCHIN,LISA,,,F,I,4465 NARROW LANE RD,,MONTGOMERY,AL,361162953,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,55.963636364,43.877272727,38.434545455
1053735670,MCCUTCHIN,LISA,,,F,I,4465 NARROW LANE RD,,MONTGOMERY,AL,361162953,US,Nurse Practitioner,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,124.52928571,51.810714286,40.617857143,37.418571429
1053735670,MCCUTCHIN,LISA,,,F,I,4465 NARROW LANE RD,,MONTGOMERY,AL,361162953,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,26,61.389230769,22.919615385,17.233076923,14.436538462
1053735670,MCCUTCHIN,LISA,,,F,I,4465 NARROW LANE RD,,MONTGOMERY,AL,361162953,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,24.477333333,10.515333333,7.6893333333,6.4326666667
1053736173,TRINA,JAMES,E,D.O.,M,I,2745 SW 66TH ST,,OKLAHOMA CITY,OK,731592605,US,Physician/Emergency Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4914,0.85,0.4927350427,0.3639397639,0.2814733415
1053736173,TRINA,JAMES,E,D.O.,M,I,2745 SW 66TH ST,,OKLAHOMA CITY,OK,731592605,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45,7.2181818182,5.2181818182,3.4145454545
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,27,55,35.565818182,8.32,6.2838181818,6.2838181818
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,24,9.14875,1.42,1.1191666667,1.1191666667
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,3.1,1.38,0.9863636364,1.0536363636
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.26,0.9,0.8772727273
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,18,249.33333333,79.88,62.62,54.72
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2700,0.532,0.0462555556,0.0306740741,0.0306740741
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,540,3.52,0.2190555556,0.1432407407,0.1432407407
1053737676,COLE-SELVAGGIO,ALEXANDER,,ANP-BC,M,I,27101 SCHOENHERR RD,,WARREN,MI,480884730,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,23.714166667,23.714166667
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,47,115,373.34147826,8.32,6.4653913043,6.4653913043
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,24,29,31.568275862,1.42,1.0786206897,1.0786206897
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,20,44,91,8.19,1.9964835165,1.5374725275,1.1398901099
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,460,199.24347826,7.8852173913,6.1819565217,4.1885
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,7678,3.0138395415,0.4054545455,0.3084423027,0.2357514978
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,32.58,15.424545455,10.909090909,8.1309090909
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,21,21,315.03142857,67.574761905,48.708095238,35.23
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,78.616896552,23.105862069,17.322758621,12.995517241
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,87,87,4430.1,1074.31,837.89252874,837.89252874
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,13,82,82,50.73,8.1814634146,6.2807317073,3.6758536585
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,144.24,35.836363636,28.092727273,33.054545455
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0635,"Patient lift, electric with seat or sling",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,156.01,105.00454545,73.4,64.583636364
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,22.6,11.738333333,8.625,6.5675
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,21,159,191,468.26905759,102.51968586,78.187120419,54.42052356
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,35.0825,30.111666667
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,22,26,395,97.633846154,76.546923077,89.084615385
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E1815,"Dynamic adjustable ankle extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,27,39,395,95.309230769,72.902051282,85.521025641
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,E1825,"Dynamic adjustable finger extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,107.14363636,84.001818182,96.536363636
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,161.5,57,44.69,44.69
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,13,62,3690,13.94,11.287512195,8.831498645,8.831498645
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,3349,0.18894894,0.0452343983,0.03544043,0.03544043
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,21,119,12840,1.2868457944,0.137296729,0.1055288162,0.1055288162
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,66,3840,12.703424479,2.9674765625,2.2920026042,2.2920026042
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,65.865384615,27.722307692,20.257692308,13.433846154
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,69.7,45.312,34.357,28.7045
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,668.2225,374.0925,293.29,188.43333333
1053737973,OVERBERG,KATHRYN,B,APRN,F,I,9510 ORMSBY STATION RD STE 100,,LOUISVILLE,KY,402234082,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,33,160,160,116.53125,33,25.5306875,25.5306875
1053738013,SMITH,NATALIE,,NP,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,11,34,5520,4.4951884058,0.5594673913,0.438625,0.438625
1053738013,SMITH,NATALIE,,NP,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,2675,0.0935214953,0.0132299065,0.009446729,0.009446729
1053738013,SMITH,NATALIE,,NP,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,28,3340,4.7262694611,1.1543652695,0.8687365269,0.8687365269
1053738013,SMITH,NATALIE,,NP,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1560,3.4780064103,3.0058461538,2.3565833333,2.3565833333
1053738013,SMITH,NATALIE,,NP,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,727,15.795089409,7.5275790922,5.7238101788,5.7238101788
1053738013,SMITH,NATALIE,,NP,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,15,17,53,53,24,24,18.46490566,18.46490566
1053738013,SMITH,NATALIE,,NP,F,I,1120 15TH ST,,AUGUSTA,GA,309120004,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,14,18,52,62,16,16,12.136612903,12.136612903
1053738310,CRAWFORD,AMANDA,K,MD,F,I,1155 MILL ST,,RENO,NV,895021576,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,18,18,80.03,17.849444444,13.995,13.515555556
1053738310,CRAWFORD,AMANDA,K,MD,F,I,1155 MILL ST,,RENO,NV,895021576,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,51.538461538,4.0807692308,2.7415384615,3.1538461538
1053738310,CRAWFORD,AMANDA,K,MD,F,I,1155 MILL ST,,RENO,NV,895021576,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,19,19,428.31789474,70.298947368,53.705789474,52.981578947
1053738906,LENAGHAN,JESSICA,L,MD,F,I,201 N MAYFAIR RD FL 2,,WAUWATOSA,WI,532264216,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,286.89272727,79.98,57,49.745454545
1053739318,JORDANOVSKI,DAVID,,M.D.,M,I,99 BEAUVOIR AVE,,SUMMIT,NJ,079013533,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,107.05090909,43.592727273,34.177272727,38.431818182
1053739318,JORDANOVSKI,DAVID,,M.D.,M,I,99 BEAUVOIR AVE,,SUMMIT,NJ,079013533,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,464.32727273,101.15,79.305454545,125.21909091
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,22,72,60.443333333,8.32,6.5220833333,6.5220833333
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,25,11.8236,1.42,1.1152,1.1152
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,136,7.04,2.91,2.28125,2.28125
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,26,4.3072727273,3.3809090909,3.66
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,371.875,112.98125,88.58125,62.32375
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,65,32.643043478,25.592608696,14.616521739
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,599.5,165.67909091,129.88636364,95.99
1053740696,BARGER,TAYLOR,,PA-C,F,I,900 PLAZA DR,,MONTOURSVILLE,PA,177542448,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,19.4025,19.4025
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,53,69,69,74.967391304,47.649710145,36.309275362,31.900434783
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,66,89,89,218.49629213,111.98292135,78.702359551,65.025393258
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,54,97,155,94.981096774,44.820258065,33.526129032,26.507032258
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,13,18,58,43.881034483,21.734827586,16.763793103,15.37637931
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,17,50,48.536,19.108,14.3848,11.3478
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,35,50,50,127.2172,71.6818,50.6246,39.7656
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,90,116,116,50.049051724,23.87612069,17.046982759,13.636637931
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,45,68,68,44.397205882,17.566029412,12.005294118,8.3251470588
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,104,171,855,4.697754386,2.6864444444,1.9556491228,1.550245614
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,36,45,45,14.331111111,7.7333333333,5.3528888889,4.0804444444
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,42,48,48,39.875,15.252083333,11.249583333,9.9260416667
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,23,114,114,381.43210526,114.65719298,83.143684211,64.619736842
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,656.49964286,237.2825,173.86464286,146.09321429
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,6,55,256,256,49.595507813,16.370390625,12.037734375,9.821484375
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,34,203,204,220.56205882,47.856960784,35.191323529,24.782352941
1053740761,RINGENOLDUS,LYNN,A,APNP,F,I,701 GROVE AVE,,WILD ROSE,WI,549846901,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,379.274,102.5965,77.45,60.094
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,103,178,178,112.22758427,41.226348315,31.266292135,29.654044944
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,51,96,96,385.92041667,93.689479167,70.577291667,65.5965625
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,39,87,186,153.34107527,34.527688172,26.488817204,25.426182796
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,31,57,274,78.537007299,19.641313869,15.398576642,14.734890511
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,38,68,322,53.259192547,15.972453416,11.93015528,11.39257764
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,88,147,147,212.36666667,54.520136054,42.164353741,42.269319728
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,121,150,150,65.014666667,19.193,14.946333333,14.053133333
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,20,20,29.917,11,8.62,8.1735
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,34,54,54,78.047777778,12.413518519,9.5546296296,9.04
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,97,201,1035,8.8897584541,2.2691207729,1.7367729469,1.5731980676
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,26,36,36,25.246111111,6,4.7,4.6583333333
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,28,31,31,50.085806452,13.279354839,10.416774194,10.362580645
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,65,66,976.0369697,212.09,166.18878788,160.74636364
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,73,73,73,390.67986301,140.41876712,110.08657534,104.9239726
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,19,21,160.15333333,14.138571429,10.552380952,10.083809524
1053742098,SHEEHAN,MICHELLE,,APRN,F,I,3640 MAIN ST,SUITE 208,SPRINGFIELD,MA,011071145,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,103,608,631,210.2126149,33.376529319,25.449429477,25.466212361
1053742189,STAWNYCHY,MICHAEL,A,CRNP,M,I,3701 MARKET STREET,EDWARD COOPER PRACTICE - 6TH FLOOR,PHILADELPHIA,PA,19104,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,42,79.850952381,8.32,6.2107142857,6.2107142857
1053742452,HTUN,WYNN,,M.D,M,I,675 BALTIMORE DR.,,WILKES-BARRE,PA,187023314,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,49,142,429,55.242937063,8.32,5.8844055944,5.8844055944
1053742452,HTUN,WYNN,,M.D,M,I,675 BALTIMORE DR.,,WILKES-BARRE,PA,187023314,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,16,26,51,15.125294118,1.42,0.9621568627,0.9621568627
1053742452,HTUN,WYNN,,M.D,M,I,675 BALTIMORE DR.,,WILKES-BARRE,PA,187023314,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,694.12,343.20461538,269.07076923,269.07076923
1053742452,HTUN,WYNN,,M.D,M,I,675 BALTIMORE DR.,,WILKES-BARRE,PA,187023314,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,454.37318182,251.11,196.87,196.87
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,24,50,123,54.306260163,8.311300813,4.8182926829,4.8251219512
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,38,50.775789474,26.693157895,18.819473684,13.107631579
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,187.80454545,74.967272727,50.203636364,35.067272727
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,55.17,21.67,15.266,8.284
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,20,77,10.981168831,3.3119480519,2.2750649351,1.4437662338
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,160.87,61.994166667,45.280833333,35.1125
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,158.58909091,47.111818182,33.804545455,26.912727273
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,82,82,429.11926829,101.05585366,73.751463415,50.608536585
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,275,44.34,32.939444444,27.875555556
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,13.065348485,9.5260909091,7.2510757576,7.2510757576
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,599.5,179.87588235,124.13941176,90.421764706
1053743567,REECE,AMANDA,J,APRN-CNP,F,I,17 HOSPITAL DR,,EUFAULA,OK,744324010,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,33,33,22.174285714,22.174285714
1053743658,CECIL,KATHRYN,R,PA-C,F,I,1740 NICHOLASVILLE RD,,LEXINGTON,KY,405031431,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,45.947777778,22.203888889,15.581851852,11.971481481
1053743658,CECIL,KATHRYN,R,PA-C,F,I,1740 NICHOLASVILLE RD,,LEXINGTON,KY,405031431,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,48,48,394.8,102.61833333,74.228958333,49.872708333
1053743823,MEHTA,RIPPLE,,M.D.,M,I,2500 METROHEALTH DR,,CLEVELAND,OH,44109,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,90.802,16.65,12.176,12.666
1053743823,MEHTA,RIPPLE,,M.D.,M,I,2500 METROHEALTH DR,,CLEVELAND,OH,44109,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,50.73,4.577037037,2.9974074074,2.9448148148
1053743823,MEHTA,RIPPLE,,M.D.,M,I,2500 METROHEALTH DR,,CLEVELAND,OH,44109,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,489.77763158,70.266052632,52.077894737,51.903421053
1053744185,SUMMAR,ANN,M,CNP,F,I,1406 6TH AVE N,REHABILITATION SERVICES,SAINT CLOUD,MN,563031900,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,64.230769231,26.036923077,16.053846154,11.184615385
1053744391,HOLDINESS,HEATHER,B,APRN,F,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,17,34,92,54.232608696,8.32,5.6913043478,5.6913043478
1053744391,HOLDINESS,HEATHER,B,APRN,F,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,15,15.074666667,1.42,1.044,1.044
1053744391,HOLDINESS,HEATHER,B,APRN,F,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,429.07954545,70.23,47.551818182,47.289090909
1053744391,HOLDINESS,HEATHER,B,APRN,F,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1440,2.1330833333,0.129875,0.0866527778,0.0866527778
1053744391,HOLDINESS,HEATHER,B,APRN,F,I,8333 N DAVIS HWY,,PENSACOLA,FL,325146050,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,21.558333333,21.558333333
1053744425,O'BRIEN,SHANNON,N,PA,F,I,640 ALDEN ST,,MEADVILLE,PA,163352348,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,22,55,126,74.047857143,8.32,5.2677777778,5.2677777778
1053744425,O'BRIEN,SHANNON,N,PA,F,I,640 ALDEN ST,,MEADVILLE,PA,163352348,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,19,25,12.142,1.42,0.9832,0.9832
1053744425,O'BRIEN,SHANNON,N,PA,F,I,640 ALDEN ST,,MEADVILLE,PA,163352348,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,70.885833333,45.608333333
1053744508,DIAMANT,ERICA,Y,FNP,F,I,2031 6TH ST,,BERKELEY,CA,947102006,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,33,71,55.552112676,8.0266197183,5.7407042254,5.9701408451
1053745190,NAEGEL,MATTHEW,J,PA-C,M,I,111 DOCTORS DR,,GREENVILLE,SC,296055622,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,21.64,17.705454545,13.876363636,14.251818182
1053745729,SCHROCK,KIMBERLY,E,PA,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,26,10.888846154,2.0184615385,1.4846153846,1.0615384615
1053745729,SCHROCK,KIMBERLY,E,PA,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,61,61,43.64,7.2378688525,5.316557377,3.2931147541
1053745729,SCHROCK,KIMBERLY,E,PA,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,1350,17.207125926,9.6396,7.476762963,7.476762963
1053745729,SCHROCK,KIMBERLY,E,PA,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,600,0.5558,0.1356,0.1063166667,0.1063166667
1053745729,SCHROCK,KIMBERLY,E,PA,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,60,3240,12.148151235,3.005712963,2.2959135802,2.2959135802
1053745729,SCHROCK,KIMBERLY,E,PA,F,I,2101 N WALDRON ST,,HUTCHINSON,KS,675021131,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,62,62,96.870967742,33,25.87,25.87
1053746156,ASIIMWE,DENIS,D,M.D,M,I,1000 W 10TH ST,INTERNAL MEDICINE DEPARTMENT,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,246.96,67.023333333,52.548333333,38.885
1053746156,ASIIMWE,DENIS,D,M.D,M,I,1000 W 10TH ST,INTERNAL MEDICINE DEPARTMENT,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,108.20615385,18.554615385,10.41,9.7638461538
1053746156,ASIIMWE,DENIS,D,M.D,M,I,1000 W 10TH ST,INTERNAL MEDICINE DEPARTMENT,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,263.69526316,7.0873684211,4.5973684211,3.0421052632
1053746156,ASIIMWE,DENIS,D,M.D,M,I,1000 W 10TH ST,INTERNAL MEDICINE DEPARTMENT,ROLLA,MO,65401,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,616.107,88.613,58.1775,50.6575
1053746156,ASIIMWE,DENIS,D,M.D,M,I,1000 W 10TH ST,INTERNAL MEDICINE DEPARTMENT,ROLLA,MO,65401,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,192.19,36.945,28.965,15.28
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,16,66,47.268333333,8.32,6.5224242424,6.5224242424
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,58,49.421896552,16.454137931,12.899482759,11.892931034
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,171.3075,60.479166667,47.4175,42.86
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,17,87,7.5342528736,2.2055172414,1.7295402299,1.592183908
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,280,79.148181818,49.011818182,50.39
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,32,127.0625,32.70375,23.8334375,23.3146875
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,79.88,57.401666667,50.16
1053746479,MCCOY,BRENTON,,D.O.,M,I,13644 WALSINGHAM RD,,LARGO,FL,337743532,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,35.31,25.3825,27.240833333
1053746503,PROSSER,JOHN,A,"MSN, FNP-C",M,I,2640 W BASELINE RD,SUITE 111,PHOENIX,AZ,850416492,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,47.47,19.2,14.424827586,13.851034483
1053746578,KUNWAR,ANITA,,MD,F,I,1160 VARNUM ST NE,,WASHINGTON,DC,200172107,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,86.103125,17.9825,14.0975,14.4625
1053746792,ALLISON,ARINOLA,R,"DNP, FNP-C",F,I,620 JOHN PAUL JONES CIR,,PORTSMOUTH,VA,23708,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,32,41.5075,8.32,5.095625,5.095625
1053746792,ALLISON,ARINOLA,R,"DNP, FNP-C",F,I,620 JOHN PAUL JONES CIR,,PORTSMOUTH,VA,23708,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,16,17.68125,1.42,1.04625,1.04625
1053746792,ALLISON,ARINOLA,R,"DNP, FNP-C",F,I,620 JOHN PAUL JONES CIR,,PORTSMOUTH,VA,23708,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,50.73,4.1157142857,3.0085714286,3.2228571429
1053746941,LUSCOMB,KELLY,L,N.P.,F,I,80 PAUAHI ST STE 101,,HILO,HI,967203043,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,18,49,77.120204082,8.32,5.4569387755,5.4569387755
1053746941,LUSCOMB,KELLY,L,N.P.,F,I,80 PAUAHI ST STE 101,,HILO,HI,967203043,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,21,14.403333333,1.42,0.8485714286,0.8485714286
1053747022,SCHMIDT,AMANDA,R,PA-C,F,I,11400 JOSEPH CAMPAU ST,,HAMTRAMCK,MI,482123041,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3750,2716.2133333,2129.5116667,2129.5116667
1053748053,MICHAEL,CHRISTINE,R,D.O.,F,I,3499 ROUTE 9 N,SUITE 2B,FREEHOLD,NJ,077283258,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,34,91.582941176,8.32,3.63,3.63
1053750018,ACHARYA,PRAKRATI,,M.B.B.S,F,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,2760,4.6423405797,0.584807971,0.4584963768,0.4584963768
1053750018,ACHARYA,PRAKRATI,,M.B.B.S,F,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,6325,0.0666324111,0.0132932806,0.0104252964,0.0104252964
1053750018,ACHARYA,PRAKRATI,,M.B.B.S,F,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1320,5.5164393939,2.7435454545,1.8943030303,1.8943030303
1053750018,ACHARYA,PRAKRATI,,M.B.B.S,F,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,24,24,18.82,18.82
1053750018,ACHARYA,PRAKRATI,,M.B.B.S,F,I,2500 N STATE ST,,JACKSON,MS,392164500,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,31,16,16,12.135483871,12.135483871
1053750257,LAWRENCE,CHRISTINE,,MD,F,I,4144 CLEMSON BLVD,,ANDERSON,SC,296211108,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,34,72.879117647,8.32,6.1382352941,6.1382352941
1053750257,LAWRENCE,CHRISTINE,,MD,F,I,4144 CLEMSON BLVD,,ANDERSON,SC,296211108,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,63.8964,17,13.33,13.5148
1053750257,LAWRENCE,CHRISTINE,,MD,F,I,4144 CLEMSON BLVD,,ANDERSON,SC,296211108,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,404.16371429,71,55.66,54.836285714
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,55,55,55,115.304,50.407454545,39.518181818,36.966909091
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,24.495,4.5564285714,3.33,3.4228571429
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,146.89,48.48,38.007692308,40.793076923
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,46,46,24.28,8.7480434783,5.3363043478,6.0795652174
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,22,22,134.38,49.115454545,36.484545455,38.577727273
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,19.329444444,16.334444444,12.103888889,12.848333333
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,23.051,2.7315,2.04,2.1355
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,6.68,2.14,1.44,1.5585714286
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,38,38,24.01,9.4897368421,6.7660526316,7.9818421053
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,132.46705882,73.045,55.622058824,53.120294118
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,30,30,74.309666667,16.656333333,11.959666667,12.970333333
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,89.912,33.917,24.573,23.4765
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,90,90,119.281,23.087888889,15.643666667,18.795666667
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,12,66,66,20.642424242,7.5004545455,5.4565151515,6.1987878788
1053750299,GEORGEKUTTY,JASON,,D.O.,M,I,2815 S SEACREST BLVD,,BOYNTON BEACH,FL,334357969,US,Physician/Physical Medicine and Rehabilitation,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,61.96,35.5,27.83,29.51
1053750315,REED,JANET,M,CRNP,F,I,1758 PARK PL STE 100,,MONTGOMERY,AL,361061133,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,23,50.73,4.8108695652,3.7730434783,3.7704347826
1053750356,CHERRI,CATHERINE,R,M.D.,F,I,33155 ANNAPOLIS ST,,WAYNE,MI,481842405,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,20,20,1442.945,1254.897,934.5475,837.2155
1053750356,CHERRI,CATHERINE,R,M.D.,F,I,33155 ANNAPOLIS ST,,WAYNE,MI,481842405,US,Physician/Family Practice,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,24,24,24,843.54041667,704.5,540.37416667,556.57416667
1053750422,NELSON,ERIN,E,NP-C,F,I,303 CATLIN ST,,BUFFALO,MN,553131947,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,52,68.470576923,8.32,5.3944230769,5.3944230769
1053750422,NELSON,ERIN,E,NP-C,F,I,303 CATLIN ST,,BUFFALO,MN,553131947,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1138,2.1758084359,0.1355711775,0.1063093146,0.1063093146
1053750422,NELSON,ERIN,E,NP-C,F,I,303 CATLIN ST,,BUFFALO,MN,553131947,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,33,33,23.88,23.88
1053750653,WATERS,JENNA,H,F.N.P.,F,I,34 CHENANGO AVE,,CLINTON,NY,133231341,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,17,39,63.801282051,8.32,4.5148717949,4.5148717949
1053750653,WATERS,JENNA,H,F.N.P.,F,I,34 CHENANGO AVE,,CLINTON,NY,133231341,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,57.52,16.59,13,13.481818182
1053750653,WATERS,JENNA,H,F.N.P.,F,I,34 CHENANGO AVE,,CLINTON,NY,133231341,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,327,67.72,53.1,54.581818182
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,51,121,61.259338843,8.2247933884,6.2866115702,6.361322314
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,28,34,13.259705882,1.42,1.0505882353,1.0505882353
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,12,240,4.15575,3.9878333333,3.1265,3.1595
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,49,58,76.72862069,21.127931034,16.562413793,14.582413793
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,12,58,58,39.90137931,7.3122413793,5.67,3.6556896552
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,16,108,129,419.67333333,100.65271318,77.986356589,62.03496124
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,250,39.864,31.258,29.514
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,5109,0.1766373067,0.0456410256,0.0357858681,0.0357858681
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,2940,0.9849557823,0.136377551,0.1069387755,0.1069387755
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,68.79875,25.56875,20.045625,15.865625
1053751149,DAWOD RAJIHA,SAMIR,,,M,I,508 S 6TH AVE,,WAUCHULA,FL,338733211,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,45,45,105.81666667,33,25.87,25.87
1053751370,PIERRE,DAVID,C,M.D.,M,I,2466 FLOWOOD DR,SUITE E,JACKSON,MS,392329019,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,60.25,50.982307692,39.972307692,39.764615385
1053751370,PIERRE,DAVID,C,M.D.,M,I,2466 FLOWOOD DR,SUITE E,JACKSON,MS,392329019,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,57,60,31.233333333,19.773833333,14.631666667,12.828666667
1053751370,PIERRE,DAVID,C,M.D.,M,I,2466 FLOWOOD DR,SUITE E,JACKSON,MS,392329019,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,19.95,3.8807692308,2.5653846154,3.1930769231
1053751370,PIERRE,DAVID,C,M.D.,M,I,2466 FLOWOOD DR,SUITE E,JACKSON,MS,392329019,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,72,158.26388889,86.497222222,63.77625,52.053333333
1053751370,PIERRE,DAVID,C,M.D.,M,I,2466 FLOWOOD DR,SUITE E,JACKSON,MS,392329019,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,44.745,32.813333333,27.8425
1053751578,ZEGLIS,CHAD,,M.D.,M,I,2505 MISSION DR,,JEFFERSON CITY,MO,651099508,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,43.427837838,5.7481081081,4.2259459459,3.5102702703
1053751701,YEH,FLORENCIA,,OD,F,I,5865 W UTOPIA RD,,GLENDALE,AZ,853085251,US,Optometry,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,15,15,80,58.86,43.073333333,47.938
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,38,115,48.067391304,8.32,5.8412173913,5.8412173913
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,19,40,9.05075,1.42,1.0575,1.0575
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,7.825,1.7366666667,1.0675,0.8629166667
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,236,26.408898305,3.2603813559,2.506059322,2.3176271186
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,480,36.326041667,6.975,5.4683333333,4.1865416667
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,8772,2.0357273142,0.3792327861,0.2722321021,0.2177576379
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,65,65,159.03,19.401692308,14.634,13.073846154
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,52,423,423,3776.6091489,1074.31,837.74054374,837.74054374
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,52,52,279.07365385,7.3221153846,5.6053846154,3.8242307692
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,12.732380952,11.715714286,9.1885714286,9.2857142857
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,47,13.474468085,10.557234043,8.2723404255,8.629787234
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,234.8756,231.6836,181.2316,181.2316
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,32,244,244,733.2042623,85.529344262,65.33352459,55.034918033
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,34,5577,0.3460211583,0.0464550834,0.0364138426,0.0364138426
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,23,2520,2.8061904762,0.1343690476,0.096702381,0.096702381
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,43,43,285.6,42.738604651,32.165348837,28.510697674
1053751933,ACOSTA,KATHY,A,N.P.,F,I,813 SAINT PETER ST,,CORPUS CHRISTI,TX,784185703,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,14,58,58,53.482758621,33,24.977931034,24.977931034
1053752022,PANLILIO,MARIA,T,GNP,F,I,159 FRONT ST,,BINGHAMTON,NY,139053103,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,82.08,11.586923077,7.1846153846,8
1053752022,PANLILIO,MARIA,T,GNP,F,I,159 FRONT ST,,BINGHAMTON,NY,139053103,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,381.36,46.241818182,28.762727273,29.923636364
1053752022,PANLILIO,MARIA,T,GNP,F,I,159 FRONT ST,,BINGHAMTON,NY,139053103,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,90.861764706,20.745882353,16.261764706,13.498823529
1053752022,PANLILIO,MARIA,T,GNP,F,I,159 FRONT ST,,BINGHAMTON,NY,139053103,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,472.81875,100.84333333,79.065416667,56.349583333
1053752022,PANLILIO,MARIA,T,GNP,F,I,159 FRONT ST,,BINGHAMTON,NY,139053103,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,39,40,141.50375,17.84075,11.20775,11.5525
1053752105,OLATUNDE,IGBAGBOYEMI,T,M.D,F,I,1 APPLEWOOD DR,,CHILLICOTHE,OH,456011902,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,217.1,71.5,56.06,54.73
1053752105,OLATUNDE,IGBAGBOYEMI,T,M.D,F,I,1 APPLEWOOD DR,,CHILLICOTHE,OH,456011902,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,35.5,27.83,29.51
1053752113,CHU,VIOLA,,M.D.,F,I,7501 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235405,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,37,86.31,22.544054054,16.866486486,12.961351351
1053752113,CHU,VIOLA,,M.D.,F,I,7501 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235405,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,51.796153846,7.37,5.7753846154,3.6523076923
1053752113,CHU,VIOLA,,M.D.,F,I,7501 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235405,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,50,572.5234,102.1976,77.8524,53.4588
1053752113,CHU,VIOLA,,M.D.,F,I,7501 HOSPITAL DR,SUITE 103,SACRAMENTO,CA,958235405,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,285.6,43.821818182,34.357272727,30.152727273
1053752121,BURTENSHAW,BRETT,T,MD,M,I,2038 W 1900 S,,SYRACUSE,UT,840759320,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,37,72.310540541,8.32,5.8162162162,5.8162162162
1053752121,BURTENSHAW,BRETT,T,MD,M,I,2038 W 1900 S,,SYRACUSE,UT,840759320,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,341.65611111,70.293888889,49.024444444,48.700555556
1053752121,BURTENSHAW,BRETT,T,MD,M,I,2038 W 1900 S,,SYRACUSE,UT,840759320,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,83.823529412,38.582352941,28.25,27.617058824
1053752147,AHMED,AAMIR,I,M.D.,M,I,1200 S CEDAR CREST BLVD,,ALLENTOWN,PA,18103,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,24,38.48,19.53375,15.310416667,13.53
1053752147,AHMED,AAMIR,I,M.D.,M,I,1200 S CEDAR CREST BLVD,,ALLENTOWN,PA,18103,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,59,306.77966102,75.68440678,58.328983051,53.747118644
1053752352,KRUSE,ROBERT,,"MD, MPH",M,I,1055 JORDAN CREEK PKWY STE 100,,WEST DES MOINES,IA,50266,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,70,195.81514286,8.32,6.256,6.256
1053752832,IRAWAN,GUNARDI,N,M.D.,M,I,1 W BOYLSTON ST,,WORCESTER,MA,016051265,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,20,63,153,78.699673203,8.315751634,5.4526797386,5.4560130719
1053752832,IRAWAN,GUNARDI,N,M.D.,M,I,1 W BOYLSTON ST,,WORCESTER,MA,016051265,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,24,26,14.060384615,1.42,0.9038461538,0.9038461538
1053752832,IRAWAN,GUNARDI,N,M.D.,M,I,1 W BOYLSTON ST,,WORCESTER,MA,016051265,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,50.73,3.8733333333,2.0504761905,2.6480952381
1053752832,IRAWAN,GUNARDI,N,M.D.,M,I,1 W BOYLSTON ST,,WORCESTER,MA,016051265,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,2583,0.2313743709,0.0461014324,0.0361440186,0.0361440186
1053752832,IRAWAN,GUNARDI,N,M.D.,M,I,1 W BOYLSTON ST,,WORCESTER,MA,016051265,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,90.75,33,25.87,25.87
1053753046,SHEN,MEIFENG,,,F,I,20 YORK ST,,NEW HAVEN,CT,065103220,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,1860,4.0103010753,0.5688709677,0.4459946237,0.4459946237
1053753046,SHEN,MEIFENG,,,F,I,20 YORK ST,,NEW HAVEN,CT,065103220,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,18,16,16,12.54,12.54
1053753137,DEWITT,DEREK,W,D.O.,M,I,3487 BROADWAY AVENUE,,FORT MYERS,FL,339017213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,22,43,66.409069767,8.32,6.218372093,6.218372093
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,20,22,22,79.263636364,39.188181818,30.722727273,30.634545455
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.42,1.11,1.1463636364
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,35,38,38,311.03947368,87.909473684,68.921578947,68.457368421
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,12,15,23,110.1573913,34.234782609,26.84,26.529130435
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,55,87.028181818,19.411272727,15.217818182,14.846181818
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,23,28,28,217.26714286,55.065714286,43.171428571,42.966785714
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,50,52,52,59.561346154,17.468269231,13.692884615,13.860384615
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,38,39,39,69.144102564,12.332307692,9.6702564103,9.5215384615
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,60,67,266,8.6764661654,2.0039849624,1.5718045113,1.5827443609
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,38,38,38,18.443684211,6.2007894737,4.8605263158,4.7610526316
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,41.616363636,12.045454545,9.4463636364,10.178181818
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,12,20,20,353.818,106.94,83.84,83.108
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,42,42,42,463.50809524,137.45880952,107.76738095,107.33309524
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,30,50.73,4.824,3.784,4.042
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,8,35,64,65,241.57753846,42.458307692,33.281846154,32.648
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,302.31954545,79.2,62.09,56.402727273
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,170.83333333,35.8,28.07,29.03
1053753442,WAHBA,NASHWA,M,DO,F,I,810 WILDWOOD ST,SUITE 1,DAYTONA BEACH,FL,32117,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,3462,0.17,0.0448671288,0.0351761987,0.0351761987
1053753517,GOSKE,GRACE,D,CNP,F,I,1400 S ARLINGTON ST UNIT 38,,AKRON,OH,443063771,US,Nurse Practitioner,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,1770,0.4230508475,0.13,0.1019152542,0.1019152542
1053753517,GOSKE,GRACE,D,CNP,F,I,1400 S ARLINGTON ST UNIT 38,,AKRON,OH,443063771,US,Nurse Practitioner,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,2220,9.4668918919,6.15,4.8215810811,5.6225675676
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,54,57.834074074,8.32,4.9898148148,4.9898148148
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,83,11.165060241,2.148313253,1.3459036145,1.2555421687
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,89.033142857,17.69,11.717428571,11.474857143
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,81.75,13.225,8.6683333333,8.7827777778
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,72.735925926,4.4159259259,3.462962963,3.462962963
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,43,45,233.38577778,35.265333333,26.208444444,24.024666667
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,90,93,504.98526882,74.200107527,55.232365591,52.252258065
1053753863,LOMAN,SARA,A,APRN,F,I,729 N CUSTER AVE,,GRAND ISLAND,NE,688034311,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,101.53846154,33,25.87,25.87
1053754036,LE,THUYAN,,,F,I,5730 WARD RD STE 102,,ARVADA,CO,800021300,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,181.68,31.199230769,24.464615385,25.175384615
1053754143,LU,ANDREA,,M.D.,F,I,1500 SAN PABLO ST,,LOS ANGELES,CA,900335313,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,2975,913.16,715.92,774.23076923
1053754143,LU,ANDREA,,M.D.,F,I,1500 SAN PABLO ST,,LOS ANGELES,CA,900335313,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,13,62.245384615,21.496923077,16.851538462,15.427692308
1053754325,SYED,FATIMA,Z,,F,I,1025 WALNUT ST,,PHILADELPHIA,PA,191075001,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,39,170,61.913235294,8.32,5.9086470588,5.9086470588
1053754408,BROWN,ANGELA,L,FNP-BC,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,378874200,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,37,50,65.9094,8.32,4.4364,4.4364
1053754408,BROWN,ANGELA,L,FNP-BC,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,378874200,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,195,52.704,37.116,34.784
1053754408,BROWN,ANGELA,L,FNP-BC,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,378874200,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,465.8325,87,66.230625,53.59375
1053754408,BROWN,ANGELA,L,FNP-BC,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,378874200,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,1.6819166667,0.1338181818,0.0975151515,0.0975151515
1053754408,BROWN,ANGELA,L,FNP-BC,F,I,1236 KNOXVILLE HWY,,WARTBURG,TN,378874200,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,25.87,25.87
1053754473,SEIN,SAW,,MD,F,I,100 HOSPITAL DR STE 304,,VALLEJO,CA,945892583,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,13,8093,3.0104534783,0.3,0.2351995552,0.2415099469
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,570,3.1456666667,0.4965789474,0.3769298246,0.3769298246
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,23,11816,1.3427513541,1.2483251523,0.9677344279,0.9677344279
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,15,51,9595,4.1396612819,0.5497915581,0.420084419,0.4200833768
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,J7508,"Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,71,130450,0.5229990034,0.4527748563,0.3529716366,0.3529716366
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,4375,0.0899451429,0.0139291429,0.0109211429,0.0109211429
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,21,69,15068,4.6276294133,2.797397133,2.1519491638,2.1519491638
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,37,115,115,24,24,18.169913043,18.169913043
1053754549,SPAGGIARI,MARIO,,M.D.,M,I,820 S WOOD ST,STE 619 CSB - MC 957,CHICAGO,IL,606124325,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,42,158,172,16,16,12.467209302,12.467209302
1053754689,DAHODWALA,MUFADDAL,,,M,I,757 WESTWOOD PLZ,SUITE 7501,LOS ANGELES,CA,900957417,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,52,76.084615385,8.32,6.02,6.02
1053755140,SCHULTZ,EMILY,T,CRNP,F,I,800 SOUTHERLY RD,,TOWSON,MD,212868403,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,448,10.066964286,9.5531696429,7.4186607143,7.4186607143
1053755140,SCHULTZ,EMILY,T,CRNP,F,I,800 SOUTHERLY RD,,TOWSON,MD,212868403,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,160,32.676923077,25.625384615,26.490769231
1053755140,SCHULTZ,EMILY,T,CRNP,F,I,800 SOUTHERLY RD,,TOWSON,MD,212868403,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,41,10.080714286,7.905,7.545
1053755306,MOODY,AARON,L,,M,I,2080 CHILD ST,,JACKSONVILLE,FL,322145005,US,Student in an Organized Health Care Education/Training Program,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,100,16.5,12.94,13.54
1053755306,MOODY,AARON,L,,M,I,2080 CHILD ST,,JACKSONVILLE,FL,322145005,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,350,77.18,57.828461538,52.038461538
1053755744,FREASIER,BENJAMIN,T,M.D.,M,I,316 W BOONE AVE,SUITE 757,SPOKANE,WA,992012354,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,388.01166667,66.8325,47.809166667,50.1675
1053755785,JERMANUS,SURA,K,M.D.,F,I,1300 MICCOSUKEE RD,FSU INTERNAL MEDICINE RESIDENCY PROGRAM,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,21,21,74.447619048,17.222857143,12.179047619,12.226666667
1053755785,JERMANUS,SURA,K,M.D.,F,I,1300 MICCOSUKEE RD,FSU INTERNAL MEDICINE RESIDENCY PROGRAM,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,29.802580645,5.9335483871,4.3206451613,3.7080645161
1053755785,JERMANUS,SURA,K,M.D.,F,I,1300 MICCOSUKEE RD,FSU INTERNAL MEDICINE RESIDENCY PROGRAM,TALLAHASSEE,FL,323085054,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,21,21,349.71666667,76.911428571,54.570952381,50.062380952
1053756148,SARGENT,CHASE,N,PA-C,M,I,4092 FOXWOOD DR,#101,VIRGINIA BEACH,VA,234625225,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,17.390909091,13.630909091,13.496363636
1053756148,SARGENT,CHASE,N,PA-C,M,I,4092 FOXWOOD DR,#101,VIRGINIA BEACH,VA,234625225,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,7.7272727273,6.0581818182,6.3463636364
1053756312,JENKINS,ASHLEY,T,M.D.,F,I,1 MERCY LN,SUITE 201,HOT SPRINGS,AR,719136442,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,32,58.8134375,21.251875,16.660625,13.7140625
1053756312,JENKINS,ASHLEY,T,M.D.,F,I,1 MERCY LN,SUITE 201,HOT SPRINGS,AR,719136442,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,19,35.833684211,4.6889473684,3.6773684211,3.6747368421
1053756312,JENKINS,ASHLEY,T,M.D.,F,I,1 MERCY LN,SUITE 201,HOT SPRINGS,AR,719136442,US,Physician/Internal Medicine,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,2,1.45,0.9583333333,0.8333333333
1053756312,JENKINS,ASHLEY,T,M.D.,F,I,1 MERCY LN,SUITE 201,HOT SPRINGS,AR,719136442,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,365.70756757,97.751891892,76.63972973,55.737567568
1053756346,IUTZI,CASSIE,J,MD,F,I,4860 Y ST STE 1600,,SACRAMENTO,CA,958172307,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,51,73.298039216,8.32,5.2435294118,5.2435294118
1053756346,IUTZI,CASSIE,J,MD,F,I,4860 Y ST STE 1600,,SACRAMENTO,CA,958172307,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,20,16.445,1.42,1.0605,1.0605
1053756510,JEVERT-EICHORN,SUSAN,E,DO,F,I,117 W PATERSON ST,,KALAMAZOO,MI,490072557,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,33,76.816363636,8.32,5.5342424242,5.5342424242
1053756999,PLETZ,ANNA MARIA,A,M.D.,F,I,525 LILLY RD NE # 250,PMG SW WA EAST OLYMPIA FAM MED,OLYMPIA,WA,985065101,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,30,102,48.258627451,8.32,5.7375490196,5.7375490196
1053756999,PLETZ,ANNA MARIA,A,M.D.,F,I,525 LILLY RD NE # 250,PMG SW WA EAST OLYMPIA FAM MED,OLYMPIA,WA,985065101,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,20,7.96,1.42,0.89,0.89
1053756999,PLETZ,ANNA MARIA,A,M.D.,F,I,525 LILLY RD NE # 250,PMG SW WA EAST OLYMPIA FAM MED,OLYMPIA,WA,985065101,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,27,86.31,17.077777778,11.901111111,12.046666667
1053756999,PLETZ,ANNA MARIA,A,M.D.,F,I,525 LILLY RD NE # 250,PMG SW WA EAST OLYMPIA FAM MED,OLYMPIA,WA,985065101,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,33,519.51,66.470909091,48.985151515,51.552121212
1053757492,SHEPHERD,SHANNON,V,NP-C,F,I,13303 TESSON FERRY RD,SUITE 150,SAINT LOUIS,MO,631284062,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,26,78.432307692,17.91,14.04,13.578461538
1053757492,SHEPHERD,SHANNON,V,NP-C,F,I,13303 TESSON FERRY RD,SUITE 150,SAINT LOUIS,MO,631284062,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,61,64,72.68765625,4.693125,3.58171875,3.67921875
1053757492,SHEPHERD,SHANNON,V,NP-C,F,I,13303 TESSON FERRY RD,SUITE 150,SAINT LOUIS,MO,631284062,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,40,400.79775,70.48,53.396,52.98525
1053757591,HIGHLAND,LISA,G,APRN,F,I,1401 HARRODSBURG RD,A300,LEXINGTON,KY,405043751,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,28,61,402.89262295,8.32,5.9873770492,5.9873770492
1053757591,HIGHLAND,LISA,G,APRN,F,I,1401 HARRODSBURG RD,A300,LEXINGTON,KY,405043751,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,26,22.546153846,1.42,1.1161538462,1.1161538462
1053757591,HIGHLAND,LISA,G,APRN,F,I,1401 HARRODSBURG RD,A300,LEXINGTON,KY,405043751,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,25,9.3395454545,7.1027272727,4.7122727273
1053757591,HIGHLAND,LISA,G,APRN,F,I,1401 HARRODSBURG RD,A300,LEXINGTON,KY,405043751,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,1119,0.8075692583,0.0452368186,0.0354602324,0.0354602324
1053757591,HIGHLAND,LISA,G,APRN,F,I,1401 HARRODSBURG RD,A300,LEXINGTON,KY,405043751,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,16,16,33,33,25.87,25.87
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,22,22,22,119.18181818,39.459090909,30.934545455,30.076363636
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,18,18,18,269.38888889,90.212222222,70.73,68.845555556
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,17,17,50,129.92,34.385,26.9564,26.4786
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,16,17,90,53.388555556,19.59,15.358666667,14.179111111
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,27,27,27,185.5662963,60.614074074,47.521851852,41.772222222
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,43,43,43,63.62,20.024186047,15.69627907,14.27255814
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,21,21,77.704285714,15.241428571,11.951428571,9.4233333333
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,41,42,235,7.6556595745,2.344,1.8377021277,1.6217021277
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,146.477,14.298,10.554,10.16
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,17,17,17,425,140.64941176,110.26941176,103.06470588
1053757849,ALKAZIR,FERRIS,,MD,M,I,818 N CARRIAGE PKWY,,WICHITA,KS,67208,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,21,41,42,207.93952381,41.917142857,32.861190476,31.413333333
1053757971,GREAKER,SHANNON,M,APRN-CNP,F,I,2050 KENNY RD STE 2500,,COLUMBUS,OH,432213502,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,59.912727273,42.162727273,27.545454545,27.545454545
1053758441,LEWIS,STEFANIE,K,,F,I,1045 CHANNINGWAY DR,,FAIRBORN,OH,453249252,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,54,58.618518519,8.32,6.1711111111,6.1711111111
1053758441,LEWIS,STEFANIE,K,,F,I,1045 CHANNINGWAY DR,,FAIRBORN,OH,453249252,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,224.62333333,77.18,60.51,56.65
1053758805,TAYLOR,DALE,L,M.D.,M,I,6500 W NEWBERRY RD,,GAINESVILLE,FL,326054309,US,Hospitalist,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,373,231.17313673,5.84,4.5661126005,4.1520643432
1053758805,TAYLOR,DALE,L,M.D.,M,I,6500 W NEWBERRY RD,,GAINESVILLE,FL,326054309,US,Hospitalist,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5890,6.2411358234,0.68,0.5317691002,0.5161205433
1053759035,O'CONNOR,DEVLIN,,D.O.,F,I,3330 WATERMAN WAY,,TAVARES,FL,327785250,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,17,77,57.204545455,8.32,6.5228571429,6.5228571429
1053759126,STERNER,SABRINA,A,PA-C,F,I,2140 FISHER RD,,MECHANICSBURG,PA,170555122,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,52,64.144423077,8.32,6.02,6.02
1053759209,WU,XIAOYAN,,,F,I,6701 FANNIN ST FL 11,,HOUSTON,TX,770302608,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,2400,3.2891208333,1.0049,0.7280458333,0.7280458333
1053759209,WU,XIAOYAN,,,F,I,6701 FANNIN ST FL 11,,HOUSTON,TX,770302608,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,16,16,12.54,12.54
1053759407,WOZNIAK,SUSAN,,"MD, MBA",F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,29,1460,8.28,8.28,6.4915205479,6.4915205479
1053759407,WOZNIAK,SUSAN,,"MD, MBA",F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,20,1026,18.5,18.5,14.503996101,14.503996101
1053759407,WOZNIAK,SUSAN,,"MD, MBA",F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,1500,0.13,0.13,0.10192,0.10192
1053759407,WOZNIAK,SUSAN,,"MD, MBA",F,I,2401 W BELVEDERE AVE,,BALTIMORE,MD,212155216,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,2580,0.45,0.45,0.3528062016,0.3528062016
1053759456,AUGUSTIN,JOSEPH,D,FNP,M,I,1248 KINNEYS LN,,PORTSMOUTH,OH,456622927,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,30,96,190,57.404105263,8.32,6.2133684211,6.2133684211
1053759456,AUGUSTIN,JOSEPH,D,FNP,M,I,1248 KINNEYS LN,,PORTSMOUTH,OH,456622927,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,26,28,11.924642857,1.42,1.1192857143,1.1192857143
1053759456,AUGUSTIN,JOSEPH,D,FNP,M,I,1248 KINNEYS LN,,PORTSMOUTH,OH,456622927,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,25,11.251,8.8225,6.995
1053759456,AUGUSTIN,JOSEPH,D,FNP,M,I,1248 KINNEYS LN,,PORTSMOUTH,OH,456622927,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,283.33333333,106.38666667,73.448333333,52.358333333
1053759456,AUGUSTIN,JOSEPH,D,FNP,M,I,1248 KINNEYS LN,,PORTSMOUTH,OH,456622927,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,4857,0.2542577723,0.046483426,0.0353098621,0.0353098621
1053759456,AUGUSTIN,JOSEPH,D,FNP,M,I,1248 KINNEYS LN,,PORTSMOUTH,OH,456622927,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,27,27,99,33,23.953703704,23.953703704
1053759837,MOSTARD,SANDRA,,,F,I,2131 S 17TH ST,,WILMINGTON,NC,284017407,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,16,16,16,12.54,12.54
1053761064,HUTCHINSON,DAPHNEE,M,D.O.,F,I,1600 S ANDREWS AVE,C/O GME-3 WEST,FORT LAUDERDALE,FL,333162510,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,86.451304348,20.053043478,15.721304348,13.545217391
1053761064,HUTCHINSON,DAPHNEE,M,D.O.,F,I,1600 S ANDREWS AVE,C/O GME-3 WEST,FORT LAUDERDALE,FL,333162510,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,515.21,111.31071429,87.271428571,60.875714286
1053761296,KLEIN,GENTRY,,APRN,F,I,211 W 33RD ST,,KEARNEY,NE,688453484,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25.521666667,7.5041666667,5.4783333333,3.505
1053761569,WOIDA,HENRY,W,PA-C,M,I,720 W WACKERLY ST,STE. 8,MIDLAND,MI,486402769,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,18,34,79,47.368481013,8.32,5.4478481013,5.4478481013
1053761569,WOIDA,HENRY,W,PA-C,M,I,720 W WACKERLY ST,STE. 8,MIDLAND,MI,486402769,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,23,11.944347826,1.42,1.1165217391,1.1165217391
1053761569,WOIDA,HENRY,W,PA-C,M,I,720 W WACKERLY ST,STE. 8,MIDLAND,MI,486402769,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,39.69,17.27,13.54,13.54
1053761569,WOIDA,HENRY,W,PA-C,M,I,720 W WACKERLY ST,STE. 8,MIDLAND,MI,486402769,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,295.44545455,70.979090909,50.670909091,49.754545455
1053761569,WOIDA,HENRY,W,PA-C,M,I,720 W WACKERLY ST,STE. 8,MIDLAND,MI,486402769,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,15,15,46.2,33,25.87,25.87
1053762146,HARKINS,CALEB,,"APRN, AGACNP",M,I,2551 GREENWOOD RD,SUITE #210,SHREVEPORT,LA,711033981,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,,79,81,69.81654321,17.994074074,12.817530864,12.248888889
1053762146,HARKINS,CALEB,,"APRN, AGACNP",M,I,2551 GREENWOOD RD,SUITE #210,SHREVEPORT,LA,711033981,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,43,43,3683.704186,942.14,735.30325581,831.69418605
1053762146,HARKINS,CALEB,,"APRN, AGACNP",M,I,2551 GREENWOOD RD,SUITE #210,SHREVEPORT,LA,711033981,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,12,99,102,434.27401961,74.040392157,54.754411765,51.468039216
1053762146,HARKINS,CALEB,,"APRN, AGACNP",M,I,2551 GREENWOOD RD,SUITE #210,SHREVEPORT,LA,711033981,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,269.37,37.44,29.35,29.51
1053762146,HARKINS,CALEB,,"APRN, AGACNP",M,I,2551 GREENWOOD RD,SUITE #210,SHREVEPORT,LA,711033981,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1560,0.92,0.1293846154,0.076974359,0.076974359
1053762146,HARKINS,CALEB,,"APRN, AGACNP",M,I,2551 GREENWOOD RD,SUITE #210,SHREVEPORT,LA,711033981,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,82.5,33,19.173571429,19.173571429
1053763334,BLAGOVICH,CHARLES,,,M,I,6600 S YALE AVE,,TULSA,OK,741363347,US,Nurse Practitioner,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,37.5,8.7809090909,6.8827272727,7.5045454545
1053763409,BINNING,VANNA,K,,F,I,1201 11TH AVE SW,,MINOT,ND,587014207,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,15,49,57.11755102,8.32,5.8563265306,5.8563265306
1053763409,BINNING,VANNA,K,,F,I,1201 11TH AVE SW,,MINOT,ND,587014207,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,14.426,1.42,0.9706666667,0.9706666667
1053763409,BINNING,VANNA,K,,F,I,1201 11TH AVE SW,,MINOT,ND,587014207,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,45,7.4995652174,5.7204347826,3.5913043478
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,21,42,69.711190476,8.32,5.5885714286,5.5885714286
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,304.11692308,71.218461538,49.921538462,32.519230769
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,257.82,46.512,35.322666667,25.230666667
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,34,664.93911765,112.15,86.171470588,56.693823529
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,34.516666667,28.95
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.6092307692,7.3497051282,7.3497051282
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,2118,0.250368272,0.0465344665,0.0310859301,0.0310812087
1053763672,HEISER,GREGORY,,PA,M,I,5735 MEEKER RD,,GREENVILLE,OH,453311180,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,100.73684211,33,23.146842105,23.146842105
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,71,112,112,77.981964286,46.901339286,36.771428571,31.312767857
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,49,74,74,211.07743243,111.5427027,85.187972973,68.822702703
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,45,63,102,96.395,44.269117647,34.706078431,28.159803922
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,17,31,86,48.765232558,22.257325581,17.449534884,14.693372093
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,17,23,73,30.771643836,19.96890411,15.656164384,12.420410959
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,47,65,65,165.88707692,71.766307692,56.265230769,44.816153846
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,71,81,81,46.301975309,23.08,17.897530864,14.363580247
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,14,14,20.832142857,11.533571429,9.0435714286,8.15
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,19,19,48.503684211,17.078947368,13.390526316,9.7136842105
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,86,136,537,7.2668528864,2.9015270019,2.269292365,1.6858845438
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,25,29,29,15.54,7.2944827586,5.7244827586,4.854137931
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,29,31,31,23.913870968,15.22483871,11.933548387,11.633225806
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,50,329,336,55.037321429,21.118809524,16.039404762,14.496964286
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,1583.5873684,913.16,715.92,835.61052632
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,23,24,246.66666667,117.86208333,92.403333333,70.545416667
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,33,33,33,313.03,174.23787879,136.60484848,107.15424242
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,13,72.115384615,14.483846154,11.356153846,9.6884615385
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,11,92,92,35.793804348,6.9032608696,5.2710869565,3.6136956522
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,82,437,441,151.939161,46.29739229,35.777959184,27.187414966
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,12,60,428,435,356.94678161,93.493770115,71.940229885,62.643264368
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,60,98.295833333,41.389,32.4485,29.489833333
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,16,43,4350,1.2365931034,0.137937931,0.1081701149,0.1081701149
1053763813,MILLER,LAKEN,,NP-C,F,I,415 S 28TH AVE,,HATTIESBURG,MS,394017246,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,16,53,53,86.547169811,33,25.87,25.87
1053763854,MUNSTERMAN,DANIELLE,J,"APRN, CNP",F,I,320 EAST MAIN STREET,,CROSBY,MN,56441,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,20,29,43.835172414,8.32,6.0734482759,6.0734482759
1053763854,MUNSTERMAN,DANIELLE,J,"APRN, CNP",F,I,320 EAST MAIN STREET,,CROSBY,MN,56441,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,61.5,19.429565217,15.233043478,14.056521739
1053763854,MUNSTERMAN,DANIELLE,J,"APRN, CNP",F,I,320 EAST MAIN STREET,,CROSBY,MN,56441,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,14.824,6.9413333333,5.1173333333,3.4533333333
1053763854,MUNSTERMAN,DANIELLE,J,"APRN, CNP",F,I,320 EAST MAIN STREET,,CROSBY,MN,56441,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,357.83851852,93.666296296,73.434444444,59.227777778
1053763961,BROOKS,SARAH,,NP,F,I,250 BLANTON ST NE,,PELHAM,GA,317791138,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,42,40.248333333,8.32,6.0561904762,6.0561904762
1053763961,BROOKS,SARAH,,NP,F,I,250 BLANTON ST NE,,PELHAM,GA,317791138,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,22.307692308,7.0526923077,4.7361538462,3.0623076923
1053764365,STEPHENS,MICHELLE,M,APN,F,I,401 N MAIN ST,,ROANOKE,IL,615617585,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,35,89,54.99,8.32,5.7216853933,5.7216853933
1053764365,STEPHENS,MICHELLE,M,APN,F,I,401 N MAIN ST,,ROANOKE,IL,615617585,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,14,15.487857143,1.42,0.8785714286,0.8785714286
1053764365,STEPHENS,MICHELLE,M,APN,F,I,401 N MAIN ST,,ROANOKE,IL,615617585,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,58.333333333,17.27,12.787777778,12.787777778
1053764365,STEPHENS,MICHELLE,M,APN,F,I,401 N MAIN ST,,ROANOKE,IL,615617585,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,29.5375,4.80125,2.884375,2.74625
1053764365,STEPHENS,MICHELLE,M,APN,F,I,401 N MAIN ST,,ROANOKE,IL,615617585,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,312.32,69.81,50.456333333,50.456333333
1053764936,DICOSTANZO,MICHELLE,M,MD,F,I,"2055 KIMBALL AVE, SUITE 101",,WATERLOO,IA,50702,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,355,86.9935,62.471,49.271
1053765586,SAYRE,JULIE,A,M.D.,F,I,90 S MAIN ST,,MIDDLETOWN,CT,064573649,US,Student in an Organized Health Care Education/Training Program,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7.31,5.9375,4.65,3.66
1053765586,SAYRE,JULIE,A,M.D.,F,I,90 S MAIN ST,,MIDDLETOWN,CT,064573649,US,Student in an Organized Health Care Education/Training Program,T,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,186.76636364,46.560909091,36.503636364,36.488181818
1053766048,ROLLINS,LOWELL,G,MD,M,I,1600 WALLACE BLVD,,AMARILLO,TX,791061799,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,85.119090909,17.27,13.54,13.54
1053766048,ROLLINS,LOWELL,G,MD,M,I,1600 WALLACE BLVD,,AMARILLO,TX,791061799,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,210.86454545,68.78,53.92,54.647272727
1053766519,LONG,CHRISTINA,,N.P.,F,I,224 OLD MILL RD,,WARTBURG,TN,378874163,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,30,81.596333333,8.32,6.0876666667,6.0876666667
1053766519,LONG,CHRISTINA,,N.P.,F,I,224 OLD MILL RD,,WARTBURG,TN,378874163,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,22.4775,16.3775,12.4025
1053766519,LONG,CHRISTINA,,N.P.,F,I,224 OLD MILL RD,,WARTBURG,TN,378874163,US,Nurse Practitioner,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,25,16,7.8328,6.1436,4.2048
1053766519,LONG,CHRISTINA,,N.P.,F,I,224 OLD MILL RD,,WARTBURG,TN,378874163,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,440.68636364,93.192727273,64.146818182,49.118636364
1053766519,LONG,CHRISTINA,,N.P.,F,I,224 OLD MILL RD,,WARTBURG,TN,378874163,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2384,0.5112541946,0.0477558725,0.0328355705,0.0328355705
1053766519,LONG,CHRISTINA,,N.P.,F,I,224 OLD MILL RD,,WARTBURG,TN,378874163,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,33,33,24.341538462,24.341538462
1053770032,LOCKLEAR,ERICA,K,F.N.P.,F,I,1604 MEDICAL DR,,LAURINBURG,NC,283525524,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,51.4348,24.6608,17.2932,12.782
1053770255,RAHMANI,DIBA,,PA-C,F,I,100 CHERRY ST SE,,GRAND RAPIDS,MI,495034526,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,32,78,74.610769231,8.32,4.9765384615,4.9765384615
1053770255,RAHMANI,DIBA,,PA-C,F,I,100 CHERRY ST SE,,GRAND RAPIDS,MI,495034526,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,17,14.528823529,1.42,0.7870588235,0.7870588235
1053770636,FUNKE,CAROLYN,,,F,I,912 WASHINGTON RD,,WESTMINSTER,MD,211575827,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,32,68,67.416764706,8.32,6.1372058824,6.1372058824
1053770636,FUNKE,CAROLYN,,,F,I,912 WASHINGTON RD,,WESTMINSTER,MD,211575827,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,11.710833333,1.42,0.9333333333,0.9333333333
1053770701,FRANSSENS,SARAH,A,AGNP,F,I,3915 WATSON RD,SUITE 101,SAINT LOUIS,MO,631091251,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,277.07,79.8,62.56,55.3825
1053770701,FRANSSENS,SARAH,A,AGNP,F,I,3915 WATSON RD,SUITE 101,SAINT LOUIS,MO,631091251,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,82.61,39.14,30.68,29.6075
1053771584,KHOSA,NAVREET,K,PA,F,I,1066 S WHITE RD,,SAN JOSE,CA,951273812,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,89.11,8.32,3.26,3.26
1053771923,BOYETTE,KELLY,,FNP,F,I,124 MEMORIAL DR,,JESUP,GA,315450101,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,32,33,25,5.1218181818,3.5490909091,3.1742424242
1053772095,SHAW,ERIN,,M.D.,F,I,1050 SE MONTEREY RD,201,STUART,FL,349944512,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,34,75.786176471,8.32,6.5211764706,6.5211764706
1053772095,SHAW,ERIN,,M.D.,F,I,1050 SE MONTEREY RD,201,STUART,FL,349944512,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,112.8696,32.7504,23.6108,23.0844
1053772178,CUDAL,KATRINA,,,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,16,16,167.92,49.310625,31.839375,30.825625
1053772178,CUDAL,KATRINA,,,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,228.8,73,50.880714286,48.648928571
1053772178,CUDAL,KATRINA,,,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,75,75,90.82,28.223466667,19.1732,21.363333333
1053772178,CUDAL,KATRINA,,,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,112.78,28.822142857,22.593571429,22.335
1053772178,CUDAL,KATRINA,,,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,92,92,26.52,8.4276086957,5.9445652174,6.0014130435
1053772178,CUDAL,KATRINA,,,F,I,396 REMINGTON BLVD,,BOLINGBROOK,IL,604404302,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,61.96,35.56,25.888571429,27.489642857
1053772392,ROBBINS,GRANT,W,PA-C,M,I,1400 S POTOMAC ST,#150,AURORA,CO,800124528,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,19,71.764210526,20.492105263,16.066842105,13.566315789
1053772392,ROBBINS,GRANT,W,PA-C,M,I,1400 S POTOMAC ST,#150,AURORA,CO,800124528,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,15,54.995333333,29.614,21.205333333,21.718666667
1053772392,ROBBINS,GRANT,W,PA-C,M,I,1400 S POTOMAC ST,#150,AURORA,CO,800124528,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,59,63,511.46253968,83.157301587,63.452222222,53.963015873
1053772392,ROBBINS,GRANT,W,PA-C,M,I,1400 S POTOMAC ST,#150,AURORA,CO,800124528,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,38.76,27.627272727,26.827272727
1053772533,WEAVER,KATHLEEN,R,ARNP,F,I,825 EASTLAKE AVE E,,SEATTLE,WA,981094405,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,19,537.61105263,72.438947368,53.598947368,51.849473684
1053772533,WEAVER,KATHLEEN,R,ARNP,F,I,825 EASTLAKE AVE E,,SEATTLE,WA,981094405,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,262.25454545,39.3,29.293636364,27.993636364
1053773275,FITZGERALD,JOHN,F,M.D.,M,I,653 W 8TH ST # L18,,JACKSONVILLE,FL,322096511,US,Student in an Organized Health Care Education/Training Program,T,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,46.8,35.597272727,27.906363636,26.307272727
1053773309,RAHMANI,ABDULLAH,,"BS, PA",M,I,1330 ROCKEFELLER AVE STE 520,,EVERETT,WA,98201,US,Physician Assistant,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,168,12.12,10.93,8.2880357143,8.2880357143
1053774257,DUFFY,ALEXANDER,C,PA-C,M,I,689 YORKTOWN RD,,LEWISBERRY,PA,173399258,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,36,68,55.592794118,8.32,5.8070588235,5.8070588235
1053774794,MATCHEN,TRESSA,A,ARNP-CNP,F,I,701 EAST HWY 70 ALLIANCE HEALTH MEDICAL GROUP,,KINGSTON,OK,73439,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,26,54,37.593333333,8.32,5.5542592593,5.5542592593
1053774794,MATCHEN,TRESSA,A,ARNP-CNP,F,I,701 EAST HWY 70 ALLIANCE HEALTH MEDICAL GROUP,,KINGSTON,OK,73439,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,2.3316666667,1.42,0.7466666667,0.7466666667
1053774794,MATCHEN,TRESSA,A,ARNP-CNP,F,I,701 EAST HWY 70 ALLIANCE HEALTH MEDICAL GROUP,,KINGSTON,OK,73439,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,8.0483333333,6.7805555556,5.3138888889,3.7533333333
1053774893,CARTER,DANIEL,S,PA,M,I,3919 TAMPA RD,,OLDSMAR,FL,346773114,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,4200,0.0721952381,0.0134285714,0.0101428571,0.0101428571
1053774893,CARTER,DANIEL,S,PA,M,I,3919 TAMPA RD,,OLDSMAR,FL,346773114,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,4560,4.6150175439,0.8798947368,0.6839166667,0.6839144737
1053774893,CARTER,DANIEL,S,PA,M,I,3919 TAMPA RD,,OLDSMAR,FL,346773114,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1053774893,CARTER,DANIEL,S,PA,M,I,3919 TAMPA RD,,OLDSMAR,FL,346773114,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,33,16,16,12.16,12.16
1053775395,DEPEW,KASIDY,G,PA-C,F,I,450B WASHINGTON JACKSON RD,SUITE 102,EATON,OH,453207600,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,23,519.51,77.18,57.879130435,52.340869565
1053775973,ELDRIDGE,KAREN,N,ARNP,F,I,131 HOSPITAL LN,,JELLICO,TN,377624404,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,16,24,101.69,8.32,5.98,5.98
1053775973,ELDRIDGE,KAREN,N,ARNP,F,I,131 HOSPITAL LN,,JELLICO,TN,377624404,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,29,29,167.82896552,58.767586207,43.180689655,35.017931034
1053775973,ELDRIDGE,KAREN,N,ARNP,F,I,131 HOSPITAL LN,,JELLICO,TN,377624404,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,55.1625,21.484375,15.925625,12.684375
1053775973,ELDRIDGE,KAREN,N,ARNP,F,I,131 HOSPITAL LN,,JELLICO,TN,377624404,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,28.730869565,7.6286956522,5.9791304348,4.6
1053775973,ELDRIDGE,KAREN,N,ARNP,F,I,131 HOSPITAL LN,,JELLICO,TN,377624404,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,245.74086957,106.57217391,80.590434783,65.114782609
1053775973,ELDRIDGE,KAREN,N,ARNP,F,I,131 HOSPITAL LN,,JELLICO,TN,377624404,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,24.348235294,24.348235294
1053776708,KAISER,MATTHEW,E,PA-C,M,I,702 N 13TH ST,,ARTESIA,NM,88210,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,17,38,123,45.687073171,8.3156097561,4.9858536585,4.9858536585
1053776708,KAISER,MATTHEW,E,PA-C,M,I,702 N 13TH ST,,ARTESIA,NM,88210,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,27,9.6414814815,1.4081481481,0.8662962963,0.8777777778
1053776708,KAISER,MATTHEW,E,PA-C,M,I,702 N 13TH ST,,ARTESIA,NM,88210,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,40,18.45875,14.4725,10.48
1053776708,KAISER,MATTHEW,E,PA-C,M,I,702 N 13TH ST,,ARTESIA,NM,88210,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,125,50.271,39.409,26.6215
1053776708,KAISER,MATTHEW,E,PA-C,M,I,702 N 13TH ST,,ARTESIA,NM,88210,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,248.16157895,97.66,73.385789474,51.814736842
1053776708,KAISER,MATTHEW,E,PA-C,M,I,702 N 13TH ST,,ARTESIA,NM,88210,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.75,44.560909091,34.938181818,29.515454545
1053776906,TUPTA,ELIZABETH,,NP-C,F,I,1635 AURORA CT,,AURORA,CO,800452541,US,Nurse Practitioner,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,3,,11,133,54.841654135,19.649398496,15.404887218,15.404887218
1053776906,TUPTA,ELIZABETH,,NP-C,F,I,1635 AURORA CT,,AURORA,CO,800452541,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,59,64,133,642,74.783847352,8.32,6.4010124611,6.4010124611
1053776906,TUPTA,ELIZABETH,,NP-C,F,I,1635 AURORA CT,,AURORA,CO,800452541,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,34,37,52,111,14.583603604,1.42,1.022972973,1.022972973
1053776906,TUPTA,ELIZABETH,,NP-C,F,I,1635 AURORA CT,,AURORA,CO,800452541,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,16,62,62,541.06629032,251.06596774,196.83548387,196.86983871
1053776906,TUPTA,ELIZABETH,,NP-C,F,I,1635 AURORA CT,,AURORA,CO,800452541,US,Nurse Practitioner,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,344.68785714,248.40714286,194.74928571,205.35714286
1053777102,SZELEPKA,DEBORAH,,FNP,F,I,457 SPRUCE ST,,WALTERBORO,SC,29488,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,36,81.686111111,8.32,5.2538888889,5.2538888889
1053777102,SZELEPKA,DEBORAH,,FNP,F,I,457 SPRUCE ST,,WALTERBORO,SC,29488,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,40,22.790909091,17.866363636,16.098181818
1053777102,SZELEPKA,DEBORAH,,FNP,F,I,457 SPRUCE ST,,WALTERBORO,SC,29488,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,220,105.01636364,82.335454545,58.640909091
1053777102,SZELEPKA,DEBORAH,,FNP,F,I,457 SPRUCE ST,,WALTERBORO,SC,29488,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,100,43.103333333,28.99,16.633333333
1053777318,GORDON,NATALIE,,ARNP,F,I,2401 FRIST BLVD STE 1,,FORT PIERCE,FL,349504800,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,54,46.781111111,8.32,5.7974074074,5.7974074074
1053777318,GORDON,NATALIE,,ARNP,F,I,2401 FRIST BLVD STE 1,,FORT PIERCE,FL,349504800,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2621,0.2534261732,0.0471804655,0.0327928272,0.0327928272
1053777318,GORDON,NATALIE,,ARNP,F,I,2401 FRIST BLVD STE 1,,FORT PIERCE,FL,349504800,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,600,144.63458333,95.742083333,75.328333333
1053777318,GORDON,NATALIE,,ARNP,F,I,2401 FRIST BLVD STE 1,,FORT PIERCE,FL,349504800,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,33,33,23.406190476,23.406190476
1053777946,MATHIAS,CYNTHIA,,,F,I,3550 SHAW AVE,,CINCINNATI,OH,452081445,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,131.99,41.54,32.57,36.027777778
1053777946,MATHIAS,CYNTHIA,,,F,I,3550 SHAW AVE,,CINCINNATI,OH,452081445,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,163.69333333,49.433333333,38.756666667,39.146666667
1053777946,MATHIAS,CYNTHIA,,,F,I,3550 SHAW AVE,,CINCINNATI,OH,452081445,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,50,17.36,13.61,13.561875
1053777946,MATHIAS,CYNTHIA,,,F,I,3550 SHAW AVE,,CINCINNATI,OH,452081445,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,300,79,61.94,56.652666667
1053777946,MATHIAS,CYNTHIA,,,F,I,3550 SHAW AVE,,CINCINNATI,OH,452081445,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,79.81,16.865641026,12.820512821,14.157435897
1053778191,WEYANDT,KADI,,PA-C,F,I,407 E 3RD ST,,DULUTH,MN,558051950,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21.666666667,4.82,3.784,3.606
1053778209,BLAND,ASHLEY,,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,51,138,83.808405797,8.32,5.4347826087,5.4347826087
1053778209,BLAND,ASHLEY,,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,179,22.253636364,17.445454545,13.53
1053778209,BLAND,ASHLEY,,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,26.68,7.6325,5.9816666667,3.9733333333
1053778209,BLAND,ASHLEY,,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,540.67,107.64277778,81.895277778,53.635277778
1053778209,BLAND,ASHLEY,,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2037,0.1610211095,0.04514973,0.0342857143,0.0342857143
1053778209,BLAND,ASHLEY,,ARNP,F,I,522 N HANCOCK ST,,OTTUMWA,IA,525014231,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,25.87,25.87
1053779447,OSBORNE,DANA,A,APRN,F,I,119 MEMORIAL DR,,FRANKLIN,KY,421342752,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,1520,5.93,1.73,1.337625,1.580625
1053779751,JAHNS,CORINNE,R,N.P.,F,I,2239 E COOK ST,,SPRINGFIELD,IL,627031944,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,21,73,67.94890411,8.32,5.2712328767,5.2712328767
1053779751,JAHNS,CORINNE,R,N.P.,F,I,2239 E COOK ST,,SPRINGFIELD,IL,627031944,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,18,37,13.740540541,1.42,0.8724324324,0.8724324324
1053779751,JAHNS,CORINNE,R,N.P.,F,I,2239 E COOK ST,,SPRINGFIELD,IL,627031944,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,39.32,6.194,2.8196,1.8624
1053779876,MAZEY,CYNTHIA,L,CNP,F,I,251 LEATHERMAN RD,,WADSWORTH,OH,442819236,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,12,29,67,70.357462687,8.32,5.7435820896,5.7435820896
1053779876,MAZEY,CYNTHIA,L,CNP,F,I,251 LEATHERMAN RD,,WADSWORTH,OH,442819236,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,32.57,19.155,17.535
1053780262,BURNETT,ANNE,P,NP-C,F,I,21 1ST STREET,MOUNTAIN MEDICAL CLINIC,MONTEAGLE,TN,373567401,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35,22.4775,17.620833333,13.53
1053780262,BURNETT,ANNE,P,NP-C,F,I,21 1ST STREET,MOUNTAIN MEDICAL CLINIC,MONTEAGLE,TN,373567401,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,7.6245454545,5.9763636364,3.8236363636
1053780262,BURNETT,ANNE,P,NP-C,F,I,21 1ST STREET,MOUNTAIN MEDICAL CLINIC,MONTEAGLE,TN,373567401,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,225,102.61833333,80.455,54.73
1053780312,SCALA,ELISE,,NP,F,I,56 BARIBEAU DR,,BRUNSWICK,ME,040113251,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,61.366363636,15.495454545,9.6463636364,11.064545455
1053780478,MYERS,LESLIE,L,APN,F,I,104 WESTSIDE DR,,TULLAHOMA,TN,373883253,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,43.676111111,21.656666667,14.819444444,11.526666667
1053780478,MYERS,LESLIE,L,APN,F,I,104 WESTSIDE DR,,TULLAHOMA,TN,373883253,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,264.30111111,96.337777778,65.568333333,45.608333333
1053780486,NEWMAN,CHRISTIE,M,"DNP, APRN, FNP-BC",F,I,516 DELAWARE STREET SE MMC 88,UNIVERSITY OF MINNESOTA PHYSICIANS HEART CARE,MINNEAPOLIS,MN,55455,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,2361,6.2914485388,0.560978399,0.4398136383,0.4398136383
1053780486,NEWMAN,CHRISTIE,M,"DNP, APRN, FNP-BC",F,I,516 DELAWARE STREET SE MMC 88,UNIVERSITY OF MINNESOTA PHYSICIANS HEART CARE,MINNEAPOLIS,MN,55455,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1053780486,NEWMAN,CHRISTIE,M,"DNP, APRN, FNP-BC",F,I,516 DELAWARE STREET SE MMC 88,UNIVERSITY OF MINNESOTA PHYSICIANS HEART CARE,MINNEAPOLIS,MN,55455,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,16,16,16,12.541875,12.541875
1053780502,GRAYSON,CHARLES,A,PA-C,M,I,735 US HIGHWAY 24,,LEADVILLE,CO,804613978,US,Physician Assistant,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,51.86,40.078181818,24.954545455,30.080909091
1053780767,RAYMER,JILL,L,DNP FNP BC,F,I,409 TALLULAH RD,,ROBBINSVILLE,NC,287718500,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,11,26,68,62.316176471,8.32,4.3017647059,4.3017647059
1053780767,RAYMER,JILL,L,DNP FNP BC,F,I,409 TALLULAH RD,,ROBBINSVILLE,NC,287718500,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,13,15.756923077,1.42,0.86,0.86
1053780767,RAYMER,JILL,L,DNP FNP BC,F,I,409 TALLULAH RD,,ROBBINSVILLE,NC,287718500,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,139.84833333,65.06,51.01,37.188333333
1053780767,RAYMER,JILL,L,DNP FNP BC,F,I,409 TALLULAH RD,,ROBBINSVILLE,NC,287718500,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,70.084545455,24.134090909,18.918636364,14.624545455
1053780767,RAYMER,JILL,L,DNP FNP BC,F,I,409 TALLULAH RD,,ROBBINSVILLE,NC,287718500,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,24,8.8315,6.559,3.8735
1053780767,RAYMER,JILL,L,DNP FNP BC,F,I,409 TALLULAH RD,,ROBBINSVILLE,NC,287718500,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,133,67.569230769,52.970769231,31.434615385
1053780767,RAYMER,JILL,L,DNP FNP BC,F,I,409 TALLULAH RD,,ROBBINSVILLE,NC,287718500,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,44,439.86636364,115.29363636,90.394545455,62.208181818
1053780999,RITCHEY,DANIELLE,N,PA-C,F,I,830 5TH AVE,SUITE 201,CHAMBERSBURG,PA,172014224,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,33,42.442424242,8.32,6.5233333333,6.5233333333
1053781385,HUTCHINSON,ARIANNA,,APRN,F,I,4123 DUTCHMANS LN STE 307,,LOUISVILLE,KY,402074721,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,1685,4.7070623145,1.73,1.2838872404,1.5052581602
1053781385,HUTCHINSON,ARIANNA,,APRN,F,I,4123 DUTCHMANS LN STE 307,,LOUISVILLE,KY,402074721,US,Nurse Practitioner,S,E0740,"Non-implanted pelvic floor electrical stimulator, complete system",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,60,51.117894737,40.076315789,40.076315789
1053781419,WILKERSON,STEVE,L,PA,M,I,50 SCHENCK PKWY,PROVIDER ENROLLMENT,ASHEVILLE,NC,288033499,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,37,57.002432432,21.707297297,16.368648649,14.385405405
1053781419,WILKERSON,STEVE,L,PA,M,I,50 SCHENCK PKWY,PROVIDER ENROLLMENT,ASHEVILLE,NC,288033499,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,49.703333333,38.971666667,38.7425
1053781419,WILKERSON,STEVE,L,PA,M,I,50 SCHENCK PKWY,PROVIDER ENROLLMENT,ASHEVILLE,NC,288033499,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,35,35,25.587142857,7.5148571429,5.6154285714,3.5297142857
1053781419,WILKERSON,STEVE,L,PA,M,I,50 SCHENCK PKWY,PROVIDER ENROLLMENT,ASHEVILLE,NC,288033499,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,27,27,262.09592593,111.41111111,82.922592593,62.675925926
1053781419,WILKERSON,STEVE,L,PA,M,I,50 SCHENCK PKWY,PROVIDER ENROLLMENT,ASHEVILLE,NC,288033499,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,4068,0.1599852507,0.0455530973,0.0351573255,0.0351573255
1053781419,WILKERSON,STEVE,L,PA,M,I,50 SCHENCK PKWY,PROVIDER ENROLLMENT,ASHEVILLE,NC,288033499,US,Physician Assistant,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,740,0.492527027,0.2187972973,0.1571756757,0.1571756757
1053781419,WILKERSON,STEVE,L,PA,M,I,50 SCHENCK PKWY,PROVIDER ENROLLMENT,ASHEVILLE,NC,288033499,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,33,33,24.638095238,24.638095238
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,33,112.48,46.808787879,36.697878788,25.918787879
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,26,89,7.9937078652,2.9357303371,2.3023595506,1.6159550562
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,23,79.390434783,21.983478261,16.192173913,14.123043478
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,587.55615385,121.23923077,88.090769231,63.08
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,31,39.330967742,9.2280645161,7.2341935484,3.8135483871
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,41,42,205.44857143,51.108809524,39.246190476,25.046190476
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,60,60,369.59566667,102.77266667,78.585,56.279333333
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,31,9285,0.2554033387,0.0466752827,0.0338804523,0.0338804523
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,83.82,46.77,36.67,30.711666667
1053781492,DUDLEY,KELLY,L,NP-C,F,I,250 ARSENAL ST,,AUGUSTA,ME,043305742,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,20,20,49.8,33,25.87,25.87
1053782417,MYERS,MARTINA,R,APRN,F,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,35,74,80.570675676,8.32,6.3462162162,6.3462162162
1053782417,MYERS,MARTINA,R,APRN,F,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,17,14.607058824,1.42,1.1176470588,1.1176470588
1053782417,MYERS,MARTINA,R,APRN,F,I,2201 LEXINGTON AVE,,ASHLAND,KY,411012843,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,1742.0305882,158.29411765,124.1,128.99882353
1053783654,PHELPS,JULIE,,CNP,F,I,2430 W PIERCE ST,,CARLSBAD,NM,882203553,US,Nurse Practitioner,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,130.19133333,130.19133333,102.07133333,102.50733333
1053783977,MELI,DENISE,M,CRNP,F,I,217 REECEVILLE RD STE A,,COATESVILLE,PA,193201572,US,Nurse Practitioner,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2430,19.21,7.87,6.1484074074,6.1539176955
1053784009,VANDALEN,KIMBERLY,C,,F,I,1800 GARNER FIELD RD,,UVALDE,TX,788016210,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,64,22.4775,17.620833333,13.53
1053784009,VANDALEN,KIMBERLY,C,,F,I,1800 GARNER FIELD RD,,UVALDE,TX,788016210,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,410,102.61833333,80.455,54.73
1053784587,DAVY,MARLA,,FNP-C,F,I,2600 N SAM RAYBURN FWY,,SHERMAN,TX,750900500,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,467.43428571,68.78,52.271428571,53.033333333
1053784637,HOWARD,TAMARA,F,NP-C,F,I,200 SMOKERISE DR STE 100,,WADSWORTH,OH,442819499,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,176,52.98,41.535294118,39.111176471
1053784637,HOWARD,TAMARA,F,NP-C,F,I,200 SMOKERISE DR STE 100,,WADSWORTH,OH,442819499,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,88.917619048,16.5,12.323809524,12.930952381
1053784637,HOWARD,TAMARA,F,NP-C,F,I,200 SMOKERISE DR STE 100,,WADSWORTH,OH,442819499,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,516.00857143,77.18,60.226190476,54.436190476
1053784637,HOWARD,TAMARA,F,NP-C,F,I,200 SMOKERISE DR STE 100,,WADSWORTH,OH,442819499,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,900,1.2898666667,0.1395666667,0.1094222222,0.1094222222
1053784983,LEE,CARMELIA,M,NP,F,I,2370 E INTERNATIONAL SPEEDWAY BLVD,,DELAND,FL,32724,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,54,81.406481481,8.32,5.4346296296,5.4346296296
1053784983,LEE,CARMELIA,M,NP,F,I,2370 E INTERNATIONAL SPEEDWAY BLVD,,DELAND,FL,32724,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,14,18.945,1.42,1.0371428571,1.0371428571
1053785790,KROOS,AMY,L,NP,F,I,5666 E STATE ST,,ROCKFORD,IL,611082425,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,21,21,240.95,51.598571429,40.453333333,41.08952381
1053785790,KROOS,AMY,L,NP,F,I,5666 E STATE ST,,ROCKFORD,IL,611082425,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,324.4,69.81,54.73,54.73
1053785790,KROOS,AMY,L,NP,F,I,5666 E STATE ST,,ROCKFORD,IL,611082425,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,106.02,19.553076923,15.326153846,14.789230769
1053785840,WAGNER,MATTHEW,,,M,I,1200 GRANT BLVD W,,WABASHA,MN,55981,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,29,39.806896552,8.32,5.4013793103,5.4013793103
1053786632,MCCLINSEY,BETHANY,,PA,F,I,400 INTERNATIONAL DR,,WILLIAMSVILLE,NY,142215771,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67.12,44.745,32.344166667,27.056666667
1053786657,HAMLIN,ELIZABETH,H,,F,I,2000 6TH AVE S,,BIRMINGHAM,AL,35233,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,2560,2.0204296875,1.92,1.501328125,1.5953945313
1053788901,JACKMAN,LINSEY,,PHYSICIAN ASSISTANT,F,I,505 S PLUMMER AVE,,CHANUTE,KS,66720,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,26,348.79615385,100.58923077,72.310769231,50.122307692
1053788901,JACKMAN,LINSEY,,PHYSICIAN ASSISTANT,F,I,505 S PLUMMER AVE,,CHANUTE,KS,66720,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,23,158.82913043,44.656956522,33.584782609,28.543478261
1053789248,ALLEN,RITA,W,APRN,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,4.05,2.4709090909,1.7763636364,1.4495454545
1053789248,ALLEN,RITA,W,APRN,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,22,7.6291666667,5.5775,3.6108333333
1053789248,ALLEN,RITA,W,APRN,F,I,476 LIBERTY RD,,WEST LIBERTY,KY,414722049,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,118,47.164545455,33.849090909,21.254545455
1053789750,KNEZEVIC,VEDRANA,,PA-C,F,I,161 N EAGLE CREEK DR,STE 400,LEXINGTON,KY,405099038,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,46,107,66.486448598,8.32,6.5208411215,6.5208411215
1053789750,KNEZEVIC,VEDRANA,,PA-C,F,I,161 N EAGLE CREEK DR,STE 400,LEXINGTON,KY,405099038,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,25,14.6276,1.42,1.118,1.118
1053789750,KNEZEVIC,VEDRANA,,PA-C,F,I,161 N EAGLE CREEK DR,STE 400,LEXINGTON,KY,405099038,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,251.11,251.11,196.87,196.87
1053790139,MA,DI,,M.D.,F,I,4440 W 95TH ST,,OAK LAWN,IL,60453,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,156.73153846,56.734615385,44.480769231,40.998461538
1053790329,SUNJAYA,DHARMA,B,M.D.,M,I,200 1ST ST SW,,ROCHESTER,MN,559050001,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,410,70.725294118,55.446470588,54.73
1053791079,PALIKHEL,SANDEEP,,PA-C,M,I,3600 GASTON AVE,550,DALLAS,TX,752461800,US,Physician Assistant,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.06833333,842.06833333
1053791210,MORRIS,BRITTANY,,,F,I,385 STATE ST,,SUNBURY,PA,178016003,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,19,31,69,79.322463768,8.32,5.4817391304,5.4817391304
1053791210,MORRIS,BRITTANY,,,F,I,385 STATE ST,,SUNBURY,PA,178016003,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,21,24,14.397083333,1.42,0.97875,0.97875
1053791210,MORRIS,BRITTANY,,,F,I,385 STATE ST,,SUNBURY,PA,178016003,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,64,23.093125,16.376875,11.89125
1053791210,MORRIS,BRITTANY,,,F,I,385 STATE ST,,SUNBURY,PA,178016003,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,313.33733333,104.87933333,76.251,50.607
1053791210,MORRIS,BRITTANY,,,F,I,385 STATE ST,,SUNBURY,PA,178016003,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,33,33,23.912307692,23.912307692
1053791483,ZAENGER,JEFFREY,,CNP,M,I,6010 S MASON MONTGOMERY RD,,MASON,OH,450403706,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,14,38,73.445263158,8.32,5.3421052632,5.3421052632
1053791681,LUONG,THANG,,D.O.,M,I,1345 W CENTRAL PARK AVE,,DAVENPORT,IA,528041844,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,24.316666667,4.61,2.928,2.928
1053791681,LUONG,THANG,,D.O.,M,I,1345 W CENTRAL PARK AVE,,DAVENPORT,IA,528041844,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,413.29153846,101.66384615,79.706923077,64.076153846
1053792028,SCHAEFER,AUBRIE,,N.P.,F,I,205 S HANOVER ST,,HANOVER,KS,669458924,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,21,5.93,3.0457142857,2.3904761905,1.72
1053792028,SCHAEFER,AUBRIE,,N.P.,F,I,205 S HANOVER ST,,HANOVER,KS,669458924,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,52.2,22.140526316,17.356842105,13.846842105
1053792028,SCHAEFER,AUBRIE,,N.P.,F,I,205 S HANOVER ST,,HANOVER,KS,669458924,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,255.19,103.34666667,81.023333333,61.5
1053792028,SCHAEFER,AUBRIE,,N.P.,F,I,205 S HANOVER ST,,HANOVER,KS,669458924,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,46,46,361.33543478,99.982391304,74.625217391,52.105652174
1053792028,SCHAEFER,AUBRIE,,N.P.,F,I,205 S HANOVER ST,,HANOVER,KS,669458924,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,57.25,44.745,32.344166667,27.056666667
1053792069,MOORE,WESLEY,,D.O.,M,I,2195 HARRODSBURG RD STE 125,,LEXINGTON,KY,405043504,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,24,64,74.08421875,8.32,5.50390625,5.50390625
1053792069,MOORE,WESLEY,,D.O.,M,I,2195 HARRODSBURG RD STE 125,,LEXINGTON,KY,405043504,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,16,17.549375,1.42,0.975,0.975
1053792069,MOORE,WESLEY,,D.O.,M,I,2195 HARRODSBURG RD STE 125,,LEXINGTON,KY,405043504,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,28.899615385,4.5315384615,3.1638461538,3.1623076923
1053792119,MESICK,NICOLE,M,DO,F,I,250 PLEASANT ST STE 6073,,CONCORD,NH,033017539,US,Hospitalist,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,55.941538462,8.32,6.0192307692,6.0192307692
1053792150,DORMANS,MARIA,,MD,F,I,8815 GERMANTOWN AVE,5TH FLOOR,PHILADELPHIA,PA,191182722,US,Physician/Family Practice,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,61,350,37.341311475,28.223278689,28.223278689
1053792150,DORMANS,MARIA,,MD,F,I,8815 GERMANTOWN AVE,5TH FLOOR,PHILADELPHIA,PA,191182722,US,Physician/Family Practice,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,19,962,159.89665281,1.5954054054,1.1844594595,1.1844594595
1053792218,SOMWARU,SAMANTHA,K,MD,F,I,1222 E WOODLAND AVE,,BARRON,WI,54812,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,16.381666667,1.42,1.12,1.12
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,4380,1.5233310502,1.2335136986,0.9234726027,0.9234726027
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,17,25,115,14050,4.2450967972,0.5627814947,0.4137793594,0.4170604982
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,4200,0.2913119048,0.0133214286,0.0100595238,0.0100595238
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,3180,1.6625534591,0.742009434,0.5372987421,0.5372987421
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,9,14,67,8640,2.823599537,1.1645509259,0.8791666667,0.8791666667
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,2880,4.36809375,2.79825,2.1938020833,2.1938020833
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,16,33,116,116,24,24,18.314568966,18.314568966
1053792275,BARTON,NAOMI,T,CRNP,F,I,3400 SPRUCE ST,1 FOUNDERS,PHILADELPHIA,PA,191044238,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,17,29,136,145,16,16,12.194206897,12.194206897
1053792648,PETERSEN,JOSEPH,,DO,M,I,4500 UTICA RIDGE RD,,BETTENDORF,IA,527221626,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,42.090909091,5.0227272727,3.6318181818,3.6318181818
1053792648,PETERSEN,JOSEPH,,DO,M,I,4500 UTICA RIDGE RD,,BETTENDORF,IA,527221626,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,327.27272727,100.90545455,79.111818182,54.73
1053793364,HAMILTON,KELLY,,,F,I,6010 BALCONES DR,,AUSTIN,TX,787314270,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,167.3053125,29.27125,22.95,22.45375
1053793471,DELONGPRE,JENNIFER,M,D.O.,F,I,1500 E SHERMAN BLVD,,MUSKEGON,MI,49444,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,21.99,1.42,0.9163636364,0.9163636364
1053793919,DUNN,SARAH,E,NP,F,I,1200 N ELM ST,,GREENSBORO,NC,27401,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.96,14.08,13.585
1053793919,DUNN,SARAH,E,NP,F,I,1200 N ELM ST,,GREENSBORO,NC,27401,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,430.6575,86.84,68.08,55.8425
1053793927,CHACKO,SURYAMOL,A,,F,I,8605 RIGLEY'S CHOICE DR,,BALTIMORE,MD,21236,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,16,25,5.8825,4.271875,3.656875
1053794677,CORMIER,ELISABETH,K,PA,F,I,800 WASHINGTON ST,,BOSTON,MA,021111552,US,Physician Assistant,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,109.13333333,42.084666667,32.993333333,32.993333333
1053794768,MCINTOSH,KAYME,,"APRN, AGNP-C",F,I,4716 ALLIANCE BLVD,SUITE 500,PLANO,TX,750935371,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,95.106666667,76.48,48.004166667,44.074166667
1053794768,MCINTOSH,KAYME,,"APRN, AGNP-C",F,I,4716 ALLIANCE BLVD,SUITE 500,PLANO,TX,750935371,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1053794867,BOWLING,NATHANIEL,,,M,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75.7,22.4775,15.626666667,11.6525
1053794867,BOWLING,NATHANIEL,,,M,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.5041666667,5.8816666667,3.88
1053794867,BOWLING,NATHANIEL,,,M,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,328.13,102.61833333,70.493333333,45.608333333
1053794867,BOWLING,NATHANIEL,,,M,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1620,1.2051666667,0.1376481481,0.1045740741,0.1045740741
1053794867,BOWLING,NATHANIEL,,,M,I,15 E CHESTNUT ST,,AUGUSTA,ME,043305736,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,101.0625,33,25.37125,25.370625
1053795104,OH,SOON JEE,,,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,134.38,46.764705882,35.018235294,34.967058824
1053795104,OH,SOON JEE,,,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,47,47,68.559148936,14.174893617,9.9904255319,12.303191489
1053795104,OH,SOON JEE,,,F,I,2015 GRAND CONCOURSE,,BRONX,NY,104534303,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,41,41,20.57,6.3512195122,4.4580487805,5.7197560976
1053795120,JOHNSON,ASHLEY,A,PA-C,F,I,3724 RALEIGH ROAD PKWY W,,WILSON,NC,27896,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,54,68.609074074,8.32,5.7975925926,5.7975925926
1053795120,JOHNSON,ASHLEY,A,PA-C,F,I,3724 RALEIGH ROAD PKWY W,,WILSON,NC,27896,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,22,13.299090909,1.42,1.0145454545,1.0145454545
1053795120,JOHNSON,ASHLEY,A,PA-C,F,I,3724 RALEIGH ROAD PKWY W,,WILSON,NC,27896,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,21.45,6.4981818182,5.0927272727,3.6854545455
1053795450,DEAN,JENNA,T,MD,F,I,2540 ASHBY AVE,ROOM 5505,BERKELEY,CA,947052067,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250.51,79,58.194166667,50.985
1053795765,SHARMA,VIJAY,K,M.D.,M,I,250 W KENWOOD AVE,,DECATUR,IL,625264371,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,40,72.1345,8.32,6.19425,6.19425
1053795765,SHARMA,VIJAY,K,M.D.,M,I,250 W KENWOOD AVE,,DECATUR,IL,625264371,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,18,18,120,48.566666667,38.077777778,38.451666667
1053795765,SHARMA,VIJAY,K,M.D.,M,I,250 W KENWOOD AVE,,DECATUR,IL,625264371,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,515.49052632,69.81,54.73,54.73
1053796094,ROLLINS,RACHEL,,CNP,F,I,241 EXECUTIVE DR,,MARION,OH,433026307,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,34,75.821176471,8.32,5.3708823529,5.3708823529
1053796482,NITTA,AMY,R,"MS, FNP",F,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,125,15.95,9.875,11.263333333
1053796482,NITTA,AMY,R,"MS, FNP",F,I,2315 STOCKTON BLVD,,SACRAMENTO,CA,958172201,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,26.61,9.7142105263,6.6326315789,5.8352631579
1053797035,ARCAND,CLAUDIA,E,FNP,F,I,344 THOMPSON RD,,WEBSTER,MA,015701509,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,57,124,58.252822581,8.32,5.5395967742,5.5395967742
1053797035,ARCAND,CLAUDIA,E,FNP,F,I,344 THOMPSON RD,,WEBSTER,MA,015701509,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,17,11.061764706,1.42,0.9864705882,0.9864705882
1053797068,ADEJOH,RACHEL,O,CRNP-FAMILY,F,I,821 N EUTAW ST STE 308,,BALTIMORE,MD,212016303,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,44.297777778,19.005,14.9,15.261666667
1053797068,ADEJOH,RACHEL,O,CRNP-FAMILY,F,I,821 N EUTAW ST STE 308,,BALTIMORE,MD,212016303,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,39.154545455,9.8109090909,7.6936363636,7.2781818182
1053797258,REED,REBECCA,,,F,I,927 BROADWAY ST,,QUINCY,IL,623012719,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,429.41857143,99.926666667,78.282380952,54.668095238
1053797258,REED,REBECCA,,,F,I,927 BROADWAY ST,,QUINCY,IL,623012719,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,183.87666667,51.32,40.235,29.51
1053797399,MARSHALL,ANGELA,L,"MSN, FNP-C",F,I,1998 HENDERSONVILLE RD,SUITE 45,ASHEVILLE,NC,288032349,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,87.93,83.22,65.237857143,72.962142857
1053798561,LEE,NATALIE,S,,F,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Student in an Organized Health Care Education/Training Program,T,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,206.81818182,9.9318181818,6.8727272727,6.2545454545
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,71,71,71,1234.1333803,972.47,748.71535211,758.51661972
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,28,28,28,1427.8703571,1020.93,793.76178571,870.35035714
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,46,47,86,850.265,641.82,501.51848837,482.63093023
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,89,89,164,853.14676829,776.88036585,606.44945122,666.25542683
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,22,22,35,521.93171429,444.02,348.12,352.84
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,20,147,149,274,125.30218978,109.63080292,85.950985401,88.291313869
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,12,13,21,525.17190476,458.27,352.45428571,357.97380952
1053799635,HAMPTON,ANISHA,,"FNP-C, CRNP",F,I,1040 PARK AVE STE 200,,BALTIMORE,MD,21201,US,Nurse Practitioner,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,29,29,29,835.47724138,653.24,512.14,558.79931034
1053799973,SANUSI,MONISOLA,M,MD,F,I,2336 DAWSON RD,1100,ALBANY,GA,317072800,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,26,71,51.221267606,8.1328169014,6.0073239437,6.153943662
1053799973,SANUSI,MONISOLA,M,MD,F,I,2336 DAWSON RD,1100,ALBANY,GA,317072800,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,20,16.924,1.42,1.058,1.058
1053799973,SANUSI,MONISOLA,M,MD,F,I,2336 DAWSON RD,1100,ALBANY,GA,317072800,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,133.33333333,49.139166667,35.873333333,24.078333333
1053799973,SANUSI,MONISOLA,M,MD,F,I,2336 DAWSON RD,1100,ALBANY,GA,317072800,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,70.538461538,20.064615385,8.9130769231,8.1630769231
1053809723,BUDD,JULIANA,,APNP,F,I,830 N 109TH ST STE 1,,WAUWATOSA,WI,532263754,US,Nurse Practitioner,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,59,36.835,28.8775,28.6975
1053809723,BUDD,JULIANA,,APNP,F,I,830 N 109TH ST STE 1,,WAUWATOSA,WI,532263754,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,32.727272727,9.0672727273,7.1018181818,7.6036363636
1053810804,GALLAGHER,AMANDA,,NP-C,F,I,2300 M ST NW,,WASHINGTON,DC,200371434,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,15,30,59.67,8.32,6.523,6.523
1053821066,NAGLE,KAYLA,,PA-C,F,I,720 LINDSAY LN STE C,,CODY,WY,824144143,US,Physician Assistant,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,22,22,22,4995,4378.96,3433.11,3433.11
1053821504,AARON,ASHLEY,A,FNP,F,I,120 HILLCREST MEDICAL BLVD FL 3,,WACO,TX,767128948,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,26,146,61.157465753,8.2805479452,6.4920547945,6.5230136986
1053824185,STRAHAN,ALLISON,,PA-C,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,190.63,53.683913043,42.087826087,38.295217391
1053824185,STRAHAN,ALLISON,,PA-C,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,65,27.710625,21.725,16.6875
1053824185,STRAHAN,ALLISON,,PA-C,F,I,2511 OLD CORNWALLIS RD STE 200,,DURHAM,NC,277131869,US,Physician Assistant,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,137.91294118,54.352941176,42.61,29.17
1053824334,COATES,SANDRA,L,AGPCNP-BC,F,I,980 PROFESSIONAL PARK DR STE C,,CLARKSVILLE,TN,37040,US,Nurse Practitioner,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,820,339.04,265.81,292.91
1053824359,BOWEN,DARCI,L,,F,I,1801 CHUKKA HINA,,DURANT,OK,74701,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,195.58,70.417272727,55.209090909,40.621818182
1053830273,MCDOWELL,CAROLYN,,APN,F,I,15 SCHOOL RD E STE 2,,MARLBORO,NJ,077462061,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,55.256923077,8.32,6.52,6.52
1053831693,CHI,DARGELIS,,MD,F,I,3601 4TH ST STOP 8321,,LUBBOCK,TX,794308321,US,Psychiatry & Neurology,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,38.75,17.27,12.309090909,12.309090909
1053831693,CHI,DARGELIS,,MD,F,I,3601 4TH ST STOP 8321,,LUBBOCK,TX,794308321,US,Psychiatry & Neurology,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,298,68.78,49.018181818,49.837272727
1053832006,GIETZEN,MEGAN,,NP,F,I,33 9TH ST W,,DICKINSON,ND,58601,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,17,40,68,51.167352941,8.32,6.3319117647,6.3319117647
1053832006,GIETZEN,MEGAN,,NP,F,I,33 9TH ST W,,DICKINSON,ND,58601,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,18,36,3.9,2.0722222222,1.6244444444,1.1888888889
1053832006,GIETZEN,MEGAN,,NP,F,I,33 9TH ST W,,DICKINSON,ND,58601,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1053832154,COOK,BRITTNEY,,,F,I,558 CHESTNUT ST,,ST MATTHEWS,SC,29135,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,34,63.415,8.32,5.5035294118,5.5035294118
1053832535,PHILLIPS,ALEXANDRIA,,FNP,F,I,835 E 4800 S STE 230,,MURRAY,UT,841075535,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,368.075,75.44,59.14,54.813333333
1053833079,PERCIAK,ANGELA,M,APRN,F,I,1150 W MARKET ST,,AKRON,OH,443137129,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,83.772777778,20.486111111,16.061111111,14.4
1053833277,WRIGHT,GEOFFREY,W,PA-C,M,I,321 MULBERRY ST SW,,LENOIR,NC,286455720,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,86.31,17.29,13.55,13.53125
1053833277,WRIGHT,GEOFFREY,W,PA-C,M,I,321 MULBERRY ST SW,,LENOIR,NC,286455720,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,30,506.73866667,70.23,55.06,54.765333333
1053833806,BYERS,NADINE,,DO,F,I,149 NORTH ST,,WATERVILLE,ME,049014974,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,44.16,7.7226666667,5.2453333333,2.704
1053833806,BYERS,NADINE,,DO,F,I,149 NORTH ST,,WATERVILLE,ME,049014974,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,249.90545455,60.145454545,47.150909091,34.218181818
1053835215,KLINEFELTER,KIMBERLY,A,FNP-C,F,I,600 SAINT JOHNSBURY RD,,LITTLETON,NH,035613442,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,47,8.2859574468,3.36,2.635106383,2.0361702128
1053835215,KLINEFELTER,KIMBERLY,A,FNP-C,F,I,600 SAINT JOHNSBURY RD,,LITTLETON,NH,035613442,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,175,61.7575,48.4175,31.251666667
1053836577,O'DONOGHUE,MERIH,D,MD,F,I,13620 CRAYTON BOULEVARD,,HAGERSTOWN,MD,217422685,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,24,82,68.879756098,8.32,6.2030487805,6.2030487805
1053836577,O'DONOGHUE,MERIH,D,MD,F,I,13620 CRAYTON BOULEVARD,,HAGERSTOWN,MD,217422685,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,17,30,18.389666667,1.42,1.116,1.116
1053836577,O'DONOGHUE,MERIH,D,MD,F,I,13620 CRAYTON BOULEVARD,,HAGERSTOWN,MD,217422685,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,115,7.012,5.54,4.154173913,4.154173913
1053836577,O'DONOGHUE,MERIH,D,MD,F,I,13620 CRAYTON BOULEVARD,,HAGERSTOWN,MD,217422685,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,375,2.356,1.95,1.3452266667,1.3452266667
1053838086,PILSNER,SARA,M,NP-C,F,I,3 DOCTORS PARK,,CAPE GIRARDEAU,MO,637034927,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,2490,5.6046987952,2.04,1.5993534137,1.5993534137
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,63,101,101,92.959009901,40.508217822,31.115148515,30.154455446
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,32,50,50,306.1088,100.0044,78.4068,71.2448
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,29,44,108,122.22796296,38.035185185,29.817962963,26.613611111
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,29,49,193,59.587253886,20.687046632,16.219067358,15.191139896
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,27,49,201,46.940199005,16.774577114,12.40358209,11.158756219
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,56,81,81,171.72876543,64.541234568,50.001481481,43.254814815
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,67,82,82,63.619512195,21.019390244,16.30304878,14.418170732
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,17,17,30.169411765,11.326470588,8.7023529412,7.9464705882
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,56.908571429,15.454285714,12.111428571,10.71
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,73,129,612,6.7222712418,2.3940196078,1.8520424837,1.6606699346
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,45,48,48,50.250833333,14.133541667,10.992916667,10.3175
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,490.78181818,158.29818182,124.10727273,117.01363636
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,75.782608696,14.453043478,11.337391304,10.48
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,19,125,125,416.1832,39.56576,30.68456,26.08672
1053838268,TOLLEFSRUD,KAYLA,A,PA-C,F,I,2929 5TH ST,,RAPID CITY,SD,577017363,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,365.69571429,69.99,54.87,54.745
1053838532,THOMAS,JOHN,E,PA-C,M,I,30 N 1900 E RM 3B420,,SALT LAKE CITY,UT,841320002,US,Physician Assistant,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,2610,0.39,0.13,0.1019272031,0.1019272031
1053838532,THOMAS,JOHN,E,PA-C,M,I,30 N 1900 E RM 3B420,,SALT LAKE CITY,UT,841320002,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,22,3540,4.6461864407,1.73,1.3563305085,1.5890423729
1053838532,THOMAS,JOHN,E,PA-C,M,I,30 N 1900 E RM 3B420,,SALT LAKE CITY,UT,841320002,US,Physician Assistant,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,40,5670,9.9419047619,6.4128571429,5.0023791887,5.5579082892
1053840959,WALTERS,ROBERTA,A,ARNP,F,I,601 NORTHOLT PKWY,,SUWANEE,GA,300244360,US,Nurse Practitioner,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,5.5,2.9858823529,2.3417647059,2.2647058824
1053840959,WALTERS,ROBERTA,A,ARNP,F,I,601 NORTHOLT PKWY,,SUWANEE,GA,300244360,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,180,38.1,29.87,29.629090909
1053840959,WALTERS,ROBERTA,A,ARNP,F,I,601 NORTHOLT PKWY,,SUWANEE,GA,300244360,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,23,23,65,24.639565217,19.321304348,17.933043478
1053840959,WALTERS,ROBERTA,A,ARNP,F,I,601 NORTHOLT PKWY,,SUWANEE,GA,300244360,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,23,23,25,9.9682608696,7.8108695652,7.9182608696
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,25,39,35.114358974,8.32,5.6866666667,5.6866666667
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,12.518571429,1.42,0.96,0.96
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,39.166956522,22.627391304,16.440869565,12.615217391
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,250,123.16916667,92.931666667,92.931666667
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,30,7.205,5.6471428571,3.8885714286
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,350,106.38666667,80.563809524,54.052380952
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,4480,0.4450334821,0.0456339286,0.0321026786,0.0321026786
1053841163,HARRIS,VERONIKA,J,"MSN,RN,FNP-C",F,I,4301 COLLEGE DR RM 800,,VERNON,TX,763843128,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,23,23,33,33,23.620434783,23.620434783
1053841189,BROWN,SHERIDAN,,,F,I,630 W 168TH ST,,NEW YORK,NY,100323725,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,38,6766,4.6524002365,0.5874726574,0.4605749335,0.4605749335
1053841189,BROWN,SHERIDAN,,,F,I,630 W 168TH ST,,NEW YORK,NY,100323725,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,11,22,22,24,24,18.225454545,18.225454545
1053841189,BROWN,SHERIDAN,,,F,I,630 W 168TH ST,,NEW YORK,NY,100323725,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,15,35,35,16,16,12.291714286,12.291714286
1053841288,TANT,AUBREE,L,FNP-C,F,I,176 CHARLES HARDY PKWY UNIT C,,HIRAM,GA,301411836,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,11,14,31,70.785483871,8.32,6.5209677419,6.5209677419
1053841403,ARNOLD,SANDRA,L,ARNP,F,I,985 STATE ROAD 436,,CASSELBERRY,FL,327075664,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,275,5.46,4.2806451613,4.1632258065
1053841403,ARNOLD,SANDRA,L,ARNP,F,I,985 STATE ROAD 436,,CASSELBERRY,FL,327075664,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4950,3.5746666667,0.3,0.2281676768,0.2360121212
1053841403,ARNOLD,SANDRA,L,ARNP,F,I,985 STATE ROAD 436,,CASSELBERRY,FL,327075664,US,Nurse Practitioner,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1200,63.75,49.98,48.32
1053841577,WILSON,BRIDGET,,"RN, FNP",F,I,134 HOMER AVE,,CORTLAND,NY,130451206,US,Nurse Practitioner,S,L3660,"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,95,93.41,59.923636364,66.480909091
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,53,67,67,83.518507463,39.991641791,30.90761194,30.194029851
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,28,41,41,207.1702439,93.840487805,73.574146341,68.717317073
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,30,42,83,100.74120482,36.182289157,28.366626506,26.103493976
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,12,15,68,54.385882353,19.757352941,15.489558824,14.519558824
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,14,20,93,36.059354839,15,11.76,11.894086022
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,32,40,40,131.817,57.529,44.55325,42.3635
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,45,46,46,47.148913043,19.642391304,15.402391304,14.242173913
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,52,69,388,6.4540721649,2.2034020619,1.7035824742,1.5734793814
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,26,27,27,28.108888889,13.444074074,10.157407407,10.06
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,12,51,53,343.85471698,105.19716981,81.32245283,74.275849057
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,16,16,16,333.54375,140.778125,110.371875,104.8025
1053841726,BOYLE,KELLY,A,PA-C,F,I,637 KINGSBOROUGH SQ STE E,,CHESAPEAKE,VA,233204944,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,127.63888889,34.9375,27.3925,27.764444444
1053841916,GOODLOE,JONATHAN,B,MD,M,I,169 ASHLEY AVE RM 202,,CHARLESTON,SC,294258905,US,Orthopaedic Surgery,T,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,115,47.544285714,37.28,37.931428571
1053843557,ANTHONY,BRIANNA,,DO,F,I,1025 PINNOCK PLACE,,FT. COLLINS,CO,80524,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,70.48,55.25,54.72
1053844415,OLSEN,GEORGE,,M.D.,M,I,191 E ORCHARD RD,,LITTLETON,CO,801218000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,46.645714286,17.52,13.74,13.582857143
1053844415,OLSEN,GEORGE,,M.D.,M,I,191 E ORCHARD RD,,LITTLETON,CO,801218000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,224.63071429,78.49,61.53,56.187142857
1053845420,SCHIFFMAN,COREY,J,M.D.,M,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Student in an Organized Health Care Education/Training Program,T,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,54.818181818,30.146363636,18.769090909,18.79
1053845420,SCHIFFMAN,COREY,J,M.D.,M,I,325 9TH AVE,,SEATTLE,WA,981042420,US,Student in an Organized Health Care Education/Training Program,T,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,8.0572727273,5.0154545455,5.0463636364
1053848184,SIEGEL,JULIE,B,MD,F,I,169 ASHLEY AVE RM 202,,CHARLESTON,SC,294258905,US,Physician/General Surgery,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,24,8.275,6.0233333333,6.1991666667
1053848309,MARINO-BROTHERS,KIMBERLY,M,DNP,F,I,124 AMES ST,,ELK RAPIDS,MI,496299449,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,64,19.295454545,15.125454545,13.532727273
1053848309,MARINO-BROTHERS,KIMBERLY,M,DNP,F,I,124 AMES ST,,ELK RAPIDS,MI,496299449,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,33,33,483.00666667,98.716363636,77.394545455,56.195151515
1053848457,RANA,HASAN,,,M,I,22101 MOROSS RD STE 50,,DETROIT,MI,482362148,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,16.339090909,5.3372727273,4.1836363636,3.4818181818
1053848689,LEEKA,JUSTIN,A,DO,M,I,620 SHADOW LN,,LAS VEGAS,NV,891064119,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,636.2,211.36363636,165.70909091,170.36090909
1053848879,RADICIC,KASEY,,DO,F,I,5515 PEACH ST,,ERIE,PA,165092695,US,Student in an Organized Health Care Education/Training Program,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,41.6228125,25.5578125,19.613125,17.190625
1053848879,RADICIC,KASEY,,DO,F,I,5515 PEACH ST,,ERIE,PA,165092695,US,Student in an Organized Health Care Education/Training Program,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,7.6325,5.9816666667,3.66
1053848879,RADICIC,KASEY,,DO,F,I,5515 PEACH ST,,ERIE,PA,165092695,US,Student in an Organized Health Care Education/Training Program,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,288.71325,84.1765,62.747,52.50775
1053850164,SJOSTRAND,DAVID,C,NP-C,M,I,124 5TH ST,,WILDER,ID,836765540,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1618,1.3594437577,0.1341038319,0.0983868974,0.0983868974
1053850727,EDQUILANG,MARIA,V,NP-C,F,I,1500 SUNSET DR,,FRIENDSWOOD,TX,775464724,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,47.638333333,16.125833333,11.491666667,12.836666667
1053850727,EDQUILANG,MARIA,V,NP-C,F,I,1500 SUNSET DR,,FRIENDSWOOD,TX,775464724,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,25.28,7.5084615385,5.8846153846,6.7246153846
1053851204,MANNILA,ANTHONY,L,APNP FNP-C,M,I,13380 W TREPANIA RD,,HAYWARD,WI,548432186,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,13,46,84,70.146309524,8.32,6.520952381,6.520952381
1053851204,MANNILA,ANTHONY,L,APNP FNP-C,M,I,13380 W TREPANIA RD,,HAYWARD,WI,548432186,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,8.4206666667,1.42,1.12,1.12
1053851204,MANNILA,ANTHONY,L,APNP FNP-C,M,I,13380 W TREPANIA RD,,HAYWARD,WI,548432186,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,919.45,713.04083333,834.45083333
1053851790,FESSENDEN,KATELYN,M,,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,26,118.42884615,8.32,6.5207692308,6.5207692308
1053851790,FESSENDEN,KATELYN,M,,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,26.945,12.912857143,8.6385714286,8.3592857143
1053851790,FESSENDEN,KATELYN,M,,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,26.16,8.8507407407,6.8033333333,3.8651851852
1053851790,FESSENDEN,KATELYN,M,,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,119.40352941,46.487058824,32.895882353,20.629411765
1053851790,FESSENDEN,KATELYN,M,,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,86.5,28.506363636,22.35,15.355454545
1053851790,FESSENDEN,KATELYN,M,,F,I,1025 MAINE ST,,QUINCY,IL,623014038,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1053852848,MCLEAY,TONYA,,,F,I,730 S 38TH AVE,,OMAHA,NE,681051107,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,33,11.073333333,8.6783333333,8.5891666667
1053852848,MCLEAY,TONYA,,,F,I,730 S 38TH AVE,,OMAHA,NE,681051107,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,14.16,10.185,7.9883333333,7.9808333333
1053852848,MCLEAY,TONYA,,,F,I,730 S 38TH AVE,,OMAHA,NE,681051107,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,300,210.825,165.28,165.28
1053852848,MCLEAY,TONYA,,,F,I,730 S 38TH AVE,,OMAHA,NE,681051107,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20.17,8.54,6.6933333333,6.515
1053853176,O'BRIEN,MARCIA,L,"MSN, APRN, NP-C",F,I,1301 W 38TH ST,SUITE 200,AUSTIN,TX,787051000,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,900,4.548,2.04,1.1231888889,1.1231888889
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,70,106,106,119.64433962,39.028018868,30.024433962,29.923207547
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,55,98,98,365.58265306,90.753469388,70.435102041,67.471530612
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,55,93,230,138.26386957,34.003826087,26.426043478,25.771173913
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,59,105,551,74.063012704,18.024101633,13.916170599,14.309292196
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,14,59,98,514,57.295252918,15.192023346,11.736264591,11.716848249
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,18,117,197,197,216.92649746,53.764873096,41.50248731,42.135126904
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,133,165,165,69.915818182,17.980363636,14.009090909,13.979393939
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,107,179,179,75.407374302,12.111117318,9.388603352,9.061396648
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,166,279,1554,9.945965251,2.0639382239,1.6036486486,1.5805019305
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,85,100,100,24.2805,5.9967,4.6977,4.6537
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,17,97,110,110,44.528,12.487818182,9.7905454545,10.291
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,356.21666667,87.4525,68.558333333,68.775
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,920.292,199.97,149.6035,149.3455
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,33,33,33,591.91636364,132.41,103.81,104.59212121
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,35,43,80.691860465,11.820465116,7.758372093,7.7911627907
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,61,357,391,232.7329156,32.746214834,24.788491049,24.7742711
1053853770,NOLAN,KIMBERLY,,,F,I,100 E LANCASTER AVE,SUITE 230,WYNNEWOOD,PA,190963450,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,35,430.53514286,77.18,60.51,55.216285714
1053856005,HEWITT,STACEY,,CRNP,F,I,2144 QUEENS CT,,READING,PA,196069203,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,36.88,16.08,12.6,13.445454545
1053856005,HEWITT,STACEY,,CRNP,F,I,2144 QUEENS CT,,READING,PA,196069203,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,230,77.18,60.51,55.246363636
1053856609,RASMUSSEN,ADAM,,,M,I,200 HAWKINS DR,1500 JCP,IOWA CITY,IA,522421009,US,Physician Assistant,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,0.8331666667,0.48575,0.38075,0.38075
1053856609,RASMUSSEN,ADAM,,,M,I,200 HAWKINS DR,1500 JCP,IOWA CITY,IA,522421009,US,Physician Assistant,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,12,35,5499,2.5246062921,0.5730332788,0.4341934897,0.4341898527
1053856609,RASMUSSEN,ADAM,,,M,I,200 HAWKINS DR,1500 JCP,IOWA CITY,IA,522421009,US,Physician Assistant,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,32,7816,0.0830053736,0.0133930399,0.0105002559,0.0104989765
1053856609,RASMUSSEN,ADAM,,,M,I,200 HAWKINS DR,1500 JCP,IOWA CITY,IA,522421009,US,Physician Assistant,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,2640,2.1172310606,0.8472537879,0.6484318182,0.6484318182
1053856609,RASMUSSEN,ADAM,,,M,I,200 HAWKINS DR,1500 JCP,IOWA CITY,IA,522421009,US,Physician Assistant,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,48,48,24,24,18.427916667,18.427916667
1053856609,RASMUSSEN,ADAM,,,M,I,200 HAWKINS DR,1500 JCP,IOWA CITY,IA,522421009,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,15,49,66,16,16,12.538787879,12.538787879
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,33,87,173,59.040404624,8.32,5.8536416185,5.8536416185
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,20,30,39,16.586923077,1.42,0.8876923077,0.8876923077
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,25,25,193.6,59.5144,43.0736,33.3516
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,52.379642857,21.773928571,15.471071429,12.080357143
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,82,84,242.51,101.54166667,73.493333333,54.818333333
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,1560,1.0554807692,0.1419230769,0.1112884615,0.1112884615
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,69.860526316,27.796842105,21.793684211,15.778947368
1053856799,YATES,HEATHER,L,APRN,F,I,226 MEDICAL PLAZA LN,,WHITESBURG,KY,418587425,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,77,33,25.87,25.87
1053857912,JENKS,ASHLEY,C,APRN,F,I,2601 KENTUCKY AVE,SUITE 301,PADUCAH,KY,420033817,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,312,108.16,81.284705882,63.422352941
1053859249,HANNA,CHRISTINE,M,APRN,F,I,800 HOWARD AVE FL 2,,NEW HAVEN,CT,065191369,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,368.28625,18.928125,13.87125,14.484375
1053859249,HANNA,CHRISTINE,M,APRN,F,I,800 HOWARD AVE FL 2,,NEW HAVEN,CT,065191369,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,20,58,417.63327586,37.38,28.364137931,28.364137931
1053859249,HANNA,CHRISTINE,M,APRN,F,I,800 HOWARD AVE FL 2,,NEW HAVEN,CT,065191369,US,Nurse Practitioner,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,20,1397,62.5,1.5691624911,1.2302219041,1.2302219041
1053859330,MUI,KELLY,K,PA,M,I,5397 RAMSEY ST,,FAYETTEVILLE,NC,283111417,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,449.11071429,70.23,51.127142857,50.811428571
1053859330,MUI,KELLY,K,PA,M,I,5397 RAMSEY ST,,FAYETTEVILLE,NC,283111417,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1110,0.9974954955,0.1306486486,0.1024324324,0.1024324324
1053859330,MUI,KELLY,K,PA,M,I,5397 RAMSEY ST,,FAYETTEVILLE,NC,283111417,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,90.75,33,23.714166667,23.714166667
1053859462,SMITH,DIANA,J,FNP-C,F,I,43 YU DR STE 2,,NEW BRAUNFELS,TX,781302458,US,Nurse Practitioner,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,160,44.595,34.964166667,35.9475
1053859462,SMITH,DIANA,J,FNP-C,F,I,43 YU DR STE 2,,NEW BRAUNFELS,TX,781302458,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,35.406896552,18.173793103,13.666896552,14.114137931
1053859462,SMITH,DIANA,J,FNP-C,F,I,43 YU DR STE 2,,NEW BRAUNFELS,TX,781302458,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,83.584285714,27.894,20.855142857,20.299428571
1053860981,WAITE,COULTON,M,PA-C,M,I,33300 CLEVELAND CLINIC BLVD,,AVON,OH,44011,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,21,50.73,6.3671428571,4.9914285714,3.9071428571
1053861138,RHONE,REBECCA,,,F,I,740 HIGH ST,SUITE 2001,WILLIAMSPORT,PA,177013102,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,350,68.494545455,48.879090909,49.940909091
1053861138,RHONE,REBECCA,,,F,I,740 HIGH ST,SUITE 2001,WILLIAMSPORT,PA,177013102,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,75,39.01,27.827272727,26.835454545
1053861385,GUERIN,DOMINIC,M,,M,I,440 SAINT MICHAELS DR,,SANTA FE,NM,875057602,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,12,13,13,153.44,17.676153846,13.858461538,13.537692308
1053861385,GUERIN,DOMINIC,M,,M,I,440 SAINT MICHAELS DR,,SANTA FE,NM,875057602,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,16,26,26,735.51692308,71.259230769,51.613846154,50.666923077
1053861617,CHATWELL,LAUREN,,PA-C,F,I,2222 S 16TH ST STE 305,,LINCOLN,NE,685023762,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,43.800909091,17.69,13.87,13.560909091
1053861617,CHATWELL,LAUREN,,PA-C,F,I,2222 S 16TH ST STE 305,,LINCOLN,NE,685023762,US,Physician Assistant,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,261.04636364,69.99,54.87,54.742727273
1053861872,EASTMAN,CANDACE,R,FNP-C,F,I,5202 TIMBERWOLF,,LUMBERTON,TX,776577545,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,31,50,72.9924,8.32,5.74,5.74
1053863100,FARNSWORTH,MATTHEW,,PA-C,M,I,15 PLEASANT STREET,,AU SABLE FORKS,NY,12912,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,38,73,57.241369863,8.32,6.3431506849,6.3431506849
1053863100,FARNSWORTH,MATTHEW,,PA-C,M,I,15 PLEASANT STREET,,AU SABLE FORKS,NY,12912,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,266.29714286,71.532857143,56.085,37.745714286
1053863100,FARNSWORTH,MATTHEW,,PA-C,M,I,15 PLEASANT STREET,,AU SABLE FORKS,NY,12912,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,15,99,33,25.87,25.87
1053863688,BALL,CRYSTAL,,FNP-C,F,I,17285 VETERANS MEMORIAL HWY,,DUNGANNON,VA,242453937,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,34,84,72.808809524,8.32,4.115,4.115
1053863688,BALL,CRYSTAL,,FNP-C,F,I,17285 VETERANS MEMORIAL HWY,,DUNGANNON,VA,242453937,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,25,15.9068,1.42,0.7596,0.7596
1053863688,BALL,CRYSTAL,,FNP-C,F,I,17285 VETERANS MEMORIAL HWY,,DUNGANNON,VA,242453937,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,519.51,70.23,52.189166667,51.877916667
1053863688,BALL,CRYSTAL,,FNP-C,F,I,17285 VETERANS MEMORIAL HWY,,DUNGANNON,VA,242453937,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,132,33,25.87,25.87
1053864140,GRAHAM,MELANIE,S,"RN, FNP",F,I,5002 COWHORN CREEK RD,,TEXARKANA,TX,755039766,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,18.888888889,8.7966666667,6.6255555556,3.5033333333
1053864462,PHILBRICK,KATHLEEN,,NP,F,I,4 GLEN COVE DR,SUITE 103,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,19,1380,0.16,0.13,0.1019710145,0.1019710145
1053864462,PHILBRICK,KATHLEEN,,NP,F,I,4 GLEN COVE DR,SUITE 103,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,18,2820,0.6089361702,0.45,0.3528014184,0.3528014184
1053864462,PHILBRICK,KATHLEEN,,NP,F,I,4 GLEN COVE DR,SUITE 103,ROCKPORT,ME,048564235,US,Nurse Practitioner,S,A6449,"Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,17,1504,2.887712766,1.97,1.5444880319,1.5444880319
1053864611,FULTS,AMY,,FNP-C,F,I,516 W MAIN ST STE C,,SMITHVILLE,TN,371661142,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,5.0463636364,3.1890909091,2.6581818182
1053864918,STALEY,JENNIFER,M,FNP,F,I,8180 STONEWALL SHOPS SQ,,GAINESVILLE,VA,201553891,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,52,73.398653846,8.32,6.27,6.27
1053865212,FORMELLA,KAILEY,C,PA-C,F,I,717 W MORELAND BLVD,,WAUKESHA,WI,531882432,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,35,124,79.552903226,8.32,5.8136290323,5.8136290323
1053866160,DARK,JASMINE,P,FNP-BC,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,77074,US,Nurse Practitioner,S,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,600,513.411875,402.516875,399.066875
1053866160,DARK,JASMINE,P,FNP-BC,F,I,7322 SOUTHWEST FWY STE 160,,HOUSTON,TX,77074,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,15,583.76866667,76.58,60.03,55.428
1053866228,ABRAMS,TYTEELA,,,F,I,12401 MIRAMAR PKWY,,MIRAMAR,FL,330272900,US,Nurse Practitioner,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,80,80,80,100.2235,54.268875,42.547375,37.7875
1053866228,ABRAMS,TYTEELA,,,F,I,12401 MIRAMAR PKWY,,MIRAMAR,FL,330272900,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,24,519.51,90.01,70.57,62.65
1053866228,ABRAMS,TYTEELA,,,F,I,12401 MIRAMAR PKWY,,MIRAMAR,FL,330272900,US,Nurse Practitioner,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,59.798,35.261333333,27.646,29.171333333
1053866228,ABRAMS,TYTEELA,,,F,I,12401 MIRAMAR PKWY,,MIRAMAR,FL,330272900,US,Nurse Practitioner,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,15,15,15,297.79066667,154.43466667,121.082,115.48866667
1053866228,ABRAMS,TYTEELA,,,F,I,12401 MIRAMAR PKWY,,MIRAMAR,FL,330272900,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,32,32,47.8825,23.31625,18.2846875,16.4146875
1053866228,ABRAMS,TYTEELA,,,F,I,12401 MIRAMAR PKWY,,MIRAMAR,FL,330272900,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,76.3,39.86,31.246923077,24.981538462
1053866228,ABRAMS,TYTEELA,,,F,I,12401 MIRAMAR PKWY,,MIRAMAR,FL,330272900,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,55,55,18.686909091,9.676,7.5872727273,7.4269090909
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,64.008666667,20.764,16.274666667,14.060666667
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,83.296666667,13.9075,10.9,9.12
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,21,83,8.4826506024,2.2872289157,1.7930120482,1.5926506024
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,12,12,22.740833333,6.2475,4.8975,4.65
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,31,31,1206.1632258,280.31129032,217.69483871,160.79741935
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,461.86214286,144.34214286,108.80857143,100.33928571
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,90,91,247.62241758,44.324945055,34.372857143,26.01
1053866475,GARFIELD,SARAH,,,F,I,2200 E SHOW LOW LAKE RD,,SHOW LOW,AZ,859017831,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,53,557.13433962,95.010566038,70.654716981,51.94490566
1053866632,BARDEN,JENNIFER,,,F,I,100 N EAST ST,,JOSEPH,OR,978468451,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,51.44,40.326363636,27.459090909
1053866632,BARDEN,JENNIFER,,,F,I,100 N EAST ST,,JOSEPH,OR,978468451,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,489.87307692,100.58923077,74.718461538,50.584615385
1053866707,PTACHICK,BRITTANY,S,FNP,F,I,4374 NEW TOWN AVE STE 200,,WILLIAMSBURG,VA,231882865,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,14,25,58.38,8.32,6.5224,6.5224
1053867309,SANTOS OLIVERA,RAMON,E,M.D.,M,I,1520 NORTH SENATE AVENUE,,INDIANAPOLIS,IN,46202,US,Student in an Organized Health Care Education/Training Program,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,14,36,76.663333333,8.32,6.1588888889,6.1588888889
1053867309,SANTOS OLIVERA,RAMON,E,M.D.,M,I,1520 NORTH SENATE AVENUE,,INDIANAPOLIS,IN,46202,US,Student in an Organized Health Care Education/Training Program,T,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2325,0.17,0.0462365591,0.0267268817,0.0267268817
1053867309,SANTOS OLIVERA,RAMON,E,M.D.,M,I,1520 NORTH SENATE AVENUE,,INDIANAPOLIS,IN,46202,US,Student in an Organized Health Care Education/Training Program,T,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,615,0.75,0.2184715447,0.1129105691,0.1129105691
1053867309,SANTOS OLIVERA,RAMON,E,M.D.,M,I,1520 NORTH SENATE AVENUE,,INDIANAPOLIS,IN,46202,US,Student in an Organized Health Care Education/Training Program,T,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,124.38461538,33,17.91,17.91
1053867333,FLADHAMMER,BETH,,CNP,F,I,450 EASTVOLD AVENUE,,ORTONVILLE,MN,562781252,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,14,52,118,55.635847458,8.32,6.3569491525,6.3569491525
1053867333,FLADHAMMER,BETH,,CNP,F,I,450 EASTVOLD AVENUE,,ORTONVILLE,MN,562781252,US,Nurse Practitioner,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,860,16.263534884,10.750023256,8.4281162791,8.4280813953
1053867945,ROLLINS,JESSICA,,CRNP,F,I,1845 CHERRY ST,,MONTGOMERY,AL,361072613,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,18,37,51.304864865,8.32,5.287027027,5.287027027
1053867945,ROLLINS,JESSICA,,CRNP,F,I,1845 CHERRY ST,,MONTGOMERY,AL,361072613,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,8.99,1.42,0.8145454545,0.8145454545
1053867960,CLAYTON,TAYLEA,S,PA-C,F,I,1718 E 4TH ST STE 707,,CHARLOTTE,NC,282043282,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,22,25,53.4496,17.51,13.7236,14.0664
1053867960,CLAYTON,TAYLEA,S,PA-C,F,I,1718 E 4TH ST STE 707,,CHARLOTTE,NC,282043282,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,28,28,321.66,72.2675,56.656428571,55.052857143
1053868265,CRUCIANI,JENA,L,,F,I,36500 AURORA DR,,SUMMIT,WI,530664899,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,215,17.5,12.912941176,12.754117647
1053868661,MCWILLIAMS,SAMARA,,,F,I,7000 NORTH MOPAC,SUITE 420,AUSTIN,TX,78731,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,45.265384615,3.8769230769,3.0369230769,3.6384615385
1053869271,SMART,SAMANTHA,,FNP,F,I,4910 VALLEY VIEW BLVD NW,,ROANOKE,VA,240122040,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,22,50,75.5772,8.32,4.956,4.956
1053869271,SMART,SAMANTHA,,FNP,F,I,4910 VALLEY VIEW BLVD NW,,ROANOKE,VA,240122040,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,19,14.131578947,1.42,0.8242105263,0.8242105263
1053869925,REYNOLDS,CHRISTOPHER,L,AGACNP-BC,M,I,2525 DESALES AVE,,CHATTANOOGA,TN,374041161,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,70.943636364,16.896363636,12.698181818,12.600454545
1053869925,REYNOLDS,CHRISTOPHER,L,AGACNP-BC,M,I,2525 DESALES AVE,,CHATTANOOGA,TN,374041161,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,440.16666667,78.836666667,59.52,52.54625
1063400026,SHAH,AMIT,K,DPM,M,I,565 NEW BRUNSWICK AVE,,FORDS,NJ,088632162,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,60,103.65666667,71.56,56.109833333,56.100166667
1063400026,SHAH,AMIT,K,DPM,M,I,565 NEW BRUNSWICK AVE,,FORDS,NJ,088632162,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,30,30,180,42.072,29.167,22.866944444,22.886666667
1063400026,SHAH,AMIT,K,DPM,M,I,565 NEW BRUNSWICK AVE,,FORDS,NJ,088632162,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,21,178.11,110.23,82.040952381,90.794285714
1063400117,KOVATS,CHRISTIAN,A,DO,M,I,12780 WATERFORD LAKES PKWY STE 135,,ORLANDO,FL,32828,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,21,47.61,8.32,5.2785714286,5.2785714286
1063400117,KOVATS,CHRISTIAN,A,DO,M,I,12780 WATERFORD LAKES PKWY STE 135,,ORLANDO,FL,32828,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,58,10.220689655,2,1.4601724138,1.4839655172
1063400166,HAFFEY,THOMAS,A,D.O.,M,I,9141 GRANT ST,SUITE 140,THORNTON,CO,802294374,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,63,9.2057142857,2.04,1.5984126984,1.5915873016
1063400166,HAFFEY,THOMAS,A,D.O.,M,I,9141 GRANT ST,SUITE 140,THORNTON,CO,802294374,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,155.77454545,17.52,12.490909091,12.345454545
1063400166,HAFFEY,THOMAS,A,D.O.,M,I,9141 GRANT ST,SUITE 140,THORNTON,CO,802294374,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,641.48,32.834,24.734666667,25.446
1063400166,HAFFEY,THOMAS,A,D.O.,M,I,9141 GRANT ST,SUITE 140,THORNTON,CO,802294374,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,46,46,628.49043478,78.49,57.671086957,52.792826087
1063400166,HAFFEY,THOMAS,A,D.O.,M,I,9141 GRANT ST,SUITE 140,THORNTON,CO,802294374,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.76,30.39,29.51
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,17,34,8.19,1.3576470588,1.0023529412,1.0779411765
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,284.99230769,86.723076923,67.990769231,67.84
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,54.786363636,17.76,13.920909091,14.06
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,14,14,49.608571429,12.234285714,9.5914285714,9.12
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,13,68,10.164117647,2,1.4298529412,1.4538235294
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,33,33,299.59,51,37.556969697,39.358181818
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,112.77,47.29,35.733333333,36.293333333
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,437.67297297,78,61.15,57.159189189
1063400232,WEINER,DAVID,M,MD,M,I,12000 MCCRACKEN RD,201,GARFIELD HTS,OH,44125,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,69.7,36,28.22,29.51
1063400349,DEWIRE,PETER,,MD,M,I,54 MILLER ST,4TH FLOOR,QUINCY,MA,021694725,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,19,444.05,334.53947368,248.10684211,206.37421053
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,16,74,53.123243243,8.32,5.2237837838,5.2237837838
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,14.88,3.38,1.9272727273,1.9272727273
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,15,33,15.923939394,1.42,0.8418181818,0.8418181818
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,23,48,3.5,1.45,0.8985416667,0.9145833333
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,23,48,2,1.11,0.68875,0.7889583333
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,1,,23,48,1,0.5,0.30875,0.3408333333
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,1,,23,24,3,1.37,0.85875,0.7679166667
1063400364,RENTE,SONIA,I,MD,F,I,9600 SW 8TH ST,SUITE 37,MIAMI,FL,331742900,US,Physician/General Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,90,50,39.2,37.760833333
1063400380,KHAN,ABDUL,R,MD,M,I,2105 BEVERLY BLVD,SUITE 231,LOS ANGELES,CA,900572216,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,30,70,41.080428571,8.32,6.1485714286,6.1485714286
1063400380,KHAN,ABDUL,R,MD,M,I,2105 BEVERLY BLVD,SUITE 231,LOS ANGELES,CA,900572216,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,27,21.050740741,1.42,1.0325925926,1.0325925926
1063400380,KHAN,ABDUL,R,MD,M,I,2105 BEVERLY BLVD,SUITE 231,LOS ANGELES,CA,900572216,US,Physician/Nephrology,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,17.31,8.5054545455,6.67,7.3063636364
1063400521,LOVE,ELIZABETH,,M.D.,F,I,6400 POWERS RD,,ORCHARD PARK,NY,141274841,US,Physician/Physical Medicine and Rehabilitation,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,34.292142857,27.882857143,21.858571429,22.253571429
1063400521,LOVE,ELIZABETH,,M.D.,F,I,6400 POWERS RD,,ORCHARD PARK,NY,141274841,US,Physician/Physical Medicine and Rehabilitation,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,14.05,10.227142857,8.0171428571,8.0171428571
1063400521,LOVE,ELIZABETH,,M.D.,F,I,6400 POWERS RD,,ORCHARD PARK,NY,141274841,US,Physician/Physical Medicine and Rehabilitation,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,4.8615384615,4.03,3.1595,3.1595
1063400521,LOVE,ELIZABETH,,M.D.,F,I,6400 POWERS RD,,ORCHARD PARK,NY,141274841,US,Physician/Physical Medicine and Rehabilitation,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,1827,0.4772906404,0.45,0.3527750411,0.3527750411
1063400521,LOVE,ELIZABETH,,M.D.,F,I,6400 POWERS RD,,ORCHARD PARK,NY,141274841,US,Physician/Physical Medicine and Rehabilitation,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,154,3.25,3.02,2.3671428571,2.3671428571
1063400521,LOVE,ELIZABETH,,M.D.,F,I,6400 POWERS RD,,ORCHARD PARK,NY,141274841,US,Physician/Physical Medicine and Rehabilitation,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,42,9310,0.3400214823,0.32,0.2450934479,0.2378388829
1063400521,LOVE,ELIZABETH,,M.D.,F,I,6400 POWERS RD,,ORCHARD PARK,NY,141274841,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,102.57857143,45.472142857,33.27,35.217857143
1063400703,NOVAK,MICHAEL,,M.D.,M,I,633 N CENTRAL AVE,SUITE 305,GLENDALE,CA,912031801,US,Physician/Dermatology,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,47.441818182,38.843636364
1063400737,DOTSON,TEENA,T,PA,F,I,35 E 31ST ST,,SAN ANGELO,TX,769032207,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,33,82,53.277317073,8.32,4.692195122,4.692195122
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,16,43,87,67.329425287,8.32,5.8005747126,5.8005747126
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.1275,3.38,2.65,2.65
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,24,24,11.9775,1.42,0.9333333333,0.9333333333
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,595,2.3364705882,2.2276470588,1.5171428571,1.551092437
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2000,7.0395,7.0395,5.44721,5.59659
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,10.61,10.61,7.6266666667,7.8908333333
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4364,"Adhesive, liquid or equal, any type, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,56,8.9171428571,2.81,1.7703571429,2.1805357143
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.386,5.36,3.60425,3.60425
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,250,4.25992,3.04,2.38348,2.38348
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,17,44.335294118,38.176470588,24.589411765,25.222941176
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,17.34,17.34,11.325,11.731666667
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,15.579411765,10.079411765,2.1970588235,3.1494117647
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,24,4441,0.1945890565,0.0469511371,0.0330736321,0.0330736321
1063400745,CHU,JAE,S,M.D.,M,I,12610 S WESTERN AVE,,LOS ANGELES,CA,900475252,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,104.68965517,33,24.085862069,24.085862069
1063400760,REIFF,PATRICIA,R,MD,F,I,1101 WEST MC DOWELL,,PHOENIX,AZ,85007,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,11.4,7.88,6.1779,6.1779
1063400760,REIFF,PATRICIA,R,MD,F,I,1101 WEST MC DOWELL,,PHOENIX,AZ,85007,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,45,5.8175,3.5795,2.872
1063400844,SHEPHERD,JAMES,,MD,M,I,4949 PROFESSIONAL PARK DR,STE 101,KANNAPOLIS,NC,280818637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,21,63,165,69.381090909,8.32,6.1275151515,6.1275151515
1063400844,SHEPHERD,JAMES,,MD,M,I,4949 PROFESSIONAL PARK DR,STE 101,KANNAPOLIS,NC,280818637,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,36,23.996944444,1.42,1.0216666667,1.0216666667
1063400844,SHEPHERD,JAMES,,MD,M,I,4949 PROFESSIONAL PARK DR,STE 101,KANNAPOLIS,NC,280818637,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,33.5425,5.34,3.39625,2.74625
1063400844,SHEPHERD,JAMES,,MD,M,I,4949 PROFESSIONAL PARK DR,STE 101,KANNAPOLIS,NC,280818637,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,15,15,234.79866667,79,57.810666667,52.042666667
1063400844,SHEPHERD,JAMES,,MD,M,I,4949 PROFESSIONAL PARK DR,STE 101,KANNAPOLIS,NC,280818637,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36,8.9245454545,6.9963636364,6.7418181818
1063400844,SHEPHERD,JAMES,,MD,M,I,4949 PROFESSIONAL PARK DR,STE 101,KANNAPOLIS,NC,280818637,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,689.5,223.82272727,175.47818182,170.99090909
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,41,97,314,43.397802548,8.32,5.8117834395,5.8117834395
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,23,23,13.399130435,3.38,2.3043478261,2.3043478261
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,14,14,19.07,2.12,1.5507142857,1.5507142857
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,26,46,68,13.528088235,1.42,0.9836764706,0.9836764706
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,29,7.64,1.894137931,1.3096551724,1.0286206897
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,15,68,31.856029412,24.292647059,17.578823529,13.431764706
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,,20,20,156.369,75.091,51.8005,37.9255
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,53.434666667,24.410666667,18.095333333,13.818
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,52.403333333,19.39,14.360833333,9.3241666667
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,31,148,8.0072972973,2.8497972973,2.0756081081,1.5540540541
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,330,15.06,7.2263636364,5.6653939394,4.163
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,33,33,57.241212121,22.074545455,16.400909091,12.71
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,37,37,35.642162162,7.5108108108,5.6910810811,3.6427027027
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,11,68,68,391.11176471,96.855,72.230882353,54.225735294
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,7174,0.2190326178,0.0464636186,0.0263479231,0.0263479231
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2360,2.8588474576,0.074779661,0.0586313559,0.0586313559
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2880,1.3242708333,0.1343541667,0.0996597222,0.0996597222
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,19,19,89.736842105,27.74,19.207368421,12.071578947
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,120.15,45.25125,35.479375,31.75125
1063400893,BOLOCZKO,SYLVIA,,MD,F,I,5939 N HURON RD,,OSCODA,MI,487509710,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,44,44,64.5,33,22.342272727,22.342272727
1063401032,DOLCE,MARC,D,DPM,M,I,368 MILAN AVE,SUITE A,NORWALK,OH,448573106,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,46,46,263.58695652,250.69565217,195.10630435,216.97695652
1063401032,DOLCE,MARC,D,DPM,M,I,368 MILAN AVE,SUITE A,NORWALK,OH,448573106,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,250,162.87,127.69,126.58272727
1063401164,RESPESS,WILLIAM,D,DPM,M,I,1020 RED BANKS RD,,GREENVILLE,NC,278585466,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,24,1260,0.15,0.12,0.0851111111,0.0851111111
1063401164,RESPESS,WILLIAM,D,DPM,M,I,1020 RED BANKS RD,,GREENVILLE,NC,278585466,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,25,2700,0.16,0.13,0.1019,0.1019
1063401164,RESPESS,WILLIAM,D,DPM,M,I,1020 RED BANKS RD,,GREENVILLE,NC,278585466,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,2640,0.56,0.45,0.3320265152,0.3320265152
1063401164,RESPESS,WILLIAM,D,DPM,M,I,1020 RED BANKS RD,,GREENVILLE,NC,278585466,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,50,51,51,425,266.98,208.54019608,218.12058824
1063401347,CHAFFEE,CHARLES,T,MD,M,I,7530 204TH ST NE,,ARLINGTON,WA,982238912,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,14,24,89,63.44505618,8.32,6.3753932584,6.3753932584
1063401347,CHAFFEE,CHARLES,T,MD,M,I,7530 204TH ST NE,,ARLINGTON,WA,982238912,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,17.26,13.53,13.539375
1063401347,CHAFFEE,CHARLES,T,MD,M,I,7530 204TH ST NE,,ARLINGTON,WA,982238912,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,34,519.51,74.258823529,58.215882353,54.808823529
1063401347,CHAFFEE,CHARLES,T,MD,M,I,7530 204TH ST NE,,ARLINGTON,WA,982238912,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2775,0.17,0.0454054054,0.0336036036,0.0336036036
1063401347,CHAFFEE,CHARLES,T,MD,M,I,7530 204TH ST NE,,ARLINGTON,WA,982238912,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,23.714166667,23.714166667
1063401396,DUNCAN,JANE,M,FNP C,F,I,1675 18TH AVE,SUITE 3,GREELEY,CO,806315112,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,70.48,55.25,54.764166667
1063401396,DUNCAN,JANE,M,FNP C,F,I,1675 18TH AVE,SUITE 3,GREELEY,CO,806315112,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,39.6,29.753333333,28.3425
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,43,118,389,57.25940874,8.32,6.1867866324,6.1867866324
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,16,42,42,13.66952381,3.38,2.3976190476,2.3976190476
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,20,20,21.64,2.12,1.503,1.503
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,25,64,120,13.041333333,1.42,1.0486666667,1.0486666667
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,21,9.68,7.59,8.57
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,250,9.8436,3.32,2.60296,3.05756
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,300,21.0064,10.81,7.9968,7.9968
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A6214,"Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,110,21.789090909,11.58,9.079,9.079
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,13,13,64.911538462,18.011538462,13.033846154,12.982307692
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,15,15,72.445333333,12,9.41,9.12
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,18,95,9.6411578947,2,1.5683157895,1.5915789474
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,19,71.543684211,17,13.33,13.440526316
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,144.08727273,29.48,21.009090909,21.204545455
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,19,429.72789474,79.8,62.56,58.438947368
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,14,2531,0.1909679968,0.0458593441,0.0287119716,0.0287119716
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,495,0.75,0.2184040404,0.1712525253,0.1712525253
1063401446,GAMACHE,DONNA,J,M.D.,F,I,125 OLDE GREENWICH DR,SUITE 220,FREDERICKSBURG,VA,224084001,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,27,27,88,33,24.911851852,24.911851852
1063401537,WULFMAN,JEFFREY,S,MD,M,I,74 MUNSILL AVE,SUITE 100,BRISTOL,VT,054431032,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,15,30,90.145,8.32,4.3466666667,4.3466666667
1063401628,CULVER,ONEIL,,MD,M,I,209 N CUTHBERT ST,,COLQUITT,GA,398373518,US,Physician/General Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,37.365,7.0135714286,1.8,1.2071428571
1063401636,SUNG,JOHN,H,M.D.,M,I,13626 37TH AVE,,FLUSHING,NY,113546533,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,40,57.1945,8.32,4.239,4.239
1063401636,SUNG,JOHN,H,M.D.,M,I,13626 37TH AVE,,FLUSHING,NY,113546533,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,23.001818182,1.42,0.7127272727,0.7127272727
1063401685,PASHLEY,PETER,R,D.O,M,I,130 WASHINGTON ST,,MARINE CITY,MI,480391680,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,27,115,38.050782609,8.32,5.0246956522,5.0246956522
1063401685,PASHLEY,PETER,R,D.O,M,I,130 WASHINGTON ST,,MARINE CITY,MI,480391680,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,26,53,12.586981132,1.42,0.8413207547,0.8413207547
1063401685,PASHLEY,PETER,R,D.O,M,I,130 WASHINGTON ST,,MARINE CITY,MI,480391680,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,40.460833333,5.39625,3.3841666667,2.8158333333
1063401685,PASHLEY,PETER,R,D.O,M,I,130 WASHINGTON ST,,MARINE CITY,MI,480391680,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,16,384.755,79.88,58.70625,54.2625
1063401685,PASHLEY,PETER,R,D.O,M,I,130 WASHINGTON ST,,MARINE CITY,MI,480391680,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1863,0.1830381106,0.0468438003,0.0322651637,0.0322651637
1063401685,PASHLEY,PETER,R,D.O,M,I,130 WASHINGTON ST,,MARINE CITY,MI,480391680,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,107.25,33,24.5765,24.5765
1063401784,PANTON,PETER,,M.D.,M,I,7740 W NORTH AVE,,ELMWOOD PARK,IL,607074124,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,48,48,48,72.222916667,71.2025,55.823541667,53.284166667
1063401784,PANTON,PETER,,M.D.,M,I,7740 W NORTH AVE,,ELMWOOD PARK,IL,607074124,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,30,37.16,37.16,29.14,28.780666667
1063401784,PANTON,PETER,,M.D.,M,I,7740 W NORTH AVE,,ELMWOOD PARK,IL,607074124,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,25,25,46,50.546086957,49.967826087,39.173913043,43.410434783
1063401925,RICHARDSON,CHARLIE,E,M.D.,M,I,309 NE MARION ST,,MADISON,FL,323402511,US,Physician/General Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,81.75,17.725833333,12.945,9.6075
1063401925,RICHARDSON,CHARLIE,E,M.D.,M,I,309 NE MARION ST,,MADISON,FL,323402511,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,46.33,36.325,25.325
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,18,53,145,80.943310345,8.32,5.3786896552,5.3786896552
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,7.8725,7.8725,6.11225,6.1181291667
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,23,8.19,2.1991304348,1.7239130435,1.1504347826
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,14,14,80.967142857,24.585,17.613571429,13.675
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,91.263076923,20.140769231,15.788461538,9.12
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,78,13.173333333,2.9707692308,2.283974359,1.5511538462
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,30.656363636,9.5872727273,6.7509090909,4.2272727273
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,77,80,79.54675,22.354375,15.73325,12.51475
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,15,45.384,7.034,5.5133333333,3.604
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,228.32727273,46.551363636,30.047272727,21.791818182
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,123,131,472.67381679,102.47450382,73.724045802,49.500916031
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,15.58,9.7062307692,7.6096666667,7.6096666667
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,2880,1.1798611111,0.1331041667,0.1005972222,0.1005972222
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,30,1800,12.883966667,3.0230666667,2.2904055556,2.2904055556
1063401933,CHRISTENSEN,KELLY,E,M.D.,M,I,450 MOUNTAIN VIEW ST,,POWELL,WY,824352212,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,34,34,123.26470588,33,25.87,25.87
1063401941,DERSHOWITZ,MICHAEL,H,DPM,M,I,926 E MCDOWELL RD,SUITE 121,PHOENIX,AZ,850062503,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,30,30,30,353,291.77366667,212.756,203.54566667
1063402030,DOWNING,SEAN,G,MD,M,I,5350 UNIVERSITY PKWY,101,SARASOTA,FL,342435812,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,81.13,63.6,63.6
1063402030,DOWNING,SEAN,G,MD,M,I,5350 UNIVERSITY PKWY,101,SARASOTA,FL,342435812,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,36.02,28.24,29.52
1063402097,JONES,ARTHUR,C,MD,M,I,3217 W BAVARIA STREET,,EAGLE,ID,83616,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,12,40,73.47325,8.32,6.19625,6.19625
1063402097,JONES,ARTHUR,C,MD,M,I,3217 W BAVARIA STREET,,EAGLE,ID,83616,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,77.45,50,32.072727273,30.788181818
1063402097,JONES,ARTHUR,C,MD,M,I,3217 W BAVARIA STREET,,EAGLE,ID,83616,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,408.67941176,77.18,56.950588235,51.841764706
1063402105,MULHERN,JEFFREY,G,MD,M,I,2150 MAIN ST,,SPRINGFIELD,MA,011043566,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,54,89.791296296,8.32,6.5216666667,6.5216666667
1063402170,MUNIR,KASHIF,,MD,M,I,827 LINDEN AVE,FLOOR 2 SOUTH,BALTIMORE,MD,212014606,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,58,67,161,842,69.443159145,8.32,6.1967695962,6.1967695962
1063402170,MUNIR,KASHIF,,MD,M,I,827 LINDEN AVE,FLOOR 2 SOUTH,BALTIMORE,MD,212014606,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,14.031428571,3.38,2.65,2.65
1063402170,MUNIR,KASHIF,,MD,M,I,827 LINDEN AVE,FLOOR 2 SOUTH,BALTIMORE,MD,212014606,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,29,62,135,13.504888889,1.42,1.0972592593,1.0972592593
1063402386,DUBBERLY,DANNY,L,MD,M,I,3301 S ALAMEDA ST,SUITE 100,CORPUS CHRISTI,TX,784111882,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,65.55,11.51,8.2090909091,8.3027272727
1063402386,DUBBERLY,DANNY,L,MD,M,I,3301 S ALAMEDA ST,SUITE 100,CORPUS CHRISTI,TX,784111882,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,16,91,10.418901099,2.0673626374,1.4083516484,1.3954945055
1063402386,DUBBERLY,DANNY,L,MD,M,I,3301 S ALAMEDA ST,SUITE 100,CORPUS CHRISTI,TX,784111882,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,185.69375,29.81,13.145625,13.15125
1063402386,DUBBERLY,DANNY,L,MD,M,I,3301 S ALAMEDA ST,SUITE 100,CORPUS CHRISTI,TX,784111882,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,133.18181818,28.384545455,18.486818182,18.085454545
1063402402,DERR,JEFFREY,J,MD,M,I,1900 CENTRACARE CIR STE 1575,ST. CLOUD HOSPITAL/PLAZA REHABILITATION,ST CLOUD,MN,563035000,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,71.184102564,24.498717949,16.834871795,13.545128205
1063402444,SEASLY,THOMAS,P,MD,M,I,4440 NORTH PORTAGE AVENUE,,SOUTH BEND,IN,466289570,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,23,52,81.331153846,8.32,5.1417307692,5.1417307692
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,58,192,456,47.141995614,8.2911842105,6.1518421053,6.1744298246
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,31,31,15.806451613,3.38,2.65,2.65
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,20,20,25.3335,2.12,1.67,1.67
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,44,132,173,20.570751445,1.42,1.071849711,1.071849711
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,12,15.166666667,13.8,10.82,10.82
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,30,17.383333333,10.93,8.57,8.57
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,976,0.116772541,0.116772541,0.0915368852,0.0940778689
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A4595,"Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes)",D1E - Other DME,Durable Medical Equipment,N,2,,14,32,25.78,14.7575,11.57,7.8871875
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,32,32,64,93.64734375,71.56,52.5021875,52.50203125
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,84,61.335,29.19,21.250357143,21.25202381
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,17,46,1476,40.309945799,34.829105691,27.180149051,27.204369919
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,378,29.33521164,23.66,18.16989418,18.16989418
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,17,42,1428,8.8919747899,8.2739495798,6.4166246499,6.4213795518
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,18,523,21.080363289,18.493116635,14.498585086,14.503977055
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,192,9.5176041667,8.41,6.5939583333,6.5939583333
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,24,288,11.825833333,10.915,8.5573611111,8.5691666667
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,15,435,2.9675402299,2.4,1.8816321839,1.8816321839
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,35,18.261428571,18.261428571,14.314285714,14.336571429
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,23,57,4.6401754386,2.0484210526,1.5166666667,1.0950877193
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,42,2.44,1.4314285714,1.0214285714,0.8716666667
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,246.31578947,110.17947368,85.224736842,66.681052632
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,40,113.25,41.74275,31.37675,24.64725
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,63,51.653015873,25.265555556,18.525555556,14.023492063
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,147.19384615,72.683076923,49.732307692,38.236153846
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,48.912105263,23.449473684,17.56,14.138947368
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,26,26,48.473461538,18.296538462,13.180769231,8.9434615385
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,28,162,6.87,2.7785185185,2.0474074074,1.5247530864
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,125,4.1,2.995483871,2.1704301075
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,6804,5.8517460317,0.8292857143,0.645,0.5122648442
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,32,32,159.0940625,71.74,52.241875,35.9628125
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,96,96,59.905833333,22.2928125,15.795833333,12.163645833
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,63.809166667,42.448333333,34.835833333
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,33,33,145.98787879,59.384545455,45.307272727,36.48969697
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,42.544166667,33.55
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,305,126.5,99.174545455,71.265454545
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,34.692,8.3935,6.3995,4.0225
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,106.77375,50.8075,39.835625,29.998125
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,21,2,1.4419047619,1.029047619,0.9047619048
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,21,9,3.6266666667,2.6061904762,2.0357142857
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,35,219,219,366.20200913,102.05050228,74.290182648,51.943881279
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,7449,0.4008913948,0.0466827762,0.0315492012,0.0315492012
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,35,4860,1.6179794239,0.1313333333,0.0928847737,0.0928847737
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,11.08,3.18875,2.5000104167,2.5000104167
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,49,49,109.64244898,43.675714286,32.269795918,20.604897959
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,5,,11,45,23.164,14.52,11.383777778,11.383777778
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,81,51.7,43.56,34.151604938,34.15
1063402485,GOINS,DALE,E,MD,M,I,302 E 20TH ST,,HOPE,AR,718018217,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,17,69,69,64.706521739,33,22.120724638,22.120724638
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,65,158,359,51.641615599,8.32,5.6032590529,5.6032590529
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,8.9975,3.38,2.385,2.385
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,12.005,2.12,1.5308333333,1.5308333333
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,22,44,56,10.415535714,1.42,0.9969642857,0.9969642857
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,28,28,236.84928571,50.137142857,36.455357143,35.811071429
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,56,89.008928571,17.414285714,13.163928571,13.048928571
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,56,511.65589286,70.659285714,53.43,52.802857143
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,28,2513,1.3861360923,0.1372980501,0.1011738957,0.1011738957
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,2.8064615385,2.2002820513,2.2002820513
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,36,36,81.333333333,19.378333333,12.683888889,11.643888889
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,80,51.700909091,35.763636364,32.109090909
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,47,47,30.29787234,8.4210638298,5.584893617,5.5044680851
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,607.11538462,235.33692308,184.50615385,180.57692308
1063402667,BUCK,MICHAEL,G,M.D.,M,I,1587 N BOLTON AVE,SUITE 1100,ALEXANDRIA,LA,713034217,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,115.5,33,23.714166667,23.714166667
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,3.2866666667,0.51,0.4,0.4
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,46,120,325,50.026276923,8.32,5.6986769231,5.6986769231
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,30,30,14.885333333,3.38,2.65,2.65
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,23.350625,2.12,1.67,1.67
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,35,88,115,13.755130435,1.42,1.0015652174,1.0015652174
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,3916,0.44,0.44,0.3449565884,0.3449565884
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,22,81.363636364,71.56,56.105,56.105
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,11,66,34.090909091,29.19,22.885,22.886666667
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A6245,"Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,491,8.18,8.18,6.4130753564,6.4130753564
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1680,0.45,0.45,0.3528095238,0.3528095238
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,12,16,45,4.9035555556,1.5477777778,1.1622222222,1.1028888889
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,6,,12,20,3.1175,1.2,0.846,0.869
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,375.40363636,85.63,61.027272727,61.688181818
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,75,86.158266667,18.3,14.346933333,14.535333333
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,255.935,54.66,34.82375,34.82375
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,78.532727273,17.62,11.307272727,11.545454545
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,70.576842105,11.51,8.5152631579,8.6063157895
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,26,148,10.192297297,2.05,1.6066216216,1.5935810811
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,1636,125,3.0154523227,2.2360391198,2.2397066015
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,23891,2.4595261814,0.3070415638,0.223878448,0.2261989871
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5445,4.7048833792,0.66,0.5045693297,0.5045693297
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,754,4.8525729443,0.7301856764,0.5320689655,0.516193634
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,29,32,75.66,50.118125,39.289375,38.97875
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,50,74.1358,16.9808,12.7146,12.7422
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,14,71,75,20.727866667,4.6486666667,3.3922666667,3.5164
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,36,352.97888889,32.018888889,23.153611111,23.159444444
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,11,15,139.81,43.598,28.981333333,28.981333333
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,21,24,19.13,8.6025,6.74,6.8241666667
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,143,158,434.52765823,70.080253165,52.294620253,52.288987342
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,3456,0.4180353009,0.0462905093,0.0280844907,0.0280844907
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,45,86,8667,1.7166089766,0.1331914157,0.0965778239,0.0965778239
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,32,33,59.791818182,19.116363636,14.192121212,14.287878788
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,62,67,56.461343284,27.314029851,20.4,19.966119403
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,132.718125,47.770625,32.3125,32.38625
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,20,13,8.06,6.3175,6.6725
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,51.555263158,36.83,28.87,29.51
1063402741,REYNOSO,LUIS,A,MD,M,I,2401 N ED CAREY DR,STE C,HARLINGEN,TX,785508205,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,47,96,96,43.802083333,33,22.845833333,22.845833333
1063402857,KHAN,KAZI,S,MD,M,I,1821 SWEETBAY DR,STE 1,SALISBURY,MD,218041664,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,33,2445,7.069190184,0.5533128834,0.4196728016,0.4196728016
1063402857,KHAN,KAZI,S,MD,M,I,1821 SWEETBAY DR,STE 1,SALISBURY,MD,218041664,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,1650,0.092369697,0.0132727273,0.0104121212,0.0104121212
1063402857,KHAN,KAZI,S,MD,M,I,1821 SWEETBAY DR,STE 1,SALISBURY,MD,218041664,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,2940,4.6807278912,1.023755102,0.7538129252,0.7538129252
1063402857,KHAN,KAZI,S,MD,M,I,1821 SWEETBAY DR,STE 1,SALISBURY,MD,218041664,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,11,1320,4.7879166667,2.7723636364,2.1735075758,2.1735075758
1063402857,KHAN,KAZI,S,MD,M,I,1821 SWEETBAY DR,STE 1,SALISBURY,MD,218041664,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,32,32,24,24,18.231875,18.231875
1063402857,KHAN,KAZI,S,MD,M,I,1821 SWEETBAY DR,STE 1,SALISBURY,MD,218041664,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,31,16,16,12.135806452,12.135806452
1063402949,STIENE,HENRY,A,M.D.,M,I,6480 HARRISON AVE,SUITE 201,CINCINNATI,OH,452477961,US,Physician/Internal Medicine,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,20,22,22,914,870.11545455,674.05,670.25681818
1063402972,MYRICK,KEITH,W,D.P.M.,M,I,6400 DUTCHMANS PKWY,SUITE 215,LOUISVILLE,KY,402053340,US,Podiatry,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,48,48,48,495,456.7825,345.979375,342.03520833
1063402972,MYRICK,KEITH,W,D.P.M.,M,I,6400 DUTCHMANS PKWY,SUITE 215,LOUISVILLE,KY,402053340,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,46,46,46,475,262.54304348,202.08847826,213.71978261
1063402998,LUCAS,SHANTAE,L,MD,F,I,21 HOSPITAL DR,,ASHEVILLE,NC,288014550,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,21,405.41095238,102.5847619,74.34047619,53.374761905
1063402998,LUCAS,SHANTAE,L,MD,F,I,21 HOSPITAL DR,,ASHEVILLE,NC,288014550,US,Physician/Internal Medicine,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,16,25,64,52.890625,42.230625,31.54734375,29.31234375
1063403038,FOGLE,CORINNE,E,PA-C,F,I,303 EAST ST,,GRINNELL,IA,501122557,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,12,27,71,73.535211268,8.32,5.5809859155,5.5809859155
1063403038,FOGLE,CORINNE,E,PA-C,F,I,303 EAST ST,,GRINNELL,IA,501122557,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,44,10.522727273,3.01,2.1993181818,1.4477272727
1063403038,FOGLE,CORINNE,E,PA-C,F,I,303 EAST ST,,GRINNELL,IA,501122557,US,Physician Assistant,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.904166667
1063403038,FOGLE,CORINNE,E,PA-C,F,I,303 EAST ST,,GRINNELL,IA,501122557,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,196.51,49.6115,34.2555,26.351
1063403038,FOGLE,CORINNE,E,PA-C,F,I,303 EAST ST,,GRINNELL,IA,501122557,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,519.51,98.85,68.961428571,49.804285714
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,20,51,59.545294118,8.32,6.0105882353,6.0105882353
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,17,12.950588235,1.42,1.1141176471,1.1141176471
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,8.7,1.51,1.0772727273,1.05
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,79.116153846,17.5,10.553846154,10.415384615
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,122.55,41.727272727,28.863636364,30.655454545
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,478.89428571,76.907142857,43.722857143,39.092857143
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,6721,0.1656747508,0.0465317661,0.0340157715,0.0340142836
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,K0816,"Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,523.7,152.60454545,115.785,114.23318182
1063403145,MARGULES,KENNETH,R,MD,M,I,755 S MILWAUKEE AVE,SUITE 250,LIBERTYVILLE,IL,600483253,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,23.88,23.88
1063403244,MESSER,DALE,L,MD,M,I,711 W SIDNOR ST,,ALVIN,TX,775112168,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,27,79,63.225822785,8.32,6.3565822785,6.3565822785
1063403244,MESSER,DALE,L,MD,M,I,711 W SIDNOR ST,,ALVIN,TX,775112168,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,558,18.482795699,18.482795699,14.490519713,14.503996416
1063403244,MESSER,DALE,L,MD,M,I,711 W SIDNOR ST,,ALVIN,TX,775112168,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,86.31,17.32,13.58,13.54
1063403244,MESSER,DALE,L,MD,M,I,711 W SIDNOR ST,,ALVIN,TX,775112168,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,519.51,76.58,60.03,54.72
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,17,53,145,74.366068966,8.32,5.4422068966,5.4422068966
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,25,29,16.296896552,1.42,0.9627586207,0.9627586207
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,552.492,92.532,67.601333333,63.738
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,24,49,204.38755102,34.856734694,25.460408163,24.19877551
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,16,16,110.57,12.37,9.6975,9.141875
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,20,80,14.37075,2.255,1.633,1.489
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,17,86.31,17,11.761764706,11.977647059
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,273.93,31.438,23.002,21.821333333
1063403285,GOLDEN,STEVEN,T,MD,M,I,223 CHIEF JUSTICE CUSHING HWY,STE 301,COHASSET,MA,020251391,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,21,519.51,78,55.587619048,49.517619048
1063403434,RAY,WESLEY,C,M.D.,M,I,222 22ND AVE N,,NASHVILLE,TN,372031852,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,20,54,166,70.818614458,8.32,5.6573493976,5.6573493976
1063403434,RAY,WESLEY,C,M.D.,M,I,222 22ND AVE N,,NASHVILLE,TN,372031852,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,14,24,14.444166667,1.42,1.0208333333,1.0208333333
1063403434,RAY,WESLEY,C,M.D.,M,I,222 22ND AVE N,,NASHVILLE,TN,372031852,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,23.485,7.442,5.2855,3.041
1063403442,DUNKLIN,JEROME,R,M.D.,M,I,1630 E HERNDON AVE,,FRESNO,CA,937203305,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,26,27,512,25,22.46,17.608496094,19.358828125
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,26,88,64.033181818,8.32,5.4104545455,5.4104545455
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,17,17.62,1.42,0.9835294118,0.9835294118
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,54.016666667,17.9,11.691666667,11.723333333
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,64.453571429,11.66,8.4871428571,8.4685714286
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,20,67,8.0958208955,2.06,1.5426865672,1.521641791
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,46.35,4.8182352941,3.7782352941,4.08
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,32.3975,9.16625,7.18875,8.0025
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,175,51.349333333,40.254666667,41.421333333
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,36.88,16.996666667,12.325333333,12.628
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,30,4.212,3.306,3.492
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,192.58,45.5975,32.083333333,32.573333333
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,613.032,68.785,51.093,51.8115
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,38.62,26.328333333,20.63875,22.16125
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1320,2.3819621212,0.1328181818,0.1041590909,0.1041590909
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,68,68,75,16.987647059,12.902058824,13.943088235
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,138.16361111,24.938055556,19.551388889,21.928333333
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,K0056,"Seat height less than 17"" or equal to or greater than 21"" for a high strength, lightweight, or ultralightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,37.91,7.9923529412,6.26,6.68
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,81,81,38.1,7.977037037,6.0890123457,6.5922222222
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.72,30.36,29.52
1063403475,RATNASAMY,PATRICK,,MD,M,I,108 LOWTHER ST,INTERNISTS OF CENTRAL PA LTD,LEMOYNE,PA,170432045,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,25.87,25.87
1063403491,WASHINGTON,CALVIN,A,M.D.,M,I,805 HALL ST,,WIGGINS,MS,395772110,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,23,70,141,47.794468085,8.32,5.7403546099,5.7403546099
1063403491,WASHINGTON,CALVIN,A,M.D.,M,I,805 HALL ST,,WIGGINS,MS,395772110,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,13,23,32,13.0884375,1.42,1.046875,1.046875
1063403491,WASHINGTON,CALVIN,A,M.D.,M,I,805 HALL ST,,WIGGINS,MS,395772110,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,35,71.258571429,21.264571429,15.948571429,14.039714286
1063403491,WASHINGTON,CALVIN,A,M.D.,M,I,805 HALL ST,,WIGGINS,MS,395772110,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,37,40,433.833,92.296,67.2405,56.817
1063403491,WASHINGTON,CALVIN,A,M.D.,M,I,805 HALL ST,,WIGGINS,MS,395772110,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1080,1.2232407407,0.1317222222,0.0830648148,0.0830648148
1063403491,WASHINGTON,CALVIN,A,M.D.,M,I,805 HALL ST,,WIGGINS,MS,395772110,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,55,21.8105,16.1395,12.881
1063403491,WASHINGTON,CALVIN,A,M.D.,M,I,805 HALL ST,,WIGGINS,MS,395772110,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,120.35294118,33,19.782941176,19.782941176
1063403509,LAMPERT,CRAIG,,MD,M,I,75 VERONICA AVE,SUITE 201,SOMERSET,NJ,088735002,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,21.498666667,19.71,14.42,14.42
1063403509,LAMPERT,CRAIG,,MD,M,I,75 VERONICA AVE,SUITE 201,SOMERSET,NJ,088735002,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,22,40.706363636,37.38,26.639090909,26.639090909
1063403509,LAMPERT,CRAIG,,MD,M,I,75 VERONICA AVE,SUITE 201,SOMERSET,NJ,088735002,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,28,2024,65.043626482,5.2668725296,3.9874505929,3.9874505929
1063403509,LAMPERT,CRAIG,,MD,M,I,75 VERONICA AVE,SUITE 201,SOMERSET,NJ,088735002,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,150,1.7967333333,1.6013333333,1.176,1.176
1063403509,LAMPERT,CRAIG,,MD,M,I,75 VERONICA AVE,SUITE 201,SOMERSET,NJ,088735002,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,24,24,18.82,18.82
1063403509,LAMPERT,CRAIG,,MD,M,I,75 VERONICA AVE,SUITE 201,SOMERSET,NJ,088735002,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,16,16,12.54,12.54
1063403525,MORGAN,JANET,E,M.D.,F,I,1520 E 23RD ST,SUITE I,INDEPENDENCE,MO,640551657,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,57,57,34.243333333,28.46,22.31,22.31
1063403525,MORGAN,JANET,E,M.D.,F,I,1520 E 23RD ST,SUITE I,INDEPENDENCE,MO,640551657,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,19,228,2.49,2.49,1.9516666667,1.9516666667
1063403525,MORGAN,JANET,E,M.D.,F,I,1520 E 23RD ST,SUITE I,INDEPENDENCE,MO,640551657,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,65,65,10.285230769,9.5604615385,7.4964615385,8.57
1063403525,MORGAN,JANET,E,M.D.,F,I,1520 E 23RD ST,SUITE I,INDEPENDENCE,MO,640551657,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,24,24,48,81.60125,71.56,53.767291667,53.767291667
1063403525,MORGAN,JANET,E,M.D.,F,I,1520 E 23RD ST,SUITE I,INDEPENDENCE,MO,640551657,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,372,8.28,8.28,6.4916397849,6.4916397849
1063403525,MORGAN,JANET,E,M.D.,F,I,1520 E 23RD ST,SUITE I,INDEPENDENCE,MO,640551657,US,Physician/Family Practice,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,90,63.850666667,43.56,33.804222222,33.803333333
1063403608,MORVAI,ANN,M,MD,F,I,22 MILL ST,SUITE 101,ARLINGTON,MA,024764784,US,Physician/Family Practice,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,4.744,3.1,2.4303333333,2.4303333333
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,21,46,98,61.232857143,8.32,5.8551020408,5.8551020408
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.745,3.38,2.65,2.65
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,30,34,14.140882353,1.42,1.02,1.02
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,114.88692308,48.461538462,29.852307692,29.815384615
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,4,12,67,67,20.444328358,9.5273134328,6.6391044776,8.183880597
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,33,33,594.26,77.734242424,58.322424242,52.861212121
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,13,2130,0.5544600939,0.0470798122,0.0280234742,0.0280234742
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,16.84,6.8336363636,4.7645454545,6.1618181818
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,285.6,40.744285714,29.668571429,27.604285714
1063403699,RAND,LAWRENCE,M,MD,M,I,2631 MERRICK RD,STE 202,BELLMORE,NY,117105784,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,12,12,33,33,21.558333333,21.558333333
1063403863,AYE,ZAW,Z,M.D.,M,I,29 N HAMILTON ST,"HUDSON RIVER HEALTHCARE, INC.",POUGHKEEPSIE,NY,126012541,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,39,46.953589744,8.32,5.5833333333,5.5833333333
1063403863,AYE,ZAW,Z,M.D.,M,I,29 N HAMILTON ST,"HUDSON RIVER HEALTHCARE, INC.",POUGHKEEPSIE,NY,126012541,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,19,14.642105263,1.42,0.8789473684,0.8789473684
1063403889,ARRASCUE,JOSE,F,M.D.,M,I,5503 S CONGRESS AVE,SUITE 103,ATLANTIS,FL,334626614,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1140,4.961877193,0.5792631579,0.4238421053,0.4238421053
1063403889,ARRASCUE,JOSE,F,M.D.,M,I,5503 S CONGRESS AVE,SUITE 103,ATLANTIS,FL,334626614,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.0804888889,0.013,0.0092833333,0.0092833333
1063403889,ARRASCUE,JOSE,F,M.D.,M,I,5503 S CONGRESS AVE,SUITE 103,ATLANTIS,FL,334626614,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1680,3.39525,2.8033571429,2.1638035714,2.1638035714
1063403889,ARRASCUE,JOSE,F,M.D.,M,I,5503 S CONGRESS AVE,SUITE 103,ATLANTIS,FL,334626614,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,42,16,16,11.349047619,11.349047619
1063404044,DECARLI,JOHN,F,D.O.,M,I,700 W LEA BLVD,SUITE 306,WILMINGTON,DE,198022500,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,42,70.226428571,8.32,5.9004761905,5.9004761905
1063404127,BENNETT,KELLY,A,M.D.,F,I,3601 4TH ST,,LUBBOCK,TX,794300002,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,62,8.0203225806,2.0664516129,1.6196774194,1.5930645161
1063404127,BENNETT,KELLY,A,M.D.,F,I,3601 4TH ST,,LUBBOCK,TX,794300002,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,133.28571429,36.682142857,28.757142857,28.379285714
1063404127,BENNETT,KELLY,A,M.D.,F,I,3601 4TH ST,,LUBBOCK,TX,794300002,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,18,353.11555556,68.78,50.924444444,51.380555556
1063404150,OPALKA,BARBARA,J,D.O.,F,I,2940 ROLLINGRIDGE RD,SUITE 101,NAPERVILLE,IL,605644216,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,15,35,106,65.134622642,8.32,6.0910377358,6.0910377358
1063404150,OPALKA,BARBARA,J,D.O.,F,I,2940 ROLLINGRIDGE RD,SUITE 101,NAPERVILLE,IL,605644216,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,28,13.2375,1.42,1.0764285714,1.0764285714
1063404150,OPALKA,BARBARA,J,D.O.,F,I,2940 ROLLINGRIDGE RD,SUITE 101,NAPERVILLE,IL,605644216,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,81,8.324691358,2,1.4520987654,1.4759259259
1063404242,KHANNA,SUNIL,K,MD,M,I,579 MAIN ST,,METUCHEN,NJ,08840,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,14,58,129,66.238837209,8.32,5.8911627907,5.8911627907
1063404242,KHANNA,SUNIL,K,MD,M,I,579 MAIN ST,,METUCHEN,NJ,08840,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,34,34,13.456470588,1.42,1.0541176471,1.0541176471
1063404424,RANDLE,JEFFREY,G,MD,M,I,1160 E 3900 S,#5000,SALT LAKE CITY,UT,841241275,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1650,10.658581818,7.8222181818,6.132630303,6.132630303
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,54,131,64.550610687,8.32,5.1276335878,5.1276335878
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,12,21,17.593333333,1.42,0.6895238095,0.6895238095
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,201.83,70.049166667,54.92,42.86
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,62.614285714,15.785714286,12.375714286,9.12
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,84,9.6407142857,2.525,1.9797619048,1.5932142857
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,42.9775,17.29,13.55,13.531666667
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,116.56285714,39.728571429,29.918095238,25.443333333
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,44,45,355,78.866888889,59.576666667,52.482444444
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,37.44,29.35,29.51
1063404457,AMBAREEN,FARRUKH,,M.D.,F,I,7109 NW 11TH PL STE A,,GAINESVILLE,FL,326053141,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,60.35,20.996923077,15.364615385,14.104615385
1063404598,WOODLEY,MICHELE,C,MD,F,I,3009 N BALLAS RD,STE 350C,SAINT LOUIS,MO,631312322,US,Physician/Gastroenterology,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.2,4.08,3.9608333333
1063404663,IMTIAZ,FARRUKH,,MD,M,I,3650 S EASTERN AVE,STE 210,LAS VEGAS,NV,891693345,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1020,0.92,0.1307941176,0.0864901961,0.0864901961
1063404663,IMTIAZ,FARRUKH,,MD,M,I,3650 S EASTERN AVE,STE 210,LAS VEGAS,NV,891693345,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,132,33,21.558333333,21.558333333
1063404721,CHALLAPALLI,SRIDEVI,,M.D.,F,I,645 N ARLINGTON AVE STE 555,,RENO,NV,89503,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,79.35,20.109230769,12.673076923,10.449230769
1063404721,CHALLAPALLI,SRIDEVI,,M.D.,F,I,645 N ARLINGTON AVE STE 555,,RENO,NV,89503,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,83,83,444.9753012,81.15060241,60.418192771,51.564819277
1063404770,MOHIUDDIN,ASGHAR,,M.D.,M,I,18900 W 10 MILE RD,,SOUTHFIELD,MI,480752669,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1040,0.44,0.44,0.265375,0.265375
1063404770,MOHIUDDIN,ASGHAR,,M.D.,M,I,18900 W 10 MILE RD,,SOUTHFIELD,MI,480752669,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,12,62,62,97.234193548,16.666290323,11.010322581,11.393709677
1063404770,MOHIUDDIN,ASGHAR,,M.D.,M,I,18900 W 10 MILE RD,,SOUTHFIELD,MI,480752669,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,23.416666667,7.215,5.4329166667,6.1083333333
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,32,82,273,57.448791209,8.32,6.1878754579,6.1878754579
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,11,28,28,14.411785714,3.38,2.65,2.65
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,22.735333333,2.12,1.67,1.67
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,23,56,105,14.346380952,1.42,1.0500952381,1.0500952381
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,11,59,59,134.38,45.047966102,31.072542373,33.228983051
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,52.8,42.9,33.6375,38.1675
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,19,271.58947368,72,53.478947368,51.849473684
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,12.658307692,2.8081538462,2.2016923077,2.2016923077
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,20.57,7.41625,5.81,6.50875
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,19,70.448421053,36.3,26.962105263,28.025789474
1063404861,MICHELSON,MARC,H,DO,M,I,151 FRIES MILL RD,SUITE 400,TURNERSVILLE,NJ,080122016,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,33,33,24.253125,24.253125
1063404903,BEEN,JEFFREY,N,MD,M,I,1113 WOODLAND DR,,ELIZABETHTOWN,KY,427012749,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,154.35,117.67,87.24,94.475294118
1063404903,BEEN,JEFFREY,N,MD,M,I,1113 WOODLAND DR,,ELIZABETHTOWN,KY,427012749,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,21,69.8,53.2,41.71,45.687142857
1063404929,NIELSON,KENNETH,G,MD,M,I,1160 E 3900 S,STE 2000,SALT LAKE CITY,UT,841241202,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,50.09,39.27,37.63
1063404945,TIMONY,TRACY,M,M.D.,F,I,430 S. HERLONG AVE STE 102,,ROCK HILL,SC,29732,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,64,76.9821875,8.32,6.31796875,6.31796875
1063404945,TIMONY,TRACY,M,M.D.,F,I,430 S. HERLONG AVE STE 102,,ROCK HILL,SC,29732,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,258.8925,70.04,54.91,54.745
1063404945,TIMONY,TRACY,M,M.D.,F,I,430 S. HERLONG AVE STE 102,,ROCK HILL,SC,29732,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1200,3.9936,0.0823,0.0645166667,0.0645166667
1063404945,TIMONY,TRACY,M,M.D.,F,I,430 S. HERLONG AVE STE 102,,ROCK HILL,SC,29732,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,33,33,25.87,25.87
1063404978,HASSOUN,ALI,A,MD,M,I,420 LOWELL DR SE,SUITE 301,HUNTSVILLE,AL,358013754,US,Physician/Infectious Disease,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1300,49.414615385,9.8446153846,7.6899615385,7.6899615385
1063404978,HASSOUN,ALI,A,MD,M,I,420 LOWELL DR SE,SUITE 301,HUNTSVILLE,AL,358013754,US,Physician/Infectious Disease,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,13,55.650769231,2.64,2.07,2.07
1063405033,FEDERMAN,SUSAN,M,MD,F,I,4411 N HOLLAND SYLVANIA RD STE 201,,TOLEDO,OH,43623,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,32,91,58.352197802,8.32,6.1696703297,6.1696703297
1063405033,FEDERMAN,SUSAN,M,MD,F,I,4411 N HOLLAND SYLVANIA RD STE 201,,TOLEDO,OH,43623,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,17,25,16.042,1.42,1.1136,1.1136
1063405082,MAHINDRA,ANUJ,,MD,M,I,10666 N TORREY PINES RD,,LA JOLLA,CA,920371027,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1063405090,PATTON,MELANIE,C,MD,F,I,3648 W ANTHEM WAY,A-100,ANTHEM,AZ,850867001,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,56,78.539107143,8.32,6.2889285714,6.2889285714
1063405157,SUTARIA,PERRY,M,MD,M,I,261 JAMES ST,SUITE 1A,MORRISTOWN,NJ,079606392,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,3580,3.3059217877,1.95,1.5170502793,1.5812821229
1063405157,SUTARIA,PERRY,M,MD,M,I,261 JAMES ST,SUITE 1A,MORRISTOWN,NJ,079606392,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,28,70,16.506857143,10.217428571,7.7868571429,8.2295714286
1063405157,SUTARIA,PERRY,M,MD,M,I,261 JAMES ST,SUITE 1A,MORRISTOWN,NJ,079606392,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,32,76,10.48,7.3421052632,5.6031578947,5.6609210526
1063405165,CARTER,FRANK,M,MD,M,I,301 S 7TH AVE,SUITE 100,WEST READING,PA,196111410,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,380,15.509815789,7,5.0250526316,5.0250526316
1063405165,CARTER,FRANK,M,MD,M,I,301 S 7TH AVE,SUITE 100,WEST READING,PA,196111410,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,290,7.1670689655,3.04,2.2191034483,2.2191034483
1063405165,CARTER,FRANK,M,MD,M,I,301 S 7TH AVE,SUITE 100,WEST READING,PA,196111410,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,425,0.5572705882,0.27,0.2116,0.2116
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,51,98,98,130.43459184,39.206632653,27.867346939,27.679897959
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,15,37,72,8.70875,1.5115277778,1.1027777778,1.0781944444
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,20,24,24,86.532083333,8.3366666667,5.9933333333,8.3433333333
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,6.2970588235,1.0752941176,0.8364705882,0.9529411765
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,40,86,86,417.37627907,84.861162791,63.807674419,65.008023256
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,40,91,232,157.7575,32.423793103,25.168965517,25.621336207
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,10,24,49,234,77.968632479,17.849145299,13.511965812,14.034444444
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,26,64,333,62.679489489,15.245435435,11.621531532,11.565225225
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,54,112,112,238.25205357,52.777410714,39.298125,40.635892857
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,85,117,117,76.195982906,17.615555556,13.315128205,13.548461538
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,42,89,89,91.728651685,11.174719101,8.7042696629,9.048988764
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,88,188,1000,11.34465,2.01235,1.55563,1.5687
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,32,41,41,24.167560976,5.9258536585,4.6443902439,4.646097561
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,45,60,60,48.176166667,13,10.020166667,10.158333333
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,31,209,217,75.910921659,17.731843318,13.230691244,13.158617512
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,236.41,51.36,36.1525,37.724166667
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,236.41,46.31,33.284166667,34.6325
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,442.25045455,88.179545455,66.559545455,65.543636364
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1488.4,924.60454545,719.33272727,719.33272727
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,20,20,505.8215,133.815,100.0675,99.828
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,14,68,73,75.125890411,12.740273973,8.9761643836,8.9057534247
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,163.35,31.674615385,23.015384615,23.501538462
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,19,109,110,50.23,3.8923636364,2.9321818182,3.4557272727
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,144.24,35.543846154,25.829230769,29.596153846
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,11,44,267,271,231.06560886,33.815129151,24.402730627,23.632214022
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,19,93,721,735,440.88919728,75.95047619,56.241265306,51.880666667
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,39,288,300,185.20133333,36.404633333,27.785766667,28.708766667
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,6,11,11,11,129.54545455,57,36.564545455,36.564545455
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,13.94,11.057636364,8.4653939394,8.4653939394
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,19,83,24680,0.2458723663,0.0468358995,0.0347273096,0.0347264992
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,32,49,145,16400,1.7267408537,0.1338664634,0.097927439,0.097927439
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,,49,3510,11.285609687,3.1168803419,2.3531025641,2.3531025641
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,1320,3.7960227273,0.2189924242,0.1639545455,0.1639545455
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,43,43,119.44813953,36.793953488,25.736744186,26.416511628
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,40,64,224,224,70.03125,33,24.687366071,24.687366071
1063405223,HUSSAIN,MUJAHID,M,M.D.,M,I,1850 GATEWAY DR,,SYCAMORE,IL,601783192,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,11,11,66,66,51.74,51.74
1063405264,DISIMONE,RONALD,E,M.D.,M,I,1705 WARREN AVE,SUITE 101-103,WILLIAMSPORT,PA,177012647,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,197.53307692,69.225384615,54.273076923,40.650769231
1063405264,DISIMONE,RONALD,E,M.D.,M,I,1705 WARREN AVE,SUITE 101-103,WILLIAMSPORT,PA,177012647,US,Physician/Orthopedic Surgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,5890,4378.96,3433.11,3433.11
1063405264,DISIMONE,RONALD,E,M.D.,M,I,1705 WARREN AVE,SUITE 101-103,WILLIAMSPORT,PA,177012647,US,Physician/Orthopedic Surgery,S,L0464,"Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, rest",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,1710.12,1408.09,1101.8503448,1117.3427586
1063405272,MYERS,PAUL,E,MD,M,I,910 W 5TH AVE,SUITE 800,SPOKANE,WA,992042966,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,56,79.264285714,9.35,7.33,7.33
1063405272,MYERS,PAUL,E,MD,M,I,910 W 5TH AVE,SUITE 800,SPOKANE,WA,992042966,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,52,221.65692308,29.22,22.9075,22.9075
1063405298,HUGHES,PETER,M,MD,M,I,526 GLEN ST,,GLENS FALLS,NY,128012232,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,1770,0.1820338983,0.13,0.0863672316,0.0863672316
1063405298,HUGHES,PETER,M,MD,M,I,526 GLEN ST,,GLENS FALLS,NY,128012232,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,2220,2.7960810811,1.73,1.2917072072,1.5347207207
1063405298,HUGHES,PETER,M,MD,M,I,526 GLEN ST,,GLENS FALLS,NY,128012232,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1110,7.7,7.23,5.6683333333,5.6683333333
1063405363,BELL,JEFFREY,L,MD,M,I,1200 N JEFFERSON ST,,ALBANY,GA,317012057,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,2325,5.088172043,0.5647784946,0.4427956989,0.4427956989
1063405363,BELL,JEFFREY,L,MD,M,I,1200 N JEFFERSON ST,,ALBANY,GA,317012057,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1800,0.0810444444,0.0130833333,0.0102611111,0.0102611111
1063405363,BELL,JEFFREY,L,MD,M,I,1200 N JEFFERSON ST,,ALBANY,GA,317012057,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,2880,5.1556736111,2.79825,2.144,2.144
1063405363,BELL,JEFFREY,L,MD,M,I,1200 N JEFFERSON ST,,ALBANY,GA,317012057,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,56,16,16,12.542678571,12.542678571
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,15,51,101,52.492574257,8.32,3.5851485149,3.5851485149
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,14,15.581428571,1.42,0.7171428571,0.7171428571
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,40,72,72,80.030833333,40.154861111,28.65875,27.748194444
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,24,48,48,274.5875,84,61.74375,63.71375
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,26,50,123,107.88227642,32.4,23.578455285,24.074146341
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,23,33,175,30.412914286,17.847428571,13.077885714,13.629942857
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,19,91,43.503076923,14.767032967,9.4274725275,9.7605494505
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,32,56,56,101.28410714,54.713392857,38.826785714,38.79125
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,54,73,73,39.163972603,18.129589041,12.090547945,11.940821918
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,16,16,50.136875,10.658125,6.294375,7.05125
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,55,106,566,5.4461484099,2.0148409894,1.3860424028,1.3978621908
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,29,38,38,10.379210526,6.1923684211,4.7263157895,4.5273684211
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,28,33,33,34.214545455,14.556666667,10.961515152,9.9924242424
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,28,334.44821429,87.424285714,68.54,67.36
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,13,13,13,243.95846154,144.40307692,103.96538462,95.724615385
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,42.595454545,11.464545455,8.9922727273,8.7231818182
1063405561,ZIMMERMAN,DANIEL,W,MD,M,I,1687 E DIVISION ST,,RIVER FALLS,WI,540221571,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,32,183,193,78.869015544,30.691450777,21.925025907,23.205699482
1063405652,ROSMAN,LAWRENCE,D,MD,M,I,11203 QUEENS BLVD,STE 207,FOREST HILLS,NY,113755550,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,343,6.0160058309,2.6330029155,1.6418075802,1.6418075802
1063405652,ROSMAN,LAWRENCE,D,MD,M,I,11203 QUEENS BLVD,STE 207,FOREST HILLS,NY,113755550,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,5,13,16,32,3.705625,0.51,0.4,0.4
1063405652,ROSMAN,LAWRENCE,D,MD,M,I,11203 QUEENS BLVD,STE 207,FOREST HILLS,NY,113755550,US,Physician/Endocrinology,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,16,4.4125,1,0.7825,0.7825
1063405652,ROSMAN,LAWRENCE,D,MD,M,I,11203 QUEENS BLVD,STE 207,FOREST HILLS,NY,113755550,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,71,123,316,1480,68.410297297,8.32,6.0328445946,6.0328445946
1063405652,ROSMAN,LAWRENCE,D,MD,M,I,11203 QUEENS BLVD,STE 207,FOREST HILLS,NY,113755550,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,8,26,65,65,12.944153846,3.38,2.5276923077,2.5276923077
1063405652,ROSMAN,LAWRENCE,D,MD,M,I,11203 QUEENS BLVD,STE 207,FOREST HILLS,NY,113755550,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,24,32,32,18.4,2.12,1.67,1.67
1063405652,ROSMAN,LAWRENCE,D,MD,M,I,11203 QUEENS BLVD,STE 207,FOREST HILLS,NY,113755550,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,47,75,167,410,13.47395122,1.42,1.0212439024,1.0212439024
1063405702,TUER,WILLIAM,F,M.D.,M,I,1411 N FLAGLER DR,SUITE #6100,WEST PALM BEACH,FL,334013404,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,26,86,72.96,19.681162791,15.430232558,15.430232558
1063405702,TUER,WILLIAM,F,M.D.,M,I,1411 N FLAGLER DR,SUITE #6100,WEST PALM BEACH,FL,334013404,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,17,519.51,83.028823529,60.944705882,51.527058824
1063405702,TUER,WILLIAM,F,M.D.,M,I,1411 N FLAGLER DR,SUITE #6100,WEST PALM BEACH,FL,334013404,US,Physician/Allergy/ Immunology,S,J1459,"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,880,426.99978409,39.334363636,30.838147727,30.838147727
1063405702,TUER,WILLIAM,F,M.D.,M,I,1411 N FLAGLER DR,SUITE #6100,WEST PALM BEACH,FL,334013404,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,26,10110,33.518991098,9.8383273986,7.7132462908,7.7132462908
1063405702,TUER,WILLIAM,F,M.D.,M,I,1411 N FLAGLER DR,SUITE #6100,WEST PALM BEACH,FL,334013404,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,25,133,8.55,2.6366917293,2.067443609,2.067443609
1063405702,TUER,WILLIAM,F,M.D.,M,I,1411 N FLAGLER DR,SUITE #6100,WEST PALM BEACH,FL,334013404,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,96.642857143,33,25.87,25.87
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,31,85,248,76.826895161,8.32,5.284233871,5.284233871
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,18,34,55,21.584909091,1.42,0.9523636364,0.9523636364
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,21.02,12.0175,9.4208333333,9.12
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,16,64,3.095,2.0459375,1.60421875,1.5925
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,30.42,16.08,11.454545455,12.406363636
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,95,30.619230769,24.01,24.576923077
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,203.22909091,77.18,57.759545455,52.495909091
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,990,1.7475252525,0.1360606061,0.1067171717,0.1067171717
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,267.36416667,250.8825,196.69166667,196.86916667
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,72.875454545,37,29.01,29.464545455
1063405710,BLORE,SCOTT,M,M.D.,M,I,5612 EASTON RD,,PLUMSTEADVILLE,PA,18949,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,25.87,25.87
1063405728,KOHLI,ALKA,,MD,F,I,17155 LAKE RD,,BROOKFIELD,WI,530055721,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,27,10.276363636,8.0609090909,7.5145454545
1063405728,KOHLI,ALKA,,MD,F,I,17155 LAKE RD,,BROOKFIELD,WI,530055721,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,168.56363636,48.291818182,33.768181818,35.457272727
1063405728,KOHLI,ALKA,,MD,F,I,17155 LAKE RD,,BROOKFIELD,WI,530055721,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,90.82,32.015925926,23.107037037,22.959259259
1063405728,KOHLI,ALKA,,MD,F,I,17155 LAKE RD,,BROOKFIELD,WI,530055721,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,49,49,115.81836735,33.804897959,24.180816327,20.355918367
1063405728,KOHLI,ALKA,,MD,F,I,17155 LAKE RD,,BROOKFIELD,WI,530055721,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,65,67,26.675820896,8.6858208955,6.293880597,6.3994029851
1063405751,GANAPES,CONSTANCE,M,M.D.,F,I,2500 W LAYTON AVE,SUITE 250,MILWAUKEE,WI,532215420,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,42,140,78.239928571,8.32,5.9630714286,5.9630714286
1063405751,GANAPES,CONSTANCE,M,M.D.,F,I,2500 W LAYTON AVE,SUITE 250,MILWAUKEE,WI,532215420,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,16,22,15.944545455,1.42,1.0136363636,1.0136363636
1063405751,GANAPES,CONSTANCE,M,M.D.,F,I,2500 W LAYTON AVE,SUITE 250,MILWAUKEE,WI,532215420,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,425,79.98,57.475,50.16
1063405751,GANAPES,CONSTANCE,M,M.D.,F,I,2500 W LAYTON AVE,SUITE 250,MILWAUKEE,WI,532215420,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,215,37.46,26.874166667,27.0175
1063405819,EDELMAN,MARK,A,M.D.,M,I,1290 SUMMER ST STE 2100,,STAMFORD,CT,069055340,US,Physician/Interventional Radiology,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,1370,994.9075,762.07625,792.46625
1063405819,EDELMAN,MARK,A,M.D.,M,I,1290 SUMMER ST STE 2100,,STAMFORD,CT,069055340,US,Physician/Interventional Radiology,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,2,16,17,33,678.78787879,364.4,285.69,285.69
1063405827,DEW,NATHANIEL,T,MD,M,I,2006 S MAIN ST,SUITE A,GOSHEN,IN,465265232,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,12,818,0.5760880196,0.13,0.1019070905,0.1019070905
1063405892,CHEN,PAI-HSIANG,,D.O,M,I,301 W HUNTINGTON DR,SUITE 310,ARCADIA,CA,910073462,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,40,100,57.9403,8.32,5.8685,5.8685
1063405892,CHEN,PAI-HSIANG,,D.O,M,I,301 W HUNTINGTON DR,SUITE 310,ARCADIA,CA,910073462,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,32,41,18.292439024,1.42,0.9814634146,0.9814634146
1063405892,CHEN,PAI-HSIANG,,D.O,M,I,301 W HUNTINGTON DR,SUITE 310,ARCADIA,CA,910073462,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,32,934,8.0262526767,5.1,3.9984261242,4.1581156317
1063405892,CHEN,PAI-HSIANG,,D.O,M,I,301 W HUNTINGTON DR,SUITE 310,ARCADIA,CA,910073462,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,28,9767,0.9954632948,0.6533101259,0.4975110065,0.5027050271
1063405892,CHEN,PAI-HSIANG,,D.O,M,I,301 W HUNTINGTON DR,SUITE 310,ARCADIA,CA,910073462,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,36,38,164.35394737,50.373157895,39.499473684,38.063421053
1063405892,CHEN,PAI-HSIANG,,D.O,M,I,301 W HUNTINGTON DR,SUITE 310,ARCADIA,CA,910073462,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,31,31,6.1058064516,5.32,4.17,3.9667741935
1063405892,CHEN,PAI-HSIANG,,D.O,M,I,301 W HUNTINGTON DR,SUITE 310,ARCADIA,CA,910073462,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,30,30,63.130333333,23.995333333,17.665,14.309333333
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,21,58,140,61.690285714,8.32,5.5305714286,5.5305714286
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,8.6183333333,3.38,2.4291666667,2.4291666667
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,44,56,21.112321429,1.42,1.0167857143,1.0167857143
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,27,168.33333333,58.787407407,46.001111111,39.057777778
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,86.31,16.33,12.8,13.495238095
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,39,39,382.55666667,71.06,54.281538462,53.351794872
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,75,39.36,28.054545455,26.827272727
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,27,2274,1.9055936675,0.1373131047,0.0980430959,0.0980430959
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,1350,12.056355556,3.0324,2.1648222222,2.1648222222
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,25,25,136.8552,30.796,23.5948,20.4048
1063405918,TUROCK,MICHAEL,J,MD,M,I,397 N 9TH AVE,,SCRANTON,PA,185042005,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,30,30,52.8,33,24.540666667,24.540666667
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,44,105,285,53.215192982,8.32,5.6560701754,5.6560701754
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,24,24,14.505,3.38,2.4291666667,2.4291666667
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,23.324285714,2.12,1.67,1.67
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,48,69,16.03884058,1.42,1.0347826087,1.0347826087
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,18,38,8.9618421053,1.9989473684,1.5684210526,1.2721052632
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,80,109.840625,21.025,15.65425,13.775
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,331.11181818,61.387272727,48.13,42.928181818
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,91.926363636,19.764545455,14.082727273,12.852727273
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,18,18,103.185,14.533333333,10.830555556,8.6761111111
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,18,99,13.820707071,2.3301010101,1.7921212121,1.5654545455
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,233.392,48,37.632,37.58
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,58,63,87.566825397,19.193650794,12.981746032,11.633333333
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,37,42,50.73,6.945,5.3157142857,3.5704761905
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,190.51285714,31.828571429,14.942142857,13.840714286
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,22,144,154,513.83993506,87.681688312,61.964480519,49.992467532
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,1260,15.58,9.5931904762,7.4071904762,7.4071904762
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,39,4230,0.92,0.1311631206,0.0912387707,0.0912387707
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,31,1860,12.86,3.004516129,2.3555645161,2.3555645161
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,129.15,21.84,16.4604,13.2336
1063406114,COOK,BUFFY,J,MD,M,I,1880 OLD HWY 51 SUITE C,,BRIGHTON,TN,380117043,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,13,85,85,130.83529412,33,23.739529412,23.739529412
1063406163,KOSTER,DAVID,J,M.D.,M,I,7130 N MILLBROOK AVE,SUITE 100,FRESNO,CA,937203347,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,563.63636364,71,50.6,49.754545455
1063406171,BLAKER,MARK,E,M.D.,M,I,1729 BURRSTONE RD,,NEW HARTFORD,NY,134131001,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,44,54,519.51,67.846666667,41.918518519,43.517407407
1063406197,ROSENTHAL,EDWARD,S,MD,M,I,12000 MCCRACKEN RD,#453,GARFIELD HEIGHTS,OH,441252933,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,74,165,370,60.819432432,8.32,5.5710810811,5.5710810811
1063406197,ROSENTHAL,EDWARD,S,MD,M,I,12000 MCCRACKEN RD,#453,GARFIELD HEIGHTS,OH,441252933,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,18,37,37,12.821891892,3.38,2.4351351351,2.4351351351
1063406197,ROSENTHAL,EDWARD,S,MD,M,I,12000 MCCRACKEN RD,#453,GARFIELD HEIGHTS,OH,441252933,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,15,18,18,17.294444444,2.12,1.5772222222,1.5772222222
1063406197,ROSENTHAL,EDWARD,S,MD,M,I,12000 MCCRACKEN RD,#453,GARFIELD HEIGHTS,OH,441252933,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,45,88,103,13.584271845,1.42,0.9545631068,0.9545631068
1063406197,ROSENTHAL,EDWARD,S,MD,M,I,12000 MCCRACKEN RD,#453,GARFIELD HEIGHTS,OH,441252933,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.18,60.51,54.72
1063406197,ROSENTHAL,EDWARD,S,MD,M,I,12000 MCCRACKEN RD,#453,GARFIELD HEIGHTS,OH,441252933,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,519.51,77.956842105,48.934736842,44.204736842
1063406312,YODER,STEPHEN,A,M.D.,M,I,45 AMBERWOOD PKWY,,ASHLAND,OH,448059765,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,14,14,67.71,64.76,50.77,46.981428571
1063406346,DRUMM,ALISON,J,MD,F,I,350 SURRYSE RD,,LAKE ZURICH,IL,600472313,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,74,64.435405405,8.32,6.3456756757,6.3456756757
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,95.628,37.867333333,27.718,28.472666667
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,14,22,22,232.05863636,85.173181818,55.657272727,57.053636364
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,14,22,63,83.941111111,32.013650794,22.314126984,23.101746032
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,12,20,99,39.721515152,17.677575758,12.334747475,13.05020202
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,13,22,115,50.431913043,15.540695652,11.471130435,11.182
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,23,41,41,163.62926829,56.702439024,41.299512195,39.723902439
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,35,44,44,44.717954545,17.411590909,12.236363636,12.648636364
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,24,46,46,48.318695652,11.973913043,8.6484782609,8.4065217391
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,33,60,354,7.2258474576,2.0688135593,1.4620338983,1.4344067797
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,20.879166667,5.99,4.69,4.6566666667
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,18,23,23,34.179565217,12.307391304,8.1260869565,8.7769565217
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,113.93454545,77.33,48.886363636,49.806363636
1063406692,RISINGER,NORMAN,E,M.D.,M,I,"2559 WESTERN TRAIL BLVD.,",STE 100,AUSTIN,TX,787451565,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,19,65,74,83.394864865,32.645945946,19.832297297,19.119594595
1063407203,CARNEY,ROBERT,J,MD,M,I,2608 MCDONALD RD,STE 100,TYLER,TX,757015934,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,22,467.81727273,68.78,49.018181818,49.546363636
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,46,7980,0.2609774436,0.13,0.1000075188,0.1000075188
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,630,4.24,2.27,1.2409206349,1.2409206349
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,34,204,31861,4.8493320988,2.0361080945,1.5567502589,1.5598016384
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,5250,10.773714286,7.23,4.589632381,4.589632381
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,5740,13.213658537,7.88,6.1529216028,6.1529216028
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,38,16.564473684,10.88,8.53,8.57
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,28,232,3.2496551724,1.8,1.3865086207,1.3865086207
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,180,14.966666667,9.86,7.73,7.73
1063407260,KALOTA,SUSAN,J,MD,F,I,6325 E TANQUE VERDE RD,,TUCSON,AZ,857153808,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,250,6.0808,4.04,3.0548,3.0548
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,58,107,294,70.93962585,8.32,5.5604081633,5.5604081633
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,15.634545455,3.38,2.5295454545,2.5295454545
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,24.796923077,2.12,1.5415384615,1.5415384615
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,30,55,73,16.379863014,1.42,1.0557534247,1.0557534247
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,108.25,39.03,30.6,30.49
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,76,42.655789474,15.04,11.791710526,11.891973684
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,182.63470588,52.99,41.54,42.86
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,84,8.6021428571,2.06,1.615,1.5933333333
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,92.151304348,16.59,11.869565217,12.342608696
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,29.066923077,4.5546153846,3.5753846154,3.8969230769
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,483.08173913,67.72,48.482608696,50.007391304
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,29,4296,0.423924581,0.046047486,0.0339664804,0.0339664804
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,565,4.6081238938,0.2182123894,0.1710973451,0.1710973451
1063407328,ROBINSON,AMY,J,M.D.,F,I,34445 KING STREEET ROW,,LEWES,DE,19958,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,21,21,33,33,25.77,25.77
1063407351,HOLLOWAY,CHRISTOPHER,D,MD,M,I,397 WALLACE RD,SUITE 100,NASHVILLE,TN,372114854,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,44,148,65.978445946,8.32,5.7597972973,5.7597972973
1063407351,HOLLOWAY,CHRISTOPHER,D,MD,M,I,397 WALLACE RD,SUITE 100,NASHVILLE,TN,372114854,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,23,44,15.500909091,1.42,0.96,0.96
1063407351,HOLLOWAY,CHRISTOPHER,D,MD,M,I,397 WALLACE RD,SUITE 100,NASHVILLE,TN,372114854,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,23.14,12.145,9.5225,7.4625
1063407484,MELGAARD,JOHN,P,P.A.,M,I,914 W IRONWOOD DR,,COEUR D ALENE,ID,838144927,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,64,17.91,14.04,13.581666667
1063407484,MELGAARD,JOHN,P,P.A.,M,I,914 W IRONWOOD DR,,COEUR D ALENE,ID,838144927,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,257.82,33.355,20.6625,19.835833333
1063407484,MELGAARD,JOHN,P,P.A.,M,I,914 W IRONWOOD DR,,COEUR D ALENE,ID,838144927,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,20,453.804,70.48,52.512,52.0105
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,26,50,50,103.638,43.5248,31.7782,28.2378
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,19,60,120,7.2124166667,1.7959166667,1.3606666667,1.1459166667
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,19,38,2.8578947368,1.2831578947,0.8973684211,0.8547368421
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,7,25,29,30,79.928666667,16.053666667,12.277,9.4753333333
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,144,325,325,337.28655385,102.16806154,73.198184615,62.551876923
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,14,135,323,807,126.01114002,39.668153656,29.62173482,25.04739777
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,60,126,599,72.067479132,22.371669449,16.576010017,13.768330551
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,46,125,699,53.401044349,17.353576538,11.996752504,10.450715308
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,17,111,263,263,208.60809886,63.751444867,45.89539924,39.4721673
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,222,314,314,67.213280255,20.928694268,15.587547771,13.515605096
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,32,40,40,30.05975,11.32325,8.26325,7.66025
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,20,231,540,540,70.693833333,16.467296296,12.318092593,8.9192777778
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,20,246,601,3382,9.3442696629,2.5933412182,1.9475103489,1.5546895328
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,109,150,150,22.744266667,7.2722666667,5.4892666667,4.5548666667
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,13,135,194,194,39.283092784,14.267113402,10.863298969,10.124020619
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,42,255,290,62.14362069,19.390068966,14.33062069,13.117275862
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,110.98384615,54.86,43.004615385,37.63
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,53,53,1616.560566,1074.31,838.02320755,838.02320755
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,25,120,120,353.537,92.2165,62.43225,56.6335
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,59,59,59,411.31661017,151.72322034,118.95220339,105.94830508
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,11,38,39,53.234102564,14.958205128,9.2061538462,8.6966666667
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,25,151,151,39.919801325,8.0758940397,5.7439735099,3.4928476821
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,105,597,606,155.46391089,39.744488449,28.592013201,24.285445545
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,55,338,375,366.53506667,92.55224,68.86368,55.227706667
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,72.916666667,42.195,31.233333333,28.076111111
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,6,13,13,13,127.15384615,57,41.252307692,41.252307692
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,49,2946,17.645549898,9.5993245078,7.3970502376,7.3970502376
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,44,2640,14.687545455,11.149613636,8.6405681818,8.6405681818
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,5787,0.297337135,0.0460169345,0.0355970278,0.0355970278
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,45,143,12478,1.4085911204,0.1330389485,0.0981904151,0.0981904151
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,16,114,6608,10.986953692,3.0219234262,2.3474878935,2.3474878935
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,201.36,42.651,31.7985,28.3955
1063407534,ALSOUB,MOHAMMAD,A,MD,M,I,111 HIGHWAY 70 E,SUITE 105,DICKSON,TN,370552080,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,17,49,228,228,88.486842105,33,24.962280702,24.962280702
1063407559,ADAMS,JACQUELYN,F,APN-C,F,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,323.83294118,70.529411765,51.998823529,51.510588235
1063407559,ADAMS,JACQUELYN,F,APN-C,F,I,9 MULE RD,,TOMS RIVER,NJ,087555043,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,61.96,35,27.44,29.51
1063407567,TUCKER,JOHN,A,M.D.,M,I,8333 N DAVIS HWY,FLOOR,PENSACOLA,FL,325146050,US,Physician/Vascular Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,17,2070,0.6097826087,0.45,0.352826087,0.352826087
1063407567,TUCKER,JOHN,A,M.D.,M,I,8333 N DAVIS HWY,FLOOR,PENSACOLA,FL,325146050,US,Physician/Vascular Surgery,S,A6545,"Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,13,15,158.986,95.87,70.156,70.156
1063407567,TUCKER,JOHN,A,M.D.,M,I,8333 N DAVIS HWY,FLOOR,PENSACOLA,FL,325146050,US,Physician/Vascular Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,3,,24,249,78.837751004,24.48,19.192048193,19.199518072
1063407567,TUCKER,JOHN,A,M.D.,M,I,8333 N DAVIS HWY,FLOOR,PENSACOLA,FL,325146050,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,130,50.85,8.2,6.4285384615,6.4285384615
1063407567,TUCKER,JOHN,A,M.D.,M,I,8333 N DAVIS HWY,FLOOR,PENSACOLA,FL,325146050,US,Physician/Vascular Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,4289.5938889,669.58888889,524.96111111,496.70722222
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,33,64,54.7965625,8.32,6.42234375,6.42234375
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,12,15,16.398666667,1.42,1.118,1.118
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,26,66.893846154,27.386923077,20.238846154,16.180769231
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,21,61,10.126557377,3.0173770492,2.2793442623,1.6508196721
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,21.8592,7.2108,4.876,2.8384
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,124.532,49.899,36.5345,22.987
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,20,519.51,98.85,75.4575,52.688
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,44.745,32.344166667,27.056666667
1063407583,VERKLEEREN,ERICA,W,MD,F,I,15 COMMUNITY DR,,ADDISON,NY,148011140,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,408.8,97.239166667,76.234166667,53.041666667
1063407625,OKOYE,JOSEPH,C,M.D.,M,I,1220 EASTWAY DR,,CHARLOTTE,NC,282052202,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,79.63,17.538571429,13.035238095,12.886666667
1063407625,OKOYE,JOSEPH,C,M.D.,M,I,1220 EASTWAY DR,,CHARLOTTE,NC,282052202,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,478.89428571,71.088571429,52.886666667,52.131428571
1063407641,WITTE,JOHN,T,M.D.,M,I,2235 E GALA ST,,MERIDIAN,ID,836428026,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,510,24.145235294,13.101784314,10.271960784,10.292137255
1063407641,WITTE,JOHN,T,M.D.,M,I,2235 E GALA ST,,MERIDIAN,ID,836428026,US,Physician/Gastroenterology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,156,528.65,206.37480769,160.87884615,161.92288462
1063407641,WITTE,JOHN,T,M.D.,M,I,2235 E GALA ST,,MERIDIAN,ID,836428026,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,156,40,9.3480769231,7.328525641,7.328525641
1063407641,WITTE,JOHN,T,M.D.,M,I,2235 E GALA ST,,MERIDIAN,ID,836428026,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,156,175,29.213846154,22.905064103,22.905064103
1063407757,MCBRIEN,DIANNE,,MD,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pediatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,16,12.96,10.27,8.05375,8.54125
1063407757,MCBRIEN,DIANNE,,MD,F,I,200 HAWKINS DR,,IOWA CITY,IA,522421009,US,Physician/Pediatric Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,31.49,19.047272727,19.158181818
1063407765,COMISAR,BRUCE,R,MD,M,I,70 S CLEVELAND AVE,,WESTERVILLE,OH,430811397,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,25,25,26,130,99.91,75.969615385,75.531923077
1063407765,COMISAR,BRUCE,R,MD,M,I,70 S CLEVELAND AVE,,WESTERVILLE,OH,430811397,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,14,125,100.42,74.279285714,81.909285714
1063407781,RAMOS,MICHAEL,,MD,M,I,3811 W GORE BLVD,SUITE 1,LAWTON,OK,73505,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,60,143,69.218531469,8.32,5.0176923077,5.0176923077
1063407781,RAMOS,MICHAEL,,MD,M,I,3811 W GORE BLVD,SUITE 1,LAWTON,OK,73505,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,14,28,14.292142857,1.42,0.7967857143,0.7967857143
1063407781,RAMOS,MICHAEL,,MD,M,I,3811 W GORE BLVD,SUITE 1,LAWTON,OK,73505,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,25.225,4.5871428571,2.42,2.5042857143
1063407781,RAMOS,MICHAEL,,MD,M,I,3811 W GORE BLVD,SUITE 1,LAWTON,OK,73505,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,4099,0.2913564284,0.0464991461,0.0262356672,0.0262356672
1063407781,RAMOS,MICHAEL,,MD,M,I,3811 W GORE BLVD,SUITE 1,LAWTON,OK,73505,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,18.814545455,18.814545455
1063407831,COGGINS,JOHN,R,M.D.,M,I,1551 DOCTORS DR,,LAGRANGE,GA,302404139,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,282,26.422021277,13.117588652,10.284255319,10.284255319
1063407831,COGGINS,JOHN,R,M.D.,M,I,1551 DOCTORS DR,,LAGRANGE,GA,302404139,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,90,477.25,268.21288889,210.27788889,210.27788889
1063407831,COGGINS,JOHN,R,M.D.,M,I,1551 DOCTORS DR,,LAGRANGE,GA,302404139,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,90,203.94,9.3422222222,7.3238888889,7.3238888889
1063407831,COGGINS,JOHN,R,M.D.,M,I,1551 DOCTORS DR,,LAGRANGE,GA,302404139,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,131,464.19633588,29.202900763,22.895114504,22.895114504
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,5,17,54,687,47.594177584,19.64231441,14.819839884,14.819839884
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,18,53,1860,6.4431182796,2.6341935484,2.065155914,2.065155914
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,73,202,522,2606,70.952233308,8.32,6.0146853415,6.0146853415
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,9,26,53,53,11.857735849,3.38,2.5,2.5
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,23,27,27,16.864444444,2.12,1.6081481481,1.6081481481
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,48,104,212,534,15.533932584,1.42,1.0633520599,1.0633520599
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,14,14,28,93.835,71.56,53.865,53.865
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,14,18,18,18,41.816666667,38.490555556,28.26,50.218888889
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,675.1392,348.4344,269.1616,269.1616
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,42,3840,15.830356771,10.579476562,8.2844270833,8.2844244792
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,6,14,63,63,328.27460317,251.02333333,196.80206349,196.86968254
1063407872,BAZARAA,HESHAM,M,MD,M,I,1400 S LAKE PARK AVE,,HOBART,IN,463426790,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,13,13,13,366.65153846,243.69923077,190.26769231,203.13076923
1063407898,CAIATI,PAUL,J,MD,M,I,373 ROUTE 111,SUITE 14,SMITHTOWN,NY,117874759,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,16,44,46.802954545,8.32,6.5213636364,6.5213636364
1063407898,CAIATI,PAUL,J,MD,M,I,373 ROUTE 111,SUITE 14,SMITHTOWN,NY,117874759,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,17,11.145294118,1.42,1.1129411765,1.1129411765
1063407930,OVADAL,KRISTIN,J,PAC,F,I,333 N GREEN BAY RD,,NEENAH,WI,549561954,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,41,51.840731707,8.32,5.5680487805,5.5680487805
1063407930,OVADAL,KRISTIN,J,PAC,F,I,333 N GREEN BAY RD,,NEENAH,WI,549561954,US,Physician Assistant,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,15,230,11.723347826,10.18,7.981,7.981
1063407930,OVADAL,KRISTIN,J,PAC,F,I,333 N GREEN BAY RD,,NEENAH,WI,549561954,US,Physician Assistant,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,7.7276818182,3.04,2.3835,2.3835
1063408128,WOZNIAK,ROBERT,J,MD,M,I,2200 PARK BEND DR,"BLDG. 2, STE. 300",AUSTIN,TX,787585386,US,Interventional Cardiology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,410.59727273,103.25181818,75.750909091,49.754545455
1063408177,HILL,KEVIN,K,M.D.,M,I,201 DUEBER AVE SW,,CANTON,OH,447061164,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,19,60,139,60.14971223,8.32,5.6504316547,5.6504316547
1063408177,HILL,KEVIN,K,M.D.,M,I,201 DUEBER AVE SW,,CANTON,OH,447061164,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,31,13.187096774,1.42,1.0780645161,1.0780645161
1063408177,HILL,KEVIN,K,M.D.,M,I,201 DUEBER AVE SW,,CANTON,OH,447061164,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,30,50,19.353,14.368666667,12.979333333
1063408177,HILL,KEVIN,K,M.D.,M,I,201 DUEBER AVE SW,,CANTON,OH,447061164,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,30,4.61375,3.623125,3.493125
1063408177,HILL,KEVIN,K,M.D.,M,I,201 DUEBER AVE SW,,CANTON,OH,447061164,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,37,317.97297297,80.450540541,59.978648649,52.866216216
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,45,114,70.450526316,8.32,4.9920175439,4.9920175439
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,24,33,15.740606061,1.42,0.8733333333,0.8733333333
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,16,16,30.80125,5.785,4.27125,3.51875
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.5016111111,7.5016111111
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2953,0.1764476803,0.0466711818,0.0356383339,0.0356383339
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.003,2.354375,2.354375
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,24.0175,7.735,6.0608333333,6.16
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,150.3575,117.88,116.2525
1063408235,BEARSS,DAVID,J,M.D.,M,I,1035 LINCOLNTON RD,,SALISBURY,NC,281446277,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,113.14285714,33,24.638095238,24.638095238
1063408300,EDWARDS,BRYAN,T,M.D.,M,I,19485 OLD JETTON RD,SUITE 210,CORNELIUS,NC,280316582,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,87.661428571,72.081428571,54.462380952,61.99952381
1063408391,GAVIN,MATTHEW,B,MD,M,I,224D CORNWALL ST NW,SUITE 204,LEESBURG,VA,201762700,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,13,13,13,343.77230769,280.32076923,219.77,219.73923077
1063408516,GORFINKEL,HARVEY,J,MD,M,I,9136 RIBBONS RIDGE PT,SUITE 600,BOYNTON BEACH,FL,334735000,US,Internal Medicine,T,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,30,30,30,1349.5586667,1017.66,790.79466667,864.66966667
1063408516,GORFINKEL,HARVEY,J,MD,M,I,9136 RIBBONS RIDGE PT,SUITE 600,BOYNTON BEACH,FL,334735000,US,Internal Medicine,T,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,42,42,61,1011.5636066,849.98,666.3804918,675.0942623
1063408516,GORFINKEL,HARVEY,J,MD,M,I,9136 RIBBONS RIDGE PT,SUITE 600,BOYNTON BEACH,FL,334735000,US,Internal Medicine,T,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,32,33,49,546.48408163,444.02,348.12,351.49142857
1063408516,GORFINKEL,HARVEY,J,MD,M,I,9136 RIBBONS RIDGE PT,SUITE 600,BOYNTON BEACH,FL,334735000,US,Internal Medicine,T,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,56,56,82,136.40121951,110.62,86.469634146,87.788170732
1063408516,GORFINKEL,HARVEY,J,MD,M,I,9136 RIBBONS RIDGE PT,SUITE 600,BOYNTON BEACH,FL,334735000,US,Internal Medicine,T,L3170,"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,24,24,34,59.322941176,48.21,37.8,37.892647059
1063408516,GORFINKEL,HARVEY,J,MD,M,I,9136 RIBBONS RIDGE PT,SUITE 600,BOYNTON BEACH,FL,334735000,US,Internal Medicine,T,L3916,"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,14,46,47,56,564.11196429,458.47125,354.03357143,358.34232143
1063408516,GORFINKEL,HARVEY,J,MD,M,I,9136 RIBBONS RIDGE PT,SUITE 600,BOYNTON BEACH,FL,334735000,US,Internal Medicine,T,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,17,95,97,97,862.01556701,653.24,511.93742268,559.59896907
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,24,20.982083333,8.2625,6.4779166667,6.5241666667
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,17,22,22,35,16.732727273,9.4881818182,6.2081818182
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,A7014,"Filter, nondisposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,16,21,21,5,3.75,1.8966666667,1.5852380952
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,18,25,37,2.9754054054,1.5010810811,0.8594594595,0.7010810811
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,54,55,95.080181818,23.334181818,16.664727273,12.415090909
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,22,171,171,24.349239766,7.7738596491,5.8238011696,3.581754386
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,76,77,333.43649351,105.60363636,79.642857143,53.416623377
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,350,45.069,32.7545,27.4595
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,15,30,1767,2.0035427278,0.1280814941,0.092688172,0.092688172
1063408631,KALIVODA -POPELA,VICTORIA,,DO,F,I,1000 W HARLEM AVE,,MONMOUTH,IL,614621007,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,33,33,23.514210526,23.514210526
1063408706,REYNA,OSCAR,,MD,M,I,328 WELDON ST,,LATROBE,PA,156501851,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,26,63,56.394920635,8.32,5.9001587302,5.9001587302
1063408706,REYNA,OSCAR,,MD,M,I,328 WELDON ST,,LATROBE,PA,156501851,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,16,16,15,3.38,2.65,2.65
1063408706,REYNA,OSCAR,,MD,M,I,328 WELDON ST,,LATROBE,PA,156501851,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,23,29,14.622758621,1.42,1.0006896552,1.0006896552
1063408706,REYNA,OSCAR,,MD,M,I,328 WELDON ST,,LATROBE,PA,156501851,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,519.51,77.5,56.569655172,54.490344828
1063408706,REYNA,OSCAR,,MD,M,I,328 WELDON ST,,LATROBE,PA,156501851,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,128.3125,21.304,15.607,12.937
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,24,60,184,59.114565217,8.32,6.0436956522,6.0436956522
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,28,13.71,1.42,1.0328571429,1.0328571429
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,43,23.139069767,9.2741860465,7.2679069767,8.5662790698
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,199.15384615,50.420769231,30.402307692,29.811538462
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,24.8125,4.71125,3.68875,3.8
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,69,69,237.24637681,72.813623188,54.208115942,51.905072464
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,101.05882353,29.08,18,17.611176471
1063408896,VOGEL,ROBERT,A,M.D.,M,I,1407 W ILLINOIS AVE,,MIDLAND,TX,797016536,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,52,52,190.38461538,36.83,27.759615385,28.380769231
1063408953,WEIR,MARGARET,E,APRN,F,I,102 NORTH ST,,BRISTOL,CT,060104190,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,50.73,6.0430769231,4.7330769231,3.7246153846
1063409324,MUSTAPHA,ABDUL AZIM,,M.D.,M,I,3000 ARLINGTON AVE,ORTHOPEDIC SURGERY,TOLEDO,OH,43614,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,33,34,34,182.55147059,100.42,78.73,87.222647059
1063409324,MUSTAPHA,ABDUL AZIM,,M.D.,M,I,3000 ARLINGTON AVE,ORTHOPEDIC SURGERY,TOLEDO,OH,43614,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,28,29,82.86862069,64.477241379,50.549310345,47.416896552
1063409423,VANZYL,ALBERTUS,B,M.D.,M,I,5225 CLAYTON CT,,FT MYERS,FL,339072117,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,44,110,66.256454545,8.32,5.7508181818,5.7508181818
1063409423,VANZYL,ALBERTUS,B,M.D.,M,I,5225 CLAYTON CT,,FT MYERS,FL,339072117,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,16,15.275625,1.42,1.04625,1.04625
1063409449,SEKOSKY,MICHAEL,J,DPM,M,I,11046 N SAGUARO BLVD,SUITE 2,FOUNTAIN HILLS,AZ,852685537,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,21,42,104.07333333,71.56,56.105,56.105
1063409449,SEKOSKY,MICHAEL,J,DPM,M,I,11046 N SAGUARO BLVD,SUITE 2,FOUNTAIN HILLS,AZ,852685537,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,20,20,118,43.742033898,29.19,22.885,22.886694915
1063409514,COMPTON,RICK,D,M.D.,M,I,630 W MAIN ST,SUITE 102,WILMINGTON,OH,451772170,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,13,261,251.28,197,218.89
1063409530,DWYER,JENNIFER,B,MD,F,I,116 FOUNDERS WAY,#2,STRASBURG,VA,22657,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,14,35,47.094571429,8.32,5.0322857143,5.0322857143
1063409530,DWYER,JENNIFER,B,MD,F,I,116 FOUNDERS WAY,#2,STRASBURG,VA,22657,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,115,34.308888889,25.132222222,22.081111111
1063409530,DWYER,JENNIFER,B,MD,F,I,116 FOUNDERS WAY,#2,STRASBURG,VA,22657,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,17,263.37647059,82.164117647,56.162941176,47.229411765
1063409555,JONAS,GLENN,J,M.D.,M,I,270 CHASTAIN RD NW,,KENNESAW,GA,301443012,US,Physician/Hand Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,58,59,59,150,127.21,96.636271186,84.593389831
1063409555,JONAS,GLENN,J,M.D.,M,I,270 CHASTAIN RD NW,,KENNESAW,GA,301443012,US,Physician/Hand Surgery,S,L3809,"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,41,42,42,282.84238095,221.77047619,157.32690476,155.39261905
1063409555,JONAS,GLENN,J,M.D.,M,I,270 CHASTAIN RD NW,,KENNESAW,GA,301443012,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,21,21,22,65,53.2,37.918181818,42.4
1063409555,JONAS,GLENN,J,M.D.,M,I,270 CHASTAIN RD NW,,KENNESAW,GA,301443012,US,Physician/Hand Surgery,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,26,26,27,103.98888889,77.25,55.53962963,61.832962963
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,41,129,289,68.088027682,8.32,5.6324221453,5.6324221453
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,24,19.364583333,1.42,0.98,0.98
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,18,102.83333333,37.904444444,24.942777778,23.271111111
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,21,36,80,18.36,13.596666667,13.724722222
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,20,23,23,174.23521739,56.993913043,39.015217391,37.319130435
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,30,30,75.272333333,19.204333333,12.837666667,12.439666667
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,24,24,60.534583333,12.99375,9.09625,8.4758333333
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,27,156,6.698974359,2.1592307692,1.6327564103,1.5794230769
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,18,18,17.872222222,6.0455555556,4.2577777778,4.3677777778
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,48.533333333,13.708666667,9.3793333333,9.3493333333
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,31.75,7.91,5.97375,3.61375
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,66,66,166.94636364,36.166818182,27.533030303,23.966363636
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,40,405.87725,92.60925,71.269,53.5255
1063409563,BERRYHILL,TODD,C,M.D.,M,I,1215 DUFF AVE,,AMES,IA,500105400,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,21,231.42857143,43.762857143,32.746666667,28.148095238
1063409597,BARKER,JAMES,D,O.D.,M,I,718 STORY ST,,BOONE,IA,500362834,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,21,65,63.86,40.532857143,42.882380952
1063409597,BARKER,JAMES,D,O.D.,M,I,718 STORY ST,,BOONE,IA,500362834,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,16,77.5,50.69,37.25625,40.416875
1063409597,BARKER,JAMES,D,O.D.,M,I,718 STORY ST,,BOONE,IA,500362834,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,18,92.5,62.09,43.487222222,47.696666667
1063409621,VERA,RAMON,,M.D.,M,I,1569 E 18TH ST,,BROOKLYN,NY,112307201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,12,21,68,69.626176471,8.32,6.0710294118,6.0710294118
1063409621,VERA,RAMON,,M.D.,M,I,1569 E 18TH ST,,BROOKLYN,NY,112307201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,15,33,16.602727273,1.42,1.0139393939,1.0139393939
1063409621,VERA,RAMON,,M.D.,M,I,1569 E 18TH ST,,BROOKLYN,NY,112307201,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,151.01125,47.8125,37.485,37.433125
1063409621,VERA,RAMON,,M.D.,M,I,1569 E 18TH ST,,BROOKLYN,NY,112307201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,260,77.74,60.95,54.73
1063409621,VERA,RAMON,,M.D.,M,I,1569 E 18TH ST,,BROOKLYN,NY,112307201,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,40.66,31.88,29.51
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,69,170,556,69.887176259,8.32,5.6004856115,5.6004856115
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,15,32,32,13.88625,3.38,2.484375,2.484375
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,14,20,20,19.908,2.12,1.5865,1.5865
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,29,63,83,14.135662651,1.42,0.9957831325,0.9957831325
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,19,32.265263158,4.9921052632,3.9152631579,3.9121052632
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,224.62,70.23,51.037083333,50.725833333
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1345,1.2505576208,0.1382304833,0.1002750929,0.1002750929
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,55,37.44,26.904166667,27.0675
1063409662,KESSEL,STEVEN,R,MD,M,I,989 RIBAUT RD,STE 260,BEAUFORT,SC,299025472,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,70.736842105,33,24.508421053,24.508421053
1063409688,VELLEK,MARK,J,M.D.,M,I,1705 E BROADWAY,SUITE 100,COLUMBIA,MO,652015852,US,Physician/Hematology-Oncology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,60.28,4.86,3.8107692308,3.8107692308
1063409688,VELLEK,MARK,J,M.D.,M,I,1705 E BROADWAY,SUITE 100,COLUMBIA,MO,652015852,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,16,1308,39.826452599,5.0019724771,3.9215443425,3.9215443425
1063409688,VELLEK,MARK,J,M.D.,M,I,1705 E BROADWAY,SUITE 100,COLUMBIA,MO,652015852,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,36,55.067777778,39.11,22.996388889,23.081944444
1063409688,VELLEK,MARK,J,M.D.,M,I,1705 E BROADWAY,SUITE 100,COLUMBIA,MO,652015852,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,18.82,18.82
1063409753,JUTRAS,KAREN,,NP,F,I,450 VETERANS MEMORIAL PKWY,BUILDING 6,EAST PROVIDENCE,RI,029145300,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,45,35.849333333,17.5,13.110222222,12.966222222
1063409753,JUTRAS,KAREN,,NP,F,I,450 VETERANS MEMORIAL PKWY,BUILDING 6,EAST PROVIDENCE,RI,029145300,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,3.9145454545,2.7236363636,3.3618181818
1063409753,JUTRAS,KAREN,,NP,F,I,450 VETERANS MEMORIAL PKWY,BUILDING 6,EAST PROVIDENCE,RI,029145300,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,43,345.25604651,78.75,58.498372093,51.814883721
1063409779,SCHROEDER,SHERI,,PA-C,F,I,507 14TH ST,,DALLAS CENTER,IA,50063,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,18,59,80,85.258625,8.32,4.811625,4.811625
1063409779,SCHROEDER,SHERI,,PA-C,F,I,507 14TH ST,,DALLAS CENTER,IA,50063,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.69,12.609090909,12.3
1063409779,SCHROEDER,SHERI,,PA-C,F,I,507 14TH ST,,DALLAS CENTER,IA,50063,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,4.7,3.6854545455,3.6854545455
1063409779,SCHROEDER,SHERI,,PA-C,F,I,507 14TH ST,,DALLAS CENTER,IA,50063,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,69.99,49.881818182,49.754545455
1063409779,SCHROEDER,SHERI,,PA-C,F,I,507 14TH ST,,DALLAS CENTER,IA,50063,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1680,0.92,0.1345,0.0989761905,0.0989761905
1063409779,SCHROEDER,SHERI,,PA-C,F,I,507 14TH ST,,DALLAS CENTER,IA,50063,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,132,33,24.022142857,24.022142857
1063409795,ALEEM,HARIS,,MD,M,I,3249 OAK PARK AVE,,BERWYN,IL,604023429,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,18,10.368333333,9.8933333333
1063409795,ALEEM,HARIS,,MD,M,I,3249 OAK PARK AVE,,BERWYN,IL,604023429,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,330,77.18,40.34,36.48
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,21,65,191,46.753979058,8.32,6.1804188482,6.1804188482
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.798571429,3.38,2.65,2.65
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,15,44,69,12.752753623,1.42,1.0505797101,1.0505797101
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,11,20,20,460.7975,86.1605,54.144,54.462
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,20,46,172.97608696,33.351304348,23.594565217,23.398695652
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,17,22,22,81.365909091,17.88,11.462727273,11.51
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,17,27,27,92.43962963,11.484444444,7.232962963,7.3462962963
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,38,169,11.913846154,2.0101183432,1.3718343195,1.3863905325
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,29.413333333,5.91,4.2533333333,4.2716666667
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,57,77.248421053,17.29,13.55,13.531052632
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,40.587272727,4.8336363636,3.6372727273,3.6336363636
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,314.27913043,33.275,23.85,23.410869565
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,88,100,466.65,70.027,52.8128,52.6368
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,5025,0.1553134328,0.0457552239,0.032559204,0.032559204
1063409878,SILLS,DAVID,B,MD,M,I,4003 MASSARD RD.,,FORT SMITH,AR,72903,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,36,36,123.95138889,33,23.714166667,23.714166667
1063410066,SINGH,SONJOY,,M.D.,M,I,7300 PORTER RD,,NIAGARA FALLS,NY,143045705,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,32,64,80.06984375,8.32,5.40109375,5.40109375
1063410066,SINGH,SONJOY,,M.D.,M,I,7300 PORTER RD,,NIAGARA FALLS,NY,143045705,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,17,16.096470588,1.42,0.8552941176,0.8552941176
1063410108,ANDRES,JEROME,C,M.D.,M,I,7300 PORTER RD,,NIAGARA FALLS,NY,143045705,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,49,118,63.953389831,8.32,4.8643220339,4.8643220339
1063410108,ANDRES,JEROME,C,M.D.,M,I,7300 PORTER RD,,NIAGARA FALLS,NY,143045705,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,17,31,10.803225806,1.42,0.9696774194,0.9696774194
1063410108,ANDRES,JEROME,C,M.D.,M,I,7300 PORTER RD,,NIAGARA FALLS,NY,143045705,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,235.3,77.18,53.1825,47.875833333
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,49,38.488367347,26.510612245,20.785102041,22.313265306
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,20,41.9675,27.758,17.778,19.0085
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,81,10850,0.4300645161,0.13,0.0872304147,0.0872304147
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,34,20.971176471,11.73,9.1964705882,10.676764706
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,90,15200,3.9729789474,2.0069605263,1.5254125,1.5441171053
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,31,7440,11.105043011,6.166733871,4.3572876344,5.1054341398
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,35,88,13.214090909,9.29,7.0345454545,8.2614772727
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,137,12.39350365,7.4381021898,5.4811678832,5.4991970803
1063410116,BIERI,MARK,,M.D.,M,I,2545 S DON ROSER DR,,LAS CRUCES,NM,880119107,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,148,4.0908108108,1.57,1.2308108108,1.3962162162
1063410165,SZEKELY,KEITH,,MD,M,I,8775 NORWIN AVE,,NORTH HUNTINGDON,PA,156422718,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,41,73.927317073,8.32,6.0526829268,6.0526829268
1063410165,SZEKELY,KEITH,,MD,M,I,8775 NORWIN AVE,,NORTH HUNTINGDON,PA,156422718,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,12,16.425,1.42,1.025,1.025
1063410165,SZEKELY,KEITH,,MD,M,I,8775 NORWIN AVE,,NORTH HUNTINGDON,PA,156422718,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.1,11.175,11.300833333
1063410165,SZEKELY,KEITH,,MD,M,I,8775 NORWIN AVE,,NORTH HUNTINGDON,PA,156422718,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,519.51,77.5,52.311428571,47.198571429
1063410173,BARNES,ANTHONY,E,M.D,M,I,777 CLEVELAND AVE SW,SUITE 604,ATLANTA,GA,303157129,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,2430,3,2.03,1.4735349794,1.4814197531
1063410173,BARNES,ANTHONY,E,M.D,M,I,777 CLEVELAND AVE SW,SUITE 604,ATLANTA,GA,303157129,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,2120,8.3003773585,7.819245283,6.0626132075,6.110240566
1063410231,MCKINLEY,RUSSELL,L,DPM,M,I,708 WESTPORT RD,SUITE 102,ELIZABETHTOWN,KY,427013819,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,36,104.22222222,71.56,53.938611111,53.938611111
1063410231,MCKINLEY,RUSSELL,L,DPM,M,I,708 WESTPORT RD,SUITE 102,ELIZABETHTOWN,KY,427013819,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,61,64,43.56,34.151803279,34.149836066
1063410231,MCKINLEY,RUSSELL,L,DPM,M,I,708 WESTPORT RD,SUITE 102,ELIZABETHTOWN,KY,427013819,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,350.19,266.98,192.13636364,200.23909091
1063410439,CHANG,AUSTIN,W,MD,M,I,1905 SW H K DODGEN LOOP,,TEMPLE,TX,765021814,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,11,11,73.062727273,59.071818182,42.18,44.273636364
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,32,69,148,63.518648649,8.32,5.4685135135,5.4685135135
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,16.428571429,3.38,2.65,2.65
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,22,30,17.332,1.42,1.042,1.042
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,74.014166667,17.88,14.01,14.055833333
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,90,11.951333333,2.1253333333,1.667,1.5921111111
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,50,11.3825,8.19375,7.74375
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,387.5,70.23,50.471666667,50.33
1063410553,GRIFFIN,SAMUEL,C,M.D.,M,I,700 SUNSET DR,SUITE 101,ATHENS,GA,306062293,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,75,37.44,26.5525,26.635
1063410603,KENNEDY,JAMES,G,M.D.,M,I,78878 US HIGHWAY 40,,WINTER PARK,CO,804821312,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,69.770714286,17.976428571,13.025714286,12.570714286
1063410603,KENNEDY,JAMES,G,M.D.,M,I,78878 US HIGHWAY 40,,WINTER PARK,CO,804821312,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,381.50478261,85.053478261,64.081304348,52.350434783
1063410611,BERTIN,ANTHONY,P,DO,M,I,4976 TUSCARAWAS ST W,,CANTON,OH,447085057,US,Physician/Urology,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,10.909090909,8.69,6.1909090909,6.1909090909
1063410611,BERTIN,ANTHONY,P,DO,M,I,4976 TUSCARAWAS ST W,,CANTON,OH,447085057,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,26,13.256153846,10.911538462,7.8961538462,7.9034615385
1063410694,BLACKWELL,JAMES,C,M.D.,M,I,1200 MEMORIAL DR,,DALTON,GA,307202529,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,49,59.174489796,17.29,13.273469388,13.253877551
1063410694,BLACKWELL,JAMES,C,M.D.,M,I,1200 MEMORIAL DR,,DALTON,GA,307202529,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1899.41,1074.31,836.02166667,836.02166667
1063410694,BLACKWELL,JAMES,C,M.D.,M,I,1200 MEMORIAL DR,,DALTON,GA,307202529,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,48,335.64229167,70.23,52.873125,52.540208333
1063410702,THOMPSON,GREGORY,M,M.D.,M,I,255 W LANCASTER AVE,"PMOB III, SUITE 333",PAOLI,PA,193011763,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,13,2100,0.2972142857,0.13,0.1019333333,0.1019333333
1063410702,THOMPSON,GREGORY,M,M.D.,M,I,255 W LANCASTER AVE,"PMOB III, SUITE 333",PAOLI,PA,193011763,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,35,5904,3.3078099593,1.95,1.477572832,1.5451846206
1063410702,THOMPSON,GREGORY,M,M.D.,M,I,255 W LANCASTER AVE,"PMOB III, SUITE 333",PAOLI,PA,193011763,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,3018,14.490536779,7.23,5.6207952286,5.6207952286
1063410702,THOMPSON,GREGORY,M,M.D.,M,I,255 W LANCASTER AVE,"PMOB III, SUITE 333",PAOLI,PA,193011763,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,11,33,13.925454545,7.46,5.4942424242,5.4942424242
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,21,40,92,8.1344565217,1.3958695652,1.0509782609,1.1072826087
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,33,214,220,85.459772727,17.457363636,13.019590909,12.887909091
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,26,26,166.06153846,46.62,31.676538462,32.746153846
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,232.35,46.62,36.55,37.63
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,43,45,1587.0766667,1065.71,832.20688889,838.94911111
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,1230.62,907.05967742,701.87903226,701.87903226
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,16,82,83,48.495060241,4.0728915663,2.8990361446,3.2784337349
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,61,378,396,384.70969697,77.528434343,58.369191919,53.173409091
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,23,136,147,126.14965986,36.163469388,26.423197279,27.584285714
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,12,12,12,152,57,44.69,44.69
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,19,103,6510,17.343225806,9.6169447005,7.3707465438,7.3707465438
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,840,14.392380952,11.041857143,8.4891428571,8.4891428571
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,16,79,14771,0.1921697922,0.0461769684,0.0346963645,0.0346963645
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,3654,0.8971811713,0.1361877395,0.1008128079,0.1008128079
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,15,96,5145,12.165556851,3.0132186589,2.3623790087,2.3623790087
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,40,1969,1.4770848146,0.2187557136,0.1715185373,0.1715185373
1063410777,ANCHONDO,ADOLFO,N,M.D.,M,I,4305 N MESA ST STE A,,EL PASO,TX,799021124,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,32,182,182,117.70879121,33,25.159285714,25.159285714
1063410793,ALLEN,SARA,L,CRNP,F,I,1427 VINE ST,5TH FLOOR,PHILADELPHIA,PA,191021031,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,23,41,78.405365854,8.32,6.203902439,6.203902439
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,126,230,232,104.10064655,39.501724138,29.535991379,29.147456897
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,19,77,161,164,298.72359756,88.688109756,65.880182927,64.816585366
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,19,72,156,386,119.18173575,34.423834197,25.846373057,24.999455959
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,13,53,84,426,47.771408451,19.685328638,14.419178404,13.616525822
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,16,83,169,880,51.11275,15.377409091,11.370034091,11.239931818
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,20,146,288,288,172.11788194,55.568402778,41.496979167,40.872430556
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,21,188,252,252,58.00452381,17.725714286,13.400396825,13.603968254
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,58,65,65,36.539384615,9.7295384615,7.2861538462,7.7892307692
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,86,182,182,60.80456044,12.099285714,9.0845054945,8.8453296703
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,207,409,2267,6.9474106749,2.0182443758,1.5116938685,1.5279311866
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,98,134,134,18.55380597,6.2769402985,4.808880597,4.5586567164
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,106,138,138,43.673623188,12.293333333,9.5029710145,10.176666667
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,92.258571429,16.707142857,12.627142857,12.975714286
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,29,125,131,367.08206107,86.864427481,64.404580153,63.667557252
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,663.1947619,223.56571429,164.31380952,162.24666667
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,52,52,52,428.99173077,136.55788462,107.06173077,106.1525
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,16,20,47.029,13.4915,10.0445,10.016
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,31.054117647,4.1623529412,2.3752941176,2.7447058824
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,63,319,328,269.02006098,34.664664634,25.800640244,24.604329268
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,22,142,142,433.73661972,78.790985915,58.187957746,52.846690141
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,208.94736842,35.658157895,25.763947368,27.261842105
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,15.58,9.5499333333,7.3302111111,7.3302111111
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,6546,0.2350702719,0.0454445463,0.0356232814,0.0356232814
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,3025,1.427507438,0.1312297521,0.1029024793,0.1029024793
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,1440,11.6059375,3.0301666667,2.3756736111,2.3756736111
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,235.66666667,35.8,25.730833333,26.840833333
1063410991,BORBELY,BERNARD,R,MD,M,I,100 WHETSTONE PL,SUITE208,ST AUGUSTINE,FL,320865774,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,14,56,56,63.482142857,33,25.87,25.87
1063411031,GENGLER,JON,S,MD,M,I,2750 CLAY EDWARDS DR,SUITE 312,NORTH KANSAS CITY,MO,641163237,US,Physician/General Surgery,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,720,4.2783333333,3.1,2.4303333333,2.4303333333
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,34,119,224,53.399017857,8.32,6.1444642857,6.1444642857
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,25,37,8.4183783784,1.42,1.1159459459,1.1159459459
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,11,17,17,176.34764706,86.33,55.130588235,55.272941176
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,21,90,57.114333333,19.400555556,15.210333333,14.570666667
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,12,25,25,155.7068,55.7848,43.4908,42.592
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,26,26,43.909615385,18.282692308,14.326153846,14.052307692
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,34,34,48.511764706,11.976764706,9.1261764706,8.8444117647
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,21,43,213,6.4943192488,2.0592957746,1.5712206573,1.5471361502
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,20,26,26,14.861153846,6.0542307692,4.7530769231,4.6569230769
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,26.670909091,13.599090909,10.661818182,10.347272727
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,57.276666667,17.29,12.044444444,12.027777778
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,24.20969697,4.7890909091,3.7557575758,3.7533333333
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,45,45,113.60555556,32.673333333,23.713111111,23.261111111
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,315.14842105,70.204736842,49.244210526,48.978947368
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1931,0.0788917659,0.0480269291,0.0364681512,0.0364681512
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,810,1.727037037,0.1312222222,0.0691851852,0.0691851852
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,114.20310345,32.827931034,24.989310345,19.501034483
1063411056,BARNES,DAVID,L,M.D.,M,I,3400 MEDICAL PARK DR,SUITE C,MONROE,LA,712032388,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,33,33,21.838,21.838
1063411122,GRIFFITH,SCOTT,A,M.D.,M,I,2640 W 38TH ST,,ERIE,PA,165064524,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,36,36,36,60.418888889,60.418888889,46.051944444,51.086388889
1063411122,GRIFFITH,SCOTT,A,M.D.,M,I,2640 W 38TH ST,,ERIE,PA,165064524,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,34,64.389117647,63.655294118,48.526176471,42.934117647
1063411122,GRIFFITH,SCOTT,A,M.D.,M,I,2640 W 38TH ST,,ERIE,PA,165064524,US,Physician/Ophthalmology,S,V2300,"Sphere, trifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,27,54,73.897222222,73.742592593,57.156666667,54.30037037
1063411155,GREATHOUSE,TALYA,,MD,F,I,1717 W MAIN ST,SUITE 200,NEWARK,OH,430551347,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,17,39,83,58.489156627,8.32,6.3637349398,6.3637349398
1063411155,GREATHOUSE,TALYA,,MD,F,I,1717 W MAIN ST,SUITE 200,NEWARK,OH,430551347,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,20,20,13.2795,1.42,1.008,1.008
1063411155,GREATHOUSE,TALYA,,MD,F,I,1717 W MAIN ST,SUITE 200,NEWARK,OH,430551347,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,15,86.31,17.41,13.65,13.54
1063411155,GREATHOUSE,TALYA,,MD,F,I,1717 W MAIN ST,SUITE 200,NEWARK,OH,430551347,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,15,519.51,79.3,62.17,54.73
1063411171,VALENTINE,RICHARD,J,MD,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,15,39,95,62.292,8.32,6.3173684211,6.3173684211
1063411171,VALENTINE,RICHARD,J,MD,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,16,31,15.126774194,1.42,1.0787096774,1.0787096774
1063411171,VALENTINE,RICHARD,J,MD,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,27,58.333333333,18.706666667,14.661111111,13.53
1063411171,VALENTINE,RICHARD,J,MD,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,17.8325,4.91,3.8508333333,3.8470833333
1063411171,VALENTINE,RICHARD,J,MD,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,43,340.11627907,76.186976744,57.624418605,52.709534884
1063411171,VALENTINE,RICHARD,J,MD,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,2518,1.1702859412,0.1376052423,0.0948808578,0.0948808578
1063411171,VALENTINE,RICHARD,J,MD,M,I,1020 CLEVELAND RD,,SARALAND,AL,365713536,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,87.45,33,24.554,24.554
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,108.67666667,38.463333333,24.173333333,24.523333333
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,419.298,87.066,64.968,64.572
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,25,107.6188,33.88,26.562,25.8892
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,190.18666667,54.131666667,42.44,42.82
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,17,17,69.028235294,18.497647059,14.501764706,14.098235294
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,76.834615385,12.350769231,9.6823076923,9.12
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,13,33,177,9.3265536723,2.1528813559,1.6702824859,1.5798305085
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,45,84.264444444,16.616444444,12.040888889,12.547333333
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,196.98777778,30.809259259,21.942592593,22.31962963
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,49,56,379.16964286,78.92125,57.441428571,50.941964286
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,J7686,"Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,364,754.55357143,571.7443956,448.24763736,448.24763736
1063411221,KURU,TUNAY,,MD,F,I,3800 RESERVOIR RD NW,,WASHINGTON,DC,200072113,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,99,33,25.87,25.87
1063411338,YUN,GORDON,H,D.P.M.,M,I,4440 GLEN ESTE WITHAMSVILLE RD,SUITE 500,CINCINNATI,OH,452451318,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,23,23,45,108.13333333,71.56,53.68,53.672666667
1063411338,YUN,GORDON,H,D.P.M.,M,I,4440 GLEN ESTE WITHAMSVILLE RD,SUITE 500,CINCINNATI,OH,452451318,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,24,25,58,78,43.56,33.561551724,33.561206897
1063411338,YUN,GORDON,H,D.P.M.,M,I,4440 GLEN ESTE WITHAMSVILLE RD,SUITE 500,CINCINNATI,OH,452451318,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,42,42,42,109,72.5,56.132857143,62.093809524
1063411338,YUN,GORDON,H,D.P.M.,M,I,4440 GLEN ESTE WITHAMSVILLE RD,SUITE 500,CINCINNATI,OH,452451318,US,Podiatry,S,L3020,"Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,16,16,32,195,192.56,148.2753125,147.303125
1063411338,YUN,GORDON,H,D.P.M.,M,I,4440 GLEN ESTE WITHAMSVILLE RD,SUITE 500,CINCINNATI,OH,452451318,US,Podiatry,S,L3040,"Foot, arch support, removable, premolded, longitudinal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,61,62,123,25,25,16.999268293,32.650569106
1063411338,YUN,GORDON,H,D.P.M.,M,I,4440 GLEN ESTE WITHAMSVILLE RD,SUITE 500,CINCINNATI,OH,452451318,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,67,67,67,376.94029851,251.74865672,190.8319403,211.04776119
1063411361,DAFTARY,MAHMOUD,,MD,M,I,2750 GAUSE BLVD. EAST,,SLIDELL,LA,70461,US,Physician/Urology,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,795,2.19,2.19,1.6413081761,1.7004150943
1063411361,DAFTARY,MAHMOUD,,MD,M,I,2750 GAUSE BLVD. EAST,,SLIDELL,LA,70461,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,3000,9.9769,6.1564,4.7787833333,5.6205
1063411361,DAFTARY,MAHMOUD,,MD,M,I,2750 GAUSE BLVD. EAST,,SLIDELL,LA,70461,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,47,15.748085106,10.23212766,7.7108510638,8.2712765957
1063411361,DAFTARY,MAHMOUD,,MD,M,I,2750 GAUSE BLVD. EAST,,SLIDELL,LA,70461,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,24,70,16.830285714,7.3202857143,5.6924285714,5.7954285714
1063411379,FISHKIN,PAUL,A,MD,M,I,8940 N WOOD SAGE RD,,PEORIA,IL,616157822,US,Physician/Hematology-Oncology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,216,9,3.1863425926,2.3781018519,2.2478240741
1063411379,FISHKIN,PAUL,A,MD,M,I,8940 N WOOD SAGE RD,,PEORIA,IL,616157822,US,Physician/Hematology-Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5220,1.0031532567,0.3233850575,0.23101341,0.224137931
1063411379,FISHKIN,PAUL,A,MD,M,I,8940 N WOOD SAGE RD,,PEORIA,IL,616157822,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,65.383684211,34.421052632,25.412631579,18.235789474
1063411379,FISHKIN,PAUL,A,MD,M,I,8940 N WOOD SAGE RD,,PEORIA,IL,616157822,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,411.19842105,99.024736842,74.592105263,53.981052632
1063411379,FISHKIN,PAUL,A,MD,M,I,8940 N WOOD SAGE RD,,PEORIA,IL,616157822,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,1604,81,4.6167144638,3.6195199501,3.6195199501
1063411379,FISHKIN,PAUL,A,MD,M,I,8940 N WOOD SAGE RD,,PEORIA,IL,616157822,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,24,24,18.82,18.82
1063411379,FISHKIN,PAUL,A,MD,M,I,8940 N WOOD SAGE RD,,PEORIA,IL,616157822,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,20,20,16,16,12.54,12.54
1063411494,BARAF,HERBERT,S,M.D.,M,I,2730 UNIVERSITY BLVD W,SUITE 310,WHEATON,MD,209021905,US,Physician/Rheumatology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,18,120,59.74,46.83,46.34
1063411494,BARAF,HERBERT,S,M.D.,M,I,2730 UNIVERSITY BLVD W,SUITE 310,WHEATON,MD,209021905,US,Physician/Rheumatology,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,16,126,83.21,64.20125,66.1325
1063411544,MOIR,GEORGE,D,M.D.,M,I,810 E GRAND AVE,,ESCONDIDO,CA,920253402,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,82,78.81097561,18.52195122,14.156707317,14.196707317
1063411544,MOIR,GEORGE,D,M.D.,M,I,810 E GRAND AVE,,ESCONDIDO,CA,920253402,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,223.70421053,56.877894737,39.661578947,38.021578947
1063411544,MOIR,GEORGE,D,M.D.,M,I,810 E GRAND AVE,,ESCONDIDO,CA,920253402,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,60.988666667,19.342,15.162666667,14.06
1063411544,MOIR,GEORGE,D,M.D.,M,I,810 E GRAND AVE,,ESCONDIDO,CA,920253402,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,18,18,72.811111111,12.355555556,8.6088888889,8.1066666667
1063411544,MOIR,GEORGE,D,M.D.,M,I,810 E GRAND AVE,,ESCONDIDO,CA,920253402,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,26,148,10.305540541,2.167027027,1.6133783784,1.5069594595
1063411544,MOIR,GEORGE,D,M.D.,M,I,810 E GRAND AVE,,ESCONDIDO,CA,920253402,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,154.05818182,16.98,12.1,12.305454545
1063411544,MOIR,GEORGE,D,M.D.,M,I,810 E GRAND AVE,,ESCONDIDO,CA,920253402,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,540.625,72.06,49.4375,48.03625
1063411601,MAGNET,ANDREW,D,"MD, PHD",M,I,13016 BOCA CIEGA AVE,,MADEIRA BEACH,FL,337082438,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,54.355,21.690769231,14.708846154,11.448461538
1063411601,MAGNET,ANDREW,D,"MD, PHD",M,I,13016 BOCA CIEGA AVE,,MADEIRA BEACH,FL,337082438,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,39.2275,8.2583333333,6.4725,3.7533333333
1063411601,MAGNET,ANDREW,D,"MD, PHD",M,I,13016 BOCA CIEGA AVE,,MADEIRA BEACH,FL,337082438,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,348.66307692,96.879615385,71.326923077,50.489230769
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,29,29,175.89724138,40.052413793,29.235517241,28.418275862
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,26,54,54,478.125,92.347777778,65.503888889,61.248333333
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,26,64,178,178.12573034,35.074662921,25.586460674,24.327696629
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,27,62,335,108.25002985,18.187492537,12.896865672,13.189253731
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,18,45,226,70.569247788,14.79,9.0795132743,9.3649557522
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,40,97,97,307.20845361,55.458350515,39.861340206,39.261030928
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,60,81,81,91.740123457,18.340617284,13.945308642,13.631111111
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,42.333333333,10.5175,8.2533333333,8.1425
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,55,126,126,96.946904762,12.492380952,9.2480952381,8.6105555556
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,65,164,886,12.965191874,2.1657110609,1.5911738149,1.5030586907
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,23,35,35,33.964571429,6.3168571429,4.6771428571,4.4125714286
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,49,68,68,51.712794118,13.026029412,9.8611764706,9.9823529412
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,74.930769231,17.41,12.6,12.498461538
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,12,18,67.841666667,14.698333333,11.521666667,10.849444444
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,22,257.82,42.759545455,33.520909091,26.598636364
1063411809,PACHT,ERIC,,MD,M,I,1320 W MAIN ST,,NEWARK,OH,430551822,US,Internal Medicine,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,51,474.89058824,81.78,55.107647059,47.168039216
1063411924,PARKER,MIRIAM,,MD,F,I,285 BOULEVARD NE,SUITE 140,ATLANTA,GA,303124205,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,34,72.497058824,8.32,5.9567647059,5.9567647059
1063411940,SNYDER,GERALD,,M.D.,M,I,730 N HOUSTON AVE,STE C,NEW BRAUNFELS,TX,781304132,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,29,36.13,8.32,4.2755172414,4.2755172414
1063412013,TRAPP,KEVIN,,MD,M,I,95 CRYSTAL RUN RD,,MIDDLETOWN,NY,109417001,US,Physician/Orthopedic Surgery,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,122.62,62.41,48.93,38.378461538
1063412013,TRAPP,KEVIN,,MD,M,I,95 CRYSTAL RUN RD,,MIDDLETOWN,NY,109417001,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,28.885,8.225,6.44625,7.67625
1063412047,MORALES-BORGES,RAUL,H,M.D.,M,I,29 CALLE WASHINGTON,SUITE # 104,SAN JUAN,PR,009071510,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,163.1025,69.999166667,54.880833333,39.146666667
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,29,88,279,71.53078853,8.32,5.7217921147,5.7217921147
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,30,53,13.881509434,1.42,0.9883018868,0.9883018868
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,90.5,18,11.882105263,11.402105263
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,17.582727273,11.382727273,8.1772727273,8.1336363636
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,32,428.93,77.18,54.8371875,49.7709375
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,33.408333333,26.188333333,21.4725
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,22.330909091,8.9663636364,6.4763636364,6.2336363636
1063412062,MYINT,WIN,,MD,M,I,4936 W 95TH ST,,OAK LAWN,IL,604532504,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,36.96,26.565,27.0625
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,26,82,229,51.63441048,8.32,5.70930131,5.70930131
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,14.944705882,3.38,2.3382352941,2.3382352941
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,32,63,15.632539683,1.42,1.0955555556,1.0955555556
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,226.64285714,87.382142857,68.509285714,67.849285714
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,27,33,79.07,32.814545455,22.991515152,23.179393939
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,16,16,214.485,53.36625,39.23875,40.20125
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,15,19,19,56.255789474,18.003157895,14.111578947,14.058421053
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,17,17,54.434117647,11.769411765,8.8058823529,8.7
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,16,38,145,7.1779310345,2.0696551724,1.5335862069,1.5051034483
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,21.416666667,5.9891666667,4.6966666667,4.6508333333
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,29.984166667,12.36,9.69,10.285833333
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,220,52.515833333,41.169166667,42.078333333
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,21,69.90952381,20.701904762,13.130952381,13.568095238
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,34,34,80,13.674117647,10.107352941,9.8711764706
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,42.6825,4.3954166667,3.14625,3.3316666667
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,49,49,131.42857143,30.135510204,22.533061224,22.766734694
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,35,10.06,5.6025,6.4958333333
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,46,443.15869565,71.455652174,51.920652174,50.770652174
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,1560,1.7337307692,0.1387115385,0.10875,0.10875
1063412104,MICHAEL,DWIGHT,I,MD,M,I,524 S WASHINGTON ST,,GETTYSBURG,PA,173252594,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,71.5,33,25.87,25.87
1063412211,MCLAUGHLIN,MATTHEW,M,MD,M,I,690 MINOT AVE,SUITE 1,AUBURN,ME,042103922,US,Physician/Physical Medicine and Rehabilitation,S,E0849,"Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,47.464545455,27.908181818,27.908181818
1063412377,NG,PETER,C,MD,M,I,1101 DRESSER CT,,RALEIGH,NC,276097327,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,455,30.253142857,13.13,10.294,10.294
1063412377,NG,PETER,C,MD,M,I,1101 DRESSER CT,,RALEIGH,NC,276097327,US,Physician/General Surgery,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,77,497.25,326.82,256.22675325,256.22675325
1063412377,NG,PETER,C,MD,M,I,1101 DRESSER CT,,RALEIGH,NC,276097327,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,77,203.94,9.35,7.33,7.33
1063412377,NG,PETER,C,MD,M,I,1101 DRESSER CT,,RALEIGH,NC,276097327,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,77,652.88571429,29.22,22.908571429,22.908571429
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,85,190,651,57.87781874,8.32,5.9399385561,5.9399385561
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,16,37,37,15.405405405,3.38,2.65,2.65
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,14,23,23,24.739130435,2.12,1.67,1.67
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,46,97,167,14.30011976,1.42,1.0538323353,1.0538323353
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,22,480,14.937083333,9.86,7.6139375,7.6139375
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,18,18,114.99388889,39.044444444,30.611111111,30.502222222
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,18,34,34,316.48529412,87.261176471,66.4,65.95
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,13,30,52,149.335,32.778461538,25.206538462,25.390576923
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,18,40,122,65.108114754,18.442213115,13.639672131,13.710983607
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,19,52.188421053,15.061052632,11.186315789,11.256315789
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,26,56,56,160.89017857,53.177678571,38.720178571,39.81875
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,40,52,52,57.1675,17.924230769,13.509615385,13.515576923
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,34,71,71,51.527887324,11.732112676,8.5528169014,8.4787323944
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,39,89,337,7.4469732938,2.0706824926,1.5225222552,1.4952522255
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,24,30,30,16.91,5.93,4.34,4.34
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,23,30,30,41.152666667,12.383666667,9.3856666667,9.8926666667
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,42.719722222,16.59,12.277777778,12.800833333
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,13,63,66,29.904242424,13.359242424,9.8440909091,9.8445454545
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,20,109,112,197.11107143,32.819107143,24.428303571,24.802857143
1063412385,CASTANEDA,EDWIN,T,M.D.,M,I,10324 OLD OCEAN CITY BLVD,,BERLIN,MD,218111132,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,242.2475,67.72,50.15,51.758055556
1063412401,WILPS,JEFFREY,B,DPM,M,I,3747 MAIN ST,,WEIRTON,WV,260625309,US,Podiatry,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,15,1480,0.2921621622,0.12,0.0941013514,0.0941013514
1063412401,WILPS,JEFFREY,B,DPM,M,I,3747 MAIN ST,,WEIRTON,WV,260625309,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,19,19,38,164.17421053,71.081842105,53.068157895,53.443157895
1063412401,WILPS,JEFFREY,B,DPM,M,I,3747 MAIN ST,,WEIRTON,WV,260625309,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,18,108,65.810833333,29.19,21.738981481,21.74037037
1063412401,WILPS,JEFFREY,B,DPM,M,I,3747 MAIN ST,,WEIRTON,WV,260625309,US,Podiatry,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,208,29.020961538,23.66,18.549375,18.549375
1063412401,WILPS,JEFFREY,B,DPM,M,I,3747 MAIN ST,,WEIRTON,WV,260625309,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,1650,0.16,0.13,0.1019090909,0.1019090909
1063412401,WILPS,JEFFREY,B,DPM,M,I,3747 MAIN ST,,WEIRTON,WV,260625309,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,14,19,1753,0.6937820878,0.45,0.3528066172,0.3528066172
1063412419,BRANDENBERGER,DEBRA,K,NP,F,I,700 BROADWAY,2ND FLOOR,FORT WAYNE,IN,468021402,US,Nurse Practitioner,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1400,0.2962714286,0.12,0.0940928571,0.0940928571
1063412419,BRANDENBERGER,DEBRA,K,NP,F,I,700 BROADWAY,2ND FLOOR,FORT WAYNE,IN,468021402,US,Nurse Practitioner,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,1027,1.2353943525,0.44,0.3449756573,0.3449756573
1063412419,BRANDENBERGER,DEBRA,K,NP,F,I,700 BROADWAY,2ND FLOOR,FORT WAYNE,IN,468021402,US,Nurse Practitioner,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,275,20.43,8.28,6.4916363636,6.4916363636
1063412419,BRANDENBERGER,DEBRA,K,NP,F,I,700 BROADWAY,2ND FLOOR,FORT WAYNE,IN,468021402,US,Nurse Practitioner,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,846,5.9797163121,2.73,2.1403427896,2.1403427896
1063412419,BRANDENBERGER,DEBRA,K,NP,F,I,700 BROADWAY,2ND FLOOR,FORT WAYNE,IN,468021402,US,Nurse Practitioner,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,15,740,0.2752702703,0.13,0.1019864865,0.1019864865
1063412419,BRANDENBERGER,DEBRA,K,NP,F,I,700 BROADWAY,2ND FLOOR,FORT WAYNE,IN,468021402,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,11,24,3891,1.0669313801,0.45,0.3527910563,0.3527910563
1063412427,SANCHEZ,OSCAR,A,MD,M,I,520 MEDICAL CENTER DRIVE,,MEDFORD,OR,97504,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,16.866363636,11.672727273,11.948181818
1063412468,STACEY,AMY,J,PA-C,F,I,1300 N 4TH ST,,LONGVIEW,TX,756014717,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,23,49,61.683469388,8.32,6.1959183673,6.1959183673
1063412492,CHOKROVERTY,SUDHANSU,,MD,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,113.69090909,36.21,28.39,30.49
1063412492,CHOKROVERTY,SUDHANSU,,MD,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,408.89882353,82.746470588,61.07,63.904117647
1063412492,CHOKROVERTY,SUDHANSU,,MD,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,167.63055556,50.26,35.897777778,39.203888889
1063412492,CHOKROVERTY,SUDHANSU,,MD,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,16,16,77.30375,16.591875,12.203125,13.2
1063412492,CHOKROVERTY,SUDHANSU,,MD,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,23,23,51.706086957,11.343478261,8.5043478261,8.7260869565
1063412492,CHOKROVERTY,SUDHANSU,,MD,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,33,198,7.9156060606,1.9209090909,1.416010101,1.500959596
1063412492,CHOKROVERTY,SUDHANSU,,MD,M,I,65 JAMES ST,,EDISON,NJ,088203947,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,115.54625,30.340833333,21.320833333,22.089583333
1063412534,SNYDER,MICHAEL,D,M. D.,M,I,6641 KANIKSU ST,,BONNERS FERRY,ID,838057532,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,59.855,36.613333333,28.2225
1063412690,BOENSCH,REBECCA,A,"MSN, APRN, BC",F,I,9900 BIRCH RUN RD,,BIRCH RUN,MI,484159609,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,34,82.944705882,8.32,4.8202941176,4.8202941176
1063412690,BOENSCH,REBECCA,A,"MSN, APRN, BC",F,I,9900 BIRCH RUN RD,,BIRCH RUN,MI,484159609,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,12.86,3.14525,2.4483055556,2.4483055556
1063412690,BOENSCH,REBECCA,A,"MSN, APRN, BC",F,I,9900 BIRCH RUN RD,,BIRCH RUN,MI,484159609,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,117.85714286,33,24.022142857,24.022142857
1063412724,REYES,MIRIAM,M,MD,F,I,3425 STONY SPRING CIR,,LOUISVILLE,KY,402205437,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,41,105,61.515238095,8.32,5.6679047619,5.6679047619
1063412724,REYES,MIRIAM,M,MD,F,I,3425 STONY SPRING CIR,,LOUISVILLE,KY,402205437,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,23,37,14.148378378,1.42,1.1162162162,1.1162162162
1063412724,REYES,MIRIAM,M,MD,F,I,3425 STONY SPRING CIR,,LOUISVILLE,KY,402205437,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,256.55075,71.5,50.531,49.401
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,210,5.12,3.9,3.0575238095,3.0575238095
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,44,1461,8.1092128679,7.3666872005,5.7754209446,5.7780219028
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,1030,2.7125242718,2.6588349515,2.0845242718,2.3001067961
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A5056,"Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,6.06,5.26,4.124,4.124
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,330,9.36,7.36,5.7703333333,5.7703333333
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,16,27,4.9911111111,3.9,3.06,3.38
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A7007,"Large volume nebulizer, disposable, unfilled, used with aerosol compressor",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,5.37,3.6441666667,2.8541666667,2.4520833333
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A7020,"Interface for cough stimulating device, includes all components, replacement only",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,69.55,15.7,12.31,12.651818182
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A7525,"Tracheostomy mask, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,20,2.8,2.33,1.82,1.82
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,580,4.25,3.81,2.987,2.987
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,330,6.22,3,2.237969697,2.2536363636
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,13,109,3246,13.79284658,5.8400184843,4.4008595194,3.9882347505
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,76,34775,1.2656192667,0.3754145219,0.2815327103,0.2790754853
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,29,13576,1.2791367118,0.3745329994,0.2930966411,0.2425058928
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,43,43,216.53162791,54.964186047,41.235116279,41.040465116
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,45,16.59,12.434782609,12.970869565
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0565,"Compressor, air power source for equipment which is not self-contained or cylinder driven",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,85,35.065263158,26.537368421,24.430526316
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,44,44,23,4.2368181818,3.3252272727,3.4756818182
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,72.392857143,41.41,32.464285714,32.464285714
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,30.132105263,5.01,3.93,3.9484210526
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,35,35,25,11.261428571,8.5751428571,8.7371428571
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,26,73.254615385,27.910769231,21.881538462,22.078076923
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,13,59.266923077,24.336923077,19.084615385,19.09
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,25,25.4,10.3388,7.7664,7.9584
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,65,65,298.47692308,215.09230769,164.21169231,164.21169231
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,335,71.042068966,51.810689655,51.026206897
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,4382,0.8785942492,0.0459333638,0.0360109539,0.0360109539
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,32,1920,13.333333333,2.9891875,2.3288958333,2.3288958333
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,819,6.4484126984,0.2188888889,0.1715995116,0.1715995116
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,86.127142857,17.62,12.466190476,13.269047619
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,150.4152,31.3144,22.4716,24.1104
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,K0019,"Arm pad, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,,11,22,27.6,12.962727273,8.0290909091,8.0290909091
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,1,13,21,43,48.221627907,35.113488372,27.378372093,27.378372093
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,23.873333333,8.47,6.64,7.0522222222
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,23,35,84,29.488095238,16.39,12.849880952,12.849880952
1063412732,CACCHIONE,PHILIP,M,DO,M,I,3535 PINE AVE,2ND FLOOR,ERIE,PA,165041743,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,34,34,75,33,25.87,25.87
1063412773,POWERS,BRIAN,A,MD,M,I,600 PLAZA CT,,E STROUDSBURG,PA,183018263,US,Physician/Orthopedic Surgery,S,L1843,"Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, as",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,1100,849.98,666.38,677.69
1063412773,POWERS,BRIAN,A,MD,M,I,600 PLAZA CT,,E STROUDSBURG,PA,183018263,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,200,121.16916667,95,88.661666667
1063412773,POWERS,BRIAN,A,MD,M,I,600 PLAZA CT,,E STROUDSBURG,PA,183018263,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,12,12,100,59.74,46.83,46.34
1063412781,FLETCHER,STEVEN,M,M.D.,M,I,925 NE 30TH TER,# 214,HOMESTEAD,FL,330337613,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,197.65142857,102.91857143,75.636428571,65.99
1063412781,FLETCHER,STEVEN,M,M.D.,M,I,925 NE 30TH TER,# 214,HOMESTEAD,FL,330337613,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,29,75.534137931,37.180689655,28.90137931,25.668275862
1063412781,FLETCHER,STEVEN,M,M.D.,M,I,925 NE 30TH TER,# 214,HOMESTEAD,FL,330337613,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,11,21,21,124.99857143,66.396666667,49.808571429,42.308095238
1063412781,FLETCHER,STEVEN,M,M.D.,M,I,925 NE 30TH TER,# 214,HOMESTEAD,FL,330337613,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,14,18,18,39.325,20.319444444,15.931666667,14.465555556
1063412781,FLETCHER,STEVEN,M,M.D.,M,I,925 NE 30TH TER,# 214,HOMESTEAD,FL,330337613,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,28,28,40.655714286,16.296428571,12.416785714,9.1710714286
1063412781,FLETCHER,STEVEN,M,M.D.,M,I,925 NE 30TH TER,# 214,HOMESTEAD,FL,330337613,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,16,34,179,5.8181005587,2.5137988827,1.8551955307,1.5508379888
1063412781,FLETCHER,STEVEN,M,M.D.,M,I,925 NE 30TH TER,# 214,HOMESTEAD,FL,330337613,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,52,52,113.63673077,42.499038462,32.324038462,26.137115385
1063412799,HOCHHAUSEN,HEIDI,R,APNP,F,I,4131 W LOOMIS RD,SUITE 300,GREENFIELD,WI,532212057,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,66.36,7.5041666667,5.8816666667,3.5666666667
1063412823,CAMPBELL,ROBERT,A,M.D.,M,I,1226 DANTIGNAC ST,,AUGUSTA,GA,309012788,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,35,77.052857143,8.32,6.5217142857,6.5217142857
1063412823,CAMPBELL,ROBERT,A,M.D.,M,I,1226 DANTIGNAC ST,,AUGUSTA,GA,309012788,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,28,69,16.48,11.535714286,12.141071429
1063412823,CAMPBELL,ROBERT,A,M.D.,M,I,1226 DANTIGNAC ST,,AUGUSTA,GA,309012788,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,26,28,395,70.78,49.307142857,48.6475
1063412948,BLAS,ALFREDO,L,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,23,38.48,19.131304348,13.863043478,12.388695652
1063412948,BLAS,ALFREDO,L,MD,M,I,700 HIGH ST,,WILLIAMSPORT,PA,177013198,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,50,319.2096,75.2436,56.8742,52.2316
1063413037,GREEN,AMY,,CNP,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Nurse Practitioner,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,384,5.540625,3.67,2.87734375,2.87734375
1063413037,GREEN,AMY,,CNP,F,I,2500 METROHEALTH DR,,CLEVELAND,OH,441091900,US,Nurse Practitioner,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,1656,0.6802173913,0.45,0.3528140097,0.3528140097
1063413052,PATEL,NARESH,J,DO,M,I,7964 W. JEFFERSON BLVD.,,FORT WAYNE,IN,468044140,US,Physician/Allergy/ Immunology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,152.7375,39.235833333,23.8225,23.551666667
1063413052,PATEL,NARESH,J,DO,M,I,7964 W. JEFFERSON BLVD.,,FORT WAYNE,IN,468044140,US,Physician/Allergy/ Immunology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,285.44,57.946666667,42.054166667,39.4875
1063413052,PATEL,NARESH,J,DO,M,I,7964 W. JEFFERSON BLVD.,,FORT WAYNE,IN,468044140,US,Physician/Allergy/ Immunology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,19,106,11.148679245,2.1313207547,1.5811320755,1.5019811321
1063413052,PATEL,NARESH,J,DO,M,I,7964 W. JEFFERSON BLVD.,,FORT WAYNE,IN,468044140,US,Physician/Allergy/ Immunology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,37,37,222.14351351,34.096756757,21.45972973,18.950540541
1063413052,PATEL,NARESH,J,DO,M,I,7964 W. JEFFERSON BLVD.,,FORT WAYNE,IN,468044140,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,54,311.20203704,2.6355555556,2.0664814815,2.0664814815
1063413102,FOX,STUART,W,M.D.,M,I,310 MADISON AVE,,MORRISTOWN,NJ,079606909,US,Physician/Neurology,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,142.54,29.123333333,22.831666667,25.311666667
1063413102,FOX,STUART,W,M.D.,M,I,310 MADISON AVE,,MORRISTOWN,NJ,079606909,US,Physician/Neurology,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,607.93,119.14818182,93.41,95.566363636
1063413110,LEVINE,BRETT,A,M.D.,M,I,21320 HAWTHORNE BLVD,SUITE 119,TORRANCE,CA,905035606,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,,13,70,8.4282857143,2.09,1.4977142857,1.4551428571
1063413110,LEVINE,BRETT,A,M.D.,M,I,21320 HAWTHORNE BLVD,SUITE 119,TORRANCE,CA,905035606,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,463.14057143,31.639142857,20.1,20.020857143
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,29.023333333,28.46,22.31,22.31
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,168,2.475,2.475,1.9403571429,1.9520238095
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,28,11.024642857,10.861428571,8.5157142857,8.57
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,88,2.91,2.91,2.28125,2.28125
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,52,7.7569230769,6.44,5.05,5.05
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,44,5560,0.4548057554,0.4397122302,0.3447356115,0.3447356115
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.27,0.27,0.2116,0.2116
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,3.97,3.97,3.1125,3.1125
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.27,0.26,0.204,0.2109090909
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,40,1236,34.841553398,34.841553398,27.315841424,27.330307443
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,286,26.907552448,23.66,18.549440559,18.549440559
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,33,106,5200,8.28,8.28,6.4600423077,6.4600423077
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6209,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,26,372,8.9412903226,8.41,6.5936827957,6.5936827957
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,15,234,22.42,22.42,17.577264957,17.577264957
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,24,76,888,11.015765766,10.93,8.5689977477,8.5689977477
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,17,322,7.41,7.36,5.7703416149,5.7703416149
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,19,344,3.9420930233,3.6665116279,2.8746511628,2.8746511628
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,13,24,2900,0.1527586207,0.13,0.1019034483,0.1019034483
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,26,3509,0.490045597,0.45,0.352815617,0.352815617
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,24,703,38.909815078,2.9995732575,2.3516500711,2.3676813656
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,23,690,6.16,5.27,3.8809710145,3.9123043478
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,48,22100,0.7080968326,0.2808461538,0.2201864253,0.2430420814
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,16,16,16,121.9825,46.335,34.615625,34.745625
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,26,26,26,126.99730769,47.653846154,37.360769231,40.525384615
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,25,9.7147368421,6.7226315789,6.6542105263
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,20,101,101,222.77227723,49.624554455,35.02970297,34.531683168
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,86.31,17.76,13.059375,12.69375
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,20.83,4.6266666667,3.4016666667,3.4173333333
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,122.57575758,43.944848485,34.454545455,35.843333333
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,4,18,19,33,61.854545455,19.7,15.444242424,15.299393939
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,5,22,23,41,61.657073171,30.482926829,23.898536585,23.042439024
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,23.65,13.333333333,6.272,5.508
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,38,448.98947368,72.869473684,54.24,54.126315789
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,65,30.53,23.93,23.363333333
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,5,18,18,18,76.732222222,39.187222222,30.72,29.937777778
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,11,332.23272727,161.88363636,126.91181818,120.23909091
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,38,201,201,132.27840796,21.876119403,14.933233831,12.400746269
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,15,62,62,133.92129032,33.072419355,23.504193548,19.543709677
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,141.284,47.296,35.601333333,33.076
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,17,17,228.58588235,89.840588235,62.910588235,50.539411765
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,34,176,176,25.077272727,7.6967613636,5.0096022727,5.5632954545
1063413136,JEWELL,JAMES,L,MD,M,I,1147 EBENEZER RD,,ROCK HILL,SC,297322355,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,76.596666667,35.583333333,25.858333333,26.247222222
1063413144,HAN,MICHAEL,Y,MD,M,I,1101 MADISON ST,#300,SEATTLE,WA,981041306,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,1980,5.1054545455,2.04,1.5268838384,1.5268838384
1063413151,CORUM,LARRY,R,MD,M,I,20375 W 151ST ST,SUITE 208,OLATHE,KS,660617218,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,519.51,78.46,56.934166667,50.775833333
1063413151,CORUM,LARRY,R,MD,M,I,20375 W 151ST ST,SUITE 208,OLATHE,KS,660617218,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,24,1802,39.080971143,5.4270199778,4.0955660377,4.0955660377
1063413151,CORUM,LARRY,R,MD,M,I,20375 W 151ST ST,SUITE 208,OLATHE,KS,660617218,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,29.611111111,24,18.82,18.82
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",D1E - Other DME,Durable Medical Equipment,N,4,15,15,15,49.13,45.15,35.4,40.4
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,24,24,24,122.31166667,51.20125,40.1425,37.550833333
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,8.24,3,2.2325,2.1375
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,5.4,2.4175,1.7391666667,1.6675
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,,35,35,64.108571429,22.827714286,17.082,13.81
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,37,37,26.208108108,9.8724324324,7.4040540541,6.5472972973
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,27,27,27,277,124.71,93.272592593,90.665925926
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,17,17,19,105.76947368,81.53,63.922631579,68.659473684
1063413243,MARR,ALBERT,W,MD,M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,74,74,74,200,154.71,114.34797297,112.95351351
1063413268,HOBBS,WILLIAM,A,M.D.,M,I,646 COX CREEK PKWY,SUITE B,FLORENCE,AL,356301105,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,25,62,140,45.598714286,8.32,5.5152142857,5.5152142857
1063413268,HOBBS,WILLIAM,A,M.D.,M,I,646 COX CREEK PKWY,SUITE B,FLORENCE,AL,356301105,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,24,32,12.076875,1.42,1.0475,1.0475
1063413268,HOBBS,WILLIAM,A,M.D.,M,I,646 COX CREEK PKWY,SUITE B,FLORENCE,AL,356301105,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,45,4.865,3.0357142857,2.6557142857
1063413268,HOBBS,WILLIAM,A,M.D.,M,I,646 COX CREEK PKWY,SUITE B,FLORENCE,AL,356301105,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,31.510526316,12.716315789,8.7421052632,8.4978947368
1063413268,HOBBS,WILLIAM,A,M.D.,M,I,646 COX CREEK PKWY,SUITE B,FLORENCE,AL,356301105,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,334.54545455,96.248181818,75.46,54.76
1063413268,HOBBS,WILLIAM,A,M.D.,M,I,646 COX CREEK PKWY,SUITE B,FLORENCE,AL,356301105,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,33,33,25.43,25.43
1063413326,AYUB,ASMA,M,M.D.,F,I,172 E SCHILLER ST,,ELMHURST,IL,601262816,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,12,19,51,73.914509804,8.32,6.2658823529,6.2658823529
1063413383,ROONEY,CHRISTINE,,MD,F,I,73D WINTHROP AVE,PLAZA 114,LAWRENCE,MA,018433716,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,102,60.531568627,8.32,5.9470588235,5.9470588235
1063413383,ROONEY,CHRISTINE,,MD,F,I,73D WINTHROP AVE,PLAZA 114,LAWRENCE,MA,018433716,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,39,16.278205128,1.42,1.0287179487,1.0287179487
1063413458,DEFIORE,PASQUALE,J,P.A.,M,I,8350 RIVERWALK PARK BLVD,SUITE 1,FORT MYERS,FL,339198759,US,Physician Assistant,S,E1811,"Static progressive stretch knee device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,136.85666667,112.98722222,82.625,91.178333333
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,93,93,93,162.09731183,47.480107527,36.832688172,36.097311828
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,42,9.8624,7.4368,7.606
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,3,15,15,15,47.426666667,14.987333333,11.755333333,12.049333333
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,25,25,25,127.026,51.4016,40.298,40.764
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,3,27,176,176,24.529886364,9.3261363636,6.6508522727,7.0307954545
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,355.02,154.93166667,120.7675,126.75166667
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,95.506428571,49.504285714,36.267857143,32.562142857
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,18,92,92,201.17684783,53.137934783,39.892282609,38.570434783
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,60,17.63,13.82,13.550714286
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,42,42,42.892380952,6.0235714286,4.495952381,3.6057142857
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,12,12,102.53333333,41.87,19.520833333,19.520833333
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,133.685,45.833333333,35.933333333,37.075
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,35,35,70,37.428571429,11.041428571,8.6552857143,9.8858571429
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,68,68,135,67.184666667,27.071777778,20.907407407,22.213481481
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,11,57,110,19.526272727,2.7064545455,1.9725454545,2.108
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,54,54,106,77.75,48.643018868,38.135943396,39.866320755
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,66,66,303.9319697,76.013333333,58.013333333,53.69530303
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,100.9,36.5,26.712,27.617333333
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,13,423.07461538,279.03,218.76,232.55
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,47.01,26.351666667,19.441111111,20.772222222
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,63,63,63,97.177619048,35.022380952,27.022063492,28.760952381
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,45,269,269,71.177769517,19.035762082,12.803531599,11.771598513
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,75,381,381,113.57787402,30.328293963,23.100314961,21.812729659
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,94.491666667,43.43,29.79375,31.10375
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,198.12,66.515,52.146428571,55.623571429
1063413482,COLON GUTIERREZ,OMAR,A,MD,M,I,2800 W 15TH ST,,PLANO,TX,750757526,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,55,310,310,38.156645161,8.6511935484,6.1946774194,6.1092903226
1063413508,NAIDU,ASWANI,S,M.D,F,I,251 KEISLER DR,SUITE 300,CARY,NC,275187091,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,48,68.891875,8.32,5.7066666667,5.7066666667
1063413508,NAIDU,ASWANI,S,M.D,F,I,251 KEISLER DR,SUITE 300,CARY,NC,275187091,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,17,16.731176471,1.42,1.0517647059,1.0517647059
1063413557,SHAFER,KIMBERLY,A,"R.N., F.N.P.-B.C.",F,I,2601 WASSON RD,,BIG SPRING,TX,797206416,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,18.462258065,7.2548387097,5.2487096774,3.4551612903
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,75,201,470,71.278425532,8.32,5.6210212766,5.6210212766
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,23,23,15.393913043,3.38,2.4195652174,2.4195652174
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,20.852307692,2.12,1.5415384615,1.5415384615
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,39,89,118,24.521779661,1.42,0.936779661,0.936779661
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,27,27,54,98.607777778,71.56,54.391851852,54.391666667
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,25,25,150,40.804666667,29.19,22.885,22.886466667
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,16,46,91,7.2983516484,1.9378021978,1.4912087912,1.1698901099
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,13,37,37,437.65513514,122.14513514,85.912432432,63.330810811
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,13,41,106,162.50566038,46.766320755,35.91490566,26.896698113
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,18,29,29,84.249655172,24.727586207,18.310344828,13.881724138
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,45,45,94.156888889,20.465111111,15.367111111,9.7653333333
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,20,51,256,12.6665625,3.156484375,2.4336328125,1.6880859375
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,31.553529412,8.1652941176,6.1041176471,4.7205882353
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,12,17,17,51.334117647,16.010588235,12.547647059,10.34
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,360,21.666666667,4.1,3.2143333333,2.3892222222
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7032,2.3145051195,0.3999345848,0.29314562,0.2247440273
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,157.53619048,77.08047619,57.876666667,43.767142857
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,54,72.17462963,21.547222222,14.901296296,12.237777778
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,3721.284,1074.31,825.946,825.946
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,30,78.433333333,17.173666667,12.307,10.373333333
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,23,123,123,32.593902439,7.6578861789,5.6776422764,3.5847154472
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,29,36,250.10777778,50.950833333,37.522222222,29.549166667
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,32,198,226,454.9519469,99.450265487,72.614955752,54.778761062
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,14,14,14,65.142857143,57,44.69,44.69
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1560,16.886621795,9.635,7.3715192308,7.3715192308
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,13.94,11.312722222,8.7950740741,8.7950740741
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,45,6336,0.3345801768,0.0468087121,0.0353756313,0.0353756313
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,48,133,11639,1.7682172008,0.1339427786,0.1004072515,0.1004072515
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,45,2670,12.511280899,3.0988651685,2.4295355805,2.4295355805
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,855,0.75,0.2187719298,0.1355321637,0.1355321637
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,41,41,58.415365854,23.61097561,17.339756098,12.931707317
1063413581,ULRICH,DENNIS,A,M.D.,M,I,1655 E HIGHWAY 3094,,EAST BERNSTADT,KY,407296216,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,19,44,176,176,85.875,33,24.162840909,24.162840909
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,31,100,41.0907,8.32,5.7394,5.7394
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,10.531666667,3.38,2.4291666667,2.4291666667
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,25,40,9.83425,1.42,0.9755,0.9755
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,226.74818182,55.389090909,35.441818182,35.067272727
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,66,9.7627272727,2.3,1.6393939394,1.446969697
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,120,30.486363636,21.036363636,21.254545455
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2153,0.2619461217,0.0453599628,0.0330051092,0.0330051092
1063413599,DEA,LYN,N,D.O.,F,I,129 LUBRANO DR,SUITE 100,ANNAPOLIS,MD,214017566,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,13,13,86.307692308,33,23.88,23.88
1063413631,SMITH,DONALD,,MD,M,I,100 TER HEUN DRIVE,FALMOUTH HOSPITAL,FALMOUTH,MA,02540,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4706.98,1074.31,842.26,842.26
1063413631,SMITH,DONALD,,MD,M,I,100 TER HEUN DRIVE,FALMOUTH HOSPITAL,FALMOUTH,MA,02540,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,26.4,4.6376470588,3.4311764706,3.3817647059
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,5.8290909091,0.51,0.4,0.4
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,24,49,165,40.66,8.32,6.3639393939,6.3639393939
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,17,39,39,13.158461538,3.38,2.5820512821,2.5820512821
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,16,22,22,18.882727273,2.12,1.67,1.67
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,22,43,76,12.556447368,1.42,1.0997368421,1.0997368421
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,6,,23,45,7.6511111111,1.6933333333,1.1671111111,1.0024444444
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,330,50,7.1709090909,5.6219090909,4.1537575758
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7124,2.37,0.3904898933,0.2999157777,0.2367869175
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,33,33,171.99454545,55.919393939,40.83030303,36.448181818
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,26,28,57.024642857,17.543928571,13.271071429,13.271071429
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,28,28,33.006785714,5.9953571429,4.3682142857,3.4242857143
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,17.7,9.955,7.8,8.19
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,65,66,275.50954545,69.691212121,51.278030303,52.039090909
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,34,9600,0.1105,0.046,0.0278041667,0.0278041667
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,3840,0.7033802083,0.13340625,0.0925182292,0.0925182292
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,1140,0.4015263158,0.2191052632,0.1312894737,0.1312894737
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,200,36.83,28.87,29.51
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,444.14263158,200.42052632,149.57631579,119.75210526
1063413656,GROOM,KYLE,,D.O.,M,I,1250 S RUNNELS ST,,DE KALB,TX,755592317,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,58,58,92.379310345,33,21.444827586,21.444827586
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,138,254,255,108.81282353,44.292078431,33.270901961,29.623960784
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,31,8.19,2.0864516129,1.635483871,1.1503225806
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,12,123,227,227,333.47651982,102.70991189,74.482599119,64.011497797
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,79,172,287,123.78219512,40.384773519,30.200592334,25.563902439
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,40,66,232,59.459956897,21.8125,16.474655172,14.563189655
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,19,31,131,40.292519084,18.735572519,13.805267176,11.346946565
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,89,170,170,199.58247059,64.076764706,47.117588235,41.458176471
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,193,266,266,64.780827068,21.328571429,15.876503759,13.739285714
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,12,12,29.3625,12.07,9.47,8.1283333333
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,63,112,112,78.898839286,15.464553571,11.164553571,8.2628571429
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,211,438,1732,9.8467090069,2.5783833718,1.9105023095,1.5410681293
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,27,34,34,25.278823529,7.6567647059,5.85,4.6005882353
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,104,133,133,31.880827068,14.028721805,10.593759398,10.033684211
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,27,162,166,70.014698795,20.305963855,15.051385542,13.207590361
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,15,15,118.75666667,56.882,36.345333333,31.098666667
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,9,36,215,220,410.12659091,101.85990909,76.829545455,65.8335
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,948.82483871,268.4583871,210.47290323,171.88322581
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,39,40,40,404.794,161.83875,126.8835,107.45525
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,32,174,179,76.087150838,15.496480447,11.172569832,9.6005586592
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,28,28,37.096785714,7.3142857143,5.7335714286,4.125
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,79,530,539,179.90339518,39.546382189,29.182096475,23.920667904
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,52,384,400,409.60195,86.37085,66.2251,56.03855
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,77,77,176.63636364,41.146753247,30.807012987,28.276493506
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,900,16.518144444,9.6191333333,7.5413888889,7.5413888889
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,44,8440,0.3021623223,0.0458613744,0.0359514218,0.0359514218
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,56,7318,1.1110699645,0.135102487,0.1025799399,0.1025799399
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,51,2700,11.431366667,2.9917,2.3179296296,2.3179296296
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,146.25,24.342222222,16.412777778,10.916666667
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,67,39.6,31.05,29.65
1063413789,ANDERSON,DAVID,E,MD,M,I,1917 4TH ST S,,GREAT FALLS,MT,594054149,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,18,111,111,102.56756757,33,25.403873874,25.403873874
1063413805,MCINTYRE,SOPHIA,L,M.D,F,I,23 LAKEWOOD AVE,"HUDSON RIVER HEALTHCARE, INC.",MONTICELLO,NY,127012021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,49,56.943673469,8.32,4.9242857143,4.9242857143
1063413821,BINGHAM,JAMES,G,M.D.,M,I,4803 MONTGOMERY RD,,CINCINNATI,OH,452122163,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,43,101,70.680990099,8.32,5.9798019802,5.9798019802
1063413821,BINGHAM,JAMES,G,M.D.,M,I,4803 MONTGOMERY RD,,CINCINNATI,OH,452122163,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,15,13.076,1.42,0.9693333333,0.9693333333
1063413821,BINGHAM,JAMES,G,M.D.,M,I,4803 MONTGOMERY RD,,CINCINNATI,OH,452122163,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,55.586153846,17.36,12.563076923,12.503846154
1063413821,BINGHAM,JAMES,G,M.D.,M,I,4803 MONTGOMERY RD,,CINCINNATI,OH,452122163,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,333.77076923,79,57.175384615,51.074615385
1063413821,BINGHAM,JAMES,G,M.D.,M,I,4803 MONTGOMERY RD,,CINCINNATI,OH,452122163,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,1320,0.9575681818,0.1328181818,0.1041590909,0.1041590909
1063413821,BINGHAM,JAMES,G,M.D.,M,I,4803 MONTGOMERY RD,,CINCINNATI,OH,452122163,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,25.87,25.87
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,47,111,64.707657658,8.3005405405,5.8098198198,5.8193693694
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,27,37,14.532702703,1.42,1.0564864865,1.0564864865
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,63,13.70031746,2.2666666667,1.1852380952,1.1371428571
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,86.31,19.298125,14.195625,12.691875
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,7.6325,5.9816666667,3.66
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,477.408,75.014285714,55.519714286,51.609142857
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.6,30.873333333,29.461666667
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,24,2695,0.2318293135,0.046296846,0.0362931354,0.0362931354
1063413912,WELSH,CAREY,J,MD,M,I,1600 DIVISION RD,,GREAT FALLS,MT,594041921,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,93.5,33,25.87,25.87
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,19,100,15934,5.004381825,2.04,1.3111252667,1.3111252667
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,23,59,15.967288136,10.93,8.1340677966,8.1340677966
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,41,12.714878049,7.2102439024,5.0985365854,5.2317073171
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,140,10.435,3.9,3.0577857143,3.0577857143
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,240,3.048,1.8,1.3404166667,1.3404166667
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,210,16.785047619,9.86,7.7300952381,7.7300952381
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,710,6.5702535211,4.04,3.1672816901,3.1672816901
1063413938,BAK,JOHN,B,M.D.,M,I,11307 BRIDGEPORT WAY SW STE 217,,LAKEWOOD,WA,984993024,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,780,0.8997179487,0.2523076923,0.1978461538,0.2116923077
1063413961,NEUMAN,THOMAS,R,M.D.,M,I,349 NILES CORTLAND RD NE,,WARREN,OH,444841941,US,Physician/Otolaryngology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,78.495,8.32,6.52,6.52
1063413979,LEVITAN,MELANIE,R,MD,F,I,CHP - LEE FAMILY PRACTICE,11 QUARRY HILL ROAD,LEE,MA,01238,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,23,84,73.614166667,8.32,5.289047619,5.289047619
1063413979,LEVITAN,MELANIE,R,MD,F,I,CHP - LEE FAMILY PRACTICE,11 QUARRY HILL ROAD,LEE,MA,01238,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,59.968181818,12.07,9.2136363636,8.8836363636
1063413979,LEVITAN,MELANIE,R,MD,F,I,CHP - LEE FAMILY PRACTICE,11 QUARRY HILL ROAD,LEE,MA,01238,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,19,57,9.3429824561,2.22,1.4522807018,1.3326315789
1063413995,MODISETTE,JAMES,K,M.D.,M,I,604 N. ACADIA RD.,SUITE 405,THIBODAUX,LA,70301,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,4440,5.4031193694,0.562027027,0.4281914414,0.4281846847
1063413995,MODISETTE,JAMES,K,M.D.,M,I,604 N. ACADIA RD.,SUITE 405,THIBODAUX,LA,70301,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,3840,4.681734375,1.05978125,0.7904869792,0.790484375
1063413995,MODISETTE,JAMES,K,M.D.,M,I,604 N. ACADIA RD.,SUITE 405,THIBODAUX,LA,70301,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,180,17.606,7.4675,5.8543333333,5.8543333333
1063413995,MODISETTE,JAMES,K,M.D.,M,I,604 N. ACADIA RD.,SUITE 405,THIBODAUX,LA,70301,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,24,24,18.82,18.82
1063413995,MODISETTE,JAMES,K,M.D.,M,I,604 N. ACADIA RD.,SUITE 405,THIBODAUX,LA,70301,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,38,16,16,12.210263158,12.210263158
1063414027,BARSEMIAN,WANES,,MD,M,I,1680 E 120-TH STREET,MARTIN LUTHER KING COM HOSPITAL,LOS ANGELES,CA,90059,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,13,13,425.79,80.08,58.837692308,51.228461538
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,25,65,208,64.465384615,8.32,6.0205288462,6.0205288462
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.424210526,3.38,2.2468421053,2.2468421053
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,16,33,58,15.202241379,1.42,1.0562068966,1.0562068966
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,40,79,8.0135443038,1.6773417722,1.2530379747,1.0918987342
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,12,16,16,82.53,12.90375,9.536875,8.511875
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,444.39714286,99.205714286,77.775,67.842142857
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,36,153.07333333,38.6825,30.326666667,25.917777778
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,11,11,79.147272727,19.785454545,15.505454545,14.06
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,15,15,74.636666667,14.449333333,11.33,9.12
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,14,84,10.45702381,2.3764285714,1.8638095238,1.5933333333
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,35,89.879142857,17.29,13.55,13.535142857
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4430.1,1074.31,842.26,842.26
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,39.702857143,4.9271428571,3.5421428571,3.5385714286
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,63,71,474.74169014,70.653239437,51.602535211,51.05056338
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,37.44,29.35,29.51
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,1080,15.58,9.6599722222,7.1748888889,7.1748888889
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,14,106,26428,0.1822714545,0.0463270017,0.0339106251,0.0339106251
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1020,12.86,2.8917058824,2.2671078431,2.2671078431
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,126.30230769,39.548461538,26.149230769,16.888461538
1063414050,PROCTOR,CAMILLA,A,MD,F,I,3009 ZEBULON RD,,ROCKY MOUNT,NC,278042422,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,21,131,131,115.3740458,33,24.236717557,24.236717557
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,52,183,48.419672131,8.32,6.0235519126,6.0235519126
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,21,11.823809524,3.38,2.5238095238,2.5238095238
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,23,40,11.64625,1.42,1.0875,1.0875
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,17.25,10.4,10.418461538
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,79.88,48.848461538,42.771538462
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,4125,0.17,0.0459636364,0.0333551515,0.0333551515
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,405,0.75,0.2187901235,0.1589135802,0.1589135802
1063414076,SIMPSON,SHERYL,M,D.O.,F,I,1225 W GRAND RIVER AVE,SUITE 300,HOWELL,MI,488433975,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,125.4,33,24.145333333,24.145333333
1063414167,STANSKI,CHERYL,,MD,F,I,105 W STONE DR,STE 4A,KINGSPORT,TN,376603256,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,330,5.9570909091,5.9570909091,4.6703333333,5.4557878788
1063414266,LEITAO-PINA,JAN,F,MD,M,I,21 EASTERN AVE,,WORCESTER,MA,016053094,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,35,92,71.790869565,8.32,6.3797826087,6.3797826087
1063414266,LEITAO-PINA,JAN,F,MD,M,I,21 EASTERN AVE,,WORCESTER,MA,016053094,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,16,24,15.285,1.42,1.07,1.07
1063414266,LEITAO-PINA,JAN,F,MD,M,I,21 EASTERN AVE,,WORCESTER,MA,016053094,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,1994,0.4113640923,0.0472968907,0.0370712136,0.0370712136
1063414266,LEITAO-PINA,JAN,F,MD,M,I,21 EASTERN AVE,,WORCESTER,MA,016053094,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,17,17,108.70588235,33,24.348235294,24.348235294
1063414282,MARKOWITZ,RICHARD,L,MD,M,I,1553 BROADWAY,,HEWLETT,NY,11557,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,20,55,139,58.156546763,8.32,6.2399280576,6.2399280576
1063414282,MARKOWITZ,RICHARD,L,MD,M,I,1553 BROADWAY,,HEWLETT,NY,11557,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,18,18,7.5255555556,3.38,2.65,2.65
1063414282,MARKOWITZ,RICHARD,L,MD,M,I,1553 BROADWAY,,HEWLETT,NY,11557,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,36,9.0005555556,1.42,1.0533333333,1.0533333333
1063414282,MARKOWITZ,RICHARD,L,MD,M,I,1553 BROADWAY,,HEWLETT,NY,11557,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,2750,0.2369454545,0.13,0.1000654545,0.1000654545
1063414282,MARKOWITZ,RICHARD,L,MD,M,I,1553 BROADWAY,,HEWLETT,NY,11557,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,7269,2.8415187784,0.3,0.235196038,0.2430334296
1063414282,MARKOWITZ,RICHARD,L,MD,M,I,1553 BROADWAY,,HEWLETT,NY,11557,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,40.796666667,28.616666667,28.616666667
1063414282,MARKOWITZ,RICHARD,L,MD,M,I,1553 BROADWAY,,HEWLETT,NY,11557,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,350,251.11,196.87,196.87
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,23,23,151.18608696,39.62,29.719130435,29.173913043
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,13,24,24,421.44833333,86,61.801666667,62.23
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,22,57,171.12736842,33.22,24.711929825,24.584385965
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,11,21,108,88.991851852,18.5,14.503703704,14.546574074
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,64,63.964375,14.93,11.705625,11.893125
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,18,37,37,251.89405405,55.57,43.57,42.898378378
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,28,38,38,93.111578947,17.4,13.281052632,13.692894737
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,35,35,84.074,11.5,8.7622857143,8.8577142857
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,29,60,320,9.67134375,2,1.55859375,1.581125
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,12,12,27.364166667,6,4.7,4.65
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,11,12,12,60.426666667,12.82,10.05,10.35
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,37.573529412,13.114117647,9.0747058824,9.2641176471
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,14,88,88,232.10522727,32.287727273,23.666136364,23.435340909
1063414316,SCHWARTZ,STEPHANIE,M,MD,F,I,2800 GARTH RD,,BAYTOWN,TX,775213947,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,47,47,225.35914894,76.58,57.494893617,52.730425532
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,50,69,69,179.31101449,38.05826087,23.757391304,24.447246377
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,17,28,28,512.16,94,66.723928571,61.257142857
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,20,34,94,189.42,34.08106383,25.978085106,25.229680851
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,24,34,202,104.77782178,18.25039604,11.599059406,11.836089109
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,13,19,107,72.911308411,15.044299065,9.1291588785,9.2536448598
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,48,68,68,306.39352941,55.496323529,37.247941176,36.647058824
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,49,60,60,91.307,18.361166667,12.746833333,12.421333333
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,29,29,99.691034483,13.573103448,10.317586207,8.8155172414
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,67,93,501,13.846227545,2.04,1.3938123752,1.3858882236
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,36,44,44,52.708181818,13.238409091,8.7554545455,8.7197727273
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,24,117,133,86.31,17,12.728646617,12.929849624
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,25,26,168.00692308,46.62,35.144230769,36.234615385
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,3518.5038462,1073.16,817.49153846,818.39153846
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,16,18,632.43,83.333333333,54.096111111,57.012222222
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,1342.6982609,975.44652174,764.14869565,764.14913043
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,22,62,66,81.75,13.648787879,9.2409090909,9.0709090909
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,37,40,50.73,4.775,3.5435,3.521
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,26,74,77,257.82,31.662467532,20.834415584,21.094025974
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,44,235,273,509.21271062,79.8,59.148058608,52.616446886
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,28,34,222.28823529,38.05,27.597941176,27.428529412
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,15.870546296,9.5768055556,7.1726944444,7.1726944444
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,3648,0.2264446272,0.0461184211,0.0319407895,0.0319407895
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1230,12.86,2.889097561,2.2650650407,2.2650650407
1063414399,WU,JANE,J,M.D.,F,I,3650 JOSEPH SIEWICK DR,STE 307,FAIRFAX,VA,220331715,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,14,40,40,122.1,33,23.92975,23.92975
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,36,97,268,51.940223881,8.32,5.5136940299,5.5136940299
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,18,16.111111111,3.38,2.2083333333,2.2083333333
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,17,37,72,17.037222222,1.42,0.9440277778,0.9440277778
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,340,10.175,3.82,2.9949117647,3.0391764706
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,29,73.647586207,18.123448276,13.310344828,13.259655172
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,61,67,425.32671642,83.230149254,61.590597015,52.215820896
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,35.31,25.3825,27.240833333
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,27,4020,1.0703955224,0.136,0.100920398,0.100920398
1063414456,SPACCARELLI,JOHN,F,M.D.,M,I,7109 BACHMAN RD,,SARDINIA,OH,451718242,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,28,33,33,24.022142857,24.022142857
1063414613,WEISENFLUH,MARK,G,MD,M,I,201 STATE ST,,ERIE,PA,165500002,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,335,67.72,45.725,47.413333333
1063414613,WEISENFLUH,MARK,G,MD,M,I,201 STATE ST,,ERIE,PA,165500002,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,70,38.72,28.026896552,27.244827586
1063414662,MCELROY,PATRICIA,L,N.P.,F,I,808 N SAMUEL MOORE PKWY,,MOORESVILLE,IN,461581467,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,62,167,63.540419162,8.32,5.8591017964,5.8591017964
1063414662,MCELROY,PATRICIA,L,N.P.,F,I,808 N SAMUEL MOORE PKWY,,MOORESVILLE,IN,461581467,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,30,41,15.493170732,1.42,0.9531707317,0.9531707317
1063414662,MCELROY,PATRICIA,L,N.P.,F,I,808 N SAMUEL MOORE PKWY,,MOORESVILLE,IN,461581467,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,19.294285714,5.76,4.1392857143,3.5421428571
1063414662,MCELROY,PATRICIA,L,N.P.,F,I,808 N SAMUEL MOORE PKWY,,MOORESVILLE,IN,461581467,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,105.01636364,82.335454545,82.335454545
1063414662,MCELROY,PATRICIA,L,N.P.,F,I,808 N SAMUEL MOORE PKWY,,MOORESVILLE,IN,461581467,US,Nurse Practitioner,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,584.55,168.70736842,131.17947368,123.43736842
1063414662,MCELROY,PATRICIA,L,N.P.,F,I,808 N SAMUEL MOORE PKWY,,MOORESVILLE,IN,461581467,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,117.85714286,33,25.87,25.87
1063414696,SAYED,LUAY,,MD,M,I,49050 SCHOENHERR RD STE 100,,SHELBY TOWNSHIP,MI,483153848,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,35.63,27.93,29.51
1063414787,SHEIKH,TANVEER,A,MD,M,I,801 MEADOWS RD,STE 105,BOCA RATON,FL,334862346,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,36.337142857,8.32,5.5892857143,5.5892857143
1063414787,SHEIKH,TANVEER,A,MD,M,I,801 MEADOWS RD,STE 105,BOCA RATON,FL,334862346,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,519.51,90.01,61.74875,48.87875
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,44,44,93.999545455,38,25.39,26.022045455
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A4624,"Tracheal suction catheter, any type other than closed system, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,750,2.886,2.6576,2.0835333333,2.30496
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,391,7.2574936061,5.23,4.1003324808,4.1003324808
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,252.63733333,90.23,58.840333333,56.621666667
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,11,39,73,94.578082192,34,21.609726027,21.014794521
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,20,109,39.059724771,15.58,11.092018349,10.80293578
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,166.02033333,55,39.862666667,39.637
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,30,30,58.736333333,18.15,13.083,12.926666667
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,56.809230769,12.51,9.81,9.12
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,67,284,9.8992253521,2,1.4631690141,1.4841549296
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,32.135909091,12.995454545,9.0077272727,9.1554545455
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,273,14.233150183,4.99,3.9121611722,4.1555677656
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,5175,1.32,0.3,0.2351884058,0.2430434783
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,63.24,17.756060606,13.111515152,13.136969697
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,11,17,535.10176471,80.824117647,59.712352941,59.138823529
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,25,35,55.07,14,10.666285714,10.280571429
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,36,36,50.324444444,5.8266666667,4.1691666667,3.2538888889
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,34,45,256.95111111,36.58,28.122666667,26.769333333
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,128,128,461.850625,77.5,56.630234375,51.864765625
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,250,36.26,27.593823529,28.491176471
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,13.94,11.117928571,8.5525714286,8.5525714286
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,39,4435,0.2236798196,0.046,0.0329718151,0.0329718151
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,930,12.37588172,3.0745483871,2.3303978495,2.3303978495
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,70,36.898461538,26.743076923,27.260769231
1063414829,QAYYUM,AZMAT,,MD,M,I,5131 LIBERTY AVE,,PITTSBURGH,PA,152242217,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,76.676470588,33,24.348235294,24.348235294
1063414878,BACH,LEANN,G,PA-C,F,I,601 W 5TH AVE,SUITE 400,SPOKANE,WA,992042715,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,90,9.566,2.02,1.4915555556,1.4998888889
1063414878,BACH,LEANN,G,PA-C,F,I,601 W 5TH AVE,SUITE 400,SPOKANE,WA,992042715,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,597.556875,65.7,44.560625,47.881875
1063414894,SCHERER,MAGDALENA,,MD,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Hospitalist,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,116,36.016465517,13.13,10.29362069,10.29362069
1063414894,SCHERER,MAGDALENA,,MD,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Hospitalist,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,79,300,207.75,162.87594937,162.87594937
1063414894,SCHERER,MAGDALENA,,MD,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Hospitalist,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,79,20,9.35,7.33,7.33
1063414894,SCHERER,MAGDALENA,,MD,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Hospitalist,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,79,60,29.22,22.908607595,22.908607595
1063414894,SCHERER,MAGDALENA,,MD,F,I,789 CENTRAL AVE,,DOVER,NH,038202526,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,458.58642857,78.98,53.074285714,46.902857143
1063414969,IMANI,JAHAN,,MD,M,I,5315 ADAMS AVE PKWY,STE A,WASHINGTON TERRACE,UT,844054766,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2000,986.58,773.47,773.47
1063414985,JAIN,MAHENDRA,G,M.D.,M,I,8520 BROADWAY ST,SUITE 200,PEARLAND,TX,775847716,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,27,56,170,71.472470588,8.32,5.4475294118,5.4475294118
1063414985,JAIN,MAHENDRA,G,M.D.,M,I,8520 BROADWAY ST,SUITE 200,PEARLAND,TX,775847716,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,23,35,12.683428571,1.42,0.9891428571,0.9891428571
1063415016,BROOKS,D,H,M.D,M,I,3672 MARATHON CIR,SUITE 200,AUSTELL,GA,301066821,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,4,20,20,20,176.5045,47.7365,37.424,36.46
1063415016,BROOKS,D,H,M.D,M,I,3672 MARATHON CIR,SUITE 200,AUSTELL,GA,301066821,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,21,211.52380952,117.67,81.033809524,91.04
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,59,214,426,48.713169014,8.32,5.7586619718,5.7586619718
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,18,18,16.046111111,3.38,2.65,2.65
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,19.083333333,2.12,1.67,1.67
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,36,85,92,12.637173913,1.42,1.0704347826,1.0704347826
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1535,2.4,2.03,1.5915309446,1.5984560261
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,19,19,14.896,15.154666667
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,456,3.4439473684,2.91,2.2814473684,2.2814473684
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,7.6316666667,6.44,5.0483333333,5.0483333333
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1250,0.4112,0.27,0.211696,0.211696
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,12,35,5.5942857143,1.9445714286,1.5254285714,1.1517142857
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,51.036666667,21.51,16.024166667,9.2883333333
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,32.83,16.083333333,11.107619048,8.4619047619
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,39,39,168.55,71.864358974,56.344102564,38.858717949
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,41,42,36.483571429,22.97,18.006666667,14.709761905
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,21,141,142,26.328661972,7.6122535211,5.4720422535,3.426056338
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,32.875,19.254166667,15.0925,13.083333333
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,34.92,13.509090909,9.5081818182,8.0827272727
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,33,52.14,12.972727273,9.1663636364,7.5572727273
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,503.36363636,217.88545455,169.10454545,169.10454545
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,70,71,259.52450704,96.241971831,74.613521127,61.517183099
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,14,121.42857143,37.607142857,27.135,27.390714286
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,2160,1.2016111111,0.7405,0.5314907407,0.5314907407
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,4120,4.7538106796,1.2803495146,0.9992572816,0.9992572816
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,19,47,10622,0.2892120128,0.0464131049,0.031892299,0.031892299
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,28,2910,1.314838488,0.1310206186,0.0905532646,0.0905532646
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,764,1.760065445,0.2192146597,0.1651701571,0.1651701571
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,43,45,58.633333333,26.188888889,18.931555556,13.855333333
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,26.38,10.413333333,7.0183333333,5.36625
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,24,24,17.251666667,17.251666667
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,16,16,12.54,12.54
1063415081,BIXLER,FRANK,A,M.D.,M,I,15 YARBROUGH ST,,HAZLEHURST,GA,315396341,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,23,68,68,72.308823529,33,22.217941176,22.217941176
1063415115,SCHMIDT,KRISTIN,,PA-C,F,I,145 HOLLIS STREET,,MANCHESTER,NH,031011235,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,59,133,65.479774436,8.32,4.8647368421,4.8647368421
1063415115,SCHMIDT,KRISTIN,,PA-C,F,I,145 HOLLIS STREET,,MANCHESTER,NH,031011235,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,14.943157895,3.38,1.7073684211,1.7073684211
1063415115,SCHMIDT,KRISTIN,,PA-C,F,I,145 HOLLIS STREET,,MANCHESTER,NH,031011235,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,34,39,14.521538462,1.42,0.858974359,0.858974359
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,40,112,291,63.899278351,8.32,5.8754982818,5.8754982818
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,15,3.38,2.4461538462,2.4461538462
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,34,56,14.880178571,1.42,1.0767857143,1.0767857143
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,12,31,31,319.78064516,101.31967742,69.907741935,60.613870968
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,12,31,75,115.48146667,39.829066667,29.076933333,24.313733333
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,11,50,56.03,15.58,12.214,11.8936
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,157.74066667,55.97,38.029333333,37.145333333
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,27,27,61.041111111,19.974444444,14.53962963,13.348148148
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,37,37,62.872432432,14.54972973,10.422162162,8.2989189189
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,47,266,8.4268045113,2.4894736842,1.897593985,1.5791729323
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,13,15,15,37.888,13.984,10.279333333,9.8386666667
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,7694,2.6113919938,0.32,0.2465154666,0.239231869
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,12,12,122.19666667,61.509166667,41.700833333,30.221666667
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,63,66,67.216818182,19.25030303,13.92030303,12.809090909
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,38,38,26.798421053,7.8715789474,5.7534210526,3.9005263158
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,46,46,151.3926087,44.29826087,33.315869565,28.743913043
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,82,85,331.722,93.705647059,67.681647059,55.145882353
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1650,1.9654424242,0.1347818182,0.0957636364,0.0957636364
1063415131,LUPLOW,ROLLAND,E,MD,M,I,758 HIGHWAY 46 S,,DICKSON,TN,370552556,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,36.413793103,33,24.085862069,24.085862069
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,28,70,160,67.62225,8.32,6.2776875,6.2776875
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,2.65,2.65
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,28,45,16.089111111,1.42,1.1137777778,1.1137777778
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,68,6.7694117647,6.44,4.9460294118,4.9460294118
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,26,500,5.6108,5.54,4.34346,4.34346
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,730,2.06,1.95,1.5288356164,1.5288356164
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,850,0.27,0.27,0.2116,0.2116
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,18,18,75,46.719444444,36.63,31.153333333
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,500,0.276,0.27,0.2116,0.2116
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,25,150.9512,40.2036,30.35,24.7508
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,16,29,30,17.569655172,13.774827586,12.275172414
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,136.615,66.539166667,51.580833333,42.271666667
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,19,19,43.564210526,22.057894737,16.572631579,13.349473684
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,15,53,128,6.449921875,2.69015625,2.008203125,1.51421875
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,11,84,85,15,7.3130588235,5.3758823529,3.2774117647
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,59,59,264.14338983,43.139661017,30.371355932,22.038644068
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,35,6045,1.1631861042,0.046560794,0.0279387924,0.0279387924
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,29,60,33.722068966,26.43862069,16.475517241
1063415149,MAREK,BOBBY,W,MD,M,I,600 NORTH PARK ST,,BRENHAM,TX,778332610,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,33,33,22.065588235,22.065588235
1063415156,COSTELLO,DANIEL,G,PA,M,I,1526 COLE BLVD STE 300,,LAKEWOOD,CO,804013410,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,66.925714286,8.32,6.5207142857,6.5207142857
1063415156,COSTELLO,DANIEL,G,PA,M,I,1526 COLE BLVD STE 300,,LAKEWOOD,CO,804013410,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,16,19.341875,4.355,3.41,3.66
1063415156,COSTELLO,DANIEL,G,PA,M,I,1526 COLE BLVD STE 300,,LAKEWOOD,CO,804013410,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,610.74181818,75.497878788,57.51030303,53.47969697
1063415156,COSTELLO,DANIEL,G,PA,M,I,1526 COLE BLVD STE 300,,LAKEWOOD,CO,804013410,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,19,161.53684211,39.157894737,29.068421053,27.956842105
1063415164,YASEEN,SAMEER,A,M.D.,M,I,501 SW 7TH ST,STE A,DES MOINES,IA,503094538,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,80,7440,4.9202903226,0.5673870968,0.4164556452,0.4164516129
1063415164,YASEEN,SAMEER,A,M.D.,M,I,501 SW 7TH ST,STE A,DES MOINES,IA,503094538,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,3450,0.1017362319,0.013173913,0.0098608696,0.0098608696
1063415164,YASEEN,SAMEER,A,M.D.,M,I,501 SW 7TH ST,STE A,DES MOINES,IA,503094538,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,6960,4.0209741379,1.3551034483,1.0623922414,1.0623922414
1063415164,YASEEN,SAMEER,A,M.D.,M,I,501 SW 7TH ST,STE A,DES MOINES,IA,503094538,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,67,12360,5.0316957929,2.827592233,2.1937419094,2.1937419094
1063415164,YASEEN,SAMEER,A,M.D.,M,I,501 SW 7TH ST,STE A,DES MOINES,IA,503094538,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,11,89,89,24,24,18.608539326,18.608539326
1063415164,YASEEN,SAMEER,A,M.D.,M,I,501 SW 7TH ST,STE A,DES MOINES,IA,503094538,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,102,119,16.067226891,16,12.118655462,12.118655462
1063415180,WHITE,KELLY,G,PA-C,F,I,605B MEDICAL CENTER DR,,ALEXANDRIA,LA,713018127,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,1008,39.073333333,5.4863095238,4.1589384921,4.1589384921
1063415180,WHITE,KELLY,G,PA-C,F,I,605B MEDICAL CENTER DR,,ALEXANDRIA,LA,713018127,US,Physician Assistant,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,15,31,58.356451613,36.28,22.475483871,24.893870968
1063415180,WHITE,KELLY,G,PA-C,F,I,605B MEDICAL CENTER DR,,ALEXANDRIA,LA,713018127,US,Physician Assistant,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,48,16,12.54,12.54
1063415271,CROMWELL,DAVID,M,M.D.,M,I,10751 FALLS RD STE 401,,LUTHERVILLE,MD,21093,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,444,72.711261261,2.9776576577,2.1862162162,2.1924099099
1063415271,CROMWELL,DAVID,M,M.D.,M,I,10751 FALLS RD STE 401,,LUTHERVILLE,MD,21093,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,22,12143,1.5035748991,0.301544923,0.218206374,0.2215828049
1063415289,ROTHEN,ROBERTA,L,M.D.,F,I,13 WESTERN MARYLAND PARKWAY,STE 104,HAGERSTOWN,MD,217405146,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,29,132,89.38,64.783448276,72.697931034
1063415289,ROTHEN,ROBERTA,L,M.D.,F,I,13 WESTERN MARYLAND PARKWAY,STE 104,HAGERSTOWN,MD,217405146,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,32,35,204,138.47,105.92228571,99.871714286
1063415289,ROTHEN,ROBERTA,L,M.D.,F,I,13 WESTERN MARYLAND PARKWAY,STE 104,HAGERSTOWN,MD,217405146,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,125,84.6,60.3,57.363636364
1063415289,ROTHEN,ROBERTA,L,M.D.,F,I,13 WESTERN MARYLAND PARKWAY,STE 104,HAGERSTOWN,MD,217405146,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,33,33,33,178,120.62,91.704242424,84.829090909
1063415289,ROTHEN,ROBERTA,L,M.D.,F,I,13 WESTERN MARYLAND PARKWAY,STE 104,HAGERSTOWN,MD,217405146,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,126.33333333,59.74,46.83,46.34
1063415289,ROTHEN,ROBERTA,L,M.D.,F,I,13 WESTERN MARYLAND PARKWAY,STE 104,HAGERSTOWN,MD,217405146,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,411,279.25,205.88727273,205.84727273
1063415339,PFEIFFER,RALPH,B,M.D.,M,I,171 MOBILE INFIRMARY BLVD,,MOBILE,AL,366073509,US,Physician/Vascular Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,61,49.512459016,8.9278688525,6.9995081967,6.6026229508
1063415354,BAILEY,JOHN,D,D.O.,M,I,1701 N ELSON ST,,KIRKSVILLE,MO,635011141,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,200,71.218461538,55.838461538,39.79
1063415354,BAILEY,JOHN,D,D.O.,M,I,1701 N ELSON ST,,KIRKSVILLE,MO,635011141,US,Physician/Orthopedic Surgery,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.2181818182,5.2181818182,3.0727272727
1063415354,BAILEY,JOHN,D,D.O.,M,I,1701 N ELSON ST,,KIRKSVILLE,MO,635011141,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,15,834,551.74,422.99533333,471.056
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,27,70,201,48.764626866,8.32,6.3282089552,6.3282089552
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,,18,18,9.5777777778,3.38,2.65,2.65
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,22,44,77,13.196883117,1.42,1.114025974,1.114025974
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,13,13,66.81,37.29,26.981538462,28.265384615
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,183.58,89.62,63.881818182,61.791818182
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,11,20,51,80.103529412,34.52,26.60627451,25.528039216
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,11,22,118,44.954576271,19.42,14.581101695,13.935254237
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,14,26,26,128.01115385,57.02,41.573846154,39.795
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,22,22,34.875454545,17.25,13.411818182,13.927272727
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,18,36,36,37.871388889,12.61,9.0658333333,8.3813888889
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,26,44,263,5.1090114068,2.22,1.5826996198,1.4512927757
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,17,20,20,25.419,13,8.2625,8.388
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,76,76,38.48,17.63,13.456315789,13.177763158
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,22.307692308,6.0815384615,4.1726923077,3.0330769231
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,103,103,254.50524272,76.916699029,56.413398058,51.936601942
1063415545,KHAN,ANILA,I,M.D.,F,I,2700 TIBBETS DR,SUITE# 408,BEDFORD,TX,760225928,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,106.55130435,30.769130435,22.885217391,21.465217391
1063415610,LUONG,BINH,L,C.R.N.P.,F,I,930 WASHINGTON AVE,,PHILADELPHIA,PA,191473840,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,24,36,424.42694444,8.32,3.9758333333,3.9758333333
1063415610,LUONG,BINH,L,C.R.N.P.,F,I,930 WASHINGTON AVE,,PHILADELPHIA,PA,191473840,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,49.6985,1.42,0.448,0.448
1063415644,WHITTEN-BAILEY,RON,,NP-C,M,I,8656 W GAGE BLVD STE 202,,KENNEWICK,WA,993367145,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,22,25,25,105.3172,47.6744,37.3816,32.868
1063415644,WHITTEN-BAILEY,RON,,NP-C,M,I,8656 W GAGE BLVD STE 202,,KENNEWICK,WA,993367145,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,11,13,63,59.476984127,28.142063492,22.063015873,16.81952381
1063415644,WHITTEN-BAILEY,RON,,NP-C,M,I,8656 W GAGE BLVD STE 202,,KENNEWICK,WA,993367145,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,14,16,16,166.630625,78.9625,61.9025,50.860625
1063415644,WHITTEN-BAILEY,RON,,NP-C,M,I,8656 W GAGE BLVD STE 202,,KENNEWICK,WA,993367145,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,60.515294118,24.665882353,19.336470588,15.630588235
1063415644,WHITTEN-BAILEY,RON,,NP-C,M,I,8656 W GAGE BLVD STE 202,,KENNEWICK,WA,993367145,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,21,25,114,7.895,3.0884210526,2.4221052632,1.9494736842
1063415644,WHITTEN-BAILEY,RON,,NP-C,M,I,8656 W GAGE BLVD STE 202,,KENNEWICK,WA,993367145,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,415.0925,121.592,95.3275,83.8595
1063415651,CHUDZIK,SUSAN,L,CRNP,F,I,4735 OGLETOWN STANTON RD,MAPII SUITE 2123,NEWARK,DE,197132072,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,1074.31,842.26,842.26
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,21,49,71.626122449,8.32,6.3097959184,6.3097959184
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,34,7.63,6.44,4.4538235294,4.4538235294
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,52.97,38.069166667,38.330833333
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,100,48,37.63,37.63
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,12,232.35,48,34.494166667,34.494166667
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1498,0.9531241656,0.1339919893,0.097823765,0.097823765
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,12.86,3.003,2.2134479167,2.2134479167
1063415677,MOAK,BARRY,L,M.D.,M,I,1101 N 19TH ST,STE 116,ABILENE,TX,796012323,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,27,121,33,22.037407407,22.037407407
1063415719,COHEN,RONALD,B,M.D.,M,I,1010 NORTHERN BLVD,STE 110,GREAT NECK,NY,110215306,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,17,55,57.771090909,8.32,6.2207272727,6.2207272727
1063415719,COHEN,RONALD,B,M.D.,M,I,1010 NORTHERN BLVD,STE 110,GREAT NECK,NY,110215306,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,22,17.979545455,1.42,0.9109090909,0.9109090909
1063415735,MILAM,MARY,,MD,F,I,1307 8TH AVE,SUITE 205,FORT WORTH,TX,761044137,US,Physician/Medical Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,2400,11.253645833,0.9145,0.6571958333,0.6571958333
1063415735,MILAM,MARY,,MD,F,I,1307 8TH AVE,SUITE 205,FORT WORTH,TX,761044137,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,43,60.681860465,36.28,28.44372093,30.374883721
1063415735,MILAM,MARY,,MD,F,I,1307 8TH AVE,SUITE 205,FORT WORTH,TX,761044137,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1063415818,MCCOY,TIMOTHY,,PA-C,M,I,2109 HUGHES DR,STE 720,TOLEDO,OH,436065110,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,11,39,94.607179487,8.32,6.5217948718,6.5217948718
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,25,72,160,60.01375,8.32,5.28425,5.28425
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,22,28,15.379642857,1.42,0.9971428571,0.9971428571
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,528,0.3190909091,0.13,0.101969697,0.101969697
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,240.2525,69.635833333,54.595833333,41.150833333
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,64.23173913,22.884347826,17.939565217,15.805217391
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,23,23,232.35,53.32,41.81,41.81
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,48.31,37.88,37.63
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,48,48,494.96208333,99.231666667,77.005,63.535833333
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,37.44,29.35,29.496666667
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,15,2490,0.5904136546,0.0447550201,0.0303092369,0.0303092369
1063415859,ADKINS,CATHERINE,A,MD,F,I,800 GRAND CENTRAL MALL,SUITE 4,VIENNA,WV,261054131,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,24,24,38.125,33,20.888333333,20.888333333
1063416089,PANUS,LESLIE,W,M.D.,F,I,107 WOODLAWN DR,,JOHNSON CITY,TN,376045978,US,Internal Medicine,T,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,16,16,11.495,11.495
1063416337,KINSLER,DAVID,A,M.D.,M,I,426 W MAIN ST,,SALEM,VA,241533610,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,16,63,63,63,80.81984127,59.301428571,45.749206349,51.007777778
1063416337,KINSLER,DAVID,A,M.D.,M,I,426 W MAIN ST,,SALEM,VA,241533610,US,Physician/Ophthalmology,S,V2200,"Sphere, bifocal, plano to plus or minus 4.00d, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,16,71.20125,63.87125,43.825625,37.775
1063416337,KINSLER,DAVID,A,M.D.,M,I,426 W MAIN ST,,SALEM,VA,241533610,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,11,79,79,116,64.916724138,63.244310345,48.589827586,43.283103448
1063416337,KINSLER,DAVID,A,M.D.,M,I,426 W MAIN ST,,SALEM,VA,241533610,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,35,36,64,95.330625,69.913125,53.9540625,53.15984375
1063416337,KINSLER,DAVID,A,M.D.,M,I,426 W MAIN ST,,SALEM,VA,241533610,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,75,76,123,17.491707317,15.953821138,12.209105691,13.518130081
1063416394,AHN,PETER,B,MD,M,I,9255 ATLANTIC DR SW,,CEDAR RAPIDS,IA,524048950,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,43,93,60.353978495,8.32,5.3934408602,5.3934408602
1063416394,AHN,PETER,B,MD,M,I,9255 ATLANTIC DR SW,,CEDAR RAPIDS,IA,524048950,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,14,15.087857143,1.42,1.1178571429,1.1178571429
1063416394,AHN,PETER,B,MD,M,I,9255 ATLANTIC DR SW,,CEDAR RAPIDS,IA,524048950,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,66.030769231,17.94,14.06,14.06
1063416394,AHN,PETER,B,MD,M,I,9255 ATLANTIC DR SW,,CEDAR RAPIDS,IA,524048950,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,15,15,61.846666667,11.08,7.5226666667,7.9773333333
1063416394,AHN,PETER,B,MD,M,I,9255 ATLANTIC DR SW,,CEDAR RAPIDS,IA,524048950,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,62,7.6783870968,1.99,1.3559677419,1.3882258065
1063416394,AHN,PETER,B,MD,M,I,9255 ATLANTIC DR SW,,CEDAR RAPIDS,IA,524048950,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,26,26,262.55192308,32.736153846,23.578461538,23.683076923
1063416501,DAVIS,WILLIAM,L,MD,M,I,327 ROUTE 59,,AIRMONT,NY,10952,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,17,335,260.69,204.38,218.89
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,13,45,581,60.106643718,19.634234079,15.166282272,15.166282272
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,13,49,1615,8.9935232198,2.6313312693,1.9660804954,1.9660804954
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,3.0907692308,0.51,0.3692307692,0.3692307692
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,80,151,345,1578,69.04103929,8.3191761724,6.1423954373,6.1430418251
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,21,42,42,14.36452381,3.38,2.65,2.65
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,20,26,26,20.789230769,2.12,1.6257692308,1.6257692308
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,33,56,110,249,14.31497992,1.42,1.0824899598,1.0824899598
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,18,18,36,83.274444444,71.398888889,55.978888889,56.105
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,14,14,14,39.902857143,38.899285714,27.701428571,51.247142857
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,744.67043478,344.09282609,266.64826087,266.64826087
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,32,4970,13.804973843,9.9934185111,7.805971831,7.805971831
1063416535,SEGEL,SCOTT,A,M.D.,M,I,915 W MONROE ST,STE 200,JACKSONVILLE,FL,322041177,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,5,13,103,106,300.68603774,251.03273585,194.88226415,194.94254717
1063416568,JOYCE,THOMAS,J,D.O.,M,I,161 HEMPSTEAD TPKE,"LONG ISLAND FQHC, INC.",ELMONT,NY,110031432,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,34,119,71.095546218,8.32,4.9878991597,4.9878991597
1063416568,JOYCE,THOMAS,J,D.O.,M,I,161 HEMPSTEAD TPKE,"LONG ISLAND FQHC, INC.",ELMONT,NY,110031432,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,26,18.619615385,1.42,0.8115384615,0.8115384615
1063416576,HUNTER,RONALD,W,MD,M,I,301 MED TECH PKWY STE 120,,JOHNSON CITY,TN,37604,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60.84,17.29,12.318181818,12.3
1063416576,HUNTER,RONALD,W,MD,M,I,301 MED TECH PKWY STE 120,,JOHNSON CITY,TN,37604,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,23,496.05782609,70.23,50.272173913,49.976521739
1063416642,JUDGE,SUTINDERPAL,S,M.D.,M,I,2550 NILES RD,,SAINT JOSEPH,MI,49085,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,17.9,4.77,3.745,3.5825
1063416642,JUDGE,SUTINDERPAL,S,M.D.,M,I,2550 NILES RD,,SAINT JOSEPH,MI,49085,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,519.51,69.398,52.525666667,52.846
1063416642,JUDGE,SUTINDERPAL,S,M.D.,M,I,2550 NILES RD,,SAINT JOSEPH,MI,49085,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,19.9415,9.6325,7.3526111111,7.3526111111
1063416642,JUDGE,SUTINDERPAL,S,M.D.,M,I,2550 NILES RD,,SAINT JOSEPH,MI,49085,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,1260,11.05418254,3.066,2.4037380952,2.4037380952
1063416642,JUDGE,SUTINDERPAL,S,M.D.,M,I,2550 NILES RD,,SAINT JOSEPH,MI,49085,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,91.034482759,33,24.085862069,24.085862069
1063416733,NOFTZ,JEFFREY,B,M.D.,M,I,1069 KLOTZ RD STE A,,BOWLING GREEN,OH,434024832,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,44,144,302,60.014337748,8.2913907285,5.5357615894,5.5600662252
1063416733,NOFTZ,JEFFREY,B,M.D.,M,I,1069 KLOTZ RD STE A,,BOWLING GREEN,OH,434024832,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,25,52,75,9.2309333333,1.4088,0.9381333333,0.9490666667
1063416733,NOFTZ,JEFFREY,B,M.D.,M,I,1069 KLOTZ RD STE A,,BOWLING GREEN,OH,434024832,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,341.58,70.04,46.295294118,46.178823529
1063416733,NOFTZ,JEFFREY,B,M.D.,M,I,1069 KLOTZ RD STE A,,BOWLING GREEN,OH,434024832,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,58.995384615,21.013846154,16.479230769,14.630769231
1063416733,NOFTZ,JEFFREY,B,M.D.,M,I,1069 KLOTZ RD STE A,,BOWLING GREEN,OH,434024832,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,52.25,35.56,22.96,24.278823529
1063416766,KISER,GALEN,,DO,M,I,11631 HIGHWAY 101,,LEXINGTON,AL,356483249,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,34,84,34.364880952,8.32,6.0391666667,6.0391666667
1063416766,KISER,GALEN,,DO,M,I,11631 HIGHWAY 101,,LEXINGTON,AL,356483249,US,Physician/Emergency Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,10.023333333,3.38,2.2083333333,2.2083333333
1063416766,KISER,GALEN,,DO,M,I,11631 HIGHWAY 101,,LEXINGTON,AL,356483249,US,Physician/Emergency Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,48.31,34.436363636,34.209090909
1063416766,KISER,GALEN,,DO,M,I,11631 HIGHWAY 101,,LEXINGTON,AL,356483249,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,70.23,50.8325,50.521666667
1063416857,STROSAHL,AMANDA,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,31,85,65.634941176,8.32,6.3690588235,6.3690588235
1063416857,STROSAHL,AMANDA,L,MD,F,I,1836 SOUTH AVE,,LA CROSSE,WI,546015429,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,25,14.9144,1.42,1.1136,1.1136
1063416964,HALLEGUA,DAVID,S,M.D.,M,I,8641 WILSHIRE BOULEVARD,STE 301,BEVERLY HILLS,CA,902112921,US,Physician/Rheumatology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,58,8.1844827586,2.4344827586,1.9087931034,1.5922413793
1063416964,HALLEGUA,DAVID,S,M.D.,M,I,8641 WILSHIRE BOULEVARD,STE 301,BEVERLY HILLS,CA,902112921,US,Physician/Rheumatology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,184.408,31.82,24.948,24.936
1063416964,HALLEGUA,DAVID,S,M.D.,M,I,8641 WILSHIRE BOULEVARD,STE 301,BEVERLY HILLS,CA,902112921,US,Physician/Rheumatology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,104.56631579,34.409473684,26.976842105,21.01
1063417087,WAHL,JEFFRY,R,M.D.,M,I,835 EDMUND ST,,HARMONY,PA,160379109,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,28,70,65.578714286,8.32,5.7755714286,5.7755714286
1063417087,WAHL,JEFFRY,R,M.D.,M,I,835 EDMUND ST,,HARMONY,PA,160379109,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,16,86.31,19.30125,15.13375,13.9125
1063417087,WAHL,JEFFRY,R,M.D.,M,I,835 EDMUND ST,,HARMONY,PA,160379109,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,5.4263636364,4.2563636364,3.5581818182
1063417087,WAHL,JEFFRY,R,M.D.,M,I,835 EDMUND ST,,HARMONY,PA,160379109,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,167.97,41.805555556,32.775555556,26.3
1063417087,WAHL,JEFFRY,R,M.D.,M,I,835 EDMUND ST,,HARMONY,PA,160379109,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,22,427.255,77.72,60.934090909,56.770909091
1063417087,WAHL,JEFFRY,R,M.D.,M,I,835 EDMUND ST,,HARMONY,PA,160379109,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,23.67,9.155,6.6233333333,6.1591666667
1063417178,LUPOLD,CHRIS,P,MD,M,I,334 HARTMAN BRIDGE RD,,RONKS,PA,17572,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,52,68.171346154,8.32,6.5230769231,6.5230769231
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,16,34,34,83.542647059,38.109411765,26.375882353,26.924117647
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,8.19,1.34,0.9545454545,1.0568181818
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,18,38,38,217.86421053,87.54,63.594210526,62.908157895
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,14,42,87,77.757126437,33.48,24.782528736,24.463908046
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,13,33,173,58.660982659,18.640924855,13.413699422,13.35716763
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,17,90,41.119,15.58,11.535,11.270777778
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,23,54,54,175.44425926,56.732962963,39.868518519,38.926851852
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,37,49,49,53.147959184,18.038367347,13.852040816,13.78122449
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,55,56,55.984107143,12.618214286,9.04,8.5446428571
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,38,96,463,8.7196328294,2.0081209503,1.4461339093,1.4664362851
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,14,20,20,21.7415,6.2,4.617,4.428
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,24,31,31,28.759032258,13.119032258,8.9683870968,9.0993548387
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,94,96,62.049375,17,12.774583333,12.931979167
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,4,,18,19,136.02473684,47.29,35.118947368,35.686315789
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,50,50,342.411,89.1,68.5608,65.3616
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,28,53.259285714,12.7825,9.6514285714,9.7589285714
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,50,52,40.891538462,5.8561538462,4.2569230769,3.3367307692
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,15,101,103,192.53330097,35.144757282,25.904368932,24.423592233
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,31,196,204,339.94980392,78,59.439656863,55.132794118
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,15.58,9.6325,7.4560555556,7.4560555556
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,19,49,10585,0.2032536608,0.0466046292,0.0336202173,0.0336202173
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,21,72,8832,1.7583990036,0.1334544837,0.0946852355,0.0946852355
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,12.77475,3.0262857143,2.3726309524,2.3726309524
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,810,1.2370123457,0.2194444444,0.1720123457,0.1720123457
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,68,68,76.869117647,36,27.676911765,28.592205882
1063417269,RAMADUGU,ASHOK,,M.D.,M,I,661 E RIVER ST,STE B AND C,ELYRIA,OH,440355901,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,30,108,108,69.666666667,33,23.47462963,23.47462963
1063417327,CIPOLLA,ANTHONY,,MD,M,I,1486 DEER PARK AVE UNIT A,,NORTH BABYLON,NY,117031214,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,25,49,207,50.950772947,8.32,6.3965700483,6.3965700483
1063417327,CIPOLLA,ANTHONY,,MD,M,I,1486 DEER PARK AVE UNIT A,,NORTH BABYLON,NY,117031214,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,11.517333333,3.38,2.65,2.65
1063417327,CIPOLLA,ANTHONY,,MD,M,I,1486 DEER PARK AVE UNIT A,,NORTH BABYLON,NY,117031214,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,15,33,75,13.2952,1.42,1.0832,1.0832
1063417327,CIPOLLA,ANTHONY,,MD,M,I,1486 DEER PARK AVE UNIT A,,NORTH BABYLON,NY,117031214,US,Physician/Internal Medicine,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,205,9.8573170732,9.8573170732,7.727902439,7.73
1063417327,CIPOLLA,ANTHONY,,MD,M,I,1486 DEER PARK AVE UNIT A,,NORTH BABYLON,NY,117031214,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,570,1.9457894737,1.9457894737,1.4245438596,1.4278421053
1063417400,VOIGT,RICHARD,G,M.D.,M,I,2232 HOLIDAY MANOR CTR,,LOUISVILLE,KY,402226431,US,Physician/General Practice,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,350.19,268.616875,206.0575,213.755
1063417657,ABDULLAH,RAIED,,M.D.,M,I,3229 BROADWAY,SUITE 205,GARY,IN,464091036,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,22,63,77.856031746,8.32,5.9128571429,5.9128571429
1063417707,SAMAN,SHAKER,G,MD,M,I,5900 LAKE WRIGHT DR,,NORFOLK,VA,235021866,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,22.4775,17.620833333,15.035
1063417707,SAMAN,SHAKER,G,MD,M,I,5900 LAKE WRIGHT DR,,NORFOLK,VA,235021866,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,519.51,102.61833333,80.455,64.855
1063417707,SAMAN,SHAKER,G,MD,M,I,5900 LAKE WRIGHT DR,,NORFOLK,VA,235021866,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,15,1648,39.801826456,5.4497026699,4.2725667476,4.2725667476
1063417707,SAMAN,SHAKER,G,MD,M,I,5900 LAKE WRIGHT DR,,NORFOLK,VA,235021866,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,12,3126,29.538550864,1.2146513116,0.9522808701,0.9522808701
1063417707,SAMAN,SHAKER,G,MD,M,I,5900 LAKE WRIGHT DR,,NORFOLK,VA,235021866,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,18.82,18.82
1063417707,SAMAN,SHAKER,G,MD,M,I,5900 LAKE WRIGHT DR,,NORFOLK,VA,235021866,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,15,16,16,12.54,12.54
1063417731,BERLAND,DANIEL,W,MD,M,I,1500 EAST MEDICAL CENTER DR,3RD FLOOR TAUBMAN CTR RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,49,39.669183673,8.32,6.1946938776,6.1946938776
1063417731,BERLAND,DANIEL,W,MD,M,I,1500 EAST MEDICAL CENTER DR,3RD FLOOR TAUBMAN CTR RECP B,ANN ARBOR,MI,481095352,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,24,9.5104166667,1.42,1.1133333333,1.1133333333
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,20,31,92,60.772717391,8.32,6.5218478261,6.5218478261
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,15.261538462,3.38,2.65,2.65
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,16,23,15.943043478,1.42,1.1160869565,1.1160869565
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,114.58,43.511818182,31.298181818,27.718181818
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,102,93.300392157,20.57,14.844607843,13.269019608
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,13,29,29,269.5462069,57.296551724,43.462413793,41.378965517
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,86.088235294,18.720588235,13.844705882,13.238823529
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,19,19,85.156315789,12.21,8.0589473684,7.7036842105
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,14,31,173,15.222138728,2.2010404624,1.6442196532,1.5105202312
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,29,29,115.41655172,17.09,12.937931034,13.056206897
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,19,19,232.35,46.58,32.666842105,33.756315789
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,74.078148148,4.21,3.19,3.6314814815
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,220.23272727,32.226363636,21.054545455,21.3
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,84,84,505.3677381,65.7,48.128809524,51.090595238
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,181.05882353,37.64,28.32,28.32
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1200,15.58,9.61695,7.307375,7.307375
1063417772,MATEJA,BRIAN,J,D.O.,M,I,509 E MAIN ST,,ROGUE RIVER,OR,975379674,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,28,28,123,33,25.87,25.87
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,21,59,232,54.925344828,8.32,6.4428448276,6.4428448276
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,30,30,15.166666667,3.38,2.385,2.385
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,24.8,2.12,1.5586666667,1.5586666667
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,14,40,79,14.660379747,1.42,1.0863291139,1.0863291139
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,19,40,8.19,1.5825,1.1825,1.0945
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,96,8.3325,2.04,1.2979166667,1.2936458333
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,104.43076923,30.044615385,21.756923077,21.581538462
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,40,401.07875,77.86825,59.553,54.244
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,149.712,36.83,28.87,29.211333333
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,21,3931,0.1805367591,0.0455889087,0.0343398626,0.0343398626
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,930,0.7706989247,0.131516129,0.0854946237,0.0854946237
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,12.86,3.0352222222,2.2540462963,2.2540462963
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,100,26.945454545,20.144545455,19.657272727
1063417822,ALSTON,THOMAS,,MD,M,I,1400 COLLEGE DR,STE 202,TEXARKANA,TX,755033575,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,39,39,114.6474359,33,24.325128205,24.325128205
1063417830,SHEFFEY,ROBERT,J,DPM,M,I,3260 W 111TH ST,,CHICAGO,IL,60655,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,46,80,71.56,52.446956522,52.446956522
1063417830,SHEFFEY,ROBERT,J,DPM,M,I,3260 W 111TH ST,,CHICAGO,IL,60655,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,135,37.074074074,29.19,22.653481481,22.654962963
1063417830,SHEFFEY,ROBERT,J,DPM,M,I,3260 W 111TH ST,,CHICAGO,IL,60655,US,Podiatry,S,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,32,250,244.52,191.4859375,186.7959375
1063417830,SHEFFEY,ROBERT,J,DPM,M,I,3260 W 111TH ST,,CHICAGO,IL,60655,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,20,37,85,78.81,61.79,68.474324324
1063417830,SHEFFEY,ROBERT,J,DPM,M,I,3260 W 111TH ST,,CHICAGO,IL,60655,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,255,251.28,197,216.62551724
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,23,104,250,36.34864,8.32,5.55644,5.55644
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,33,10.067272727,1.42,0.9793939394,0.9793939394
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,380,20.874736842,9.86,7.7301052632,7.7301052632
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,16,81,12.688888889,3.0204938272,2.3686419753,1.8379012346
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,150,65.029090909,41.296363636,27.291818182
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,17,86.31,22.158823529,16.493529412,12.734117647
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,15,36.05,7.302,5.7233333333,3.83
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,257.82,53.533571429,41.973571429,29.517857143
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,17,519.51,100.18,75.027058824,51.510588235
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,1680,0.6578809524,0.1331785714,0.0946785714,0.0946785714
1063417947,PETERSON,MARGIE,H,MD,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,69.473684211,33,23.146842105,23.146842105
1063417996,REDDY,PRAMOD,A,MD,M,I,45 MOONBOW PLZ,,CORBIN,KY,407018949,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,62,292.72935484,101.03806452,71.806935484,50.503387097
1063417996,REDDY,PRAMOD,A,MD,M,I,45 MOONBOW PLZ,,CORBIN,KY,407018949,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3299,0.2151348894,0.0470475902,0.0335313731,0.0335313731
1063417996,REDDY,PRAMOD,A,MD,M,I,45 MOONBOW PLZ,,CORBIN,KY,407018949,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,12,31,31,3731.9354839,2605.7358065,2042.8967742,2042.8967742
1063417996,REDDY,PRAMOD,A,MD,M,I,45 MOONBOW PLZ,,CORBIN,KY,407018949,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,23.518181818,23.518181818
1063418036,HENDRICKS,GEORGE,D,M.D.,M,I,1201 SUMMIT AVE,,FORT WORTH,TX,761024427,US,Physician/Ophthalmology,S,V2782,"Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,31.363636364,31.363636364,24.588181818,48.715
1063418218,HUDDLESTON,MATTHEW,,MD,M,I,675 MAIN ST,,MIDDLETOWN,CT,064572718,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,18,53,140,72.265142857,8.32,5.2171428571,5.2171428571
1063418218,HUDDLESTON,MATTHEW,,MD,M,I,675 MAIN ST,,MIDDLETOWN,CT,064572718,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,19,27,18.753703704,1.42,0.9096296296,0.9096296296
1063418218,HUDDLESTON,MATTHEW,,MD,M,I,675 MAIN ST,,MIDDLETOWN,CT,064572718,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1560,1.3994358974,0.1384038462,0.1085384615,0.1085384615
1063418218,HUDDLESTON,MATTHEW,,MD,M,I,675 MAIN ST,,MIDDLETOWN,CT,064572718,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,88,33,25.87,25.87
1063418242,ZIMET,SUSAN,,M.D.,F,I,600 E MAIN ST STE 103,,ASPEN,CO,816111991,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,365,72.96,7.4435890411,5.7383835616,4.1516986301
1063418242,ZIMET,SUSAN,,M.D.,F,I,600 E MAIN ST STE 103,,ASPEN,CO,816111991,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5708,0.8319271198,0.401177295,0.2956114226,0.2291976174
1063418242,ZIMET,SUSAN,,M.D.,F,I,600 E MAIN ST STE 103,,ASPEN,CO,816111991,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,139.53285714,44.367142857,32.321428571,23.377142857
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,38,117,322,78.031273292,8.32,5.7437888199,5.7437888199
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,14,24,17.375416667,1.42,0.9758333333,0.9758333333
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,300,8.7253333333,5.74,3.9324,3.9324
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,280,15.217142857,9.86,7.6705357143,7.6705357143
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,203.94,55.344545455,36.213636364,35.810909091
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,16,16,60.16375,18.063125,12.55875,12.4625
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,56.358181818,11.291818182,8.2663636364,8.4845454545
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,15,33,7.5818181818,2.01,1.4451515152,1.4584848485
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,25,77.25,17.2868,13.0116,12.998
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,400,87.326363636,68.462727273,67.208181818
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.77,3.3516666667,3.1925
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,55,55,405.21709091,70.232727273,49.093090909,48.876727273
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,38.68,27.793333333,27.118333333
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,72.291666667,23.205,16.39,12.128888889
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,90.82,30.355454545,23.8,25.046363636
1063418374,AL SHEIKHA,MOUHAMED,W,MD,M,I,200 CODY RD S,,LE CLAIRE,IA,527539579,US,Physician/Nephrology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,23.39,8.7390909091,6.8509090909,6.7181818182
1063418382,PACHALLA,VANI,,M.D.,F,I,2220 LEMP AVE,,SAINT LOUIS,MO,631042700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,30,76,254,63.707992126,8.32,4.7111811024,4.7111811024
1063418382,PACHALLA,VANI,,M.D.,F,I,2220 LEMP AVE,,SAINT LOUIS,MO,631042700,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,14.924736842,3.38,1.2552631579,1.2552631579
1063418382,PACHALLA,VANI,,M.D.,F,I,2220 LEMP AVE,,SAINT LOUIS,MO,631042700,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,24.515,2.12,0.835,0.835
1063418382,PACHALLA,VANI,,M.D.,F,I,2220 LEMP AVE,,SAINT LOUIS,MO,631042700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,26,52,99,14.982323232,1.42,0.7754545455,0.7754545455
1063418382,PACHALLA,VANI,,M.D.,F,I,2220 LEMP AVE,,SAINT LOUIS,MO,631042700,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,941,1.7691923486,0.1376620616,0.0911264612,0.0911264612
1063418382,PACHALLA,VANI,,M.D.,F,I,2220 LEMP AVE,,SAINT LOUIS,MO,631042700,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,33,33,20.696,20.696
1063418457,VENDITTI,THOMAS,,RPA-C,M,I,3768 ST HWY 30,,BROADALBIN,NY,12025,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,26,50.647692308,8.32,6.525,6.525
1063418515,TOLAT,DARSHAN,V,M.D.,M,I,200 RIVER POINTE DR,STE 100,CONROE,TX,773042828,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,35,3660,5.8438879781,0.567,0.4294398907,0.4294398907
1063418515,TOLAT,DARSHAN,V,M.D.,M,I,200 RIVER POINTE DR,STE 100,CONROE,TX,773042828,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,28,5850,0.0630290598,0.013,0.0082649573,0.0082649573
1063418515,TOLAT,DARSHAN,V,M.D.,M,I,200 RIVER POINTE DR,STE 100,CONROE,TX,773042828,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,790,3.4903797468,1.3058734177,0.9181898734,0.9181898734
1063418515,TOLAT,DARSHAN,V,M.D.,M,I,200 RIVER POINTE DR,STE 100,CONROE,TX,773042828,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,2160,5.0391435185,2.7968425926,1.9848425926,1.9848425926
1063418515,TOLAT,DARSHAN,V,M.D.,M,I,200 RIVER POINTE DR,STE 100,CONROE,TX,773042828,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,41,41,24,24,16.499268293,16.499268293
1063418515,TOLAT,DARSHAN,V,M.D.,M,I,200 RIVER POINTE DR,STE 100,CONROE,TX,773042828,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,40,53,16,16,12.049433962,12.049433962
1063418556,BALKISSOON-CASTILLO,SHANTI,,DPM,F,I,7700 MENAUL BLVD NE,STE D,ALBUQUERQUE,NM,871104639,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,31,31,62,97.069032258,71.56,56.009677419,56.002096774
1063418556,BALKISSOON-CASTILLO,SHANTI,,DPM,F,I,7700 MENAUL BLVD NE,STE D,ALBUQUERQUE,NM,871104639,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,27,27,162,42.066666667,29.19,21.949938272,21.950123457
1063418580,PAPPACHEN,STEPHEN,,M.D.,M,I,2625 S FLORIDA AVE,,LAKELAND,FL,338033860,US,Physician/Obstetrics & Gynecology,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,14,155,27.42,23.18,18.173354839,19.100645161
1063418580,PAPPACHEN,STEPHEN,,M.D.,M,I,2625 S FLORIDA AVE,,LAKELAND,FL,338033860,US,Physician/Obstetrics & Gynecology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,14,115,9.1,8.2,6.4287826087,6.4287826087
1063418606,LAMAS,ANA,M,M.D.,F,I,2000 SW 27TH AVE,STE 301,MIAMI,FL,331452546,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,26,26,36.153846154,6.4769230769,4.6076923077,3.3280769231
1063418606,LAMAS,ANA,M,M.D.,F,I,2000 SW 27TH AVE,STE 301,MIAMI,FL,331452546,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,570,102.74749123,41.656333333,32.266035088,32.266035088
1063418606,LAMAS,ANA,M,M.D.,F,I,2000 SW 27TH AVE,STE 301,MIAMI,FL,331452546,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,,20,2239,0.3559044216,0.0471415811,0.0349263064,0.0349263064
1063418606,LAMAS,ANA,M,M.D.,F,I,2000 SW 27TH AVE,STE 301,MIAMI,FL,331452546,US,Physician/Allergy/ Immunology,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,381,3.7719685039,0.2190551181,0.1609711286,0.1609711286
1063418606,LAMAS,ANA,M,M.D.,F,I,2000 SW 27TH AVE,STE 301,MIAMI,FL,331452546,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,13,26,26,33,33,23.88,23.88
1063418622,CURRIN,SAMUEL,M,M.D.,M,I,725 GLENWOOD DR,STE E780,CHATTANOOGA,TN,374041177,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,990,4.35,1.73,1.2984949495,1.5194040404
1063418622,CURRIN,SAMUEL,M,M.D.,M,I,725 GLENWOOD DR,STE E780,CHATTANOOGA,TN,374041177,US,Physician/Urology,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,120,8.531,5.54,4.3430833333,4.3430833333
1063418762,RUIZ,REX,B,MD,M,I,6201 CENTREVILLE RD,STE 100,CENTREVILLE,VA,201212626,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,16,45,107,64.848130841,8.32,5.9130841121,5.9130841121
1063418762,RUIZ,REX,B,MD,M,I,6201 CENTREVILLE RD,STE 100,CENTREVILLE,VA,201212626,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,28,36,13.877777778,1.42,1.0555555556,1.0555555556
1063418762,RUIZ,REX,B,MD,M,I,6201 CENTREVILLE RD,STE 100,CENTREVILLE,VA,201212626,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,23,23,457.70347826,79.84173913,59.871304348,52.685652174
1063418911,HUDSON,TONEY,B,M.D.,M,I,315 N WASHINGTON AVE,STE 165,COOKEVILLE,TN,385012623,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,32,76.0425,8.1125,4.7284375,4.8909375
1063418911,HUDSON,TONEY,B,M.D.,M,I,315 N WASHINGTON AVE,STE 165,COOKEVILLE,TN,385012623,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,21,21,69.6,50.904285714,35.091428571,28.965238095
1063418911,HUDSON,TONEY,B,M.D.,M,I,315 N WASHINGTON AVE,STE 165,COOKEVILLE,TN,385012623,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,124.97647059,76.131764706,54.632941176,42.577058824
1063418911,HUDSON,TONEY,B,M.D.,M,I,315 N WASHINGTON AVE,STE 165,COOKEVILLE,TN,385012623,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,39.862666667,25.393333333,19.891333333,15.112666667
1063418911,HUDSON,TONEY,B,M.D.,M,I,315 N WASHINGTON AVE,STE 165,COOKEVILLE,TN,385012623,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,21,126,5.6385714286,3.26,2.3518253968,1.6554761905
1063418911,HUDSON,TONEY,B,M.D.,M,I,315 N WASHINGTON AVE,STE 165,COOKEVILLE,TN,385012623,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,126.425,54.579791667,40.993125,24.991666667
1063418994,LEBOWITZ,NATHANIEL,E,M.D.,M,I,2200 FLETCHER AVE,,FORT LEE,NJ,070245005,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,14,43,78.85627907,8.32,6.2188372093,6.2188372093
1063418994,LEBOWITZ,NATHANIEL,E,M.D.,M,I,2200 FLETCHER AVE,,FORT LEE,NJ,070245005,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,365,71.5,51.388333333,50.28
1063418994,LEBOWITZ,NATHANIEL,E,M.D.,M,I,2200 FLETCHER AVE,,FORT LEE,NJ,070245005,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,35.5,25.510833333,27.085833333
1063419133,RUBY,KENNETH,E,MD,M,I,30 MEDPARK SQUARE,SUITE 1,SOMERSET,KY,425033812,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,21,5100,0.2860588235,0.13,0.0944921569,0.0944921569
1063419133,RUBY,KENNETH,E,MD,M,I,30 MEDPARK SQUARE,SUITE 1,SOMERSET,KY,425033812,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,12,35,10522,4.0490676677,1.7275289869,1.3198184756,1.5591265919
1063419133,RUBY,KENNETH,E,MD,M,I,30 MEDPARK SQUARE,SUITE 1,SOMERSET,KY,425033812,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,24,12.313333333,6.34,4.97,5.7725
1063419174,FESSEL,STEVEN,E,DPM,M,I,111 MAIN ST,,NANUET,NY,109542884,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,52,52,104,77,71.56,56.105,56.105
1063419174,FESSEL,STEVEN,E,DPM,M,I,111 MAIN ST,,NANUET,NY,109542884,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,52,52,309,35.137864078,29.19,22.885016181,22.886666667
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,11,32,32,146.54875,41.155625,29.314375,27.7275
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,12,35,35,521.12228571,102.00428571,74.706285714,64.223714286
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,13,34,92,193.27130435,38.052391304,28.19326087,24.806847826
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,25,68,346,105.43566474,18.96,13.825317919,13.544624277
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,11,25,134,70.602910448,16.167164179,11.989626866,11.28358209
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,37,91,91,294.43901099,54.604285714,40.101318681,40.102747253
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,46,76,76,93.561710526,19.734210526,14.613684211,13.393815789
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,41.466666667,10.262666667,8.0453333333,8.15
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,40,99,99,102.07969697,12.238787879,9.3428282828,8.9551515152
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,49,129,692,12.975317919,2.1306936416,1.6199132948,1.55
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,24,40,40,33.35975,6.5025,5.09775,4.75375
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,35,50,50,53.1274,13.3042,10.0182,9.976
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,41,46,81.75,13.465,10.310217391,10.247608696
1063419232,SETZEN,GAVIN,,MD,M,I,123 EVERETT RD,,ALBANY,NY,122051407,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,16,101,104,275.79451923,34.585576923,25.710192308,24.236826923
1063419307,FRANKS,HAYDEN,H,M.D.,M,I,2011 MOORES LN,,TEXARKANA,TX,755031841,US,Physician/Dermatology,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,194,219,3300,35.653545455,34.86,27.300939394,27.300939394
1063419307,FRANKS,HAYDEN,H,M.D.,M,I,2011 MOORES LN,,TEXARKANA,TX,755031841,US,Physician/Dermatology,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,194,219,3300,1.1074545455,1.08,0.8466666667,0.8466666667
1063419364,BHULLAR,PARDEEP,S,M.D.,M,I,6327 N FRESNO ST,SUITE 104,FRESNO,CA,937105236,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,36.421428571,3.1592857143,2.0657142857,2.9821428571
1063419364,BHULLAR,PARDEEP,S,M.D.,M,I,6327 N FRESNO ST,SUITE 104,FRESNO,CA,937105236,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,360,71,48.7025,47.88875
1063419364,BHULLAR,PARDEEP,S,M.D.,M,I,6327 N FRESNO ST,SUITE 104,FRESNO,CA,937105236,US,Hospitalist,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,550,35.83,26.231875,27.67375
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,56,176,483,57.147619048,8.32,5.5152173913,5.5152173913
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,27,27,15.777777778,3.38,2.4537037037,2.4537037037
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,29,79,147,18.078503401,1.42,0.9782312925,0.9782312925
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4315,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,29.69,29.04,22.77,23.2375
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,420,2.39,2.27,1.6314047619,1.6314047619
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,2.13,1.9466666667,1.3655555556,1.4405833333
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,17,13.777058824,10.34,8.1011764706,8.5411764706
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,25,7.8124,7.46,4.914,4.914
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,175,8.35,7,5.488,5.488
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,330,3.4643333333,3.04,2.3601818182,2.3601818182
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,800,0.213125,0.13,0.101975,0.101975
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,17,46,4.1308695652,2.0326086957,1.5926086957,1.1813043478
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,11,17,2.2147058824,1.4776470588,1.1582352941,0.9664705882
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,208.72083333,125.30333333,98.236666667,71.333333333
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,15,46,61.87,21.025217391,15.913043478,11.375869565
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,185.98,80.535,63.1375,44.994166667
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,50.553181818,24.864090909,19.493636364,14.72
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,25,25,47.4548,21.4656,16.4264,9.1908
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,44,110,6.8570909091,3.1,2.367,1.5710909091
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,457,6.5396936543,3.6355579869,2.8502625821,2.3676586433
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,22,12.160833333,8.7208333333,6.9541666667
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,172.86384615,67.13,46.715384615,32.521538462
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,92,93,48.119784946,23.160645161,17.995591398,14.355483871
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,26,26,33.96,18.429230769,13.557692308,9.2830769231
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,11,67,67,30.62358209,7.7680597015,5.872238806,3.6474626866
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,54,54,126.13888889,52.975925926,40.898148148,26.441851852
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,147,148,283.92594595,105.87743243,79.149256757,56.887635135
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,80,43.700526316,27.38,23.677368421
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,5444,0.3778232917,0.0464272594,0.0330308597,0.0330308597
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,19,45,5940,1.9440521886,0.1375505051,0.1028097643,0.1028097643
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1380,10.451210145,2.9913478261,2.1639492754,2.1639492754
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,60,31.979230769,25.072307692,17.183076923
1063419414,SHOENTHAL,HENRY,,MD,M,I,4186 CORTLAND DR,,NEW PARIS,PA,155547706,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,19,57,57,38.210526316,33,23.600701754,23.600701754
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,96,183,184,104.88038043,39.48048913,30.357336957,29.972282609
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,72,147,147,343.84653061,89.219863946,66.344557823,64.578843537
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,56,131,328,142.38478659,32.822286585,24.502835366,24.67429878
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,39,84,443,61.656862302,18.452031603,14.296185102,14.444176072
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,32,79,355,55.481774648,15.19428169,11.164394366,11.214929577
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,86,179,179,174.36782123,53.880446927,40.506815642,41.12150838
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,150,204,204,58.610735294,18.183137255,13.794166667,13.642745098
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,13,13,31.455384615,10.11,7.93,8.0823076923
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,62,138,138,72.968405797,12.348695652,9.3419565217,8.9582608696
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,146,353,1718,9.7536379511,2.1051338766,1.5886379511,1.5412223516
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,42,59,59,27.968474576,5.906440678,4.5598305085,4.5784745763
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,82,109,109,44.270917431,12.625321101,9.8311926606,10.203853211
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,67,67,200.52238806,82.074626866,61.379552239,63.471044776
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,35,35,35,254.04114286,133.97371429,105.03142857,104.99285714
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,27,114,126,40.538968254,13.40968254,8.4586507937,8.4375396825
1063419497,VARIPAPA,ROBERT,J,M.D.,M,I,1074 S STATE ST,,DOVER,DE,199016925,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,57,287,302,119.86254967,32.676456954,23.531225166,23.614569536
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,63.493333333,26.47,20.76,22.180833333
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,12,14.706666667,5.54,3.9783333333,3.9783333333
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,13,27.548461538,9.29,6.72,7.9353846154
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,36,1320,8.28,8.28,6.4537348485,6.4537348485
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,756,18.5,18.5,14.124457672,14.124457672
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,234,10.93,10.93,8.5689316239,8.5689316239
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,396,125,3,2.3519444444,2.366489899
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,30,930,275,5.34,4.0908494624,4.0722580645
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,37,20753,3.3662506626,0.3,0.2231706259,0.2300062642
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,3,,15,15,721.66666667,68.911333333,54.028666667,48.32
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,17,17,17,113.64823529,52.062352941,40.817058824,36.46
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,25,25,186,71.5496,56.0968,41.0852
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,32,32,17.871875,6.5853125,4.9928125,3.655625
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,478.28,80.904583333,63.42625,54.42625
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,16,118,118,40.879576271,19.529322034,13.33779661,12.134915254
1063419547,MIDDLETON,HENRY,H,MD,M,I,8208 LOUISIANA BLVD NE,STE C,ALBUQUERQUE,NM,871131757,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,21.388518519,7.18,5.4414814815,6.1637037037
1063419562,AUMILLER,JOHN,S,MD,M,I,1250 BEN ALI DR,,DANVILLE,KY,404228937,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,45.686,21.788,14.490666667,11.126
1063419562,AUMILLER,JOHN,S,MD,M,I,1250 BEN ALI DR,,DANVILLE,KY,404228937,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,56,56,446.09517857,101.2725,72.995714286,51.035714286
1063419562,AUMILLER,JOHN,S,MD,M,I,1250 BEN ALI DR,,DANVILLE,KY,404228937,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,75.43,26.3125,17.4275,10.916666667
1063419604,CARABULEA,GABRIEL,,M.D.,M,I,665 CAMINO DE LOS MARES,STE 208,SAN CLEMENTE,CA,926732859,US,Physician/Hematology-Oncology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,250,37.38,29.3,29.3
1063419604,CARABULEA,GABRIEL,,M.D.,M,I,665 CAMINO DE LOS MARES,STE 208,SAN CLEMENTE,CA,926732859,US,Physician/Hematology-Oncology,S,J9190,"Injection, fluorouracil, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,14,137,37.492773723,1.7154014599,1.3447445255,1.3447445255
1063419695,SUTTON,GRETCHEN,L,P.A.,F,I,209 NW 11TH ST,,FAIRFIELD,IL,628371218,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,18,88,210,63.704619048,8.32,5.9941904762,5.9941904762
1063419695,SUTTON,GRETCHEN,L,P.A.,F,I,209 NW 11TH ST,,FAIRFIELD,IL,628371218,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,28,42,16.305238095,1.42,1.0347619048,1.0347619048
1063419695,SUTTON,GRETCHEN,L,P.A.,F,I,209 NW 11TH ST,,FAIRFIELD,IL,628371218,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,35,35,60.114285714,5.8385714286,3.7471428571,2.7354285714
1063419695,SUTTON,GRETCHEN,L,P.A.,F,I,209 NW 11TH ST,,FAIRFIELD,IL,628371218,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,22,4071,0.2722205846,0.0466322771,0.0238221567,0.0238221567
1063419695,SUTTON,GRETCHEN,L,P.A.,F,I,209 NW 11TH ST,,FAIRFIELD,IL,628371218,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,2700,1.4561333333,0.1319,0.0973518519,0.0973518519
1063419695,SUTTON,GRETCHEN,L,P.A.,F,I,209 NW 11TH ST,,FAIRFIELD,IL,628371218,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,33,33,72,33,18.814545455,18.814545455
1063419745,LEGROS,JIMMY,,NP,M,I,3975 I 49 S SERVICE RD,234,OPELOUSAS,LA,705700775,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,28,58,138,58.399202899,8.32,5.6723913043,5.6723913043
1063419745,LEGROS,JIMMY,,NP,M,I,3975 I 49 S SERVICE RD,234,OPELOUSAS,LA,705700775,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,26,43,16.993488372,1.42,1.0381395349,1.0381395349
1063419745,LEGROS,JIMMY,,NP,M,I,3975 I 49 S SERVICE RD,234,OPELOUSAS,LA,705700775,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,52.54875,19.88375,15.585416667,13.530833333
1063419745,LEGROS,JIMMY,,NP,M,I,3975 I 49 S SERVICE RD,234,OPELOUSAS,LA,705700775,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,37.824285714,6.7814285714,5.3166666667,3.9666666667
1063419745,LEGROS,JIMMY,,NP,M,I,3975 I 49 S SERVICE RD,234,OPELOUSAS,LA,705700775,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,49,50,440.1718,80.2928,61.8488,53.6492
1063419745,LEGROS,JIMMY,,NP,M,I,3975 I 49 S SERVICE RD,234,OPELOUSAS,LA,705700775,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,11,29,6268,0.5170995533,0.045901404,0.0280376516,0.0280376516
1063419745,LEGROS,JIMMY,,NP,M,I,3975 I 49 S SERVICE RD,234,OPELOUSAS,LA,705700775,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,31,31,36.193548387,33,22.531935484,22.531935484
1063419794,PATTERSON,JOHN,M,MD,M,I,101 MEDICAL HEIGHTS DR,,FRANKFORT,KY,406014137,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1500,0.352,0.13,0.0917266667,0.0917266667
1063419794,PATTERSON,JOHN,M,MD,M,I,101 MEDICAL HEIGHTS DR,,FRANKFORT,KY,406014137,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,2820,3.5525531915,1.73,1.3402978723,1.5833191489
1063419869,KURLANSKI,MICHELE,N,DPM,F,I,23 SPRING ST,,SCARBOROUGH,ME,040747701,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,22,44,129.06454545,71.56,48.920454545,48.913409091
1063419869,KURLANSKI,MICHELE,N,DPM,F,I,23 SPRING ST,,SCARBOROUGH,ME,040747701,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,24,24,123,82.152845528,43.56,33.695772358,33.692682927
1063419901,BRUNING,WALTER,O,MD,M,I,11600 MAIN ST,,LOUISVILLE,KY,402431318,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,38,89,67.410674157,8.32,5.6424719101,5.6424719101
1063419901,BRUNING,WALTER,O,MD,M,I,11600 MAIN ST,,LOUISVILLE,KY,402431318,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,62,7.1209677419,1.92,1.3608064516,1.4496774194
1063419901,BRUNING,WALTER,O,MD,M,I,11600 MAIN ST,,LOUISVILLE,KY,402431318,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,39.853333333,16.78,12.054166667,12.4425
1063419901,BRUNING,WALTER,O,MD,M,I,11600 MAIN ST,,LOUISVILLE,KY,402431318,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,164.388,33.578,26.326,26.386
1063419968,KATSAROPOULOS,JOHN,P,MD,M,I,610 N MICHIGAN ST STE 400,,SOUTH BEND,IN,466011081,US,Interventional Cardiology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,48,4.75,2.0491666667,1.5329166667,1.5252083333
1063419968,KATSAROPOULOS,JOHN,P,MD,M,I,610 N MICHIGAN ST STE 400,,SOUTH BEND,IN,466011081,US,Interventional Cardiology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,125,32.886,25.782,25.088
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,61,216,56.677314815,8.32,6.1235648148,6.1235648148
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,29,29,11.092413793,3.38,2.2844827586,2.2844827586
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,19.135,2.12,1.3916666667,1.3916666667
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,17,41,72,14.733472222,1.42,1.0368055556,1.0368055556
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,98.346153846,17.25,13.52,13.535384615
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,35,411.75914286,83.646571429,65.579714286,55.237428571
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,63.38,17.043333333,13.356666667,14.553333333
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,177.08,23.908333333,18.746666667,21.068333333
1063420065,MIRANDA,CRES,P,MD,M,I,3150 N TENAYA WAY,SUITE 320,LAS VEGAS,NV,891280443,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,3750,2608.8527273,2045.3404545,2045.3404545
1063420412,PEREZ-LIMONTE,LEONEL,,M.D.,M,I,2324 W PIERCE STREET,,CARLSBAD,NM,88220,US,Physician/Neurology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,87.801818182,59.61,46.735454545,36.46
1063420412,PEREZ-LIMONTE,LEONEL,,M.D.,M,I,2324 W PIERCE STREET,,CARLSBAD,NM,88220,US,Physician/Neurology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,22.522272727,21.985,16.556818182,12.915
1063420412,PEREZ-LIMONTE,LEONEL,,M.D.,M,I,2324 W PIERCE STREET,,CARLSBAD,NM,88220,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,22,103.33727273,98.933636364,74.849545455,52.242272727
1063420412,PEREZ-LIMONTE,LEONEL,,M.D.,M,I,2324 W PIERCE STREET,,CARLSBAD,NM,88220,US,Physician/Neurology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,46.84,31.336923077,24.568461538,15.444615385
1063420511,LOCHNER,JENNIFER,E,MD,F,I,21 S VINE ST,,BELLEVILLE,WI,535089179,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,26,68,99.302941176,8.32,4.9876470588,4.9876470588
1063420511,LOCHNER,JENNIFER,E,MD,F,I,21 S VINE ST,,BELLEVILLE,WI,535089179,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1434,1.5194769874,0.13486053,0.1057461646,0.1057461646
1063420511,LOCHNER,JENNIFER,E,MD,F,I,21 S VINE ST,,BELLEVILLE,WI,535089179,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,33,33,25.87,25.87
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,51,3780,6.6117592593,2.5840793651,2.0259047619,2.0259047619
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,84,25770,1.6698397361,1.244975553,0.9740279395,0.9740263873
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,93,216,1325,136753,4.5846938641,0.5649865816,0.4317811675,0.4323968761
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,50,6857,0.1225798454,0.0128336007,0.0091483156,0.0091483156
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,46,6180,1.4437152104,0.7280582524,0.5565177994,0.5565177994
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,17,94,16526,4.9982082779,1.2123792811,0.9201428053,0.92014099
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,86,195,1188,194480,4.6619963492,2.8272719046,2.1911420712,2.1911420712
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,16,104,2762,19.098385228,7.4485300507,5.6533997104,5.6533997104
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,Q0510,"Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant",O1E - Other Drugs,Drugs and Nutritional Products,N,8,55,55,55,50,50,39.2,39.2
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,113,231,1320,1320,24.136363636,24,18.488007576,18.488007576
1063420636,MORITZ,MICHAEL,,MD,M,I,1250 S CEDAR CREST BLVD,SUITE 210,ALLENTOWN,PA,181036224,US,Physician/General Surgery,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,104,242,1516,1739,16.025301898,16,12.330914319,12.330914319
1063420669,HOLLISTER,DICKERMAN,,MD,M,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,26,1750,28.486422857,4.7816,3.74876,3.74876
1063420669,HOLLISTER,DICKERMAN,,MD,M,I,77 LAFAYETTE PL,,GREENWICH,CT,068305426,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,24,24,18.82,18.82
1063420750,LEA,DALLAS,A,M.D.,M,I,1400 SPRING ST,SUITE 400,SILVER SPRING,MD,209102735,US,Physician/Physical Medicine and Rehabilitation,S,E1800,"Dynamic adjustable elbow extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,14,107,112,395,105.564375,78.420178571,78.420178571
1063420750,LEA,DALLAS,A,M.D.,M,I,1400 SPRING ST,SUITE 400,SILVER SPRING,MD,209102735,US,Physician/Physical Medicine and Rehabilitation,S,E1805,"Dynamic adjustable wrist extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,17,134,134,395,109.31298507,82.158432836,82.158358209
1063421188,MAGILL,THOMAS,D,MD,M,I,600 LEGACY PLAZA E,,LAPORTE,IN,46350,US,Physician/Orthopedic Surgery,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,185,45.797272727,28.513636364,28.926363636
1063421188,MAGILL,THOMAS,D,MD,M,I,600 LEGACY PLAZA E,,LAPORTE,IN,46350,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,60,17.634210526,8.5768421053,8.2736842105
1063421188,MAGILL,THOMAS,D,MD,M,I,600 LEGACY PLAZA E,,LAPORTE,IN,46350,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,7.9645454545,5.5090909091,5.6145454545
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,A4605,"Tracheal suction catheter, closed system, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,360,17.22,17.22,13.500333333,14.472666667
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,26,3.85,3.85,3.02,3.3038461538
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,4.86,4.86,3.8103333333,4.1003333333
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,36,8.23,8.22,6.4433333333,6.43
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,120,0.684,0.684,0.4913333333,0.4913333333
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,2.42,1.68,1.21,1.0825
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,72,3.54,3.54,2.775,2.9866666667
1063421303,THAMPOE,BASTI,J,M.D.,M,I,7322 SOUTHWEST FWY,SUITE 160,HOUSTON,TX,770742010,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1055.23,1055.23,821.655,834.11375
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,20,46,107,43.763364486,8.32,5.5822429907,5.5822429907
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,15.885,3.38,2.31875,2.31875
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,13,29,38,13.715526316,1.42,1.0563157895,1.0563157895
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,69.4085,21.6895,16.2575,13.1545
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,101,101,370.19277228,99.883366337,74.121980198,54.54960396
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,54,54,125,43.516851852,32.902407407,29.456296296
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,15.58,9.6460666667,7.4141888889,7.4141888889
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,4860,0.4290123457,0.0460329218,0.0282325103,0.0282325103
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9991333333,2.3513444444,2.3513444444
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,1.097745098,0.2186470588,0.1613333333,0.1613333333
1063421428,SCOTT,JOSEPH,D,M.D.,M,I,997 W INTERSTATE 20,FAMILY MEDICAL ASSOCIATES,COLORADO CITY,TX,795122685,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,36,36,74.25,33,22.923333333,22.923333333
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,19,34,70,66.961,8.32,5.684,5.684
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,14,10.043571429,1.42,1.0385714286,1.0385714286
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,13,15,29,7.9355172414,1.6627586207,1.3034482759,1.1503448276
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,182.38,34.933846154,25.726923077,24.256923077
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,12,17,94,15.768510638,2.1131914894,1.5571276596,1.4967021277
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,27,53,53,86.31,21.804339623,17.095471698,15.651698113
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,27,52,52,4354.5715385,1042.4107692,817.25192308,842.26
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,14,81.75,15.808571429,12.394285714,10.48
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,11,21,21,50.73,4.7866666667,3.7542857143,3.4866666667
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,257.82,39.7625,31.173333333,25.6
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,60,130,130,528.16061538,78.79,61.309615385,54.517461538
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,33,33,215.45454545,41.47,31.594848485,28.717575758
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,44,72,4260,15.58,9.429,7.3923333333,7.3923333333
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,21,36,3298,0.1982019406,0.0496391753,0.0389175258,0.0389175258
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,11,17,1080,0.92,0.153,0.1099351852,0.1099351852
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,42,68,4080,12.86,3.061,2.3998333333,2.3998333333
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,29,45,2310,0.75,0.223021645,0.1748354978,0.1748354978
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,40.62,31.85,29.714166667
1063421642,MUELLER,BARTLEY,B,MD,M,I,1301 33RD ST S,,SAINT CLOUD,MN,563019668,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,61,94,94,129.89361702,33,25.867340426,25.867340426
1063421840,SORSCHER,MICHAEL,J,M.D.,M,I,4442 GENESYS PKWY,,GRAND BLANC,MI,484398072,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,89.454615385,45.339230769,35.544615385,36.513846154
1063421840,SORSCHER,MICHAEL,J,M.D.,M,I,4442 GENESYS PKWY,,GRAND BLANC,MI,484398072,US,Physician/Orthopedic Surgery,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,28,7.9828571429,6.2557142857,7.19
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,43,146,395,56.549113924,8.32,5.3049367089,5.3049367089
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,16.405714286,3.38,2.2714285714,2.2714285714
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,22.478181818,2.12,1.3663636364,1.3663636364
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,31,69,122,21.120245902,1.42,0.8673770492,0.8673770492
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.91,4.91,3.8495,3.8495
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A4389,"Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,360,7,7,5.488,5.488
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,53,2609,7.37,6.26,4.9079225757,5.7471023381
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,525,0.27,0.27,0.2116,0.2116
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,432,34.86,34.86,27.330300926,27.330300926
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,16,47,1644,8.3207542579,8.28,6.3534002433,6.3534002433
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,24,683,18.5,18.5,14.50398243,14.50398243
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,20,302,3.79,3.79,2.694205298,2.694205298
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,39,18.29,18.29,14.33974359,14.33974359
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,17,7.5917647059,1.5347058824,1.1358823529,1.09
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,A7521,"Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,52.94,52.94,41.5,41.5
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,20,592,4.8668918919,2.94,2.2786824324,2.3413851351
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,6,34,253,7177,8.4641479727,4.9920496029,3.8911634388,4.0816664344
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,73,24320,0.5411583059,0.3697870066,0.2717105263,0.2718622533
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,11,50,25534,0.6662089763,0.3005428057,0.2262031017,0.2305948931
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,19,150,69305,0.9735239882,0.6241572758,0.4754486689,0.4977920785
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,4,20,114,114,75.580526316,60.807368421,47.675263158,48.085526316
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,166.74615385,46.383846154,32.903076923,34.408461538
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,33,33,86.31,16.97,12.486969697,12.720606061
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,67,67,45.968656716,3.6111940299,2.5132835821,3.3708955224
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,257.82,27.982727273,17.427272727,19.680909091
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,5,32,222,223,6.4865470852,5.1235874439,3.9821076233,3.9335874439
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,744.75,345.2475,270.6725,270.6725
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,14,94,96,11.761041667,10.4475,7.8927083333,8.1620833333
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,35.541818182,22.24,17.43,18.035454545
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,3,18,117,169,11.661360947,9.8498816568,7.2794674556,7.3696449704
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,16,106,108,236.25842593,212.3787963,164.43712963,164.66824074
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,52,52,559.78096154,71.11,51.625576923,50.684038462
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,12,375,36,25.868333333,27.185
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,3087,1.5601068999,0.1339812115,0.1015127956,0.1015127956
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,45,29.301666667,21.528333333,22.785
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,K0040,"Adjustable angle footplate, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,11,11,22,68.604545455,50.89,39.900909091,38.499090909
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,K0070,"Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,29,46,14.609782609,11.198043478,7.04,7.385
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,56,58,8.7132758621,8.6606896552,6.7906896552,6.5365517241
1063421865,SHAMS,FARIBORZ,,D.O.,M,I,515 S BEACH BLVD,STE F,ANAHEIM,CA,928041812,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,33,33,99,33,25.086060606,25.086060606
1063421931,HARMS,MATTHEW,H,M.D.,M,I,325 MAINE ST,,LAWRENCE,KS,660441360,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,32,637.484375,77.4003125,57.25125,51.326875
1063422178,FISHER,MICHAEL,B,MD,M,I,1704 STATE ST,,SANTA BARBARA,CA,931012522,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,1020,4.5834803922,2.6218235294,2.0555098039,2.0555098039
1063422178,FISHER,MICHAEL,B,MD,M,I,1704 STATE ST,,SANTA BARBARA,CA,931012522,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,2460,2.3496707317,0.7423170732,0.5389065041,0.5389065041
1063422178,FISHER,MICHAEL,B,MD,M,I,1704 STATE ST,,SANTA BARBARA,CA,931012522,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,3600,7.7186333333,1.3375,1.0254027778,1.0254027778
1063422178,FISHER,MICHAEL,B,MD,M,I,1704 STATE ST,,SANTA BARBARA,CA,931012522,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,24,24,18.0672,18.0672
1063422178,FISHER,MICHAEL,B,MD,M,I,1704 STATE ST,,SANTA BARBARA,CA,931012522,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,38,38,33.684210526,16,11.88,11.88
1063422459,SATHANANTHAN,AIRANI,,MD,F,I,795 E 2ND ST,SUITE 4,POMONA,CA,917662007,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,18,73,218,70.145,8.32,5.7944036697,5.7944036697
1063422459,SATHANANTHAN,AIRANI,,MD,F,I,795 E 2ND ST,SUITE 4,POMONA,CA,917662007,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,25,29,15.967241379,1.42,0.9255172414,0.9255172414
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,20,57,201,61.150845771,8.32,6.1022885572,6.1022885572
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,14.108,3.38,2.5175,2.5175
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,24,42,13.730714286,1.42,1.085952381,1.085952381
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,40,94.6,8.2,6.43,6.43
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,336,12.4,3.81,2.9870535714,2.9870535714
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,56.79,11.641666667,8.16,7.8016666667
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,18,519.51,79.2,58.640555556,53.733888889
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,26,6058,0.1906850446,0.0459177947,0.0359986794,0.0359986794
1063422558,TREVETT,MILDRED,T,M.D.,F,I,2000 CYPRESS CROSSING DR,,ORLANDO,FL,328378600,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,120.12,33,25.87,25.87
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,40,123,345,63.111565217,8.32,5.7962028986,5.7962028986
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,22,14.732272727,3.38,2.65,2.65
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,24.727272727,2.12,1.67,1.67
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,15,33,57,15.321929825,1.42,1.0557894737,1.0557894737
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,27,27,181.24,48.118888889,33.977777778,28.06
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,580.16714286,114.48428571,77.248571429,56.742142857
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,38,219.55289474,42.557894737,30.630789474,24.431052632
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,20,119,111.7189916,26.59,20.038319328,14.717815126
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,12,20,20,336.042,77.813,58.5685,44.4245
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,17,22,22,109.95590909,25.356818182,19.876363636,15.347272727
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,20,33,180,13.193777778,3.1766666667,2.4366666667,1.6595555556
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,11,13,13,59.846153846,15.446153846,12.105384615,10.34
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,82.08,15.744545455,10.040909091,7.6272727273
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,23.167,18.161,14.2015
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,15,15,232.35,60.062,47.088,39.41
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50.73,8.4223529412,6.1041176471,3.4011764706
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,21,257.82,52.363333333,41.052380952,34.683809524
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,519.51,107.32875,83.035625,56.305625
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1410,0.4048723404,0.1367234043,0.1071985816,0.1071985816
1063422608,LEIGHTON,ALEXANDER,,MD,M,I,555 5TH STREET,SUITE 2,BROOKINGS,OR,97415,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,123.75,33,25.87,25.87
1063422814,SOTO,SYLVIA,,M.D.,F,I,100 S BLISS AVE,,TAHLEQUAH,OK,744642512,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,4.54,3.97,3.1125,3.1125
1063422814,SOTO,SYLVIA,,M.D.,F,I,100 S BLISS AVE,,TAHLEQUAH,OK,744642512,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,48.123636364,23.674545455,18.554545455,9.12
1063422814,SOTO,SYLVIA,,M.D.,F,I,100 S BLISS AVE,,TAHLEQUAH,OK,744642512,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,17,17,100.68,60.646470588,45.119411765,40.128235294
1063422814,SOTO,SYLVIA,,M.D.,F,I,100 S BLISS AVE,,TAHLEQUAH,OK,744642512,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,25,25,52.432,7.2724,5.7,3.9048
1063422814,SOTO,SYLVIA,,M.D.,F,I,100 S BLISS AVE,,TAHLEQUAH,OK,744642512,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,24,27,127.73518519,44.093333333,30.738888889,20.780740741
1063422814,SOTO,SYLVIA,,M.D.,F,I,100 S BLISS AVE,,TAHLEQUAH,OK,744642512,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,281.28,113.92333333,89.32,55.15
1063423010,LARRABEE,DAVID,M,MD,M,I,102 SHORE DR,STE 303,WORCESTER,MA,016053154,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,39,73.755128205,8.32,5.6846153846,5.6846153846
1063423010,LARRABEE,DAVID,M,MD,M,I,102 SHORE DR,STE 303,WORCESTER,MA,016053154,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,13,15.211538462,1.42,1.0323076923,1.0323076923
1063423010,LARRABEE,DAVID,M,MD,M,I,102 SHORE DR,STE 303,WORCESTER,MA,016053154,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,273.93,31.666666667,19.6,19.483333333
1063423010,LARRABEE,DAVID,M,MD,M,I,102 SHORE DR,STE 303,WORCESTER,MA,016053154,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.55,55.733333333,50.169166667
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,29,83,247,44.608502024,8.3027530364,5.5048582996,5.5182995951
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,16,36,64,13.1484375,1.42,1.0621875,1.0621875
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,60,60,30.452666667,28.46,20.822666667,20.822666667
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,68,68,11.581176471,10.815441176,8.0885294118,8.1779411765
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,128,2.91,2.91,2.281328125,2.281328125
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,11.339,9.86,7.73,7.73
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,39,750,5.9808,5.5376,4.2257733333,4.2270266667
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,320,4.03,4.03,3.11928125,3.11928125
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,24,4752,0.44,0.44,0.3449473906,0.3449473906
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,660,3.6935,3.04,2.3833787879,2.3833787879
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,18,600,0.3349,0.27,0.2063166667,0.2063166667
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,580,34.86,34.86,27.330275862,27.330275862
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,24,70,2363,8.28,8.28,6.3476174355,6.3476174355
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,12,33,820,18.5,18.5,14.409268293,14.409268293
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,16,1140,5.95,5.95,4.6648333333,4.6648333333
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,18,57,18.29,18.29,14.339824561,14.339824561
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,496,3.67,3.67,2.8116129032,2.8116129032
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,18,2640,0.45,0.45,0.3528181818,0.3528181818
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,28,7.8917857143,1.9285714286,1.5117857143,1.2007142857
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,59.892307692,22.029230769,16.067692308,12.978461538
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,13,13,56.738461538,17.489230769,13.04,8.4269230769
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,15,78,7.1076923077,2.5407692308,1.8721794872,1.4706410256
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,19.8,7.9358333333,6.2241666667,4.6433333333
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,318,6.345408805,5.36,3.8548427673,3.8192767296
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,4579,0.3647521293,0.31,0.2430530684,0.2430530684
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,43,80.545813953,22.678604651,17.084418605,13.880697674
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1034.36,810.94,842.26
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,150,54.795882353,41.3,26.544705882
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,80,92,492.43793478,103.56141304,77.370326087,56.9025
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,18,227.78,44.88,33.362777778,27.876666667
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,15.58,9.6451578947,7.5617894737,7.5617894737
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,5784,0.2221369295,0.0460546335,0.0261065007,0.0261065007
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,2998,1.8104569713,0.1368812542,0.1029186124,0.1029186124
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,19,1140,12.86,3.0554736842,2.3955175439,2.3955175439
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,125.82384615,25.413846154,18.905384615,14.155384615
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,257.81538462,44.03,34.520769231,30.323076923
1063423150,BAZZANO,STEPHEN,J,DO,M,I,111 E 7TH ST,,GALENA,KS,667391229,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,46,46,84.652173913,33,25.307608696,25.307608696
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,45,37.954222222,8.32,6.5226666667,6.5226666667
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,22,89.54,71.56,56.105,56.105
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,456,3.79,3.79,2.9713596491,2.9713596491
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,521,83.003934741,3,2.3519769674,2.3677351248
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,31,532,12.43,5.5,4.3120112782,4.1994736842
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,3955,3.7059721871,0.3562756005,0.2793173198,0.2908798989
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,16,4440,1.8323513514,0.31,0.2430405405,0.2430405405
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,29,10277,1.3,0.65,0.5096000778,0.5161029483
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,126.51,62.55,49.04,48.647272727
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,43,30.014883721,5.743255814,4.376744186,3.6558139535
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,39,236.62051282,79.88,58.052051282,52.988205128
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,19,275,35.63,27.93,28.512105263
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,85.416666667,16.530555556,10.128888889,10.511666667
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,61.96,35.63,23.94,25.575714286
1063423176,ISHAQSEI,WAHED,,M.D.,M,I,18263 E 10 MILE RD,SUITE D,ROSEVILLE,MI,480665805,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,123,33,23.518181818,23.518181818
1063423267,PEREZ,RAFAEL,L,M.D.,M,I,834 WALNUT ST STE 650,,PHILADELPHIA,PA,19107,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,51,56,61.303392857,16.857142857,12.271607143,12.559821429
1063423267,PEREZ,RAFAEL,L,M.D.,M,I,834 WALNUT ST STE 650,,PHILADELPHIA,PA,19107,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,39.954,4.689,3.119,2.998
1063423267,PEREZ,RAFAEL,L,M.D.,M,I,834 WALNUT ST STE 650,,PHILADELPHIA,PA,19107,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,41,54,455.85592593,74.459814815,57.341111111,53.979814815
1063423267,PEREZ,RAFAEL,L,M.D.,M,I,834 WALNUT ST STE 650,,PHILADELPHIA,PA,19107,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,33,33,23.518181818,23.518181818
1063423317,AHMAD,NASEER,,M.D.,M,I,23800 ORCHARD LAKE RD,SUITE 206,FARMINGTON HILLS,MI,483362560,US,Physician/Endocrinology,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,16,20,40,5.75,0.51,0.4,0.4
1063423317,AHMAD,NASEER,,M.D.,M,I,23800 ORCHARD LAKE RD,SUITE 206,FARMINGTON HILLS,MI,483362560,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,62,125,312,1576,48.656180203,8.32,6.0632931472,6.0632931472
1063423317,AHMAD,NASEER,,M.D.,M,I,23800 ORCHARD LAKE RD,SUITE 206,FARMINGTON HILLS,MI,483362560,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,42,84,84,13.505714286,3.38,2.5553571429,2.5553571429
1063423317,AHMAD,NASEER,,M.D.,M,I,23800 ORCHARD LAKE RD,SUITE 206,FARMINGTON HILLS,MI,483362560,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,43,53,53,18.863018868,2.12,1.5754716981,1.5754716981
1063423317,AHMAD,NASEER,,M.D.,M,I,23800 ORCHARD LAKE RD,SUITE 206,FARMINGTON HILLS,MI,483362560,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,30,84,187,440,12.083613636,1.42,1.0775909091,1.0775909091
1063423317,AHMAD,NASEER,,M.D.,M,I,23800 ORCHARD LAKE RD,SUITE 206,FARMINGTON HILLS,MI,483362560,US,Physician/Endocrinology,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,7,17,17,17,63.427647059,63.265294118,48.585294118,58.415294118
1063423523,BENAK,ROBERT,L,MD,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,84.750454545,21.447727273,15.457727273,12.573636364
1063423523,BENAK,ROBERT,L,MD,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,43,445.57465116,97.27255814,72.610232558,54.137209302
1063423523,BENAK,ROBERT,L,MD,M,I,75 BEEKMAN ST,,PLATTSBURGH,NY,129011438,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,150,44.900769231,35.204615385,30.616153846
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,62,180,447,72.016935123,8.32,5.9140939597,5.9140939597
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,60,65,13.361384615,1.42,1.0667692308,1.0667692308
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,15,20,20,87.7155,45.369,34.9705,30.484
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,20,8.7,1.632,1.152,1.036
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,17,38,38,427.76368421,102.84157895,75.857894737,63.073421053
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,26,70,186.29142857,41.728714286,30.773,24.612571429
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,58,110.04155172,19.867241379,14.037241379,13.943448276
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,15,78,57.891538462,18.465897436,12.551923077,10.063461538
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,22,39,39,249.39717949,63.875897436,46.194102564,39.856923077
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,36,45,45,81.403111111,21.328888889,15.022444444,12.702
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,21,50,50,94.6046,15.307,11.757,8.8994
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,29,61,263,12.17365019,2.37878327,1.8657414449,1.6166159696
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,18,22,22,51.630454545,14.452727273,10.816818182,9.8872727273
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,28,28,330,65.747142857,51.5475,38.587142857
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,76,77,83.204415584,21.487792208,15.886623377,13.035844156
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,400,94.602727273,53.517272727,52.455454545
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,38.618461538,19.241538462,14.194615385,12.289230769
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,52,53,55.065471698,6.829245283,5.1964150943,3.6032075472
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,11,51,52,239.24538462,49.091538462,35.664615385,29.199423077
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,125,47.07,36.8975,36.276666667
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,21,164,165,477.55690909,93.591393939,68.710545455,51.535333333
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,250,42.0528125,31.9428125,28.5553125
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,39,1980,18.381247475,9.6853636364,7.5208434343,7.5208434343
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,15,58,8953,0.1989523065,0.0460236792,0.0319177929,0.0319177929
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,19,2159,1.1381009727,0.1378601204,0.1055720241,0.1055720241
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1080,12.420583333,3.0601666667,2.3991666667,2.3991666667
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,66.23,25.535,17.218333333,10.916666667
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,117.33333333,27.156,15.664333333,15.663333333
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,30,8.375,6.0625,6.1608333333
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,599.5,217.82416667,170.77,116.15
1063423655,THOMAS,ABRAHAM,,MD,M,I,335 6TH ST E,,CLIFTON,IL,60927,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,22,91,91,104.8021978,33,24.164285714,24.164285714
1063423929,HOLZKNECHT,PHILIP,,M.D.,M,I,501 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Orthopedic Surgery,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,195,73.570714286,56.018095238,63.582619048
1063423929,HOLZKNECHT,PHILIP,,M.D.,M,I,501 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Orthopedic Surgery,S,L3984,"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,285.15,285.15,223.56,266.26
1063423929,HOLZKNECHT,PHILIP,,M.D.,M,I,501 PARK HILL DR,,FREDERICKSBURG,VA,224013377,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,159.22727273,141.03545455,110.57727273,117.77727273
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,17,30,199,207,52.831884058,19.768405797,14.877149758,13.859227053
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,24,24,232.35,54.5,39.169166667,38.325833333
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,16,16,222.66875,53.6825,39.511875,35.574375
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,24,24,232.35,50,35.933333333,34.494166667
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,22,48,358,366,377.51502732,83.402076503,62.358415301,54.131885246
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,12,116,117,167.10666667,37.760512821,28.592564103,28.543675214
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,6134,0.3178399087,0.046442778,0.0346103684,0.0346103684
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,38,4526,1.6284312859,0.1371785241,0.1029474149,0.1029474149
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,822,3.6505961071,0.2199148418,0.1594768856,0.1594768856
1063424307,ALLEN,JAMES,N,MD,M,I,2050 KENNY RD,,COLUMBUS,OH,432213502,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,14,63,63,73.857142857,33,25.048730159,25.048730159
1063424315,TANG,SHEE-CHANG,,MD,M,I,2031 PEACH ST,,WISCONSIN RAPIDS,WI,544945181,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,25,68,172,83.767034884,8.32,4.8144186047,4.8144186047
1063424315,TANG,SHEE-CHANG,,MD,M,I,2031 PEACH ST,,WISCONSIN RAPIDS,WI,544945181,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,29,31,16.020967742,1.42,1.0470967742,1.0470967742
1063424315,TANG,SHEE-CHANG,,MD,M,I,2031 PEACH ST,,WISCONSIN RAPIDS,WI,544945181,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,63,58.192727273,36.68,27.36
1063424539,HAQUE,MOHAMMAD,,M.D.,M,I,100 SUNNYSIDE RD,,SMYRNA,DE,199771752,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,943,3.9953552492,3,2.3519724284,2.3672216331
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,49,121,50.607933884,8.32,5.8751239669,5.8751239669
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,19,33,4.7757575758,1.42,1.0821212121,1.0821212121
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,21,5748,0.44,0.44,0.3449565066,0.3449565066
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,37,1322,8.28,8.28,6.2963388805,6.2963388805
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,1278,18.5,18.5,14.39071205,14.39071205
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,19,35,1246,3.79,3.79,2.9630256822,2.9630256822
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A6231,"Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,20,778,5.28,5.28,4.1395886889,4.1395886889
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,29,2214,3.67,3.67,2.8772899729,2.8772899729
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,14,35,5872,0.45,0.45,0.3528065395,0.3528065395
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,100,15,7.8713,6.1713,4.374
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,26.64,7.5513333333,4.1033333333,2.796
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,32,32,3.4375,1.841875,1.445625,1.4365625
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,46,57,9.9649122807,3.1063157895,2.4385964912,2.2689473684
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,38,192.23263158,89.86,62.966315789,50.142368421
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1221,1.9893611794,0.1354054054,0.1061834562,0.1061834562
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,,60,60,62.302,19.880666667,13.5665,11.563666667
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,41,41,28.725853659,9.3002439024,6.1534146341,5.337804878
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,51.63,39.56,29.08125,27.76
1063424935,LEE,LAWRENCE,I,M.D.,M,I,120 CAHABA VALLEY PKWY,SUITE203,PELHAM,AL,351241185,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,33,33,25.87,25.87
1063424984,WILSON,KEVIN,,PA-C,M,I,130 LINCOLN PLACE CT,,BELLEVILLE,IL,622215884,US,Physician Assistant,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,15,154.51,57.912666667,39.912666667,33.518
1063424984,WILSON,KEVIN,,PA-C,M,I,130 LINCOLN PLACE CT,,BELLEVILLE,IL,622215884,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,22,22,50.73,3.7222727273,2.5363636364,3.1445454545
1063424984,WILSON,KEVIN,,PA-C,M,I,130 LINCOLN PLACE CT,,BELLEVILLE,IL,622215884,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,28,80.173571429,18.542857143,10.985,10.344285714
1063424984,WILSON,KEVIN,,PA-C,M,I,130 LINCOLN PLACE CT,,BELLEVILLE,IL,622215884,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,20.98,9.0029411765,5.6988235294,5.0729411765
1063424992,RAMOS,ANTONIO,J,M.D.,M,I,1302 N SHEPHERD DR,,HOUSTON,TX,770083752,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,11,31,104,50.543846154,8.32,6.0201923077,6.0201923077
1063424992,RAMOS,ANTONIO,J,M.D.,M,I,1302 N SHEPHERD DR,,HOUSTON,TX,770083752,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,28,29,15.106206897,3.38,2.4672413793,2.4672413793
1063424992,RAMOS,ANTONIO,J,M.D.,M,I,1302 N SHEPHERD DR,,HOUSTON,TX,770083752,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,26.481538462,2.12,1.5415384615,1.5415384615
1063424992,RAMOS,ANTONIO,J,M.D.,M,I,1302 N SHEPHERD DR,,HOUSTON,TX,770083752,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,28,49,15.606122449,1.42,1.0232653061,1.0232653061
1063424992,RAMOS,ANTONIO,J,M.D.,M,I,1302 N SHEPHERD DR,,HOUSTON,TX,770083752,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,125,55.668823529,40.582352941,36.613529412
1063425155,SMITH,WELDON,L,M.D.,M,I,3417 GASTON AVE,SUITE 1100,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,34,110,316,62.807310127,8.32,5.4434493671,5.4434493671
1063425155,SMITH,WELDON,L,M.D.,M,I,3417 GASTON AVE,SUITE 1100,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,8.7038095238,3.38,2.5238095238,2.5238095238
1063425155,SMITH,WELDON,L,M.D.,M,I,3417 GASTON AVE,SUITE 1100,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,9.7766666667,2.12,1.67,1.67
1063425155,SMITH,WELDON,L,M.D.,M,I,3417 GASTON AVE,SUITE 1100,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,44,58,10.422931034,1.42,0.9884482759,0.9884482759
1063425155,SMITH,WELDON,L,M.D.,M,I,3417 GASTON AVE,SUITE 1100,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,193.90545455,76.48,57.538181818,52.775454545
1063425155,SMITH,WELDON,L,M.D.,M,I,3417 GASTON AVE,SUITE 1100,DALLAS,TX,752462016,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,572.11428571,186.79285714,146.44428571,138.77857143
1063425213,MCKENZIE,DOUGLAS,,MD,M,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,66,259,76.08980695,8.32,4.9283783784,4.9283783784
1063425213,MCKENZIE,DOUGLAS,,MD,M,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,15.505,3.38,2.2083333333,2.2083333333
1063425213,MCKENZIE,DOUGLAS,,MD,M,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,41,73,15.62369863,1.42,0.9309589041,0.9309589041
1063425213,MCKENZIE,DOUGLAS,,MD,M,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,190,74.394,52.518666667,35.189333333
1063425213,MCKENZIE,DOUGLAS,,MD,M,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,69.08,21.6765,16.995,13.88
1063425213,MCKENZIE,DOUGLAS,,MD,M,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,190,63.847692308,49.966153846,38.325384615
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,47,72,72,92.699861111,38.226527778,28.630694444,29.033888889
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,24,7.6425,1.5433333333,1.2070833333,1.15
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,57.235294118,11.119411765,8.7135294118,9.0047058824
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,8,38,56,56,268.57,84.988928571,64.319821429,65.192142857
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,33,58,116,116.73508621,33.406896552,25.548534483,25.282931034
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,70,57.751142857,18,14.111857143,14.552
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,15,24,118,38.192033898,15,11.395,11.511864407
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,28,44,44,161.34113636,55.96,42.125454545,41.253181818
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,57,66,66,51.760909091,18.483484848,13.786818182,13.420909091
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,17,17,70.150588235,12,8.8564705882,8.6005882353
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,58,95,474,7.6295780591,2.007257384,1.4782278481,1.4925738397
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,23,24,24,30.525416667,12.98,9.8383333333,9.9816666667
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,28,143,154,62.540519481,17.154675325,13.104935065,13.275324675
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,28,29,329.12344828,81.896551724,64.206896552,65.574137931
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,1485.92,1017.066,797.382,797.382
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,29,29,29,390.79655172,137.51551724,97.653793103,94.681724138
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,24,25,55.3444,13.46,8.6516,8.6056
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,20,131,138,32.633985507,4.418115942,3.3394202899,3.5785507246
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,46,252,257,159.03361868,32.765603113,23.437743191,23.772607004
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,44,238,257,331.8381323,79.513268482,61.14540856,55.231050584
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,81,85,112.88235294,37.937176471,29.741058824,29.540117647
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,13,15,15,15,87.4,57,35.752,35.752
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,876,18.492123288,9.7642465753,7.491369863,7.491369863
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,14,25,7839,0.355518561,0.0457953821,0.0339762725,0.0339762725
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,16,42,5456,1.5491330645,0.1330388563,0.1043126833,0.1043126833
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,17,75,4868,10.97163106,2.9480895645,2.2833627773,2.2833627773
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,23,1190,2.9616386555,0.2188151261,0.1679327731,0.1679243697
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,62.214285714,40.296428571,30.418928571,28.457857143
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,18,28,97,97,66.06185567,33,25.87,25.87
1063425585,PATEL,ANIL,,MD,M,I,860 OMNI BLVD STE 114,,NEWPORT NEWS,VA,23606,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,11,11,66,66,51.74,51.74
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,48,92,60.846413043,8.32,5.8833695652,5.8833695652
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,16,17.98375,1.42,1.05,1.05
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,20,68,136,8.19,1.7252941176,1.29875,1.1002205882
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,11,14,14,82.53,15.131428571,11.858571429,9.7528571429
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,132,138,92.016449275,20.431594203,15.500724638,14.081666667
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,20,20,212.4975,57.791,45.31,38.965
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,20,162,162,4430.1,1001.46,778.35395062,834.05419753
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,47,50,44.5172,5.2822,3.9426,3.467
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,32,272,273,499.69421245,78.144139194,58.038351648,51.903699634
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,19,155,8550,15.58,9.6187894737,7.404625731,7.404625731
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,18,140,14151,0.2786368455,0.0463154547,0.0358964031,0.0358964031
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,894,2.7408053691,0.0634899329,0.049753915,0.049753915
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1416,1.9948870056,0.1386370056,0.1087217514,0.1087217514
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,16,116,6842,12.570700088,2.994856767,2.3479888921,2.3479888921
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,11,84,3315,0.75,0.2188205128,0.1715686275,0.1715686275
1063425650,GLYNN,PAUL,B,D.O.,M,I,515 HUGH AVE,,SPARTA,MO,657531220,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,26,201,201,118.20895522,33,25.741293532,25.741293532
1063425791,BUSCH,FORREST,K,DO,M,I,1950 COOK ST,,DYERSBURG,TN,38024,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,7.9045454545,6.1945454545,4.0272727273
1063425817,TAYLOR,ERIC,J,M.D.,M,I,127 MEDICAL DR,,PALESTINE,TX,758014781,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,40,119,68.284789916,8.32,5.8646218487,5.8646218487
1063425817,TAYLOR,ERIC,J,M.D.,M,I,127 MEDICAL DR,,PALESTINE,TX,758014781,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,15,27,47,14.604893617,1.42,1.0438297872,1.0438297872
1063425817,TAYLOR,ERIC,J,M.D.,M,I,127 MEDICAL DR,,PALESTINE,TX,758014781,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,79.6725,20.1,14.92,8.36
1063425817,TAYLOR,ERIC,J,M.D.,M,I,127 MEDICAL DR,,PALESTINE,TX,758014781,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,78,15.953846154,2.9992307692,2.215,1.4698717949
1063425817,TAYLOR,ERIC,J,M.D.,M,I,127 MEDICAL DR,,PALESTINE,TX,758014781,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,230,67.451666667,52.88,43.5125
1063425833,HALUSKA,PAUL,F,D.P.M.,M,I,4201 EDGMONT AVE,,BROOKHAVEN,PA,190152315,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,32,87.5,66.17,51.87875,56.105
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,49,125,330,113.07124242,8.2907575758,6.0308181818,6.0537272727
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,22,22,12.016363636,3.38,2.65,2.65
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,20.916363636,2.12,1.67,1.67
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,30,64,106,42.473584906,1.42,1.0203773585,1.0203773585
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,15,15,96.564,49.646,37.183333333,29.926666667
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,14,20,20,303.6105,116.824,85.0255,61.934
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,23,133.13304348,44.406956522,34.815217391,25.919130435
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,17,82,50.546097561,19.418536585,15.224390244,11.984878049
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,22,33,33,162.99090909,74.812121212,56.497575758,42.394545455
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,34,41,41,54.286097561,24.358292683,18.714878049,13.904146341
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,26,32,32,56.495625,20.5484375,15.475625,8.91
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,28,58,183,8.9369945355,3.0981420765,2.3718032787,1.5793442623
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,26,30,30,16.411,8.665,6.4546666667,4.5493333333
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,22.621818182,12.413636364,9.7363636364,7.5072727273
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,37,38,65.616315789,23.420526316,17.574736842,13.498947368
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,207.78315789,8.0342105263,6.2968421053,4.5789473684
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,20,94,102,130.04313725,49.187058824,35.764313725,26.646372549
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,13,97,98,317.41704082,103.00285714,76.099897959,57.767346939
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,6331,0.2514610646,0.0460306429,0.0237024167,0.0237024167
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,510,4.3428039216,0.0909411765,0.0712745098,0.0712745098
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,16,1920,3.3948645833,0.1384375,0.0986041667,0.0986041667
1063425882,RHODES,CHARLES,M,M.D.,M,I,800 SAINT CHRISTOPHER DR,,ASHLAND,KY,411017030,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,56.896551724,33,19.60137931,19.60137931
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,428,713,713,95.791697055,39.872019635,29.761725105,29.058429173
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,129,210,211,244.77578199,87.703791469,63.798909953,63.167630332
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,111,205,371,88.806576819,33.453126685,24.997951482,24.783854447
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,227,375,1647,55.948688525,18.755452338,14.008554948,13.859823922
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,161,248,989,44.770404449,15.408736097,11.419696663,11.236814965
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,408,658,658,152.70279635,54.468419453,40.10218845,40.268829787
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,446,536,536,71.451380597,18.249589552,13.928619403,13.710410448
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,31,33,33,35.261212121,10.817272727,8.2278787879,7.9103030303
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,41,59,59,56.817627119,12.220847458,8.7589830508,8.3776271186
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,492,841,4461,8.339820668,2.0630934768,1.5291593813,1.5060905627
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,300,364,364,23.00532967,6.0354120879,4.4989285714,4.4330494505
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,277,339,339,32.844070796,13.156283186,9.7297640118,9.7604719764
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,51,51,425.70666667,84.99627451,61.429019608,61.914705882
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,13,80,80,1036.202,206.788625,162.12275,162.193875
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,2900,897.41,687.35357143,687.35357143
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,139,139,139,389.65935252,131.45589928,101.90122302,103.39129496
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,20,27,88.746666667,13.136296296,10.297037037,10.465185185
1063426146,WEBB,ZACHARY,A,M.D.,M,I,1345 KING ST,,BELLINGHAM,WA,982296223,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,277,1608,1625,247.01153231,32.007704615,22.776344615,22.816843077
1063426294,NOVAK,GEORGANNE,K,MD,F,I,2201 MISSION AVE # 140,,OCEANSIDE,CA,920542328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,28,99,58.231212121,8.32,5.9952525253,5.9952525253
1063426294,NOVAK,GEORGANNE,K,MD,F,I,2201 MISSION AVE # 140,,OCEANSIDE,CA,920542328,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,18,7.7483333333,1.42,1.1155555556,1.1155555556
1063426294,NOVAK,GEORGANNE,K,MD,F,I,2201 MISSION AVE # 140,,OCEANSIDE,CA,920542328,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,142.32,16.98,12.200833333,12.425833333
1063426294,NOVAK,GEORGANNE,K,MD,F,I,2201 MISSION AVE # 140,,OCEANSIDE,CA,920542328,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,105.26,30.61,23.996666667,25.775555556
1063426294,NOVAK,GEORGANNE,K,MD,F,I,2201 MISSION AVE # 140,,OCEANSIDE,CA,920542328,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,707.52333333,72.06,51.791666667,50.169166667
1063426351,MCCONNELL,TIMOTHY,B,M.D.,M,I,8099 CORNELL RD,,CINCINNATI,OH,452492231,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,15,167.33333333,137.94,108.14066667,103.628
1063426369,APPELBAUM,JAMES,S,MD,M,I,8919 PARALLEL PKWY,SUITE 440,KANSAS CITY,KS,661121636,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,65,61.726461538,19.45,14.075538462,13.604
1063426369,APPELBAUM,JAMES,S,MD,M,I,8919 PARALLEL PKWY,SUITE 440,KANSAS CITY,KS,661121636,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,173.61,56.26,41.659444444,40.617777778
1063426369,APPELBAUM,JAMES,S,MD,M,I,8919 PARALLEL PKWY,SUITE 440,KANSAS CITY,KS,661121636,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,52.174615385,18,14.11,14.063846154
1063426369,APPELBAUM,JAMES,S,MD,M,I,8919 PARALLEL PKWY,SUITE 440,KANSAS CITY,KS,661121636,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,19,19,56.193157895,12,8.9410526316,8.6668421053
1063426369,APPELBAUM,JAMES,S,MD,M,I,8919 PARALLEL PKWY,SUITE 440,KANSAS CITY,KS,661121636,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,28,154,9.3449350649,2,1.5072727273,1.5294155844
1063426369,APPELBAUM,JAMES,S,MD,M,I,8919 PARALLEL PKWY,SUITE 440,KANSAS CITY,KS,661121636,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,196.69576923,34.753846154,27.252307692,26.100769231
1063426393,STOVALL,TROY,W,D.O.,M,I,423 MEDICAL PARK DR,SUITE 100,LENOIR CITY,TN,377725640,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,18,38,101,73.025346535,8.32,5.7467326733,5.7467326733
1063426393,STOVALL,TROY,W,D.O.,M,I,423 MEDICAL PARK DR,SUITE 100,LENOIR CITY,TN,377725640,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,22,15.194545455,1.42,1.0136363636,1.0136363636
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,37,102,339,55.541946903,8.32,5.6949262537,5.6949262537
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,12.54,3.38,2.4941176471,2.4941176471
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,19,47,71,11.003521127,1.42,0.9901408451,0.9901408451
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,193.59923077,86.460769231,59.494615385,59.494615385
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,20,71.41,32.713,23.094,23.323
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,41.169090909,17.938181818,12.809090909,12.794545455
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,68,5.3264705882,2.0317647059,1.5110294118,1.5110294118
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,39,85.43025641,17.27,13.192820513,13.192820513
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,250,84.496666667,59.2725,58.084166667
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,20.587407407,4.7977777778,3.1092592593,2.9633333333
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,25,10.228,7.5186666667,7.5613333333
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,86,89,445.20426966,73.99247191,54.921797753,51.698988764
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,18,210,36.14,26.441111111,27.505555556
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,20,5783,0.5814231368,0.0470983918,0.0333304513,0.0333304513
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,31,3688,2.0100542299,0.1338394794,0.1019902386,0.1019902386
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,77.1875,42.59375,31.340625,27.67
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,542.58066667,191.932,142.75733333,147.59933333
1063426468,KILEY,KEVIN,M,MD,M,I,1909 RUDDIMAN DRIVE,,NORTH MUSKEGON,MI,49445,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,54,54,73.333333333,33,24.432777778,24.432777778
1063426641,TARLIN,NANCY,S,M.D.,F,I,7901 BROADWAY,DEPT OF MEDICINE,ELMHURST,NY,113731329,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,34,128,61.4021875,8.32,6.420390625,6.420390625
1063426641,TARLIN,NANCY,S,M.D.,F,I,7901 BROADWAY,DEPT OF MEDICINE,ELMHURST,NY,113731329,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,21,38,17.102368421,1.42,1.0860526316,1.0860526316
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,25,53,53,119.90622642,39.62,31.07,30.532264151
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,14,29,4.2331034483,1.68,1.3182758621,1.1503448276
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,2.7623076923,1.18,0.9207692308,0.9607692308
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,26,49,49,323.91183673,86,67.42,67.831428571
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,24,53,113,129.89017699,33.22,25.686017699,25.558584071
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,19,45,228,62.516052632,18.550789474,14.283991228,14.288508772
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,7,22,36,189,52.639153439,15.203968254,11.498994709,11.452486772
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,39,83,83,196.76686747,56.017951807,42.898554217,41.886385542
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,57,73,73,64.591780822,17.563150685,13.446438356,13.707260274
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,36.772727273,10.183636364,7.9872727273,8.1263636364
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,36,73,73,74.230958904,11.720547945,8.7520547945,8.6749315068
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,61,134,696,8.6464655172,2.0303448276,1.5357758621,1.5343247126
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,17,23,23,24.333043478,6.1804347826,4.637826087,4.4526086957
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,31,38,38,43.317894737,12.82,9.8781578947,10.157105263
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,27,177,181,68.996298343,17.670497238,13.05,12.770883978
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,30,30,148.89333333,50,39.2,37.682333333
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,85,85,3325.3364706,1074.31,836.08752941,836.08752941
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,25,26,350.61807692,86.876153846,62.627692308,63.050384615
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,600,197.46333333,152.77333333,157.84166667
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,19,19,19,419.27052632,132.01947368,92.678947368,93.629473684
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,13,15,81.75,13.12,10.29,10.429333333
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,83,84,31.126190476,4.3030952381,3.2947619048,3.3721428571
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,30,209,212,156.07754717,34.155518868,25.955660377,25.054481132
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,58,466,476,357.91611345,77.60894958,57.546470588,51.889390756
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,106,106,221.03773585,35.56,26.301886792,27.801320755
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,35,2040,14.568544118,9.6368676471,7.4561911765,7.4561911765
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,16,21,41,13619,0.1981533152,0.0472178574,0.033481166,0.033481166
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,24,3083,1.7305449238,0.1297632176,0.1017353227,0.1017353227
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,34,1738,11.9670771,2.8847525892,2.2616628308,2.2616628308
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,76,76,227.59789474,37.042894737,28.308947368,28.701578947
1063426674,JAIN,AJAY,,M.D.,M,I,902 FROSTWOOD DR,SUITE 188,HOUSTON,TX,770242420,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,33,102,102,53.987745098,33,24.467156863,24.467156863
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,31,31,31,479.86774194,339.04,255.39935484,281.84032258
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,546.61545455,401.13,314.48,310.89818182
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L0648,"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 i",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,1652.1493333,1001.76,775.81533333,765.98533333
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,58,58,58,1916.5834483,1327.2146552,1015.6234483,869.4512069
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,88,89,138,1264.02,875.56,668.78144928,660.68746377
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,89,90,142,155.1084507,106.36,81.379014085,86.39971831
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,47,48,81,81.538888889,53.2,38.231851852,42.714074074
1063426724,STAVRAKOS,JOHN,E,MD,M,I,103 SUM MOR DR,,WEST COLUMBIA,SC,291694828,US,Physician/Physical Medicine and Rehabilitation,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,11,409.72090909,266.98,209.31,218.89
1063426757,KOWALSKY,STEVEN,W,M.D.,M,I,2128 W JEFFERSON AVE,,TRENTON,MI,48183,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,1830,4.0524590164,2.04,1.4942404372,1.4942404372
1063426757,KOWALSKY,STEVEN,W,M.D.,M,I,2128 W JEFFERSON AVE,,TRENTON,MI,48183,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,23,10.941304348,10.923043478,8.0486956522,8.0539130435
1063426757,KOWALSKY,STEVEN,W,M.D.,M,I,2128 W JEFFERSON AVE,,TRENTON,MI,48183,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,9.25,7.04,5.52,6.49
1063426757,KOWALSKY,STEVEN,W,M.D.,M,I,2128 W JEFFERSON AVE,,TRENTON,MI,48183,US,Physician/Urology,S,A4393,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,180,12.136,10.18,7.3162222222,7.3162222222
1063426757,KOWALSKY,STEVEN,W,M.D.,M,I,2128 W JEFFERSON AVE,,TRENTON,MI,48183,US,Physician/Urology,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,16.36,15.16,10.899166667,13.034166667
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,59,86,86,88.287674419,45.90255814,33.780116279,29.131860465
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,331,417,417,272.25275779,105.79434053,77.807913669,64.965827338
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,367,1022,1141,86.935021911,39.275530237,28.586871166,24.454496056
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,166,433,577,61.055268631,22.015008666,16.22339688,14.050571924
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,169,444,527,50.825901328,17.091612903,12.369070209,11.181195446
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,283,356,356,245.64938202,62.443511236,46.666910112,41.282331461
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,617,736,736,52.729347826,21.327146739,15.965611413,13.644334239
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,54,59,59,49.118813559,12.066440678,8.7794915254,7.6710169492
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,533,794,794,53.562670025,15.554848866,11.739420655,9.0645969773
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,21,491,1375,3163,6.1357034461,2.4902940247,1.8351375277,1.539203288
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,19,21,21,20.139047619,7.9671428571,5.7557142857,4.210952381
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,15,199,225,225,40.302222222,14.083511111,10.4808,9.8761777778
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,86.31,17.25,12.393333333,12.413333333
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,59,302,334,589.83532934,107.16185629,81.064700599,71.213473054
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,13,18,772.28444444,325.36555556,255.08944444,191.21
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,212,213,213,358.42159624,160.35910798,119.97244131,101.927277
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,,35,38,69.047105263,14.866578947,11.085,10.169473684
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,14,329,1875,1965,231.31419338,38.434442748,27.496447837,23.973735369
1063426864,GORMAN,STEPHEN,,M.D.,M,I,812 EXCHANGE ST,,MIDDLEBURY,VT,057531555,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,27,537.35962963,70.11037037,48.95962963,48.662962963
1063426930,KESARI,PARVATHI,S,MD,F,I,99 E STATE ST,MAB-GPCC,GLOVERSVILLE,NY,120781203,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,36,36,140.53666667,20.670555556,15.790555556,13.374722222
1063426930,KESARI,PARVATHI,S,MD,F,I,99 E STATE ST,MAB-GPCC,GLOVERSVILLE,NY,120781203,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,50,52,601.98923077,89.919038462,68.1975,54.906153846
1063426948,STANO,WILLIAM,S,DPM,M,I,220 W JEFFERSON ST,,BOISE,ID,837026044,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,74,71.486486486,71.242162162,55.014189189,55.263108108
1063426948,STANO,WILLIAM,S,DPM,M,I,220 W JEFFERSON ST,,BOISE,ID,837026044,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,37,37,222,29.486486486,29.092432432,22.809234234,22.884954955
1063426948,STANO,WILLIAM,S,DPM,M,I,220 W JEFFERSON ST,,BOISE,ID,837026044,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,59,97,482.89690722,481.58546392,365.38010309,376.97195876
1063426948,STANO,WILLIAM,S,DPM,M,I,220 W JEFFERSON ST,,BOISE,ID,837026044,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,59,97,421.97938144,421.11309278,325.03773196,308.09927835
1063426948,STANO,WILLIAM,S,DPM,M,I,220 W JEFFERSON ST,,BOISE,ID,837026044,US,Podiatry,S,L2340,"Addition to lower extremity, pre-tibial shell, molded to patient model",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,60,60,98,499.78571429,498.62081633,384.93306122,352.55285714
1063426948,STANO,WILLIAM,S,DPM,M,I,220 W JEFFERSON ST,,BOISE,ID,837026044,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,59,59,97,80.103092784,78.846804124,60.868041237,66.753195876
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,17,28,56,5.2975,0.51,0.4,0.4
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A4235,"Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,4.8909090909,1,0.7090909091,0.7090909091
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,96,291,797,51.947716437,8.2910915935,5.8689711418,5.8873902133
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,34,78,78,14.356410256,3.38,2.3782051282,2.3782051282
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,31,44,44,21.902272727,2.12,1.5940909091,1.5940909091
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,55,123,217,13.285668203,1.42,1.0170046083,1.0170046083
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,112.44416667,36.055833333,25.93,27.7975
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,19,19,38,84.605263158,71.477894737,55.145,55.209473684
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,83,34.697710843,29.19,22.885060241,22.886506024
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,,13,42,5.9464285714,1.4576190476,1.030952381,1.0402380952
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,225.79555556,84.5,65.063333333,66.476666667
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,44,113.69136364,31.39,24.61,25.77
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,88,64.896818182,18.69,12.654659091,12.581136364
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,19,33,33,166.62575758,49.94969697,35.859393939,39.220606061
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,25,31,31,52.259032258,17.360645161,12.729354839,13.175806452
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,17,37,37,56.327837838,8.96,6.65,8.5997297297
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,21,46,250,9.662,1.88288,1.39896,1.50516
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,13,18,18,37.461666667,15.56,10.844444444,9.5011111111
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,168.58636364,48.750909091,21.187272727,21.487272727
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,725,138.964375,108.9475,100.77875
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,85,86,49.061046512,17.699883721,13.16255814,12.85627907
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,3041.0625,913.16,712.19583333,838.53583333
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,,48,48,41.434166667,4.4104166667,2.35375,2.419375
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,40,40,158.883,34.29725,26.12175,25.41275
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,6,18,18,18,54.033888889,50.962222222,34.032222222,54.695
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,28,192,200,290.2739,70.28805,52.5163,52.24125
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,,66,71,182.01197183,36.644366197,26.702112676,27.434647887
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,15,44,16160,0.332387995,0.0463329208,0.0331417079,0.0331417079
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2880,1.0588784722,0.1369583333,0.0924618056,0.0924618056
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,66.1,22.262,12.011,9.8225
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,115.245,35.872857143,24.571428571,19.928571429
1063426955,STONE,SAMUEL,R,MD,M,I,517 DOCTORS CT,,CHESTER,SC,297068644,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,19,66,66,95.090909091,33,23.910151515,23.910151515
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,180,4.91,2.27,1.78,1.78
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,4.99,1.73,1.3565,1.5995
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2160,12.89,7.88,6.1115185185,6.1115185185
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,2.94,1.8,1.41125,1.41125
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,A5112,"Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,95.38,38.96,30.55,30.55
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,12,12,12,114.00916667,49.140833333,38.531666667,36.245833333
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,54.53,3.9625,2.9879166667,3.5004166667
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,43.017222222,39.365555556,30.861111111,30.861111111
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,4,12,12,22,36.976363636,22.237272727,17.435454545,15.733636364
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,12,12,12,179.415,34.300833333,26.894166667,28.564166667
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,13,64,66,52.711515152,23.255,16.956363636,13.836969697
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,32,83.69125,33.1121875,25.23875,21.4134375
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,37.43,37.43,26.255,22.6475
1063426989,BOGEY,ROSS,,DO,M,I,715 S COWLEY ST,,SPOKANE,WA,99202,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,73,76,18.410921053,9.2190789474,7.0213157895,6.5476315789
1063427425,FIERRO,NANCY,L,MD,F,I,477 N EL CAMINO REAL STE A208,,ENCINITAS,CA,920241329,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,506.7525,72.06,56.5,54.840625
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,30,74,221,46.372081448,8.3141176471,5.638959276,5.6435746606
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,12,29,29,12.819310345,3.38,2.5586206897,2.5586206897
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,13,18,18,17.995,2.12,1.67,1.67
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,51,82,11.277804878,1.42,1.02,1.02
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,17,285.33529412,77.18,50.078823529,45.404117647
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.3246212121,7.3246212121
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,2850,0.17,0.0460561404,0.0361052632,0.0361052632
1063427433,HUNKO,GABRIELA,,M.D.,F,I,6065 MONTANA AVE,STE C10,EL PASO,TX,799251835,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,22,22,132,33,25.87,25.87
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,26,26,173.51538462,40.579230769,29.909230769,28.681153846
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,35,60,60,490.73466667,88.411666667,65.688333333,64.3115
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,33,58,126,180.5,33.825396825,23.590634921,23.066746032
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,56,86,411,87.377493917,18.521581509,13.710705596,13.734428224
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,42,73,375,58.498186667,15.776746667,11.392826667,10.95344
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,112,183,185,219.27059459,58.309189189,42.459459459,39.913945946
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,145,175,175,79.316285714,16.644571429,12.178914286,13.1448
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,16,18,18,66.061111111,9.7888888889,7.6705555556,8.1238888889
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,124,205,206,59.14592233,11.152912621,8.3508737864,8.7178640777
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,134,235,1334,6.8407571214,2.1455322339,1.5717166417,1.4909445277
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,65,83,83,14.810963855,6.0414457831,4.541686747,4.4648192771
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,65,73,73,70.52739726,12.067534247,8.9976712329,9.804109589
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,252,52.76,37.9225,35.429166667
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,65,65,796.05984615,90.503384615,63.052923077,58.275692308
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,33,34,34,602.27058824,143.60205882,111.09029412,103.18558824
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,65,441,445,577.54835955,33.59388764,24.612629213,23.79788764
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,49,49,836.77714286,81.09,61.263877551,53.506326531
1063427441,SULIEMAN,JAMIL,S,M.D.,M,I,46-001 KAMEHAMEHA HWY,SUITE 314,KANEOHE,HI,967443711,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,29,29,285.6,38.86,29.419310345,28.492413793
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,27,92,177,72.961355932,8.32,5.933220339,5.933220339
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,32,39,17.301025641,1.42,0.9461538462,0.9461538462
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,190,84.234285714,66.04,42.779285714
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,76.394761905,21.985,16.169285714,12.850238095
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,320.46511628,98.324186047,71.623023256,51.52255814
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,2717,0.2488259109,0.0472469636,0.0316451969,0.0316451969
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,600,196.01416667,153.67,129.535
1063427797,AUSTIN,GREGORY,,M.D.,M,I,145 HOSPITAL AVE,SUITE 313,DU BOIS,PA,158011462,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,11,11,33,33,21.527272727,21.527272727
1063428001,BOHANNON,NANCY,J,M.D.,F,I,1580 VALENCIA ST,STE 504,SAN FRANCISCO,CA,941104415,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,23,111,83.723243243,8.32,6.17,6.17
1063428001,BOHANNON,NANCY,J,M.D.,F,I,1580 VALENCIA ST,STE 504,SAN FRANCISCO,CA,941104415,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,39,39,558.32076923,250.97,193.08128205,193.19076923
1063428019,AUER,PATRICIA,A,DNP,F,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,13,13,222.37384615,46.935384615,27.253076923,28.455384615
1063428019,AUER,PATRICIA,A,DNP,F,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,44.17,31.481818182,34.277272727
1063428019,AUER,PATRICIA,A,DNP,F,I,161 CAREY RD,,QUEENSBURY,NY,128047821,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,9.8190909091,7.6972727273,8.5109090909
1063428043,KIRCHMAN,ERNEST,H,M.D.,M,I,7901 BROADWAY,ROOM A1-9,ELMHURST,NY,113731329,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,11,110,27.42,24.38,19.114,19.196090909
1063428068,MORROW,DAVID,L,MD.,M,I,27924 SECO CANYON RD,,SANTA CLARITA,CA,913503870,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1170,4.87,1.73,1.2611794872,1.5041880342
1063428068,MORROW,DAVID,L,MD.,M,I,27924 SECO CANYON RD,,SANTA CLARITA,CA,913503870,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,4.5125,1.8,1.2818181818,1.2818181818
1063428068,MORROW,DAVID,L,MD.,M,I,27924 SECO CANYON RD,,SANTA CLARITA,CA,913503870,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,29.02173913,5.7413043478,4.4991304348,3.597826087
1063428076,WILLIAMS,ROY,A,M.D.,M,I,6475 CARLISLE PIKE,,MECHANICSBURG,PA,170502385,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,67,74,411.47986486,67.72,48.440945946,50.083108108
1063428076,WILLIAMS,ROY,A,M.D.,M,I,6475 CARLISLE PIKE,,MECHANICSBURG,PA,170502385,US,Physician/Hematology-Oncology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,15,111.99,24.542666667,19.240666667,20.512
1063428076,WILLIAMS,ROY,A,M.D.,M,I,6475 CARLISLE PIKE,,MECHANICSBURG,PA,170502385,US,Physician/Hematology-Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,602,38.72,27.83,27.06
1063428100,KELLEY,JANE,A,DO,F,I,149 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,30,69,68.526231884,8.32,5.9555072464,5.9555072464
1063428100,KELLEY,JANE,A,DO,F,I,149 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,22.4775,16.3775,12.4025
1063428100,KELLEY,JANE,A,DO,F,I,149 ENCLAVE DR,,NEW CASTLE,PA,161053207,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,482.69230769,100.58923077,69.668461538,46.31
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,26,13.393846154,9.2861538462,7.2769230769,8.4684615385
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,27,9.8266666667,7.6540740741,6.0025925926,6.4581481481
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4375,"Ostomy pouch, drainable, with faceplate attached, plastic, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,19.3125,19.3125,15.140791667,15.1545
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,520,7.0730769231,5.7376923077,4.4983269231,4.5001346154
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,662,3.1231722054,2.91,2.2814803625,2.2814803625
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,80,8.39825,6.43825,5.04725,5.0485
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4408,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,11.1,11.1,8.7021666667,8.71
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4410,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,10.170833333,10.170833333,7.9738333333,7.981
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,9.5716666667,9.5716666667,6.9061666667,6.9127083333
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,480,0.4,0.4,0.3135,0.3135
1063428126,CROWLEY,KATHLEEN,,MD,F,I,855 MONTGOMERY ST,DEPT OF OB/GYN,FORT WORTH,TX,761072553,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1200,0.27,0.27,0.2117,0.2117
1063428159,MILLER,SCOTT,C,PA,M,I,100 BROAD ST,,GLENS FALLS,NY,128014349,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,13,40,89,65.869101124,8.32,6.2311235955,6.2311235955
1063428159,MILLER,SCOTT,C,PA,M,I,100 BROAD ST,,GLENS FALLS,NY,128014349,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,23,33,11.969393939,1.42,1.083030303,1.083030303
1063428159,MILLER,SCOTT,C,PA,M,I,100 BROAD ST,,GLENS FALLS,NY,128014349,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,35,86.31,16.59,11.935142857,12.382285714
1063428159,MILLER,SCOTT,C,PA,M,I,100 BROAD ST,,GLENS FALLS,NY,128014349,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,35,519.51,67.72,50.065714286,51.440285714
1063428159,MILLER,SCOTT,C,PA,M,I,100 BROAD ST,,GLENS FALLS,NY,128014349,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,22,2640,2.1219166667,0.1363636364,0.0986628788,0.0986628788
1063428159,MILLER,SCOTT,C,PA,M,I,100 BROAD ST,,GLENS FALLS,NY,128014349,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,12,146.25,16.76,13.14,14.1875
1063428159,MILLER,SCOTT,C,PA,M,I,100 BROAD ST,,GLENS FALLS,NY,128014349,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,33,33,22.471904762,22.471904762
1063428167,THOMPSON,MICHAEL,A,MD,M,I,2725 SOUTH 144TH STREET,STE 212,OMAHA,NE,681445253,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,80,86,89,59.934044944,53.15752809,40.508426966,44.511348315
1063428167,THOMPSON,MICHAEL,A,MD,M,I,2725 SOUTH 144TH STREET,STE 212,OMAHA,NE,681445253,US,Physician/Orthopedic Surgery,S,L3923,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,21,164.61904762,77.6,60.837142857,67.29047619
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,15,46,139,69.990719424,8.32,6.2400719424,6.2400719424
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,19,34,16.675588235,1.42,0.9517647059,0.9517647059
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,160.52615385,49.815384615,36.461538462,29.059230769
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,529.15,121.65166667,88.468333333,65.050833333
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,332.59583333,80.535,63.1375,47.128333333
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,17,17,105.93470588,25.968823529,19.438823529,13.756470588
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,103,10.98407767,3.0396116505,2.2803883495,1.6219417476
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,88.255,15.92,10.598333333,8.6166666667
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,50.73,6.7523529412,5.2929411765,3.7988235294
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,593.6832,49.7344,37.9604,25.924
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,16,519.51,112.98125,88.58125,57.26125
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,1350,1.0202444444,0.1355777778,0.1062740741,0.1062740741
1063428209,TEMBREULL,AMANDA,N,M.D.,F,I,2600 26TH AVE,,OSCEOLA,WI,54020,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,20,20,87.45,33,24.5765,24.5765
1063428225,CHASE,RANDOLPH,H,M.D.,M,I,3838 CALIFORNIA ST,SUITE 608,SAN FRANCISCO,CA,941181522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,58,68.686724138,8.32,6.0725862069,6.0725862069
1063428449,HYATT,DEBORAH,A,CRNP,F,I,92 RATLIFF ST,,LUCEDALE,MS,394526537,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,14,34,71,44.23915493,8.32,6.338028169,6.338028169
1063428449,HYATT,DEBORAH,A,CRNP,F,I,92 RATLIFF ST,,LUCEDALE,MS,394526537,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,12,24,29,15.361724138,1.42,1.0789655172,1.0789655172
1063428449,HYATT,DEBORAH,A,CRNP,F,I,92 RATLIFF ST,,LUCEDALE,MS,394526537,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,52,52,22.596923077,7.8261538462,5.5038461538,3.1984615385
1063428571,CALLAN,MARY,E,NP,F,I,777 CLINTON AVE S,,ROCHESTER,NY,146201401,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,16,26,75.701538462,8.32,5.4134615385,5.4134615385
1063428621,DEMAREST,GERALD,,MD,M,I,2ND AMBULATORY CARE CTR,2211 LOMAS BLVD. NE,ALBUQUERQUE,NM,871310001,US,Physician/General Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,41.8,23.641818182,18.535454545,13.1
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,55,80.976181818,8.32,6.5227272727,6.5227272727
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,50.73,3.828,2.996,3.566
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,504.15466667,27.65,13.008,14.876
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,521.2,78.49,58.111666667,51.689444444
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,1882,0.4505844846,0.0458767269,0.033512221,0.033512221
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.981333333,3.003,2.1615,2.1615
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,103.52,40.62,29.195833333,27.06
1063428746,STARK,CAROL,K,MD,F,I,4786 BANNING AVE,,WHITE BEAR LAKE,MN,551103264,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,33,33,25.87,25.87
1063428787,YORK,DARIA,,APRN,F,I,3460 SOUTH ST,,MORRISVILLE,NY,134089671,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,105,61.692095238,8.32,6.3366666667,6.3366666667
1063428787,YORK,DARIA,,APRN,F,I,3460 SOUTH ST,,MORRISVILLE,NY,134089671,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,62,13.92,1.95,1.3311290323,1.3964516129
1063428787,YORK,DARIA,,APRN,F,I,3460 SOUTH ST,,MORRISVILLE,NY,134089671,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,23,86.31,15.72,12.33,13.54
1063428787,YORK,DARIA,,APRN,F,I,3460 SOUTH ST,,MORRISVILLE,NY,134089671,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,30,519.51,78.424666667,60.424,56.367666667
1063428803,KORENFELD,ALEXANDER,,MD,M,I,596 ANDERSON AVE,SUITE 302,CLIFFSIDE PARK,NJ,070101831,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,22,44,66.127045455,8.32,6.52,6.52
1063428803,KORENFELD,ALEXANDER,,MD,M,I,596 ANDERSON AVE,SUITE 302,CLIFFSIDE PARK,NJ,070101831,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,40,5.6875,4.4625,3.66
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,27,82,158,72.930443038,8.32,5.4905063291,5.4905063291
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,32,35,17.784857143,1.42,0.8628571429,0.8628571429
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,449.728,91.203333333,69.247333333,65.576666667
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,34,189.42,35.676176471,27.969117647,25.917058824
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,13,74,73.714054054,16.387567568,12.848648649,11.877297297
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,18,18,276.18444444,58.287777778,45.701666667,42.726666667
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,20,20,84.336,18.9475,14.8485,14.058
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,23,23,104.07,13.476521739,10.566956522,9.0386956522
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,26,147,13.497959184,2.2505442177,1.7649659864,1.5907482993
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.53
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,15,28,81.75,11.103928571,8.3260714286,8.2396428571
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,47,55,216.96981818,31.454909091,22.317818182,21.927090909
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,507.42130435,70.23,47.87826087,47.612173913
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,30.5,8.5516666667,5.6608333333,5.1333333333
1063428837,JOHNSON,ELIZABETH,L,M.D.,F,I,1000 HAWTHORNE AVE,SUITE H,ATHENS,GA,306062168,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,599.5,180.115625,141.205,111.57625
1063428951,YOUNG,JEFFREY,W,D.O.,M,I,19220 MCLOUGHLIN BLVD,,GLADSTONE,OR,970272642,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,24,86.31,18,13.522083333,13.260833333
1063428951,YOUNG,JEFFREY,W,D.O.,M,I,19220 MCLOUGHLIN BLVD,,GLADSTONE,OR,970272642,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,38,581.94736842,77.18,58.567894737,54.758684211
1063428951,YOUNG,JEFFREY,W,D.O.,M,I,19220 MCLOUGHLIN BLVD,,GLADSTONE,OR,970272642,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,190,40,29.12,27.402142857
1063429165,SOUZA,JENNIFER,M,M.D.,F,I,18 WASHINGTON ST,,FOXBORO,MA,020351021,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,37,90,77.294888889,8.32,5.6513333333,5.6513333333
1063429165,SOUZA,JENNIFER,M,M.D.,F,I,18 WASHINGTON ST,,FOXBORO,MA,020351021,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,78.27,59.081666667,52.441666667
1063429165,SOUZA,JENNIFER,M,M.D.,F,I,18 WASHINGTON ST,,FOXBORO,MA,020351021,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,154.89,39,30.58,29.51
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,17,60,67.497333333,8.32,6.5221666667,6.5221666667
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,11,13,14.720769231,1.42,1.1169230769,1.1169230769
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,165,60.175454545,47.18,39.163636364
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,55.669090909,17.15,12.838636364,12.93
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,47,266.5693617,79,57.986382979,52.617234043
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,83.77,39.226363636,28.272727273,23.504545455
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,33,33,136.9,48.161818182,34.945454545,23.614545455
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,23.345454545,9.9172727273,7.7781818182,7.4963636364
1063429280,HONEYCUTT,DANNY,,MD,M,I,101 E WT HARRIS BLVD,BUILDING 1000 STE 1110,CHARLOTTE,NC,282623485,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,563.26,118.46277778,84.618888889,83.324444444
1063429371,MACKEY,JOSEPH,,MD,M,I,2201 HEMPSTEAD TPKE,,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,35,105,68.386380952,8.32,6.1491428571,6.1491428571
1063429371,MACKEY,JOSEPH,,MD,M,I,2201 HEMPSTEAD TPKE,,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,22,12.642272727,1.42,1.0145454545,1.0145454545
1063429470,CAMPBELL,GLENN,A,MD,M,I,4209 LINCOLN ROAD,,HATTIESBURG,MS,39402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,43,111,308,43.503409091,8.32,6.0741558442,6.0741558442
1063429470,CAMPBELL,GLENN,A,MD,M,I,4209 LINCOLN ROAD,,HATTIESBURG,MS,39402,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,22,22,12.740909091,3.38,2.5295454545,2.5295454545
1063429470,CAMPBELL,GLENN,A,MD,M,I,4209 LINCOLN ROAD,,HATTIESBURG,MS,39402,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,21.098181818,2.12,1.67,1.67
1063429470,CAMPBELL,GLENN,A,MD,M,I,4209 LINCOLN ROAD,,HATTIESBURG,MS,39402,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,30,69,100,14.2765,1.42,1.061,1.061
1063429470,CAMPBELL,GLENN,A,MD,M,I,4209 LINCOLN ROAD,,HATTIESBURG,MS,39402,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,35,4.85,3.80375,3.8
1063429470,CAMPBELL,GLENN,A,MD,M,I,4209 LINCOLN ROAD,,HATTIESBURG,MS,39402,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,24.022142857,24.022142857
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20.62,10.5525,8.2675,7.7875
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,31,43,141.94465116,55.582790698,43.578372093,41.39
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,52.126666667,17.146923077,13.443076923,13.533076923
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,16,33.2925,6.431875,5.046875,3.7725
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,12,12,19,60.17,28.478947368,22.328421053,22.604210526
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,48,48,296.09333333,85.0325,66.668541667,55.109583333
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,41.41,27.62,21.66,23.187272727
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,17,55.772352941,21.676470588,16.991176471,15.147058824
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,77.2,36.638666667,28.722666667,26.890666667
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,118.33,53.592,42.0136,39.6328
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,183.85,85.865,67.315,58.62
1063429603,TOUSSAINT,LANCELOT,,PA-C,M,I,8002 GUNN HWY,,TAMPA,FL,336261603,US,Physician Assistant,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,22,22,19.73,8.7613636364,6.8722727273,6.9895454545
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,33,105,218,62.694587156,8.2605504587,5.9366055046,5.9832110092
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,12.084285714,3.38,2.4607142857,2.4607142857
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,25,32,13.9903125,1.42,1.0475,1.0475
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,64,71.7653125,19.940625,14.44953125,13.3678125
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,70,75.526142857,15.092857143,11.772857143,11.832571429
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,11,27,27,242.18407407,58.814814815,44.388888889,41.272592593
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,14,19,19,77.23,18.75,14.7,14.094210526
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,26,26,85.618846154,12.433076923,9.3688461538,8.7692307692
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,12,26,156,10.785705128,2.2357692308,1.616474359,1.4773076923
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,24,86.31,17.26,11.83875,11.84875
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,179.9875,34.7175,25.037916667,23.330833333
1063429652,BLACKBURN,MICHAEL,G,MD,M,I,201 15TH AVE SW STE C,,PUYALLUP,WA,983717495,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,32,519.51,77.34,52.1628125,47.0003125
1063429660,GOBBER,ELIZABETH,A,PA-C,F,I,202 HIGH ST,SUITE 100,TECUMSEH,NE,684502443,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,33,80,52.060375,8.32,6.27875,6.27875
1063429660,GOBBER,ELIZABETH,A,PA-C,F,I,202 HIGH ST,SUITE 100,TECUMSEH,NE,684502443,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,19,16.318421053,1.42,1.1136842105,1.1136842105
1063429660,GOBBER,ELIZABETH,A,PA-C,F,I,202 HIGH ST,SUITE 100,TECUMSEH,NE,684502443,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,66,9.1754545455,2.9172727273,2.2872727273,1.5931818182
1063429660,GOBBER,ELIZABETH,A,PA-C,F,I,202 HIGH ST,SUITE 100,TECUMSEH,NE,684502443,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1797,2.3011574847,0.1350083472,0.0772231497,0.0772231497
1063429660,GOBBER,ELIZABETH,A,PA-C,F,I,202 HIGH ST,SUITE 100,TECUMSEH,NE,684502443,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,33,33,17.246666667,17.246666667
1063429686,HOLZ,CHRISTINE,E,RPA-C,F,I,4104 STATE HIGHWAY 30,,AMSTERDAM,NY,120106202,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,12,18,53,59.348867925,8.32,6.0298113208,6.0298113208
1063429686,HOLZ,CHRISTINE,E,RPA-C,F,I,4104 STATE HIGHWAY 30,,AMSTERDAM,NY,120106202,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,14,28,8.19,1.9328571429,1.2421428571,0.9035714286
1063429686,HOLZ,CHRISTINE,E,RPA-C,F,I,4104 STATE HIGHWAY 30,,AMSTERDAM,NY,120106202,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,22.4775,16.3775,12.904166667
1063429686,HOLZ,CHRISTINE,E,RPA-C,F,I,4104 STATE HIGHWAY 30,,AMSTERDAM,NY,120106202,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,102.61833333,79.1025,56.7525
1063429686,HOLZ,CHRISTINE,E,RPA-C,F,I,4104 STATE HIGHWAY 30,,AMSTERDAM,NY,120106202,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3487,0.1862632636,0.0460510467,0.0361055348,0.0361055348
1063429686,HOLZ,CHRISTINE,E,RPA-C,F,I,4104 STATE HIGHWAY 30,,AMSTERDAM,NY,120106202,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1200,0.92,0.136,0.0793666667,0.0793666667
1063429686,HOLZ,CHRISTINE,E,RPA-C,F,I,4104 STATE HIGHWAY 30,,AMSTERDAM,NY,120106202,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,123.75,33,22.63625,22.63625
1063429702,ETHEREDGE,KALI,,DPM,F,I,701 PARK AVE,,LAKE PARK,FL,334032503,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,120.45454545,71.56,56.105,56.105
1063429702,ETHEREDGE,KALI,,DPM,F,I,701 PARK AVE,,LAKE PARK,FL,334032503,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,66,42,42,32.928333333,34.15
1063429769,SPECTOR,WILLIAM,B,MD,M,I,100 HAZARD AVE,SUITE 100,ENFIELD,CT,060825446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,26,61,54.015737705,8.32,5.8796721311,5.8796721311
1063429769,SPECTOR,WILLIAM,B,MD,M,I,100 HAZARD AVE,SUITE 100,ENFIELD,CT,060825446,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,15,5.9546666667,1.42,1.116,1.116
1063429769,SPECTOR,WILLIAM,B,MD,M,I,100 HAZARD AVE,SUITE 100,ENFIELD,CT,060825446,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,270,4.6406666667,3.04,2.2069259259,2.2069259259
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,38,119,362,59.686298343,8.32,5.8933425414,5.8933425414
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,15.463157895,3.38,2.65,2.65
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,22,56,102,16.013333333,1.42,1.0384313725,1.0384313725
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,2.14,1.73,1.2766277778,1.4993777778
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,20,20,187,43.73,30.652,31.626
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,25,86.31,17.09,13.4,13.504
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,20,4066.325,913.16,715.107,841.447
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,50.404347826,4.2282608696,3.3143478261,3.7695652174
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,64,64,519.09171875,65.7,47.1575,50.2396875
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,22,2635,1.4187286528,0.1360645161,0.0876432638,0.0876432638
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,16,19,85.657894737,18.956315789,14.862631579,15.079473684
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,24,549.79166667,168.3575,131.99625,131.99125
1063429843,COHEN,MITCHELL,A,D.O.,M,I,800 DELBON AVE,,TURLOCK,CA,953822005,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,21,21,108.42857143,33,23.406190476,23.406190476
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,26,61,68.380491803,8.32,5.5608196721,5.5608196721
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,21,21,127.23714286,39.1,27.846666667,27.701428571
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,101,77.527524752,18.2,12.582475248,12.87
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,11,29,29,211.90586207,56,39.284827586,38.351724138
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,13,19,19,64.185789474,17.95,14.07,14.06
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,83.896666667,10.56,7.59,8.4483333333
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,35,202,8.455049505,2.09,1.5409405941,1.4984653465
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,30.141666667,12.96,10.16,10.34
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,30,209.922,77.8,54.9,49.884
1063429892,BROWN,JAMES,M,D.O.,M,I,1491 HEALTH CENTER PARKWAY,,YUKON,OK,730996767,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,38,29.79,29.533333333
1063429918,BESHEAR,DEIDRA,D,MD,F,I,740 S LIMESTONE,,LEXINGTON,KY,405360001,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,17,34,81.971470588,8.32,5.3705882353,5.3705882353
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,177.795,85.52,65.7275,66.525833333
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,93,92.157849462,18.56,14.239032258,14.239032258
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,1,,12,42,52.5,15.543333333,12.185714286,11.899047619
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,18,35,35,199.53314286,54.911428571,42.066857143,42.564571429
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,22,27,27,49.212222222,18.525185185,14.524444444,14.393333333
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,20,31,31,48.740322581,12.782903226,10.019677419,9.12
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,25,58,247,20.432955466,2.0656680162,1.6208502024,1.5930364372
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,24,24,15.440833333,6.16875,4.83375,4.6591666667
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,344.49230769,89.851538462,70.442307692,70.790769231
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,595.76923077,207.96461538,152.00846154,152.08538462
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,15,16,16,580.9375,136.923125,100.913125,98.29125
1063430031,SCHLATTER,MARGARET,A,MD,F,I,3421 VALLE VERDE DR,,NAPA,CA,945582414,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,22,134,134,153.42134328,33.457089552,24.905149254,24.553955224
1063430122,NIELSEN,A,M,MD,M,I,725 HAMLINE ST,,GRAND FORKS,ND,582032819,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,33,78,55.637820513,8.32,5.3251282051,5.3251282051
1063430122,NIELSEN,A,M,MD,M,I,725 HAMLINE ST,,GRAND FORKS,ND,582032819,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,13.321818182,1.42,0.8145454545,0.8145454545
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,42,53.858809524,8.32,6.524047619,6.524047619
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,19,15.894210526,1.42,1.1168421053,1.1168421053
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,5,1.95,1.5288333333,1.5288333333
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,942.14,726.68333333,821.66916667
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,54.91,7.5041666667,5.4783333333,3.1916666667
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,565.78210526,97.66,73.421052632,51.849473684
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270.62,44.745,32.344166667,27.056666667
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,15.58,9.6278571429,7.5394642857,7.5394642857
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,4161,0.1765248738,0.0464431627,0.0304253785,0.0304253785
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,71.549473684,28.328947368,21.199473684,14.404736842
1063430213,KELLY,LATONYA,R,M.D.,F,I,3921 I 49 S SERVICE RD,,OPELOUSAS,LA,705700758,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,28,117.85714286,33,23.854285714,23.854285714
1063430254,PREVITE,ANTHONY,P,M.D.,M,I,1820 E COMMERCIAL BLVD,,FORT LAUDERDALE,FL,333083725,US,Physician/Family Practice,S,E2228,"Manual wheelchair accessory, wheel braking system and lock, complete, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,68,99.06,62.205882353,47.070147059,53.444264706
1063430254,PREVITE,ANTHONY,P,M.D.,M,I,1820 E COMMERCIAL BLVD,,FORT LAUDERDALE,FL,333083725,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,51.53,20.443548387,15.048064516,13.026129032
1063430304,KIRBY,CHERYL,L,MD,F,I,5501 OLD YORK RD,LEVY BLDG. GROUND FLOOR,PHILADELPHIA,PA,191413018,US,Physician/Diagnostic Radiology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,13,27,182,68.244230769,8.32,6.2363736264,6.2363736264
1063430445,JOHNSON,PHILIP,C,M.D.,M,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,25,108,74.838333333,8.32,6.4622222222,6.4622222222
1063430445,JOHNSON,PHILIP,C,M.D.,M,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,26,17.899615385,1.42,0.9838461538,0.9838461538
1063430445,JOHNSON,PHILIP,C,M.D.,M,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Internal Medicine,S,E0295,"Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,125,49.81,32.541666667,29.358333333
1063430445,JOHNSON,PHILIP,C,M.D.,M,I,6410 FANNIN ST,600,HOUSTON,TX,770303000,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,1772.12,147.78272727,111.52454545,114.18272727
1063430783,WIEDMANN,MARGARET,A,MD,F,I,4600 N RAVENSWOOD AVE FL 2,,CHICAGO,IL,606404510,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,41,57.436341463,8.32,5.8858536585,5.8858536585
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,22,43,43,124.17116279,40.646046512,30.904651163,29.527674419
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,63,120,120,388.07475,92.1845,70.05675,65.9735
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,63,176,249,148.7573494,34.287951807,25.994738956,25.134738956
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,50,103,235,85.21787234,19.050638298,13.743021277,13.449276596
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,30,70,209,71.960956938,15.761148325,10.874545455,10.418708134
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,82,122,122,264.69770492,56.95557377,42.752459016,41.187540984
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,138,179,179,70.536759777,18.93301676,14.634078212,13.959664804
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,25,30,30,31.992333333,10.779333333,8.4533333333,8.1556666667
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,115,184,184,73.312934783,12.810380435,9.5799456522,8.7883152174
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,107,274,869,10.81552359,2.1094591484,1.5758573072,1.5175143843
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,59,69,69,26.218405797,6.7444927536,5.0755072464,4.6176811594
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,64,74,74,53.89472973,13.768108108,10.57527027,10.173513514
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,11,63,65,488.34353846,85.884461538,62.505076923,60.916153846
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,930.65666667,214.922,158.93466667,152.43666667
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,8,59,382,386,47.811295337,12.540958549,9.1879533679,9.0532901554
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,13,69,472,474,211.94160338,34.150443038,24.653607595,22.938945148
1063430833,NELSON,JACALYN,A,MD,F,I,2844 INDEX RD,ST MARYS SLEEP CENTER,FITCHBURG,WI,537133117,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,353.11555556,69.81,53.304444444,53.304444444
1063430981,BADAWI,M-AMIN,,M.D.,M,I,5770 HIGHLAND RD,SUITE 1,WATERFORD,MI,483271877,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,24,49,138,47.042246377,8.32,6.2857971014,6.2857971014
1063430981,BADAWI,M-AMIN,,M.D.,M,I,5770 HIGHLAND RD,SUITE 1,WATERFORD,MI,483271877,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,13.256,3.38,2.65,2.65
1063430981,BADAWI,M-AMIN,,M.D.,M,I,5770 HIGHLAND RD,SUITE 1,WATERFORD,MI,483271877,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,19.357272727,2.12,1.5181818182,1.5181818182
1063430981,BADAWI,M-AMIN,,M.D.,M,I,5770 HIGHLAND RD,SUITE 1,WATERFORD,MI,483271877,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,33,54,11.629074074,1.42,1.0535185185,1.0535185185
1063430981,BADAWI,M-AMIN,,M.D.,M,I,5770 HIGHLAND RD,SUITE 1,WATERFORD,MI,483271877,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,17.582592593,5.5644444444,3.76,3.1540740741
1063430981,BADAWI,M-AMIN,,M.D.,M,I,5770 HIGHLAND RD,SUITE 1,WATERFORD,MI,483271877,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,11,26,8247,0.3980756639,0.0463792894,0.0318430945,0.0318430945
1063430981,BADAWI,M-AMIN,,M.D.,M,I,5770 HIGHLAND RD,SUITE 1,WATERFORD,MI,483271877,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,12,32,32,51.5625,33,22.6653125,22.6653125
1063431013,KASBARIAN,CHARLES,M,M.D.,M,I,670 W. ARAPAHO RD,SUITE 6,RICHARDSON,TX,750804213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,21,54,85.002222222,8.32,5.7962962963,5.7962962963
1063431021,YAUCH,DAVID,,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,55076,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,26,55,195,71.850512821,8.32,5.7535384615,5.7535384615
1063431021,YAUCH,DAVID,,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,55076,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,25,11.2788,1.42,0.8912,0.8912
1063431021,YAUCH,DAVID,,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,55076,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,2200,2.5218181818,2.04,0.5510590909,0.5510590909
1063431021,YAUCH,DAVID,,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,55076,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10.02,3.82,2.995,3.0518181818
1063431021,YAUCH,DAVID,,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,55076,US,Physician/Internal Medicine,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10.248,5.36,4.202,4.202
1063431021,YAUCH,DAVID,,MD,M,I,5565 BLAINE AVE,,INVER GROVE HEIGHTS,MN,55076,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,1351,2.0603034789,0.37,0.2731014064,0.2731014064
1063431179,CHAN,SIMON,C,M.D.,M,I,150 CATHERINE LN,SUITE F,GRASS VALLEY,CA,959455719,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,14,19,80.036315789,8.32,6.1810526316,6.1810526316
1063431179,CHAN,SIMON,C,M.D.,M,I,150 CATHERINE LN,SUITE F,GRASS VALLEY,CA,959455719,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,990,5.5465555556,0.5759090909,0.4096666667,0.4096666667
1063431203,OOMMEN,SUMA,,M.D.,F,I,18818 TELLER AVE,SUITE #170,IRVINE,CA,926121678,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,28,82.459285714,8.32,5.1232142857,5.1232142857
1063431252,QU,PEIMEI,,M.D.,F,I,201 UNION AVE,SUITE 1A,BRIDGEWATER,NJ,088073002,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,134.38,47.091818182,26.888181818,27.950909091
1063431252,QU,PEIMEI,,M.D.,F,I,201 UNION AVE,SUITE 1A,BRIDGEWATER,NJ,088073002,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,21.44,5.9791666667,4.6908333333,3.8466666667
1063431252,QU,PEIMEI,,M.D.,F,I,201 UNION AVE,SUITE 1A,BRIDGEWATER,NJ,088073002,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,217.1,70,50.037647059,49.905294118
1063431252,QU,PEIMEI,,M.D.,F,I,201 UNION AVE,SUITE 1A,BRIDGEWATER,NJ,088073002,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,23.209090909,16.721818182,20.535454545
1063431252,QU,PEIMEI,,M.D.,F,I,201 UNION AVE,SUITE 1A,BRIDGEWATER,NJ,088073002,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,20.57,7.4495238095,5.6033333333,6.86
1063431252,QU,PEIMEI,,M.D.,F,I,201 UNION AVE,SUITE 1A,BRIDGEWATER,NJ,088073002,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,34,34,61.96,35,25.641470588,27.681176471
1063431476,RICCI,BETH,,DO,F,I,1306 E 38TH ST,,ERIE,PA,165043018,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,27,56,65.920892857,8.32,5.8242857143,5.8242857143
1063431641,FOWLER,TRACY,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,105,19.71,15.45,15.45
1063431641,FOWLER,TRACY,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,25,175,200,37.38,29.305714286,29.305714286
1063431641,FOWLER,TRACY,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,25,201,29.134477612,5.2018905473,4.078159204,4.078159204
1063431641,FOWLER,TRACY,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,28,2250,2.3188044444,0.4220266667,0.3308666667,0.3308666667
1063431641,FOWLER,TRACY,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,15,1670,0.6997784431,0.4954371257,0.3883832335,0.3883832335
1063431641,FOWLER,TRACY,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,16,16,24,24,18.82,18.82
1063431641,FOWLER,TRACY,L,ARNP,F,I,1959 NE PACIFIC ST,,SEATTLE,WA,981950001,US,Nurse Practitioner,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,35,41,16,16,12.540243902,12.540243902
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,36,36,112.24194444,38.936944444,30.521944444,30.446944444
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,17,33,33,363.95424242,88.62,66.928787879,65.355151515
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,14,28,73,123.0030137,32.719178082,25.652191781,25.846849315
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,77,58.680649351,18.382857143,14.412207792,14.552337662
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,15,87,46.950114943,14.954482759,11.043908046,11.213563218
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,22,44,44,212.93772727,53.131363636,40.709772727,41.901136364
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,34,44,44,76.528636364,17.963181818,13.761363636,13.722272727
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,19,37,37,51.244594595,11.961081081,9.122972973,8.9037837838
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,33,73,430,7.5606744186,2.020627907,1.5610465116,1.5700232558
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,23,23,23.964782609,5.9626086957,4.672173913,4.6482608696
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,14,16,16,45.556875,12.415625,9.73,10.191875
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,61,61,3654.1403279,1074.31,839.07770492,839.07770492
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,19,90,91,391.10901099,32.417802198,22.064395604,22.663406593
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,18,90,95,499.06642105,77.391894737,58.115157895,53.254631579
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,40.335,26.311666667,25.776666667
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,13,29,5582,0.5228484414,0.0477409531,0.0374310283,0.0374310283
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,30,1342,10.81576006,3.0521460507,2.3928688525,2.3928688525
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,30,1047,3.4604202483,0.2192168099,0.1717765043,0.1717765043
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,14,76,81,171.67901235,38.71,29.51654321,28.769876543
1063431666,WEINBERG,BARRY,J,M.D.,M,I,19 E 80TH ST,SUITE 1D,NEW YORK,NY,100210117,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,13,51,51,33,33,25.87,25.87
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,66,130,130,91.466076923,41.844692308,31.651,29.681769231
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,12,60,105,3.25,1.4,1.0371428571,1.0838095238
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,49,94,94,397.58,92.390638298,68.933617021,64.58606383
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,9,44,97,228,155.33412281,33.915657895,25.380438596,24.713070175
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,9,29,69,330,85.284606061,19.479515152,14.453272727,13.768545455
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,30,66,314,46.601019108,15.722452229,11.400063694,11.107611465
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,69,149,149,194.52456376,57.304832215,42.930201342,41.376979866
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,112,153,153,67.499215686,19.369019608,14.469084967,13.493006536
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,58,120,120,85.955333333,12.288,8.9601666667,8.4794166667
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,13,112,235,1260,9.3999444444,2.1198809524,1.6078253968,1.5457460317
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,20,27,27,29.44037037,6.3874074074,4.6566666667,4.3096296296
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,69,97,97,50.917319588,12.383814433,9.2577319588,9.8779381443
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,24,86.31,17,12.774583333,12.969166667
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,2880.4909091,1074.31,837.91242424,837.91242424
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,19,20,342.1735,91.895,71.3525,69.0135
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,29,29,29,356.65103448,145.13689655,113.78827586,104.66931034
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,15,19,81.75,14.661052632,10.397894737,9.3673684211
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,9,51,278,288,224.71569444,34.598402778,25.946458333,24.517708333
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,43,436.13093023,83.442093023,65.41627907,62.021860465
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,27,1410,10.879049645,9.6180638298,7.5405602837,7.5405602837
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,12.394444444,11.261722222,8.8292407407,8.8292407407
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,11,35,7161,0.5174584555,0.0474905739,0.0293883536,0.0293883536
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,37,3929,2.6708679053,0.1339348435,0.1022550267,0.1022550267
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,14,77,4350,9.622937931,2.9724275862,2.3105977011,2.3105977011
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,495,0.75,0.218989899,0.1652727273,0.1652727273
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,31,31,75,41.836774194,31.789354839,30.71516129
1063431682,KAHN,DOUGLAS,,D.O.,M,I,24 HOSPITAL AVE,,DANBURY,CT,068106099,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,12,27,109,109,49.348623853,33,24.445963303,24.445963303
1063431708,WILSON,MARY,F,NP,F,I,14211 WHITE CREEK AVE NE,,CEDAR SPRINGS,MI,493198168,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,18,34,71,54.696619718,8.32,6.0626760563,6.0626760563
1063431708,WILSON,MARY,F,NP,F,I,14211 WHITE CREEK AVE NE,,CEDAR SPRINGS,MI,493198168,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,13,18.914615385,1.42,1.1169230769,1.1169230769
1063431708,WILSON,MARY,F,NP,F,I,14211 WHITE CREEK AVE NE,,CEDAR SPRINGS,MI,493198168,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,413.38454545,78.964545455,61.902727273,55.439090909
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,31,99,174,66.619252874,8.32,5.2492528736,5.2492528736
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,19,33,44,20.502727273,1.42,1.0156818182,1.0156818182
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,23,46,6.0204347826,1.9204347826,1.5065217391,1.15
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,4.5615384615,1.4876923077,1.1653846154,0.9638461538
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,434,275,5.54,4.0329953917,3.917281106
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,54.735,17.29,13.55,13.530909091
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,11,62,65,25.791692308,5.688,4.1963076923,3.5286153846
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,44,455.74045455,70.639772727,55.381136364,54.767045455
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,42,5010,1.3865568862,0.1330359281,0.095253493,0.095253493
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,62.905454545,25.397272727,16.952727273,16.314090909
1063431716,BROWN,CRYSTAL,L,M.D.,F,I,701 BLUEBIRD BLVD,,FORT VALLEY,GA,310305085,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,45,45,94.6,33,23.570444444,23.570444444
1063431823,HALL,DEBORAH,M,M.D.,F,I,2330 SHAWNEE MISSION PKWY,SUITE 2201,WESTWOOD,KS,662052005,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,25,89,76.31741573,8.32,5.1296629213,5.1296629213
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,13,25,25,114.5732,43.0116,32.0264,30.3444
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,11,35,51,51,298.55058824,101.52960784,77.854313725,69.28627451
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,11,21,41,86,126.7322093,40.933255814,30.631046512,25.849418605
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,33,58.27030303,20.07,13.971818182,12.786666667
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,14,51,51.773529412,17.855294118,13.998235294,12.588039216
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,31,44,44,186.82136364,60.98,44.110454545,40.771590909
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,55,66,66,53.513181818,19.760757576,14.910909091,13.937878788
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,50,69,69,53.806666667,12.846521739,9.687826087,8.8589855072
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,59,91,324,10.094197531,2.2425925926,1.7000925926,1.569537037
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,27.188333333,7.155,5.2041666667,4.4525
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,17,22,22,43.570909091,15.469545455,12.126363636,10.368636364
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,25,123,129,76.863023256,18.809767442,13.839224806,12.866744186
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,13,13,93.126923077,51.36,40.27,37.63
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,18,119,119,4430.1,1074.31,838.13134454,838.13134454
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,26,26,26,344.75615385,151.65346154,115.82961538,105.64730769
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,28,35,63.025714286,15.133142857,11.863142857,10.918
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,11,53,55,36.259090909,4.5029090909,3.2454545455,3.5774545455
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,44,204,215,166.82106977,36.858418605,27.124139535,25.014511628
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,38,202,224,463.63486607,88.346294643,66.347678571,54.290267857
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,63,87,244.82758621,40.260804598,31.568735632,29.902068966
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.140769231,8.6591410256,8.6591410256
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,13,35,6889,0.3668921469,0.0465945711,0.0352068515,0.0352068515
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,47,4620,1.3573008658,0.1347792208,0.1009632035,0.1009632035
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,85,40.25,26.547058824,24.738235294
1063431849,SKIBO,SCOTT,D,MD,M,I,600 HOSPITAL DR,SUITE 4,CLYDE,NC,287218024,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,22,89,89,56.797752809,33,24.707303371,24.707303371
1063432094,SHANKS,CHERYL,E,ARNP,F,I,607 LINCOLN ST,,BLUE RAPIDS,KS,664111419,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,26,67,53.064626866,8.32,5.5479104478,5.5479104478
1063432094,SHANKS,CHERYL,E,ARNP,F,I,607 LINCOLN ST,,BLUE RAPIDS,KS,664111419,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,95.284210526,23.384736842,17.546315789,13.451578947
1063432094,SHANKS,CHERYL,E,ARNP,F,I,607 LINCOLN ST,,BLUE RAPIDS,KS,664111419,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,111.1,68.961818182,54.063636364,31.649090909
1063432094,SHANKS,CHERYL,E,ARNP,F,I,607 LINCOLN ST,,BLUE RAPIDS,KS,664111419,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,31,498.24516129,94.242580645,71.921290323,55.539677419
1063432094,SHANKS,CHERYL,E,ARNP,F,I,607 LINCOLN ST,,BLUE RAPIDS,KS,664111419,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,1647,1.6927686703,0.1353976928,0.0804735883,0.0804735883
1063432094,SHANKS,CHERYL,E,ARNP,F,I,607 LINCOLN ST,,BLUE RAPIDS,KS,664111419,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1080,10.943481481,3.1570555556,2.3473611111,2.3473611111
1063432094,SHANKS,CHERYL,E,ARNP,F,I,607 LINCOLN ST,,BLUE RAPIDS,KS,664111419,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,70.125,33,21.019375,21.019375
1063432193,BRESNER,GERALD,I,DPM,M,I,75 BLOOMFIELD AVE,SUITE 106,DENVILLE,NJ,078342735,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,840,0.55,0.44,0.3449880952,0.3449880952
1063432193,BRESNER,GERALD,I,DPM,M,I,75 BLOOMFIELD AVE,SUITE 106,DENVILLE,NJ,078342735,US,Podiatry,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,119.34,21.039090909,14.554545455,18.384545455
1063432193,BRESNER,GERALD,I,DPM,M,I,75 BLOOMFIELD AVE,SUITE 106,DENVILLE,NJ,078342735,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20.57,6.4190909091,4.4363636364,5.6681818182
1063432193,BRESNER,GERALD,I,DPM,M,I,75 BLOOMFIELD AVE,SUITE 106,DENVILLE,NJ,078342735,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,17,32,715,569.69,446.635625,401.3996875
1063432193,BRESNER,GERALD,I,DPM,M,I,75 BLOOMFIELD AVE,SUITE 106,DENVILLE,NJ,078342735,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,30,595,475.12,372.495,318.688
1063432193,BRESNER,GERALD,I,DPM,M,I,75 BLOOMFIELD AVE,SUITE 106,DENVILLE,NJ,078342735,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,31,115,90.51,70.96,69.026774194
1063432235,FELDMAN,ANDREW,,M.D.,M,I,95 UNIVERSITY PLACE,UNIVERSITY PLACE ORTHOPEDICS 8TH FLOOR,NEW YORK,NY,10003,US,Physician/Orthopedic Surgery,S,L1810,"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,22,175,97.323181818,76.299545455,77.794090909
1063432235,FELDMAN,ANDREW,,M.D.,M,I,95 UNIVERSITY PLACE,UNIVERSITY PLACE ORTHOPEDICS 8TH FLOOR,NEW YORK,NY,10003,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,150,119.07,92.586363636,87.782727273
1063432318,CHANG,KU-LANG,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,44,63.105909091,8.32,5.9279545455,5.9279545455
1063432318,CHANG,KU-LANG,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,22.383636364,1.42,0.9163636364,0.9163636364
1063432318,CHANG,KU-LANG,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,168,48.31,34.723333333,34.556666667
1063432318,CHANG,KU-LANG,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,1887,1.9895866455,0.1300847907,0.0962109168,0.0962109168
1063432318,CHANG,KU-LANG,,MD,F,I,1600 SW ARCHER RD,,GAINESVILLE,FL,326103003,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,24.253125,24.253125
1063432326,YOON,JONG,C,M.D.,M,I,82 THOMAS JOHNSON CT,,FREDERICK,MD,217024348,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,62,11.060806452,2.2258064516,1.744516129,1.5917741935
1063432474,NAZNEEN,RUKSANA,S,M. D.,F,I,1625 E 75TH ST,,CHICAGO,IL,606493603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,20,22,88.227272727,8.32,5.6377272727,5.6377272727
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,780,7.2,1.73,1.252,1.4716410256
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,34,86,18.351395349,10.93,8.1708139535,8.1708139535
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,21,14.422857143,7.86,6.16,6.4942857143
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,15.635,2.32,1.82,2.14
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,640,8.877625,5.74,3.736390625,3.736390625
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,570,16.119157895,9.58,7.2943859649,7.2943859649
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,1800,0.3951666667,0.27,0.1940222222,0.1940222222
1063432607,SMITH,ROBERT,B,MD,M,I,10833 LE CONTE AVE.,,LOS ANGELES,CA,900953075,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,21,1025,0.7061853659,0.27,0.1961853659,0.1961853659
1063432771,SMITH,NEESHA,,CNP,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Nurse Practitioner,S,E0373,Nonpowered advanced pressure reducing mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,614.47,255.75357143,191.88571429,123.41285714
1063432771,SMITH,NEESHA,,CNP,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Nurse Practitioner,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,53.2,53.2,41.71,46.35
1063432771,SMITH,NEESHA,,CNP,F,I,280 PATTONSVILLE RD,,JACKSON,OH,456409452,US,Nurse Practitioner,S,L3924,"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,77.25,77.25,60.045454545,66.163636364
1063432805,GREIG,SHANDRA,,,F,I,335 FAIRVIEW ST,,SILVERTON,OR,973811916,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,112,31.181666667,24.446666667,24.676666667
1063432821,HAYS,KATHERINE,,MD,F,I,3500 HEALTHPLEX PKWY,SUITE 200,NORMAN,OK,730729738,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,19,180.36473684,17.564736842,13.770526316,13.54
1063432821,HAYS,KATHERINE,,MD,F,I,3500 HEALTHPLEX PKWY,SUITE 200,NORMAN,OK,730729738,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,30,503.917,77.068,58.432333333,52.904666667
1063432847,MARQUART,PRECIOUS,J,M.D.,F,I,265 SE JOHN JONES DR STE 110,,BURLESON,TX,760288355,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,49,35.403061224,8.32,5.5906122449,5.5906122449
1063433167,KUDERA,JEREMY,S,MD,M,I,1104 W 8TH ST,,YANKTON,SD,570783306,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,111.63181818,69.558181818,54.535454545,36.46
1063433316,KALK,GRACE,L,PA,F,I,940 S SAINT AUGUSTINE ST,,PULASKI,WI,541629453,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,23,66,136,61.818529412,8.32,4.2653676471,4.2653676471
1063433316,KALK,GRACE,L,PA,F,I,940 S SAINT AUGUSTINE ST,,PULASKI,WI,541629453,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.088333333,3.38,1.7666666667,1.7666666667
1063433316,KALK,GRACE,L,PA,F,I,940 S SAINT AUGUSTINE ST,,PULASKI,WI,541629453,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,22,15.757727273,1.42,0.6590909091,0.6590909091
1063433316,KALK,GRACE,L,PA,F,I,940 S SAINT AUGUSTINE ST,,PULASKI,WI,541629453,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,345,69.81,47.432666667,47.432666667
1063433316,KALK,GRACE,L,PA,F,I,940 S SAINT AUGUSTINE ST,,PULASKI,WI,541629453,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,112,36.14,24.552666667,25.771333333
1063433381,BALASUBRAMANIAN,LAKSHMI,,MD,F,I,2410 ROUND ROCK AVENUE,#150,ROUND ROCK,TX,78681,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,20,39,43.923846154,35.981538462,28.208205128,30.193846154
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,31,4916,0.2949633849,0.13,0.1019304312,0.1019304312
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,27,140,26920,3.5318881872,1.7320728083,1.3467407132,1.5644008172
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,67,12740,11.399497645,6.7944583987,5.3155800628,5.6375015699
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,40,7610,13.554089356,7.8639159001,6.1391721419,6.15178318
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,11,35,85,12.288705882,10.81,8.2738823529,8.368
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,45,16.042888889,7.46,5.3291111111,5.3291111111
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,260,6.7350769231,3.9,3.0575,3.0575
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,360,7.9865,5.74,4.2501111111,4.2501111111
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,64,3.28953125,1.8,1.41015625,1.41015625
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,550,14.044945455,9.86,7.7300727273,7.7300727273
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,26,580,5.2548448276,4.0386206897,3.1059655172,3.1070517241
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,1140,0.3243333333,0.2584561404,0.2025526316,0.2025526316
1063433514,FLYNN,BRIAN,,MD,M,I,12605 E 16TH AVE,,AURORA,CO,800452545,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,930,0.7335913978,0.262688172,0.1949892473,0.2008064516
1063433589,HU,XIAOXI,,MD,F,I,4506 8TH AVE,,BROOKLYN,NY,112201516,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,22,326.42272727,8.32,5.9290909091,5.9290909091
1063433589,HU,XIAOXI,,MD,F,I,4506 8TH AVE,,BROOKLYN,NY,112201516,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,360,3,3,2.352,2.3650555556
1063433589,HU,XIAOXI,,MD,F,I,4506 8TH AVE,,BROOKLYN,NY,112201516,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5136,0.65,0.590771028,0.4631542056,0.5083839564
1063433746,KING,EARL,D,M.D.,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,13,78,6.1898717949,2.0623076923,1.4926923077,1.4721794872
1063433746,KING,EARL,D,M.D.,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,70.463181818,17.878636364,9.9954545455,9.6627272727
1063433746,KING,EARL,D,M.D.,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,50.73,4.6556,3.3808,3.3784
1063433746,KING,EARL,D,M.D.,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,22,111,113,404.31070796,74.63619469,51.54159292,48.262035398
1063433746,KING,EARL,D,M.D.,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,52,177.78538462,37.313076923,28.694038462,28.908461538
1063433746,KING,EARL,D,M.D.,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,30,6966,0.1580232558,0.0456302038,0.0347875395,0.0347875395
1063433746,KING,EARL,D,M.D.,M,I,333 COTTMAN AVE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,25,25,88.44,33,24.7272,24.7272
1063433803,FRUNZA,ANA,A,MD,F,I,1995 BETHABARA RD,,WINSTON SALEM,NC,271063375,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,16,34,102,60.499019608,8.32,6.5221568627,6.5221568627
1063433803,FRUNZA,ANA,A,MD,F,I,1995 BETHABARA RD,,WINSTON SALEM,NC,271063375,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,44.9245,4.454,2.535,2.535
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,83.2925,39.225,26.89125,26.70375
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,118,45.360169492,18.126101695,13.834491525,14.108474576
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,20,111,38.562162162,15.38,10.505585586,10.364504505
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,41,41,167.33097561,53.806097561,38.625121951,39.260731707
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,52.376818182,18.477272727,13.789545455,13.427272727
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,27,27,51.621481481,12.04,8.3911111111,8.1540740741
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,42,252,7.3757142857,2,1.4936507937,1.5145238095
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,42.3275,12.835,10.061666667,10.299166667
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,45.501176471,16.981176471,12.528235294,12.738235294
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,25,3.2432,3.2432,2.538,3.5124
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,131.70823529,31.87,20.748823529,22.648823529
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,45,45,258.90911111,72.186222222,53.346666667,51.595777778
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,155.759375,36.58,28.67,29.51
1063434132,SPITZ,BRADLEY,L,M.D.,M,I,501 WASHINGTON ST,STE 508,SAN DIEGO,CA,921032231,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,14,14,52.328571429,33,24.022142857,24.022142857
1063434413,CHACKO,JOHN,T,MD,M,I,3051 6TH ST,,MARIANNA,FL,324461933,US,Physician/Urology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,35.97,22.4775,16.3775,12.904166667
1063434413,CHACKO,JOHN,T,MD,M,I,3051 6TH ST,,MARIANNA,FL,324461933,US,Physician/Urology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,275,102.61833333,75.474166667,53.544166667
1063434520,SMALLOW,STEVAN,A,MD,M,I,2846 KNIGHTS RD,,BENSALEM,PA,190203552,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,74,147,76.039183673,8.32,5.5892517007,5.5892517007
1063434520,SMALLOW,STEVAN,A,MD,M,I,2846 KNIGHTS RD,,BENSALEM,PA,190203552,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,47,51,16.66627451,1.42,1.008627451,1.008627451
1063434520,SMALLOW,STEVAN,A,MD,M,I,2846 KNIGHTS RD,,BENSALEM,PA,190203552,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,16.08,16.08,12.6,13.53
1063434520,SMALLOW,STEVAN,A,MD,M,I,2846 KNIGHTS RD,,BENSALEM,PA,190203552,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,40.01,9.7533333333,5.55,6.6833333333
1063434520,SMALLOW,STEVAN,A,MD,M,I,2846 KNIGHTS RD,,BENSALEM,PA,190203552,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,77.18,77.18,60.51,54.72
1063434611,SANDA,JANELLE,C,MD,F,I,801 BROADWAY N,,FARGO,ND,581023641,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,42,43.565714286,8.32,6.5233333333,6.5233333333
1063434637,THOM,STEVEN,B,MD,M,I,712 SOUTH CASCADE STREET,,FERGUS FALLS,MN,565372813,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,25,25,25,74.9028,70.5064,44.2052,42.4124
1063434637,THOM,STEVEN,B,MD,M,I,712 SOUTH CASCADE STREET,,FERGUS FALLS,MN,565372813,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,22,65.863636364,52.199090909,37.208636364,39.905
1063434637,THOM,STEVEN,B,MD,M,I,712 SOUTH CASCADE STREET,,FERGUS FALLS,MN,565372813,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,26,73.615384615,63.214615385,46.183461538,50.422692308
1063434835,BORNE,DAVID,M,MD,M,I,2820 NAPOLEON AVE,SUITE 890,NEW ORLEANS,LA,701156969,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,37,121,61.250495868,8.32,5.9830578512,5.9830578512
1063434835,BORNE,DAVID,M,MD,M,I,2820 NAPOLEON AVE,SUITE 890,NEW ORLEANS,LA,701156969,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,16,35,11.829714286,1.42,1.0485714286,1.0485714286
1063434835,BORNE,DAVID,M,MD,M,I,2820 NAPOLEON AVE,SUITE 890,NEW ORLEANS,LA,701156969,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,20,17,11.425714286,11.627857143
1063434835,BORNE,DAVID,M,MD,M,I,2820 NAPOLEON AVE,SUITE 890,NEW ORLEANS,LA,701156969,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,75,71,47.708571429,46.977857143
1063435063,HINOJOSA,JOSE,R,MD,M,I,11130 CHRISTUS HILLS,3RD FLOOR,SAN ANTONIO,TX,78251,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,4.0254545455,1.63,1.28,1.1618181818
1063435071,HANSON,DAVID,S,MD,M,I,4950 ESSEN LN,SUITE 500,BATON ROUGE,LA,708093738,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,17,1288,39.10359472,4.9007841615,3.8422282609,3.8422282609
1063435071,HANSON,DAVID,S,MD,M,I,4950 ESSEN LN,SUITE 500,BATON ROUGE,LA,708093738,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,36.750909091,16,12.54,12.54
1063435238,KUCHMA,ROKSOLANA,,MD,F,I,2350 RIDGEWAY AVE,,ROCHESTER,NY,146264127,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,31,55,88.375454545,8.32,5.4407272727,5.4407272727
1063435238,KUCHMA,ROKSOLANA,,MD,F,I,2350 RIDGEWAY AVE,,ROCHESTER,NY,146264127,US,Physician/Geriatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,19,20,71.3435,1.42,0.896,0.896
1063435238,KUCHMA,ROKSOLANA,,MD,F,I,2350 RIDGEWAY AVE,,ROCHESTER,NY,146264127,US,Physician/Geriatric Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,150,29.818333333,15.9875,18.060833333
1063435428,VERSON,REINALDO,D,MD,M,I,705 17TH ST,,COLUMBUS,GA,319013500,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,127,31.341818182,24.572727273,24.087272727
1063435428,VERSON,REINALDO,D,MD,M,I,705 17TH ST,,COLUMBUS,GA,319013500,US,Physician/Neurology,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,17,66.288235294,53.2,33.977058824,38.82
1063435493,DOUDIKIAN-SCAFF,NAYIRI,,M.D.,F,I,960 E GREEN ST,SUITE 168,PASADENA,CA,911062401,US,Physician/Plastic and Reconstructive Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,27,2036,0.1576620825,0.12,0.0903831041,0.0903831041
1063435493,DOUDIKIAN-SCAFF,NAYIRI,,M.D.,F,I,960 E GREEN ST,SUITE 168,PASADENA,CA,911062401,US,Physician/Plastic and Reconstructive Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,15,27,2740,0.16,0.13,0.0944890511,0.0944890511
1063435493,DOUDIKIAN-SCAFF,NAYIRI,,M.D.,F,I,960 E GREEN ST,SUITE 168,PASADENA,CA,911062401,US,Physician/Plastic and Reconstructive Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,12,26,285,27.42,24.88,19.506,19.312736842
1063435493,DOUDIKIAN-SCAFF,NAYIRI,,M.D.,F,I,960 E GREEN ST,SUITE 168,PASADENA,CA,911062401,US,Physician/Plastic and Reconstructive Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,12,25,195,9.54,8.1,6.35,6.3983589744
1063435493,DOUDIKIAN-SCAFF,NAYIRI,,M.D.,F,I,960 E GREEN ST,SUITE 168,PASADENA,CA,911062401,US,Physician/Plastic and Reconstructive Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,11,23,23,1936.8704348,638.67565217,500.72304348,475.03347826
1063435592,COLLAZO,SYLVIA,,MD,F,I,833 E OAK ST,,KISSIMMEE,FL,347445838,US,General Practice,T,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,24,46,63.642391304,8.32,6.2391304348,6.2391304348
1063435592,COLLAZO,SYLVIA,,MD,F,I,833 E OAK ST,,KISSIMMEE,FL,347445838,US,General Practice,T,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,17,20,50.73,4.422,3.472,3.716
1063435659,UEBELE,STACY,A,D.P.M.,M,I,1005 W GREEN ST,304,HASTINGS,MI,490581712,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,18,18,36,79.395277778,71.195555556,52.752777778,53.038611111
1063435659,UEBELE,STACY,A,D.P.M.,M,I,1005 W GREEN ST,304,HASTINGS,MI,490581712,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,72,39.166666667,29.19,22.885,22.886666667
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,14,26,26,85.952307692,40,31.36,30.49
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,76,52.690263158,18.99,14.77,14.46
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,18,106,41.184150943,15,11.183396226,11.309245283
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,17,36,36,180.12611111,55.14,40.994166667,40.655
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,19,25,25,53.5836,19.31,14.6112,13.5744
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,64.39375,13,9.634375,8.698125
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,19,40,240,7.65925,2.09,1.5615833333,1.5184166667
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,36.710625,12.96,9.525,9.708125
1063435675,DAVIS,STEVEN,E,M.D.,M,I,20911 EARL ST,SUITE #470,TORRANCE,CA,905034352,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,49,49,209.7,33.945306122,23.043673469,22.961428571
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,840,0.44,0.44,0.345,0.345
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,570,2.4,2.4,1.8816315789,1.8816315789
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1020,0.13,0.13,0.1019705882,0.1019705882
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,2031,0.4485228951,0.4485228951,0.3516543575,0.3527720335
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,74.27,20.238181818,14.529090909,13.24
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,25.174545455,8.8018181818,6.3254545455,6.3036363636
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,L2275,"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,118.59,118.59,92.97,99.14
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,13,297.46,266.98,198.27384615,206.38
1063435758,WHYATT,TIMOTHY,J,D.P.M,M,I,6717 N.W. 11TH PLACE,SUITE D,GAINESVILLE,FL,32605,US,Podiatry,S,L4396,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,270.83333333,163.79,112.23166667,110.76166667
1063435899,NEEDHAM,CHARLES,S,M.D.,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Thoracic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,59.222,17.91,13.104,12.670666667
1063435899,NEEDHAM,CHARLES,S,M.D.,M,I,3242 S WOODRUFF AVE,,IDAHO FALLS,ID,834048305,US,Physician/Thoracic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,342.578,70.48,51.566666667,51.107333333
1063435949,FULLERTON,BRIAN,D,MD,M,I,2800 10TH AVE N,,BILLINGS,MT,591010703,US,Hospitalist,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,51.333333333,18.283333333,12.339166667,11.659166667
1063435949,FULLERTON,BRIAN,D,MD,M,I,2800 10TH AVE N,,BILLINGS,MT,591010703,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,406.075,72.4,46.795,45.601666667
1063436004,GONZALEZ,SUSANA,,MD,F,I,1225 ALTON RD,,MIAMI BEACH,FL,331393809,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,60,64.355166667,8.32,6.0875,6.0875
1063436004,GONZALEZ,SUSANA,,MD,F,I,1225 ALTON RD,,MIAMI BEACH,FL,331393809,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,16,15.173125,1.42,0.97625,0.97625
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,36,68.528333333,8.32,5.7980555556,5.7980555556
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,11,22,8.19,1.48,1.0545454545,1.0454545455
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,86.31,17,11.811666667,12.025833333
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,43,43,456.82186047,79.88,56.698604651,49.71744186
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,13.94,11.128230769,8.5406282051,8.5406282051
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,4947,0.1801879927,0.0456903174,0.034131797,0.034131797
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,780,12.86,3.1128461538,2.4405,2.4405
1063436277,MCGREGOR,JEANNE,M,"M.D., M.P.H.",F,I,1605 THONOTOSASSA RD,,PLANT CITY,FL,335634251,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,28,28,132,33,24.946071429,24.946071429
1063436418,CIONNI,DAVID,J,,M,I,1024 CENTRAL PK DR,,STEAMBOAT SPRINGS,CO,80487,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,20,7.6325,5.9816666667,3.66
1063436475,NGUYEN,MICHAEL,,M.D.,M,I,460 ANDES RD,,DELHI,NY,137537407,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,25,57,142,55.944507042,8.32,5.4195070423,5.4195070423
1063436475,NGUYEN,MICHAEL,,M.D.,M,I,460 ANDES RD,,DELHI,NY,137537407,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,12.92,3.38,2.4090909091,2.4090909091
1063436475,NGUYEN,MICHAEL,,M.D.,M,I,460 ANDES RD,,DELHI,NY,137537407,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,15,29,42,13.206666667,1.42,0.9285714286,0.9285714286
1063436475,NGUYEN,MICHAEL,,M.D.,M,I,460 ANDES RD,,DELHI,NY,137537407,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,84.015,21.328333333,15.062777778,12.361111111
1063436475,NGUYEN,MICHAEL,,M.D.,M,I,460 ANDES RD,,DELHI,NY,137537407,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,45,421.53,95.332888889,69.947777778,51.619777778
1063436475,NGUYEN,MICHAEL,,M.D.,M,I,460 ANDES RD,,DELHI,NY,137537407,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1701.045,196.01416667,153.67,122.26666667
1063436509,MACIOG,PATRICIA,A,MD,F,I,6226 E SPRING ST,SUITE 240,LONG BEACH,CA,908151423,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,167.93,45.463333333,31.893333333,33.484166667
1063436590,SMITH,JENNIFER,R,D.O.,F,I,4250 E CAMELBACK RD,K100,PHOENIX,AZ,850188301,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,7.16,5.6683333333,3.7516666667,2.9666666667
1063436889,MCCORMICK,ANN,M,APN,F,I,1701 W SUPERIOR ST,,CHICAGO,IL,606225646,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,21,55,110,53.746909091,8.32,4.3861818182,4.3861818182
1063436889,MCCORMICK,ANN,M,APN,F,I,1701 W SUPERIOR ST,,CHICAGO,IL,606225646,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,17,33,34,25.925294118,1.42,0.8235294118,0.8235294118
1063437028,XU,RENDING,,MD,F,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,708.58615385,77.34,51.963846154,47.879230769
1063437028,XU,RENDING,,MD,F,I,315 MARTIN LUTHER KING JR WAY,,TACOMA,WA,984054234,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,39.3,28.009090909,26.945454545
1063437283,PATTON,MARK,A,D.O.,M,I,1234 COMMERCIAL ST SE,,SALEM,OR,973024204,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,46.58,33.4675,34.516666667
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,44,117,204,56.416176471,8.32,5.2748039216,5.2748039216
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,44,91,93,12.96516129,1.42,0.9295698925,0.9295698925
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,390,3.34,2.8,2.1015641026,2.2606666667
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5460,0.35,0.3,0.2170989011,0.2245018315
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,53.96,16.965882353,9.8535294118,10.087647059
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,450.54571429,71.034285714,45.743928571,45.122857143
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,32,3780,2.51,0.1352698413,0.085462963,0.085462963
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,22,22,141.54045455,14.990909091,8.2981818182,10.166363636
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,36.58,26.063636364,26.921818182
1063437309,HUYNH,MINH,Q,M.D.,M,I,57 N 13TH ST,,SAN JOSE,CA,951123439,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,33,33,33,33,21.113636364,21.113636364
1063437358,ADAMO,CHARLES,,M.D.,M,I,2629 RIVA RD,SIOTE 112,ANNAPOLIS,MD,214017428,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,20,73,132,77.695681818,8.32,5.5622727273,5.5622727273
1063437358,ADAMO,CHARLES,,M.D.,M,I,2629 RIVA RD,SIOTE 112,ANNAPOLIS,MD,214017428,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,13,13.226153846,1.42,1.0338461538,1.0338461538
1063437358,ADAMO,CHARLES,,M.D.,M,I,2629 RIVA RD,SIOTE 112,ANNAPOLIS,MD,214017428,US,Physician/Family Practice,S,A4416,"Ostomy pouch, closed, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,360,7.4316666667,3.1,2.4303333333,2.4303333333
1063437499,WANG,CHING,,M.D.,M,I,2060 W 24TH ST,,YUMA,AZ,853646123,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,37,74.947837838,8.32,5.8159459459,5.8159459459
1063437515,RUSSO,SUZANNE,M,MD,F,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Radiation Oncology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,348,200,4.1,2.9281609195,2.9483908046
1063437515,RUSSO,SUZANNE,M,MD,F,I,11100 EUCLID AVE,,CLEVELAND,OH,441061716,US,Physician/Radiation Oncology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,5733,3.8977777778,0.1785452643,0.1323373452,0.2146991104
1063437580,FOWLER,AMY,M,MD,F,I,101 MANNING DR,,CHAPEL HILL,NC,275990001,US,Physician/Ophthalmology,S,V2624,Polishing/resurfacing of ocular prosthesis,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,11,74.545454545,58.86,41.954545455,46.726363636
1063437648,VENUTURUPALLI,R SWAMY,,M.D.,M,I,8750 WILSHIRE BLVD,SUITE 350,BEVERLY HILLS,CA,902112703,US,Physician/Rheumatology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,52,19.71,14.86,14.86
1063437648,VENUTURUPALLI,R SWAMY,,M.D.,M,I,8750 WILSHIRE BLVD,SUITE 350,BEVERLY HILLS,CA,902112703,US,Physician/Rheumatology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,4160,32.850961538,9.8425384615,7.7165673077,7.7165600962
1063437648,VENUTURUPALLI,R SWAMY,,M.D.,M,I,8750 WILSHIRE BLVD,SUITE 350,BEVERLY HILLS,CA,902112703,US,Physician/Rheumatology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,13,2.64,1.8818181818,1.8818181818
1063437770,DEAN,NATHAN,C,M.D.,M,I,333 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,54,69.830555556,18.822222222,13.70962963,13.224074074
1063437770,DEAN,NATHAN,C,M.D.,M,I,333 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,14,122,123,457.63845528,82.24504065,58.105609756,49.537154472
1063437770,DEAN,NATHAN,C,M.D.,M,I,333 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,40,40,176.191,41.2755,29.97925,27.381
1063437770,DEAN,NATHAN,C,M.D.,M,I,333 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,18,5242,0.4848836322,0.046198016,0.0362190004,0.0362190004
1063437770,DEAN,NATHAN,C,M.D.,M,I,333 S 900 E,,SALT LAKE CITY,UT,841022310,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,25,25,60.72,33,25.87,25.87
1063437804,NATHAN,ARUNA,S,MD,F,I,10605 CONCORD ST,SUITE 300,KENSINGTON,MD,208952504,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,39,128,60.8875,8.32,5.604921875,5.604921875
1063437804,NATHAN,ARUNA,S,MD,F,I,10605 CONCORD ST,SUITE 300,KENSINGTON,MD,208952504,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,14.944705882,3.38,2.1823529412,2.1823529412
1063437804,NATHAN,ARUNA,S,MD,F,I,10605 CONCORD ST,SUITE 300,KENSINGTON,MD,208952504,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,25,42,15.612857143,1.42,1.0066666667,1.0066666667
1063437861,BRAEUTIGAM,KENT,T,D.O.,M,I,3839 COUNTY ROAD 218,,MIDDLEBURG,FL,320685708,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,61,168,65.408035714,8.32,5.844702381,5.844702381
1063437861,BRAEUTIGAM,KENT,T,D.O.,M,I,3839 COUNTY ROAD 218,,MIDDLEBURG,FL,320685708,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,14,17,27,33,14.432424242,1.42,1.1175757576,1.1175757576
1063437861,BRAEUTIGAM,KENT,T,D.O.,M,I,3839 COUNTY ROAD 218,,MIDDLEBURG,FL,320685708,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,222.99769231,16.5,9.2292307692,9.6307692308
1063437861,BRAEUTIGAM,KENT,T,D.O.,M,I,3839 COUNTY ROAD 218,,MIDDLEBURG,FL,320685708,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,767.03571429,34.285714286,26.88,26.746666667
1063437861,BRAEUTIGAM,KENT,T,D.O.,M,I,3839 COUNTY ROAD 218,,MIDDLEBURG,FL,320685708,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,63,63,665.11968254,79.293015873,56.271904762,50.885873016
1063437861,BRAEUTIGAM,KENT,T,D.O.,M,I,3839 COUNTY ROAD 218,,MIDDLEBURG,FL,320685708,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,606.32,134.81333333,93.733333333,93.733333333
1063438018,CHOWDHURY,SHOAIB,A,MD,M,I,8795 PINE RIDGE DR,STE B,CADILLAC,MI,496019720,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,62,48.420967742,8.32,5.8909677419,5.8909677419
1063438018,CHOWDHURY,SHOAIB,A,MD,M,I,8795 PINE RIDGE DR,STE B,CADILLAC,MI,496019720,US,Physician/Nephrology,S,J7502,"Cyclosporine, oral, 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,720,10.213722222,2.59275,2.0327083333,2.0327083333
1063438018,CHOWDHURY,SHOAIB,A,MD,M,I,8795 PINE RIDGE DR,STE B,CADILLAC,MI,496019720,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,49,3705,3.4883967611,0.5454304993,0.3904993252,0.4168151147
1063438018,CHOWDHURY,SHOAIB,A,MD,M,I,8795 PINE RIDGE DR,STE B,CADILLAC,MI,496019720,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,36,5100,2.7707039216,1.2771294118,0.9522431373,0.9855607843
1063438018,CHOWDHURY,SHOAIB,A,MD,M,I,8795 PINE RIDGE DR,STE B,CADILLAC,MI,496019720,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,1500,5.6415733333,2.86078,1.6715266667,2.1850733333
1063438018,CHOWDHURY,SHOAIB,A,MD,M,I,8795 PINE RIDGE DR,STE B,CADILLAC,MI,496019720,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,50,50,24,24,18.82,18.82
1063438018,CHOWDHURY,SHOAIB,A,MD,M,I,8795 PINE RIDGE DR,STE B,CADILLAC,MI,496019720,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,41,48,16,16,12.374791667,12.374791667
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,15,697,1353,1356,125.65643805,39.774351032,29.477146018,28.868613569
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,16,323,579,579,392.4565285,85.261398964,63.104611399,64.088186528
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,289,646,1357,146.49243183,32.995607959,24.579579956,24.636182756
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,191,397,1865,83.269924933,17.987024129,13.293184987,13.714879357
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,238,462,2262,58.348523431,15.577338638,11.405269673,11.116419098
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,15,467,852,853,237.96742087,55.338464244,41.084923798,40.627995311
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,746,1008,1008,79.331220238,18.001746032,13.597450397,13.552668651
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,33,39,39,33.553076923,10.194871795,7.7887179487,7.9382051282
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,77,145,145,82.883448276,11.599517241,8.4747586207,8.5275172414
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,684,1372,7180,9.5852200557,2.0105487465,1.5124345404,1.5271295265
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,34,42,42,25.638095238,5.9878571429,4.4673809524,4.4316666667
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,503,624,624,42.087339744,13.001089744,9.8227564103,9.9666826923
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,36,208,208,526.08384615,90.504567308,69.478028846,66.913653846
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,17,104,104,1217.2,228.43625,170.32605769,162.17509615
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,39,39,39,542.16307692,137.17846154,102.98897436,101.05589744
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,289,1565,1566,60.701194125,13.68243295,10.157515964,9.9362132822
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,335,2032,2034,253.07709931,34.208180924,25.032359882,23.912900688
1063438034,SEIDLER,ANDREAS,,MD,M,I,1538 N ARLINGTON HEIGHTS ROAD,,ARLINGTON HEIGHTS,IL,60004,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,82,83,453.71481928,77.552771084,59.334216867,53.544939759
1063438224,HENSHAW,DOUGLAS,R,MD,M,I,2 RIVERVIEW DR,,DANBURY,CT,068106268,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,16,16,115.0625,100.45625,73.809375,82.66
1063438430,COGBURN,WILLIAM,E,MD,M,I,333 TAMIAMI TRL S,SUITE 101,VENICE,FL,342852402,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,20,51,120,65.890083333,8.32,5.49025,5.49025
1063438430,COGBURN,WILLIAM,E,MD,M,I,333 TAMIAMI TRL S,SUITE 101,VENICE,FL,342852402,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,12,13.330833333,1.42,1.025,1.025
1063438430,COGBURN,WILLIAM,E,MD,M,I,333 TAMIAMI TRL S,SUITE 101,VENICE,FL,342852402,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,51.5775,17.054375,12.538125,12.708125
1063438430,COGBURN,WILLIAM,E,MD,M,I,333 TAMIAMI TRL S,SUITE 101,VENICE,FL,342852402,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,28,262.78714286,79.962142857,59.549642857,52.536071429
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,42,79,50.554303797,8.32,5.4906329114,5.4906329114
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,13.176666667,3.38,2.2083333333,2.2083333333
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,29,30,12.059333333,1.42,0.8206666667,0.8206666667
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,8.5133333333,8.4466666667,6.6233333333,6.8133333333
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,5.69,5.54,4.34,4.34
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,14.15,13.8,10.82,10.82
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,36,14.8,10.93,8.0938888889,8.0938888889
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,354,8.28,8.28,6.4914971751,6.4914971751
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,16,480,3.475625,3.08,2.4146666667,2.3676666667
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,54,1574,6.5237611182,5.54,4.3433290978,4.1783481576
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,17620,0.3635913734,0.31,0.2430346198,0.2430346198
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,30,13549,0.7412805373,0.6465554653,0.5031958078,0.513735331
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,31,31,76.774193548,67.658387097,43.841290323,39.808387097
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,17,17,160,74.125882353,57.017058824,39.631176471
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,37,37,47.783783784,21.068378378,15.464864865,12.886756757
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,131.75,41.810833333,28.806666667,21.428333333
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,62,62,11.838709677,5.7780645161,3.9356451613,3.3830645161
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,48,48,344.88979167,95.588541667,69.81875,51.725
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,2550,0.4255294118,0.0454117647,0.0356039216,0.0356039216
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,21,3120,0.6168269231,0.1335,0.0941730769,0.0941730769
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,23,113.52478261,43.53173913,34.125217391,22.585217391
1063438588,HAYNES,DONALD,K,M.D.,M,I,912 WEST MAIN ST.,,HOMER,LA,710404228,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,30,30,50.475,33,24.145333333,24.145333333
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,37,126,259,61.710810811,8.32,5.5404247104,5.5404247104
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,24,34,13.060588235,1.42,1.0829411765,1.0829411765
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,13,25,7.9824,1.7132,1.2536,1.0624
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,10560,3.1197272727,0.3,0.2352045455,0.2430454545
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,,24,24,135.36333333,49.274583333,34.19375,33.8175
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,41,42,371.14690476,75.56,50.94047619,47.233571429
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,36.25,25.836363636,26.950909091
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,72.296363636,41.78,32.754545455,29.412727273
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,4,11,11,11,363.09,179.11363636,140.43,114.95
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1038,0.2051445087,0.0466859345,0.033911368,0.033911368
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,19,1560,1.251724359,0.1294423077,0.1014871795,0.1014871795
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,390,0.75,0.2188461538,0.1584871795,0.1584871795
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,,25,25,85.1616,23.0708,14.6896,11.3888
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,12,46,47,89.763404255,31.013829787,20.888085106,18.964468085
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,35,25.085714286,8.9794285714,6.5042857143,6.3417142857
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,136.94117647,36.25,26.748235294,27.661764706
1063438679,CRONIC,RANDY,B,MD,M,I,3660 HOWELL FERRY RD,BLDG B,DULUTH,GA,30096,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,104.68965517,33,24.977931034,24.977931034
1063438745,ROSE,JANA,M,D.P.M.,F,I,134B MARKET CORNERS DR,,CORNELIA,GA,305315766,US,Podiatry,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,79,8.2816455696,8.194556962,6.424556962,6.4811392405
1063438745,ROSE,JANA,M,D.P.M.,F,I,134B MARKET CORNERS DR,,CORNELIA,GA,305315766,US,Podiatry,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,15,161,10.77,10.77,8.4434161491,8.5613664596
1063438745,ROSE,JANA,M,D.P.M.,F,I,134B MARKET CORNERS DR,,CORNELIA,GA,305315766,US,Podiatry,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,16,28,567,1.07,1.07,0.8388359788,0.8447971781
1063438745,ROSE,JANA,M,D.P.M.,F,I,134B MARKET CORNERS DR,,CORNELIA,GA,305315766,US,Podiatry,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,28,34,34,24,18.29,13.496470588,13.496470588
1063438810,STEVENS-HAYNES,PILAR,A,MD,F,I,1 HEALTHY WAY,DIVISION OF CARDIOLOGY,OCEANSIDE,NY,115721551,US,Physician/Cardiovascular Disease (Cardiology),S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3670,2383.3954545,1851.5054545,1851.5054545
1063438844,STANFORD,BARBARA,E,MD,F,I,300 LAFAYETTE SE,STE 4200,GRAND RAPIDS,MI,49503,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,24,75,52.252933333,8.32,6.5217333333,6.5217333333
1063438844,STANFORD,BARBARA,E,MD,F,I,300 LAFAYETTE SE,STE 4200,GRAND RAPIDS,MI,49503,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,15,12.33,1.42,1.1173333333,1.1173333333
1063438844,STANFORD,BARBARA,E,MD,F,I,300 LAFAYETTE SE,STE 4200,GRAND RAPIDS,MI,49503,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,144.49230769,18.673076923,13.313846154,13.449230769
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,48,111,344,46.986511628,8.315,6.4425581395,6.4464825581
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,32,32,15.375,3.38,2.65,2.65
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,18,18,24.016666667,2.12,1.67,1.67
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,31,62,114,14.037017544,1.42,1.1034210526,1.1034210526
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,177.40916667,57.536666667,41.389166667,39.4425
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,19,19,45.582631579,14.125263158,10.024210526,8.2005263158
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,27,138,6.1730434783,2.434057971,1.8583333333,1.607826087
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,25,25,79.1708,19.4964,14.7304,14.5564
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,6.4672727273,5.07,5.07
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,37,120.63675676,35.438108108,25.5,22.115135135
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,56.416363636,54.503636364,42.730909091,58.825454545
1063438919,CRUZ,ROXANA,L,MD,F,I,4501 JOE RAMSEY BLVD.,SUITE 100,GREENVILLE,TX,75402,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,53,53,350.54509434,82.393584906,62.060566038,57.159622642
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,53,112,63.812767857,8.32,5.474375,5.474375
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,19,22,13.616363636,1.42,0.9659090909,0.9659090909
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,43,42.69,18.899069767,13.73744186,13.431860465
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,68,6.1902941176,2.0302941176,1.3163235294,1.3095588235
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,1074.31,842.26,842.26
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,140,29.69,16.116923077,16.223076923
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,20,9.9418181818,7.7981818182,7.79
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1320,1.2761136364,0.1351818182,0.0977424242,0.0977424242
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,564,125.56727273,98.442727273,96.185454545
1063438968,DIERKS,SCOTT,J,MD,M,I,1910 W 69TH ST,,SIOUX FALLS,SD,571085612,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,21,21,33,33,24.638095238,24.638095238
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,34,111,289,59.659965398,8.32,6.0414878893,6.0414878893
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,31,31,14.583225806,3.38,2.65,2.65
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,21.787142857,2.12,1.67,1.67
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,26,65,114,15.936403509,1.42,1.055877193,1.055877193
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,3775.52,1074.31,832.69533333,832.69533333
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,128.98,46.595,36.528125,37.501875
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,24,3927,0.6461955691,0.046350904,0.0357575758,0.0357575758
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,562,2.9726690391,0.2191992883,0.1719395018,0.1719395018
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,64.14,15.14,10.878181818,13.142727273
1063439099,ATALLAH,RAMI,W,MD,M,I,321 MARINE AVE,,BROOKLYN,NY,112098003,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,19,19,33,33,24.508421053,24.508421053
1063439420,ELMER,MONTGOMERY,,MD,M,I,520 W 3RD ST,,KIMBERLY,WI,541361300,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,26,104,67.209423077,8.32,5.8948076923,5.8948076923
1063439420,ELMER,MONTGOMERY,,MD,M,I,520 W 3RD ST,,KIMBERLY,WI,541361300,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,80.85,17.27,12.498461538,12.498461538
1063439420,ELMER,MONTGOMERY,,MD,M,I,520 W 3RD ST,,KIMBERLY,WI,541361300,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,458.56923077,69.81,50.52,50.52
1063439529,ASHRAF,ASMA,M,M.D.,F,I,12221 MERIT DR,SUITE 1610,DALLAS,TX,752512202,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,17,46.687058824,17.63,11.546470588,11.291176471
1063439529,ASHRAF,ASMA,M,M.D.,F,I,12221 MERIT DR,SUITE 1610,DALLAS,TX,752512202,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,114,52,40.77,37.63
1063439529,ASHRAF,ASMA,M,M.D.,F,I,12221 MERIT DR,SUITE 1610,DALLAS,TX,752512202,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,300,76.48,51.394285714,46.902857143
1063439529,ASHRAF,ASMA,M,M.D.,F,I,12221 MERIT DR,SUITE 1610,DALLAS,TX,752512202,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100.9,37.923636364,29.732727273,29.51
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,75,212,65.850990566,8.32,5.4063679245,5.4063679245
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,29,44,10.998636364,1.42,0.8881818182,0.8881818182
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,12,24,24,361.14333333,84,63.115833333,65.034166667
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,37,169.35972973,30.04,22.410540541,24.793783784
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,92.301818182,17,12.116666667,13.256515152
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,265.06875,51.26,35.16625,37.585
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,20,20,77.6265,16.68,12.4165,13.4185
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,16,35,35,81.950285714,11.48,8.4857142857,8.6011428571
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,41,166,11.658554217,1.98,1.4694578313,1.5079518072
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,43.741666667,12.4,9.72,10.34
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,161.21714286,47.25,37.04,36.501428571
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,23,23,218.40695652,50.869565217,39.88173913,39.827826087
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,32,41,73.228536585,16.494878049,12.620243902,13.008292683
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,537.26461538,77.988076923,56.288846154,58.927692308
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,22,81.75,10.86,7.5031818182,8.0522727273
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,37,37,29.779459459,5.7435135135,4.3464864865,3.4640540541
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,41,45,211.03911111,34.222,25.132,23.853111111
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,54.879090909,20.306363636,15.92,13.555454545
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,54,63,375.27063492,77.082857143,56.591904762,53.083968254
1063439651,SHINA,JAMES,F,MD,M,I,1450 S CANFIELD NILES RD,,AUSTINTOWN,OH,445154085,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,75,35.13,27.54,29.072222222
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,40,88,69.381136364,8.32,6.0030681818,6.0030681818
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,497.19529412,94.86,69.097352941,52.283235294
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,21.28225,9.6325,7.4964166667,7.4964166667
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,3390,1.6633126844,0.1356460177,0.0983067847,0.0983067847
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,840,10.629380952,3.0187857143,2.36675,2.36675
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,21.6,9.2171428571,6.7428571429,5.72
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,318.6,44.745,32.344166667,27.6525
1063440063,FURMANSKI,LISA,A,MD,F,I,5 ALICE PECK DAY DR,,LEBANON,NH,037662901,US,Physician/Geriatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,27,33,33,24.911851852,24.911851852
1063440220,HANNA,AIDA,M,M.D..,F,I,130 QUINCY AVE,,BROCKTON,MA,023022803,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,37,132,256,67.074960937,8.32,5.7324609375,5.7324609375
1063440220,HANNA,AIDA,M,M.D..,F,I,130 QUINCY AVE,,BROCKTON,MA,023022803,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,16.296842105,3.38,2.3710526316,2.3710526316
1063440220,HANNA,AIDA,M,M.D..,F,I,130 QUINCY AVE,,BROCKTON,MA,023022803,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,24,53,68,14.950441176,1.42,0.9358823529,0.9358823529
1063440220,HANNA,AIDA,M,M.D..,F,I,130 QUINCY AVE,,BROCKTON,MA,023022803,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,50.73,3.6,1.0254545455,1.6681818182
1063440287,MCCAFFREY,JOHN,T,DO,M,I,409 BROADWAY,,NEWPORT,RI,028401740,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,36,103,71.994660194,8.32,6.5225242718,6.5225242718
1063440287,MCCAFFREY,JOHN,T,DO,M,I,409 BROADWAY,,NEWPORT,RI,028401740,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,17,13.700588235,1.42,1.0505882353,1.0505882353
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,29,84,256,54.305390625,8.32,5.936328125,5.936328125
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,12,30,30,15.635333333,3.38,2.5616666667,2.5616666667
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,15,15,22.902666667,2.12,1.5586666667,1.5586666667
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,25,44,15.916136364,1.42,1.0895454545,1.0895454545
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,26,26,262.38461538,90,59.704615385,57.612307692
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,24,67,107.71029851,34,24.163134328,23.42358209
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,11,25,135,57.863111111,19.256222222,14.531925926,14.119407407
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,15,35,35,175.83114286,57.16,43.554571429,42.490571429
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,24,33,33,52.445151515,18.053333333,12.453333333,12.367878788
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,23,51,51,58.595686275,12.226666667,9.0333333333,8.8188235294
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,53,285,9.3813684211,2.0416842105,1.5019649123,1.5191578947
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,12,16,16,24.061875,6.3725,4.691875,4.596875
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,36.695625,13.165,8.415,8.60625
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,35,35,86.31,17.584285714,13.016285714,12.806285714
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,24,53.254166667,6.7925,5.125,3.5833333333
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,39,40,231.6935,37.826,29.658,28.49525
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,85,85,551.22223529,76.681882353,54.387529412,50.557764706
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3109,0.3199710518,0.0462495979,0.0340495336,0.0340495336
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1620,1.3983888889,0.139037037,0.0989012346,0.0989012346
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,285.6,37.15,26.481818182,26.767272727
1063440303,MCBRATNEY,KATHLEEN,R,MD,F,I,1004 PROGRESS DRIVE,SUITE 200,LANSING,KS,660435323,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,26,26,33,33,21.89,21.89
1063440444,HOFFMAN,SANFORD,R,M.D.,M,I,13949 W MEEKER BLVD,SUITE C,SUN CITY WEST,AZ,853754436,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,108,8.5244444444,2.1088888889,1.6536111111,1.5948148148
1063440444,HOFFMAN,SANFORD,R,M.D.,M,I,13949 W MEEKER BLVD,SUITE C,SUN CITY WEST,AZ,853754436,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,180.2,30.26,22.41125,23.22075
1063440501,PERKINS,KAREN,E,,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,E0303,"Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,550,135.73,106.415,101.975
1063440501,PERKINS,KAREN,E,,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,24,88.844583333,17.29,13.55,13.543333333
1063440501,PERKINS,KAREN,E,,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,46,523.07130435,70.23,53.863043478,53.707826087
1063440501,PERKINS,KAREN,E,,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,40,2480,0.3399596774,0.0453064516,0.0345846774,0.0345846774
1063440501,PERKINS,KAREN,E,,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,85,37.44,26.681818182,26.830909091
1063440501,PERKINS,KAREN,E,,F,I,1314 PETERS CREEK RD NW,,ROANOKE,VA,240172500,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,33,33,25.573333333,25.573333333
1063440527,GETZ,CHARLES,L,MD,M,I,"925 CHESTNUT ST, FL 5",ROTHMAN INSTITUTE,PHILADELPHIA,PA,191074216,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,51,51,51,155,120.58960784,88.858627451,82.209607843
1063440592,BOSWORTH,QUINN,M,DO,M,I,1881 W GRAND RIVER AVE,,OKEMOS,MI,488641840,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,28,59,61.166101695,8.32,5.4154237288,5.4154237288
1063440592,BOSWORTH,QUINN,M,DO,M,I,1881 W GRAND RIVER AVE,,OKEMOS,MI,488641840,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,12,19,50,18.03,12.646315789,13.075263158
1063440592,BOSWORTH,QUINN,M,DO,M,I,1881 W GRAND RIVER AVE,,OKEMOS,MI,488641840,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,14,40,7.566,2.0645,1.302,1.27525
1063440592,BOSWORTH,QUINN,M,DO,M,I,1881 W GRAND RIVER AVE,,OKEMOS,MI,488641840,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,75,17.27,13.54,13.54
1063440592,BOSWORTH,QUINN,M,DO,M,I,1881 W GRAND RIVER AVE,,OKEMOS,MI,488641840,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,35,249.85714286,69.81,53.166285714,53.166285714
1063440592,BOSWORTH,QUINN,M,DO,M,I,1881 W GRAND RIVER AVE,,OKEMOS,MI,488641840,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,55,36.14,28.33,29.51
1063440774,NUSSBAUM,DAVID,M,D. O.,M,I,303 FRASER DR,,HINESVILLE,GA,31313,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.973333333,22.97,14.808333333,10.916666667
1063440840,KHAN,KHALID,B,M.D.,M,I,13425 INGLEWOOD AVE,,HAWTHORNE,CA,902505608,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,24,72,146,68.963150685,8.32,5.8520547945,5.8520547945
1063440840,KHAN,KHALID,B,M.D.,M,I,13425 INGLEWOOD AVE,,HAWTHORNE,CA,902505608,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,26,30,19.629666667,1.42,0.9493333333,0.9493333333
1063440865,SHAIKH,BASHIR,U,MD,M,I,2011 NW 3RD AVE,,POMPANO BEACH,FL,330604800,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,47,44.747446809,8.32,6.1078723404,6.1078723404
1063440865,SHAIKH,BASHIR,U,MD,M,I,2011 NW 3RD AVE,,POMPANO BEACH,FL,330604800,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,23,11.217826087,1.42,0.9704347826,0.9704347826
1063440865,SHAIKH,BASHIR,U,MD,M,I,2011 NW 3RD AVE,,POMPANO BEACH,FL,330604800,US,Physician/Internal Medicine,S,A5121,"Skin barrier; solid, 6 x 6 or equivalent, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7,7,5.488,6.4789090909
1063440899,GORDON,ALFRED,Y,MD,M,I,3340 N COLLEGE AVE STE 5,,FAYETTEVILLE,AR,72703,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,13,37,42.452162162,8.32,6.5227027027,6.5227027027
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,17,58,80.481896552,8.32,4.9475862069,4.9475862069
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,760.48,77.36,55.595833333,50.169166667
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1260,5.2940952381,0.567047619,0.444547619,0.444547619
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,1650,0.0805393939,0.0129090909,0.0101272727,0.0101272727
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,2640,3.3795037879,2.8218181818,2.2123030303,2.2123030303
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,285.6,39.26,28.215,27.050833333
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1063440907,DURBIN,DREW,A,D.O.,M,I,16601 N 40TH ST,SUITE 119,PHOENIX,AZ,850323355,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,35,16,16,12.543428571,12.543428571
1063440972,LAVOR,MICHAEL,A,MD,M,I,6422 E SPEEDWAY BLVD,SUITE 150,TUCSON,AZ,857101149,US,Physician/General Surgery,S,A6454,"Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,420,1.07,0.88,0.6577619048,0.6577619048
1063440972,LAVOR,MICHAEL,A,MD,M,I,6422 E SPEEDWAY BLVD,SUITE 150,TUCSON,AZ,857101149,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,13,130,27.42,25.182307692,19.743076923,19.2
1063440972,LAVOR,MICHAEL,A,MD,M,I,6422 E SPEEDWAY BLVD,SUITE 150,TUCSON,AZ,857101149,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,85,9.54,8.22,6.444,6.4287058824
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,51,190,63.705526316,8.32,5.3412105263,5.3412105263
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,25,55,13.463636364,1.42,0.87,0.87
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,440,6.46,5.74,4.1765909091,4.1765909091
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,440,3.7490909091,3.0263636364,2.3727272727,2.3834090909
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,62,3.7177419355,1.9277419355,1.5109677419,1.2040322581
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,,17,31,2.3387096774,1.5429032258,1.1729032258,0.9625806452
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,180,82.495454545,64.679090909,42.806363636
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,14,16,86.295,21.52,16.870625,13.541875
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,19.694117647,8.0735294118,6.3276470588,3.9305882353
1063441137,MANGES,BOYD,W,MD,M,I,3434 M 119,SUITE C,HARBOR SPRINGS,MI,497409373,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,35,38,372.39894737,101.23,79.366315789,60.058947368
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,58,148,318,57.482484277,8.3183018868,5.6112893082,5.6120754717
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,18,35,37,12.355945946,1.42,0.9978378378,0.9978378378
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,20,39.325,28.46,20.079,20.079
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,132,2.49,2.49,1.5968181818,1.5968181818
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,23,27,19.610740741,10.93,6.6655555556,6.6655555556
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,120,16.265833333,12.75,10.069166667
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,314.18526316,64.217368421,46.301052632,34.643157895
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,63,77,67.11012987,22.253636364,14.487922078,11.228181818
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,19,20,139.41,60.683,47.5745,38.2975
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,45.393076923,8.5566666667,6.5833333333,3.8594871795
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,13,108,124,401.67241935,102.86145161,71.829112903,48.770241935
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,20,250,45.069,35.3365,30.2315
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,4692,0.4845780051,0.0457139812,0.0267710997,0.0267689685
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,17,69,9805,1.3453809281,0.1343824579,0.0913523712,0.0913523712
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,855,12.256959064,2.8546666667,2.1720584795,2.1720584795
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,13,106.94230769,20.213846154,10.305384615,9.9023076923
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,199.123125,46.260625,29.101875,17.985
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,60,44.560909091,31.950909091,26.832727273
1063441491,PARK,K,L,MD,M,I,442 W HIGH ST,,BRYAN,OH,435061681,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,22,80,80,51.5625,33,22.4125,22.4125
1063441525,TAYLOR,JULIE,P,MS-FNP,F,I,114 SPROLES DR STE 101,,BENBROOK,TX,761263249,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,19,117,56.927863248,8.32,6.522991453,6.522991453
1063441525,TAYLOR,JULIE,P,MS-FNP,F,I,114 SPROLES DR STE 101,,BENBROOK,TX,761263249,US,Nurse Practitioner,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,264.245,251.11,196.87,196.87
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,37,37,91.535135135,39.092702703,29.702162162,29.518378378
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,81,148,148,187.13756757,94.018445946,71.804662162,66.558716216
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,74,132,258,59.128217054,35.94996124,27.924728682,25.675930233
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,42,63,126,35.449047619,19.671666667,14.722142857,13.867222222
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,52,97,230,35.430304348,15.919043478,11.820478261,11.241217391
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,102,180,180,119.81488889,57.586555556,42.399222222,40.2605
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,168,209,209,34.832392344,19.395119617,14.719856459,13.676842105
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,20.252727273,10.750909091,8.4263636364,8.15
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,153,277,278,29.780323741,12.495647482,9.6065827338,9.0199640288
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,169,317,1300,5.7744230769,2.1552076923,1.6273846154,1.5386384615
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,15,20,20,18.922,6.4515,5.059,4.8145
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,79,91,91,27.667362637,13.748241758,10.548461538,10.111868132
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,203.418,113.6235,86.1405,67.8235
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,387.4,216.29777778,169.57925926,168.3
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,42,42,42,211.37785714,144.73285714,113.47119048,104.74095238
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,20,21,81.75,13.65,10.7,10.584761905
1063441533,LANDRIO,MARK,A,M.D.,M,I,905 CEDAR CREEK GRADE,SUITE 200,WINCHESTER,VA,226012818,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,61,377,378,112.23740741,36.517301587,27.976931217,24.995899471
1063441574,SUMMERFIELD,DAVID,L,"RN,NP-C,CNOR,RNFA",M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Nurse Practitioner,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,11,11,12,88.930833333,88.930833333,69.715,69.715
1063441574,SUMMERFIELD,DAVID,L,"RN,NP-C,CNOR,RNFA",M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,20,20,58,19.412,13.793,12.662
1063441574,SUMMERFIELD,DAVID,L,"RN,NP-C,CNOR,RNFA",M,I,2716 ASHTON DR,,WILMINGTON,NC,284122489,US,Nurse Practitioner,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,125.76,117.67,92.26,102.51
1063441590,MATHEW,NANCY,A,DO,F,I,1210 W BRAKER LN,,AUSTIN,TX,787583801,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,60,39.225,8.32,5.4358333333,5.4358333333
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,36,108,298,51.64885906,8.2523825503,5.8684563758,5.9139597315
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,13.431428571,3.38,2.65,2.65
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,19,45,57,12.825614035,1.42,1.0540350877,1.0540350877
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,30,96.678,71.56,53.881333333,53.881
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,32,7.6484375,1.5,1.175,1.15
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,347.85714286,89.443333333,66.882857143,64.647619048
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,30,146.53333333,33.06,25.918666667,25.918666667
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,19,89,43.818651685,15.27,10.492134831,10.428651685
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,13,27,27,207.05407407,55.4,38.604444444,38.118888889
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,23,31,31,68.04,17.94,13.606451613,13.606451613
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,21,43,43,59.816976744,11.436046512,8.1774418605,8.3151162791
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,23,52,258,10.706472868,2.0311627907,1.4955426357,1.4931007752
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,17,23,23,21.785652174,5.77,4.1360869565,4.2630434783
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,86.31,17.69,13.374642857,13.046785714
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,216.2625,49.67,35.055,33.933
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,22,26,39.535384615,4.75,3.7246153846,3.7246153846
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,43,43,430.39116279,32.22255814,23.099534884,23.195581395
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,67,67,462.52014925,69.99,53.269402985,53.154477612
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,E1801,"Static progressive stretch elbow device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories",D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,461,119.27142857,92.860952381,92.860952381
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,33,1890,15.728301587,9.6657936508,7.3937566138,7.3937566138
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,2273,0.1674659041,0.0451693797,0.0293180818,0.0293180818
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1680,0.9553869048,0.13425,0.0951190476,0.0951190476
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,28,1602,12.894325843,3.0301622971,2.3756741573,2.3756741573
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,62,18.32,12.891666667,12.735
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,144.03740741,38.68,30.32,29.69
1063441632,SMART,HAROLD,A,DO,M,I,719 W CENTENIAL,,CARTHAGE,MO,64836,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,54,54,129.05555556,33,24.667407407,24.667407407
1063441665,HAILEY,MICHAEL,,MD,M,I,500 RUE DE LA VIE ST,STE 201,BATON ROUGE,LA,708175128,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,25,29,79,45.482151899,35.847468354,27.035443038,29.356202532
1063441665,HAILEY,MICHAEL,,MD,M,I,500 RUE DE LA VIE ST,STE 201,BATON ROUGE,LA,708175128,US,Physician/General Surgery,S,L8030,"Breast prosthesis, silicone or equal, without integral adhesive",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,13,370.05307692,322.51,252.85,263.73153846
1063441699,PONDEXTER HUNTER,REGINA,K,M.D.,F,I,9 FREEWAY DR,,LITTLE ROCK,AR,722042486,US,Physician/Physical Medicine and Rehabilitation,S,L0637,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to re",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,1530,1185.42,929.37,888.15846154
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,26,78,238,44.682184874,8.32,6.0466386555,6.0466386555
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,25,25,14.716,3.38,2.438,2.438
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,23.638461538,2.12,1.5415384615,1.5415384615
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,53,85,13.054,1.42,1.0364705882,1.0364705882
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,455,2.83,2.27,1.4832087912,1.4832087912
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,59.485,5.6125,3.61,3.06
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,11,2449,0.4089791752,0.0461167824,0.036165782,0.036165782
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,780,8.9536794872,2.9377692308,2.1245,2.1245
1063441723,SURESH,BINDU,,M.D.,F,I,130 TOWN CENTER DR STE 209,BEAUMONT CIVIC CENTER INTERNAL MEDICINE,TROY,MI,480841744,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,18,18,33,33,25.87,25.87
1063441756,ANGRIST,RICHARD,C,MD,M,I,1527 STATE ROUTE 27,SUITE 2600,SOMERSET,NJ,088734017,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,29,29,29,169.82,60.231724138,47.225172414,48.989310345
1063441756,ANGRIST,RICHARD,C,MD,M,I,1527 STATE ROUTE 27,SUITE 2600,SOMERSET,NJ,088734017,US,Physician/Ophthalmology,S,V2103,"Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,16,16,29,47.551724138,41.816551724,32.783793103,31.795862069
1063441772,ULMER,SCOTT,C,M.D.,M,I,155 E SONTERRA BLVD,SUITE 200,SAN ANTONIO,TX,782583987,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,21,1562,46.616446863,5.1729385403,4.043822023,4.043822023
1063441772,ULMER,SCOTT,C,M.D.,M,I,155 E SONTERRA BLVD,SUITE 200,SAN ANTONIO,TX,782583987,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,24,24,18.82,18.82
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,14,39,67,78.786268657,8.32,4.9649253731,4.9649253731
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,20,23,15.833478261,1.42,0.9234782609,0.9234782609
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,26,26,31.639615385,27.01,21.18,22.266538462
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,455,4.34,2.27,1.7797142857,1.7797142857
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,14,54,71,15.073098592,10.330704225,8.0952112676,8.548028169
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,19,1004,0.1273605578,0.12,0.0940836653,0.0940836653
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,700,0.2996428571,0.27,0.2116,0.2116
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,205,3.5622439024,3.04,2.3834634146,2.3834634146
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,275,0.4369090909,0.2663636364,0.2087636364,0.2116
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,17,31,909,8.9461386139,8.2473267327,6.4659735974,6.4916171617
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,41,545,11.194330275,10.924275229,8.4429724771,8.4474495413
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,25,930,1.2489032258,1.0761290323,0.8436344086,0.8466666667
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,11,190,2.5815789474,2.3952631579,1.7782105263,1.7819473684
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,48,18.2775,18.2775,14.330208333,14.34
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,22,1982,0.6582795156,0.45,0.336765893,0.336765893
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,25,25,157.1272,48.9648,38.3856,39.4128
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,49,49,69.89,17.142857143,13.104489796,13.925714286
1063441954,KATARIA,VINOD,K,M.D.,M,I,529 MAPLE AVE,,WEST CHESTER,PA,193804416,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,20.57,7.9463333333,5.9713333333,6.382
1063442143,AGABABIAN,GOR,,M.D.,M,I,800 S CENTRAL AVE,SUITE # 301,GLENDALE,CA,912044370,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,36,123,237,42.70464135,8.32,5.5854008439,5.5854008439
1063442143,AGABABIAN,GOR,,M.D.,M,I,800 S CENTRAL AVE,SUITE # 301,GLENDALE,CA,912044370,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,31,105,108,18.866111111,1.42,0.9225925926,0.9225925926
1063442143,AGABABIAN,GOR,,M.D.,M,I,800 S CENTRAL AVE,SUITE # 301,GLENDALE,CA,912044370,US,Physician/General Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,26,76.880769231,71.56,56.105,56.105
1063442143,AGABABIAN,GOR,,M.D.,M,I,800 S CENTRAL AVE,SUITE # 301,GLENDALE,CA,912044370,US,Physician/General Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,13,13,78,31.268461538,29.19,22.885,22.886538462
1063442325,LEMBERGER-SCHOR,HARRIET,F,M.D.,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,445051012,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,16,37,117,59.919316239,8.32,5.6021367521,5.6021367521
1063442325,LEMBERGER-SCHOR,HARRIET,F,M.D.,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,445051012,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,19,23,15.259565217,1.42,0.9717391304,0.9717391304
1063442325,LEMBERGER-SCHOR,HARRIET,F,M.D.,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,445051012,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,248,4.2089112903,2.91,1.9874193548,1.9874193548
1063442325,LEMBERGER-SCHOR,HARRIET,F,M.D.,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,445051012,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,130,7.665,5.36,3.8787692308,3.8787692308
1063442325,LEMBERGER-SCHOR,HARRIET,F,M.D.,F,I,4694 BELMONT AVE,,YOUNGSTOWN,OH,445051012,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,25,470.608,77.18,60.51,54.72
1063442481,CLOONAN,DEBORAH,L,PA,F,I,140 W 6TH ST,SUITE 110,OSWEGO,NY,131262525,US,Physician Assistant,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,11,1008,16.266666667,5.5498015873,4.0994246032,4.0994246032
1063442663,DO,TRANG,U,M.D.,F,I,2114 SENTER RD,SUITE 15,SAN JOSE,CA,951122608,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,27,67,149,62.846107383,8.32,5.0670469799,5.0670469799
1063442663,DO,TRANG,U,M.D.,F,I,2114 SENTER RD,SUITE 15,SAN JOSE,CA,951122608,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,25,54,70,16.137142857,1.42,0.8381428571,0.8381428571
1063442689,KRASNER,MICHAEL,S,M.D.,M,I,2400 S CLINTON AVE,BLDG H SUITE 230,ROCHESTER,NY,146182668,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,22,72,75.283194444,8.32,5.9569444444,5.9569444444
1063442937,OU,MIKE,W,M.D.,M,I,1125 E HIGHWAY 166,,BOWDON,GA,301082401,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,22,78,128,69.20484375,8.32,5.26140625,5.26140625
1063442937,OU,MIKE,W,M.D.,M,I,1125 E HIGHWAY 166,,BOWDON,GA,301082401,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,16.764705882,3.38,2.0264705882,2.0264705882
1063442937,OU,MIKE,W,M.D.,M,I,1125 E HIGHWAY 166,,BOWDON,GA,301082401,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,24,24,17.639583333,1.42,0.98,0.98
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,345,594,594,107.36777778,40.861986532,30.75040404,29.451346801
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,32,319,605,605,356.49221488,93.24661157,68.694661157,63.95553719
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,29,291,607,1501,132.88892738,36.037421719,27.065836109,24.922691539
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,16,141,256,1294,75.684366306,20.420564142,15.040216383,13.724119011
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,11,122,247,1317,57.087889142,16.035474563,11.906962794,11.373993926
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,23,296,520,521,225.44652591,61.985508637,46.11756238,41.233896353
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,33,563,741,741,85.229865047,19.937867746,14.966072874,13.602672065
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,76,86,86,41.93244186,10.82244186,8.2220930233,7.9423255814
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,26,264,509,509,76.70043222,13.339901768,10.106797642,8.8523575639
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,33,581,1158,6076,9.409060237,2.2263380513,1.6653110599,1.530465767
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,17,87,120,120,22.95125,7.1424166667,5.3483333333,4.4595
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,22,270,342,342,56.648450292,13.642105263,10.305672515,10.032982456
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,42,46,59.308043478,17.594782609,13.498695652,13.254347826
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,4037.352,913.16,705.191,818.897
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,15,48,284,293,540.04047782,101.37498294,76.582047782,66.28665529
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,45,45,953.36022222,231.90555556,178.76733333,159.66266667
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,189,189,189,484.31957672,138.71931217,106.36936508,102.00465608
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,14,83,323,398,75.008442211,13.426884422,9.8339949749,9.750678392
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,28,353,1865,1945,284.11786632,36.807861183,26.510838046,23.890915167
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,22,184,190,401.53768421,79.995368421,59.068368421,52.398631579
1063442994,ACHAEN,ANIL,,MD,M,I,1115 RONALD REAGAN PKWY,SUITE 206,AVON,IN,461236911,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,77.45,37,29.01,29.468333333
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,44,44,44,112.40454545,43.165454545,33.846818182,35.969772727
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,10.82,8.345,3.7158333333,4.3083333333
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,17.03,9.1666666667,6.612,7.39
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,43,43,174.93511628,49.32,38.664186047,39.576046512
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,23,4.15,2.8569565217,1.842173913,1.8691304348
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,24.52,13.575,9.8016666667,9.9516666667
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,78.49375,17.18,12.8505,13.5355
1063443380,DAVIDSON,LAURAINE,E,M.D.,F,I,133 BROOKLINE AVE,ECF PROGRAM,BOSTON,MA,022153904,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,34,34,34.004117647,8.4455882353,6.4455882353,6.5220588235
1063443539,GLASS,HOWARD,L,D.O.,M,I,2 CHABOT ST,,WESTBROOK,ME,040924817,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,28,86.31,17.25,13.52,13.537857143
1063443539,GLASS,HOWARD,L,D.O.,M,I,2 CHABOT ST,,WESTBROOK,ME,040924817,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,40,585.77675,69.62,53.22525,53.356
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,370,7.2564594595,5.74,4.5,4.5
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,30,9.2366666667,6.44,5.0476666667,5.0476666667
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,210,13.998,9.86,7.73,7.73
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,170,3.999,3.04,2.243,2.243
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,340,0.5027058824,0.2670588235,0.2093235294,0.2116176471
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,388,23.853402062,5.7171134021,4.4820876289,4.1629896907
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,5448,19.333333333,1.26,0.9770594714,0.9378524229
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,13,345,5649,21.211646309,13.034475128,10.159277748,10.202933263
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,81,406,481.81830049,207.72216749,162.8537931,162.8537931
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,6,,175,880,522.22044318,267.47840909,209.70246591,210.18077273
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,105,638,596.85579937,326.68050157,256.05407524,256.05407524
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,213,615.03441315,359.33784038,281.18549296,292.18178404
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,7,14,386,2002,90.841793207,9.3478021978,7.3136363636,7.3136363636
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,7,14,406,2113,224.08475627,29.212730715,22.902754378,22.902721249
1063443570,RUBIN,DEBORAH,C,MD,F,I,4921 PARKVIEW PL STE 8C,STE 8C,SAINT LOUIS,MO,631101032,US,Physician/Gastroenterology,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,4,,28,28,611.92142857,466.82,365.99,365.99
1063443604,ROSE,STEPHANIE,A,M.D.,F,I,INTERNAL MEDICINE GROUP,"830 S. LIMESTONE, SUITE 304",LEXINGTON,KY,405360582,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,19,39,76.723589744,8.32,6.1894871795,6.1894871795
1063443604,ROSE,STEPHANIE,A,M.D.,F,I,INTERNAL MEDICINE GROUP,"830 S. LIMESTONE, SUITE 304",LEXINGTON,KY,405360582,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,26.922307692,7.3692307692,5.4038461538,4.16
1063443653,GOSS,SAMUEL,J,DO,M,I,1879 NIGHTINGALE LANE,SUITE C1,TAVARES,FL,32778,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,190.83333333,79.2,59.502916667,52.75625
1063443661,GARCIA,JUAN,P,MD,M,I,11511 VETERANS MEMORIAL DRIVE,SUITE 200,HOUSTON,TX,770672603,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,34,68.176176471,8.32,4.7955882353,4.7955882353
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,16,780,9.4327564103,3.61,2.7938717949,3.0221025641
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,15,66,1840,12.176798913,5.7393478261,4.1479782609,4.1484891304
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,20,480,16.9155,10.81,8.0908958333,8.0908958333
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,11,32,517,5.7887040619,2.8950290135,2.2342359768,2.2459767892
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,11,93,13.878494624,6.3139784946,4.2983870968,4.397311828
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,450,23.947466667,9.86,7.7300444444,7.7300444444
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,675,14.583866667,7,5.488,5.488
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,535,14.086803738,5.54,4.2651775701,4.2651775701
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,1020,3.2667647059,1.95,1.5288039216,1.5288039216
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,460,9.045173913,4.03,3.0693913043,3.0693913043
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,588,0.5318367347,0.4,0.292244898,0.292244898
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,27,2100,0.5946142857,0.27,0.2116619048,0.2116619048
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,650,6.6527076923,3.04,2.3833692308,2.3833692308
1063443703,CRIM,RANDALL,W,MD,M,I,2001 N MACARTHUR BLVD,SUITE 750,IRVING,TX,750612256,US,Physician/Colorectal Surgery (Proctology),S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,35,2293,0.7421325774,0.27,0.2116703009,0.2116703009
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,39,80,81,104.98197531,44.245925926,32.695061728,28.999876543
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,7,28,74,141,8.1786524823,1.5670212766,1.1258156028,1.0527659574
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,36,40,40,74.7565,12.7245,9.7565,8.84675
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,4,22,22,23,2.8913043478,0.5617391304,0.4365217391,0.4204347826
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,2,21,29,31,6.2306451613,1.3609677419,1.0661290323,0.9664516129
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,17,80,162,163,392.73865031,100.82122699,74.625828221,64.756257669
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,16,72,182,468,137.09463675,37.064401709,27.840598291,24.959807692
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,8,38,74,382,73.019109948,20.438376963,15.285968586,14.043926702
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,31,74,397,51.341108312,17.286574307,12.244382872,10.74929471
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,74,125,125,222.06616,60.02416,42.54168,38.838
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,16,136,186,186,67.14844086,20.478924731,15.432956989,13.622204301
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,11,11,34.801818182,11.182727273,8.7672727273,8.1772727273
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,111,232,232,72.858577586,13.796422414,10.319956897,8.8154741379
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,145,343,1827,8.9072632731,2.3756321839,1.7608593322,1.5191625616
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,12,81,107,107,24.867663551,6.7996261682,5.0756074766,4.4791588785
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,65,89,89,49.423146067,13.835168539,10.417865169,10.038089888
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,58,388,399,81.986340852,19.02,13.74839599,12.939548872
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,43,58,230.13103448,51.66862069,37.924482759,36.428103448
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3775.52,999.08,771.31416667,830.29416667
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,61,61,4151.0986885,999.08,780.39131148,836.47065574
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,14,81,83,440.93156627,87.294819277,62.896626506,59.057831325
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,566.04307692,246.74423077,190.16461538,167.47692308
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,17,17,561.19764706,148.12058824,116.13294118,108.90823529
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,15,81.75,12.992,9.4106666667,9.0753333333
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,9,50,275,288,81.040347222,5.5165625,4.0525347222,3.5347916667
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,10,36,203,208,253.74865385,35.826778846,26.721586538,24.513990385
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,106,789,832,479.64530048,77.040144231,56.287487981,51.462391827
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,85,91,123.29538462,39.937032967,28.829010989,27.283736264
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,12,16,16,16,85.5,57,39.10375,39.10375
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,12,70,4022,21.081275485,9.6184584784,7.4491596221,7.4491596221
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,23,40,122,33528,0.1829053329,0.0437622286,0.0319139227,0.0319139227
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,30,48,168,17692,1.3969217726,0.135141872,0.1019534253,0.1019534253
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,17,16,72,3475,10.103735252,2.9909697842,2.2220460432,2.2220460432
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,82,82,254.73658537,42.60695122,30.964512195,27.463170732
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,40,94,348,348,75.146551724,33,24.599367816,24.599367816
1063443752,SANTHYADKA,GANESHA,,MD,M,I,360 BROADWAY,,BANGOR,ME,044013979,US,Physician/Pulmonary Disease,S,Q4074,"Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1800,242.46,137.2415,107.59733333,107.59733333
1063443844,GRILL,LAWRENCE,J,M.D.,M,I,1 ROUTE 70 STE 1,,LAKEWOOD,NJ,087015895,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,25,58,149,65.94738255,8.32,5.9090604027,5.9090604027
1063443844,GRILL,LAWRENCE,J,M.D.,M,I,1 ROUTE 70 STE 1,,LAKEWOOD,NJ,087015895,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,15.658666667,3.38,2.2966666667,2.2966666667
1063443844,GRILL,LAWRENCE,J,M.D.,M,I,1 ROUTE 70 STE 1,,LAKEWOOD,NJ,087015895,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,30,40,16.25725,1.42,0.9495,0.9495
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,26,92,66.25826087,8.32,5.6717391304,5.6717391304
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,23,15.650434783,1.42,0.9191304348,0.9191304348
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,51,16.977058824,10.93,7.3937254902,7.3937254902
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,69,10.53826087,7.46,5.0008695652,5.0008695652
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,68,5.5522058824,1.53,1.0586764706,1.2755882353
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,46.31,46.31,36.16,37.480909091
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,40.55,32.945,25.8275,25.363333333
1063443885,MANAM,BOB,A,MD,M,I,2020 OGDEN AVE,STE 140,AURORA,IL,605045894,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,230,73,57.23,55.411818182
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,27,54,77.426481481,8.32,4.4677777778,4.4677777778
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,82.009090909,51.047272727,36.956363636,27.718181818
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,228.67230769,126.42692308,84.316153846,57.416153846
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,16,97.83,48.3225,37.88375,29.68
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,50.864285714,26.601428571,17.983571429,12.045
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,19,74,7.2209459459,3.3951351351,2.4710810811,1.5666216216
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,27.354545455,15.85,11.397272727,9.6490909091
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,27,27,170.1462963,47.99,31.794814815,21.004074074
1063443901,HARRIS,TODD,J,DO,M,I,935 HIGHLAND BLVD,SUITE 4400,BOZEMAN,MT,597156904,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,14,488.22142857,92.39,72.434285714,54.73
1063444065,RAMOS,FARIDA,,MD,F,I,CARR 2 KM 1225 BO CAIMITAL ALTO,,AGUADILLA,PR,00603,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,42,46.506666667,8.32,6.5219047619,6.5219047619
1063444065,RAMOS,FARIDA,,MD,F,I,CARR 2 KM 1225 BO CAIMITAL ALTO,,AGUADILLA,PR,00603,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.92,3.38,2.65,2.65
1063444065,RAMOS,FARIDA,,MD,F,I,CARR 2 KM 1225 BO CAIMITAL ALTO,,AGUADILLA,PR,00603,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,21,14.886666667,1.42,1.1123809524,1.1123809524
1063444107,MALKANI,ARTHUR,L,M.D.,M,I,201 ABRAHAM FLEXNER WAY,SUITE 100,LOUISVILLE,KY,40202,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,56,56,56,131.15982143,45.9925,35.405,35.685892857
1063444107,MALKANI,ARTHUR,L,M.D.,M,I,201 ABRAHAM FLEXNER WAY,SUITE 100,LOUISVILLE,KY,40202,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,21,21,21,158.34,53.390952381,41.854761905,40.73047619
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,25,53,67.375471698,8.32,5.0449056604,5.0449056604
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,14.2,8.69,4.9527272727,4.9527272727
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,22.55,13.8,8.8527272727,8.8527272727
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,17.85,10.93,6.2327272727,6.2327272727
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,12.2,7.46,4.2545454545,4.2545454545
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,44,2.9375,1.8,1.0720454545,1.0720454545
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,300,102.61833333,73.975833333,48.670833333
1063444172,FRANKE,SUSAN,,PA,F,I,117 E GREEN BAY ST,,SHAWANO,WI,541662443,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,100,44.745,29.605833333,24.5975
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,73,221,445,29.873101124,8.3185393258,5.8925617978,5.8937078652
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,15.494,3.38,2.5175,2.5175
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,29,31,31,10.513225806,2.12,1.4006451613,1.4006451613
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,55,105,137,8.7709489051,1.4176642336,1.0252554745,1.027080292
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,22,44,5.645,2.0127272727,1.3534090909,0.9715909091
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,2.02,1.4536363636,0.85,0.6990909091
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,27,31,242.37419355,77.664193548,60.890322581,41.328709677
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,19,24,86.31,22.4775,17.620833333,14.031666667
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,46,46,19.660652174,7.03,5.4313043478,3.7265217391
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,74,81,464.29185185,103.03703704,77.831728395,59.651728395
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,480,15.58,9.6130625,7.2856875,7.2856875
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,13,74,11836,0.0984893545,0.0464160189,0.0341897601,0.0341897601
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,41,2460,1.7111341463,0.1355853659,0.0919268293,0.0919268293
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,660,12.076,3.1117272727,2.4395909091,2.4395909091
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,627,0.2126634769,0.2126634769,0.1548803828,0.1548644338
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,49.253333333,26.203333333,18.942222222,14.148333333
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,29,120.29655172,45.261724138,32.088275862,28.79862069
1063444198,KEITH,DOUGLAS,C,MD,M,I,220 US HIGHWAY 70 W,,GARNER,NC,275293943,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,14,93,93,62.806451613,33,23.745053763,23.745053763
1063444255,HEYRMAN,THOMAS,P,M.D.,M,I,N84W16889 MENOMONEE AVE,,MENOMONEE FALLS,WI,530512810,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,25,25,25,71.9296,68.8408,51.7556,51.0288
1063444255,HEYRMAN,THOMAS,P,M.D.,M,I,N84W16889 MENOMONEE AVE,,MENOMONEE FALLS,WI,530512810,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,22,53.136363636,47.106363636,36.931818182,43.308181818
1063444255,HEYRMAN,THOMAS,P,M.D.,M,I,N84W16889 MENOMONEE AVE,,MENOMONEE FALLS,WI,530512810,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,23,68.040869565,65.523043478,51.220869565,53.698695652
1063444297,BARRERA,DAVID,N,DO,M,I,6500 HARRIS PKWY,,FORT WORTH,TX,761324136,US,Physician/Hematology-Oncology,S,J8610,"Methotrexate; oral, 2.5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,12,384,3.0246875,0.58171875,0.45609375,0.45609375
1063444297,BARRERA,DAVID,N,DO,M,I,6500 HARRIS PKWY,,FORT WORTH,TX,761324136,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1063444370,HARTZELL,KEVIN,M,M.D.,M,I,1000 E MAIN ST,,DANVILLE,IN,461221948,US,Physician/Emergency Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,3775.52,913.16,704.88384615,831.22384615
1063444370,HARTZELL,KEVIN,M,M.D.,M,I,1000 E MAIN ST,,DANVILLE,IN,461221948,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,244.98,81.868333333,48.5125,41.0475
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,28,62,199,73.585979899,8.32,5.3094974874,5.3094974874
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,17,25,13.1964,1.42,1.0256,1.0256
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,372.98857143,94.211428571,68.174285714,62.152142857
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,31,145.1116129,34.886451613,27.351290323,25.918387097
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,87.892857143,12.08,9.47,9.12
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,84,10.885,2.3,1.8035714286,1.5921428571
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,15,15,105.1,47.778666667,37.456,38.308
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,48,81.978125,17,11.66375,11.845
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,27,27,50,50,36.296296296,34.900740741
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,50.73,3.9428571429,2.9542857143,3.5452380952
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,204.09705882,33.251176471,23.148235294,21.968235294
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,53,58,538.21982759,78,54.008448276,49.580862069
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,20,1950,0.17,0.0452769231,0.0312358974,0.0312358974
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,17,1409,0.9031014904,0.1359190916,0.1046415898,0.1046415898
1063444586,NEDELMAN,PHILIP,B,M.D.,M,I,90 LIBBEY PKWY,STE106,WEYMOUTH,MA,021893129,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,34,34,126.17647059,33,23.027941176,23.027941176
1063444834,REININGA,MARK,W,MD,M,I,90 HOSPITAL DR,,ATHENS,OH,457012301,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,27,38.874814815,8.32,3.09,3.09
1063444834,REININGA,MARK,W,MD,M,I,90 HOSPITAL DR,,ATHENS,OH,457012301,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,270,102.61833333,80.455,55.15
1063444834,REININGA,MARK,W,MD,M,I,90 HOSPITAL DR,,ATHENS,OH,457012301,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,2498,0.2040952762,0.0465772618,0.0249039231,0.0249039231
1063444834,REININGA,MARK,W,MD,M,I,90 HOSPITAL DR,,ATHENS,OH,457012301,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,315,0.75,0.2186666667,0.1552380952,0.1552380952
1063444834,REININGA,MARK,W,MD,M,I,90 HOSPITAL DR,,ATHENS,OH,457012301,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,70.833333333,28.77,14.4825,8.6175
1063444834,REININGA,MARK,W,MD,M,I,90 HOSPITAL DR,,ATHENS,OH,457012301,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,116.76923077,33,20.655384615,20.655384615
1063444883,HANDELSMAN,STUART,,M.D.,M,I,980 JOHNSON FERRY ROAD,SUITE 410,ATLANTA,GA,30342,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,40,4335,4.8403898501,0.563799308,0.4101614764,0.4101522491
1063444883,HANDELSMAN,STUART,,M.D.,M,I,980 JOHNSON FERRY ROAD,SUITE 410,ATLANTA,GA,30342,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,3000,0.0926,0.01265,0.0093733333,0.0093733333
1063444883,HANDELSMAN,STUART,,M.D.,M,I,980 JOHNSON FERRY ROAD,SUITE 410,ATLANTA,GA,30342,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,24,3300,3.4563212121,1.2489272727,0.9539181818,0.9539181818
1063444883,HANDELSMAN,STUART,,M.D.,M,I,980 JOHNSON FERRY ROAD,SUITE 410,ATLANTA,GA,30342,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,42,42,24,24,17.803571429,17.803571429
1063444883,HANDELSMAN,STUART,,M.D.,M,I,980 JOHNSON FERRY ROAD,SUITE 410,ATLANTA,GA,30342,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,47,53,16,16,12.303773585,12.303773585
1063444966,SCOTT,COLLEEN,M,D.O.,F,I,22905 W MAIN ST,,ARMADA,MI,480053247,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,26,64.362307692,8.32,6.0184615385,6.0184615385
1063444966,SCOTT,COLLEEN,M,D.O.,F,I,22905 W MAIN ST,,ARMADA,MI,480053247,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,13.084545455,1.42,1.0181818182,1.0181818182
1063444974,BROWN,MICHAEL,S,MD,M,I,4120 W MEMORIAL RD STE 118,,OKLAHOMA CITY,OK,731209322,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,19,19,19,147.48894737,47.587894737,37.311578947,36.497894737
1063444974,BROWN,MICHAEL,S,MD,M,I,4120 W MEMORIAL RD STE 118,,OKLAHOMA CITY,OK,731209322,US,Physician/Physical Medicine and Rehabilitation,S,E0990,"Wheelchair accessory, elevating leg rest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.07,6.38,5,5.21
1063444974,BROWN,MICHAEL,S,MD,M,I,4120 W MEMORIAL RD STE 118,,OKLAHOMA CITY,OK,731209322,US,Physician/Physical Medicine and Rehabilitation,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,70.02,14.149090909,11.094545455,10.84
1063444974,BROWN,MICHAEL,S,MD,M,I,4120 W MEMORIAL RD STE 118,,OKLAHOMA CITY,OK,731209322,US,Physician/Physical Medicine and Rehabilitation,S,E2201,"Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,96.54,31.517333333,24.717333333,23.356666667
1063444974,BROWN,MICHAEL,S,MD,M,I,4120 W MEMORIAL RD STE 118,,OKLAHOMA CITY,OK,731209322,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,56,56,73.5,19.060714286,14.365178571,13.488571429
1063444974,BROWN,MICHAEL,S,MD,M,I,4120 W MEMORIAL RD STE 118,,OKLAHOMA CITY,OK,731209322,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,110.19,30.07,23.57625,20.375625
1063444974,BROWN,MICHAEL,S,MD,M,I,4120 W MEMORIAL RD STE 118,,OKLAHOMA CITY,OK,731209322,US,Physician/Physical Medicine and Rehabilitation,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,148.33,38.4025,30.105,25.98
1063444990,ANDERSON,DOUGLAS,S,M.D.,M,I,10787 NALL AVE,SUITE 310,OVERLAND PARK,KS,662111375,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,17,46,55.170652174,8.32,5.6708695652,5.6708695652
1063444990,ANDERSON,DOUGLAS,S,M.D.,M,I,10787 NALL AVE,SUITE 310,OVERLAND PARK,KS,662111375,US,Physician/Family Practice,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,96,5.65375,2.91,2.0911458333,2.0911458333
1063444990,ANDERSON,DOUGLAS,S,M.D.,M,I,10787 NALL AVE,SUITE 310,OVERLAND PARK,KS,662111375,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,37.15,29.13,29.478333333
1063445021,BELINFANTE,KARINA,K,M.D.,F,I,3969 S COBB DR SE,SUITE 110,SMYRNA,GA,300806358,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,57,187,71.840855615,8.32,6.0955080214,6.0955080214
1063445021,BELINFANTE,KARINA,K,M.D.,F,I,3969 S COBB DR SE,SUITE 110,SMYRNA,GA,300806358,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,13,27,47,14.366382979,1.42,1.0444680851,1.0444680851
1063445021,BELINFANTE,KARINA,K,M.D.,F,I,3969 S COBB DR SE,SUITE 110,SMYRNA,GA,300806358,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,67,8.1026865672,2.1562686567,1.4568656716,1.3565671642
1063445021,BELINFANTE,KARINA,K,M.D.,F,I,3969 S COBB DR SE,SUITE 110,SMYRNA,GA,300806358,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,200,48.262727273,37.835454545,38.431818182
1063445021,BELINFANTE,KARINA,K,M.D.,F,I,3969 S COBB DR SE,SUITE 110,SMYRNA,GA,300806358,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,238.08782609,31.721304348,24.865217391,24.724782609
1063445021,BELINFANTE,KARINA,K,M.D.,F,I,3969 S COBB DR SE,SUITE 110,SMYRNA,GA,300806358,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,1237.1072727,193.16909091,151.44454545,153.21454545
1063445112,POLING,RODNEY,H,D.O.,M,I,17740 FORT ST,,RIVERVIEW,MI,481936633,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,30,116,61.629051724,8.32,5.7914655172,5.7914655172
1063445112,POLING,RODNEY,H,D.O.,M,I,17740 FORT ST,,RIVERVIEW,MI,481936633,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,17,28,15.448214286,1.42,0.9142857143,0.9142857143
1063445112,POLING,RODNEY,H,D.O.,M,I,17740 FORT ST,,RIVERVIEW,MI,481936633,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,403.29882353,79.88,55.252941176,48.282352941
1063445138,KLEEMAN,MICHAEL,W,D.O.,M,I,250 PATCHOGUE YAPHANK RD,SUITE 11 B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,3270,0.4197247706,0.13,0.1019174312,0.1019174312
1063445138,KLEEMAN,MICHAEL,W,D.O.,M,I,250 PATCHOGUE YAPHANK RD,SUITE 11 B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,15,78,11800,4.6061864407,1.7536440678,1.3412516949,1.5589398305
1063445138,KLEEMAN,MICHAEL,W,D.O.,M,I,250 PATCHOGUE YAPHANK RD,SUITE 11 B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,56,12.907857143,10.340714286,8.1060714286,8.4660714286
1063445138,KLEEMAN,MICHAEL,W,D.O.,M,I,250 PATCHOGUE YAPHANK RD,SUITE 11 B,EAST PATCHOGUE,NY,117724800,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,19,57,7.8442105263,7.0347368421,5.5150877193,5.8268421053
1063445146,MUSUNURU,USHA,,MD,F,I,4485 TENCH RD,STE120,SUWANEE,GA,300246738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,12,38,77.746315789,8.32,6.5231578947,6.5231578947
1063445161,GUEST,ANDREW,D,MD,M,I,171 LIBERTY ST,,SOUTHINGTON,CT,06489,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,15,52,122,86.51557377,8.32,5.4516393443,5.4516393443
1063445161,GUEST,ANDREW,D,MD,M,I,171 LIBERTY ST,,SOUTHINGTON,CT,06489,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,26,26,18.033461538,1.42,0.9907692308,0.9907692308
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,95.347894737,40,29.709473684,28.931052632
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,26,104.01038462,33,25.871153846,25.919230769
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,74,58.073243243,18,14.111756757,14.551756757
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,11,21,21,178.3252381,56,42.853333333,41.862380952
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,13,17,17,57.041764706,18,13.28,13.235882353
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,28,160,8.035375,2,1.568375,1.590875
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,40.062857143,13,10.19,10.329285714
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,14,106,108,89.584814815,17.972222222,12.838888889,12.3925
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,28.428,3.924,2.784,3.32
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,174.4088,33.18,24.622,23.3008
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,43,386,391,433.49404092,77.226240409,56.995575448,51.760613811
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,13,137,137,127.99270073,36.949781022,28.337372263,28.859854015
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,12,1189,0.536745164,0.047569386,0.0326829268,0.0326829268
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,19,1496,1.7903008021,0.1373128342,0.1040240642,0.1040240642
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,114.16666667,36.96,24.15,24.659166667
1063445195,WEINBERGER,JULIA,R,M.D.,F,I,9700 N KENTON,#306,SKOKIE,IL,60076,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,30,30,79.2,33,24.422,24.422
1063445245,DIBIAGIO,MARYANN,,D.O.,F,I,1673 STATE ROUTE 65,,ELLWOOD CITY,PA,16117,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,27,72,69.546944444,8.32,5.7069444444,5.7069444444
1063445245,DIBIAGIO,MARYANN,,D.O.,F,I,1673 STATE ROUTE 65,,ELLWOOD CITY,PA,16117,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,17,57,7.7915789474,2.4624561404,1.8764912281,1.7203508772
1063445245,DIBIAGIO,MARYANN,,D.O.,F,I,1673 STATE ROUTE 65,,ELLWOOD CITY,PA,16117,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,22.857142857,7.9185714286,5.629047619,3.1638095238
1063445245,DIBIAGIO,MARYANN,,D.O.,F,I,1673 STATE ROUTE 65,,ELLWOOD CITY,PA,16117,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,13,183.17538462,42.756923077,31.601538462,24.824615385
1063445245,DIBIAGIO,MARYANN,,D.O.,F,I,1673 STATE ROUTE 65,,ELLWOOD CITY,PA,16117,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,55,45.002727273,35.284545455,29.516363636
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,44,44,44,137.86613636,49.355454545,37.987954545,36.395454545
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,137,53.16,41.68,40.8
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,39,39,149.07179487,47.265641026,33.242307692,33.826410256
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,47.3396,17,13.33,13.5232
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,55,55,20.93,3.9578181818,2.842,3.4203636364
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,19,19,38,18.67,12.28,9.62,10.01
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,32,32,64,104.8975,49.819375,39.05875,40.000625
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,25,25,311.2884,73,57.23,54.93
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,4,35,35,35,90.670285714,36.459714286,28.584285714,29.281428571
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,77,545,545,74.591082569,17.886018349,13.227522936,13.315321101
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,19,19,108.69,52.137368421,40.872631579,23.837894737
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,37,37,139.21,44.508918919,33.887567568,35.851891892
1063445260,AMAYA GREVER,ILIANA,,M.D.,F,I,16620 N US HIGHWAY 281 STE 300,,SAN ANTONIO,TX,782322679,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,27,169,169,21.07,7.7481065089,5.5131952663,6.0709467456
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,34,89,227,56.664449339,8.32,5.918722467,5.918722467
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,20,21,13.440952381,3.38,2.65,2.65
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,6,,11,11,19.891818182,2.12,1.67,1.67
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,33,56,13.592678571,1.42,1.055,1.055
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,341,3.3448387097,2.27,1.4560997067,1.4560997067
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,38,18.697368421,10.93,8.0057894737,8.0057894737
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,9.2281818182,7.46,5.3181818182,5.3181818182
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,46,46,92,80.763478261,71.56,56.105,56.105
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,44,44,260,32.836653846,29.19,22.885,22.886423077
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,371,115.17520216,3.11,2.4316981132,2.3610512129
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,15,137,2958,16,5.82,4.417234618,4.0420250169
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,13,112,39768,0.85,0.2847088111,0.2195378194,0.2390620599
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,27,9921,3.7779498034,0.678560629,0.5319856869,0.5174246548
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,19,19,19,83.289473684,71.95,56.41,38.56
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,11,11,11,17.265454545,15.185454545,11.904545455,12.115454545
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,23,23,23,69.14826087,51.91,38.930434783,39.026956522
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,210.9775,165.66,129.88,127.601875
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,30,147,147,91.269659864,55.014217687,41.719931973,38.229115646
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,35.877931034,18,14.11,13.638275862
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,46,46,10.047608696,6.04,4.7369565217,3.7447826087
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,18,18,283.36166667,33.645555556,18.667222222,17.315
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,80,44.305555556,34.735555556,35.917777778
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,24,35,30.759714286,5.59,4.2548571429,3.874
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,17,17,18,36.706666667,28.78,22.560555556,22.600555556
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,20,20,21,61.047619048,52.96,41.52047619,40.01
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,60,60,16.009166667,11.065666667,7.9715,8.083
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,68,68,247.07588235,87.844705882,67.378088235,55.896764706
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,24,24,24,41.423333333,34.860416667,27.33125,29.34
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,24,24,24,188.28125,155.81458333,122.16458333,113.98
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,19.057287879,11.463090909,8.9871060606,8.9871060606
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,19,3534,0.3499490662,0.0468732315,0.0344001132,0.0344001132
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,40,217,217,38.165898618,20.829400922,15.148571429,13.290875576
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,54.865,34.787777778,20.772777778,16.548888889
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,41,212,212,15.77490566,9.2416509434,6.6708018868,6.2350943396
1063445351,PIANKO,LEONARD,J,M.D.,M,I,21097 NE 27TH CT STE 110,,AVENTURA,FL,331801206,US,Physician/Cardiovascular Disease (Cardiology),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,11,24,24,33.677083333,33,24.792083333,24.792083333
1063445385,FORE,JANE,A,MD,F,I,415 SIXTH ST,,LEWISTON,ID,83501,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,391.97166667,88.678333333,63.2825,48.555
1063445666,BENEVENTO,LOUIS,M,MD,M,I,3961 E LOHMAN AVE STE 33,,LAS CRUCES,NM,880118440,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,22,75,210,55.529809524,8.32,5.612047619,5.612047619
1063445666,BENEVENTO,LOUIS,M,MD,M,I,3961 E LOHMAN AVE STE 33,,LAS CRUCES,NM,880118440,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,64.49,61.673636364,35.31,26.042727273
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,172.790625,60.424375,47.021875,40.74875
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,17,65,65,7.04,3.0664615385,2.2904615385,2.148
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,31.5,12.070833333,9.46,9.4141666667
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,E1800,"Dynamic adjustable elbow extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,395,116.66769231,91.468461538,91.468461538
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,114.72909091,89.954545455,89.948181818
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,25,25,25,122.736,39.1088,30.6564,29.7832
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,29,126,126,73.823809524,22.649920635,17.203888889,14.817857143
1063445898,BARKER,ANDREW,J,DO,M,I,317 N MISSION ST STE 200,,WENATCHEE,WA,988012072,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,55,55,28.024363636,10.372909091,7.8229090909,7.0245454545
1063445906,LOVDAL,JAMIE,A,MD,F,I,3396 SIX FORKS RD,,RALEIGH,NC,276097233,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,272.35,100.90545455,73.678181818,49.754545455
1063445906,LOVDAL,JAMIE,A,MD,F,I,3396 SIX FORKS RD,,RALEIGH,NC,276097233,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,67.12,44.745,32.344166667,27.056666667
1063445930,VARK,LAWRENCE,E,D.O.,M,I,31870 E. HWY 51,,COWETA,OK,74429,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,36,36,72,71.285,71.285,53.555694444,53.770555556
1063445930,VARK,LAWRENCE,E,D.O.,M,I,31870 E. HWY 51,,COWETA,OK,74429,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,138,29.081304348,29.081304348,22.799855072,22.886594203
1063445930,VARK,LAWRENCE,E,D.O.,M,I,31870 E. HWY 51,,COWETA,OK,74429,US,Physician/Family Practice,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,13,66,43.369090909,43.369090909,31.996212121,32.143939394
1063445930,VARK,LAWRENCE,E,D.O.,M,I,31870 E. HWY 51,,COWETA,OK,74429,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,317.44,77.18,60.51,59.545
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,31,86,209,71.072009569,8.32,5.8973205742,5.8973205742
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,19,40,52,14.420769231,1.42,1.0315384615,1.0315384615
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,24,50,50,61.6128,38.89,28.4212,28.4212
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,363.03529412,86.53,59.858823529,59.858823529
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,31,128.20064516,32.73,22.822903226,23.087096774
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,21,104,110.26557692,18.03,13.105,13.526634615
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,14,31,31,287.38193548,54.79,40.656129032,40.568709677
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,23,33,33,79.392121212,17.97,12.809090909,12.792121212
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,24,53,257,13.028093385,2.03,1.5051750973,1.5051750973
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,11,19,19,40.344736842,13.43,9.9757894737,9.7957894737
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,12,61,63,66.257936508,12.036507937,8.4458730159,8.4857142857
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,15,15,45.007333333,4.82,3.3106666667,3.1553333333
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,14,68,70,208.87314286,34.060857143,23.102571429,22.466142857
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,28,839.23071429,69.81,46.382857143,46.382857143
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1918,0.2432898853,0.0481960375,0.0330187696,0.0330187696
1063446318,FOGO,SHANE,C,M.D.,M,I,105 S MAJOR ST,,EUREKA,IL,615301246,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,74.25,33,21.558333333,21.558333333
1063446334,GREEN,DEBORAH,,MD,F,I,315 PARK AVE,,FORT LUPTON,CO,806211929,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,35,77,70.228181818,8.32,5.8457142857,5.8457142857
1063446334,GREEN,DEBORAH,,MD,F,I,315 PARK AVE,,FORT LUPTON,CO,806211929,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,13,64,9.3471875,2.08125,1.465,1.44328125
1063446334,GREEN,DEBORAH,,MD,F,I,315 PARK AVE,,FORT LUPTON,CO,806211929,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,50,50,68.0616,17.8866,12.8988,12.4708
1063446334,GREEN,DEBORAH,,MD,F,I,315 PARK AVE,,FORT LUPTON,CO,806211929,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,15,41.47,13.356666667,10.477333333,10.477333333
1063446334,GREEN,DEBORAH,,MD,F,I,315 PARK AVE,,FORT LUPTON,CO,806211929,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,24.555555556,4.6566666667,3.6466666667,3.7533333333
1063446334,GREEN,DEBORAH,,MD,F,I,315 PARK AVE,,FORT LUPTON,CO,806211929,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,,36,44,245.78954545,33.252727273,24.848181818,24.952727273
1063446334,GREEN,DEBORAH,,MD,F,I,315 PARK AVE,,FORT LUPTON,CO,806211929,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,12,70,70,371.24557143,71.391857143,51.546142857,50.779
1063446359,HINES,TIMOTHY,R,MD,M,I,408 W 45TH ST,,AUSTIN,TX,787513014,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,780,2.2067564103,0.5002307692,0.3722692308,0.3722692308
1063446359,HINES,TIMOTHY,R,MD,M,I,408 W 45TH ST,,AUSTIN,TX,787513014,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,1290,4.4041162791,0.5584418605,0.4378449612,0.4378449612
1063446359,HINES,TIMOTHY,R,MD,M,I,408 W 45TH ST,,AUSTIN,TX,787513014,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,18,24,24,18.82,18.82
1063446359,HINES,TIMOTHY,R,MD,M,I,408 W 45TH ST,,AUSTIN,TX,787513014,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,21,16,16,11.944285714,11.944285714
1063446417,BLACKBURN,LARRY,W,MD,M,I,3920 WEST WHEATLAND ROAD,SUITE 152,DALLAS,TX,752373404,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,18,40,145,51.431103448,8.32,6.0277241379,6.0277241379
1063446417,BLACKBURN,LARRY,W,MD,M,I,3920 WEST WHEATLAND ROAD,SUITE 152,DALLAS,TX,752373404,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.937333333,3.38,2.65,2.65
1063446417,BLACKBURN,LARRY,W,MD,M,I,3920 WEST WHEATLAND ROAD,SUITE 152,DALLAS,TX,752373404,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,12,28,58,14.720517241,1.42,1.1143103448,1.1143103448
1063446417,BLACKBURN,LARRY,W,MD,M,I,3920 WEST WHEATLAND ROAD,SUITE 152,DALLAS,TX,752373404,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,25,6.4672727273,5.07,3.6854545455
1063446417,BLACKBURN,LARRY,W,MD,M,I,3920 WEST WHEATLAND ROAD,SUITE 152,DALLAS,TX,752373404,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,69.2,19.5,15.2875,14.274166667
1063446425,HARANATH,SAI PRASHANTH,,M.D.,M,I,5252 W UNIVERSITY DR,,MCKINNEY,TX,750717822,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,218.04,79.316,58.587333333,59.241333333
1063446490,TOWNER,STEVEN,R,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,84102,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,31,83,332,68.016927711,8.32,6.0471385542,6.0471385542
1063446490,TOWNER,STEVEN,R,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,84102,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,21,21,14.977142857,3.38,2.65,2.65
1063446490,TOWNER,STEVEN,R,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,84102,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,32,72,14.275416667,1.42,1.0984722222,1.0984722222
1063446490,TOWNER,STEVEN,R,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,84102,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,3210,3.5331775701,1.73,1.3213707165,1.5439688474
1063446490,TOWNER,STEVEN,R,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,84102,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,19,20,70.8705,17.892,13.3215,13.1585
1063446490,TOWNER,STEVEN,R,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,84102,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,32,33,436.90909091,76.744242424,58.255757576,54.55030303
1063446490,TOWNER,STEVEN,R,M.D.,M,I,389 S 900 E,,SALT LAKE CITY,UT,84102,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,39.82,31.22,29.661666667
1063446532,MUNEKATA,MARK,T,M.D.,M,I,21840 NORMANDIE AVE,STE. 700,TORRANCE,CA,905022047,US,General Practice,T,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,92.156666667,17,13.33,13.5225
1063446532,MUNEKATA,MARK,T,M.D.,M,I,21840 NORMANDIE AVE,STE. 700,TORRANCE,CA,905022047,US,General Practice,T,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,502.5,77.18,57.22,51.913333333
1063446557,INGBAR,DAVID,,M.D.,M,I,"516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A",UNIVERSITY OF MINNESOTA PHYSICIANS,MINNEAPOLIS,MN,55455,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,56.979166667,17.95,12.8975,12.411666667
1063446557,INGBAR,DAVID,,M.D.,M,I,"516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A",UNIVERSITY OF MINNESOTA PHYSICIANS,MINNEAPOLIS,MN,55455,US,Physician/Internal Medicine,S,E0439,"Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,259.79166667,78.49,53.320833333,47.0875
1063446557,INGBAR,DAVID,,M.D.,M,I,"516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A",UNIVERSITY OF MINNESOTA PHYSICIANS,MINNEAPOLIS,MN,55455,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,30,30,231.61366667,78.49,61.53,56.09
1063446557,INGBAR,DAVID,,M.D.,M,I,"516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A",UNIVERSITY OF MINNESOTA PHYSICIANS,MINNEAPOLIS,MN,55455,US,Physician/Internal Medicine,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,18,900,414.55356667,42.218444444,33.099277778,33.099277778
1063446557,INGBAR,DAVID,,M.D.,M,I,"516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A",UNIVERSITY OF MINNESOTA PHYSICIANS,MINNEAPOLIS,MN,55455,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,93,40.62,31.85,29.665625
1063446557,INGBAR,DAVID,,M.D.,M,I,"516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A",UNIVERSITY OF MINNESOTA PHYSICIANS,MINNEAPOLIS,MN,55455,US,Physician/Internal Medicine,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,897.11,358.5,281.06,281.06
1063446631,ALI,SHAIK,M,M.D.,M,I,101-20 LEFFERTS BLVD.,,S. RICHMOND HILL,NY,11419,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,13,36,70,68.763857143,8.32,5.4974285714,5.4974285714
1063446631,ALI,SHAIK,M,M.D.,M,I,101-20 LEFFERTS BLVD.,,S. RICHMOND HILL,NY,11419,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,16,27.694375,1.42,0.97625,0.97625
1063446953,MOLINA,RICARDO,A,MD,M,I,39350 CIVIC CENTER DR. STE. 300,,FREMONT,CA,945382331,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,25,25,25,59.6604,48,37.63,36.5068
1063447365,FELICIANO,VANESSA,,M.D.,F,I,314 NE THORNTON PL,,SEATTLE,WA,981259000,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60,17.26,12.4025,12.411666667
1063447365,FELICIANO,VANESSA,,M.D.,F,I,314 NE THORNTON PL,,SEATTLE,WA,981259000,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,454.5,77.34,55.5775,50.660833333
1063447407,CARTER,JASON,D,MD,M,I,208 GASLIGHT BLVD,,LUFKIN,TX,759043166,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,38,38,148.84026316,30.033157895,22.535789474,14.29
1063447407,CARTER,JASON,D,MD,M,I,208 GASLIGHT BLVD,,LUFKIN,TX,759043166,US,Physician/Orthopedic Surgery,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,159.45090909,41.497272727,27.949090909,18.192727273
1063447407,CARTER,JASON,D,MD,M,I,208 GASLIGHT BLVD,,LUFKIN,TX,759043166,US,Physician/Orthopedic Surgery,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,41.683448276,12.11,9.2627586207,6.8044827586
1063447407,CARTER,JASON,D,MD,M,I,208 GASLIGHT BLVD,,LUFKIN,TX,759043166,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,14,254.6,103.98571429,81.525,85.02
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A6237,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,95,7.5185263158,7.5185263158,4.9637894737,6.0977894737
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,16,3.95,1.45,1.138125,1.15625
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,304.71333333,88.5,66.076190476,64.682857143
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,56,120.89785714,33.1,22.256607143,22.226964286
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,16,96,66.5853125,18.78,13.803125,13.651458333
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,20,20,197.763,53.63,39.9035,40.6825
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,20,20,60.9295,18.92,13.356,12.74
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,33,33,58.885757576,10.63,8.0354545455,8.7778787879
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,12,40,236,8.3448305085,2.26,1.6816101695,1.5213559322
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,53.265333333,12,8.7826666667,9.6046666667
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,330,76.133818182,3.02,2.1524242424,2.1524242424
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,31,924,74.650324675,4.9,3.8416558442,4.1212878788
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,536,64.39238806,4.34,3.384869403,3.2366977612
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,19,6559,1.5793566092,0.37,0.2768562281,0.2768562281
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,30,10381,1.29192756,0.295247086,0.226348136,0.2395241306
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,3067,3.5776980763,0.6493641995,0.5091098794,0.5174567982
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,16.81,10.058333333,6.4325,7.935
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,19.5,13.939090909,10.92,11.583636364
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,33,33,120,44.155151515,34.614242424,36.653030303
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,248.98545455,35.454545455,27.796363636,27.623636364
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,59,59,27.052881356,10.79559322,7.8369491525,7.9315254237
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,N,3,,11,18,351.84555556,181.39888889,142.21944444,112.54888889
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,36,36,22.551111111,10.4975,7.7588888889,7.3797222222
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,55,55,329.63345455,205.78181818,148.97054545,148.97036364
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,375,77.18,57.579,52.368333333
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,375,10.0464,3.01704,2.3139733333,2.3139733333
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,27.79,22.5775,14.070833333,17.890833333
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,115.88869565,30.20173913,22.435652174,24.958695652
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,K0005,Ultralightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,207.11764706,194.85529412,147.73941176,148.86411765
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,K0108,"Wheelchair component or accessory, not otherwise specified",D1D - Wheelchairs,Durable Medical Equipment,N,6,19,34,70,128.196,74.403285714,57.826285714,57.826285714
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,23.67,7.6057142857,5.9614285714,6.4514285714
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,5,27,52,163,34.437116564,28.017116564,21.360981595,21.360920245
1063447456,BLAKE,JANE,R,NP,F,I,7 COMMUNITY DR,,BUFFALO,NY,142252523,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,17,17,33,33,25.87,25.87
1063447464,CUNDEY,PAUL,E,M.D.,M,I,1348 WALTON WAY,SUITE 5100,AUGUSTA,GA,309015104,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,16.48,11.745454545,12.314545455
1063447464,CUNDEY,PAUL,E,M.D.,M,I,1348 WALTON WAY,SUITE 5100,AUGUSTA,GA,309015104,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,100,59.855,43.488333333,34.494166667
1063447464,CUNDEY,PAUL,E,M.D.,M,I,1348 WALTON WAY,SUITE 5100,AUGUSTA,GA,309015104,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,266.39227273,71.219090909,53.312727273,52.269090909
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,33,75,254,35.087480315,8.32,5.9222047244,5.9222047244
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,13,21,21,15.024761905,3.38,2.2714285714,2.2714285714
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,15,17,17,15.518823529,2.12,1.4735294118,1.4735294118
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,59,101,11.823267327,1.42,1.0599009901,1.0599009901
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,152,2.91,2.91,2.28125,2.28125
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,22,41,7900,0.44,0.44,0.3449582278,0.3449582278
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,20,35,957,8.28,8.28,6.4916405434,6.4916405434
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A6210,"Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,12,23,375,22.42,22.42,17.194693333,17.194693333
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,18,27,870,2.4,2.4,1.8816666667,1.8816666667
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,14,52,18.363846154,18.29,14.339230769,14.339230769
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,14,24,2895,0.4495336788,0.4495336788,0.3524594128,0.3527253886
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,13,61,12.852786885,2.2039344262,1.7273770492,1.5949180328
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,369,96.024390244,4.106097561,3.1380216802,2.2866395664
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,25,745,253.79127517,6.7703489933,5.3078926174,4.163114094
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,6783,2.7523721067,0.3928084918,0.2912192245,0.2277812178
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,15,8892,6.4716385515,0.8492611336,0.6658198381,0.5174336482
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,26,26,1117.5476923,77.871923077,61.051923077,53.437307692
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,25,78.8284,17.27,12.9984,12.9984
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,24.090571429,6.3917142857,4.9045714286,3.5508571429
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,237.60375,47.64375,37.354375,29.42875
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,132.5425,10.86,8.51,3.95
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,564.955,68.78,48.142857143,48.936785714
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,4479,3.1158763117,0.0777048448,0.0609220808,0.0609176155
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,750,13.07932,3.04244,2.29828,2.29828
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,18.219090909,14.281818182,14.288181818
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,196.20111111,38.800555556,28.946111111,22.647777778
1063447514,JIFI-BAHLOOL,HAITHAM,,MD,M,I,5920 SARATOGA BLVD STE 480,,CORPUS CHRISTI,TX,784144108,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,41.608695652,33,25.116956522,25.116956522
1063447522,LIPSMAN,SAUL,,D.P. M.,M,I,6894 LAKE WORTH RD,SUITE #102,LAKE WORTH,FL,33467,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,52,75,71.56,56.11,56.101153846
1063447522,LIPSMAN,SAUL,,D.P. M.,M,I,6894 LAKE WORTH RD,SUITE #102,LAKE WORTH,FL,33467,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,26,26,156,45,43.56,34.15,34.147051282
1063447597,CURRAN,TIMOTHY,,DPM,M,I,800 WASHINGTON ST,,BOSTON,MA,021111526,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,20,20,40,100.79,71.521,50.4945,50.53275
1063447597,CURRAN,TIMOTHY,,DPM,M,I,800 WASHINGTON ST,,BOSTON,MA,021111526,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,64,111.54171875,43.56,31.9096875,31.9084375
1063447597,CURRAN,TIMOTHY,,DPM,M,I,800 WASHINGTON ST,,BOSTON,MA,021111526,US,Podiatry,S,E1830,"Dynamic adjustable toe extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,395,122.46,91.361111111,91.361111111
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,49,143,404,73.164975248,8.32,6.0375,6.0375
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,17,33,58,16.40137931,1.42,1.0213793103,1.0213793103
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,15,18,18,63.633333333,49.156666667,36.665555556,30.117222222
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,11,12,12,35.576666667,26.153333333,20.5,15.543333333
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,20,72,3.9236111111,2.7208333333,2.0847222222,1.6179166667
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,12,13,13,44,15.979230769,10.789230769,9.1707692308
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,26,26,234,57.346153846,43.489230769,36.861923077
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,22.4775,17.620833333,13.53
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,25.77,17.815833333,13.968333333,10.48
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,91.55,51.229333333,40.162666667,27.644666667
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,45,375.804,101.36222222,78.177111111,54.413777778
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,13,1710,2.0871052632,0.1343157895,0.0909415205,0.0909415205
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,60,27.800869565,20.960434783,14.046956522
1063447605,BORROMEO,MICHAEL ANTHONY,P,M.D.,M,I,HIGHWAY 1,IHS BOX 165,RED LAKE,MN,566710165,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,33,33,22.324117647,22.324117647
1063447704,BILODEAU,GARY,E,PA-C,M,I,1900 COOKS HILL RD,,CENTRALIA,WA,985319073,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,13,42,62.313333333,8.32,5.900952381,5.900952381
1063447704,BILODEAU,GARY,E,PA-C,M,I,1900 COOKS HILL RD,,CENTRALIA,WA,985319073,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,16,17,278.62352941,56.337058824,44.164705882,27.392352941
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,30,77,195,62.960205128,8.32,5.5531794872,5.5531794872
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,32,48,12.272291667,1.42,0.8820833333,0.8820833333
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,279.02615385,58.7,36.612307692,33.566923077
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,13,13,98.665384615,19.74,13.309230769,11.896923077
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,100.8225,13.873333333,10.155,8.4125
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,22,112,10.910714286,2.2935714286,1.2961607143,1.090625
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,372,275,4.74,3.5072311828,3.9170698925
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,2796,4.378583691,0.36,0.2587124464,0.266037196
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.505,2.4641666667,3.2983333333
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,416.03133333,96.112666667,75.354,60.144666667
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,5459,0.2816541491,0.0461916102,0.0339787507,0.0339787507
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1890,1.0428201058,0.1374444444,0.0943915344,0.0943915344
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1680,11.225678571,3.0241071429,2.2086666667,2.2086607143
1063447746,DWECK,ROBERT,,M.D.,M,I,3360 ROUTE 343,"HUDSON RIVER HEALTHCARE, INC.",AMENIA,NY,12501,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,30,30,112.2,33,24.145333333,24.145333333
1063447753,BOOTH,LISA,N,MD,F,I,207 N TOWNLINE RD STE 104,,LAGRANGE,IN,467611325,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,21,62,46.705322581,8.32,6.5220967742,6.5220967742
1063447753,BOOTH,LISA,N,MD,F,I,207 N TOWNLINE RD STE 104,,LAGRANGE,IN,467611325,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,512.16,123.05615385,96.474615385,74.283076923
1063447753,BOOTH,LISA,N,MD,F,I,207 N TOWNLINE RD STE 104,,LAGRANGE,IN,467611325,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,35,189.42,45.966,36.037714286,27.207428571
1063447811,LEWIS,GREG,,M.D.,M,I,9850 GENESEE AVE,SUITE 900,LA JOLLA,CA,920371224,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,178.28695652,72.06,54.043478261,52.350434783
1063447811,LEWIS,GREG,,M.D.,M,I,9850 GENESEE AVE,SUITE 900,LA JOLLA,CA,920371224,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,70,36.58,28.67,29.51
1063447811,LEWIS,GREG,,M.D.,M,I,9850 GENESEE AVE,SUITE 900,LA JOLLA,CA,920371224,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,77.909090909,21.179090909,15.183636364,12.701818182
1063447837,ROEMER,PHILLIP,,MD,M,I,680 N LAKE SHORE DR,SUITE 1000,CHICAGO,IL,606114546,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,41,118,68.221864407,8.32,6.1909322034,6.1909322034
1063447837,ROEMER,PHILLIP,,MD,M,I,680 N LAKE SHORE DR,SUITE 1000,CHICAGO,IL,606114546,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,21,39,15.261025641,1.42,1.0846153846,1.0846153846
1063447837,ROEMER,PHILLIP,,MD,M,I,680 N LAKE SHORE DR,SUITE 1000,CHICAGO,IL,606114546,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,13,13,119.47153846,39.744615385,23.923076923,23.456923077
1063447837,ROEMER,PHILLIP,,MD,M,I,680 N LAKE SHORE DR,SUITE 1000,CHICAGO,IL,606114546,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,177.74166667,53.8875,34.309166667,34.848333333
1063447837,ROEMER,PHILLIP,,MD,M,I,680 N LAKE SHORE DR,SUITE 1000,CHICAGO,IL,606114546,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,96,9.3989583333,2,1.5683333333,1.58875
1063447837,ROEMER,PHILLIP,,MD,M,I,680 N LAKE SHORE DR,SUITE 1000,CHICAGO,IL,606114546,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,864.64,87.074545455,68.27,65.49
1063447878,BAYSHTOK,VALERY,,MD,M,I,9905 63RD DR,,REGO PARK,NY,113742450,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,27,28,42.686071429,8.32,6.0628571429,6.0628571429
1063447944,YOUNGS,SHAWN,,MD,F,I,10305 PROMENADE PKWY,,ELK GROVE,CA,957579400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,30,73.554333333,8.32,5.434,5.434
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,19,116,219,220,104.96763636,39.301363636,30.152454545,29.853318182
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,11,43,90,184,11.863315217,1.4770652174,1.1358695652,1.1277173913
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,12,28,7.69,1.11,0.8078571429,0.9046428571
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,8,45,57,57,75.995438596,12.247192982,8.9356140351,8.4384210526
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,5,11,12,28,15.403214286,0.4771428571,0.3485714286,0.3960714286
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,15,255,482,483,302.82341615,87.68621118,65.97136646,65.278612836
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,15,208,414,1159,95.538084556,34.418921484,26.314728214,25.388955997
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,14,174,370,2051,63.52061921,20.062315943,15.289458801,14.249839103
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,17,112,210,1202,44.687362729,15.364018303,11.753394343,11.598011647
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,25,328,677,679,183.91655376,57.194594993,43.923564065,42.140751105
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,27,545,718,718,58.408426184,18.157674095,13.96448468,13.797883008
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,58,68,68,27.712941176,9.8341176471,7.5958823529,8.0083823529
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,461,932,933,62.355980707,13.328917471,10.185798499,9.0545016077
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,29,555,1147,6620,8.2586963746,2.1632386707,1.65631571,1.5659123867
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,18,374,480,480,20.854229167,6.3044791667,4.8610208333,4.6127083333
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,21,306,379,379,48.942823219,12.264327177,9.4237203166,10.059208443
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,14,140,775,828,65.938756039,17.662862319,13.297391304,13.225772947
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,18,232.35,52.3,41,41.765
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,12,69,76,199.2625,50.395526316,39.104342105,37.844210526
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,18,232.35,50,39.2,37.717222222
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,4,,23,23,3465.0504348,1011.2513043,792.8226087,842.26
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,5,38,185,187,330.92909091,89.424224599,66.26802139,65.029518717
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,16,62,66,752.82151515,232.82045455,182.53015152,173.61409091
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,4,12,79,79,1270.1883544,957.72050633,745.35696203,759.44088608
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,24,24,24,577.12833333,139.43333333,109.31833333,104.935
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,5,262,1320,1340,50.677522388,12.896044776,9.7289328358,9.5251940299
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,46,259,287,41.587630662,4.7998606272,3.5442160279,3.4161672474
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,15,264,1436,1465,162.11715358,35.252805461,26.533494881,25.064696246
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,23,314,2071,2222,376.82673717,80.589882988,60.641917192,53.194315932
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,13,133,932,1001,165.87406593,36.567082917,27.892147852,28.647862138
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,19,36,36,36,63.333333333,57,43.448611111,43.448611111
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,35,223,13536,17.426535904,9.6286391844,7.4526809988,7.4526809988
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,15,810,16.521839506,11.467962963,8.6366790123,8.6366790123
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,63,97,306,70217,0.3501646325,0.0460889813,0.0350136007,0.0350136007
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,29,29,94,23709,2.9859230672,0.0773364545,0.0606314058,0.0606301405
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,46,71,245,25688,1.5433560417,0.1325007786,0.0975459358,0.0975459358
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,27,48,269,15600,11.789570513,2.9875429487,2.3133397436,2.3133397436
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,20,62,3507,2.7207071571,0.2186968919,0.1613487311,0.1613487311
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,255.02857143,35.91,26.148571429,27.330714286
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,89,187,721,721,74.760055479,33,25.004882108,25.004882108
1063447993,CERECEDA,ADELAIDA,,ARNP,F,I,7335 GLADIOLUS DR,,FORT MYERS,FL,339085101,US,Nurse Practitioner,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,21,29,42,42,66.333333333,66,51.210238095,51.210238095
1063448231,ADEDIRAN,ABAYOMI,S,MD,M,I,113 S PINE ST,,WARSAW,NC,283981924,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,51,51,417.84313725,96.633333333,67.46,47.021176471
1063448298,WHITE,MATTHEW,J,MD,M,I,202 10TH STREET SE,,CEDAR RAPIDS,IA,524032404,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,79.916190476,17.178571429,12.839047619,12.683809524
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,86.397777778,40.724444444,31.922777778,30.855
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,11,20,20,308.498,93.331,73.1715,68.504
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,27,123.72185185,35.346666667,27.711111111,25.916666667
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,63,106.69777778,19.22984127,13.831428571,13.731904762
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,12,22,22,219.55818182,55.589545455,42.018181818,41.523636364
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,21,29,29,71.5,18.875862069,13.774137931,13.263103448
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,,20,20,56.9365,12.797,10.0295,9.286
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,19,38,208,6.4650961538,2.2766346154,1.785,1.6171634615
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,19,19,19.462105263,6.5236842105,4.8378947368,4.5236842105
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,57.636666667,13.401666667,9.6216666667,9.5583333333
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,91.190909091,17.46,12.445454545,12.322727273
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,316.6,84.045,65.89,64.7355
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,1085.7581818,234.04545455,183.49090909,174.42
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,30,35,58.97,14.4,11.29,10.549428571
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,,53,58,255.45,34.009137931,26.665862069,26.503965517
1063448322,VERCELES,AVELINO,C,M.D.,M,I,22 S GREENE ST,,BALTIMORE,MD,212011544,US,"Physician, Sleep Medicine",S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,18,18,470.89222222,82,61.398888889,53.963333333
1063448405,GEREN,BLAKE,N,M.D.,M,I,7901 DALLAS ST,,FORT SMITH,AR,729034281,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,56,56,56,62.796428571,62.796428571,45.803571429,48.696964286
1063448405,GEREN,BLAKE,N,M.D.,M,I,7901 DALLAS ST,,FORT SMITH,AR,729034281,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,33,33,59,58.610169492,54.248305085,39.556949153,39.809322034
1063448405,GEREN,BLAKE,N,M.D.,M,I,7901 DALLAS ST,,FORT SMITH,AR,729034281,US,Physician/Ophthalmology,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,19,37,70,69.089189189,47.525405405,47.595405405
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,52,130,446,65.792533632,8.32,6.270426009,6.270426009
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,36,36,14.078888889,3.38,2.5027777778,2.5027777778
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,11,16,16,22.0275,2.12,1.67,1.67
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,19,33,84,149,15.403959732,1.42,1.1142281879,1.1142281879
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,330,13.149090909,5.74,4.5000606061,4.5000606061
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,130,26.19,10.81,8.475,8.475
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,950.40090909,192.45818182,150.88454545,153.96181818
1063448603,SCAPPATICCI,JOHN,P,D.O.,M,I,1613 ROUTE 38,,LUMBERTON,NJ,080482921,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,13,13,33,33,19.9,19.9
1063448678,BEHZADPOUR,FARIBA,,MD,F,I,3701 E 13TH ST N,,WICHITA,KS,672082086,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,750,162.975,127.765,105.115
1063448736,MCALISTER,DEBORAH,S,MD,F,I,2801 SARATOGA ST,,SHAWNEE,OK,748041739,US,Physician/Orthopedic Surgery,S,E0135,"Walker, folding (pickup), adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,52,52,52,120,54.987115385,42.378846154,37.873653846
1063448736,MCALISTER,DEBORAH,S,MD,F,I,2801 SARATOGA ST,,SHAWNEE,OK,748041739,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,58,58,58,150,73.342931034,57.045,47.548965517
1063448736,MCALISTER,DEBORAH,S,MD,F,I,2801 SARATOGA ST,,SHAWNEE,OK,748041739,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,51,51,991,55,21.805408678,17.078385469,19.315832492
1063448736,MCALISTER,DEBORAH,S,MD,F,I,2801 SARATOGA ST,,SHAWNEE,OK,748041739,US,Physician/Orthopedic Surgery,S,L1686,"Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,1003.15,827.83,649.01,710.3035
1063448736,MCALISTER,DEBORAH,S,MD,F,I,2801 SARATOGA ST,,SHAWNEE,OK,748041739,US,Physician/Orthopedic Surgery,S,L1832,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,15,15,15,638.33333333,551.74,419.406,467.466
1063448736,MCALISTER,DEBORAH,S,MD,F,I,2801 SARATOGA ST,,SHAWNEE,OK,748041739,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,45,45,45,623.372,551.74,432.56,463.532
1063448892,HUDSON,LINDA,K,M.D.,F,I,100 WHEATLEY DR,,AMERICUS,GA,317093788,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,12,12,200,53.2,41.71,41.105
1063448892,HUDSON,LINDA,K,M.D.,F,I,100 WHEATLEY DR,,AMERICUS,GA,317093788,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,88.731,18.1855,13.41925,12.698
1063448892,HUDSON,LINDA,K,M.D.,F,I,100 WHEATLEY DR,,AMERICUS,GA,317093788,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,15,15,55.184,5.3413333333,4.1886666667,3.828
1063448892,HUDSON,LINDA,K,M.D.,F,I,100 WHEATLEY DR,,AMERICUS,GA,317093788,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,42,481.35857143,75.538333333,56.600238095,52.124047619
1063448892,HUDSON,LINDA,K,M.D.,F,I,100 WHEATLEY DR,,AMERICUS,GA,317093788,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,27,27,71,20.172222222,15.534814815,14.007037037
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,49,135,236,66.075889831,8.32,5.0851271186,5.0851271186
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,18,32,34,12.617352941,1.42,0.8558823529,0.8558823529
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,56.606153846,23.543076923,17.256153846,12.978461538
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,17,17,66.697647059,19.144705882,13.908823529,8.0770588235
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,11,20,112,8.5144642857,2.91625,2.0967857143,1.4225
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,35,13.667272727,10.708181818,10.027272727
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,13,147.30769231,54.039230769,39.406923077,36.132307692
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,41,61.705853659,22.777804878,17.128292683,13.604146341
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50,7.5041666667,5.8816666667,3.88
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,24,24,179.16125,45.764583333,27.59625,18.404166667
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,91,94,375.4656383,103.17957447,75.159574468,55.024574468
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,5473,0.2302466654,0.0451671844,0.0318856203,0.0318856203
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,22,22,599.35636364,204.33227273,155.99136364,109.43045455
1063449007,VINSON,JOHN,W,M.D.,M,I,345 US HIGHWAY 64,,ADAMSVILLE,TN,383104078,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,30,102.3,33,24.615333333,24.615333333
1063449015,REINERTSEN-RUBIN,KATHERINE,,N.P.,F,I,7 OLEANDER DR,,NORTHPORT,NY,117683438,US,Nurse Practitioner,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,38,38,134.38,46.092105263,32.097631579,32.759473684
1063449015,REINERTSEN-RUBIN,KATHERINE,,N.P.,F,I,7 OLEANDER DR,,NORTHPORT,NY,117683438,US,Nurse Practitioner,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,13,80,80,23.0695,8.765875,6.084875,7.6915
1063449015,REINERTSEN-RUBIN,KATHERINE,,N.P.,F,I,7 OLEANDER DR,,NORTHPORT,NY,117683438,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,30,30,69.056,15.304,10.213666667,12.243333333
1063449015,REINERTSEN-RUBIN,KATHERINE,,N.P.,F,I,7 OLEANDER DR,,NORTHPORT,NY,117683438,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,15,96,96,119.34,24.2575,17.525,19.039791667
1063449015,REINERTSEN-RUBIN,KATHERINE,,N.P.,F,I,7 OLEANDER DR,,NORTHPORT,NY,117683438,US,Nurse Practitioner,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,95,95,20.57,6.8428421053,4.6345263158,5.5801052632
1063449221,NARASIMHAN,NAGRAJ,,M.D.,M,I,746 N COLLEGE RD,SUITE D,TWIN FALLS,ID,833013486,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,11,90,8243,3.767977678,0.5717360184,0.4331626835,0.433159044
1063449221,NARASIMHAN,NAGRAJ,,M.D.,M,I,746 N COLLEGE RD,SUITE D,TWIN FALLS,ID,833013486,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,34,5280,3.7446515152,1.2628068182,0.9900208333,0.9900208333
1063449221,NARASIMHAN,NAGRAJ,,M.D.,M,I,746 N COLLEGE RD,SUITE D,TWIN FALLS,ID,833013486,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,28,3960,5.5047853535,2.8813030303,2.2227045455,2.2227045455
1063449221,NARASIMHAN,NAGRAJ,,M.D.,M,I,746 N COLLEGE RD,SUITE D,TWIN FALLS,ID,833013486,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,11,70,70,24.685714286,24,18.82,18.82
1063449221,NARASIMHAN,NAGRAJ,,M.D.,M,I,746 N COLLEGE RD,SUITE D,TWIN FALLS,ID,833013486,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,13,11,84,90,16.711111111,16,12.400666667,12.400666667
1063449288,NEUSTROM,MARK,R,DO,M,I,8675 COLLEGE BLVD STE 200,,OVERLAND PARK,KS,66210,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,25,74,49.798918919,19.701621622,15.446486486,15.446486486
1063449288,NEUSTROM,MARK,R,DO,M,I,8675 COLLEGE BLVD STE 200,,OVERLAND PARK,KS,66210,US,Physician/Allergy/ Immunology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,40.359333333,6.27,3.608,2.4786666667
1063449288,NEUSTROM,MARK,R,DO,M,I,8675 COLLEGE BLVD STE 200,,OVERLAND PARK,KS,66210,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,24,17800,39.393640449,9.8442752809,7.7179106742,7.7179106742
1063449288,NEUSTROM,MARK,R,DO,M,I,8675 COLLEGE BLVD STE 200,,OVERLAND PARK,KS,66210,US,Physician/Allergy/ Immunology,S,J1561,"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,920,131.28073913,40.067673913,31.413076087,31.413076087
1063449288,NEUSTROM,MARK,R,DO,M,I,8675 COLLEGE BLVD STE 200,,OVERLAND PARK,KS,66210,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,25,96,6.6270833333,2.6383333333,2.0686458333,2.0686458333
1063449296,COLEMAN,GLENNETTA,,MD,F,I,1893 DAIMLER RD,,ROCKFORD,IL,611121081,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,49,93,74.092903226,8.32,5.4719354839,5.4719354839
1063449296,COLEMAN,GLENNETTA,,MD,F,I,1893 DAIMLER RD,,ROCKFORD,IL,611121081,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,15,24,28,14.039642857,1.42,0.8385714286,0.8385714286
1063449296,COLEMAN,GLENNETTA,,MD,F,I,1893 DAIMLER RD,,ROCKFORD,IL,611121081,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,27,27,122.88,33.495185185,25.065925926,24.364074074
1063449353,TUFFUOR,EMMANUEL,O,MD,M,I,4200 WARRENSVILLE CENTER RD STE 250,,WARRENSVILLE HEIGHTS,OH,441227000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,26,50,145,65.289586207,8.32,5.6223448276,5.6223448276
1063449353,TUFFUOR,EMMANUEL,O,MD,M,I,4200 WARRENSVILLE CENTER RD STE 250,,WARRENSVILLE HEIGHTS,OH,441227000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,28,43,13.740930233,1.42,0.9076744186,0.9076744186
1063449353,TUFFUOR,EMMANUEL,O,MD,M,I,4200 WARRENSVILLE CENTER RD STE 250,,WARRENSVILLE HEIGHTS,OH,441227000,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,22,22,126.63954545,17,11.761818182,11.976363636
1063449353,TUFFUOR,EMMANUEL,O,MD,M,I,4200 WARRENSVILLE CENTER RD STE 250,,WARRENSVILLE HEIGHTS,OH,441227000,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,27,27,49.394814815,6.19,4.6914814815,3.677037037
1063449353,TUFFUOR,EMMANUEL,O,MD,M,I,4200 WARRENSVILLE CENTER RD STE 250,,WARRENSVILLE HEIGHTS,OH,441227000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,578.77137931,78,54.824137931,49.068275862
1063449460,SELTZER,KIMBERLY,,MD,F,I,2001 ANDERSON FERRY RD,,CINCINNATI,OH,452383325,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,62,105,77.496285714,8.32,6.088952381,6.088952381
1063449460,SELTZER,KIMBERLY,,MD,F,I,2001 ANDERSON FERRY RD,,CINCINNATI,OH,452383325,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,15,17.077333333,1.42,1.0453333333,1.0453333333
1063449460,SELTZER,KIMBERLY,,MD,F,I,2001 ANDERSON FERRY RD,,CINCINNATI,OH,452383325,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,45,5.3218181818,4.1690909091,3.6854545455
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,21,42,42,133.9352381,39.326428571,30.832857143,30.497857143
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,34,85,5.452,1.48,1.1054117647,1.0981176471
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,17,34,2.02,1.2,0.8294117647,0.855
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,21,24,25,60.4144,11.7712,8.486,8.3704
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,298.648,95.28,74.702,67.841
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,49,118.97061224,37.300816327,29.244081633,25.918367347
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,14,26,128,71.70125,20.603671875,15.445078125,13.929765625
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,14,34,178,40.553820225,15.244494382,11.599662921,11.54252809
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,31,63,63,165.6447619,57.026507937,44.716031746,42.92031746
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,30,41,41,60.919756098,18.584878049,14.567560976,14.060731707
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,20,39,39,63.653846154,14.452051282,11.063846154,8.9833333333
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,35,78,447,8.0081431767,2.2000894855,1.6995525727,1.57098434
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,10,20,22,22,45.362272727,12.822727273,10.056818182,10.263636364
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,40,292,295,48.09040678,17.44159322,13.020372881,13.111457627
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,14,232.35,52.25,38.034285714,38.837857143
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,11,75,75,137.058,50,36.544666667,35.121333333
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,232.35,50,33.6,32.254285714
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,477.31,362.47727273,284.18090909,310.46363636
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,21,130,130,25.197923077,4.1646923077,3.1338461538,3.5051538462
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,12,57,60,153.78566667,36.382666667,27.675833333,26.1315
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,10,75,641,648,262.42416667,80.947947531,61.60742284,53.549429012
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,18,129,139,203.03208633,36.048489209,26.840143885,28.048920863
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,71.022727273,57,44.69,44.69
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,690,18.047014493,9.64,7.5577536232,7.5577536232
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,19,41,8839,0.2210521552,0.0465629596,0.0342176717,0.0342176717
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,26,125,12081,1.2398973595,0.1345757802,0.0982377287,0.0982377287
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,7.4585555556,3.0356,2.3799333333,2.3799333333
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,42,42,200,36.302857143,28.461428571,29.488809524
1063449494,HURWITZ,KENNETH,M,MD,M,I,1921 WALDEMERE ST,STE. 705,SARASOTA,FL,342392943,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,22,38,171,171,72.264619883,33,24.124093567,24.124093567
1063449650,WARE,JAMES,E,D.O.,M,I,315 E WARWICK DR,SUITE B,ALMA,MI,488011083,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,123.025,73.934285714,53.283571429,38.012857143
1063449650,WARE,JAMES,E,D.O.,M,I,315 E WARWICK DR,SUITE B,ALMA,MI,488011083,US,Physician/Orthopedic Surgery,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,750,668.52,524.12,482.03290323
1063449650,WARE,JAMES,E,D.O.,M,I,315 E WARWICK DR,SUITE B,ALMA,MI,488011083,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,18,18,68.533333333,64.76,47.949444444,44.266111111
1063449809,BINGHAM,JONATHAN,B,MD,M,I,2300 HIGHLAND AVE,,BETHLEHEM,PA,180208920,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,27,2050,0.3313170732,0.13,0.1004585366,0.1004585366
1063449809,BINGHAM,JONATHAN,B,MD,M,I,2300 HIGHLAND AVE,,BETHLEHEM,PA,180208920,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,2920,3.9529109589,1.95,1.5288116438,1.5901815068
1063449809,BINGHAM,JONATHAN,B,MD,M,I,2300 HIGHLAND AVE,,BETHLEHEM,PA,180208920,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,930,9.65,7.23,5.5173548387,5.5173548387
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,A4623,"Tracheostomy, inner cannula",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,894,6.9495973154,6.2579865772,4.9063310962,5.597114094
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,10,17,31,113,5.9819469027,4.0975221239,3.2128318584,3.2805309735
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,A4629,Tracheostomy care kit for established tracheostomy,D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,500,6.2864,5.21,4.08476,4.0958
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,10,18,31,59,17.862881356,8.1313559322,6.3745762712,6.426779661
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,9,17,32,72,6.2486111111,4.3086111111,3.3784722222,3.3784722222
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,443,4.9876072235,3.8086455982,2.9860496614,2.9871106095
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,9,13,64,1748,39.202820366,2.980520595,2.3255892449,2.3604805492
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,6,,38,1111,56.244824482,4.2857155716,3.2865076508,3.164680468
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,B4149,"Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,35,16232,7.7263676688,1.0331789059,0.8100055446,0.7850437408
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,5,,34,15255,2.0831628974,0.3657797443,0.2786384792,0.2802923632
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,8,13,57,32316,2.19996101,0.3124811239,0.2365630028,0.2348276396
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,1140,3.281245614,0.7137368421,0.5595877193,0.5566842105
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,37,37,219.57621622,52.497567568,40.969189189,38.722162162
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,4,,43,54,2255.9537037,984.41444444,766.46888889,836.94592593
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,25,43,260,298,2624.1055369,922.48714765,714.92181208,822.83338926
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,13,24,112,118,984.92389831,371.48415254,287.68110169,301.82949153
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,11,20,83,89,99.357078652,41.162696629,30.671573034,30.915280899
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,5,,17,17,121.14882353,53.855294118,25.243529412,24.797058824
1063449866,HOERTH,CATHERINE,L,M.D.,F,I,"350 PARNASSUS AVE., # 500",,SAN FRANCISCO,CA,941430001,US,Physician/Neurology,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,28.052,9.7553333333,7.648,6.75
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,46,129,292,56.799383562,8.32,5.8521575342,5.8521575342
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,12,33,33,12.679393939,3.38,2.3760606061,2.3760606061
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,21.81,2.12,1.5717647059,1.5717647059
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,32,62,85,11.839764706,1.42,1.0511764706,1.0511764706
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,20,20,214.75,102.391,70.661,60.6955
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,40,84.748,38.4675,29.9095,26.4095
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,22,66,42.118181818,25.766969697,19.716212121,14.112272727
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,17,21,21,157.2952381,73.384761905,51.347142857,37.085714286
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,27,27,68.534444444,23.145555556,15.952592593,11.985925926
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,20,35,35,54.193142857,17.947428571,13.492571429,9.2571428571
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,23,44,212,5.7424528302,2.7054716981,2.0044339623,1.516745283
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,32,32,165.26,61.711875,44.891875,34.9146875
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,39,39,45.336923077,20.561538462,12.712051282,10.408205128
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,14,14,77.632142857,50.502857143,36.65,35.860714286
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,38,38,165.42763158,8.3039473684,6.1589473684,3.6057894737
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,14,62,62,332.18580645,47.560967742,32.326129032,21.25983871
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,22,110,110,322.62672727,98.207,70.396090909,54.893272727
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,61.923076923,45.461538462,34.380384615,29.207307692
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,29,29,76.719310345,31.183448276,22.626551724,13.756551724
1063449882,BOYD,CHRISTOPHER,D,M.D.,M,I,2109 CLAREMONT AVE,,ASHLAND,OH,448053547,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,16,124.644375,39.879375,29.210625,28.561875
1063449965,RUSK,MATTHEW,H,MD,M,I,51 N 39TH ST,102 MEDICAL ARTS BUILDING,PHILADELPHIA,PA,191042640,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,15,36,79.106666667,8.32,6.1586111111,6.1586111111
1063450062,CHAIM,ESTHER,,DO,F,I,10910 QUEENS BLVD,,FOREST HILLS,NY,113755371,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,37,56,429.62892857,8.32,5.8257142857,5.8257142857
1063450062,CHAIM,ESTHER,,DO,F,I,10910 QUEENS BLVD,,FOREST HILLS,NY,113755371,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,17,44.629411765,1.42,0.9858823529,0.9858823529
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,88,301,677,43.839084195,8.32,5.9008567208,5.9008567208
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,30,30,13.708,3.38,2.5616666667,2.5616666667
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,23.251111111,2.12,1.67,1.67
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,46,114,162,13.676358025,1.42,1.0472839506,1.0472839506
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,17,3750,2.77864,2.04,1.5610906667,1.5610906667
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,12,12,24,91.070833333,71.56,51.429583333,51.429583333
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,13,20,20,446.456,117.012,87.969,64.6275
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,13,24,42,182.70071429,42.951428571,30.427380952,22.85
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,18,87,111.04344828,23.622643678,15.727586207,12.652758621
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,97,66.421030928,19.737835052,13.611237113,10.518453608
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,16,34,34,273.62794118,73.418235294,50.627058824,38.816764706
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,25,36,36,75.996111111,23.957222222,17.521111111,13.631666667
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,24,44,44,81.754545455,18.514772727,13.264318182,8.2325
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,24,47,244,13.078934426,2.8135245902,2.071147541,1.4958606557
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,20,27,27,24.91,8.3133333333,6.1366666667,4.4448148148
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,14,17,17,63.691764706,14.411764706,11.293529412,10.34
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,133,145,91.494758621,22.065241379,16.729517241,13.270758621
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,5,,42,42,155.06547619,60.002857143,42.643095238,34.847619048
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,4430.1,1001.46,779.67578947,833.78
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,81.75,14.593333333,11.44,8.8066666667
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,12,73,73,59.166164384,7.1857534247,5.1569863014,3.2146575342
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,35,36,201.28222222,48.529722222,33.451111111,22.263611111
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E1020,"Residual limb support system for wheelchair, any type",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,16.560909091,12.99,11.356363636
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,42,12.972727273,10.173636364,8.4736363636
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,33,251,255,537.22266667,99.841960784,74.663137255,52.894078431
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,216.66666667,45.555,35.7175,29.5175
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,19,65,13987,0.3419539572,0.0470093658,0.032708944,0.032708944
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,22,1889,1.8182265749,0.1304499735,0.0676654314,0.0676654314
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,11,512,9.6183984375,3.0578710938,2.3973828125,2.3973828125
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,315,0.9634920635,0.2188888889,0.1434285714,0.1434285714
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,130.39526316,22.27,15.169473684,11.490526316
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,60.831578947,10.965263158,7.8878947368,6.6315789474
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,285.6,45.15,33.835238095,28.611428571
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,K0821,"Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,16,16,699.15,162.3175,118.293125,100.20625
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,31,31,980.63225806,225.51709677,176.80580645,147.54225806
1063450187,MAYNARD,GREGORY,V,D.O.,M,I,404 E ROLLA RD,,SALEM,MO,655601563,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,23,81,81,62.333333333,33,23.285432099,23.285432099
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,46,150,339,64.802979351,8.32,5.0879941003,5.0879941003
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,18,45,54,15.387407407,1.42,0.8688888889,0.8688888889
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,383.63421053,123.76578947,93.66,64.474736842
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,23,48,138.65375,46.35875,36.345416667,26.85875
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,13,16,16,83.051875,24.531875,19.230625,14.06
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,15,28,28,65.6925,21.070714286,15.798571429,8.8817857143
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,15,28,147,10.293605442,3.2293877551,2.4357823129,1.6263265306
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,82.08,15.424545455,10.022727273,7.3172727273
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,47,47,84.625531915,22.173617021,17.065319149,13.626382979
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,16,112,112,49.835446429,8.328125,5.92375,3.3114285714
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,72,72,503.70083333,104.5025,79.975138889,57.060138889
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1020,16.226313725,11.258882353,8.7642058824,8.7642058824
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,24,6823,0.2867785432,0.0461791001,0.0298944746,0.0298944746
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,2070,2.1166956522,0.1364202899,0.1017101449,0.1017101449
1063450237,BARTZ,WILLIAM,R,D.O.,M,I,270 E COURT AVE,,SELMER,TN,383752304,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,52,52,67.269230769,33,24.3775,24.3775
1063450351,MASSOUDI,NAVID,H,MD,M,I,17909 SOLEDAD CANYON RD,,CANYON COUNTRY,CA,913873210,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,47.941333333,34.61,18.230666667,15.306666667
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,38,70,83.281428571,8.32,5.7768571429,5.7768571429
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,24,26,21.890769231,1.42,1.0323076923,1.0323076923
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,290,12.943344828,5.74,4.3448965517,4.3448965517
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,33,8.0933333333,1.9690909091,1.5436363636,1.15
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,24.5,7.6333333333,5.7946388889,3.9731944444
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,825,2.5083636364,0.4918181818,0.3563878788,0.2637575758
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,1239,1.6857142857,0.4091525424,0.2982001614,0.2224455206
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,118.85787879,20.539090909,15.208484848,12.874545455
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,26,32,34.069375,7.58375,5.8315625,3.484375
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,70,73,598.7330137,96.101780822,71.33739726,54.444657534
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,49,2850,1.4562210526,0.1334421053,0.1046350877,0.1046350877
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,780,27.335551282,3.2441538462,2.3595128205,2.3595128205
1063450518,SOGHRATI,NASER,O,,M,I,1607 E US HIGHWAY 136,,ALBANY,MO,644028223,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,55,55,78.709090909,33,25.87,25.87
1063450526,SEARS,TIMOTHY,,MD,M,I,500 CAMPUS DR,,HANCOCK,MI,499301569,US,Physician/General Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,233.33333333,102.61833333,74.208333333,52.278333333
1063450591,ELFAYOUMI,ISLAM,M,M.D.,M,I,350 BOULEVARD,,PASSAIC,NJ,070552840,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,217.1,70,54.88,54.73
1063450757,PAHLAVAN,PEYMAN,,M.D.,M,I,153 1/2 N. BROADWAY AVENUE,,MELROSE PARK,IL,60160,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,42,219,332,53.619668675,8.32,5.914939759,5.914939759
1063450757,PAHLAVAN,PEYMAN,,M.D.,M,I,153 1/2 N. BROADWAY AVENUE,,MELROSE PARK,IL,60160,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,40,169,176,36.114829545,1.42,0.9982954545,0.9982954545
1063450757,PAHLAVAN,PEYMAN,,M.D.,M,I,153 1/2 N. BROADWAY AVENUE,,MELROSE PARK,IL,60160,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,23.363846154,23.363846154,15.441538462,57.63
1063450757,PAHLAVAN,PEYMAN,,M.D.,M,I,153 1/2 N. BROADWAY AVENUE,,MELROSE PARK,IL,60160,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,39,5850,0.4727538462,0.0465641026,0.0307606838,0.0307606838
1063450757,PAHLAVAN,PEYMAN,,M.D.,M,I,153 1/2 N. BROADWAY AVENUE,,MELROSE PARK,IL,60160,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,360,2.84,0.2194166667,0.1578055556,0.1578055556
1063450757,PAHLAVAN,PEYMAN,,M.D.,M,I,153 1/2 N. BROADWAY AVENUE,,MELROSE PARK,IL,60160,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,34,34,33,33,24.348235294,24.348235294
1063450906,HOBART,ALISON,B,APRN,F,I,130 S MAIN ST,WATERBURY MEDICAL ASSOCIATES,WATERBURY,VT,056761519,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,477.36,102.61833333,75.474166667,50.169166667
1063450906,HOBART,ALISON,B,APRN,F,I,130 S MAIN ST,WATERBURY MEDICAL ASSOCIATES,WATERBURY,VT,056761519,US,Nurse Practitioner,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,477.36,44.745,32.344166667,27.056666667
1063451078,TEDLA,KEDIST,,,F,I,10628 PARK RD,,CHARLOTTE,NC,282108407,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,25.702105263,4.6131578947,3.0247368421,3.0231578947
1063451078,TEDLA,KEDIST,,,F,I,10628 PARK RD,,CHARLOTTE,NC,282108407,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,394.264,70.23,52.307,51.984
1063451078,TEDLA,KEDIST,,,F,I,10628 PARK RD,,CHARLOTTE,NC,282108407,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,85,37.44,29.35,29.51
1063451102,ARMSTRONG,THOMAS,A,M.D.,M,I,345 N YORK RD,,HATBORO,PA,190402045,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,15,15,69.2,60.388,47.347333333,52.81
1063451102,ARMSTRONG,THOMAS,A,M.D.,M,I,345 N YORK RD,,HATBORO,PA,190402045,US,Physician/Ophthalmology,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,28,17.178571429,15.841428571,12.423214286,13.989642857
1063451144,WALLACE,DOUGLAS,C,MD,M,I,3154 PARK ST,,GROVE CITY,OH,431233222,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,47,113,75.976283186,8.32,5.8200884956,5.8200884956
1063451144,WALLACE,DOUGLAS,C,MD,M,I,3154 PARK ST,,GROVE CITY,OH,431233222,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,14,27,32,16.3484375,1.42,0.978125,0.978125
1063451144,WALLACE,DOUGLAS,C,MD,M,I,3154 PARK ST,,GROVE CITY,OH,431233222,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,13.507333333,5.36,3.5016666667,3.5016666667
1063451144,WALLACE,DOUGLAS,C,MD,M,I,3154 PARK ST,,GROVE CITY,OH,431233222,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,52.007391304,17.41,13.65,13.568695652
1063451144,WALLACE,DOUGLAS,C,MD,M,I,3154 PARK ST,,GROVE CITY,OH,431233222,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,43,377.92302326,79.3,62.17,56.287209302
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,19,41,140,70.100285714,8.32,5.6840714286,5.6840714286
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,26,46,14.470652174,1.42,1.0410869565,1.0410869565
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,20,18.1935,10.93,7.931,7.931
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,24,810,8.275,8.275,6.4662962963,6.4702222222
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,A6203,"Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,23,299,3.79,3.79,2.9715384615,2.9715384615
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,27,778,129.95239075,5.26,4.020437018,4.0571208226
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,30,13715,1.7931680642,0.37,0.2810448414,0.2810448414
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,20,20,106.561,17.0385,13.3595,13.5115
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,25,27,55.262222222,3.4844444444,2.6407407407,3.39
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,13,7.06,5.16,4.05,3.9653846154
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,688.33644068,77.031186441,58.294576271,53.266949153
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,1978,1.1976794742,0.1276440849,0.0918048534,0.0918048534
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,23,24,43.88875,19.791666667,15.516666667,13.826666667
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,345.65909091,29.049090909,22.768181818,21.939090909
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,42,285.6,38.830952381,28.645,27.759285714
1063451243,ZHANG,WENGANG,,M.D.,M,I,2220 GLADSTONE DR,SUITE 3,PITTSBURG,CA,945655123,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,13,13,101.53846154,33,23.88,23.88
1063451284,NEEDLEMAN,BRADLEY,J,M.D.,M,I,2050 KENNY RD STE 1222,,COLUMBUS,OH,43221,US,Physician/General Surgery,S,B4199,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,88,527.67045455,373.44,292.77579545,292.77579545
1063451284,NEEDLEMAN,BRADLEY,J,M.D.,M,I,2050 KENNY RD STE 1222,,COLUMBUS,OH,43221,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,88,166.09545455,9.35,7.33,7.33
1063451284,NEEDLEMAN,BRADLEY,J,M.D.,M,I,2050 KENNY RD STE 1222,,COLUMBUS,OH,43221,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,88,472.19477273,29.22,22.908522727,22.908522727
1063451367,CHO,ANDY,J,M.D.,M,I,701 TECH CENTER DR STE 100,,GAHANNA,OH,432301987,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,2040,7.6905882353,1.92,1.4349264706,1.5290098039
1063451433,ACEBO,WALDO,,M.D.,M,I,9851 NW 58TH ST,SUITE 125,DORAL,FL,331782716,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,25,101,49.122970297,8.32,5.8134653465,5.8134653465
1063451516,COPPOCK,MICHAEL,,MC,M,I,700 NE 87TH AVE,,VANCOUVER,WA,986641913,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,52,52.646538462,8.32,5.8946153846,5.8946153846
1063451516,COPPOCK,MICHAEL,,MC,M,I,700 NE 87TH AVE,,VANCOUVER,WA,986641913,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,282.815,57.305,37.346666667,35.715
1063451516,COPPOCK,MICHAEL,,MC,M,I,700 NE 87TH AVE,,VANCOUVER,WA,986641913,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,12,66,10.985757576,2.0527272727,1.5606060606,1.5448484848
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,22,80,73.0495,8.32,6.522125,6.522125
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,99.508571429,39.4,30.89,30.49
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,17,84,72.587142857,18,13.471071429,13.848333333
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,20,20,176.263,53.75,42.14,42.824
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,18,18,75.089444444,18.5,14.5,14.108888889
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,76.367272727,12.04,9.44,9.1490909091
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,12,31,156,8.991025641,2,1.5683974359,1.5901923077
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,48.685454545,48.685454545,38.17,38.248181818
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,16.98,13.31,13.51
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,17,17,181.81294118,31.33,23.29,24.99
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,E1035,"Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,415.68909091,415.68909091,325.89818182,366.60363636
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,29,480.84862069,72.06,54.644482759,52.935517241
1063451557,ROBINSON,HARRISON,L,MD,M,I,215 S HICKORY ST,#118,ESCONDIDO,CA,920254359,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,362.25,36.58,28.67,29.51
1063451672,FORD,CHARLES,D,MD,M,I,631 RB WILSON DR,,HUNTINGDON,TN,383441727,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,34.5,9.0366666667,7.084,3.9026666667
1063451698,PRITSIOLAS,JAMES,,M.D.,M,I,75 E NORTHFIELD RD,,LIVINGSTON,NJ,070394532,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,8,,45,2940,6.5039557823,0.5501734694,0.4125306122,0.4125306122
1063451698,PRITSIOLAS,JAMES,,M.D.,M,I,75 E NORTHFIELD RD,,LIVINGSTON,NJ,070394532,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,27,4050,0.0814888889,0.0127407407,0.0095876543,0.0095876543
1063451698,PRITSIOLAS,JAMES,,M.D.,M,I,75 E NORTHFIELD RD,,LIVINGSTON,NJ,070394532,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,1560,8.6240128205,1.2296923077,0.9230064103,0.9230064103
1063451698,PRITSIOLAS,JAMES,,M.D.,M,I,75 E NORTHFIELD RD,,LIVINGSTON,NJ,070394532,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,2340,6.9225555556,2.8155384615,2.1601025641,2.1601025641
1063451698,PRITSIOLAS,JAMES,,M.D.,M,I,75 E NORTHFIELD RD,,LIVINGSTON,NJ,070394532,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,29,29,24,24,18.171034483,18.171034483
1063451698,PRITSIOLAS,JAMES,,M.D.,M,I,75 E NORTHFIELD RD,,LIVINGSTON,NJ,070394532,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,9,,69,92,16,16,12.131413043,12.131413043
1063451714,JACOBS,LISA,,M.D.,F,I,4940 EASTERN AVE,,BALTIMORE,MD,212242735,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,,11,26,44.661538462,35.019230769,25.807692308,27.92
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,149.5,48.548125,38.063125,38.25
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,E0156,"Seat attachment, walker",D1E - Other DME,Durable Medical Equipment,N,2,15,15,15,35.75,16.058,12.588666667,12.380666667
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,20,86.31,17.09,13.4,13.504
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,E0961,"Manual wheelchair accessory, wheel lock brake extension (handle), each",D1D - Wheelchairs,Durable Medical Equipment,N,1,29,29,58,27.536896552,20.78862069,16.297586207,15.325862069
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,30,30,60,50.276666667,28.175,22.090333333,22.5885
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,25,519.51,65.7,51.51,54.2148
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,29,29,29,91.204827586,35.41,27.76,29.285517241
1063451763,WATSON,BROOKS,,M.D.,M,I,8220 W GAGE BLVD,750,KENNEWICK,WA,993368113,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,31,115,115,97.57,30.301217391,23.761652174,24.528347826
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,6,12,115,433,567.06136259,19.695681293,15.259399538,15.259399538
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,E0779,"Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater",D1E - Other DME,Durable Medical Equipment,Y,4,,38,38,268.53394737,15.101578947,11.842631579,12.058421053
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,J1555,"Injection, immune globulin (cuvitru), 100 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,29,13720,38.203244169,13.474341108,10.56388484,10.56388484
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,35,14830,76.625844235,9.8444895482,7.7180795684,7.7180795684
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,1680,172.0225,36.861571429,28.890928571,28.890928571
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,76,6210,391.66392915,42.417111111,33.230990338,33.230990338
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,17,2994,0.3936339345,0.0448463594,0.0328824315,0.0328724115
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,6,12,114,788,245.73559645,2.6386294416,2.0686167513,2.0686167513
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,,16,16,33,33,24.253125,24.253125
1063451813,RASCHAL,SUSAN,P,D.O.,F,I,1350 MACKEY BRANCH DR,SUITE 114,CHATTANOOGA,TN,374213482,US,Physician/Allergy/ Immunology,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,37,50,708,358.5,281.06,281.06
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,38,112,44.389642857,8.32,6.3470535714,6.3470535714
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,20,30,7.5803333333,1.42,1.0393333333,1.0393333333
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,32,6.9625,2.030625,1.431875,1.049375
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,38.439090909,18.609090909,13.075454545,7.6936363636
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,65,63.430615385,21.591692308,14.916307692,12.661846154
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,33.3075,6.2583333333,3.9966666667,2.6283333333
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,80,84,362.46571429,99.18547619,74.11202381,58.855833333
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,25,3542,0.4514229249,0.0477103331,0.0322473179,0.0322473179
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,1560,0.92,0.1339230769,0.098025641,0.098025641
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,56.95,44.560909091,31.950909091,26.832727273
1063451854,MCLAUGHLIN,KELLY,M,R.P.A.C.,F,I,39 PEARL ST W,,SIDNEY,NY,138381330,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,79.588235294,33,22.065588235,22.065588235
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,26,83,151,56.439602649,8.32,5.8754304636,5.8754304636
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,12.360625,1.42,1.12,1.12
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,21,21,111.30761905,38.5,30.18,30.49
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,255.79473684,86.92,62.009473684,61.725263158
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,51,74.917254902,33.06,24.44,24.44
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,20,96,91.685,20.399479167,15.993333333,14.551979167
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,266.52380952,58.666666667,41.942380952,38.837619048
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,22,22,72.116818182,18.971818182,14.23,13.420909091
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,21,21,75.454761905,13.435714286,10.026666667,8.6238095238
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,42,237,10.113037975,2.0932911392,1.5280590717,1.4792827004
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,28.373076923,13.316153846,9.6430769231,9.6769230769
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,53.461538462,9.1353846154,7.1607692308,6.3607692308
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,40,40,209.31075,34.44875,25.6515,24.3455
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,527.2305,69.99,50.632,50.5095
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,45.002727273,35.284545455,29.516363636
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,3129,0.1221923937,0.0460882071,0.0326302333,0.0326302333
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1140,1.1020877193,0.1313684211,0.0982192982,0.0982192982
1063451888,BRENNAN,ANGELA,S,MD,F,I,1113 SHERMAN STREET,,SAINT PAUL,NE,688730406,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,25,25,33,33,24.8352,24.8352
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,45,99,326,61.357822086,8.32,5.996993865,5.996993865
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,24,24,13.365,3.38,2.65,2.65
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,12,12,21.536666667,2.12,1.67,1.67
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,24,45,80,15.831375,1.42,1.071875,1.071875
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,14,14,154.30571429,38.604285714,30.262857143,30.494285714
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,142.67090909,54.597272727,42.81,42.932727273
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,61.39,17.885833333,14.015,14.056666667
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,15,78,8.7830769231,2.0184615385,1.5835897436,1.5971794872
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,21,37.252380952,4.5157142857,3.5414285714,3.54
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,38,38,204.23052632,35.813947368,28.078947368,27.582368421
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,319.83666667,70.23,52.577916667,52.2525
1063452100,NORD,JANICE,G,MD,F,I,19531 COCHRAN BLVD,,PORT CHARLOTTE,FL,339482081,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,69.95,20.338823529,15.946470588,14.638823529
1063452316,WOODCOCK,JOHN,,DO,M,I,39115 TRADE CENTER DR,,PALMDALE,CA,935513649,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,102.61833333,71.2375,45.9325
1063452316,WOODCOCK,JOHN,,DO,M,I,39115 TRADE CENTER DR,,PALMDALE,CA,935513649,US,Physician/Family Practice,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,2220,3.5080405405,0.5539189189,0.4094009009,0.4093963964
1063452316,WOODCOCK,JOHN,,DO,M,I,39115 TRADE CENTER DR,,PALMDALE,CA,935513649,US,Physician/Family Practice,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,1440,3.4589444444,2.82975,2.1702847222,2.1702847222
1063452316,WOODCOCK,JOHN,,DO,M,I,39115 TRADE CENTER DR,,PALMDALE,CA,935513649,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,335.79,62.701818182,46.339090909,33.571818182
1063452316,WOODCOCK,JOHN,,DO,M,I,39115 TRADE CENTER DR,,PALMDALE,CA,935513649,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,32.344166667,27.056666667
1063452316,WOODCOCK,JOHN,,DO,M,I,39115 TRADE CENTER DR,,PALMDALE,CA,935513649,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,17.109090909,17.109090909
1063452316,WOODCOCK,JOHN,,DO,M,I,39115 TRADE CENTER DR,,PALMDALE,CA,935513649,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,16,16,16,16,12.54,12.54
1063452399,ALLEN,NEWTON,P,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,28,28,75,184,64.61201087,8.32,5.9548913043,5.9548913043
1063452399,ALLEN,NEWTON,P,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,16,37,56,15.82375,1.42,1.0557142857,1.0557142857
1063452399,ALLEN,NEWTON,P,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,129.09090909,35.573636364,27.884545455,26.384545455
1063452399,ALLEN,NEWTON,P,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,86.84,58.705833333,46.468333333
1063452399,ALLEN,NEWTON,P,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,210,39.51,28.398333333,27.173333333
1063452399,ALLEN,NEWTON,P,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,37.176470588,22.997647059,18.032352941,13.869411765
1063452399,ALLEN,NEWTON,P,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,75.416666667,36.9125,26.613333333,21.621666667
1063452407,GHARAYBEH,SALAM,I,M.D.,F,I,3533 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111721,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,49,9465,7.4312065504,0.5622493397,0.4408082409,0.4408082409
1063452407,GHARAYBEH,SALAM,I,M.D.,F,I,3533 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111721,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,3900,0.0386641026,0.0121923077,0.0095589744,0.0095589744
1063452407,GHARAYBEH,SALAM,I,M.D.,F,I,3533 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111721,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,1664,16.162133413,1.2111658654,0.9495492788,0.9495432692
1063452407,GHARAYBEH,SALAM,I,M.D.,F,I,3533 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111721,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,30,5040,6.3349007937,2.790125,2.1630416667,2.1630416667
1063452407,GHARAYBEH,SALAM,I,M.D.,F,I,3533 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111721,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,43,43,24,24,18.82,18.82
1063452407,GHARAYBEH,SALAM,I,M.D.,F,I,3533 S ALAMEDA ST,,CORPUS CHRISTI,TX,784111721,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,55,60,16,16,12.54,12.54
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,58,64.586724138,8.32,6.5218965517,6.5218965517
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A4310,Insertion tray without drainage bag and without catheter (accessories only),D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,44,44,9.2372727273,7.3975,5.4013636364,6.3859090909
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,34,34,5.6370588235,5.5267647059,4.2017647059,4.2123529412
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,45,45,13.038222222,12.803777778,9.532,10.259777778
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,11,45,90,11.626666667,9.3993333333,6.8806666667,8.0156666667
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A4415,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.919,6.74,5.284,5.284
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,24,4380,0.44,0.44,0.3449680365,0.3449680365
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,410,3.1485853659,3.04,2.3834634146,2.3834634146
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,1200,0.286,0.26,0.2038,0.21095
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,328,8.28,8.28,6.2065853659,6.2065853659
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,608,3.67,3.67,2.8773026316,2.8773026316
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,1200,0.13,0.13,0.101925,0.101925
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,11,19,1712,0.45,0.45,0.3528095794,0.3528095794
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,57.005714286,11.54,8.4035714286,8.4757142857
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,61,7.8806557377,2.01,1.4216393443,1.4386885246
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,749,3.4819092123,3.08,2.4146595461,2.3676635514
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,33,887,6.955535513,5.54,4.3433821871,4.1630665163
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,27,12957,0.4884147565,0.38,0.2763911399,0.2685637107
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,9474,0.3685940469,0.31,0.2430388431,0.2430388431
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,18,9780,0.7374335378,0.6469079755,0.5050613497,0.5153251534
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,11,11,89.568181818,64,50.18,48.32
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,16,16,16,189.2875,47.55,37.28,36.51125
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,4,13,13,13,169.58846154,53.521538462,41.961538462,40.866153846
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,25,10.121,7.5725,7.5125
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,13,13,182.6,52.823076923,41.41,40.648461538
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0294,"Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,16,74,74,135,50.437972973,34.889594595,33.662972973
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,55.4465,17.29,11.85625,11.83975
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,21.166666667,4.775,3.4733333333,3.4536666667
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,143.625,32.32125,23.85,23.406875
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,17,17,125,51.694117647,37.858823529,33.438823529
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,30,30,14.675333333,5.16,3.78,3.6866666667
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0951,"Heel loop/holder, any type, with or without ankle strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,12,12,23,25,12.858695652,10.08,10.010434783
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,26,71.153846154,30.08,23.58,22.667307692
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E0978,"Wheelchair accessory, positioning belt/safety belt/pelvic strap, each",D1D - Wheelchairs,Durable Medical Equipment,N,2,11,11,11,60.909090909,24.309090909,19.059090909,18.249090909
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,34,34,379.91352941,70.23,46.779411765,46.509705882
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,13,13,13,85,38.624615385,30.277692308,29.401538462
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,11,11,11,400,159.43,124.99818182,114.95090909
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,19,104,104,108.43307692,20.267211538,14.974326923,13.535192308
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,115,27.5325,16.394166667,15.109583333
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15,7.2690909091,4.5572727273,4.5572727273
1063452639,BLANKS,THOMAS,,M.D.,M,I,1110 BROAD AVE,SUITE 700,GULFPORT,MS,395018907,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,595.2625,163.65875,124.239375,107.593125
1063452654,WILLIAMS,JENNIFER,D,MD,F,I,52 REMICK BLVD,,SPRINGBORO,OH,450669168,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,23,53,73.375283019,8.32,6.521509434,6.521509434
1063452654,WILLIAMS,JENNIFER,D,MD,F,I,52 REMICK BLVD,,SPRINGBORO,OH,450669168,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,16,33.444375,5.48,2.413125,1.90125
1063452688,ROMAN,LUIS,A,MD,M,I,URB LA MERCED,CABO H ALVERIO 574,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,34,35.651764706,8.32,6.5214705882,6.5214705882
1063452688,ROMAN,LUIS,A,MD,M,I,URB LA MERCED,CABO H ALVERIO 574,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,26,121.14038462,78.686538462,61.691538462,42.952307692
1063452688,ROMAN,LUIS,A,MD,M,I,URB LA MERCED,CABO H ALVERIO 574,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,24,31.083333333,22.4775,17.620833333,15.285833333
1063452688,ROMAN,LUIS,A,MD,M,I,URB LA MERCED,CABO H ALVERIO 574,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,24,170.00833333,103.06583333,80.805833333,66.565833333
1063452688,ROMAN,LUIS,A,MD,M,I,URB LA MERCED,CABO H ALVERIO 574,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,11,37,43,44.757209302,29.607906977,23.212790698,16.784186047
1063452688,ROMAN,LUIS,A,MD,M,I,URB LA MERCED,CABO H ALVERIO 574,SAN JUAN,PR,00918,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,18,100.79888889,44.082777778,34.562222222,22.228888889
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,15,72,133,76.777218045,8.32,5.9490977444,5.9490977444
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,980,0.44,0.44,0.3449693878,0.3449693878
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,386,34.85015544,34.85015544,26.977202073,26.98492228
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,361,8.28,8.28,6.4914958449,6.4914958449
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,A6199,"Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,562,5.95,5.95,4.6648042705,4.6648042705
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,353,3.67,3.67,2.8773371105,2.8773371105
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,86.31,23.298333333,17.435,13.112777778
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,22,276.32909091,50.201363636,36.614545455,25.28
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,72,73,519.51,102.87643836,74.270684932,49.381369863
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.651,7.5517727273,7.5517727273
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,840,1.0767142857,0.139,0.1089761905,0.1089761905
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,21,1260,12.86,2.9847142857,2.3400396825,2.3400396825
1063452795,MCLAIN,ALLEN,L,D.O.,M,I,206 S VERMONT AVE,,RANSOM,KS,675729525,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,34,34,117.44117647,33,25.109117647,25.109117647
1063452902,GUENST,JOHN,M,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,,20,72,73.454444444,8.32,5.7065277778,5.7065277778
1063452902,GUENST,JOHN,M,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,203.18357143,56.266428571,37.844285714,36.737142857
1063452902,GUENST,JOHN,M,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,12,12,66.266666667,18.908333333,13.598333333,12.954166667
1063452902,GUENST,JOHN,M,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,57.965833333,14.26,9.3166666667,7.6
1063452902,GUENST,JOHN,M,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,17,96,8.7783333333,2.28,1.5634375,1.405
1063452902,GUENST,JOHN,M,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,19,19,403.13684211,32.286315789,20.842105263,19.578421053
1063452902,GUENST,JOHN,M,M.D.,M,I,4230 HARDING RD,SUITE 400,NASHVILLE,TN,372052013,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,23.88,23.88
1063452936,ARNONE,THOMAS,J,DO,M,I,1100 LONG POND RD,SUITE 250,ROCHESTER,NY,146261177,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,21,46,83.242173913,8.32,4.8436956522,4.8436956522
1063452936,ARNONE,THOMAS,J,DO,M,I,1100 LONG POND RD,SUITE 250,ROCHESTER,NY,146261177,US,Physician/General Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,120,46.69,36.605,38.1675
1063452936,ARNONE,THOMAS,J,DO,M,I,1100 LONG POND RD,SUITE 250,ROCHESTER,NY,146261177,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,24,86.31,27.795,21.79,18.72625
1063453074,MATHEW,SOBHAN,A,MD,M,I,3048 MITCHELLVILLE RD,,BOWIE,MD,207161388,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,25,58,61.510689655,8.32,5.6224137931,5.6224137931
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,29,53,67.239622642,8.32,5.4245283019,5.4245283019
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,14.261538462,1.42,0.8615384615,0.8615384615
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,167.26882353,59.839411765,44.328823529,40.338823529
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,12,60,8.0833333333,2.162,1.5386666667,1.4361666667
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,108.79,51.205454545,40.143636364,38.574545455
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,36,405.65222222,78,59.451388889,55.528055556
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,55,19.886363636,15.590909091,13.892727273
1063453116,KING,THOMAS,J,M.D.,M,I,1611 S GREEN RD,SUITE 260,SOUTH EUCLID,OH,441214128,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,15,9.1518181818,7.1709090909,6.5327272727
1063453330,DANGVU,PETER,V,M.D.,M,I,17742 BEACH BLVD,SUITE 340,HUNTINGTON BEACH,CA,926476818,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,13,46,111.1876087,8.32,6.5217391304,6.5217391304
1063453330,DANGVU,PETER,V,M.D.,M,I,17742 BEACH BLVD,SUITE 340,HUNTINGTON BEACH,CA,926476818,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,97.615789474,30.017894737,23.538947368,25.070526316
1063453348,GOLDSTEIN,DAVID,,M.D.,M,I,452 OLD HOOK RD,2ND FLOOR,EMERSON,NJ,076301381,US,Physician/Gastroenterology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,22,74.36,8.32,5.9272727273,5.9272727273
1063453348,GOLDSTEIN,DAVID,,M.D.,M,I,452 OLD HOOK RD,2ND FLOOR,EMERSON,NJ,076301381,US,Physician/Gastroenterology,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,11,12,81.75,13,8.4916666667,8.7916666667
1063453348,GOLDSTEIN,DAVID,,M.D.,M,I,452 OLD HOOK RD,2ND FLOOR,EMERSON,NJ,076301381,US,Physician/Gastroenterology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,22,23,265.15565217,30.426521739,18.37826087,19.610434783
1063453413,ALSAWAH,SAMIR,,MD,M,I,1231 PINE GROVE AVE,STE 2F,PORT HURON,MI,480603500,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,5,12,50,3676,36.453071273,4.8995239391,3.8244232862,3.8244232862
1063453413,ALSAWAH,SAMIR,,MD,M,I,1231 PINE GROVE AVE,STE 2F,PORT HURON,MI,480603500,US,Physician/Hematology-Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,15,33,43.844848485,41.17,32.276969697,30.892424242
1063453413,ALSAWAH,SAMIR,,MD,M,I,1231 PINE GROVE AVE,STE 2F,PORT HURON,MI,480603500,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,35,35,44.2,24,18.82,18.82
1063453413,ALSAWAH,SAMIR,,MD,M,I,1231 PINE GROVE AVE,STE 2F,PORT HURON,MI,480603500,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,23,49.52173913,16,12.54,12.54
1063453447,DULAC,CAITLIN,L,ARNP,F,I,15 AIKEN AVE,,FRANKLIN,NH,032351259,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,68,50.904411765,8.32,6.5225,6.5225
1063453447,DULAC,CAITLIN,L,ARNP,F,I,15 AIKEN AVE,,FRANKLIN,NH,032351259,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,30,30,50.73,7.8313333333,5.735,3.3913333333
1063453447,DULAC,CAITLIN,L,ARNP,F,I,15 AIKEN AVE,,FRANKLIN,NH,032351259,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2719,0.2541375506,0.0465097462,0.0354431776,0.0354431776
1063453447,DULAC,CAITLIN,L,ARNP,F,I,15 AIKEN AVE,,FRANKLIN,NH,032351259,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,25,25,80.52,33,23.8004,23.8004
1063453512,MCCRAY,JOHN,G,D.O.,M,I,80 MCMAKIN RD,,BARTONVILLE,TX,762268438,US,Physician/Family Practice,S,A4628,"Oropharyngeal suction catheter, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,5.505,4.12,2.3490909091,2.4245454545
1063453512,MCCRAY,JOHN,G,D.O.,M,I,80 MCMAKIN RD,,BARTONVILLE,TX,762268438,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,22,13.65,8.22,4.6872727273,4.6763636364
1063453512,MCCRAY,JOHN,G,D.O.,M,I,80 MCMAKIN RD,,BARTONVILLE,TX,762268438,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,4.89,3.66,2.0872727273,2.6302272727
1063453611,STECYK,OREST,,MD,M,I,303 E ROYALTON RD # 101,,BROADVIEW HTS,OH,441472591,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,36,98,76.803061224,8.32,4.991122449,4.991122449
1063453611,STECYK,OREST,,MD,M,I,303 E ROYALTON RD # 101,,BROADVIEW HTS,OH,441472591,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,18,86.31,17,11.848888889,12.006111111
1063453611,STECYK,OREST,,MD,M,I,303 E ROYALTON RD # 101,,BROADVIEW HTS,OH,441472591,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,46,519.51,78,51.101521739,46.356304348
1063453736,WITTENBERG,JOHN,F,M.D.,M,I,4001 W 15TH ST,SUITE 245,PLANO,TX,750935841,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,21,52,115,71.981913043,8.32,6.1813913043,6.1813913043
1063453736,WITTENBERG,JOHN,F,M.D.,M,I,4001 W 15TH ST,SUITE 245,PLANO,TX,750935841,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,21,28,16.737857143,1.42,1.0771428571,1.0771428571
1063453736,WITTENBERG,JOHN,F,M.D.,M,I,4001 W 15TH ST,SUITE 245,PLANO,TX,750935841,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,33,33,23.714166667,23.714166667
1063453769,HANDELSMAN,YEHUDA,,M.D.,M,I,18372 CLARK ST,SUITE 212,TARZANA,CA,913563508,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,39,99,368,69.392065217,8.32,6.1323369565,6.1323369565
1063453769,HANDELSMAN,YEHUDA,,M.D.,M,I,18372 CLARK ST,SUITE 212,TARZANA,CA,913563508,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,13,25,43,13.591627907,1.42,1.0369767442,1.0369767442
1063453769,HANDELSMAN,YEHUDA,,M.D.,M,I,18372 CLARK ST,SUITE 212,TARZANA,CA,913563508,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,15,79,80,230.127375,230.127375,180.417625,194.27825
1063453769,HANDELSMAN,YEHUDA,,M.D.,M,I,18372 CLARK ST,SUITE 212,TARZANA,CA,913563508,US,Physician/Internal Medicine,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,166.40071429,166.40071429,130.45785714,193.19428571
1063453801,BURNS,CAROLYN,A,M.D.,F,I,5875 BREMO RD,SUITE 505,RICHMOND,VA,232261934,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.98,12.200833333,12.425833333
1063453801,BURNS,CAROLYN,A,M.D.,F,I,5875 BREMO RD,SUITE 505,RICHMOND,VA,232261934,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,77.36,55.984615385,50.52
1063453827,WENTHE,MARTIN,T,MD,M,I,4770 W HERNDON AVE,,FRESNO,CA,937228402,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,32,90,280,59.03625,8.2451428571,5.812,5.812
1063453827,WENTHE,MARTIN,T,MD,M,I,4770 W HERNDON AVE,,FRESNO,CA,937228402,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,16,26,47,9.7076595745,1.42,1.02,1.02
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,39,84,259,66.369420849,8.32,6.1191891892,6.1191891892
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,24,26,42,68,13.754852941,1.42,1.0329411765,1.0329411765
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,384,98.501979167,5.79,4.5393489583,4.1630729167
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,19,19,756.13473684,66.08,51.8,48.32
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,93.927272727,58.95,46.22,36.46
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,4,,48,48,82.044791667,54.974791667,40.15625,36.867291667
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,75.546363636,51,23.414545455,21.461818182
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,23.99,3.9615384615,3.1015384615,3.1769230769
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,99.473684211,5.41,4.24,3.9652631579
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,34,241.78823529,77.18,50.281764706,45.343823529
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,90.82,39.588823529,29.31,22.951764706
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,40,40,48.389,35.3425,27.08425,22.0715
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,5,,38,38,23.795263158,9.6710526316,7.2215789474,6.4557894737
1063453876,CHANDRA,SANDEEP,,M.D.,M,I,7903 LOCKWOOD AVE,,BURBANK,IL,604592115,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,65.374117647,36.96,25.570588235,26.085882353
1063453884,TSAI,HORNG,C,M.D.,M,I,16 GRAND BLVD,,BINGHAMTON,NY,139053408,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,12,37,52.49972973,35.585405405,27.899189189,30.752702703
1063453942,CRIST,SARALA,,CRNP,F,I,1126 OPAL CT,,HAGERSTOWN,MD,21740,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,29,76,55.232894737,8.32,6.1788157895,6.1788157895
1063453942,CRIST,SARALA,,CRNP,F,I,1126 OPAL CT,,HAGERSTOWN,MD,21740,US,Nurse Practitioner,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,4.4849162011,4.09,2.9832960894,3.0157821229
1063453942,CRIST,SARALA,,CRNP,F,I,1126 OPAL CT,,HAGERSTOWN,MD,21740,US,Nurse Practitioner,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,2475,0.48,0.36,0.2565656566,0.2638949495
1063453983,LOZMAN,JEFFREY,,M.D.,M,I,1367 WASHINGTON AVE,SUITE 200,ALBANY,NY,122061043,US,Physician/Orthopedic Surgery,S,L0642,"Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoul",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,18,18,18,462,390.05166667,305.80055556,310.54
1063453983,LOZMAN,JEFFREY,,M.D.,M,I,1367 WASHINGTON AVE,SUITE 200,ALBANY,NY,122061043,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,18,18,110.8,110.8,82.043888889,97.891111111
1063453983,LOZMAN,JEFFREY,,M.D.,M,I,1367 WASHINGTON AVE,SUITE 200,ALBANY,NY,122061043,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,13,75,74.965384615,51.999230769,56.409230769
1063454015,BASSETTI,KAREN,B,D.O.,F,I,3000 S MCCALL RD,,ENGLEWOOD,FL,342248616,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,24,52,128,69.977421875,8.32,6.215625,6.215625
1063454015,BASSETTI,KAREN,B,D.O.,F,I,3000 S MCCALL RD,,ENGLEWOOD,FL,342248616,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,21,28,15.813928571,1.42,0.9978571429,0.9978571429
1063454015,BASSETTI,KAREN,B,D.O.,F,I,3000 S MCCALL RD,,ENGLEWOOD,FL,342248616,US,Physician/Family Practice,S,A4388,"Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,11.726363636,4.91,3.2454545455,3.2454545455
1063454015,BASSETTI,KAREN,B,D.O.,F,I,3000 S MCCALL RD,,ENGLEWOOD,FL,342248616,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,550,0.6745454545,0.27,0.1923636364,0.1923636364
1063454015,BASSETTI,KAREN,B,D.O.,F,I,3000 S MCCALL RD,,ENGLEWOOD,FL,342248616,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,40,17,13.33,13.520909091
1063454015,BASSETTI,KAREN,B,D.O.,F,I,3000 S MCCALL RD,,ENGLEWOOD,FL,342248616,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,220,78.223333333,61.322666667,55.312
1063454056,RINGEL,PAUL,B,M.D.,M,I,3000 N HALSTED ST,SUITE 509,CHICAGO,IL,606575188,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,23,61,148,71.036891892,8.32,5.2326351351,5.2326351351
1063454056,RINGEL,PAUL,B,M.D.,M,I,3000 N HALSTED ST,SUITE 509,CHICAGO,IL,606575188,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,14.158571429,3.38,2.2714285714,2.2714285714
1063454056,RINGEL,PAUL,B,M.D.,M,I,3000 N HALSTED ST,SUITE 509,CHICAGO,IL,606575188,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,12,27,38,15.823157895,1.42,0.9394736842,0.9394736842
1063454056,RINGEL,PAUL,B,M.D.,M,I,3000 N HALSTED ST,SUITE 509,CHICAGO,IL,606575188,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,167.92,53.2675,40.505833333,37.194166667
1063454098,CAPLAN,MARTIN,D,M.D.,M,I,5875 BREMO RD,SUITE 505,RICHMOND,VA,232261934,US,Interventional Cardiology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,165,19.71,15.45,15.45
1063454098,CAPLAN,MARTIN,D,M.D.,M,I,5875 BREMO RD,SUITE 505,RICHMOND,VA,232261934,US,Interventional Cardiology,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,17,59,250,37.38,29.307118644,29.307118644
1063454098,CAPLAN,MARTIN,D,M.D.,M,I,5875 BREMO RD,SUITE 505,RICHMOND,VA,232261934,US,Interventional Cardiology,S,J1250,"Injection, dobutamine hydrochloride, per 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,17,238,77.677310924,5.1968907563,4.0742016807,4.0742016807
1063454189,LYONS,PATRICIA,J,M.D.,F,I,730 N BROAD ST,SUITE 101,WOODBURY,NJ,080961796,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,6,,41,3300,3.7720939394,0.5647060606,0.4427242424,0.4427181818
1063454189,LYONS,PATRICIA,J,M.D.,F,I,730 N BROAD ST,SUITE 101,WOODBURY,NJ,080961796,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,27,2760,3.6494673913,1.3367608696,1.01775,1.01775
1063454189,LYONS,PATRICIA,J,M.D.,F,I,730 N BROAD ST,SUITE 101,WOODBURY,NJ,080961796,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,45,45,24,24,18.401777778,18.401777778
1063454189,LYONS,PATRICIA,J,M.D.,F,I,730 N BROAD ST,SUITE 101,WOODBURY,NJ,080961796,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,7,,44,45,16,16,12.54,12.54
1063454197,CHIOU,ANDY,C,MD,M,I,1001 MAIN STREET,3RD FLOOR,PEORIA,IL,616062037,US,Physician/Vascular Surgery,S,E0651,"Pneumatic compressor, segmental home model without calibrated gradient pressure",D1E - Other DME,Durable Medical Equipment,N,2,18,18,18,2432.2222222,1033.67,801.72944444,801.72944444
1063454197,CHIOU,ANDY,C,MD,M,I,1001 MAIN STREET,3RD FLOOR,PEORIA,IL,616062037,US,Physician/Vascular Surgery,S,E0667,"Segmental pneumatic appliance for use with pneumatic compressor, full leg",D1E - Other DME,Durable Medical Equipment,N,2,17,18,36,793.05555556,364.4,285.69,285.69
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,33,117,62.990683761,8.32,6.0513675214,6.0513675214
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.95,3.38,2.65,2.65
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,40,14.5635,1.42,0.945,0.945
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,78.728461538,10.74,7.7723076923,8.3784615385
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,11,50,10.9692,2,1.4048,1.4252
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,23.526666667,6.1,4.785,3.945
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,21,21,196.76952381,31.335714286,24.567142857,25.557619048
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1590,1.9477232704,0.1337924528,0.1049245283,0.1049245283
1063454247,ACCOMANDO,ANGELO,,M.D.,M,I,205 MAIN ST,,EAST HAVEN,CT,065123003,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,33,33,25.87,25.87
1063454429,CAHN,MICHAEL,S,M.D.,M,I,295 OCONNOR DR,,SAN JOSE,CA,951281624,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,43,99,76.178282828,8.32,5.7313131313,5.7313131313
1063454429,CAHN,MICHAEL,S,M.D.,M,I,295 OCONNOR DR,,SAN JOSE,CA,951281624,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,13,18,25,13.8908,1.42,0.9368,0.9368
1063454445,DICKSON,TROY,S,M.D.,M,I,4300 GOLDEN CENTER DR,SUITE C,PLACERVILLE,CA,956676278,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,195,133.89,103.99066667,86.490666667
1063454759,SCHAUER,PETER,K,M.D.,M,I,85 RETREAT AVE,,HARTFORD,CT,061062527,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,1174,43.858364566,5.2804684838,4.0801703578,4.080153322
1063454916,SILVERSTEIN,JOSEPH,D,P.A.,M,I,5000 VAN NUYS BLVD STE 305,,SHERMAN OAKS,CA,914031717,US,Physician Assistant,S,E0105,"Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips",D1E - Other DME,Durable Medical Equipment,N,1,17,17,17,53.3,52.74,41.35,43.34
1063454916,SILVERSTEIN,JOSEPH,D,P.A.,M,I,5000 VAN NUYS BLVD STE 305,,SHERMAN OAKS,CA,914031717,US,Physician Assistant,S,L1907,"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,32,40,533.03,533.03,417.892,424.982
1063454916,SILVERSTEIN,JOSEPH,D,P.A.,M,I,5000 VAN NUYS BLVD STE 305,,SHERMAN OAKS,CA,914031717,US,Physician Assistant,S,L1971,"Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,21,31,444.02,444.02,348.11354839,354.02
1063454916,SILVERSTEIN,JOSEPH,D,P.A.,M,I,5000 VAN NUYS BLVD STE 305,,SHERMAN OAKS,CA,914031717,US,Physician Assistant,S,L3906,"Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,28,39,480.36,467.87,366.81,305.67282051
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,21,24,1680,0.3123630952,0.12,0.0940654762,0.0940654762
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,14,18,676,3.1882544379,2.4,1.8816420118,1.8816420118
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,A6223,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,13,14,585,3.7812820513,2.73,2.0854529915,2.0854529915
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,14,17,2110,0.2003317536,0.13,0.1019099526,0.1019099526
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,16,16,2304,0.5991796875,0.45,0.3436241319,0.3436241319
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,,29,305,30.23704918,25.450491803,19.953409836,19.338885246
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,,21,180,12.004444444,8.2605555556,6.4758333333,6.4322222222
1063454932,SCHELL,WALTER,,MD,M,I,2525 E ROOSEVELT ST,,PHOENIX,AZ,850084948,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,1879.6989474,502.16,386.13894737,464.73052632
1063454981,FLETCHER,JENNIFER,,NP,F,I,8836 N HESS ST,SUITE E,HAYDEN,ID,838358718,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,57,15.258947368,2.08,1.6301754386,1.5959649123
1063454981,FLETCHER,JENNIFER,,NP,F,I,8836 N HESS ST,SUITE E,HAYDEN,ID,838358718,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17.91,14.04,13.54
1063454981,FLETCHER,JENNIFER,,NP,F,I,8836 N HESS ST,SUITE E,HAYDEN,ID,838358718,US,Nurse Practitioner,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1481.97,221.96636364,174.02090909,165.24
1063454981,FLETCHER,JENNIFER,,NP,F,I,8836 N HESS ST,SUITE E,HAYDEN,ID,838358718,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,70.48,55.25,54.72
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,37,105,213,84.094460094,8.32,5.2665258216,5.2665258216
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,28,31,12.994193548,1.42,1.0109677419,1.0109677419
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,15,15,100.128,50.38,37.250666667,30.042666667
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,61,93.617704918,25.736229508,18.863934426,14.236885246
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,19,19,202.89315789,73.885263158,51.733157895,38.466315789
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,83.764375,24.934375,18.57125,13.73875
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,78.176363636,17.311818182,12.652727273,8.2909090909
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,11,25,146,6.2484931507,2.8550684932,2.1236986301,1.5707534247
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,71.038181818,16.06,12.586363636,10.589090909
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,16,16,86.02,18.45875,14.471875,10.479375
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,56.92,7.0005263158,5.1042105263,3.3989473684
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,230,54.784210526,42.947894737,25.836842105
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,26,3426,0.3239141856,0.0461821366,0.0275335668,0.0275335668
1063455079,RETZER,DANIEL,R,MD,M,I,5665 N. JUNCTION WAY,,DAVIS JUNCTION,IL,61020,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,20,20,33,33,19.4025,19.4025
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,79,79,79,137.36506329,47.159113924,36.970126582,36.508734177
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,23.889,8.174,6.407,7.119
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,81,81,81,125,51.909506173,40.700740741,40.79308642
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,3,,26,26,30.653846154,9.8142307692,4.5788461538,4.5934615385
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0185,"Gel or gel-like pressure pad for mattress, standard mattress length and width",D1E - Other DME,Durable Medical Equipment,N,3,19,19,19,390.07052632,177.93736842,139.50263158,127.44842105
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,8,41,174,178,193.00404494,52.938988764,38.924044944,36.298258427
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,12,95.166666667,17.89,12.783333333,12.409166667
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,42,42,28.854285714,5.0335714286,3.6569047619,3.1285714286
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,105.94909091,42.162727273,31.938181818,31.938181818
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,23,23,135.7073913,48.61826087,38.117391304,37.283043478
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,N,3,23,24,46,54.565217391,25.082173913,19.662608696,22.436956522
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E0973,"Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each",D1D - Wheelchairs,Durable Medical Equipment,N,1,37,37,74,126.97,48.411621622,37.952972973,39.744324324
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,30,30,280.26466667,76.534666667,58.003,52.897
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,2,52,52,52,94.500769231,34.326730769,26.914038462,29.124230769
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,54,54,54,317.11759259,142.35962963,111.61203704,113.77481481
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,8,102,527,537,72.709459963,17.330540037,12.686592179,13.567560521
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,4,29,134,134,103.66029851,23.063656716,16.681044776,19.047313433
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,53,53,162.36924528,49.374339623,37.964716981,37.731698113
1063455111,AGANA,BENJAMIN,T,MD,M,I,9200 PINECROFT DR,STE.# 360,SHENANDOAH,TX,773803279,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,8,90,423,423,26.155626478,7.6040189125,5.6239479905,6.3872576832
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,23,3.1708695652,2.73,2.14,2.14
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,16,142,4.261971831,4.1,3.213943662,3.213943662
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,410,10.166585366,5.74,4.5000487805,4.5000487805
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,129,3.6517054264,2.91,2.2810852713,2.2810852713
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,34,55,3840,0.7529036458,0.4325,0.3391041667,0.3391041667
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,365,32.482191781,23.66,18.549369863,18.549369863
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,15,22,708,14.317853107,8.2774576271,6.4895903955,6.4915819209
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,,12,302,28.898708609,18.5,14.504006623,14.504006623
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,44,74,1355,12.831225092,10.887490775,8.535697417,8.5690922509
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,12,17,3700,0.1390675676,0.05,0.0392,0.0392
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,,17,572,4.1904545455,3.647972028,2.8600524476,2.8773076923
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,24,34,3185,0.1614128728,0.13,0.1019277865,0.1019277865
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,23,34,2776,0.779315562,0.45,0.3528242075,0.3528242075
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6457,"Tubular dressing with or without elastic, any width, per linear yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,5,29,41,508,6.0485826772,1.2797834646,1.0028937008,1.0030511811
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,14,110,83.1,25.845454545,20.262727273,19.2
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,75,53.9,8.748,6.858,6.4293333333
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,4818,980.14181818,768.43,507.66636364
1063455186,LINDSEY,DAVID,C,MD,M,I,465 SAINT MICHAELS DR,SUITE 110,SANTA FE,NM,875057670,US,Physician/Emergency Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,16,124.55875,24.894375,19.51875,14.734375
1063455277,SEDLACEK,MARTIN,,M.D.,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,19,2850,0.174245614,0.0132105263,0.0092035088,0.0092035088
1063455277,SEDLACEK,MARTIN,,M.D.,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,24,24,17.923809524,17.923809524
1063455277,SEDLACEK,MARTIN,,M.D.,M,I,1 MEDICAL CENTER DR,,LEBANON,NH,037561000,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,23,16,16,10.904347826,10.904347826
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,32,55,3734,0.6144938404,0.4339742903,0.3316282807,0.3363524371
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,13,28,305,10.758688525,10.758688525,8.4348852459,8.561147541
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,26,35,6480,0.0465817901,0.043845679,0.0332978395,0.0378904321
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,13,101,9.8146534653,7.36,5.7704950495,5.7704950495
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,7,18,21,375,1.65552,1.65552,1.29792,1.29792
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A6253,"Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,4,17,27,397,2.495138539,2.3720151134,1.1493198992,1.1753148615
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,6,14,26,1641,0.6031322364,0.45,0.3474162096,0.3474162096
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,2,13,18,200,34.03,24.8435,19.4773,19.2282
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,2,13,19,155,15.263870968,8.5116129032,6.4569677419,6.2472258065
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,2,14,21,21,2011.8447619,494.32619048,382.24380952,484.22857143
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,L2280,"Addition to lower extremity, molded inner boot",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,11,487.04,411.56,322.67,354.76090909
1063455301,OTTO,RAYMOND,J,M.D.,M,I,600 ROBBINS RD,,BOISE,ID,83702,US,Physician/Preventive Medicine,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,13,93.624615385,78.81,61.79,67.074615385
1063455392,SILHANEK,ALISON,D,D.P.M.,F,I,1641 ROUTE 112,,MEDFORD,NY,117633635,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,46,46,92,77.282608696,71.56,53.877608696,53.877608696
1063455392,SILHANEK,ALISON,D,D.P.M.,F,I,1641 ROUTE 112,,MEDFORD,NY,117633635,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,84,33,29.19,22.885,22.886666667
1063455392,SILHANEK,ALISON,D,D.P.M.,F,I,1641 ROUTE 112,,MEDFORD,NY,117633635,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,144,43.56,43.56,34.151666667,34.15
1063455475,KHAN,NIVA,,M.D.,F,I,525 ALEXANDRIA PIKE,SUITE 300,SOUTHGATE,KY,410713290,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,84,140,62.330571429,8.32,6.2461428571,6.2461428571
1063455475,KHAN,NIVA,,M.D.,F,I,525 ALEXANDRIA PIKE,SUITE 300,SOUTHGATE,KY,410713290,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,20,48,66,14.176060606,1.42,1.1,1.1
1063455475,KHAN,NIVA,,M.D.,F,I,525 ALEXANDRIA PIKE,SUITE 300,SOUTHGATE,KY,410713290,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,12,24,8.19,1.39,0.9083333333,0.9666666667
1063455475,KHAN,NIVA,,M.D.,F,I,525 ALEXANDRIA PIKE,SUITE 300,SOUTHGATE,KY,410713290,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,50.486666667,5.9416666667,3.92,3.0033333333
1063455475,KHAN,NIVA,,M.D.,F,I,525 ALEXANDRIA PIKE,SUITE 300,SOUTHGATE,KY,410713290,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,13,5475,0.17,0.0459726027,0.0299835616,0.0299835616
1063455475,KHAN,NIVA,,M.D.,F,I,525 ALEXANDRIA PIKE,SUITE 300,SOUTHGATE,KY,410713290,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,13,132,33,21.89,21.89
1063455723,RONTHAL,MICHAEL,,MBBCH,M,I,330 BROOKLINE AVE,,BOSTON,MA,022155400,US,Physician/Neurology,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,16,35.9425,24.08,16.51125,18.67625
1063455780,JAIN,SANJAY,K,MD,M,I,"PANTHER VALLEY MALL, BLDG B, ROUTE 517",,HACKETTSTOWN,NJ,07840,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,35,79,73.432531646,8.32,4.0456962025,4.0456962025
1063455780,JAIN,SANJAY,K,MD,M,I,"PANTHER VALLEY MALL, BLDG B, ROUTE 517",,HACKETTSTOWN,NJ,07840,US,Physician/Family Practice,S,A4413,"Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,400,6.6,6.2,4.861,4.861
1063455780,JAIN,SANJAY,K,MD,M,I,"PANTHER VALLEY MALL, BLDG B, ROUTE 517",,HACKETTSTOWN,NJ,07840,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,480,6.45,5.54,4.3435,4.3435
1063455780,JAIN,SANJAY,K,MD,M,I,"PANTHER VALLEY MALL, BLDG B, ROUTE 517",,HACKETTSTOWN,NJ,07840,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,388,9.1079896907,8.28,6.4916237113,6.4916237113
1063455848,AAS,PETER,,MD,M,I,400 E 3RD ST,,DULUTH,MN,558051951,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,68.846153846,38.68,23.323076923,22.7
1063455939,SHARMA,ANIMESH,,MD,M,I,3555 OLENTANGY RIVER RD,SUITE 1080,COLUMBUS,OH,432143912,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,20.208571429,17.41,13.65,13.547857143
1063455939,SHARMA,ANIMESH,,MD,M,I,3555 OLENTANGY RIVER RD,SUITE 1080,COLUMBUS,OH,432143912,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,170.09538462,79.3,59.778846154,52.911153846
1063455939,SHARMA,ANIMESH,,MD,M,I,3555 OLENTANGY RIVER RD,SUITE 1080,COLUMBUS,OH,432143912,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,69.7,36.5,26.235,27.144166667
1063455954,PETERSON,JEANNETTE,,M.D.,F,I,1261 TRAVIS BLVD,SUITE 100,FAIRFIELD,CA,945334897,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,31,73,195,69.422051282,8.32,5.9873846154,5.9873846154
1063455954,PETERSON,JEANNETTE,,M.D.,F,I,1261 TRAVIS BLVD,SUITE 100,FAIRFIELD,CA,945334897,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,13.307058824,3.38,2.4941176471,2.4941176471
1063455954,PETERSON,JEANNETTE,,M.D.,F,I,1261 TRAVIS BLVD,SUITE 100,FAIRFIELD,CA,945334897,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,25,49,79,16.591772152,1.42,1.045443038,1.045443038
1063455954,PETERSON,JEANNETTE,,M.D.,F,I,1261 TRAVIS BLVD,SUITE 100,FAIRFIELD,CA,945334897,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,514.22636364,65.7,51.51,54.73
1063455954,PETERSON,JEANNETTE,,M.D.,F,I,1261 TRAVIS BLVD,SUITE 100,FAIRFIELD,CA,945334897,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,780,1.2935128205,0.1348076923,0.0986923077,0.0986923077
1063455954,PETERSON,JEANNETTE,,M.D.,F,I,1261 TRAVIS BLVD,SUITE 100,FAIRFIELD,CA,945334897,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,385.88333333,37.64,29.51,29.51
1063455954,PETERSON,JEANNETTE,,M.D.,F,I,1261 TRAVIS BLVD,SUITE 100,FAIRFIELD,CA,945334897,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,41.8,33,24.145333333,24.145333333
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,17,970,0.6339690722,0.4313402062,0.3301134021,0.3301134021
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,12,13,327,10.08,8.28,6.19382263,6.19382263
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,687,22.53,18.5,13.889665211,13.889665211
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,22,31,4000,0.16,0.13,0.0951325,0.0951325
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,,17,210,27.42,24.84,19.474619048,19.324190476
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,15,135,8.75,7.68,6.0211111111,6.2627407407
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,E0194,Air fluidized bed,D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,4423.7647059,2919.5335294,2272.0388235,2337.1029412
1063455988,MENACK,MICHAEL,J,M.D.,M,I,5 PROSPECT ST,,LAKEWOOD,NJ,087015150,US,Physician/General Surgery,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,1716.46,539.45052632,422.92578947,456.90842105
1063455996,TELFER,JAMES,L,MD,M,I,5315 ELLIOTT DR,SUITE 304,YPSILANTI,MI,481978634,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,136.07692308,47.693076923,37.393076923,36.526153846
1063456069,MARTIN,DAVID,F,MD,M,I,15 REGIONAL DR,,PINEHURST,NC,283748850,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,292,16.621917808,4.0794520548,3.1983219178,2.3677739726
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,27,98,72.869183673,8.1436734694,6.0859183673,6.2328571429
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,78,10.007692308,2,1.5683333333,1.5880769231
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,E0255,"Hospital bed, variable height, hi-lo, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,151.73,54.6225,41.46,36.81
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,93.44,17,12.304615385,12.518461538
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,12,50.73,3.7883333333,2.965,3.5666666667
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,11,11,399.61090909,30.669090909,17.510909091,17.083636364
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,573.55710526,85.213157895,62.050789474,58.300789474
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1380,1.5188550725,0.1367391304,0.0973188406,0.0973188406
1063456192,GHOSH,SHANTONU,,M.D.,M,I,470 COLLINS ST,,AVON,NY,144141466,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,33,33,22.174285714,22.174285714
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,12,24,6.5833333333,0.51,0.4,0.4
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,86,289,816,69.50375,8.32,5.8789093137,5.8789093137
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,14,35,35,15.371142857,3.38,2.5742857143,2.5742857143
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,11,16,16,24.08125,2.12,1.565625,1.565625
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,48,108,202,15.20460396,1.42,1.0263366337,1.0263366337
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,12,15,15,115.36066667,47.727333333,37.42,30.49
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,18,18,36,81.002222222,71.192222222,49.421388889,49.620833333
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,13,33,82,6.9636585366,1.9229268293,1.4151219512,1.1063414634
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,14,18,18,82.53,18.23,13.74,9.1
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,29,66,66,460.89954545,119.71090909,91.499090909,68.25530303
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,6,21,59,153,176.43045752,45.186013072,34.466405229,25.609803922
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,24,119,107.13798319,24.135210084,18.409327731,14.939579832
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,16,43,245,68.698204082,18.830244898,13.93677551,11.429959184
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,28,64,64,279.3965625,71.2125,53.685,42.05375
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,54,81,81,80.335679012,24.187283951,18.835802469,14.28617284
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,42,106,106,94.846037736,19.492641509,14.906792453,9.4402830189
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,53,145,727,12.794621733,2.7833975241,2.0864511692,1.5605502063
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,19,26,26,32.295769231,9.0953846154,7.1280769231,4.94
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,32,47,47,49.606595745,15.459787234,12.116382979,10.482340426
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,18,116,118,85.316186441,22.135254237,15.804237288,12.817288136
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,21,21,232.35,59.707142857,42.881428571,34.681904762
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,55,57,408.70947368,129.95912281,99.506491228,66.53245614
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,11,54,61,81.75,16.529672131,12.410819672,9.6385245902
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,18,91,101,47.328415842,7.3989108911,5.4640594059,3.5397029703
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,18,110,113,202.94530973,48.544867257,36.084955752,23.668141593
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,43,317,320,501.99190625,101.73721875,73.23275,53.18175
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,62,64,227.5,44.795625,34.0953125,30.0984375
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,13,77,26829,0.3010473741,0.0462383987,0.0342144694,0.0342144694
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,23,141,16102,1.271565644,0.1348503292,0.0938436219,0.0938436219
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,47,2460,12.904869919,3.0817560976,2.2613130081,2.2613130081
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,16,57.99625,33.41125,26.195,15.468125
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,31,199,199,103.16582915,33,24.042462312,24.042462312
1063456234,VORHIES,STEVEN,L,M.D.,M,I,1373 E SR 62,,MADISON,IN,47250,US,Physician/Family Practice,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,13,13,70.307692308,66,46.215384615,46.215384615
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,44,158,60.818164557,8.32,6.0060126582,6.0060126582
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,17,17,11.727058824,3.38,2.3382352941,2.3382352941
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,15.468181818,2.12,1.67,1.67
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,25,55,15.218,1.42,1.1136363636,1.1136363636
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,18,18,141.66666667,39.1,27.244444444,27.102222222
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,252.76,89.082727273,63.857272727,61.899090909
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,32,53.128125,18.339375,13.4859375,13.664375
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,16,51,68.966666667,14.71,10.175882353,10.526862745
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,18,25,25,216.1376,56.1648,38.7728,37.7584
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,18,24,24,68.62875,18.3575,14.220833333,13.89125
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,17,17,59.017058824,12.520588235,9.8158823529,9.12
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,21,36,154,8.6732467532,2.1572727273,1.6054545455,1.5092207792
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,16,20,20,43.3095,12.96,9.652,9.8255
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,143.96666667,41.23047619,32.323333333,24.498095238
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,38,38,396.44736842,79.967894737,61.092105263,54.444736842
1063456242,MORGAN,MICHAEL,,MD,M,I,4221 S WESTERN AVE,SUITE 3030,OKLAHOMA CITY,OK,731093447,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,242.8,38,29.79,29.65
1063456416,BEACHY,NATHAN,R,MD,M,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,44,110,64.268363636,8.32,6.2288181818,6.2288181818
1063456416,BEACHY,NATHAN,R,MD,M,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,25,14.2416,1.42,1.0256,1.0256
1063456416,BEACHY,NATHAN,R,MD,M,I,4071 LEE RD,METROHEALTH LEE-HARVARD HEALTH CENTER,CLEVELAND,OH,441282100,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,20.433333333,6.19,2.9122222222,2.3072222222
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,105,11.4,9.58,6.3038095238,6.3038095238
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,17,245.65882353,123.56705882,92.444117647,66.316470588
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,17,51,74.352941176,46.690588235,35.269803922,25.466862745
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,55,49.716,25.415272727,19.924727273,14.550727273
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,17,17,164.60294118,74.420588235,55.572941176,40.338823529
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,19,19,54.478421053,25.235263158,18.960526316,13.320526316
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,30,30,55.484666667,21.138333333,16.507333333,9.442
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,18,31,186,7.1903225806,3.1596774194,2.4774193548,1.6369892473
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,11,12,12,33.985,15.7275,12.325833333,10.34
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,96.64,21.656666667,16.977777778,13.864444444
1063456465,MILLER,JOSEPH,S,M.D.,M,I,7100 W CENTER RD,,OMAHA,NE,681062700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,550,93.1975,70.577083333,54.137083333
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,33,62,138,437,65.216819222,8.3085125858,5.9628146453,5.9718306636
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,15.649,3.38,2.65,2.65
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,22.852307692,2.12,1.67,1.67
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,40,69,118,15.590847458,1.42,1.0194915254,1.0194915254
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,26,149.00538462,32.56,20.805769231,21.165384615
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,25,39.7556,18.3,14.3456,14.554
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,153.7875,54.66,42.76,42.76
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,48.621818182,17.62,13.82,14.024545455
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,59.822727273,11.51,9.03,9.1118181818
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,12,29,90,9.5113333333,2.05,1.5071111111,1.4973333333
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,28,28,51.331071429,17.332857143,12.138571429,12.088928571
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,E0607,Home blood glucose monitor,D1E - Other DME,Durable Medical Equipment,N,9,11,11,11,50.784545455,47.614545455,37.327272727,58.838181818
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,63,63,317.46873016,81.552380952,60.228730159,51.568095238
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,35.0825,30.111666667
1063456572,DO,NAM,H,M.D.,M,I,1215 S COULTER ST,SUITE #301,AMARILLO,TX,791061758,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,12,12,57.75,33,21.558333333,21.558333333
1063456648,LACKEY,JOHN,,MD,M,I,500 S 11TH AVE,,POCATELLO,ID,832014835,US,Physician/Obstetrics & Gynecology,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,30,4.4847368421,1.7263157895,1.8394736842
1063456911,FINAN,CATHLEEN,M,D.O.,F,I,36 KRESSON RD,SUITE B,CHERRY HILL,NJ,080343227,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,62,65.964193548,8.32,6.5225806452,6.5225806452
1063456978,FELIX,ALLEN,C,M.D.,M,I,4435 BROCKTON AVE,SUITE B,RIVERSIDE,CA,925083500,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,30,107,58.662056075,8.32,6.1570093458,6.1570093458
1063456978,FELIX,ALLEN,C,M.D.,M,I,4435 BROCKTON AVE,SUITE B,RIVERSIDE,CA,925083500,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,25,8.8448,1.46,1.1452,1.1544
1063456978,FELIX,ALLEN,C,M.D.,M,I,4435 BROCKTON AVE,SUITE B,RIVERSIDE,CA,925083500,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,27,27,604.4762963,79.22,60.084444444,53.251111111
1063456978,FELIX,ALLEN,C,M.D.,M,I,4435 BROCKTON AVE,SUITE B,RIVERSIDE,CA,925083500,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2025,0.17,0.0468148148,0.0339802469,0.0339802469
1063456978,FELIX,ALLEN,C,M.D.,M,I,4435 BROCKTON AVE,SUITE B,RIVERSIDE,CA,925083500,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,21,21,127.28571429,33,24.528571429,24.528571429
1063457059,RAZAVI,AMIR BEHZAD,,M.D.,M,I,1418 BAYTOWNE CIR E,,MIRAMAR BEACH,FL,325504890,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,66,68,86.217205882,18.394705882,13.62,12.822647059
1063457059,RAZAVI,AMIR BEHZAD,,M.D.,M,I,1418 BAYTOWNE CIR E,,MIRAMAR BEACH,FL,325504890,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,35,35,50.73,4.4745714286,2.8008571429,2.8
1063457059,RAZAVI,AMIR BEHZAD,,M.D.,M,I,1418 BAYTOWNE CIR E,,MIRAMAR BEACH,FL,325504890,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,12,78,80,515.27225,81.22725,60.92975,52.502
1063457109,RYAN,ADRIAN,B,M.D.,M,I,3831 PIPER ST,SUITE S-220,ANCHORAGE,AK,995084672,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,1,12,13,226,65,22.68,17.781460177,19.118451327
1063457232,TAYLOR,N.,L,MD,F,I,1934 ALCOA HWY,STE 472,KNOXVILLE,TN,379201524,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,18,70,61.062857143,8.32,6.3361428571,6.3361428571
1063457232,TAYLOR,N.,L,MD,F,I,1934 ALCOA HWY,STE 472,KNOXVILLE,TN,379201524,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,18.68,13.42,12.4025
1063457232,TAYLOR,N.,L,MD,F,I,1934 ALCOA HWY,STE 472,KNOXVILLE,TN,379201524,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,519.51,87,65.570588235,52.091176471
1063457281,WILCOX,UTE,M,MD,F,I,916 KOALA AVE,,OMAK,WA,988419759,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,1770,1.9392937853,0.1358644068,0.1003672316,0.1003672316
1063457349,DOOLEY,RADANA,,MD,F,I,1270 BELMONT AVENUE,,SCHENECTADY,NY,12308,US,Physician/Physical Medicine and Rehabilitation,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,33.332857143,24.998571429,16.877142857,20.372857143
1063457539,KWAN,WAN,F,M.D.,M,I,427 S 3RD ST,,GADSDEN,AL,359015210,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,11,36,67.850277778,8.32,5.0725,5.0725
1063457596,WENOCUR,HOWARD,,M.D.,M,I,7901 BUSTLETON AVE,,PHILADELPHIA,PA,191523329,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,37,78,67.416025641,8.32,6.3542307692,6.3542307692
1063457596,WENOCUR,HOWARD,,M.D.,M,I,7901 BUSTLETON AVE,,PHILADELPHIA,PA,191523329,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,13,18,16.562222222,1.42,1.1155555556,1.1155555556
1063457653,GLASER,RANDALL,N,P.A.,M,I,2900 12TH AVE N STE 140W,,BILLINGS,MT,591017507,US,Physician Assistant,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,45,45,45,150,54.538666667,42.758222222,37.689555556
1063457737,DIAMANDIDIS,DIMITRIOS,T,MD,M,I,2650 N TENAYA WAY STE 201,,LAS VEGAS,NV,89128,US,Physician/Medical Oncology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,1135,26.14476652,13.127162996,10.291638767,10.291638767
1063457737,DIAMANDIDIS,DIMITRIOS,T,MD,M,I,2650 N TENAYA WAY STE 201,,LAS VEGAS,NV,89128,US,Physician/Medical Oncology,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,53,359,552.62752089,207.69963788,162.83629526,162.83629526
1063457737,DIAMANDIDIS,DIMITRIOS,T,MD,M,I,2650 N TENAYA WAY STE 201,,LAS VEGAS,NV,89128,US,Physician/Medical Oncology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,358,164.33067039,9.3477653631,7.3282681564,7.3282681564
1063457737,DIAMANDIDIS,DIMITRIOS,T,MD,M,I,2650 N TENAYA WAY STE 201,,LAS VEGAS,NV,89128,US,Physician/Medical Oncology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,358,89.843156425,29.212849162,22.902932961,22.902932961
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,23,50,120,71.193916667,8.32,5.869,5.869
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,21,26,16.588461538,1.42,1.03,1.03
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,41,52.097560976,18,14.111463415,14.55195122
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,15,58,6.4434482759,2,1.5686206897,1.5922413793
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,35,35,103.57257143,52.448,37.761714286,34.45
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,90.5,18,12.891333333,12.378333333
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,230,77.18,54.8371875,50.1328125
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,1050,1.3328,0.1293142857,0.0728190476,0.0728190476
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,33,33,78.302727273,35.486363636,27.817272727,22.525151515
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,21,21,17.961904762,10.64,8.3438095238,7.429047619
1063457810,FERREL,JAMES,A,MD,M,I,12251 S 80TH AVE,,PALOS HEIGHTS,IL,60463,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,33,33,18.814545455,18.814545455
1063457844,GEORGIEV,BOYAN,A,MD,M,I,1908 MEETING CT,,WILMINGTON,NC,284016631,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,51,117,50.119145299,8.32,5.8201709402,5.8201709402
1063457844,GEORGIEV,BOYAN,A,MD,M,I,1908 MEETING CT,,WILMINGTON,NC,284016631,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,16,18,14.235555556,1.42,1.0555555556,1.0555555556
1063457844,GEORGIEV,BOYAN,A,MD,M,I,1908 MEETING CT,,WILMINGTON,NC,284016631,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17.29,13.55,13.53
1063457844,GEORGIEV,BOYAN,A,MD,M,I,1908 MEETING CT,,WILMINGTON,NC,284016631,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,629.04181818,70.23,55.06,54.72
1063457844,GEORGIEV,BOYAN,A,MD,M,I,1908 MEETING CT,,WILMINGTON,NC,284016631,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1590,0.9907421384,0.1345660377,0.1055220126,0.1055220126
1063457844,GEORGIEV,BOYAN,A,MD,M,I,1908 MEETING CT,,WILMINGTON,NC,284016631,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,65,19.852727273,15.565454545,14.395454545
1063457844,GEORGIEV,BOYAN,A,MD,M,I,1908 MEETING CT,,WILMINGTON,NC,284016631,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,126.78947368,33,24.508421053,24.508421053
1063457950,INNERFIELD,RONALD,J,M.D.,M,I,1249 15TH ST STE 3000,,HUNTINGTON,WV,25701,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,18,28,112,71.797678571,8.32,6.5227678571,6.5227678571
1063457950,INNERFIELD,RONALD,J,M.D.,M,I,1249 15TH ST STE 3000,,HUNTINGTON,WV,25701,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,24,25,330.7548,251.11,196.87,196.87
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,19,45,222,60.04509009,8.32,6.3665315315,6.3665315315
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,13.37875,3.38,2.484375,2.484375
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,24,55,13.706,1.42,1.0334545455,1.0334545455
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,15,30,30,107.664,50.252333333,38.275333333,30.266333333
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,16,31,7.5203225806,2.0219354839,1.4235483871,1.0019354839
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,14,15,15,40.960666667,15.533333333,10.657333333,8.498
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,45,104,104,311.08076923,119.68538462,91.311346154,66.821923077
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,42,100,237,136.27755274,44.2292827,33.145611814,24.947088608
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,14,34,186,62.653333333,26.28016129,19.867956989,14.045860215
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,,16,87,41.193563218,18.504367816,13.607356322,10.949195402
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,25,55,55,173.42836364,74.769090909,55.378181818,41.105818182
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,65,88,88,56.988636364,23.562954545,17.385568182,13.408295455
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,54,117,117,57.45991453,19.547008547,14.695726496,8.9372649573
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,67,154,847,8.129338843,3.0425974026,2.2859976387,1.542042503
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,26,32,32,19.233125,8.3725,6.1375,4.26625
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,32,42,42,40.156904762,15.590952381,11.737380952,10.05547619
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,21,779,30.252824134,13.13,10.294017972,10.294017972
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,85,477.25,268.44,210.45588235,210.45588235
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,B4197,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,38,265,497.25,326.82,256.22713208,256.22713208
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,350,203.94,9.35,7.33,7.33
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,51,350,652.88574286,29.22,22.908542857,22.908542857
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,B9004,"Parenteral nutrition infusion pump, portable",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,1,,11,11,1450.2,466.82,365.99,365.99
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,15,15,134.38,84.341333333,66.124666667,43.096666667
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,172,177,55.488079096,22.062542373,16.31039548,13.238305085
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,31,34,145.78823529,60.393529412,46.053529412,38.127058824
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,417.09466667,115.52266667,77.002,58.748
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,787.93882353,280.14529412,219.63941176,167.24941176
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,18,18,18,376.82333333,196.23666667,153.85333333,108.48833333
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,74.791666667,18.4,13.140555556,9.6938888889
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,15,94,94,23.679042553,7.825,5.7311702128,3.505212766
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,25,123,123,149.83349593,55.463252033,42.220243902,29.188130081
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,77,664,671,312.27415797,101.11837556,74.375260805,52.525394933
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,59,59,209.65355932,43.804915254,32.11779661,27.756779661
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,1380,17.44392029,11.35273913,8.796615942,8.796615942
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,7,,25,6100,0.3440606557,0.0454885246,0.0334934426,0.0334934426
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,9013,2.1863630312,0.0803672473,0.0618229224,0.0618229224
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,14,50,4916,1.6789117168,0.1355349878,0.0974247356,0.0974247356
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,34,1971,10.935854896,2.9847792998,2.3400710299,2.3400710299
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,17,943,2.2715482503,0.2190668081,0.1717603393,0.1717603393
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,51.63,44.07,33.336296296,30.895555556
1063458032,MOCK,DAVID,J,MD,M,I,3765 E US HIGHWAY 64 ALT STE 9,,MURPHY,NC,289066967,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,24,98,98,56.234693878,33,24.286122449,24.286122449
1063458107,JOHNSON,ALEDA,N,MD,F,I,7136 OFFICE PARK DR,,WEST CHESTER,OH,450692261,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,38,65.213684211,8.32,6.5244736842,6.5244736842
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,26,28,95,262,68.399351145,8.32,5.8742748092,5.8742748092
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,16,16,14.564375,3.38,2.484375,2.484375
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,17,18,49,73,15.313561644,1.42,1.037260274,1.037260274
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,37,83,83,176.82578313,36.320963855,26.395542169,28.368433735
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,32,32,488.40375,83.14,54.9109375,57.6415625
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,32,177.598125,32.1190625,24.103125,24.84625
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,73,101.40424658,17.097808219,13.404931507,14.551780822
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,12,50,72.3072,13.9804,9.7668,10.7042
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,38,82,82,313.29402439,50.480243902,35.889390244,39.079756098
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,48,73,73,92.23109589,16.606712329,11.750273973,12.766438356
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,35,35,100.97228571,11.481142857,7.1725714286,7.3434285714
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,52,123,638,13.58539185,1.9215673981,1.3553291536,1.4410344828
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,34,53,53,35.37,5.6798113208,3.95,4.1439622642
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,33,52,52,52.386346154,12.025192308,8.3348076923,9.2346153846
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,,44,47,81.75,13.011489362,8.5736170213,8.8442553191
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,15,75,78,257.82,31.079487179,21.662051282,22.809230769
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,62,63,519.51,69.825714286,52.079206349,52.072222222
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,52,250,36.398461538,26.7775,27.788076923
1063458180,WEISFOGEL,GERALD,M,M.D.,M,I,2050 RTE 27,SUITE 205,NORTH BRUNSWICK,NJ,089021380,US,Physician/Cardiovascular Disease (Cardiology),S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,15,15,75.956,15.69,12.302666667,14.142666667
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,10,39,119,1456,35.057287088,19.628241758,15.388289835,15.388289835
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,9,39,123,3775,9.6565986755,2.6303576159,2.0621642384,2.0621642384
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,65,83,186,844,69.179917062,8.32,6.2458056872,6.2458056872
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,22,25,46,94,13.437978723,1.42,1.0556382979,1.0556382979
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,5,13,105,105,655.212,338.79685714,261.09266667,261.09266667
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,11,43,3580,16.194851955,10.785128492,8.415452514,8.415452514
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,8,57,359,364,332.37324176,251.05870879,196.82978022,196.86401099
1063458230,DHAWAN,JASBIR,,MD,F,I,14725 LEBANON ROAD,SUITE 100,FRISCO,TX,75035,US,Physician/Endocrinology,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,5,42,42,42,387.92190476,263.70809524,205.29904762,205.59952381
1063458255,COIL,BRENT,W,MD,M,I,4230 HARDING PIKE,SUITE 530,NASHVILLE,TN,372052013,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,13,25,100,59.6704,8.32,6.1312,6.1312
1063458255,COIL,BRENT,W,MD,M,I,4230 HARDING PIKE,SUITE 530,NASHVILLE,TN,372052013,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,18,43,14.801395349,1.42,1.1134883721,1.1134883721
1063458255,COIL,BRENT,W,MD,M,I,4230 HARDING PIKE,SUITE 530,NASHVILLE,TN,372052013,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,75,51.658333333,40.501666667,35.709166667
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,19,73,221,72.528642534,8.32,5.1753846154,5.1753846154
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,,18,28,18.592857143,1.42,1.0360714286,1.0360714286
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,13,150.48,22.212307692,15.117692308,11.448461538
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,60.188571429,7.2014285714,5.240952381,3.3438095238
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,32,34,668.34441176,104.17,78.329705882,52.875588235
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,930,2.4829892473,0.1293548387,0.0779462366,0.0779462366
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,44.745,35.0825,29.515833333
1063458339,MAGAR,NAMRATA,A,MD,F,I,2500 OVERLOOK TER # 11G,,MADISON,WI,537052254,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,15,15,46.2,33,22.420666667,22.420666667
1063458370,SAHAWNEH,TUOMAH,M,M.D.,M,I,150 GILBREATH DR,,ONEONTA,AL,351212827,US,Physician/Family Practice,S,A5061,"Ostomy pouch, drainable; with barrier attached, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,9.4845454545,3.97,3.1125,3.1125
1063458370,SAHAWNEH,TUOMAH,M,M.D.,M,I,150 GILBREATH DR,,ONEONTA,AL,351212827,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,30,36,80.680833333,18.1075,12.743888889,12.199166667
1063458370,SAHAWNEH,TUOMAH,M,M.D.,M,I,150 GILBREATH DR,,ONEONTA,AL,351212827,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,4430.1,913.16,707.154,833.494
1063458370,SAHAWNEH,TUOMAH,M,M.D.,M,I,150 GILBREATH DR,,ONEONTA,AL,351212827,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,41,481.49658537,85.619512195,59.679512195,49.446341463
1063458370,SAHAWNEH,TUOMAH,M,M.D.,M,I,150 GILBREATH DR,,ONEONTA,AL,351212827,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,14,139.73214286,24.415714286,18.021428571,15.665
1063458420,MARI,FRANK,,MD,M,I,2836 ENTERPRISE RD,#1,DEBARY,FL,327135210,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,16,43,98,62.490816327,8.32,6.3887755102,6.3887755102
1063458420,MARI,FRANK,,MD,M,I,2836 ENTERPRISE RD,#1,DEBARY,FL,327135210,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,27,16.012592593,1.42,1.1148148148,1.1148148148
1063458420,MARI,FRANK,,MD,M,I,2836 ENTERPRISE RD,#1,DEBARY,FL,327135210,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,12,79.2,79.2,56.915833333,50.7825
1063458438,THEODOSSIOU,CHRIS,,MD,M,I,1000 OCHSNER BLVD,,COVINGTON,LA,704338107,US,Physician/Hematology-Oncology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,20.789473684,17,13.33,13.528947368
1063458438,THEODOSSIOU,CHRIS,,MD,M,I,1000 OCHSNER BLVD,,COVINGTON,LA,704338107,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,19,19,78.684210526,71,55.66,54.778947368
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,12,31,106,35.652830189,8.32,5.5375471698,5.5375471698
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,19,19,11.545263158,3.38,2.3710526316,2.3710526316
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,24,44,10.226818182,1.42,0.9118181818,0.9118181818
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,33.621818182,7.7709090909,5.6527272727,3.2763636364
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,38,49,485.98653061,107.61714286,80.161836735,61.673061224
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,6396,0.2088242652,0.0460600375,0.0279018136,0.0279018136
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,23,2610,0.92,0.1333448276,0.0961992337,0.0961992337
1063458586,WADE,TRACY,C,ARNP,F,I,242 BROCKFORD RD,,HEFLIN,AL,362641608,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,46,46,123.54347826,33,22.396304348,22.396304348
1063458834,MARICI,KATHLEEN,B,D.O.,F,I,71 PROSPECT AVE,SUITE 130,HUDSON,NY,125342907,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,17,41,78,77.098461538,8.32,6.1871794872,6.1871794872
1063458834,MARICI,KATHLEEN,B,D.O.,F,I,71 PROSPECT AVE,SUITE 130,HUDSON,NY,125342907,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,32,45,14.704,1.42,1.0906666667,1.0906666667
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,30,66,205,410,60.052878049,8.3164878049,6.0239268293,6.0239268293
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,18.205714286,3.38,2.2714285714,2.2714285714
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,32,72,89,16.404044944,1.42,1.0296629213,1.0296629213
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,215.37363636,33.185454545,23.85,23.434545455
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,16,2622,0.1785011442,0.0451983219,0.0354462243,0.0354462243
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,11,1107,1.8960162602,0.1301806685,0.0922041554,0.0922041554
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,15,261.958,27.53,12.016666667,11.044
1063458966,DAQUANA,HOLLY,,NP,F,I,1990 INDUSTRIAL BOULEVARD,,HOUMA,LA,703637055,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,22,22,37.5,33,24.694090909,24.694090909
1063459048,BRODSKAYA,YEVGENIYA,,PA,F,I,5205 CHURCH AVE,,BROOKLYN,NY,112033513,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,17,17,400.37764706,77.36,57.082352941,53.6
1063459048,BRODSKAYA,YEVGENIYA,,PA,F,I,5205 CHURCH AVE,,BROOKLYN,NY,112033513,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,168.18181818,38.71,30.35,29.891818182
1063459048,BRODSKAYA,YEVGENIYA,,PA,F,I,5205 CHURCH AVE,,BROOKLYN,NY,112033513,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,2466,0.5264193025,0.045458232,0.0316828873,0.0316828873
1063459204,SUTHAR,LAXMI,A,,F,I,1433 N HOLLENBECK AVE,SUITE 200,COVINA,CA,917221558,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,12,29,88.556896552,8.32,5.1727586207,5.1727586207
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,69,188,517,62.010444874,8.32,6.0680851064,6.0680851064
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,28,28,13.827857143,3.38,2.5553571429,2.5553571429
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,21.544615385,2.12,1.67,1.67
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,32,66,96,14.231875,1.42,1.08,1.08
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,39,71,72,117.34569444,38.689305556,28.651666667,28.795277778
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,18,18,36,93.940555556,71.56,56.105277778,56.104722222
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,13,13,57,42.548421053,29.19,22.885087719,22.885964912
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,10,76,152,152,327.65269737,86.378552632,62.700065789,62.731315789
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,58,144,321,143.22227414,33.579283489,25.261152648,24.870311526
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,7,20,46,200,71.00155,19.25155,14.266,13.74175
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,19,97,67.222164948,15.001340206,10.546391753,10.680721649
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,33,62,62,203.57322581,54.937419355,39.56016129,39.245806452
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,96,132,132,60.011060606,18.104242424,13.837651515,13.694393939
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,11,13,13,24.726153846,10.635384615,8.3376923077,8.15
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,55,112,112,70.370446429,11.95625,8.7296428571,8.4707142857
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,78,185,870,10.518758621,1.9944137931,1.493816092,1.5194022989
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,40,51,51,21.989607843,5.9096078431,4.2754901961,4.2947058824
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,44,60,60,42.557833333,13.322666667,9.5773333333,9.4823333333
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,14,14,73.25,45.78,35.89,35.23
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,78,79,60.287468354,17.29,12.863924051,12.846202532
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,139.41,48.31,34.723333333,34.494166667
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,19,116,123,433.64056911,82.937804878,61.345853659,61.767317073
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,28,145,160,64.04375,12.4348125,9.089875,8.9820625
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,7,19,105,105,78.357619048,5.6613333333,3.7788571429,3.2492380952
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,18,115,118,165.78728814,33.040338983,24.237966102,23.511694915
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,31,213,230,394.0196087,70.609347826,51.754608696,51.163391304
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,17.252111111,9.6166666667,7.3800555556,7.3800555556
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,15,25,47,10420,0.588071977,0.0463368522,0.0323771593,0.0323761996
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,1080,12.770592593,2.9005,2.2740092593,2.2740092593
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,225.81538462,29.646153846,23.239230769,21.494615385
1063459220,CHEEVER,BRYAN,D,M.D.,M,I,1107 MEMORIAL DR,SUITE 200,DALTON,GA,307208662,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,15,21,54,54,75.166666667,33,24.432777778,24.432777778
1063459246,FITZPATRICK,JAMES,E,MD,M,I,3050 MACK RD STE 310,,FAIRFIELD,OH,450145376,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,15,360,8.2816944444,3.8061111111,2.87125,2.93775
1063459246,FITZPATRICK,JAMES,E,MD,M,I,3050 MACK RD STE 310,,FAIRFIELD,OH,450145376,US,Physician/General Surgery,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,13,21.269230769,8.28,6.49,6.49
1063459246,FITZPATRICK,JAMES,E,MD,M,I,3050 MACK RD STE 310,,FAIRFIELD,OH,450145376,US,Physician/General Surgery,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,214,6.0007476636,2.8971962617,2.271728972,2.2817757009
1063459246,FITZPATRICK,JAMES,E,MD,M,I,3050 MACK RD STE 310,,FAIRFIELD,OH,450145376,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,270,15.733333333,7,5.3863703704,5.3863703704
1063459246,FITZPATRICK,JAMES,E,MD,M,I,3050 MACK RD STE 310,,FAIRFIELD,OH,450145376,US,Physician/General Surgery,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,840,3.0080952381,1.95,1.4196190476,1.4196190476
1063459246,FITZPATRICK,JAMES,E,MD,M,I,3050 MACK RD STE 310,,FAIRFIELD,OH,450145376,US,Physician/General Surgery,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,16,720,0.8476388889,0.27,0.1969166667,0.1969166667
1063459246,FITZPATRICK,JAMES,E,MD,M,I,3050 MACK RD STE 310,,FAIRFIELD,OH,450145376,US,Physician/General Surgery,S,A6252,"Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressin",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,279,4.46,3.67,2.7226523297,2.7226523297
1063459279,WENZEL,DAVID,J,M.D.,M,I,MARINO CENTER FOR PROGRESSIVE HEALTH,372 WASHINGTON STREET,WELLESLEY,MA,02481,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,19,44,73.062272727,8.32,6.2243181818,6.2243181818
1063459279,WENZEL,DAVID,J,M.D.,M,I,MARINO CENTER FOR PROGRESSIVE HEALTH,372 WASHINGTON STREET,WELLESLEY,MA,02481,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,12,14.481666667,1.42,1.025,1.025
1063459287,TATE,JAMES,E,MD,M,I,143 LONGWATER DRIVE,,NORWELL,MA,020619147,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,83,69.771927711,8.32,5.1873493976,5.1873493976
1063459667,RICHARD,DANIEL,C,MD,M,I,600 NEW WAVERLY PL,STE 203,CARY,NC,275187404,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,12,34,82,81.225365854,8.32,5.8076829268,5.8076829268
1063459667,RICHARD,DANIEL,C,MD,M,I,600 NEW WAVERLY PL,STE 203,CARY,NC,275187404,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,249.6475,31.86,24.98,23.38
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,20,46,46.775,8.2152173913,5.305,5.387173913
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,13,15,14.595333333,1.42,1.0426666667,1.0426666667
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,310,4.4380645161,3.32,2.6029354839,3.0575483871
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,216,3.1855555556,2.9055555556,2.2781018519,2.2816203704
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,550,0.27,0.27,0.2116,0.2116
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,A5057,"Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,10.788181818,10.788181818,8.4579090909,8.475
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,375,0.328,0.26,0.2039466667,0.2116
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,80.66,18,12.506428571,12.465714286
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,500.29428571,77.18,51.865714286,51.865714286
1063459741,GOLDBERG,MARNI,H,MD,F,I,9150 N. CRAWFORD AVE. SUITE 203,,SKOKIE,IL,60076,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,19.52375,9.73875,7.63875,6.848125
1063459840,PIERSON,JOHN,P,MD,M,I,100 TRACY WAY,,CHARLESTON,WV,25311,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,5,11,11,11,125.87818182,50.034545455,39.227272727,36.683636364
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,33,98,257,52.385680934,8.32,6.153151751,6.153151751
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,10.608333333,3.38,2.65,2.65
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,10.621818182,2.12,1.67,1.67
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,23,46,79,15.276455696,1.42,1.0726582278,1.0726582278
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1830,0.14,0.13,0.1019398907,0.1019398907
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,2550,2.2716470588,1.92,1.5052666667,1.5904784314
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,660,2.5,1.95,1.3898484848,1.3898484848
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,18,880,8.28,8.28,6.3409659091,6.3409659091
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,480,18.5,18.5,14.504020833,14.504020833
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A6222,"Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,250,2.4,2.4,1.88168,1.88168
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,14,34,67,8.19,1.9268656716,1.3243283582,0.9994029851
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,344.96333333,128.955,98.080833333,68.314166667
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,16,16,341.35875,70.3275,48.6,36.85625
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,76.861875,24.36875,19.10125,14.54625
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,11,22,22,95.131818182,20.131818182,15.76,9.0990909091
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,26,109,12.979082569,2.9755963303,2.3333944954,1.6179816514
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,23,86.31,21.856521739,15.836956522,12.876956522
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,60.513636364,47.441818182,37.63
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,27,28,50.73,9.2432142857,7.2471428571,4.3935714286
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,21,21,220.70571429,56.454285714,44.263809524,34.047142857
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,18,136,139,519.51,99.337985612,72.456978417,52.50676259
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,15.58,9.6086521739,7.3653768116,7.3653768116
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,12,64,14314,0.2028720134,0.0458963253,0.0311569093,0.0311569093
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,36,1920,0.92,0.1336875,0.1019635417,0.1019635417
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,12.86,2.9656521739,2.125173913,2.125173913
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,22,239.88,47.173636364,32.895454545,19.386818182
1063460335,CONNER,GEORGE,,MD,M,I,902 HOLIDAY DR,STE 101,FORREST CITY,AR,723359183,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,16,128,128,117.3046875,33,24.455234375,24.455234375
1063460426,AHMAD,IRFAN,,M.D.,M,I,20 CUMBERLAND HILL ROAD,SUITE 104,WOONSOCKET,RI,02895,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,52,120,63.415666667,8.32,6.0866666667,6.0866666667
1063460426,AHMAD,IRFAN,,M.D.,M,I,20 CUMBERLAND HILL ROAD,SUITE 104,WOONSOCKET,RI,02895,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,24,32,12.433125,1.42,1.08,1.08
1063460426,AHMAD,IRFAN,,M.D.,M,I,20 CUMBERLAND HILL ROAD,SUITE 104,WOONSOCKET,RI,02895,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,142.08,32.115,25.18,24.618333333
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,41,167,75.16742515,8.32,6.3269461078,6.3269461078
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,16,35,15.674857143,1.42,1.1154285714,1.1154285714
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,21,21,345.77238095,85,60.704761905,61.919047619
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,22,52,122.69634615,32.4,22.635384615,23.140384615
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,17,96,57.76625,15.58,11.629166667,11.327604167
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,226.17904762,53.63,38.036190476,38.788095238
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,27,27,76.297037037,18.35,13.765555556,13.455555556
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,30,30,78.799,11.82,8.034,7.9173333333
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,17,43,220,11.696545455,2.09,1.5565,1.5135909091
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,40.384545455,12.45,9.76,10.287272727
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,20,86.31,16.94,13.0915,13.3415
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,48,48,303.89333333,31.053333333,24.343333333,25.239583333
1063460442,LEFF,ROBERT,B,M.D.,M,I,1200 N. EL DORADO PLACE,# I-900,TUCSON,AZ,857154637,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,31,32,437.19375,77.18,56.728125,51.3
1063460590,SOTO,MARIA,,DO,F,I,1401 W NORTH ST,,JACKSON,MI,492023135,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,14,37,81,35.572592593,8.2422222222,5.6902469136,5.76
1063460590,SOTO,MARIA,,DO,F,I,1401 W NORTH ST,,JACKSON,MI,492023135,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,24,27,14.918518519,1.42,0.9933333333,0.9933333333
1063460590,SOTO,MARIA,,DO,F,I,1401 W NORTH ST,,JACKSON,MI,492023135,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,21.838,5.784,3.1173333333,2.028
1063460590,SOTO,MARIA,,DO,F,I,1401 W NORTH ST,,JACKSON,MI,492023135,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,105,33,25.87,25.87
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,1,,21,42,1.24,0.51,0.4,0.4
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,13,50,153,50.515228758,8.32,6.3088235294,6.3088235294
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,12,42,42,14.88,3.38,2.65,2.65
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,1,12,18,18,28.18,2.12,1.67,1.67
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,13,38,65,15.648615385,1.42,1.1121538462,1.1121538462
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,33.485,18,12.934166667,12.506666667
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,108.63666667,90.01,62.71,50.830833333
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,39.304615385,19.897692308,15.600769231,13.977692308
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,54.42,34.188333333,22.6375,17.509166667
1063460756,LEDO-SANCHEZ,GUSTAVO,G,MD,M,I,2387 WEST 68 ST,SUITE 201,HIALEAH,FL,33016,US,Physician/General Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,25,25,16.102,8.7884,6.5328,6.1396
1063460830,LANCHBURY,FORREST,D,MD,M,I,210 SUNSET DR STE A1,,SEDONA,AZ,863365409,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,16,30,68.723333333,8.32,5.6513333333,5.6513333333
1063460830,LANCHBURY,FORREST,D,MD,M,I,210 SUNSET DR STE A1,,SEDONA,AZ,863365409,US,Physician/General Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,57,5.3684210526,2.47,1.9363157895,1.7838596491
1063460830,LANCHBURY,FORREST,D,MD,M,I,210 SUNSET DR STE A1,,SEDONA,AZ,863365409,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,106.375,49.354285714,38.694285714,36.7
1063460830,LANCHBURY,FORREST,D,MD,M,I,210 SUNSET DR STE A1,,SEDONA,AZ,863365409,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,256.69176471,91.349411765,68.446470588,65.765882353
1063460848,BARRIDO,MELANIE,S,M.D.,F,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,660,7.8875,0.571,0.4058333333,0.4058333333
1063460848,BARRIDO,MELANIE,S,M.D.,F,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,1440,6.6691180556,1.26325,0.9316805556,0.9316805556
1063460848,BARRIDO,MELANIE,S,M.D.,F,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,17.251666667,17.251666667
1063460848,BARRIDO,MELANIE,S,M.D.,F,I,7836 W JEFFERSON BLVD,SUITE 101,FORT WAYNE,IN,468044165,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,16,16,11.4,11.4
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2904,0.44,0.44,0.3449449036,0.3449449036
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,20,720,8.28,8.28,6.4916111111,6.4916111111
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,780,18.5,18.5,14.504,14.504
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,1140,0.45,0.45,0.3528333333,0.3528333333
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,26,806,125,2.9876923077,2.2551364764,2.2793548387
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6360,3.7094716981,0.37,0.2900754717,0.2900754717
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,13,8001,2.7861267342,0.3,0.2351981002,0.241752281
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,56,56,34.43375,21.093214286,16.200714286,14.088035714
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,14,16,64.31,30.94,14.459375,13.7
1063461051,DIAZ,ELOY,E,M.D.,M,I,315 UPPER RIVERDALE RD SW,,RIVERDALE,GA,302742500,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,4,,17,17,16.602941176,9.3394117647,4.9711764706,4.2158823529
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,38,70,66.380428571,8.32,6.2438571429,6.2438571429
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,24,30,24.788666667,1.42,1.0806666667,1.0806666667
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,144,2.49,2.49,1.9516666667,1.9516666667
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,36,10.926666667,10.34,8.1036111111,8.5277777778
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,4080,0.44,0.44,0.3449607843,0.3449607843
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,1014,8.28,8.28,6.4915581854,6.4915581854
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,2040,0.45,0.45,0.3528088235,0.3528088235
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,38,38,153.69736842,45.826578947,30.649736842,32.16
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,24.01,9.4239130435,7.3856521739,8.62
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,E1800,"Dynamic adjustable elbow extension/flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,95.890909091,75.174545455,87.34
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,54.916666667,17.032222222,13.353333333,14.497222222
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,15,80,80,117.8895,23.718,15.836125,18.950875
1063461283,BARILE,DAVID,R,MD,M,I,253 WITHERSPOON ST,,PRINCETON,NJ,085403211,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,12,76,76,20.57,7.5885526316,5.6121052632,6.3547368421
1063461408,SAULS,RAYMOND,K,MD,M,I,136 HIGH STREET EXT,,LANCASTER,MA,015232056,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,69,231,79.441212121,8.32,5.6188311688,5.6188311688
1063461408,SAULS,RAYMOND,K,MD,M,I,136 HIGH STREET EXT,,LANCASTER,MA,015232056,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,29,46,15.417608696,1.42,0.9936956522,0.9936956522
1063461408,SAULS,RAYMOND,K,MD,M,I,136 HIGH STREET EXT,,LANCASTER,MA,015232056,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,100.83384615,12.426153846,8.9884615385,8.4184615385
1063461408,SAULS,RAYMOND,K,MD,M,I,136 HIGH STREET EXT,,LANCASTER,MA,015232056,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,14,72,11.047777778,2.2677777778,1.7281944444,1.5476388889
1063461408,SAULS,RAYMOND,K,MD,M,I,136 HIGH STREET EXT,,LANCASTER,MA,015232056,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,521.2656,33.6448,23.8688,23.6936
1063461507,DOCKTER JOLLIFFE,RHONDA,D,"MSN, ARNP, FNP",F,I,1001 GATEWAY AVENUE,,BISMARCK,ND,58501,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,1240,0.3257983871,0.0449919355,0.0279274194,0.0279274194
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,375,825,825,100.07791515,40.988048485,30.094363636,28.622206061
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,14,276,647,647,308.44618238,94.235703246,69.239551777,63.746460587
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,254,592,1273,121.84483896,34.84897879,26.702710134,25.381343284
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,97,181,907,66.114200662,19.91693495,14.950727674,13.926328556
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,8,81,189,892,51.839080717,15.747152466,11.582522422,11.170347534
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,13,209,437,437,179.47970252,55.899977117,41.112448513,40.233707094
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,17,439,598,598,58.138311037,19.451170569,14.690501672,13.595117057
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,50,60,60,32.366,10.943,8.432,8.022
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,93,187,187,82.591229947,12.168983957,9.2026203209,8.806631016
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,15,454,980,5012,10.03849162,2.2868874701,1.7195271349,1.5340403033
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,34,48,48,25.037083333,6.00125,4.70125,4.6508333333
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,12,280,366,366,36.979945355,13.011256831,9.8164480874,9.952704918
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,59,62,78.696612903,17,11.838064516,12.039516129
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,8,22,117,117,299.27376068,89.203589744,63.506324786,61.865384615
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,8,138,139,139,360.89856115,140.54956835,106.17553957,101.06244604
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,4,16,76,77,77.721818182,14.033506494,10.137012987,9.7248051948
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,13,68,72,55.699583333,4.0744444444,3.0238888889,3.5606944444
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,12,261,1484,1492,185.58723861,33.918646113,24.725053619,23.812131367
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,23,169,171,444.68684211,77.664853801,58.824035088,53.118245614
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,122.94117647,38.176470588,28.177058824,27.837058824
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,1080,15.58,9.6205555556,7.4096666667,7.4096666667
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,18,21,55,7815,0.4331989763,0.0468662828,0.0343787588,0.0343787588
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,18,2401,2.8028113286,0.074548105,0.0550853811,0.0550853811
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,24,1817,1.9509906439,0.1380022014,0.1052504128,0.1052504128
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,14,16,60,3180,12.132374214,2.9584842767,2.2392169811,2.2392169811
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,115,38.055555556,29.833888889,29.51
1063461572,MUPPANA,SARASWATHI DEVI,V,M.D.,F,I,100 HIGHLAND ST,STE 103,MILTON,MA,021863801,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,24,29,109,109,72.412844037,33,24.049724771,24.049724771
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,91,217,217,148.00147465,39.451013825,29.119078341,28.734239631
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,31,8.19,1.4838709677,1.0883870968,1.0764516129
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,13,46,107,107,375.53971963,87.292616822,64.800186916,64.242897196
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,12,34,81,224,145.12339286,32.721160714,24.126517857,24.3871875
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,11,44,85,490,79.730387755,18.39077551,13.853469388,13.981693878
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,9,25,51,289,60.882698962,15.294775087,11.788027682,11.694256055
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,16,87,199,200,255.9713,52.5957,38.45545,39.99835
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,18,120,168,168,77.224285714,17.423452381,13.197797619,13.587857143
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,14,38,88,89,71.632134831,12.253707865,9.2585393258,8.8138202247
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,19,123,300,1688,10.443904028,2.0899052133,1.5698874408,1.5277132701
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,16,106,151,151,29.852980132,5.9390728477,4.5080794702,4.5039072848
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,14,75,106,106,48.54254717,12.319528302,9.3820754717,10.017169811
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,21,21,34.40952381,16.062857143,12.587142857,13.53
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,8,,87,87,4264.0931034,1052.0824138,820.21114943,837.63735632
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,12,66,66,335.25772727,77.759393939,55.631666667,58.424242424
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,25,25,25,588.98,135.7492,97.938,96.4696
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,28,34,81.75,13.229705882,10.366470588,10.175
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,27,27,43.052222222,5.0088888889,3.9262962963,4.0862962963
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,6,48,313,330,174.86690909,30.722545455,22.535575758,23.533393939
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,84,91,374.05857143,72.910769231,54.363736264,52.19978022
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,30,226.66666667,36.393333333,25.650666667,26.469666667
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,2623,0.3142508578,0.0463781929,0.0363629432,0.0363629432
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,14,1500,1.1798533333,0.13904,0.1090266667,0.1090266667
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,25,30,85,36.3,25.701,26.768333333
1063461614,ROSENBERG,SCOTT,B,M.D.,M,I,52 W RED BANK AVE,SUITE 26,WOODBURY,NJ,080961695,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,11,26,26,82.961538462,33,25.87,25.87
1063461689,WILBUR,DEBORAH,W,M.D.,F,I,701 10TH ST SE,HPCC 3RD FLOOR,CEDAR RAPIDS,IA,524031251,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,23,1176,36.807517007,4.8786309524,3.5808503401,3.5808503401
1063461689,WILBUR,DEBORAH,W,M.D.,F,I,701 10TH ST SE,HPCC 3RD FLOOR,CEDAR RAPIDS,IA,524031251,US,Physician/Medical Oncology,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,15,21,44,46.827272727,38.546590909,26.039090909,26.567954545
1063461689,WILBUR,DEBORAH,W,M.D.,F,I,701 10TH ST SE,HPCC 3RD FLOOR,CEDAR RAPIDS,IA,524031251,US,Physician/Medical Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,24,24,18.82,18.82
1063461697,QUILON,JUDITH,M,M.D.,F,I,420 N 6TH ST,,GADSDEN,AL,359013244,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,29,84,65.844761905,8.32,6.3675,6.3675
1063461697,QUILON,JUDITH,M,M.D.,F,I,420 N 6TH ST,,GADSDEN,AL,359013244,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,12,18,15.536111111,1.42,1.1133333333,1.1133333333
1063461846,ANTONIOS,DAWIT,T,MD,M,I,2801 DEKALB MEDICAL PKWY,,LITHONIA,GA,300584996,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,18,18,216.66666667,49.156666667,38.536666667,39.143333333
1063461846,ANTONIOS,DAWIT,T,MD,M,I,2801 DEKALB MEDICAL PKWY,,LITHONIA,GA,300584996,US,Hospitalist,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,72,8.5475,6.6975,6.85
1063461846,ANTONIOS,DAWIT,T,MD,M,I,2801 DEKALB MEDICAL PKWY,,LITHONIA,GA,300584996,US,Hospitalist,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,52,52,220,75.56,59.24,55.163653846
1063461846,ANTONIOS,DAWIT,T,MD,M,I,2801 DEKALB MEDICAL PKWY,,LITHONIA,GA,300584996,US,Hospitalist,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,65,20.571428571,16.128571429,14.968571429
1063461846,ANTONIOS,DAWIT,T,MD,M,I,2801 DEKALB MEDICAL PKWY,,LITHONIA,GA,300584996,US,Hospitalist,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,42,42,200,36.25,28.42,29.406190476
1063462075,MILLWARD,GARY,J,DPM,M,I,6051 N EAGLE RD,,BOISE,ID,837130997,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,28,75,71.56,56.105,56.105
1063462075,MILLWARD,GARY,J,DPM,M,I,6051 N EAGLE RD,,BOISE,ID,837130997,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,16,16,83,49.45686747,43.56,34.151445783,34.149759036
1063462265,CINEL,SCOTT,J,MD,M,I,1200 S YORK RD,,ELMHURST,IL,601265626,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,3690,0.39,0.13,0.0963902439,0.0963902439
1063462265,CINEL,SCOTT,J,MD,M,I,1200 S YORK RD,,ELMHURST,IL,601265626,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,19,2510,9.65,6.15,4.772561753,5.5653027888
1063462331,JOHNSON,WELDON,R,D.O.,M,I,7617 LAKEVIEW PKWY,,ROWLETT,TX,750884356,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,68.325384615,17.63,13.82,13.641538462
1063462331,JOHNSON,WELDON,R,D.O.,M,I,7617 LAKEVIEW PKWY,,ROWLETT,TX,750884356,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,410.17538462,76.48,59.96,56.735384615
1063462331,JOHNSON,WELDON,R,D.O.,M,I,7617 LAKEVIEW PKWY,,ROWLETT,TX,750884356,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,857,0.9006417736,0.2195215869,0.1647491249,0.1647491249
1063462331,JOHNSON,WELDON,R,D.O.,M,I,7617 LAKEVIEW PKWY,,ROWLETT,TX,750884356,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,20,20,77.55,33,25.575,25.575
1063462430,SHULTZ,AMY,L,MD,F,I,1509 BROOKWOOD AVE STE B,,DUNCAN,OK,735331315,US,Physician/Rheumatology,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,188.49,50.129090909,39.302727273,38.436363636
1063462471,MARPLE,JEFFREY,T,M.D.,M,I,7441 O ST,STE 304,LINCOLN,NE,685102468,US,Hospitalist,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,720,5.4042222222,0.5683333333,0.40725,0.40725
1063462471,MARPLE,JEFFREY,T,M.D.,M,I,7441 O ST,STE 304,LINCOLN,NE,685102468,US,Hospitalist,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,15,15,24,24,18.82,18.82
1063462471,MARPLE,JEFFREY,T,M.D.,M,I,7441 O ST,STE 304,LINCOLN,NE,685102468,US,Hospitalist,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,17,16,16,9.9752941176,9.9752941176
1063462539,HOLSTAD,MARCIA,M,"DSN, RN, C, FNP",F,I,341 PONCE DE LEON AVE,,ATLANTA,GA,30308,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,3.5975,1.9575,2.855
1063462539,HOLSTAD,MARCIA,M,"DSN, RN, C, FNP",F,I,341 PONCE DE LEON AVE,,ATLANTA,GA,30308,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,2100,0.17,0.046,0.0281714286,0.0281714286
1063462539,HOLSTAD,MARCIA,M,"DSN, RN, C, FNP",F,I,341 PONCE DE LEON AVE,,ATLANTA,GA,30308,US,Nurse Practitioner,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,450,0.75,0.2191333333,0.1376444444,0.1376444444
1063462539,HOLSTAD,MARCIA,M,"DSN, RN, C, FNP",F,I,341 PONCE DE LEON AVE,,ATLANTA,GA,30308,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,15,132,33,19.182666667,19.182666667
1063462547,VO,DUC,P,MD,M,I,7150 N GEORGE BUSH HWY,SUITE 100,GARLAND,TX,750442214,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,12,148.75,130.57,93.839166667,93.97
1063462547,VO,DUC,P,MD,M,I,7150 N GEORGE BUSH HWY,SUITE 100,GARLAND,TX,750442214,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,25,78.1168,53.2,39.8396,44.3404
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,3,16,21,42,3.8385714286,0.51,0.3619047619,0.3619047619
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,62,179,526,48.155741445,8.32,5.789486692,5.789486692
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,21,47,47,16.769787234,3.38,2.5936170213,2.5936170213
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,19,25,25,20.8848,2.12,1.6032,1.6032
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,42,92,156,14.938269231,1.42,1.0180128205,1.0180128205
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,13,18,18,63.555555556,40.931666667,26.646666667,25.883888889
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,12,12,24,71.5,70.64,52.036666667,52.75875
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,204.69714286,99.81,63.668571429,53.882142857
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,7,20,38,38,132.23763158,61.004736842,36.566315789,32.697105263
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,21,30,30,48.5,20.568333333,13.65,12.270333333
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,17,17,42.571764706,17.101764706,11.659411765,7.4894117647
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,37,165,4.8538181818,2.2273939394,1.3040606061,1.1993939394
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,29.062727273,14.769090909,8.6427272727,7.73
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,176.48571429,45.861428571,31.756190476,32.09952381
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,47,50,57.8954,18.478,12.7342,12.4614
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,250,93.215,73.08,72.638333333
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,24,24,37.083333333,14.84,9.3391666667,8.17125
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,20,36.709,4.334,2.873,2.933
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,52,52,124.32692308,37.055192308,25.651730769,22.146730769
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,62,65,297.13584615,83.303230769,55.940923077,49.689230769
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,3963,0.2045142569,0.0459399445,0.0326419379,0.0326419379
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,14,75,39.650714286,29.089285714,27.457857143
1063462554,FERGUSON,SETH,T,DO,M,I,221 E MAPLE ST,,CARSON CITY,MI,48811,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,14,14,124.92857143,33,22.174285714,22.174285714
1063462646,CHOI,CAROLINE,J,MD,F,I,1614 WEST CENTRAL AVE,SUITE 202,ARLINGTON HTS,IL,600051534,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,28,65.529642857,8.32,4.8907142857,4.8907142857
1063462653,HOLLAR,GREGORY,F,D.O.,M,I,7030 S YOSEMITE ST,SUITE 220,CENTENNIAL,CO,801122026,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,79.244285714,8.32,5.1242857143,5.1242857143
1063462653,HOLLAR,GREGORY,F,D.O.,M,I,7030 S YOSEMITE ST,SUITE 220,CENTENNIAL,CO,801122026,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,17.52,17.29,12.420833333,12.404166667
1063462653,HOLLAR,GREGORY,F,D.O.,M,I,7030 S YOSEMITE ST,SUITE 220,CENTENNIAL,CO,801122026,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,6.4738461538,4.4530769231,3.1938461538,3.3038461538
1063462653,HOLLAR,GREGORY,F,D.O.,M,I,7030 S YOSEMITE ST,SUITE 220,CENTENNIAL,CO,801122026,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,38,274.54789474,80.404736842,61.585263158,57.558947368
1063462653,HOLLAR,GREGORY,F,D.O.,M,I,7030 S YOSEMITE ST,SUITE 220,CENTENNIAL,CO,801122026,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,16,16,103.5,38.76,30.39,29.51
1063462695,MARX,DARYL,S,MD,M,I,2301 JUSTICE ST,,MONROE,LA,712013621,US,Physician/General Surgery,S,L8000,"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,18,67,45,36.28,28.444925373,30.06358209
1063462695,MARX,DARYL,S,MD,M,I,2301 JUSTICE ST,,MONROE,LA,712013621,US,Physician/General Surgery,S,L8020,"Breast prosthesis, mastectomy form",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,20,225,219.67,171.027,168.414
1063462760,BEECHY,CAROL,K,M.D.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hospice and Palliative Care,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,22.4775,16.3775,16.3775
1063462760,BEECHY,CAROL,K,M.D.,F,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Hospice and Palliative Care,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,274.56,102.61833333,75.474166667,75.474166667
1063462851,TARIQ,MUHAMMAD,,MD,M,I,1411 PIEDMONT CUTOFF,,GADSDEN,AL,359032708,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,19,52,54.522884615,8.32,5.8071153846,5.8071153846
1063462851,TARIQ,MUHAMMAD,,MD,M,I,1411 PIEDMONT CUTOFF,,GADSDEN,AL,359032708,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,15,22,14.334090909,1.42,1.0127272727,1.0127272727
1063462851,TARIQ,MUHAMMAD,,MD,M,I,1411 PIEDMONT CUTOFF,,GADSDEN,AL,359032708,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,39.636363636,6.1609090909,3.1640909091,2.3036363636
1063462851,TARIQ,MUHAMMAD,,MD,M,I,1411 PIEDMONT CUTOFF,,GADSDEN,AL,359032708,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,460.54307692,70.993076923,37.553846154,37.009230769
1063462935,BRYANT,ERIN,B,ARNP,F,I,100 HELMWOOD PLAZA DR,,ELIZABETHTOWN,KY,427012975,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,24,35.775,8.23625,5.6420833333,5.7079166667
1063462935,BRYANT,ERIN,B,ARNP,F,I,100 HELMWOOD PLAZA DR,,ELIZABETHTOWN,KY,427012975,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,476.60384615,70.23,55.06,54.772307692
1063462935,BRYANT,ERIN,B,ARNP,F,I,100 HELMWOOD PLAZA DR,,ELIZABETHTOWN,KY,427012975,US,Nurse Practitioner,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,395,97.517272727,76.450909091,88.813636364
1063462992,HENDLER,STEVEN,,M.D.,M,I,11111 NALL AVE,# 222,LEAWOOD,KS,662111625,US,Physician/Physical Medicine and Rehabilitation,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,8.36,2.27,1.6179220779,1.6179220779
1063462992,HENDLER,STEVEN,,M.D.,M,I,11111 NALL AVE,# 222,LEAWOOD,KS,662111625,US,Physician/Physical Medicine and Rehabilitation,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1920,4.6925,2.04,1.5993541667,1.5993541667
1063462992,HENDLER,STEVEN,,M.D.,M,I,11111 NALL AVE,# 222,LEAWOOD,KS,662111625,US,Physician/Physical Medicine and Rehabilitation,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,24.32,7.46,5.3181818182,5.3181818182
1063463057,OLEWILER,HORACE,N,MD,M,I,1 E ELIZABETH AVE,,BETHLEHEM,PA,180186522,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,49,111,75.447297297,8.32,5.6951351351,5.6951351351
1063463057,OLEWILER,HORACE,N,MD,M,I,1 E ELIZABETH AVE,,BETHLEHEM,PA,180186522,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,11,28,33,17.210909091,1.42,0.9151515152,0.9151515152
1063463057,OLEWILER,HORACE,N,MD,M,I,1 E ELIZABETH AVE,,BETHLEHEM,PA,180186522,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,12,12,175,46.3875,36.3675,38.1725
1063463099,MANN,DHARAM,P,M.D.,M,I,1100 ROUTE 70,,WHITING,NJ,087591003,US,Physician/Interventional Pain Management,S,L0180,"Cervical, multiple post collar, occipital/mandibular supports, adjustable",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,102,102,102,558.88970588,367.76558824,287.02235294,291.10107843
1063463099,MANN,DHARAM,P,M.D.,M,I,1100 ROUTE 70,,WHITING,NJ,087591003,US,Physician/Interventional Pain Management,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,266,266,266,2189.3533835,1022.3333835,799.12601504,873.11421053
1063463099,MANN,DHARAM,P,M.D.,M,I,1100 ROUTE 70,,WHITING,NJ,087591003,US,Physician/Interventional Pain Management,S,L1833,"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,41,42,47,1201.2765957,735.65,576.75,492.89191489
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,27,67,211,58.301658768,8.32,5.9964454976,5.9964454976
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,11.633846154,3.38,2.65,2.65
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,33,55,11.902181818,1.42,1.0534545455,1.0534545455
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,367,179.52316076,5.54,4.3432697548,4.1930790191
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,80,17.29,13.55,13.55
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,120,13.57,10.64,10.48
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,242.1875,32.004375,24.328125,23.8465625
1063463297,OSBAN,WENDY,W,DO,F,I,1549 AIRPORT BLVD,,PENSACOLA,FL,325048633,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,380.54545455,70.23,55.06,55.06
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,38,93.789473684,71.56,56.11,56.102105263
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,114,40,29.19,22.886666667,22.886666667
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,26,26,26,168,144.12076923,112.54807692,94.634615385
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,L1930,"Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,340,281.98318182,221.07318182,190.41090909
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,L1940,"Ankle foot orthosis, plastic or other material, custom fabricated",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,39,690,598.41,469.16,427.05769231
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,L2114,"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,41,41,41,385,385,301.84,443.53195122
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,L2330,"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,23,23,36,550,475.12,372.5,343.18444444
1063463305,DISCONT,ALAN,J,DPM,M,I,600 S DOBSON RD,SUITE D35,CHANDLER,AZ,852245678,US,Podiatry,S,L2820,"Addition to lower extremity orthosis, soft interface for molded plastic, below knee section",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,28,41,125,105.08,82.38,75.012682927
1063463321,FONTANA,ROBIN,H,ARNP,F,I,9725 SE 36TH ST,SUITE 214,MERCER ISLAND,WA,98040,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,330,0.5315757576,0.1365454545,0.074,0.074
1063463321,FONTANA,ROBIN,H,ARNP,F,I,9725 SE 36TH ST,SUITE 214,MERCER ISLAND,WA,98040,US,Nurse Practitioner,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,97.108181818,54.816363636,37.82,32.109090909
1063463339,VILLEGAS,SERGIO,B,M.D.,M,I,1701 E CESAR CHAVEZ AVE,SUITE 402,LOS ANGELES,CA,900332464,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,21,56,132,82.810530303,8.32,5.5329545455,5.5329545455
1063463339,VILLEGAS,SERGIO,B,M.D.,M,I,1701 E CESAR CHAVEZ AVE,SUITE 402,LOS ANGELES,CA,900332464,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,32,42,17.995714286,1.42,0.930952381,0.930952381
1063463339,VILLEGAS,SERGIO,B,M.D.,M,I,1701 E CESAR CHAVEZ AVE,SUITE 402,LOS ANGELES,CA,900332464,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,7,3.56,2.5363636364,3.1390909091
1063463339,VILLEGAS,SERGIO,B,M.D.,M,I,1701 E CESAR CHAVEZ AVE,SUITE 402,LOS ANGELES,CA,900332464,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,15,50,37.046,26.764666667,22.230666667
1063463578,BARR,GAVIN,,MD,M,I,2649 SCHOENERSVILLE RD,SUITE 201,BETHLEHEM,PA,180177326,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,20,54,59.112037037,8.32,6.2798148148,6.2798148148
1063463578,BARR,GAVIN,,MD,M,I,2649 SCHOENERSVILLE RD,SUITE 201,BETHLEHEM,PA,180177326,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,15,20,17.938,1.42,1.117,1.117
1063463578,BARR,GAVIN,,MD,M,I,2649 SCHOENERSVILLE RD,SUITE 201,BETHLEHEM,PA,180177326,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,47.1,3.56,2.3607692308,2.9723076923
1063463677,MORGAN,SALLY,L,NP,F,I,182 W MAIN ST,,NETTLETON,MS,38858,US,Nurse Practitioner,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,16,2670,6.2713483146,1.89,1.3437640449,1.4535430712
1063463677,MORGAN,SALLY,L,NP,F,I,182 W MAIN ST,,NETTLETON,MS,38858,US,Nurse Practitioner,S,A4392,"Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,290,7.4158965517,7.4158965517,5.4106896552,6.8330344828
1063463677,MORGAN,SALLY,L,NP,F,I,182 W MAIN ST,,NETTLETON,MS,38858,US,Nurse Practitioner,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,720,0.5,0.05,0.0359027778,0.0359027778
1063463677,MORGAN,SALLY,L,NP,F,I,182 W MAIN ST,,NETTLETON,MS,38858,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,1951,0.3419938493,0.0473500769,0.0371245515,0.0371245515
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,27,27,27,126.74,68.85,53.979259259,37.331851852
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,23,23,23,132.35,73.992173913,58.013043478,42.096521739
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,171.29,72.213703704,55.192962963,37.840740741
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,41.5,22.4775,16.3775,12.904166667
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,4695.9,913.16,703.96416667,830.30416667
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,41.734,8.381,6.327,3.679
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,160.41,102.61833333,74.250833333,48.945833333
1063463743,SHALLEY,ANN,M,M.D.,F,I,390 KEOWEE SCHOOL RD,,SENECA,SC,296726743,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,61.54,23.295,16.462083333,12.0075
1063463750,DELLACONA,SALVATORE,J,M.D.,M,I,1700 SPRINGHILL CHURCH RD,,LIZELLA,GA,31052,US,Physician/Family Practice,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,18,31,31,31,1537.1574194,1315.4041935,1015.4012903,900.25677419
1063463750,DELLACONA,SALVATORE,J,M.D.,M,I,1700 SPRINGHILL CHURCH RD,,LIZELLA,GA,31052,US,Physician/Family Practice,S,L1851,"Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,23,26,29,1021.7275862,844.95793103,662.44827586,677.69
1063463750,DELLACONA,SALVATORE,J,M.D.,M,I,1700 SPRINGHILL CHURCH RD,,LIZELLA,GA,31052,US,Physician/Family Practice,S,L2397,"Addition to lower extremity orthosis, suspension sleeve",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,13,24,28,31,129.77483871,106.24387097,83.298064516,88.847741935
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,31,72,217,63.396866359,8.32,6.0356221198,6.0356221198
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,15.416666667,3.38,1.9875,1.9875
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,37,53,14.86509434,1.42,0.9847169811,0.9847169811
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,390,7,7,5.1201282051,5.1201282051
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,1.95,1.95,1.5288333333,1.5288333333
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,194.92526316,92.444736842,72.473157895,67.766315789
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,21,43,78.947906977,34.761860465,27.255348837,25.883023256
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,,22,103,58.922621359,20.141359223,14.899320388,14.11223301
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,14,27,27,129.62740741,58.493333333,45.864074074,43.808518519
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,19,27,27,48.736666667,18.844074074,14.777777778,14.04962963
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,21,45,45,59.717333333,12.761555556,9.562,8.8844444444
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,22,48,265,7.4450566038,2.2429056604,1.7178490566,1.585509434
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,20,29,29,19.505862069,6.3920689655,4.8317241379,4.4993103448
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,14,18,18,30.346666667,13.143333333,10.306666667,10.318888889
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,166.79090909,46.765454545,32.345454545,32.027272727
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,31,32,27.56,4.5996875,3.396875,3.490625
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,58,58,110.22413793,41.17637931,30.054482759,24.115689655
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,365.48173913,68.78,50.871304348,51.367391304
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,17,1020,15.58,9.5598235294,7.3386176471,7.3386176471
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,18,3600,0.17,0.0459666667,0.0291166667,0.0291166667
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,15,900,12.86,3.082,2.4163111111,2.4163111111
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,65.26,36.83,28.18,28.521333333
1063463800,MOISANT,MICHEAL,A,D.O.,M,I,4412 KELL WEST BLVD,,WICHITA FALLS,TX,763094719,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,31,31,132,33,23.366451613,23.366451613
1063463925,RICHTER,AMY,L,PA-C,F,I,22N285 PEPPER RD,SUITE 407,LAKE BARRINGTON,IL,600105982,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,18,31,71,68.233943662,8.32,5.4194366197,5.4194366197
1063463925,RICHTER,AMY,L,PA-C,F,I,22N285 PEPPER RD,SUITE 407,LAKE BARRINGTON,IL,600105982,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,17,20,14.208,1.42,1.006,1.006
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,53,101,101,120.98079208,39.741683168,31.165148515,30.55049505
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,5,,18,40,6.5835,1.68,1.2535,1.09275
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,6,34,39,39,50.84025641,11.152307692,8.5243589744,8.8117948718
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7013,"Filter, disposable, used with aerosol compressor or ultrasonic generator",D1E - Other DME,Durable Medical Equipment,N,2,15,16,16,2.01375,0.49,0.38,0.42
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,4,18,20,22,2.5,1.18,0.9204545455,0.955
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,46,89,89,195.47898876,86,66.477865169,66.88
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,43,86,184,72.689891304,33.22,25.337717391,25.219076087
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,22,38,198,47.787575758,18.789141414,14.431868687,14.24959596
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,10,27,58,293,39.171467577,14.935802048,11.710102389,11.877133106
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,12,49,97,97,139.41329897,55.860515464,42.554639175,41.690103093
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,85,108,108,46.026851852,17.411574074,13.378888889,13.756944444
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7036,Chinstrap used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,20,21,21,20.781904762,10.076190476,7.9023809524,8.1004761905
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,36,77,77,49.488181818,11.487792208,8.7761038961,8.878961039
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,14,89,173,993,6.7134843907,2.0111581067,1.5615005035,1.5744813696
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,30,40,40,19.352,6,4.5825,4.53875
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,39,46,46,28.01826087,12.823043478,9.8339130435,10.106521739
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,21,143,143,63.171538462,17.32,12.865034965,12.831468531
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,1561.02,1074.31,842.26,842.26
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,3,,72,75,284,83.774266667,64.1072,64.533733333
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E0483,"High frequency chest wall oscillation air-pulse generator system, (includes hoses and vest), each",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,1193.07,959.51684211,744.71157895,745.39315789
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,22,22,353.49545455,131.35863636,102.98363636,104.27272727
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,27,176,176,28.508636364,3.91,3.0167613636,3.5817613636
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,5,32,175,178,130.17573034,32.669662921,24.157640449,23.930280899
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,39,291,291,295.87237113,76.58,57.007938144,52.839003436
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,96,96,209.8125,35.56,25.794166667,27.09125
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,9,27,27,27,65.268518519,57,44.69,44.69
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,11,80,4800,12.07594375,9.6500625,7.55406875,7.55406875
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,12,55,3540,13.764144068,11.270864407,8.8363954802,8.8363926554
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,36,64,191,47733,0.1616418411,0.0462024176,0.033859594,0.033859175
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,3398,2.483375515,0.0732018835,0.0534461448,0.0534461448
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,18,72,7339,1.0782504428,0.137477858,0.1077980651,0.1077980651
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,22,135,8310,6.252156438,2.9675306859,2.2593020457,2.2593020457
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,22,1095,0.4988219178,0.2188949772,0.1666392694,0.1666392694
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,33,76,314,314,55.38933121,33,25.177197452,25.177197452
1063463974,VENKATESH,SRINIVASA,R,M.D.,M,I,21216 NORTHWEST FWY,SUITE 270,CYPRESS,TX,774291439,US,Physician/Pulmonary Disease,S,Q0514,Pharmacy dispensing fee for inhalation drug(s); per 90 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,11,11,66.090909091,66,42.332727273,42.332727273
1063463982,BROWN,TERRILL,F,DPM,M,I,1738 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Podiatry,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,18,18,36,20.555555556,18.29,14.335,14.335
1063463982,BROWN,TERRILL,F,DPM,M,I,1738 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Podiatry,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,14,14,122.36,87.93,68.93,76.115714286
1063463982,BROWN,TERRILL,F,DPM,M,I,1738 METROMEDICAL DR,,FAYETTEVILLE,NC,283043861,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,60.468235294,29.064705882,22.786470588,16.937058824
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,34,89,268,48.419291045,8.32,6.1856343284,6.1856343284
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,27,27,15.925925926,3.38,2.4537037037,2.4537037037
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,11,16,16,24.0625,2.12,1.565625,1.565625
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,24,64,105,15.847238095,1.42,1.0838095238,1.0838095238
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,77.292857143,17.29,12.582142857,12.565
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,31,514.91354839,70.23,52.32516129,52.051290323
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1559,0.9819050674,0.1339255933,0.0910198845,0.0910198845
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,81.552083333,21.4825,16.842916667,15.510416667
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,48.6,9.7366666667,7.6366666667,7.5326666667
1063464006,WALLACE,JAMES,E,MD,M,I,1135 EXPRESSWAY DR,SUITE 200 A,PINEVILLE,LA,713606698,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,16,16,125.8125,33,23.47625,23.47625
1063464022,TOLEDO,SILVA,P,PA-C,F,I,10243 GENETIC CENTER DR,,SAN DIEGO,CA,921216310,US,Physician Assistant,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,11.59,7.86,5.6,5.8845454545
1063464022,TOLEDO,SILVA,P,PA-C,F,I,10243 GENETIC CENTER DR,,SAN DIEGO,CA,921216310,US,Physician Assistant,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,160,15,9.86,7.434375,7.434375
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,28,71,192,64.019010417,8.32,5.8427604167,5.8427604167
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,16.111111111,3.38,2.3555555556,2.3555555556
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,39,54,15.406111111,1.42,0.9925925926,0.9925925926
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,11,25,74,59.461351351,19.45,14.836891892,14.272162162
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,19,19,168.00684211,56.26,37.145263158,36.224210526
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,15,19,19,52.488947368,18,11.882105263,11.845263158
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,20,20,62.82,12,8.469,8.237
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,15,28,135,9.7395555556,2,1.4755555556,1.4965925926
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,153.44,17.71,12.285833333,11.965
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,33,36,42.805833333,13.5,10.286111111,10.202777778
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,55,58,197.5912069,35.506551724,26.279310345,25.053793103
1063464071,FEEHAN,JOHN,M,MD,M,I,18695 W 151ST ST,,OLATHE,KS,660622738,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,79.23,51.758333333,45.6
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,22,68.849545455,8.32,6.52,6.52
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,27,30,27.01,21.18,22.100740741
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,25,27,12.5,10.34,8.1,8.482962963
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,6.45,5.54,4.3435,4.3435
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,720,2,1.95,1.5288333333,1.5288333333
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,1872,0.5117948718,0.44,0.3449465812,0.3449465812
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,22,882,8.28,8.28,6.1662018141,6.1662018141
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,168,10.93,10.93,8.5691666667,8.5691666667
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,1680,1.5485714286,0.45,0.3528154762,0.3528154762
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,281,14,4.9,3.8415302491,4.1367615658
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,4061,0.6603250431,0.3,0.235198227,0.2424525979
1063464246,RAOUF,MEDHAT,,M.D.,M,I,60 SKYLINE DR,,RINGWOOD,NJ,074562012,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,20.57,6.23,4.88,6.15
1063464261,ALI,AURANGZEB,A,M.D.,M,I,455 LEWIS AVE,SUITE 216,MERIDEN,CT,064512121,US,Physician/General Surgery,S,A4450,"Tape, non-waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,16,960,0.15975,0.12,0.0940520833,0.0940520833
1063464261,ALI,AURANGZEB,A,M.D.,M,I,455 LEWIS AVE,SUITE 216,MERIDEN,CT,064512121,US,Physician/General Surgery,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,560,0.5877321429,0.44,0.345,0.345
1063464261,ALI,AURANGZEB,A,M.D.,M,I,455 LEWIS AVE,SUITE 216,MERIDEN,CT,064512121,US,Physician/General Surgery,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,387,13.920852713,8.28,6.4916020672,6.4916020672
1063464261,ALI,AURANGZEB,A,M.D.,M,I,455 LEWIS AVE,SUITE 216,MERIDEN,CT,064512121,US,Physician/General Surgery,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,14,402,44.014776119,18.5,14.219651741,14.219651741
1063464261,ALI,AURANGZEB,A,M.D.,M,I,455 LEWIS AVE,SUITE 216,MERIDEN,CT,064512121,US,Physician/General Surgery,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,21,2420,0.189214876,0.13,0.1019338843,0.1019338843
1063464261,ALI,AURANGZEB,A,M.D.,M,I,455 LEWIS AVE,SUITE 216,MERIDEN,CT,064512121,US,Physician/General Surgery,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,1668,0.6445323741,0.45,0.3528177458,0.3528177458
1063464261,ALI,AURANGZEB,A,M.D.,M,I,455 LEWIS AVE,SUITE 216,MERIDEN,CT,064512121,US,Physician/General Surgery,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,3137.0866667,162.0125,127.02,124.55083333
1063464279,BAKER,DAVID,M,MD,M,I,1470 MEDICAL PKWY,SUITE 160,CARSON CITY,NV,897034648,US,Physician/Cardiovascular Disease (Cardiology),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,111,121,77.257190083,19.614214876,14.157190083,12.42677686
1063464279,BAKER,DAVID,M,MD,M,I,1470 MEDICAL PKWY,SUITE 160,CARSON CITY,NV,897034648,US,Physician/Cardiovascular Disease (Cardiology),S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,13,13,232.35,46.58,33.250769231,34.391538462
1063464279,BAKER,DAVID,M,MD,M,I,1470 MEDICAL PKWY,SUITE 160,CARSON CITY,NV,897034648,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,9,67,465,515,486.16,82.585359223,60.574970874,50.79438835
1063464279,BAKER,DAVID,M,MD,M,I,1470 MEDICAL PKWY,SUITE 160,CARSON CITY,NV,897034648,US,Physician/Cardiovascular Disease (Cardiology),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,25,196,39.4188,29.5908,29.1888
1063464329,NORTHWOOD,JOHN,T,MD,M,I,14663 MERCANTILE DRIVE,,HUGO,MN,55038,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,15,43,129,77.225813953,8.32,5.7385271318,5.7385271318
1063464329,NORTHWOOD,JOHN,T,MD,M,I,14663 MERCANTILE DRIVE,,HUGO,MN,55038,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,18,15.438888889,1.42,1.0544444444,1.0544444444
1063464386,SONG,SOON-IL,,M.D.,M,I,82 HOLLAND ST,,ROCHESTER,NY,146052131,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,30,68,179,81.635251397,8.32,5.7820111732,5.7820111732
1063464386,SONG,SOON-IL,,M.D.,M,I,82 HOLLAND ST,,ROCHESTER,NY,146052131,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,19,33,53,13.609245283,1.42,0.9467924528,0.9467924528
1063464386,SONG,SOON-IL,,M.D.,M,I,82 HOLLAND ST,,ROCHESTER,NY,146052131,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3,2.3519354839,2.3677419355
1063464386,SONG,SOON-IL,,M.D.,M,I,82 HOLLAND ST,,ROCHESTER,NY,146052131,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,8469,3,0.3596174283,0.2650029519,0.2725422128
1063464386,SONG,SOON-IL,,M.D.,M,I,82 HOLLAND ST,,ROCHESTER,NY,146052131,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,13,1441,0.373684941,0.04648161,0.0316238723,0.0316238723
1063464386,SONG,SOON-IL,,M.D.,M,I,82 HOLLAND ST,,ROCHESTER,NY,146052131,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,15,15,33,33,22.420666667,22.420666667
1063464501,CARTER,AMY,E,M.D.,F,I,5540 HIGHWAY 431 S,,BROWNSBORO,AL,357419771,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,44,65.357272727,8.32,4.1495454545,4.1495454545
1063464501,CARTER,AMY,E,M.D.,F,I,5540 HIGHWAY 431 S,,BROWNSBORO,AL,357419771,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,49,22.790909091,17.866363636,14.077272727
1063464501,CARTER,AMY,E,M.D.,F,I,5540 HIGHWAY 431 S,,BROWNSBORO,AL,357419771,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,350,105.01636364,82.335454545,58.411818182
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,46,73.732391304,8.32,5.9547826087,5.9547826087
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,35.06,10.93,8.3263636364,8.3263636364
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,A4404,"Ostomy ring, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,3.405,1.89,1.482,1.482
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,26.248,9.86,7.73,7.73
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,110,10.978,4.04,3.167,3.167
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,760.48,67.72,53.1,54.594166667
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,J1566,"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,910,173.17853846,37.565307692,29.451208791,29.451208791
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.72,30.36,29.59
1063464519,KUTLER,CHARLES,,MD,M,I,360 WASHINGTON AVR,,KINGSTON,NY,124015144,US,Physician/Infectious Disease,S,Q2052,"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,12,900,358.5,281.06,281.06
1063464618,HIGLEY,LISA,,DO,F,I,36333 HARPER AVE,,CLINTON TWP,MI,480352958,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,14,37,111,46.187117117,8.32,5.699009009,5.699009009
1063464618,HIGLEY,LISA,,DO,F,I,36333 HARPER AVE,,CLINTON TWP,MI,480352958,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,26,33,14.294242424,1.42,1.0496969697,1.0496969697
1063464618,HIGLEY,LISA,,DO,F,I,36333 HARPER AVE,,CLINTON TWP,MI,480352958,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,19,71.631578947,17.25,12.808421053,12.823157895
1063464618,HIGLEY,LISA,,DO,F,I,36333 HARPER AVE,,CLINTON TWP,MI,480352958,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,23,28,194.92571429,79.88,55.26,50.181428571
1063464642,MYERS,RUSSELL,H,M.D.,M,I,3000 WATERCOVE RD,,MIDLOTHIAN,VA,231123982,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,16,47,146,74.770958904,8.32,5.8071917808,5.8071917808
1063464642,MYERS,RUSSELL,H,M.D.,M,I,3000 WATERCOVE RD,,MIDLOTHIAN,VA,231123982,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,13,9.5284615385,1.42,0.96,0.96
1063464733,MUHA,JEFFREY,P,D.P.M.,M,I,1580 FREEDOM BLVD,SUITE 106,FLORENCE,SC,295056074,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,41,104.3,71.56,53.368292683,53.36804878
1063464733,MUHA,JEFFREY,P,D.P.M.,M,I,1580 FREEDOM BLVD,SUITE 106,FLORENCE,SC,295056074,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,24,67.666666667,29.19,21.582083333,21.5825
1063464741,SLEUWEN,LESLIE,,MD,F,I,135 N OAK ST,,HINSDALE,IL,605213860,US,Physician/Family Practice,S,E0986,"Manual wheelchair accessory, push-rim activated power assist system",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,1197.9,433.42166667,327.8475,327.8475
1063464808,TAYLOR,ROBERT,L,M.D.,M,I,25 EAST WILLOW ST.,,MILLBURN,NJ,07041,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,12,44,63.986818182,8.32,6.5222727273,6.5222727273
1063464840,VERMA,SAROJ,,M.D.,F,I,10701 S EWING AVE,,CHICAGO,IL,606176606,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,37,84,239,66.588577406,8.32,6.0852719665,6.0852719665
1063464840,VERMA,SAROJ,,M.D.,F,I,10701 S EWING AVE,,CHICAGO,IL,606176606,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,21,40,53,11.628679245,1.42,1.0743396226,1.0743396226
1063464840,VERMA,SAROJ,,M.D.,F,I,10701 S EWING AVE,,CHICAGO,IL,606176606,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.0127272727,3.1418181818,3.6781818182
1063464840,VERMA,SAROJ,,M.D.,F,I,10701 S EWING AVE,,CHICAGO,IL,606176606,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,55,55,393.96654545,77.736,56.968,51.187454545
1063464840,VERMA,SAROJ,,M.D.,F,I,10701 S EWING AVE,,CHICAGO,IL,606176606,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,24,2729,1.1853242946,0.1329424698,0.1042506413,0.1042506413
1063464840,VERMA,SAROJ,,M.D.,F,I,10701 S EWING AVE,,CHICAGO,IL,606176606,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,45,32.609090909,20.299090909,16.330909091
1063464840,VERMA,SAROJ,,M.D.,F,I,10701 S EWING AVE,,CHICAGO,IL,606176606,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,29,29,84.206896552,33,25.87,25.87
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,23,70,178,448,64.406428571,8.32,5.6589285714,5.6589285714
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,13,31,31,14.294193548,3.38,2.2225806452,2.2225806452
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,13,16,16,24.7275,2.12,1.356875,1.356875
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,16,34,67,95,13.978,1.42,0.8574736842,0.8574736842
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,1140,2.7592105263,1.92,1.4164912281,1.5080701754
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,21,41,5.5590243902,1.47,1.0941463415,1.0941463415
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,155.7376,48.5996,36.7096,37.0944
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,71.302608696,17.27,11.236956522,11.236956522
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,50,17.27,11.283333333,11.283333333
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,123.00882353,47.37,28.855294118,29.339411765
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,28,30,46.011,4.77,3.5083333333,3.35
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,11,75,76,405.99657895,70.233026316,48.076447368,47.811184211
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,22,250,36.14,28.33,29.456363636
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,1260,16.662357143,9.6322380952,7.5516587302,7.5516587302
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,14,4788,0.3142063492,0.0463763576,0.0327088555,0.0327088555
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,44,5280,1.6993011364,0.1338238636,0.0915037879,0.0915037879
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1140,8.6933684211,3.1386315789,2.3678245614,2.3678245614
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,81.041666667,18.775,10.495416667,10.125
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,120.7826087,37.394347826,23.150434783,23.529130435
1063464923,MUELLER,MARK,T,M.D.,M,I,582 N CABLE ROAD,,LIMA,OH,45805,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,10,,64,64,76.3125,33,23.2628125,23.2628125
1063464949,BLACK,STEVEN,G,OD,M,I,4424 S 7TH ST,,TERRE HAUTE,IN,478010218,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,15,72.73,72.73,49.417333333,46.041333333
1063464949,BLACK,STEVEN,G,OD,M,I,4424 S 7TH ST,,TERRE HAUTE,IN,478010218,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,23,66.038695652,64.755217391,47.010434783,50.252173913
1063464949,BLACK,STEVEN,G,OD,M,I,4424 S 7TH ST,,TERRE HAUTE,IN,478010218,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,22,5,5,3.7059090909,12.855454545
1063464972,CHOW,DOMINIC,,M.D.,M,I,3675 KILAUEA AVE,5TH FLOOR,HONOLULU,HI,968162333,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,35,76.274,8.32,6.5205714286,6.5205714286
1063464972,CHOW,DOMINIC,,M.D.,M,I,3675 KILAUEA AVE,5TH FLOOR,HONOLULU,HI,968162333,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,14,14.56,1.42,1.12,1.12
1063465342,EISENGART,CHARLES,A,M.D.,M,I,3131 PRINCETON PIKE,BLDG 3C-201,LAWRENCEVILLE,NJ,08648,US,Physician/Colorectal Surgery (Proctology),S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,192,8.6790625,2.91,2.2813020833,2.2813020833
1063465342,EISENGART,CHARLES,A,M.D.,M,I,3131 PRINCETON PIKE,BLDG 3C-201,LAWRENCEVILLE,NJ,08648,US,Physician/Colorectal Surgery (Proctology),S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,140,16,5.54,4.3432142857,4.3432142857
1063465342,EISENGART,CHARLES,A,M.D.,M,I,3131 PRINCETON PIKE,BLDG 3C-201,LAWRENCEVILLE,NJ,08648,US,Physician/Colorectal Surgery (Proctology),S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,480,0.25,0.05,0.03925,0.03925
1063465409,WILLEFORD,CARL,A,FNP-C,M,I,1018 N MOUND ST STE 203,,NACOGDOCHES,TX,759614434,US,Nurse Practitioner,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,19,38,8.19,1.9673684211,1.2094736842,0.8810526316
1063465409,WILLEFORD,CARL,A,FNP-C,M,I,1018 N MOUND ST STE 203,,NACOGDOCHES,TX,759614434,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,220,102.61833333,75.355833333,50.050833333
1063465409,WILLEFORD,CARL,A,FNP-C,M,I,1018 N MOUND ST STE 203,,NACOGDOCHES,TX,759614434,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,27,1920,0.94625,0.136421875,0.1024427083,0.1024427083
1063465409,WILLEFORD,CARL,A,FNP-C,M,I,1018 N MOUND ST STE 203,,NACOGDOCHES,TX,759614434,US,Nurse Practitioner,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,91.519090909,29.714545455,21.986363636,13.098181818
1063465409,WILLEFORD,CARL,A,FNP-C,M,I,1018 N MOUND ST STE 203,,NACOGDOCHES,TX,759614434,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,26,26,128.19230769,33,23.88,23.88
1063465458,COLE,TARA,M,,F,I,7455 VILLAGE DR,,LINO LAKES,MN,550141181,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,13,37,105,67.360952381,8.32,6.2743809524,6.2743809524
1063465458,COLE,TARA,M,,F,I,7455 VILLAGE DR,,LINO LAKES,MN,550141181,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,13,16,14.565,1.42,1.11625,1.11625
1063465458,COLE,TARA,M,,F,I,7455 VILLAGE DR,,LINO LAKES,MN,550141181,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,232.35,55.12,39.290909091,38.009090909
1063465458,COLE,TARA,M,,F,I,7455 VILLAGE DR,,LINO LAKES,MN,550141181,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,11,11,232.35,48.31,36.203636364,35.954545455
1063465508,SCHERER,KATALIN,,MD,F,I,2800 E AJO WAY,NEUROLOGY DEPARTMENT,TUCSON,AZ,857136204,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,11,11,66.901818182,11.869090909,9.3081818182,9.1272727273
1063465508,SCHERER,KATALIN,,MD,F,I,2800 E AJO WAY,NEUROLOGY DEPARTMENT,TUCSON,AZ,857136204,US,Physician/Neurology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5656,1.2608486563,0.3187553041,0.2499045262,0.2454137199
1063465508,SCHERER,KATALIN,,MD,F,I,2800 E AJO WAY,NEUROLOGY DEPARTMENT,TUCSON,AZ,857136204,US,Physician/Neurology,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,,40,40,2225.337,1060.36625,816.98175,827.913
1063465508,SCHERER,KATALIN,,MD,F,I,2800 E AJO WAY,NEUROLOGY DEPARTMENT,TUCSON,AZ,857136204,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,1159.46,199.49,151.83333333,153.20958333
1063465508,SCHERER,KATALIN,,MD,F,I,2800 E AJO WAY,NEUROLOGY DEPARTMENT,TUCSON,AZ,857136204,US,Physician/Neurology,S,E0482,"Cough stimulating device, alternating positive and negative airway pressure",D1E - Other DME,Durable Medical Equipment,Y,5,,33,33,675.68727273,388.26484848,295.70454545,311.82151515
1063465508,SCHERER,KATALIN,,MD,F,I,2800 E AJO WAY,NEUROLOGY DEPARTMENT,TUCSON,AZ,857136204,US,Physician/Neurology,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,3,,33,33,84.783030303,40.857272727,32.030909091,33.787878788
1063465508,SCHERER,KATALIN,,MD,F,I,2800 E AJO WAY,NEUROLOGY DEPARTMENT,TUCSON,AZ,857136204,US,Physician/Neurology,S,K0739,"Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes",D1E - Other DME,Durable Medical Equipment,N,2,,13,56,34.785714286,18.87,14.396964286,14.396964286
1063465573,KODOTH,SANGEETHA,,MD,F,I,1346 DOWELL SPRINGS BLVD,,KNOXVILLE,TN,379092453,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,2,,24,96,704.40104167,19.697083333,15.318541667,15.318541667
1063465573,KODOTH,SANGEETHA,,MD,F,I,1346 DOWELL SPRINGS BLVD,,KNOXVILLE,TN,379092453,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,6760,159.74760947,9.8389230769,7.7137248521,7.7137248521
1063465573,KODOTH,SANGEETHA,,MD,F,I,1346 DOWELL SPRINGS BLVD,,KNOXVILLE,TN,379092453,US,Physician/Allergy/ Immunology,S,J1569,"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,968,319.77636364,42.409059917,33.248719008,33.248719008
1063465573,KODOTH,SANGEETHA,,MD,F,I,1346 DOWELL SPRINGS BLVD,,KNOXVILLE,TN,379092453,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,106,404.48330189,2.6377358491,2.0682075472,2.0682075472
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,29,61,155,50.815612903,8.32,5.5000645161,5.5000645161
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,18,30,38,15.016315789,1.42,0.9997368421,0.9997368421
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,231.23727273,115.13909091,82.47,60.119090909
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,129.32916667,70.573333333,47.4725,35.716666667
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,15,15,47.608,23.262,17.195333333,13.124666667
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,38.713636364,20.235454545,14.947272727,8.2909090909
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,,16,56,5.6189285714,2.7607142857,2.1019642857,1.535
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.37,22.4775,15.134166667,11.275
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,19,19,40,14.763684211,9.1368421053,8.2747368421
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,30.058421053,6.6031578947,4.3605263158,2.6684210526
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,127,44.665,30.763333333,20.866333333
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,298.3830303,105.01636364,77.080909091,49.780909091
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,2323,0.3660869565,0.0458286698,0.0236375377,0.0236375377
1063465631,GURDEN,BARBARA,A,DO,F,I,317 E GRAND RIVER RD,,LAINGSBURG,MI,488488742,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,99,33,23.406190476,23.406190476
1063465771,GABRIEL,LYNNELLE,R,DPM,F,I,265 GRIFFIN ST E,,AMERY,WI,540011439,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,28,107.20178571,71.56,53.42,53.42
1063465805,KAMKAR,NASER,,M.D.,M,I,4575 VIA ROYALE,SUITE 216,FORT MYERS,FL,339191043,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,18,79,57.733417722,8.32,6.0272151899,6.0272151899
1063465805,KAMKAR,NASER,,M.D.,M,I,4575 VIA ROYALE,SUITE 216,FORT MYERS,FL,339191043,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,16.363636364,3.38,2.65,2.65
1063465805,KAMKAR,NASER,,M.D.,M,I,4575 VIA ROYALE,SUITE 216,FORT MYERS,FL,339191043,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,29,16.153103448,1.42,1.1117241379,1.1117241379
1063465938,STEIN,EDWARD,P,MD,M,I,304 OSLOSKI RD,,EUREKA,MT,599179217,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,29,97,148,101.24141892,8.32,5.8228378378,5.8228378378
1063465938,STEIN,EDWARD,P,MD,M,I,304 OSLOSKI RD,,EUREKA,MT,599179217,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,12,15,72.202666667,1.42,0.9686666667,0.9686666667
1063465938,STEIN,EDWARD,P,MD,M,I,304 OSLOSKI RD,,EUREKA,MT,599179217,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,33,33,64.338787879,22.074545455,15.496666667,11.89
1063465938,STEIN,EDWARD,P,MD,M,I,304 OSLOSKI RD,,EUREKA,MT,599179217,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,20,20,232.35,58.82,40.252,32.129
1063465938,STEIN,EDWARD,P,MD,M,I,304 OSLOSKI RD,,EUREKA,MT,599179217,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,50,50,428.0614,100.6588,73.554,52.098
1063465938,STEIN,EDWARD,P,MD,M,I,304 OSLOSKI RD,,EUREKA,MT,599179217,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,12,52,6000,3.6553566667,0.136005,0.1048383333,0.1048383333
1063465938,STEIN,EDWARD,P,MD,M,I,304 OSLOSKI RD,,EUREKA,MT,599179217,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,11,50,50,46.86,33,25.3526,25.3526
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,66,269,65.14267658,8.3039405204,5.6852416357,5.6978438662
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,14,27,39,13.195384615,1.42,0.9446153846,0.9446153846
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,A4424,"Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,250,6.762,5.36,3.62816,3.62816
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,13,28,6.12,1.5085714286,1.0985714286,1.0692857143
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,37,9.8543243243,1.99,1.307027027,1.3394594595
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,75.623076923,17.69,11.736153846,11.474615385
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,21,232.35,49.67,30.128571429,29.122857143
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,4430.1,1074.31,829.21727273,829.21727273
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,28,28,29.191071429,5.9225,4.2807142857,3.2578571429
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,434.48083333,32.165,21.34,21.448333333
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,22,121,124,519.12475806,69.99,49.466854839,49.3675
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,146.04921053,38.68,27.128421053,26.510263158
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,23,5945,0.1918889823,0.0476198486,0.0308730025,0.0308730025
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,1676,1.9586694511,0.130447494,0.0957637232,0.0957637232
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,9.953030303,2.9555454545,2.2339848485,2.2339848485
1063465995,GRABER,TERRY,M,MD,M,I,1041 MONTGOMERY STREET,,CUSTER,SD,577301304,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,33,33,90,33,22.086060606,22.086060606
1063466076,BETHEL,SONYA,N,M.D.,F,I,7440 SPRING VILLAGE DR,,SPRINGFIELD,VA,221504446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,18,32,95,60.432210526,8.32,5.9727368421,5.9727368421
1063466076,BETHEL,SONYA,N,M.D.,F,I,7440 SPRING VILLAGE DR,,SPRINGFIELD,VA,221504446,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,11.866363636,3.38,2.4090909091,2.4090909091
1063466076,BETHEL,SONYA,N,M.D.,F,I,7440 SPRING VILLAGE DR,,SPRINGFIELD,VA,221504446,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,11,18,33,15.195757576,1.42,1.0118181818,1.0118181818
1063466076,BETHEL,SONYA,N,M.D.,F,I,7440 SPRING VILLAGE DR,,SPRINGFIELD,VA,221504446,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,39.73,4.63,3.3253333333,3.304
1063466076,BETHEL,SONYA,N,M.D.,F,I,7440 SPRING VILLAGE DR,,SPRINGFIELD,VA,221504446,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,84.327692308,26.320769231,16.213076923,20.223846154
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7500,"Azathioprine, oral, 50 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,7,12,82,4515,1.8600863787,0.4999335548,0.3714861573,0.3765271318
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7503,"Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,8520,1.4498650235,1.2421267606,0.9610140845,0.9610105634
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,24,52,384,56967,3.857754665,0.5302464585,0.3970140608,0.4033289448
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,19,50,392,59085,0.0844263349,0.0130017771,0.0096411949,0.0096489803
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7515,"Cyclosporine, oral, 25 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,58,7110,2.1058677918,0.7380970464,0.5366385373,0.5366385373
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7517,"Mycophenolate mofetil, oral, 250 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,10,19,179,25440,4.6282912736,1.1910554245,0.9058793239,0.9086741352
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7518,"Mycophenolic acid, oral, 180 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,11,24,179,26976,4.0241618476,2.7508648428,2.052957073,2.1162270166
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,J7520,"Sirolimus, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,12,16,111,4317,21.870970581,7.4485591846,5.4542691684,5.63419041
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,39,82,589,589,24,24,17.937860781,17.937826825
1063466282,GOHH,REGINALD,Y,MD,M,I,375 WAMPANOAG TRL,SUITE 302A,RIVERSIDE,RI,029152232,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,26,75,730,778,16,16,12.101323907,12.101311054
1063466316,OSLEEB,CRAIG,S,MD,M,I,90 S BEDFORD RD,"MOUNT KISCO MEDICAL GROUP, PC",MOUNT KISCO,NY,105493412,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,72.96,19.71,15.4525,15.4525
1063466316,OSLEEB,CRAIG,S,MD,M,I,90 S BEDFORD RD,"MOUNT KISCO MEDICAL GROUP, PC",MOUNT KISCO,NY,105493412,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,5280,33.579,9.842,7.716125,7.716125
1063466316,OSLEEB,CRAIG,S,MD,M,I,90 S BEDFORD RD,"MOUNT KISCO MEDICAL GROUP, PC",MOUNT KISCO,NY,105493412,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,45,8.55,2.64,2.07,2.07
1063466324,LARKIN,DURGA,S,M.D.,F,I,55 VILLAGE SQUARE DRIVE,BUILDING 24,SOUTH KINGSTOWN,RI,02879,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,31,31,31,68.443225806,67.429354839,49.90483871,49.917096774
1063466324,LARKIN,DURGA,S,M.D.,F,I,55 VILLAGE SQUARE DRIVE,BUILDING 24,SOUTH KINGSTOWN,RI,02879,US,Physician/Ophthalmology,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,24,73.208333333,53.1,39.895416667,41.845416667
1063466522,BEHBAHANI,SAEED,,MD,M,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584581,US,Physician/Geriatric Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,371,4.6101886792,3.04,2.3446630728,2.3301347709
1063466522,BEHBAHANI,SAEED,,MD,M,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584581,US,Physician/Geriatric Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,7036,0.4284948835,0.31,0.22470722,0.22470722
1063466522,BEHBAHANI,SAEED,,MD,M,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584581,US,Physician/Geriatric Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,132.29090909,47.641818182,34.150909091,34.167272727
1063466522,BEHBAHANI,SAEED,,MD,M,I,9590 E IRONWOOD SQUARE DR,STE 125,SCOTTSDALE,AZ,852584581,US,Physician/Geriatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,16,54,62,59.062741935,19.083870968,13.619193548,13.131935484
1063466597,VORA,ANAND,,MD,M,I,720 FLORSHEIM DR,,LIBERTYVILLE,IL,600483757,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,14,90.785714286,72.45,56.8,62.65
1063466597,VORA,ANAND,,MD,M,I,720 FLORSHEIM DR,,LIBERTYVILLE,IL,600483757,US,Physician/Orthopedic Surgery,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,43,44,44,318.84090909,251.28,189.38795455,209.88795455
1063466647,KAPUR,VIKRAM,,M.D,M,I,10450 W MCDOWELL RD,SUITE 101,AVONDALE,AZ,853924802,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,54,131,61.398015267,8.32,6.4132824427,6.4132824427
1063466647,KAPUR,VIKRAM,,M.D,M,I,10450 W MCDOWELL RD,SUITE 101,AVONDALE,AZ,853924802,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,12,27,44,16.2075,1.42,1.1159090909,1.1159090909
1063466738,GUPTA,ANSHU,,MD,F,I,800 AUSTIN STREET,SUITE 404 WEST TOWER,EVANSTON,IL,60202,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,25,78,80.084230769,8.32,6.1873076923,6.1873076923
1063466795,GUPTA,RAJNISH,K,M.D.,M,I,85 COMMERCE PARK DR,,WESTERVILLE,OH,430828348,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,36,81,56.409382716,8.32,5.9274074074,5.9274074074
1063466795,GUPTA,RAJNISH,K,M.D.,M,I,85 COMMERCE PARK DR,,WESTERVILLE,OH,430828348,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,18,24,16.93,1.42,0.93,0.93
1063466795,GUPTA,RAJNISH,K,M.D.,M,I,85 COMMERCE PARK DR,,WESTERVILLE,OH,430828348,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,19,19,506.37789474,81.022105263,54.748421053,50.485263158
1063466811,BUSCH,ROBERT,G,D.O.,M,I,4601 W US HIGHWAY 90,,LAKE CITY,FL,320554880,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,14,89,14960,3.8107506684,2.04,1.5737433155,1.5737433155
1063466811,BUSCH,ROBERT,G,D.O.,M,I,4601 W US HIGHWAY 90,,LAKE CITY,FL,320554880,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,20,2.065,1.6,1.252,1.4025
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,24,73,61.918767123,8.32,5.6687671233,5.6687671233
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,25,25,200,49.5128,38.818,39.3196
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,34,34,25.273529412,5.2361764706,4.02,3.5602941176
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,146.66666667,41.720833333,30.556666667,22.745
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,56,56,358.80928571,79.535357143,60.223928571,55.349464286
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,18,3150,0.17,0.0454571429,0.0303650794,0.0303650794
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,15,1140,0.7358947368,0.1374210526,0.1077631579,0.1077631579
1063466845,OMAR,WALID,,MD,M,I,100 WHETSTONE PL,SUITE 204,ST AUGUSTINE,FL,320865774,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,29,29,98.422413793,33,24.085862069,24.085862069
1063466886,KO,UNCHU,,M.D.,F,I,788 N JEFFERSON ST,SUITE 300,MILWAUKEE,WI,532023718,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,19,44,77.972727273,8.32,5.6318181818,5.6318181818
1063467116,ALEGRE,GARY,M,MD,M,I,2488 N CALIFORNIA,ALPINE ORTHOPAEDIC MEDICAL GROUP INC,STOCKTON,CA,952045508,US,Physician/Orthopedic Surgery,S,L0120,"Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,34,32.11,21.204210526,17.667368421
1063467116,ALEGRE,GARY,M,MD,M,I,2488 N CALIFORNIA,ALPINE ORTHOPAEDIC MEDICAL GROUP INC,STOCKTON,CA,952045508,US,Physician/Orthopedic Surgery,S,L0641,"Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,82.66,73.8884,57.926,58.8404
1063467181,NAYAK,NAVIN,N,MD,M,I,9290 SE SUNNYBROOK BLVD,SUITE 120,CLACKAMAS,OR,970156899,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,12,27,92,61.674021739,8.32,6.4518478261,6.4518478261
1063467181,NAYAK,NAVIN,N,MD,M,I,9290 SE SUNNYBROOK BLVD,SUITE 120,CLACKAMAS,OR,970156899,US,Physician/Internal Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,13,13,14.223076923,9.8769230769,7.7469230769,7.7469230769
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,26,7.8461538462,0.51,0.3384615385,0.3384615385
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,41,107,250,48.39776,8.32,5.839,5.839
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,13,22,22,13.600909091,3.38,2.0477272727,2.0477272727
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,24,48,52,13.211730769,1.42,0.9030769231,0.9030769231
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,21,2298,11.4,7.88,6.11551349,6.11551349
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,29,29,71.937931034,39.239310345,30.760689655,30.452758621
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,34,77,77,254.32948052,87.152597403,65.434415584,64.94025974
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,14,37,54,124.42388889,34.288518519,26.391481481,25.452037037
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,17,28,32.262857143,15.12,11.856071429,11.888214286
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,28,66,66,150.66242424,54.47,38.56530303,38.701212121
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,55,73,73,53.995068493,17.90739726,13.540684932,13.565479452
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,46,104,104,55.199038462,11.54,8.4977884615,8.56375
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,57,142,314,9.1959872611,2.0474522293,1.5534713376,1.5355414013
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,24,30,30,45.021666667,13.403333333,9.876,9.7176666667
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,182.83818182,75.298181818,59.033636364,43.901818182
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,62.103333333,17.29,11.743333333,11.726
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,370,84.9875,66.6275,66.6275
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,13,13,13,392.30769231,135.74,100.14615385,98.66
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,22,120,123,167.8996748,33.635121951,24.196585366,23.912845528
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,79,79,390.62924051,70.23,49.805189873,49.551392405
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,16,960,0.3473333333,0.138,0.1014270833,0.1014270833
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,2.9846666667,0.219,0.1431944444,0.1431944444
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,40,72.636,37.44,27.04875,27.15475
1063467264,ZAVELO,CRAIG,M,MD,M,I,670 CARDINAL PLACE,,NEW BERN,NC,285625201,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,23,23,33,33,23.620434783,23.620434783
1063467314,FERNICOLA,JOSEPH,,,M,I,470 N FRANKLIN TPKE,,RAMSEY,NJ,074461120,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,14,40,127,64.129448819,8.32,6.0082677165,6.0082677165
1063467314,FERNICOLA,JOSEPH,,,M,I,470 N FRANKLIN TPKE,,RAMSEY,NJ,074461120,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,22,27,11.788518519,1.42,1.1177777778,1.1177777778
1063467314,FERNICOLA,JOSEPH,,,M,I,470 N FRANKLIN TPKE,,RAMSEY,NJ,074461120,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,118.75,21.555,16.898333333,21.068333333
1063467504,DAVIS,MONICA,L,M.D.,F,I,1195 OLD HICKORY BLVD,SUITE 103,BRENTWOOD,TN,370274239,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,359,100,6.58,4.99454039,3.9988857939
1063467504,DAVIS,MONICA,L,M.D.,F,I,1195 OLD HICKORY BLVD,SUITE 103,BRENTWOOD,TN,370274239,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,4027,1.4036006953,0.32,0.2298683884,0.2226893469
1063467512,EDWARDS,JENNIFER,E,M.D.,F,I,580 W 5TH ST,,RENO,NV,895034407,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,23,23,1537.95,1074.31,842.26,842.26
1063467512,EDWARDS,JENNIFER,E,M.D.,F,I,580 W 5TH ST,,RENO,NV,895034407,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,15,15,61,6.7613333333,3.4806666667,1.836
1063467512,EDWARDS,JENNIFER,E,M.D.,F,I,580 W 5TH ST,,RENO,NV,895034407,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,41,410.26341463,65.7,45.666829268,48.887560976
1063467538,BLUE,BRENT,,MD,M,I,982 W BROADWAY,,JACKSON,WY,830015240,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,86.31,20.786153846,16.294615385,13.534615385
1063467538,BLUE,BRENT,,MD,M,I,982 W BROADWAY,,JACKSON,WY,830015240,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,30,30,519.51,100.71266667,74.975333333,52.429333333
1063467546,TADROS,KAMAL,A,M.D.,M,I,235-20 147 AVE,STE 1,ROSEDALE,NY,11422,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,28,72.466785714,8.32,6.0546428571,6.0546428571
1063467611,LINDER,STEPHANIE,L,M.D.,F,I,902 AVERILL RD,,JOPPA,MD,210853827,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,23,54,148,70.666621622,8.32,5.0497972973,5.0497972973
1063467611,LINDER,STEPHANIE,L,M.D.,F,I,902 AVERILL RD,,JOPPA,MD,210853827,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,13,25,35,14.361428571,1.42,0.7982857143,0.7982857143
1063467611,LINDER,STEPHANIE,L,M.D.,F,I,902 AVERILL RD,,JOPPA,MD,210853827,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1500,1.9585866667,0.1308,0.0807333333,0.0807333333
1063467611,LINDER,STEPHANIE,L,M.D.,F,I,902 AVERILL RD,,JOPPA,MD,210853827,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,14,33,33,20.326428571,20.326428571
1063467645,FORTE,FRANCIS,A,M.D.,M,I,350 ENGLE ST,1ST FLOOR BERRIE BUILDING,ENGLEWOOD,NJ,076311808,US,Physician/Hematology-Oncology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,13,840,2.3844404762,2.2672857143,1.7775952381,1.7775952381
1063467652,STADDLER,DANIEL,J,MD,M,I,3200 E RACINE ST,,JANESVILLE,WI,535462343,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,22,84,208,74.033269231,8.32,6.2722596154,6.2722596154
1063467652,STADDLER,DANIEL,J,MD,M,I,3200 E RACINE ST,,JANESVILLE,WI,535462343,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,14,21,26,21.133076923,1.42,1.0742307692,1.0742307692
1063467652,STADDLER,DANIEL,J,MD,M,I,3200 E RACINE ST,,JANESVILLE,WI,535462343,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,25.847368421,6.4857894737,4.8989473684,3.5768421053
1063467652,STADDLER,DANIEL,J,MD,M,I,3200 E RACINE ST,,JANESVILLE,WI,535462343,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,14,14,383.32642857,69.81,46.911428571,46.911428571
1063467652,STADDLER,DANIEL,J,MD,M,I,3200 E RACINE ST,,JANESVILLE,WI,535462343,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,69.746666667,26.160833333,20.509166667,16.251666667
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,72,72.608333333,15.31,11.009583333,10.924444444
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,272.25333333,54.428,42.214,42.344666667
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,14,14,63.047142857,18.292857143,14.341428571,14.114285714
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,16,16,82.08375,12.1575,9.53,9.138125
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,23,138,9.437826087,2.0443478261,1.6038405797,1.5947101449
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,11,11,81.147272727,17.09,13.4,13.53
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,58.333333333,4,2.915,3.3316666667
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,125,32.807692308,21.952307692,19.803846154
1063467751,HEINRICH,MARK,T,DO,M,I,1611 FEATHER RIVER BLVD,SUITE 110,OROVILLE,CA,95965,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,26,195,195,359.82353846,65.7,46.940615385,50.13225641
1063467793,BISHNOI,ALKA,,MD,F,I,486 SUNRISE HWY,,W BABYLON,NY,11704,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,16,204,69.347352941,19.656813725,15.410637255,15.410637255
1063467793,BISHNOI,ALKA,,MD,F,I,486 SUNRISE HWY,,W BABYLON,NY,11704,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,480,9.076,2.6375,2.0677291667,2.0677291667
1063467793,BISHNOI,ALKA,,MD,F,I,486 SUNRISE HWY,,W BABYLON,NY,11704,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,51,88,278,891,62.879248036,8.32,6.058047138,6.058047138
1063467793,BISHNOI,ALKA,,MD,F,I,486 SUNRISE HWY,,W BABYLON,NY,11704,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,7,18,33,33,10.908484848,3.38,2.5696969697,2.5696969697
1063467793,BISHNOI,ALKA,,MD,F,I,486 SUNRISE HWY,,W BABYLON,NY,11704,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,7,16,18,18,15.38,2.12,1.5772222222,1.5772222222
1063467793,BISHNOI,ALKA,,MD,F,I,486 SUNRISE HWY,,W BABYLON,NY,11704,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,21,36,79,148,10.970202703,1.42,1.0767567568,1.0767567568
1063467793,BISHNOI,ALKA,,MD,F,I,486 SUNRISE HWY,,W BABYLON,NY,11704,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,749.95818182,347.66181818,259.52272727,259.52272727
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,35,82,215,59.869953488,8.32,5.7036744186,5.7036744186
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,17,35,17.874857143,1.42,1.0194285714,1.0194285714
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,397,14.488664987,3.26,2.5559949622,2.3676826196
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,17,9106,2.1188117725,0.3181374918,0.249416868,0.2430342631
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,45.076923077,18,11.939230769,11.456923077
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,57.4,41.25,38.325833333
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,50.34,36.171666667,34.494166667
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,267.20615385,86.84,56.39,45.094615385
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,23.679277778,9.6325,7.551875,7.551875
1063467876,ELROD,JAMES,T,M.D.,M,I,5653 FRIST BLVD,SUITE 630,HERMITAGE,TN,370762094,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,25.87,25.87
1063467926,ABBOTT,CRISPIN,P,PHYSICIAN ASSISTANT,M,I,2100 LYNN RD,,THOUSAND OAKS,CA,913608038,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,14,28,73.030357143,8.32,6.52,6.52
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,13,30,86,60.768488372,8.32,5.9148837209,5.9148837209
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,31,31,172.05290323,50.853548387,36.606451613,28.306451613
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,14,30,30,493.616,119.46066667,82.128333333,58.711333333
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,18,44,187.06954545,46.894318182,35.201818182,25.380681818
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,15,30,30,307.89133333,75.230666667,54.348333333,41.134333333
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,28,44,44,90.095,24.970909091,18.172954545,13.590909091
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,13,25,25,104.07,20.4284,14.806,8.4884
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,26,70,341,13.756129032,3.1,2.2513489736,1.5037536657
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,12,19,19,51.454736842,15.838947368,11.82,10.084210526
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,321,14.096978193,7.1780373832,5.6275077882,4.1630218069
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,43,44,85.802954545,22.522272727,16.977727273,13.325454545
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,23,25,619.3328,120.2868,93.3376,67.69
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,44,48,81.75,17.972083333,13.849375,10.188125
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,44,46,243.81782609,48.650434783,37.020869565,25.07326087
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,20,157,164,510.82932927,102.15878049,75.438963415,52.470731707
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,720,13.94,11.353916667,8.7022361111,8.7022361111
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,35,3120,0.930125,0.1313365385,0.0933589744,0.0933589744
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,23,1380,12.86,3.0362608696,2.3804565217,2.3804565217
1063468015,ARMSTRONG,PATRICK,T,PA-C,M,I,418 WEST MONROE,,CHESTER,MT,59522,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,55,55,130.2,33,24.458909091,24.458909091
1063468247,DOMINGUEZ,SONYA,J,M.D.,F,I,2627 RIVERSIDE AVE,,JACKSONVILLE,FL,322044712,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,32,94,54.826702128,8.32,6.5222340426,6.5222340426
1063468247,DOMINGUEZ,SONYA,J,M.D.,F,I,2627 RIVERSIDE AVE,,JACKSONVILLE,FL,322044712,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,13,28,15.707142857,1.42,1.1142857143,1.1142857143
1063468247,DOMINGUEZ,SONYA,J,M.D.,F,I,2627 RIVERSIDE AVE,,JACKSONVILLE,FL,322044712,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,91.206666667,16.5,12.94,13.515
1063468247,DOMINGUEZ,SONYA,J,M.D.,F,I,2627 RIVERSIDE AVE,,JACKSONVILLE,FL,322044712,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,150,5.51,3.96,3.6208333333
1063468247,DOMINGUEZ,SONYA,J,M.D.,F,I,2627 RIVERSIDE AVE,,JACKSONVILLE,FL,322044712,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,24,24,422.91291667,77.18,59.695416667,54.147083333
1063468312,CHANDRA,PRASAD,G,M.D.,M,I,6045 BRIDGETOWN RD,,CINCINNATI,OH,452483049,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,25,56,130,75.633384615,8.32,5.8193846154,5.8193846154
1063468312,CHANDRA,PRASAD,G,M.D.,M,I,6045 BRIDGETOWN RD,,CINCINNATI,OH,452483049,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,15,33,45,20.413555556,1.42,1.0657777778,1.0657777778
1063468312,CHANDRA,PRASAD,G,M.D.,M,I,6045 BRIDGETOWN RD,,CINCINNATI,OH,452483049,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,70,17.36,13.61,13.54
1063468312,CHANDRA,PRASAD,G,M.D.,M,I,6045 BRIDGETOWN RD,,CINCINNATI,OH,452483049,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,366.66666667,79,61.94,54.73
1063468338,BOSMA,CECILY,,PA-C,F,I,4151 FOOTHILL RD,,SANTA BARBARA,CA,931101110,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,34,43,90,276,73.532173913,8.32,5.8317753623,5.8317753623
1063468338,BOSMA,CECILY,,PA-C,F,I,4151 FOOTHILL RD,,SANTA BARBARA,CA,931101110,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,17,30,47,13.998085106,1.42,1.0206382979,1.0206382979
1063468338,BOSMA,CECILY,,PA-C,F,I,4151 FOOTHILL RD,,SANTA BARBARA,CA,931101110,US,Physician Assistant,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,4,20,89,89,279.19786517,250.16764045,193.59988764,194.0288764
1063468338,BOSMA,CECILY,,PA-C,F,I,4151 FOOTHILL RD,,SANTA BARBARA,CA,931101110,US,Physician Assistant,S,K0554,"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system",D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,319.85333333,253.81333333,198.98833333,207.1
1063468411,THOMPSON,MELISSA,J,M.D.,F,I,5950 UNIVERSITY AVE,STE 220,WEST DES MOINES,IA,50266,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,20,38,65.291578947,8.32,5.6623684211,5.6623684211
1063468627,SHAMEKH,SHAHRAM,D,MD,M,I,935 NORTHERN BLVD STE 105,,GREAT NECK,NY,110215309,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,30,72.228333333,8.32,5.6506666667,5.6506666667
1063468627,SHAMEKH,SHAHRAM,D,MD,M,I,935 NORTHERN BLVD STE 105,,GREAT NECK,NY,110215309,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,14,14,77.061428571,49.595,38.882142857,39.312857143
1063468627,SHAMEKH,SHAHRAM,D,MD,M,I,935 NORTHERN BLVD STE 105,,GREAT NECK,NY,110215309,US,Physician/Internal Medicine,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,3,,14,14,333.43,151.07142857,118.44,126.31571429
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,59,175,441,71.437936508,8.32,5.8392517007,5.8392517007
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,12,23,23,16.956521739,3.38,2.3043478261,2.3043478261
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,12,15,15,21.702666667,2.12,1.5586666667,1.5586666667
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,28,54,93,17.152043011,1.42,1.0552688172,1.0552688172
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,14,14,28,75.857857143,71.378571429,48.790714286,48.931428571
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,13,13,72,30.745694444,29.081527778,22.365833333,22.452222222
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,3,11,11,11,43.633636364,16.343636364,11.906363636,8.25
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,144.77181818,74.967272727,54.489090909,43.62
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,13,52,7.0103846154,3.2426923077,2.4405769231,1.8061538462
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,22,610,5.6632622951,4.2549180328,3.3357868852,2.5135245902
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,39,1123,12.153650935,6.4610863758,4.9522617988,4.0744078362
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,4,,40,15354,0.5718053927,0.3716412661,0.2903008988,0.2465468282
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,36,18078,1.481884058,0.7149834052,0.5526092488,0.5095049231
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,14,14,14,134.46928571,63.685,48.694285714,35.224285714
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,106.99071429,63.182142857,49.534285714,40.79
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,7,25,101,101,178.00534653,66.771980198,47.860792079,35.202178218
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,14,74,77,48.076363636,20.975584416,15.343506494,12.839480519
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,6,25,114,114,23.598333333,7.5960526316,5.2816666667,3.190877193
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,60,39.820909091,28.463636364,28.463636364
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0910,"Trapeze bars, a/k/a patient helper, attached to bed, with grab bar",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,21.472307692,9.6184615385,6.2946153846,5.3546153846
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,53,53,6.8456603774,3.4847169811,2.6847169811,2.1839622642
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,23,23,52.01,13.294782609,7.9265217391,6.4660869565
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,19,142,143,293.76615385,104.38391608,78.822797203,55.641818182
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,23,23,67.12,45.079565217,33.916086957,28.233478261
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,26,1510,17.572463576,9.6513774834,7.5103907285,7.5103907285
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,9,11,26,4387,0.4346660588,0.0450923182,0.0328333713,0.0328333713
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,19,64,7378,2.5714434806,0.1332678233,0.0967619951,0.0967619951
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,690,12.621594203,3.1489130435,2.4687536232,2.4687536232
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,5,32,175,175,65.669142857,23.273885714,16.864628571,12.969771429
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,99,37.958666667,28.322666667,22.099333333
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,24,24,153.59666667,62.242083333,44.063333333,33.345833333
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,25,25,232.05,85.5604,63.5068,46.8872
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,6,24,141,141,27.925319149,10.363049645,7.5321985816,6.1312056738
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,32,32,67.12,44.491875,32.8303125,28.5646875
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,20,20,584.489,273.0615,214.078,144.171
1063468809,RAO,LAKSHMAN,,MD,M,I,518 E H ST,,ERWIN,NC,283392209,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,14,24,78,78,44.423076923,33,23.88,23.88
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,25,82,182,59.846978022,8.32,5.5550549451,5.5550549451
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,23,23,14.22,3.38,2.5347826087,2.5347826087
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,19.953333333,2.12,1.67,1.67
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,20,50,56,15.17,1.42,0.9578571429,0.9578571429
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,18.59,1.98,1.3172727273,0.9436363636
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,50.662285714,22.576,16.845428571,13.788857143
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,35,35,217.11314286,99.139428571,75.705714286,67.459142857
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,2.6461666667,0.1338181818,0.0883787879,0.0883787879
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,146.25,26.185454545,18.783636364,11.909090909
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,23,23,102.11,39.199565217,29.79,19.959565217
1063468908,CHOWPAKNAM,GRIENGSAK,,M.D.,M,I,2200 N BRYAN AVE,,LAMESA,TX,793312451,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,33.325,33,23.283,23.283
1063468916,ABDULLAH,AZRA,,M.D.,F,I,1270 N POST RD,SUITE B,INDIANAPOLIS,IN,462194209,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,25,67,165,76.743272727,8.3132121212,5.4098181818,5.4152121212
1063468916,ABDULLAH,AZRA,,M.D.,F,I,1270 N POST RD,SUITE B,INDIANAPOLIS,IN,462194209,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,23,27,19.779259259,1.42,0.8696296296,0.8696296296
1063468916,ABDULLAH,AZRA,,M.D.,F,I,1270 N POST RD,SUITE B,INDIANAPOLIS,IN,462194209,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,28,75.323571429,71.56,52.0975,52.0975
1063468916,ABDULLAH,AZRA,,M.D.,F,I,1270 N POST RD,SUITE B,INDIANAPOLIS,IN,462194209,US,Physician/Family Practice,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,14,14,79,31.569620253,29.170506329,22.473924051,22.487721519
1063468916,ABDULLAH,AZRA,,M.D.,F,I,1270 N POST RD,SUITE B,INDIANAPOLIS,IN,462194209,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,13,868,0.3196198157,0.0473271889,0.0370852535,0.0370852535
1063468916,ABDULLAH,AZRA,,M.D.,F,I,1270 N POST RD,SUITE B,INDIANAPOLIS,IN,462194209,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,13,13,33,33,25.87,25.87
1063468932,CARROLL,JOHN,A,MD,M,I,8328 E HARTFORD DR,,SCOTTSDALE,AZ,852556520,US,Physician/Geriatric Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,88.275714286,45.729285714,33.461428571,33.442142857
1063468932,CARROLL,JOHN,A,MD,M,I,8328 E HARTFORD DR,,SCOTTSDALE,AZ,852556520,US,Physician/Geriatric Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,38.04,28.53,14.906666667,13.306666667
1063468932,CARROLL,JOHN,A,MD,M,I,8328 E HARTFORD DR,,SCOTTSDALE,AZ,852556520,US,Physician/Geriatric Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,11.44,8.58,4.48,4.1066666667
1063468981,AL-HOJERRY,KEENAN,,MD,M,I,278 LAFAYETTE RD BLDG E,,PORTSMOUTH,NH,038015455,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,15,46,69.495869565,8.32,6.2384782609,6.2384782609
1063468981,AL-HOJERRY,KEENAN,,MD,M,I,278 LAFAYETTE RD BLDG E,,PORTSMOUTH,NH,038015455,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,14,431,225.78607889,5.1012064965,3.9994663573,4.1173781903
1063468981,AL-HOJERRY,KEENAN,,MD,M,I,278 LAFAYETTE RD BLDG E,,PORTSMOUTH,NH,038015455,US,Physician/Family Practice,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,5355,7.0186666667,0.68,0.5331111111,0.5174360411
1063468981,AL-HOJERRY,KEENAN,,MD,M,I,278 LAFAYETTE RD BLDG E,,PORTSMOUTH,NH,038015455,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,18,578.75833333,78.925555556,58.437222222,52.437222222
1063469088,ANGE,JESSICA,K,MD,F,I,430 FISHER CREEK RD,,SYLVA,NC,287797700,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,24,65,61.147692308,8.32,6.1198461538,6.1198461538
1063469088,ANGE,JESSICA,K,MD,F,I,430 FISHER CREEK RD,,SYLVA,NC,287797700,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,2,,14,22,14.678181818,1.42,1.0663636364,1.0663636364
1063469088,ANGE,JESSICA,K,MD,F,I,430 FISHER CREEK RD,,SYLVA,NC,287797700,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,77.8275,21.480625,15,12.215
1063469088,ANGE,JESSICA,K,MD,F,I,430 FISHER CREEK RD,,SYLVA,NC,287797700,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,51.36,36.914166667,34.494166667
1063469088,ANGE,JESSICA,K,MD,F,I,430 FISHER CREEK RD,,SYLVA,NC,287797700,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,475,102.61833333,75.474166667,53.544166667
1063469088,ANGE,JESSICA,K,MD,F,I,430 FISHER CREEK RD,,SYLVA,NC,287797700,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,31,31,143,26.478064516,20.138709677,13.826774194
1063469088,ANGE,JESSICA,K,MD,F,I,430 FISHER CREEK RD,,SYLVA,NC,287797700,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,21,21,25,11.217142857,8.3680952381,6.1580952381
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,72.96,19.686153846,14.245192308,14.245192308
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,30,8.19,1.4713333333,1.0746666667,1.074
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,519.51,75.591111111,56.201111111,51.68
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,6240,33.530538462,9.8389230769,7.705775641,7.705775641
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,2040,17.229955882,9.6192352941,7.3304901961,7.3304901961
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,21,6453,0.186799938,0.0459135286,0.0325739966,0.0325739966
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,29,1740,12.339488506,3.0486206897,2.3901436782,2.3901436782
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,8.55,2.6369230769,1.9082692308,1.9082692308
1063469104,ALIBRAHIM,AYMAN,,M.D.,M,I,508 N LECANTO HWY,,LECANTO,FL,344618547,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,54,54,106.33333333,33,24.911851852,24.911851852
1063469328,FAMULARE,CHARLES,,MD,M,I,2201 HEMPSTEAD TPKE,,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,29,42,78.205238095,8.32,5.5923809524,5.5923809524
1063469328,FAMULARE,CHARLES,,MD,M,I,2201 HEMPSTEAD TPKE,,EAST MEADOW,NY,115541859,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,24.030952381,1.42,0.9066666667,0.9066666667
1063469344,HERMANN,CHRISTOPHER,P,MD,M,I,301S MAIN ST,STE 2W,DOYLESTOWN,PA,18901,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,26,86,197,68.353147208,8.32,5.3227411168,5.3227411168
1063469344,HERMANN,CHRISTOPHER,P,MD,M,I,301S MAIN ST,STE 2W,DOYLESTOWN,PA,18901,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,23,25,17.2484,1.42,0.9392,0.9392
1063469344,HERMANN,CHRISTOPHER,P,MD,M,I,301S MAIN ST,STE 2W,DOYLESTOWN,PA,18901,US,Physician/General Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,26,13.984615385,10.34,8.1053846154,8.495
1063469344,HERMANN,CHRISTOPHER,P,MD,M,I,301S MAIN ST,STE 2W,DOYLESTOWN,PA,18901,US,Physician/General Practice,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,420,7.5454285714,3.9,2.912047619,2.912047619
1063469344,HERMANN,CHRISTOPHER,P,MD,M,I,301S MAIN ST,STE 2W,DOYLESTOWN,PA,18901,US,Physician/General Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,575,0.3531130435,0.27,0.2116173913,0.2116173913
1063469401,PATEL,SAMEER,R,MD,M,I,390 N BROADWAY STE 100,,PENNSVILLE,NJ,08070,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,14,14,76.68,39.03,28.414285714,28.312142857
1063469401,PATEL,SAMEER,R,MD,M,I,390 N BROADWAY STE 100,,PENNSVILLE,NJ,08070,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,12,21,21,135.04,52.99,37.583809524,38.934285714
1063469401,PATEL,SAMEER,R,MD,M,I,390 N BROADWAY STE 100,,PENNSVILLE,NJ,08070,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,12,12,12,40.67,17.9,13.7,13.73
1063469401,PATEL,SAMEER,R,MD,M,I,390 N BROADWAY STE 100,,PENNSVILLE,NJ,08070,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,14,25,130,5.2683846154,2.06,1.5406153846,1.52
1063469401,PATEL,SAMEER,R,MD,M,I,390 N BROADWAY STE 100,,PENNSVILLE,NJ,08070,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,20,20,119.34,21.735,17.0415,20.9575
1063469401,PATEL,SAMEER,R,MD,M,I,390 N BROADWAY STE 100,,PENNSVILLE,NJ,08070,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,28,28,20.57,6.8928571429,5.3971428571,6.4442857143
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A4311,"Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,18.03,14.18,10.1,11.748181818
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,28.46,28.46,22.31,22.31
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A4334,"Urinary catheter anchoring device, leg strap, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,22,22,5.54,5.54,4.34,4.34
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,24,24,10.93,10.93,8.57,8.57
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,7.66,6.41,4.5681818182,5.2618181818
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,650,0.27,0.27,0.2116,0.2116
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.04,3.04,2.3835,2.3835
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,425,0.2779529412,0.27,0.2116,0.2116
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,19,552,8.28,8.28,6.4916666667,6.4916666667
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,12,145,12.710275862,10.93,8.5692413793,8.5692413793
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,33,21.34,18.29,14.34,14.34
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,700,0.13,0.13,0.1019571429,0.1019571429
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,358,6.8279329609,3.02,2.3676815642,2.3676815642
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,135,1526,12.849121887,5.6872346003,4.3945347313,4.1256290957
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,46,13402,0.7668467393,0.3782420534,0.2959968661,0.2903021937
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,50,15391,0.6252225326,0.3160704308,0.2477889676,0.2433656033
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,52,5142,1.3882847141,0.68,0.5309976663,0.5161415792
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,B9002,"Enteral nutrition infusion pump, any type",O1C - Enteral and Parenteral,Drugs and Nutritional Products,Y,2,,32,32,133.5734375,62.55,46.2634375,45.70125
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,51,54,342.8,48.064074074,36.489259259,37.049074074
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,12.01,3.15,2.2641666667,2.0625
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,11,71,76,147.56986842,20.9875,15.931447368,14.152763158
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,23,172.45,33.373913043,22.035217391,21.325217391
1063469872,KAPOOR,PRADEEP,,M.D.,M,I,1035 BELLEVUE AVE,SUITE 400,SAINT LOUIS,MO,631171854,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,18,18,85.982222222,10.532777778,8.2605555556,7.0722222222
1063470011,SPIGELMAN,ZACHARY,S,MD,M,I,6 TSIENNETO RD STE 204,,DERRY,NH,030381584,US,Physician/Hematology-Oncology,S,J1568,"Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,600,180.42883333,37.109833333,29.094066667,29.094066667
1063470037,DERAY,ARNULFO,T,MD,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,37,38,92.770263158,18.791315789,13.987631579,12.822631579
1063470037,DERAY,ARNULFO,T,MD,M,I,888 SWIFT BLVD,,RICHLAND,WA,993523514,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,29,31,356.63193548,79.990967742,59.12483871,51.329032258
1063470045,FORD,DENNIS,C,MD,M,I,2020 KEITH ST NW,STE C,CLEVELAND,TN,373111351,US,Physician/Interventional Pain Management,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1980,10.060808081,7.88,6.1779444444,6.1779444444
1063470235,BRIGLIA,ANDREW,E,DO,M,I,104 FORBES ST STE 102,,ANNAPOLIS,MD,214011543,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,11,16,50.968125,8.06875,5.918125,6.115625
1063470235,BRIGLIA,ANDREW,E,DO,M,I,104 FORBES ST STE 102,,ANNAPOLIS,MD,214011543,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1063470342,BARCH,FRANK,J,MD,M,I,7807 WOODLAWN AVE,,ELKINS PARK,PA,190272917,US,Internal Medicine,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,11,66,6.74,2.1236363636,1.521969697,1.4503030303
1063470391,MIEL,RUFINA PAMELA MAE,T,MD,F,I,11100 WARNER AVE STE 214,,FOUNTAIN VALLEY,CA,927087511,US,Physician/Medical Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,260,68.78,44.933333333,45.768333333
1063470391,MIEL,RUFINA PAMELA MAE,T,MD,F,I,11100 WARNER AVE STE 214,,FOUNTAIN VALLEY,CA,927087511,US,Physician/Medical Oncology,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,36.83,25.9025,26.555
1063470425,SANDERS,JOHN,D,MD,M,I,9275C MEDICAL PLAZA DR,STE C,CHARLESTON,SC,29406,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,12,29,66,60.636666667,8.32,5.7328787879,5.7328787879
1063470425,SANDERS,JOHN,D,MD,M,I,9275C MEDICAL PLAZA DR,STE C,CHARLESTON,SC,29406,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,13,13,519.51,74,42.983076923,40.199230769
1063470425,SANDERS,JOHN,D,MD,M,I,9275C MEDICAL PLAZA DR,STE C,CHARLESTON,SC,29406,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,89.285714286,19.653333333,14.481904762,13.163333333
1063470672,SCORNAVACCA,THOMAS,J,D.O.,M,I,50 MEMORIAL DR,SUITE 103,LEOMINSTER,MA,014532238,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,12,36,108,74.236759259,8.32,6.0389814815,6.0389814815
1063470672,SCORNAVACCA,THOMAS,J,D.O.,M,I,50 MEMORIAL DR,SUITE 103,LEOMINSTER,MA,014532238,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,17,18,15.150555556,1.42,0.9944444444,0.9944444444
1063470672,SCORNAVACCA,THOMAS,J,D.O.,M,I,50 MEMORIAL DR,SUITE 103,LEOMINSTER,MA,014532238,US,Physician/Family Practice,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1800,11.72,7.23,5.5886277778,5.5886277778
1063470672,SCORNAVACCA,THOMAS,J,D.O.,M,I,50 MEMORIAL DR,SUITE 103,LEOMINSTER,MA,014532238,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,77.55,55.733333333,50.169166667
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,31,67,180,61.572388889,8.32,6.4147222222,6.4147222222
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,14.088333333,3.38,2.65,2.65
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,26,43,13.04372093,1.42,1.1148837209,1.1148837209
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,13,13,75.832307692,18.893076923,12.482307692,7.0569230769
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,68,11.385882353,3.1864705882,2.4951470588,1.5897058824
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,11,65,70,80.254428571,22.576,17.271714286,13.917428571
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,16,17,45.049411765,6.2211764706,4.8764705882,3.7094117647
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,14,108,114,501.25833333,103.21333333,77.347807018,58.304298246
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,250,45.069,33.6935,28.3985
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1550,0.4936451613,0.044116129,0.0328,0.0328
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,1380,0.9487826087,0.1325,0.0900652174,0.0900652174
1063470714,BAIN,KENNETH,,MD,M,I,1080 GLENSBORO RD,,LAWRENCEBURG,KY,403429033,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,107.25,33,21.9895,21.9895
1063470896,CLARKE,SUZANNE,D,M.D.,F,I,1061 HARMON AVE,,FORT STEWART,GA,313145641,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,22,40.472272727,8.32,6.5209090909,6.5209090909
1063470896,CLARKE,SUZANNE,D,M.D.,F,I,1061 HARMON AVE,,FORT STEWART,GA,313145641,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,18.76,8.8142857143,6.9092857143,3.86
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,36,97,228,61.401710526,8.32,6.1344298246,6.1344298246
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,15.431428571,3.38,2.5238095238,2.5238095238
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,12,12,21.653333333,2.12,1.67,1.67
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,19,34,42,14.149047619,1.42,1.0911904762,1.0911904762
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,12,48,12.28125,6.44,5.0479166667,5.0479166667
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,175,10.6,7,4.9760571429,4.9760571429
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,175,8.4,5.54,4.3433714286,4.3433714286
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,259.26333333,84,51.715833333,53.4075
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,40,103.319,32.4,24.13,24.57575
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,15,70,73.114285714,17,12.479142857,13.108285714
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,19,19,197.38578947,51.26,40.19,41.735789474
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,19,19,60.338421053,17.95,14.07,14.063684211
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,29,29,68.985517241,10.8,8.2751724138,8.7686206897
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,28,168,8.5783333333,1.99,1.56,1.5826190476
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,217.69230769,36.543846154,26.401538462,27.339230769
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,449.96733333,77.18,56.476,54.16
1063470938,MCCARTY,ANDREA,B,DO,F,I,8444 W 21ST ST N,,WICHITA,KS,672051752,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,84.75,33,25.87,25.87
1063471068,LOUGHRAN,DAVID,H,D.O.,M,I,595 W STATE ST,SUITE 215,DOYLESTOWN,PA,189012567,US,Physician/Infectious Disease,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,29,73.027586207,15.75,8.9431034483,9.7427586207
1063471068,LOUGHRAN,DAVID,H,D.O.,M,I,595 W STATE ST,SUITE 215,DOYLESTOWN,PA,189012567,US,Physician/Infectious Disease,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,27,27,20.57,7.41,3.8733333333,4.25
1063471076,EWEN,AMY,J,M.D.,F,I,320 N GRANDVIEW AVE,SUITE D,DUBUQUE,IA,520016328,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,1,,12,12,48.995833333,8.32,0,0
1063471076,EWEN,AMY,J,M.D.,F,I,320 N GRANDVIEW AVE,SUITE D,DUBUQUE,IA,520016328,US,Physician/Family Practice,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,17,81,15.377407407,10.93,8.5580246914,8.5580246914
1063471126,MILLER,S DAVID,,MD,M,I,49 STATE RD,WATUPPA BUILDING SUITE 203,NORTH DARTMOUTH,MA,027473300,US,Physician/Allergy/ Immunology,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,,24,7204,0.3457107163,0.0458481399,0.0328900611,0.0328900611
1063471126,MILLER,S DAVID,,MD,M,I,49 STATE RD,WATUPPA BUILDING SUITE 203,NORTH DARTMOUTH,MA,027473300,US,Physician/Allergy/ Immunology,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,9,,26,26,33,33,23.88,23.88
1063471183,WELLS,TIMOTHY,,MD,M,I,109 BEE ST,,CHARLESTON,SC,294015703,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,395,103.06583333,74.134166667,51.921666667
1063471282,ALLARAKHIA,LIAQUAT,,"M.D.,",M,I,4812 26TH ST W,,BRADENTON,FL,342071705,US,Physician/Ophthalmology,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,15,15,72.139333333,63.523333333,49.801333333,51.13
1063471290,RODNER,CRAIG,M,MD,M,I,263 FARMINGTON AVE,UCONN HEALTH CENTER/MARB/ORTHOPAEDICS ASSOCIATES,FARMINGTON,CT,060300001,US,Physician/Hand Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,14,14,18,72,70.94,44.148888889,36.935555556
1063471399,BUSSEY,DENNIS,L,DO,M,I,101 SE DESTINATION DRIVE,,GRIMES,IA,501116608,US,Physician/Family Practice,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,2,,12,128,43.65625,19.71,15.453125,15.453125
1063471399,BUSSEY,DENNIS,L,DO,M,I,101 SE DESTINATION DRIVE,,GRIMES,IA,501116608,US,Physician/Family Practice,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,220,22.545454545,2.64,2.0698181818,2.0698181818
1063471399,BUSSEY,DENNIS,L,DO,M,I,101 SE DESTINATION DRIVE,,GRIMES,IA,501116608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,30,66,206,67.574951456,8.32,6.0292718447,6.0292718447
1063471399,BUSSEY,DENNIS,L,DO,M,I,101 SE DESTINATION DRIVE,,GRIMES,IA,501116608,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,27,41,14.474146341,1.42,1.0890243902,1.0890243902
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,40,103,299,63.965217391,8.32,5.4325083612,5.4325083612
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,23,40,67,16.864626866,1.42,0.8655223881,0.8655223881
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A4338,"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,13.56,13.56,10.63,10.82
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,100,3.4404,1.7892,1.4025,1.4106
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,E0277,Powered pressure-reducing air mattress,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,246.05,202.44090909,145.67363636,102.28272727
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,88.591666667,22.4775,17.620833333,14.533333333
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,24,24,512.4675,112.03916667,87.8425,59.7925
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,29,2780,1.8106223022,0.1355143885,0.1003741007,0.1003741007
1063471621,CRIM,MICHAEL,W,MD,M,I,808 N 5TH AVE,,SEQUIM,WA,983823045,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,31,31,33,33,24.200967742,24.200967742
1063471720,NEWLAND,PATRICIA,K,MD,F,I,800 COLONIAL CIR,STE 200,NORWALK,IA,502119637,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,20,46,125,57.4188,8.32,6.12152,6.12152
1063471720,NEWLAND,PATRICIA,K,MD,F,I,800 COLONIAL CIR,STE 200,NORWALK,IA,502119637,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,29,10.451034483,1.42,1.0386206897,1.0386206897
1063471795,REECE,TIFFANY,L,PA,F,I,186 KIMEL PARK DR,,WINSTON-SALEM,NC,271036946,US,Physician Assistant,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,25,9.9675,7.11125,7.0566666667
1063471795,REECE,TIFFANY,L,PA,F,I,186 KIMEL PARK DR,,WINSTON-SALEM,NC,271036946,US,Physician Assistant,S,K0004,"High strength, lightweight wheelchair",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,24,24,143,35.202083333,27.59875,26.560833333
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,31,92,62.723478261,8.32,6.3808695652,6.3808695652
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,29,11.498275862,1.42,1.0737931034,1.0737931034
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,33.14,8.535,6.685,7.6683333333
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,3,,39,39,38.050512821,10.588205128,7.7823076923,9.2182051282
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,11,11,135.89636364,49.105454545,38.498181818,37.193636364
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,24,24,173.3075,50.2475,39.395,39.639166667
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,164.52181818,46.43,34.380454545,34.459545455
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,17,17,69.72,36.062941176,28.278823529,24.31
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,75.222222222,28.035,21.98,23.218333333
1063471845,SCHACHTER,AVI,,MD,M,I,795 BRIDGE ST,,WEYMOUTH,MA,021912139,US,Physician/Family Practice,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,24,24,31.45,9.97625,7.82625,6.9620833333
1063471852,MELLE,FRANCESCA,T,PAC,F,I,150 SW ARROW,,WALDPORT,OR,97394,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,360.65,72.726666667,37.781666667,36.8225
1063471910,DIAMOND,DALTON,E,"MD, MPH",M,I,67 PINE NEEDLE TRCE,,GUNTERSVILLE,AL,359765804,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,71.098461538,19.965769231,12.074615385,10.399230769
1063471910,DIAMOND,DALTON,E,"MD, MPH",M,I,67 PINE NEEDLE TRCE,,GUNTERSVILLE,AL,359765804,US,Physician/Emergency Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,21,21,77.397142857,54.292857143,42.567619048,40.82047619
1063471910,DIAMOND,DALTON,E,"MD, MPH",M,I,67 PINE NEEDLE TRCE,,GUNTERSVILLE,AL,359765804,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54,7.2181818182,5.2181818182,3.0727272727
1063471910,DIAMOND,DALTON,E,"MD, MPH",M,I,67 PINE NEEDLE TRCE,,GUNTERSVILLE,AL,359765804,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,261.19692308,84.242692308,54.792692308,45.641538462
1063471910,DIAMOND,DALTON,E,"MD, MPH",M,I,67 PINE NEEDLE TRCE,,GUNTERSVILLE,AL,359765804,US,Physician/Emergency Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,15,15,102,50.455333333,39.552,22.62
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,25,36,97,421,82.208598575,8.32,5.6691448931,5.6691448931
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,23,45,111,16.203693694,1.42,1.0006306306,1.0006306306
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,3,,14,760,3.3416315789,2.27,1.7094473684,1.7094473684
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,26,58,16.724137931,10.93,7.9786206897,7.9786206897
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,25,90,8.3685555556,7.3122222222,5.2373333333,5.3592222222
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,14,250,3.9036,3.9036,3.0606,3.1596
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,15,20,20,81.569,38.89,28.9655,28.9655
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,14,14,263.76214286,86.53,58.148571429,58.148571429
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,13,27,103.06592593,32.73,23.759259259,23.991111111
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,2,11,18,59,61,18.03,13.66,14.020677966
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,29,84,48.121428571,15.169285714,11.042261905,11.04297619
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,24,36,36,175.96777778,54.79,38.789722222,38.719444444
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,32,46,46,67.622391304,17.97,12.864782609,12.85
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,16,23,23,26.257391304,11.64,8.3269565217,8.3269565217
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,30,53,178,4.3704494382,1.7603370787,1.2378089888,1.4496067416
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,9.684,6.14,4.81,4.65
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,2,15,20,20,48.39,13.43,10.0035,9.823
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,51.324571429,12.201714286,8.3771428571,8.3897142857
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,21,23,19.53,5.3026086957,4.1604347826,4.0191304348
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,45,45,213.27266667,32.633555556,23.077555556,22.391555556
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,527.57272727,69.81,54.73,54.73
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,23,2331,2.3381510082,0.140960961,0.1058386958,0.1058386958
1063471944,CISKE,DAVID,J,MD,M,I,20 S PARK ST SUITE 405B,,MADISON,WI,53715,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,23,23,33,33,23.620434783,23.620434783
1063472017,GJERTSON,CARL,K,M.D.,M,I,263 FARMINGTON AVE,UROLOGY,FARMINGTON,CT,060306227,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,3160,4.4940506329,2.0240506329,1.5868481013,1.5993481013
1063472058,ALLAIN,BRENT,W,M.D.,M,I,1501 BETHIA ST,,FRANKLIN,LA,705383720,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,,33,83,36.718433735,8.32,6.4431325301,6.4431325301
1063472058,ALLAIN,BRENT,W,M.D.,M,I,1501 BETHIA ST,,FRANKLIN,LA,705383720,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,22,27,5.1918518519,1.42,1.0762962963,1.0762962963
1063472108,ABDO,RICHARD,V,MD,M,I,1011 JEFFORDS ST,SUITE C,CLEARWATER,FL,337564070,US,Physician/Orthopedic Surgery,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,31,150,74.837096774,58.67483871,62.8
1063472108,ABDO,RICHARD,V,MD,M,I,1011 JEFFORDS ST,SUITE C,CLEARWATER,FL,337564070,US,Physician/Orthopedic Surgery,S,L4360,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,31,31,500,269.31032258,209.89032258,217.64322581
1063472306,CANTOR,DAVID,K,D.P.M.,M,I,8785 SW 165TH AVE,SUITE 110,MIAMI,FL,331935826,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,19,19,38,174.92105263,71.56,56.105,56.105
1063472306,CANTOR,DAVID,K,D.P.M.,M,I,8785 SW 165TH AVE,SUITE 110,MIAMI,FL,331935826,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,102,71.53,29.19,22.885,22.886666667
1063472348,LAPP,DANIEL,P,MD,M,I,117 N NEGLEY AVE,,PITTSBURGH,PA,15206,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,20,48,74.837916667,8.32,4.9960416667,4.9960416667
1063472371,WOODARD,EDDIE,E,PA-C,M,I,302 W RECTOR ST,,SAN ANTONIO,TX,782165718,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,59.033333333,17,13.33,13.54
1063472371,WOODARD,EDDIE,E,PA-C,M,I,302 W RECTOR ST,,SAN ANTONIO,TX,782165718,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,353.6625,73,57.23,54.73
1063472389,KOVALICK,MICHAEL,A,D.O.,M,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,52,96,68.255,8.32,5.604375,5.604375
1063472389,KOVALICK,MICHAEL,A,D.O.,M,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,11,11,17.226363636,1.42,0.9163636364,0.9163636364
1063472389,KOVALICK,MICHAEL,A,D.O.,M,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,61.11,10.73,7.6454545455,8.3072727273
1063472389,KOVALICK,MICHAEL,A,D.O.,M,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,66,8.5236363636,2.06,1.4681818182,1.4501515152
1063472389,KOVALICK,MICHAEL,A,D.O.,M,I,40 DALLAS SHOPPING CTR,,DALLAS,PA,186121231,US,Physician/Family Practice,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,7.227,7.227,5.666,5.666
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,17,2982,7.3234808853,7.1776056338,5.5791348089,5.620221328
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,12,23,80,217,22.319493088,10.924562212,8.0406912442,8.0460368664
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,18,40,8.57725,7.46,5.84975,5.84975
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,20,22,10.630909091,8.28,6.49,6.49
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,300,9.0239333333,5.74,4.5001,4.5001
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,56,9.2846428571,6.44,4.0048214286,4.0048214286
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,19,770,20.875636364,9.86,7.5574545455,7.5574545455
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,435,9.4855172414,7,5.1145747126,5.1145747126
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,38,1040,14.735375,7.33,5.5699038462,5.5699038462
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4430,"Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,53,1310,21.943664122,9.58,6.5083206107,6.5083206107
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,8,11,40,1230,7.8290162602,4.04,3.0643333333,3.0643333333
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,13,32,2190,0.5968493151,0.27,0.1971598174,0.1971598174
1063472421,SKLAR,GEOFFREY,N,M.D.,M,I,6820 HOSPITAL DR STE 201,,BALTIMORE,MD,212374360,US,Physician/Urology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,9,12,40,1930,0.562626943,0.27,0.2006943005,0.2006943005
1063472439,WEINER,HOWARD,J,M.D.,M,I,8210 WALNUT HILL LN,SUITE 212 LB17,DALLAS,TX,752314405,US,Physician/Gastroenterology,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,434,275,5.28,3.8436866359,3.8676497696
1063472439,WEINER,HOWARD,J,M.D.,M,I,8210 WALNUT HILL LN,SUITE 212 LB17,DALLAS,TX,752314405,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,14,9240,2.8604545455,0.31,0.2414058442,0.2414058442
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,47,173,319,52.331191223,8.32,5.9715047022,5.9715047022
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,16.86,3.38,2.5238095238,2.5238095238
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,20.987692308,2.12,1.5415384615,1.5415384615
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,25,59,76,15.886710526,1.42,1.0435526316,1.0435526316
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,720,0.55,0.44,0.345,0.345
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A6248,"Hydrogel dressing, wound filler, gel, per fluid ounce",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,19,61,22.27,18.29,14.339016393,14.339016393
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,23,3000,0.174,0.13,0.0985133333,0.0985133333
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,14,792,0.56,0.45,0.3026262626,0.3026262626
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,182.38090909,58.64,41.790909091,39.529090909
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,62,7.8859677419,2.15,1.5812903226,1.5061290323
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,60.84,17.96,14.08,14.08
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,212.41,34.310769231,26.9,25.175384615
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,23,23,487.73434783,86.84,64.535652174,59.312173913
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,100,39.51,25.347272727,24.278181818
1063472462,ZALDIVAR,MARIE,L,MD,F,I,127 E MARKET ST,,SMITHFIELD,NC,275773915,US,Physician/Family Practice,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,577.42,148.0875,116.1025,116.1475
1063472470,GIANNAKIS,JOHN,G,MD,M,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,70,7043,0.3980789436,0.13,0.0940053954,0.0940053954
1063472470,GIANNAKIS,JOHN,G,MD,M,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,13,96,10637,5.0157798251,2.04,1.5194979788,1.5194979788
1063472470,GIANNAKIS,JOHN,G,MD,M,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,23,2910,9.65,7.19,5.5918797251,5.623233677
1063472470,GIANNAKIS,JOHN,G,MD,M,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,32,64,17.184375,9.29,7.2809375,8.52671875
1063472470,GIANNAKIS,JOHN,G,MD,M,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Physician/Urology,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,24,40,10.427,6.34,4.97,5.80325
1063472470,GIANNAKIS,JOHN,G,MD,M,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Physician/Urology,S,A4428,"Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.79,7.33,5.7465,5.7465
1063472470,GIANNAKIS,JOHN,G,MD,M,I,135 VISION PARK BLVD,,SHENANDOAH,TX,773843001,US,Physician/Urology,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,276,0.2043478261,0.1013043478,0.0794927536,0.0794927536
1063472595,DONDLINGER,PAUL,J,DO,M,I,1110 YANKEE DOODLE RD,,EAGAN,MN,551212092,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,24,57,131,81.960992366,8.32,5.3429007634,5.3429007634
1063472595,DONDLINGER,PAUL,J,DO,M,I,1110 YANKEE DOODLE RD,,EAGAN,MN,551212092,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,19,27,15.531851852,1.42,0.6207407407,0.6207407407
1063472595,DONDLINGER,PAUL,J,DO,M,I,1110 YANKEE DOODLE RD,,EAGAN,MN,551212092,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,148.05,18.2,9.7890909091,9.5272727273
1063472678,TARBOX,PETER,A,M.D.,M,I,5441 BABCOCK RD,SUITE 301,SAN ANTONIO,TX,782403993,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,21,21,120,36.666666667,27.626666667,27.511428571
1063472694,FERNICOLA,CHARLES,P,M.D.,M,I,1145 BEACON AVE,,MANAHAWKIN,NJ,080502471,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,24,5670,6.3885714286,1.9714285714,1.5041164021,1.5569382716
1063472736,BUTLER,VERONICA,W,M.D.,F,I,120 N ASHWOOD AVE,,VENTURA,CA,930031810,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,11,29,74,57.204594595,8.32,6.1685135135,6.1685135135
1063472736,BUTLER,VERONICA,W,M.D.,F,I,120 N ASHWOOD AVE,,VENTURA,CA,930031810,US,Physician/Family Practice,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,360,3,2.27,1.6313611111,1.6313611111
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,15,35,110,66.445,8.32,6.0485454545,6.0485454545
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,22,10.572727273,1.42,1.0636363636,1.0636363636
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,B4153,"Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,8632,6.4719300278,1.4863021316,1.165262975,0.9554193698
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,27,27,86.31,17.09,13.4,13.52037037
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,14,14,232.35,46.58,36.51,37.63
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,43.941,3.979,2.772,3.213
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,58,58,425.96172414,73.338275862,55.722413793,52.815172414
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,70,44.745,34.449166667,28.8825
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,2022,0.4136152324,0.0453956479,0.0319386746,0.0319386746
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,13,13,58.938461538,16.79,8.23,8.5230769231
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,37.64,27.050833333,27.050833333
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,21,21,808.16285714,146.23095238,114.56,114.55333333
1063472843,STEWART,ROBERT,C,PA-C,M,I,3015 SQUALICUM PKWY,,BELLINGHAM,WA,982251945,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,50.470588235,33,25.452352941,25.452352941
1063472900,RUMBAUGH,JAMES,O,MD,M,I,46 RED HILL CT,,NEWPORT,PA,170748706,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,615.89142857,37.616428571,20.877142857,15.135
1063472918,SILVERSTEIN,BRUCE,M,D.O.,M,I,2920 MARIETTA AVE,,LANCASTER,PA,176012104,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,34,42.101470588,8.32,5.3711764706,5.3711764706
1063472918,SILVERSTEIN,BRUCE,M,D.O.,M,I,2920 MARIETTA AVE,,LANCASTER,PA,176012104,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,17,19,99.17,29.824210526,21.770526316,22.184210526
1063472942,KIMELMAN,JOSHUA,D,D.O.,M,I,450 LAUREL ST,STE A,DES MOINES,IA,503143045,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,400,102.61833333,73.975833333,48.670833333
1063472942,KIMELMAN,JOSHUA,D,D.O.,M,I,450 LAUREL ST,STE A,DES MOINES,IA,503143045,US,Physician/Orthopedic Surgery,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,80,44.745,29.605833333,24.5975
1063472983,FRANJUL JULIAO,RAFAEL,E,M.D.,M,I,400 AVE DOMENECH STE 210,,SAN JUAN,PR,009183748,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,840,5.61,2.9812857143,2.3373571429,2.3373571429
1063472983,FRANJUL JULIAO,RAFAEL,E,M.D.,M,I,400 AVE DOMENECH STE 210,,SAN JUAN,PR,009183748,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,690,0.24,0.219,0.1716956522,0.1716956522
1063472983,FRANJUL JULIAO,RAFAEL,E,M.D.,M,I,400 AVE DOMENECH STE 210,,SAN JUAN,PR,009183748,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,11,20,20,35.1,33,23.283,23.283
1063472991,APPLEWHITE,ANDREW,J,MD,M,I,3500 GASTON AVE,SUITE 210 BARNETT,DALLAS,TX,752462017,US,Physician/Family Practice,S,A6550,"Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories",D1E - Other DME,Durable Medical Equipment,N,1,23,32,380,81.023684211,24.873289474,19.500631579,19.226842105
1063472991,APPLEWHITE,ANDREW,J,MD,M,I,3500 GASTON AVE,SUITE 210 BARNETT,DALLAS,TX,752462017,US,Physician/Family Practice,S,A7000,"Canister, disposable, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,22,29,250,53.9,8.0884,6.34128,6.40664
1063472991,APPLEWHITE,ANDREW,J,MD,M,I,3500 GASTON AVE,SUITE 210 BARNETT,DALLAS,TX,752462017,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,22,41,41,4818,672.64243902,527.3504878,506.60756098
1063473031,WOLFE,CAROLINE,,MD,F,I,430 PENNSYLVANIA AVE,,GLEN ELLYN,IL,601374464,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,24,39,112,279,70.794193548,8.32,5.4633333333,5.4633333333
1063473031,WOLFE,CAROLINE,,MD,F,I,430 PENNSYLVANIA AVE,,GLEN ELLYN,IL,601374464,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,27,46,63,15.285555556,1.42,0.9220634921,0.9220634921
1063473031,WOLFE,CAROLINE,,MD,F,I,430 PENNSYLVANIA AVE,,GLEN ELLYN,IL,601374464,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1900,1074.31,830.30416667,830.30416667
1063473031,WOLFE,CAROLINE,,MD,F,I,430 PENNSYLVANIA AVE,,GLEN ELLYN,IL,601374464,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,230,77.18,55.4675,50.16
1063473056,DEHNING,MICHAEL,M,MD,M,I,1120 N 103RD PLZ,SUITE 100,OMAHA,NE,681141114,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,29,31,448.06354839,86.988064516,65.735483871,52.989032258
1063473072,FRANKS,ADAM,M,MD,M,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,53,103,58.000194175,8.32,5.7004854369,5.7004854369
1063473072,FRANKS,ADAM,M,MD,M,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,26,39,13.290512821,1.42,0.9448717949,0.9448717949
1063473072,FRANKS,ADAM,M,MD,M,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,30,342.65,77.36,58.628333333,53.103
1063473072,FRANKS,ADAM,M,MD,M,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,3298,0.2400454821,0.0466555488,0.0261552456,0.0261552456
1063473072,FRANKS,ADAM,M,MD,M,I,1600 MEDICAL CENTER DR,SUITE 1500,HUNTINGTON,WV,257013656,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,21.558333333,21.558333333
1063473171,SCHUNK,STEFAN,E,MD,M,I,2170 SOUTH AVE,,SOUTH LAKE TAHOE,CA,961507026,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,15,15,989.754,73.24,45.933333333,43.784
1063473288,KHOZINA,MALVINA,,MD,F,I,270-05 76TH AVE,LONG ISLAND JEWISH HOSPITAL,NEW HYDE PARK,NY,11040,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,20,22,15.61,6.2463636364,4.1027272727,3.2777272727
1063473312,CIMINO,PETER,R,MD,M,I,1300 POST RD,SUITE 202,FAIRFIELD,CT,068246038,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,27,62,70.292096774,8.32,5.8896774194,5.8896774194
1063473312,CIMINO,PETER,R,MD,M,I,1300 POST RD,SUITE 202,FAIRFIELD,CT,068246038,US,Physician/Internal Medicine,S,A6212,"Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,384,16.67,10.93,8.568984375,8.568984375
1063473312,CIMINO,PETER,R,MD,M,I,1300 POST RD,SUITE 202,FAIRFIELD,CT,068246038,US,Physician/Internal Medicine,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,11,408,15.53,7.36,5.770245098,5.770245098
1063473312,CIMINO,PETER,R,MD,M,I,1300 POST RD,SUITE 202,FAIRFIELD,CT,068246038,US,Physician/Internal Medicine,S,A6258,"Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,12,456,6.69,4.85,3.8025,3.8025
1063473312,CIMINO,PETER,R,MD,M,I,1300 POST RD,SUITE 202,FAIRFIELD,CT,068246038,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,76,50.238333333,45.7925
1063473312,CIMINO,PETER,R,MD,M,I,1300 POST RD,SUITE 202,FAIRFIELD,CT,068246038,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,250,40,28.746666667,27.050833333
1063473346,FLY,WILLIAM,R,MD,M,I,120 HOSPITAL DR,SUITE 250,JEFFERSON CITY,TN,377605287,US,Physician/Orthopedic Surgery,S,L3908,"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,19,19,19,66,53.2,39.895789474,44.291578947
1063473346,FLY,WILLIAM,R,MD,M,I,120 HOSPITAL DR,SUITE 250,JEFFERSON CITY,TN,377605287,US,Physician/Orthopedic Surgery,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,20,190,154.71,115.2255,113.8395
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,17,49,150,60.628466667,8.32,5.5518666667,5.5518666667
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,12,31,12.152580645,1.42,0.9690322581,0.9690322581
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,2600,1.8561538462,1.73,1.3563,1.5806538462
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,72,2.4475,1.7933333333,1.4054166667,1.4105555556
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,18,92,47.36423913,15.2,9.8438043478,9.825326087
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,184.564,55.9,38.1895,37.3165
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,62.052307692,17.99,11.930769231,11.896923077
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,17,17,65.848235294,12.04,8.3294117647,8.0470588235
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,18,98,8.7867346939,2.04,1.4536734694,1.447244898
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,33,36.280909091,17.52,12.705454545,12.572121212
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,109.86923077,17.52,12.241153846,12.056923077
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3775.52,913.16,715.92,842.26
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,17,17,751.24,30.674705882,18.708235294,19.058823529
1063473361,ALIX,STEPHEN,N,M.D.,M,I,1400 S POTOMAC ST,SUITE 110,AURORA,CO,800124528,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,64,289.44328125,78.49,56.83359375,52.37078125
1063473577,BRAUNSTEINER,AARON,J,MD,M,I,420 N CENTER ST,,HICKORY,NC,286015046,US,Physician/Emergency Medicine,S,E0114,"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips",D1E - Other DME,Durable Medical Equipment,N,1,13,13,13,90,45.15,32.676923077,39.046923077
1063473601,RITMILLER,MICHAEL,J,PA,M,I,21 CROSSROADS DR,SUITE 200,OWINGS MILLS,MD,211175441,US,Physician Assistant,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,,13,915,4.3782513661,2.27,1.722863388,1.722863388
1063473601,RITMILLER,MICHAEL,J,PA,M,I,21 CROSSROADS DR,SUITE 200,OWINGS MILLS,MD,211175441,US,Physician Assistant,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,18,47,16070,3.1866832607,2.04,1.5729278158,1.5729278158
1063473601,RITMILLER,MICHAEL,J,PA,M,I,21 CROSSROADS DR,SUITE 200,OWINGS MILLS,MD,211175441,US,Physician Assistant,S,A4353,"Intermittent urinary catheter, with insertion supplies",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,15,51,14200,14.646408451,7.87,5.993221831,6.0005978873
1063473601,RITMILLER,MICHAEL,J,PA,M,I,21 CROSSROADS DR,SUITE 200,OWINGS MILLS,MD,211175441,US,Physician Assistant,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,22,105,18.210571429,10.93,8.5686666667,8.5686666667
1063473601,RITMILLER,MICHAEL,J,PA,M,I,21 CROSSROADS DR,SUITE 200,OWINGS MILLS,MD,211175441,US,Physician Assistant,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,92,14.04,7.46,5.8485869565,5.8485869565
1063473684,ROZICH,JOHN,D,MD,M,I,115 N SUMTER ST STE 410,,SUMTER,SC,29150,US,Physician/Cardiovascular Disease (Cardiology),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,78,118.84166667,26.288461538,20.609487179,14.551025641
1063473684,ROZICH,JOHN,D,MD,M,I,115 N SUMTER ST STE 410,,SUMTER,SC,29150,US,Physician/Cardiovascular Disease (Cardiology),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,1,,13,13,344.93,74.342307692,58.284615385,42.86
1063473684,ROZICH,JOHN,D,MD,M,I,115 N SUMTER ST STE 410,,SUMTER,SC,29150,US,Physician/Cardiovascular Disease (Cardiology),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,101.7,21.816666667,17.1,14.06
1063473684,ROZICH,JOHN,D,MD,M,I,115 N SUMTER ST STE 410,,SUMTER,SC,29150,US,Physician/Cardiovascular Disease (Cardiology),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,104.07,17.795833333,13.949166667,9.12
1063473684,ROZICH,JOHN,D,MD,M,I,115 N SUMTER ST STE 410,,SUMTER,SC,29150,US,Physician/Cardiovascular Disease (Cardiology),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,1,,18,108,15.033148148,2.8572222222,2.2406481481,1.5931481481
1063473684,ROZICH,JOHN,D,MD,M,I,115 N SUMTER ST STE 410,,SUMTER,SC,29150,US,Physician/Cardiovascular Disease (Cardiology),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,15,275.014,96.140666667,71.391333333,51.079333333
1063473684,ROZICH,JOHN,D,MD,M,I,115 N SUMTER ST STE 410,,SUMTER,SC,29150,US,Physician/Cardiovascular Disease (Cardiology),S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,51.63,44.745,32.344166667,27.056666667
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,,17,32,51.0078125,8.32,6.5234375,6.5234375
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,52,80.673461538,18.54,13.522884615,13.535961538
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,17,17,260.25529412,55.9,41.944705882,41.088823529
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,14,14,79.409285714,12.097857143,8.4964285714,8.1935714286
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,19,108,8.6255555556,2.04,1.5341666667,1.5282407407
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,32,32,874.72,36.1953125,25.540625,21.776875
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,71,78,649.66833333,78.49,59.254230769,54.28474359
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,13,13,357.69230769,38.76,30.39,29.848461538
1063473965,BOWLES,ROGER,E,MD,M,I,6169 S BALSAM WAY,SUITE 190,LITTLETON,CO,801233062,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,45,45,285.6,38.76,28.364,27.777333333
1063473981,RAHKO,PETER,S,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Cardiovascular Disease (Cardiology),S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,32,19.71,15.45,15.45
1063473981,RAHKO,PETER,S,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Cardiovascular Disease (Cardiology),S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,15,55,70,37.38,29.307090909,29.307090909
1063473981,RAHKO,PETER,S,MD,M,I,600 HIGHLAND AVE,,MADISON,WI,53792,US,Physician/Cardiovascular Disease (Cardiology),S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,15,602,15.849950166,1.5108305648,1.1846013289,1.1846013289
1063474070,CALLAHAN,GINA,M,RPA-C,F,I,1302 E MAIN ST,,ENDICOTT,NY,137605430,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,22,45,72.973333333,8.32,5.9562222222,5.9562222222
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,27,84,215,65.937116279,8.32,6.2493488372,6.2493488372
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,12,12,15.09,3.38,2.65,2.65
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,16,35,60,15.527666667,1.42,1.0408333333,1.0408333333
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,297.29538462,114.06230769,77.833846154,60.626153846
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,38,120.43184211,44.738684211,30.649473684,22.698684211
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,12,12,56.025833333,23.600833333,17.199166667,13.469166667
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,15,15,59.080666667,16.231333333,12.726,9.8186666667
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,17,100,7.9364,2.6382,2.0683,1.742
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,13,78,85,57.035294118,20.077882353,14.590235294,12.416823529
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,20,20,13.3865,5.7705,4.1745,3.5175
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,26,27,145.12444444,40.845555556,26.208888889,22.15
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,24,138,157,360.28101911,86.906178344,62.861082803,49.880636943
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,25,8535,0.0600773286,0.045887522,0.0346783831,0.0346783831
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,2640,0.1745454545,0.1347159091,0.0836477273,0.0836477273
1063474146,REXROAT,GARY,E,PA-C,M,I,1600 SW ARCHER RD,#100371,GAINESVILLE,FL,326103001,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,11,48,48,42.260416667,33,22.923125,22.923125
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,30,24.19,18.96,21.794615385
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,13,12.5,10.93,8.57,8.57
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,60,60,60,67.677833333,51.8265,40.632333333,36.986166667
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,17,18,45.486111111,17.921111111,14.047777778,13.541111111
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,E0971,"Manual wheelchair accessory, anti-tipping device, each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,16,49,98,4.1510204082,2.8789795918,2.2033673469,2.2041836735
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,15,16,251.0725,90.01,70.57,54.73
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,1,23,23,23,38.143478261,35.336086957,26.508695652,28.164782609
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,E2611,"General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware",D1D - Wheelchairs,Durable Medical Equipment,N,1,23,23,23,177.1126087,156.32782609,118.78956522,110.20304348
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,41,219,220,48.191227273,20.3805,14.513181818,12.927454545
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,14,63,63,54.337936508,35.986666667,27.104603175,21.501904762
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,102.49,83.857272727,65.746363636,54.818181818
1063474195,ALMAKKEE,AMMAR,,MD,M,I,210 JUPITER LAKES BLVD,"BLDG 3000, SUITE 201",JUPITER,FL,334587191,US,Physician/Nephrology,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,27,141,142,17.916549296,9.2293661972,6.9887323944,6.6029577465
1063474203,ENGLAND,ROBERT,E,PA,M,I,120 S. TAN STREET SUITE1,FREDERICKSBURG COMMUNITY HEALTH CENTER PC,FREDERICKSBURG,PA,170260009,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,28,61.668571429,8.32,4.6585714286,4.6585714286
1063474203,ENGLAND,ROBERT,E,PA,M,I,120 S. TAN STREET SUITE1,FREDERICKSBURG COMMUNITY HEALTH CENTER PC,FREDERICKSBURG,PA,170260009,US,Physician Assistant,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,60,16.33,11.455833333,12.424166667
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,22,38,38,91.157368421,38.546842105,29.434736842,29.636842105
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,4,24,113,225,8.0864,1.4928,1.0956888889,1.0776
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,5,21,29,29,77.065517241,14.089310345,10.674827586,8.9124137931
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7015,"Aerosol mask, used with dme nebulizer",D1E - Other DME,Durable Medical Equipment,N,3,,14,19,4.4631578947,1.54,1.0168421053,0.8084210526
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,6,21,39,39,216.98102564,90.502051282,66.994615385,64.173589744
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,8,21,45,105,116.31495238,33.94,25.643047619,24.979333333
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,11,21,120,66.745083333,20.384916667,14.588666667,13.216916667
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,6,,17,78,52.033846154,16.859615385,12.207179487,11.048974359
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,9,23,44,44,207.78704545,58.262954545,43.183181818,40.429090909
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,39,54,54,58.937037037,18.738518519,13.790185185,13.193333333
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,24,49,49,74.812857143,12.483061224,8.9942857143,8.3755102041
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,40,82,405,9.3409876543,2.0354074074,1.5169382716,1.5134567901
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,9,33,40,40,34.26125,14.79,10.713,9.5645
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,7,33,232,236,80.195423729,18.708474576,14.139449153,13.630720339
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,3,,24,25,160.1804,54.0248,42.3552,37.6928
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,5,13,101,101,4175.2637624,1074.31,841.56326733,841.56326733
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,6,,31,31,380.03580645,85.773225806,60.908387097,58.625806452
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,41.99,14.035652174,10.039130435,9.612173913
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,14,72,73,46.853972603,6.1649315068,4.3260273973,3.3598630137
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,33,33,152.46787879,35.762727273,26.188787879,24.504848485
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,16,61,417,419,429.72739857,80.36902148,61.02372315,53.614558473
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,65,65,105.39123077,36.610615385,24.322153846,24.781076923
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,G0333,Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary,D1E - Other DME,Durable Medical Equipment,N,4,12,12,12,114,57,44.69,44.69
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,12,30,178,10470,17.435167144,9.642965616,7.4855434575,7.4855434575
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,J7606,"Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,13,115,6690,15.730484305,11.285313901,8.7885156951,8.7885156951
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,28,144,24403,0.2211904274,0.0460992501,0.0331520715,0.0331520715
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,J7614,"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,17,2446,5.1995625511,0.0713450531,0.055944399,0.0559239575
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,16,86,6512,1.3117183661,0.137166769,0.1049355037,0.1049355037
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,13,52,358,20658,12.650651564,2.9991431891,2.3223869687,2.3223869687
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,20,112,5807,1.8662579645,0.2187325641,0.1670656105,0.1670656105
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,59,59,117.70932203,36.178983051,27.903220339,28.869491525
1063474419,KELLY,PATRICK,,MD,M,I,1090 NE GATEWAY CT NE,SUITE 201,CONCORD,NC,280252414,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,20,68,436,436,108.32798165,33,25.395321101,25.395321101
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,29,29,29,159.52517241,44.944482759,35.236551724,36.175172414
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,18,18,18,216.11111111,48,37.63,40.087777778
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,E0165,"Commode chair, mobile or stationary, with detachable arms",D1E - Other DME,Durable Medical Equipment,Y,1,,18,18,33.14,9.1666666667,7.1866666667,7.95
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,397.77352941,81.305882353,55.477647059,56.901764706
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,47,55,44.724,3.848,2.8616363636,3.3612727273
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,18,519.51,77.18,53.690555556,48.544444444
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,128,24.2875,19.0425,21.6225
1063474492,KANE,DANIEL,J,MD,M,I,915 OLD FERN HILL ROAD SUITE 4,,WEST CHESTER,PA,193804269,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,38.1,8.0275,6.2925,6.67
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,21,42,171,72.507368421,8.32,6.2176608187,6.2176608187
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,18,36,14.418333333,1.42,1.0838888889,1.0838888889
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,,16,16,107.86,43.621875,34.20125,30.54625
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,384.17545455,84.617272727,49.135454545,50.272727273
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,23,124.97521739,31.41,14.87173913,15.886956522
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,11,,21,21,219.40238095,63.498095238,47.642380952,40.638095238
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,13,19,19,74.132631579,19.923684211,12.806842105,11.208947368
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,16,16,60.23875,13.5675,8.76125,7.140625
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,12,31,142,6.7507042254,2.2582394366,1.4687323944,1.2882394366
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,19,19,427.52,60.973157895,47.803684211,39.586842105
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,18,18,147.64333333,37.130555556,24.295,20.773333333
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,J7512,"Prednisone, immediate release or delayed release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,2250,0.0932,0.0133777778,0.01048,0.01048
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,11,11,24,24,18.82,18.82
1063474518,BENSON,SCOTT,J,MD,M,I,14655 GALAXIE AVE,,APPLE VALLEY,MN,551248575,US,Physician/Family Practice,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,14,20,16,16,12.541,12.541
1063474526,HOPKINS,MICHAEL,T,MD,M,I,211 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,20,1502,39.494054594,5.0536551265,3.8603994674,3.8603994674
1063474526,HOPKINS,MICHAEL,T,MD,M,I,211 VIRGINIA RD,,EDENTON,NC,279329668,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,24,24,18.82,18.82
1063474583,KAMDAR,BINA,A,MD,F,I,520 W FOOTHILL BLVD,,AZUSA,CA,917022343,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,19,23,94,213,61.231971831,8.32,5.37342723,5.37342723
1063474583,KAMDAR,BINA,A,MD,F,I,520 W FOOTHILL BLVD,,AZUSA,CA,917022343,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,14,50,58,19.416206897,1.42,0.8679310345,0.8679310345
1063474583,KAMDAR,BINA,A,MD,F,I,520 W FOOTHILL BLVD,,AZUSA,CA,917022343,US,Physician/Internal Medicine,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,0.39,0.13,0.0934083333,0.0934083333
1063474583,KAMDAR,BINA,A,MD,F,I,520 W FOOTHILL BLVD,,AZUSA,CA,917022343,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,2400,4.35,1.73,1.3050166667,1.5480625
1063474583,KAMDAR,BINA,A,MD,F,I,520 W FOOTHILL BLVD,,AZUSA,CA,917022343,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,17,17,12.118181818,12.332727273
1063474583,KAMDAR,BINA,A,MD,F,I,520 W FOOTHILL BLVD,,AZUSA,CA,917022343,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,32,10.199285714,6.9342857143,7.7635714286
1063474583,KAMDAR,BINA,A,MD,F,I,520 W FOOTHILL BLVD,,AZUSA,CA,917022343,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,77.18,77.18,51.403636364,46.140909091
1063474609,MANI,PALANI,S,MD,M,I,913 S. MAIN ST.,,DEL RIO,TX,78840,US,Physician/General Practice,S,A4233,"Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each",D1E - Other DME,Durable Medical Equipment,N,4,11,15,30,2.0673333333,0.51,0.4,0.4
1063474609,MANI,PALANI,S,MD,M,I,913 S. MAIN ST.,,DEL RIO,TX,78840,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,61,170,438,54.55086758,8.32,5.8716438356,5.8716438356
1063474609,MANI,PALANI,S,MD,M,I,913 S. MAIN ST.,,DEL RIO,TX,78840,US,Physician/General Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,13,37,37,15.028648649,3.38,2.65,2.65
1063474609,MANI,PALANI,S,MD,M,I,913 S. MAIN ST.,,DEL RIO,TX,78840,US,Physician/General Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,13,17,17,26.341176471,2.12,1.67,1.67
1063474609,MANI,PALANI,S,MD,M,I,913 S. MAIN ST.,,DEL RIO,TX,78840,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,39,86,155,14.729032258,1.42,1.0641290323,1.0641290323
1063474609,MANI,PALANI,S,MD,M,I,913 S. MAIN ST.,,DEL RIO,TX,78840,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,111.99,48.547777778,38.055555556,22.915555556
1063474633,GERBER,ROBERT,M,DPM,M,I,800 AUSTIN ST,WEST TOWER STE 508,EVANSTON,IL,60202,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,51,102,74.264705882,70.892156863,55.2,55.723627451
1063474633,GERBER,ROBERT,M,DPM,M,I,800 AUSTIN ST,WEST TOWER STE 508,EVANSTON,IL,60202,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,51,52,246,35,29.19,22.885,22.886422764
1063474690,GLYNN,FRANCESCA,L,MD,F,I,13700 ST FRANCIS BLVD,SUITE 510,MIDLOTHIAN,VA,231143222,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,27,35,99,268,61.599141791,8.32,6.4488432836,6.4488432836
1063474690,GLYNN,FRANCESCA,L,MD,F,I,13700 ST FRANCIS BLVD,SUITE 510,MIDLOTHIAN,VA,231143222,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,17,17,13.187058824,3.38,2.65,2.65
1063474690,GLYNN,FRANCESCA,L,MD,F,I,13700 ST FRANCIS BLVD,SUITE 510,MIDLOTHIAN,VA,231143222,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,19.643846154,2.12,1.67,1.67
1063474690,GLYNN,FRANCESCA,L,MD,F,I,13700 ST FRANCIS BLVD,SUITE 510,MIDLOTHIAN,VA,231143222,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,40,59,13.963898305,1.42,1.0969491525,1.0969491525
1063474690,GLYNN,FRANCESCA,L,MD,F,I,13700 ST FRANCIS BLVD,SUITE 510,MIDLOTHIAN,VA,231143222,US,Physician/Internal Medicine,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,116.64,44.879090909,34.376363636,37.629090909
1063474690,GLYNN,FRANCESCA,L,MD,F,I,13700 ST FRANCIS BLVD,SUITE 510,MIDLOTHIAN,VA,231143222,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,16.98,12.200833333,12.4075
1063474690,GLYNN,FRANCESCA,L,MD,F,I,13700 ST FRANCIS BLVD,SUITE 510,MIDLOTHIAN,VA,231143222,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,431.41882353,77.36,53.514705882,48.639411765
1063474898,MUNN,DANIEL,D,M.D.,M,I,109 PHILIP ROTH ST,,NEWPORT NEWS,VA,236061393,US,Physician/General Surgery,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,260,9.1829230769,4.03,3.1595,3.1595
1063474971,BAXLEY,MARY,J,MD,F,I,403 PARKWAY DRIVE,SUITE B,GREENSBORO,NC,27401,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,20,4.104,3.216,3.792
1063475192,DUCLOS,MARTIN,A,M.D.,M,I,300 SINGLETON RIDGE RD,,CONWAY,SC,295269142,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,75,18.45,14.46,13.759047619
1063475192,DUCLOS,MARTIN,A,M.D.,M,I,300 SINGLETON RIDGE RD,,CONWAY,SC,295269142,US,Physician/Internal Medicine,S,E0465,"Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,1561.02,1074.31,839.55166667,839.55166667
1063475192,DUCLOS,MARTIN,A,M.D.,M,I,300 SINGLETON RIDGE RD,,CONWAY,SC,295269142,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,24,24,1561.02,1074.31,836.28208333,836.28208333
1063475192,DUCLOS,MARTIN,A,M.D.,M,I,300 SINGLETON RIDGE RD,,CONWAY,SC,295269142,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,21,21,310.71428571,86.84,68.08,57.908571429
1063475192,DUCLOS,MARTIN,A,M.D.,M,I,300 SINGLETON RIDGE RD,,CONWAY,SC,295269142,US,Physician/Internal Medicine,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,269.88,96.01,65.780909091,49.859090909
1063475192,DUCLOS,MARTIN,A,M.D.,M,I,300 SINGLETON RIDGE RD,,CONWAY,SC,295269142,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,36.6,9.94,7.0818181818,6.0445454545
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,A4362,"Skin barrier; solid, 4 x 4 or equivalent; each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,5.28,3.84,3.0105,3.0575
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,A4390,"Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,13.304,10.81,8.331875,8.331875
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,7.38,6.44,5.05,5.05
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,375,0.45192,0.27,0.2116266667,0.2116266667
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,230,15,13.120869565,10.286826087,10.286826087
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,B4189,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,46,350,207.6026087,162.76021739,162.76021739
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,46,15,9.3434782609,7.325,7.325
1063475242,WANG,PETER,C,M.D.,M,I,510 SUPERIOR AVE,STE. 200-G,NEWPORT BEACH,CA,926633663,US,Physician/General Surgery,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,20,46,35,29.199130435,22.893478261,22.893478261
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,13,39,63,63,124.17730159,40.016507937,29.601904762,28.791587302
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,9,16,22,22,367.38454545,86.961363636,64.368636364,64.010454545
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,10,15,22,54,161.46018519,33.322222222,25.169444444,24.964444444
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,12,29,53,214,93.949719626,19.557757009,12.694859813,11.912757009
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,13,21,36,118,56.358728814,15.854067797,12.227881356,11.693050847
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,21,55,85,85,219.07988235,56.626117647,39.802,38.324352941
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,22,68,84,84,71.128571429,18.874166667,13.149404762,12.441190476
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,12,24,37,37,72.48027027,13.812162162,9.532972973,7.8875675676
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,23,67,119,524,10.920744275,2.1629770992,1.5421564885,1.4410687023
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,21,24,24,25.636666667,6.5266666667,4.7266666667,4.2679166667
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,16,32,35,35,43.168857143,13.43,10.238,10.052857143
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,653.96,297.49818182,233.24363636,233.24363636
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,27,28,49.406428571,14.128571429,10.707857143,10.105714286
1063475291,TEARSE,ROBERT,G,M.D.,M,I,4471 NOB HILL LN,,FREELAND,WA,98249,US,Psychiatry & Neurology,T,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,7,,59,61,149.18065574,38.444918033,26.829344262,21.604098361
1063475309,SCOTT,CHARLOTTE,,PA,F,I,"BLDG 2245, 58TH STREET AND 761ST TANK BATTALION AVENUE",,FORT HOOD,TX,765440000,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,34.053888889,4.4216666667,3.0972222222,3.1977777778
1063475341,LING,YUN,,MD,F,I,1175 E 50 S,SUITE 241,AMERICAN FORK,UT,840030000,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,23,52,228,73.856052632,8.32,6.0363596491,6.0363596491
1063475341,LING,YUN,,MD,F,I,1175 E 50 S,SUITE 241,AMERICAN FORK,UT,840030000,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,15,31,16.740967742,1.42,1.005483871,1.005483871
1063475341,LING,YUN,,MD,F,I,1175 E 50 S,SUITE 241,AMERICAN FORK,UT,840030000,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,38,38,397.89736842,70.48,53.796052632,53.349736842
1063475440,LAWRENCE,MARY,K,FNP,F,I,220 HIGHWAY 12 W,,KOSCIUSKO,MS,390903208,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,22,22,509.53227273,102.96090909,77.810454545,55.956818182
1063475440,LAWRENCE,MARY,K,FNP,F,I,220 HIGHWAY 12 W,,KOSCIUSKO,MS,390903208,US,Nurse Practitioner,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,2280,1.1983464912,0.1357631579,0.1016710526,0.1016710526
1063475440,LAWRENCE,MARY,K,FNP,F,I,220 HIGHWAY 12 W,,KOSCIUSKO,MS,390903208,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,13,13,48.230769231,33,23.88,23.88
1063475473,VOSBURG,MOLLY,,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,21,41,57.454634146,8.32,5.4068292683,5.4068292683
1063475473,VOSBURG,MOLLY,,MD,F,I,3917 WEST RD,SUITE A,LOS ALAMOS,NM,875442275,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,26,26,555.74730769,96.267692308,73.401153846,59.666923077
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,39,137,285,33.849508772,8.32,6.0969473684,6.0969473684
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,31,80,104,13.413557692,1.42,1.0639423077,1.0639423077
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,23,45,8.5811111111,1.28,0.9826666667,1.1286666667
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,43,11.505116279,2,1.5688372093,1.5890697674
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,61.304347826,46.549565217,30.999130435,31.77173913
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,58.354666667,17,11.997,12.212
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,1,,12,15,86.993333333,12.91,10.12,10.456
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,52,53,44.547924528,3.3118867925,2.3758490566,3.4998113208
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,68,68,554.22147059,71,51.694117647,50.914558824
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,17,84,20147,0.376688837,0.0463686901,0.0324579342,0.0324579342
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,17,17,46.158823529,20.588235294,13.835294118,12.328235294
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,K0007,Extra heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,16,16,209.486875,82.8125,52.78,42.4625
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,285.6,38.05,29.83,29.51
1063475499,YANCY,BRIGETTA,D,MD,F,I,1220 BARATARIA BLVD,,MARRERO,LA,70072,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,17,79,79,64.329113924,33,23.627721519,23.627721519
1063475549,SILBAR,RAYMOND,F,MD,M,I,10240 SAN JOSE BLVD,,JACKSONVILLE,FL,322576203,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,23,43,119,70.057983193,8.32,5.6785714286,5.6785714286
1063475549,SILBAR,RAYMOND,F,MD,M,I,10240 SAN JOSE BLVD,,JACKSONVILLE,FL,322576203,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,15,15,14.868,3.38,2.574,2.574
1063475549,SILBAR,RAYMOND,F,MD,M,I,10240 SAN JOSE BLVD,,JACKSONVILLE,FL,322576203,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,31,37,14.532702703,1.42,1.0259459459,1.0259459459
1063475549,SILBAR,RAYMOND,F,MD,M,I,10240 SAN JOSE BLVD,,JACKSONVILLE,FL,322576203,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,17,17,56.294117647,33,22.826470588,22.826470588
1063475614,HUYNH,LINH,C,DPM,M,I,875 E CANAL DR STE 10,,TURLOCK,CA,953804542,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,102,102,204,84.68,71.56,53.818480392,53.818284314
1063475614,HUYNH,LINH,C,DPM,M,I,875 E CANAL DR STE 10,,TURLOCK,CA,953804542,US,Podiatry,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,90,90,537,34.55,29.19,22.76858473,22.770242086
1063475614,HUYNH,LINH,C,DPM,M,I,875 E CANAL DR STE 10,,TURLOCK,CA,953804542,US,Podiatry,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,65,17.735,12.481666667,12.769166667
1063475614,HUYNH,LINH,C,DPM,M,I,875 E CANAL DR STE 10,,TURLOCK,CA,953804542,US,Podiatry,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,25,8.9345454545,7.0063636364,6.7427272727
1063475614,HUYNH,LINH,C,DPM,M,I,875 E CANAL DR STE 10,,TURLOCK,CA,953804542,US,Podiatry,S,L1906,"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,45,45,65,144.63815385,143.71753846,109.37353846,95.357076923
1063475614,HUYNH,LINH,C,DPM,M,I,875 E CANAL DR STE 10,,TURLOCK,CA,953804542,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,32,33,48,196.74083333,156.3,120.73833333,124.22354167
1063475622,KORTE,BRIAN,J,M.D.,M,I,507 W ALEXANDER ST,,PLANT CITY,FL,335637136,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,13,41,83.478780488,8.32,5.5682926829,5.5682926829
1063475622,KORTE,BRIAN,J,M.D.,M,I,507 W ALEXANDER ST,,PLANT CITY,FL,335637136,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,13,3660,2.2430163934,2.04,1.5993606557,1.5993606557
1063475622,KORTE,BRIAN,J,M.D.,M,I,507 W ALEXANDER ST,,PLANT CITY,FL,335637136,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,24,24,220,80.4875,63.1,54.72375
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,39,109,379,58.459287599,8.32,6.1956200528,6.1956200528
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,29,29,15.515862069,3.38,2.65,2.65
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,13,24.386153846,2.12,1.67,1.67
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,27,54,117,15.198888889,1.42,1.0946153846,1.0946153846
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,31,31,195,45.196129032,28.716129032,29.132580645
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,93.85,17.435333333,12.308,12.186666667
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,53.9,11.177272727,8.7654545455,9.27
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,567.899,72.105,48.16375,46.5425
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,1709,1.8010532475,0.1393270919,0.1028613224,0.1028613224
1063475697,PEREZ,ALFREDO,J,MD,M,I,HOOKSETT PRIMARY CARE,11 KIMBALL DRIVE,HOOKSETT,NH,03106,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,25,25,40.92,33,23.8004,23.8004
1063475747,MORK,ALLEN,J,MD,M,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,28,74,205,69.738,8.32,6.0129756098,6.0129756098
1063475747,MORK,ALLEN,J,MD,M,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,15,16,19.125,1.42,1.04875,1.04875
1063475747,MORK,ALLEN,J,MD,M,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,14,260,4.4056923077,4.04,2.0893846154,2.0893846154
1063475747,MORK,ALLEN,J,MD,M,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,431.08,93.89,71.190769231,68.58
1063475747,MORK,ALLEN,J,MD,M,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,21,175.11333333,35.73,24.303333333,23.216666667
1063475747,MORK,ALLEN,J,MD,M,I,701 DELLWOOD ST S,,CAMBRIDGE,MN,550081920,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,236,32.255,20.364166667,21.85
1063475770,DAMJI,SHAUKAT,S,M.D,M,I,653 N TOWN CENTER DR STE 418,,LAS VEGAS,NV,891440518,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,15,31,89,68.689325843,8.32,6.2295505618,6.2295505618
1063475770,DAMJI,SHAUKAT,S,M.D,M,I,653 N TOWN CENTER DR STE 418,,LAS VEGAS,NV,891440518,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,,23,39,12.567692308,1.42,1.0294871795,1.0294871795
1063475945,MIASKIEWICZ,STASIA,L,MD,F,I,1307 FEDERAL ST,SUITE 304,PITTSBURGH,PA,152124769,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,37,148,53.896013514,8.32,6.1810135135,6.1810135135
1063475945,MIASKIEWICZ,STASIA,L,MD,F,I,1307 FEDERAL ST,SUITE 304,PITTSBURGH,PA,152124769,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,13,13,13.316923077,3.38,2.65,2.65
1063475945,MIASKIEWICZ,STASIA,L,MD,F,I,1307 FEDERAL ST,SUITE 304,PITTSBURGH,PA,152124769,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,13,19,51,14.575098039,1.42,1.1129411765,1.1129411765
1063476190,KING,STEPHANIE,A,M.D.,F,I,333 COTTMAN AVENUE,FOX CHASE CANCER CENTER,PHILADELPHIA,PA,19111,US,Physician/Obstetrics & Gynecology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,11,300,9.9604,4.04,3.1674333333,3.1674333333
1063476364,LYON,KENT,J,MD,M,I,700 SUNSET DR STE 601,,ATHENS,GA,306067720,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,51,150,70.977333333,8.32,6.2525333333,6.2525333333
1063476364,LYON,KENT,J,MD,M,I,700 SUNSET DR STE 601,,ATHENS,GA,306067720,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,11,23,15.299565217,1.42,1.0147826087,1.0147826087
1063476364,LYON,KENT,J,MD,M,I,700 SUNSET DR STE 601,,ATHENS,GA,306067720,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,19,19,250.82263158,250.82263158,196.64473684,196.86894737
1063476406,HILLS,EVERETT,C,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Physical Medicine and Rehabilitation,S,E0955,"Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,18,18,33.326666667,11.478333333,8.5577777778,8.6911111111
1063476406,HILLS,EVERETT,C,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Physical Medicine and Rehabilitation,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,29,52,22.800576923,11.425961538,8.8169230769,8.7480769231
1063476406,HILLS,EVERETT,C,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Physical Medicine and Rehabilitation,S,E1161,"Manual adult size wheelchair, includes tilt in space",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,375.08642857,218.75,162.33,162.33
1063476406,HILLS,EVERETT,C,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Physical Medicine and Rehabilitation,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,75,22.062857143,17.297142857,17.211904762
1063476406,HILLS,EVERETT,C,MD,M,I,500 UNIVERSITY DR,,HERSHEY,PA,170332360,US,Physician/Physical Medicine and Rehabilitation,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,3,,21,21,38.099047619,9.5252380952,7.4666666667,7.58
1063476422,TKACH,JOHN,S,MD,M,I,762 14TH ST,,ELKO,NV,898013413,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,27,75,69.408533333,8.32,5.2177333333,5.2177333333
1063476422,TKACH,JOHN,S,MD,M,I,762 14TH ST,,ELKO,NV,898013413,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,55,55,84.493272727,23.722727273,18.325090909,13.831272727
1063476422,TKACH,JOHN,S,MD,M,I,762 14TH ST,,ELKO,NV,898013413,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,33.769090909,9.3395454545,5.0881818182,2.8040909091
1063476422,TKACH,JOHN,S,MD,M,I,762 14TH ST,,ELKO,NV,898013413,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,13,90,90,503.76911111,112.80133333,87.776111111,56.427888889
1063476422,TKACH,JOHN,S,MD,M,I,762 14TH ST,,ELKO,NV,898013413,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,45.886363636,35.977272727,30.168181818
1063476422,TKACH,JOHN,S,MD,M,I,762 14TH ST,,ELKO,NV,898013413,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,4259,0.3713406903,0.0454472881,0.0313172106,0.0313172106
1063476422,TKACH,JOHN,S,MD,M,I,762 14TH ST,,ELKO,NV,898013413,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,18,18,38.5,33,22.995555556,22.995555556
1063476463,FAIR,ROGERS,P,MD,M,I,221 WEST COLORADO BLVD,PAVILION II SUITE 730,DALLAS,TX,75208,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,19,49,122,62.586065574,8.32,5.9740163934,5.9740163934
1063476463,FAIR,ROGERS,P,MD,M,I,221 WEST COLORADO BLVD,PAVILION II SUITE 730,DALLAS,TX,75208,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,14.728888889,3.38,2.65,2.65
1063476463,FAIR,ROGERS,P,MD,M,I,221 WEST COLORADO BLVD,PAVILION II SUITE 730,DALLAS,TX,75208,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,21.076363636,2.12,1.67,1.67
1063476463,FAIR,ROGERS,P,MD,M,I,221 WEST COLORADO BLVD,PAVILION II SUITE 730,DALLAS,TX,75208,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,25,37,14.776486486,1.42,1.0864864865,1.0864864865
1063476463,FAIR,ROGERS,P,MD,M,I,221 WEST COLORADO BLVD,PAVILION II SUITE 730,DALLAS,TX,75208,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,173.74,28.044545455,14.576363636,13.697272727
1063476463,FAIR,ROGERS,P,MD,M,I,221 WEST COLORADO BLVD,PAVILION II SUITE 730,DALLAS,TX,75208,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,56.16,8.475,4.8925,4.7908333333
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,44,121,317,53.72659306,8.32,5.9905362776,5.9905362776
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,11,24,24,14.595833333,3.38,2.31875,2.31875
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,,14,14,17.511428571,2.12,1.67,1.67
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,22,46,81,12.59691358,1.42,1.0175308642,1.0175308642
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,260,11.28,5.74,4.5,4.5
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,52,12.66,6.44,4.6615384615,4.6615384615
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,195,10.88,5.54,4.3433333333,4.3433333333
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,780,3.84,1.95,1.4406025641,1.4406025641
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,275,0.54,0.23,0.164,0.1930909091
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,20.483846154,12.210769231,5.2015384615,3.7061538462
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,23,23,224.12086957,68.45173913,50.324782609,35.255652174
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,42.9125,20.4925,14.955,12.425833333
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,42,42,25.194285714,7.955952381,3.9585714286,2.5652380952
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,15,15,261.66,97.642666667,68.506,47.432666667
1063476471,HALLS,ALBERT,J,M.D.,M,I,20306 BADGER LANE,,ONLEY,VA,234180159,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,898,1.8361804009,0.1382516704,0.1083964365,0.1083964365
1063476513,MCALEER-LEAVEY,LAURA,E,MD,F,I,858 J CLYDE MORRIS BLVD,,NEWPORT NEWS,VA,236011303,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,21,30,90,195,55.768769231,8.32,5.8535897436,5.8535897436
1063476513,MCALEER-LEAVEY,LAURA,E,MD,F,I,858 J CLYDE MORRIS BLVD,,NEWPORT NEWS,VA,236011303,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,21,21,11.753333333,3.38,2.65,2.65
1063476513,MCALEER-LEAVEY,LAURA,E,MD,F,I,858 J CLYDE MORRIS BLVD,,NEWPORT NEWS,VA,236011303,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,13,15,44,64,13.1946875,1.42,0.993125,0.993125
1063476513,MCALEER-LEAVEY,LAURA,E,MD,F,I,858 J CLYDE MORRIS BLVD,,NEWPORT NEWS,VA,236011303,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,12,12,66,33,23.714166667,23.714166667
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,28,58,66.832931034,8.32,4.1615517241,4.1615517241
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,11,13,18.073076923,1.42,0.7738461538,0.7738461538
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,24,24,24,126,45.10625,35.363333333,36.3125
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,15,10.107692308,7.9223076923,7.9423076923
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,2,16,16,16,124.5625,48,37.63,40.395
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0181,"Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,49.24,12.196363636,9.5627272727,10.027272727
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,42,42,175,48.753333333,38.22,39.014285714
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,11,11,47.854545455,16.08,12.6,13.53
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,32.818571429,3.8792857143,2.6357142857,3.2328571429
1063476661,SHRIKANTHAN,MICHELE,S,MD,F,I,100 E LANCASTER AVE,"MOB EAST, SUITE 467",WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,13,38.1,8.93,6.4023076923,6.7938461538
1063476703,LOPEZ,ARNALDO,V,M.D.,M,I,1545 SW 1ST ST,200,MIAMI,FL,331352163,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,15,15,22,135.84,117.67,79.286818182,89.652727273
1063476745,ACOSTA-RUIZ,MELVYN,,MD,M,I,53 CALLE DOMINGO RUBIO,,ARECIBO,PR,006124433,US,Physician/Internal Medicine,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,1320,0.86,0.86,0.5655606061,1.4275757576
1063476760,LINDSEY,CONNIE,A,PA-C,F,I,42121 US HIGHWAY 70,,PORTALES,NM,881309054,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,19,58,54.149655172,8.32,6.3601724138,6.3601724138
1063476760,LINDSEY,CONNIE,A,PA-C,F,I,42121 US HIGHWAY 70,,PORTALES,NM,881309054,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,26,26,76.013076923,23.803461538,18.085769231,13.704230769
1063476760,LINDSEY,CONNIE,A,PA-C,F,I,42121 US HIGHWAY 70,,PORTALES,NM,881309054,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,54.88,7.9045454545,5.8636363636,3.3781818182
1063476760,LINDSEY,CONNIE,A,PA-C,F,I,42121 US HIGHWAY 70,,PORTALES,NM,881309054,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,35,37,451.43621622,110.46054054,84.989189189,56.534594595
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,14,22,50,171,64.511520468,8.32,6.0643274854,6.0643274854
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,273.601875,86.420625,67.75125,67.81
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,,17,37,116.63702703,33.538378378,26.292972973,25.943783784
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,176.95611111,54.499444444,37.987222222,38.110555556
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,16,25,25,50.356,17.91,14.0344,14.0524
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,14,33,33,48.323030303,11.57030303,8.5251515152,8.5690909091
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,15,34,163,8.2674233129,2.0098773006,1.402208589,1.418404908
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,16,16,19.74875,5.928125,3.78375,3.786875
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,15,32.289333333,13.207333333,10.355333333,10.345333333
1063476786,TRAUTSCHOLD,JULIA,,M.D.,F,I,3908 10TH ST SE,,PUYALLUP,WA,98374,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,158.62413793,33.566896552,23.616206897,23.137586207
1063476810,SAADDINE,YSSA,,MD,M,I,1136 CLEVELAND AVE,STE 209,EAST POINT,GA,303443618,US,Physician/Endocrinology,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,15,195,59.911794872,19.627333333,14.970153846,14.970153846
1063476810,SAADDINE,YSSA,,MD,M,I,1136 CLEVELAND AVE,STE 209,EAST POINT,GA,303443618,US,Physician/Endocrinology,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,3,,14,420,8.63,2.6314285714,1.9151190476,1.9151190476
1063476810,SAADDINE,YSSA,,MD,M,I,1136 CLEVELAND AVE,STE 209,EAST POINT,GA,303443618,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,37,63,187,697,59.43794835,8.32,6.1669010043,6.1669010043
1063476810,SAADDINE,YSSA,,MD,M,I,1136 CLEVELAND AVE,STE 209,EAST POINT,GA,303443618,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,6,21,40,40,14.2475,3.38,2.65,2.65
1063476810,SAADDINE,YSSA,,MD,M,I,1136 CLEVELAND AVE,STE 209,EAST POINT,GA,303443618,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,17,20,20,20.308,2.12,1.67,1.67
1063476810,SAADDINE,YSSA,,MD,M,I,1136 CLEVELAND AVE,STE 209,EAST POINT,GA,303443618,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,18,38,79,159,12.663773585,1.42,1.0656603774,1.0656603774
1063476810,SAADDINE,YSSA,,MD,M,I,1136 CLEVELAND AVE,STE 209,EAST POINT,GA,303443618,US,Physician/Endocrinology,S,E0784,"External ambulatory infusion pump, insulin",D1E - Other DME,Durable Medical Equipment,Y,2,,17,17,687.32352941,337.43647059,256.10882353,256.10882353
1063476828,FRENCH,STEVEN,,DPM,M,I,15428 S HARLEM AVE,,ORLAND PARK,IL,604624333,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,75,75,150,71.848266667,71.56,55.7194,55.7194
1063476828,FRENCH,STEVEN,,DPM,M,I,15428 S HARLEM AVE,,ORLAND PARK,IL,604624333,US,Podiatry,S,K0903,"For diabetics only, multiple density insert, made by direct carving with CAM technology from a rectified CAD model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,69,69,414,43.762222222,43.56,34.151666667,34.15031401
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,11,29,96,43.6365625,8.32,6.4542708333,6.4542708333
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,12.265,3.38,2.65,2.65
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,5,,19,36,9.3038888889,1.42,1.1152777778,1.1152777778
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,16,2680,2.2063880597,2.04,1.5503358209,1.5503358209
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,15,450,22.456022222,9.86,7.4113333333,7.4113333333
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,220,9.6309090909,4.03,2.6902727273,2.6902727273
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,13,650,0.6476923077,0.27,0.1953230769,0.1953230769
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,18,18,97.606666667,40.193333333,24.555555556,23.714444444
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,23,23,243.73086957,89.682173913,54.720869565,52.575217391
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,23,95.286521739,33.061304348,25.919565217,25.883043478
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,175.34285714,54.79,39.219285714,39.147857143
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,26,26,50.846538462,18.116923077,11.979615385,11.906538462
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,49.515,11.64,8.36,8.36
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,23,37,141,9.1042553191,2.039787234,1.3065248227,1.2989361702
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,38,38,44.304473684,20.055263158,15.011052632,15.011052632
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,2,,29,29,29.703448276,13.444827586,7.3065517241,7.12
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,42,42,105.79047619,32.794761905,21.106428571,19.907380952
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,65,70,307.58457143,69.81,51.776,51.776
1063476844,FARCHONE,THOMAS,J,MD,M,I,14231 BEADLE LAKE RD,,BATTLE CREEK,MI,490148213,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,68.654736842,19.155263158,15.013684211,14.476842105
1063476935,GUPTA,J.,D,M.D.,M,I,2704 MEDICAL OFFICE PL,,GOLDSBORO,NC,275349460,US,Physician/Cardiovascular Disease (Cardiology),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,140,35.49,27.825,27.309166667
1063477032,ELINZANO,HEINRICH,,M.D.,M,I,593 EDDY ST,,PROVIDENCE,RI,029034923,US,Physician/Neurology,S,J8700,"Temozolomide, oral, 5 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,1,,19,3216,26.520693408,1.8528731343,1.4526430348,1.4526368159
1063477032,ELINZANO,HEINRICH,,M.D.,M,I,593 EDDY ST,,PROVIDENCE,RI,029034923,US,Physician/Neurology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,14,14,24,24,18.82,18.82
1063477032,ELINZANO,HEINRICH,,M.D.,M,I,593 EDDY ST,,PROVIDENCE,RI,029034923,US,Physician/Neurology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,12,17,16,16,12.54,12.54
1063477073,GREIST,ANNE,,M.D.,F,I,8326 NAAB RD,,INDIANAPOLIS,IN,462601920,US,Physician/Hematology-Oncology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,79.96,79.96,57.465833333,50.8325
1063477073,GREIST,ANNE,,M.D.,F,I,8326 NAAB RD,,INDIANAPOLIS,IN,462601920,US,Physician/Hematology-Oncology,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,37,37,26.755833333,27.214166667
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,26,85,194,66.966237113,8.32,5.7149484536,5.7149484536
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,15,30,38,14.237368421,1.42,0.9394736842,0.9394736842
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A7002,"Tubing, used with suction pump, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,44,3.9,3.9,3.0575,3.3775
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,17,38,5.4489473684,2.0484210526,1.5389473684,1.2739473684
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,15,454.684,125.30333333,87.494,63.680666667
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,,15,40,171.605,46.7515,34.21,25.73175
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,77.78,24.535,19.231666667,15.356666667
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,17,102,11.917647059,2.8402941176,2.2270588235,1.7770588235
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,A7526,"Tracheostomy tube collar/holder, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,300,4.8,3.81,2.9871,2.9871
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,19,555,200.50630631,7.7486306306,5.8553873874,4.0058018018
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,13,8318,3.3977073816,0.3906371724,0.3062575138,0.2452067805
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,16,100,108,84.062777778,23.079444444,17.401666667,13.405277778
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,22,37.773636364,7.1531818182,5.4422727273,3.3790909091
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,75,42.162727273,33.054545455,33.054545455
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,15,85,90,509.13166667,106.88911111,79.420222222,54.620222222
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,37,8276,0.235760029,0.0462783954,0.0318342194,0.0318342194
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,1950,2.3127435897,0.1325076923,0.0983025641,0.0983025641
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,26,1290,11.899984496,3.0178372093,2.2633643411,2.2633643411
1063477099,BAKER,RICHARD,C,MD,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,,52,52,90.115384615,33,24.045576923,24.045576923
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,19,45,127,60.905275591,8.32,5.9937795276,5.9937795276
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,1,,15,15,15,3.38,2.2966666667,2.2966666667
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,20,39,14.514615385,1.42,1.0556410256,1.0556410256
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,44.06,34.55,37.35
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,16,16,43.0475,4.275,2.8675,3.378125
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,1290,0.9296046512,0.1380232558,0.1018682171,0.1018682171
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,129.46,26.075,20.4425,21.531666667
1063477164,DOYLE,ELIZABETH,M,M.D.,F,I,115 HUSTON DR,,SHEPHERDSVILLE,KY,401657250,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,29,29,128.5862069,33,24.085862069,24.085862069
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,32,95,114,58.315789474,8.32,6.2134210526,6.2134210526
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,26,37,39,14.436923077,1.42,1.0615384615,1.0615384615
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,512.16,123.97545455,97.118181818,71.571818182
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,1,,11,25,189.42,47.2228,37.0228,25.918
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,12,56,15.107142857,3.1342857143,2.2966071429,1.43375
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,59,60,51.9055,21.0285,15.489166667,13.324
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,,56,56,270.82642857,94.350357143,70.583571429,57.329821429
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,2727,5.6369380271,0.5751778511,0.4509350935,0.4509350935
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,18,1650,1.4928969697,0.1318727273,0.1017454545,0.1017454545
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,23,16,16,12.54,12.54
1063477214,HUSSEIN,SAMER,H,M.D.,M,I,309 11TH ST,,CARROLLTON,KY,410081435,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,20,20,52.8,33,23.283,23.283
1063477248,SCHOMAN,NANCY,A,CRNP,F,I,1020 CENTER AVE,,PGH,PA,152291724,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,13,27,67.224444444,8.32,5.3722222222,5.3722222222
1063477248,SCHOMAN,NANCY,A,CRNP,F,I,1020 CENTER AVE,,PGH,PA,152291724,US,Nurse Practitioner,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,185,51.915454545,40.7,38.623636364
1063477248,SCHOMAN,NANCY,A,CRNP,F,I,1020 CENTER AVE,,PGH,PA,152291724,US,Nurse Practitioner,S,E0940,"Trapeze bar, free standing, complete with grab bar",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,11,11,29.55,17.234545455,13.513636364,13.216363636
1063477289,MIKE-MAYER,HENRIK,,M.D.,M,I,611 W FRANCIS ST STE 290,,NORTH PLATTE,NE,691010614,US,Physician/Orthopedic Surgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,21,21,21,1189.0952381,1150.3,887.08238095,874.66571429
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,25,66,140,43.053285714,8.32,5.1711428571,5.1711428571
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,19,9.1431578947,1.3863157895,0.6926315789,0.7221052632
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,14,14,42.307857143,27.037857143,19.702142857,20.741428571
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A6196,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,12,231,8.28,8.28,6.4915151515,6.4915151515
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,752,0.45,0.45,0.3528058511,0.3528058511
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,227.62,72.683076923,53.358461538,39.563076923
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,14,14,55.320714286,24.585,18.490714286,13.281428571
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,12,12,57.291666667,19.62,15.38,10.084166667
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,13,20,101,9.2758415842,2.8392079208,2.190990099,1.5617821782
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,21.426363636,8.4445454545,6.2345454545,4.2636363636
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,93.557647059,22.506470588,14.738235294,11.142352941
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,343.33333333,113.75888889,81.648333333,58.553888889
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,30,30,92.511,7.536,5.0233333333,3.0406666667
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,150,61.016,47.8335,29.034
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,55,59,442.52983051,101.53254237,74.823389831,51.579152542
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,3660,1.2990546448,0.1359672131,0.0867377049,0.0867377049
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,12,720,11.444680556,2.7702916667,2.0837083333,2.0837083333
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,60,26.185454545,18.783636364,11.909090909
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,K0053,"Elevating footrests, articulating (telescoping), each",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,20,9.2875,6.7058333333,6.4791666667
1063477297,LABES,BRUCE,L,MD,M,I,830 ELM ST,,MINNEAPOLIS,KS,674671608,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,18,18,38.5,33,22.065,22.065
1063477495,KUKUNOOR,VIMALA,N,M.D.,F,I,9100 N 2ND ST,SUITE 121,PHOENIX,AZ,850202446,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,20,41,51.736341463,8.32,5.9551219512,5.9551219512
1063477495,KUKUNOOR,VIMALA,N,M.D.,F,I,9100 N 2ND ST,SUITE 121,PHOENIX,AZ,850202446,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,47.47,18.85,14.7775,14.19
1063477552,MCKENNA,RANDALL,W,DO,M,I,1713 S FM 51,SUITE 103,DECATUR,TX,76234,US,Physician/Orthopedic Surgery,S,L3960,"Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,20,20,954.285,791.7385,620.7265,576.832
1063477602,HALLAK,JOSEPH,,OD,M,I,183 BROADWAY,SUITE 308,HICKSVILLE,NY,118014247,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,13,16,16,75,60.62,47.53,52.48
1063477628,PATEL,MANISHA,N,M.D.,F,I,210 MEDICAL CENTER DR,,PHILIPSBURG,PA,168661948,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,14,44,133,65.10481203,8.2972180451,6.1293233083,6.1516541353
1063477628,PATEL,MANISHA,N,M.D.,F,I,210 MEDICAL CENTER DR,,PHILIPSBURG,PA,168661948,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,24,38,17.333421053,1.42,1.0571052632,1.0571052632
1063477651,HANBY,CHARLES,K,MD,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,6,80,80,80,119.748,50.085875,38.9865,36.572625
1063477651,HANBY,CHARLES,K,MD,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Orthopedic Surgery,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,1,26,26,26,121.46846154,54.936153846,43.070769231,41.941538462
1063477651,HANBY,CHARLES,K,MD,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Orthopedic Surgery,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,21,21,61.267619048,17.29,12.25952381,12.242380952
1063477651,HANBY,CHARLES,K,MD,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Orthopedic Surgery,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,22,22,178.715,72.558636364,51.880454545,51.617727273
1063477651,HANBY,CHARLES,K,MD,M,I,3317 N WIMBERLY DR,,FAYETTEVILLE,AR,727034056,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,22,22,22,162.68181818,130.57,91.957272727,92.087272727
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,28,88,224,73.921339286,8.26125,5.6070535714,5.6437946429
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,15,40,56,14.598035714,1.42,1.015,1.015
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,205,5.86,5.8043414634,4.3512682927,3.980097561
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,15,2394,0.68,0.3601503759,0.2706850459,0.2323851295
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,B4155,"Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,348,1.02,0.8066666667,0.6190229885,0.5431609195
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,34,34,69.565294118,22.393235294,16.85,13.221470588
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,22,22,25.39,7.9145454545,6.2027272727,4.06
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,49,50,339.5834,102.6904,75.1676,51.4086
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,11,2063,0.5701066408,0.046025206,0.0294377121,0.0294377121
1063477677,KUNDLAS,GURDEEP,S,M.D.,M,I,7569 STATE ROUTE 54,,BATH,NY,148109533,US,Physician/Emergency Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,17,17,33,33,18.760588235,18.760588235
1063477743,LAWLER,CHRISTOPHER,M,M.D.,M,I,32840 PACIFIC COAST HWY,E,DANA POINT,CA,926293468,US,Physician/Physical Medicine and Rehabilitation,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,14,14,26,22.225,17.425,22.447857143
1063477792,CHAN,GINA,,MD,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,17,17,29,81,72.244074074,8.32,6.1995061728,6.1995061728
1063477792,CHAN,GINA,,MD,F,I,2700 SILVERSIDE RD,SUITE 3,WILMINGTON,DE,198103719,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,11,20,30,16.723,1.42,1.1133333333,1.1133333333
1063477917,LYNCH,GARRETT,J,M.D.,M,I,2003 MEDICAL PARKWAY,SUITE 400,ANNAPOLIS,MD,214013088,US,Physician/Orthopedic Surgery,S,L1812,"Knee orthosis, elastic with joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,17,17,18,132,89.38,70.07,73.96
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,38,122,221,55.252262443,8.32,5.4328054299,5.4328054299
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,31,31,13.848709677,1.42,1.0477419355,1.0477419355
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,12,83.916666667,52.215,40.94,30.49
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,12,19,19,211.57894737,119.15315789,90.766315789,65.196842105
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,11,23,59,104.91525424,45.859491525,35.468474576,25.478813559
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,101,48.356435644,25.425643564,19.932277228,14.55019802
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,25,25,164.22,74.2744,54.4604,39.7736
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,23,35,35,48.814285714,24.450571429,18.274285714,13.343428571
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,18,35,35,47.2,19.813428571,14.956285714,8.626
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,22,47,273,8.1796336996,3.1281318681,2.3747985348,1.5312087912
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,14,20,20,19.5645,8.635,6.5135,4.6535
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,3,14,20,20,35.1045,15.6505,12.2655,10.3865
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,40,7.9045454545,4.8745454545,2.4581818182
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,42,43,129.5072093,53.497906977,39.93627907,26.06255814
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,42,43,332.90093023,108.84046512,85.334186047,58.49744186
1063477966,NORRIS,KEVIN,D,MD,M,I,520 S SANTA FE AVE,SUITE 300,SALINA,KS,674014190,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,200,44.745,35.0825,29.515833333
1063478055,WHITE,JOSHUA,J,P.A.,M,I,1818 N MEADE ST,,APPLETON,WI,549113454,US,Physician Assistant,S,K0606,"Automatic external defibrillator, with integrated electrocardiogram analysis, garment type",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,3750,2512.2281818,1969.5863636,1969.5863636
1063478147,ASHWORTH,JOEL,T,M.D.,M,I,86 HARRIS RD,,KILMARNOCK,VA,224823845,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,8,31,74,211,46.778578199,8.32,5.7461137441,5.7461137441
1063478147,ASHWORTH,JOEL,T,M.D.,M,I,86 HARRIS RD,,KILMARNOCK,VA,224823845,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,12,30,30,13.137333333,3.38,2.2083333333,2.2083333333
1063478147,ASHWORTH,JOEL,T,M.D.,M,I,86 HARRIS RD,,KILMARNOCK,VA,224823845,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,16,16,20.425,2.12,1.2525,1.2525
1063478147,ASHWORTH,JOEL,T,M.D.,M,I,86 HARRIS RD,,KILMARNOCK,VA,224823845,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,22,47,73,12.75369863,1.42,0.9769863014,0.9769863014
1063478147,ASHWORTH,JOEL,T,M.D.,M,I,86 HARRIS RD,,KILMARNOCK,VA,224823845,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,5,,24,24,26.201666667,7.9033333333,5.8929166667,5.2225
1063478147,ASHWORTH,JOEL,T,M.D.,M,I,86 HARRIS RD,,KILMARNOCK,VA,224823845,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,229.62857143,56.137142857,44.014285714,31.021428571
1063478188,MADY,ATTILA,,MD,M,I,5880 S HOSPITAL DR,,GLOBE,AZ,85501,US,Hospitalist,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,4430.1,913.16,713.05375,828.86541667
1063478196,LEVINE,BRUCE,J,DPM,M,I,2521 COUNTRYSIDE BLVD,,CLEARWATER,FL,337631605,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,12,12,24,76.333333333,71.56,56.105,56.105
1063478196,LEVINE,BRUCE,J,DPM,M,I,2521 COUNTRYSIDE BLVD,,CLEARWATER,FL,337631605,US,Podiatry,S,A6010,"Collagen based wound filler, dry form, sterile, per gram of collagen",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,13,275,45,34.86,27.330218182,27.330218182
1063478196,LEVINE,BRUCE,J,DPM,M,I,2521 COUNTRYSIDE BLVD,,CLEARWATER,FL,337631605,US,Podiatry,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,13,13,275,2.5,1.08,0.8466545455,0.8466545455
1063478196,LEVINE,BRUCE,J,DPM,M,I,2521 COUNTRYSIDE BLVD,,CLEARWATER,FL,337631605,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,28,29,29,130,76.181034483,59.727931034,63.1
1063478196,LEVINE,BRUCE,J,DPM,M,I,2521 COUNTRYSIDE BLVD,,CLEARWATER,FL,337631605,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,24,24,24,499,266.32583333,208.79708333,218.49083333
1063478196,LEVINE,BRUCE,J,DPM,M,I,2521 COUNTRYSIDE BLVD,,CLEARWATER,FL,337631605,US,Podiatry,S,L4397,"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,20,20,21,293,163.39380952,128.1,126.61095238
1063478345,BEECUM,SUSHILLA,N,MD,F,I,7000 54TH AVENUE NORTH,,ST PETERSBURG,FL,33709,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,11,28,62.175357143,8.32,6.5242857143,6.5242857143
1063478345,BEECUM,SUSHILLA,N,MD,F,I,7000 54TH AVENUE NORTH,,ST PETERSBURG,FL,33709,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,12.219166667,12.415833333
1063478345,BEECUM,SUSHILLA,N,MD,F,I,7000 54TH AVENUE NORTH,,ST PETERSBURG,FL,33709,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,17,22,519.51,79.383636364,57.111363636,52.703636364
1063478345,BEECUM,SUSHILLA,N,MD,F,I,7000 54TH AVENUE NORTH,,ST PETERSBURG,FL,33709,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,1,,11,11,132,33,25.87,25.87
1063478360,ADDO,DORTHEA,,MD,F,I,2700 LAFAYETTE ST,STE 110,FORT WAYNE,IN,468061100,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,23,69,169,69.47852071,8.32,5.9864497041,5.9864497041
1063478360,ADDO,DORTHEA,,MD,F,I,2700 LAFAYETTE ST,STE 110,FORT WAYNE,IN,468061100,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,13,34,48,15.26,1.42,1.0445833333,1.0445833333
1063478360,ADDO,DORTHEA,,MD,F,I,2700 LAFAYETTE ST,STE 110,FORT WAYNE,IN,468061100,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,31,31,288.75,4.7619354839,3.3196774194,3.1622580645
1063478360,ADDO,DORTHEA,,MD,F,I,2700 LAFAYETTE ST,STE 110,FORT WAYNE,IN,468061100,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,25,6512,0.2752103808,0.0458952703,0.0330082924,0.0330082924
1063478360,ADDO,DORTHEA,,MD,F,I,2700 LAFAYETTE ST,STE 110,FORT WAYNE,IN,468061100,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,25,25,84.48,33,23.8004,23.8004
1063478394,LOMAN,JEFFREY,A,M.D,M,I,9195 SUNSET DR,210,MIAMI,FL,331733488,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,26,71,67.596760563,8.32,5.7869014085,5.7869014085
1063478394,LOMAN,JEFFREY,A,M.D,M,I,9195 SUNSET DR,210,MIAMI,FL,331733488,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,41,41,30.243902439,6.1931707317,3.836097561,3.0704878049
1063478394,LOMAN,JEFFREY,A,M.D,M,I,9195 SUNSET DR,210,MIAMI,FL,331733488,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,150,35.63,22.947272727,19.120909091
1063478394,LOMAN,JEFFREY,A,M.D,M,I,9195 SUNSET DR,210,MIAMI,FL,331733488,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,33.08,21.164545455,16.595454545,14.289090909
1063478402,PHAN,PHUONG-CHI,,M.D.,F,I,14571 MAGNOLIA ST,SUITE 207,WESTMINSTER,CA,926835574,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,13,29,68,40.708235294,8.32,5.5623529412,5.5623529412
1063478402,PHAN,PHUONG-CHI,,M.D.,F,I,14571 MAGNOLIA ST,SUITE 207,WESTMINSTER,CA,926835574,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,,23,29,20.530344828,1.42,0.9634482759,0.9634482759
1063478402,PHAN,PHUONG-CHI,,M.D.,F,I,14571 MAGNOLIA ST,SUITE 207,WESTMINSTER,CA,926835574,US,Physician/Internal Medicine,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,385,4.28,2.27,1.4561298701,1.4561298701
1063478402,PHAN,PHUONG-CHI,,M.D.,F,I,14571 MAGNOLIA ST,SUITE 207,WESTMINSTER,CA,926835574,US,Physician/Internal Medicine,S,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,22,16.87,7.35,4.9018181818,4.9931818182
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,18,48,50.622291667,8.32,6.52125,6.52125
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,,14,20,14.8815,1.42,1.116,1.116
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,21,84,7.9020238095,6.44,4.7030952381,4.7030952381
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,A4414,"Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,220,7.098,5.54,3.9486363636,3.9486363636
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,240,3.9,3.04,2.184875,2.184875
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,825,0.312,0.24,0.1881333333,0.2117333333
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,19,19,38,80.944736842,71.56,50.928421053,50.927894737
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,2000,1048.7,822.18,842.26
1063478493,ALLEN,HENRY,W,MD,M,I,2816 FOX MEADOW LN,,JONESBORO,AR,724049346,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,12,12,87.325,30.985,23.949166667,13.846666667
1063478543,GRIGER,DAVID,T,D.O.,M,I,1 ATWELL RD,,COOPERSTOWN,NY,133261301,US,Physician/Rheumatology,S,E0149,"Walker, heavy duty, wheeled, rigid or folding, any type",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,32.14,11.900833333,9.3333333333,7.2633333333
1063478576,ETHERTON-MOORE,CARLA,A,CRNP,F,I,11 MEDICAL PARK,,VALLEY,AL,368543665,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,31,56.752580645,8.32,4.8377419355,4.8377419355
1063478576,ETHERTON-MOORE,CARLA,A,CRNP,F,I,11 MEDICAL PARK,,VALLEY,AL,368543665,US,Nurse Practitioner,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,2550,0.5873137255,0.0464117647,0.0298862745,0.0298862745
1063478576,ETHERTON-MOORE,CARLA,A,CRNP,F,I,11 MEDICAL PARK,,VALLEY,AL,368543665,US,Nurse Practitioner,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,18,18,33,33,22.551666667,22.551666667
1063478626,KESSELHEIM,AARON,S,M.D.,M,I,75 FRANCIS ST,,BOSTON,MA,021156110,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,15,54,83.171666667,8.32,6.4018518519,6.4018518519
1063478634,BOINAPALLY,ARAVIND,R,MD,M,I,3400 WAKE FOREST RD,,RALEIGH,NC,276097317,US,Hospitalist,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,14,14,185.56,44.617142857,32.533571429,33.647857143
1063478634,BOINAPALLY,ARAVIND,R,MD,M,I,3400 WAKE FOREST RD,,RALEIGH,NC,276097317,US,Hospitalist,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,30.832142857,3.68,2.6742857143,3.1728571429
1063478634,BOINAPALLY,ARAVIND,R,MD,M,I,3400 WAKE FOREST RD,,RALEIGH,NC,276097317,US,Hospitalist,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,60,39.723333333,31.141666667,31.141666667
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,34,85,178,57.729775281,8.32,6.0092696629,6.0092696629
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,17,17,11.138823529,3.38,2.4941176471,2.4941176471
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,20,38,49,12.166530612,1.42,1.0636734694,1.0636734694
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,13,27,27,109.7262963,50.38,38.25037037,29.360740741
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,15,28,3.4635714286,2.0510714286,1.4282142857,0.9860714286
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7004,"Small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,1,,13,26,2.02,1.4669230769,0.9861538462,0.8134615385
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,15,36,36,276.95388889,116.24055556,84.853055556,62.191388889
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,5,16,36,86,122.70697674,44.034418605,33.191511628,24.586744186
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,6,,13,68,78.966470588,25.675588235,18.284558824,13.623823529
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,2,,12,69,49.792318841,19.91942029,13.749855072,10.026376812
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,14,29,29,215.03172414,73.7,56.514137931,41.593103448
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,26,35,35,59.244571429,23.155428571,16.371428571,12.453142857
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,19,40,40,61.33075,17.78125,13.687,8.892
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,24,58,338,8.5464201183,3.056035503,2.3734911243,1.5703254438
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,23.580909091,7.7954545455,6.1163636364,4.6563636364
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,5,17,24,24,53.929166667,15.297083333,11.519166667,10.023333333
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,21,21,137.5047619,76.905238095,56.184285714,38.155238095
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,60,61,54.570983607,22.459508197,16.139016393,12.396885246
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,17,17,150.34411765,60.646470588,42.692941176,33.202941176
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,14,14,300.75857143,159.46785714,120.17642857,77.567142857
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,30.604482759,8.5086206897,6.2103448276,3.3917241379
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,19,19,163.85842105,55.636842105,43.616315789,28.481578947
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,12,99,100,295.0165,104.2764,77.2005,55.4889
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,25,5250,0.3975428571,0.0464,0.0332209524,0.0332209524
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,300,0.75,0.2197,0.1296666667,0.1296666667
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,39,39,52.19,27.415128205,19.646666667,12.786153846
1063478691,SANDERS,ALAN,M,MD,M,I,194 HOSPITAL RD,,BLAIRSVILLE,GA,305123139,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,44,44,98.25,33,21.754318182,21.754318182
1063478766,FONSECA,GUSTAVO,A,MD,M,I,521 N LECANTO HWY,FLORIDA CANCER SPECIALISTS P L,LECANTO,FL,344619187,US,Physician/Hematology-Oncology,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,1258.125,19.71,14.263846154,14.263846154
1063478766,FONSECA,GUSTAVO,A,MD,M,I,521 N LECANTO HWY,FLORIDA CANCER SPECIALISTS P L,LECANTO,FL,344619187,US,Physician/Hematology-Oncology,S,J1559,"Injection, immune globulin (hizentra), 100 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,13,4160,160.00157692,9.8425384615,7.6969350962,7.6969278846
1063478766,FONSECA,GUSTAVO,A,MD,M,I,521 N LECANTO HWY,FLORIDA CANCER SPECIALISTS P L,LECANTO,FL,344619187,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,12,56,2934,60.771308793,4.9741138378,3.7760838446,3.7760838446
1063478766,FONSECA,GUSTAVO,A,MD,M,I,521 N LECANTO HWY,FLORIDA CANCER SPECIALISTS P L,LECANTO,FL,344619187,US,Physician/Hematology-Oncology,S,K0552,"Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,52,419.93,2.64,2.07,2.07
1063478766,FONSECA,GUSTAVO,A,MD,M,I,521 N LECANTO HWY,FLORIDA CANCER SPECIALISTS P L,LECANTO,FL,344619187,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,17,17,24,24,18.82,18.82
1063478766,FONSECA,GUSTAVO,A,MD,M,I,521 N LECANTO HWY,FLORIDA CANCER SPECIALISTS P L,LECANTO,FL,344619187,US,Physician/Hematology-Oncology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,12,48,48,16,16,12.27875,12.27875
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,13,26,90,151,71.034768212,8.32,5.5572847682,5.5572847682
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,17,33,41,16.203658537,1.42,0.8975609756,0.8975609756
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,14,15,86.31,22.576,16.703333333,13.122
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,39,39,507.62153846,100.58923077,74.343846154,51.636153846
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70.2,44.560909091,34.938181818,30.165454545
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,15.58,9.6460666667,7.4489222222,7.4489222222
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,20,2038,0.4484347399,0.0466584887,0.0312855741,0.0312806673
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,15,900,12.86,2.9991333333,2.3513444444,2.3513444444
1063478865,MASILLO,CHRIS,S,PA,M,I,215 STRATTON RD,,RUTLAND,VT,057014621,US,Physician Assistant,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,46,46,101.86956522,33,22.495652174,22.495652174
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,20,31,1760,0.5826022727,0.44,0.3371477273,0.3371477273
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,A6021,"Collagen dressing, sterile, size 16 sq. in. or less, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,18,29,561,34.754812834,23.66,18.549376114,18.549376114
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,A6197,"Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,16,20,603,37.421890547,18.5,14.469270315,14.469270315
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,A6216,"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,11,2200,0.0968,0.05,0.0356363636,0.0356363636
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,A6219,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,15,25,687,2.1970305677,1.08,0.8281804949,0.8281804949
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,A6402,"Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,17,22,3150,0.190047619,0.13,0.1019174603,0.1019174603
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,A6446,"Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,2,11,15,1778,0.6325871766,0.4493588301,0.3523003375,0.3528065242
1063478956,PATEL,BINDESH,K,MD,M,I,10000 TELEGRAPH RD,THE CENTER FOR WOUND HEALING & HYPERBARIC MEDICINE,TAYLOR,MI,481803330,US,Physician/Family Practice,S,E2402,"Negative pressure wound therapy electrical pump, stationary or portable",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,1716.46,531.81818182,416.94545455,454.82545455
1063479004,MCCABE,BEVERLY,D,FNP,F,I,3510 JOHN PLATT DR,,MOREHEAD CITY,NC,285574321,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,45,17.29,13.55,13.53
1063479004,MCCABE,BEVERLY,D,FNP,F,I,3510 JOHN PLATT DR,,MOREHEAD CITY,NC,285574321,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,272.35,70.23,55.06,54.72
1063479186,KOSLOW,JOEL,L,M.D.,M,I,6355 WALKER LN,SUITE 303,ALEXANDRIA,VA,223103245,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,12,18,40,145,63.715586207,8.32,6.1174482759,6.1174482759
1063479186,KOSLOW,JOEL,L,M.D.,M,I,6355 WALKER LN,SUITE 303,ALEXANDRIA,VA,223103245,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,12,12,13.176666667,3.38,2.65,2.65
1063479186,KOSLOW,JOEL,L,M.D.,M,I,6355 WALKER LN,SUITE 303,ALEXANDRIA,VA,223103245,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,12,22,39,10.780512821,1.42,1.0282051282,1.0282051282
1063479186,KOSLOW,JOEL,L,M.D.,M,I,6355 WALKER LN,SUITE 303,ALEXANDRIA,VA,223103245,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,127.42823529,16.960588235,12.219411765,12.451176471
1063479186,KOSLOW,JOEL,L,M.D.,M,I,6355 WALKER LN,SUITE 303,ALEXANDRIA,VA,223103245,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,261,31.118333333,24.395,24.395
1063479186,KOSLOW,JOEL,L,M.D.,M,I,6355 WALKER LN,SUITE 303,ALEXANDRIA,VA,223103245,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,17,17,657.10352941,79.721764706,55.138823529,48.751764706
1063479335,GIL,CONSTANTE,,MD,M,I,220 MARKET ST,SUITE 2,PERTH AMBOY,NJ,088614331,US,Specialist,T,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,30,27.01,21.18,22.215833333
1063479335,GIL,CONSTANTE,,MD,M,I,220 MARKET ST,SUITE 2,PERTH AMBOY,NJ,088614331,US,Specialist,T,A4333,"Urinary catheter anchoring device, adhesive skin attachment, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,120,3,2.49,1.952,1.952
1063479335,GIL,CONSTANTE,,MD,M,I,220 MARKET ST,SUITE 2,PERTH AMBOY,NJ,088614331,US,Specialist,T,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,12,12.5,10.34,8.1,8.5308333333
1063479335,GIL,CONSTANTE,,MD,M,I,220 MARKET ST,SUITE 2,PERTH AMBOY,NJ,088614331,US,Specialist,T,A4358,"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,24,9,7.46,5.85,5.85
1063479368,STILLMAN,DIANE,L,NP,F,I,362 COURT ST,,PLYMOUTH,MA,023604397,US,Nurse Practitioner,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,21,86.31,17,11.524761905,11.72952381
1063479368,STILLMAN,DIANE,L,NP,F,I,362 COURT ST,,PLYMOUTH,MA,023604397,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,50.73,4.2872727273,3.3581818182,3.8890909091
1063479368,STILLMAN,DIANE,L,NP,F,I,362 COURT ST,,PLYMOUTH,MA,023604397,US,Nurse Practitioner,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,20,21,519.51,78.285714286,55.55047619,49.823333333
1063479400,LAWTON,LINDA,L,DPM,F,I,665 S CARTER RD,UNIT 2,SMYRNA,DE,199777728,US,Podiatry,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,35,35,70,95,71.56,55.600428571,55.600428571
1063479400,LAWTON,LINDA,L,DPM,F,I,665 S CARTER RD,UNIT 2,SMYRNA,DE,199777728,US,Podiatry,S,A5513,"For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer or higher), includes arch filler and other shaping",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,31,31,65,86.353846154,43.56,34.154,34.150153846
1063479699,HEADINGS,ALANA,M,PA-C,F,I,1 MELLON WAY,,LATROBE,PA,156501197,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,12,30,78.895,8.32,6.3816666667,6.3816666667
1063479707,CHARLIE,JULIUS,R,M.D.,M,I,6944 E BROADWAY RD,,MESA,AZ,852081916,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,36,36,201.66666667,36.504722222,27.997222222,24.615
1063479723,VINCENT,SHERYLL,A,MD,F,I,5440 WATKINS DR,STE A,JACKSON,MS,392062034,US,Physician/Pediatric Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,3474,0.1842659758,0.0454807139,0.0308865861,0.0308865861
1063479723,VINCENT,SHERYLL,A,MD,F,I,5440 WATKINS DR,STE A,JACKSON,MS,392062034,US,Physician/Pediatric Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,12,1410,0.92,0.1311914894,0.0873971631,0.0873971631
1063479723,VINCENT,SHERYLL,A,MD,F,I,5440 WATKINS DR,STE A,JACKSON,MS,392062034,US,Physician/Pediatric Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,630,12.86,2.9084285714,2.0824285714,2.0824285714
1063479723,VINCENT,SHERYLL,A,MD,F,I,5440 WATKINS DR,STE A,JACKSON,MS,392062034,US,Physician/Pediatric Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,24,24,127.875,33,24.62625,24.62625
1063479756,WANG,LINDA,C,MD JD,F,I,1205 YORK RD STE 39A,,LUTHERVILLE,MD,210936219,US,Physician/Dermatology,S,A6234,"Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,16,162,8.4388888889,7.36,5.202037037,5.202037037
1063479772,SUSAN,LUAY,P,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Urology,S,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,32,3900,0.39,0.13,0.0917307692,0.0917307692
1063479772,SUSAN,LUAY,P,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,49,6690,4.8569506726,1.92,1.4468863976,1.5396786248
1063479772,SUSAN,LUAY,P,M.D.,M,I,9500 EUCLID AVE,,CLEVELAND,OH,441950001,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,2100,11.128571429,6.15,4.8215952381,5.5715619048
1063479848,COBLENS,KAREN,E,MD,F,I,132 MAIN ST,,DANBURY,CT,068107863,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,13,23,90,65.887666667,8.32,6.0153333333,6.0153333333
1063479848,COBLENS,KAREN,E,MD,F,I,132 MAIN ST,,DANBURY,CT,068107863,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,,11,21,12.473333333,1.42,0.9014285714,0.9014285714
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4367,"Ostomy belt, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,20,32,20.084375,7.315,5.733125,6.49125
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4369,"Ostomy skin barrier, liquid (spray, brush, etc.), per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,14,60,6.6843333333,2.73,2.14,2.14
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,30,11.730333333,4.1,3.2126666667,3.2126666667
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4385,"Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,19,520,10.172384615,5.74,4.5000576923,4.5000576923
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4394,"Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,22,420,6.231047619,2.91,2.2814285714,2.2814285714
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4406,"Ostomy skin barrier, pectin-based, paste, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,24,128,11.56125,6.3921875,4.774609375,4.807734375
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4407,"Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,6,,26,905,21.993414365,9.86,7.5865303867,7.5865303867
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,37,1130,12.931283186,6.9575221239,5.232920354,5.2641769912
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4419,"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,7,,33,3840,3.989453125,1.95,1.5287994792,1.5287994792
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4425,"Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,24,680,8.7323529412,3.9911764706,3.0749558824,3.1027794118
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,,15,1250,0.492,0.27,0.21164,0.21164
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,18,540,6.7455185185,3.04,2.0303148148,2.0303148148
1063479905,THOMPSON,LEE,W,M.D.,M,I,3 MOBILE INFIRMARY CIR,SUITE 305,MOBILE,AL,366073520,US,Physician/Surgical Oncology,S,A5120,"Skin barrier, wipes or swabs, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,,33,1650,0.5337878788,0.2671212121,0.209369697,0.2113878788
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,19,35,35,181.38,38.184285714,27.263428571,27.853428571
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,2,17,40,40,512.16,88.41825,59.78,58.5625
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,2,18,43,120,189.42,31.625,22.922166667,24.07825
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,17,96,98.90625,17.158125,11.652708333,12.716666667
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,16,91,76.847472527,14.05,10.288791209,11.181648352
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,19,40,40,303.79375,51.15975,37.197,39.901
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,35,43,43,92.436744186,17.184418605,12.971860465,13.569069767
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,21,50,50,100.224,10.5586,8.1216,8.9756
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,36,76,446,13.554618834,2.0237219731,1.523206278,1.5276681614
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,14,16,16,34.893125,5.695625,4.469375,4.659375
1063479939,GHALY,NASRI,N,MD,M,I,614 S SALINA ST,SUITE #300,SYRACUSE,NY,132023500,US,Physician/Psychiatry,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,4,21,29,29,50.744137931,12.639310345,9.234137931,9.6782758621
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,20,23,58,128,76.233359375,8.32,6.180859375,6.180859375
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,12,22,31,11.793870968,1.42,1.0806451613,1.0806451613
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,25,202.0352,32.4,23.3676,23.844
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,3,,18,83,90.945662651,17.289156627,13.555060241,14.551927711
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,3,,14,14,257.19285714,54.487142857,42.711428571,42.792142857
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,,13,13,84.960769231,17.996923077,14.113846154,14.051538462
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,24,24,75.360416667,12.08,9.47,9.16375
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,11,31,156,10.520384615,2.0088461538,1.5759615385,1.5908333333
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,28,30,243.444,30.990333333,20.826,20.262666667
1063479947,MCCARTHY,JOHN,F,MD,M,I,220 E SPRING VALLEY PIKE,,CENTERVILLE,OH,454582653,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,16,16,107.25,33,21.019375,21.019375
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,22,58,181,58.156961326,8.32,5.6398342541,5.6398342541
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,16.111111111,3.38,2.3555555556,2.3555555556
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,6,11,23,57,16.217719298,1.42,1.0352631579,1.0352631579
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,12,12,24,79.41,71.454166667,51.429583333,51.533333333
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,A5512,"For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,11,11,66,41.373181818,29.142727273,22.344090909,22.382121212
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,19,19,230.55842105,50.541578947,33.685789474,32.803684211
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,58,64,72.2928125,19.83296875,15.33359375,13.79265625
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,47,55,25.816545455,5.8072727273,4.5536363636,3.8769090909
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,135.55636364,35.950909091,25.295454545,24.965454545
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,100,58.640833333,45.973333333,35.296666667
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,11,89,95,315.94915789,81.108631579,61.851052632,55.180315789
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,70,37.44,29.35,29.51
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,720,15.58,9.5983333333,7.3258333333,7.3258333333
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,20,3146,0.9604164018,0.0456039415,0.0350158932,0.0350158932
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,19,3240,1.9800987654,0.1338148148,0.0948179012,0.0948179012
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,12,420,11.88952381,2.8712142857,2.2510238095,2.2510238095
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,115.875,65.680833333,47.5725,34.345833333
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,19,19,717.58947368,135.33684211,102.52,100.96
1063479954,ERTEL,LARRY,L,M.D.,M,I,1520 BOONESBORO RD,,WINCHESTER,KY,403918816,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,46,46,58.826086957,33,23.790434783,23.790434783
1063480036,ADOO,CLARENCE,S,M.D.,M,I,5750 W THUNDERBIRD RD,C300,GLENDALE,AZ,853064660,US,Physician/Hematology-Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,3,,15,756,24.631534392,3.8702116402,3.0343121693,3.0343121693
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,10,23,72,15582,3.8694878706,2.0371120524,1.5583166474,1.5605814401
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,18,2340,12.478846154,6.15,4.8216153846,5.5489230769
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,42,23.236428571,10.93,8.160952381,8.160952381
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A4371,"Ostomy skin barrier, powder, per oz",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,18,10.946666667,4.1,3.2122222222,3.2122222222
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,144,3.6791666667,1.5825,1.240625,1.3977777778
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A4432,"Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,210,9.0985714286,4.04,3.0163809524,3.0163809524
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A4456,"Adhesive remover, wipes, any type, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,3,,12,1025,0.775404878,0.27,0.2116487805,0.2116487805
1063480085,MELSER,MARC,A,MD,M,I,3410 TAMIAMI TRL,SUITE 4,PORT CHARLOTTE,FL,339528127,US,Physician/Urology,S,A5131,"Appliance cleaner, incontinence and ostomy appliances, per 16 oz.",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,11,15,28.93,15.16,11.094666667,13.085333333
1063480143,SEXTON,DONALD,,PA-C,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician Assistant,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,3,,15,47,79.197446809,8.32,6.5221276596,6.5221276596
1063480143,SEXTON,DONALD,,PA-C,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician Assistant,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,350,70.23,48.1775,47.88
1063480143,SEXTON,DONALD,,PA-C,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician Assistant,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,65,37.44,26.904166667,27.0675
1063480168,JEFFREY,JAY,R,MD,M,I,501 VIRGINIA DRIVE,SUITE A,BATESVILLE,AR,72501,US,Physician/General Surgery,S,A4409,"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,,15,340,9.8082352941,7,5.1651764706,5.1651764706
1063480168,JEFFREY,JAY,R,MD,M,I,501 VIRGINIA DRIVE,SUITE A,BATESVILLE,AR,72501,US,Physician/General Surgery,S,A5063,"Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,222,3.3,3.04,2.2316216216,2.2316216216
1063480200,CRAIG,ALEXANDRA,,MD,F,I,992 UNION ST,,BANGOR,ME,044013057,US,Physician/Family Practice,S,A4314,"Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,65.641818182,24.19,18.96,22.005454545
1063480200,CRAIG,ALEXANDRA,,MD,F,I,992 UNION ST,,BANGOR,ME,044013057,US,Physician/Family Practice,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,11,11,25.135454545,9.29,7.28,8.4527272727
1063480200,CRAIG,ALEXANDRA,,MD,F,I,992 UNION ST,,BANGOR,ME,044013057,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,274.56,69.62,54.59,54.73
1063480390,CULEY,SHAWN,R,MD,M,I,4011 W BENSON RD,,SIOUX FALLS,SD,571070104,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,53.86,42.23,41.848181818
1063480390,CULEY,SHAWN,R,MD,M,I,4011 W BENSON RD,,SIOUX FALLS,SD,571070104,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,11,232.35,49.67,38.95,37.75
1063480390,CULEY,SHAWN,R,MD,M,I,4011 W BENSON RD,,SIOUX FALLS,SD,571070104,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,22,22,4132.5636364,1074.31,835.73863636,835.73863636
1063480390,CULEY,SHAWN,R,MD,M,I,4011 W BENSON RD,,SIOUX FALLS,SD,571070104,US,Physician/Family Practice,S,E0776,Iv pole,D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,25,4.99,3.5841666667,3.625
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,88,173,173,173.02023121,39.499595376,30.645722543,30.183815029
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,47,89,89,422.23337079,88.37988764,65.217752809,63.945505618
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,7,52,103,270,154.44881481,33.651037037,24.813777778,24.416592593
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,20,44,244,96.172540984,18.618278689,13.248606557,13.216967213
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,5,34,73,396,62.482424242,15.350606061,10.985025253,10.854848485
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,8,55,116,116,251.915,56.055172414,41.385431034,40.369137931
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,91,130,130,88.641230769,18.219769231,13.880076923,13.664384615
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,,13,13,60.468461538,11.671538462,7.6430769231,7.72
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,90,156,924,14.959069264,2.078030303,1.5966883117,1.5619155844
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,8,70,94,94,52.397659574,13.174042553,10.184893617,10.197446809
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,25,25,353.9056,83.2616,57.0292,55.9144
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,E0471,"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,35,35,800.51428571,212.19257143,161.89314286,154.218
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,65,65,247.69230769,29.743230769,20.225538462,20.409846154
1063480499,HICKEY,MARK,G,M.D.,M,I,4895 RIVERBEND RD,,BOULDER,CO,803012640,US,Physician/Neurology,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,27,27,733.70555556,70.48,49.047407407,48.576296296
1063480564,DONG,DAVID,,M.D.,M,I,751 NE BLAKELY DR,1090,ISSAQUAH,WA,980296201,US,Physician/Hematology-Oncology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,2,,12,12,24,24,18.82,18.82
1063480788,CARTER,ROBERT,A,M.D.,M,I,26850 PROVIDENCE PKWY,SUITE 375,NOVI,MI,483741213,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,17,40,60.26775,8.32,5.21675,5.21675
1063480853,DALY,PATRICK,W,M.D.,M,I,3629 FAIRMOUNT ST,,DALLAS,TX,752194710,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,22,19,54,161,62.815217391,8.32,6.0369565217,6.0369565217
1063480853,DALY,PATRICK,W,M.D.,M,I,3629 FAIRMOUNT ST,,DALLAS,TX,752194710,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,12,11,28,40,14.13275,1.42,0.8925,0.8925
1063480853,DALY,PATRICK,W,M.D.,M,I,3629 FAIRMOUNT ST,,DALLAS,TX,752194710,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,31.53,17.63,13.052222222,12.875
1063480853,DALY,PATRICK,W,M.D.,M,I,3629 FAIRMOUNT ST,,DALLAS,TX,752194710,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,18,18,178.02666667,76.48,56.628888889,53.426666667
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,33,113,276,60.373514493,8.32,6.0011956522,6.0011956522
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,13.184545455,3.38,2.65,2.65
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,13,29,40,11.4695,1.42,1.03125,1.03125
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,25,50,7.6654,1.46,1.0992,1.1088
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,,14,14,276.935,51.26,38.732142857,40.639285714
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,80.781538462,17.95,12.668461538,12.660769231
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,98.234117647,10.8,7.9717647059,8.5552941176
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,18,97,11.881649485,1.99,1.5278350515,1.5551546392
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,42,50,93.8882,18.8534,13.7656,12.6734
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,20,20,232.35,55.913,41.8755,35.827
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,2,,24,24,4819.94,1034.36,801.92291667,831.93791667
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,33,33,55.055151515,3.9306060606,2.156969697,2.7018181818
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,31,31,170.41290323,29.451612903,15.548709677,17.220645161
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,14,78,81,486.25358025,80.448395062,58.319382716,50.682469136
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,28,1560,19.432762821,9.6453846154,7.3780320513,7.3780320513
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,13,3744,0.3920779915,0.0469257479,0.026471688,0.026471688
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,14,63,6448,1.0708793424,0.1325108561,0.0967152605,0.0967152605
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,35,1950,10.400928205,3.0188461538,2.3668,2.3668
1063480937,GLOVER,RICHARD,M,MD,M,I,700 MEDICAL CENTER DR,STE 210,NEWTON,KS,671149017,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,18,94,94,87.765957447,33,23.745212766,23.745212766
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,33,72,183,64.250928962,8.32,6.1024043716,6.1024043716
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,10,16,28,45,12.569777778,1.42,1.09,1.09
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,1,,12,12,95.39,38.55,25.183333333,25.440833333
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,22,22,178.88727273,54.47,41.853181818,42.003181818
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,4,12,18,18,56.189444444,17.88,14.01,14.06
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,17,17,69.736470588,11.54,9.05,9.12
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,5,,26,142,9.3946478873,2.01,1.5767605634,1.5925352113
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,20,20,39.5,4.67,3.437,3.435
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,233.65846154,32.76,25.684615385,25.175384615
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,40,41,416.1502439,70.23,49.249512195,48.959512195
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,28,29,90.517241379,37.44,26.761724138,26.91862069
1063481182,COOPER,MARK,J,M.D.,M,I,550 REDSTONE AVE W,SUITE 200,CRESTVIEW,FL,325366430,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,16,16,33,33,24.253125,24.253125
1063481190,DUCKER,THOMAS,P,M.D.,M,I,345 SHERMAN ST,STE 100,SAINT PAUL,MN,551022401,US,Physician/Medical Oncology,S,J8521,"Capecitabine, oral, 500 mg",O1D - Chemotherapy,Drugs and Nutritional Products,N,2,,14,1098,39.723406193,4.9675865209,3.8945901639,3.8945901639
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A4224,"Supplies for maintenance of insulin infusion catheter, per week",D1E - Other DME,Durable Medical Equipment,N,4,,16,282,53.713120567,19.66712766,14.910035461,14.910035461
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A4225,"Supplies for external insulin infusion pump, syringe type cartridge, sterile, each",D1E - Other DME,Durable Medical Equipment,N,4,,15,490,8.0819387755,2.6351020408,2.0658571429,2.0658571429
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,31,80,241,692,61.730346821,8.32,5.7812138728,5.7812138728
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,5,,20,20,13.879,3.38,2.65,2.65
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,5,,13,13,20.027692308,2.12,1.67,1.67
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,20,38,87,148,13.594121622,1.42,1.047027027,1.047027027
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,15,29,6.7127586207,1.47,1.1503448276,1.1503448276
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,4,14,14,14,45.655714286,12.689285714,7.205,6.4792857143
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,7,13,20,20,231.399,91.449,64.5425,61.0585
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,13,34,107.82970588,34.944117647,27.395,25.946176471
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,10,21,32,32,152.7603125,61.5159375,42.6165625,37.495625
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,11,31,38,38,44.942368421,19.577631579,13.826578947,12.578157895
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,10,27,39,39,49.201282051,14.046153846,9.8002564103,7.9530769231
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,11,29,42,230,7.4567391304,2.2917391304,1.6654782609,1.4617391304
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,10,24,31,31,17.887741935,6.5677419355,4.8558064516,4.3577419355
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,3,60,60,60,102.06116667,50.712166667,39.759333333,36.528333333
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0163,"Commode chair, mobile or stationary, with fixed arms",D1E - Other DME,Durable Medical Equipment,N,3,30,30,30,102.11366667,54.721333333,41.984333333,40.004333333
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,5,28,141,141,130.4693617,51.756666667,38.30177305,36.875248227
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,24,128,142,73.104647887,18.678661972,13.550352113,12.523380282
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,53.32,38.325833333,38.325833333
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,12,12,232.35,48.31,34.723333333,34.494166667
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,15,15,4430.1,913.16,705.662,823.57933333
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,10,23,157,157,25.308025478,5.4354140127,3.8756687898,3.2522929936
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,25,25,167.168,40.6908,30.6312,25.7856
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,2,,41,41,80.707317073,49.022926829,37.60195122,36.971707317
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E1038,"Transport chair, adult size, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,47,47,22.128723404,12.964893617,9.0485106383,8.2514893617
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,11,59,315,330,395.783,77.901787879,55.343,49.480090909
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,16,17,239.11764706,37.23,27.459411765,27.785882353
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,E2601,"General use wheelchair seat cushion, width less than 22 inches, any depth",D1D - Wheelchairs,Durable Medical Equipment,N,3,23,23,23,54.970869565,39.653478261,29.696956522,28.099130435
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,J1817,"Insulin for administration through dme (i.e., insulin pump) per 50 units",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,3540,16.05370904,10.783875706,8.4229124294,8.4229124294
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,8,14,70,9814,0.3530925209,0.0460902792,0.033026289,0.033026289
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,19,1251,1.0910151878,0.1278017586,0.0871143086,0.0871143086
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,6,50,234,234,43.234487179,21.021410256,14.96965812,13.277777778
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,26,26,94.550769231,29.646153846,22.397307692,20.839230769
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,14,14,103.955,53.765,42.151428571,37.844285714
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,K0195,"Elevating leg rests, pair (for use with capped rental wheelchair base)",D1D - Wheelchairs,Durable Medical Equipment,Y,2,,35,35,18.068571429,9.4128571429,6.6388571429,5.9891428571
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,1,,18,18,250.80666667,250.80666667,188.66111111,188.89833333
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,87,87,46.810689655,38.396206897,27.91908046,27.412643678
1063481273,MORRISS,JESSE,E,MD,M,I,1901 MELBA DR,,DOTHAN,AL,363013017,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,7,16,79,79,121.97468354,33,22.981139241,22.981139241
1063481281,BREAKEY,ROBERT,,M.D.,M,I,4940 W CLARK RD,STE 100,YPSILANTI,MI,481970860,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,20,44,160,44.7648125,8.32,6.0331875,6.0331875
1063481281,BREAKEY,ROBERT,,M.D.,M,I,4940 W CLARK RD,STE 100,YPSILANTI,MI,481970860,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,21,21,12.252380952,3.38,2.65,2.65
1063481281,BREAKEY,ROBERT,,M.D.,M,I,4940 W CLARK RD,STE 100,YPSILANTI,MI,481970860,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,9,14,33,49,12.93244898,1.42,1.0469387755,1.0469387755
1063481281,BREAKEY,ROBERT,,M.D.,M,I,4940 W CLARK RD,STE 100,YPSILANTI,MI,481970860,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,,12,12,110.23166667,54.79,39.618333333,39.535
1063481281,BREAKEY,ROBERT,,M.D.,M,I,4940 W CLARK RD,STE 100,YPSILANTI,MI,481970860,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,13,63,7.0793650794,2.03,1.4401587302,1.4401587302
1063481281,BREAKEY,ROBERT,,M.D.,M,I,4940 W CLARK RD,STE 100,YPSILANTI,MI,481970860,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,13,14,140.51,45.067142857,30.68,30.582857143
1063481281,BREAKEY,ROBERT,,M.D.,M,I,4940 W CLARK RD,STE 100,YPSILANTI,MI,481970860,US,Physician/Family Practice,S,K0825,"Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,689.5,184.55,144.68666667,150.96333333
1063481331,IBARRA,JOSE,L,M.D.,M,I,5561 E KINGS CANYON RD,,FRESNO,CA,937274528,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,22,63,63.517460317,8.32,5.28,5.28
1063481331,IBARRA,JOSE,L,M.D.,M,I,5561 E KINGS CANYON RD,,FRESNO,CA,937274528,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,23,18.375652174,1.42,0.9173913043,0.9173913043
1063481372,WILKENS,SUSANNA,S,MD,F,I,1 ELLIOT WAY,HOSPITALIST PROGRAM - ELLIOT HOSPITAL,MANCHESTER,NH,031033502,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,12,12,91.146666667,17.333333333,13.586666667,13.54
1063481372,WILKENS,SUSANNA,S,MD,F,I,1 ELLIOT WAY,HOSPITALIST PROGRAM - ELLIOT HOSPITAL,MANCHESTER,NH,031033502,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,20,472.096,71.492,56.056,54.728
1063481448,WEXLER,DAVID,M,M.D.,M,I,35 MEDICAL CENTER PKWY,,AUGUSTA,ME,043308160,US,Physician/Orthopedic Surgery,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,1,11,11,11,133.34272727,67.958181818,53.280909091,36.237272727
1063481448,WEXLER,DAVID,M,M.D.,M,I,35 MEDICAL CENTER PKWY,,AUGUSTA,ME,043308160,US,Physician/Orthopedic Surgery,S,E1810,"Dynamic adjustable knee extension / flexion device, includes soft interface material",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,395,96.84,68.133333333,80.839166667
1063481448,WEXLER,DAVID,M,M.D.,M,I,35 MEDICAL CENTER PKWY,,AUGUSTA,ME,043308160,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,3,,15,15,66.852,30.166,21.089333333,15.092666667
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,9,22,56,170,42.118294118,8.32,6.215,6.215
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,20,20,15.2025,3.38,2.5175,2.5175
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,3,,11,11,22.412727273,2.12,1.5181818182,1.5181818182
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,7,16,34,61,15.47295082,1.42,1.0209836066,1.0209836066
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,42,43,12.76744186,7.3497674419,5.2858139535,3.1846511628
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.651,7.4627727273,7.4627727273
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,43,6554,0.1862221544,0.045961245,0.0360268538,0.0360268538
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,26,2310,1.7695670996,0.1337922078,0.0958831169,0.0958831169
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,275,2.24,0.2192727273,0.1717454545,0.1717454545
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,19,19,77.631578947,44.728947368,31.655263158,21.074210526
1063481489,BALASKY,KIMBERLY,L,D.O.,F,I,49494 HIGHWAY 17,,SULLIGENT,AL,355864454,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,,53,53,89.037735849,33,24.654339623,24.654339623
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,14,32,73.2021875,8.32,5.503125,5.503125
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,11,341,125,3.17,2.485483871,2.453372434
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,B4035,"Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,360,41.4,5.4,4.2336666667,4.163
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,23,7063,3.1112926518,0.3673283307,0.2879866912,0.2900821181
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,12,13,28.094615385,17.51,13.73,13.554615385
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17.51,13.73,13.54
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E0442,"Stationary oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,53.77,53.77,35.668333333,35.405833333
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E0444,"Portable oxygen contents, liquid, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,11,12,49.67,49.67,36.551666667,35.5625
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,1,,13,13,874.72,33.846153846,22.916923077,22.786153846
1063481539,MILLER,RICHARD,A,MD,M,I,5115 FONTAINE BLVD,,FOUNTAIN,CO,808171061,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,41,42,559.30357143,79.8,62.56,56.407857143
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,11,22,22,124.05454545,38.002272727,27.087727273,27.734545455
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,4,,18,18,373.15777778,85.123888889,62.926666667,64.005
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,26,45,144.10066667,31.382666667,24.387777778,25.573777778
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,4,,44,93,52.252903226,17.221505376,12.366021505,13.349569892
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,13,28,28,160.20178571,51.764285714,37.713571429,39.655
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,19,27,27,65.935555556,16.922222222,12.777037037,13.514074074
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,11,22,22,54.331818182,11.709090909,8.7381818182,8.7259090909
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,21,79,224,7.9557142857,2.0040178571,1.5302678571,1.5485267857
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,,46,48,88.793333333,16.5,11.3225,11.89125
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,4,,18,20,782.3345,83.533,65.492,67.653
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,4,,22,29,148.01413793,33.402758621,21.515172414,20.690344828
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,8,15,114,116,462.96775862,77.879741379,56.364568966,50.796896552
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,34,38,250,37.504210526,27.933684211,27.819210526
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,20,4796,0.1907402002,0.046469975,0.0341242702,0.0341242702
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,18,2998,1.4812408272,0.1314409606,0.103072048,0.103072048
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,630,12.885698413,3.0318095238,2.376952381,2.376952381
1063481596,MURRAY,TIMOTHY,C,MD,M,I,224 W EXCHANGE ST,SUITE 380,AKRON,OH,443021704,US,Physician/Critical Care (Intensivists),S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,2,,37,37,126.64864865,33,25.170810811,25.170810811
1063481620,OSTLIE,TODD,A,PA-C,M,I,212 E CENTRAL AVE,STE 140,SPOKANE,WA,992086289,US,Physician Assistant,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,47,47,47,187.71617021,150.19,116.5787234,118.40851064
1063481778,SHAHIDULLAH,ABUL,B,MD,M,I,62-65 FOREST AVENUE,,RIDGEWOOD,NY,11385,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,,22,25,69.5456,8.32,4.1776,4.1776
1063481893,GRANLUND,KIRK,F,MD,M,I,131 RALEY BLVD,,CHICO,CA,959288347,US,Physician/Orthopedic Surgery,S,L1820,"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,21,21,23,275,143.56,104.4226087,95.246521739
1063481893,GRANLUND,KIRK,F,MD,M,I,131 RALEY BLVD,,CHICO,CA,959288347,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,18,20,20,231,133.89,95.8095,79.8375
1063481976,BRACHT,HOLGER,E,D.O.,M,I,1818 VERDUGO BLVD,SUITE 108,GLENDALE,CA,912081403,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,16,52,77.913653846,8.32,6.0203846154,6.0203846154
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,5,12,27,51,68.876470588,8.32,5.3705882353,5.3705882353
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,1,,13,24,44.4575,18.36,13.195833333,13.357916667
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,12,12,75.211666667,23.154166667,14.506666667,10.545
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,2,,11,11,73.181818182,11.562727273,5.98,6.1481818182
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,20.17,4.7,3.6854545455,3.6854545455
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,20,20,573.087,49.226,37.427,24.545
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,21,21,227.79285714,88.932380952,69.723333333,56.665238095
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,21.012030303,9.6481818182,7.5641666667,7.5641666667
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,12,1124,0.4099822064,0.0472064057,0.0369839858,0.0369839858
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,17,870,7.7737471264,3.029,2.3747356322,2.3747356322
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,47.44,35.58,25.354545455,18.145454545
1063482115,WALSH,THOMAS,E,M.D.,M,I,120 W 8TH ST,,ONAGA,KS,665219574,US,Physician/General Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,3,,19,19,33,33,25.87,25.87
1063482131,NORDGAARD,JON,,,M,I,2900 CHANTICLEER AVE,,SANTA CRUZ,CA,950651816,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,13,13,99,83.01,60.073846154,58.398461538
1063482131,NORDGAARD,JON,,,M,I,2900 CHANTICLEER AVE,,SANTA CRUZ,CA,950651816,US,Podiatry,S,L4386,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,12,12,12,179,150.19,117.75,119.75
1063482131,NORDGAARD,JON,,,M,I,2900 CHANTICLEER AVE,,SANTA CRUZ,CA,950651816,US,Podiatry,S,L4387,"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,29,29,29,165.48275862,150.19,113.68965517,115.22413793
1063482149,SMITH,LINDA,J,N.P.,F,I,8 W PULTENEY ST,STE 102,CORNING,NY,148302267,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,16,59,105,79.884,8.32,5.4111428571,5.4111428571
1063482149,SMITH,LINDA,J,N.P.,F,I,8 W PULTENEY ST,STE 102,CORNING,NY,148302267,US,Nurse Practitioner,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,4,,16,85,71.813411765,18.704,14.355176471,11.613529412
1063482149,SMITH,LINDA,J,N.P.,F,I,8 W PULTENEY ST,STE 102,CORNING,NY,148302267,US,Nurse Practitioner,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,15,16,291.578125,69.3675,49.804375,39.88
1063482149,SMITH,LINDA,J,N.P.,F,I,8 W PULTENEY ST,STE 102,CORNING,NY,148302267,US,Nurse Practitioner,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,12,12,85.6225,22.664166667,16.308333333,13.098333333
1063482149,SMITH,LINDA,J,N.P.,F,I,8 W PULTENEY ST,STE 102,CORNING,NY,148302267,US,Nurse Practitioner,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,27,140,12.76,2.5907142857,1.8204285714,1.4576428571
1063482149,SMITH,LINDA,J,N.P.,F,I,8 W PULTENEY ST,STE 102,CORNING,NY,148302267,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,3,,21,21,24.046666667,8.04,5.8357142857,3.6085714286
1063482149,SMITH,LINDA,J,N.P.,F,I,8 W PULTENEY ST,STE 102,CORNING,NY,148302267,US,Nurse Practitioner,S,K0823,"Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,563.26,181.27833333,130.16083333,93.634166667
1063482180,DANI,ROOPA,,MD,F,I,9280 W SUNSET RD STE 200,,LAS VEGAS,NV,891484861,US,Physician/Geriatric Medicine,S,E1028,"Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory",D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,273,10.397272727,8.1518181818,8.2472727273
1063482271,ROSENZWEIG,KENNETH,E,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Radiation Oncology,S,E0745,"Neuromuscular stimulator, electronic shock unit",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,94.357272727,70.069090909,54.929090909,64.619090909
1063482289,WINER,JOEL,W,M.D.,M,I,228 SAINT CHARLES WAY STE 300,,YORK,PA,174024661,US,Physician/Neurosurgery,S,E0748,"Osteogenesis stimulator, electrical, non-invasive, spinal applications",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,5069.5833333,4378.96,3433.11,3433.11
1063482289,WINER,JOEL,W,M.D.,M,I,228 SAINT CHARLES WAY STE 300,,YORK,PA,174024661,US,Physician/Neurosurgery,S,L0650,"Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure t",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,25,25,25,1509.88,1017.66,797.85,868.77
1063482321,GORRELA,SUSHMA,V,M.D.,F,I,6225 FM 2920 RD,SUITE 100,SPRING,TX,773793474,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,19,35,64.598285714,8.32,6.4842857143,6.4842857143
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,12,32,32,163.3453125,36.21,27.5028125,29.488125
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,20,40,8.19,1.45,1.07825,1.09275
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7030,"Full face mask used with positive airway pressure device, each",D1E - Other DME,Durable Medical Equipment,N,5,,26,26,479.33846154,82.51,62.924615385,65.841153846
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7031,"Face mask interface, replacement for full face mask, each",D1E - Other DME,Durable Medical Equipment,N,4,,11,21,168.59714286,32,24.861428571,25.651904762
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,15,60,63.614166667,17,13.106333333,14.294
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7033,"Pillow for use on nasal cannula type interface, replacement only, pair",D1E - Other DME,Durable Medical Equipment,N,3,,14,78,43.163589744,13.81,9.3294871795,10.170384615
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,6,19,44,44,217.64295455,50.291363636,34.422954545,37.789545455
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,9,27,40,40,74.96325,16.5085,11.6525,12.739
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,8,15,36,36,69.820833333,11.3525,7.9111111111,8.1333333333
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,9,28,76,403,11.192580645,1.9113399504,1.3879404467,1.4800496278
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7039,"Filter, non disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,11,13,13,25.149230769,5.6892307692,4.4653846154,4.6438461538
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,6,20,26,26,46.706538462,12,9.0480769231,9.9157692308
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,30,30,75.774,15.75,11.938333333,12.900333333
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,24,1995,1074.31,836.28208333,836.28208333
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E0470,"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,439.96888889,76.168333333,56.578333333,61.843888889
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E0562,"Humidifier, heated, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,Y,3,,56,58,81.63362069,13,9.6629310345,9.9510344828
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,13,13,59.070769231,5.25,3.1692307692,2.6
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,68,70,245.49771429,30.397142857,22.882142857,24.057142857
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,18,120,121,459.39727273,70.060826446,52.019008264,51.883966942
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,148.25,35.1065,25.4655,27.491
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,4,,16,8775,0.287639886,0.0457663818,0.0358814815,0.0358814815
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,10,13,71,7343,1.5776249489,0.1365450089,0.1029701757,0.1029701757
1063482396,CUNNINGHAM,GREGORY,J,M.D.,M,I,700 HIGHWAY 71,,SEA GIRT,NJ,087502805,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,13,75,76,83.247368421,33,24.945131579,24.945131579
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,58,195,422,50.549099526,8.32,5.4690758294,5.4690758294
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,16,35,35,13.981714286,3.38,2.1957142857,2.1957142857
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,4,13,18,18,20.59,2.12,1.5772222222,1.5772222222
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,24,49,102,14.171960784,1.42,0.9945098039,0.9945098039
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,2600,2.93,1.89,1.4265692308,1.5351230769
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,A5500,"For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,5,15,15,30,84.578333333,71.508,50.601,50.641666667
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,3,,11,21,7.6747619048,1.9371428571,1.5185714286,1.1504761905
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,4431,1.2828142631,0.4958158429,0.3862491537,0.2876122771
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,E0143,"Walker, folding, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,12,12,12,75.755,54.624166667,36.213333333,32.245
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,3,,26,26,160.77769231,61.548846154,39.320384615,27.774615385
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,E0261,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,33,35,167.02028571,64.292571429,43.184285714,31.639428571
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,51,53,58.448113208,22.44,17.14,14.354528302
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,2,,12,13,160.85769231,59.297692308,40.275384615,31.840769231
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,15,116,120,246.62691667,101.68216667,74.869416667,54.270666667
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,J7605,"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,11,660,15.58,9.6199090909,7.3246212121,7.3246212121
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,32,6430,0.2838615863,0.0459533437,0.0298631415,0.0298631415
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,34,35,64.140857143,29.255142857,22.524,14.466857143
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,K0002,Standard hemi (low seat) wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,20,50,45.4355,33.9655,25.4965
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,13,16,54.846875,44.769375,35.103125,24.46
1063482404,ELLIOTT,CHARLES,M,MD,M,I,1009 CITY AVE N,SUITE A,RIPLEY,MS,386631414,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,6,13,48,48,84.5625,33,23.745416667,23.745416667
1063482453,DAVIS,WILLIAM,G,OD,M,I,107 DECATUR ST,,NEWTON,MS,393452309,US,Optometry,S,V2020,"Frames, purchases",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,27,28,28,97.107142857,77.861071429,56.6725,49.917142857
1063482453,DAVIS,WILLIAM,G,OD,M,I,107 DECATUR ST,,NEWTON,MS,393452309,US,Optometry,S,V2203,"Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,16,16,29,57.431034483,50.01,36.505862069,39.881034483
1063482453,DAVIS,WILLIAM,G,OD,M,I,107 DECATUR ST,,NEWTON,MS,393452309,US,Optometry,S,V2303,"Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,11,11,21,76.30952381,61.281904762,44.125238095,50.169047619
1063482453,DAVIS,WILLIAM,G,OD,M,I,107 DECATUR ST,,NEWTON,MS,393452309,US,Optometry,S,V2755,"U-v lens, per lens",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,14,26,15.057692308,14.433846154,11.164615385,13.831153846
1063482552,GUO,LI,Y,M.D.,F,I,7918 W SAHARA AVE,,LAS VEGAS,NV,891171990,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,11,29,66,67.746666667,8.32,5.6322727273,5.6322727273
1063482669,BUBNIS,MATTHEW,A,"DO, DPT",M,I,9300 DEWITT LOOP,,FORT BELVOIR,VA,220605285,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,86.31,17,13.33,13.520909091
1063482669,BUBNIS,MATTHEW,A,"DO, DPT",M,I,9300 DEWITT LOOP,,FORT BELVOIR,VA,220605285,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,519.51,79.8,62.56,55.441818182
1063482776,LIMOGE,JEROME,P,M.D.,M,I,1650 COCHRAN CIRCLE,,FORT CARSON,CO,80913,US,Military Health Care Provider,T,A4332,"Lubricant, individual sterile packet, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,1050,0.39,0.13,0.1019428571,0.1019428571
1063482776,LIMOGE,JEROME,P,M.D.,M,I,1650 COCHRAN CIRCLE,,FORT CARSON,CO,80913,US,Military Health Care Provider,T,A4351,"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,17,2130,4.4302816901,1.73,1.3247934272,1.5677934272
1063482776,LIMOGE,JEROME,P,M.D.,M,I,1650 COCHRAN CIRCLE,,FORT CARSON,CO,80913,US,Military Health Care Provider,T,A4352,"Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,20,1530,9.65,7.03,5.4177320261,5.5684117647
1063482776,LIMOGE,JEROME,P,M.D.,M,I,1650 COCHRAN CIRCLE,,FORT CARSON,CO,80913,US,Military Health Care Provider,T,A4402,"Lubricant, per ounce",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,48,2.655,1.8,1.41,1.41
1063482776,LIMOGE,JEROME,P,M.D.,M,I,1650 COCHRAN CIRCLE,,FORT CARSON,CO,80913,US,Military Health Care Provider,T,A4452,"Tape, waterproof, per 18 square inches",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,12,960,0.8,0.4,0.313625,0.313625
1063482842,VIDRIH,JOHN,,,M,I,55 FOGG RD,,WEYMOUTH,MA,021902432,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,14,14,98.014285714,21.140714286,13.360714286,11.807142857
1063482842,VIDRIH,JOHN,,,M,I,55 FOGG RD,,WEYMOUTH,MA,021902432,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,36,36,623.27666667,91.963333333,59.235,49.587222222
1063482842,VIDRIH,JOHN,,,M,I,55 FOGG RD,,WEYMOUTH,MA,021902432,US,Physician/Internal Medicine,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,22,22,285.6,43.456363636,31.085,27.805454545
1063482909,SINUSAS,KEITH,,M.D.,M,I,90 S MAIN ST,,MIDDLETOWN,CT,064573649,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,30,85.364333333,8.32,6.086,6.086
1063483055,YAKIN,DAVID,E,M.D.,M,I,3900 N PARKVIEW DR,,FAYETTEVILLE,AR,727036398,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,188.89545455,19.301818182,15.133636364,13.892727273
1063483055,YAKIN,DAVID,E,M.D.,M,I,3900 N PARKVIEW DR,,FAYETTEVILLE,AR,727036398,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,11,11,11,200,104.26,81.74,86.436363636
1063483097,CAPOBIANCO,LEO,J,D.O.,M,I,2801 N TENAYA WAY STE C,,LAS VEGAS,NV,891281400,US,Physician/General Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,,19,51,76.506862745,8.32,6.3958823529,6.3958823529
1063483097,CAPOBIANCO,LEO,J,D.O.,M,I,2801 N TENAYA WAY STE C,,LAS VEGAS,NV,891281400,US,Physician/General Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,,13,18,15.021111111,1.42,1.1166666667,1.1166666667
1063483097,CAPOBIANCO,LEO,J,D.O.,M,I,2801 N TENAYA WAY STE C,,LAS VEGAS,NV,891281400,US,Physician/General Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,50.73,6.035,4.7325,3.66
1063483097,CAPOBIANCO,LEO,J,D.O.,M,I,2801 N TENAYA WAY STE C,,LAS VEGAS,NV,891281400,US,Physician/General Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,19,19,598.55157895,33.996842105,26.655789474,25.914736842
1063483113,GARUBA,ABDUL,K,MD,M,I,3030 SENNA DR,,MATTHEWS,NC,281056726,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,15,17,36,122,64.14442623,8.32,4.7009836066,4.7009836066
1063483113,GARUBA,ABDUL,K,MD,M,I,3030 SENNA DR,,MATTHEWS,NC,281056726,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,24,43,13.529534884,1.42,0.723255814,0.723255814
1063483113,GARUBA,ABDUL,K,MD,M,I,3030 SENNA DR,,MATTHEWS,NC,281056726,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,2,,11,51,13.92,2.2023529412,1.5425490196,1.4084313725
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,42,70,181,603,72.685008292,8.32,5.8763681592,5.8763681592
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,14.156363636,3.38,2.65,2.65
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,25,34,76,138,15.650797101,1.42,1.0255797101,1.0255797101
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,A7003,"Administration set, with small volume nonfiltered pneumatic nebulizer, disposable",D1E - Other DME,Durable Medical Equipment,N,2,,14,28,8.8857142857,1.51,1.1003571429,1.0725
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,A7005,"Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable",D1E - Other DME,Durable Medical Equipment,N,2,13,15,15,89.354,8.022,5.74,8.5406666667
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,3,,11,66,6.4963636364,2.0054545455,1.4303030303,1.4501515152
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,E0250,"Hospital bed, fixed height, with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,2,,16,16,193.75,54.424375,40.20875,37.26
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,65,65,90.901846154,16.982,12.701538462,12.910769231
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,E0443,"Portable oxygen contents, gaseous, 1 month's supply = 1 unit",D1C - Oxygen and Supplies,Durable Medical Equipment,N,1,,30,30,232.35,45.3,34.336,36.253
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,44,44,54.886363636,3.5711363636,2.7056818182,3.6547727273
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,5,20,144,144,453.3675,70.153472222,51.551458333,51.347291667
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,28,28,250,36.605714286,28.698571429,29.459285714
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,22,3980,0.4485276382,0.047821608,0.0370552764,0.0370552764
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,780,0.92,0.1302307692,0.0881410256,0.0881410256
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,1,,14,630,0.75,0.2192063492,0.1474285714,0.1474285714
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,40,40,95,17.209,12.685,13.677
1063483121,PHIRIPES,CONSTANTINE,,MD,M,I,255 W BULLARD AVE,STE 124,CLOVIS,CA,936120861,US,Physician/Internal Medicine,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,8,13,43,43,96.069767442,33,24.109069767,24.109069767
1063483188,MARTINEZ-VASQUEZ,DIEGO,F,M.D.,M,I,3031 PLANK RD,,FREDERICKSBURG,VA,224014951,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,86.31,17,10.254166667,10.4725
1063483188,MARTINEZ-VASQUEZ,DIEGO,F,M.D.,M,I,3031 PLANK RD,,FREDERICKSBURG,VA,224014951,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,519.51,79.8,52.133333333,45.608333333
1063483311,GONG,LIN,,M.D.,M,I,763 56TH ST FL 1,,BROOKLYN,NY,112203503,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,12,26,32.860769231,6.8446153846,5.3657692308,6.5219230769
1063483345,HARRISON,MELANIE,D,PA-C,F,I,1815 W 6TH AVE,,STILLWATER,OK,740744202,US,Physician Assistant,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,45,7.6325,5.175,2.91
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,E0260,"Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress",D1B - Hospital Beds,Durable Medical Equipment,Y,1,,27,27,99.259259259,63.281111111,45.644074074,33.397407407
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,42,170,171,25.204678363,20.395380117,14.620409357,12.510467836
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,E0466,"Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)",D1E - Other DME,Durable Medical Equipment,Y,1,,12,12,896.95,896.95,691.25416667,830.30416667
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,20,99,105,16.011904762,7.8434285714,5.7575238095,3.4986666667
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,44,189,191,145.16230366,98.078219895,70.380104712,50.439685864
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,11,15,1350,1.9287851852,0.1309555556,0.0986518519,0.0986518519
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,K0003,Lightweight wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,34,34,75,47.220588235,35.111176471,20.757058824
1063483378,THOMAS,JERILL,,"M.D,",M,I,850 5TH AVE E,,TUSCALOOSA,AL,354017419,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,14,14,33,33,24.022142857,24.022142857
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,18,26,91,155,66.702387097,8.32,5.5127741935,5.5127741935
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,13,13,9.9507692308,3.38,2.4461538462,2.4461538462
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,12,23,26,12.263076923,1.42,0.9023076923,0.9023076923
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,28,28,61.663571429,17.3,12.591428571,12.573571429
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,25,26,283.40115385,78.121923077,56.58,50.52
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,3,,14,4149,0.1780163895,0.0463485177,0.033670764,0.033670764
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,5,,14,1170,1.2963247863,0.1357435897,0.097965812,0.097965812
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,16,960,11.189875,2.975375,2.2660208333,2.2660208333
1063483402,CRONE,ANGELA,J,MD,F,I,3605 NORTHGATE CT,STE 207,NEW ALBANY,IN,471506400,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,5,,34,34,91.235294118,33,23.587352941,23.587352941
1063483469,LEVETAN,CLARESA,S,MD,F,I,2130 SPRING GARDEN STREET,,PHILADELPHIA,PA,19130,US,Physician/Endocrinology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,35,48,77,287,64.546933798,8.32,6.1361324042,6.1361324042
1063483469,LEVETAN,CLARESA,S,MD,F,I,2130 SPRING GARDEN STREET,,PHILADELPHIA,PA,19130,US,Physician/Endocrinology,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,2,11,15,15,13.541333333,3.38,2.65,2.65
1063483469,LEVETAN,CLARESA,S,MD,F,I,2130 SPRING GARDEN STREET,,PHILADELPHIA,PA,19130,US,Physician/Endocrinology,S,A4258,"Spring-powered device for lancet, each",D1E - Other DME,Durable Medical Equipment,N,2,,11,11,20.916363636,2.12,1.67,1.67
1063483469,LEVETAN,CLARESA,S,MD,F,I,2130 SPRING GARDEN STREET,,PHILADELPHIA,PA,19130,US,Physician/Endocrinology,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,15,25,44,85,15.571058824,1.42,1.0347058824,1.0347058824
1063483469,LEVETAN,CLARESA,S,MD,F,I,2130 SPRING GARDEN STREET,,PHILADELPHIA,PA,19130,US,Physician/Endocrinology,S,K0553,"Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service",D1E - Other DME,Durable Medical Equipment,N,2,,18,18,367.80833333,251.11,196.87,196.87
1063483477,POOLE,TERESA,H,RN MSN FNPC,F,I,400 N JEFFERSON ST,,LEWISBURG,WV,24901,US,Nurse Practitioner,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,18,18,24.444444444,5.975,3.6738888889,2.6277777778
1063483527,LAZOWICK,DANIEL,C,DO,M,I,100 E LANCASTER AVE,330 LANKENAU MOB WEST,WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,6,,13,50,86.939,8.32,5.4786,5.4786
1063483527,LAZOWICK,DANIEL,C,DO,M,I,100 E LANCASTER AVE,330 LANKENAU MOB WEST,WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,16.08,16.08,12.6,13.4525
1063483527,LAZOWICK,DANIEL,C,DO,M,I,100 E LANCASTER AVE,330 LANKENAU MOB WEST,WYNNEWOOD,PA,190963450,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,77.18,77.18,60.51,55.2025
1063483568,MILLER,TED,J,M.D.,M,I,740 CONFERENCE DR,,GOODLETTSVILLE,TN,370721915,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,7,,16,50,28.3006,8.32,6.5224,6.5224
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,11,20,47,90,63.307888889,8.32,5.566,5.566
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,A4256,"Normal, low and high calibrator solution / chips",D1E - Other DME,Durable Medical Equipment,N,3,,15,15,14.217333333,3.38,2.4733333333,2.4733333333
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,8,12,26,27,11.247037037,1.42,0.9948148148,0.9948148148
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,5,,13,13,68.594615385,14.85,11.645384615,9.1130769231
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,7,,17,85,8.8385882353,2.4191764706,1.7827058824,1.4796470588
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,20,23,84.276956522,17.603478261,13.212608696,12.950869565
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,4,,27,28,33.308571429,5.0632142857,3.2628571429,2.9192857143
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,12,12,171.35666667,46.4175,36.395,25.325
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,29,32,350.3903125,70.42625,55.2109375,55.8359375
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,2,,11,11,82.003636364,18.219090909,14.281818182,14.289090909
1063483618,SCHILLER,TIMOTHY,W,DO,M,I,851 N LOOP 340,,WACO,TX,767052592,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,21,42.428571429,33,24.638095238,24.638095238
1063483642,MADDOX,CHRISTINE,M,F.N.P.,F,I,8865 W 400 N STE 120,,MICHIGAN CITY,IN,463609011,US,Nurse Practitioner,S,E0600,"Respiratory suction pump, home model, portable or stationary, electric",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,68,35.836363636,28.092727273,32.640909091
1063483675,ODUYELU,DARLENE,R,M.D.,F,I,1400 CROSSWAYS BLVD STE 114,,CHESAPEAKE,VA,233200207,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,10,15,37,114,57.397105263,8.32,5.7814035088,5.7814035088
1063483675,ODUYELU,DARLENE,R,M.D.,F,I,1400 CROSSWAYS BLVD STE 114,,CHESAPEAKE,VA,233200207,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,4,,14,31,14.332580645,1.42,1.1138709677,1.1138709677
1063483675,ODUYELU,DARLENE,R,M.D.,F,I,1400 CROSSWAYS BLVD STE 114,,CHESAPEAKE,VA,233200207,US,Physician/Family Practice,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,18,32,519.51,87.375625,64.7175,52.9559375
1063483675,ODUYELU,DARLENE,R,M.D.,F,I,1400 CROSSWAYS BLVD STE 114,,CHESAPEAKE,VA,233200207,US,Physician/Family Practice,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,12,12,22.5,16.88,13.23,13.1
1063483675,ODUYELU,DARLENE,R,M.D.,F,I,1400 CROSSWAYS BLVD STE 114,,CHESAPEAKE,VA,233200207,US,Physician/Family Practice,S,K0006,Heavy duty wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,150,46.363636364,36.349090909,36.390909091
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,A4604,Tubing with integrated heating element for use with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,3,,11,11,132.38545455,39.18,30.71,30.49
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,A7032,"Cushion for use on nasal mask interface, replacement only, each",D1E - Other DME,Durable Medical Equipment,N,5,,26,137,96.27379562,18.314452555,13.792116788,14.025474453
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,5,15,34,34,271.84235294,54.005294118,42.335294118,42.853235294
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,A7035,Headgear used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,7,19,25,25,90.0212,17.9892,13.5352,13.4992
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,A7037,Tubing used with positive airway pressure device,D1E - Other DME,Durable Medical Equipment,N,6,12,24,24,79.220833333,12.176666667,9.5458333333,9.16375
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,6,16,34,204,8.9920588235,2.0529411765,1.6089705882,1.5929901961
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,A7046,"Water chamber for humidifier, used with positive airway pressure device, replacement, each",D1E - Other DME,Durable Medical Equipment,N,7,13,18,18,72.327222222,12.004444444,8.8905555556,9.7272222222
1063483709,GARGANO,ROBERT,M,M.D.,M,I,2929 EXPRESSWAY DR N,,ISLANDIA,NY,117495306,US,Physician/Otolaryngology,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,3,,29,29,874.72,33.488965517,23.184827586,22.830344828
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,18,20,36.0655,17,11.997,12.1805
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,E0434,"Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,12,12,243.04,17,13.33,13.54
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,E0570,"Nebulizer, with compressor",D1E - Other DME,Durable Medical Equipment,Y,2,,11,11,32.186363636,3.3154545455,2.5981818182,3.5945454545
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,6,12,69,77,311.04272727,77.613246753,56.733116883,52.217532468
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,4,,41,44,148.40909091,40.542727273,31.0625,29.3225
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,J7613,"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,33,6347,0.4408712778,0.0457854104,0.0325445092,0.0325445092
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,J7626,"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,2,,11,660,9.5206515152,3.0705454545,2.2038484848,2.2038484848
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,J7644,"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,6,,21,685,3.0719854015,0.219459854,0.1719708029,0.1719708029
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,K0738,"Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,2,,16,16,85,40.8075,30.0025,27.990625
1063483790,VANDER-ELS,NICHOLAS,,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Pulmonary Disease,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,,47,47,33,33,25.319574468,25.319574468
1063483824,HEIM,JOHN,M,D.O.,M,I,601 W MAPLE AVE,SUITE 411,SPRINGDALE,AR,727645335,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,11,11,216,25.860416667,22.730092593,17.820509259,19.587222222
1063483824,HEIM,JOHN,M,D.O.,M,I,601 W MAPLE AVE,SUITE 411,SPRINGDALE,AR,727645335,US,Physician/Orthopedic Surgery,S,L3670,"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,14,15,15,200,104.26,81.74,86.714666667
1063483865,SILVERSTEIN,RUSSELL,,M.D.,M,I,13154 COIT RD,SUITE 100,DALLAS,TX,752405773,US,Physician/Nephrology,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,11,34,43.165588235,8.32,6.1376470588,6.1376470588
1063483865,SILVERSTEIN,RUSSELL,,M.D.,M,I,13154 COIT RD,SUITE 100,DALLAS,TX,752405773,US,Physician/Nephrology,S,J7507,"Tacrolimus, immediate release, oral, 1 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,4,,21,1254,5.3805263158,0.5620414673,0.440645933,0.440645933
1063483865,SILVERSTEIN,RUSSELL,,M.D.,M,I,13154 COIT RD,SUITE 100,DALLAS,TX,752405773,US,Physician/Nephrology,S,Q0511,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,27,27,24,24,18.82,18.82
1063483865,SILVERSTEIN,RUSSELL,,M.D.,M,I,13154 COIT RD,SUITE 100,DALLAS,TX,752405773,US,Physician/Nephrology,S,Q0512,"Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period",O1E - Other Drugs,Drugs and Nutritional Products,N,5,,42,52,16,16,12.540192308,12.540192308
1063483873,HUDSON,ROSALIE,P,M.D.,F,I,901 W BEN WHITE BLVD,,AUSTIN,TX,787046903,US,Physician/Internal Medicine,S,E0431,"Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,41,41,76.392682927,17.74,13.542195122,13.214390244
1063483873,HUDSON,ROSALIE,P,M.D.,F,I,901 W BEN WHITE BLVD,,AUSTIN,TX,787046903,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,3,,40,40,278.796,74.6165,57.00325,53.61175
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4034,"Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,12,144,75.291666667,3,2.3522222222,2.3611805556
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4036,"Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,17,510,14.44254902,4.1923529412,3.2868431373,3.2456666667
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4150,"Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,11,5731,2.3861804223,0.3620903856,0.2838736695,0.28924446
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4152,"Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 cal",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,3,,39,24507,2.7214591749,0.3,0.235201371,0.2426388379
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4154,"Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feed",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,12,6156,3.8278508772,0.65,0.4862849253,0.4941211826
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4185,"Parenteral nutrition solution, per 10 grams lipids",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,42,1366,84.06954612,13.13,10.293997072,10.293997072
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4193,"Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,1,,40,280,477.02,268.44,210.45585714,210.45585714
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4220,"Parenteral nutrition supply kit; premix, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,48,329,19.746382979,9.35,7.33,7.33
1063483907,SCHATTNER,MARK,A,MD,M,I,1275 YORK AVE,,NEW YORK,NY,100216007,US,Physician/Gastroenterology,S,B4224,"Parenteral nutrition administration kit, per day",O1C - Enteral and Parenteral,Drugs and Nutritional Products,N,2,,48,329,63.844255319,29.22,22.908571429,22.908571429
1063483931,DINERMAN,HARRY,,MD,M,I,736 CAMBRIDGE ST,MMR 3 IIEM/ONE,BRIGHTON,MA,02135,US,Physician/Internal Medicine,S,A4221,"Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs  separately)",D1E - Other DME,Durable Medical Equipment,N,1,,11,11,1258.12,19.71,15.45,15.45
1063483931,DINERMAN,HARRY,,MD,M,I,736 CAMBRIDGE ST,MMR 3 IIEM/ONE,BRIGHTON,MA,02135,US,Physician/Internal Medicine,S,A4222,"Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)",D1E - Other DME,Durable Medical Equipment,N,1,,20,36,647.40083333,37.38,29.304444444,29.304444444
1063483931,DINERMAN,HARRY,,MD,M,I,736 CAMBRIDGE ST,MMR 3 IIEM/ONE,BRIGHTON,MA,02135,US,Physician/Internal Medicine,S,J2260,"Injection, milrinone lactate, 5 mg",O1E - Other Drugs,Drugs and Nutritional Products,N,1,,21,370,60.284675676,1.6483513514,1.2922162162,1.2922162162
1063483980,ROSEN,JEFFREY,P,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Orthopedic Surgery,S,A4349,"Male external catheter, with or without adhesive, disposable, each",D1A - Medical/Surgical Supplies,Durable Medical Equipment,N,1,,13,390,2.87,2.27,1.6427692308,1.6427692308
1063483980,ROSEN,JEFFREY,P,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Orthopedic Surgery,S,A4357,"Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,,13,26,12.5,10.93,8.2315384615,8.2315384615
1063483980,ROSEN,JEFFREY,P,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Orthopedic Surgery,S,E0141,"Walker, rigid, wheeled, adjustable or fixed height",D1E - Other DME,Durable Medical Equipment,N,2,14,14,14,115.44571429,71.254285714,55.865,36.46
1063483980,ROSEN,JEFFREY,P,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Orthopedic Surgery,S,E0935,Continuous passive motion exercise device for use on knee only,D1E - Other DME,Durable Medical Equipment,Y,2,28,29,556,73.358902878,25.58942446,20.062194245,20.062194245
1063483980,ROSEN,JEFFREY,P,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Orthopedic Surgery,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,18,18,55.72,19.2,15.051666667,13.826666667
1063483980,ROSEN,JEFFREY,P,MD,M,I,25 W CRYSTAL LAKE ST,SUITE 200,ORLANDO,FL,328064475,US,Physician/Orthopedic Surgery,S,L1830,"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,4,31,31,31,120,98.43,66.021935484,59.199032258
1063484004,WERNER,BENJAMIN,J,D.P.M.,M,I,1500 ROSS CLARK CIR,,DOTHAN,AL,363014754,US,Podiatry,S,L1902,"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,1,17,17,17,134,74.426470588,58.352941176,62.826470588
1063484004,WERNER,BENJAMIN,J,D.P.M.,M,I,1500 ROSS CLARK CIR,,DOTHAN,AL,363014754,US,Podiatry,S,L3100,"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,22,22,33,45,42.17,33.069393939,32.663030303
1063484004,WERNER,BENJAMIN,J,D.P.M.,M,I,1500 ROSS CLARK CIR,,DOTHAN,AL,363014754,US,Podiatry,S,L4361,"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf",D1F - Prosthetic/Orthotic devices,Prosthetic and Orthotic Devices,N,2,96,96,96,286,266.81645833,198.88229167,208.23666667
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,16,37,139,438,69.992351598,8.3068493151,5.7276255708,5.7378995434
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,11,16,48,84,12.270833333,1.42,1.0625,1.0625
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,A7034,"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap",D1E - Other DME,Durable Medical Equipment,N,4,,11,11,255.81090909,54.5,38.845454545,38.942727273
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,A7038,"Filter, disposable, used with positive airway pressure device",D1E - Other DME,Durable Medical Equipment,N,4,,13,78,10.544615385,2.28,1.6492307692,1.5292307692
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,E0601,Continuous positive airway pressure (cpap) device,D1E - Other DME,Durable Medical Equipment,Y,2,,23,23,717.99217391,30.059130435,22.179565217,22.323478261
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,E0630,"Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)",D1E - Other DME,Durable Medical Equipment,Y,1,,11,11,167.2,45.027272727,35.302727273,39.197272727
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme",D1G - Drugs Administered Through DME,Durable Medical Equipment,N,11,15,36,5442,1.968877251,0.1327728776,0.0869055494,0.0869055494
1063484038,IVERSON,PATRICIA,A,M.D.,F,I,329 CONWAY ST,GREENFIELD HEALTH CENTER,GREENFIELD,MA,013011526,US,Physician/Family Practice,S,Q0513,Pharmacy dispensing fee for inhalation drug(s); per 30 days,O1E - Other Drugs,Drugs and Nutritional Products,N,11,15,27,27,33,33,21.079259259,21.079259259
1063484053,HAQUE,MOHAMMED,Z,M.D.,M,I,14071 E 7 MILE RD,,DETROIT,MI,482052335,US,Physician/Internal Medicine,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,4,,18,70,34.362,8.32,5.0317142857,5.0317142857
1063484053,HAQUE,MOHAMMED,Z,M.D.,M,I,14071 E 7 MILE RD,,DETROIT,MI,482052335,US,Physician/Internal Medicine,S,A4259,"Lancets, per box of 100",D1E - Other DME,Durable Medical Equipment,N,3,,13,29,8.3448275862,1.42,0.8986206897,0.8986206897
1063484053,HAQUE,MOHAMMED,Z,M.D.,M,I,14071 E 7 MILE RD,,DETROIT,MI,482052335,US,Physician/Internal Medicine,S,E1390,"Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,250,79.88,62.62,54.72
1063484053,HAQUE,MOHAMMED,Z,M.D.,M,I,14071 E 7 MILE RD,,DETROIT,MI,482052335,US,Physician/Internal Medicine,S,E1392,"Portable oxygen concentrator, rental",D1C - Oxygen and Supplies,Durable Medical Equipment,Y,1,,11,11,275,35.63,27.93,29.51
1063484053,HAQUE,MOHAMMED,Z,M.D.,M,I,14071 E 7 MILE RD,,DETROIT,MI,482052335,US,Physician/Internal Medicine,S,K0001,Standard wheelchair,D1D - Wheelchairs,Durable Medical Equipment,Y,1,,11,11,33.6,17.705454545,13.876363636,14.286363636
1063484129,HOPKINS,ALAN,B,ACNP,M,I,3909 COVINGTON PIKE,,MEMPHIS,TN,381352281,US,Nurse Practitioner,S,A4253,"Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips",D1E - Other DME,Durable Medical Equipment,N,2,,24,36,31.601666667,8.32,4.3494444444,4.3494444444
1063484129,HOPKINS,ALAN,B,ACNP,M,I,3909 COVINGTON PIKE,,MEMPHIS,TN,381352281,US,Nurse Prac